So wowɔ asikreyare nso bere a wonyinsɛn no? (Gestational Diabetes) Momma yenhu a yensuro!

Mpɛn pii no, sɛ yɛbɛyɛ ɛnanom a, yɛn nyinaa wɔ anidaso sɛ yɛde akokoaa a ɔwɔ apɔwmuden bɛba wiase yi mu. Nanso ɛtɔ mmere bi a, akwahosan ho haw ahorow a wɔnhwɛ kwan betumi asɔre. Ɛnnɛ, yɛrebɛka asikreyare soronko bi a ɛnanom binom nya wɔ nyinsɛn mu nkutoo ho asɛm. Eyi ne nea yɛfrɛ no nyinsɛn mu asikreyare .

Dɛn ne Nyinsɛn mu Asikreyare? Ɛyɛ mmerɛw yiye!

Sɛ yɛbɛka no tiawa a, `(Gestational Diabetes)` kyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu, kyerɛ sɛ, `(mogya mu asikre dodow),` dɔɔso sen sɛnea ɛte wɔ nyinsɛn mu. Afei ebia woredwene sɛ, `Oo, na minni asikreyare kan, enti ɛyɛɛ dɛn na eyi sii?' Nokwarem no, eyi taa ba wɔ nyinsɛn mu wɔ nnipa a wonnyaa asikreyare da no mu. Ɛno nti na wɔfrɛ no ``gestational diabetes.'' Saa tebea yi ba bere a nipadua no ntumi mfa hormone `(Insulin)` nni dwuma yiye, ne hormone nsakrae a ɛba yɛn nipadua mu wɔ nyinsɛn mu no.

Mpɛn pii no wo duruyɛfo anaa awogyefo bɛsɔ wo ahwɛ wɔ eyi ho wɔ adapɛn 24 kosi 28 ntam wɔ nyinsɛn no mu . Wɔfrɛ eyi ``glucose nhwehwɛmu sɔhwɛ''. Eyi kyerɛ sɛ wonom nsu a ɛyɛ dɛ na afei wɔhwɛ asikre dodow a ɛwɔ wo mogya mu bɛyɛ dɔnhwerew biako akyi. Ɛtɔ da bi a, eyi betumi ayɛ nnɔnhwerew abien anaa abiɛsa sɔhwɛ. Mpɛn pii no, eyi nkutoo ne ɔkwan a wobɛfa so ahu no yiye sɛ ebia wowɔ saa tebea yi anaasɛ wunni bi. Enti, so eye sɛ wobɛhuruw saa ``screening test'' yi? Efisɛ sɛ yehu no ntɛm a, yebetumi atew nea efi eyi mu ba no so kɛse.

Dɛn nti na ɛsɛ sɛ yedwen nyinsɛn mu asikreyare ho saa? Nkɛntɛnso bɛn na ebetumi anya wɔ akokoaa no so?

Afei ebia woresusuw ho sɛ, ‘Ɛyɛ, asikre a ɛwɔ me mogya mu no akɔ soro kakra, nanso dɛn na ɛbɛto akokoaa no?’ Nokwarem no, sɛ ɛna no mogya mu asikre dodow kɔ soro a, ɛtwam awotwaa no na ɛma asikre dodow a ɛwɔ akokoaa a ɔhyɛ yafunu mu no mogya mu kɔ soro. Eyi nti na ɛsɛ sɛ yɛhwɛ yiye titiriw wɔ eyi ho. Momma yɛnhwɛ asiane ahorow a ɛwɔ mu:

• Awo a ɛba ntɛm: Ɛtɔ mmere bi a, wobetumi awo akokoaa ntɛm, ansa na wadi adapɛn 37. Sɛ eyi ba a, akokoaa no ahurututu nnyinii koraa, na ɛno betumi de akwahosan ho haw ahorow te sɛ ahome a ɛyɛ den aba, na ebia ebehia sɛ ɔboa ma ɔhome. Nkokoaa a wɔwo wɔn ntɛm nso wɔ asiane mu sɛ wobenya nsɛnnennen afoforo.
• Akokoaa no betumi ayɛ kɛse (Macrosomia): Esiane sɛ ɛna no mogya mu asikre dɔɔso nti, akokoaa no nso nya asikre pii. Afei akokoaa no dan no ahoɔden na ɔkora so sɛ srade a ɛboro so. Eyi betumi ama akokoaa no ayɛ kɛse asen sɛnea ɛsɛ sɛ ɔyɛ, a ɛkyerɛ sɛ ne mu duru betumi aboro kilogram 4. Eyi betumi ama ayɛ den sɛ wɔbɛwo akokoaa no sɛnea ɛsɛ. Ebia akokoaa no bepira bere a ɔrewo no, anaasɛ ɛna no betumi anya ahotɔ. Hokwan a ɛkɔ soro nso wɔ hɔ sɛ wɔbɛyɛ ``C-section'', a ɛkyerɛ sɛ wɔbɛyɛ oprehyɛn de awo akokoaa no.
• Neonatal Hypoglycemia: Nea ɛbɛyɛ na akokoaa no dwensɔtwaa no ahwɛ asikre dodow a ɛwɔ ɛna no mogya mu so no, ɛma insulin pii bere a ɔwɔ awotwaa mu no. Enti, sɛ wɔwo akokoaa no pɛ a, sɛ ɛna no asikre a ɔde ma no gyae a, asikre dodow a ɛwɔ akokoaa no mogya mu no betumi akɔ fam mpofirim esiane insulin a ɛdɔɔso nti. Eyi nso nyɛ tebea pa mma akokoaa no, efisɛ asikre ho hia na ama amemene no ayɛ adwuma. Sɛ ɛba saa a, ɛsɛ sɛ wɔma akokoaa no asikre foforo.
• Ebia ebehia sɛ wɔtra ayaresabea kyɛ: Esiane nneɛma te sɛ eyinom nti, ebia nkokoaa binom behia ayaresa foforo na wɔhwɛ wɔn so, na ebia ebehia sɛ wɔtra ayaresabea kyɛ.
• Asiane a ɛwɔ hɔ sɛ obi benya asikreyare wɔ akyiri yi asetra mu: Ade foforo a ɛho hia ne sɛ nkokoaa a ɛnanom a na wɔwɔ nyinsɛn mu asikreyare woo wɔn no betumi anya asikreyare a ɛto so abien kakra bere a wɔanyinyin no. Ɛda adi nso sɛ wɔbɛyɛ kɛse mmoroso.

Enti, wote ase, ɛnte saa? Eyi nyɛ ɔhaw ma ɛna no nko, na mmom ɛyɛ biribi a ebetumi aka akokoaa no bere tiaa ne bere tenten akwahosan kɛse.

Okay, afei sɛ mihu sɛ mewɔ nyinsɛn mu asikreyare nso ɛ? So eyi yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho?

Nea edi kan koraa no, mma wo ho nnpopo! Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ nyinsɛn mu asikreyare a, akwan bi wɔ hɔ a wobɛfa so adi ho dwuma. Wo duruyɛfo no befi ayaresa nhyehyɛe bi a ɛbɛyɛ adwuma ama wo ase. Mpɛn pii no, ebehia sɛ woyɛ nea edidi so yi:

1. Aduan a ahoɔden wom

Eyi ne ade a ɛho hia sen biara . Ɛsɛ sɛ wohwɛ yiye wɔ nea wudi ne nea wonom ho.

• Ɛsɛ sɛ wotew nnuan a asikre, esiam, ne ngo pii wom a wudi so sɛnea wubetumi biara. Ɛsɛ sɛ wotwe wo ho fi nneɛma te sɛ anonne a ɛyɛ dɛ, keeki, ne bisket ho.
• Ɛsɛ sɛ wudi nnuaba, nhabannuru, ne nnuan a ahoɔdennuru pii wom pii. Fa aburow a wɔayam te sɛ aburow a ɛyɛ bruu, buckwheat, ne oats, nhaban momono, nhabannuru, ne nnuaba (paw nnuaba a asikre kakraa bi na ɛwom) ka w’aduan ho.
• Didi bere a ɛfata, dodow a ɛfata. Ɛyɛ papa sɛ wubedi nnuan nketenkete pii da mũ no nyinaa sen sɛ wubedi nnuan akɛse prɛko pɛ.

Wo duruyɛfo anaa aduannuru ho ɔbenfo anaa aduan ho ɔbenfo betumi ama wo afotu pa wɔ eyi ho. Sɛ wudi w’aduan so yiye a, wubetumi adi asikre dodow a ɛwɔ wo mogya mu no so kɛse.

2. Da biara da apɔw-mu-teɛteɛ

Ade foforo a ɛho hia ne sɛ wobɛyɛ apɔw-mu-teɛteɛ kakra da biara.

