Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ Asikreyare a Ɛto so Abien a, ebia wɔkyerɛw wo nnuru ahorow a wɔde bedi asikre dodow a ɛwɔ wo mogya mu no so. Wɔn mu bi ne sɛ, ebia wo nsa aka aduru bi a nnuru abien a wɔaka abom a wɔfrɛ no Empagliflozin ne Metformin wom. Wɔ Sri Lanka no, saa aduru yi betumi aba din ahorow te sɛ Synjardy XR ase. Enti ɛnnɛ, momma yɛnka saa aduru yi ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no ho asɛm, tiawa na emu nna hɔ.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ɛma asikre (glucose) a ɛwɔ wo mogya mu no so tew. Ɛyɛ nnuru ahorow abien a wɔaka abom.
1. Empagliflozin: Eyi yɛ adwuma denam w’asaabo a ɛma asikre a ɛboro so fi wo nipadua mu fa wo nsu mu no so.
2. Metformin: Eyi ma asikre dodow a wo mmerɛbo no yɛ no so tew titiriw, na ɛboa nso ma wo nipadua mu nkwammoaa yɛ wɔn ade yiye wɔ insulin ho.
Nea ɛho hia sen biara ne sɛ wɔtaa kyerɛw saa aduru yi de ka aduan pa ne apɔw-mu-teɛteɛ ho . Nnuru a wobɛnom nkutoo nnɔɔso, akyinnye biara nni ho sɛ ɛsɛ sɛ wosakra w’asetra kwan.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo, titiriw sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.
| Nsɛm a ɛfa ho no su | Nkyerɛmu |
|---|---|
| Ayaresa tebea horow a ɛwɔ hɔ dedaw | Asaabo mu yare, mmerɛbo mu yare, komayare, srade a ɛkɔ soro, mogya a ɛtɔ kɔ nipadua mu (mogya dodow a ɛba fam), mogya mmoroso, dwensɔtwaa mu haw (Pancreatitis), Polycystic Ovary Syndrome (PCOS), Asikreyare a Ɛto so 1. |
| Nyarewa ne ɔhaw afoforo | Sɛ wotaa nya nsu mu yare (UTIs), abakɔsɛm a ɛkyerɛ sɛ wowɔ mmɔkaw mu yare wɔ wo honam ani, ɛyɛ den sɛ wobɛtow wo ho, woanya ɔyare mmoawa a emu yɛ den, anaasɛ woapirapira. |
| Asetra kwan ne aduan a wodi | Sɛ wotaa nom nsa, di aduan a nkyene nnim akyi, wunnidi kakraa bi esiane yare, oprehyɛn, anaa nneɛma afoforo nti, wofefe, anaasɛ wo ho nsu atɔ wo mu. |
| Mmere titiriw | Sɛ woanyinsɛn anaa worebɔ mmɔden sɛ wubenyinsɛn a, ɛna a ɔma wo nufu, yɛ oprehyɛn bi a ɛreba, anaasɛ wo ho nyɛ wo den wɔ aduru anaa aduan biara ho. |
Ɔkwan bɛn so na wɔde aduru no bedi dwuma yiye?
Kae saa nneɛma yi yiye.
- Fa saa aduru yi ne nsu kuruwa biako.
- Mene pill no nyinaa. Mmubu, ntwitwa, anaa nwe. Eyi te saa efisɛ wɔyɛ eyinom ma ‘Extended-Release’, a ɛkyerɛ sɛ bere kɔ so no, wɔayi aduru no kɔ nipadua no mu. Sɛ wububu aduru no a, aduru no betumi akɔ nipadua no mu prɛko pɛ na ɛde tebea horow a ɛyɛ hu aba.
- Fa saa aduru yi ka aduan ho .
- Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama wo no mu. Nnyae aduru no nom esiane biribiara nti a wunnya wo duruyɛfo afotu.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom nnuru a ɛboro so a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara (telefon nɔma 0112686143) anaa kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no sɛnea wɔahyɛ da ayɛ no. Mfa nnuru abien prɛko pɛ da.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka ho) ho asɛm kyerɛ wo duruyɛfo. Nnuru bi betumi de ɔhaw aba bere a wɔnom bom a.
Titiriw no, ɛnsɛ sɛ wɔde nnuru bi a wɔde ‘nsonsonoe’ gu nipadua no mu ansa na wɔayɛ nhwehwɛmu te sɛ X-ray, CT scan, ne MRI ka aduru yi ho. Afei nso, nnom aduru a wɔfrɛ no Dofetilide no.
