Mina míasrɔ̃ nusianu tso Suklidɔ ŋu bɔbɔe eye wòade pɛpɛpɛ!

Suklidɔ nye dɔléle si ŋu ame geɖe le nu ƒom tsoe egbea, eye ɖewohĩ ate ŋu ado vɔvɔ̃ na wò vie gɔ̃ hã le susu me. Ame aɖewo hã yɔnɛ be ‘suklidɔ’. Nuka tututue nye suklidɔ? Mina míaƒo nu tso eŋu eme nakɔ, le mɔ si gɔme nàte ŋu ase nu. Mègavɔ̃ o, ne ènya se egɔme nyuie ko la, edzikpɔkpɔ menye nya gã aɖeke o.

Kpuie ko la, suklidɔ nye nɔnɔme si me sukli (alo sukli ) si le wò ʋu me dzina ɖe edzi ɣesiaɣi. Esia dzɔna le esi wò dɔgboa mewɔa lãmetsi si nye insulin wòdea edeƒe o ta, alo esi wò ŋutilã ƒe lãmenugbagbeviwo mewɔa nu nyuie ɖe insulin si wòwɔna ŋu o ta. Ate ŋu adze egɔme le ƒe ɖesiaɖe me. Suklidɔ ƒomevi geɖe nyea agbemeŋkekewo katã (si nɔa anyi didi), gake woate ŋu atsɔ atikewo kple agbenɔnɔ ƒe tɔtrɔwo aɖu suklidɔ ƒomevi ɖesiaɖe dzi.

Míaƒe ŋutilã kpɔa eƒe sukli, alo sukli, ƒe akpa gãtɔ tso nuɖuɖu siwo míeɖuna me, vevietɔ nuɖuɖu siwo me carbohydrates le (abe bli, abolo, kple nu viviwo ene). Sukli siae nye dzotsinu vevitɔ si naa ŋusẽ míaƒe ŋutilã ƒe lãmenugbagbeviwo. Ele abe mɔ̃memi na ʋu ene. Eyata, ele be sukli sia nayi lãmenugbagbeviwo me tso ʋua me hafi awɔ ŋusẽ. Bu sukli abe ame aɖe si le agbagba dzem be yeage ɖe aƒe aɖe me ene, eye wohiã safui hafi age ɖe aƒe ma me. Nu vevi mae nye insulin. Míaƒe dɔgboe wɔa lãmetsi sia si woyɔna be insulin.

Fifia, ne wò dɔgbo mewɔa insulin safui sia wòsɔa gbɔ o, alo ne ewɔe, gake wò ŋutilã ƒe lãmenugbagbeviwo meʋu ʋɔa nyuie o (i.e., womewɔa nu ɖe ​​insulin ŋu nyuie o) la, sukli ma mate ŋu age ɖe lãmenugbagbeviwo me o. Emegbe sukli mawo katã ƒoa ƒu ɖe ʋua me, eye ɖeko sukli si le ʋu me dzina ɖe edzi. Esiae nye nusi míeyɔna be sukli si sɔ gbɔ ɖe ʋu me (suklidɔ ƒe agbɔsɔsɔ fũ) .

Ne sukli ƒe agbɔsɔsɔ le ʋu me nɔa kɔkɔm ɣeyiɣi didi aɖe la, lãmesẽkuxi geɖe ate ŋu ado mo ɖa, abe dzidɔ, lãmekawo ƒe gbegblẽ, kple ŋku ƒe kuxiwo ene.

Suklidɔ ƒe atikewɔwɔ me ŋkɔe nye Diabetes Mellitus . Dɔléle bubu aɖe hã li si me nya ‘suklidɔ’ le, si woyɔna be Diabetes Insipidus . Gake eto vovo kura tso suklidɔ si ŋu míele nu ƒom tsoe gbɔ. Wotsɔ ŋkɔ ‘suklidɔ’ na wo ame evea siaa elabena wo ame evea siaa hea tsikɔwuame si gbɔ eme kple aɖuɖɔtoe enuenu vɛ. Gake Suklidɔ si mebɔ o ya mebɔ kura o.

