ʻO Glycosylated hemoglobin maʻamau i nā keiki
ʻO Glycated hemoglobin (i kapa ʻia glycosylated) he ʻāpana o ka hemoglobin i loko o ke koko e pili me ka glucose.
Hoʻoholo ʻia kēia hōʻailona ma kahi o ka pakeneka. Loaʻa ka nui o ke kō i loko o ke koko, ʻoi aku ka kiʻekiʻe o kēia pae.
ʻO ke ʻano o ka hemoglobin glycated i loko o nā keiki e pili ana i ke ʻano o ka pākeke. Inā ʻokoʻa nā ʻokoʻa, a laila he maʻamau lākou.
He aha kēia mea kuhikuhi?
Kōkua ka mea hōʻike i ke hōʻike i ke kō koko i ke kōpaʻa ʻekolu mahina.
ʻO kēia ma muli o ka loaʻa ʻana o ka ola ola o ke kelepela ʻulaʻula i kahi i loaʻa ka hemoglobin i ʻekolu a ʻehā mau malama. Hoʻonui ka ulu ʻana o nā hoʻopiʻi me ka ulu ʻana o nā hōʻailona i loaʻa i ka hopena o ka noiʻi.
Inā he palena nui e like me ka hemoglobin glycated, ʻoi aku ka nui o ke kumu maʻamau no ka maʻi diabetes i nā keiki.
Pehea e hāʻawi ʻia ai ke ʻano?
I mea e pale ai i nā hōʻeha kūpono, pono ia e hoʻoponopono i kēia maʻi ma ka hiki koke.
ʻO kahi hōʻike e like me kahi hōʻike glycohemoglobin e hāʻawi i ka hopena wikiwiki loa a pololei hoʻi.
ʻO ka loiloi o ka hemoglobin glycated i loko o nā keiki he hana nui nui i ka hihia o nā mea maʻi hopohopo mellitus a pololei i ke ʻano o ka maʻi. Hiki iā ia ke hoʻoholo pololei i ka glucose koko no nā mahina 3 i hala.
Ma ke ʻano he kānāwai, ʻōlelo nā kauka i nā poʻe mākua a i ʻole nā mea maʻi liʻiliʻi e hāʻawi i ke koko i mua o nā maʻi:
- ka manaʻo nui o ka makewai e hahai mau ana i ka mea maʻi,
- ho'ēmi i ka makee
- kau kaumaha no ke kumu kumu ʻole
- ka hopena i nā pilikia,
- hiʻona luhi a me nā momona
- pilikia me ka urination
- nā keiki me nā haʻahaʻa haʻahaʻa kiʻekiʻe e lilo i ka lethargic a me ka moody.
Hana ʻia kēia ʻano diagnostic no kekahi mau kumu. ʻO ka mea mua, ʻo ia ke kāohi o ka kaʻe o ka glucose i nā maʻi me ka maʻi maʻi. Pēlā nō hoʻi, ke hana ʻia nei ka nānā ʻana i mea e pale ai a i hoʻoponopono ʻole ai i nā ʻano o ka mālama ʻana i ka mea maʻi.
Nā pōmaikaʻi ʻoihana
ʻO ka hoʻokolohua glucose hemoglobin koko he nui mau hoʻomaʻamaʻa ma luna o ka hoʻopaʻa ʻana i ke kūpaʻa glucose, ʻo ia hoʻi ma ka hoʻoliʻu ʻana ma mua o ka papa ʻaina:
- ʻaʻole ka hopena o ka hopena o ka hopena e nā mea e like me ke anuanu a koʻikoʻi paha,
- hiki iā ia ke hoʻomaopopo i kahi maʻi i ka wā mua,
- lawe koke ʻia ka noiʻi, maʻalahi a hāʻawi koke i kahi pane i ka nīnau inā he maʻi a maʻi ʻole paha kekahi.
- hiki i ka loiloi ke ʻike he ʻoluʻolu paha ka mea maʻi i ka pae o ke kō.
No laila, mai kekahi manawa pono e nānā ʻia ai a me ke olakino maikaʻi. He mea koʻikoʻi kēia no nā mea i hōʻemi ʻia, no ka laʻana, he keu ka momona a i ʻole ka hopena i ka hypertension. Ma kahi hōʻike e hiki ai ke hoʻomaopopo i ka maʻi ʻoiai ma mua o ka hoʻomaka ʻana o nā hōʻailona mua. No nā keiki, he mea koʻikoʻi kēia loiloi e hoʻoholo i nā hōʻeha o nā hihia.
Ke hoʻohaʻahaʻa ka wā, hiki ke kumu e like me nā neʻe e pili ana i ke koko, hou ʻana o ka hōʻeha ʻana, a i ʻole hōʻeha. I kēia mau hihia, ua kau ʻia ka lāʻau kūpono, a ma hope o ka manawa ke hoʻi hou nā hōʻailona i ka maʻamau.
Nā ʻanoʻano o ka hemoglobin glycated i nā keiki: nā hōʻailona i nā hōʻailona
Me he hōʻailona lā e like me ka gogositis glycosylated, ʻo ke kumu maʻamau i nā keiki mai 4 a 5.8-6%.
Inā loaʻa nā hopena like ia ma muli o ka loiloi, ʻo kēia ka manaʻo o ka keiki a ʻole e loʻohia i ka maʻi maʻi maʻi. Eia nō naʻe, ʻaʻole hilinaʻi kēia ʻano maʻamau i ka makahiki o ke kanaka, ka wahine a me ka ʻāina kime kahi e noho ai.
ʻOiaʻiʻo, hoʻokahi ʻokoʻa. I nā pēpē, i nā mahina mua o ko lākou ola, hiki ke hoʻonui nuiʻia ka pae glycogemoglobin. Uaʻike ke poʻe ʻepekema i kēia ʻoiaʻiʻo i ka wā i loaʻa ai ka hemoglobin fetal ma ke koko o nā keiki hou. He hiʻohiʻona kaʻole kēia, a ma kahi o hoʻokahi makahiki makahiki e hoʻohemo nei nā keiki iā lākou. Akā ʻaʻole mau loa o ka palena kiʻekiʻe ma mua o 6%, ʻoiai pehea ka lōʻihi o ka mea maʻi.
Inā ʻaʻohe mau palena o ka metabola o nā kalapona, ʻaʻole hōʻea ka māka i ka hōʻailona ma luna. I ka hihia i ka wā o ka hemoglobin glycated i loko o kahi keiki he 6 - 8%, hōʻike kēia e hoʻēmi ʻia ke kō ma muli o ka hoʻohana ʻana i nā lāʻau lapaʻau kūikawā.
Me kahi ʻike glycohemoglobin o 9%, hiki iā mākou ke kamaʻilio e pili ana i kahi uku uku no ka maʻi maʻi i kahi keiki.
I ka manawa like, ʻo ia ka mea e makemake ai ka hoʻoponopono ʻana o ka maʻi mai ka hoʻoponopono ʻana. ʻO ke kiko o ka hemoglobin, e like me 9 a 12%, hōʻike i kahi nāwaliwali o nā kaʻina i lawe ʻia.
Hāʻawi wale i nā lāʻau lapaʻau i kekahi hapa wale nō, akā e nawaliwali ke kino o kahi mea maʻi liʻiliʻi. Ināʻoi aku ka pae i 12%, hōʻike kēia i ka hemahema o ka hiki o ke kino e hoʻoponopono. Ma kēia hihia, ʻaʻole ka uku o ka maʻi diabetes i nā keiki, a ʻo ka hana i mālama ʻia i kēia manawa ʻaʻole ia he hopena maikaʻi.
ʻO ka like o ka hemoglobin glycated no ka maʻi type o ka maʻi 1 i nā keiki he mau hōʻailona like ia. Ma ke ala, ua kapa ʻia kēia maʻi maʻi ma ka maʻi ʻōpio: ʻo ka nui o ka maʻi i loaʻa i loko o nā kānaka i lalo o ke ʻano o 30 mau makahiki.
Me kahi mau (ʻike pinepine) i ka nui o nā māka ʻae ʻia, aia ke kumu e manaʻoʻiʻo ai i nā keiki i nā hoʻopiʻi: nā aʻa, nā ʻōpū, a me nā maʻi o nā māka o ka ʻike. No laila, pono e hoʻokō pinepine ʻia ka hoʻokolokolo, no ka mea e hiki ai iā ʻoe ke loiloi i ka hopena o ka mālama ʻana.
