So wo duruyɛfo aka akyerɛ wo sɛ kɔ wo mogya mu asikre mu nhwehwɛmu? Anaasɛ wosuro kakra anaasɛ wopɛ sɛ wuhu ho asɛm esiane sɛ obi wɔ w’abusua mu asikreyare nti? Ɛmfa ho nea enti a ɛte saa no, ɛho hia yiye sɛ yɛn nyinaa hu asikre a ɛwɔ mogya mu yi, kyerɛ sɛ, Mogya mu Glucose Nhwehwɛmu no. Enti ɛnnɛ, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw koraa so, wɔ ɔkwan a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne Mogya mu Glucose Nhwehwɛmu?
Eyi yɛ mmerɛw yiye. Saa sɔhwɛ yi susuw glucose dodow, anaa ‘asikre’ sɛnea yɛn nyinaa nim no, wɔ wo mogya mu. Wɔyɛ eyi titiriw sɛnea ɛbɛyɛ a wobehu sɛ ebia wowɔ tebea bi a wɔfrɛ no asikreyare anaasɛ wonni bi.
Glucose ne ade titiriw a ɛma yɛn nipadua mu nkwammoaa nya ahoɔden. Yɛn mmerɛbo na ɛyɛ, ne nnuan ne anonne a carbohydrate wom a yedi nso. Saa glucose yi fa mogya no mu kɔ nkwammoaa a ɛwɔ nipadua no mu nyinaa mu. Enti, ɛho hia yiye sɛ yɛma asikre dodow a ɛwɔ yɛn mogya mu no kɔ so yɛ nea ɛfata. Hormone titiriw a ɛboa yɛn ma yɛyɛ eyi ne insulin .
Sɛ obi nipadua ntumi nyɛ insulin kakraa bi, anaasɛ nipadua no ntumi mfa insulin a ɛyɛ no nni dwuma yiye a, asikre dodow kɔ soro wɔ mogya mu. Yɛfrɛ tebea yi Hyperglycemia . Mpɛn pii no, eyi ne asikreyare ho sɛnkyerɛnne titiriw.
Akwan titiriw bɛn na wɔfa so yɛ sɔhwɛ yi?
Akwan titiriw abien na ɛwɔ hɔ a wɔfa so sɔ asikre a ɛwɔ mogya mu hwɛ. Ebia woahu abien no nyinaa. Ma yɛnhwɛ nea akwan abien yi yɛ.
| Ɔkwan a wɔfa so sɔ hwɛ | Dɛn na ɛrekɔ so? |
|---|---|
| Mogya a ɛtɔ fi nsateaa ano a wobɛfa (Capillary Blood Glucose Test) . | Eyi yɛ ɔkwan a ɛyɛ ntɛm paa. Wode ade ketewaa bi bɔ wo nsateaa ano na wofa mogya bi, de gu sɔhwɛ krataa so, na wode hyɛ glucose mita mu. Wubetumi ahu nea efi mu ba no wɔ sikɔne kakraa bi mu. Wɔ nkokoaa nkumaa fam no, wɔyɛ eyi denam mogya a woyi fi wɔn nan ase so. |
| Venous/Plasma Mogya mu Glucose Nhwehwɛmu | Nea ɛka eyi ho ne sɛ wubegye mogya kakraa bi afi ntini bi a ɛwɔ wo nsa mu mu na wode nhwɛsode no akɔ baabi a wɔyɛ nhwehwɛmu. Wɔtaa yɛ eyi ka mogya mu nhwehwɛmu afoforo ho (e.g., Basic Metabolic Panel). Ebetumi agye da koro anaa nnanu ansa na nea efi mu ba no asan aba. Saa kwan yi yɛ pɛpɛɛpɛ sen akwan afoforo no. |
Sɔhwɛ ahorow titiriw afoforo
Wɔ akwan atitiriw abien yi akyi no, sɔhwɛ titiriw afoforo pii wɔ hɔ.
