So wo nso wuhu sɛ asikre a ɛwɔ wo mogya mu no so tew mpofirim? Momma yɛnka asikre a ɛba fam ho asɛm!

So wote nka mpofirim sɛ wowosow? Fifiri, te nka sɛ ɛyɛ wo yaw, na ɔkɔm de wo kɛse? Eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu no sua sen nea ɛwɔ apɔwmuden. Wɔ aduruyɛ mu no, yɛfrɛ tebea yi hypoglycemia . Eyi abu so kɛse wɔ nnipa a wɔwɔ asikreyare mu. Nanso ɛtɔ mmere bi a ebetumi ato nnipa a wonni asikreyare nso. Enti, mma wo ho nnyɛ wo hu. Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.

Sɛ yɛbɛka no tiawa a, dɛn ne asikre a ɛba fam?

Hypoglycemia yɛ bere a glucose, anaa asikre dodow a ɛwɔ wo mogya mu no so tew sen dodow a ɛfata a nipadua no hwehwɛ no.

• Wɔ nnipa dodow no ara a wɔwɔ asikreyare fam no, wobu asikre dodow a ɛwɔ mogya mu a ɛba fam sen 70 mg/dL (milligram wɔ deciliter biara mu) anaa 3.9 mmol/L (millimoles wɔ lita biara mu) sɛ asikre a ɛkɔ fam.
• Wɔ obi a onni asikreyare fam no, wɔtaa kyerɛkyerɛ asikre a ɛba fam mu sɛ dodow a ɛba fam sen 55 mg/dL (3.1 mmol/L).

Sɛ tebea yi ba a, ɛsɛ sɛ wɔsa no ntɛm ara denam biribi a asikre anaa carbohydrates wom a wobedi anaa wɔnom so. Ɛtɔ mmere bi a eyi betumi ama obi anya tebea a emu yɛ den (asikre a ɛkɔ fam a emu yɛ den). Sɛ eyi ba a, ebetumi de obi nkwa ato asiane mu na ehia sɛ wɔde no kɔ ayaresabea ntɛm ara.

Dɛn nti na glucose ho hia yɛn nipadua saa?

Yɛn nipadua nya glucose (asikre) fi carbohydrates a yedi no mu. Eyi ne yɛn nipadua no ahoɔden fibea titiriw. Ɛte sɛ pɛtro a wɔde yɛ kar. Titiriw no, glucose ho hia na ama yɛn amemene no atumi ayɛ adwuma. Amemene no hia glucose a wɔde ma bere nyinaa.

Sɛ wunni asikreyare a, yɛn nipadua no ma asikre dodow a ɛwɔ mogya mu no kɔ so tra baabi pɔtee bi denam abɔde mu nneɛma pii so. Hormone titiriw a ɛboa wɔ eyi mu ne insulin a dwensɔtwaa no na ɛyɛ no. Hormone bi a wɔfrɛ no glucagon nso ho hia ma eyi.

Nanso, wɔ nnipa a wɔwɔ asikreyare mu no, saa adeyɛ yi ntumi nyɛ adwuma yiye. Enti, ɛsɛ sɛ wɔnam nnuru (sɛ nhwɛso no, insulin a wɔde twitwiw wɔn) ne asetra mu nsakrae so di asikre dodow a ɛwɔ wɔn mogya mu no so. Ade titiriw nti a asikre a ɛwɔ mogya mu no so tew ne insulin dodow a ɛkɔ soro wɔ nipadua no mu.

Dɛn ne asikre a ɛwɔ mogya mu a ɛba fam ho sɛnkyerɛnne?

Asikre a ɛba fam ho sɛnkyerɛnne betumi afi ase mpofirim. Na wotumi gu ahorow wɔ onipa biara mu. Ɛwom sɛ saa sɛnkyerɛnne ahorow yi betumi ayɛ nea ɛnyɛ dɛ kakra de, nanso ɛyɛ kɔkɔbɔ pa a ɛka kyerɛ yɛn sɛ, "Wo asikre sua, yɛ biribi ntɛm."

Asikre a ɛwɔ mogya mu a ɛba fam bere a obi ada (Nocturnal Hypoglycemia) .

