So asikre a ɛwɔ wo mogya mu no so tew mpofirim? Momma yɛnka asikre a ɛba fam ho asɛm!

So wowɔ asikreyare? Sɛ saa a, so ɛtɔ mmere bi a wo ho fifiri pae mpofirim, wowosow, na wo ho nyɛ wo den kakra? Ebia ɔkɔm de wo, w’adwene tu fra, anaasɛ wo koma bɔ denneennen. Eyi ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ ‘hypoglycemia’. Sɛ yɛbɛka no tiawa a, asikre dodow a yɛn nipadua betumi de adi dwuma sɛ ahoɔden no so tew mpofirim.

Dɛn ne asikre a ɛkɔ soro?

Fa yɛn nipadua no sɛ kar. Sɛnea kar hia pɛtro na ama atumi atu mmirika no, saa ara na yɛn nipadua nso hia ahoɔden na ama yɛatumi ayɛ da biara da nnwuma te sɛ adwene, home, nantew, ne mmirikatu. Ahoɔden fibea titiriw a ɛwɔ yɛn nipadua mu ne glucose, anaasɛ ‘asikre’ kɛkɛ. Sɛ asikre dodow a ɛwɔ obi a ɔwɔ asikreyare nipadua mu no so tew mpofirim dodo a, nipadua no hwere ‘petrol’ a ehia na ama watumi ayɛ adwuma no. Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase da adi bere a asikre dodow a ɛwɔ mogya mu no so tew sen 70 mg/dL (milligram wɔ deciliter biara mu).

Dɛn ne sɛnkyerɛnne ahorow a ɛwɔ bere a ɛte sɛɛ mu?

Asikre a ɛba fam ho sɛnkyerɛnne nyɛ pɛ wɔ obiara fam. Sɛ wowɔ asikreyare a, nkakrankakra wubehu sɛnea wo nipadua yɛ n’ade wɔ tebea yi ho. Wobetumi akyekyɛ saa sɛnkyerɛnne ahorow yi mu abien: sɛnkyerɛnne ahorow a edi kan ne sɛnkyerɛnne ahorow a emu yɛ den kɛse.

Dɛn nti na asikre a ɛwɔ mogya mu no so tew saa?

Nneɛma pii nti na ɛte saa. Wɔn titiriw ne nnuru a yɛnom ma asikreyare ne sɛnea yedi aduan.

Nnuru bi a wɔde sa asikreyare

Ɛho hia paa sɛ wubisa wo duruyɛfo sɛ ebia asikreyare aduru a worenom no betumi ama asikre a ɛwɔ wo mogya mu no so atew anaa.

• Insulin Ayaresa: Insulin ne hormone titiriw a ɛhwɛ asikre dodow a ɛwɔ mogya mu so. Sɛ wɔnom insulin wɔ abɔnten a, ɛtɔ mmere bi a sɛ dodow a wɔnom no boro nea nipadua no hia so a, asikre dodow a ɛwɔ mogya mu no betumi akɔ fam.
• Sulfonylureas: Eyinom yɛ nnuru a wɔtaa de sa asikreyare. Wɔnam dwensɔtwaa no a wɔkanyan no ma ɛyɛ insulin pii no so na ɛyɛ adwuma. Ɛtɔ mmere bi a eyi betumi ama asikre dodow a ɛwɔ mogya mu no so atew. Nhwɛso ahorow bi ne:
• Glimepiride (Amaryl) a wɔde yɛ aduru a wɔfrɛ no Glimepiride (Amaryl) .
• Glipizide (Glucotrol) a ɛwɔ nipadua no mu.
• Glibenclamide (Glyburide, Micronase) a wɔde yɛ aduru a wɔfrɛ no Glibenclamide (Glyburide, Micronase) .

Bio nso, sɛ wonom nsa ka wo asikreyare aduru ho, anaasɛ wonom nnuru afoforo te sɛ allopurinol, aspirin, anaa warfarin a, ebetumi adi nkitaho na ama asikre dodow a ɛwɔ wo mogya mu no so atew. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo .

Nkɛntɛnso a aduan ne anonne nya

Sɛ wonom insulin anaa asikreyare nnuru a ɛne carbohydrates (starch/asikre) dodow a wudi no nhyia a, asikre a ɛwɔ wo mogya mu no betumi akɔ fam.

• Aduan a wubehuruw anaasɛ wobɛtwentwɛn so: Sɛ woandidi bere a ɛfata bere a woanom w’aduru no akyi a, asikre dodow a ɛwɔ wo mogya mu no bɛkɔ fam efisɛ asikre kakraa bi na ɛrekɔ wo nipadua mu.
• Aduan a asikre a ɛnyɛ den pii wom a wubedi: Sɛ wudi nnuan a asikre pii wom pii (sɛ nhwɛso no, anonne a ɛyɛ dɛ, keeki) prɛko pɛ a, wo nipadua no bɛma insulin pii aba mpofirim. Eyi betumi ama asikre dodow a ɛwɔ wo mogya mu no so atew mpofirim.
• Nsã a wɔnom wɔ yafunu a hwee nni mu: Nsã a wɔnom a wonni aduan biara no betumi asiw asikre a ɛwɔ mmerɛbo no mu no ano na ama asikre a ɛwɔ mogya mu no akɔ fam.
• Apɔw-mu-teɛteɛ: Sɛ woteɛteɛ w’apɔw mu a, wo nipadua de asikre di dwuma de nya ahoɔden. Enti ɛsɛ sɛ wohwɛ yiye wɔ asikre dodow a wowɔ no ho ansa na woateɛteɛ w’apɔw mu ne bere a woawie no.

