ʻO ka helu o ka hemoglobin glycated i nā kāne

I loko o kahi kikoʻī pili hoʻopili a kekahi kanaka, paʻa ka hao ʻana i ka protein me ke kūlohelohe i ka glucose i ka wā o ka loaʻa ʻole o ka enzymatic. I ka hopena, ua kūkulu ʻia glycated hemoglobin. ʻO ka pākaʻi paʻa i nā ʻāpana kūpono e pili pono ana i ka pae o ke kō i loko o ke koko. Hoʻololi ʻole ka hōʻike a no ka 120 mau lā. I kēia manawa, ʻo ka nui o ke koko "candied" he mea koʻikoʻi ka maʻi ma ka maʻi me kahi maʻi maʻi e like me ka maʻi maʻi. Aia ma lalo iho nei nā ʻike e pili ana i nā hōʻailona e pili ana i ke kumu o ka nānā ʻana no ka hemoglobin glycated, nā papa o ka ʻāpono o nā hopena me nā kūlana i ʻāpono ʻia, a i kahi algorithm no ka hoʻokau ʻana. Eia kekahi, e kamaʻilio mākou e pili ana i nā kumu o ke kloe ʻana o nā waiwai i kahi mea nui loa a i ka liʻiliʻi, a me nā mea hoʻoponopono e pili ana i ka mālama ʻana i kahi maʻi pathological.

ʻLylelo Glycated hemoglobin: noʻonoʻo

ʻO ka hāmeʻa-huna nā mea waiwai he mea nui ia o nā ʻāpana koko ʻulaʻula - nā sela ʻulaʻula. ʻO kāna mau hana: ka lawe ʻana i nā oxygen i nā cell a pau o ke kino, e hoʻoneʻe ana i ka carbon dioxide mai iā lākou.

Hoʻomoʻi ke kō i ke aniani i ka palaile i ka membrane erythrocyte. A laila, ke hoʻomaka nei o ke kaʻina o kona launa pū me ke kinamona-piha ka protein. ʻO ka hopena o kēia hopena kemika he pūhui kūikawā, kahi i ka lāʻau lapaʻau i kapa ʻia ʻo glycated hemoglobin.

Hōʻike paʻa ka hōʻailona hopena. ʻAʻole loli ka pae o ka hemoglobin glycated no 120 mau lā. ʻO kēia ma muli o nā hiʻohiʻona o ka nui o ke ola o nā sela koko ʻulaʻula. ʻOi aku he 4 mau mahina, mālama nā seleka ʻulaʻula i kā lākou mau hana, a laila hoʻomaka ka kaʻina o ko lākou luku ʻia ʻana. ʻO ka make ʻana o nā kahe koko ʻula ma loko o ka spleen. Ke kūʻē nei i ke ʻano o kēia kaʻina hana, hele pū kekahi i ka goged hemoglobin. ʻO ka huahana hope o kona pala o ka bilirubin. Eia, ʻaʻole ia e kāpae i ka glucose.

Ua hōʻike ʻia e nā kauka kauka he 3 mau ʻano o ka hemoglobin glycated.

ʻO ka maʻi koʻikoʻi ke ʻano hope. Hōʻike ia i ka pololei o ke kaʻina o ke kaohi metabolism i ke kino o ke kanaka. Eia kekahi, ʻoi aku ka kiʻekiʻe o ka indexog hemoglobin glycated, ʻoi aku ka kiʻekiʻe o ke kaila o ke koko o ka hōʻike. Kuhi ʻia ke kumukūʻai o ke kumukūʻai o ka huina o ka nui o ka waihona hao mea loaʻa.

ʻO ka nānā ʻana i ka wai huakaʻi no ka hemoglobin glycated e pololei a hoʻomaopopo i ka ʻike. Ma kēia hana, ua hoʻoholo ʻia no ka hoʻomohala ʻia ʻana no ka hoʻomohala ʻana i ka maʻi maʻi i ke kino o ka mea maʻi. E like me ka waiwai i loaʻa, hiki i ke kauka ke hoʻokolokolo i ka pae o ke kō i loko o ke koko ma mua o nā mahina he 4 i hala. Eia kekahi, e like me ka hopena, hiki i ka mea loea ke ʻike inā hahai ka mea maʻi i ka papaʻaina i ka manawa holoʻokoʻa a i ʻole hoʻoponopono ʻia i ka papaʻai i kekahi mau lā wale nō ma mua o ka hoʻopuka ʻana o ka biomaterial.

Hiki pū i kēlā me kēia mea noiʻi ke hoʻopaʻa i ka papa hoʻolaʻa glycosylated hemoglobin me nā maʻamau a hoʻomaopopo paha inā he koʻikoʻi ia no ka hoʻomohala ʻana i nā hoʻopiʻi o ka maʻi maʻi. Hāʻawi ka hōʻailona ia ʻoe e hōʻike i ke ʻano o ka maʻi, kahi ʻike ʻole ʻole a ka maʻi noʻonoʻo.

Ke kau ʻia kahi loiloi

Ke hana ʻia kahi noi noi noi inā loaʻa iā ke kauka he maʻi ka maʻi maʻi. He kulia kēia o ke ala o ka endocrine system, ʻike ʻia e ka mea ʻokoʻa a paʻa ʻole paha i loko o ke kino kanaka o ka insulin (kahi hormone i hana ʻia e ka pancreas.

Wahi a nā helu helu, ʻaʻole 25% o nā kānaka ke kānalua i ka heleʻana o ka maʻi. Eia naʻe, ʻo ka maʻi ka maʻi maʻi ma ke ala kahi e hopohopo ai i ka pōʻino ʻaʻole wale no ke olakino a ke ola nō hoʻi.

Nā ʻōkuhi no ke kumu o ka hoʻoili ʻana:

• ʻIke ʻia ka nui o ke kō me ke koko ma muli o nā hopena o ka hōʻike loiloi o nā mea kūlohelohe.
• Kūʻai pinepine. Makemake ka kekahi i ka hoʻopau ʻana i ka pulu i kēlā me kēia hola.
• Hoʻopili i ka ʻili.
• Makewai nui. Inā inu kekahi kanaka ma mua o 5 lita wai i kēlā me kēia lā, maʻamau ia e kamaʻilio e pili ana i ka polydipsia. He huakaʻi holoholo kēia a ʻaʻole hiki ke māʻona.
• Wehewehe genital.
• Pau ka maʻi mucosa.
• ʻOi nā hōʻuluʻulu hōʻemi loa i nā wā lōʻihi loa.
• Holoi i ka pālahalaha hui kino. I ka hoʻomakaʻana o nā maʻi, nui ka momona e hoʻonui. I ka wā e hiki mai ana, emi ka nui o ke kino. ʻO kēia ke kumuʻole o ke kaʻina hana o ka assimilation o nā mea kanu hua, i ka nui, nā pākuʻi. I ka manawa like, e emi ana ke kanaka i ka paona, me ka loaʻa o ka momona momona.
• ʻO ka pale keʻokeʻo ma mua o nā maka. ʻO kahi kūlana kēia kahi hopena i ka hana kuʻuna o ke kahe koko i ka retina.
• Hoʻoholo i ka makemake moekolohe.
• Nā manawa pinepine o ka anu.
• He kaumaha i ka lalo haʻahaʻa.
• ʻʻAla
• ʻO nā māpuna mauʻa o ka io o ke kino, i hoʻopaʻa ʻia i ka pae gastrocnemius.
• ʻO ka heleʻana o kahi ala o nā acetone kikoʻī mai ka waha.
• Malekini ākea.
• Kālā paʻa psycho-naʻau.
• ʻO ka wikiwiki wikiwiki o ka hoʻoluhi.
• ʻAno, huli pinepine i ka luaʻi.
• Hoʻemi i ke ʻano wela o ke kino.
• Hoʻomanaʻo hoʻomanaʻo.

Hoʻokomo ʻia kekahi hōʻike hemoglobin glycated no nā poʻe maʻi i hōʻike mua ʻia me ka maʻi maʻi maʻi. Wahi a nā hopena, hiki i ke kauka ke hoʻoponopono i ka hiki o ka pilikia.

ʻO ka maikaʻi o nā haʻawina ʻoi aku ka ʻoi aku ka ʻike ma mua o ka ʻike koko koko maʻamau.

ʻO nā waiwai maʻamau no ka wahine

I nā wahine, ʻo ka hōʻailona neha hemoglobin he ʻano hoʻohālike o ke olakino. Inā loaʻa ka nui o ka wahine i ka HbA1c ma ka liʻiliʻi i hoʻokahi manawa i kona ola, pono mālamaʻo ia iā ia i ka wā o kona ola.

Me ka nui o nā makahiki, ua kū mai nā ʻano holi i loko o ke kino o ke kanaka. ʻAʻole kūpono nā loli nei i nā kāne. Ma kēia mea, hōʻiliʻili nā kauka i nā papa ʻaina like ʻole o ka ratio o ka hemoglobin glycated a me ka hoʻokahe koko. Eia kekahi, hōʻike ʻia kēlā me kēia makahiki e kona mau pono maʻamau.

