Yazi Isilinganiso Sakho Segazi I-Sugar Nge-Test AIC
Ishukela lakho elivamile legazi lingalinganiswa nokuhlolwa kwe-hemoglobin A1c. Ukwazi ushukela wakho wegazi eliyingxenye yingxenye ebalulekile yokuphatha uhlobo lwakho lwesifo sikashukela. Isivivinyo se-hemoglobin A1c, esivame ukubizwa ngokuthi i-A1c, yisilinganiso sokulawulwa ushukela egazini lakho ezinyangeni ezimbili kuya kwezintathu ezidlule. Nansi ukubuka okufushane okubuzwa imibuzo ebuzwa kakhulu mayelana nokuhlolwa kwe-A1c:
Ukuhlolwa kwe-A1c kulinganisa kanjani izinga lehukela legazi?
Ukuze siqonde ukuthi lolu hlelo lusebenza kanjani, kudingeka siqale sifunde nge-hemoglobin. I-hemoglobin iyinxenye yamaseli abomvu abomvu athatha oksijini kuzo zonke izingxenye zomzimba wethu. Eminye ushukela ephela egazini legazi kusukela ekudleni esikudlayo ihambisana ne-hemoglobin futhi ihlala lapho ukuze kutholakale iseli elibomvu legazi, ngokuvamile elingekho ezinyangeni ezintathu. Uma usukhulile amazinga kashukela egazini lakho, njengoba abaningi abanesifo sikashukela benza, ushukela oluthe xaxa luzonamathiselwa kumaseli akho abomvu egazi ngokuphila okuncane kwalawo maseli. Ukuhlolwa kwegazi okulula kwenza isilinganiso soshukela ngamaphesenti.
Ukuhlolwa kwe-A1c kwenziwa kanjani?
Lokhu kuhlolwa kudinga isampula encane yegazi futhi kuvame ukuqhutshwa ehhovisi likadokotela wakho. Isampula ithunyelwa ebhodini lokuhlola futhi imiphumela ithunyelwa kudokotela wakho. Izakhi zokuhlola ekhaya ze-A1c manje ziyatholakala. Nakuba kukhona ukukhathazeka phakathi kwabachwepheshe ukuthi lezi zivivinyo zasekhaya azizona ezinembile njengalezo ezenziwe ebhodini, abantu abaningi abazisebenzisa bazithola ziwusizo.
Ukuhlola ekhaya akubizi futhi kungakunika imininingwane ebalulekile mayelana nokuphathwa kwakho phakathi kokuvakasha kukadokotela.
Ngichaza kanjani imiphumela yokuhlolwa kwe-A1c?
Wonke umuntu, kungakhathaliseki ukuthi unesifo sikashukela, uneshukela elihlanganiswe namaseli abo abomvu. Umuntu ongenayo isifo sikashukela wayevame ukuhlolwa kwe-hemoglobin A1c ye-5%.
Labo abanesifo sikashukela se-type 1 bangaba nomphumela wokuhlolwa we-A1c ophakeme kakhulu - phezulu kuka-25% uma ukuphathwa kwabo kwesifo sikashukela kuyimpofu. Okuhle, umgomo ukuhlolwa kwe-A1c ngezansi kwe-7%. Umphumela we-8% noma ngaphezulu uyisignali eguqukayo okumele yenziwe ukuze kulungiswe kangcono amazinga e-glucose.
Kungani ukuphatha ushukela wegazi kubaluleke kakhulu?
Ukutholakala kwe-Diabetes Control and Complications Trial (DCCT) kubonise ngokucacile ukuthi abantu abanesifo sikashukela abaphatha kahle ushukela wegazi kahle namazinga A1c eduze no-7% bangalimaza ukuqala noma mhlawumbe nokuvimbela izinkinga ezihlobene nesifo sikashukela ezichaphazela amehlo, izinso , kanye nezinzwa. I-DCCT ikhombise ukuthi ngisho ne- A1c ye-8% kakhulu yandisa ingozi yalezi zinkinga.
I-American American Diabetes Association manje ikhuthaza igama elisha elibizwa ngokuthi i- Glucose Isilinganiso Esilinganisiwe (eAG) elikusiza ngokunembile ukuguqula umphumela wakho wokuhlola we-A1c ibe inombolo ehambelana nemitha yakho yeglucose ku mg / dl. Isibonelo, uma ukuhlolwa kwakho kwe-A1c kubuya ku-7.8%, lokho kuzoguqula ku-Glucose Isilinganiso esilinganisiwe esingu-177 ml / dl. Ungabuka ishadi elihle noma wenze ukuguqulwa kwakho komphumela wakho wokuhlola we-A1c kusayithi labo.
Ukuhlolwa kwe-A1c kufanele kwenziwe kaningi kangakanani?
Kufanele ube nohlolo lwe-A1c olwenziwa ngokushesha ngemva kokuxilongwa bese okungenani kabili ngonyaka.
Abaningi be- endocrinologists batusa ukuthi labo abanesifo sikashukela sohlobo 1 banalo lolu hlelo olwenziwe njalo ezinyangeni ezintathu. Lokho kufana nesimo sokuphila esivamile samaseli abomvu futhi sikunikeza isithombe esiphuthumayo sokuphathwa kwesifo sikashukela .
Ingabe ukuhlolwa kwe-A1c kungaba esikhundleni sokuhlolwa kwansuku zonke?
Uhlolo lwe-A1c kufanele lusetshenziswe ngaphezu kokuhlolwa kweshukela kwansuku zonke. I-A1c isilinganiso kuphela sokuthi ishukela lakho legazi liphezu kwezinyanga ezintathu zokugcina. Indlela kuphela owazi ngayo ukuthi izinga lakho lokushukela ngegazi lini kunoma yisiphi isikhathi esithile ukuhlola. Ngakho-ke, kubalulekile ukuthi uvivinye igazi lakho izikhathi eziningana ngosuku ngalunye ukuphathwa okusebenzayo.
Umthombo:
> Isivivinyo se-A1C. Association of American Diabetes Association. Kufinyelelwe kuDisemba 19, 2008. http://www.diabetes.org/type-1-diabetes/a1c-test.jsp
Ukudalula
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