ʻO ka helu o ka hemoglobin gbekima HbA1c

Ua ʻike nā ʻepekema ʻepekema no ka hōʻemi i nā hoʻopiʻi o ka maʻi diabetes, pono ia e mālama i kahi kiʻekiʻe o ka glucose i loko o ke koko ((normal glycated hemoglobin HbA1c) ma ka liʻiliʻi he 7.0 mmol / L. ʻO kēia ʻano koko hoʻāʻo iā mākou e nānā i hope a ʻike i ke kāohi ʻana mākou i kā mākou maʻi i nā malama ʻelua a ʻekolu mau mahina i hala.

Ma ka hoʻomaʻamaʻa, ʻike ʻia kekahi mau maʻi maʻi maʻi i kēlā mau kuhikuhi. No laila, ʻo ka awelika ʻAmelika me ka maʻi hānai ma kahi pae HbA1c ma waena o 8.5 a 9 mmol / L, "wahi a Nathaniel Clark, MD, ka pelekikena pelekikena o ka American Diabetes Association, ma kahi kūkā o ka maʻi diabetes.

He aha ka helu wikiwiki o ka hemoglobin glycated no kahi maʻi maʻi maʻi?

ʻO ka maʻamau maʻamau o ke kō koko koko no ka poʻe me ka maʻi ʻole o ka maʻi maʻi mai ka 4.5 a i 6.2 mmol / L, e like me kahi noiʻi ma UK (UK Prospective Diabetes Study).

ʻO UKPDS ka hōʻike koʻikoʻi loa a me ka lōʻihi o ka hōʻike ʻana o nā maʻi maʻi maʻi āpau 2 i lawe ʻia, ua 20 mau makahiki i waena o nā poʻe 5000. Ua hōʻike ʻia kēia haʻawina inā ʻo ko mākou pae HbA1c ma luna o 6.2 mmol / L, a laila hoʻomaka mākou e loaʻa nā hōʻeha. No laila, no ke aha e hoʻokaʻawale ai i ka helu o ka hemoglobin glycated i 6.2 mmol / l?

ʻO ka helu o ka hemoglobin gbekima HbA1c

"Aia kahi hōʻike inā ʻoe e hoʻohaʻahaʻa i kāu pae HbA1c ma lalo o 7.0, a laila e hoʻomaka ka hōʻemi i nā hoʻopiʻi ʻana," wahi a Dr. Clark. "Akā, e like me kēia mau pōpoki me ke kō koko mua mua. No ka hoʻohālikelike, inā he glycated hemoglobin rate he 9, a ua hōʻemi ʻoe iā ia i 8, a laila e loaʻa kahi pono. A e ʻoi loa ka maikaʻi o kēia pono ma mua o ka mea ua hoʻemi ʻia ʻo HbA1c mai 8 a 7. A inā e hoʻokaʻawale ʻia ke koko koko ma lalo o 7, a laila e nānā mākou ʻaʻole wale nā pōmaikaʻi, akā i kekahi mau pilikia. ʻO kahi laʻana, loaʻa kekahi mau mea maʻi i ka hypoglycemia ma kēia mau gula, aʻo nā mea maʻi ʻē aʻe e pono ke hoʻoponopono i kā lākou insulin a i ʻole ke kuhikuhi i kekahi lāʻau lapaʻau ʻē aʻe. "

Β i United States, ua hana maʻamau ka loaʻa ʻana o nā palapala hōʻike portable i ka home e ana i ka nui o ka glycated hemoglobin HbA1c. Β Ma Rūsia, ua hoʻohana pinepine ʻia nā mea maʻi me ka maʻi mellitus no ka maʻi maʻamau, ʻoi aku ka makemake e lawe i ka nānā ʻana no HbA1c i ka ʻoihana.

ʻO nā hiʻohiʻona a pehea e hoʻāʻo ai no ka glycosylated Hb

He kūpono loa kēia hoʻoili ʻana i nā kauka a me nā mea maʻi. Loaʻa kona maikaʻi maikaʻi ma mua o ka hoʻokau kakahiaka ma mua o ke kō koko a me nā hōʻike hoʻāʻo glucose ʻelua ʻelua. Loaʻa nā pōmaikaʻi ma nā ʻāpana aʻe:

Hoʻoholo ʻia ka nānā ʻana no ka glycosylated Hb i kēlā me kēia manawa o ka lā, ʻaʻole pono ia i ka sutra a ma ka ʻōpū ʻole,
I ka ʻōlelo o nā maʻi diagnostic, ʻoi aku ka ʻike ma ka ʻike noi ʻana no ka glycosylated Hb ma mua o ka hoʻokipa ʻana no ka hoʻokē ʻana i ka hoʻokaʻa koko koko i loko o ka sutra o ka wikiwiki, me ka mea e hiki ai ke ʻike i ka maʻi maʻi i kahi ma mua o ka hoʻomohala ʻana,
ʻO ka hoʻāʻo ʻana no ka glycosylated Hb i ka manawa he maʻalahi a maʻalahi hoʻi ma mua o kahi mau hola ʻelua o ka hoʻokele glucose ʻelua.
Mahalo i nā kuhikuhi i hōʻike ʻia ʻo HbA1C, hiki iā ia ke ʻike hope i ke kau ʻana o ka maʻi maʻi (hyperglycemia),
ʻO ka hoʻāʻo ʻana no glycosylated Hb e hōʻike ana i ka nānā pono ʻana o kahi maʻi hānai i ke nānā ʻana i kona koko koko i nā mahina ʻekolu i hala iho nei.
ʻO kahi mea wale aku e hiki ke hoʻopili i ka hoʻoholo pololei ʻana o nā pae glycosylated Hb kahi anuanu a koʻikoʻi paha.

ʻO nā hopena hōʻike HbA1C kahi kūʻokoʻa o nā mea like me:

ka manawa o ka lā a me ke lā o ka hānai ʻana o nā kāne.
ka mea ai hope
hoʻohana i ka lāʻau, koe no nā lāʻau lapaʻau no ka maʻi maʻi,
ka hoʻoikaika kino
ke kūlana noʻonoʻo o kahi kanaka
leo hopohopo.

Nā ʻokoʻa i ka lula o nā hōʻailona i waena o nā kānaka

I nā keiki a me nā ʻōpio, ʻaʻole i ʻokoʻa nā hōʻailona. Inā ma nā keiki ka i hoʻokiʻekiʻe ʻia a pae ʻole ʻia ma lalo paha, a laila pono e nānā pono i ka meaʻai o nā keiki, e hoʻomākaukau iā lākou no ka hoʻomaʻamaʻa maʻamau a ʻoi aku ka maikaʻi o nā hopena diagnostic.
ʻAʻohe like o nā kāne a me nā wahine ma nā kumukūʻai.
I nā wahine hāpai wahine, ʻaʻohe pono e lawe i nā waiwai HbA1C a hiki i ka 8-9 mau mahina o ka hāpai ʻana, ʻoiai pinepine pinepine ʻia ka hopena, akā ua hewa kēia.
I ka wā hope o ka hapai ʻana, ʻo ka maʻamau o nā mea i hoʻonui ʻia o ka loiloi he mea maʻamau. ʻO ka pale ʻana i nā hōʻailona no ka maʻi diabetes i ka manawa o ka hānau ʻana i nā keiki hiki ke pili i ke kūlana olakino o ka makuahine e hiki mai ana i ka hānau ʻana. Hiki i ka paleha ke pilikia, a ma ka wā e hiki mai ana nā keiki me ka ulu ʻana i ka intrauterine, nui loa ka ulu ʻana o ke kino e ʻike nui ʻia, a me ka hoʻopiʻi ʻana i ke kaʻina o ka hānau keiki.

Nā ʻano o nā loiloi ʻikepili

I kahi kanaka olakino, ʻaʻole pono nā HbA1C e hoʻonui i ka 5.7 pakeneka o ke koko.

