Oli mulwadde wa sukaali, akuze katono? Oba maama wo, taata wo, jjajja wo, jjajja wo alina obulwadde bwa sukaali? Ffenna tumanyi nti kikulu nnyo okukuuma ssukaali mu musaayi gwaffe ng’ali mu kigero ekituufu. Naye okimanyi nti oluusi, bwe tugezaako okufuga ssukaali waffe ennyo, mu butuufu akola obulabe okusinga okuganyula? Kino kye twogerako leero.
Obujjanjabi obusukkiridde kiyinza okutta omuntu
Abasawo bagamba nti abantu abasinga obungi abalina ssukaali bakuume okukeberebwa okulamu okwa HbA1c (Hemoglobin A1c) , okupima ssukaali wa wakati mu myezi egiyise. Kino kiri bwe kityo kubanga ssukaali omungi mu musaayi okumala ebbanga eddene, amanyiddwa nga hyperglycemia , asobola okuba ow’obulabe ennyo eri omubiri. Kino kiyinza okuvaako ebizibu eby’amaanyi ebiwangaala nga obwongo okukendeera, okwonooneka kw’ebitundu by’omubiri eby’omunda, n’endwadde z’omutima.
Naye ekikulu wano kiri nti ebizibu bino eby’ekiseera ekiwanvu bitera okutwala emyaka 10 oba okusingawo okukula. Ekiseera kino kiyinza okubeera ekiwanvu okusinga obulamu obusigaddewo obw’omulwadde omukadde naddala ng’alina endwadde endala.
Kyokka, embeera eyitibwa hypoglycemia , ereetera ssukaali okukka ennyo mu musaayi, esobola okuba n’ebikosa okusingawo amangu ddala. Obulabe buno bweyongera n’emyaka. Okukendeera kwa sukaali okw’amaanyi kuyinza okuvaako okugwa mu ngeri ey’akabi, okuweebwa ebitanda mu ddwaaliro, era n’okufa .
Okunoonyereza okwakakolebwa kwazuula nti kimu kya kusatu eky’abantu abakulu abaali n’obulwadde bwa sukaali obw’amaanyi obw’okukendeera kwa sukaali baafa mu myaka esatu bukya kino kibaddewo. Kino kitegeeza nti okukendeera kwa sukaali mbeera ya bulabe nnyo okusinga bwe tulowooza.
Lwaki akabi k’okufuna ssukaali omutono mu musaayi bweyongera n’emyaka?
Mu ngeri ennyangu, kiva ku nkyukakyuka mu mibiri gyaffe. Bwe tukaddiwa, omubiri gwaffe gukyuka. Obuziyiza insulini buyinza okweyongera. Ate era, obutoffaali mu lubuto obukola insulini buyinza obutasobola kwanukula mangu nga bwe kiri ku nkyukakyuka mu ssukaali mu musaayi.
Katusse essira ku kutangira ssukaali okugwa
Abantu bangi abalina ssukaali baweebwa amagezi okukuuma emiwendo gya A1c wansi wa 7%. Oluusi ekiruubirirwa kino tekikyuka ne bwe kiba ku myaka, obulamu, n‟embeera z‟obulamu.
Katulowooze ku Ssenga Kamala. Kati alina emyaka 71 egy’obukulu. Abadde alina obulwadde bwa sukaali okuva mu myaka gye 40. Era yalina ebiruubirirwa bino ebikakali. Yateranga okubeera n’ebiseera by’okukendeera kwa sukaali naddala mu ttumbi oba ku makya ennyo. We yakitegedde, ssukaali mu musaayi gwe yali akendedde nnyo.
"Kyali kitiisa nnyo," Ssenga Kamala bw'agamba. " Omutima gwange gwali gukuba nnyo, nga ntuuyana, era nga mpulira ekiziyiro.""
Abantu abakadde batera okusubwa obubonero buno obwa ssukaali omutono mu musaayi kubanga obumu ku bubonero, gamba ng’okukoowa, okunyiiga, olususu olumyufu, n’okulumwa omutwe, kyangu okukikyamulwa nti ndwadde endala oba ng’okukaddiwa okwa bulijjo.
Oddukanya otya ssukaali nga toyongedde ku ddagala?
Newankubadde Kamala yafuna pulaani y’eddagala emusaanira, ssukaali mu musaayi gwe yatandika okufuga ne bwe kyali tekinnatuuka. Ekyama kyali kya kulya mmere na dduyiro .
Enteekateeka y’emmere ey’obuntu okuva ew’omukugu mu by’emmere alina ebisaanyizo n’okukola dduyiro buli kiseera byamuyamba okugejja ennyo.
