So wo duruyɛfo kyerɛw wo aduru foforo a wode bedi asikreyare a ɛto so abien no ho? Bere a wotee sɛ aduru no din ne Dapagliflozin ne Saxagliptin (a wɔtaa frɛ no din QTERN) no, so wuhui sɛ ɛyɛ basaa kakra? Nha wo ho. Ɛnnɛ, yɛbɛka saa aduru yi ho asɛm wɔ ɔkwan a ɛnyɛ den so, te sɛ nea woreka akyerɛ w’adamfo bi.
Dɛn ne aduru yi? Sɛ yɛbɛka no tiawa a...
Eyi yɛ aduru a wɔde sa Asikreyare a Ɛto so Abien. Ɛwɔ dwumadi atitiriw abien. Biako ne sɛ wobɛboa wo nipadua ma asikre (glucose) a ɛboro so no afi wo nsu mu. Ɔfoforo no ne sɛ wobɛkanyan insulin a ɛma wo dwensɔtwaa mu a ɛboa ma asikre dodow a ɛwɔ wo mogya mu no yɛ adwuma.
Fa no sɛ aboafo baanu a wonim nyansa a wɔhwɛ asikre dodow a ɛwɔ wo nipadua mu so. Nanso aduru yi nkutoo nnɔɔso. Aduan pa ne apɔw-mu-teɛteɛ a ɛfata nso ho hia.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ɛho hia yiye sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa ansa na wakyerɛw saa aduru yi ama wo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.
| Tebea anaa suban | Nkyerɛmu |
|---|---|
| Ayaresa tebea horow a ɛwɔ hɔ dedaw | Akisikuru, komayare, komayare, asaabo mu yare, srade a ɛdɔɔso, mogya mmoroso a ɛba fam, dwensɔtwaa mu yare anaasɛ abakɔsɛm a ɛfa ho, asikreyare a ɛto so 1. |
| Nyarewa ne ɔhaw afoforo | Sɛ wotaa nya ɔyare mmoawa (UTIs), abakɔsɛm a ɛkyerɛ sɛ wowɔ ɔbarima ne ɔbea nna mu mmɔkaw, ɛyɛ den sɛ wobɛtow, anaa tebea bi a wɔfrɛ no asikreyare ketoacidosis. |
| Asetra kwan ne nsɛm afoforo | Sɛ nipadua no mu nsu mu nsu, sɛ wudi aduan a nkyene nnim, sɛ yare, oprehyɛn, anaa nneɛma afoforo nti aduan a wudi so atew, anaasɛ sɛ wotaa nom nsa a. |
| Mmere titiriw | Sɛ woanyinsɛn anaa worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wowɔ aduru yi (dapagliflozin, saxagliptin) anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho akisikuru a. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi yɛ mmerɛw yiye.
- Fa nsu kuruwa mene saa aduru yi.
- Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Wɔtaa kamfo kyerɛ sɛ fa anɔpa.
- Wobetumi anom a aduan ka ho anaasɛ wɔmfa nni dwuma.
- Nnyae nnuru nom anaasɛ nsakra dodow a wode ma no da a wunnya wo duruyɛfo afotu .
- Sɛ wɔde saa aduru yi ma mmofra a, ɛho hia sɛ wɔde aduruyɛ mu afotu titiriw ma.
Sɛ wɔma nnuru no dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom nnuru pii a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara. Anaasɛ, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Na sɛ me werɛ fi sɛ mɛnom m’aduru nso ɛ?
Fa dodow a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a wo werɛ afi no.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia paa sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho. Ebia nnuru bi ne saa aduru yi bedi nkitaho.
Titiriw no, hwɛ hu sɛ wobɛka nnuru a edidi so yi ho asɛm sɛ worenom a:
- Nnuru bi a ekum ɔyare mmoawa, te sɛ gatifloxacin.
- Nsaden
- Nnuru bi a wɔde kum HIV anaa Hepatitis.
- Nnuru te sɛ ketoconazole ne itraconazole, a wɔde sa fungal yare mmoawa.
- Lithium a wɔde yɛ nneɛma
- Steroid ahorow te sɛ prednisone ne cortisone.
- Sulfonylureas te sɛ glimepiride, glipizide, ne glyburide yɛ nnuru a wɔde sa asikreyare.
- Nnuru a wɔde sa thyroid nyarewa.
