ʻO ka mea a glycated hemoglobin i loko o ke koko e hōʻike nei

E like me ʻoe e ʻike ai, me ka maʻi o ka maʻi maʻi, ka hōʻailona nui o ka maʻi he nui ka nui o ke kō i loko o ke koko. ʻO nā hōʻailona hoʻohālikelike he ʻano hiʻohiʻona, ka nui o ke kaʻina o ke alahele pili i ka nui o ka glucose.

I kēia mau makahiki āpau, ʻo kēia mea nui ka mea nui i ka ʻike ʻana i ka maʻi, no laila, inā e kānalua kekahi maʻi, ke kuhikuhi mau nei ke kauka i kahi hōʻike koko no ka glucose.

ʻAʻole i manawa lōʻihi loa, ua kuhikuhi ka World Health Organization i kekahi noiʻi, kahi hōʻike no ka heluhelu ʻana o ka hemoglobin glycated, e ʻike i ka maʻi diabetes. He aha kēia ʻōkuhi a pehea i lawe ʻia ai?

ʻO Glycated hemoglobin i kapa ʻia hoʻi he hemoglobin glycosylated. ʻO kēia kumumanaʻo ka mahele o ka pakeneka o ka hemoglobin alpha Hb_A1, ka mea e hui pū me nā molula glucose.

He aha ka hemoglobin glycated?

Manaʻo paha he nui no ke kumu, i ka poʻe olakino, ʻaʻole pili ka hemoglobin i ke kō, ʻoiai ke kaʻe o ka glucose i loko o ke koko. ʻO ka maʻamau, ʻo ka pae o ka hemoglobin glycated i ke kumu ma ke kanaka ʻaʻole iʻoi aku ma mua o 5.4 pakeneka, aʻo nā maʻi maʻi maʻi maʻi ma kēia neʻe a hiki i ka 6.5 pakeneka.

Hoʻopili ʻia kēia maʻi me ka hoʻonui ʻia o ka honi i loko o ke koko, hoʻomaka ka glucose i ka paʻa ma ka protein erythrocyte, ma muli o ia e hoʻonui ai i ka hemoglobin glycated.

Aia ʻo Hemoglobin i loko o nā ʻāpana koko ʻulaʻula, nona ke kuleana no ka hāʻawi ʻana i nā molekena oxygen i nā pūpū a me nā ʻāpana o ke kino. Hiki i ka Hemoglobin ke hiki i ka hoʻopili i ka glucose, ʻo kēia ka mea i loaʻa i kahi neʻe ʻana o ka hopena non-enzymatic. Kapa ʻia kēia kaʻina hana i ka glycation; ma ke ʻano, hana i ka hemoglobin glycated.

No ka mea ke ola nei nā sela toto ʻehā mau mahina i ʻekolu malama, hiki i kahi hoʻokolohua glycated hemoglobin ke hōʻike i ka nui o ka nui o ke kō i loko o ke koko i nā mahina ʻekolu mau makahiki i hala.

Mahalo i ia ʻano noiʻi, hiki i ke kauka ke loaʻa ka ʻike kikoʻī e pili ana i ke ʻano o ka maʻi i hala koke nei.

Nā pono a me nā hemahema o ke aʻo ʻana

Wahi a nā hōʻailona i loaʻa, ua nānā ʻia ka ulu pono o ka regimen mālama i koho ʻia a ua hōʻike ʻia ka kiʻekiʻe o ka nui o ka glucose. Eia kekahi, ʻo kēia ʻano o ka maʻi maʻi i nā maʻi āpau i hoʻohālikelike ʻia me nā ʻano like ʻole.

I ka hōʻike kūikawā, hāʻawi ʻia kahi hōʻike koko no ka hemoglobin glycated e pili ana i kahi mea ʻai a ka mea maʻi. ʻAʻole hiki i ka hopena o ke aʻo ʻana ke kali lōʻihi, ma kahi kokoke loa e hōʻike mai ke kauka i ka mea maʻi i nā ʻike a pau.

Inā hoʻonui ka glycated hemoglobin, kahi e hōʻike ana i ka hopena o ka maʻi o ka maʻi, pono e hana nā hana kūpono i nā manawa. Ma muli o ke kaomi ʻana, hiki ke ʻike ʻia ka hoʻomaka ʻana o nā loli i ka metabolism i loko o ka manawa, ʻoiai he ʻano maʻi maʻamau no ka glucose e ʻike mau ʻole i ka hiki ʻole i kahi mau hewa.