Suklidɔ Ƒomevi Siwo Bɔ

Enyo, azɔ mina míalé ŋku ɖe suklidɔ ƒomevi veviawo ŋu. Ðewohĩ èse ŋkɔ siawo ŋu nya kpɔ.

Suklidɔ Ƒomevi 2 lia

Esiae nye suklidɔ ƒomevi si bɔ wu. Edzɔna ne wò ŋutilã mewɔ insulin si sɔ o, alo wò ŋutilã ƒe lãmenugbagbeviwo mewɔa nu ɖe ​​insulin ŋu nyuie o. Woyɔa esia be insulin ƒe dɔlélenutsiŋutete.Tsɔe be safuia le asiwò, gake ʋɔtrua ƒe gaƒoɖokui xɔ dzo eye mewɔa dɔ nyuie o. Esia dzɔna ɖe ame tsitsiwo dzi zi geɖe, gake ɣeaɖewoɣi la, ate ŋu adzɔ ɖe ɖevi suewo hã dzi.

Do ŋgɔ na suklidɔ

Le nyateƒe me la, esia nye afɔɖeɖe aɖe do ŋgɔ na Suklidɔ Ƒomevi 2 lia ƒe dzɔdzɔ. Sukli si le wò ʋu me sɔ gbɔ wu alesi wòle, gake mesɔ gbɔ ale gbegbe be woate ŋu akpɔe be Suklidɔ Ƒomevi 2 le ŋuwò o. Ele abe akaɖi ɣi aɖe ene, si nye nuxlɔ̃amedzesi . Ne èkpɔ egbɔ nyuie le afɔɖeɖe sia me la, àte ŋu axe mɔ ɖe Suklidɔ Ƒomevi 2 ƒe dzɔdzɔ nu alo ahee ɖe megbe.

Suklidɔ Ƒomevi 1 lia

Esia nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ . Eyae nye be, wò ŋutɔ wò ŋutilã ƒe dɔlélenutsiŋutete, le susu aɖe si womenya o ta, dzea lãmenugbagbevi siwo wɔa insulin le wò dɔgbo me dzi hetsrɔ̃a wo. Ele abe mía ŋutɔwo ƒe aʋakɔ si dze mía ŋutɔwo ƒe asaɖa dzi ene. Suklidɔlélawo dometɔ siwo ade 10% ye ŋu suklidɔ sia ƒomevi le. Wokpɔnɛ zi geɖe le ɖeviwo kple sɔhɛ tsitsiwo ŋu, gake ate ŋu adze egɔme le ƒe ɖesiaɖe me.

Fufɔfɔ ƒe Suklidɔ

Esia nye suklidɔ ƒomevi aɖe si nyɔnu aɖewo xɔna le fufɔɣi. Zi geɖe la, edzona le vidzĩa dzidzi vɔ megbe. Gake ne suklidɔ dze dziwò le fufɔɣi la, àte ŋu axɔ Suklidɔ Ƒomevi 2 le wò tsitsime.

Suklidɔ Ƒomevi Bubuwo

Tsɔ kpe ɖe suklidɔ ƒomevi vevi siawo ŋu la, suklidɔ ƒomevi bubu geɖewo hã li. Womebɔ vie o, gake enyo be nànya wo.

