Ðe suklidɔ le ŋuwòa? Eyata ne èmlɔ anyi le zã me la, ɖe nènɔa ʋuʋum hetrɔna evɔ mèdɔa alɔ̃ oa? Alo ɖe nènyɔ kpata esime nèle alɔ̃ dɔma? Ðe nèdɔa alɔ̃ fũu akpa ŋkeke aɖewo, eye le ŋkeke bubuwo dzi la, aleke kee nèɖadze agbagbae o, màte ŋu ami ŋku gɔ̃ hã oa? Ne èto nusiawo me la, ke menye wò ɖeka koe o. Alɔ̃dɔdɔ ƒe kuxi siawo ƒomevi ɖea fu na suklidɔléla geɖe. Ðewohĩ àsusu be esia sɔ. Gake ènya be ɖewohĩ kadodo gã aɖe le suklidɔ kple wò alɔ̃dɔdɔ ƒe kuxiwo domea ? Mina míaƒo nu tso esia ŋu egbea.
Nukatae alɔ̃dɔdɔ ƒe kuxiwo nɔa suklidɔlélawo ŋu?
Susu geɖewo li siwo tae alɔ̃dɔdɔ ate ŋu asesẽ na suklidɔléla. Mina míase esiawo gɔme le nya bɔbɔewo me, ɖekaɖeka.
| Nusitae alɔ̃dɔdɔ ƒe tɔtɔ vɛ | Kpuie ko la, nukae wònye? |
|---|---|
| Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixe si xea mɔ na ame | Esiae nye esime lãmeka siwo le míaƒe ŋɔti ƒe akpa si le etame la ɖea dzi ɖi le alɔ̃dɔdɔ me, si xea mɔ na míaƒe yaƒoƒomɔ̃. Emegbe, gbɔgbɔ nu tsona sɛkɛnd ʋɛ aɖewo. Esia ɖea oxygen ƒe agbɔsɔsɔ si le ʋua me dzi kpɔtɔna, eye wògblẽa nu le ahɔhɔ̃a kple dzia ŋu. Bu eŋu kpɔ, srɔ̃wò ƒoa aɖuɖɔ le zã me, kasia wòdzudzɔ gbɔgbɔ, eye wònyɔ kple gɔmedzedze. Esiae nye nusi míeyɔna be Sleep Apnea. Nɔnɔme sia bɔ ɖe amesiwo lolo akpa dome. |
| Afɔwo ƒe lãmekawo ƒe gbegblẽ (Peripheral Neuropathy) . | Suklidɔ ate ŋu agblẽ nu le lãmeka siwo le wò afɔwo kple afɔwo me ŋu. Esia ate ŋu ana wò afɔwo natsi, avuvu, eye wòafiã. Vevesese kple vevesese sia ate ŋu ana wòasesẽ be woadɔ alɔ̃ nyuie le zã me. |
| Afɔ Siwo Meɖea Dzidzɔ O ƒe Dɔléle | Esiae nye ne èse le ɖokuiwò me be yeƒe afɔwo le ʋuʋum le mɔ si dzi yemate ŋu aɖu o nu, abe ɖe màte ŋu ana woanɔ anyi kpoo o ene. Ɣeaɖewoɣi la, ewɔna nam abe nane le hehem ɖe wò afɔwo me ene, abe vevesese ene. Esia wɔnɛ be alɔ̃dɔdɔ sesẽna ŋutɔ. |
| Tɔtrɔ siwo vaa sukli ƒe agbɔsɔsɔ le ʋu me (Hypoglycemia & Hyperglycemia) . | Sukli ƒe agbɔsɔsɔ si le ʋu me ƒe ɖiɖi kpata (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) kple dzidziɖedzi ɖedzesi aɖe (suklidɔ ƒe agbɔsɔsɔ si gbɔ eme) siaa ate ŋu akpɔ ŋusẽ ɖe alɔ̃dɔdɔ dzi. Ne sukli dzi ɖe edzi la, ehiã be nàɖe aɖuɖɔ enuenu le zã me. Esia gblẽa wò alɔ̃dɔdɔ me. Ne sukli ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, àte ŋu fifia, àtsi dzimaɖi, eye ate ŋu anyɔ wò gɔ̃ hã. |
| Amidada | Kpekpeme ƒe dzidziɖedzi do ƒome tẽ kple aɖuɖɔtoe kple alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe, eye wo ame evea siaa nye mɔxenu vevi siwo xea mɔ na alɔ̃dɔdɔ nyuie. |
Aleke nèwɔna kpɔa alɔ̃dɔdɔ ƒe kuxi siawo?
