Glycated haemoglobin alama ce ta jinin alamomi wanda ke nuna yawan glucose a cikin dogon lokaci. Glycohemoglobin ya ƙunshi glucose da haemoglobin. Matsayi ne na glycogemoglobin wanda ke ba da labarin adadin haemoglobin a cikin jini wanda ya haɗu da ƙwayoyin sukari.
Dole ne a gudanar da binciken don gano asali a farkon lokaci mai yiwuwa cutar kamar su ciwon sukari, don hana haɓaka kowane nau'in rikicewar cutar sanƙara. Don bincike, ana amfani da na'urar ta musamman.
Bugu da ƙari, dole ne a ba da jini don glycated haemoglobin don saka idanu kan tasirin maganin cututtukan ƙwayar cuta. Wannan samfurin yana ƙaddara azaman yawan duka haemoglobin.
Yana da mahimmanci ga marasa lafiya masu ciwon sukari mellitus, ba tare da la'akari da irin cutar ba, don fahimtar menene ma'anar haemoglobin kuma menene ƙa'idar sa a cikin ciwon sukari mellitus. Yakamata ka sani cewa wannan manuni ya samo asali ne sakamakon hadewar amino acid da sukari. Adadin samuwar da adadin sel jini ja yana hade da alamomin glycemia. A sakamakon haka, irin wannan haemoglobin na iya kasancewa iri-iri:
- HbA1c;
- HbA1a;
- HbA1b.
Dalilin da yasa sukari a cikin sukari ke ƙaruwa, sakamakon sinadarai na fushin haemoglobin tare da sukari ya wuce da sauri, haemoglobin ya tashi. Tsawon rayuwar kwayoyin halittar jini da ke cikin haemoglobin zaikai kwanaki 120, saboda haka, binciken zai nuna tsawon lokacin da glycated haemoglobin ke karkata daga tsarin.
Abinda yake shine cewa sel jini suna iya adanawa a cikin bayanan ƙwaƙwalwar su akan adadin ƙwayoyin haemoglobin waɗanda, a cikin watanni 3 da suka gabata, waɗanda ke da alaƙa da ƙwayoyin sukari. Koyaya, a lokaci guda, ƙwayoyin jan jini na iya zama shekaru daban-daban, don haka ya halatta a gudanar da binciken kowane watanni 2-3.
Gudanar da ciwon sukari
Kowane mutum yana da glycated haemoglobin a cikin jini, amma adadinsa a cikin ciwon sukari yana ƙaruwa aƙalla sau 3, musamman a cikin marasa lafiya bayan shekaru 49. Idan ana gudanar da ingantaccen aikin jiyya, bayan makonni 6 mutum yana da haemoglobin na al'ada a cikin ciwon sukari na mellitus.
Idan kun kwatanta haemoglobin don ciwon sukari da kuma haemoglobin na glycated don abubuwan sukari, bincike na biyu zai zama daidai kamar yadda zai yiwu. Zai ba da ra'ayin halin da kwayoyin cutar sukari ke ciki a 'yan watannin nan.
Lokacin da bayan gwajin jini na farko an gano cewa glycated hemoglobin har yanzu tana haɓaka, akwai alamomi don gabatar da gyare-gyare a yayin kula da cutar sankara. Wannan bincike shima ya zama dole domin sanin yiwuwar wani mummunan yanayin yanayin cututtukan.
Dangane da endocrinologists, tare da ragewar haemoglobin na lokaci-lokaci, hadarin kamuwa da cutar zazzabin cizon sauro zai iya raguwa da rabi. Abin da ya sa ya zama dole:
- duk lokacin da aka bincika sukari;
- dauki gwaje-gwaje.
Abin takaici, zaku iya ba da gudummawar jini don irin wannan binciken kawai a cikin dakunan gwaje-gwaje da cibiyoyin likita. A yanzu, kananan asibitocin jihohi ba su da kayan aiki na musamman.
Abubuwan da ke nuna alamun binciken suna cikin wasu mata yayin daukar ciki, wannan ya wajaba don bayyanar cututtuka game da abin da ake kira latent diabetes mellitus.
Wasu lokuta alamun gwaji ba su da tabbas, dalilin wannan shine karuwar rashin lafiyar mata masu juna biyu, da kuma gajeriyar rayuwar rayuwar sel.
