Diabetic Nephropathy ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Diabetic nephropathy ni ukwangirika kw’impyiko guterwa na diyabete, iyo diyabete igenda yangiza utunyangingo duto two mu maraso yo mu mpyiko zawe. Tekereza ku mpyiko zawe nk’ibikoresho by’ubuhanga bwo gukuraho imyanda mu maraso yawe - iyo diyabete yangije ibi bikoresho, ntabwo bishobora gukora akazi kabo neza.

Iyi ndwara itera buhoro buhoro, akenshi nta bimenyetso bigaragara mu ntangiriro. Niyo mpamvu isuzuma buri gihe ari ingenzi cyane niba ufite diyabete. Inkuru nziza ni uko, ukoresheje ubuvuzi bukwiye no kugenzura isukari mu maraso, ushobora kugabanya cyangwa ukabuza iki kibazo cyo kwangirika kw’impyiko kutazongera kuba kibi.

Diabetic nephropathy ni iki?

Diabetic nephropathy ibaho iyo urugero rwinshi rw’isukari mu maraso yangije ibice bito byo gupima mu mpyiko zawe bizwi nka nephrons. Ibi bice bito bikora nk’ibikoresho byo gutegura ikawa, bikagumana ibintu byiza mu maraso yawe mugihe bikuraho imyanda.

Iyo diyabete yangije ibi bikoresho byo gupima, biba byoroshye kandi bitagikora neza. Amaprotéine agomba kuguma mu maraso atangira kujya mu mpisho, mu gihe imyanda igomba gukurwaho itangira kwiyongera mu maraso yawe. Uyu muhora urasaba imyaka kugira ngo uteruke, niyo mpamvu akenshi yitwa ikibazo ‘gitinda kugaragara’.

Hafi umuntu umwe kuri batatu bafite diyabete azagira ikibazo cyo kwangirika kw’impyiko mu buzima bwe. Ariko, si buri wese ufite indwara y’impyiko iterwa na diyabete uzajya mu gucika intege kw’impyiko - cyane cyane hakoreshejwe kubimenya hakiri kare no gufata ingamba zikwiye.

Ibimenyetso bya diabetic nephropathy ni ibihe?

Diabetic nephropathy yo mu ntangiriro ntabwo ikunda gutera ibimenyetso bigaragara, ibi bikaba aribyo bituma isuzuma rya buri gihe ari ingenzi cyane. Iyo ibimenyetso bigaragaye, akenshi bigaragaza ko kwangirika kw’impyiko bikomeye byamaze kubaho.

Dore ibimenyetso ushobora kugira uko iyi ndwara ikomeza gutera imbere:

• Kubyimbirwa mu birenge, mu maguru, mu ntoki, cyangwa mu maso (cyane cyane hafi y'amaso)
• Urin y'amavuta cyangwa ifite utububura kubera ko hari proteine zivanze
• Kugira umutobe w'inkari kenshi, cyane cyane nijoro
• Umunaniro n'intege nke bidakira nubwo wari kuruhuka
• Isesemi no kuruka
• Kubura ubushake bwo kurya
• Guhumeka nabi
• Umuvuduko ukabije w'amaraso ugora kugenzura
• Uburyohe bwa feri mu kanwa
• Uruhu ruryaryatse

Ibi bimenyetso bishobora gusa n'ibindi bibazo by'ubuzima, bityo rero ni ngombwa kudatekereza ko bifitanye isano n'impyiko zawe. Umuganga wawe arashobora kugufasha kumenya icyateye ibyo bimenyetso, agakora gahunda yo kuvura ikubereye.

Ni ayahe moko ya diabetic nephropathy?

Abaganga bagabanya diabetic nephropathy mu byiciro bitanu hashingiwe ku buryo impyiko zawe zitonora imyanda mu maraso yawe. Ubu buryo bupimwa bwitwa estimated glomerular filtration rate (eGFR).

