So wunim sɛnea sɛ wɔanhyɛ asikreyare so a, ebetumi aka nipadua no nyinaa? (Asikreyare) .

Asikreyare a wobedi ho dwuma ne asetra pa a wobɛtra ase no betumi ayɛ asɛnnennen wɔ mmere bi mu. Nanso akatua a wonya no fata mmɔdenbɔ no yiye. Sɛ wɔantumi anhyɛ asikreyare so, a ɛkyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ so yɛ kɛse ɛmfa ho sɛ wonom nnuru a, wubetumi anya sɛnkyerɛnne ahorow te sɛ wo taa tow nsu ne sukɔm a ɛkɔ soro. Sɛ saa tebea yi kɔ so a, ebetumi asɛe wo nipadua no akwaa ahorow pii.

Nkɛntɛnso a enya wɔ koma ne mogya ntini so

Komayare ne mogya ntini mu yare yɛ ɔhaw ahorow a ɛtaa ba nnipa pii a wontumi nni wɔn asikreyare so. Anyɛ yiye koraa no, ɛda adi sɛ wubenya komayare anaa akisikuru mmɔho abien sen obi a onni asikreyare.

Mogya ntini anaa ntini a ɛsɛe no betumi de ɔhaw aba wo nan mu. Ɛtɔ mmere bi a kuru ketewaa mpo rensa, ɛrensɛe, na ɛbɛyɛ nea emu yɛ den kɛse. Ɛntaa mma koraa sɛ ebia ɛho behia sɛ wotwa nan anaa nansoaa no fã bi.

Nsɛnkyerɛnne: Ebia worennya yare no ho sɛnkyerɛnne biara kosi sɛ wubenya komayare anaa akisikuru. Ɔhaw ahorow a ɛwɔ mogya ntini akɛse a ɛwɔ wo nan mu no betumi ama wo nan ho ayɛ wo yaw, wo honam ani kɔla asakra, na wo nan ayɛ mmerɛw.

Asɛmpa no: Nhwehwɛmu pii ada no adi sɛ nnuru a ɛfata, adidi, ne apɔw-mu-teɛteɛ betumi asiw ɔhaw ahorow yi ano anaasɛ sɛ ɛwɔ hɔ dedaw a, ebetumi asiw ano.

Nkɛntɛnso a enya wɔ aniwa so

Asikreyare ne ade titiriw a ɛma mpanyimfo nhu ade foforo. Asikreyare betumi ama obi anya aniwa mu nyarewa pii a sɛ wɔansa a, ebetumi ama obi ani afura mpo.

• Glaucoma a ɛma obi ho yɛ hyew
• Aniwa a ɛyɛ mmerɛw
• Aniwa no mogya ntini a ɛyɛ mmerɛw no sɛe esiane asikreyare nti (Diabetic Retinopathy) .

Ɛtɔ mmere bi a, sɛ aniwa no sɛe kɛse mpo a, ebia yare no ho sɛnkyerɛnne biara nni hɔ. Enti, ɛho hia koraa sɛ anyɛ yiye koraa no, wobɛkɔ aniwa ho oduruyɛfo nkyɛn pɛnkoro afe biara ma wɔayɛ aniwa mu nhwehwɛmu a edi mũ.

Asɛmpa no: Nhwehwɛmu ahorow ada no adi sɛ wobetumi asiw anifurae a asikreyare de ba no 90% ano denam aniwa mu nhwehwɛmu a wɔyɛ no daa ne ayaresa a ɛba bere ano so. Enti sɛ wuhu nsakrae bi wɔ w’ani so a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Nkɛntɛnso a enya wɔ asaabo so

Asikreyare ne ade titiriw a ɛma mpanyimfo asaabo ntumi nyɛ adwuma yiye. Ɛkame ayɛ sɛ ayarefo a wɔahu asaabo foforo no mu fã wɔ asikreyare.

Nsɛnkyerɛnne: Mpɛn pii no, asaabo mu yare a asikreyare de ba ntɛm no nkyerɛ sɛnkyerɛnne biara. Bere a yare no kɔ so no, anan ne nan no betumi ahonhon.

