ʻO ka maʻi diabetes mellitus kekahi o nā maʻi weliweli. Hāʻawi ia i ka mea maʻi i ka ʻoluʻolu o nā manaʻo he ʻole a hāʻawi i ke kūkulu ʻana i nā pilikia lehulehu.
No kēia kumu, loaʻa i ka mea maʻi i ka maʻi maʻi e ʻike ai i nā ʻano nui o nā hoʻokolohua, nā hopena e ʻae i ka manaʻo no ke kūlana olakino.
ʻO kekahi o nā ʻano hana noiʻi o ka poʻe loea i kēia manawa e nānā pinepine ʻia e pili ana i ke koko no ka pae o ka hemoglobin glycated.
Gogcosylated hemoglobin: he aha ia?
ʻO ka mea hemoglobin maʻamau, ʻike nā mea a pau. Akā ʻo kahi manaʻo e like me ka "glycosylated hemoglobin" e kahakaha i kahi nui o nā mea maʻi.
I ka ʻoiaʻiʻo, ua maʻalahi nā mea a pau. He hoʻokahi ʻano hiʻohiʻona o Hemoglobin - e hui pū pū me ka glucose ka neʻe i ka koko.
A ua hoʻokaʻawale kēia kaʻina hana. Ma muli o kēia hopena, loaʻa ka glycosylated hemoglobin a HbA1c paha. Hoʻoholo ʻia kēia hōʻailona i ka%.
ʻOi ka nui o ka% o ka hemoglobin glycated o ke koko, ʻoi aku ka nui o ka nui o ka hoʻomohala ʻana i nā kaʻina diabetes i ke kino.
Ka waiwai huakini o ka hōʻike koko koko HbA1c
ʻO ka hoʻāʻo ʻana i kou koko no nā pae o HbA1c kahi ala kūpono loa e nānā ai i ka maʻi diabetes.
No kēia kumu, kuhikuhi pinepine nā loea i nā poʻe maʻi e hōʻike ana i ka hōʻailona ke kiʻekiʻe o ka maʻi maʻi, ka hāʻawi koko koko no ka hemoglobin glycated.
Hiki i ka haʻawina hiki iā ʻoe ke loaʻa ka hopena kūpono loa e pili ana i ke pae o ka hemoglobin glycosylated i ka plasma i nā mahina 3 i hala aku nei.. ^ E Ha yM. ʻO ka meaʻoiaʻiʻo o nā molika glucose i hana i hoʻololi ʻia me nā ʻulaʻula ʻulaʻula i hoʻokumu ʻia i kahi pūnoi paʻa e ʻoka ʻole a emi hope ma hope o ka puka ʻana i ka kiko o ka spleen.
Mahalo i kēia hiʻohiʻona, hiki iā ʻoe ke hōʻoia i ka pilikia ma nā hoʻomaka mua inā ʻaʻole i hōʻike ʻia nā hōʻike ʻē aʻe i ka hele mai o ka patolo. Loaʻa i ka hopena o ka loiloi, hiki iā ʻoe ke hōʻoia i ka maʻi ʻonaʻowau, a hōʻole paha i ka hele mai o ka maʻi maʻi, hōʻoia hou i ka mea maʻi.
Pehea e lawe ai i kahi hōʻike koko biochemical?
ʻO ka hana nui o ka hoʻokolohua koko ma ka pae o ka hemoglobin glycated ka nele o ka pono o nā hana hoʻomākaukau.
Hiki i ka hoʻoili ʻia ke lawe i kēlā me kēia manawa o ka lā, ke kūpono i ka mea maʻi. ^ E Ha yM. I kekahi hihia, e pololei ka hopena.
No ka noiʻi noiʻi, lawe ka lāʻau ʻenehana i kekahi nui o ke koko venous mai ka mea maʻi, e like me ka wā o ka loiloi laulā. Akā e kiʻi i ke kiʻi kūpono loa mai kaʻaina kakahiaka, ʻoi aku ka maikaʻi o ka haʻalele ʻana. Pono hoʻi e hoʻopiʻi i ka hoʻokolohua inā loaʻa i ka mea maʻi ke hoʻokahe koko i ke lā ma mua, a i ʻole ʻia he koko nui loa.
Inā 'oe i kau aku nei i ka loiloi ma hope o nā hanana like, hiki iā ia ke loaʻa i kahi hopena me kahi hala nui a nui' ole paha. He mea kūpono hoʻi ia i ka mālama ʻole ʻana i nā mea hoʻohana like ʻole e hoʻohana i nā ʻano like ʻole e aʻo ai i nā biomaterial, no laila hiki i kahi like ke ʻano.
