Sɛ wowɔ asikreyare a, ebia wunim sɛnea ɛyɛ ahometew na ɛtɔ mmere bi a ɛyɛ yaw sɛ wode ade ketewaa bi bɛbɔ wo nsateaa mpɛn pii da biara, afa mogya bi, na wode ahyɛ krataa a wɔde sɔ hwɛ mu de ahwɛ sɛnea asikre dodow a ɛwɔ wo mogya mu no te. Sɛ woyɛ eyi da biara da, ebia mprɛnsa anaa anan da biara a, ɛyɛ ɔbrɛ ankasa, ɛnte saa? Ɛho hia yiye sɛ wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu daa wɔ saa kwan yi so na ama woahu sɛ w’ayaresa no reyɛ adwuma yiye, sɛ ebia ɛsɛ sɛ wohwɛ w’aduan so, anaasɛ ɛsɛ sɛ wosakra insulin dodow a wode di dwuma no.
Nanso asɛmpa bi wɔ hɔ ma wo! Mfe du a atwam ni no, nea na ɛsɛ sɛ woyɛ ara ne sɛ wobɛbɔ wo nsateaa, nanso mfiridwuma anya nkɔso kɛse. Afei akwan bi wɔ hɔ a wobɛfa so ahwɛ asikre dodow a ɛwɔ wo mogya mu a worennyɛ saa adeyɛ a ɛyɛ yaw yi, anaasɛ wommɔ mmɔden kakraa bi pɛ. Ɛnnɛ, yɛbɛka akwan foforo a mfiridwuma mu nimdeɛ a ɛkorɔn yi ho asɛm. Eyinom ne asikreyare ho dwuma a wobedi daakye.
Ɔkwan a wobɛfa so ahwɛ wo asikre a worenbɔ wo nsateaa? Yiw, ɛno ne CGM! (Glucose a Wɔkɔ So Hwɛ) .
Ɛyɛ mmerɛw yiye. Wɔde sensor ketewaa bi ahyɛ wo honam ani, mpɛn pii no wɔ wo yafunu anaa wo nsa so. Saa sensor yi kɔ so susuw asikre dodow a ɛwɔ nsu a ɛwɔ wo nipadua mu nkwammoaa ntam no mu, simma kakraa biara. Afei wɔde data no kɔ afiri ketewaa bi te sɛ fon, app bi a ɛwɔ wo smartphone so, anaa insulin pɔmpɛ so wɔ wireless so. Fa no sɛ, ɛnsɛ sɛ woyɛ biribiara, wubetumi ahwɛ asikre dodow a wowɔ wɔ wo fon so.
Wɔfrɛ eyi Continuous Glucose Monitoring , anaasɛ CGM tiawa.
Mfaso kɛse a ɛwɔ CGM so ne sɛ wubetumi asi w’ayaresa ho gyinae a ɛho nhia sɛ wosan bɔ wo nsateaa bio de hwɛ asikre a ɛwɔ wo mogya mu. Sɛ nhwɛso no, sɛ wuhu sɛ asikre dodow rekɔ soro a, wubetumi ateɛteɛ w’apɔw mu ntɛm ara anaasɛ woayɛ biribi foforo sɛnea wo duruyɛfo aka wo fo no.
Wubetumi ne wo duruyɛfo no akyɛ nsɛm a efi wo CGM mu no, na afei obetumi asiesie w’ayaresa nhyehyɛe no na ama asikre dodow a ɛwɔ wo mogya mu no so yiye. Nanso ma ɛntra w’adwenem sɛ ɛtɔ mmere bi a, bere a wode wo CGM redi dwuma no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa mogya mfi wo nsateaa mu na ama woahwɛ ahu sɛ (calibrate) akenkan ahorow no yɛ pɛpɛɛpɛ.
Ɛwom sɛ nnipa a wɔwɔ Asikreyare a Ɛto so 1 na wɔtaa de CGM di dwuma de, nanso mprempren wɔreyɛ nhwehwɛmu de ahu sɛnea mfaso wɔ so ma nnipa a wɔwɔ Asikreyare a Ɛto so Abien nso.
Artificial Pancreas - Eyi yɛ mfiridwuma a ɛyɛ nwonwa!
Sɛ yɛbɛka no tiawa a, dwensɔtwaa ankasa a ɛwɔ yɛn nipadua mu no yɛ hormone bi a wɔfrɛ no insulin a ɛma asikre a ɛwɔ mogya mu no so tew bere a yedidi no, ne hormone bi a wɔfrɛ no glucagon a ɛma asikre a ɛwɔ mogya mu no kɔ soro bere a yedidi no. Saa mfiridwuma a wɔfrɛ no "artificial pancreas" yi rebɔ mmɔden sɛ ɛbɛyɛ ade koro no ara. Ɛwom sɛ mfiridwuma no nnya mmaa hɔ 100% de, nanso ɛbɛn yiye.
Wɔfrɛ mprempren nhyehyɛe ahorow yi sɛ hybrid closed-loop systems . Nnipa a wɔwɔ asikreyare a ɛto so 1 titiriw na wɔde di dwuma.
Eyi ne sɛnea ɛyɛ adwuma:
1. CGM hwɛ asikre dodow a ɛwɔ wo mogya mu awia ne anadwo nyinaa.
2. Nhyehyɛe no gyina saa asikre dodow no so bu insulin dodow a wuhia no ho akontaa.
3. Wɔnam insulin pɔmpɛ so de dodow no kɔ nipadua no mu ara kwa.
Nanso asɛnnennen ketewaa bi wɔ hɔ. Ɛsɛ sɛ woda so ara kan carbohydrates dodow a wudi wɔ adidi biara mu na wode hyɛ nhyehyɛe no mu. Afei nso, saa nhyehyɛe ahorow yi nnya ntumi mfa hormone glucagon no mma sɛ asikre dodow a wowɔ no so tew dodo a. Mprempren nhwehwɛmufo rebɔ mmɔden sɛ wɔbɛyɛ nhyehyɛe bi a ebetumi de saa nkwaadɔm abien yi nyinaa ama. Ebia yebehu saa daakye a enni akyiri.