Asɛmpa no: Nnuru a ɛma asikre ne mogya mmoroso so tew (sɛ wunni mogya mmoroso mpo a) betumi atew asiane a ɛwɔ hɔ sɛ asaabo a entumi nyɛ adwuma yiye no so 33%.

Nkɛntɛnso a enya wɔ ntini ahorow so (Diabetic Neuropathy) .

Asikre dodow a ɛkɔ soro wɔ mogya mu bere a bere kɔ so no betumi asɛe wo ntini ahorow. Saa ɔsɛe yi betumi aka nnipa a wɔwɔ asikreyare no mu bɛyɛ 70%. Ɛtaa fi ase wɔ nsa ne anan mu. Nanso bere kɔ so no, ebetumi aka nipadua no afã afoforo te sɛ dwensɔtwaa, akisikuru, awotwaa, ne koma.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara:

• Nsa anaa anan a ɛyɛ mmerɛw, ɔhyew, ɛyaw, anaa nkate a ɛyera
• Nnuan a wɔyam, te sɛ yafunu a ɛyɛ yaw, akisikuru, ɔfe, anaa akisikuru
• Nsuo mu yare a ɛtaa ba anaasɛ ontumi nyi akisikuru no mu koraa
• Ɛyɛ den sɛ wobenya ɔbarima ne ɔbea nna anaasɛ wobɛkɔ so akura mu bere a wɔrenya nna mu kyɛfa no
• Adwene a ɛyɛ basaa anaasɛ obi a ɔtotɔ piti

Sɛ ntini ahorow no sɛe a, asikre dodow a ɛwɔ mogya mu a wobɛma abɛn sɛnea ɛte daa no betumi aboa ma wɔahyɛ ne nkɔso so anaasɛ ama ayɛ brɛoo.

Ntini a ɛsɛe nneɛma atitiriw pii

• Peripheral Diabetic Neuropathy: Eyi betumi ama anan no ayɛ hyew, ayɛ no yaw, anaasɛ wahwere nkate, titiriw nsateaa ano. Ebetumi aka nsa nso akyiri yi.
• Autonomic Neuropathy: Eyi ka ntini ahorow a ɛhwɛ wo mu akwaa ahorow so no. Nsɛnkyerɛnne no betumi ayɛ nna mu ɔhaw, aduan mu haw (gastroparesis), akisikuru a ɛyɛ ma, adwenemhaw, ne asikre a ɛba mogya mu (hypoglycemia).
• Asikreyare Amyotrophy: Eyi yɛ tebea a ɛntaa nsi koraa a ɛma ɛyaw kɛse ne ɔfe ba asen ne asen no fã, na ɛno akyi no, ntini a ɛyɛ mmerɛw wɔ asen no mu.

Asɛmpa no: Mprempren ayaresa pii wɔ hɔ a ɛbɛboa ma wɔadi ɛyaw yi ho dwuma. Ebia wo duruyɛfo bɛkamfo nnuru bi a wɔde kum ɛyaw, nnuru a wɔde gu nipadua no so, ne mfiri a ɛkanyan ntini te sɛ TENS (transcutaneous electrical nerve stimulation) mpo akyerɛ wo.

Nse, anom ne honam ani haw ahorow

Nnipa a wɔwɔ asikreyare no wɔ asiane kɛse mu sɛ wobenya anom yare. Nsõ a ɛyɛ kɔkɔɔ, ahonhon, na mogya tu ntɛmntɛm no betumi ayɛ sɛnkyerɛnne. Afei nso, nneɛma te sɛ mmɔkaw a ɛwɔ honam ani no betumi ayɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso dodo.

Asɛmpa no: Sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu so, kɔ wo sẽ ho oduruyɛfo nkyɛn daa, na wohohoro wo sẽ da biara da a, wubetumi akwati ɔhaw ahorow yi.

Dɛn na ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu?

Sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ so yɛ kɛse dodo bere tenten a, ebetumi ama woanya tebea horow a emu yɛ den yiye te sɛ komayare anaa owu mpo. Ebia wobɛte nka sɛ woabrɛ kɛse, wo mu duru so atew, ɔkɔm de wo kɛse, sukɔm de wo kɛse, na wotaa tow wo ho .Sɛ wowɔ sɛnkyerɛnne te sɛ, frɛ wo duruyɛfo ntɛm ara. Sɛ tebea no mu yɛ den a, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.