Nnipa pii wɔ yɛn man yi mu wɔ yare bi a wɔfrɛ no Asikreyare. Ebia wo, w’abusua muni bi, anaa w’adamfo bi wɔ saa tebea yi. Asikreyare a wobɛtra ase no yɛ asɛnnennen, nanso sɛ wudi so yiye a, wubetumi atra ase sɛnea ɛsɛ. Nanso, sɛ yɛanhyɛ so yiye, kyerɛ sɛ, sɛ asikre dodow a ɛwɔ mogya mu no kɔ soro bere nyinaa a, ebetumi asɛe yɛn nipadua mu akwaa ahorow a yentumi nsusuw ho. Ɛnnɛ yɛreka nsɛnnennen a asikreyare de ba no ho asɛm. Sɛ wuhu eyinom a, ɛbɛboa wo kɛse ma woabɔ wo ho ban.
Koma Yare & Akisikuru
Asikreyare ho haw a ɛtaa ba na ɛyɛ hu no mu biako ne komayare. Sɛ asikre dodow kɔ soro a, yɛn mogya ntini no afasu sɛe, na srade ne srade fi ase boaboa ano wɔ mu. Eyi ma mogya ntini no yɛ teateaa, na ɛma mogya a ɛkɔ koma no mu no so tew. Eyi ne ade titiriw a ɛde komayare ba.
Saa ara na ɛte wɔ tebea bi a wɔfrɛ no akisikuru ho . Saa tebea yi ba bere a mogya ntini bi a ɛde mogya kɔ amemene no mu siw anaasɛ ɛpae no. Asiane yi dɔɔso kɛse ma obi a ɔwɔ asikreyare.
Wo duruyɛfo bɛhwɛ nneɛma yi mu:
Ɛkame ayɛ sɛ bere biara a wobɛkɔ oduruyɛfo nkyɛn no, wɔyɛ nhwehwɛmu ahorow yi.
- Mogya Nhyɛso : Wɔde nsateaa a wɔde abɔ wo nsa ho na ɛsusuw wo mogya mmoroso. Ɛho hia sɛ wɔma ɛba fam sen 130/80 mmHg.
- Mogya mu nhwehwɛmu : Wɔfa mogya kakraa bi de hwɛ sɛnea wo srade bɔne ( LDL cholesterol) ne triglycerides .
- ECG sɔhwɛ: Wɔbɛyɛ ECG (Electrocardiogram) nhwehwɛmu wɔ bere a edi kan no mu de ahwɛ sɛnea wo koma no yɛ adwuma na wɔayɛ ho kyerɛwtohɔ.
Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa nneɛma a ɛde asiane ba te sɛ abusua abakɔsɛm a wowɔ komayare ne sɛ ebia wonom sigaret ho . Asiane ahorow yi betumi atew kɛse denam nneɛma te sɛ mu duru a wɔbɛtew so , apɔw-mu-teɛteɛ, ne adwennwen a wɔbɛtew so .
Sɛ wuhu sɛ obi anya akisikuru ho sɛnkyerɛnne a , ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.Sɛ wuhu sɛnkyerɛnne ahorow te sɛ w’anim anaa wo nipadua no fã biako a ɛyɛ mmerɛw mpofirim, ɛyɛ den sɛ wobɛkasa, ɛyɛ den sɛ wubehu ade wɔ w’ani abien no nyinaa mu, anaasɛ w’adwene tu fra a, kɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU) ntɛm ara.
Asaabo a ɛsɛe (Diabetic Nephropathy) .
Asaabo no ne nneɛma a wɔde yiyi nneɛma mu wɔ yɛn nipadua mu. Wɔyi nneɛma fĩ fi mogya no mu. Nanso, sɛ asikre dodow kɔ so yɛ kɛse wɔ mogya mu bere tenten a, mogya ntini a ɛyɛ mmerɛw a ɛwɔ asaabo no mu no sɛe. Wɔfrɛ eyi Diabetic Nephropathy .
Wɔ mfiase no, yare no ho sɛnkyerɛnne biara nni hɔ, nanso nkakrankakra asaabo no dwumadi so tew, na awiei koraa no, asaabo no betumi adi nkogu koraa.
Enti, ɛho hia sɛ obiara a ɔwɔ asikreyare yɛ asaabo mu nhwehwɛmu anyɛ yiye koraa no pɛnkoro afe biara .
