Ese nawe urwaye Diyabete yo mu bwoko bwa 2? Niba ari uko bimeze, muganga wawe ashobora kuba yarakwandikiye uyu muti. Mu by'ukuri ni uruvange rw'imiti ibiri, ari yo Alogliptin na Metformin. Uyu munsi, turaganira kuri uyu muti, uburyo bwo kuwukoresha, ibintu ugomba kwitondera, n'ingaruka mbi mu buryo bworoshye kandi bwiza.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, iki gipimo gifasha kugenzura urugero rw'isukari mu maraso yawe, cyangwa isukari. Ubwoko bubiri bw'imiti iri muri iki gipimo bukora ibintu bibiri. Kimwe gifasha umubiri wawe gukoresha imisemburo ya insuline neza, ikindi kikagenzura ikorwa ry'isukari ritari ngombwa n'umwijima wawe.
Igikuru ni uko gufata uyu muti gusa bidahagije. Umusaruro mwiza ushobora kuboneka gusa iyo uwufashe hamwe n'indyo ikwiye n'imyitozo ngororamubiri .
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Noneho, iki ni cyo gice cy'ingenzi cyane. Mbere yo gutangira uyu muti, ugomba guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Kubera ko uyu muti ushobora kuba udahuye n'indwara zimwe na zimwe. Cyane cyane niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
- Indwara y'impyiko cyangwa umwijima: Ese ufite indwara y'impyiko cyangwa umwijima?
- Indwara z'umutima: Ese ufite indwara z'umutima cyangwa umutima unaniwe?
- Pancreatite: Ese wigeze ugira iyi ndwara mbere?
- Kunywa inzoga kenshi: Ese unywa inzoga kenshi?
- Kubura amaraso cyangwa kubura amazi mu mubiri: Ese ufite ikibazo cyo kubura amaraso cyangwa amazi mu mubiri wawe?
- Imiterere ya PCOS: Ese ufite indwara ya Polycystic Ovary Syndrome (PCOS)?
- Allergie: Ese ufite allergie kuri uyu muti cyangwa undi muti cyangwa ibiryo? By'umwihariko, ese wigeze ugira ibimenyetso nko kubyimba ururimi, isura, cyangwa iminwa, guhumeka bigoranye, kumira nabi, cyangwa ijwi rituje ?
- Gutwita: Uratwite? Cyangwa utegereje umwana?
- Uri umubyeyi wonsa?
- Kuruka, kwandura indwara zikomeye, cyangwa impanuka: Hari ikintu nk'iki cyabaye vuba aha?
Ni ingenzi cyane ku mutekano wawe kubibwira muganga udahishe ibi bintu.
Uyu muti nkwiye kuwukoresha nte?
Iki nacyo ni ikintu ugomba kumenya neza.
- Fata ingano yagenwe, ku gihe cyagenwe, nk'uko muganga yabigutegetse.
- Mirira ikinini cyose n'ikirahure cy'amazi . Ntukigere ugimenagura, ugisya cyangwa ngo ugihekenya.
- Uyu muti ushobora gufatwa mbere cyangwa nyuma yo kurya. Ariko, hari abantu bashobora kubabara mu nda iyo bawufashe batarya. Ibi bibaye, ni byiza gufata umuti hamwe n'ifunguro.
- Komeza gukoresha umuti kugeza igihe muganga wawe azakubwiriye kuwuhagarika.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, uyifate ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kiri hafi (urugero, ni amasaha make gusa), jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri. Ibi bishobora gutera igabanuka rikomeye ry'isukari mu maraso.
Bite ho iyo mfashe imiti myinshi?
Niba ukeka ko wafashe imiti myinshi kurusha uko ubyibwira, jya mu Ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe. Cyangwa hamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu Bitaro by’Igihugu bya Colombo kugira ngo bakugire inama.
Ibintu ugomba kwitondera mu gihe ufata imiti
Uzakenera kandi guhindura imiterere yawe mu gihe ukoresha uyu muti.
- Ikizamini cya HbA1C: Muganga wawe ashobora gutegeka ko upimwa amaraso yitwa HbA1C buri mezi 2-3 kugira ngo arebe niba diyabete yawe iri mu nzira yo kuyigabanya. Ibi bishobora kuguha igitekerezo cyiza cy'uko wagenzuye isukari mu maraso mbere.
- Isukari nke mu maraso (Hypoglycemia): Uyu muti, cyane cyane iyo ufashwe hamwe na insuline cyangwa indi miti ya diyabete nka sulfonylureas, ushobora gutera isukari nke mu maraso (hypoglycemia). Bityo rero, menya ibimenyetso by'isukari nke mu maraso ( kuzunguruka , kubira ibyuya, kunyeganyega, urujijo, inzara ikabije).
