So wowɔ Asikreyare a Ɛto so Abien? Sɛ saa a, ebia wunim sɛnea ɛyɛ ahometew sɛ asikre dodow a ɛwɔ wo mogya mu bɛkɔ soro bere a woadi aduan awie no. Ɛtɔ mmere bi a, ɛmfa ho sɛnea yedi yɛn aduan so na yɛnom nnuru afoforo a yɛn duruyɛfo akyerɛw ama yɛn no, ebetumi ayɛ den sɛ yebedi tebea yi so. Wɔ asɛm yi mu no, yɛbɛka nnuru a wɔde di dwuma titiriw bi a ebetumi aboa nnipa a wɔte saa ho asɛm.
Dɛn ne saa Alpha-Glucosidase Inhibitors yi?
Sɛ yɛbɛka no tiawa a, eyinom yɛ nnuru bi a wɔde siw Asikreyare a Ɛto so Abien ano. Ebia worenkae din no bere a wo duruyɛfo ka akyerɛ wo no, nanso nnuru abien na ɛwɔ saa kuw yi mu: Acarbose (nea wɔtaa de di dwuma) ne Miglitol .
Nnuru yi dwumadi titiriw ne sɛ ɛbɛma asikre dodow a ɛwɔ wo mogya mu no ankɔ soro mpofirim na ayɛ ntɛmntɛm bere a woadi awie no.
Nneɛma pii nti na ebia wo duruyɛfo bɛkamfo aduru yi akyerɛ wo:
- Sɛ nnansa yi ara wɔahu sɛ wowɔ asikreyare a ɛto so abien na wo haw titiriw ne asikre a ɛwɔ wo mogya mu a ɛkɔ soro bere a woadi awie no a.
- Sɛ worenom nnuru afoforo a wɔde sa asikreyare dedaw, nanso ɛda so ara yɛ den ma wo sɛ wubedi asikre dodow a ɛwɔ wo mogya mu bere a woadidi akyi a, wubetumi de eyi aka ho sɛ aduru foforo.
Okay, ɔkwan bɛn so na saa aduru yi yɛ adwuma wɔ nipadua no mu?
Eyi yɛ mmerɛw yiye sɛ yɛbɛte ase. Nnuan a starch wom a yedi, te sɛ paanoo, aburow, ɛmo, ne noodles, ne asikre a yɛde ka yɛn aduan ho (sɛ nhwɛso no, asikre a yɛde di dwuma daa) no, wɔyam wɔ yɛn dwensɔtwaa mu na afei wɔde ka yɛn mogya ho sɛ asikre a ɛnyɛ den (glucose).
Saa nnuru yi yɛ adwuma denam enzyme bi a wɔfrɛ no alpha-glucosidase dwumadi a esiw ano wɔ yɛn dwensɔtwaa mu no so. Saa enzyme yi paapae starch ne asikre mu ma ɛbɛyɛ asikre a ɛnyɛ den.
Fa no sɛ nnuan a starch wom a wudi (te sɛ abodoo ne aburow) no yɛ keteke kɛse. Nea aduru yi yɛ ne sɛ esiw saa keteke no kwan sɛ ɛremma keteke gyinabea hɔ prɛko pɛ, na ɛma ɛba mu nkakrankakra, nkakrankakra. Afei, asikre dɔɔso wɔ wo mogya mu.
Eyi ma asikre a wɔde ka mogya no ho no brɛ ase kɛse, na ɛboa ma asikre a ɛkɔ soro mpofirim wɔ mogya mu bere a wɔadi awie no so.
Wɔtaa nom saa aduru yi bere a wodi kan ka aduan titiriw bi. Mpɛn pii no, wo duruyɛfo bɛka akyerɛ wo sɛ fa mprɛnsa da biara, na fa w’aduan atitiriw abiɛsa no mu biara ka ho. Saa aduru yi a wode bedi dwuma no betumi aboa ma wo A1c a ɛyɛ asikre dodow a ɛwɔ wo mogya mu wɔ asram abiɛsa a atwam no mu no so atew 0.5% kosi 0.8% .
So nsunsuanso bɔne bi wɔ nnuru yi mu?
Te sɛ aduru biara no, eyi betumi anya nkɛntɛnso bɔne bi. Nanso biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho. Ade a ɛho hia sen biara ne sɛ wubehu eyi.
Ade a ɛho hia sen biara ne sɛ sɛ wode saa Alpha-glucosidase inhibitor yi nkutoo di dwuma a, asiane a ɛwɔ hɔ sɛ asikre a ɛwɔ wo mogya mu (hypoglycemia) bɛba fam no sua koraa . Nanso, sɛ wode asikreyare nnuru afoforo (e.g. Metformin, Gliclazide) anaa insulin a wɔde twitwiw aduru yi di dwuma a, hokwan wɔ hɔ sɛ wo mogya mu asikre betumi akɔ fam. Enti, ɛho hia sɛ wo ne wo duruyɛfo kasa fa ho na wohwehwɛ afotu.
