Hōʻike A1C

A1C kahi hōʻike lab e hōʻike ana i ka pae awelika o ke kō kō (glucose) ma mua o nā mahina 3 i hala. Hōʻike ia i kou kaohi ʻana i kāu kō kō e kōkua ai i ka pale ʻana i nā pilikia mai ka maʻi kō.

Pono kahi laʻana koko. Loaʻa nā ʻano ʻelua:

• Kuhi ʻia ke koko mai kahi aa koko. Hana ʻia kēia ma kahi hale hana.
• Lāʻau manamana. Hiki i kēia ke hana i kāu keʻena mālama ola. A i ʻole, kuhikuhi ʻia ʻoe i kahi kit e hiki ai iā ʻoe ke hoʻohana ma ka home. Ma ka laulaha, ʻoi aku ka pololei o kēia hōʻoia ma mua o nā hana i hana ʻia i ka hale hana lumi.

ʻAʻole pono kahi hoʻomākaukau kūikawā. ʻAʻole pili ka ʻai āu e ʻai ai i ka hōʻike A1C, no laila ʻaʻole pono ʻoe e hoʻokē ʻai e hoʻomākaukau no kēia hōʻike koko.

Me ka lāʻau manamana lima, ʻeha iki paha ʻoe.

Me ke koko e huki ʻia mai kahi aa, ʻike paha ʻoe i kahi ʻuʻuku a i ʻole ke ʻūlū ke hoʻokomo ʻia ka nila. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa ʻoe i ka maʻi diabetes. Hōʻike ia i kou kaohi pono ʻana i kāu maʻi kō.

Hoʻohana ʻia paha ka hōʻike e nānā ai no ka maʻi kō.

E noi i kāu mea hāʻawi i ka manawa hea e hoʻāʻo ai i kāu pae A1C. ʻO ka maʻamau, hōʻike ʻia ka hoʻāʻo ʻana i kēlā me kēia 3 a 6 paha mahina.

Eia nā hopena i ka manawa e hoʻohana ʻia ai ʻo A1C e hōʻoia i ka maʻi kō.

• Maʻamau (ʻaʻohe diabetes): Ma lalo o 5.7%
• Pre-diabetes: 5.7% a i 6.4%
• Diabetes: 6.5% a ʻoi paha

Inā loaʻa ʻoe i ka maʻi diabetes, e kūkākūkā ʻoe a me kāu mea hāʻawi i ka pae kūpono no ʻoe. No ka poʻe he nui, ʻo ka pahuhopu ka mālama ʻana i ka pae ma lalo o 7%.

He kūpono ʻole paha ka hopena hōʻike i ka poʻe me ka anemia, ka maʻi ʻaʻai, a i ʻole kekahi mau maʻi koko (thalassemia). E kamaʻilio i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau ʻano. Hiki i kekahi mau lāʻau ke hopena i kahi pae A1C wahaheʻe.

ʻO nā laʻana ma luna he ana maʻamau no nā hopena o kēia mau hoʻāʻo. Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi hopena maʻamau ka loaʻa ʻana iā ʻoe kahi kiʻekiʻe o ke kō i ke kiʻekiʻe o ke kō ma mua o kahi mau pule i mau mahina.

Inā ʻoi aku kāu A1C ma luna o 6.5% a ʻaʻohe ou maʻi diabetes, e ʻike ʻia ʻoe me ka maʻi kō.

Inā ʻoi aku kou kiʻekiʻe ma luna o 7% a he maʻi diabetes kou, ʻo ia hoʻi ka mana pinepine ʻole ʻana o kāu kō kō. Pono ʻoe a me kāu mea hāʻawi e hoʻoholo i kāu pahuhopu A1C.

Hoʻohana nā labs he nui i kēia manawa i ka A1C e helu ai i ka glucose awelika i manaʻo ʻia (eAG). ʻOkoʻa paha kēia kuhi mai ka awelika kō sugars āu e hoʻopaʻa nei mai kāu mika glucose a i ʻole ka monitor glucose mau. E kamaʻilio i kāu mea hoʻolako e pili ana i ke ʻano o kēia. ʻOi aku ka paulele o nā heluhelu kō kō maoli ma mua o ka glucose awelika i manaʻo ʻia e pili ana i ka A1C.

ʻO ke kiʻekiʻe o kāu A1C, ʻo ke kiʻekiʻe o ka makaʻu e hoʻomohala ʻoe i nā pilikia e like me:

• Maʻi maka
• Maʻi maʻi puʻuwai
• ʻO ka maʻi kīwī
• Poino nerve
• Hahau

Inā kū kiʻekiʻe kāu A1C, e kamaʻilio me kāu mea hoʻolako e pili ana i ka hoʻoponopono maikaʻi ʻana i kāu kō kō.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻOi aku nā mea ʻino ʻē aʻe o ke kaʻi ʻia ʻana o ke koko, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike HbA1C; Hōʻike hemoglobin Glycated; Hōʻike Glycohemoglobin; Hemoglobin A1C; Diabetes - A1C; Diabetic - A1C

• Nā hōʻoia diabetes a me nā hōʻoia

• Hōʻaʻo koko

ʻAhahui Diabetes ʻAmelika. 6. Nā pahuhopu Glycemic: nā kūlana o ka mālama olakino i ka maʻi kō - 2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S66-S76. PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

Chernecky CC, Berger BJ. Glycosylated hemoglobin (GHb, glycohemoglobin, hemoglobin glycated, HbA1a, HbA1b, HbA1c) - ke koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 596-597.