Ubwo wamenyaga ko urwaye diyabete, muganga wawe ashobora kuba yarakubwiye gufata insuline. Ni ibisanzwe kumva ufite ubwoba no guhangayika uti "Ese, nzaterwa inshinge guhera ubu?" Ariko ntugahangayike. Iki ni ikintu kizafasha umubiri wawe cyane. Uyu munsi, turaganira kuri Insulin Lispro, ubwoko bwihariye bwa insuline ikoreshwa ku diyabete ikora vuba.
Mbere na mbere, insuline ni iki?
Mu magambo make, insuline ni imisemburo ikorerwa mu mibiri yacu mu buryo busanzwe. Tekereza ko ari yo "mugenzuzi w'isukari" w'umubiri wacu. Ifite imirimo ibiri y'ingenzi:
- Guhindura isukari (glucose) mu byo turya mo ingufu, nka lisansi yo mu modoka z'imibiri yacu.
- Iyo isukari nyinshi mu maraso irenze iyo umubiri wacu ukeneye, ibirenzeho bibikwa mu mwijima.
Muri ubu buryo, insuline ifasha cyane mu kubungabunga urugero rw'isukari mu maraso yacu ku rwego rwiza.
None se Insulin Lispro ni iki?
Insulin Lispro ni ubwoko bwa insuline y'umuntu ikorerwa muri laboratwari. Yitwa analogue ya insuline ikora vuba . Ibi bivuze:
- Ibi bisa cyane na insuline karemano mu mibiri yacu.
- Ariko, ibi byagenewe kugira ngo bikore mu minota mike nyuma yo guterwa urushinge.
Uyu muti ukomoka ku mazina atandukanye, nka `Admelog®` na `Humalog®`. Muganga wawe ashobora kukwandikira umwe muri iyi miti.
Insulin Lispro ikoreshwa na nde?
Ushobora gukenera uru rukingo niba urwaye diyabete. Hari ubwoko bubiri bw'ingenzi bwa diyabete, sibyo?
- Diyabete yo mu bwoko bwa 1: Ibi bikunze gutangirira mu bwana. Ikibaho hano ni uko ubudahangarwa bw'umubiri wacu bwibasira kandi bukangiza uturemangingo dukora insuline. Kubera iyo mpamvu, umubiri ntushobora gukora insuline.
- Diyabete yo mu bwoko bwa 2: Iyi ni indwara igenda ikura buhoro buhoro uko igihe kigenda gihita. Ishobora guterwa n'ibintu nko kurya nabi no kugira umubyibuho ukabije/umubyibuho ukabije. Ikibaho hano ni uko umubiri ukora insuline, ariko ikaba idahagije kugira ngo isukari yo mu maraso igenzurwe, cyangwa insuline ntikore neza.
Insulin Lispro ikoreshwa mu kuvura ubwo bwoko bwombi.
Uru rukingo rukora rute imbere mu mubiri?
Tekereza, iyo umuntu muzima ariye ibiryo, ibiryo bikimara gusya isukari igatangira kwirundanya mu maraso, umubiri uhita urekura insuline nyinshi nk'aho ari ukwitegura. Ariko ibi ntibibaho neza mu mubiri w'umuntu urwaye diyabete.
Ibyo nibyo inshinge za insuline lispro zikora. Iyo zifashwe iminota mike mbere yo kurya, zihita zisohora ingano ya insuline ikenewe kugira ngo zigenzure ingano y'isukari yongerwa mu maraso nyuma yo kurya.
Ese ngomba gukoresha ubundi bwoko bwa insuline?
Yego, inshuro nyinshi, cyane cyane abantu barwaye diyabete yo mu bwoko bwa 1 bagomba gukoresha ubwoko bubiri bwa insuline. Impamvu ni uko ubwoko butandukanye bwa insuline bukora mu buryo butandukanye. Reka turebe uko bikora.
| Ubwoko bwa insuline | Igihe cyafashwe kugira ngo ikore | Igihe ingaruka zizamara |
|---|---|---|
| Ikora vuba (Urugero: Insulin Lispro) | Iminota 5 - 15 | Amasaha 2 - 4 |
| Isanzwe/Ikora igihe gito | Iminota 30 | Amasaha 3 - 6 |
| Ikora igihe kirekire | Amasaha make | Amasaha 24 cyangwa arenga |
Insulin zikora vuba, nka Insulin Lispro, zikoreshwa mbere yo kurya kugira ngo zigenzure ukwiyongera kw'isukari mu maraso bibaho icyo gihe. Insulin zikora igihe kirekire zifasha mu kugabanya urugero rw'isukari mu maraso umunsi wose. Muganga wawe ni we uzagena ubwoko n'ingano ya insuline ukeneye.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti
Ni ingenzi cyane guha muganga wawe inkuru yuzuye y'ubuzima bwawe. Witondere kuvuga ibi bikurikira by'umwihariko:
- Niba utwite, ugerageza gusama, cyangwa wonsa.
