So wunyaa asikreyare nso bere a na wonyinsɛn no? (Gestational Diabetes) Mma ɛnhaw wo, momma yɛnka eyi ho asɛm!

Oh, ebia ehu aka wo seesei a eyi ato me nso, ɛnte saa? Ɛnanom pii nya asikreyare a ɛte sɛɛ bere a wɔyem. Ɛyɛ ade a ɛyɛ daa. Enti mma ɛnhaw wo. Momma yensua pii fa saa tebea yi a wɔfrɛ no `(Gestational Diabetes)` ho.

Dɛn ne asikreyare a ɛba wɔ nyinsɛn mu?

Sɛ yɛbɛka no tiawa a, Gestational Diabetes (ɛtɔ mmere bi a wɔfrɛ no GD anaa GDM) yɛ asikreyare bi a ɛba bere a wɔyem nkutoo. Asikre dodow a ɛwɔ wo mogya mu (a wɔsan frɛ no hyperglycemia) kɔ soro kakra wɔ saa bere yi mu. Nea enti a ɛte saa ne sɛ hormone ahorow a efi wo awotwaa mu no siw wo nipadua no kwan sɛ ɛde hormone bi a wɔfrɛ no insulin bedi dwuma anaasɛ ayɛ no. Insulin ne nea ɛboa ma asikre dodow a ɛwɔ wo mogya mu no yɛ adwuma yiye. Asikre a ɛwɔ mogya mu a ɛdɔɔso betumi de nsɛnnennen aba bere a wɔyem no. Ɛtaa ba wɔ nyinsɛn no mfinimfini, wɔ adapɛn 24 kosi 28 ntam. Wo duruyɛfo anaa awogyefo no bɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛ eyi te saa.

Ade a ɛho hia sɛ wokae ne sɛ eyi nkyerɛ sɛ na wowɔ asikreyare ansa na worenyinsɛn. Eyi yɛ tebea a ɛba bere a wɔyem. Nnipa a wɔadi kan anya asikreyare, sɛ́ ɛyɛ Asikreyare a Ɛto so 1 anaa Asikreyare a Ɛto so Abien no hyia nsɛnnennen soronko bere a wonyinsɛn no.

Nanso asɛmpa bi wɔ hɔ! Nnuruyɛfo wɔ ntease pa wɔ saa `(Gestational Diabetes)` yi ho. Afei nso, ɛdenam nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu na woadi w’aduan so no, wobetumi adi tebea yi so yiye. Nnipa dodow no ara wɔ akokoaa a ɔwɔ apɔwmuden a ɔhaw biara nni ho.

Sɛ minya asikreyare wɔ nyinsɛn mu a, dɛn na ɛba?

Sɛ wohu sɛ wowɔ nyinsɛn mu asikreyare a, wo awo ho oduruyɛfo (oduruyɛfo a ohu wo bere a worehwɛ kwan) de wo bɛkɔ aduan ho ɔbenfo bi a ne ho akokwaw wɔ nyinsɛn mu asikreyare ho nkyɛn. Wɔbɛkyerɛkyerɛ nnuan a ɛma asikre dodow a ɛwɔ wo mogya mu no kɔ soro ne nea ɛsɛ sɛ wode ka w’aduan ne nnɔkɔnnɔkɔwade ho ne dodow a ɛsɛ sɛ wode ka ho mu akyerɛ wo.

Wɔbɛkyerɛ wo sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie ne dodow a ɛsɛ sɛ wudi bere a woadi adidi akyi nso. Awiei koraa no, wo duruyɛfo anaa aduan ho ɔbenfo bɛka nhyehyɛe a wɔbɛyɛ de adi wo nyinsɛn mu asikreyare ho dwuma ho asɛm. Mpɛn pii no, ɛsɛ sɛ nnipa a wɔwɔ asikreyare kɔ ayaresabea daa kɔhwɛ sɛnea awotwaa no nyin, hwɛ sɛnea wo mu duru kɔ soro, na wosusuw sɛnea wɔredi asikre a ɛwɔ wo mogya mu no ho.

Dɛn na asikreyare a ɛba wɔ nyinsɛn mu abu so wɔ Sri Lanka ne wiase nyinaa?

