Athwala Glycosylated - uvavanyo mandatory ngenxa uxilongo SESWEKILE sinwenwa kunye novavanyo kwinqanaba imbuyekezo yayo

Xa yezonyango kukho iimeko xa ukuvavanya ukusebenza amayeza glucose-yandisa, kunye nokwanela unyango emiselweyo kwizigulane kunye seswekile sinwenwa kusenokuba nzima. Kubonakala ukuba umntu uziva kakuhle, nokuzila ukudla glucose yakhe eqhelekileyo, kodwa yintoni na amathuba iingxaki kule nomonde? Ngapha koko, isixa glucose egazini ziphononongwa kuphela ngexesha isifundo, eli nani kanye.

Ngamanye amaxesha ukwandisa amanqanaba iswekile yegazi efumaneka kubantu abasempilweni, umzekelo, emva kokufumana imali enkulu wekhabohayidreyiti okanye ntshikilelo ngokugqithiseleyo engqondweni nasemoyeni. On sugar amazinga zingachaphazela lokuthathwa amayeza ezithile, ezifana zokucwangcisa ngomlomo, ezinye womchamo, iziyobisi zengqondo. Kuzo zonke iimeko anzima kokuncedwa Analysis endocrinologist ukuba ngehemoglobin glycated, kwicala lophando, yena ubizwa ngokuba HbA1c.

athwala Glycosylated - le uqhagamshelo wavela iimolekyuli glucose futhi umthamo A, ngokuqhelekileyo le nkqubo lwenzeka ngokuqubekayo kubantu abasempilweni. Isixa mpilo nobunzi- glycation - 5-8%. Xa izigulane seswekile, eli nani sanda amaxesha 2-3 ezingisa kuyo yonke ubomi iseli ebomvu igazi, ie, iintsuku 120. Ngenxa igazi iqulethe zombini corpuscles ulutsha noqolileyo ebomvu, ke ngoko, wathabatha ubudala umndilili legazi elibomvu, nto leyo ilingana ixesha kwesiqingatha sobomi bakhe - iintsuku ezingama-60.

Glycosylated athwala, izinga yayo 4-6.1% yenqanaba haemoglobin iyonke, ibonisa glucose avareji iinyanga ezimbini de uvavanyo lwegazi. Ngoko ke, kunokwenzeka ukuze libone ukuba ngaba ukwanda ixesha elide glucose okanye kwiinyanga ezi-2 le index waye zikarhulumente eziqhelekileyo. Unxulumano phakathi HbA1c kunye iswekile egazini kwaba iminyaka zophando, empirically bazimisele ukuba ukwanda glucose igazi 1.59 mmol / l 1% haemoglobin nganye phantsi glycation.

Kwezinye iimeko, uvavanyo olumiselweyo kwalo glycated?

- ngokuba ekuxilongweni seswekile kunye nokuchonga amazinga imbuyekezo;

- ukujonga nonyango arhente hypoglycemic ;

- ukumisela umngcipheko ingxaki ezinemigca seswekile;

- kuzo zonke iimeko lokunyamezela glucose kakuhle kwaye une pre-seswekile;

- abafazi abakhulelweyo abaya basengozini yokuba nesifo seswekile.

Ukucaciswa test Iziphumo ukuba seswekile:

Ku 5.8% - seswekile ihlawulelwa kakuhle.

Ukususela-8 ukuya kwi-10% - ngokuyinxenye ingahlawulwa seswekile.

Kwama-12% - sisifo esibi ukulimala.

Hormone zama ukukhetha unyango ukuze athwala glycated waba iindidi ukususela ngowe-7 ukuya kwi-8%. Xa ezimiselwe ngokufanelekileyo unyango esinyusiweyo kwinqanaba HbA1c uza emva kwenyanga enye yesiqhelo emva mindzulamiso.

I-American Diabetes Association lithethelela isifundo olwenziwe kungekho ngaphantsi kaninzi qho kwiinyanga ezi-6. ERashiya, uhlalutyo HbA1c wabelwe kuzo zonke izigulane zifumana insulin kunye hypoglycemic iziyobisi, kanye qho emva kweenyanga ezi-3. Ngokutsho kwinqanaba mpilo HbA1c uyakwazi kugwetywa ukuba amathuba aphezulu ngezifo nomonde microvessels semehlo, nomonakalo wezintso, kunye luvo.

Kwezinye iimeko, kunokwenzeka ubugqwetha analysis HbA1c?

Kubizwa iphakamileyo iziphumo yabonakala ukunyusa amanqanaba mpilo ezingekazalwa egazini kunye ayoni anemia. Iimpawu False ibhaqwe nciphisa ezinjengokwaphuka ngenxa hemolysis of erythrocytes emva ukutofelwa igazi okanye abophe kakhulu.

Uhlalutyo for kwalo glycated eyabelwe ngaphezulwana (1 ngenyanga nganye) kwizigulane abaye likhawuleze non-ibhanile sifo, ukuba babe sifo kakhulu ezihamba, abasetyhini abakhulelweyo kunye seswekile ukuba iyaluthintela uphuhliso sifo olungekazalwa.