Suklidɔ nye dɔléle si bɔ, gake ate ŋu anye afɔku le ame geɖe dome le míaƒe dukɔa me. Ðewohĩ dɔléle sia ate ŋu anɔ wò ƒomea me, xɔ̃wò aɖe, alo wò ŋutɔ gɔ̃ hã me. Gake zi geɖe la, míeléa ŋku ɖe eƒe dzesi gbãtɔwo ŋu boo o. Míeɖea asi le eŋu be "ɖeɖi te eŋu vie ko," "tsikɔ wui akpa," eye míeɖea asi le eŋu. Gake dzesi sue siawo ate ŋu anɔ afɔku gã aɖe ɣlam. Eyata egbea, mina míaƒo nu tso suklidɔ ƒe dzesi gbãtɔwo ŋu, abe alesi wòle nu ƒom na xɔ̃wò aɖe ko ene.
Kpuie ko la, nukae nye suklidɔ?
Suklidɔ nye nɔnɔme si me sukli alo sukli si le wò ʋu me sɔ gbɔ akpa. Sukli siae nye dzotsinu vevitɔ si naa ŋusẽ míaƒe ŋutilã ƒe lãmenugbagbeviwo. Gake hafi sukli sia nate ŋu age ɖe lãmenugbagbeviwo me la, lãmetsi aɖe si woyɔna be insulin, si míaƒe ŋutilã ƒe dɔgbo wɔna la hiã vevie.
Suklidɔ ƒomevi vevi eve li:
- Suklidɔ ƒomevi 1: Esia nye ne ŋutilã mete ŋu wɔa insulin si sɔ o. Zi geɖe la, edzɔna le ɖeviwo kple sɔhɛ tsitsiwo me, gake ate ŋu adze egɔme le ƒe ɖesiaɖe me. Ahiã be ame siawo nado insulin gbesiagbe le woƒe agbemeŋkekewo katã me.
- Suklidɔ Ƒomevi 2: Esiae nye esi bɔ wu. Nusi dzɔna le afisia enye be togbɔ be ŋutilãa wɔa insulin (`Insulin`) hã la, lãmenugbagbeviawo mete ŋu zãnɛ nyuie o (Insulin Resistance). Lolo akpa, nuɖuɖu gbegblẽ, kple suklidɔ le ƒomea me nye nu vevi siwo ate ŋu ana woaxɔ suklidɔ sia ƒomevi.
Suklidɔ ƒe nuxlɔ̃amedzesi siwo bɔ kaba
Suklidɔ ƒomevi evea siaa ƒe dzesi aɖewo siwo bɔ, siwo dzena le gɔmedzedzea me la li. Na míalé ŋku ɖe nusiwo wonye ŋu.
- Dɔwuame ɣesiaɣi: Nuɖuɖu si nèɖuna la trɔna zua sukli eye wònaa ŋusẽ lãmenugbagbeviawo. Gake esi insulin meli o alo mele dɔ wɔm nyuie o ta la, sukli sia megena ɖe lãmenugbagbeviwo me o. Eyata ŋusẽ mele lãmenugbagbeviawo si o, si fia be woyia edzi ɖoa dzesiwo ɖe ahɔhɔ̃a be "dɔ le wo wum". Esia tae dɔ le wuwòm wu alesi wònɔna ɖaa.
- Ðeɖiteameŋu kple ɖeɖiteameŋu si gbɔ eme: Esi wò lãmenugbagbeviwo mekpɔa ŋusẽ si hiã o ta la, ɖewohĩ ɖeɖi tea ŋuwò ɣesiaɣi eye màte ŋu awɔ naneke o.
- Aɖuɖɔɖɔɖɔ enuenu: Le mamã dedie nu la, ame aɖe tsia aɖuɖɔ abe zi 4-7 ene gbesiagbe. Gake ele be amesi ŋu suklidɔ le naɖe aɖuɖɔ zi geɖe wu. Nukatae wòle nenema? Zi geɖe la, ayikuawo gaxɔa sukli ɖe ŋutilãa me ne wole ʋua me tsim. Gake ne sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi le suklidɔ ta la, ayikuawo mete ŋu gaxɔa sukli sia katã o. Eyata ŋutilãa hiã tsi geɖe be wòatsɔ akɔ sukli si sɔ gbɔ ɖe aɖuɖɔ me la ɖa. Nusi dona tso emee nye mɔzɔzɔ yi nugododeƒe enuenu.
- Tsikɔwuame si gbɔ eme ƒe seselelãme:Ne èɖe aɖuɖɔ fũu akpa la, tsi meganɔa wò ŋutilã me o. Esia ate ŋu ana tsikɔ nawu wò kaba ŋutɔ eye wòagbɔ eme. Ðewohĩ àse le ɖokuiwò me be tsikɔ mewu ye o ne èno tsi gɔ̃ hã.
- Nu ƒuƒu kple ŋutigbalẽ ƒuƒu si le ʋuʋum: Esi ŋutilãa zãa tsi tsɔ wɔa aɖuɖɔ ta la, eɖea tsi si le nu bubuwo me dzi kpɔtɔna. Esia wɔnɛ be nu me ƒuna eye ŋutigbalẽa tea ƒuƒu henɔa ƒoƒom.
