Ðe tsikɔ wu viwòa wu alesi wònɔna le ŋkeke siawo mea? Ðe wòhiã be wòaɖe aɖuɖɔ zi geɖea? Ðe wòsena le eɖokui me be yeƒe lolo dzi ɖem kpɔtɔ togbɔ be ele nu ɖum nyuie hã? Esiawo adze abe nu tsɛwo ene, gake ɣeaɖewoɣi la, woate ŋu anye nɔnɔme aɖe si woyɔna be suklidɔ Ƒomevi 1 ƒe dzesi gbãtɔwo le ɖeviwo ŋu. Esia nye dɔléle si nɔa anyi didi si bɔ ɖe ɖeviwo dome. Eyata abe dzilawo ene la, ele vevie be míanya esia eye míagatsi dzodzodzoe le eŋu o.
Kpuie ko la, nukae nye suklidɔ Ƒomevi 1 le ɖevi siawo ŋu?
Suklidɔ ƒomevi 1 nye dɔléle si dɔlélenutsiŋutete ŋutɔ kpɔna. Kpuie ko la, míaƒe ŋutilã ƒe dɔlélenutsiŋutete (asrafoha si kpɔa mía ta tso dɔléle me) dzea lãmenugbagbevi siwo wɔa insulin (siwo woyɔna be beta cells) siwo le mía ŋutɔwo ƒe dɔgbo me dzi vodadatɔe hetsrɔ̃a wo.
Bu eŋu kpɔ, insulin ye nye safui si ʋua ʋɔtru na sukli (glucose) si le míaƒe ʋu me be wòage ɖe ŋutilã ƒe lãmenugbagbeviwo me. Eyata ne lãmenugbagbevi siawo siwo wɔa insulin la tsrɔ̃ la, ŋutilãa dzudzɔa insulin si wòhiã la wɔwɔ. Emegbe sukli si le ʋu me dzina ɖe edzi afɔkutɔe. Woyɔa esia be suklidɔ Ha 1.
Ame geɖe tɔtɔa suklidɔ Ƒomevi 1 kple Ƒomevi 2. Le suklidɔ Ƒomevi 2 lia me la, ŋutilãa wɔa insulin, gake lãmenugbagbeviwo mewɔa nu ɖe eŋu nyuie o (insulin ƒe tsitretsitsi). Gake le Ƒomevi 1 lia me la, insulin wɔwɔ nu tsona. Eyata ele be woana insulin si tso egodo ɖevi si ŋu suklidɔ Ƒomevi 1 le gbesiagbe hafi wòate ŋu anɔ agbe.
Togbɔ be nɔnɔme sia ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, wokpɔnɛ zi geɖe le ƒe 5 lɔƒo alo ƒewuiwo ƒe gɔmedzedze (ƒe 10-14).
Nukatae ɖeviwo xɔa nɔnɔme sia?
Nu ɖeka aɖeke meli si tututu gbɔ esia tso o, gake ɖɔktawo xɔe se be nu eve ƒe ƒuƒoƒo koŋue wònye:
1. Domenyiŋusẽfianu: Domenyiŋusẽfianu le ɖevi aɖewo si be woaxɔ dɔléle siwo dɔlélenutsiŋutete nana. Vevietɔ la, wokpɔe be tɔtrɔ siwo le domenyiŋusẽfianu ƒe ɖoɖo si woyɔna be ``(HLA)`` me do ƒome kple esia.
2. Nusiwo Hea Nutoa Me: Menye domenyiŋusẽfianu ƒe nɔnɔme aɖe ta koe dɔléle sia dzɔna ɖo o. Ele be nutome ƒe nɔnɔme aɖe naʋãe. Nu siawo dometɔ aɖewoe nye:
- Nu aɖewo siwo vidadaa doa goe hafi wodzia vidzĩa.
- Dɔlékui aɖewo siwo ɖevi ate ŋu axɔ le eƒe ɖevime.
- Ðevia ƒe nuɖuɖu.
- Dɔlékui siwo ɖea vi ƒe habɔbɔ si le ŋutilã me (`microbiome`).
Le susu siawo ta la, dɔlélenutsiŋutete tɔtɔna eye wòdzea dɔlékuiwutikewo (`autoantibodies`) wɔwɔ gɔme ɖe lãmenugbagbevi siwo wɔa insulin ŋu. Le ɣeyiɣi aɖe megbe la, ne lãmenugbagbevi siawo tsrɔ̃ keŋkeŋ la, suklidɔ ƒe dzesiwo dzea egɔme dzena.
