Hemoglobin yogawanika ndi imodzi mwa zizindikiro zamoyo zomwe zimasonyeza shuga m'magazi kwa nthawi yaitali. Kufufuza kwa hemoglobin yogawanika kumathandiza kwambiri kuti apeze matenda a shuga, komanso kuyang'anitsitsa mkhalidwe wa odwala omwe ali ndi matendawa.
Kodi zotsatirazi zikuwonetsa bwanji hemoglobini yogawanika?
Hemoglobin yamagetsi imapezeka m'magazi a munthu aliyense, ndipo mtengo wake umatsimikiziridwa ngati peresenti ya hemoglobini m'magazi.
Hemoglobini yokhala ndi mavitamini amapangidwa chifukwa cha kusakaniza kwa shuga ndi hemoglobini, momwe mazira amachitira nawo. Chotsatira chake, pali chida chokhazikika chomwe sichikutha ndipo chiripo mu maselo ofiira (erythrocytes) kwa nthawi yonse ya moyo wawo. Popeza hemoglobini yokhala ndi shuga sikumangika pomwepo, ndipo moyo wa maselo ofiira amatha kukhala masiku khumi ndi awiri, chizindikiro ichi sichikutanthauza kukula kwa shuga m'magazi, koma kwapakati pa miyezi itatu.
Hemoglobini yowonjezereka ndi yotsika kwambiri
Pofuna kuganizira za matendawa, kusanthula kumeneku kumagwiritsidwa ntchito pa matenda a shuga a mitundu yonse komanso matenda a shuga. Pamwamba pa shuga, momwe hemoglobin imakhudzira kwambiri, choncho hemoglobin yokhala ndi mchere imakwera kwambiri kwa odwala matenda a shuga.
Chizoloŵezichi chimaonedwa kuti chimachokera ku 4 mpaka 6%, ndi hemoglobini yogawanika yochokera ku 6.5 mpaka 7.5% ndiyo matenda a shuga, amtengo wapamwamba amasonyeza kukhalapo kwa matenda osagwirizana ndi shuga. Komanso, kusowa kwachitsulo kungakhale chifukwa.
Komabe, pali zifukwa zingapo zomwe zimayambitsa matenda, chifukwa cha hemoglobin yomwe imapangidwira kapena yowonjezereka, ndipo chithunzi cha kuchipatala chimapotozedwa.
Chizindikirocho chikhoza kuwonjezeka ndi:
- Kuperewera kwachitsulo (pakalipa, kuchepa kwa magazi kuwonjezeka, chiwerengero cha hemoglobini m'magazi chicheperachepera, choncho chiwerengero cha nthendayi chikuposa);
- poizoni ndi mankhwala amchere kapena kumwa mowa mopitirira muyeso;
- impso kulephera chifukwa cha kuwonjezeka m'magazi a zowonongeka, zomwe sizikutulutsidwa kuchokera ku thupi;
- phula lakutali.
Hemoglobini yochepetsetsa imachepa pamene:
- magazi;
- hypoglycemia yaitali;
- hemolytic anemia (momwe nthawi ya moyo wa maselo ofiira amachepa);
- pambuyo poikidwa magazi.
Mayeso a magazi a hemoglobini yogawanika
Mosiyana ndi mayesero ambiri, kupatsa magazi kuti azipaka hemoglobini sangathe kuchitidwa m'mimba yopanda kanthu. Popeza phunziroli likuwonetsa shuga wokwanira pa miyezi itatu, zizindikiro zomwe zilipo panopa sizikhoza kukhudza.
Komanso, mlingo wa hemoglobin wosakanikirana ndi mankhwala sakhudzidwa kapena umakhudzidwa ndi kumwa kwambiri mankhwala, chimfine ndi matenda opuma, maganizo a wodwalayo. Zizindikiro zingakhudzidwe ndi kutayika kwa magazi (kupatsidwa kachilombo ka msambo ndi kutaya mwazi kwa amayi) ndi ena
Kuphatikiza apo, kusokoneza zizindikiro (kuchepa pang'ono) zingatengere masiku ochepa musanayambe kukonzekera chitsulo, kugwiritsa ntchito zakudya zambiri zitsulo komanso vinyo wofiira. Ngati mankhwala osokoneza bongo akuwonjezera kuchuluka kwake kwa hemoglobini amatengedwa nthawi zonse, ndiye samapotoza chithunzi cha kuchipatala.
Ziyenera kukumbukira kuti kufufuza kwa hemoglobin yogawanika m'makliniki osiyanasiyana (kugwiritsa ntchito njira zosiyana) kungasonyeze zotsatira zosiyana. Choncho, ngati mayeserowa akuchitika nthawi zonse, kuti ayang'ane chikhalidwe chonse, ndi bwino kugwiritsa ntchito ma laboratory limodzi.