So asikre pii wɔ wo nsu mu? (Glycosuria) .

So woasusuw pɛn sɛ wo nsu , kyerɛ sɛ, nsu, betumi ama woanya ɔhaw ahorow bi a ɛwɔ wo nipadua mu ho nsɛnkyerɛnne? Yiw, ɛyɛ nokware. Ɛtɔ da bi a, a yennim no, nsakrae ahorow ba yɛn nipadua mu. Ade biako a ɛte saa ne asikre dodow, kyerɛ sɛ, glucose dodow, a ɛwɔ nsu mu, a ɛboro so sen sɛnea ɛte daa. Eyi ne nea yɛfrɛ no wɔ aduruyɛ mu glycosuria . Sɛ wote saa din yi a, mma wo ho nnyɛ wo hu dodo. Ɛnnɛ, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛnyɛ den so a wubetumi ate ase.

Dɛn ne glycosuria?

Sɛ yɛbɛka no tiawa a, glycosuria yɛ bere a asikre (glucose) pii wɔ wo nsu mu sen sɛnea ɛte daa no. Ɛyɛ ade a ɛfata sɛ asikre kakraa bi bɛba wo nsu mu. Nanso, sɛ nsu mu nhwehwɛmu kyerɛ sɛ asikre dodow boro miligram 0.25 wɔ mililita biara mu (0.25 mg/ml) a, ɛnde ɛno yɛ tebea a wɔfrɛ no glycosuria.

Ɛtɔ mmere bi a eyi betumi ayɛ tebea bi a wɔfrɛ no hyperglycemia , a ɛyɛ asikre a ɛdɔɔso wɔ mogya mu no ho sɛnkyerɛnne. Nanso, ebetumi aba nnipa a wɔn mogya mu asikre dodow a ɛfata anaasɛ ɛba fam nso so. Sɛ nhwɛso no, sɛ w’asaabo ntumi yiyi nneɛma a wɔsɛe no yiye a, ebia wubenya glycosuria.

Dɛn ne glycosuria ho sɛnkyerɛnne ahorow?

Ɛnyɛ obiara na ɔwɔ tebea yi ho sɛnkyerɛnne a ɛda adi pefee. Ebia wowɔ bi mfe pii na wunnim mpo. Nanso, bere kɔ so no, sɛ wɔansa a, nea edidi so yi betumi asi:

Nsɛnkyerɛnne a ɛtaa ba

• Sukɔm anaa ɔkɔm a ɛtra so: So sukɔm de wo bere nyinaa? So wote nka sɛ wunnya nsu a ɛdɔɔso ɛmfa ho sɛnea wobɛnom no? Anaasɛ sɛ ɔkɔm de wo, na woda so ara te ɔkɔm nka bere a woadi awie a, ɛno nso betumi ayɛ tebea yi ho sɛnkyerɛnne.
• Nsu a ɛtɔ: Nipadua no betumi ahwere nsu pii na nsu atɔ nipadua no mu.
• Nsu a wobɛtow mpɛn pii sen sɛnea wotaa yɛ: Sɛ wote nka sɛ ɛho hia sɛ wototo wo ho mpɛn pii a, ɛno nso yɛ biribi a ɛsɛ sɛ wohwehwɛ mu.

Nsɛnkyerɛnne a ɛde asikreyare ba

Sɛ glycosuria yɛ tebea bi te sɛ Asikreyare a Ɛto so 2 ho sɛnkyerɛnne a, ebia wubenya nea edidi so yi:

• Ɔbrɛ: Sɛ wote nka bere nyinaa sɛ woabrɛ anaasɛ woda a ntease biara nnim a.
• Wo mu duru a wɔtew so a wontumi nkyerɛkyerɛ mu: Sɛ wo mu duru so tew mpofirim a wonsakra w’adidi su a.
• Anisoadehu sesa: Ebia w’aniso yɛ mmerɛw kakra.
• Honam ani kɔla a ɛsakra wɔ baabi a honam ani hyia honam ani: Sɛ honam ani yɛ tuntum anaa bruu wɔ mmeae te sɛ abasa, nsateaa a ɛwɔ mu, ne kɔn mu mpopaho a.
• Akuru gye bere tenten ansa na ayɛ yiye: Kuru ketewaa anaa akuturuku mpo gye bere tenten ansa na ayɛ yiye.

Dɛn ne nneɛma a ɛde glycosuria ba?

