Raporo y'ibizamini by'inkari ivuga iki ku ndwara ya diyabete?

Niba urwaye diyabete, gupimwa amaraso kenshi birashoboka ko ari ikintu gisanzwe mu buzima bwawe. Buri gihe tugenzura urugero rw'isukari mu maraso yacu. Ariko se wari uzi ko gupimwa inkari zawe bishobora kukubwira byinshi ku buzima bwawe, cyane cyane ubuzima bw'impyiko zawe ndetse niba urugero rw'isukari yawe ruri hejuru cyane? Ibi ni nk'ibimenyetso by'umuburo biva mu mibiri yacu. None rero uyu munsi, reka tuvuge kuri ibi bipimo bibiri byoroshye ariko bifite akamaro cyane.

Ikizamini cy'ubuzima bw'impyiko

Hafi kimwe cya gatatu cy'abantu barwaye diyabete amaherezo bazahura n'ibibazo by'impyiko. Ni imwe mu ngorane zikomeye ziterwa na diyabete. Ariko inkuru nziza ni uko iyo tugenzuye isukari n'umuvuduko w'amaraso mu maraso yacu neza kuva mu ntangiriro, kandi tugafata imiti twahawe na muganga neza, dushobora gutuma impyiko zacu zikomeza kuba nzima.

Rero, kugira ngo umenye ibimenyetso by'impyiko byangiritse hakiri kare, muganga wawe ashobora kukugira inama yo gupima inkari byihariye byitwa microalbuminuria test.

Muri make, albumin ni poroteyine nyamukuru mu maraso yacu. Impyiko nziza ntizisohora iyi poroteyine mu nkari. Nk'uko akayunguruzo k'icyayi gasukura icyayi, impyiko zigumana iyi poroteyine y'agaciro mu mubiri. Ariko iyo impyiko zitangiye kwangirika, nk'umwobo uri mu kayunguruzo, iyi poroteyine itangira kuva mu nkari. Uku kuvamo kwa poroteyine nto niko kugaragara mu kizamini cya "Microalbuminuria".

Iki kizamini kigomba gukorwa ryari?

• Iyo umaze gupimwa diyabete yo mu bwoko bwa 2 , ugomba kwipimisha rimwe mu mwaka. Ibi biterwa nuko muri diyabete yo mu bwoko bwa 2, isukari yo mu maraso ishobora kuba yari yariyongereye imyaka myinshi mbere yuko iyi ndwara imenyekana.
• Niba urwaye diyabete yo mu bwoko bwa 1 , iki kizamini gikunze gutangira nyuma y'imyaka 5 indwara igaragaye.

Ikizamini kivuga ko isukari iri hejuru cyane

Iki kizamini ni ingenzi cyane ku bantu barwaye diyabete yo mu bwoko bwa 1. Muganga wawe ashobora kugusaba gusuzuma inkari zawe niba nta ketone zirimo .

Tekereza nawe, uturemangingo tw’umubiri wacu dukeneye urufunguzo rwitwa insuline kugira ngo tubone ingufu. Ariko iyo insuline idafite ihagije, umubiri ugomba gushaka ubundi buryo bwo gukora ingufu. Hanyuma umubiri utwika ibinure bibitswe mu mubiri kugira ngo utange ingufu. Muri ubu buryo, imiti yitwa "ketones" ikorwa nk'ibikomoka kuri iyo ngingo.

Nubwo izi ketones ari mbi mu rugero ruto, ni uburozi iyo zirundanyije ku rugero runini. Iyo zirundanyije mu maraso, zishobora gutera ikibazo gikomeye cy’ubuzima cyitwa Diabetes Ketoacidosis (DKA) .

Rero iki kizamini cya ketone kigamije kuguha umuburo mbere yuko ugera kuri iyo mimerere iteje akaga. Iki ni ikizamini cyoroshye ushobora gukorera mu rugo. Ushobora kubona udupapuro tw'ibizamini muri farumasi ubishyize mu nkari zawe, ukareba uko ibara rihinduka, hanyuma ukagereranya ibisubizo n'imbonerahamwe y'amabara iri ku gapaki.

Ni ryari ugomba gupima ketones?

Niba urwaye diyabete yo mu bwoko bwa 1...

• Niba urwaye (nk'umuriro cyangwa ibicurane) kandi ukagira isesemi cyangwa kuruka.
• Niba utwite .
• Niba igipimo cy'isukari mu maraso yawe kiri hejuru ya 300 mg/dL .
• Niba ufite ibimenyetso by'isukari iri hejuru mu maraso, nko kugira inyota ikabije, umunaniro ukabije, isura ishaje, ubwenge bumeze nk'igihu, n'impumuro y'imbuto mu mwuka wawe.
• Niba muganga wawe agugiriye inama yo kubikora.

Niba urwaye diyabete yo mu bwoko bwa 2...

Ni gake cyane ku bantu barwaye diyabete yo mu bwoko bwa 2 kugira ketone nyinshi, nubwo baba bafata insuline. Ariko, bishobora kubaho mu bihe bikomeye. Muganga wawe ashobora gushaka gusuzuma:

• Niba ufite indwara ikomeye kandi ufite isesemi/kururuka bidasobanutse.
• Niba igipimo cy'isukari mu maraso yawe kiri hejuru ya 300 mg/dL kandi kigakomeza kwiyongera umunsi wose.

Ni ryari ugomba guhita uhamagara muganga?

Iki ni cyo gice cy'ingenzi cyane.

Nanone, niba isukari mu maraso yawe ikomeje kuzamuka, ukagira ububabare mu gifu, isesemi, kuruka, guhumeka vuba, impumuro nziza mu mwuka wawe, cyangwa kunyara cyane, bwira muganga wawe ako kanya.

Muri icyo gihe, muganga ashobora gutanga inama zikurikira:

• Nywa amazi menshi n'ibinyobwa kugira ngo ugabanye urugero rwa ketone kandi umubiri wawe ugumane amazi.
• Komeza urebe urugero rw'isukari mu maraso yawe. Niba urugero rw'isukari mu maraso yawe ruri hejuru, ushobora kubwirwa gufata dose nto ya insuline ikora vuba.
• Ushobora kugirwa inama yo kujya mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe kugira ngo uhabwe amazi yo mu mitsi (saline) na insuline.

Hanyuma, andika ibisubizo by'ibi bipimo by'inkari ukorera mu rugo mu ikaye, hamwe n'itariki n'isaha. Jyana aka kaye igihe cyose ugiye kwa muganga. Bizagufasha wowe na muganga wawe kubona ishusho isobanutse y'ubuzima bwawe.