Glycated haemoglobin - menene

Na dogon lokaci, ciwon sukari na iya faruwa a cikin latent, ko mara lafiya na iya lura alamun haɗari.

Wannan yana haifar da mummunar illa mai illa ga lafiyar.

Binciken don maganin gemocosylated haemoglobin shine mafi yawan bincike a cikin binciken cututtukan cututtukan sukari, ciki har da farkon matakansa. Yi la'akari da yadda ake bayar da gudummawar jini, da abin da sakamakon zai iya magana game da shi.

Tsarin ilimin halittar jini a HbA1C: menene?

Matsayin haemoglobin mai narkewa yana ba ka damar gano menene ɓangaren haemoglobin da ke ɗaure zuwa glucose yayin amsawa, wanda sukari da amino acid suka shiga cikin shigarwar glucose ta cikin meryrane na erythrocyte.

Wannan tsari yana faruwa kullun a cikin jiki, amma idan sukari yayi “tsalle” a cikin jini, to, matakin glucose a cikin ƙwayar janaba ya tabbata ne (ya tsaya a daidai wannan matakin har zuwa watanni 4).

A cikin mafi yawan lokuta, ana ba da izini don bincike game da cutar sankarar mellitus, da kuma lura da ci gaban da ake fama da shi na rashin lafiyar endocrine.

Ya bambanta da bincike na yau da kullun don ƙayyadadden matakin glucose a cikin jini, irin wannan alama kamar glycosylated haemoglobin shine mafi yawan lokuta masu ba da labari.

Ga wasu bambance-bambance masu mahimmanci:

• yana nuna ƙimar matsakaici a cikin watanni ukun da suka gabata, wanda ke nufin cewa yaudarar likita ta hanyar zama kawai kan abinci tsawon kwanaki kafin ɗaukarsa zai faɗi,
• glycated haemoglobin a kusan baya dogaro da tasirin abubuwan waje, tunda yana nuna ƙimar matsakaici (gwajin saurin yau da kullun yana iya "yaudara" saboda wani cuta da ta gabata, damuwa, aikin jiki ko wasu abubuwa),
• glycosylated haemoglobin damar likita don ƙarin daidai ganin yadda damuwa da tafiyar matakai na carbohydrate metabolism a cikin jiki.

Don ƙayyade hoton asibiti, likitoci sun ƙayyade haemoglobin da HbA1C ya ɗauka. Irin wannan gwajin ya fi tsada (babban farashi shine kawai ɓarkewar dabara) fiye da bincike na yau da kullun, amma yakamata a yi idan likita ya nace akan hakan.

Yakamata a gwada masu cutar sukari duk bayan watanni uku, mutane masu lafiya a kowace shekara uku.

Hanya don tabbatar da glycosylated haemoglobin a cikin jini

Shekaru talatin da suka gabata, an kirkiro wannan hanyar bincike.

Mun lissafa hanyoyin da ake amfani dasu a halin yanzu:

1. babban aikin ruwa na chromatography. Ribobi: Cikakken sakamako wanda mai bincike ya ƙaddara shi cikin yanayin atomatik. Fursunoni: dabarar tana da tsada,
2. ion musayar kayan maye. Wannan karatun yana ɗaya daga cikin hadaddun, onlyan dakunan gwaje-gwaje ne kawai suke da kayan aikin da suke bukata,
3. ƙananan matsa lamba na ion musayar chromatography. An shirya binciken ne a cikin mintuna biyar kawai, shigarwa kanta yana da hannu. Daya daga cikin hanyoyin mafi sauri kuma na zamani,
4. immunoturbidimetry - Wata hanya madaidaiciya (farashin dan kadan ya fi na chromatography),
5. na'urorin da za'a iya ɗauka. A Rasha, har yanzu ba su sami rarrabawa mai yawa ba, duk da haka, yawancin ƙasashen waje suna da masu nazarin wayar hannu.

A matsayinka na doka, kuskure a ƙaddara yawan adadin glycogemoglobin yana da ƙanƙantar yawa kuma baya dogaro da yawa akan hanyar bincike da aka zaɓa.

Alamu don bincike

Idan ya cancanta, an ƙaddara matakin glycosylated haemoglobin a cikin yara, matasa, da manya, har da mata masu juna biyu:

• da ake zargi da cutar sankara ko wasu abubuwa na rayuwa na ƙwayar cuta,
• ciki a cikin mata cikin hadari (a matsayinka na mai mulki, an shirya gwajin ne tsawon sati 10),
• an gano nau'in 1 da nau'in ciwon sukari 2,
• wani lokacin ana tantance matakin glycated haemoglobin tare da hauhawar jini.

