Iyo muganga wawe akubwiye ko urwaye diyabete yo mu gihe cyo gutwita, ushobora kumva ufite ubwoba gato, si byo se? Ushobora kuba wibaza uti 'Ni iki kizambaho njye n'umwana wanjye?' Ariko ntugahangayike. Iyi ni indwara ifata ababyeyi benshi kandi ishobora kwitabwaho neza. Ikintu cy'ingenzi ni ukugenzura urugero rw'isukari mu maraso yawe no kuyigumana muri ubwo buryo. Nubikora, wowe n'umwana wawe muzaba muzima kandi mutekanye. Reka turebe icyo twakora kugira ngo twirinde iyi ndwara.
Ubwa mbere, reka twibande ku byo kurya n'ibyo kunywa byacu.
Intambwe ya mbere kandi y'ingenzi mu guhangana n'iki kibazo ni ugukurikiza indyo yuzuye . Muganga wawe ashobora kukugira inama yo kubonana n'inzobere mu mirire. Iki ni igitekerezo cyiza, kuko inzobere mu mirire ishobora gukora gahunda y'amafunguro yihariye kuri wewe kandi ushobora gukurikiza. Iyi gahunda igomba kugufasha guhangana na diyabete yawe ndetse no guha umwana wawe ukura ingano ikwiye ya karori n'intungamubiri.
Ubusanzwe, inzobere mu mirire izakubwira umubare wa karori ukeneye ku munsi bitewe n'uburebure n'ibiro byawe. Umugore ufite ibiro biciriritse akeneye karori ziri hagati ya 2,200 na 2,500 ku munsi. Ariko, niba ufite umubyibuho ukabije gato, ushobora kubwirwa kugabanya iyo karori ukagera kuri 1,800.
Bazakwigisha uburyo bwo kuringaniza indyo yawe. Indyo bagusaba ishobora kuba imeze itya:
| Ubwoko bw'ibiryo | Ijanisha rya karori zigomba kuribwa buri munsi | Ingero |
|---|---|---|
| Poroteyine | 10% - 20% | Inkoko, amafi, amagi, foromaje, amata, yawurute, lentile, amashaza, ibishyimbo bibisi. |
| Ibinure | Munsi ya 30% | Imbuto (cashews, ubunyobwa), avoka, amavuta ya elayo. (Amavuta yuzuye - agomba kuba ari munsi ya 10%) |
| Karubohidrati | 40% bisigaye - hafi 50% | Umuceri w'umukara, buckwheat, ingano, umugati (cyane cyane hamwe n'ibinyampeke), imboga n'imbuto. |
Wibuke ko ibiryo birimo isukari umubiri wacu uhindura isukari, bityo ni ngombwa kubirya mu rugero ruto umunsi wose, aho kubirya mu rugero rwinshi icyarimwe.
Imyitozo ngororamubiri ni yo nshuti yawe magara muri uru rugendo.
Niba nta ngaruka bigutera cyangwa bigutera umwana wawe, muganga wawe azakugira inama yo gushyiramo imyitozo ngororamubiri mu bikorwa byawe bya buri munsi. Gerageza gukora imyitozo ngororamubiri iri hagati y'iminota 15 na 30 mu minsi myinshi.
Mu magambo make, iyo ukora imyitozo ngororamubiri, imisemburo ya insuline, ifasha uturemangingo tw’umubiri wawe gukoresha isukari iri mu maraso yawe, itangira gukora neza kurushaho. Ibi bituma byoroha kugenzura urugero rw’isukari mu maraso yawe.
Ariko ibi ni ingenzi cyane:
- Vugana na muganga wawe umubaze neza imyitozo ngororamubiri ikubereye wowe n'umwana wawe, n'igihe ugomba kuyikora.
- Si abantu bose bakwiriye ubwoko bumwe bw'imyitozo ngororamubiri. Ndetse n'ibintu byoroshye nko kugenda vuba cyangwa koga bigomba gusuzumwa na muganga mbere yo gutangira.
Isuzume urwego rw'isukari mu maraso yawe ubwawe.
Uburyo bwiza bwo kugenzura imikorere y'imirire yawe n'imyitozo ngororamubiri ni ukureba urugero rw'isukari mu maraso yawe uri mu rugo. Ibi bigomba gukorwa buri gihe. Agakoresho gato gakoreshwa muri ibi kitwa glukometero . Niba udafite, muganga wawe ashobora kuguha. Azagusobanurira uko ukoreshwa.
Ubusanzwe, uzasabwa kugenzura urugero rw'isukari mu maraso yawe mbere na nyuma yo kurya, n'isaha imwe cyangwa ebyiri nyuma ya buri funguro . Andika ibi bipimo hanyuma ubijyane kwa muganga wawe.
Hari igihe ubufasha bw'imiti bushobora gukenerwa.
Niba udashobora kugenzura urugero rw'isukari mu maraso yawe nubwo washyizeho imihati myinshi, ugakora indyo yuzuye, ndetse ugakora siporo, muganga wawe azakubwira gutangira gufata imiti. Ntugahangayike kuri ibi. Ibi si ukunanirwa kwawe. Ibi ni ukurinda umwana wawe .
Ushobora gutangirana n'ikinini cya diyabete (urugero, Metformin). Ariko niba ibyo bitagenzura isukari mu maraso yawe, ushobora gukenera gukoresha inshinge za insuline nk'intambwe ikurikiraho. Nanone, ibuka ko ibi byose ari ukugira ngo umwana agire umutekano.
Twita kandi ku mikurire y'umwana.
Iyo isukari yo mu maraso y'umubyeyi yiyongera, iyo sukari yiyongereye nayo igera ku mwana. Hanyuma umubiri w'umwana ukora insuline nyinshi. Iyi insuline ikora nk'imisemburo itera gukura. Ibi bishobora gutuma umwana akura cyane (Macrosomia) .
Kubera iyo mpamvu, muganga wawe azibanda cyane ku bunini bw'umwana wawe mu byumweru bike bya nyuma by'inda yawe. Niba hari ukeka ko umwana ari munini cyane, ashobora no kumukorera ultrasound .
Akenshi, ababyeyi barwaye diyabete yo gutwita bashobora kubyara mu buryo busanzwe. Ariko, niba umwana ari munini cyane, muganga ashobora kubagira inama yo kubaga.
Ni iki kibaho nyuma yo kubyara?
Nyuma yo kuvuka k'umwana, muganga azasuzuma niba igipimo cy'isukari mu maraso yawe cyasubiye ku rugero rusanzwe.
- Ubusanzwe, ikizamini gisubirwamo gikorwa nyuma y'ibyumweru 6 nyuma yo kubyara.
- Ni ingenzi cyane kwipimisha diyabete nibura rimwe mu mwaka nyuma y’ibyo, kuko abamaze kurwara diyabete yo mu gihe cyo gutwita baba bafite ibyago byinshi byo kurwara diyabete yo mu bwoko bwa 2 mu gihe kizaza.
Ubutumwa bwo kujyana mu rugo
- Diyabete yo mu gihe cyo gutwita nta mpungenge ifite. Ni indwara ishobora kugenzurwa neza.
- Uburyo bubiri bw'ingenzi bwo kuvura ni indyo yuzuye n'imyitozo ngororamubiri . Vugana na muganga wawe kuri ibi.
- Nk’uko muganga wawe abivuga, banza urebe urugero rw’isukari mu maraso yawe mu rugo buri gihe hanyuma uyandike.
- Niba udashobora kugenzura urugero rw'isukari yawe ukoresheje indyo n'imyitozo ngororamubiri gusa, ntutinye gukoresha imiti muganga yakwandikiye. Ni ku bw'umutekano wawe n'uw'umwana wawe.
- Ndetse na nyuma yo kubyara, ni ngombwa ko ujya kwisuzumisha buri gihe nk'uko muganga yabigutegetse.
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