Kubira ibyuya bikonje, kunyeganyega amaboko, kumva ufite ubwoba bwinshi, kuzungera gato... Ese wigeze uhura n'ibintu nk'ibi urwaye diyabete? Ibi bikunze kubaho iyo isukari mu maraso yawe igabanutse cyane. Abaganga bayita hypoglycemia . Impamvu nyamukuru ituma iyi ndwara iba ku muntu ukoresha insuline ni uko atera insuline nyinshi kuruta iyo akeneye.
Abantu benshi barwaye diyabete bagira ikibazo cyo kugabanuka k'umubyibuho ukabije w'isukari mu maraso. Hari igihe bishobora guteza akaga. Ariko inkuru nziza ni uko ibibazo byinshi bifitanye isano na insuline bishobora kwirindwa mu gihe dukurikije amategeko make yoroshye. Reka turebe uko byagenda.
Ni gute ushobora kubona insuline nyinshi cyane?
Hari amakosa make mato dushobora gukora ashobora gutuma insuline irushaho kuba nyinshi mu mibiri yacu. Ibi bintu bikunze kubaho mu bihe nk'ibi:
- Gusobanukirwa nabi ibipimo biri kuri syringe cyangwa agacupa: Ibi bikunze kubaho iyo utangiye gukoresha ubwoko bushya bwa insuline cyangwa iyo ukoresheje syringe nshya.
- Gukoresha ubwoko butari bwo bwa insuline: Tekereza ko usanzwe ufata units 30 za insuline ikora igihe kirekire n'units 10 za insuline ikora igihe gito. Niba amacupa abiri asa, birashoboka cyane ko uzahinduranya units ebyiri vuba.
- Gufata insuline utariye: Insulini zikora vuba kandi zikora vuba zigomba gufatwa mbere gato y'amafunguro cyangwa nyuma y'amafunguro. Ibi biterwa nuko isukari mu maraso yacu yiyongera nyuma yo kurya. Rero niba ufata ubwoko bw'iyi insuline utariye, isukari mu maraso yawe ishobora kugabanuka cyane.
- Gutera insuline mu kuboko cyangwa ku kuguru mbere yo gukora imyitozo ngororamubiri: Imyitozo ngororamubiri, ni ukuvuga imyitozo ngororamubiri, igabanya urugero rw'isukari mu maraso. Binahindura uburyo umubiri winjiza insuline. Niba rero ukora imyitozo ngororamubiri nko kwiruka cyangwa kugenda n'amaguru, irinde gutera insuline mu kuboko cyangwa ku kuguru bizaba bikora cyane icyo gihe. Ahubwo, ni byiza kuyitera ahantu hatagize ingaruka nyinshi ku myitozo ngororamubiri, nko mu nda.
Ni ibihe bimenyetso by'uko insuline nyinshi ikoreshwa?
Iyo isukari yawe mu maraso igabanutse (hypoglycemia) bitewe na insuline nyinshi, ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso. Ni ngombwa kubimenya.
| Ibimenyetso | Ibisobanuro |
|---|---|
| Guhangayika | Kumva udafite ituze kandi udafite ituze bidasanzwe. |
| Urujijo | Kutabasha gutekereza icyo gukora cyangwa aho uri, kumva utazi icyo ukora. |
| Inzara ikabije | Ako kanya numva inzara ikabije. |
| Umunaniro | Kumva nta buzima ufite n'umunaniro ukabije. |
| Kurakara | Kurakara nta mpamvu, kurakara vuba. |
| Kubira ibyuya | Umubiri wumva ukonje kandi wuzuye ibyuya, uruhu rugasa n'aho rufunze. |
| Amaboko ahinda umushyitsi | Gutigisa amaboko mu buryo butunguranye. |
Niba igipimo cy'isukari mu maraso yawe gikomeje kugabanuka, ushobora kugira ibibyimba cyangwa ndetse no gucika intege . Bityo rero ni ngombwa kumenya ibi bimenyetso no kugira icyo ukora vuba.
Wakora iki niba ufata insuline nyinshi?
Ntugahangayike. Inshuro nyinshi abantu bakunze gukoresha insuline nyinshi niUshobora kubikemura uri mu rugo. Niba ufite ubwenge, kurikiza izi ntambwe.