ʻO ka hoʻololi maʻamau o nā hōʻailona
Pono e noʻonoʻo i ka nui o ka neʻe ʻana o ka hemoglobin glycated e hoʻonui i ka hopena ʻelua ma muli o ke kue ʻole o ka hōʻea o ka metabolism a me ka pohō hao.
Inā loaʻa kahi kānalua o ka anemia, hoʻāʻo ʻo ia ma hope o ka hoʻāʻo ʻana no ka hemoglobin e nānā i ka ʻike o ka hao ma ke kino.
E like me ke kānāwai, hoʻonui ka nui o ka hemoglobin glycated i nā keiki ma muli o ka hyperglycemia. No ka hōʻemi i kēia pae, pono ia e hahai i nā ʻōlelo a ke kauka a pau, pili i kahi meaʻai i ka haʻahaʻa a me nā wā maʻamau e hele mai no ka hoʻokolokolo.
Inā ʻike kahi kanaka i ka lolo a i ʻole nā mea āpau e pili ana i ka hoʻokūkū o nā palahalohola i ka paila, pono pono e nānā pono i ka ʻai. E kōkua kēia i ka hoʻohaʻahaʻa haʻahaʻa i ke koko a pale aku i nā hoʻopiʻi hiki.
ʻO nā mea kanu, nā hua ʻai, ka ʻiʻo a me nā iʻa ka mea maikaʻi loa e hoʻomaikaʻi ai i ke kō koko
Pono e hōʻole i ka sulu, nā momona a me nā momona momona, ke hoʻololi nei iā lākou me nā hua a me nā hua. Pono nō e hoʻoneʻe ʻia ka paʻakai a me ka uahi, akā naʻe, ʻo nā mea kanu, ka ʻiʻo momona a me ka iʻa, nā nati e ʻoluʻolu. No ka maʻi maʻamau o ka maʻi maʻamau, kūlohelohe ʻole, ʻaihue a me ka waiū haʻahaʻa.
Pono e noʻonoʻo i ka hoʻokolo ʻana i ka pae o ka glucose i pōmaikaʻi no ke olakino o ke keiki. Pono e hana lohi iki, ma kahi o 1% o kēlā me kēia makahiki. Inā ʻaʻole, e pohō ka ʻili a me ka moʻo o ka hihiʻo. I ke hala ʻana, makemake ʻia e hoʻokō e like me kēlā mau kuhikuhi e like me ke gogili hemoglobin i loko o nā keiki ʻaʻole iʻoi aku i ka 6%.
Pono nā kamaliʻi ʻōpio i loaʻa i ka maʻi diabetes e nānā maʻamau e ko lākou mau mākua a me ko lākou kahu olakino. Ma lalo o ka kūlana o ka uku maʻamau o ka pathology, kahi mea maʻi me ka maʻi maʻi e ʻaneʻane loa e like me ke kanaka olakino.
Ehia mau e hoʻāʻo ai i ka hoʻāʻo?
I ka hoʻomaka ʻana o ka mālamaʻana i ka maʻi maʻi, e aʻo e hoʻopaʻa i nā hoʻokolohua i kēlā me kēia mau mahina ʻekolu: ʻo ia ka mea e ʻae ai iā ʻoe e koho i ke ʻano ʻoi loa o ka lapaʻau.
Inā hoʻonui ʻia ke ʻano o ka hemoglobin glycosylated i nā keiki i ka 7% i ka manawa o ka manawa, hiki i ka hoʻokolohua ʻia i kēlā me kēia mahina ʻeono. ʻAe kēia e ʻae i ka wehe ʻana i ka manawa kūpono a me ka hoʻoponopono ʻana i ka mea e pono ai.
I nā hihia ʻaʻole i ʻike ʻole ʻia ka maʻi diabetes, a me kahi mau kuhikuhi glycogemoglobin i loko o nā palena maʻamau, e lawa ia e ana i nā kuhikuhi i kēlā me kēia makahiki ʻekolu. Inā loaʻa kāna ʻōlelo i 6.5%, hōʻike kēia e loaʻa i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes. No laila, ʻoi aku ka maikaʻi o ka hoʻokolokolo ʻana hoʻokahi makahiki i ka makahiki, ʻoiai he mea pono e pili i ka papaʻaʻai haʻahaʻa.
Nā wikiō pili
E pili ana i kahi hōʻoia koko no ka hemoglobin glycated:
ʻOi aku ka maikaʻi e lawe i nā hoʻokolohua ma loko o kahi kikowaena pilikino me kahi inoa maikaʻi a me nā loiloi maikaʻi. ʻAʻole loa nā klinikika mokuʻāina i nā pono e pono ai no ia noiʻi. E mākaukau nā hopena ma kahi o 3 mau lā. Pono lākou e hoʻokaʻawale ʻia e kahi kauka, i ka hōʻoia ʻana iā ia iho a, ʻoi aku hoʻi, ke hoʻōla ʻia pono iā lākou iho i kēia hihia.
- Mālama i nā pae o ke kō no ka lōʻihi
- Hoʻihoʻi hou i ka hana insulin pancreatic
Ike nui i na palapala. ʻAʻole ia he lāʻau lapaʻau. ->
Papa o nā waihona:
ʻO kekahi inoa ʻē aʻe glycosylated a A1c, HbA1c hemoglobin. Ke hoʻohana nei i kēia noiʻi ʻana, hiki ke hoʻoholo i ke ʻano helu o ke kōpaʻa maʻamau i ke koko o ka mea maʻi i nā manawa lōʻihi (a hiki i 3 mau mahina). Hoʻohana ʻia ka ʻike ma waena o nā mea maʻi me nā maʻi maʻi a me nā mea maʻi me ka pathology i hōʻike ʻia.
Nā pono a me nā hemahema o ke ʻano
E like me nā ʻano diagnostics ʻē aʻe, ʻo ka loiloi o ka hemoglobin glycosylated e pono ana i kona mau pono a me kona mau hemahema. ʻO nā pono e loaʻa:
- ka hiki nō ke hana i kekahi manawa o ka lā, ma hope o ka ʻai ʻana.
- ka loaʻa ʻana o ka ʻike pololei ʻana i kahi hiki ke ʻike i ke maʻi maʻi i ka wā mua,
- hana wikiwiki
- ka hiki ke nānā i ka pono o ka mea maʻi e nānā kūʻokoʻa i ka pae o ka glucose i ke koko,
- ʻaʻole hopena o nā hopena o ke aʻo e nā mea e like me ke kūpaʻa o ke aʻalolo, ke anuanu maʻamau, ka hala ʻole o ka meaʻai, ka lawe ʻana i nā lāʻau lapaʻau a me nā mea hou aku nō.
He aha ka helu ʻike no?
ʻO Hemoglobin kahi protein piha me ka hao ka mea i hiki ke hoʻopaʻa i ka oxygen, e hōʻoia ana i kona neʻe ʻana ma o nā kiko. Hoʻopili ʻia nā hemoglobin i loko o nā kōpela koko ʻulaʻula - nā sela koko ʻulaʻula. Ma muli o kahi hopena lohi non-enzymatic, kahi hui i hoʻihoʻi ʻole ʻia o ka hemoglobin me ke kō. ʻO ka hopena o ka glycation ka hopena o ka hemoglobin glycosylated. Hoʻonui ka kiʻekiʻe o kēia pane ma ka nui o ke kō i loko o ke koko. Kuhi ʻia ka nui o ka glycation no 3-4 mau mahina. ʻO ia kahi nui o ka manawa e lawe ai ke ola o ke ʻano kala. ʻO ia hoʻi, ʻo ka nānāʻana o ka hemoglobin glycated e hāʻawi iā ʻoe e maopopo i ka pae kiʻekiʻe o glycemia ma 90-120 mau lā.
Nui! ʻAʻohe mea i ka hoʻohālikelike pinepine ʻana ma mua o 3-4 mau mahina, ʻoiai ʻo ke ola o ke erythrocyte e lawe pono i kēia manawa o ka manawa.
Hua hopena maikaʻi
Hiki ke hoʻokaʻawale ʻia ka hopena inā aia ka hemoglobin abnormal. Hiki i nā mea hao ke hāʻawi i kahi helu kiʻekiʻe kiʻekiʻe. ʻAʻole hilinaʻi ka glycosylation o ka hemoglobin e pili ana i ka glucose koko, akā i ka nui o ke ola o ka hemoglobin. Hiki i kekahi mau ʻano anemia ke loaʻa aʻe i kahi hopena ʻole. Pono e hoʻokaʻawale ʻia nā maʻi āpau a i ʻole nā kūlana i ke kauka e pale i ka hoʻomaʻemaʻe kūpono ʻana ma muli o ke ʻano hewa. A kauoha ʻia e hoʻomaopopo i kāu kauka e pili ana i ke koko dental.
