Diabetic Coma ni iki? Ibimenyetso, Impamvu, & Uko Ivurwa

Diabetic coma ni ubutabazi bw’ubuzima bukomeye aho urwego rwo hejuru cyangwa rwo hasi rw’isukari mu maraso rutuma utakaza ubwenge. Ni uburyo umubiri wawe wipfungaho iyo isukari mu maraso ibaye imbarutso mbi, igahindura ubutaha aho utazi kubyuka cyangwa gusubiza nk’uko bisanzwe.

Nubwo ijambo "diabetic coma" rikumvikana riteye ubwoba, gusobanukirwa icyo ari cyo n’uko wakwirinda bishobora kugufasha kumva ufite icyizere cyo gucunga diyabete. Iyi ndwara ikomeye isaba ubuvuzi bw’ihutirwa, ariko ukoresheje kwita kuri diyabete neza no kumenya ibimenyetso byo kuburira, byinshi birindwa.

Diabetic coma ni iki?

Diabetic coma ibaho iyo urwego rw’isukari mu maraso rugaragara cyane ku buryo ubwonko bwawe budashobora gukora neza, bigatuma utakaza ubwenge. Ubwonko bwawe bushingiye ku isukari ihagije kugira ngo bubone imbaraga, kandi iyo urwego ruzamuka cyangwa rugabanuka cyane, bigira ingaruka ku bushobozi bwawe bwo gukomeza kuba maso kandi ukaba maso.

Iyi ndwara ishobora kubaho kuri umuntu wese ufite diyabete, yaba ubwoko bwa 1 cyangwa ubwoko bwa 2. Inkuru nziza ni uko diabetic comas zirindwa hakoreshejwe gusuzuma isukari mu maraso buri gihe no gukurikiza gahunda yawe yo gucunga diyabete nk’uko itsinzwe n’itsinda ryawe ry’ubuvuzi.

Ibimenyetso bya diabetic coma ni ibihe?

Mbere y’uko diabetic coma ibaho, umubiri wawe ubusanzwe wohereza ibimenyetso byo kuburira ko urwego rw’isukari mu maraso rugenda ruba rurangiza. Kumenya ibi bimenyetso byo kuburira bishobora kugufasha gufata ingamba mbere y’uko ikibazo kiba gikomeye.

Ibimenyetso biterwa n’uko isukari yawe mu maraso ari hejuru cyangwa hasi, kandi ubusanzwe bigenda bigaragara buhoro buhoro mu masaha cyangwa mu minsi:

Ibimenyetso by’isukari nyinshi mu maraso (hyperglycemia):

• Umukama ukabije no kwinjira mu musarani kenshi
• Isesemi no kuruka
• Impumuro y’imbuto mu miheto
• Guhumeka kubi kandi kenshi
• Intege nke n’umunaniro
• Ubwenge buke cyangwa kugorana kwibanda
• Kubabara mu nda

Ibimenyetso byo kugira isukari nke mu maraso (hypoglycémie):

• Kujijinganya no guhinda
• Gutera kw'umutima cyane
• Guseseka
• Inzara
• Gucika intege cyangwa guhindura imyifatire
• Kuzenguruka cyangwa gucika intege
• Kubura ubwenge cyangwa kugorana kuvuga

Uko ibi bimenyetso bikomeza kuba bibi, ushobora kurushaho kunanirwa maze ukazasinzira. Niba ubona ibimenyetso byo kuburira, ni ngombwa ko ugenzura isukari yawe ya maraso ako kanya kandi ugasaba ubufasha bw'abaganga niba urwego rwayo ruri hejuru cyangwa hasi cyane.

Ni izihe ngero za koma iterwa na diyabete?

Hariho ubwoko butatu nyamukuru bwa koma iterwa na diyabete, buri bwoko buterwa no kutagira umubare ukwiye w'isukari mu maraso. Gusobanukirwa ubwoko bwazo bishobora kugufasha kumenya icyo urimo uhura na cyo no kubikemura uko bikwiye.