- Nukpɔkpɔ si me kɔ o: Ne wò ŋutilã ƒe tsi ƒe agbɔsɔsɔme le tɔtrɔm la, ŋkumeɖonu si le wò ŋku me ate ŋu avuvu. Esia trɔa ŋkumeɖonu la ƒe nɔnɔme eye wònana mete ŋu léa ŋku ɖe nu ŋu nyuie o. Esiae nana be ŋku megakpɔa nu nyuie o.
- Lolo dzi ɖeɖe kpɔtɔ le manyamanya me: Ne wò ŋutilã mete ŋu kpɔ ŋusẽ tso nuɖuɖu me o la, edzea lãmekawo kple ami fiã gɔme hena ŋusẽ boŋ. Àte ŋu aɖe wò lolo dzi akpɔtɔ ne mètrɔ alesi nèɖua nu o gɔ̃ hã.
Ɣeaɖewoɣi la, taɖuame nyea suklidɔ ƒe dzesi. Vevietɔ ne sukli ƒe agbɔsɔsɔ le ʋu me le ʋɛ ŋutɔ (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) la, taɖuame ate ŋu adzɔ.
Vovototo le suklidɔ Ƒomevi 1 kple Ƒomevi 2 ƒe dzesiwo me
Togbɔ be dzesi siawo bɔ ɖe ƒomevi evea siaa me hã la, vovototo le alesi woɖenɛ fianae me. Tabla si le ete akpe ɖe ŋuwò nàde dzesi vovototo sia.
| Nɔnɔme si le ame ŋu | Suklidɔ ƒomevi 1 lia | Suklidɔ ƒomevi 2 lia |
|---|---|---|
| Dzesiwo ƒe gɔmedzedze kabakaba | Dzesiawo dzena kaba ŋutɔ, le ŋkeke alo kwasiɖa aɖewo megbe. Dzesiawo dzena le ɖeviwo koŋ me. | Etsina blewu ŋutɔ, vivivi. Dzesiawo nu mesẽna kura o. Ðewohĩ mànya be suklidɔ le ye ŋu o ƒe geɖe. |
| 4 vevi gbãtɔ ƒe nɔnɔmewo | 1. Aɖuɖɔɖɔɖɔ enuenu 2. Tsikɔwuame ɣesiaɣi 3. Ðeɖiteameŋu si gbɔ eme 4. Kpekpeme dzi ɖeɖe kpɔtɔ | Dzesi siwo katã le etame alo wo dometɔ aɖewo ate ŋu adze le mɔ fafɛ ŋutɔ nu vivivi. |
Vovototo siwo le nyɔnuwo kple ŋutsuwo dome
Vovototo gã aɖeke mele suklidɔ ƒe dzesi gbãtɔwo me le ŋutsuwo kple nyɔnuwo dome o. Ke hã, vovototo aɖewo ate ŋu anɔ wo dome. Nyɔnu siwo ŋu suklidɔ le ate ŋu axɔ amɔwɔʋãnu le woƒe vidzidɔ me kple aɖuɖɔtoe me dɔlékuiwo . Azɔ hã, ŋutsu siwo ŋu suklidɔ si womekpɔ kpɔ o ate ŋu akpɔ lãmekawo ƒe ŋusẽ dzi ɖeɖe kpɔtɔ .
Ðe suklidɔ dzea ɖeviwo hã dzia? Kpɔ nyuie le dzesi siawo ŋu
Ẽ, ɖeviwo hã ate ŋu axɔ suklidɔ.
Suklidɔ Ƒomevi 1 ƒe dzesi gbãtɔ siwo dzena le ɖeviwo ŋu
Togbɔ be suklidɔ Ƒomevi 1 ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ wu le ƒe 5-6 va ɖo 11-13 dome.
- Dɔwuame alo tsikɔwuame si gbɔ eme
- Aɖuɖɔɖɔɖɔ enuenu (abadzidzedze le zã me gɔ̃ hã) .
- Ðeɖiteameŋu si gbɔ eme
- Nukpɔkpɔ si me mekɔ o
- Dzikudodo alo tɔtrɔ le nuwɔna me si womate ŋu aɖe o
- Vidzidɔ me amɔwɔʋãnu ƒe dɔlékuiwo le nyɔnuvi siwo do ŋgɔ na woƒe ƒewuiwo alo esiwo do ŋgɔ na woƒe ƒewuiwo me
- Diaper ƒe ʋuʋudedi sesẽ le vidzĩwo ŋu
Suklidɔ Ƒomevi 2 lia ƒe dzesi gbãtɔwo le ɖeviwo ŋu
Togbɔ be suklidɔ Ƒomevi 2 bɔ ɖe ame tsitsiwo me hã la, eva le bɔbɔm ɖe ɖeviwo hã me , esime ɖeviwo ƒe lolo akpa le dzidzim ɖe edzi . Ðewohĩ maɖe dzesi aɖeke afia o, gake nya esiawo:
- Dɔwuame alo tsikɔwuame si gbɔ eme
- Aɖuɖɔɖɔɖɔ enuenu
- Nukpɔkpɔ si me mekɔ o
- Ŋutilã si le kɔ, abɔta, kple akɔta ƒe viviti dodo (Acanthosis Nigricans) .
