Binciken haemoglobin na glycated: yadda ake ɗauka, shiri, alamu, al'ada da karkacewa

Don likita ya fahimci irin nau'in ciwon sukari da zai yi mu'amala da shi, sai ya sanya wa mai haƙuri gwajin gwajin cutar haemoglobin.

Godiya ga wannan binciken, ya zama bayyananne abin da cutar zata haifar. Likita ya yanke shawara game da yanayin cutar dangane da abubuwan da ke cikin glucose a cikin jini jini na tsawon watanni 3.

Shirye-shiryen Nazarin

Likita na iya tambayar ku don yin gwaji na jini ga haemoglobin da ke cikin jini idan kun yi zargin cewa mara lafiyar ba shi da ciwon sukari.

An nuna wannan korafin ta hanyar koke-koke na kiwon lafiya irin su bushewar baki da ƙishi da ke tattare da shi, yawan maimaita ƙwayar mafitsara, gajiya, myopia mai ci gaba, tsawon warkaswar raunuka da kuma kamuwa da cututtuka.

Don tabbatar da abin da ke cikin gemoclobin mai narkewa a cikin jini, kwararru na iya daukar samfurin ruwan jikin dan adam mai hade da kanwar hannu a yatsu ko daga jijiya a gwiwar gwiwar.

Kafin fitar da kwatance ga wannan bincike, bayyanannun umarni ana samun su ne sau da yawa daga likita game da ko za a ba da jini a kan komai a ciki ko a'a.

Binciken da aka yi don gano adadin haemoglobin a cikin jini an yi shi ne ba tare da la’akari da cewa mutumin ya yi karin kumallo ba, wanda ba shi da izini lokacin yin gwajin sukari.

Idan kana buƙatar ƙayyade adadin gemoclobin na glycated, to ana iya ɗaukar jini a kowane lokaci na rana.

Haka kuma, yin shinge na wani adadin adadin kayan haɗin haɗi na cikin ruwa bazai iya tsangwama tare da tunanin mutum ko yanayin lafiyar mai haƙuri ba.

Ko da daɗewa ba fuskantar yanayin damuwa, sanyi ko cututtukan hoto ba za su zama cikas ga bincike ba.

Mutumin da yake shan magani akai-akai ba za a hana shi yin gwajin jini ba domin gano sinadarin da ke dauke da sunadarin glycated.

Zubda jini, cuta ce ta raguwa a cikin hawan jini, da kuma wata cuta da ke kai ga lalacewar sel jini zai iya shafan sakamakon bincike da ke taimaka wajan gano ciwon suga.

Yawan ƙarfe a jikin mutum yana da ikon sauya kashi na haemoglobin glycated a cikin ƙwayar ɗan adam mai haɗi zuwa mafi girma. Bugu da kari, zubar jini yana haifar da hakan.

Wadanda ke cikin haɗarin kamuwa da ciwon sukari ba kawai zasu san yadda ake yin gwaji ba don ƙaddarawar cutar haemoglobin.

Muna magana ne game da mutanen da suke da kiba ko kuma giya da sigari. Suna bukatar a sanar dasu ko yaushe ne ake yin irin wannan binciken.

Don sarrafa lafiyar ku, ana bada shawara don yin bincike a kowane watanni 3 don ƙayyade taro da ke tattare da ƙwayar glycated.

Sakamakon bincike

Don bincika sakamakon, dole ne ka fara fahimtar menene ma'anar haemoglobin, wanda shine ɗayan nau'ikan furotin da ke tattare da baƙin ƙarfe.

Kwayoyin halittar haemoglobin an lullube su a cikin sel jini wanda ke jigilar oxygen zuwa dukkanin sel a cikin jikin.

Sinadarin da ke dauke da sinadari na iya samar da hadi tare da glucose idan ya shiga cikin jinkirin rashin motsa enzymatic.

Don sanya shi a cikin harshen likita na kimiyyar kimiyya, ana iya kiran wannan tsari glycation, kawai samar da wani nau'in, haemoglobin na musamman.

Yadda sauri yake dauke da sinadarin iron wanda yake da sauye sauye ya dogara da matakin sukari a cikin jini. Ya kamata a ƙayyade matsayin glycation a cikin tsawon kwanaki 120, tun da yake lokaci ne daidai lokacin da yanayin rayuwar sel jini yake.

Sabili da haka, don kimanta nawa jini 'ƙoshin', likitoci suna ɗaukar bayan watanni 3, lokacin da ƙwayoyin jan jini suka fara sabuntawa gaba ɗaya.

Matsakaicin ma'aunin jinin haemoglobin yana daga 4 zuwa 6%. Yawancin furotin mai dauke da baƙin ƙarfe dole ne ya kasance cikin jinin ɗan adam, ba tare da la'akari da jinsi ko shekaru ba.

Ta wata ma'ana, irin wannan taro na glycogemoglobin, wanda aka sanya shi azaman HbA1c, halayyar mahaukaciyar ƙwayar ruwa ce dake gudana ta jikin yara, matasa, maza da mata.

Sakamakon bincike wanda ke tantance abubuwan da ke cikin haemoglobin a cikin jini yawanci ana bayar da rahoton su ne a cikin rana guda.

Idan aka bayyana cewa kashi 5.7% na furotin mai dauke da baƙin ƙarfe, wanda ke haɗuwa tare da glucose, yana nan a cikin ƙwayar haɗin haɗin ruwa, to babu wani dalili na damuwa, tunda ana aiwatar da canjin carbohydrates a cikin yanayin da aka saba.

Idan an riga an samo shi a cikin jini an riga an sami 6% na haemoglobin, wanda za'a nuna a sakamakon bincike ta hanyar HbA1C, yana da daraja damuwa, tunda wannan alamar yana nuna haɗarin ciwon sukari.

Lokacin da bincike ya nuna cewa jinin ya ƙunshi daga 6.1 zuwa 6.4% na furotin baƙin ƙarfe da ke haɗuwa da glucose, har yanzu likitocin ba za su iya yin binciken cutar sankara ba.

Koyaya, likitoci zasuyi magana da mai haƙuri game da yin mahimman canje-canje ga abincin. Mutanen da suka fi kamuwa da ciwon sukari suna buƙatar tafiya da abincin da ke hana yin amfani da abinci mai narkewa a cikin carbohydrates.

Dalilai na sabawa doka

Yana faruwa cewa jinin glycated haemoglobin a cikin jini baya keta saboda ciwon sukari.

Prolongara tsawo cikin matakan dextrose na iya zama saboda raunin glucose mai rauni ko kuma a wasu kalmomin, ciwon suga.

Cutar cututtukan Endocrine da ke haɗuwa da ƙarancin sha na innabi ana ganowa ne kawai idan abubuwan da ke cikin furotin na baƙin ƙarfe glycated a cikin jini ya wuce kashi 6.5%.

