So woyɛ ɛna a wobɛware? Afei ɛbɛyɛ sɛ woate edin ‘ nyinsɛn mu asikreyare ’ no. Ebia wo duruyɛfo aka ho asɛm akyerɛ wo. Ɛyɛ ade a ɛfata sɛ wote ehu ne ehu kakra nka bere a wote saa din yi no. Nsɛmmisa te sɛ "So me nso menya asikreyare ?", "So biribi bɛto akokoaa no?" ɛsɛ sɛ ɛba w’adwenem. Nanso mma nsuro. Sɛ yenim saa tebea yi a, yebetumi adi so yiye na yɛde akokoaa a ɔwɔ apɔwmuden na ne ho yɛ fɛ aba wiase yi mu. Enti ɛnnɛ, momma yɛnka nea nyinsɛn mu asikreyare yɛ ne nea enti a ɛba no ho asɛm.
Nyinsɛn ne sɛnea asikre kɔ soro wɔ mogya mu
Nea edi kan no, ma yɛnhwɛ sɛnea ɔkwan a ɛfata a wɔfa so di asikre a ɛwɔ yɛn nipadua mu no yɛ adwuma. Ɛyɛ mmerɛw yiye. Sɛ yedi nnuan, titiriw nnuan a carbohydrates ( starch ) wom te sɛ aburow, paanoo, ne ɛmo a, yɛn nipadua no yam na ɛdan asikre a ɛnyɛ den a wɔfrɛ no glucose. Wɔde saa glucose yi ka yɛn mogya ho. Nkwammoaa biara a ɛwɔ nipadua no mu nya n’ahoɔden fi saa glucose yi mu.
Nanso sɛ wobɛma glucose a ɛwɔ mogya no mu akɔ nkwammoaa no mu a, wuhia ‘safe’. Saa ade titiriw no ne insulin . Insulin yɛ hormone a yɛn dwensɔtwaa yɛ. Insulin fa glucose a ɛwɔ mogya no mu no na ɛde kɔ nkwammoaa no mu, na ɛma asikre dodow a ɛwɔ mogya mu no yɛ kɛse.
Afei ma yɛnhwɛ nea ɛkɔ so wɔ nyinsɛn mu. Sɛ wunyinsɛn a, akokoaa no nya aduannuru ne mframa pa a ohia nyinaa fi akwaa bi a wɔfrɛ no awotwaa mu . Eyi te sɛ akokoaa no ‘nneɛma a wɔde ma’ no. Awotwaa no yɛ nkwaadɔm ahorow pii a ɛboa ma akokoaa no nyin. Eyi yɛ ade pa ara. Nanso, saa nkwaadɔm yi bi siw insulin a ɛwɔ wo nipadua mu no dwumadi kwan. Ɛte sɛ nea ‘key’ a yɛkaa ho asɛm (insulin) no asiw kwan kakra sɛ ɛbɛyɛ adwuma. Yɛfrɛ tebea yi wɔ aduruyɛ mu sɛ insulin a ɛko tia .
Esiane insulin a ɛko tia yi nti, ɛsɛ sɛ wo dwensɔtwaa no yɛ adwumaden sen sɛnea ɛtaa yɛ na ama asikre dodow a ɛwɔ wo mogya mu no akɔ so ayɛ nea ɛfata, na ɛma insulin a ɛboro nea ɛtaa ba no bɛyɛ mmɔho abiɛsa . Mmea a wɔyem dodow no ara nipadua tumi di asɛnnennen yi ho dwuma. Nanso ɛtɔ mmere bi a, dwensɔtwaa no ntumi nyɛ insulin a ɛdɔɔso. Ɛno ne bere a asikre dodow a ɛwɔ wo mogya mu no kɔ soro, na ɛde tebea bi a wɔfrɛ no nyinsɛn mu asikreyare ba.
Sɛ yɛbɛka no tiawa a, nyinsɛn mu asikreyare nyɛ yare a w’ankasa wo mfomso na ɛde ba. Ɛyɛ bere tiaa mu tebea a ɛba bere a nipadua no ntumi nsakra ne ho yiye wɔ nkwaadɔm mu nsakrae a ɛba bere a wɔyem no mu no.
Hena na ɔwɔ asiane kɛse mu sɛ obenya tebea yi?
Ɛwom sɛ obiara betumi anya asikreyare wɔ nyinsɛn mu de, nanso nnipa binom taa nya bi. Momma yɛnhwɛ nea asiane ahorow yi yɛ. Mma wo ho nnyɛ wo hu bere a wuhu eyinom no, ɛnyɛ obiara a ɔwɔ bi na obenya asikreyare. Ɛho hia sɛ wuhu eyinom sɛnea ɛbɛyɛ a wubetumi ayɛ nhwehwɛmu ntɛm na sɛ ɛho hia a, woayɛ ho biribi ntɛm.
| Asiane a Ɛde Ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mu duru a ɛboro so ansa na wanyinsɛn | Insulin a wɔko tia no kɔ soro fi awosu mu bere a nipadua mu duru kɔ soro no, enti ebetumi ayɛ kɛse mpo bere a nyinsɛn no. |
| Mu duru a ɛkɔ soro ntɛmntɛm bere a wɔyem no | Sɛ obi mu duru kɔ soro ntɛmntɛm sen sɛnea wɔkamfo kyerɛ a, ebetumi aka insulin no dwumadi nso. |
| Abusua abakɔsɛm a ɛfa asikreyare ho | Sɛ wo busuani bi a ɔbɛn wo te sɛ wo maame, wo papa, anaa wo nuanom wɔ Asikreyare a Ɛto so Abien a, ebia wo nso wowɔ awosu mu su bi. |
| Asikreyare a edi kan | Eyi yɛ tebea a asikre dodow no nkɔ soro sɛnea ɛbɛyɛ a wɔbɛfrɛ no asikreyare, nanso ɛkɔ soro kakra sen sɛnea ɛte daa. Obi a ɔwɔ saa tebea yi wɔ asiane kɛse mu sɛ obenya asikreyare bere a wanyinsɛn. |
| Asikreyare a obi anya wɔ nyinsɛn bi a atwam mu | Sɛ na wowɔ saa tebea yi wɔ nyinsɛn bi a atwam mu a, ɛda adi sɛ wobɛsan anya bi bio wɔ wo nyinsɛn a edi hɔ no mu. |
| Wɔadi boro mfe 25 | Bere a worenyin no, asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi no kɔ soro kakra. |
| Akokoaa a ne mu duru boro nkaribo 9 (kilogram 4) a wobɛwo ansa | Eyi kyerɛ sɛ ebia asikre dodow a ɛwɔ wo mogya mu no kɔɔ soro koduu baabi a wontumi nhu wɔ nyinsɛn a atwam no mu. |
| PCOS a wowɔ | Mmea a wɔwɔ tebea bi a wɔfrɛ no Polycystic Ovary Syndrome (PCOS) betumi anya insulin a ɛko tia fi mfiase. |
Wiɛ, dɛn na yɛyɛ mprempren?
Sɛ asiane ahorow yi haw wo a, fa to nkyɛn. Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛka eyi ho asɛm pefee.
Asikreyare a ɛba wɔ nyinsɛn mu taa ba wɔ nyinsɛn no fã a ɛto so abiɛsa no mfiase. Ɛne sɛ, wɔ adapɛn 24-28 ntam. Ɛna biara a onyinsɛn wɔ Sri Lanka yɛ asikre ho nhwehwɛmu wɔ saa bere yi mu. Nea wɔyɛ ne sɛ, wɔma wo anonne a asikre wom na afei wɔhwɛ asikre dodow a ɛwɔ wo mogya mu dɔnhwerew biako akyi. Wɔfrɛ eyi OGTT (Oral Glucose Tolerance Test) .
Nanso, sɛ wowɔ asiane ahorow a yɛaka ho asɛm wɔ atifi hɔ no biako anaa nea ɛboro saa a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wɔ nyinsɛn no fã a edi kan no mu.
Dɛn na ɛba sɛnea nea efi mu ba no te?
Sɛ wo nhwehwɛmu no mu aba kyerɛ sɛ wowɔ nyinsɛn mu asikreyare a, biribiara nni hɔ a enti ɛsɛ sɛ wobɔ hu. Ade a ɛho hia sen biara ne sɛ wubedi akwankyerɛ a wo duruyɛfo ne aduannuru ho ɔbenfo de ama wo no akyi pɛpɛɛpɛ.
Di kan sɔ nea edidi so yi hwɛ sɛ ayaresa:
- Aduan: Wɔbɛma wo aduan a ɛfata a asikre nnim na ɛkari pɛ. Ebia wɔbɛka akyerɛ wo sɛ di nnuan nketenkete 5-6 da biara, sen sɛ wubedi nnuan atitiriw 3.
- Apɔw-mu-teɛteɛ: Da biara da apɔw-mu-teɛteɛ a ɛnyɛ den te sɛ nantew betumi aboa ma insulin dwumadi atu mpɔn. Nanso, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ansa na woafi apɔw-mu-teɛteɛ biara ase.
Mpɛn pii no, wubetumi de saa aduan ne apɔw-mu-teɛteɛ yi adi asikre dodow a ɛwɔ wo mogya mu no so yiye. Sɛ wuntumi nni so saa nkutoo a, na wo duruyɛfo no befi ase anom insulin a wɔde twitwiw wo anaasɛ ebia nnuru a wɔde twitwiw wo. Eyi yɛ kosi sɛ wɔbɛwo akokoaa no nkutoo.
Kae sɛ, sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu so yiye a, wubetumi atew asiane a ɛwɔ hɔ sɛ wo ba no bɛyɛ kɛse dodo, anya asikreyare, na wanya akwahosan ho haw afoforo no so kɛse. Sɛ wohyira wo ho so a, wo ne wo ba no nyinaa betumi anya apɔwmuden.
Nkrasɛm a Wɔde Kɔ Fie
- Asikreyare a ɛba wɔ nyinsɛn mu yɛ bere tiaa mu tebea a ɛba bere a wɔyem nkutoo. Ɛtaa kɔ bere a wɔawo akokoaa no akyi.
- Eyi nyɛ wo mfomso, na mmom esiane sɛ nsakrae a ɛba nkwaadɔm mu wɔ nyinsɛn mu no mma insulin ntumi nyɛ adwuma yiye nti.
- Wobetumi adi tebea yi so yiye denam wo duruyɛfo akwankyerɛ (aduan, apɔw-mu-teɛteɛ, ne nnuru a sɛ ɛho hia a) a wubedi akyi pɛpɛɛpɛ so.
- Mma asikre nhwehwɛmu a woyɛ daa wɔ wo mogya mu no nnyae. Ɛho hia yiye ma wo ne wo ba no nyinaa ahobammɔ.
- Sɛ wohwɛ so yiye a, wubenya hokwan biara sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden a ɔhaw biara nni ho. Enti mma ɛnhaw wo.
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