Diabetic ketoacidosis (DKA)

DKA ibaho iyo isukari yawe mu maraso iba hejuru cyane kandi umubiri wawe utangira gusenya ibinure kugira ngo ubone imbaraga aho gukoresha glucose. Uyu muhanda ubaho utanga ibintu bibangirika bitwa ketones bituma amaraso yawe aba aside, bigatuma habaho ingaruka zikomeye.

Ubu bwoko bugaragara cyane mu bantu barwaye diyabete yo mu bwoko bwa mbere ariko bushobora kandi kugaragara no mu barwaye diyabete yo mu bwoko bwa kabiri mu gihe barwaye cyane cyangwa bafite umunaniro. Impumuro y'imbuto mu miheto ni ikimenyetso cyerekana DKA.

Hyperosmolar hyperglycemic state (HHS)

HHS isobanura ko urwego rw'isukari mu maraso ruri hejuru cyane, akenshi hejuru ya 600 mg/dL, ariko nta ketones nk'uko biba muri DKA. Amaraso yawe aba abaye maremare kandi nk'isukari, bigatuma umubiri wawe utabasha gukora neza.

Iyi ndwara igaragara cyane mu bantu barwaye diyabete yo mu bwoko bwa kabiri kandi ikunze kuza buhoro buhoro mu minsi cyangwa mu byumweru. Kugira umubiri ucika amazi cyane ni ikimenyetso gikomeye cya HHS.

Hypoglycémie ikomeye

Ibi bibaho iyo isukari mu maraso igabanuka cyane, akenshi munsi ya 50 mg/dL. Ubwonko bwawe ntibuhabwa glucose ihagije kugira ngo bukore, bigatuma ubura ubwenge, ugahahamuka, maze ugasinzira.

Hypoglycémie ikomeye ishobora kuba vuba cyane, rimwe na rimwe mu minota mike, cyane cyane niba wafashe insuline cyangwa imiti y’igisukari nyinshi utabanje kurya ibyokurya bihagije.

Ese iki gitera koma y’igisukari?

Koma y’igisukari ibaho iyo ibintu byinshi bifatanije bituma isukari y’amaraso igira urwego rw’akaga. Gusobanukirwa ibyo bintu bishobora kugufasha gufata ingamba zo kwirinda iki kibazo gikomeye.

Ikibazo nyamukuru gihora gifitanye isano na insuline – kuba ufite make, menshi, cyangwa umubiri wawe udashobora kuyikoresha neza:

Ibitera koma y’isukari nyinshi:

• Kudafata doze za insuline cyangwa imiti y’igisukari
• Uburwayi cyangwa indwara yandura izamura isukari y’amaraso
• Kurya karubone nyinshi udasanzwe utabanje guhindura imiti
• Umuvuduko uterwa n’ubugingo, imvune, cyangwa trauma yo mu mutwe
• Imiti imwe nka steroide
• Igisukari kitamenyekanye
• Imikorere mibi y’imashini ya insuline

Ibitera koma y’isukari nke:

• Kufata insuline cyangwa imiti y’igisukari nyinshi
• Kudarya cyangwa kurya bike ugereranyije n’ibyo witeguraga
• Kunywesha inzoga utabanje kurya ibyokurya bihagije
• Gukora imyitozo ngororamubiri irenze ubusanzwe utabanje guhindura imiti cyangwa ibyokurya
• Kuruka cyangwa kudakomeza kurya
• Kufata imiti imwe ivangura n’imiti y’igisukari

Rimwe na rimwe, ibintu bidasanzwe bishobora kugira uruhare mu koma y’igisukari. Ibyo bishobora kuba harimo indwara zikomeye z’impyiko cyangwa umwijima, ibibazo by’umutima, cyangwa indwara zidasanzwe z’imisemburo zigira ingaruka ku gukumira isukari y’amaraso.

