Menene ma'anar haemoglobin? Wannan yana hade da dukkanin haemoglobin, wanda yake gudana cikin jinin mutum kuma yana ɗaukar glucose. Wannan samfurin ana yawanci auna shi cikin kashi, sama da sukarin jini, sama da yawa na haemoglobin za a glycated.
Glycated hemoglobin (hb) shine mafi mahimmanci a lokuta da ake zargi da cutar mellitus da ake zargi da ita; daidai yana nuna matsakaicin matakin sukari na jini a cikin watanni 3 da suka gabata. Tare da isar da ƙididdigar lokutan, zai yuwu a gano matsalolin kiwon lafiya a cikin lokaci ko a kawar da su, ceton mai haƙuri daga abubuwan da ba dole ba.
Gwajin yana taimaka wajan tantance tsananin cutar, tasirin magani da aka bada shawara, da bayar da hangen nesa nan gaba. Ana buƙatar yin nazari game da matakin glycated haemoglobin koda da ƙarancin ciwon sukari.
Likitoci suna amfani da wannan bayanin:
- A1C;
- HbA1C;
- hb;
- haemogbinbin A1C.
Fashewa a cikin binciken yana ba ka damar ganin yadda sukarin jini ke aiki da kuma yadda yawan taro zai iya canzawa. Ana ba da gudummawar jini da safe, musamman a kan komai a ciki. Idan yaduwar jini ko zub da jini, zai fi kyau a jinkirta tarin kayan don makonni da yawa.
Babban mahimmanci shine ɗaukar kayan halitta a cikin ɗakin gwaje-gwaje guda ɗaya, saboda a cikin cibiyoyin likita daban-daban hanyoyin gwaji na iya bambanta sosai. Ba za ku iya jinkirta binciken ba har sai daga baya, matsalolin sukari na iya faruwa ko da a kan tushen lafiyar al'ada. Karkashin yanayin bincike na kan lokaci, yana yiwuwa a guji wasu sakamako marasa kyau.
Adadin gemoclobin cikin jini yana daga 4% zuwa 6%, kuma shekarun mutumin ba shi da mahimmanci.
Ribobi da Cons na Nazarin Bincike
Gwajin hb na jini, idan aka kwatanta shi da gwajin glucose na ciki, yana da fa'idodi masu yawa. Abubuwan da aka tattara suna dacewa a cikin ɗakunan gwaji har zuwa lokacin nazarin, babu buƙatar gudummawar jini kawai ga komai a ciki, wanda ke kawar da yiwuwar sakamakon da ba daidai ba saboda kasancewar cututtukan cututtuka da damuwa.
Wani ƙari na wannan binciken shine ikon gano cututtukan ƙwayar cutar cututtukan fata a farkon matakin farko. Binciken kan komai a ciki bai yarda da wannan ba, saboda haka ana jinkirta jiyya sau da yawa, rikice-rikice suna haɓaka.
Rashin ingancin gwajin jini ya hada da:
- in mun gwada da babban farashi;
- a cikin marasa lafiya tare da anemia, sakamakon binciken zai iya gurbata;
- A wasu yankuna babu inda za'a gudanar da bincike.
Lokacin da mara lafiya ya cinye adadin ƙwayoyi na bitamin E, C, ƙimar hb za a iya rage yaudara. Bugu da ƙari, tare da ƙarancin ƙwayar hodar iblis, akwai haɓakar haemoglobin, amma glucose a zahiri ya kasance cikin iyakoki na al'ada.
Menene yakamata ya kasance hawan jini?
Alamar yau da kullun don cikakken mutum mai lafiya yana cikin kewayon daga 4 zuwa 6%, tare da haɓaka haemoglobin zuwa 6.5-7.5%, muna magana ne game da babban yiwuwar ci gaba da ciwon sukari mellitus, da kuma rashin ƙarfe a cikin jiki. Idan sakamakon ya kasance 7.5% ko sama, likita zai bincikar cutar sankara.
Kamar yadda za'a iya gani, dabi'un haemoglobin na glycated ya fi alamomi na tantancewar yanayin glucose na gargajiya (yanayin yana daga 3.3 zuwa 5.5 mmol / l). Likitocin sunyi bayanin wannan gaskiyar ta hanyar cewa yawan tattara sukari na jini yana gudana a cikin rana, kuma bayan cin abinci, jimlar nuna alama na iya haɓaka har zuwa matakin 7.3-7.8 mmol / L.
