Idan akan komai a ciki sakamakon gwajin jini na sukari ya tashi daga 3.3 zuwa 5.5 mmol / L, ana daukar wannan a matsayin al'ada. Bayan cin abinci, glucose ya tashi daga matakin 7.8 mmol / L. Likita zai binciki ciwon sukari idan akalla an ninka matakin na yawan glycemia na azumi a cikin kewayon daga 6.1 zuwa 11.1 mmol / L.
Jiyya ta ƙunshi narkar da abinci mai ƙoshin abinci, hanyar rage ƙwayar sukari, ko allurar insulin. Ana nuna mai haƙuri don tsara yadda sukari ke cikin jini, ana iya yin wannan a gida ko tuntuɓar dakin gwaje-gwaje.
Kowane mai ciwon sukari ya kamata ya sani cewa sigogi na glucose shine manufa ta mutum, maiyuwa bazai dace da tsari ba, amma a lokaci guda ya dace da wani mutum.
Tare da hari:
- rage yiwuwar rikitarwa;
- cututtuka masu rikitarwa ba sa ci gaba;
- jin dadi.
Lokacin da glucose ya cika dabi'u masu ƙima, ana sarrafa cutar, ana kula da cutar sukari. Idan matakin ƙwayar cutar glycemia ya kasance ƙasa ko sama da ƙididdigar da aka bada shawara, ana nuna shi don daidaita tsarin kulawa.
Yana faruwa cewa marasa lafiya da gangan don guje wa matakan matakan glucose, suna tabbatar da ayyukansu tare da tsoron wucewar zuciya, wanda zai faru lokacin da aka sami sakamako mai ƙarfi. Irin wannan matsayi na iya haifar da mummunar illa ga lafiya.
Lambobin glucose na jini mafi kyau duka
Idan ana kula da ciwon sukari, yana yiwuwa a hana yiwuwar rikice-rikice na ƙarshe, da farko irin su cutar ciwon sukari, atherosclerosis, retinopathy, neuropathy, nephropathy. Ana iya yin lissafin ainihin takamaiman gwargwadon shekarun masu ciwon sukari, ƙaramin shi, mafi mahimmancin irin wannan rigakafin shine a gare shi.
A lokacin karami, wajibi ne don yin ƙoƙari don cikakkiyar iko na glycemic, a kan komai a ciki, matakin sukari ya kamata ya zama kimanin 6.5 mmol / l, kuma bayan cin abinci - 8 mmol / l.
A cikin balagaggen girma, glycemia na 7-7.5 mmol / l ya yarda, bayan cin wannan lambar shine 9-10. A cikin marasa lafiya tsofaffi, an sami karɓa mai yawa, alamomi na 7.5-8 mmol / L zai zama karɓa, sa'o'i 2 bayan cin abinci - 10-11 mmol / L.
A lokacin daukar ciki, makasudin magani shine glukon jini bai wuce 5.1 mmol / L ba. A lokacin rana, mai nuna alama kada ya kasance ƙasa da 7. Waɗannan dabi'u zasu taimaka hana ci gaban cututtukan cututtukan cututtukan zuciya.
Wani mahimmancin alama kuma shine bambanci tsakanin sukarin jini da kuma bayan cin abinci. Yana da matuƙar kyawawa cewa amplitude ba ƙasa da maki 3 ba. Tare da canje-canje masu kauri a cikin glycemia, wannan shine ƙarin ƙarin lalata abubuwa ga dukkanin tasoshin, waɗanda abin ya fi shafa sune venules, arterioles, capillaries.
Glycated haemoglobin hari
Likitocin sun ce kimanta diyyar mellitus na ciwon sukari da kuma daidaita hanyoyin kwantar da hankali bai kamata ya danganta da alamuran mutum na nuna glucose na jini ba, amma a matsakaita adadi. A yau, binciken glycated haemoglobin yana da matsakaicin darajar amfani.
Wannan bincike yana nuna glucose na jini a cikin watanni ukun da suka gabata, yayin da yawan sukari ke karuwa, ya zama mafi girman matakan gemoclobin.
