Glycated hemoglobin (HbA1C) ke letšoao la serum biochemical le bonts'a khatello ea tsoekere ka nako ea likhoeli tse tharo.
Tlhahlobo e joalo e re lumella ho khetholla ho ba teng ha li-pathologies tse ngata, ho kenyelletsa le lefu la tsoekere. Hoa etsahala hore liphetho tsa thuto li bonts'a hemoglobin e tlase.
Sena se supa ho ba teng hoa maloetse a 'maloa.
Ka tlase hemoglobin e tloaelehileng: e bolelang?
Hemoglobin e na le oksijene e hlokahalang ho fepa lisele tsa setho.
Ka karabelo e butle-butle e seng ea enzymatic, ntho ena e kopana le tsoekere ebe e fetoha hemoglobin ea glycated. Ho na le tlhahlobo e khethehileng e senolang boemo ba ntho ena.
Bakeng sa banna le basali ba phetseng hantle, tloaelo ke 4-6%. Ha litheko li le tlase li fokotsa menyetla ea ho ba le lefu la tsoekere.
Letšoao le sa fihleleng moeli o tlase oa tloaelo e bontša hore lisele tsa tishu ha li na oksijene, 'me khatello ea glucose' meleng ea theoleloa.
Hobaneng ha hemoglobin ea glycated e theotsoe: lisosa tse tloaelehileng
Ho fokotseha ha HbA1C ke letšoao la methapo. Boemo bona bo hlaha ka mabaka a fapaneng.
Hangata, lintlha tse joalo li lebisa ho boleng ka tlase ho tloaelo:
- tšelo ea mali kapa tšelo ea mali. Ka lebaka la ts'ebetso ena, HbA1C e hlapolotsoe ka karoloana e tloaelehileng e sa amaneng le lik'habohaedreite;
- ho hloleha ha adrenal;
- tahlehelo e kholo ea mali. Hammoho le kakaretso, hemoglobin ea glycated le eona e lahlehile;
- hypoglycemia ea nako e telele ka lebaka la tlala kapa pherekano ea endocrine;
- sebopeho sa lihlahala manyeme. Ho ipatela ho eketsehileng ha hormone ho baka boemo ba hypoglycemic;
- mathata a ho hypothalamus;
- ho senyeha ha hepatic (hepatitis, ho hloka tšebetso);
- ho ba teng ha mathata a liphatsa tsa lefutso a sa tloaelehang (lefu la Forbes, Girke, ho se mamellane ha fructose);
- hemolytic anemia. Ena ke lefu lena leo ka lona nako ea ho ba teng ha lisele tse khubelu ea mali e fokotsehang. Pejana, lisele tse nang le hemoglobin ea glycated le tsona lia shoa;
- ho ikoetlisa ho sa feleng.
Ho basali nakong ea kemolo, karolo e tlase ea HbA1C ke khetho e tloaelehileng. Ha u jere ngoana, mokokotlo oa li-hormone oa fetoha, phokolo ea mali ea hlaha. Ntho ea bohlokoa ke ho thibela ho fokotseha ho kholo hoa letšoao lena.
Lisosa tsa Low HbA1c le tsoekere ea mali ho lefu la tsoekere
Ho diabetes, hemoglobin ea glycated hangata e phahamisa. Khaello ea hormone ea "insulin", ho se sireletsehe ha lisele ho ntho ena ho baka ho bokellana ha glucose serum, karabelo ea Mayer le sebopeho sa HbA1C tata.
Empa ho na le maemo ha tlhahlobo e bontša ho fokotseha ha paramente ena.
Hangata, sena se bakoa ke phekolo ea lithethefatsi e sa nepahalang hantle, e seng ho latela litaelo tsa ngaka. Lisosa tsa HbA1C e tlase bakeng sa batho ba nang le li-pathologies tsa mefuta ea pele le ea bobeli li fapane.
