Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo umenye ko urwaye diyabete. Ariko ikintu cyiza ni uko hari uburyo bwiza bwo kuvura muri iki gihe kurusha mbere hose kugira ngo bugufashe gucunga diyabete yawe no kubaho ubuzima bwiza. Muri kumwe, wowe na muganga wawe muzategura gahunda yo kugufasha gucunga urugero rw'isukari mu maraso yawe no kugumana ibiro byiza.
Hari igihe umuti umwe ushobora kuba udahagije kugira ngo isukari yawe ikomeze kumera neza. Muri ibyo bihe, muganga wawe ashobora kongeramo indi miti. Reka tuvuge kuri ubu buryo bwo kuvura bumwe ku bundi.
Imiti yo kunywa
Abantu benshi barwaye Diyabete yo mu bwoko bwa 2 batangira kuvurwa n'umuti witwa Metformin. Ibi ahanini bikora mu kugabanya isukari umwijima ukora. Metformin inafasha imitsi yawe kwinjiza neza imisemburo ya insuline, igafasha umubiri wawe gukoresha isukari wakira.
Uyu muti ubusanzwe ufatwa kabiri ku munsi. Icy'ingenzi ni ukunywa iki ginini hamwe n'ibiryo. Ibi bishobora kugabanya cyane ingaruka mbi nko kubabara mu gifu, cyane cyane impiswi.
Niba metformin yonyine idagenzura urugero rw'isukari mu maraso yawe, muganga wawe ashobora kongera urugero rwawe cyangwa kongeramo ubwoko bushya bw'imiti. Reka turebere hamwe iyindi miti.
Wibuke ko iyi miti yose igomba gukoreshwa gusa ubanje kugirwa inama na muganga. Ntugomba kuyifata gusa kubera ko inshuti yawe iwukoresha, kuko imiterere y'umubiri wa buri wese itandukanye.
| Ubwoko bw'umuti n'ibisobanuro byoroshye | Ingero (amazina y'ibirango) |
|---|---|
| Inzitizi za Alpha-glucosidase Ibi bikora mu kubuza umubiri gusya ibiryo birimo ibishyimbo, nk'umugati n'ibirayi, bityo bikagabanya ukwiyongera gutunguranye kw'isukari mu maraso. | Acarbose (Precose), Miglitol (Glyset) |
| Ibikoresho bigabanya aside y'ibinure Iyi ni imiti igabanya cholesterol mbi (LDL cholesterol) mu mubiri. Ariko byagaragaye ko igabanya urugero rw'isukari mu maraso. Ibi bishobora kuba ari byiza ku bantu badashobora gufata indi miti ya diyabete bitewe n'indwara z'umwijima. | Colesevelam (Welchol) |
| Ibinini bya DPP-4 Ibi bifasha mu kugenzura diyabete binyuze mu kugabanya urugero rw'isukari mu maraso. | Alogliptin (Nesina), Linagliptin (Tradjenta), Saxagliptin (Onglyza), Sitagliptin (Januvia) |
| Agonists za GLP-1 Ibi bibwira umubiri gukora insuline nyinshi. Bigabanya umuvuduko w'igogora kandi bigatuma wumva uhaze. Bimwe muri byo biboneka no mu guterwa inshinge. | Dulaglutide (Trulicity), Exenatide (Byetta), Liraglutide (Victoza), Semaglutide (Ozempic, Rybelsus) |
| Agontine ya GIP na GLP-1 receptor Ubu ni ubwoko bushya bw'imiti. Iyi miti ifasha kongera umusaruro wa insuline gusa iyo isukari iri hejuru mu maraso. | Tirzepatide (Mounjaro) |
| Meglitinides Ibi bifasha umubiri gukora insuline nyinshi. Iyi miti ikunze gufatwa mbere yo kurya ibiryo by'ibanze. | Nateglinide (Starlix), Repaglinide (Prandin) |
| Ibinini bya SGLT2 Ubwo bwoko bw'imiti ni umwihariko cyane. Ikora mu gukura isukari nyinshi mu maraso yawe binyuze mu mpyiko no mu nkari. Imiti imwe (nka Empagliflozin) ifasha kandi kugabanya ibyago byo kurwara indwara z'umutima ku bantu bafite indwara z'umutima. | Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance) |
| Sulfonylureas Ibi bitera pancreas gukora insuline nyinshi. | Glimepiride (Amaryl), Glipizide (Glucotrol), Gliburide (Diabete) |
| Thiazolidinediones (TZDs) Icyo ibi bikora ni ugutuma imitsi n'ibinure bifata neza insuline. Ni ukuvuga ko byongera imikorere ya insuline. | Pioglitazone (Actos), Rosiglitazone (Avandia) |
Kuvura insuline
Insulini ni imisemburo y'ingenzi ikorwa n'imibiri yacu, ifasha mu kwimura isukari mu maraso ikayishyira mu turemangingo kugira ngo ikoreshwe mu gutanga ingufu.
