He aha ka hemoglobin glycated? ʻO kēia kahi mea o nā hemoglobin āpau, e kū nei i ke kahe o ke koko o kahi kanaka a nakinaki i ka glucose. Kuhi ʻia kēia mākaukau i ka pakeneka, ʻoi aku ke kiʻekiʻe o ke kō koko, ʻo ke kiʻekiʻe kiʻekiʻe o ka hemoglobin e hoʻonui ʻia i ka glycated.
ʻO ka hoʻokolohua glycated hemoglobin (hb) kekahi o nā mea nui loa i ka hihia i manaʻo ai i ka maʻi mellitus no ka maʻi, e hōʻike pololei ana i ka pae awelika o ke kō o ka wai ma mua o 3 mau mahina i hala. Me ka hāʻawi manawa kūpono o ka loiloi, ʻo ia ka mea e ʻike ai i nā pilikia olakino i ka manawa a hoʻopau paha iā lākou, e hoʻopakele ana i ka mea maʻi mai nā ʻike ʻole.
Kōkua ka hōʻike hoʻokolohua i ka loiloi i ka nui o ka maʻi, ka hopena o ka mālama ʻia ʻana, a hāʻawi i ka ramepine no ka wā e hiki mai ana. Kahi ʻia kahi ʻike o ka pae o ka hemoglobin glycated e lawe ʻia a me ke kumu o ka maʻi maʻi.
Ke hoʻohana nei nā kauka i nā ʻōlelo ʻike:
- A1C;
- HbA1C;
- hb;
- hemoglobin A1C.
Hoʻokomo ʻia ka haʻalulu ma ka loiloi e ʻike i ke ʻano o ka hoʻōki o ke koko a pehea ka loli. Hāʻawi ʻia ke koko i ke kakahiaka, ʻoi aku ma mua o ka ʻōpū ʻole. Inā he kolohe i ke koko a i ʻole ke koko hala ʻana, ʻoi aku ka maikaʻi o ke kau ʻana i ka hōʻiliʻili o nā mea no nā hebedoma.
ʻO kahi mea nui ʻo ka lawe ʻana i nā mea ola olakino ma ka like o ka pūnaehana like, no ka mea, ma nā ʻano lāʻau lapaʻau ʻokoʻa ʻē aʻe e like me ka nui. ʻAʻole hiki iā ʻoe ke kau i ka hoʻoilo ʻana a hiki i hope, hiki i nā pilikia gula ke kūpaʻa e kū mai i kahi o ke olakino maʻamau. Ma lalo o ke ʻano o ka hoʻokolohua o ka manawa, hiki ke pale i ka nui o nā hopena maikaʻi ʻole.
ʻO ka manawa o ka hemoglobin glycated i loko o ke koko he mai ka 4% a 6%, a ʻaʻole pilikia ke kanaka.
ʻO ka hoʻopiʻi a me nā lako hoʻoliʻi
ʻO ka hōʻike koko hb, ke hoʻohālikelike ʻia me ka ʻike ʻaʻai ʻole o ka ʻōpū ʻole, ua loaʻa ia mau mea nui. Mālama ʻoluʻolu ʻia nā mea i hōʻiliʻili ʻia i loko o nā ʻōpua hoʻāʻo a hiki i ka manawa o ke aʻo ʻana, ʻaʻohe mea pono e hāʻawi i ke koko i ka ʻōpū ʻole o ka pūpū, kahi e hoʻoneʻe ana i ka hopena o ka hopena hewa ma muli o ka hiki ʻana o nā maʻi kuʻeha a me ke kaumaha.
ʻO kekahi mea hou aʻe o kēia noi ʻana ʻo ia ka hiki ke hoʻomākaʻi i ka maʻi o ka pancreatic ma kahi pae mua. ʻAʻole ʻae ʻia ka nānā ʻana i kahi ʻōpū ʻole i kēia, no laila ke kali pinepine nei ka mālama ʻana, hoʻomohala ʻia nā ʻōpiopio.
Loaʻa nā hemahema o kahi hoʻokolohua koko.
- he kumu kūʻai koʻikoʻi;
- i nā mea maʻi me ka anemia, e hoʻohuli paha nā hualoaʻa;
- ma kekahi mau wahi i laila ʻaʻohe wahi e hana ai i ka nānā ʻana.
