Ukuhlolwa kwe-fructosamine kufana nokuhlolwa kwe- hemoglobin A1c , kodwa akusiyo evame ukusetshenziswa. Umehluko omkhulu phakathi kwalezi zivivinyo ezimbili ukuthi ukuhlolwa kwe-fructosamine kulinganisa izinga lakho legazi lokudla kwegazi ngaphezulu kwamasonto amabili noma amathathu adlule, kuyilapho uhlolo lwe-A1c luyisilinganiso sokulinganisa kweshukela lakho legazi eminyakeni emibili kuya kwezintathu ezedlule. Ngaphezu kwalokho, uhlolo lwe-fructosamine lunezinyathelo ezinamaprotheni ezinama-glycated egazini esikhundleni se-hemoglobin eglycated.
Ama-molecule e-Sugar akhona egazini lakho anamathela kuma-protein. Lawa maprotheni ahamba egazini lakho izinsuku ezingu-14 kuya kwezingu-21, ngakho ukulinganisa kwakho kunikeza isithombe sesamba ushukela egazini lakho ngaleso sikhathi.
Ngokuvamile, ukuhlolwa kwe-fructosamine kuyasetshenziswa uma udokotela wakho efuna ukugcina iso eliseduze emazingeni akho ashukela egazini, njengalapho izinguquko zenziwa ohlelweni lwakho lwezokwelapha. Ukuhlolwa kungasetshenziswa ngesikhathi sokukhulelwa lapho umzimba wakho ushintsha njalo.
Uma Ukuhlolwa Kusetshenziswa
Ngokungafani nokuhlolwa kwe-A1c, i-fructosamine ayisetshenziselwa ukuhlola ukuhlolwa kwabantu abangenayo isifo sikashukela noma abanesifo sikashukela esilawulwa kahle.
Esikhundleni salokho, ukuhlolwa kwe-fructosamine kusetshenziswa lapho ukuhlolwa kwe-A1c kungenakuhlinzeka ngokuqapha okuthembekile. Isibonelo, uma ulahlekelwe yigazi noma i-hemolytic anemia, ukushintshwa okusheshayo kwamaseli akho egazi kuyosho ukuthi ukuhlola i-hemoglobin A1c kuyoba phansi kwamanga, ngakho-ke i-fructosamine iyoba nenembile kakhulu.
Futhi, uma une-sickle cell anemia noma ezinye izinhlobo ze-hemoglobin, ukuhlolwa kwe-hemoglobin A1c akuthembekile kakhulu kanti ukuhlolwa kwe-fructosamine kungase kukhethwe.
Isivivinyo se-fructosamine sisetshenziswa futhi uma ufuna olunye ulwazi. Isetshenziselwa ukwengeza ekuguleni i-blood glucose lapho usukhona ushintsho lwakamuva emithini yakho noma i-insulin futhi lingasiza ukuqapha ukusebenza kahle kwezokwelapha ezintsha ngemuva kwamasonto ambalwa kunokulinda izinyanga ukwenza uhlolo lwe-A1c.
Isivivinyo sisetshenziselwa isifo sikashukela sokukhulelwa ngoba izinguquko zingenzeka ngokushesha kakhulu ngesikhathi sokukhulelwa. Isikhathi esincane esifushane sokuhlolwa sivumela udokotela ukuthi alandele amazinga egazi le-glucose eduze kakhulu.
Ukuhlolwa Kwenziwe kanjani
Lokhu kuhlolwa kwegazi kwenziwa ngesampula esivela emgqeni noma eminwebeni futhi ihlaziywe ebhokisatri. Ukuzila ukudla akudingeki. Isivivinyo sasekhaya sasikhiqizwa kodwa saqedwa ngo-2002 njengoba sasingaqondile.
Lokho Okushiwo Yiziphumo Zokuhlolwa
Ukuphakama kwezinga le-fructosamine, izinga eliphakeme legazi legazi lakho laliphakeme emavikini amabili noma amathathu adlule. Ngokujwayelekile, ukujwayela kuhlolwa ngokuhlolwa okuphindaphindiwe. Uma imiphumela ihlala ephezulu, ibonisa ukuthi awunalo ukulawula okuhle kwegazi kwegazi. Udokotela wakho uzozama ukuthola imbangela futhi akusize ulungise imithi yakho, ukudla, nezinye izici ukugcina ukulawula kangcono.
- Kubantu abangenayo isifo sikashukela, uhla lwe-fructosamine luyi: 175-280 mmol / L
- Kubantu abanesifo sikashukela, i-fructosamine range: 210-421 mmol / L
- Kubantu abanesifo sikashukela esingalawuleki, uhla lwe-fructosamine luyi: 268-870 mmol / L
Okubalulekile
Ngezinye izikhathi, ukuthembeka kokuhlolwa kwe-fructosamine kungancishiswa. Noma yisiphi isimo esithinta ukukhiqizwa kwe-serum albin, noma ukwandisa noma ukwehlisa inzuzo, kungathinta ukuthembeka kokuhlolwa kwe-fructosamine.
Ezinye izibonelo zezimo zifaka:
- Izifo ze-hepatic (isb. I-cirrhosis)
- I-Nephritic syndrome
- Isifo se-thyroid
- I-paraproteinemia
Ngaphezu kwalokho, amazinga aphezulu e-ascorbic acid (i-vitamin C) angaphazamisa ukuthembeka kokuhlolwa. Ngakho-ke, iziguli kufanele zigweme izithako ze-ascorbic acid okungenani amahora angu-24 ngaphambi kokuqoqwa kwesampula.
Imithombo:
I-Fructosamine - I-Test. Ngo-Okthoba 30, 2015. Ukuhlolwa kweLeb ku-inthanethi, i-American Association for Clinical Chemistry.
Umhlahlandlela kaJohane Hopkins Wesifo Sikashukela. Ezinye izimpawu ze-glycemia: i-fructosamine, i-albin ye-glycated, i-1,5-AG.
> I-Medscape. Fructosamine.