Ofaya daga cikin mahimman fa'idodin hanyar ita ce cewa yana ba ka damar gano raunin endocrine mai haɗari a farkon matakansu.

Glycosylated haemoglobin menene?

A cikin jinin kowane mutum akwai furotin - haemoglobin da ke motsa jiki (glycated haemoglobin). Ya kasance a cikin ƙwayoyin sel na jini, wanda haemoglobin yake aiki na dogon lokaci.

Matsayin haemoglobin da aka gwada yana iya faɗi game da adadin haemoglobin a cikin jini wanda ya haɗu da glucose, kuma duk wannan an bayyana shi a matsayin kashi. Hemoglobin a cikin kwayoyin mu suna taka muhimmiyar rawa, yana cike dukkanin sel da gabobin tare da iskar oxygen.

Bugu da kari, haemoglobin yana da fasali guda, yana hade da glucose, kuma haka ma, wannan tsari ba zai yuwu ba. Bayan irin wannan glycation, hawan jini na bayyana.

Da zaran glycosylated haemoglobin ta tashi, akwai damar haɓaka ciwon sukari, wanda ke da haɗari ga mutane.

Ciwon sukari cuta ce mai wuyar ganewa da kuma mummunar cuta ga mutum, tana da sakamako wanda ba za'a iya juyawa ba wanda zai haifar da mutuwa. Idan ba'a sarrafa glucose ba.

Ka'idojin dabi'u don wannan bincike daidai suke, ba za a iya wuce gona da iri ba, tunda duk abin da mutum ya ci cikin watanni uku za a nuna shi a gwajin. Game da siffofin gwaji, wannan gwajin yana nuna kamar haka - HbA1C.

A cikin aikin likita, akwai tebur na musamman waɗanda ke kwatanta yawan Glycated Nemoglobin zuwa glucose:

Don haka, ga tambayar glycosylated haemoglobin menene, za a iya ba da amsar ta gaba - wannan shine haemoglobin na sel sel na jini, wanda ke da alaƙa da glucose ta hanyar da ba za a iya sauyawa ba. Bayanai a cikin binciken suna nunawa tsawon watanni uku, wanda ya ba ku damar sarrafa matakan sukari na jini. Nazarin don glycosylated haemoglobin yana da mahimmanci a bincikar cutar - ciwon sukari.

Nazarin bincike game da gemocosylated haemoglobin: Yadda ake ɗauka, al'ada

Nazarin HbA1C yana ba ku damar bincika matakin sukari na tsawon watanni uku. Wannan ingantacciyar hanya ce wacce ba ta buƙatar shiri na musamman don bincike daga mai haƙuri. Ana ɗaukar jini mara nauyi ko jinin yatsa don yanke hukunci, dangane da mai nazarin.

Bugu da ƙari, ana aiwatar da shingersa a kowane lokaci na rana, ba ku buƙatar jin tsoron kanku, don guje wa jiki da damuwa. Binciken bai amsa sanyi ba, hanyoyin kumburi, wanda zai baka damar daukar jini ba tare da jiran mai lafiya ya murmure ba.

Ana ɗaukar jini kamar 2.5 ko 3 milliliters, kuma gauraye da kwayoyi (anticoagulant) waɗanda ke hana coagulation jini. An ƙaddamar da bincike kuma an karɓa da sauri kuma ba tare da jin zafi ba. Wannan gwajin yana ba ka damar gano abubuwan cin abinci wanda mara lafiya ke zaune a kai.

Yadda ake ɗaukar gwaji don hawan jini?

Ciwon sukari yana tsoron wannan maganin, kamar wuta!

Kawai kawai buƙatar nema ...

Bai kamata mutum ya sami wani horo na musamman ba.

Ba lallai ba ne a zo dakin gwaje-gwaje a kan komai a ciki - kuna iya karin kumallo kafin shan jini.

Aiki na jiki, damuwa, cututtukan da suka gabata da sauran abubuwa kuma ba su da tasiri sosai a matakin mai nuna alamun da aka bincika. Mai haƙuri yana buƙatar abu ɗaya kawai: ziyarci dakin gwaje-gwaje a kowane lokaci da ya dace.

