Inhlanganisela ye-hemoglobin ekhona kumaseli abomvu egazi kanye noshukela obizwa ngokuthi yi-glycosylated hemoglobin.
Kukuvumela ukuthi ulinganise izinga le-glycemia ngesikhathi sokuphila kwamangqamuzana abomvu egazi, izinsuku ezingaba ngu-120. Le nto itholakala kubo bonke abantu, futhi izinga layo lidlula ezigulini ezinesifo sikashukela mellitus.
Ukuhlaziywa kwe-hemoglobin ye-glycated kunikeza umbono onokwethenjelwa ngokuqhubekayo walesi sifo, ukunemba kokwelashwa okukhethwe udokotela. Ngokungafani nokuhlolwa kwegazi ushukela, ungalinikela nganoma yisiphi isikhathi sosuku, hhayi ngesisu esingenalutho.
Ngabe ukuhlaziya kunikezwa esiswini esingenalutho noma cha?
Ukulungiselela okuyinhloko kokuhlolwa kwe-hemoglobin ye-glycated ukuthi kungenziwa ngisho nangemva kokuba isiguli sithathe ukudla.
Imvamisa, ngemuva kokudla, kuphakama ushukela kumuntu, ngisho nomuntu ophilile, ngakho-ke bathatha igazi esiswini esingenalutho. Baphinde bahlole umthwalo ukuze balandelele lesi simo.
Kulokhu kuxilongwa, imizamo yesiguli yokuqala ukunamathela ekudleni okuqinile, hhayi ukudla ngaphambi kwayo, kuzobe kungafanele izinsuku eziningana. Lokhu akubalulekile ngoba isikhathi sezinto ezingaba izinyanga ezintathu. Lesi yisikhathi sokuphila kwamangqamuzana abomvu egazi.
Ngabe igazi lithathwe emunweni noma emthanjeni?
Isampula yegazi yokuhlolelwa i-glycosylated hemoglobin yenziwa ivela emithanjeni. Ivolumu - amasentimitha ayi-3 cubic.
Imiphumela yokuhlolwa izolunga kungakapheli izinsuku ezintathu. Imvamisa, kubantu abaphilile, inani lezinto akufanele libe ngaphezulu kuka-6%.
Uma isukela ku-5.7 iye ku-6.5%, kungabonakala ukutholakala kokwephula ukubekelwa phansi ushukela. Izinkomba ezingenhla kwaleli zinga zibonisa ukuba khona kwesifo sikashukela kumuntu. Amanani ento ezinganeni acishe afane nalawo kubantu abadala.
Ungahlolwa kanjani i-hemoglobin ye-glycated?
Nikeza ukuhlaziywa ngokuqagela kwisifo sikashukela, nokukhuluphala, i-polycystic ovary nowesifazane obeletha ingane efile. Azikho izidingo ezikhethekile maqondana nokulungiselela ukuxilongwa.
Ucwaningo lunezinzuzo eziningana ngokuhlaziywa kweshukela:
- imiphumela yokuhlola ngeke ihlanekezele ukudla, amaphutha ekudleni, indlala. Abanye odokotela baseluleka ukuthi bangadli ngokweqile ngaphambi kokuhlolwa futhi benqabe nokudla amahora amaningi;
- igazi lingagcinwa kwishubhu yokuhlola kuze kube yilapho lihlaziywa;
- ukuthembeka kokuhlolwa ngeke kuthinteke ekucindezelekeni, ekusebenzeni ngokomzimba;
- Ngaphambi kokuhlaziya ushukela, akufanele ube uvalo, ubheme, uthathe utshwala. Ngaphambi kokuhlolwa ngomthwalo, abavunyelwe ngisho nokuhamba, sebenzisa iselula. Kulokhu, lezi zinto azibalulekile. Kepha noma yimuphi umuntu onobuhlakani ngeke azithwese umthwalo ngotshwala, ukudla okunamafutha kanye nokusebenza ngokweqile ngosuku olwandulela ukuhlolwa okubalulekile.
Ukuhlolwa kwegazi kwe-hemoglobin ye-glycated kusiza ukuthola isifo sikashukela ekuqaleni kokukhula kwayo, kuyilapho ushukela osheshayo ungatholakali.
Yini engathinta izinga le-HbA1C noshukela wegazi?
Akukho phuzu ekuthatheni ukuhlaziywa kwabesifazane abakhulelwe, ngoba iqoqa idatha ezinyangeni ezintathu ezedlule. Kulokhu, isifo sikashukela sokuthomba sitholakala kumama abakhulelwe ngemuva kwamasonto angama-25.
Imiphumela yokuxilonga engathembekile izoba ezigulini ezihlushwa i-anemia, ukugula kwe-thyroid.