Lokacin da kake tunanin menene gwajin jini don glycogemoglobin ya nuna, mutum yakamata yayi la’akari da ƙarancin furotin mai ɗauke da baƙin ƙarfe da ke haɗuwa da glucose.

Lokacin da ƙasa da 4% glycated haemoglobin yana cikin ƙwayar haɗi na ɗan adam, likitoci suna duba don ganin ko mara lafiyar yana fama da cutar ƙwacewar jiki.

Halin da ake nunawa da raguwa a cikin taro na yawan glucose a cikin Lymph sau da yawa yana haifar da insulinoma - mummunan neoplasm a cikin ƙwayar ƙwayar cuta, saboda wanda yalwataccen adadin kwayoyin halittar peptide yanayi yana ɓoye cikin jiki.

A wasu halaye, ƙananan matakan sukari suna da alaƙa da abinci mai ɗan ƙaramin carb ko tsawan motsa jiki.

Wadannan mummunan cututtuka na iya haifar da hauhawar jini, a cikin abin da al'ada ta ƙunshi glycated haemoglobin a cikin jini yana da matukar damuwa:

• kasawar rashin ƙarfi
• yawan abin sama da ya kamata na insulin da alluna masu saurin sukari,
• hers cuta
• na rashin haƙuri na fructose,
• von cutar Girke,
• nau'in glycogenosis III.

Idan adadi mai yawa na haemoglobin aka samu a gwajin jini a cikin mace mai ciki, to yakamata a tsammaci cewa haihuwar zata kasance da wahala.

Lokacin da aka ƙayyade abubuwan da ke tattare da sinadarin baƙin ƙarfe hade da glucose a cikin jini ya wuce mace a matsayi, jariri a cikin mahaifar yayi girma da yawa.

Wannan ya cika da hatsari ga duka jariri da mahaifiyar mai tsammani, tunda tare da yawan sukari da yawa a cikin ruwa mai narkewa da ke gudana ta cikin jijiyoyin, kodan sun lalace kuma hangen nesa yayi rauni.

Matan da ke da juna biyu, don tabbatar da kasancewar matsalolin kiwon lafiya, bincike don glycogemoglobin dole ne a yi a kan komai a ciki, amma bayan cin abinci.

A wannan yanayin, yana da kyau a sake maimaita jarrabawar duk mako. Mace a cikin wani wuri don gano ko duk abin da ke cikin tsari tare da jariri an ba da shawarar yin gwajin haƙuri na glucose na 2-hour a cikin dakin gwaje-gwaje.

Hanyoyi zuwa ƙananan Glycogemoglobin

Idan bincike don haemoglobin ya nuna cewa jinin ya ƙunshi adadin kuzarin baƙin ƙarfe da ke da alaƙa da glucose, to, ba zai iyakance maganin shan allunan ba.

Don kawo ƙimar glycohemoglobin zuwa al'ada, akwai buƙatar ku ci cikin ƙananan rabo. Don rage tarowar furotin da ke dauke da sinadarai, wanda aka gasa wa glycation, kuna buƙatar watsi da amfani da abinci mai kitse, kyafaffen nama da abinci mai soyayyen.

Wuce sukari a cikin kayan da ke gudana ta cikin jiragen ruwa ba shine dalilin da za'a bi dashi ba yayin kwance a gado. Akasin haka, dole ne mutum yayi aiki tare da irin wannan matsalar - yi wasan motsa jiki da kuma karin lokaci a cikin sabon iska.

Ayyukan motsa jiki da samar da iskar oxygen a daidai adadin zai taimaka wajen tsayar da matakin haemoglobin da ke cikin jini.

Za'a dawo da daidaituwa na yau da kullun na baƙin ƙarfe wanda ke da alaƙa da glucose idan za ku iya daidaita yanayin aiki da hutawa.

An bada shawarar yin barci a sa'a guda, saboda kada muryar cikin ciki ta rude ta ɓace.

Allunan da likitan ya umarta suma a dauka dasu a bayyane. Ta hanyar daidaita abubuwan da ke cikin glycogemoglobin da kwayoyi, yakamata a auna sukarin jinin ku lokaci-lokaci.

A wasu halaye, karkatar da ƙwayar haemoglobin mai narkewa daga al'ada yana nuna ƙarancin tasiri na jiyya don ciwon sukari mellitus, sabili da haka, likitan na iya ba da haƙuri ga wata hanya ta daidaita matakin sukari ko canza sashin insulin.

Godiya ga bincike, duk matakan da ke sama za a ɗauka a kan lokaci.

Don yin sauri da sauri idan an keta dokawar haemoglobin, mutane masu lafiya suna buƙatar duba matakin HbA1C a kowace shekara 3.

Waɗanda ke kan gabuwa da masu ciwon sukari masu tasowa ana ba su shawarar su yi gwaji na musamman a duk watanni 12.

Ana buƙatar masu ciwon sukari su ziyarci likita don samun takarda don bincike, wanda suke ƙayyade abubuwan da ke cikin glycogemoglobin a cikin jini, kowane watanni shida.

Amma waɗanda ba su iya kiyaye cutar a cikin ƙwaƙwalwar ba, suna buƙatar bincika idan ba a karya yawan ƙwayar baƙin ƙarfe da ke haɗuwa da glucose ba, sau 2 sau da yawa.

Don haka, binciken, wanda ke tantance abubuwan da ke cikin haemoglobin da ke cikin jini tare da wasiƙar HbA1C, an yi niyya ne don gano mummunan cuta - mellitus diabetes.

Godiya ga binciken, ana iya gano cutar a farkon matakin, wanda ya ba likita damar hanzarta dawo da lafiyar mai haƙuri.

Gwajin jini

Binciken HbA1C yana nuna yawan sukarin da ke cikin jinin mutum a cikin watanni 2-4 da suka gabata. Ana amfani da gwajin don gano cutar sankarau da kuma saukaka tasirin maganin cututtukan da aka yarda da shi.

Ciwon sukari cuta ce da jikin ɗan adam ba zai iya yin amfani da sukari na jini yadda ya kamata. Yin watsi da magani yana haifar da gaskiyar cewa yawan sukari yana ƙaruwa sosai. Babban matakan sukari yana kara haɗarin rikice-rikice na cututtuka da yawa - hangen nesa mai rauni, cututtuka na kodan, zuciya, jijiyoyi, tasoshin jini da sauran gabobin.

Lucidly game da bincike

Ana shirin yin gwajin

Babu wasu ka'idodi na musamman don shiri. Kafin ɗaukar gwajin, ba ku buƙatar matsananciyar yunwa, iyakance kanku ga abinci, ku guji motsa jiki, bincike baya buƙatar ɗauka akan komai a ciki. Babu buƙatar shan ruwa mai yawa.

