Kodi hemoglobin ya glycated, ndi chiyani komanso mfundo zake ndizotani

Zamkati

• Kodi hemoglobin ya glycated ndi chiyani?
• Malingaliro owonetsera

Glycated hemoglobin, yomwe imadziwikanso kuti glycosylated hemoglobin kapena Hb1Ac, ndiyeso loyesa magazi lomwe limayesa kuyesa kuchuluka kwa shuga m'miyezi itatu yapitayi mayeso asanachitike. Izi ndichifukwa choti glucose imatha kulumikizana ndi chimodzi mwamagawo ofiira ofiira a magazi, hemoglobin, kuzungulira kwa maselo ofiira amwazi, omwe amakhala pafupifupi masiku 120.

Chifukwa chake, mayeso a hemoglobin ya glycated amafunsidwa ndi dokotala kuti adziwe matenda ashuga, kuwunika momwe akuwonekera kapena kuwunika ngati chithandizo cha matendawa chikuyenda bwino, kuchitidwa pofufuza kamwazi kakang'ono kamene kamasonkhanitsidwa mu labotale.

Kodi hemoglobin ya glycated ndi chiyani?

Kuunika hemoglobin ya glycated kumachitika ndi cholinga chowunika kuchuluka kwa shuga m'miyezi yaposachedwa, ndikuthandizira kuzindikira matenda ashuga. Kuphatikiza apo, kwa anthu omwe apezeka kale kuti ali ndi matenda a shuga, kuyezetsa kumeneku ndikofunikira kuwunika ngati mankhwalawa akugwira ntchito kapena akuchitidwa moyenera, chifukwa ngati sichoncho, kusintha pazotsatira kungatsimikizidwe.

Kuphatikiza apo, phindu la hemoglobin ya glycated ndiyokwera kwambiri kuposa yodziwika ndi labotale, pamakhala mwayi waukulu woti munthu akhale ndi zovuta zokhudzana ndi matenda ashuga, monga kusintha kwa mtima, impso kapena ma neuronal, mwachitsanzo. Onani mavuto omwe amabwera chifukwa cha matenda ashuga.

Kuyesaku ndikoyenera kuposa kusala kudya kwa shuga kuti munthu adziwe matenda a shuga, chifukwa kuyesa kwa glucose kumatha kutengera kusintha kwa kadyedwe kameneka posachedwa, osayimira kuchuluka kwa shuga m'miyezi ingapo yapitayi. Chifukwa chake, ndizotheka kuti asanayese kuyesa kwa shuga, munthuyo amakhala ndi zakudya zopatsa thanzi komanso shuga wotsika, kotero kuti kusala kudya kwa glucose kungakhale koyenera, komwe sikuyimira zenizeni za munthuyo.

Chifukwa chake, kuti adziwe ngati ali ndi matenda ashuga, amafunsidwa kuti awunike shuga wosala kudya, glycated hemoglobin ndi / kapena mayeso a kulolerana kwa shuga. Dziwani zambiri za mayeso omwe amathandizira kuzindikira matenda ashuga.

Malingaliro owonetsera

Zomwe amawerengera hemoglobin ya glycated imatha kusiyanasiyana malinga ndi labotale, komabe mfundo zomwe zimaganiziridwa ndi izi:

• Zachilendo: Hb1Ac pakati pa 4.7% ndi 5.6%;
• Matenda ashuga asanakwane: Hb1Ac pakati pa 5.7% ndi 6.4%;
• Matenda ashuga: Hb1Ac pamwambapa 6.5% m'mayeso awiri omwe adachitika mosiyana.

Kuphatikiza apo, mwa anthu omwe amapezeka kale kuti ali ndi matenda ashuga, Hb1Ac miyezo pakati pa 6.5% ndi 7.0% ikuwonetsa kuti pali kuwongolera bwino kwa matendawa. Kumbali inayi, zomwe zili pamwambapa Hb1Ac pamwambapa 8% zikuwonetsa kuti matenda ashuga samayang'aniridwa moyenera, ali pachiwopsezo chachikulu chazovuta ndikusintha kwamankhwala ndikofunikira.

Mayeso a hemoglobin a glycated samafuna kukonzekera kulikonse, komabe, chifukwa nthawi zambiri amafunsidwa limodzi ndi mayeso osala a shuga, pangafunike kusala kudya kwa maola 8.