Chii chinonzi A1C Test? Chinangwa, Madiro, Maitiro & Mhedzisiro

Muedzo weA1C unoyera mazinga ako eavhareji eshuga yeropa mumwedzi miviri mitatu yapfuura. Zvakafanana nekutora mufananidzo wekuti muviri wako wanga uchigadzirisa sei glucose munguva iyoyo. Muedzo uyu weropa uri nyore unokupa iwe nachiremba wako ruzivo rwakakosha mukugadzirisa kwako chirwere cheshuga kana njodzi yekuva nechirwere cheshuga.

Chii chinonzi A1C Test?

Muedzo weA1C unoyera chikamu chemaseru ako matsvuku eropa ane glucose akabatanidzwa kwavari. Kana glucose ikagara mumutsipa wako weropa kwenguva yakareba, inonamatira kune protein inonzi hemoglobin mukati memaseru ako matsvuku eropa.

Sezvo maseru matsvuku eropa achirarama kwemwedzi miviri mitatu, muedzo uyu unoratidza avhareji yako yeshuga yeropa panguva iyoyo yese. Funga nezvazvo sekadhi rekushuma rekugadzirisa kwako shuga yeropa mumwedzi mishoma yapfuura, pane kungova nguva imwe chete.

Muedzo uyu unozivikanwawo sehemoglobin A1C, HbA1c, kana glycated hemoglobin. Vanachiremba vanoiita chishandiso chakakosha chekuongorora chirwere cheshuga uye kuongorora kuti kurapwa kwechirwere cheshuga kuri kushanda sei.

Nei A1C Test ichiitwa?

Chiremba wako angakurudzira muedzo weA1C kuti aone kana uine chirwere cheshuga kana prediabetes. Kusiyana nemiedzo yeshuga yeropa yezuva nezuva inogona kuchinja zvichienderana nezvawadya kana mazinga ako ekushushikana, A1C inopa mufananidzo wakagadzikana, wenguva refu wekudzora kwako glucose.

Kana ukatova nechirwere cheshuga, muedzo uyu unobatsira timu yako yehutano kunzwisisa kuti chirongwa chako chekurapa chazvino chiri kushanda sei. Inoratidza kana mishonga yako, chikafu, uye shanduko dzemararamiro dziri kubudirira mukugadzirisa mazinga ako eshuga yeropa nekufamba kwenguva.

Muedzo uyu unokosha zvikuru nokuti haugoni kukanganiswa nezvinhu zvenguva pfupi zvakadai sokudya kwapfuura kana kurwara kwenguva pfupi. Izvi zvinoita kuti ive chishandiso chikuru chekuita zvisarudzo zvakakosha pamusoro pekuchengetwa kwako chirwere cheshuga uye kugadzirisa kurapwa.

Ndeapi maitiro eA1C Test?

Muedzo weA1C wakanyatso nyore uye unoda ropa diki. Chiremba wako achatora ropa kubva mutsinga muruoko rwako achishandisa tsono diki, yakafanana nemimwe miedzo yeropa yaungave uine.

Maitiro ese anowanzo tora maminitsi mashanu. Ropa racho rinotumirwa kurabhoritari uko nyanzvi dzinoyera chikamu chehemoglobin chine glucose yakabatanidzwa pairi.

Mamwe mahofisi ehutano zvino anopa bvunzo dzeA1C dzepoint-of-care, zvinoreva kuti unogona kuwana mhedzisiro yako panguva yekushanya kumwe chete. Miedzo iyi inokurumidza inoshandisa donhwe diki reropa kubva kumunwe wako uye inopa mhedzisiro mumaminitsi mashoma.

Maitiro ekugadzirira Muedzo wako weA1C?

Chimwe chezvinhu zvakanakisa nezveA1C test ndechekuti haidi kugadzirira kwakakosha kwauri. Unogona kudya zvakajairika usati waita bvunzo, uye haufanirwe kutsanya kana kudzivisa chero chikafu kana zvinwiwa.

Unogona kutora mishonga yako yenguva dzose sezvakanyorwa, uye nguva yebvunzo yako haina basa. Kunyangwe ukaenda mangwanani kana masikati hazvizokanganisa mhedzisiro yako nekuti bvunzo inoyera maitiro e shuga yeropa kwenguva refu.

Zvisinei, zvakakosha kutaura kuna chiremba wako kana uine chero shanduko dzichangoburwa muhutano hwako, senge kurwara zvakanyanya, kurasikirwa neropa, kana kuwedzerwa kweropa. Izvi zvisingawanzoitiki zvinogona kukanganisa mhedzisiro yako.

Maitiro ekuverenga Muedzo wako weA1C?

Mhedzisiro yeA1C inoshumwa sechikamu, uye kunzwisisa nhamba idzi kunogona kukubatsira kutora hutano hwako. Mazinga eA1C akajairika ari pasi pe5.7%, izvo zvinoratidza kuti shuga yako yeropa yanga iri muhutano hwakanaka mumwedzi mishoma yapfuura.

Kana A1C yako ikawira pakati pe5.7% ne6.4%, izvi zvinoratidza prediabetes. Izvi zvinoreva kuti mazinga eshuga yeropa rako anga ari akakwira kupfuura zvakajairika asi asina kukwirisa zvakakwana kuti aonekwe sediabetes. Mashoko akanaka ndechokuti prediabetes inogona kudzoserwa nekuchinja mararamiro.

A1C ye 6.5% kana kupfuura pane bvunzo mbiri dzakasiyana inowanzo simbisa kuongororwa kwechirwere cheshuga. Kune vanhu vakatove nechirwere cheshuga, American Diabetes Association inowanzo kuraira kuchengeta mazinga eA1C ari pasi pe7% kune vanhu vakuru vazhinji, kunyangwe chinangwa chako chingave chakasiyana zvichienderana nemamiriro ako ehutano.

Chiremba wako achashanda newe kuti aone chinangwa chako cheA1C. Vamwe vanhu vangada zvinangwa zvakaderera, nepo vamwe vane mamwe mamiriro ehutano vangave nezvinangwa zvishoma zvakakwirira zvakachengeteka kwavari.

Nzira yekugadzirisa mazinga ako eA1C?

Kana mazinga ako eA1C akakwirira kupfuura chiyero chako, kune nzira dzakawanda dzinobatsira dzinogona kubatsira kuadzikisa. Nzira ine simba yakanyanya inobatanidza kudya zvine hutano, kuita maekisesa nguva dzose, uye kutora mishonga yakarairwa sezvakarairwa.

Kuita shanduko zvishoma nezvishoma kune maitiro ako ekudya kunogona kuve nekukanganisa kukuru paA1C yako. Tarisa pakusarudza chikafu chisingakonzeri kukwira nekukurumidza kweshuga yeropa, senge miriwo, mapuroteni akapfava, uye zviyo zvizere. Kushanda nemunyori wezvekudya anozivikanwa kunogona kukubatsira kugadzira chirongwa chekudya chinoenderana nemararamiro ako nezvaunofarira.

Kuitisa maekisesa nguva dzose kunobatsira muviri wako kushandisa insulin zvakanyanya uye kunogona kudzikisa A1C yako nekufamba kwenguva. Kunyangwe maekisesa akati wandei sekufamba nekukurumidza kwemaminitsi makumi matatu mazuva mazhinji evhiki kunogona kuita musiyano unokosha. Nguva dzose bvunza chiremba wako usati watanga chirongwa chitsva chekurovedza muviri.

Kana uine chirwere cheshuga, kutora mishonga yako sezvakarairwa kwakakosha pakugadzirisa mazinga ako eA1C. Usambofa wakasvetuka zvikamu kana kumira kutora mishonga usina kuzvikurukura nemupi wehutano wako kutanga, sezvo izvi zvinogona kukonzera kukwira kweshuga yeropa kunotyisa.

Ndeipi nhanho yakanakisa yeA1C?

Chiyero chakanaka cheA1C chinoenderana nemamiriro ako ehutano uye kana uine chirwere cheshuga. Kune vanhu vasina chirwere cheshuga, A1C yakajairika iri pasi pe5.7%, iyo inoratidza kutonga kwakanaka kweshuga yeropa kwenguva refu.

Kana uine chirwere cheshuga, chiremba wako achashanda newe kuti aone chinangwa chako. Kune vanhu vakuru vazhinji vane chirwere cheshuga, A1C iri pasi pe7% ndiyo chinangwa, asi izvi zvinogona kusiyana zvichienderana nezera rako, mamwe mamiriro ehutano, uye njodzi yezviitiko zvepasi shuga yeropa.

Vanhu vakuru vakuru kana vanhu vane mamiriro ehutano akakomba vangave vaine zvishoma zvakakwirira A1C zvinangwa kuderedza njodzi yeshuga yeropa yakaderera zvikuru. Chiremba wako anofunga nezve mufananidzo wako wehutano hwese paanogadzirisa chinangwa chako chega.

Rangarira kuti kunyangwe kuvandudzwa kudiki muA1C yako kunogona kuve nezvakanakira hutano hukuru. Kuderedza A1C yako ne1% chete kunogona kuderedza zvakanyanya njodzi yako yematambudziko echirwere cheshuga nekufamba kwenguva.

Ndezvipi zvinhu zvine njodzi zvepamusoro A1C?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuve nemazinga akakwira eA1C, uye kunzwisisa izvi kunogona kukubatsira kutora matanho ekudzivirira. Kuve uremu hwakanyanya kana kuva nemafuta akawandisa ndechimwe chezvinhu zvine njodzi zvikuru, sezvo uremu hwakawandisa hunogona kuita kuti muviri wako usashandise insulin nemazvo.

Nhoroondo yemhuri inoita basa rakakosha munjodzi yako. Kana vabereki vako, hama, kana dzimwe hama dzepedyo dzine chirwere cheshuga, unogona kukudziridza mazinga akakwira eshuga yeropa iwe pachako. Kunyangwe iwe usingakwanise kuchinja majini ako, kuziva nhoroondo yemhuri yako kunokubatsira kuti urambe wakangwarira nezvekuongorora hutano hwako.

Zera ndechimwe chinhu chekufunga. Njodzi yako yekukudziridza chirwere cheshuga uye mazinga epamusoro eA1C inowedzera sezvaunokura, kunyanya mushure mezera re45. Izvi zvinoitika nekuti kugona kwemuviri wako kugadzirisa glucose kunogona kudzikira nezera.

Mamwe madzinza ane njodzi yepamusoro zvakare. Vanhu veAfrican American, Hispanic, Native American, Asian American, uye Pacific Islander vakakwira mitengo yechirwere cheshuga uye vanogona kunge vaine mukana wekuve nemazinga akakwira eA1C.

Kuva nenhoroondo ye gestational diabetes panguva yekuzvitakura kunowedzera njodzi yako yekuva nechirwere cheshuga che rudzi rwechipiri gare gare muhupenyu. Uye zvakare, vakadzi vakabereka vana vanorema kupfuura mapaundi mapfumbamwe vanotarisana nenjodzi dzakakwira dzehuwandu hwe shuga yeropa.

Zvirinani kuva neA1C yakakwira kana yakaderera here?

Kana zvasvika pamatanho eA1C, chinangwa ndechekugara mukati mehuwandu hwehutano pane kuenda kukuru kana kuderera. Kuva nematanho eA1C akakwira nguva dzose kunokuisa panjodzi yematambudziko akakomba echirwere cheshuga, kusanganisira chirwere chemoyo, matambudziko eitsvo, uye kukuvadzwa kwetsinga.

Zvisinei, kusunda A1C yako kuderera zvakanyanya kunogonawo kuva nenjodzi, kunyanya kana uine chirwere cheshuga uye uchitora mishonga inogona kukonzera shuga yeropa yakaderera. Matanho eA1C akaderera zvakanyanya anogona kuratidza kuti uri kusangana neepisodes dzeglucose yakaderera, iyo inogona kuva inotyisa upenyu.

Nzvimbo inotapira ndeyekuchengetedza A1C yako mukati mehuwandu hwako hwechinangwa sezvakatemwa nachiremba wako. Iyi nzira yakaenzana inobatsira kudzivirira zvese matambudziko eshuga yeropa yakakwira uye njodzi dzeepisodes dzeshuga yeropa yakaderera.

Ndezvipi zvingaitika zveA1C yakakwira?

Matanho eA1C akakwira nguva dzose anogona kutungamira kumatambudziko akakomba ehutano nekufamba kwenguva, asi kunzwisisa njodzi idzi kunogona kukukurudzira kuti utore matanho. Shuga yeropa yakakwira inokuvadza midzi yeropa mumuviri wako wese, iyo inogona kukanganisa akawanda masisitimu emuviri.

Matambudziko emoyo ari pakati pezvinhu zvinonyanya kukosha. Matanho eA1C akakwira zvakanyanya anowedzera njodzi yako yechirwere chemoyo, kurwisa kwemoyo, uye sitiroko. Glucose yakawandisa mumuviri wako inogona kukuvadza mutsara wemidzi yeropa yako uye kubatsira pakuumbwa kwemagwamba eropa ane njodzi.

Itsvo zvenyu zvinonyanya kukuvadzwa nekuda kwemazinga epamusoro eshuga yeropa. Nekufamba kwenguva, A1C yakakwira inogona kukonzera chirwere chetsvo cheshuga, icho chingakonzera kukundikana kwetsvo kuchida dialysis kana kutapurirana. Kuongorora nguva dzose kunogona kubatsira kubata matambudziko etsvo kare apo anogona kurapwa zviri nyore.

Kukuvadzwa kwetsinga, kunonzi diabetic neuropathy, ndechimwe chimwe chinogona kukonzeresa. Izvi zvinowanzo kutanga mumakumbo ako nemaoko, zvichikonzera kusanzwa, kunzwa kunzwa, kana kurwadziwa. Muzviitiko zvakakomba, kukuvadzwa kwetsinga kunogona kukonzera zvirwere zvakakomba kana kutoda kucheka.

Matambudziko emaziso anogonawo kukura, kusanganisira diabetic retinopathy, iyo inogona kukonzera kurasikirwa kwekuona kana upofu kana isina kurapwa. Mashoko akanaka ndewekuti kuongororwa kwemaziso nguva dzose kunogona kuona matambudziko aya kare, uye kurapwa kunowanikwa kudzivirira kana kunonotsa kurasikirwa kwekuona.

Ndezvipi zvingaitika zveA1C yakaderera?

Nepo kuva neA1C yakaderera kungaita sezvakanaka, mazinga akaderera zvakanyanya anogona kuratidza dambudziko rakakomba nekugara uchiitika kwehypoglycemia kana shuga yeropa yakaderera. Zviitiko izvi zvinogona kuva nenjodzi uye zvinogona kuisa upenyu panjodzi kana zvikaitika nguva dzose.

Hypoglycemia yakakomba inogona kukonzera kuvhiringidzika, kubatwa, kana kurasikirwa kwechizvarwa. Kana iwe uri kusangana nezviitiko zvenguva dzose zve shuga yeropa yakaderera, yako A1C ingaoneka ichinyengera zvakanaka iwe uchinyatso kuva panjodzi yezvinhu zvinokurumidza zvekurapa.

Vamwe vanhu vanogona kuwana mazinga akaderera kwazvo eA1C kuburikidza nekudya kwakanyanya kana pamusoro-mushonga, izvo zvinogona kukonzera kushaya chikafu kana mamwe matambudziko ehutano. Ichi ndicho chikonzero nei zvakakosha kushanda nemupi wako wehutano kuti uwane zvinangwa zvako zveA1C zvakachengeteka.

Muzviitiko zvisingawanzoitiki, mamwe mamiriro ezvinhu ekurapa anogona kukonzera kuverenga kwakaderera kweA1C. Izvi zvinosanganisira anemia yakakomba, kurasikirwa kweropa munguva pfupi yapfuura, kana mamwe mamiriro ejeneti anokanganisa hupenyu hweropa tsvuku. Chiremba wako anogona kubatsira kuona kana yako A1C ichiratidza zvakarurama kutonga kweshuga yeropa yako.

Ndingafanira kuona chiremba rini yeA1C?

Unofanira kuona chiremba kuti uongororwe A1C kana uine njodzi dzekurwara chirwere cheshuga kana uine zviratidzo zvingaratidza matambudziko eshuga yeropa. Sangano reAmerican Diabetes Association rinokurudzira kuti vanhu vakuru vese vatange kuongororwa chirwere cheshuga pazera remakore makumi mana nemashanu, kana kare kana uine njodzi.

Kana ukaona zviratidzo zvakaita sekuwedzera nyota, kuwanzisa kuenda chimbuzi, kurasikirwa uremu zvisingatsananguriki, kana kuneta nguva dzose, izvi zvinogona kuva zviratidzo zvekuwedzera kweshuga yeropa. Usamirira kuti uongororwe kana uine zviratidzo izvi, sezvo kuongororwa nekukurumidza uye kurapwa kunogona kudzivirira matambudziko.

Vanhu vane prediabetes vanofanira kuongororwa A1C yavo kanenge kamwechete pagore kuti vatarise kufambira mberi kwavo uye kubata chero kufambira mberi kuchirwere cheshuga kare. Kana uine chirwere cheshuga, chiremba wako anowanzo kurudzira kuongororwa A1C mwedzi mitatu-6 yega yega, zvichienderana nekuti shuga yako yeropa inodzorwa sei.

Unofanirawo kuona chiremba wako kana uine chirwere cheshuga uye mhedzisiro yako yeA1C iri pamusoro pehuwandu hwako hwaunoda. Izvi zvinogona kuratidza kuti chirongwa chako chekurapa chazvino chinoda kugadziriswa, uye mupi wako wehutano anogona kukubatsira kuti udzokere munzira.