Yaya auna, dabi'u
Don ƙayyade ko matakan sukari na jini daidai ne ko a'a, ana amfani da hanyoyi guda 2 kai tsaye - wannan ma'aunin ciki ne na rashin kuzari da gwajin juriya na glucose. A halin yanzu, taro na sukari na iya bambanta sosai, gwargwadon abinci da aka cinye da sauran abubuwan. Sabili da haka, ciwon sukari ba koyaushe bane za'a iya gano cutar ta hanyar da ta dace.
Mafi kyawun zaɓi shine a gudanar da bincike na haemoglobin na glycosylated, yana da fa'ida sosai kuma ingantacce ne, kawai ana ɗaukar 1 ml na jini mai ɓacin rai daga mai haƙuri. Ba zai yiwu a ba da gudummawar jini ba bayan mai haƙuri ya karɓi ƙarin jini kuma an yi masa tiyata, tunda bayanan da aka samu ba daidai ba ne.
Idan mai ciwon sukari yana da na'urar ta musamman don bincike a gida, za'a iya yin shi kawai a gida. Kwanan nan, irin waɗannan na'urori suna ƙara samun izinin yin amfani da likitoci da wuraren shan magani. Na'urar zata taimaka wajen tsaida yawan hemoglobin a cikin samfurin jini a cikin 'yan mintuna biyu:
- mai ci;
- mulkin mallaka.
Don bayanin lafiya ya zama daidai, dole ne a bi umarnin don amfani da na'urar.
Takaitaccen glycosylated haemoglobin ban da ciwon suga yana nuna karancin iron. Matsayi na hba1c, idan ya fara a 5.5 kuma ya ƙare da 7%, yana nuna nau'in ciwon sukari na 1. Yawan abu daga 6.5 zuwa 6.9 yana ba da labarin yiwuwar kasancewar hauhawar jini, kodayake a cikin wannan halin akwai buƙatar sake gudummawar jini.
Idan babu isasshen irin wannan haemoglobin a cikin binciken, likita zai binciko maganin rashin lafiyar, kuma wannan na iya nuna kasancewar cutar haemolytic.
Glycated haemoglobin
A cikin mutum lafiyayye, raunin haemoglobin zai kasance daga 4 zuwa 6.5% na jimami na haemoglobin. A cikin nau'in ciwon sukari na 2 na sukari, bincike zai nuna karuwar da yawa a cikin glycogemoglobin. Don daidaita yanayin, da farko, an nuna cewa yana ɗaukar dukkanin matakan da za a iya samu don rage matakin cutar ta glycemia, kawai a ƙarƙashin wannan yanayin yana yiwuwa a sami canje-canje a cikin maganin cututtukan cututtukan cututtukan cututtukan ƙwayar cuta, don cimma burin maƙasudin glycated da ba da gudummawar jini a duk watanni 6 zai taimaka don samun cikakken hoto.
An tabbatar da shi a kimiyance cewa lokacin da yawan gemocated haemoglobin ya wuce akalla 1%, sukarin sukari nan da nan ta 2 mmol / L. Tare da glycated haemoglobin ya karu zuwa 8%, ƙimar glycemia ya haɗu daga 8.2 zuwa 10.0 mmol / L. A wannan yanayin, akwai alamu don daidaita abinci mai gina jiki. Hemoglobin 6 al'ada ce.
Lokacin da glycated haemoglobin ka'idar ciwon sukari ke karuwa da 14%, wannan yana nuna cewa 13-20 mmol / L na glucose yanzu yana yawo a cikin jini. Sabili da haka, wajibi ne don neman taimakon likitoci da sauri, yanayin makamancinsa na iya zama mai mahimmanci kuma yana haifar da rikice-rikice.
Alamar kai tsaye don bincike na iya zama ɗaya ko ƙari alamun:
- asarar nauyi;
- m ji gajiya;
- bakin bushe kullun, ƙishirwa;
- urination akai-akai, hauhawar yawan fitsari.
Mafi sau da yawa, fitowar asali da haɓaka cututtuka daban-daban suna haɗuwa da haɓaka mai sauri a cikin glucose. Marasa lafiya da ke hawan jini da kiba mai yawa dabam dabam suna iya kamuwa da wannan.
