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Thử Nghiệm HbA1C Là Gì?

Thử Nghiệm HbA1C Là Gì?

(Glycohemoglobin Test)

 

Thử lượng đường trong máu bằng phương pháp thông thường hay với máy thử đường cá nhân như người bệnh tiểu đường vẫn làm hằng ngày, chỉ cho chúng ta biết trị số của đường huyết trong thời điểm đó mà thôi. Do đó, muốn biết đường huyết trung bình của bệnh nhân tiểu đường trong một thời gian nào đó, người ta phải dùng một thử nghiệm đặc biệt có tên là Glycated Hemoglobin Testing viết tắt là HbA1C. Vậy HbA1C là gi?

Chúng ta đều biết hemoglobin (Hb) là một protein nằm trong hồng cầu. Hb chuyên chở O2 từ phổi đến mọi tế bào trong cơ thể. Cũng như các protein khác, Hb có thể kết hợp với glucose và khi Hb kết hợp với glucose thì trở thành Glycohemoglobin hay Glycated hemoglobin.

Lượng glucose trong máu (đường huyết) càng cao thì lượng glycohemoglobin trong hồng cầu càng nhiều và cứ giữ nguyên như vậy suốt cả đời sống của hồng cầu nghĩa là trong khoảng thời gian từ 3 đến 4 tháng.

Thử nghiệm HbA1C đo lượng glycohemoglobin trong hồng cầu và được thực hiện trong phòng thí nghiệm. Kết quả này không ảnh hưởng gì đến việc bạn đang bụng đói hay đã ăn rồi. Do đo,ù mẫu máu có thể lấy bất cứ lúc nào trong ngày.

Kết quả HbA1C cho ta biết những gì?

HbA1C cho biết đường huyết trung bình của bạn trong khoảng thời gian từ 2 đến 3 tháng vừa qua. Qua đó, bác sĩ của bạn có thể đánh giá kết quả điều trị trong khoảng thời gian này.

Giúp bạn so sánh với kết quả thử đường huyết do bạn thực hiện. Nếu có điểm không phù hợp, bạn có thể xem xét lại các kết quả thử máu hay các thời điểm thử máu.

Giúp bạn đánh giá kế hoạch kiểm soát tiểu đường của bạn. Nếu HbA1C vẫn ở mức cao, bác sĩ của bạn sẽ cùng bạn xem xét lại toàn bộ kế hoạch điều trị.

Cho bạn biết những sự thay đổi trong kế hoạch điều trị có tác dụng như thế nào trên kết quả điều trị bệnh tiểu đường.

Các trị số của HbA1C có ý nghĩa gì?
Có nhiều phương pháp để đo HbA1C. Phương pháp thường dùng nhất là cách tính phần trăm lượng glycohemoglobin trong toàn thể hemoglobin.

Thông thường, ở người bình thường HbA1C nhỏ hơn 6%, mục tiêu điều trị của bệnh nhân tiểu đường là dưới 7%, nếu lớn hơn 8% nên xét lại kế hoạch điều trị.

Thử HbA1C lúc nào?
Thử HbA1C ngay khi phát hiện bạn bị tiểu đường. Sau đó:

Nếu bạn dùng insulin: ít nhất 4 lần một năm

Nếu bạn không dùng insulin thì tùy theo ý kiến bác sĩ hay ít nhất 2 lần một năm.

Vì sao bạn vẫn phải tự thử đường huyết?
HbA1C không thể thay thế việc bạn phải tự theo dõi đường huyết thường xuyên. Tự thử máu bằng máy thử đường cá nhân, giúp bạn theo dõi và giải quyết một cách có hiệu quả các tình trạng bất thường của đường huyết.

Bảng trị số Glycohemoglobin

HbA1C (Phương Pháp %)        Đường huyết trung bình

 

 

4                          tương đương với                          60

 

 

5                          tương đương với                          90

 

 

6                          tương đương với                        120

 

 

7                          tương đương với                        150

 

 

8                          tương đương với                        180

 

 

9                          tương đương với                        210

 

 

10                        tương đương với                        240

 

 

11                        tương đương với                        270

 

 

12                        tương đương với                        300

 

 

13                        tương đương với                        330

 

 

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