Kei te tango rongoā koe mō te mate huka? He mate huka rānei tō whānau? Kua rongo pea koe i te whakamātautau e kīia nei ko te 'A1C'. Ka tono tonu ngā tākuta kia mahia tēnei whakamātautau, tika? I ētahi wā, ka mataku koe ina kite koe i ngā uara o tēnei pūrongo. Nō reira, i tēnei rā ka kōrero māmā noa iho tātou, ka kōrero hoki mō te A1C, me tana ine, me pēhea te mārama ki ōna hua.
He aha te whakamātautau A1C?
He whakamātautau toto māmā noa te whakamātautau A1C e ine ana i te taumata huka toto toharite mō ngā marama e toru kua pahure ake nei. Ka tukuna ngā hua hei ōrau. Ka teitei ake te ōrau, ka teitei ake te taumata huka toto.
Whakaarohia pēnei. Ina tirohia tō huka toto me te mita huka toto i te kāinga, ka whiwhi noa koe i te pikitia o tō taumata huka toto i taua wā tonu. He rite ki te maha o ngā oma i whiua i roto i te pōro kotahi i roto i te whakataetae kirikiti. Engari ehara te whakamātautau A1C i te pera. He rite ki te toharite patu a te kaipatu i roto i te whakataetae katoa. Ko te tikanga ka taea e tātou te kite i te pikitia whānui, ehara i te mea mō te rā kotahi anake, engari mō ngā marama e toru .
He maha atu anō ngā ingoa mō tēnei whakamātautau. Tērā pea ka whakarārangihia hoki e tō pūrongo penei:
- Hemoglobin A1C
- HbA1c
- Hemoglobin glycated
- Whakamātautau glycohemoglobin
He aha mātou ka mahi ai i tēnei whakamātautau A1C?
He maha ngā take matua e whakamahia ai tēnei whakamātautau e ngā tākuta.
- Te tautuhi i te mate huka: Mā tēnei ka āwhina i a koe ki te mōhio i mua i te wā mēnā he nui te tūponotanga o te whakawhanake i te mate huka.
- Tātaritanga o te Mate Huka Momo 2: He whakamātautau matua tēnei hei whakaū mēnā he mate huka tō te tangata whai tohu.
- Tirohia te whakahaeretanga o tō mate huka: Mena kei te rongoatia kē koe mō te mate huka (Momo 1, Momo 2 rānei), ka āwhina tēnei i a koe ki te ine i te pai o te mahi a tō mahere maimoatanga (rongoā, kai, whakakori tinana). I runga i te uara o tō A1C, ka taea e koe me tō tākuta te whakatau mēnā me huri koe i tō mahere maimoatanga.
Me pēhea te tatau i te A1C? Me titiro tātou ki tēnei mea mā te pūtaiao.
Hei mārama ki tēnei, me mōhio tuatahi tātou ki ngā kōrero mō ngā toto whero i roto i ō tātou toto.
Kei roto i ō tātou toto whero he pūmua e kiia nei ko te hemoglobin . Whakaarohia he rite ki te pahi e kawe ana i te hāora puta noa i ō tātou tinana. Ināianei, ka tāpirihia te huka (glucose) mai i te kai e kainga ana e tātou ki ō tātou toto. Ka piri tēnei huka i roto i te toto ki te pahi hemoglobin. Ka kiia tēnei tukanga ko te glycation.Koinā.
I te pikinga ake o te taumata huka i roto i tō toto, ka piki ake anō hoki te nui o te huka e herea ana ki te hemoglobin. He mea nui, ka noho tonu tēnei huka herea ki reira mō te oranga o te toto whero (arā, 90 ngā rā, tata ki te 3 marama).
Nō reira, ko tā te whakamātautau A1C he ine i te ōrau o te hemoglobin katoa e mau ana i te pūmua hemoglobin e herea ana ki te huka. Koia te take ka taea e tātou te whiwhi i te toharite mō ngā marama e 3 mai i tēnei.
Ki te kī māmā noa, ka ine te A1C i te "reka" o tō huka toto i ngā marama e 3 kua hipa.