- Mmuadadi Mogya mu Asikre Nhwehwɛmu: Eyi ne nhwehwɛmu titiriw a wɔde hu asikreyare. Ɛsɛ sɛ wode mogya ma bere a woannidi anaa woannom biribiara bɛyɛ nnɔnhwerew 8-12 akyi. Esiane sɛ nea wudi na wonom ka asikre dodow a ɛwɔ wo mogya mu nti, nhwehwɛmu no a wobɛyɛ bere a woredi mmuada no betumi ama woahu asikre dodow a ɛwɔ wo mogya mu mfiase no yiye.
- Glucose a Wɔhwɛ So Wɔ fie: Nnipa a wɔwɔ asikreyare fa saa kwan yi so hwɛ asikre dodow a ɛwɔ wɔn mogya mu da biara da. Nea ɛka eyi ho ne sɛ wɔde afiri bi te sɛ glucose meter anaa continuous glucose monitor (CGM) a ɛbata honam ani hwɛbea ho bedi dwuma.
Bere bɛn na wopɛ sɛ woyɛ sɔhwɛ yi?
Ebia nneɛma pii nti na wo duruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ.
- Sɛ́ aduruyɛ mu nhwehwɛmu a wɔyɛ no daa no fã: Ɛtɔ mmere bi a oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu a wɔyɛ no daa (e.g. Basic Metabolic Panel - BMP anaa Comprehensive Metabolic Panel - CMP ). Ebia nea ɛka eyi ho ne glucose nhwehwɛmu.
- Sɛ sɛnkyerɛnne ahorow ba a: Sɛ wowɔ asikre a ɛwɔ wo mogya mu a ɛkɔ soro (Hyperglycemia) anaa asikre a ɛba wo mogya mu (Hypoglycemia) ho sɛnkyerɛnne a. (e.g. nsu a wɔtaa tow, sukɔm a ɛboro so, ɔkɔm a ɛboro so, mu duru a ɛso tew mpofirim, aniwa a ɛyɛ kusuu, ɔbrɛ).
- Wɔ nyinsɛn mu: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ nyinsɛn mu asikreyare a ebetumi aba bere a wɔyem no anaa.
- Sɛ worenom nnuru bi a: Sɛ worenom nnuru a ebetumi aka asikre dodow a ɛwɔ wo mogya mu (e.g. corticosteroids ) bere tenten a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ asikre dodow a ɛwɔ wo mogya mu daa.
- Asikreyare ho asiane: Sɛ wowɔ asiane ahorow a ɛbɛma woanya asikreyare (sɛ nhwɛso no, abusua abakɔsɛm, kɛseyɛ mmoroso) a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo a mfe a woadi mfa ho. Wɔtaa kamfo kyerɛ sɛ obiara a wadi boro mfe 35 nyɛ sɔhwɛ yi daa.
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Sɛ woreyɛ mmuadadi Mogya mu Glucose Nhwehwɛmu a, ɛnsɛ sɛ wudi anaa wonom biribiara nnɔnhwerew 8 kosi 12 ansa na woayɛ nhwehwɛmu no. Nanso, ɛnyɛ hwee sɛ wobɛnom nsu.
Ade a ɛho hia sen biara ne sɛ wubedi akwankyerɛ a wo duruyɛfo anaa aduruyɛdan de ama wo no akyi pɛpɛɛpɛ. Ebia akwankyerɛ titiriw afoforo wɔ hɔ a wode bɛyɛ wo sɔhwɛ no, enti bisa ho asɛm.
Dɛn na gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu no ka kyerɛ yɛn?
Okay, afei momma yɛnhwɛ nea nea efii sɔhwɛ yi mu bae no ka. Wɔtaa de miligram susuw saa nsusuwii ahorow yi wɔ deciliter biara mu (mg/dL).
