Niba ubana na Diyabete yo mu bwoko bwa 2, ushobora kuba uzi ukuntu bigoye kugenzura urugero rw'isukari mu maraso yawe. Nk'uko muganga ahora abivuga, imirire, imyitozo ngororamubiri, n'imiti ni ingenzi cyane kuri ibi. Uyu munsi tugiye kuvuga ku inshinge zidasanzwe ziza ari uruvange rw'imiti ibiri ifasha mu kurwanya diyabete.
Uyu muti ni iki? Mu magambo make...
Mu by’ukuri iyi ni imiti ibiri ivanze. Ni ukuvuga ko ari uruvange rwa insuline glargine na lixisenatide . Mu gihugu cyacu, ishobora kugaragara mu mazina nka `SOLIQUA`.
Mu magambo make, ikora mu kugabanya no kugenzura urugero rw'isukari mu maraso yawe (glucose). Insulin glargine ni ubwoko bwa insuline bukora igihe kirekire. Lixisenatide ni ubwoko butandukanye bw'imiti igenzura umuvuduko w'isukari yinjira mu maraso nyuma yo kurya, ndetse ikangurira umubiri wacu gukora insuline.
Igikuru ni uko ugomba gukomeza indyo yawe n'imyitozo ngororamubiri mu gihe ukoresha uyu muti. Umusaruro mwiza ushobora kuboneka gusa iyo byose uko ari bitatu bihujwe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yo kuguha uyu muti, ni ngombwa cyane ko muganga wawe amenya amateka yawe yose y’ubuzima. Ibi biterwa nuko hari indwara zimwe na zimwe zisaba kwitabwaho by’umwihariko mu gihe ukoresha uyu muti. Kubwibyo, niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
- Niba ukunze kugira icyorezo cy'isukari mu maraso: Uyu muti unatera isukari nke mu maraso, bityo ugomba kubyitondera cyane.
- Indwara z'amaso cyangwa kutabona neza: Niba amaso yawe arwaye diyabete, ni ngombwa kubimenya.
- Indwara y'agahinda: Uyu muti rimwe na rimwe ushobora gutera indwara nk'amabuye y'agahinda.
- Niba warigeze kugira iyi ndwara mu mateka yawe, hashobora kubaho ibyago byo kongera kuyirwara.
- Indwara z'impyiko cyangwa niba uri kuri dialyse: Uyu muti uvanwa mu mubiri unyuze mu mpyiko, bityo ingano y'umuti wawe ishobora kuba ngombwa ko uhindurwa.
- Indwara z'umwijima: Muganga agomba kandi kumenya imikorere y'umwijima.
- Niba warigeze kugira ubwivumbure bukomeye ku muti mu bihe byashize: urugero, kubyimba ururimi, isura, cyangwa iminwa, guhumeka bigoranye, cyangwa kugorwa no kumira.
- Ibibazo byo mu gifu: Niba ufite ibibazo nko gutinda kugogora.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa.
- Niba waratwawe n'inzoga cyane.
- Niba ufite ubwivumbure ku yindi miti, ibiryo, cyangwa irangi.
Noneho se, uru rushinge urukoresha ute?
Muganga wawe cyangwa umuforomo azakwereka neza uko ubikoresha. Ni ngombwa gukurikiza ayo mabwiriza neza.
- Aho inshinge ziterwa: Uru ni urushinge rwo munsi y'umubiri. Akenshi rutangwa mu nda, mu itako ryo hejuru, cyangwa mu kuboko ko hejuru . Ni byiza kuzungurutsa aho inshinge ziterwa aho guhora ahantu hamwe.
- Igihe: Fata rimwe ku munsi. Ibyo nabyo iminota 60 (isaha imwe) mbere y'ifunguro rya mbere ry'ingenzi ry'umunsi . Ni byiza iyo ubifashe icyarimwe buri munsi.
- Ishusho y'umuti: Mbere yo gutera umuti, reba amazi ari mu kiraro. Agomba kuba ari amazi asobanutse neza, adafite ibara, nk'amazi . Niba afite ibicu, afite ibara, afite ubunini, cyangwa afite utuntu duto, ntugakoreshe .
- Inshinge: Niba ukoresha ikaramu, ntukibagirwe gukuramo agapfundikizo k'urushinge rw'inyuma mbere yo gutera urushinge.
- Guta inshinge: Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Zigomba gushyirwa mu kintu gikoreshwa mu gukaraba. Niba udafite, baza muganga wawe uko wazibona. Irinde kongera gukoresha urushinge rumwe.
Wakora iki niba ufashe imiti myinshi cyangwa ubuze dose?
Dose yabuze
Ni ngombwa cyane kudasimbuka doze. Ariko, niba wasibye doze, kurikiza amabwiriza ya muganga. Ntukigere ufata doze ebyiri kugira ngo wishyure doze wasibye. Ibi bishobora gutera isukari nke mu maraso.
