Pono kahi hōʻike koko no ka hemoglobin glycated no ka poʻe e ʻike nei inā he maʻi lākou e like me ka maʻi maʻi maʻi maʻi, a he kumu ke kumu o kona hoʻomohala ʻana. Inā he kānalua iki o ka maʻi o ka maʻi, pono ʻoe e kamaʻilio i kāu kauka, e hōʻike i kahi hōʻike maʻamau no ka kolamu a me ke kō koko, hele ʻia kahi noiʻi o ka hemoglobin glycated.
He aha ia a no ke aha kēia kuhi? Hoʻokumu ʻia ka glycated hemoglobin i loko o ke kanaka ma muli o ka hana kemikū o glucose. Hoʻolaha kēia mea i ka wahi ʻulaʻula i ka wā e hoʻopaʻa ai ka hemoglobin a me nā kō i ke kō, mai kahi e komo ai ke kahe koko.
ʻAʻole e like me nā hoʻāʻo ʻana i ke kō, inā lawe ʻia ke koko mai ka manamana lima, e hōʻike ʻia kēia noiʻi i nā kiʻekiʻe o ka glucose i nā mahina ʻehā i hala. Ma muli o kēia, hiki i ke kauka ke kuhikuhi i ka mākaukau maʻamau, hoʻoholo i ka pale ʻana o ka insulin a me ka kiʻekiʻe o ka maʻi maʻi. Ke loaʻa nā hōʻailona maʻamau, ʻaʻohe mea pono e hopohopo.
ʻO ka hoʻoholo ʻana o ka hemoglobin glycated
Ua makemake nui nā maʻi maʻi āpau i ka hemoglobin glycated, he aha ka ʻokoʻa ma waena o nā ʻano ʻano maʻi like ʻole o ka maʻi maʻi a he aha nā mea ʻokoʻa ʻē aʻe e pono ai?
Ke hōʻike ʻia nei kahi hōʻike like koko ma ke kumu o ka lawelawe ʻo Helix laboratorium a ma kekahi mau kikowaena like like. Ua pololei kēia ʻike a me ka ʻike, hiki iā ia ke hōʻike i ka hopena o ka mālama ʻana, he aha ka paʻakikī o ka maʻi.
Lawe nā mea maʻi i ke koko no ka hemoglobin glycated i ka wā ke kānalua nei o ka hoʻomohala ʻana o ka prediabetes a i ʻole mellitus maʻi mellitus. Hoʻokumu i nā hopena, hiki i ke kauka ke hōʻoia i ka maʻi a hōʻoia paha ʻaʻohe kumu ke hopohopo.
- ʻO Glycated a i ʻole glycosylated hemoglobin e kāhea ʻia ʻo HbA1C, hemoglobin a1c. He aha ke ʻano? Hoʻohui pū kahi hui like Hemoglobin me ka glucose ma muli o ka glycosylation non-enzymatic. I ka loaʻa ʻana o nā waiwai nui, aia nā hemoglobin i nā māhele HbA1 a nona ka 80 pakeneka ka HbA1c.
- E hana ana i kēia loiloi ʻehā mau manawa i loko o ka makahiki, e ʻae kēia iā ʻoe e makaʻala i ka dinamika o nā loli i nā hōʻailona glucose. ʻO ka koko ma ka HbA1C glycated hemoglobin e lawe ʻia i ke kakahiaka ma ka ʻōpū ʻole. I mua o ke koko, e like me ka hoʻokahe ʻana i ke koko, e hōʻike ʻia ka ʻikepili e hana ʻia ma hope o ʻelua pule wale nō.
- He mea nui ia e lawe i ka loiloi ma ke kumu ʻo hoʻokahi ʻoihana, ʻoiai hiki ke hoʻohana i nā ʻoihana i nā ʻano like ʻole, no laila e like ʻole nā hopena i loaʻa. ʻO ka hoʻāʻo ʻana i ka koko koko maʻamau no ka hemoglobin a me ke kō, ʻaʻole wale ia e nā maʻi maʻi maʻi, akā e nā kānaka olakino hoʻi, e pale aku i nā ʻano kiʻekiʻe ʻole i ka glucose, hōʻemi i ka kolamu koko a ʻike i ka maʻi i ka wā mua.