Ke inu ka mea maʻi i ka nui o nā waiora E, C, hiki ke hoʻēmi ʻia nā hb nui. Eia kekahi, me kahi haʻahaʻa haʻahaʻa o nā hormone thyroid, loaʻa ka nui o ka hemoglobin glycated, akā mau ka glucose i loko o nā palena maʻamau.
He aha ka mea hemoglobin glycated?
ʻO ka hōʻailona maʻamau no ka mea ola olakino ʻē aʻe ma ka pae mai ka 4 a 6%, me ka piʻi o ka hemoglobin i 6.5-7.5%, ke kamaʻilio nei mākou e pili ana i ka kiʻekiʻe kiʻekiʻe o ka hoʻomohala ʻana i ka maʻi mellitus, a me ka nele o ka hao i loko o ke kino. Inā ʻo ka hopena he 7,5% a kiʻekiʻe aʻe paha, e ʻike ke kauka i ke kauka.
E like me ka ʻike ʻana, ʻoi aku nā kiʻekiʻe o ka hemoglobin glycated ma mua o nā hōʻailona o ka papa helu glucose wikiwiki classical (ʻo ke kaulike mai 3.3 a 5.5 mmol / l). Ke wehewehe nei nā kauka i kēia mea ma ka ʻoiaʻiʻo o ka piʻi ʻana o ke kō koko koko i ka wā o ka lā, a ma hope o ka ʻai ʻana, hiki i ka nui o ka hōʻailona ke hoʻonui i ke pae o 7.3-7.8 mmol / L.
ʻO ka pae o ka hemoglobin 4% e like me ke kō o ke koko 3.9, a ma 6.5% piʻi kēia hōʻailona ma ka 7.2%. He mea pono ia no nā maʻi me ke kōloli like me ke kō koko like ʻokoʻa ma lalo o nā helu hb. I nā wahine, ma ke ʻano he kānāwai, he mau ʻokoʻa like ʻole i ka wā e hāpai ana ma muli o ka loaʻa ʻana o:
- diabetes mellitus;
- anemia.
I ka hoʻohaʻahaʻa a kiʻekiʻe paha ke ʻano o ka hb a nānā i kahi maʻamau i nā hapaʻumi o ka hapaono, ʻike nui ia i ka ulu ʻana i ka maʻi diabetes. No laila, me kahi hopena o 7,5 i 8%, aia nō kahi hōʻike e hoʻomaka ai e hoʻopiʻi i ka maʻi diabetes, inā ʻaʻole kiʻekiʻe loa nā pilikia o ka hypoglycemia.
ʻO kekahi mau mea maʻi me ka maʻi diabetes mellitus type 2 ke nānā pono i ka nānāʻana i ke kaona o ke kō i loko o ke kahawai, i kekahi manawa ʻaʻole i loaʻa ka glucometer ma ka home. I ia mau pilikia, ʻai wale ʻia ke kō koko ʻaila i nā manawa ʻelua i ka malama. Eia nō naʻe, ʻoiai ka nui o ka maʻi glucose i ka manawa i lawe ʻia ai ka hoʻokolohua, ʻaʻohe kumu hōʻoia e hoʻonui ʻia ma hope o kekahi mau hola ma hope o ka ʻaina kakahiaka.
Ke hāʻawi nei i ke koko no ka nānā ʻana, e pono ʻoe e hoʻomanaʻo:
- Hiki ke lawe ʻia nā glycogemoglobin i kēlā me kēia makahiki, ʻokoʻa nā kumuʻane o nā wahine a me nā kāne.
- me ka hemoglobin overestimated, hiki ke hoʻoholo i nā hemahema o nā hoʻopiʻi;
- e hōʻike i ka noiʻi ʻana i ka pae glucose ma waena o 3 mau mahina, hiki ke hoʻoponopono ke mālama ʻia i ka mālama ʻana i ka maʻi diabetes.
Ua ʻike ʻia nā kauka e pili ana i ka pilina pili ma waena o nā hoʻokolohua hemoglobin glycated a me nā lā maʻamau o ka lā. ʻAʻole ia he mea kūpono inā ʻo ka hoʻohaʻahaʻa haʻahaʻa o ka hemoglobin, e lōʻihi ke ola o ka mea maʻi. ʻO ka hopena maikaʻi loa no ka olakino maʻamau ka maʻi maʻamau o ka hoʻokaʻa o ke kō, ʻaʻole ia ma mua o 5.5%. I nā huaʻōlelo, ua hoʻemi ʻia ka maʻamau o ka hopena, ʻaʻole e hōʻea ke hopena o ka nānā ʻana i ka palena o ka maʻamau.
