He aha te whakamātautau A1C? Te Whāinga, Ngā Taumata, Te Tikanga & Ngā Hua

Ko te whakamātautau A1C e ine ana i ō taumata huka toto i te toharite i ngā marama 2-3 kua hipa. He rite ki te tango whakaahua o te pai o tō tinana ki te whakahaere i te kūhuka i taua wā. Ko tēnei whakamātautau toto māmā e hoatu ana ki a koe me tō tākuta he māramatanga nui ki te whakahaere i tō mate huka, ki te tūponotanga rānei ki te whakawhanake i te mate huka.

He aha te whakamātautau A1C?

Ko te whakamātautau A1C e ine ana i te ōrau o ō pūtau toto whero e piri ana te kūhuka ki a rātou. Ki te noho te kūhuka i roto i tō toto mō ngā wā roa, ka piri noa ki tētahi pūmua e kīia ana ko te hemoglobin i roto i ō pūtau toto whero.

Mai i te mea e ora ana ngā pūtau toto whero mō te 2-3 marama, e whakaatu ana tēnei whakamātautau i ō taumata huka toto i te toharite i tēnei wā katoa. Whakaarohia he kāri pūrongo mō te whakahaere i tō huka toto i ngā marama kua hipa, kaua ko tētahi wā i te wā kotahi.

E mōhiotia ana te whakamātautau ko te hemoglobin A1C, HbA1c, rānei te hemoglobin glycated. Ka whakamahia e ngā kaiwhakarato hauora hei taputapu matua mō te tātaritanga i te mate huka me te aroturuki i te pai o te mahi o ngā rongoā mate huka.

He aha te take i mahia ai te whakamātautau A1C?

Ka tūtohu pea tō tākuta i tētahi whakamātautau A1C hei tirotiro mēnā he mate huka tōu, he prediabetes rānei. Kāore i rite ki ngā whakamātautau huka toto o ia rā ka rereke i runga i tāu i kai ai, i ō taumata ahotea rānei, ka whakahokia e te A1C tētahi pikitia pumau, wā-roa o tō whakahaere kūhuka.

Mēnā he mate huka tōu, ka āwhina tēnei whakamātautau i tō rōpū hauora ki te mārama ki te pai o te mahi o tō mahere rongoā o nāianei. E whakaatu ana mēnā kei te whai hua ō rongoā, kai, me ngā huringa o te noho i te whakahaere i ō taumata huka toto i te wā.

He tino whai hua te whakamātautau nā te mea kāore e taea te pānga e ngā āhuatanga wā-poto pēnei i te kai tata, i te mate rānei mō te wā poto. Nō reira he taputapu pai rawa atu mō te whakatau i ngā whakatau nui mō tō manaaki mate huka me ngā whakatikatika rongoā.

He aha te tikanga mō te whakamātautau A1C?

He mea māmā noa te whakamātautau A1C, me te mea he tauira toto iti noa iho. Ka tango te kaiwhakarato hauora i te toto mai i te uaua i tō ringa mā te whakamahi i te ngira angiangi, pērā i ētahi atu whakamātautau toto e mahia ana e koe.

Ko te katoa o te tukanga e rima meneti pea te roa. Ka tukuna te tauira toto ki te taiwhanga, kei reira ngā tohunga hangarau e ine ana i te ōrau o te hemoglobin e piri ana te kūhuka ki a ia.

Ināianei, kei te tuku whakamātautau A1C i te wāhi tiaki hauora, ko te tikanga ka taea e koe te tiki i ō hua i te wā o te haerenga kotahi. E whakamahi ana ēnei whakamātautau tere i te topata toto iti mai i tō matimati, ā, ka puta ngā hua i roto i ngā meneti ruarua.

Me pēhea te whakarite mō tō Whakamātautau A1C?

Ko tētahi o ngā mea pai mō te whakamātautau A1C ko te mea kāore he whakarite motuhake e hiahiatia ana e koe. Ka taea e koe te kai noa i mua i te whakamātautau, ā, kāore koe e hiahia ki te nohopuku, ki te karo rānei i ētahi kai, inu rānei.

Ka taea e koe te tango i ō rongoā i te wā e tohutohutia ana, ā, kāore te wā o tō whakamātautau e pānga. Ahakoa ka haere koe i te ata, i te ahiahi rānei, kāore e pānga ki ō hua nā te mea e ine ana te whakamātautau i ngā tauira huka toto wā-roa.

