Mafi kyawun matakan glycated haemoglobin a cikin jini: tsari don mutane masu lafiya da masu ciwon sukari

A yau, ciwon sukari yana cikin jerin cututtukan da ke da haɗari a duniya, wanda kowane mai ciwon sukari zai tabbatar.

Ga irin wannan mai haƙuri, ma'aunin haemoglobin na glycated yana taka muhimmiyar rawa, saboda har zuwa yau, har yanzu cutar ba ta warke gaba ɗaya.

Likita na iya rage saurin lalacewarsa a jikin mai haƙuri. Amma don tabbatar da gaskiyar farkon farkon samuwar cutar yana taimaka wajan bayar da bincike don glycogemoglobin.

Ana amfani da A1C don gano ciwon sukari. Shine wanda yabasu damar gano cutar ciwan farko a matakin farko, wanda yasa ya yuwu a fara magani na gaggawa.

Ana kula da matakin glycosylated haemoglobin don kimanta tasirin aikin magani. Gaskiya ne, ba kowa bane yasan menene.

Menene ma'anar haemoglobin?

Duk wanda yake da ɗan ilimin magani zai faɗi cewa haemoglobin sashin ƙasa ne na jikin erythrocyte, ƙwayar jini wacce ke jigilar carbon dioxide da oxygen.

Lokacin da sukari ya shiga cikin membrane na erythrocyte, amsawar ma'amala ta hulɗa da amino acid da glucose zai fara.

Yana bin sakamakon irin wannan tsari wanda aka kirkiro glycohemoglobin. Kasancewa a cikin sel jini, haemoglobin koyaushe yana tabbata. Haka kuma, matakinsa a kai a kai ne tsawon lokaci (kimanin kwanaki 120).

Kimanin watanni 4 bayan haka, sel jini suna yin aikinsu, daga nan sai su fara aiwatar da hallaka. A lokaci guda, glycated haemoglobin da nau'ikan kyauta sun rushe. Bayan an gama wannan aikin, bilirubin, wanda shine ƙarshen lalatawar haemoglobin, kuma glucose ɗin ba zai iya ɗaurewa ba.

Menene gwajin jini ya nuna?

Kawai matakan kariya don hana samuwar cutar na iya ceton rayuwar mai haƙuri da samar da wata dama ta ci gaba da rayuwa ta cikakke.

Na biyu, babu wani muhimmin sashi na gwajin jini shine ikon gani ta yadda mai haƙuri ya bi duk shawarar likita, halayyar sa ga kiwon lafiya, ikon rama glucose da kuma tabbatar da ka’idarsa a tsarin da ake bukata.

Idan kuna da alamun bayyanar cututtuka, ya kamata ku nemi shawarar likita nan da nan don shawara kuma kuyi gwaji a matakin A1C:

• farmaki na yau da kullun na tashin zuciya;
• zafin ciki a ciki;
• amai
• mai ƙarfi, ba kamar yadda aka daɗe ana jin ƙishirwa ba.

Jimlar gemoclobin mai kwalliya: kashi na al'ada ga manya da yara

Ya kamata a lura cewa duka jima'in mutum da shekarunsa suna iya yin tasiri a matakin glycogemoglobin.

An bayyana wannan sabon abu da gaskiyar cewa a cikin marasa lafiya da ke tsufa da tsarin tafiyar matakai na hanzari. Amma a cikin matasa da yara, wannan tsari yana hanzartawa, wanda ke haifar da karuwa a cikin ƙwaƙwalwar su a cikin matakan sharudda.

Yakamata kayi magana dalla dalla game da daidaitattun dabi'u na haemoglobin a cikin kowace rukunin da aka bayar:

1. cikin koshin lafiya (gami da bayan shekaru 65). Namiji mai lafiya, mace, da yaro yakamata ya kasance yana da tsarin glycogemoglobin, wanda yake cikin kewayon 4-6%. Kamar yadda za'a iya gani daga waɗannan alƙaluman, wannan ƙimar ya wuce matakin bincike na lactin plasma, wanda yake 3.3-5.5 mmol / l, haka ma, akan komai a ciki. Wannan ya faru ne saboda gaskiyar cewa tsawon lokaci sukari yana iya canzawa. Don haka, bayan cin abinci, shine 7.3-7.8 tare da matsakaicin darajar yau da kullun na 3.9-6.9. Amma yanayin HbA1c a cikin mutumin da ya girmi shekaru 65 ya bambanta tsakanin 7.5-8%;
2. da ciwon sukari mellitus nau'in 1 da 2. Kamar yadda aka fada kadan, hadarin kamuwa da cutar “mai daɗi” yana ƙaruwa da matakin HbA1c na 6.5-6.9%. Lokacin da mai nuna alamar ƙaruwa ya wuce 7%, metabolism na lipid ya rikice, kuma digon glucose ya aika da gargaɗi game da farkon abin da ke faruwa kamar su ciwon suga.

