So woyɛ obi a ɔnom nnuru a wɔde sa asikreyare? Anaasɛ wowɔ abusua muni anaa adamfo bi? Afei ɛbɛyɛ sɛ woate mmere a mpofirim ara wote nka sɛ wo ho atɔ wo, wo ho fifiri, wowosow, na wunya nkate bi a ɛyɛ nwonwa wɔ wo koma mu no ho asɛm. Ebia w’ankasa mpo woanya mu osuahu. Eyi yɛ biribi a ɛnsɛ sɛ yɛfa no adewa da, na ebetumi ayɛ nea egye ntɛmpɛ. Ɛnnɛ yɛreka saa tebea a ɛyɛ hu yi a ebetumi aba nnipa a wɔwɔ asikreyare mu, a wɔfrɛ no ‘Insulin Shock’ anaasɛ, wɔ aduruyɛ mu no, ‘Hypoglycemia’ ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne asikre a ɛba fam?
Ɛyɛ mmerɛw yiye. Eyi kyerɛ sɛ asikre dodow a ɛwɔ yɛn mogya mu no so tew koraa sen sɛnea ɛsɛ sɛ ɛba. Afei hwɛ, yɛn nipadua mu nkwammoaa biara hia ahoɔden na ama ayɛ adwuma. Te sɛ nea kar hia pɛtro na ama atumi atu mmirika no. Yɛn nkwammoaa nya saa ahoɔden yi fi asikre anaa glucose a ɛwɔ nnuan a yedi mu no mu.
Nanso, asikre yi ntumi nkɔ nkwammoaa no mu kɛkɛ. Ɛhia safe soronko bi. Saa ade titiriw no ne insulin a wɔfrɛ no hormone . Obi a ɔwɔ asikreyare no ntumi nyɛ insulin a ɛdɔɔso wɔ ne nipadua mu, anaasɛ insulin a ɔyɛ no ntumi nyɛ adwuma yiye. Ɛno nti na ɛsɛ sɛ wɔnom insulin a wɔde twitwiw wɔn anaa nnuru afoforo fi abɔnten no.
Enti, asikre a ɛba wo mogya mu no kyerɛ sɛ biribi nti, insulin dodow a ehia na ama asikre a ɛwɔ wo mogya mu no akɔ soro, na ɛma asikre dodow a ɛwɔ wo mogya mu no so tew wɔ ɔkwan a ɛyɛ hu so.
Dɛn nti na yenya Insulin Shock? Dɛn na ɛde ba?
Ade titiriw nti a eyi ba ne sɛ ɛnkari pɛ. Ɛne sɛ, insulin anaa asikreyare aduru dodow a wonom, aduan dodow a wudi, ne w’apɔw-mu-teɛteɛ a ɛkari pɛ no sɛe.
Ntease ahorow bi a ɛtaa ba ni:
- Apɔw-mu-teɛteɛ a wobɛyɛ sen sɛnea wotaa yɛ: Fa no sɛ wonom insulin dodow a wonom da biara da na woyeree wo ho sen sɛnea wotaa siesie turo no. Esiane sɛ yɛn nkwammoaa de asikre pii di dwuma bere a yɛreteɛteɛ yɛn apɔw mu nti, asikre a ɛwɔ yɛn mogya mu no tumi so tew ntɛmntɛm.
- Adidi a wobɛhuruw anaasɛ wobɛtwentwɛn so: Sɛ wofa insulin a wɔde twitwiw wo mu anɔpa na wuntumi nni aduan bere ano esiane adwuma nti a, ebia wo nipadua no rennya asikre a ɛdɔɔso a ɛne insulin dodow a woanom no bɛyɛ pɛ, na ɛbɛma asikre dodow a ɛwɔ wo mogya mu no so atew.
- Adidi dodow anaa bere a wobɛsesa: Adidi kakraa bi a wodi sen sɛnea wɔtaa di no nso yɛ ade a ɛde ba.
