Diabetic Hypoglycemia ni iki? Ibimenyetso, Impamvu, n'Umuti

Diabetic hypoglycemia ibaho igihe isukari y'amaraso igabanutse cyane, ubusanzwe munsi ya 70 mg/dL, mu gihe ugenzura diyabete ukoresheje imiti. Tekereza ko ari nk'ikimenyetso cy'umuriro w'umubiri kigera ku busa mu gihe ukeneye imbaraga cyane.

Iyi ndwara ni imwe mu ngorane zisanzwe abantu barwaye diyabete bahura nazo, cyane cyane abafata insuline cyangwa imiti imwe na imwe y'indwara ya diyabete. Nubwo bishobora gutera ubwoba iyo bibaye, gusobanukirwa hypoglycemia bigufasha kumenya ibimenyetso hakiri kare no guhita ubikemura kugira ngo wirinde akaga.

Diabetic hypoglycemia ni iki?

Diabetic hypoglycemia ibaho igihe urwego rw'isukari mu maraso rugabanuka munsi y'urwego umubiri ukeneye kugira ngo ukore neza. Ubwonko bw'umuntu bushingiye ku isukari ihoraho kugira ngo bugire imbaraga, bityo rero, igihe urwego rugabanutse cyane, umubiri utanga ibimenyetso by'umubiri.

Iyi ndwara isanzwe iba mu bantu barwaye diyabete yo mu bwoko bwa mbere cyangwa iya kabiri bafata insuline cyangwa imiti imwe na imwe ifasha kugabanya isukari mu maraso. Umubiri ufite uburyo bwa kamere bwo kwirinda isukari nke, ariko imiti ya diyabete rimwe na rimwe ishobora gukora neza cyane, bituma urwego rugabanuka munsi y'urwego rwizewe.

Abaganga benshi basobanura hypoglycemia nk'isukari mu maraso iri munsi ya 70 mg/dL, nubwo bamwe bashobora kumva ibimenyetso ku rwego rwo hejuru gato. Ikintu nyamukuru ni ukumenya ibimenyetso by'umubiri wawe kugira ngo ubashe guhita ukora.

Ibimenyetso bya diabetic hypoglycemia ni ibihe?

Umubiri wawe ufite uburyo bwo kuburira bugira uruhare igihe isukari y'amaraso igabanutse cyane. Ibi bimenyetso bisanzwe bigaragara mu byiciro, bitangira ku bimenyetso bito bishobora gukomeza kugera ku ngaruka zikomeye niba bitavuwe.

Ibimenyetso bya mbere bikunze kuba:

• Guhinda umubiri cyangwa guhinda amaboko
• Kunyara, nubwo utari mu bushyuhe
• Gukubita umutima cyane cyangwa nabi
• Inzara, rimwe na rimwe inyota ikomeye
• Ubwoba cyangwa guhangayika
• Kuzenguruka cyangwa gutakaza ubwenge
• Gucika intege cyangwa guhinduka kw'imitekerereze

Uko hypoglycemia ikomeza, ushobora guhura n'ibimenyetso bikomeye bigira ingaruka ku mitekerereze yawe no guhuza ibintu. Ibi birimo gutakaza ubwenge, kugorana gutekereza, kuvuga nabi, kubura ubushobozi bwo kubona neza, cyangwa kumva unaniwe kandi udakomeye.

Mu bihe bikomeye, hypoglycemia ishobora gutera indwara z'ubwonko, gutakaza ubwenge, cyangwa se koma. Bamwe mu bantu bahura n'icyo bita hypoglycemia unawareness, aho batumva ibimenyetso bisanzwe byo kuburira kugeza isukari y'amaraso igeze hasi cyane.

Hypoglycemia yo mu ijoro ikwiye kwitabwaho cyane kuko ibimenyetso bishobora kuba bigoye kubona mu gihe cyo kuryama. Ushobora kubyuka ufite umutwe, ukumva unaniwe cyane mu gitondo, ufite ibitotsi bibi, cyangwa ukabona uburiri bwawe bwose bwuzuye amazi kubera kunyara mu ijoro.

Iki gitera diabetic hypoglycemia ni iki?