Irin waɗannan marasa lafiya suna tilasta shan ƙarin allurai na magunguna don daidaita yanayin su, ga masu ciwon sukari yana da mahimmanci. Akwai babban yiwuwar matsaloli tare da sukari na jini tare da rashin gado, wanda shine tsinkayar cututtukan metabolism da cutar sankara.
A gaban wadannan abubuwan, ya zama dole a kiyaye matakin glucose din a kowane lokaci. Nazarin a gida ana nuna shi idan ya cancanta, ingantaccen bincike na jikin mutum, tare da tabbatar da rikice-rikice na rayuwa, a gaban cututtukan cututtukan cututtukan fata.
Kuna iya samun ainihin sakamakon binciken da aka bayar cewa an cika wasu sharuɗan binciken, waɗanda sune:
- jini yana ba da komai a ciki, abincin da yakamata ya kasance bai wuce awanni 8 kafin bincike ba, shan ruwa mai tsabta ba tare da iskar gas ba;
- 'yan kwanaki kafin a kwashe musu jini, suna daina shan barasa da shan sigari;
- Kafin bincike, kada ku ci ɗanɗano, goge hakora.
Yana da kyau sosai idan kun daina amfani da duk magunguna kafin gwajin gemoclobin glycated don ciwon sukari. Koyaya, ba za ku iya yin wannan da kanku ba, kuna buƙatar tuntuɓi likita.
Abvantbuwan amfãni da rashin amfanin bincike
Gwajin jini ga haemoglobin yana da nasa fa'ida da fa'idarsa sosai. Don haka, bincike yana taimakawa wajen tabbatar da cutar kamar yadda yakamata a farkon farkon ci gabanta, ana aiwatar da ita a cikin 'yan mintoci, ba ta bayar da shiri sosai ba.
Gwaji zai nuna daidaito gaban hyperglycemia, tsawon lokacin wannan yanayin, yawan haƙuri yana sarrafa matakin sukari a cikin jini. Haka kuma, sakamakon hakan daidai ne koda a gaban jijiyoyin damuwa, damuwa da sanyi. Kuna iya ba da gudummawar jini yayin shan wasu magunguna.
Hakanan wajibi ne don nuna rashin dacewar hanyar, sun haɗa da babban farashin binciken, idan muka kwatanta shi da ƙudurin sukari na jini a wasu hanyoyi. Sakamakon zai iya zama ba daidai ba idan akwai anemia a cikin ciwon sukari mellitus ko hemoglobinopathy.
Tattaunawa game da haemoglobin na cikin jiki na iya zama ba daidai ba idan mai haƙuri a ranar Hauwa ya ɗauka da yawa:
- acid na ascorbic;
- bitamin E
Kuna buƙatar sanin cewa alamu suna ƙaruwa har ma da sukari na jini na al'ada, wannan yana faruwa tare da adadin wuce kima na kwayoyin thyroid.
Masana ilimin Endocrinologists sun ce tare da nau'in ciwon sukari na 1, ana bayar da jini don glycated hemoglobin aƙalla sau 4, nau'in ciwon sukari na 2 yana buƙatar gwaji kusan sau 2. Wasu marasa lafiya na iya lura da alamun masu tsauraran matakan, saboda haka suna yin watsi da ɗaukar gwaje-gwaje don kar su sami damuwa sosai kuma kar su sami mummunan bincike. A halin yanzu, irin wannan tsoron ba zai haifar da wani abu mai kyau ba, cutar za ta ci gaba, sukarin jini zai tashi da sauri.
Yana da matukar muhimmanci a sha gwajin jini yayin daukar ciki, tare da rage hawan jini:
- akwai bata lokaci a cikin ci gaban tayin;
- wannan cutar na iya haifar da dakatar da daukar ciki.
Kamar yadda ka sani, ɗaukar yaro yana buƙatar haɓaka yawan samfuran da ke ɗauke da baƙin ƙarfe, in ba haka ba yanayin da glycated haemoglobin ke da wuya a sarrafa.
Amma game da marasa lafiya na yara, hawan jini mai narkewa shima hatsari ne a gare su. Koyaya, koda koda wannan alamar ta wuce 10%, haramun ne a rage shi da sauri, in ba haka ba raguwar kaifi zai rage ji da gani. An nuna shi don daidaita matakan glycogemoglobin a hankali.
Bidiyo a cikin wannan labarin zai yi magana game da fasali na bincike don haemoglobin da ke glycated.
