Reka tumenye byinshi ku ikaramu ya insuline ikoreshwa mu kuvura diyabete.

Niba ubana na Diyabete Mellitus, kwitera insuline buri munsi rimwe na rimwe bishobora kukugora. Ntabwo buri gihe byoroshye gukura umuti mu kantu ka insuline mu nseri hanyuma ugatera ingano nyayo. Ariko hari igikoresho gisa n'ikaramu gituma iki gikorwa cyoroha cyane. Uyu munsi, turimo kuvuga ku ikaramu ya insuline .

None se, iyi karamu ya insuline ni iki?

Mu magambo make, ikaramu ya insuline ni igikoresho cyuzuyemo inshinge cya insuline kigufasha gutera insuline mu bice biri munsi y'uruhu rwawe. Ubu ni uburyo bwo kuvura diyabete. By'umwihariko, ni amahitamo agengwa na gahunda ya Multiple Daily Injection (MDI).

Tekereza ikaramu ifite insuline aho kuba wino, n'urushinge ruto rushobora gukoreshwa mu mwanya warwo aho kuba umutwe w'ikaramu. Uko ni ko bimeze kuri iyi karamu.

Ni ibihe bice by'ikaramu ya insuline?

Nubwo hari ubwoko bwinshi bwa insuline pens, zose zifite ibice by'ibanze bihuriyeho. Reka turebe ibyo ari byo.

Ni ubuhe bwoko bw'amakaramu ya insuline?

Hari ubwoko butandukanye bw'amakaramu ya insuline. Atandukanye cyane cyane mu buryo bukurikira:

• Ishobora kongera gukoreshwa cyangwa ikoreshwa mu gufunga: Hari amakaramu ashobora gukoreshwa mu gufunga kandi ashobora gutabwa iyo insuline irangiye cyangwa irangiye. Hari ubundi bwoko bushobora kongera gukoreshwa. Iyo karito ya insuline irangiye, ushobora kuyikuramo ugashyiramo indi nshya kugira ngo wongere ukoreshe ikaramu.
• Ubwoko bwa insuline ikoreshwa:Hari ubwoko bwinshi bwa insuline. Buratandukanye bitewe n'igihe umubiri umara ukora n'igihe umara ukora (urugero: ukora igihe kirekire, ukora vuba). Hari amakaramu yagenewe ubwoko bumwe bwa insuline. Hari amakaramu arimo ubwoko butandukanye bwa insuline.
• Hari ibikoresho bya elegitoroniki : Hari amakaramu ya insuline aza afite porogaramu ya elegitoroniki. Iyi porogaramu igufasha kwibuka ibintu nk'igihe waherukaga gutera insuline n'ingano yayo. Tuyita kandi amakaramu ya insuline 'Smart' cyangwa 'Connected'. Ubundi bwoko ni ikaramu isanzwe (ikoreshwa n'intoki). Kandi ugomba kwandika ingano utera mu gitabo.

Reka tuvuge gato ku makaramu ya insuline 'Smart'

Iyi karamu ya insuline "igezweho" ni ikaramu ya digitale yohereza amakuru mu buryo bwikora nk'igihe n'ingano y'inshinge yawe kuri porogaramu iri kuri terefone yawe. Iyi porogaramu ishobora kandi gukora ibindi bintu byinshi.

• Andika ingano ya insuline ikora mu mubiri wawe muri icyo gihe.
• Bifasha kubara ingano ya insuline ukeneye hashingiwe ku rugero rw'isukari mu maraso yawe n'ingano ya karubohidrati ugiye kurya. Hari sisitemu zimwe na zimwe z'ikaramu zikora ibi zihuza n'igikoresho gipima ingano y'isukari mu maraso buri gihe (Continuous Glucose Monitor - CGM).
• Niba utekereza ko ushobora kwibagirwa gufata insuline yawe mu gihe cyo kurya, uzabimenyeshwa (umenye).
• Andika ubushyuhe n'itariki insuline izarangiriraho.

Niba ushishikajwe n'ikaramu "y'ubwenge" nk'iyi, ganira na muganga wawe kuri iyo karamu.

Ukoresha ikaramu ya insuline gute?

Mbere yo gutera urukingo, tegura ahantu hasukuye kandi humutse. Uzakenera ibi bikurikira:

• Ikaramu ya insuline yandikiwe na muganga wawe. (Niba ukoresha ubwoko burenze bumwe bw'ikaramu, menya neza ko uhisemo ikwiye .)
• Urushinge rushya n'agatambaro gahanagura alcool.
• Igikoresho gikwiriye cyo gukoreshamo inshinge zakoreshejwe. Iki gishobora kuba icupa rya pulasitiki rinini rifite umupfundikizo ufunga neza cyangwa agakoresho "karimo gutyaza".

Uburyo bwo gutegura ikaramu intambwe ku yindi:

1. Karaba intoki zawe: Ubwa mbere, karaba intoki zawe neza n'isabune.

2. Fungura umupfundikizo: Kura umupfundikizo mu ikaramu ya insuline.

3. Vanga ikaramu: Niba insuline iri mu ikaramu isa n'ibicu, zunguza ikaramu hagati y'amaboko yawe mu gihe cy'umunota umwe. Niba insuline isobanutse neza, ntugomba kubikora. Ntukigere uzunguza ikaramu.

4. Sukura agapfundikizo ka rubber: Hanagura agapfundikizo ka rubber ukoresheje agapfundikizo ka alcool.

5. Shyiramo urushinge rushya:Kuraho kaseti y'impapuro mu rushinge, ushyire urushinge rushya ku ikaramu, hanyuma ururangize. Hanyuma ukureho agapfundikizo k'inyuma mu rushinge. Uzakenera uyu mupfundikizo wo hanze wongera gukuraho urushinge nyuma yo guterwa urushinge. Noneho kuramo n'agapfundikizo k'imbere.

