Thisen test report i la chhuak a, a chunga thu awmte i en a, "Hei hi eng nge ni?" Chu report-a i hmuh thumal pakhat chu hemoglobin a ni. Tin, zunthlum chungchang sawi dawn chuan test i hriat chian tak pakhat chu A1C a ni. Heng pahnihte hian kan taksa hriselna chungchang tam tak min hrilh a. Chuvangin vawiin hian hemoglobin leh A1C test chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
Hemoglobin hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hemoglobin hi kan thisen sen chhunga protein bik a ni. Kan taksa chhunga hnathawk ‘delivery service’ ang mai a ni.
A hnathawh ber chu kan thawk chhuah huna lung chhunga oxygen lut chu khawlkhawm a, taksa pum puia tissue-te hnena thlen hi a ni. Chu tissue-a carbon dioxide lo chhuak chu kan thawk chhuah huna paih chhuah turin lungah a phur kir leh bawk. He hemoglobin hi kan thisen rawng sen petu a ni.
Hemoglobin molecule pakhat hi protein chain pali atanga siam a ni. Heng chain tin hian ‘heme’ an tih hmun pakhat an nei a, chutah chuan thir a awm a ni. Oxygen molecule te chu an lo kal a, he iron awmna hmun ah hian an inzawm khawm thin. Chumi awmzia chu i taksain iron a neih tlem chuan i taksain hemoglobin a siam tling thei dawn lo tihna a ni. Tichuan taksa pum puia oxygen phurh theihna a tlahniam ang.
Hemoglobin level hniam leh sang hian eng nge a awmzia?
Kan taksain hemoglobin a mamawh zat hi thil tam takah a innghat a, chung zingah chuan kum, mipa leh hmeichhia, leh hriselna tlangpui a tel a ni. Entirnan, tlangram hmun, chu chu hmun sang tak takah chengte hian tuipui kam hnaih lama chengte aiin hemoglobin level an nei sang deuh hlek a ni.
Hemoglobin hi deciliter khatah gram (gm/dL)-a teh a ni. Hriselna level pangngai chu hetiang hi a ni:
- Mipa: 14.0 atanga 17.5 gm/dL
- Hmeichhia: 12.3 atanga 15.3 gm/dL
Tunah chuan heng level te hi a inthlak chuan eng nge thleng dawn tih kan en ang.
| Nihna | A chhan leh a lan chhuah dan |
|---|---|
| Hemoglobin a tlahniam | Hetiang dinhmun hi anemia kan ti tlangpui. Chutiang a nih chhan lian tak tak engemaw zat a awm a:
A lan chhuah dan ber: hah reng, paleness, chau, rilru na, luak chhuak. |
| Hemoglobin a sang hle | Hei hi taksaa oxygen level rei tak a tlahniam (hypoxia) vang a ni tlangpui. A chhan chu:
A lan chhuah dan ber: lu na, mitdel, luak chhuak, vun rawng, thisen zam hlauhawm. |
Pawimawh: Report-a i hemoglobin level a hniam emaw, a sang emaw a nih chuan hlauthawng suh, a chhan dik tak hriat tumin doctor hmu rawh.
Tunah chuan A1C test chungchang hi han sawi ila.
Hemoglobin chungchang sawi dawn chuan a kaihhnawih test pawimawh ber pakhat chu HbA1c emaw kan hriat vek angin A1C test hi a ni. Hei hi Diabetes Mellitus hriat theihna tur leh zunthlum vei miin an natna a enkawl that dan hriat nan test pawimawh tak a ni.
A1C test hian eng nge min hrilh?
Cricketer pakhatin season khat chhung batting average a neih dan kha han ngaihtuah teh. Match khata run a siam dan a zirin player tha a nih leh nih loh i hre thei lo. Mahse season khat chhunga a average en chuan a thiamna hi i hre chiang thei ang.
A1C test pawh chutiang bawk chu a ni. Ni khata i thisen sugar level en ai chuan he test hian thla 2-3 kalta chhunga i thisen sugar level chu eng ang nge a nih tih a tarlang a ni .
Engtin nge hei hian hna a thawh?
Kan thisena sugar (glucose) hi kan thisen sen (red blood cells)-a hemoglobin-ah a inzawm tlat a ni. Thisen sugar level a san chuan hemoglobin-a sugar inzawm zat pawh a pung bawk. Red blood cell dam chhung chu thla 3 vel a nih avangin he test hian thla 3 kalta chhunga i thisen sugar level average chu a tarlang tha hle.
A1C level leh a awmzia
A1C result hi percentage (%) anga pek a ni. Chu result awmzia chu hetiang hi a ni.
| A1C za zela (%) . | Awmzia |
|---|---|
| 5.6% aia tlem a ni. | Normal - Zunthlum i nei lo. |
| 5.7% atanga 6.4% inkar a ni. | Prediabetes - Zunthlum vei theihna i nei sang zawk. Hei hi vaukhânna a ni! |
| 6.5% aia tam a ni | Diabetes - Zunthlum i vei tih finfiah a ni. |
Engtikah nge A1C level hi a hlauhawm theih?
I A1C level 9% aia sang a nih chuan a hlauhawm hle . I zunthlum hi control theih a ni lo tihna a ni. Hei hian harsatna lian tak tak, mitdelna, kal chak lohna, nerve chhiatna (diabetic neuropathy), thinlung natna, leh stroke te a thlen theihna nasa takin a tipung a ni.
A1C leh hemoglobin level hi engtin nge kan control theih ang?
Heng natna pahnih enkawl hian a chhan bulpui zawn a pawimawh hle. I doctor chuan test tul tak tak a ti ang a, i tana enkawlna tha ber a pe ang che.
Hemoglobin a hniam chuan:
Iron tamna chaw ei hi a pawimawh hle.
- Heme Iron: Bawngsa, vawk sa, sangha (e.g. tuna), shrimp, leh sa dangte.
- Thlai ei tur: spinach, lentils, chickpeas, soy, dates, raisins, pumpkin chi-a non-heme iron .
- Tip pawimawh: Iron tamna ei tur chu vitamin C tamna ei tur (lemon, orange, tangerine, tomato, guava) nena i ei chuan taksain iron a lakluh dan a tha zawk hle.
A1C level a sang a nih chuan:
Doctor-te chuan zunthlum vei te chu an A1C level 7% aia hniam lo turin an rawt tlangpui. Chutiang ti tur chuan:
- Diet control: Starch (carbohydrates) (buhfai, chhang, alu, sweets) awmna ei tur control. Ei leh in inthlau tak ei rawh. Sugary drinks chu titawp vek rawh.
- Insawizawi:Nitin minute 30 tal exercise tlemte, kea kal ang chi te hi hmang thin ang che. Exercise hian taksain insulin a hman theihna a tichak a.
- Damdawi: Doctor-in damdawi a pekte hi a hun takah leh a dose dik takah ei a pawimawh hle.
I theihnghilh suh, nangmah chauhin heng zawng zawng hi tih tum suh. I nunphung leh ei leh in lama inthlak danglamna i neih apiang chu i doctor nen sawiho rawh .
Take-Home Thuchah a ni
- Hemoglobin hi thisen sen (red blood cells)-a awm protein a ni a, kan taksa pum puiah oxygen a keng tel a ni.
- Hemoglobin level hniam emaw sang emaw hi thisen tlakchhamna chhinchhiahna a ni thei a, chuvangin doctor thurawn lak a pawimawh hle.
- A1C test hian thla 2-3 kalta chhunga i thisen sugar level average a tarlang a.
- A1C level hi 5.7% - 6.4% inkar a nih chuan prediabetes a ni. 6.5% aia tam a nih chuan zunthlum a ni.
- I doctor-in ei leh in hrisel, exercise leh damdawi a pek te hian hemoglobin leh A1C level hrisel tak a vawng reng thei a ni.
- Thisen test result chungchanga zawhna i neih chuan doctor zawt hreh suh.
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