Aia kekahi ʻano like ʻole ma muli o nā hopena o nā hōʻike lab. Ua kiʻekiʻe iki ka luhi o kēlā hemoglobin i loko o ka poʻe ʻeleʻele, akā naʻe, ʻaʻole i hoʻonui nui ʻia o ka hoʻoulu ʻana i nā hoʻopiʻi.
ʻO ka helu o ka hemoglobin glycated
Kuhi ʻia ka helu o HbA1c ma kahi hapa. I kahi kanaka olakino, ke nānā nei i ka HbA1c, ka huina o ka 4 a hiki i 6. Hoʻomaopopo kēia i kahi metabolism maʻamau me kahi haʻahaʻa o ka hoʻomohala ʻana i ka maʻi diabetes. Hoʻonui ʻia ka pilikia o ka maʻi i waena o nā mea maʻi me nā hōʻailona mai ka 6.5 a i 6.9%.
Inā nui ka nui o ka hemoglobin glycated ma mua o 7%, e hōʻike ana kēia i ka piʻi pinepine o ka nui o ke kōpaʻa koko, kahi hōʻailona kēia no ka hōʻino o ka pehu o ka pākūkū o ka pakanā i loko o ke kino, e hōʻike ana i ka loaʻa ʻana o ka maʻi mellitus i ka pono.
Aia i ka ʻano o ka maʻi, ka makahiki o ka mea maʻi, a me kekahi mau hiʻohiʻona ʻē aʻe, ka ʻano o ka nui o ka hemoglobin glycated.
ʻO ka papa me ka hemoglobin glycated maʻamau i nā hui maʻi a me ka maʻi maʻi
Pono nā ʻōkuhi i nā keiki i kūpono i ka maʻamau i nā maʻi pākeke, akā ke ʻae ʻia kā lākou kūʻokoʻa i ka ʻaoʻao lalo.
I ka wā hapai, hāʻawi ʻia ka hōʻike ʻo HbA1c i ka trimester mua o ka hāpai ʻana, no ka mea he nui nā loli i loko o ke kino o ka wahine a ʻo ke aʻo ʻana hoʻi i ka hemoglobin glycated ʻaʻole i hāʻawi i ka ʻike pono.
Pahuʻi i ka make ʻana o ka hemoglobin assay
ʻO Fatal ka ʻano o ka hemoglobin e lanakila ai i ke kino o nā keiki hou i nā hebedoma mua o ke ola. ʻO kona ʻokoʻa mai ka pākē hemoglobin ka ʻoi aku ka ʻoi aku ka maikaʻi o ka lawe ʻana i ka oxygen ma waena o nā kiko o ke kino. Pehea ka hopena o ka hemoglobin momona e hana ai i ka hana aʻo? ʻO ka mea ʻoi no ka nui o ke kahe o ka oxygen i loko o ke koko, ʻo nā ʻōnaehana oxidative i loko o ke kino o ke kanaka me ka hoʻomaikaʻi nui ʻana. Ma muli o kēia, ke wāwahi mai nei nā kākoi i ka glucose i ka wikiwiki, e hoʻonā ana i ka nui o ke kō o ke koko. Hoʻopilikia kēia i ka hana o ka pancreas, ka hana ʻana o ka insulin hormone, a, ʻo ia hoʻi, nā hopena o ka loiloi no ka hemoglobin glycated.
Pehea ka hoʻoilo ʻana
ʻO ka mea nui o ka noiʻi HbA1c ʻo ka hemahema o ka hoʻomākaukau ʻana, ka hiki ke lawe i kēlā me kēia manawa o ka lā. Ma kahi ʻimi loea kūikawā e hiki ai iā ʻoe ke loaʻa nā hopena i ʻoiai ke lawe nei i ka antibiotika, ka meaʻai, ka ke ʻana o ke anuanu a me nā mea hoʻonāukiuki.
Lawe ʻia kahi ʻano loiloi e hoʻoholo ai i ke kiʻekiʻe o ka glucose i ke koko ma loko o kahi haukapila a i ʻole ka home e hoʻohana ana i kahi glucometer portable
ʻO ka lawe ʻana i ka hōʻike, pono ʻoe e hele i ka haukapila i ka manawa i koho ʻia no ka hōʻike koko. I kiʻi e ʻike pono, ua ʻōlelo ʻia e haʻalele i ka pāʻina kakahiaka. Kūpono nā hualoaʻa ma 1-2 mau lā.
No ke aha e ho'ēmi ana nā hōʻailona
ʻO ka hāʻule ʻana o ka hemoglobin glycosylated i ka maʻi maʻi i kapa ʻia ka hypoglycemia. ʻO ke kumu o ke kūlana pathological he pinepine o ka maʻi pancreatic, ka mea e hoʻonāukiuki i ka hana ʻana o ka nui o ka insulin.
ʻO nā kumu o ka hemoglobin HbA1c haʻahaʻa, ʻoi aku ma mua o ka maʻi mellitus maʻi diabetes:
- ka lōʻihi loa ka mālama ʻana i kahi meaʻai liʻiliʻi-kaʻa,
- Nā maʻi genetic, ka frolose intolerance,
- ʻōpala lolo
- hana kino kino,
- ka momona o ka insulin.
No ka hōʻikeʻana i nā ala no ka hōʻemi ʻana i ka hemoglobin HbA1c, pono kahi hōʻike ʻike kikoʻī o ke koina.
ʻO nā kumu no ke koena o ka maʻamau
ʻO ka hoʻonui ʻana i nā hōʻailona maʻamau e hōʻike i ka hoʻomohala ʻana o ka hyperglycemia. ʻAʻole hōʻike kēia kūlana i nā kānaka i ka hiki ʻana o ka maʻi diabetes. Hoʻopilikia ka maʻi pancreatic inā ʻo HbA1c ma mua o 7%. Hōʻike pinepine ʻia nā kauka mai ka 6.1 a 7 paha i ka hōʻino o ke kala ʻana o ka pale a me ka hoʻohaʻahaʻa ʻana i ka hoʻoliʻiliʻi glucose metabolism.
He mea nui loa ia e nānā i ka pae o ka hemoglobin glycated no nā wahine i ka noi a me nā keiki. I ka hiki ʻole o ka kaohi o nā hōʻailona, hiki ke hōʻeha i nā hopena koʻikoʻi, e like me ka kolohe ʻana, ke hoʻoluhi i ka hoʻomohala ʻana o ka ʻōpio, a me kahi meaʻino i ke kūlana o ka wahine iho.
ʻO ke kāohi
ʻO nā maʻi me ka maʻi maʻi e kiaʻi kūʻokoʻa i kā lākou koko koko.Me kāna mea kōkua, hiki iā ʻoe ke koho i kahi pae ʻai kiʻekiʻe, kiʻekiʻe a hoʻemi paha i ka ʻai koko, e hoʻomaopopo ai inā lawa nā wai o ka insulin, ʻoiai hoʻi ia he mea e hoʻemi ana a hoʻonui i ka nui o ka lāʻau lapaʻau.
Hiki i ka nānā ponoʻī iā ʻoe iho ma ka home me ka hoʻohana ʻana i kahi lāʻau ʻokoʻa no ka hoʻoholo ʻana i ka nui o ke kō i loko o ke koko - a nā glucometer
E hana i kahi loiloi kūʻokoʻa i ka home, e hoʻohana i kahi glucometer - kahi hana no ka hoʻoholo ʻana i nā pae glucose. E koho i kahi papa hoʻohālike e kōkua i ke kauka a i ʻole loea i kahi mea lapaʻau. Ke hoʻohana maʻalahi nei ka hoʻohana ʻana.
Na rula no ka hana ana iā ʻoe iho:
- E mālama i ka pono e like me nā ʻōkuhi, e pale aku i nā mea hoʻomehana a me ka nāwaliwali.
- i ka wā pau o ke koko, e manaʻo ʻia e mālama pono i kēia wahi me kahi antiseptic,
- ma muli o ka mea, ka pihi a kūʻokoʻa ʻole ke ʻili a i ʻole,
- hoʻokahe ʻia kahi puna o ke koko i kahi kikoʻi kuhikuhi,
- mākaukau ka data i ka 5-15 kekona.
Hoʻoholo ka piʻi o ka nānā ʻana e ke kauka hele i ka ʻano o ke ʻano maʻi maʻi a me nā ʻano o ka mālama maikaʻi o ka mea maʻi. ʻO nā helu kau ʻia ʻana i kēlā me kēia lā no ka maʻi diabetes i ka manawa he 3-4 mau manawa, no ka maʻi II ʻano II a ʻelua mau manawa i ka lā.