- Ntugasibe amafunguro: Kurya mu gihe gikwiye. Gusibe amafunguro byongera ibyago byo kugabanuka kw'isukari mu maraso.
- Inzoga: Vugana na muganga wawe ku bijyanye no kunywa inzoga. Inzoga zishobora gutuma isukari mu maraso yawe igabanuka mu buryo butunguranye.
- Kubagwa no gupimwa: Niba ugiye kubagwa cyangwa gupimwa na CT/MRI, menya neza ko wabwiye itsinda ry’abaganga ko urimo gufata uyu muti. Ushobora gukenera guhagarika gufata uyu muti iminsi mike mbere y’uko ukorerwa .
- Kubura Vitamine:Gukoresha uyu muti igihe kirekire bishobora gutuma urugero rwa vitamine B12 na aside folike rugabanuka. Kubwibyo, ni ngombwa kurya indyo yuzuye kandi ukavugana na muganga wawe kubyerekeye inyongeramusaruro za vitamine nibiba ngombwa.
- Irangi ryo mu bwoko bwa "Contrast": Ni bibi gufata uyu muti hamwe n'irangi ryo mu bwoko bwa "contrast" rishyirwa mu mubiri mbere yo gupimwa nka X-rays, CT scans, na MRIs.
- Inzoga
- Indi miti ya diyabete (urugero: Insulin, Glimepiride, Gliclazide)
- Imiti imwe n'imwe y'umuvuduko w'amaraso
- Steroids (urugero: Prednisolone)
- Amwe mu matibayotike n'imiti igabanya ubukana bw'indwara zo mu bwoko bwa virusi
- Fata uyu muti neza neza nk'uko muganga wawe yabigutegetse, ku gihe cyagenwe. Ntukawumenagure, ntuwujanjagure cyangwa ngo uwuheke.
- Mbere yo gutangira imiti, menyesha muganga wawe indwara zawe zose n'indi miti ufata.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu kimeze nk'isukari hafi yawe mu gihe cy'impanuka.
- Iyo habayeho ingaruka mbi zikomeye (kubabara mu gifu cyane, kugorwa no guhumeka, kugira ubwivumbure), shaka ubufasha bwa muganga vuba.
- Ntukagire uwo usangira n'abandi. Ni uwawe gusa.
- Irinde guhagarika imiti cyangwa guhindura ingano yayo nta nama za muganga.
Buri gihe shyira bombo y'isukari, ikinini cya glucose, cyangwa ikinyobwa cyiza hafi yawe. Bikoreshe mu gihe ugize isukari nke mu maraso. Bwira umuryango wawe kudashyira ikintu icyo ari cyo cyose mu kanwa kawe niba watakaje ubwenge. Ibi nibibaho, ugomba guhita ujyanwa kwa muganga.
Ingaruka mbi n'imikoranire
Kimwe n'indi miti iyo ari yo yose, ibi bishobora gutera ingaruka mbi ndetse bishobora no kugira ingaruka mbi ku yindi miti.
| Ingaruka mbi | |
|---|---|
| 🚨 Ibintu ugomba guhita ubibwira muganga wawe | |
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Aside ya Lactic | Kubabara imitsi, kuribwa mu nda, guhumeka bigoranye, umunaniro ukabije (iyi ni indwara idasanzwe ariko ikomeye cyane). |
| Pancreatite | Kubabara mu gifu cyane (bishobora gukwirakwira mu mugongo), ububabare burushaho kwiyongera nyuma yo kurya, umuriro, isesemi no kuruka. |
| Ibimenyetso by'indwara z'umutima | Kugorwa no guhumeka, kubyimba utubuto, ibirenge cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro ukabije. |
| Kwangirika k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, uruhu cyangwa amaso bihinduka umuhondo, inkari z'umuhondo wijimye/umukara. |
| Ububabare bukomeye bw'ingingo | Ububabare bukomeye mu ngingo. |
| 🙂 Ubusanzwe ntabwo ari ibintu bikomeye, ariko bwira muganga wawe niba bikomeje. | |
| Impiswi, umwuka , kuribwa umutwe, uburyohe bw'icyuma mu kanwa, izuru rizibye cyangwa riva , isesemi, kubabara mu muhogo. | |
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Uyu muti ushobora kugira ingaruka ku yindi miti n'ibiribwa. Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera). Witondere cyane ibi bikurikira:
Uru rutonde ntirurangiye, bityo buri gihe banza ubaze muganga wawe mbere yo gutangira imiti mishya.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.