Ese nawe uhura n'ikibazo cy'isukari mu maraso gitunguranye? Reka tuvuge ku ndwara ya hypoglycemia!

Ese uhita wumva uhinda umushyitsi? Urimo kubira ibyuya, ukumva uzungera, kandi ukumva ushonje cyane? Ibi bishobora kuba ibimenyetso by'uko isukari yo mu maraso yawe iri hasi ugereranyije n'ubuzima bwawe. Mu buvuzi, iyi ndwara tuyita hypoglycemia . Ibi bikunze kugaragara mu bantu barwaye diyabete. Ariko rimwe na rimwe bishobora no kuba ku bantu badafite diyabete. Rero, ntugatinye. Reka tubiganireho mu buryo bworoshye kandi busobanutse.

Mu magambo make, hypoglycemia ni iki?

Hypoglycemia ni igihe ingano ya glucose, cyangwa isukari nk'uko dukunze kuyita, mu maraso yawe igabanuka munsi y'urugero rwiza umubiri ukeneye.

• Ku bantu benshi barwaye diyabete, igipimo cy'isukari mu maraso kiri munsi ya 70 mg/dL (miligarama kuri desilita) cyangwa 3.9 mmol/L (milimoli kuri litiro) bifatwa nk'ikigero cya hypoglycemia.
• Ku muntu udafite diyabete, hypoglycemia ikunze gusobanurwa nk'urugero rw'isukari mu maraso ruri munsi ya 55 mg/dL (3.1 mmol/L).

Iyo iki kibazo kibaye, kigomba kuvurwa ako kanya urya cyangwa unywa ikintu kirimo isukari cyangwa karubohidrati. Hari igihe ibi bishobora gutera indwara ikomeye (hypoglycemia ikomeye). Ibi bibaye, bishobora gushyira ubuzima mu kaga kandi bigasaba ubuvuzi bwihuse.

Kuki isukari ari ingenzi cyane ku mibiri yacu?

Imibiri yacu ibona isukari (isukari) iva muri karubohidrati turya. Iyi ni yo soko nyamukuru y'ingufu z'umubiri wacu. Ni nk'amavuta ku modoka. By'umwihariko, isukari ni ingenzi kugira ngo ubwonko bwacu bukore neza. Ubwonko bukenera isukari ihoraho.

Niba udafite diyabete, imibiri yacu igumana urugero rw'isukari mu maraso mu buryo runaka binyuze mu buryo butandukanye busanzwe. Imisemburo nyamukuru ifasha muri ibi ni insuline, ikorwa na pancreas. Imisemburo yitwa glucagon nayo ni ingenzi kuri ibi.

Ariko, ku bantu barwaye diyabete, iyi gahunda ntikora neza. Kubwibyo, bagomba kugenzura urugero rw'isukari mu maraso yabo binyuze mu miti (urugero, guterwa inshinge za insuline) no guhindura imibereho yabo. Impamvu nyamukuru ituma isukari igabanuka mu maraso ni ukwiyongera kw'urugero rwa insuline mu mubiri.

Ni ibihe bimenyetso by'isukari nke mu maraso?

Ibimenyetso bya hypoglycemia bishobora gutangira mu buryo butunguranye. Kandi bishobora gutandukana bitewe n'umuntu ku giti cye. Nubwo ibi bimenyetso bishobora kubabaza gato, ni umuburo mwiza utubwira uti: "Isukari yawe ni nkeya, kora ikintu vuba."

Isukari nke mu maraso mu gihe usinziriye (Hypoglycemia mu ijoro)

Hari igihe igipimo cy'isukari mu maraso gishobora kugabanuka nubwo twaba dusinziriye. Dore bimwe mu bimenyetso:

• Guhangana n'ibitotsi
• Kubira ibyuya byinshi ku buryo amashuka atose
• Gutaka mu bitotsi byawe
• Inzozi mbi
• Kumva unaniwe cyane kandi utazi icyo ukora igihe ukangutse mu gitondo

Ese isukari mu maraso ishobora kugabanuka hatabayeho ibimenyetso? (Kutamenya niba isukari ikabije mu maraso igabanuka)

Yego, iki ni ikibazo gikomeye. Ku bantu bamwe, cyane cyane abarwayi ba diyabete bakunze kugira isukari nke mu maraso, uko igihe kigenda gihita, isukari yabo mu maraso ishobora kugabanuka nta bimenyetso bigaragaza. Umubiri umenyera isukari nke mu maraso kandi ugahagarika gutanga ibimenyetso by'umuburo. Ibi byitwa hypoglycemia kutamenya .

Abantu bafite iyi ndwara bashobora kurwara bikomeye mu buryo butunguranye. Ibi biramutse bikubayeho, ni ngombwa cyane kubibwira umuryango wawe n'inshuti zawe. Kugira ngo bagufashe mu gihe cy'impanuka. Nanone,

• Gukoresha igikoresho gipima urugero rwa glucose mu maraso (Continuous Glucose Monitoring - CGM) bishobora kugufasha kumenya igihe isukari mu maraso yawe iri hasi.
• Ni byiza kandi kugenzura isukari mu maraso yawe inshuro nyinshi ku munsi ukoresheje glucometer isanzwe.

Ni izihe mpamvu zitera isukari nke mu maraso?

Impamvu zishobora kugabanywamo amatsinda abiri: abafite diyabete n'abatayirwaye.

Impamvu zishobora gutuma umuntu urwaye diyabete agira isukari nke mu maraso

Ibi bibaho iyo hari ubusumbane hagati y'imirire, imyitozo ngororamubiri, n'imiti ya diyabete.

