Uri kutora mishonga yechirwere cheshuga here? Kana kuti pane mumwe munhu mumhuri mako ane chirwere cheshuga here? Saka unofanira kunge wakanzwa nezvebvunzo inonzi 'A1C'. Vanachiremba vanogara vachikukumbira kuti uite bvunzo iyi, handiti? Dzimwe nguva, paunoona kukosha kuri mumushumo uyu, unotya zvishoma. Saka, nhasi tichataura zviri nyore uye zvine hushamwari nezveA1C iyi, kuti inoyera chii chaizvo, uye kuti tinofanira kunzwisisa sei mhedzisiro yayo.
Zvichitaurwa zviri nyore, chii chinonzi bvunzo yeA1C?
Kuongororwa kweA1C bvunzo yeropa iri nyore inoyera huwandu hweshuga muropa rako mumwedzi mitatu yapfuura. Mhedzisiro yacho inopiwa sechikamu. Chikamu chakakwira, huwandu hweshuga muropa rako hunokwirawo.
Funga nezvazvo nenzira iyi. Paunoongorora shuga yako yeropa uchishandisa glucometer kumba, unongowana mufananidzo wehuwandu hweshuga yako yeropa panguva iyoyo. Zvakafanana nehuwandu hwemapoinzi anowanikwa mubhora rimwe chete mumutambo wecricket. Asi bvunzo yeA1C haina kudaro. Zvakafanana neavhareji yekurova yemubatsi mukati memutambo wese. Izvi zvinoreva kuti tinogona kuona mufananidzo mukuru, kwete kwezuva rimwe chete, asi kwemwedzi mitatu .
Bvunzo iyi inodanwa nemamwe mazita akati wandei. Mushumo wako unogona zvakare kuinyora seizvi:
- Hemoglobin A1C
- HbA1c
- Hemoglobin ine glycated
- Kuedzwa kweGlycohemoglobin
Sei tichiita bvunzo iyi yeA1C?
Vanachiremba vanoshandisa bvunzo iyi nekuda kwezvikonzero zvikuru zvakati wandei.
- Ziva prediabetes: Izvi zvinokubatsira kuziva pachine nguva kana uri panjodzi huru yekubatwa nechirwere cheshuga.
- Kuongorora Chirwere Cheshuga Cherudzi rwechipiri: Iyi ndiyo bvunzo huru yekuona kana munhu ane zviratidzo zvechirwere cheshuga.
- Ona kuti chirwere chako cheshuga chiri kudzorwa sei: Kana uri kutorapwa chirwere cheshuga (Type 1 kana Type 2), izvi zvinogona kukubatsira kuona kuti chirongwa chako chekurapa (mishonga, kudya, kurovedza muviri) chiri kushanda sei. Zvichienderana neA1C yako, iwe nachiremba wako munogona kusarudza kana muchida kuchinja chero chirongwa chenyu chekurapa.
A1C inoverengwa sei? Ngatizvitarisei zvishoma nesainzi.
Kuti tinzwisise izvi, tinofanira kutanga taziva zvishoma nezvemasero matsvuku eropa ari muropa redu.
Mukati memasero edu matsvuku eropa mune puroteni inonzi hemoglobin . Funga nezvazvo sebhazi rinotakura okisijeni mumuviri wedu wese. Iye zvino, shuga inobva muchikafu chatinodya inowedzerwa muropa redu. Glucose iyi iri muropa inonamira kubhazi re hemoglobin. Tinoidaidza kuti glycation.Izvozvo.
Sezvo huwandu hweshuga muropa rako huchiwedzera, huwandu hweshuga inobatanidzwa nehemoglobin hunowedzerawo. Chinonyanya kukosha ndechekuti shuga iyi inobatanidzwa inoramba iripo kwehupenyu hwesero dzvuku reropa (inova mazuva makumi mapfumbamwe, kana mwedzi mitatu).
Saka zvinoitwa neA1C test ndeyekuyera kuti ingani chikamu chehemoglobin yese iri muprotein yehemoglobin ine shuga. Ndosaka tichigona kuwana avhareji yemwedzi mitatu kubva pane izvi.
