Glycosylated haemoglobin: gwajin jini ga masu ciwon sukari

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Glycosylated haemoglobin shine lissafin jini na kwayoyin halitta wanda ke nuna tarin glucose a cikin jini tsawon lokaci. Glycohemoglobin ya ƙunshi haemoglobin da glucose. Matsayi na glycosylated haemoglobin a karkashin bincike yana ba da labari game da adadin haemoglobin a cikin jini, wanda yake da alaƙa da ƙwayar glucose.

  • Dole ne a yi gwajin jini a cikin masu ciwon sukari domin a gano masu ciwon sukari da wuri-wuri kuma a hana rikice-rikice na cutar. Mai bincika kayan aiki na musamman yana taimakawa a cikin wannan.
  • Hakanan, an gano matakin cutar gemocosylated haemoglobin don sarrafa yadda tasirin maganin cutar siga yake. Mai nazarin ya nuna wannan alamar a matsayin kashi ɗari na duka matakin haemoglobin.
  • Yana da mahimmanci ga masu ciwon sukari su fahimci menene na haemoglobin. An kirkiro shi ta hanyar haɗaka sukari da amino acid wanda enzymes ba a ciki. A sakamakon haka, glucose da haemoglobin suna samar da nau'in haemoglobin da ke motsa jini.
  • Adadin samuwar da adadin glycogemoglobin ya dogara da yawan sukari a cikin jinin mai haƙuri da yake kasancewa yayin rayuwar sel jini. A sakamakon haka, GH na iya samun nau'ikan daban-daban: HbA1a, HbAb, HbAc. Sakamakon gaskiyar sukari yana haɓaka cikin mellitus na ciwon sukari, ƙaddamar da sinadarai na fushin haemoglobin tare da glucose yana wucewa da sauri, saboda wanda GH ke ƙaruwa.

Yawan rayuwar sel na jini a cikin haemoglobin shine kimanin kwanaki 120. Sabili da haka, bincike na iya nuna tsawon lokacin da mai haƙuri ya kamu da glycemia.

Gaskiyar ita ce cewa sel jini suna adana bayanai game da adadin ƙwayoyin haemoglobin da suke haɗuwa da ƙwayoyin glucose.

A halin yanzu, ƙwayoyin jan jini na iya zama shekaru daban-daban, saboda wanda, a yayin gwajin jini, ana kimanta lokacin aikinsu mai mahimmanci a watanni biyu zuwa uku.

Kulawa da lura da cutar siga

Duk mutane suna da nau'in haemoglobin, duk da haka, a cikin masu ciwon sukari, matakin wannan abun yana kusan sau uku. Bayan an daidaita matakan sukari na jini yayin jiyya, bayan makonni shida, mai haƙuri yawanci yana da nau'in haemoglobin mai glycosylated.

Idan aka kwatanta da gwajin sukari na yau da kullun na jini, ana ɗaukar gwajin haemoglobin daidai ne, saboda yana taimakawa waƙa da yanayin haƙuri na watanni da yawa.

  1. Binciken yana taimakawa gano yadda tasirin maganin cutar siga yake. A matsayinka na mai mulki, mai nazarin yana gudanar da gwajin jini don glycosylated haemoglobin don tantance ingancin magani na watanni ukun da suka gabata. Idan bayan gwaje-gwajen ya juya cewa gemocosylated haemoglobin har yanzu yana da girma, yana da mahimmanci don gabatar da gyare-gyare a cikin maganin ciwon sukari mellitus.
  2. Ciki har da glycosylated haemoglobin an auna shi don gano haɗarin rikitarwa a cikin ciwon sukari. Idan mai haƙuri yana da haɓakar glycosylated haemoglobin, wannan yana nuna cewa a cikin watanni uku da suka gabata yana da haɓaka matakin glycemia. Wannan bi da bi yakan haifar da rikice-rikice daga cutar.
  3. A cewar likitoci, idan mai ciwon sukari ya glycosylated haemoglobin cikin lokaci ya rage a kalla 10 bisa dari, hadarin kamuwa da ciwon sukari zai ragu da kashi 45, wanda yawanci yakan haifar da makantar da marasa lafiya. A saboda wannan dalili, ya zama dole don saka idanu akan yanayin kuma gudanar da gwaje-gwajen jini koyaushe. A cikin asibitocin masu zaman kansu, yawanci suna amfani da wata na musamman ce da ake kira glycated hemoglobin analyzer.
  4. Hakanan, ana yin amfani da bincike sau da yawa ga mata yayin daukar ciki don gano ciwon sukari na bacci. Koyaya, yawanci sakamakon gwajin yakan zama ba abin dogaro bane saboda karuwar rashin jini a cikin mata masu juna biyu, da wani gajarta lokacin rayuwar jinin haila, da kuma rage karfin jiki a matakin sukari a jikin mace mai ciki.