Wɔ United States no, tebea yi renya nkɔanim. Sɛnea CDC (Centers for Disease Control and Prevention) kyerɛ no, ɛka mmea a wɔyem bɛyɛ 8% kosi 10%.

Wiase nyinaa dodow a ɛwɔ hɔ no yɛ 14% kosi 17%. Ɛtɔ da bi a saa dodow yi betumi akɔ soro esiane nneɛma te sɛ mfe a obi adi, abusuakuw/abusuakuw, ɔhwɛ a wobenya ansa na wɔawo, ne beae a obi wɔ nti.

Dɛn nti na asikreyare a ɛba wɔ nyinsɛn mu ba?

Ade titiriw nti a ɛte saa ne nsakrae a ɛba nipadua mu nkwaadɔm mu ne ɔkwan a wo nipadua fa so dan aduan ma ɛbɛyɛ ahoɔden. Susuw ho saa kwan yi so, hormone ``Insulin`` boa asikre (``glucose``) a ɛwɔ aduan a yedi mu no ma ɛkɔ yɛn nkwammoaa mu. Saa ``Insulin`` yi ne nea ɛma yɛn mogya mu asikre dodow kɔ so yɛ nea ɛfata. Nanso, sɛ saa ``Insulin`` yi ntumi nyɛ adwuma yiye, anaasɛ ɛnnɔɔso a, asikre boaboa ano wɔ mogya no mu na asikreyare ba.

Wɔ nyinsɛn mu no, nkwaadɔm a efi awotwaa mu no betumi asiw ɔkwan a insulin fa so yɛ adwuma no kwan. Eyi betumi ama asikre dodow a ɛwɔ mogya mu no ntumi nni so yiye. Eyi ne bere a Nyinsɛn mu Asikreyare ba.

Hena na asiane kɛse wom sɛ obenya asikreyare a ɛba wɔ nyinsɛn mu?

Nokwarem no, obiara betumi anya eyi wɔ nyinsɛn mu. Nanso, nneɛma bi wɔ hɔ a ɛma asiane no yɛ kɛse. Eyinom ne:

• Sɛ wowɔ komayare a.
• Sɛ wowɔ mogya mmoroso a.
• Sɛ woayɛ kɛse dodo anaasɛ woayɛ kɛse mmoroso fi bere a worenyinsɛn no a.
• Sɛ woanya asikreyare wɔ nyinsɛn mu wɔ nyinsɛn bi a atwam mu a.
• Sɛ obi wɔ abusua no mu wɔ `(Type 2 Diabetes)` a.
• Sɛ wowɔ `(Polycystic Ovary Syndrome (PCOS))` a .
• Nnipa a wɔadi boro mfe 25 wɔ asiane kɛse mu, titiriw wɔn a wofi Asia Kesee Fam ne Apuei Fam, Hispanicfo, Amerikafo Ankasa, anaa Pacific Supɔw sofo.
• Sɛ wowɔ prediabetes (mogya mu asikre dodow a ɛkɔ soro kakra sen sɛnea ɛte daa ansa na woanya asikreyare).

Dɛn ne asikreyare a ɛba wɔ nyinsɛn mu ho sɛnkyerɛnne?

Mpɛn pii no, Gestational Diabetes nni sɛnkyerɛnne biara a ɛda adi pefee. Sɛ ɛba saa mpo a, ɛyɛ anifere koraa. Ebia worenhu mpo kosi sɛ wo duruyɛfo bɛhwɛ wo. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛka ho ne:

• Ɛho hia sɛ wɔtaa tow nsu.
• Sukɔm dee kɛse.
• Ɔbrɛ a wɔte nka.
• Sɛ obi te nka sɛ ne ho ayɛ no yaw.

Dɛn ne nsɛnnennen a ebetumi afi nyinsɛn mu asikreyare a wontumi nni so mu aba?

Sɛ wuntumi mma asikre dodow a ɛwɔ wo mogya mu no nkɔ so nyɛ nea ɛfata a, wo ne wo ba no nyinaa betumi anya nsɛnnennen. Eyi ho hia paa, enti tie aso yiye.

