So wo duruyɛfo kyerɛw wo aduru foforo esiane sɛ wowɔ Asikreyare a Ɛto so Abien nti? Ebia ne din yɛ nnuru abien a wɔfrɛ no Empagliflozin ne Linagliptin a wɔaka abom. Wɔ Sri Lanka no, ebia aduru yi bɛba wɔ din ahorow te sɛ GLYXAMBI ase. Sɛ wuhu edin abien yi a, mma wo ho nnyɛ wo hu. Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ɛboa ma asikre dodow a ɛwɔ wo mogya mu no so. Enti ɛnnɛ, momma yɛnka saa aduru yi, nea ɛyɛ, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no ho asɛm.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Ɛyɛ mmerɛw yiye. Nneɛma abien a ɛwɔ aduru yi mu no hwɛ asikre dodow a ɛwɔ wo nipadua mu no so wɔ akwan abien so. Biako ne sɛ wobɛma w’asaabo ayi asikre pii afi wo nsu mu. Ɔfoforo no ne sɛ wobɛma hormone nhyehyɛe a efi awosu mu hwɛ asikre a ɛwɔ wo nipadua mu so no dwumadi akɔ soro kakra.
Nanso eyi nyɛ nkonyaayi . Saa aduru yi nkutoo a wobɛnom no remmoa. Ɛho hia sɛ wudi aduan ne apɔw-mu-teɛteɛ ho akwankyerɛ a wo duruyɛfo de ama wo no akyi pɛpɛɛpɛ. Sɛ nneɛma yi nyinaa bom a, ɛno nkutoo na wubetumi anya nea eye sen biara. Wɔde saa aduru yi ma nnipa a wɔwɔ asikreyare a ɛto so abien nkutoo. Ɛmfata nnipa a wɔwɔ asikreyare a ɛto so 1.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Eyi ho hia paa. Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi ama wo no, ɛsɛ sɛ onya w’akwahosan ho mfonini a edi mũ. Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo .
| Tebea a ɛhaw wo | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Asaabo anaa mmerɛbo mu yare | Esiane sɛ wɔnam asaabo so yi aduru no fi nipadua no mu nti, ɛho hia sɛ wuhu sɛnea ɛyɛ adwuma. |
| Sɛ woanya dwensɔtwaa mu haw anaasɛ dwensɔtwaa mu yare a | Esiane sɛ ɛtɔ mmere bi a saa aduru yi tumi ka dwensɔtwaa nti, ɛho hia sɛ wuhu tete abakɔsɛm. |
| Sɛ wotaa nya urinary tract infections (UTIs) anaasɛ genital yeast infections a | Esiane sɛ aduru no ma asikre a ɛwɔ nsu mu no yɛ kɛse nti, asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no betumi ayɛ kɛse kakra. |
| Sɛ woadi kan anya asikreyare ketoacidosis (DKA) a . | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya DKA no ayɛ kɛse, enti ɛsɛ sɛ oduruyɛfo no hu. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Ɛsɛ sɛ wɔka eyi ho asɛm efisɛ wonnya nhuu ahobammɔ a ɛwɔ aduru yi mu wɔ nyinsɛn ne nufu mu. |
| Sɛ wotaa nom nsa a | Nsã betumi aka asikre dodow a ɛwɔ mogya mu ne ɔkwan a nnuru fa so yɛ adwuma. |
| Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn, wo ho nnwen aduan ho esiane yare nti, anaasɛ woredi aduan a nkyene nnim | Wɔ tebea horow a ɛtete saa mu no, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wɔde ma no mu, efisɛ nipadua no mu nsu betumi asa anaasɛ asikre dodow a ɛwɔ mogya mu no betumi asesa. |
| Sɛ worenom nnuru afoforo, nnuru a wɔde ka aduan ho, anaa nhabannuru a | Ka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo, efisɛ ebia saa aduru yi ne nnuru afoforo bedi nkitaho. |
Wode saa aduru yi di dwuma dɛn?
Fa no sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ, wɔ dodow a wɔakyerɛw ama no mu, wɔ bere a wɔahyɛ no mu.
- Wɔtaa ka sɛ wɔnom anɔpa .
- Fa nsu kuruwa mene aduru no.
- Sɛ wobɛnom ansa na woadi anaasɛ woadi akyi a, ɛnyɛ hwee. Nanso fa nyɛ wo su sɛ wobɛnom bere koro mu da biara .
- Nnyae aduru no nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
- Mfa nea ɛboro dodow a wɔakyerɛw ama wo no da.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ eyi ba a, mma ɛnhaw wo. Fa dodow a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu da .