Inā hoʻonui ka ʻike i ka hoʻonui ʻia mai 5.7% a 6%, a laila e hōʻike ana i ka hiki ke loaʻa o ka maʻi diabetes i ka wā e hiki mai ana. I mea e haʻahaʻa ai ka hōʻailona, pono ʻoe e hoʻololi i kahi kīʻaha haʻahaʻa-liʻiliʻi no ka manawa nui, a laila hoʻomau i kahi noiʻi ʻelua. I ka wā e hiki mai ana, ua ʻōlelo ia e kiaʻi pono i kou olakino a me kāu eʻai ai. ʻO kēia mokuʻāina e pono i ka kiaʻi ʻana ma ka home a me ka ʻoihana.
Inā pili ka helu helu mai ka 6.1-6.4%, a laila kiʻekiʻe loa ka nui o ka maʻi o kahi maʻi a i ʻole ʻokiʻoki metabolic. ʻAʻole hiki iā ʻoe ke hoʻomaha i ka hoʻololi ʻana i kahi meaʻaiʻaiʻai haʻahaʻa, pono ʻoe e pili i kahi ola kino. ʻAʻole maʻalahi ke ʻano o kēia kūlana, akā inā pili ʻoe i ka meaʻai pono i kou ola a pau, a laila hiki ke pale ʻia i ka loaʻa ʻana o ka maʻi.
Inā ʻoi aku paha ka pae o HbA1C ma mua o 6,5%, a laila ua hoʻokumu ʻia kahi maʻi hoʻomaka - mellitus maʻi diabetes, a laila ma ke ʻano o nā hoʻokolohua ʻē aʻe ua ʻike ʻia i ia ʻano o ke ʻano he mua a i ʻole.

ʻO ka normization o ka hemoglobin

ʻO ka mea mua, pono ʻoe e ʻike i ka nui o ka waiwai i loko o ke koko ke hōʻike nei ʻaʻole i ka maʻi endocrinological wale nō me nā mea hoʻokiʻoki i ka hopena o ka hōʻea, akā ʻike pū kekahi mea hoʻonanea ka hao. E hoʻokaʻawale i kahi maʻi maʻi nui, pono ma hope o ka hoʻāʻo ʻana no ka hemoglobin glycosylated a i ka ʻike pono ʻana e ʻike i ke pae o ka hao ma ke kino. Inā ʻike maoli nā kumukūʻai no ka pili o ka hao ma lalo o ka maʻa, a laila e kuhikuhi ʻia ka mālama ʻana e hoʻihoʻi i nā maʻi maʻamau o nā mea i ʻike ʻia i loko o ke kino. Ma hope o ka mālama ʻana i ka anemia hapa pōpilikia, pono e mālama i nā hoʻokolokolo hou no nā pae hemoglobin. Inā ʻaʻole i ʻike ʻia ka nele o ka hao, a laila e pili pū ka hoʻonui ʻana i kēia hihia me nā mea hoʻoliʻoliwa.

Wahi a nā helu helu, ʻo ke kumu nui o ka hemoglobin nui glycosylated i ka hypergikemia. I kēia hihia, e hōʻemi i ka pae o ka overstated, pono ʻoe:

pili pono i ka lāʻau i kuhikuhi ʻia e ke kauka hele nei,
pipiʻi i kahi meaʻai haʻahaʻa haʻahaʻa
hele lākou i nā hoʻokolokolo maʻamau.

Inā kūʻai ʻia ka waiwai HbA1C ma lalo o ka maʻamau, a laila e hōʻike ana i kēia ma ka hypoglycemia. Hōʻike pinepine ʻia ka hypoglycemia ma mua o ka hyperglycemia. Pono kēia ʻano i kahi hoʻoponopono koʻikoʻi i ka mālama ʻana i ka meaʻai a me ka mālama pono ʻana i ka hoʻoponopono lapaʻau i kuhikuhi ʻia e ke kauka. ʻO kahi waiwai HbA1C haʻahaʻa paha e kuhikuhi pū aku i ka anemia hemolytic. Inā e hoʻolako ʻia kahi kanaka i kahi manawa hou a i loaʻa iā ia ke koko, ʻoi aku ka lalo o ka waiwai o ka HbA1C.

ʻO ka hemoglobin Glycated: kahiʻano o ka hba1c a me ka hb i ka pākeke a me nā ʻōpio

He aha ka hemoglobin glycated? ʻO kēia kahi mea o nā hemoglobin āpau, e kū nei i ke kahe o ke koko o kahi kanaka a nakinaki i ka glucose. Kuhi ʻia kēia anana i ka pālahalaha, ʻoi aku ke kiʻekiʻe o ke kōholi koko, ʻoi aku ka nui o ka manawa o ka hemoglobin e hoʻonui ʻia i ka glycated.

ʻO ka hoʻokolohua glycated hemoglobin (hb) kekahi o nā mea nui loa i ka hihia o ka maʻi mellitus no ka maʻi, a hōʻike pololei ana ia i ka pae kiʻekiʻe o ke kō koko koko ma mua o 3 mau mahina i hala. Me ka lawe manawa o ka loiloi, hiki ke hoʻomaopopo i nā pilikia olakino i ka manawa a hoʻopau paha iā lākou, e hoʻopakele ana i ka mea maʻi mai nā ʻike ʻole.

Kōkua ka hōʻike hoʻokolohua i ka loiloi i ka nui o ka maʻi, ka hopena o ka mālama ʻia ʻana, hāʻawi i kahi wanana no ka wā e hiki mai ana. Kahi ʻia kahi ʻike o ka pae o ka hemoglobin glycated e lawe ʻia a me ke kumu o ka maʻi maʻi.

Ke hoʻohana nei nā kauka i nā ʻōlelo ʻike:

Hoʻokomo ʻia ka haʻalulu ma ka loiloi e ʻike i ke ʻano o ka hoʻōki o ke koko a pehea ka loli. Hāʻawi ʻia ke koko i ke kakahiaka, ʻoi aku ma mua o ka ʻōpū ʻole. Inā he kolohe i ke koko a i ʻole ke koko hala ʻana, ʻoi aku ka maikaʻi o ke kau ʻana i ka hōʻiliʻili o nā mea no nā hebedoma.

ʻO kahi mea nui ʻo ka lawe ʻana i nā mea ola olakino ma ka like o ka pūnaehana like, no ka mea, i nā ʻano lāʻau lapaʻau ʻano loiloi ʻē aʻe hiki ke loli maoli. ʻAʻole hiki iā ʻoe ke kau i ka hoʻoilo ʻana a hiki i hope, hiki i nā pilikia gula ke kūpaʻa e kū mai i kahi o ke olakino maʻamau. I lalo o ke kūlana o ka hoʻokolohua manawa, hiki ke pale i kekahi nui o nā hopena maikaʻi ʻole.

ʻO ka hoʻopiʻi a me nā lako hoʻoliʻi

ʻO ka hōʻike koko hb, ke hoʻohālikelike ʻia me ka ʻike ʻaʻai ʻole o ka ʻōpū ʻole, ʻo ia kekahi mau pono nui. Mālama ʻoluʻolu ʻia nā mea i hōʻiliʻili ʻia i loko o nā ʻōpua hoʻāʻo a hiki i ka manawa o ke aʻo ʻana, ʻaʻohe mea pono e hāʻawi i ke koko i ka ʻōpū ʻole o ka pūpū, kahi e hoʻoneʻe ana i ka hopena o ka hopena hewa ma muli o ka hiki ʻana o nā maʻi kuʻeha a me ke kaumaha.

ʻO kekahi mea hou aʻe o kēia noi ʻana ʻo ia ka hiki ke hoʻomākaʻi i ka maʻi o ka pancreatic ma kahi pae mua. ʻAʻole ʻae ʻia ka nānā ʻana i kahi ʻōpū ʻole i kēia manawa, no laila ke ʻano pinepine ka mālama ʻana, hoʻomohala ʻia nā ʻōpiopio.

Loaʻa i nā hemahema o kahi hoʻokolohua koko.

nā kumu kūʻai kiʻekiʻe
i ka poʻe maʻi me ka anemia, e loli paha nā hopena o ke kaila.
ma kekahi mau wahi i laila ʻaʻohe wahi e hana ai i ka nānā ʻana.

Ke inu ka mea maʻi i ka nui o nā waiora E, C, hoʻemi ʻia ka waiwai o ka hb. Eia kekahi, me kahi haʻahaʻa haʻahaʻa o nā hormone thyroid, ke piʻi nei i ka hemoglobin glycated, akā mau ka glucose i loko o ka pae maʻamau.

He aha ka mea hemoglobin glycated?

