Mina míasrɔ̃ nusianu tso Suklidɔ Ƒomevi 1 ŋu le mɔ bɔbɔe aɖe nu.

Ðe tsikɔ ​​wu viwòa vevie eye wòɖea aɖuɖɔ enuenua? Ðe wòdze aba dzi tsidzadza gɔme le zã mea? Alo ɖe wòle lolo dzim kpɔtɔ togbɔ be eɖua nu nyuie hã? Mègabu nusiawo be wonye nusi sɔ o. Esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be Suklidɔ Ƒomevi 1 ƒe dzesi gbãtɔwo. Esia nye agbemeŋkekewo katã ƒe nɔnɔme si ate ŋu adze ɖevi suewo, sɔhɛ tsitsiwo, kple ame tsitsiwo ɣeaɖewoɣi. Gake mègatsi dzi o, míaƒo nu tso eŋu tsitotsito.

Kpuie ko la, nukae nye Suklidɔ Ƒomevi 1?

Suklidɔ ƒomevi 1 nye dɔléle si tso kuxi aɖe si le mía ŋutɔwo ƒe dɔlélenutsiŋutete ŋu gbɔ. Ne míagblɔe tututu la, enye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ . Zi geɖe la, míaƒe dɔlélenutsiŋutete wɔa avu kple dɔlékui siwo hea dɔléle vɛ. Gake le go sia me la, míaƒe dɔlélenutsiŋutete mewɔa dɔ nyuie o eye wòdzea lãmenugbagbevi siwo le mía ŋutɔwo ƒe dɔgbo me siwo wɔa lãmetsi si nye insulin la tsɔtsrɔ̃ gɔme.

Bu insulin be enye safui si ʋua ʋɔtruwo na lãmenugbagbevi siwo le míaƒe ŋutilã me. Be sukli (glucose) si le nuɖuɖu si míeɖuna me nate ŋu age ɖe lãmenugbagbeviwo me abe ŋusẽ ene la, insulin ƒe safui sia hiã vevie. Eyata ne lãmenugbagbevi mawo tsrɔ̃ la, insulin wɔwɔ nu tsona keŋkeŋ. Nusi dzɔna enye be sukli si le ʋua me mate ŋu age ɖe lãmenugbagbeviwo me o eye wòƒoa ƒu ɖe ʋua me. Míeyɔa sukli ƒe agbɔsɔsɔ sia si sɔ gbɔ ɖe ʋu me be ``(suklidɔ).`` Ne womeɖu esia dzi o la, ateŋu agblẽ nu le ŋutilã ŋu vevie.

Nukae nye suklidɔ ƒomevi 1 ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Zi geɖe la, dzesi siawo dzea egɔme vivivi eye woate ŋu asẽ ɖe edzi le ŋkeke alo kwasiɖa ʋɛ aɖewo megbe. Ne dzesi siawo le ŋuwò alo wò ƒomea me tɔ aɖe ŋu la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui be wòaɖo aɖaŋu na wò.

Dzesi kpata siawo ɖea nɔnɔme aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be Diabetic Ketoacidosis (DKA) fiana. Ne èkpɔ nane si le abe esia ene la, yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) kaba.

Nukatae esia le dzɔdzɔm? Nuka tae?

Dzɔdzɔmeŋutinunyalawo menya nusi tututu gbɔ suklidɔ ƒomevi 1 tsona haɖe o, gake woxɔe se be domenyiŋusẽfianu kple nutome ƒe nɔnɔmewo ƒo ƒu gbɔe wòtso .

Kpuie ko la, domenyiŋusẽfianu ate ŋu anɔ ame aɖe si be wòaxɔ dɔléle sia. Emegbe, dɔlékui alo nane si le nutoa me ate ŋu aʋã ŋutilãa ƒe ametakpɔnu be wòadze amedzidzedze gbegblẽ ma gɔme.

Ne dɔléle sia le ame aɖe ŋu le ƒomea me la, afɔku si li be ame bubuwo naxɔe la lolona vie.