Pono ke ʻano maʻi e nānā i ka maʻi maʻi a nānā i ka hopena o ka maʻi. Mahalo i nā hōʻailona i loaʻa, hiki i ka maʻi maʻi maʻi hoʻomaopopo ke ʻano pehea e hoʻohana ʻia ai ka lāʻau lapaʻau, inā nā mea i loaʻa nā pilikia.
ʻO ka lāʻau lapaʻau o kēia wā, ma ke kauoha o ka World Health Organization, hoʻomaka e hoʻohana i ia data i ka hoʻopaʻa ʻana i nā maʻi mai ka 2011.
Nā pono a me nā hemahema o ke aʻo ʻana
Inā alakaʻi ʻia ʻoe e nā loiloi kūpono, hiki iā ʻoe ke hoʻomaopopo i ka mea o nā pono o kēia loiloi. Hoʻohālikelike ʻia me ka maʻi maʻamau o ka maʻi maʻi, ka hoʻāʻo ʻana o ke koko no ka HBA1C i loaʻa nā pono maikaʻi. ʻAe ʻia nā maʻi diabetes no ka ʻāʻī o ke kaohi ʻana, a hiki ke hoʻokele ʻia ʻo ke aʻo ponoʻī i kēlā me kēia manawa, me ka mālama ʻole o ka meaʻai.
Hiki ke mālama i ka pīhoihoi hōʻike me ke koko i loaʻa no ka lōʻihi. Inā loli nā pae o ke kō koko koko me ke koʻikoʻi a i ʻole kahi maʻi maʻi maʻi, a laila he nui nā data o ka hemoglobin a i ʻole e hoʻopilikia. I mea e hoʻoholo ai i ka hemoglobin glycated, ʻaʻole pono nā mākaukau kūikawā.
Inā hoʻonui ʻia ka hemoglobin Hb A1c, hiki i ke kauka ke kuhikuhi i ka prediabetes a i ʻole mellitus maʻi mellitus i ka hoʻomaka mua o ka maʻi, aʻo ka hoʻāʻo ʻana ke kōpaʻa e hōʻike i nā pae glucose maʻamau.
ʻO ke hoʻohālikelike ʻana i ke koko no ke kōkō ʻaʻole mau i ka hoʻomaka ʻana o ka maʻi, ʻo ia ke kumu e hoʻomanawanui pinepine nei ka mālama ʻana a hoʻomohala nā hoʻopiʻi pilikia. Pēlā, ʻo ka loiloi no ka hemoglobin glycated, nā hopena i hōʻike ʻia i loko o kahi papaʻaina kūikawā, he manawa maʻi no ke ʻano o ka ʻano 1 a me ke ʻano type type 2 mellitus. Eia kekahi, ʻo kahi ʻano noiʻi e hiki ai iā ʻoe ke kāohi i ka hopena o ka ʻoihana.
- ʻO nā mea like ʻole o ka maʻi maʻi me ka uku nui, ke kumukūʻai o nā lawelawe lapaʻau i ka ʻoihana ʻo Gemotest, Helix a me nā hui like like 500 rubles. Hiki ke loaʻa nā hopena noiʻi ma hope o nā lā ʻekolu, akā ʻo kekahi mau wahi lapaʻau e hāʻawi ai i nā ʻikepili ma hope o kekahi mau hola.
- Loaʻa i kekahi poʻe ka haʻahaʻa haʻahaʻa ma waena o HbA1C a me nā pae glucose kiʻekiʻe, ʻo ia ka mea e kekeʻe ai nā manawa o ka gogala hemoglobin i kekahi manawa. Hoʻokomo ʻia nā hopena diagnostic hewa hewa i ka poʻe me kahi maʻi a me ka hemoglobinopathy.