- Niba ufite allergie kuri insuline, metacresol, indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe.
- Niba ufite ikibazo cyo kutabona neza cyangwa indwara ya diyabete.
- Niba ufite indwara y'impyiko cyangwa indwara y'umwijima.
- Niba isukari mu maraso yawe igabanuka kenshi (hypoglycemia).
Nigute nakoresha uru rukingo neza?
Muganga wawe azakubwira neza ingano y'umuti ukeneye. Ni ngombwa cyane gukurikiza ayo mabwiriza neza. Uburyo busanzwe bwo kubona urukingo ni ubu bukurikira:
1. Fata uducupa twa insuline, amakarito, cyangwa amakaramu nk'uko muganga wawe yabigutegetse.
2. Niba ukoresha ikaramu, shyira urushinge rushya imbere yayo.
3. Kuraho umupfundikizo uri hejuru y'igikoresho.
4. Shyira urushinge mu karamu mbere yo gutera inshinge (ni ukuvuga, hindura urushinge kugeza igihe hagize igitonyanga gito cya insuline kiva mu rushinge). Ibi bizakuraho utubumbe twose tw’umwuka twafatiwe mu rushinge.
5. Shyira Insulin Lispro iminota 5-15 mbere y'ifunguro nyamukuru .
Icy'ingenzi cyane: Ni ngombwa gutegura ifunguro mbere yo gufata uru rukingo. Ntugatinde kurya nyuma yo gufata urukingo. Kubikora bishobora gutera isukari nke mu maraso.
Bigenda bite iyo ufashe Insulin Lispro nyinshi (urengeje urugero)?
Yego, iyo uteye uru rukingo cyane, bishobora guteza akaga. Iyo bibaye, isukari mu maraso yawe izagabanuka cyane (hypoglycemia). Reka turebe ibimenyetso byabyo n'icyo wakora kuri byo.
| Imiterere | Ibimenyetso | Icyo gukora |
|---|---|---|
| Igipimo cy'isukari gisanzwe | • Guhangayika • Guhangayika • Kuzungera • Isesemi • Kubira ibyuya byinshi cyangwa inzara | Urarye cyangwa unywe ikintu gifite isukari ako kanya (utuyiko 2-3 tw'isukari, isukari, ikinyobwa cyiza). |
| Kugwa nabi cyane mu gipimo cyo hejuru (overdose) | • Kugorwa no guhumeka • Gutakaza ubwenge (syncope) • Gufatwa n'indwara | Jyana uwo muntu mu bitaro byihutirwa (ETU) byihutirwa. Iki ni ikibazo cyihutirwa cy’ubuvuzi. Ushobora kandi guhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo umugire inama. |
Bite ho niba nibagiwe gukingirwa mbere yo kurya?
- Niba nta gihe kinini umaze kurya, ushobora kubona urukingo ako kanya wibuka.
- Ariko niba hashize igihe kirekire, tegereza kugeza igihe uzafatira ikindi gipimo. Ntukigere ufata doze ebyiri kugira ngo wishyure doze watakaje.
- Niba utazi icyo gukora, hamagara muganga wawe kugira ngo akugire inama.
Ubutumwa bwo kujyana mu rugo
- Insulin Lispro ni insuline ikora vuba ifatwa iminota mike mbere yo kurya.
- Buri gihe tegura ibiryo mbere yo gukingirwa. Ntugatinde kurya nyuma yo gukingirwa.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) (kuzunguza, kubira ibyuya, inzara ikabije). Ibi nibibaho, hita urya ikintu gifite isukari.
- Ntukigere uhindura ingano ya insuline yawe utabanje kugisha inama muganga wawe.
- Ntugatere inshinge zakoreshejwe mu myanda. Zikusanye neza mu kintu gishyushye hanyuma uzijugunye neza.
- Niba ufite ikibazo, impungenge, cyangwa impungenge kuri uyu muti, biganireho na muganga wawe.
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