Mu gihe ubana na Diyabete Mellitus, gutera inshinge za insuline byabaye igice cy'ubuzima bwa buri munsi kuri bamwe. Gutera inshinge buri munsi mbere yo kurya no kwitegura ni ikibazo gikomeye. Kuri bamwe, no kubona izi nshinge birabatera ubwoba. Ese wigeze utekereza uti "Ese byaba byiza uramutse ubonye uburyo bworoshye bwo gukoresha insuline utiriwe uhangayika buri munsi?" Uyu munsi turimo kuvuga ku kintu gishobora kuba igisubizo. Ni insuline ihumekwa, cyangwa insuline ihumekwa .
Insulini ihumekwa ni iki?
Mu magambo make, iyi ni insuline imwe. Ariko si inshinge, ahubwo ni ifu . Hakoreshejwe igikoresho gisa n'icyuma gikoreshwa n'abantu barwaye asima, iyi fu ya insuline ihumekwa mu mubiri nk'aho turimo guhumeka.
Tekereza, iyo utewe urushinge, insuline ijya mu gishishwa kiri munsi y'uruhu, hanyuma ikagera mu maraso buhoro buhoro. Bifata iminota 90 kugeza 120. Ariko iyi insuline ihumekwa ijya mu bihaha. Ibihaha byacu ni ahantu hari imiyoboro myinshi y'amaraso, aho ibintu bishobora kwinjira vuba. Bityo iyi fu ya insuline yinjira mu maraso vuba cyane igatangira gukora. Akenshi itangira gukora neza mu minota 45.
Kimwe mu byiza bikomeye by'ibi ni uko bikora ku muvuduko usa cyane n'umuvuduko insuline ikora mu mubiri w'umuntu udafite diyabete. Kubwibyo, kugenzura isukari mu maraso bibaho mu buryo busanzwe.
Nigute nshobora kubikoresha? Kandi nabibika nte?
Iyo utangiye ubu buryo bwo kuvura, muganga wawe azakubwira neza uko ukoresha inhaler n'ingano ukeneye. Akenshi ifatwa mbere yo kurya ibiryo by'ingenzi.
Uko ikoreshwa:
1. Ubwa mbere, sohora umwuka mwinshi ushoboka uvuye mu bihaha byawe.
2. Hanyuma, shyira akanwa k'icyuma gihumeka mu kanwa kawe hanyuma uhumeke umwuka mwinshi .
3. Nyuma yo guhumeka, gerageza gufata umwuka wawe igihe kirekire gishoboka.
4. Hanyuma humeka nk'uko bisanzwe.
Icy'ingenzi ni ugukoresha umuti neza nk'uko muganga wawe yabigutegetse, ku gipimo cyagenwe. Niba ufite ikibazo, ganira na muganga wawe kuri icyo kibazo.
Uburyo bwo kubika:
- Utwuma duto two guhumeka n'udukoresho two guhumeka bitakoreshejwe, bishobora kubikwa muri firigo cyangwa ku bushyuhe bw'icyumba.
- Niba utangiye gukoresha inhaler , ugomba kuyijugunya nyuma y'iminsi 15.
- Iyo karitoyi isigaye ku bushyuhe bw'icyumba, Koresha mu minsi 10. Iyo bishyizwe muri firigo, bishobora gukoreshwa kugeza igihe bizarangirira.
Ni izihe nyungu z'ubu buryo?
Ubu buryo bufite ibyiza byinshi kuruta inshinge za insuline. Reka turebe ibyo ari byo.
| Inyungu | Ibisobanuro |
|---|---|
| Nta mpamvu yo gutobora imyobo. | Iyi ni yo nyungu ikomeye. Iyi ni ihumure rikomeye ku bantu batinya inshinge kandi bigora kuzitobora buri munsi. |
| Gushyira mu bikorwa byihuse | Iyo ifashwe mbere yo kurya, itangira vuba kugenzura urugero rw'isukari mu maraso. |
| Byoroshye gukoresha | Agakoresho ko guhumeka ni gato, bityo biroroshye kujyana ahantu hose. Ntigasaba gutegura cyane nko gutegura urukingo. Gashobora gukoreshwa nta muntu ubonye. |
| Ingaruka nke zo kurwara hypo | Byagaragaye ko ibyago byo kurwara hypoglycemia biri hasi ugereranyije n'ubwoko bumwe na bumwe bw'inkingo. |
| Bishobora gufasha mu kugabanya ibiro | Ubushakashatsi bumwe na bumwe bwagaragaje ko ibi bishobora no gufasha mu kugenzura ukwiyongera ibiro bidakenewe. |
Ese hari ingaruka mbi zishobora kubaho? Reka tubimenye!
