ʻO Glycated hemoglobin (HbA1C) kahi hōʻailona serum biochemical e hōʻike ana i kahi kaʻe o ka glucose ma kahi o hoʻokahi mahina.
Hiki i kēia ʻano hōʻoia ke ʻike mākou i ka hele ʻana o nā ʻano nui he nui, me ka maʻi mellitus. Hōʻike ia i nā hopena o ke noiʻi e hōʻike i nā hemoglobin glycated haʻahaʻa.
Hōʻike kēia i ka loaʻa o nā maʻi.
Ma lalo o ka hemoglobin glycosylated maʻamau: he aha ke kumu?
Lawe ʻo Hemoglobin i ka oxygen i koi ʻia e hānai i nā ʻili o nā lālā.
Ma ka hoʻomakaʻana i ka hoʻoneʻe ʻole-enzymatic, hele mai kēia mea i ka hoʻopili ʻana me ke kō, a hoʻololi i ka hemoglobin glycated. Aia kahi hōʻike kūikawā e hōʻike i ke kiʻekiʻe o kēia kumuhana.
No nā kāne a me nā wahine olakino, ʻo ka maʻamau ka 4-6%. ʻO ka haʻahaʻa o ka helu pakeneka, ka haʻahaʻa i ka hopena o ka uluʻana i ka maʻi diabetes.
He hōʻailona e hiki ʻole i ka palena haʻahaʻa o ka maʻamau ka mea e loaʻa ai nā kīpona o ke kiko i ka oxygen, a hoʻemi ʻia ka glucose i loko o ke kino.
No ke aha i hoʻohaʻahaʻa ʻia ai ka hemoglobin glycated: nā kumu maʻamau
ʻO ka emi ʻana o HbA1C kahi hōʻailona maʻi. Hana ʻia kēia kūlana no nā kumu like ʻole.
ʻO ka hapanui pinepine, ʻo ia mau mea e alakaʻi i kahi waiwai ma lalo o ke ʻano maʻamau:
- kahe koko a i ʻole ka hoʻololi ʻana o ke kō. Ma muli o kēia hana, ua hoʻoheheʻe ʻia ka HbA1C me kahi māhele maʻamau e pili ʻole ana i ka mea kalaka;
- lawa adrenal;
- ka pohō nui o ke koko. Me ka laulā, ka glycated hemoglobin a nalo;
- hoʻonui pinepine ʻia ka hypoglycemia ma muli o ka pololi a i ʻole ka hopena endocrine;
- ka hoʻohua ʻana o nā ʻōpū i loko o ka pancreas. ʻO ka loaʻa pinepine o ka haki e hoʻōla i kahi kūlana hypoglycemic;
- nā pilikia i ka hypothalamus;
- hakahaka hepatic (hepatitis, nele o ka hana);
- ka heleʻana o nā maʻi o ka maʻi maʻamau (Forbes maʻi, Girke, intolerance fructose);
- hemolytic anemia. He kulekele kēia e hoʻemi ʻia ai ka lōʻihi o ka loaʻa ʻana o nā pona koko ʻula. Ma mua, make pū nā selela me ka glycated hemoglobin;
- ka hana kino kino.
I nā wahine i ka wā hāpai, kahi haʻahaʻa haʻahaʻa o HbA1C ma kahi koho maʻamau. Ke lawe nei i kahi keiki, loli ke ʻano o ka hormonal, ʻike ʻia ka maʻi anemia. ʻO ka mea nui ka pale ʻana i ka emi nui o kēia hōʻailona.
ʻO nā kumu o ka HbA1c Haʻokē a me ke Koko ʻOi ma ka maʻi maʻi
I nā maʻi maʻi maʻamau, hoʻohaʻahaʻa ʻia ka glycated hemoglobin. ʻO ka hemahema o ka hormone insulin, ka pale o ka cell i kēia mea e hoʻonāukiuki i ka hōʻemi o ka glucose i ka serum, ke ʻano o ka Mayer a me ka hoʻokumu ʻana o ka paʻakikī HbA1C.
Akā aia kahi mauʻike i ka hōʻike o ka hōʻike ʻana i ka emi o kēia alaki.
ʻO ka maʻamau, ʻo ia nō ma muli o ka pono koho o nā lāʻau lapaʻau, kūpono ʻole i nā kauoha a ke kauka. ʻO nā kumu o nā haʻahaʻa haʻahaʻa o HbA1C no nā poʻe me nā pathologies o ka puka mua a me ka lua he ʻokoʻa.
