Iyo tutekereje kuri diyabete, abenshi muri twe dutekereza ku inshinge za insuline. Kuri bamwe, kwitera urushinge buri munsi biragoye kandi birababaza. Ariko ubu, uzatungurwa no kumenya ko hari igisubizo gishya kuri ibi, uburyo bushobora gukoreshwa nta nshinge. Ni ukuvuga ifu ya insuline ihumekwa mu kanwa. Reka tubiganireho birambuye uyu munsi.
Iyi insuline yo mu kanwa ni iki?
Mu magambo make, iyi ni insuline. Ariko aho kuyiterwa nk'urushinge, iza ari ifu nziza cyane. Ihumekwa binyuze mu kanwa hakoreshejwe imashini yihariye yo guhumeka. Ifu ya insuline ihita yinjizwa mu mubiri vuba binyuze mu bihaha. Iyi yitwa insuline ikora vuba . Ibi bivuze ko iyo uyikoresheje, itangira kugenzura isukari mu maraso vuba.
Uyu muti ubusanzwe utangwa na muganga wawe hamwe n'impinduka mu mirire yawe n'imyitozo ngororamubiri. Nubwo ubu ari uburyo bushya kandi bworoshye bwo kurwanya diyabete, ntabwo bukwiriye buri wese. Kubwibyo, ni ngombwa cyane kumenya neza icyo ari cyo.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira ubu buvuzi, ni ngombwa ko usobanurira muganga wawe uko ubuzima bwawe buhagaze mu buryo bwuzuye. By'umwihariko, ugomba kumubwira ibi bikurikira:
| Imiterere y'ubuzima bwawe cyangwa ingeso yawe | Kuki ibyo ari ingenzi? |
|---|---|
| Niba uri umunywi w'itabi cyangwa uherutse kurireka. | Uyu muti ntugirwa inama ku barwayi banywa itabi n'abarwaye ibihaha. Ushobora kugira ingaruka ku bihaha. |
| Niba ufite indwara y'ibihaha nka asima cyangwa COPD. | Kubera ko ikora mu bihaha, ishobora guteza ibibazo byo guhumeka ku bantu basanzwe bafite indwara z'ibihaha. |
| Niba ukunze kugira isukari nke mu maraso (hypoglycemia). | Kubera ko uyu muti ugabanya urugero rw'isukari mu maraso, ibyago bishobora kwiyongera ku muntu usanzwe afite isukari nke mu maraso. |
| Niba ufite indwara y'impyiko cyangwa umwijima. | Kubera ko izi ngingo zifasha gukura imiti mu mubiri, iyo imikorere yazo yangiritse, ingano y'umuti ishobora gukenerwa guhinduka. |
| Niba utwite, ugerageza gusama, cyangwa wonsa. | Muri ibi bihe, ugomba kuvugana na muganga wawe ku ngaruka z'umuti hanyuma ugafata umwanzuro. |
| Niba ufite ikibazo cy'ubwivumbure ku ndwara ya insuline cyangwa indi miti, ibiryo, cyangwa amarangi. | Ibi ni ingenzi cyane kugira ngo wirinde ingaruka zishobora guterwa n'ubwivumbure. |
Ni gute neza neza ukoresha uyu muti?
Uburyo ibi bikoreshwa butandukanye gato n'icyuma gikoreshwa mu guhumeka, bityo ni ngombwa cyane gukurikiza amabwiriza atangwa na muganga wawe cyangwa itsinda ry'abaganga.
- Ugomba kubikoresha ukimara gutangira ifunguro ryawe ry'ibanze .
- Muganga wawe azakwigisha uburyo bwo gukoresha iyi inhaler, uburyo bwo guhindura ingano yawe, n'uburyo bwo guhindura ingano yawe mu gihe urwaye cyangwa urimo gukora siporo.
- Ntukigere ukoresha ibirenze cyangwa bike kurusha ingano yatanzwe na muganga wawe.
- Soma witonze agapapuro k'amabwiriza kazanwa n'uyu muti. Niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Igikuru ni uko uyu muti ari uwawe gusa. Ntugasangire ifu yawe ya inhaler cyangwa insuline n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Bite ho ninsiba gahunda yo gufata imiti?