An yi shinge daga jijiya ko yatsa (ya dogara da abin da aka sanya na'urar tantancewar a cikin wata ƙungiyar likita). Nazarin yana ɗaukar kwanaki uku zuwa huɗu.

Cututtuka na glandar thyroid da karancin baƙin ƙarfe da aka gano a cikin mutane suna iya gurbata sakamakon gwajin.

Bayyana sakamakon binciken: ka'idoji da shekaru

Likita ya tabbatar da cikakken rashi na hadarin kamuwa da cutar siga idan mai nuna bai wuce darajar 5.7% ba.

Don haka, ga abin da hemoglobin ya kamata ya kasance:

Don haka, ga matasa masu lafiya, ana ɗaukar darajar 6.5% a matsayin al'ada. Wannan shi ne iyaka na sama. Idan ya wuce, ana yin gwaji na farko: cutar sankarau.

Kusan kashi 6.5% ya zama alama alama ce mai ba da tsoro. Don haka:

• An yi imani cewa hadarin kamuwa da ciwon sukari gaba daya ba ya nan tare da haemoglobin glycated har zuwa kashi 5.7%,
• tazara daga kashi 5.7 zuwa 6% na nuna cewa yakamata ku kula da tsarin abinci da salon rayuwa,
• a matakin 6.1 da 6.4, haɗarin ciwon sukari yana ƙaruwa sosai, yana da kyau a nemi likita.

Game da matakin hawan jini a cikin yara, a nan dabi'un basu da bambanci da manya - a cikin cikakkun yara masu lafiya wadanda ba sa cikin hadarin haifar da rikicewar metabolism na metabolism, mai nuna alama kada ya wuce kashi 5.7. Don dalilai na ilimin halayyar, a cikin jariran a farkon watanni na rayuwa, ana ɗaukar darajar 6.0% a matsayin al'ada.

Idan alamu sun yawaita, menene wannan yake nufi?

A wannan yanayin, likita yana zargin ci gaban ciwon sukari da kuma tsara ƙarin binciken. Koyaya, nesa daga koyaushe matakan hawan jini yana nuna cin zarafin metabolism.

Sauran dalilan da yasa ake gwajin haemoglobin na gwaji:

• rashin baƙin ciki,
• mummunan zubar jini da ke zuwa domin bincike
• karancin baƙin ƙarfe
• barasa mai guba
• uremia (cutar koda),
• na gazawar
• kara matakan hawan jini na tayi.

Glycohemoglobin yana ƙaruwa tare da nau'in 1 da nau'in ciwon sukari na 2. A cikin lamari na farko, karuwa a cikin mai nunawa yana faruwa ne saboda rashin yiwuwar tsarin al'ada na rarrabe carbohydrates (wanda ke haifar da karuwa a cikin abubuwan sukari), a karo na biyu - saboda rashin amfani da insulin ta jiki.

Haɓaka matakin matakin ƙididdigar mai nuna alama alama ce mai haɗari wanda ke buƙatar magani da gyara na rayuwa.

Abubuwan da ke haifar da rage nuna alama a ƙasa da al'ada

Idan nazarin nazarin halittu ya nuna cewa glycogemoglobin baya "isa" al'ada - menene ma'anar?

Mun lissafa dalilai masu yiwuwar yin ƙasa da mai nuna alama a ƙarƙashin ƙa'idar:

• hawan jini,
• kwanan nan zubar jini
• mai tsananin rashin lafiyar fitsari,
• hanta ko gazawar koda,
• lalacewa ta hanyar lalata sel sel a cikin jiki.

Raguwar matakin gemoclobin a cikin jiki yana da alamun bayyanuwar cutar. Marasa lafiya na fama da rashin bacci, rashin hangen nesa, gajiya mai yawa, rashin damuwa da kasala.

Kudin bincike

Farashin binciken kimiyyar halittu yana dogaro sosai kan birni, hanyar yin amfani da shi, gami da dakin gwaje-gwaje.

Minimumarancin farashin sabis a cikin cibiyoyin kiwon lafiya na ƙasar shine 400 rubles, matsakaici - kusan 1 dubu rubles.

Saboda farashin mafi girma, an yi amfani da ƙuduri na matakin haemoglobin mafi ƙarancin lokaci fiye da gwajin sukari na al'ada. Koyaya, yana da mahimmanci a fahimci cewa hanyar ba ta yi daidai da yanayin bayanan ba, har ma da ikon "nuna" ciwon sukari a farkon matakan.