Ho hlahloba boemo ba hemoglobin ea glycated ho basali: tafole ea maemo a lilemo le lisosa tsa ho kheloha

Glycated hemoglobin, kapa HbA1c, ke karolo ea bohlokoa ea karolo ea mali a rona e le e tloaelehileng.

Kamora ho hlaka, tsoekere e kenang maling e kopana le hemoglobin e tloaelehileng, e hlahisang sebopeho sa motsoako o ke keng oa aroloa - HbA1c.

Motsoako ona o phela hantle joaloka sele ea mali. Ka hona, sephetho sa tlhahlobo se bonts'a boemo ba ntho e maling maling likhoeling tse 3 tse fetileng.

Ho lekola khafetsa ha letšoao lena ho u fa monyetla oa ho tseba hore na mokuli o na le tlolo ea molao ea carbohydrate metabolism kapa lefu la tsoekere, hore na mokuli o khona ho laola lefu lena le hore na kalafo e khethiloeng e ea sebetsa.

Glycated hemoglobin: tafole ea maemo ho basali ka lilemo

Tekanyo ea hemoglobin ea glycated ke sesupo sa bophelo bo botle. Ka hona, taolo ea eona e bohlokoa haholo ho bakuli bao bonyane bonyane maphelong a bona ba ileng ba fumana litekanyetso tsa HbA1c li fumanoe.

Ho tseba hore na mokuli o khelohile tseleng ea metabolism ea carbohydrate le hore na e thata hakae, ka kakaretso matšoao a tloaelehileng a thusa litsebi.

Kaha liphetoho tse fapaneng tsa lihormone li ba teng 'meleng oa monna le mosali ka lilemo, litekanyetso tsa HbA1c tloaelehileng bakeng sa baemeli ba bong bo fapaneng lia fapana. Ho fumana leseli la hore na ho na le litholoana life tse ka nkoang e le ntho e tloaelehileng bakeng sa batho ba bong bo fokolang lilemong tse itseng, bona tafole e ka tlase.

Tloaelo ea litaba tsa HbA1c maling a basali ba lilemo tse fapaneng:

Boemo ba mosali	Tšoaetso
Lilemo tse 30	4.9%
Lilemo tse 40	5.8%
Lilemo tse 50	6.7%
Lilemo tse 60	7,6%
Lilemo tse 70	8,6%
Lilemo tse 80	9,5%
Ho feta lilemo tse 80	10,4%

Maemong moo mokuli a nang le lefu la tsoekere nako e telele, ngaka e ka mo bontša sesupo sa boemo ba hae, ho latela litšobotsi tsa 'mele le ho teba ha lefu la lefu leo.

Hemoglobin e tloaelehileng ea glycated ho basali baimana

'Mele oa bo-mme ba lebelletsoeng nakong ea kemolo o ba le liphetoho tse kholo. Ka hona, nakong ena, matšoao a mang a ka tlotsoa, ho kenyelletsa boemo ba HbA1c. Haeba tlolo ea molao e fumanoe hanngoe feela, u se ke oa tšoha. Ho ka etsahala hore liphetoho li etsahetse tlasa ts'usumetso ea lintho tse kantle, mme ka matsatsi a 'maloa boemo bo tla tsitsa.

Boemong bo phetseng hantle ho basali ba baimana, HbA1c ea mali ha ea lokela ho feta 6.5% mabapi le kakaretso ea hemoglobin kaofela.

Haeba mma ea lebeletseng a ne a e-na le lefu la tsoekere le pele a ima, sena se fana ka maikutlo a hore o tla hloka ho laola botsitso ba index ea glycemic le HbA1c.

Ke matšoao afe a nkoang a tloaelehile ho lefu la tsoekere?

Linomoro tsena e tla ba letšoao la bophelo bo botle ho lefu la tsoekere. Haeba mokuli a fumanoe a e-na le lefu la tsoekere ka lekhetlo la pele, joale e le tataiso, setsebi se tla sebelisa tafole ea maemo ho basali ka lilemo.

Ka hona, lipontšo li tla nkuoa e le lipalo tse hlahisitsoeng bakeng sa batho ba phetseng hantle.

Maemong ana, mokuli o tla hloka ho lekola boemo ba glycemia le khatello ea HbA1c maling le ho leka ho li boloka li le haufi haholo kamoo ho ka khonehang ho lipalo "tse phetseng hantle".

Lisosa le kotsi ea ho kheloha sephetho ho latela tloaelo

Hemoglobin ea Glycated ha e hlile ha e maemong a tloaelehileng. Leha e le ho batho ba phetseng hantle, ho fapoha nqa e le 'ngoe ho ka khoneha.

