Chirwere cheshuga chirwere chinonyangadza, saka zvakakosha kunzwisisa, glycosylated hemoglobin - chii chinoratidza ichi uye kuti ungapedza sei kuongorora kwakadaro. Migumisiro inobatsira chiremba kuti apedze kana munhu wacho ane chirwere cheshuga yeropa kana zvinhu zvose zvakajairika, ndiko kuti, ane utano.
Glycosylated hemoglobin - chii ichocho?
Inosarudzwa HbA1C. Ichi chiratidzo chezvinhu zvemasikirwo, izvo zvinogumira zvinoratidza kuiswa kweglucose muropa. Iyo yakaongororwa nguva ndeye mwedzi mitatu yapfuura. HbA1C inoratidzirwa kuti inonyanya kuratidza huwandu kupfuura humatest yehuga hwehuga. Chigumisiro, chinoratidza glycated hemoglobin, inoratidzirwa se peresenti. Anotaura kune chikamu che "shuga" mazana muhuwandu hwemasero matsvuku eropa. Zviratidzo zvepamusoro zvinoratidza kuti munhu ane chirwere cheshuga, zvakare, chirwere chacho chiri chakakomba.
Kuongororwa kweglycosylated hemoglobin kune zvakawanda zvinobatsira:
- Chidzidzo chacho chinogona kuitwa pasina kusunga kune imwe nguva yezuva, uye hazvirevi hazvo pazvisina maturo;
- migumisiro yekutsvakurudza iyi haibatanidzwi nezvirwere zvinotapukira uye kuwedzerwa kunetseka;
- Kudzidza kwakadaro kunobvumira kutanga kuziva kwechirwere cheshuga uye kutanga kwechirongwa cherapi;
- kuongorora kunobatsira kutora mhedziso pamusoro pekubudirira kwechirwere chinoramba chiripo chechirwere cheshuga mellitus.
Zvisinei, iyi nzira yekutsvaga kukanganisa haisi yeiyi:
- mari yakakwirira - ine mari yakawanda mukuenzanisa nekuongororwa kwekuzarura chiratidzo chehuga;
- pane hutsika hwakaderedzwa hwehomoni yeHroid, HbA1C inowedzera, kunyange zvakadaro munyaya iyi ropa revanhu rinokonzerwa nehutachiona shoma;
- mune varwere vane anemia, zvigumisiro zvinoshandiswa;
- kana munhu akatora vitamin C uye E, chigumisiro chacho chinonyengera zvishoma.
Glycosylated hemoglobin - kutora sei?
Ma laboratori mazhinji anoitisa chidzidzo chakadai anotora sampu yeropa padumbu risina chinhu. Izvi zvinoita kuti zvive nyore kune vanyori kuti vaite kuongorora. Kunyange zvazvo kudya hakusi kukanganisa migumisiro, asi kuti ropa harori kutorwa pasipo risina chinhu, unofanira kutaurira. Kuongororwa kweglycosylated hemoglobin kunogona kuitwa zvose kubva pamuviri uye kubva kumunwe (izvi zvose zvinoenderana nemuenzaniso we analyzer). Muzviitiko zvakawanda, migumisiro yekudzidza yakagadzirira mushure memazuva 3-4.
Kana mukati memiganhu yezvigadzirwa kune chiratidzo, kuongorora kunotevera kugovera zvinogona kuitika mumakore 1-3. Apo chirwere cheshuga chinowanikwa chete, chidzidzo chechipiri chinokurudzirwa mumwedzi mitanhatu. Kana murwere wacho atova pane imwe nhoroondo yegoutocrinologist uye anorayirwa kurapwa, zvinokurudzirwa kutora kuongorora kwemwedzi mitatu. Kuramba kwakadaro kuchapa ruzivo rwechinangwa pamusoro pemamiriro ehupenyu hwevanhu uye kuongororwa kushanda kwehurongwa hwekurapa.
Kuongorora kweglycated hemoglobin - kugadzirira
Tsvakurudzo iyi yakasiyana nemhando yayo. Kuti upe kuongororwa ropa kune glycosylated hemoglobin, haufaniri kugadzirira. Zvisinei, zvinhu zvinotevera zvinogona kukanganisa mugumisiro (kuideredza):
- kubuda ropa;
- hemodialysis.
Kuongororwa kweglycosylated (glycated) hemoglobin zviri nani kutora mu laboratori dzakagadzirwa nemichina yemazuva ano. Vongai izvi, mugumisiro uchava wakarurama. Izvo zvinofanira kuonekwa kuti zvidzidzo zvakaitwa mune ma laboratori akasiyana-siyana kakawanda zvinopa zviratidzo zvakasiyana. Ichi ndechokuti nzira dzakasiyana dzekuongorora dzinoshandiswa muzvipatara. Izvo zvinodiwa kutora miedzo mu laboratori yakaedzwa.
Kutsunga kweglycosylated hemoglobin
Kusvikira nhasi, hapana chimiro chimwe chete chinogona kushandiswa nemarabhakirati emakiriniki. Tsanangudzo yeglycosylated hemoglobin muropa inoitwa nenzira dzakadaro:
- liquid chromatography;
- immunoturbodimetry;
- ion-kushandiswa chromatography;
- nephelometric analysis.