Asikreyare a ɛwɔ Nyinsɛn mu betumi ama asiane a ɛwɔ hɔ sɛ wubenya:

• Ebia ɛho behia sɛ wɔyɛ C-section (sɛ akokoaa no sõ dodo a).
• Preeclampsia (mogya mmoroso a ɛkɔ soro bere a wɔyem) betumi aba.

Afei nso, wɔn a wɔanya ``Gestational Diabetes'' no, ɛyɛ mmerɛw kakra sɛ wobenya ``Type 2 Diabetes'' akyiri yi wɔ wɔn asetra mu.

Asikreyare a ɛba wɔ nyinsɛn mu no ka me ba no dɛn?

Sɛ wowɔ Gestational Diabetes a, wo ba no betumi akɔ asiane mu sɛ:

• Awo mu duru a ɛkɔ soro (`(Fetal macrosomia)`) - Wei kyerɛ sɛ ebia wɔbɛwo akokoaa no kɛse koraa.
• Ahomegye mu den betumi aba bere a wɔawo no.
• Hypoglycemia (asikre a ɛwɔ mogya mu a ɛba fam). Eyi betumi de tebea horow te sɛ akisikuru aba mmofra a wɔawo wɔn foforo mu.
• Ebia kɛseyɛ mmoroso bɛba akyiri yi.
• Ebetumi aba sɛ wɔbɛwo no ntɛm.
• Asikreyare a ɛto so abien betumi anya akyiri yi.

Ebia saa nneɛma yi bɛyɛ te sɛ nea ɛyɛ hu. Nanso kae sɛ asiane ahorow yi nyinaa ba sɛ wɔanni ho dwuma yiye nkutoo a . Sɛ wodi ho dwuma yiye a, asiane ahorow yi betumi atew kɛse.

Bere bɛn na oduruyɛfo yɛ nyinsɛn mu asikreyare ho nhwehwɛmu?

Mpɛn pii no, wo duruyɛfo anaa awogyefo bɛsɔ wo ahwɛ sɛ wowɔ nyinsɛn mu asikreyare wɔ adapɛn 24 kosi 28 ntam wɔ nyinsɛn no mu. Nnuruyɛfo dodow no ara gye di sɛ eyi ne bere a nea efi mu ba no yɛ nokware sen biara. Nanso, sɛ wowɔ nneɛma a ɛde asiane ba a, wobetumi ayɛ wo nhwehwɛmu ntɛm.

Ɔkwan bɛn so na wohu asikreyare a ɛwɔ nyinsɛn mu?

Oduruyɛfo bi de mogya mu nhwehwɛmu bɛhwɛ asikre dodow a ɛwɔ wo mogya mu. Mpɛn pii no, sɔhwɛ a edi kan no yɛ ``screening test`` a wɔde hwehwɛ nnipa a asiane kɛse wom sɛ wobenya ``gestational asikreyare``. Sɛ woan ``antwa`` a, oduruyɛfo no bɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu a ɛto so abien a ɛte sɛ nea emu dɔ kakra.

• `(Glucose Challenge Test)` : Wɔsan frɛ eyi `(Glucose Screening Test)`, anaasɛ dɔnhwerew biako `(Glucose Tolerance Test)`. Wɔ eyi mu no, wɔma wo nsu a ɛyɛ dɛ sɛ wobɛnom. Afei ɛsɛ sɛ wotra `waiting room` mu bɛyɛ dɔnhwerew biako. Dɔnhwerew biako akyi no, ɔyarehwɛfo bi gye mogya fi wo nsa mu. Sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso a, oduruyɛfo no bɛka akyerɛ wo sɛ yɛ `(Glucose Tolerance Test)`.
• `(Glucose Tolerance Test)` : Wɔsan frɛ eyi nnɔnhwerew abien anaa nnɔnhwerew abiɛsa `(Glucose Test)`. Sɛ `nsɛnnennen sɔhwɛ` a atwam no mu aba no nyɛ nea ɛfata nkutoo a, wɔyɛ eyi. Ansa na wobɛyɛ sɔhwɛ yi no, ɛnsɛ sɛ wudi biribiara bɛyɛ nnɔnhwerew 8 (`mmuadadi`). Oduruyɛfo no bɛfa mogya dɔnhwerew biara, nnɔnhwerew abien, anaa ɛtɔ mmere bi a nnɔnhwerew abiɛsa bere a woanom nsu a ɛyɛ dɛ no akyi. Saa `tolerance test` yi ne deɛ ɛbɛsi so dua sɛ wowɔ `(Gestational Diabetes)` anaasɛ ɛnte saa.