Ni ngombwa kudasiba imiti yawe. Ariko muganga wawe ashobora kuguha gahunda y'icyo wakora nuyifata. Kurikiza iyo gahunda. Ntuzigere ufata doze ebyiri icyarimwe kugira ngo wishyure doze watakaje.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. Ibi bishobora kuba ari ubutabazi bw’ibanze.
Ibintu ugomba kwitondera mugihe ufata uyu muti
Ugomba kwitondera ubuzima bwawe igihe cyose uri kuvurwa.
- Jyana na muganga wawe buri gihe: Jya kwa muganga ku matariki yagenwe kugira ngo urebe aho ubuvuzi bwawe bugeze.
- Ikizamini cya HbA1C: Iki ni ikizamini cyoroshye cy'amaraso. Kirashobora kukwereka uburyo isukari yawe mu maraso yagenzuwe neza mu mezi 2-3 ashize. Muganga wawe ashobora kukugira inama yo gukora iki kizamini buri mezi 3-6.
- Menya gupima isukari mu maraso yawe: Menya uburyo bwo gupima isukari mu maraso yawe mu rugo. Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia) n'uburyo bwo kubigenzura.
- Niba isukari yawe iri hasi mu maraso: Niba wumva uhinda umushyitsi, ufite ibyuya, cyangwa uzunguza, ibi bishobora kuba ibimenyetso by'isukari iri hasi mu maraso. Buri gihe shyira ikintu nk'ibinini bya glucose, agace k'isukari, cyangwa toffee nziza hafi yawe igihe cyose uyikeneye.
- Ingorane: Niba ufite isukari nke mu maraso kandi ukaba ufite igicuri cyangwa utakaje ubwenge, ntugashyire ikintu icyo ari cyo cyose mu kanwa kawe. Bishobora gutera inzara. Menyesha abandi ibi. Ugomba kujyanwa kwa muganga byihuse.
- Ntugasimbuke amafunguro. Baza muganga wawe ibyerekeye inzoga. Imiti imwe n'imwe yo gukorora n'ibicurane ishobora kuba irimo isukari cyangwa inzoga. Ibi bishobora kugira ingaruka ku isukari yo mu maraso yawe.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni zikomeye, izindi ni izisanzwe.
| Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Guhumeka bigoranye | Kugorwa no guhumeka cyangwa guhumeka nyuma yo gukoresha umuti. |
| Hypoglycemia (isukari nke mu maraso) | Guhinda umushyitsi, ibyuya byinshi, kubura amahoro, isereri, gucika intege, umutima utera cyane. |
| Ketoacidosis ya diyabete (DKA) | Inyota ikabije, kwihagarika cyane, kuma mu kanwa, guhumeka nabi, guhumeka bigoranye, kubabara mu nda, isesemi. |
| Kugabanuka k'umubare wa potasiyumu | Kubabara imitsi cyangwa kuribwa mu nda, intege nke zidasanzwe, umutima utera nabi. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Inkorora | Bishobora kubaho iyo utangiye gukoresha umuti bwa mbere. |
| Kubabara mu muhogo | Hashobora kubaho ububabare buto cyangwa ububabare mu muhogo. |
Ubutumwa bwo kujyana mu rugo
- Insulin yo mu kanwa ni umuti uvura diyabete udakoresha urushinge, kandi ukora vuba. Ariko igomba gukoreshwa gusa nk'uko muganga yabigutegetse.
- Ugomba kubwira muganga wawe indi miti yose ufata, indwara zawe zose, cyane cyane indwara z'ibihaha (nka asima) no kunywa itabi.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu nk'agace k'isukari cyangwa tofe hafi yawe muri ibyo bihe.
- Niba ugize ikibazo cyo guhumeka, uduheri ku ruhu, cyangwa izindi ngaruka mbi zikomeye nyuma yo gufata uyu muti, shaka ubufasha kwa muganga byihutirwa.
- Uyu ni umuti wagenewe wowe gusa. Ntugasangire ifu yawe ya inhaler cyangwa insuline n'undi muntu uwo ari we wese.
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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.