Heoi, he mea tika kia kōrero ki tō tākuta mēnā he huringa nui i tō hauora i tēnei wā, pērā i te mate kino, te ngaronga toto, te whakawhitinga toto rānei. Ka pānga pea ēnei āhuatanga onge ki ō hua.

Me pēhea te pānui i tō Whakamātautau A1C?

Ka pūrongohia ngā hua A1C hei ōrau, ā, mā te māramatanga ki ēnei tau ka taea e koe te whakahaere i tō hauora. Kei raro iho i te 5.7% ngā taumata A1C noa, e tohu ana kua noho tō huka toto i roto i te awhe hauora i ngā marama kua pahure ake nei.

Mēnā kei waenga i te 5.7% me te 6.4% tō A1C, e tohu ana tēnei i te prediabetes. Ko te tikanga kua teitei ake ō taumata huka toto i te tikanga engari kāore i te tiketike rawa kia tohua hei mate huka. Ko te rongo pai ko te prediabetes ka taea te whakahoki mai mā ngā huringa o te oranga.

Ko te A1C o te 6.5% neke atu rānei i runga i ngā whakamātautau e rua, te tikanga ka whakapūmau i te tātaritanga mō te mate huka. Mō te hunga kua pangia e te mate huka, e taunaki ana te American Diabetes Association kia noho te taumata A1C i raro i te 7% mō te nuinga o ngā pakeke, ahakoa he rerekē pea tō whāinga takitahi i runga i tō āhuatanga hauora.

Ka mahi tō tākuta ki a koe ki te whakatau i tō whāinga A1C whaiaro. Ko ētahi tāngata ka whai i ngā whāinga iti iho, ā, ko ētahi atu e pā ana ki ētahi āhuatanga hauora ka whai i ngā whāinga teitei ake, he pai ake mō rātou.

Me pēhea te whakatika i ō taumata A1C?

Mēnā he teitei ake ō taumata A1C i tō whānuitanga whāinga, he maha ngā rautaki whai hua ka āwhina i te whakaheke. Ko te huarahi kaha rawa atu e whakakotahi ana i te kai hauora, te mahi tinana i ngā wā katoa, me te tango i ngā rongoā kua whakaritea i te ara tika.

Ko te whakarereke i ō tikanga kai i te wā ka whai pānga nui ki tō A1C. Arā, kia arotahi ki te whiriwhiri i ngā kai e kore e puta te piki tere o te huka toto, pēnei i ngā huawhenua, ngā pūmua hiroki, me ngā witi katoa. Ko te mahi tahi me tētahi tohunga kai rēhita ka āwhina i a koe ki te hanga i tētahi mahere kai e tika ana mō tō oranga me ō hiahia.

Ko te mahi tinana i ngā wā katoa ka āwhina i tō tinana ki te whakamahi i te insulin i te ara whai hua ake, ā, ka taea te whakaheke i tō A1C i te wā. Ahakoa te korikori tinana ngawari pēnei i te hikoi tere mō te 30 meneti i te nuinga o ngā rā o te wiki ka whai pānga nui. Me tūhura tonu ki tō tākuta i mua i te tīmatanga i tētahi mahi korikori tinana hou.

Mēnā he mate huka tōu, ko te tango i ō rongoā i te tika tonu i te mea kua whakaritea he mea nui mō te whakahaere i ō taumata A1C. Kaua rawa e whakawātea i ngā horopeta, e mutu rānei te tango i ngā rongoā me te kore e kōrero tuatahi ki tō kaiwhakarato hauora, nā te mea ka puta he piki kino o te huka toto.

He aha te taumata A1C pai rawa atu?

Ko te taumata A1C pai rawa atu e whakawhirinaki ana ki tō āhuatanga hauora takitahi me te mea he mate huka tōu. Mō te hunga kāore he mate huka, he iti iho te A1C noa i te 5.7%, e tohu ana i te mana whakahaere huka toto pai mō te wā roa.

Ki te whai mate huka koe, ka mahi tō kaiwhakarato hauora ki a koe ki te whakatau i tō whāinga ake. Mō te nuinga o ngā pakeke e mate huka ana, ko te A1C i raro i te 7% te whāinga, engari ka rerekē tēnei i runga i tō tau, ētahi atu āhuatanga hauora, me te tūponotanga o ngā wāhanga huka toto iti.