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea ɛsɛ sɛ wonom a, kɔ Emergency Department (ETU) a ɛbɛn wo no ntɛm ara. Anaasɛ, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu. Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ade a ɛho hia sen biara ne sɛ wobɛma w’ani aku wo nipadua ho. Sɛ wuhu sɛnkyerɛnne foforo biara a, mmu w’ani ngu so.
- Mogya mu Asikre Ho Nhwehwɛmu: Sua sɛnea wobɛsɔ wo mogya mu asikre ahwɛ wɔ fie. Hu asikre a ɛba mogya mu (Hypoglycemia) ne asikre a ɛdɔɔso wɔ mogya mu (Hyperglycemia) ho sɛnkyerɛnne ne sɛnea wubedi ho dwuma.
- Sɛ asikre a ɛwɔ wo mogya mu no so tew a: Sɛ wuhu sɛnkyerɛnne ahorow te sɛ fifiri, wowosow, ɔkɔm a ɛtra so, anaa adwenemhaw a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no so atew. Fa biribi te sɛ asikre kuruwa, glucose tablet, anaa toffee bɛn hɔ bere nyinaa na wode adi dwuma wɔ tebea horow a ɛtete saa mu.
- HbA1C nhwehwɛmu: Wo duruyɛfo bɛsɔ wo mogya mu asikre ahwɛ asram 2-3 biara. Eyi bɛkyerɛ sɛnea wɔadi asikre a ɛwɔ wo mogya mu no so yiye wɔ asram kakraa a atwam no mu.
- Mma nntwa adidi so: Adidi wɔ bere a ɛfata mu ho hia paa.
- Aduruyɛ ho ID: Sɛ wohyɛ kaad anaa abɔso a ɛkyerɛ sɛ wowɔ asikreyare ne nnuru ahorow ne dodow a wobɛnom no betumi ayɛ nea mfaso wɔ so kɛse wɔ tebea a egye ntɛmpɛ mu.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ɛnyɛ obiara na onya wɔn. Nanso ɛho hia sɛ wohwɛ wɔn yiye.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Asikreyare Ketoneism (DKA) . | Sukɔm dodo, nsu a wɔtaa tow, ano a ɛyɛ mmerɛw, ɔhome a ɛyɛ den, yafunu mu yaw, akisikuru, ɔfe, ɔhome hua a ɛte sɛ nnuaba. Eyi yɛ ntɛmpɛ, hwehwɛ aduruyɛ mu afotu ntɛm ara. |
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsuo mu yareɛ (UTI) . | Nsuo mu yareɛ, nsuo a wɔtaa to, mogya a ɛba nsuo mu, akyi anaa akyi berɛmo mu yaw. |
| Nsu a ɛho ntew | Sukɔm dodo, ano a ɛyɛ mmerɛw, adwenemhaw, tiyɛ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Pancreatitis a ɛyɛ yare | Yafunu mu yaw a emu yɛ den (titiriw a ɛhyerɛn kɔ akyi), atiridiinini, akisikuru, ɔfe. |
| Koma a Ɛnyɛ Den Ho Nsɛnkyerɛnne | Ɔhome a ɛyɛ den, nansoaa, anan, anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, ɔbrɛ a ɛyɛ soronko. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ɛwa | Ɔfe te sɛ atiridiinini. |
| Ayamtuo | Akisikuru a ɛma obi ho yɛ hyew. |
| Nsɛnkyerɛnne a ɛte sɛ atiridii | Hwene a ɛretu, menewa a ɛyɛ yaw. |
Nkrasɛm a Wɔde Kɔ Fie
- Fa saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ bere nyinaa, wɔ dodow a ɛfata mu.
- Hwɛ hu sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ, nneɛma a ɛma wo ho yɛ wo hyew, ne nnuru afoforo a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Hwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu no sua (adwene a ɛyɛ wo yaw, fifiri) ne asikre a ɛwɔ wo mogya mu (sukɔm a ɛboro so).
- Sɛ nneɛma bɔne a emu yɛ den te sɛ DKA ho sɛnkyerɛnne ba a, hwehwɛ ayaresa ntɛm ara.
- Kwati sɛ wubegyae nnuru no anaasɛ wobɛsesa dodow a wode ma no a wunnya wo duruyɛfo afotu.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa (titiriw HbA1C) ne aduruyɛ mu afotu ho hia na ama woadi wo asikreyare no ho dwuma yiye.
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