Icyiciro cya 1 kigaragaza imikorere isanzwe cyangwa myiza y'impyiko, ariko hari iyangirika ry'impyiko. eGFR yawe ni 90 cyangwa hejuru, ariko ibizamini bigaragaza proteine mu nkari yawe cyangwa ibindi bimenyetso byangirika ry'impyiko. Ushobora kutamenya ibyo bimenyetso muri iki cyiciro.

Icyiciro cya 2 kigaragaza igabanuka gito mu mikorere y'impyiko hamwe n'iyangirika ry'impyiko. eGFR yawe iri hagati ya 60-89, kandi ushobora kumva umeze neza. Iki ni cyo gihe kuvugurura hakiri kare bishobora kugira ingaruka nziza.

Icyiciro cya 3 kigaragaza igabanuka rirutaho mu mikorere y'impyiko. eGFR yawe iri hagati ya 30-59, kandi ushobora gutangira kugira bimwe mu bimenyetso nko kunanirwa cyangwa kubyimbirwa. Iki cyiciro gikomeza kugabanywamo 3a (45-59) na 3b (30-44).

Icyiciro cya 4 kigaragaza igabanuka rikomeye mu mikorere y'impyiko, eGFR iri hagati ya 15-29. Ibimenyetso birakomeye, kandi uzakenera gutangira kwitegura uburyo bwo gusimbuza impyiko.

Icyiciro cya 5 ni uburwayi bukabije bw'impyiko, aho eGFR yawe iri munsi ya 15. Muri iki gihe, uzakenera kuvurwa hakoreshejwe imashini cyangwa gusimbuzwa impyiko kugira ngo ubashe kubaho.

Ese iki gitera indwara y'impyiko iterwa na diyabete?

Igihe kirekire igipimo cy'isukari mu maraso kiri hejuru ni cyo cyangiza cyane imikorere y'impyiko iterwa na diyabete. Iyo igipimo cy'isukari gikomeje kuba kiri hejuru, cyangiza imiyoboro y'amaraso mito iri mu mubiri wawe wose, harimo n'iyo iri mu mpyiko zawe.

Ibintu byinshi bifatanije biterwa n'iki kibazo cyo kwangirika kw'impyiko:

• Igipimo cy'isukari kiri hejuru igihe kirekire kirenze icyo ugomba kugira
• Igipimo cy'amaraso kiri hejuru cyongera umuvuduko ku miyoboro y'amaraso y'impyiko
• Kubabara guterwa na diyabete bigira ingaruka ku mpyiko
• Guhinduka kw'imikorere y'amaraso mu mpyiko
• Imijyanama y'umutungo kamere ituma bamwe bahura n'ibibazo byo kwangirika kw'impyiko
• Igihe diyabete imaze-igihe kirekire cyongera ibyago
• Igipimo cy'ikolesteroli kibi cyongera kwangirika kw'imijyana y'amaraso
• Itabi, rigabanya umuvuduko w'amaraso ujya mu mpyiko

Ubusanzwe, uyu muti utangira guhinduka gato mu buryo bwo gukora isuku y'impyiko. Mu mezi n'imyaka, izi mpinduka nto ziterana zigatera kwangirika bikomeye. Niyo mpamvu kugumana igipimo cyiza cy'isukari kuva utangiye kuvurwa diyabete ari ingenzi cyane mu kurinda impyiko zawe.

Iyo ukwiye kujya kwa muganga kubera indwara y'impyiko iterwa na diyabete?

Ugomba kujya kwa muganga buri gihe kugira ngo bakurebe uko impyiko zawe zimeze niba ufite diyabete, nubwo waba wumva umeze neza. Kumenya hakiri kare ni ingenzi mu gukumira cyangwa kugabanya kwangirika kw'impyiko.

Tegura gahunda yo kujya kwa muganga vuba bishoboka niba ubona ubwibyo mu birenge, mu maguru, cyangwa mu maso bidashira. Ubwibyo buhoraho busobanura ko impyiko zawe zitakura amazi y'umubiri neza.

