Ka twogere mu ngeri ennyangu ku bika bya sukaali (Diabetes Mellitus) .

Ffenna tuwulidde ekigambo 'obulwadde bwa sukaali'. Oboolyawo omuntu mu maka go, mukwano gwo, oba wadde ggwe kennyini akosebwa embeera eno. Naye okimanyi nti ssukaali si bulwadde bumu, wabula bulina ebika eby’enjawulo ebiwerako? Leero, tugenda kwogera ku buli kimu ku bika bino, obubonero bwabyo, n’engeri y’okubiddukanya mu ngeri ennyangu era ennyangu.

Mu ngeri ennyangu, ssukaali linnya lya bulijjo erikwata ku ndwadde eziwerako ezikosa enkola y’okukyusa emmere gye tulya okugifuula amaanyi. Bwe tulya emmere erimu ebirungo ebiyitibwa carbohydrates (starches), omubiri gwaffe gugukyusa ne gufuuka ekika kya sukaali ayitibwa glucose ne gumugatta mu musaayi. Olwo olubuto lwaffe ne lukola obusimu obuyitibwa insulin , obuggya glucose oyo mu musaayi n’agisindika mu butoffaali okukola amaanyi. Mu muntu alina ssukaali, enkola eno eya insulini tekola bulungi. N’ekyavaamu, ssukaali mu musaayi yeeyongera. Singa kino tekifugibwa, ebizibu eby’amaanyi eby’obulamu biyinza okubaawo oluvannyuma lw’ekiseera.

Obulwadde bwa sukaali nga tannabaawo

Guno gwe mutendera gw’okulabula nga ssukaali tannafuna. Wano, ssukaali mu musaayi gwo asinga ku ya bulijjo, naye nga si mungi kimala okuzuula ddala obulwadde bwa sukaali.

Wabula oluusi oyinza okulaba ng’olususu luddugala mu bitundu ng’ensingo, enkwawa n’ekisambi. Tekitera kubaawo, era oyinza okulaba ng’omugejjo gukendeera oba okweyongera mu ngeri etategeerekeka, okwagala okulya ennyo, okukoowa, okutuuyana, okulaba obubi, n’ebiwundu ne biwona mpola.

Singa okyusa obulamu bwo mu kiseera kino, osobola okuziyiza oba okulwawo okukula kw’obulwadde bwa sukaali obujjuvu.

• Okukola dduyiro buli kiseera.
• Okulya emmere ennungi.
• Okukuuma obuzito bw’omubiri obutuufu.
• Okuddukanya situleesi.
• Weewale okunywa sigala.

Ebintu bino bwe biba bizibu okukola oba ng’oli mu bulabe bwa maanyi okukwatibwa ssukaali, omusawo ayinza okukuwa eddagala.

Ssukaali ow’ekika kya 1

Kino edda kyayitibwanga ‘ssukaali w’abaana abato’. Naye kati tukimanyi nti kisobola okukula ku myaka gyonna. Embeera y'abaserikale b'omubiri ( autoimmune condition ) . Mu ngeri ennyangu, ekibaawo wano kwe kuba nti abaserikale b’omubiri gwaffe bennyini balumba ne basaanyaawo obutoffaali obukola insulini mu lubuto lwaffe. Olwo omubiri tegukyasobola kukola insulini.

Embeera eno tesobola kuziyizibwa. Ebiseera ebisinga kiva ku nsonga z’obuzaale.

Obubonero bwa Ssukaali ow’ekika kya 1

Obubonero obw’ekika kino bulabika mangu nnyo, mu wiiki ntono.

• Okuwulira ennyonta esukkiridde n’enjala.
• Okufuka ennyo.
• Okulaba okutali kwa maanyi.
• Obukoowu obw’amaanyi.
• Okugejja awatali nsonga yonna.

Oluusi, akabonero akasooka kayinza okuba nga oli mu kkoma ya sukaali, ekiyinza okuvaako embeera ey’amaanyi ennyo ng’okubulwa amagezi.

Ggwe oba omwana wo bw’oba ​​n’obubonero buno bwonna, genda mu kitongole ky’eddwaaliro eky’amangu (ETU) mu bwangu.

Ssukaali ow’ekika kya 1 asobola okwonoona emisuwa emigonvu mu maaso (diabetic retinopathy), obusimu (diabetic neuropathy), n’ensigo (diabetic nephropathy). Era kyongera obulabe bw’okulwala omutima n’okusannyalala.