• Suklidɔ Ƒomevi 3c: Esia dzɔna ne nu gblẽ le wò dɔgbo ŋu (menye dɔlélenutsiŋutete ƒe nugbegblẽ o), si gblẽa nu le eƒe ŋutete be wòawɔ insulin ŋu. Le kpɔɖeŋu me, dɔlélewo abe dɔdzẽ, dɔgbo me kansa, cystic fibrosis, kple hemochromatosis ene ate ŋu ahe nɔnɔme sia vɛ. Suklidɔ sia ƒomevi ate ŋu adzɔ hã ne wowɔ dɔ na dɔgboa (pancreatectomy).
• Suklidɔ si ɣla le ame tsitsiwo me (LADA): Esia hã tsoa dɔlélenutsiŋutete ƒe dɔwɔwɔ, abe Suklidɔ Ƒomevi 1 ene gbɔ, gake edzɔna le ame siwo tsi wu Ƒomevi 1 sã me. Zi geɖe la, amesiwo ŋu wokpɔ be LADA le la xɔ wu ƒe 30.
• Sɔhɛwo ƒe Suklidɔ si Dzea Egɔme le Tsitsi Me (MODY): Wogayɔa esia be suklidɔ si tsoa domenyiŋusẽfianu ɖeka gbɔ . Domenyiŋusẽfianu ƒe tɔtrɔ si yia dzidzimewo me gbɔe wòtsona. Dzɔdzɔmenugbagbevi sia kpɔa ŋusẽ ɖe alesi wò ŋutilã wɔa insulini kple alesi wòzãnɛ dzi. MODY ƒomevi siwo wu 10 ye li. Suklidɔlélawo dometɔ siwo ade 5% ate ŋu axɔ suklidɔ sia ƒomevi, eye zi geɖe la, edzɔna le ƒomewo me.
• Vidzĩwo ƒe Suklidɔ:Esia nye suklidɔ ƒomevi aɖe si mebɔ kura o si dzea vidzĩ suewo dzi le woƒe agbemeɣleti ade gbãtɔwo me. Esia hã nye suklidɔ ƒomevi aɖe si tsoa ame ɖeka gbɔ.
• Suklidɔ si mebɔ o: Esia nye Suklidɔ Ƒomevi 1 ƒe ƒomevi sesẽ aɖe. Eƒe dzesi enye be sukli sɔ gbɔ ɖe ʋu me kple sukli ƒe agbɔsɔsɔ si medea ʋu me o enuenu eye wòsẽna ŋutɔ.

Aleke Suklidɔ Bɔbɔe?

Le nyateƒe me la, suklidɔ nye dɔléle si bɔ wu alesi nàsusui. Suklidɔ le ame miliɔn geɖe ŋu le xexeame godoo. Suklidɔ Ƒomevi 2 liae nye esi bɔ wu. Akɔntabubuwo ɖee fia be suklidɔlélawo ƒe xexlẽme le dzidzim ɖe edzi le míaƒe dukɔa hã me. Eyata ele vevie ŋutɔ be míanya esia.

Nukawoe nye suklidɔ ƒe dzesiwo? (Nukae Nye Suklidɔ ƒe Dzesiwo?)

Suklidɔ ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye woate ŋu ato vovo le suklidɔ ƒomevi si le ame ŋu hã nu. Gake dzesi aɖewo li siwo bɔ siwo nàte ŋu akpɔ. Ne esiawo dometɔ aɖe le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.

Dzesi siwo bɔ:

• Tsikɔwuame fũu enuenu (polydipsia) kple nu ƒe ƒuƒu.
• Ehiã be nàɖe aɖuɖɔ enuenu (vevietɔ le zã me) .
• Ðeɖiteameŋu kple ɖeɖiteameŋu si gbɔ eme togbɔ be edɔa alɔ̃ nyuie hã.
• Nukpɔkpɔ si me mekɔ o.
• Lolo dzi ɖeɖe kpɔtɔ si womeɖe o (vevietɔ le suklidɔ ƒomevi 1 me) .
• Afɔ kple afɔwo ƒe ʋuʋu alo ʋuʋudedi.
• Abi xɔa ɣeyiɣi hafi wohaya.
• Amɔwɔʋãnu ƒe dɔléle siwo nɔa ŋutigbalẽ kple/alo nyɔnu ƒe vidzidɔ me enuenu.

Vevietɔ: Ne dzesi siawo le ŋuwò alo viwòa ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Azɔ mina míakpɔ alesi dzesiawo toa vovo le suklidɔ ƒomevi si le ame ŋu nu:

Suklidɔ Ƒomevi 1 ƒe Dzesiwo:

Suklidɔ Ƒomevi 1 ƒe dzesiwo ate ŋu adze kaba ŋutɔ, le kwasiɖa alo ɣleti ʋɛ aɖewo me. Ɣeaɖewoɣi la, dzesiawo ate ŋu adze egɔme kple kuxi aɖe si me afɔku le si woyɔna be Suklidɔ si do ƒome kple Ketoacidosis (DKA) ƒe dzesiwo . DKA nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me si hiã be woakpɔ egbɔ enumake. DKA ƒe dzesiwo dometɔ aɖewoe nye ʋuʋudedi, ƒodo ƒe vevesese, atikutsetse ƒe ʋeʋẽ na gbɔgbɔ, kple gbɔgbɔ sesẽ.