E wehewehe i kāu honi a koho ʻole paha i kahi kāne no nā ʻōkuhi Huli ʻAʻole i ʻike ʻia ka huli ʻole ʻana

ʻO ka hōʻailona maʻamau no ka mea ola maikaʻi loa ma ka waihona mai ka 4 a 6%, me ka piʻi o ka hemoglobin i 6.5-7.5%, ke kamaʻilio nei mākou e pili ana i ka hiki ke hoʻonui i ka hoʻomōhala ʻana, me ka nele o ka hao ma ke kino. Inā ʻo ka hopena he 7,5% a kiʻekiʻe aʻe paha, e ʻike ke kauka i ke kauka.

E like me kāu e ʻike ai, ʻoi aku ka kiʻekiʻe o nā hemoglobin glycated ma mua o nā hōʻailona o ka papa helu glucose wikiwiki classical (ʻo ke kaulike mai 3.3 a 5.5 mmol / l). Ke wehewehe nei nā kauka i kēia mea ma ka ʻoiaʻiʻo o ka piʻi ʻana o ke kō koko koko i ka wā o ka lā, a ma hope o ka ʻai ʻana, hiki i ka nui o ka hōʻailona ke hoʻonui i ke pae o 7.3-7.8 mmol / L.

ʻO ka holo o ka hemoglobin 4% e like me ke kō o ke koko 3.9, a ma 6.5% piʻi kēia hōʻailona ma ka 7.2%. He mea pono ia no nā maʻi me ke kōloli like me ke kō koko like ʻokoʻa ma lalo o nā helu hb. I nā wahine, ma ke ʻano he kānāwai, he mau ʻokoʻa like ʻole i ka wā e hāpai ana ma muli o ka loaʻa ʻana o:

I ka hoʻohaʻahaʻa a kiʻekiʻe paha ke ʻano o ka hb a ma ke ʻano he maʻamau i ka hapaʻumi o ka hapaono, ʻike ia me ka nui o ka hoʻomoʻa ʻana i ka maʻi maʻi. No laila, me kahi hopena o 7,5 i 8%, aia nō kahi hōʻike e hoʻomaka ai e hoʻopiʻi i ka maʻi diabetes, inā ʻaʻole kiʻekiʻe loa nā pilikia o ka hypoglycemia.

ʻO kekahi mau mea maʻi me ka maʻi diabetes mellitus type 2 ke nānā pono i ka nānāʻana i ke kaona o ke kō i loko o ke kahawai, i kekahi manawa ʻaʻole maʻi o ka glucometer ma ka home. I ia mau kūlana, ʻai wale ʻia ke kō koko ʻaila i nā manawa ʻelua i ka malama. Eia nō naʻe, ʻo ka nui o ka glucose i ka manawa o ka nānā ʻana, ʻaʻohe mea hōʻoiaʻiʻo ma hope o kekahi mau hola ma hope o ka ʻaina kakahiaka ʻaʻole e hoʻonui.

Ke hāʻawi nei i ke koko no ka nānā ʻana, e pono ʻoe e hoʻomanaʻo:

Hiki ke lawe ʻia nā glycogemoglobin i kēlā me kēia makahiki, ʻokoʻa nā kumuʻane o nā wahine a me nā kāne.
me ka hemoglobin overestimated, hiki ke ʻike i ka hopena o ka hoʻopiʻi,
e hōʻike i ka noiʻi ʻana i ka pae glucose ma waena o 3 mau mahina, hiki ke hoʻoponopono ke mālama ʻia i ka mālama ʻana i ka maʻi diabetes.

Ua ʻike ʻia nā kauka e pili ana i ka pilina pili ma waena o nā hoʻokolohua hemoglobin glycated a me nā lā maʻamau o ka lā. ʻAʻole ia he mea kūpono inā ʻo ka hoʻohaʻahaʻa haʻahaʻa o ka hemoglobin, e lōʻihi ke ola o ka mea maʻi.

ʻO ka hopena maikaʻi loa no ka olakino maʻamau ka maʻi maʻamau o ka hoʻokaʻa o ke kō, ʻaʻole ia ma mua o 5.5%. I nā huaʻōlelo kekahi, ua hoʻemi ʻia ka maʻamau o ka hopena, ʻaʻole ka hopena o ka nānā ʻana i ka palena o ka maʻamau.

ʻO kekahi, ʻoiai me kahi kuhikuhi hemoglobin glycated kūpono me kēlā me kēia lā i loko o ka glucose koko ma luna o 5 mmol / l, ʻaʻohe hōʻoiaʻiʻo o ka hoʻomohalaʻana o nā pilikia.

Ua kiʻekiʻe a kiʻekiʻe hoʻi

Hōʻike ʻia ka hemoglobin glycated i hōʻike ʻia e ka hypoglycemia, maʻamau ke hōʻike nei i nā neoplasms malignant i loko o ka pancreas - hoʻonāukiuki i ka hoʻokuʻu o insulin. Ke kiʻekiʻe nā kiʻekiʻe o ka kōkela o ke koko, e hāʻule ana ke kō o ke koko.

Hiki i nā hemoglobin hōʻemi i kahi hopena like ʻole, no ka laʻana, kahi supersaturation me nā lāʻau hoʻohiolo ʻana i ke kō. No kēia kumu, pono mau ia e pili i ka papaʻaʻai haʻahaʻa, hoʻōla pinepine, inā ʻole e holo ana ka mea maʻi i ka ʻae o ka loaʻa ʻana o ka adrenal. Kekahi mau maʻi āpau i hōʻike ʻia:

kaohi ʻana o ka mana hoʻoilo,
ʻO ka maʻi o von Girke,
ʻO ka maʻi Forbes, nā wai.

Inā hoʻonui ʻia ka hemoglobin glycosylated, a laila e hōʻike ʻia ana he kiʻekiʻe loa ka nui o ke kōpaʻa o ke koko no ka manawa lōʻihi. Akā naʻe, ʻaʻole kēia manaʻo i ka hoʻomohala ʻana o ka maʻi diabetes i nā kānaka. Hiki ke kīpē i ka paʻakai ka hoʻoneʻe ʻana i nā maʻi like: i ka hoʻāʻo ʻana o ka glucose i hoʻopukuhū, ke kōpaʻa o ke kōpaʻa i ke kakahiaka wale nō.

ʻOiai no nā ʻano ʻike loiloi koko, ʻike ʻia nā noiʻi i kekahi mau manawa. Me ka hana like i nā kānaka ʻē aʻe, hiki i ka ʻokoʻa ke komo i loko o hoʻokahi pakeneka.

ʻO kekahi manawa hōʻike i ka hopena ke hewa, e hele mai kēia me ka hoʻonui a wīwī paha i ka hemoglobin fetal. ʻO nā kumu haʻahaʻa ʻē aʻe ke uremia, hemorrhage, hemolytic anemia. Ua hōʻoiaʻiʻo kekahi mau kauka e noiʻi ʻia nā kumu e loaʻa i ke kino o ka mea maʻi, kona ʻano a me kona ʻano kiʻekiʻe.

Aia ka papa o nā hōʻike hōʻike hōʻike i ia mau ʻikepili ma ka pae o ka hemoglobin glycated.

ma lalo o 5 6-5.7% - neʻe maʻamau ka metabolism, ke hiki ʻana i ka maʻi diabetes.
5.7 - 6% - ke hoʻonui ʻia o ka pilikia o ka maʻi maʻi, e koi ʻia kahi meaʻai,
6.1-6.4% - ua lawa ka nui o ka manawa ma ke kai, pono eʻai nā meaʻai,
ʻoi aku ma mua o 6.5% - kahi maʻi hoʻomaka mua o ka maʻi maʻi.

No ka hōʻoia i ka maʻi maʻi, pono ke hana i nā hoʻokolohua hou, ʻo ka hemoglobin liʻiliʻi loa glycated, ʻoi ka nui o ka loaʻa o ka maʻi.

Pehea e lawe ai i nā kuhikuhi i kahi maʻamau

ʻO ka hoʻokaʻawale ʻana o ke kiʻekiʻe o ka hemoglobin glycated hiki ʻole me ke hoʻololi ʻole i ka meaʻai ponoi, aia ʻia ia ma ke ʻano o ka nui o nā lau o nā lau a me nā huaʻai (ʻoi paha ke kauwela ma waho). Hāʻawi kēia iā ʻoe e hoʻomaikaʻi i ke ʻano maʻamau o ke kino o ka maʻi maʻi, e kōkua i ka hoʻonui ʻana i nā pae fibre, e mālama i ke kōʻai koko i loko o nā palena maʻamau.

