Niba urwaye diyabete, ni cyo gihe cyo kwita ku mpyiko zawe. Imwe mu ngorane zikomeye ziterwa na diyabete ni ukwangirika kw'impyiko. Ubuganga butwita iyi ndwara " Diabete Indwara y'Impyiko ." Ushobora kuba warumvise muganga wawe ayita Diabete Nephropathy . Muri make, iki ni igihe impyiko zawe zangiritse bitewe n'umuvuduko ukabije w'amaraso n'isukari nyinshi mu maraso bitagenzurwa igihe kirekire.
Iyo impyiko zangiritse muri ubu buryo, ubushobozi bwazo bwo kuyungurura no gukura imyanda mu mubiri bugenda bugabanuka buhoro buhoro. Ibi ntibibaho icyarimwe, indwara igenda inyura mu byiciro bitanu buhoro buhoro. Ariko icyiza ni uko, hamwe n’ubuvuzi bukwiye n’impinduka mu mibereho, dushobora kugenzura iyi ndwara no gukumira ingorane.
Mu ntangiriro z'iyi ndwara y'impyiko, nta bimenyetso bigaragara. Niyo mpamvu ari ngombwa kuvugana na muganga wawe no gusuzumwa imikorere y'impyiko zawe byibuze rimwe mu mwaka.
Muganga wawe asanzwe asuzuma inkari zawe n'amaraso yawe, cyane cyane ashakisha ubwoko bwa poroteyine yitwa microalbumin mu nkari zawe. Iki ni ikimenyetso cy'uko impyiko zawe zitangiye kwangirika.
Renal function (eGFR)
Measure kidney function based on creatinine value
Ni ibihe byiciro 5 by'indwara y'impyiko ya diyabete?
Reka noneho dusobanukirwe ibyiciro bitanu by'iyi ndwara ukwabyo kandi mu buryo bworoshye. Kubimenya bizafasha cyane mu kumenya no kugenzura iyi ndwara hakiri kare.
| Urugendo | Ni iki kibera impyiko? | Ibintu by'ingenzi n'ibyo gukora |
|---|---|---|
| Icyiciro cya 1 | Impyiko zikora cyane kurusha uko bisanzwe kandi zishobora kuba nini gato mu bunini. | Nta bimenyetso by'inyuma bihari. Ingano nto cyane ya poroteyine (microalbumin) igaragara mu nkari. Guhindura imibereho ni ingenzi cyane. |
| Icyiciro cya 2 | Impyiko zitangiye kugaragaza ko hari ikibazo gito. Ziracyakora neza. | Nta bimenyetso by'inyuma bihari. Ingano ya poroteyine mu nkari iri hejuru gato ugereranyije n'icyiciro cya mbere. Ugomba gukomeza gukurikiza amabwiriza y'icyiciro cya mbere. |
| Icyiciro cya 3 | Imikorere y'impyiko yagabanutse cyane. | Akenshi nta bimenyetso bihari. Hari abantu bashobora kubyimba ingingo, umuvuduko ukabije w'amaraso, no kubura amaraso. Ni ngombwa kubonana na muganga w'inzobere mu ndwara z'impyiko (Nephrologist). |
| Icyiciro cya 4 | Impyiko zangiritse cyane. Imikorere yazo ni mike cyane. | Ibimenyetso birimo kubyimba kw'amaguru n'impinduka mu gihe cyo kwihagarika. Potasiyumu, fosifore, na aside mu maraso biriyongera. Hakenewe gukurikiranwa hafi na muganga kugira ngo impyiko zibuze gukora nabi. |
| Icyiciro cya 5 | Kunanirwa kw'impyiko biba byarangiye cyangwa bigiye kurangira. | Ibimenyetso bikomeye biragaragara, bigasaba dialyse cyangwa gusimbuzwa impyiko. |
Intambwe za mbere (Intambwe ya 1 n'iya 2) - Umuburo ucecetse
Ntugatekereze ko kuba ntacyo wumva muri ibi byiciro bibiri bya mbere, atari akaga. Iki ni cyo gihe cyiza cyo kugira icyo ukora. Iki ni cyo gihe cyiza cyo guhagarika cyangwa gutinza kwangirika kw'impyiko zawe.
Ibintu ushobora gukora muri iki gihe
- Genzura isukari mu maraso yawe n'umuvuduko w'amaraso: Iki ni cyo kintu cy'ingenzi cyane. Fata imiti muganga akwandikiye ku gihe. Byaba byiza ufite igikoresho cyo gupima isukari n'umuvuduko w'amaraso mu rugo.
