- Asetra kwan ne aduan a wodi mu nsakrae
- Dwumadie
- Nnuru a wɔde yɛ nnuru
Ɔkwan bɛn so na asikreyare nnuru yi yɛ adwuma ankasa?
Sɛ yɛbɛka no tiawa a, nnuru yi nyinaa botae titiriw ne sɛ ɛbɛtew wo mogya mu asikre, anaa ``mogya mu glucose,'' so akodu baabi a ɛfata. Wei nso boa ma wodi wo ``A1c'' botae no so. Insulin a wɔko tia no yɛ ade titiriw a ɛde asikreyare a ɛto so abien (ne asikreyare a ɛba wɔ nyinsɛn mu) ba.Tebea bi a wɔfrɛ no `insulin resistance`. Fa no sɛ, nkwammoaa a ɛwɔ wo nipadua mu (wo ntini, srade, ne mmerɛbo mu nkwammoaa) ntumi nyɛ hormone `insulin` no ho biribi yiye. Insulin yɛ biribi a wo dwensɔtwaa yɛ. Ɛdan asikre `glucose` a efi aduan a yedi mu no ma ɛbɛyɛ ahoɔden. Eyi yɛ adeyɛ a ɛho hia na ama yɛatumi atra ase. Enti, sɛ wowɔ insulin a ɛko tia a, ɛsɛ sɛ wo dwensɔtwaa no yɛ insulin pii na ama asikre dodow a ɛwɔ wo mogya mu no ayɛ kɛse. Nanso, sɛ wo dwensɔtwaa no ntumi nyɛ insulin a ɛdɔɔso a, asikre dodow a ɛwɔ wo mogya mu no kɔ soro. Eyi ne nea yɛfrɛ asikre dodow a ɛkɔ soro wɔ mogya mu `hyperglycemia`. Sɛ eyi kɔ so a, ebetumi de akwahosan ho haw ahorow aba. Insulin a wɔko tia no yɛ nea ɛyɛ den kakra. Asikreyare nnuru yɛ adwuma wɔ akwan horow so ma asikre a ɛwɔ mogya mu no so tew. Nnuru bi boa wo dwensɔtwaa ma ɛyɛ insulin pii. Wɔ nnuru akyi no, apɔw-mu-teɛteɛ nso ho hia na ama insulin a ɛko tia no so atew fi awosu mu.Dɛn ne nnuru a wɔnom de sa asikreyare?
Nnuru ahorow pii wɔ hɔ a ɛboa ma wodi asikreyare so, na ɛsono sɛnea ɛyɛ adwuma. Momma yɛnhwɛ nea wɔyɛ:| Nnuru a wɔde di dwuma no fã | Sɛnea ɛyɛ adwuma | Nhwɛso ahorow |
|---|---|---|
| Nnuru a esiw alpha-glucosidase ano | Ɛhwɛ sɛnea carbohydrates ne asikre a ɛwɔ dwensɔtwaa mu no sɛe no so. | `Acarbose`, `Miglitol`, na ɛyɛ adwuma |
| Biguanides a wɔfrɛ no biguanides | Ɛtew glucose dodow a mmerɛbo no yɛ so, ɛma insulin ho nkate yɛ kɛse. | `Metformin a wɔde di dwuma` |
| Bile acid a wɔde hyɛ nneɛma mu | Bere a ɛtew srade a ɛwɔ mogya mu no so no, ɛma asikre dodow a ɛwɔ mogya mu nso so tew. | `Kolesevelam` |
| Dopamine-2 a ɛma nipadua no yɛ adwuma | Ɛnya amemene no so nkɛntɛnso ma ɛtew insulin a ɛko tia no so. | `Bromocriptine a wɔde yɛ adwuma` |
| Nnuru a esiw DPP-4 ano (Gliptins) . | GLP-1 hormone no ma asikre a ɛwɔ mogya mu no kɔ so yɛ adwuma denam ma a ɛma ɛyɛ adwuma no so. | Alogliptin, Linagliptin, Saxagliptin, Sitagliptin, ne nea ɛwɔ nipadua no mu |
| Meglitinides (Glinide ahorow) . | Ɛkanyan dwensɔtwaa no na ɛma insulin fi adi. | `Nateglinide`, `Nneɛma a wɔde yɛ nneɛma foforo` |
| Nnuru a esiw SGLT2 ano | Glucose a ɛboro so no fi nsu mu. | ``Canagliflozin'', ``Dapagliflozin'', ``Empagliflozin'', Ɔkwan a wɔfa so yɛ nneɛma foforo. |
| Sulfonylureas a ɛma nipadua no yɛ adwuma | Ɛkanyan dwensɔtwaa no na ɛma insulin pii fi mu. | ``Glimepiride'', ``Glipizide'', ``Glyburide'', ɛyɛ nea wɔde hyɛ nipadua mu. |
| Thiazolidinediones (TZD ahorow) a ɛwɔ nipadua no mu no . | Ɛma ntini ahorow no te nka kɛse wɔ insulin ho. | ``Rosiglitazone'', ``Nneɛma a wɔde yɛ aduru''. |
Nneɛma bɔne bɛn na asikreyare nnuru de ba?
Te sɛ nnuru nyinaa no, asikreyare nnuru betumi anya nsunsuanso bɔne. Aduru biara betumi de ɔhaw ahorow aba. Nneɛma bɔne a ɛtaa ba ne yafunu mu haw (akisikuru, akisikuru, akisikuru). Ade a ɛho hia sen biara ne sɛ wobɛka ɔhaw biara a ebefi mu aba ho asɛm akyerɛ wo duruyɛfo.Asiane a ɛwɔ hɔ sɛ asikre a ɛwɔ mogya mu no so tew
Asikreyare nnuru bi, titiriw nea wɔfrɛ no `Meglitinides` ne `Sulfonylureas`, betumi ama asikre dodow a ɛwɔ wo mogya mu no so atew mpofirim (hypoglycemia). Eyi ne bere a asikre a ɛwɔ wo mogya mu no so tew sen 70 mg/dL. Eyi yɛ tebea a emu yɛ den.Nsɛnkyerɛnne a ɛkyerɛ sɛ asikre mogya so tew: wosow, fifiri, adwenemhaw, ɔkɔm a ɛtra so, ahomegye a enni hɔ, ne koma a ɛbɔ ntɛmntɛm. Sɛ saa sɛnkyerɛnne ahorow yi ba a, di biribi a asikre anaa carbohydrates wom ntɛm ara.
Nneɛma a ɛsɛ sɛ wo ne wo duruyɛfo susuw ho
- Nyinsɛn : Sɛ woanyinsɛn anaa woreyɛ nhyehyɛe sɛ wubenyinsɛn a, ɛho hia sɛ wo ne wo duruyɛfo susuw wo nnuru ho. Wɔnkamfo nnuru dodow no ara a wɔnom, gye Metformin , nkyerɛ bere a wɔyem .
- Nnuru afoforo: Ka nnuru afoforo, vitamin , ne nnuru a wɔde ka ho a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Nsunsuanso bɔne: Ka ɔhaw biara a wubehyia ho asɛm kyerɛ wo duruyɛfo.











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