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi nto ndetse n'indwara zikomeye zisaba kwitabwaho.
| Ubwoko bw'ingaruka mbi | Ibimenyetso bishoboka |
|---|---|
| Ingaruka zisanzwe | Inkorora, kuribwa umutwe, isesemi (kubabara mu gifu), kumva inzara irenze uko bisanzwe, umunaniro, guhinda umushyitsi, kubira ibyuya. |
| Ingaruka mbi zikomeye ugomba kumenya | |
| Ibibazo bisaba ubufasha bwihuse ku muganga | Guhumeka bigoranye, kugorwa no kumira, kurwara uduheri cyangwa kwishimagura ku ruhu, umutima utera cyane, kubyimba amaguru n'amaboko cyangwa mu maso, kwiyongera ibiro vuba, umunaniro ukabije, no kwiheba. Niba uhuye n'ikintu nk'iki, hita ubonana na muganga wawe cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry'ibitaro biri hafi yawe. |
Ese ibi ntibibereye buri wese?
Yego, ibi si ibya buri wese. Hari ibintu bike ugomba kuzirikana, cyane cyane.
- Ibi ntibikwiriye abantu barwaye asima.
- Ibi kandi ntibikwiriye abantu bafite izindi ndwara zidakira z'ibihaha nka COPD (Indwara y'ibihaha idakira) .
Impamvu ni uko iyi fu ya insuline rimwe na rimwe ishobora gutera gufungana gutunguranye kw'inzira z'ubuhumekero mu bihaha (bronchospasm). Ibi bishobora guteza akaga cyane ku bantu bafite indwara nka asima. Kubwibyo, mbere yo gutangira ubu buvuzi, muganga wawe ashobora gukora ikizamini cyo kugenzura imikorere y'ibihaha byawe (spirometry).
Ubwoko bw'ibintu biri ku isoko n'ibyo ukeneye kumenya
Hari umuti wa insuline uhumekwa witwa `(Exubera)`, ariko wakuwe ku isoko kubera inhaler nini yawo n'ibindi bibazo. Ubwoko bw'umuti ukoreshwa ku isi ubu ni `(Afrezza)`.
Ariko, hari ibintu bibiri by'ingenzi ugomba kumenya kuri ibi:
1. Ntabwo ari mu bihe byihutirwa:Ntibishobora gukoreshwa mu gihe cyihutirwa kandi gikomeye nka ketoacidosis ya diyabete (DKA), iyo hakenewe insuline ikora vuba.
2. Ntishobora gukoreshwa nk'igisimbura insuline ikora igihe kirekire (insuline y'ibanze): Abantu barwaye Diyabete yo mu bwoko bwa 1 cyangwa bamwe mu bantu barwaye Diyabete yo mu bwoko bwa 2 bakeneye inshinge za insuline zikora igihe kirekire (insuline y'ibanze) zikora umunsi wose. Iyi insuline ihumekwa itwikira isukari iva mu mafunguro gusa. Kubwibyo, inshinge za insuline zikora igihe kirekire ntizishobora guhagarara kubera ibi.
Amaherezo, ni ku ruhande rwa muganga wawe gufata icyemezo niba ibi bikubereye. Azagufasha gufata icyemezo cyiza bitewe n'ubuzima bwawe, imibereho yawe, n'uburyo diyabete yawe igenzurwa neza.
Ubutumwa bwo kujyana mu rugo
- Insulini ihumekwa ni ubwoko bwa insuline bukora vuba kandi buboneka mu buryo bw'ifu kandi bushobora gukoreshwa mu mwanya w'inshinge zo kuvura diyabete.
- Akamaro kanini k'ibi ni uko bidasaba pin iyo ari yo yose kandi byoroshye kuyikoresha.
- Ibi ntibikwiriye na gato abantu bafite indwara z'ibihaha nka asima cyangwa COPD.
- Ibi bireba gusa ibyo ukeneye mu bijyanye n'ifunguro rya insuline. Ugomba gukomeza guhabwa inshinge za insuline z'igihe kirekire (basal).
- Nkuko bigenda ku buvuzi bushya, ni ngombwa cyane kuganira na muganga wawe nta gushidikanywaho ku mpungenge ushobora kugira mbere yo gutangira no mu gihe cyo kubukoresha.
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