Ko ngā pakeke ake, ko ngā tāngata rānei e tino pāngia ana e te hauora, tērā pea he whāinga A1C teitei ake hei whakaiti i te tūponotanga o te huka toto iti e mōrearea ana. Ka whakaaro tō tākuta ki tō pikitia hauora katoa i te whakatakoto i tō whāinga takitahi.

Kia mahara, ahakoa he iti noa ngā whakapainga i tō A1C, ka nui ngā painga hauora. Ko te whakaheke i tō A1C mā te 1% noa iho ka tino whakaiti i tō tūponotanga o ngā raruraru mate huka i te roanga o te wā.

He aha ngā āhuatanga tūpono mō te A1C tiketike?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whai taumata A1C tiketike, ā, mā te māramatanga ki ēnei ka āwhina i a koe ki te mahi ārai. Ko te taumaha rawa, te momomo rānei tētahi o ngā āhuatanga tūpono nui, i te mea ka uaua ake te whakamahi a tō tinana i te insulin i te taumaha nui.

He mea nui te hītori o te whānau i tō tūponotanga. Ki te whai mate huka ō mātua, ō tuākana, ō tēina, ētahi atu whanaunga tata rānei, he nui ake te tūponotanga ki te whakawhanake i ngā taumata huka toto tiketike. Ahakoa e kore e taea e koe te huri i ō ira, mā te mōhio ki tō hītori whānau ka āwhina i a koe ki te noho mataara ki te aroturuki i tō hauora.

Ko te tau tētahi atu āhuatanga hei whakaaro. Ka piki ake tō tūponotanga ki te whakawhanake i te mate huka me ngā taumata A1C tiketike i te wā e pakeke haere ana koe, inā koa i muri i te 45 tau. Ka pēnei tēnei nā te mea ka heke te kaha o tō tinana ki te tukatuka i te kūkūhā i te wā e pakeke haere ana.

He nui ake te tūponotanga o ētahi iwi. Ko ngā tāngata o ngā iwi o Awherika-Amerika, Hispanic, Amerika Māori, Amerika Āhia, me ngā uri o ngā Moutere o te Moana-nui-a-Kiwa, he nui ake te reiti o te mate huka, ā, tērā pea ka nui ake te tūponotanga ki te whai taumata A1C tiketike.

Mena he hītori koe mō te mate huka i te wā e hapū ana, ka piki ake tō tūponotanga ki te whakawhanake i te mate huka momo 2 i muri mai i tō oranga. I tua atu, ko ngā wāhine i whānau mai ngā pēpi neke atu i te 9 pauna te taumaha, ka nui ake te tūponotanga ki te piki ake o te huka toto.

He pai ake te whai A1C tiketike, iti rānei?

Mō ngā taumata A1C, ko te whāinga kia noho i roto i te awhe hauora, kaua e piki rawa, e iti rawa rānei. Ko te whai i ngā taumata A1C tiketike i ngā wā katoa ka tūpono koe ki ngā raruraru nui o te mate huka, tae atu ki te mate ngākau, ngā raruraru tākihi, me te kino o ngā io.

Heoi anō, ko te tō i tō A1C kia iti rawa te tūpono, he mōrearea hoki, ina koa kei a koe te mate huka, ā, kei te tango rongoā koe ka taea te whakaheke i te huka toto. Ko ngā taumata A1C tino iti pea e tohu ana kei te pā koe i ngā wā maha o te hypoglycemia, ka mōrearea te ora.

Ko te wāhi pai ko te pupuri i tō A1C i roto i tō awhe whāinga i whakatauhia e tō kaiwhakarato hauora. Mā tēnei huarahi taurite e ārai ana i ngā raruraru o te huka toto tiketike me ngā mōrearea o ngā wāhanga huka toto iti rawa.

He aha ngā raruraru ka puta mai i te A1C tiketike?

Ko ngā taumata A1C tiketike tonu ka taea te arahi ki ngā raruraru hauora nui i te roanga o te wā, engari mā te māramatanga ki ēnei tūponotanga ka taea e koe te whai mahi. Ko te huka toto tiketike e kino ana i ngā oko toto puta noa i tō tinana, ka pā ki te maha o ngā pūnaha okana.

Ko ngā raruraru ngākau te mea tino nui. Ko ngā taumata A1C tiketike e nui ake ana te tūponotanga ki te mate ngākau, ngā whakaeke ngākau, me ngā whiu. Ko te nui o te kūhuka i roto i tō toto ka kino i te uhi o ō oko toto, ka whai wāhi ki te hanganga o ngā toto toto mōrearea.