Adadin gemoclobin 4% zai zama daidai da sukarin jini na 3.9, kuma a 6.5% wannan alamar yana tashi zuwa 7.2%. Abin lura ne cewa marasa lafiya da suke daidai da matakin sukari na jini suna iya samun lambobi daban-daban na hb. A cikin mata, a matsayin mai mulkin, irin wannan bambance-bambancen suna faruwa yayin daukar ciki saboda abin da ya faru:
- ciwon sukari mellitus;
- anemia.
Lokacin da aka saukar da hb ko babba kuma nan da nan ya bambanta da al'ada ta adadin kashi goma na kashi ɗaya, to babban yiwuwar ciwan sukari. Don haka, tare da sakamakon 7.5 zuwa 8%, akwai hujja don fara rama don ciwon sukari, in ba haka ba haɗarin haɗarin hypoglycemia ya yi yawa.
Wasu marasa lafiya da ke da nau'in ciwon sukari na 2 na ciwon sukari da wuya basu mai da hankali ga yawaitar sukari a cikin magudanar jini ba, wani lokacin ma marasa lafiya basu da glucoseeter a gida. A irin waɗannan halayen, ana yin sukari ne kawai na jinin jini sau biyu a cikin watan. Koyaya, koda yawan adadin glucose a lokacin da aka ɗauki gwajin al'ada ne, babu garantin cewa bazai karu ba bayan couplean awanni bayan karin kumallo.
Ba da gudummawar jini don bincike, ya kamata ka tuna:
- Ana iya ɗaukar glycogemoglobin a kowane zamani, al'adar mata da maza iri ɗaya ne;
- tare da maganin cutar haemoglobin da ke cike da damuwa, yana yiwuwa a tantance yiwuwar rikitarwa;
- Binciken zai nuna matsakaicin matakin glucose na tsawon watanni 3, yana yiwuwa a daidaita jiyya na cutar sankara.
Likitocin sun sami nasarar gano kusancin dangantaka tsakanin gwaje-gwajen haemoglobin da matsakaiciyar rayuwar mutum. Abin lura ne cewa ƙananan maida hankali na haemoglobin, tsawon lokaci mai haƙuri zai rayu. Sakamakon mafi kyau ga lafiyar al'ada shine yawan haɗin sukari na jini, wanda ba zai wuce 5.5% ba. A wasu kalmomin, ba a ƙididdige ka'idar ba, sakamakon binciken ba zai kai ƙarshen iyakar ka'idar ba.
Wani lokaci, har ma da kyakkyawan tsarin kulawar haemoglobin tare da sauyawa a cikin glucose na jini fiye da 5 mmol / l, babu garantin ci gaban rikitarwa.
An akai-akai tabbatar da cewa masu ciwon sukari tare da yawan motsa jiki sau da yawa suna da sauƙin rikicewa.
Andarancin da girma
Rage hawan jini wanda yake raguwa yana bayyana ta hanyar hypoglycemia, yawanci wannan yana nuna mummunan neoplasms a cikin ƙwayar ƙwayar cuta - yana tsokani sakin insulin. Lokacin da matakan insulin na jini suka yi yawa, sukari jini ya sauka.
Rage haemoglobin na iya samun sakamako iri-iri, alal misali, sanya maye tare da magunguna masu rage sukari. A saboda wannan dalili, koyaushe wajibi ne don bin abincin maras carb, motsa jiki akai-akai, in ba haka ba mai haƙuri yana haɗarin haɗarin samun ƙarancin adrenal. Wani lokaci ana samun karancin cututtukan kwayoyin cutar:
- rashin haƙuri a cikin gubar na jini;
- von cutar Girke;
- Forbes cuta, ya yi.
Idan glycosylated haemoglobin ya haɗu, to wannan yana nuna cewa matakan sukari na jini suna da yawa na dogon lokaci. Koyaya, wannan gaskiyar ba ma'anar ci gaban ciwon sukari bane a cikin mutane. Hakanan ana iya lalata metabolism na Carbohydrate a irin waɗannan lokuta: ƙarancin haƙuri a cikin glucose, rashin daidaituwa na sukari kawai da safe.
Tunda fasahar gano kwayoyin glucose na jini na iya bambanta, ana buƙatar yin bincike sau da yawa. Tare da yin daidai a cikin mutane daban-daban, bambanci na iya zama tsakanin kashi ɗaya.
Wasu lokuta gwajin yana ba da sakamakon da ba daidai ba, wannan na faruwa tare da haɓaka ko raguwa a cikin haemoglobin tayi. Sauran abubuwan rage karfin zasu kasance uremia, basur, zazzabin hemolytic. Wasu likitocin sun hakikance cewa dalilai yakamata a nemo su a cikin halin majiyyacin, shekarunsa da nau'in nauyi.
