Hōʻike Hemoglobin A1C (HbA1c)
Anter
- He aha ka hōʻike hemoglobin A1c (HbA1c)?
- No ke aha ia e hoʻohana ai?
- No ke aha wau e pono ai i kahi hōʻike HbA1c?
- He aha ka hana i ka wā o kahi hōʻike HbA1c?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pilikia i ka hoʻāʻo?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike HbA1c?
- Nā kūmole
He aha ka hōʻike hemoglobin A1c (HbA1c)?
Ana ke ana hemoglobin A1c (HbA1c) i ka nui o ke kō kō (glucose) e pili ana i ka hemoglobin. ʻO Hemoglobin kahi ʻāpana o kou mau ʻulaʻula e lawe i ka oxygen mai kou mau māmā i ke koena o kou kino. Hōʻike kahi hōʻike HbA1c i ke ʻano o ka glucose i hoʻopili ʻia i hemoglobin i loko o ʻekolu mau mahina i hala. ʻO ka awelika he ʻekolu mahina ia no ka mea maʻamau ka lōʻihi o ke ola ʻana o kahi hunaola ʻulaʻula.
Inā kiʻekiʻe kāu HbA1c pae, he hōʻailona paha ia o ka maʻi kō, kahi maʻi hoʻomau e hiki ai ke hoʻopilikia i nā pilikia olakino koʻikoʻi, me nā maʻi puʻuwai, nā maʻi puʻuwai, a me nā ʻino nerve.
Nā inoa ʻē aʻe: HbA1c, A1c, glycohemoglobin, hemoglobin glycated, hemoglobin glycosylated
No ke aha ia e hoʻohana ai?
Hiki ke hoʻohana ʻia kahi hoʻokolohua HbA1c e nānā no ka maʻi diabetes a prediabetes paha i nā mākua. ʻO Prediabetes ka mea e hōʻike ai kāu pae kō kō i kou makaʻu no ka loaʻa ʻana i ka maʻi kō.
Inā loaʻa ʻoe i ka maʻi diabetes, hiki i kahi hōʻike HbA1c ke kōkua i ka nānā ʻana i kāu kūlana a me nā pae glucose.
No ke aha wau e pono ai i kahi hōʻike HbA1c?
Pono ʻoe i kahi hoʻokolohua HbA1c inā loaʻa iā ʻoe nā ʻōuli o ka maʻi kō. Pākuʻi ʻia kēia mau mea:
- Hoʻonui wai make wai
- Hoʻonui i ka urination
- ʻIke makapō
- Ka luhi
E kauoha paha kāu mea mālama ola i kahi hōʻike HbA1c inā ʻoe i ʻoi aku ka nui o ka makaʻu no ka loaʻa ʻana i ka maʻi kō. ʻO nā kumu pilikia me:
- Ka momona a momona paha
- Piʻi koko kiʻekiʻe
- Mōʻaukala o ka maʻi puʻuwai
- Hoʻoikaika kino ʻole
He aha ka hana i ka wā o kahi hōʻike HbA1c?
E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi hōʻike HbA1c.
Aia kekahi mau pilikia i ka hoʻāʻo?
ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.
He aha ke ʻano o nā hopena?
Hāʻawi ʻia nā hopena HbA1c i nā pākēneka. Ma lalo nā hopena maʻamau.
- Maʻamau: HbA1c ma lalo o 5.7%
- Prediabetes: HbA1c ma waena o 5.7% a me 6.4%
- Diabetes: HbA1c o 6.5% a ʻoi paha
Kuhi paha kāu mau hopena i kekahi mea ʻokoʻa. Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.
Inā loaʻa ʻoe i ka maʻi kō, ua paipai ka ʻAhahui Diabetes ʻAmelika e mālama i kāu mau pae HbA1c ma lalo o 7%. Loaʻa paha i kāu mea mālama ola i nā ʻōlelo ʻē aʻe nāu, kaukaʻi ʻia i kou olakino holoʻokoʻa, makahiki, kaumaha, a me nā kumu ʻē aʻe.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike HbA1c?
ʻAʻole hoʻohana ʻia ka hōʻike HbA1c no ka maʻi kō, ʻo ka maʻi diabetes e pili wale ana i nā wahine hāpai, a i ʻole no ka hōʻoia ʻana i ka maʻi kō i nā keiki.
Eia kekahi, inā he anemia kou a i ʻole kekahi ʻano maʻi maʻi koko, ʻoi aku ka pololei o ka hōʻike HbA1c no ka hōʻoia ʻana i ka maʻi kō. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi a ʻaʻa ʻoe i ka maʻi kō, hiki i kāu kauka olakino ke ʻōlelo i nā hoʻokolohua like ʻole.
Nā kūmole
- ʻAhahui Diabetes ʻAmelika [Pūnaewele]. Arlington (VA): ʻAhahui Diabetes ʻAmelika; c1995–2018. A1C a me eAG [hoʻohou 2014 Sep 29; i helu ʻia 2018 Ian 4]; [ma kahi o 4 pale]. Loaʻa mai: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c
- ʻAhahui Diabetes ʻAmelika [Pūnaewele]. Arlington (VA): ʻAhahui Diabetes ʻAmelika; c1995–2018. Nā ʻ Commonlelo Laha [hōʻano 2014 2014 7; i helu ʻia 2018 Ian 4]; [ma kahi o 2 pale]. Loaʻa mai: http://www.diabetes.org/diabetes-basics/common-terms
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2018. Diabetes [hoʻohou 2017 Dec 12; i helu ʻia 2018 Ian 4]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/diabetes
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2018. Hemoglobin A1c [hōʻano hou 2018 Jan 4; i helu ʻia 2018 Ian 4]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/hemoglobin-a1c
- Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2017. Hōʻike A1c: Nānā Hou; 2016 Ian 7 [helu ʻia 2018 Ian 4]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/tests-procedures/a1c-test/about/pac-20384643
- Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Diabetes Mellitus (DM) [helu ʻia 2018 Ian 4]; [ma kahi o 2 pale]. Loaʻa mai: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorder/diabetes-mellitus-dm-and-disorder-of-blood-sugar-metabolism/diabetes-mellitus-dm#v773034
- National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā Hōʻaike Koko [cited 2018 Jan 4]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
- National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo Diabetes & Diagnosis; 2016 Nov [helu ʻia 2018 Ian 4]; [ma kahi o 4 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis
- National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; ʻO ka hōʻike A1c & Diabetes; 2014 Sep [helu ʻia 2018 Ian 4]; [ma kahi o 5 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis/a1c-test
- National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ia Diabetes ?; 2016 Nov [helu ʻia 2018 Ian 4]; [ma kahi o 4 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2018. ʻO Encyclopedia Health: A1c [i kuhikuhi ʻia 2018 Jan 4]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=A1C
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. Glycohemoglobin (HbA1c, A1c): Nā hopena [hōʻano 2017 2017 Mar 13; i helu ʻia 2018 Ian 4]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hemoglobin-a1c/hw8432.html#hw8441
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. Glycohemoglobin (HbA1c, A1c): Nānā Hōʻike Hou [hōʻano hou 2017 Mar 13; i helu ʻia 2018 Ian 4]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hemoglobin-a1c/hw8432.html
ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.