He tino whakaraerae ō pūkahukahu ki te kino mai i ngā taumata huka toto tiketike. I te roanga o te wā, ka taea e te A1C teitei te arahi ki te mate pūkahukahu huka, ka eke pea ki te ngoikore o te pūkahukahu e hiahia ana ki te tātai toto, ki te whakawhitinga rānei. Mā te aroturuki i ngā wā katoa ka taea te hopu i ngā raruraru pūkahukahu i te wā wawe ka taea te rongoa.

Ko te kino o te io, e kiia ana ko te neuropathy huka, he raruraru pea. He maha ngā wā ka tīmata tēnei i ō waewae me ō ringa, ka pā te ngū, te ngau, te mamae rānei. I ngā wā tino kino, ka taea e te kino o te io te arahi ki ngā mate kino, ki te tapahi rānei.

Ka taea hoki te whakawhanake i ngā raruraru kanohi, tae atu ki te retinopathy huka, ka taea te arahi ki te ngaro o te tirohanga, ki te matapōuri rānei ki te kore e rongoatia. Ko te rongo pai ko te tirotiro kanohi i ngā wā katoa ka taea te kite i ēnei raruraru i te wā wawe, ā, kei te wātea ngā rongoā hei aukati, hei whakaroa rānei i te ngaro o te tirohanga.

He aha ngā raruraru ka puta mai i te A1C iti?

Ahakoa te ahua pai o te A1C iti, ka taea e ngā taumata tino iti te tohu i tētahi raruraru nui me ngā wā maha o te hypoglycemia, te huka toto iti rānei. He mōrearea ēnei wā, ā, ka mōrearea pea te ora ki te puta auau.

Ka taea e te hypoglycemia kino te pā te rangirua, te hopu, te ngaro rānei o te māramatanga. Ki te pā koe i ngā wā maha o te huka toto iti, ka puta pea tō A1C he pai rawa atu i te wā e tūpono ana koe ki ngā ohorere hauora.

Ka taea e ētahi tāngata te whakatutuki i ngā taumata A1C tino iti mā te aukati kai nui, te rongoā rānei, ka taea te arahi ki te kore kai, ki ētahi atu raruraru hauora rānei. Koinei te take he mea nui ki te mahi tahi me tō kaiwhakarato hauora kia tutuki pai ai ō whāinga A1C.

I ngā wā onge, ka taea e ētahi āhuatanga hauora te whakaputa i ngā pānui A1C teka iti. Kei roto i ēnei ko te anemia kino, te ngaro toto tata nei, ētahi āhuatanga ira rānei e pā ana ki te roanga o te ora o te pūtau toto whero. Ka taea e tō tākuta te āwhina ki te whakatau mēnā e whakaatu tika ana tō A1C i tō mana whakahaere huka toto.

Āhea au e kite ai i te tākuta mō te A1C?

Me tūpono koe ki te tākuta mō te whakamātautau A1C mēnā he āhuatanga tūpono tōu mō te mate huka, mēnā rānei kei te pā mai ngā tohu e tohu ana i ngā raruraru huka toto. E tūtohu ana te American Diabetes Association kia tīmata ngā pakeke katoa ki te tātari mō te mate huka i te 45 tau te pakeke, i mua rānei mēnā he āhuatanga tūpono ōu.

Mēnā ka kite koe i ngā tohu pēnei i te nui haere o te matewai, te mimi auau, te ngaronga taumaha kāore i whakamāramahia, te ngenge tonu rānei, he tohu pea ēnei o te pikinga o te taumata huka toto. Kaua e tatari ki te whakamātau mēnā kei te pā mai ēnei tohu, nā te mea ka taea e te tātaritanga me te rongoā wawe te ārai i ngā raruraru.

Ko ngā tāngata e pā ana ki te prediabetes me tirotiro i tō rātou A1C i te iti rawa i te kotahi tau kia aroturuki i tō rātou ahunga whakamua me te hopu i ngā ahunga whakamua ki te mate huka i te wā wawe. Mēnā he mate huka tōu, ka tūtohu tō tākuta i te whakamātautau A1C ia 3-6 marama, i runga i te pai o te whakahaere i tō huka toto.

Me tūpono anō koe ki tō tākuta mēnā he mate huka tōu, ā, kei runga tonu ngā hua o tō A1C i tō awhe whāinga. E tohu ana pea tēnei me whakatika tō mahere rongoā o nāianei, ā, ka taea e tō kaiwhakarato hauora te āwhina i a koe kia hoki ki te ara tika.

