Ne èbu suklidɔ ŋu la, ɖewohĩ suklidɔ ƒomevi evelia si bɔ wu si doa mo ɖa ne èle tsitsim la ŋu bum. Gake ènya be suklidɔ ƒomevi bubu aɖe li si ate ŋu adze le ƒe ɖesiaɖe me, vevietɔ le ɖeviwo kple sɔhɛ tsitsiwo mea? Emae nye nusi míeyɔna be Suklidɔ Ƒomevi 1. Eto vovo vie, gake ne wokpɔ edzi nyuie la, maxe mɔ na wò be mànɔ agbe si me lãmesẽ le keŋkeŋ o. Na míaƒo nu tso eŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.
Nukae Nye Suklidɔ Ƒomevi 1?
Kpuie ko la, suklidɔ ƒomevi 1 nye dɔléle si dɔlélenutsiŋutete wɔna si me míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea lãmenugbagbevi siwo wɔa insulin (beta cells) siwo le mía ŋutɔwo ƒe dɔgbo me dzi hetsrɔ̃a wo .
Bu eŋu kpɔ, insulin le abe safui si kpena ɖe sukli, alo sukli si le míaƒe ʋu me ŋu wògena ɖe míaƒe lãmenugbagbeviwo me be wòawɔ ŋusẽ ene. Fifia, ne lãmenugbagbevi siawo siwo wɔa insulin nu yi la, ŋutilãa mewɔa insulin si wòhiã o. Emegbe sukli si le ʋua me mate ŋu age ɖe lãmenugbagbeviwo me o eye wòƒoa ƒu ɖe ʋua me. Nenemae wòdzɔna le dɔléle sia me.
Tsã la, woyɔnɛ be "ɖeviwo ƒe suklidɔ" elabena ɖeviwo kple sɔhɛ tsitsiwo mee wokpɔnɛ zi geɖe. Gake míenya azɔ be ate ŋu agblẽ nu le ame tsitsi siwo xɔ ƒe ɖesiaɖe ŋu.
Vovototo kae le Ƒomevi 1 kple Ƒomevi 2 dome?
Esia nye teƒe si ame geɖe tsia anyi le.
- Le Ƒomevi 1 me: Ŋutilãa dzudzɔa insulin wɔwɔ keŋkeŋ , eyata ehiã be woaxɔ insulin tso gota hafi anɔ agbe.
- Le Ƒomevi 2 lia me: Togbɔ be ŋutilãa wɔa insulin hã la, agbɔsɔsɔa mesɔ gbɔ o, alo ŋutilãa ƒe lãmenugbagbeviwo mewɔa nu nyuie ɖe insulin ma ŋu o (insulin ƒe dɔlélenutsiŋutete).
Nukawoe nye dzesiawo? Aleke nàwɔ ade dzesii kaba?
Zi geɖe la, dɔléle sia ƒe dzesiwo te ŋu dzena kaba ŋutɔ , ɣeaɖewoɣi le kwasiɖa ʋɛ aɖewo ko me. Ele vevie be nànya dzesi siawo.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Tsikɔwuame sesẽ kple nu ƒe ƒuƒu | Tsikɔwuame metsi le tsinono vɔ megbe gɔ̃ hã o. |
| Aɖuɖɔɖɔɖɔ enuenu | Ehiã be nàɖe aɖuɖɔ enuenu, vevietɔ le zã me. |
| Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee | Ne èɖu nu nyuie eye dɔ le wuwòm hã la, wò lolo dzi ɖena kpɔtɔna. |
| Dɔwuame sesẽ | Dɔwuame kabakaba le nuɖuɖu vɔ megbe gɔ̃ hã. |
| Ðeɖiteameŋu kple gbɔdzɔgbɔdzɔ si gbɔ eme | Sese le eɖokui me ɣesiaɣi be yegbɔdzɔ. |
| Nukpɔkpɔ trɔna | Nuwo abe nukpɔkpɔ si me mekɔ o ene. |
| Dɔlékuiwo xɔxɔ enuenu | Ŋutilã, aɖuɖɔtoe, alo nyɔnu ƒe vidzidɔ me dɔléle siwo gbugbɔna. |
Suklidɔ ƒomevi 1 si dzea egɔme megbe le ame tsitsiwo me (LADA) .
Ɣeaɖewoɣi la, wokpɔa dɔléle sia le ame tsitsi me (le ƒe 30-50 dome). Woyɔa esia be ‘Suklidɔ si Ɣaɣla si Dɔlélenutsiŋutete Le le Ame Tsitsiwo Me’ (LADA). Esi wònye be dzesiawo dzena blewu ŋutɔ ta la, woate ŋu abui vodadatɔe ɣeaɖewoɣi be enye suklidɔ ƒomevi evelia.
Aleke wohea ɖevi suewoe?
Tsɔ kpe ɖe dzesi siwo wokpɔna le ame tsitsiwo ŋu ŋu la, ɖevi suewo kple vidzĩwo ate ŋu aɖe dzesi vovovowo afia ne dɔléle sia dze wo dzi. Ele vevie be dzilawo nanya esia.
