ʻO ke ho'āʻo ʻana no ka hemoglobin glycated: ke kumu maʻamau i nā kāne a me nā wahine me ka maʻi diabetes

Ua paʻi ka nūpepa olakino Pelekane i nā hopena o kahi hoʻokolohua i manaʻo ʻia e hoʻokumu i ka hilinaʻi o ka hemoglobin glycosylated a me ka hopena o ka make ma ka male kāne o ka hapalua kāne. Mālama ʻia ʻo HbA1C i ka poʻe manawaleʻa o nā makahiki like ʻole: mai 45 a 79 mau makahiki. Basically, he poe olakino (ʻaʻohe o ka maʻi maʻi).

I waena o nā kāne me ka heluhelu heluhelu o ka glucose a hiki i ka 5% (hana maoli ke kumu maʻamau), he make iki ka make (ma ka hapanui mai ka hōʻeha ʻana i nā puʻuwai a me nā hōʻeha). ʻO ka hoʻonui ʻana i kēia hōʻailona e ka neʻe ʻana o ka 1% ka hoʻonui i ka hiki i ka make ma ka 28%! Wahi a nā hopena o ka hōʻike, hoʻonui ʻia ka nui o ka HbA1C o 7% i ka make e ka 63% (i ka hoʻohālikelike ʻia me nā ʻano maʻamau), a ʻo 7% no ka mea maʻi maʻi mau ke manaʻo mau ʻia he hopena kūpono loa!

ʻO ka hoʻāʻo ʻana no ka hemoglobin glycated he ʻano nui ia, kahi ʻano ʻai ʻole biochemical e hiki ai iā ʻoe ke hoʻohālikelike pono i ka maʻi diabetes. Kōkua ia i ka hoʻoponopono ʻana i ka pono o kāna mālama ʻana.

ʻO ka hana nui o ka hemoglobin ka lawe ʻana o ke oxygen i nā pū. Hoʻoikaika ka ʻōmaʻomaʻo me nā molekala glucose. ʻO kēia ka mea i kapa ʻia ʻo glycosylated hemoglobin. ʻOi aku ka nui o nā puna nui i loko o ke kahawai, ʻoi aku ka nui o ka gogemobin glycated, kahi mea e loaʻa ai ke kiʻekiʻe o ka maʻi o ka maʻi maʻi a me kona mau hopena.

I kēia manawa, kauoha kēia laʻa no ka hyperglycemia, hiki iā ia ke hōʻoia i ka maʻi diabetes i ka wā ʻaʻole i hoʻoponopono pono nā ʻano ʻē aʻe. Kōkua ka loiloi ʻike maopopo i ka maʻi diabetes i nā papa mua. E kōkua kēia hōʻike i ka maʻi maʻi maʻi e hoʻomaopopo i ka hoʻopololei ʻana i ka maʻi glycemia no 90-100 mau lā, pehea ka wikiwiki o ka maʻi diabetes, a inā paha e maikaʻi pono nā ʻoihana haʻahaʻa.

ʻO ka hoʻopiʻi a me ka ʻoluʻolu o ka ʻōnaehana

Hoʻololi nā molekula kūleʻa i ke kahawai me nā ʻāpana koko ʻulaʻula. ʻO ka hopena ke hoʻopiʻi kūlohelohe ʻole e wāwahi ʻole a he make kēia mau ʻōmua i ka pauna. ʻO kēia mau waiwai o lākou e hiki ai i kahi manawa ke nānā i kahi pilikia ma mua koke iho, i ka wā ʻaʻole i manaʻo ka ʻike maʻamau i nā loli i ke koko.

ʻO ka nānā ʻana ma mua o ka ʻai e hiki ai iā ʻoe ke hoʻoholo i ke kōloli pōloli, ma hope o ka ʻai ʻana - e hāʻawi i kahi loiloi o kona ʻano ma lalo o ka ukana. ʻO ka glycated hemoglobin i ka mellitus o ka mellitus i manaʻo i ka glycemia i nā mahina ʻekolu i hala. He aha ka pono o kēia kaʻina loiloi?