Ɔkwan bɛn so na wobedi asikreyare a ɛba wɔ nyinsɛn mu ho dwuma?

Sɛ wowɔ nyinsɛn mu asikreyare a, ɛho behia sɛ wokɔhwɛ wo daa bere a wonyinsɛn no. Wo duruyɛfo no bɛhwehwɛ pɔtee:

• Akokoaa no nyin a wɔbɛhwɛ so. Mpɛn pii no, eyi hwehwɛ sɛ wɔyɛ ultrasound scan kakraa bi foforo de hwɛ hu sɛ akokoaa no nnyɛ kɛse dodo.
• Asikre dodow a ɛwɔ wo mogya mu a wobɛhwɛ. Mpɛn pii no, eyi hwehwɛ sɛ wobɛhwɛ mpɛn dodow a asikre dodow a ɛwɔ wo mogya mu no kɔ soro na ɛba fam, ne sɛnea saa dodow no taa tra hɔ.

Sɛ wopɛ sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie a, wubehia ``Glucose Meter`` (afiri a ɛkyerɛ asikre). Ɛhwehwɛ sɛ wɔde mita, agyan, ne nhama a wɔde sɔ hwɛ. Sɛ worehwɛ asikre a ɛwɔ wo mogya mu a, wode ade ketewaa bi bɔ wo nsateaa ano, afei wode mogya a ɛtɔ no gu sɔhwɛ krataa bi so. Afei, sɛ wode sɔhwɛ krataa no hyɛ mita no mu a, ɛkyerɛ nɔma bi wɔ sikɔne kakraa bi mu. Ɛno ne asikre dodow a ɛwɔ wo mogya mu. Wo aduan ho ɔbenfo anaa asikreyare ho ɔkyerɛkyerɛfo bɛkyerɛ wo sɛnea wode saa mfiri yi bedi dwuma. Ebia ɛbɛyɛ te sɛ nea ɛyɛ den kakra wɔ nna kakraa a edi kan no mu, nanso nna kakraa bi akyi no, ɛbɛyɛ wo su. Nsuro sɛ wobɛbisa wo duruyɛfoɔ sɛ wowɔ ɔhaw bi a.

Ɛsɛ sɛ wokyerɛw nea wudi ne asikre dodow a ɛwɔ wo mogya mu ho kyerɛwtohɔ, wɔ krataa bi so, wɔ app bi so, anaa ɔkwan bi a wo duruyɛfo ka kyerɛ wo so. Afei, wo duruyɛfo no bɛhwɛ w’akenkan no mu bere ne bere mu (ebia dapɛn biara anaa adapɛn abien biara). Ɛtɔ da bi a, ebia ɛho behia sɛ wo duruyɛfo yɛ nsakrae wɔ w’aduan mu (sɛ nhwɛso no, ɔtew carbohydrates dodow so) na aboa ma asikre dodow a ɛwɔ wo mogya mu no so. Mpɛn pii no, asikre dodow a ɛwɔ wo mogya mu a wobɛhwɛ ne aduan a ɛfata asikreyare a wubedi nkutoo ne nea ehia na ama woatumi adi asikreyare a ɛba wɔ nyinsɛn mu no ho dwuma.

Nnipa binom hia nnuru te sɛ insulin na ama wɔatumi asiw asikreyare a ɛba wɔn nyinsɛn mu no ano. Mpɛn pii no, eyi hwehwɛ sɛ wɔde insulin gu yafunu, asen, anaa asen mu pɛnkoro anaa mpɛn pii da biara. Mpɛn dodow a ɛsɛ sɛ wode insulin gu nipadua no mu no gyina nneɛma pii so. Wo duruyɛfo bɛkyerɛ wo sɛnea wode insulin bɛhyɛ wo mu, bere a ɛsɛ sɛ wode bɛhyɛ wo mu, ne dodow a ɛsɛ sɛ wode bɛhyɛ wo mu. Sɛ ɛho hia sɛ wode insulin di dwuma de siw wo asikreyare ano a, ɛho hia yiye sɛ wode di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ.