ʻAʻole hopena ka hopena i ka hopena diagnostic e nā hanana maʻi, ke kaumaha, ka hana kino a me nā mea ʻē aʻe. Ma ke ʻano o ka hoʻokalakupua, hiki i ke kauka ke hōʻoia a hōʻole i ka maʻi hoʻopaʻapaʻa ʻana, i ka wā e ʻole ai ka ʻike ʻoi i nā ʻike maʻamau.

Eia nō naʻe, ke kaʻina no ke ana ʻana i ka pae o ka hemoglobin glycated.

1. He hopena maʻi maʻi maʻalahi kēia e hiki ʻole i nā mea maʻi ke hiki. Akā, he nui i koho i kēia noi ma muli o ke kiʻekiʻe kūpono a me ka maʻalahi o ka nānāʻana.
2. Hiki i nā waiwai ko Glycated hemoglobin ke loaʻa i nā waiwai i ʻike ʻia, akā ʻaʻole e hōʻike i kahi kiʻekiʻe kiʻekiʻe. E ʻike i kēia mau helu, ua hoʻohana ʻia kahi ʻano maʻamau no ka ʻike i ka glucose koko.
3. Inā loaʻa i ka mea maʻi ke anemia a i ʻole nā ​​mānoʻi ona o ka ʻōnaehana protein o ka hemoglobin, e hoʻopili ʻia ka hopena o ka noi ʻana o ka hemoglobin glycosylated.
4. No ka mea ua manaʻo ʻia ʻo ke kumukūʻai nui loa, ʻaʻole ia i mālama ʻia ma nā kūlanakauhale a pau, no laila, ʻaʻole hiki i nā poʻe maʻi maʻi āpau ke komo i ka noiʻi me kēia ʻano.
5. Aia i kahi manaʻo kuhi e hiki paha ke hoʻowahāwahā ʻia ka hemoglobin glycated inā he ʻokoʻa ka ka lolo ma ka nui o ka huaʻai C a i E i nā koina nui.
6. Hiki ke hoʻonui ʻia i ka pae o ka hemoglobin glycosylated me ka hoʻemi ʻana o ka liʻiliʻi o nā hormones thyroid i ka wā e ulu ai kahi kūlana o ka hypothyroidism. I kēia manawa, ʻokoʻa ke ʻano o ke kō koko koko.

Hōʻike ʻia o ka hemoglobin glycated

ʻO ka helu o ka hemoglobin glycated i kahi kanaka olakino he 4-6 pakeneka. Hoʻomaopopo kēia pae i nā kānaka āpau, me ke ʻano o ka makahiki a me ke ʻano o ke kanaka. Inā ma waho o kēia palena nā ʻikepili, ʻike ʻia ke kauka i ka pathology a kuhikuhi i ka lāʻau lapaʻau e pono ai.

Hiki i nā helu kiʻekiʻe ke hōʻailona i kahi kiʻekiʻe kiʻekiʻe o ke kō koko koko i ka mea maʻi. Akā he mea nui e hoʻomaopopo ʻo ka ʻaina ʻole ʻole ke hōʻailona ʻole o ka maʻi maʻi.

ʻIke ʻia ka pathology me ke ahonui o ka hoʻohaʻahaʻa glucose a i ʻole ke kīnā wikiwiki wikiwiki. Hoʻomaʻamaʻa ʻia ka maʻi diabetes mellitus inā ʻaʻole ʻoi wale ka kiʻekiʻe o ka hemoglobin glycated, akā uaʻoi aʻe ka mea 6,5 ​​pakeneka. I ka 6.0-6.5 pākēneka, ʻike ʻia ka prediabetes, ka mea i hele ʻia e ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose.

Eia kekahi, loaʻa i kahi kanaka i lalo ka haʻahaʻa o ka hemoglobin glycated i loko o ke koko. Inā emi nā hopena o ke aʻo ʻana ma ka 4 pakeneka, e hōʻike paha ka loiloi i kahi haʻahaʻa koko koko liʻiliʻi. ʻO kēia ʻano i kekahi mau hihia e hōʻailona i ka hele mai o hypoglycemia.

ʻO ka pinepine, ʻo ke kumu no ka hemoglobin glycated haʻahaʻa e waiho ana i ka hoʻomohala ʻana o ka insulinoma, kahi maʻi pancreatic e hoʻonāukiuki i ka hoʻouluʻana o ka insulin. I ka manawa like, ʻaʻohe kanaka i ka pale ʻana i ka insulin, a ke emi nei kahi kiʻekiʻe o ka glucose i ka wikiwiki, e alakaʻi ana i ka hypoglycemia.

