So wo duruyɛfo akyerɛw wo nnuru a wɔde sa Asikreyare a Ɛto so Abien? Sɛ saa a, ebia wɔkyerɛw wo nnuru abien a wɔaka abom, Glyburide ne Metformin. Ɛho hia sɛ wuhu nnuru yi ho asɛm bere a wo ne asikreyare te no. Enti ɛnnɛ, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw koraa so a wubetumi ate ase.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a wɔaka abom. Sɛ wɔka saa abien yi bom a, ɛboa ma wohwɛ asikre dodow a ɛwɔ wo nipadua mu no so. Afei ma yɛnhwɛ sɛnea ɛno yɛ adwuma.
- Glyburide: Saa aduru yi yɛ adwuma denam wo dwensɔtwaa a ɛma ɛyɛ den kakra no so. Ɛne sɛ, ɛkyerɛ dwensɔtwaa no ma ɛyɛ insulin a nipadua no hia no pii kakra.
- Metformin: Saa aduru yi boa wo nipadua mu nkwammoaa ma wɔde insulin a wo dwensɔtwaa yɛ no di dwuma de boa nkwammoaa no ma wɔtwe asikre (glucose) a ɛboro so fi wo mogya mu.
Enti esiane eyinom abien no nyinaa nti, asikre dodow a ɛwɔ wo mogya mu no so tew.
Nanso kae eyi: Aduru yi nkutoo nnɔɔso! Sɛ wubetumi adi asikreyare so yiye a, ɛsɛ sɛ wudi aduan a ɛfata nso akyi na woteɛteɛ w’apɔw mu da biara da.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wubefi saa aduru yi ase no, ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa sɛ wowɔ tebea anaa suban ahorow a edidi so yi mu biara a, efisɛ sɛ wode aduru yi ne saa nneɛma yi di dwuma a, ebetumi ayɛ asiane.
| Sɛ wowɔ saa tebea horow yi a, ka kyerɛ wo duruyɛfo. |
|---|
| Mogya a ɛtɔ kɔ nipadua mu |
| Nsu a ɛho ntew anaasɛ ɔfe a ɛkɔ so daa |
| Sɛ woanya asikreyare ketoacidosis pɛn a |
| Asaabo mu yare anaa mmerɛbo mu yare |
| Koma mu yare |
| Su a ɛne sɛ ɔbɛnom nsa daa |
| Polycystic ovary syndrome (PCOS) a ɛma obi nya awotwaa mu ntini pii (PCOS) . |
| Thyroid nyarewa ahorow |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a |
| Sɛ woyɛ ɛna a ɔma nufu a |
| Sɛ wo ho yɛ wo hyew wɔ sulfa nnuru anaa nnuru anaa aduan foforo biara ho a |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
- Mene tablet no ne nsu kuruwa biako ne aduan . Mfa yafunu a hwee nni mu.
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara , sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
- Mfa dodow a ɛboro dodow a wo duruyɛfo akyerɛ wo no da.
- Sɛ woadi boro mfe 65 a, ebia wubehia dodow a ɛba fam. Wo duruyɛfo betu wo fo wɔ eyi ho.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ esiane biribiara nti.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wowɔ adwenem naayɛ bi sɛ woanom aduru yi dodo a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Wɔakyerɛw saa aduru yi ama wo nkutoo. Wɔde ama wo a egyina w’ayaresa tebea so. Enti, nkyɛ w’aduru no nkyerɛ obi foforo da.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Nneɛma pii wɔ hɔ a ɛsɛ sɛ wohwɛ yiye bere a wode aduru yi redi dwuma no.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa:Kɔ wo duruyɛfo nkyɛn wɔ mmere a wɔahyɛ no mu na kɔhwɛ wo ho. Ɔbɛka akyerɛ wo sɛ yɛ wo HbA1C mogya mu nhwehwɛmu asram 3 kosi 6 biara. HbA1C yɛ nhwehwɛmu a ɛnyɛ den a ɛkyerɛ sɛnea wɔadi wo mogya mu asikre dodow so yiye wɔ asram 2-3 a atwam no mu.
