Wo nipadua sesa kɛse wɔ nyinsɛn mu, ɛnte saa? Bere koro no ara mu no, wo nipadua mu nkwammoaa no ntumi nyɛ insulin hormone no ho hwee. Sɛ yɛbɛka no tiawa a, eyi ma asikre (glucose) a ɛwɔ wo mogya mu no kɔ soro kakra. Eyi boa ma wo ba no nya aduannuru pii. Nanso, sɛ asikre dodow yi kɔ soro dodo a, ebetumi de ɔhaw ahorow aba wo ne wo ba no nyinaa so. Eyi ne nea yɛfrɛ no nyinsɛn mu asikreyare anaa GDM . Mma wo ho nnsuro sɛ wote saa din yi a. Sɛ wɔsa ɛnanom dodow no ara yare yiye a, wobetumi anyinsɛn apɔwmuden ne akokoaa a ɔwɔ apɔwmuden. Momma yɛnka ne nyinaa ho asɛm pefee.
Mɛyɛ dɛn ahu sɛ mewɔ saa tebea yi?
Sɛ wuhu sɛ woanyinsɛn a, ade a edi kan a wobɛyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn. Saa bere no, ɔbɛhwɛ asiane a ɛwɔ hɔ sɛ wubenya GDM.
Sɛ wowɔ asiane bi (sɛ nhwɛso no, abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ asikreyare, wo mu duru boro so) a, wo duruyɛfo bɛhwɛ asikre dodow a ɛwɔ wo mogya mu ntɛm ara sɛnea obetumi. Sɛ nea efi saa sɔhwɛ no mu ba no yɛ nea ɛfata mpo a, ebehia sɛ wosan yɛ nhwehwɛmu yi bio wɔ adapɛn 24 kosi 28 ntam wɔ nyinsɛn no mu.
Sɛ wunsusuw sɛ wowɔ asiane titiriw mu mpo a, wɔtaa de mmea a wɔyem nyinaa kɔ sɔhwɛ yi mu wɔ adapɛn 24-28 ntam .
Akwan abien na wɔtaa fa so sɔ eyi hwɛ.
1. Glucose Challenge Test: Ɛho nhia sɛ eyi ho kɔm de wo. Wo duruyɛfo bɛma wo anonne a asikre wom na afei wahwɛ asikre dodow a ɛwɔ wo mogya mu wɔ dɔnhwerew biako akyi.
2. Oral Glucose Tolerance Test (OGTT): Sɛ nea efi sɔhwɛ a edi kan no mu ba no nyɛ nea ɛfata a, wɔyɛ sɔhwɛ yi. Eyi nti, oduruyɛfo no bɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi ansa na woayɛ nhwehwɛmu no.
Sɛ wosi so dua sɛ wowɔ saa tebea yi a, oduruyɛfo no bɛhwɛ wo ne wo ba no akwahosan yiye fi saa bere no akosi awo. Enti biribiara nni hɔ a ɛsɛ sɛ yesuro.
Eyi bɛka me ba no dɛn?
Eyi yɛ mmerɛw yiye sɛ yɛbɛte ase. Wo ba no nya n’aduannuru fi wo mogya mu. Enti sɛ asikre dodow a ɛwɔ wo mogya mu kɔ soro a, wo ba no nso nya saa asikre a ɛboro so no. Wo ba nipadua no de asikre a ɛboro so yi sie sɛ srade. Ne saa nti, wo ba no nipadua betumi ayɛ kɛse asen sɛnea ɛte daa. Eyi betumi de nsɛnnennen bi aba.
Nea ɛho hia ne sɛ wobetumi atew asiane ahorow yi pii so denam ayaresa ne afotu a ɛfata a wobedi akyi so.