He aha nā hōʻike e hōʻike nei: ke kau nei i nā hopena o ke aʻo ʻana
No ka ʻike pololei ʻana, hoʻohana ʻia nā kauleo i hāpai ʻia e ka World Health Organization.
ʻO kahi hōʻailona ma lalo o 5.7% ka mea i hōʻike ka maʻamau i ka mea maʻi me ka metabolism kalepa a ʻaʻole hoʻoweliweli i ka hoʻomohala ʻana o ka maʻi maʻi. Inā ʻoi aku ka hopena o kahi hopena ma mua o 6,5%, a laila e hoʻomohala ana ka mea maʻi i ka maʻi diabetes.
ʻO ka helu 6-6.5% e hōʻike ana i ka prediabetes. Pēlā nō, no nā mea maʻi me ka maʻi maʻi maʻi maʻi, hiki i ke kauka hele mai ke hoʻokumu i kahi kiʻekiʻe o ka hemoglobin glycosylated, e manaʻo ʻia ana ke ʻano pono nona. I kēlā mau kūlana, e loaʻa ana i kēlā me kēia kūlana i ka pae o 6.5% a 7.5%.
I ka hoʻohuiʻana i ka maʻi diabetes, kahi piʻi i ka hemoglobin glycated a hiki i ka 6% hiki ke kumu:
- nā ʻano ʻano hemoglobinopathies;
- spleen wehe hoʻopau;
- ka nele o ka hao ma ke kino.
Hoʻohālikelike
He ʻokoʻa nā kūlana no ka hoʻoholo ʻana i ke ʻano o ka mea maʻi no nā ʻano ʻano like o nā kamaʻāina. Hoʻokaʻawale ʻia nā hui hoʻokaʻawale kahi no ka helu kūʻokoʻa ʻana i nā kulekele glycated hemoglobin.
ʻO nā kāne a me nā wahine
No nā pākeke o nā kāne ikaika aku, hoʻohana nā loea i nā kūlana pili i lalo.Ma lalo o ke kau he 30 mau makahiki, ʻo ka paepae o nā kāne, e manaʻo ʻia he ʻano paepae o ka 4,5-5.5%.
A hiki i 50 mau makahiki, ʻo ka mea e hōʻike ai i ke kanaka olakino ʻaʻole pono e hoʻonui i ka 6.5%. I ka hōʻea ʻana i kahi kāne 50 a mau makahiki paha, manaʻo ʻia ke ʻano ʻo 7%. I nā wā pākeke, ʻoi aku ka liʻiliʻi o ka maʻi o ka hemoglobin glycated i ka wā menstruation.
I nā lā i koe, ʻo ke ʻano no ka moʻo wahine ka wahine kūpono e like me nā kāne. No laila, ma lalo o ka 30 mau makahiki, ua manaʻo ʻia nā paepae o ka 4.5-5.5% mau mea maʻamau no nā mea maʻi maʻi.
A hiki i ka 50 mau makahiki, hiki i ke kūlohelohe o ka hemoglobin glycosylated hiki i ka 5.5-6.5% i ke kino wahine olakino. Ma hope o ka paepae o 50 mau makahiki, ʻike ʻia ka 7% e loaʻa.
I nā keiki
ʻO ke kumu o ka hemoglobin glycated i nā keiki he 4 mai ka 5.8-6%. ^ E Ha yM. Eia nō naʻe, ʻaʻole ia e hilinaʻi i kēia wehewehe i ka wahine o ke keiki, kahi o ka wahi a me ka zone climatic.
ʻO nā meaʻokoʻa ʻē aʻe. Hiki i ko lākou pae o ka hemoglobin glycate ke hiki i 6%, ʻaʻole manaʻo ʻia he pathology.
Eia nō naʻe, ʻaʻohe pōkole nā hana maʻamau no nā pēpē. Ma hope o 2 mau mahina, e hoʻomaʻamaʻa ka pae o ke ʻano o ko lākou kino.
I ka wā hāpai
I ka wā hāpai, ʻaʻole kahi hōʻoia koʻikoʻi o ka maʻi maʻi. ʻO ka meaʻoiaʻiʻo e hana pinepine nā makuahine e nalowale i ka nalowale i ka ikaika, anemia, toxicosis koʻikoʻi, ʻaʻohe hopena maikaʻi loa i ka pae o ka hemoglobin glycosylated i loko o ke koko.
Ma ke kānāwai, koi ʻia kahi hoʻokolokolo hou o ka wahine e hana i kahi maʻi maʻi no ke ʻano maʻi gestational.
Ma keʻano holoʻokoʻa, ua hoʻohana ʻia kekahi mau hōʻailona normative no ka hoʻomaka ʻana ma mua.
