Ese koko diyabete yawe iragoye kuyigenzura? Reka tuvuge kuri 'Diyabete y'agahinda'!

Ese urwaye diyabete? Hari igihe, uko wagerageza kose, gufata imiti wahawe na muganga ku gihe, no kugenzura indyo yawe, isukari mu maraso yawe ihita yiyongera cyane cyangwa ikagabanuka cyane? Cyangwa ihita igabanuka mu buryo butunguranye? Ese ibi bibangamira umunsi wose kandi akenshi bigasaba kujya mu bitaro? Hanyuma ushobora kugira indwara yihariye abaganga bita "Diyabete ya Brittle." Ntugatinye iyo ubyumvise. Reka tuvuge kuri byose mu buryo bworoshye.

Mu magambo make, diyabete ya Brittle ni iki?

"Diyabete yo mu bwoko bwa Brittle" si ubwoko bushya bwa diyabete. Si n'isuzuma ryemewe ry'ubuvuzi. Mu magambo make, ni izina rikoreshwa mu gusobanura indwara ikomeye cyane ya diyabete kandi idahindagurika igoye kuyigenzura. Ijambo "brittle" risobanura "gucika intege byoroshye." Kandi ni ko iyi ndwara imeze. Igipimo cya glucose mu maraso gihinduka cyane, mu buryo butunguranye.

Muri iki kibazo, hari ibihe byinshi byo kugabanuka kw'isukari mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia). Ibi bishobora gutuma umuntu ajyanwa mu bitaro kenshi. Hari igihe abaganga babyita "diyabete y'inyuma".

Iyi ndwara ikunze kugaragara cyane ku bantu barwaye diyabete yo mu bwoko bwa 1. Ariko, ishobora no kugaragara ku bantu barwaye diyabete yo mu bwoko bwa 2, baterwa inshinge za insuline. Akenshi, iyi ndwara ya "brittle diyabete" iterwa n'indi ndwara cyangwa ikibazo cy'ubuzima bwo mu mutwe usibye diyabete.

Kuki diyabete igoye kuyirwanya? Impamvu ni izihe?

Kugenzura urugero rw'isukari mu maraso ni inzira igoye. Hari ibintu byinshi bigira ingaruka kuri yo, harimo n'ibyo turya, imyitozo ngororamubiri dukora, imihangayiko, n'impinduka mu misemburo. Abantu benshi barwaye diyabete biga gucunga ibi bintu uko igihe kigenda gihita. Ariko muri "diyabete ishaje," uburyo izi ngaruka zibaho ntabwo buzwi. Niyo mpamvu urugero rw'isukari mu maraso rushobora guhinduka mu buryo butunguranye.

Impamvu zishobora kugabanywamo ibyiciro bine by'ingenzi:

1. Izindi ndwara mu mubiri.

2. Ibibazo by'ubuzima bwo mu mutwe.

3. Gusaza no gutakaza kwibuka.

4. Ibibazo bya insuline n'umutekano w'ibiribwa.

Reka turebe buri kimwe muri ibi ukwacyo.

1. Imiterere y'umubiri ihoraho

Indwara zimwe na zimwe zishobora gutera impinduka mu buryo umubiri witwara ku ndwara ya insuline (insuline idakira), bigatuma bigorana kugenzura urugero rw'isukari mu maraso.

Ibintu bituma isukari mu maraso yiyongera kenshi:

• Kudahuza kw'imisemburo: Indwara ziterwa n'imisemburo nka hyperthyroidism (thyrotoxicosis), acromegaly, na Cushing syndrome.
• Hari indwara zimwe na zimwe zidasanzwe zo mu muryango (congenital lipodystrophies)
• Indwara zikwirakwira mu mubiri wose (indwara zifata umubiri wose).

