So asikre a ɛwɔ wo mogya mu no sua? (Hypoglycemia) Momma yɛnka eyi ho asɛm nkɔ akyiri!

Ɛnnɛ yɛrebɛka tebea bi a ebetumi aka nnipa pii, titiriw wɔn a wɔwɔ asikreyare, ne ɛtɔ da bi mpo a wɔn a wonni asikreyare ho asɛm. Ɛno ne asikre a ɛba mogya mu, anaasɛ wɔ aduruyɛ mu no, asikre a ɛba fam. Ɛho hia sɛ wuhu eyi efisɛ ebetumi ayɛ aniberesɛm koraa.

Dɛn ne asikre a ɛkɔ soro? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, asikre a ɛwɔ wo mogya mu, anaa glucose, so tew sen nea ɛfata no. Yɛfrɛ eyi nso ‘asikre a ɛba mogya mu.’ Eyi yɛ tebea a ɛtaa ba nnipa a wɔwɔ asikreyare mu, titiriw wɔn a wɔwɔ asikreyare a ɛto so 1 no.

Mpɛn pii no, wɔ obi a ɔwɔ asikreyare fam no, wosusuw asikre dodow a ɛkɔ fam ho bere a asikre dodow a ɛwɔ mogya mu no so tew sen 70 mg/dL (milligram wɔ deciliter biara mu) anaa 3.9 mmol/L (millimoles wɔ lita biara mu). Wɔ obi a onni asikreyare fam no, asikreyare a ɛba fam ne bere a ne dodow so tew sen 55 mg/dL (3.1 mmol/L). Wɔ mmere a ɛtete saa mu no, ɛsɛ sɛ wudi anaa wonom biribi a asikre anaa carbohydrates wom ntɛm ara sɛnea wubetumi. Nanso, sɛ tebea yi mu yɛ den (asikre a ɛkɔ fam kɛse) a, ebetumi de nkwa ato asiane mu. Sɛ ɛba saa a, glucagon ayaresa a egye ntɛmpɛ anaa aduruyɛ mu mmoa ho hia ntɛm ara.

Dɛn nti na ‘mogya mu asikre’ ho hia yɛn nipadua saa?

Yɛn nipadua nya glucose, anaa asikre, fi aduan a yedi mu, titiriw fi nnuan a carbohydrates wom mu. Saa glucose yi ne yɛn nipadua no ahoɔden fibea titiriw. Ɛte sɛ pɛtro a wɔde yɛ kar. Saa glucose yi na yɛn mogya de kɔ nipadua no mu nkwammoaa biara mu ma ɛyɛ ahoɔden. Saa glucose yi ho hia yɛn amemene no titiriw. Sɛ amemene no bɛyɛ adwuma yiye a, ehia sɛ wɔde glucose ma bere nyinaa.

Sɛ wunni asikreyare a, wo nipadua no fi awosu mu boa ma asikre dodow a ɛwɔ wo mogya mu no kɔ so yɛ nea ɛfata denam akwan horow bi so. Hormone insulin – a yɛn dwensɔtwaa na ɛyɛ – ne ade kɛse a ɛboa ma eyi ba. Glucagon yɛ hormone foforo a ɛho hia wɔ saa adeyɛ yi mu.

Nanso, ɛsɛ sɛ nnipa a wɔwɔ asikreyare nom asikreyare nnuru a wɔnom ne insulin a wɔayɛ na ama asikre dodow a ɛwɔ wɔn mogya mu no ayɛ kɛse. Ɛsɛ sɛ wɔyɛ nsakrae wɔ wɔn asetra mu nso. Mogya mu asikre a ɛba fam taa fi insulin a ɛdɔɔso wɔ nipadua no mu – esiane sɛ wɔyɛ no abɔde mu anaasɛ esiane sɛ wɔama wo insulin pii nti. Asikre a ɛwɔ mogya mu a ɛba fam nso betumi afi hormone ne nipadua mu nneɛma ho haw afoforo mu aba.

Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew sen nea ɛfata a, wufi ase nya sɛnkyerɛnne ahorow te sɛ wosow ne koma a ɛbɔ ntɛmntɛm. Sɛ ɛba fam dodo a, ebetumi de ne nkwa ato asiane mu. Efisɛ sɛnea madi kan aka no, amemene no hia glucose a wɔde ma bere nyinaa na ama ayɛ adwuma yiye. Sɛ glucose nnɔɔso a, amemene no rentumi nyɛ adwuma.

