Amaleveli E-hemoglobin: Yini Okucatshangelwa Kujwayelekile?

-Delile

• Yini i-hemoglobin?
• Yini ileveli ye-hemoglobin ejwayelekile?
• Abantu abadala
• Izingane
• Yini ebangela amazinga aphezulu e-hemoglobin?
• Izici zobungozi
• Ayini amazinga aphansi e-hemoglobin?
• Izici zobungozi
• Kuthiwani nge-hemoglobin A1c?
• Okubalulekile

Yini i-hemoglobin?

I-Hemoglobin, kwesinye isikhathi efushaniswa njenge-Hgb, iyiprotheni emangqamuzaneni abomvu egazi athwala insimbi. Le ayini iphethe umoya-mpilo, okwenza i-hemoglobin ibe yingxenye ebalulekile yegazi lakho. Lapho igazi lakho lingenayo i-hemoglobin eyanele, amangqamuzana akho awatholi umoya-mpilo owenele.

Odokotela banquma izinga le-hemoglobin yakho ngokuhlaziya isampula legazi lakho. Izici ezahlukahlukene zithinta amazinga akho e-hemoglobin, kufaka phakathi:

• ubudala
• ubulili
• umlando wezokwelapha

Qhubeka nokufunda ukuze ufunde kabanzi mayelana nokuthi yini ethathwa njengeleveli ye-hemoglobin ejwayelekile, ephezulu naphansi.

Yini ileveli ye-hemoglobin ejwayelekile?

Abantu abadala

Kubantu abadala, isilinganiso se-hemoglobin siphezulu kancane kwabesilisa kunabesifazane. Kukalwa ngamagremu nge-deciliter ngayinye (g / dL) yegazi.

Abantu abadala asebekhulile banamazinga aphansi e-hemoglobin. Lokhu kungabangelwa yizici eziningana, kufaka phakathi:

• amazinga aphansi ensimbi ngenxa yokuvuvukala okungapheli noma ukungondleki kahle
• imiphumela emibi yemithi
• amazinga aphezulu ezifo ezingamahlalakhona, njengesifo sezinso

Izingane

Izinsana zivame ukuba namazinga aphezulu we-hemoglobin kunabantu abadala. Lokhu kungenxa yokuthi anamazinga aphezulu e-oksijini esibelethweni futhi adinga amangqamuzana egazi abomvu amaningi ukuhambisa umoya-mpilo. Kepha leli zinga liqala ukwehla ngemuva kwamasonto ambalwa.

Yini ebangela amazinga aphezulu e-hemoglobin?

Amazinga aphezulu e-hemoglobin ngokuvamile ahambisana nokubalwa kwamaseli abomvu aphezulu. Khumbula, i-hemoglobin itholakala kumaseli abomvu egazi, ngakho-ke ukukhuphuka kwesibalo sakho segazi elibomvu, kukhuphula izinga le-hemoglobin yakho futhi okuphambene nalokho.

Ukubalwa kwamaseli abomvu aphezulu nezinga le-hemoglobin kungakhombisa izinto eziningana, kufaka phakathi:

• Isifo senhliziyo esizalwa naso. Lesi simo singenza kube nzima enhliziyweni yakho ukupompa kahle igazi nokuletha umoya-mpilo emzimbeni wakho wonke. Ukuphendula, umzimba wakho kwesinye isikhathi ukhiqiza amanye amangqamuzana abomvu egazi.
• Ukuphela kwamanzi emzimbeni. Ukungabi naluketshezi olwanele kungadala ukuthi izibalo zamaseli abomvu zibonakale ziphakeme ngoba alukho uketshezi oluningi olulinganisela.
• Izimila zezinso. Ezinye izicubu zezinso zishukumisa izinso zakho ukuba zenze i-erythropoietin eyeqile, ihomoni evusa ukukhiqizwa kwamangqamuzana egazi abomvu.
• Isifo samaphaphu. Uma amaphaphu akho engasebenzi kahle, umzimba wakho ungazama ukukhiqiza amangqamuzana egazi abomvu amaningi ukusiza ukuphatha umoya-mpilo.
• I-Polycythemia vera. Lesi simo senza ukuthi umzimba wakho ukhiqize amanye amangqamuzana abomvu egazi.