Ma'aikacin lab zai dauki jini a hankali. Samfuran Samfura na ɗaukar minutesan mintuna. Gwajin yana buƙatar kusan 3-5 ml na jini.

A shekara ta 2004, an samar da ƙarin hanyoyin da suka dace - yanzu ana iya ɗaukar binciken ta hanyar ɗaukar jini daga yatsa.

Bayan wucewa binciken, mai haƙuri na iya fuskantar karancin zazzabin cizon sauro, amai da ruwa, ƙaramin hematoma na iya samarwa a wurin fitsarin. A cikin wadannan alamu babu abinda zai damu su wuce tsakanin awa daya.

Yaushe ya dace da yin tunani da kuma yin bincike?

1. Sau da yawa idan aka nemi aiki a cikin babbar kasuwanci (m ciniki), sakamakon wannan bincike dole ne a haɗe da ragowar gwaje-gwaje yayin cikakken binciken likita,
2. Idan ana zargin mara lafiyar da ciwon sukari, ko kuma akwai alamun matakan sukari masu yawa, kamar:

• Thirstara yawan ƙishirwa
• Bakin bushewa
• Breathan itacen numfashi
• Urin saurin hanzari
• Appara yawan ci
• M jijiya gajiya
• Rashin gani
• Mayi saurin warkar da raunuka, yanke (a bango na raguwar rigakafi),

An nuna bincike game da HbA1C don mutane masu kiba, da kuma:

• Mutanen da ke jagorantar rayuwa mai rauni (ko tausawa) (rashin motsa jiki),
• Wadanda suke lura da kwatsam a cikin karfin jiki (hauhawar jini),
• Choarancin cholesterol
• Matan da ke cikin ƙwayar polycystic
• An nuna gwajin ga mutanen da suka yi tarihin dangi na cututtukan zuciya,
• Sauran yanayin asibiti hade da juriya na insulin.

Fa'idodin Nazarin

Akwai da yawa daga cikinsu. Misali mafi sauki shine gwajin jini na biochemical, yana da mahimmanci a yi shi kawai a kan komai a ciki, kuma farashin irin wannan bincike yana da yawa sau da yawa.

Mun lissafa fa'idodin bincike:

• Babu buƙatar horo na musamman
• An bincika bincike baya buƙatar ɗauka akan komai a ciki,
• Sakamakon gwajin zai kasance a shirye cikin awanni 2,
• Ba lallai ba ne a yi gwajin da safe, sabanin gwajin jini na ƙwayoyin cuta, wanda dole ne a sha da safe a kan komai a ciki,
• Ba kwa buƙatar iyakance aikin jiki kafin ɗaukar gwajin ba,
• Colds ko cututtuka na kullum ba zai shafi sakamakon gwajin ba,
• Gwajin jini na glycated haemoglobin zai nuna kai tsaye idan akwai ciwon sukari ko a'a,
• Hakanan zai tabbatar da cewa zaɓin da aka zaɓa don kamuwa da cutar yana da tasiri ko a'a.

Rashin daidaituwa na HbA1C Assay

Har yanzu suna nan.

• Sakamakon binciken zai iya zama ba daidai ba idan mai haƙuri yana da anemia, akwai cututtukan hanta ko koda, cututtukan jini,
• A cikin ƙananan garuruwa, yana da wahala ka sami dakin gwaje-gwaje da ke ba da sabis kamar su bincikewar haemoglobin (yawancin lokaci akwai damar bayar da wannan bincike),
• A cikin cututtukan cututtukan ƙwayar thyroid, an ƙara yawan HbA1C, wanda za'a iya ɗaukarsa da ƙarya azaman jihar mai cutar kansa ko mellitus na ciwon sukari,
• Ba a ba da shawarar mata masu juna biyu su ba da gudummawar jini don HbA1C saboda tsalle mai tsayi a cikin kwayoyin, wanda zai iya ba da sakamakon karya.

Manuniya na daidaituwar HbA1C

Bayan sun sami sakamakon gwajin, ana tantance su kamar haka:

• Adadin ƙasa da kashi 5.7% yana nufin cewa mara lafiya ba shi da lafiya da ciwon sukari kuma an rage girman haɗarin haɓakar cutar,
• Mai nuna alamar 5.7-6.4% yana nuna babban haɗarin kamuwa da ciwon sukari, wannan shine yanayin cutar maleriya. A wannan yanayin, yakamata ku nemi shawara tare da likitanka nan da nan, zaɓi hanyoyin don magance matsalar (rage cin abincin carb, shan magunguna don dawo da darajar zuwa al'ada),
• Tare da mai nuna 6.5%, ana gano mai haƙuri da “Ciwon sukari mellitus”.

Mai zuwa ƙaramin tebur ne wanda ke nuna rabo na haemoglobin glycated zuwa matsakaicin sukari na jini:

* Dangane da tebur, ƙimar shine darajar HBA1C daga 4 zuwa 6%.

Menene wannan bayanan ke magana?

Kawai game da hakan Sakamakon gwajin HbA1C na iya zama karya ne, dangane da dalilai da yawa: kan inganci da kayan aiki na dakin gwajin da zai jagoranci gwajin, akan fasahar da mataimakan ke amfani da su, sannan kuma sakamakon zai bambanta daidai da halayen mutum na mai haƙuri. Bambanci game da darajar HBA1C a cikin marasa lafiya biyu da ke da sukari guda na jini na iya zuwa 1.5%. (Wannan kuskure ne).

Ga yawancin marasa lafiya da ciwon sukari, ikon kula da matakan haemoglobin glycated da ke ƙasa da 6.7% ana ɗauka cewa al'ada ce. Misalan da ke sama suna gama gari saboda kimanta sakamakon bincike akan HbA1C.Jeri na al'ada na iya bambanta dan kadan dangane da inda aka ɗauki gwajin.

HbA1C yayin daukar ciki

Kula da sukarin jini na al'ada yanayi ne mai mahimmanci ga matawanda ya sami juna biyu kuma ya kamu da ciwon suga, ko ga waɗanda za su haihu, amma masu ciwon sukari suna tasowa yayin daukar ciki.

Kulawa da hankali game da matakan glucose na jini na taimaka wajan samun damar samun juna biyu cikin nasara, da rage hadarin rikice-rikice a cikin jariri.

• Idan kayi shirin zama da juna biyu.

