Menene sakamakon binciken don glycosylated haemoglobin yana nufin: haɓaka da raguwar alamun

Na dogon lokaci, ciwon sukari na iya faruwa a cikin latent, ko mara lafiya na iya lura alamun haɗari.

Wannan yana haifar da mummunar illa mai illa ga lafiyar.

Binciken don maganin gemocosylated haemoglobin shine mafi yawan bincike a cikin binciken cututtukan cututtukan cututtukan ƙwayar cuta, ciki har da farkon matakansa. Yi la'akari da yadda ake bayar da gudummawar jini, da abin da sakamakon zai iya magana game da shi.

Tsarin ilimin halittar jini a HbA1C: menene?

Matsayin haemoglobin mai narkewa yana ba ka damar gano menene ɓangaren haemoglobin da ke ɗaure zuwa glucose yayin amsawa, wanda sukari da amino acid suka shiga lokacin da glucose ta shiga cikin membrane na erythrocyte.

Wannan tsari yana faruwa ci gaba cikin jiki, amma idan sukari yayi “tsalle” a cikin jini, to kuwa matakan glucose a cikin ƙwayar ja yana da kwanciyar hankali (yana kasancewa daidai da matakin har tsawon watanni 4).

A cikin mafi yawan lokuta, ana ba da izini don bincike game da cutar sankarar mellitus, da kuma lura da ci gaban da ake fama da shi na rashin lafiyar endocrine.

Ya bambanta da bincike na yau da kullun don ƙayyadadden matakin glucose a cikin jini, mai nuna alama kamar glycosylated haemoglobin shine mafi yawan lokuta masu ba da labari.

Ga wasu bambance-bambance masu mahimmanci:

• yana nuna ƙimar matsakaici a cikin watanni ukun da suka gabata, wanda ke nufin cewa yaudarar likita ta hanyar zama kawai 'yan kwanaki akan abinci kafin ɗaukar nazari zai gaza;
• glycated haemoglobin a kusan baya dogaro da tasiri na abubuwan waje, tunda yana nuna ƙimar matsakaici (gwajin saurin yau da kullun yana iya "yaudara" saboda wani cuta da ta gabata, damuwa, aikin jiki ko wasu abubuwa);
• glycosylated haemoglobin damar likita don ƙarin daidai ganin yadda damuwa da tafiyar matakai na carbohydrate metabolism a cikin jiki.

Don ƙayyade hoton asibiti, likitoci sun ƙayyade haemoglobin wanda aka lullube HbA1C. Irin wannan gwajin ya fi tsada (babban farashi shine raunin fasahar kawai) fiye da ƙididdigar hanzari na al'ada, amma yakamata ayi idan likita ya nace akan hakan.

Hanya don tabbatar da glycosylated haemoglobin a cikin jini

Shekaru talatin da suka gabata, an kirkiro wannan hanyar bincike.

Mun lissafa hanyoyin da ake amfani dasu a halin yanzu:

1. babban aikin ruwa na chromatography. Ribobi: Cikakken sakamako wanda mai bincike ya ƙaddara shi cikin yanayin atomatik. Fursunoni: dabarar tana da tsada;
2. ion musayar kayan maye. Wannan binciken yana ɗayan mafi rikitarwa, ƙarancin dakunan gwaje-gwaje ne kawai ke da kayan aikin da ake buƙata;
3. ƙananan matsa lamba na ion musayar chromatography. An shirya nazarin ne a cikin mintuna biyar kawai, shigarwa kanta yana da hannu. Daya daga cikin mafi saurin hanyoyin zamani;
4. immunoturbidimetry - Wata hanya madaidaiciya (farashin dan kadan ya fi na chromatography);
5. na'urorin da za'a iya ɗauka. A Rasha, har yanzu ba su sami rarraba mai yawa ba, duk da haka, yawancin ƙasashen waje suna da masu nazarin wayar hannu.

Alamu don bincike

Idan ya cancanta, an ƙaddara matakin glycosylated haemoglobin a cikin yara, matasa, da manya, har da mata masu juna biyu:

• wadanda ake zargi da cutar sankarau ko wasu abubuwan motsa jiki na matsananciyar motsa jiki;
• ciki a cikin mata masu haɗari (a matsayin mai mulkin, an tsara gwajin don makonni 10);
• nau'in cutar da aka gano da nau'in 1 da nau'in ciwon sukari 2;
• wasu lokuta matakan glycated haemoglobin an ƙaddara tare da hauhawar jini.

