Niba urwaye diyabete, ugomba kwitonda cyane kuri virusi ya COVID, sibyo? Nibyo koko. Ariko se wigeze wumva indwara yitwa 'Long COVID', imara ibyumweru cyangwa amezi nyuma yo gukira COVID? Ushobora kandi kuba urwaye iyi ndwara. Uyu munsi, turaganira mu buryo bworoshye kandi mu kinyabupfura ku buryo ibi bigira ingaruka ku bantu barwaye diyabete, n'ibibazo abantu benshi bibaza niba COVID ishobora gutera diyabete nshya.
Reka tubanze turebe, iyi 'COVID ndende' ni iki?
Mu magambo make, 'Covid ndende' twita ibimenyetso bikomeza ibyumweru cyangwa amezi nyuma yo kwandura Covid, ni ukuvuga nyuma yuko virusi ivuye mu mubiri. Mu buvuzi, ibi byitwa kandi ``Post-acute sequelae of SARS-CoV-2 infection`` cyangwa ``PASC```. Iyi ndwara ibaho ku bantu benshi bafite Covid. Hari kandi igitekerezo cy'uko ishobora kugaragara cyane mu bantu barwaye diyabete. Ariko inkuru nziza ni uko ku bantu benshi, ibi bimenyetso bigenda bigabanuka uko igihe kigenda gihita.
Reka turebe ibimenyetso bya Covid ya Long. Ibi bishobora gutandukana bitewe n'umuntu ku giti cye.
| Icyiciro cy'ibimenyetso | Ibimenyetso bishobora kuba birimo |
|---|---|
| Ibintu bisanzwe | • Kumva unaniwe cyane kandi unaniwe cyane buri gihe. • Ibimenyetso birakomera nyuma yo gukora imyitozo ngororamubiri cyangwa mu mutwe. • Hari igihe umuntu agira umuriro. |
| Ibiranga uburyo bwo guhumeka | • Kugorwa no guhumeka cyangwa guhumeka nabi. • Inkorora idashira. |
| Udutsinga tw'imitsi n'ibimenyetso byo mu mutwe | • Kuribwa umutwe. • Ibibazo byo kubura ibitotsi cyangwa gusinzira. • Kumva ubwonko bwawe bufite igihu (ubwonko bw'ibihu), kutabasha gutekereza neza, no kugorwa no kwibanda ku kintu. • Kuzungera iyo uhagurutse wicaye. • Kubura ibinure mu ngingo. • Kubura impumuro cyangwa uburyohe. • Kwiheba cyangwa guhangayika. |
| Ibindi bintu | • Kubabara ingingo n'imitsi. • Kubabara mu gituza, kumva umutima wawe urimo gutera cyane. • Ibibazo by'igogora nko kubabara mu gifu no gucibwamo. • Impinduka mu mihango y'abagore. • Uduheri ku ruhu. • Ibibazo byo kuvura amaraso (urugero: kuvura amaraso ajya mu bihaha - Pulmonary Embolism). |
Kuvura ibi bimenyetso ku muntu urwaye diyabete rimwe na rimwe bishobora kugorana cyane. Urugero, intege nke z'imitsi ziterwa na COVID zishobora gufata igihe kirekire kugira ngo zikemuke kuko ari ikibazo cya diyabete.
Ni iyihe sano iri hagati ya diyabete, Covid, na Covid Long?
Iki ni ikibazo cy'ingenzi cyane. Niba urwaye diyabete, uba uri mu kaga gakomeye ko kugira ibibazo bikomeye niba wanduye COVID. Ibi byago biba byinshi cyane cyane niba diyabete yawe idagenzurwa .
Tekereza nk'igihome. Iyo diyabete idacunzwe, inkuta z'icyo gihome ziba zidafite imbaraga. Hanyuma umwanzi nka Covid ashobora kwinjira akangiza byinshi. Iyo diyabete idacunzwe, ingingo z'umubiri, cyane cyane imiyoboro mito y'amaraso (imitsi mito), zishobora kwangirika. Uku kwangirika gushobora kuba kubi kurushaho iyo Covid yanduye.
Ariko, niba diyabete yawe igenzuwe neza, ibyago byo kurwara iyo ndwara biragabanuka cyane. Kubwibyo, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe no kugenzura neza urugero rw'isukari mu maraso yawe.
Ikindi ubushakashatsi bwerekana ni uko hari abantu bashobora kugira ibibazo by'isukari mu maraso igihe kirekire ndetse na nyuma yo gukira COVID. Hari abantu bamwe, ndetse n'abatari bafite diyabete igihe bandura COVID, bagiye bagira ikibazo cyo kwiyongera kw'isukari mu maraso, indwara yitwa "Hyperglycemia", iyo bavuye mu bitaro.
