Hemoglobin wani abu ne wanda yake a cikin jini kuma yana da alhakin rarraba oxygen a cikin jiki. Haemoglobin ne yake yin jan jini - wannan ya faru ne sakamakon sinadarin ƙarfe da ke ciki.
Hemoglobin wani bangare ne na sel jini - guban jini. Glucose ya shiga cikin halittar haemoglobin. Wannan tsari ya yi tsayi, tunda aka kafa sel jan jini cikin watanni 3. Sakamakon haka, ana samun glycated (glycosylated) haemoglobin, wanda ke nuna matsakaicin matakin glycemia sama da watanni 3.
Don gano matakin ku, kuna buƙatar yin gwajin jini na musamman. Abin takaici, idan gwaje-gwajen sun nuna ƙara yawan ƙwayar glycogemoglobin, to wannan yana nuna kasancewar ciwon sukari mellitus, koda kuwa mai laushi ne kuma yana ci gaba babu wahala a wannan matakin, ba tare da haifar da damuwa ba. Abin da ya sa yana da matukar muhimmanci a fahimci yadda ake ƙaddamar da wannan bincike daidai kuma abin da ya kamata ku sani don guje wa rikice-rikice masu yiwuwa.
Menene glycogemoglobin?
Glycated haemoglobin kwayar cuta ce ta haemoglobin da aka danganta da glucose. Ta kan alamuran sa za mu iya yanke hukuncin cewa akwai cututtuka kamar su cutar sankarau.
Matsayi na glycated hemoglobin zai iya ba da bayani game da matsakaiciyar abun ciki na sukari a cikin watanni 2-3 da suka gabata, wanda shine dalilin da yasa mutanen da ke da alaƙa kamar su ciwon sukari suna buƙatar samun hanya aƙalla wannan lokacin.
Wannan zai taimaka wajen sa ido kan tsarin kulawa da lura da canje-canje a cikin lokaci don hana rikicewa. Yayin da yake kara girman kwayar cutar ta glycogemoglobin, yayin da yake yawan yin karancin cutar ta glycemia a watannin baya-bayan nan, wanda ke nuna cewa hadarin kamuwa da cutar sankara da kuma kamuwa da cututtukan ma yana kara yawaita.
Tare da babban abun ciki na gemocosylated haemoglobin, masu zuwa zasu taimaka wajen daidaita yanayin:
- ilimin insulin;
- magunguna masu rage sukari a cikin hanyar Allunan;
- maganin rage cin abinci.
Binciken gemoclobin mai narkewa zai taimaka wajen yin ingantaccen ganewar asali da kuma gano ciwon sukari, sabanin yadda aka saba da ma'aunin glucose, wanda ke nuna abubuwan sukari a lokacin aiwatarwa.
Wanene yake buƙatar gudummawar jini don HbA1c?
Jagora don irin wannan bincike an ba da izini don likitoci daban-daban su ba da izini, kuma ana iya ƙaddamar da shi daban-daban a cikin kowane dakin bincike.
Likita ya ba da labarin game da nazari a cikin waɗannan halaye masu zuwa:
- idan kun yi shakka ciwon sukari mellitus;
- don saka idanu kan hanyar magani;
- don tsara wasu rukunin magunguna;
- saka idanu matakan tafiyar matakai a jiki;
- yayin ɗaukar yaro (idan akwai tuhuma game da cutar sankarar mahaifa).
Amma babban dalilin shine gano ciwon sukari, a gaban alamun:
- bushe bakin
- da increasedarin buƙata don zuwa banɗaki;
- canji na wani tunanin halin;
- fatara yawan gajiya tare da rauni na jiki.
A ina zan sami bincike? Gwajin gwajin jini na glycated za a iya yi a kowace cibiyar likita ko asibiti mai zaman kansa, bambanci na iya zama cikin farashi da ingancin sabis. Akwai cibiyoyi masu zaman kansu sama da na jihohi, kuma wannan ya dace sosai, kuma ba lallai ne ku jira layi ba. Lokacin bincike zai iya zama daban.
Idan kun dauki irin wannan nazarin akai-akai, to ya kamata ku tuntuɓi asibiti guda ɗaya domin ku sami damar sa ido sosai a kan sakamakon, saboda kowane kayan aiki suna da matakin kuskure.
Dokokin shirya
Yana da kyau a sani cewa ba damuwa ko za a isar da wannan bincike akan komai a ciki ko a'a, saboda sakamakon binciken bai dogara da wannan ba.
Kafin zuwa asibiti, zaka iya shan kofi ko shayi lafiya. Yawanci, za a bayar da fom tare da alamun nunawa ba bayan kwanaki 3 na kasuwanci.
Mataimakin dakin binciken yakamata ya dauki kusan santimita 3 na jini daga mai haƙuri.
Abubuwanda masu zuwa basu taka rawa ba yayin wucewa gwajin ga haemoglobin mai glycated:
- tushen ilimin halin dan Adam-mai hankali;
- lokacin rana da shekara;
- shan magani.
Sakamakon bincike zai iya shafar:
- asarar jini (gagarumin girma);
- zub da jini;
- haila.
A irin waɗannan halayen, likitoci sun ba da shawarar jinkirta gudummawar jini don wani lokaci.
A cikin ƙarshen magana, ma'anar haemoglobin yana nuna kamar HbA1c.
Za'a iya bayyana kyawawan dabi'un ta:
- mmol / l
- mg / dl
- kashi.
Matsayi na al'ada glycosylated haemoglobin
Don fahimtar abin da kullun yakamata ya kasance, kuna buƙatar fahimtar abin da daidai ke shafar wannan alamar.