Ngā pātai auau mō te whakamātautau A1C

Q.1 He pai te whakamātautau A1C mō te kite i te mate huka?

Āe, he taputapu pai te whakamātautau A1C mō te kite i te mate huka me te prediabetes. He mea nui rawa atu nā te mea e whakarato ana i te pikitia whānui o tō whakahaere huka toto i roto i te 2-3 marama, kaua ko te wā kotahi i te wā pēnei i te whakamātautau glucose nohopuku.

He watea te whakamātautau nā te mea kāore koe e hiahia ki te nohopuku i mua i te mahi, ā, kāore e pā ana ki ngā kai tata, te ahotea rānei. Heoi, ka whakamahi pea tō tākuta i te taha o ētahi atu whakamātautau kia whiwhi i te pikitia katoa o tō pākia glucose me te whakapūmau i te tātaritanga.

Q.2 Ka pā te ngenge i te A1C tiketike?

Ka taea e ngā taumata A1C tiketike te whai wāhi ki te ngenge, ahakoa he hononga ā-kore. I te wā e piki tonu ana ō taumata huka toto, he uaua ki tō tinana te whakamahi i te kūhuka i runga i te whai hua mō te pūngao, ā, ka waiho koe i te ngenge me te puhoi.

I tua atu, ka taea e te huka toto tiketike te arahi ki te whakawātea wai i te mea e kaha ana ō tākihi ki te tātari i te kūhuka nui, ā, ko te whakawātea wai te nuinga o te wā ka pā te ngenge. Mēnā kei te pā koe i te ngenge tonu me ētahi atu tohumate pēnei i te matewai nui ake, i te mimi auau rānei, he pai ki te kōrero ki tō tākuta mō te whakamātautau A1C.

Q.3 Ka taea te hē ngā hua A1C?

Ahakoa he tino tika ngā whakamātautau A1C, ka taea e ētahi āhuatanga te pā ki ngā hua. Ko ngā tāngata e pā ana ki ētahi momo anemia, te ngaro toto tata nei, ngā rerekētanga ira rānei e pā ana ki te hemoglobin, tērā pea ka whai hua e kore e whakaatu tika i ō rātou taumata huka toto toharite.

Mēnā kāore ō hua A1C e ōrite ana ki ō pānui huka toto o ia rā, mēnā rānei kei a koe ētahi āhuatanga ka pā ki te whakamātautau, tērā pea ka tūtohu tō tākuta i ētahi atu tikanga whakamātautau. Ka uru pea ēnei ki ngā whakamātautau kūhuka nohopuku, ki ngā whakamātautau manawanui kūhuka rānei kia whai whakaahua katoa.

Q.4 Kia pehea te tere o te huri o ngā taumata A1C?

Ka huri haere ngā taumata A1C nā te mea e whakaatu ana i tō huka toto toharite i roto i te 2-3 marama. E kore koe e kite i ngā huringa nui i roto i tō A1C mō te 6-8 wiki i muri i te whakarereketanga o te oranga, i te whakatikatika rānei i ngā rongoā.

Koinei te take e tatari ana ngā tākuta i te 3 marama i waenga i ngā whakamātautau A1C i te wā e aroturuki ana i te whakahaere mate huka. Heoi, ko te āhua haere o ngā huringa A1C te tikanga ka whai pānga tonu ngā whakapainga ka mahia e koe mā ngā tikanga hauora ki ō hua.

Q.5 He aha te rerekētanga i waenga i te A1C me ngā whakamātautau huka toto o ia rā?

Ko ngā whakamātau huka toto i ia rā e whakaatu ana i tō taumata kūhuka i tētahi wā motuhake, ā, ko te A1C e whakaatu ana i te pikitia nui i roto i ngā marama maha. Whakaarohia te whakamātau i ia rā me te tango whakaahua takitahi, ā, ko te A1C he rite ki te mātakitaki i tētahi kiriata o ō tauira huka toto.

He mea nui ngā momo whakamātau e rua mō ngā take rerekē. Ka āwhina te whakamātau i ia rā i a koe ki te whakatau tonu i ngā whakatau mō te kai, te rongoā, me te mahi, ā, ka āwhina te A1C i a koe me tō tākuta ki te arotake i te pai o te mahere whakahaere mate huka i te roanga o te wā.