Hōʻike ka papa ma lalo nei i kahi kikoʻī o ka hemoglobin glycated a me ke kō koko koko i nā wahine.

Ka loea gula i hōʻike ʻia ma mmol / L

E like me ka ʻike ma ka papaʻaina, hoʻonui ʻia ka hemoglobin glycated i nā wahine me nā makahiki. Eia kekahi, i kēlā me kēia 10 mau makahiki, e hoʻonui ʻia ka hōʻailona e pili ana i ka 0.9-1%.

ʻAʻole hoʻohana pinepine ke kauka i ka papa i hoʻomaopopo i ke ʻano o ka glycated hemoglobin i ka glucose. Inā hoʻomanawanui ka mea maʻi i ka maʻi diabetes no kekahi manawa, hiki i kahi loea ke hoʻoholo pilikino iā ia. Kūkulu ʻia kona helu ʻana ma nā hiʻohiʻona o ka olakino a me ka koʻikoʻi o ka maʻi. I kēia hihia, ʻaʻohe pono o ka mea maʻi e hoʻohālikelike i ka hopena o ka hemoglobin glycated me kahi papa o nā mea maʻamau. Pono ke kikoʻana i ka māka i hoʻonohonoho ʻia e ke kauka.

Inā ʻike ka wahine i ka maʻi maʻi no ka manawa mua, hilinaʻi ka mea loea ma ka papa pākuʻi, nā mea kau o ka hemoglobin glycated i helu ʻia no nā kānaka olakino. I kēia hihia, pono e hoʻomau mau ka mea maʻi i ka hōʻailona a ho'āʻo e mālama ia i ka pae kūpono.

He mea nui ia e ʻike i loko o nā wahine olakino, glycated hemoglobin a me nā awelika hōʻailona koko koko ʻaʻole pono e pili pono i ka papaʻaina me nā ʻano maʻamau maʻamau. Inā loaʻa kahi hewa i ka manawa hoʻokahi, ʻaʻole pono ʻoe e hopohopo, akā pono ʻoe e nānā maʻamau i ka hōʻailona. Hiki ke kaha kūleʻa mai ke kaila mai ke ʻano o kahi mea i hoʻolōʻihi nei i kahi kūlana o ke kaumaha, hana nui, a me ka ʻai haʻahaʻa.

Nā hōʻailona no nā wahine hāpai

Ke hoʻāʻo nei nā kauka e kuhikuhi i kēia ʻano hoʻokolohua hoʻāʻo ʻoiai ʻaʻole ma nā hihia āpau, akā inā pono wale nō. ʻOiai ke kūpono o ka hoʻākāka ʻana, hiki ke loli paha nā hopena i ke wā o ka hapai. ʻO kēia ma muli o nā loli i ke kino o ka wahine.

Eia nō naʻe, aia kekahi mau mea pono, kahi kūʻokoʻa mai kahi e hoʻoweliweli ʻia ai ka hoʻoweliweli ʻana i ka olakino ʻaʻole wale nō ka mea hoʻohālike, akā ʻo ka ʻōpio hoʻi. E like me ka papa aʻe ma lalo o ka papa i lalo, ʻo ke ʻano o ka hemoglobin glycated i ka wā hāpai a ʻaʻole pono e hoʻonui i ka 6%.

ʻO kēia papa o nā waiwai hemolele glycated hemoglobin i kūpono no nā wahine i kekahi manawa o ka hāpai ʻana. Ke hoʻomaka nei i ka prediabetes, ua huki mua ke kauka i kahi lāʻau lapaʻau no ka mea maʻi.

Hoʻohālikelike i ka hopena o ka hemoglobin glycated me ka papa. Inā hoʻonui ʻia ka hōʻailona, ​​pono ia e hana hou i kahi hōʻike. ʻO kēia no ka mea i hiki ke pale aku mai ke ʻano maʻamau i hiki mai me ka hyperglycemia, anemia, a ma hope o ke kahe ʻana o ke koko hāʻawi.

I nā hanana liʻiliʻi, ʻike ʻia kahi hōʻailona o ka liʻiliʻi o 4%. Hiki iā ia ke kuhikuhi i ka anemia, ke kahe ʻana o nā kahe e hoʻopili ai i nā kahe, ke luku ʻia o nā kaila ʻula.

ʻO nā waiwai maʻamau no nā kāne

Wahi a nā kauka ma hope o 40 mau makahiki, pono e hoʻāʻo pinepine ka luna o ka wahine ikaika no ke koko. Eia kekahi, pono e noiʻi no kēlā mau kānaka i makemake i ke kaupaona a ke alakaʻi nei i kahi ʻano e ʻike ʻole ai i ka hana motor.

Hōʻike ka papa ma lalo nei i nā ʻano o nā hemoglobin glycated i nā kāne i ka makahiki. He mea kūpono ia e emi iki ana ma mua o nā wāhine.

Wahi a ka papaʻaina, hoʻonui ʻia ka hemoglobin glycated me ka makahiki. Hoʻoiho ʻia ka huli ʻana i nā hōʻailona ma nā ʻāpana liʻiliʻi.

Pono ka hopena e kūpono i ka neʻe ʻana o ke kō i ke kōʻai hoʻomāluakū ʻana. Aia ma lalo kahi papahele o ka pae like o ka gogekēne glycated a me ka glucose koko.

A laila, e like me ka ʻike ma ka papaʻaina, hui glycated hemoglobin a me ke kōpono e like me kēlā me kēia. No ka mea, inā ʻo HbA1c he 5%, pono ke pae o ke koko he 5.4 mmol / L. Inā haʻalele kēia mau waiwai mai ka lula, he mea maʻamau ia e kamaʻilio e pili ana i ka hoʻolālā ʻana o kahi kaʻina loiloi i ke kino o ka mea maʻi.

I ka wā o ka makahiki, ua loli nā mea maʻamau o ka hemoglobin glycated i nā kāne, a me nā wahine. Akā inā ua pilikia ke kanaka i ka maʻi diabetes no ka manawa lōʻihi, hiki i ke kauka ke helu i kahi hōʻailona pākahi no kāna mea maʻi.

ʻO nā waiwai maʻamau no nā keiki

I kahi keiki olakino, ʻo ka nui o ka hemoglobin glycated, ʻaʻohe hoʻi o ke ʻano o ka makahiki, e like me waena o 4-6%. I nā keiki hou, hiki ke hoʻonui iki ʻia nā helu, ma muli o ka loaʻa ʻana o kahi pūhui koʻikoʻi i ko lākou koko.

I nā keiki me ka mellitus maʻi mellitus, hoʻololi ʻia ke ʻano o ka hemoglobin glycated me ka makahiki. Eia kekahi, hilinaʻi nā ʻōkuhi i ke kiʻekiʻe o ka uku o ka metabolism.

Hōʻike ka papa ma lalo e pili ana i nā nūpepa kahiko o ka hemoglobin glycated a me ka glucose. He pono kēia ʻike no nā keiki maʻi mai ka hānau ʻana a hiki i 6 mau makahiki.

Hōʻike ʻia ka papa ʻaina o ka hemoglobin glycated a me nā waiwai glucose i nā keiki me ka maʻi mellitus mai ka 6 a 12 paha makahiki.

Eia ma lalo kahi papaʻaina. Me ka makahiki, hemoglobin glycated a me ka glucose i loko o nā mea maʻi me ka maʻi maʻi e hoʻemi iki. Hōʻike ka papa ʻaina i nā ʻano o nā ʻōpio.

I nā keiki, ʻo glycated hemoglobin kahi hōʻailona hōʻailona koʻikoʻi. ʻO kahi kikoʻī o ka papa ʻaina a me nā hopena i loaʻa ke hana i hana ʻia e ka mea ʻike loea wale nō.

Nā huapau

Hiki iā ʻoe ke waiho i ka mea ola no ke kūleʻa ʻana ma ke keʻena olakino ākea a me ka pilikino. I ka hihia mua, pono ʻoe e nīnau i ke kauka ma kahi o ka hoʻopaʻa inoa a i ka noho ana paha. E huki ana ka loea i kahi hoʻolaha no ke aʻo ʻana. I nā keʻena pilikino a me nā limahana hana kūʻokoʻa, ʻaʻole pono kēia palapala. Nui ia ma mua o ka hoʻopaʻa inoa ʻana i ke kākau inoa ʻana o ke ʻano i koho ʻia.

