Tuma o tuma ni farigan ye aw minɛ walima ni aw sɛgɛnnen don cogo la min tɛ deli ka kɛ, a ka c’a la, aw ka hakilina fɔlɔ bɛ taa dɔgɔtɔrɔso la. Aw ka lajɛ kɛtuma na, a ka ca a la, aw ka dɔgɔtɔrɔ bɛna aw ka bana taamasiɲɛw jateminɛ ani ni a mago bɛ a la, aw bɛ yamaruya di laboratuwari sɛgɛsɛgɛliw ma walasa ka aw ka kɛnɛya ja jɛlen sɔrɔ. Hali ni joli ni sugunɛ sɛgɛsɛgɛli kɛcogo kɔrɔ ye bi furakɛli kɛcogo kɔrɔ ye, yala i b’a dɔn ko furakɛli dɔnniya bɛ ka taa ɲɛ tuma bɛɛ wa? O sɛgɛsɛgɛliw bɛ kɛ cogo minnu na — ani an bɛ u jaabiw kɔrɔ fɔ cogo min na — o bɛ ka wuli dɔɔnin dɔɔnin. Bi, an bɛ kuma fɛn nafama dɔw kan minnu kɛra kɔsa in na laboratuwari sɛgɛsɛgɛliw la minnu bɛ kɛ tuma bɛɛ, aw ka kan ka minnu dɔn.
Kɔlɔsili Sɛgɛsɛgɛli (Profil lipidique) – Yala sunɔgɔ ka kan hali bi wa?
Ni aw si tɛmɛna san 40 kan walima ni aw bɛ aw girinya kunbɛn, aw ka dɔgɔtɔrɔ bɛ se ka to ka kolosinsinnan sɛgɛsɛgɛli yamaruya, o min bɛ wele ko ‘Lipid Profile’. N’an y’a fɔ cogo nɔgɔman na, nin sɛgɛsɛgɛli in bɛ tulu suguya wɛrɛw (lipids) suman aw joli la.
Nin kɔrɔbɔli in sinsinnen bɛ taamasiyɛn jɔnjɔn naani kan:
- Kɔlɔsili bɛɛ lajɛlen : Kɔlɔsili hakɛ bɛɛ lajɛlen min bɛ aw joli la.
- HDL (High-Density Lipoprotein): A ka ca a la a bɛ wele ko “ kolosinsinnan ɲuman ”. A ka ca a la, a hakɛ cayalenba ka fisa aw dusukun kɛnɛya ma.
- LDL (Low-Density Lipoprotein): A bɛ fɔ a ma ko “kɔlɔsili jugu”. ni a hakɛ ka ca , o bɛ dɔ fara dusukunnabana ni kirinni farati kan .
- Triglycérides ( Triglycérides ): Tumu suguya wɛrɛ min bɛ sɔrɔ aw joli la.
A bɛ san caman bɔ, a fɔra an ye ko an ka kan ka sunɔgɔ lɛri 8-12 kɔnɔ ka kɔn nin sɛgɛsɛgɛli in ɲɛ, ka an yɛrɛ tanga dumuni ni minfɛn bɛɛ ma. Dɔgɔtɔrɔw tun bɛ o laadi laada la bawo u dalen tun b’a la ko dumuni dunta bɛ se ka a nɔfɛkow sɛgɛsɛgɛ kosɛbɛ, kɛrɛnkɛrɛnnenya la triglycérides hakɛ.
O la sa, mun de Changé?
Kɔsa in na, ɲininiw y’a jira ko mɔgɔ fanba fɛ , sunɔgɔ man kan kosɛbɛ. Aw bɛ dumuni minnu dun, olu tɛ nɔba bila aw ka LDL ni HDL kolosinsinnan hakɛ la. Nka, dumuni dɔw minnu tuluma walima sukaro ka ca , olu bɛ se ka kɛ sababu ye ka triglycérides hakɛ caya waati dɔɔni.
O kɔrɔ ye ko ni aw ye sɛgɛsɛgɛli kɛ k’a sɔrɔ aw ma sunɔgɔ ani ni aw hakɛ tɔw bɛ cogo la nka aw ka triglycérides ka ca, aw ka dɔgɔtɔrɔ bɛ se k’a ɲini aw fɛ aw ka segin ka sunɔgɔ sɛgɛsɛgɛli kɛ tuguni. O bɛ dɛmɛ ka a ɲɛfɔ ni kɔrɔta tun ye furakɛli haminanko lakika ye walima ni waati dɔɔnin dɔrɔn de kɛra i ka dumuni kɔsa in na.
Siɲɛ wɛrɛ ni dɔgɔtɔrɔ ye lipid profile komandi, aw bɛ u ɲininka ni aw mago bɛ sunɔgɔ la tiɲɛ na. Tuma caman na, i bɛ se ka sunɔgɔ gɛlɛya tɛmɛn pewu.
Jabɛtibana sɛgɛsɛgɛli
Sukarodunbana ye kɛnɛyako gɛlɛya ye min bɛ sɔrɔ tuma bɛɛ, wa mɔgɔ caman bɛ sukarodunbana ɲɛfɛ k’a sɔrɔ u m’a dɔn. A dɔnni joona nafa ka bon walasa ka furakɛli kɛcogo ɲuman sɔrɔ.
Laada la, dɔgɔtɔrɔw tun bɛ u jigi da Sunɔgɔ Sukaro sɛgɛsɛgɛli kan walima Da kɔnɔ sukaro muɲuni sɛgɛsɛgɛli (OGTT), o ye sukaro jilama min ani ka lɛri fila makɔnɔ. OGTT bɛ se ka kɛ fɛn ye min man nɔgɔn, barisa a bɛ sɔgɔmada sunɔgɔ de wajibiya ani ka lɛri fila makɔnɔ laboratuwari la.
Fɛɛrɛ jumɛn ka nɔgɔn? HbA1c sɛgɛsɛgɛli!
Kɔsa in na, dɔgɔtɔrɔw ye...Ɛmoɲini A1c , walima ` HbA1c ` sɛgɛsɛgɛli dɔrɔn, sukarodunbana sɛgɛsɛgɛli ni a kɔlɔsili kama.
N’an y’a fɔ cogo nɔgɔman na, nin sɛgɛsɛgɛli in bɛ i ka sukaro (glucose) kɛmɛsarada la jateminɛ min nɔrɔlen bɛ ɛmoɲini na, o ye farikolojɔlan ye min bɛ i joli kuru bilenmanw na. Ikomi joli kuru bilenmanw bɛ balo tile 90-120 ɲɔgɔn na, nin sɛgɛsɛgɛli in bɛ aw ka sukaro hakɛ dantɛmɛnen di kalo 2-3 tɛmɛnenw kɔnɔ . Aw man kan ka sunɔgɔ nin sɛgɛsɛgɛli in kama, wa a bɛ se ka kɛ tile waati o waati.
Kɔlɔsili teliya dɔ...
Hali ni `HbA1c` sɛgɛsɛgɛli ka nɔgɔn ani a bɛ se ka da a kan, a bɛ se ka kɛ a tɛ tiɲɛ ye 100% kɛnɛyako dɔw bɛ mɔgɔ minnu na, kɛrɛnkɛrɛnnenya la minnu bɛ joli kuru bilenmanw degun.
I n'a fo:
- Jolidɛsɛ : Jolidɛsɛ suguya dɔw bɛ se ka kɛ sababu ye ka HbA1c sɔrɔlenw kɛ ka caya walima ka dɔgɔya cogo dilannen na ka tɛmɛ u yɛrɛ kan.
- Sikilibana : Jɛnkulu ka bana minnu bɛ joli kuru bilenmanw degun, olu fana bɛ se ka HbA1c kalanni tiɲɛni Changer.
O kɔrɔ tɛ ko HbA1c ye sɛgɛsɛgɛli jugu ye, nka o kɔrɔ ye ko aw man kan ka aw jigi da nimɔrɔ kelen kan walasa ka furakɛli latigɛ. Ni aw ka jaabiw bɛ dan na, aw ka dɔgɔtɔrɔ bɛna aw ka furakɛli tariku jateminɛ — i n’a fɔ jolidɛsɛ min bɛ aw la — ani a bɛ se ka yamaruya di aw ka sunɔgɔ sɛgɛsɛgɛli wɛrɛw kɛ ni aw mago bɛ a la.
Sugunɛ sɛgɛsɛgɛli – Yala a ka kan san o san wa?
An caman tun delila ka sugunɛ sɛgɛsɛgɛli kɛ tuma bɛɛ, o min ye san o san sɛgɛsɛgɛli dɔ ye walasa ka sugunɛ baara kɔlɔsi ani ka banakisɛw lajɛ.
Jateminɛ kɛcogo jiginna!
Diɲɛ kɛnɛyatɔnba dɔw bɛ laadilikan di sisan ko ni bana taamasiɲɛ si t’i la , sugunɛ sɛgɛsɛgɛli kɛcogo kɔrɔ tɛ nafa caman lase i ma kɛnɛyaso la. O nɔ na, o sɛgɛsɛgɛliw ka kan ka mara waati min na bana taamasiɲɛw bɛ yen.
| Scenario (ko kɛlen). | Ladilikan min bɛ yen sisan |
|---|---|
| Ni sugunɛ taamasiɲɛw bɛ aw la: (misali la, jeninida, dimi, koli kɛli tuma caman, kasa) . | Sugunɛ sɛgɛsɛgɛli ka ɲi kosɛbɛ. |
| I n’a fɔ sɛgɛsɛgɛli kɛcogo kɔrɔ dɔ, k’a sɔrɔ taamasiɲɛ si tɛ a la | Jɛnkulu la, a man kan ka kɛ. |
| Ni aw kɔnɔma don | Kɔlɔsili kɛcogo kɔrɔlen ye wajibi ye i n’a fɔ jiginni ɲɛfɛ ladonni dɔ. |
O la, an bɛ sugunɛ baara kɔlɔsi cogo di?
Sisan, dɔgɔtɔrɔw bɛ u jigi da joli sɛgɛsɛgɛli kan fɔlɔ min bɛ wele ko `eGFR (estimated Glomerular Filtration Rate)` walasa ka a dɔn aw ka sugunɛw bɛ baara kɛ cogo min na. A ka ca a la o bɛ don `Basic Metabolic Panel` (joli sɛgɛsɛgɛli kɛcogo kɔrɔlen) sariyalen dɔ kɔnɔ. A bɛ sugunɛ kɛcogo jateminɛ ka ɲɛ ka tɛmɛ sugunɛ sɛgɛsɛgɛli kan.
Take-Home cikan
- Kolosinsinnan (Lipid Profile): A ka ca a la, sunɔgɔ man kan tuguni, nka aw bɛ to ka dɔgɔtɔrɔ dɔ lajɛ fɔlɔ.
- Jabɛtibana (HbA1c): Baarakɛminɛn ɲumanba don walasa ka aw ka kalo 2-3 sukaro hakɛ jateminɛ, hali ni bana dɔw i n’a fɔ jolidɛsɛ bɛ se ka nɔ bila a nɔfɛkow la.
- Sugunɛ sɛgɛsɛgɛli : Ni bana taamasiɲɛw tɛ aw la (wa aw kɔnɔma tɛ), a ka ca a la, sɛgɛsɛgɛli kɛcogo kɔrɔ tɛ mako ɲɛ. Joli-sɛgɛsɛgɛli min bɛ kɛ ni eGFR ye, o bɛ se ka da a kan kosɛbɛ sugunɛ kɛnɛya sɛgɛsɛgɛli la.
- Fɛn min nafa ka bon kosɛbɛ: Aw kana a ɲini abada ka aw ka laboratuwari jaabiw kɔrɔ fɔ walima ka kɛnɛyako latigɛ ka da nimɔrɔ kelen kan. Aw ka dɔgɔtɔrɔ dɔrɔn de bɛ se ka nin jaabi ninnu kɔrɔ fɔ ka kɛɲɛ ni aw ka kɛnɛya bɛɛ lajɛlen ye. Aw bɛ baro kɛ aw ka laboratuwari kunnafoniw kan tuma bɛɛ ni aw ka kɛnɛyabaarakɛla ye.
Lab sɛgɛsɛgɛliw, furakɛli sɛgɛsɛgɛliw, kolosinsinnanw, Lipid Profile, sukarodunbana, HbA1c, sugunɛ sɛgɛsɛgɛli, Sugunɛ sɛgɛsɛgɛli, kɛnɛya, Joli sɛgɛsɛgɛli, Lab Report
