Muwala wo oba mutabani wo alina obulwadde bwa sukaali obw’ekika kya 1 agejja mu bwangu? Alowooza nnyo ku mmere, enkula y’omubiri, n’obuzito? Oluusi oyinza okwewuunya okukizuula nti tamira mpiso za insulini. Kino si kya kusaaga, mbeera ya bulabe nnyo eyinza okukosa obulamu bwo. Mu ngeri y’obusawo, kino tukiyita Diabulimia . Wadde ng’erinnya eryo liyinza okuwulikika ng’ery’ekyewuunyo, tulina okutegeera obukulu bw’ekintu kino. Kale, ka twogere ku nsonga eno mu bujjuvu.
Diabulimia kye ki mu ngeri ennyangu?
Ekigambo ‘diabulimia’ kikolebwa nga tugatta ebigambo bibiri: sukaali , ekitegeeza sukaali , ne bulimia .
- Nga bw’omanyi , sukaali bulwadde obukosa engeri omubiri gwaffe gye gufugamu sukaali. Naddala mu Ssukaali ow’ekika kya 1, omubiri tegusobola kukola busimu bwa insulini.
- Bulimia bulwadde bwa kulya ng’omuntu alya emmere ennyingi omulundi gumu n’oluvannyuma n’alongoosa emmere ng’asesema oba mu ngeri endala ng’atya okugejja.
Otegedde akakwate kati? Mu ngeri ennyangu, ssukaali omuntu alina ssukaali ow’ekika kya 1 bw’aba yeewala mu bugenderevu okukuba empiso za insulini ze ezeetaagisa okusobola okugejja.
Wadde nga kino tekinnateekebwa mu kibinja ky’obulwadde bw’obwongo mu butongole, obulabe bwe buyinza okuleeta bwa maanyi nnyo.
Ani asinga okukosebwa embeera eno ey’akabi?
Embeera eno esinga kubeera mu bakyala n’abawala abato. Mu butuufu, abakyala abalina ssukaali ow’ekika kya 1 batera okufuna obuzibu mu kulya emirundi ebiri. Okunoonyereza kulaga nti abavubuka nga 30% abalina ssukaali bakendeeza oba balekera awo okumira insulini nga bagezaako okugejja .
Kizibu okuzuula ekintu kimu ekivaako embeera z’obwongo ez’ekika kino. Kiyinza okukwatibwako ebyafaayo by’amaka eby’embeera zino. Ate era, ensonga ng’okunyigirizibwa mu maka n’okulumwa ennyo nabyo bisobola okuvaako kino.
Naddala ku myaka emito, abantu bafuuka bafaayo nnyo ku nkula y’omubiri gwabwe ne mikwano gyabwe kye balowooza. Okulowooza buli kiseera ku mmere n’obuzito olw’obulwadde bwa sukaali nakyo kiyinza okuvaako embeera eno.
Kiki ekituuka ku mubiri nga insulini eyimiriziddwa? Kino kya maanyi kitya?
Teebereza omuntu alina ssukaali ow’ekika kya 1 takola insulini mu mubiri gwe n’akatono. Kale kyetaagisa okumira insulini okuva ebweru. Insulini eringa ekisumuluzo ekiggulawo oluggi lw’obutoffaali obuli mu mubiri gwaffe. Singa ekisumuluzo kino kibaawo, ssukaali (glucose) mu musaayi y’asobola okuyingira mu butoffaali n’akyusibwa n’afuuka amaanyi.
Singa omuntu mu bugenderevu tamira insulini, .
1. Ssukaali mu musaayi alinnya mu ngeri etafugibwa.
2. Okuva obutoffaali bwe butasobola kutwala ssukaali, sukaali ono ayitiridde atandika okufulumira mu musulo. Okuva amazzi bwe gafuluma wamu ne ssukaali, obuzito bw’omubiri bukendeera mangu.
3. Kino abantu bano kye basuubira, okugejja. Naye tebalaba kuzikirizibwa okujja nakyo. Ssukaali bw’aba takyaliwo kufuna maanyi, omubiri gutandika okwokya amasavu gaago . Mu nkola eno, eddagala ery’obutwa eriyitibwa ‘ ketones ’ likolebwa mu mubiri.
4. Ketoni zino bwe zizimba, omusaayi gufuuka gwa asidi nnyo, ekivaako embeera eyinza okutta omuntu eyitibwa Diabetic Ketoacidosis (DKA) . Eno mbeera ya bujjanjabi ya mangu. Kiyinza okuviirako omuntu okugwa mu kkoma oba n’okufa.
Obulabe obw’ekiseera ekitono n’obw’ekiseera ekiwanvu obuva mu mbeera eno bwa bulabe nnyo.
| Ebizibu eby’amaanyi ebiyinza okubaawo olw’obulwadde bwa diabulimia | |
|---|---|
| Ssukaali omungi mu musaayi | Ssukaali mu musulo |
| Obulwadde bwa sukaali obuyitibwa Ketoacidosis (DKA) . | Okubulwa amazzi mu mubiri |
| Okufiirwa ebinywa | Kolesterol omungi |
| Obulwadde bwa bakitiriya n’ekizimbulukusa emirundi mingi | Okugenda mu nsonga ezitali za bulijjo oba nga ziyimiridde |
| Okwonooneka kw’emisuwa mu maaso (Retinopathy) - kiyinza okuvaako okuziba amaaso. | Okwonooneka kw’obusimu - okuziyira mu bitundu by’omubiri |
| Okugonza ebisenge by’emisuwa (atherosclerosis) . | Obulwadde bw’ekibumba |
| Storoko | Kkoma n’Okufa |
Jjukira nti obuzibu mu kulya bwe businga okufa okusinga endwadde zonna ez’obwongo. Okunoonyereza kuzudde nti abakyala abatamira insulini okugejja bafa emyaka nga 10 nga bukyali okusinga abakyala abalina ssukaali.
