Wɔ nyinsɛn bere yi mu no, woredwen w’ankasa akwahosan ne wo ba a ɔhyɛ yafunu mu no akwahosan nso ho pii, ɛnte saa? Asɛmfua bi a yɛtaa te, na ɛtɔ da bi a ɛyɛ hu kakra ne ‘nyinsɛn mu asikreyare’. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wote saa din yi. Nanso eyi nyɛ biribi a ɛsɛ sɛ wusuro ankasa, sɛ wodi ho dwuma yiye a, wubetumi de akokoaa a ɔwɔ apɔwmuden aba wiase yi mu a ɔhaw biara nni ho. Enti momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na emu da hɔ so nnɛ.
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Dɛn ne asikreyare a ɛba wɔ nyinsɛn mu?
Sɛ yɛbɛka no tiawa a, eyi yɛ asikreyare a ɛba bere tiaa mu a mmea binom nya bere a wɔyem nkutoo. Ɛtaa ba bere a nyinsɛn no reba awiei, bɛyɛ adapɛn 24. Nea ɛho hia ne sɛ na mmea a wonya saa tebea yi nni asikreyare ansa na wɔrenyinsɛn. Enti ɛnyɛ nkwa nna nyinaa tebea. Mpɛn pii no, tebea no fi hɔ koraa bere a wɔawo akokoaa no akyi.
Nea enti a ɛte saa ne sɛ, hormone ahorow bi a wɔyɛ wɔ nipadua no mu bere a wɔyem no siw insulin a ɛhwɛ asikre a ɛwɔ mogya mu wɔ nipadua no mu no dwumadi kwan kakra. Enti ɛho hia paa sɛ ɛna biara a onyinsɛn hu eyi na ɔyɛ nhwehwɛmu a ɛho hia.
Adɛn nti na woreka akyerɛ obiara sɛ ɔnyɛ sɔhwɛ yi?
Ebia woredwene sɛ, "Menni asiane mu, adɛn nti na ɛhia sɛ meyɛ sɔhwɛ yi?" Nanso, nyinsɛn mu asikreyare betumi aba nnipa a wonni asiane biara mpo so. Ɛno nti na, wɔ Sri Lanka ne aman afoforo pii mu wɔ wiase nyinaa no, wɔkamfo nhwehwɛmu yi kyerɛ mmea a wɔyem nyinaa .
Wɔayɛ sɔhwɛ yi sɛnea ɛbɛyɛ a wobehu tebea yi ntɛm na wɔasiw nsɛnnennen ano ama wo ne wo ba no. Sɛ wohu ntɛm a, wobetumi de nsakrae a ɛnyɛ den wɔ aduan mu adi so.
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Mpɛn pii no, wo duruyɛfo bɛhyɛ nhwehwɛmu yi wɔ nyinsɛn no adapɛn 24 kosi 28 ntam.
Nanso sɛ woanya asikreyare a ɛte sɛɛ wɔ nyinsɛn bi a atwam mu, anaasɛ wo duruyɛfo susuw sɛ wowɔ asiane afoforo te sɛ obi a ɔwɔ w’abusua mu a ɔwɔ asikreyare a, ebia ɔbɛkamfo akyerɛ sɛ yɛ nhwehwɛmu yi ntɛm mpo, te sɛ ansa na adapɛn 13 adu . Wo duruyɛfo bɛma wo afotu a eye sen biara wɔ eyi ho.
Ɔkwan bɛn so na wɔyɛ OGTT sɔhwɛ yi?
Wɔfrɛ sɔhwɛ yi sɛ Oral Glucose Tolerance Test anaa (OGTT) . Wɔfrɛ no kɛse sɛ "asikre nsu sɔhwɛ". Saa pɛpɛɛpɛ na ɛba.
Wo de susuw nea ɛba bere a wokɔ ayaresabea hɔ no ho hwɛ.
1. Nea edi kan no, wɔbɛma wo nsuo a ɛyɛ dɛ (ɛtɔ da bi a wɔfrɛ no Glucola'') a glucose gram 50 afra mu. Eyi bɛyɛ dɛ kakra, nanso wubetumi anom no ntɛm.
2. Sɛ wonom nsu a ɛyɛ dɛ yi wie a, ɛsɛ sɛ wotwɛn bɛyɛ dɔnhwerew biako. Saa bere yi mu no, wo nipadua no twe glucose yi, na ɛma asikre dodow a ɛwɔ wo mogya mu no kɔ soro kakra.
