Ese urwaye diyabete (Diyabete yo mu bwoko bwa 2)? Niba ari uko bimeze, muganga wawe ashobora kuba yarakwandikiye ikinini cy’ubwoko bwa Glipizide na Metformin. Uyu ni umuti w’ingenzi uhabwa abantu benshi barwaye diyabete mu gihugu cyacu kandi ufasha mu kugenzura urugero rw’isukari mu maraso. None rero uyu munsi, reka tuvuge kuri uyu muti n’ibintu ugomba kwitondera mu gihe uwukoresha, mu buryo bworoshye ushobora gusobanukirwa.
Ni iki koko kigenda gitya kuri uyu muti?
Muri make, iyi ni imiti ibiri ivanze. Ni ukuvuga ko irimo Glipizide na Metformin mu kinini kimwe. Iyi miti yombi hamwe ifasha kugabanya urugero rw'isukari mu mubiri wawe mu buryo butandukanye.
- Glipizide: Iyi ni imiti yo mu bwoko bwa sulfonylureas. Ikora mu gukangura pancreas yawe kugira ngo ikore imisemburo myinshi ya insuline umubiri wawe ukeneye.
- Metformin: Ibi ahanini bikora mu kugabanya umusaruro w'isukari utari ngombwa mu mwijima wawe. Byongeye kandi, bifasha uturemangingo tw'umubiri kwakira neza insuline (binongera ubushobozi bwo kumva insuline).
Igikuru ni uko uyu muti wonyine udahagije. Umusaruro mwiza ushobora kuboneka gusa iyo uyu muti ufashwe hamwe n'indyo ikwiye n'imyitozo ngororamubiri nk'uko muganga yabigiriye inama .
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ngombwa cyane ko muganga wawe abanza kumenya neza uko ubuzima bwawe buhagaze mbere yo kuguha uyu muti. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe .
| Imiterere yawe cyangwa ingeso yawe | Kuki ugomba gutanga amakuru? |
|---|---|
| Indwara y'impyiko cyangwa umwijima | Kubera ko umuti uvanwa mu mubiri binyuze muri izi ngingo, iyo imikorere yazo yangiritse, ingano y'umuti ishobora gukenerwa guhindurwa. |
| Indwara z'umutima | Ugomba kwitonda cyane mu gihe ukoresha uyu muti mu ndwara zimwe na zimwe z'umutima. |
| Akamenyero ko kunywa inzoga kenshi | Guhuza inzoga n'uyu muti byongera ibyago byo kurwara indwara ikomeye yitwa lactic acidosis. |
| Ketoacidosis y'isukari | Iki ni ikibazo gikomeye cya diyabete, kandi uyu muti ntukwiriye. |
| Hemoglobine nkeya mu maraso (Anemia) | Ni ngombwa kumenya ikibazo cy'amaraso make, kuko uyu muti ushobora kugira ingaruka ku kwinjiza kwa vitamine B12. |
| Gutwita cyangwa kugerageza gutwita | Uyu muti ntusabwa mu gihe utwite, kandi hari ubundi buryo bwo kuvura bukenewe. |
| Kuba umubyeyi wonsa | Ugomba kuganira na muganga wawe niba umuti ushobora kwerekeza ku mwana wawe binyuze mu mashereka. |
| Kurwara indwara ziterwa n'indi miti, imiti ya sulfa, cyangwa ibiryo | Ni ngombwa cyane ku bw'umutekano kutubwira ibyerekeye ubwivumbure ubwo aribwo bwose ufite. |
Nigute nkwiye gukoresha uyu muti?
Ibi biroroshye cyane, ariko bigomba gukurikizwa neza.
- Iki ginini kigomba gufatwa hamwe n'ifunguro . Ntukagifate uri mu nda idafite icyo kurya.
- Mirira ikinini cyose n'ikirahure cy'amazi.
- Buri gihe fata ingano yatanzwe na muganga wawe, ku gihe nyacyo wategetswe. Ntugahindure igihe cyangwa ingano uko ubyifuza.
- Niba ufite imyaka irenga 65, muganga wawe ashobora kuguha dose ntoya.
- Niba utekereza ko ushobora kuba warafashe imiti myinshi ku bushake: Niba utekereza gutyo, ntutinde.Jya ku bitaro bikuru byita ku butabazi bw’ibanze (ETU) cyangwa uhamagare ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo .
- Niba wabuze dose: Fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose ikurikira hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri uyu muti
Umuburo: Ni bibi cyane gufata uyu muti hamwe n'ubwoko bumwe na bumwe bw'ibintu "bitandukanye" byatewe mu mubiri mbere yo gupimwa nka X-ray, CT scan, MRI, n'umuti w'indwara z'umutima witwa Dofetilide. Niba ugiye gukora ikizamini nk'icyo, menyesha muganga wawe hakiri kare.