Aleke woawɔ ade dzesii? - Dzesi veviwo kple nɔnɔme kpatawo
Lé ŋku ɖe dzesi siawo ŋu le viwòa ŋu. Woate ŋu agblẽ ɖe edzi vivivi le ŋkeke, kwasiɖa, alo ɣleti geɖe megbe.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Tsikɔwuame si gbɔ eme | Didi be woano tsi geɖe wu alesi wònɔna ɖaa. |
| Aɖuɖɔɖɔɖɔ geɖe | Ðevi si wona hehee le nugododeƒe gɔ̃ hã ate ŋu adze aba dzi tsidzadza gɔme le zã me. Vidzĩ suewo ƒe aŋekotokuwo yɔna kabakaba. |
| Lolo dzi ɖeɖe kpɔtɔ togbɔ be eɖua nu nyuie hã | Lolo dzi ɖeɖe kpɔtɔ si womate ŋu aɖe o togbɔ be eɖua nu nyuie hã. |
| Dɔwuame si gbɔ eme | Nuɖuɖu biabia zi geɖe wu alesi wònɔna ɖaa, gbɔgblɔ be dɔ le ye wum. |
| Ɖeɖiteameŋu | Ðevia nɔa alɔ̃ dɔm ɣesiaɣi eye agbe mele esi o. |
| Nukpɔkpɔ si me mekɔ o | Ðewohĩ ɖevia ate ŋu agblɔ tɔtrɔ ɖesiaɖe si ava le nukpɔkpɔ me na wò. |
| Nu kpata si hiã be woakpɔ egbɔ enumake: DKA (Diabetic Ketoacidosis) . | |
| Gbɔgbɔ si ʋẽna abe atikutsetsewo ene | Gbɔgbɔ ʋẽna abe atikutsetse, wein, alo nusi ɖea ɖaƒoƒo ɖa ene. |
| Aɖuɖɔtoe kple dɔgbo ƒe vevesese | Aɖuɖɔtoe enuenu kple dɔgbo ƒe vevesese sesẽ. |
| Gbɔgbɔ kabakaba | Yagbɔgbɔ ƒe agbɔsɔsɔ si dzi ɖe edzi. |
| Tɔtɔ kple alɔ̃dɔdɔ | Ðevia ƒe nuwɔna trɔna, etɔtɔna, edɔa alɔ̃ fũu akpa, alo eƒe susu meganɔa nu ŋu o. |
Vevietɔ ŋutɔ: DKA (`Suklidɔ Ketoacidosis`) nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Ne DKA ƒe dzesi siwo le etame dometɔ aɖe le viwò ŋu la, tsɔe yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Aleke ɖɔktaa ate ŋu aɖo kpe esia dzi?
Ne èkplɔ viwò yi ɖɔkta gbɔ la, woawɔ ʋudodokpɔ bɔbɔe ʋɛ aɖewo atsɔ aɖo kpe suklidɔ dzi.
- Suklidɔ Dodokpɔ le Ʋu me: Wodzidzea sukli ƒe agbɔsɔsɔ le ʋu me ne wole nu dɔ wɔm alo le ɣeyiɣi ɖesiaɖe me (le vome).
- A1c Dodokpɔ: Dodokpɔ sia ate ŋu anya sukli si le ɖevia me le mama dedie nu le ɣleti etɔ̃ siwo va yi me.
- Dɔlékuiwutikewo Dodokpɔ: Ne wonya ɖo kpe dɔlélea dzi ko la, wodoa ʋua kpɔna be dɔlékuiwutikewo (`autoantibodies`) le lãmenugbagbevi siwo wɔa insulin ŋu be woatsɔ aɖo kpe edzi nenye be suklidɔ Ƒomevi 1 ye.
- C-peptide ƒe Agbɔsɔsɔ: Dodokpɔ sia kpena ɖe ame ŋu wònyaa insulin agbɔsɔsɔme si ŋutilãa le wɔwɔm. Le suklidɔ Ƒomevi 1 me la, agbɔsɔsɔ sia le sue ŋutɔ.
Aleke wowɔa atike nɛ? - Alesi woawɔ akpɔ esia gbɔe
Womate ŋu ada suklidɔ ƒomevi 1 o. Gake ne viwòa kpɔ egbɔ nyuie la, ate ŋu anɔ agbe si me lãmesẽ le bliboe, si me dzo le. Zi geɖe la, wò ɖɔkta aɖo viwòa ɖe ɖɔkta si bi ɖe suklidɔ (ɖeviwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala) gbɔ. Nu vevi etɔ̃e le dɔdzikpɔkpɔ me.
1. Lé ŋku ɖe sukli ƒe agbɔsɔsɔ le ʋu me ŋu edziedzi (Blood sugar monitoring) .
Ele be woazã suklidzidzenu atsɔ akpɔ ɖevia ƒe sukli ƒe agbɔsɔsɔ le ʋu me zi geɖe gbesiagbe. Mɔ̃ yeye siwo woyɔna be Continuous Glucose Monitoring (CGM) hã ate ŋu alé ŋku ɖe sukli ƒe agbɔsɔsɔ ŋu ɣesiaɣi to sensor sue aɖe si woda ɖe ŋutigbalẽa te dzi.
