Ngati pamimba yopanda kanthu zotsatira za kuyezetsa magazi kwa shuga kuyambira 3,3 mpaka 5.5 mmol / L, izi zimadziwika kuti ndizofala. Mukatha kudya, shuga amadzuka kuchokera pamlingo wa 7.8 mmol / L. Adotolo azindikira matenda ashuga ngati kawiri kuchuluka kwa kusala kwa glycemia kudalembedwa mndandanda kuchokera pa 6.1 mpaka 11.1 mmol / L.
Chithandizo chimaphatikizapo kuikidwa kwa chakudya chama carb ochepa, maphunziro a kuchepetsa shuga, kapena jakisoni wa insulin. Wodwalayo akuwonetsedwa kuti ayang'anire kuchuluka kwa shuga m'magazi, izi zitha kuchitika kunyumba kapena kulumikizana ndi labotale.
Aliyense wodwala matenda ashuga ayenera kudziwa kuti gawo la glucose ndi munthu payekhapayekha, mwina silingafanane ndi momwe ziliri, koma nthawi yomweyo zimakhala zabwino kwa munthu wina.
Zolinga:
- kuchepetsa mwayi wamavuto;
- matenda ophatikizira sapita;
- kumva bwino.
Glucose akakumana ndi zomwe akufuna kuzitsatira, matendawa amawongolera, shuga imawerengedwa. Ngati mulingo wa glycemia ndi wotsika kapena wapamwamba poyerekeza ndi manambala omwe akuvomerezedwa, akuwonetsedwa kusintha kaundula wamankhwala.
Zimachitika kuti odwala amapewa kuyesa kuchuluka kwa glucose, polungamitsa zochita zawo ndi kuwopa kukhudzika kwa mtima, komwe kumachitika zotsatira zikawonjezeka. Udindo wotere ungathe kuwononga thanzi lanu.
Manambala abwino a shuga
Mothandizidwa ndi matenda a shuga, ndizotheka kupewa zovuta za mochedwa, makamaka monga matenda ashuga amtundu, atherosulinosis, retinopathy, neuropathy, nephropathy. Chowonetsera chokha chitha kuwerengedwa potengera zaka za anthu odwala matenda ashuga, momwe iye aliri, chitetezo chake ndichofunika kwambiri kwa iye.
Paubwana, ndikofunikira kuyesetsa kuthana ndi vuto la glycemic, pamimba yopanda kanthu, shuga ayenera kukhala pafupifupi 6.5 mmol / l, ndipo mutatha kudya - 8 mmol / l.
Mukakula, glycemia wa 7-7.5 mmol / l ndi zovomerezeka, mutatha kudya manambala ndi 9-10. Mwa odwala okalamba, mitengo yovomerezeka ndi yovomerezeka, zizindikiro za 7.5-8 mmol / L zidzakhala zovomerezeka, maola 2 mutatha kudya - 10-11 mmol / L.
Pa nthawi yoyembekezera, cholinga chamankhwala ndi glucose wamagazi osaposa 5.1 mmol / L. Masana, chizindikiro sichikhala chochepera 7. Izi zimathandiza kupewa matenda a matenda ashuga.
Chizindikiro chinanso chofunikira ndi kusiyana pakati pa kusala kudya kwa magazi ndikatha kudya. Ndikofunikira kwambiri kuti matalikidwe asatsike kuposa 3 mfundo. Kusintha kwadzidzidzi kwa glycemia, izi ndizowonjezera zowonongeka pamadzi onse, omwe akhudzidwa kwambiri ndi venule, arterioles, capillaries.
Glycated hemoglobin chandamale
Madokotala ati kuti kuwunika kubwezeretsedwa kwa matenda a shuga ndi kusintha mankhwalawa sikuyenera kutengera zomwe munthu akuonetsa m'magazi a magazi, koma pang'onopang'ono. Masiku ano, kafukufuku wa hemoglobin wa glycated ali ndi mtengo wofunikira kwambiri.
Kupenda uku kumawonetsa shuga m'magazi m'miyezi itatu yapitayi, shuga ochulukirachulukira akamakula, amapezeka hemoglobin wambiri.
