He aha ka hemoglobin glycated, he aha ia a me nā helu kūmole

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• He aha ka hemoglobin glycated
• Nā manaʻo kūmole

ʻO hemoglobin Glycated, i ʻike ʻia he hemoglobin glycosylated a i ʻole Hb1Ac, kahi hoʻāʻo koko e manaʻo e loiloi i nā kiʻekiʻe glucose i nā mahina ʻekolu i hala ma mua o ka hoʻāʻo ʻana. ʻO ia no ka mea hiki i ka glucose ke noho paʻa i kekahi o nā ʻāpana o ke kele koko ʻulaʻula, hemoglobin, ma loko o ka pōʻaiapula koko ʻulaʻula, ma kahi o 120 mau lā.

No laila, noi ʻia ke kauka o ka hemoglobin glycated e ke kauka e hoʻomaopopo i ka maʻi diabetes, e kiaʻi i kona hoʻomohala ʻana a i ʻole e hōʻoia inā maikaʻi ka mālama ʻana i ka maʻi, ke hana ʻia nei ma o ke kālailai ʻana i kahi laʻana o ke koko i hōʻiliʻili ʻia i ka hale hana.

He aha ka hemoglobin glycated

Hana ʻia ka ninaninau ʻana o ka hemoglobin glycated me ka pahuhopu o ka helu ʻana i nā pae glucose i nā mahina i hala iho nei, he mea pono i ka hōʻailona o ka maʻi kō. Eia hou, i ka hihia o ka poʻe i ʻike mua ʻia me ka maʻi diabetes, pono kēia hoʻokolohua e nānā inā ke maikaʻi a maikaʻi paha ka hana ʻana, no ka mea inā ʻaʻole ia, hiki ke hōʻoia ʻia kahi hoʻololi i ka hopena.

Eia hou, ke kiʻekiʻe ʻoi aku ka waiwai o ka hemoglobin glycated ma mua o ka maʻamau i manaʻo ʻia e ka hale hana, ʻoi aku ka nui o ka mea e ulu ana i nā pilikia e pili ana i ka maʻi diabetes, e like me ka hoʻololi ʻana o ka puʻuwai, nā puʻuwai a me nā neuronal, no ka laʻana. E ʻike he aha nā pilikia nui o ka maʻi kō.

ʻOi aku ka maikaʻi o kēia hōʻike ma mua o ka hoʻokēʻai ʻana i ka glucose no ke kuhi mua o ka maʻi kō, no ka mea, hiki ke hoʻohuli ʻia ka hōʻike glucose e nā loli o nā ʻano ʻai o neia manawa, ʻaʻole hōʻike i nā pae kō e kū nei i nā mahina i hala iho nei. No laila, he mea hiki ma mua o ka hoʻokō ʻana i ka hōʻike glucose, he papaʻai olakino ko ke kanaka a haʻahaʻa hoʻi i ke kō, i hiki ai i ka glucose hoʻokē ʻai i loko o nā waiwai maʻamau, ʻaʻole ia he mea e hōʻike ai i ka maoli o ke kanaka.

No laila, i mea e hōʻoia ʻia ai ka maʻi kō, e noi pinepine ʻia i ka hoʻokē ʻai ʻana i ka glucose, hemoglobin glycated a me / a i ʻole ka hōʻike tolerance glucose, ʻo TOTG. E aʻo hou aʻe e pili ana i nā hoʻāʻo e kōkua i ke kuhi diabetes.

Nā manaʻo kūmole

Hiki ke hoʻololi i nā kumukūʻai no ka hemoglobin glycated e like me ka keʻena hoʻokolohua, akā i ka nui o nā kumukūʻai i manaʻo ʻia.

• Maʻamau: Hb1Ac ma waena o 4.7% a me 5.6%;
• Mua-diabetes: Hb1Ac ma waena o 5.7% a me 6.4%;
• Diabetes: Hb1Ac ma luna o 6.5% i ʻelua mau hoʻokolohua i hana ʻokoʻa ʻia.

Hoʻohui ʻia, i ka poʻe i ʻike mua ʻia me ka maʻi diabetes, nā helu Hb1Ac ma waena o 6.5% a me 7.0% e hōʻike ana he kaohi maikaʻi ka maʻi. Ma ka ʻaoʻao ʻē aʻe, nā waiwai ma luna o Hb1Ac ma luna o 8% e hōʻike ana ʻaʻole ka mālama pono ʻia ka maʻi diabetes, me kahi kiʻekiʻe o nā pilikia a pono e hoʻololi i ka lapaʻau.

ʻAʻole koi ʻia kahi hōʻike hemoglobin glycated i kahi hoʻomākaukau, akā naʻe, no ka mea maʻamau ke noi pū ʻia me ka hōʻike glucose wikiwiki, pono paha e hoʻokē ʻai no 8 mau hola.