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

So ɛtɔ mmere bi a, wote nka sɛ woabrɛ, wowosow, wo ho fifiri, na wo ho dwiriw wo prɛko pɛ? Ebia wobɛte nka nso sɛ wo ho yeraw wo kakra na ɔkɔm de wo. Mpɛn pii no, eyinom ne asikre a ɛwɔ mogya mu a ɛba fam, anaa nea yɛfrɛ no asikre a ɛba fam wɔ aduruyɛ mu no ho sɛnkyerɛnne atitiriw. Eyi taa ba nnipa a wɔwɔ asikreyare so, nanso ebetumi ato nnipa a wonni asikreyare nso. Momma yɛmfa nsɛm a ɛnyɛ den nka eyi ho asɛm nnɛ.

Dɛn ne asikre a ɛkɔ soro?

Sɛ yɛbɛka no tiawa a, asikre a ɛwɔ wo mogya mu, anaa glucose, dodow kɔ fam sen dodow a wɔhwehwɛ no. Saa glucose yi ne pɛtro titiriw a ɛma yɛn nipadua nya ahoɔden, te sɛ pɛtro a wɔde yɛ kar.

Saa tebea yi taa ba nnipa a wɔwɔ asikreyare a wɔsakra nnuru, aduan, anaa apɔw-mu-teɛteɛ mu. Nanso ebetumi aba nnipa a wonni asikreyare nso so. Ebetumi aba wɔ akwan titiriw abien so:

• Reactive hypoglycemia: Eyi ba bere a woadi aduan bi akyi nnɔnhwerew kakraa bi.
• Mmuadadi mu asikre a ɛba fam: Eyi ba bere a wunnnidi bere tiaa bi no. Ebetumi nso de abata nnuru bi anaa aduruyɛ mu tebea afoforo ho.

Nsonsonoe a ɛda asikre a ɛba fam ne asikre a ɛkɔ soro ntam

Ɛwom sɛ nsɛmfua abien yi nnyigyei yɛ pɛ de, nanso ɛsono nea ɛkyerɛ koraa.

Asikre so tew kodu he?

Wɔde miligram susuw asikre dodow a ɛwɔ mogya mu wɔ deciliter biara mu (mg/dL). Mpɛn pii no, asikre dodow a ɛwɔ obi a ɔwɔ apɔwmuden mu no wɔ baabi pɔtee bi. Nanso, sɛ asikre dodow a ɛwɔ wo mogya mu no so tew sen 70 mg/dL a, wobu no sɛ asikre a ɛwɔ wo mogya mu no so tew.

Sɛ eyi kɔ fam sen 54 mg/dL a, ɛyɛAsikreyare a ɛba fam a emu yɛ den. Ebia wobɛtotɔ piti wɔ saa bere yi mu. Ebia wubehia obi foforo ma wo biribi te sɛ glucagon sɛ ayaresa a egye ntɛmpɛ.

Dɛn nti na asikre a ɛwɔ me mogya mu no so tew saa?

Sɛ yedidi, titiriw sɛ yedi nnuan a carbohydrates wom te sɛ paanoo ne aburow a, ɛdan glucose wɔ yɛn nipadua mu na ɛde ka mogya no ho. Obi wɔ hɔ a ɔboa nkwammoaa a ɛwɔ nipadua no mu ma wɔde saa glucose yi di dwuma sɛ ahoɔden. Ɛno yɛ hormone bi a wɔfrɛ no insulin . Insulin ne nea ɛfa glucose a ɛwɔ mogya no mu na ɛde kɔ nkwammoaa no mu.

Sɛ asikre dodow a ɛwɔ mogya mu fi ase so tew, te sɛ adidi ntam a, hormone foforo fi adi. Wɔfrɛ no glucagon . Ɛdan glucose a wɔde asie yɛn mmerɛbo ne yɛn ntini mu (a wɔfrɛ no glycogen) no san ma ɛbɛyɛ glucose na ɛma ɛkɔ mogya no mu. Eyi ne ɔkwan a yɛfa so ma asikre dodow a ɛwɔ yɛn mogya mu no kɔ so yɛ den bere mpo a yennidi no.

Fa no sɛ, sɛ biribi ankɔ yiye wɔ saa adeyɛ yi mu a, asikre dodow a ɛwɔ wo mogya mu betumi akɔ fam mpofirim. Ɛno ne nea asikre a ɛba nipadua mu no yɛ.