Iyo ukwiye kubona muganga kubera koma y’igisukari?

Hamagara 911 ako kanya niba hari umuntu udashobora kubyuka, cyane cyane niba arwaye igisukari. Koma y’igisukari ihora ari ubutabazi bw’ubuvuzi bukeneye kuvurirwa mu bitaro – nta buryo butekanye bwo kuyivura mu rugo.

Ugomba kandi gushaka ubutabazi bw’ubuvuzi ako kanya niba ufite ibi bimenyetso by’uburwayi, mbere y’uko ucika intege:

• Isuku y'amaraso irenga 400 mg/dL cyangwa iri munsi ya 50 mg/dL
• Kuruka no kutamenya kubika amazi
• Ibimenyetso byo gukama cyane
• Gukoma mu mihango cyangwa guhumeka vuba
• Impumuro y'imbuto mu mihango
• Uburwayi bukabije cyangwa kugorana kuguma maso
• Kubabara mu gituza cyangwa gutera kw'umutima

Ntugatege amatsiko ngo urebe niba ibimenyetso bizagenda ubwabyo. Uko wakira ubuvuzi vuba, ni ko amahirwe yo kwirinda ingaruka zikomeye no gukira neza ari menshi.

Ni ibihe bintu byongera ibyago byo kwinjira muri koma iterwa na diyabete?

Nubwo umuntu wese urwaye diyabete ashobora kwinjira muri koma iterwa na diyabete, hari ibintu bimwe na bimwe byongera ibyago. Kumenya ibyo bintu byongera ibyago bishobora kugufasha wowe n'itsinda ry'abaganga bawe gufata ingamba zidasanzwe zo kwirinda iki kibazo gikomeye.

Hari ibintu byongera ibyago ushobora kugenzura, ibindi bikaba bijyanye n'amateka yawe y'uburwayi cyangwa ubuzima bwawe ubu:

Ibintu byongera ibyago ushobora kugenzura:

• Kugenzura nabi isukari y'amaraso cyangwa kuyipima nabi
• Kudakoresha inshinge za insuline cyangwa imiti
• Kudakurikiza gahunda yawe yo kurya ibiryo bya diyabete
• Kudakora isuzuma buri gihe kwa muganga
• Kunywisha inzoga cyane
• Kudafite gahunda yo guhangana n'uburwayi

Ibintu byongera ibyago bijyanye n'uburwayi:

• Diyabete yo mu bwoko bwa mbere (ibyago byinshi byo kugira DKA)
• Amateka y'ibibazo bya diyabete byabayeho mbere
• Ibindi bibazo by'ubuzima nk'indwara z'umutima cyangwa ibibazo by'impyiko
• Imyanda myinshi cyangwa ibikomere bikira buhoro
• Ibibazo byo mu mutwe bigira ingaruka ku kwita kuri diyabete
• Imyaka irenga 65 (ibyago byinshi byo kugira HHS)

Byongeye kandi, imimerere imwe n'imwe y'ubuzima ishobora kongera ibyago byawe by'agateganyo, nko kurwara cyane, kubagwa, gutwita, cyangwa guhangayika cyane. Muri ibi bihe, gukorana bya hafi n'itsinda ry'abaganga bawe bihinduka ikintu gikomeye cyane.

Ni izihe ngaruka zishoboka za koma iterwa na diyabete?

Koma iterwa na diyabete ishobora gutera ingaruka zikomeye zikora ku bice byinshi by’umubiri wawe. Ariko kandi, iyo ufashe ubuvuzi vuba, byinshi muri ibyo bibazo bishobora kwirindwa cyangwa kugabanywa.