Suklidɔ Ƒomevi 2 Kple Do Ŋgɔ Na Suklidɔ ƒe Dzesiwo:

Le ƒomevi siawo me la, ɖewohĩ dzesi aɖeke manɔ ŋuwò kura o. Alo ɖewohĩ màde dzesi wo o elabena dzesiawo va dzena blewu. Ɣeaɖewoɣi la, ʋudodokpɔ bɔbɔe ate ŋu akpɔe be sukli sɔ gbɔ ɖe ʋu me. Dzesi bubu si dzena do ŋgɔ na suklidɔe nye ŋutigbalẽa ƒe viviti dodo le wò ŋutilã ƒe akpa aɖewo (abe wò kɔ kple abɔta ene). Woyɔa esia be acanthosis nigricans .

Fufɔfɔ ƒe Suklidɔ ƒe Dzesiwo:

Zi geɖe la, ɖewohĩ màde dzesi fufɔfɔ ƒe suklidɔ ƒe dzesiwo le fufɔɣi o. Wò ɖɔkta ado wò kpɔ be exɔe le fufɔfɔ ƒe kwasiɖa 24 va ɖo 28 dome.

Nukae Hea Suklidɔ vɛ?

Suklidɔ ka ƒomevie nèɖale o, suklidɔ dzɔna ne sukli si le wò ʋu me sɔ gbɔ akpa. Gake nusi gbɔ sukli ƒe agbɔsɔsɔ sia si le ʋu me tsona la toa vovo le suklidɔ ƒomevi si le ame ŋu nu.

Susu vevi siwo tae nye esi:

• Insulin ƒe Tsitretsitsi: Esia koŋue hea Suklidɔ Ƒomevi 2 vɛ. Ate ŋu atso lolo akpa, kamemademade, nuɖuɖu gbegblẽ, lãmetsiŋusẽ ƒe masɔmasɔ, domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi, kple atike aɖewo gbɔ.
• Dɔlélenutsiŋutete ƒe Dɔléle: Suklidɔ Ƒomevi 1 kple LADA dzɔna ne wò ŋutɔ wò dɔlélenutsiŋutete dze lãmenugbagbevi siwo wɔa insulin dzi le wò dɔgbo me.
• Lãmetsiŋusẽ ƒe Masɔmasɔ: Le fufɔɣi la, lãmetsi siwo dona le vidzidɔa me ate ŋu ana insulin natsi tre ɖe eŋu. Azɔ hã, dɔléle bubu siwo do ƒome kple lãmetsiŋusẽ abe acromegaly kple Cushing ƒe dɔléle ene ate ŋu ahe suklidɔ vɛ.
• Dɔgbo ƒe Gbegblẽ: Ŋutilã me nugbegblẽ le dɔgboa ŋu ate ŋu akpɔ ŋusẽ ɖe eƒe ŋutete be wòawɔ insulin dzi, si ana wòaxɔ Suklidɔ Ƒomevi 3c.
• Domenyiŋusẽfianu ƒe Tɔtrɔ: Domenyiŋusẽfianu ƒe tɔtrɔ aɖewo ate ŋu ahe MODY kple suklidɔ vɛ na vidzĩ yeyewo.

Atike aɖewo zazã ɣeyiɣi didi (e.g., atike siwo wozãna na HIV/AIDS, corticosteroids) hã ate ŋu ahe suklidɔ vɛ.

Kuxi kawoe suklidɔ hena vɛ? (Nukawoe nye Suklidɔ ƒe Kuxiwo?)

Ne womekpɔ suklidɔ dzi nyuie o la, kuxi gbogbo aɖewo siwo nu sẽ kple esiwo nɔa anyi didi ate ŋu ado mo ɖa.

