Iyo umuganga wawe akubwiye ko urwaye Diyabete yo mu bwoko bwa 2, ni ibisanzwe ko ibibazo biza mu mutwe. 'Nkore iki ubu?', 'Ese uyu muti urakwiriye kuri njye?', 'Ni iki kizakurikiraho?' Ibintu nk'ibi bishobora kuza mu mutwe. Rero, ntugatinye kubaza umuganga wawe ibibazo ufite ku bijyanye n'ubuvuzi bwawe, imiti, cyangwa imibereho yawe. Gusobanura impungenge zawe ni igice cy'ingenzi cyane mu buvuzi. Uyu munsi, turaganira ku bibazo bikunze kugaragara ku bantu benshi kuri diyabete n'ibisubizo byoroshye byabyo.
Ese iyi ndwara ishobora gukira burundu?
Igisubizo kuri ibi ni 'oya' yoroshye. Ariko ntugahangayike. Nubwo diyabete yo mu bwoko bwa 2 idashobora gukira burundu, irashobora gukemurwa, cyangwa ikajyanwa mu 'kuruhuka'. Mu magambo make, iyo usubije urugero rw'isukari mu maraso yawe ku rugero rusanzwe, ushobora gukumira ingorane nyinshi za diyabete. Muganga wawe ashobora kugabanya imiti yawe cyangwa akayihagarika igihe runaka.
Ikintu cy'ingenzi kuri ibi ni uguhindura imibereho.
- Indyo nziza: Kugira ngo ibi bigerweho, ushobora kuvugana na muganga wawe cyangwa inzobere mu mirire maze ugashyiraho gahunda y'ifunguro ikubereye.
- Imyitozo ngororamubiri: Igamize gukora imyitozo ngororamubiri nibura iminota 30 mu minsi myinshi. Niba udashobora kuyikora ako kanya, tangira gato.
- Kugabanya ibiro: Niba ufite umubyibuho ukabije, ni ingenzi cyane kugabanya ibiro.
Yego, imiti muganga aguha ni igice kinini cy'ubuvuzi bwawe. Ariko kugira ngo ubeho ubuzima bwiza, kurya neza no gukora imyitozo ngororamubiri bigomba kuba ku isonga mu byo ukora. Nanone, gusinzira bihagije ni ingenzi. Iyo usinziriye amasaha ari munsi ya 7 ku munsi, isukari mu maraso yawe ishobora kugabanuka.
Ni iki umuganga aba ashaka iyo ugiye kwa muganga?
Iyo ugiye kwa muganga wita ku barwayi ba diyabete, muganga wawe azakora ibizamini byinshi kugira ngo akurikirane uko umerewe. Ibi bizapima bizagenzura niba diyabete yawe igenzurwa neza kandi niba hari izindi ngorane zagaragaye.
| Ni iki kirimo gupimwa/ni iki kirimo kurebwa? | Kuki ibyo ari ingenzi? |
|---|---|
| Ikizamini cya A1c | Uku niko ushobora kumenya neza uburyo isukari yawe mu maraso yagenzuwe mu mezi 2-3 ashize. |
| Umuvuduko w'amaraso | Kugira umuvuduko ukabije w'amaraso hamwe na diyabete byongera ibyago byo kurwara indwara zikomeye nk'indwara z'umutima na stroke. Kubwibyo, ni ngombwa kugenzura iyi gaciro. |
| Urugero rwa cholesterol | Kugenzura umuvuduko w'amaraso n'urugero rwa cholesterol bifasha kugabanya ibyago byo kurwara indwara z'umutima. |
| Gusuzuma amaso | Diyabete ishobora kwangiza amaso. Iyi ndwara yitwa retinopathy . Iyo igaragaye hakiri kare, gutakaza ubushobozi bwo kureba bishobora kwirindwa. |
| Gusuzuma ibirenge | Diyabete ishobora kwangiza imitsi yo mu birenge no kugabanya kumva. Ingaruka zabyo ni uko n'ibikomere bito bishobora kutagaragara, bigatera ibisebe mu birenge bidakira, kwandura indwara, ndetse rimwe na rimwe no gucibwamo ibice. |
Ese nanjye nzakenera gufata insuline?