Asikre a ɛkɔ fam abu so dɛn?

Asikreyare a ɛba fam yɛ ade a ɛtaa ba ma nnipa a wɔwɔ asikreyare, titiriw wɔn a wɔde insulin di dwuma no. Nhwehwɛmu bi daa no adi sɛ nnipa 5 biara mu 4 a wɔwɔ asikreyare a ɛto so 1, ne nnipa a wɔwɔ asikreyare a ɛto so abien a wɔnom insulin no mu bɛyɛ fã bɔɔ amanneɛ sɛ anyɛ yiye koraa no, asikre a ɛwɔ mogya mu no so tew pɛnkoro wɔ adapɛn anan mu.

Nnipa a wɔnom meglitinides anaa sulfonylureas ma asikreyare a ɛto so abien nso wɔ asiane kɛse mu sɛ asikre a ɛwɔ mogya mu no bɛkɔ fam. Sɛ wunni asikreyare mpo a, wubetumi anya asikreyare a ɛba fam, nanso ɛntaa nsi koraa.

Dɛn ne asikre a ɛba fam (asikre a ɛba mogya mu) ho sɛnkyerɛnne?

Asikre a ɛba fam ho sɛnkyerɛnne betumi afi ase ntɛm ara. Ebetumi nso ayɛ soronko wɔ onipa biara ho. Wɔ onipa koro no ara mu mpo no, yare no ho sɛnkyerɛnne betumi ayɛ soronko wɔ bere biara mu.

Saa sɛnkyerɛnne ahorow yi yɛ anifere kakra. Nanso wɔma wo kɔkɔbɔ pa sɛ yɛ ho biribi ansa na asikre a ɛwɔ wo mogya mu no akɔ fam mpo. Nsɛnkyerɛnne no bi ni:

• Abɔde a ɛwosow anaasɛ ɛwosow.
• Nipadua a nkwa nnim.
• Fifiri ne awɔw a wɔte nka.
• Ɔkɔm a emu yɛ den (polyphagia).
• Koma a ɛbɔ kɔ soro.
• Adwene a ɛyɛ basaa anaasɛ atenka a ɛte sɛ nea ɔretwa ne ho.
• Ɛyɛ den sɛ wode w’adwene besi biribi so anaasɛ adwene a ɛyɛ basaa.
• Dadwen anaa abufuw a ɛkɔ so daa.
• Wora kɔla a ɛsakra (pallor).
• Sɛ wote nka sɛ w’ano, wo tɛkrɛma, anaa w’afono ayɛ mmerɛw.

Nsɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛkɔ soro kɛse no bi ne:

• Anisoadehu a ɛyɛ kusuu anaasɛ anisoadehu abien.
• Ɔkasa a ɛyɛ mmerɛw.
• Kari a wɔhwere anaasɛ ɛyɛ den sɛ wɔbɛyɛ nnwuma.
• Sɛ́ obi adwene tu fra.
• Akisikuru a ɛma obi ho kyere no.
• Nhumu a wɔhwere.

Asikre a ɛkɔ fam kɛse no de nkwa to asiane mu! Ɛhwehwɛ sɛ wonya ayaresa ntɛm ara. Ɛwom sɛ ɛntaa nsi de, nanso sɛ wɔansa a, ebetumi ama obi akɔ komayare na wawu mpo.

Ɛtɔ mmere bi a asikre a ɛwɔ wo mogya mu betumi akɔ fam bere a woada no. Yɛfrɛ eyi anadwo asikre a ɛba fam. Nsɛnkyerɛnne no betumi ayɛ:

• Dae a wontumi nna anaasɛ nna a ɛnyɛ ahomegye.
• Ntade anaa mpa a fifiri reyɛ ayɛ nsu.
• Nteɛteɛm wɔ wo nna mu.
• Adaeso bɔne.
• Ɔbrɛ a ɛtra so, adwene a ɛyɛ basaa, anaasɛ adwene a ɛyɛ basaa bere a woanyane no.

Bere bɛn na asikre a ɛba fam ho sɛnkyerɛnne ahorow da adi?