Masu bincike a Cibiyar NICE (Cibiyar Kula da Lafiya da Kula da Kasa) yi jayayya cewa mata masu ciwon sukari ya kamata su kula da wani matakin HbA1C, 6.1% an dauki al'ada. Idan kuna shirin daukar ciki, yakamata ku baiwa mai kula da lafiyarku kowane ma'aunin HbA1C don lura da glucose din ku. Wannan zai taimaka rage haɗarin rikice-rikice na haifuwa cikin yaro. Idan matakinka na HbA1C ya wuce 10%, ana yaba maka sosai cewa ka guji daukar ciki har sai HbA1C ya sauka zuwa matakan lafiya.

• A lokacin daukar ciki.

Tebur yana nuna halayen halayen haemoglobin mai glygila dangane da watanni.

Matakan HbA1C za su haɓaka ne kawai lokacin da ɗaga matakan sukari na jini ya wuce kimanin watanni 2-3. Kuma kamar yadda kuke gani daga tebur, mace mai ciki tana tsalle sukari kawai a cikin kashi uku na ciki.

Ka tuna cewa yayin daukar ciki, matakan sukari suna tashi yayin abinci, maimakon kan komai a ciki.

Wadannan misalai masu zuwa ana la'akari dasu al'ada:

• A kan komai a ciki: 3.5 zuwa 5.9 mmol / l (wanda ya yi daidai da matakin HbA1C na 4-5.5%, wannan shi ne ƙa'idar aiki),
• Sa'a 1 bayan cin abinci: 7.8 mmol / L ko ƙananan (dan kadan sama da al'ada, 6-7% HbA1C).

Dole ne a bincika sukari a cikin mace mai ciki kowane mako. Amma ta yaya? Bayan haka, bincike akan HbA1C, kamar yadda muka ambata a sama, yana ba da sakamakon karya. Komai yana da sauki. A kowane dakin gwaje-gwaje, zaku iya ɗaukar gwajin haƙuri na glucose a kan komai a ciki. Idan wannan zaɓin ya yi tsauri (bayan komai, yana da wuya mace mai ciki ta je asibiti da safe kuma ta yi gwaji a can, har ma a kan komai a ciki), zaku iya siyan mai tantancewar glucose (ko glucose ɗin, farashin irin wannan na'urar ya bambanta daga 800 zuwa 1500 rubles) da auna sukarin da kanta bayan cin abinci. Hakanan wajibi ne don biye da tsarin abinci mai ƙanƙan da abinci, ku ci sabbin 'ya'yan itatuwa da kayan marmari, iyakance yawan amfani da kayayyakin gari, cakulan madara da Sweets

• Bayan haihuwar jariri.

Yawanci, matan da ke da ciwon sukari za su dawo cikin jinin al'ada HbA1C, wanda yake kusan kashi 6.5.

Yadda ake shiri don wannan binciken?

Shiri don bincike game da haemoglobin yana da matukar muhimmanci.

Ba za ku iya cin abinci na kwana biyu ba, ko da awanni uku kafin gudummawar jini, kawai za ku iya shan ruwa mai tsafta. A cikin shiri don wucewa wannan bincike, ya zama dole don ware duk wani abu na zahiri, kuma a Bugu da kari, wucewar tunani. Bugu da kari, kar a sha taba na mintina talatin kafin binciken.

Bayanin cikakken bincike

Don haka, bari mu gano menene - bincike don hawan jini.

Wannan binciken yana taimakawa wajen kimanta matsakaicin glucose na jini a cikin 'yan watannin da suka gabata.

Hemoglobin wani sinadari ne mai dauke da iskar oxygen a cikin sel jini. An bambanta nau'ikan haemoglobin na yau da kullun; ban da haka, an gano nau'ikan da yawa wadanda ba na al'ada ba ne, duk da haka, haemoglobin A, wanda yake casa'in da biyar bisa dari na jimami na haemoglobin, ana ganin shine mafi girman nau'in. Hemoglobin A ya kasu kashi da yawa, wanda ɗayan shine A1c.

Wani sashi na glucose din dake zagaya jiki na iya ɗaure shi lokaci-lokaci zuwa haemoglobin, suna haɓaka haemoglobin. Theayan mafi girman taro na glucose a cikin jini, to ya zama yana motsawa sosai. Haɗe tare da haemoglobin, glucose ya zauna tare da ita kamar dai a cikin ɗayan guda ɗaya har zuwa ƙarshen rayuwar rayuwar kwayar jan jini, wato tsawon kwana ɗari da ashirin. Rikon glucose tare da haemoglobin A ana kiranta A1c a magani. Glycated haemoglobin yana kasancewa a cikin jini kuma yana ɓacewa kowace rana. Kwayoyin tsohuwar ja ja sun mutu da sauri, kuma matasa (waɗanda ba su yi dumu-dumu ba) suna maye gurbinsu.

Ana amfani da gwajin haemoglobin A1c don saka idanu kan yanayin marasa lafiya da ke fama da cutar sankarau. Yana taimakawa wajen kimanta yadda ake sarrafa glucose yadda yakamata a yayin warkarwa.

Yana da muhimmanci a gano yadda ake ɗauka don gwajin haemoglobin, a cikin komai a ciki ko a'a. Amincinsa ya dogara da wannan.

Ga wasu marasa lafiya, an tsara bincike don sanin irin wannan nau'in haemoglobin don gano cutar sankarar mama, kuma a haɗe, jihar da ke fama da cutar baya ga gwajin glucose na ciki. Bugu da ƙari, ana iya yin gwajin haƙuri na glucose shima.

Sakamakon mai nunawa ana auna shi cikin kashi. Marasa lafiya waɗanda ke fama da ciwon sukari suna buƙatar ƙoƙari don ci gaba da matakin; yana da mahimmanci cewa bai wuce kashi bakwai ba.

Sabili da haka, kuna buƙatar sanin yadda za a ƙaddamar da bincike don haemoglobin glycated.

Haemoglobin A1c dole ne a nuna shi a ɗayan hanyoyi masu zuwa:

• A matsayin kashi na jimano na haemoglobin.
• A cikin naúrar mmol.
• Kamar yadda matsakaiciyar glucose abun ciki mmol / L.

Yanzu mun gano dalilin da yasa ake gudanar da wannan binciken dakin gwaje-gwaje.

Da yawa ba su fahimci yadda ake ɗaukar ƙwayar haemoglobin glycated ba - daga jijiya ko daga yatsa. Za muyi magana game da wannan a ƙasa.

Me ake amfani da wannan binciken?