• Ne ame aɖeke mele ƒomea me o la, afɔkua anɔ abe ame 1 le ame 250 ɖesiaɖe me ene.
• Ne vidadaa le eŋu la, afɔkua anɔ ame 1 le 25 ɖesiaɖe me va ɖo 1 le 100 ɖesiaɖe me.
• Ne vifofoa le eŋu la, afɔkua nye 1 le 17 ɖesiaɖe me.
• Ne dzila evea siaa le eŋu la, afɔkua ate ŋu anɔ ame 1 le 10 ɖesiaɖe me va ɖo 1 le 4 ɖesiaɖe me.

Kuxi kawoe ate ŋu ado tso suklidɔ ƒomevi 1 me?

Sukli ƒe agbɔsɔsɔ si dzi womeɖu o le ʋu me le ɣeyiɣi didi aɖe me ate ŋu agblẽ nu le ŋutilã ƒe akpa vovovowo ŋu. Eyata ele vevie ŋutɔ be woana sukli ƒe agbɔsɔsɔ le ʋu me nanɔ agbɔsɔsɔ si sɔ me.

Kuxi siwo ate ŋu ado tso eme:

• Ŋku ƒe kuxiwo: nuwo abe ŋku ƒe dɔmawɔmawɔ nyuie (retinopathy), ŋku ƒe ʋuʋu.
• Afɔkuxiwo: Afɔwo ƒe ʋuʋu, abi siwo mehayana o eye wova zua nu sesẽ.
• Dzidɔ kple ʋusɔgbɔdɔ.
• Ayikudɔ: Nusiwo gblẽna le ayiku ŋu le ɣeyiɣi aɖe megbe.
• Lãmetsiŋusẽ ƒe gbegblẽ (Ahɔhɔ̃mekawo ƒe dɔléle): Nuwo abe abɔ kple afɔwo ƒe ʋuʋu kple ʋuʋudedi ene.
• Ŋutilãmedɔlélewo: Ŋutilã ƒuƒu, dɔlékuiwo xɔxɔ enuenu.
• Afɔku si le ʋusɔgbɔdɔ me ƒe dzidziɖedzi .

Le esi teƒe be nàvɔ̃ nusiawo la, ɖo ŋku edzi be àte ŋu akpɔ ɖokuiwò ta tso kuxi siawo katã kloe me ne èɖu sukli ƒe agbɔsɔsɔ si le ʋu me dzi nyuie. Azɔ hã, agbenɔnɔ kple dɔléle sia ate ŋu ahe nuteɖeamedzi kple blanuiléle vɛ. Eyata ele vevie be nàlé be na wò susu ƒe lãmesẽ kpakple wò ŋutilã ƒe lãmesẽ hã . Di atikewɔlawo ƒe aɖaŋuɖoɖo ne ehiã.

Aleke ɖɔktawo wɔa anya dɔléle sia pɛpɛpɛ?

Zi geɖe la, suklidɔ ƒomevi 1 xɔxɔ didi nɔa bɔbɔe. Wò ɖɔkta awɔ dodokpɔ siawo:

• Suklidɔ dodokpɔ le ʋu me: Ne wokpɔ dɔlélea dze sii la, zi geɖe la, sukli ƒe agbɔsɔsɔ si le eme la sɔa gbɔ ŋutɔ.
• A1c dodokpɔ (Glycosylated hemoglobin test): Esia dzidzea wò ʋumesukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti etɔ̃ siwo va yi me.
• Dɔlékuiwutikewo dodokpɔ: Wozãa esia tsɔ ɖoa ​​kpe edzi be suklidɔ ƒomevi 1 alo ƒomevi 2 le ŋuwò. Ne autoantibodies siwo do ƒome kple suklidɔ ƒomevi 1 le ʋua me la, woɖoa kpe edzi be enye ƒomevi 1.

Tsɔ kpe ɖe eŋu la, àte ŋu awɔ nuwo abe aɖuɖɔ dodokpɔ ene hã be nàkpɔe ɖa be ketones le aɖuɖɔa me hã.

Aleke wowɔa nu ɖe ​​eŋu hekpɔa egbɔe?

Suklidɔ ƒomevi 1 ƒe agbenɔnɔ fia be ele be nàno insulin gbesiagbe hafi anɔ agbe. Womate ŋu awɔ esia kple atikekui o. Insulin xɔna na dɔnɔ siawo. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woana sukli ƒe agbɔsɔsɔ le ʋu me nanɔ lãmesẽ me.

