Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ Asikreyare a Ɛto so Abien a, ebia wɔkyerɛw wo saa aduru yi. Ɛwɔ din abien, Pioglitazone ne Metformin. Mpɛn pii no wunya no sɛ aduru biako a wɔde nnuru abien yi bom yɛ. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na woanya nsɛmmisa pii bere a worefi aduru foforo bi ase no. Nanso mma ɛnhaw wo, ɛnnɛ yɛbɛka saa aduru yi, sɛnea ɛyɛ adwuma wɔ nipadua mu, nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho, ne biribiara ho asɛm.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, aduru yi adwuma titiriw ne sɛ ɛbɛhwɛ asikre dodow a ɛwɔ wo mogya mu, kyerɛ sɛ, glucose so. Wɔde ma nnipa a wɔwɔ Asikreyare a Ɛto so Abien. Ɛyɛ adwuma wɔ akwan abien so. Biako ne sɛ wobɛboa insulin a ɛwɔ wo nipadua mu no ma ayɛ adwuma yiye. Ɔfoforo no ne sɛ wobɛtew asikre a ɛho nhia a wo mmerɛbo no yɛ no so.
Nanso kae sɛ, aduru yi nkutoo nnɔɔso. Sɛ wobɛkɔ so adi wo ho so yiye a, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi aduan pa akyi na woteɛteɛ w’apɔw mu ka aduru yi ho. Ɛho hia paa sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛsɛ sɛ onya w’akwahosan tebea no ho ntease a edi mũ. Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| Aduruyɛ tebea/su | Dɛn nti na ɛsɛ sɛ yɛbɔ amanneɛ? |
|---|---|
| Koma mu yare anaa komayare | Saa aduru yi betumi ama nsu a ɛwɔ nipadua no mu no ayɛ kɛse na ama komayare asɛe. |
| Asaabo anaa mmerɛbo mu yare | Esiane sɛ saa akwaa ahorow yi ka ho bi na woyi nnuru fi nipadua no mu nti, sɛ wɔn dwumadi asɛe a, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ aduru no dodow mu. |
| Nsa a wɔtaa nom | Sɛ wɔde nsa ne aduru yi ka bom a, ɛma asiane a ɛwɔ hɔ sɛ obi benya tebea a emu yɛ den a wɔfrɛ no lactic acidosis no yɛ kɛse. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a | Esiane sɛ saa aduru yi betumi aka akokoaa no nti, ɛho hia sɛ wohwehwɛ aduruyɛ mu afotu wɔ aduru no a wɔde bedi dwuma wɔ nsɛm yi mu ho. |
| Akisikuru anaa aniwa mu yare | Ɛsɛ sɛ oduruyɛfo no hu sɛ ɛtɔ mmere bi a saa aduru yi betumi aka tebea horow yi. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Eyi ho hia sɛ wuhu sɛ ebia wo ho nyɛ wo hyew wɔ aduru yi anaa nneɛma a ɛwom no bi ho anaa. |
| Asikreyare a ɛma obi nya Ketoacidosis | Esiane sɛ eyi yɛ asikreyare ho haw a emu yɛ den nti, saa aduru yi mfata. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɔkwan a wɔfa so de saa aduru yi di dwuma no yɛ mmerɛw yiye.
- Fa nsu kuruwa mene aduru no .
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara , sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Sɛ wode eyi yɛ wo su a, ɛnyɛ den koraa sɛ wo werɛ befi.
- Ɛyɛ papa sɛ wobɛnom aduru no ne adidi .
- Kɔ so fa saa aduru yi di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
- Nea ɛho hia: Sɛ wususuw sɛ woanom nnuru a ɛboro so a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
- Wɔakyerɛw saa aduru yi ama wo nkutoo. Mma nnkyɛ obi foforo biara esiane biribiara nti.
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ bere a wokae a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu.Mfa nnuru abien prɛko pɛ da.
Dɛn bio na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a merenom aduru yi?
Ɛho hia yiye sɛ wohwɛ w’akwahosan yiye wɔ bere a wode aduru no bedi dwuma no nyinaa mu.