I mea e pono ai ka hopena e like me ka mea e pono ai, he mea pono e hoʻomākaukau no ka hāʻawi ʻana i nā biomaterial. Pono ka mea maʻi e kūlike i kēia mau ʻōlelo penei:

• Pau ʻia ka ʻai ʻana ma mua o ka ʻike koko koko. Mai ka manawa o ka ʻai hope a me ka hāʻawi ʻana i nā biomaterial, ma ka liʻiliʻi loa he 8 mau hola. Pono paha, 12 mau hola e hala .. ʻO kēia ke ʻano o ka ʻaʻa ʻana e loli ka pae koko koko. I ke hopena, ʻaʻole kūpono nā waiwai i loaʻa i ke ʻano o ka hemoglobin glycated e ka makahiki (ua hōʻike ʻia nā papa no ka poʻe olakino i luna).
• I kekahi mau lā ma mua o ka hoʻopuka ʻana o biomaterial, pono ia e hoʻoponopono i ka ʻai. Pono e hoʻokaʻawale i nā meaʻai momona a me nā palaoa i ka papa mai. Eia kekahi, pāpā i ka hoʻohana ʻana i nā mea inu waiʻona a me nā lāʻau lapaʻau e loaʻa ai ka ethyl.
• Ma mua o ka hāʻawi ʻana i ke koko, ua ʻae ʻia e inu i ka wai ʻole (carbonated). Hoʻoleʻa ʻia ka ʻawa, kao a me nā wai inu.
• No nā lā 2-3, e ʻōlelo ʻia e hoʻōki i ka hoʻolaha ʻana i ke kino a hiki i ke hoʻoikaika kino ʻana i ke kino.

ʻO ka meaolaola no ke noi ʻana he koko venous, ʻaʻole iki pinepine - i ke koko capillary. Hana ʻia kona kaʻina pa. I ka wā mua, mālama nā kahu hānai i ka ʻili me kahi napkin i hoʻoluhi ʻia i ka antiseptic. A laila e kau ʻia kahi tourniquet ma ka lima o ka mea maʻi (ma luna o ka kuʻekuʻe). Ma hope o kēlā, pono ʻo ka mea noiʻi e pīʻī a wehe i kona pālima i nā manawa pinepine. Lawe ʻia nā biomaterial mai kekahi vein i loaʻa i ka wahi kiku. Inā ʻaʻole pili ʻia nā lima ʻelua, e lawe ke kahu i ke koko mai ke kīʻaha lima. ʻO ka hōʻailona me nā biomaterial i loaʻa ka hōʻailona a hoʻouna ʻia i ke kāpena. Ma laila, hana nā loea i kahi loiloi a hoʻopaʻa i kahi hopena. A laila ke hoʻohālikelike nei ke kauka komo i nā hopena me nā ʻano o ka hemoglobin glycated (e ka makahiki) i nā keiki a me nā pākeke.

Aia kekahi mau nuances:

• I kekahi o nā mea maʻi, ua ʻike ʻia kahi emi ʻana i loko o ka hoʻoponopono ʻana o ka ratio o ka glucose a me ka HbA1c.
• Hiki ke hoʻokaʻawale ʻia nā hualoaʻa ma muli o ka hemoglobinopathy a i ʻole anemia.
• ʻAʻole kūpono ke kumukūʻai i loaʻa inā loaʻa ke kikowaena me ka lako hana ʻole.
• I ka manawa pinepine, e like me nā papa i luna aʻe, ʻaʻole pili ʻo glycated hemoglobin i nā pae gula.Inā hoʻonui nui ka HbA1c, a aia ka ʻike o ka glucose i loko o nā palena maʻamau, ʻo ia ka mea e hōʻike pinepine nei i kahi liʻiliʻi o nā hormones thyroid i ke kino o ke kanaka.

Wahi a nā hopena, hiki i ke kauka ke hoʻoholo i ke kiʻekiʻe o ka hemoglobin glycated (papa ma lalo).

Ka papa ʻaina o ka hemoglobin glycated i nā wahine a me nā kāne

ʻO ka glycated hemoglobin kahi lihilihi kūikawā o nā molekala i kūkulu ʻia ma muli o ke ʻano o ka hopena o ka hoʻohui ʻana i nā glucose me ka hemoglobin o nā keʻena koko ʻulaʻula (me ka hopena o ke ʻano Ma-enmaticatic Maillard). Hōʻike ʻia i nā diagnostics laboratorium e kekahi loea maʻamau a endocrinologist paha. ʻ synlelo maʻamau: glycogemoglobin, hemoglobin A1c, HbA1c.

No ka noiʻi, hoʻohana ʻia ke ʻano o ka chromatography wai kiʻekiʻe ka hana ma lalo o ke koʻikoʻi kiʻekiʻe, ka hua no ka loaʻa ʻana o nā hopena i ʻoi aku ma mua o ka lā 1. ʻO ke kumukūʻai no nā lāʻau lapaʻau pilikino he 500-700 rubles.

He aha ka mea hemoglobin glycated i loko o ka hōʻike koko?

I mea e maopopo loa ai i ka manaʻo o ka hemoglobin glycated, pono ia e noʻonoʻo mua i kāna mau ʻāpana.

ʻO Hemoglobin (Hb) - kahi protein e loaʻa ana i loko o nā wahi koko ʻulaʻula, e lawe ana i nā molekikene oxygen me nā kahe koko i nā pūpū a me nā kiko. Nui ʻikeia nā ʻano ʻano maʻamau a me ka mutant Hb. Ua ʻike ʻia aia no 98% o ka nui o ka huina i hāʻule i ka hemoglobin A (HbA), ke koena - hemoglobin A2 (Hb2A).

Hoʻohana ka Glucose (ke kō iʻa maʻalahi) ke kuleana o ke kumu kumu nui, ka mea i hoʻopau ʻia e ke kino kanaka ma ke ʻano o nā meaola biochemical a mālama i ka metabolism. Me ka ʻole o ka liʻiliʻi o ka nui o nā puna wai, hiki ʻole ke hana holoʻokoʻa o ka ʻōnaehana a me ka lolo.

Hoʻopili i kahi kinikoli glucose i loko o ke koko me ka hoʻopili i ka hemoglobin. ʻAʻole koi ka hopena i nā kūlana kūikawā i ke ʻano o nā enzymes a i ʻole catalysts. ʻAʻole decomposed ka mea i hoʻopihapiha ʻia, ʻo kona ola lōʻihi ʻaʻole ia ma mua o 120 mau lā.

Ua hoʻokūpaʻa ʻia kahi pilina ma waena o ka pae o ka hemoglobin glycated a me nā puna maʻalahi. No laila, ʻo kēlā me kēia hoʻonui i ka HbA1c e ka 1% ma muli o ka hoʻonuiʻana o ka glucose i ka glucose ma 2 mau ʻāpana. ʻO ke pae maʻamau o ka pilina ma nā kānaka olakino e kākoʻo ʻia e ka make i kēlā me kēia lā i nā ʻāpana koko ʻulaʻula kahiko a me ka hoʻokumu ʻana o ke kō.

No ke aha a ʻoe e pono ai e lawe i nā hoʻokolohua no ka glycogemoglobin?

Hōʻike ʻia ka Diagnosis no nā maʻi me nā maʻi mellitus maʻi hānai: nui ka makewai a me ka pōloli ʻole, ka mea ʻūlū ʻana, me ka hoʻonaninani o nā ʻalopō, ʻoi aku ka nui o ka urination a me nā mea i hōʻemi ʻia e ʻike ai. Hoʻokomo ʻia ka loiloi i ka hoʻonohonoho o ka ʻōlelo no ka hopena hope loa o ka hūnā o nā pakanā kiola, me ka ʻike ʻana i ke pae o nā gula maʻalahi me ka ʻole o ka ukana (fructose, glucose) a me c-peptide.

ʻO ka hōʻike hemoglobin glycated ka mea nui o nā poʻe maʻi me ka maʻi diabetes. ʻO ka nui o nā repetitions i kēlā me kēia makahiki e ka hopena o ka hopena therapeutic o nā ʻano i koho ʻia a me ka paʻakikī o ka pathology. I ka awelika, ua hoʻoholo ʻia ke pae o ka hemoglobin glycated ma kahi o ʻelua ma kēlā me kēia mau mahina.

No ke aha he hōʻike koko koko HbA1c maʻamau? Wahi a nā ʻōnaehana ʻo WHO, ʻo ka manaʻo nui o ka glycogemoglobin e manaʻo ʻia he kuleana no ka lawa ʻana e nānā i ke ala o ka maʻi maʻi.

He ʻokoʻa nā mea lawelawe pono ʻole i nā mea hana a me ka nui o kā lākou hala. No laila, lawe ʻia ka mana i loko o kahi kikowaena hoʻokahi, a me ka hōʻoia o nā hopena i kūʻokoʻa mai ke ʻano maʻamau, ʻokoʻa.

Ua pili ke aʻo ʻana i:

• ka pono e mālama i ka nui o nā gula maʻalahi i nā kānaka me ka maʻi maʻi,
• kalaiwa i ke kō kōa papa mahina ma mua o ka nānāʻana
• ka hoʻoholo ʻana i ke ʻano o ka hiki o nā ʻano lapaʻau i koho ʻia a hoʻoholo i ka pono no ka hoʻoponopono ʻana,
• ma ka ʻāpana o nā hana pale e mālama ana i ka wana mua o ka hōʻemi kino o nā pakanā o nā pakanā,
• e wānana ana i ka hoʻokumu ʻana o nā hoʻopiʻi o ka maʻi diabetes.