Ɛsɛ sɛ asikre dodow a ɛwɔ mogya mu no yɛ dɛn?

Mpɛn pii no, ɛsɛ sɛ wudi kan hwɛ asikre dodow a ɛwɔ wo mogya mu anɔpa (ansa na wubedi biribiara) ne bɛyɛ dɔnhwerew biako wɔ adidi biara akyi. Sɛ nhwɛso no, sɛ wosɔre anɔpa 6:15 na wohwɛ asikre a ɛwɔ wo mogya mu a. Sɛ afei wudi anɔpaduan anɔpa 7 a.m., ɛsɛ sɛ wosan hwɛ asikre a ɛwɔ wo mogya mu bɛyɛ anɔpa 8. Ɛsɛ sɛ wokyerɛw saa gyinapɛn ahorow yi bere a wo ne wo duruyɛfo asusuw ho no.

Nea edidi so yi ne mogya mu glucose dodow a Amerika Awo ne Mmea Ho Nnuruyɛfo Kuw no taa kamfo kyerɛ:

• Ansa na wobɛdidi: 95 `mg/dL` anaa nea ennu saa (`mg/dL` gyina hɔ ma miligram wɔ deciliter biara mu).
• Dɔnhwerew biako wɔ adidi akyi: 140 mg/dL anaa nea ennu saa.
• Nnɔnhwerew abien wɔ aduan akyi: 120 mg/dL anaa nea ennu saa.

Nanso kae sɛ ɛsono obiara. Eyinom yɛ akwankyerɛ ahorow a wɔde ma wɔ ɔkwan a ɛkɔ akyiri so ara kwa. Wo duruyɛfo bɛkyerɛ wo sɛnea ɛsɛ sɛ asikre dodow a ɛwɔ wo mogya mu no yɛ.

Nneɛma bɛn na ɛnsɛ sɛ wudi bere a wowɔ nyinsɛn mu asikreyare no?

Wubetumi aboa ma woadi nyinsɛn mu asikreyare ho dwuma denam nnuan a ahoɔden wom a ɛmma asikre dodow a ɛwɔ wo mogya mu nkɔ soro wɔ ɔkwan a ɛyɛ hu so a wubedi so. Sɔ nneɛma yi hwɛ:

• Tew nnuan a wɔayɛ ne anonne a asikre wom so sɛnea wubetumi biara.
• Paw aduan a ɛkari pɛ a protein, carbohydrates, fiber, ne srade wom ma aduan biara.
• Mma nnidi pii prɛko pɛ, di nkakrankakra na mpɛn pii.
• Bɔ mmɔden sɛ wubedi aduan bere koro mu da biara.

Nnipa binom a wɔwɔ nyinsɛn mu asikreyare betumi ama asikre dodow a ɛwɔ wɔn mogya mu no ayɛ nea ɛfata denam nsakrae nketenkete a wɔbɛyɛ wɔ wɔn aduan mu no so. Nanso ɛsɛ sɛ nnipa binom yɛ nsakrae akɛse. Nea ɛho hia ne sɛ bere a ebia nnuan bi rennya wɔn mogya mu asikre dodow so nkɛntɛnso kɛse wɔ nnipa binom fam no, ebia ɛnyɛ wo de. Kae sɛ ɛsono obiara, na ɛsono obiara nipadua.

So nsu a wɔnom ma asikre a ɛwɔ mogya mu no so tew wɔ nyinsɛn mu asikreyare mu?

Wɔ nyinsɛn mu, titiriw sɛ wowɔ nyinsɛn mu asikreyare a, wo nipadua hia nsu pii (hydration). Nanso, nhwehwɛmu biara nni hɔ a ɛkyerɛ sɛ nsu a wɔnom nkutoo ma asikre a ɛwɔ mogya mu no so tew tẽẽ.

Nanso, sɛ wokɔ so nya nsu a, ɛboa ma wo nipadua no hwɛ asikre dodow a ɛwɔ wo mogya mu no so. Ɛma wo mogya yɛ teateaa, na ɛma ɛyɛ mmerɛw sɛ w’asaabo beyi asikre a ɛboro so afi wo mogya mu. Nsu nso boa ma wo nipadua no de insulin di dwuma yiye, na ɛno nso boa ma asikre dodow a ɛwɔ mogya mu no so.

