Kua tangohia e koe tētahi pūrongo whakamātautau toto, kua tirohia ngā kupu kei runga, ā, ka whakaaro koe, "He aha tēnei?" Ko tētahi o ngā kupu ka kitea e koe i aua pūrongo ko te hemoglobin. Waihoki, ko te A1C tētahi whakamātautau ka tino rangona e koe ina kōrero ana mō te mate huka. He nui ngā kōrero a ēnei e rua mō te hauora o tō tātou tinana. Nō reira, i tēnei rā, ka kōrero tātou mō te hemoglobin me te whakamātautau A1C i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha tonu te hemoglobin?
He kupu ngāwari noa iho, he pūmua motuhake te hemoglobin e kitea ana i roto i ō tātou toto whero. He rite ki te 'ratonga tuku' e mahi ana i roto i ō tātou tinana.
Ko tāna mahi matua he kohikohi i te hāora e uru ana ki ngā pukahukahu ina manawa tātou, ā, ka tukuna ki ngā kiko puta noa i te tinana. Ka haria hoki e ia te hauhā waro e hangaia ana i roto i aua kiko ki ngā pukahukahu hei pana atu ina manawa tātou. Ko tēnei hemoglobin te mea e homai ana te tae whero ki ō tātou toto.
E whā ngā mekameka pūmua o te ngota hemoglobin. Kei ia mekameka he wāhanga e kīia ana ko te 'hēme' kei roto te rino. Ka piri ngā ngota hāora ki tēnei wāhanga kei roto te rino. Ko te tikanga tēnei, ki te kore e nui te rino i roto i tō tinana, e kore e taea e tō tinana te hanga i te hemoglobin. Kātahi ka ngoikore te kaha ki te kawe hāora puta noa i te tinana.
He aha te tikanga o te hemoglobin iti me te tiketike?
Ko te nui o te hemoglobin e hiahiatia ana e tō tātou tinana e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki te tau, te ira tangata, me te hauora whānui. Hei tauira, ko te hunga e noho ana i ngā wāhi maunga, arā, i ngā wāhi teitei, he paku teitei ake ō rātou taumata hemoglobin i te hunga e noho tata ana ki te taumata moana.
Ka inehia te hemoglobin i roto i te karamu mō ia teririta (gm/dL). Ko ngā taumata hauora noa e whai ake nei:
- Tāne: 14.0 ki te 17.5 gm/dL
- Wahine: 12.3 ki te 15.3 karamu/dL
Nā, kia kite tātou he aha ka puta mēnā ka huri ēnei taumata.
| Tūnga | Ngā take me ngā tohu |
|---|---|
| Hemoglobin iti | Ka karangatia tēnei mate ko te anemia . He maha ngā take matua e puta ai tēnei:
Ngā tohu matua: te ngenge tonu, te kiri mā, te ngenge, te mamae o te uma, te whanoke. |
| Hemoglobin teitei | I te nuinga o te wā ka puta tēnei nā te iti o te hāora i roto i te tinana mō te wā roa (hypoxia). Ka puta pea tēnei i:
Ngā tohu matua: te ānini o te upoko, te tirohanga pōuri, te whanoke, te ponana kiri, te mōrearea o te toto totoka. |
He mea nui: Ki te iti, ki te teitei rānei tō taumata hemoglobin i runga i te pūrongo, kaua e mataku, engari me toro atu ki tō tākuta kia kitea ai te tino take.
Nā, me kōrero tātou mō te whakamātautau A1C.
Ina kōrerohia te hemoglobin, ko tētahi o ngā whakamātautau tino nui e pā ana ki tēnei ko te HbA1c, e mōhiotia whānuitia ana rānei, ko te whakamātautau A1C. He whakamātautau nui tēnei hei tātaritanga i te mate huka me te kite i te pai o te whakahaere a te tangata mate huka i tōna mate.
He aha ngā kōrero a te whakamātautau A1C ki a tātou?
Whakaarohia te toharite o te patu a te kaitākaro kirikiti mō te wā katoa. Kāore e taea te kī he kaitākaro pai ia, kāore rānei, i runga i te maha o ngā oma i whiwhi ai ia i roto i te kēmu kotahi. Engari ki te tirohia tana toharite mō te wā katoa, ka taea e koe te whiwhi whakaaro pai mō tōna pūkenga.
He rite tonu te whakamātautau A1C. Engari ko te tirotiro i ō taumata huka toto i te rā kotahi, ka whakaatu tēnei whakamātautau i te āhua o ō taumata huka toto i ngā marama 2-3 kua pahure .