• Hiki ke hoʻokō ʻia nei nā hoʻokolohua ʻaʻole wale i ke kakahiaka, ma ka palena o kahi mea make pōloli, e hōʻike ana ka hōʻike hōʻike i ke kiʻi ʻoi loa, e hōʻike ana i ka maʻi maʻi ma ke ʻano o ka prediabetes.
• Hoʻoikaika preanalytical - koko i lawe ʻia ma waho o ka ʻoihana ke hoʻomau a hiki i ka hoʻāʻo ʻana i ka vitro.
• Kōkua ka HbA1C e loiloi i ke kiʻekiʻe o ka hoʻopaʻi gula i loko o kahi maʻi maʻi maʻi i mea e koho ai i ka pono kūpono o ka lāʻau lapaʻau hypoglycemic.
• ʻAʻole paʻa i ka mea kuhikuhi i ka minamina, nā maʻi, nā hewa i ka meaʻai, ka lawe ʻana i kekahi lāʻau lapaʻau.
• ʻOi aku ka wikiwiki o ka hōʻike maʻalahi, ʻoi aku ka maʻalahi a me ka maʻalahi ma mua o kahi hoʻokolohua hoʻoliʻi kūlohelohe kūlohelohe, i holo ai i 2 mau hola.

Me ka anemia, hemoglobinopathy a i ʻole pilikia me ka thyroid gland, a me ka nui o ka nui o ke kō o ka meaʻai i nā momona a me E a me nā hua, ʻaʻole pololei nā hopena. ʻAʻole kūpono ia ke ʻano no ka hoʻāʻo ʻana i ka hyperglycemia acute.

Hōʻike ineffective no nā wahine hāpai. Hiki ke ʻike ʻia kahi kiʻi pahuhopu wale ma ka mahina 8-9, aʻo nā pilikia e hele mai i ka malamalama ma ka lua o ka hana. Aia ka poʻe maʻi me ka hoʻohaʻahaʻa ʻia ma waena o ka helu HbA1C a me ka heluhelu heluhelu.

Loaʻa i nā hemahema ka uku o ka hoʻokolohua: ʻo ke kumukūʻai kumukūʻai no nā lawelawe he 520 rubles a ʻoi aku ʻo 170 mau rubles ka uku no ka sampling koko venous. ʻAʻole loaʻa nā wahi āpau i hoʻokolohua.

No ke aha lā e hōʻike ai i kahi hōʻike?

ʻO Hemoglobin kahi protein e loaʻa ai ka hao a he hiki iā ia ke lawe i ka oxygen i loko o ke kino. Noho nā cell red red o ke kino i nā mahina he 3-4 wale nō, i ʻole ka hana pono e lawe i ka hōʻike ʻo HbA1C me kēia mau hiʻi.

Hāʻawi kahi lōkoki i nā lihue-enzymatic i kahi paʻa paʻa o ka glucose a me ka hemoglobin. Ma hope o ka glycation, hoʻokumu ʻia i ka hemoglobin glycosylated. ʻO ka ulu ʻana o ka hopena e pili ana i ka heluhelu ʻana o ka mika ma ka manawa kau. Hiki i ka HbA1C ke nānā i ka hoʻohui ʻana o ke koko i nā lā 90-100.

Ma mua o kahi hoʻokolohua maʻamau, nui nā maʻi maʻi "hoʻomau i ka noʻonoʻo," e ho'āʻo nei e hoʻomaikaʻi i ke kiʻi o nā hōʻike. Ke hōʻike nei no ka HbA1c, ʻaʻole e holo ka hoʻopunipuni pela, e hōʻike ʻia nā hewa āpau i ka mea ʻai a me nā lāʻau lapaʻau.

ʻO nā hiʻohiʻona o ka loea maʻalahi e pili ana i ka wikiō a kau ʻia e ka ʻōlelo a Profesor E. Malysheva:

Nā Kūlana HbA1c

Ma waho o nā hōʻailona o ka maʻi maʻi, e pili ana ka helu HbA1C mai ka 4-6%. Hoʻohālikelike lākou i ka hoʻohālikelike ʻana me ka huina o nā ʻāpana koko ʻulaʻula i ke kahe koko. Hōʻike kēia kuhikuhi i kahi metabolism yang kahi momona maikaʻi loa.

Loaʻa ka loaʻa ʻana o ka maʻi "momona" me nā helu HbA1C mai 6.5 a 6.9%. Inā lanakila lākou i ka paepae o 7%, ʻo ia ka hopena o ka metabolism o ka lipid, a ua hoʻololi ka holi i ka prediabetes. ʻO nā palena o ka hemoglobin glycated (ke kumu maʻamau i ka mellitus maʻi diabetes) ʻokoʻa me nā ʻano like ʻole o ka maʻi maʻi a me nā ʻano ʻāpana like ʻole. Hōʻike maoli ʻia kēia mau ʻokoʻa i ka papaʻaina.