Ɔkwan bɛn so na wobɛteɛteɛ w’apɔw mu dwoodwoo bere a wowɔ nyinsɛn mu asikreyare no?

Sɛ woteɛteɛ w’apɔw mu a, wo nipadua de glucose pii di dwuma, na ebetumi ama asikre dodow a ɛwɔ wo mogya mu no so atew. Sɛ wowɔ nyinsɛn mu asikreyare a, wo ne wo duruyɛfo nkasa na ɔnyɛ apɔw-mu-teɛteɛ nhyehyɛe a ahobammɔ wom a ɛfata wo. Ɛsɛ sɛ apɔw-mu-teɛteɛ nhyehyɛe yi yɛ nea ɛfa w’akwahosan nyinaa ne w’apɔwmuden tebea ho pɔtee ansa na woanyinsɛn.

So wobetumi asa nyinsɛn mu asikreyare koraa bere a wɔyem no?

Asikreyare a ɛba wɔ nyinsɛn mu no, wontumi nsan n’akyi bere a anya nkɔso no. Wo duruyɛfo bɛhwɛ wo bere a woawo wo ba no awie (mpɛn pii no ɛyɛ adapɛn 6 kosi 12) ahwɛ sɛ woda so ara wɔ asikreyare anaa.

Ɛsɛ sɛ mehaw me ho dɛn wɔ nyinsɛn mu asikreyare ho?

Asikreyare a ɛba wɔ nyinsɛn mu yɛ tebea a ɛtaa ba. Na nnuruyɛfo nim sɛnea wobedi ho dwuma yiye na wɔasa. Sɛ wowɔ nyinsɛn mu asikreyare mpo a, wubetumi anya nyinsɛn a ɛfata na woanya akokoaa a ɔwɔ apɔwmuden. Ade a ɛho hia sen biara ne sɛ wobɛte wo ayaresa nhyehyɛe no ase na wo ne wo duruyɛfo ayɛ adwuma na ama asikre dodow a ɛwɔ wo mogya mu no akɔ so ayɛ yiye.

Te nsɛnnennen a ebetumi aba sɛ wɔanhyɛ Gestational Diabetes so ase. Hokwan pa wɔ hɔ sɛ wɔbɛwo wo ba no a ɔwɔ apɔwmuden, nanso ɛsɛ sɛ woyɛ nneɛma bi de di tebea yi so. Sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro bere nyinaa a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn.Ka kyerɛ no sɛ asikre a ɛwɔ wo mogya mu da so ara dɔɔso, enti obetumi aboa wo denam w’aduan anaa nnuru a wobɛsesa so. Asikreyare a ɛba wɔ nyinsɛn mu yɛ biribi a wobetumi adi ho dwuma, nanso ɛda so ara hia sɛ wugye wo nyinsɛn ne wo ba no akwahosan ho asodi to wo ho so.

So asikreyare a ɛba wɔ nyinsɛn mu no bɛyɛ yiye wɔ nyinsɛn akyi?

Sɛ wowo wo ba wie a, bere a wo hormone dodow san kɔ sɛnea ɛsɛ no, ɛsɛ sɛ asikre dodow a ɛwɔ wo mogya mu no so tew. Wo duruyɛfo bɛsan ahwɛ wo sɛ wowɔ nyinsɛn mu asikreyare bere a woawo wo ba no awie (mpɛn pii no ɛyɛ adapɛn 6 kosi 12) de ahwɛ sɛ ayera anaa.

Nanso, nnipa a wɔanya asikreyare wɔ nyinsɛn mu no mu bɛyɛ 50% benya asikreyare a ɛto so abien akyiri yi. Wubetumi atew asiane yi so denam aduan pa a wubedi na woateɛteɛ w’apɔw mu daa no so. Ebia wo duruyɛfo bɛpɛ sɛ wɔyɛ wo mogya mu glucose nhwehwɛmu mfe kakraa biara, titiriw sɛ wowɔ nneɛma afoforo a ɛde asikreyare ba a.

So asikreyare a obi nya wɔ nyinsɛn mu no ma ɛyɛ nyinsɛn a asiane wom kɛse?

