Gukoresha insuline ku ndwara ya diyabete rimwe na rimwe bishobora kugorana. Hari ubwoko butandukanye bwa insuline. Uyu munsi turimo kuvuga kuri bumwe muri bwo, insuline Detemir. Muganga wawe ashobora kuba yarakubwiye kuyikoresha. Nanone yitwa Levemir. Reka turebe icyo ari cyo, uburyo ikoreshwa neza, n'icyo ugomba kumenya.
Insulin Detemir ni iki?
Muri make, Insulin Detemir ni ubwoko bwa insuline ikoreshwa mu kuvura diyabete. By'umwihariko, ni insuline ikora igihe kirekire . Rimwe na rimwe yitwa 'insuline y'ibanze'.
Ibyo bivuze iki? Iyo ufashe uru rushinge, ntirukora icyarimwe. Ahubwo, rurekura insuline mu mubiri wawe buhoro buhoro mu gihe cy'amasaha runaka. Ibi bifasha kugenzura no kugabanya igipimo cy'isukari mu maraso yawe umunsi wose n'ijoro, kimwe n'uko insuline ikorwa n'imibiri yacu mu buryo busanzwe.
Igikuru ni uko insuline yonyine idahagije. Indyo n'imyitozo ngororamubiri, nk'uko muganga yabigusabye, nabyo ni bimwe mu bigize ubu buvuzi.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mu gihe uganira kuri uyu muti na muganga wawe, ni ngombwa cyane gutanga ibisobanuro byuzuye ku buzima bwawe. Menya neza ibi bikurikira:
- Niba ukunze kugira icyorezo cy'isukari nke mu maraso .
- Niba ufite indwara y'amaso cyangwa ibibazo byo kutabona neza.
- Niba ufite indwara y'impyiko .
- Niba ufite indwara y'umwijima .
- Niba warigeze kugira ikibazo cyo kugira ubwivumbure kuri insuline, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe mu bihe byashize.
- Niba utwite, cyangwa utegereje umwana .
- Niba uri umubyeyi wonsa .
Ashingiye kuri aya makuru, muganga azagena uburyo bwo kuvura bukubereye.
Ni gute natera uru rushinge neza?
Uru ni urushinge munsi y'uruhu. Muganga wawe cyangwa umuforomo azakwereka neza uko warutanga.
- Ku gihe: Ni ngombwa cyane gufata urushinge mu gihe kimwe buri munsi.
- Ntukavange: Ntukavange Insulin Detemir n'ubundi bwoko bwa insuline buri muri syringe imwe.
- Ntukazunguze: Ntukazunguze agacupa ka insuline cyangwa ikaramu cyane mbere yo kuyikoresha.
- Reba uko insuline igaragara: Buri gihe banza urebe uko insuline igaragara mbere yo kuyikoresha. Igomba kuba ari amazi asobanutse neza, adafite ibara, nk'amazi . Ntukayikoreshe niba isa n'ibicu, ifite ubugari, ihinduye ibara, cyangwa ifite uduce duto.
- Gukuraho urushinge: Niba ukoresha ikaramu ya insuline, ibuka gukuramo igipfundikizo cy'urushinge cyo hanze mbere yo gufata dose yawe.
- Guta inshinge: Ntugatere inshinge n'inshinge zakoreshejwe mu myanda. Zigomba gushyirwa mu kintu gikoreshwa mu gukaraba. Niba udafite, baza muganga wawe uko wazibona.
Wakora iki niba wabuze dose?
Ni ingenzi cyane kutabura dose. Ariko nuyibura, muganga wawe azaba yaraguhaye amabwiriza y'icyo wakora muri icyo gihe. Kurikiza iyo gahunda. Ntuzigere ufata dose ebyiri kugira ngo wishyure dose wibagiwe.
Bite ho niba dose yiyongereye?
Niba ubona ko wafashe imiti myinshi, hita ufata ingamba. Ushobora guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo , cyangwa ukajya mu Kigo cyita ku Buvuzi bwihutirwa (ETU) cy'ibitaro biri hafi yawe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata, vitamine, ibikomoka ku bimera, n'ibindi byose. Kuko hari ibintu bishobora kugira ingaruka ku buryo insuline ikora. Ibyo bivuze ko isukari mu maraso yawe ishobora kugabanuka cyane cyangwa ikazamuka cyane.
Imbonerahamwe iri hepfo igaragaza bimwe mu bintu bishobora kuvuguruzanya n'ibyo.
| Icyiciro cy'ibiyobyabwenge/ibiyobyabwenge | Ingero n'ibyo ugomba kumenya |
|---|---|
| Indi miti ya diyabete | Imiti nka Glyburide, Glipizide, na Metformin. Kuyifata hamwe byongera ibyago byo kugabanuka kw'isukari mu maraso. |
| Inzoga | Inzoga zishobora gutera impinduka zitunguranye ku rugero rw'isukari mu maraso. Baza muganga wawe ibi. |
| Umuti w'umuvuduko w'amaraso/indwara z'umutima | Imiti nka beta-blockers (urugero: Metoprolol, Propranolol) ishobora gufasha mu gukumira ibimenyetso by'isukari nke mu maraso (gutera cyane). |
| Imiti igabanya ububabare | NSAIDs (urugero: Ibuprofen, Naproxen), imiti nka aspirine. |
| Steroids | Imiti nka Prednisone na Cortisone ishobora kongera urugero rw'isukari mu maraso. |
| Ibindi | Ibinini byo kuboneza urubyaro, imisemburo ya tiroyide, imiti imwe n'imwe ivura indwara zo mu mutwe, hamwe na sirupe imwe n'imwe ikoresha ibicurane/inkorora. |
Uru rutonde ntirurangiye, bityo bwira muganga wawe imiti yose ufata.