ʻO kekahi, ʻoiai me kahi kuhikuhi hemoglobin glycated kūpono me kēlā me kēia lā o ka fluktu ʻana i ke kaila o ke koko ma mua o 5 mmol / l, ʻaʻohe hōʻoiaʻiʻo o ka hoʻomohalaʻana o nā hoʻopiʻi.
Hōʻike pinepine ʻia nā maʻi hānai me nā maʻi lohi pinepine pinepine i nā hoʻopiʻi.
Ua kiʻekiʻe a kiʻekiʻe hoʻi
Hōʻike ʻia ka hemoglobin glycated i hōʻike ʻia e ka hypoglycemia, maʻamau ke hōʻike nei i nā neoplasms malignant i loko o ka pancreas - hoʻonāukiuki i ka hoʻokuʻu o insulin. Ke kiʻekiʻe nā kiʻekiʻe o ka kōʻai koko, e hāʻule ana ke kō o ke koko.
Hiki i nā hemoglobin hōʻemi i kahi hopena like ʻole, no ka laʻana, kahi supersaturation me nā lāʻau hoʻohiolo ʻana i ke kō. No kēia kumu, pono mau ia e pili i ka papaʻaʻai haʻahaʻa, hoʻōla pinepine, inā ʻole e holo ana ka mea maʻi i ka ʻae o ka loaʻa ʻana o ka adrenal. Kekahi mau maʻi āpau i hōʻike ʻia:
- he kulekele kūloko hoʻoilina;
- ʻO ka maʻi o von Girke;
- ʻO ka maʻi Forbes, nā wai.
Inā hoʻonui ʻia ka hemoglobin glycosylated, a laila hōʻike kēia i ke kiʻekiʻe o ke kō koko koko i nā manawa lōʻihi. Akā naʻe, ʻaʻole kēia manaʻo i ka hoʻomohala ʻana o ka maʻi diabetes i nā kānaka. Hiki ke kīpē i ka pauku huakai ka nui i loko o ia mau hihia: ke ahonui i ka hoʻohaʻahaʻa glucose, nui kā ka papa ʻaina i ke kakahiaka nui wale.
ʻOiai he ʻokoʻa ka ʻenekini ʻike maka he nui, pono ka noiʻi e hana i nā manawa he nui. Me ka hana like i nā kānaka ʻē aʻe, hiki i ka ʻokoʻa ke komo i loko o hoʻokahi pakeneka.
ʻO kekahi manawa hōʻike i ka hopena ke hewa, e hele mai kēia me ka piʻi nui a me ka hoʻēmi paha i ka hemoglobin fetal. ʻO nā kumu haʻahaʻa ʻē aʻe ke uremia, hemorrhage, hemolytic anemia. Ua hōʻoiaʻiʻo kekahi mau kauka e noiʻi ʻia nā kumu e loaʻa i ke kino o ka mea maʻi, kona ʻano a me kona ʻano kiʻekiʻe.
Aia ka papa o nā hōʻike hōʻike hōʻike i ia mau ʻikepili ma ka pae o ka hemoglobin glycated.
- ma lalo o 5 6-5.7% - neʻe maʻamau ka metabolism, ʻo ka maʻi o ka maʻi diabetes ua liʻiliʻi loa ia;
- 5.7 - 6% - ke hoʻonui ʻia ka pilikia o ka maʻi maʻi, e pono ke ʻai;
- 6.1-6.4% - ua lawa ka manawa o ka maʻi diabetes, pono ke kī ʻia o ka ʻai;
- ʻoi aku ma mua o 6.5% - kahi maʻi hoʻomaka mua o ka maʻi maʻi.
No ka hōʻoia i ka maʻi maʻi, pono ke hana i nā hoʻokolohua hou, ʻo ka hemoglobin liʻiliʻi loa glycated, ʻoi ka nui o ka loaʻa o ka maʻi.
Eia kekahi, hōʻike ʻia nā haʻawina i kēlā me kēia kanaka, ʻoiai he keiki, ʻo ia a he ʻōpio.