Pehea e hoʻoponopono iki ai i ka glucose koko
Me nā maʻi o ka maʻi a me nā mea āpau e pili ana i ka hoʻoliʻiliʻi o ka hoʻoliʻiliʻi hāmeʻa, pono ʻoe e pili i kaʻai pono. E kōkua kēia i ka hoʻohuihui ʻana i ka nui o ke kō i loko o ke koko, e pale i nā hōʻeha hōʻeha.
- ka haʻalulu o ka meaʻai me nā hua a me nā mea kanu. Nui nā meaʻai i nā mea kanu, nā mea e kōkua i ka mālama ʻana i ka glucose i wikiwiki.
- e pono e hoʻokomo i ka pī ma ka papa inoa. ʻO kēia ʻano o nā meaʻai e kōkua i ka hoʻomau ʻana i ka glucose koko ma hope o ka ʻai ʻana i ka meaʻai i loaʻa ka kō,
- me ka ʻōmaʻomaʻo II II, hoʻohui ʻia i nā kōkōkō ʻole a me ka waiū skim me ke kō
- ʻAʻole hiki iā ʻoe ke hōʻole i ka ʻai, ka iʻa a me nā meaʻala. ʻO kēia mau meaʻai ka momona i nā waikeka omega-3, ka mea e pono ai ke kino ke hana pono.
- inā makemake ʻoe i ka momona, pono ʻoe e kāhiko i kahi momona a me ke kalapona me nā huaʻai, nā huaʻaona, ke kōkeke kai momona liʻiliʻi,
- mai ka meaʻai mai e lawe i ka momona, ka ʻīpala, ka pā, ka uala, ka meaʻai paʻakai,
- ke kumu o ke kaiʻaiʻai he mau cereals, nā ʻano haʻahaʻa haʻahaʻa o nā iʻa a me ka iʻa, nā huaʻai, nā huaʻai, nā mea kanu.
E hoʻokō i kahi pae maʻamau o ka hemoglobin glycated i ka maʻi diabetes hiki ke hana me ka meaʻai kūpono
Ma kahi o ka hahai ʻana i kahi meaʻaiʻai, he mea nui nā mea hoʻomaʻamaʻa. Mālama kēia i ka mālama i ke kino ma ke ʻano maikaʻi, pale i ka nui o ka paona, hoʻonoho i nā kaʻina metabola. Hoʻomaopopo ka poʻe maʻi me ka maʻi diabetes e hele i nā hele wāwae i kēlā me kēia lā a hoʻonui i ka hana kino kino i kēlā me kēia lā.
ʻO ka kaohi ʻana o ka hemoglobin glycated i ka maʻi diabetes he kūlana koʻikoʻi no ka hana piha ʻana o nā mea maʻi me ka maʻi endocrine system. Hōʻike hōʻike pololei i nā hōʻike o nā hōʻailona mai ka palaki iā ʻoe e hoʻoponopono i ke ʻano o ka patology, i mea e pale ai i kona mau hōʻeha koʻikoʻi.
ʻO ka hemoglobin Glycated: ke kumu maʻamau i nā keiki me ka maʻi maʻi
Me ka nui o ke kō i ka wai koko o kahi keiki, he protly glycated e hiki ʻole i nā ʻano kino i ke kino: glycated hemoglobin, glycated lipoproteins, fructosamine. No laila, ʻo ka hoʻonui ʻana o ka manawa pōkole i ka indly glycemic e waiho i kahi hōʻailona koʻikoʻi i loko o ke kino o ke kanaka, hiki ke ʻike ʻia a he mau lā mau mahina ma hope o ka hopena o ka hāʻule ʻana o ka glucose.
ʻO kahi hōʻailona ākea e pili ana i ka maʻi diabetes, e hoʻonui kūpono i ka pae o ka hemoglobin glycated. Kūkulu ʻia ia i loko o ke koko, waiho i ka pae hoʻomohala a ʻike koke i ka nui o ka ukana nui o ka hemoglobin maʻamau.
Hiki i nā hemoglobin like ʻole o nā ʻano like ʻole: НbА1с, НbА1а, НbА1b. ʻO ka mea pōʻino, kokoke hiki i ka manawa mau ke hāʻawi i ke koko no ka nānā ʻana i ka uku uku wale nō;
ʻO nā hōʻailona nui no ka nānā ʻana he mau hōʻailona hoʻi o nā:
- nalowale kaumaha,
- ka naʻau mau o ka luhi
- maloʻo maloʻo, makewai,
- nā hoʻomaʻa pinepine ʻana.
ʻO kahi keiki me ke koko koko kiʻekiʻe e lilo i ka lethargic a me kahiʻano lahilahi. Akā ʻo ka kikeke ʻana i ka glucose ka wikiwiki loa i ka olakino, inā ʻaʻole hiki ke hoʻopiʻi ka hoʻopiʻi ʻana i ke ʻano o ka nalowale ʻana i ka mālamalama a me ka emi ʻana o ka hana ʻike. No laila, pono e hoʻohaʻahaʻa i ke kō i loko o kahi keiki palupalu, me ke aniani.
Manaʻo ʻia ʻo Glycated hemoglobin i nā keiki maʻamau me nā helu maʻamau o nā pākēnē o kekahi kāne.
He aha ka gogus hemoglobin
Inā nui ka nui o ke kō, ʻaʻole i hoʻohemo ʻia pono, na ke huʻu i komo i ka hopena, a laila e hana ana i nā pūhui ikaika. Kahi ʻia kēia kaʻina hana ma ka ʻano o Maillard a i ʻole glycation.
I ka ʻike nui ʻana i ke ola nui o nā kaila ʻulaʻula (nā ʻāpana koko ʻulaʻula), ka hemoglobin e loaʻa ana i loko o lākou, ʻo ka hoʻokaʻina o ke kō a me ka hemoglobin e lawe ʻia i ke kumu no ke ʻano o ke ʻano maʻi no nā hōʻailona glucose e like me ka loiloi glycated hemoglobin.
ʻO ka paʻakai gula kiʻekiʻe o ka maʻi diabetes e lilo ai i ka hoʻōla hopena, kūlohelohe paha ka 2-3 i nā manawa he nui e hoʻopaʻa i ka hemoglobin. Ma muli o kēia, ʻaʻole hiki iā ia ke hemo i ka ʻāpana ʻaoʻao, e lawe ana i ka ʻike e pili ana i kona mua a hiki i ka manawa e luku ai, ʻoiai e ola ana nā pupu koko ʻulaʻula.
ʻO ka helu o nā molekala hemoglobin i pane me ke kōkō e hōʻike i ke kiʻekiʻe o ka glycation. I ka hopena, hāʻawi kēia i ka glycemia awelika ma mua o nā mahina 1-3 i hala. Pono pono e hoʻomaopopo ʻia ka hemoglobin glycated:
- ʻaʻole kahi papa haole,
- ua hoʻokumu ʻia ma nā kānaka olakino maikaʻi.
ʻO kahi hoʻokolohua glucose hemoglobin koko e hōʻike i ka hoʻoliʻiliʻi o ka glucose kiʻekiʻe ma ka mea maʻi.
ʻOiai kahi puka pōkole o ka hilo mai ka maʻamau maʻamau ʻaʻole e ʻike ʻia e ke kauka inā ua hui pū nā glucose me ka hemoglobin.
ʻO nā pua o ka glycogemoglobin
ʻO ka mea wale nō e hoʻonui ai i ka ke ʻano glycogemoglobin i nā keiki o nā malama mua o ke ola, wehewehe nā kauka i kēia hanana e ka hele ʻana o ke koko o nā pēpē o ka hemoglobin kālai ʻia. Ma kahi makahiki hoʻokahi, e hoʻopau loa ke keiki. Eia naʻe, no ka loaʻa ʻana o ka nui o nā maʻi, ʻo ka palena o ka palena ʻoi aku ka 6%, ʻo ia hoʻi, ʻaʻole pono e kiʻekiʻe ka kiʻekiʻe o ka hemoglobin glycated.
Me ka hōʻoia i ka maʻi maʻi ʻokoʻa, hiki ke ʻōlelo ʻia nā hōʻailona like ʻokoʻa, hiki iā lākou keʻoi aku i ka 12%. No ka loiloi i ka hopena, pono ia e hoʻohālikelike iā ia me nā mana koho o ka maʻamau.
