[ESC Guidelines Update 2021] HbA1c sechiratidzo chakakosha mukurapa chirwere cheshuga
Musi waNyamavhuvhu 30, pamusangano wepagore weEuropean Society of Cardiology muna 2021, iyo itsva vhezheni yekiriniki yekudzidzira nhungamiro yekudzivirira chirwere chemoyo yakaburitswa, iyo yakaita kurudziro yakakosha pakurapwa kwevarwere vane chirwere cheshuga.
Panyaya yehupenyu:
Ratidza mararamiro anosanganisira kurega kusvuta, mafuta mashoma akazara, kudya kwefiber yakawanda, kurovedza muviri uye kurovedza simba.
Zvinokurudzirwa kuti varwere vaderedze simba ravo rekudya kuti vabatsire kuderedza uremu kana kuisa uye kuderedza uremu.(Kirasi I, chikamu A)
Pane kukosha kweglucose yeropa:
Kune varwere vazhinji vane Type 1 kana Type 2 chirwere cheshuga, kuitira kuderedza njodzi yemoyo uye microvascular matambudziko echirwere cheshuga, zvinokurudzirwa kuti chinangwa cheglycosylated hemoglobin (HbA1c) <7.0% (53mmol/mol) (Kirasi I, Chikamu A. )
Iyo itsva vhezheni yenhungamiro inotarisa glycosylated hemoglobin (HbA1c) sechiratidzo chakakosha mukurapa chirwere cheshuga.Ndeapi maitiro eglycosylated hemoglobin HbA1c?
• In vitro sampuli yakagadzikana uye inogona kugadzikana kwemaawa makumi maviri nemana pane tembiricha yekamuri;
• Kusiyana kwehupenyu kuduku, mukati me2.0%;
• Hapana chikonzero chekutsanya, ropa rinogona kuunganidzwa chero nguva;
• Hazvinei nechokuita kana kushandisa insulini kana zvimwe zvinhu;
• Kusanyanya kukanganiswa neacute (sekushushikana, kurwara-kwakabatana) kuchinja kweglucose yeropa.
Saka ndeupi musiyano uripo pakati peglycosylated hemoglobin (HbA1c) uye bvunzo yeglucose yeropa?
Kuongorora kweglucose yeropa kunoratidza huwandu hweglucose muropa panguva yekutorwa ropa;chiyero cheglycosylated hemoglobin (HbA1c) chinoratidza avhareji yeglucose yeropa mukati memazuva zana nemakumi maviri.
Kuonekwa kweHbA1c kune kukosha kwekutanga kukurudzira mukuongororwa kwechirwere cheshuga, uye inogona kushandiswa sechiratidzo chekutanga kuongororwa kwechirwere cheshuga chinyoro uye "chakavanzika";uyezve, mukurapa kwechirwere cheshuga, HbA1c chiyero chakakosha chekuongorora mhedzisiro yekudzora shuga yeropa, sechiratidzo cheropa A yepakati uye yenguva refu chiratidzo cheglucose level;HbA1c ine kukosha kwekiriniki yakakosha pakufanotaura nezve microvascular complication uye kuongorora kuitika uye kukura kwekusingaperi kwechirwere cheshuga.
Nguva yekutumira: Oct-28-2021