Sɛ asikre a ɛwɔ wo mogya mu no so tew a, dɛn na woyɛ?

Sɛ wususuw sɛ worenya asikre a ɛba fam ho sɛnkyerɛnne ahorow a, mma wo ho nnpopo na di anammɔn yi akyi.

1. Hwɛ asikre dodow a ɛwɔ wo mogya mu ntɛm ara: Sɛ ɛbɛyɛ yiye a, fa wo glucometer hwɛ asikre dodow a ɛwɔ wo mogya mu. Sɛ ɛba fam sen 70 mg/dL a, yɛ ho biribi ntɛm ara.

2. Di ‘15-15 mmara’ no akyi:

• Anamɔn 1: Di anaa nom carbohydrates a ɛyɛ adwuma ntɛmntɛm bɛyɛ gram 15.
• Glucose aduru 3-4
• Toffee a ɛyɛ dɛ 4-6 (ɛnyɛ asikre nnim) .
• Nnuaba nsu kuruwa 1/2 (ɛnyɛ asikre nnim) .
• Nufusu a wɔde aduru a ɛyɛ dɛ ayɛ kuruwa 1
• Nsã a ɛyɛ dɛ a asikre wom kuruwa 1/2
• Ɛwo tablespoon biako (eyi kɔ mogya no mu ntɛmntɛm bere a wɔde ahyɛ tɛkrɛma ase no) .
• Anamɔn 2: Twɛn simma 15.
• Anamɔn 3: Hwɛ asikre a ɛwɔ wo mogya mu bio. Sɛ ɛda so ara nnu 70 mg/dL a, di nnuan a wɔabobɔ din wɔ atifi hɔ no biako gram 15 bio.

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Na sɛ obi adwene fi ne ho so nso ɛ?

Wɔ tebea horow bi a emu yɛ den mu no, asikre a ɛkɔ fam no betumi ama n’adwene atu afra. Eyi yɛ asɛm a egye ntɛmpɛ.

• Mfa aduan anaa anonne mma obi a onnim hwee da. Saa a wɔbɛyɛ no betumi ama akɔhyɛ mframa kwan no mu na ama tebea no asɛe kɛse.
• Frɛ ambulance ntɛm ara anaa fa onipa no kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
• Sɛ wo duruyɛfo akamfo akyerɛ sɛ fa aduru bi a wɔfrɛ no glucagon di dwuma a, ɛho hia yiye sɛ wokyerɛkyerɛ w’abusua ne wo nnamfo sɛnea wɔde bɛma wɔ tebea a egye ntɛmpɛ mu. Glucagon yɛ hormone a ɛma asikre dodow kɔ soro ntɛmntɛm wɔ mogya mu.

Hwɛ yiye bere a woreka kar no!

Sɛ́ wobɛka kar a asikre a ɛwɔ mogya mu no sua no yɛ asiane kɛse . Sɛ wuhu asikre a ɛba fam ho sɛnkyerɛnne bere a woreka kar a, gyina kar no ntɛm ara wɔ baabi a ahobammɔ wɔ wɔ kwan so. Afei hwɛ asikre a ɛwɔ wo mogya mu, di biribi a ɛyɛ dɛ, twɛn simma 15, san hwɛ bio, na bere a asikre a ɛwɔ wo mogya mu no asan ayɛ sɛnea na ɛte kan nkutoo. Fa aduan a ɛyɛ dɛ (toffee, glucose) sie wo kar mu bere nyinaa wɔ tebea horow a egye ntɛmpɛ mu.

Ɔkwan bɛn so na wobetumi asiw asikre a ɛkɔ soro no ano?

• Di aduan ho nhyehyɛe a wo duruyɛfo anaa aduannuru ho ɔbenfo de ama wo no akyi pɛpɛɛpɛ.
• Di w’aduan atitiriw abiɛsa no wɔ mmere a wodi daa mu. Mma nsonsonoe a ɛda adidi ntam no ntra nnɔnhwerew 4-5.
• Sɛ woteɛteɛ w’apɔw mu a, yɛ no dɔnhwerew fã anaa dɔnhwerew biako wɔ adidi akyi. Hwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woateɛteɛ w’apɔw mu ne bere a woawie no.
• Ansa na wobɛnom nnuru no, hwɛ mprenu sɛ worenom aduru a ɛfata ne dodow a ɛfata .
• Sɛ wonom nsa a, to ano hye. Kwati sɛ wobɛnom nsa bere a wo yafunu da mpan.
• Bisa wo duruyɛfo no nnuru dodow a ɛsen biara a worenom no ho asɛm.
• Hwɛ asikre dodow a ɛwɔ wo mogya mu daa sɛnea wo duruyɛfo tu fo no .
• Sɛ wohyɛ ID krataa anaa abɔso a ɛkyerɛ sɛ wowɔ asikreyare a, ebetumi ayɛ nea ɛho hia kɛse wɔ tebea a egye ntɛmpɛ mu.

Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew mpɛn pii wɔ dapɛn biako mu a ntease biara nnim a, wo ne wo duruyɛfo nka ho asɛm. Yɛ bere, da, ne nea na woreyɛ saa bere no ho kyerɛwtohɔ. Eyi bɛboa wo duruyɛfo ma wahu ɔkwan bi a wɔfa so yɛ no na wayɛ nsakrae biara a ɛho hia wɔ w’ayaresa no mu.