Idatha ingahlanekezelwa lapho uthatha i-vitamin C no-E, izidakamizwa ezwehlisa ushukela. Akunconyelwe ukuthi kuhlaziywe abesifazane ngesikhathi sokuya esikhathini, kanye nasezigulini ezenziwa ukuhlinzwa kwesikhashana.
Imiphumela yokuqothuka ibukela phansi, i-anemia - ama-overestimates. Musa ukwenza ucwaningo nge-glycated hemoglobin yezingane ezingaphansi kwezinyanga eziyisithupha ubudala.
Lapho uphasa isivivinyo sikashukela, ukulungiselela kusinda kakhulu, futhi izinkomba zingancika ezintweni eziningi:
- ngokuzila isikhathi eside, ukwehla kwamazinga kashukela kuyabonakala;
- ulwazi lokuphuza utshwala nokubhema;
- ukucindezelwa okudlulisiwe nokukhathala ngokweqile kuzoshintsha imininingwane ekunyukeni noma ekunciphiseni;
- ukuthatha izidakamizwa eziningi kuthinta ukusebenza.
Isiguli akufanele sidle okungenani amahora ayisishiyagalombili ngaphambi kokuhlola ushukela.
Ungenzi ama-x-ray, ukubhucungwa kanye ne-physiotherapy. Izifo ezithathelwanayo zizothinta umphumela. Endabeni yokuhlaziywa kwe-hemoglobin ye-glycated, imikhawulo endimeni yayo incane kakhulu.
Iqondile, kepha inikeza umbono wezinga le-glycemia ezinyangeni ezintathu ezedlule. Ukukhuphuka kukashukela okubukhali esikhathini esithile, ngeke akulunge, futhi kungukuxhuma kwakhe okuyingozi koshukela.
Imvamisa yokuhlola
Ukuhlaziywa kwe-hemoglobin ye-glycated ngezinhloso ze-prophylactic kufanele kuthathwe kubo bonke abantu ngemuva kweminyaka engamashumi amane njalo eminyakeni emithathu.
Kanye ngonyaka, isifundo sikhonjiswa laba bantu abalandelayo:
- ukuba nezihlobo ezinesifo sikashukela;
- okhuluphele
- ngohlobo lomsebenzi, okuhamba kancane;
- abahlukumeza utshwala, imikhiqizo kagwayi;
- abasinde kwisifo sikashukela wokuthomba ngesikhathi sokukhulelwa;
- abesifazane abane-polycystic ovary.
Kuyadingeka ukulawula izinga lezinto ezinganeni ezincane nakwintsha.
Lokhu kuzokuvumela ukuthi ukhombe izinkinga ngendlela esesikhathini futhi uvikele nezinkinga ezidalwa yisifo sikashukela. Kubalulekile ukuthi asebekhulile bahlolwe njalo. Ngemuva kweminyaka engamashumi ayisithupha, cishe bonke bakhuphule amazinga kashukela.
Abaningi baphuthelwa yizimpawu zokuqala zesifo sikashukela, baphendukela kudokotela kuphela lapho bezizwa bebhebhetheka ngokuphelele. Ukuhlolwa kwegazi njalo kuzosiza ukuvikela ubunzima ekunzima ukwelapha kubantu asebekhulile.
Uma umuntu ethole isifiso sokuchama kaningi, umuzwa wokoma njalo, futhi futhi ukhathele kakhulu, amanxeba akhe aphola kahle futhi nombono wakhe uya ngokuba mbi - lesi yisikhathi sokucela udokotela ukuthi anikeze uhlaziyo lwe-hemoglobin ye-glycated.
Abantu abanesifo sikashukela kufanele bahlolwe njalo ezinyangeni ezintathu, kungakhathalekile ukuthi sinxephezelwe kangakanani lesi sifo.
Ukulawula kuzonikeza ithuba lokuhlola ikhambi lokwelashwa kweziguli, lungisa ukwelashwa.
Amavidiyo ahlobene
Mayelana nokuthi ungakuhlaziya kanjani i-glycated hemoglobin, kuvidiyo:
Ukuhlaziywa kwe-hemoglobin ye-glycated kuvumela umuntu ukuthi anqume izinga le-carbohydrate metabolism engalapheki ezigulini ezinesifo sikashukela, kanye nokuthola ukugula ekuqaleni kwesigaba sokukhula kwayo. Umuthi uyingxenye ye-hemoglobin ehambisana neglucose.
Izinga lokwakheka kwalo kuncike ezingeni likashukela ku-plasma. Kubonisa inani eliphakeme le-glucose ngaphezulu kwezinyanga ezintathu - isikhathi sokuphila samangqamuzana abomvu egazi. Ukuhlaziywa kubalulekile ukuze kulungiswe ukwelashwa okuvele kunikezwe udokotela.
Ayikho imiyalo ethile yokulungiselela ukuxilongwa. Ungadlula kukho, ngemuva kokudla. Imiphumela ayithintwa yizimo ezicindezelayo, imikhuba emibi nemithi.