| Asikre dodow a ɛwɔ mogya mu wɔ mmuadadi mu (mg/dL) . | Kyerɛ |
|---|---|
| 70 - 99 mg/dL na ɛyɛ adwuma | Normal Range: Eyi ne apɔwmuden range a ɛfata ma obi a onni asikreyare. |
| 100 - 125 mg/dL na ɛyɛ adwuma | Asikreyare a Edi Kan: Eyi yɛ kɔkɔbɔ sɛnkyerɛnne! Asikre dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa, nanso ɛnnɔɔso sɛnea ɛbɛyɛ a wobebu no sɛ asikreyare. Wobetumi asan tebea yi denam asetra mu nsakrae so. |
| 126 mg/dL anaa nea ɛboro saa | Asikreyare: Sɛ asikre dodow a ɛwɔ wo mogya mu mmuadadi no boro saa dodow yi so bɛboro pɛnkoro a, ebia wubenya asikreyare. Wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo te sɛ A1c de si eyi so dua. |
| Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia) . | |
| 70 mg/dL anaa nea ennu saa | Mogya mu Asikre a Ɛba Fam: Eyi nso yɛ tebea a ɛsɛ sɛ wɔhwɛ so yiye. Eyi taa ba nnipa a wɔwɔ asikreyare so. Sɛ obi a onni asikreyare wɔ saa dodow yi a, ɛsɛ sɛ wohu nea ɛde ba. |
So nneɛma foforo bi wɔ hɔ a ɛma asikreyare sesa wɔ mogya mu a asikreyare nka ho?
Aane. Ɛwom sɛ asikreyare titiriw na ɛde ba de, nanso nneɛma afoforo nso betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro anaa akɔ fam.
Nneɛma afoforo nti a asikre dɔɔso:
- Adrenal ntini mu haw ahorow (sɛ nhwɛso no, Cushing Syndrome ) .
- Pancreatic haw ahorow (sɛ nhwɛso no, pancreatitis ) .
- Ntini a ɛma mogya tu a ɛboro so
- Adwene anaa nipadua mu nhyɛso a emu yɛ den, te sɛ oprehyɛn anaa akwanhyia a emu yɛ den
- Nnuru bi, titiriw corticosteroids
Nneɛma afoforo nti a asikre dodow a ɛwɔ mogya mu no so tew:
- Mmɛn anaa asaabo mu yare
- Hypothyroidism a ɛma mogya tu
- Adrenal gland haw ahorow te sɛ Addison Yare
- Nsã a wɔnom boro so
- Akuru a ɛntaa nsi te sɛ insulinoma
Kae sɛ nsuro sɛ wubesusuw sɛ wowɔ yare bi esiane sɛ nhwehwɛmu biako pɛ mu aba sesa nti. Wo duruyɛfo no rennyina nhwehwɛmu biako pɛ so nsi gyinae. Obesusuw wo yare no ho sɛnkyerɛnne, nhwehwɛmu afoforo a efii mu bae, ne w’akwahosan ho abakɔsɛm nyinaa ho de adu asɛm bi ho.
Enti sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ w’amanneɛbɔ no ho a, yɛsrɛ sɛ mfa nsie wo ho na wo ne wo duruyɛfo nkasa pefee. Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.
Nkrasɛm a Wɔde Kɔ Fie
- Mogya mu Glucose Nhwehwɛmu yɛ mogya mu nhwehwɛmu a ɛnyɛ den a wɔde di dwuma titiriw de hu asikreyare.
- Sɛ woreyɛ mmuadadi nhwehwɛmu a, ɛho hia sɛ wokwati adidi anaa anom bɛyɛ nnɔnhwerew 8-12, sɛnea wo duruyɛfo kyerɛ wo no.
- Nsuro sɛ nea ebefi mu aba biako pɛ a ɛnyɛ ne kwan so. Oduruyɛfo susuw nneɛma pii ho bere a ɔrehu yare no.
- Sɛ asikre dodow a ɛwɔ wo mogya mu no wɔ ‘prediabetes’ fã a, ɛyɛ kɔkɔbɔ sɛnkyerɛnne. Wobetumi de aduan a ɛfata ne apɔw-mu-teɛteɛ asan de aba sɛnea na ɛte kan no.
- Mma ntwentwɛn wo nan ase da sɛ wo ne wo duruyɛfo besusuw nsɛm biara a ɛhaw wo wɔ wo nhwehwɛmu aba ne w’akwahosan ho no ho.
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