Iyo muganga wawe akubwiye ko urwaye Diyabete yo mu bwoko bwa 2, ushobora kuba warahawe imiti itandukanye yo kugenzura urugero rw'isukari mu maraso yawe. Muri yo, ushobora kuba warahawe ikinini kirimo imiti ibiri yitwa Empagliflozin na Metformin. Muri Sri Lanka, uyu muti ushobora kugurishwa n'amazina nka Synjardy XR. None rero uyu munsi, reka tuvuge kuri uyu muti n'ibintu ugomba kwitondera mu gihe uwukoresha, mu buryo bworoshye kandi busobanutse.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, uyu ni umuti ugabanya urugero rw'isukari (glucose) mu maraso yawe. Ni uruvange rw'ubwoko bubiri bw'imiti.
1. Empagliflozin: Ibi bikora binyuze mu gutuma impyiko zawe zisohora isukari nyinshi mu mubiri wawe binyuze mu nkari zawe.
2. Metformin: Ibi bigabanya cyane cyane isukari ikorwa n'umwijima wawe, kandi binafasha uturemangingo tw'umubiri wawe kwakira neza insuline.
Igikuru ni uko uyu muti ukunze kwandikirwa hamwe n'indyo nziza n'imyitozo ngororamubiri . Gufata imiti gusa ntibihagije, ugomba guhindura imibereho yawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira uyu muti, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose, cyane cyane niba ufite imwe mu ndwara zavuzwe haruguru.
| Ubwoko bw'amakuru | Ibisobanuro |
|---|---|
| Indwara zisanzweho | Indwara z'impyiko, indwara y'umwijima, indwara y'umutima, cholesterol nyinshi, kubura amaraso (umubare muto w'amaraso), umuvuduko muke w'amaraso, ibibazo bya pancreatitis (Pancreatite), Polycystic Ovary Syndrome (PCOS), Diyabete yo mu bwoko bwa 1. |
| Kwandura indwara n'ibindi bibazo | Niba ukunze kugira indwara zo mu myanya y'inkari (UTI), amateka y'indwara z'umusemburo mu myanya ndangagitsina, kugorwa no kunyara, indwara zikomeye, cyangwa gukomereka. |
| Ubuzima n'imirire | Niba unywa inzoga kenshi, ukurikiza indyo irimo umunyu muke, urya bike bitewe n'uburwayi, kubagwa, cyangwa izindi mpamvu, kuruka, cyangwa wabuze amazi mu mubiri. |
| Ibirori byihariye | Niba utwite cyangwa ugerageza gusama, umubyeyi wonsa, uzabagwa vuba aha, cyangwa ufite ubwivumbure ku muti uwo ari wo wose cyangwa ibiryo. |
Ni gute wakoresha umuti neza?
Wibuke neza ibi bintu.
- Fata uyu muti n'ikirahure cy'amazi.
- Mirira ikinini cyose. Ntukagimene, ntukivune cyangwa ngo ukihekenye. Ibi biterwa nuko ibi byakorewe 'Kurekura Cyane', bivuze ko umuti usohokera mu mubiri uko igihe kigenda gihita. Iyo umennye ikinini, umuti ushobora kwinjira mu mubiri icyarimwe ugatera indwara zikomeye.
- Fata uyu muti hamwe n'ifunguro .
- Fata umuti neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye. Ntugahagarike gufata umuti ku mpamvu iyo ari yo yose utabanje kugisha inama muganga wawe.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko warengeje urugero rw'umuti, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo (nimero ya telefoni 0112686143) cyangwa ujye mu ishami rishinzwe ubutabazi bwihutirwa (ETU) riri hafi yawe.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, fata vuba uko wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira uko byateganyijwe. Ntukigere ufata dose ebyiri icyarimwe.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro). Imiti imwe ishobora guteza ibibazo iyo uyifashe hamwe.
By’umwihariko, ubwoko bumwe na bumwe bw’imiti iterwa mu mubiri mbere yo gupimwa nka X-ray, CT scan, na MRI ntibugomba gufatwa hamwe n’uyu muti. Nanone, ntugafate umuti witwa Dofetilide.
Ha muganga wawe urutonde rw'imiti yose ufata. Ubwo ni bwo buryo bwizewe bwo kubikora. Imiti imwe n'imwe yo mu bwoko bwa "inkorora" n'iy'ibicurane igurishwa ku iduka ishobora kuba irimo isukari na alcool, bishobora kugira ingaruka ku rugero rw'isukari mu maraso yawe.