- Hiki ke hoʻohaʻahaʻa ʻia ka ʻike glycemic inā ua lawe ʻia kahi nui i ka nui o ka vitamin C a i ka lā ma mua. ʻO ia ka make, hemoglobin inā hoʻokaʻawale ʻia nā meaʻai kūpono ma mua o ka haʻawina. Hōʻike ka loiloi i kahi kiʻekiʻe o hemoglobin, inā ke hoʻohaʻahaʻa ka hōʻailona o ka nui o ka thyroid ma kahi maʻi maʻi, e waiho ka glucose i ka pae maʻamau.
ʻO kahi hemahema kūikawā o ka noiʻi, ʻo ka ʻike ʻole ʻana o nā lawelawe i nā hale lapaʻau he nui. E mālama i kahi hoʻokolohua kūpono, pono nā mea hana kūikawā, ʻaʻole i loaʻa i nā maʻi āpau. No laila, ʻaʻole ka loaʻa o ka maʻi maʻi i nā kānaka a pau.
ʻO ka wehe ʻana o nā hopena diagnostic
Ke hoʻoholo nei i ka ʻikepili i loaʻa, nā endocrinologists o Helix Center a me nā keʻena olakino ʻē aʻe i hoʻohana i ka papa kuhikuhi o ka papa kuhikuhi glycosylated hemoglobin. Hiki ke loli nā hopena Diagnostic, pili i ka makahiki, ke kaumaha a me ke kino o ka mea maʻi.
Inā hoʻemi ʻia ka hōʻailona a he 5 1, 5 4-5 7 pakeneka, ʻaʻole i ʻike ʻole ʻia ka metabolism i ke kino, ʻaʻole ʻike ʻia ka diabetes mellitus i loko o nā kānaka a ʻaʻohe kumu e hopohopo ai. I ka 6 g pakene o ka glycated hemoglobin, hōʻike kēia i ka piʻi o ka hoʻomohala ʻana o ka maʻi. He mea nui ia e hahai i kahi meaʻai kūikawā e hoʻomaʻamaʻa i ke kō koko.
ʻO ka hemoglobin Glycated o 6.1-6.5 pākēneka e hōʻike ana he kanaka koʻikoʻi nui ke hoʻoulu ʻana o ka maʻi type a i ʻole ka type 2. He mea nui ia e hoʻopau i kahi papaʻai kūpono loa, 'aʻai pololei, mālama i ka hana i kēlā me kēia lā a mai poina e pili ana i ka hoʻomoʻa' ana i ke kō.
- Inā heʻoi aku ka nui o ka hōʻike ma mua o 6.5 pakeneka, ʻike ʻia ka maʻi diabetes.
- No ka hōʻoia i ka hoʻomohala ʻana, hele lākou i kahi hoʻāʻo koko ākea, ua lawe ʻia ka maʻi e nā ʻano kuʻuna.
- ʻO ka haʻahaʻa o ka pakeneka e hōʻike ana i ka hāmeʻa, ʻo ka liʻiliʻi ka mea e hoʻomohala ai i kahi maʻi.
I nā huaʻōlelo, e noʻonoʻo pono ana ka HbA1c maʻamau inā mai ka 4-5 1 i ka 5 9-6 pakeneka. Hiki i kēlā me ia ka ʻike i loko o kekahi mau mea maʻi, ʻoiai ke ʻano o ka makahiki a me ka wahine, ʻo ia hoʻi, no kahi kanaka 10, 17 a 73 mau makahiki, hiki i kēia hōʻailona ke like me kēia.
Inā hāʻule ka kiʻi i waho o kēia palena, ua kolohe kekahi kanaka.
ʻO ka hemoglobin haʻahaʻa a kiʻekiʻe
He aha nā hōʻike hemoglobin haʻahaʻa e hōʻike ai a he aha nā kumu o kēia ʻano? Inā mālama ʻia ka hōʻike a hoʻemi ʻia ka hōʻailona, ʻike paha ke kauka i ka loaʻa o ka hypoglycemia. Kū pinepine kekahi maʻi like ka wā i loaʻa ai ke kanaka i kahi koikoi o ka pancreas, ma muli o kēia, ua nui ka synthesis o ka insulin.