Esia menye nusi wòle be wò ɖeka nawɔ o. Dɔlékuiwutikewo kple suklidɔlélawo ƒe ƒuƒoƒo ate ŋu akpe ɖe ŋuwò. Gake ele be nàwɔ nyametsotsoawo gbesiagbe. Akpa vevi etɔ̃e le dɔdzikpɔkpɔ me:

1. Insulin zazã

2. Glucose dzi kpɔkpɔ

3. Hehenana kple Nyanyanana si Wobia (Hehenana) .

Mɔnu siwo wozãna tsɔ noa insulin

Insulin ƒomevi vovovowo li. Wotoa vovo le alesi wowɔa dɔ kabakaba kple ɣeyiɣi didi si wonɔa anyi le ŋutilã me gome. Ðewohĩ ahiã be nàzã ƒomevi siwo wu ɖeka. Mɔ vevi geɖe li siwo dzi nàto axɔ insulin:

• Dodokpɔ zi geɖe gbesiagbe (MDI): Insulin dodo ɖe ami si le ŋutigbalẽa te me zi geɖe gbesiagbe to atikekui zazã me.
• Insulin Pen: Esia nye mɔ̃ si le abe nuŋlɔti ene si wotsɔa insulin yɔa do ŋgɔ. Ezazã le bɔbɔe wu atike siwo wodona ɖe lãme na ame.
• Insulin pɔmpi: Esia nye mɔ̃ sue aɖe si tsɔa insulin yia ŋutilãa gbɔ le agbɔsɔsɔ si hiã me le ŋkekea me katã to mɔ̃ sue aɖe si wotsɔ dea ŋutigbalẽa te me.
• Insulin si wogbɔna:Insulin ƒomevi aɖe hã li si wogbɔna to nu me, si sɔ kple atike si asrãdɔlélawo zãna.

Insulin agbɔsɔsɔme si nèhiã ate ŋu atrɔ tso ŋkeke yi ŋkeke, ne ètsi, ne èdze dɔléle aɖe, alo le fufɔɣi.

Sukli ƒe agbɔsɔsɔ dzi kpɔkpɔ

Ele be nàɖɔ ŋu ɖo le sukli ƒe agbɔsɔsɔ si le wò ʋu me ŋu le ŋkekea me katã.

• Ʋu me suklidzidzenu: Mɔ̃ si dzidzea sukli ƒe agbɔsɔsɔ le ʋu me to ʋu sue aɖe ɖeɖe tso asibidɛ ƒe nugbɔ me.
• CGM (Continuous Glucose Monitoring - CGM): Mɔnu si wozãna tsɔ dzidzea sukli ƒe agbɔsɔsɔ le ʋu me ɣesiaɣi le miniti ʋɛ ɖesiaɖe me to sensor sue aɖe si wotsɔ de ŋutigbalẽa te zazã me eye wòɖoa nyatakakaawo ɖe wò fon alo mɔ̃ bubu. Esia le Sri Lanka fifia.

Wò ɖɔkta ana sukli ƒe agbɔsɔsɔ si nèɖo le ʋu me la wò. Nu vevitɔ kekeakee nye be nàdze agbagba anɔ ɖoƒe ma.

Ðe woate ŋu ada dɔléle sia keŋkeŋua?

Nublanuitɔe la, womekpɔ atike aɖeke na suklidɔ ƒomevi 1 fifia o, gake dzɔdzɔmeŋutinunyalawo yi edzi le numekuku wɔm tso mɔ siwo dzi woato axe mɔ ɖe dɔlélea nu alo aɖu eƒe ŋgɔyiyi dzi.

Le dukɔ deŋgɔ aɖewo me la, dɔdamɔnu eve li siwo dzi woato ado ame bubuwo na ame, gake afɔku le wo me wu.

• Islet cell transplant: Lãmenugbagbevi siwo wɔa insulin ɖeɖeko dodo na ame.
• Dɔgbo dodo: Zi geɖe la, wowɔa esia le ɣeyiɣi ɖeka me na dɔnɔ siwo hiã be woado ayiku na wo.

Esiawo gakpɔtɔ nye atikewɔmɔnu siwo wotu ɖe numekuku dzi siwo ame sia ame mate ŋu akpɔ o eye afɔku le wo me.