Target glycated matakin haemoglobin a cikin matasa marasa lafiya:
- waɗanda ba su da tabbas game da hauhawar jini da rikice-rikice masu haɗari - 6.5%;
- a gaban rikitarwa da haɗari - har zuwa 7%.
Bayan shekaru 45 da haihuwa, ba tare da haɗarin rikice-rikice da hypoglycemia ba, haemoglobin na glycated ya kamata ya kasance a matakin da bai fi 7% girma ba, idan abubuwan da ke tattare da rikice-rikice sun kasance - a ƙasa da 7.5%.
Lokacin da tsammanin rayuwar haƙuri ya kasance ƙasa da shekaru 5, shekarun ɗan haƙuri ya tsufa, haemoglobin mai glycated - 7.5-8%.
A lokacin daukar ciki, matsakaicin matakin glucose ya dace da mutane masu lafiya - har zuwa 6%.
Ta yaya zaku cimma burin sukarinku na jini?
Babban ka'ida a cikin lura da ciwon sukari shine tsananin bin tsarin kulawa da shawarar da aka bayar. Mai haƙuri ba shi da damar rage matakin glycemia, idan bai yi ƙuntatawa akan menu ba. Hakanan dole ne a tuna cewa an sanya magunguna masu yawa na rage ƙwayar sukari, ana ɗaukar insulin kowace rana, sun zama dole daga lokacin da cutar ta kuɓuta.
Ko da tare da wani nau'i mai laushi na nau'in ciwon sukari na nau'in na biyu, idan akwai haɗari na haƙuri da haƙuri na rashin haƙuri da haƙuri, ana nuna hanya ta kwayoyi. Haka ma yake da muhimmanci a sauya rayuwar mutum.
Don cimma ƙimar abubuwan glucose na jini zai yuwu godiya ga waɗannan matakan:
- aikin jiki;
- ingantaccen abinci mai gina jiki;
- bin dokar yau da kullun;
- kawar da munanan halaye.
Wani yanayin shi ne kame kansa a kai a kai, dogara da jin kawai ba za a yarda da shi ba. Yayinda cutar ke ci gaba, mai haƙuri ya saba da ko da yawan matakan sukari, ƙishirwa kullun, urination mai yawa, ƙoshin fata da bakin bushe, ba zai dame su ba.
Don sanin matakin glucose, kuna buƙatar amfani da glucometer. Ana shigar da aunawa a cikin kalandar.
Ba za ku iya ƙi kulawa da kullun ta likitanka ba. Ana ziyartar wani endocrinologist sau ɗaya a wata, waɗannan kwanakin cikin dakin gwaje-gwaje suna ba da gudummawar jini da fitsari. Kowane watanni 6 a ƙari yana bayar da glycated haemoglobin.
Sakamakon binciken wani lokaci yana dogara da dakin gwaje-gwaje inda aka gudanar da shi. Dalilin shine bambance-bambance a cikin hanyar nazarin.
Saboda haka, don haɓaka ma'amala da jini, dole ne a ba da gudummawar jini wuri guda.
Abvantbuwan amfãni da rashin amfanin hanyar
An yi imanin cewa tare da yin amfani da allurai na shaye-shayen bitamin E, C, haemoglobin zai ragu. Tare da hypothyroidism, akasin haka, an ɗaukaka shi, duk da matakin karɓa na glycemia, duka cikin tsofaffi da kuma lokacin ƙarami.
Kamar yadda kake gani, glycated haemoglobin yana nuna likita sau nawa glucose jini ya yawaita a cikin watanni 3 da suka gabata. Wannan bayanin yana taimakawa fahimtar yadda tasirin magani yake.
Hanyar tana da fa'idodi da yawa na fili:
- Kuna iya yin awo a kowane lokaci, ba tare da la'akari da yawan abincin ba;
- sakamakon yana da sauri;
- gwajin zai taimaka wajen gano ciwo a cikin yanayi masu rikitarwa.