He mea hoʻomaopopo i nā poʻe ʻōpio e mālama i ko lākou HbA1C haʻahaʻa ma mua o ka maʻi maʻi o ka pākeke. ʻO ka nānāʻana i ka hemoglobin glycated no nā wahine hāpai he mea kūpono wale no 1-3 mau mahina, i ka wā e hiki mai ana, ʻaʻole i hāʻawi i nā loli hormonal ke kiʻi kūpono.

HbA1C a me ka hemoglobin momona

Palapala hemoglobin Fatal i loko o nā keiki hou. ʻAʻole e like me nā analogue, ʻoi aku ka hana o ka molowa aku i ka oxygen i nā pū. He hopena anei ka hemoglobin momona?

Hoʻopili ke kiʻekiʻe o ka oxygen hāmeʻe i loko o ke kahe i ka ʻōnaehana o ka hāliʻi, a ua hoʻololi ʻia nā huapalapala i ka glucose i hana ikaika ʻia me ka loli like me ka glycemia. Hoʻopilikia kēia i ka hana o ka pancreas, ka hana insulin a me ka hemoglobin glycated i ka maʻi diabetes.

Nā kikoʻī o ka hoʻāʻo ʻana no ka hemoglobin glycated - i ke wikiō:

Nā hiʻohiʻona o ka aʻo ʻana

ʻO kahi pōmaikaʻi nui o ka hoʻokolokolo ʻana no ka hemoglobin glycosylated ʻo ka nele o ka pono o kahi hoʻomākaukau ʻana a me ka hiki ke alakaʻi iā ia i kahi manawa kūpono. Ke hiki ke loaʻa i nā ʻoihana kūikawā ke kiʻi i ke kiʻi kūpono ʻole e pili ana i ka inu ʻana i ka meaʻai a me ka lāʻau lapaʻau, nā maʻi lēʻeha, nā ʻano kaumaha, a i ʻole ka wai ʻona.

No ke kiʻi ʻoi aku ka pololei o nā hopena, e hāmama ʻia e haʻalele i ka ʻaina kakahiaka, no ka mea, ua hoʻomanawanui ka mea maʻi, me ke ʻano laʻana, a pili paha kēia i kekahi mau hoʻokolohua. I kahi lā a ʻelua paha āu e ʻike ai i ka hopena. I ka kūkākūkā ʻana me ka endocrinologist, pono ʻoe e hoʻomaopopo iā ia e pili ana i kāu anemia, maʻi maʻi pancreatic, a me ka hoʻohana ʻana i nā huaora.

Lalo paha nā hopena hōʻike i ka wā e koho ai i nā mea hana like ʻole. Aia ia i nā ala i hoʻohana ʻia ma ka ʻoihana lapaʻau. E hoʻopaʻa i ka dinamics o ka hoʻomohala ʻana o ka maʻi, pono ʻia e hoʻomaʻamaʻa i nā hoʻomaʻamaʻa mau i ka wahi hoʻokahi. He mea nui ia e hoʻāʻo pinepine ʻia: ua hōʻike pū ʻia i ka hoʻokaʻawale ʻana ʻo HbA1 o ka 1% kūwaho e hōʻemi i ka hopena o nā hoʻopiʻi.

Hoʻopilikia ʻia ka HbA1?

ʻO ka palena o ka HbA1 ma lalo o ka maʻi maʻamau i ka maʻi hakahaka hypoglycemia. Hoʻomaʻamaʻa pinepine kēia hopena i ke kaheʻana o ka pākaukau. Me ka niho momona, me ka hana mau ʻana i nā sweets, ka hana ʻana o ka pancreas no ke kapa ʻana, hana i ka loa o ka nui o ka hormone. ʻO nā mea pono no nā kuʻekuʻe neoplasms kahi e hana ai ka b-cell i ka nui o ka insulin.

ʻO ka hoʻohuiʻana i ka maʻi diabetes a me ka makemake culinary o ka niho momona, aia kekahi mau kumu no ka HbA1 haʻahaʻa.

• Kēlā meaʻai mo ka lōʻihi haʻahaʻa
• Nā maʻi maʻi pili me ka intolerance glucose kūʻokoʻa;
• Nā alahele a me nā maʻi hepatic;
• Anemia
• Nā pilikia me ka hypothalamus;
• ʻAoake ka pīhoihoi ikaika;
• Ka pāʻana o nā insulin.