Nneɛma atitiriw abiɛsa nti na ɛte saa:

Nneɛma atitiriw a enti ɛte saa

1. Wo nipadua no nnyɛ insulin anaasɛ mfa nni dwuma yiye: Insulin yɛ hormone a ɛboa ma asikre a ɛwɔ yɛn nipadua mu no so. Sɛ ɔhaw bi wɔ eyi ho a, asikre a ɛwɔ mogya no mu no kɔ soro na asikre nso tumi fi nsu mu.

2. Asikre pii a wubenya ama wo nipadua no adi ho dwuma prɛko pɛ: Ɛtɔ mmere bi a, sɛ yedi aduan a asikre wom pii prɛko pɛ a, yɛn nipadua no ntumi nni ne nyinaa ho dwuma.

3. Wowɔ asaabo mu yare: Sɛ ɔhaw bi wɔ asaabo no a ɛsan twetwe asikre san kɔ nipadua no mu a, asikre no bɛkɔ nsu no mu.

Ayaresa mu tebea horow bi a ɛde glycosuria ba

Titiriw no, nnipa a wɔwɔ ayaresa tebea horow a edidi so yi betumi anya glycosuria:

• Asikreyare a Ɛto so 1 ne Ɔkwan a Ɛto so 2: Wɔ tebea horow yi mu no, wo dwensɔtwaa no ntumi nyɛ insulin a ɛdɔɔso, anaasɛ wo nipadua no ntumi nyɛ insulin ho adwuma yiye.
• Nyinsɛn mu Asikreyare: Nnipa binom nya asikre dodow a ɛkɔ soro wɔ mogya mu (hyperglycemia) bere a wɔyem no. Eyi betumi ama obi anya asikreyare a ɛto so 1 ne 2, ne glycosuria nso.
• Fanconi Syndrome: Wɔ tebea yi mu no, ɛyɛ den ma w’asaabo sɛ ɛbɛsan agye nneɛma bi te sɛ potassium, phosphorus, ne glucose akɔ wo nipadua mu. Mmom no, saa nneɛma yi fi wo nsu mu.
• Renal Glycosuria: Eyi yɛ tebea a wonya fi awo mu. Wɔ tebea yi mu no, glucose fi nsu mu ɛmfa ho mpo sɛ asikre dodow a ɛwɔ wo mogya mu no yɛ nea ɛfata de. Saa tebea yi betumi aba sɛ awosu mu nsakrae ahorow bi ma asaabo no mu sintɔ ba, titiriw nea ɛka asaabo no mu ntini ahorow no dwumadi a.

Susuw ho hwɛ, ɛtɔ mmere bi a yedi nnuan ne anonne a ɛyɛ dɛ pii wɔ apontow ase, ɛnte saa? Wɔ mmere a ɛtete saa mu no, asikre dodow a ɛwɔ nsu mu no betumi akɔ soro bere tiaa bi. Wɔfrɛ eyi aduan mu glycosuria . Sɛ wunni yare foforo biara a ɛka asikre dodow a ɛwɔ mogya no mu a, eyi bɛsan ayɛ nea ɛfata wɔ nnɔnhwerew kakraa bi mu. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Ɔkwan bɛn so na wohu sɛ obi anya glycosuria?

Nnuruyɛfo fa akwan horow pii so hu saa tebea yi:

• Nsu mu nhwehwɛmu: Eyi hwehwɛ sɛ wogye nsu bi fi wo hɔ na wode kɔ baabi a wɔyɛ nhwehwɛmu. Wɔde sɔhwɛ krataa bi hyɛ nhwɛsode no mu na wɔsusuw asikre dodow a ɛwɔ wo nsu mu. Ɛyɛ mmerɛw yiye.
• Mogya mu glucose nhwehwɛmu: Oduruyɛfo bi bɛfa wo mogya bi na ɔde akɔma lab. Eyi bɛboa wo ma woahu sɛ ebia asikre a ɛwɔ wo mogya mu (hyperglycemia) ka glycosuria ho anaa.
• A1C sɔhwɛ: Saa nhwehwɛmu yi nso de mogya ketewaa bi a efi wo nsateaa mu anaa mogya ketewaa bi a efi ntini bi mu di dwuma. Saa nhwehwɛmu yi kyerɛ sɛ wɔkyekyem pɛpɛɛpɛ a, asikre dodow a ɛwɔ wo mogya mu wɔ asram abiɛsa a atwam no mu.