No ka mea maʻi me ka maʻi ʻaʻai, ka pālīlani, nā maiʻa ka maikaʻi loa, loaʻa pū lākou i ka nui o ka fiber.I ka lā, pono ʻoe e inu i ka waiū skim, kaono, no ka mea, i lilo ka glycated hemoglobin 6 e haʻahaʻa, vitamin D, calcium e hoʻoikaika i ka ʻōpū o ka iwi-cartilage.

Ma kaʻai mellitus o ka lua, ʻo ka iʻa, ka ʻai, nā nati ke hoʻopau i ka manawa like, kahi mea e hāʻawi ai i ke kaupaona ʻana, ʻoiai ʻo ka hemoglobin glycated e lilo i haʻahaʻa, ʻoki mau ʻia nā heihei māmā no ka mea maʻi type 2 no pono.

ʻO ka hoʻonuiʻana i ka mālama pono o ka maʻi maʻi, ke hoʻohaʻahaʻa i ka kū ʻana o ka insulin, a me ka hoʻoponopono ʻana i ke kō koko koko, e kōkua i nā meaʻai i kiʻekiʻe i nā waʻa omega-3 me kahi haʻahaʻa glycemic index. Inā 62 paha ka mea maʻi a keu paha, a hoʻokiu ʻia ke kō, a ʻōlelo ʻia e hoʻomohala ʻo ia iā ia me ka cinnamon. Hoʻomaʻahaʻa kēia ʻano pōpoki i ka insulin.

Ma kahi o ka meaʻai kūikawā, ua ʻōlelo ke kauka:

pāʻani ikaika
lawe i nā lāʻau lapaʻau e kūʻē i ke kō a iʻa i ka insulin.
Mai poina e pili ana i ka hiamoe a me ka alala.
ʻōnaehana ʻōnaehana ʻōhumu (a i ka home)? lilo, no ka laʻana, ʻo ia ka mika o Accu Chek Gow,
Mai haʻalele i ke koho ʻana me kāu kauka.

Hemoglobin i ka wā hāpai

I ka wā hapai, hoʻonui pinepine ʻia ka hemoglobin glycated, a me ke kōpaʻa i hana ʻia i loko o nā palena maʻamau.

ʻOiai ke kūlana maikaʻi loa o ke olakino, ke kīpē nei kēia kūlana me nā pilikia olakino olakino no ka wahine a me kāna keiki hānau keiki.

No ka laʻana, ua hōʻike ʻia kēia ma ka ʻoiaʻiʻo no ka hānau ʻana o nā keiki me ka paona nui - e pili ana iā 5 kilograms. E lilo ka hopena i ka hānau pilikia, ka mea i hoʻopuni ʻia me nā hopena:

nā pōʻino hānau
mahuahua i ka pono o ka wahine.

Ke hana nei i kahi loiloi no ka hemoglobin glycated, hiki ke overstated ke kumu maʻamau no nā wahine hāpai, akā ʻaʻole hiki ke kapa ʻia ʻo ka aʻo ponoʻī. Ma muli o kēia ʻano ka maʻi koko koko i ka wā o ke keiki e hiki ke hoʻonui i ka mākaukau ma hope o ka ʻai, akā i ke kakahiaka he ʻokoʻa ia mai ka maʻamau.

I ke wikiō ma kēia ʻatikala, e hoʻomau ka Elena Malysha e hōʻike i ke kumuhana o ka hemoglobin glycated.

E wehewehe i kāu honi a koho ʻole paha i kahi kāne no nā ʻōkuhi Huli ʻAʻole i ʻike ʻia ka huli ʻole ʻana

ʻO ka helu o ka hemoglobin glycated i kahi olakino

ʻO ka maʻi maʻi, e pili ana i nā maʻi kīwaha, hiki iā mākou ke maʻi. ʻO ka mea koʻikoʻi ka mea i hōʻike ʻia i ka maʻi a me ke kāohi ʻana iā ia i ke kaila koko.

ʻO kekahi o nā hōʻike kūpono loa i kēia lā ʻo ka ʻike ʻana o ka glycated glycated, a i ʻole glycosylated o ka hemoglobin koko.

ʻO kēia ka hōʻailona koʻikoʻi biochemical e hōʻike ana i ke koena o ke koko ʻaʻole i kekahi manawa i ka manawa, e like me kā mākou mau loiloi maʻamau, akā no ka manawa lōʻihi.

ʻO Glycated hemoglobin kahi mea i loaʻa i ka fusion o ka glucose a me ka protein amino acid i ka ʻike ʻole o nā huina.

A ʻo kahi hopena, pili wale ka ʻāpana o ka hemoglobin i piha i ka glucose, ke ana i ka pākēneka a lawelawe ʻia i ke ʻano o ke ʻano hoʻoweliweli o ke koko.

I ka wa Ke hoʻohana nei i kēia hoʻāʻo, ʻike ʻia ka maʻi diabetes i nā pae mua. i ka wā e hiki ai ke lawe i ka mālama o ke kūlana a kuhikuhi i ka mālama wā kūpono.

ʻO Glycated hemoglobin assay

ʻO kēia ka nānā ʻana i nā pono maikaʻi ʻole ma luna o nā hoʻokolohua koko maʻamau, ka mea i lawe wale ʻia ma ka ʻōpū ʻole a me ka mākaukau hoʻomākaukau.

He mea maʻalahi ia i nā maʻi maʻi a me nā kauka, ʻo ia ke lawe ʻia nei i kēlā me kēia manawa o ka lā, ʻaʻole pono i loko o kahi ʻōpū ʻole, ʻo kēlā me ke ʻano o kāu ʻai ʻana, a me ka nānā ʻole ʻana o nā lāʻau i loko o ke kino āu e lawe ai.
Ua ʻoi loa kona pono, ʻoiai ua ʻike pololei ʻo ia i ka maʻi diabetes i nā wā mua,
Maikaʻi ka kaʻina hana ʻoi aku ka maʻalahi a me ka wikiwiki o ka hoʻomaʻamaʻa maʻamau.
Mahalo iā ia, ua loaʻa i nā kauka ke kiʻi ʻoiaʻiʻo e pili ana i ka hoʻomau ʻana o ka mea maʻi i ke koina o ke kō ma mua o 3 mau mahina i hala.
ʻAʻole i hilinaʻi ka maikaʻi a me ka pololei o ka hopena me ka hiki ʻana o nā maʻi ʻē aʻe i ke kino.
Loaʻa nā hapa o ka loiloi ma kahi o kahi lā.
Noea ʻia e nānā i ka pae o ka hemoglobin i ke koko ma mua o kēia loiloi, ʻoiai ua hoʻokaʻawale ke ʻano o ke anemia i nā hopena.

ʻO ka hemoglobin Glycated: ke kumu maʻamau no ka maʻi maʻi maʻi

Kūlike nā helu HbA1C i kekahi pae koko koko i nā mahina 3 i hala aku nei.

No laila, ʻo ka haʻahaʻa o ka waiwai o ka hemoglobin glycated, ke hoʻohaʻahaʻa loa i ka pae o ka glucose i loko o ke koko o kahi mea maʻi me ka maʻi maʻi i kēia manawa, ʻo ia ka mea e ʻoi aku ka uku o ka maʻi.

ʻO ka papa ʻaina koko o ka hoʻokahe koko HbA1C no 3 mau mahina:
papa>

He paʻakikī i nā poʻe maʻi me ka maʻi diabetes e mālama i kahi kaulike ma waena o ko lākou kiʻekiʻe kōlaki kiʻekiʻe a me ka hoʻoweliweli ʻana o ka hypoglycemia. I ka ʻoiaʻiʻo, pono ʻoe e aʻo i kēia ma kou ola āpau.

Ke manaʻo ʻia nei ʻoe e hahai mua i kaʻai liʻiliʻi me ka wai haʻahaʻa e hoʻemi ai i ka nui o ka insulin a i ʻole nā papa, no ka mea pili i ka hopena o ka hypoglycemia e pili ana i ka nui o ka insulin i ke kino.

