Ðe suklidɔ le ŋuwòa? Alo ɖe nɔnɔme sia le fu ɖem na ƒomea me tɔ alo xɔlɔ̃ aɖea? Ekema ɖewohĩ ènya alesi gbegbe wòle vevie be nàɖu ‘Ʋu Sukli’, si nye sukli ƒe agbɔsɔsɔ si le ʋua me dzi. Gake ɣeaɖewoɣi la, aleke kee míeɖadze agbagbae o, ate ŋu adzo le mía ɖokui dzi. Eyata nuka tututue dzɔna ne edzɔ nenema? Ðe esia nye nusi woate ŋu abu nu tsɛea? Mina míaƒo nu tso nyati vevi sia ŋu egbea.
Nukae suklidɔ dzi ɖuɖu ƒe anyimanɔmanɔ sia fia?
Kpuie ko la, esia fia be sukli si le wò ʋu me sɔ gbɔ akpa alo bɔbɔ akpa, si nye afɔku.
Bu eŋu kpɔ, lãmenugbagbevi siwo le míaƒe ŋutilã me hiã ŋusẽ hafi woate ŋu awɔ dɔ. Mɔ̃memi vevitɔ si naa ŋusẽ siae nye sukli, si nye sukli. Míekpɔa sukli sia tso nuɖuɖu siwo míeɖuna me, vevietɔ nuɖuɖu siwo me carbohydrates (starches) le. Ne míeɖu nu la, míaƒe ŋutilã wɔa lãmetsi aɖe si woyɔna be insulin . Insulin sia wɔa dɔ abe safui si ʋua ʋɔtru be sukli nage ɖe lãmenugbagbeviwo me ene.
Kuxi aɖe le suklidɔléla ŋu le ɖoɖo sia ŋu. Le amesi ŋu Suklidɔ Ƒomevi 1 le gome la, ŋutilãa mewɔa insulin si sɔ o. Le amesi ŋu Suklidɔ Ƒomevi 2 le gome la, ŋutilãa wɔa insulin, gake lãmenugbagbeviwo mewɔa nu ɖe eŋu nyuie o. Le susu evea siaa ta la, sukli ƒoa ƒu ɖe ʋua me eye eƒe agbɔsɔsɔ dzina ɖe edzi.
Sukli ƒe agbɔsɔsɔ si dzi womeɖu o le ɣeyiɣi didi aɖe me ate ŋu ahe lãmesẽkuxi sesẽwo ŋutɔ vɛ. Esia nye nusi ŋu wòle be amesiwo ŋu suklidɔ le kple amesiwo ŋu suklidɔ mele o siaa nabu.
Sukli ƒe agbɔsɔsɔ kawoe ate ŋu anye afɔku?
Wò ɖɔkta agblɔ sukli ƒe agbɔsɔsɔ si le lãmesẽ me na wò tututu na wò, gake le goawo katã me la, mina míanya agbɔsɔsɔ si ate ŋu anye afɔku na suklidɔléla.
| Nᴐnᴐme | Sukli ƒe agbɔsɔsɔ le ʋu me (mg/dL) . | Nuɖᴐɖᴐ |
|---|---|---|
| Suklidɔ si sɔ gbɔ ɖe ʋu me (Hyperglycemia) . | Ewu 180 mg/dL (gaƒoƒo 2 le nuɖuɖu vɔ megbe) . | Esia nye dzidzenu si ŋu wòle be woatsi dzi ɖo. Zi alesi eƒe agbɔsɔsɔme le kɔkɔm la, zi nenemae afɔkua lolonae. |
| Sukli ƒe agbɔsɔsɔ si le ʋu me (Hypoglycemia) . | Esi mede 70 mg/dL o | Esia hã nye dzidzenu si ŋu wòle be woabu. |
| Afɔku ƒe agbɔsɔsɔ si lolo (kɔkɔ) . | Ne ewu 600 mg/dL | Esia nye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me si hiã be woawɔ atike na ame kpata. |
| Afɔku ƒe agbɔsɔsɔ si lolo (bɔbɔe) . | Esi mede 40 mg/dL o | Esia hã ate ŋu ade ame ƒe agbe afɔku me eye abia be woawɔ atike nɛ enumake. |
Aleke wòsena le eɖokui me ne sukli sɔ gbɔ ɖe ʋu me (Hyperglycemia)?