Fa nnuru a wonom nyinaa din ma wo duruyɛfo. Ɛno ne ɔkwan a ahobammɔ wom sen biara a wobɛfa so ayɛ. Ebia asikre ne nsa bɛka ɔfe ne atiridiinini a wɔtɔn a wɔmfa nnuru nhyɛ mu no bi, na ebetumi aka asikre dodow a ɛwɔ wo mogya mu.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom aduru no
- Lactic Acidosis: Eyi yɛ tebea a ɛntaa nsi nanso emu yɛ den. Sɛ wo ho yɛ wo yaw, wofe, wo yafunu mu yɛ wo yaw, wobrɛ paa, anaasɛ ɛyɛ den sɛ wobɛhome a , gyae aduru no nom ntɛm ara na frɛ wo duruyɛfo.
- Asikreyare Ketoacidosis (DKA): Eyi yɛ tebea foforo a emu yɛ den. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ w’ano a ɛyɛ wo yaw, sukɔm de wo dodo, wotaa tow nsu, wo home hua a ɛte sɛ nnuaba, ne sɛnea ɛyɛ den sɛ wobɛhome a, kɔ oduruyɛfo ntɛm ara.
- HbA1C nhwehwɛmu: Ɛsɛ sɛ woyɛ saa mogya mu nhwehwɛmu yi a ɛkyerɛ sɛnea wo mogya mu asikre a ɛwɔ wo mogya mu wɔ asram 2-3 a atwam no mu no yɛ bere a wɔahyɛ sɛ wo duruyɛfo no kyerɛ no.
- Asikre dodow a ɛwɔ mogya mu a wobɛsusuw: Sua asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛkɔ mogya mu (hyperglycemia) ho sɛnkyerɛnne. Fa biribi a wubedi te sɛ asikre kuruwa anaa glucose aduru sie, sɛ ebia asikre a ɛwɔ wo mogya mu no so tew a.
- Oprehyɛn ne nhwehwɛmu: Sɛ wobɛyɛ oprehyɛn, MRI, anaa CT scan a, di kan ka kyerɛ nnuruyɛfo kuw no sɛ worenom aduru yi. Ebia ɛho behia sɛ wugyae aduru no nom ansa na wɔayɛ wo oprehyɛn no .
- Nyinsɛn: Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenyinsɛn no ayɛ kɛse. Enti, wo ne wo duruyɛfo nkasa mfa awo ano aduru a ɛfata a wode bedi dwuma ho. Sɛ wunyinsɛn anaa wususuw sɛ ebia woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Vitamin a enni nipadua no mu: Sɛ wɔde aduru yi di dwuma bere tenten a, ebetumi ama vitamin B12 ne folic acid dodow a ɛba fam. Enti, wo ne wo duruyɛfo nkasa mfa aduan a ɛkari pɛ a wubedi ne vitamin a wɔde ma sɛ ɛho hia a wobɛnom ho.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Momma yɛnkyekyɛ mu abien.
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara. | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Lactic Acidosis anaa DKA ho sɛnkyerɛnne ahorow | Yafunu mu yaw, ɛyɛ den sɛ ɔbɛhome, ɔbrɛ a ɛtra so, akisikuru, ɔfe. |
| Nyarewa a wɔde nyarewa ba | Nsuo mu yareɛ (UTI), nsuo a ɛtaa tow, ɛyɛ kɔkɔɔ, ɛho ahonhon, ɛyaw, ɛyaw, ne hua a ɛwɔ ɔbarima ne ɔbea nna mu anaa ne mpɔtam. |
| Nsɛnkyerɛnne afoforo a anibere wom | Nsɛnkyerɛnne a ɛkyerɛ sɛ nsu ho ayɛ no hyew (ano a ɛyɛ mmerɛw, sukɔm dee dodo, nsu a ɛyɛ tumm), vitamin B12 a enni nipadua no mu ho sɛnkyerɛnne (nsa ne anan a ɛyɛ mmerɛw, adwenemhaw, ntini a ɛyɛ mmerɛw). |
| Mpɛn pii no, eyinom nyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Nnuan a wɔyam no mu haw ahorow | Atiridiinini, akisikuru, akisikuru. |
| Nyarewa nketenkete afoforo | Tiyɛ , dade dɛ wɔ anom. |
Wobɛyɛ dɛn ama nnuru akɔ so ayɛ nea asiane biara nni ho?
- Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15-30 ntam).
- Tow nnuru a ne bere atwam a womfa nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Bere nyinaa nom saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata ne bere a ɛfata mu.
- Mmubu, nbubu, anaa nwe aduru no esiane biribiara nti. Mene no nyinaa.
- Ka nnuru afoforo, vitamin, ne nnuru a wɔde ka ho a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Hu nneɛma bɔne a anibere wom te sɛ lactic acidosis ho sɛnkyerɛnne, na sɛ wuhu eyinom mu biara a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Hwɛ asikre dodow a ɛwɔ wo mogya mu daa na ma wo duruyɛfo nyɛ nhwehwɛmu te sɛ HbA1c wɔ bere ano.
- Sɛ wowɔ nsɛm bi a ɛhaw wo anaa w’adwene mu yɛ wo naa a, yɛsrɛ wo ne wo duruyɛfo nsusuw ho.
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