Mibvunzo inowanzo bvunzwa nezve A1C Test

Q.1 Ko A1C test yakanaka pakuona chirwere cheshuga here?

Hongu, iyo A1C test chishandiso chikuru chekuona chirwere cheshuga uye prediabetes. Inonyanya kukosha nekuti inopa mufananidzo wakazara wekudzora shuga yako yeropa kwemwedzi miviri-3, panzvimbo yenguva imwechete sekuongororwa kwe glucose.

Iyo test yakasununguka nekuti haufaniri kutsanya usati wazviita, uye haina kukanganiswa nekudya kwemazuva ano kana kushushikana. Zvisinei, chiremba wako angashandisa pamwe chete nemamwe ma test kuti awane mufananidzo wakazara wemetabolism yako yeglucose uye kusimbisa kuongororwa.

Q.2 Ko A1C yakakwira inokonzera kuneta here?

Mazinga akakwira eA1C anogona kubatsira kuneta, kunyangwe hukama hwacho husina kunanga. Kana mazinga eshuga yeropa ako akakwira nguva dzose, muviri wako unowana dambudziko rekushandisa glucose zvakanaka kuwana simba, izvo zvinogona kukusiya uchinzwa wakaneta uye usina simba.

Uyezve, shuga yeropa yakakwira inogona kukonzera kupera mvura mumuviri sezvo itsvo dzako dzichishanda nesimba kusefa glucose yakawandisa, uye kupera mvura mumuviri kunowanzoita kuti unete. Kana uri kusangana nekuneta nguva dzose pamwe chete nezvimwe zviratidzo zvakaita sekuwedzera nyota kana kuwanzisa kuenda chimbuzi, zvakakosha kukurukura bvunzo yeA1C nachiremba wako.

Mubvunzo 3. Ko mhedzisiro yeA1C inogona kuva isina kururama here?

Nepo bvunzo dzeA1C dzichiwanzova dzakarurama, mamiriro akati wandei anogona kukanganisa mhedzisiro. Vanhu vane mhando dzakasiyana dzeanemia, kurasikirwa kweropa munguva pfupi yapfuura, kana shanduko dzemajini dzinokanganisa hemoglobin vangave nemhedzisiro isingaratidzi zvakarurama mazinga avo eshuga yeropa avhareji.

Kana mhedzisiro yako yeA1C isingaenderane nekuverenga kweshuga yeropa yako yezuva nezuva kana uine mamiriro anogona kukanganisa bvunzo, chiremba wako anogona kukurudzira nzira dzekuongorora dzakawedzerwa. Izvi zvinogona kusanganisira bvunzo dze glucose dzisina chinhu kana bvunzo dzekushivirira glucose kuti uwane mufananidzo wakakwana.

Mubvunzo 4. Mazinga eA1C anogona kuchinja nekukurumidza sei?

Mazinga eA1C anochinja zvishoma nezvishoma nekuti anoratidza avhareji yeshuga yeropa yako kwemwedzi miviri mitatu. Iwe unowanzoona shanduko dzakakosha muA1C yako kwemavhiki angangoita 6-8 mushure mekuita shanduko dzemararamiro kana kugadzirisa mishonga.

Ichi ndicho chikonzero chiremba vanowanzo kumirira angangoita mwedzi mitatu pakati pebvunzo dzeA1C pavanenge vachitarisa manejimendi echirwere cheshuga. Zvisinei, maitiro ekuchinja kweA1C zvishoma nezvishoma zvinorevawo kuti kuvandudzwa kwaunoita kuburikidza netsika dzine hutano kuchava nemigumisiro inogara pamhedzisiro yako.

Mubvunzo 5. Ndeupi musiyano uripo pakati peA1C uye bvunzo dzeshuga yeropa yezuva nezuva?

Kuyera shuga yeropa mazuva ese kunokupa mufananidzo wehuwandu hweshuga yako panguva chaiyo, nepo A1C ichipa mufananidzo mukuru kwemwedzi yakati wandei. Funga nezvekuyera zuva nezuva sekutora mapikicha ega ega, nepo A1C iri kufanana nekutarisa bhaisikopo remaitiro eshuga yako yeropa.

Mhando mbiri dzekuyera dzakakosha nezvikonzero zvakasiyana. Kuyera zuva nezuva kunokubatsira kuita zvisarudzo pakarepo nezve chikafu, mishonga, uye chiitiko, nepo A1C ichikubatsira iwe nachiremba wako kuongorora kuti chirongwa chako chekugadzirisa chirwere cheshuga chiri kushanda sei nekufamba kwenguva.