Loaʻa ʻia kahi hōʻemi o HbA1c e 1/10 o ka pae mua i hoʻemi i ka hoʻemi ʻana i ka hiki o retinopathy a me nephropathy e 40%. ʻO ka retinopathy he mea hōʻeha i ka retina e alakaʻi i ka makapō. Hāʻawi ka Nephropathy e ka hana maʻamau o ke akepaʻa.

ʻO ka helu o ka hemoglobin glycated no kahi olakino

Kahi ʻano ho'ākāka piha o ka hōkeo ʻikepili i loaʻa ʻia e ka neʻe ʻana o nā ʻano like ʻole o ka Hb i ke koko o ke kanaka.

I nā pēpē hānau hou, ʻike pū ʻia i nā malama ʻeono a hiki i nā malama ʻeono.

No laila, ʻaʻole pono e hoʻohana ka ʻatikala ʻāpana i kahi alakaʻi kūpono no ka hoʻopili ponoʻī ʻana iho i nā hopena loiloi i loaʻa. ʻO nā ʻike i hōʻike ʻia no nā ʻike ʻike wale nō.

Ua hōʻike ʻia ka papa ʻaina o ka hemoglobin glycated i nā wahine i ka makahiki.

Pehea ka waiwai o ka hemoglobin glycated? Ke ʻimi nei i ka waiwai i loko o nā waiwai i manaʻo ʻia a me ka hala ʻole o kahi kiʻi lapaʻau, hoʻoholo ʻia ka hopena e pili ana i ka hoʻokaʻawale ʻole o ka maʻi maʻi.

ʻO kahi hoʻonui liʻiliʻi he hōʻailona ia o kahi kūlana prediabetic a me ka hōʻike ʻana e nā kaona o ke ahonui i ka hana o ka insulin hormone. Pono ke ʻano o ka mālama ʻana i ka wā maʻamau, ʻoiai he kanaka kiʻekiʻe loa ka hoʻomaka ʻana i ka maʻi diabetes.

ʻO ka waiwai o ka kriteri oi ma mua o 6.5% e hōʻike nei i ka hōʻike ʻana o ka maʻi mellitus i ka maʻi maʻi i ʻike ʻia. ʻO ka hemoglobin hiki loa ke hāʻawi ʻia no ka poʻe me ka maʻi maʻi ʻo 7%. I kēia hihia, e ʻoi aku ka maʻalahi o ka maʻi e ka mālama ʻana i ka lāʻau mālama maʻi. Me ka hoʻonui nui o ka HbA1c, ua piʻi ka hopena o ka hoʻopiʻi ʻana a me ka piʻi pāʻana o ka hopena.

Ua kiʻekiʻe loa ka helu o ka hemoglobin glycated i nā kāne a me nā wahine ma hope o ke ʻano o 50 makahiki. ʻO kēia ma muli o ka emi ʻana o ka hana hana o nā pūpū a me ka hoʻohaʻahaʻaʻana o nā hāmai kala.

ʻO ka makahiki kekahi o nā kumu nui e hoʻokūkū ana i ka maʻi o ka maʻi diabetes, ʻoi aku me kahi predisposition hoʻoilina.

Hōʻike ʻia e nānā mau nā poʻe maʻi kuʻuna i ka pono o ka hōʻailona i nā manawa maʻamau o hoʻokahi hapaha.

E heluhelu hou: ʻO ka papa o ke kōpaʻa koko koko i nā wahine i ka makahiki

ʻO ka helu o ka hemoglobin glycated i ka wā hāpai

ʻO kahi hōʻike koko no ka hemoglobin glycated i ka wā o ka hānau ʻana o ka keiki, ʻaʻohe pono o ka pono diagnostic. I nā wahine i ke kūlana, ka ʻokoʻa like o ka hoʻākoakoa o nā kola maʻalahi, aia ka pae kiʻekiʻe loa i ka trimester hope loa.

ʻO nā hualoaʻa o ka hōʻike glycogemoglobin e hōʻike i ka waiwai o ke kōpoli 2-3 mau mahina ma mua o ka hoʻopaʻa ʻana.

ʻAʻole ʻike ʻia kēlā lono lōʻihi inā e kānalua ka hōʻaiho i ka hilahila i loko o kahi wahine hāpai, no ka mea hiki iā ia ke alakaʻi i kekahi ʻano pilikia nui o ka makuahine a me ke keiki.

I kekahi mau hihia, hiki i ka hyperglycemia ke hoʻoulu i ka ulu ʻana o ka fetal; a ma kekahi, e hōʻino ʻia ka kū pololei o nā moku koko a me ka hana maʻamau o nā ʻōnaehana urinary.

ʻO kahi koho hou aʻe i ka ʻano glycogemoglobin kahi hōʻike hoʻoliʻomaʻi glucose a i ʻole he ʻano laʻu koko hoʻāʻo. I ka pilikia o ka wikiwiki, ʻae ʻia ka nānā ʻana i ka home me ka glucometer. Ke hoʻoholo nei i kahi hoʻāʻo koko no ke kō, e noʻonoʻo i ka lōʻihi o ka wahine e ʻai ai, ʻaʻole he mea nui i ka wā ke ana i ka hemoglobin glycated.

E heluhelu hou: E pili ana i nā kūlana o ka hemoglobin glycated i ka maʻi diabetes

Pehea e hōʻoia ai no ka hemoglobin glycated?

ʻO ka hapa nui o nā ʻōnaehana kikowaena e pili pono ana i ka hoʻokomo ʻana o ka meaʻai, ka manawa lawe o ka biomaterial a i ʻole kaʻai ʻana o ka menstrual. ʻO kahi hōʻike koko e hoʻoholo ai i ke kiʻekiʻe o ka hemoglobin glycated, ʻaʻole pono ia i nā kaʻina hana hoʻomākaukau. Hōʻike ʻia kēia mea me ka mea hōʻike o ka kriterion i ka hoʻokaʻina o ka glucose i nā mahina heʻe i hala.

Mea koʻikoʻi: me ka hoʻohana ʻana i kahi hoʻokolohua no ka hemoglobin glycated, ʻaʻole hiki ke ʻohi i ke kau wikiwiki ʻana i nā glucose koko.

Eia nō naʻe, ʻo nā maʻi hoʻopukapuka like,

• anemia cell anemia he ʻano māuliʻu hoʻoilina. Hāʻawi ʻia e ia me kahi ʻano maʻamau o ka hemoglobin protein. Mākaukau i kēia, ʻaʻole hiki i ka molekone glucose ke hana me kahi koikoi piha me ka hemoglobin, a me ke ʻano o ka hōʻike i kēia hihia me ka hoʻohuli.
• anemia a i ʻole nā ​​momona kaumaha e hoʻonui ai i ka hopena o nā hopena maikaʻi ʻole,
• ʻO ka nele o nā mea hao hao e hoʻoholo i ka synthesis o ka hemoglobin nui, ka mea e hōʻike ai i ka ʻike i loaʻa i kēia hihia he maikaʻi maikaʻi.

I waena o nā kumu kumu-pathological, ʻoi ke hoʻolauna ʻia o ka hoʻohaʻahaʻa ʻana i ka mea maʻi, ka mea e alakaʻi ai i ka ʻikepili pololei ʻole. No laila, i ka loaʻaʻana a i ʻole kānalua o nā ala o luna, pono e hoʻomanaʻo ʻia kahi limahana hana.

E heluhelu ma: Pehea e hāʻawi ai i ke koko no ka honi mai ka manamana lima a me ka vein, pehea e hoʻomākaukau ai no ka hāʻawi

ʻO ke kaʻina hana no ke kahe koko no ka glycogemoglobin

I waena o nā poʻe maʻi, pinepine ka nīnau i hea - hea mai ke koko no ka hemoglobin glycated? Ke hana nei ke koko he nui e like me ka biomaterial, i hōʻiliʻili ʻia e ka nūhi mai ka cubital vein ma ka piko o ka kuʻekuʻe. ʻO kaʻokoʻa wale nō nā kūlana i ʻike ʻole ai ka mea maʻi i nā veins ma luna o ka liko. I kēia hihia, ʻae ʻia ka hōʻiliʻili o ke koko mai kahi vein a lima i kahi e ʻike nui ai.

Hōʻike ʻia nā ʻōnaehana koko hou e ka puna kuʻi a me nā moʻi pōpoki. ʻO nā pōmaikaʻi:

• ka nānā ʻole o ka pilina o nā biomaterial me ke kaiapuni, e hoʻopau ana i kona haumia a me nā maʻi o nā poʻe ʻē aʻe.
• ʻaʻole e lawe ʻia ke koko i kahi mau ma mua o 10 kekona.
• ka hiki ke hōʻiliʻili i nā ʻōpala he nui ma kahi ʻōkuhi hoʻokahi. I kahi aʻe o ke ʻano pōpoki ka lua o ka huina e hoʻopili ʻia i loko o ka pahu hōʻike. No laila, hiki ke hoʻololi ʻia nā ʻōpio i hoʻokahi me ka huki ʻole ʻana i ka pono mai ka pua.
• ʻO ka hōʻemi ʻana i ka hopena o ka luku ʻana i nā kahe koko ʻulaʻula i loko o kahi hōʻike hoʻāʻo, no ka mea, ʻoi ka nui o ke anticoagulant. I kēia hihia, ʻo ka nui o ke koko e mālama ʻia e ka vacuum, a pau ke hoʻopau ʻana, ke kahe ana o ke koko i loko o ka pulu.
• hiki ke mālama i ka biomaterial i ʻohi ʻia i mau lā, ʻo ia ka mea i hōʻike nui ʻia inā pono e hana i nā ʻano loiloi. I kēia hihia, pono e mālama ʻia nā kūlana mālama: ʻo ka mahana mālaʻoi loa ka ʻoi aku ma mua o 8 ° C a me ka loaʻa ʻole o ke kaumaha mechanical.

