Wote nka sɛ wo ho yɛ brɛoo bere a woadi awie no? Momma yensua saa yare yi (Reactive Hypoglycemia) a ɛma asikre dodow a ɛwɔ mogya mu no so tew no ho ade.

Ɛtɔ mmere bi a, bere a woadi aduan a ɛyɛ dɛ awie no, so wote nka mpofirim sɛ woayɛ mmerɛw, woabrɛ, na wo ho ayɛ wo yaw wɔ nnɔnhwerew abien anaa abiɛsa ntam? Nnipa binom ho fifiri ho fifiri na wɔn nsa ne wɔn nan wosow. Nnipa pii susuw sɛ eyi yɛ ade a ɛfata. Nanso eyi betumi ayɛ tebea a asikre dodow a ɛkɔ fam wɔ mogya mu bere a wɔadi akyi no de ba. Wɔ nnuruyɛ mu no, yɛfrɛ eyi Reactive Hypoglycemia. Momma yɛnka eyi ho asɛm nnɛ ara kwa.

Nea edi kan koraa no, dɛn ne asikre a ɛba fam?

Sɛ yɛbɛka no tiawa a, asikre a ɛba fam ne bere a asikre , anaa glucose , dodow a ɛwɔ wo mogya mu no sua sen sɛnea ɛte daa no. Asikre dodow a ɛwɔ yɛn nipadua mu no kɔ soro na ɛba fam kodu baabi da mũ no nyinaa. Ɛno yɛ ade a ɛfata. Nanso bere a ɛba fam dodo nkutoo na ɛbɛyɛ ɔhaw.

Ɛwom sɛ tebea yi abu so wɔ asikreyarefo mu titiriw de, nanso ahorow abien na ebetumi aba obiara mu:

1. Mmuadadi Hypoglycemia: Mpɛn pii no, aduruyɛ mu tebea foforo a ɛhyɛ ase na ɛde eyi ba. Wɔ eyi mu no, asikre dodow a ɛwɔ mogya mu no so tew bere a wunnnidi no.

2. Reactive Hypoglycemia: Eyi ne nea yɛreka ho asɛm nnɛ na ɛno ne nea nnipa dodow no ara wɔ. Ɛba bere a wɔadi aduan bi akyi . Ɛno nti na ɛtɔ da bi a wɔfrɛ no `(postprandial hypoglycemia )`. Ɛno kyerɛ sɛ “asikre a ɛwɔ mogya mu 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 woadi aduan bi. Hwɛ sɛ eyinom yɛ nea wunim anaa. Ebia wubenya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa bere koro mu.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Ɛnyɛ bere nyinaa na nea enti a ɛte saa no da adi pefee, nanso ɛtaa ba esiane sɛ wo nipadua no yɛ hormone bi a wɔfrɛ no insulin pii bere a woadi aduan kɛse a carbohydrates pii wom akyi nti .

Fa no sɛ wudi aburow, paanoo, noodles, ne biribi a ɛyɛ dɛ pii prɛko pɛ. Afei yɛn dwensɔtwaa no yɛ insulin a ɛbɛhyɛ asikre yi so . Nanso wɔ nnipa binom nipadua mu no, sɛ wɔyam aduan no wie mpo a, insulin yi kɔ so yɛ. Afei insulin a ɛdɔɔso sen nea ɛho hia boaboa ano wɔ mogya no mu, na ɛma asikre dodow a ɛwɔ mogya mu no so tew mpofirim. Ɛno na ɛde saa sɛnkyerɛnne ahorow yi ba.

Nea ɛka ho no, ebia ntease afoforo wɔ hɔ:

• Akisikuru ahorow bi.
• Nsã a wɔnom (titiriw a wonni aduan).
• Oprehyɛn ahorow bi. Sɛ nhwɛso no, oprehyɛn a wɔde twa yafunu mu anaasɛ oprehyɛn a wɔyɛ de hwehwɛ akuru.
• Nyarewa bi a ɛma nipadua no yɛ adwuma.
• Nnipa a wɔn mu duru boro so no taa nya saa tebea yi.

Wobɛyɛ dɛn ahu sɛ eyi te saa?