ʻO ka make ʻole o nā kuhi mai ka ʻaoʻao o ka pakanui kalepa e hōʻike ʻia e ka hemoglobin glycated, ʻaʻole e hōʻea i ka 6%. Me nā helu mai 6 a 8%, ke kamaʻilio nei mākou e pili ana i nā mana maʻamau o ke kino o ka mea maʻi:
ʻO ia hoʻi ke ʻano kūpono o ka hōʻemi ʻana i nā pae wai ma o ka hoʻohana ʻana i nā lāʻau lapaʻau kūikawā.
ʻO ka nui o ka glycohemoglobin e hoʻokokoke ana i ka 9% e hōʻike i kahi kaʻina hana hoʻoponopono maikaʻi ʻia, kahi uku uku no ka maʻi maʻi i nā keiki. Akā i ka manawa like, hāʻawi kēia hopena no ka hoʻomaʻamaʻa ʻana i nā ʻikepili o ka mālama ʻana i nā kuʻuna.
I ka ʻike ʻia ʻana o ka hemoglobin koko o 9 a 12% i kahi keiki, hōʻike ka ʻikepili i ke ʻano o ka hoʻoponopono kānāwai ma ka luhi o ka make, ʻaʻole hiki i ke kino o ka mea maʻi ke hakakā i ka maʻi maʻamau, a ʻo nā lāʻau lapaʻau wale nō e kōkua i ka ʻāpana wale nō e uku i ia.
ʻO ka pae o ka hemoglobin glycosylated mai i ka 12% e hōʻike ana i ka hala piha ʻana o ka uku, hoʻopiʻi e pili ana i ke kino. I kēia hihia, ʻaʻole e uku ʻia ka maʻi diabetes i nā keiki, ke hoʻomau nei nā hana therapeutic i hāʻawi i kahi hopena maikaʻi.
Kēia mea maopopo le loaʻa kēia kuhikuhi i ka maʻi diabetes i nā manawa he nui, hiki iā ia ke kamaʻilio e pili ana i ka paʻakikī o ka hoʻopiʻi ʻana, ʻo ka hōʻemi i nā pilikia o ka hoʻoneʻe o ka haʻalulu, ʻo ia hoʻi nā maʻi.
No kēia kumu, ʻike ʻia ia e hōʻike i kahi hōʻike no ka hemoglobin glycated i nā keiki no ka manawa kūpono o ka maʻi latent o ka maʻi diabetes. Ma lalo o ke kūlana o ka nānā lōʻihi ʻana o ka papa o ka maʻi, hōʻike ka haʻawina i ke ʻano o ka hiki o ka lapaʻau ʻana i ka lāʻau.
Eia kekahi, e haʻi ka glycated hemoglobin e pili ana i ka maikaʻi o ka hoʻoponopono ʻana i nā pakanā kalapona i ke keiki, ka pae o ka uku no ka maʻi. Eia kekahi ma kēia mau hana, e hoʻokau ʻia ka loiloi he mea hoʻohui maikaʻi loa i ka hoʻāʻo ʻana e kū i ka glucose, inā he pono e hoʻokumu i nā kumu kumu o ka nui o ka glycemia ma ka maʻi me ka maʻi ʻole.
Eia kekahi, ʻo ka loiloi i nīnau ʻia he kūpono no ka loaʻa ʻana o ka diabetes mellitus, akā i ka manawa like, ʻo ka loiloi no ka hemoglobin glycated ke kumu.
ʻO kahi kūpono o glycogemoglobin me ke kō koko
Nā ʻōkuhi o ka glucose a me ka helu o nā nīnū wai ʻulaʻula e pili pū me ia e pili mau ana i kahi pilina. No ka loiloi i ka hopena, he mea maʻamau ka hoʻohana ʻana i kahi papa kūikawā o ka pilina o ka hemoglobin glycosylated a me ke kō koko koko. Hiki i nā maʻi maʻi ke ho'āʻo kūʻokoʻa iā lākou iho no kēia hōʻailona.
Inā kānalua ka gogekē i loko o nā keiki i ke kumu, hiki ʻole i ke kauka ke maʻi wale nō i ka maʻi maʻi, hiki nō hoʻi ke ʻano i kahi ʻano o ka hoʻololi ʻana i ke kō.
Me ka hoʻonui nui o ka hemoglobin fetal, e piʻi ana ka nui o ka nui o ka glycogemoglobin. E like me ka mea i hōʻike ʻia, aneane mau kēia ʻōpiopio i nā keiki i nā mahina o ke mua o ke ola. Akā ke waiho nei kēia mea i ke koko o ka pēpē, ke kumu o ka glycated i loko o ka mea i loko o nā ʻano o kahi pākeke.
ʻO ka hoʻonui nui loa o ka glycogemoglobin i kekahi mau mea i nānā ʻia me ka nele o ka hao i loko o ke kanaka (kahi hao hao anemia). Hiki mai kahi kūlana like ma hope o ka hemo ʻana o ka pīpī.
Kēia maʻalahi, akā i ka emi mau o ka pae o ka hemoglobin glycosylated, ua hōʻike ʻia i kēlā mau hihia:
- ka hoʻemi haʻahaʻa haʻahaʻa o ke koko (hypoglycemia),
- ka hoʻonui ʻana o ka hemoglobin (pigment blood pigment),
- ka hana ikaika ʻana o ka ʻōnaehana hematopoietic ma hope o ka nalowale o ka nui o ke koko.
- nā mālamalama maikaʻi ʻole
- kahe koko,
- ka ʻā ʻana a i ʻole hemorrhage hemorrhage.
Eia kekahi, ʻike ʻia nā helu glycogemoglobin me ka nui o ka luku ʻana i nā keena koko ʻulaʻula i loko o kahi nui o nā kūlana pathological, no ka laʻana, me ka anemia hemolytic.
E like me kāu e ʻike ai, he liʻiliʻi nā papa inoa o nā kuʻuna, no laila ke hoʻohana pinepine nei ka noiʻi biochemical e hoʻomalu i ke ʻano a me ka pono o ka mālama ʻana i ka maʻi maʻi maʻi ʻana i nā keiki a me nā pākeke.
Pehea e lawe ai i kahi loiloi?
He mea kūpono loa ia hiki i ke koko ke hāʻawi ʻia no ka hemoglobin glycosylated i kēlā me kēia manawa o ka lā. No ka noiʻi, lawe ʻia ke koko mai ka urinal cubital; no ka hoʻāʻo, 3 ml ka nui o nā mea ponoola.
ʻAʻohe pono e hoʻomākaukau pono i ke keiki no ka hāʻawi ʻana i ke koko, ʻaʻole pono ia e hele mai i ka hale kikowaena ma ka ʻōpū ʻole, e hōʻalo mai ka ʻai maʻamau a inu i ka lā ma mua. ʻO ka ʻikepili e pili ana i ka nui o ke kō i loko o ke kahe koko ʻaʻole e hōʻiliʻili i ka lā hoʻokahi, hiki ʻole ke hoʻowalewale iā ia ʻoiai e ola ana nā pupu koko ʻulaʻula. Ma hope o kahi ligature ikaika me ka hemoglobin i loko o ke koko, ʻaʻole e hiki ai i ka glucose ke haʻalele i ka puaʻa koko a hiki i ka luku ʻia ʻana o ka mea hope.
ʻAʻole hiki iā ʻoe ke ʻōlelo pololei a pehea ka lōʻihi, e mālama ʻia ke kauka ʻana o nā kauka he 60 mau lā, i loko o kēia manawa ke hōʻano hou nā ʻōpū koko wīwī i ke koko o ke keiki. I kēia hihia, he mea pono e noʻonoʻo pono i nā ʻōnaehana koko ʻokoʻa o nā ʻokoʻa makahiki i hiki ke neʻe i ka koko.
Pono nā maʻi me nā maʻi maʻi e hoʻokaʻawale i ke koko i kēlā me kēia 2-3 mau malama, e kōkua ana i ke kauka hele mai:
- kūpono ke kūpono kūpono i ka mālama ʻana,
- inā pono, e kuhikuhi i ka lāʻau lapaʻau insulin,
- hana hoʻoponopono i ka hoʻoponopono lapaʻau kūpono pili.
I ka hopena o ka hopena o ka hōʻike ʻana, aia kekahi hopohopo i ka endocrinologist e pili ana i ka mea e kū ana i ka wā e mālama ai i nā keiki me ka hemolytic anemia, nā ʻano ʻē aʻe e koho ai i ka maʻi mellitus.
