ʻO ka helu o ka hemoglobin glycated i ka maʻi diabetes

ʻO Glycated hemoglobin kahi hōʻailona i hoʻoholo ʻia e ke ala biochemical. Hōʻike ia i nā loina gula i nā mahina ʻekolu i hala. Mahalo i kēia, hiki ke loiloi i ke kiʻi lāʻau lapaʻau o ka maʻi mellitus me nā pilikia ʻole. Hoʻoholo ʻia ka pākēneka. ʻO ka nui o ke kō koko, ʻoi aʻe ka hemoglobin e hoʻopili ʻia.

Hoʻohana ka loiloi HbA1C i nā keiki a me nā pākeke. Hāʻawi ia iā ʻoe i ka maʻi maʻi i ka pale ʻana, ka nānā ʻana i ka pono o ka mālama ʻana.

ʻAno a me nā hōʻailona no ka maʻi maʻi maʻi

Aia a hiki i ka 2009, ua hōʻike ʻia ka palapala hōʻike o nā kuhikuhi ma kahi pakeneka. ʻO ka nui o ka hemoglobin e pili ana i ka glucose i nā kānaka olakino aia ma kahi o 3.4-16%. ʻAʻohe o kēia mau kuhikuhi i ka palena o nā kāne a me nā makahiki. Ua hoʻopili ʻia nā ʻōpū koko koko i ka glucose me nā lā 120. No laila, e hōʻike ana ka hōʻike iā ʻoe e loiloi kūpono i ka ʻ awelika maʻamau. ʻO ka helu ma luna o 6.5% ka mea maʻamau ma ka poʻe me ka maʻi maʻi. Inā aia ma kahi pae o 6 i 6.5%, ʻōlelo nā kauka he hoʻonui nui aʻe o ka hoʻomohala ʻana i ka maʻi.

I kēia lā, i nā mea hana, ke helu ʻia nei ka hōʻike ʻana o ka hemoglobin glycated i mmole i ka mole o ka hemoglobin āpau. Ma muli o kēia, hiki ke loaʻa i nā hōʻailona ʻokoʻa. E hoʻohuli i nā mea hou i ka pakeneka, e hoʻohana i ka ʻano kikoʻī kūikawā: hba1s (%) = hba1s (mmol / mol): 10.929 +2.15. I nā poʻe olakino, a hiki i ka 42 mmol / mol ka mea maʻamau.

Kila maʻamau no ka maʻi maʻi maʻi

I nā maʻi me ka maʻi mellitus no ka manawa lōʻihi, ʻoi aku ka nui o ka hb1c ma mua o 59 mmol / mol. Inā mākou e kamaʻilio e pili ana i ka pakeneka, a laila ma ka maʻi mellitus, ʻo ka hōʻailona o 6,5% ka mea nui. I ka wā mālama, nānā lākou i kū ʻole ka hōʻailona. Inā ʻaʻole, e ulu mai nā hoʻopiʻi.

ʻO nā pahuhopu mea hoʻomanawanui kūpono:

• diabetes type 1 - 6,5%,
• diabetes type 2 - 6,5% - 7%,
• i ka wā hapai - 6%.

Hōʻike ka hōʻike ʻana i ka mea maʻi e hoʻohana ana i ka hoʻoponopono hewa ʻole a aia kekahi mau ʻōnaehana pathological i loko o ke kino e pili pū me ka hoʻoneʻe a me ke kō aʻe. Inā hoʻonui pinepine ʻia ka hemoglobin glycated, ua hoʻokaʻawale ʻia nā hōʻike koko ʻē aʻe e ʻike i nā kiʻekiʻe o ke kō ma mua a ma hope o ka ʻai.

ʻO ka poʻe me ka maʻi diabetes mellitus type 2, loaʻa nā maʻi cardiovascular, ua ʻōlelo ʻia e mālama i ka hōʻailona ma loko o 48 mmol / mol. Hiki ke hoʻokō ʻia inā he pili ʻoe i kahi meaʻai.

Inā e hoʻoponopono mākou i ke kiʻekiʻe o ka wehewehe i ho'ākāka ʻia me nā pae glucose, e hoʻololi ʻia me ka hbа1c 59 mmol / mol, ʻo ka ʻohu glucose mākaukau he 9.4 mmol / l. Inā ʻoi aku ka kiʻekiʻe o ka hemoglobin ma mua o 60, hōʻike kēia i kahi predisposition i nā hoʻopiʻi.

Uku ka nānā nui ʻana i nā hōʻailona i nā wahine hāpai. ʻO kā lākou kumu maʻamau he 6.5, hiki i nā palena ʻae ʻia 7. Aia ke kiʻekiʻe aʻe nā waiwai, a laila hiki iā mākou ke kamaʻilio e pili ana i ka hiki ʻana o ka maʻi maʻi i nā wahine hāpai. I ka manawa like, hiki iā ia ke manaʻo i nā wāhine i ke kūlana e hoʻopaʻa i ka hoʻokalakupua wale ai i nā mahina 1-3. I nā lā ma hope ma muli o nā pilikia o ka hormonal, ʻaʻole hiki ke hana ʻia ke kiʻi kūpono.

Nā hiʻohiʻona noiʻi

ʻO kekahi o nā pono nui no ka hoʻopaʻa ʻana i ka hemoglobin glycosylated ʻo ka nele o ka hoʻomākaukau a me ka hiki ke lawe i kahi ʻano noiʻi i kēlā me kēia manawa. Loaʻa nā ala kūikawā i hiki ke kiʻi i kahi kiʻi hilinaʻi e pili ana i ka lāʻau, ka meaʻai a me ka luhi paha.

ʻO ka ʻōlelo wale nō ke hōʻole i ka ʻaina kakahiaka ma ka lā o ke aʻo ʻana. Kūpono nā hualoaʻa ma 1-2 mau lā. Inā ua hōʻeha ʻia ka mea maʻi i ke kahe koko a i ʻole i loaʻa ke koko i ke ala hou loa, hiki ʻole ke kuhihewa i nā hōʻailona. No kēia mau kumu, hoʻopanee ʻia ka noiʻi i kekahi mau lā.

I ka hopena hope aʻe, ʻike mākou: ʻaʻole ka maʻi nui o ka maʻi helu i nā ʻano like ʻole o ka maʻi mellitus, akā ke hele pū kekahi o nā maʻi thyroid, kahi hewa ʻole, a i ʻole nā ​​pilikia o ka hypothalamus.