Wannan gwajin ya zama dole don sarrafa glucose a cikin marasa lafiya da masu ciwon sukari. Ga waɗannan mutane, riƙe matsayinsa na kusan zuwa matakin yau da kullun yana da matukar muhimmanci. Wannan yana rage rikice-rikice a cikin idanu, kodan, cututtukan zuciya, da ƙari, tsarin juyayi. Daga cikin wadansu abubuwa, binciken da ake gudanarwa ana aiwatar dashi a wajan wadannan:

• Don sanin matsakaicin glucose na jini a cikin 'yan watannin da suka gabata.
• Don tabbatar da daidaiton matakan da aka ɗauka don magance cututtukan siga da kuma gano idan ba su buƙatar kowane gyare-gyare.
• Don tantancewa a cikin marasa lafiya da sabon ciwon sukari hawan jini wanda ba a sarrafa shi ba. Hakanan, dole ne ayi gwajin gwajin sau da yawa har sai an gano matakin glucose da ake so, to akwai buƙatar maimaita shi sau da yawa kowane watanni shida don tabbatar da cewa an kiyaye matakin al'ada.
• A wani ɓangare na rigakafi don gano cutar sukari a farkon matakin.

Inda za'a gwada ku don hawan jini, zaku iya duba tare da likitan ku.

Yaushe ne ake yin nazarin?

Ya danganta da nau'in ciwon sukari da kuma yadda za a iya magance cutar, ana yin gwajin A1c sau biyu zuwa hudu a shekara. A matsakaita, ana ba da shawarar marasa lafiya da ciwon sukari suyi wannan gwajin sau biyu a shekara. A cikin taron cewa an gano mai haƙuri da ciwon sukari a karo na farko ko lokacin da ma'aunin sarrafawa ya kasa, ana sake tsara tsarin binciken.

Bugu da ƙari, an tsara wannan bincike idan ana zargin mai haƙuri da ciwon sukari, saboda akwai alamun cutar hawan jini, alal misali:

• Kasancewar tsananin ƙishirwa.
• Kasancewar urination akai-akai da fa'ida.
• Kasancewar gajiya.
• Bayyanuwa na rashin gani.
• Kasancewar karuwar kamuwa da cututtuka.

Na gaba, zamu gano cikakkun bayanai game da yadda za'a ɗauki bincike don hawan jini.

Zan iya ci kafin yin gwajin jini?

Yaya za a ba da gudummawar jini don hawan jini na glycated - a kan komai a ciki ko a'a?

A matsayinka na mai mulkin, duk dakunan gwaje-gwaje suna daukar jini a kan komai a ciki. Wannan doka ana buƙata don babu matsaloli tare da jini, tunda abin da ke ciki bayan cin abinci na iya bambanta da ɗan abin da aka lura akan komai a ciki. Amma yana da mahimmanci a san cewa da daɗewa babu wani bambanci ko kaɗan ko an ba da wannan gwajin a kan komai a ciki ko bayan cin abinci, saboda wannan alamar tana nuna adadin glucose a cikin watanni uku da suka gabata, kuma ba a wani takamaiman yanayi takamaiman lokaci ba.

Amma duk da haka, likitoci sun ba da shawarar ɗaukar wannan bincike na likita akan komai a ciki, wannan shine yadda zaku iya gujewa ɓata lokaci da kuɗin kuɗin sakewa a cikin yanayin binciken da bai yi nasara ba, wanda zai iya zama ba daidai bane sabili da saɓanin saɓanin dokokin banal.

Don bincike, ana ɗaukar jini a hankali (daga yatsa). Lokacin da aka fi so shi ne safe.

Yadda za ayi gwajin jini na glycated yanzu an bayyana a sarari.

Kwana nawa ne gidan gwauro yake gabatar da bincike?

A matsayinka na mai mulkin, ana yin bincike kan wannan nau'in hawan jini a cikin kwanaki uku ko hudu, don haka ba dole ne mara lafiya ya jira tsawon lokaci don gano sakamakonsa. Ana ɗaukar jini don ƙayyadadden matakin haemoglobin, a matsayin mai mulkin, daga jijiya, amma akwai dabaru don ɗaukar wannan kayan daga yatsa.

Na gaba, zamu gano menene sakamakon bincike ga wannan haemoglobin da kuma menene wannan yake nufi ga marasa lafiya.

Menene sakamakon binciken yake nufi?

Matsayi kusa da matakin haemoglobin shine kashi bakwai a cikin mai haƙuri da ciwon sukari, mafi sauƙin shine magance cutar. Saboda haka, tare da haɓaka matakin irin wannan cutar haemoglobin, haɗarin rikice-rikice kuma yana ƙaruwa. Sakamakon bincike don tantance A1c an fassara shi kamar haka:

• Lokacin da ƙimar haemoglobin ta kasance daga kashi huɗu zuwa shida, wannan yana nuna cewa mutumin bashi da ciwon sukari.
• Kashi shida da rabi ko sama da haka yana nuna cewa mutum yana da ciwon sukari.
• Darajar nazarin daga 5.6 zuwa 6.3% yana gaya wa likitoci game da abin da ake kira prediabetes. Wato, wannan manuniya yana nuna kasancewar rashin haƙuri cikin haƙuri, wanda ke da alaƙa da haɓakar haɓakar ciwon sukari.

Menene zai iya shafan sakamakon binciken?

A cikin marassa lafiyar da aka kwatanta da nau'in halittar haemoglobin, misali a cikin marasa lafiya da ke da sikila masu ɗauke da jan jini, yawan gemoclobin ɗin da aka yiwa kwalliya ba zai ragu ba. Bugu da kari, a yayin da mutum yake fama da cutar haemolysis, matsalar rashin jini, ko kuma zubar jini mai yawa, sakamakon binciken shima yana iya yin karanci. Akasin haka, ana ƙididdige ƙimar A1c da ƙarancin ƙarfe kuma tare da ɗan daɗaɗɗar watsawar ɗan adam. Gaskiyar ita ce cewa abubuwan hana ruwa na jini na iya samun sunadarin glucose sosai.

Binciken don haemoglobin da ke cikin jini ba ya nuna canje-canje masu girma a cikin glucose jini. Wannan gwajin ba zai gano alamun motsa jiki a cikin glucose a cikin wani mara lafiya da ke dauke da cutar siga ta labile ba.

Ta yaya kuma ta wace hanya za a iya rage haemoglobin?

Za'a iya haɓaka raguwar haemoglobin mai narkewa tare da rage yawan glucose. Sabili da haka, don rage matakin wannan haemoglobin, ya zama dole a bi duk shawarar likitan don maganin ciwon sukari, misali:

• Yarda da wani nau'in abinci na musamman da yanayi.
• Ilimin jiki na aiki.
• Yawan shan ƙwayoyi ko insulin.
• Yarda da barci da farkawa.
• Wajibi ne a lura da matakan glucose sau da yawa kai tsaye a gida.
• Shiga wurin nadin likita a kan kari.

A cikin abin da mutum ya ga cewa daga duk ƙoƙarinsa adadin glucose na al'ada a cikin kullun kuma yana jin lafiya, to wannan yana nuna cewa mai haƙuri akan hanya madaidaiciya kuma gwajin jini na gaba tabbas zai faranta masa rai.

