So woafa mogya mu nhwehwɛmu amanneɛbɔ bi pɛn, ahwɛ nsɛmfua a ɛwɔ so no, na woasusuw sɛ, "Dɛn ne eyi?" Nsɛmfua a wuhu wɔ saa amanneɛbɔ ahorow no mu biako ne hemoglobin. Afei nso, sɛ woreka asikreyare ho asɛm a, sɔhwɛ ahorow a wote ampa no mu biako ne A1C. Eyinom abien nyinaa ka yɛn nipadua akwahosan ho nsɛm pii kyerɛ yɛn. Enti ɛnnɛ, yɛbɛka hemoglobin ne A1C sɔhwɛ no ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Dɛn ankasa ne hemoglobin?
Sɛ yɛbɛka no tiawa a, hemoglobin yɛ protein titiriw bi a ɛwɔ yɛn mogya mu nkwammoaa kɔkɔɔ no mu. Ɛte sɛ ‘delivery service’ a ɛyɛ adwuma wɔ yɛn nipadua mu.
Ne dwumadi titiriw ne sɛ ɛbɛboaboa mframa pa a ɛkɔ ahurututu mu bere a yɛrehome no ano na ɛde akɔ ntini ahorow a ɛwɔ nipadua no mu nyinaa mu. Ɛsan nso de mframa bɔne a ɛba saa ntini ahorow no mu no san kɔ ahurututu no mu ma wɔpam bere a yɛrehome no. Saa hemoglobin yi na ɛma yɛn mogya kɔla kɔkɔɔ.
Hemoglobin molecule bi yɛ protein nkɔnsɔnkɔnsɔn anan. Saa nkɔnsɔnkɔnsɔn yi mu biara wɔ ɔfã bi a wɔfrɛ no ‘heme’ a dade wom. Oxygen molecule ahorow ba na ɛbata ɔfã a dade wom yi ho. Eyi kyerɛ sɛ, sɛ wo nipadua no nni iron a ɛdɔɔso a, wo nipadua no rentumi nyɛ hemoglobin a ɛdɔɔso. Afei tumi a ɛde mframa pa kɔ nipadua no nyinaa mu no bɛsɛe.
Dɛn na hemoglobin dodow a ɛba fam ne nea ɛkɔ soro no kyerɛ?
Hemoglobin dodow a yɛn nipadua hia no gyina nneɛma pii so, a mfe a obi adi, ɔbarima anaa ɔbea, ne akwahosan nyinaa ka ho. Sɛ nhwɛso no, nnipa a wɔte mmeae a mmepɔw wɔ, kyerɛ sɛ, mmeae a ɛkorɔn no, hemoglobin dodow kɔ soro kakra sen wɔn a wɔte bɛn po no.
Wɔde gram susuw hemoglobin wɔ deciliter biara mu (gm/dL). Akwahosan dodow a ɛfata te sɛ nea edidi so yi:
- Mmarima: 14.0 kosi 17.5 gm/dL
- Mmea: 12.3 kosi 15.3 gm/dL
Afei ma yɛnhwɛ nea ɛbɛba sɛ saa gyinapɛn ahorow yi sesa a.
| Gyinabea | Nea ɛde ba ne nea ɛkyerɛ |
|---|---|
| Hemoglobin a ɛba fam | Yɛtaa frɛ tebea yi mogya a ɛtɔ kɔ nipadua mu . Nneɛma atitiriw pii nti na eyi ba:
Nsɛnkyerɛnne titiriw: ɔbrɛ a ɛba bere nyinaa, ne ho yɛ fitaa, ɔbrɛ, koko mu yaw, adwenemhaw. |
| Hemoglobin a Ɛkɔ Anim | Eyi taa ba esiane oxygen dodow a ɛba nipadua no mu bere tenten (hypoxia). Ebetumi afi:
Nsɛnkyerɛnne atitiriw: tiyɛ, aniwa a ɛyɛ mmerɛw, adwenemhaw, honam ani akisikuru, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ. |
Nea ɛho hia: Sɛ wo hemoglobin dodow sua anaasɛ ɛkɔ soro wɔ amanneɛbɔ no mu a, mma wo ho nnpopo, na mmom kɔ wo duruyɛfo nkyɛn kɔhwehwɛ nea ɛde ba ankasa.
Afei ma yɛnka A1C sɔhwɛ no ho asɛm.
Sɛ yɛreka hemoglobin ho asɛm a, nhwehwɛmu a ɛho hia sen biara a ɛfa ho no mu biako ne HbA1c, anaa sɛnea yɛn nyinaa nim no, A1C nhwehwɛmu. Eyi yɛ sɔhwɛ a ɛho hia a wɔde hu Asikreyare a ɛma obi nya asikreyare na wohu sɛnea obi a ɔwɔ asikreyare redi ne yare no ho dwuma yiye.
Dɛn na A1C sɔhwɛ no ka kyerɛ yɛn?
Susuw sɛnea kriket bɔfo bi bɔ wɔ bere mũ nyinaa mu ho hwɛ. Worentumi nnyina mmirikatu a ɔbɔ wɔ akansi biako mu so nkyerɛ sɛ ɔyɛ obi a ɔbɔ bɔɔl pa anaasɛ ɔnyɛ saa. Nanso sɛ wohwɛ sɛnea ɔkyekyem pɛpɛɛpɛ wɔ bere no nyinaa mu a, wubetumi anya n’ahokokwaw no ho adwene pa.
