"Suklidɔ" nye dɔléle si bɔ ɖe ame geɖewo dome le míaƒe dukɔa me, eye wònye esi le ame geɖe ŋu. Ðewohĩ ame aɖe le wò ƒomea me, xɔ̃wò aɖe, alo wò ŋutɔ wò ŋutɔ gɔ̃ hã ŋue nɔnɔme sia gblẽ nu le. Gake ame geɖe menya esia tututu o. Ame aɖewo menya ne suklidɔ le wo ŋu gɔ̃ hã o. Eyata egbea míaƒo nu tso dɔléle sia, alo si woyɔna le atikewɔwɔ me be `(Diabetes Mellitus)`, ŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu.
Nuka tututue nye suklidɔ?
Kpuie ko la, suklidɔ nye kuxi si dzɔna ne míaƒe ŋutilã wɔ lãmetsi aɖe si woyɔna be `Insulin` alo ne ezã insulin si wòwɔna. Bu eŋu ale: lãmenugbagbevi siwo le míaƒe ŋutilã me le abe aƒe suewo ene. Aƒe siawo hiã ŋusẽ, alo "ami" hafi woate ŋu awɔ dɔ. Mɔ̃memi sia nye "Glucose" alo sukli, si wowɔna tso nuɖuɖu siwo míeɖuna me. Gake hafi sukli sia nate ŋu age ɖe aƒe siwo woyɔna be lãmenugbagbeviwo me la, ehiã safui si woyɔna be "insulin".
Insulin safui sia tso ŋutinu aɖe si woyɔna be ``Pancreas'' si le míaƒe dɔgbo me gbɔ. Suklidɔ dzɔna le susu siwo gbɔna la dometɔ ɖeka alo esi wu nenema ta:
- Wò dɔgboa mewɔa insulin aɖeke kura o .
- Insulin ʋɛ aɖewo koe dɔgboa wɔa .
- Ŋutilãa mewɔa nu ɖe insulin ŋu nyuie o. Míeyɔa esia be ``Insulin Resistance.'' Ele abe safui le asiwò gake ʋɔtrua ƒe gaƒoɖokui gbagbã ene.
Le susu siawo ta la, sukli mate ŋu age ɖe lãmenugbagbeviwo me o eye wòƒoa ƒu ɖe ʋua me boŋ. Esiae nye esime sukli ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi, si hea suklidɔ vɛ.
Suklidɔ nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me. Gake mègatsi dzi o, anya wɔ bliboe be nàkpɔ edzi nyuie ahanɔ agbe si me lãmesẽ le.
Suklidɔ ƒomevi vevi kawoe?
Suklidɔ ƒomevi vevi geɖewo li. Mina míase wo gɔme nyuie.
| Suklidɔ ƒomevi aɖe | Kpuie ko la,... | Amekawoe wògblẽa nu le wu? |
|---|---|---|
| Suklidɔ Ƒomevi 1 lia | Ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete gblẽa lãmenugbagbevi siwo wɔa insulin le dɔgboa me. Esia wɔnɛ be insulin katã buna le ŋutilãa me. Woƒe insulin dzɔtsoƒe vevitɔe nye gotagome atikewo dodo. | Togbɔ be wokpɔnɛ zi geɖe le ɖevime alo sɔhɛmenɔɣi (mexɔ ƒe 20 haɖe o) hã la, ate ŋu adzɔ le ƒe ɖesiaɖe me. |
| Suklidɔ Ƒomevi 2 lia | Ŋutilãa wɔa insulin, gake agbɔsɔsɔa mesɔ gbɔ o. Alo ŋutilãa ƒe lãmenugbagbeviwo mewɔa nu ɖe insulin (Insulin Resistance) ma ŋu o. Esiae nye ƒomevi si bɔ wu le xexeame. | Zi geɖe la, edzɔna ɖe amesiwo xɔ wu ƒe 40 kple amesiwo lolo akpa dzi. Gake le lolo akpa ta la, eva le dzɔdzɔm fifia le sɔhɛwo, ɖeviwo gɔ̃ hã me. |
| Do ŋgɔ na suklidɔ | Sukli ƒe agbɔsɔsɔ le ʋu me sɔ gbɔ wu alesi wòle, gake mesɔ gbɔ ale gbegbe be woate ŋu ayɔe be suklidɔ o. Esia le abe nuxlɔ̃ame ene. | Amesiame si ate ŋu axɔ suklidɔ ƒomevi evelia la le afɔku me. Agbenɔnɔ ƒe tɔtrɔ ate ŋu akpe ɖe ame ŋu be suklidɔ nagadze ame dzi o. |
| Fufɔfɔ ƒe Suklidɔ | Suklidɔ ƒe nɔnɔme si nɔa anyi ɣeyiɣi kpui aɖe si lãmetsiŋusẽ ƒe tɔtrɔ le fufɔɣi hena vɛ. | Edzɔna ɖe funɔwo dzi. Zi geɖe la, nɔnɔme sia nu yina ne wodzi vidzĩa vɔ. Gake suklidɔ ƒomevi eve xɔxɔ ƒe afɔkua dzina ɖe edzi emegbe. |
Nu ƒomevi bubu siwo mebɔ o
Tsɔ kpe ɖe ƒomevi vevi siawo ŋu la, ƒomevi siwo mebɔ o abe ``Monogenic diabetes`` ene li, siwo tso domenyiŋusẽfianu gbɔ. Suklidɔ ate ŋu atso atike aɖewo alo atikewɔwɔ ƒe nɔnɔme bubuwo hã gbɔ.
