Haemoglobin glycated

Mgbe achọpụtara ọ̀tụ̀tụ̀ hemoglobin dị elu nke ukwuu, ndị dọkịta na-eme nnyocha zuru ezu banyere ndị ọrịa, nke na-enye ohere igosipụta ma ọ bụ wezuga nchọpụta nke ọrịa shuga. Maka ọgwụgwọ nke ndị ọrịa nwere ọrịa mellitus, ndị ọrịa endocrinologists na-eji ọgwụ ọhụrụ na-ebelata glucose ọbara, nke edebara aha na Russian Federation. A na-atụle nzukọ ikpe gbasara ọrịa shuga na nnọkọ Council nke Ọkachamara na ntinye nke ndị prọfesọ, ndị dọkịta nke sayensị, yana ndị dọkịta kachasị elu. Ndị ọrụ ahụike na-a toa ntị na uche ndị ọrịa.

Ihe ngosi maka oge atọrọ na uru nyocha nke nyocha a

A na-eme nnyocha nyocha maka haemoglobin glycated na ebumnuche ndị a:

  • Nchọpụta nsogbu nke nsogbu metabolism metabolism (na ọkwa hemoglobin gbara glycated nke 6.5%, achọpụtara nchoputa nke ọrịa shuga)
  • Nyochaa ọrịa shuga mellitus (haemoglobin a na-enye gị ohere inyocha ọkwa nke ụgwọ ọnwa maka ọnwa 3),
  • Nyochaa nyocha nke onye ọrịa ịnabata ọgwụgwọ - ogo nke ndakọrịta n'etiti omume onye ọrịa yana ndụmọdụ ndị dọkịta nyere ya.

A na-enye ndị ọrịa na-eme mkpesa nke akpịrịkpa ọbara ọbara ka haemoglobin ọbara maka ọbara ọgbụgba, oke mmamịrị ugboro ugboro, ike ọgwụgwụ ngwa ngwa, nsogbu anya, na mmụba nke ibute ọrịa. Glycated haemoglobin bụ ihe na-adọrọ adọrọ banyere glycemia.

Dabere n'ụdị ọrịa shuga mellitus na otu esi agwọ ọrịa ahụ, a na-eme nyocha nke hemoglobin glycated ugboro 2 ruo 4 kwa afọ. Ná nkezi, a na-atụ aro ka ndị ọrịa na-arịa ọrịa shuga inye onyinye maka ịnwale ugboro abụọ n'afọ. Ọ bụrụ na a chọpụta onye ọrịa ahụ ọrịa shuga na nke mbụ ma ọ bụ ihe njikwa ahụ enweghị ihe ịga nke ọma, ndị dọkịta ga-edozigharị nyocha maka haemoglobin glycated.

Nkwadebe na nnyefe nke nyocha maka haemoglobin glycated

Ntụle maka haemoglobin glycins achọghị nkwadebe pụrụ iche. Ọ dịghị mkpa ka a Bloodara ọbara n’afọ na-enweghị isi. Tupu nnwale ọbara, onye ọrịa ahụ ekwesịghị ịmachi onwe ya n'ihe ọ drinksụ drinksụ, wee zere nrụgide anụ ahụ na nke mmetụta uche. Ọgwụ agaghị emetụta nsonaazụ nke ọmụmụ (ma e wezụga ọgwụ ndị na-ebelata glucose ọbara dị ala).

Ihe omumu a kwesiri ntukwasi obi karia nnwale ọbara maka shuga ma obu nnabata glucose jiri “ibu”. Nchịkọta ahụ ga-egosipụta mkpokọta nke ọbara ọgbụgba na-agba mmiri agakọtara karịa ọnwa atọ. N’ụdị, nke onye ọrịa ga-anata n’aka ya, a ga-egosipụta nsonaazụ nke ọmụmụ a na usoro nke hemoglobin dị mkpirikpi. Ntughari nsonaazụ nyocha nke ụlọ ọgwụ Yusupov bụ nke onye ọkachamara na-ahụ maka endocrinologist nwere.

Otutu nke hemoglobin glycated na okenye

Dị ka ọ na-adịkarị, ọkwa nke hemoglobin glycated dị iche na 4.8 ruo 5.9%. Ọ dị nso n'ọbara hemoglobin dị n'ime onye ọrịa na-arịa ọrịa shuga na 7%, ọ dị mfe karịa ịchịkwa ọrịa ahụ. Site na-abawanye na haemoglobin glycated, ohere nke nsogbu na-abawanye.

A na-akọwa ntụgharị mkpịsị ọbara glycated site na endocrinologists dị ka ndị a:

  • 4,5,2% - onye ọrịa anaghị arịa ọrịa shuga
  • Site na 5.7 ruo 6.4% - ọrịa shuga (ọrịa glucose na-egbochi, nke a na-etinye n'ihe ize ndụ ịba ụba nke ọrịa shuga),
  • 6.5% ma ọ bụ karịa - onye ọrịa ahụ na-arịa ọrịa shuga.

