Amanqanaba eHemoglobin: Yintoni eQwalaselwa njengeqhelekileyo?

Umxholo

• Yintoni ihemoglobin?
• Yintoni inqanaba eliqhelekileyo lehemoglobin?
• Abantu abadala
• Abantwana
• Yintoni ebangela amanqanaba aphezulu ehemoglobin?
• Imiba yomngcipheko
• Ngawaphi amanqanaba asezantsi ehemoglobin?
• Imiba yomngcipheko
• Kuthekani ngehemoglobin A1c?
• Umgca wezantsi

Yintoni ihemoglobin?

I-Hemoglobin, ngamanye amaxesha ishunqulelwa njenge-Hgb, yiprotein ekwiiseli ezibomvu zegazi ezithwala intsimbi. Le ntsimbi igcina ioksijini, yenze ihemoglobin ibe yinto ebalulekileyo egazini lakho. Xa igazi lakho lingenayo ihemoglobin eyaneleyo, iiseli zakho azifumani oksijini yaneleyo.

Oogqirha bamisela umlinganiselo wehemoglobin yakho ngokuhlalutya isampulu yegazi lakho. Izinto ezahlukeneyo zichaphazela amanqanaba ehemoglobin yakho, kubandakanya:

• ubudala
• isini
• imbali yezonyango

Qhubeka ufunda ukuze ufunde okungakumbi malunga noko kuthathwa njengesiqhelo, ukuphakama, kunye nenqanaba eliphantsi le-hemoglobin.

Yintoni inqanaba eliqhelekileyo lehemoglobin?

Abantu abadala

Kubantu abadala, inqanaba eliphakathi le-hemoglobin liphezulu kancinci emadodeni kunabafazi. Ilinganiswa ngeegram nge-deciliter nganye (g / dL) yegazi.

Abantu abadala abadala banamazinga aphantsi e-hemoglobin. Oku kunokubangelwa zizinto ezininzi, kubandakanya:

• amanqanaba asezantsi e-iron ngenxa yokudumba okungapheliyo okanye ukungondleki
• iziphumo ebezingalindelekanga zonyango
• amazinga aphezulu izifo ezingapheliyo, ezifana nesifo sezintso

Abantwana

Iintsana zihlala zinamanqanaba aphezulu e-hemoglobin kunabantu abadala. Kungenxa yokuba banamanqanaba aphezulu eoksijini esibelekweni kwaye bafuna iiseli ezibomvu zegazi ngakumbi ukuhambisa ioksijini. Kodwa eli nqanaba liqala ukwehla emva kweeveki ezininzi.

Yintoni ebangela amanqanaba aphezulu ehemoglobin?

Amanqanaba aphezulu e-hemoglobin ahamba kunye nokubala okuphezulu kweeseli ezibomvu. Khumbula, i-hemoglobin ifumaneka kwiiseli ezibomvu zegazi, ke ngoku kuphakama ukubala kweeseli ezibomvu zegazi, ukuphakama kwenqanaba lehemoglobin yakho kungenjalo.

Ubalo oluphezulu lweeseli ezibomvu zegazi kunye nenqanaba lehemoglobin linokubonisa izinto ezininzi, kubandakanya:

• Isifo sentliziyo. Le meko inokwenza kube nzima ngentliziyo yakho ukuba ipompe igazi ngokufanelekileyo kwaye ihambise ioksijini kuwo wonke umzimba wakho. Ukuphendula, umzimba wakho ngamanye amaxesha uvelisa iiseli ezibomvu zegazi.
• Ukuphelelwa ngamanzi emzimbeni. Ukungabinalo ulwelo olwaneleyo kunokubangela ukubalwa kweeseli ezibomvu zegazi kubonakale ngathi kuphezulu kuba akukho kulwelo luninzi ukulungelelanisa.
• Izidumba zezintso. Ezinye izilonda zezintso zivuselela izintso zakho ukuba zenze i-erythropoietin egqithisileyo, ihomoni ekhuthaza ukuveliswa kweeseli ezibomvu zegazi.
• Isifo semiphunga. Ukuba imiphunga yakho ayisebenzi kakuhle, umzimba wakho unokuzama ukuvelisa iiseli ezibomvu zegazi ukunceda ukuphatha ioksijini.
• IPolycythemia vera. Le meko ibangela ukuba umzimba wakho uvelise iiseli ezibomvu zegazi.

