Bw’oba mulwadde wa sukaali, osanga omanyidde ddala erinnya ‘Insulin’. Omusawo ayinza okuba nga yakulagidde essasi lya insulini okumira eddakiika nga 30 nga tonnalya mmere. Ekyo kye tuyita ‘Regular Insulin’ oba ‘Short-Acting Insulin’. Lino ddagala ddene nnyo mu kufuga obulwadde bwa sukaali. Kale, leero byonna tugenda kubyogerako mu ngeri ennyangu gy’osobola okutegeera.
Mu ngeri ennyangu, Insulin eya bulijjo kye ki?
Insulin busimu obukolebwa mu butonde mu mibiri gyaffe. Kikulu nnyo mu kukyusa ssukaali (glucose) ali mu mmere gye tulya n’afuuka amaanyi. Mu bantu abalina ssukaali, omubiri gukola insulini ntono oba tegusobola kukozesa bulungi insulini gwe gukola.
Kale, Regular Insulin kika kya insulini ekikolebwa, kwe kugamba, ekikolebwa mu laboratory. Kino bwe kiweebwa omubiri ng’empiso, kituukiriza obwetaavu obukendedde obwa insulini mu mubiri gwaffe.
Eno y’engeri gye kikola:
- Akendeeza ku sukaali mu musaayi.
- Ssukaali (glucose) mu musaayi asindikibwa mu butoffaali bw’omubiri okukozesebwa ng’amaanyi, ng’ekisumuluzo bwe kiggulawo oluggi.
- Kiyimiriza ekibumba okukola ssukaali mu ngeri eteetaagisa.
Ebiseera ebisinga gutandika okukola mu ddakiika 30 ku 60 ng’ogufudde empiso. Atuuka ku ntikko oluvannyuma lw’essaawa 2-3, era ayamba okufuga ssukaali mu musaayi okumala essaawa 3 ku 6.
Ani yeetaaga empiso eno eya insulini?
Empiso eno elagirwa abaana n’abantu abakulu abalina ssukaali ow’ekika kya 1 (`Type 1 Diabetes`) ne sukaali ow’ekika eky’okubiri (`Type 2 Diabetes`). Omusawo wo ajja kusalawo ekika kya insulini ekisinga okukuyamba, okusinziira ku mbeera gy’olimu, engeri gy’obeera, n’engeri ssukaali gy’akyukamu olunaku lwonna.
Oluusi, omusawo ayinza okukuwa amagezi okukozesa insulini ekola okumala ebbanga eddene ng’efuga ssukaali mu musaayi essaawa 24 buli lunaku, wamu ne insulini eya bulijjo.
Engeri entuufu ey’okukuba empiso ya insulini y’eruwa?
Empiso za insulini ziweebwa wansi w’olususu. Kino kitera okukolebwa nga okozesa empiso n’empiso oba ekkalaamu ey’enjawulo (ekkalaamu ya insulini). Omusawo wo oba nnansi w’eddwaliro lya sukaali ajja kukulaga engeri entuufu ey’okukola kino.
Ebifo ebisaanira okugema:
- Olubuto (ekitundu ekyetoolodde ennyindo) .
- Ekitundu ky’akabina
- Omukono ogwa waggulu
- Oludda olwa waggulu, olw’ebweru olw’ekisambi
Kikulu nnyo:Tokuba mpiso mu kifo kye kimu buli lunaku. Kyusa ekifo w’okuba empiso buli lunaku. Bw’osigala ng’okuba empiso mu kifo kye kimu, oyinza okufuna ebizimba n’ebizimba (lipohypertrophy) mu bitundu ebyo. Kino bwe kibaawo, insulini tejja kuyingizibwa bulungi mubiri.
Obulabe ki n’ebizibu ebiva mu kino?
Okufaananako n’eddagala lyonna, insulini esobola okuba n’obulabe n’ebizibu ebimu, era kikulu okubimanya.
| Obulabe/ebizibu ebivaamu | Obubonero n’ebyo by’olina okumanya |
|---|---|
| Ssukaali okweyongera mu musaayi (Hyperglycemia) . | Okuziyira, okukala akamwa n’olususu, okuziyira, okufulumya omusulo ennyo. Buno bubonero bw’okubulwa obuyinza ku ssukaali. |
| Ssukaali omutono mu musaayi (Hypoglycemia) . | Okuziyira, okutabulwa, okutuuyana, okulaba obubi, n’enjala esukkiridde. Okwewala kino, kakasa nti olya mu ddakiika 30 ng’omaze okugikuba empiso ya insulini. |
| Potassium omutono mu musaayi (Hypokalemia) . | Omutima okukuba obutasalako, okuwulira ng’okooye, ebinywa okunyiganyiga. |
| Obulwadde bwa alergy obw’amaanyi (Anaphylaxis) . | Kino tekitera kubaawo nnyo. Bw’ofuna obuzibu mu kussa, ebizimba, oba okuzimba olulimi/emimiro/ffeesi, kiba kya mangu. |
| Ebizibu ebirala ebivaamu | Okumyuuka, okuzimba, okusiiwa, okugejja, okulumwa ebinywa mu kifo we bakuba empiso. |
| Singa obubonero obwo waggulu obw’amaanyi (ssukaali omutono/omunene mu musaayi, alergy) bubaawo, genda mu mangu omusawo amagezi oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi. | |
Kiki ekibaawo singa omira insulini mungi (overdose)?
Yee, okumira insulini ennyo kya bulabe nnyo. Kino bwe kibaawo, ssukaali wo asobola okukka wansi nnyo (`Severe Hypoglycemia`). Kino kiyinza okuvaako embeera eziyinza okutta omuntu ng’okukonziba n’okugwa mu kkoma. Bw’oteebereza nti onywedde nnyo, kuba 911 mu bwangu oyite ambyulensi oba ogende mu ddwaaliro erikuli okumpi.
Ebintu by’olina okwegendereza ng’okozesa n’eddagala eddala
Kino kikulu nnyo. Eddagala erimu ly’omira liyinza okukosa engeri insulini gy’ekola. N’olwekyo, kikulu okubuulira omusawo wo ku ddagala lyonna ly’omira, omuli vitamiini, eddagala ly’ebimera, eriweweeza ku bulumi (NSAIDs), eddagala lya puleesa (beta-blockers), eddagala lya kolesterol (statins), empeke eziziyiza okuzaala, n’eddagala eddala erya sukaali .
Ekirala bw’oba onywa omwenge, yogerako n’omusawo wo, kuba guyinza okukosa ssukaali mu musaayi gwo mu ngeri gy’otosuubira.
Obubaka Obutwala Awaka
- Insulin eya bulijjo kika kya insulini ekola amangu era ng’emira eddakiika nga 30 nga tonnalya mmere.
- Bulijjo kyusa ekifo w’ofuyira empiso. Tosigala ng’okuba mpiso mu kifo kye kimu.
- Weetegereze obubonero bwa sukaali omutono mu musaayi (Hypoglycemia) ne ssukaali omungi mu musaayi (Hyperglycemia). Bw’ofuna obubonero buno bwonna, funa amagezi mu bwangu omusawo.
- Tegeeza omusawo wo ku ddagala eddala lyonna, vitamiini, n’embeera endala ez’obujjanjabi z’oyinza okuba nazo (allergy, embuto).
- Tokyusa, toyimiriza oba tobuuka mmere nga tolina magezi ga musawo olw’ensonga yonna. Kikulu nnyo okugoberera amagezi g’omusawo wo okusobola okuddukanya obulwadde bwa sukaali.
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