| Nkɛntɛnso a ebetumi aba akokoaa no so | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Asiane ahorow a ebetumi aba bere a wɔrewo | Esiane sɛ akokoaa no nipadua sõ nti, hokwan wɔ hɔ sɛ ɔhaw anaa opira bi betumi aba wɔ awo a ɛfata mu. |
| Asikre a ɛwɔ mogya mu ne mineral dodow a ɛba fam wɔ awo mu | Wɔ awo akyi no, asikre dodow a ɛwɔ akokoaa no mogya mu no betumi akɔ fam mpofirim, nanso nnuruyɛfo na wɔhwɛ eyi so. |
| Jaundice a ɛyɛ mmerɛw | Tebea a ɛma akokoaa honam ani yɛ kɔkɔɔ. Wobetumi de ayaresa asa eyi koraa. |
| Awo a ɛba ntɛm | Ɛtɔ mmere bi a, wobetumi awo akokoaa no ansa na da a ɛsɛ sɛ wɔwo no adu. |
| Bere tiaa mu ahome a ɛyɛ den | Ebia akokoaa no benya ɔhome mu haw bi wɔ awo akyi nna a edi kan no mu. |
Akyiri yi, sɛ abofra no nyin a, asiane a ɛwɔ hɔ sɛ obenya kɛseyɛ mmoroso ne asikreyare no betumi ayɛ kɛse kakra asen mmofra afoforo. Enti, ɛho hia yiye sɛ wobɛma wo ba no ayɛ ne su sɛ obenya asetra a ahoɔden wom fi ne mmofraase . Eyi betumi atew asiane ahorow yi so.
Eyi ka me dɛn?
GDM nso betumi anya ɛna no so nkɛntɛnso bi.
- Hokwan a ɛkɔ soro sɛ ebehia sɛ wɔyɛ oprehyɛn (C-section) .
- Asiane a ɛwɔ hɔ sɛ nyinsɛn betumi atu.
- Asiane a ɛkɔ soro sɛ wobenya tebea horow te sɛ mogya mmoroso anaa preeclampsia .
- Awo a ɛba ntɛm.
Asɛmpa no ne sɛ asikre dodow a ɛwɔ wo mogya mu no bɛsan ayɛ sɛnea na ɛte bere a woawo wo ba no awie no. Nanso, asiane a ɛwɔ hɔ sɛ wubenya Asikreyare a Ɛto so Abien daakye ne GDM sɛ wunyinsɛn bio a, dɔɔso kakra. Nanso mma ɛnhaw wo, wubetumi atew saa asiane no so kɛse denam asetra a ahoɔden wom a wubedi akyi no so.
Mmea pii a wɔwɔ GDM no wo wɔ awosu mu, a wɔnyɛ oprehyɛn a wɔde oprehyɛn. Enti ka w'awo no ho asɛm pefee na ka nokware kyerɛ wo duruyɛfo . Nsuro sɛ wubebisa nsɛm te sɛ, "So mihia C-section?", "Akontaabu a ɛfa me ba no mu duru ho no yɛ nokware dɛn?", "Asiane bɛn na ɛwɔ hɔ ma me ne me ba no sɛ mewo awo a ɛfata a?"
Nneɛma a wubetumi ayɛ: Anamɔn biara
Nneɛma pii wɔ hɔ a wubetumi ayɛ de adi tebea yi so.
Di aduan a ahoɔden wom.
Wo ne wo duruyɛfo anaa aduannuru ho ɔbenfo nkasa na ɔnyɛ aduan ho nhyehyɛe a ɛbɛboa wo ma woadi asikre dodow a ɛwɔ wo mogya mu no so. Ɛsɛ sɛ woto carbohydrates (starches) dodow a wudi no ano hye, efisɛ ɛma asikre dodow a ɛwɔ wo mogya mu no kɔ soro ntɛmntɛm. Kwati nnuan a asikre pii wom te sɛ anonne a asikre wom, keeki, ne bisket.
Fa nnuan a ahoɔdennuru wom ka w’aduan ho. Wubetumi anya eyinom afi nhabannuru, nnuaba, aburow a wɔayam (oats, atoko), ne atoko mu. Susuw ho hwɛ, nhwehwɛmu bi hui sɛ sɛ wode fiber gram 10 ka w’aduan ho da biara a, ɛtew asiane a ɛwɔ hɔ sɛ wubenya asikreyare yi so bɛyɛ 26%!
Dwumadie.