I kēia kūlana, ʻaʻole hōʻeha i ka hana ʻana i kahi noi ma ka albumin glycosylated - hōʻailona o ka fructosamine. ʻO ka nui o ka fructosamine e hōʻike piha ana i ke kūlana o kēia mau mea kālaiʻana o ka pulu i ka aʻe i loko o nā hebedoma i hala ma mua o ka loiloi.
Inā makemake nā mākua o kahi keiki i ʻike ʻole ʻia e ka maʻi maʻi e mālama a palekana iā ia e nānā iā lākou no ka hemoglobin glycated, hiki iā lākou ke paʻi pū me ka ʻoka.
He nui nā ʻōnaehana olakino a me ka moku āpau ke loaʻa o nā pono hana kūikawā no ke kālai ʻana i nā pae glycogemoglobin He ʻano like ke kumukūʻai o ke kaʻina hana a ka ʻoihana a me ka ʻoihana. Ma nā waihona aupuni, ʻaʻole paʻa nā noiʻi like ʻole.
He aha ke ʻano o ka hemoglobin glycated i nā keiki e haʻi i ka wikiō ma kēia ʻatikala.
He aha ke ʻano o ka hemoglobin glycated - papa
ʻO Glycated hemoglobin he ʻāpana o ka hemoglobin e pili pololei ana i ka glucose. ʻO kāna kumu e hōʻike ai i ke kō o ke koko. No laila, ʻo ka hopena o ke kaila ʻana no ka hemoglobin glycated kekahi o nā hōʻailona nui loa no ka mea i manaʻo ʻia he maʻi diabetes mellitus, he aha ke ʻano o ka hana pono ʻana i ka kikoʻī.
ʻO ka hoʻokolohua Glycated hemoglobin
Ke kōkua nei ka hopena o kēia loiloi i ka loaʻa ʻana o ka maʻi diabetes i ka wā mua, me ke loiloi ʻana i ka predisposition i kēia maʻi. Pehea e lawe ai i kēia hoʻoili: ma kahi ʻōpū ʻole a i ʻole? ʻO ka maikaʻi o kēia noiʻi ʻo ka nele piha o ka hoʻomākaukau. ʻO ia hoʻi, ʻaʻole pono ia e hana i kahi noi ma kahi ʻōpū ʻole a i ʻole i kekahi manawa manawa o ka lā. Lawe ʻia ka haʻawina ma ke kahe ʻana i ke koko mai kahi vein a i ʻole mai ka manamana lima, e pili ana i ke ʻano o ke ʻano ʻano.
No ke aha e hoʻokō ʻia ai kēia noiʻi? Ua kuhikuhi ʻia ia ma kēlā mau hihia:
- ka hoʻomalu ʻana i ka glucose i nā kānaka me ka maʻi maʻi,
- ka hopena o ke kō koko koko i nā mahina i hala aku nei.
- Hoʻoponopono i nā ala mālama no ka maʻi diabetes,
- noiʻi pale.
I nā hihia hea e hoʻokō ʻia ai kahi hōʻike koko no ka hemoglobin glycated? Hoʻouna ʻia ka mea maʻi no ka hāʻawi koko koko inā he mau maʻi ʻo ia:
- mau ka makewai mau
- atypically pinepine a me ka urination nui,
- ka hana wikiwiki
- kāʻehaʻeha
- koi ike hewa,
- ho'ēmi i ka makee.
Wahi a nā hopena o ke aʻo ʻana, ke kau nei ke kauka komo i ka mālama pono ʻana inā he ʻike ʻia kekahi mau kūleʻa mai ka maʻamau maʻamau.
Hoʻonui ʻo Glycated hemoglobin
Inā hōʻike ka hopena o ka hōʻike ʻana, ʻo ka hemoglobin glycated e nui loa i ka maʻamau no ka manawa lōʻihi, a hoʻonui pinepine hoʻi i ka maʻi, a laila maʻi ka maʻi maʻi me ka maʻi mellitus. Pono kēia maʻi e mālama koke i kahi meaʻai paʻa. Akā ʻaʻole e hoʻonui ʻia ka hemoglobin glycated e hōʻike i ka maʻi mellitus. Ma muli o kēia kumu e hoʻonui ʻia ai ka hoʻonui ʻia ʻana e kēia kumu.
- nele o ka hao i ke kino,
- inu nui no ka manawa loihi,
- nā mālamalama maikaʻi ʻole
- pōʻai hoʻopailua
- ka hoʻopiʻi ʻana i ka wehe ʻana, ma muli o ke neʻe ʻia ʻana o ka pīpī.
He mea nui ia e ʻike! Inā ma hope o ka hoʻolilo ʻana i ka loiloi he wahi liʻiliʻi o ka mea maʻi i kēia mākaukau, pono e hoʻomaʻamaʻa pinepine ʻo ia i kahi ʻano aʻo i ka wā e hiki mai ana. E kōkua kēia i mea e hoʻoholo ai i ka pono o ka lāʻau i kuhikuhi ʻia, me ka pale ʻana i ka hoʻomohala ʻana i nā maʻi maʻi.
Hoʻohaʻahaʻa ka glycated hemoglobin
He aha ka hōʻike o kahi hōʻemi o ka hoʻoneʻeʻana o ka glycated hemoglobin i loko o ke koko? Hiki ke nānā ʻia kēia ʻano kuʻuna no ia mau kumu:
- e hoʻokō nei i ke kaʻina koko,
- lilo ka koko i ka hopena o ka hōʻeha ʻana, ke komo ʻana ma ka maʻi, ʻoi aku ka hānau ʻana, hoʻomāino ʻia,
- maʻi maʻi hemolytic.
I kēlā mau kūlana, ua kuhikuhi ʻia ka mea maʻi i mālama ʻia e mālama ai. Ma hope o kekahi manawa, hoʻi ka hōʻailona i ka maʻamau.
He mea nui e hoʻomanaʻo! Inā ua hōʻemi ʻia ka gogositis glycosylated, pono ka mākaʻikaʻi maʻamau o kēia hōʻailona ma hope o ka hōʻola!
ʻO ka hemoglobin Glycated: ʻo ka maʻamau i nā wahine hāpai
He aha ka hopena o kēia loiloi i ka wahine i kahi kūlana hoihoi? ʻO ka ʻōpū i kahi wā i hele ai ka wahine i kekahi mau loli i ke kino. ʻO ka hemoglobin glycated, ʻo ka pōʻino o kona nele i ka wā hāpai. No ka mea ke alakaʻi nei i ka neʻe ʻana o ka ulu maʻamau a me kahi palupalu o ka mālama pono o ka pēpē e hiki mai ana. Eia kekahi, ʻo kahi mākaʻikaʻi haʻahaʻa e hoʻopilikia i ka kūlana maʻamau o ka wahine.
ʻO ka maʻamau ka wahine i ka wahine hāpai i ka wā ʻōpio ʻo 6.5%, i ka wa waena o ka makahiki - 7%. I nā wahine hāpai wahine, ʻo kēia hōʻailona ma ka liʻiliʻi o 7,5%. Inā nānā ʻia ke kuhihewa mai ke ʻano maʻamau, pono e noʻonoʻo ka wahine i kona ʻano, ke ʻano maʻamau a me nā meaʻai maʻamau. I mea e hoʻoponopono ai i nā hoʻoponopono kūpono, pono ʻoe e kamaʻilio i kāu kauka.
He mea nui ia e ʻike! Hōʻalo nā ʻike mai ka maʻamau i nā wahine hāpai i hiki mai ma muli o ka nui o ka hao i loko o ke kino! No laila, ʻo ka wā holoʻokoʻa o ka lawe ʻana i kahi pēpē e hiki mai ana, pono ka wahine e lawe i ka nui o nā huaora, me ka ʻai ʻana i nā lau ʻona makahiki hou a me nā hua.
Norm ma nā keiki
I ka wā kamaliʻi, ʻo ka nui o ka hemoglobin glycated e lilo i 6%. ʻO nā hoʻohālikelike mai kēia neʻe ʻana i ke kuhikuhi o nā hoʻonui e hōʻike i kahi ulu kaʻi hānai i kahi keiki. He aha ka hana inā ʻoi aku ka maʻa o ke kumu? Pono e hōʻemi iki ia, ʻaʻole iʻoi aku ma mua o 1% o ka makahiki. ʻO ka emi wikiwiki ʻana hiki ke hoʻopilikia i ka kūlana maʻamau o ka pēpē, a me ka hōʻemi ʻana i ka ʻike acuity.
