Maxay yihiin Lambarada Xuquuqda?
Iyadoo ku xiran meesha aad ka eegto, waxay kugula talineysey heerarka gulukooska ee dhiigga inay kala duwanaan karto . Lambarrada Diabetes-ka ee Maraykanka (ADA) waxay ka duwan yihiin jihada American College of Endocrinology (ACE). Talooyinka ACE waxay u dhacaan inay ka yara adag yihiin tan ADA's. Haddii aad tahay qof qaba sonkorow, sidee baad u taqaanaa sida loo raaco?
U hubso inaad weydiiso bixiyaha xanaanada caafimaadkaaga ee ujeedadaadu tahay mid kuu fiican.
Dareemaha sonkorta dhiigga waa in la shakhsiyadeeyaa oo ku salaysan arrimo kala duwan, oo ay ku jiraan waxyaabo kala duwan, da'da, rajada nolosha, sonkorta dhiiga, daawada, arrimaha kale ee caafimaadka, iwm. Jadwalka hoose wuxuu isbarbardhigayaa talooyinka guud ee labada dariiqo ee labada dhiigba glucose pre iyo post post and sidoo kale hemoglobin A1C (celceliska saddex bilood ee sonkorta dhiigga).
Meeqa jeer ayaad ku qiyaastaa inaad ka eegto heerarka gulukooska ee dhiiggaaga?
Hubinta heerarka gulukooska ee dhiiggaaga oo dhan maalintii ayaa kaa caawin doonta inaad ogaato sida sonkorta dhiigaaga u ilaalinayso. Lambarradaadu waxay kaa caawin karaan qaabka aad u maareyn kartid ugana bartid sida loo aqoonsado cuntada, jimicsiga, walbahaarka iyo jirrada, si aad u magacawdo dhowr, waxay saamayn kartaa kantaroolka sonkorta dhiigaaga. Waxyaabaha ugu horreeya ee subaxda (markaad sooman tahay ugu yaraan 8 saacadood) ka hor quraacda, laba saacadood cuntada ka dib iyo sariirta ka hor waa waqtiyo fiican in la tijaabiyo. Waqtiyada kale ee lagugula taliyo waxaa ka mid ah ka hor, inta lagu guda jiro, iyo ka dib fadhiga jimicsiga, gaar ahaan haddii uu yahay mid culus ama haddii aad dareensan tahay in sonkorta dhiiggaagu uu noqon karo mid hooseeya ama sareeya.
Barahaaga macaanka ee diabeteska ah ama bixiyaha xanaanada caafimaadka ayaa kaa caawin doona inaad sameysid habdhaqan oo macne kuu sameeya. Caadi ahaan, dadka qaata insulin ama ku jira glucose kale oo hoos u dhigaya daawooyinka afka ee keeni kara hypoglycemia (sonkorta dhiigga yar), ama kuwa leh xakameynta gulukooska liita, waa in ay marar badan tijaabiyaan sonkorta dhiigooda.
Cabbiraad kale ee Sonkorta Dhiiga-Waa maxay A1C?
Baaritaanka hemoglobin A1C waa baaritaan dhiig oo kaa caawiya adiga iyo takhtarkaaga kormeerida xakameynta gulukooska guud. Waxay siisaa celcelis ahaan caddadka gulukooska ee dhiiggaaga mudo dhowr bilood ah. Waxaa caadi ahaan la dalbadaa 2 ilaa 4 goor sanadkii. Haddii lagugu baadho ama aad dhibaato ku qabto ilaalinta habayn maalin-maalin ah, waxaa laga yaabaa in lagu dalbado marar badan. Heerarka Daryeelka Macaanka ee Maraykanku wuxuu soo jeedinayaa:
Ujeedada macquulka ah ee A1C ee dadka waaweyn ee aan uurka lahayn waa: <7%
Hadafyada A1C ee adag (bukaanka aan daawo lahayn ama daawada afka oo keliya, oo haysta rajo nolol dheer, ama aan lahayn cudur wadne-xanuun); <6.5%
- Ilaalinta gulukooska gardarrada ee loogu talagalay dadka bukaanka qaba taariikhda hyperglycemia, rajo-nololeed xaddidan, jirro heer sare ah ama jirro-darajo) waa: <8%
Hadafyada sonkorta dhiigga iyo lambarrada kale ee muhimka ah waa inay noqdaan kuwo shaqsiyan ah
Daaweynta sonkorowga waa in ay noqotaa qaab bukaan socod ah, iyada oo la tixgelinayo habab badan oo kala duwan, oo ay ku jiraan waxyaabo sida da'da, dhererka ogaanshaha, arrimaha kale ee caafimaadka, hab nololeedka, iwm. Dadka qaarkood waxay ka faa'iidaystaan inay yeeshaan sonkorta dhiiga oo hooseysa iyo bartilmaameedyada A1C, halka kuwa kalena ay ka faa'iidaystaan Bartilmaameedka soo socda ayaa ah tilmaam guud oo loogu talagalay dadka badidooda qaba sonkorowga nooca 2 ah.
Maskaxda ku hay in qiimahaasi aysan matalin bartilmaameedyada carruurta ama dumarka leh sonkorowga uurka leh.
Isbarbardhig Qiimaha Adabka Laga Helo ADA iyo ACE
| Qiimaha | ADA | ACE |
| A1C | in ka yar ama la mid ah 7% | ka yar ama la mid ah 6.5% |
| Kahor Cuntada | 80-130mg / dL | in ka yar 110mg / dL |
| 1-2 Saacadood Ka Dib Qadada | in ka yar 180mg / dL | in ka yar 140mg / dL |
Ilaha:
Ururka Diabetes-ka Maraykanka. Dhammaan Ku Saabsan Xinjirowga Dhiiga.
Ururka Diabetes-ka Maraykanka. Heerarka Daryeelka Sonkorowga 2017 Jan; 40 (Lifaaq 1). S3-S130.
> Ururka Mareykanka ee Dhakhaatiirta Endocrinologists iyo College College Endocrinology. Warbixinta Consensus by American Association of Endocrinologists iyo College College of Endocrinology ku saabsan Nooca 2aad ee Diabetes Management-Algorith-2017 Summary Fulinta.