Uvavanyo lwe- fructosamine lufana novavanyo lwe - hemoglobin A1c , kodwa alusebenzi ngokuqhelekileyo. Uhlobo oluphambili phakathi kweemvavanyo ezimbini kukuba uvavanyo lwe-fructosamine lucwangcisa izinga lakho legazi le-glucose kwisilinganiso esiphambili kwiiveki ezimbini okanye ezintathu, ngelixa uvavanyo lwe-A1c luyimilinganiselo yokulinganisa intshukela yegazi kwiinyanga ezimbini ezidlulileyo. Ukongezelela, iimvavanyo ze-fructosamine zenza iprotheni egazini kwigazi endaweni ye-hemoglobin ene-glycated.
Iimlekyule ze-Sugar ezikhoyo kwigazi lakho zinamathele kwiiprotheni. Ezi proteins zijikeleza kwigazi lakho iintsuku ezili-14 ukuya kwi-21, ngoko ukulinganisa kwazo kunika umfanekiso wesetyhu egazini lakho ngelo xesha.
Ngokuqhelekileyo, uvavanyo lwe-fructosamine lusetyenziswa xa ugqirha wakho efuna ukugcina iliso elisondeleyo kumanqanaba akho ashukela egazi, njengokuba xa utshintsho lwenziwe kwisicwangciso sakho soonyango. Uvavanyo lusetyenziswa kwakhona ngexesha lokukhulelwa xa umzimba wakho ushintsha rhoqo.
Xa uvavanyo lusetyenziswa
Ngokungafani novavanyo lwe-A1c, i-fructosamine ayisetyenziswanga njengolu vavanyo lwabantu abangenayo isifo sikashukela okanye abane-diabetes elawulwa kakuhle.
Kunoko, uvavanyo lwe-fructosamine lusetyenziswa xa uvavanyo lwe-A1c lukwazi ukubonelela ngokunyanisekileyo. Ngokomzekelo, ukuba ulahlekelwe igazi okanye i-hemolytic anemia, ukutshintsha okukhawulezileyo kweeseli zakho zegazi kuya kuthetha ukuba ukuvavanya i-hemoglobin A1c kuya kuba yinyani, ngoko-ke i-fructosamine iya kuba nechanileyo.
Kwakhona, ukuba unesifo se-sickle cell okanye ezinye i-hemoglobin variants, uvavanyo lwe-hemoglobin A1c aluxhomekekanga kwaye uvavanyo lwe-fructosamine lunokukhethwa.
Uvavanyo lwe-fructosamine lusetyenziswa xa ufuna ulwazi oluninzi. Isetyenziswe njengongezwa kwi-blood glucose yokungena xa utshintsho lwakutshanje kumayeza okanye kwi-insulin kwaye lunokunceda ukubeka uphelelo lwamayeza olutsha emva kweeveki ezimbalwa kunokulinda iinyanga ukwenza uvavanyo lwe-A1c.
Uvavanyo lubuye lusetyenziswe kwisifo sikashukela ngenxa yokuba utshintsho lunokwenzeka ngokukhawuleza ngexesha lokukhulelwa. Ixesha elincinci lokuvavanywa livumela ugqirha ukuba alandele amanqanaba egazi ngegazi.
Uvavanyo luyenziwe njani
Olu luhlolo lwegazi lwenziwe ngeesampuli ezithathwe kwi-vein okanye kwi-fingerstick kwaye zahlaziywa kwibhubhoratri. Ukuzila ukutya akudingeki. Uvavanyo lwekhaya lwaluqulunqwa kodwa luye lwayeka ngo-2002 njengoko lungazange luchaneke.
Oko kuthethwa yiSiphumo soVavanyo
Ukuphakama kwinqanaba le-fructosamine, izinga eliphakamileyo legazi le-glucose ephakamileyo lalisetyenziswe ezimbini kwiiveki ezintathu. Ngokuqhelekileyo, umgangatho ujongwa ngokuvavanywa kwakhona. Ukuba iziphumo zihlala ziphezulu, kubonisa ukuba awunalo ulawulo olufanelekileyo lwegazi lwe-glucose. Ugqirha uzakuzama ukucacisa isizathu kunye nokukunceda ulungelelanise amayeza akho, ukutya, kunye nezinye izinto zokugcina ukulawula okungcono.
- Kubantu abangenayo i-diabetes, udidi lwe-fructosamine luyi: 175-280 mmol / L
- Kubantu abanesifo sikashukela, i-fructosamine ibanga: 210-421 mmol / L
- Kubantu abanesifo sikashukela esingalawulwayo, udidi lwe-fructosamine luyi: 268-870 mmol / L
Iingqalelo ezibalulekileyo
Ngamanye amaxesha, ukuthembeka kwe-test fruit Nayiphi na imeko echaphazela ukuveliswa kwe-album ye-serum, ngokunyuka okanye ekunciphiseni imali, ingachaphazela ukunyaniseka kovavanyo lwe-fructosamine.
Ezinye imizekelo yeemeko ziquka:
- Izifo ze-Hepatic (umz. I-cirrhosis)
- Nefritic syndrome
- Isifo se-Thyroid
- Paraproteinemia
Ukongezelela, amazinga aphezulu e-ascorbic acid (i-vitamin C) anokuphazamisa ukunyaniseka kovavanyo. Ngako oko, izigulane kufuneka ziyeke kwi-ascorbic acid supplement for ubuncinane iiyure ezingama-24 ngaphambi kokuqokelela isampula.
Imithombo:
I-Fructosamine - Uvavanyo. Ngo-Oktobha 30, 2015. I-Lab inzame kwi-Intanethi, i-American Association yeChimistry Clinistry.
Isikhokelo sikashukela sikaJohn Hopkins. Abanye abamakishi be-glycemia: i-fructosamine, i-albin e-glycated, i-1,5-AG.
> Medscape. Fructosamine.