Nneɛma a enti nnipa a wonni asikreyare no mogya mu asikre sua

Ɛwom sɛ mpɛn pii no, saa tebea yi ne asikreyare wɔ abusuabɔ de, nanso ebetumi aba nnipa a wonni asikreyare nso so. Nneɛma pii nti na ɛte saa.

• Nnuru bi: Nnuru bi te sɛ quinine a wɔde sa asramma no tumi ma asikre a ɛwɔ mogya mu no so tew. Sɛ wonom obi foforo asikreyare aduru wɔ akwanhyia mu nso a, eyi betumi aba.
• Ayaresa mu tebea horow bi: Tebea horow te sɛ mmerɛbo mu yare a emu yɛ den (hepatitis a emu yɛ den, akisikuru), asaabo a entumi nyɛ adwuma yiye, ɔyare mmoawa a emu yɛ den, ne komayare betumi aka asikre dodow a ɛwɔ mogya mu.
• Aduan pa a wonnya nni: Tebea horow te sɛ anorexia betumi ama nipadua no mu glycogen akorae no so atew na asikre a ɛwɔ mogya mu no so atew.
• Nsã a wɔnom boro so: Sɛ wonom nsa pii a wunnnidi a, mmerɛbo no ntumi mfa glycogen nyɛ glucose. Eyi ma asikre dodow a ɛwɔ mogya mu no so tew.
• Kokoram ahorow bi: Dwotwaa mu kokoram ahorow bi ma nipadua no yɛ insulin pii dodo, na ɛma asikre a ɛwɔ mogya mu no kɔ nkwammoaa no mu ntɛmntɛm, na ɛma asikre dodow a ɛwɔ mogya mu no so tew.
• Nkwammoaa mu haw ahorow: Nyarewa bi a ɛwɔ adrenal glands ne pituitary glands mu betumi aka hormone ahorow te sɛ insulin ne glucagon.

Ntease a ɛma asikreyarefo a wɔwɔ asikreyare no mogya mu asikre sua

Sɛ wowɔ asikreyare a, wo nipadua no wɔ ɔhaw wɔ insulin a wɔbɛyɛ anaa wɔde bedi dwuma mu. Wɔde insulin a wɔde twitwiw nipadua mu anaa nnuru afoforo na ɛsa eyi. Nanso sɛ wonom nnuru pii , wugyae adidi, anaa woteɛteɛ w’apɔw mu sen sɛnea wotaa yɛ a , ebia asiane kɛse wom sɛ wubenya asikreyare.Asikre dodow a ɛwɔ mogya mu betumi akɔ fam mpofirim.

Dɛn ne eyi ho sɛnkyerɛnne?

Sɛ asikre dodow a ɛwɔ nipadua no mu no so tew a, ebia onipa biara behu yare no ho sɛnkyerɛnne ahorow. Saa sɛnkyerɛnne ahorow yi nso gu ahorow gyina baabi a asikre dodow no so tew kodu no so.

Sɛ asikre a ɛwɔ wo mogya mu so tew anadwo (anadwo mu asikre a ɛba fam) , wubetumi anya sɛnkyerɛnne ahorow te sɛ nteɛteɛm wɔ wo nna mu, dae bɔne a wobɛda, na wosɔre a fifiri ayɛ wo ma.

Hypoglycemia a wonnim

Eyi yɛ tebea a asiane wom kakra. Wɔ nnipa binom fam no, titiriw wɔn a wɔanya asikreyare bɛboro mfe 5-10 no, sɛ asikre dodow a ɛwɔ wɔn mogya mu taa so tew a, wɔn nipadua no sua. Afei, wɔn nipadua gyae kɔkɔbɔ nsɛnkyerɛnne te sɛ wosow ne ɔkɔm a ɛde ma bere a asikre dodow a ɛwɔ wɔn mogya mu no so tew no. Eyi de wɔn to asiane kɛse mu sɛ wobenya tebea a emu yɛ den efisɛ wonnim sɛ asikre a ɛwɔ wɔn mogya mu no sua.

Enti, ɛho hia paa sɛ nnipa a wɔwɔ asikreyare no hwɛ wɔn asikre dodow mu daa.Eyi nti, mprempren mfiri ahorow te sɛ glucometers, a ɛfa mogya a ɛtɔ fi nsateaa bi mu na ɛsɔ hwɛ, ne `Continuous Glucose Monitor (CGM),` a wɔde hyɛ honam ani na ɛkɔ so hwɛ asikre dodow so wɔ hɔ.