Diabetic hypoglycemia ibaho igihe hari ukutabona ubumwe hagati y'imiti yawe ya diyabete, ibyo urya, n'imikino ngororamubiri. Gusobanukirwa ibi bintu bigufasha kwirinda ibyago no gucunga diyabete yawe neza.

Impamvu ziterwa n'imiti ni zo zikunze gutera ibi:

• Guta insuline cyangwa imiti ya diyabete cyane
• Kudafata imiti mu gihe gikwiye
• Gutangira imiti nshya cyangwa guhindura umwanya
• Guta imiti nka sulfonylureas izamura umusaruro wa insuline

Ibyo kurya n'imigenzo yo kurya bigira uruhare rukomeye mu guhinduka kw'isukari mu maraso. Kudakora ifunguro, kurya bike ugereranije, cyangwa gutinda kurya bishobora gutera hypoglycemia, cyane cyane niba umaze gufata imiti yawe ya diyabete. Kunywa inzoga, cyane cyane udafite ibyo kurya, bishobora kandi kubangamira ubushobozi bw'umwijima bwo kurekura isukari yabitswe.

Imikino ngororamubiri igira ingaruka ku isukari mu maraso mu buryo bushobora gutangazwa. Imikino ifasha imikaya gukoresha isukari neza, ibyo bishobora kugabanya isukari mu maraso amasaha menshi nyuma yo kurangiza. Iyi ngaruka y'igihe kirekire bivuze ko hypoglycemia ishobora kubaho amasaha menshi nyuma y'imikino ngororamubiri, ndetse no mu ijoro.

Zimwe mu mpamvu zidakunze kubaho ariko zikomeye harimo indwara cyangwa ubwandu, bishobora guhindura uburyo umubiri utunganya isukari, ibibazo by'impyiko cyangwa umwijima bigira ingaruka ku buryo imiti itunganywa, ndetse n'imiti imwe nka beta-blockers ishobora guhisha ibimenyetso bya hypoglycemia.

Ni ryari ukwiye kubona muganga kubera diabetic hypoglycemia?

Ukwiye kuvugana n'abaganga bawe niba ufite ibyago byinshi bya hypoglycemia, nubwo ubishobora gucunga neza murugo. Ibyago byinshi byo kugira isukari nke mu maraso bikunze kugaragaza ko gahunda yawe yo gucunga diyabete ikwiye guhinduka.

Shaka ubufasha bw'abaganga vuba niba ufite hypoglycemia ikomeye ifite gutakaza ubwenge, indwara z'ubwonko, cyangwa gutakaza ubwenge. Ibi bihe bisaba ubuvuzi bwihuse kandi bigaragaza ko uburyo bwawe bwo gucunga diyabete ubu bukeneye guhinduka cyane.

Tegura gahunda yo kubona muganga niba ubona ibintu byihariye mu byago bya hypoglycemia, nko kugira isukari nke mu maraso mu gihe kimwe buri munsi cyangwa nyuma y'ibikorwa runaka. Ukwiye kandi kuvugana na bo niba uri gutangira hypoglycemia unawareness, aho uhagarika kumva ibimenyetso bisanzwe byo kuburira.

Hamagara itsinda ry'abaganga bawe niba wari ukoresheje glucagon yo mu buryo bwihuse, niba abagize umuryango wawe bagufashije kuvura isukari nke ikomeye, cyangwa niba uri guhangayika kubera gucunga diyabete yawe kubera ibyago bya hypoglycemia.

Ibyago byo kugira diabetic hypoglycemia ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yo kugira hypoglycemia, kandi kubyumva bigufasha gufata ingamba zo kwirinda. Hari ibintu bimwe na bimwe ushobora kugenzura, mu gihe ibindi ari ibintu byo gucunga diyabete yawe.

Ibyago bifitanye isano n'imiti birimo:

• Guta insuline, cyane cyane iyikora vuba cyangwa irakora igihe kirekire
• Gukoresha sulfonylureas cyangwa meglitinides
• Guhindura umwanya w'imiti kenshi
• Guta imiti myinshi ya diyabete

Ibintu byo mu buzima bishobora kongera ibyago birimo imigenzo yo kurya idahwitse, kunywa inzoga kenshi, imikino ikomeye cyangwa iramara igihe kirekire utabiteguye, ndetse n'akazi k'igihe cyose cyangwa gahunda yo kuryama idahwitse ihungabanya imiterere y'umubiri wawe.

