Ua ike mākou āpau e pili ana i ka hemoglobin maʻamau mai kahi papa kula biology. Akā i ka manawa ke hoʻomaka ke kauka e kamaʻilio e pili ana i ka hemoglobin glycated, hāʻule pinepine nā mea maʻi i kahi stupor.
He poʻe liʻiliʻi kekahi e ʻike i ka maʻamau i loko o kā mākou koko ke loaʻa pū nō hoʻi ka hemoglobin glycated, a he ʻano kūlohelohe kona hoʻokumu ʻana.
Kūkulu ʻia kēia ʻano pūpū me he hopena o ka hopena o ka glucose a me ka oxygen, kahi e hana ai ma kahi pūhui indissoluble e "ola" i ke koko no 3 mau mahina.
Hoʻohālikelike ʻia kona koina ma ka% a me ka ʻike kūmole i loko o ke koko e hiki ai i ke koho pololei ai ʻaʻole wale ka neʻe ʻana o ka maʻi maʻi, akā ke ʻano liʻiliʻi o nā hilahila o nā metabolism. E hoʻonui hou aku ka nui o ke kō i loko o ke koko, e ʻike ʻia ka nui o ka hemoglobin glycated.
Eia kekahi, hiki i kēia hōʻailona ke hoʻonui a emi i lalo o ka mana o nā mea he nui o ka hanana o ke kolamu. Heluhelu i ka mea e hiki ke noʻonoʻo ʻia i ke ʻano maʻamau, a me nā mea e hiki ai ke hoʻonāukiuki i kahi hoʻololi o ke ʻano i ke kuhikuhi, e heluhelu ma lalo nei.
ʻO ka hemoglobin Glycated: ke kumu maʻamau no ka maʻi maʻi maʻi
ʻAʻole wale nā loiloi no ka glycated hemoglobin no nā kumu diagnostic wale nō. Hāʻawi ia iā ʻoe e hoʻoholo i ka mālama pono ʻana o ka mea maʻi i ka maʻi, a pehea hoʻi ke ʻano o ka papa i ʻōlelo ʻia e ia. No ka loiloi inā loaʻa ka predisposition i kahi hoʻomohala ʻana i ka maʻi diabetes, me ka nui o nā kaʻina pathological e hana nei i loko o kona kino, hoʻohana ka poʻe loea i nā mea maʻamau kumu.
Kahi a ia e pili ana i kēia mau helu, hiki i ka hiki ke loaʻa nā hoʻoholo piha e pili ana i ke ʻano o ke olakino o ke kanaka.Inā i ka wā o ka nānā ʻana ua hōʻike ʻia kahi hōʻailona o ka mea ma lalo o 5.7%, a laila ʻaʻole pilikia ka mea maʻi me ka metabolism i kālaiʻu, a heʻuʻuku ka hopena o ka ulu ʻana o ka maʻi maʻi.
Inā ma waena o ka hopena mai ka 5.6 a i ka 6.0%, ua hōʻike ka mea maʻi i ka pale ʻana i ka insulin. I mea e pale ai i ka hoʻomohala ʻana o ka maʻi diabetes, pono ʻoe e hahai i ka ʻai haʻahaʻa-haʻahaʻa. ʻOi aku ka kiʻekiʻe o ka helu kiʻekiʻe ma ka maʻi maʻi.
1 ʻano
Kahi hōʻailona o 8% a i ʻole ke kuhikuhi ana i ka loaʻa ʻana o ke ʻano maʻi type 1. Inā loaʻa nā ʻike o HbA1c he 10% a keu paha, hiki ke manaʻo ʻia e hoʻomohala ka mea maʻi i nā ʻōkuhi maʻi (no ka laʻana, ketoacidosis), a makemake ʻo ia i ka mālama olakino.
2 ʻano
Inā hōʻike kekahi mea maʻi i kahi kuhikuhi o 7% i ka wā o ke aʻo ʻana, hōʻike kēia i ka hiki i ke ʻano o ka maʻi diabetes type 2.
No ka hōʻoia i ka maʻi maʻi, e hāʻawi ka mea maʻi i ka mea maʻi i kahi hoʻokolokolo hou. ʻO ka haʻahaʻa o ka hemoglobin glycated, ʻoi aku ka maikaʻi o ka uku no ka maʻi diabetes.
No laila, he mea nui loa no ka maʻi maʻi maʻi e hoʻomalu i ka pae o ka glycemia i ke koko i mea e pale ai i ka piʻi ʻana o ka hoʻopaʻa ʻana o nā pūhui glycated.
He aha e pono ai nā hemoglobin glycated no ka maʻi maʻi i nā wahine hāpai?
No ka mea aia nā loli koʻikoʻi i ke kino o nā wahine hāpai, ua kūkulu ʻia kahi papa hoʻokaʻawale i nā hōʻailona maʻamau no kēia ʻōpū o nā maʻi e hōʻike ana i kahi hoʻokolokolo kūpono.Inā ʻaʻole iʻoi aku ka hopena o ka noi ʻana ma mua o 6%, ʻo ka hopena o ka uluʻana o ka maʻi diabetes he liʻiliʻi.
Hiki i ka wahine ke alakaʻi i kahi ala maʻamau no ka makuahine e hiki mai ana, e nānā ana i nā hana maʻamau a me nā kīʻaha maʻamau.