Bubonero ki obuyinza okuzuula embeera eno?
Bw’oba oteebereza nti waliwo omuntu eyeenyigira mu nneeyisa eno ey’akabi, beera ku bunkenke ku bubonero buno. Akabonero akakulu kwe kugejja mu ngeri etategeerekeka . Okugatta ku ekyo, oyinza okulaba ebintu bino:
| Obubonero obulabula ku Diabulimia | |
|---|---|
| Okuwulira ng’okooye buli kiseera | Bulijjo okuwulira ennyonta esukkiridde |
| Okwogera oba okulowooza ennyo ku buzito bw’omubiri oba enkula y’omubiri | Okulya ennyo (naddala ebintu ebiwooma) . |
| Lipoota y’okukebera HbA1c, obutakwatagana na ssukaali w’awaka | Okubuuka okugenda mu basawo |
| Okukola mu nkukutu ku miwendo gya ssukaali, okukozesa insulini, n’emmere | Obutawummula, okwennyamira oba okunyiiga ennyo |
| Dduyiro asusse | Omukka ogw’ebibala (akabonero akalaga nti ketones yeeyongedde) . |
| Enviiri okugwa n’olususu okukalu | Okulwawo okutuuka mu myaka gy’obuvubuka mu bavubuka |
Nkole ntya singa nze oba omuntu gwe mmanyi alina embeera eno?
Kino kye kintu ekisinga obukulu. Diabulimia bulwadde bwa bwongo. N’olwekyo, obuyambi bw’abakugu bwetaagibwa ddala okusobola okubuvvuunuka. Bw’olaba obubonero buno mu ggwe kennyini oba mu muntu gw’omanyi, nsaba tobubuusa maaso. Noonya abasawo amagezi mu bwangu.
Ekintu ky’olina okusooka okukola kwe kwogera n’omusawo wa sukaali (Endocrinologist). Amanyi embeera eno era asobola okukusindika eri abakugu abalala bwe kiba kyetaagisa. Kino kitera okukolebwa ttiimu. Ttiimu eno eyinza okuli:
- Omukugu mu by’endwadde z’omu lubuto
- Omuwabuzi ku bulwadde bwa sukaali
- Omukugu mu by’endya
- Omukugu mu kubuulirira ku bulamu bw’obwongo oba omukugu mu by’empisa
Obujjanjabi tebuleeta bivaamu mu kiro kimu. Zitwala obudde. Naye ng’olina obuwagizi obutuufu, okudda engulu kisoboka ddala. Ezimu ku bujjanjabi obukulu bwe buno:
Obujjanjabi bw’enneeyisa y’okutegeera (CBT) .
Mu ngeri ennyangu, kino kizingiramu okuzuula ebirowoozo byaffe ebitali bituufu era ebikyamye (e.g., "Nze mugejjo," "Si kibi obutamira insulini okugejja"), okubikyusa, era bwe tutyo ne tukyusa enneeyisa yaffe ey'akabi.
Obujjanjabi bw’Ekibinja
Bw’oyogera n’abantu abalala abayita mu bizibu ebifaananako bwe bityo, owulira ng’oli wekka. Kino kiyamba nnyo okuyigira ku balala bye bayitamu n’okuwagiragana.
Obujjanjabi obusinziira ku maka (FBT) .
Eno nkola nnungi nnyo naddala ng’omwana omuto alina embeera eno. Wano, amaka gonna geenyigira mu nkola y’obujjanjabi. Kino kiyamba abazadde okutegeera omwana n’okuwa omwana obuyambi obutuufu.
Obubaka Obutwala Awaka
- Diabulimia mbeera ya bulabe nnyo ng’omuntu alina ssukaali ow’ekika kya 1 mu bugenderevu tamira insulini okugejja.
- Okubuuka insulini kiyinza okuvaako ebizibu ebitta abantu nga sukaali ketoacidosis (DKA), okuziba amaaso, okwonooneka kw’obusimu, okusannyalala, n’okufa.
- Bw’olaba obubonero ng’okugejja mu ngeri etategeerekeka, okulowooza ennyo ku mmere n’omugejjo, oba okweyisa mu ngeri ey’ekyama, tobibuusa maaso. Kiyinza okuba okukaaba nga basaba obuyambi.
- Kino si kintu ekiyinza okufugibwa n’amaanyi g’obwongo, wabula bulwadde bwa bwongo obwetaagisa obuyambi bw’abasawo abakugu.
- Bw’oba ggwe oba omuntu gw’omanyi alina embeera eno, yogerako mangu n’omusawo wo onoonye obujjanjabi obwetaagisa. Tolina kulwana lutalo luno wekka.
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