Ɔkwan bɛn so na wɔsa glycosuria?

Ayaresa no gyina nea ɛde tebea no ba so. Sɛ wɔsa tebea a ɛde ba no wie a, ɛsɛ sɛ asikre dodow a ɛwɔ wo nsu mu no san kɔ sɛnea na ɛte kan no.

Ɛdenam wo tebea so no, wo duruyɛfo betumi akamfo nea edidi so yi mu biako anaa nea ɛboro saa akyerɛ wo:

• Di nhabannuru ne aburow a wɔayam pii: Fiber a wɔde ma no boa ma asikre a ɛwɔ mogya mu no so.
• Nya apɔw-mu-teɛteɛ pii: Ɛyɛ papa sɛ wobɛteɛteɛ w’apɔw mu kakra da biara.
• Nnuru a ɛte sɛ metformin: Eyinom yɛ nnuru a wɔde sa asikreyare. Ebia woate wɔn ho asɛm wɔ brand din te sɛ Glucophage®, Glumetza® ase.
• Insulin: Ɛsɛ sɛ asikreyarefo binom fa insulin a wɔde twitwiw wɔn.
• Nnuru foforɔ: Nnuru foforɔ nso wɔ hɔ te sɛ `Dulaglutide (Trulicity®)` anaa `Semaglutide (Ozempic®)`.

Sɛ mewɔ glycosuria a, dɛn na ɛba?

Sɛ wudi ayaresa nhyehyɛe no akyi sɛnea wo duruyɛfo kamfo kyerɛ no a, wubetumi ahwɛ kwan sɛ wo tebea no bɛkɔ anim. Nokwarem no, glycosuria dodow no ara befi hɔ koraa bere a wɔasa tebea a ɛde ba no. Wo ne wo duruyɛfo nkasa mfa ayaresa nhyehyɛe a ɛfata wo ho.

Ɛtɔ mmere bi a, sɛ wowɔ glycosuria a wunni akwahosan tebea titiriw biara a ɛhyɛ wo ase a, ebia ɛho renhia sɛ woyɛ biribiara. Nanso, sɛ wunya yare no ho sɛnkyerɛnne foforo biara a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn.

So wobetumi asiw glycosuria ano?

Ɛnyɛ bere nyinaa na wobetumi asiw eyi ano, titiriw bere a awosu mu tebea horow na ɛde ba no. Nanso, sɛ wowɔ glycosuria esiane Asikreyare a Ɛto so Abien anaa Nyinsɛn mu Asikreyare nti a, nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so. Sɛ wo ne wo duruyɛfo nya akwan a wobɛfa so adi tebea a ɛde ba no so pɛ a, ɛsɛ sɛ asikre dodow a ɛwɔ wo nsu mu no san kɔ sɛnea na ɛte kan no.

Aduan bɛn na ɛsɛ sɛ yedi?

Saa nnuan yi remma asikre dodow a ɛwɔ wo mogya mu no nkɔ soro na ebetumi aboa ma asiane a ɛwɔ hɔ sɛ wubenya glycosuria no so atew:

• Nhaban momono: Nneɛma te sɛ spinach, kale, ne collard greens.
• Yogurt a ɛnyɛ den a ɛnyɛ dɛ.
• Oats a wɔde dade atwitwa.
• Carbs a wɔde aburow ayɛ: Nneɛma te sɛ aburow a ɛyɛ bruu, oatmeal, paanoo a wɔde aburow ayɛ, ne pasta.

Nneɛma bɛn na ɛsɛ sɛ yɛkwati sɛ yebedi?

Sɛ asikre dodow a ɛwɔ wo mogya mu ne glycosuria a, ɛbɛyɛ papa sɛ wobɛto nnuan ne anonne a edidi so yi ano hye:

• Carbohydrates fitaa te sɛ paanoo fitaa, aburow fitaa, ne pasta fitaa.
• Nnuaba a ayow: Asikre pii wɔ eyinom mu.
• Nnuan a wɔayɛ: Nneɛma te sɛ anɔpaduan mu aburow a wɔde aduru a ɛyɛ dɛ ayɛ ne nnuan a wɔde ahyɛ mu.
• Nam a wɔayɛ ho adwuma: Nneɛma te sɛ ham, bacon, soseji.
• Nnuan a asikre pii wom: Nnuan a ɛyɛ dɛ te sɛ keeki, bisket, ne ahwiesa.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wote nka sɛ biribi te sɛ eyi a, ka kyerɛ oduruyɛfo:

• Glycosuria ho sɛnkyerɛnne te sɛ ɔbrɛ, sukɔm a ɛboro so, ne nsu a wɔtaa tow no ba.
• Sɛ wowɔ asikreyare na wuhu nsakrae mpofirim wɔ wo sɛnkyerɛnne ahorow mu a.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Ɛnyɛ bere nyinaa na glycosuria ho sɛnkyerɛnne ahorow no da adi. Na ɛrentumi nyɛ yiye sɛ wubehu asikre dodow pɔtee a ɛwɔ wo nsu mu a wonyɛ wo nsu mu nhwehwɛmu. Nanso, ɛnyɛ den sɛ wobehu asikre a ɛdɔɔso wɔ mogya mu (hyperglycemia) ho sɛnkyerɛnne. Na wobetumi akyerɛ ɔhaw a emu yɛ den kɛse .

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, frɛ 1990 ntɛm ara anaa kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu:

• Sɛ wo mogya mu glucose dodow boro 250 mg/dL a. (Wubetumi atɔ afiri a wɔde hwɛ mogya mu srade wɔ nnurutɔnbea biara.)
• Sɛ wowɔ yafunu mu yaw a emu yɛ den a.
• Sɛ wowɔ ɔhaw sɛ wobɛda hɔ a.
• Sɛ honam ani yɛ kusuu a.
• Sɛ koma no bɔ ntɛmntɛm a.
• Sɛ ɔhome yɛ ntɛmntɛm a.

So ɛyɛ ade a ɛfata sɛ nnipa a wɔwɔ asikreyare benya glycosuria?

Glycosuria betumi ayɛ asikreyare a wɔansa anaasɛ wontumi nni so yiye ho sɛnkyerɛnne. Nanso, sɛ wunya ɔkwan bi a wobɛfa so ahwɛ asikre dodow a ɛwɔ wo mogya mu so pɛ a, ɛsɛ sɛ glycosuria ho sɛnkyerɛnne no fi hɔ.

Wɔ n’ankasa mu no, glycosuria nyɛ biribi a ɛsɛ sɛ ɛhaw adwene wɔ ho. Nanso, sɛ ɛba ka asikre a ɛdɔɔso wɔ mogya mu ho a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wowɔ tebea foforo a ehia sɛ wɔsa. Sɛ nhwehwɛmu ahorow kyerɛ sɛ asikre dodow a ɛwɔ wo nsu mu no dɔɔso a, wo ne wo duruyɛfo nkasa mfa nea ɛsɛ sɛ woyɛ akyi ne sɛnea wobɛtew wo sɛnkyerɛnne ahorow no so. Sɛ wɔsa tebea a ɛde ba no wie a, ɛsɛ sɛ asikre dodow a ɛwɔ wo nsu mu no san kɔ sɛnea na ɛte kan no.

Nsɛm bi a ɛho hia paa (Take-Home Message) .

Okay, enti, sɛnea yɛaka ho asɛm no, eyinom ne nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae:

• Glycosuria yɛ asikre (glucose) a ɛboro so a ɛwɔ nsu mu.
• Nneɛma pii betumi ama eyi aba. Nneɛma te sɛ asikreyare, asaabo mu haw, ne ɛtɔ mmere bi a carbohydrates pii a wodi prɛko pɛ.
• Nsɛnkyerɛnne no mma obiara mma ade koro. Hwehwɛ nneɛma te sɛ sukɔm a wɔtaa de, nsu a wɔtaa tow , ne ɔbrɛ.
• Nha wo ho. Wobetumi ahu, na mpɛn pii no, wɔasa denam nea ɛde ba no a wɔbɛsa so.
• Sɛ wowɔ adwenem naayɛ anaa sɛnkyerɛnne bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Afei wubetumi anya afotu ne ayaresa a ɛfata.
• Sɛ wudi aduan pa ne asetra kwan a ɛyɛ nnam a, ɛboa ma wɔbɔ wo ho ban fi nyarewa pii ho.

Kae sɛ wo na ɛsɛ sɛ wohwɛ w’akwahosan yiye. Sɛ wowɔ ɔhaw bi a, bisa, hwehwɛ, na nya ayaresa. Afei wubetumi akɔ so anya apɔwmuden!

` Glycosuria, asikre a ɛwɔ nsu mu, asikreyare, asaabo mu yare, hyperglycemia, sɛnkyerɛnne, akwahosan