Uvavanyo lweHemoglobin A1C (HbA1c)

Umxholo

• Yintoni uvavanyo lwehemoglobin A1c (HbA1c)?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lweHbA1c?
• Kwenzeka ntoni ngexesha lovavanyo lwe-HbA1c?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-HbA1c?
• Izalathiso

Yintoni uvavanyo lwehemoglobin A1c (HbA1c)?

Uvavanyo lwe-hemoglobin A1c (HbA1c) lilinganisela inani leswekile yegazi (iswekile) eqhotyoshelwe kwi-hemoglobin. IHemoglobin yinxalenye yeeseli ezibomvu zegazi ezithwala ioksijini kwimiphunga yakho iye kumzimba wakho uphela. Uvavanyo lwe-HbA1c lubonisa ukuba lingakanani inani le-glucose eqhotyoshelwe kwi-hemoglobin kwiinyanga ezintathu ezidlulileyo. Ngumndilili weenyanga ezintathu kuba ihlala ihlala ixesha elingakanani iseli ebomvu.

Ukuba amanqanaba akho e-HbA1c aphezulu, kunokuba luphawu lwesifo seswekile, imeko engapheliyo enokubangela iingxaki zempilo, kubandakanya isifo sentliziyo, isifo sezintso kunye nokonakala kwentliziyo.

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

Isetyenziselwa ntoni?

Uvavanyo lwe-HbA1c lungasetyenziselwa ukujonga isifo seswekile okanye i-prediabetes kubantu abadala. IPrediabetes kuthetha ukuba amanqanaba eswekile yegazi akho abonisa ukuba usengozini yokufumana isifo seswekile.

Ukuba sele unesifo seswekile, uvavanyo lwe-HbA1c lunokunceda ukubeka esweni imeko yakho kunye namanqanaba eswekile.

Kutheni ndifuna uvavanyo lweHbA1c?

Unokufuna uvavanyo lwe-HbA1c ukuba uneempawu zesifo seswekile. Oku kubandakanya:

• Ukwanda ukoma
• Ukwanda komchamo
• Umbono omfiliba
• Ukudinwa

Umboneleli wakho wezempilo unokuyalela uvavanyo lwe-HbA1c ukuba usemngciphekweni omkhulu wokufumana isifo seswekile. Izinto zomngcipheko zibandakanya:

• Ukutyeba kakhulu okanye ukutyeba kakhulu
• Igazi elonyukayo
• Imbali yesifo sentliziyo
• Ukungasebenzi komzimba

Kwenzeka ntoni ngexesha lovavanyo lwe-HbA1c?

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lovavanyo lwe-HbA1c.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Iziphumo ze-HbA1c zinikwa ngepesenti. Iziphumo eziqhelekileyo zingezantsi.

• Eqhelekileyo: HbA1c ngezantsi kwe-5.7%
• Isifo seswekile: HbA1c phakathi kwe-5.7% kunye ne-6.4%
• SeswekileHbA1c ye-6.5% okanye ngaphezulu

Iziphumo zakho zinokuthetha into eyahlukileyo. Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Ukuba unesifo seswekile, uMbutho weSwekile waseMelika ucebisa ukuba ugcine amanqanaba akho e-HbA1c engaphantsi kwe-7%. Umboneleli wakho wezempilo unokufumana ezinye iingcebiso kuwe, kuxhomekeke kwimpilo yakho yonke, ubudala, ubunzima, kunye nezinye izinto.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lwe-HbA1c?

Uvavanyo lwe-HbA1c alusetyenziswanga kwisifo seswekile sokukhulelwa, uhlobo lwesifo seswekile oluchaphazela kuphela abasetyhini abakhulelweyo, okanye ukufumanisa isifo seswekile ebantwaneni.

Kwakhona, ukuba une-anemia okanye olunye uhlobo lokuphazamiseka kwegazi, uvavanyo lwe-HbA1c lunokuchaneka kancinci ekuchongeni isifo seswekile. Ukuba unesinye sezi ngxaki kwaye usengozini yesifo sikashukela, umboneleli wakho wezempilo unokucebisa iimvavanyo ezahlukeneyo.

Izalathiso

1. Umbutho weSwekile yaseMelika [kwi-Intanethi]. IArlington (VA): Umbutho weSwekile waseMelika; c1995–2018. I-A1C kunye ne-eAG [ihlaziyiwe ngo-2014 Sep 29; icatshulwe ngo-2018 kuJan 4]; [malunga nezikrini ezi-4]. Ifumaneka kwi: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c
2. Umbutho weSwekile yaseMelika [kwi-Intanethi]. IArlington (VA): Umbutho weSwekile waseMelika; c1995–2018. ImiGangatho yesiqhelo [ihlaziyiwe ngo-2014 kuMatshi 7; icatshulwe ngo-2018 kuJan 4]; [malunga nezikrini ezi-2]. Ifumaneka kwi: http://www.diabetes.org/diabetes-basics/common-terms
3. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. Umbutho waseMelika weKhemesti yezonyango; c2001–2018. Isifo seswekile [kuhlaziywa ngo-2017 Dec 12; icatshulwe ngo-2018 kuJan 4]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/conditions/diabetes
4. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. Umbutho waseMelika weKhemesti yezonyango; c2001–2018. IHemoglobin A1c [ihlaziywe ngo-2018 ngoJan 4; icatshulwe ngo-2018 kuJan 4]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/hemoglobin-a1c
5. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2017. Uvavanyo lwe-A1c: Ubume; 2016 Jan 7 [icatshulwe ngowama-2018 kaJan 4]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.mayoclinic.org/tests-procedures/a1c-test/about/pac-20384643
6. Umdibaniso wencwadi yomsebenzisi yenguqulo [ye-Intanethi]. I-Kenilworth (NJ): iMerck kunye ne-Co Inc. .; c2018. Iswekile iMellitus (DM) [icatshulwe ngo-2018 ngoJan 4]; [malunga nezikrini ezi-2]. Ifumaneka kwi: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/diabetes-mellitus-dm-and-disorders-of-blood-sugar-metabolism/diabetes-mellitus-dm#v773034
7. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi [lukhankanywe kwi-2018 kaJan 4]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
8. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lweSwekile kunye nokuchongwa; 2016 Nov [icatshulwe ngowama-2018 kaJan 4]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis
9. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwe-A1c kunye neswekile; I-2014 Sep [icatshulwe kwi-2018 kaJan 4]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis/a1c-test
10. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Siyintoni isifo seswekile ?; 2016 Nov [icatshulwe ngowama-2018 kaJan 4]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2018. Health Encyclopedia: A1c [icatshulwe ngo-2018 ngoJan 4]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=A1C
12. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. IGlycohemoglobin (HbA1c, A1c): Iziphumo [zihlaziyiwe ngo-2017 nge-13 kaMatshi; icatshulwe ngo-2018 kuJan 4]; [malunga nezikrini ezi-8]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/hemoglobin-a1c/hw8432.html#hw8441
13. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. I-Glycohemoglobin (HbA1c, A1c): Isishwankathelo sovavanyo [luhlaziyiwe ngo-2017 nge-13 kaMatshi; icatshulwe ngo-2018 kuJan 4]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/hemoglobin-a1c/hw8432.html

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.