Pehea e hōʻemi ai i ka glycogemoglobin?

ʻO ka mālama nui ʻana i kahi waiwai i loko o nā waiwai i manaʻo ʻia he mea nui loa inā ke hoʻopilikia ʻia ka metabolism maʻamau. ʻO ka loiloi holoʻokoʻa ka hoʻomau i kahi olakino olakino.

Hoʻonui ka hana kino i ka hoʻopau ʻana i nā kumu mālama ikehu. ʻAʻole ʻoe e hoʻonāukiuki iā ʻoe iho me ka hoʻoikaika kino kaumaha. No nā poʻe me ka lolo, ʻo ka manaʻo, he pōpilikia a hiki ke alakaʻi i kahi emi ʻana o ke kō.

He mea nui ia e kiaʻi ai i kou mau manaʻo a hoʻokō i kahi hoʻomaʻama kino kino inā hiki.

ʻO ka hele ʻana i ka lewa wai a i ʻole ka holo wāwae he mea maikaʻi hoʻi ia i ka lūlū o ka glucose a me ka glycogemoglobin, e ʻae iā ʻoe e mālama maʻamau iā lākou.

ʻO ka hoʻokaeʻana i ka meaʻai a me ka meaʻai kūpono kekahi o nā lāʻau lapaʻau no nā poʻe me ka maʻi diabetes type 2. Eia kekahi, ma kahi ʻōpio ke lawa kēia e hoʻopiʻi i ka hana o ka ʻaila kino. ʻAʻole ʻoe eʻai i ka nui o nā waihona māmā māmā, ke kō a me nā meaʻai momona. A no nā poʻe me ka maʻi maʻi, e pāpā ʻole ʻia nā huahana me ka waiʻona.

He mea nui ʻaʻole ia e ʻai wale i kaʻai, akā i ka manawa kūpono hoʻi. ʻO ka lōʻihi loa a i ʻole pōkole ka waena ma waena o nā meaʻai e alakaʻi ai i kahi hoʻonui a nele paha i ka glucose. Pono ka hoʻomohala ʻana e ka lāʻau lapaʻau e lawe ʻia e kahi kauka, me ka noʻonoʻo ʻana i ka mōʻaukala piha o ka mea maʻi. Pono ʻoe e ana maʻamau i ka glucose a mālama i kahi hānā huaʻai e nānā ai i ka hopena o nā huahana kikoʻī ma ka hōʻailona.

Pono ʻoe e ʻalo i ka ulaula, no ka mea, hoʻonui ka nikotine i ka hoʻomanawanui i nā ʻeneka i ka hana o ka insulin. Hoʻomaka ka Glucose e hōʻuluʻulu i loko o ke koko a kamaʻilio nui me ka hemoglobin.

Pono nā ʻōlelo aʻoaʻo a pau a ke kauka: e nānā ʻia ana a me ka nui o nā papa a i ʻole nā ​​inikini insulin. ʻO ka Neglect ke kumu o ka hyper- a he hypoglycemia, he mea pōʻino i nā kānaka.

E hōʻuluʻulu, pono e koʻikoʻi ʻia:

• kaʻano o ka hemoglobin glycated i loko o ke koko i loko o nā kāne - ʻaʻole iʻoi aku ma mua o 5.5%, i nā wahine - a hiki i 6%,
• kekahi mau loea congenital a me ka nele o nā macroelements e hoʻohuli i ka hilinaʻi o nā hopena loiloi,
• ʻokoʻa kūlike ʻole o ka ʻike hōʻike i ʻike ʻia ʻana i ka paʻakikī o ka hoʻokaʻawale ʻana i ka glycogemoglobin mai kāna ʻano ʻano.

Ua hoʻomākaukau ʻia ka ʻatikala
ʻO Microbiologist Martynovich Yu. I.

E heluhelu ma: High hemoglobin i loko o nā wahine - he aha kēia manaʻo a he aha e pono ai? Aia kekahi hopena!

E hoʻolōʻihi i kou olakino i nā poʻe akamai! E hana i kahi manawa me ke kauka maikaʻi loa i kou kūlanakauhale i kēia manawa!

ʻO ke kauka maikaʻi kahi mea maʻamau he nui, ma muli o kāu mau maʻi, e hana i ka maʻi kūpono a kuhikuhi i ka hana kūpono. Ma kā mākou papa inoa hiki iā ʻoe ke koho i ke kauka mai nā haukapila maikaʻi loa ma Moscow, St. Petersburg, Kazan a me nā kūlanakauhale ʻē aʻe o Rūsia a loaʻa kahi uku pālua a hiki i 65% no nā koho.

Kākau inoa i ke kauka i kēia manawa!

ʻO ka helu o ka hemoglobin glycated i nā kāne

ʻO ka pae pae hana a me ka kūlana o ke olakino o ke kanaka e hilinaʻi nei i ka hemoglobin i ke koko a me ka hana o kāna mau hana. Me ka pilina lōʻihi o ka hemoglobin me ka glucose, ua hana ʻia kahi pūpū koi, kapa ʻia ʻo glycated hemoglobin, ʻo ke ʻano o ka mea pono e kū ʻole i nā ʻōkuhi i hoʻonohonoho ʻia.

Mahalo i ka hoʻokolohua no ka hemoglobin glycated, hiki iā ʻoe ke ʻike i ka ʻike ʻana o ke kō i loko o ke kōʻai koko, no ka mea, ʻo nā ʻāpana koko ʻula he hale mālamaʻa no ka hemoglobin. E ola ana lākou ma kahi o 112 lā. I kēia manawa, noiʻi ka ʻae e loaʻa iā ʻoe ka ʻike pololei e hōʻike ana i ke ʻano o ka glucose.

ʻO Glycated hemoglobin i kapa ʻia hoʻi he glycosylated. Wahi a kēia mau kuhikuhi, hiki iā ʻoe ke hoʻonohonoho i nā kumukūʻai kōpelika awelika no 90 lā.

He aha ka ʻike a no ke aha e pono ai?

Hana ʻia ka glycated hemoglobin a i ʻole A1C ma ke ʻano o ke koko ma ka hapa pakeneka. I kēia mau lā, lawe pinepine ʻia kēia noiʻi, no ka mea he nui nā pono.

Me ia, me kāna kōkua ke ʻike ʻole i ka ʻike ʻole i ke kaupaona o ke kō i loko o ke koko, akā ʻike pū kekahi i ka maʻi diabetes ma ka pae mua o ka ulu ʻana. Eia kekahi, hiki ke hoʻopaʻa ʻia ka loiloi HbA1 i kēlā me kēia manawa, me ka ʻole o ka kō o ka meaʻai.

Hāʻawi ʻo ia ka ʻike ʻana i nā hopena kūpono, ʻaʻole e pili ana i ke ʻano maʻamau o kekahi kanaka. No laila, ʻaʻole like me kahi hoʻokolohua o ke koko maʻamau, e hōʻike i kahi hōʻike no ka hemoglobin glycosylated e hāʻawi i kahi pane hilinaʻi ʻoiai ma hope o ke pohō, ke ahonui, a i ʻole me ka hopena o ke anu.

He mea kūpono ia e pono ke hoʻokō ʻia nā noiʻi ʻaʻole wale me ka maʻi maʻi. ʻO ka manawa maʻamau, pono ke nānā pono ʻia ka pae o ka hemoglobin glycated no nā poʻe olakino a me nā mea i makemake i ka piha a me ka hypertension, no ka mea, ʻo mua kēia mau maʻi i ka maʻi maʻi.

Kahi ʻia ka loiloi ʻōnaehana ma ia mau hihia:

1. ʻano noho kino
2. makahiki mai 45 mau makahiki (pono e lawe ʻia ka ʻike 1 mau manawa i ʻekolu mau makahiki).
3. hoʻohaʻahaʻa glucose
4. predisposition i ma ka maʻi maʻi
5. Polycystic ovary,
6. maʻi maʻi maʻi gestational
7. wahine i hānai i kahi pēpē ke kaupaona ʻana ma mua o 4 kg,
8. nā maʻi maʻi (1 manawa i ka hapalua makahiki).

Ma mua o ka kau ʻana i ka hōʻike HbA1C, pono nā loina o ka mea i ʻike ʻia i ka pākaukau kūikawā, pono e hana ʻia nā hoʻomākaukau kūikawā.

Eia kekahi, hiki ke hoʻokau ʻia ka nānā ʻana i kēlā me kēia manawa kūpono no ka mea maʻi, me ka manaʻo o kona kūlana olakino a me ke ʻano o ka lā ma mua.