He whakaritenga e hiahiatia ana i mua i te mahi i tēnei whakamātautau?
Kāo. Koinei te mea tino whai hua o tēnei whakamātautau. Kāore koe e hiahia ki te nohopuku mō ngā hāora i mua i te whakamātautau A1C. Ka taea e koe te mahi i tēnei whakamātautau i ngā wā katoa o te rā.
E rua ngā huarahi hei whakahaere i te whakamātautau
E rua ngā huarahi matua hei whakahaere i te whakamātautau A1C. Mā tō tākuta e whakatau te tikanga tino tika i runga i ō hiahia.
| Tikanga whakamātautau | Te āhua o te tupu me ngā mōhiohio |
|---|---|
| 1. Whakamātautau Toto Uaua | Koinei te tikanga tino noa, tino tika hoki . I roto i tēnei tikanga, ka werohia e te tangata whakangungu (phlebotomist) he ngira iti ki roto i te uaua i tō ringa e tata ana ki tō tuke, ka kumea he toto iti ki roto i te ngongo. Kātahi ka tukuna te tauira toto ki te taiwhanga hei whakamātautau. Ko tēnei tikanga te tikanga e whakamahia ana hei tātaritanga i tētahi mate. |
| 2. Whakamātautau Wero Maihao | I konei, ka whakamahia he ngira iti e kiia nei ko te lancet hei wero i tō matimati kia puta ai he pata toto. Ka taea te mōhio ki ngā hua i roto i ētahi meneti. Heoi, kāore tēnei tikanga i te tino pai mō te tautuhi i ngā mate . He tikanga noa iho tēnei hei tirotiro tere i te pai o te maimoatanga o te tangata kua pāngia e te mate huka. |
He aha te tikanga o tō pūrongo A1C?
Āe, kua tae tātou ki te wāhanga tino nui. He aha te tikanga o te ōrau i roto i tō pūrongo?
I te wā e tautuhia ai he mate, ka whakarōpūtia ngā uara A1C penei:
| Uara A1C (ōrau) | Te tikanga |
|---|---|
| I raro iho i te 5.7% | Kāore he mate huka i a koe. (Taumata hauora) |
| I waenganui i te 5.7% me te 6.4% | Te mate huka i mua i te mate . Ko te tikanga he nui ake tō tūponotanga ki te pāngia e te mate huka. Ka taea e koe te whakaiti i tēnei tūponotanga mā te huri i tō momo noho. |
| 6.5% neke atu rānei | Ko te tikanga ka kitea tēnei he mate huka . Tērā pea ka tonoa e te tākuta ētahi atu whakamātautau hei whakaū i tēnei. |
He aha te whāinga a te tangata he mate huka tōna?
Mena kei a koe te mate huka, ka whakawhirinaki tō whāinga A1C ki tō tau, ki tō hauora, me ētahi atu āhuatanga. Kāore e taea e koe te whakatakoto i taua whāinga ko koe anake. Me kōrero koe ki tō tākuta kia whakatauhia ai te whāinga tika māu.
Heoi, i te nuinga o te wā, ko te tohutohu i hoatu ki te nuinga o ngā pakeke e mate huka ana ko te pupuri i ngā taumata A1C i raro i te 7% . Mā te pupuri i tēnei taumata ka ārai i te maha o ngā raruraru ka puta mai i te mate huka.
He aha ngā mōrearea o te pikinga o te taumata A1C?
Ka taea e te nui o te A1C i roto i te wā roa te kino ki ngā momo okana o te tinana. He rite tēnei ki te waikura o tētahi wahi rino i roto i tētahi wairewa he nui te huka. Ko ngā pānga matua ko:
- Kanohi (Retinopathy): Tērā pea ka ngaro te tirohanga, ka matapo rānei.
- Ngā whatukuhu (Nephropathy): Ka pāngia pea e te ngoikore o te whatukuhu.
- Neuropathy: Ka puta pea ngā āhuatanga pēnei i te māuiui, te mamae, me te ngaronga o te kare ā-roto i ngā peka.