Zvichitaurwa zviri nyore, A1C inoyera "kutapira" kweshuga yako muropa mumwedzi mitatu yapfuura.
Pane gadziriro inodiwa here usati wanyora bvunzo iyi?
Kwete. Iyi ndiyo nzira iri nyore yebvunzo iyi. Hamufanirwe kutsanya kwemaawa akawanda musati maita bvunzo yeA1C. Munogona kuita bvunzo iyi chero nguva yezuva.
Nzira mbiri dzekuita bvunzo
Pane nzira mbiri huru dzekuita bvunzo yeA1C. Chiremba wako ndiye achasarudza nzira yakakodzera zvichienderana nezvaunoda.
| Nzira yekuedza | Kuti zvinoitika sei uye ruzivo |
|---|---|
| 1. Kuongororwa kweRopa reTshipa | Iyi ndiyo nzira inonyanya kushandiswa uye yakarurama . Munzira iyi, munhu akadzidziswa (phlebotomist) anoisa tsono diki mutsinga iri paruoko rwako pedyo negokora rako uye anodhonza ropa shoma muchubhu. Ropa rinozotumirwa kurabhoritari kuti riongororwe. Nzira iyi inowanzo shandiswa kuongorora chirwere. |
| 2. Kuedzwa kweKubaya Neminwe | Pano, tsono diki inonzi lancet inoshandiswa kubaya muromo wemunwe wako wobva wawana donhwe reropa. Mhedzisiro yacho inogona kuzivikanwa mukati memaminitsi mashoma. Zvisinei, nzira iyi haina kukodzera zvakanyanya pakuongorora zvirwere . Inowanzo shandiswa chete kuona nekukurumidza kuti munhu ane chirwere cheshuga ari kurapwa zvakanaka sei. |
Mushumo wako weA1C unorevei?
Zvakanaka, tasvika pachikamu chakakosha. Ko chikamu chiri mumushumo wako chinorevei?
Pakuongorora chirwere, A1C values inowanzo kurongwa seizvi:
| Kukosha kweA1C (muzana) | Zvinoreva |
|---|---|
| Zvisingasviki 5.7% | Hauna chirwere cheshuga. (Hutano hwakanaka) |
| Pakati pe5.7% ne6.4% | Prediabetes . Izvi zvinoreva kuti une mukana mukuru wekuva nechirwere cheshuga. Unogona kuderedza njodzi iyi nekuchinja mararamiro ako. |
| 6.5% kana kupfuura | Izvi zvinowanzoonekwa sechirwere cheshuga . Chiremba anogona kuraira mimwe miedzo kuti asimbise izvi. |
Chinangwa chemunhu ane chirwere cheshuga ndechei?
Kana uchitova nechirwere cheshuga, chinangwa chako cheA1C chinoenderana nezera rako, hutano hwako, nezvimwe zvinhu. Haugone kuzvisarudzira chinangwa ichocho wega. Unofanira kutaura nachiremba wako kuti akuudze chinangwa chakakunakira.
Zvisinei, kazhinji, zano rinopihwa vanhu vakuru vazhinji vane chirwere cheshuga nderekuti vachengetedze A1C yavo iri pasi pe7% . Kuchengetedza huwandu uhu kunogona kudzivirira matambudziko mazhinji anogona kuitika nekuda kwechirwere cheshuga.
Ndeipi njodzi dzekuva neA1C level yakakwira?
Kuva nemazinga eA1C akakwira kwenguva yakareba kunogona kukuvadza nhengo dzakasiyana dzemuviri. Izvi zvakafanana nekupwanya simbi mumushonga une shuga yakawanda. Mhedzisiro huru inogona kuva:
- Maziso (Retinopathy): Kurasikirwa nekuona kana upofu zvinogona kuitika.
- Itsvo (Nephropathy): Inogona kukonzera kutadza kushanda kweitsvo.
- Neuropathy: Zvirwere zvakaita sekunzwa kusanzwa, kurwadziwa, uye kurasikirwa nemanzwiro mumakumbo zvinogona kuitika.
- Mwoyo netsinga dzeropa: Njodzi yekubatwa nechirwere chemwoyo nestroke inowedzera.