ʻO ke kumu o ka hemoglobin glycosylated i nā kāne

No ka hoʻokau i ka ʻikepili hemoglobin i loko o ke koko, pono ka mea maʻi e hoʻopaʻa i kahi loiloi kūikawā i ka pūnaehana. He mea kūpono ia i ka ʻike ma ke kanaka olakino maʻi, ʻo ka heluhelu ʻana mai ka 120 a i 1500 g no ka 1 pālolo o ka wai o ka maʻi maʻamau he maʻamau.

Eia nō naʻe, hiki i kēia mau mana hoʻohiki i nā mea holomua a overstated inā loaʻa i kekahi kanaka nā maʻi o nā kino o loko. No laila, i nā wahine, ke nānā ʻia kahi nui o ka protein i ka wā o ke kāne.

A ʻo ke ʻano o ka hemoglobin glycated i nā kāne he 135 g ka lita. He mea kūpono ia e ʻōlelo ʻia ana nā ʻelele o ka wahine ikaika i nā hōʻailona ma mua o nā wahine. No laila, ma lalo o ka makahiki o 30 mau makahiki, ʻo ka papaʻu he 4.5-5.5% 2, a hiki i 50 mau makahiki - a hiki i 6,5%, ʻoi aku ma mua o 50 mau makahiki - 7%.

Pono nā kāne e lawe i ka hoʻoliʻu koko koko, ʻoi aku ma hope o nā makahiki he kanahā. ʻOiaʻiʻo, pinepine i kēia manawa ke loaʻa ko lākou kaumaha nui, ʻo ia kahi o ka mea maʻi. No laila, ʻike koke ʻia ka maʻi koke, e nui ana ka hoʻomaʻamaʻa ʻana i kāna mālama ʻana.

He kūʻokoʻa, pono ke haʻi e pili ana i ka carboxyhemoglobin. ʻO kēia kekahi protein ʻē aʻe i kahi o ka kemika o ka hoʻopili o ke koko, ka hui pū ʻana o ka hemoglobin a me ka carbon monoxide. Pono e hōʻemi ʻia kona mau ʻōmaʻomaʻo, inā 'aʻole, e hele mai ka pololi oxygen, nā mea e ʻike ʻia e nā hōʻailona o ka hōʻole o ke kino.

Inā kiʻekiʻe loa ke ʻano o ka hemoglobin glycated, a laila e hōʻike ana i kēia i ke ʻano o kekahi ʻano patolo. No laila, ke hoʻololiʻole nei i ka kaohi o ke kaila o ke koko i loko o ke kanaka e hōʻike ana i ka loaʻa ʻana o kahi maʻi latent e koi koke i ka maʻi a me ka mālama.

Ma muli o nā hopena o ka hōʻike ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau, hiki i ka etiology o ke ʻano ke ʻano:

• maʻi mellitus maʻiʻi
• ālai ʻole,
• nā maʻi oncological
• kōmole pulmonary
• ka nui o ka huaora B ma ke kino,
• maʻi hōʻeha kani naʻau
• wela wela
• uhauha nui,
• hemoglobinemia.

Inā hoʻomaloʻo ka gogemobin glycosylated, ʻo nā kumu o kēia kūlana e waiho nō i ka anemia iron deficit progressive e kūʻē ana i ka hoʻomaka ʻana o ka pololi oxygen. Hoʻopilikia kēia maʻi no ke kino, e like me ka mea i hōʻike ʻia e nā hōʻailona o ka hoʻohālikelike, ka malaise a me ka make i ke ola ʻole.

Aia paha he mau kumu no ka haʻahaʻa o nā haʻahaʻa haʻahaʻa ma ke koko. Hoʻopili kēia ma ka hypoglycemia, nā maʻi e hoʻoheheʻe i ke kahe, ka hānau ʻana, ka nele o ka vitamin B12 a me ka folic acid.

Pēlā nō hoʻi ka mākaukau o ka hemoglobin glycated i mālama ʻia i nā maʻi lēʻeha, ka hoʻokahe ʻana o ke koko, nā hoʻoilina a me nā maʻi autoimmune, nā ʻāpana hemorrhoids, i ka wā lactation a me ka hihia o nā ʻōnaehana o ka ʻōnaehana.

ʻO ka hōʻailona nui o ka loiloi HbA1C i ka maʻi mellitus o ka maʻi mellitus

ʻOiaiʻo ia he mea like ʻole ka hoʻoliʻiliʻi o ka hoʻoliʻi ʻana o ke koko mai ka maʻamau ma ke ʻano liʻiliʻi. No laila, me ka maʻi maʻamau o ka maʻi 2, no ka mea i nā mea maʻi maʻa, i ka hihia o ka insulin insulin me ka hoʻohaʻahaʻa i ka glucose i nā helu maʻamau (6.5-7 mmol / l), aia kahi hopena o ka hoʻomohalaʻana i ka hypoglycemia.

Hoʻopilikia maikaʻi loa kēia kūlana no nā maʻi maʻi. ʻO ia ke kumu i pāpā ʻia ai e hoʻohaʻahaʻa i ka pae o ka glycemia i nā pae maʻamau o kahi kanaka olakino.

Ma ke ʻano keka diabetes mellitus, ua helu ʻia ka nui o ka neʻe o ka hemoglobin glycosylated e like me ka makahiki, ka loaʻa ʻana o nā hoʻopiʻi a me ka hopena o ka hypoglycemia.

ʻO ka maʻamau maʻamau ka ʻike maʻamau ʻo ka maʻi maʻamau ma waena o ʻelemakule a ʻelemakule paha. No nā poʻeʻelemakule, ʻo ke kumu maʻamau me ka ʻole o ka hoʻopiʻi ʻana o ka maʻi i ka 7.5% ma ke kaʻe o ka glucose o 9.4 mmol / L, a inā he mau pilikia (8% a 10.2 mmol / L. No nā mea maʻi ma waena, ʻo 7% a me 8.6 mmol / L, me ka 47.5% a me 9.4 mmol / L e manaʻo ʻia he mea maʻamau.

E ʻike i ke ʻano diabetes mellitus type 2, ʻike pinepine ʻia kahi hōʻike glycated hemoglobin. Ma hope o nā mea a pau, ʻo kahi ʻano noiʻi e hiki ai iā ʻoe ke ʻike i ka maʻi i ka wā mua a hoʻoweliweli i ka kūlana o ka prediabetes. ʻOiai e loaʻa ana me ka prediabetes i ke koina o ke kō koko koko i loko o ka pae maʻamau.

Hōʻike ka ʻikepili o HbA1C i ka pale ʻana o ka glucose, ma ke kaʻe ʻana o ke kino e hoʻole i ka insulin, a ʻo ka hapa nui o ka glucose i waiho ʻia i loko o ke kahawai a ʻaʻole i hoʻohana ʻia e nā cell. Eia kekahi, ʻo ka maʻi maʻamau e hiki ai i ka mālama ʻana i ka maʻi maʻi me ke kōkua o ke ʻano kino a me ka hoʻolaʻa ʻana i ka wai me ka ʻole e lawe i nā lāʻau lapaʻau haʻahaʻa.

Nui nā kāne e ʻeha nei i ka maʻi diabetes no ka makahiki hoʻokahi a me ke ana ʻana i ka nui o ka glycemia me kahi glucometer e noʻonoʻo nei no ke kumu e pono ai lākou e hoʻāʻo no ka hemoglobin lepo. ʻO ka pinepine, noho maikaʻi nā hōʻailona ma kahi lōʻihi, kahi e noʻonoʻo ai i kahi kanaka i uku ʻia ka maʻi diabetes.

No laila, hiki i ka hoʻomohala mau ʻana ka maʻi glycemia hiki i ke kūlike (6.5-7 mmol / L), a ma hope o ka ʻaina ʻaina e hoʻonui lākou i 8.5-9 mmol / L, kahi mea e hōʻike ana i kahi maʻa. ʻO kēlā ʻano hanu o kēlā me kēia lā e hoʻoholo ai i ka maʻamau o ka neʻe o ka hemoglobin glycated. Loaʻa paha nā hopena o ka hōʻike ʻana i nā maʻi maʻi e hoʻololi i ka nui o nā lāʻau lapaʻau hoʻohaʻa ʻana i ke kō a i ʻole insulin.

Eia nō naʻe, aia kekahi mau mea maʻi me ka maʻi type 2 e lawa ana e lawa no ka nui o ke ana e hōʻike ʻia e like me ke ana o ka ʻaiʻola o ka ʻaina gula ma kēlā me kēia mahina. Eia kekahi, ʻaʻole hoʻohana kekahi mau maʻi hānai i kahi glucometer.

ʻOiai ke hoʻopaʻa pinepine ʻia o ka hemoglobin glycosylated e pale i ka hoʻomohala ʻana o nā hoʻopiʻi.

Nā kūlana loiloi

Pehea e lawe ai i ka hemoglobin glycated - ma kahi ʻōpū ʻole a i ʻole? I ʻole, ʻaʻole ia he mea pili ʻole. Hiki ke lawe ʻia ka loiloi ʻaʻole ma kahi ʻōpū ʻole.