Ɛho hia sɛ wunya apɔw-mu-teɛteɛ kakra da biara da na aboa ma woadi asikre dodow a ɛwɔ wo mogya mu no so. Gye sɛ wo duruyɛfo aka akyerɛ wo sɛ ɛnte saa, fa yɛ wo botae sɛ wobɛteɛteɛ w’apɔw mu simma 30 te sɛ nantew anaa asuguare da biara . Nhwehwɛmu foforo bi kyerɛe sɛ mmea a wɔteɛteɛ wɔn apɔw mu bɛyɛ nnɔnhwerew 4 dapɛn biara ansa na wɔrenyinsɛn ne bere a wɔrenyinsɛn no brɛ wɔn asiane no ase bɛyɛ 70%. Nanso hwɛ hu sɛ wubebisa wo duruyɛfo no apɔw-mu-teɛteɛ ko a ɛsɛ sɛ woyɛ ne bere tenten a ɛsɛ sɛ woyɛ.
Di akwahosan ho su ahorow yi akyi wɔ awo akyi mpo
Toa saa aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe yi so bere a woawo wo ba no awie no. Ɛho hia nso sɛ wosan nya mu duru a ɛfata. Ɛho nhia sɛ wo mu duru so tew prɛko pɛ. Sɛ wo mu duru nyinaa so tew 5% kosi 7% mpo a, ebetumi ama nsonsonoe kɛse aba.
Mma oduruyɛfo a wobɛkɔ akɔhwɛ wo no nmpa wo ti so.
Mma ayaresabea nsrahwɛ anaa oduruyɛfo nkɔsra nmpa wo ti so da. Ɛho hia paa ma wo ne wo ba no nyinaa ahobammɔ. Ebia ɛho behia nso sɛ woyɛ scan (ultrasounds) daa.
Hwɛ asikre dodow a ɛwɔ wo mogya mu.
Sɛ wo duruyɛfo tu wo fo a, ɛsɛ sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie mpɛn pii da biara. Eyi ne ɔkwan a eye sen biara a wobɛfa so adi tebea no ho dwuma.
Fa nnuru a wɔakyerɛw ama wo no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ.
Ɛnanom binom ntumi mfa aduan ne apɔw-mu-teɛteɛ nkutoo so nni asikre dodow a ɛwɔ wɔn mogya mu no so. Wɔ tebea horow a ɛtete saa mu no, oduruyɛfo no betumi akyerɛw insulin anaa nnuru foforo ama obi. Ɛho hia sɛ wɔnom nnuru yi bere a ɛfata ne dodow a ɛfata mu.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Ɛsɛ sɛ wohwɛ yiye kɛse wɔ w’akwahosan ho bere a wowɔ GDM no. Sɛ wuhyia nea edidi so yi mu biara a, frɛ wo duruyɛfo ntɛm ara:
| Sɛ ɛba saa a, frɛ wo duruyɛfo ntɛm ara. |
|---|
| Sɛ woyare na wuntumi nni aduan ho nhyehyɛe a wɔakyerɛw ama wo no akyi a. |
| Sɛ wowɔ asikre a ɛwɔ wo mogya mu ho sɛnkyerɛnne a : ɛyɛ den sɛ wode w’adwene besi biribi so, wo ti yɛ wo yaw, sukɔm de wo dodo, w’ani nhu ade yiye, anaasɛ wo mu duru so tew. |
| Sɛ wowɔ asikre a ɛba wo mogya mu ho sɛnkyerɛnne a : wo ho ntɔ wo, wo adwene tu fra, wo ti yɛ wo yaw, wo ti yɛ wo yaw, ɔkɔm a ɛtra so, koma bɔ ntɛmntɛm, wo ho popo, wo honam ani yɛ fitaa, wo ho fifiri, anaa woyɛ mmerɛw. |
| Sɛ wohwɛ wo asikre dodow wɔ fie na ɛnyɛ nɔma a wo duruyɛfo de ama wo no a. |
Nkrasɛm a Wɔde Kɔ Fie
- Nyinsɛn mu asikreyare (GDM) nyɛ biribi a ɛsɛ sɛ wosuro. Ɛyɛ tebea a wobetumi adi ho dwuma yiye.
- Aduan pa ne apɔw-mu-teɛteɛ da biara da ne akwan a eye sen biara a wobɛfa so adi tebea yi so.
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Hwɛ asikre dodow a ɛwɔ wo mogya mu wɔ bere ano, nom wo nnuru, na mma wo nmpa wo ayaresabea bere.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko wɔ wo nipadua mu (asikre a ɛwɔ wo mogya mu a ɛkɔ soro anaa ɛso atew) a, nkyɛ sɛ wobɛbɔ wo duruyɛfo amanneɛ.
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