Eyata ne kuxi sia le ŋuwò la, nu gbãtɔ si nàwɔe nye be nàƒo nu tso eŋu na wò ɖɔkta. Abia nya ʋɛ aɖewo wò tso wò alɔ̃dɔdɔ ŋu.
- Alɔ̃dɔdɔ le zã me sesẽ na wòa?
- Ðe nèfɔna le wò alɔ̃dɔdɔ ƒe afã mea?
- Ðe nèsena le ɖokuiwò me zi geɖe be alɔ̃ le ye wum le ŋkekea mea?
- Ðe nèɖea hũ le wò alɔ̃ mea? Ðe nèsena le ɖokuiwò me be yeƒe lãme le ƒoƒom?
- Ðe wò afɔwo le veve sem alo le ʋuʋum?
- Ðe nèƒoa afɔ na wò le alɔ̃ mea? Ðe nèʋuna yia teƒeteƒewoa?
Le biabia siawo ƒe ŋuɖoɖowo nu la, wò ɖɔkta ate ŋu aɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala gbɔ ne ehiã. Woate ŋu abia tso asiwò hã be nàwɔ alɔ̃dɔdɔ dodokpɔ tɔxɛ aɖe si woyɔna be polysomnogram . Esia bia be nànɔ kɔdzi zã blibo, azã mɔ̃wo atsɔ adzidze wò alɔ̃dɔdɔ, ahɔhɔ̃ ƒe ʋuʋu, gbɔgbɔ, kple dzi ƒe tsotso. Esia ate ŋu akpe ɖe ŋuwò nànya nusi tututu gbɔ wò alɔ̃dɔdɔ ƒe kuxiwo tso.
Nukawoe nye alɔ̃dɔdɔ ƒe kuxi siwo do ƒome kple suklidɔ ƒe atikewo?
Nya nyuiae nye be atikewo li na dɔléle siawo katã kloe. Dɔdamɔnua nɔ te ɖe nɔnɔme si le ŋuwò dzi.
Vevietɔ wu: Ele be nàzã atikewɔmɔnu alo atike siwo gbɔna dometɔ ɖesiaɖe le wò ɖɔkta ƒe aɖaŋuɖoɖo te ko. Mègazã wo le ɖokuiwò si gbeɖe o.
- Na Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixe: Lolo dzi ɖeɖe kpɔtɔ le vevie ŋutɔ. Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàzã mɔ̃ aɖe si woyɔna be CPAP (Continuous Positive Airway Pressure) . Esia bia be nàmlɔ anyi kple ametakpɔnu sue aɖe ɖe wò ŋɔti kple/alo nu dzi. Ya ƒe nyaƒoɖeamenu si tso mɔ̃a me nana wò yaƒoƒomɔ̃a nɔa ʋuʋu ɖi, ale be mègbɔa ya o.
- Le Peripheral Neuropathy Vevesese gome la:Atike vovovowo li woate ŋu azã, tso vevesesenutsitike siwo wozãna le mɔ gbadza nu (abe Aspirin kple Ibuprofen ene) dzi va ɖo atike siwo wozãna koŋ na lãmekawo ƒe vevesese (abe Gabapentin kple Pregabalin ene).
- Na Restless Legs Syndrome: Atike aɖewo koŋ li na esia hã. Ɣeaɖewoɣi la, ne iron ƒe agbɔsɔsɔ le ŋutilã me mesɔ gbɔ o la, woate ŋu aŋlɔ iron-tikewo na wò.
- Le alɔ̃madɔmadɔ gome la: Wozãa atike siwo wozãna ɣeyiɣi kpui aɖe (abe `Diphenhydramine`), alɔ̃dɔdɔ ƒe atike siwo woŋlɔ na ame (abe `Zolpidem`, `Eszopiclone`), kple blanuilélenutsitike aɖewo le agbɔsɔsɔ sue aɖe me abe alɔ̃madɔmadɔ ƒe atikewo ene.
Nu siwo wò ŋutɔ nàte ŋu awɔ be wò alɔ̃dɔdɔ nanyo ɖe edzi
Tsɔ kpe ɖe atikewo zazã ŋu la, tɔtrɔ suesuesue siwo nàwɔ le wò agbenɔnɔ me ate ŋu ana wò alɔ̃dɔdɔ nanyo ɖe edzi ŋutɔ.
