ဟိုတစ္ေန့က မိတ္ေဆြတစ္ေယာက္ရဲ့ ေဆြမ ် ိဳး အသက္ ၄၀ ေလာက္ပဲရွိေသးတဲ့ အိမ္ေထာင္ရွင္ အမ ် ိဳးသားတစ္ဦးဟာ ကာလအတန္ၾကာ ဆီးခ ် ိဳျဖစ္ေနတာကို မသိေတာ့ သတိလစ္ျပီးမွပဲေဆးရံုေရာက္ပါတယ္။အင္ဆူလင္ ထိုးေနရပါတယ္။ ဆီးခ ် ိဳသိပ္တက္ေနတာၾကာရင္သတိလစ္ျပီးအသက္ပါပါသြားႏိုင္ပါတယ္။ ဆီးခ ် ိဳ ျဖစ္ေနတာမသိေတာ ့အခ ်ိန္ေတာ္ေတာ္ၾကာ မထိမ္းပဲေနမိတဲ့အတြက္ တစ္ျဖည္းျဖည္းနဲ့ဆိုးလာတာပါ။ အခုထိအေျခအေနက စိတ္ခ ်ဖြယ္ရာမေရာက္ေသးပါဘူး။ တက္တာ ေတြဘာေတြျဖစ္ေနတုန္းလို့သိရပါတယ္။ အဲဒါနဲ့ပါတ္သက္ျပီး အသံတိတ္လူသတ္သမား တစ္ဦးျဖစ္တဲ့ ဆီးခ ် ိဳေရာဂ ါနဲ့ပါတ္သက္ျပိီး တစ္ခ ်ိ ဳ ့ ဆီးခ ် ိဳသမားေတြ အေတာ္မ ်ားမ ်ားေတာင္သတိမထားမိတဲ့စစ္ေဆးမႈေလးတစ္ခုကို ေစတနာနဲ့ အသိေပးလိုပါတယ္။ ဆီး ခ ် ိဳ ေရာဂါ ရွိမရွိ မသိတဲ့လူေရာ ရွိျပီး ထိမ္းေနတဲ့သူေတြအတြက္ ေရာ သိသင့္ပါတယ္ စစ္သင့္ပါတယ္။ ေန့စဥ္ ေသြးေဖါက္စစ္တဲ့စက္ကေလး(Glucometer) ကုိေတာ့ ေဆာင္ထားျပီး တုိင္းေနၾကတာ မွန္ေပမယ့္ HbA1C ဆိုတာေလးကိုလည္း တတ္ႏိုင္ရင္ ၃ လတစ္ခါ ေလာက္ ေသြးေဖါက္စစ္ျပီး တုိင္းဖို့လိုအပ္ပါတယ္။ ေဆးခန္းတစ္ခ ် ိဳ ့မွာလည္းအဲဒီစက္ရ်ိတတ္ပါတယ္။ မဂၤလာေတာင္ညြန့္ ယုဇနပလာဇာ ေရွ့က ၁၃၈ လမ္းအလယ္ေလာက္က ေဒါက္တာ ဦး ၀င္းလြင္သိန္းတက္ေနလင္း ေဆးခမ္း မွာလည္း ရွိပါတယ္။လမ္းထိပ္မွာ ေဆးခန္းလိပ္စာ ဆိုင္းဘုတ္ေထာင္ထားပါတယ္။ကြ ်န္ေတာ္စစ္ဖူးပါတယ္။ ၅ မိနစ္ ၁၀ မိနစ္အတြင္းအေျဖကိုရပါတယ္။ စစ္ခက လြန္ခဲ့တဲ့ ၂ ႏွစ္ေလာက္က က ်ပ္ တစ္ေသာင္းေလာက္ပါ။ အခုလည္းသိပ္ေတာ့ကြာမယ္မထင္ပါဘူး။ ေစ ်းႏႈန္းကို ေကာင္တာမွာေမးျပီးမွ စစ္ခ ် င္မွ စစ္လို့ရပါတယ္။ စစ္တိုင္းဖို့လိုအပ္တဲ့အေၾကာင္းရင္းက ဆီးခ ် ိဳေ၀ဒနာရွင္တစ္ေယာက္ဟာ လြန္ခဲ့တဲ့ ၃ လအတြင္းမွာ ဆီး ခ ် ိဳ ကို ပ ွ်မ္း မ ွ် ထိမ္းသိမ္းႏိုင္မႈ ဘယ္ေလာက္ဆိုတာကို သိဖို့လို အပ္လို့ပါလို့ ေအာက္ကလင့္ခ္မွာအေသးစိတ္ရွင္းျပထားပါတယ္။ မသိတဲ့လူေတြရွိတတ္လို့ပါ။ ဆီးခ ် ိဳရွိမရွိမသိေသးတဲ့သူေတြလည္းစစ္ႏိုင္ပါတယ္။ သူ ့အေျဖကိုရတဲ့အခါ ဆရာ၀န္က မိမိရဲ့ ဆီးခ ် ိဳ ထိမ္းသိမ္းႏိုင္မႈအေျခအေနကိုေျပာျပပါလိမ့္မယ္။ Normal: Less than 5.7% ဆီးခ ် ိဳမရွိတဲ့သူ အတြက္ ၅.၇% ေအာက္မွာရွိရပါမယ္။ Pre-diabetes: 5.7% to 6.4% ဆီးခ ် ိဳ ျဖစ္ ခ ်င္ေနတဲ့သူအတြက္ အဲဒီၾကားမွာရွိေနပါမယ္။ Diabetes: 6.5% or higher ဆီးခ ် ိဳေသခ ်ာေပါက္ရွိေနပါတယ္။ တကယ္လို့ ၆.၅% ေက ် ာ္ ျပီး ၇% ေလာက္ဆို ရင္ေတာ့ ဆရာ၀န္က ဘယ္လိုထိမ္းသိမ္းဖို့ ဆိုတာကို ညႊန္ၾကားပါလိမ့္မယ္။ သတိအၾကီးၾကီးစထားရေတာ့မွာျဖစ္ပါတယ္။ ၈ ေတြ ၉ ေတြျဖစ္ေနတာၾကာရင္ေတာ့ ေက ်ာက္ကပ္ေတြဘာေတြစပ ်က္တာမ ် ိဳး မ ်က္ေစ့ စ မႈံ တာမ ် ိဳးေတြ စတဲ့ ဆိုးဆိုးရြားရြားေတြျဖစ္လာႏိုင္ပါတယ္။ မေပါ့ၾကေစခ ်င္ပါဘူး။ ကြ ်န္ေတာ္တုိ့ ျမန္မာလူမ ်ိ ဳးအမ ်ားစုက ေရာဂါျဖစ္မွ ေဆးကုတဲ့ အက ်င့္ မ ် ိဳးရွိပါတယ္။ ေဆးပညာဗဟုသုတနည္းပါးျခင္းန့ဲ့ အပိုစားရိတ္စက အကုန္မခံႏိုင္ ျခင္းတို့ ေၾကာင့္လည္းျဖစ္ပါတယ္။ သို့ေသာ္လည္း အပ္နဲ့နည္းနည္းထြင္း ထားရင္ အမ ်ားၾကီးတာသြားမယ့္ဟာကို ျဖစ္မွ သတိလစ္မွ ပဲ မကုမျဖစ္ကုရေတာ့မယ္ဆိုေတာ့ ဒုကၡ မ ်ား ပါျပီ။ ေမတၱာျဖင့္။ ကိုထူးဆန္း။ လင့္ခ္ကိုဖြင့္မရမွာစိုးလို့ ျပန္ကူးျပီးတင္ေပးလိုက္ပါတယ္။ ျမန္မာလို ရွာတာမေတြ့လို့ပါ။ေတြ့ရင္ထပ္တင္ေပးပါ့မယ္။ HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows how well you are controlling your diabetes. How the Test is Performed A blood sample is needed. Some methods only require a quick finger stick. Others may need a sample of blood from a vein. How to Prepare for the Test No special preparation is needed. How the Test Will Feel When the needle is inserted, you may feel a slight pinch