Ibintu ugomba kwitondera mu gihe ukoresha insuline
- Gusuzumwa buri gihe: Sura muganga wawe ku minsi yagenwe kugira ngo arebe uko umerewe. Azakora isuzuma ry'amaraso ryitwa HbA1C buri mezi 2-3 kugira ngo arebe uko isukari yawe igenzurwa.
- Suzuma isukari yawe mu maraso: Menya uburyo bwo gupima isukari yawe mu maraso mu rugo. Menya ibimenyetso bya hypoglycemia na hyperglycemia, n'icyo wakora kuri byo.
- Bika isukari hafi: Buri gihe shyira tofe, agace k'isukari, cyangwa ikinini cya glucose hafi kugira ngo urye vuba mu gihe ubonye ibimenyetso by'isukari nke mu maraso.
- Ntuzigere usangiza abandi: Ntuzigere usangiza ikaramu yawe ya insuline cyangwa agasanduku kayo n'undi muntu uwo ari we wese. Nubwo wahindura urushinge, ushobora gukwirakwiza virusi nka Hepatite cyangwa VIH.
- Indangamuntu yo kwa muganga: Kwambara cyangwa gutwara umushumi w'indangamuntu yo kwa muganga cyangwa ikarita igaragaza indwara yawe, imiti, n'ingano ni ingenzi cyane mu gihe cy'impanuka.
Ni izihe ngaruka mbi zishobora guterwa n'ibi?
Nk'uko bimeze ku muti uwo ari wo wose, uyu ushobora gutera ingaruka zimwe na zimwe.
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Isukari nke mu maraso (Hypoglycemia) | Kudatuza, kubira ibyuya, kubura amahoro, uruhu rukonje, isereri, umutima utera vuba. |
| Kugabanuka k'umubare wa potasiyumu | Kubabara imitsi cyangwa kugorama, intege nke zidasanzwe, umutima utera nabi. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Guhindura aho inshinge zatewe (Lipodystrophy) | Ukwiyongera kw'ingingo munsi y'uruhu, inkovu, cyangwa utubyimba aho inshinge zatewe. |
| Ububabare aho umuntu atewe urushinge | Ugutukura, ububabare, cyangwa kubyimba gato aho bateye urushinge. |
| Kongera ibiro | Hari abantu bashobora kubona kwiyongera kw'ibiro. |
Ni gute nabika umuti?
Insulini ni umuti ugomba kubikwa neza, bitabaye ibyo ushobora gutakaza ubushobozi bwawo.
Amacupa n'amakaramu bitarafungurwa
- Uburyo bwiza: Bika mu muryango wa firigo. Ariko ntukabyifurize muri firigo. Ntugakoreshe insuline ikonje.
- Ubushyuhe bw'icyumba:Niba udashobora kuyibika muri firigo, ushobora kuyibika ku bushyuhe bw'icyumba (munsi ya dogere selisiyusi 30). Ariko, niba ubikoze, ugomba kuyikuramo nyuma y'iminsi 42 .
- Niba itariki ntarengwa yayo yarenze, ijugunye utayikoresheje.
Amacupa n'amakaramu bikoreshwa
- Bika agacupa cyangwa ikaramu watangiye gukoresha ku bushyuhe bw'icyumba . Ntugasubize muri firigo nyuma yo kubikoresha.
- Bika kure y'izuba ryinshi n'ubushyuhe bwinshi.
- Icy'ingenzi kurushaho: Ugomba kujugunya agacupa cyangwa ikaramu watangiye gukoresha nyuma y'iminsi 42. Ntacyo bitwaye niba hari umuti usigayemo.
Ubutumwa bwo kujyana mu rugo
- Insulin Detemir ni insuline ikora igihe kirekire igenzura urugero rw'isukari mu maraso yawe umunsi wose.
- Fata igipimo cyatanzwe neza neza nk'uko muganga wawe yabikubwiye, ku gihe cyatanzwe. Ntukigere wikuba kabiri igipimo.
- Bwira muganga wawe indi miti yose ufata, ndetse na vitamine.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu kimeze nk'akabari hafi yawe.
- Ntugasangire ikaramu yawe ya insuline cyangwa seringe n'undi muntu uwo ari we wese.
- Bika insuline neza. Ita mu minsi 42 uhereye igihe uyikoresheje.
- Niba ufite ikibazo cyangwa ikibazo, ntutinye kukiganiraho na 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.