So wowɔ asikreyare? Enti, sɛ wokɔda anadwo a, so wobɔ wo ho na wodannan wo ho a wunna? Anaasɛ wosɔre mpofirim bere a woada no? So woda pii nna bi, na nna foforo nso, ɛmfa ho mmɔden biara a wobɛbɔ no, wuntumi ntoto w’ani mpo? Sɛ wuhyia saa nneɛma yi a, ɛnyɛ wo nkutoo. Nnipa pii a wɔwɔ asikreyare no nya nna ho haw ahorow yi. Ebia wubesusuw sɛ eyi yɛ ade a ɛfata. Nanso so wunim sɛ ebia abusuabɔ kɛse bi da asikreyare ne wo nna ho haw ahorow ntam ? Momma yɛnka eyi ho asɛm nnɛ.
Dɛn nti na nnipa a wɔwɔ asikreyare no nya nna ho haw?
Nneɛma pii nti na obi a ɔwɔ asikreyare betumi anya ɔhaw wɔ nna mu. Momma yɛnte eyinom ase wɔ nsɛm a ɛnyɛ den mu, mmiako mmiako.
| Nea enti a nna mu yɛ basaa | Sɛ yɛbɛka no tiawa a, ɛyɛ dɛn? |
|---|---|
| Dae mu Ahomegye a Ɛmma Nnipa Ntumi Nkɔ | Eyi ne bere a yɛn menewam ntini a ɛwɔ soro no dwo bere a yɛada, na esiw yɛn mframa kwan no. Afei, ahome gyae sikɔne kakraa bi. Eyi ma oxygen dodow a ɛwɔ mogya no mu no so tew, na ɛka amemene ne koma no. Fa no sɛ, wo kunu hwene anadwo, ogyae home mpofirim, na ɔsɔre a ɔrefi ase. Eyi ne nea yɛfrɛ no Sleep Apnea. Saa tebea yi abu so wɔ nnipa a wɔayɛ kɛse mmoroso mu. |
| Ntini a ɛwɔ nan no mu a ɛsɛe (Peripheral Neuropathy) . | Asikreyare betumi asɛe ntini a ɛwɔ wo nan ne wo nan mu no. Eyi betumi ama wo nan ho ayɛ wo yaw, ayɛ wo yaw, na woahyew. Saa ɛyaw ne ahometew yi betumi ama ayɛ den sɛ wobɛda yiye anadwo. |
| Nan a Ɛnyɛ Dwudwo Syndrome | Eyi ne bere a wote nka sɛ wo nan retu a wuntumi nni so, te sɛ nea wuntumi ntra hɔ dinn. Ɛtɔ da bi a, ɛte sɛ nea biribi retwe wo nan mu, te sɛ ɛyaw. Eyi ma ɛyɛ den yiye sɛ wobɛda. |
| Nsakrae a ɛba asikre dodow mu (Hypoglycemia & Hyperglycemia) . | Asikre dodow a ɛkɔ fam mpofirim (hypoglycemia) ne nkɔanim kɛse (hyperglycemia) nyinaa betumi aka nna. Sɛ asikre dodow kɔ soro a, ɛsɛ sɛ wotaa tow wo ho anadwo. Eyi sɛe wo nna. Sɛ asikre dodow so tew a, ebia wo ho fifiri bɛtɔ wo, ate nka sɛ wo ho yeraw wo, na ebetumi mpo akanyan wo. |
| Obolo | Mu duru a ɛkɔ soro no ne ahurututu ne nna mu ahomegye wɔ abusuabɔ tẽẽ, na abien no nyinaa yɛ akwanside atitiriw a ɛmma wontumi nna yiye. |
Wobɛyɛ dɛn ahu nna ho haw ahorow yi?
Enti sɛ wowɔ saa ɔhaw yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa afa ho. Obebisa wo nsɛm kakraa bi afa wo nna ho.
- Ɛyɛ den ma wo sɛ wobɛda anadwo?
- So wosɔre wɔ wo nna mu fã?
- So wotaa te nka sɛ woda awiabere?
- So wobɔ wo hwene wɔ wo nna mu? So wote nka sɛ wo ho atɔ wo?
- So wo nan ho yɛ wo yaw anaasɛ wo ho yɛ wo yaw?
- So wobɔ wo nan wɔ wo nna mu? So wutu kɔ baabiara?
Ɛdenam nsɛmmisa yi ho mmuae so no, sɛ ɛho hia a, wo duruyɛfo betumi de wo akɔma oduruyɛfo a ɔhwɛ nna ho ɔbenfo nkyɛn. Ebia wɔbɛka akyerɛ wo nso sɛ wobɛyɛ nna ho nhwehwɛmu titiriw bi a wɔfrɛ no polysomnogram . Nea ɛka eyi ho ne sɛ wobɛda ayaresabea anadwo mũ nyinaa, na wode mfiri asusuw sɛnea woda, w’amemene mu asorɔkye, wo home, ne wo koma bɔ ho. Eyi betumi aboa ma woahu nea ɛde wo nna ho haw ahorow ba ankasa.
Dɛn ne ayaresa ahorow a wɔde sa nna ho haw ahorow a ɛbata asikreyare ho?
Asɛmpa no ne sɛ ɛkame ayɛ sɛ ayaresa ahorow wɔ hɔ ma saa tebea horow yi nyinaa. Ayaresa no gyina tebea a wowɔ no so.
Nea ɛho hia sen biara: Ɛsɛ sɛ wode ayaresa anaa nnuru a edidi so yi mu biara di dwuma wɔ wo duruyɛfo afotu ase nkutoo. Mfa wɔn nni dwuma wɔ w’ankasa wo ho da.