Kae sɛ, saa nsɛm a wɔahyehyɛ yi nni mũ. Ka vitamin, nhabannuru, anaa nnuru a wɔde ka aduan ho a worenom ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛsɛ sɛ wohwɛ w’akwahosan so kakra bere a worenom saa aduru yi no.
1. Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Kɔ ayaresabea ahorow sɛnea woayɛ nhyehyɛe sɛnea wo duruyɛfo akyerɛ wo no. Ebia wo duruyɛfo bɛkra sɛ wɔnyɛ mogya mu nhwehwɛmu a wɔfrɛ no HbA1C asram 2-3 biara de ahwɛ sɛnea wɔredi wo mogya mu asikre so yiye.
2. Sua sɛnea wobɛsɔ wo mogya mu asikre ahwɛ: Sua sɛnea wobɛsɔ wo mogya mu asikre ahwɛ wɔ fie. Hu nea asikre a ɛkɔ soro ne asikre a ɛkɔ soro ho sɛnkyerɛnne yɛ ne sɛnea wubedi ho dwuma ankasa.
3. Fa asikre bi sie baabi a ɛbɛn wo sɛ biribi si ntɛm a: Fa biribi a wubedi te sɛ asikre kuruwa, glucose tablet, anaa toffee si wo nkyɛn bere nyinaa sɛ ebia asikre dodow no so bɛtew mpofirim a.
4. Ntwa adidi so: Ntwa nnuan atitiriw so esiane biribiara nti. Kɔ wo duruyɛfo nkyɛn wɔ nsa a wobɛnom ho.
5. Hyɛ aduruyɛ ho ID: Sɛ wohyɛ kaad anaa abɔso a ɛkyerɛ sɛ wowɔ asikreyare ne nnuru ahorow ne dodow a wobɛnom no betumi ayɛ nea ɛho hia yiye wɔ tebea a egye ntɛmpɛ mu.
Nsunsuanso bɔne a aduru no de ba
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Bere a eyinom mu dodow no ara yɛ nketenkete de, nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Tebea horow a emu yɛ den a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara | |
| Nneɛma a Ɛyɛ Den a Ɛma Nnipa Ho Yɛ Den | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Asikreyare a ɛma obi nya ketoacidosis (DKA) . | Sukɔm dodo, nsu a wɔtaa tow, ano a ɛyɛ mmerɛw, nnuaba ahome hua, ahome a ɛyɛ den, yafunu mu yaw, akisikuru, ɔfe. |
| Koma a Ɛnyɛ Den Ho Nsɛnkyerɛnne | Ɔhome a ɛyɛ den, nansoaa, anan, anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, ɔbrɛ a ɛtra so. |
| Pancreatitis a ɛyɛ yare | Yafunu mu yaw a emu yɛ den (a ɛhyerɛn kɔ akyi), ɛyaw a ɛyɛ kɛse bere a woadi anaa bere a wɔde wɔn nsa aka no, atiridiinini, akisikuru, ɔfe. |
| Nsuo mu yareɛ (UTI) . | Nsuo mu yareɛ, nsuo a wɔtaa to, mogya anaa mununkum, akyi anaa akyi berɛmo mu yaw. |
| Nyarewa a ɛba ɔbarima ne ɔbea nna mu | Kɔkɔɔ, ɛho ahonhon, ɛyaw, ɛyaw, hua fĩ, nsu a ɛyɛ den a ɛba. |
| Tebea horow a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ oduruyɛfo no amanneɛ | |
| Nyarewa nketenkete afoforo | Atiridiinini, tiyɛ, hwene a ɛretu anaasɛ ɛyɛ mmerɛw, menewa a ɛyɛ yaw. |
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi yɛ aduru a ɛho hia a ɛboa ma wodi wo asikreyare so. Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ bere nyinaa , wɔ bere a ɛfata mu.
- Ansa na wubefi ase anom aduru no, ka w’ayaresa tebea nyinaa ne nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Hu asikre a ɛba mogya mu (adwene a ɛyɛ wo yaw, fifiri, ɔkɔm a ɛtra so) ne asikre a ɛdɔɔso wɔ mogya mu (sukɔm a ɛboro so, nsu a wɔtaa tow) ho sɛnkyerɛnne ahorow no yiye.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ akisikuru a emu yɛ den, ahome a ɛyɛ den, anaa yafunu a ɛyɛ den , hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo asikreyare ano aduru nhyehyɛe no fã biako pɛ. Hwɛ hu sɛ wubedi aduan pa na woateɛteɛ w’apɔw mu.
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