Yu dɔn ɛva pik wan blɔd tɛst ripɔt, luk di wɔd dɛn we de pan am, ɛn tink se, "Wetin na dis?" Wan pan di wɔd dɛn we yu de si pan dɛn ripɔt dɛn de na ɛmoglobin. Dɔn bak, we yu de tɔk bɔt dayabitis, wan pan di tɛst dɛn we yu go rili yɛri na A1C. Dɛn tu tin ya de tɛl wi bɔku tin bɔt di wɛlbɔdi we wi bɔdi gɛt. So tide, wi go tɔk bɔt ɛmoglobin ɛn di A1C tɛst insay wan rili simpul we we yu go ɔndastand.
Wetin rili na ɛmoglobin?
Fɔ tɔk am simpul wan, ɛmoglobin na spɛshal prɔtin we de insay wi rɛd blɔd sɛl dɛn. I tan lɛk ‘delivery service’ we de wok insay wi bɔdi.
di men wok we i de du na fכ kכlekt כksijεn we de go insay di lכng dεm we wi de brith εn gi am to di tisu dεm we de כlsay na di bכdi. I kin kɛr di kabon dayɔgzayd we kin kɔmɔt na dɛn tisu dɛn de bak go na di lɔng dɛn fɔ mek wi pul am kɔmɔt we wi de blo. Dis ɛmoglobin na in de gi wi blɔd in rɛd kɔlɔ.
Wan ɛmoglobin mɔlyul gɛt 4 prɔtin chen dɛn. Ɛni wan pan dɛn chen ya gɛt wan pat we dɛn kɔl ‘heme’ we gɛt ayɛn. כksijεn mכlikul dεm kin kam εn atak dis pat we gεt ayכn. Dis min se if yu bɔdi nɔ gɛt bɛtɛ ayɔn, yu bɔdi nɔ go ebul fɔ mek inof ɛmoglobin. Dɔn di ebul fɔ kɛr ɔksijɛn ɔlsay na di bɔdi go pwɛl.
Wetin di ɛmoglobin lɛvɛl we smɔl ɛn ay min?
Di amount of hemoglobin we wi bɔdi nid de dipen pan bɔku tin dɛn, lɛk di ej, man ɔ uman, ɛn di jenɛral wɛlbɔdi. Fɔ ɛgzampul, pipul dɛn we de na say dɛn we gɛt mawnten dɛn, dat na say dɛn we ay ay ples, gɛt ɛmoglobin we pas di wan dɛn we de nia di si.
Dɛn kin mɛzhɔ di ɛmoglobin insay gram pan wan dɛsilita (gm/dL). di nכmal hεlth lεvεl dεm na dεn wan ya:
- Man dɛn: 14.0 to 17.5 gm/dL
- Uman dɛn: 12.3 to 15.3 gm/dL
Naw lɛ wi si wetin go apin if dɛn lɛvul ya chenj.
| Pozishɔn | Di tin dɛn we kin mek pɔsin gɛt dis sik ɛn di sayn dɛn we i kin gɛt |
|---|---|
| Di Ɛmoglobin we nɔ bɔku | Wi kin kɔl dis kɔndishɔn anemia . Bɔku men rizin dɛn de we mek dis kin apin:
Di men sayn dɛm: yu kin taya ɔltɛm, yu kin gɛt pal, yu kin taya, yu kin gɛt pen na yu chɛst, yu kin gɛt diziz. |
| Di Ɛmoglobin we gɛt ay ay | dis kin apin bikoz di כksijεn lεvεl dεm we de lכw fכ lכng tεm na di bכdi (haypoksia). I kin bi bikɔs ɔf:
Men sayn dɛm: ed we de at, yu nɔ de si fayn, yu ed de tɔn, yu skin de rɔsh, yu gɛt risk fɔ mek blɔd klɔt. |
Impɔtant: If yu ɛmoglobin lɛvɛl smɔl ɔ ay pan di ripɔt, nɔ panik, bɔt go to yu dɔktɔ fɔ no di rayt rizin.
Naw lɛ wi tɔk bɔt di A1C tɛst.
We wi de tɔk bɔt ɛmoglobin, wan pan di impɔtant tɛst dɛn we gɛt fɔ du wit am na di HbA1c, ɔ as wi ɔl no am, di A1C tɛst. Dis na impɔtant tɛst fɔ no if pɔsin gɛt Dayabitis ɛn fɔ si aw pɔsin we gɛt dayabitis de kɔntrol in sik fayn fayn wan.
Wetin di A1C tɛst de tɛl wi?
Tink bɔt di avɛrej we kriket pleya de bat fɔ wan ol sizin. Yu nɔ go ebul fɔ no if na gud pleya ɔ nɔto gud pleya bay di rɔn dɛn we i de skor insay wan mats. Bɔt we yu luk in avɛrej fɔ di wan ol sizin, yu kin gɛt gud aidia bɔt in skil.