- Nnuru a wɔnom boro so: Insulin anaa nnuru pii a wɔnom sen nea oduruyɛfo no akyerɛw ama no.
- Nsã a wɔnom bere a yafunu da mpan: Nsã a wɔnom a wonnidi betumi ama asikre dodow a ɛwɔ mogya mu no so atew mpofirim.
Dɛn ne eyi ho sɛnkyerɛnne? Yɛyɛ dɛn hu no?
Ebia saa sɛnkyerɛnne ahorow yi yɛ anifere mfiase no, nanso sɛ wobu wɔn ani gu so a, ebetumi ayɛ aniberesɛm. Ɛno nti na ɛho hia sɛ wo ne w’abusua hu saa nsɛnkyerɛnne yi.
| Su ahorow a ɛwɔ hɔ no fã | Nkate ne nsɛnkyerɛnne a wotumi hu |
|---|---|
| Nneɛma atitiriw/a ɛyɛ mmerɛw (kɔkɔbɔ nsɛnkyerɛnne a wɔde ma ntɛm) . | |
| Adwene a ɛyɛ basaa ne ahopopo | Adwene a ɛyɛ basaa mpofirim, akwaa a ɛwosow. |
| Fifiri a ɛrefifi | Fifiri a ɛyɛ nwini a ntease biara nnim. |
| Ɔkɔm a emu yɛ den | Ɔkɔm kɛse a efi ase mpofirim. |
| Koma a ɛbɔ denneennen | Sɛ wote nka sɛ wo koma rebɔ denneennen a ɔhɔho bi wɔ wo koma mu. |
| Abufuw/dadwen | Wo bo fuw ntɛmntɛm na wo bo fuw a ntease biara nnim. |
| Nsɛnkyerɛnne a emu yɛ den/ɛyɛ hu (ɛhia ayaresa ntɛm ara) . | |
| Adwene a ɛyɛ basaa ne kasa a ɛyɛ den | Nsusuwii a wontumi nsusuw nneɛma ho, nsɛm a wɔde kasa a ɛyɛ yaw, nea woreyɛ no a wuntumi nyɛ yiye. |
| Tiyɛ a emu yɛ den | Tiyɛ a emu yɛ den mpofirim. |
| Nnipa a wɔtotɔ piti | Sɛ w’adwene tu fra a, wubetumi ahwere w’adwene. |
| Akisikuru a ɛma obi ho kyere no | Tebea a ɛte sɛ nea ɛyɛ fit a ɛma nipadua no ho popo. |
| Anadwo yare no ho sɛnkyerɛnne | |
| Nteɛteɛm wɔ nna/dae bɔne mu | Nteɛteɛm wɔ wo nna mu, dae bɔne a wobɛda. |
| Ntade ne mpa so nneɛma a wɔde nsu gu mu | Fifiri a ɛboro so anadwo, na ɛma ntade ne mpa so ntama yɛ nsu. |
| Sɛ wosɔre anɔpa a | Sɛ wote nka sɛ woabrɛ kɛse, wo bo fuw, anaasɛ wo ti ayɛ wo yaw bere a wosɔre anɔpa no. |
Okay, enti sɛ biribi te sɛ eyi si a, dɛn na yɛbɛyɛ?
Bere a sɛnkyerɛnne atitiriw bi wɔ hɔ a:
Sɛ wubetumi a, di kan de wo glucometer hwɛ asikre dodow a ɛwɔ wo mogya mu. Saa kwan no so no wubetumi anya awerɛhyem. Nanso, sɛ ɔkwan biara nni hɔ a wobɛfa so ahwɛ saa bere no, nanso wowɔ yare no ho sɛnkyerɛnne bi a, ntwentwɛn wo nan ase sɛ wobɛnya ayaresa. Fa no sɛ asikre a wowɔ no sua kɛkɛ na yɛ nea ɛho hia.
