Ese indwara z'imitsi ziterwa na diyabete? Reka tubimenye.

Ese uri umuntu urwaye diyabete? None se, wumva ufite ibinya, ubabara, ushyushye, cyangwa rimwe na rimwe ubabara mu biganza no mu birenge? Ibi bishobora kuba ibimenyetso byerekana ko imitsi yawe igenda yangirika buhoro buhoro kubera diyabete. Ntugahangayike, iyi ni indwara ifata abantu benshi. Uyu munsi, turaganira kuri iyi ndwara y'imitsi iterwa na diyabete, yitwa `(Diabete-Related Neuropathy)`.

Mu magambo make, indwara y'imitsi ni iki?

Tekereza ko sisitemu y'imitsi iri mu mubiri wacu imeze nk'insinga z'amashanyarazi ziri mu nzu. Iyi mitsi itwara ubutumwa buva mu bwonko bujya mu mfuruka zose z'umubiri, naho iyi mitsi itwara ubutumwa buva mu bindi bice by'umubiri ikabujyana mu bwonko. Iyi mitsi yakira ibiryo n'umwuka uhumura neza uturutse mu mitsi mito cyane y'amaraso.

Noneho, iyo urwaye diyabete, bivuze ko igipimo cy'isukari mu maraso yawe kiba kiri hejuru (Hyperglycemia) igihe kirekire, iyi miyoboro y'amaraso yoroshye itangira kwangirika. Nk'uko amazi arimo isukari nyinshi anyura mu miyoboro, imiyoboro itangira kwangirika. Iyo imiyoboro y'amaraso yangiritse muri ubu buryo, imitsi, imeze nk'insinga z'amashanyarazi, ntibona intungamubiri na ogisijeni ikeneye. Hanyuma iyo mitsi iracika intege buhoro buhoro, ikangirika, ndetse igatangira gupfa. Ibyo ni byo twita indwara ya diyabete-Related Neuropathy .

Ibi bishobora kuba ku bantu barwaye diyabete y’ubwoko bwa 1 na diyabete y’ubwoko bwa 2. Ariko, ntibibaho ku bantu bose barwaye diyabete. Nanone, indwara z’imitsi zishobora kubaho kubera izindi mpamvu. Urugero, zishobora guterwa n’imvune y’imitsi, kubura imirire, cyangwa impanuka. Ariko, niba muganga asanze urwaye diyabete kandi nta yindi mpamvu y’ibyo bimenyetso, azagusuzuma nk’indwara ya diyabete.

Ni ubuhe bwoko bw'indwara z'imitsi ziterwa na diyabete?

Uku kwangirika kw'imitsi bishobora kugira ingaruka ku mitsi mu bice bitandukanye by'umubiri. Bigabanyijemo ubwoko bwinshi bw'ingenzi bitewe n'aho byagize ingaruka. Reka turebe ibyo ari byo.

Ni ibihe bimenyetso by'izi ndwara zo mu bwonko bishobora kuba?

Ibimenyetso uhura nabyo biterwa n'ubwoko bw'indwara y'imitsi (neuropathy). Reka turebe ibimenyetso bifitanye isano na buri bwoko ukwabwo.

Ibimenyetso bya Peripheral Neuropathy

Kubera ko ibi bigira ingaruka cyane ku maguru, ushobora guhura n'ibintu nk'ibi:

• Kuryamirana mu maguru , kumva imboro ziruka hirya no hino, kumva urimo gukubitwa n'inshinge (Paresthesia).
• Ububabare bukabije, nko kumva ubushye, gukomeretswa, cyangwa gukubitwa n'amashanyarazi.
• Uburyo budasanzwe bwo gukoraho. Urugero, kumva ububabare bukabije iyo umwenda wo kuryamaho ukoze ku kaguru (Dysesthesia).
• Intege nke z'imitsi.
• Ibikomere byo ku maguru cyangwa ku birenge bifata igihe kirekire kugira ngo bikire .
• Hari igihe utakaza kumva kose mu birenge byawe. Hanyuma, nubwo wakubitwa n'ihwa cyangwa ugakomeretswa n'inkweto, ntushobora kubyumva.

Uku kwangirika kw'imitsi bigenda buhoro buhoro mu myaka myinshi, bityo ushobora kutabona ibimenyetso bikomeye mu ntangiriro.

Ibimenyetso bya Autonomic Neuropathy

Kubera ko igira ingaruka ku mikorere itandukanye y'umubiri, ibimenyetso bishobora gutandukana cyane.

Ikindi kintu kibi gishobora kubaho kuri iyi ndwara y’imitsi ni uko ushobora kutabona ibimenyetso by’umuburo bya hypoglycemia, nko kujijinganya, inzara ikabije, no guhangayika. Ibi bishobora guteza akaga.

Ni ibihe bintu byongera ibyago byo kurwara iyi ndwara?

