Sɛ wowɔ asikreyare a, ebia mogya mu nhwehwɛmu a wotaa yɛ no yɛ w’asetra fã a ɛfata. Yɛhwɛ asikre dodow a ɛwɔ yɛn mogya mu bere nyinaa. Nanso so wunim sɛ wo nsu mu nhwehwɛmu betumi ama woahu w’akwahosan ho nsɛm pii, titiriw w’asaabo akwahosan ne sɛ ebia asikre dodow a wowɔ no dɔɔso wɔ ɔkwan a ɛyɛ hu so anaa? Eyinom te sɛ kɔkɔbɔ nsɛnkyerɛnne a efi yɛn nipadua mu. Enti ɛnnɛ, momma yɛnka saa nsu mu nhwehwɛmu abien a ɛnyɛ den nanso ɛsom bo yiye yi ho asɛm.
Asaabo akwahosan ho nhwehwɛmu
Awiei koraa no, nnipa a wɔwɔ asikreyare no mu bɛyɛ nkyem abiɛsa mu biako benya asaabo mu haw. Ɛyɛ asikreyare ho nsɛnnennen a asiane wom sen biara no mu biako. Nanso asɛmpa no ne sɛ, sɛ yɛhwɛ asikre ne mogya mmoroso so yiye fi mfiase, na sɛ yɛnom nnuru a yɛn duruyɛfo akyerɛ yɛn no yiye a, yebetumi ama yɛn asaabo ayɛ yiye.
Enti, sɛnea ɛbɛyɛ na woahu sɛnkyerɛnne ahorow a edi kan a ɛkyerɛ sɛ asaabo asɛe no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nsu mu nhwehwɛmu titiriw bi a wɔfrɛ no microalbuminuria nhwehwɛmu.
Sɛ yɛbɛka no tiawa a, albumin ne protein titiriw a ɛwɔ yɛn mogya mu. Asaabo a ɛte apɔw no nnyi protein yi mfi nsu mu. Sɛnea tii a wɔde yiyi tii mu no, saa ara na asaabo no kura protein a ɛsom bo yi wɔ nipadua no mu. Nanso sɛ asaabo no fi ase sɛe, te sɛ tokuru a ɛwɔ afiri a wɔde yiyi mu mu a, albumin protein yi fi ase tu kɔ nsu no mu. Saa protein ketewa a ɛretu yi ne nea wɔde ``Microalbuminuria`` sɔhwɛ no hu.
Eyi ho hia paa. Efisɛ saa bere yi de, ebia worente yare no ho sɛnkyerɛnne biara nka. Ebia wobɛte nka sɛ wo ho ye, a ɔhaw biara nni ho. Nanso asaabo no afi ase resɛe dedaw fi mu. Sɛ wuhu eyi ntɛm a, wubetumi asiw ɔsɛe no ano na ansɛe na ama asaabo no ayɛ adwuma yiye.
Bere bɛn na ɛsɛ sɛ wɔyɛ sɔhwɛ yi?
- Sɛ wohu sɛ wowɔ asikreyare a ɛto so abien pɛ a, ɛsɛ sɛ woyɛ nhwehwɛmu yi pɛnkoro afe biara. Nea enti a ɛte saa ne sɛ wɔ asikreyare a ɛto so abien mu no, ebia na asikre dodow a ɛwɔ mogya mu no akɔ soro mfe pii ansa na wɔrehu yare no.
- Sɛ wowɔ asikreyare a ɛto so 1 a, wɔtaa fi nhwehwɛmu yi ase wɔ mfe 5 akyi bere a wɔahu yare no.
| Sɛ sɔhwɛ no mu aba no yɛ papa a, dɛn na ɛba? | |
|---|---|
| Kyerɛ | Wo asaabo mu protein retu. Eyi yɛ sɛnkyerɛnne a edi kan ne nea ɛho hia sen biara a ɛkyerɛ sɛ w’asaabo resɛe no mu biako . |
| Oduruyɛfo, anammɔn bɛn na ɛsɛ sɛ metu? |
|
| Nneɛma a wubetumi ayɛ | Mu duru a ɛboro so a wɔbɛtew ne sigaretnom a wobegyae koraa no ho hia na ama wɔabɔ asaabo ho ban. |
Sɔhwɛ a ɛkyerɛ sɛ asikre dodow kɔ soro wɔ ɔkwan a ɛyɛ hu so
Saa sɔhwɛ yi ho hia titiriw ma nnipa a wɔwɔ asikreyare a ɛto so 1 . Ebia wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ wo nsu mu sɛ ketones anaa .
Susuw ho hwɛ, yɛn nipadua mu nkwammoaa hia safe bi a wɔfrɛ no insulin na ama wɔanya ahoɔden. Nanso sɛ insulin nnɔɔso a, ɛsɛ sɛ nipadua no hwehwɛ ɔkwan foforo a ɛbɛfa so anya ahoɔden. Afei nipadua no hyew srade a wɔde asie wɔ nipadua no mu no ma ɛyɛ ahoɔden. Wɔ saa adeyɛ yi mu no, wɔyɛ nnuru a wɔfrɛ no "ketones" sɛ ade a efi mu ba.
Ɛwom sɛ saa ketone ahorow yi nyɛ asiane biara wɔ dodow mu de, nanso sɛ ɛboaboa ano pii a, ɛyɛ awuduru . Sɛ wɔboaboa ano wɔ mogya no mu a, wobetumi de tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu a wɔfrɛ no Diabetic Ketoacidosis (DKA) aba .