- Ele be woatrɔ vidzĩ ƒe aklala zi geɖe wu alesi wònɔna ɖaa.
- Diaper ƒe ʋuʋudedi si mehayana o togbɔ be wowɔ atike nɛ hã ƒe amesinɔnɔ.
- Ðevi si wona hehee le nugododeƒe dzea tsidede aba dzi.
- Yagbɔgbɔ ƒe agbɔsɔsɔ si dzi ɖe edzi.
- Dɔgbo ƒe vevesese kple ʋuʋudedi.
- Tɔtrɔ siwo vaa ɖevia ƒe nuwɔna me (zi geɖe la, dzikudodo, dzitsitsi).
- Atikutsetse ƒe ʋeʋẽ vivi aɖe si dona tso gbɔgbɔ me (esia nye dzesi si me afɔku le).
Ne dzesi siawo dometɔ aɖe le viwòa ŋu la, yi ɖɔkta gbɔ kaba. Ɣeaɖewoɣi la, dzesi siawo adze abe dzamezã si sɔ ene, gake ate ŋu anye suklidɔ ƒomevi 1.
Nukawoe nye susu siwo tae wòle alea ɖo? Domenyinu mee wònyea?
Womenya susu si tututu ta míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe lãmenugbagbeviwo dzi haɖe o, gake woxɔe se be domenyiŋusẽfianu ƒe nɔnɔme kple nutoa me siaa gbɔe wòtso koŋ .
Kpuie ko la, ne suklidɔ ƒomevi 1 le wò ƒomea me (dada, fofo, nɔviwò) ŋu la, ke afɔku le eme vie be nàxɔe, gake mefia be àxɔe godoo o.
Bu eŋu kpɔ be, ne domenyiŋusẽfianu siwo nana dɔlélea te ŋu xɔa wò bɔbɔe hã la, ate ŋu abia nutome ƒe akpa aɖe, abe dɔlékui ƒe dɔléle ene, hafi domenyiŋusẽfianu mawo "nawɔ dɔ".
Aleke wokpɔa dɔlélea dzea sii? Dodokpɔ kawoe wowɔna?
Ne wò ɖɔkta susui be suklidɔ ƒomevi 1 le ŋuwò la, nu gbãtɔ si woawɔe nye be woado wò ʋumesukli ƒe agbɔsɔsɔ kpɔ.
| Dodokpɔ | Nuɖᴐɖᴐ |
|---|---|
| A1c dodokpɔ | Àte ŋu akpɔ sukli si le wò ʋu me le mama dedie nu le ɣleti 2-3 siwo va yi me ƒe susu. |
| Nutsitsidɔ ƒe Ʋu Sukli Dodokpɔ | Woléa ŋku ɖe sukli ƒe agbɔsɔsɔ le woƒe ʋu me ŋu ne womeɖu naneke o abe gaƒoƒo 8 ene. |
| Sukli Dodokpɔ le Ʋu me le Vome | Kpɔ wò ʋumesukli ƒe agbɔsɔsɔ ɖa le ŋkekea ƒe ɣeyiɣi ɖesiaɖe me. |
Dodokpɔ siawo ate ŋu anya ne suklidɔ le ŋuwò. Gake be nànyae kple kakaɖedzi be ƒomevi 1 alo ƒomevi 2 ye la, wò ɖɔkta agawɔ dodokpɔ ʋɛ aɖewo kpee.
- Autoantibody dodokpɔ: Esiae nye dodokpɔ vevitɔ kekeake. Le suklidɔ ƒomevi 1 me la, protein tɔxɛwo (autoantibodies) le ʋua me siwo dzea lãmenugbagbevi siwo wɔa insulin dzi. Dodokpɔ sia dia nusiawo.
- Ketones dodokpɔ: Ne insulin bu la, ŋutilãa dzea ami dzodzo gɔme hena ŋusẽkpɔkpɔ. Woyɔa aɖi siwo dona tso eme la be ketones. Woate ŋu ade dzesi nusiawo le aɖuɖɔ me.
Atikewɔwɔ kple agbedzikpɔkpɔ
Menye esi wokpɔ suklidɔ ƒomevi 1 le ŋuwò ta ko wò agbe wu enu o. Àte ŋu anɔ agbe didi ŋutɔ, si me lãmesẽ le, kple dzidzɔ. Nu vevitɔe nye be nàlé wò ʋumesukli ƒe agbɔsɔsɔ ɖe te.
Insulin zazã nye sedziwɔwɔ.
Le suklidɔ ƒomevi 1 me la, wò ŋutilã mewɔa insulin o, eyata ele be nàno insulin tso gota gbesiagbe . Màte ŋu ano insulin le atikekui ƒe nɔnɔme me o, elabena egblẽna le wò dɔgbo me. Eyata ele be nànoe le atikewo dodo me alo kple insulin pɔmpi.
Insulin ƒomevi vovovowo li. Wotoa vovo le ɣeyiɣi si wòxɔna hafi wowɔa dɔ kple ɣeyiɣi didi si wòxɔna me. Wò ɖɔkta anɔ te ɖe nu geɖe dzi anya insulin ƒomevi kple agbɔsɔsɔme si sɔ na wò, siwo dometɔ aɖewoe nye wò ƒexɔxɔ, agbenɔnɔ, kple nuɖuɖu ƒe nɔnɔmewo.
