Ciwon sukari (mellitus) shine ɗayan cututtukan masu haɗari. Yana ba mara lafiya da yawa abubuwan ji daɗi kuma suna ba da gudummawa ga ci gaban rikitarwa masu yawa.
A saboda wannan dalili, mai haƙuri da ke fama da cutar sankara ya sami magana game da nau'ikan gwaje-gwaje da yawa, wanda sakamakon hakan ya ba da damar samar da ra'ayi na ainihi game da lafiyar mai haƙuri.
Ofaya daga cikin nau'ikan gwaje-gwajen gwaje-gwaje da ƙwararrun masana kimiyyar zamani suke amfani da shi sau da yawa ita ce bincika jini domin matakin hawan jini.
Glycosylated haemoglobin: menene?
Menene keɓaɓɓen haemoglobin, kowa ya sani. Amma irin wannan ra'ayi kamar "gemocosylated haemoglobin" yaudarar da mutane da yawa marasa lafiya.
A zahiri, komai yana da sauki. Hemoglobin yana da sifofi guda ɗaya na halayya - nan da nan yana haɗuwa da glucose wanda ke yaduwa cikin jini.
Kuma wannan tsari ba zai iya juyawa ba. Sakamakon wannan dauki, glycosylated haemoglobin ko HbA1c ya bayyana. Ana auna wannan alamar a cikin%.
Yayinda yake hawan jini a cikin jini, to yawanci akwai yiwuwar ci gaba da cutar sikari a cikin jiki.
Kimar ƙimar cutar gwajin jini ta HbA1c
Gwada jinin ku don matakan HbA1c hanya ce tabbatacciya don bincikar cutar sankarar mama.
A saboda wannan dalili, kwararru sukan ba da magani ga marasa lafiya waɗanda alamominsu ke nuna alamar yiwuwar kamuwa da ciwon sukari, gudummawar jini don glycated haemoglobin.
Binciken yana ba ka damar samun sakamako ingantacce wanda yake daidai da matakin gemocosylated haemoglobin a cikin plasma a cikin watanni 3 da suka gabata. Gaskiyar ita ce kwayoyin dake dauke da kwayar cutar glucose wadanda suka yi aiki tare da sel jini suna yin wani matsakaicin fili wanda baya karye ko da bayan samuwar ya wuce ta hanyar jijiya.
Godiya ga wannan fasalin, zaku iya gano matsalar a farkon matakan yayin da wasu gwaje-gwajen ba su nuna kasancewar cutar ba. Bayan samun sakamakon binciken, zaku iya tabbatar da cutar ta haɗari, ko kuma musanta kasancewar ciwon sukari, sake ƙarfafa mai haƙuri.
Yaya za a ɗauki gwajin jini na ƙwayar cuta?
Babban fa'idar gwajin jini a kan matakin haemoglobin shine gishirin rashin wadatar tsari.
Ana iya ɗaukar binciken a kowane lokaci na rana, lokacin da ya dace da haƙuri. A kowane hali, sakamakon zai zama daidai.
Don bincike, mataimaka na gwajin zai ɗauki wani adadin jinin mai ɓacin rai daga mai haƙuri, kamar yadda yayin binciken gabaɗaya. Amma don samun mafi daidaitaccen hoto daga karin kumallo, ya fi kyau kaurace wa. Hakanan wajibi ne a jinkirta gwajin idan mara lafiyar ya karɓi jini a ranar da ta gabace shi, ko kuma ya kamu da tsananin zubar jini.
Idan ka ƙaddamar da binciken bayan waɗannan abubuwan da suka faru, yana yiwuwa a sami sakamako tare da kuskure mai mahimmanci ko mara ƙima. Hakanan yana da daraja a lura da gaskiyar cewa ɗakunan gwaje-gwaje daban-daban na iya amfani da hanyoyi daban-daban na nazarin nazarin halittu, don haka sakamakon na iya bambanta.
Abinda bincike ya nuna: fassara sakamakon binciken
Don ingantaccen ganewar asali, ana amfani da halaye na Healthungiyar Lafiya ta Duniya.
Mai nuna ƙasa da kashi 5.7% yana nuna cewa mai haƙuri ya zama al'ada tare da ƙwayar carbohydrate kuma baya barazanar ci gaban ciwon sukari. Idan sakamakon ya kasance adadi fiye da 6.5%, to mai haƙuri yana haɓaka ciwon sukari.
Yawan 6-6.5% yana nuna ciwon suga. Hakanan, ga marasa lafiya masu ciwon sukari, likitan halartar na iya kafa matsayin mutum na haemoglobin, wanda za'a yi la'akari dashi a matsayin al'ada a gare shi. A irin waɗannan yanayi, yanayin mutum zai kasance cikin kewayon 6.5% zuwa 7.5%.
Baya ga ciwon sukari, haɓakar haemoglobin mai glycated har zuwa 6% kuma na iya haifar da:
- nau'ikan haemoglobinopathies;
- baƙin ciki cire tiyata;
- rashin ƙarfe a cikin jiki.
Norms
Standardsa'idojin tantance yanayin mai haƙuri na iya zama daban don nau'ikan ƙasa daban-daban. An rarrabe kungiyoyi dabam dabam wanda aka lissafta abubuwan da ke cikin haemoglobin ana ɗauka daban-daban.
A cikin manya maza da mata
Ga manya na jima'i masu ƙarfi, ƙwararrun masu amfani suna amfani da waɗannan ka'idoji masu zuwa.A karkashin shekaru 30, ana kokarin kaiwa bakin maza kamar matsar bakin ciki kashi 4.5-5.5.
