A1C bvunzo

A1C bvunzo yebazi inoratidza chiyero chepakati cheshuga yeropa (glucose) pamusoro pemwedzi mitatu yapfuura. Inoratidza kuti uri kudzora zvakanaka sei shuga yako yeropa kubatsira kudzivirira matambudziko kubva kuchirwere cheshuga.

Muenzaniso weropa unodiwa. Nzira mbiri dziripo:

• Ropa rakatorwa kubva mutsinga. Izvi zvinoitwa kubazi.
• Tsvimbo yemunwe. Izvi zvinogona kuitwa muhofisi yemupi wezvehutano. Kana, iwe unogona kunyorerwa kit yaunogona kushandisa kumba. Kazhinji, bvunzo iyi haina kunyatsojeka kupfuura nzira dzinoitwa murabhoritari.

Hapana gadziriro inokosha inodiwa. Chikafu chawakadya nguva pfupi yadarika hachikanganisa bvunzo yeA1C, saka haufanire kutsanya kugadzirira kuyedzwa kweropa uku.

Nekamuti kemunwe, unogona kunzwa kurwadziwa kushoma.

Uine ropa rakatorwa kubva mutsinga, ungangonzwa kakatsvinwa kana kumborumwa kana tsono yaiswa. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Wako mupi anogona kuraira iyi bvunzo kana uine chirwere cheshuga. Inoratidza kuti uri kudzora sei chirwere cheshuga.

Muedzo wacho unogona zvakare kushandiswa kuongorora chirwere cheshuga.

Kumbira mupiki wako kuti kangani iwe unofanirwa kunge uine yako A1C nhanho kuyedzwa. Kazhinji, kuyedzwa kwese kwemwedzi mitatu kana mitanhatu kunokurudzirwa.

Izvi zvinotevera mhedzisiro apo A1C iri kushandiswa kuongorora chirwere cheshuga:

• Zvakajairika (hapana chirwere cheshuga): Asingasviki 5.7%
• Pre-chirwere cheshuga: 5.7% kusvika 6.4%
• Chirwere cheshuga: 6.5% kana kupfuura

Kana iwe uine chirwere cheshuga, iwe nemupi wako muchakurukura iyo chaiyo renji yako. Kune vanhu vazhinji, chinangwa ndechekuchengetedza iyo nhanho pazasi pe7%.

Mhedzisiro yekuyedza inogona kunge isiriyo muvanhu vane chirwere chekushaya ropa, hosha yeitsvo, kana kumwe kunetseka kweropa (thalassemia). Taura nemupi wako kana iwe uine chero eaya mamiriro. Mimwe mishonga inogona zvakare kukonzera muyero weA1C wenhema.

Iyi mienzaniso iripamusoro zviyero zvakajairika zvemhedzisiro yeiyi bvunzo. Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Mhedzisiro isingawanzo zvinoreva kuti wave neshuga yakakwira yeropa mukati memwedzi yakati kusvika kumwedzi.

Kana yako A1C iri pamusoro pe6.5% uye iwe usati uine chirwere cheshuga, unogona kubatwa nechirwere cheshuga.

Kana yako nhanho iri pamusoro pe7% uye uine chirwere cheshuga, zvinowanzoreva kuti shuga yako yeropa haina kudzorwa zvakanaka. Iwe nemupi wako munofanira kuona zvamunoda A1C.

Mazhinji marabhu ikozvino anoshandisa iyo A1C kuverenga inofungidzirwa avhareji glucose (eAG). Uku kufungidzira kunogona kuve kwakasiyana kubva pavhareji yeshuga yeropa iwe yauri kurekodha kubva paglucose mita yako kana kuenderera kweglucose yekutarisa. Taura nemupi wako nezve izvo zvinoreva izvi. Iko chaiko kuverenga kweshuga muropa kunowanzo kuve kwakavimbika kupfuura iyo inofungidzirwa avhareji glucose zvichibva paA1C.

Iyo yakakwira yako A1C, iyo inowedzera njodzi yekuti iwe uchave nezvinetso zvakadai se:

• Chirwere chemaziso
• Chirwere chemoyo
• Chirwere cheitsvo
• Tsinga kukuvara
• Kurohwa

Kana yako A1C ikaramba yakakwira, taura nemupi wako nezve maitiro ekunyatso gadzirisa shuga yako yeropa.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzekutorwa ropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Akawanda punctures ekutsvaga mutsinga
• Kufenda kana kunzwa kushaya musoro
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

HbA1C bvunzo; Glycated hemoglobin bvunzo; Glycohemoglobin bvunzo; Hemoglobin A1C; Chirwere cheshuga - A1C; Chirwere cheshuga - A1C

• Chirwere cheshuga bvunzo uye kuongororwa

• Kuongorora ropa

American Chirwere cheshuga Association. 6. Glycemic zvinangwa: zviyero zvekurapwa mune cheshuga - 2020. Chirwere cheshuga. 2020; 43 (Chishandiswa 1): S66-S76. PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

Chernecky CC, Berger BJ. Glycosylated hemoglobin (GHb, glycohemoglobin, glycated hemoglobin, HbA1a, HbA1b, HbA1c) - ropa. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 596-597.