Sukli ƒe agbɔsɔsɔ le ʋu me me dzodzro edziedzi
Nu vevitɔe nye be nàna wò ʋumesukli ƒe agbɔsɔsɔ nanɔ afisi nèdi be yeaɖo le ŋkekea me katã. Mɔ eve li siwo dzi míato awɔ esia:
1. Glucometer: Dodokpɔmɔnu si wozãna tsã bia be woaɖe ʋu sue aɖe tso asibidɛ ƒe nugbɔ.
2. Continuous Glucose Monitor (CGM): Sensor sue aɖe si woda ɖe ŋutigbalẽa te la léa ŋku ɖe sukli ƒe agbɔsɔsɔ le ʋu me ŋu le eɖokui si le miniti ʋɛ aɖewo ɖesiaɖe me eye wòɖoa nyatakakaawo ɖe wò telefon alo mɔ̃ bubu aɖe. Exlɔ̃a nu wò ne sukli ƒe agbɔsɔsɔ le wò ʋu me sɔ gbɔ alo le sue.
Nuɖuɖu kple agbenɔnɔ
Suklidɔ ƒomevi 1 ƒe amesinɔnɔ mefia be màte ŋu aɖu nu o. Gake ele be nàɖɔ ŋu ɖo le nuɖuɖu agbɔsɔsɔme si nèɖuna ŋu, vevietɔ carbohydrates (starch). Ele be nàtrɔ asi le wò insulin ƒe agbɔsɔsɔme ŋu wòasɔ ɖe nuɖuɖu si nèɖuna nu.
- Ƒo nuɖuɖu si da sɔ . Tsɔ amagbewo, atikutsetsewo, kple nuku blibo geɖe kpe ɖe eŋu.
- Ðe seɖoƒe na aha siwo me sukli le, nuɖuɖu viviwo, kple carbohydrates siwo ŋu wokɔ (abolo, pasta).
- De kame edziedzi. Kamedede nana ŋutilãa te ŋu sea nu gɔme ɖe insulin ŋu geɖe wu.
- Kpɔ nuteɖeamedzi dzi eye nàdɔ alɔ̃ nyuie . Esiawo kpɔa ŋusẽ ɖe sukli ƒe agbɔsɔsɔ le ʋu me hã dzi.
Kuxi kawoe ate ŋu ado mo ɖa le suklidɔ ta?
Ne womekpɔ ŋusẽ ɖe sukli ƒe agbɔsɔsɔ le ʋu me dzi nyuie o ɣeyiɣi didi aɖe la, ŋutilã ƒe akpa vovovowo ate ŋu agblẽ. Gake mègatsi dzi o. Ne èlé ɖokuiwò ɖe te nyuie la, àte ŋu axe mɔ ɖe kuxi siawo dometɔ geɖe nu.
Kuxi vevitɔ kekeake si hiã kpata wue nye suklidɔ ƒe ketoacidosis (DKA) . Esia dzɔna ne insulin mele ŋutilãa me o, si wɔnɛ be ketones kple sukli ƒoa ƒu ɖe ʋua me, si wɔnɛ be ʋua va zua acid. Esia nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me.
Ne dzesiwo abe ʋuʋudedi, dɔgbo ƒe vevesese, gbɔgbɔ kabakaba, alɔ̃dɔdɔ vevie, kple atikutsetse ƒe ʋeʋẽ le gbɔgbɔ me ene le ŋuwò la , ate ŋu anye DKA. Yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Kuxi siwo ate ŋu ado tso eme ɣeyiɣi didi ate ŋu anye dzidɔ, ayikudɔ (ayikudɔ), ŋku ƒe dɔmawɔmawɔ nyuie (retinopathy), kple lãmekawo ƒe gbegblẽ. Mɔ nyuitɔ si dzi nàto axe mɔ ɖe nusiawo nue nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi eye nàna wò ʋumesukli, ʋu ƒe sisi, kple ʋumemi ƒe agbɔsɔsɔ dzi naɖu.
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔ ƒomevi 1 menye wò vodada o. Enye dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna.
- Togbɔ be nɔnɔme sia nye wò agbemeŋkekewo katã ƒe nɔnɔme hã la, ne èda insulin zazã eye nètrɔ agbenɔnɔ la, àte ŋu anɔ agbe si me lãmesẽ le bliboe eye nànɔ dɔ dzi.
- Nu vevitɔe nye be nàlé ŋku ɖe sukli ƒe agbɔsɔsɔ si le wò ʋu me ŋu edziedzi eye nàna wòanɔ agbɔsɔsɔ si wò ɖɔkta na wò la me.
- Ne nya aɖe le asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeaƒo nu kple wò ɖɔkta gaglãa o. Wole klalo ɣesiaɣi be yewoakpe ɖe ŋuwò.
- Menye wò ɖeka koe o. Ame geɖewo le agbe kple nɔnɔme sia. Eyata minɔ sesẽ.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment