Iqiniso lokuthi egazini lethu kune-hemoglobin ejwayelekile, wonke umuntu omdala uyazi. Kepha kude kakhulu ukuqagela ukuthi i-hemoglobin ye-glycated ikhombisa ini ngqo.
IHemoglobin itholakala kumaseli abomvu egazi athwale i-oksijini kwezicubu zomzimba.
Unesici esisodwa esihlukile. Ihlangana ngempela noshukela, okuphumela ekwakhiweni kwe-hemoglobin ye-glycated.
Ngabe i-glycated hemoglobin inqunywa kanjani?
Izinga le-hemoglobin ye-glycated linganqunywa ngokudlula ekuhlolweni kwegazi. Esikhathini socwaningo, ochwepheshe bathatha njengesisekelo isici esiyisisekelo se-hemoglobin (inhlanganisela yayo eneglucose).
Ushukela omningi egazini, likhuphula izinga lamakhompiyutha.
Imininingwane yezinsuku zokugcina ezingama-120 iyabalwa, ngoba ngemuva kwalesi sikhathi amaseli ebomvu egazi ayafa. Lokho wukuthi, udokotela ulinganisa "okuqukethwe ushukela" womzimba izinyanga ezintathu, enquma isilinganiso soshukela segazi esikhathini esithile.
Ukulungiselela ukutadisha
Lokhu kuhlaziya kwenziwa izikhathi ezi-4 ngonyaka. Imiphumela etholakele ivumela ongoti ukuthi bafinyelele eziphethweni ezigcwele maqondana nokuthi amazinga e-glucose aguquka nokuthi kwenzeka kangaki lokhu.
Ukulungiselela okhethekile kwesifundo akudingeki. Ukuhlaziywa kunikezwa ekuseni, ngaso sonke isikhathi esiswini esingenalutho.
Kulezo zimo lapho isiguli sivula ngosuku ngaphambi kokopha, noma kufakwe igazi, ukuhlolwa kuhlehliswa amasonto ambalwa.
Ukuguqulwa kwemiphumela yokuhlaziya: okujwayelekile nokuphambuka
I-hemoglobin ye-Glycated ayiyonakalisi inhlalakahle yesiguli. Izinga lokuqukethwe kwalo esegazini lingakhuphuka ngisho nangempilo enhle. Eqinisweni, noma ngabe uzizwa umnandi, ungamangali uma umphumela wokuhlaziya ukhombise okuphambene.
Ezimweni ezinjalo, isenzo esiphuthumayo siyadingeka, ngaphandle kwalokho isiguli singabhekana nokuqaqanjelwa. Odokotela basebenzisa izindlela ezithile zedijithali ukuthola ukuxilongwa okuyiqiniso, okuvumela ukuhlolwa okucacile kwesimo sesiguli.
Ngakho-ke, izibalo ezitholakele zibonisa okulandelayo:
- ngaphansi kuka-5.7%. Lo mphumela uphakamisa ukuthi isiguli asinazinkinga nge-carbohydrate metabolism, futhi amathuba okuba nesifo sikashukela mancane;
- sisuka ku-5.7% saya ku-6%. Asikho manje isifo sikashukela, kepha ubungozi bokukhula benyuka. Iziguli ezinezinkomba ezinjalo kufanele, ngezinjongo ze-prophylactic, ziguqukele ekudleni okuphansi kwe-carb;
- sisuka ku-6.1% saya ku-6.4%. Izinkomba ezinjalo zibonisa amathuba aphezulu okuthola isifo sikashukela. Ukuguqulwa kokudla okuphansi kwe-carb kanye nokwenqatshwa kwemikhuba emibi (kufaka phakathi nokudla) kuyimpoqo. Izenzo ezifanayo kufanele zithathwe ngabantu abamiphumela yabo isuka ku-6% iye ku-6.2%;
- ngaphezu kwe-6.5%. Ngalezi zinkomba, isiguli sinikezwa isifo sokuqala soshukela i-mellitus. Ukukuqinisekisa, izifundo ezengeziwe ziyadingeka;
- sisuka ku-7.6% saya ku-7.7%. Lezi zibalo zikhombisa ukuthi isiguli sinesifo sikashukela isikhathi eside, futhi izinqubo ze-pathological sezivele zikhulile emzimbeni wakhe.
Yini okufanele uyenze uma isilinganiso somuntu senyuswa?
Konke kuzoncika ekutheni inkomba idlula ngamazinga amisiwe kangakanani.
Uma ukwephulwa kungasho lutho futhi kudlula kancane nje ngaphezu komkhawulo obekiwe, isiguli kufanele silandele ukudla okune-carb ephansi, kanye nokuyeka imikhuba emibi.
Izinyathelo ezinjalo zizosiza ekuthini i-metabolism ne-carbohydrate metabolism ibe ngejwayelekile. Ezimweni eziningi, izinyathelo ezibalwe zanele ukuvimbela isifo sikashukela.
Uma inkomba idlula uphawu lwe-5.6%, kufanele uthintane nodokotela wakho. Uchwepheshe uzokhetha isivivinyo esingeziwe, esizokuvumela ukuthi uthole imiphumela efanele futhi uthathe izinyathelo ezifanele ezidingekayo ukuvimbela ukukhula kwesifo esiyingozi.
Ungayinciphisa kanjani i-glycated hemoglobin kushukela?
Uma ngemuva kokuphasa ukuhlolwa kutholakale ukuthi unamanani aphezulu, ungesabi. Wena uqobo ungasiza ukwehlisa izinombolo zibe umaki osondelene nempilo.
Ukwehlisa izinga le-HbA1C, izinyathelo ezilandelayo kufanele zithathwe:
- hambisa okuningi. Zama ukulayisha umzimba wakho ngomzimba olinganiselwe nsuku zonke imizuzu engama-30. Kungaba ukuhamba ngezinyawo okungahambi kahle epaki, ukuhamba nenja yakho, ukuhamba ngebhayisikile neminye imisebenzi. Iya esifundweni esisebenzayo se-aerobic ngalesi sikhathi akufanele;
- landela ukudla. Akukona mayelana nokusetshenziswa ngokulinganayo kwama-carbohydrate kuphela, kepha futhi mayelana nokusatshalaliswa okufanele kwezingxenye. Udinga ukudla ngezingxenye ezincane, cishe izikhathi ezingama-5-6 ngosuku, ukuze ungavuseleli ukukhuphuka okubukhali kwamazinga kashukela. Ukudla kufanele kubanjelwe ngasikhathi sinye;
- ungaphambuki ohlelweni lokwelashwa. Uma uke wanqunyelwa inkambo yokwelashwa, qiniseka ukuthi uyilandela ngaphandle kokuphambuka ezinkambisweni ezibekwe udokotela ngesinyathelo esisodwa.
Lezi zinyathelo zinganciphisa izinga le-hemoglobin ye-glycated.
Ungawehlisa kanjani i-HbA1C ephakeme ngesikhathi sokukhulelwa?
Uhlu lwezinyathelo okuhloswe ngalo ukwehlisa izinga le-HbA1C egazini ngesikhathi sokukhulelwa kuyefana nasendabeni yokungabikho kwalo.Omama besikhathi esizayo bangalungisa izinkomba, babheke ukudla bese bezilayisha ngokuzikhandla komzimba okulinganiselwe.
Uma lezi zenzo ezingenhla zingasebenzi, kufanele ufune usizo kudokotela onguchwepheshe.
Ezimweni lapho izinga le-hemoglobin ye-glycated liphezulu kakhulu, udokotela anganikeza imijovo ye-insulin kumama okhulelwe. Ezimweni ezinjalo, kuzobuye kubalulekile ukukala izinga loshukela ekhaya usebenzisa i-glucometer.
Unganciphisa kanjani izinga enganeni?
Uma ingane kutholakale ukuthi iphakeme i-glycated hemoglobin, kufanele ithathwe izinyathelo. Ukunciphisa izinkomba kufanele kube kahle, ngaphandle kokuthatha izinyathelo ezinqala.
Uma udokotela enikeze noma yikuphi ukwelashwa, ukugcinwa kwayo kuphoqelekile. Umphumela wezidakamizwa ezisetshenziswayo ungathuthukiswa ngokulandela ukudla okune-carb ephansi, ukusatshalaliswa komsoco okufanele, kanye nomsebenzi womzimba.
Ingane kufanele idle izikhathi ezingama-5-6 ngosuku ngasikhathi sinye. Lokhu kugwema ukushesha okungazelelwe emazingeni kashukela kanye nokuqala kwe-hyperglycemia. Ngokuqondene nokuzivocavoca umzimba, kuyadingeka ukubheka ukuqina kwayo.
I-cycling, i-skating ice Ukuqeqeshwa okusebenzayo kwezingane ezinjalo akwamukeleki.
Amavidiyo ahlobene
Mayelana nokuhlolwa kwegazi kwe-hemoglobin ye-glycated kuvidiyo:
Ukuhlola njalo i-hemoglobin ye-glycated kuzosiza ukulondolozwa kwezempilo, kutholakale ukuthi isiguli siyakwazi yini ukulawula izinga loshukela egazini, futhi sithole nokuthi ngabe ukwelashwa okunqunywe ngudokotela kuyasebenza yini. Ngakho-ke, ungakudeleli ukuqondisa kokuhlaziywa udokotela akunikeze kona.