Yɛde mmara a ɛnyɛ den di dwuma ma eyi. Ɛno ne ‘15-15 mmara’ .
1. Nea edi kan 15: Di anaa nom biribi a asikre gram 15-20 wom a nipadua no twetwe ntɛmntɛm.
- Glucose aduru 3-4
- Nnuaba nsu kuruwa fã (akutu, apɔw-mu-teɛteɛ) .
- Nsã a asikre wom daa kuruwa fã (ɛnyɛ anonne a wɔde di dwuma) .
- Asikre a wɔde ahyɛ nsu mu tablespoon biako a wɔnom
- Ɛwo anaa nsuo a ɛyɛ dɛ tablespoon
- Toffee kakraa bi
2. Deuteronomium 15: .Twɛn simma 15. Afei hwɛ asikre dodow a ɛwɔ wo mogya mu bio.
Sɛ asikre a ɛwɔ wo mogya mu da so ara sua (mpɛn pii no ennu 70 mg/dL) a, san di nnuan a wɔabobɔ din wɔ atifi hɔ no biako na san hwɛ bio wɔ simma 15 mu. Sɛ wo mogya mu asikre san ba sɛnea na ɛte kan no a, sɛ ɛboro dɔnhwerew biako fi bere a wudii aduan titiriw a edi hɔ no a, di aduan ketewaa bi te sɛ paanoo fã, kyiisi asinasin, ne krak 4-5.
Sɛ tebea no mu yɛ den (sɛ wɔakae ade a):
Nea ɛho hia paa: Sɛ obi nnim hwee anaasɛ wanya akisikuru a, mmɔ mmɔden da sɛ wode ano bɛma no aduan anaa anonne. Eyi betumi ama aduan anaa nsu akɔhyɛ mframa kwan no mu.
Ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛfrɛ 1990 ntɛm ara na woagye ambulance, anaasɛ wode onipa no bɛkɔ ayaresabea a ɛbɛn hɔ no Emergency Treatment Unit (ETU) ntɛm ara sɛnea wubetumi. Wɔ ayaresabea no, wɔde ayaresa te sɛ asikre a wɔde fa ntini mu di tebea no so.
Wubetumi ne wo duruyɛfo akasa afa glucagon nkwagye afiri a wubenya ho . Glucagon yɛ hormone bi a yɛn nipadua yɛ a ɛma asikre dodow kɔ soro ntɛmntɛm wɔ mogya mu. Sɛ wɔde eyi gu obi a onnim hwee mu a, ebetumi aboa ma tebea no anyɛ kɛse kosi sɛ ambulance bɛba anaasɛ wɔde wɔn akɔ ayaresabea. Sɛ wokyerɛkyerɛ w’abusua ne wɔn a wɔne wo yɛ adwuma no sɛnea wɔde bedi dwuma a, ebetumi agye wo nkwa.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wowɔ asikreyare a, hu insulin ho sɛnkyerɛnne atitiriw (fifiri, wosow, adwenemhaw, ɔkɔm).
- Fa biribi bɛn wo bere nyinaa a ebetumi ama asikre dodow a ɛwɔ wo mogya mu akɔ soro ntɛmntɛm (glucose tablets, toffee, anonne a ɛyɛ dɛ).
- Ka tebea yi ne nea ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu ho asɛm kyerɛ w’abusuafo ne wo nnamfo paa.
- Sɛ obi adwene fi n’adwene mu a, mma no biribiara nnidi anaa ɔmfa ano nnom esiane biribiara nti. Fa wɔn kɔ ayaresabea ntɛm ara.
- Wo ne wo duruyɛfo nkasa daa fa wo nnuru ne insulin dodow, aduan, ne apɔw-mu-teɛteɛ ho na ama wɔakari pɛ.
- Bisa wo duruyɛfo no glucagon nkwagye afiri bi ho asɛm. Ebetumi agye nkwa.
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