Glycated haemoglobin yayin daukar ciki

Glycated haemoglobin wani yanki ne wanda yake faruwa a jikin mutum wanda ya saba da asalin ayyukan glucose da haemoglobin. Matsayinta a cikin mata masu juna biyu yayi daidai da matsayin mata na talakawa. Amma saboda mahimman canje-canje a cikin jiki yayin daukar ciki, zai zama da wahala sosai wajen fassara ainihin sakamakon da aka samu. Glucose, ta yanayinsa, yana aiki kamar sukari, kuma haemoglobin nau'in furotin ne. Yayin karo, sukari da haemoglobin suna ɗaure, wanda ke haifar da nau'i mai glycated wannan sashin jini.

Lokacin da ciki ya faru, hanyar da ta fi kyau don tantance yawan sukari a cikin jini shine auna glycated haemoglobin. Gaskiya ne, isar da wannan bincike kai tsaye yayin daukar ciki na iya kuma ba da kyakkyawan sakamako. Gaskiyar ita ce a cikin mata masu juna biyu yawan glucose a cikin jini yana da mallakar haɓaka ba dai-dai ba. Sakamakon mummunan sakamako na rashin daidaituwa na glucose a cikin jinin mata masu juna biyu na iya zama mai muni:

• Haɓaka mai saurin girma na tayi har zuwa kilo huɗu ko biyar, wanda zai iya cutar da uwa da jariri da kanta yayin haihuwa.
• An lalata tasoshin jini.
• Babu matsala a cikin aikin kodan.
• Yanayin hangen nesan na iya karuwa.

Zai iya zama wani lokacin wahala don hana sakamako mara kyau akan lokaci, saboda glucose ya fara tashi ne kawai a daidai lokacin da jariri yake gabatowa. Matsakaicin haɓaka yana faruwa a watan takwas ko na tara, amma saboda ya rigaya yana da wahalar yin tasiri kan lamarin. Gaskiya ne, yawancin lokuta tsalle-tsalle mai mahimmanci a cikin glucose jini ba zai haifar da canji mara kyau ba. Koyaya, dole ne a bi umarnin likita, kuma ƙari, ƙaddamar da duk gwaje-gwajen likita.

Yaya za a gwada shi don glycated haemoglobin yayin daukar ciki?

Gwajin jini na ciki wanda ba komai a ciki yayin al'ada shine al'ada, sukari ya tashi bayan cin abinci, kuma babban tarorsa ya ci gaba na dogon lokaci. Nazarin akan HbA1C ba shi da tasiri ga mata masu juna biyu, tunda sun bada izinin samun bayanai na watanni 3 da suka gabata, yayin da cutar sikari ta sami ci gaba bayan sati 25 na ciki. Bincika glycemia ta hanyar auna sukari bayan abinci. Ana gudanar da bincike kamar haka: mace ta dauki jini a cikin komai a cikin ciki, sai a ba da maganin glucose don sha da sanya ido bayan awa 0,5, 1 da 2. Sakamakon yana ƙayyade yadda sukari yake tashi da kuma yadda yake sauri da sauri zai dawo al'ada. Idan an gano karkacewa, an wajabta magani.

Menene dalilan bayar da wannan gwajin ga mata masu juna biyu?

Za'a iya yin nazarin bincike game da cutar haemoglobin a lokacin daukar ciki gwargwadon takamaiman alamun hakan. Wajibi ne a bayyanar da alamun gaba daya na cututtukan ciwon sukari:

• Bayyanar bushe bushe tare da kasancewar kullun sha'awar sha.
• Fitowar urination akai-akai da tsawan lokaci.
• Aukuwa na saurin gajiya.
• Tsawo rauni waraka.
• A ko da yaushe kasancewar wasu cututtuka.
• Wani raguwar gani a wahayi.

Me kuma kuke buƙatar sani game da cutar haemoglobin?

Anan ga 'yan karin wasu abubuwanda kuke buqata:

• Dole ne a ƙaddara matakin wannan nau'in haemoglobin aƙalla sau ɗaya a kowane 'yan watanni (kowane watanni uku ko huɗu). Bayan kimanta sakamakon, lallai ne a ɗauki matakan da suka dace. Wannan gwajin dakin gwajin bai kamata ya zama irin bincike da mutane suke bi ba don dubawa ko don likita. Wannan bincike ana buƙatar shi ne kai tsaye ga mutum.
• Determinationudurin ƙwayar haemoglobin ba ta kowace hanya ta soke yawan adadin sukari ta amfani da glucometer na al'ada ba. Ko da mutum yana da cikakke haemoglobin, amma akwai raguwar sukari a cikin kullun fiye da 5 mmol, wannan ba zai iya kare mutum daga haɓakar wasu rikice-rikice ba. Wannan tabbataccen abu ne tabbatacce.Kari akan wannan, an tabbatar da cewa a gaban mai nuni iri daya, wadancan mutanen da suka sami irin wannan yanayin ko suka wanzu sun fi fuskantar rikice-rikice.
• Wajibi ne a rage yawan matakan hawan jini a hankali, a kashi daya a shekara.

Bai kamata ku rudi abin da ya dace ba, dole ne kuyi kokarin cimma burinku. Ya kamata a ɗauka cewa abin da aka bai wa matasa, tsofaffi na iya zuwa lalata kawai.

Mun gano yadda ake yin gwaji game da haemoglobin.

A ina zan yi gwaji?

Za'a iya aiwatar da gwajin a cikin kowane dakin bincike. Misali, INVITRO na dakin gwaje-gwaje mai zaman kanta ya bayar da izinin yin bincike don kawai rubles 600 (kuma sami sakamakon a cikin 2 hours).

Koyaya, a cikin ƙananan garuruwa wannan na iya zama da wahala. A cikin ƙananan dakunan gwaje-gwaje, maimakon wannan gwajin, suna iya ba ku gwajin jini na ƙirar ƙwayar cuta, wanda ya fi tsada sosai kuma ana iya ɗauka a kan komai a ciki. (Babban gwajin jini ba zai nuna girman sukari ba.)

