Ese abantu bananutse nabo barwara diyabete? Reka tuvuge ku byago byihariye (Diyabete yo mu bwoko bwa 2) twebwe abaturage ba Aziya y'Epfo dufite.

Benshi muri twe dutekereza ko diyabete yibasira abantu babyibushye n'ababyibushye gusa. Ariko se wari uzi ko ku muntu wo mu gihugu cyo muri Aziya y'Amajyepfo nkatwe, ni ukuvuga muri Sri Lanka, nubwo twaba tunanutse cyangwa dufite ibiro bisanzwe, tuba dufite amahirwe menshi yo kurwara diyabete yo mu bwoko bwa 2? Mu by'ukuri, ugereranije n'andi moko, ibyago byacu byikubye inshuro enye. Iki ni ikintu kidutangaza cyane. None rero uyu munsi, reka tuganire ku mpamvu ibi bibaho, icyo tugomba kumenya, n'icyo twakora kugira ngo twirinde iki kibazo.

Kuki Abanyaziya y'Epfo nkatwe bari mu kaga gakomeye?

Impamvu nyamukuru ibi ni uburyo umubiri wacu ubika ibinure. Tekereza, hari urugingo rutagaragara rw'ibinure rukikije ingingo z'ingenzi mu mubiri wacu nk'umwijima n'imitsi. Mu buvuzi, ibi byitwa (visceral adiposity) . Iki ni ikintu gishobora kubaho imbere, nubwo umubiri wacu waba woroshye kandi ntusa n'aho ugaragara inyuma.

Mu magambo make, bitewe n'urugingo rw'ibinure rukikije uru rugingo, imisemburo ya insuline ikorwa n'indurwe y'umubiri wacu ntishobora gukora neza. Inshingano nyamukuru ya insuline ni ugufasha uturemangingo gufata isukari (glucose) mu maraso no kuyihinduramo ingufu. Rero, iyo insuline idashobora gukora akazi kayo neza bitewe n'uru rugingo rw'ibinure, tuyita insuline resistance . Ibi bituma isukari mu maraso yiyongera.

Ikibazo kibiri duhura nacyo: kurwanya no kubura

Nk’Abanya-Aziya y’Amajyepfo, iki kibazo kiragoye cyane kuri twe kubera impamvu ebyiri.

1. Guhangana na insuline: Nkuko nabivuze mbere, nubwo umubiri wacu ukora insuline, ntabwo ikora neza. Umuganga w’inzobere wavuze kuri ibi yavuze ibyamubayeho. Igihe yarwaraga diyabete yo mu gihe cyo gutwita, byabaye ngombwa ko atera insuline nyinshi nubwo yari afite igipimo cy’uburemere bw’umubiri (BMI). Ibi bivuze ko nubwo insuline iba mu mubiri, idakora neza, bityo hakenewe ingano nini.

2. Kubura insuline: Ikindi kibazo ni uko uturemangingo (genetique), uturemangingo dukora insuline (uturemangingo twa beta) mu imisemburo yacu tudakora cyane. Ibi byitwa (blunting beta cells).Ni ukuvuga ko iyo turya, isukari mu maraso yacu iriyongera. Hanyuma pancreas ibona ikimenyetso cyo gukora insuline. Ariko kubera ko uturemangingo twacu tuba "tunebwe", ntabwo dukora insuline kugeza igihe isukari mu maraso ibaye nyinshi cyane. Bityo dufite ikibazo cya insuline idakora neza ku ruhande rumwe, n'ikibazo cyo kudakora insuline ihagije ku rundi ruhande.

Ni ibihe bintu bishobora gutera diyabete gupimwa?

Nk’Abanya-Aziya y’Amajyepfo, tugomba kwitondera ibipimo bitandukanye n’ibipimo rusange mu gihe upima diyabete. Ni ngombwa cyane ko upimwa diyabete niba igipimo cy’uburemere bw’umubiri wawe, cyangwa BMI, kiri hejuru ya 23. Nubwo impuzandengo y’agaciro mu bihugu by’Iburengerazuba ari 25, bitewe n’itandukaniro ryacu mu miterere y’umubiri, turi mu kaga nubwo twagira BMI iri hasi.

Reba niba ufite kimwe cyangwa byinshi muri ibi bikurikira bishobora gutera ibyago.

Uvugana na muganga wawe ute kuri ibi?

Igikuru ni ugufata iya mbere ukaganira na muganga wawe kuri ibi. Muganga wawe ashobora kudashaka kugupima diyabete kuko ufite ibiro bisanzwe. Ariko ushobora kumusobanurira ibi bintu.

Iyo ugiye kwa muganga wawe, vuga uti "Muganga, nubwo BMI yanjye iri mu rugero rusanzwe, nzi ko ndi umunyaziya y'Amajyepfo kandi ndi mu kaga ko kurwara diyabete nubwo na BMI yanjye iri hasi. None se ushobora kugenzura A1c yanjye?"

A1c (HbA1c) ni igipimo cy'isukari mu maraso yawe mu mezi 2-3 ashize. Iki kizamini gishobora kukwereka niba urwaye diyabete cyangwa ufite ibyago byo kurwara diyabete (prediabete). Ni ngombwa kwita ku buzima bwawe.

Imirire n'imibereho: Ni iki twagombye gukora?

Indyo yawe ni ingenzi ku kigero cya 70% mu kuvura diyabete. 30% bisigaye ni imyitozo ngororamubiri.

Indyo yacu nyamukuru yo muri Sri Lanka ikunze kuba irimo karubohidrati nyinshi (inyama zikomoka ku bimera). Dukunda kurya ibiryo bikozwe mu muceri, umugati, n'ifu cyane. Ubwoko ubwo aribwo bwose bwa karubohidrati butuma isukari mu maraso yiyongera. Icyo tugomba gukora ni ukudahagarika kurya ibi biribwa burundu.

• Hindura uburyo utegura isahani yawe y'umuceri: Shyira kimwe cya kane cy'isahani yawe ku muceri, kimwe cya kane kuri poroteyine (amafi, inkoko, amagi, lentils, ubunyobwa), naho igice gisigaye kuri imboga n'imboga.
• Shyiramo ibiryo bikungahaye kuri fibre: Ibiryo nk'ibinyampeke byuzuye, amashu, umuceri w'umukara, imboga, n'imbuto bigabanya umuvuduko w'isukari mu maraso.
• Irinde ibiryo byatunganyijwe n'ibinyobwa birimo isukari: Ibi bitera kwiyongera gutunguranye kw'isukari mu maraso.

Ntukemere ko diyabete igenzura ubuzima bwawe. Ahubwo, menya neza iyi ndwara, gisha inama muganga wawe , kandi uhindure imibereho yawe.