Hemoglobin Glycosylated iyo muhiimadda nafsaaniga ah

Faraj ugu weyn ee lagu daweeyo ee diabetes waa in la gaaro uruuray deggan nafsaaniga ah ee sonkor (glucose) ku jirta dhiigga. Xakamaynta sonkorta dhiigga waxaa lagu sameyn karaa guriga isticmaalaya mitir glucose la qaadi karo, iyo sidoo kale in shaybaarka. Sida ay natiijada waxbarasho hal-fiirsashada of glucose ee dhiiga suurtagal ahayn in la xukumo gobolka-shiid carbohydrate ee jirka. Waqtigan xaadirka ah, horumariyo hab lagu ogaanayo xadiga haemoglobin glycosylated taas oo fursad si ay u qiimeeyaan xaaladda shiid carbohydrate. Daraasado badan oo la sameeyey DCCT (Diabetes Guddiga Control iyo dhibaatooyinka clinical), waxaa la ogaaday in heerka glucose ee si wanaagsan ula sonkorta dhiigga qofka bukaanka ah. glycated haemoglobin - tilmaame tayada ee waxtarka daawaynta daweynta cudurrada macaanka.

glycated haemoglobin uu ku dhexsameeysmo Intaa waxaa dheer in gobollada nitrogen terminal hexose ah silsilado beta-globin fasalka A1 hemoglobin (HbA1c). HbA1c dhexsameeysmo shubo ee unugyada dhiigga cas (erythrocytes) oo halkaas hayo boqol iyo toban ka mid ah boqol iyo soddon maalmood ah (muddada nolosha unugyada). Sida laga soo xigtay tilmaamahan, aad go'aan ka gaari kara heerka sonkorta ee bukaanka 2-3 bilood ka hor baadhitaanka.

Glycosylated hemoglobin, iyo ka-fiirsashada waa si toos ah saamiyeed si ay caddadka gulukooska ee dhiigga. Sidee ayaan go'aan ka gaari kara heerka dhiiga ku jira? Si loo go'aamiyo dhimaya tani waa fiican in la isticmaalo nidaamka baaritaanka gaarka ah. Waxa kale oo suuragal ah in la isticmaalo habab kale qalabka ogaanshaha: chromatography gaaska dareeraha ah-oo electrophoresis buuna, immunoelectrophoresis, iwm Glycosylated heerka hemoglobin waxaa loogu talagalay dadka caafimaadka qaba waa inta u dhaxaysa 4 iyo 6%. bukaanka Diabetic la hyperglycemia hemoglobin glycosylated kordhay laba ilaa saddex jeer.

Hemoglobin carruurta waa muhiim gaar ah sababtoo ah in shiid shaqeeyo koraya waxaa si weyn u sarreeyaa marka la barbardhigo dadka waaweyn. Sidaa darteed, waalidka waa in ay ogaadaan oo la socdaan heerka hemoglobin dhiigga ilmahooda. Tani waa lagama maarmaan si looga hortago bir ah dhiig-yarida. At qalbiga horumarinta cudurkan waa deficiency Ferum ee jirka, kaas oo si firfircoon uga qayb ereygu wuxuu ahaa ee unugga dhiigga. Ogsijiin amuur ba'an u saamaysa horumarinta hababka dareemayaasha, difaaca iyo wadnaha. The ugu nugul bir dhiig yarida ee carruurta da'doodu tahay 9 bilood ilaa 5 sano.

Waqtigan xaadirka ah, xakamaynta cudurka macaanka waxaa lagu fuliyaa iyadoo la kaashanayo foomka ah Accu-Chek 360 °. Iyada oo foomkan ah dhakhtarka diiwaan heerka glucose bukaanka ee soonka iyo postprandial. habka ugu fiican si loo yareeyo fiirsashada sonkorta dhiigga waa isticmaalka insulin muddo dheer ku simaha. Isticmaalka Accu-Chek 360 ° kor u insulin mudada doorashada haboon. Saasaana yareeyo heerka sonkorta dhiigga si kala duwan ee caadiga ah nafsaaniga ah. Aqoonyahano badan ayaa ku doodaya in isticmaalka foomkan maamulka sonkorowga waxay noqon kartaa wax ku ool ah muddo dhowr bilood si loo yareeyo heerka glycated haemoglobin shan iyo lix halbeeg (caadi jir).

Sidaas darteed haddii aad laga helay "diabetes", ha ka quusanina, ilaa siin iyo istaagi on fikradda ah in nolosha mar hore ka badan tahay. Waayo, caafimaadka waa in wax laga qabto. Dadka cudurka macaanka qaba waxay u baahan yihiin in si joogto ah loola socdo fiirsashada of glucose ee dhiiga. Aad ayay u fududahay in ay fuliyaan waxbarashada, kuwaas oo guriga ka badan ee rugta safafka. Iyadoo la isticmaalayo foomamka oo casri ah oo ka mid ah Accu-Chek 360 ° glyukomerov aad si fudud u xakamayn kartaa heerka sonkorta dhiigga.