Teko ea Hemoglobin A1C (HbA1c)

Litaba

• Teko ea hemoglobin A1c (HbA1c) ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea HbA1c?
• Ho etsahalang nakong ea tlhahlobo ea HbA1c?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea HbA1c?
• Litšupiso

Teko ea hemoglobin A1c (HbA1c) ke eng?

Teko ea hemoglobin A1c (HbA1c) e lekanya palo ea tsoekere ea mali (glucose) e hoketsoeng ho hemoglobin. Hemoglobin ke karolo ea lisele tse khubelu tsa mali tse tsamaisang oksijene matšoafong a hao ho ea 'meleng oohle oa hau. Teko ea HbA1c e bonts'a hore na karolelano ea glucose e hoketsoeng ho hemoglobin e bile joang likhoeling tse tharo tse fetileng. Ke karolelano ea likhoeli tse tharo hobane ke tloaelo hore sele e khubelu ea mali e phela halelele hakae.

Haeba maemo a hau a HbA1c a phahame, e kanna ea ba sesupo sa lefu la tsoekere, boemo bo sa foleng bo ka bakang mathata a tebileng a bophelo bo botle, ho kenyelletsa lefu la pelo, lefu la liphio le tšenyo ea methapo.

Mabitso a mang: HbA1c, A1c, glycohemoglobin, glycated hemoglobin, glycosylated hemoglobin

E sebelisetsoa eng?

Teko ea HbA1c e ka sebelisoa ho lekola lefu la tsoekere kapa li-prediabetes ho batho ba baholo. Prediabetes e bolela hore maemo a tsoekere ea mali a bontša hore o kotsing ea ho tšoaroa ke lefu la tsoekere.

Haeba u se u ntse u na le lefu la tsoekere, tlhahlobo ea HbA1c e ka u thusa ho lekola boemo ba hau le maemo a tsoekere.

Hobaneng ha ke hloka tlhahlobo ea HbA1c?

U kanna oa hloka tlhahlobo ea HbA1c haeba u na le matšoao a lefu la tsoekere. Tsena li kenyelletsa:

• Nyora e eketsehileng
• Ho eketseha ha ho ntša metsi
• Pono e lerootho
• Mokhathala

Mofani oa hao oa tlhokomelo ea bophelo a ka laela le tlhahlobo ea HbA1c haeba u le kotsing e kholo ea ho tšoaroa ke lefu la tsoekere. Mabaka a kotsi a kenyelletsa:

• Ho ba motenya haholo kapa ho ba motenya
• Khatello ea mali e phahameng
• Nalane ea lefu la pelo
• Ho se sebetse 'meleng

Ho etsahalang nakong ea tlhahlobo ea HbA1c?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea HbA1c.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Liphetho tsa HbA1c li fanoa ka liperesente. Liphetho tse tloaelehileng li ka tlase.

• E tloaelehileng: HbA1c ka tlase ho 5.7%
• Prediabetes: HbA1c lipakeng tsa 5.7% le 6.4%
• Lefu la tsoekere: HbA1c ea 6.5% kapa ho feta

Liphetho tsa hau li ka bolela se fapaneng. Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Haeba u na le lefu la tsoekere, American Diabetes Association e khothaletsa ho boloka maemo a hau a HbA1c a le tlase ho 7%. Mofani oa hao oa tlhokomelo ea bophelo a ka ba le likhothaletso tse ling bakeng sa hau, ho latela bophelo ba hau ka kakaretso, lilemo, boima ba 'mele le lintlha tse ling.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea HbA1c?

Teko ea HbA1c ha e sebelisetsoe lefu la tsoekere la bokhachane, mofuta oa lefu la tsoekere o amang basali ba bakhachane feela, kapa bakeng sa ho fumana lefu la tsoekere baneng.

Hape, haeba u na le phokolo ea mali kapa mofuta o mong oa lefu la mali, tlhahlobo ea HbA1c e kanna ea nepahala hanyane bakeng sa ho fumana lefu la tsoekere. Haeba u na le e 'ngoe ea mathata ana' me u kotsing ea ho tšoaroa ke lefu la tsoekere, mofani oa tlhokomelo ea bophelo a ka khothaletsa liteko tse fapaneng.

Litšupiso

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2. Mokhatlo oa American Diabetes Association [Inthaneteng]. Arlington (VA): Mokhatlo oa Amerika oa lefu la tsoekere; c1995–2018. Melao e Tloaelehileng [ntlafalitsoeng 2014 Apr 7; e qotsitsoeng ka 2018 Jan 4]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.diabetes.org/diabetes-basics/common-terms
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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.