Ikimenyetso cy'uburinzi bw'indwara ya diyabete: Menya uburyo insuline idakora neza

Ese utinya gato ijambo diyabete? Cyangwa se wigeze ubwirwa na muganga wawe ko ufite ubudahangarwa bwa insuline, maze ukaba utazi icyo ari cyo? Ntugahangayike. Uyu munsi, turaganira kuri iyi ndwara yitwa ubudahangarwa bwa insuline mu buryo bworoshye kandi bwiza. Ni nk'umuburo utagira icyo utanga umubiri wacu mbere yuko diyabete itangira.

Mu magambo make, ubudahangarwa bwa insuline ni iki?

Tekereza nawe, uturemangingo mu mibiri yacu tumeze nk'utuzu duto. Izi nzu zikenera ingufu kugira ngo zikore. Izo ngufu ziva mu isukari yitwa glucose, ikorwa mu byo turya. Kugira ngo iyi glucose ijye mu maraso mu mazu yitwa uturemangingo, ikeneye urufunguzo rwo gufungura umuryango. Urwo rufunguzo ni imisemburo yitwa insuline . Uru rufunguzo rwa insuline rukorwa na pancreas yacu.

Iyo urya, isukari y'isukari yinjira mu maraso. Muri icyo gihe, pancreas irekura urufunguzo rwitwa insuline mu maraso. Iyo insuline ifunguye imiryango y'uturemangingo, isukari y'isukari yinjira mu turemangingo igahinduka ingufu.

Noneho reba uko bigenda ku muntu ufite ubudahangarwa bwa insuline.

Uturemangingo twawe ntitwitabira neza uru rufunguzo rwa insuline. Ni nk'ingufuri y'urugi irimo ingese. Urufunguzo ntirufungura urugi neza. Bityo isukari, idashobora kwinjira mu turemangingo, itangira kwirundanya mu maraso.

Muri iki gihe, ubwonko butekereza buti: "Oh, hari isukari nyinshi mu maraso, nkeneye imfunguzo nyinshi." Bityo pancreas ibona ubutumwa buyibwira gukora insuline nyinshi. Uko igihe kigenda gihita, pancreas irananirwa, igakora insuline nyinshi, amaherezo imikorere yayo ishobora kugabanuka. Ni bwo urugero rw'isukari mu maraso rutangira kwiyongera.

Itandukaniro riri hagati yo kudakora insuline, pre-diabete, na diyabete

Nubwo ibi bitatu bifitanye isano, ntabwo ari bimwe. Reka tubirebe ku mbonerahamwe.

Ni ibihe bimenyetso by'iyi ndwara?

Ikibazo gikomeye hano ni uko ubudahangarwa bwa insuline ari ikibazo kidasobanutse . Ushobora kuyigira mu mubiri wawe imyaka myinshi utabizi. Uburyo bwonyine bwo kubimenya neza ni ugupimisha amaraso.

Ariko, hari ibimenyetso bimwe na bimwe by’inyuma bifitanye isano n’iyi ndwara. Reba niba nawe ufite ibi:

• Umuzenguruko w'ikibuno wiyongera: Umuzenguruko w'ikibuno urenga santimetero 40 ku bagabo na santimetero zirenga 35 ku bagore.
• Umuvuduko w'amaraso ukabije: Umuvuduko w'amaraso uri hagati ya 130/80 mmHg cyangwa hejuru yayo.
• Ibitagenda neza mu gupima amaraso:
• Igipimo cy'isukari mu maraso kirenze 100 mg/dL.
• Igipimo cya triglyceride yo kwiyiriza ubusa kiri hejuru ya 150 mg/dL.
• Igipimo cyiza cya cholesterol (HDL) kiri munsi ya 40 mg/dL ku bagabo n'icya munsi ya 50 mg/dL ku bagore.
• Impinduka z'uruhu:
• Uruhu rwo ku ijosi no mu kwaha ruhinduka umwijima kandi rusa neza. Ibi bizwi mu buvuzi nka Acanthosis Nigricans .
• Kugaragara kw'udusimba duto (udutambaro tw'uruhu) gisa n'aho tumanitse ku ruhu.

Ni izihe mpamvu zitera kunanirwa kwa insuline?

Biragoye kumenya impamvu imwe itera ibi, ariko abahanga bagaragaje ibintu byinshi byongera ibyago.

• Uburemere burenze urugero bw'umubiri: Ibinure byiyongera cyane cyane mu gice cy'inda (ibinure byo mu nda).
• Kudakora imyitozo ngororamubiri no kubaho mu mwanya wo kwicara: Kudakora imyitozo ngororamubiri.
• Ibiribwa birimo karubohidrati nyinshi: Kurya umugati, umuceri, ibiryo biryoshye, n'ibinyobwa biryoshye cyane.
• Amateka y'umuryango: Hari umuntu mu muryango urwaye diyabete.
• Imyaka: Ingaruka ziyongera nyuma y'imyaka 45.
• Diyabete yo mu gihe cyo gutwita: Ababyeyi barwara diyabete mu gihe batwite baba bafite ibyago byinshi byo kurwara iyi ndwara nyuma.
• Izindi ndwara: Indwara y'umwijima urimo ibinure bitari inzoga na Polycystic Ovary Syndrome (PCOS).
• Kunywa itabi.
• Imiti imwe n'imwe: Gukoresha imiti imwe n'imwe igihe kirekire, nka steroid.
• Ibibazo byo gusinzira: Indwara nko kubura umwuka mu gihe cyo gusinzira (sleep apnea).