Har zuwa shekaru 50, mai nuna alama a cikin mutum mai lafiya kada ya wuce 6.5%. Bayan adon ya cika shekara 50 ko sama da haka, ana lissafin kashi 7%. A cikin mata da suka manyanta, raunin da ke cikin gemoclobin a lokacin haila zai ɗan ɗan yi kaɗan fiye da na jima'i mai ƙarfi.
A sauran ranakun da suka rage, yanayin halayen jima'i mai kyau zai kasance iri ɗaya ne na maza. Don haka, a ƙarƙashin shekara 30, ana iya ɗaukar matakan 4.5-5.5% daidai ne ga marasa lafiya masu lafiya.
Har zuwa shekaru 50, tarowar haemoglobin zai iya kaiwa kashi 5.5-6.5% cikin jikin mace mai lafiya. Bayan ƙarancin shekaru 50, ana ganin 7% yarda ne.
A cikin yara
Ka'idar haemoglobin da ke cikin glycated a yara daga 4 zuwa 5.8-6%. Haka kuma, wannan manuniya baya dogaro da jinsi na yaro, wurin zama da yankin canjin yanayi.
Banda yara ne. Matsayin su na glycated haemoglobin zai iya kaiwa 6%, wanda ba a la'akari da cutar ba.
Koyaya, irin wannan ka'idojin ga jarirai na ɗan lokaci ne. Bayan kimanin watanni 2, matakin abu a jikinsu yakamata ya daidaita.
A lokacin daukar ciki
A lokacin daukar ciki, duk wani abu mara kyau ba shine tabbacin kai tsaye game da cutar sankarau ba. Gaskiyar ita ce, mata masu fata yawanci suna fama da asarar ƙarfi, tashin zuciya, mai guba mai guba, wanda ba shi da tasiri mafi kyau a matakin gemocosylated haemoglobin a cikin jini.
A matsayinka na mai mulkin, ana buƙatar ƙarin gwaji na mace don yin bincike game da ciwon sukari na gestational.
Gabaɗaya, ana amfani da wasu alamu na yau da kullun don ganewar asali:
- idan sakamakon binciken ya nuna har zuwa 5.7%, haɗarin haɓakar ciwon sukari yana da ƙarancin yawa, kuma metabolism metabolism shine al'ada;
- a cikin batun lokacin da bincike ya nuna kashi 5.7-6.0%, mahaifiyar da ke tsammanin na iya kamuwa da cutar sankara. Zai yuwu a hana ci gaba na ci gaban cututtukan cututtukan cututtukan mutum tare da tsaftace yanayin abinci na carbohydrate ta hanyar lura da karancin abincin carb;
- mai nuna alamar 6.1-6.4% yana nuna cewa hadarin kamuwa da cutar sankara ya yi yawa sosai, kuma mahaifiyar mai fata tana cikin yanayin "iyaka";
- tare da alamomi na 6.5% ko fiye, ciwon sukari ya haɓaka. Don sanin wane irin ciwo ke faruwa a cikin mace, ana buƙatar ƙarin jarrabawa.
Tare da ciwon sukari
Matsayi na glycosylated haemoglobin ga masu ciwon sukari an yanke shi ne ta hanyar halartar ɗalibin likita wanda ya danganci yanayin halayen mutum, shekarun mai haƙuri, yawan rikice-rikice da sauran abubuwan.A matsayinka na mai mulki, likitoci suna amfani da adadi na 6.5%.
A wasu halaye, wannan nuna alama na iya isa iyakar 8.0-8.5%.
Idan ka duba yanayin kiwon lafiya gaba daya, to matsakaita adadi ga marasa lafiya da ke dauke da cutar za ta zama nau'in 1, adadi na 6.5% ko fiye. A cikin nau'in ciwon sukari na 2, 6.5-7.0% ana ɗaukar al'ada.
Idan glycosylated haemoglobin ya fi yadda ake al'ada, menene wannan yake nufi?
Idan an gano mara lafiyar yana dauke da hawan jini na glycosylated, wannan baya nuna cewa yana fama da ciwon suga ba.
Increaseara yawan alamu na iya haifar da matsaloli a cikin farji, yanayi mai damuwa, rashin aiki a cikin aikin haɓaka, kazalika da keta alfarmar yanayin jijiya.
Hakanan, wani takamaiman mai nuna abinci da magunguna waɗanda zasu iya haifar da canje-canje masu dacewa na iya haifar da tsalle cikin mai nuna alama.
Dalilai na raguwa a kasa na yau da kullun
Akwai dalilai da yawa waɗanda zasu iya haifar da raguwar sukari na jini kuma, a sakamakon haka, raguwa a cikin gemocosylated haemoglobin.
Sanadin sun hada da tsokar jini wanda ya haifar da yawan aiki da kuma abinci mai “yunwa” na tsawon lokaci.
Hakanan, sanadiyyar raguwar haemoglobin mai narkewa zuwa 4% ko canasa zai iya zama cutar haemolytic, zubar jini na ciki da waje, zubar jini, shan magunguna masu rage sukari da damuwa na farko.
A cikin irin waɗannan halayen, yana yiwuwa a sake gudanar da binciken don yin ainihin ganewar asali kuma, idan ya cancanta, nemi hanyoyin kawar da matsalar da ke akwai.
Bidiyo masu alaƙa
Game da abin da glycosylated haemoglobin yake a cikin bidiyon:
Gwajin jini don glycosylated (glycated) haemoglobin wata hanya ce tabbatacciya don gwada jikin don sha'awar kamuwa da ciwon sukari ko kuma tsarin aikin masu ciwon sukari. Sabili da haka, kada ku manta da jarrabawar idan kun karɓi magani daga likitan ku.
Haɓaka gwajin zai ba ka damar gano karkacewa a farkon matakan kuma ɗaukar matakan da suka dace don tabbatar da cewa an sarrafa lafiya sosai.
