Uma esiswini esingenalutho umphumela wokuhlolwa kwegazi koshukela usukela ku-3.3 kuya ku-5.5 mmol / L, lokhu kubhekwa njengokujwayelekile. Ngemuva kokudla, ushukela ukhuphuka usuka ezingeni lika-7.8 mmol / L. Udokotela uzokuhlonza isifo sikashukela uma okungenani izinga le-glycemia lokudla eselilotshwe labhalwa ebangeni lisuka ku-6.1 laya ku-11.1 mmol / L.
Ukwelashwa kufaka ukuqokwa kokudla okune-carb ephansi, inkambo yemithi enciphisa ushukela, noma imijovo ye-insulin. Isiguli sikhonjiswa ukuthi siqaphe ngokwejwayelekile izinga likashukela egazini, lokhu kungenziwa ekhaya noma ukuxhumana nelebhu.
Wonke umuntu onesifo sikashukela kufanele azi ukuthi ipharamitha ebunjiwe ye-glucose imuntu ngamunye, ingahle ingahambelani nokujwayelekile, kepha ngasikhathi sinye ilungele umuntu othize.
Ngamatshe
- ukuncishiswa kwezinkinga;
- Izifo ezihlangana nazo aziqhubeki;
- uzizwe kahle.
Lapho i-glucose ihlangabezana namagugu okuhlosiwe, lesi sifo siyalawulwa, isifo sikashukela sibhekwa njengenxephezeliwe. Uma izinga le-glycemia liphansi noma liphakeme kunezibalo ezinconyiwe, kukhonjiswa ukulungisa irejimeni yokwelashwa.
Kwenzeka ukuthi iziguli zigweme ngamabomu ukukala amazinga kashukela, zizithethelela ngezenzo zazo ngokwesaba ukweqisa ngokomzwelo, okuzokwenzeka lapho kutholakala umphumela owandayo. Isikhundla esinjalo singadala umonakalo omkhulu empilweni.
Izinombolo zeglucose ezifanele
Uma isifo sikashukela silawulwa, kungenzeka ukuvikela amathuba okuba nezinkinga sekwephuzile, ikakhulu njenge-diabetesic foot syndrome, isifo sokuqina kwemizwa, i-retinopathy, i-neuropathy, i-nephropathy. Inkomba ngqo ingabalwa ngokuya ngeminyaka yesifo sikashukela, mncane kakhulu kuye, okubaluleke kakhulu kuye ukuvimbela okunjalo.
Emncane, kuyadingeka ukulwela ukulawula kahle kwe-glycemic, esiswini esingenalutho, izinga likashukela kufanele libe cishe ngu-6.5 mmol / l, kuthi ngemuva kokudla - 8 mmol / l.
Ebudaleni, i-glycemia ye-7-7,5 mmol / l iyamukeleka, ngemuva kokudla le nombolo ngu-9-10. Ezigulini esezikhulile, amanani aphakeme ayamukeleka, izinkomba ze-7.5-8 mmol / L zizokwamukeleka, amahora ama-2 ngemuva kokudla - 10-11 mmol / L.
Ngesikhathi sokukhulelwa, inhloso yokwelapha u-glucose wegazi hhayi ephakeme kune-5.1 mmol / L. Emini, inkomba akufanele ibe ngaphansi kuka 7. Amanani la azosiza ukuvikela ukukhula kwe-nephropathy yesifo sikashukela.
Enye inkomba ebaluleke ngokulinganayo umehluko phakathi kokuzila ushukela wegazi nangemva kokudla. Kuyinto efiselekayo kakhulu ukuthi i-amplitude ingekho ngaphansi kwamaphoyinti ama-3. Ngokushintshwa okubukhali ku-glycemia, lokhu kuyinto eyengeziwe eyonakalisayo kuyo yonke imikhumbi, abathinteka kakhulu ama-venule, ama-arterioles, ama-capillaries.
Amatshe we-glycated hemoglobin
Odokotela bathi ukuhlola isinxephezelo se-mellitus yesifo sikashukela nokulungisa ukwelashwa akufanele kususelwe kuzinkomba ngazinye zeglucose yegazi, kodwa ngokwesilinganiso. Namuhla, ucwaningo lwe-hemoglobin ye-glycated lunenani eliphezulu elingokoqobo.
Lokhu kuhlaziya kukhombisa ushukela wegazi ezinyangeni ezintathu ezedlule, lapho ushukela ukhuphuka ngokwengeziwe, ukhuphula izinga le-hemoglobin ye-glycated.