Matsayi na haemoglobin na ciki ya bambanta, ya danganta da nau'in ciwon suga kuma an gabatar dasu a cikin tebur da ke ƙasa:

Dalilai na karkacewar alamu daga dabi'un

Binciken da aka ƙaddamar akan A1C zai iya yin daidai da duka biyu na wucewar halatta da raguwa a cikin alamar da ke ƙasa da al'ada.

Wannan yakan faru ne saboda dalilai da yawa.

Don haka, ƙimar HbA1C na iya ƙaruwa tare da:

• cuta cuta na rayuwa;
• karancin haƙuri na kwayar cutar sukari;
• idan akwai gazawar aiwatar da tara glucose da safe, kafin abinci.

Hyperglycemia yana nuna ta:

• tsarin canjin yanayi;
• karuwar gumi ko bushewar fata;
• ƙishirwa;
• urination na yau da kullun;
• dogon tsari na raunin raunuka;
• saurin canzawa cikin karfin jini;
• tachycardia;
• ƙara yawan juyayi.

Don nuna raguwa a matakin glycogemoglobin na iya:

• kasancewar kumburi a cikin jijiyar jiki, wanda ya zama sanadin karuwar sakin insulin;
• aikace-aikacen da ba daidai ba na shawarwarin abinci mai ƙarancin carb, wanda ya haifar da raguwa cikin glucose;
• maganin yawan zubar da sukari da yawa.

HbA1c yawan maganin glucose

Yana yiwuwa a kimanta fa'idar aikin maganin antidiabetic na magani a cikin marasa lafiya da ke fama da cutar siga a cikin kwanakin 60 da suka gabata. Matsakaicin matsakaicin darajar HbA1c shine 7%.

Bayani mai kyau game da sakamakon gwajin jini don glycogemoglobin ya zama dole, la'akari da shekarun mai haƙuri, da kasancewar kowane rikitarwa. Misali:

• matasa, matasa ba tare da cututtukan cuta suna da matsakaiciyar 6.5% ba, yayin da kasancewar ana zargin hypoglycemia ko ƙirƙirar rikice-rikice - 7%;
• marasa lafiya na nau'in shekarun aiki, ba a haɗa su a cikin ƙungiyar haɗarin ba, suna da darajar 7%, kuma lokacin da aka gano rikice-rikice - 7.5%;
• mutane na shekaru, kazalika da marasa lafiya tare da hangen nesa na tsinkayen rayuwa na shekaru 5, suna da daidaitaccen mai nuna 7.5%, idan akwai haɗarin haɗarin hypoglycemia ko mummunar cuta - 8%.

Teburin Kayan HbA1c Kwancen Kullum

A yau, a fagen magani, akwai tebur na musamman da ke nuna rabo na HbA1c da matsakaicin ƙididdigar sukari:

Ya kamata a lura cewa teburin da ke sama yana nuna daidaituwa na glycohemoglobin tare da lactin a cikin mutumin da ke da ciwon sukari a cikin kwanaki 60 da suka gabata.

Me yasa HbA1c ya zama al'ada da sukari mai azumi yana ɗaukaka?

Mafi sau da yawa, irin waɗannan marasa lafiya kamar ƙimar HbA1c na al'ada tare da karuwa a cikin sukari lokaci guda suna fuskantar marasa lafiya da ke fama da ciwon sukari.

Haka kuma, irin wannan alamar yana iya ƙaruwa ta 5 mmol / l a cikin awanni 24.

Wannan rukuni na mutane yana da rikice-rikice iri-iri, saboda wannan, ana aiwatar da cikakken iko na ciwon sukari ta hanyar haɗa kimantawar binciken tare da gwaje-gwajen sukari na halin yanzu.

Binciken glycohemoglobin ya bamu damar kafawa a farkon matakin rikice rikice a cikin metabolism koda kafin lokacin rikitarwa.

Don haka, haɓakar gemocosylated haemoglobin da 1% fiye da matsayin na iya nuna ci gaba da sukari da kashi 2-2.5 mmol / l.

Bidiyo masu alaƙa

Game da abubuwan haemoglobin na glycated a cikin jini a cikin bidiyo:

Irin nau'in bincike da aka bayyana yana da ikon yin daidai da daidai da alamar cutar ciwon sukari, matakan diyya na cutar a cikin makonni 4-8 da suka gabata, da kuma damar samuwar kowane rikice-rikice.

Don sarrafa cutar "mai daɗi", yana da mahimmanci don ƙoƙari ba kawai don rage darajar lactin na plasma na azumi ba, har ma don rage glycogemoglobin .. Wannan saboda gaskiyar cewa raguwar 1% yana rage yawan mace-macen daga cutar sankara da 27%.