No laila, me ka hoʻomohala ʻana o ka maʻi maʻi i kahi keiki, ʻaʻole pono nā ʻano lāʻau lapaʻau. He mea lawa ia e mālama ai i kāna kōʻai ʻana, me ka pae o ke kō i loko o ke koko ma o nā hoʻāʻo pinepine.
ʻO ka pākaukau i nā wahine ma ka wā makahiki
No ka mālama i ke kūlana maʻamau o ke kino, pono ke mālama pinepine ʻia e ka wahine maʻamau i ka pae o ka hemoglobin glycosylated i loko o ke koko. Hōʻike ʻia ke ʻano o kēia hōʻailona i ka papa i:
ʻO nā manaʻo kūleʻa nui mai kēia mau hōʻailona i ka wahine ke hōʻike i kēlā mau hōʻino i ke ʻano o ka hana ʻana o ke kino:
- diabetes mellitus, pili i ke kiʻekiʻe o ke kūloko, ʻike ʻia kona ʻano,
- nele o ka hao i ke kino,
- nā hopena o ke kaʻina
- nā mālamalama maikaʻi ʻole
- nawaliwali o nā paia o nā moku, e alakaʻi ana i ka hemorrhage i loko.
No laila, inā i ʻike ʻia nā mea pono ʻole, pono kēlā me kēlā me kēia wahine i ka nānā kauka piha e ʻike i ke kumu o kēia pilikia.
ʻO ka pākaukau i nā kāne ma ka wā kahiko: papa
Mai ka pae kiʻekiʻe o ka hemoglobin i nā kāne, ʻoi aku ka kiʻekiʻe ma mua o nā wahine. Kuhi ʻia kona ʻano i nā kāne i ka papa ʻaina:
Pono hoʻāʻo ʻia nā kāne no ke kō koko koko, ʻoi aku ma hope o 40 mau makahiki. ʻO ke hoʻonui koʻikoʻi i ke kaupaona ʻana o ke kino o nā kāne i kēia mau makahiki he maʻamau ke hōʻike ʻana i ka hoʻomohala ʻana i ka maʻi diabetes. No laila, koi ʻia i ka hoʻokapa koke iā ia i ka hiki ke hoʻomaka i ka mālama wā ʻana.
Kila maʻamau no ka maʻi maʻi maʻi
Kuhi mua kēia ʻano hoʻoili ʻana i ka maʻi diabetes. Inā loaʻa i ka mea maʻi ma muli o kēia noiʻi kekahi nui hoʻonui o ka hemoglobin glycated, pono ia e kāohi i kēia hōʻailona. Wahi a ka palena o ke kūlohelohe, ʻo ka ʻoi ʻana o ka ʻike ʻana:
- Inā emi ka pae i ka 5.7-6%, a laila pale ʻole ka hopena o ka maʻi diabetes. Pono ka nānā ʻana o kēia hōʻaia e lawe 1 manawa i 3 mau makahiki.
- Ua hōʻea ka hōʻailona i ka 6,5% - pono ia e hoʻomaʻamaʻa i kahi hōʻike i hoʻokahi makahiki i ka makahiki. Ke ulu nei ka pilikia o ka hoʻomohala ʻana i ka maʻi diabetes. He mea kūpono no ia i kēlā me ke kūlana e pili pono i kahi meaʻai kūpono, ʻo ia ka mea e hoʻohana ai i nā haʻahaʻa haʻahaʻa o nā hapa.
- ʻO ka maʻi diabetes, kahi o ka pae o ka hemoglobin glycated ʻaʻole iʻoi aku ma mua o 7% no ka lōʻihi o ka manawa, ʻaʻole hiki ke hopohopo. Hiki iā ʻoe ke lawe i kahi loiloi i kēlā me kēia mahina ʻeono. He lawa kēia i ka manawa maopopo e ʻike i nā mea pono ʻole a hana i nā hoʻoponopono o ke mālama kākoʻo.
- I ka hoʻomaka mua o ka mālama ʻana i ka maʻi maʻi, pono e koi i kēia ʻōmole i kēlā me kēia 3 mahina. E kōkua kēia i ka loiloi ʻana o ka hoʻomaʻamaʻa ʻana i ka mālama ʻana i hana ʻia, a me kekahi mau hoʻoponopono ʻana inā inā ʻaʻole pono ka lāʻau lapaʻau o kēia manawa.
No ka noiʻi, ʻoi aku ka maikaʻi o ka hoʻopili ʻana i kahi kikowaena kūʻokoʻa kūʻokoʻa, loaʻa nā loiloi maikaʻi. E kōkua kēia i ka hopena kūpono no ka wā pōkole. A laila, inā pono, hiki iā ʻoe ke hoʻomaka i ka mālama ʻana. He mea nui ia e poina e hana i ka decoding o nā hopena i hana ʻia e nā kauka hele mai. No laila, ʻaʻole pono e hoʻopaʻa ʻia ka hoʻopaʻa ʻana me ka lāʻau ponoʻī. ʻOi aku ka hilinaʻi i kahi loea.
ʻIke ʻia ka ʻike ʻikepili i ka ʻike pili ʻana.
ʻO ka huehue o ka hemoglobin Glycosylated no ka olakino a me ka maʻi maʻi
ʻO ke kaila o ka hemoglobin glycated (Hb) e hōʻike ana i kahi pae koko koko nui no kekahi manawa lōʻihi a kapa ʻia ʻo ia ka HbA1C. ʻO Glycosylated hemoglobin ka hui ʻana o ka glucose a me ka hemoglobin.
Ke lawe ʻia i kēia hoʻokele e ʻike ai i ka pakeneka o ka hemoglobin e hōʻike ʻia i ke koko, me ka hoʻokaʻawale ʻole i nā molekena glucose. Pono pono kēia ʻano ninaninau i nā wahine a me nā kāne a me nā keiki e hoʻoholo ai i nā ʻōlelo hoʻokolohua no ka hilo ma ka maʻi ʻaina o ka lua a i ʻole ka helu mua ʻana, inā he kanaka palaka paha, a i ʻole he kānalua (a i ka mua paha) no ka hoʻomohala ʻana i ka maʻi maʻi.
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: 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:
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.
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 ʻoi ka mea maʻamau ka manaʻo o ka wahine i ka hoʻonui nui o ke kō, a i ʻole ke ala nui i nā manawa he 1-4 wale ma hope o ka pāʻina a aia i kēia manawa e luku ʻia ai ke olakino, a ma kahi ʻōpū ʻolei nā mea maʻamau nā hōʻailona.
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 kālaiʻai wikiwiki.
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 hoʻoili no ka ʻōpio a no nā pahuhopu diagnostic, a me nā ʻōlelo no ka mālama pono ʻana.
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.
E ola kino! A kau inoa i nā hoʻolaha pūnaewele - e kiʻi pololei i nā ʻatikala hou i ka leka uila. I ka leka uila, nā hoaaloha, Facebook,
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Ke aʻo ʻia
Hoʻopuka ʻia ka nānā ʻana me ka pahuhopu o:
- hoʻokūkū a hoʻohālikelike i ka maʻi diabetes
- ka loiloi o ka maikaʻi o ka mālamaʻana a me ka nānā 'ana i nā dinamics o ke kūlana i ka mea maʻi me ka maʻi maʻi,
- ka loiloi o ka papa uku o ka maʻi diabetes,
- ka loiloi o ka hopena o ka hoʻopiʻi ʻana,
- nā hoʻokolohua o nā wahine e lawe ana i kahi keiki ma GDM.
ʻO nā kumu o kahi hōʻemi wahaheʻe i ka hemoglobin glycated i:
Hiki paha nā hopena hewa i nā mea maʻi me ka iron anemia deficiency a me ka beta-thalassemia (ma muli o A2 hemoglobin). Eia nō hoʻi, i nā keiki o nā malama mua, e kiʻekiʻe loa nā hopena ma mua o nā pākeke, ma muli o ka hiki ʻana o kahi hemoglobin fetal. ʻO ka normalization piha o ka pae hemoglobin glycated e hele ana i ka malama o ke ono o ke ola.
Aloha ʻo Glycated Hb
- HbA1a,
- HbA1b,
- HbA1c.
I ka ʻike ʻana i ka maʻi maʻi, me ka nānā ʻana i ka maikaʻi o ka mālama ʻana no kēia maʻi, ka nui o ka hba1c i ka nui loa.
Hoʻohana ʻia ke koko Venous e hoʻoholo ai.ʻAʻole koi ka loiloi o glycated hb i ka mākaukau kūikawā, hiki ke kiʻi ʻia i ke koko i kēlā me kēia manawa o ka lā, ʻoiai ka mea pinepine iā ia, lawe ʻia ka mea i ke kakahiaka, ma ka ʻōpū ʻole. Ka maikaʻi ʻole ka makemake o kahi mea e hana i hope o ke koko a me ke koko.
