Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ Type 2 Diabetes Mellitus a, ebia wɔbɛka akyerɛ wo sɛ fa insulin. Nanso nokwarem no, ɛnyɛ obiara a ɔwɔ Asikreyare a Ɛto so Abien na ohia insulin. Nanso sɛ ɛsɛ sɛ wofa insulin a, ɛho hia yiye ma w’akwahosan sɛ wuhu dodow a ɛfata. Ɛtɔ mmere bi a, ebia ɛsɛ sɛ w’ankasa woyɛ nsakrae wɔ dodow yi mu bere a w’asetra kwan sesa no. Enti, momma yɛnka eyi ho asɛm tiawa.
Ɔkwan bɛn so na wɔyɛ insulin ayaresa ho nhyehyɛe?
Ade titiriw a ɛwɔ ha ne sɛ wobɛma asikre dodow a ɛwɔ wo mogya mu no akɔ so ayɛ nea ahobammɔ wom. Ebia eyi bɛhwehwɛ sɛ wode insulin biako anaa abien bedi dwuma. Mpɛn pii no, nnuruyɛfo fi ase fi ɔkwan biako so kan.
1. Insulin a ɛyɛ adwuma bere tenten
Edin foforo a wɔde frɛ eyi ne basal insulin . Sɛ yɛbɛka no tiawa a, sɛ wode twitwiw mu pɛ a, ɛyɛ adwuma wɔ wo nipadua mu bɛyɛ nnɔnhwerew 24, na ɛtɔ mmere bi a ɛkyɛn saa. Ɛte sɛ nea woredi asikre dodow a ɛwɔ wo mogya mu no so wɔ akyi. Wɔtaa nom pɛnkoro da biara, nanso ɛho hia sɛ wɔnom bere koro mu da biara.
Wobɛyɛ dɛn ahu dodow a wɔde ma?
Insulin yi ahorow pii wɔ hɔ, na ebia ɛsono dodow a wɔde ma emu biara.
- Dose a wɔtaa de fi ase: Nnipa dodow no ara fi ase de bɛyɛ unit 10 da biara.
- Dose a egyina wo mu duru so: Ɛtɔ mmere bi a wo duruyɛfo begyina wo nipadua mu duru so asi dodow a wɔde bɛma no ho gyinae. Sɛ nhwɛso no, wobetumi abu wo nipadua mu duru sɛ insulin unit 0.2 wɔ kilogram 1 (nkaribo 2.2) biara mu.
Ebia dodow a wɔde ma mfiase no bɛyɛ nea ɛba fam sen sɛnea wuhia, nanso ɛyɛ mfiase pa. Afei, wo duruyɛfo no de nkakrankakra bɛma wo dodow no akɔ soro unit abien kosi anan nnansa biara kosi sɛ wo mmuadadi mogya mu asikre no bɛyɛ nea wopɛ sɛ woyɛ (mpɛn pii no ɛyɛ 80-130 mg/dL ). Insulin a ɛfata ma wo a wobɛpaw no begyina nneɛma pii so, a nea ɛka ho ne wo mu duru, asikre dodow a ɛwɔ wo mogya mu, sɛ ebia wowɔ ayaresa mu tebea afoforo, insulin ho ka, ne nea wopɛ.
2. Insulin a ɛfa aduan pɔtee bi ho (Short- anaa Rapid-acting Insulin) .
Ebia wo duruyɛfo nso bɛfrɛ eyi bolus insulin anaa prandial insulin . Wɔde eyinom ma ansa na woadi aduan titiriw na ama wo nipadua no adi carbohydrates dodow a ɛwɔ aduan a wudi mu no so. Wɔde insulin a ɛte sɛɛ ka ho bere a insulin a wɔde di dwuma da mũ nyinaa a yɛaka ho asɛm wɔ atifi hɔ no nnɔɔso no.
Wobɛyɛ dɛn ahu dodow a wɔde ma?
Dodow a wɔde ma no gyina nneɛma pii so: asikre dodow a wopɛ sɛ woyɛ wɔ mogya mu, carbohydrates dodow a ɛwɔ aduan a wudi mu, ne sɛnea woyɛ adwuma.
- Dose a wɔahyɛ da ayɛ:Mpɛn pii no, wubetumi de unit 4-6 afi ase na woakɔ soro unit 2-3 nnafua 3 biara kosi sɛ wo asikre dodow no bɛba fam.
- Carb Counting: Eyi yɛ ɔkwan a ɛkɔ akyiri kakra. Ɛha yi, wugyina carbohydrates dodow a wudi so bu insulin dodow no ho akontaa.
- Sɛ obi nom nnuru a ɛboro so wɔ akwanhyia mu .
- Insulin ahorow a ɛyɛ adwuma bere tiaa ne nea ɛyɛ adwuma bere tenten a wɔde frafra .
- Aduan a carbohydrate nnim a wobedi ne insulin pii a wobɛnom ama no.
- Wo werɛ fi sɛ wubedidi bere a woanom insulin awie no.
- Apɔw-mu-teɛteɛ a wobɛyɛ sen sɛnea wotaa yɛ ne insulin dodow a worentew so mfa ntua ka.
