So wotaa hu sɛ nnɔnhwerew abien akyi bere a woadi aduan a ɛma abotɔyam no, mpofirim ara wote nka sɛ woayɛ mmerɛw, wobrɛ, anaasɛ wo tirim yɛ hare? Nnipa binom nso te fifiri anaa wɔn ho popo wɔ wɔn akwaa mu. Nnipa pii susuw sɛ eyi yɛ ɔbrɛ a ɛfata ara kwa, nanso nokwarem no, ebetumi ayɛ tebea a asikre dodow a ɛwɔ wo mogya mu no so tew kɛse bere a woadi awie no. Wɔ aduruyɛ mu no, yɛfrɛ eyi Reactive Hypoglycemia. Momma yɛnkyekyɛ nea ɛrekɔ so wɔ wo nipadua mu no mu pɛpɛɛpɛ.
Dɛn ankasa ne Hypoglycemia?
Sɛ yɛbɛka no tiawa a, asikre a ɛba fam ba bere a asikre —anaa glucose ( glucose ) —a ɛwɔ wo mogya mu no so tew sen nea ɛfata no. Ɛyɛ ade a ɛfata sɛ asikre a ɛwɔ wo mogya mu no sakra kakra da mũ no nyinaa, nanso sɛ ɛba fam dodo a, ebetumi de ɔhaw ahorow aba.
Bere a saa tebea yi abu so kɛse wɔ wɔn a wɔwɔ asikreyare mu no, ebetumi aka obiara. Nneɛma atitiriw abien na ɛwɔ hɔ:
1. Mmuadadi Hypoglycemia: Eyi taa fa aduruyɛ tebea bi a ɛda adi ho na ɛba bere a wunnii aduan bere tenten bi no.
2. Reactive Hypoglycemia: Eyi ne nea yɛreka ho asɛm nnɛ, a ɛba bere a yɛadi aduan akyi . Ɛtɔ mmere bi a wɔfrɛ no `(postprandial hypoglycemia )`, a nea ɛkyerɛ ankasa ne "mogya mu asikre a ɛba fam bere a wɔadi akyi."
Dɛn ne Reactive Hypoglycemia ho sɛnkyerɛnne ahorow?
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi wɔ nnɔnhwerew 4 akyi bere a wɔadi aduan awie no. Hwɛ sɛ eyinom mu biara te sɛ nea wunim anaa. Ebia wubehyia biako anaa pii bere koro mu:
| Nsɛnkyerɛnne a ɛkyerɛ | Sɛnea ɛte nka |
|---|---|
| Ɔbrɛ a Ɛtra So | Mmerewa anaa ahoɔden a wonni ho nkate a ɛba mpofirim. |
| Ahopopo ne Fifiri a Ɛyɛ Fɛ | Nsa anaa nan a wɔkyere ne fifiri a ɛyɛ nwini. |
| Adwene a ɛyɛ basaa ne Ahodwiriw | Sɛ wote nka sɛ wo ti ayɛ hare anaasɛ woreyɛ atɔ piti. |
| Dadwen ne Abufuw | Ehu nkate a ɛba mpofirim anaasɛ ne bo afuw ntɛm. |
| Koma a Ɛbɔ Ntɛmntɛm | Sɛ wote nka sɛ wo koma rebɔ anaasɛ ɛretu mmirika. |
| Ɔkɔm a Ɛyɛ Den | Adidi akyi bere tiaa bi a wɔte nka sɛ wɔreyɛ adidi. |
| Nsɛnkyerɛnne Afoforo | Anisoadehu a ɛyɛ kusuu, tiyɛ, ɛyɛ den sɛ wode w’adwene besi biribi so, anaa nna a ɛyɛ basaa. |
Dɛn nti na eyi ba?
Ɛnyɛ bere nyinaa na nea ɛde ba no da adi pefee. Nanso, ɛtaa ba esiane sɛ wo nipadua no yɛ insulin pii dodo de bua aduan kɛse a carbohydrates pii wom nti .
Sɛ wudi aduan a carbohydrates a wɔayɛ no yiye pii wom (te sɛ aburow fitaa, paanoo, anaa aduan a asikre wom) a, wo dwensɔtwaa no yɛ insulin na ɛma asikre a ɛwɔ wo mogya mu no yɛ adwuma yiye. Wɔ nnipa binom mu no, dwensɔtwaa no kɔ so yi insulin fi nipadua no mu bere a wɔadi aduan mu yiye mpo no. Insulin a ɛboro so yi ma asikre dodow a ɛwɔ wo mogya mu no so tew ntɛmntɛm dodo, na ɛde sɛnkyerɛnne ahorow a wote nka no ba.
Sɛ yɛbɛka no tiawa a, ɛte sɛ nea wo nipadua no "reyɛ n'ade boro so" bere a ɛrebɔ mmɔden sɛ ɛbɛhwɛ wo asikre dodow so no.
Nneɛma afoforo betumi ayɛ:
- Akisikuru ahorow bi.
- Nsã a wɔnom (titiriw wɔ yafunu a hwee nni mu).
- Oprehyɛn a wɔadi kan ayɛ, te sɛ yafunu a wɔde twam anaa oprehyɛn a wɔyɛ wɔ yafunu mu.
- Nyarewa pɔtee bi a ɛma nipadua no yɛ adwuma.