Tewali nteekateeka ya mmere emu ekwata ku buli muntu. Omukugu mu by’endya ajja kulowooza ku bulamu bwo, lipoota za laabu, n’ebyo by’oyagala n’ebyo by’otayagala okukola enteekateeka ekukwatako.
Bwe tukola dduyiro, ebinywa byaffe byeyongera amaanyi. Gy’okoma okuba n’ebinywa ebingi, omubiri gwaffe gye gukoma okutambula amangu, ekijja okutuyamba okufuga ssukaali mu musaayi gwaffe. N’olwekyo, ne bwe tukaddiwa, tusobola okukuuma obulamu obulungi n’okufuga omubiri gwaffe.
Okugaana enkola ya ‘one size fits all’
Olw’ensonga zino, n’ebibiina by’abasawo ebinene nga American Diabetes Association gye buvuddeko byazza obuggya ebiteeso byabwe eri abantu abakulu. Okusinziira ku kino, ebiteeso byabwe bye bino wammanga:
| Embeera y‟obulamu bw‟omulwadde omukadde | Ekiruubirirwa kya A1c ekisemba |
|---|---|
| Abantu abakulu abalamu obulungi, abakola ennyo | Ebitundu ebitakka wansi wa 7.5% |
| Abantu abalina endwadde endala era nga bali mu bulamu obw’ekigero | Ebitundu ebitakka wansi wa 8.0% |
| Abantu abalina endwadde ezitali zimu, obulamu obubi, oba abalina obulamu obutono | Ebigendererwa bya A1c tebirina kwesigamwako byokka. Ekigendererwa ekikulu eky’obujjanjabi kirina okuba okukendeeza ku bubonero n’okutumbula omutindo gw’obulamu bw’omulwadde. |
Ng’ekyokulabirako, teebereza omusajja ow’emyaka 86 ayitibwa Siripala. A1c ye yali esukka katono ku 7. Wadde omusawo yali ayagala kumuwa ddagala, abamulabirira baasalawo okukyusa endya ye ne bamutwala okutambulako akaseera katono buli lunaku. Ekyewuunyisa, ssukaali mu musaayi gwe yadda mu mbeera eya bulijjo nga tewali nkyukakyuka nnene.
Nga bwe tukaddiwa, bwe tuteekateeka obujjanjabi, kikulu okukulembeza okubudaabudibwa kw’omulwadde okusinga okufuga ennyo.
Yogera ku bubwo.
Mu nkomerero, ekisinga obukulu kwe kubeera omugoba w’obulamu bwo. Katujjukire emboozi ya Kamala Aunty. Emyaka mitono emabega, yabuuza omusawo we ku `Continuous Glucose Monitor (CGM)` , eyandimusobozesezza okukebera ssukaali mu kiseera ekituufu nga talina kufumita lunwe. Naye omusawo yakimalamu amaanyi.
"Bwe ntyo ne nkyusa abasawo," Kamala bw'agamba. Kati nga bw’alina CGM, asobola okukola enkyukakyuka ezeetaagisa mu bwangu, era kati ssukaali we ateredde.
"Funa omusawo ategeera omubiri gwo kye guwulira."
Bw’owulira ng’omusawo takuwuliriza, totya kulaba musawo mulala. Ekikolera omuntu omu kiyinza obutakola ku buli muntu. Buli muntu alina okwogera n’omusawo we era akole enteekateeka y’obujjanjabi emukolera, obulamu bwe, n’ebiruubirirwa bye eby’obulamu.
Obubaka Obutwala Awaka
- Ku balwadde ba sukaali abakulu, ssukaali omutono mu musaayi (hypoglycemia) ayinza okuba ow’amangu era ow’obulabe okusinga ssukaali omungi (hyperglycemia).
- Si bantu bonna abakulu abalina ssukaali nti beetaaga okukuuma ebiruubirirwa bya A1c ebikakali (<7%). Kiyinza okuba eky’akabi.
- Enteekateeka y'obujjanjabi tesaana kuba "sayizi emu ekwata bonna." Lirina okukutuukira ddala ku ggwe, okusinziira ku myaka gyo, obulamu bwo okutwalira awamu, n’engeri gy’obeera.
- Endya n’okukola dduyiro bikozesebwa bibiri eby’amaanyi ebitaliiko kye bifaanana mu by’eddagala.
- Yogerako mu lwatu n’omusawo wo ku biruubirirwa byo eby’obulamu, ebikweraliikiriza, n’endowooza yo. Weewolereze ku lulwo.
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