Magulu a Hemoglobin: Kodi Chomwe Chimawerengedwa Chachizolowezi Ndi Chiyani?

Zamkati

• Kodi hemoglobin ndi chiyani?
• Kodi mulingo wa hemoglobin wabwinobwino ndi uti?
• Akuluakulu
• Ana
• Nchiyani chimayambitsa kuchuluka kwa hemoglobin?
• Zowopsa
• Kodi hemoglobin yotsika ndi yotani?
• Zowopsa
• Nanga bwanji hemoglobin A1c?
• Mfundo yofunika

Kodi hemoglobin ndi chiyani?

Hemoglobin, yomwe nthawi zina imasindikizidwa monga Hgb, ndi mapuloteni m'maselo ofiira amwazi omwe amanyamula chitsulo. Chitsulo ichi chimasunga mpweya, ndikupangitsa hemoglobin kukhala gawo lofunikira m'magazi anu. Magazi anu akakhala kuti alibe hemoglobin yokwanira, maselo anu samalandira mpweya wokwanira.

Madokotala amadziwa kuchuluka kwa hemoglobin wanu mwa kupenda magazi anu pang'ono. Zinthu zingapo zimakhudza ma hemoglobin anu, kuphatikiza:

• zaka
• jenda
• mbiri yazachipatala

Pitilizani kuwerenga kuti muphunzire zambiri za zomwe zimawerengedwa kuti ndi hemoglobin wabwinobwino, wokwera komanso wotsika.

Kodi mulingo wa hemoglobin wabwinobwino ndi uti?

Akuluakulu

Kwa achikulire, hemoglobin wapakati imakwera pang'ono kuposa amuna kuposa akazi. Amayeza magalamu pa desilita imodzi (g / dL) yamagazi.

Okalamba achikulire amakhalanso ndi ma hemoglobin ochepa. Izi zitha kukhala chifukwa cha zinthu zingapo, kuphatikiza:

• kutsika kwachitsulo chifukwa chamatenda osatha kapena kusowa zakudya m'thupi
• zotsatira zoyipa zamankhwala
• kuchuluka kwa matenda osachiritsika, monga matenda a impso

Ana

Makanda amakhala ndi hemoglobin yambiri kuposa achikulire. Izi ndichifukwa choti ali ndi mpweya wokwanira m'mimba ndipo amafunikira maselo ofiira ochulukirapo kuti anyamule mpweya. Koma mulingo uwu umayamba kutsika patatha milungu ingapo.

Nchiyani chimayambitsa kuchuluka kwa hemoglobin?

Mlingo waukulu wa hemoglobin nthawi zambiri umatsagana ndi kuchuluka kwama cell ofiira. Kumbukirani, hemoglobin imapezeka m'maselo ofiira ofiira, chifukwa chake kuchuluka kwa maselo ofiira amwazi, kumachulukitsa hemoglobin yanu komanso mosemphanitsa.

Maselo ofiira ofiira komanso hemoglobin amatha kuwonetsa zinthu zingapo, kuphatikiza:

• Matenda amtima obadwa nawo. Vutoli limatha kupangitsa kuti mtima wanu usamapopere bwino magazi ndikupereka mpweya wabwino mthupi lanu lonse. Poyankha, thupi lanu nthawi zina limatulutsa maselo ofiira owonjezera.
• Kutaya madzi m'thupi. Kusakhala ndi madzi okwanira kumatha kupangitsa kuchuluka kwa maselo ofiira a magazi kuoneka kuti ndiwokwera chifukwa kulibe madzimadzi ochulukirapo.
• Zotupa za impso. Zotupa za impso zina zimapangitsa impso zanu kupanga erythropoietin yochuluka, timadzi timene timapangitsa kupanga maselo ofiira ofiira.
• Matenda am'mapapo. Ngati mapapu anu sakugwira ntchito bwino, thupi lanu limatha kuyesa kupanga maselo ofiira ochulukirapo kuti athandize kunyamula mpweya.
• Polycythemia vera. Matendawa amachititsa kuti thupi lanu lipange maselo ofiira owonjezera.

