Bishobora kugutwara igihe kugira ngo umenye amakuru umaze kubonana na muganga wawe no kugera mu rugo: Urwaye diyabete , none ugomba kugenzura urugero rw'isukari mu maraso yawe. Uko ugenda umenyera ubu buzima bushya, reka turebere hamwe ibikoresho n'ibindi bintu byagufasha gucunga indwara yawe no kwirinda ingorane zizaza. Ibi byose bigira uruhare rutandukanye mu gucunga diyabete yawe .
Insulini n'uburyo ikoreshwa
Muganga wawe ashobora kukugira inama yo gufata insuline kugira ngo ugenzure urugero rw'isukari mu maraso yawe ruri hejuru. Muri make, insuline ni imisemburo ikorwa n'urugingo rwo mu mubiri wacu rwitwa pancreas. Ifasha isukari iri mu biribwa turya gukoreshwa mu gutanga ingufu cyangwa kubikwa.
Niba urwaye Diyabete yo mu bwoko bwa 1 , pancreas yawe iba yarahagaritse gukora insuline burundu. Ariko niba urwaye Diyabete yo mu bwoko bwa 2, pancreas yawe iracyakora insuline, ariko umubiri wawe ntuyikoresha neza.
Bitewe n'uko urwaye, muganga wawe ashobora kukwandikira ubwoko butandukanye bwa insuline. Bumwe bukora vuba, ubundi bukora buhoro kandi buguma mu maraso igihe kirekire.
Ubusanzwe, ushobora gukenera gutera insuline inshuro imwe kugeza kuri enye ku munsi. Ibi bizagenwa na muganga wawe. Hari uburyo bwinshi bwo kubikora:
- Isirinji: Isirinji ishobora gukoreshwa mu gukuramo ingano ikwiye ya insuline mu icupa no kuyitera.
- Ikaramu ya insuline: Iyi ni ikaramu yoroshye cyane kuyikoresha. Hari amakaramu aza yuzuye insuline mbere, mu gihe andi adusaba gushyiramo karito.
Pompe ya insuline ni iki?
Hari igihe, aho gufata inshinge inshuro nyinshi ku munsi, muganga wawe ashobora kukugira inama yo gukoresha ipompo ya insuline. Iyi ijyana insuline mu mubiri wawe buhoro buhoro umunsi wose. Uracyakeneye gusuzuma isukari mu maraso yawe, ariko hari abantu basanga bifasha kugenzura urugero rw'isukari mu maraso yabo.
Iyi pompe ni nto cyane. Ushobora kuyishyira ku mukandara, mu isogisi, cyangwa mu mwenda w'imbere. Ifatanye n'umuyoboro muto witwa "catheter". Uyu muyoboro ushyirwa munsi y'uruhu rwawe wifashishije urushinge.
Iyi pompe isohora insuline mu rugero ruto umunsi wose, nkuko byateguwe hakurikijwe ibyo ukeneye. Nanone, iyo uriye ifunguro, ushobora gukanda buto kuri pompe kugira ngo ubone insuline y'inyongera ikenewe kugira ngo itwike karubohidrati muri iryo funguro.
Ibipimo by'isukari mu maraso
Igipimo cy'isukari mu maraso (cyangwa glukometero) ni igikoresho gito cy'ikoranabuhanga gikoreshwa mu kugenzura niba urugero rw'isukari mu maraso yawe ruri hejuru cyane cyangwa hasi cyane.
Uburyo bwo kubikoresha biroroshye cyane:
1. Banza ufate urushinge ruto rwitwa "Lancet" ku mutwe w'urutoki rwawe hanyuma ufate igitonyanga gito cy'amaraso.
2. Shyira igitonyanga cy'amaraso ahantu habigenewe ku gapapuro k'isuzuma (Diabete Test Strip).
3. Noneho shyiramo aka gapapuro muri meter, maze mu masegonda make urugero rw'isukari mu maraso yawe ruzagaragara kuri ecran.
Ni ingenzi cyane kwandika ibi bisubizo mu gitabo. Ibi bizafasha muganga wawe kwemeza ko gahunda yawe yo kuvura ikora. Muganga wawe azakubwira inshuro ugomba gupima isukari mu maraso yawe. Cyane cyane niba wumva uhinda umushyitsi, uhangayitse, uzunguza umutwe, ufite igituza gikubita, ibyuya, ushonje cyane, cyangwa usinziriye, ibi bishobora kuba ibimenyetso by'isukari nke mu maraso (hypoglycemia). Menya neza ko usuzuma isukari mu maraso yawe muri ibyo bihe.
Igenzura rya Glucose rihoraho (CGM)
Iki ni ikindi gikoresho kigezweho. Gipima mu buryo bwikora urugero rw'isukari mu maraso yawe buri minota mike, amasaha 24 ku munsi. Ibi bigufasha kumenya mbere y'igihe niba urugero rw'isukari mu maraso yawe ruri hejuru cyane cyangwa hasi cyane.
Akamashini gato k’imashini gashyirwa munsi y’uruhu kohereza amakuru ku gikoresho kiri ku kuboko kwawe cyangwa kuri telefoni yawe. Aya makuru ashobora gukoreshwa mu gukurikirana imiterere n’impinduka mu gipimo cy’isukari mu maraso yawe. Aya makuru ashobora kugufasha wowe na muganga wawe gutegura gahunda nziza yo kuvura.