Haeba tlolo ea molao e fumanoe hang, u se ke oa tšoenyeha.

Ho ka etsahala hore matšoao a fetohe tlasa ts'usumetso ea ntho e kantle mme a tloaelehile haufinyane. Ha e le likhohlano - litefiso tse tlase tse bonoang kamehla li ka ba kotsi ha li bapisoa le lipalo tse phahameng.

Tabeng ena, ho hlahlojoa maemo ka hloko hoa hlokahala, hammoho le tlhaiso ea litlhahlobo tse ling.

Boemo bo phahameng

Keketseho ea HbA1c ha e bontše kamehla boteng ba lefu la tsoekere ho mokuli. Lefu la tsoekere le fumanoa feela ha matšoao a feta 6,5%. Ka lipontšo tsa ho tloha ho 6.0% ho isa ho 6.5%, ba bua ka boemo ba prediabetes.

Litefiso tse ka tlase ho 6.5% li ka hlaha khahlanong le semelo sa:

Maemo ana a hloka ho hlahlojoa khafetsa ke setsebi, hammoho le boitaolo lapeng le ho ja.

Maemong a mangata, mehato e joalo e lekane ho emisa matšoao le ho thibela nts'etsopele ea mathata.

Boemo bo tlase

Boemo bo fokotsehileng, leha ho na le melemo e boletsoeng, bo boetse bo kotsi ho mokuli.

Phokotso ea boemo ba HbA1c e bonts'a hypoglycemia, sesosa sa eona e ka ba:

Ho fokotsoa ha hemoglobin e sa khaotseng kamehla ho ka etsa hore u ikutloe u le bofokoli khafetsa, u se na maikutlo a ho thaba, ho tepella le ho tsepamisa maikutlo.

Chati ea HbA1c ea Ts'oaetso ea Mali ea HbA1c

Ho fumana tlhaiso-leseling e eketsehileng ho lumella ngaka ho etsa qeto ka boemo ba bophelo ba mokuli le ho ipehela nako e nepahetseng ea ho khetha 'mele oa hae.

Ho etsa qeto ea ho qetela ho mosali, ngaka e itšetleha ka sephetho sa tlhahlobo e akaretsang ea mali, hammoho le boemo ba HbA1c maling.

Liphetho tsa liteko tsena ka bobeli, tšobotsi ea 'mele o phetseng hantle li ka fumanoa tafoleng e ka tlase:

Mongoaha	Hba1c	Tsoekere
Lilemo tse 30	4,9%	5.2 mmol / l
Lilemo tse 40	5,8%	6.7 mmol / l
Lilemo tse 50	6,7%	8.1 mmol / l
Lilemo tse 60	7,6%	9,6 mmol / l
Lilemo tse 70	8,6%	11.0 mmol / L
Lilemo tse 80	9,5%	12,5 mmol / L
Lilemo tse 90 le ho feta	10,4%	13.9 mmol / L

Ka molao, tlhahlobo ea mali bakeng sa tsoekere ke mohato oa pele feela ts'ebetsong ea tlhahlobo ea mali. Fumana tlhaiso-leseling e batsi ka sebopeho le litšobotsi tsa ho kheloha ho etsa tlhahlobo ea mali bakeng sa hemoglobin ea glycated.

Kaha boemong bona ho fumanoa sesupo se ka fanang ka tlhaiso-leseling e felletseng mabapi le boemo ba khatello ea tsoekere maling maling nakong ea likhoeli tse 3 tse fetileng, qeto e felletseng e ka etsoa feela ka ho bapisa liphetho.

Livideo tse amanang

Mabapi le litekanyetso tsa hemoglobin ea glycated ho basali ba videong:

Haeba mokuli a fumanoe a e-na le lefu la tsoekere, joale tlhahlobo ea kamehla ea hemoglobin e bohlokoa haholo. Sephetho se re lumella ho utloisisa hore na mosali o khona ho laola lefu le, le hore na kalafo e khethiloeng ke ngaka e ne e sebetsa kapa che.

Ka hona, u se ke ua hlokomoloha temana ea mofuta ona oa tlhatlhobo. Maemong moo boemo ba tsoekere bo phahameng ba mokuli bo fumanoeng hanngoe feela, tlhahlobo ea HbA1c e lokela ho etsoa ho netefatsa kapa ho hanela boteng ba lefu la tsoekere kapa mathata a metabolism ea carbohydrate.