Obujjanjabi buzingiramu okugaba insulini ebweru, ng’okozesa ekkalaamu za insulini, ppampu oba empiso. Okugatta ku ekyo , okwekebeza ssukaali buli kiseera, okufuga endya, n’okukola dduyiro kyetaagisa nnyo.

Ssukaali ow’ekika eky’okubiri

Kino kye kika ekisinga okutawaanya abantu, nga kikwata abantu nga 90% abalina ssukaali. Edda kyayitibwanga ‘ssukaali atandikira mu bantu abakulu’. Naye leero kitera ne mu bavubuka n’abaana. Omugejjo gwe gusinga okuvaako omugejjo.

Ekibaawo wano kiri nti okukola insulini mu mubiri kukendeera, oba obutoffaali bw’omubiri tebuddamu bulungi insulini ekolebwa (`Insulin Resistance`). Kino kireetera olubuto okukola ennyo n’okukola insulini nnyingi. Naye ekiseera bwe kigenda kiyitawo, ekyo tekimala era ssukaali mu musaayi alinnya.

Obubonero bwa sukaali ow’ekika eky’okubiri bukula mpola. Bayinza obutalaga bubonero bwonna okumala emyaka. Y’ensonga lwaki abantu bangi bazuulibwa nga balina obulwadde buno nga banoonya obujjanjabi ku mbeera endala.

Okusobola okufuga ekika kino, okukuuma omugejjo omulungi, okulya emmere ennungi n’okukola dduyiro kyetaagisa. Abantu abamu era bayinza okwetaaga okumira eddagala oba empiso za insulini. Bino byonna omusawo abisalawo.

Ssukaali ow’olubuto

Bamaama abamu bayinza okufuna obulwadde bwa sukaali obw’ekiseera olw’enkyukakyuka mu busimu mu mibiri gyabwe nga bali embuto. Kino kiyitibwa ``ssukaali ow'olubuto.'' Kitera okuzuulibwa nga kiyita mu kukeberebwa okukolebwa mu mitendera egy'omu makkati oba egy'oluvannyuma egy'olubuto.

Ebiseera ebisinga, tewabaawo bubonero bunene. Wayinza okubaawo obubonero obutonotono ng’ennyonta okweyongera n’okufulumya omusulo ennyo. Ekisinga obukulu embeera eno egenda ng’omwana amaze okuzaalibwa.

Obulabe buba bungi eri omwana ali mu lubuto okusinga ku maama. Ssukaali wa maama bw’alinnya mu musaayi, naye ayitira mu mwana ng’ayita mu nnabaana. Kino kiyinza okukosa enkula y’omwana. Omwana ayinza okugejja ennyo, okukaluubirirwa okussa ng’azaalibwa, n’okubeera mu bulabe obw’okulwala ssukaali oba omugejjo mu biseera eby’omu maaso. N’olwekyo kikulu nnyo okufuga obulungi obulwadde bwa sukaali ng’oli lubuto.

Ebika bya sukaali ebirala ebitali bimu

Ng’oggyeeko ebika ebikulu ebisatu waggulu, waliwo ebika bya sukaali ebirala ebiwerako ebitali bimu.

Ssukaali ow’ekika kimu

Kiva ku nkyukakyuka mu ggiini emu. Kiyinza okusikira. Ebiseera ebisinga, obulwadde bwa sukaali buzuulibwa mu buto oba mu myaka gy’obuvubuka era tebulaga bubonero bwa kika kya 1 oba ekika kya 2, kale abasawo kino bakiteebereza.

Ssukaali ow’okubiri

Kino kiyinza okuva ku mbeera endala ey’obujjanjabi oba eddagala ly’omira. Okugeza nga:

• Endwadde ezikwatagana n’obusimu (Cushing’s syndrome, Acromegaly) .
• Endwadde z’olubuto
• Obulwadde bwa Cystic Fibrosis (CF) .
• ``Obulwadde bw'enkwaso eziyitibwa Polycystic Ovarian Syndrome'' (PCOS) .
• Okukozesa eddagala erimu erya steroid okumala ebbanga eddene.

Mu mbeera zino, ssukaali era asobola okufugibwa ng’embeera eyaliwo ejjanjabiddwa.