- Ankorankoro a wɔn mu duru boro so no wɔ asiane kɛse mu sɛ wobenya saa tebea yi.
Wobɛyɛ dɛn atumi asi so dua sɛ eyi rekɔ so?
Sɛ wususuw sɛ worenya saa sɛnkyerɛnne ahorow yi a, ade a ɛho hia sen biara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn . Wo duruyɛfo bɛhwɛ w’ayaresa ho abakɔsɛm, wo yare no ho sɛnkyerɛnne, ne w’abusua abakɔsɛm mu de ahu ɔkwan a eye sen biara a wobɛfa so akɔ w’anim.
Ebia sɔhwɛ ahorow a wɔde hu yare no bi ne:
- Mogya mu Glucose a Wɔhwɛ So: Asikre dodow a ɛwɔ wo mogya mu a wobɛhwɛ bere a sɛnkyerɛnne ahorow no aba na wode atoto akenkan ho bere a wote nka sɛ wo ho ye no.
- Mixed-Meal Tolerance Test (MMTT): Ebia wɔbɛka akyerɛ wo sɛ nom anonne titiriw bi a asikre pii wom, na ɛno akyi no, wɔhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ nnɔnhwerew 5 a edi hɔ no mu hwɛ sɛ ebia wo dodow so tew wɔ ɔkwan a ɛnteɛ so anaa.
Ayaresa ne Asetra mu Nsakrae
Ayaresa no gyina nea ɛde wo sɛnkyerɛnne ahorow no ba no so koraa.
Aduruyɛ mu Nsɛm a Wɔhwɛ So
Sɛ wowɔ asikreyare a, wobu asikre a ɛwɔ wo mogya mu a ennu 70 mg/dL sɛ asikreyare a ɛba fam. Wɔ tebea horow a ɛtete saa mu no, wobetumi atu wo fo sɛ di carbohydrates a ɛyɛ adwuma ntɛmntɛm gram 15 (te sɛ glucose aduru anaa nnuaba mu nsu), na afei woasan asɔ ahwɛ wɔ simma 15 mu. Di wo duruyɛfo akwankyerɛ pɔtee a ɛfa asikre a ɛba fam a wɔde di dwuma ho no akyi bere nyinaa.
Wɔ nnipa dodow no ara a wɔwɔ Reactive Hypoglycemia fam no, nnuru ho nhia. Nanso, sɛ nea ɛde ba no yɛ akisikuru anaa aduruyɛ mu tebea foforo a, wo duruyɛfo bɛkyerɛ wo kwan akɔ ayaresa a ɛfata so, a ebia oprehyɛn anaa nnuru pɔtee bi ka ho.
Nsakrae a Wɔyɛ wɔ Asetra Mu
Wɔ nnipa pii fam no, ɛnyɛ den sɛ wobetumi adi tebea yi ho dwuma denam asetra ne aduan mu nsakrae so:
- Di nnuan nketenkete a taa di. Sɛ́ anka wubedi nnuan akɛse abiɛsa no, bɔ mmɔden sɛ wubedi nnuan nketewa 5 anaa 6 da mũ no nyinaa na ama asikre a ɛwɔ wo mogya mu no akɔ so atra hɔ.
- Paw nnuan a ɛkari pɛ. Fa protein (mpataa, nkokɔ, nkesua, atoko), nhabannuru, nnuaba, ne aburow pii ka w’aduan ho.
- To asikre pii ne carbohydrate a wɔayɛ no yiye a wobɛnom ano hye. Tew paanoo fitaa, paanoo a wɔayam, bisket, soda, ne anonne a asikre wom a wonom so, efisɛ eyinom ma asikre a ɛwɔ mogya mu no kɔ soro ntɛmntɛm na ɛkɔ fam akyiri yi.
- Kwati sɛ wobɛnom nsa bere a wo yafunu da mpan. Fa nsa ka aduan a ɛkari pɛ ho bere nyinaa.
- Yɛ apɔw-mu-teɛteɛ daa. Apɔw-mu-teɛteɛ a ɛkɔ so daa no ma wo nipadua no tumi di glucose ho dwuma yiye.
Nkrasɛm a Wɔde Kɔ Fie
- Ɔbrɛ a ɛba wɔ adidi akyi, adwenemhaw, ne wosow yɛ Reactive Hypoglycemia ho sɛnkyerɛnne ahorow a ebetumi aba. Mma w’ani ngu wɔn so.
- Mpɛn pii no, nea ɛde ba titiriw ne sɛ nipadua no yɛ insulin boro so bere a wɔadi aduan a carbohydrate pii wom akyi.
- Sɛ wotaa hu saa sɛnkyerɛnne ahorow yi a, nsusuw ho — kɔ wo duruyɛfo nkyɛn kɔhwehwɛ akwankyerɛ a efi adwumayɛfo nkyɛn.
- Ɛdenam nnuan nketenkete a ɛkari pɛ a wodi ne asikre a wɔayam a wɔtew so so no, wotumi di tebea yi ho dwuma yiye.
Reactive Hypoglycemia, asikre a ɛba mogya mu bere a wɔadi akyi, asikre a ɛba fam wɔ adidi akyi, asikre a ɛba mogya mu, asikre a ɛba fam, ɔbrɛ a ɛba wɔ adidi akyi, asikre a ɛsakra