Uko umuntu amara igihe kinini muri koma iterwa na diyabete adavuwe, ni ko ibyago byo gukomereka burundu byiyongera:

Ingaruka zihita:

• Kubyimbagira mu bwonko (cerebral edema)
• Kuma gukabije n’iseseme
• Umutima ukomanga nabi
• Urwego rwo hasi cyane rwa potasiyumu
• Ibibazo byo gukomera kw’amaraso
• Gusinzira kw’impyiko
• Gukomeza guhumeka nabi

Ingaruka z’igihe kirekire:

• Gukomereka burundu mu bwonko
• Ibibazo byo kwibuka cyangwa guhinduka mu bwenge
• Ibyago byiyongereye byo kugira ibindi bibazo bya diyabete mu gihe kizaza
• Ingaruka za diyabete zikomeza kwihuta nko kwangirika kw’imijyana
• Ingaruka zo mu mutwe harimo impungenge z’igenzura ry’isukari mu maraso

Inkuru nziza ni uko abantu benshi bafata ubuvuzi vuba kuri koma iterwa na diyabete bakira neza nta ngaruka ziramba. Niyo mpamvu kumenya ibimenyetso by’uburwayi hakiri kare no gushaka ubuvuzi vuba ari ingenzi cyane ku buzima bwawe bw’igihe kirekire.

Koma iterwa na diyabete ishobora kwirindwa gute?

Kwiringira koma iterwa na diyabete bishoboka cyane ukoresheje uburyo bwo gucunga diyabete buhoraho no kumenya ibimenyetso by’umubiri wawe. Ikintu nyamukuru ni ugutuma urwego rw’isukari mu maraso ruguma rutuje no kumenya uko wakwitwara iyo rutangiye guhinduka.

Dore ingamba zikomeye zo kwirinda ushobora gukoresha buri munsi:

Imigenzo yo kwirinda buri munsi:

• Suzuma isukari yawe y'amaraso buri gihe nk’uko muganga wawe abikubwiye
• Fata imiti na insuline ukurikije uko wabwiwe
• Kora indyo yawe kandi ubare imyumbati buri gihe
• Komera umubiri wawe unywe amazi ahagije
• Kora siporo buri gihe ariko uhindure ibiryo n'imiti uko bibaye ngombwa
• Gara ufashe glucose ikora vuba mu gihe cy'igabanuka ry'isukari y'amaraso
• Kambara imyambaro yerekana ko ufite uburwayi

Gupanga ibintu bidasanzwe:

• Tegura gahunda yo guhangana n'uburwayi hamwe n'itsinda ry'abaganga
• Menya uburyo bwo gupima ketones iyo isukari y'amaraso iri hejuru
• Menya igihe ukwiye guhamagara muganga wawe cyangwa kujya mu bitaro byihuse
• Gara ufite abantu bo guhamagara mu gihe cy'akaga
• Gara ufite ibikoresho by'umwanya by'indwara ya diyabete
• Menyesha abagize umuryango wawe ibimenyetso by'akaga ka diyabete

Wibuke ko gukumira biroroshye kurusha kuvura. Ukurikije gahunda yawe yo kwita kuri diyabete no kuvugana buri gihe n'itsinda ry'abaganga bawe, ushobora kugabanya cyane ibyago byo guhura n'akaga ka diyabete.

Diyabete koma imenyekanwa gute?

Kumenya koma ya diyabete bikubiyemo ibizamini by'amaraso byihuse no gusuzuma umubiri kugira ngo bimenye icyateye ubutaha bw'ubwenge n'uburyo bwo kubuvura neza. Amakipe y'ubuvuzi bwihuse yatojwe kumenya no guhangana n'ibibazo bya diyabete vuba.