Nneɛma bɔne a ɛtaa ba ne dwensɔtwaa mu haw ahorow bi. Nea ɛbɛyɛ na woasiw eyinom ano no, wo duruyɛfo no befi ase de dodow a ɛba fam koraa ahyɛ wo ase na ɔde nkakrankakra ama dodow no akɔ soro.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Flatulence/mframa a ɛtwam | Nnuan a starch wom betumi ama mframa aboaboa ano wɔ dwensɔtwaa no mu efisɛ aduan a wɔyam no kyɛ. |
| Ayamtuo | Tebea a ebetumi aba esiane aduan a wɔanwene a ɛka wɔ dwensɔtwaa no mu nti. |
| Yafunu a ɛyɛ yaw / Yafunu mu yaw | Saa ɔhaw yi betumi aba kosi sɛ nipadua no bɛsua aduru no. |
Asɛmpa no ne sɛ saa nsunsuanso bɔne yi mu dodow no ara fi hɔ wɔ adapɛn kakraa bi akyi bere a wo nipadua no yɛ nsakrae wɔ aduru no mu no. Nanso, sɛ saa ɔhaw ahorow yi kɔ so anaasɛ emu yɛ den a, hwɛ hu sɛ wobɛma wo duruyɛfo ahu.
Hena na ɔmfata sɛ ɔnom saa aduru yi?
Saa aduru yi mfata obiara. Ebia nnipa binom a wɔwɔ akwahosan tebea horow bi behyia ɔhaw ahorow wɔ aduru yi ho. Enti, ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo.
| Akwahosan tebea | Dɛn nti na aduru yi mfata? |
|---|---|
| Mpɛn pii no, nnuru a wɔde di dwuma yi mfata mma: | |
| Ɔyare a Ɛma Ɔhyew - s.e. Akisikuru a Ɛyɛ Akisikuru anaa Crohn Yare | Saa tebea horow yi betumi ayɛ nea emu yɛ den kɛse. |
| Nneɛma a ɛsiw dwensɔtwaa mu | Tebea no betumi asɛe esiane sɛnea aduru no yɛ adwuma nti. |
| Nyarewa afoforo a ɛba wɔ dwensɔtwaa mu | Ebia aduan mu haw ahorow a ɛwɔ hɔ dedaw no mu ayɛ den. |
| Asikreyare a ɛma obi nya Ketoacidosis | Eyi yɛ asikreyare ho haw a asiane wom. Saa aduru yi mfata mma no. |
| Acarbose mfata titiriw bere a: | |
| Akuru a ɛwɔ wo dwensɔtwaa kɛse no mu | Ebia kuru no sa bɛkyɛ anaasɛ tebea no betumi asɛe kɛse. |
| Cirrhosis a ɛwɔ mmerɛbo mu | Wɔnkamfo eyi nkyerɛ efisɛ ebetumi aka mmerɛbo no dwumadi. |
Bio nso, mpɛn pii no, wɔmfa saa aduru yi nkyerɛ mmea a wɔyem ne ɛnanom a wɔma wɔn nufu. Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ sɛ woreyɛ nhyehyɛe anyinsɛn anaasɛ woanyinsɛn dedaw a.
Nkrasɛm a Wɔde Kɔ Fie
- Alpha-glucosidase inhibitors yɛ nnuru bi a wɔde hwɛ asikre dodow a ɛwɔ mogya mu wɔ asikreyare a ɛto so abien mu, titiriw bere a wɔadi adidi akyi.
- Saa aduru yi yɛ adwuma denam starch ne asikre a wudi a ɛmma ɛkɔ wo mogya mu wɔ dwensɔtwaa mu no so.
- Nneɛma bɔne a ɛtaa ba ne akisikuru ne akisikuru a mpɛn pii no ɛno ankasa brɛ ase wɔ adapɛn kakraa bi mu.
- Ɛsɛ sɛ wɔnom saa aduru yi bere nyinaa bere a wodi kan ka aduan titiriw no, sɛnea oduruyɛfo no ka no.
- Sɛ wowɔ akwahosan ho haw afoforo te sɛ dwensɔtwaa mu nyarewa anaa mmerɛbo mu nyarewa a, nnom saa aduru yi a wunni aduruyɛfo afotu.
- Ɛho hia sɛ wo ne wo duruyɛfo ka w’ayaresa tebea nyinaa ne nnuru foforo biara a wonom ho asɛm. Eyi ho hia ma w’ahobammɔ.
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