Ukuhlolwa kwe-Hemoglobin A1C (HbA1c)

-Delile

• Kuyini ukuhlolwa kwe-hemoglobin A1c (HbA1c)?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-HbA1c?
• Kwenzekani ngesikhathi sokuhlolwa kwe-HbA1c?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-HbA1c?
• Izinkomba

Kuyini ukuhlolwa kwe-hemoglobin A1c (HbA1c)?

Ukuhlolwa kwe-hemoglobin A1c (HbA1c) kukala inani likashukela egazini (i-glucose) elihlanganiswe ne-hemoglobin. IHemoglobin yingxenye yamaseli akho abomvu athwala umoya-mpilo osuka emaphashini aye kuwo wonke umzimba wakho. Ukuhlolwa kwe-HbA1c kukhombisa ukuthi inani elilinganiselwe le-glucose elixhunywe ku-hemoglobin libe yini ezinyangeni ezintathu ezedlule. Kuyisilinganiso sezinyanga ezintathu ngoba leyo nto ihlala isikhathi eside kangakanani iseli elibomvu.

Uma amazinga akho e-HbA1c ephezulu, kungaba uphawu lwesifo sikashukela, isimo esingelapheki esingadala izinkinga ezinkulu zempilo, kufaka phakathi isifo senhliziyo, isifo sezinso nokulimala kwemizwa.

Amanye amagama: HbA1c, A1c, glycohemoglobin, glycated hemoglobin, glycosylated hemoglobin

Kusetshenziselwa ini?

Ukuhlolwa kwe-HbA1c kungasetshenziselwa ukubheka isifo sikashukela noma ama-prediabetes kubantu abadala. I-Prediabetes isho ukuthi amazinga kashukela egazini akhombisa ukuthi usengozini yokuthola isifo sikashukela.

Uma usuvele unesifo sikashukela, ukuhlolwa kwe-HbA1c kungasiza ukuqapha isimo sakho namazinga e-glucose.

Kungani ngidinga ukuhlolwa kwe-HbA1c?

Ungadinga ukuhlolwa kwe-HbA1c uma unezimpawu zesifo sikashukela. Lokhu kufaka phakathi:

• Ukoma okwengeziwe
• Ukwanda kokuchama
• Ukubona okufiphele
• Ukukhathala

Umhlinzeki wakho wezokunakekelwa kwempilo angahle futhi ahlele ukuhlolwa kwe-HbA1c uma usengozini enkulu yokuthola isifo sikashukela. Izici zobungozi zifaka:

• Ukhuluphele ngokweqile noma ukhuluphele ngokweqile
• Umfutho wegazi ophezulu
• Umlando wesifo senhliziyo
• Ukungasebenzi ngokomzimba

Kwenzekani ngesikhathi sokuhlolwa kwe-HbA1c?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi amalungiselelo akhethekile wokuhlolwa kwe-HbA1c.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Imiphumela ye-HbA1c inikezwa ngamaphesenti. Imiphumela ejwayelekile ingezansi.

• Jwayelekile: HbA1c ngaphansi kuka-5.7%
• Isifo sikashukela: HbA1c phakathi kuka-5.7% no-6.4%
• Isifo sikashukela: HbA1c ka 6.5% noma ngaphezulu

Imiphumela yakho ingasho okuhlukile. Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Uma unesifo sikashukela, i-American Diabetes Association incoma ukuthi ugcine amazinga akho we-HbA1c engaphansi kwe-7%. Umhlinzeki wakho wokunakekelwa kwezempilo angaba nezinye izincomo zakho, kuya ngempilo yakho yonke, ubudala, isisindo, nezinye izinto.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-HbA1c?

Ukuhlolwa kwe-HbA1c akusetshenziselwa isifo sikashukela sokukhulelwa, uhlobo lwesifo sikashukela oluthinta kuphela abesifazane abakhulelwe, noma ukuthola isifo sikashukela ezinganeni.

Futhi, uma une-anemia noma olunye uhlobo lokuphazamiseka kwegazi, ukuhlolwa kwe-HbA1c kungahle kungabi nalutho oluncane lokuthola isifo sikashukela. Uma unenye yalezi zinkinga futhi usengozini yesifo sikashukela, umhlinzeki wakho wezokunakekelwa kwempilo angancoma izivivinyo ezihlukile.

Izinkomba

1. I-American Diabetes Association [i-Inthanethi]. I-Arlington (VA): I-American Diabetes Association; c1995–2018. I-A1C ne-eAG [ibuyekezwe ngo-2014 Sep 29; kukhonjiwe 2018 Jan 4]; [cishe izikrini ezi-4]. Kutholakala kusuka: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c
2. I-American Diabetes Association [i-Inthanethi]. I-Arlington (VA): I-American Diabetes Association; c1995–2018. Imigomo ejwayelekile [ibuyekezwe 2014 Apr 7; kukhonjiwe 2018 Jan 4]; [cishe izikrini ezi-2]. Kutholakala ku: http://www.diabetes.org/diabetes-basics/common-terms
3. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2018. Isifo sikashukela [sibuyekezwe ngo-2017 Dec 12; kukhonjiwe 2018 Jan 4]; [cishe izikrini ezi-2]. Kutholakala ku: https://labtestsonline.org/conditions/diabetes
4. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2018. IHemoglobin A1c [ibuyekezwe ngo-2018 uJan 4; kukhonjiwe 2018 Jan 4]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/hemoglobin-a1c
5. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2017. Ukuhlolwa kwe-A1c: Ukubuka konke; 2016 Jan 7 [icashunwe 2018 Jan 4]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/a1c-test/about/pac-20384643
6. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2018. Isifo Sikashukela (DM) [icashunwe ngo-2018 uJan 4]; [cishe izikrini ezi-2]. Kutholakala kusuka: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/diabetes-mellitus-dm-and-disorders-of-blood-sugar-metabolism/diabetes-mellitus-dm#v773034
7. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi [kucashunwe ngo-2018 uJan 4]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
8. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwesifo Sikashukela Nokuxilongwa; 2016 Nov [icashunwe 2018 Jan 4]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis
9. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa kwe-A1c nesifo sikashukela; I-2014 Sep [icashunwe ngo-2018 uJan 4]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis/a1c-test
10. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Siyini isifo sikashukela ?; 2016 Nov [icashunwe 2018 Jan 4]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
11. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Health Encyclopedia: A1c [icashunwe ngo-2018 uJan 4]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=A1C
12. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. IGlycohemoglobin (HbA1c, A1c): Imiphumela [ibuyekezwe ngo-2017 Mar 13; kukhonjiwe 2018 Jan 4]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/hemoglobin-a1c/hw8432.html#hw8441
13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. IGlycohemoglobin (HbA1c, A1c): Ukubuka konke kokuhlolwa [kubuyekezwe ngo-2017 Mar 13; kukhonjiwe 2018 Jan 4]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/hemoglobin-a1c/hw8432.html

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.