Farashin bincike ya tashi daga 600 zuwa 1000 rubles, gwargwadon birni da ajin asibitin. (Farashin gwajin jini na biochemical (mafi ƙarancin bayanin martaba), don tunani, - daga 2500 rubles)

Bayani mai amfani game da glycated haemoglobin da ciwon sukari

Glycated haemoglobin a cikin jinin mutum

Jinin yana dauke da abubuwa da yawa wadanda suke yaduwa a koda yaushe a jikin mutum. Glycated ko glycosylated haemoglobin wani ɓangare ne na jimami na haemoglobin a cikin jini kuma yana da alaƙa da glucose. Girman wannan alamar yana da yawa. Don haka, adadin sukari da aka gano a cikin jini yana nuna kasancewar ko rashin matsalolin kiwon lafiya. Abun ƙididdigar wannan bincike yana ba ku damar gano rashin lafiyar da ke faruwa a cikin watanni 3 da suka gabata. Tsarin gwajin dakin gwaje-gwaje shine HbA1C. Lokacin samarwa ya dogara da dakin gwajin da yake gudanar da binciken kuma yawanci 1-2 ne. Dalilin wannan bincike shine bisa shawarar likita ko kuma sha'awar mutum na haƙuri don bincika sukari na jini, koda kuwa babu alamun alamun cutar.

Alamomin rashin haihuwa

Kwayar cututtuka na karkatar da ƙa'idodin al'ada na iya faruwa a cikin mutum mai cikakken lafiya, a cikin yara da mata masu juna biyu. Kuna buƙatar "saurara" ga jikin ku: idan kun ji akalla 3 daga cikin alamun bayyanar - kuna buƙatar ƙaddamar da gwajin sukari nan da nan:

• M fiye da raunuka da yanke yawanci warkar
• Sau da yawa kuma ba a sani ba ana jin gajiya da gajiya,
• Urination akai-akai
• Akwai ƙamshi mai daɗin fitowa daga bakina,
• Bakin bushewa, ba tare da la’akari da yawan kashewar ƙishirwa ba,
• Hankali ya karu sosai.

Theungiyar haɗarin ta haɗa da mutanen da ke da kiba (fiye da 5 kilogiram), aiki a cikin kamfanoni masu cutarwa, suna haifar da yanayin rayuwa, hana shan giya, masu shan sigari, matan da suka kamu da ƙwayoyin ƙwayoyin cuta na polycystic, kazalika da mutanen da ke da ƙananan ƙwayoyin cuta da kuma cututtukan gado na gado. .

Ko da ba tare da alamun da ke sama ba, kowane mutumin da ke lura da lafiyarsu ya kamata ya ƙaddamar da bincike kan abubuwan da ke cikin wannan bangaren. Kimiyya ba ta yi cikakken nazarin dalilin da ya sa ciwon sukari mellitus ya faru ba, kuma ko za a iya kawar da ita gaba ɗaya. Idan an gano glycosylated haemoglobin a cikin kyawawan dabi'u, mai haƙuri dole ne ya kula da matakin sukari na jini tare da abinci na musamman, da kwayoyi, gami da gwajin jini na yau da kullun.

Yadda za a shirya da wucewa da bincike don sanin matakin sukari

Lokacin bayar da kowane bincike, kowane mutum yana da sha'awar tambayoyi: yaya ake gudanar da bincike kuma ana ba da shi akan komai a ciki ko a'a. Daya daga cikin manyan fa'idodin wannan bincike shine cewa baya bukatar shiri na musamman. Tun muna yara, mun saba da cewa duk wani gwaji na jini ana bukatar ayi shi akan komai a ciki, amma wannan bai shafi wannan binciken ba. Kuna iya ɗaukar shi yayin rana, bayan cin abinci, lokacin shan maganin rigakafi, har ma da sanyi. Wannan saboda takamaiman nazarin dakin gwaje-gwaje zai baka damar gano mahimman alamun, duk da bayanan sakandare na sauran abubuwan da ke cikin jini.

Shirye-shirye don wucewa da bincike ana iyakance ta halayen kirki da shugabanci daga likita (idan dakin gwaje-gwaje ya buƙace shi).

Kamar kowane bincike, ana iya gano sukari na jini daidai tare da anemia, ƙarancin ciki a cikin glandon thyroid da kuma yawan ƙwayoyin bitamin C da E (waɗannan bitamin suna tasiri alamomi da yawa a cikin jini). Sabili da haka, idan akwai shakku cikin daidaito na bincike, ana bada shawara don tattaunawa tare da likita yadda za a ƙaddamar da bincike zuwa takamaiman mai haƙuri daidai - za'a iya samun halaye na mutum wanda likita zai iya tantance shi, sanin tarihin likita na mutumin da ya nemi taimako.

Siffofin Nazarin

Damar damar wucewa da bincike akan HbA1C bai bayyana haka ba da dadewa. Har yanzu, a wasu ƙananan garuruwa, ba za a iya gudanar da irin wannan bincike ba, don haka lura da sarrafa ciwon sukari yana da wahala. Sau da yawa, dakunan gwaje-gwaje na iya bayar da gwajin jini na biochemical maimakon HbA1C da ake so. Wannan ba daidai bane kuma mai tsada, nazarin biochemical shine babban binciken jini, amma bazai nuna mahimmancin bayanai akan abubuwan sukari ba, kuma yakai sau 2-3. Saboda haka, lokacin da ake rubuta gwajin jini don sarrafa sukari, a hankali karanta alƙawarin, kuma duba daidai a wurin bayar da gudummawar jini.

Ka'idodin Abubuwan Cikin Nasihu

A cikin lafiya, mutum matsakaici, ana ganin mai nuna alama ya kasance daga kashi 4.5 zuwa 6. Idan gwaje-gwajen da suka gabata ba su nuna karkacewa a cikin wannan alamar ba, to adadi na 7% na iya nuna nau'in ciwon sukari na II.

Idan an riga an gano cutar sankara a baya kuma gwajin jini na yau da kullun yana nuna yawan 8-10, wannan yana nufin magani da ba a zaɓa ba, tare da rikitarwa. Idan mai nuna alama ya tashi sama da 12, yakamata a ɗauki matakan gaggawa don rama ciwon sukari. Idan glycosylated haemoglobin ya wuce alamar 12% - glucose ba zai iya komawa da sauri ba, mai haƙuri zai rage matakin sukarin shi na wasu watanni.

A cikin yara, mai nuna alama ba ya bambanta da na manya. Bambanci yana kawai ta ƙunshi babban adadin sukari - ba za a iya rushewa da ƙarfi ba, in ba haka ba yana iya juya cikin wahalar hangen nesa. Jikin yara ya fi fuskantar hadari, kuma yana buƙatar shiri na musamman.

Yawan sukari na jini yayin daukar ciki

Tsarin sukari na jini a cikin mata masu juna biyu na iya karkatawa sosai. Wannan ya faru ne saboda aikin jiki "biyu" da kuma gazawar gaba ɗaya yanayin al'ada na mahaifiyar da ke zuwa. Neman jini don sukari wajibi ne ga mace mai ciki kuma ana maimaita ta sau da yawa yayin daukar ciki. Ba a shafa wannan idan an lura da matar kafin daukar ciki saboda cutar sankara ko a'a.