Nukawoe nye suklidɔ ƒe dzesiwo? Aleke nèwɔ dea dzesii?
Suklidɔ ƒe dzesiwo ate ŋu ato vovo vie le eƒe ƒomevi nu. Ɣeaɖewoɣi la, suklidɔ ate ŋu anɔ ame ŋu dzesi aɖeke manɔmee.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Suklidɔ ƒomevi 1 ƒe dzesi siwo bɔ (ate ŋu adzɔ kpata) . | |
| Sese le eɖokui me be tsikɔ le ye wum wògbɔ eme | Seselelãme si nye be tsikɔ mele ye wum o eɖanye tsi agbɔsɔsɔme ka kee nèno o. |
| Aɖuɖɔɖɔɖɔ enuenu | Ehiã be nàɖe aɖuɖɔ enuenu, vevietɔ le zã me. |
| Lolo dzi ɖeɖe kpɔtɔ susu aɖeke manɔmee | Be woanye ame tsɛ togbɔ be woɖua nu nyuie hã. |
| Ðeɖiteameŋu kple ɖeɖiteameŋu si gbɔ eme | Ðeɖiteameŋu si gbɔ eme sese le eɖokui me naneke mawɔmawɔe gɔ̃ hã. |
| Nukpɔkpɔ si me mekɔ o | Ame aɖewo trɔna le nukpɔkpɔ me, eye wosena le wo ɖokui me be yewomenya nu o. |
| Suklidɔ ƒomevi evelia ƒe dzesi bubuwo (zi geɖe la, wodzena vivivi) . | |
| Abi ƒe dɔyɔyɔ si tsi megbe | Abi sue aɖe gɔ̃ hã xɔa ɣeyiɣi hafi wòhaya. |
| Ŋutilã si le ʋuʋum | Ʋuʋudedi enuenu, vevietɔ le vidzinuwo ƒe akpa si. |
| Yeast Dɔlékuiwo | Amɔwɔʋãnu ƒe dɔlékuiwo xɔxɔ enuenu. |
| Afɔ kple afɔwo ƒe ʋuʋu | Asiwo kple afɔwo ƒe ʋuʋu alo dzobibi. |
Zi geɖe la, dzesi aɖeke menɔa fufɔfɔ ƒe suklidɔ ŋu o, si tae wòle vevie be woado suklidɔ kpɔ le fufɔɣi ɖo.
Dodokpɔ kawoe wowɔna tsɔ nyaa ne suklidɔ le ŋuwò?
Ne dzesi siwo le etame dometɔ aɖe le ŋuwò, alo ne suklidɔ le wò ƒomea me la, anyo wu be nàyi ɖɔkta gbɔ eye nàdo wò kpɔ. Ʋudodokpɔ vevi geɖe li woatsɔ anya suklidɔ.
- Nutsitsidɔ ƒe Ʋumesukli (FBS) Dodokpɔ: Ʋudodokpɔ si wowɔna le nutsitsidɔ gaƒoƒo 8-10 megbe (eye womeɖua nu alo noa naneke tsɔ wu tsi o).
- A1c Dodokpɔ (HbA1c): Esia naa nèkpɔa sukli si le ʋu me le mama dedie nu le ɣleti 2-3 siwo va yi me.
- Random Blood Sugar (RBS) Test: Dodokpɔ si woate ŋu awɔ le ŋkekea ƒe ɣeyiɣi ɖesiaɖe me.
- Oral Glucose Tolerance Test (OGTT): Woɖea ʋu le nutsitsidɔ megbe, emegbe wonoa aha si me sukli le, eye wogaxɔa ʋu le gaƒoƒo ɖeka kple eve megbe tsɔ léa ŋku ɖe sukli ƒe agbɔsɔsɔ ŋu.
Wò ɖɔkta anɔ te ɖe dodokpɔ siawo me tsonu dzi anya ne suklidɔ le ŋuwò alo do ŋgɔ na suklidɔ le ŋuwò.