Uburyo bwo gupima busanzwe bukorwa vuba cyane mu bitaro byihuse:

Ibizamini byihuse:

• Gupima urwego rw'isukari mu maraso
• Gupima ketones (amaraso cyangwa inkari)
• Gusesengura gaze y'amaraso kugira ngo harebwe urwego rw'uburyohe
• Isuzuma rusange ry'imirire y'umubiri ku binyabutabire
• Gukurikirana umuvuduko w'amaraso n'umuvuduko w'umutima

Ibizamini by'inyongera bishobora kuba bikubiyemo:

• Isuzuma ry’amaraso kugira ngo barebe niba hari ubwandu
• Isuzuma ry’imikorere y’impyiko
• Gukurikirana umuvuduko w’umutima (EKG)
• X-ray y’amabere niba hari ibibazo byo guhumeka
• Gusuzuma imiterere y’ubwonko igihe umuntu amaze kumenya

Amateka yawe y’ubuzima ndetse n’amakuru yose ava mu bagize umuryango wawe yerekeye ibimenyetso biherutse kugaragara, impinduka z’imiti, cyangwa indwara bifasha abaganga gusobanukirwa icyateye koma. Aya makuru ayobora imyanzuro y’ubuvuzi kandi afasha kwirinda ibindi bibazo mu gihe kizaza.

Ubuvuzi bwa koma iterwa na diyabete ni iki?

Ubuvuzi bwa koma iterwa na diyabete bugamije gusubiza buhoro buhoro urwego rw’isukari mu maraso mu buryo busanzwe mu gihe ushyigikira imikorere y’ingenzi y’umubiri wawe. Ubuvuzi bw’umwihariko biterwa niba isukari yawe mu maraso ari hejuru cyangwa hasi, ariko ibintu byose bisaba ubufasha bw’abaganga byihuse.

Ubuvuzi bw’ibanze busanzwe butangira mbere y’uko ugera kwa muganga kandi bugakomeza mu cyumba cy’ubuvuzi bwo kuvura abarwaye cyane:

Ku koma iterwa n’isukari nyinshi mu maraso (DKA/HHS):

• Amazi atangwa mu buryo bwo mu mubiri kugira ngo arwanye ikibazo cyo kubura amazi
• Ubuvuzi bwa insuline kugira ngo igipimo cy’isukari mu maraso kigabanyuke buhoro buhoro
• Gusubiza ibinyabutabire nk’ipotasiyumu na sodium
• Kuvura impamvu zibanze nk’ubwandu
• Gukurikirana hafi imikorere y’umutima n’impyiko

Ku koma iterwa n’isukari nke mu maraso:

• Umuti w’isukari (isukari) utangwa mu buryo bwo mu mubiri
• Injisi ya glucagon niba kwinjiza umuti mu mubiri bigoye
• Gukurikirana isukari mu maraso buri gihe
• Kurya buhoro buhoro igihe umuntu amaze kumenya kandi ashobora kwishima
• Guhindura imiti kugira ngo birinde kongera kubaho

Ubuvuzi busanzwe buramara amasaha menshi kugeza ku minsi, bitewe n’uburemere bwa koma n’uburyo wahawe ubufasha bw’abaganga vuba. Muri uyu mujyi, amateam y’abaganga akurikirana neza aho ugeze kandi akagorora ubuvuzi uko ubuzima bwawe bugenda butera imbere.

Igihe umaze gukira, abaganga bazakorana nawe kugira ngo basobanukirwe icyateye koma n’uburyo byakumirwa kongera kubaho binyuze mu kugenzura neza diyabete.

Uko wakwita ku burwayi bwa diyabete iwanyu nyuma yo kugwa mu gisazi cya diyabete?

Kuvurwa nyuma yo kugwa mu gisazi cya diyabete bisaba kwita cyane ku burwayi bwawe bwa diyabete, kandi akenshi bisaba guhindura imikorere yawe ya buri munsi. Itsinda ry’abaganga bazakugira inama zihariye zishingiye ku cyateye icyo gisazi n’uko umubiri wawe wakira ubuvuzi.