Ariko wibuke ko nubwo waba ufite CGM, ugomba gufata amaraso mu rutoki rwawe ukoresheje glucometer isanzwe inshuro nyinshi ku munsi kugira ngo umenye neza ko ari ingirakamaro. Ugomba kandi guhindura sensor munsi y'uruhu buri minsi 3-7.
Imirongo yo gupima Ketone
Iyo umubiri wawe udafite insuline ihagije yo gukoresha isukari, utangira gutwika ibinure kugira ngo ubone ingufu. Iyi gahunda ikora ibintu byitwa ketones . Ingano nini ya ketones mu nkari zawe ni ikimenyetso cy'akaga cy'uko diyabete yawe yarenze urugero .
Muganga wawe ashobora kukugira inama yo gupima ketone niba ufite ibimenyetso bikurikira:
- Niba igipimo cy'isukari mu maraso yawe kiri kuri 240 mg/dL cyangwa kirenze
- Niba wumva urwaye cyangwa unaniwe igihe cyose
- Niba ufite umunwa wumye kandi ukumva ufite inyota igihe cyose
- Niba wumva utazi icyo ukora
- Niba ufite ikibazo cyo guhumeka
Kugira ngo ukore iki kizamini mu rugo, kusanya inkari mu gikombe gisukuye hanyuma ushyiremo agace k'ikizamini. Kuramo inkari zose zirenze hanyuma utegereze ko agace gahindura ibara ukurikije amabwiriza. Hanyuma, gereranya ibara ry'agace n'imbonerahamwe y'amabara iri ku gikoresho. Niba urugero rwa ketone mu mubiri wawe ruri ku rugero ruringaniye cyangwa ruri hejuru, jya kwa muganga wawe ako kanya. Niba bibaye ngombwa, jya ku bitaro bikuru byihutirwa (ETU).
Ibindi bintu by'ingenzi n'uburyo bwo kwitegura byihutirwa
Mu gihe uvura diyabete, ni ngombwa kugumana ibindi bintu bike. Reka turebe ibyo bintu biri muri iyi mbonerahamwe.
| Ibikenewe | Ibintu byo kuguma hafi |
|---|---|
| Hypoglycemia ikabije | Ikintu cyo kongera isukari mu maraso yawe vuba, nk'ibinini bya glucose, uduce tw'isukari, tofe, icupa ry'umutobe w'imbuto. Urushinge rwa glucagon (ku nama za muganga) rwo gutanga niba watakaje ubwenge. Bika ahantu henshi, nko mu gikapu cyawe, mu modoka, no mu kabati k'ibiro. |
| Kurinda uruhu n'ibirenge | Isabune yoroheje, umuti wo koza uruhu, ibikoresho byo koza igisebe (isuku y’uruhu, kaseti y’impapuro), ibikoresho byo gukata inzara, n’indorerwamo yo kugenzura ibirenge buri munsi niba nta bikomere cyangwa udusebe. Iyo imitsi yangiritse, amasogisi afite umushongi udafite umushongi. |
| Ku buzima bw'amenyo | Uburoso bw'amenyo bworoshye, uburoso bw'amenyo burimo fluoride, n'umugozi w'amenyo wo gusukura hagati y'amenyo. |
| Ku bw'ibiza | Ikarita cyangwa ikarita ivuga ko urwaye diyabete (Medical Alert ID). Nimero ya terefone umuntu ashobora guhamagara mu gihe cy'impanuka. Agasanduku k'ubutabazi karimo nibura imiti ya diyabete imara iminsi 7, insuline, udupapuro two gupima, bateri, nibindi. |
Ese biratworohera kubona ibi bikoresho byose muri Sri Lanka?
Bimwe mu bikoresho bigezweho twavuzeho, urugero nk'imashini zikoresha insuline n'ibikoresho bya CGM, ntabwo bikunze kugaragara muri Sri Lanka. Kandi birahenze cyane.
Glucometer, uduce two gupima, lancets, n'ubwoko butandukanye bwa insuline muri rusange biboneka mu mafarumasi yo mu gihugu cyacu. Ariko, hashobora kubaho ingorane zimwe na zimwe mu kubona ibikoresho bigezweho by'ikoranabuhanga.
Rero, ntucike intege n'ibyo abandi bakoresha. Icy'ingenzi ni ukuganira na muganga wawe hanyuma ugahitamo uburyo bwo kuvura n'ibikoresho bikubereye kandi bikubereye , hashingiwe ku miterere y'amafaranga yawe, ubuzima bwawe, n'imiterere y'uburwayi bwawe.
Ubutumwa bwo kujyana mu rugo
- Kuvura diyabete ni urugendo, kandi kugira ibikoresho n'ibikoresho bikwiye ni ingenzi kugira ngo urwo rugendo rworohe.
- Suzuma urugero rw'isukari mu maraso yawe buri gihe nk'uko muganga yabigutegetse. Andika ibisubizo.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu gishobora kongera isukari mu maraso yawe vuba (ibinini bya glucose, uduce tw'isukari) hafi yawe mu gihe bibaye.
- Buri gihe komeza witegure ikibazo cyihutirwa. Jyana ikarita y'indangamuntu ya diyabete n'agasanduku k'ibikoresho byihutirwa.
- Vugana na muganga wawe nta guhisha uburyo bwo kuvura bukubereye kandi buhendutse kuri wewe.
Diyabete, ibikoresho bya diyabete, insuline, glukometeri, isukari mu maraso, hypoglycemia, gucunga diyabete
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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.