Ese rimwe na rimwe uhura n'ikibazo cyo kubana na diyabete? Ntabwo byoroshye kugenzura urugero rw'isukari mu maraso yawe buri munsi. Ariko, hamwe n'imiti mishya iboneka muri iki gihe, ishobora gucungwa ku rugero runini. Uyu munsi, tugiye kuvuga ku inshinge zidasanzwe muganga wawe ashobora kukwandikira kugira ngo zigufashe kugenzura diyabete yo mu bwoko bwa 2.
Mu magambo make, uyu muti ni uwuhe?
Mu by’ukuri iyi ni imiti ibiri ivanze. Ni ukuvuga ko insuline degludec na liraglutide byombi biri muri uru rushinge rumwe. Muganga wawe ashobora kuba yaraguhaye iyi miti ku izina rya `Xultophy`.
Mu magambo make, akamaro kanini k'uyu muti ni ukugabanya no kugenzura urugero rw'isukari (glucose) mu maraso yawe. Ni ngombwa gukurikiza indyo yawe n'imyitozo ngororamubiri mu gihe ukoresha uyu muti. Umusaruro mwiza ushobora kuboneka iyo byose uko ari bitatu bihujwe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yuko umuganga wawe akwandikira uyu muti, agomba kuba afite ishusho yuzuye y'ubuzima bwawe. Kubwibyo, niba ufite imwe muri izi ndwara zavuzwe hepfo, menya neza ko wabibwiye umuganga wawe . Ntugahishe ibi bintu, kuko ari ku bw'umutekano wawe.
| Indwara yawe cyangwa ikibazo cyawe | Kuki ari ngombwa kumenyekanisha ibibera muri iki gihe? |
|---|---|
| Niba warigeze kugira pancreatitis. | Uyu muti ushobora kongera ibyago byo kongera indwara. |
| Niba wowe cyangwa umuntu wo mu muryango wawe wa hafi ufite kanseri ya tiroyide cyangwa indwara yitwa MEN 2, itera ibibyimba mu turemangingo. | Aya makuru ni ingenzi cyane kuko hari ibyago bike cyane byo kurwara kanseri ya tiroyide bifitanye isano n'uyu muti. |
| Niba ufite indwara y'impyiko cyangwa umwijima. | Iyo uru rugingo rudakora neza, ingano y'umuti ishobora gukenerwa guhindurwa. |
| Niba ufite indwara y'umutima. | Abantu bafite indwara z'umutima bagomba kwitonda cyane cyane iyo bafata uyu muti. |
| Niba igipimo cy'isukari mu maraso yawe kiri hasi (hypoglycemia). | Kubera ko uyu muti ugabanya isukari mu maraso, ibyago bishobora kwiyongera kurushaho ku muntu ukunze kugira isukari nke mu maraso. |
| Niba ufite ibibazo by'igogora cyangwa ibibazo by'igifu cyangwa amara. | Uyu muti ushobora kugira ingaruka ku igogora. |
| Niba utwite, ugerageza gusama, cyangwa wonsa. | Muri ibi bihe, ni ngombwa gushaka inama kwa muganga ku bijyanye n'ikoreshwa ry'imiti. |
| Niba ufite allergie ku yindi miti, ibiryo, cyangwa ikindi kintu icyo ari cyo cyose. | Ni ngombwa kubimenya kuko bishoboka ko umuntu agira ubwivumbure kuri uyu muti. |
Ukoresha uru rushinge ute?
Ibi bigomba guterwa munsi y'uruhu. Ubusanzwe, inda, ikibero, cyangwa ukuboko ko hejuru ni byo bikoreshwa kuri ibi. Muganga wawe cyangwa umuforomo w'indwara ya diyabete azakwereka neza uburyo bwo guterwa uru rushinge.
Icy'ingenzi cyane: Ntugasangire ikaramu yawe cyangwa inshinge n'undi muntu uwo ari we wese. Nubwo wahindura urushinge, ntukabikore. Kubikora bishobora gutera indwara zikomeye kuri wowe cyangwa undi muntu. Ikaramu imwe gusa ni iy'umuntu umwe!
- Fata imiti ku gihe: Fata imiti yawe neza neza nk'uko muganga wawe abikubwiye, mu gihe gikwiye. Ntugasimbuze dose.
- Kura inshinge neza: Ntugajugunye inshinge zakoreshejwe mu myanda. Zishyire mu kintu gishyushya. Niba udafite, baza muganga wawe kimwe.
- Soma agapapuro k'amakuru: Iyo uhawe umuti, soma agapapuro k'amakuru (MedGuide/Amabwiriza yo gukoresha) kajyana na wo witonze. Karimo amakuru menshi y'ingenzi.
Wakora iki niba wabuze dose?
Si byiza kwirengagiza dose y'uyu muti. Vugana na muganga wawe mbere y'igihe ku cyo wakora niba wabuze dose hanyuma ufate gahunda yo kuyikoresha. Ntukigere ufata dose ebyiri kugira ngo wishyure dose wibagiwe.
Ese hari aho imiti ishobora kujyana n'indi?
Yego rwose birashoboka. Imiti imwe n'imwe ufata ishobora kugira ingaruka ku rugero rw'isukari mu maraso yawe. Nanone, hari imiti imwe n'imwe ipfuka ibimenyetso by'isukari nke mu maraso (hypoglycemia). Ibi bivuze ko nubwo isukari yawe mu maraso yaba iri hasi, ushobora kutayibona. Ibyo ni akaga.