Mu byumweru bike nyuma yo kuva kwa muganga, uzakenera gusuzuma isukari yawe mu maraso kenshi kurusha uko wabikoraga:

Gahunda yo gusuzuma byimazeyo:

• Suzuma isukari yawe mu maraso nibura inshuro 4 ku munsi, cyangwa nk’uko wabwiwe
• Suzuma ibyitwa ketones niba isukari yawe mu maraso irenze 250 mg/dL
• Andika neza ibijyanye n’isukari yawe mu maraso, ibyo urya, n’ibimenyetso
• Pima umubyibuho wawe buri munsi kugira ngo ugenzure impinduka z’amazi
• Fata imiti nk’uko wabwiwe, naho waba wumva umeze neza

Guhindura imibereho:

• Kugira gahunda ihoraho yo kurya ifite ibice bipimwe
• Kunywa amazi ahagije ariko wirinda kunywa amazi menshi
• Subira gukora imyitozo buhoro buhoro nyuma yo kubyemererwa na muganga
• Kuryama bihagije no guhangana n’umunaniro
• Kwirinda inzoga kugeza igihe muganga avuze ko byakwemererwa

Imiti yawe ya diyabete cyangwa umwanya wa insuline bishobora gukenera guhinduka nyuma yo kugwa mu gisazi cya diyabete. Ntuzigere uhindura umwanya wawe wenyine – buri gihe korana n’itsinda ry’abaganga bawe kugira ngo uhindure gahunda yawe y’ubuvuzi.

Wategura gute uruzinduko kwa muganga nyuma yo kugwa mu gisazi cya diyabete?

Gutegura gahunda yo gusubira kwa muganga nyuma yo kugwa mu gisazi cya diyabete bifasha kwemeza ko uhabwa inyungu nyinshi mu gihe cyawe hamwe n’abaganga. Izo nsanganyamatsiko ni ingenzi mu kwirinda impanuka mu gihe kizaza no kunoza uburyo bwo gucunga diyabete.

Mbere y’uruzinduko rwawe, kora amakuru y’ingenzi azagira akamaro mu gufasha muganga wawe gusobanukirwa uko uhagaze ubu:

Amakuru yo kuzana:

• Inyandiko zerekana isukari y’amaraso kuva igihe uvuye kwa muganga
• Urutonde rw’imiti yose ukoresha ubu n’ingano yayo
• Inyandiko y’ibimenyetso cyangwa ibyo uhangayikishijwe
• Ibibazo ku bijyanye no gucunga diyabete
• Amabwiriza wavanywe mu bitaro by’ubutabazi
• Amakariti y’ubwisungane mu kwivuza n’ibimenyetso by’ubuzima

Ibibazo byo kubaza muganga wawe:

• Ni iki cyateye ko nsinzira kubera diyabete?
• Nakora iki ngo ibi bitazongera kubaho?
• Ese imiti yanjye ikwiye guhinduka?
• Ngahe ngomba kujya nsuzuma isukari yanjye y’amaraso?
• Ni ibihe bimenyetso by’umubabaro nkwiye kwitondera?
• Ni ryari nkwiye kukubwira cyangwa kujya mu bitaro by’ubutabazi?

Ntucikwe no kuzana umuntu wo mu muryango wawe cyangwa incuti yawe mu nama yawe. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugushyigikira mu gihe urimo ugerageza kunoza gahunda yawe yo gucunga diyabete.

Ni iki gikuru wakuramo ku gukoma kubera diyabete?

Gukama kubera diyabete ni ikibazo gikomeye ariko gishobora kwirindwa cya diyabete gisaba ubutabazi bwa muganga byihuse. Nubwo byumvikana biteye ubwoba, gusobanukirwa ibimenyetso by’umubabaro no kugira uburyo bwiza bwo kugenzura isukari y’amaraso bishobora kugufasha kwirinda iki kibazo cy’ubukene.

