Glycated hemoglobin (HbA1C) ndi chisonyezero cha seramu chomwe chimawonetsa kuchuluka kwa glucose pakatha miyezi itatu.
Kusanthula koteroko kumatithandiza kuzindikira kupezeka kwa ma pathologies ambiri, kuphatikizapo matenda a shuga. Zimachitika kuti zotsatira za phunzirolo zimawonetsa kuchepa kwa glycated hemoglobin.
Izi zikuwonetsa kukhalapo kwa matenda angapo.
Pansi pa hemoglobin wabwinobwino: zikutanthauza chiyani?
Hemoglobin imanyamula mpweya wofunikira kupatsa mphamvu ya ziwalo.
Mwakuchita pang'onopang'ono kopanda enzymatic, thunthu limalumikizana ndi shuga ndikusintha kukhala glycated hemoglobin. Pali kusanthula kwapadera komwe kumawululira kukula kwa chinthuchi.
Kwa abambo ndi amai athanzi, chizolowezicho ndi 4-6%. Kutsika kwamaperesenti, kumachepetsa mwayi wokhala ndi matenda ashuga.
Chizindikiro chomwe sichikufika pamunsi pamunsi pazomwe zimachitika chimawonetsa kuti maselo am'mimba alibe mpweya, ndipo kuchuluka kwa glucose m'thupi kumatsitsidwa.
Chifukwa cha glycated hemoglobin amachepetsa: zofala zoyambira
Kutsika kwa HbA1C ndi chizindikiro cha pathological. Vutoli limachitika pazifukwa zosiyanasiyana.
Nthawi zambiri, zinthu zotere zimayambitsa phindu pansi pazomwe zimachitika:
- kuthiridwa magazi kapena kuikidwa magazi a plasma. Zotsatira za njirayi, HbA1C imaphatikizidwa ndi kachigawo kakang'ono komwe sikalumikizidwa ndi chakudya;
- kuperewera kwa adrenal;
- kutaya magazi kwambiri. Pamodzi ndi ambiri, hemoglobin wa glycated imatayikanso;
- hypoglycemia yayitali chifukwa cha njala kapena kusokonekera kwa endocrine;
- mapangidwe zotupa mu kapamba. Kuchuluka kwawomwe timadzi timene timapanga timadzi timene timapangitsa kuti thupi likhale lodetsa nkhawa;
- mavuto mu hypothalamus;
- hepatic kuwonongeka (chiwindi, kusowa kwa ntchito);
- kukhalapo kwa zovuta zachilengedwe zamatenda (Forbes matenda, Girke, tsankho la fructose);
- hemolytic anemia. Ichi ndi matenda omwe nthawi yayitali ya kukhalapo kwa maselo ofiira amachepetsa. M'mbuyomu, maselo omwe ali ndi glycated hemoglobin amamwaliranso;
- kulimbitsa thupi kwambiri.
Mwa azimayi pa nthawi yobereka, kuchuluka kwa HbA1C ndi njira yabwinobwino. Mukamanyamula mwana, ma hormonal maziko amasintha, kuchepa kwa magazi kumawonekera. Chachikulu ndikupewa kuchepa kwakukulu kwa chizindikiro ichi.
Zomwe zimayambitsa Low HbA1c ndi shuga ya Magazi mu shuga
Mu odwala matenda ashuga, glycated hemoglobin nthawi zambiri imakwezedwa. Kuperewera kwa mankhwala a insulin, kusatetezeka kwa maselo m'thupi kumapangitsa kupezeka kwa shuga mu seramu, zomwe Mayer amachita ndi mapangidwe a HbA1C.
Koma pali zochitika zina pomwe kusanthula kumawonetsa kuchepa kwa gawo ili.
Nthawi zambiri, izi zimachitika chifukwa chamankhwala osankhidwa molakwika, osagwirizana ndi malangizo a dokotala. Zomwe zimayambitsa HbA1C yotsika kwa anthu omwe ali ndi ma pathologies a mitundu yoyamba ndi yachiwiri ndi yosiyana.
