Sɛ wowɔ asikreyare a, ebia wunim sɛnea wo ho nyɛ wo dɛ, ɔbrɛ, ne nna a ɛyɛ nwonwa a wote bere a woadi aduan kɛse bi akyi no yiye. Ɛno ne nea yɛka wɔ da biara da nkɔmmɔbɔ mu sɛ, "Mete nka sɛ midii asikre pii nnɛ." So ɛyɛ ade a ɛfata ankasa sɛ asikre a ɛwɔ mogya mu bɛkɔ soro mpofirim saa bere a wɔadi awie no? So ɛyɛ hu? So yentumi nni so? Okay, momma yɛnka eyi ho asɛm pefee na ɛnyɛ den nnɛ.
Abusuabɔ bɛn na ɛda aduan ne asikre a ɛwɔ mogya mu (glucose) ntam?
Sɛ yɛbɛka no tiawa a, sɛ yedidi wie a, yɛn aduan mu nneɛma mu paapae aduan a yedi no mu ma ɛbɛyɛ ahoɔden. Saa ahoɔden yi ne nea yɛfrɛ no ‘glucose’ anaa ‘asikre’. Saa glucose yi kɔ mogya no mu na ɛkɔ nkwammoaa a ɛwɔ nipadua no mu nyinaa mu ma wonya ahoɔden a wohia. Enti ɛyɛ ade a ɛfata sɛ asikre dodow a ɛwɔ mogya mu bɛkɔ soro akodu baabi bere a wɔadi aduan awie no.
Sɛ woyɛ asikreyarefo a, ebia wowɔ glucose meter wɔ fie a ɛma wutumi yi mogya a ɛtɔ fi wo nsateaa mu na wohwɛ asikre a ɛwɔ wo mogya mu. Nnuruyɛfo taa tu wo fo sɛ hwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woadi aduan ne nnɔnhwerew abien bere a woafi ase adidi akyi . Eyi bɛma woanya sɛnea wo nipadua reyɛ n’ade wɔ aduan ho no ho adwene pa.
Mpɛn pii no, ɛsɛ sɛ asikre dodow a ɛwɔ ɔpanyin a ɔwɔ apɔwmuden mogya mu ansa na wadidi no yɛ 80-130 mg/dL. Nnɔnhwerew abien wɔ aduan akyi no, eye sɛ wobɛma ayɛ nea ɛba fam sen 180 mg/dL.
Dɛn nti na asiane wom sɛ wubehuruw akɔ asikre so bere a woadi awie no?
Nnuruyɛfo frɛ asikre a ɛkɔ soro mpofirim yi wɔ mogya mu bere a wɔadi akyi no ‘Postprandial Hyperglycemia’. Susuw ho hwɛ, sɛ eyi si pɛnkoro anaa mprenu a, ebia ɛrenyɛ ɔhaw kɛse. Nanso asikre dodow a ɛkɔ soro wɔ mogya mu bere tenten ne mpɛn pii no nyɛ ade pa koraa.
Te sɛ kar a wɔde ahoɔhare kɛse ka bere nyinaa no ara pɛ. Sɛ ɛmma ɔhaw biara mma wɔ kwan tiaa bi akyi mpo a, sɛ wokɔ so ka kar no saa ahoɔhare no a, ɛbɛsɛe kar no afã horow te sɛ engine ne tae. Saa ara na asikre dodow a ɛkɔ soro wɔ mogya mu bere tenten sɛe yɛn nipadua no akwaa a ɛho hia no.
Eyi betumi asɛe w’asaabo, wo ntini ahorow, w’ani, ne wo koma kɛse . Enti, ɛho hia paa sɛ wohwɛ saa tebea yi so.
Mɛyɛ dɛn ahu sɛ asikre a ɛwɔ me mogya mu no dɔɔso?
Sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro boro 200 mg/dL a, ebia wubenya asikre a ɛkɔ soro (hyperglycemia) ho sɛnkyerɛnne. Ɛnyɛ obiara na obenya saa sɛnkyerɛnne ahorow yi nyinaa, nanso sɛ wowɔ bi a, ɛsɛ sɛ ɛhaw wo.
| Nsɛnkyerɛnne a ɛkyerɛ | Sɛnea wote nka |
|---|---|
| Sukɔm a ɛtra so | Ano a ɛyɛ nwunu a ɛte sɛ nea ɛnnɔɔso ɛmfa ho nsu dodow a wobɛnom. |
| Nsu a wɔtaa tow | Ɛho hia sɛ wɔtow nsu mpɛn pii sen sɛnea ɛtaa ba. |
| Ɔbrɛ/ɔbrɛ a ɛboro so | Ɔbrɛ kɛse a wobɛte nka bere a woada yiye na woanyɛ hwee mpo akyi. |
| Anisoadehu a ɛyɛ kusuu | Nneɛma a kan no na emu da hɔ no yɛ nea ɛyɛ mmerɛw kakra, te sɛ nea ɛwɔ sum mu . |
| Akisikuru ne adwene a ɛyɛ basaa | Sɛ́ wobɛte nka sɛ wayɛ basaa, n’adwene atu afra, ontumi mfa n’adwene nsi biribi so. |
Sɛ wo asikre kɔ soro mpofirim a, dɛn na woyɛ?
Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, mma wo ho nnyɛ wo hu na di kan de wo glucose mita hwɛ asikre dodow a ɛwɔ wo mogya mu no. Sɛ ɛkɔ soro a, wubetumi atew asikre dodow a ɛwɔ wo mogya mu no so kakra denam apɔw-mu-teɛteɛ a ɛnyɛ den bi a wobɛyɛ so, te sɛ nantew tiawa a wobɛfa simma 10-15 .