Ikintu cy’ingenzi cyo kwibuka ni uko umubiri wawe ubusanzwe ugutanga ibimenyetso by’umubabaro mbere y’uko ukoma kubera diyabete. Ukoresheje gusuzuma isukari yawe y’amaraso buri gihe, ufata imiti nk’uko yagutegetswe, no kumenya igihe ukwiye gushaka ubufasha, ushobora kuguma utekanye kandi uzima.

Niba ufite impungenge ku bijyanye n’igipimo cy’isukari yawe y’amaraso cyangwa gucunga diyabete, ntutinye kuvugana n’itsinda ry’abaganga bawe. Bahari kugushyigikira mu kubaho neza ufite diyabete no kwirinda ibibazo nk’uko gukama kubera diyabete.

Ibibazo bikunze kubaza ku gukoma kubera diyabete

Q1: Urashobora gupfa kubera gukoma kubera diyabete?

Yego, koma iterwa na diyabete ishobora guhitana umuntu ntiyakirwa vuba. Ariko kandi, iyo ufashe ubuvuzi bw’ihutirwa, abantu benshi barakira neza. Ikintu nyamukuru ni ukumenya ibimenyetso by’uburwayi hakiri kare no gushaka ubuvuzi bw’ihutirwa ako kanya. Ubuvuzi bugezweho bwongereye cyane umubare w’abarokoka mu bihe by’amahutirwa ya diyabete.

Q2: Igihe kingana iki gisabwa kugira ngo umuntu akire koma iterwa na diyabete?

Igihe cyo gukira gitandukanye bitewe n’uburemere bwa koma n’uburyo ubuvuzi bwatangiye vuba. Abantu benshi bagaruka mu bwenge mu masaha make nyuma yo gutangira kuvurwa, ariko gukira burundu bishobora gutwara iminsi myinshi. Kugira ngo isukari y’amaraso igaruke mu buryo busanzwe no gusubira mu mirimo isanzwe bisanzwe biba mu cyumweru kimwe, iyo ubuvuzi bukwiye buhawe.

Q3: Koma iterwa na diyabete ishobora kubaho nubwo mfata imiti yanjye buri gihe?

Yego, koma iterwa na diyabete ishobora kubaho nubwo ufata imiti yawe buri gihe. Indwara, kwandura, umunaniro, cyangwa izindi ndwara zishobora rimwe na rimwe kurenga uburyo bwawe busanzwe bwo gucunga diyabete. Niyo mpamvu kugira gahunda yo kuvura iyo uriko urwaye no kumenya igihe cyo gushaka ubufasha bw’abaganga ari ingenzi cyane kuri buri wese ufite diyabete.

Q4: Koma iterwa na diyabete iramenyekanye cyane muri diyabete yo mu bwoko bwa 1 cyangwa iya 2?

Uduce dutandukanye twa koma iterwa na diyabete tumenyekanye cyane mu bwoko butandukanye bwa diyabete. Ketoacidose ya diyabete (DKA) imenyekanye cyane muri diyabete yo mu bwoko bwa 1, mu gihe hyperosmolar hyperglycemic state (HHS) imenyekanye cyane muri diyabete yo mu bwoko bwa 2. Ariko kandi, ubu bwoko bwose bwa diyabete bushobora guhura n’ubwoko ubwo aribwo bwose bw’ibibazo by’amahutirwa ya diyabete.

Q5: Nzagira ibibazo by’ubwonko byahoraho nyuma yo guhura na koma iterwa na diyabete?

Abantu benshi bahabwa ubuvuzi bw’ihutirwa bwa koma iterwa na diyabete barakira neza nta kibazo cy’ubwonko gihoraho. Icyago cyo kugira ingaruka zihoraho cyiyongera igihe umuntu amara igihe kinini adafite ubuvuzi. Niyo mpamvu ubuvuzi bw’ihutirwa ari ingenzi cyane – ubuvuzi bwa vuba burinda ubwonko n’izindi ngingo kwangirika.