No nā hui ʻokoʻa like, aia kā lākou iho pono o nā ʻōuli maʻamau.

No nā keiki, ka wā ʻōpio, ka mea e hōʻike ʻia ana o ka waiwai o ka gogosiale hemoglobin glycosylated o 5-5.5% ka mea, e like me ka 5.8 mmol / l o glucose.
Akā no nā poʻe elemakule he nui loa ke piʻi ʻana o ka hypoglycemia, ʻike ʻia ke ʻano o ka 7.5-8% ma muli o ka hoʻomohala ʻana o nā hoʻopiʻi maʻi diabetes i nā mea hou ʻole no ka poʻe ʻōpio.

ʻO ka hemoglobin Glycated: maʻamau i ka wā hāpai

ʻO ke kūlana hoihoi o ka wahine e kau nei i kahi kaumaha nui loa ma luna o kāna kaomi holoʻokoʻa āpau, ma muli o ke koko e hiki ai ke hoʻonui ʻia i ke olakino maikaʻi.

A no ka hoʻonui ʻana i ke kōpiko i nā wahine hāpai wahine he nui nā hopena maikaʻi loa i ka wā e hiki mai ana no nā makuahine a me nā keiki, pono ia e kāohi iā ia.

ʻO ka pilikia kēlā ʻaʻole maʻamau ka wahine i ka piʻi ʻana o ke kō, a e ala ana i ka 1-4 mau hola ma hope o ka ʻai ʻana a i kēia manawa ke luku ʻia ke olakino, a ma kahi ʻōpū ʻolei nā mea hōʻailona pono ʻole.

Inā hoʻoulu ʻia ke kōpala ma luna o ka ʻōpū ʻole, a laila koʻikoʻi ia no nā wahine hāpai.

Hāʻawi ʻia kēia, ʻaʻole kūpono nā hoʻokolohua glycated hemoglobin no nā wahine hāpai. ʻO kēia kekahi o nā pono i ka mana, akā ʻaʻole ke koho kūpono. Ua pau ka huli ʻana o kēia loiloi, ʻoiai e hōʻike ana i ka hoʻonui ʻana o ke kōhi koko i hope o kona mau mahina.

ʻO ka maʻamau, ʻo ka wā hapai, piʻi ka hilo mai 5 mau lā o ka hapai, ʻo ia hoʻi, e hoʻoponopono pono ʻia ka nānā ʻana no ka hemoglobin glycated, ʻo ia ka 7-8, ma mua o ka hānau ʻana, ʻo ka mea pau ka hewa.

No laila, he aha ka hoʻokūkū maikaʻi loa ai i nā wahine hāpai? ʻAʻole kūpono hoʻi kahi wikiwiki wikiwiki, no ka mea i kēia ʻāina he nui ka loaʻa o ka hopena maikaʻi ʻole, a ʻike ʻole i ka pilikia maoli.

ʻO ke ala e lawe i kahi hoʻokolohua hoʻāno glucose 2 mau hola, a kūʻai aku i kahi glucometer a nānā iā ia ma hope o ka ʻai ʻana he 3 mau hola (ma hope o ka hapalua hola, he hola, 2 mau hola) ka pae o ka hilo.

ʻO kahi hōʻailona o ka 5.8 mmol / L a i ʻole ka liʻiliʻi.
Ma kahi o 5.8-6.5 mmol / l - ʻaʻole maikaʻi loa, pono ʻoe e hoʻonohonoho i nā ana e hōʻemi ai i ka hopena.
Mai 8.0 mmol / l a keu hou aʻe - pono ʻoe e kikeke ma kou poʻo, ʻoi aku ka maikaʻi me ka mea kaumaha, aia paha e hoʻolilo ʻoe i ka ola o kahi keiki hānau ʻole a kāpae i ka lawe

ʻO ka hemoglobin Glycosylated: maʻamau i nā keiki

No ka mea kānalua i ka makua, he mea nui e ʻike i nā keiki no nā pae HbA1C e like like me nā pākeke i ʻōlelo ʻia ma luna.

Maikaʻi kēia kānana no nā kumu diagnostic a me ka hoʻomaʻamaʻa ʻana o ka mālama ʻana.

He mea maikaʻi nui ia no ka kaohi ʻana i ke kūlana ma waena o nā ʻōpio e hiki iā ia ke hoʻonohonoho i nā pae kō i hoʻomaikaʻi ʻia ma mua o nā loiloi.

ʻO ka hoʻākāka ʻana no nā kahu glycated hemoglobin e hōʻike nei: e hōʻike pololei ana i ka hoʻopili ʻana o ke keiki i nā ʻōkuhi no ka manawa holo mau.

ʻO ka hemoglobin glycated ka mea maʻamau

ʻO Glycated (a i ʻole glycated, HbA1c) hemoglobin kahi hōʻailona biochemical e hōʻike ana i ke koena o ke koko koko ma mua o ʻekolu mahina i hala. ʻO ka Hemoglobin kahi protein i loaʻa i loko o nā kōpela koko. Me kahi ākea lōʻihi i ka glucose i kēlā mau protein, hoʻopaʻa lākou i kahi pūhui i kapa ʻia he hemoglobin glycated.

ʻO ka hōʻailona o ka hemoglobin glycated ka mea i hoʻoholo ʻia o ka hapa o ka huina o ka hemoglobin i loko o ke koko. ʻOi aku ka kiʻekiʻe o ke kō, ʻoi aku ka nui o ka hemoglobin e like me ka mea e hoʻopili ai, a ʻoi aku ke kiʻekiʻe o kēia mahele.

Eia kekahi, e noʻonoʻo pono i ka ʻike ʻole ʻana o hemoglobin, ʻaʻole hōʻike ka loiloi i ke kōʻai koko koko i kēia manawa, akā ʻo ka waiwai awelika no kekahi mau mahina, a ʻo ia kekahi o nā kaina maʻamau i ka maʻi o ka maʻi diabetes a me ka ʻāina prediabetic.

ʻO ka helu o ka hemoglobin glycated i loko o ke koko

Manaʻo ka pae maʻamau no ke kanaka olakino mai ka 4 a 6%, nā hōʻailona ma ka awela mai 6.5 a 7.5% paha e hōʻike ai i kahi hoʻoweliweli o ka maʻi diabetes a ʻole hapa hao paha i ke kino, a me kahi hōʻailona ma luna o 7.5% ma mua o ka hōʻike ʻana o ka loaʻa ʻana o ka maʻi diabetes . ^ E Ha yM.

E like me kāu e ʻike ai, maʻamau ka hemoglobin glycated maʻamau ma mua o kahi maʻamau no kahi hoʻokela gula koko maʻamau (mai 3.3 a 5.5 mmol / L ma kahi ʻōpū ʻole).

ʻO kēia ke kumu o ka pae o ka glucose i ke koko o kekahi kanaka e holo i loko o ke ao, a hiki koke aʻe ma hope o ka pāʻina hiki ke kiʻi i kahi waiwai o 7,3 - 7.8 mmol / l, a me ka maʻamau i ka lā i loko o kahi kanaka olakino e noho mau i loko o ka lā 3.9-6.9 mmol / L.

No laila, ʻo ka glycated hemoglobin 4% e kū like me kahi puna koko koko o 3.9. a he 6.5% e pili ana i ka 7.2 mmol / L. Eia nō naʻe, i nā mea maʻi me ka awelika o ke kō koko koko like ʻano, glycated hemoglobin e loli, hiki i ka 1%.

ʻO kēlā mau hoʻohālikelike e kū mai nei no ka mea ke hoʻopili ʻia nei ka mana o kēia mau kuhikuhi biochemical e nā maʻi, ke kaumaha, a me ka hemahema o ke kino o kekahi microelements (ma mua o ka hao).

I nā wahine, he neʻe o ka hemoglobin glycated mai ke kumu mai paha i ka wā o ka wā e hapai ai, ma muli o ka hopena o ke anemia a ʻo ka maʻi diabetes paha i nā wahine hāpai.

Pehea e hōʻemi ai i ka hemoglobin glycated?