Hoʻohui i kēia neʻe hewa ʻana, hiki i nā mea i hiki mai ke alakaʻi i ka hoʻohaʻahaʻa haʻahaʻa a me nā haʻahaʻa haʻahaʻa hemoglobin glycated:

• Kahaʻaʻa me kahi pālahalaha ʻaohila lōʻihi;
• ʻO ka hoʻohana nui ʻana o ka nui o nā wai lāʻau i ka hoʻohiolo ʻana i ke kō a me ka insulin;
• ʻO ka hele ʻana o nā ukana he lōʻihi;
• ʻO ka hikiʻana o ka hana adrenal;
• Ka ʻike ʻana i nā maʻi ʻōiwi luhi i ke ʻano o ka maʻi Herce, maʻi o ka maʻi von Girke, nā maʻi Forbes, ka intolerance fructose ulu.

Inā hele mai ka hemoglobin glycated i loko o ke koko i loaʻa ma muli o ka loiloi ʻana, ʻaʻole hōʻea i ka 5.7 pakeneka, ʻaʻole huʻihue ka hana o ka paʻakai kalepa a he liʻiliʻi paha ka hopena o ka hoʻomohala ʻana. Me nā hōʻailona mai ka 5.7 i ka 6.0 pakeneka, ʻo ka manawa o ka hoʻomaka o ka maʻi e hoʻonui, e hoʻomaʻamaʻa i ke ʻano, pono ʻoe e hahai i ka ʻai therapeutic a alakaʻi i kahi ola olakino.

ʻO kahi hōʻailona o 6.1 a 6.4 pākēneka e hōʻike nei i kahi kiʻekiʻe nui o ka uluʻana i ka maʻi diabetes. Pono ka mea e hahai i ka ʻai kuke loa, e hahai i kekahi o ka ʻai, a ʻai wale i nā meaʻai e pono ai. Inā like nā hopena o ka hōʻike ʻana a i ʻole ka nui o 6,5 pakeneka, hana ke kauka i kahi maʻi lapaʻau mua - diabetes.

I mea e loaʻa ai kahi maʻi kūpono a pale i nā hemahema, hana ʻia nā noiʻi ma hope o kekahi manawa.

ʻO ka hapa haʻahaʻa o ka hemoglobin glycated, ʻo ka haʻahaʻa o ka maʻi o ka maʻi.

Ma hea a pehea e loaʻa ai ke ʻano koko no ka hemoglobin glycated

Hāʻawi ʻia kahi hōʻike koko e hoʻoholo i ke kiʻekiʻe o ka hemoglobin glycated i kahi o kahi e noho ai i ka haukapila a i kahi keʻena olakino pilikino paha. Inā hoʻāʻo a kahi maʻi maʻi maʻi no ka uku, ʻaʻole koi ʻia kahi ʻōlelo mai ke kauka.

ʻO ka nānā ʻana no ke kōpila glycated pehea e lawe ai? No kēia ʻano diagnostic, ʻaʻole pono ʻoe e hahai i kekahi mau lula. ʻAe ʻia ka loiloi e lawe ʻia ʻoi inā he ʻai na kekahi. ʻO ka ʻoiaʻiʻo o ka ʻike glycated hemoglobin e hōʻike i nā waiwai o ke kō ma loko o nā mahina ʻekolu i hala aku nei, ʻaʻole hoʻi ma kekahi manawa i kekahi manawa.

Eia kekahi, ua noi kekahi mau kauka e lawe i kahi hōʻike koko ma luna o ka ʻōpū ʻole e pale i nā hewa hiki ʻole ke hoʻopaʻa hou i kahi hoʻokolohua koʻikoʻi. ʻAʻole pono e hoʻomākaukau i ka aʻo ʻana ma kekahi ʻano.

Hiki iā ʻoe ke loaʻa nā hopena o kahi hōʻike koko no ka glycated hemoglobin ʻekolu a ʻehā mau lā ma hope o ka hala ʻana o ka maʻi maʻi. Hana pinepine ʻia ka hoʻonaninani koko mai kahi vein, akā aia kekahi mau ala e lawe ʻia ai nā mea ola no ka noiʻi mai ka manamana lima.