Glucose dodow a sɛnkyerɛnne ahorow fi ase ma nnipa a wɔwɔ asikreyare no gu ahorow wɔ onipa biara mu. Mpɛn pii no, nnipa a wɔwɔ asikreyare fi ase nya sɛnkyerɛnne ahorow bere a wɔn mogya mu asikre so tew kodu 70 mg/dL anaa nea ɛba fam no. Nanso, sɛ asikre a ɛwɔ wo mogya mu no so tew ntɛmntɛm a, ebia wubehu yare no ho sɛnkyerɛnne no ntɛm mpo.

Asikreyarefo binom betumi anya asikreyare a ɛba fam ho sɛnkyerɛnne wɔ glucose dodow a ɛkɔ soro mpo mu. Nea enti a ɛte saa ne sɛ, sɛ asikre dodow kɔ soro wɔ mogya mu bere tenten (asikre a ɛkɔ soro a enni sabea) a, nipadua no de nea wobu no sɛ ɛyɛ ‘nea ɛfata’ no yɛ ne su. Sɛnea wohu asikre a ɛba mogya mu ho sɛnkyerɛnne ahorow no sesa.

Nnipa binom mogya mu asikre sua nanso wonhu yare no ho sɛnkyerɛnne, anaasɛ wonhu. Nnuruyɛfo frɛ eyi asikre a ɛba fam a wonnim . Saa nkurɔfo yi taa nya asikre a ɛkɔ fam kɛse na ɛda adi sɛ wohia ayaresa.

Asikreyarefo a asikreyare dodow a ɛba fam wɔ mogya mu bere tenten no mu a wonnim no betumi aba. Wɔn nipadua gyae sɛnkyerɛnne ahorow a ɛda adi bere a asikre dodow a ɛwɔ wɔn mogya mu no so tew no.

Sɛ wowɔ hypoglycemia a wonnim a, ɛho hia sɛ woka ho asɛm kyerɛ wo nnamfo ne w’abusuafo sɛnea ɛbɛyɛ a sɛ wo mogya mu asikre so tew dodo a, wobetumi aboa wo. Ebia wubehu nso sɛ nneɛma yi bɛboa:

• Continuous Glucose Monitoring (CGM) afiri a ɛbɔ wo kɔkɔ bere a asikre a ɛwɔ wo mogya mu sua a wode bedi dwuma.
• Fa nsa hwɛ asikre dodow a ɛwɔ wo mogya mu no mpɛn pii.
• Asikreyare kɔkɔbɔ kraman – Wɔatete saa akraman yi titiriw sɛ wɔbɛbɔ wo kɔkɔ bere a wo mogya mu asikre sua no.

Nsɛnnennen bɛn na ebetumi aba esiane asikre a ɛwɔ mogya mu a ɛba fam nti?

Asikreyare a ɛkɔ fam kɛse a ɛtra hɔ kyɛ no betumi de nkwa ato asiane mu. Ebetumi nso de nsɛnnennen te sɛ:

• Akwaa ahorow pii a entumi nyɛ adwuma yiye.
• Koma a ɛnyɛ den.
• Koma a ɛyɛ den.
• Amemene a ɛsɛe daa.
• Coma tebea.
• Owuo.

Afei nso, mfiri a emu yɛ duru te sɛ karka a wode bedi dwuma bere a asikre a ɛwɔ wo mogya mu sua no yɛ asiane kɛse. Ɛda adi sɛ wubehyia akwanhyia. Sɛ wowɔ asikreyare a, hwɛ asikre dodow a ɛwɔ wo mogya mu bere nyinaa ansa na wode mfiri a emu yɛ duru ayɛ adwuma.

Dɛn na ɛma mogya mu asikre a ɛba fam (asikre a ɛba mogya mu) ba nnipa a wɔwɔ asikreyare mu?

Hypoglycemia ba bere a asikre dodow a ɛwɔ wo mogya mu no so tew sen dodow a ɛfata no. Eyi betumi aba esiane nneɛma ahorow bi nti ma nnipa a wɔwɔ asikreyare. Sɛ w’aduan, w’apɔw-mu-teɛteɛ, ne asikreyare nnuru no nkari pɛ a, asikre a ɛba fam betumi aba.