Suklidɔ ƒe kuxi sesẽwo:

Esiawo ate ŋu ade ame ƒe agbe afɔku me eye ahiã be woakpɔ egbɔ enumake le atikewɔƒe:

• Hyperosmolar Hyperglycemic State (HHS): Sukli ƒe agbɔsɔsɔ le ʋu me va dzina ɖe edzi ŋutɔ, si wɔnɛ be tsi vɔna le ame ŋu vevie eye wòtɔtɔna.
• Ketoacidosis si do ƒome kple suklidɔ (DKA): Ne insulin mele ŋutilãa me o la, wotɔa dzo ami wòzua ketones, si wɔnɛ be ʋua me zua acid.
• Suklidɔ ƒe ɖiɖi sesẽ: Sukli ƒe agbɔsɔsɔ si le ʋu me si ɖiɖi ŋutɔ. Ebɔ ɖe amesiwo zãa insulin me. Ðewohĩ ahiã be woada glucagon enumake.

Suklidɔ ƒe kuxi siwo nɔa anyi didi:

Ne sukli ƒe agbɔsɔsɔ nɔa ʋu me ɣeyiɣi didi aɖe la, ʋukawo kple lãmekawo gblẽna.

• Dzitodzito me dɔlélewo: Dzitodzito me dɔléle, dzidɔ, ʋusɔgbɔdɔ, ʋukawo ƒe ʋuʋu.
• Lãmetsiŋusẽ ƒe gbegblẽ (Neuropathy): lãmekawo ƒe ʋuʋu, vevesese.
• Nephropathy: Ayiku ƒe dɔmawɔmawɔ nyuie.
• Ŋkudɔ (Retinopathy): ŋkumaʋumaʋu.
• Afɔkuxi siwo do ƒome kple suklidɔ, ŋutigbalẽ ƒe dɔlékuiwo, kple afɔdzidede.
• Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie, dɔgbo ƒe ʋuʋu, tosese, nu me ƒe lãmesẽkuxiwo (e.g., aɖuɖɔtoedɔ).

Suklidɔ ƒe agbenɔnɔ ate ŋu agblẽ nu le wò susu ƒe lãmesẽ hã ŋu. Anɔ bɔbɔe be blanuiléle nadze amesiwo ŋu suklidɔ le dzi .

Aleke Wokpɔa Suklidɔ?

Ðɔktawo dea dzesi suklidɔ to wò sukli ƒe agbɔsɔsɔ me dzodzro kple ʋu me. Dodokpɔ vevi etɔ̃e li:

• Nutsitsidɔ ƒe Ʋumesukli Dodokpɔ: Dodokpɔ si wowɔna le nutsitsidɔ gaƒoƒo 8 megbe.
• Suklidɔ Dodokpɔ le Ʋu me le Vome: Woate ŋu awɔe ɣesiaɣi.
• A1c dodokpɔ (HbA1c dodokpɔ): Eɖea sukli ƒe agbɔsɔsɔ le ʋu me le mama dedie nu le ɣleti 2-3 siwo va yi me fiana.

Wowɔa suklidɔ ƒe mɔɖeɖe ɖe nu me ƒe dodokpɔ si wozãna tsɔ dea dzesi fufɔfɔ ƒe suklidɔ.

Aleke Wokpɔa Suklidɔ Gbɔe?

Suklidɔ dzi kpɔkpɔ ƒe akpa vevi enee li:

• Ʋume Sukli Dzi Kpɔkpɔ: Woate ŋu atsɔ suklidzidzenu alo suklidzidzenu si nɔa anyi ɖaa (CGM) awɔ esia.
• Suklidɔ ƒe Atike Siwo Wonona: Atikewo abe Metformin ene, siwo woŋlɔna zi geɖe na suklidɔ ƒomevi evelia kple suklidɔ si do ŋgɔ na suklidɔ.
• Insulin: Ele vevie na suklidɔ ƒomevi 1. Dɔnɔ ƒomevi eve aɖewo hã hiãe. Woate ŋu anoe abe atikekui, nuŋlɔti, pɔmpi, alo insulin si wogbɔna ene.
• Nuɖuɖu: Nuɖuɖu si naa lãmesẽEye carbohydrates xexlẽ le vevie.
• Kamedede: Kamedede edziedzi nana insulin ƒe dɔwɔwɔ dzina ɖe edzi.