Yadda ake ɗaukar gwaji don hawan jini?

Ba lallai ba ne a zo dakin gwaje-gwaje a kan komai a ciki - kuna iya karin kumallo kafin shan jini.

Aiki na jiki, damuwa, cututtukan da suka gabata, da dai sauransu kuma ba su da tasiri sosai a matakin mai nuna ƙididdiga. Mai haƙuri yana buƙatar abu ɗaya kawai: ziyarci dakin gwaje-gwaje a kowane lokaci da ya dace.

An yi shinge daga jijiya ko yatsa (ya dogara da abin da aka sanya na'urar tantancewar a cikin wani keɓaɓɓen cibiyar lafiya). Nazarin yana ɗaukar kwanaki uku zuwa huɗu.

Bayyana sakamakon binciken: ka'idoji da shekaru

Likita ya tabbatar da cikakken rashi na hadarin kamuwa da cutar siga idan mai nuna bai wuce darajar 5.7% ba.

Don haka, ga abin da hemoglobin ya kamata ya kasance:

Don haka, ga matasa masu lafiya, ana ɗaukar darajar 6.5% a matsayin al'ada. Wannan shi ne iyaka na sama. Idan an wuce shi, ana yin gwaji na farko: ciwon suga.

Kusan kashi 6.5% ya kasance alama ce ta firgita. Don haka:

• an yi imani cewa hadarin kamuwa da ciwon sukari gaba daya ba ya nan tare da haemoglobin glycated har zuwa 5.7%;
• tazara daga kashi 5.7 zuwa 6% na nuna cewa yakamata ku kula da tsarin abinci da salon rayuwa;
• a matakin 6.1 da 6.4, haɗarin ciwon sukari yana ƙaruwa sosai, yana da kyau a nemi likita.

Game da matakin hawan jini a cikin yara, a nan dabi'un basu da bambanci da manya - a cikin cikakkun yara masu lafiyar wadanda basa cikin hadarin haifar da rikicewar metabolism, mai nuna alama bai wuce kashi 5.7% ba. Don dalilai na ilimin halayyar, a cikin jariran a farkon watanni na rayuwa, ana ɗaukar darajar 6.0% a matsayin al'ada.

Idan alamu sun yawaita, menene wannan yake nufi?

A wannan yanayin, likita yana zargin ci gaban ciwon sukari kuma ya ba da ƙarin ƙarin gwaje-gwaje. Koyaya, zuwa nesa koyaushe matakan hawan jini na nuna haɓakar metabolism na metabolism.

Sauran dalilan da yasa ake gwajin haemoglobin na gwaji:

• rashin saifa;
• mummunan zubar jini da ke zuwa domin bincike;
• karancin baƙin ƙarfe;
• giya barasa;
• uremia (cutar koda);
• gazawar koda
• kara matakan hawan jini na tayi.

Haɓaka matakin matakin ƙididdigar mai nuna alama alama ce mai haɗari ga buƙatar likita da gyara yanayin rayuwa.

Dalilai na rage alamar da ke ƙasa da ƙa'idar aiki

Idan nazarin nazarin halittu ya nuna cewa glycogemoglobin baya "isa" tsarin - menene ma'anar?

Mun lissafa dalilai masu yiwuwar yin ƙasa da mai nuna alama a ƙarƙashin ƙa'idar:

• hypoglycemia;
• asarar jini kwanan nan;
• mai tsananin rauni na koda;
• hanta ko gazawar koda;
• lalacewa ta hanyar lalata sel sel a cikin jiki.

Raguwar matakin hawan jini a cikin jiki yana da alamun bayyanuwar cutar. Marasa lafiya na fama da yawan bacci, hangen nesa mai rauni, gajiya mai yawa, rashin damuwa da kasala.

Kudin bincike

Minimumaramar farashin sabis a cikin cibiyoyin kiwon lafiya na ƙasar shine 400 rubles, matsakaici - kusan 1 dubu rubles.

Saboda farashin mafi girma, an yi amfani da ƙuduri na matakin haemoglobin mafi ƙarancin lokaci fiye da gwajin sukari na al'ada. Koyaya, yana da mahimmanci a fahimci cewa dangane da bayanan abun ciki, da kuma ikon "nuna" ciwon sukari a farkon matakan, hanyar ba ta da daidai.

Bidiyo masu alaƙa

Game da bincike game da glycosylated haemoglobin a cikin bidiyon:

Sanya wani bincike, kuma za ku san daidai idan kuna da haɗarin haɓakar rikice-rikice na endocrine.