Hemoglobin Glycated
A ʻike ʻia kahi kiʻekiʻe o ka hemoglobin glycated, ʻike nā kauka i kahi loiloi piha o nā maʻi, nā mea e hiki ai ke hoʻokūkū a haʻalele paha i ka maʻi o ka maʻi maʻi. No ka mālamaʻana i nā maʻi maʻi me ka mellitus maʻi diabetes, hoʻohana nā endocrinologists i nā lāʻau hou loa e hōʻemi ana i ka hoʻokahe koko, ua kākau ʻia i ka Russian Federation. ʻO nā hihia koʻikoʻi o ka maʻi maʻi maʻi e kūkākūkā ʻia i ka hālāwai o ka ʻaha Hoʻolālā me ka komo ʻana o nā kauka, nā kauka o nā ʻano ʻepekema lapaʻau, a me nā kauka o nā papa kiʻekiʻe. Hoʻomaopopo ka poʻe lapaʻau i nā makemake o nā maʻi.
Nā hōʻailona no ka hoʻonohonoho a me ke ʻano koʻikoʻi o ka loiloi
Hana ʻia ka nānā ʻana no ka hemoglobin glycated.
- ʻO ka hoʻoweliweli ʻana o nā hā o ka pakanā o ka pakanā (me ke kiʻekiʻe o ka hemoglobin glycated o 6.5%, ua hōʻoia ʻia ka pākaʻi ʻana o ka maʻi diabetes)
- ʻO ka nānāʻana i ka maʻi mellitus maʻi maʻi (glycated hemoglobin e hiki ai iā ʻoe ke nānā i ke kiʻekiʻe o ka hoʻopaʻi ʻana i nā maʻi no 3 mau mahina).
- ʻO ka loiloi o ka hana hoʻomanawanui i ka mālama ʻana - ka kiʻekiʻe o ka pilina ma waena o ka ʻano o ka mea maʻi a me nā ʻōlelo i loaʻa mai ia e ke kauka
Hōʻike ʻia he hōʻike koko no ka hemoglobin glycated i nā poʻe maʻi e hoʻopiʻi nei i ka makewai nui, ka nui ʻana o ka hoʻoulu pinepine ʻana, ka wikiwiki wikiwiki, ʻike ʻole ʻia, a me ka hoʻonui nui ʻana i nā maʻi. ʻO Glycated hemoglobin kahi hana retrospective o ka glycemia.
Aia i ke ʻano o ka maʻi mellitus a me ka maikaʻi o ka maʻi e mālama ʻia ai, ka nānā ʻana i ka hemoglobin glycated e lawe ʻia ana i 2 a 4 mau manawa i kēlā me kēia makahiki. I ka manawa maʻamau, ua ʻōlelo ʻia nā mea maʻi me ka maʻi maʻi e hāʻawi i ke koko no ka hoʻāʻo ʻana i ʻelua ʻelua i ka makahiki. Inā ʻike ka mea maʻi i ka maʻi maʻi no ka manawa mua a i ʻole ka hopena o ka mālama ʻana, kaukī hou nā kauka i ka nānā ʻana no ka hemoglobin glycated.
ʻO ka hoʻomākaukau a me ka hāʻawi ʻana i ka loiloi no ka hemoglobin glycated
ʻAʻole pono ka hōʻike ʻana no ka hemoglobin glycated. ʻAʻole pono ke koko e lawe ai ma ka ʻōpū ʻole. Ma mua o ke kūleʻa ʻana i ke koko, ʻaʻole pono ka mea maʻi e hoʻoponopono iā ia iho i nā mea inu, e pale ʻole i ke kaumaha kino a i ʻole. ʻAʻole pili ka lāʻau lapaʻau i ka hopena o ke aʻo ʻana (koe wale nō nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka glucose koko).
ʻOi aku ka hōʻoia ʻana o ka noiʻi ma mua o kahi hoʻokahe koko no ke kōpaʻa a i ʻole ka hoʻāʻo ʻana i ka hoʻoliʻi glucose me kahi "hoʻouka". E hōʻike ana ka loiloi i ke kāʻei o ka hemoglobin glycated i hōʻiliʻili ʻia ma luna o ʻekolu mahina. Ma ka palapala, e loaʻa ka mea maʻi i kona mau lima, e hōʻike ʻia ka hopena o ke aʻo ʻana a me ke ʻano o ka hemoglobin glycated. ʻO ka hoʻohālikelike o nā hualoaʻa e hōʻike ʻia ana ma ka hale hōʻaiʻo Yusupov e lawe ʻia e ka endocrinologist ʻike.
ʻO nā pua o ka hemoglobin glycated i nā pākeke
ʻO ka maʻamau, ʻokoʻa ka pae o ka hemoglobin glycated mai ka 4.8 a i ka 5.9%. ʻO ka kokoke i ke kiʻekiʻe o ka hemoglobin glycated i kahi mea maʻi me ka maʻi maʻi i ka 7%, ʻoi aku ka maʻalahi o ka pale i ka maʻi. Me ka hoʻonui o ka hemoglobin glycated, hoʻonui i ka nui o ka hoʻopiʻi.
Hoʻopili ʻia nā kuhikuhi glycated hemoglobin e nā endocrinologists i like penei:
- 4-6.2% - ʻaʻohe mea maʻi ka maʻi maʻi
- Mai 5.7 a 6,4% - prediabetes (pale i ke kūpaʻa o ka glucose, ka mea i pili i ka nui o ka nui o ka maʻi diabetes),
- 6,5% a i ʻole - ua maʻi ka mea maʻi me ka maʻi maʻi.
