المعدل التراكمي للسكر – معلومات عن تحليل سكر الهيمغلوبين

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ماهو المعدل التراكمي للسكر؟ قد يطلب الطبيب إجراء المعدل التراكمي للسكر من مرضى السكري وغيرهم من الأشخاص الذين يكونون أكثر عرضة للإصابة به، وربما يأتي هذا التحليل مع مجموعة من الاختبارات الأخرى، فإذا كنت ترغب في معرفة المزيد عنه فتابعونا.

ما هو فحص السكر التراكمي؟

يعمل هذا الاختبار على توفير بعض التفاصيل التي تشير إلى معدل السكر بالدم لتحديد مدى الاستجابة إلى العلاج.

يعتمد هذا التحليل على اختبار نسبة الهيموجلوبين في خلايا الدم الحمراء مقارنة بالجلوكوز

وذلك لأن ارتفاع مستوى الجلوكوز في الدم يعني مزيد من الارتباط بين الجلوكوز بالهيموجلوبين.

في العادة يطلب الطبيب هذا الاختبار من مرضى السكر للتأكد من الاستجابة للعلاج.

لكن في بعض الأحيان قد يطلبه من غير المرضى والذين قد يظهر عليه بعض أعراض السكري، مثل كثرة التبول وزيادة العطش والتعب والإعياء.

ماذا تعني نتائج فحص معدل السكر التراكمي؟

إن مراقبة نتائج المعدل التراكمي للسكر تدل على احتمالية الإصابة بالسكري، أو تحقق الإصابة أو مدى المضاعفات المحتملة له.

لذلك من تشير النتائج التي تقل عن 5.7% إلى أن النتيجة طبيعية.

بينما النتيجة التي تتراوح ما بين 5.7% إلى 6.4 تشير إلى مرحلة ما قبل السكري.

الحالات التي تتجاوز فيها النسبة 6.5% تعني الإصابة المحققة بمرض السكري.

أهمية فحص السكر التراكمي 

يلجأ الطبيب إلى طلب هذا النوع من الفحص للتأكد من الإصابة بمرض السكري لا سيما من النوع الثاني.

عند التأكد من الإصابة يبدأ الطبيب والمريض في أخذ الاحتياطات اللازمة للحد من تأزم وزيادة المضاعفات.

لكن بالنسبة لغير المرضى يعمل الطبيب على نصح المريض بالعديد من الأمور التي تجنبه الوصول إلى مرحلة الإصابة الفعلية بالسكري.

 وعادة ما تشمل تلك النصائح اتباع نمط غذائي صحي وممارسة المشي.

معلومات عن تحليل الهيمغلوبين

يعتمد اختبار المعدل التراكمي للسكر على مراقبة نسبة الهيموجلوبين الغليكوزيلاتي المتواجد في كريات الدم الحمراء، ويحدث ذلك في فترة تصل إلى ثلاثة أشهر.

الهيموجلوبين الذي يتم قياسه هو البروتين الذي يتم الاعتماد عليه في نقل الأكسجين لخلايا الدم الحمراء.

يرتبط الهيموجلوبين A بالسكر عند دخوله إلى مجرى الدم، والجدير بالذكر أن هذا النوع هو الأكثر توافرا بنسبة 96%.

يحدث ذلك عند تناول أطعمة تحتوي على السكر الذي سرعان ما يرتبط بالهيموجلوبين A مكونا ارتباطا عرف باسم الهيموجلوبين الغليكوزيلاتي.

عند ارتفاع نسبته في الدم فهذه إشارة إلى ارتفاع نسبة الجلوكوز خلال 120 يوم وهي دورة حياة كريات الدم الحمراء.

_____________________________________________________________

المصدر

clevelandclinic

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