Ukuhlolwa kwe-A1C

I-A1C ukuhlolwa kwelebhu okukhombisa izinga elijwayelekile likashukela egazini (i-glucose) ezinyangeni ezi-3 ezedlule. Kubonisa ukuthi ulawula kahle kangakanani ushukela wegazi lakho ukusiza ukuvimbela izinkinga ezivela kusifo sikashukela.

Kudingeka isampula yegazi. Izindlela ezimbili ziyatholakala:

• Igazi elikhishwe emthanjeni. Lokhu kwenziwa elebhu.
• Induku yomunwe. Lokhu kungenziwa ehhovisi lomhlinzeki wakho wezokunakekelwa kwempilo. Noma, ungahle unikezwe ikhithi ongayisebenzisa ekhaya. Ngokuvamile, lokhu kuhlolwa akunembe kangako kunezindlela ezenziwe elebhu.

Akukho ukulungiselela okukhethekile okudingekayo. Ukudla osanda kukudla akuthinti ukuhlolwa kwe-A1C, ngakho-ke awudingi ukuzila ukudla ukulungiselela lokhu kuhlolwa kwegazi.

Ngenduku yomunwe, ungezwa ubuhlungu obuncane.

Ngegazi elithathwe emthanjeni, ungase uzwe ukucindezelwa okuncane noma ukuluma lapho kufakwa inaliti. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unesifo sikashukela. Kubonisa ukuthi usilawula kahle kanjani isifo sakho sikashukela.

Isivivinyo singasetshenziselwa ukuhlola isifo sikashukela.

Buza umhlinzeki wakho ukuthi kufanele uvivinye kangaki izinga lakho le-A1C. Imvamisa, kunconywa ukuhlola njalo ezinyangeni ezintathu noma eziyisithupha.

Okulandelayo imiphumela lapho i-A1C isetshenziselwa ukuxilonga isifo sikashukela:

• Okujwayelekile (asikho isifo sikashukela): Ngaphansi kuka-5.7%
• Ngaphambi kwesifo sikashukela: 5.7% kuya ku-6.4%
• Isifo sikashukela: 6.5% noma ngaphezulu

Uma unesifo sikashukela, wena nomhlinzeki wakho nizoxoxa ngobubanzi obulungele wena. Kubantu abaningi, inhloso ukugcina ileveli ingaphansi kwe-7%.

Umphumela wokuhlolwa kungenzeka ungalungile kubantu abane-anemia, isifo sezinso, noma ukuphazamiseka okuthile kwegazi (thalassemia). Khuluma nomhlinzeki wakho uma unanoma iyiphi yalezi zimo. Imithi ethile ingaholela ezingeni lamanga le-A1C.

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Umphumela ongajwayelekile usho ukuthi ube nezinga eliphakeme likashukela egazini isikhathi esingamasonto kuya ezinyangeni.

Uma i-A1C yakho ingaphezu kuka-6.5% futhi ungenaso isifo sikashukela, kungenzeka utholwe unesifo sikashukela.

Uma izinga lakho lingaphezu kuka-7% futhi unesifo sikashukela, ngokuvamile kusho ukuthi ushukela wegazi lakho awulawulwa kahle. Wena nomhlinzeki wakho kufanele ninqume ithagethi yakho engu-A1C.

Amalebhu amaningi manje asebenzisa i-A1C ukubala isilinganiso esilinganiselwe se-glucose (eAG). Lesi silinganiso singahluka kunoshukela wegazi ojwayelekile owarekhodayo kusuka kumitha yakho ye-glucose noma ukuqapha kweglucose okuqhubekayo. Khuluma nomhlinzeki wakho mayelana nokuthi kusho ukuthini lokhu. Ukufundwa kwangempela koshukela wegazi kuvame ukuthembakala kakhulu kune-glucose esilinganisiwe esilinganiselwe esuselwa ku-A1C.

Ukuphakama kwe-A1C yakho, kukhuphuka ubungozi bokuthi uzoba nezinkinga ezinjenge:

• Isifo samehlo
• Isifo senhliziyo
• Isifo sezinso
• Ukulimala kwemizwa
• Unhlangothi

Uma i-A1C yakho ihlala iphakeme, khuluma nomhlinzeki wakho mayelana nokuthi ungalusingatha kanjani kahle ushukela wegazi lakho.

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi zokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukubhoboza okuningi ukuthola imithambo
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukuhlolwa kwe-HbA1C; Ukuhlolwa kwe-hemoglobin eminyene; Ukuhlolwa kweGlycohemoglobin; IHemoglobin A1C; Isifo sikashukela - A1C; Isifo sikashukela - A1C

• Ukuhlolwa kwesifo sikashukela nokuhlolwa

• Ukuhlolwa kwegazi

I-American Diabetes Association. 6. Okuhlosiwe yi-Glycemic: amazinga wokunakekelwa kwezokwelapha kwisifo sikashukela - 2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S66-S76. I-PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

IChernecky CC, iBerger BJ. I-hemoglobin eglycosylated (GHb, glycohemoglobin, i-hemoglobin ene-glycated, i-HbA1a, i-HbA1b, i-HbA1c) - igazi. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 596-597.