- Gastroparesis: Kushanda kwedumbu kunogona kukanganisa.
Ndosaka tichiti A1C haisi nhamba chete, asi chiratidzo chakakosha chehutano hwako hweramangwana.
Pane zvimwe zvinhu zvinokanganisa mhedzisiro yebvunzo yeA1C here?
Ehe. Dzimwe nguva mhedzisiro yako yeA1C inogona kunge yakaderera kana kuti yakakwira kupfuura huwandu hweshuga yako chaiyo muropa. Pane zvikonzero zvakawanda nei izvi zvingave zvakadaro.
| Mamiriro ezvinhu apo kukosha kweA1C kunogona kuratidzwa zvisiri izvo | Mienzaniso |
|---|---|
| Zvakaderera Zvisiri Zvechokwadi |
|
| Zvakanyanya Kukwirira |
|
Pamusoro pezvo, zvirwere zvemajini zvinonzi hemoglobin variants zvinogonawo kukonzera kuti mhedzisiro yeA1C isiyane. Kana uine chirwere chakadai seanemia kana kuti usina chokwadi nezvemhedzisiro yako yeA1C, iva nechokwadi chekuudza chiremba wako. Iye achafunga nezvezvinhu izvozvo kuti aongorore mhedzisiro yako nemazvo.
Kukosha kweA1C chete kwakakwana here kuyera kudzora chirwere cheshuga?
A1C chiyero chakakosha uye chinobatsira chatakashandisa kwemakumi emakore. Asi nhasi uno, nekufambira mberi kwetekinoroji, kune nzira dzinotipa mufananidzo wakadzama.
Fungidzira izvi: A1C yemumwe munhu i7%. Pane nzira mbiri dzinogona kuitika.
1. Huwandu hweshuga muropa remunhu hunogona kugara hwakagadzikana hunosvika 154 mg/dL.
2. Kana kuti, huwandu hweshuga muropa remunhu hunogona kuchinja-chinja zvakanyanya mukati mezuva (semuenzaniso, kusvika pa300 uye wozodzokera pa50). Avhareji yekuchinja-chinja uku kukuru inogona kusvika pa7%.
Unoona, handiti? Kunyangwe kukosha kweA1C kwakafanana, musiyano mukudzora kwavo shuga muropa wakakura. Muviri wemunhu wechipiri unokuvadzwa zvakanyanya.
Apa ndipo panopinda michina yeContinuous Glucose Monitoring (CGM) pamwe nechiyereso chinonzi Time in Range (TIR) . CGM inogona kuteedzera kuti huwandu hweshuga muropa rako hunochinja sei mukati mezuva. TIR inoyera kuti huwandu hweshuga muropa rako huri mukati menguva yakati rebei (semuenzaniso, 70-180 mg/dL).
Kunyangwe idzi dziri nzira dzepamusoro-soro kupfuura A1C, bvunzo yeA1C ndiyo inonyanya kuitwa uye iri nyore, uye inonyanya kukosha muSri Lanka.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweA1C kuongororwa kweropa kwakakosha kunokuudza nezveavhareji yehuwandu hweshuga muropa rako mumwedzi mitatu yapfuura.
- Izvi zvinobatsira kuona chirwere cheshuga uye chirwere cheshuga chisati chatanga, uye kuyera kubudirira kwekurapwa kwemunhu ane chirwere cheshuga.
- A1C yemunhu ane hutano iri pasi pe5.7%. Vanhu vazhinji vane chirwere cheshuga vanovavarira kuchengetedza iri pasi pe7%. Asi kurukurai chinangwa chenyu nachiremba wenyu.
- Zvimwe zvirwere zvehutano, zvakaita sekushaya ropa, chirwere cheitsvo, uye pamuviri, zvinogona kukanganisa mhedzisiro yako yeA1C, saka iva nechokwadi chekuudza chiremba wako nezvehutano hwako hwese.
- Usatya kana ukaona mhinduro yeA1C. Ingori nhamba chete. Iripo kuti ikutungamirire. Gara uchitaura nachiremba wako usati waita sarudzo nezvekurapa kwako uye mararamiro ako.
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