- inā hōʻike ka hopena o ka hōʻike ʻana i ka 5.7%, liʻiliʻi ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes, a ʻano maʻamau ka polokalamu o ke kālaiʻu;
- i ka hihia ke hōʻike nei ke kaila ʻo 5.7-6.0%, loaʻa i ka maʻi o ka mea e manaʻo ai i ka prediabetes. Hiki iā ia ke pale aku i ka hoʻomohala hou ʻana o nā ʻōnaehana maʻi a hoʻomaʻamaʻa i nā hana hoʻoliʻiliʻi i ka nānā ʻana i ka meaʻai ʻai haʻahaʻa;
- kahi hōʻike o 6.1-6.4% e hōʻike ana he kiʻekiʻe nui ka nui o ka ulu ʻana i ka maʻi diabetes, a ʻo ka makuahine nona ka "palena palena";
- me nā hōʻailona o ka 6.5% a i ʻole, ulu nā maʻi diabetes. I mea e hoʻoholo ai i ke ʻano o ka maʻi e ulu ai ka wahine, kahi noiʻi hou ʻia.
Me ka maʻi diabetes
ʻO ka pae o ka hemoglobin glycosylated no ka maʻi maʻi maʻi e hoʻoholo ʻia e ke komo ʻana i ke kauka e pili ana i nā ʻano pilikino o ke kino, ka makahiki o ka mea maʻi, ka nui o nā hoʻopiʻi a me nā kumuhana ʻē aʻe.Ma ke kānāwai, hoʻohana nā kauka i kahi kiʻi o 6.5%.
I kekahi mau hihia, hiki i kēia hōʻailona ke hōʻea i ke palena o 8.0-8.5%.
Inā ʻoe e nānā i ke kūlana olakino ma ka laulā, a laila maʻamau ka helu maʻamau no nā poʻe maʻi me ka maʻi diabetes o ka ʻano 1, ke ʻano he 6.5% a i ʻole. ʻO ka maʻi diabetes type 2, manaʻo ʻia ʻo 6.5-7.0% kahi kapu.
Inā ʻoi aku ka kiʻekiʻe o ka glycosylated hemoglobin ma mua o ka mea maʻamau, he aha ke ʻano o kēia manaʻo?
Inā i ʻike ʻia ka mea maʻi i hoʻokiʻekiʻe ʻia o ka hemoglobin glycosylated, ʻaʻole kēia manaʻo ke maʻi kāna maʻi maʻi.
Hiki i ke hoʻonui ʻana i nā hōʻailona me ka pilikia i ka pancreas, ke kūlana kaumaha, nā hana maikaʻi ʻole i ke kaʻina o ka metabolic, me ka pale hewa ʻana o ka hormonal background o ke kino.
Eia kekahi kekahi laʻana i ka meaʻai a me nā lāʻau lapaʻau e hiki ai i nā loli kūpono ke hana i ka lele ʻana i ka hōʻailona.
ʻO nā kumu no ka hāʻule o lalo o ke ʻano maʻamau
Aia kekahi kumu kumu i hiki ke hōʻemi i ka hoʻokaʻa o ke kō a me ka hopena, ʻo ka emi ʻana o ka hemoglobin glycosylated.
ʻO nā kumu ke komo i ka hypoglycemia i hoʻoulu ʻia e ka hana ma ka hana nui a me ka lāluhi "pōloli" lōʻihi.
Eia nō hoʻi, ke kumu o kahi hāʻule o ka pae hemoglobin glycated i ka 4% a i ʻole ka hōʻemi e pā ana i ka hemolytic anemia, kūlohelohe a me ke kūwaho o ke koko, ka hoʻokahe ʻana o ke koko, ka lawe ʻana i nā lāʻau hoʻohiolo i ke kō a me ke kaumaha maoli.
I kēlā mau hihia, he hiki ke mālama hou i ka noiʻi e hana i kahi maʻi maʻi i kumuhana a, inā pono, e ʻike i nā ala e hoʻopau ai i ka pilikia i loaʻa.
Nā wikiō pili
E pili ana i ka mea o ka hemoglobin glycosylated i ke wikiō:
ʻO kahi hōʻike koko no ka glycosylated (glycated) hemoglobin he ala maikaʻi loa e hoʻāʻo ai i ke kino no ka makemake ʻana i ka maʻi maʻi a i ʻole ka papa hana o nā kaʻina maʻi. No laila, mai haʻalele i ka nānā inā loaʻa ʻoe i kahi ʻōlelo mai kāu kauka.
Ma kahi o ka hōʻike ʻana e hiki ai iā ʻoe ke hoʻomaopopo i nā kuʻuna i ka wā mua a hana i nā manawa kūpono e kuhikuhi ana i ka maʻi piha.