Ðewohĩ màde dzesi vovototo boo aɖeke ne wò ʋumesukli sɔ gbɔ o. Ate ŋu axɔ ŋkeke alo kwasiɖa geɖe hafi dzesiawo nadze. Dzesi vevitɔwoe nye:
- Tsikɔwuame wu alesi wònɔna ɖaa
- Nukpɔkpɔ si me mekɔ o
- Ehiã be nàɖe aɖuɖɔ enuenu
- Dɔwuame wu alesi wònɔna ɖaa
- Sese le eɖokui me be ɖeɖi te ye ŋu vevie
- Ŋutilã me dɔlékuiwo ƒe dzɔdzɔ enuenu
- Abi xɔa ɣeyiɣi hafi wohaya.
Aleke sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) sena le eɖokui me?
Ne èno insulin alo atike bubu siwo ɖea sukli dzi kpɔtɔna la, ke èle afɔku me be sukli naɖiɖi le ʋu me. Susu vevi siwo gbɔ esia tsoe nye nuwo abe kamedede, nuɖuɖumaɖumaɖu ɖe game dzi, kple ahanono ene. Nɔnɔme sia ate ŋu adzɔ le amesiwo ŋu suklidɔ mele o gɔ̃ hã gome. Dzesiawo dometɔ aɖewoe nye:
- Sese le ɖokuiwò me be yeƒe ŋutilã le ʋuʋum
- Paleness , fifia ƒe ʋuʋu
- Dzimaɖitsitsi , mɔkpɔkpɔbuɖeame
- Dɔ le wuyem vevie
- Ðeɖiteameŋu si gbɔ eme
- Sese le eɖokui me be taɖuame , le tsatsam, alo le tsatsam
- Dzi ƒe tsotso
Le ɣeyiɣi siawo tɔgbe me la, nane si me sukli vi aɖe le nono (atikutsetsenono, nu vivi aɖe) alo suklidɔlékui nono ate ŋu ana gbɔdzɔe ame.
Kuxi siwo doa mo ɖa ne womeɖu sukli si le ʋu me dzi ɣeyiɣi didi o
Esia menye fefe ŋutɔŋutɔ o. Ne sukli sɔ gbɔ ɖe ʋu me ɣeyiɣi didi aɖe la, ate ŋu akpɔ ŋusẽ ɖe dziwò tso ta va se ɖe afɔ gbɔ.
- Dzidɔ/Dɔléle: Ʋukawo ƒe gbegblẽ nana dzidɔ ƒe afɔkua dzina ɖe edzi.
- Ʋusɔgbɔdɔ: Ne ʋuka siwo kplɔa ame yia ahɔhɔ̃a me gblẽna la, ate ŋu ana ame nazu lãmetututɔ.
- Ayikuwo ƒe Gbegblẽ: Le ɣeyiɣi aɖe megbe la, ayikuawo ate ŋu agblẽ.
- Lãmetsiŋusẽ ƒe Gbegblẽ: Esia ate ŋu ana abɔwo natsi dzodzodzoe, woase veve, eye woagate ŋu ase le wo ɖokui me o.
- Ŋku ƒe Gbegblẽ: Nukpɔkpɔ ate ŋu agblẽ eye ŋkuagbã gɔ̃ hã ate ŋu adzɔ.
- Ŋutilã ƒe Kuxiwo: Ŋutilã me dɔlékuiwo kple abi siwo mehaya o ate ŋu ado mo ɖa.
Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?
Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me kple esi bɔbɔ ɖe anyi nye atikewɔwɔ kpata. Ne womewɔ atike na wo kaba o la, ate ŋu ana ame ƒe susu nabu (suklidɔ ƒe alɔ̃madɔmadɔ). Ne ènya ame aɖe si ŋu suklidɔ le si ƒe tagbɔ megale dɔ wɔm o la, kplɔe yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le (ETU) enumake.
Lé ŋku ɖe nɔnɔme kpata eve siwo gbɔna ŋu vevietɔ.