Teburin gwajin gwaji ya ƙunshi irin wannan bayanan kan matakan haemoglobin da ke glycated:
- a kasa da 5 6-5.7% - metabolism na metabolism shine al'ada, yiwuwar kamuwa da cutar ƙanjamau;
- 5.7 - 6% - haɗarin ciwon sukari yana ƙaruwa, ana buƙatar rage cin abinci;
- 6.1-6.4% - damar ciwon sukari ya isa sosai, abincin ya zama dole;
- fiye da 6.5% - farkon bincike na ciwon sukari.
Don tabbatar da ganewar asali, yana da mahimmanci a gudanar da ƙarin gwaje-gwaje, ƙarancin haemoglobin da ke ƙasa, ƙananan haɗarin cutar.
Haka kuma, an nuna irin wannan karatun ga kowa, ko da yaro ne, matashi ko kuma manya.
Yadda za'a kawo alamu na al'ada
Normalization na matakin glycated haemoglobin ba shi yiwuwa ba tare da canzawa zuwa abincin da ya dace ba, wanda ya danganta da yawan isasshen kayan lambu da 'ya'yan itace (musamman idan lokacin bazara ne a waje). Wannan yana ba ku damar inganta yanayin yanayin jikin mai ciwon sukari, taimakawa haɓaka matakan fiber, ci gaba da sukari jini a cikin iyakokin al'ada.
Ga mai haƙuri da ciwon sukari, kayan ƙwari, ayaba za su kasance da amfani, su ma suna ɗauke da adadin fiber. Yayin rana, dole ne ku sha madara mai skim, yogurt, saboda gemoclobin 6 da ke ƙasa ya zama ƙananan, bitamin D, alli zai ƙarfafa aikin-kashi-kashi.
A cikin ciwon sukari na mellitus na nau'in na biyu, kifi, nama, da kwayoyi ya kamata a cinye su duk lokacin da zai yiwu, wanda ke taimakawa rage nauyi, kuma glycated haemoglobin ya kamata ya zama ƙananan, mai sauƙin kaji na cutarwa don nau'in masu ciwon sukari na 2 shima yana da amfani.
Inganta yanayin kyautatawa na ciwon sukari, da rage karfin juriya, da kuma sarrafa sukari na jini, yana taimakawa abinci mai girma a cikin mayukan omega-3 tare da karancin ma'anar glycemic. Idan mai haƙuri ya cika shekara 62 ko fiye, kuma sukari ya yi girma, ana ba da shawarar cewa ya daidaita shi da kirfa. Wannan yaji yana sanya juriya ta insulin.
Baya ga cin abinci na musamman, likitan ya ba da shawarar:
- tsunduma cikin wasanni;
- shan kwayoyi a kan sukari ko insulin a cikin lokaci;
- Kada ku manta game da bacci da farkawa;
- da tsarin auna glucose (har a gida)? ta amfani da, alal misali, mita Accu Chek Gow;
- Kada ku manta da alƙawarin tare da likitan ku.
Lokacin da matakan glucose ya ƙasa, mai ciwon sukari yana jin daɗi, wanda ke nuna cewa yana kan hanya madaidaiciya.
Hemoglobin yayin daukar ciki
Yayin samun ciki, hawan glycated yana yawan haɓaka, kuma sukari da yake cikin iyakoki na al'ada. Duk da kyakkyawar yanayin lafiya, irin wannan yanayin yana tattare da mummunan matsalolin rashin lafiyar ga matar da danta da ba a haife shi ba. Misali, wannan za a bayyana cikin gaskiyar cewa an haife yara tare da babban nauyin jiki - kimanin kilo 5. Sakamakon zai zama da wahala haihuwa, wanda ke cike da sakamako:
- raunin haihuwa;
- kara hadari ga lafiyar mata.
Lokacin gudanar da bincike game da glycated haemoglobin, dabi'a ga mata masu juna biyu za a iya wuce gona da iri, amma binciken da kansa ba za a kira shi babban-daidai ba. Wannan sabon abu ya kasance saboda gaskiyar cewa sukarin jini a lokacin haihuwar yara na iya ƙaruwa sosai bayan cin abinci, amma da safe yana bambanta kaɗan da na yau da kullun.
A cikin bidiyo a cikin wannan labarin, Elena Malysha zai ci gaba da bayyana batun cutar haemoglobin.
