Iyo utekereje kuri diyabete, inshinge za insuline ziza mu mutwe, si byo se? Nibyo, abantu benshi bakoresha insuline mu kugenzura diyabete yabo. Ariko se wari uzi ko hari n'imiti iterwa, ibinini byo kunywa, ndetse n'imiti ihumekwa yo kurwanya diyabete? Iyi miti yitwa imiti idaterwa inshinge. Uyu munsi, turaganira kuri iyi miti idaterwa inshinge. Reka turebe uko ikora, ibyiza n'ibibi, n'uburyo bwo guhitamo ikubereye.
Ibi binini bikora mu buryo butandukanye!
Si ibinini byose bya diyabete bikora kimwe. Hari ibinini byongera umusaruro wa insuline mu mibiri yacu. Hari n'ibindi bigenzura uburyo isukari ikwirakwira mu biryo turya. Hari ubundi bwoko, bufasha uturemangingo tw'umubiri wacu kwakira insuline neza. Bityo muganga wawe azasuzuma indwara yawe kandi aguhe inama ku bwoko bw'umuti cyangwa ubwoko butandukanye bw'imiti ikubereye.
Kugira ngo byoroshye kubisobanukirwa, reka turebe ibi byiciro by'ibiyobyabwenge by'ingenzi n'uko bikora mu mbonerahamwe nk'iyi.
| Itsinda ry'ibiyobyabwenge | Uburyo ikora ni bworoshye. | Ingaruka zisanzwe |
|---|---|---|
| Biguanides (urugero: Metformin) | Uyu ni wo muti ukunze kwandikirwa abantu barwaye Diyabete yo mu bwoko bwa 2. Ugabanya ikorwa ry'isukari mu mwijima. Ufasha kandi uturemangingo tw'umubiri gukoresha insuline. | Kubabara mu nda (isesemi, kuruka), uburyohe bw'icyuma mu kanwa. |
| Sulfonylureas (urugero: Glimepiride, Gliclazide) | Bitera imbaraga pancreas gukora insuline nyinshi. | Isukari nke mu maraso (Hypoglycemia), kubabara mu gifu, uruhu ruryana, kongera ibiro. |
| Meglitinides (urugero: Repaglinide) | Ibi kandi byongera umusaruro wa insuline uva muri pancreas, ariko bikora vuba kandi mu gihe gito. | Isukari nke mu maraso, igifu kibabara. |
| Ibikoresho bibuza DPP-4 (urugero: Sitagliptin, Vildagliptin) | Iyo isukari irenze urugero mu maraso, urugero rwa insuline ruriyongera. Bifasha kandi kugabanya umusaruro w'isukari ukorwa n'umwijima. Ibi ntibitera kwiyongera kw'ibiro . | Ingaruka mbi akenshi ziba nke. Hari igihe ububabare bw'ingingo n'indwara zo mu muhogo bishobora kubaho. |
| Ibikoresho bibuza SGLT2 (urugero: Dapagliflozin, Empagliflozin) | Bibuza impyiko kongera kwinjiza isukari mu mubiri, bigatuma isukari irenze isohoka mu nkari. Ibi bishobora kandi kuba ingirakamaro ku bantu bafite indwara z'umutima. | Indwara zo mu nzira y'inkari, indwara z'umusemburo mu gitsina, gucika intege. |
| Thiazolidinediones (TZDs) (urugero: Pioglitazone) | Bifasha imitsi n'ibinure kwakira neza insuline kandi bigabanya umusaruro w'isukari ukorwa n'umwijima. | Kubika amazi mu mubiri, kwiyongera ibiro, n'ibyago byo kurwara indwara z'umutima bigomba kuganirwaho na muganga wawe. |
| Inzitizi za Alpha-glucosidase (Urugero: Acarbose) | Ifu n'isukari turya bigogorwa mu mara bigashyirwa mu mubiri. | Kubabara mu gifu, kubyimba inda. |
Ibinini bivanze
Hari igihe, urugero rw'isukari mu maraso yawe rushobora kutagenzurwa neza n'umuti umwe gusa. Muri ibyo bihe, muganga wawe ashobora kukwandikira imiti ibiri. Ese ntibyaba byoroshye gufata ikinini kimwe gihuza imiti ibiri aho gufata ibinini bibiri buri munsi? Ni cyo ibinini bivanze bigamije.
Urugero, imiti nka metformin irimo Glimepiride, cyangwa metformin irimo Sitagliptin, iza mu kinini kimwe. Ibi bigabanya umubare w'ibinini ugomba gufata ku munsi, bigatuma byoroha gufata umuti buri gihe.
Insulini ihumekwa
Iki ni ikintu gishya. Ni ubwoko bwa insuline bukora vuba. Iyi insuline iza mu ishusho ya capsule kandi ihumekwa binyuze mu inhaler yihariye. Ubusanzwe ikoreshwa mbere yo kurya. Ibi bituma insuline yinjira vuba mu maraso binyuze mu bihaha.
Ariko ibuka ko ibi atari ibya buri wese. Niba unywa itabi, cyangwa ufite indwara y'ibihaha nka asima cyangwa COPD, ibi si ibyawe. Nanone, ntabwo ari ikintu gisimbura insuline ikora igihe kirekire.
Ni gute wahitamo umuti ukubereye?
Ubu ushobora kuba uri kwibaza uti "Wow, ko hari imiti myinshi cyane, nahitamo nte umuti ukwiriye?" Uwo si umwanzuro wagombye gufata wenyine. Ni umwanzuro wowe na muganga wawe mugomba gufata hamwe. Mu gufata uyu mwanzuro, mugomba gutekereza kuri ibi bintu:
- Igipimo cy'isukari mu maraso yawe kimeze gite? Hari abantu bashobora kugenzura neza isukari mu maraso yabo bakoresheje umuti umwe. Abandi bakeneye imiti myinshi.
- Iyi miti igura angahe? Imwe mu miti mishya irahenze gato. Vugana na muganga wawe kuri ibi.
- Ese ufite izindi ndwara? Niba ufite indwara z'umutima, impyiko, cyangwa ibibazo by'umwijima, imiti imwe ishobora kuba ikwiriye kurusha indi. Urugero, imiti igabanya ubukana bwa SGLT2 yagaragaye ko ari ingirakamaro ku ndwara zimwe na zimwe z'umutima.
- Ingaruka mbi zishobora kwihanganirwa? Umuti umwe ntugira ingaruka kuri bose kimwe. Hari abantu bahura n'ibintu nko kubabara mu gifu no kwiyongera ibiro. Niba ufite ingaruka mbi bigoye kwihanganira, ugomba kubimenyesha muganga wawe.
Vugana na muganga wawe nta guhishanya kuri ibi byose kugira ngo hamwe muhitemo uburyo bwiza, bwizewe kandi bunoze bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- Hari inshinge za insuline ziterwa diyabete, hamwe n'ibinini binyobwa n'imiti ihumekwa.
- Buri muti muri iyi ugenzura urugero rw'isukari mu mubiri mu buryo butandukanye.
- Guhitamo umuti ukubereye bigomba gukorwa ubanje kugisha inama muganga wawe, hashingiwe ku buzima bwawe, imibereho yawe, n'ibindi bintu.
- Ntugahagarike gufata imiti yawe, guhindura ingano, cyangwa ngo utangire umuti mushya utabanje kugirwa inama na muganga.
- Niba ugize ingaruka mbi zikomoka ku muti, ntugatinye kandi ubibwire muganga wawe ako kanya.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.