Nanso kɔkɔbɔ bi a ɛho hia yiye, yiye wɔ ha.
Sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso yiye, te sɛ 240 mg/dL a, ɛsɛ sɛ wohwɛ sɛ ketones wɔ wo nipadua mu ansa na woateɛteɛ w’apɔw mu. Ketones yɛ acid bi a ɛba bere a nipadua no ntumi nnya ahoɔden mfi glucose mu na ɛhyew srade de hwehwɛ ahoɔden no. Sɛ woteɛteɛ w’apɔw mu a ketones pii wɔ wo mogya mu a, ebetumi ama asikre a ɛwɔ wo mogya mu no akɔ soro kɛse mpo, na ɛde tebea bi a ɛde wo nkwa to asiane mu a wɔfrɛ no asikreyare ketoacidosis aba.
Wubetumi de nsu mu nhwehwɛmu nhama anaa nnɛyi glucose mita bi ahwɛ wo ketone dodow wɔ fie. Sɛ wuhu ketones a, nteɛteɛ w’apɔw mu esiane biribiara nti . Ɛsɛ sɛ wo ne wo duruyɛfo kasa ntɛm ara na wonya ayaresa a ɛho hia.
Ɛtɔ da bi a, sɛ asikre dodow no yɛ nea wontumi nni so na wote nka sɛ wo ho nyɛ wo dɛ koraa a, ntwentwɛn wo nan ase sɛ wobɛkɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) . Ɛhɔ no, wɔbɛma wo ayaresa a ɛho hia, te sɛ nkyene ne insulin, na ama woatumi adi tebea no so.
Wobɛyɛ dɛn asiw asikre a ɛbɛkɔ soro te sɛ eyi ano?
Wɔka sɛ: "Siw ano ye sen ayaresa." Enti nneɛma pii wɔ hɔ a yebetumi ayɛ na asikre a ɛbɛkɔ soro mpɛn pii no ano. Momma yɛnka akwan atitiriw abiɛsa ho asɛm.
1. Nom w’aduru no yiye, wɔ bere ano.
Sɛ wo duruyɛfo akyerɛw wo insulin aduru anaa asikreyare nnuru te sɛ metformin a, ntwa so da . Ɛho hia yiye sɛ wobɛnom dodow a ɛfata wɔ bere a ɛfata mu. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wosakra nnuru dodow a wode di dwuma no. Enti sɛ asikre dɔɔso bere nyinaa a, wo ne wo duruyɛfo nka ho asɛm na san yɛ nsakrae wɔ wo ayaresa nhyehyɛe no mu.
2. Hwɛ yiye wɔ aduan ne anonne ho.
Eyi ne ade a ɛho hia sen biara. Nnuan bi wɔ hɔ a ɛma asikre a ɛwɔ mogya mu no kɔ soro mpofirim. Sɛ nhwɛso no, paanoo, anonne a asikre wom, ne keeki. Nnuan afoforo (sɛ nhwɛso no, krak, aburow a wɔde bran, ne nhabannuru) ma asikre a ɛwɔ mogya mu no kɔ soro nkakrankakra. Yɛfrɛ eyi Glycemic Index (GI). Sɛ wopaw nnuan a GI sua a, ebetumi aboa ma asikre a ɛkɔ soro mpofirim wɔ mogya mu no ano. Bisa wo duruyɛfo anaa aduannuru ho ɔbenfo bi a ɔwɔ aban ayaresabea bi fa eyi ho.
3. Yɛ apɔw-mu-teɛteɛ da biara da
Apɔw-mu-teɛteɛ yɛ w’adamfo paa bere a ɛfa asikreyare a wubedi ho dwuma ho no. Sɛ woteɛteɛ w’apɔw mu a, ɛma ɛyɛ mmerɛw ma wo ntini sɛ ɛbɛtwe glucose (asikre) afi wo mogya mu. Eyi kyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu no fi awosu mu hwɛ so. Apɔw-mu-teɛteɛ nso boa wo ma wohwɛ wo mu duru so na ɛma wo mogya tu mpɔn. Bɔ mmɔden sɛ wobɛyɛ biribi te sɛ nantew a ɛyɛ ntɛmntɛm, sakre so a wobɛtra, anaa asuguare anyɛ yiye koraa no simma 30 da biara. Nanso kae sɛ, ansa na wubefi apɔw-mu-teɛteɛ nhyehyɛe foforo ase no, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa akyerɛ apɔw-mu-teɛteɛ a ɛfata wo.
Nkrasɛm a Wɔde Kɔ Fie
- Asikre dodow a ɛkɔ soro wɔ mogya mu bere a wɔadi akyi no yɛ tebea a wɔtaa hu wɔ nnipa a wɔwɔ asikreyare mu.
- Eyi betumi ama w’ani, w’asaabo, wo ntini, ne wo koma asɛe bere tenten.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ sukɔm dodo, ɔbrɛ a ɛtra so, ne wo taa tow nsu a, ebetumi ayɛ asikre dodow a ɛwɔ wo mu ho sɛnkyerɛnne.
- Sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso dodo, boro 240 mg/dL a, kwati sɛ wobɛteɛteɛ w’apɔw mu a worenhwɛ wo ketone dodow. Ebetumi ayɛ nea asiane wom.
- Wobetumi adi tebea yi so yiye denam nnuru a wɔbɛnom wɔ bere ano, nnuan a wɔde adwene si glycemic index so, ne apɔw-mu-teɛteɛ a wɔyɛ da biara da so.
- Sɛ wowɔ asikreyare tebea anaa ayaresa nhyehyɛe a ɛhaw wo bi a, ntwentwɛn wo nan ase da sɛ wo ne wo duruyɛfo bɛka ho asɛm pefee.
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