Eyinom ne tebea horow a ɛtaa ba a nnipa a wɔwɔ asikreyare betumi anya asikreyare a ɛkɔ fam:

• Insulin a wɔnom dodo, insulin a ɛnteɛ a wɔnom, anaasɛ insulin a wɔde gu ntini mu sen sɛ wɔde bɛhyɛ srade ntini mu.
• Bere a wɔmfa insulin ne carbohydrate nni dwuma yiye (sɛ nhwɛso no, twɛn a wɔbɛtwɛn bere tenten dodo sɛ wobedi bere a woanom insulin de adi aduan awie no).
• Asikreyare aduru a wɔnom dodo anaa ɛboro nea wɔakyerɛw ama wɔn no.
• Sɛ́ wobɛyɛ nnam kɛse (apɔw-mu-teɛteɛ) sen sɛnea ɔtaa yɛ.
• Nsã a wɔnom a wonnidi.
• Adidi a wodi akyiri anaasɛ wuhuruw adidi.
• Srade, protein, ne fiber a ɛkari pɛ nni nnuan mu.

Sɛ wonyinsɛn na wowɔ asikreyare a ɛto so 1 a, ɛda adi sɛ asikre a ɛwɔ wo mogya mu no so tew wɔ ɔsram abiɛsa a edi kan no mu esiane nsakrae a ɛba wɔ nipadua mu nkwaadɔm mu nti.

Dɛn na ɛma asikreyare so tew wɔ nnipa a wonni asikreyare mu?

Asikreyare a ɛkɔ fam ahorow atitiriw abien na ɛwɔ nnipa a wonni asikreyare mu: asikre a ɛba fam a ɛyɛ adwuma ne asikre a ɛba fam a wɔde mmuadadi.

Hypoglycemia a Ɛyɛ Ntɛmntɛm

Reactive hypoglycemia yɛ asikre a ɛba mogya mu a ɛba fam bere a wɔadi aduan akyi. Ɛtaa ba wɔ nnɔnhwerew abien kosi anan akyi bere a wɔadi.

Nhwehwɛmufo nnim nea enti a eyi ba ankasa, nanso wosusuw sɛ efi nnuan bi a wodi, titiriw carbohydrates a ɛnyɛ den te sɛ aburow fitaa, ɛmo, paanoo, keeki, ne nnɔkɔnnɔkɔwade, ma asikre a ɛwɔ mogya mu no kɔ soro mpofirim, na ɛno akyi no, ɛso tew mpofirim.

Afei nso, oprehyɛn ahorow bi a wɔde ma obi mu duru so tew (bariatric oprehyɛn) betumi ama asikre a ɛwɔ mogya mu a ɛyɛ adwuma no so tew. Bere a wɔayɛ oprehyɛn te sɛ yafunu mu oprehyɛn akyi no, nipadua no twetwe asikre ntɛmntɛm. Eyi ma wɔyɛ insulin pii. Eyi betumi ama asikre mogya so atew.

Mpɛn pii no, nipadua no ankasa siesie tebea yi, nanso sɛ wodi carbohydrates bi a, ebetumi atew sɛnkyerɛnne ahorow no so ntɛm ara.

Mmuadadi Hypoglycemia

Nnipa dodow no ara a wonni asikreyare no nnya asikre a ɛba fam bere a wɔadi mmuada bere tenten mpo akyi. Nea enti a ɛte saa ne sɛ nipadua no mu nkwaadɔm ne glucose a wɔkora so no hwɛ asikre dodow a ɛwɔ mogya mu no so.

Nanso, nyarewa ne tebea horow bi betumi ama nnipa a wonni asikreyare no so atew wɔ mmuadadi mu. Eyinom bi ne:

• Nsã a wɔnom boro so:Nsã siw nipadua no kwan sɛ ɛbɛyɛ glucose nkwammoaa foforo (gluconeogenesis). Sɛ woannidi yiye nna pii na wonom nsa pii a, wo nipadua no betumi asɛe ne glucose (glycogen) a akora so no. Eyi betumi ama asikre a ɛwɔ wo mogya mu no akɔ fam, na ɛno ne bere a wo nipadua no ntumi nsiesie asikre dodow a ɛwɔ wo mogya mu no yiye.
• Yare a emu yɛ den: Asikre a ɛba fam betumi aba wɔ yare a emu yɛ den te sɛ mmerɛbo mu yare a ɛba awiei, sepsis, mmuadadi, anaa asaabo a entumi nyɛ adwuma yiye mu. Eyi te saa efisɛ wo nipadua no de glucose a ɛwɔ hɔ dedaw no di dwuma ma ahoɔden ntɛmntɛm sen sɛnea ebetumi ayɛ glucose foforo afi aduan a wudi mu.
• Adrenal insufficiency: Wɔ tebea yi mu no, cortisol dodow sua sen sɛnea ɛte daa. Esiane sɛ cortisol boa ma asikre a ɛwɔ mogya mu no di dwuma denam asikre a ɛkɔ soro so nti, cortisol dodow a ɛba fam no betumi ama asikre a ɛwɔ mogya mu no akɔ fam.
• Non-islet cell tumor hypoglycemia (NICTH): Eyi yɛ tebea a ɛntaa nsi nanso emu yɛ den. Wɔ tebea yi mu no, akisikuru ma hormone bi a wɔfrɛ no Insulin-like Growth Factor 2 (IGF-2) pii fi adi. Saa hormone yi yɛ adwuma te sɛ insulin. Sɛ IGF-2 kɔ soro a, asikre a ɛba nipadua mu no so tew. NICTH betumi afi akisikuru ahorow a ɛnyɛ hu (a ɛnyɛ kokoram) ne nea ɛyɛ hu (a ɛnyɛ kokoram) mu aba.
• Insulinoma: Eyi yɛ kokoram a ɛntaa nsi a ɛba dwensɔtwaa mu. Ɛma insulin pii ba, na ɛma asikreyare so tew – mpɛn pii no anɔpatutuutu.

Ɛwom sɛ ɛntaa nsi de, nanso nnuru a ɛne asikreyare nni abusuabɔ te sɛ beta-blockers ne nnuru bi a ekum ɔyare mmoawa nso betumi de asikre a ɛba fam aba.

Sɛ wunya asikreyare a ɛba fam a asikreyare nni mu a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na nnipa a wɔwɔ asikreyare hu asikreyare a ɛba fam?

Ɔkwan biako pɛ a wobɛfa so ahu no yiye sɛ wowɔ asikre a ɛba fam ne sɛ wode glucometer bɛsɔ asikre dodow a ɛwɔ wo mogya mu ahwɛ. Saa mfiri yi mu dodow no ara de ade ketewaa bi a wɔfrɛ no lancet di dwuma de yi mogya a ɛtɔ fi wo nsateaa ano.

Afiri a wɔde hwɛ glucose a ɛkɔ so (CGM) yɛ adwinnade pa a ɛbɛboa wo ma woahu asikre a ɛba mogya mu na asiw ano. Efisɛ wubetumi de asi hɔ sɛnea ɛbɛyɛ a ɛbɛbɔ wo kɔkɔ bere a asikre a ɛwɔ wo mogya mu sua no. Saa CGM kɔkɔbɔ ahorow yi ho wɔ mfaso titiriw wɔ tebea horow a asikre a ɛba mogya mu betumi ayɛ asiane te sɛ bere a woada anaa woreka kar no mu.

Sɛ wowɔ asikre a ɛwɔ wo mogya mu ho sɛnkyerɛnne, nanso ɔkwan biara nni hɔ a wobɛfa so ahwɛ asikre a ɛwɔ wo mogya mu a, sa asikre a ɛkɔ fam no.

Ɔkwan bɛn so na nnipa a wonni asikreyare hu asikre a ɛba fam?

Sɛ wo duruyɛfo susuw sɛ asikre a ɛwɔ wo mogya mu no so tew a, ebia ɔbɛhwɛ asikre a ɛwɔ wo mogya mu nnɔnhwerew kakraa biara bere a wudi mmuada nna kakraa bi no. Wobetumi ayɛ nhwehwɛmu afoforo de ahu nea ɛde asikre a ɛba fam no ba. Sɛ nhwɛso no, wobetumi ayɛ mfoninitwa nhwehwɛmu ahwɛ sɛ ebia kokoram na ɛde asikre a ɛwɔ mogya mu no so tew anaa.