Idan glycosylated haemoglobin a cikin mace mai ciki, sakamakon zai iya zama kamar haka:

• Saurin tayi na tayi,
• Lalacewar rayuwar mace
• Haihuwar haihuwa
• Kwatsam zubar da ciki.

Sau da yawa wannan yana faruwa saboda rashin ƙarfe a cikin mahaifiyar mahaifiyar nan gaba, wanda yakamata a rama shi ta hanyar bitamin na musamman da abinci. Tare da nuna alama mai haɓaka, karkacewa kuma yana yiwuwa ba kawai a cikin haɓaka ba, har ma a cikin yanayin jiki na tayin, don haka ya kamata a hankali kula da matakin sukari na jini.

Matan da ke da juna biyu kada su yi mamakin yadda za a gwada su - a kan komai a ciki ko a'a - tabbas suna buƙatar cin abinci kafin aikin.

Wannan zai shafi jin daɗin rayuwa ba kawai, har ma da daidaiton bincike.

Wajibi ne don sarrafa alamar sukari a duk lokacin daukar ciki. Idan an yi nazarin ne a watanni 8 ko 9, zai nuna alamun kuzari ne tsawon watanni 3 da suka gabata, i.e. lokacin da karkacewa suka fara bayyana kansu a wani watanni 6 kuma zai makara lokacin aiki. Saboda rikicewar yanayin hormonal na lafiyar mace yayin daukar ciki, mai yiwuwa ba za ta iya jin alamun karkatar da lafiyar ta ba, kuma likitan ba zai mai da hankali ba, kuma a hankali ba zai rubuta alƙawarin ba. A wannan yanayin, lokaci mai mahimmanci zai ɓace kuma babu wanda zai iya ba da tabbacin rashin rikitarwa yayin haihuwa da ƙarin rayuwar jariri da uwa.

Matsakaicin Dubawa

Ga mutanen da basu da matsala da sukari, ya isa a bincika sau ɗaya kowace shekara 2-3. Ga mutanen da ke cikin haɗari, wannan shawarar ana bada shawara don maimaitawa aƙalla sau ɗaya a shekara.

Tare da gano cutar sankara (ko da wane irin digiri), ana buƙatar gwajin jini sau ɗaya a kowane watanni shida. Don ƙarin masu fama da rikice-rikice - koyaushe suna lura da matakin glycemia tare da glucometer saboda rashin iya sarrafawa da rama ga ciwon sukari - aƙalla sau ɗaya a kowane watanni uku. Kulawa akai-akai game da matakan sukari na jini zai taimaka wajen guje wa rikice-rikicen da ba'a so ba ta hanyar 40%. Ana iya bincika ku a cikin jama'a da kuma cibiyoyin likitoci masu zaman kansu. Kudin bincike zai iya bambanta.

Ciwon sukari da sarrafawa

Lokacin da aka rigaya an gano cutar sankara, babban aikin shine rama shi da kuma kiyaye matakan sukari a cikin ƙasa da raka'a 7. Wannan cikakkiyar ilimin kimiyya ne, kuma mara haƙuri yana koya don cimma wannan a rayuwarsa daga lokacin da aka gano wata cuta. Suna amfani da insulin (idan ya cancanta), tsayayyen abinci, jarrabawa na yau da kullun da glucometer don ƙayyade matakan sukari. Wannan na'urar ya kamata ya kasance a cikin arsenal na duk mutumin da ya gano ciwon sukari a kowane mataki. Ka'idojin aiki: tare da taimakon faranti da aka jefa a cikin na'urar, mai haƙuri ya ɗauki ƙaramin jini. Bayan jini ya shiga cikin na'urar, ana nuna sakamakon a matsayin nuni kamar kashi. Sauƙaƙe, mai dacewa kuma ba tare da ziyartar wuraren kiwon lafiya ba.

Alamar sukari a cikin abinci tana shafa kai tsaye. Rashin masu ciwon sukari zai cinye su, mafi sauƙin zai kasance rayuwarsa ba tare da faɗuwar kwatsam da haɓakar sukari ba. Idan bakuyi jarrabawa don kamuwa da cutar sankara ba, zaku iya samun jini a jiki ba zato ba tsammani ko cocin munallen, wanda ke haifar da mummunan sakamako.

A jikin mutum akwai abubuwa da yawa, bitamin da kuma abubuwanda suke daidaita da juna. Idan aka keta wannan ko wancan mai nuna alama, hanyar rayuwar yau da kullun zata rushe, kuma mutum zai daɗe yana haɗuwa da gwaje-gwajen yau da kullun da magunguna. Ciwon sukari mellitus na ɗaya daga cikin haɗarin da likitoci suka bayyana a cikin duniyar yau da kuma rashin samun cikakken murmurewa. Don hana matsaloli tare da jin daɗin rayuwa, ana bada shawara don kiyaye gemocololated haemoglobin ƙarƙashin kulawa.

A kudi glycated haemoglobin (tebur)

Ga mutane ba tare da ciwon sukari ba, raunin haemoglobin HbA1c ya tashi daga 4% zuwa 5.9%.

Valuesimar HbA1c tsakanin 5.7% da 6.4% suna nuna haɗarin haɓakar haɓakar ciwon sukari, kuma matakin na 6.5% ko sama yana nuna kasancewar ciwon sukari mellitus (bayyanar cututtuka yana buƙatar tabbatarwa).

Farfesa Hirohito Sone, masaniyar endocrinologist a Cibiyar Nazarin Clinical Medicine a Tsukuba, Japan, ya gudanar da wani bincike wanda mutane 1722 masu shekaru 26 zuwa 80 ba tare da cutar sankara ba suna yin azumin sukari na jini da HbA1c, a shekara, a na tsawon shekaru 9.5. Binciken ciwon sukari mellitus an yi shi ta hanyar batutuwa 193 tare da matsakaicin matakin HbA1c wanda ya wuce kashi 5.6 a kowace shekara.

Tunda yawan binciken da aka yi akai akai sun nuna cewa rashin isasshen kula da ciwon sukari yana da alaƙa kai tsaye da ƙirƙirar rikicewar wannan cutar, makasudin marasa lafiya na kula da cutar shine kula da yanayin Hemoglobin HbA1c na al'ada wanda ke ƙasa da 7%. Yawan matakan wannan bincike suna ƙara haɗarin haɓakar rikice-rikicen cututtukan da ke tattare da cutar sankara.

Diungiyar ciwon sukari ta ƙasa ta ba da shawarar ci gaba da HbA1c na 8%, wanda ya ba da shawarar cewa mellitus na haƙuri na marasa lafiya ba a biya da ƙoshin lafiya kuma ana buƙatar gyara shi da gaggawa.

Dangantakar gemoclobin da sukari na jini: