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Isetyhu egazini yegazi ingalinganiswa novavanyo lwe-hemoglobin A1c. Ukwazi ukuba ushukela wegazi lomyinge luyingxenye ebalulekileyo yokulawula uhlobo lwakho lwesifo sikashukela. Uvavanyo lwe-hemoglobin A1c, olubizwa ngokuba yi-A1c, luyindlela yokulawula iswekile yegazi kwiinyanga ezi-2 ukuya kwezi-3 ezidlulileyo. Nantsi imfutshane emfutshane imibuzo ebuzwa ngokubanzi malunga novavanyo lwe-A1c:
Uvavanyo lwe-A1c lulinganisa njani izinga leshukela legazi?
Ukuqonda indlela uvavanyo olusebenza ngayo, kufuneka siqale sifunde nge-hemoglobin. I-hémoglobin yinxalenye yamaseli obomvu aphethe i-oxygen kuzo zonke iindawo zomzimba wethu. Ezinye zeeshukela eziphelela kwigazi lethu ukusuka ekutya esizidlayo zidibanisa ne-hemoglobin kwaye zihlala apho ngenxa yobomi begazi elibomvu, elisoloko lingekho ngaphezu kweenyanga ezintathu. Ukuba uye waphakamisa amanqanaba eswekile egazini lakho, baninzi abanesifo sikashukela, okona ushukela oya kuthi unamathele kwiiseli zakho ezibomvu zegazi phezu kobomi obuthathekayo balawo maseli. Uvavanyo olulula lwegazi luyilinganisa inani leswekile kwipesenteji.
Uvavanyo lwe-A1c lwenziwa njani?
Olu vavanyo ludinga isampuli elincinci legazi kwaye luhlala lwenziwa kwiofisi yakho yogqirha. Isampuli ithunyelwa kwibhotile yokuvavanya kwaye iziphumo zithunyelwa kugqirha wakho. Iikiti zokuvavanya ekhaya ze-A1c zikhoyo ngoku. Nangona kukho inkxalabo phakathi kweengcali ukuba le mivavanyo yekhaya ayikho into echanekileyo njengaleyo eyenziwa ebhodini, abaninzi abantu abayisebenzisayo bayayifumana incedo.
Ukuvavanywa kwasekhaya akubizi kwaye kungakunika ulwazi olubalulekileyo malunga nolawulo lwakho phakathi kokutyelela ugqirha.
Ndiyichaza njani iziphumo zovavanyo lwe-A1c?
Wonke umntu, kungakhathaliseki ukuba banesifo sikashukela, uneshukela elifakwe kwiiseli zabo ezibomvu zegazi. Umntu onesifo sikashukela uza kuba novavanyo lwe-hemoglobin A1c malunga no-5%.
Abo abanesifo sikashukela se-1 bangakwazi ukuba ne-A1c yesiphumo sokuhlola esiphezulu kakhulu-phezulu kuma-25% ukuba ulawulo lwabo lwesifo sikashukela luhluphekile. Ngokufanelekileyo, injongo kukuba novavanyo lwe-A1c ngaphasi kwe-7%. Umphumo we-8% okanye ngaphezulu kukuphawu olutshintsho olufunekayo olwenziwe ukulawula kangcono amanqanaba e-glucose.
Kutheni ukulawula isetyhu yam igazi kubalulekile?
Ukufunyaniswa kwe-Diabetes Control and Complications Trial (DCCT) kubonise ngokucacileyo ukuba abantu abanesifo sikashukela abalawula igazi labo kunye ne-A1c kuma- close% angama-7% banokulibazisa ukuqala okanye mhlawumbi nokukhusela iingxaki ezinxulumene nesifo sikashukela ezichaphazela amehlo, iintso , kunye neentsholongwane. I-DCCT ibonise ukuba nangona i- A1c ye-8% yandisa kakhulu ingozi yezi ngxaki.
Umbutho we-American Diabetes Association ngoku ukhuthaza ixesha elitsha elibizwa ngokuba ngumlinganiselo we-Glucose (eAG) echanekileyo ekukunceda ngokuchanekileyo ukuguqula umphumo wakho wokuvavanya kwe-A1c kwinombolo ehambelana nomlinganiselo we-glucose wakho mg mg / dl. Umzekelo, ukuba uvavanyo lwakho lwe-A1c lubuyele kwi-7.8%, oluya kuguqula ukuya kuqikelelwa Umlinganiselo weGlucose we-177 ml / dl. Unokujonga iitshathi eziphathekayo okanye wenze ukuguqulwa kwakho kwiphumo lokuhlolwa kwe-A1c kwisayithi yabo.
Uvavanyo lwe-A1c lufanele lwenze kangangoko?
Ufanele ube novavanyo lwe-A1c olwenziwe ngokukhawuleza emva kokuxilongwa kwaye ubuncinane kabini ngonyaka.
Uninzi lwe- endocrinologists lincoma ukuba abo abanesifo sikashukela se-type 1 banokuhlolwa kwezi zinyanga ezintathu. Oku kuhambelana nokuphila okuqhelekileyo kweeseli ezibomvu zegazi kwaye kukunika umfanekiso oqhubekayo wokulawula isifo sikashukela .
Ingaba uvavanyo lwe-A1c luya kuthatha indawo yokuvavanywa kwansuku zonke?
Uvavanyo lwe-A1c lufanele lusetyenziswe ngaphezu kokuhlolwa kweeshukela kwansuku zonke. I-A1c imyingqineli nje yintoni iswekile legazi lakho eliye ladlulileyo kwiinyanga ezintathu zokugqibela. Eyona ndlela kuphela oyazi ngayo into yokuba iqondo lakho leswekile legazi liliphi na ixesha elifanelekileyo lokuvavanya. Ngoko ke, kubalulekile ukuba uvavanye igazi lakho ngamaxesha amaninzi ngosuku malunga nokuphathwa okusebenzayo.
Umthombo:
> Uvavanyo lweA1C. Umbutho weSwekile waseMelika. Kufumaneka ngoDisemba 19, 2008. http://www.diabetes.org/type-1-diabetes/a1c-test.jsp
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