3. Dɔnhwerew biako pɛpɛɛpɛ akyi no , wobegye mogya ketewaa bi afi ntini bi a ɛwɔ wo basa mu mu.
4. Wɔsɔ mogya yi mu hwɛ sɛnea wo nipadua no atumi (ayɛ) glucose dodow a wonom no ho dwuma.
Ɔkwan bɛn so na yɛbɛte sɔhwɛ no mu aba no ase?
Ɛha na nnipa pii wɔ ɔhaw kakra. Nnipa binom suro bere a wonya wɔn sɔhwɛ ho amanneɛbɔ a edi kan no. Ma yɛnhwɛ sɛnea yɛbɛte eyi ase pɛpɛɛpɛ.
Sɔhwɛ a edi kan (Screening Test) .
Sɛ asikre dodow a ɛwɔ mogya a wɔfaa no dɔnhwerew biako akyi no boro 130mg/dL anaa 140mg/dL (saa bo betumi ayɛ soronko kakra wɔ lab biara mu na egyina oduruyɛfo no adwene so) a, oduruyɛfo no bɛka akyerɛ wo sɛ ɛsɛ sɛ woyɛ nhwehwɛmu foforo a ɛkyerɛ sɛ wo si so dua.
Nea ɛho hia yiye: Asikre dodow a ɛkɔ soro kakra wɔ sɔhwɛ a edi kan no mu no nkyerɛ sɛ wowɔ nyinsɛn mu asikreyare. Ɛkyerɛ kɛkɛ sɛ "ɛsɛ sɛ yɛhwehwɛ eyi mu kɔ akyiri." Enti mma wo ho nnyɛ wo hu.
Nea ɛto so abien, Sɔhwɛ a Wɔde Si So So
Sɛ sɔhwɛ a edi kan no mu aba no dɔɔso nkutoo a, ɛsɛ sɛ woyɛ sɔhwɛ a ɛto so abien yi. Eyi yɛ soronko kakra wɔ nea edi kan no ho.
| Su | Sɔhwɛ a edi kan (Screening Test) . | Sɔhwɛ a ɛto so abien (Confirmatory Test) . |
|---|---|---|
| Mmuadadi | Mpɛn pii no, ɛho nhia. | Akyinnye biara nni ho sɛ ɛho hia ( nnɔnhwerew 8-10). |
| Glucose dodow a wɔde di dwuma | gram 50 (50g) na ɛyɛ . | gram 100 (100g) na ɛyɛ . |
| Bere a wɔde yɛ sɔhwɛ no | dɔnhwerew 1 | Nnɔnhwerew 3 |
| Mpɛn dodow a ɛsɛ sɛ wɔfa mogya | Pɛnkoro (dɔnhwerew biako akyi) . | Mpɛn anan (ansa na wɔnom nsa, dɔnhwerew biako akyi, nnɔnhwerew abien akyi, nnɔnhwerew abiɛsa akyi) . |
Sɛ anyɛ yiye koraa no mogya anan a wɔfaa wɔ nhwehwɛmu a ɛto so abien yi mu no mu abien boro dodow a wɔkamfo kyerɛ no so a , oduruyɛfo no bɛkyerɛ sɛ wowɔ asikreyare a ɛwɔ nyinsɛn mu.
Sɛ wɔasi so dua sɛ wowɔ eyi mpo a, mma wo ho nnyɛ wo hu. Wo duruyɛfo ne aduannuru ho ɔbenfo betu wo fo wɔ aduan ho nhyehyɛe ne apɔw-mu-teɛteɛ nhyehyɛe a ɛfata wo ho. Sɛ wudi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ a, wo ne wo ba no betumi afa saa bere yi mu a ɔhaw biara nni ho.
Nkrasɛm a Wɔde Kɔ Fie
- Asikreyare a ɛba wɔ nyinsɛn mu yɛ tebea a wotumi di ho dwuma a nyinsɛn nkutoo na ɛba. Mma ɛnhaw wo wɔ ho a ɛho nhia.
- Oral Glucose Tolerance Test (OGTT) yɛ nhwehwɛmu a ahobammɔ wom, a wɔahyɛ da ayɛ a wɔkamfo kyerɛ mma mmea a wɔyem nyinaa.
- Nea efii mu bae kɛse wɔ sɔhwɛ a edi kan no mu (50g screening) no nkyerɛ sɛ wowɔ asikreyare. Sɔhwɛ a ɛto so abien (100g sɔhwɛ) ho hia na ama wɔatumi asi eyi so dua.
- Sɛ wowɔ nsɛmmisa bi fa eyi ho a, sen sɛ wobɛbɔ hu wɔ nea wokenkan wɔ intanɛt so no ho a, wo ne wo duruyɛfo nkasa tẽẽ . Ɔde afotu a ɛfata bɛma wo.
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