Indwara zishobora kandi kongera ibyago byawe. Indwara z'impyiko zigira ingaruka ku buryo umubiri wawe utunganya insuline n'imiti ya diyabete, mu gihe indwara z'umwijima zibangamira uburyo isukari ibikwa kandi ikarekurwa. Gastroparesis, indwara igabanya umuvuduko wo gusohora mu gifu, ishobora gutuma gucunga isukari mu maraso bidahwitse.

Bamwe mu bantu bafite ibyago byinshi kubera ibintu byabo bwite nko kuba barwaye diyabete yo mu bwoko bwa mbere igihe kirekire, guhura n'ibyago bikomeye bya hypoglycemia mbere, cyangwa kugira hypoglycemia unawareness. Imyaka igira uruhare, kuko abantu bakuze bashobora kugira uburyo butandukanye bwo kwemerera imiti n'imigenzo yo kurya.

Ingaruka zishoboka za diabetic hypoglycemia ni izihe?

Nubwo ibyago byinshi bya hypoglycemia bikemuka vuba ukoresheje ubuvuzi bukwiye, ibyago byinshi cyangwa bikomeye bishobora gutera ingaruka zikomeye. Gusobanukirwa ibi bibazo bishoboka bigaragaza impamvu kwirinda no gucunga neza ari ingenzi cyane.

Ingaruka za vuba ziterwa na hypoglycemia ikomeye zishobora kuba zikomeye kandi zishobora guhitana ubuzima:

• Indwara z'ubwonko zishobora gutera imvune cyangwa impanuka
• Gutakaza ubwenge cyangwa koma
• Kugwa cyangwa impanuka kubera gutakaza ubwenge cyangwa kunanirwa
• Ibibazo by'umutima, cyane cyane mu bantu barwaye umutima

Ingaruka z'igihe kirekire zibaho igihe hypoglycemia iba ikibazo gikomeza kugaruka. Ibyago bikomeye byinshi bishobora gutera hypoglycemia unawareness, aho umubiri wawe uhagarika gutanga ibimenyetso byo kuburira bisanzwe bikuburira ko isukari y'amaraso igabanuka.

Hypoglycemia kenshi ishobora kandi kugira ingaruka ku mibereho yawe n'ubuzima bwawe bwo mu mutwe. Abantu benshi bagira ubwoba kubera urwego rw'isukari mu maraso, ibyo bishobora gutuma bagira isukari nyinshi kurusha ibyo basabwa kugira ngo birinde isukari nke. Ubu buvuzi bushingiye ku bwoba bushobora gutuma gucunga diyabete bigenda nabi uko iminsi igenda.

Mu bihe bidasanzwe, hypoglycemia ikomeye cyane ishobora gutera ibibazo by'ubwonko bidakira, nubwo ibi bisanzwe bibaho gusa mu gihe cy'igihe kirekire, kitavuwe. Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hakoreshejwe gucunga diyabete neza no kuvura vuba ibyago byo kugira isukari nke mu maraso.

Diabetic hypoglycemia ishobora kwirindwa gute?

Kwiringira bishoboka rwose ukoresheje ingamba nziza n'imigenzo ya buri munsi. Ikintu nyamukuru ni ugushyiraho uburyo buhuza imiti yawe, ibyo kurya, n'imikino ngororamubiri mu gihe usigaye ufite uburyo bwo guhangana n'ibihe bidateganijwe byo mu buzima.

Kumenya urwego rw'isukari mu maraso ni shingiro ryo kwirinda. Suzuma isukari yawe kenshi, cyane cyane mbere yo kurya, mbere na nyuma y'imikino ngororamubiri, mu gihe cyo kuryama, kandi igihe cyose wumva ibimenyetso. Ibikoresho byo gukurikirana isukari mu maraso bishobora gutanga amakuru yihuse yerekeye isukari y'amaraso igabanuka.