Isano iri hagati yo kudakora neza kwa insuline na PCOS

Hari isano ikomeye hagati ya polycystic ovary syndrome (PCOS), indwara ifata abagore benshi, no kudashyira insuline mu mubiri. Abagore benshi bafite PCOS nabo bafite kudashyira insuline mu mubiri. Isano nyayo iri hagati y’ibyo byombi iracyakorerwa ubushakashatsi.

Ubibona ute, Muganga?

Nta kizamini na kimwe cy’umwihariko gihari ku bijyanye no kudakora neza kwa insuline. Muganga wawe azareba ibintu bitandukanye kugira ngo amenye iyo ndwara.

1. Kukubaza ibibazo: Kubaza amateka y'ubuzima bw'umuryango wawe n'imibereho yawe.

2. Isuzuma ry'umubiri: Ibiro byawe, uburebure bwawe, na BMI bizapimwa. Umuvuduko w'amaraso yawe uzapimwa.

3. Gupima amaraso: Ibi ni byo by'ingenzi cyane.

• Gupima Glucose yo mu maraso mu buryo bwo kwiyiriza ubusa (FPG): Gupima amaraso bikozwe nyuma yo kwiyiriza ubusa nibura amasaha 8.
• Ikizamini cyo kwihanganira isukari mu kanwa (OGTT): Ubwa mbere, hafatwa amaraso yiyiriza ubusa, hanyuma hagatangwa amazi arimo isukari ngo anywe, hanyuma amaraso agapimwa nyuma y'amasaha abiri.
• Hemoglobin A1c (HbA1c): Ibi bitanga igitekerezo cy'ikigereranyo cy'isukari mu maraso yawe mu mezi 2-3 ashize.
• Lipid Panel: Igenzura urugero rwa cholesterol na triglyceride mu maraso.

Indangagaciro zikurikira zishobora kugufasha kumenya niba ufite prediabetes :

• FPG: 100-125 mg/dL
• OGTT (nyuma y'amasaha 2): 140-199 mg/dL
• A1c: 5.7% - 6.4%

Ni gute twagenzura iki kibazo?

Inkuru nziza ni uko ubudahangarwa bwa insuline bushobora gusubizwa inyuma! Ikintu cy'ingenzi kuri ibyo ni uguhindura imibereho. Ibi bintu bifite imbaraga nyinshi kuruta imiti.

1. Imyitozo ngororamubiri

Iyo ukora cyane, imitsi yawe ikenera imbaraga. Irushaho kumva insuline neza igatangira gukoresha isukari iri mu maraso yawe. Ndetse no gukora imyitozo ngororamubiri yoroshye nko kugenda n'amaguru vuba mu gihe cy'iminota 30 ku munsi, nibura iminsi 5 mu cyumweru, bishobora kugira ingaruka nziza.

2. Kugumana ibiro byiza

Ndetse no kugabanya ibiro kuva kuri 5% kugeza kuri 7% by'ibiro by'umubiri wawe bishobora kugabanya cyane ibyago byo kurwara diyabete. Urugero, niba upima ibiro 100, kugabanya ibiro 5-7 ni ikibazo gikomeye. Ganira na muganga wawe kugira ngo akugire inama kuri ibi.

3. Guhindura indyo

Nta ndyo yihariye "y'ubumaji" ihari kuri ibi, ariko ni ngombwa kumenya ibintu bimwe na bimwe.

• Ibiribwa birimo fibre nyinshi: Ibiribwa nk'ibinyampeke, ibinyamisogwe, imboga n'imbuto byongera kumva umuntu yuzuye kandi bigatinda umuvuduko w'isukari mu maraso.
• Ibiribwa bifite igipimo gito cya glycemic (GI): Muri make, ibi ni ibiryo bidatuma isukari mu maraso yiyongera vuba nyuma yo kurya.
• Kurya kenshi (GI nto): Imboga nyinshi n'imbuto, umuceri w'umukara, ubunyobwa, amashu, yawurute.
• Kurya rimwe na rimwe (Ingano-GI): Umugati wuzuye, imineke, ibigori.
• Gabanya uko bishoboka kose (High-GI): umugati wera, umuceri wera, keke, ibisuguti, ibinyobwa biryoshye, ibirayi.

4. Ibindi bintu by'ingenzi

• Irinde kunywa itabi.
• Kugenzura imihangayiko.
• Gusinzira bihagije (nibura amasaha 7 ku munsi).

Reka kandi twige ku miti: Nta muti wihariye uhari wo kurwanya insuline. Ariko, niba ufite ibyago byinshi byo kurwara diyabete, muganga wawe ashobora kukwandikira umuti nka Metformin . Ariko umuganga ni we wenyine ushobora kugena.