- Nsuo mu nhwehwɛmu : Wɔbɛhwɛ wo nsuo mu sɛ protein bi a wɔfrɛ no albumin bi wɔ hɔ anaa. Mpɛn pii no, wɔmfa saa protein yi mfi nsu mu. Nanso, sɛ asaabo no sɛe a, protein yi boaboa ano wɔ nsu mu.
- Mogya mu nhwehwɛmu: Wɔbɛyɛ mogya mu nhwehwɛmu de ahwɛ wo creatinine dodow ne GFR (Glomerular Filtration Rate). Sɛ yɛbɛka no tiawa a, GFR yɛ nea ɛkyerɛ sɛnea w’asaabo yiyi nneɛma a wɔsɛe no yiye.
Ntini a ɛsɛe (Diabetic Neuropathy) .
Eyi nso yɛ asikreyare ho haw a ɛtaa ba. Asikre dodow a ɛkɔ soro wɔ mogya mu sɛe ntini a ɛwɔ yɛn nipadua mu no. Wɔfrɛ eyi asikreyare ntini mu yare . Ɛka ntini a ɛwɔ nsa ne anan mu no kɛse.
So wowɔ saa su ahorow yi?
- Nsa ne anan reyɛ ayɛ mmerɛw.
- Me nan te sɛ nea ɛrehyew.
- Ɛtɔ mmere bi a, akisikuru wɔ hɔ.
Asiane kɛse a ɛwɔ eyi mu ne sɛ worentumi nte biribiara nka wɔ wo nan mu. Fa no sɛ, woatwitwa wo nan ketewaa bi, anaa nsɔe bi aka mu, nanso sɛ woante nka nso ɛ? Saa ntwitwiridii ketewaa no betumi anyin, anya ɔyare mmoawa, na ebia ɛbɛma ɛho abehia sɛ wutwa wo nan.
Enti, hwɛ wo nan mu anadwo biara ansa na woada . Hwɛ sɛ honam ani ayɛ kɔkɔɔ, ɛho ahonhon, akuru , anaa apaapae anaa. Sɛ wuhu eyinom mu bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
Anyɛ yiye koraa no, wo duruyɛfo nso bɛhwɛ wo nan mu pɛnkoro afe biara. Ebia wɔde biribi te sɛ nylon hama anaa pin ketewaa bi bɛbɔ wo nan mu ahwɛ sɛ wubetumi ate nka anaa. Sɛ wuntumi nte nka a, ebetumi ayɛ ntini a asɛe ho sɛnkyerɛnne.
Nkɛntɛnso a enya wɔ aniwa so (Diabetic Retinopathy) .
Asikreyare nso betumi asɛe aniwa no. Asikre a ɛwɔ mogya mu a ɛdɔɔso sɛe mogya ntini a ɛyɛ mmerɛw a ɛde mogya kɔ retina a ɛwɔ aniwa no akyi no. Wɔfrɛ eyi asikreyare retinopathy . Sɛ wɔansa a, ebetumi ama obi ani afura.
Enti, ɛho hia sɛ obiara a ɔwɔ asikreyare no kɔ aniwa ho oduruyɛfo nkyɛn anyɛ yiye koraa no pɛnkoro afe biara ma wɔhwɛ n’ani.
- Aniwa mu nhwehwɛmu: Oduruyɛfo no de nsu a ɛtɔ gu w’ani so bɛhyɛ w’aniwa mu na ama w’aniwa no atrɛw. Afei, wɔde ahwehwɛ soronko bi bedi dwuma de ahwehwɛ w’ani akyi, retina , mu ahwɛ sɛ ebia biribi asɛe anaa.
- W’aniwa bɛyɛ mmerɛw kakra na hann bɛte nka nnɔnhwerew kakraa bi wɔ sɔhwɛ yi akyi. Enti ɛyɛ papa sɛ wode ahwehwɛ a wɔde hwɛ owia bɛba na woama obi foforo aka wo kar .
Ɛsɛ sɛ nnipa a wɔwɔ asikreyare a ɛto so 1 no fi ase yɛ nhwehwɛmu yi wɔ mfe 3-5 akyi bere a wɔahu sɛ wɔwɔ bi no. Ɛsɛ sɛ nnipa a wɔwɔ asikreyare a ɛto so abien no yɛ wɔn aniwa mu nhwehwɛmu a edi kan bere a wɔahu sɛ wɔwɔ bi no ara pɛ.
Nsɛnnennen afoforo a ɛtaa ba
Wɔ nsɛnnennen atitiriw a yɛaka ho asɛm wɔ atifi hɔ no akyi no, ɔhaw afoforo pii betumi asɔre.