or some stinging. Afterward, there may be some throbbing. Why the Test is Performed Your doctor may order this test if you have diabetes. It shows how well you are controlling your diabetes. The test may also be used to screen for diabetes. Normal Results An HbA1c of 5.6% or less is normal. The following are the results when the HbA1c is being used to diagnose diabetes: Normal: Less than 5.7% Pre-diabetes: 5.7% to 6.4% Diabetes: 6.5% or higher If you have diabetes, you and your doctor or nurse will discuss the correct range for you. For many people the goal is to keep your level at or below 6.5 - 7%. Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results. The examples above show the common measurements for results for these tests. Some laboratories use different measurements or may test different specimens. What Abnormal Results Mean Abnormal results mean that you have had high blood sugar levels over a period of weeks to months. If your HbA1c is above 6.5% and you do not already have diabetes, you may be diagnosed with diabetes. If your level is above 7% and you have diabetes, it often means that your is not well controlled. Your target HbA1c should be determined by you and your health care provider. In general, the higher your HbA1c, the higher the risk that you will develop problems such as: Eye disease Heart disease Kidney disease Nerve damage Stroke If your HbA1c stays high for a long period of time, the risk for these problems is even greater. Ask your doctor how often you should have your level tested. Usually, doctors recommend testing every 3 or 6 months. Risks Obtaining a blood sample from some people may be more difficult than from others. Other risks associated with having blood drawn are slight, but may include: Excessive bleeding Fainting or feeling light-headed Hematoma (blood accumulating under the skin) Infection (a slight risk any time the skin is broken) Alternative Names Glycated hemoglobin; Glycosylated hemoglobin; Hemoglobin - glycosylated; A1C; GHb; Glycohemoglobin References American Diabetes Association. Standards of medical care in diabetes--2012. Diabetes Care. 2011 Jan;35 Suppl 1:S11-63. Buse JB, Polonsky KS, Burant CF. Type 2 diabetes mellitus. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, Larsen PR, eds. Williams Textbook of Endocrinology. 12th ed. Philadelphia, Pa: Saunders Elsevier;2011:chap 31. Inzucchi SE, Sherwin RS. Type 2 diabetes. In: Goldman L,Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier;2011:chap 237. Update Date: 4/29/2012 Updated by: Shehzad Topiwala, MD, Chief Consultant Endocrinologist, Premier Medical Associates, The Villages, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine, and David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc. https://google.co.th/search?q=glucometer&oq=glucometer&aqs=chrome..69i57j0l5.5663j0j7&sourceid=chrome&espv=210&es_sm=122&ie=UTF-8#q=glucometer+pics
Posted on: Wed, 29 Jan 2014 04:12:23 +0000
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