I mea e ʻike ai i nā kumu kikoʻī e pili ana i ka pae o ka hemoglobin glycated i ka diabetes mellitus, pono ia e hoʻomaʻamaʻa piha.

No ka helu o nā maʻi maʻi me ka wānana i wānana i ke ola a hiki i ka 5 mau makahiki, ʻo HbA1 a hiki i ka 8% e mau ke kumuʻī, no ka mea he nui ka maʻi o ka hypoglycemia ma mua o ka hoʻoweliweli ʻana o ka maʻi maʻi. I ka wā kamaliʻi a me ka wā ʻōpiopio a ma ka wā hāpai, he mea nui e hoʻomau i ka HbA1C a hiki i ka 5%.

Nā kumu i hoʻonāukiuki i ka hoʻonui ʻia o ka HbA1

ʻO ka hoʻonui ʻana i ke ʻano o ka hemoglobin glycated i ke ʻano 1 a i ʻole ke ʻano lā 2 ʻano mea hiki ke ʻano he hyperglycemia. Hōʻike pinepine ʻia nā maʻi pancreatic i ka wā kākau a HbA1 ma mua o 7%. Hōʻike nā hōʻike o 6-7% i ka hoʻomanawanui o ka hoʻohaʻahaʻa glucose a me nā maʻi hoʻokūkū.

No nā wahine hāpai a me nā keiki, ʻo ka nānā ʻana i ka hemoglobin glycated ʻaʻole mea nui loa i nā mea kahiko. Inā mālama ʻole ʻoe i kēia mau loiloi, nā abnormalities i ka hoʻokumu ʻana o ka ʻōpio, hānau mua, a me ka hōʻalo ʻana o ka olakino wahine. ʻO ka hemoglobin haʻahaʻa ma kēia māhele he pilikia maʻamau, no ka mea, ʻoi aku ka nui o kā lākou hao hao (a hiki i ka 15 - 18 mg).

Hōʻike ʻia ka Hyperglycemia ʻaʻole me nā ʻano like ʻole o ka maʻi diabetes, akā pū kekahi me nā pathologies o ka gland thyroid, ka hōʻoki ʻana o ka ate, nā pilikia o ka hypothalamus (ʻo ka ʻaoʻao o ka lolo ke kuleana no ka hana ʻana i nā kuli endocrine).

Inā hoʻāla nā keiki (mai ka 10%) hemoglobin glycated, pōʻino hiki ke kīwaha i lalo, e nalowale nei ke keiki a ʻike i ka makapō. Inā ʻaʻole i hoʻoholo mua ka pilikia pono loa, hiki ke hoʻemi ia me ka lāʻau lapaʻau e 1% i kēlā me kēia makahiki.

ʻO ka kontrol Glycemic ma ka home

Me kekahi ʻano o ka maʻi maʻi, e nānā pono ʻia ke ʻano o kou koko i kēlā me kēia lā e hoʻoponopono i ka ukana, kaʻai ʻana a i ʻole ka lāʻau i nā mea lapaʻau inā pono. ʻO ka pinepine e nānā i ka mika mika no ka ʻaina wikiwiki, 2 mau hola ma hope o ka ʻaina kakahiaka, ma mua a ma hope o ka ʻaina a me ka pō.

I ke ʻano maʻi diabetes type 2, inā ʻaʻole e loaʻa ka mea maʻi i nā inikini insulin, 2 ua lawa nā kaʻina hana. Hoʻoholo ʻia ka hoʻonui pinepine ʻia e kēlā me kēia maʻi e ke kauka. Kuhi nā hopena o ka heluheluʻana o ka glucometer e kahi maʻi maʻi maʻi i loko o kahi diary e nānā ai i ka ʻike i nā dinamics. Hoʻomaopopo ʻia e nānā i ke kō i ka wā hāpai, i ka wā huakaʻi, me ka naʻau a i ʻole ka hana naʻau.

Inā pili pū ka maʻi maʻa a me ka holomua ʻana, pono ʻoe e kaupalena ʻia i ka hōʻike ʻo HbA1C hoʻokahi. ʻAʻole ia i hōʻike i nā loli i ke kahe o ke koko me ka ukana kālaiā ʻana, e kōkua ana i ka hoʻoponopono pono ʻana i ka noho ʻana.

ʻAʻole ke kaohi nei kekahi mau maʻi maʻi glycemia i ka wehewehe ʻana i kā lākou hoʻoholo ʻana ma ka hopohopo ʻaʻole e hoʻopilikia kino ʻia ka ʻike.