Ibintu bituma isukari mu maraso igabanuka kenshi:

• Gastroparesis: Iyi ni indwara aho ibiryo biri mu nda byoherezwa mu mara buhoro cyane. Tekereza ko urya umuceri mu gitondo. Akenshi bifata amasaha abiri kugira ngo ugogore. Ariko kubera iyi ndwara, igifu cyawe gikora buhoro cyane. Rero nubwo watera insuline mbere yo kurya, ibiryo bigogora isukari yongerwa mu maraso nyuma y'amasaha 4-5. Hagati aho, insuline ishobora gukora kandi isukari yawe ishobora kugabanuka cyane (hypoglycemia). Iyo ibiryo bigogorwa, isukari ishobora kwiyongera cyane mu buryo butunguranye. Urabona ukuntu bigoye kubigenzura?
• Indwara ya Addison: Iyo itavuwe, iyi ndwara ishobora no gutuma urugero rw'isukari mu maraso rugabanuka kenshi.
• Indwara ya Celiac: Iyi ndwara ibuza umubiri kwinjiza intungamubiri neza, ibi bikaba bishobora gutera igipimo cy'isukari mu maraso kidahindagurika.

2. Indwara zo mu mutwe

Ibyo twumva mu bwenge bwacu bigira ingaruka ku mibiri yacu. Kubana n'indwara idakira nka diyabete ni kimwe mu bintu bitera imihangayiko ikomeye.

• Imihangayiko ikomeye, guhangayika no kwiheba: Izi ndwara zishobora kugabanya imbaraga n'ubushobozi bwo guhangana na diyabete yawe. Ushobora kwibagirwa gufata imiti yawe ku gihe no gusuzuma isukari mu maraso yawe. Imihangayiko ishobora kandi kongera imisemburo iva mu mubiri wawe, ishobora kongera urugero rw'isukari mu maraso yawe.
• Indwara zo kurya: Indwara nka anorexia na bulimia zishobora gutuma bigorana gucunga diyabete. Diabulimia, indwara igaragara ku bantu barwaye diyabete yo mu bwoko bwa 1, iterwa no kureka nkana inzoga za insuline kugira ngo ugabanye ibiro. Ibi ni bibi cyane.
• Gukoresha ibiyobyabwenge n'inzoga: Ibiyobyabwenge nka kokayine na opiyopiya byongera urugero rw'isukari mu maraso. Inzoga akenshi zishobora gutuma urugero rw'isukari mu maraso rugabanuka cyane.

3. Gusaza no kubura kwibuka

Kurwanya diyabete biragoye bitewe n'indwara nka dementia, zishobora kubaho uko umuntu agenda akura.

• Ushobora kwibagirwa gufata dose ya insuline yawe.
• Ushobora gufata dose ebyiri wibeshye.
• Ubwoko bwa insuline ikora igihe gito n'ikora igihe kirekire bushobora kwitiranywa.
• Ibikoresho nka pompe za insuline na moniteur za glucose zihoraho (CGMs) bishobora kudakora neza.

4. Ibibazo bya insuline n'umutekano w'ibiribwa

Iki ni ikibazo cy’imibereho myiza n’ubukungu kigira ingaruka kuri bamwe mu bantu bo mu gihugu cyacu.

• Ikiguzi kinini cya insuline: Bitewe n'uko bigoye kugura insuline, bamwe bakoresha dose iri munsi y'iyagenwe. Ibi bishobora gutera isukari nyinshi mu maraso ndetse n'indwara zishobora gushyira ubuzima mu kaga nka diyabete Ketoacidosis (DKA) .
• Kutagira umutekano w'ibiribwa: Kutarya no kunywa ku gihe bishobora gutuma urugero rw'isukari mu maraso rudahinduka.

Ni ibihe bimenyetso by'iyi ndwara?

Umuntu urwaye diyabete yoroshye cyane ahura n'ibimenyetso byinshi by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia).

Ni izihe ngorane ibi bishobora gutera?

Guhorana ihindagurika ry'isukari mu maraso si byiza ku mubiri. Ibi bishobora gutera ingorane z'igihe gito n'iz'igihe kirekire.

Ingorane ziterwa no kugabanuka kw'isukari mu maraso

Niba isukari mu maraso yawe iri hasi buri gihe, uko igihe kigenda gihita, ushobora kugira ikibazo cyitwa hypoglycemia utazi . Ibi bibaho iyo umubiri wawe umenyereye isukari iri hasi mu maraso kandi ntugaragaze ibimenyetso by'isukari iri hasi mu maraso, nko kuzuyaza no kubira ibyuya. Ibi ni bibi cyane kuko ushobora gutakaza ubwenge mu buryo butunguranye no kugira ibicurane nta nteguza. Iyo bitavuwe, bishobora no gutuma umuntu apfa.

