Ne suklidɔ le ŋuwò la, ɖewohĩ ènya alesi wòsesẽna be nàno insulin gbesiagbe eye nàlé ŋku ɖe wò ʋumesukli ƒe agbɔsɔsɔ ŋu le ŋkekea ƒe ɣeyiɣi vovovowo me. Ɣeaɖewoɣi la, ate ŋu ase le ɖokuiwò me gɔ̃ hã be ɖeɖi te ye ŋu le nusiawo katã ta. Gake mègatsi dzi o, elabena suklidɔ dada ƒe akpaa le ŋgɔ yim kabakaba wu alesi míesusui. Fifia dzɔdzɔmeŋutinunyalawo le dɔ wɔm be yewoawɔ dɔgbo si wowɔ kple asi si ate ŋu ade dzesi sukli ƒe agbɔsɔsɔ si le míaƒe ŋutilã me eye wòaɖe insulin ɖe go le eɖokui si wòasɔ ɖe enu. Le ɣeyiɣi sia me la, atike yeyewo kple insulin-mɔ̃wo va kpe ɖe mía ŋu xoxo. Esiawo na agbenɔnɔ kple suklidɔ le bɔbɔe wu eye wòle dedie wu.
Nu vevitɔe nye be menye amesiame si ŋu suklidɔ le la sɔ o. Ðewohĩ nusi wɔa dɔ na ame aɖe mawɔ dɔ na ame bubu o. Esia tae wònyo ŋutɔ be woawɔ atike vovovowo na ame ɖo. Emegbe wò ɖɔkta ate ŋu atia atike nyuitɔ kekeake na wò.
Ŋgɔyiyi yeye siwo wowɔ le suklidɔ dada me
Mina míalé ŋku ɖe atikewɔmɔnu kple mɔ̃ yeye siwo wozãna le xexeame godoo siwo kpena ɖe ame ŋu ŋutɔ le suklidɔ dzi kpɔkpɔ me la dometɔ aɖewo ŋu. Ðewohĩ esiawo dometɔ aɖewo megale Sri Lanka haɖe o, gake anɔ vevie ŋutɔ be nànya nu tso ŋgɔyiyi siawo ŋu.
| Atikewɔwɔ ƒe mɔnu / mɔ̃ | Kpuie ko la, nukae dzɔna ɖe esia dzi? | Nu tɔxɛ siwo wòle be nànya |
|---|---|---|
| Afrezza (insulin-gbɔgbɔmɔ̃) . | Esia le abe atike si wogbɔna si ame siwo ŋu asrã le zãna ene. Le esi teƒe be nàdo insulin la, enye mɔ̃ aɖe si ana nàgbɔ insulin ƒe agbɔsɔsɔme aɖe. Wozãnɛ koŋ tsɔ naa insulin si wɔa dɔ kabakaba ŋutilãa le nuɖuɖua ƒe gɔmedzedze . | Esia nye mɔ̃ sue aɖe ŋutɔ si woate ŋu atsɔ ayi teƒe bubu. Gake mesɔ na atamanolawo alo amesiwo ŋu lãkusidɔ abe asrã alo ʋuʋudedi ene le o . |
| Medtronic MiniMed 640G (Insulin-pɔmpi si me nunya le) . | Esia nye mɔ̃ ‘si me nunya le’ si doa ka kple insulin pɔmpi kple suklidɔléla si nɔa anyi ɖaa. Edzudzɔa insulin nana le eɖokui si ne wò ʋumesukli dze ɖiɖi gɔme. Edzea insulin nana gɔme ne wò sukli ƒe agbɔsɔsɔ gaɖo eƒe nɔnɔme nyuitɔ me. | Esia nye afɔɖeɖe vevi aɖe le mɔzɔzɔa me be woawɔ dɔgbo si wowɔ kple asi. Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me, alo suklidɔ , nye kuxi gã aɖe, vevietɔ na amesiwo ŋu suklidɔ ƒomevi 1 le. Mɔ̃ sia ate ŋu anye agbeɖela na amesiwo ƒe ʋumesukli mede o eye womenyae gɔ̃ hã o. |
| Lucentis (ŋkutike) . | Esia nye atike tɔxɛ aɖe si dzi woda asi ɖo be woatsɔ ada dɔléle sesẽ aɖe si woyɔna be diabetic retinopathy, si nye nusiwo suklidɔ gblẽna le ŋkuwo ŋu. Dɔléle sia ate ŋu ana ame nazu ŋkuagbãtɔ mlɔeba. | Do ŋgɔ la, wozãa atike sia na ŋkudɔ bubu (macular edema) le amesiwo ŋu suklidɔ mele o ŋu. Fifia wole ezãm hã tsɔ le suklidɔlélawo ƒe ŋkuwo ta kpɔm. Esia ɖee fia be mɔ yeyewo le dodom be woatsɔ axe mɔ ɖe suklidɔ ƒe kuxiwo nu. |
Nukae nye dɔgbo si wowɔ kple asi?
Ame aɖe si le avu wɔm kple insulin nono kple sukli ƒe agbɔsɔsɔ si le ʋu me me léle kpɔ zi geɖe gbesiagbe ate ŋu abu alesi gbegbe wòanyoe ne mɔ̃ aɖe li si ate ŋu awɔ nusiawo katã na yewo. Drɔ̃e ma le eme vam le Dɔgbo si Wowɔ Kple Asi me .
Kpuie ko la, mɔ̃ sue aɖee nye esia si wɔa dɔ abe dɔgbo ŋutɔŋutɔ si le míaƒe ŋutilã me ene.
- Edzidzea wò ʋumesukli (glucose) ƒe agbɔsɔsɔ ɣesiaɣi.
- Enɔa te ɖe agbɔsɔsɔ ma dzi nyaa insulin agbɔsɔsɔme si ŋutilãa hiã.
- Emegbe, wotsɔa insulin agbɔsɔsɔme si hiã la dea ŋutilãa me le ɣeyiɣi nyuitɔ dzi.
Esia fia be mehiã be amesi ŋu suklidɔ le natsi dzi ɖe sukli ƒe agbɔsɔsɔ si le eƒe ʋu me ŋu ɣesiaɣi o. Pɔmpi evelia hã le dɔgbo si wowɔ deŋgɔ aɖewo si si tsɔa lãmetsi aɖe si woyɔna be glucagon, si wozãna tsɔ doa sukli ƒe agbɔsɔsɔ ɖe ʋu me ne eɖiɖi akpa (suklidɔ ƒe ɖiɖi sesẽ).
Gake kuxi gã aɖe le esia ŋu. Eyae nye be le agbe ŋutɔŋutɔ me la, si fia be míawɔ nu ɖe sukli ƒe agbɔsɔsɔ si le tɔtrɔm ŋu pɛpɛpɛ ne míeɖu nu, de kame, alo míedze dɔ, eye míaɖu sukli ƒe agbɔsɔsɔ dzi evɔ meɖiɖi le mɔ si me afɔku le nu o.
Bu eŋu abe duɖimekekeʋu si zɔna kabakaba kuku ene, ke menye ʋu si wozãna edziedzi o. Vodada sue aɖe gɔ̃ hã ate ŋu ahe kuxi gã aɖe vɛ. Esia tae dzɔdzɔmeŋutinunyalawo léa ŋku ɖe mɔxexe ɖe ʋumesukli ƒe ɖiɖi vevie nu ŋu wu ne wole mɔ̃ siawo wɔm.
Wole mɔ kpɔm na ŋgɔyiyi bubuwo le etsɔme
Numekukua mewu enu ɖe afima o. Dzɔdzɔmeŋutinunyalawo le nu bubu geɖewo me kum.
Insulin si nyo wu, si wɔa dɔ ɣeyiɣi didi wu
Wole numekuku geɖe wɔm be woato insulin siwo wɔa dɔ ɣesiaɣi eye woate ŋu agblɔe ɖi wu insulin siwo wɔa dɔ ɣeyiɣi didi fifia la vɛ.
Wole agbagba dzem hã be yewoawɔ insulin si me nuwo sɔ gbɔ ɖo wu . Eyae nye be insulin sɔ gbɔ ɖe tsi sue aɖe me. Viɖe kae le esia ŋu? Bu eŋu kpɔ be ame aɖewo, vevietɔ amesiwo ŋu suklidɔ ƒomevi eve le, hiã insulin si wu unit 100 gbesiagbe. Syringe si wozãna ɖaa la te ŋu xɔa unit 100. Emegbe ele be woado atike na wo ɖokui zi eve. Ne woate ŋu aɖe esia dzi akpɔtɔ wòazu atikekui ɖeka la, aleke gbegbee ema asɔe?
Lãmenugbagbeviwo Ŋuti Numekuku
Ðewohĩ esiae nye mɔkpɔkpɔ gãtɔ kekeake na suklidɔ. Dzɔdzɔmeŋutinunyalawo le agbagba dzem be yewoazã stem cells , si nye lãmenugbagbevi tɔxɛ aɖe si ate ŋu ava zu lãmenugbagbevi ƒomevi ɖesiaɖe le míaƒe ŋutilã me, atsɔ awɔ dɔgboa me lãmenugbagbevi siwo wɔa insulin (beta cells).
Ne esia kpɔ dzidzedze vavã, si fia be lãmenugbagbevi siwo wɔe ate ŋu ase sukli ƒe agbɔsɔsɔ le ŋutilãa me eye woawɔ insulin le mɔ si sɔ na wo nu la, menye suklidɔ ƒe atike koe wòate ŋu anye o, ke ate ŋu anye egbɔkpɔnu si ate ŋu ahe atike blibo vɛ hã . Togbɔ be esia gakpɔtɔ le numekuku ƒe afɔɖeɖea me hã la, dzɔdzɔmeŋutinunyalawo kpɔe be esia menye drɔ̃e dzro aɖe ko o, ke boŋ enye nusi ate ŋu ava eme.
Gbedasi si Wotsɔ Yi Aƒeme
- Dzɔdzɔmeŋutinunya si ku ɖe suklidɔ dada ŋu le nyonyom ɖe edzi gbesiagbe, eyata mègana mɔkpɔkpɔ gbeɖe o.
- Agbenɔnɔ kple suklidɔ le bɔbɔe wu fifia le atike yeyewo abe insulin yagbɔgbɔ kple pɔmpi siwo me nunya le ta.
- Amesiame si ŋu suklidɔ le la to vovo. Wò ɖɔkta koe ate ŋu atso nya me le atikewɔwɔ si anyo na wò ŋu. Eyata ƒo nu tso atikewɔmɔnu yeyewo ŋu na wò ɖɔkta.
- Nuwo abe dɔgbo si wowɔ kple lãmenugbagbeviwo ŋuti numekuku ate ŋu ada suklidɔ gɔ̃ hã le etsɔme. Eyata mɔkpɔkpɔ nanɔ asiwò ɖe etsɔme ŋu.
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