Twafasha dute umuntu urwaye diyabete mu gihe agize ikibazo cyihutirwa? (Ibihe byihutirwa bya diyabete)

Ese ufite umuntu wo mu muryango wawe cyangwa inshuti yawe urwaye diyabete? Ese wigeze wumva ikibazo cyihutirwa aho isukari yo mu maraso y'umuntu igabanuka cyane cyangwa ikazamuka cyane? Ashobora kuba atabasha kwiyitaho muri iki gihe. Ushobora kumufasha kurokora ubuzima bwe. Rero, niba umuntu uzi arwaye diyabete, ni ngombwa kumuganiriza icyo yakora mu gihe cy'impanuka.

Ikibazo cyihutirwa cya diyabete ni iki?

Muri make, ikibazo cyihutirwa cya diyabete ni igihe umuntu urwaye diyabete afite igipimo cy’isukari kiri hasi cyane cyangwa kiri hejuru cyane mu maraso. Ibi bishobora gutera ibimenyetso bikomeye ndetse bikaba byanashyira ubuzima mu kaga. Hari ubwoko bubiri bw’ingenzi bw’izi ndwara.

Impinduka nk'izo zikomeye mu rugero rw'isukari mu maraso zishobora kugira ingaruka zikomeye ku mikorere y'umubiri wacu, bityo zikaba zisaba ubuvuzi bwihuse.

Indwara y'ubutabazi iterwa n'isukari nke mu maraso - "Insulin shock"

Iyi ni indwara yitwa hypoglycemia ikomeye. Ibi bibaho iyo urugero rw'isukari mu maraso rugabanutse cyane, akenshi ruri munsi ya 60 mg/dL. Nubwo byitwa "insulin shock", ibi bishobora kubaho atari ku bantu bafata insuline gusa, ahubwo no ku bantu bafata imiti imwe n'imwe ya diyabete (urugero: sulfonylureas).

Kuki ibi ari ibyihutirwa?

Tekereza nawe, ubwonko bwacu bukeneye isukari (glucose) kugira ngo bukore. Iyo igipimo cy'isukari kigabanutse cyane, ntidushobora gutekereza neza kandi dushobora gucika intege. Ibyo bivuze ko tudashobora kuvura iyi ndwara twenyine. Iyo tudafite umuntu wo kudufasha, bishobora no gutuma umuntu apfa.

Impamvu zituma isukari igabanuka

• Gusiba ifunguro.
• Gukora imyitozo ngororamubiri kurusha uko bisanzwe.
• Kunywa inzoga nta kurya.
• Gufata insuline nyinshi cyane, gukoresha ubwoko butari bwo, cyangwa kuyitera mu buryo butari bwo.
• Kunywa imiti ya diyabete ku gipimo kitari cyo.

Ibimenyetso by'isukari nkeya

Ibimenyetso bishobora kuba birimo guhinda umushyitsi no kumva ushonje. Ariko, iyo bitavuwe, iyi ndwara ishobora gukomera ikabyara ibimenyetso bikurikira:

• Urujijo.
• Kubona nabi.
• Intege nke zikomeye.
• Indwara zo mu mutwe.
• Gupfa ubusa.
• Koma.

Ni gute wafasha umuntu ufite isukari nke mu maraso?

Niba hari umuntu ufite ibi bimenyetso, mubwire ko agomba gusuzuma urugero rw'isukari mu maraso ye. Hanyuma, mufashe gukurikiza itegeko rya "15/15".

1. Tanga garama 15 za karubohidrati zigogora vuba:

• Ibinini 3-4 bya glucose.
• Mililitiro 120 (hafi kimwe cya kabiri cy'igikombe) cy'umutobe w'imbuto cyangwa ikinyobwa kirimo isukari (soda isanzwe).
• Ikiyiko kimwe cy'ubuki cyangwa isukari.

2. Tegereza iminota 15: Hanyuma ongera urebe isukari yawe mu maraso. Niba ikiri hasi, tanga indi garama 15 z'ibinyabutabire.

Ibibazo byihutirwa biterwa n'isukari nyinshi mu maraso

Ukwiyongera kw'isukari mu maraso kutagira urwego rugenzurwa bishobora gutera ibibazo bibiri bikomeye.

1. Ketoacidosis ya diyabete (DKA)

Iyo nta insuline ihagije ihagije yo gukoresha isukari (isukari) kugira ngo ikoreshwe, umubiri wacu utangira gutwika ibinure kugira ngo ubone ingufu. Iyi nzira ikora imiti yitwa ketones . Iyo izi ketones zirundanyije mu maraso, amaraso ahinduka aside kandi ashobora kuba uburozi ku mubiri. Ibi byitwa DKA. Iki ni ikibazo gikunze kubaho ku bantu barwaye diyabete yo mu bwoko bwa 1, ariko gishobora no kubaho ku bantu barwaye diyabete yo mu bwoko bwa 2 na diyabete yo mu gihe cyo gutwita.

