[Uhlaziyo lwezikhokelo ze-ESC 2021] I-HbA1c njengesalathisi esibalulekileyo kunyango lwesifo sikashukela
Ngomhla we-30 ka-Agasti, kwintlanganiso yonyaka ye-European Society of Cardiology ngo-2021, inguqu entsha yezikhokelo zeklinikhi yokukhusela izifo zentliziyo yakhululwa, eyenza iingcebiso ezibalulekileyo zonyango lwezigulane zesifo sikashukela.
Ngokuphathelele ubomi:
Cebisa indlela yokuphila equka ukuyeka ukutshaya, amafutha atyebileyo aphantsi, ukutya okunefayibha ephezulu, umthambo wokuzilolonga kunye noqeqesho lwamandla.
Kunconywa ukuba izigulane zinciphise amandla abo okunciphisa amandla okunceda ukunciphisa ubunzima okanye ukubeka kunye nokunciphisa ukuzuza ubunzima.(Iklasi I, udidi A)
Kwixabiso ekujoliswe kulo iswekile yegazi:
Uninzi lwezigulane ezine-1 okanye uhlobo lwe-2 yeswekile, ukwenzela ukunciphisa umngcipheko we-cardiovascular and microvascular complications of diabetes, kucetyiswa ukuba i-target glycosylated hemoglobin (HbA1c) <7.0% (53mmol / mol) (Iklasi I, iCandelo A )
Inguqu entsha yezikhokelo ijonga i-glycosylated hemoglobin (HbA1c) njengesalathisi esibalulekileyo kunyango lwesifo sikashukela.Ziziphi iimpawu ze-glycosylated hemoglobin HbA1c?
• Isampulu ye-in vitro izinzile kwaye inokuzinza kwiiyure ezingama-24 kwiqondo lokushisa;
• Ukwahluka kwebhayoloji kuncinci, ngaphakathi kwe-2.0%;
• Akukho mfuneko yokuzila ukutya, igazi lingaqokelelwa nangaliphi na ixesha;
• Ayinanto yakwenza nokuba kusetyenziswe i-insulin okanye ezinye izinto;
• Ukuchatshazelwa kancinci ngokuqatha (okufana noxinzelelo, ezinxulumene nesifo) ukuguquguquka kweglucose yegazi.
Ke yintoni umahluko phakathi kwe-glycosylated hemoglobin (HbA1c) kunye novavanyo lweswekile yegazi?
Ukujonga iswekile yegazi kubonisa ukugcwala kweglucose egazini ngexesha lokutsalwa kwegazi;inqanaba le-glycosylated hemoglobin (HbA1c) libonisa i-avareji ye-glucose level phakathi kweentsuku ezili-120.
Ukufunyanwa kwe-HbA1c kunexabiso lokukhuthaza kwangoko ekuhlolweni kwesifo sikashukela, kwaye ingasetyenziselwa njengesalathisi sokuxilongwa kwangaphambili kwesifo seswekile "esifihlakeleyo";ukongeza, kunyango lwesifo sikashukela, i-HbA1c iyinqobo ebalulekileyo yokuvavanya umphumo wokulawula iswekile yegazi, njengento ebonisa igazi Isalathisi esiphakathi kunye nexesha elide lezinga le-glucose;I-HbA1c inokubaluleka okubalulekileyo kweklinikhi yokuqikelela iingxaki ze-microvascular kunye nokuvavanya ukwenzeka kunye nophuhliso lweengxaki ezingapheliyo zesifo seswekile.
Ixesha lokuposa: Oct-28-2021