Ke nānā ʻia kahi kiʻekiʻe o ka nui o ka hormone ma ke koko, hoʻokaʻawale ʻia ke kō o ke kō a me ka hypoglycemia e ulu. I ka mea maʻi me nā hōʻailona ma ke ʻano o ka nāwaliwali, malaise, hoʻemi i ka hana, hōʻeha, pōkole o ka hanu, palpitations, distort o ka ʻono a me ka ʻono, a me ka waha maloʻo.
Me ka hoʻohaʻahaʻa ikaika ʻana i ka hana, hiki i kahi maʻi a maʻi ʻole, ʻeha nāwaliwali, ʻike ʻole ʻia ka nānā ʻana, wikiwiki kahi kanaka, a pilikia hoʻi ka ʻōnaehana.
Ma kahi o ka heleʻana o nā insulin, hiki i nā kumu o kēia kūlana ke waiho i loko o kēia mau mea:
- Inā mālama kahi maʻi diabetes me ka hala ʻole i ka lāʻau lapaʻau e hoʻemi i ke kōpaʻa koko;
- No kekahi manawa lōʻihi, ua hele kekahi kanaka i kahi meaʻai liʻiliʻi-kaʻa;
- Ma hope o ka lōʻihi o ka hoʻoikaika kino kino;
- Ma ka hihia o ka ʻohi adrenal;
- Ke hele nei i nā maʻi hanana genetic, no ka laʻana, ka nui o ka hoʻomehana i ka lula, ka maʻi Forbes, ka maʻi Herce.
ʻO ka mea mua, aia ke nānā ʻana i ka loiloi o ka nānā ʻana i nā meaʻai, pono e hoʻopili hou i ke kino me nā mea momona a nui. He mea nui ia no nā hele pinepine i ka hau hou a hana i ka hoʻomaʻamaʻa kino. Ma hope o ka mālamaʻana, pono ʻoe e hoʻomaʻamaʻa i kahi hōʻike ʻelua e hōʻoia i ka maʻamau o ka metabolism.
Inā hōʻike ka hōʻike i nā waiwai kiʻekiʻe, hōʻike kēia i ka hoʻonui lōʻihi i ke kō koko koko. Akā ʻoiai me ia mau helu, ʻaʻole mau ke kanaka i ka maʻi maʻamau a me ka cholesterol kiʻekiʻe.
- ʻO nā kumu kumu o ka hoʻohaʻahaʻa ʻawaʻi hikiʻole ke hoʻopili ʻia me ka hoʻohaʻahaʻa i ka glucose i hoʻonāukiuki, a me ka hoʻokaʻa ʻana o ka glucose wikiwiki.
- Hoʻomaʻamaʻa pinepine ʻia ka maʻi diabetes mellitus inā he hopena ka hopena o hoʻokahi hōʻike ma kahi 6.5 pakeneka.
- Hōʻike ke kauka i ke prediabetes i ka nui o nā helu ma ka 6.0 mai ka 6.5 pakeneka.
Ma hope o ka nānā ʻana i ka maʻi, pono ka maʻi maʻi maʻi e hōʻike i ka ʻike glycemic, no kēia, ʻelua mau hola i kēlā me kēia hola ʻelua, ʻike ʻia ke kōʻai koko koko me ka hoʻālaʻai o ka electrochemical glucometer.
Hoʻohui maikaʻi, kahi hana koko no ka cholesterol. Ma hope o ka hōʻike ʻana i nā hiʻohiʻona pilikino o ke kino, ua hoʻoholo ʻia ka mālama hoʻokūkū.
Pehea e hana ai i kahi hoʻokolokolo koko
Hiki iā lākou ke lawe i ke koko no ka noiʻi e hoʻoholo ai i ka pae o ka hemoglobin glycated i loko o ka haukapila ma kahi o kahi e noho ai. No ka hana i kēia, pono ʻoe e lawe i kahi ʻike mai kāu kauka. Inā mālama ʻia kahi maʻi maʻi i ka haukapila kūloko, hiki iā ʻoe ke hoʻokaʻa i kahi kikowaena pilikino pilikino, no ka laʻana, Helix, a lawe i nā hōʻike koko me ke ʻole o kahi ʻōlelo.
