Menene ma'anar haemoglobin ke nunawa? Me yasa mai ciwon sukari zai ɗauki wannan gwajin?

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Glycated haemoglobin (glycogemoglobin) shine sabon hanyar bincike. Yana ba ku damar yin hukunci da matakin ci gaban ciwon sukari da kuma yiwuwar rikitarwarsa.
Glycohemoglobin yana nuna yiwuwar neuropathy, cututtukan zuciya, ƙafafun sukari, kuma ya nuna ko ana yin lissafin ƙwayar insulin don nau'in 1 masu ciwon sukari daidai. Bari mu ga menene wannan nazarin. Yaya za a ba da gudummawar jini don glycogemoglobin kuma yadda za a fahimci sakamakon?

Glycated haemoglobin: ilimin halittar jikin halittar mutum

Rayuwar kwayar jan jini wacce jigilar jini ce ta kwana 90-120. Hemoglobin mai guba ne a cikin kansa, amma ya zama dole don jigilar oxygen na alveoli na huhun su zuwa sel na gabobin daban daban. Saboda yawan guba, kwayoyin halittar haemoglobin an lullube su ne a cikin tantanin jini, jawar jini.
Yayin aiwatar da rayuwa, amsawar sinadaran da ba za'a iya juyawa ba yana faruwa tsakanin bangaren sunadarai na haemoglobin (globin) da guban jini. A sakamakon wannan dauki, glycogemoglobin.

Kalmar "ba a jujjuyawa ba" yana nufin cewa juyawa ba zai yiwu ba. Idan gilashin da zarar sun amsa sunadaran glucose, to abubuwan da aka kirkira zai zama irin wannan har zuwa karshen rayuwar tantanin jini.

Wannan dukiya ta kasance tushen maganin cutar sankarar fata, lokacin da ake amfani da bincike-jini na haemoglobin don tantance matakan sukari.

Menene bambance-bambance tsakanin sabon ganowa da gwajin sukari na al'ada na al'ada?

Glycogemoglobin bincike: fasali da fa'idodi

Gwajin jini na gargajiya yana ƙayyade yawan adadin glucose na jini mai azumi.
Rashin ingancin wannan binciken shine cewa yana nuna sakamako na ɗan lokaci, matakin sukari yanzu.

  • A wannan yanayin, mai haƙuri da ciwon sukari na 1 na iya samun sukari mai yawa bayan ya ci abinci (idan ba a ƙididdige yawan insulin daidai ba).
  • A cikin nau'in ciwon sukari na 2, babban sukari na iya faruwa lokaci-lokaci idan ba a bi abincin ba.
  • Wataƙila karuwa na dare a cikin glucose. A wannan yanayin, ganowar jinin azumi safe zai nuna kusan sakamako na al'ada, ƙaramin ƙara yawan sukarin jini da safe. Kuma rikice-rikice za su ci gaba cikin cikewa.
Wani gwajin haemoglobin da ke glycated ya nuna yawan ƙwayoyin glycated jini a cikin jini.

A lokaci guda, duk tsalle-tsalle a cikin glucose na tsawon watanni uku za a nuna a cikin yawan adadin glycohemoglobin. Duk lokacin da yake ƙaruwa wannan alamar, to yawanci ana haɓaka yawan glucose a cikin tasoshin. Wannan yana nufin cewa rikice-rikice masu ciwon sukari daban-daban sun kafa ƙarin.

Akwai kuma wata hanyar don sarrafa matakin sukarin ku - mita mita glukos din jini na gida da kuma gwajin gwaji.
Ga marasa lafiya da ciwon sukari, ana bada shawarar yin amfani dashi sau ɗaya a mako. A cikin wannan binciken, marasa lafiya da ciwon sukari suna sarrafa sukari na jini sau da yawa a rana:

  • kafin kowane abinci
  • 2 hours bayan kowane abinci,
  • kafin a kwanta
  • kuma da dare, a ƙarfe uku.