1. I ka manawa e loaʻa ai ka maʻi mellitus ma ke ʻano, he hoʻāʻo ʻia ke koko no ka hemoglobin glycated a liʻiliʻi loa ma kēlā me kēia ʻekolu mahina. Ke hoʻohana nei i kēia mau ʻike, hiki i ke kauka ke nānā i ka dinamics pololei o nā loli, e loiloi i ka ʻike o ka regimen mālama i koho ʻia a inā pono, e hoʻololi i ka pono.
2. I ka manawa o ka prediabetes o kahi kanaka a me kahi hoʻokolohua o ke koko mua hōʻike i kahi kiʻekiʻe o ka hemoglobin glycated o 5.7-6.4 pākēnē, he nui ka pilikia o ka ulu ʻana i ka maʻi, pono e ʻike ʻia ka mea maʻi i ka liʻiliʻi i hoʻokahi manawa i hoʻokahi makahiki. Inā hōʻike nā hopena diagnostic i 7 pakeneka, e hoʻopaʻa ʻia ka ʻike ma kēlā me kēia ʻeono mahina.
3. I ka haʻalele ʻana o ka maʻi a me nā hōʻailona o ka maʻi mellitus, hoʻomā ʻia ka hoʻomaʻamaʻa ʻana i hoʻokahi manawa i kēlā me kēia ʻekolu mau makahiki no ka mālama ʻana. Inā mālama ʻole ʻia ka nui o ka glucose i loko o ke koko, e hoʻokau ʻia ana ka maʻi āpau i kēlā me kēia ʻekolu mahina. Kuhi ʻia nō hoʻi ke aʻo ʻana i ka wā o ka hakahaka o ka hoʻoponopono lapaʻau.

Inā kānalua ka mea i loaʻa i nā mea i loaʻa, inā he mea hiki ke hele a inā he maʻi pathology ke kanaka ma ke ʻano o ka hemolytic anemia, hoʻohana hou ʻia nā ʻano diagnostic laboratorium.

ʻO hoʻokahi ʻano ʻano noiʻi kahi hōʻike no ka glycosylated albumin a i ka fructosamine paha.

Hāʻawi kēia mau mea i ka ʻikepili o nā kaila kākala o ka paʻakai i ka ʻelua i ʻekolu mau pule.

Hoʻēmi ʻia i ka hemoglobin glycated

ʻO ka hana mua, e nānā i kāu meaʻai a hoʻololi i kahi lāʻau lapaʻau kūikawā. Manaʻo nā kauka i ka ʻai ʻana i nā mea ʻai he nui a me nā hua i hiki - ke hoʻomaikaʻi ka serat i ka kūlana maʻamau o ke kino, hoʻohaʻahaʻa i nā pae glucose a kōkua i ka mālama i ke kō.

Loaʻa hoʻi ka loea maikaʻi i ka nui o nā mea i ʻike ʻia ma ka palu, nā maiʻa, nā mea kanu hou Eia kekahi, pono ʻoe e inu i ka yoghurts a me ka waiū nonfat, loaʻa lākou i ka calcium a me ka vitamin D, e kōkua i ka hoʻoikaika ʻana i ka ʻōnaehana tulang-cartilage, hoʻomaikaʻi i ke kaʻina hana ʻana, a hoʻohiolo i ke kōhi koko. ʻO ka manawa maʻamau, pono e hoʻopau ʻia kēia mau huahana e ka poʻe me ka maʻi maʻi ʻoka maʻi type 2.

He mea nui ia e ʻai i nā nati a me nā iʻa momona haʻahaʻa, loaʻa lākou i nā waikawa Omega-3, kōkua lākou i ka hōʻemi o ka pale ʻana i ka insulin hormone. Mahalo i kēia, ua hoʻoponopono ʻia ke pae o ka glucose i loko o ke koko, e hoʻomaikaʻi ʻia ka hana o ka ʻōnaehana cardiovascular, a me ka hōʻemi o ka pae o ka cholesterol.

ʻO ka cinnamon, e mau mau i ka papa ʻaina o kahi maʻi maʻi, e hāʻawi i ka hoʻēmi i ka pale ʻana i ka insulin. Akā i ka ʻai ʻana i kekahi mea ʻala, pono ma loko o nā mea liʻiliʻi. Ma ke ala, hiki iā ia ke hoʻohana i ka kefir me ke kinamona e hoʻokaʻawale i ke kō koko.

Ma waho o ka meaʻai, pono nui ka hoʻonui ʻana i ka hana pilikino, makaʻala i kahi regimen hiamoe maikaʻi, alakaʻi i kahi ola olakino, a pale i nā kūlana kaumaha.

No ke aha e pono ai ʻoe i kahi hoʻoili no ka hemoglobin glycated a pehea ka manawa e lawe ai iā ia e haʻi i ka wikiō ma kēia ʻatikala.