- Srɔ̃ numame siwo nana ame ƒe dzi dzea eme: Wɔ nuwo abe gbɔgbɔtsixe ƒe kamedede, ŋugbledede, kple bubuawo ene hafi mlɔ anyi. Se hadzidzi si naa ame ƒe dzi dzea eme.
- Kamedede: Gbesiagbe kamedede ate ŋu akpe ɖe ŋuwò nàdɔ alɔ̃ nyuie, gake ƒo asa na kamedede sesẽ gaƒoƒo ʋɛ aɖewo hafi nàmlɔ anyi.
- Ƒo asa na nu siawo le fiẽ me: Ƒo asa na nu abe kɔfi, tii (caffeine), aha sesẽ, kple sigaret (nicotine) zazã le fiẽ megbe.
- Mègadɔ alɔ̃ le ŋkeke me o: Dze agbagba nàɖe alɔ̃dɔdɔ le ŋkeke me dzi akpɔtɔ alesi nàte ŋui. Esia wɔwɔ ate ŋu ana wòasesẽ be ame nadɔ alɔ̃ le zã me.
- Zã wò aba na nusiawo ko: Ele be nàzã wò aba na alɔ̃dɔdɔ kple gbɔdɔdɔ ko. Dzudzɔ television kpɔkpɔ, agbalẽ xexlẽ, alo wò telefon kpɔkpɔ ne èbɔbɔ nɔ aba dzi. Ekema wò ahɔhɔ̃ akpɔe adze sii le eɖokui si be aba la nye teƒe si nàmlɔ.
- Ne màte ŋu adɔ alɔ̃ o: Le esi teƒe be nànɔ ʋuʋum ahanɔ tɔtrɔm le aba dzi la, tso, yi xɔ bubu me, eye nàwɔ nane si ana nàɖe dzi ɖi (abe agbalẽ xexlẽ ene). Ne èse le ɖokuiwò me be alɔ̃ le ye wum la, trɔ yi aba dzi.
- CBT: Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) nye alɔ̃madɔmadɔ ƒe atikewɔwɔ si wɔa dɔ ŋutɔ, si menye atike o. Ebia be nàƒo nu kple aɖaŋuɖola aɖe be wòakpe ɖe ŋuwò nàtrɔ susu kple numame siwo doa kplamatse wò alɔ̃dɔdɔ.
Ðe alɔ̃madɔmadɔ ate ŋu ahe suklidɔ vɛa?
Ɛ̃. Esia hã wɔa dɔ le mɔ bubu nu. Alɔ̃madɔmadɔ ɣeyiɣi didi, si wogayɔna be alɔ̃madɔmadɔ atraɖii , ate ŋu ana insulin natsi tre ɖe eŋu, si wɔnɛ be suklidɔ xɔxɔ ƒe afɔkua dzina ɖe edzi.
Kpuie ko la, alɔ̃dɔdɔ kpɔa ŋusẽ ɖe lãmetsi siwo kpɔa míaƒe dɔwuame kple nuɖuɖu ƒe dzodzro dzi la dzi tẽ. Le kpɔɖeŋu me , leptin.No lãmetsi si woyɔna be. Ne míedɔ alɔ̃ o la, lãmetsi sia dzi ɖena kpɔtɔna, eye míedina be míaɖu carbohydrates, si nye nuɖuɖu siwo me starch le (abe bli, abolo, nu viviwo ene). Esia ate ŋu ana ame nalolo eye wòaxɔ suklidɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Kadodo sẽŋu aɖe le suklidɔ kple alɔ̃dɔdɔ ƒe kuxiwo dome, eyata mègaŋe aɖaba ƒu wò alɔ̃dɔdɔ ƒe kuxiwo dzi o.
- Ðo dze kple wò ɖɔkta gaglãa tso kuxi ɖesiaɖe si me tom nèle, abe aɖuɖɔtoe le zã me, gbɔgbɔtsixetsixe ne èle alɔ̃ dɔm, afɔveve, kple alɔ̃madɔmadɔ ene ŋu.
- Dɔdamɔnu siwo wɔa dɔ ŋutɔ li na nɔnɔme siawo dometɔ geɖe, abe CPAP-mɔ̃wo kple atikewo ene.
- Àte ŋu awɔ tɔtrɔ gã aɖe to kamedede, nuɖuɖu si naa lãmesẽ ɖuɖu, kple alɔ̃dɔdɔ ƒe dzadzɛnyenye nyui wɔwɔ me.
- Ƒo asa na ɖokuiwò atike na alɔ̃dɔdɔ alo dzesi bubuwo ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee. Ate ŋu anye afɔku.
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