A1C sɔhwɛ no nso te saa ara. Sɛ́ anka wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu da koro no, nhwehwɛmu yi kyerɛ sɛnea asikre dodow a ɛwɔ wo mogya mu no te wɔ asram 2-3 a atwam no mu .
Ɔkwan bɛn so na eyi yɛ adwuma?
Asikre (glucose) a ɛwɔ yɛn mogya mu no bata hemoglobin a ɛwɔ yɛn mogya mu nkwammoaa kɔkɔɔ mu no ho. Bere a asikre dodow kɔ soro wɔ mogya mu no, asikre dodow a ɛbata hemoglobin ho no nso kɔ soro. Esiane sɛ sɛ wɔkyekyem pɛpɛɛpɛ a, mogya mu nkwammoaa kɔkɔɔ nkwa nna bɛyɛ asram 3 nti, nhwehwɛmu yi ma wunya asikre dodow a ɛwɔ wo mogya mu wɔ asram 3 a atwam no mu no ho mfonini pa.
A1C levels ne nea ɛkyerɛ
Wɔde A1C aba no ama sɛ ɔha biara mu nkyem (%). Nea saa aba no kyerɛ ni.
| A1C ɔha biara mu nkyem (%) . | Kyerɛ |
|---|---|
| Ennu 5.6% . | Normal - Wo nni asikreyare. |
| 5.7% kosi 6.4% . | Prediabetes - Wowɔ asiane kɛse mu sɛ wubenya asikreyare. Eyi yɛ kɔkɔbɔ! |
| 6.5% anaa nea ɛboro saa | Asikreyare - Wɔagye atom sɛ wowɔ asikreyare. |
Bere bɛn na A1C dodow bɛyɛ nea asiane wom?
Sɛ wo A1C dodow boro 9% a, ɛyɛ tebea a asiane wom kɛse . Ɛkyerɛ sɛ wontumi nni wo asikreyare no so koraa. Eyi ma asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen a emu yɛ den te sɛ aniwa a ɛyera, asaabo a entumi nyɛ adwuma yiye, ntini a ɛsɛe (asikreyare ntini mu yare), komayare, ne ɔyare a ɛma obi hwe ase no yɛ kɛse.
Ɔkwan bɛn so na wobedi A1C ne hemoglobin dodow so?
Sɛ woresa tebea abien yi nyinaa a, ɛho hia sɛ wuhu nea ɛde ba. Wo duruyɛfo bɛyɛ nhwehwɛmu a ɛho hia na wakyerɛw ayaresa a ɛfata sen biara ama wo.
Sɛ hemoglobin sua a:
Nnuan a iron pii wom a wubedi ho hia yiye.
- Heme Iron: Nantwinam, akokɔnam, mpataa (e.g. tuna), shrimp, ne nam afoforo.
- Dade a ɛnyɛ heme a ɛwɔ afifide mu nnuan mu: akutu, atoko, chickpeas, soya, dates, raisins, pumpkin aba.
- Afotu a ɛho hia: Sɛ wudi nnuan a dade wom a nnuan a vitamin C pii wom (lemon, akutu, tangerine, tomato, guava) a, dade a nipadua no twetwe no yɛ nea etu mpɔn kɛse.
Sɛ A1C dodow no kɔ soro a:
Nnuruyɛfo taa kamfo kyerɛ sɛ nnipa a wɔwɔ asikreyare no ma wɔn A1C dodow nkɔ fam nsen 7%. Sɛ wobɛyɛ eyi a:
- Aduan a wodi so: Siw nnuan a starch (carbohydrates) wom (aburow, paanoo, ɛmo, nnɔkɔnnɔkɔwade) so. Di aduan a ɛkari pɛ. Gyae anonne a asikre wom koraa.
- Dwumadie:Fa wo ho hyɛ apɔw-mu-teɛteɛ a ɛfata mu, te sɛ nantew, anyɛ yiye koraa no simma 30 da biara. Apɔw-mu-teɛteɛ ma nipadua no tumi a ɛde insulin di dwuma no tu mpɔn.
- Nnuru: Ɛho hia sɛ wonom nnuru a oduruyɛfo no akyerɛw ama wo no bere a ɛfata ne dodow a ɛfata mu.
Mma wo werɛ mmfi sɛ, mmɔ mmɔden sɛ w’ankasa wobɛyɛ eyinom mu biara. Wo ne wo duruyɛfo nkasa mfa nsakrae biara a wobɛyɛ wɔ w’asetra kwan ne w’aduan mu ho.
Nkrasɛm a Wɔde Kɔ Fie
- Hemoglobin yɛ protein a ɛwɔ mogya mu nkwammoaa kɔkɔɔ mu a ɛde mframa pa kɔ yɛn nipadua nyinaa mu.
- Hemoglobin dodow a ɛba fam anaa ɛkɔ soro betumi ayɛ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne, enti ɛho hia sɛ wohwehwɛ aduruyɛfo afotu.
- A1C nhwehwɛmu no kyerɛ asikre dodow a ɛwɔ wo mogya mu wɔ asram 2-3 a atwam no mu.
- Sɛ A1C dodow no yɛ 5.7% - 6.4% a, ɛyɛ asikreyare a edi kan. Sɛ ɛyɛ 6.5% anaa nea ɛboro saa a, ɛyɛ asikreyare.
- Aduan pa, apɔw-mu-teɛteɛ, ne nnuru a wo duruyɛfo akyerɛw ama wo no betumi aboa ma woakura hemoglobin ne A1C dodow a ɛfata mu.
- Sɛ wowɔ nsɛmmisa bi fa nea ebefi wo mogya mu nhwehwɛmu mu aba ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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