Ka'ida ta dogara da:
- shekaru
- jinsi
- yanayin jikin mutum.
Babban bambanci a cikin al'ada tare da bambance-bambancen shekaru. Hakanan kasancewar cututtukan da ke tattare da juna biyu ko kuma ciki yana shafar.
Matsakaici a cikin% a cikin mutanen da ke ƙasa da shekara 45:
- al'ada <6.5;
- mai gamsarwa - 6.5-7;
- karuwa> 7.
Matsakaici a cikin% a cikin mutane bayan shekaru 45:
- al'ada <7;
- mai gamsarwa - 7-7.5;
- haɓaka> 7.5.
Al'ada cikin% cikin mutane bayan shekara 65:
- al'ada <7.5;
- mai gamsarwa - 7.5-8;
- ya karu> 8.
Bugu da ƙari, idan sakamakon yana cikin kewayon al'ada, to, kada ku damu. Lokacin da ƙimar ta kasance mai gamsarwa, to yana da mahimmanci fara farawa don lafiyar ku. Idan fom ɗin ya ƙunshi babban abun ciki, to lallai ne a nemi likita nan da nan, wataƙila kuna da ciwon suga.
Al'ada cikin% yayin daukar ciki:
- al'ada <6;
- mai gamsarwa - 6-6.5;
- haɓaka> 6.5.
Idan sakamakon binciken shine <5.7%, to, babu matsala game da shan carbohydrates, kuma tare da nuna alama na 5.7-6% yana da daraja la'akari da yanayin kiwon lafiya, saboda haɗarin kamuwa da ciwon sukari yana da matukar girma. Ba shi da rauni a ci gaba da rage cin abincin carb.
Idan mace a cikin matsayi tana da matakin haemoglobin na 6,6-6.5, to, kuna buƙatar sake duba abincinku nan da nan, fara rayuwa mai kyau, saboda wannan alamar yana nuna babban haɗarin haɓakar ciwon sukari.
A cikin marasa lafiya da ciwon sukari mellitus, wannan nuna alama na iya zama daga 6.5-8.5%.
Norm a cikin% don ciwon sukari:
- Nau'i 1 <6.5;
- Nau'in 2 <7;
- a cikin mata masu ciki <6.
Abubuwan bidiyo akan ka'idojin glycogemoglobin a cikin jini:
Menene ma'anar damuwa ko rage girman ma'anar?
Idan tsarin binciken haemoglobin da aka gano ya wuce halayen da aka yarda, to wannan baya nufin cewa mara lafiyar yana da ciwon suga. Amma tabbas zaku iya cewa metabolism metabolism ya lalace.
Kasancewar wata cuta ce kawai likita zai iya tabbatarwa, zaku iya buƙatar yin ƙarin gwaje-gwaje don ware sauran bambance-bambancen yanayin jikin.
Hakanan yana faruwa cewa glycated haemoglobin na iya zama ƙasa da al'ada. Wannan sabon abu ana kiran shi hypoglycemia, wanda ke faruwa a cikin cututtuka da yawa, ciki har da cutar kansa ta kansa, wanda ke tsokani ƙaddamar da insulin a cikin jini.
A wannan yanayin, babban adadin insulin yana rage abun ciki na sukari, wanda hakan yana haifar da hypoglycemia.
Hanyoyi don rage HbA1c
Game da ƙara darajar HbA1c, ana buƙatar tattaunawa ta gaggawa tare da ƙwararrun masani, waɗanda zasu ƙayyade hanyar magani da kuma tsara mahimman magunguna.
A matsayin hanyar rage yawan cutar glycemia na jini, ya cancanci yin karin haske game da tsarin warkewar abinci. Yawancin abubuwa sun dogara da abinci mai kyau, a wannan yanayin yana da bu to a zabi rage cin abincin carb.
Yakamata ayi jagora da wadannan dokoki yayin cin abinci:
- zabi daidaitaccen abinci;
- rarraba abinci zuwa kananan rabo, ya fi kyau ku ɗan ci kaɗan a kowane sa'o'i 2;
- Ku ci abinci bisa tsari (dole ne jiki ya saba da fahimtar cewa ba za a daɗe da ɓata lokaci ba tsakanin abinci);
- ci karin kayan lambu da 'ya'yan itatuwa;
- gabatar da ayaba da kayan kamshi a cikin abincinku;
- ya cancanci ƙara kayan kiwo da kayan kiwo;
- menu yakamata ya bayyana kwayoyi da kifayen dattako;
- Za a iya kara kirfa daga kayan yaji;
- sha ruwa da kawar da soda;
- Ya kamata a manta da abinci mai ɗimbin-mai-mai mai nauyi, saboda yana cutar da jiki sosai.
Idan yana da wahala ka samar da abincin ka da kanka, to yakamata ka tuntuɓi wani masani mai gina jiki wanda zai taimakeka ka ƙirƙiri jerin abubuwan da suka dace da kai.
Yana da kyau a kula da lafiyar jiki. Wajibi ne a gabatar da aiki na yau da kullun.
An tabbatar da cewa wasa wasanni yana haɓaka metabolism kuma yana haɓaka ɗaukar abubuwan abinci na carbohydrate. Ba shi da mahimmanci a maimaitawa kanka, amma kuna buƙatar yin akalla motsa jiki na haske, aƙalla na rabin sa'a.
Damuwa da annashuwa suma suna shafar yiwuwar kamuwa da ciwon sukari, don haka idan kai mai zafin rai ne kuma baya iya jure damuwa, to yakamata ka magance halin tunanin ka. Zai iya zama fara fara ɗaukar daɗaɗa.
Kar ka manta da tuntuɓar likita wanda zai taimaka da shawarwari da umarni masu amfani.