Ibintu ugomba kwitondera cyane cyane mu gihe ufata umuti
- Lactic acidosis: Iyi ni indwara idasanzwe ariko ikomeye. Niba ugize isesemi, kuruka, kubabara mu gifu, umunaniro ukabije, cyangwa guhumeka bigoranye , hagarika gufata umuti ako kanya hanyuma uhamagare muganga wawe.
- Ketoacidosis ya Diyabete (DKA): Iyi ni indi ndwara ikomeye. Niba ubonye ibimenyetso nko kuma mu kanwa, kugira inyota nyinshi, kwihagarika kenshi, guhumeka nabi no kugorwa no guhumeka, shaka ubufasha bwa muganga vuba.
- Ikizamini cya HbA1C: Iki kizamini cy'amaraso, gipima uburyo isukari yawe igenzurwa mu mezi 2-3 ashize, kigomba gukorwa ku gihe cyagenwe nk'uko muganga wawe yabigutegetse.
- Gupima urugero rw'isukari mu maraso: Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia). Bika ibyo kurya, nk'agace k'isukari cyangwa ikinini cya glucose, mu gihe isukari yawe mu maraso igabanuka.
- Kubagwa no gupimwa: Niba ugiye kubagwa, gupimwa na MRI, cyangwa gupimwa na CT, bwira itsinda ry’abaganga mbere y’igihe ko ugiye gufata uyu muti. Ushobora kuba ugomba guhagarika gufata uyu muti mbere yo kubagwa .
- Gutwita: Uyu muti ushobora kongera ibyago byo gusama. Kubwibyo, ganira na muganga wawe ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro bukwiye. Bibwire muganga wawe ako kanya niba utwite cyangwa utekereza ko utwite.
- Kubura Vitamine: Gukoresha uyu muti igihe kirekire bishobora gutuma ingano nto ya Vitamine B12 na aside folike iba nkeya. Kubwibyo, ganira na muganga wawe ku bijyanye no kurya indyo yuzuye no gufata inyunganiramirire ya Vitamine nibiba ngombwa.
Ni izihe ngaruka mbi zishobora kubaho?
Nk'uko bimeze ku muti uwo ari wo wose, uyu ushobora kugira ingaruka mbi. Reka tubicemo ibice bibiri.
| Niba ubonye ibi bimenyetso, hita ubibwira muganga wawe. | |
|---|---|
| Allergie ikomeye | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso bya Lactic Acidosis cyangwa DKA | Kubabara mu nda, guhumeka bigoranye, umunaniro ukabije, isesemi, kuruka. |
| Indwara zandurira mu mubiri | UTI, kwihagarika kenshi, gutukura, kubyimba, kuribwa, ububabare, n'impumuro mbi mu gitsina cyangwa hafi yacyo. |
| Ibindi bimenyetso bikomeye | Ibimenyetso byo kubura amazi mu kanwa (umunwa wumye, inyota nyinshi, inkari zijimye), ibimenyetso byo kubura vitamine B12 (gucika intege mu biganza no mu birenge, isereri, intege nke z'imitsi). |
| Ibi akenshi ntabwo ari ibintu bikomeye, ariko niba bikomeje, bwira muganga wawe. | |
| Ibibazo by'igogora | Impiswi, kubyimba mu nda, isesemi. |
| Izindi ndwara ntoya | Kuribwa umutwe , uburyohe bw'icyuma mu kanwa. |
Ni gute wakwirinda imiti?
- Bika ahantu abana n'amatungo batagera.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15-30).
- Tara imiti yarengeje igihe utayikoresheje.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata uyu muti nk'uko muganga wawe yabigutegetse, mu gipimo gikwiye kandi mu gihe gikwiye.
- Ntukavune ikinini, ntukagishegeshe cyangwa ngo ugihekenye ku mpamvu iyo ari yo yose. Uramire cyose.
- Menyesha muganga wawe indi miti yose, vitamine, n'inyongeramusaruro ufata.
- Menya ibimenyetso by'ingaruka mbi zikomeye nka lactic acidosis, kandi shaka ubufasha bwa muganga vuba niba uhuye na kimwe muri ibi.
- Suzuma urugero rw'isukari mu maraso yawe buri gihe kandi ubwire muganga wawe ko azagukorera ibizamini, nka HbA1c, ku gihe.
- Niba ufite impungenge cyangwa gushidikanya, nyamuneka ubiganireho na muganga wawe.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.