Diyabete ni indwara ikunze kugaragara cyane mu gihugu cyacu abantu benshi barwaye. Bityo rero muganga wawe ashobora kuba yaragundikiye uburyo bwo kuyivura. Niba warahawe ikinini gihuza imiti ibiri yitwa Empagliflozin na Metformin, iyi nkuru izaba ingenzi cyane kuri wowe. Reka tuvuge kuri uyu muti, icyo ukora, n'icyo ugomba kwitondera mu gihe uwukoresha.
Ni iki koko kigenda gitya kuri uyu muti?
Muri make, uyu muti ukoreshwa mu kuvura Diyabete yo mu bwoko bwa 2. Imiti ibiri iri muri uyu muti ikorana kugira ngo ifashe mu kugenzura no kugabanya urugero rw'isukari mu maraso (glucose) mu mubiri wawe.
Ariko ibuka ikintu kimwe. Uyu muti wonyine ntuhagije. Hamwe n'ibi, indyo ikwiye n'imyitozo ngororamubiri ni ngombwa. Iyo ibi bitatu bihujwe ni bwo gusa ubona umusaruro mwiza.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ingenzi cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Kuko ayo makuru azabafasha gufata icyemezo niba uyu muti ukubereye cyangwa niba ingano yawo igomba guhinduka. Niba ufite kimwe mu bibazo biri hepfo, menya neza ko ubimenyesheje muganga wawe.
| Imiterere y'ubuzima cyangwa ingeso | Kuki kumenyesha ari ingenzi? |
|---|---|
| Indwara y'impyiko cyangwa umwijima | Kubera ko ibiyobyabwenge bikurwa mu mubiri binyuze muri izi ngingo, ni ngombwa kumenya uko bikora. |
| Indwara z'umutima cyangwa cholesterol nyinshi | Ibi bigomba kuvugwa kuko bishobora kugira ingaruka ku ndwara z'umutima. |
| Kunywa inzoga kenshi | Hari ibyago byo kugira ingaruka mbi zikomeye ku nzoga. |
| Kubura amazi mu mubiri, kuruka, cyangwa indyo irimo umunyu muke | Kugabanuka k'amazi mu mubiri bishobora guteza ibibazo kuri uyu muti. |
| Niba warigeze kugira ikibazo cya diyabete ketoacidosis mbere | Iki kibazo ni gikomeye. Muganga agomba kubimenya. |
| Indwara zikunze kugaragara mu nzira y'inkari cyangwa indwara z'umusemburo mu gitsina | Uyu muti ushobora kongera gato ibyago byo kwandura bene ubwo bwandu. |
| Niba utwite, ugerageza gutwita, cyangwa wonsa | Uyu muti ntukwiriye muri ibi bihe, kandi ni ngombwa gushaka inama kwa muganga. |
| Niba ugiye kubagwa icyo ari cyo cyose | Umuti ushobora gukenera guhagarikwa by'agateganyo mbere yo kubagwa. |
| Niba ufite allergie ku yindi miti, ibiryo, cyangwa amarangi | Ni ngombwa kumenyesha amakuru yerekeye ubwivumbure ubwo ari bwo bwose. |
Ni gute neza neza ukoresha uyu muti?
Ibi nabyo biroroshye cyane.
- Fata iki kinini unywe n'ikirahure cy'amazi. Irinde gufata iki kinini udafite icyo urya.
- Fata umuti nk'uko muganga yabigutegetse, mu gihe gikwiye.
- Ntukareke gufata imiti cyangwa kongera cyangwa kugabanya urugero rw'imiti utarinze kugisha inama muganga wawe.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Wakora iki iyo unyoye inzoga nyinshi?
Niba ubona ko wafashe imiti myinshi cyane, hita ufata ingamba. Ntutinde. Jya ku bitaro bikuru byita ku bibazo byihutirwa (ETU) vuba bishoboka. Bitabaye ibyo, jyayo vuba bishoboka.Hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo .
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata, atari iyo muganga wawe yagutegetse gusa, ahubwo no kubwira vitamine, imiti y’ibimera, n’inyongeramusaruro ufata. Imiti imwe n’imwe ishobora kugira ingaruka kuri ibyo kandi igatera ibibazo.