Da a wubetumi aka asikre ahwɛ a womfa nsenia mpo nni dwuma no nware!
CGM akwan a yɛaka ho asɛm de besi nnɛ mpo no, ɛsɛ sɛ wode ade ketewaa bi di dwuma de sensor no hyɛ honam ani. Nanso susuw ho hwɛ, hwɛ sɛnea ɛbɛyɛ kɛse sɛ obi betumi asusuw asikre dodow a ɛwɔ mogya mu a obiara ntutu, ntwitwa, anaa ɛyaw biara nni mu?
Ɛno ne mfiridwuma a aba so foforo pii a wɔreyɛ mprempren no botae. Wɔfrɛ eyinom sɛ nhwehwɛmu a ɛnyɛ nea wɔde hyɛ nipadua mu . Ɛne sɛ, wɔyɛ nneɛma a wɔhwɛ a wɔmfa biribiara nhyɛ nipadua no mu.
Momma yɛnhwɛ akwan yi bi:
- Electric Current: Afiri no, a wɔfrɛ no `sugarBEAT`, yɛ afiri a ɛte sɛ patch a, sɛ wɔde gu honam ani a, ɛde anyinam ahoɔden a ɛyɛ fɛ yiye, ɛkame ayɛ sɛ wontumi nhu fa honam ani, na ɛsusuw asikre dodow a ɛwɔ nsu a ɛwɔ honam ani no mu.
- Microneedles: `K'Watch` yɛ afiri a wɔhyɛ a ɛte sɛ dɔn. Ɛde microneedles nketenkete a ɛnyɛ yaw di dwuma de susuw asikre dodow a ɛwɔ mogya mu wɔ nsu a ɛwɔ honam ani no ase pɛɛ no mu.
- Hann anaa radio asorɔkye: Akwan foforo a wɔfa so susuw asikre dodow a ɛwɔ mogya mu denam hann anaa radio asorɔkye a wɔde fa honam ani te sɛ wo nsateaa, wo yafunu, anaa wo nsateaa mu no so. Nanso asɛnnennen kɛse a ɛwɔ eyinom ho ne pɛpɛɛpɛyɛ . Nea enti a ɛte saa ne sɛ ɛyɛ den sɛ wobehu nsonsonoe a ɛda sɛnkyerɛnne a efi asikre molecule ahorow mu ne nsɛnkyerɛnne a efi nneɛma afoforo a ɛwɔ nsu ne mogya mu no mu.
Saa bere yi nyinaa, wɔreyɛ nhwehwɛmu nso de asusuw asikre denam nipadua mu nsu a ɛnyɛ den sɛ wobenya te sɛ fifiri, nusu, ne nnompe so. Bere na ɛbɛkyerɛ sɛ ebia akwan yi betumi ama wɔanya nea edi mu a ebetumi aboa asikreyarefo da bi anaa.
| Tɛknɔlɔgyi | Sɛnea ɛyɛ adwuma | Mfaso titiriw |
|---|---|---|
| CGM (Glucose a Wɔkɔ So Hwɛ) . | Asikre dodow a wɔde sensor a wɔde ahyɛ honam ani ase a wɔde susuw asikre dodow a ɛkɔ so no. | Sɛ́ wubehu asikre dodow a ɛwɔ wo mogya mu nnɔnhwerew 24 da biara a ɛho nhia sɛ wotaa bɔ wo nsateaa mu. |
| Pancreas a Wɔde Nneɛma Ayɛ | Asikre a wɔde CGM susuw na wɔde insulin dodow a wɔhwehwɛ no ma ara kwa. | Ɛnyɛ den sɛ wobedi so a ɛho nhia sɛ wohaw wo ho wɔ insulin dodow a wɔde ma ho. |
| Nhwehwɛmu a Ɛnyɛ Nhyɛso (Daakye Mfiridwuma) . | Asikre a wɔsusu a ɛnsɛe honam ani (e.g., denam hann, anyinam ahoɔden so). | Ɛnyɛ yaw koraa na ɛnyɛ den sɛ wode bedi dwuma. |
Nkrasɛm a Wɔde Kɔ Fie
- Asikre dodow a ɛwɔ mogya mu no atu mpɔn araa ma ɛho nhia bio sɛ yɛbɔ yɛn nsateaa mpɛn pii da biara.
- CGM (Continuous Glucose Monitoring) yɛ ɔkwan pa ara na ɛyɛ mmerɛw a ɛwɔ hɔ nnɛ. Ɛma wunya asikre dodow ho nsɛm nnɔnhwerew 24 da biara.
- Mfiridwuma te sɛ dwensɔtwaa a wɔde nsa ayɛ no ma insulin a wɔde ma no yɛ adwuma, na ɛma asikreyare ho dwuma a wobedi no yɛ mmerɛw mpo.
- Nsɛnkyerɛnne pa nso wɔ hɔ a ɛkyerɛ sɛ akwan a ɛnyɛ nea wɔde hyɛ nipadua mu no bɛba daakye.
- Nea ɛho hia ne sɛ, ɛmfa ho mfiridwuma a wode bedi dwuma no, ɔkwan bɛn na ɛyɛ adwuma yiye ma wo ne sɛnea wode di dwuma.Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa. Ɛho hia paa sɛ yedi n’afotu akyi.
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