Yintoni ihemoglobin eglycated, yenzelwe ntoni kunye namaxabiso esalathiso

Umxholo

• Yintoni ihemoglobin eglycated
• Amaxabiso esalathiso

I-hemoglobin eglycated, ekwabizwa ngokuba yi-glycosylated hemoglobin okanye i-Hb1Ac, luvavanyo lwegazi olujolise ekuvavanyeni amanqanaba eglucose kwiinyanga ezintathu ezidlulileyo ngaphambi kokuba kwenziwe uvavanyo. Kungenxa yokuba iswekile iyakwazi ukuhlala iqhotyoshelwe kwelinye lamalungu eeseli ebomvu, ihemoglobin, kuwo wonke umjikelo weseli ebomvu, ehlala malunga neentsuku ezili-120.

Yiyo loo nto kuvavanyo lwe-hemoglobin eglycated lucelwa ngugqirha ukuba achonge isifo seswekile, abeke iliso ekukhuleni kwakhe okanye ajonge ukuba unyango lwesi sifo luyasebenza na, lwenziwa ngohlalutyo lwesampulu yegazi eqokelelwe elebhu.

Yintoni ihemoglobin eglycated

Uvavanyo lwe-hemoglobin eglycated lwenziwa ngenjongo yokuvavanya amanqanaba eswekile kwiinyanga ezidlulileyo, kuluncedo ekuchongeni isifo seswekile. Ukongeza, kwimeko yabantu esele befunyanisiwe benesifo seswekile, olu vavanyo luluncedo ukujonga ukuba ngaba unyango luyasebenza okanye lwenziwa ngokuchanekileyo, kuba ukuba akunjalo, utshintsho kwisiphumo lunokuqinisekiswa.

Ukongeza, xa ixabiso le-hemoglobin ene-glycated liphezulu kakhulu kunesiqhelo esiqwalaselwa elebhu, kukho amathuba okuba umntu aphuhlise iingxaki ezinxulumene nesifo seswekile, ezinje ngentliziyo, i-renal okanye i-neuronal changes, umzekelo. Jonga ukuba zeziphi iingxaki eziphambili zeswekile.

Olu vavanyo lufaneleke ngakumbi kunokuzila ukutya kweswekile kwisifo sokuqala seswekile, kuba uvavanyo lweglucose lunokuchaphazeleka kutshintsho kwindlela yokutya yakutshanje, engamele amanqanaba eswekile ajikelezayo kwiinyanga ezimbalwa ezidlulileyo. Ke, kunokwenzeka ukuba ngaphambi kokwenza uvavanyo lwe-glucose, umntu unokutya okusempilweni kunye neswekile esezantsi, ukuze iswekile yokuzila ukutya ibe ngaphakathi kwamaxabiso aqhelekileyo, anokungabonakalisi ubunyani bomntu.

Ke, ukuze kwenziwe ukuba kufunyaniswe isifo seswekile, kuvavanyo lweglucose yokuzila ukutya, i-hemoglobin eglycated kunye / okanye uvavanyo lokunyamezelwa kweswekile, i-TOTG, ihlala icelwa. Funda ngakumbi ngovavanyo olunceda ukufumanisa isifo seswekile.

Amaxabiso esalathiso

Amaxabiso esalathiso kwihemoglobin eglycated inokwahluka ngokwelabhoratri, nangona kunjalo, amaxabiso aqwalaselweyo ngala:

• Eqhelekileyo: I-Hb1Ac phakathi kwe-4.7% kunye ne-5.6%;
• Isifo seswekile kwangaphambili: I-Hb1Ac phakathi kwe-5.7% kunye ne-6.4%;
• Seswekile: I-Hb1Ac ngaphezulu kwe-6.5% kwiimvavanyo ezimbini ezenziwe ngokwahlukeneyo.

Ukongeza, kubantu esele benesifo seswekile, amaxabiso e-Hb1Ac aphakathi kwe-6.5% kunye ne-7.0% abonisa ukuba kukho ulawulo olufanelekileyo lwesifo. Kwelinye icala, amaxabiso angaphezulu kwe-Hb1Ac ngaphezulu kwe-8% abonisa ukuba isifo seswekile asilawulwa ngokuchanekileyo, sinomngcipheko ophezulu weengxaki kunye notshintsho kunyango luyimfuneko.

Uvavanyo lwe-hemoglobin eglycated alufuni lungiselelo, nangona kunjalo, njengoko kuhlala kucelwa kunye novavanyo lokuzila ukutya, kunokuba yimfuneko ukuzila ukutya ubuncinci iiyure eziyi-8.