Bw’oba olina obulwadde bwa sukaali, oba ng’omusawo akugambye nti oli mu bulabe bw’okufuna ssukaali, osanga ekigambo A1c oba owulidde. Kino mu butuufu kwekebeza musaayi okwa bulijjo ennyo nga kukulu eri abantu bangi era kutuwa amawulire ag’omuwendo ennyo agakwata ku ssukaali wo mu musaayi. Kale byonna ka tubyogere mu ngeri ennyangu ennyo leero.
A1c kye kigezo ki?
Mu ngeri ennyangu, okukebera A1c y’engeri enkulu ey’okuzuula oba omuntu alina ssukaali n’engeri omuntu eyalina edda ssukaali gy’afugamu. Omusawo wo ayinza n’okukiyita okukebera kwa hemoglobin A1c, HbA1c oba glycohemoglobin. Bino byonna bigezo bye bimu.
Okukebera kwa A1c kupima ssukaali wo, oba abasawo kye bayita glucose mu musaayi gwo, mu myezi 2-3 egiyise . Okukebera kuno kuyinza okukuwa endowooza entegeerekeka ku ngeri enteekateeka yo ey’obujjanjabi bwa sukaali gy’ekola, oba ddala olina ssukaali.
Kino kiringa average y’okukuba omuzannyi wa cricket. Tosobola kumanya bulungi oba muzannyi mulungi oba nedda okusinziira ku mupiira gumu. Mu ngeri y’emu, tosobola kufuna kifaananyi kijjuvu ku ngeri obujjanjabi bwo gye bukolamu obulungi ng’okebera ssukaali mu musaayi gwo ku lunaku lumu. Eno y’ensonga lwaki ekigezo kya A1c ekiraga average mu myezi egiwerako kikulu.
Bw’oba olina obulwadde bwa sukaali, kirungi okwekebeza A1c waakiri emirundi ebiri omwaka. Ekirala ekinene ku kukebera kuno kwe kuba nti tolina kusiiba nga tonnaba kukikola. Osobola okukeberebwa essaawa yonna ey’olunaku, nga tonnalya oba ng’omaze okulya.
Lwaki ekigezo kino ekya A1c kikulu nnyo?
Okay, kati ka tulabe engeri kino gye kikola. Kilowoozeeko bw’otyo.
Obutoffaali bwaffe obumyufu bubaamu ekirungo ekiyitibwa hemoglobin. Omulimu gwayo omukulu kwe kusitula omukka gwa oxygen okuva mu mawuggwe n’agusaasaanya mu butoffaali mu mubiri gwonna.
Kati, ssukaali (glucose) mu musaayi gwo bw’alinnya, molekyo za glucose zino zigenda ne zeekwata ku molekyo za hemoglobin ezo. Kiringa ssukaali eyeekwata ku muwemba gwa ssweeta. Ssukaali bw’agenda yeeyongera , n’omuwendo gwa hemoglobin ogulina ssukaali ogumukwatako nagwo gweyongera.
Okukebera kwa A1c kupima obungi bwa hemoglobin yo yonna eyesibye ku ssukaali. Kale okusoma kwa A1c okungi kitegeeza nti ssukaali wo abadde mungi okumala emyezi egiyise. Era kiyinza okulaga nti oli mu bulabe obw’amaanyi obw’okufuna ebizibu mu biseera eby’omu maaso era nti enteekateeka gy’olina kati ey’okulwanyisa ssukaali mu musaayi tekola bulungi.
Mirundi emeka gye nnina okukola ekigezo kino?
Omusawo wo ajja kutera okulagira okukeberebwa kuno okwa A1c ng’osoose okuzuulibwa nti olina ssukaali. Era bajja kukikola singa olowooza nti oli mu bulabe bw’okukwatibwa ssukaali. Kiyinza okukuwa ekirowoozo ku ddaala lyo ery’omusingi. Olwo kiyinza okukuyamba okulaba engeri omutindo gw’okufuga ssukaali mu musaayi gy’akyuka okumala ekiseera.