Imiba yomngcipheko

Unokuba nakho ukufumana amanqanaba aphezulu e-hemoglobin ukuba:

• Unembali yosapho yokuphazamiseka okuchaphazela ukubalwa kweeseli ezibomvu, njengokutshintsha kweoksijini
• uhlala kwindawo ephakamileyo
• kutshanje uye watofelwa igazi
• ukutshaya

Ngawaphi amanqanaba asezantsi ehemoglobin?

Inqanaba eliphantsi le-hemoglobin lidla ngokubonakala ngokubalwa kweeseli ezibomvu zegazi.

Ezinye iimeko zonyango ezinokubangela oku kubandakanya:

• Ukuphazamiseka komongo wethambo. Ezi meko, ezinje ngeleukemia, i-lymphoma, okanye i-aplastic anemia, zinokubangela ukubalwa kweeseli ezibomvu.
• Ukusilela kwezintso. Xa izintso zakho zingasebenzi kakuhle, azivelisi ngokwaneleyo ihomoni erythropoietin ekhuthaza ukuveliswa kweeseli ezibomvu.
• Iimbumba zesibeleko. Ezi ngamathumba ahlala engenawo umhlaza, kodwa anokubangela ukopha okubonakalayo, okukhokelela ekunciphiseni ukubala kweeseli ezibomvu.
• Iimeko ezitshabalalisa iiseli ezibomvu zegazi. Oku kubandakanya irhengqa yegazi, i-thalassemia, ukuswela kwe-G6PD, kunye ne-spherocytosis yelifa.

Imiba yomngcipheko

Unokuba nakho ukubanamaqondo aphantsi e-hemoglobin ukuba:

• unemeko ebangela ukopha okungapheliyo, njengezilonda zesisu, ii-colon polyps, okanye amaxesha anzima okuya exesheni
• unobunzima, i-iron, okanye i-vitamin B-12
• ukhulelwe
• babandakanyeka kwingozi ebuhlungu, enjengemoto

Funda ngendlela yokunyusa ihemoglobin yakho.

Kuthekani ngehemoglobin A1c?

Xa usenziwa umsebenzi wegazi, unokubona iziphumo zehemoglobin A1c (HbA1c), ngamanye amaxesha ebizwa ngokuba yi-hemoglobin eglycated. Uvavanyo lwe-HbA1c lilinganisela inani le-hemoglobin eglycated, eyi-hemoglobin ene-glucose eqhotyoshelwe kuyo, egazini lakho.

Oogqirha bahlala be-odola olu vavanyo kubantu abanesifo seswekile. Kuyanceda ukunika umfanekiso ocacileyo wamanqanaba eswekile yegazi yomntu kwisithuba seenyanga ezi-2 ukuya kwezi-4. Iswekile yegazi, ekwabizwa ngokuba siswekile yegazi, ijikeleza kwigazi lakho kwaye incamathisele kwihemoglobin.

Ukunyuka kweglucose egazini lakho, kokukhona kunokwenzeka ukuba ube namanqanaba aphezulu e-hemoglobin eglycated. Iswekile ihlala incamathele kwihemoglobin kangangeentsuku ezili-120. Inqanaba eliphezulu le-HbA1c libonisa ukuba iswekile yegazi lomntu ibiphezulu kwiinyanga ezininzi.

Kwiimeko ezininzi, umntu onesifo seswekile kufuneka ajonge inqanaba le-HbA1c ye-7 yeepesenti okanye ngaphantsi. Abo bangenaso isifo seswekile bahlala benamanqanaba e-HbA1c malunga neepesenti ze-5.7. Ukuba unesifo seswekile kunye nenqanaba eliphezulu le-HbA1c, unokufuna uhlengahlengiso kunyango lwakho.

Funda ngakumbi ngokulawula amanqanaba e-HbA1c.

Umgca wezantsi

Amanqanaba ehemoglobin ayahluka ngokwesini, ubudala, kunye nemeko yonyango. Inqanaba lehemoglobin ephezulu okanye ephantsi inokubonisa izinto ezahlukeneyo, kodwa abanye abantu banamanqanaba aphezulu ngokwemvelo okanye asezantsi.

Ugqirha wakho uya kujonga kwiziphumo zakho kwimeko yempilo yakho iphela ukumisela ukuba amanqanaba akho abonisa imeko engaphantsi.