Ɛtɔ mmere bi a, asikre dodow a ɛwɔ mogya mu betumi akɔ fam bere a yɛada mpo no. Nsɛnkyerɛnne no bi ni:

• Dae a wɔrepere wɔn ho
• Fifiri a ɛba araa ma ntama no yɛ nsu
• Nteɛteɛm wɔ wo nna mu
• Dae bɔne
• Ɔbrɛ ne adwene a ɛyɛ basaa kɛse a wɔte nka bere a wɔsɔre anɔpa no

So asikre a ɛwɔ mogya mu betumi akɔ fam a ɛrenkyerɛ yare no ho sɛnkyerɛnne? (Hypoglycemia a Wonnim) .

Yiw, eyi yɛ tebea a asiane wom kakra. Wɔ nnipa binom fam no, titiriw asikreyarefo a wɔn mogya mu asikre dodow kɔ fam no, bere kɔ so no, wɔn mogya mu asikre dodow betumi akɔ fam a wɔrenkyerɛ yare no ho sɛnkyerɛnne biara. Nipadua no de asikre a ɛba fam wɔ mogya mu no yɛ ne su na egyae kɔkɔbɔ nsɛnkyerɛnne a ɛde ma. Wɔfrɛ eyi hypoglycemia a wonnim .

Nnipa a wɔwɔ saa tebea yi taa yare denneennen mpofirim. Sɛ eyi to wo a, ɛho hia paa sɛ woka eyi ho asɛm kyerɛ w’abusuafo ne wo nnamfo. Enti wobetumi aboa wo wɔ tebea a egye ntɛmpɛ mu. Nso,

• Sɛ wode afiri bi a ɛkɔ so susuw glucose dodow (Continuous Glucose Monitoring - CGM) di dwuma a, ebetumi aboa wo ma woahu bere a asikre a ɛwɔ wo mogya mu no sua.
• Ɛyɛ papa nso sɛ wode glucometer a wɔde di dwuma daa bɛhwɛ asikre a ɛwɔ wo mogya mu mpɛn pii da biara.

Dɛn na ɛma asikre a ɛwɔ mogya mu no so tew?

Yebetumi akyekyɛ nea enti a ɛte saa no mu akuw abien: wɔn a wɔwɔ asikreyare ne wɔn a wonni asikreyare.

Ntease a ɛma obi a ɔwɔ asikreyare betumi anya asikre a ɛwɔ mogya mu a ɛba fam

Eyi ba bere a aduan, apɔw-mu-teɛteɛ, ne asikreyare nnuru nkari pɛ no.

• Insulin a wɔde di dwuma boro so: Insulin pii a wɔde bɛhyɛ nipadua mu sen sɛnea ɛho hia.
• Mfomso a ɛba wɔ nnuruyɛ ne bere a wɔde di aduan mu: Insulin a wɔnom na wonnidi bere tenten.
• Asikreyare nnuru a ɛnteɛ a wɔnom: Asikreyare nnuru bi (e.g. sulfonylureas) a wɔnom boro so no betumi ama asikre a ɛwɔ mogya mu no so atew.
• Apɔw-mu-teɛteɛ a wobɛyɛ sen sɛnea wɔtaa yɛ: Apɔw-mu-teɛteɛ pii ne adidi a ɛdɔɔso a wunnni mfa ntua ka.
• Nsã a wɔnom wɔ yafunu a hwee nni mu: Nsã a wɔnom a wonnidi.
• Aduan a wubehuruw: Wonnidi bere ano.

Dɛn nti na obi a onni asikreyare no mogya mu asikre sua?

Eyi yɛ nea ɛntaa nsi kakra. Nneɛma atitiriw abien na ɛwɔ hɔ.

1. Reactive Hypoglycemia: Eyi ba nnɔnhwerew abien kosi anan wɔ adidi akyi . Titiriw sɛ wudi nnuan a carbohydrates a ɛnyɛ den pii wom te sɛ aburow, paanoo, ne ɛmo a, nipadua no ma insulin pii ba mpofirim, na ɛma asikre dodow a ɛwɔ wo mogya mu no so tew.

2. Asikre a ɛwɔ mogya mu a ɛba fam bere a woredi mmuada (Fasting Hypoglycemia): Eyi betumi afi nneɛma pii mu aba.

• Nsã a wɔnom boro so: Nsã a wɔnom pii a wonnidi yiye nna pii.
• Nyarewa a emu yɛ den: Tebea horow te sɛ mmerɛbo anaa asaabo a entumi nyɛ adwuma yiye.
• Hormone ho haw ahorow: Tebea ahorow te sɛ adrenal a entumi nyɛ adwuma yiye.
• Akisikuru: Akisikuru a wɔntaa nhu wɔ dwensɔtwaa mu te sɛ insulinoma ma wɔyɛ insulin boro so.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a wunni asikreyare a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ nea ɛde ba.