Izici zobungozi

Kungenzeka futhi ukuthi ube namazinga aphezulu we-hemoglobin uma:

• unomlando womndeni wokuphazamiseka okuthinta ukubalwa kwamaseli abomvu egazi, njengokuzwa oksijini okushintshiwe
• uhlala endaweni ephakeme kakhulu
• muva nje uthole ukumpontshelwa igazi
• ukubhema

Ayini amazinga aphansi e-hemoglobin?

Izinga eliphansi le-hemoglobin livame ukubonwa ngokubalwa kwamaseli abomvu egazi.

Ezinye izimo zezokwelapha ezingadala lokhu zifaka:

• Izinkinga zomnkantsha wamathambo. Lezi zimo, ezinjenge-leukemia, i-lymphoma, noma i-aplastic anemia, zingadala ukubalwa kwamaseli abomvu.
• Ukuhluleka kwezinso. Lapho izinso zakho zingasebenzi kahle, azivezi ngokwanele i-hormone erythropoietin evusa ukukhiqizwa kwamangqamuzana egazi abomvu.
• Izindlala zesibeletho. Lezi yizicubu ezivamise ukuthi zingabi nomdlavuza, kodwa zingadala ukopha okukhulu, okuholela ekunciphiseni ukubalwa kwamaseli egazi abomvu.
• Izimo ezibhubhisa amangqamuzana abomvu egazi. Lokhu kufaka phakathi i-sickle cell anemia, i-thalassemia, ukushoda kwe-G6PD, kanye ne-spherocytosis eyifa.

Izici zobungozi

Kungenzeka futhi ukuthi ube namazinga aphansi e-hemoglobin uma:

• unenkinga ebangela ukopha okungapheli, njengezilonda zesisu, ama-colon polyps, noma izikhathi ezinzima zokuya esikhathini
• une-folate, i-iron, noma i-vitamin B-12
• abakhulelwe
• babandakanyeke engozini ebuhlungu, njengengozi yemoto

Funda ukuthi ungayikhulisa kanjani i-hemoglobin yakho.

Kuthiwani nge-hemoglobin A1c?

Lapho kwenziwa umsebenzi wegazi, ungahle ubone imiphumela ye-hemoglobin A1c (HbA1c), kwesinye isikhathi ebizwa ngokuthi yi-glycated hemoglobin. Ukuhlolwa kwe-HbA1c kukala inani le-hemoglobin eglycated, eyi-hemoglobin ene-glucose enamathele kuyo, egazini lakho.

Odokotela bavame uku-oda lokhu kuhlolwa kwabantu abanesifo sikashukela. Kuyasiza ukunikeza isithombe esicacile samazinga omuntu we-glucose egazini lomuntu esikhathini esiyizinyanga ezi-2 kuye kwezi-4. I-glucose, ebizwa nangokuthi ushukela wegazi, ijikeleza kulo lonke igazi lakho bese inamathela ku-hemoglobin.

I-glucose eningi egazini lakho, maningi amathuba okuthi ube namazinga aphezulu we-hemoglobin eglycated. Ishukela lihlala linamathele ku-hemoglobin izinsuku ezingaba ngu-120. Izinga eliphakeme le-HbA1c likhombisa ukuthi ushukela wegazi lomuntu ubelokhu uphakeme izinyanga ezimbalwa.

Ezimweni eziningi, umuntu onesifo sikashukela kufanele ahlose izinga le-HbA1c lamaphesenti ayi-7 noma ngaphansi. Labo abangenaso isifo sikashukela bavame ukuba namazinga e-HbA1c cishe amaphesenti ama-5.7. Uma unesifo sikashukela nezinga eliphakeme le-HbA1c, kungadingeka ukuthi ulungise imithi yakho.

Funda kabanzi ngokulawula amazinga we-HbA1c.

Okubalulekile

Amazinga e-Hemoglobin angahluka ngobulili, ubudala, nesimo sezokwelapha. Izinga eliphezulu noma eliphansi le-hemoglobin lingakhombisa izinto ezahlukahlukene, kepha abanye abantu banamazinga aphezulu ngokwemvelo noma aphansi ngokwemvelo.

Udokotela wakho uzobheka imiphumela yakho ngokwesimo sempilo yakho yonke ukuze anqume ukuthi amazinga akho akhombisa isimo esingaphansi yini.