Mulingo wa glycated hemoglobin wa achinyamata:
- omwe alibe chiyembekezo cha hypoglycemia ndi zovuta zowopsa - 6.5%;
- pamaso pamavuto ndi zoopsa - mpaka 7%.
Pambuyo pazaka 45, popanda chiwopsezo cha zovuta ndi hypoglycemia, hemoglobin ya glycated iyenera kukhala pamlingo wosaposa 7%, ngati zinthu zowonjezera zilipo - pansipa 7.5%.
Nthawi yomwe wodwalayo amakhala ndi moyo zaka zosakwana 5, wodwalayo amakhala wokalamba, hemoglobin - 7.5-8%.
Pa nthawi yoyembekezera, kuchuluka kwa shuga kumafanana ndi anthu athanzi - mpaka 6%.
Kodi mungakwaniritse bwanji cholinga chanu cha shuga?
Lamulo lalikulu pakuperekera matenda a shuga ndikutsatira mosamalitsa pamankhwala omwe amalimbikitsidwa. Wodwalayo alibe mwayi wotsitsa glycemia, ngati satenga malire pazosankha. Tiyeneranso kukumbukira kuti kuchuluka kwa mankhwala omwe amachepetsa shuga, ma insulin amatengedwa tsiku lililonse, ndikofunikira kuyambira pomwe matenda akuchotsa.
Ngakhale ndi matenda a shuga amtundu wachiwiri, ngati vuto la glucose limasokonekera komanso kusala kudya kwa hyperglycemia, njira ya mankhwala imasonyezedwa. Ndikofunikanso kusintha moyo wa munthu.
Kuti tikwaniritse zomwe tikufuna mu shuga wamagazi ndizotheka chifukwa cha njira zotsatirazi:
- zolimbitsa thupi;
- zakudya zoyenera;
- kutsatira boma la tsikulo;
- kuthetseratu zizolowezi zoipa.
Vuto linanso ndi kudziletsa nthawi zonse, kungokhulupirira malingaliro anu okha ndi kosavomerezeka. Matendawa akamakula, wodwalayo amayamba kuzolowera shuga, ludzu losalekeza, kukodza kwambiri, kuyabwa kwa khungu komanso pakamwa lowuma, osavutitsanso.
Kuti mudziwe kuchuluka kwa shuga, muyenera kugwiritsa ntchito glucometer. Miyeso imalowetsedwa mu diary.
Simungakane kuyang'aniridwa ndi dokotala wanu pafupipafupi. Enocrocrologist amayendera kamodzi pamwezi, masiku awa mu labotale amapereka magazi ndi mkodzo. Miyezi isanu ndi umodzi iliyonse kuwonjezera apo amapatsa hemoglobin wa glycated.
Zotsatira za phunziroli nthawi zina zimatengera malo omwe zimapangidwira. Cholinga chake ndi kusiyana kwa njira yosanthula.
Chifukwa chake, kuti muwonjezere kuyang'ana, magazi amayenera kuperekedwa m'malo amodzi.
Ubwino ndi kuipa kwa njirayo
Amakhulupirira kuti pogwiritsa ntchito mankhwalawa a vitamini E, C, glycated hemoglobin adzachepetsedwa. Ndi hypothyroidism, m'malo mwake, imakwezedwa, ngakhale mulingo wovomerezeka wa glycemia, onse okalamba komanso aang'ono.
Monga mukuwonera, hemoglobin ya glycated imamuwonetsa dokotala kuchuluka kwa kuchuluka kwa glucose m'miyezi itatu yapitayo. Izi zimathandiza kumvetsetsa momwe mankhwalawa alili othandiza.
Njira ili ndi zingapo zoonekeratu:
- Mutha kuyeza nthawi iliyonse, mosasamala kanthu zakudya;
- Zotsatira zake ndi zachangu;
- kuyezetsa kumathandizira kukhazikitsa matenda pazovuta.
Kuphatikizanso kwina ndikuti hemoglobin ya glycated imathandizira kuwunika kusintha kwa kagayidwe kazakudya zam'mimba, ngati kuthamanga kwa glycemia kumakhalabe kwofanizira. Zotsatira izi sizikhudzidwa ndi nkhawa, njira zopatsirana, komanso kuchuluka kwa zochita zolimbitsa thupi.