Inā hoʻonuiʻia ka pae o ka hemoglobin glycated, hōʻike kēia i kahi maʻi koʻikoʻi a i ʻole ka hoʻomohala ʻia. ʻO ka pinepine pinepine mākou e kamaʻilio e pili ana i ka maʻi maʻi, ma kahi o ke kiʻekiʻe o ke kō hānai koko e nānā mau ʻia nei. Hoʻopili iki ia ka hapa o ka hao i ke kino a me ka anemia.

ʻO ka lōʻihi o ke ola o nā ʻōpala koko ʻokoʻa ma ʻekolu mau mahina, ʻo ia ke kumu o ka manawa i hōʻike ʻia ai ka loiloi no ka hemoglobin glycated.

No laila, ʻaʻole e hōʻike ka glycated hemoglobin i hoʻokahi kiʻala i loko o ke kō o ke koko, akā e hōʻike ana i ke kiʻi maʻamau a kōkua i ka hoʻoholo ʻana inā ua nui ke kō o ke koko ma ke ʻano o ka lōʻihi o ka manawa.

No laila, ʻaʻole hiki ke hoʻohui i ka manawa like i ka pae o ka hemoglobin glycated a me nā maʻamau maʻamau.

No ka hoʻokaʻawale i kēia hōʻailona, pono ia e alakaʻi i kahi ola olakino, e hahai i kahi papa i kauoha ʻia, e lawe i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka a ʻai paha i nā inikini insulin a nānā i kāu kō koko.

Ma ka maʻiʻai, ʻoi aku ka nui o ka hemoglobin glycated ma mua o nā kānaka olakino, a ʻae ʻia a hiki i 7%. Inā, ma muli o ka loiloi, ʻoi aku ka hōʻailona o ka nui o 7%, e hōʻike ana i ka uku ʻole i ka maʻi diabetes, hiki iā ia ke hōʻeha i nā hōʻeha koʻikoʻi.

HbA1c analkaʻi (glycated hemoglobin)

He aha ia ʻo HbA1c a pehea e hoʻohana ai i ka maʻi o ka maʻi maʻi? Pehea ka ʻokoʻa o ka glucose koko o kēlā me kēia lā?

ʻO ka hui pūʻana o ka hemoglobin a me ka glucose i loko o ke koko HbA1c. ʻO nā molekela Hemoglobin he ʻāpana o ke kōpaʻa koko. Ke hui pū ka glucose me kēia mau molekala, hana ʻia nā molekala glycated hemoglobin, i ʻike ʻia iā A1c a i ʻole HbA1c. ʻO ke ake o ka glucose i loko o ke koko, e hui pū ʻia ka hemoglobin me ia.

Ma muli o ka hoʻonui ʻia ʻana o nā loko o ke koko ʻulaʻula (nā puʻu koko ʻulaʻula) i kēlā me kēia 8-12 mau pule, ke hōʻike nei ka ana o ka HbA1c i ka nui o ka glucose momona no kēia manawa. No nā poʻe ʻaʻole ʻaʻohe maʻi o ka maʻi maʻa, ʻo ke kaulike ka pae o 6%.

No ka wehewehe pono ʻana i nā hopena, ua kāʻei ʻia nā lula like ʻole no ka hoʻoholo ʻana i ka HbA1c ma ka honua holoʻokoʻa: e hana ʻia ka ʻimi ʻana me ka hoʻohana ʻana i nā ala hoʻoholo HbA1c i hōʻoia ʻia e like me ka National Glycohemoglobin Standardization Program (NGSP) a i ka International Federation of Clinical Chemists (IFCC) a ua wae ʻia e like me nā waiwai kumuhana i hāpai ʻia e ka Diabetes Control a me Complications Trial (DCCT). ʻAʻole nā ala ʻē aʻe a me nā mea hana no ka hoʻoholo ʻana o ka HbA1c e hoʻohana ma muli o ka hewa nui i nā hopena.

ʻO ke ʻano o nā manaʻo i manaʻo ʻia ma ke ʻano hou o ka mālama kūpono a palekana palekana.

Koho koho HbA1c Kūlike

ʻAe ola a i ʻole ke ola ʻana *

* Hope ola.
** pae kūlike e like me nā kūlana DCCT: a hiki i 6%

Pehea ka ʻokoʻa o ka HbA1c mai ke ana ʻana i ka hoʻokaʻawale ʻana o ke koko glucose maʻamau.

ʻO ka HbA1c kahi lōʻihi lōʻihi i ʻike ʻia i nā limahana a i nā haukapila. I kēia manawa, hiki ke ʻike ʻia ka pae o ka glucose i loko o ke koko e nā mea hele i ke kauka e hele ana a me ka mea maʻi iā ia iho me kahi glucometer ma ka home.

Pono ke kauā o ka HbA1c ma ke ʻano kūikawā o ka maʻi maʻi.

Ma ka holoʻokoʻa, pono e nānā ʻia ke ʻano o ka maʻamau o ke ana ʻana i ka pae HbA1c:

kēlā me kēia 3 mau malama, inā ʻimi ka mea maʻi e ʻike i ke kaʻo o ka maʻi o ka maʻi.
hoʻokahi manawa i kēlā me kēia 6 mahina inā he manaʻo maikaʻi ka maʻi maʻi.

Inā ʻaʻohe mea e hana i ka lāʻau e mālama i ka maʻi maʻi maʻi, e nānā pinepine ana i ka nui o ka HbA1c e nānā ʻole. Eia nō naʻe, ʻike ka ʻike i ka pae o ka HbA1c, ʻaʻole wale e hāʻawi i kahi manaʻo o ke ʻano o ka maʻi, akā e pale aku ai i ka pōpilikia o kekahi helu hoʻopiʻi.

Hōʻoia o ka HbA1c i ka glucose i loko o ka plasma i ka ʻōpū me ka ʻōpū ʻole a me 2 mau hola ma hope o ka pāʻina.

Ka holi ʻana i ka glucose glucose, mmol / L

Plasma glucose 2 mau hola ma hope o kahi pāʻina, mmol / L

HbA1c hopena a me ka maʻi diabetes?

Me ka maʻi pākona maikaʻi me ka lele ʻole i ka glucose koko, ʻaʻole e hoʻonui ka glycated hemoglobin.

Ua hōʻike ka 1% hōʻemi ma HbA1c i ka:

kahi hōʻemi 19% i ka hopena o ka cataract paʻakikī e alakaʻi i kahi hana - ka lawe ʻana i ka cataract,
ka emi ʻana o ka ulu ʻana o ka puʻuwai naʻau ma ka 16%,
ka hopena o ka ʻili a i ʻole ka make ma muli o ka maʻi maʻi vascular i peripheral i hoʻemi ʻia e 43%.

Me ka mālama ʻole o ka hoʻokele glucose, e hoʻonui paha nā kiʻekiʻe o ka HbA1c.

I kēlā me kēia, hoʻomaka ka nui o ka glucose koko i kēlā me kēia, i kēlā me kēia. ʻO ia ke kumu no ka ka hoʻoponopono ʻana iho, ke nānā mau ʻia nei ka ʻike ʻana i ka pae o ka glucose koko. Akā ʻo ka loli o ka HbA1c e loli lohi iki, hiki ke hoʻololi ʻia nā hoʻololi i nā hōʻailona ma hoʻokahi wale nō he 10 mau pule.

ʻO ka ʻikepili o HbA1c i ka awelika plasma kiʻekiʻe i kēlā me kēia lā

ʻO ka hāmeʻa koʻikoʻi no kahi kanaka me ka maʻi diabetes, ka mea e ʻoluʻolu iā ʻoe iho, i ka home, e ana i ke kiʻekiʻe o ka glucose koko, e mālama ʻia ma lalo o ka mālama ʻana, a inā pono, e hana i nā hana hōʻemi e hoʻopiʻi i ka hoʻokaʻawaleʻana o nā mea laʻa. Heluhelu i ka.

ʻO ka hoʻāʻo maʻamau i kāu kaila koko me ka mika o ka wai koko e hiki ai iā ʻoe ke nānā i kāu maʻi maʻi. Heluhelu i ka.

ʻAʻole i loaʻa i ka pane o kāu nīnau?