Izinga le-hemoglobin ye-glycated glycated kwiziguli ezisencane:
- abangenakho ukubikezela kusengaphambili kwe-hypoglycemia kanye nezinkinga eziyingozi - 6.5%;
- phambi kwezinkinga nezingozi - kuze kufike ku-7%.
Ngemuva kweminyaka yobudala engama-45, ngaphandle kobungozi bezinkinga kanye ne-hypoglycemia, i-hemoglobin ye-glycated kufanele ibe sezingeni lokungabi ngaphezulu kwe-7%, uma kunezici ezethusayo - ngaphansi kuka-7.5%.
Lapho isikhathi sokuphila sesiguli singaphansi kweminyaka emi-5, iminyaka yesiguli isikhulile, i-glycated hemoglobin - 7.5-8%.
Ngesikhathi sokukhulelwa, isilinganiso se-glucose silingana nabantu abanempilo - aze afike ku-6%.
Ungawufeza kanjani umgomo wakho kashukela wegazi?
Umthetho oyinhloko ekwelashweni kwesifo sikashukela ukunamathela ngokuqinile kwirejimeni yokwelashwa enconywayo. Isiguli asinalo ithuba lokwehlisa izinga le-glycemia, uma singenzi imingcele kwimenyu. Futhi kufanele kukhunjulwe ukuthi imithamo ebekiwe yemithi ekwehlisa ushukela, i-insulin ithathwa nsuku zonke, iyadingeka kusukela lapho lesi sifo sishiya phansi.
Noma ngesimo esincane sikashukela sohlobo lwesibili, uma kwenzeka ukubekezelelwa kokulimala kwe-glucose nokuqina kwe-hyperglycemia, kukhonjiswa inkambo yezidakamizwa. Kubalulekile futhi ukushintsha indlela yomuntu yokuphila.
Ukufinyelela amanani entengo eglue glucose kungenzeka ngenxa yalezi zinyathelo ezilandelayo:
- ukusebenza komzimba;
- umsoco ofanele;
- ukuhambisana nokubuswa kosuku;
- ukuqedwa kwemikhuba emibi.
Esinye isimo ukuzithiba okuhlala njalo, ukwethemba imizwa yakho kuphela akwamukeleki. Lapho lesi sifo siqhubeka, isiguli sijwayela ukukhuphuka namazinga kashukela amaningi, ukoma okungapheli, ukuchama ngokweqile, ukumiswa kwesikhumba nomlomo owomile, kungabe kusazihlupha.
Ukunquma izinga le-glucose, udinga ukusebenzisa i-glucometer. Izilinganiso zifakwa kudayari.
Awukwazi ukwenqaba ukubhekwa njalo ngudokotela wakho. I-endocrinologist ihanjelwa kanye ngenyanga, kulezi zinsuku elabhoratri zinikela ngegazi nomchamo. Njalo ezinyangeni ezi-6 zengeza i-hemoglobin ye-glycated.
Umphumela wokufunda kwesinye isikhathi kuya ngokuya elabhorethri lapho lenzelwe khona. Isizathu ukwahluka kwendlela yokuhlaziya.
Ngakho-ke, ukwandisa ukuqonda, igazi kufanele linikelwe endaweni eyodwa.
Izinzuzo kanye nokubi kwendlela
Kukholelwa ukuthi uma kusetshenziswa imithamo ye-Vitamin E, C, i-glycated hemoglobin izoncishiswa. Nge-hypothyroidism, kunalokho, iyaphakanyiswa, naphezu kwezinga elamukelekayo le-glycemia, kokubili asebekhulile nasebancane.
Njengoba ubona, i-glycated hemoglobin ikhombisa udokotela ukuthi kukhuphuke kaningi kangakanani glucose ezinyangeni ezi-3 ezedlule. Lolu lwazi lusiza ukuqonda ukuthi kusebenza kangakanani ukwelashwa.
Indlela inezinzuzo eziningana ezisobala:
- Ungalinganisa noma kunini, kungakhathaleki ukuthathwa kokudla;
- umphumela uyashesha;
- isivivinyo sizosiza ukuthola ukuthi isifo sitholakele ezimweni eziphikisayo.
