Ese urwaye diyabete, ukuze gato? Cyangwa se nyoko, sogokuru, nyogokuru, sogokuru barwaye diyabete? Twese tuzi akamaro ko kugumana igipimo cy'isukari mu maraso mu rugero rukwiye. Ariko se wari uzi ko rimwe na rimwe, iyo tugerageje kugenzura igipimo cy'isukari mu maraso yacu cyane, mu by'ukuri bigira ingaruka mbi kuruta ibyiza? Ibi nibyo tuvuga uyu munsi.
Gufata imiti irenze urugero bishobora kwica
Abaganga basaba abantu benshi barwaye diyabete gukomeza gupimwa HbA1c (Hemoglobin A1c) mu buryo buboneye, ibi bikaba bipima igipimo cy’isukari mu maraso mu mezi make ashize. Ibi biterwa nuko isukari nyinshi mu maraso mu gihe kirekire, izwi nka hyperglycemia , ishobora kwangiza umubiri cyane. Ibi bishobora gutera ingorane zikomeye z’igihe kirekire nko kugabanuka k’imikorere y’ubwonko, kwangirika kw’ingingo z’imbere mu mubiri, n’indwara z’umutima.
Ariko ikintu cy'ingenzi hano ni uko izi ngorane z'igihe kirekire akenshi bifata imyaka 10 cyangwa irenga kugira ngo zitere imbere. Iki gihe gishobora kuba kirekire kurusha igihe gisigaye cyo kubaho cy'umurwayi ugeze mu za bukuru, cyane cyane ku ndwara zindi.
Ariko, indwara yitwa hypoglycemia , ituma isukari mu maraso igabanuka cyane, ishobora kugira ingaruka zikomeye cyane. Izi ngaruka ziyongera uko umuntu akura. Hypoglycemia ikomeye ishobora gutera kugwa nabi, kujya mu bitaro ndetse no gupfa .
Ubushakashatsi buherutse gukorwa bwagaragaje ko kimwe cya gatatu cy'abantu bakuru bagize ikibazo gikomeye cyo kugabanuka k'umuvuduko w'amaraso mu mubiri (hypoglycemia) bapfuye mu myaka itatu ishize nyuma y'uko bahuye n'iki kibazo. Ibi bivuze ko hypoglycemia ari indwara iteje akaga cyane kurusha uko tubitekereza.
Kuki ibyago byo kugabanuka kw'isukari mu maraso byiyongera uko umuntu akura?
Mu magambo make, ni ukubera impinduka mu mibiri yacu. Uko tugenda dusaza, imikorere yacu irahinduka. Ubudahangarwa bwa insuline bushobora kwiyongera. Nanone, uturemangingo two mu ipanuka dukora insuline dushobora kutabasha gusubiza vuba impinduka mu rugero rw'isukari mu maraso.
Reka twibande ku gukumira igabanuka ry'isukari
Abantu benshi barwaye diyabete bagirwa inama yo kugumana urugero rwa A1c ruri munsi ya 7%. Hari igihe iyi ntego idahinduka nubwo haba ku myaka, imibereho, ndetse n'ubuzima.
Reka dutekereze kuri Nyirasenge Kamala. Ubu afite imyaka 71. Yarwaye diyabete kuva afite imyaka 40. Yari afite kandi izi ntego zikomeye. Yakundaga kugira ibihe byo kugabanuka k'umuvuduko w'amaraso mu maraso, cyane cyane mu gicuku cyangwa mu gitondo cya kare. Igihe yabimenyaga, isukari mu maraso ye yari yaragabanutse cyane.
Nyirasenge Kamala agira ati: "Byari ibintu biteye ubwoba cyane. Umutima wanjye warakubitaga cyane, nabize ibyuya, kandi numvise ndi mu mutwe.""
Abantu bakuze bashobora kubura ibi bimenyetso by’isukari nke mu maraso kuko bimwe mu bimenyetso, nko kunanirwa, kurakara, uruhu rwerurutse, no kuribwa umutwe, bishobora kwitiranywa n’izindi ndwara cyangwa gusaza bisanzwe.
Ni gute wakwita ku gipimo cy'isukari utiriwe wongera imiti?
Nubwo Kamala yabonye umuti umubereye, igipimo cy'isukari mu maraso cye cyatangiye kugabanuka na mbere y'ibyo. Ibanga ryari indyo n'imyitozo ngororamubiri .