Glycated hemoglobin e hōʻike ana: he aha ia, ka maʻamau, ka glycosylated, kaukani ka hba1c pae, hoʻopaʻa ʻana

He maʻi hoʻomāhailua a pōʻino ka maʻi Diabetes mellitus, aia i nā papa mua i hiki ke lilo i asymptomatic āpau.I kēia mau lā, ʻōlelo nā kauka i kēlā me kēia hapalima noho o ka Honua e pili ana i kēia maʻi, akā ʻaʻole ka mea maʻi āpau i ʻike i ko lākou mau maʻi.

ʻO kekahi o nā hōʻike koʻikoʻi e hiki ke ʻike i ka maʻi ma ka papa mua ʻo ia ka noi ʻana i ka hemoglobin glycated i loko o ke koko. Pono e hoʻāʻo ʻia kēia hoʻokolohua ma ka hōʻailona mua o ka maʻi maʻi.

He aha ka gogus goguslobin glycosylated, a he aha hoʻi konaʻano i ka poʻe olakino.

He aha nā mea e hōʻike mai ai glycated hemoglobin? E hoʻoholo i kēia helu pehea ka nui o ka hemoglobin i kahi kanaka e pili ana i ka glucose. ʻOi aku ka nui o ka glucose i ke koko, ke kiʻekiʻe ke kiʻekiʻe. Pili kēia haʻawina ma nā mea hana loiloi mua a kūpono ia no ke nānā ʻana i nā keiki. Hoʻoholo ʻia ka hemoglobin āpau i ka wā o ka hōʻike koko lapaʻau.

ʻO ka nānāʻana no ka hemoglobin glycated he pololei a kūpono loa. No ka hoʻomākaukau, ʻaʻole pono ʻoe e ala mua a hāʻawi i ke koko i ka ʻōpū ʻole. Hiki ke hāʻawi ʻia i kēlā me kēia manawa o ka lā a i ka manawa like ʻole e noʻonoʻo e pili ana i ke kāhu aʻai ma mua o ke hele ʻana i ke keʻena. ʻO ka hoʻoholoʻana o ka hemoglobin glycosylated e hōʻike ana i ka nui o ka nui o ka kō koko plasma i nā 12 mau pule i hala.

I ka hoʻokaʻawale ʻana i ka loiloi, ʻoi aku ka ʻike ma ke ʻano o nā limahana i hiki ke kapa ʻia kēia ʻano o ke koko:

Hemoglobin a1c.
Hologlobin Glycosylated.
Hologlobin glycemic.
ʻO Glycohemoglobin.
Gliked.
HbA1C.

ʻO ka mea pono nui o kēia loiloi hōʻike ʻo ka hōʻike hōʻike hōʻike i ke koko koko i nā mahina 3 i hala aku nei.

ʻO ia, inā hiki i ka mea maʻi ke hoʻi koke i ka maʻamau ma mua o ka hāʻawi ʻana i ke koko no ka honi, a laila ʻaʻole e hele kēia hōʻike i kēia hōʻike.

Hiki i nā kauka ke hoʻoholo inā ua hoʻokaʻawale ka mea maʻi i ka meaʻai i nā mau hebedoma 12 i hala, a i ʻole koi i nā ʻōlelo a nā kauka. Eia kekahi, kahi loiloi e pili ana i ka hba1c e hiki ai iā ʻoe ke loiloi i ka maikaʻi o ka mālama ʻana a me ka hoʻomaikaʻi ʻana i ka manawa kūpono.

ʻO ka pae target glycated hemoglobin i kau ʻia ma kahi hapa. He hōʻailona kēia o ka hemoglobin piha i ke koko. I ka hoʻoholo ʻana i ka loiloi, pono e noʻonoʻo ke kauka i ka makahiki, ka wahine a me ke kaumaha o ka mea maʻi. I kēia lā, hoʻohana nā kauka i ka papa i lalo e nānā i ke kūlana o ka mea maʻi.

ʻO ka haʻahaʻa ma mua o 5.7% ka pae maʻamau. He haʻahaʻa loa ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes.
5.7-6.1% - ʻaʻohe maʻi ʻē aʻe. Eia naʻe, pono ʻoe e hoʻoponopono i ka ʻai, a hoʻopau i nā momona. Me kēia mau hōʻailona kuhikuhi, ua hāʻawi ʻia ka mea maʻi i nā mea pale.
6.1-6.5% - kahi pilikia nui o ka hoʻomohala ʻana i ka maʻi diabetes. Me kēia mau hopena, pono wikiwiki e hoʻoponopono i ka meaʻai, a hoʻololi i ke ʻano o ke ʻano.
Ma luna o 6.5% - kahi maʻi maʻi maʻi kauka i nā maʻi maʻi. No ka hōʻoia a hōʻoia paha i ka maʻi maʻi, ua hāʻawi ʻia nā hōʻike hou i ka mea maʻi.

Hoʻohana ʻia kēia mau waiwai maʻamau e hoʻoholo i ka hemoglobin glycated i loko o nā keiki a me nā pākeke, akā naʻe, ʻo kēlā me kēia mea maʻi ke kūloko i kona hiki. Hiki wale i ke kauka ke loiloi kūpono i ka hopena o kāu nānā ʻana, me ka mālama ʻana i nā mea āpau o waho. Pono e hōʻike ʻia he mau pōpilikia no ke olakino haʻahaʻa glycated hemoglobin.

ʻO nā pōmaikaʻi ʻokoʻa

ʻO kahi hōʻike koko koko glycated ʻoi aku ka nui o ka hoʻāʻo ʻana i ke kō. Kūpono mau nā hōʻike hōʻike a hōʻike i nā kauka i ka pae puna koko plasma i loko o 3 mau mahina i hala. Loaʻa i kēia hōʻike he nui o nā pono maikaʻi ʻole e hiki ke hōʻole ʻia ma luna o kahi hoʻāʻo koko kōpau, ʻo ia hoʻi:

ʻAʻole hopena ka hopena o ka hōʻike i ka manawa koko sampling.
Hiki ke hāʻawi ʻia ke koko ma hope o ka ʻai ʻana.
ʻAʻole hopena ka hopena i ka hoʻoilo ʻana i ka waiʻona.
ʻAʻole hopena ka hopena e ka kaumaha.
ʻAʻole hopena ka hopena i ka hana kino.

Eia kekahi, ʻoi aku ka maʻalahi o kēia loiloi ma mua o nā haʻawina ʻē aʻe. ʻO nā mea āpau e pono ai i ka mea maʻi e hāʻawi i ke koko mai ka manamana lima. E mākaukau ka hopena ma loko o 24 mau hola. Ke hana nei kēia haʻawina i kēia lā ma nā wahi āpau. Eia kekahi, hiki ke hoʻohana ʻia kahi hōʻike koko glycated hemoglobin i kekahi kikowaena diagnostic. I kēia hihia, hiki iā ʻoe ke loaʻa wikiwiki ka hopena.

ʻ Analysislelo Hoʻomaopopo

ʻOiai i nā pōmaikaʻi āpau, ʻoi aku ka maikaʻi ma ka hana ʻana i kahi hōʻike no ka hemoglobin glycated i loko o nā wahine i ka wā hāpai. ʻO ke kula nui o ke kō he haʻawina nui no nā makuahine e kali ana, akā ua ʻōlelo aku nā kauka e hoʻoholo ma o nā ʻano ʻē aʻe i ka wā e lawe ai i ke keiki.

ʻO ka mea mua, pono e ʻōlelo ʻia e pili ana i nā pōʻino o ke koko kiʻekiʻe no kahi wahine hāpai a me kāna pēpē.

Me ka nui o ka glucose i loko o ke koko, hoʻomaka ka mea kanu i ka ulu ikaika, kahi e hoʻomau mau ai i nā hoʻopiʻi ma ka wā hānau, no ka hānau ʻana i kahi pēpē ke kaupaʻa ʻia ma mua o 4 kg ka paʻakikī.

Eia kekahi, he piʻi nui o ka hilahila e hoʻopilikia i ka olakino o kahi ʻōpio ʻōpiopio, ʻoiai ke ʻeha nei ke keiki. Ua luku ʻia nā kīʻaha koko, ua hoʻomoʻa ʻia nā maʻi o ke keiki, e hōʻemi ʻia ka ʻike, etc.