- Hypoglycemia: Eyi ne ade a ɛho hia sen biara. Hu asikre a ɛba mogya mu ho sɛnkyerɛnne (wosow, fifiri a ɛboro so, te nka sɛ ne ho nyɛ no den, adwenemhaw, koma bɔ ntɛmntɛm, adwene a ɛyɛ basaa). Fa biribi te sɛ asikre, ahwiesa, anaa glucose aduru bi sie baabi a ɛbɛn wo bere nyinaa na wode adi dwuma wɔ tebea horow a ɛtete saa mu. Kae sɛ, sɛ asikre a ɛwɔ wo mogya mu no so tew dodo na wo ho yɛ wo yaw anaasɛ w’adwene mu yɛ wo naa a, ɛnyɛ papa sɛ wode biribiara bɛhyɛ w’anom saa bere no, efisɛ ebetumi ama woabɔ wo mu. Ɛsɛ sɛ wohwehwɛ nnuruyɛfo mmoa ntɛm ara.
- Adidi ne Nsã: Mma ntwa adidi so da. Wo ne wo duruyɛfo nkasa fa nsa a wobɛnom ho. Ebia asikre anaa nsa wɔ ɔfe ne atiridii nnuru bi mu. Wobetumi aka asikre dodow a ɛwɔ wo mogya mu, enti bisa wo duruyɛfo ansa na woanom.
- Nyinsɛn ne awo ano aduru: Saa aduru yi betumi ama mmea binom (titiriw wɔn a wɔn nna nkɔ so daa) afi ase ayɛ ovulation bio. Eyi betumi ama hokwan a wowɔ sɛ wubenyinsɛn no ayɛ kɛse. Ɛnsɛ sɛ wonom saa aduru yi sɛ woanyinsɛn anaa worebɔ mmɔden sɛ wubenyinsɛn a. Enti, wo ne wo duruyɛfo nkasa fa akwan a ɛsɛ sɛ wode siw awo ano a ɛsɛ sɛ wode di dwuma bere a worenom aduru yi ho.
- Oprehyɛn ne nhwehwɛmu: Sɛ wobɛyɛ oprehyɛn, MRI, anaa CT scan a, hwɛ hu sɛ wobɛka akyerɛ nnuruyɛfo kuw no sɛ worenom aduru yi. Ebia ɛho behia sɛ wugyae nnuru no nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
- Hwɛ yie wɔ owia ho: Ebia saa aduru yi bɛma nnipa binom ayɛ mmerɛw wɔ owia ho. Enti hwɛ yiye wɔ owia hann a ano yɛ den ho. Sɛ worekɔ owia mu a, hyɛ ntade a ɛkata wo honam ani na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw ahorow. Nanso, ɛnyɛ obiara na onya bi. Hwɛ yare no ho sɛnkyerɛnne a ɛwɔ ase ha no yiye.
| Nsunsuanso bɔne | Mpopoeɛ |
|---|---|
| Nneɛma a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon |
| Lactic Acidosis a ɛwɔ nipadua no mu | Ntini mu yaw anaasɛ ɛyɛ den, yafunu mu yaw, ahome a ɛyɛ den, ɔbrɛ a ɛtra so |
| Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia) . | Wosow, fifiri a ɛboro so, awɔw a wɔte nka, adwene a ɛyɛ basaa, adwenemhaw, koma a ɛbɔ ntɛmntɛm |
| mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu | Ɔbrɛ a ɛyɛ soronko, mmerɛwyɛ, adwenemhaw, tiyɛ, ɔhome a ɛyɛ den, nsu a ɛyɛ tumm, honam ani anaa aniwa a ɛyɛ kɔkɔɔ |
| Vitamin B12 a enni nipadua mu | Nsa ne anan mu ɛyaw, akisikuru, ntini a ɛyɛ mmerɛw, adwenemhaw, adwene a ɛyɛ basaa |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Yafunu mu yaw | Ɔhohoro, akisikuru, yafunu mu yaw, akisikuru |
| Foforɔ | Tiyɛ, dade dɛ a ɛwɔ anom |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛwom sɛ saa aduru yi boa ma wodi asikreyare so de, nanso aduan pa ne apɔw-mu-teɛteɛ ho hia.
- Fa aduru no ka aduan ho bere nyinaa . Mfa yafunu a hwee nni mu.
- Hwɛ hu sɛ wobɛka nnuru afoforo a wonom nyinaa ne ayaresa tebea biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
- Hu asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne ahorow na fa biribi a asikre wom si hɔ bere nyinaa.
- Sɛ wususuw sɛ woanom boro so a , kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa mma obi foforo da.
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