Enti wɔayɛ ketone sɔhwɛ yi sɛ ɛbɛma wo kɔkɔbɔ ansa na woadu saa tebea a ɛyɛ hu no mu. Eyi yɛ sɔhwɛ a ɛnyɛ den a wubetumi ayɛ wɔ fie. Wubetumi anya sɔhwɛ nkrataa afi nnurutɔnbea hɔ denam nea wode bɛhyɛ wo nsu mu, ahwɛ sɛnea kɔla sesa, na wode nea efi mu ba no atoto kɔla nhyehyɛe a ɛwɔ packet no so no ho.
Bere bɛn na ɛsɛ sɛ wosɔ ketones hwɛ?
Sɛ wowɔ asikreyare a ɛto so 1 a...
- Sɛ woyare (te sɛ atiridii anaa atiridiinini) na wo ho yɛ wo yaw anaa wofe a.
- Sɛ woanyinsɛn a .
- Sɛ asikre dodow a ɛwɔ wo mogya mu boro 300 mg/dL a .
- Sɛ wowɔ asikre a ɛdɔɔso wɔ mogya mu ho sɛnkyerɛnne te sɛ sukɔm dodo, ɔbrɛ a ɛtra so, w’anim a ɛyɛ kurukuruwa, w’adwene a ɛyɛ sum, ne nnuaba hua a ɛwɔ wo home so a.
- Sɛ wo duruyɛfo tu wo fo sɛ yɛ saa a.
Sɛ wowɔ asikreyare a ɛto so abien a...
Ɛntaa mma koraa sɛ nnipa a wɔwɔ asikreyare a ɛto so abien benya ketones a ɛdɔɔso, sɛ wɔrenom insulin mpo a. Nanso, ebetumi aba wɔ tebea horow a emu yɛ den mu. Ebia wo duruyɛfo bɛpɛ sɛ ɔhwɛ sɛ:
- Sɛ wowɔ yareɛ a emu yɛ den ne akisikuru/ɔfe a wontumi nkyerɛkyerɛ mu a.
- Sɛ asikre dodow a ɛwɔ wo mogya mu boro 300 mg/dL na ɛkɔ so kɔ soro da mũ no nyinaa a.
Bere bɛn na ɛsɛ sɛ wofrɛ oduruyɛfo no ntɛm ara?
Eyi ne ɔfã a ɛho hia sen biara.
Ɛsɛ sɛ nea efi ketone nhwehwɛmu mu ba no yɛ nea enye bere nyinaa. Sɛ nea afi mu aba no yɛ papa, a ɛkyerɛ sɛ kakraa bi mpo wɔ hɔ a, ka kyerɛ wo duruyɛfo ntɛm ara . Ntwentwɛn wo nan ase.
Afei nso, sɛ asikre a ɛwɔ wo mogya mu kɔ so yɛ kɛse, wo yafunu mu yɛ wo yaw, wo ho yɛ wo yaw, wofe, wo home ntɛmntɛm, wo home hua dɛdɛ, anaa woto wo ho boro so a, ka kyerɛ wo duruyɛfo ntɛm ara.
Sɛ ɛba saa a, oduruyɛfo no betumi de afotu a edidi so yi ama:
- Nom nsu ne nsu pii na ama ketone dodow so atew na ama wo nipadua no anya nsu.
- Kɔ so hwɛ asikre dodow a ɛwɔ wo mogya mu. Sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso a, ebia wɔbɛka akyerɛ wo sɛ fa insulin a ɛyɛ adwuma ntɛmntɛm kakraa bi.
- Ebia wɔbɛtu wo fo sɛ kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) kɔgye nsuo a wɔde fa ntini mu (saline) ne insulin.
Awiei koraa no, kyerɛw nea efii nsu mu nhwehwɛmu a woyɛ wɔ fie yi mu bae wɔ nhoma a wɔde kyerɛw nsɛm mu, ne da ne bere a wode kyerɛw nsɛm. Fa nhoma a wɔde kyerɛw nsɛm yi ka wo ho bere biara a wobɛkɔ wo duruyɛfo nkyɛn. Ɛbɛboa wo ne wo duruyɛfo nyinaa ma woahu w’akwahosan ho mfonini pefee.
Nkrasɛm a Wɔde Kɔ Fie
- Mogya mu nhwehwɛmu ne nsu mu nhwehwɛmu ho hia paa ma obi a ɔwɔ asikreyare.
- Hwɛ hu sɛ wobɛma wɔayɛ microalbuminuria nhwehwɛmu a wɔde hwɛ w’asaabo akwahosan afe biara, sɛnea wo duruyɛfo kamfo kyerɛ no.
- Sɛ nhwehwɛmu a wɔyɛ wɔ nsu mu a ɛkyerɛ sɛ ketones wɔ hɔ a, ɛyɛ nea egye ntɛmpɛ. Frɛ wo duruyɛfo ntɛm ara.
- Wubetumi abɔ w’asaabo ho ban denam asikre dodow, mogya mmoroso, ne srade a ɛwɔ wo mogya mu a wobɛhwɛ so yiye no so.
- Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ nhwehwɛmu biara a efii mu bae ho a, wo ne wo duruyɛfo nka ho asɛm pefee.
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