Muedzo weA1C (unozivikanwawo seHbA1C, hemoglobin A1c, glycated hemoglobin kana glycosylated hemoglobin) ndiyo yakanaka yakawanda yehutano hwehuga hweshuga. Kunyange zvazvo girasi rekuchengeta girasi rinowanzogadzirisa shuga yomunhu pane imwe nguva, mazinga eA1C anoratidza huwandu hwomunhu hwehutachiona hweropa mumwedzi miviri kusvika kumatatu akapfuura.
Chinoshanda sei?
Iwe unogona kutora kuongorora kweA1C kuburikidza nekugara kweropa kutevedza.
Mahofisi akawanda echiremba anewo ma A1C emichina yekuongorora uye anokwanisa kudzorera mugumisiro nehombodo kaduku yeropa inowanikwa kubva kuvhara munwe ne lancet. Iwe haufaniri kunge uchitsanya kugamuchira kuongorora kweA1C inoita kuti zvive nyore uye zvinogona kuitika.
Hemoglobin A, puroteni yakawanikwa mukati memasero matsvuku eropa, inotakura oksijeni mumuviri wose. Kana pane glucose muropa, inogona kunyanya (glycate) kune hemoglobin A protein. Kuwedzera glucose muropa zvinoreva kuti glucose yakawanda inonamatira hemoglobin uye chikamu chepamusoro chemaprotiniti anonzi glycated.
Kana kamwe glucose yakanamatira puroteni ye hemoglobin , inowanzosara yehupenyu hweHemoglobin A protein-chero mazuva makumi maviri. Saka, panguva ipi zvayo, glucose yakabatana ne hemoglobin A protein inoratidza chiyero cheshuga yeropa pamwedzi miviri kusvika kutatu yapfuura.
Chiyero cheA1C chinoyera kuti glucose yakanyatsokonzerwa sei ne hemoglobin A, kana kuti kunyanya, zvikamu zvipi zvehymoglobin mapurotini ane glycated.
Nokudaro, kuva ne7 muzana A1C zvinoreva kuti 7 muzana ye hemoglobin mapurotini ane glycated.
Kunzwisisa A1C Nhamba
Kune munhu asina chirwere cheshuga, inowanzoitwa A1C yezinga inenge 5 muzana. A borderline A1C inotarirwa 5.7-6.4 muzana (iyi inonzi inofanirwa kuitika kare). Kune mumwe munhu ane chirwere cheshuga, nyanzvi haabvumirani pane chimwe chinhu pane izvo zvinangwa zveA1C zvinofanira kuva.
IAmerican Diabetes Association (ADA) inokurudzira chinangwa cheA1C chepasi kana chakaenzana ne7 muzana. IAmerican Association of Clinical Endocrinologists inokurudzira huwandu hwe6,5 muzana kana pasi.
Iyo ADA inotsigirawo kuti zvinangwa zveA1C zvinofanira kuva zvakasiyana. Vaya vane chirwere cheshuga vanofanira kutarisa nehutano hwehutano kuti vadzidze kuti zvinangwa zvavo zveA1C zvinofanira kunge zvakadini. Semuenzaniso, kune vanhu avo vakaderedza hupenyu hwekugara, chirwere cheshuga chine nguva refu uye zvakaoma kuwana chinangwa chepasi, hypoglycemia yakanyanya, kana kuti yakakonzerwa nehutachiona hwehutano hwakadai sezvirwere zvepfungwa dzisingaperi, zvirwere zvehutano, kana chirwere chemwoyo chinangwa cheA1C chinogona kunge chakakwirira.
Zvisinei, kune vanhu vazhinji, pasi reA1C inofanirwa chero bedzi ivo vasati vaine nguva yakawanda yekutsika kwemashuga eropa. Nekudaro, National Institutes of Health (NIH) inotaura kuti, kazhinji, chikamu chimwe nechimwe chepakati chinodonhedzwa mumigumisiro yeA1C yeropa (semuenzaniso, kubva pamapfumbamwe kusvika ku7 kubva muzana) inoderedza ngozi yeziso, tsvete uye chirwere chendangara ne40 muzana .