Gahunda yo kurya no gufata ibyo kurya bifasha kugumana urwego rw'isukari mu maraso mu gihe cyose cy'umunsi:

• Kurya ibyo kurya n'ibiceri mu gihe kimwe
• Kudakora ifunguro, cyane cyane niba umaze gufata imiti ya diyabete
• Kugira ibiryo byihuse byoroshye hafi mu gihe cy'ibibazo
• Menya uko ibiryo bitandukanye bigira ingaruka ku isukari yawe mu maraso

Gupanga imikino ngororamubiri bisaba kwitabwaho cyane kugira ngo birinde isukari nke mu maraso iterwa n'imikino. Suzuma isukari yawe mbere, mu gihe, na nyuma y'imikino ngororamubiri. Ushobora kuba ukeneye kurya ibiryo byinshi by'isukari mbere yo gukora imikino cyangwa kugabanya umwanya wawe wa insuline ukoresheje inama y'abaganga bawe.

Gucunga imiti bisobanura gukorana n'abaganga bawe kugira ngo ubone umwanya ukwiye. Ibi bishobora gusobanura guhindura umwanya wa insuline, guhindura igihe cyo gufata imiti, cyangwa guhindura imiti ya diyabete ifite ibyago bike bya hypoglycemia.

Diabetic hypoglycemia imenyekanwa gute?

Kumenya hypoglycemia bisobanura kwemeza ko isukari y'amaraso iri hasi hamwe n'ibimenyetso bikira igihe isukari isubiye mu buryo busanzwe. Ubu buryo bworoshye bufasha itsinda ry'abaganga bawe gusobanukirwa uburemere n'imiterere y'ibyago byawe.

Igikoresho nyamukuru cyo gupima ni ugupima isukari mu maraso ukoresheje igikoresho cyo mu rugo cyangwa igikoresho gikurikirana isukari mu maraso. Abaganga bashaka ibipimo biri munsi ya 70 mg/dL, nubwo urwego runaka rushobora guhinduka bitewe n'imimerere yawe bwite n'imimerere y'ubuzima.

Muganga wawe azakubaza ibibazo birambuye ku bimenyetso byawe, igihe bibaho, icyabiteye, n'uburyo ubisanzwe ubishobora. Kugumana inyandiko irambuye y'ibipimo byawe by'isukari mu maraso, ibyo kurya, imiti, n'ibikorwa bigufasha kumenya ibintu bishobora gutera hypoglycemia.

Rimwe na rimwe muganga wawe ashobora kugusaba ibizamini by'inyongera kugira ngo akureho izindi mpamvu z'isukari nke mu maraso cyangwa ngo abone uburyo umubiri wawe usubiza isukari. Ibi bishobora kuba ibizamini byo kureba imikorere y'impyiko n'umwijima cyangwa urwego rw'imisemburo igira ingaruka ku gucunga isukari mu maraso.

Umuti wa diabetic hypoglycemia ni uwuhe?

Kuvura hypoglycemia vuba kandi neza bishobora kwirinda ko ibimenyetso bikomeza no kugufasha kumva neza mu minota mike. Uburyo bwo kuvura biterwa n'uburemere bw'ibimenyetso byawe niba ushobora kwivura wenyine neza.

Kubera hypoglycemia yoroheje kugeza hagati mu gihe uri maso kandi ushobora kumenya ibyo kurya, kurikiza amabwiriza ya "15-15". Fata garama 15 z'ibiryo byihuse by'isukari, tege amatariki 15, hanyuma usubiremo gusuzuma isukari yawe mu maraso. Niba iracyari munsi ya 70 mg/dL, subiramo ubuvuzi.

Ibiryo byihuse by'isukari bikora neza birimo:

• Ibisate 3-4 by'isukari
• Ounces 4 z'umutobe w'imbuto cyangwa soda isanzwe
• Ikiyiko 1 cy'ubuki cyangwa isukari
• Ibisate 5-6 by'amacandye akomeye

Igihe isukari yawe mu maraso isubiye mu buryo busanzwe, kurya ibiryo bike birimo poroteyine n'ibiryo bikungahaye kuri karubone kugira ngo bigufashe kugumana urwego ruhamye. Ibintu byiza birimo bisikite birimo peanut butter, sandwich nto, cyangwa yogurt irimo imbuto.

Hypoglycemia ikomeye isaba ubuvuzi bwihuse, cyane cyane niba utazi cyangwa ufite indwara z'ubwonko. Abagize umuryango cyangwa ababitaho bagomba kumenya uburyo bwo gukoresha inshinge za glucagon mu gihe cy'ibibazo no kumenya igihe bagomba guhamagara 911. Ntugerageze gutanga ibiryo cyangwa ibinyobwa ku muntu udashobora kumenya, kuko bishobora gutera guhumeka nabi.

Uburyo bwo kuvura murugo mu gihe cya diabetic hypoglycemia?

Gucunga hypoglycemia murugo bisaba kwitegura, gukora vuba, no gukurikirana ubuvuzi kugira ngo birinde ibyago by'igihe kizaza. Kugira gahunda isobanutse bigufasha kuguma utuje kandi ukora neza igihe ibimenyetso bigaragara.

Kugira ibikoresho byo kuvura hypoglycemia byoroshye kubona ahantu henshi mu rugo rwawe, imodoka, aho ukora, no mu gikapu cyawe. Ibikoresho byawe by'ibibazo bigomba kuba birimo ibisate by'isukari cyangwa gel, igikoresho cyo gupima isukari mu maraso hamwe n'ibipimo, n'amakuru y'aho uhamagara mu gihe cy'ibibazo.

Mu gihe uvuza hypoglycemia murugo, wirinde kwihutira kuvura cyane kurya ibiryo byinshi. Kora ibyo basabwa bya garama 15 z'isukari kandi utegereze umubiri wawe gusubiza. Kuvura cyane bishobora gutuma isukari mu maraso izamuka cyane, bigatera ibibazo byinshi n'ibike.

Nyuma yo kuvura hypoglycemia, kugenzura isukari yawe mu maraso kenshi mu masaha make. Isukari nke mu maraso rimwe na rimwe ishobora gusubira, cyane cyane niba impamvu y'ibanze idakemuwe cyangwa niba ufashe insuline ikora igihe kirekire.

Andika buri cyago mu nyandiko, ugaragaza igihe, urwego rw'isukari yawe mu maraso, ibimenyetso wabonye, icyo utekereza ko cyabiteye, n'uburyo wabivuze. Aya makuru afasha itsinda ry'abaganga bawe guhindura gahunda yawe yo gucunga diyabete.

Uko wakwitegura gahunda yawe yo kubona muganga?

Kwitegura gahunda yawe bigufasha gukoresha neza igihe cyawe n'abaganga bawe kandi bigatuma ubona amakuru n'impinduka ukeneye. Kwitegura neza bigatuma gucunga diyabete bigenda neza kandi bigatuma ibyago bya hypoglycemia bigabanuka.

Zana inyandiko yawe y'isukari mu maraso, inyandiko z'insuline cyangwa imiti, n'amakuru yose y'igikoresho gikurikirana isukari mu maraso mu byumweru bike bishize. Aya makuru afasha muganga wawe kubona ibintu byihariye no kumenya impamvu zishoboka z'ibyago bya hypoglycemia.

Andika ibibazo byihariye ku byago bya hypoglycemia:

• Uko kenshi ugira isukari nke mu maraso
• Igihe cy'umunsi ibyago bibaho
• Niba uri kubona ibimenyetso byo kuburira
• Uko uburyo bwawe bwo kuvura ubu bukorera

Andika imiti yose ufashe, harimo imiti yo mu maduka n'ibindi, kuko bimwe bishobora guhangana n'imiti ya diyabete cyangwa kugira ingaruka ku isukari mu maraso. Nanone uvuge impinduka uheruka kugira mu kuremererwa, imigenzo yo kurya, imikino ngororamubiri, cyangwa ibibazo byo mu mutwe.

Tekereza kuzana umuntu wo mu muryango cyangwa inshuti yabonye ibyago bya hypoglycemia, kuko bashobora kubona ibimenyetso cyangwa imyitwarire wibuka. Ibitekerezo byabo bishobora gutanga amakuru y'ingenzi ku itsinda ry'abaganga bawe.

Icyo ukwiye kumenya cyane kuri diabetic hypoglycemia?

Diabetic hypoglycemia ni ikintu gishobora gucungwa mu gucunga diyabete, kiba kidatera ubwoba igihe umaze gusobanukirwa uburyo bwo kwirinda, kumenya, no kuvura neza. Ikintu nyamukuru ni ugukora uburyo buhuza hagati yo kugumana isukari yawe mu maraso mu buryo buzima mu gihe wirinde isukari nke ikomeye.

Wibuke ko kugira hypoglycemia ntibivuze ko uri kunanirwa gucunga diyabete. Ni ikibazo gisanzwe abantu benshi barwaye diyabete bahura na cyo, kandi gukorana n'abaganga bawe bishobora kugufasha kugabanya ibyago mu gihe ugumana uburyo bwiza bwo gucunga isukari mu maraso.

Intambwe z'ingenzi ushobora gufata harimo kugenzura isukari yawe mu maraso kenshi, kugira ibikoresho byo kuvura byoroshye kubona, no kugumana itumanaho rihamye n'abaganga bawe ku bijyanye n'ibintu byihariye cyangwa impungenge ubona.

Ukoresheje kwitegura neza n'ubumenyi, ushobora gucunga neza ibyago bya hypoglycemia no gukomeza kubaho ubuzima bukomeye, buhamye ufite diyabete. Buri cyago ni uburyo bwo kumenya byinshi ku miterere y'umubiri wawe no kunoza uburyo bwawe bwo gucunga.

Ibibazo bikunze kubaho kuri diabetic hypoglycemia

Q.1 Ushobora kugira hypoglycemia udafite diyabete?

Yego, hypoglycemia ishobora kubaho mu bantu badafite diyabete, nubwo bidakunze kubaho. Hypoglycemia idafite diyabete ishobora guterwa n'imiti imwe na imwe, indwara zifitanye isano no gukora imisemburo, kunywa inzoga cyane, cyangwa ibibyimba bidasanzwe bikora insuline. Ariko rero, ibyago byinshi bya hypoglycemia bibaho mu bantu bafata imiti ya diyabete.

Q.2 Igihe kingana iki gisabwa kugira ngo ukire hypoglycemia?

Abantu benshi batangira kumva neza mu minota 10-15 nyuma yo kuvura hypoglycemia yoroheje ukoresheje ibiryo byihuse by'isukari. Isukari yawe mu maraso igomba gusubira mu buryo busanzwe mu minota 15-20, nubwo ushobora kumva unaniwe cyangwa ufite umutwe amasaha menshi nyuma yaho. Ibyago bikomeye bishobora gutwara igihe kirekire kugira ngo bikire neza.

Q.3 Ni byiza gutwara imodoka nyuma yo kugira hypoglycemia?

Ukwiye gutegereza kugeza isukari yawe mu maraso imaze kuba mu buryo busanzwe igihe kigera ku minota 45 mbere yo gutwara imodoka nyuma y'ibyago bya hypoglycemia. Ubushobozi bwawe bwo guhita ukora n'imyanzuro yawe bishobora kuguma bidahwitse nubwo isukari yawe mu maraso isubiye mu buryo busanzwe. Buri gihe suzuma isukari yawe mu maraso mbere yo gutwara imodoka kandi ugire ibikoresho byo kuvura mu modoka yawe.

Q.4 Hypoglycemia ishobora kubaho mu gihe cyo kuryama?

Yego, hypoglycemia yo mu ijoro ni ikintu gisanzwe, cyane cyane mu bantu bafata insuline. Ushobora kubyuka ufite ibimenyetso nko kugira umutwe, kunyara, cyangwa gutakaza ubwenge. Bamwe mu bantu ntibabyuka na gato mu gihe cy'ibyago byoroheje. Kumenya isukari yawe mu maraso mbere yo kuryama no kurya ibiryo mbere yo kuryama bishobora kugufasha kwirinda isukari nke mu ijoro.

Q.5 Ni iki abagize umuryango bakwiye kumenya ku bijyanye no gufasha umuntu ufite hypoglycemia?

Abagize umuryango bagomba kumenya kumenya ibimenyetso bya hypoglycemia no kumenya aho ubitse ibikoresho byo kuvura. Bagomba kumenya uburyo bwo gukoresha glucagon mu gihe cy'ibibazo niba utazi kandi igihe bagomba guhamagara 911. Ikintu cy'ingenzi ni uko badakwiye kugerageza gutanga ibiryo cyangwa ibinyobwa ku muntu udashobora kumenya cyangwa ufite indwara z'ubwonko, kuko bishobora gutera guhumeka nabi.