1 ʻano
ʻO ke ʻano mua o ka maʻi maʻi i manaʻo ʻia e paulele ana i ka insulin. Me kēia maʻi ʻana, hoʻowalewale ʻia kekahi kanaka e hoʻoiho i ka hormone i kēlā me kēia lā, ʻaʻole ia e hoʻopuka i ka pancreas.
ʻO nā haʻahaʻa haʻahaʻa o HbA1C ma muli o:
- ka hoʻohana ʻana o nā kaha kiʻekiʻe o ka hormone insulin;
- kaʻai wā lōʻihi-kaʻa liʻiliʻi;
- maʻi nephropathy maʻi.
2 ʻano
ʻO ke ʻano lua o ka maʻi maʻi he ʻano kūʻokoʻa ole ka insulin. I kēia hihia, hana ka pancreas i kahi hormone, akā ma ka nui o ka nui. Pono ka mea e mālama i ka pāʻai ikaika a lawe i nā lāʻau hoʻokaʻa gula.
Hōʻemi ʻia kahi haʻahaʻa o HbA1C me ka:
- he overdose o nā lāʻau e hōʻemi i ka glucose glucose;
- insulinoma (pancreatic tumors);
- kaʻai kūpono (ka hoʻohana ʻana o nā meaʻai haʻahaʻa-calorie);
- nā mālamalama maikaʻi ʻole.
Nā hōʻailona a me nā hōʻailona
Ke hoʻomaka ka pae o HbA1C e hoʻemi, e kūkulu kahi kanaka i nā hōʻailona o ka ʻano o kahi kūlana hypoglycemic. Hoʻākāka ʻia nā hōʻailona o ka hōʻemi ʻana i nā maʻi maʻi.
Inā hāʻule nā kiko o ka hemoglobin glycated ma lalo o 4%, a laila e kūlohelohe ʻia nā mea like ʻole:
- nāwaliwali ikaika;
- make nui;
- e haʻalulu ana ma nā wāwae;
- mwoi loa;
- ua ʻeha;
- ʻike maka (ʻike kekahi i nā mea āpau).
- palpitations puʻuwai;
- ʻʻAla
- huki, ʻaihue;
- ʻike ʻole;
- ka maʻalea ʻana o ka lehelehe a me nā lehelehe.
Inā nānā ʻia nā hōʻailona haʻahaʻa o nā haʻahaʻa haʻahaʻa o HbA1C, pono ʻoe e nānā i ke kiʻekiʻe o ke kō me ka glucom uila home home, hāʻawi mai i ke koko mai kahi vein a i ʻole no ka hōʻike ʻana i ka lua.
Inā aia ka mākaia ma lalo o 3.3 mmol / l, a laila aia ka hypoglycemia, pono pono ʻoe e ʻai i kekahi huahana o ka mea momona (no ka laʻana, he mau kīʻaha honi a me ka meli). He mea kūpono ia e lawe i kahi loiloi no ka paʻa ʻana o ka hemoglobin glycated.
He aha ka ulia o ka emi o HbA1c i ke koko?
Inā hoʻomaka ka lohi ʻana o ka hemoglobin glycated, pono ka hana ʻana. Pōʻino kēia ʻano no ka mea ma hope o kahi manawa ua haunaele ka hana o nā ʻōpū kūloko.
Hoʻohala:
- pili koko. ^ E Ha yM. Nā paia o nā wahī i lilo i liʻiliʻi a elastic, hiolo ka lumen. Ke alakaʻi nei kēia i ka pololi oxygen. I kēia kūlana, loaʻa ka pilikia nui o ka hōʻeha, ka puʻuwai a i ʻole nā ala ʻē aʻe o ka naʻau naʻau, nā kīʻaha koko. I ka hopena pinepine i kēia make;
- epidermis. ^ E Ha yM. Ma muli o ka lawa ʻole o ke kahe koko, hōʻoki a me nā hōʻeha a me ka hōʻeha ʻana, hoʻopili ʻia nā ʻōpio trophic. Ua hoʻonāukiuki kēia i ka hoʻomohala ʻana i nā ʻōmaka infectious;
- nā pōpō. ^ E Ha yM. Hoʻomaka ka hana ʻōpiopio i ka hana pololei, hoʻopau ʻia kāna hana;
- ʻōnaehana kikowaena waena. ^ E Ha yM. Hoʻopili ʻia ka naʻau a me nā wāwae. Hiki paha i kahi kanaka e hoʻopiʻi i ka kaumaha mau a me ka nāwaliwali o nā wāwae.
Pehea e hana maʻamau ai i nā hōʻailona?
Hiki iā ʻoe ke hoʻonui i ka kuhikuhi hemoglobin glycated ma nā ʻano like ʻole: ma ka noʻonoʻo, ma o ka hana kino, ka meaʻai kūpono, a me ka hopohopo no ka nūnaehana pili kino. Hoʻomaopopo nā kauka i kahi ala holoʻokoʻa loa e mālama ai.