Mtundu 1
Mtundu woyamba wa matenda ashuga amaonedwa ngati wodalira insulin. Ndi matenda awa, munthu amakakamizidwa kubaya jakisoni tsiku ndi tsiku, yemwe samatulutsa kapamba.
Mitengo yotsika ya HbA1C ndi chifukwa:
- kugwiritsa ntchito Mlingo wambiri wa insulin;
- Zakudya zazitali za carb;
- matenda ashuga nephropathy.
Mitundu iwiri
Mtundu wachiwiri wa matenda ashuga ndi mtundu wodziyimira pawokha wa insulin. Pankhaniyi, kapamba amatulutsa mahomoni, koma osakwanira. Munthu amayenera kutsatira zakudya zokhwima kapena kumwa mankhwala ochepetsa shuga.
Kuwonongeka kochepa kwa HbA1C kumawonedwa ndi:
- mankhwala osokoneza bongo omwe amachepetsa glucose wa plasma;
- insulinoma (zotupa za pancreatic);
- kudya kosayenera (kugwiritsa ntchito zakudya zamafuta ochepa);
- kulephera kwa aimpso.
Zizindikiro zake
Miyezi ya HbA1C ikayamba kutsika, munthu amayamba kukhala ndi zizindikiro za mkhalidwe wa hypoglycemic. Zizindikiro zakuwonongeka kwa odwala matenda ashuga zimatchulidwa kwambiri.
Ngati zomwe zili m'magazi a glycated hemoglobin zimatsika ndi 4%, ndiye mawonetsedwe otere amapezeka:
- kufooka kwambiri;
- njala yayikulu;
- kunjenjemera miyendo;
- thukuta kwambiri;
- kupweteka mutu kwambiri;
- kuwonongeka kwamawonedwe (munthu amawona zinthu zonse mosazindikira);
- kukoka kwamtima;
- Chizungulire
- chisangalalo, kupsa mtima;
- chikumbumtima;
- dzanzi la lilime ndi milomo.
Ngati zizindikiro zochepa za HbA1C zotsika zimayang'aniridwa, muyenera kuyang'ana kuchuluka kwa shuga ndi glucometer yamagetsi apanyumba, perekani magazi kuchokera mu mtsempha kapena chala kuti mukayesedwe.
Ngati chizindikirochi chili pansipa 3.3 mmol / l, ndiye kuti pali hypoglycemia, ndipo muyenera kudya zopatsa mphamvu zamafuta (mwachitsanzo, supuni ya shuga kapena uchi). M'pofunikanso kuunikanso kuti mupeze hemoglobin ya glycated.
Kodi chiwopsezo cha kuchepa kwa HbA1c m'magazi ndi chiani?
Ngati glycated hemoglobin iyamba kutsika, kuyeserera kwathunthu kuyenera kuchitidwa. Matendawa ndi owopsa chifukwa pakapita nthawi ntchito ya ziwalo zamkati imasokonekera.
Zikhudzidwa:
- mitsempha yamagazi. Makoma am'mitsempha amachepa kwambiri, kuwala kumachepera. Izi zimatsogolera ku njala ya oxygen. Munthawi imeneyi, pamakhala chiwopsezo chowonjezeka cha matenda a mtima, mitsempha yamagazi. Nthawi zambiri izi zimayambitsa imfa;
- khungu. Chifukwa chosayenda bwino m'magazi, mabala ndi mabala amachiritsidwa pang'onopang'ono, zilonda zam'mimba za trophic. Izi zimakwiyitsa kukula kwa matenda opatsirana;
- impso. Chiwalo chophatikizika chimayamba kugwira ntchito molakwika, magwiridwe ake amachepera;
- dongosolo lamkati lamanjenje. Zomvera m'miyendo ndi miyendo zimatayika. Munthu akhoza kudandaula za kulemera kosalekeza ndi kufooka miyendo.
Momwe mungasinthire zizindikiro?