Hiki ke kau ʻia ka hōʻailona i nā mea nui. I nā mea maʻi me nā ʻano maʻi hemoglobin (nā mea maʻi me nā sela koko ʻōmaʻomaʻo ʻano liple), e hoʻemi ʻia ka nui o ka hemoglobin glycated. Inā he ʻeha ka poʻe i ka hemolysis (hōʻea i nā ʻāpana koko ʻulaʻula), anemia (anemia), hōʻeha nui, a laila hiki ke hoʻēmi ʻia nā hopena o kāna noiʻi. Hoʻopili ʻia nā helu o ka hemoglobin glycated me ka nele o ka hao i loko o ke kino a me ke kahe koko hou. ʻAʻole hōʻike ka hoʻohālikelike o ka hemoglobin glycated i nā loli koʻikoʻi i ka glucose koko.
ʻO ka papa ʻaina o ka hemoglobin glycated me ka awelika o ka plasma glucose i kēlā me kēia lā i nā mahina ʻekolu i hala.
Hemoglobin Glycated (%) | Ka awelika o ka lā glucose plasma (mmol / L) i kēlā me kēia lā |
5,0 | 5,4 |
6,0 | 7,0 |
7,0 | 8,6 |
8,0 | 10,2 |
9,0 | 11,8 |
10,0 | 13,4 |
11,0 | 14,9 |
Hoʻonui a hoʻohaʻahaʻa i ka hemoglobin glycated
ʻO ka hoʻonui nui o ka hemoglobin glycated e hōʻike i ka hoʻonui lōʻihi, akā hoʻonui mau i ka neʻe o ka glucose i ke koko o ke kanaka. ʻAʻole hōʻike kēia mau ʻikepili i ka hiki ʻana o ka maʻi diabetes. Hiki ke kīnā ʻia ka hoʻōla ʻana me ka hopena i ka hoʻāʻo ʻana i ka glucose. E hewa nā hualoaʻa me nā hōʻike kūpono ʻole i hoʻouna ʻia (ma hope o ka ʻai ʻana, a ʻaʻole ma luna o kahi ʻōpū ʻole).
ʻO ka maʻi hemoglobin glycated i hōʻemi ʻia i ka 4% e hōʻike ana i kahi haʻahaʻa o ka glucose i ke koko - hypoglycemia ma mua o kahi mau maʻi (pancreatic insulinomas), nā maʻi genetic (intulerance glucose laʻa). Hōʻemi ka pae o ka hemoglobin glycated me ka hoʻohana ʻole ʻana i nā lāʻau lapaʻau e hōʻemi ana i ka glucose koko, ke kī ʻai kākeka, a me ka hana kaumaha kino e alakaʻi ai i ka hōʻemi o ke kino. Inā hoʻonui ʻia a i hōʻemi paha ka ʻike o ka glycated hemoglobin, e kūkākūkā me ka endocrinologist ma ka haukapila Yusupov, ka mea nāna e nānā i kahi hōʻike paʻa a kuhikuhi i nā hoʻokolohua hou aʻe.
Pehea e hōʻemi ai i ka hemoglobin glycated
Hiki iā ʻoe ke hōʻemi i ke kiʻekiʻe o ka hemoglobin glycated e hoʻohana ana i kēia mau helu:
- Hoʻohui i nā mea ʻai nui i nā mea kanu a me nā hua i loaʻa i ka nui o nā fiber, kahi e kōkua ai i ka hoʻonoho ʻana i ka glucose koko.
- Eʻai i nā wai skim a me nā ʻōmole, aia ka nui o ka calcium a me ka vitamin D, e hāʻawi i ka normalization o ke koko glucose,
- Hoʻonui i kāu kauʻana i nā huaʻai a me nā iʻa, kahi e loaʻa ai nā momona momona o omega-3, e kōkua ana i ka hōʻemi ʻana i ka kūleʻa o ka insulin a e hoʻoponopono i nā kaila koko.
I mea e hōʻemi ai i ka kūleʻa glucose, manawa no ke kinamona a me ke kinamona, hoʻohui i kāu huahana i ke kī, e pīpī me nā huaʻai, nā lau ʻai a me ka ʻiʻo ʻai. Kōkua ʻo cinnamon i ka hōʻemi ʻana i ka kūleʻa o ka glucose a me nā pae o ka hemoglobin glycated. Manaʻo nā Rehabilitologists i nā maʻi i kēlā me kēia lā no 30 mau minuke e hana i kahi papa o nā hana olakino e hiki ai i ke kaʻi aku o ka glucose a me ka hemoglobin glycated. Hoʻohui i nā hana aerobic a me anaerobic i ka wā aʻo. Hiki i ke aʻo ʻana ke hoʻoikaika i ka hoʻohaʻahaʻa i kāu kaila koko, aʻo ka hana aerobic (hele, ʻauʻau) hiki ke hoʻohaʻahaʻa i ke kō o kāu koko.
I mea e hana ai i ka hoʻokaʻina koko no ka ʻike o ka hemoglobin glycated a loaʻa i nā ʻōlelo aʻo mai kekahi ahonui endocrinologist, kāhea i ke kikowaena o ka hui o ka haukapila Yusupov. ʻO ka haʻawina noiʻi ka haʻahaʻa ma mua o nā keʻena olakino ma Moscow, ʻoiai nā mea kōkua o nā kāpena e hoʻohana i nā loiloi gogekobin glycated hou loa mai nā mea hana.