ʻO kaʻai kūpono
E hana maʻamau i ke koʻikoʻi o ka hemoglobin glycated, he mea nui ia e ʻai i ka meaʻai maikaʻi. Pono pono e pili i kahi meaʻai. Hoʻomaka ʻia ka mea ʻai e ka loea no kēlā me kēia maʻi maʻi pākahi.
Hāpai ʻia:
- hoʻopau i nā huaʻai a me nā mea kanu. Hoʻonui lākou i ka pae o ka fiber a me ka glucose i ke kino a hoʻomaikaʻi i ke kūlana o ka mea maʻi. Ke hōʻike nei i nā maiʻa, i nā kahelehe;
- inu wai skim, ʻōmona. Loaʻa kēlā mau huahana i ka huaora D, nā calcium, kahi e pono ai e hoʻoikaika i ka cartilage a me ka iwi iwi. Hoʻololi pū lākou i ka hoʻoneʻe ʻana a me ka hoʻoliʻiliʻi o ke koko;
- ʻai ʻai, nā iʻa. ʻO lākou he mau waikena omega-3, e hōʻemi i ka pale ʻana i ka hormone insulin, hoʻomaikaʻi i ka hana o ka naʻau naʻau;
- hoʻohui i ka pauka cinnamon i ka meaʻai a me nā mea inu. E hōʻemi ana i ka kūleʻa o ka insulin;
- e kaupalena i kou hoʻokomo ʻana i nā meaʻaiʻai a me nā momona. Kūpono ia mau huahana me ke ʻano o nā moku;
- hoʻokaʻawale mai ka papaʻaʻai meaʻai wikiwiki, nā ʻuala kuke, ka ʻaiā, ka ʻoka, ka ʻai pākeke a me nā mea ʻalaʻawa.
Hoʻohana pilikino
Hoʻolako ʻia ka hoʻomaʻamaʻaha liʻiliʻi ʻana i nā manawa i ka hebedoma. ʻO ka lōʻihi loa o ka haʻawina he 30 mau minuke.
Lele ʻia nā mana ikaika, holo. Ke alakaʻi nei lākou i ka wikiwiki wikiwiki o nā hale kūʻai glycogen a hoʻonāukiuki i ka ʻike ʻana o nā hōʻailona o ka hypoglycemia.
ʻOi aku ka maikaʻi o ka ʻaʻe ʻana, ka hele ʻana, ka yoga, hana i nā hoʻomaʻemaʻe hanu. Paipai ʻia ka hoʻoikaika ʻana, e pale aku i ka ʻōnaehana pale ʻana i nā maʻi like ʻole.
He mea makemake ʻia e lawe ʻoe i kahi mea momona me ʻoe e hiki ai i nā hana e hoʻomaikaʻi i kou kūlana inā hāʻule ka nui o ke kō.
ʻO ka ʻōnaehana lawelawe lawelawe
ʻO ka paʻa ʻana o ka hemoglobin glycated e hilinaʻi nui ʻia ma ka kūlana psychoemotional o kahi kanaka.ʻO ka hopohopo, ke kūlohelohe nui i ka hopena o ke kīʻaha koko, ka puʻuwai.
No ka hoʻomaha, ka noʻonoʻo ʻana, ka nānā ʻana i nā papahana televise, e hoʻolohe ana i kāu mele punahele, ke hōʻike ʻia nā hele wāwae.
E hoʻomaʻamaʻa i ke ʻano o ke ʻano o nā aʻai, hiki ke lawe ʻia nā mea kūlohelohe. He mea nui e aʻo pehea e hoʻomaha ai ma kāu iho, kū'ē i ke kaumaha.
Nā wikiō pili
E pili ana i ka hemoglobin glycated haʻahaʻa i ke wikiō:
No laila, ua manaʻo ʻia kahi pae haʻahaʻa o ka hemoglobin i ke ʻano a me ka hōʻike ʻana ʻaʻole ʻano o ka maʻi i ka maʻi maʻi. Akā, kahi emi nui o kēia kuhikuhi e hoʻopilikia i ka pono a me ka hana o kekahi huina.
Inā loaʻa ʻoe i nā hōʻailona o ka hypoglycemia, ʻoiai e mālama i ka hoʻokaʻina koko no ke kō a me ka HbA1C. Hiki ke kāohi i ka ʻike o ka hemoglobin glycated ma ka papa ʻana, ka hana ʻana i nā ʻano hoʻoikaika kino, a pale i ka ʻōnaehana o ka pīpī.
