Glycosylated haemoglobin - wani m gwajin ga ganewar asali na ciwon sukari mellitus da kimantawa da matakin na ta diyya

A likita yi akwai lokuta a lokacin da kimanta tasiri na glucose-ragewan magunguna, da kuma adequacy na wajabta magani a marasa lafiya tare da ciwon sukari mellitus iya zama da wuya. Da alama ya zama wani mutum ji da kyau, da kuma azumi glucose a yadda ya saba, amma abin da yake da alama na da rikitarwa a cikin wannan haƙuri? Bayan duk, da adadin glucose a cikin jini ne kawai kimanta a lokacin da binciken, wannan adadi sau daya.

Wani lokaci kara jini glucose matakan samu a lafiya mutane, misali, bayan samun babban adadin carbohydrates ko wuce kima shafi tunanin mutum da kuma wani tunanin danniya. A sugar matakan iya shafar ci na wasu magunguna, kamar baka hana, wasu diuretics, tabin hankali kwayoyi. A duk wuya lokuta zo da taimakon wani endocrinologist Analysis for glycated haemoglobin, a cikin shugabanci na gudanar da bincike, ya ake cewa HbA1c.

Glycosylated haemoglobin - wannan dangane fito kwayoyin na glucose da kuma haemoglobin A, kullum wannan tsari faruwa ci gaba a lafiya mutane. The adadin haemoglobin jurewa glycation - 5-8%. A marasa lafiya da ciwon sukari, wannan adadi ƙaruwa ta 2-3 sau da ci gaba a ko'ina cikin rayuwa na ja jini cell, watau, 120 days. Saboda jini ƙunshi da matasa da kuma balagagge ja corpuscles, saboda haka, dauka da talakawan shekaru na ja jini cell, wanda shi ne daidai da rabin lokaci na rayuwarsa - 60 days.

Glycosylated haemoglobin, rabon da wanda yake shi ne 4-6.1% na jimlar haemoglobin matakin, ya nuna talakawan glucose watanni biyu har sai da jini gwajin. Saboda haka, yana yiwuwa domin sanin ko cikin dogon lokacin da karuwa a glucose ko a cikin 2 months wannan index yana cikin al'ada jihar. Hulda a tsakanin HbA1c kuma glucose a cikin jini ya tabbatar da shekaru na bincike, empirically niyya cewa karuwa a jini glucose a 1,59 mmol / l da 1% haemoglobin hõre glycation.

A wasu lokuta, da wajabta gwajin for glycated haemoglobin?

- for diagnosing ciwon sukari da kuma gano ta matakin diyya.

- ka saka idanu da magani daga hypoglycemic jamiái .

- domin sanin hadarin jijiyoyin bugun gini rikitarwa da ciwon sukari.

- a dukkan lokuta na sosai glucose haƙuri kuma ganewar asali da pre-da ciwon sukari.

- mata masu ciki da suke a hadarin tasowa ciwon sukari.

Fassarar gwajin results for ciwon sukari:

Don 5.8% - ciwon sukari ne da cika.

Daga 8 zuwa 10% - jera cika ciwon sukari.

Fiye da 12% - bad rauni cuta.

Endocrinology kokarin don zaɓar far haka cewa glycated haemoglobin ya a cikin kewayon daga 7 zuwa 8%. Lokacin da ya dace wajabta magani dagagge HbA1c matakin ya zo a mayar da al'ada wata daya bayan da gyara.

A Amirka, Ciwon Association bada shawarar wani binciken da za'ayi babu kasa akai-akai fiye da kowane 6 watanni. A Rasha, da bincike na HbA1c aka sanya wa dukan marasa lafiya samun insulin da hypoglycemic kwayoyi, da zarar kowane watanni 3. Bisa ga matakin na haemoglobin HbA1c za a iya hukunta ko high yiwuwar haƙuri Pathology na retinal microvessels, koda lalacewa, da kuma jijiya zaruruwa.

A wasu lokuta, zai yiwu murdiya analysis HbA1c?

Daƙarya dagagge sakamakon lura da kara matakan fetal haemoglobin a cikin jini, da baƙin ƙarfe rashi anemia. Arya Manuniya gano rage karaya saboda hemolysis na erythrocytes bayan jini ko m jini hasãra.

Analysis for glycated haemoglobin sanya ɗan more (1 da watan) a cikin marasa lafiya da suke yi wadanda ba misali hanya da cutar, idan suka yi tsanani concomitant cuta, mata masu ciki da ciwon sukari su hana ci gaban cuta a cikin tayi.