Glucose Tolerance Test During Pregnancy: Nsuro, momma yɛnka eyi ho asɛm!

So woanyinsɛn bɛyɛ adapɛn 24 anaa 28? Afei ebia wo duruyɛfo no aka akyerɛ wo sɛ wɔnyɛ ‘ asikre nhwehwɛmu’. Ɛnanom pii te ehu ne dadwen nka kakra bere a wɔte eyi no. Nsɛmmisa te sɛ "So menya asikreyare ?", "So sɔhwɛ yi yɛ den?", "So biribi bɛto akokoaa no?" bra w’adwene mu. Nanso biribiara nni hɔ a ɛsɛ sɛ yesuro ankasa. Eyi yɛ sɔhwɛ a wɔtaa yɛ bere a wɔyem no . Momma yɛnka biribiara ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na emu da hɔ so nnɛ.

Dɛn nti na asikre ho sɔhwɛ yi ho hia saa?

Wɔ nyinsɛn mu no, yɛn nipadua mu nkwaadɔm mu nkwaadɔm no sesa pii. Esiane nsakrae yi nti, ɛtɔ mmere bi a ɛbɛyɛ den ama yɛn nipadua sɛ ɛbɛhwɛ asikre (glucose) dodow a ɛwɔ yɛn mogya mu no so. Afei asikre dodow a ɛwɔ mogya mu no betumi akɔ soro asen sɛnea ɛho hia. Wɔfrɛ saa tebea yi asikreyare a ɛba wɔ nyinsɛn mu .

Eyi yɛ tebea a ɛtaa ba a ebetumi aka mmea a wɔyem bɛyɛ 10%. Nanso, sɛ wɔanhu na wɔanhwɛ so yiye a, ebetumi de ɔhaw aba wo ne wo ba no nyinaa so. Ɛno nti na wɔyɛ asikre ho sɔhwɛ yi de hu tebea yi ntɛm no.

Saa sɔhwɛ ahorow yi ahorow abien na ɛwɔ hɔ.

Saa mogya mu asikre nhwehwɛmu a wo duruyɛfo ka kyerɛ wo sɛ yɛ yi betumi ayɛ anammɔn abien ankasa. Ɛnyɛ obiara na ɛsɛ sɛ ɔkɔ anammɔn a ɛto so abien no so.

1. Sɔhwɛ a edi kan (Glucose Challenge Test): Eyi te sɛ sɔhwɛ. Wɔyɛ no de hwɛ sɛ ebia wowɔ asiane mu sɛ wubenya asikreyare a ɛwɔ nyinsɛn mu anaa . Eyi yɛ sɔhwɛ a wɔde hwehwɛ nneɛma mu .

2. Sɔhwɛ a ɛtɔ so mmienu (Oral Glucose Tolerance Test - OGTT): Sɛ sɔhwɛ a ɛdi kan no mu aba no nyɛ nea ɛfata nkutoo a, wɔyɛ sɔhwɛ a ɛtɔ so mmienu yi. Eyi ne nea ɛkyerɛ sɛ ebia wowɔ nyinsɛn mu asikreyare anaasɛ wunnya bi.

Sɛ yɛbɛka no tiawa a, sɛ nea edi kan no ma adwenem naayɛ sɔre a, nea ɛto so abien no si saa adwenem naayɛ no so dua.

Bere bɛn na wɔtaa yɛ sɔhwɛ yi?

Wɔtaa yɛ asikre a ɛwɔ mogya mu nhwehwɛmu a edi kan yi wɔ nyinsɛn no adapɛn 24 kosi 28 ntam . Nanso, sɛ wowɔ asiane ahorow a edidi so yi mu biara a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yɛ nhwehwɛmu yi ntɛm.

• Sɛ na wowɔ asikreyare wɔ nyinsɛn bi a atwam mu a.
• Sɛ obi wɔ w’abusua mu (ɛna, agya, anuanom) wɔ asikreyare a.
• Sɛ wo mu duru boro so ( obese ).
• Sɛ woadi boro mfe 35 a.
• Sɛ wowɔ mogya mmoroso a .
• Sɛ wowɔ aduruyɛ mu tebea foforo te sɛ PCOS ( Polycystic Ovary Syndrome ).
• Sɛ nhwehwɛmu a wɔyɛ no daa hu asikre wɔ wo nsu mu a.

Ɔkwan bɛn so na wosiesie wo ho ma sɔhwɛ no ne ɔkwan a wɔfa so yɛ?

Ɔkwan a wɔfa so siesie wɔn ho ma sɔhwɛ abien yi yɛ soronko kakra.

Sɔhwɛ a edi kan (dɔnhwerew biako sɔhwɛ) .

Eyi nhia ahosiesie pii. Wubetumi adidi sɛnea ɛsɛ. Nanso, nnuruyɛfo taa tu fo sɛ ɛnsɛ sɛ wodi nnuan a ɛyɛ dɛ pii (sɛ nhwɛso no, keeki, donuts, anonne a asikre wom) anɔpa ansa na wɔayɛ nhwehwɛmu no, efisɛ eyi betumi aka nea ebefi mu aba no.

