Wakambotora gwaro rekuongororwa ropa here, ukatarisa mashoko ari pariri, ukati, "Chii ichi?" Rimwe remashoko aunoona pagwaro iri ihemoglobin. Zvakare, A1C bvunzo yaunonyatsonzwa kana uchitaura nezvechirwere cheshuga. Zvose izvi zvinotiudza zvakawanda nezvehutano hwemuviri wedu. Saka nhasi, tichataura nezvehemoglobin uye bvunzo yeA1C nenzira iri nyore yaunogona kunzwisisa.
Chii chaizvo chinonzi hemoglobin?
Zvichitaurwa zviri nyore, hemoglobin ipuroteni inokosha inowanikwa mumasero edu matsvuku eropa. Yakafanana ne'basa rekuendesa ropa' rinoshanda mukati memiviri yedu.
Basa rayo guru nderekuunganidza okisijeni inopinda mumapapu patinofema uye yoiendesa kumatishu emuviri wese. Inotakurawo kabhoni dhayokisaidhi inogadzirwa mumatishu iwayo kudzokera kumapapu kuti ibude patinoburitsa mweya. Iyi hemoglobin ndiyo inoita kuti ropa redu rive neruvara rutsvuku.
Molekyuru yehemoglobin inoumbwa nemacheni mana emapuroteni. Cheni imwe neimwe ine chikamu chinonzi 'heme' chine iron. Mamorekuru eokisijeni anouya obatana nechikamu ichi chine iron. Izvi zvinoreva kuti kana muviri wako usina iron yakakwana, muviri wako hauzokwanisi kugadzira hemoglobin yakakwana. Ipapo kugona kutakura okisijeni mumuviri wese kuchakanganiswa.
Chii chinorehwa nemazinga e hemoglobin akaderera uye akakwira?
Huwandu hwehemoglobin inodiwa nemuviri wedu hunoenderana nezvinhu zvakawanda, zvinosanganisira zera, murume kana mukadzi, uye hutano hwese. Semuenzaniso, vanhu vanogara munzvimbo dzine makomo, ndiko kuti, munzvimbo dzakakwirira, vane huwandu hwehemoglobin hwakakwira zvishoma pane avo vanogara pedyo negungwa.
Hemoglobin inoyerwa mumagiramu pa deciliter (gm/dL). Mazinga ehutano akajairika ndeaya anotevera:
- Varume: 14.0 kusvika 17.5 g/dL
- Vakadzi: 12.3 kusvika 15.3 g/dL
Zvino ngationei zvinoitika kana mazinga aya akachinja.
| Chinzvimbo | Zvinokonzera uye zviratidzo |
|---|---|
| Hemoglobin Yakaderera | Tinowanzoti chirwere ichi chinonzi anemia . Pane zvikonzero zvikuru zvakawanda zvinoita kuti izvi zviitike:
Zviratidzo zvikuru: kuneta nguva dzose, kucheneruka, kuneta, kurwadziwa muchipfuva, dzungu. |
| Hemoglobin Yakawanda | Izvi zvinowanzoitika nekuda kwekusakwana kwenguva refu kwemweya mumuviri (hypoxia). Zvinogona kukonzerwa ne:
Zviratidzo zvikuru: musoro, kuona zvisipo, dzungu, mapundu paganda, njodzi yekugwamba kweropa. |
Zvakakosha: Kana huwandu hwe hemoglobin yako huri pasi kana kuti hwakakwira pamushumo, usavhunduke, asi ona chiremba wako kuti azive chikonzero chaicho.
Zvino ngatitaurei nezvebvunzo yeA1C.
Kana tichitaura nezve hemoglobin, imwe yemiedzo yakakosha ine chekuita nayo iHbA1c, kana kuti sezvatinozviziva tese, bvunzo yeA1C. Iyi bvunzo yakakosha yekuongorora chirwere cheshuga uye kuona kuti munhu ane chirwere cheshuga ari kubata sei chirwere chake.
Kuongororwa kweA1C kunotiudzei?
Funga nezveavhareji yekurova kwemutambi wekiriketi kwemwaka wese. Haugone kuziva kana ari mutambi akanaka kana kwete zvichibva pamapoinzi aanokora mumutambo mumwe chete. Asi kana ukatarisa avhareji yake yemwaka wese, unogona kuwana pfungwa yakanaka yehunyanzvi hwake.
Kuongororwa kweA1C kwakafanana. Pane kutarisa huwandu hweshuga muropa rako pazuva rimwe chete, bvunzo iyi inoratidza kuti huwandu hweshuga muropa rako hwave hwakaita sei mumwedzi miviri kusvika mitatu yapfuura .
Izvi zvinoshanda sei?
Shuga (glucose) muropa redu inonamirana nehemoglobin iri mumasero edu matsvuku eropa. Sezvo huwandu hweshuga muropa huchiwedzera, huwandu hweshuga hunonamirana nehemoglobin hunowedzerawo. Sezvo avhareji yehupenyu hwesero dzvuku reropa iri mwedzi mitatu, bvunzo iyi inopa mufananidzo wakanaka weavhareji yehuwandu hweshuga muropa rako mumwedzi mitatu yapfuura.
Mazinga eA1C uye zvazvinoreva
Mhedzisiro yeA1C inopiwa sechikamu (%). Heino zvinoreva mhedzisiro iyoyo.
| Chikamu cheA1C (%) | Zvinoreva |
|---|---|
| Zvisingasviki 5.6% | Zvakajairika - Hauna chirwere cheshuga. |
| 5.7% kusvika 6.4% | Prediabetes - Uri panjodzi huru yekubatwa nechirwere cheshuga. Iyi inyevero! |
| 6.5% kana kupfuura | Chirwere cheshuga - Une chokwadi chekuti une chirwere cheshuga. |
Level yeA1C inova nengozi rini?
Kana huwandu hweA1C yako hwakakwira kupfuura 9%, chirwere chine njodzi zvikuru . Zvinoreva kuti chirwere chako cheshuga hachina kudzoreka zvachose. Izvi zvinowedzera njodzi yezvinetso zvakakomba zvakaita sekurasikirwa nekuona, kutadza kushanda kweitsvo, kukuvara kwetsinga (diabetic neuropathy), chirwere chemwoyo, uye sitiroko.
Nzira yekudzora huwandu hweA1C uye hemoglobin?
Pakurapa zvirwere izvi zvose, zvakakosha kuwana chikonzero chaicho. Chiremba wako achaita bvunzo dzinodiwa uye achakupa mushonga wakakodzera.
Kana hemoglobin yakaderera:
Kudya chikafu chine iron yakawanda kwakakosha zvikuru.
- Heme Iron: Nyama yemombe, huku, hove (semuenzaniso tuna), shrimp, nedzimwe nyama.
- Iron isina heme inowanikwa muzvikafu zvemiti: sipinachi, nyemba, nyemba, soya, mazambiringa akaomarara, mhodzi dzemanhanga.
- Zano rakakosha: Kana ukadya chikafu chine iron yakawanda pamwe chete nechikafu chine vhitamini C yakawanda (remoni, maranjisi, tangerines, madomasi, magwava), kupinza iron mumuviri kunoshanda zvakanyanya.
Kana huwandu hweA1C hwakakwira:
Vanachiremba vanowanzo kurudzira vanhu vane chirwere cheshuga kuti vachengetedze huwandu hwavo hweA1C huri pasi pe7%. Kuti vaite izvi:
- Kudzora kudya: Dzora kudya zvine starch (makabhohaidhiretsi) (mupunga, chingwa, mbatatisi, zvihwitsi). Idya kudya kwakaringana. Rega zvinwiwa zvine shuga zvachose.
- Kurovedza muviri:Ita maekisesaizi ane mwero, akadai sekufamba netsoka, kwemaminitsi makumi matatu pazuva. Maekisesaizi anovandudza kugona kwemuviri kushandisa insulin.
- Mishonga: Zvakakosha kutora mishonga yakanyorerwa nachiremba panguva yakakodzera uye nemuyero wakakodzera.
Musakanganwa, musaedza kuita chero chimwe cheizvi muri mega. Taurai nachiremba wenyu nezvekuchinja kwamunoita mararamiro enyu nekudya kwenyu.
Mharidzo Yekuenda Nayo Kumba
- Hemoglobin ipuroteni inowanikwa mumasero matsvuku eropa inotakura okisijeni mumiviri yedu yese.
- Kuderera kana kukwira kwe hemoglobin kunogona kuva chiratidzo chekushaya ropa, saka zvakakosha kutsvaga rubatsiro rwechiremba.
- Kuongororwa kweA1C kunoratidza huwandu hweshuga muropa rako mumwedzi miviri kusvika mitatu yapfuura.
- Kana huwandu hweA1C huri pakati pe5.7% - 6.4%, zvinoreva prediabetes. Kana huri 6.5% kana kupfuura, zvinoreva chirwere cheshuga.
- Kudya zvine hutano, kurovedza muviri, uye mishonga yakanyorerwa nachiremba wako zvinogona kubatsira kuchengetedza hemoglobin nemazinga eA1C ane hutano.
- Kana muine mibvunzo nezvemhedzisiro yekuongororwa kweropa renyu, musazeza kubvunza chiremba wenyu.
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