A1C kuEAG Inofungidzirwa Average Glucose Levels
Cherechedza kuti A1C haina kufanana neyo inofungidzirwa yega glucose (eAG), iyo miviri yemwedzi mitatu mumag / dL, asi A1C inobatanidza zvakananga kuEAG.
Apo iwe uri kuedza ropa rako sutu mazuva ose, nhamba dzaunoona pane yako yekuongorora dzinotaridzwa mum mg / dL. Vanofungisisa kwenguva pfupi uye havana kufanana neEAG yako.
IA1c muzana inogona kushandurirwa mune inofungidzirwa yega shuga yeropa. Semuenzaniso, muvhareji weropa weglucose we 150 mg / dL (milligrams per deciliter) inoshandura muA1C yevanenge 7 muzana. Izvi zvinopfuura zvakakosha, zvichipiwa kuti chirwere cheshuga chinowanzopiwa apo hutachiona hweropa hunosvika pa12 mg / dL.
A1c kuEAG Shanduro yeKushandura
| HbA1c kana A1c | eAG | |
| % | mg / dl | mmol / l |
| 6 | 126 | 7.0 |
| 6.5 | 140 | 7.8 |
| 7 | 154 | 8.6 |
| 7.5 | 169 | 9.4 |
| 8 | 183 | 10.1 |
| 8.5 | 197 | 10.9 |
| 9 | 212 | 11.8 |
| 9.5 | 226 | 12.6 |
| 10 | 240 | 13.4 |
Nzira yakashandiswa ndeyekuti: 28.7 X A1C - 46.7 = eAG.
Kakawanda sei kuongorora kweA1C Kunokosha?
IAmerican Diabetes Association inorumbidza kuti vanhu vose vanopfuura 45 (avo vasiri zviratidzo) vanoongororwa chirwere cheshuga. Izvi zvinogona kureva kuti vanogamuchira chirongwa cheA1C kamwe chete pamakore matatu oga oga. Kana kune rumwe rutivi, mumwe munhu ane mhuri yakasimba yehutachiwana hwechirwere cheshuga kana zvimwe zvipingamupinyi zvakakwirira zvinogona kukurudzirwa kuti zvionekwe nokukurumidza. Uyezve, kana mumwe munhu ane zviratidzo uye ari kuona-nyota yakawedzerwa, nzara yakakura, kuwedzerwa kuwedzera kana kuneta, kuongorora kweA1C kunogona kushandiswa sechirwere chekuongorora.
Vanhu vane chirwere cheshuga vanofanira kuve neA1C yavo yakaedzwa mimwe mwedzi mitatu; kana sutu yeropa yakanyatsogadzikana pedyo-inowanzoitika, kaviri pagore inogona kukwana. Vatapi vezvehutano vanofanira kuudza varwere izvo zvakakosha kwavari uye kuvabvumira kutarisa kushandiswa kwavo nekushuga kwechirwere cheshuga nyore nyore. Dzimwe nguva zviitiko zveA1C zvinogona kukurudzirwa kana mumwe munhu achangobva kuchinja hurongwa hwake hwokurapa.
Chiyero cheA1C chinoshandiswa Mukuongorora Diabetes uye Prediabetes
Chiyero cheA1C chinogona kushandiswa pakuongorora chirwere cheshuga uye prediabetes . Mune zvimwe zviitiko, kuongorora kweA1C kunogona kushandiswa sechipiri chekuedza kuongorora kana munhu ari pangozi kana ane chirwere cheshuga kana prediabetes. Semuenzaniso, kana iwe uine shuga yepamusoro yekutsanya yepamusoro kana yakakura kupfuura 126 mg / dL uye mutarisiri wako wehutano anokonzera chirwere cheshuga, anogona kurayira kuongorora kweA1C kusimbisa. Maererano neNational Institute of Health, apo chirongwa cheA1C chinoshandiswa soley kuti chiongororwe, muenzaniso weropa unofanira kutumirwa ku laboratori inoshandisa nzira yeKNSP-yakagadziriswa yekuongororwa kuitira kuti zviratidzo zvive zvakarongeka.
Ndeipi yakarurama Test A1C?