Me kahi hōʻailona o 6-6.5%, ʻaʻole ka maʻi o ka maʻi maʻi, akā ua hoʻonui nui ʻia ka hopena. ^ E Ha yM. I kēia hihia, hiki i nā poʻe loea ke kamaʻilio maluhia e pili ana i ka pale ʻana i nā hoʻohaʻahaʻa glucose. He palena palena ʻo kēia kūlana no ka wahine hāpai.
I mea e hoʻonāukiuki ai i ka piʻi ʻana o ke kō koko, pono e mālama ka makuahine i ka paona, e ʻimi i ka lāʻau o ka laiki haʻahaʻa, hele hou a nānā ʻia e ka endocrinologist a hiki i ka hānau ʻana.
Nā hōʻike hōʻike ma mua o 6.5% hōʻike i ke kaona o ka maʻi gestational. Ma kēia hihia, ua kuhikuhi ʻia ka mea maʻi i kahi hoʻokolokolo hou, e like me nā hopena o ka makua e hiki mai ana e kuhikuhi ʻia i kahi papa o ka mālama ʻana.
ʻO ka HbA1c i ka hypoglycemia react
Hiki i ka hypoglycemia React ke ulu i loko o nā kānaka olakino maikaʻi, a ma nā maʻi maʻi maʻi. ʻO ke kumu o kēia kūlana e hiki i nā mea he nui, me ka nānā ʻana o ka mālama lōʻihi ʻana i ka meaʻai liʻiliʻi, ka pōloli, ka pilikia nui, a me nā kūlana ʻē aʻe.
ʻO ka hoʻomaka ʻana o ka hypoglycemia reactive e hiki ke hele ma lalo o nā kūlana like ʻole. Aia wale nō i ka pae kūikawā o nā maʻi a me kāna ʻano.
No ka poʻe maʻi me ka uku kūpono, ʻo ka HbA1c o 7% ka mea i noʻonoʻo ʻia he maʻamau, a me nā haʻahaʻa haʻahaʻa (4-5% a i ʻole ka liʻiliʻi) e hoʻoulu i ka ulu ʻana o ka hypoglycemia reactive.
I nā mea maʻi me ka maʻi type 1, hele mai ka hypoglycemia react me ka hoʻēmi ʻana i ka HbA1c ma lalo o 7.5%, a i nā mea maʻi maʻi me ka maʻi type 2, inā he HbA1c hoʻemi ma lalo o 8.5%.
ʻO nā kumu o ke kūwahi mai ke kumu maʻamau i nā maʻi maʻi
Hoʻonui loa i ka hemoglobin Diabetic mai kahi kiʻekiʻe aʻe. I kekahi mau manawa, aia ka emi. ʻO nā koho mua a ʻelua hoʻi nā ala hele, hiki ke loaʻa i nā ʻano like ʻole i nā maʻi me ka maʻi maʻi. E pili ana i nā mea e hiki ai ke hoʻonāukiuki i kēia loli, e heluhelu ma lalo nei.
Halepuia
ʻO kahi lele nui i ka hemoglobin glycosylated i ka maʻi maʻi maʻi maʻa paha e hoʻowai ʻia e nā kūlana e hiki mai ana:
- ka nele o ke kaohi o ke koko koko, e hopena ana i ka hoʻonui pinepine ʻana;
- hao mea hao anemia.
Kūpono paha nā mea i kākau ʻia no ka loaʻa o nā hōʻailona kuhikuhi. I mea e pale ʻole ai i ka piʻi koke ʻana ma HbA1c, pono e nānā pono nā maʻi hānai i nā pae koko koko a mālama pono i nā ʻōlelo a ke kauka a pau e pili ana i ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia.
Maumaha
ʻO nā helu haʻahaʻa kekahi hopena o nā kumu o ka ʻaoʻao ʻekolu.
I waena o nā kūlana e hiki ke alakaʻi i ka emi ʻana o nā mākaukau, hiki i nā pilikia ke aʻe:
- ke ala o nā kaʻina neoplastic i ka pancreas;
- ka hoʻomakeʻa ʻole ʻana i nā lāʻau i hōʻemi ʻia i ke kō o ke koko;
- kīnā koko.
Hoʻopau pū ʻia nā pae ʻo HbA1c i ka hoʻoponopono ʻana. ʻO kona hemahema hiki ke hoʻopiʻi i ka ulu ʻana o kahi kūlana i hopohopo, hoʻonui i ka hoʻoluhi, nā ʻeha a me nā hōʻailona ʻē aʻe.
Nā wikiō pili
He aha ka mea e pono ai ka hemoglobin glycated no ka maʻi maʻi? ʻO ka pane i loko o ke wikiō:
ʻO kahi hōʻike koko no ka hemoglobin glycated kahi ʻano ʻike a maikaʻi loa no ka hapa nui o nā poʻe maʻi e hōʻike i ka maʻi diabetes a me nā ala āpau e pili ana i ka metabolism o ka paʻakai. Ke hoʻohana nei i kēia ʻano diagnostic, hiki ke nānā i ka pono o ke ʻano o ka lapaʻau, a hiki i ka mea maʻi ke hiki i ka mālama ʻana i kahi maʻi o ka mea.
No laila, no ka loaʻa ʻana o kahi huakaʻi mai kāu kauka no kahi aʻo kūpono, mai haʻalele ʻoe. E kōkua nā hōʻike maʻamau i ka wā pono e mālama i ke olakino a pale i ka hoʻomohala ʻana o nā maʻi maʻi maʻi.
