Ngati muli ndi matenda a shuga, kapena ngati dokotala wanu wakuuzani kuti muli pachiwopsezo chotenga matenda a shuga, mwina mwamvapo mawu akuti A1c. Uku ndi kuyesa magazi kofala kwambiri komwe ndikofunikira kwa anthu ambiri ndipo kumatipatsa chidziwitso chamtengo wapatali chokhudza kuchuluka kwa shuga m'magazi mwanu. Choncho tiyeni tikambirane zonsezi m'njira yosavuta lero.
Kodi mayeso a A1c ndi amtundu wanji?
Mwachidule, mayeso a A1c ndiye njira yayikulu yodziwira ngati munthu ali ndi matenda a shuga komanso momwe munthu amene ali kale ndi matenda a shuga akulamulira matendawa. Dokotala wanu angatchulenso kuti mayeso a hemoglobin A1c, HbA1c, kapena glycohemoglobin. Zonsezi ndi mayeso omwewo.
Mayeso a A1c amayesa kuchuluka kwa shuga m'magazi mwanu, kapena zomwe madokotala amatcha kuchuluka kwa shuga m'magazi mwanu, m'miyezi 2-3 yapitayi . Mayesowa angakupatseni lingaliro lomveka bwino la momwe dongosolo lanu lothandizira matenda a shuga likugwirira ntchito, kapena ngati mulidi ndi matenda a shuga.
Izi zili ngati avareji ya mpira wa cricket. Simungathe kudziwa ngati ndi wosewera wabwino kapena ayi kuchokera pamasewera amodzi. Mofananamo, simungathe kupeza chithunzi chonse cha momwe chithandizo chanu chimayendera bwino poyang'ana kuchuluka kwa shuga m'magazi mwanu tsiku limodzi. Ichi ndichifukwa chake mayeso a A1c, omwe amasonyeza avareji kwa miyezi ingapo, ndi ofunikira.
Ngati muli ndi matenda a shuga, ndi bwino kupita kukayezetsa A1c kawiri pachaka. Chinthu china chabwino pa mayesowa ndichakuti simuyenera kusala kudya musanamwe. Mutha kutenga mayesowa nthawi iliyonse, musanadye kapena mutadya.
Nchifukwa chiyani mayeso a A1c awa ndi ofunikira kwambiri?
Chabwino, tsopano tiyeni tiwone momwe izi zimagwirira ntchito. Taganizirani motere.
Maselo athu ofiira a m'magazi ali ndi puloteni yotchedwa hemoglobin. Ntchito yake yayikulu ndikutenga mpweya kuchokera m'mapapo ndikuugawa ku maselo m'thupi lonse.
Tsopano, shuga m'magazi mwanu (shuga) akakwera, mamolekyu a shuga amenewa amapita kukalumikizana ndi mamolekyu a hemoglobin. Zili ngati shuga womamatira ku ndodo ya maswiti. Pamene shuga m'magazi mwanu akukwera , kuchuluka kwa hemoglobin komwe kumamatira shuga kumawonjezekanso.
Kuyesa kwa A1c kumayesa kuchuluka kwa hemoglobin yanu yonse komwe kumalumikizidwa ndi shuga. Chifukwa chake, kuwerengera kwa A1c kokwera kumatanthauza kuti shuga m'magazi mwanu wakhala wokwera kwa miyezi ingapo yapitayi. Zingasonyezenso kuti muli pachiwopsezo chachikulu cha mavuto amtsogolo komanso kuti dongosolo lanu lowongolera shuga m'magazi silikugwira ntchito bwino.
Kodi ndiyenera kuchita mayesowa kangati?
Dokotala wanu nthawi zambiri amalamula mayeso a A1c awa mukangopezeka ndi matenda a shuga. Adzachitanso izi ngati mukuganiza kuti muli pachiwopsezo chotenga matenda a shuga. Zingakupatseni lingaliro la mulingo wanu woyambira. Kenako zingakuthandizeni kuwona momwe kuwongolera shuga m'magazi anu kukusinthira pakapita nthawi.
