Ingabe uthatha imithi yesifo sikashukela? Noma ingabe ukhona emndenini wakho onesifo sikashukela? Khona-ke kumelwe ukuthi uke wezwa ngokuhlolwa okubizwa ngokuthi 'i-A1C'. Odokotela bahlala bekucela ukuthi wenze lokhu kuhlolwa, akunjalo? Ngezinye izikhathi, uma ubona amanani kulo mbiko, uyesaba kancane. Ngakho-ke, namuhla sizokhuluma kalula futhi ngobungane ngokuthi iyini le A1C, ukuthi empeleni iyilinganisani, nokuthi kufanele siyiqonde kanjani imiphumela yayo.
Kalula nje, kuyini ukuhlolwa kwe-A1C?
Ukuhlolwa kwe-A1C kuyindlela elula yokuhlola igazi elinganisa izinga lakho elijwayelekile likashukela egazini ezinyangeni ezintathu ezedlule. Imiphumela inikezwa njengephesenti. Uma iphesenti liphezulu, izinga likashukela egazini lakho liphezulu.
Cabanga ngale ndlela. Uma uhlola ushukela wakho wegazi nge-glucometer ekhaya, uthola isithombe esincane sezinga lakho likashukela egazini ngaleso sikhathi. Kufana nenani lama-runs atholwe ebholeni elilodwa emdlalweni wekhilikithi. Kodwa ukuhlolwa kwe-A1C akufani nalokho. Kufana nesilinganiso sokushaya somshayi phakathi nomqhudelwano wonke. Lokho kusho ukuthi singabona isithombe esikhulu, hhayi nje usuku olulodwa, kodwa izinyanga ezintathu .
Lolu vivinyo lubizwa ngamanye amagama amaningana. Umbiko wakho ungase futhi ulubhale kanje:
- I-Hemoglobin A1C
- I-HbA1c
- I-hemoglobin ene-glycated
- Ukuhlolwa kwe-Glycohemoglobin
Kungani senza lokhu kuhlolwa kwe-A1C?
Odokotela basebenzisa lolu vivinyo ngezizathu eziningana eziyinhloko.
- Thola isifo sikashukela sangaphambi kwesikhathi: Lokhu kukusiza ukuthi wazi kusenesikhathi uma usengozini enkulu yokuba nesifo sikashukela.
- Ukuhlonza Isifo Sikashukela Sohlobo 2: Lokhu ukuhlolwa okubalulekile ukuqinisekisa ukuthi umuntu onezimpawu unesifo sikashukela.
- Bona ukuthi isifo sakho sikashukela silawulwa kanjani: Uma usuvele welashwa isifo sikashukela (Uhlobo 1 noma Uhlobo 2), lokhu kungakusiza ukuthi uhlole ukuthi uhlelo lwakho lokwelashwa (imithi, ukudla, ukuvivinya umzimba) lusebenza kahle kangakanani. Ngokusekelwe enanini lakho le-A1C, wena nodokotela wakho ninganquma ukuthi udinga ukwenza noma yiziphi izinguquko ohlelweni lwakho lokwelashwa.
I-A1C ibalwa kanjani? Ake siyibheke kancane ngokwesayensi.
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngamaseli abomvu egazini lethu.
Ngaphakathi kwamangqamuzana ethu abomvu egazi kukhona iphrotheni ebizwa ngokuthi i-hemoglobin . Cabanga ngayo njengebhasi elithwala umoya-mpilo emizimbeni yethu yonke. Manje, ushukela (ushukela) ovela ekudleni esikudlayo uyangezwa egazini lethu. Lo shukela osegazini unamathela ku-hemoglobin bus. Sibiza le nqubo ngokuthi i-glycation.Lokho.
Njengoba izinga likashukela egazini lakho likhuphuka, inani likashukela elibopha i-hemoglobin nalo liyakhula. Okubalulekile ukuthi leli shukela elibophayo lihlala lapho impilo yeseli elibomvu legazi (okuyizinsuku ezingama-90, noma cishe izinyanga ezi-3).
Ngakho-ke okwenziwa ukuhlolwa kwe-A1C ukukala ukuthi yiliphi iphesenti le-hemoglobin iyonke eliyi-protein ye-hemoglobin eboshelwe ushukela. Yingakho singathola isilinganiso sezinyanga ezintathu kulokhu.
Kalula nje, i-A1C ilinganisa "ubumnandi" boshukela egazini lakho ezinyangeni ezintathu ezedlule.
Ingabe kukhona ukulungiselela okudingekayo ngaphambi kokwenza lolu vivinyo?
Cha. Lokhu kulula kakhulu kwalokhu kuhlolwa. Akudingeki uzile ukudla amahora amaningi ngaphambi kokwenza ukuhlolwa kwe-A1C. Ungathatha lokhu kuhlolwa nganoma yisiphi isikhathi sosuku.
Izindlela ezimbili zokwenza isivivinyo
Kunezindlela ezimbili eziyinhloko zokwenza isivivinyo se-A1C. Udokotela wakho uzonquma indlela efaneleke kakhulu ngokusekelwe ezidingweni zakho.
| Indlela yokuhlola | Indlela okwenzeka ngayo kanye nolwazi |
|---|---|
| 1. Ukuhlolwa Kwegazi Lemithambo | Lena yindlela evame kakhulu futhi enembe kakhulu . Kule ndlela, umuntu oqeqeshiwe (i-phlebotomist) ufaka inalithi encane emthanjeni ongalweni yakho eduze kwengqiniba yakho bese edonsa inani elincane legazi epayipini. Isampula yegazi bese ithunyelwa elabhorethri ukuze ihlolwe. Le ndlela ivame ukusetshenziselwa ukuxilonga isifo. |
| 2. Ukuhlolwa Kokuhlaba Ngeminwe | Lapha, inaliti encane ebizwa ngokuthi i-lancet isetshenziswa ukuhlaba umunwe wakho bese uthola ithonsi legazi. Imiphumela ingaziwa ngemizuzu embalwa. Kodwa-ke, le ndlela ayifaneleki kakhulu ekuxilongeni izifo . Ngokuvamile isetshenziswa kuphela ukuhlola ngokushesha ukuthi umuntu onesifo sikashukela usephathwa kahle kangakanani. |
Usho ukuthini umbiko wakho we-A1C?
Kulungile, manje sesifika engxenyeni ebaluleke kakhulu. Lisho ukuthini iphesenti embikweni wakho?
Uma kutholakala isifo, amanani e-A1C avame ukuhlukaniswa kanje:
| Inani le-A1C (iphesenti) | Incazelo |
|---|---|
| Ngaphansi kuka-5.7% | Awunaso isifo sikashukela. (Izinga eliphilile) |
| Phakathi kuka-5.7% no-6.4% | I-Prediabetes . Lokhu kusho ukuthi usengozini enkulu yokuba nesifo sikashukela. Unganciphisa le ngozi ngokwenza izinguquko endleleni yokuphila. |
| 6.5% noma ngaphezulu | Lokhu kuvame ukutholakala njengesifo sikashukela . Udokotela angase acele ukuhlolwa okwengeziwe ukuqinisekisa lokhu. |
Uyini umgomo womuntu onesifo sikashukela?
Uma usuvele unesifo sikashukela, umgomo wakho we-A1C uzoncika eminyakeni yakho, empilweni yakho, nakwezinye izici. Awukwazi ukuzibekela lowo mgomo wedwa. Kufanele ukhulume nodokotela wakho ukuze athole umgomo ofanele wena.
Kodwa-ke, ngokuvamile, iseluleko esinikezwa abantu abadala abaningi abanesifo sikashukela ukuthi bagcine i-A1C yabo ingaphansi kuka-7% . Ukugcina leli zinga kungavimbela izinkinga eziningi ezingabangelwa isifo sikashukela.
Yiziphi izingozi zokuba nezinga eliphezulu le-A1C?
Ukuba namazinga aphezulu e-A1C isikhathi eside kungalimaza izitho ezahlukene emzimbeni. Lokhu kufana nokugqwala ucezu lwensimbi esixazululweni esinoshukela omningi. Imiphumela eyinhloko ingaba:
- Amehlo (i-Retinopathy): Ukulahlekelwa umbono noma ubumpumputhe kungenzeka.
- Izinso (Nephropathy): Zingabangela ukwehluleka kwezinso.
- I-Neuropathy: Izimo ezinjengokungazweli, ubuhlungu, kanye nokulahlekelwa umuzwa ezithweni zingaba khona.
- Inhliziyo nemithambo yegazi: Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi iyanda.
- I-Gastroparesis: Ukusebenza kwesisu kungase kuphazamiseke.
Yingakho sithi i-A1C akuyona nje inombolo, kodwa iyinkomba ebalulekile yempilo yakho yesikhathi esizayo.
Ingabe zikhona ezinye izinto ezithinta imiphumela yokuhlolwa kwe-A1C?
Yebo. Ngezinye izikhathi imiphumela yakho ye-A1C ingaba ngaphansi noma iphakeme ngokungeyikho kunezinga lakho langempela likashukela egazini. Kunezizathu eziningana zokuthi kungani lokhu kungaba njalo.
| Izimo lapho amanani e-A1C angaboniswa khona ngokungalungile | Izibonelo |
|---|---|
| Okuphansi Ngamanga |
|
| Okuphakeme Ngamanga |
|
Ngaphezu kwalokho, izimo zofuzo ezibizwa ngokuthi i-hemoglobin variants nazo zingabangela ukuthi imiphumela ye-A1C ihluke. Uma unesifo esifana ne-anemia noma ungaqiniseki ngomphumela wakho we-A1C, qiniseka ukuthi utshela udokotela wakho. Uzocabangela lezo zici ukuze enze ukuhlolwa okunembile kwemiphumela yakho.
Ingabe inani le-A1C lodwa lanele ukukala ukulawulwa kwesifo sikashukela?
I-A1C iyisilinganiso esibaluleke kakhulu nesiwusizo esisisebenzise amashumi eminyaka. Kodwa namuhla, ngentuthuko kwezobuchwepheshe, kunezindlela ezisinika isithombe esinemininingwane eminingi.
Cabanga ngalokhu: I-A1C yomunye umuntu ingu-7%. Kunezindlela ezimbili ezingenzeka ngazo.
1. Izinga likashukela egazini lomuntu lingase lihlale lizinzile cishe ku-154 mg/dL.
2. Noma, amazinga kashukela egazini lomuntu angase ashintshe kakhulu usuku lonke (isib., akhuphukele ku-300 bese ehlehlela ku-50). Isilinganiso salokhu kuguquguquka okukhulu singaba phezulu ku-7%.
Uyabona, akunjalo? Ngisho noma inani le-A1C lifana, umehluko ekulawulweni koshukela egazini labo mkhulu kakhulu. Umzimba womuntu wesibili wonakele kakhulu.
Yilapho kungena khona amadivayisi okuqapha i-Glucose (CGM) kanye nesilinganiso esibizwa ngokuthi i-Time in Range (TIR) . I-CGM ingalandelela ukuthi amazinga kashukela egazini lakho ashintsha kanjani usuku lonke. I-TIR ilinganisa ukuthi ingakanani isikhathi phakathi nosuku amazinga kashukela egazini lakho angaphakathi kwebanga elithile (isib., 70-180 mg/dL).
Nakuba lezi ziyizindlela ezithuthuke kakhulu kune-A1C, ukuhlolwa kwe-A1C okwamanje kuyindlela evame kakhulu futhi elula ukuyenza, futhi ebaluleke kakhulu eSri Lanka.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-A1C kuwukuhlolwa kwegazi okubalulekile okukutshela ngamazinga akho ajwayelekile kashukela egazini ezinyangeni ezintathu ezedlule.
- Lokhu kusiza ukuhlonza isifo sikashukela kanye nesifo sangaphambi kwesifo sikashukela, kanye nokukala impumelelo yokwelashwa kumuntu onesifo sikashukela kakade.
- I-A1C yomuntu ophilile ingaphansi kuka-5.7%. Iningi labantu abanesifo sikashukela lihlose ukuyigcina ingaphansi kuka-7%. Kodwa xoxa nodokotela wakho ngomgomo wakho.
- Ezinye izimo zempilo, njenge-anemia, isifo sezinso, nokukhulelwa, zingathinta imiphumela yakho ye-A1C, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngempilo yakho iyonke.
- Ungesabi uma ubona umphumela we-A1C. Kumane nje kuyinombolo. Ikhona ukuze ikuqondise. Njalo khuluma nodokotela wakho ngaphambi kokwenza izinqumo mayelana nokwelashwa kwakho nendlela yakho yokuphila.
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