Mofuta oa 1
Mofuta oa pele oa lefu la tsoekere o nkoa o itšetleha ka insulin. Ka tlhahlobo ena, motho o qobelloa ho enta lihormone letsatsi le letsatsi, tse sa hlahiseng makhopho a makhopho.
Maemo a tlase a HbA1C a bakoa ke:
- tšebeliso ea litekanyetso tse phahameng tsa "hormone ea" insulin;
- phepo e telele ea carb e telele;
- lefu la tsoekere.
Mefuta e 2
Mofuta oa bobeli oa lefu la tsoekere ke mofuta o ikemetseng oa insulin. Tabeng ena, manyeme o hlahisa lihormone, empa ka tekano e lekaneng. Motho o tlameha ho latela lijo tse thata kapa ho sebelisa lithethefatsi tse theolelang tsoekere.
HbA1C e fokolang e bonoa le:
- lithethefatsi tse ngata tse fokotsang glucose ea plasma;
- insulinoma (li-pancreatic tumors);
- lijo tse sa lokang (tšebeliso ea lijo tse nang le khalori e tlase);
- ho hloleha ha rems.
Matšoao le matšoao
Ha boemo ba HbA1C bo qala ho fokotseha, motho o hlaolela matšoao a boemo ba hypoglycemic. Matšoao a ho senyeha ho lefu la tsoekere a tsebahala haholo.
Haeba litaba tsa hemoglobin ea glycated li theoha ka tlase ho 4%, lipontšo tse joalo li ba teng:
- bofokoli bo matla;
- tlala e matla;
- ho thothomela maotong;
- ho ruruha ho feteletseng;
- hlooho e bohloko ea hlooho;
- ho senyeha ha pono (motho o bona dintho tsohle ho sa tsamae);
- pelo lippitations;
- Ho tsekela
- thabo, mabifi;
- letsoalo le sa tsebeng letho;
- bophara ba leleme le molomo.
Haeba matšoao a bobebe a dikahare tsa HbA1C tse tlase a bonoa, o hloka ho hlahloba boemo ba tsoekere le glucometer ea lapeng, fana ka mali ho tsoa mothapong kapa menoaneng bakeng sa tlhahlobo ea laboratori.
Haeba sesupo se le ka tlase ho 3.3 mmol / l, joale ho na le hypoglycemia, 'me u hloka ho ja sehlahisoa sa nama ea nama ea kolobe (mohlala, khaba ea tsoekere kapa mahe a linotsi). Ho boetse ho bohlokoa ho etsa tlhahlobo bakeng sa pokello ea hemoglobin ea glycated.
Kotsi ea ho fokotseha hoa HbA1c maling ke efe?
Haeba hemoglobin ea glycated e qala ho theoha, tlhahlobo e felletseng e lokela ho etsoa. Boemo bona bo kotsi hobane kamora nakoana mosebetsi oa litho tsa ka hare oa senyeha.
E amehileng:
- methapo ea mali. Marako a methapo ea methapo ha a theole haholo, khanya ea leseli. Sena se lebisa tlala ea oksijene. Boemong bona, ho na le menyetla e eketsehileng ea ho otloa ke lefu la pelo, methapo ea pelo kapa methapo e meng ea mesifa ea pelo, methapo ea mali. Hangata hona ho baka lefu;
- epidermis. Ka lebaka la phallo ea mali e sa lekaneng, ho longoa le maqeba a fola butle, li-ulcers tsa trophic li ea fokola. Sena se halefisa nts'etsopele ea methapo ea mafu a tšoaetsanoang;
- liphio. Setho se palameng se qala ho sebetsa hampe, ts'ebetso ea sona ea fokotseha;
- tsamaiso ea methapo e bohareng. Kutloahalo matsohong le maotong e lahlehile. Motho a ka tletleba ka hore o lula a le boima le bofokoli ba maoto le matsoho.
U ka etsa joang ho bonts'a matšoao?