Suklidɔ dada kple edzikpɔkpɔ
Suklidɔ ƒe atike aɖeke meli haɖe o. Gake ne wowɔ atike nyuitɔ kple agbenɔnɔ ƒe tɔtrɔ , woate ŋu aɖu edzi nyuie ŋutɔ eye àte ŋu anɔ agbe le lãmesẽ me kuxi aɖeke manɔmee. Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye:
- Sukli ƒe agbɔsɔsɔ si le ʋu me nana wòanɔ afisi woɖoe ɖo.
- Ʋu ƒe sisi kple ʋumemi ƒe agbɔsɔsɔ dzi ɖuɖu.
- Mɔxexe ɖe lãmesẽkuxi bubuwo (ŋku, ayiku, lãmekawo ƒe kuxiwo) siwo ate ŋu ado mo ɖa le suklidɔ ta nu.
Atikewɔwɔ ƒe mɔnuwo toa vovo le suklidɔ ƒomevi si le ŋuwò nu.
1. Atikewo zazã
- Insulin: Ele be amesiame si ŋu suklidɔ ƒomevi 1 le kple ame aɖewo siwo ŋu suklidɔ ƒomevi evelia le nado insulin.
- Atike Siwo Wonona: Le suklidɔ ƒomevi evelia gome la, ɖɔktawo ŋlɔa atikekuiwo abe metformin ene. Esiawo kpena ɖe ŋutilãa ŋu wòzãa insulin nyuie wu alo wòwɔa insulin geɖe wu.
2. Nuɖuɖu si Naa Lãmesẽ
Nuɖuɖu nye nu vevi aɖe ŋutɔ le suklidɔ dzi ɖuɖu me. Sukli kple nunono siwo me sukli le, kpakple nuɖuɖu siwo me starch le (abolo, bli) ate ŋu ana sukli ƒe agbɔsɔsɔ le ʋu me nadzi ɖe edzi kabakaba.
- Nu nyui siwo woaɖu:Amagbewo, atikutsetsewo (bia wò ɖɔkta), mɔli, nuku blibowo, lã siwo me ami mele o, kple tɔmelãwo.
- Nusiwo dzi woaɖe akpɔtɔ: Sukli, aha viviwo, nuɖuɖu siwo me ami kple ami sɔ gbɔ ɖo, dze, nuɖuɖu siwo ŋu wotrɔ asi le.
3. Kamedede
Kamedede aɖabaƒoƒo 30 ya teti gbesiagbe, abe azɔlizɔzɔ sesĩe alo tsiƒuƒu ene, ŋkeke 5 ya teti le kwasiɖa me, ate ŋu ana wò ŋutilã nawɔ nu ɖe insulin ŋu nyuie wu. Ate ŋu akpe ɖe ŋuwò hã be nàɖu wò kpekpeme dzi. Ðo dze kple wò ɖɔkta hafi nàdze kamedede ƒe ɖoɖo ɖesiaɖe gɔme.
Ðe woate ŋu axe mɔ ɖe suklidɔ ƒomevi evelia nua?
Ẽ, àte ŋui godoo! Togbɔ be womate ŋu axe mɔ ɖe suklidɔ ƒomevi 1 nu o hã la, nu geɖe li nàte ŋu awɔ atsɔ aɖe suklidɔ ƒomevi evelia xɔxɔ ƒe afɔkua dzi akpɔtɔ .
- Lé lolo si sɔ me ɖe asi. Ne èlolo akpa la, dze agbagba nàɖe wò lolo dzi akpɔtɔ vie.
- Ƒo nuɖuɖu si naa lãmesẽ.
- De kame edziedzi.
- Ne ènoa atama la, dzudzɔe.
- Ne èsusu be yeɖo afɔku me la, yi ɖɔkta gbɔ hena aɖaŋuɖoɖo.
Ne èhiã atikewɔwɔ kpata le suklidɔ ƒe dzesi aɖewo ta la, ele vevie be nàyi kɔdzi si te ɖe ŋuwò ƒe Atikewɔwɔ Kpata (ETU) .
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔ menye nusi wòle be woavɔ̃ na o, ke boŋ enye nɔnɔme si dzi woate ŋu akpɔ nyuie.
- Ele vevie ŋutɔ be nàwɔ ɖe wò nuɖuɖu, kamedede, kple atikewɔwɔ ƒe ɖoɖo dzi pɛpɛpɛ abe alesi wò ɖɔkta gblɔe ene.
- Nya nu tso dzesiawo ŋu. Ne ɖikeke le mewò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Kpɔ wò ʋumesukli ƒe agbɔsɔsɔ kple ʋu ƒe sisi ɖa edziedzi.
- Àte ŋu aɖe suklidɔ ƒomevi evelia xɔxɔ ƒe afɔkua dzi akpɔtɔ, vevietɔ to agbenɔnɔ si me lãmesẽ le me.
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