Noneho, niba ugomba guterwa inshinge za insuline, ntukigere utekereza uti "Oh, ngiye gutakaza ubushobozi bwo kugenzura indwara yanjye." Si ko bimeze. Umubiri wa buri wese uratandukanye. Wenda niba umaze igihe kinini urwaye diyabete, niba isukari mu maraso yawe iri hejuru cyane, cyangwa niba ufite izindi ngorane z'ubuzima zituma bigorana kugenzura isukari mu maraso yawe ukoresheje ibinini gusa, muganga wawe ashobora kukugira inama yo gukoresha insuline hamwe n'ibinini.
Abantu benshi batera insuline mu gipimo cy'ibinure biri munsi y'uruhu. Muganga wawe ni we uzagufatira icyemezo cy'ingano ukeneye ku munsi.
Hariho kandi ubwoko butandukanye bwa insuline.
- Ikora vuba: Izi bikora mu minota mike nyuma yo guterwa urushinge kandi zimara amasaha menshi.
- Ikora vuba: Igira ingaruka mu gihe cy'igice cy'isaha kandi imara amasaha 3-6.
- Ikora hagati: Igira ingaruka mu masaha 2-4 kandi imara amasaha 12-18.
- Ikora igihe kirekire: Ibi bifasha mu gutuma urugero rw'isukari mu maraso rugumana ubuziranenge umunsi wose.
Ushobora kubona insuline ukoresheje seringe, ikaramu yuzuye mbere, cyangwa agakoresho gato gashyirwa munsi y'uruhu (pompe ya insuline). Muganga wawe azakubwira neza uko wabikora.
Ni gute wakoresha umuti neza?
Iki ni cyo gice cy'ingenzi cyane.
- Kurikiza amabwiriza ya muganga wawe: Fata imiti yawe neza nk'uko muganga wawe akubwira, mu gihe no mu rugero rwategetswe. Imiti imwe n'imwe igomba gufatwa hamwe n'ibiryo kugira ngo ugabanye ingaruka mbi. Menya neza ko ukurikiza ayo mabwiriza.
- Kubika imiti yawe: Muganga wawe cyangwa umufarumasiye azakugira inama y'uburyo bwo kubika imiti yawe. Cyane cyane ibintu nka insuline bigomba kubikwa ku bushyuhe bukwiye. Ibi bizafasha kubungabunga ubuziranenge bw'imiti.
- Witondere inzoga:Kunywa inzoga ntibyemewe mu gihe ufata imiti imwe n'imwe, nka metformin. Abantu barwaye diyabete bashobora kuba barushaho kugira ingaruka mbi ku nzoga kurusha abandi. Rero witondere cyane niba unywa inzoga. Ni byiza kubivuganaho na muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Diyabete ni indwara ishobora gukemuka, bityo ntukayitinye cyane.
- Korana na muganga wawe kugira ngo utegure gahunda nziza yo kuvura. Ntutinye kubaza ibibazo niba ufite.
- Abantu benshi batangira kuvurwa n'ikinini cyitwa metformin. Kugifata hamwe n'ibiryo bishobora kugabanya ingaruka mbi.
- Gukoresha insuline ntibisobanura ko indwara yawe yarenze urugero. Ni uburyo bukenewe kandi bufite akamaro cyane.
- Ni ingenzi cyane gufata imiti wahawe na muganga, ku gihe gikwiye, mu gipimo gikwiye, kandi neza neza nk'uko wabitegetswe.
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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.