ʻO nā hopena o ka hōʻike hōʻike hiki ke hoʻomaopopo ʻia mai ka papa.

Pehea e mālama ai i kāu kola plasma

Pono nā ʻōlelo paʻa e pono ai ka maʻi diabetes HbA1C ma lalo o 7%. Ma kēia hihia wale nō, uku ʻia ka maʻi diabetes, a heʻuʻuku ka hopena o nā haunaele.

ʻO ka hapa, mālama ka haʻahaʻa haʻahaʻa-kalaka i kēia pilikia, akā ʻo ka pae o ka uku no ka maʻi diabetes e pili pono i ka hanana o ka kūlana hypoglycemic. ʻO ka mea i manaʻo ai ke kaupaona ma waena o nā hoʻoweliweli o ka hypoglycemia a me ka hyperglycemia, aʻo kahi maʻi maʻi maʻi i kona ola a pau.

ʻO ka glycated hemoglobin o ka ʻikepili no 90-100 mau lā, a hiki ʻole ke hoʻēmi ma ka manawa pōkole, a pōʻino. ʻO ke kūlana kumu nui no ka ukuʻana i ka glycemia a me ka pale ʻana i nā hoʻopiʻi i ka hōʻeha o ka metabolism, ʻo ia ka mālama paʻa ʻana i ka meaʻai.

1. ʻO ka mea palekana loa ka palaka: ka ʻiʻo, nā iʻa, nā hua manu, nā huahana waiū, me ka ʻole o ke kino hiki ke noho ʻole kino.
2. Ma nā huaʻai a me nā mea kanu, ʻoi aku ka maikaʻi e koho i nā mea e ulu ana ma luna o ka ʻāina: nā kukama, kāpeti, zucchini, avocados, hua ʻōpala, lemona, cranberry. ʻO nā lau momona a me nā hua momona (nā hua waina, nā maiʻa, nā ʻale) ua hoʻopau ʻia i loko o kēia manawa heʻoi aku ma mua o 100 g a kūʻokoʻa mai nā huahana ʻē aʻe.
3. Pono pono ke hoʻohuihui a me nā kuʻuna, hiki i nā pī ke ʻai i nā ʻōmaʻomaʻo. ʻO nā hua pīpī he mea hōʻoia i ka hoʻemi ʻana i ke kō.
4. Inā makemake ʻoe e ʻai i kekahi mea ʻoluʻolu, ʻoi aku ka maikaʻi o nā lākeke (30 g) o nā kalapona pōʻeleʻele (ma kahi o 70% koko) a ʻia i nā kāmeʻa a fructose.
5. No nā poʻe aloha o ka cereals, ʻoi aku ka maikaʻi e koho i nā mūīnolo lohi, ka mea i lihiluhi ʻia mai kahi manawa lōʻihi a ʻoi aku ka maikaʻi. ʻO Barley ka pae haʻahaʻa glycemic haʻahaʻa, akā aia kahi gluten. ʻO ka laiki brown, lentil, buckwheat, a me nā ōma kekahi manawa hiki ke hoʻokomo ʻia i loko o ka meaʻai.

Pono ka pīpīʻai ʻai, a hiki i 6 mau lā i ka lā. ʻO nā protein a me nā ʻowa e hoʻokaʻawale loa aku. ʻO ka wela wela o nā huahana - kaomi: kaū, ka palaoa, kaʻaila.

Ke kāohi i ka paona, ʻona, ka maikaʻi a me ka, o ke kō, ka mea nui, he mea nui ia e hoʻomohala a hana i ka ea i loko o ka ʻōpū hou i kāu iho ʻana o ka hoʻomaʻamaʻa, me ka noʻonoʻo ʻana i ka makahiki a me ke kūlana o ke olakino

ʻO ka mālama mau ʻana i ka hemoglobin glycosylated i ka maʻi mellitus he mea makemake ia no ka uku glycemic optimal. Hōʻike hōʻike pololei i nā manawa pono ʻole e hoʻoponopono e hoʻoponopono i ka regimen lapaʻau a pale i nā hōʻeha kino o ka maʻi maʻi. Hoʻohui ʻia ka hōʻike ʻo HbA1 e ka Ahahui ʻEulopa o Endocrinologists i loko o ka paʻakikī o nā māka no ka loaʻa ʻana o ka maʻi maʻi.

No ka ʻike hou aku e pili ana i ka palapala hōʻike no HbA1, e ʻike i ke wikiō: