ʻO nā hoʻololi o ke kino o ke kanaka me ka maʻi maʻi e pili ana i ka metabolism glucose impaired, e hōʻike ana iā ia iho i nā ʻano like ʻole.
Ma ka nānāʻana i kekahi o lākou, ka laʻana, ka laʻana fructosamine, hiki ke hoʻomaopopo i ke kūkulu ʻana o ka maʻi a nānā i ke ʻano o ka mea maʻi.
No ke aha i hōʻike ʻia ai kahi hōʻike fructosamine?
ʻO Fructosamine kahi paka i ʻike ia i ka wā e hoʻopili ai ka glucose i kekahi mau protein i loaʻa i ka plasma koko. ʻO kēia ka mea nui o nā albumin a me hemoglobin. ʻO ka hopena o kēia ninaninau he fructosamine a me glycated hemoglobin, ka nui o ka hōʻike e pili i kahi pilina pili me ke kō koko.
Hoʻohana ʻia kēia waiwai e hoʻoholo ai a hoʻoholo i ke ʻano o ka maʻi maʻi. Hoʻohana ʻia ia ma ke ʻano he mākaʻikaʻi kūkākūkā o ke koko glucose i loko o nā keiki hou a me nā wahine i ka wā hāpai. Hoʻohana ʻia ka hoʻokolohua fructosamine no ka maʻi maʻi ma ke ʻano o ka mālama ʻana i ka ʻoihana.
Hiki i kekahi mau kauka ke kaukaʻi no ka nānā ʻana i nā ʻike o ka fructosamine, e hōʻike ana e ala ʻia ka pilikia e pili ana me ke kō koko kiʻekiʻe:
- endocrinologist;
- maikaʻi
- nephrologist;
- kuʻuna;
- hoʻōla;
- kauka ʻohana a me nā mea ʻē aʻe.
ʻO ka hui nui loa o nā maʻi e hana ana i nā noiʻi, nā mea maʻi me ka maʻi a me ka lua o ka maʻi maʻi. Eia kekahi, hiki ke hāʻawi ʻia i ka nānā ʻana i nā wahine hāpai a me nā keiki ʻōpio.
Pēlā, ʻo ke kumu no ka koho ʻana o ka noiʻi:
- hoʻololi i ka hoʻoponopono hoʻoponopono ʻia no ka maʻi maʻi maʻi maʻi;
- ke koho ana i ka hopena maikaʻi loa o ka insulin i ke koho ʻana o ka maʻi insulin;
- ka hoʻokele ʻana i nā wahine hāpai i kahi maʻi maʻi;
- ka hoʻohui ʻana a me ke hoʻoponopono ʻana i kahi ʻai pilikino no ka poʻe maʻi me ka maʻi maʻi;
- ka manaʻo o ka metabolism o ka hopena o ka hoʻoliʻilihua i nā keiki ʻōpio;
- hoʻomākaukau no ka hoʻomaʻamaʻa ʻana no nā mea maʻi me ka paʻa ʻole o ka kō i ke koko;
- hiki ke loaʻa o kahi neoplasm e pili ana i ka pakeneka o ke kōʻai koko;
- ke kiaʻi nei i ka dinamics o ke kaila koko i loko o nā poʻe maʻi i hōʻeha i ka hana hana insulin a loaʻa paha iā lākou nā ala o nā pancreas.
Kūlana wikiō:
ʻO nā pōmaikaʻi ʻokoʻa
He olakino ke ola o ia mau ʻōlepa a me ka nui o ka protein.
- no fructosamine - 2-3 mau pule;
- no ka hemoglobin glycated - 120 lā.
Hiki i kēia loiloi iā ʻoe ke koho i ka pae o ka glucose i nā 2-3 mau pule i hala. I ka manawa like, ʻike pololei ia a hōʻike i nā loli liʻiliʻi loa i ke kō koko koko, kūpono ia no ka loiloi ʻana i ka maikaʻi o ke ʻano maʻi ma ke hoʻololi ʻana i ke ʻano o ka mālama ʻana a me ka loiloi ʻana i ka glycemia no nā manawa pōkole.
Cons
ʻO nā hemahema o kēia ʻano ʻaia:
- ka hiki o ka hōʻike hōʻike wahaheʻe;
- ka hopena o nā mea o waho i ka hana;
- ka nele o nā hana wehewehe home.
Hiki ke heluhelu ʻia ka heluhelu ʻana i ka wā e loli ai ka nui o nā mololi e hoʻokaʻawale i ke koko, ka mea i hoʻomaʻamaʻa ʻia e ka hoʻomohala ʻana i ke akeʻano nephrotic, me ka hoʻohana mau ʻana o ka huaora C.
Loaʻa kahi ʻikepili ma ka home i kēia manawa, no ka mea ʻaʻohe ʻaʻohe o nā hōʻike hōʻike i ka hoʻokō ʻana, no laila ua lawe ʻia ka hana loiloi wale nō i nā limahana loea.
Hoʻomākaukau a me ka hana ʻana o ke kaʻina hana
Kūlike nā mea hoʻomākaukau no ka hoʻolilo ʻana i ka hoʻokalakupua no ka hoʻāʻo no ka ʻike ʻana i ke kō. Pono ka papa ʻai hope loa ma kahi o 8 mau hola ma mua o ka nānā ʻana, ʻoi a me nā mea ʻāpono ka mea pono e kāpae ʻia, akā ʻaʻole ka inu wai.
No nā kamaliʻi liʻiliʻi, ʻo ka manawa kīnā ʻole o ka meaʻai i loko o nā minuke 40, a no nā keiki he 2-5 a hiki i ka 2 mau hola. ʻO ka lā ma mua, ʻōlelo ʻia e mālama i ka maluhia a me ke olakino pilikino, ʻoi aku ka 1-2 hola ma mua o ka hoʻokolokolo No ka hapalua hola ʻaʻole ʻoe e uahi.
Eia kekahi, ʻaʻole i ʻōlelo ʻia e inu i ka waiʻona a me ka momona kiʻekiʻe a me nā momona momona i ka lā ma mua o ke aʻo ʻana, ʻoiai ʻo nā huahana o kona hōʻemi ke hopena i nā hopena hope loa.
Ma nā pilikia pilikia, hiki ke lawe ʻia i ke koko mai kahi mea maʻi i ʻai hou nei.
Inā hiki, hoʻokaʻawale ʻia ka lāʻau lapaʻau i ka lā ma mua o ke kao ʻana, akā pono kēia e hana me ka ʻae ʻana o ke kauka komo. ʻAʻole ia e ʻōlelo ʻia e lawe i kahi loiloi ma hope o nā kaʻina hana a me ke ʻano o nā mea lapaʻau ʻē aʻe.
Hāʻawi ʻia kahi haʻawina i ke kakahiaka, kahi e hiki ai iā ʻoe ke kū i ke wā ʻole o ka ʻai ʻana. Hoiliili ʻia ke koko e ke koko venous, a laila hoʻokuʻu ʻia ka serum mai ia mai a hana ʻia ka nānā ʻana me ka hoʻohana ʻana i ka colorimetry. I ka wā e hoʻokō ʻia ai, hoʻohana ʻia kahi x-ray e hānai i nā mea hōʻike, a loiloi ke ʻōnaehana i ka ikaika ʻono, e hōʻike ana i ka nui o ka fructosamine i loko o ke koko.
Hana a me nā kūlike
He ʻokoʻa nā ʻōnaehana no ka fructosamine i nā kāne a me nā wahine, a ma nā keiki pū kekahi. I ke kanaka olakino loa, hoʻohaʻahaʻa loa lākou, a i nā keiki ʻaʻole iki ka liʻiliʻi.
Hōʻike i nā hōʻike e like me ke kumu moʻomeheu o ka kāne i ke ʻano o ka pākaukau.
Makau | Ua kuhikuhi ʻia ke kiʻekiʻe o ka kuhikuhi, micromol / l | |
---|---|---|
kāne | wahine | |
Mai 0 a 4 mau makahiki | 144 | 242 |
5 mau makahiki | 144 | 248 |
6 mau makahiki | 144 | 250 |
7 makahiki | 145 | 251 |
Mau makahiki 8 | 146 | 252 |
9 mau makahiki | 147 | 253 |
10 mau makahiki | 148 | 254 |
11 makahiki | 149 | 255 |
12 makahiki | 150 | 256 |
13 makahiki | 151 | 257 |
14 makahiki | 152 | 258 |
15 makahiki | 153 | 259 |
16 mau makahiki | 154 | 260 |
17 mau makahiki | 155 | 264 |
Mai 18 a 90 mau makahiki | 161 | 285 |
No ka mea ʻokoʻa nā ʻano noiʻi like ʻole i nā mea hana like ʻole, ʻokoʻa paha nā hopena hōʻike kikoʻī. No laila, ua loaʻa i kēlā me kēia kikowaena pākuhi ponoʻī, kahi i hoʻopaʻa pono ai nā ʻano maʻamau no nā ʻano maʻi o nā mea maʻi. ʻO ia ke kau nei e hilinaʻi.
E like me nā hopena o nā haʻawina, ua ʻike ʻia e pili pū ka pae o ka fructosamine a me glycated hemoglobin, a hiki ke hoʻoholo pololei ʻia ma ka ʻano iho.
no ka hemoglobin glycated, i ka hopena o nā hopena fructosamine:
GG = 0.017xF + 1.61,
kahi i hōʻike ʻia ai ka GH i ka%, f - i micromol / l;
no ka fructosamine: F = (GG-1.61) x58.82.
Inā kokoke ka pākuhi fructosamine ma luna o ka pahu luna a i ʻole ka nui, hōʻike kēia i kona kiʻekiʻe.
ʻO ke kumu no kēia:
- maʻi mellitus maʻi 'ē aʻe a me nā kūlana ʻē aʻe me ka hopena;
- hoʻemi i ka hana thyroid;
- ke komo ʻana o ke kino o kahi maʻi maʻi;
- kahi hopena o ke kaʻina hana a i ʻole ka maʻi traumatic brain;
- pilikia ʻole;
- myeloma;
- nā maʻi autoimmune a me ka inu wai.
Me nā hōʻike ʻike kokoke i ka palena haʻahaʻa, ua hoʻoholo ʻia e hoʻohaʻahaʻa ka fructosamine, i kumu e ka:
- hyperthyroidism;
- maʻiila nephropathy maʻi;
- ʻĀpiha nephrotic;
- ʻO ka hypoalbuminemia i maʻi ʻia e nā maʻi ʻelua a i ʻole ke komo ʻana i nā ʻōmole mai ka meaʻai, a me ka pōʻino e loaʻa ana ka nui o nā molekine protein;
- lawe i nā lāʻau lapaʻau: vitamina C, bitamina B6, heparin, a pēlā aku.
Hoʻomaʻakaʻi pinepine ka loea i ka akahele ponoʻī iā ia iho, akā i kāna mau kauka, ʻo ia ka mea e hōʻike ai i ka loiloi i hoʻohana ʻia a i ʻole ka hoʻoliina ʻana i ka meaʻai no ka mea maʻi.
ʻO ke kumu o ka fructosamine i ka wā hāpai ka mea e like nō no ka mea ma ke kanaka olakino maʻamau, akā i kēia manawa, ʻike pinepine ʻia nā fluctuations, e pili ana i kahi loli i ke kūlana o ke kino, ka hana a ka hormonal a me nā ʻōnaehana ʻē aʻe. ʻO ka palena nui o ka fructosamine no nā wahine me ka maʻi diabetes, ʻo ia ka mea e hiki ai iā ʻoe ke hoʻoponopono i nā ʻōkuhi pololei.
Hiki ke hoʻohana ʻia nā kiʻekiʻe Fructosamine e ana i ka pae ʻai koko. Ka ʻaʻanā o nā hana hōʻemi a ua like me kēia: me kēlā me kēia 212.5 μmol / L fructosamine e pili ana i ka 5.4 mmol / L glucose. A me nā lā 9 mmol / L i ka piʻi o ka pae o kēia hōʻailona e hōʻike ana i ka hoʻonui ʻana o ka glucose i loko o ke koko koko e 0.4 mmol / L. Hoʻomaopopo ka like me kēia me ka hōʻemi o ka pae o ka hōʻike.
No laila, ʻo kahi haʻawina e pili ana i ka ʻike o ka fructosamine i ke koko hiki iā ʻoe ke nānā i ka nui o ka glucose o ka glucose a me ka nānā i ke ʻano o ka mea maʻi, e hana ana i nā kūpono kūpono i ka manawa. He mea kūpono hoʻi no ka loiloi ʻana i ke ʻano o nā keiki ʻōpio a me nā wahine hāpai. Eia naʻe, hiki ke hoʻokau wale ʻia ma nā kūlana hulina, kahi e kau ai nā mea hiki ke hoʻohana ʻia.