Glycated (kapena glycosylated, HbA1c) hemoglobin ndi chizindikiro cha sayansi yomwe imasonyeza shuga ya shuga ya miyezi itatu yapitayo. Hemoglobin ndi mapuloteni omwe ali mu maselo ofiira a magazi. Akakhala ndi mapuloteni oterewa kwa nthaŵi yaitali, amapanga hemoglobin yokhala ndi mavitamini.
Dziwani kuti hemoglobini yokhala ndi glycated ndi chiwerengero cha hemoglobin yonse m'magazi. Mapamwamba a shuga, kwambiri hemoglobini, amamangirira, ndipo apamwamba kwambiri. Ndipo pozindikira kuti hemoglobin siimangomangika nthawi imodzi, kusanthula sikuwonetsa msinkhu wa shuga wa magazi panthawiyi, koma pafupifupi mtengo wake kwa miyezi ingapo, ndipo ndi imodzi mwa njira zomwe zimagwiritsira ntchito matenda a shuga ndi matenda a shuga.
Chizoloŵezi cha hemoglobini yogwilitsika m'magazi
Mtundu wapatali kwa munthu wathanzi umawerengedwa kuti ndi wamtundu wa 4 mpaka 6%, ma indices kuyambira 6.5 mpaka 7.5% angasonyeze kuti akhoza kudwala matenda a shuga kapena kusowa kwachitsulo m'thupi, ndipo mapiritsi pamwamba pa 7.5% amasonyeza kuti alipo matenda a shuga .
Monga momwe tikuonera, machitidwe oyenera a hemoglobini yogawanika amakhala apamwamba kusiyana ndi kachitidwe kachitidwe ka shuga (3.3 mpaka 5.5 mmol / L kudya). Izi zimatheka chifukwa chakuti mlingo wamagazi wa magazi mumtundu uliwonse umasinthasintha tsiku lonse, ndipo ngakhale mutatha kudya umatha kufika 7.3-7.8 mmol / l, ndipo pafupifupi mkati mwa maola 24 munthu wathanzi ayenera kukhala mkati mwake 3.9-6.9 mmol / l.
Motero, chiŵerengero cha hemoglobin cha glycated cha 4% chikugwirizana ndi shuga wambiri wa magazi wa 3.9, ndi 6.5% kufika pafupifupi 7.2 mmol / l. Odwala omwe ali ndi shuga yeniyeni yowonjezera, magazi ake amatha kusiyana, mpaka 1%. Kusiyanitsa koteroku kumachitika chifukwa kupanga mapangidwe a chilengedwechi kungayambidwe ndi matenda, zovuta, kusowa kwa micronutrients (makamaka chitsulo) mu thupi. Kwa amayi, kupatuka kwa hemoglobini yokhala ndi glycated kuchokera pachibadwa kumatha kuoneka mimba, chifukwa cha kuchepa kwa magazi m'thupi kapena matenda a shuga.
Kodi mungachepetse bwanji mlingo wa magazi a hemoglobin?
Ngati mlingo wa hemoglobini wonyezimira ukuwonjezeka, izi zikuwonetsa matenda aakulu kapena kuthekera kwake. Kawirikawiri ndi matenda a shuga, omwe amapezeka kwambiri shuga m'magazi nthawi zonse. Nthawi zambiri - kusowa kwachitsulo m'thupi ndi kuchepa kwa magazi.
Nthawi yayitali ya maselo ofiira a m'magazi ali pafupifupi miyezi itatu, chifukwa chake nthawi yomwe kafukufuku wa hemoglobini wokhala ndi glycated amasonyeza mlingo wa shuga m'magazi. Motero, hemoglobin yosakanikirana siimasonyeza kusiyana komwe kumakhala ndi shuga m'magazi, koma imasonyeza chithunzi chonse ndi kuthandizira kudziwa ngati msinkhu wa shuga wa magazi umadutsa mokwanira
Kuti muzindikire chizindikiro ichi, muyenera kukhala ndi moyo wathanzi, kutsatira chakudya choyenera, mutenge mankhwala oyenera kapena opanga jekeseni wa insulini ndikuwunika shuga la magazi.
Ndi matenda a shuga, mlingo wa hemoglobin wokhala ndi glycated wapamwamba kwambiri kuposa anthu wathanzi, ndipo chiwerengerocho chimaloledwa mpaka 7%. Ngati chizindikirochi chiposa 7% chifukwa cha kusanthula, izi zikusonyeza kuti matenda a shuga salipidwa, zomwe zingayambitse vuto lalikulu.