'O ka hemoglobin glycated - he ho'ā'o kūpono no ka hō'oia o ka ma'i a me ka loiloi'ana i kona kaulike

I loko o ka'oihana olakino, aia kekahi mau hihia inā pa'akikī ka nānā'ana i ka maika'i o nā lā'au lapa'au i ka ma'i a me ka pono o ka mālama'ana i nā ma'i me ka ma'i diabetes. Me he mea lā he maika'i ke kanaka, a'o ka'ōpū i ka'ōpū'ōpū i loko o nā palena ma'amau, akā he aha ke'ano o ka pilikia ma kēia ma'i? Ma hope o nā mea a pau, hiki ke helu'ia ka nui o ka glucose i loko o ke koko wale nō i ka manawa o ka ho'ona'auao'ana, he ho'okahi kēia hō'ike.

I kekahi manawa, hoonui koko monakō koko pae i loaʻa i loko o ola kanaka, no ka laʻana, e loaa ana i ka nui nui o carbohydrates a excessive ka noʻonoʻo a me ka 'ehaʻeha o stress ma hope. Ma mahi kō pae ke loliʻai ana o kekahi mau lapaʻauʻia, e like me ku una ha contraceptives, kekahi diuretics, psychiatric ai '. Ma nā hihia pa'akikī, hiki i kahi hō'ailona no ka hemoglobin āpau i ke kōkua o ka endocrinologist, ma ke kuhikuhi o ka ha'awina i kapa'ia'o HbA1c.

Glycosylated hemoglobin - kēia pilina i waho nā lātoma o ka monakō koko a me ka hemoglobin A, maʻamau kēia kaʻina paa wahi i noke aku i ola kanaka. 'O ka nui o ka hemoglobin e kau ana i ka'ōmole he 5-8%. I nā ma'i i loa'a i ka ma'i diabetes, hiki i kēia manawa ke ho'onui'ia e 2-3 mau manawa a ke ho'omau nei ma ka holo'ana o ka erythrocyte,'o ia ho'i. 120 mau lā. Ma muli o nā'ōpiopio'ula'ula'ele'ele i loko o ke koko,'o ka makahiki ma'amau o ka erythrocyte, e like me ka hapalua o kona ola-60 mau lā, ua lawe'ia.

Glycosylated hemoglobin, o ka uku o ka i mea 4-6.1% o ka huina hemoglobin pae, Hōʻike ka awelika monakō koko no elua mahina a hiki i ke koko hoao. No laila, hiki ke ho'oholo inā he loloa ka lō'ihi i ka glucose a i'ole no 2 mau mahina i hō'ike'ia kēia hō'ailona ma ke'ano ma'amau. 'O ka ho'ohui'ana ma waena o HbA1c a me glucose i loko o ke koko ua hō'oia'ia i nā makahiki he nui o ka noi'i'ana, ua ho'okūpa'a'ia i ka pi'i'ana o ka glucose koko e 1.59 mmol / l e pili ana i ka 1% o ka hemoglobin i lalo o ka'ō'ō.

I loko o nā nīnau hea kahi hana i hana'ia no ka hemoglobin glycated?

- no ka diagnosing mimikō a me nä kona kiʻekiʻe o ka uku;

- e kanaka hoʻoponopono i ka iapaau ana o hypoglycemic konohiki ;

- e ho'oholo i ka hopena o ka pilikia o ka ma'i ma'amau;

- i loko o nā hihia o ka hihia hoʻi monakō koko ke ahonui, a me kaʻike, o ka mālama '-mimikō;

- Nā wāhine hānai e loa'a ana ka ma'i ma'amau.

Ke ho'ākāka'ana i nā hopena o ka ho'opili'ana me ka ma'i ma'isā:

Aia a hiki i ka 5.8% - ua uku maika'i'ia ka ma'i hīhē.

Mai 8 a 10% - he diabetes i ho'opa'i'ia.

Ma kahi o 12%, he ma'i i loa'a'ole.

Ho'opi'o nā mea'ae'a i ke ka'ina o ka hemoglobin i ka laulā 7 a 8%. Me nā kaukena kūpono e kau'ia, pi'i hou nā HbA1c i nā mea ma'amau ma hope o ho'okahi malama o ka ho'ololi.

Ke'ōlelo aku nei ka'Aha'Amelika ma'i ma'i e mālama'ia ke a'o'ana i ho'okahi manawa i nā mahina 6. Ma Russia, ua kau'ia ka ho'opuka helu HbA1c no nā po'e ma'i e loa'a ana i ka insulin a me nā lā'au hypoglycemic, ho'okahi manawa i kēlā me kēia 3 mahina. Ma ka leka o hemoglobin HbA1c hiki ke ho'okolokolo'ia inā paha he ki'eki'e ke kūpono o ka mea ma'i e ho'olālā i nā ma'i o nā'ōpiopio o ka'ōpiopio.

I kŰia mau hihia, hiki i ka hakina o ka ho okumu ana ma HbA1c?

Ho'onui'ia ka pi'i'ana o nā hualoa'a ma ka pi'i'ana o ka hemoglobin āpau i ke koko a me ka anemia hao. Ho'onui'ia ka emi'ana ma ka hīmeni i ka wā e luku'ia ai nā erythrocytes no ka haemolysis, ma hope o ke kahe'ana o ke koko a i'ole ka nui o ke koko.

'O ka hō'ulu'ulu'ana o ka hemoglobin i ka mea ma'amau ka mea ma'amau (i ho'okahi manawa ma ka mahina) no nā ma'i i loa'a'ole i ka papahana ma'amau'ole o ka ma'i, inā he mau ma'i kūpiliki'i ko'iko'i paha, nā wāhine hāpai i ka ma'i diabetic e pale i ka ulu'ana o nā ma'i ma'i i loko o ka'ōpū.