Yiw, nyinsɛn mu asikreyare a wubenya no betumi ama wo nyinsɛn no ayɛ nea asiane kɛse wom. Oduruyɛfo bu nyinsɛn sɛ asiane kɛse wom bere a wowɔ akwahosan tebea horow a ɛma asiane a ɛwɔ hɔ sɛ nyinsɛn mu nsɛnnennen bɛba wo anaa wo ba (anaa n’abien nyinaa) no yɛ kɛse no.

Sɛ mewɔ nyinsɛn mu asikreyare a, so me ba no benya apɔwmuden?

Aane. Wɔwo nkokoaa dodow no ara a wɔwɔ apɔwmuden. Nneɛma bi wɔ hɔ a wubetumi ayɛ na ama wo ba no anya asetra mu mfiase a eye sen biara na woadi wo nyinsɛn mu asikreyare so bere a wonyinsɛn no. Nneɛma abien a eye sen biara a wubetumi ayɛ ne sɛ wobɛkɔ wo ayaresabea ahorow nyinaa na woadi wo asikreyare so sɛnea wubetumi biara bere a wonyinsɛn no.

So wobetumi asiw asikreyare a ɛba wɔ nyinsɛn mu ano?

Ɛrentumi nyɛ yiye sɛ wobesiw ano koraa. Nanso wubetumi ayɛ nneɛma bi de atew asiane a ɛwɔ hɔ no so. Aduan a ɛkari pɛ a ahoɔden wom a wubedi ne apɔw-mu-teɛteɛ daa , ansa na woanyinsɛn ne bere a woanyinsɛn no nyinaa ne akwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya asikreyare wɔ nyinsɛn mu no so.

Dɛn na metumi ayɛ na ama asikreyare a ɛwɔ nyinsɛn mu no asetra ayɛ mmerɛw?

Ma asikreyare a wɔde di dwuma no nyɛ wo da biara da dwumadi fã. Yɛ nhyehyɛe bi na di so. Sɔ nneɛma yi hwɛ:

• Hwɛ wo mogya mu glucose dodow bere koro mu da biara.
• Paw sɛ wobɛyɛ simma 30 apɔw-mu-teɛteɛ a emu nyɛ den nnansa dapɛn biara.
• Di kan yɛ nnuan nketenkete a ɛkari pɛ ho nhyehyɛe.
• Wo ne wo duruyɛfo anaa asikreyare ho ɔkyerɛkyerɛfo nkasa na woanya afotu pii wɔ asikreyare a wodi ho dwuma da biara da ho.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn sɛ mewɔ nyinsɛn mu asikreyare a?

Ɛmfa ho sɛnea wohwɛ yiye wɔ wo tebea no ho dwuma a wobedi ho no, ebia mmere bi wɔ hɔ a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn sɛ wowɔ ``(Gestational Diabetes)`` na wowɔ nea edidi so yi mu biara a:

• Sɛ ɛyɛ den ma wo sɛ wubedi asikre dodow a ɛwɔ wo mogya mu no so a. Ɛne sɛ, sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro bere nyinaa sen dodow a wo duruyɛfo de ama wo no a. Afei ebia ɔbɛpɛ sɛ ɔsesa wo asikreyare ano aduru ho nhyehyɛe no.
• Sɛ asikre a ɛwɔ wo mogya mu no sua bere nyinaa a. Asikre a ɛwɔ mogya mu a ɛba fam nyɛ ade pa. Wo duruyɛfo betumi ama wo nyansahyɛ ahorow a ɛfa sɛnea wobɛma asikre a ɛwɔ wo mogya mu akɔ so ayɛ nea ɛfata ho.
• Sɛ wowɔ yare bi a ɛma ɛyɛ den sɛ wubedi wo nhyehyɛe a wode bedi dwuma no akyi a. Sɛ nhwɛso no, sɛ aduan mu awuduru wɔ wo mu anaasɛ worefe esiane biribi foforo nti a. Sɛ wuntumi nnidi a, ebetumi aka asikre dodow a ɛwɔ wo mogya mu.

So wubetumi anya asikreyare wɔ nyinsɛn mu sɛ wudi aduan pa mpo a?