Kangati muyenera kuchita mayesowa kutengera zinthu zingapo:
- Mtundu wa matenda a shuga omwe muli nawo
- Mlingo wa kuwongolera shuga m'magazi mwanu
- Ndondomeko yanu ya chithandizo
Ngati mufotokoza bwino izi...
- Ngati muli ndi prediabetes , zomwe zikutanthauza kuti muli pachiwopsezo chachikulu chotenga matenda a shuga, nthawi zambiri mumapemphedwa kuti muchite izi kamodzi pachaka .
- Ngati muli ndi matenda a shuga amtundu wachiwiri , simukugwiritsa ntchito insulin, ndipo shuga m'magazi mwanu nthawi zambiri amakhala mkati mwa zomwe mukufuna, mutha kuchita izi pafupifupi kawiri pachaka .
- Ngati muli ndi matenda a shuga amtundu woyamba , mungafunike kuchita izi katatu kapena kanayi pachaka .
- Ngati muli ndi matenda a shuga amtundu wachiwiri ndipo mumagwiritsa ntchito insulin , kapena ngati mukuvutika kusunga shuga m'magazi mwanu mulingo woyenera, dokotala wanu angakulangizeninso kuti muchite mayesowa pafupifupi kanayi pachaka .
Kuphatikiza apo, ngati musintha dongosolo lanu la chithandizo cha matenda a shuga kapena kuyamba mankhwala atsopano, mungafunike kuyesedwa pafupipafupi kuti muwone momwe kusinthaku kwakhudzirani.
Kodi mtengo wanu wa A1c umatanthauza chiyani?
Mudzalandira zotsatira za mayeso anu ngati peresenti. Onani tebulo ili m'munsimu kuti mumvetse tanthauzo la mfundo izi.
| Mulingo wa A1c (monga peresenti) | Tanthauzo |
|---|---|
| Zochepera 5.7% | Mulingo wathanzi. (Anthu opanda matenda a shuga) |
| Pakati pa 5.7% ndi 6.4% | Matenda a shuga asanafike: Chiwopsezo chachikulu chotenga matenda a shuga. |
| 7% kapena kuchepera | Cholinga chodziwika bwino cha chithandizo cha anthu odwala matenda a shuga. Uwu ndiye mulingo woyenera wowongolera matenda a shuga kwa anthu ambiri omwe ali ndi matenda a shuga. |
| Oposa 8% | Mlingo wosalamulirika. Zingasonyeze matenda a shuga osachiritsidwa kwa nthawi yayitali kapena osalamulirika bwino. |
Ngati muli ndi matenda a shuga ndipo A1c yanu ndi yokwera kuposa momwe mukufunira, musachite mantha. Dokotala wanu mwina angakulangizeni kusintha kwa dongosolo lanu la chithandizo, mwina mankhwala kapena moyo wanu, kuti muchepetse kuchuluka kwa shuga m'magazi. Ichi ndichifukwa chake ndikofunikira nthawi zonse kukambirana ndi dokotala wanu za zotsatira zanu.
Uthenga Wopita Nawo Kunyumba
- Kuyezetsa kwa A1c (HbA1c) sikukuwonetsa kuchuluka kwa shuga m'magazi mwanu tsiku limodzi, koma kuchuluka kwa shuga m'magazi mwanu kwa miyezi 2-3 yapitayi .
- Iyi ndi njira yofunikira kwambiri yodziwira matenda a shuga ndikuwunika momwe matenda a shuga akulamuliridwira.
- Kuwonjezeka kwa A1c yanu ndi chizindikiro chakuti muli pachiwopsezo chachikulu cha mavuto a shuga mtsogolo.
- Kangati muyenera kuyezetsa matenda a shuga amenewa zimadalira mtundu wa matenda anu a shuga komanso momwe mukulamulira.
- Nthawi zonse kambiranani ndi dokotala wanu za zotsatira za A1c yanu ndi dongosolo lanu la chithandizo chamtsogolo .
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