Dɛn na ɛsɛ sɛ wɔyɛ bere a asikre sua no? Akwan a wɔfa so sa yare

Nea yɛreyɛ titiriw wɔ ha ne sɛ yɛbɛma nipadua no anya asikre (carbohydrates) ntɛmntɛm.

Wɔ tebea a ɛfata mu no, "15-15 Mmara" no.

Eyi yɛ ɔkwan a ɛyɛ mmerɛw yiye na ɛnyɛ den sɛ wɔbɛkae.

1. Anamɔn 1: Di anaa nom carbohydrates a ɛyɛ adwuma ntɛmntɛm gram 15 .

2. Anamɔn 2: Twɛn simma 15 .

3. Anamɔn 3: Fa wo glucometer susuw asikre dodow a ɛwɔ wo mogya mu no bio.

4. Anamɔn 4: Sɛ asikre dodow da so ara nnu 70 mg/dL a, san yɛ anammɔn 1, 2, 3 no bio.Yɛ eyi kosi sɛ asikre dodow a ɛwɔ wo mu no bɛsan ayɛ sɛnea na ɛte kan no.

Nnuan bɛn na carbohydrates gram 15 wom?

• Glucose aduru 3-4
• Nnuaba mu nsu a ɛyɛ dɛ anaa anonne a ɛyɛ dɛ kuruwa fã (kuruwa 1/2).
• Asikre, ɛwo, anaa maple syrup tablespoon biako
• Banana ketewaa bi fã

Ayaresa a wɔde ma wɔ nsɛm a emu yɛ den mu (Severe Hypoglycemia) .

Sɛ obi mogya mu asikre sua na n’adwene atu afra, ontumi nkasa, anaa onnim hwee a , mma no aduan anaa anonne nnom da! Saa a wɔbɛyɛ no betumi ama wɔakɔhyɛ mframa kwan no mu.

1. Glucagon Injection: Wɔ nnipa a wɔwɔ asikreyare fam no, ebia wo duruyɛfo akyerɛw glucagon injection ama wo wɔ tebea horow a egye ntɛmpɛ mu. Hwɛ hu sɛ w’abusua nim sɛnea wɔde bedi dwuma.

2. Kɔ ayaresabea ntɛm ara!: Sɛ wunni glucagon anaasɛ wunnim sɛnea wode bedi dwuma a, frɛ 1990 ambulance adwuma no ntɛm ara anaa fa onipa no kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU).

3. Dan ɔyarefo no kɔ nkyɛn: Ebia ɔyarefo no bɛfe bere a n’adwene asan aba no. Enti, dan ɔyarefo no kɔ nkyɛn na amma ne menewam.

Dɛn na wobetumi ayɛ de asiw tebea yi ano?

Ebia ɛbɛyɛ den ama obi a ɔwɔ asikreyare sɛ obesiw eyi ano koraa, nanso ebetumi aba sɛ wɔbɛtew mpɛn dodow a tebea yi ba no so.

• Di aduruyɛ mu afotu akyi: Nom nnuru a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ na fa bere a ɛfata.
• Hwɛ yiye wɔ aduan a wudi ne apɔw-mu-teɛteɛ ho: Ntwa adidi so. Sɛ woteɛteɛ w’apɔw mu a, wo ne wo duruyɛfo nka ho asɛm na sɛ ɛho hia a, yɛ nsakrae wɔ w’aduan mu.
• Hwɛ asikre dodow a ɛwɔ wo mogya mu daa: Ɛho hia titiriw sɛ wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woadidi ne bere a woadi akyi, ansa na woateɛteɛ w’apɔw mu ne bere a woawie, ne ansa na woada.
• Fa kyerɛwtohɔ: Bere biara a asikre a ɛwɔ wo mogya mu no sua no, kyerɛw bere a wode yɛɛ adwuma, asikre dodow a wowɔ wɔ wo mogya mu, nea woadi kan adi, ne sɛ ebia woteɛteɛ w’apɔw mu. Eyi bɛboa wo duruyɛfo ma wayɛ ayaresa nhyehyɛe ama wo.