Niba urwaye diyabete, hari ibintu byinshi byongera ibyago byo kurwara iyi ndwara y'imitsi:

• Igihe diyabete imara: Uko umara igihe kirekire urwaye diyabete, niko ibyago byo kwangirika kw'imitsi birushaho kwiyongera.
• Imyaka: Ibi byago nabyo biriyongera uko imyaka igenda ishira.
• Kudagenzura isukari mu maraso: Niba isukari mu maraso yawe ihora iri hejuru, ni cyo kintu cy’ingenzi gishobora gutera ibyago. Kugira A1C iri hejuru ya 7% mu gihe kirenga imyaka itatu byongera cyane ibyago byawe.
• Umuvuduko ukabije w'amaraso (Hypertension): Iyo umuvuduko w'amaraso uri hejuru, ushobora no kwangiza imiyoboro y'amaraso yoroshye.
• Kolesteroli nyinshi: Kolesteroli nyinshi mu maraso nayo si nziza ku mitsi y'amaraso.
• Ibiro byinshi by'umubiri (BMI iri hejuru): Umubyibuho ukabije na wo ufitanye isano n'ibi.
• Indwara z'impyiko: Iyo impyiko zangiritse bitewe na diyabete, ibyago byo kurwara indwara z'imitsi nabyo biriyongera.
• Kunywa itabi no kunywa inzoga: Izi ngeso zombi zangiza imiyoboro y'amaraso n'imitsi mu buryo butaziguye.

Ni gute muganga asuzuma ibi?

Niba ufite ibi bimenyetso, ikintu cya mbere ugomba gukora ni ukubonana na muganga wawe. Azakubaza ibimenyetso byawe n'uko witwara diyabete yawe. Hanyuma, azagukorera isuzuma ry'umubiri. Hari ibizamini byinshi bishobora gukorwa kugira ngo byemezwe ko ufite indwara.

• Isuzuma ry'ibirenge bya diyabete: Aha, muganga azasuzuma ibirenge byawe witonze kugira ngo arebe niba hari ibikomere, ibikomere cyangwa ibisebe. Hanyuma, akoresheje igikoresho gito (nk'icyuma kimwe), azakora ku bice bitandukanye by'ibirenge byawe arebe niba ushobora kubyumva. Ibi bizagufasha kumenya ingano y'amarangamutima yatakaye mu birenge byawe.
• Inyigo zo Gutwara Imitsi (NCS): Ibi bipima umuvuduko w'amakuru y'amashanyarazi anyura mu mitsi yawe. Iyo imitsi yangiritse, uyu muvuduko uzagabanuka.
• Electromyography (EMG): Iki kizamini kireba ubuzima bw'imitsi yawe n'imitsi iyiyobora.

Ibizamini byo gusuzuma indwara ya autonomic neuropathy biratandukanye bitewe n'imiterere y'umubiri yangiritse. Urugero, niba hari ikibazo mu ruhago, scan ya ultrasound ishobora gukorwa.

Ni ubuhe buryo bwo kuvura ibi?

Muganga wawe azagufasha kugira isukari nziza mu maraso no kuvura ibimenyetso byose ushobora kugira, cyane cyane ububabare.

• Imiti igabanya ububabare: Imiti nka `Pregabalin` na `Gabapentin` ikunze gutangwa ku bubabare bw'imitsi. Hari igihe uduce twa `(Capsaicin)` dushyirwa ahantu hababara cyangwa imiti imwe n'imwe yo kwiheba na yo ikoreshwa kuri ubu bubabare.
• Ubuvuzi bw'umubiri: Ibi bifasha gukomeza imitsi, kwirinda ingorane zo kugenda, no kubungabunga uburinganire.
• Ubuvuzi bw'akazi: Butanga inama n'ibikoresho bifasha mu koroshya imirimo ya buri munsi.
• Ubundi buryo bwo kuvura: Hari abantu bashobora kugabanya ububabare binyuze mu bintu nka acupuncture. Ni ngombwa kandi kubonana n'inzobere mu by'imirire kugira ngo bamenye indyo yuzuye.

Ese iyi ndwara y’imitsi ishobora gukurwaho?

Iki ni ikibazo abantu benshi bibaza. Iyo igipimo cy'isukari mu maraso gigenzuwe neza, ibimenyetso bya mbere nko kuribwa mu nda bishobora kugabanuka cyangwa bigashira mu mwaka umwe cyangwa urenga. Ariko, niba kwangirika kw'imitsi gukomeye , biragoye kubyisubiza burundu. Niyo mpamvu ari ngombwa kumenya ibimenyetso vuba bishoboka no gutangira kugenzura isukari yawe.

Ni iki twagombye gukora kugira ngo tubikumire?

Ikintu cyiza cyo gukora ni ukwirinda ko ibi bibaho. Hari ibintu bike ushobora gukora kugira ngo ubikore:

• Komeza A1C yawe iri munsi ya 7%. Iki nicyo kintu cy'ingenzi cyane.
• Komeza umuvuduko w'amaraso uri munsi ya 140/90 mmHg cyangwa ku rwego rwagenwe na muganga wawe.
• Kurikiza indyo yuzuye n'imyitozo ngororamubiri.
• Komeza kugira ibiro byiza by'umubiri.
• Niba unywa itabi, hagarika ako kanya.
• Kugabanya cyangwa guhagarika burundu kunywa inzoga .
• Jyana na muganga wawe nibura rimwe mu mwaka kugira ngo agusuzume neza, cyane cyane isuzuma ry'ibirenge .
• Suzuma ibirenge byawe buri munsi kugira ngo urebe ko nta dusebe, ibisebe, ibisebe, uruhu rwacitse, cyangwa ngo ugire umutuku. Kubera ko udafite ubwuzu bwinshi, ushobora kwikomeretsa utabizi.