Hōʻike ʻia ka hōʻike no ka hemoglobin glycated e hana ʻia ma kahi o 4 mau manawa i ka makahiki a ʻoi aku ka maikaʻi ma ka ʻoihana like ʻole. Eia nō naʻe, me ka hoʻokaʻawale iki ʻana i ke koko, e hoʻokō ai i ka hoʻololi a hāʻawi i ka hāʻawi ʻia paha, pono e hoʻopiʻi ʻia ka noiʻi.

Pono ke kauka e kau i kahi referral no ka nānā ʻana, inā aia nā kumu maikaʻi. Akā hiki i nā lawelawe diagnostic e hiki ke hoʻohana i ka mālama i nā pae hemoglobin.

Ma ke kānāwai, e ʻike ʻia nā hopena i nā lā 3-4. Kālua ʻia ke koko no ka nānā ʻana mai he vein.

ʻO ke ala e maʻalahi a maʻalahi hoʻi no ka ana ʻana i ka ʻai hemoglobin i loko o ke koko ka hoʻohana ʻana o kahi glucometer. Hiki ke hoʻohana kūʻokoʻa i kēia polokalamu, kahi e hiki ai iā ʻoe ke nānā i ke kiʻekiʻe o ka glyceobemia pinepine e loaʻa i ke kiʻi kūpono loa.

He mea kūpono ia he pono ʻole e hoʻomākaukau kūikawā no ka hoʻoili ʻana. He ʻeha a wikiwiki ke kaʻina hana. Hiki ke hāʻawi i ke koko ma kekahi keʻena, akā inā he mau lāʻau lapaʻau. A ke hoʻomau nei ka wikiō ma kēia ʻatikala i ke kumuhana o ka pono no ka hoʻāʻo ʻana no ka hemoglobin glycated.

E wehewehe i kāu holi a koho ʻole paha i kahi kāne no nā loiloi: Huli ʻia, ʻaʻole i loaʻa.

ʻO ka pae holomua o ka hemoglobin glycated i ka kāne: kahi papaʻaina o nā maʻamau i ka makahiki a me nā kumu no ka neʻe ʻana o nā hōʻailona.

Hoʻokomo ka Hemoglobin i ke koko i ke kūlana o ke olakino kanaka, ka pae o ka hana.

Ma ke kaʻina o ka launa pū ʻana o ka hemoglobin me ka glucose, ua hana ʻia kahi pūleo, ka mea i kapa ʻia glycated hemoglobin. He mea nui ia eʻoi aku i kāna kūlana maʻamau ma mua o nā kuhikuhi paʻa.

Ma hope o nā mea a pau, hiki i kona nui ke hoʻoholo i ke ʻano o ka glucose i ke koko. No laila, ʻo ka hopena o ke kaomi ʻana i ka hemoglobin glycated he hōʻailona koʻikoʻi. Pono e nānā i nā hihia o ka maʻi kōkō maʻi.

He aha nā hōʻailona e noʻonoʻo pono ai i ka maʻi diabetes?

Inā ʻike nui ʻia ka mea maʻi i ka wā e noiʻi nei i ka nui o ka hemoglobin glycated, pono e nānā pono ʻia kēia mākaukau.

Inā hōʻailona ka pae i ka pae o 5.7-6%, hōʻike kēia i kahi liʻiliʻi o ka uluʻana o ka maʻi maʻi. Pono ka hoʻokele o kēia hōʻailona ma kahi o nā manawa he 1-3 i ka makahiki.

Hōʻike kahi hōʻailona i kahi 6.5% e hōʻike nei ka nui o ka ulu ʻana o ka maʻi diabetes.

I kēia hihia, pono ʻoe e pili i kahi papaʻai. Hoʻopiʻi ia i ka hoʻohanaʻana i kahi liʻiliʻi o nā puʻupuʻu. I ka hoʻomaka mua o ka mālama ʻana i ka maʻi maʻi, pono e nānā ʻia nā mea āpau i kēlā me kēia 3 mahina.

ʻO ka maʻi diabetes me kahi pae HbA1c ʻaʻole loa eʻoi aku ma mua o 7% no ka lōʻihi e hiki ke hoʻāʻo ʻia i kēlā me kēia ʻeono mahina. He lawa kēia e hoʻomaopopo i ka luhi ʻana i ka manawa kūpono a hana i ka hoʻoponopono pono ʻana i nā ʻoihana hoʻoponopono.

He aha ka haʻalele hōʻino ʻana i ka hōʻailona mai ke ʻano?

Hoʻonohonoho ka ʻikepili i ka hoʻoholo ʻana i ka māka kiko. Hiki iā ia ke kūpono i ke ʻano a i ʻole ke kiʻekiʻe aʻe, ma lalo o ka waiwai kūpono.

No kahi kanaka olakino, he nui ka piʻi ʻana o ka hemoglobin glycated no ka pilikia o ka hoʻomohala ʻana i ka maʻi maʻamau a i ʻole ka type 2.

No laila, inā ua kauka ke kauka i kahi kiʻekiʻe o ka ulu ʻana o kēia maʻi, pono ke ahonui e hoʻoweliweli ʻoi. Wahi a nā hopena, hana ke kauka a inā, inā pono, e huki aʻe i kahi noʻeau maikaʻi loa.

Ma ka hanana i hōʻike ʻia ka hopena o ka hōʻike i ka hoʻonui i ke kiʻekiʻe o HbA1c no kahi manawa nui, hōʻike ka kauka i ka maʻi mellitus. E like me ʻoe e ʻike ai, pono kahi maʻi e pono ai me ka hoʻoponopono a me ka lawelawe ʻana, a me ka hoʻopiʻi ʻana i nā ʻōlelo a ke kauka, kahi ʻai koʻikoʻi.

Pono e hoʻomaopopo he lōʻihi loa ka glycated hemoglobin mai kahi hōʻailona mau o ka maʻi maʻi.

Hiki i kekahi hōʻailona ke hoʻonui ʻia i loko o nā hihia penei:

Inā maʻa ka mea maʻi ma hope o ka hoʻolilo ʻana i kēia loiloi he wahi liʻiliʻi iki i ka hōʻailona, ​​pono ia e alakaʻi pinepine i kēia ʻano hoʻokolohua i ka wā e hiki mai ana.

Ma muli o ka loiloi maʻamau, hiki ke hōʻike ʻia i ka hopena o ka lāʻau i kuhikuhi ʻia i ka mea maʻi, a me ka pale ʻana hoʻi i ka hoʻomohala ʻana o nā maʻi.

I kekahi mau hihia, he liʻiliʻi ka maʻi o nā maʻi ʻo HbA1c i ke koko.

Loaʻa nā pae haʻahaʻa o HbA1c no nā kumu aʻe:

• lawe ʻia ke koko i ka lā ma mua
• hoʻomoʻa ka mea maʻi i ka maʻi hemolytic,
• ua nui kolo koko nui ma muli o ka hana ʻana, kahi ʻeha nui.

I kēlā mau kūlana, e kuhikuhi ʻia ke kāne no ka mālama ʻoihana kūikawā. Ma hope o kekahi manawa, e hoʻi ana kēia hōʻailona i ka maʻamau.

Inā maʻa mau nā hōʻailona i lalo o ka pae kūpono, me ka wikiwiki wikiwiki, a me ka wikiwiki wikiwiki hoʻi e ʻike ʻia ana.

ʻO ka hoʻonui ʻia ʻana o ka hōʻeha i ka hōʻeha ʻana i nā maʻi maʻi kekahi hōʻailona ʻē aʻe e hiki ke hōʻeha ʻia e kahi hōʻemi i kahi hōʻailona koʻikoʻi (maikaʻi no ka olakino maʻamau).

ʻAʻole pono ia i kahi manawa no ka decoding ka nānā ʻana. Ua ʻōlelo ka poʻe loea loea i kekahi mau kumu e hoʻopiʻi i nā hopena o ka loiloi glycated sugar.

Hiki paha i kēia me ke ahonui ua hoʻohua nei, a me kona wā, e hoʻonui ʻia ka hoʻoikaika kino.

Ma mua o ka hāʻawi ʻana i ke koko, pono ia e hoʻomaopopo i ka loea e pili ana i ka lawe ʻana i nā lāʻau lapaʻau a e pili ana i nā mea koʻikoʻi.

E pili ana i ka hoʻokahe koko no ka hemoglobin glycated i ke wikiō:

Hana ʻia ka hoʻokolohua ʻana i ka pae kiko o ka hemoglobin glycated i loko o nā limahana me kahi inoa maikaʻi. ʻAʻole nā ​​klinikōma moku'āina nā pono hana e pono no ka noiʻi pololei.

Ma ke kānāwai, ua mākaukau nā hopena i nā lā 3. Pono ka ʻokaʻikepili o ka ʻikepili e loaʻa e ke kauka akamai. I kēia hihia, ʻaʻole hiki ke loaʻa pono ka nānā ʻana a me ka mālama ʻana.