Glycosylated Jinin Hemoglobin

Don ƙayyade yawan sukarin jini da mai haƙuri yake da shi, ana amfani da hanyoyi guda biyu - auna glucose jini mai azumi da kuma yin gwajin haƙuri a cikin suga.

A halin yanzu, saboda gaskiyar cewa ana iya haɓaka ko rage yawan glucose a kowane lokaci, gwargwadon amfanin abinci da sauran dalilai, wasu lokuta ba za a iya gano cutar sankara ba. Saboda wannan, a wasu halaye, ana yin gwajin jini don glycosylated haemoglobin, wanda, a tsakanin wasu abubuwa, ana amfani da na'urar na'urar bincike.

Duk da cewa binciken gemocosylated haemoglobin bincike ne mai daidaitacce, hanya ce mai tsada, don haka ba a aiwatar dashi a duk dakunan gwaje-gwaje.

Don nazarin sukarin jini, mara lafiya yana ɗaukar 1 ml na jini daga jijiya zuwa ciki mara nauyi. Ba a ba da shawarar irin wannan binciken ba idan mai haƙuri ya ba da jini bayan tiyata, saboda sakamakon na iya zama ba daidai ba.

Baya ga gwaje-gwaje na dakin gwaje-gwaje, za a iya yin gwajin jini a matakin hemoglobin a cikin gida, idan akwai na musamman na na'urar nazari.

Irin waɗannan na'urori yanzu an samo su ta hanyar likitoci masu zaman kansu da kuma ɗakunan shan magani. Mai nazarin yana ba ku damar ƙayyade yawan adadin mintuna da yawa haemoglobin a cikin samfurori na duka capillary da venous, duka jini.

Glycated haemoglobin

Matsakaicin cutar haemoglobin shine kashi 4-6.5 na jimlar adadin haemoglobin. A cikin masu ciwon sukari, wannan alamar ana yawanci ƙaruwa sau biyu zuwa uku. Don daidaita tsarin hawan jini, dole ne a fara yin ƙoƙari don rage sukarin jinin mai haƙuri. A wannan yanayin, mai haƙuri zai sami halin nuna alamun.

Don samun cikakken hoto, ana yin gwaje-gwajen yawanci kowane mako shida. Domin kada ku je asibiti, kuna iya amfani da manazarta don gudanar da binciken. Lokacin kiyaye ingantaccen salon rayuwa da magani mai mahimmanci, raunin gemoclobin mai narkewa ya kai wata daya da rabi bayan matakin sukari a cikin darussan.

Nazarin ya nuna cewa idan an kara yawan matakan haemoglobin na glycosylated da akalla 1 bisa dari, matakan sukari na jini ya karu da 2 mmol / lita. Misali, dabi'ar kashi 4.5-6.5 na nuna darajar glucose na jini na 2.6-6.3 mmol / lita.

A cikin batun yayin da glycosylated haemoglobin index ke ƙaruwa zuwa kashi 8, matakin sukari na jini ya fi yadda aka saba kuma shine 8.2-10.0 mmol / lita. A wannan yanayin, mai haƙuri yana buƙatar gyara abinci da rayuwa mai lafiya.

Idan mai nuna alama ya karu zuwa kashi 14, wanda ke nuna cewa matakin glucose na jini ya fi yadda aka saba kuma shine 13-21 mmol / lita, yakamata a nemi likita nan da nan. Wannan yanayin yana da mahimmanci ga masu ciwon sukari kuma yana iya haifar da rikitarwa.

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