Eia naʻe, ʻo ka kāohi ʻana i ke koko koko i nā wahine hāpai ʻaʻole i maʻalahi. ʻO ka mea ʻo ka mea maʻamau o ka wahine i kahi kūlana, e piʻi ka pae o ka glucose ma hope o ka ʻai. I loko o nā hola 3-4 i hoʻokiʻekiʻe ʻia, hoʻopau ʻia ke kō i ke olakino o ka makuahine manaʻo. No kēia kumu, hāʻawi ʻole i ke koko no ka honi ma ke ala maʻamau ma ka ʻōpū ʻole i nā wahine hāpai. ʻAʻole hiki i kēia noiʻi ke hōʻike i kahi kiʻi maoli o ke ʻano o ka wahine.

ʻAʻole ia he kūpono no kahi hōʻike no ka hemoglobin glycosylated. No ke aha la hoi? Mālama i ka wahine hāpai i ka pilikia e hoʻonui i ka glucose i ke koko ma mua o ka 6 o ka mahina o ka gestation. I kēia hihia, e hōʻike ana ka loiloi i ka hoʻonui ʻana ma hope o 2 mau mahina wale nō, ʻo ia hoʻi, kokoke i ka hānau keiki. I kēia manawa, ʻaʻohe lawe nā ana i ka hoʻohaʻahaʻa i ka hilo i nā hopena i makemake ʻia.

ʻO ke ala wale nō i ka wā hāpai i ka mālama ʻana i ke kōpaʻa ma hope o ka ʻai ʻana i ka home. No ka hana ʻana i kēia, pono ʻoe e kūʻai i kahi loea kūikawā i loko o ka lāʻau lapaʻau a mālama i kahi laʻana 30, 60 a me 120 mau minuke ma hope o ka ʻaina.

ʻO ka maʻamau ka wahine i kēia hihia ʻaʻole iʻoi aku i ka 7.9 mmol / l. Inā ma luna o kāu hōʻailona kāu kuhi, pono e kūkā koke i ke kauka.

No ka loaʻa ʻana o ke kiʻi holoʻokoʻa, pono e hoʻokō ʻia ka hōʻike ma hope o kēlā me kēia meaʻai, e kākau ʻoe i nā hōʻailona ma kahi kikoʻī.

ʻO ke kiʻekiʻe o ka hemoglobin glycosylated i loko o ke koko ke hoʻonui a emi paha i kēlā me ke kūlana o ka mea maʻi. I kekahi hihia, pono e hoʻokaʻawale ʻia e ka lāʻau lapaʻau e kekahi kauka.

ʻO ka maʻamau, ʻo ka pae mua o ka mālama ʻana ka hoʻoponopono ʻana i nā meaʻai a me nā loli i ka papa hana o ka hana a me ka hoʻomaha. No nā maʻi he nui i hoʻonui ʻia ka hemoglobin glycated i loko o ke koko, ua lawa kēia no ka hōʻemi ʻana i ka hoʻomohala ʻana i ka maʻi diabetes.

Eia nō naʻe, inā e hoʻohaʻahaʻa ka pae, i ka ʻokoʻa, pono e hana nā hana e hoʻonui ai i nā mea.

Inā loaʻa iā kahi kauka ke maʻi maʻi, ʻokoʻa ka ʻai hoʻokahi. I kēia hihia, e kuhikuhi ʻia nā ʻano hoʻāʻo hou aku ai nā ʻōlelo lapaʻau. Inā ʻoe e hahai i nā ʻōlelo kau a pau o ke loea, hiki iā ʻoe ke ola i kahi ola piha no nā makahiki he nui, kiaʻi pinepine ʻoe i ka pae o ke kō i loko o ke koko.

ʻO kahi pilikia paʻakikī i ka mālama ʻana i ka maʻi hānai e mālama i kahi laina maikaʻi ma waena o ke kō koko a kiʻekiʻe. No ke kanaka olakino, ʻo ka helu o ka hemoglobin glycosylated e piʻi i ka 6.5%. ʻO nā mea maʻi me ka maʻi maʻi maʻi e pono no ka hoʻoikaika ʻana no kēia kiʻi.

Eia nō naʻe, no ka poʻe e like ana, ua hoʻohālikelike ʻia ka HbA1C - ua ʻike ʻia ʻo 7% ka maikaʻi, ma ka hopena o ka ulu ʻana o nā hoʻopiʻi ʻana e hoʻemi nui ʻia.

ʻO nā kānaka āpau a pau, e like me nā kauka, pono e hoʻokaʻawale i ke koko no ka hemoglobin glycosylated ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. ʻO ka mea nui ka mea nui o ke kāʻei o nā pae hemoglobin glycated i nā keiki.

Ke holomua nei ka maʻi diabetes i nā wā ʻehā, ke alo pinepine nei nā mākua o nā keiki ʻōpio i kēia pilikia.

ʻO ka nānā ʻana i ka pae kaukau o ka hba1c i loko o nā keiki a me nā ʻōpio hiki iā ʻoe ke hoʻomaopopo i ka maʻi i ka wā mua o kona hoʻomohala ʻana a pale i ke keiki mai ke kūkulu ʻana i kahi mau pōʻino weliweli.

ʻO kahi hoʻokolohua hemo glycated hemoglobin kekahi waiwai nui no nā mea maʻi. ʻO lākou ka mea maʻamau i ka hapanui o ka ulu ʻana o nā hoʻopiʻi ʻana i ka paʻakikī, i ka wā kahiko, he paʻakikī ke mālama. Ma ke kānāwai, he hōʻike koko maʻamau e kōkua i ka maopopo i kahi pilikia o ke olakino i ka manawa kūpono, hiki iā ia ke hoʻonui i ke ola o ka mea maʻi.

No laila he aha ka hemoglobin glycated? ʻO kēia kahi o ka hemoglobin i hoʻopaʻa ʻia i ke koko me ka glucose.

ʻAʻole paʻa ia ka ʻōkuhi i ka ʻike koko kōkuhi manawa pōkole a ʻike ʻia ʻo ia ka hopena loa loa no ka ʻike ʻana i ka maʻi diabetes i nā wā mua.

I kēia lā, i kēlā me kēia kikowaena, pono e hoʻopaʻa ʻia kahi papa leka kākau, e hōʻike ana i nā ʻano kaulike o nā glycated hemoglobin hba1c. E alakaʻi i kahi ola olakino, no ka mea ʻo nā kumu o ka maʻi mellitus o ka maʻi maʻamau i loko o kaʻai hewaʻole.

ʻO ka HbA1c a i ʻole he koko koko: ʻo ke kaʻina ʻoi aʻe ka pololei

E like me kāu e ʻike ai, ʻike nui ʻia ka nui o ke kōpaʻa koko i nā kānaka olakino a ma ka maʻi diabetes. ʻOiai inā like nā kūlana o ka loiloi, ma ka laʻana, ma ka ʻōpū ʻole, a laila e hoʻohālikelike nā hōʻailona i ka pūnāwai a me ka lūlū, me ke anu, ma hope o ka pīhoihoi kekahi, a pēlā aku.

No laila, hoʻohana nui ʻia ka hoʻoliʻu koko koko no ka hoʻomohala a me ka wikiwiki o ka maʻi diabetes - e koho i ka ʻano o ka insulin no ka maʻi diabetes, ka ʻai, a me ka hoʻohiolo ʻana i nā papa ʻaila no ka maʻi diabetes.

Inā lawe ʻia ke koko mai ka manamana lima, ʻo ka ʻaʻai wikiwiki ka 6.1 mmol / L.

Ma ke ʻano o ka nui o ke kōpaʻa koko ma mua a ma hope o ka ʻai (a i mua a me ka postprandial hyperglycemia) e kōkua i ka hoʻoholo pololei ʻana i ke ʻano o ka hoʻonaninani ʻia. ʻO ke ʻano o ka glucose postprandial 5 mmol / l) i kēlā me kēia lā i ka nui o ke kiki i loko o ke kōʻai koko. ʻOi aku ka nui o nā hoʻopiʻi o nā kānaka ma mua o ka mea i hoʻokiʻekiʻe i ka HbA1c, akā ʻaʻole naʻe e loli nui ka nui o ko lākou gula i ke ao. No laila, e hoʻomalu pono i ka maʻi maʻi, pono ʻoe e hoʻohui i ka nānā ʻana o ka gogemobobin glycated a me nā hoʻokolohua hoʻoliʻiliʻi koko.