Sɛ wowɔ reactive hypoglycemia a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu bi a wɔfrɛ no Mixed-Meal Tolerance Test (MMTT) akyerɛ wo. Wɔ MMTT yi mu no, wudi kan nom anonne titiriw bi a protein, srade, ne asikre wom. Saa anonne yi ma wo mogya mu glucose dodow kɔ soro, na afei ɛma wo nipadua no yɛ insulin pii. Afei, oduruyɛfo bi hwɛ wo mogya mu glucose dodow mpɛn pii wɔ nnɔnhwerew anum a edi hɔ no mu.

Ɔkwan bɛn so na wɔsa asikre a ɛba fam (asikre a ɛba mogya mu)?

Wɔnam biribi a asikre (carbohydrates) wom a wodi anaa wɔnom so sa asikre a ɛba fam a ɛnyɛ den na ɛkɔ fam.

Amerika Asikreyare Fekuw no kamfo kyerɛ sɛ wɔmfa "15-15 mmara" nsa asikreyare a ɛba fam a ɛnyɛ den anaasɛ ɛkɔ fam:

• Di anaa nom carbohydrates a ɛyɛ adwuma ntɛmntɛm gram 15 na ama asikre a ɛwɔ wo mogya mu no akɔ soro.
• Simma 15 akyi no, hwɛ asikre dodow a ɛwɔ wo mogya mu.
• Sɛ ɛda so ara nnu 70 mg/dL a, fa carbohydrates a ɛyɛ adwuma ntɛmntɛm gram 15 foforo.
• Tia eyi mu kosi sɛ anyɛ yiye koraa no asikre dodow a ɛwɔ wo mogya mu no bɛyɛ 70 mg/dL.

Sɛ wopɛ sɛ wuhu carbohydrates dodow a ɛwɔ nnuan a wudi no mu a, kenkan aduannuru ho nkrataa no. Nnuan bi a carbohydrates a ɛyɛ adwuma ntɛmntɛm bɛyɛ gram 15 wom ni:

• Aduaba ketewaa bi, sɛ nhwɛso no, banana fã.
• 4 ounces (kuruwa fã) nnuaba nsu anaa anonne a ɛyɛ dɛ a wɔnom daa (ɛnyɛ aduan).
• Asikre, ɛwo anaa srade tablespoon biako.
• Tube a ɛyɛ instant glucose gel (hwɛ akwankyerɛ).
• Glucose aduru 3 anaa 4 (hwɛ akwankyerɛ).

Sɛ wowɔ asikre a ɛwɔ wo mogya mu ho sɛnkyerɛnne, nanso ɔkwan biara nni hɔ a wobɛfa so ahwɛ asikre a ɛwɔ wo mogya mu a, fa 15-15 mmara no di dwuma kosi sɛ wo ho bɛtɔ wo.

Ebia mmofra nkumaa behia carbohydrates kakraa bi na wɔde asa asikre a ɛkɔ fam. Bisa wo ba oduruyɛfo no eyi ho asɛm.

Ɔkwan bɛn so na wɔsa asikre a ɛkɔ fam kɛse?

Asikre a ɛkɔ fam kɛse hwehwɛ sɛ wɔsa no yare soronko sen asikre a ɛkɔ fam a ɛnyɛ den anaa nea ɛkɔ fam. Sɛ obi a wunim no asikreyare a ɛba fam na ɔrebɔ ne nsɛm a ɛyɛ yaw, n’adwene atu afra, anaasɛ n’adwene mu yɛ no naa a, .Mma wɔn aduan anaa nsu. Ná wotumi menewa.

Sɛ asikreyare so tew kɛse a, ɛsɛ sɛ wɔde glucagon a egye ntɛmpɛ di dwuma. Eyi yɛ glucagon a wɔayɛ no bi. Ɛdenam ɔkwan a wɔfa so yɛ no so no, wobetumi de ama sɛ aduru a wɔde twitwiw nipadua no anaasɛ hwene mu powder (dry nasal spray). Glucagon a wɔayɛ no ma wo mmerɛbo no gyae glucose a wɔakora so no. Eyi ma asikre dodow a ɛwɔ wo mogya mu no kɔ soro.

Sɛ glucagon no yɛ aduru a wɔde twitwiw nipadua no mu a, fa gu n’asen, ne nsa, anaa n’asen mu sɛnea akwankyerɛ a ɛwɔ kit no so no kyerɛ no. Sɛ glucagon no yɛ hwene mu powder a, fa gu hwene mu tokuru biako mu sɛnea akwankyerɛ a ɛwɔ ade a wɔde ahyɛ mu no kyerɛ no.