- Aduruyɛ mu nhwehwɛmu daa: Hwɛ hu sɛ wobɛkɔ ayaresabea hɔ nna a wo duruyɛfo bɛka akyerɛ wo no. Wɔyɛ mogya mu nhwehwɛmu a wɔfrɛ no HbA1c bɛyɛ pɛnkoro wɔ asram 2-3 biara mu de hwɛ sɛnea wɔredi wo mogya mu asikre so yiye. Eyi betumi asusuw sɛnea asikreyare ano aduru a wobedi no ayɛ yiye no ho.
- Sua sɛnea wobɛsɔ wo mogya mu asikre ahwɛ: Ɛho hia sɛ wusua sɛnea wobɛsɔ wo mogya mu asikre ahwɛ wɔ fie. Afei nso, hu asikre a ɛkɔ soro ne asikre a ɛkɔ soro ho sɛnkyerɛnne ahorow, ne nea ɛsɛ sɛ woyɛ bere a ɛba no.
- Sɛ asikre a ɛwɔ wo mogya mu no so tew a: Sɛ mpofirim ara wote nka sɛ asikre sua, wo ho kyere wo, anaa wo ho fifiri a, fa biribi te sɛ asikre kuruwa, toffee, anaa glucose aduru bi si wo nkyɛn. Nanso kae sɛ, sɛ obi nnim hwee a, mfa biribiara nhyɛ n’anom, efisɛ ebetumi ama ne menewam. Ɛsɛ sɛ wode wɔn kɔ ayaresabea ntɛm ara.
- Mma nntwa adidi so: Ɛho hia paa sɛ obi a ɔwɔ asikreyare bedi bere a ɛfata.
- Oprehyɛn ne scan: Sɛ wɔbɛyɛ wo oprehyɛn biara, anaasɛ wɔde nsu titiriw bi a wɔfrɛ no contrast bɛhyɛ wo mu ama biribi te sɛ X-ray anaa CT scan a, ɛsɛ sɛ wudi kan ka kyerɛ nnuruyɛfo kuw no sɛ worenom saa aduru yi.
- Vitamin a enni nipadua mu: Sɛ wɔde aduru yi di dwuma bere tenten a, ebetumi ama nnipa binom anya vitamin B12 ne folic acid a ɛba fam. Enti wo ne wo duruyɛfo nkasa mfa aduan a ɛkari pɛ a wubedi ne vitamin a wɔde ma sɛ ɛho hia a wobɛnom ho.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, saa aduru yi betumi de ɔhaw ahorow aba nnipa binom so, nanso ɛnyɛ obiara na onya bi. Hwɛ yiye wɔ sɛnkyerɛnne ahorow a ɛwɔ ase ha no ho.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Koma a entumi nyɛ adwuma yiye ho sɛnkyerɛnne | Ɔhome a ɛyɛ den, nansoaa, nan anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, ɔbrɛ a ɛtra so. |
| Lactic Acidosis a ɛwɔ nipadua no mu | Ntini mu yaw anaasɛ ɛyɛ den, yafunu mu yaw, ahome a ɛyɛ den, ɔbrɛ a ɛtra so, ne ahotɔ. Eyi yɛ tebea a emu yɛ den yiye. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Ɛyaw a ɛba yafunu nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Vitamin B12 a enni nipadua no mu ho sɛnkyerɛnne | Ɛyaw a ɛba nsa ne nan mu, akisikuru, ntini a ɛyɛ mmerɛw, adwenemhaw, adwene mu basaayɛ. |
| Anisoadehu sesa | Anisoadehu a wontumi nhu, nkaa a wohu a atwa akanea ho ahyia, aniwa a wontumi nhu. |
| Sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Ayamtuo | Eyi yɛ ade a ɛfata bere a wudi kan fi ase nom aduru no. |
| Tipaeɛ | |
| Abofono | |
Nkrasɛm a Wɔde Kɔ Fie
- Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ dodow a wɔakyerɛw ama wo no mu, bere a wɔakyerɛw ama wo no mu, na fa ka aduan ho.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
- Ka nnuru afoforo, vitamin, ne aduruyɛ mu tebea foforo biara a ebia wowɔ nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sua asikre dodow a ɛba fam ne nea ɛkɔ soro ho sɛnkyerɛnne ahorow ho ade na siesie wo ho ma no.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ ahome a ɛyɛ den, nipadua a ɛho ahonhon, anaa ntini mu yaw kɛse a, hwehwɛ aduruyɛ ntɛm ara.
- Kae sɛ aduan pa ne apɔw-mu-teɛteɛ ho hia na ama asikreyare ano aduru, ne nnuru nso.
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