Wani ƙari kuma shine cewa haemoglobin mai glycated yana taimakawa wajen tantance canje-canje a cikin metabolism metabolism, idan yawan kuzarin glycemia yana kasancewa cikin iyakoki na al'ada. Wannan sakamakon ba shi da damuwa da damuwa, matakai na cuta, da kuma matakin motsa jiki.
Hakanan dabarun yana da abubuwanda suka hana aiwatar dashi ko'ina. Da farko dai, yana da tsada matuƙar, kodayake, kuma ana iya rama wannan ƙimar ta hanyar dogaro da sauƙi. Glycated haemoglobin zai nuna ƙimar matsakaici ba tare da nuna ƙimar girma ba.
Lokacin da mai haƙuri yana da anemia, akwai cututtukan gado na tsarin furotin haemoglobin, sakamakon binciken ba zai zama abin dogaro ba.
Dalilai na kara da raguwar sakamako
Idan glycated haemoglobin ya kasance a 4% ko lessasa da yawa, ƙwayar glucose ta tabbata, to ya kamata a nemo abubuwan da ke faruwa a cikin ƙwayoyin ƙwayar ƙwayar ƙwayar cuta, wanda ke samar da insulin wuce haddi. A wannan yanayin, mai haƙuri ba shi da tsayayya da hormone, tare da ƙara yawan glucose na insulin da sauri, haɓakar hypoglycemia ta haɓaka.
Baya ga insulinomas, rage yawan glucose, wanda zai haifar da haemoglobin da ke ƙasa da al'ada, waɗannan cututtukan da yanayin sun tsokani:
- kasawar rashin haihuwa;
- yawan yawan insulin, ƙwayoyin hypoglycemic;
- tsawan zafin jiki;
- m low-carb rage cin abinci.
Sauran abubuwan da zasu haifar ba zasu zama masu saurin kwayoyin halitta ba: von Girke, Herce, cututtukan Forbes, rashin jituwa na fructose.
Hawan jini mai narkewa yana nuna cewa an lura da cutar hyperglycemia na dogon lokaci. Haka kuma, wannan gaskiyar ba koyaushe yake nuna ciwon sukari ba.
Matsalar ƙwayar carbohydrate sun haɗa da glucose mai yawan rauni da haƙuri da shi. An tabbatar da gano cutar sankarar mellitus ta nau'in farko ko ta biyu idan matakin haemoglobin ya wuce na yau da kullun.
Tare da ƙimar daga 6% zuwa 6.5%, likitoci suna magana game da ciwon suga, wanda ba cin zarafin haƙuri ba ne da haɓakar glucose mai azumi.
Yadda za a ɗauka da kuma yadda za a rage
Kuna iya ba da gudummawar jini zuwa ga duka matakan haemoglobin mai narkewa a cikin polyclinic na jihohi kamar yadda likita ya umarta ko a dakin gwaje-gwaje masu zaman kansu, amma baku buƙatar ɗaukar takarda.
Glycated haemoglobin azumi ko a'a? A matsayinka na mai mulkin, ana bayar da kayan kayan halitta don sukari a kan komai a ciki. Wannan yana da mahimmanci, saboda bayan cin abinci jinin zai canza kadan. Amma zaka iya lissafa hawan jini a kowane lokaci, akan komai a ciki ko bayan cin abinci, saboda yana nuna yawan glucose a cikin watanni 3 da suka gabata.
Rage matakin na glycated haemoglobin yana da alaƙa da raguwar sukarin jini. Saboda wannan, don daidaita alamomin farko, ya wajaba:
- lura da glucose na jini akai-akai;
- Kada ku manta game da bacci da farkawa;
- tsunduma cikin wasanni;
- ku ci daidai, kada ku ci carbohydrates mai sauri;
- ziyarci likita akan lokaci.
Idan mai haƙuri ya ji cewa daga ƙoƙarinsa alamun alamun glucose ya koma al'ada yayin rana, wannan yana nuna cewa gwajin jini na gaba bayan watanni 3 zai nuna sakamakon da ake so.
Yadda ake ɗaukar bincike don haemoglobin zai gaya wa gwani a cikin bidiyon a wannan labarin.