Sɛ ɔsan nya n’adwene (mpɛn pii no wɔ simma 5 kosi 15 ntam) pɛ a, ebia ɔbɛte akisikuru na wafe. Sɛ ɔda fam a, dan no kɔ n’afã na sɛ ɔfe a, antumi annom.

Mma ntwentwɛn wo nan ase sɛ wobɛfrɛ 911 akɔhwehwɛ mmoa. Sɛ obi nnim hwee, onni glucagon, anaasɛ wunnim sɛnea wode bedi dwuma a, frɛ 911 ntɛm ara.

So wobetumi asiw asikre a ɛba mogya mu no ano?

Nea ɛyɛ awerɛhow no, ɛyɛ den sɛ wubesiw asikre a ɛba wo mogya mu ano koraa bere a wowɔ asikreyare no. Nanso wubetumi abɔ mmɔden sɛ wobɛsesa wo asikreyare ho nhyehyɛe a wode bedi dwuma no na ama asikreyare a ɛba fam dodow a wuhyia no so atew.

Ɛnyɛ den sɛ wobɛyɛ eyi bere a wo ne wo duruyɛfo ate nea ɛde asikre a ɛwɔ wo mogya mu a ɛba fam no ase no. Ma wo duruyɛfo no ho nsɛm pii sɛnea wubetumi biara wɔ asikre a ɛba wo mogya mu a ɛba fam no ho. Ebia biribi a ɛyɛ mmerɛw te sɛ bere a wode nom w’aduru, didi, na woteɛteɛ w’apɔw mu a wobɛsakra no betumi adi ɔhaw no ho dwuma.

Saa anammɔn yi betumi aboa ma asikre a ɛwɔ mogya mu a ɛba fam no ano:

• Fa wo nnuru nyinaa sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ.
• Di wo duruyɛfo afotu a ɛfa aduan ne apɔw-mu-teɛteɛ ho akyi.
• Fa afiri a wɔde hwɛ glucose a ɛkɔ so (CGM) di dwuma, anaa hwɛ asikre dodow a ɛwɔ wo mogya mu daa – ansa na woadidi ne bere a woadi akyi, ansa na woateɛteɛ w’apɔw mu ne bere a woawie, ne bere a woakɔda.
• Sɛ wosa asikre a ɛba fam wɔ mogya mu a, kyerɛw asɛm no ho nsɛm to hɔ. Fa nsɛm te sɛ bere no, nea wudii nnansa yi, sɛ́ ebia woteɛteɛɛ mu, nea na wo yare no ho sɛnkyerɛnne te, ne sɛnea na wo glucose dodow te ka ho. Eyi bɛboa wo ne wo duruyɛfo no ma moayɛ nhyehyɛe a wɔde bedi dwuma de asiw asikre a ɛba mogya mu ano daakye.

Sɛ mewɔ asikre a ɛba fam a, dɛn na ɛba?

Sɛnea wɔhwɛ kwan sɛ asikreyare bɛkɔ fam wɔ nnipa a wonni asikreyare mu no gyina nea ɛde ba no so. Sɛ wowɔ asikreyare a, asikreyare a ɛtaa ba a, ebetumi ayɛ asiane. Ebetumi ama obi a wonnim sɛ asikre a ɛwɔ mogya mu no so tew. Eyi kyerɛ sɛ ebia worenhu kɔkɔbɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu no so tew.Sɛ asikre a ɛwɔ wo mogya mu taa so tew a, ɛho hia paa sɛ wubenya oduruyɛfo a obetumi aboa wo ma woadi wo asikreyare no ho dwuma.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ asikreyare anaa tebea foforo a ɛma asikreyare so tew a, hyɛ aduruyɛ ho kɔkɔbɔ kɔnmuade anaa abɔso, anaa fa aduruyɛ ho adansedi krataa ka wo ho sɛnea ɛbɛyɛ a afoforo behu sɛnea wɔbɛboa wo wɔ tebea a egye ntɛmpɛ mu.