2. Insulin dodo na ame
Esiae nye dɔdzikpɔkpɔ ƒe akpa vevitɔ kekeake. Ahiã be viwòa nado insulin gbesiagbe, zi geɖe gbesiagbe. Ɣeaɖewoɣi la, woate ŋu azã insulin pɔmpi. Insulin agbɔsɔsɔme si woana la ato vovo le nusi viwòa ɖuna, kamedede agbɔsɔsɔme si wòawɔ, kple ŋkekea ƒe ɣeyiɣia nu. Wò ɖɔkta aɖe nya sia me na wò.
3. Carbohydrate xexlẽ kple nuɖuɖu
Ele be nàsrɔ̃ alesi nàbu akɔnta le carbohydrates agbɔsɔsɔme si le viwò ƒe nuɖuɖu me ŋu eye nànya insulin ƒe agbɔsɔsɔme si wòazã ɖe eŋu. Ele vevie ŋutɔ be nàdi nuɖuɖuŋutinunyala ƒe kpekpeɖeŋu na esia. Nusi ŋu wotsia dzi ɖo le afisiae nye be woana nuɖuɖu si da sɔ, si naa lãmesẽ.
Aleke míewɔna kpena ɖe ɖevi si ŋu suklidɔ le ŋu?
Esia nye kuxi na dzilawo kple ɖevia siaa. Gake miaƒe kpekpeɖeŋu kple nɔnɔme nyui doa ŋusẽ ɖevia ŋutɔ.
- Nɔ susu nyui me: Suklidɔ Ƒomevi 1 le ame akpa gãtɔ nɔa agbe si me wowɔa dɔ le, le lãmesẽ me, eyata mègavɔ̃ o.
- Mègabu fɔ viwòa o: Ɣeaɖewoɣi la, ne èwɔ nusianu nyuie hã la, wò ʋumesukli ƒe agbɔsɔsɔ ate ŋu ayi dzi anɔ ɖiɖim kokoko. Le esi nàƒo fi de viwòa teƒe la, wò susu nanɔ nu si wòle be nàwɔ le ɣeyiɣi ma me ŋu.
- Na viwòa nanɔ eɖokui si: Fia viwòa vivivi be wòakpɔ eƒe nɔnɔmea gbɔ. Srɔ̃e be nàlé ŋku ɖe sukli ƒe agbɔsɔsɔ le woƒe ʋu me ŋu ahabu insulin ƒe akɔnta le wo ɖokui si.
- Na ame bubuwo nanya: Na ɖevia ƒe ƒometɔwo, nufialawo, kple xɔlɔ̃wo nanya nu tso nɔnɔmea ŋu. Ðe nusi woawɔ le nɔnɔme kpata aɖe me me na wo.
- Dzra ɖo ɖe nɔnɔme kpatawo ŋu: Sukli ƒe agbɔsɔsɔ si ɖiɖi le ʋu me si me afɔku le (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) nye nudzɔdzɔ kpata. Na nane abe glucagon-tike ene nanɔ asiwò nàtsɔ ana ne nɔnɔme kpata aɖe do mo ɖa. Bia wò ɖɔkta tso eŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔ ƒomevi 1 menye nusi ɖevia ƒe vodada tso o. Enye dɔléle si ame ŋutɔ ƒe dɔlélenutsiŋutete hena vɛ si tsoa ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie gbɔ.
- Esia nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me, gake woate ŋu akpɔ egbɔ nyuie ŋutɔ ne wozã insulin, nuɖuɖu nyui, kple ŋkuléle ɖe sukli ƒe agbɔsɔsɔ le ʋu me ŋu.
- Ne viwòa le dzesiwo ɖem fia abe tsikɔwuame si gbɔ eme, aɖuɖɔɖɔɖɔ enuenu, alo lolo dzi ɖeɖe kpɔtɔ togbɔ be eɖua nu nyuie hã la, yi ɖɔkta gbɔ kaba.
- Gbɔgbɔ si me atikutsetsewo le, ʋuʋudedi, dɔgbo ƒe ʋuʋu, kple alɔ̃dɔdɔ fũ (DKA ƒe dzesiwo) nye...Nudzɔdzɔ kpata aɖe si bia be woaxɔ ame ɖe kɔdzi enumake.
- Ne wona kpekpeɖeŋu kple hehe nyuitɔ ɖevi si ŋu suklidɔ Ha 1 le la, ate ŋu anɔ agbe si me dzidzɔ le bliboe, anɔ lãmesẽ me, eye wòakpɔ dzidzedze.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
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