Uvavanyo lwe-A1C

I-A1C luvavanyo lweelebhu olubonisa inqanaba eliphakathi leswekile yegazi (iswekile) kwiinyanga ezi-3 ezidlulileyo. Ibonisa ukuba ulawula kakuhle kangakanani iswekile yegazi ekuncedeni ukukhusela iingxaki kwisifo seswekile.

Isampulu yegazi iyafuneka. Zimbini iindlela ezikhoyo:

• Igazi elitsalwe emthanjeni. Oku kwenziwa kwilebhu.
• Intonga yomnwe. Oku kunokwenziwa kwiofisi yomboneleli wakho wezempilo. Okanye, unokumiselwa ikiti onokuyisebenzisa ekhaya. Ngokubanzi, olu vavanyo aluchanekanga kangako kuneendlela ezenziwe kwilebhu.

Akukho lungiselelo lukhethekileyo luyafuneka. Ukutya okutyileyo kutshanje akuchaphazeli uvavanyo lwe-A1C, ke akukho mfuneko yokuba ukhawuleze ukulungiselela olu vavanyo lwegazi.

Ngentonga yomnwe, unokuva iintlungu kancinci.

Ngegazi elitsalwe emthanjeni, unokuziva uthothisa kancinci okanye ulume xa kufakwa inaliti. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Umboneleli wakho unoku-odola olu vavanyo ukuba unesifo seswekile. Ibonisa indlela olawula ngayo isifo seswekile.

Uvavanyo lunokusetyenziselwa ukukhusela isifo seswekile.

Buza umboneleli wakho ukuba kufuneka kuvavanywe kangaphi kwinqanaba lakho le-A1C. Ngokwesiqhelo, kuvavanywa zonke iinyanga ezi-3 okanye ezi-6.

Oku kulandelayo ziziphumo xa i-A1C isetyenziselwa ukufumanisa isifo seswekile:

• Ngokwesiqhelo (akukho seswekile): Ngaphantsi kwe-5.7%
• Isifo seswekile kwangaphambili: 5.7% ukuya ku-6.4%
• Iswekile: 6.5% okanye ngaphezulu

Ukuba unesifo seswekile, wena nomboneleli wakho niza kuxoxa ngoluhlu oluchanekileyo. Kubantu abaninzi, injongo kukugcina inqanaba elingaphantsi kwe-7%.

Iziphumo zovavanyo zisenokungachaneki kubantu abane-anemia, isifo sezintso, okanye ukuphazamiseka kwegazi okuthile (thalassemia). Thetha nomboneleli wakho ukuba unayo nayiphi na kwezi meko. Amayeza athile anokubangela inqanaba le-A1C engeyiyo.

Imizekelo engentla yimilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iziphumo ezingaqhelekanga zithetha ukuba ubeneqondo leswekile yegazi ephezulu kwisithuba seeveki ukuya kwiinyanga.

Ukuba i-A1C yakho ingaphezulu kwe-6.5% kwaye awunaso isifo seswekile, unokufumanisa ukuba unesifo seswekile.

Ukuba inqanaba lakho lingaphezulu kwe-7% kwaye unesifo seswekile, oko kuhlala kuthetha ukuba iswekile yegazi lakho alilawulwa kakuhle. Wena nomboneleli wakho kufuneka nigqibe nge-A1C.

Iilebhu ezininzi ngoku zisebenzisa i-A1C ukubala umndilili we-glucose (eAG). Olu qikelelo lunokwahluka kwiswekile yegazi ophakathi oyirekhodayo kwimitha yakho yeswekile okanye esweni iswekile eqhubekayo. Thetha nomboneleli wakho malunga noku kuthetha ntoni. Ukufundwa kweswekile eyiyo ihlala ithembekile kune-avareji yeswekile esekwe kwi-A1C.

Ukunyuka kwe-A1C yakho, kokukhona umngcipheko ophakamileyo uya kuba neengxaki ezinje:

• Isifo samehlo
• Isifo sentliziyo
• Isifo sezintso
• Umonakalo wemithambo
• Ukubetha

Ukuba i-A1C yakho ihlala iphezulu, thetha nomboneleli wakho malunga nendlela yokulawula kakuhle iswekile yegazi.

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko yokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukugqobhoza okuninzi ukufumana imithambo
• Ukufa isiqaqa okanye ukuziva ungenantloko
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo lwe-HbA1C; Uvavanyo lwehemoglobin eglycated; Uvavanyo lweGlycohemoglobin; IHemoglobin A1C; Iswekile - A1C; Seswekile - A1C

• Uvavanyo lwesifo seswekile kunye nokuhlolwa

• Uvavanyo lwegazi

Umbutho weSwekile yaseMelika. 6. Iithagethi zeGlycemic: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S66-S76. IINKCUKACHA: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

IChernecky CC, iBerger BJ. Ihemoglobin eglycosylated (GHb, glycohemoglobin, glycated hemoglobin, HbA1a, HbA1b, HbA1c) -igazi. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 596-597.