Kubwibyo, bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti gakondo) .
| Imiterere y'ingaruka | Ingero z'imiti |
|---|---|
| Imiti ishobora kugira ingaruka ku rugero rw'isukari mu maraso | |
| Inzoga | Ubwoko ubwo aribwo bwose bw'inzoga. |
| Amwe mu ma antibiyotike | Nka Ciprofloxacin, Levofloxacin. |
| Imiti ivura umuvuduko w'amaraso cyangwa indwara z'umutima | Nka Enalapril, Lisinopril, Losartan. |
| Ubwoko bwa Steroids | Kimwe na Prednisone, Cortisone. |
| Indi miti ya diyabete, imisemburo | Imisemburo ya tiroyide, ibinini byo kuboneza urubyaro. |
| Imiti ishobora guhisha ibimenyetso bya hypoglycemia | |
| Beta-blockers | Nka Atenolol, Metoprolol, Propranolol (ikunze gutangwa kugira ngo hagenzurwe umuvuduko w'amaraso cyangwa umuvuduko w'umutima). |
Ibintu ugomba kwitondera cyane cyane mu gihe ufata uyu muti:
- Menya neza ikibazo cy'isukari nke mu maraso (hypoglycemia): Iki ni cyo kintu cy'ingenzi cyane. Menya neza ibimenyetso by'isukari nke mu maraso (guhinda umushyitsi, kubira ibyuya byinshi, kumva udafite amahoro, kubura amahoro, gucika intege, umutima utera cyane). Buri gihe shyira isukari (ibice by'isukari, ibinini bya glucose, tofe) hafi yawe. Niba wumva umeze nabi cyane ugatakaza ubwenge, bwira umuryango wawe kudashyira ikintu icyo ari cyo cyose mu kanwa kawe. Ibi nibibaho, ugomba kwihutira gushaka ubufasha kwa muganga.
- Menya urugero rwa HbA1C yawe: Muganga wawe azasuzuma buri gihe isuzuma ryawe rya HbA1C. Ibi bigaragaza uburyo isukari yawe mu maraso yagenzuwe neza mu gihe cy'amezi 2-3.
- Ntugasimbuke amafunguro: Kurya ku gihe ni ingenzi cyane.
- Ambara indangamuntu yo kwa muganga: Kwitwaza indangamuntu yo kwa muganga cyangwa ikarita igaragaza ko urwaye diyabete n'ibisobanuro birambuye ku miti ufata bishobora kuba ingenzi cyane mu gihe cy'impanuka.
- Komeza kunywa amazi: Kubura amazi mu mubiri bishobora guteza akaga mu gihe ufata uyu muti. Nywa amazi menshi rero. Niba ubonye ibimenyetso nk'umuriro, kuruka, cyangwa impiswi, hamagara muganga wawe vuba.
Ikimenyetso cy'umuburo: Niba ugize ikibyimba cyangwa ukabyimba mu ijosi ryawe mugihe ufata uyu muti, niba ijwi ryawe rihinduka (gusa n'ijwi rituje) rigakomeza, niba ugorwa no kumira, cyangwa niba ugorwa no guhumeka, hita ubonana na muganga wawe.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe. Icy'ingenzi ni ukubimenya no gufata ingamba vuba bibaye ngombwa.
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, guhumeka nabi cyangwa kumira. |
| Pancreatite | Kubabara mu gifu cyane, wumva umeze nk'ugiye mu mugongo, kuruka no kugira umuriro. |
| Hypoglycemia ikabije (isukari nke mu maraso) | Gutigita cyane, guta ubwenge, gucika intege, kugorwa no kuvuga. |
| Gukomereka kw'impyiko | Kugabanuka k'umuvuduko w'inkari, kubyimba amaguru n'uturenge. |
| Ibimenyetso bya kanseri ya tiroyide | Ikibyimba gishya mu ijosi, kugorwa no kumira, guhindura ijwi. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe niba zikomeje | |
| Kubabara mu nda, isesemi | Kubyimba, kubura ubushake bwo kurya |
| Umutwe | Kubabara mu muhogo, izuru riva |
Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, nyamuneka bwira muganga wawe.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu i Colombo, cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Ni gute wabika umuti?
- Amasafuriya adafunguye: Bika mu muryango wa firigo. Ntukabibike muri firigo.
- Ikaramu ikoreshwa: Iyo ikaramu imaze gukoreshwa, ishobora kubikwa ku bushyuhe bw'icyumba (munsi ya dogere selisiyusi 30) cyangwa muri firigo mu gihe cy'iminsi 21. Shyira ikaramu isigaye inyuma y'iminsi 21.
- Ntukigere ukoresha umuti mu gihe wakonjeshejwe.
- Bika kure y'izuba ryinshi n'ubushyuhe bwinshi.
Ubutumwa bwo kujyana mu rugo
- Uyu muti ni uruvange rwa insuline n'undi muti wa diyabete. Ufasha mu kurwanya diyabete yo mu bwoko bwa 2.
- Mbere yo gutangira imiti, ugomba kubwira muganga wawe amateka yose y'ubuzima bwawe, cyane cyane niba warigeze kugira pancreatitis cyangwa amateka y'umuryango wawe ya kanseri ya tiroyide.
- Ntuzigere usangiza ikaramu yawe y'inshinge n'umuntu uwo ari we wese.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe ujye witwaza isukari.
- Niba ubonye ikibyimba gishya cyangwa ikibyimba mu ijosi ryawe, ijwi ryawe rihindutse, cyangwa bigoye kumira, ntubifate nk'ibisanzwe ahubwo hita ubonana na muganga.
- Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, baza 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.