Ihe ngosi nwere ike imetuta otutu ihe. N'ime ndị ọrịa nwere ụdị ọbara haemoglobin dị njọ (ndị ọrịa nwere sel ọbara dị n'ọbara), a ga-atụlee ọkwa nke hemoglobin dị elu. Ọ bụrụ na mmadụ nwere nsogbu hemolysis (mkpụrụ ndụ ọbara uhie), anaemia (anaemia), ọbara ọgbụgba, mgbe ahụ enweghị ike ịtụle nsonaazụ nyocha ya. A na-atụkarị ọnụego nke haemoglobin glycie na enweghị iron n’arụ na mmịnye ọbara n’oge na-adịbeghị anya. Nnwale ahụ haemoglobin nyochara ahụ na-egosipụta mgbanwe gbanwere na glucose ọbara.

Terelation table nke glycated haemoglobin na nkezi ọkwa kwa ụbọchị plasma glucose na ọnwa atọ gara aga.

Haemoglobin glycated (%)

Nkezi glucose plasma kwa ụbọchị (mmol / L)
5,05,4
6,07,0
7,08,6
8,010,2
9,011,8
10,013,4
11,014,9

Heba ụba na mbelata glycated haemoglobin

Mmụba nke haemoglobin glycins na-egosi ogologo oge nke omimi, mana mmụba na-abawanye ụba na nchịkọta nke glucose n'ọbara mmadụ. Ihe omuma ndi a egosighi mmepe oria mamiri. Carbohydrate metabolism nwere ike imebi n'ihi nsonaazụ glucose. Nsonaazụ ihe adabaghị na nnwale ndị edoziri (mgbe ị gachara nri, ọ bụghị afọ efu).

Mbelata nke ihe dị n'ime haemoglobin gbara 4% na-egosi ọbara ọgbụgba dị ala nke ọbara - hypoglycemia n'ihu ọnya (pancreatic insulinomas), ọrịa mkpụrụ ndụ ihe nketa (ekweghị na glucose glucose). Ọkwa haemoglobin glycins na-ebelata n'iji ọgwụ ezighi ezi na-ebelata glucose ọbara, nri na-enweghị carbohydrate, na mgbatị ahụ siri ike, na-eduga n'arụ ahụ. Ọ bụrụ na ihe dị n’ime ala na-amụba ma ọ bụ na-agbadata ihe ndị dị n’oké osimiri ahụ, gakwuru onye ọkà mmụta ọgwụ endocrinologist n’ụlọ ọgwụ Yusupov, onye ga-eme nnyocha sara mbara ma depụtakwa usoro nyocha ọzọ.

Etu esi egbusi hemoglobin glycated

You nwere ike belata ogo glycated haemoglobin site na iji usoro ndị a:

  • Tinye nri na akwukwo nri na nkpuru osisi nke nwere otutu eriri akporo, nke n’enye aka mee ka glucose ọbara di ike,
  • Rie mmiri ara ehi skim na yogọt, nke nwere otutu calcium na vitamin D, na-eso mee ka glucose ọbara na-ahazi,
  • Dịkwuo ụtọ mkpụrụ na azụ, nke na-agụnye omega-3 fatty acids, nke na-enyere belata insulin iguzogide ma na-edozi glucose ọbara.

Iji belata iguzogide glucose, oge ya na cinnamon, cinnamon, tinye ngwa gi na tii, fesaa ya na nkpuru osisi, akwukwo nri na ahihia. Cinnamon na-enyere aka belata mmegide glucose na ọkwa hemoglobin glycated. Ndị na-ahụ maka ahụike na-atụ aro ka ndị ọrịa kwa ụbọchị ruo nkeji iri atọ na-eme usoro mmega ahụ na-enye ohere ịchịkwa glucose na haemoglobin nke ọma. Ikpokọta mmega aerobic na anaerobic n'oge ọzụzụ. Ọzụzụ siri ike nwere ike belata glucose ọbara gị nwa oge, ebe mmega ahụ (ịga ije, igwu mmiri) nwere ike belata shuga ọbara gị na-akpaghị aka.

Iji mee nnwale nke ọbara maka ọdịnaya nke glycated gemoclobin ma nweta ndụmọdụ site na ọkachamara endocrinologist, kpọọ ụlọ ọrụ kọntaktị nke ụlọ ọgwụ Yusupov. Ọnụahịa nyocha dị ala karịa na ụlọ ọrụ ahụike ndị ọzọ dị na Moscow, n'agbanyeghị eziokwu ahụ na ndị na-enyere ụlọ nyocha na-eji nyocha ọhụụ glycated akpaka akpaka sitere na ndị isi na-emepụta.

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