Mutha kuwonjezera chiwonetsero cha hemoglobin cha glycated m'njira zosiyanasiyana: mwakuthupi, pogwiritsa ntchito masewera olimbitsa thupi, kudya mokwanira komanso kuda nkhawa yamanjenje. Madokotala amalimbikitsa njira yokwanira yamankhwala.
Zakudya zoyenera
Kuti muchepetse kuchuluka kwa hemoglobin yokhala ndi glycated, ndikofunikira kudya chakudya chopatsa thanzi. Ndikofunikira kutsatira zakudya. Chakudyacho chimapangidwa ndi katswiri kwa wodwala aliyense payekhapayekha.
Yalimbikitsa:
- kudya zipatso ndi masamba ambiri. Amawonjezera kuchuluka kwa fiber ndi glucose m'thupi ndikusintha momwe wodwalayo alili. Kuwonetsa nthochi, nyemba;
- kumwa mkaka wa skim, yogati. Zogulitsa zotere zimakhala ndi vitamini D, calcium, zomwe ndizofunikira kulimbikitsa cartilage ndi minofu yamafupa. Amasinthanso kugaya ndi kuchuluka kwa shuga m'magazi;
- idyani mtedza, nsomba. Muli ma omega-3 acids, omwe amachepetsa kukana kwa insulin mahomoni, amathandizira kugwira ntchito kwa minofu ya mtima;
- onjezani ufa wa sinamoni ku zakudya ndi zakumwa. Amachepetsa kukana insulini;
- Chepetsa zakudya zanu zopanda zakudya komanso zamafuta. Zinthu zotere zimakhudza mkhalidwe wamatayala;
- kupatula pa menyu chakudya chofulumira, tchipisi za mbatata, chokoleti, ayisikilimu, zakudya yokazinga ndi zakumwa zoziziritsa kukhosi.
Zochita zolimbitsa thupi
Kuchita masewera olimbitsa thupi olimbitsa thupi kumalimbikitsidwa kangapo pa sabata. Kutalika kwambiri kwa phunziroli ndi mphindi 30.
Katundu woletsedwa. Amayambitsa kutsika kwamasitolo a glycogen ndikuchititsa mawonekedwe a hypoglycemia.
Ndikwabwino kusambira, kuyenda, masewera olimbitsa thupi, kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi kumalimbitsa minofu, kumapangitsa chitetezo cha m'thupi kuteteza matenda osiyanasiyana.
Ndikulimbikitsidwa kuti mutengeko kena kake kokoma kuti muthe kuchita zomwe mungasinthe ngati matenda a shuga atsika.
Kusamalira kwamisempha
Kuchuluka kwa hemoglobin wa glycated kumadalira mkhalidwe wama psychoemotional wa munthu.Kuda nkhawa, kupsinjika kwakanthawi kumakhudza mitsempha ya mtima, mtima.
Pofuna kupuma, kusinkhasinkha, kuwonera mapulogalamu a pa TV, kumvera nyimbo zomwe mumakonda, kuyenda kwamadzulo kumawonetsedwa.
Kuwongolera mkhalidwe wamanjenje, zoyeserera zingatengedwe. Ndikofunikira kuphunzira kupumula panokha, pewani kupsinjika.
Makanema okhudzana nawo
About hemoglobin otsika kwambiri mu kanemayo:
Chifukwa chake, hemoglobin yotsika mtengo imawerengedwa monga momwe amakhalira ndipo imawonetsa kuti munthu sakonda matenda ashuga. Koma kuchepa kwakukulu kwa chizindikirochi kumasokoneza thanzi komanso ntchito ya ziwalo zingapo.
Ngati mukumva zizindikiro za hypoglycemia, tikulimbikitsidwa kuyezetsa magazi a shuga ndi HbA1C. Ndikothekanso kuwongolera zomwe zili ndi glycated hemoglobin pakudya, kuchita masewera olimbitsa thupi, komanso kuteteza dongosolo lamanjenje.