Ese kwandura Covid bishobora gutera diyabete?
Iki ni ikibazo abantu benshi bibaza. Ntibiramenyekana neza ko virusi ya Covid itera diyabete mu buryo butaziguye. Ariko, ubushakashatsi bwagaragaje ko hari isano iri hagati y’ibyo byombi.
- Ubushakashatsi bumwe bwagaragaje ko abantu barwaye COVID (ndetse n’abarwaye byoroheje) bari mu kaga ko kurwara diyabete mu mwaka utaha kurusha abatayirwaye. Abenshi mu barwayi ba diyabete baherutse gupimwa bari bafite Diyabete yo mu bwoko bwa 2.
- Ariko hari imbogamizi zimwe na zimwe kuri ubu bushakashatsi. Urugero, bumwe mu bushakashatsi bwakorewe ku bantu bari basanzwe bafite ibintu bishobora gutera diyabete, nko kubyibuha cyane n'umuvuduko ukabije w'amaraso. Bityo rero biragoye kumenya neza niba COVID ari yo yateye diyabete.
- Hari abandi baganga bemeza ko hari abantu baherutse gupimwa diyabete ubwo bari mu bitaro kubera Covid bashobora kuba bari barigeze kuba bafite diyabete itaramenyekana mbere.
Ku bijyanye na Diyabete yo mu bwoko bwa 1, hari ubushakashatsi bugaragaza ko hari ukwiyongera k'umubare w'abandura Diyabete yo mu bwoko bwa 1 nyuma yo kwandura COVID, cyane cyane mu bana, ugereranije n'izindi ndwara z'ubuhumekero. Ariko, nta mwanzuro uhamye uratangwa kuri ibi kugeza ubu.
Kubera iyo mpamvu, abaganga bavuga ko abantu bakize COVID, cyane cyane abafite ibyago byo kurwara, bagomba kuba maso ku buzima bwabo, cyane cyane ibimenyetso bya diyabete.
Ni gute Covid Long igira ingaruka ku muntu urwaye diyabete?
Nta bushakashatsi bwinshi burakorwa ku buryo Covid ya Long Covid igira ingaruka ku bantu barwaye diyabete. Ariko hashingiwe ku makuru ariho ubu, hari ibintu bike ugomba kuzirikana.
1. POTS: Iyi ni indwara aho umutima utera cyane iyo uhagaze wicaye cyangwa iyo uhagaze. Ibi byitwa `(Postural Tachycardia Syndrome - POTS)`. Iyi ndwara ishobora no kugaragara ku bantu barwaye diyabete. Iyi ndwara ikunze kugaragara cyane iyo umuntu amaze igihe kinini arwaye Covid.
2. Intege nke z'imitsi: Intege nke z'imitsi zishobora kubaho, ibyo bikaba byatera umunaniro ukabije ndetse no kugorwa no kugenda. Ibi bishobora gufata igihe kirekire kugira ngo barwayi ba diyabete bakire.
3. Ingorane z'imitsi mito y'amaraso: Diyabete ishobora kwangiza imitsi mito y'amaraso (imitsi mito) mu maso, mu mpyiko no mu mitsi. Hari amakenga ko COVID-19 y'igihe kirekire ishobora kongera ibi byago.
Kubwibyo, niba urwaye diyabete kandi ukagaragaza ibimenyetso bya COVID byavuzwe haruguru (cyane cyane umunaniro ukabije, guhumeka nabi, n'impinduka mu gutera k'umutima) nyuma yo kwandura COVID, ntubyirengagize nk'ibisanzwe.
Nyamuneka reba muganga wawe maze umuganirize. Azagusuzuma, akwohereze ibindi bipimo nibiba ngombwa, kandi aguhe ubuvuzi n'inama bikwiye.
Ubutumwa bwo kujyana mu rugo
- COVID ndende ni ibimenyetso bikomeza kubaho nyuma yuko COVID-19 irangiye. Abantu barwaye diyabete bashobora kuba bari mu kaga gakomeye gato.
- Gukumira diyabete yawe neza ni bwo buryo bwiza bwo kwirinda ingorane zikomeye za Covid na Covid y'igihe kirekire.
- Niba ufite umunaniro udashira, kubura umwuka, cyangwa ibibazo byo kwibuka nyuma yo kwandura COVID, ntukabirengagize. Vugana na muganga wawe kuri ibi.
- Nubwo bikiri ku rwego rw'ubushakashatsi niba Covid itera diyabete nshya, ni ngombwa kubimenya.
- Ku kibazo icyo ari cyo cyose cy’ubuzima, ntukishingikirize ku gukekeranya ahubwo reba muganga wawe gusa kugira ngo akugire inama n’ubuvuzi nyabwo.
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