Ðe nèfɔ ʋudodokpɔ ŋuti nyatakaka aɖe, lé ŋku ɖe nya siwo le edzi ŋu, eye nèsusu be, "Nukae nye esia?" Nya siwo nèkpɔna le nyatakaka mawo me dometɔ ɖekae nye hemoglobin. Azɔ hã, ne èle nu ƒom tso suklidɔ ŋu la, dodokpɔ siwo nèsena godoo dometɔ ɖekae nye A1C. Esiawo evea siaa gblɔa nu geɖe na mí tso míaƒe ŋutilã ƒe lãmesẽ ŋu. Eyata egbea, míaƒo nu tso hemoglobin kple A1C dodokpɔa ŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu.
Nuka tututue nye ʋumenugbagbeviɣidɔ?
Kpuie ko la, hemoglobin nye protein tɔxɛ aɖe si le míaƒe ʋumenugbagbevi dzĩwo me. Ele abe ‘delivery service’ si wɔa dɔ le míaƒe ŋutilã me ene.
Eƒe dɔ vevitɔe nye be wòaƒo ɔksidzin si gena ɖe lãkusi me ne míele gbɔgbɔm la nu ƒu eye wòtsɔe yi lãmeka siwo le ŋutilã bliboa me. Etsɔa ya si woyɔna be carbon dioxide si dona le lãmenugbagbevi mawo me hã yia lãkusi me be woaɖee ɖa ne míegbɔ ya. Hemoglobin siae nana míaƒe ʋu ƒe amadede biã.
Protein ƒe kɔsɔkɔsɔ enee nye hemoglobin molecule. Akpa aɖe le kɔsɔkɔsɔ siawo dometɔ ɖesiaɖe si woyɔna be ‘heme’ si me gayibɔ le. Oxygen moleculewo va kpena ɖe akpa sia si me iron le ŋu. Esia fia be ne iron mele wò ŋutilã me o la, wò ŋutilã mate ŋu awɔ hemoglobin si sɔ o. Ekema ŋutete si le esi be wòatsɔ ɔksidzin ayi ŋutilã bliboa me la agblẽ.
Nukae ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si bɔbɔ kple esi sɔ gbɔ fia?
Hemoglobin agbɔsɔsɔme si míaƒe ŋutilã hiã la nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye ƒexɔxɔ, ŋutsu alo nyɔnu nyenye, kple lãmesẽ bliboa. Le kpɔɖeŋu me, ame siwo le tonyigbawo dzi, si fia be teƒe kɔkɔwo, ƒe ʋumenugbagbeviɣidɔ sɔ gbɔ vie wu amesiwo le atsiaƒu ƒe kɔkɔme gbɔ.
Wodzidzea ʋumenugbagbeviɣidɔ le gram ɖeka me le desilita ɖeka me (gm/dL). Lãmesẽ ƒe agbɔsɔsɔ si sɔ lae nye esiawo:
- Ŋutsuwo: 14.0 va ɖo 17.5 gm/dL
- Nyɔnuwo: 12.3 va ɖo 15.3 gm/dL
Azɔ mina míakpɔ nusi adzɔ ne dzidzenu siawo trɔ.
| Ɖoƒe | Nusiwo gbɔ wòtso kple dzesiwo |
|---|---|
| Hemoglobin si mebɔ o | Zi geɖe la, míeyɔa nɔnɔme sia be ʋusɔgbɔdɔ . Susu vevi geɖewo li siwo tae esia dzɔna ɖo:
Dzesi veviwo: ɖeɖiteameŋu ɣesiaɣi, ŋutigbalẽ ƒe amadede dzẽ, ɖeɖiteameŋu, akɔtave, taɖuame. |
| Hemoglobin si sɔ gbɔ wu | Zi geɖe la, esia dzɔna le oxygen ƒe agbɔsɔsɔ si mede ame dzi o ɣeyiɣi didi (hypoxia) gbɔ. Ate ŋu atso:
Dzesi veviwo: taɖuame, ŋku ƒe ʋuʋu, taɖuame, ŋutigbalẽ ƒe ʋuʋu, ʋu ƒe sisi ƒe afɔku. |
Vevietɔ: Ne wò ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔme le sue alo sɔ gbɔ le nyatakakaa me la, mègatsi dzodzodzoe o, ke boŋ yi ɖɔkta gbɔ be nànya nusi tututu gbɔ wòtso.