- Insulin ko ne dodow a wɔde ma no yɛ wo pɔtee. Di wo duruyɛfo akwankyerɛ akyi bere nyinaa. Mfa wo dose no ntoto afoforo de ho.
- Te nsonsonoe a ɛda insulin a ɛyɛ adwuma bere tenten ne nea ɛyɛ adwuma bere tiaa ntam no ase.
- Hu asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne ahorow. Mma wo ho nnpopo na hu nea ɛsɛ sɛ woyɛ wɔ tebea a ɛte saa mu ankasa.
- Mfa wo ho nto telefon so application (apps) a wɔmpene so, a wunnye nni so mfa mmu insulin dodow ho akontaa.
- Hwɛ asikre dodow a ɛwɔ wo mogya mu daa. Wo ne wo duruyɛfo nkasa pefee wɔ nsakrae biara ne nneɛma biara a ɛhaw wo ho.
Susuw ho saa kwan yi so: Wudi pizza slice, na carbohydrates gram 60 na ɛwom. Mpɛn pii no, insulin a ɛyɛ adwuma ntɛmntɛm no unit 1 "kata" carbohydrates bɛyɛ gram 10-15 so. Momma yɛnka sɛ gram 10. Afei wuhia insulin bɛyɛ unit 6 ma saa pizza slice no.
Saa insulin ne carb dodow yi gu ahorow wɔ onipa biara mu. Ebetumi mpo asesa wɔ mmere ahorow mu wɔ da no mu. Enti, ɛho hia sɛ wo ne wo duruyɛfo kasa na ama woahu aduan a ɛfata wo.
Sɛ wɔma insulin dodow a wɔde ma no kɔ soro a, dɛn na ɛba?
Sɛ wonom insulin pii a, asikre dodow a ɛwɔ wo mogya mu no betumi akɔ fam mpofirim wɔ ɔkwan a ɛyɛ hu so. Wɔfrɛ eyi asikre a ɛba fam . Eyi yɛ tebea a emu yɛ den a ebetumi de nkwa ato asiane mu.
Dɛn na ɛma insulin kɔ soro?
| Nsɛnkyerɛnne a ɛtaa ba a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu sua (Hypoglycemia) . | |
|---|---|
| Brɛ | Tipaeɛ |
| Adwene a ɛyɛ basaa | Abofono |
| Koma a ɛbɔ ntɛmntɛm | Nneɛma a ɛwosow |
| Wora a fifiri ayɛ no anaasɛ ɛyɛ mmerɛw | Ɔkɔm a ɛtra so |
Nea ɛho hia ne sɛ saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko wɔ onipa biara ho, enti hwɛ sɛnea wo nipadua te nka no yiye.
Nea ɛsɛ sɛ woyɛ ntɛm ara sɛ asikre a ɛwɔ wo mogya mu no so tew a
Ɔkwan biako pɛ a wobɛfa so ahu yiye sɛ wo asikre sua ne sɛ wode glucometer susuw asikre dodow a wowɔ no ntɛm ara.
1. Sɛ asikre dodow a ɛwɔ wo mogya mu no nnu 70 mg/dL , di biribi a asikre wom ntɛm ara sɛnea wubetumi. Sɛ nhwɛso no, di glucose tablet, nnuaba nsu a asikre nnim kuruwa fã, anaa ɛwo tablespoon biako. Eyi bɛma wɔanya carbohydrates a ɛyɛ adwuma ntɛmntɛm bɛyɛ gram 15.
2. Twɛn simma 15.
3. Hwɛ asikre dodow a ɛwɔ wo mogya mu bio.
4. Sɛ ɛda so ara sua (boro 70 mg/dL) a, di biribi a asikre wom bio . Sɛ asikre dodow no san ba sɛnea na ɛte kan no a, ɛbɛyɛ papa sɛ wubedi aduan ketewaa bi (sɛ nhwɛso no, paanoo a wɔayam).
Sɛ eyi taa si, anaasɛ ɛyɛ den araa ma w’adwene fi wo so a, ntɛm ara ma obi mfa wo nkɔ Emergency Treatment Unit (ETU) a ɛbɛn wo .
So wobetumi de app ahorow adi dwuma ama adwuma yi?
App ahorow pii wɔ hɔ a wɔkyerɛ sɛ ɛboa wo ma wuhu insulin ne carb dodow a wowɔ anaasɛ wubu insulin dodow a wode di dwuma no ho akontaa. Nanso nhwehwɛmu bi a wɔyɛe wɔ afe 2015 mu daa no adi sɛ eyinom mu dodow no ara ntumi nyɛ adwuma yiye. Ɛyɛ asiane kɛse. Sɛ wɔkyerɛw wo dodow a ɛnteɛ a, ebetumi de wo nkwa mpo ato asiane mu.
Enti, sɛ ɛsɛ sɛ wode app bi di dwuma a, fa app a wogye di a wo duruyɛfo anaa asikreyare ayaresabea kamfo kyerɛ nkutoo di dwuma.
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