Glycosylated hemoglobin ndiyo inowanzo
Ichi chiratidzo chinenge chisina makore kana kurara kwepabonde. Chimiro che hemoglobin glycosylated muropa kuvanhu vakuru nevana yakabatanidzwa. Inotanga kubva 4 kusvika ku6%. Zviratidzo izvo zvakakwirira kana zvishoma zvinoratidza chirwere. Kana ukaongorora zvakanyanya, ichi ndicho chinonzi glycosylated hemoglobin rinoratidza:
- HbA1C inotangira kubva ku4% kusvika ku57% - munhu ari kurongeka kwakakwana kwemagidhahydrate metabolism. Mikana yekuvandudza chirwere cheshuga isingabviri.
- Chiratidzo che 5.7% -6.0% - zvigumisiro zvakadaro zvinoratidza kuti murwere ane ngozi inowedzera yekurapa. Kurapa hazvidiwi, asi chiremba achakurudzira kutora chiroro chakakosha-carb.
- HbA1C inotanga kubva pa6.1% kusvika ku6,4% - dambudziko rekukura nechirwere cheshuga rakakura. Murwere anofanirwa kuderedza kuwanda kwemakrohydrates anodyiwa nokukurumidza sezvinobvira uye anoteerera kune dzimwe dhigiridzo.
- Kana chiratidzo chacho chiri 6.5% - kutanga kufungidzira "chirwere cheshuga mellitus." Kuti azvisimbise, kumwe kuongorora kunogadzwa.
Kana kuongororwa kweglycosylated hemoglobin inowanikwa muvakadzi vane pamuviri, zvinowanzo munyaya iyi zvakafanana kune vamwe vanhu vose. Zvisinei, chiratidzo ichi chinogona kusiyana munguva yose yekuita mwana. Zvikonzero zvinokonzera kukwira kwakadaro:
- anemia pakati pevakadzi ;
- chibereko chikuru kwazvo;
- itsvo kushanda.
Glycosylated hemoglobin yakakwirira
Kana chiratidzo ichi chinopfuura chenguva dzose, izvi zvinoratidza zvinetso zvakakomba zvinoitika mumuviri. Hemoglobin yakanyanya glycosylated inowanzowirirana nezviratidzo zvakadaro:
- kurasikirwa kwemaonero;
- kupora kwenguva refu mavanga;
- nyota;
- kunonoka kuderera kana kuwedzera kuyerwa;
- kuora kwekuzvidzivirira;
- kazhinji kukurudzira kurinate;
- kuora nokutsumwa;
- kuwedzera kwechiropa.
Glycosylated hemoglobin iri pamusoro pemazuva ose - zvinorevei?
Kuwedzera kwechiratidzo ichi kunokonzerwa nezvikonzero zvinotevera:
- kukanganisa mu carbohydrate metabolism;
- zvinhu zvisingawirirani nehutano hwehuga.
Ropa re hemoglobin glycosylated richaratidza kuti chiyero chacho chiri pamusoro pezvakanaka, heino maitiro:
- mune chirwere cheshuga mellitus - nekuda kwekuti nzira yekuparadzanisa makhahydrates inoputswa uye uwandu hweglucose inowedzera;
- apo inouraya newaini;
- kana murwere anorwara nechirwere cheshuga ane chirwere chisina kutenderwa kurapwa;
- ane upfumi hwedare ane anemia;
- mushure mekuwedzerwa ropa;
- uye uremia, apo pane kuora kwe carbogemoglobin - chinhu icho, mune zvayo uye chimiro, chakafanana zvikuru neHbA1C;
- kana murwere ane chirwere chakabviswa - mutumbi unokonzera kurasikirwa kwevakafa masero matsvuku eropa.
Glycated hemoglobin yakakwirira-chii chandinofanira kuita?
Kuisa chimiro chezinga reHbA1C kunobatsira mazano anotevera:
- Kubudirira kwezvokudya nemichero mitsva nemiriwo, hove dzakakonda, marumusi, yogurt. Zvinotadzisa kuderedza kushandiswa kwemafuta emafuta, kudya.
- Zvidzivirire pakuzvidya mwoyo, izvo zvinokuvadza zvakanyanya mamiriro ezvinhu emuviri.
- Inenge hafu yenguva pazuva kuti uite zvidzidzo zvepanyama. Kuvonga ichi, hutachiona hweglycosylated hemoglobin ichaderera uye hupenyu huno huchavandudzwa.
- Nguva dzose shanyira chiremba uye uite zvese zvinongororwa.
Glycosylated hemoglobin inoderedzwa
Kana chiratidzo ichi chisingapfuuri chechimiro, chinotyisa sekuwedzera kwayo. Low glycosylated hemoglobin (pasi pe4%) inogona kutsamwiswa nezvinhu zvinotevera:
- kurasikirwa kukuru kweropa, iyo ichangobva kutakurwa;
- kusagadzikana kwepancreas;
- hypoglycemia ;
- hepatic insufficiency ;
- zvirwere, umo kuparadzwa kusati kwasvika kwe erythrocytes kunoitika.