Di A1C tɛst na di sem tin. Bifo yu luk yu blɔd shuga lɛvɛl pan wan de, dis tɛst de sho aw yu blɔd shuga lɛvɛl dɔn tan lɛk fɔ di pas 2-3 mɔnt .
Aw dis kin wok?
Di shuga (glukɔs) we de na wi blɔd kin atak di ɛmoglobin we de na wi rɛd blɔd sɛl dɛn. As di shuga na di blɔd de go ɔp, di shuga we de atak di ɛmoglobin de go ɔp bak. Bikɔs di avɛrej layfspan fɔ wan rɛd blɔd sɛl na lɛk 3 mɔnt, dis tɛst de gi gud pikchɔ bɔt yu avrej blɔd shuga lɛvɛl fɔ di pas 3 mɔnt.
A1C lɛvɛl dɛn ɛn dɛn minin
Di A1C rizɔlt dɛn gi am as pasɛnt (%). Na dis na wetin dɛn rizɔlt dɛn de min.
| A1C pasɛnt (%) . | Minin |
|---|---|
| I nɔ rich 5.6% . | Nɔmal - Yu nɔ gɛt dayabitis. |
| 5.7% to 6.4% . | Prediabetes - Yu de pan ay risk fɔ gɛt dayabitis. Dis na wɔnin! |
| 6.5% ɔ mɔ | Dayabitis - Dɛn dɔn kɔnfyus se yu gɛt dayabitis. |
Ustɛm A1C lɛvɛl kin bi denja?
If yu A1C lɛvɛl pas 9%, na tin we rili denja . I min se yu nɔ de kɔntrol yu dayabitis atɔl. Dis kin mek yu gɛt siriɔs prɔblɛm lɛk we yu nɔ de si fayn, yu kidni nɔ de wok fayn, yu nerv dɛn we de pwɛl (dayabitik nyuropathy), at sik, ɛn strok.
Aw fɔ kɔntrol di A1C ɛn di ɛmoglobin lɛvɛl?
We yu de trit dɛn tu tin ya, i impɔtant fɔ fɛn di ɔndalayn kɔz. Yu dɔktɔ go du di tɛst dɛn we yu nid ɛn tɛl yu di tritmɛnt we fit yu pas ɔl.
If ɛmoglobin nɔ bɔku:
Fɔ it tin dɛn we gɛt bɔku ayɔn rili impɔtant.
- Heme Iron: Bif, chukchuk, fish (e.g. tuna), shrimps, ɛn ɔda mit.
- Nɔn-heme ayɔn insay plant it dɛn: spinach, lentil, chikip, soya, dɛt, rɛsin, pɔmpin sid.
- Impɔtant advays: We yu it it dɛn we gɛt ayɔn wit it dɛn we gɛt vaytamɛn C (lɛmon, ɔrɛnj, tanjɛrin, tomato, guava), di bɔdi we de tek ayɔn kin wok fayn fayn wan.
If di A1C lɛvɛl ay:
Dɔktɔ dɛn kin tɔk se pipul dɛn we gɛt dayabitis fɔ kip dɛn A1C lɛvɛl dɔŋ 7%. Fɔ du dis:
- Di it kɔntrol: Kɔntrol it dɛn we gɛt stach (kabɔhaydrɛt) (rays, bred, pɔt, swit). It di it we balans. Stɔp fɔ drink we gɛt shuga kpatakpata.
- Ɛksasayz:Du ɛksɛsayz smɔl, lɛk fɔ waka, fɔ at le 30 minit ɛvride. We yu de du ɛksɛsayz, dat kin mek di bɔdi ebul fɔ yuz insulin fayn fayn wan.
- Mɛrɛsin: I impɔtant fɔ tek di mɛrɛsin we di dɔktɔ tɛl yu fɔ tek di rayt tɛm ɛn di rayt doz.
Nɔ fɔgɛt, nɔ tray fɔ du ɛni wan pan dɛn tin ya fɔ yusɛf. Tɔk to yu dɔktɔ bɔt ɛni chenj we yu mek to yu layf ɛn it.
Mɛsej we dɛn kin kɛr go na os
- Ɛmoglobin na wan prɔtin we de insay di rɛd blɔd sɛl dɛn we de kɛr ɔksijɛn ɔlsay na wi bɔdi.
- If yu gɛt smɔl ɔ ay ɛmoglobin lɛvɛl, dat kin bi sayn fɔ lɛ yu nɔ gɛt blɔd, so i impɔtant fɔ go to dɔktɔ.
- Di A1C test de sho yu avrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt.
- If di A1C lεvεl de bitwin 5.7% - 6.4%, na prεdiabetes. If na 6.5% ɔ pas dat, na dayabitis.
- If yu it fayn, ɛksesaiz, ɛn mɛrɛsin we yu dɔktɔ gi yu, dat kin ɛp fɔ mek yu gɛt wɛlbɔdi ɛmoglobin ɛn A1C lɛvɛl.
- If yu gɛt ɛni kwɛstyɔn bɔt di rizɔlt fɔ yu blɔd tɛst, nɔ shek fɔ aks yu dɔktɔ.
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