Abantu barwaye Diyabete yo mu bwoko bwa 1 bagomba gufata insuline, ariko si buri wese urwaye Diyabete yo mu bwoko bwa 2 ukeneye insuline.
Muganga wawe ubusanzwe abanza kugerageza kugenzura urugero rw'isukari mu maraso yawe binyuze mu mirire, imyitozo ngororamubiri, no kugenzura ibiro. Iyo ibyo bidakunze, imiti yo kunywa izatangizwa. Akenshi, umuti wa mbere utangira ni umuti witwa metformin . Ibi bifasha umubiri wawe gukoresha insuline ufite neza. Iyo iyi miti idagenzura urugero rw'isukari mu maraso yawe, muganga wawe ashobora gufata icyemezo cyo kugutangira indi miti cyangwa insuline.
Wibuke ko diyabete ari indwara ikomeza kwiyongera. Ibi bivuze ko nubwo waba udakeneye insuline uyu munsi, ushobora kuyikenera mu gihe kizaza. Iyo ni yo miterere y'indwara.
Ni gute nasuzuma urugero rw'isukari yanjye mu rugo?
Uburyo busanzwe bwo kubikora ni ugukoresha icyuma gipima isukari mu maraso. Icyo ugomba gukora ni ugutobora urushinge ruto mu rutoki rwawe, ugashyira igitonyanga cy'amaraso ku murongo w'ikizamini, hanyuma ukagishyira muri icyo gipimo. Ibi bizakwereka ingano y'isukari mu maraso yawe.
Niba ufata insuline kandi ukaba uri mu kaga ko kugira isukari nke mu maraso, cyane cyane nijoro, muganga wawe ashobora kukugira inama yo gukoresha igikoresho cya CGM (Continuous Glucose Monitoring) . Ibi bikubiyemo gushyiramo icyuma gipima isukari ku ruhu rwawe. Gipima kandi kikandika urugero rw'isukari mu maraso yawe buri minota mike umunsi wose.
Ese nintangira gufata insuline, nzayifata ubuzima bwanjye bwose?
Si buri gihe. Hari igihe insuline itangwa nk'igisubizo cy'agateganyo. Urugero, niba utwite cyangwa urwariye mu bitaro kubera ikindi kibazo cyihutirwa, muganga wawe ashobora kugutangira insuline by'agateganyo. Dukurikije ingero zimwe, abantu bagera kuri 67% bafata insuline ya diyabete yo mu bwoko bwa 2 ntibazongera kuyifata ukundi.
Ese impyiko zanjye zizangirika bitewe na diyabete kandi ngomba gukora dialyse?
Iki ni ikibazo gikomeye ku bantu benshi. Nibyo koko diyabete ni ikintu gikomeye gishobora gutera indwara z'impyiko. Ariko hari byinshi wakora kugira ngo wirinde.
Gufata imiti yawe neza no kugenzura isukari yo mu maraso n'umuvuduko w'amaraso ni cyo kintu cy'ingenzi cyane. Nubwo waba ufite indwara y'impyiko mu ntangiriro, iyo ugenzuye isukari yo mu maraso n'umuvuduko w'amaraso neza, ushobora kugabanya kwangirika kw'impyiko ku kigero cya kabiri. Rero, ntugatinye, kandi ugenzure indwara yawe.
Ubutumwa bwo kujyana mu rugo
- Nubwo diyabete yo mu bwoko bwa 2 idashobora gukira burundu, irashobora kugenzurwa neza binyuze mu guhindura imibereho (imirire, imyitozo ngororamubiri) kandi gukenera imiti bishobora kugabanuka.
- Ni ngombwa kubonana na muganga wawe ku gihe cyagenwe no gupimwa A1c, umuvuduko w'amaraso, urugero rwa cholesterol, n'amaso n'ibirenge.
- Si abantu bose barwaye diyabete yo mu bwoko bwa 2 bakeneye insuline kuva mu ntangiriro. Akenshi, abantu batangirana n'ibinini.
- Mu gihe ugenzura neza urugero rw'isukari mu maraso yawe n'umuvuduko w'amaraso, ushobora kwirinda kwangirika kw'ingingo nk'impyiko, umutima n'amaso.
- Vugana na muganga wawe nta guhisha ku bibazo cyangwa impungenge ufite ku bijyanye n'ubuvuzi cyangwa imiti yawe.
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