ʻO nā kumu no ka hoʻololi o nā hoʻoili
I ka nui o nā hihia, he nui ka hoʻonui ʻana o ka hemoglobin glycated e pili ana i ka maʻi diabetes. No laila, ʻo ka hana ʻana o kēia noi ʻana, me ka hōʻike o ka hoʻokaʻawale ʻana i ka glucose o ka waha, ka mea nui no ka hōʻike ʻana i ka maʻi mellitus.
ʻO ke anemia nele o ka hao a me nā beta-thalassemia ke kumu o ka hopena i hoʻonui ʻia ʻole.
Hiki ke hōʻike ʻia ka hōʻemi ʻana i ka hōʻailona me ka hypoglycemia lohi, a me ka mea maʻi i ka maʻi o ke koko, hoʻokahe ʻia ke koko, splenectomy (ka lawe ʻana i ka spleen) a me ka hemolysis.
ʻO ka hemoglobin Glycated i ka wā hāpai
Ke nānā nei i ka pae o ke kō a me ka glycated Hb i ka wahine hānai i ke keiki e lawe ʻia ana i ka manawa kūpono e ʻike pono ai i ka maʻi gestational diabetes mellitus (GDM).
ʻO ka huaʻōlelo GDM ka mea i hoʻonui ʻia i ka hoʻohaʻahaʻa glucose maʻi a i ʻole ka maʻi mellitus, i ulu a nānā mua ʻia i ka wā hāpai. E like me ke kānāwai, ʻike ʻia ka GDM ma ka lua o ka hapai ʻana.
ʻO nā kumu pilikino no ka hoʻolālā ʻana o GDM e loaʻa:
- GDM ma kahi hāpai ʻana ma mua,
- ka polyhydramnios, me ka mua o ka wā kahiko, ka hānau a i ʻole ka nui (ke kaupaona ʻana mai ka 4 kg) nā keiki i kahi hāpai ʻana ma mua.
- ʻopi momona
- haehae maʻi
- makahiki 35 kona mau makahiki.
Hoʻokomo ʻia ka nānā ʻana i nā maʻi maʻi wahine i nā hebedoma no ka poʻe maʻi me ka pilikia o ka MD. No nā wahine i ke koʻikoʻi o ka maʻi (obesity, a i ka moʻolelo kaumaha a me ka hele ʻana o nā mea e ʻike ai).
Hōʻailona ka mea hōʻike ma ke ʻano he hoʻonaninani glucose (OTTG - hōʻike hoʻoliʻi glucose ka waha). ʻO ka hoʻomaʻamaʻa ʻana no ka hōʻike ʻana i ka GDM kahi kahenahe o ka ʻōpū ʻole o ka ʻehiku ma mua o ʻehiku mau mmoleka pākeka, a ʻoi hoʻi ma luna o 7.8 mmol / l ma hope o 2 mau hola. No ka poʻe maʻi ole hebedoma, ʻo ka helu ʻai o ka wikiwiki ka 4.8 mmol no ka pāhau. ʻAʻole pono ʻo Glycated Hb i nā wahine hāpai i ka 6,5%. ʻO ke kūpono, ʻo kēia helu i ka lalo o 6%.
Hiki i ke GDM ke hōʻeha pinepine i nā maʻi a me ka maʻi mau i ka wā o ka wā hāpai (ʻo ka poʻe mau wahine ke loaʻa ka pyelonephritis), ka hānau ʻana o ke keiki me ka nui (ʻo kēia ka hoʻonui i ka hōʻeha o ka hōʻeha ʻana i ka makuahine a me ke keiki i ka wā hānau keiki), a me ka hoʻonui nui ʻana i ka hoʻoulu ʻana i ka maʻi maʻamau (ma hope) i ka makuahine a me ke keiki . ^ E Ha yM. Ka hoʻonui ʻia aʻe o ka hōʻino nui a me ka hānau ʻana o kahi fetus make.
Mālama ka glucose glucose
No ka hōʻemi i ka hopena o ka hoʻomohalaʻana i nā hoʻopiʻi koʻikoʻi o ka maʻi maʻi (retinopathy, nephropathy, neuropathy), pono ia e kiaʻi pono i ka pae o ke kō, mālama pono i ka hana i kuhikuhi ʻia a hahai pololei i kahi papaʻai.
No ka mālama mau ʻana i ka glucose i ka home, ke hoʻohana nei lākou i nā mea kūikawā - glucometer.
Manaʻo paha ka minima ma kahi o kahi minuke. No ka hanaʻana i kēia, e kau i kahi kulu o ke koko capillary (ke koko mai ka manamana lima) i kahi kiko hōʻike kūikawā a kau i loko o ka polokalamu. Hōʻike ka hopena ma ka ʻaoʻao i loko o kahi mau minuke.
Ke hana nei i ke ʻano o ka loiloi, pono e hoʻomanaʻo ʻia i ke koko ma luna o ka lāʻau hoʻāʻo e hoʻokaʻawale. Hiki i ka manamana lima ikaika a me ka "hoʻopihapiha ʻia" hāʻule i nā hopena no lalo.
Eia nō naʻe, pono e mālama pono i nā ʻāpana hoʻāʻo e like me nā ʻōkuhi, no ka mea ua noi ʻia ka reagent iā lākou inā hiki ʻole ke mālama ʻia ka mālama a me ka hoʻohana ʻana i nā rula ma hope o ka lā o ka hoʻopau ʻana.
Kāohi mālama
I ka hiki ʻana i ka pae momona glucose, e hōʻemi ka nui o ka HbA1c ma luna o ka manawa heʻe iʻeono mau pule. ʻO ia hoʻi, ʻo ka nānāʻana no ka hemoglobin glycated e hiki ai iā ʻoe ke kāohi i ka hopena o ka lāʻau i kauoha ʻia a me ke ʻano o ke kaohi o ka hyperglycemia.
Eia kekahi, hoʻomaʻamaʻa ʻia kēia noiʻi e nānā i ke kiʻekiʻe o nā hōʻeha o nā pilikia. Inā hoʻonui ʻia ka hemoglobin glycated a me ke kō koko koko (ma mua o hoʻokahi pakeneka a ʻelua mau (mmol / l), kēlā me kēia, e hōʻike ana i kahi kiʻekiʻe o ka hoʻomohala ʻana i nā hoʻopiʻi o ka maʻi maʻi.
ʻO nā maʻi me ka maʻi maʻi e lawe i ka glycated Hb ma ka liʻiliʻi he hoʻokahi i kēlā me kēia ʻekolu mahina.
Hoʻomaopopo i ka maʻi maʻi maʻi
ʻO nā hōʻailona mua o ka maʻi maʻi ma ka:
- kāʻehaʻeha
- hookeai pinepine ole, ka po,
- ka pohō kaumaha ʻole me ka momona nui,
- mau ka makewai mau
- nā membus malo maloʻo
- ka maloʻo a me ka ʻeha o ka ʻili,
- ua hoemi i ka hihio
- nā maʻi hopohopo pinepine
- hoʻomau i nā maʻi huhū
- hōʻemi maikaʻi ka hōʻeha ʻana
- hōʻemi i ka makemake moekolohe,
- ʻo ka ʻekahi pinepine ʻana a me ka hoʻonāukiuki ʻana i nā wahine.
Ke kū ʻia nā hōʻailona ma luna, pono e hāʻawi koko i ke koko no ka kō a inā, inā pono, e loiloi i ka pae o glycated hemoglobin.
Hoʻonui nui ka hiki i ka hoʻomohala ʻana i ka maʻi i nā mea maʻi e hōʻeha ʻia, ʻo ia hoʻi, he nui nā mea predisposing:
- ʻopi momona
- haehae maʻi
- kaumaha nā mōʻī ʻohana (ʻo ka hele ʻana o ke ʻano maʻi maʻi i nā hoahānau),
- ka heleʻana o PCOS i ka wahine (polycystic ovary syndrome),
- kolamu kiʻekiʻe.
Kau pū ʻia ma ʻaneʻi ma luna o 45 mau makahiki he ʻona, kahi ʻano hoʻomaha, inu pinepine, a me ka maʻi pancreatitis me ka hoʻolaʻa pinepine ʻana.
Pono kēlā mau kānaka e loaʻa i kahi hoʻokolokolo pale i kēlā me kēia 6 mau mahina e haʻalele i ka maʻi maʻi.