So wowɔ asikreyare? Anaasɛ abusua muni anaa adamfo bi rehu amane wɔ saa tebea yi mu? Afei ebia wunim sɛnea ɛho hia sɛ wohyɛ ‘Mogya Asikre’, kyerɛ sɛ, asikre dodow a ɛwɔ mogya no mu no so. Nanso ɛtɔ mmere bi a, ɛmfa ho mmɔden biara a yɛbɛbɔ no, ebetumi afi yɛn so. Enti, sɛ ɛba saa a, dɛn na ɛba ankasa? So eyi yɛ biribi a wobetumi abu no adewa? Momma yɛnka asɛmti a ɛho hia paa yi ho asɛm nnɛ.
Dɛn na asikre a ɛwɔ mogya mu a wɔhwere yi kyerɛ?
Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ wo mogya mu glucose dodow kɔ soro dodo anaasɛ ɛba fam dodo, na ɛno yɛ asiane.
Susuw ho hwɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no hia ahoɔden na ama wɔatumi ayɛ adwuma. Petrol titiriw a ɛma ahoɔden yi ne glucose a ɛyɛ asikre. Yenya saa glucose yi fi nnuan a yedi mu, titiriw nnuan a carbohydrates (starches) wom. Sɛ yedidi a, yɛn nipadua no yɛ hormone bi a wɔfrɛ no insulin . Saa insulin yi yɛ adwuma te sɛ safe a ebue ɔpon ma glucose kɔ nkwammoaa no mu.
Obi a ɔwɔ asikreyare wɔ ɔhaw bi wɔ saa adeyɛ yi ho. Wɔ obi a ɔwɔ Asikreyare a Ɛto so 1 mu no, nipadua no ntumi nyɛ insulin a ɛdɔɔso. Wɔ obi a ɔwɔ Asikreyare a Ɛto so Abien mu no, nipadua no yɛ insulin, nanso nkwammoaa no ntumi nyɛ ho hwee yiye. Esiane nneɛma abien no nyinaa nti, asikre dɔɔso wɔ mogya no mu na ne dodow kɔ soro.
Asikre dodow a ɛkɔ soro wɔ mogya mu a wɔanhyɛ so bere tenten no betumi de akwahosan ho haw a emu yɛ den yiye aba. Eyi yɛ biribi a ɛsɛ sɛ nnipa a wɔwɔ asikreyare ne wɔn a wonni asikreyare nyinaa susuw ho.
Asikre dodow bɛn na ɛwɔ mogya mu a ebetumi ayɛ asiane?
Wo duruyɛfo bɛkyerɛ wo nea asikre dodow a ɛfata a ɛwɔ mogya mu yɛ ma wo pɛpɛɛpɛ, nanso wɔ ɔkwan a ɛkɔ akyiri so no, ma yɛnhu dodow a ebetumi ayɛ asiane ama obi a ɔwɔ asikreyare.
| Tebea | Mogya mu Asikre dodow (mg/dL) . | Nkyerɛmu |
|---|---|---|
| Asikre a ɛwɔ mogya mu a ɛkɔ soro (Hyperglycemia) . | Ɛboro 180 mg/dL (nnɔnhwerew 2 wɔ adidi akyi) . | Eyi yɛ level a ɛsɛ sɛ wodwen ho. Dodow a dodow no kɔ soro no, dodow no ara na asiane no yɛ kɛse. |
| Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia) . | Ennu 70 mg/dL | Eyi nso yɛ level a ɛsɛ sɛ wosusuw ho. |
| Asiane a ɛkorɔn (a ɛkorɔn) . | Bɛboro 600 mg/dL | Eyi yɛ tebea a ebetumi de obi nkwa ato asiane mu a ehia sɛ wɔsa no yare ntɛm ara. |
| Asiane a ɛkorɔn (a ɛba fam) . | Ennu 40 mg/dL | Eyi nso betumi de nkwa ato asiane mu na egye ayaresa ntɛm ara. |
Sɛ asikre a ɛwɔ mogya mu dɔɔso (Hyperglycemia) a, ɛte dɛn?