Azɔ hã, kpekpeme , ʋu ƒe sisi , kple ʋumemi ƒe agbɔsɔsɔ si le lãmesẽ me léle ɖe asi le vevie ŋutɔ.

Suklidɔ ƒe Nyagblɔɖi

Suklidɔ ƒe etsɔme nɔ te ɖe dɔlélea ƒomevi, alesi wokpɔa egbɔe, ƒe si woxɔ esime wokpɔ dɔlélea, dɔléle bubuwo, kple kuxi siwo dona tso eme dzi.

Gake, nu vevitɔe nye be àte ŋu anɔ agbe le lãmesẽ me kple suklidɔ. Be woate ŋu awɔ esia la, agbenɔnɔ ƒe tɔtrɔ, kamedede edziedzi, nuɖuɖu dzi ɖuɖu, kple suklidɔ dodokpɔ edziedzi le ʋu me le vevie.

Numekukuwo ɖee fia be ne A1c ƒe agbɔsɔsɔme le 7% te la, ate ŋu aɖe kuxiwo ƒe afɔkua dzi akpɔtɔ.

Aleke Mawɔ Axe Mɔ Ðe Suklidɔ Nu?

Womate ŋu axe mɔ ɖe suklidɔ ƒomevi siwo dɔlélenutsiŋutetewo kple domenyiŋusẽfianuwo tsona nu o. Gake àte ŋu aɖe afɔku si li be nàxɔ do ŋgɔ na suklidɔ, suklidɔ ƒomevi evelia, kple suklidɔ le fufɔfɔ me dzi akpɔtɔ ne èwɔ nu siwo gbɔna:

• Ƒo nuɖuɖu si naa lãmesẽ (e.g. Mediterranea nuɖuɖu ).
• Wɔ kamedede (aɖabaƒoƒo 30 ya teti gbesiagbe, ŋkeke 5 le kwasiɖa me).
• Lé lolo si sɔ me ɖe asi.
• Kpɔ nuteɖeamedzi dzi.
• Ðe ahanono dzi kpɔtɔ.
• Dɔ alɔ̃ nyuie.
• Dzudzɔ atamanono.

Ɣekaɣie Wòle Be Makpɔ Nye Lãmesẽdɔwɔla?

Ne womekpɔ suklidɔ le ŋuwò haɖe o la, yi ɖɔkta enumake ne suklidɔ ƒe dzesiwo le ŋuwò (e.g., tsikɔwuame fũ, aɖuɖɔɖɔɖɔ enuenu).

Ne suklidɔ le ŋuwò la, yi ɖɔkta si kpena ɖe ŋuwò nèkpɔa wò suklidɔa gbɔ (e.g., lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala) gbɔ edziedzi.

Mlɔeba la, ɖo ŋku esia dzi (Take-Home Message) .

Ne wokpɔ suklidɔ le ame ŋu la, enye nudzɔdzɔ si trɔa ame ƒe agbenɔnɔ. Gake ema mefia be màte ŋu anɔ agbe si me dzidzɔ le, si me lãmesẽ le o. Suklidɔ dzi ɖuɖu bia beléle kple ŋkuléle ɖe eŋu ɣesiaɣi. Togbɔ be adze abe ɖe wògbɔ eme ene le gɔmedzedzea me hã la, le ɣeyiɣi aɖe megbe la, àva se alesi nàwɔ akpɔ nɔnɔmea gbɔe gɔme nyuie wu eye nàdze egɔme ase le ɖokuiwò me be yeƒe ŋutilã nanyo ɖe edzi.

Kpɔ egbɔ be yeyi ɖɔktawo gbɔ edziedzi. Suklidɔ dzi kpɔkpɔ nye ƒuƒoƒo ƒe agbagbadzedze. Àhiã atikewɔlawo, xɔlɔ̃wo, kple ƒometɔwo ƒe kpekpeɖeŋu. Mègavɔ̃ be yeabia kpekpeɖeŋu wo ne èhiãe o. Ðo ŋku edzi be menye wò ɖeka koe o!

` Suklidɔ, suklidɔ, insulin, sukli le ʋu me, suklidɔ ƒe dzesiwo, suklidɔ dzikpɔkpɔ, suklidɔ ƒomeviwo