Byongeye kandi, indi miti myinshi ishobora kugira ingaruka kuri uyu muti. Urugero:
- Aspirine n'indi miti igabanya ububabare (NSAIDs)
- Imiti imwe n'imwe ivura umuvuduko w'amaraso n'indwara z'umutima
- Imiti igabanya ubukana bw'amaraso (cyangwa 'ibinini by'amazi')
- Ubwoko bwa Steroids
- Ubwoko bw'imisemburo, harimo ibinini byo kuboneza urubyaro
- Imiti imwe n'imwe irwanya udukoko n'imiti irwanya udukoko
- Imiti imwe n'imwe ivura indwara zo mu mutwe (MAOIs)
- Imiti ivura indwara za tiroyide
Uru rutonde ntirwuzuye. Bityo rero, ha muganga wawe urutonde rusobanutse rw'imiti yose, vitamine, imiti y'ibimera, n'inyongeramusaruro ufata. Nanone, mubwira niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kwitondera mugihe ufata imiti
- Gusuzumwa buri gihe: Jya kwa muganga ku masaha yagenwe nk'uko muganga yabigutegetse kandi urebe uko umerewe. Isuzuma ry'amaraso ryitwa HbA1C rizajya rikorwa buri mezi 3-6 kugira ngo barebe uko isukari yawe igenzurwa.
- Menya gupima isukari mu maraso yawe: Menya uburyo bwo gukoresha glukometero mu rugo. Menya ibimenyetso bya hypoglycemia na hyperglycemia, n'icyo wakora mu gihe bibaye.
- Bika isukari hafi: Buri gihe shyira ikintu nk'agace k'isukari, tofe, cyangwa ikinini cya glucose mu gikapu cyawe cyangwa mu mufuka wawe mu gihe isukari yawe yagabanuka mu buryo butunguranye.
- Ntukabure kurya: Rya mu gihe gikwiye. Gusiba kurya bishobora gutuma isukari mu maraso yawe igabanuka cyane.
- Witondere imirasire y'izuba: Uyu muti ushobora gutuma uruhu rwawe rugira ikibazo cyo kwibagirwa n'izuba (photosensitivity). Bityo rero, koresha amavuta yo kwisiga ku zuba , wambare imyenda ipfuka umubiri wawe, kandi wambare ingofero iyo ugiye ku zuba.
- Witondere vitamine: Gukoresha uyu muti igihe kirekire bishobora gutera urugero ruke rwa vitamine B12 na aside folike ku bantu bamwe. Kubwibyo, ni ngombwa kurya indyo yuzuye, kandi nibiba ngombwa, gufata vitamine nk'uko muganga yabigutegetse.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi cyane, izindi ni izisanzwe.
| Imiterere y'ingaruka mbi | Ibiranga n'icyo gukora |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi, cyangwa ku muhogo. Ni ngombwa kuvurwa vuba. |
| Aside ya Lactic (urugero ruri hejuru rwa aside ya lactic) | Kubabara imitsi, kuribwa mu nda, guhumeka nabi, umunaniro ukabije. Ibi ni ibintu byihutirwa kandi bisaba kujya mu bitaro byihutirwa. |
| Kubura amaraso mu maraso | Intege nke zidasanzwe, isereri, guhumeka bigoranye, inkari zijimye, uruhu cyangwa amaso bihinduka umuhondo. |
| Ibimenyetso by'ibura rya Vitamine B12 | Kubabara amaguru n'amaboko, kugira ibinya, intege nke z'imitsi, isereri, no kwibagirwa. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Kubabara mu nda, isesemi | Ibi bikunze kugabanuka iyo umuntu afashe umuti hamwe n'ibiryo. |
| Impiswi | Ibi bishobora kubaho igihe utangiye gufata umuti. Niba bikomeje, bwira muganga wawe. |
Ubutumwa bwo kujyana mu rugo
- Uyu muti ni umuti ufasha gusa mu kurwanya diyabete. Indyo ikwiye n'imyitozo ngororamubiri ni ngombwa.
- Wibuke gufata umuti hamwe n'ifunguro, mu gihe kimwe buri munsi.
- Menya ibimenyetso bya hypoglycemia (kuzunguruka, kubira ibyuya, gutera ubwoba mu muhogo). Buri gihe shyira isukari cyangwa bombo hafi yawe.
- Ntukibagirwe kubwira muganga wawe indi miti yose ufata, cyane cyane imiti igabanya ububabare.
- Niba wafashe imiti myinshi cyangwa ukagira ingaruka mbi zikomeye, jya kwa ETU ako kanya.
- Uyu muti ni uwawe gusa. Ntukigere uha abandi umuti wawe.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.