Kuki DKA ari ikibazo cyihutirwa?

Iyi ni indwara ishyira ubuzima mu kaga, kandi DKA ni imwe mu mpamvu zikomeye zitera impfu, cyane cyane mu bana barwaye diyabete.

Impamvu za DKA:

• Ibibazo bya insuline: kubura dose ya insuline, gukoresha insuline yarengeje igihe, gukora nabi kwa pompe ya insuline.
• Indwara: Hari ubwandu n'indwara zimwe na zimwe bishobora gutera DKA.
• Stress: Guhangayika cyane mu mutwe, indwara nk'indwara y'umutima.
• Imiti imwe n'imwe.

Nigute wafasha mu gihe DKA ibayeho?

Niba umuntu afite ibimenyetso hakiri kare, musabe gusuzuma urugero rwa ketone mu nkari ze akoresheje "ketone test kit." Niba urugero rwa ketone ruri hejuru, agomba guhita ahamagara muganga we. Ariko, niba afite ibimenyetso bikomeye, agomba kujyanwa mu cyumba cy’ubutabazi bw’ibanze (ETU) by’ibitaro byihutirwa.

2. Indwara ya hyperosmolar hyperglycemic syndrome (HHS)

Ibi bibaho iyo igipimo cy'isukari mu maraso kirenze 600 mg/dL kandi kikaguma kuri icyo gipimo mu minsi cyangwa ibyumweru. Ibi bishobora gutuma umuntu abura amazi menshi kandi bikaba byashyira ubuzima mu kaga.

• HHS ikunze kugaragara ku bantu barwaye Diyabete yo mu bwoko bwa 2.
• Ntabwo ikura vuba nka DKA, ikura buhoro buhoro mu minsi myinshi.
• Muri HHS, ketone ntizirunda mu maraso nk'uko bigenda muri DKA.

Impamvu za HHS:

• Diyabete yo mu bwoko bwa 2 idagenzurwa neza.
• Indwara nka umusonga n'indwara zo mu nzira y'inkari.
• Indwara nk'indwara z'umutima n'imitsi yo mu bwonko.
• Imiti imwe n'imwe.

Ibimenyetso bya HHS:

Ibimenyetso bishobora kuba birimo kuma mu kanwa, kugira inyota nyinshi, kwihagarika kenshi, kugira umuriro, gutera umutima cyane, urujijo, impinduka mu mivugire, intege nke ku ruhande rumwe rw'umubiri, no guta ubwenge.

Ni gute HHS yafasha muri iki kibazo?

Hamagara muganga wabo ako kanya. Hanyuma ubajyane mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ry’ibitaro vuba bishoboka.

Coma iterwa na diyabete

Ubu ni bwo bwoko bukomeye cyane bw’indwara ya diyabete. Kubura ubwenge igihe kirekire bitewe n’isukari iri hejuru cyane mu maraso (iterwa na DKA cyangwa HHS) cyangwa iri hasi cyane (iterwa na hypoglycemia ikomeye) kandi itavuwe. Umuntu uri muri koma ntazakira ijambo cyangwa ngo akoreshwe.

Ni gute wafasha umuntu urwaye diyabete muri koma?

Iyo umuntu urwaye diyabete atazi kandi ntagire icyo akora, ashobora kuba ari diyabete koma.

• Hamagara 1990 cyangwa uhamagare inomero y'ubutabazi bwihuse.
• Kurikiza amabwiriza atangwa n'umukozi wa terefone.
• Ntugashyire ikintu icyo ari cyo cyose mu kanwa kawe (umutobe, amazi y'isukari) wibwira ko isukari yawe ishobora kuba nkeya. Ibi bishobora gutera kubyimba.
• Iyo umuntu arushye, muhindukirize ku ruhande kugira ngo adapfa kubyimba.

Agapaki k'ibikoresho byihutirwa by'indwara ya diyabete

Kwitegura ikibazo cyihutirwa bishobora kurokora ubuzima bwawe cyangwa ubw'umuntu ukunda. Bika ibi bintu hafi yawe, kandi umenye neza ko buri wese mu rugo rwawe azi aho biri.

• Insulini: Niba ukoresha insuline, buri gihe komeza ubike ikiri nshya itararangira.
• Ibintu byo gutanga iyo isukari ari nke: umutobe w'imbuto, ibinyobwa birimo isukari, cyangwa ibinini bya glucose.
• Igikoresho cya Glucagon: Kuzamura urugero rw'isukari mu maraso niba watakaje ubwenge. Niba uri kwita ku murwayi wa diyabete, menya uko wabikoresha.
• Kit yo gupima Ketone: Kugira ngo hamenyekane niba hari ukekwaho DKA.
• Indabyo zo mu bwoko bwa "medical alert bracelet": Ibi bigufasha kumenya ko urwaye diyabete mu gihe habaye ikibazo cyihutirwa.
• Amakuru yuzuye ku miti ufata: Hari n'ibikoresho bya terefone kuri ibi ubu.