| Icyo gukora | Ibisobanuro |
|---|---|
| Niba ufite ubwenge, dore ibintu bimwe na bimwe ukwiye gukora: | |
| 1. Pima isukari | Banza upime urugero rw'isukari mu maraso yawe. Hanyuma ushobora gusobanukirwa neza uko ibintu bimeze. |
| 2. Kubona isukari vuba | Kurya/kunywa ikinyobwa cy'imbuto gifite isukari (igice cy'igikombe), tofe, ikinini cya glucose, cyangwa gel ya glucose ako kanya. |
| 3. Fata ifunguro | Niba warabuze ifunguro, fungura ikintu ubu ngubu. Kurya ikintu kirimo garama 15-20 za karubohidrati (urugero: agace k'umugati) bizatuma isukari mu maraso yawe yiyongera vuba. |
| 4. Humura | Icara cyangwa uryame akanya gato maze uruhuke. Ntugakore ibintu bibabaza umubiri wawe. |
| 5. Ongera upime isukari | Ongera urebe isukari yo mu maraso yawe nyuma y'iminota 15-20. Niba ikiri hasi, fata indi sukari (garama 15-20 za glucose) hanyuma urye ikindi kintu niba bishoboka. |
| 6. Komeza kwibanda ku kintu runaka mu gihe cy'amasaha make | Umva umubiri wawe mu masaha make ari imbere. Niba ibimenyetso bikigaragara, ongera usuzume isukari mu maraso yawe mu isaha imwe. Niba isukari mu maraso yawe iri hasi, komeza kurya utuntu two kurya. |
| Igihe cyo gushaka ubufasha bwihutirwa bw'ubuvuzi: | |
| Jya kwa muganga ako kanya. | Niba igipimo cy'isukari mu maraso yawe kikiri hasi nyuma y'amasaha 2 cyangwa ibimenyetso byawe bitaragabanuka, gana muganga cyangwa ujye kwa muganga ako kanya. |
| Niba unaniwe ... | Iyo utaye ubwenge, utazi icyo ukora, cyangwa ukagira isereri, umuryango wawe cyangwa inshuti zawe zigomba guhita zihamagara serivisi y’imbangukiragutabara yo mu 1990 zikakujyana mu bitaro biri hafi yawe. |
Ikintu kimwe ugomba kwibuka. Iyo isukari iri hasi cyane mu maraso yawe, ntutinye kuyizamura gato. Kugira isukari nyinshi mu maraso igihe runaka ntacyo byangiza cyane. Ariko kugira isukari nke mu maraso bishobora kugira ingaruka mbi cyane.
Inama zo guha umuryango wawe n'inshuti zawe
Nutakaza ubwenge, ni bo bazakwitaho. Bahe aya mabwiriza mbere y'igihe.
- Niba watakaje ubwenge, hamagara serivisi y'imbangukiragutabara yo mu 1990 ako kanya cyangwa ujyane mu bitaro biri hafi yawe.
- Vugana na muganga wawe ku byerekeye urushinge rwitwa glukagoni . Iyi ni imisemburo irwanya insuline. Niba ufite isukari nke mu maraso, baza muganga wawe ku bijyanye no kuyibika mu rugo.
- Niba ufite ubwenge buhagije bwo gukurikiza amabwiriza, saba ko baguha icyo kunywa cyiza.
- Niba ibimenyetso byawe bitaragabanuka nyuma y'isaha imwe, mugire inama yo gushaka ubufasha bwa muganga byihutirwa.
Ni gute iki kibazo cyakwirindwa?
Hari ibintu bike byoroshye ushobora gukora kugira ngo ibi bitabaho.
- Gira gahunda ihoraho: Igire akamenyero ko gufata insuline yawe mu gihe kimwe buri munsi no kurya mu gihe kimwe. Ibi bizakorohereza kubika ibintu byose mu buryo bukwiye.
- Ntukibagirwe kurya: Nubwo waba ushonje, jya urya akantu gato mu gihe cyo kurya. Rya ikintu nk'agace k'umugati, ikirahure cy'amata, cyangwa imbuto. Ntukibagirwe kurya nyuma yo gufata insuline.
- Itegure:Wibuke ko iki kibazo gishobora kubaho umunsi umwe. Bika ikintu nk'ifi mu gikapu cyawe, mu modoka no mu isanduku yawe.
- Menyesha abandi: Bwira umuryango wawe n'inshuti zawe za hafi uko witwara iyo ufite isukari nke mu maraso. Muri ubu buryo, bashobora gufata ingamba vuba, nubwo waba utazi icyo ukora.
- Ambara igitambaro cyo kumenyesha indwara: Bigaragaza ko ukoresha insuline. Bishobora kugufasha kurokora ubuzima bwawe mu gihe cy'impanuka.
Ubutumwa bwo kujyana mu rugo
- Gufata insuline nyinshi bishobora gutera isukari nke mu maraso (hypoglycemia). Witondere ibimenyetso nko kunanirwa kw'amaboko, kubira ibyuya, no kubabara umutwe.
- Ukimara kumva ibimenyetso by'isukari nke mu maraso, hita urya ikintu gifite isukari (bombo, ikinyobwa gishyushye) hanyuma wongere urebe urugero rw'isukari mu maraso yawe mu minota 15-20.
- Ntuzigere usiba kurya igihe ufata insuline. Buri gihe shyira ikintu nk'ifi hafi yawe.
- Niba watakaje ubwenge cyangwa urwaye indwara ikomeye, menyesha umuryango wawe n'inshuti mbere y'igihe ko bazajya bagutwara mu bitaro byihutirwa (ETU).
- Buri gihe vugana na muganga wawe ku bipimo bya insuline ukoresha, uko ikoreshwa, n'icyo wakora mu gihe cy'impanuka.
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