Njirayi ilinso ndi zovuta zomwe zimalepheretsa kuti ipangidwe kulikonse. Choyamba, ndizokwera mtengo, komabe, ndipo izi zitha kulipidwa chifukwa chodalirika komanso kosavuta. Glycated hemoglobin iwonetsa mtengo wapakatikati popanda kuwonetsa phindu lapamwamba.
Wodwala akakhala ndi vuto la kuchepa magazi m'thupi, pamakhala matenda obadwa nawo a mapuloteni a hemoglobin, zotsatira za phunzirolo sizikhala zodalirika.
Zifukwa zakukwera ndikuchepetsedwa
Ngati glycated hemoglobin ili 4% kapena kuchepera, ndende ya glucose ndiyokhazikika, zomwe zimayambitsa ziyenera kufunidwa m'matumbo a pancreatic, omwe amapanga insulin yambiri. Pankhaniyi, wodwalayo alibe kukana ndi mahomoni, chifukwa kuchuluka kwa shuga wa insulin kumachepa kwambiri, hypoglycemia imayamba.
Kuphatikiza pa insulinomas, kutsika shuga, komwe kumapangitsa hemoglobin pazomwe zili bwino, kumayambitsa matenda ndi mikhalidwe yotere:
- kuperewera kwa adrenal;
- mankhwala osokoneza bongo a insulin, hypoglycemic agents;
- kulimbitsa thupi nthawi yayitali;
- chakudya chamafuta ochepa.
Zomwe zimayambitsa ndizovuta zamtundu wachilengedwe: von Girke, Herce, Forbes matenda, cholowa chibadwa cha fructose.
Hemoglobin yayitali kwambiri imawonetsa kuti hyperglycemia imawonedwa kwa nthawi yayitali. Komanso, izi sizitanthauza kuti nthawi zonse pali matenda ashuga.
Mavuto a kagayidwe kazakudya umaphatikizira kusungunuka kwa glucose komanso kulekerera kwake. Kuzindikiritsidwa kwa matenda a shuga a mtundu woyamba kapena wachiwiri kumatsimikiziridwa ngati mulingo wa hemoglobin uposa zomwe zimadziwika.
Ndi mtengo wochokera ku 6% mpaka 6.5%, madokotala amalankhula za prediabetes, zomwe sizophwanya kulolerana komanso kuwonjezeka kwa glucose othamanga.
Momwe mungatengere ndikuchepetsa
Mutha kupatsa magazi muyezo wonse wa glycated hemoglobin mu polyclinic ya boma monga momwe adanenera dokotala kapena mu labotale yoyeserera, koma simuyenera kutenga chilolezo.
Glycated hemoglobin akusala kapena ayi? Monga lamulo, kwachilengedwenso zinthu za shuga zimaperekedwa pamimba yopanda kanthu. Izi ndizofunikira, chifukwa mukatha kudya mawonekedwe a magaziwo amasintha pang'ono. Koma mutha kuwerengera hemoglobin wa glycated nthawi iliyonse, pamimba yopanda kanthu kapena mutatha kudya, chifukwa chikuwonetsa kuchuluka kwa shuga m'miyezi itatu yapitayo.
Kutsitsa kuchuluka kwa hemoglobin ya glycated kumalumikizidwa kwambiri ndi kuchepa kwa shuga m'magazi. Pachifukwa ichi, kusintha chizindikiro choyamba, ndikofunikira:
- kuyang'anira shuga wamagazi pafupipafupi;
- Musaiwale za kugona ndi kugona;
- kuchita masewera olimbitsa thupi;
- idyani moyenera, osamadya chakudya chambiri;
- pitani kwa adokotala nthawi.
Ngati wodwalayo akuwona kuti kuchokera ku zoyesayesa zake zizindikiro za shuga zibwereranso masana, izi zikutanthauza kuti kuyezetsa magazi pambuyo pa miyezi itatu kudzawonetsa zotsatira zomwe mukufuna.
Momwe mungasinthire za hemoglobin wa glycated amauza katswiri mu kanemayu munkhaniyi.