Aane. Sɛ wudi aduan pa ansa na woanyinsɛn anaa bere a worenyinsɛn mpo a, wubetumi anya asikreyare wɔ nyinsɛn mu. Nneɛma afoforo pii wɔ hɔ a ɛka asiane a ɛwɔ hɔ sɛ wubenya asikreyare no. Nneɛma te sɛ hormone ne awosu di dwuma kɛse, na ɛnonom yɛ nneɛma a wuntumi nyɛ ho hwee.

Nanso, sɛ wowɔ nyinsɛn mu asikreyare a, aduan pa a ahoɔden wom a wubedi ne ɔkwan a eye sen biara a wobɛfa so adi tebea yi ho dwuma wɔ wo nyinsɛn no nyinaa mu.

Wo duruyɛfo aka akyerɛ wo nkyɛe sɛ wo glucose nhwehwɛmu no antumi anyɛ yiye na wowɔ nyinsɛn mu asikreyare. Ebia woresusuw nneɛma ɔpepem biako ho. ‘So eyi yɛ biribi a meyɛe? So ɛsɛ sɛ mede me nsateaa hyɛ m’anom bere a manyinsɛn no nyinaa? So me ba no benya apɔwmuden?’ Saa nsemmisa yi (ne nea ɛkeka ho) abu so. Nea eye ne sɛ, nnuruyɛfo nim asikreyare a ɛba wɔ nyinsɛn mu yiye na wonim sɛnea wɔbɛboa wo ma woadi ho dwuma.

Nnipa dodow no ara betumi adi wɔn nyinsɛn mu asikreyare no so denam nsakrae nketenkete a wɔbɛyɛ wɔ wɔn aduan mu no so. Aduan ho ɔbenfo anaa asikreyare ho ɔkyerɛkyerɛfo betumi aboa wo wɔ eyi mu. Nanso, nnipa binom hia insulin na ama asikre a ɛwɔ wɔn mogya mu no ayɛ kɛse. Mpɛn pii no, asikreyare a ɛwɔ nyinsɛn mu a wodi so yiye no rennya wo nyinsɛn no so nkɛntɛnso kɛse. Nanso, ɛsɛ sɛ wudi dwuma denneennen wɔ wo tebea no sohwɛ mu na ama wo nyinsɛn no ne wo ba no anya akwahosan pa.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Okay, enti ɛfiri deɛ yɛaka ho asɛm no mu no, mewɔ anidasoɔ sɛ woanya adwene pa wɔ `(Gestational Diabetes)` ho. Ɛho nhia sɛ wohaw wo ho. Eyi yɛ biribi a ɛto ɛnanom pii. Ade a ɛho hia sen biara ne sɛ:

• Tie nea oduruyɛfo no ka no yiye na di akyi pɛpɛɛpɛ. Hwɛ asikre dodow a ɛwɔ wo mogya mu daa, hwɛ w’aduan so, na sɛ ɛho hia a, nom w’aduru no yiye.
• Di aduan a ahoɔden wom. Di aduannuru ho ɔbenfo afotu akyi. Tew nnuan a ɛyɛ dɛ ne srade so sɛnea wubetumi biara.
• Apɔw-mu-teɛteɛ sɛnea wubetumi biara.Fa wo duruyɛfo afotu na paw apɔw-mu-teɛteɛ a ɛfata wo.
• Mma wo ayaresabea nna no nmpa wo ti so. Kɔ sɔhwɛ ahorow no nyinaa mu daa.
• Sɛ wowɔ nsɛmmisa anaa biribi a ɛhaw wo a, wo ne wo duruyɛfo anaa w’abusua muni bi nkasa. Mma wo nkutoo nhaw wo.

Sɛ woyɛ saa nneɛma yi yiye a, wo nso wubenya akokoaa a ɔwɔ apɔwmuden na ne ho yɛ fɛ. Mma w’adwene mu nyɛ wo naa wɔ ho. Yɛma wo akwaaba!

` Nyinsɛn mu Asikreyare, Nyinsɛn mu Asikreyare, Asikre a ɛwɔ nyinsɛn mu, Ɛna a onyinsɛn, Asikreyare ano aduru, Akokoaa akwahosan, Mogya mu asikre