Ebia worenhu nsonsonoe kɛse bere a asikre a ɛwɔ wo mogya mu dɔɔso no. Ebia ebegye nna anaa adapɛn ansa na yare no ho sɛnkyerɛnne no ada adi. Nsɛnkyerɛnne titiriw a ɛkyerɛ ne sɛ:
- Sukɔm a wɔte nka kɛse sen sɛnea ɔtaa yɛ
- Anisoadehu a ɛyɛ kusuu
- Ɛho hia sɛ wɔtaa tow nsu
- Ɔkɔm a wɔte nka kɛse sen sɛnea ɔtaa yɛ
- Ɔbrɛ a ɛtra so a wɔte nka
- Honam ani yare a ɛtaa ba
- Akuru gye bere ansa na ayɛ yiye.
Asikre a ɛba mogya mu (hypoglycemia) te nka dɛn?
Sɛ wonom insulin anaa nnuru foforo a ɛma asikre so tew a, asiane wom sɛ asikre a ɛwɔ wo mogya mu no bɛkɔ fam. Ade titiriw nti a ɛte saa ne nneɛma te sɛ apɔw-mu-teɛteɛ, adidi bere ano, ne nsa a wɔnom. Saa tebea yi betumi aba nnipa a wonni asikreyare mpo mu. Nsɛnkyerɛnne no bi ne:
- Sɛ wote nka sɛ wo nipadua rewosow
- Paleness , fifiri a ɛyɛ mmerɛw
- Dadwen , abasamtu
- Ɔkɔm kɛse a wɔte nka
- Ɔbrɛ a ɛboro so
- Feeling dizzy , twitwiw, anaa twitwiw
- Koma a ɛbɔ denneennen
Wɔ mmere a ɛte sɛɛ mu no, sɛ obi nom biribi a asikre kakra wom (nnuaba anonne, anonne a ɛyɛ dɛ) anaa glucose aduru a wobɛnom no betumi ama wo ho atɔ wo.
Nsɛnnennen a ɛba sɛ wɔanhyɛ asikre a ɛwɔ mogya mu bere tenten a
Eyi nyɛ agoru ankasa. Asikre dodow a ɛkɔ soro wɔ wo mogya mu bere tenten no betumi aka wo fi wo ti kosi wo nan ase.
- Koma Yare/Ntuo: Mogya ntini a ɛsɛe no ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse.
- Akisikuru: Sɛ mogya ntini a ɛkɔ amemene no mu no sɛe a, ebetumi ama obi abubu.
- Asaabo a Ɛsɛe: Bere kɔ so no, asaabo no betumi adi nkogu.
- Ntini a Ɛsɛe: Eyi betumi ama akwaa no ayɛ mmerɛw, ayɛ no yaw, na ahwere nkate wɔ akwaa no mu.
- Aniwa a Ɛsɛe: Anisoadehu betumi ayɛ basaa na anifurae mpo betumi aba.
- Honam ani Ɔhaw ahorow: Honam ani yare ne akuru a entumi nsa betumi aba.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Asikre dodow a ɛkɔ soro ne nea ɛba fam wɔ mogya mu no yɛ aduruyɛ mu nsɛm a egye ntɛmpɛ. Sɛ wɔansa wɔn yare ntɛm a, ebetumi ama n’adwene atu afra (asikreyare coma). Sɛ wunim obi a ɔwɔ asikreyare a onnim hwee a, fa no kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu (ETU) ntɛm ara.
Hwɛ yiye wɔ tebea abien a edidi so yi a egye ntɛmpɛ no ho.