Mai ka hopena o nā hopena o ke aʻo ʻana i ke kō koko i loko o nā malama ʻekolu e hala, a ʻaʻole i ka manawa kikoʻī, hiki iā ʻoe ke hele mai i ke kikowaena i kēlā me kēia manawa, me ka ʻano o ka kō ʻana o ka meaʻai. Eia naʻe, ke noi mau nei nā kauka e hahai i nā kānāwai kuʻuna a hāʻawi i ke koko i ka ʻōpū ʻole e pale ai i nā hemahema pono ʻole a me nā kumu kūpono ʻole kālā.
ʻAʻole koi ʻia kekahi hoʻomākaukau ma mua o ka hoʻomaikaʻi ʻana i ke aʻo ʻana, ʻoi aku ka maikaʻi ke kipa ʻole a hoʻoikaika i kou kino 30-90 mau minuke ma mua o ke kipa ʻana i ke kauka. Ma muli o kekahi mau lāʻau e loaʻa ai ka hopena o ke aʻo ʻana, ma ka lā ma mua i ʻole ka manaʻo ʻia e lawe i ka Diuretic Indapamide, beta-blocker Propranolol, opioid analgesic Morphine.
- ʻO ke koko no ka hoʻoholo ʻana i ke kiʻekiʻe o ka hemoglobin glycine e lawe mau ʻia mai kahi vein, akā i loko o ka hoʻomaʻamaʻa ma ke ʻano he ʻano i hiki ke loaʻa nā meaola mai ka manamana lima.
- Pono ka hoʻāʻo hemoglobin glycated e hana i hoʻokahi manawa no ʻekolu mau mahina. Ma hope o ka loaʻa ʻana o nā hopena, hōʻike ʻia ka maʻi, ma hope o ke kauka ʻana ke kauka i ka mālama pono. ʻO kēia ala diagnostic pono mua o ka mea āpau no ia pono e ʻike i kāna kūlana olakino.
He hoʻomaʻemaʻe a me ke pale aku
Ma mua o ka hoʻohaʻahaʻa i ka hemoglobin glycated, pono e hana ʻia nā mea āpau e hoʻomaʻamaʻa i ke kō koko. No ka hana ʻana i kēia, pono kahi maʻi maʻi maʻi e pili pono i nā ʻōlelo lapaʻau a pau, hoʻokūkū me kaʻai pono, e hahai i kekahi mau meaʻai.
He mea nui ʻole ka poina e pili ana i ka manawa kūpono o nā lāʻau lapaʻau a me ka hoʻokele ʻana i nā insulin, pili pono i ka hiamoe a me ka ala, ka hoʻonaʻauao kūlohelohe koʻikoʻi. Hoʻokomo ʻia ʻoe e ʻike pono i kāu kiʻi glycemic a pela e hoʻokō pololei ʻia ka lāʻau lapaʻau.
Hoʻohana ʻia ka glucometer portable no ka mālama pinepine ʻana i nā pae glucose i ka home. Pono hoʻi e kipa i ke kauka e nānā i nā dynamics o nā loli, e kaupalena i ka cholesterol a nānā i ke ʻano o ka hoʻomaʻamaʻa ʻana.
Hiki iā ʻoe ke hōʻemi i ka hilo ma o nā lāʻau lapaʻau i hōʻoia ʻia, i paipai ʻia e nā kauka a loaʻa kahi hopena maikaʻi. ʻO kēia kahi hoʻonohonoho o nā therapeutic a me nā mea pale e hoʻoponopono ai i ke kūlana o kahi kanaka a hiki ke hoʻohaʻahaʻa i nā pae haʻahaʻa o ke koko.
ʻO ka mea e glycated hemoglobin e haʻi i ka loea i ka wikiō ma kēia ʻatikala.