Emirundi emeka gy’olina okukola okukebera kuno olwo kisinziira ku bintu ebiwerako:
- Ekika kya sukaali ky’olina
- Omutindo gw’okufuga ssukaali wo mu musaayi
- Enteekateeka yo ey’obujjanjabi
Kino bw’okinnyonnyola katono...
- Bw’oba olina prediabetes , ekitegeeza nti olina emikisa mingi egy’okukwatibwa ssukaali, ebiseera ebisinga ojja kusabibwa okukeberebwa kuno nga omulundi gumu mu mwaka .
- Bw’oba olina obulwadde bwa sukaali obw’ekika eky’okubiri , nga tokozesa insulini, era nga ssukaali mu musaayi gwo atera okuba mu kigero ky’ogenderera, kino osobola okukikola emirundi nga ebiri omwaka .
- Bw'oba olina obulwadde bwa sukaali obw'ekika kya 1 , kino kiyinza okukwetaagisa okukikola emirundi esatu oba ena omwaka .
- Bw’oba olina obulwadde bwa sukaali obw’ekika eky’okubiri era ng’okozesa insulini , oba bw’oba olina obuzibu okukuuma ssukaali mu musaayi gwo ng’ali mu kigero ky’ogenderera, omusawo wo ayinza n’okukuwa amagezi okukeberebwa kuno emirundi nga ena omwaka .
Okugatta ku ekyo, singa okyusa enteekateeka yo ey’obujjanjabi bwa sukaali oba okutandika okukozesa eddagala eppya, kiyinza okwetaagisa okukeberebwa kuno emirundi mingi olabe engeri enkyukakyuka gy’ekukosezzaamu.
Omuwendo gwo ogwa A1c gutegeeza ki?
Ebyava mu kukeberebwa ojja kubifuna nga ebitundu ku kikumi. Laba ekipande wansi okutegeera empisa zino kye zitegeeza.
| Omutendera gwa A1c (nga ebitundu ku kikumi) . | Okutegeeza |
|---|---|
| Ebitundu ebitakka wansi wa 5.7% | Omutendera omulamu obulungi. (Abantu abatalina bulwadde bwa sukaali) |
| Wakati wa 5.7% ne 6.4% | Prediabetes: Obulabe bwa maanyi obw’okufuna ssukaali. |
| 7% oba wansi | Ekigendererwa ky’obujjanjabi ekya bulijjo eri abantu abalina ssukaali. Guno gwe mutendera ogulagirwa okufuga abantu abasinga obungi abalina ssukaali. |
| Ebitundu ebisoba mu 8% | Omutendera ogutafugibwa. Kiyinza okulaga nti ssukaali amaze ebbanga eddene nga tajjanjabiddwa oba nga tafugibwa bulungi. |
Bw’oba olina obulwadde bwa sukaali ate nga A1c yo eri waggulu okusinga ku target yo, tosattira. Omusawo wo ajja kukuwa amagezi okukyusa mu nteekateeka yo ey’obujjanjabi, oboolyawo eddagala oba engeri gy’obeera mu bulamu, okusobola okukendeeza ku bujjanjabi bwo. Eno y’ensonga lwaki kikulu bulijjo okukubaganya ebirowoozo n’omusawo wo ku bivudde mu kunoonyereza kwo.
Obubaka Obutwala Awaka
- Okukebera A1c (HbA1c) tekulaga ssukaali mu musaayi gwo ku lunaku lumu, naye ssukaali wo owa wakati mu myezi 2-3 egiyise .
- Kino kigezo kyetaagisa okuzuula obulwadde bwa sukaali n’okulondoola engeri ssukaali gy’afugibwamu.
- Okweyongera kw’omutindo gwa A1c kabonero akalaga nti oli mu bulabe obw’amaanyi obw’okufuna ebizibu bya ssukaali mu biseera eby’omu maaso.
- Emirundi emeka gy’osaanidde okukeberebwa kuno kisinziira ku kika kya ssukaali wo n’eddaala ly’ofuga.
- Bulijjo teesa ku bivudde mu A1c n'enteekateeka y'obujjanjabi mu biseera eby'omu maaso n'omusawo wo .
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