Zowopsa

Muthanso kukhala ndi ma hemoglobin ambiri ngati:

• khalani ndi mbiri yabanja yamavuto omwe amakhudza kuchuluka kwa maselo ofiira amwazi, monga kusintha kwa mpweya
• khalani kumtunda wapamwamba
• posachedwapa anaikidwa magazi
• kusuta

Kodi hemoglobin yotsika ndi yotani?

Mlingo wochepa wa hemoglobin nthawi zambiri umawoneka ndi kuchuluka kochepa kwama cell of magazi.

Matenda ena omwe angayambitse izi ndi awa:

• Matenda a m'mafupa. Izi, monga leukemia, lymphoma, kapena aplastic anemia, zitha kupangitsa kuchuluka kwama cell ofiira.
• Impso kulephera. Pamene impso zanu sizikugwira ntchito bwino, sizimatulutsa timadzi tambiri totchedwa erythropoietin tomwe timayambitsa kupanga maselo ofiira ofiira.
• Chiberekero cha fibroids. Awa ndi zotupa zomwe nthawi zambiri sizikhala ndi khansa, koma zimatha kuyambitsa magazi ambiri, zomwe zimapangitsa kuti magazi azikhala ochepa.
• Zinthu zomwe zimawononga maselo ofiira. Izi zikuphatikiza kuchepa kwa magazi m'kachilombo, thalassemia, kuchepa kwa G6PD, ndi cholowa cha spherocytosis.

Zowopsa

Muthanso kukhala ndi ma hemoglobin ochepa ngati:

• ali ndi vuto lomwe limayambitsa kutuluka magazi kosatha, monga zilonda zam'mimba, ma polyp polyp, kapena kusamba kwambiri
• ali ndi vuto la folate, iron, kapena vitamini B-12
• ali ndi pakati
• adachita ngozi yoopsa, monga ngozi yagalimoto

Phunzirani momwe mungakweretse hemoglobin yanu.

Nanga bwanji hemoglobin A1c?

Mukamagwira ntchito yamagazi, mutha kuwona zotsatira za hemoglobin A1c (HbA1c), yomwe nthawi zina imatchedwa hemoglobin ya glycated. Chiyeso cha HbA1c chimayeza kuchuluka kwa hemoglobin ya glycated, yomwe ndi hemoglobin yomwe imalumikizidwa ndi glucose, m'magazi anu.

Madokotala nthawi zambiri amalamula mayeso awa kwa anthu omwe ali ndi matenda ashuga. Zimathandiza kupereka chithunzi chowoneka bwino cha kuchuluka kwa magazi m'magazi a munthu pakadutsa miyezi iwiri kapena iwiri. Glucose, yotchedwanso shuga wamagazi, imazungulira m'magazi anu onse ndikumamatira ku hemoglobin.

Kuchuluka kwa shuga m'magazi mwanu, kumakhala kovuta kuti mukhale ndi hemoglobin yambiri ya glycated. Mpweyawo umakhalabe pafupi ndi hemoglobin kwa masiku pafupifupi 120. Mulingo wokwera wa HbA1c ukuwonetsa kuti shuga wamagazi wa munthu yakhala yayikulu kwa miyezi ingapo.

Nthawi zambiri, munthu yemwe ali ndi matenda ashuga amayenera kukhala ndi HbA1c mulingo wa 7 peresenti kapena kuchepera apo. Omwe alibe matenda ashuga amakhala ndi kuchuluka kwa HbA1c pafupifupi 5.7 peresenti. Ngati muli ndi matenda ashuga komanso mulingo wokwera wa HbA1c, mungafunikire kusintha mankhwala anu.

Dziwani zambiri za kuwongolera magawo a HbA1c.

Mfundo yofunika

Magulu a hemoglobin amatha kusiyanasiyana ndi jenda, zaka, komanso matenda. Mulingo wa hemoglobin wokwera kapena wotsika ukhoza kuwonetsa zinthu zosiyanasiyana, koma anthu ena amangokhala apamwamba kapena otsika mwachilengedwe.

Dokotala wanu adzayang'ana zotsatira zanu potengera thanzi lanu lonse kuti muwone ngati milingo yanu ikuwonetsa vuto.