ʻO ka hemoglobin Glycated: ke kumu maʻamau no kahi kanaka olakino, me ka maʻi diabetes, i nā kāne, nā kāne

ʻO ka Glycated hemoglobin, kahiʻano maʻamau e pono ai e hoʻokele i ka maʻi diabetes a me kahi mea olakino, e hiki ai iā ʻoe ke ʻike i ke ʻano o ka mea maʻi, e kuhikuhi ana i ka hana maʻi a nānā i ke ala o ka maʻi.

ʻO Glycated hemoglobin a i ʻole ʻo HbA1c kahi hōʻailona biochemical e hiki ai iā ʻoe ke hoʻokumu i ke kōʻai koko awelika ma luna o nā mahina ʻekolu i hala (e pili ana i nā kaila koko ʻulaʻula nui - nā ʻāpana koko ʻulaʻula). Hoʻohana maikaʻi kēia ʻano me ka hoʻomohala ʻana i ka maʻi diabetes a kuhikuhi i ka lāʻau lapaʻau.

I ka hopena o Maillard (kahi hopena kemikela ma waena o ke kō a me ka momona), nā glucose a me ka hemoglobin e kū nei, e hopena ana iā HbA1c. Hoʻohana ʻia nā haʻawina o nā haʻalike glycated hemoglobin e kuhikuhi ai i ka lāʻau lapaʻau no nā mahina ʻekolu e hiki mai ana. Me kahi hōʻailona he overestimated, lawe ʻia ka hoʻoponopono ʻana o ka mālama ʻana (ua kuhikuhi ʻia nā lāʻau lapaʻau hou, ka make ʻana o nā loli o ka insulin).

Hāʻawi ʻia ke koko ma kahi ʻōpū ʻole. I ka wā o ka nānā ʻana, e lawe i 3 mau cubic. ʻike i ke koko venous. Ma mua o ka lawe ʻana, ʻaʻohe pono e hāʻawi i kekahi mau meaʻai a me ka hoʻomaʻamaʻa. Hiki i nā hopena hewa ke hele wale ma hope o ka anemia a me ke kahe koko.

Nui! Pono ka poʻe olakino e hāʻawi i ke koko no ka hoʻāʻo i ka wā hoʻokahi i ka makahiki, akā no ka maʻi maʻi maʻi - i kēlā me kēia ʻekolu mahina.

ʻO ka paepae i ka pae o ka hemoglobin glycated maʻamau he 6.5%. Eia naʻe, ma muli o ka wahine a me ke ʻano, ʻo kēia ʻāpana i hoʻololi iki ma muli o nā hiʻohiʻona physiological.

Nui! I ka wā o ka hānau ʻana o ka pūpū, pili nui ka ʻiʻo o ka wahine i nā mea hoʻomohala nui i ka hoʻomohala ʻana o ka pēpē. No laila, he hemoglobin haʻahaʻa i nā wahine hāpai he mea maʻamau ka mea e waiho ʻole ai i ka manawa. Hiki i ke kōpae haʻahaʻa ke neʻe i ka hoʻokolo ʻana i ka hoʻomohala ʻana o ka pēpē, akā ʻo ka male hoʻi.

Aia nā hoʻonohonoho maʻamau no nā wahine a me nā kāne ma o nā makahiki. No nā wahine, ua hoʻolako ʻia ka papa kuhikuhi kānāwai e like me kēia:

Hōʻike ʻia nā kāne e kahi kiʻekiʻe o ka hemoglobin:

Ka ʻikepili o ka loiloi

Hōʻike ka papa ma lalo i ka pili o ke kō o ke koko a me ka hemoglobin HbA1c:

ʻO ka haʻahaʻa haʻahaʻa

Hoʻololi i ka hemoglobin kahakino ʻaʻole maloʻo iki o ke kino ma mua o ka hoʻokiʻekiʻe. E alakaʻi ana kona haʻahaʻa haʻahaʻa haʻahaʻa:

• nele nā ​​kīʻaha maikaʻi o nā kino - ʻaʻole e loaʻa ka lolo i ka oxygen, no ka mea, nāwaliwali, maʻi loloa, ka ʻiwi,
• i nā hihia koʻikoʻi, a hāʻule ka pae o ke kō ma lalo o 1.8 mmol / l, ua nui ka hopena o nā hōʻeha, ka maikaʻi a me ka make.

ʻO kēia ʻano o ke kino e hoʻoulu ʻia e kahi kīnā ʻole maikaʻi loa, lōʻihi ka wā ma waena o ka papaʻai, ka momona a me ka hoʻohana ʻana i nā meaʻai me ke kō. Hoʻokumu ka mea hope i ka pona i ka pae glucose, akā laila emi koke ka wikiwiki.

ʻO ka hoʻokolohua Glycated hemoglobin

Loaʻa ka hopena o kēia loiloi i ka loaʻa ʻana o ka maʻi diabetes i nā wā mua, me ka loiloi ʻana i ka hopena o 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.

No ke aha e hoʻokō ʻia ai kēia noiʻi? Ua kuhikuhi ʻia ia ma kēlā mau hihia:

• ka hopena o ke kō koko koko i nā mahina i hala aku nei.
• Hoʻoponopono i nā ʻano lāʻau lapaʻau maʻi,
• ka nānā ʻana i ka hopena o ka mālama ʻana,
• noiʻi pale.

I nā hihia hea e hoʻokō ʻia ai kahi hōʻike koko no ka hemoglobin glycated? Kuhi ʻia ka mea maʻi i ka hāʻawi ʻana i ke koko inā loaʻa iā ia nā hōʻailona e hōʻike ana i ka hiki o ka hoʻomohala ʻana i ka maʻi diabetes, e like me:

• ua nui ka makewai
• hookeau pinepine,
• ka hana wikiwiki
• kāʻehaʻeha
• unuhiiaʻi maʻi holupaʻa maʻi loa
• ʻO ka lilo nui ʻana
• ʻike maka
• ho'ēmi i ka makee.

Aia i nā hopena o ke aʻo ʻana, ke hana nei ke kauka komo i nā hoʻokolohua hou e hōʻoia ai a hōʻole paha i ka maʻi maʻi mellitus a kuhikuhi i ka mālama pono.

Hoʻonui ʻo Glycated hemoglobin

Inā hōʻike ka hopena o ka hōʻike, ʻo ka hemoglobin glycated eʻoi aku ma mua o ka maʻamau, a ke hoʻomau mau nei hoʻi kona kikoʻī, a laila e hoʻoholo ke kauka i ka koho hou ʻana o nā haʻawina a me nā hopena ma hope o ke maʻi mellitus. Ma kēia maʻi e makemake ai i ka mālama ʻana a me ka ʻai paʻa. Akā ʻaʻole e hoʻonui ʻia ka hemoglobin glycated e hōʻike i ka maʻi mellitus. Hiki i ke hoʻonui liʻiliʻi i kēia hōʻailona ke kumu i nā kumu:

• ka nele o ka hao a me ka huaora B12,
• inu nui no ka manawa loihi,
• uhaola hooulu pila
• pālahalohula
• ka hookaumaha o ke koko,
• lawe i nā lāʻau lapaʻau (hydrochlorothiazide, indapamide, morphine, propranolol),
• ka hoʻopiʻi ʻana i ka wehe ʻana, ma muli o ke neʻe ʻia ʻana o ka pīpī.

He mea nui ia e ʻike! Inā loaʻa ka liʻiliʻi o ka mea maʻi i kēia kuhikuhi, pono ia e hoʻokau pinepine i ia ʻikepili i ka wā e hiki mai ana. E kōkua kēia i ka hoʻoholo ʻana i ka pono o ka lāʻau i kuhikuhi ʻia, a e pale ʻia hoʻi i ke kūkulu ʻia ʻana o nā ʻōpiopio.

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 mau loli.

• e hoʻokō nei i ke kaʻina koko,
• reticulocytosis,
• maʻi maʻi ʻōwili
• e like me ke ola o ka erythrocyte (hemoglobinopathies, splenomegaly, rheumatoid arthritis),
• paulakowalik
• lawe i nā lāʻau lapaʻau (erythropoietin, hao, vitamina B12, C, E, aspirin, antiviral drug),
• ʻO ka pohō nui o ke koko ma muli o nā hōʻeha, ʻoi ʻana ka wā o ka hōʻemi ʻana, pilikia hānau, hoʻāhewa ʻia.

I kēlā mau kūlana, ua hāʻawi ʻia ka mea maʻi i kahi hoʻokolokolo hou e hoʻomaopopo i nā kumu o ka hoʻemi ʻana o ka hemoglobin glycated.

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 wahine hānai ʻaʻole i loaʻa kēia loiloi no ka mea o ka haʻahaʻa haʻahaʻa haʻahaʻa.

ʻO ka like o ka hemoglobin glycated i nā kāne a me nā wahine o nā makahiki āpau he like ʻole, ʻaʻole pono kēia hōʻailona hōʻike i ka 6%.

ʻO ka papa o ka ho'ākāka o nā hopena o ka nānā ʻana i ka hemoglobin glycated.