• Gutera insuline nyinshi: Gutera insuline nyinshi kuruta uko bikenewe.
• Amakosa ku miti no mu gihe cyo kurya: Gufata insuline ukareka kurya igihe kirekire.
• Gufata ibinini bya diyabete bitari byo: Gufata ibinini byinshi bya diyabete (urugero: sulfonylureas) bishobora gutuma isukari igabanuka mu maraso.
• Gukora imyitozo ngororamubiri irenze ibisanzwe: Gukora imyitozo ngororamubiri myinshi kandi nturye bihagije kugira ngo ubyishyure.
• Kunywa inzoga mu nda irimo ubusa: Kunywa inzoga utariye.
• Kureka amafunguro: Kutarya ku gihe.

Kuki umuntu udafite diyabete aba afite isukari nke mu maraso?

Ibi ni gake cyane. Hari ubwoko bubiri bw'ingenzi.

1. Hypoglycemia iterwa no kubura amaraso: Ibi bibaho nyuma y'amasaha abiri cyangwa ane nyuma yo kurya . Cyane cyane iyo uriye ibiryo birimo karubohidrati nyinshi nk'umuceri, umugati, n'ibirayi, umubiri uhita ukora insuline nyinshi, bikagabanya urugero rw'isukari mu maraso.

2. Isukari nke mu maraso mu gihe cyo kwiyiriza ubusa (Kwiyiriza ubusa: Hypoglycemia): Ibi bishobora guterwa n'ibintu byinshi.

• Kunywa inzoga nyinshi: Kunywa inzoga nyinshi utarya neza mu gihe cy'iminsi myinshi.
• Indwara zikomeye: Indwara nko kunanirwa k'umwijima cyangwa impyiko.
• Ibibazo by'imisemburo: Indwara nko kunanirwa kw'intanga ngore.
• Ibibyimba: Ibibyimba bidakunze kugaragara muri pancreas, nka insulinoma, bitera gukora insuline nyinshi.

Niba ufite ibi bimenyetso udafite diyabete, ugomba kujya kwa muganga kugira ngo amenye impamvu.

Ni iki wakora iyo isukari iri hasi? Uburyo bwo kuvura

Icyo dukora hano ni uguha umubiri isukari (karubohidrati) vuba.

Mu bihe bisanzwe, "Itegeko rya 15-15"

Ubu buryo bworoshye cyane kandi bworoshye kwibuka.

1. Intambwe ya 1: Kurya cyangwa kunywa garama 15 za karubohidrati zigira uruhare runini mu mubiri .

2. Intambwe ya 2: Tegereza iminota 15 .

3. Intambwe ya 3: Ongera upime urugero rw'isukari mu maraso yawe ukoresheje glukometeri yawe.

4. Intambwe ya 4: Niba urugero rw'isukari rukiri munsi ya 70 mg/dL, subiramo intambwe ya 1, 2, 3.Bikore kugeza igihe igipimo cy'isukari yawe gisubiye ku rugero rusanzwe.

Ni ibihe biribwa birimo garama 15 za karubohidrati?

• Ibinini 3-4 bya glucose
• Igice cy'ikirahure (1/2 cy'igikombe) cy'umutobe w'imbuto cyangwa ikinyobwa kidasembuye
• Ikiyiko cy'isukari, ubuki, cyangwa sirupe y'amapera
• Igice kimwe cy'igitoki gito

Kuvura mu bihe bikomeye (Hypoglycemia ikomeye)

Niba umuntu afite isukari nke mu maraso kandi akaba yataye umutwe, atabasha kuvuga, cyangwa atazi ubwenge , ntukamwigeze umuha ibiryo cyangwa icyo kunywa mu kanwa! Kubikora bishobora gutuma aguma mu myanya y'ubuhumekero.

1. Inshinge za Glucagon: Ku bantu barwaye diyabete, muganga wawe ashobora kuba yarakwandikiye inshinge za Glucagon mu gihe cy'impanuka. Menya neza ko umuryango wawe uzi uko zikoreshwa.

2. Jya kwa muganga ako kanya!: Niba udafite glucagon cyangwa utazi uko ikoreshwa, hamagara ako kanya serivisi y'imbangukiragutabara yo mu 1990 cyangwa ujyane uwo muntu mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ry'ibitaro biri hafi yawe.

3. Hindura umurwayi ajye ku ruhande: Umurwayi ashobora kuruka nyuma yo kongera kugarura ubwenge. Kubwibyo, hindukiza umurwayi ajye ku ruhande kugira ngo adapfa kurambirwa.

Ni iki cyakorwa kugira ngo iki kibazo hirindwe?

Bishobora kugora umuntu urwaye diyabete kwirinda burundu ibi, ariko birashoboka kugabanya inshuro iyi ndwara ikunze kugaragara.

• Kurikiza inama z'abaganga: Fata imiti muganga wawe yakwandikiye neza kandi mu gihe gikwiye.
• Witondere imirire n'imyitozo ngororamubiri: Ntugasimbuke amafunguro. Niba ukora imyitozo ngororamubiri, vugana na muganga wawe kandi uhindure indyo yawe nibiba ngombwa.
• Suzuma urugero rw'isukari mu maraso yawe buri gihe: Ni ngombwa cyane cyane kugenzura urugero rw'isukari mu maraso yawe mbere na nyuma yo kurya, mbere na nyuma yo gukora imyitozo ngororamubiri, na mbere yo kuryama.
• Kora urutonde rw'ibikenewe: Igihe cyose ufite isukari nke mu maraso, andika igihe, urugero rw'isukari mu maraso yawe, ibyo wariye mbere, ndetse niba warigeze gukora imyitozo ngororamubiri. Ibi bizafasha muganga wawe gukora gahunda yo kugufasha.