Ingorane ziterwa n'isukari nyinshi mu maraso

Iyo urugero rw'isukari mu maraso rudagenzuwe, hashobora kubaho ikibazo cyihutirwa cyitwa diyabete ketoacidosis (DKA) . Ibi bibangamira ubuzima. Ibimenyetso bya DKA birimo:

• Isesemi no kuruka
• Kubura amazi mu mubiri
• Ububabare bukomeye mu gifu
• Uruhu rw'imbuto
• Guhumeka cyane kandi vuba (Guhumeka kwa Kussmaul)
• Umutima utera cyane
• Gutakaza ubwenge no kutamenya

Byongeye kandi, isukari nyinshi mu maraso mu gihe kirekire byongera ibyago byo kugira ibibazo bikomeye bya diyabete.

• Kwangirika kw'amaso (Retinopathy)
• Kwangirika kw'impyiko (Nephropathy)
• Kwangirika kw'imitsi (Neuropathy)
• Indwara z'umutima
• Igisebe cy'imitsi

Ibi bivurwa bite?

Intego nyamukuru yo kuvura indwara ya diyabete ya Brittle ni ugukemura impamvu nyamukuru y’isukari idahindagurika mu maraso.Gushaka no kuvura impamvu nyamukuru. Urugero, umuntu urwaye indwara ya celiac ashobora kubasha kugabanya igipimo cy'isukari mu maraso ye iyo afashe indyo idafite gluten. Kuvura ikibazo cya tiroyide bishobora gufasha mu kugenzura diyabete.

Mu gihe uvura impamvu nyamukuru, muganga wawe ashobora kukugira inama y'ibintu nk'ibi:

• Gukoresha igikoresho gikurikirana isukari mu maraso (CGM): Iki gikoresho gikurikirana isukari mu maraso yawe buri gihe kandi kikaguha amakuru niba isukari yawe iri hejuru cyangwa iri hasi.
• Suzuma urugero rw'isukari mu maraso yawe buri gihe: Muganga wawe ashobora kugusaba gusuzuma urugero rw'isukari mu maraso yawe akoresheje igitonyanga cy'amaraso mu rutoki rwawe inshuro nyinshi ku munsi.
• Gukoresha pompe ya insuline: Ibi bitanga ingano ya insuline ikenewe n'umubiri neza kandi mu buryo buhoraho.
• Ubufasha butangwa n'inzobere mu by'ubuzima bwo mu mutwe: Ni ngombwa cyane kubonana n'umuntu nk'umuhanga mu by'imitekerereze y'abantu no kubona inama ku bijyanye no guhangana n'ibintu nk'imihangayiko n'imihangayiko.
• Ubufasha butangwa n'umuryango cyangwa umufasha w'abaforomo: Abantu bageze mu zabukuru cyangwa abafite ubumuga bwo kwibuka bashobora gukenera ubufasha butangwa n'umwe mu bagize umuryango kugira ngo abahe insuline ku gihe kandi bapime isukari mu maraso yabo.
• Inkunga itangwa n'umukozi ushinzwe imibereho myiza y'abaturage: Abadafite ubushobozi bwo kugura insuline cyangwa badafite ibyo kurya bashobora kubona ubufasha mu gushaka ibisubizo bikwiye.

Mu bihe bikomeye cyane, aho nta bundi buryo bwo kuvura bushobora kugenzura iyo ndwara, hashobora kuba inama yo gutera pancreas .

Igihe ugomba gushaka inama z'abaganga byihutirwa

Diyabete yo mu bwoko bwa Brittle si ikintu cyo gukina na cyo. Mu bihe nk'ibi, ni ngombwa cyane kugira icyo ukora ako kanya.

Kwita kuri iki kibazo bishobora kugorana. Niyo mpamvu ari ngombwa kujya kwa muganga wawe buri gihe no kumubwira ku mpinduka mu gipimo cy'isukari mu maraso yawe. Wibuke ko atari wowe ufite ikosa. Uramutse uvuwe neza, ukoresheje ikoranabuhanga, ndetse n'ubufasha bw'umuryango wawe, iki kibazo gishobora kugenzurwa ahanini.