World Diabetes Day: Ala'e Ola Ola, Hoomaka me ka HoomaopopoHbA1c

ʻO ka lā 14 o Nowemapa ka World Diabetes Day. I kēia lā, i hoʻomaka pū ʻia e ka International Diabetes Federation a me ka World Health Organization, ʻaʻole wale ka hoʻomanaʻo ʻana iā Banting, ka mea ʻepekema i ʻike. insulina,akā, he ala hoʻāla ia e hāpai i ka ʻike honua a me ka nānā ʻana i ka maʻi diabetes. I kēia lā, kamaʻilio mākou e pili ana i ka pale a me ka hoʻokele, akā hoʻomaka nā hana āpau me ka ʻike pololei. A ʻo ke kī o kēia ʻike aia i kahi hōʻailona olakino maʻalahi - kaHōʻike HbA1c.

ʻO ka maʻi maʻi maʻi, kahi maʻi maʻi i kapa ʻia ʻo "sweet killer," ke hoʻolaha nei i ka honua ma kahi helu i ʻike ʻole ʻia, ʻo Kina kahi wahi paʻakikī loa. Eia naʻe, ʻoi aku ka weliweli ma mua o ka maʻi ponoʻī, ʻo ia ka naʻaupō a me ka mālama ʻole ʻana o ka lehulehu. Manaʻo ka poʻe he nui inā ʻaʻole lākou e ʻike i nā hōʻailona maʻamau o "polyuria, polydipsia, polyphagia, a me ke kaumaha o ke kaumaha," ʻaʻole lākou i ka maʻi diabetes. ʻAʻole lākou i ʻike ʻo ke kō koko kiʻekiʻe, e like me ka ʻōpala leo, e hōʻino mau i ko mākou mau kīʻaha koko, nā aʻalolo, nā maka, nā puʻupaʻa, a me ka puʻuwai no ka manawa lōʻihi.HbA1cʻo ia ke aniani e hōʻike ana i ka helehelena maoli o kēia "pepehi hama."

No laila, he ahaHbA1c? ʻO 'Glycosylated Hemoglobin A1c kona inoa piha.' Hiki iā ʻoe ke hoʻomaopopo e like me kēia: ʻo nā keʻena koko ʻulaʻula i loko o ko mākou kahe koko he hemoglobin, nona ke kuleana no ka lawe ʻana i ka oxygen. Ke nui ka glucose i loko o ke koko, pili ʻole ka glucose i ka hemoglobin, e like me ka "hau hau," e hana ana i ka hemoglobin 'glycated'. ʻOi aku ka kiʻekiʻe o ka glucose koko a ʻoi aku ka lōʻihi o ka hoʻomau ʻana, ʻoi aku ka nui o ka hemoglobin glycated. No ka mea he 120 mau lā ka awelika o ke ola o ke koko ʻulaʻula, hiki i ka **HbA1c ke hōʻike paʻa i ke kiʻekiʻe o ke kō koko i nā mahina he 2-3 i hala. ʻAʻole like me ka heluhelu ʻana i ka glucose koko manamana lima, hiki ke maʻalahi ʻia e nā kumu manawa e like me ka meaʻai, ka manaʻo, a i ʻole ka hoʻomaʻamaʻa ʻana, hāʻawi ia iā mākou i kahi "kāleka hōʻike koko koko" lōʻihi.

No nā poʻe me ka maʻi diabetes,HbA1c he mea hiki ole ke pani. ʻO ia ka "gold standard" no ka loiloi ʻana i ke kōpaʻa koko a me ke kumu kumu no nā kauka e hoʻoponopono i nā hoʻolālā lapaʻau. E like me nā alakaʻi mana, mālamaHbA1c ma lalo o 7% hiki ke hoʻopaneʻe nui a hōʻemi paha i ka pilikia o ka pilikia maʻi maʻi. ʻO kēia helu ka bullseye no nā kauka a me nā maʻi. I ka manawa like, he puka makani koʻikoʻi ia no ka wānana ʻana i ka pilikia o nā pilikia e hiki mai ana. He kiʻekiʻe mauHbA1cʻO ka waiwai ka ʻōlelo aʻo koʻikoʻi loa mai ke kino, e hoʻomanaʻo ana iā mākou e pono mākou e hana koke.

ʻO ka mea nui,HbA1c He kuleana koʻikoʻi i ka nānā ʻana a me ka pale ʻana i ka maʻi diabetes. Ke hoʻokē ʻai ka glucose koko i loko o ka "maʻamau", hiki i ka HbA1c kiʻekiʻe ke hōʻike pinepine i kahi kūlana o "pre-diabetes." ʻO kēia "window of opportunity" koʻikoʻi e hāʻawi iā mākou i kahi manawa e hoʻololi i ko mākou hopena. Ma o ka hana ʻana i ke ʻano o ka nohona—ʻo ka ʻai kaulike, ka hoʻomaʻamaʻa maʻamau, ka mālama ʻana i ke kaumaha—hiki loa ke hoʻihoʻi i ka HbA1c i nā pae maʻamau, no laila e pale aku ai i ka piʻi ʻana i ka maʻi diabetes.

.Ma lalo o ka hōʻailona pōʻai polū o ka World Diabetes Day, ke paipai nei mākou i nā mea a pau: Mai kali a ʻike ʻia nā hōʻailona e hoʻolohe i kou kō koko. HoʻokomoHbA1cka hoʻāʻo ʻana i kāu nānā maʻamau, e like me kou hoʻolohe ʻana i ke koko a me nā lipids koko. ʻO ka hoʻomaopopo ʻana, ʻo ia ka hoʻomaopopo ʻana i ka ʻoiaʻiʻo e pili ana i ke kiʻekiʻe o ke kō koko i kekahi manawa; ʻO ka mālama ʻana ua like ia me ka mālama ʻana i kou olakino e hiki mai ana.

E lawe kākou i ka World Diabetes Day i manawa kūpono e hoʻomaka ai ma ka hoʻomaopopo ʻana i kā mākou ihoHbA1chōʻike a hana i ka hana mua i ka mālama ʻana i ko mākou olakino. ʻO ka mālama ʻana i ka maʻi diabetes ʻaʻole ia he kaua me nā helu; he mea mahalo a me ke ola. ʻO ka haku ʻana i kāu HbA1cʻo ia ka paʻa ʻana i ke kī o ke olakino lōʻihi, e hoʻoikaika iā mākou e hoʻololi i kēia "kaumaha momona" i mea paʻa paʻa i ko mākou ola.

Ke nānā mau nei mākou ʻo Baysen Medical i ka ʻenehana diagnostic e hoʻomaikaʻi i ka maikaʻi o ke ola. Ua hoʻomohala mākou i nā ʻenehana ʻenehana 5- Latex, colloidal gula, Fluorescence Immunochromatographic Assay, Molecular, Chemiluminescence Immunoassay, kā mākouHbA1C pahu ho'āʻo, ʻO ka pahu hoʻāʻo insulinaHoʻāʻo C-peptidenui no ka nānā ʻana i ka maʻi maʻi maʻi maʻi, maʻalahi ka hana a hiki ke loaʻa ka hopena hōʻike i 15 mins.