Sangano reNational Institute of Health rinoti, "Mhinduro yeA1C inogona kusvika kusvika ku5,5 muzana yakakwirira kana yepamusoro kupfuura yepamusoro yepakati." Izvi zvinoreva kuti A1C yakaenzana se7.0 muzana inogona kuratidzira A1C yechokwadi chero ipi zvayo kubva kune ~ 6.5 kusvika ku7,5 muzana. Vatapi vezvoutano vanogona kushanyira www.ngsp.org kuti vawane ruzivo pamusoro pokururamisa kwekuongorora kweA1C kushandiswa ne laboratori yavo. "
Asi, zvakakosha kuchengetedza mupfungwa kuti marudzi ese ekuongororwa kweropa anowirirana nekusiyana.
Zvinokonzerwa neTest
Kunyange zvazvo A1C iri chiyero chakanaka chekuchengetedza glucose, haigoni kutsvaga kuongororwa kweropa glucose. Kufanana nedzimwe mimwe miedzo, zvigumisiro zvinogona kusiyana kubva kubasa kuenda kubasa. Chiyero cheA1C hachikwanisi kufanana kune imwe nzvimbo, kunyange mhirizhonga iri pasi rose iri kuenderera mberi kuenzanisa kuongorora kweA1C kune imwe International International Federation of Clinical Chemistry uye Laboratory Medicine.
Uye kune zvimwe zviitiko apo kuongorora kweA1C hakusi muedzo wakanaka wokushandisa. Semuenzaniso, mamwe mamiriro ezvinhu eutano anogona kukanganisa nekunyengera kwepamusoro kweA1C kana kuti zvinyorwa zveA1C zvenhema.
Nhema dzeA1C dzinowanikwa kune vanhu vane mamwe matambudziko anokanganisa ropa ravo kana hemoglobin. Semuenzaniso, chikonzero cheA1C chisiri chechokwadi chinogona kuitika kune vanhu vane chirwere chekushaya ropa, zvakadai searele cell cell anemia kana thalassemia kana avo vane ropa rinorema. Kune rumwe rutivi, chiitiko cheA1C chakakonzerwa chinogona kuitika kune vanhu vanocheka kwazvo musimbi, somuenzaniso, avo vane iron inoshaya anemia.
Zvimwe zvinokonzera zvinyorwa zvenhema A1C zvinosanganisira
- kidyo kutadza
- chiropa chiropa
Kana iwe uri kushamisika kuti kana kwete chirongwa cheA1C chakakunakira iwe, unogona kuwanazve mamwe mashoko kubva kuNational Glycohemoglobin Standardization Program. Vanopa ruzivo rwevashandi vezvehutano pamusoro pekuti zvipi zveA1C zvakafanirwa kushandiswa pakasiyana-siyana yehemoglobin pawww.ngsp.org.
Shoko Rinobva
Chiyero cheA1C ndechimwe chiyero chakanaka chinoshandiswa kugadzirisa shuga yega yega yevanhu pamusoro pemwedzi miviri kusvika kune mitatu. Chiyero cheA1C chinoshandiswa senzvimbo yekucherechedza kune avo vane chirwere cheshuga, uyewo kuongorora uye kuongorora chigoni chekushandisa yekugadzirisa dambudziko rekushaya chirwere cheshuga uye kuongororwa. Iwe hauna kutsanya kugamuchira kuongorora kweA1C uye zvichienderana nesangano rechiremba wako unogona kukwanisa kuunza A1C yako yakaitika munguva chaiyo muhofisi yake. Zvimwewo, zvimwe zvinoshandiswa, zvakadai sehutano hwako hwose, zera, uye hutachiwana hwehuga, huchatsigira kutongedza rutivi rwemukana weA1C rwakagamuchirwa pamwe uye kuti unowedzerwa kakawanda sei. Dzimwe nguva chirongwa cheA1C hachizove chiyero chakakodzera cheshuga yeropa, kunyanya kana iwe uri munhu ane nhoroondo ye sickle cell anemia kana chirwere chepfungwa chakapfuura. Kana uine mibvunzo pamusoro peA1C yako, bvunza sangano rako rehutano.
Sources:
> National Institute of Diabetes and Digestive and Kidney Diseases. Chiyero cheA1c uye chirwere cheshuga.
> American Diabetes Association. A1C Test.
> American Association for Clinical Chemistry .. A1C: The Test. .
> Glycohemoglobin Standardization Program. IFCC Chimiro cheHbA1c. http://www.ngsp.org/