Kurenza urugero
Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Ni ngombwa cyane kubwira muganga wawe indi miti iyo ari yo yose ufata mu gihe ufata uyu muti. Imiti imwe ishobora kugira ingaruka ku mikorere yawo. Nanone, imiti imwe ishobora guhindura urugero rw'isukari mu maraso yawe.
| Icyiciro cy'ibiyobyabwenge / ingaruka | Ingero n'ibyo ugomba kumenya |
|---|---|
| Ibiyobyabwenge bishobora kugira ingaruka zitaziguye | Acetaminophen, Digoxin, Warfarin, ibinini byo kuboneza urubyaro, indi miti ivura diyabete. Bwira muganga wawe niba ufata ibi. |
| Ibintu bishobora guhindura urugero rw'isukari mu maraso | Inzoga, asipirine, imiti imwe n'imwe igabanya umuvuduko w'amaraso, steroide (nka Prednisone), imiti imwe n'imwe igabanya inkorora/ibicurane, imiti ivura indwara zo mu mutwe, imiti imwe n'imwe irwanya udukoko, n'inyongeramusaruro z'ibimera. |
| Imiti ipfukirana ibimenyetso by'isukari nke mu maraso | Ibi ni ingenzi cyane. Beta-blockers (urugero: Propranolol, Metoprolol) ikoreshwa mu kuvura umuvuduko ukabije w'amaraso cyangwa indwara z'umutima ishobora guhisha ibimenyetso by'isukari nke mu maraso, nko kujijinganya no kubira ibyuya. Kubwibyo, niba ufata ibi, ugomba kugenzura urugero rw'isukari mu maraso yawe buri gihe. |
Rero, andika urutonde rw'imiti yose, vitamine, n'ibikomoka ku bimera ufata hanyuma ubihe muganga wawe. Bibwire kandi muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusuzumwa buri gihe: Jya kwa muganga ku masaha yagenwe nk'uko muganga yabigutegetse. Isuzuma ry'amaraso ryitwa HbA1C rikorwa rimwe mu mezi 2-3. Bigaragaza uburyo isukari yawe yagenzuwe neza mu mezi make ashize.
- Pima urugero rw'isukari:Menya uburyo bwo gupima urugero rw'isukari mu maraso yawe mu rugo. Menya ibimenyetso bya hypoglycemia na hyperglycemia.
- Niba isukari yawe igabanutse: Buri gihe shyira isukari mu kanwa kawe, urugero nka bombo y'isukari cyangwa ikinini cya glucose. Niba isukari yawe igabanutse cyane kandi ukumva uzumva umeze nk'ufite isereri cyangwa unaniwe, bwira umuryango wawe kutashyira ikintu icyo ari cyo cyose mu kanwa kabo muri icyo gihe. Muri icyo gihe, ugomba kwihutira gushaka abaganga.
- Ntugasimbuke amafunguro: Rya mu gihe gikwiye.
- Ntugasangire ikaramu yawe: Ntuzigere usangira ikaramu yawe n'undi muntu uwo ari we wese. Nubwo wahindura urushinge, ushobora gukwirakwiza virusi zikomeye nka Hepatite na VIH.
- Indangamuntu yo kwa muganga: Buri gihe andika ikintu nk'ikarita cyangwa umukufi hafi aho uvuga ko urwaye diyabete hamwe n'ubwoko n'ingano y'imiti ufata.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka mbi. Zimwe ni mbi, izindi ni izisanzwe.
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, no kugorwa no guhumeka. |
| Pancreatite | Ububabare bukomeye mu gifu bugera mu mugongo, ububabare burushaho kwiyongera nyuma yo kurya, umuriro, isesemi no kuruka. |
| Gukomereka kw'impyiko | Kugabanuka k'umuvuduko w'inkari, kubyimba utubuto tw'ibirenge, amaboko n'ibirenge. |
| Isukari nke mu maraso (Hypoglycemia) | Guhinda umushyitsi, guhangayika, ibyuya byinshi, ubukonje, urujijo, isereri, umutima utera cyane. |
| Ibibazo by'inkari | Kubabara mu gifu cyane, isesemi, kuruka, umuriro. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) | |
| |
Ni gute wafata ikaramu neza?
Ni ngombwa kandi kubika uyu muti neza.
- Amakaramu adafunguye:
- Bika muri firigo ahantu hasanzwe (hagati ya dogere selisiyusi 2 na 8).
- Ntukabike muri firigo. Ntugakoreshe imiti ikonje.
- Niba itariki ntarengwa yarenze, ijugunye.
- Amakaramu ukoresha:
- Bika ibi ku bushyuhe bw'icyumba (munsi ya dogere selisiyusi 25). Ntubishyire muri firigo.
- Funga neza umupfundikizo w'ikaramu nyuma ya buri ikoreshwa kandi ukingire urumuri.
- Ntugashyire ikaramu hasi ufite urushinge. Kubikora bishobora gutuma umuti uva.
- Nyuma y'iminsi 28 yo kuyikoresha, jugunya ikaramu, nubwo yaba irimo umuti.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata uyu muti nk'uko muganga wawe yabigutegetse, mu gipimo cyagenwe kandi mu gihe gikwiye.
- Ntugasangire ikaramu yawe y'inshinge n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu kimeze nk'isukari hafi yawe.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Niba ubonye ibimenyetso by'ingaruka mbi zikomeye, shaka ubufasha bwa muganga vuba vuba.











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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.