Ana kiran wannan ma'auni bayanin martaba, yana samar da hoto cikakke fiye da cikakken bincike na sukari, amma bai isa ba don bincika rikice-rikice da sarrafa adadin insulin.

Yaya ake fahimtar sakamakon binciken?

Tun da kwayar jan jini ke rayuwa har zuwa kwanaki 120, sakamakon abubuwan da ke cikin haemoglobin sun nuna kasancewar matakan glucose sama da watanni ukun da suka gabata.
A lokaci guda, fiye da rabin jikin da aka samu na glycated suna cikin watan da ya gabata (kafin gwaji). Wato, binciken yana nuna jimlar yawan sukarin jini gaba daya a tsawon shekara daya da rabi zuwa watanni biyu.

A cikin mutum mai lafiya, nazarin HbAIc (mai nuna alama) shine kashi 4-6%.
Ga marasa lafiya da masu ciwon sukari na kowane nau'in, ana daukar abun ciki na glycohemoglobin (HbAIc) har zuwa 6.5% alama ce mai kyau, wanda ke nuna bin ka'idodin abinci (tare da nau'in ciwon sukari na 2) da kuma ƙididdigar daidai da adadin insulin (nau'in ciwon sukari na 1).

Furtherarin ci gaba a cikin alamar yana nuna samuwar rikicewar masu ciwon sukari da kuma buƙatar canje-canje.

  • Wani nau'in mai ciwon sukari mai nau'in 2 yana buƙatar sarrafa menu kuma ya samar da matakin motsi.
  • Mara lafiyar da aka gano tare da nau'in 1 na ciwon sukari yana buƙatar daidaita sashi na allurar insulin.
Idan tsarin glycohemoglobin ya wuce al'ada fiye da 7%, ana buƙatar gyara abinci mai gina jiki da kwayar insulin cikin gaggawa.
Bugu da kari, akwai madaidaitan dangantaka na sukari da matakan glycogemoglobin. Suna ba ku damar yin nazarin cutar sankarar mama ko soke ta. Muna ba da waɗannan ka'idodi:

  • Bayanan da aka nuna a ciki na 4-5-5% yayi dace da sukari na jini har zuwa 4-5.5 mmol / l, babu ciwon sukari.
  • 6.5% sun dace da 7.2 mmol / l kuma suna nuna cewa mai haƙuri na iya haɓaka ciwon sukari a nan gaba (kalmar likita ita ce ƙungiyar haɗari ga masu ciwon sukari).
  • Kashi 7% kuma sama yana dacewa da wuce haddi na 8.2 mmol / l kuma yana nuna kasancewar ciwon sukari.

Yaya za a ƙaddamar da bincike?

Dangane da ka'idodin ka'idojin, ana iya ɗaukar gwajin jini don glycated haemoglobin a kowane lokaci na rana, ba tare da la'akari da abincin ba (kafin ko bayan). Koyaya, yawancin dakin gwaje-gwaje suna tsara liyafar gwaji da safe akan komai a ciki. Ba da shawarar sha taba kafin ɗaukar gwajin.
Shin ƙwayar haemoglobin tana taimakawa koyaushe wajen binciko ciwon sukari? Sai dai itace, a'a.
Akwai yanayi wanda ƙimar jarrabawar ba ta dace da yanayin cutar ba. Yaushe baza ku iya dogara da sakamakon binciken ba?

  • Idan cikin tsawon watanni 3 kafin jarrabawar (kuma musamman a cikin watan da ya gabata) mara lafiya yana da raunin da ya faru tare da asarar jini.
  • Idan an yi wani zubar jini.
Wadannan abubuwan suna rage yawan mai nuna alama zuwa matakin al'ada, yayin da cutar da kanta na iya ci gaba.

Glycated Hemoglobin - Bincike mai mahimmanci don gano cutar sankarau da yiwuwar haɓaka rikitarwarsa. Tun daga shekara ta 2011, Hukumar Lafiya ta Duniya ta dauki mai nuna alama a matsayin babban ma'aunin cutar sankarau.

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