Pehea e lawe ai i nā kuhikuhi i kahi maʻamau
ʻO ka hoʻokaʻawale ʻana o ke kiʻekiʻe o ka hemoglobin glycated hiki ʻole me ke hoʻololi ʻole i ka meaʻai kūpono, ʻo ia ka mea i hoʻopaʻa ʻia i ka nui o nā lau o nā lau a me nā huaʻai (keu inā ʻo ke kauwela ma waho). Hāʻawi kēia iā ʻoe e hoʻomaikaʻi i ke ʻano maʻamau o ke kino o ka maʻi maʻi, e kōkua i ka hoʻonui ʻana i nā pae fibre, e mālama i ke kōʻai koko i loko o nā palena maʻamau.
No ka mea maʻi me ka maʻi ʻaʻai, ka pālīlani, nā maiʻa ka maikaʻi loa, loaʻa pū lākou i ka nui o ka fiber. I ka lā, pono ʻoe e inu i ka waiū skim, kaono, no ka mea, i lilo ka glycated hemoglobin 6 e haʻahaʻa, vitamin D, calcium e hoʻoikaika i ka ʻōpū o ka iwi-cartilage.
I ka hoʻomaka ʻana o ka maʻi mellitus o ka lua, ka iʻa, ka ʻiʻo, ʻōpala ke hoʻopau ʻia i nā manawa maʻamau, e kōkua ana e hōʻemi i ka paona, a lilo hoʻi i ka hemoglobin glycated e lilo i haʻahaʻa ma kēia hihia, ʻo kā hua ʻokiʻoki moa maʻalahi no nā ʻano maʻi maʻi 2 he mau maikaʻi pū kekahi.
ʻO ka hoʻomaikaʻi ʻana i ka maikaʻi o ka diabetes mellitus, hoʻohaʻahaʻa i ka kū i ka insulin, a me ka hoʻoponopono ʻana i ke kōpaʻa koko, kōkua i nā meaʻai i kiʻekiʻe i nā waʻa omega-3 me kahi haʻahaʻa glycemic index. Inā 62 paha ka mea maʻi a keu paha, a hoʻokiʻekiʻe ke kō, ua ʻōlelo ʻia e hoʻomohala iā ia me ka huahelu. Hoʻomaʻahaʻa kēia ʻano pōpoki i ka insulin.
Ma kahi o ka meaʻai kūikawā, ua ʻōlelo ke kauka:
- hoʻoikaika nui i nā haʻuki;
- lawe i nā lāʻau lapaʻau e kū'ē i ke kō a i ʻole insulin i ka manawa kūpono;
- Mai poina e pili ana i ka hiamoe a me ke ala;
- ʻōnaehana ʻōnaehana ʻōhumu (a i ka home)? ka hoʻohana ʻana, no ka laʻana, ka mika ʻo Accu Chek Gow;
- Mai haʻalele i ke koho ʻana me kāu kauka.
I ka haʻahaʻa o ka pae o ka glucose, e noʻonoʻo pono ka maʻi o ka maʻi, ka mea ʻo ia ke hele pololei.
Hemoglobin i ka wā hāpai
I ka wā hapai, hoʻonui pinepine ʻia ka hemoglobin glycated, a me ke kōpaʻa i hana ʻia i loko o nā palena maʻamau. ʻOiai ke kūlana maikaʻi loa o ke olakino, ke kīpē nei ke ʻano me nā pilikia olakino no ka wahine a me kāna keiki hānau ʻole. Eia ka laʻana, e hōʻike ʻia kēia mea i ka hānau ʻia ʻana o nā keiki me ke paona nui - e pili ana iā 5 kilograms. E lilo ka hopena i ka hānau pilikia, ka mea i hoʻopuni ʻia me nā hopena:
- nā lā hānau hānau;
- mahuahua i ka pono o ka wahine.
Ke hana nei i kahi loiloi no ka hemoglobin glycated, hiki ke overstated ke kumu maʻamau no nā wahine hāpai, akā ʻaʻole hiki ke kapa ʻia ʻo ka aʻo ponoʻī. Ma muli o kēia ʻano ka maʻi koko koko i ka wā hānau keiki hiki ke hoʻonui i ke kahakaha loa ma hope o ka ʻai ʻana, akā i ke kakahiaka he ʻokoʻa ia ka hana.
I ke wikiō ma kēia ʻatikala, e hoʻomau ka Elena Malysha e hōʻike i ke kumuhana o ka hemoglobin glycated.