| Tebea a Ɛho Hia Ntɛmntɛm | Nkyerɛkyerɛmu ne su ahorow |
|---|---|
| Asikreyare a ɛma obi nya Ketoacidosis (DKA) . | Sɛ insulin nnɔɔso a, nkwammoaa ntumi mfa asikre nni dwuma. Afei nipadua no hyew srade de hwehwɛ ahoɔden. Eyi ma wonya nnuru a wɔfrɛ no ketones . Eyinom boaboa ano wɔ mogya no mu, na ɛma mogya no yɛ asikre na ebetumi de nkwa ato asiane mu. Nsɛnkyerɛnne: Ɔhome a ɛyɛ den, ɔfe, ɔbrɛ a ɛtra so, ɔhome hua a ɛte sɛ nnuaba, honam ani a ɛyɛ mmerɛw, sukɔm kɛse. |
| Hyperosmolar Hyperglycemic Syndrome (HHS) a ɛma obi nya asikreyare a ɛkɔ soro (HHS) . | Ɛha yi, asikre dodow a ɛwɔ mogya mu no kɔ soro boro 600 mg/dL . Eyi yɛ asiane kɛse. Esu:Sukɔm a ɛboro so (a akyiri yi ebetumi ayera), atiridiinini, nna a ɛyɛ den, adwene a ɛyɛ basaa, nipadua no fã biako mmerɛwyɛ, aniwa a ɛyera, nsusuwii hunu. |
| Dɛn na woyɛ wɔ mmere a ɛte sɛɛ mu? | |
Sɛ asikre dodow a ɛwɔ wo mogya mu boro 240 mg/dL a, fa ketone nhwehwɛmu aduru a wɔde yɛ nsu mu di dwuma. Sɛ dodow no yɛ mfinimfini anaasɛ ɛkɔ soro a, frɛ wo duruyɛfo ntɛm ara. Sɛ wowɔ DKA anaa HHS ho sɛnkyerɛnne a, kɔ Emergency Department (ETU) a ntwentwɛn wo nan ase. | |
Ɔkwan bɛn so na wobetumi akwati tebea horow a asiane wom yi?
Eyi nyɛ biribi a wo nkutoo wubetumi ayɛ. Ɛyɛ biribi a ɛsɛ sɛ wo, w’abusua, ne wo duruyɛfo bom yɛ.
- Wo ne wo duruyɛfo nyɛ adwuma yiye: Bisa wɔn nea asikre dodow a wowɔ wɔ mogya mu no yɛ pɛpɛɛpɛ, nea sɛ ɛba fam dodo a ɛsɛ sɛ woyɛ, ne nea sɛ woyare a ɛsɛ sɛ woyɛ. Di wɔn akwankyerɛ akyi pɛpɛɛpɛ.
- Hwɛ asikre dodow a ɛwɔ wo mogya mu daa: Hwɛ asikre dodow a ɛwɔ wo mogya mu mpɛn pii da biara sɛnea wo duruyɛfo ka kyerɛ wo no. Esiane mfiridwuma foforo a ɛwɔ hɔ nnɛ nti, mfiri bi mpo wɔ hɔ a ɛkɔ so susuw asikre dodow a ɛwɔ mogya mu (Continuous Glucose Monitors).
- Fa w’aduru no di dwuma sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ: Nom insulin anaa nnuru afoforo wɔ bere a ɛfata mu, wɔ dodow a ɛfata mu. Nnuru a wohuruw anaa wɔnom dodo no na ɛde tebea horow a egye ntɛmpɛ pii ba.
- Sua wo nipadua ho ade: Te sɛnea nneɛma te sɛ aduan a wudi, apɔw-mu-teɛteɛ a woyɛ, ne adwennwen ka asikre dodow a ɛwɔ wo mogya mu no ase. Afei wubetumi ayɛ nsakrae ma ɛne no ahyia.
- Ma w’adwene si w’aduan so: Hu nnuan a ɛma asikre kɔ soro wɔ mogya mu ne nnuan a ɛhyɛ so (sɛ nhwɛso no, nnuan a ahoɔdennuru pii wom). Adidi bere ano nso ho hia paa.
Nkrasɛm a Wɔde Kɔ Fie
- Asikre dodow a ɛkɔ soro (hyperglycemia) ne nea ɛba fam (hypoglycemia) a wontumi nni so nyinaa yɛ asiane kɛse.
- Asikre dodow a ɛwɔ mogya mu a wɔanhyɛ so bere tenten no betumi de ɔhaw ahorow a emu yɛ den te sɛ komayare, asaabo mu yare, akisikuru, ntini a ɛsɛe, ne anifurae aba.
- Hwɛ kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no dɔɔso ne nea ɛba fam (te sɛ sukɔm, wosow, aniwa a ɛyɛ kusuu) bere nyinaa.
- Wɔ tebea horow a egye ntɛmpɛ te sɛ DKA ne HHS mu no, ɛho hia sɛ wokɔ ayaresabea Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
- Di wo asikreyare ho dwuma yiye. Di wo duruyɛfo akwankyerɛ akyi, hwɛ asikre a ɛwɔ wo mogya mu daa, nom wo nnuru sɛnea wɔakyerɛw ama wo, na fa bra pa.
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