O ka eketsa lenane la hemoglobin ea glycated ka mekhoa e fapaneng: ka kalafo, ka ts'ebetso ea 'mele, phepo e nepahetseng, le ho ameha ka tsamaiso ea methapo. Lingaka li khothaletsa mokhoa o akaretsang oa kalafo.
Phepo e nepahetseng
Ho etsa hore ho be bonolo ho tloaela ho bokellana ha hemoglobin e glycated, ho bohlokoa ho ja lijo tse phetseng hantle. Hoa hlokahala ho latela lijo. Lijo li hlahisoa ke setsebi ho mokuli e mong le e mong.
E khothalelitsoe:
- jang litholoana le meroho e mengata. Ba eketsa boemo ba fiber le glucose 'meleng mme ba ntlafatsa boemo ba mokuli. Ho bonts'a libanana
- noa lebese la skim, yogurt. Lihlahisoa tse joalo li na le vithamine D, calcium, e hlokahalang ho matlafatsa lefufuru le lisele tsa masapo. Ba boetse ba theola tšilo ea lijo le khatello ea glucose ea mali;
- ja linate, lihlapi. Li na le li-acid tsa omega-3, tse fokotsang ho hanyetsa li-hormone tsa insulin, tse ntlafatsang ts'ebetso ea mesifa ea pelo;
- eketsa phofo ea sinamone lijong le lino. E fokotsa ho hanyetsa insulin;
- fokotsa lijo tse nang le phepo e ntle le tse mafura. Lihlahisoa tse joalo li ama boemo ba likepe hampe;
- kenyelletsa ka tlung ea lijo tse potlakileng, likuku tsa litapole, chokolete, ice cream, lijo tse halikiloeng le lino tse khabisitsoeng ka khabone.
Ho ikoetlisa
Ho ikoetlisa ka tsela e itekanetseng ho khothalletsoa ka makhetlo a 'maloa ka beke. Nako e phahameng ea thuto ke metsotso e 30.
Meroalo e matla e patiloeng, e ntse e sebetsa. Li lebisa ho nyahameng ho potlakileng ha mabenkele a glycogen le ho baka ponahalo ea matšoao a hypoglycemia.
Ho molemo ho ikoetlisetsa ho sesa, ho tsamaea, ho ikoetlisa, ho ikoetlisa ka ho phefumoloha. Ho ikoetlisa ho matlafatsa mesifa, ho etsa hore sesole sa 'mele se loantše mafu a mangata.
Ho khothalletsoa hore o nke ho hong ho monate le uena ho nka mehato ea ho ntlafatsa boemo ba hau haeba maemo a tsoekere a theoha.
Tlhokomelo ea tsamaiso ea methapo
Ho bokellana ha hemoglobin ea glycated haholo ho latela boemo ba kelello ba motho.Matšoenyeho, khatello ea maikutlo e sa foleng e ama boemo ba methapo ea mali, pelo.
Bakeng sa boikhathollo, ho thuisa, ho shebella mananeo a thelevishene, ho mamela 'mino oo u o ratang haholo, ho bontšoa maeto a mantsiboea.
Ho ntlafatsa boemo ba methapo ea kutlo, lintho tse ka fokotsoang. Ho bohlokoa ho ithuta ho phomola u le mong, hanela khatello ea maikutlo.
Livideo tse amanang
About hemoglobin e tlase e tsoang ka har'a video:
Kahoo, hemoglobin e tlase e nkuoa e le ntho e tloaelehileng ebile e bontša hore motho ha a na tšekamelo ea lefu la tsoekere. Empa ho fokotseha hoa bohlokoa ha letšoao lena ho ama boiketlo ba litho tsa 'mele le mosebetsi oa tsona.
Haeba u na le matšoao a hypoglycemia, ho khothalletsoa ho etsa tlhahlobo ea mali bakeng sa tsoekere le HbA1C. Hoa khoneha ho laola se ka hare ho hemoglobin ea glycated ka ho ja, ho ikoetlisa 'meleng le ho sireletsa tsamaiso ea methapo.
