[ESC Cov Lus Qhia Hloov Kho 2021] HbA1c yog qhov taw qhia tseem ceeb hauv kev kho mob ntshav qab zib
Thaum Lub Yim Hli 30, ntawm lub rooj sib tham txhua xyoo ntawm European Society of Cardiology hauv xyoo 2021, cov qauv tshiab ntawm cov txheej txheem kho mob rau kev tiv thaiv kab mob plawv tau raug tso tawm, uas tau ua cov lus pom zoo tseem ceeb rau kev kho cov neeg mob ntshav qab zib.
Hais txog kev ua neej nyob:
Qhia txog kev ua neej nrog rau kev haus luam yeeb, tsis muaj roj tsawg, noj fiber ntau, kev tawm dag zog aerobic thiab kev cob qhia lub zog.
Nws raug pom zoo tias cov neeg mob txo lawv lub zog kom tsawg los pab txo qhov hnyav los yog qhov chaw thiab ua kom qhov hnyav nce.(Class I, qeb A)
Ntawm cov ntshav qabzib lub hom phiaj tus nqi:
Rau feem ntau cov neeg mob uas muaj hom 1 lossis hom 2 mob ntshav qab zib mellitus, txhawm rau txo qhov kev pheej hmoo ntawm cov hlab plawv thiab microvascular teeb meem ntawm ntshav qab zib, nws raug pom zoo tias lub hom phiaj glycosylated hemoglobin (HbA1c) <7.0% (53mmol / mol) (Class I, Qib A. )
Cov txheej txheem tshiab ntawm cov txheej txheem hais txog glycosylated hemoglobin (HbA1c) yog ib qho tseem ceeb hauv kev kho mob ntshav qab zib.Dab tsi yog cov yam ntxwv ntawm glycosylated hemoglobin HbA1c?
• Cov qauv hauv vitro ruaj khov thiab tuaj yeem ruaj khov rau 24 teev ntawm chav tsev kub;
• Kev hloov pauv lom neeg tsawg, tsis pub dhau 2.0%;
• Tsis tas yuav yoo mov, ntshav tuaj yeem sau tau txhua lub sijhawm;
• Nws tsis muaj dab tsi cuam tshuam nrog kev siv tshuaj insulin lossis lwm yam;
• Tsawg cuam tshuam los ntawm kev mob hnyav (xws li kev ntxhov siab, cuam tshuam txog kab mob) cov ntshav qabzib hloov pauv.
Yog li dab tsi yog qhov txawv ntawm glycosylated hemoglobin (HbA1c) thiab kuaj ntshav qabzib?
Kev kuaj ntshav qabzib qhia txog cov ntshav qabzib concentration thaum lub sijhawm nqus ntshav;qib glycosylated hemoglobin (HbA1c) qhia txog qhov nruab nrab cov ntshav qabzib hauv 120 hnub.
Kev kuaj pom ntawm HbA1c muaj txiaj ntsig ntawm qhov ua rau ntxov ntxov hauv kev kuaj ntshav qab zib, thiab tuaj yeem siv los ua qhov taw qhia rau kev kuaj mob ntxov ntawm mob me me thiab "pob ntseg";Tsis tas li ntawd, hauv kev kho mob ntshav qab zib mellitus, HbA1c yog ib qho tseem ceeb rau kev soj ntsuam cov txiaj ntsig ntawm kev tswj ntshav qab zib, raws li kev xav ntawm cov ntshav A nruab nrab thiab ntev ntev ntawm cov piam thaj;HbA1c muaj qhov tseem ceeb hauv kev kho mob rau kev kwv yees cov teeb meem microvascular thiab ntsuam xyuas qhov tshwm sim thiab kev loj hlob ntawm cov teeb meem mob ntshav qab zib.
Post lub sij hawm: Oct-28-2021