[Ukuvuselelwa Kwezinkombandlela ze-ESC 2021] I-HbA1c njengenkomba ebalulekile ekwelapheni isifo sikashukela
Ngo-Agasti 30, emhlanganweni waminyaka yonke we-European Society of Cardiology ngo-2021, kwakhululwa inguqulo entsha yezinkombandlela zomtholampilo zokuvimbela izifo zenhliziyo, okwenza izincomo ezibalulekile zokwelashwa kweziguli ezinesifo sikashukela.
Mayelana nendlela yokuphila:
Phakamisa indlela yokuphila ehlanganisa ukuyeka ukubhema, amafutha agcwele amafutha aphansi, ukudla okune-fiber ephezulu, ukuvivinya umzimba kwe-aerobic nokuqeqeshwa kwamandla.
Kunconywa ukuthi iziguli zinciphise amandla azo ukuze zisize ukunciphisa isisindo noma ukubeka nokunciphisa ukukhuluphala.(Ikilasi I, isigaba A)
Kuvelu eqondiwe yeglucose yegazi:
Ezigulini eziningi ezinesifo sikashukela sohlobo 1 noma uhlobo 2, ukuze kwehliswe ingozi yezinkinga zenhliziyo nemithambo yegazi, kunconywa ukuthi i-glycosylated hemoglobin (HbA1c) ibe ngaphansi kuka-7.0% (53mmol/mol) (Isigaba I, Isigaba A). )
Inguqulo entsha yezinkombandlela ibheka i-glycosylated hemoglobin (HbA1c) njengenkomba ebalulekile ekwelapheni isifo sikashukela.Yiziphi izici ze-glycosylated hemoglobin HbA1c?
• Isampula le-in vitro lizinzile futhi lingakwazi ukuzinza amahora angu-24 ekamelweni lokushisa;
• Ukushintshashintsha kwezinto eziphilayo kuncane, ngaphakathi kuka-2.0%;
• Asikho isidingo sokuzila ukudla, igazi lingaqoqwa noma nini;
• Akuhlangene nokuthi kusetshenziswe i-insulin noma ezinye izici;
• Ukungathinteki kakhulu ukushintshashintsha kweglucose yegazi (njengokucindezeleka, okuhlobene nesifo).
Manje uyini umehluko phakathi kwe-glycosylated hemoglobin (HbA1c) nokuhlolwa kweglucose yegazi?
Ukuhlolwa kweglucose yegazi kukhombisa ukugcwala kweglucose egazini ngesikhathi sokukhipha igazi;Izinga le-glycosylated hemoglobin (HbA1c) libonisa izinga likashukela egazini phakathi kwezinsuku eziyi-120.
Ukutholwa kwe-HbA1c kunenani lokwazisa kusenesikhathi ekuhlolweni kwesifo sikashukela, futhi kungasetshenziswa njengenkomba yokuxilongwa kusenesikhathi kwesifo sikashukela esithambile futhi "esifihliwe";ngaphezu kwalokho, ekwelapheni isifo sikashukela, i-HbA1c iyinkomba ebalulekile yokuhlola umphumela wokulawula ushukela wegazi, njengenkomba yegazi A eliphakathi nendawo nesikhathi eside lezinga le-glucose;I-HbA1c inokubaluleka komtholampilo okubalulekile ekubikezeleni izinkinga ezincane ze-microvascular kanye nokuhlola ukuvela nokuthuthukiswa kwezinkinga ezingapheli zesifo sikashukela.
Isikhathi sokuthumela: Oct-28-2021