6. Gutera ikaramu: Gutera ikaramu ni ugukuramo utubumbe tw'umwuka mu rushinge no kugenzura ko urushinge rukora neza. Ugomba kubikora mbere ya buri gutera inshinge. Kugira ngo ubigereho, hindura akabuto k'umuti ukoreshwa mu gupima utwo duce tubiri. Iyo ikaramu izamuye, kanda buto yo gutera inshinge hasi. Nibura igitonyanga kimwe cya insuline kigomba kuva ku mutwe w'urushinge. Uzakenera gusubiramo iki gikorwa kugeza igihe igitonyanga kigaragaye.

7. Hitamo ingano ya insuline: Hitamo ingano ya insuline muganga wawe yagutegetse uhindukiza agapfundo k'ingano.

8. Reba ingano: Reba neza idirishya ry'ingano kugira ngo urebe neza ko ingano yatoranijwe ari nziza. Hanyuma shyira ikaramu ku ruhande kugira ngo urushinge rudafata ahantu hose.

Uburyo bwo gutera urukingo intambwe ku yindi:

1. Fata ikaramu ya insuline n'ukuboko uri kwandikaho, ukomeze igikumwe cyawe kugira ngo ukande buto yo guteramo inshinge.

2. Shyiramo urushinge mu ruhu rwawe vuba vuba ku nguni ya dogere 90. Urushinge rugomba gushyirwamo rwose mu ruhu.

3. Kanda buto yo guteramo buhoro buhoro kugira ngo uteremo dose yose. Fata ikaramu muri uyu mwanya mu gihe cy'amasegonda 6 kugeza ku 10, hanyuma ukuremo urushinge.

4. Simbuza witonze umupfundikizo w'inyuma ku rushinge, zunguza urushinge hanyuma urukureho. Hanyuma shyira urushinge mu gikoresho cy'urushinge cyakoreshejwe.

5. Simbuza umupfundikizo w'ikaramu hanyuma ubibike ku bushyuhe bw'icyumba.

Ni hehe heza ho gutera insuline?

Aha niho hantu heza ho gutera insuline:

• Agace k'inda: Munsi no mu nkengero z'umukondo.
• Ibibero: Imbere n'impande z'ibibero.
• Amaboko: Igice cyo hejuru n'inyuma cy'amaboko.
• Agace k'amatako:

Ntugatobore muri ibi bice:

• Muri santimetero 2 ukikije igituza.
• Hagati mu nda.
• Ahantu cyangwa hafi y'aho hari inkovu cyangwa ibisebe byo kuboneza urubyaro.
• Hafi y'aho ingingo zihurira.
• Mu gice cy'ikibuno.

Ni ngombwa kandi cyane kuzenguruka aho urushinge rwashyizwe aho gukomeza gutera urushinge ahantu hamwe . Gukomeza gutera urushinge ahantu hamwe bishobora gutera lipohypertrophy (ubwinshi bw'ibinure biri munsi y'uruhu).) bishobora kubaho. Ibi bishobora gutuma insuline idashyirwa mu mubiri neza. Kubwibyo, guhinduranya ahantu uterwa inshinge bituma igikorwa cyawe cyo gutera inshinge cyoroha, gitekanye, kandi kirushaho kuryoha.

Ibyiza n'ibibi by'amakaramu ya insuline

Abantu benshi babona ko gukoresha ikaramu ya insuline byoroshye kuruta gukoresha agacupa ka insuline n'urushinge. Ubushakashatsi bwagaragaje kandi ko gukoresha ikaramu bitanga igipimo nyacyo kandi gihoraho.

Hari ingaruka mbi?

Nkuko bigenda ku inshinge za insuline, ingaruka zikunze kugaragara cyane zo guterwa na insuline ni isukari nke mu maraso ( hypoglycemia ) . Iyi ndwara ikunze kubaho iyo urugero rw'isukari mu maraso rugabanutse munsi ya 70 mg/dL.

Ni ryari ngomba kubonana na muganga?

Niba ukoresha ikaramu ya insuline ku nshuro ya mbere, muganga wawe cyangwa umwarimu w’indwara za diyabete azakwereka uko wayikoresha. Ntutindiganye kubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.

Mu gihe ukoresha insuline, uzakenera kujya kwa muganga wawe buri gihe kugira ngo umenye neza ko gahunda yawe yo kuvura ikora neza. Niba ukunda kugira isukari nyinshi cyangwa nke mu maraso, bwira muganga wawe ako kanya. Ibi bishobora gusobanura ko ingano ya insuline yawe ishobora gukenera guhindurwa kugira ngo ihuze n'ibyo ukeneye.

Ese amakaramu ya insuline agomba kubikwa muri firigo?

Ushobora kubika ikaramu ya insuline watangiye gukoresha (uyifunguye) ku bushyuhe bw'icyumba (hafi dogere selisiyusi 20-22). Ariko, ntuyibike ahantu hashyushye cyane cyangwa hakonje cyane. Ibi bishobora guhindura uburyo insuline ikora.

Amakaramu mashya atarafungurwa agomba kubikwa muri firigo. Ni meza kugeza igihe azarangirira cyanditse ku gasanduku. Andika umunsi wakoresheje ikaramu bwa mbere kuri ako gasanduku. Amakaramu menshi ni meza mu gihe cy'iminsi 28 nyuma yo gukoreshwa bwa mbere. Soma agatabo kazanwa n'ikaramu kugira ngo ubone amabwiriza nyayo.