Sɛ asikre a ɛwɔ wo mogya mu no so tew mpofirim a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ wufi ase te mogya mu asikre a ɛba fam ho sɛnkyerɛnne nka ara pɛ a, ɛsɛ sɛ woyɛ ho biribi ntɛm.

1. Nea edi kan no, nya biribi a ɛyɛ dɛ: Di anaa nom biribi a ɛbɛma asikre a ɛwɔ wo mogya mu akɔ soro ntɛmntɛm. Carbohydrates gram 15-20 na ɛdɔɔso ma eyi.

• Glucose aduru 3-4
• Nsã a ɛyɛ dɛ kuruwa fã (te sɛ cola, ɛnyɛ aduan) .
• Nnuaba mu nsu kuruwa fã
• Asikre anaa ɛwo tablespoon biako
• Nnuan a ɛyɛ dɛ bi te sɛ jelly beans ne toffee

2. Twɛn simma 15: Sɛ wudi biribi a ɛyɛ dɛ wie a, tɔ wo bo ase twɛn simma 15.

3. Hwɛ asikre a ɛwɔ wo mogya mu bio: Sɛ wubetumi a, san hwɛ asikre a ɛwɔ wo mogya mu bio. Sɛ ɛda so ara wɔ fam sen 70 mg/dL, anaasɛ woda so ara rehyia ɔhaw a, san yɛ anammɔn 1 no bio.

4. Sɛ tebea no ankɔ yiye a: Sɛ wo tebea no ankɔ yiye wɔ saa nneɛma yi nyinaa akyi, anaasɛ sɛ wunya yare no ho sɛnkyerɛnne a emu yɛ den (te sɛ adwene a ɛyɛ basaa) a, frɛ 1990 ntɛm ara ma wɔmfa ambulance anaa kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no.

Sɛ obi totɔ piti (Severe Hypoglycemia) .

Sɛ obi totɔ piti esiane asikre dodow a ɛwɔ mogya mu a ɛso atew kɛse nti a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ.

• Mmɔ mmɔden da sɛ wode aduan anaa anonne bɛma obi a onnim hwee. Ebetumi ama obi amee.
• Sɛ wɔresa asikreyare yare wo a, ebia wo duruyɛfo ama wo glucagon injection kit . Kyerɛkyerɛ w’abusuafo ne wo nnamfo sɛnea wɔde bedi dwuma wɔ tebea a egye ntɛmpɛ mu.
• Sɛ wuhu obi a onnim hwee a, frɛ ambulance ntɛm ara. Wohia ayaresa.

Ɔkwan bɛn so na wobetumi asiw tebea yi ano?

Nneɛma pii wɔ hɔ a wubetumi ayɛ de adi asikre a ɛba fam no ho dwuma na asiw ano.

• Mma nnyae adidi so: Di nnuan atitiriw abiɛsa da biara na di nnuan nketenkete wɔ ntam.
• Hwɛ yiye wɔ apɔw-mu-teɛteɛ ho: Yɛ apɔw-mu-teɛteɛ dɔnhwerew fã anaa dɔnhwerew biako wɔ adidi akyi. Hwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woateɛteɛ w’apɔw mu ne bere a woawie no.
• Fa w’aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ: Fa nnuru a wo duruyɛfo akyerɛw ama wo no, wɔ dodow a ɛfata mu, wɔ bere a ɛfata mu. Hwɛ dodow a wɔde ma no mprenu.
• To nsa ano hye:Sɛ wonom nsa a, to ano hye. Kwati sɛ wobɛnom nsa bere a wo yafunu da mpan.
• Siesie wo ho bere nyinaa: Sɛ worepue a, fa biribi a ɛyɛ dɛ (glucose tablets, toffee) gu wo bag mu.
• Ka kyerɛ afoforo: Ma w’abusuafo, wo nnamfo, ne mfɛfo adwumayɛfo nhu sɛ wowɔ asikreyare. Wobetumi aboa wo wɔ tebea a egye ntɛmpɛ mu.
• Hwɛ oduruyɛfo: Sɛ wotaa hu asikre a ɛba fam ho sɛnkyerɛnne, sɛ́ wowɔ asikreyare anaasɛ wunni bi no a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ nea ɛde ba na woanya ayaresa ne afotu a ɛfata.