- Indyo nziza: Gabanya umunyu uko bishoboka kose. Irinde ibiryo biryoshye, ibiryo bifite amavuta, n'ibiryo byihuse. Shyiramo imboga, imbuto n'ibimera mu ndyo yawe.
- Imyitozo ngororamubiri:Kora imyitozo ngororamubiri isaba imbaraga nibura iminota 30 ku munsi. Kugenda n'amaguru, kwiruka, cyangwa kugendera ku igare ni amahitamo meza.
- Komeza kugira ibiro byiza: Kugumana ibiro bikwiranye n'uburebure bwawe bigabanya umuvuduko w'impyiko zawe.
- Niba unywa itabi, hagarika ubu ngubu: Kunywa itabi byangiza imiyoboro y'amaraso ijyana amaraso mu mpyiko.
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Check Availability →Icyiciro cya 3 n'icya 4 - Igihe cyo kwitonda
Ndetse no mu cyiciro cya gatatu, ushobora kutabona ibimenyetso bikomeye. Ariko, hari abantu batangira kubyimba amaguru n'amaboko. Umuvuduko w'amaraso ushobora kwiyongera kandi ushobora kugira ikibazo cyo kubura amaraso. Muri iki cyiciro, muganga wawe azakohereza kwa muganga w'inzobere mu ndwara z'impyiko, witwa nephrologist . Ni ngombwa cyane gukurikiza amabwiriza ye.
Icyiciro cya kane ni indwara ikomeye cyane. Kugeza ubu, imikorere y'impyiko yaragabanutse cyane. Ibimenyetso birimo kubyimba ingingo, impinduka mu gihe cyo kwihagarika cyangwa ingano y'inkari, ndetse n'ubwiyongere bwa potasiyumu na fosifore mu maraso. Muri iki gihe, wowe na muganga wawe mugomba gukora cyane kugira ngo hirindwe ko impyiko zikora nabi burundu.
Icyiciro cya 5 - Kunanirwa kw'impyiko
Iki ni cyo cyiciro cya nyuma. Aha ngaha, imikorere y'impyiko zombi yahagaze burundu cyangwa iri hafi guhagarara. Muri iki gihe, ibimenyetso bitandukanye bigaragara bitewe n'imyanda yirundanyije mu mubiri ndetse n'uburozi.
- Kubyimba kw'ingingo
- Uruhu ruryana cyane
- Kuribwa imitsi
- Isesemi no kuruka
- Kubabara umugongo
- Gukunda kurya
- Inkari nke cyane cyangwa ntazo zisohoka
- Kugorwa no guhumeka, kudasinzira neza
- Guhungabana mu kwibuka no mu bwenge (Guhuzagurika)
- Indwara zo mu mutwe
- Kumva uburyohe bw'icyuma mu kanwa
Kugira ngo impyiko zikomeze kubaho nyuma yo kugera kuri iki cyiciro, zigomba gukora imirimo yazo mu buryo butandukanye. Hari uburyo bubiri bw'ingenzi bwo kuvura ibi.
1. Dialysis: Aha niho amaraso y'umubiri asukurwa hifashishijwe imashini, hagakurwamo amazi arenze n'imyanda. Hari ubwoko bubiri bw'ibi: Hemodialysis (uburyo bukorerwa mu bitaro buhuzwa n'imashini) na Peritoneal Dialysis (uburyo bukorerwa mu rugo binyuze mu nda).
2. Gutera impyiko: Kubaga gutera impyiko nzima (ivuye ku muntu ukiriho cyangwa uwapfuye) ikayishyira mu mubiri.
Ubutumwa bwo kujyana mu rugo
- Niba urwaye diyabete, wibuke ko ishobora kugira ingaruka ku mpyiko zawe. Ariko ntugahangayike, ibi bishobora kugenzurwa.
- Igikuru ni uguhora ugenzura isukari mu maraso yawe n'umuvuduko w'amaraso . Fata umuti neza nk'uko muganga wawe yabigutegetse.
- Kubera ko nta bimenyetso bigaragara mu ntangiriro, hamagara muganga wawe agusuzumire imikorere y'impyiko zawe nibura rimwe mu mwaka (poroteyine mu nkari zawe na creatinine mu maraso yawe).
- Ubuzima bwiza (indyo nziza, imyitozo ngororamubiri, no kwirinda kunywa itabi) bikora nk'urukuta runini rwo kurinda impyiko zawe.
- Niba usanzwe urwaye impyiko, ntugatinye kandi ukurikize amabwiriza ya muganga neza. Iyo ufashwe neza, ushobora kubaho ubuzima bwiza.
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