Ukuba unesifo seswekile, okanye ukuba ugqirha wakho ukuxelele ukuba usemngciphekweni wokuba nesifo seswekile, mhlawumbi ukhe weva igama elithi A1c. Olu luvavanyo lwegazi oluqhelekileyo olubalulekileyo kubantu abaninzi kwaye lusinika ulwazi oluxabisekileyo malunga namanqanaba eswekile egazini lakho. Ngoko ke masithethe ngayo yonke le nto ngendlela elula namhlanje.
Luhlobo luni lovavanyo lwe-A1c?
Ngamafutshane, uvavanyo lwe-A1c yeyona ndlela iphambili yokufumanisa ukuba umntu unesifo seswekile na kunye nokuba umntu osele enesifo seswekile ulawula kangakanani na. Ugqirha wakho angalubiza ngokuba luvavanyo lwe-hemoglobin A1c, HbA1c, okanye i-glycohemoglobin. Zonke ezi zivavanyo ezifanayo.
Uvavanyo lwe-A1c lulinganisa inqanaba leswekile egazini lakho, okanye oko oogqirha bakubiza ngokuba linqanaba leswekile egazini lakho, kwiinyanga ezi-2-3 ezidlulileyo . Olu vavanyo lunokukunika umbono ocacileyo wokuba isicwangciso sakho sonyango lweswekile sisebenza kakuhle kangakanani, okanye ukuba unesifo seswekile ngokwenene.
Oku kufana nomyinge wokubetha komdlali wekhilikithi. Awunakwazi ukubona ngqo ukuba ungumdlali olungileyo okanye akunjalo kumdlalo omnye. Ngokufanayo, awunakufumana umfanekiso opheleleyo wokuba unyango lwakho luphumelele kangakanani ngokujonga amanqanaba eswekile egazini lakho ngosuku olunye. Yiyo loo nto uvavanyo lwe-A1c, olubonisa umyinge kwiinyanga ezininzi, lubalulekile.
Ukuba unesifo seswekile, licebo elihle ukwenza uvavanyo lwe-A1c ubuncinane kabini ngonyaka. Enye into entle ngolu vavanyo kukuba akufuneki uzile ukutya ngaphambi kokuba ulwenze. Ungalwenza nangaliphi na ixesha losuku, ngaphambi okanye emva kokutya.
Kutheni olu vavanyo lwe-A1c lubaluleke kangaka?
Kulungile, ngoku masibone ukuba oku kusebenza njani. Cinga ngale ndlela.
Iiseli zethu ezibomvu zegazi ziqulathe iproteni ebizwa ngokuba yihemoglobin. Umsebenzi wayo ophambili kukuthatha ioksijini emiphungeni ize iyisasaze kwiiseli emzimbeni wonke.
Ngoku, xa amanqanaba eswekile yegazi lakho (iglucose) enyuka, la mamolekyuli eswekile ayahamba aze anamathele kuloo molekyuli yehemoglobin. Kufana neswekile enamathela kwincam yelekese. Njengoko amanqanaba eswekile egazini lakho esanda , ubungakanani behemoglobin eneswekile enamathele kuyo buyanda.
Uvavanyo lwe-A1c lulinganisa ukuba ingakanani i-hemoglobin yakho iyonke ebotshelelwe kwiswekile. Ngoko ke ukufundwa kwe-A1c ephezulu kuthetha ukuba iswekile yakho yegazi ibiphezulu kwiinyanga ezimbalwa ezidlulileyo. Kungabonisa nokuba usemngciphekweni omkhulu weengxaki ezizayo kwaye isicwangciso sakho sokulawula iswekile yegazi asisebenzi kakuhle.
Ndifanele ndilwenze kangaphi olu vavanyo?
Ugqirha wakho uhlala eyalela olu vavanyo lwe-A1c xa ufunyaniswa ukuba unesifo seswekile okokuqala. Baya kukwenza oko ukuba ucinga ukuba usemngciphekweni wokuba nesifo seswekile. Oku kunokukunika umbono wenqanaba lakho lokuqala. Kunokukunceda ubone indlela ulawulo lwakho lweswekile egazini olutshintsha ngayo ngokuhamba kwexesha.
Ukuba kufuneka wenze olu vavanyo kangaphi kuxhomekeke kwizinto ezininzi:
- Uhlobo lwesifo seswekile onaso
- Inqanaba lolawulo lweswekile yakho egazini
- Isicwangciso sakho sonyango
Ukuba ucacisa oku ngakumbi...
- Ukuba une -prediabetes , oko kuthetha ukuba usemngciphekweni omkhulu wokuba nesifo seswekile, uya kucelwa ukuba wenze olu vavanyo malunga kanye ngonyaka .
- Ukuba unesifo seswekile sohlobo lwesibini , awusebenzisi i-insulin, kwaye amanqanaba eswekile egazini lakho ahlala ephakathi koluhlu olujoliswe kulo, ungakwenza oku malunga kabini ngonyaka .
- Ukuba unesifo seswekile sohlobo loku-1 , kunokufuneka ukwenze oku kathathu okanye kane ngonyaka .
- Ukuba unesifo seswekile sohlobo lwesibini kwaye usebenzisa i-insulin , okanye ukuba unengxaki yokugcina amanqanaba eswekile egazini lakho kuluhlu olujoliswe kulo, ugqirha wakho unokukucebisa ukuba wenze olu vavanyo malunga namaxesha amane ngonyaka .
Ukongeza, ukuba utshintsha isicwangciso sakho sokunyanga isifo seswekile okanye uqala amayeza amatsha, unokufuna ukwenza olu vavanyo rhoqo ukuze ubone ukuba utshintsho lukuchaphazele njani.
Lithetha ukuthini ixabiso lakho le-A1c?
Uza kufumana iziphumo zovavanyo lwakho njengepesenti. Jonga itheyibhile engezantsi ukuze uqonde ukuba la maxabiso athetha ukuthini.
| Inqanaba le-A1c (njengepesenti) | Intsingiselo |
|---|---|
| Ngaphantsi kwe-5.7% | Inqanaba elisempilweni. (Abantu abangenaso isifo seswekile) |
| Phakathi kwe-5.7% kunye ne-6.4% | I-Prediabetes: Ingozi ephezulu yokuba nesifo seswekile. |
| 7% okanye ngaphantsi | Injongo yonyango eqhelekileyo kubantu abanesifo seswekile. Eli linqanaba lolawulo elicetyiswayo kubantu abaninzi abanesifo seswekile. |
| Ngaphezulu kwe-8% | Inqanaba elingalawulekiyo. Lisenokubonisa isifo seswekile esinganyangwanga ixesha elide okanye esingalawulwa kakuhle. |
Ukuba unesifo seswekile kwaye i-A1c yakho iphezulu kuneyona nto ubuyilindele, ungoyiki. Ugqirha wakho usenokucebisa utshintsho kwisicwangciso sakho sonyango, mhlawumbi amayeza okanye indlela yokuphila, ukuze wehlise amanqanaba akho. Yiyo loo nto kubalulekile ukuba uhlale uxoxa ngeziphumo zakho nogqirha wakho.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-A1c (HbA1c) alubonisi amanqanaba eswekile egazini lakho ngosuku olunye, kodwa lubonisa amanqanaba eswekile egazini lakho aqhelekileyo kwiinyanga ezi-2-3 ezidlulileyo .
- Olu luvavanyo olubalulekileyo lokufumanisa isifo seswekile kunye nokujonga ukuba isifo seswekile silawulwa kakuhle kangakanani na.
- Ukunyuka kwamanqanaba akho e-A1c luphawu lokuba usengozini enkulu yokuba neengxaki zesifo seswekile kwixesha elizayo.
- Ukuba kufuneka wenze olu vavanyo kangaphi kuxhomekeke kuhlobo lwakho lwesifo seswekile kunye nenqanaba lolawulo.
- Soloko uxoxa nogqirha wakho ngeziphumo zakho ze-A1c kunye nesicwangciso sonyango lwexesha elizayo .
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