Okunye futhi ukuthi i-hemoglobin ye-glycated isiza ukuhlola izinguquko ku-carbohydrate metabolism, uma izinga lokuzila kwe-glycemia lihlala lingaphansi kwemingcele evamile. Lo mphumela awuthintwa ukucindezela, izinqubo zokutheleleka, kanye nezinga lomsebenzi womzimba.
Le ndlela futhi inezingqinamba ezivimbela ukuthi isetshenziswe yonke indawo. Okokuqala, kuyizindleko eziphakeme, kepha-ke, futhi lokhu kungakhokhelwa ngokuthembekile nangokulula. I-hemoglobin ye-Glycated izokhombisa inani elijwayelekile ngaphandle kokubonisa amanani aphezulu.
Lapho isiguli sine-anemia, kunezifo ezenzakalelayo zesakhiwo samaprotheni we-hemoglobin, umphumela wokufunda ngeke uthembeke.
Izizathu zokwanda kanye nokwehliswa kwemiphumela
Uma i-glycated hemoglobin iku-4% noma ngaphansi, ukugxila kwe-glucose kuzinzile, izimbangela kufanele zifunwe kumathumba e-pancreatic, akhiqiza i-insulin ngokweqile. Kulokhu, isiguli asinakho ukumelana ne-hormone, njengoba ukukhuphuka kwe-insulin glucose kuncipha ngokushesha, i-hypoglycemia iyakhula.
Ngaphezu kwama-insulinomas, ukwehlisa ushukela, okuzobangela i-hemoglobin ngaphansi kwesejwayelekile, kucasulwa yilezi zifo nemibandela:
- ukuntuleka kwe-adrenal;
- i-overdose ye-insulin, ama-hypoglycemic agents;
- isikhathi eside sokuzivocavoca umzimba;
- ukudla okunzima kwe-carb ephansi.
Ezinye izimbangela zizoba yimithi yezakhi zofuzo ezingandile: i-G Gke, iHerce, isifo seForbes, ukungabekezeleli ifa le-tructose.
I-hemoglobin ephezulu ye-glycated ibonisa ukuthi i-hyperglycemia ibonwe isikhathi eside. Ngaphezu kwalokho, leli qiniso alibonisi ngaso sonke isikhathi isifo sikashukela.
Izinkinga ze-carbohydrate metabolism zifaka ukungasebenzi kahle kweglucose nokubekezelela kukho. Ukuxilongwa kwesifo sikashukela i-mellitus sohlobo lokuqala noma lwesibili kuyaqinisekiswa uma izinga le-hemoglobin lidlula okujwayelekile.
Inani elivela ku-6% liye ku-6.5%, odokotela bakhuluma nge-prediabetes, okungekhona ukwephula ukubekezelela nokwanda kwe-glucose esheshayo.
Ungathatha kanjani nokuthi unganciphisa kanjani
Unganikela ngegazi kulo lonke izinga le-glycated hemoglobin ku-polyclinic yesifundazwe njengoba kuchazwe ngudokotela noma endaweni yangasese, kodwa akudingeki ukuthi udlulisele.
I-glycated hemoglobin ishesha noma cha? Njengomthetho, izinto ezibonakalayo zeshukela zilethwa esiswini esingenalutho. Lokhu kubalulekile, ngoba ngemuva kokudla ukwakheka kwegazi kuzoshintsha kancane. Kepha ungakwazi ukubala i-glycated hemoglobin nganoma yisiphi isikhathi, esiswini esingenalutho noma ngemuva kokudla, ngoba kukhombisa ukugcwala kweglucose ezinyangeni ezi-3 zokugcina.
Ukwehlisa izinga le-hemoglobin ye-glycated kuhlobene kakhulu nokuncipha koshukela wegazi. Ngenxa yalesi sizathu, ukuze kusebenze inkomba yokuqala, kuyadingeka:
- qapha njalo ushukela wegazi;
- Ungakhohlwa ukulala nokuphaphama;
- bamba iqhaza kwezemidlalo;
- yidla ngokulungile, ungadli ama-carbohydrate asheshayo;
- vakashela udokotela ngesikhathi.
Uma isiguli sizwa ukuthi emizamweni yayo izinkomba ze-glucose zibuyela kokujwayelekile phakathi nosuku, lokhu kusho ukuthi ukuhlolwa kwegazi elilandelayo ngemuva kwezinyanga ezintathu kuzobonisa umphumela oyifunayo.
Ungakuhlaziya kanjani i-hemoglobin ye-glycated uzotshela uchwepheshe kuvidiyo ekulesi sihloko.