By’umwihariko, imiti imwe n’imwe itera imiterere y’umubiri iterwa mu mubiri mbere yo gupimwa nka X-rays, CT scans, na MRIs ntigomba gufatwa hamwe n’uyu muti. Nanone, ntugafate umuti wa dofetilide.
Byongeye kandi, indi miti myinshi, nk'iy'umuvuduko ukabije w'amaraso, indwara z'umutima, agakoko gatera SIDA, imisemburo, na steroid, ishobora kugira ingaruka kuri ibi. Kubwibyo, ni byiza guha muganga wawe urutonde rw'imiti yose ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
Ni byiza kwita ku mubiri wawe mu gihe ufata uyu muti.
- Igipimo cy'isukari mu maraso: Menya uburyo bwo gupima igipimo cy'isukari mu maraso yawe. Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia). Bika agace k'isukari cyangwa bombo hafi yawe kugira ngo ukoreshe niba ubonye ibimenyetso by'isukari nke mu maraso.
- Ikizamini cya HbA1C: Muganga wawe azagusaba gupima amaraso yitwa HbA1C buri mezi 3 kugeza kuri 6. Ibi bishobora kugufasha kubona uburyo isukari yawe mu maraso yagenzuwe mu mezi 2-3 ashize.
- Ntugasimbuke amafunguro: Rya mu gihe gikwiye.
- Indwara zikomeye: Nubwo zidakunze kubaho, uyu muti ushobora gutera indwara ikomeye yitwa lactic acidosis, aho urugero rwa aside mu maraso rwiyongera. Niba ugize isesemi, kuruka, kubabara mu nda, umunaniro ukabije, cyangwa guhumeka bigoranye , hagarika gufata umuti ako kanya hanyuma uhamagare muganga wawe.
- Vitamine B12 na aside folike: Gufata uyu muti igihe kirekire bishobora kugabanya urugero rwa vitamine B12 na aside folike mu mubiri. Kubwibyo, menya neza ko urya indyo yuzuye intungamubiri. Nibiba ngombwa, muganga azakwandikira inyunganiramirire ya vitamine.
- Indangamuntu y'ubuvuzi: Niba wambaye ikarita cyangwa umukufi wanditseho ko urwaye diyabete n'imiti ufata, bishobora kuba ingirakamaro cyane mu gihe cy'impanuka.
Ingaruka mbi zishobora kubaho
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Ni ngombwa kuzimenya.
| Ibimenyetso bigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ketoacidosis ya diyabete (DKA) | Inyota ikabije, kwihagarika cyane, kuma mu kanwa, guhumeka nabi, guhumeka nabi, kubabara mu nda, isesemi, kuruka. |
| Aside lactic (aside lactic nyinshi) | Kubabara imitsi cyangwa kuribwa mu nda, kubabara mu gifu, guhumeka bigoranye, umunaniro ukabije. |
| UTI (indwara y'inkari) | Gushya mu gihe cyo kunyara, kunyara kenshi, amaraso cyangwa inkari zijimye, kubabara mu nda yo hepfo cyangwa mu mugongo. |
| Indwara zo mu gitsina | Gutukura, kubyimba, ububabare, uburyaryate, impumuro mbi, cyangwa amatembabuzi menshi. |
| Ibimenyetso bitagomba guhangayikisha, ariko bigomba kumenyeshwa muganga mu gihe bikomeje | |
| Impiswi | Kubyimba mu nda |
| Gazi | Kuzuza igifu |
| Umutwe | Umutwe |
| Uburyohe bw'icyuma mu kanwa | Uburyohe nk'ubw'icyuma mu kanwa |
| Isesemi | Kumva ushaka kuruka |
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata uyu muti nk'uko muganga wawe yabigutegetse, hamwe n'ifunguro.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite.
- Menya ibimenyetso by'ingaruka zikomeye (nk'ubuhumekero bugoye, ububabare bukomeye mu gifu, kuruka) kandi ushake inama kwa muganga vuba niba hari kimwe muri ibi kibayeho.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
- Ntugahagarike gufata imiti cyangwa ngo uhindure ingano yayo nta nama ya muganga. Vugana na muganga wawe niba ufite ikibazo.
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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.