Ese isukari mu maraso yawe igabanuka mu buryo butunguranye? Reka tuvuge ku ndwara ya hypoglycemia!

Ese urwaye diyabete? Niba ari uko bimeze, hari igihe uhita utangira kubira ibyuya, ugatitira, ukumva ubabaye gato? Wenda wumva ushonje, uzumva umeze nk'ufite isereri, cyangwa umutima wawe utera cyane. Ibi nibyo mu buvuzi twita 'hypoglycemia'. Muri make, ingano y'isukari umubiri wacu ushobora gukoresha uko ingufu zigabanuka mu buryo butunguranye.

Hypoglycemia ni iki?

Tekereza umubiri wacu nk'imodoka. Nk'uko imodoka ikenera lisansi kugira ngo ikore, umubiri wacu ukeneye ingufu kugira ngo ukore imirimo ya buri munsi, nko gutekereza, guhumeka, kugenda no kwiruka. Isoko nyamukuru y'ingufu mu mubiri wacu ni isukari, cyangwa "isukari". Iyo urugero rw'isukari mu mubiri w'umuntu urwaye diyabete rugabanutse cyane, umubiri utakaza "amavuta" ukeneye kugira ngo ukore. Ubusanzwe, ibi bimenyetso bitangira kugaragara iyo urugero rw'isukari mu maraso rugabanutse munsi ya 70 mg/dL (miligarama kuri desilitiro imwe).

Ni ibihe bimenyetso bigaragara mu gihe nk'iki?

Ibimenyetso bya hypoglycemia si bimwe kuri buri wese. Niba urwaye diyabete, uzajya umenya uko umubiri wawe witwara kuri iyi ndwara. Ibi bimenyetso bishobora kugabanywamo ibice bibiri: ibimenyetso bya mbere n'ibimenyetso bikomeye kurushaho.

Kuki isukari mu maraso igabanuka gutya?

Hari impamvu nyinshi zibitera. Izikuru ni imiti dufata ya diyabete n'imirire yacu.

Imiti imwe n'imwe ivura diyabete

Ni ngombwa cyane kubaza muganga wawe niba imiti ya diyabete urimo gufata ishobora gutuma isukari igabanuka mu maraso.

• Uburyo bwo kuvura insuline: Insulini ni yo misemburo nyamukuru igenzura urugero rw'isukari mu maraso. Iyo ufata insuline hanze, rimwe na rimwe iyo ingano ifatwa iri hejuru y'iyo umubiri ukeneye, urugero rw'isukari mu maraso rushobora kugabanuka.
• Sulfonylureas: Iyi ni ubwoko bw'imiti isanzwe ikoreshwa mu kuvura diyabete. Ikora mu gukangura pancreas kugira ngo ikore insuline nyinshi. Ibi rimwe na rimwe bishobora gutuma urugero rw'isukari mu maraso rugabanuka. Ingero zimwe na zimwe zirimo:
• Glimepiride (Amaryl)
• Glipizide (Glucotrol)
• Glibenclamide (Gliburide, Micronase)

Byongeye kandi, niba unywa inzoga hamwe n'imiti yawe ya diyabete, cyangwa niba ufata indi miti nka allopurinol, aspirine, cyangwa warfarin, ishobora kugira ingaruka ku isukari yo mu maraso. Rero, menyesha muganga wawe imiti yose ufata.

Ingaruka z'ibiribwa n'ibinyobwa

Iyo ufashe ibinini bya insuline cyangwa diyabete bidahuye n'ingano ya karubohidrati (isukari/isukari) urya, isukari mu maraso yawe ishobora kugabanuka.

• Gusiba cyangwa gutinza ifunguro: Niba utariye ku gihe gikwiye nyuma yo gufata umuti wawe, igipimo cy'isukari mu maraso yawe kizagabanuka kuko isukari nke iri kwinjira mu mubiri wawe.
• Kurya indyo irimo isukari nyinshi: Iyo uriye ibiryo byinshi birimo isukari nyinshi (urugero: ibinyobwa biryoshye, keke) icyarimwe, umubiri wawe uzahita ukora insuline nyinshi. Ibi bishobora gutuma urugero rw'isukari mu maraso yawe rugabanuka mu buryo butunguranye.
• Kunywa inzoga udafite icyo urya: Kunywa inzoga udafite ibyo kurya bishobora kubangamira imikorere y'isukari mu mwijima no gutera hypoglycemia.
• Imyitozo ngororamubiri: Iyo ukora imyitozo ngororamubiri, umubiri wawe ukoresha isukari kugira ngo ubone ingufu. Bityo rero ugomba kwitondera urugero rw'isukari yawe mbere na nyuma y'imyitozo ngororamubiri.

Ukora iki iyo isukari yawe mu maraso iri hasi?