- Wɔ Sleep Apnea ho: Sɛ́ wobɛtew wo mu duru so no ho hia yiye. Nea ɛka ho no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa afiri bi a wɔfrɛ no CPAP (Continuous Positive Airway Pressure) di dwuma . Eyi hwehwɛ sɛ wode akataso ketewaa bi bɛda wo hwene ne/anaasɛ w’ano. Mframa nhyɛso a efi afiri no mu no ma wo mframa kwan no bue, enti woremmene.
- Wɔ Peripheral Neuropathy Ɛyaw ho no:Ayaresa ahorow wɔ hɔ a wobetumi de adi dwuma, efi nnuru a wɔde kum ɛyaw a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so (te sɛ Aspirin ne Ibuprofen) so kosi nnuru a wɔde sa ntini mu ɛyaw pɔtee (te sɛ Gabapentin ne Pregabalin) so.
- Wɔ Restless Legs Syndrome ho: Nnuru pɔtee bi wɔ hɔ a wɔde yɛ eyi nso. Ɛtɔ mmere bi a, sɛ dade a ɛwɔ nipadua no mu no sua a, ebia wɔbɛkyerɛw wo nnuru a wɔde dade ayɛ.
- Wɔ nna a wontumi nna ho no: Wɔde nnuru a wɔde bere tiaa bi (te sɛ `Diphenhydramine`), nnuru a wɔkyerɛw ma obi da (te sɛ `Zolpidem`, `Eszopiclone`), ne nnuru bi a ekum adwenemhaw di dwuma wɔ dodow a ɛba fam mu sɛ aduru a wɔde sa nna a wontumi nna.
Nneɛma a w’ankasa wubetumi ayɛ na ama wo nna atu mpɔn
Wɔ nnuru akyi no, nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu no betumi ama wo nna atu mpɔn kɛse.
- Fa su horow a ɛma wo ho dwo di dwuma: Yɛ nneɛma te sɛ ahomegye apɔw-mu-teɛteɛ, adwennwen, ne nea ɛkeka ho ansa na woada. Tie nnwom a ɛma obi dwo.
- Apɔw-mu-teɛteɛ: Da biara da apɔw-mu-teɛteɛ betumi aboa wo ma woada yiye, nanso kwati apɔw-mu-teɛteɛ a emu yɛ den nnɔnhwerew kakraa bi ansa na woada.
- Kwati saa nneɛma yi anwummere: Kwati sɛ wode nneɛma te sɛ kɔfe, tii (caffeine), nsa, ne sigaret (nicotine) bedi dwuma anwummere akyi.
- Mma nna awia: Bɔ mmɔden sɛ wobɛtew awia nna so sɛnea wubetumi biara. Saa a wobɛyɛ no betumi ama ayɛ den sɛ wobɛda anadwo.
- Fa wo mpa di dwuma ma saa nneɛma yi nkutoo: Ɛsɛ sɛ wode wo mpa no yɛ nna ne nna nkutoo. Gyae TV hwɛ, nhoma akenkan, anaa wo fon a wobɛhwɛ bere a wote mpa so no. Afei w’amemene no behu ne ho sɛ mpa no yɛ baabi a wobɛda.
- Sɛ wuntumi nna a: Sɛ́ anka wobɛtow wo ho na woadan wo ho wɔ mpa so no, sɔre, kɔ dan foforo mu, na yɛ biribi a ɛbɛma w’ahome (te sɛ nhoma a wobɛkenkan). Sɛ wote nka sɛ woada a, san kɔda.
- CBT: Cognitive Behavioral Therapy (CBT) yɛ aduru a etu mpɔn yiye a ɛnyɛ nnuru a wɔde sa nna a wontumi nna. Nea ɛka ho ne sɛ wo ne ɔfotufo bi bɛkasa na waboa wo ma woasesa nsusuwii ne suban ahorow a esiw wo nna kwan no.
So nna a wonnya betumi ama obi anya asikreyare?
Aane. Eyi nso yɛ adwuma wɔ ɔkwan foforo so. Da a obi ntumi nna bere tenten, a wɔsan frɛ no nna a enni sabea , betumi ama insulin ayɛ no den, na ɛma asiane a ɛwɔ hɔ sɛ obenya asikreyare no yɛ kɛse.
Sɛ yɛbɛka no tiawa a, nna ka nkwaadɔm a ɛhyɛ yɛn kɔm ne yɛn akɔnnɔ so no tẽẽ. Sɛ nhwɛso no , leptin.Fa hormone a wɔfrɛ no. Sɛ yɛnna nna a, saa hormone yi so tew, na yɛwɔ ɔpɛ kɛse sɛ yebedi carbohydrates, kyerɛ sɛ, nnuan a starch wom (te sɛ aburow, paanoo, nnɔkɔnnɔkɔwade). Eyi betumi ama obi mu duru ayɛ kɛse na wanya asikreyare.
Nkrasɛm a Wɔde Kɔ Fie
- Abusuabɔ a emu yɛ den da asikreyare ne nna mu haw ahorow ntam, enti mmu w’ani ngu wo nna ho haw ahorow so.
- Wo ne wo duruyɛfo nka ɔhaw biara a worehyia ho asɛm pefee, te sɛ ahurututu a wobɛbɔ anadwo, wo menewam bere a woada, wo nan mu yaw, ne nna a wuntumi nna.
- Ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa tebea horow yi pii te sɛ CPAP mfiri ne nnuru.
- Wubetumi ama nsakrae kɛse aba denam apɔw-mu-teɛteɛ, aduan pa a wubedi, ne nna mu ahotew pa a wode bedi dwuma so.
- Kwati sɛ wobɛsa wo ho yare ama nna anaa sɛnkyerɛnne afoforo a wunni aduruyɛ mu afotu. Ebetumi ayɛ nea asiane wom.
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