Sɛnea wɔyɛ no:

1. Sɛ wokɔ lab a, wɔbɛma wo anonne a ɛyɛ dɛ (Glucola) a glucose gram 50 wom. Ɛsɛ sɛ wonom eyi ntɛm wɔ simma 5 ntam.

2. Bere a woanom dɔnhwerew biako pɛpɛɛpɛ no, wobeyi mogya kakra afi ntini bi a ɛwɔ wo nsa mu no mu.

3. Worentumi nnidi anaa nnom biribi foforo biara wɔ dɔnhwerew yi mu. Ɛnyɛ hwee sɛ wobɛnom nsu kakra.

Sɔhwɛ kɛse a ɛto so abien (OGTT a ɛyɛ nnɔnhwerew abiɛsa) .

Sɛ nea efi nea edi kan no mu ba no nyɛ nea ɛfata nkutoo a, na wɔyɛ eyi. Eyi hwehwɛ sɛ wosiesie wɔn ho yiye.

Sɛnea wosiesie wo ho:

• Ɛsɛ sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
• Mpɛn pii no, wɔka kyerɛ wo sɛ mmuada nnɔnhwerew 8-12 ansa na wɔayɛ sɔhwɛ no. Ɛno kyerɛ sɛ wuntumi nnidi anaa nnom biribiara wɔ anadwo nnɔn du akyi kosi sɛ sɔhwɛ no bɛba awiei anɔpa. Ɛnyɛ hwee sɛ wobɛnom nsu kakra.
• Ɛyɛ papa sɛ wubedi kan ayɛ sɔhwɛ yi anɔpa.

Sɛnea wɔyɛ no:

1. Sɛ wokɔ lab a, wobedi kan agye mogya de ahwɛ wo mogya mu asikre dodow a ɛwɔ mmuadadi mu .

2. Afei, wɔbɛma wo anonne a ɛyɛ dɛ a glucose gram 100 wom.

3. Wɔsan fa mogya dɔnhwerew biako, nnɔnhwerew abien, ne nnɔnhwerew abiɛsa bere a wɔanom no akyi. Ɛno kyerɛ sɛ sɛ wɔka ne nyinaa bom a, wɔfa mogya 4.

4. Ɛsɛ sɛ wotra lab no mu nnɔnhwerew abiɛsa yi. Enti sɛ wode biribi te sɛ nhoma ba a, worenfono wo. Wo nso wuntumi nnidi wɔ saa bere yi mu. Wubetumi anom nsu bi.

Ebia nnipa binom bɛte nka sɛ wɔn ho ayɛ wɔn yaw kakra anaasɛ wɔn adwenem yɛ wɔn naa bere a wɔanom nsu a asikre wom yi awie no, nanso ɛno yɛ ade a ɛfata.

Ɔkwan bɛn so na yɛbɛte nea efi mu ba no ase?

Wo duruyɛfo bɛkyerɛkyerɛ nea ebefi mu aba no mu akyerɛ wo bere a woanya bi no, nanso eye sɛ wubehu nea gyinapɛn ahorow a ɛfata no yɛ.

Sɛ saa gyinapɛn ahorow yi mu abien anaa nea ɛboro saa boro nea ɛfata so wɔ nnɔnhwerew abiɛsa nhwehwɛmu no mu a, wo duruyɛfo no besi so dua sɛ wowɔ nyinsɛn mu asikreyare.

Sɛ wɔka kyerɛ wo sɛ wowɔ asikreyare a, dɛn na woyɛ?

Nha wo ho. Eyi yɛ tebea a wotumi di ho dwuma. Wo duruyɛfo bɛboa wo. Mpɛn pii no, ɛho behia sɛ:

• Aduane a wodi so: Ɛsɛ sɛ wotew nnuan a ɛyɛ dɛ ne nea starch wom so na wosua aduan a ɛkari pɛ.
• Apɔw-mu-teɛteɛ: Wubetumi ayɛ apɔw-mu-teɛteɛ a ɛnyɛ den a ɛfata wo, sɛnea wo duruyɛfo kamfo kyerɛ no.
• Wo mogya mu asikre dodow a wobɛhwɛ daa: Wɔbɛma wo afiri ketewaa bi (mogya mu glucose meter) a ɛma wutumi hwɛ wo mogya mu asikre dodow wɔ fie.
• Nnuru: Ɛtɔ mmere bi a, sɛ aduan ne apɔw-mu-teɛteɛ nkutoo nnɔɔso sɛ ɛbɛma asikre a ɛwɔ mogya mu no asiw ano a, ebia ebehia sɛ wonom insulin a wɔde twitwiw wo.

Sɛ wɔanyɛ sɔhwɛ yi a, dɛn na ɛba?

Wowɔ hokwan sɛ wopow nhwehwɛmu yi, nanso nnuruyɛfo nkamfo nkyerɛ koraa. Efisɛ sɛ wɔantumi anhyɛ nyinsɛn mu asikreyare so a, asiane ahorow bi betumi aba wo ne wo ba no so.

• Asiane ahorow a ebia wubehyia: Mogya mmoroso (preeclampsia), asiane a ɛkɔ soro sɛ ɛsɛ sɛ woyɛ oprehyɛn oprehyɛn.
• Asiane a ɛwɔ akokoaa no so: Ne mu duru a ɛkɔ soro dodo, asikre a ɛwɔ mogya mu a ɛba fam (hypoglycemia) bere a wɔawo no, na asiane a ɛwɔ hɔ sɛ obenya asikreyare daakye no yɛ kɛse.

Enti, te ase sɛ eyi yɛ sɔhwɛ a ɛho hia a ɛbɛma wo ne wo ba a ɔhyɛ yafunu mu no ahobammɔ aba.