Eyinom yɛ nneɛma a wubetumi ayɛ de asiw asikre a ɛkɔ soro kɛse ano:

• Bere nyinaa fa nnuan nketenkete ka wo ho wɔ fie ne bere a worekɔ abɔnten – nneɛma te sɛ nnuaba mu nnuan, glucose tabs, anaa nsu nnaka.
• Kyerɛkyerɛ wɔn a wo ne wɔn nya bere bere fa asikre a ɛba fam ne asikre a ɛkɔ fam kɛse ho, ne sɛnea sɛ asɛm bi si a, wobetumi aboa wo.
• Fa glucagon a egye ntɛmpɛ kɔ bere nyinaa. Kyerɛkyerɛ w’adɔfo sɛnea wɔde bedi dwuma ne bere a wɔde bedi dwuma.

Sɛ wowɔ asikreyare a, mmɔ mmɔden sɛ wobɛsa asikre a ɛwɔ wo mogya mu no dodo denam carbohydrates pii a wubedi so. Eyi betumi ama asikre a ɛwɔ wo mogya mu no asan ayɛ kɛse. Ebetumi ayɛ den sɛ wubegyae adidi boro so esiane wo nipadua no "ko anaa guan" mmuae nti. Sɛ wode carbohydrates gram 15 sa wo ho wie a, fa bere bi si hɔ simma 15 ansa na woadi asikre foforo biara.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn wɔ asikre a ɛba fam ho?

Sɛ wowɔ asikreyare na wotaa nya asikre a ɛba wo mogya mu a, wo ne oduruyɛfo bi a ɔboa wo ma wudi wo asikreyare ho dwuma nkasa. Obetumi aboa wo ma woayɛ nhyehyɛe a wode bedi dwuma. Ebia nea ɛka eyi ho ne nsakrae a wɔbɛyɛ wɔ nnuru a wode di dwuma, aduan nhyehyɛe, anaa apɔw-mu-teɛteɛ nhyehyɛe mu.

Sɛ asikre a ɛwɔ wo mogya mu sua a wunni asikreyare a, wo ne wo duruyɛfo nkasa. Ɛho behia sɛ ɔyɛ sɔhwɛ ahorow na ama wahu nea ɛde ba no. Wɔ tebea horow bi mu no, tebea a ɛde ba no betumi ayɛ nea emu yɛ den. Enti, ɛho hia paa sɛ wobɛkɔ wo duruyɛfo nkyɛn.

Nsonsonoe bɛn na ɛda Hypoglycemia ne Hyperglycemia ntam?

Sɛ yɛbɛka no tiawa a, asikre a ɛba fam yɛ asikre a ɛba mogya mu. 'Hypo-' kyerɛ sɛ 'ɛba fam'. Hyperglycemia yɛ asikre a ɛkɔ soro wɔ mogya mu. 'Hyper-' kyerɛ sɛ 'ɛkorɔn' anaa 'ɛboro so'.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Hypoglycemia yɛ tebea a ɛtaa ba a ɛka nnipa a wɔwɔ asikreyare. Sɛ wɔansa no ntɛm a, ebetumi de ne nkwa ato asiane mu. Ɛho hia sɛ wusua w’ankasa kɔkɔbɔ nsɛnkyerɛnne na wosɔ asikre dodow a ɛwɔ wo mogya mu hwɛ daa na asiw asikre a ɛkɔ soro kɛse ano.Sɛ asikre dodow a ɛba wo mogya mu taa ba fam a, wo ne wo duruyɛfo nyɛ adwuma na monyɛ asikreyare ano aduru ho nhyehyɛe. Dodow a wunim nea ɛde wo nsɛm a ɛsisi no ba no, dodow no ara na ɛbɛyɛ mmerɛw sɛ wobɛyɛ wo nhyehyɛe no.

Sɛ asikre a ɛwɔ wo mogya mu a ɛba fam a asikreyare nnim a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Ɛwom sɛ ɛntaa mma sɛ nea ɛde ba no bɛyɛ aniberesɛm de, nanso ebetumi asi. Enti, eye sɛ wobɛsɔ wo ahwɛ ntɛm sen sɛ wobɛkyɛ. Hwɛ w’akwahosan so yiye!

` Hypoglycemia, asikre a ɛba fam wɔ mogya mu, asikreyare, mogya mu glucose a ɛba fam, sɛnkyerɛnne ahorow, ayaresa, glucagon