Niba utekereza ko ufite ibimenyetso bya hypoglycemia mu gihe urwaye, ntugatinye kandi ukurikize izi ntambwe.

1. Suzuma urwego rw'isukari mu maraso yawe ako kanya: Niba bishoboka, suzuma urwego rw'isukari mu maraso yawe ukoresheje glucometer yawe. Niba iri munsi ya 70 mg/dL, hita ufata ingamba.

2. Kurikiza itegeko rya '15-15':

• Intambwe ya 1: Kurya cyangwa kunywa garama 15 za karubohidrati zigira uruhare runini mu mubiri.
• Ibinini 3-4 bya glucose
• Tofi 4-6 ziryoshye (zidafite isukari)
• 1/2 cy'igikombe cy'umutobe w'imbuto (utarimo isukari)
• Igikombe 1 cy'amata aryoshye
• 1/2 cy'ikinyobwa kidasembuye kirimo isukari
• Ikiyiko cy'ubuki (ubu buhita bwinjira mu maraso iyo bushyizwe munsi y'ururimi)
• Intambwe ya 2: Tegereza iminota 15.
• Intambwe ya 3: Ongera usuzume isukari yawe mu maraso. Niba ikiri munsi ya 70 mg/dL, ongera urye garama 15 z'imwe mu biribwa byavuzwe haruguru.

3. Iyo isukari yawe yo mu maraso imaze gusubira ku rugero: Iyo isukari yawe yo mu maraso imaze gusubira ku rugero, fungura akantu gato karimo poroteyine na karubohidrati (urugero: biscuit ya cream cracker irimo foromaje) kugira ngo isukari yawe yo mu maraso ikomeze ku rugero ruhamye.

Bite ho niba umuntu yatakaje ubwenge?

Mu bihe bimwe na bimwe bikomeye, hypoglycemia ishobora gutera guta ubwenge. Ibi ni ibintu byihutirwa.

• Ntugahe umuntu utazi icyo arya cyangwa icyo anywa mu kanwa. Kubikora bishobora gutuma bihagarara mu myanya y'ubuhumekero bigatuma ibintu birushaho kuba bibi.
• Hamagara imbangukiragutabara ako kanya cyangwa ujyane uwo muntu mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ry’ibitaro biri hafi yawe.
• Niba muganga wawe yagusabye gukoresha urushinge rwitwa glucagon, ni ngombwa cyane kwigisha umuryango wawe n'inshuti zawe uburyo bwo kuruha mu gihe cy'impanuka. Glucagon ni imisemburo yongera vuba isukari mu maraso.

Witondere igihe utwaye imodoka!

Gutwara imodoka ufite isukari nke mu maraso ni akaga gakomeye . Niba ubonye ibimenyetso bya hypoglycemia mu gihe utwaye imodoka, hita uhagarika imodoka ahantu hizewe mu muhanda. Hanyuma suzuma isukari mu maraso yawe, urye ikintu giryoshye, tegereza iminota 15, wongere usuzume, hanyuma wongere ugende gusa isukari mu maraso yawe imaze gusubira ku murongo. Buri gihe shyiramo ikintu cyiza (toffee, glucose) mu modoka yawe mu gihe cy'ibibazo byihutirwa.

Ni gute wakwirinda hypoglycemia?

• Kurikiza gahunda y'ifunguro wahawe na muganga wawe cyangwa inzobere mu mirire neza.
• Rya amafunguro yawe atatu y'ingenzi ku gihe gisanzwe. Ntureke ngo intera iri hagati y'amafunguro irenge amasaha 4-5.
• Niba ukora imyitozo ngororamubiri, kora iminota 30 cyangwa isaha nyuma yo kurya. Reba urugero rw'isukari mu maraso yawe mbere na nyuma yo gukora imyitozo ngororamubiri.
• Mbere yo gufata umuti, banza urebe neza ko ufata umuti ukwiye n'ingano yawo .
• Niba unywa inzoga, gabanya kuzinywa. Irinde kunywa inzoga uri mu nda irimo ubusa.
• Baza muganga wawe urugero rw'imiti ufata.
• Suzuma urugero rw'isukari mu maraso yawe buri gihe nk'uko muganga wawe yabigutegetse.
• Kwambara indangamuntu cyangwa umukufi uvuga ko urwaye diyabete bishobora kuba ingenzi cyane mu gihe cy’impanuka.

Niba igipimo cy'isukari mu maraso yawe kiri hasi inshuro nyinshi mu cyumweru nta mpamvu igaragara, ganira na muganga wawe kuri ibyo. Andika igihe, itariki, n'ibyo wakoraga icyo gihe. Ibi bizafasha muganga wawe kumenya imiterere no guhindura ibikenewe mu buvuzi bwawe.