- Digestive problems (Gastroparesis): Ntini a ɛwɔ yafunu no mu a ɛsɛe no ma yafunu no mu da mpan nkakrankakra. Eyi de sɛnkyerɛnne ahorow te sɛ ahurututu ne akisikuru ba. Nea ɛbɛyɛ na wɔasi eyi so dua no, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu te sɛ endoscopy .
- Ɔbarima ne Ɔbea Nna: Asikreyare ma asiane a ɛwɔ hɔ sɛ mmarima ntumi nkɔ ɔbarima ne ɔbea nna mu no yɛ kɛse. Ɛho hia sɛ wo ne wo duruyɛfo kasa fa eyi ho a worenyɛ aniwu. Wobetumi de asetra mu nsakrae ne nnuru asa.
- Honam ani haw ne ɔyare mmoawa: Sɛ asikre dodow kɔ soro wɔ mogya mu a, tebea pa ba ma mmoawa ne fungi nyin. Ɛma tumi a nipadua no tumi sa akuru nso so tew. Eyi betumi ama obi anya honam ani yare mpɛn pii, akisikuru, ne anom yare.
- Nsensan akwahosan ho nsɛm: Nnipa a wɔwɔ asikreyare no wɔ asiane kɛse mu sɛ wobenya anom yare (gingivitis), sẽ a ɛporɔw, ne sẽ a ɛyera. Enti, ɛho hia sɛ wobɔ wo sẽ na wobɔ wo sẽ da biara da na wokɔ sẽ ho oduruyɛfo nkyɛn daa.
Sɔhwɛ ahorow a ɛsɛ sɛ woyɛ
Sɛnea ɛbɛyɛ na woasiw nsɛnnennen ano no, ɛho hia sɛ wuhu sɛnea wotumi di wo asikreyare no so yiye. Saa sɔhwɛ ahorow yi boa wɔ ɛno mu.
| Sɔhwɛ no din | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| A1c mogya mu nhwehwɛmu | Eyi ma wunya asikre dodow a ɛwɔ wo mogya mu wɔ asram 3 a atwam no mu ho adwene . Anyɛ yiye koraa no, ɛsɛ sɛ woyɛ eyi mprenu afe biara. |
| Ketone Sɔhwɛ | Sɛ nipadua no mu nkwammoaa nni glucose a ɛdɔɔso a, ɛhyew srade de hwehwɛ ahoɔden. Wɔfrɛ nnuru a wɔyɛ no ketones, na wɔhwɛ mu wɔ nsu mu. Ketone dodow a ɛkɔ soro no betumi ama obi anya tebea bi a asiane wom a wɔfrɛ no DKA (Diabetic Ketoacidosis) . |
| Thyroid Nhwehwɛmu | Abusuabɔ bi da asikreyare ne hypothyroidism ntam, enti ɛsɛ sɛ wɔyɛ nhwehwɛmu yi wɔ nnuruyɛfo afotu so. |
Asikreyare yɛ biribi a ɛsɛ sɛ wodi ho dwuma yiye. Mma wo ho nnyɛ wo hu. Sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye, nom w’aduru no bere ano, hwɛ w’aduan so, na woteɛteɛ w’apɔw mu a, wubetumi abɔ wo ho ban afi ɔhaw ahorow a yɛaka ho asɛm wɔ atifi hɔ no pii ho.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wɔantumi anhyɛ asikreyare so a, ɛkame ayɛ sɛ ebetumi aka wo nipadua akwaa biara, a wo koma, w’asaabo, w’ani, ne wo ntini ahorow ka ho.
- Kɔ wo duruyɛfo bere ano na ma wɔnhwɛ wo mogya mmoroso, srade, ne A1c dodow.
- Anyɛ yiye koraa no, hwɛ hu sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn pɛnkoro afe biara na wɔahwɛ w’ani.
- Hwɛ wo nan mu da biara da sɛ ebia akuru, mpaapaemu, anaa nneɛma afoforo a ɛnteɛ biara wɔ hɔ anaa.
- Kwati sigaretnom, di aduan pa, na teɛteɛ w’apɔw mu daa. Saa nneɛma yi betumi atew asiane a ɛwɔ hɔ sɛ nsɛnnennen bɛba no so kɛse.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko (sɛ nhwɛso no, wo koko mu yaw, wo ho yɛ wo yaw, nsakrae a ɛba w’ani so) a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
Asikreyare, Asikreyare mu Nsɛnnennen, Koma Yare, Asaabo Yare, Ntini a Ɛsɛe, Asikreyare a Wɔde Di Dwuma
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