• Wubetumi ayɛ apɔw-mu-teɛteɛ a emu nyɛ den te sɛ nantew anyɛ yiye koraa no simma 30 da biara .
• Wubetumi nso ayɛ nneɛma te sɛ yoga wɔ aduruyɛ mu afotu so.

Nanso ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo apɔw-mu-teɛteɛ a ɛfata wo ne bere tenten a ɛsɛ sɛ woyɛ. Apɔw-mu-teɛteɛ ma nipadua no tumi te insulin a ɛboa ma asikre a ɛwɔ mogya mu no so no yɛ kɛse.

3. Ebia `(Insulin)` a wɔde twitwiw nipadua no mu

Ebia ɛnanom binom rentumi mfa aduan ne apɔw-mu-teɛteɛ nkutoo so nni asikre dodow a ɛwɔ wɔn mogya mu no so yiye. Wɔ tebea horow a ɛte saa mu no, oduruyɛfo no bɛka akyerɛ wo sɛ fa `(Insulin)` injections (`shots`) da biara da. Eyi ne sɛ ɛbɛma nipadua no anya `(Insulin)` dodow a ehia afi abɔnten. Saa `(Insulin)` injections yi rempira akokoaa no, enti mma ɛnhaw wo wɔ ho. Oduruyɛfo no bɛkyerɛ wo sɛnea wode `(Insulin)` bɛhyɛ wo mu pɛpɛɛpɛ.

4. Hwɛ asikre dodow a ɛwɔ mogya mu daa

Wo duruyɛfoɔ bɛma wo afiri ketewa bi (`glucometer`) a wobɛtumi de ahwɛ asikre dodoɔ a ɛwɔ wo mogya mu wɔ fie. Ɛho behia sɛ wohwɛ na wokyerɛw asikre dodow a ɛwɔ wo mogya mu mpɛn pii da biara (te sɛ ansa na woadi anɔpaduan ne bere a woadi adidi akyi). Eyi bɛboa wo duruyɛfo ma wahu sɛ ebia w’ayaresa no reyɛ adwuma yiye, sɛ ebia asikre a ɛwɔ wo mogya mu no ntumi nyɛ adwuma yiye, ne sɛ ebia ɛsɛ sɛ woyɛ nsakrae biara wɔ w’aduan mu anaa.

Ɛwom mpo sɛ ebia ɛsɛ sɛ woyɛ adwumaden kakra kosi sɛ akokoaa no bɛba de, nanso kae sɛ woreyɛ eyi nyinaa ama wo ne akokoaa no nyinaa akwahosan pa.

Dɛn na ɛba nyinsɛn mu asikreyare yi so bere a wɔawo akokoaa no akyi? So ɛbɛtra hɔ saa?

Eyi yɛ ɔhaw a ɛnanom pii wɔ. Asɛmpa no ne sɛ mpɛn pii no, nyinsɛn mu asikreyare kɔ bere a wɔawo akokoaa no akyi! Nea enti a ɛte saa ne sɛ nea ɛde eyi ba titiriw ne nsakrae a ɛba nipadua no mu bere a wɔyem no. Sɛ wɔwo akokoaa no wie a, saa hormone dodow no san kɔ sɛnea na ɛte kan no, enti asikre dodow a ɛwɔ wo mogya mu nso san kɔ sɛnea na ɛte kan no. Wo duruyɛfo bɛsan ahwɛ asikre dodow a wowɔ wɔ akokoaa no awo akyi bɛyɛ adapɛn 6 kosi 12.

Nanso nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛma ɛtra yɛn adwenem:

• Ebetumi aba bio: Sɛ woanya asikreyare wɔ nyinsɛn mu pɛnkoro a, hokwan bɛboro 50% wɔ hɔ sɛ wubenya tebea no bio wɔ wo nyinsɛn a edi hɔ no mu. Enti, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo susuw eyi ho ansa na woanyinsɛn bio na woayɛ ahosiesie a ɛho hia.
• Asiane a ɛwɔ hɔ sɛ wobenya `(Type 2 Diabetes Mellitus)` daakye: Ɛnanom a wɔanya nyinsɛn mu asikreyare no wɔ asiane kɛse kɛse sɛ wobenya asikreyare a ɛtra hɔ daa a wɔfrɛ no `(Type 2 Diabetes Mellitus)` akyiri yi sen afoforo. Eyi yɛ biribi a ɛsɛ sɛ yɛhaw yɛn ho paa. Sɛnea nhwehwɛmu ahorow bi kyerɛ no, asiane yi betumi ayɛ 50% kosi 70%.
• Wo mu duru a wobɛkɔ so akura mu: Enti ade a eye sen biara a wubetumi ayɛ de atew asiane a ɛbɛba daakye yi so ne sɛ wobɛma wo nipadua mu duru ayɛ nea ɛfata bere a woawo akokoaa awie no. Sɛ wudi aduan a ɛkari pɛ na woteɛteɛ w’apɔw mu daa a, ɛbɛboa kɛse wɔ eyi mu.
• Kɔ so ne wo duruyɛfo nni nkitaho: Sɛ wowo akokoaa wie a, kɔyɛ nhwehwɛmu a edi akyi sɛnea wo duruyɛfo kamfo kyerɛ no. Ɛyɛ papa sɛ anyɛ yiye koraa no, wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu pɛnkoro afe biara. Eyi betumi aboa wo ma woahu sɛ ebia wowɔ asiane mu sɛ wubenya Asikreyare a Ɛto so Abien anaasɛ wowɔ asikreyare a edi kan.

Ɛno akyi no, ɛnyɛ adwene pa sɛ wo werɛ befi akokoaa a wobɛwo koraa. Ɛsɛ sɛ wususuw w’akwahosan a ɛtra hɔ kyɛ nso ho. Eyi te sɛ kɔkɔbɔ ma wo.

Enti, nneɛma bɛn na ehia sɛ yɛkae wɔ eyinom nyinaa mu?

Okay, nneɛma kakraa bi wɔ hɔ a yɛaka ho asɛm a ɛsɛ sɛ ɛbata w’adwene mu ankasa. Momma yɛnhwɛ wɔn mmiako mmiako:

1. Asikreyare a ɛba wɔ nyinsɛn mu nyɛ biribi a ɛsɛ sɛ wosuro, na mmom ɛsɛ sɛ wohu: Eyi yɛ tebea a ɛba bere a wɔyem nkutoo. Ebetumi aba sɛ wunnyaa asikreyare da mpo a.

2. Yɛ nhwehwɛmu wɔ bere ano: Hwɛ sɛ wobɛyɛ ``glucose screening test`` no wɔ adapɛn 24-28 ntam. Dodow a wohu no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wobedi so.

3. Akokoaa no betumi aka no: Sɛ ɛna no mogya mu asikre kɔ soro a, wobetumi awo akokoaa no ntɛm, ne mu duru ayɛ kɛse, na asikre a ɛwɔ ne mogya mu no sua wɔ awo akyi. Akokoaa no nso wɔ asiane mu sɛ obenya ``Type 2 Diabetes`` ne kɛseyɛ mmoroso daakye.

4. Ayaresa ahorow wɔ hɔ na wobetumi adi so: Wobetumi adi tebea yi so yiye denam aduan pa a wobedi, apɔw-mu-teɛteɛ, insulin a wɔde twitwiw nipadua mu sɛ ɛho hia a, ne asikre a wɔyɛ wɔ mogya mu daa so. Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

5. Ɛtaa kɔ bere a woawo akyi: Nanso, sɛ wunyinsɛn bio a, ebetumi asan aba. Ɛsan nso ma asiane a ɛwɔ hɔ sɛ ɛna no benya `(Type 2 Diabetes Mellitus)` daakye no yɛ kɛse.

6. Kɔ so hwɛ w’akwahosan so: Kura mu duru a ɛfata mu bere a woawo akokoaa awie no. Di aduan a ɛkari pɛ, teɛteɛ w’apɔw mu. Kɔ so ne wo duruyɛfo nni nkitaho, na kɔhwɛ wo daa.

Kae sɛ ɛnyɛ wo nkutoo na woretu kwan yi. Wo duruyɛfo, abusua akwahosan ho ɔbenfo, aduan ho ɔbenfo, ne w’abusua mufo nyinaa wɔ hɔ sɛ wɔbɛboa wo. Nea ɛho hia paa ne sɛ wobɛma wohu eyi, ɛnsɛ sɛ wosuro, na woatu anammɔn a ɛho hia. Afei wo ne wo ba no nyinaa betumi anya apɔwmuden ne anigye.

` Nyinsɛn mu Asikreyare, Nyinsɛn mu Asikreyare, Asikreyare a Ɛwɔ Nyinsɛn Mu, Akokoaa Akwahosan, Mogya mu Asikre Dodow, Insulin, Nyinsɛn mu Nhwehwɛmu, Type 2 Diabetes Mellitus