Me pēhea te mahi a tēnei?
Ka piri te huka (huka) i roto i ō tātou toto ki te hemoglobin i roto i ō tātou toto whero. I te pikinga ake o ngā taumata huka i roto i te toto, ka piki ake hoki te nui o te huka e piri ana ki te hemoglobin. Nā te mea ko te roanga o te ora o te toto whero he tata ki te 3 marama, ka homai e tēnei whakamātautau he pikitia pai mō ō taumata huka toto toharite i roto i ngā marama 3 kua hipa.
Ngā taumata A1C me tōna tikanga
Ka hoatu ngā hua A1C hei ōrau (%). Anei te tikanga o aua hua.
| Ōrau A1C (%) | Te tikanga |
|---|---|
| I raro iho i te 5.6% | Noa - Kāore he mate huka i a koe. |
| 5.7% ki te 6.4% | Te mate huka i mua i te mate - He nui ake tō tūponotanga ki te pāngia e te mate huka. He whakatūpato tēnei! |
| 6.5% neke atu rānei | Mate huka - Kua whakaūtia kei a koe te mate huka. |
Āhea ka noho morearea te taumata A1C?
Mena he nui ake tō taumata A1C i te 9%, he tino morearea tēnei āhua . Ko te tikanga kāore tō mate huka e taea te whakahaere. Ka nui ake te mōrearea o ngā raruraru nui pēnei i te ngaronga o te tirohanga, te ngoikore o te whatukuhu, te kino o ngā io (diabetic neuropathy), te mate ngakau, me te whiu.
Me pēhea te whakahaere i ngā taumata A1C me te hemoglobin?
I te rongoā i ēnei āhuatanga e rua, he mea nui kia kitea te pūtake. Ma tō tākuta e whakahaere ngā whakamātautau e tika ana, ā, ka tohua te maimoatanga tino tika māu.
Mena he iti te hemoglobin:
He mea tino nui te kai i ngā kai e nui ana te rino.
- Rino Heme: Mīti kau, heihei, ika (hei tauira, tuna), pāpaka, me ētahi atu mīti.
- Ngā kai tipu kāore i te heme: te pīnihi, te rēneti, te pīni pīni, te pīni soya, te tāte, te karepe maroke, te purapura paukena.
- Tohutohu nui: Ina kai koe i ngā kai he nui te rino me ngā kai he nui te huaora C (rēmana, karaka, tāne, tōmato, kuawa), ka nui ake te pai o te mimiti o te rino e te tinana.
Mena he tiketike te taumata A1C:
Ko te tikanga, ka tūtohu ngā tākuta kia noho tonu ngā taumata A1C o te hunga mate huka ki raro i te 7%. Hei mahi i tēnei:
- Whakahaere i te kai: Whakahaere i ngā kai kei roto ngā māngaro (warowaihā) (raihi, taro, rīwai, mea reka). Kai i te kai taurite. Kati rawa ngā inu huka.
- Whakangungu:Whakakorikori tinana ngāwari, pērā i te hikoi, mō te 30 meneti pea i ia rā. Mā te whakakorikori tinana ka pai ake te kaha o te tinana ki te whakamahi i te insulin.
- Ngā Rongoā: He mea nui kia tangohia ngā rongoā i tohua e te tākuta i te wā tika, me te horopeta tika hoki.
Kaua e wareware, kaua e ngana ki te mahi i tētahi o ēnei mea ko koe anake. Kōrero ki tō tākuta mō ngā huringa katoa ka mahia e koe ki tō momo noho me tō kai.
Karere Tangohia ki te Kāinga
- Ko te Hemoglobin he pūmua e kitea ana i roto i ngā toto whero e kawe ana i te hāora puta noa i ō tātou tinana.
- He tohu pea te taumata o te hemoglobin iti, teitei rānei, o te toto, nō reira he mea nui kia rapu tohutohu hauora.
- E whakaatu ana te whakamātautau A1C i te taumata huka toto toharite mō ngā marama 2-3 kua hipa.
- Mena kei waenga i te 5.7% - 6.4% te taumata A1C, he mate huka tērā. Mena he 6.5%, he nui ake rānei, he mate huka tērā.
- Mā te kai hauora, te whakakori tinana, me ngā rongoā i tohua e tō tākuta ka āwhina i te pupuri i ngā taumata hemoglobin me te A1C hauora.
- Mena he pātai āu mō ngā hua o tō whakamātautau toto, kaua e mangere ki te pātai atu ki tō tākuta.
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