- Lolo dzi ɖeɖe kpɔtɔ (esia bɔ ɖe Ƒomevi 1 me wu) .
- Dɔlékuiwo xɔxɔ enuenu
Mina míasrɔ̃ nu tso fufɔfɔ ƒe suklidɔ hã ŋu.
Zi geɖe la, sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me le fufɔɣi mehea dzesi gã aɖeke vɛ o. Ðewohĩ tsikɔ wu wò vie, ahiã be nàɖe aɖuɖɔ zi geɖe, alo nu me naƒu. Ne suklidɔ le fufɔfɔ me ƒe afɔku gã aɖe me la, wò ɖɔkta ado wò kpɔ be exɔe le fufɔfɔ ƒe kwasiɖa 24 va ɖo 28 dome. Gake ne èlolo akpa, suklidɔ le wò ƒomea me, alo nɔnɔme sia nɔ ŋuwò le fufɔfɔ aɖe si nèfɔ va yi me la , woate ŋu ado wò kpɔ do ŋgɔ le wò fufɔfɔɣi.
Suklidɔ ƒe kuxiwo ƒe nuxlɔ̃amedzesiwo
Ne womeɖu suklidɔ dzi o la, ate ŋu ahe kuxi sesẽwo vɛ le ɣeyiɣi aɖe megbe. Dzesi siwo gbɔna ate ŋu anye nɔnɔme sia tɔgbe ƒe dzesiwo:
- Ɣeyiɣi si wòxɔna hafi abiwo hayana
- Ŋutilã ƒe ʋuʋu enuenu (vevietɔ le nyɔnu ƒe vidzidɔ alo akɔta ƒe akpa si) .
- Amɔwɔʋãnu ƒe dɔlékuiwo xɔxɔ enuenu
- Lolo si dzi ɖe edzi nyitsɔ laa
- Ŋutilã yibɔ si le abe velvet ene le kɔ, abɔta, kple akɔta (`Acanthosis Nigricans`) .
- Asiwo kple afɔwo ƒe ʋuʋu kple ʋuʋudedi
- Nukpɔkpɔ ƒe gbɔdzɔgbɔdzɔ
- Tsitretsitsi ƒe Dɔmawɔmawɔ nyuie (ED) .
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne èxɔ wu ƒe 45 alo nu bubu siwo ate ŋu ana suklidɔ nadze ŋuwò (lolo akpa, ƒome ŋutinya) la, ele vevie be woado ʋu kpɔ edziedzi , ne dzesi aɖeke mele ŋuwò o gɔ̃ hã. Ne wokpɔe kaba la, ate ŋu axe mɔ ɖe lãmekawo ƒe gbegblẽ, dzidɔ, kple kuxi bubu geɖewo nu.
Abe se ene la, yi ɖɔkta enumake ne èto nusiwo gbɔna me:
- Ne èse le ɖokuiwò me be yeƒe lãme le ʋuʋum, yeƒe lãme gbɔdzɔ, eye tsikɔ le wuwòm vevie
- Ne èɖe aɖuɖɔ fũu akpa
- Ne ƒodo le veve sem vevie
- Ne gbɔgbɔ de to eye wòle kabakaba wu alesi wòle dzɔdzɔmee
Vevietɔ ne wò gbɔgbɔ ʋẽna lilili abe nusi ɖea ɖaƒoƒo ɖa ene la, efia be atike siwo woyɔna be ketones ƒe agbɔsɔsɔ le wò ʋu me sɔ gbɔ ŋutɔ. Esia nye nɔnɔme si me afɔku le ŋutɔ eye wòhiã be woakpɔ egbɔ enumake .
Gbedasi si Wotsɔ Yi Aƒeme
- Nya dzesi siwo bɔ abe tsikɔwuame enuenu, aɖuɖɔɖɔɖɔ enuenu, ɖeɖiteameŋu akpa, ŋku ƒe nukpɔkpɔ nyuie, kple lolo dzi ɖeɖe kpɔtɔ ɣesiaɣi.
- Togbɔ be dzesi siawo mesẽ kura o hã la, mègaŋe aɖaba ƒu wo dzi abia be, "Nukae nye ema?" Ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi gbãtɔ.
- Suklidɔ Ƒomevi 1 ƒe dzesiwo dzena kabakaba, evɔ suklidɔ Ƒomevi 2 ƒe dzesiwo ya dona blewu ŋutɔ.
- Ne suklidɔ le afɔku me (lolo akpa, ƒome ŋutinya) la, yi ɖado wò kpɔ edziedzi le atikewɔƒe, ne dzesi aɖeke mele ŋuwò o gɔ̃ hã.
- Ne ède dzesi suklidɔ kaba eye nèxɔ atike nyuitɔ la, àte ŋu anɔ agbe si me lãmesẽ le, si sɔ. Ne ɖikeke aɖe le mewò la, ƒo nu kple wò ɖɔkta.
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