Azɔ mina míaƒo nu tso A1C dodokpɔa ŋu.
Ne míele nu ƒom tso hemoglobin ŋu la, dodokpɔ vevi siwo do ƒome kplii dometɔ ɖekae nye HbA1c, alo abe alesi mí katã míenyae ene la, A1C dodokpɔ. Esia nye dodokpɔ vevi aɖe si woatsɔ anya Suklidɔ eye woakpɔ alesi suklidɔléla le eƒe dɔlélea dzi kpɔm nyuie.
Nukae A1C dodokpɔa gblɔ na mí?
Bu kriket-ƒola ƒe bɔlƒoƒo ƒe mamã dedie le ƒe bliboa me ŋu kpɔ. Màte ŋu anɔ te ɖe duƒuƒu siwo wòƒo le hoʋiʋli ɖeka me dzi anya nenye be enye fefewɔla nyui alo menyee o. Gake ne èlé ŋku ɖe eƒe mamã dedie si wòzã le ɣeyiɣi bliboa me ŋu la, àte ŋu akpɔ eƒe aɖaŋu nyuie.
A1C dodokpɔa hã sɔ kple esia. Le esi teƒe be dodokpɔ sia nalé ŋku ɖe wò ʋumesukli ƒe agbɔsɔsɔ ŋu le ŋkeke ɖeka dzi la, eɖea alesi wò ʋumesukli ƒe agbɔsɔsɔ le le ɣleti 2-3 siwo va yi me fiana .
Aleke esia wɔa dɔe?
Sukli (glucose) si le míaƒe ʋu me léna ɖe hemoglobin si le míaƒe ʋumenugbagbevi dzĩwo me ŋu. Ne sukli ƒe agbɔsɔsɔ le ʋu me le dzidzim ɖe edzi la, sukli si léna ɖe hemoglobin ŋu hã dzina ɖe edzi. Esi wònye be ʋumenugbagbevi dzĩ ƒe agbenɔƒe le mama dedie nu anɔ abe ɣleti 3 ene ta la, dodokpɔ sia na nèkpɔ sukli ƒe agbɔsɔsɔ le ʋu me le mama dedie nu le ɣleti 3 siwo va yi me nyuie.
A1C ƒe dzidzenuwo kple woƒe gɔmesese
Wotsɔ A1C ƒe emetsonua na abe alafa memamã (%) ene. Nusi emetsonu mawo fiae nye esi.
| A1C ƒe alafa memamã (%) . | Gɔmeɖeɖe |
|---|---|
| Menye 5.6% o . | Normal - Suklidɔ mele ŋuwò o. |
| 5.7% va ɖo 6.4% . | Do ŋgɔ na suklidɔ - Suklidɔ xɔxɔ le afɔku me wu. Esia nye nuxlɔ̃ame! |
| 6.5% alo esi wu nenema | Suklidɔ - Woɖo kpe edzi be suklidɔ le ŋuwò. |
Ɣekaɣie A1C ƒe agbɔsɔsɔ va zua afɔku?
Ne wò A1C ƒe agbɔsɔsɔme sɔ gbɔ wu 9% la, ke enye nɔnɔme si me afɔku le ŋutɔ . Efia be womete ŋu le wò suklidɔa dzi ɖum kura o. Esia dzia kuxi sesẽwo abe ŋku ƒe dɔmawɔmawɔ nyuie, ayiku ƒe dɔmawɔmawɔ nyuie, lãmekawo ƒe gbegblẽ (suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle), dzidɔ, kple ʋusɔgbɔdɔ ƒe afɔkua ɖe edzi ŋutɔ.
Aleke woawɔ akpɔ A1C kple hemoglobin ƒe agbɔsɔsɔ dzi?
Ne èle nɔnɔme siawo evea siaa dam la, ele vevie be nàdi nusi gbɔ wòtso. Wò ɖɔkta awɔ dodokpɔ siwo hiã eye wòaŋlɔ atike si sɔ wu na wò.
Ne ʋumenugbagbeviɣidɔ mesɔ gbɔ o la:
Nuɖuɖu siwo me iron sɔ gbɔ ɖo ɖuɖu le vevie ŋutɔ.
- Heme Iron: Nyilã, koklolã, tɔmelã (e.g. tuna), shrimp, kple lã bubuwo.
- Iron si menye heme o le numiemiewo ƒe nuɖuɖu me: aŋanyi, lãmi, chickpeas, soya, dates, waintsetse ƒuƒu, mɔli nukuwo.
- Aɖaŋuɖoɖo vevi aɖe: Ne èɖu nuɖuɖu siwo me iron sɔ gbɔ ɖo kple nuɖuɖu siwo me vitamin C sɔ gbɔ ɖo (lime, amititsetse, tangerine, tomatos, guava) la, ŋutilãa ƒe iron xɔxɔ wɔa dɔ nyuie wu.
Ne A1C ƒe agbɔsɔsɔme sɔ gbɔ la:
Zi geɖe la, ɖɔktawo ɖoa aɖaŋu be suklidɔlélawo nana woƒe A1C ƒe agbɔsɔsɔ nade 7%. Be nàwɔ esia la:
- Nuɖuɖu dzi ɖuɖu: Kpɔ nuɖuɖu siwo me starch (carbohydrates) le (bli, abolo, mɔli, nu viviwo) dzi. Ƒo nuɖuɖu si da sɔ. Dzudzɔ aha siwo me sukli le nono keŋkeŋ.
- Kamedede:De kamedede si sɔ, abe azɔlizɔzɔ ene, me aɖabaƒoƒo 30 ya teti gbesiagbe. Kamedede nana ŋutilã ƒe ŋutete be wòazã insulin nyona ɖe edzi.
- Atikewo: Ele vevie be woano atike siwo ɖɔktaa ŋlɔ na wò le ɣeyiɣi nyuitɔ dzi eye le agbɔsɔsɔ nyuitɔ me.
Mègaŋlɔ be o, mègadze agbagba be yeawɔ nusiawo dometɔ aɖeke le ɖokuiwò si o. Ðo dze kple wò ɖɔkta tso tɔtrɔ ɖesiaɖe si nàwɔ le wò agbenɔnɔ kple nuɖuɖu ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Hemoglobin nye protein si le ʋumenugbagbevi dzĩwo me si tsɔa oxygen yia míaƒe ŋutilã katã me.
- Ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si bɔbɔ alo esi sɔ gbɔ ate ŋu anye ʋusɔgbɔdɔ ƒe dzesi, eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.
- A1C dodokpɔa ɖea wò ʋumesukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti 2-3 siwo va yi me fiana.
- Ne A1C ƒe agbɔsɔsɔme le 5.7% - 6.4% dome la, ke enye suklidɔ do ŋgɔ. Ne eƒe 6.5% alo esi wu nenema la, ke suklidɔe.
- Nuɖuɖu nyui, kamedede, kple atike siwo wò ɖɔkta ŋlɔ na wò ate ŋu akpe ɖe ŋuwò nàlé ʋumenugbagbevi dzĩ kple A1C ƒe agbɔsɔsɔ si le lãmesẽ me ɖe asi.
- Ne nya aɖe le asiwò ku ɖe wò ʋudodokpɔ me tsonu ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o.
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