Gahunda y'imirire yihariye yatanzwe n'inzobere mu mirire ndetse n'imyitozo ngororamubiri ihoraho byamufashije kugabanya ibiro byinshi.
Nta gahunda imwe y'imirire ijyanye na byose. Inzobere mu by'imirire izasuzuma imibereho yawe, raporo za laboratwari, n'ibyo ukunda n'ibyo udakunda kugira ngo ikore gahunda ikubereye.
Iyo dukora siporo, imitsi yacu irakomera. Uko imitsi yacu irushaho kuba myinshi, niko imikorere y’umubiri wacu irushaho kwihuta, bikadufasha kugenzura urugero rw’isukari mu maraso yacu. Kubwibyo, nubwo tugenda dusaza, dushobora kugira ubuzima bwiza no kugenzura umubiri wacu.
Kwanga uburyo bwo 'gukoresha ingano imwe'
Kubera ibi bintu, ndetse n'imiryango ikomeye y'ubuvuzi nka American Diabetes Association iherutse kuvugurura inama zayo ku bantu bakuru. Bityo, inama zabo ni izi zikurikira:
| Imiterere y'ubuzima bw'umurwayi ugeze mu za bukuru | Intego ya A1c isabwa |
|---|---|
| Abantu bakuru bafite ubuzima bwiza kandi bakora cyane | Munsi ya 7.5% |
| Abantu bafite izindi ndwara kandi bafite ubuzima buciriritse | Munsi ya 8.0% |
| Abantu bafite indwara nyinshi, ubuzima bubi, cyangwa igihe cyo kubaho gito | Intego za A1c ntizigomba kwiringirwa gusa. Intego y'ingenzi yo kuvura igomba kuba ukugabanya ibimenyetso no kunoza ubuzima bw'umurwayi. |
Urugero, tekereza ku musaza w’imyaka 86 witwa Siripala. A1c ye yari arengeje gato imyaka 7. Nubwo umuganga yashakaga kumuha imiti, abamwitaho bahisemo guhindura indyo ye no kumujyana gutemberana na we buri munsi. Igitangaje ni uko isukari ye mu maraso yasubiye ku murongo nta gihindutse cyane.
Uko tugenda dusaza, iyo duteganya uburyo bwo kuvura, ni ngombwa gushyira imbere uburyo umurwayi amererwa neza kuruta uburyo bwo kumugenzura cyane.
Vuga ubwawe.
Amaherezo, ikintu cy'ingenzi ni ukuba umupilote w'ubuzima bwawe. Reka twibuke inkuru ya Kamala Aunty. Mu myaka mike ishize, yabajije muganga we ibijyanye na `Continuous Glucose Monitor (CGM)` , byamufashaga gusuzuma urugero rw'isukari ye mu gihe nyacyo adakoresheje urutoki. Ariko muganga yarabyanze.
Kamala agira ati: "Rero nahinduye abaganga." Ubu amaze kubona CGM, ashobora guhindura ibikenewe vuba, kandi igipimo cy'isukari ye ubu kirahagaze neza.
"Shaka umuganga usobanukiwe uko umubiri wawe wumva."
Niba wumva ko umuganga wawe atakumva, ntutinye kubona undi muganga. Ibikorera umuntu umwe bishobora kudakorera buri wese. Buri wese agomba kuvugana na muganga we agategura gahunda y'ubuvuzi imubereye, imubereye, imubereye mu mibereho ye, ndetse n'intego ze z'ubuzima.
Ubutumwa bwo kujyana mu rugo
- Ku bantu bakuru barwaye diyabete, isukari nke mu maraso (hypoglycemia) ishobora kuba iyihuse kandi iteje akaga kurusha isukari nyinshi mu maraso (hyperglycemia).
- Si abantu bakuru bose barwaye diyabete bagomba gukomeza intego zikomeye za A1c (<7%). Bishobora guteza akaga.
- Gahunda yo kuvura ntigomba kuba "ingana imwe ikwiranye na bose." Igomba kuba igenewe wowe ubwawe, hashingiwe ku myaka yawe, ubuzima bwawe muri rusange, n'imibereho yawe.
- Indyo n'imyitozo ngororamubiri ni ibikoresho bibiri bikomeye bitagereranywa mu buvuzi.
- Vugana na muganga wawe nta guhisha intego zawe z'ubuzima, impungenge zawe, n'ibitekerezo byawe. Wirwaneho.











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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.