| Nɔnɔme Kpata | Numeɖeɖe kple nɔnɔmewo |
|---|---|
| Suklidɔ ƒe Ketoacidosis (DKA) . | Ne insulin mesɔ gbɔ o la, lãmenugbagbeviwo mate ŋu azã sukli o. Emegbe ŋutilãa tɔa dzo ami hena ŋusẽkpɔkpɔ. Esia naa atike siwo woyɔna be ketones . Esiawo ƒoa ƒu ɖe ʋua me, si wɔnɛ be ʋua me zua acid eye ate ŋu ade ame ƒe agbe afɔku me. Dzesiwo: Yagbɔgbɔ sesẽ, ʋuʋudedi, ɖeɖiteameŋu si gbɔ eme, atikutsetse ƒe gbɔgbɔ ƒe ʋeʋẽ, ŋutigbalẽ ƒe ƒuƒu, tsikɔwuame si gbɔ eme. |
| Suklidɔ si me ʋu sina tona le lãme na ame (HHS) . | Le afisia la, sukli ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi wu 600 mg/dL . Esia nye afɔku gã aɖe. Nɔnɔmewo:Tsikɔwuame si gbɔ eme (si ate ŋu nu ayi emegbe), dzoxɔxɔ, alɔ̃dɔdɔ, tɔtɔ, gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka, nukpɔkpɔ ƒe bu, susumenuwo kpɔkpɔ. |
| Nukae nèwɔna le ɣeyiɣi siawo tɔgbe me? | |
Ne sukli ƒe agbɔsɔsɔ le wò ʋu me wu 240 mg/dL la, zã aɖuɖɔ me ketone dodokpɔ ƒe atike. Ne agbɔsɔsɔa le titina alo kɔkɔ la, yɔ wò ɖɔkta enumake. Ne DKA alo HHS ƒe dzesiwo le ŋuwò la, yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) heheɖemegbe manɔmee. | |
Aleke woate ŋu aƒo asa na nɔnɔme siawo siwo me afɔku le?
Esia menye nusi wò ɖeka nàte ŋu awɔ o. Enye nusi wòle be wò, wò ƒomea, kple wò ɖɔkta nawɔ ɖekae.
- Wɔ dɔ kplikplikpli kple wò ɖɔkta: Bia wo be nuka tututue nye wò ʋumesukli ƒe taɖodzinuwo, nusi nàwɔ ne eɖiɖi akpa, kple nusi nàwɔ ne èdze dɔ. Wɔ ɖe woƒe mɔfiamewo dzi pɛpɛpɛ.
- Kpɔ wò ʋumesukli ƒe agbɔsɔsɔ ɖa edziedzi: Kpɔ wò ʋumesukli ƒe agbɔsɔsɔ ɖa zi geɖe gbesiagbe abe alesi wò ɖɔkta gblɔe na wò ene. Esi mɔ̃ɖaŋununya yeye si li egbea ta la, mɔ̃ aɖewo gɔ̃ hã li siwo dzidzea sukli ƒe agbɔsɔsɔ le ʋu me ɣesiaɣi (Continuous Glucose Monitors).
- Zã wò atikewo abe alesi wogblɔe ene pɛpɛpɛ: No insulin alo atike bubuwo le ɣeyiɣi nyuitɔ dzi, le agbɔsɔsɔ nyuitɔ me. Atikewo dzi ɖeɖe kpɔtɔ alo wo nono fũu akpae nye nusi gbɔ nudzɔdzɔ kpata geɖe tsona.
- Srɔ̃ nu tso wò ŋutilã ŋu: Se alesi nuwo abe nuɖuɖu si nèɖuna, kamedede si nèwɔna, kple nuteɖeamedzi kpɔa ŋusẽ ɖe wò ʋumesukli ƒe agbɔsɔsɔ dzii gɔme. Emegbe àte ŋu atrɔ asi le eŋu wòasɔ ɖe enu.
- Lé ŋku ɖe wò nuɖuɖu ŋu: Nya nuɖuɖu siwo naa sukli si le ʋu me dzina ɖe edzi kple nuɖuɖu siwo kpɔa ŋusẽ ɖe edzi (e.g., nuɖuɖu siwo me fibre sɔ gbɔ ɖo). Nuɖuɖu ɖe game dzi hã le vevie ŋutɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Sukli ƒe agbɔsɔsɔ si sɔ ɖe ʋu me si dzi womeɖu o (suklidɔ ƒe agbɔsɔsɔ fũ) kple esi bɔbɔ (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) siaa nye afɔku gã aɖe.
- Sukli ƒe agbɔsɔsɔ si le ʋu me dzi makpɔmakpɔ le ɣeyiɣi aɖe megbe ate ŋu ahe kuxi sesẽwo abe dzidɔ, ayikudɔ, ʋusɔgbɔdɔ, lãmekawo ƒe gbegblẽ, kple ŋkumaʋumaʋu ene vɛ.
- Nya nu tso nuxlɔ̃amedzesi siwo fia be sukli sɔ gbɔ ɖe ʋu me kple esi mebɔ o (abe tsikɔwuame, ʋuʋu, ŋku ƒe ʋuʋu ene) ŋu ɣesiaɣi.
- Le nɔnɔme kpatawo abe DKA kple HHS ene me la, ele vevie be woayi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
- Dzra wò suklidɔa dzi nyuie. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi, do wò ʋumesukli kpɔ edziedzi, no wò atikewo abe alesi wogblɔe ene, eye nànɔ agbe si me lãmesẽ le.
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