- Ngā uaua o te ngākau me ngā oko toto: Ka piki ake te mōrearea o te mate manawa me te whiu.
- Te Gastroparesis: Tērā pea ka ngoikore te mahi a te puku.
Koia mātou e kī nei ehara te A1C i te tau noa iho, engari he tohu nui mō tō hauora ā muri ake nei.
He aha atu anō ngā mea e pā ana ki ngā hua o te whakamātautau A1C?
Āe. I ētahi wā, tera pea he iti iho, he teitei ake rānei tō hua A1C i tō taumata huka toto tuturu. He maha ngā take e pēnei ai.
| Ngā āhuatanga ka whakaatuhia hē pea ngā uara A1C | Ngā tauira |
|---|---|
| Iti rawa |
|
| Teitei Hē |
|
Hei tāpiritanga, ka taea hoki e ngā āhuatanga ira e kiia nei ko ngā rerekētanga o te hemoglobin te whakarerekē i ngā hua A1C. Mena he mate pēnei i te anemia tōu, kāore rānei koe i te tino mōhio mō tō hua A1C, me whakamōhio atu ki tō tākuta. Ka whakaarohia e ia ēnei āhuatanga kia tika ai te aromatawai i ō hua.
He rawaka noa iho te uara A1C hei ine i te whakahaeretanga o te mate huka?
He inenga tino nui, whai hua hoki te A1C, kua roa nei e whakamahia ana e tātou. Engari i ēnei rā, nā te whanaketanga o te hangarau, kei reira ngā tikanga hei homai i tētahi pikitia taipitopito ake ki a tātou.
Whakaarohia tēnei: Ko te A1C o tētahi he 7%. E rua ngā huarahi ka taea ai tēnei.
1. Tērā pea ka noho pumau tonu te taumata huka toto o te tangata ki te 154 mg/dL.
2. Tērā pea ka rerekē haere ngā taumata huka toto o te tangata puta noa i te rā (hei tauira, ka piki ki te 300, kātahi ka heke ki te 50). Ko te toharite o ēnei rerekētanga nui ka eke ki te 7%.
Kei te kite koe, āe? Ahakoa he rite tonu te uara A1C, he nui ake te rerekētanga o te whakahaere i te huka toto. He nui ake te kino o te tinana o te tangata tuarua.
Koinei te wāhi e whakamahia ai ngā taputapu Aroturuki Huka Toto Tonu (CGM) me te ine e kiia nei ko te Wā i roto i te Awhe (TIR) . Ka taea e te CGM te whai i te panonitanga o ō taumata huka toto puta noa i te rā. Ka ine te TIR i te roanga o te wā o te rā kei roto ō taumata huka toto i tētahi awhe (hei tauira, 70-180 mg/dL).
Ahakoa he tikanga matatau ake ēnei i te A1C, ko te whakamātautau A1C te mea tino noa, te mea ngāwari ki te mahi, me te mea tino nui hoki i Sri Lanka i tēnei wā.
Karere Tangohia ki te Kāinga
- He whakamātautau toto nui te whakamātautau A1C e whakaatu ana i te toharite o ngā taumata huka toto mō ngā marama e 3 kua hipa.
- Mā tēnei ka āwhina i te tautuhi i te mate huka me te mate i mua i te mate huka, me te ine i te angitu o te maimoatanga mō te tangata kua pāngia kē e te mate huka.
- Ko te A1C o te tangata hauora he iti iho i te 5.7%. Ko te nuinga o te hunga mate huka e whai ana kia noho ki raro iho i te 7%. Engari kōrerohia tō whāinga ki tō tākuta.
- Ka pā pea ētahi atu āhuatanga hauora, pērā i te anemia, te mate tākihi, me te hāputanga, ki ō hua A1C, nō reira kia mōhio koe ki te kōrero ki tō tākuta mō tō hauora whānui.
- Kaua e mataku ina kite koe i te hua o te whakamātautau A1C. He tau noa iho. Kei reira hei ārahi i a koe. Me kōrero tonu ki tō tākuta i mua i te whakatau i tō maimoatanga me tō momo noho.
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