Mayeso a A1C

A1C ndiyeso labu yomwe imawonetsa kuchuluka kwa shuga wamagazi (glucose) m'miyezi itatu yapitayo. Zikuwonetsa momwe mukuwongolera shuga wanu wamagazi kuti muteteze zovuta ku matenda ashuga.

Muyenera kuyesa magazi. Njira ziwiri zilipo:

• Magazi ochokera mumitsempha. Izi zachitika ku labu.
• Chala chala. Izi zitha kuchitika kuofesi ya omwe amakuthandizani. Kapena, mutha kupatsidwa chida chomwe mungagwiritse ntchito kunyumba. Mwambiri, kuyesa uku sikulondola kwenikweni kuposa njira zomwe zachitika mu labotale.

Palibe kukonzekera kwapadera komwe kumafunikira. Chakudya chomwe mwadya posachedwa sichimakhudza mayeso a A1C, chifukwa chake simuyenera kusala kukonzekera kukayezetsa magazi.

Ndi ndodo yachala, mutha kumva kupweteka pang'ono.

Ndi magazi ochokera mumtsempha, mumatha kumva kutsina pang'ono kapena kuluma pobaya singano. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Wothandizira anu akhoza kuyitanitsa mayeso ngati muli ndi matenda ashuga. Zimasonyeza momwe mukuyendetsera matenda anu a shuga.

Mayesowa amathanso kugwiritsidwa ntchito poyang'ana matenda ashuga.

Funsani omwe akukuthandizani kangati kuti muyesedwe mayeso anu a A1C. Nthawi zambiri, kuyezetsa miyezi itatu kapena isanu ndi umodzi ndikofunikira.

Izi ndi zotsatira zake pamene A1C ikugwiritsidwa ntchito pozindikira matenda ashuga:

• Wabwinobwino (alibe matenda ashuga): Osakwana 5.7%
• Matenda asanakwane: 5.7% mpaka 6.4%
• Matenda a shuga: 6.5% kapena kupitilira apo

Ngati muli ndi matenda ashuga, inu ndi omwe amakupatsani mwayi mukambirana za mulingo woyenera wa inu. Kwa anthu ambiri, cholinga ndikusunga mulingo womwe uli pansi pa 7%.

Zotsatira zoyeserera zitha kukhala zolakwika kwa anthu omwe ali ndi kuchepa kwa magazi, matenda a impso, kapena zovuta zina zamagazi (thalassemia). Lankhulani ndi omwe akukuthandizani ngati muli ndi izi. Mankhwala ena amathanso kubweretsa mulingo wabodza wa A1C.

Zitsanzo pamwambapa ndizoyesa wamba pazotsatira za mayesowa. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Zotsatira zosazolowereka zikutanthauza kuti mwakhala ndi shuga wambiri m'magazi kwakanthawi kochepa mpaka miyezi.

Ngati A1C yanu ili pamwamba pa 6.5% ndipo mulibe matenda ashuga, mutha kupezeka kuti muli ndi matenda ashuga.

Ngati mulingo wanu uli pamwamba pa 7% ndipo muli ndi matenda ashuga, nthawi zambiri amatanthauza kuti shuga wanu wamagazi samayendetsedwa bwino. Inu ndi wothandizira wanu muyenera kudziwa chandamale chanu A1C.

Ma lab ambiri tsopano amagwiritsa ntchito A1C kuwerengera pafupifupi glucose (eAG). Chiwerengerochi chikhoza kukhala chosiyana ndi shuga wambiri wamagazi omwe mumalemba kuchokera pa mita yanu ya glucose kapena kuwunika kwa glucose kosalekeza. Lankhulani ndi omwe amakupatsani zomwe zikutanthauza. Kuwerengedwa kwenikweni kwa shuga m'magazi nthawi zambiri kumakhala kodalirika kuposa kuchuluka kwa glucose kutengera A1C.

Kukweza A1C yanu, kumawonjezera chiopsezo kuti mungakhale ndi mavuto monga:

• Matenda amaso
• Matenda a mtima
• Matenda a impso
• Kuwonongeka kwa mitsempha
• Sitiroko

Ngati A1C yanu ikukhala yayitali, lankhulani ndi omwe amakupatsani momwe mungasamalire bwino shuga wanu wamagazi.

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zokoka magazi ndizochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Ma punctures angapo kuti mupeze mitsempha
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Mayeso a HbA1C; Glycated hemoglobin test; Mayeso a Glycohemoglobin; Hemoglobin A1C; Matenda a shuga - A1C; Ashuga - A1C

• Kuyesedwa kwa matenda ashuga ndikuwunika

• Kuyezetsa magazi

Bungwe la American Diabetes Association. 6. Zolinga za Glycemic: miyezo ya chithandizo chamankhwala ashuga - 2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S66-S76. PMID: 31862749 adasankhidwa.ncbi.nlm.nih.gov/31862749/.

Chernecky CC, Berger BJ. Glycosylated hemoglobin (GHb, glycohemoglobin, glycated hemoglobin, HbA1a, HbA1b, HbA1c) - magazi. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 596-597.