Sɛ wususuw sɛ ebia worehu saa sɛnkyerɛnne ahorow yi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn . Obebisa wo wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, ne sɛ ebia obi wɔ w’abusua mu a ɔwɔ asikreyare anaa.

Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ nea edidi so yi na ama wɔahu yare no:

• Mogya mu asikre mu nhwehwɛmu: Wubetumi ahwɛ asikre dodow a ɛwɔ wo mogya mu bere a wowɔ sɛnkyerɛnne ahorow no na wode atoto dodow a wonom bere a wo sɛnkyerɛnne no afi hɔ akyi no ho.
• Mixed-Meal Tolerance Test (MMTT): Wɔ sɔhwɛ yi mu no, wɔma wo anonne soronko bi (a asikre pii wom) a ebetumi ama asikre dodow a ɛwɔ wo mogya mu no akɔ soro. Afei, wɔfa wo mogya mpɛn pii wɔ nnɔnhwerew 5 a edi hɔ no mu de hwɛ sɛnea asikre dodow a ɛwɔ wo mu no te. Eyi betumi aboa wo ma woahu sɛ asikre dodow so tew wɔ ɔkwan a ɛnteɛ so anaa.

Ayaresa ne asetra mu nsakrae

Akwan a wɔfa so sa yare no gyina nea ɛde wo tebea no reba no so.

Aduruyɛ mu ayaresa

Wɔ obi a ɔwɔ asikreyare fam no, sɛ asikre dodow a ɛwɔ mogya mu no so tew sen 70 mg/dL a, ɛyɛ tebea a ɛma asikre a ɛwɔ mogya mu no so tew. Saa bere no, ɛsɛ sɛ wofa carbohydrates gram 15 (sɛ nhwɛso no, glucose bi, nnuaba mu nsu bi) na wosan hwɛ asikre a ɛwɔ wo mogya mu wɔ simma 15 mu. Nanso ɛsɛ sɛ wɔyɛ saa nneɛma yi wɔ aduruyɛ mu afotu nkutoo so .

Nnipa dodow no ara a wɔwɔ Reactive Hypoglycemia no nhia nnuru titiriw biara. Nanso, sɛ nea ɛde ba no yɛ akisikuru anaa yare foforo a, oduruyɛfo no bɛkyerɛw ayaresa a ɛho hia (oprehyɛn anaa nnuru foforo).

Nneɛma a wubetumi ayɛ wɔ fie

Nnipa pii nhia ayaresa, nanso wobetumi adi tebea no ho dwuma yiye denam asetra ne aduan mu nsakrae a wɔbɛyɛ so.

Nneɛma bi a wubetumi asɔ ahwɛ ni:

• Di aduan ketewaa bi anaa aduan ketewaa bi nnɔnhwerew 3 biara. Sɛ wodi nnuan nketenkete 5 anaa 6 da biara, sen sɛ wubedi nnuan akɛse 3 a, ɛboa ma asikre dodow a ɛwɔ mogya mu no kɔ so yɛ pɛ.
• Paw aduan a ɛkari pɛ. Fa protein (mpataa, nam, nkesua, akutu, atoko), nnuaba ne nhabannuru, nufusu, ne aburow a wɔayam ka w’aduan ho.
• Tew nnuan a asikre ne carbohydrates a wɔayam pii wom a wudi so. Nea ɛka eyi ho ne paanoo fitaa, keeki, bisket, anonne a asikre wom, ne tii a ɛyɛ dɛ paa. Eyinom betumi ama asikre a ɛwɔ mogya mu no akɔ soro na afei akɔ fam.
• Sɛ wonom nsa a, kwati sɛ wobɛnom bere a wo yafunu da mpan.Bere nyinaa nom nsa ka aduan ho.
• Yɛ apɔw-mu-teɛteɛ daa. Da biara da apɔw-mu-teɛteɛ a ɛnyɛ den mpo betumi aboa wo nipadua ma wode asikre adi dwuma yiye.

Reactive Hypoglycemia Sinhala, asikre a ɛba mogya mu wɔ adidi akyi, asikre a ɛba fam wɔ adidi akyi, asikre a ɛba fam wɔ mogya mu, asikre a ɛba fam, ɔbrɛ a ɛba bere a wɔadi akyi, asikreyare