HmAlc (glycosylated, HbA1c) hemoglobin ke pontšo ea lik'hemik'hale ea mali e bonts'ang boima ba tsoekere ea mali likhoeling tse tharo tse fetileng. Hemoglobin ke protheine e nang le lisele tse khubelu tsa mali. Kaha li na le liprotheine tse joalo tse telele ka nako e telele, li tlamella k'hamphani e bitsoang hemoglobin e nang le glycated.
Hlalosa hemoglobin e nang le glycated e le karolo ea hemoglobin e feletseng maling. Ha boemo ba tsoekere bo phahame, haemoglobin e feta, e tlamahane, 'me e phahame haholo. Hape ka ho ela hloko hore haemoglobin ha e tiise hang-hang, tlhahlobo ha e bontše boemo ba tsoekere ea mali ka motsotsoana, empa ke karolelano ea bohlokoa bakeng sa likhoeli tse 'maloa,' me ke e 'ngoe ea mekhoa e tloaelehileng ea ho hlahloba lefu la tsoekere le boemo ba pelehi ba lefu la tsoekere.
Mokhoa oa hemoglobin oa glycated maling
Mefuta e tloaelehileng bakeng sa motho ea phetseng hantle e nkoa e le mefuta ea 4 ho ea ho 6%, likarolo tsa 6,5 ho isa ho 7.5% li ka 'na tsa bontša tšoaetso ea ho hlaolela lefu la tsoekere kapa ho haelloa ke tšepe' meleng, 'me lintlha tse ka hodimo ho 7,5% hangata li bontša boteng ba lefu la tsoekere .
Joalokaha ho ka bonoa, litekanyetso tse tloaelehileng tsa hemoglobin e nang le glycated hangata li phahametse ho tloaelehileng bakeng sa tlhahlobo ea tloaelo bakeng sa tsoekere ea mali (3.3 ho 5.5 mmol / L e itima lijo). Sena se bakoa ke hore tekanyo ea tšelo ea mali ho motho leha e le ofe e fetoloha ho pholletsa le letsatsi, esita le ka mor'a ho e ja e ka fihla ho 7,3-7.8 mmol / l, 'me ka karolelano ho feta lihora tse 24 motho ea phetseng hantle o lokela ho lula ka hare 3.9-6.9 mmol / l.
Ka hona, tlhahlobo ea hemoglobin ea glycated ea 4% e lumellana le tsoekere e tloaelehileng ea mali ea 3.9, le 6.5% ho isa ho 7.2 mmol / l. Bakeng sa bakuli ba nang le tsoekere e lekanang ea ts'oaetso ea mali, letšoao la hemoglobin ea glycated e ka fapana, ho fihlela ho 1%. Ho se lumellane ho joalo ho hlaha hobane ho thehoa ha lenane lena la likokoana-hloko ho ka susumetsoa ke maloetse, khatello ea maikutlo, ho haelloa ke li-micronutrients tse itseng (haholo-holo tšepe) 'meleng. Basali, ho kheloha ha hemoglobin ea glycated ho tloha ka tloaelo ho ka hlaha nakong ea bokhachane, ka lebaka la phokolo ea mali kapa lesea la tsoekere.
Joang ho fokotsa lebelo la hemoglobin ea glycated?
Haeba boemo ba hemoglobin e entsoeng ka glycated bo eketsehile, sena se bontša boloetse bo tebileng kapa monyetla oa ho nts'etsopele. Hangata hangata ke lefu la tsoekere, leo ho lona mahlakore a tsoekere a phahameng a mali a hlokomeloang khafetsa. Nakoana hangata - ho hloka tšepe 'meleng le phokolo ea mali.
Nako ea bophelo ea lisele tse khubelu tsa mali e ka ba likhoeling tse tharo, ke lona lebaka la nako eo tlhahlobo ea hemoglobin e nang le glycated e bonang ka tekanyo ea boemo ba tsoekere maling. Kahoo, hemoglobin e nang le glycated ha e bontše phapang e le 'ngoe ea tsoekere ea mali, empa e bontša setšoantšo se akaretsang le ho thusa ho bona hore na tsoekere ea mali e fetisitsoe joang
E le hore u hlokomele phapanyetsano ena, u lokela ho phela hantle, u latele lijo tse laetsoeng, u nke meriana e laetsoeng kapa u etse liente tsa insulin le ho shebella tsoekere ea mali.
Ka lefu la tsoekere, tekanyo ea hemoglobin ea glycated e phahame ho feta batho ba phetseng hantle, mme palo ena e lumelloa ho fihlela ho 7%. Haeba letšoao le feta 7% ka lebaka la tlhahlobo, sena se bontša hore lefu la tsoekere ha le lefelloe, e leng se ka lebisang tlhokomelong ea mathata a maholo.