Hamagara umuganga wawe niba ubona inkari zifite amafuro cyangwa ibinure, cyane cyane niba bikomeje iminsi myinshi. Ibi bishobora kuba ikimenyetso cy'uko poroteyine iri kuva mu maraso yerekeza mu nkari zawe.

Ntugakomeze gutegereza gufata ubufasha niba ufite ikibazo cyo guhumeka nabi gitunguranye, kubabara mu gituza, cyangwa isereri n’isuka bikabije. Ibi bimenyetso bishobora kugaragaza ko imikorere y’impyiko yagabanutse cyane kandi ikaba ikeneye ubuvuzi bw’ihutirwa.

Niba ugira ikibazo cyo kugenzura umuvuduko w’amaraso nubwo ufashe imiti, ibi bishobora kugaragaza ko imikorere y’impyiko iri kwangirika. Muganga wawe ashobora kuba akeneye guhindura gahunda yawe y’ubuvuzi cyangwa agakora iperereza.

Ni ibihe bintu byongera ibyago byo kurwara indwara y’impyiko iterwa na diyabete?

Kumva ibintu byongera ibyago bishobora kugufasha gufata ingamba zo kurinda impyiko zawe. Hari ibintu ushobora kugenzura, ibindi bikaba ari iby’umurage wawe.

Ibintu byongera ibyago ushobora kugiraho ingaruka birimo:

• Kudagenzura neza isukari mu maraso igihe kirekire
• Umuvuduko w’amaraso uri hejuru udasanzwe
• Kunywa itabi, bikangiza imiyoboro y’amaraso
• Kugira cholesterol nyinshi
• Kubyibuha, cyane cyane mu gice cy’inda
• Kudakora imyitozo ngororamubiri buri gihe
• Kurya umunyu mwinshi
• Kurya poroteyine nyinshi

Ibintu byongera ibyago udashobora guhindura birimo:

• Amateka y’indwara z’impyiko cyangwa diyabete mu muryango
• Amoko amwe (Abanyamerika b’Afurika, Abahispanike, Abanyamerika bakomoka mu bwoko bw’Abanyamerika, cyangwa Abayasiya)
• Kurwara diyabete imyaka irenga 10
• Kuba umugabo (ibyago biri hejuru gato)
• Imyaka - ibyago byiyongera uko ugenda ukura

Ndetse nubwo ufite ibintu byinshi byongera ibyago, kurwara indwara y’impyiko iterwa na diyabete ntibibujijwe. Kwita ku bintu ushobora kugenzura bigira uruhare runini mu kurinda ubuzima bw’impyiko zawe.

Ni ibihe bintu bishobora guterwa n’indwara y’impyiko iterwa na diyabete?

Indwara y’impyiko iterwa na diyabete ishobora gutera ibibazo bikomeye bigira ingaruka ku buzima bwawe muri rusange n’imibereho yawe. Kubyumva bigufasha kumenya impamvu kuvura hakiri kare no kwirinda ari ingenzi cyane.

Ibibazo bikunze kugaragara birimo:

• Indwara y’impyiko zidakira ikomeza kuba mbi uko iminsi igenda ihita
• Gucika intege kw’impyiko bikenewe kuvurwa hakoreshejwe imashini cyangwa gusimbuzwa izindi
• Indwara z’umutima n’iz’ubwonko bitewe n’ubushashatsi bw’imitsi y’amaraso
• Umuvuduko ukabije w’amaraso ugora kugenzura
• Indwara y’amagufa iterwa no kutagira ubusugire bw’imyunyu y’ubutare
• Ubusembwa bw’amaraso kubera kugabanuka kw’utubuto dutukura tw’amaraso
• Kubika amazi mu mubiri bigatera kubyimbagira cyane
• Kudahuza neza kw’imyunyu y’ubutare mu mubiri bigira ingaruka ku mikorere y’umutima

Ingaruka nke ariko zikomeye zishobora kubaho ni izi:

• Gucika intege cyane kw’imikorere y’imisemburo aho amaraso aba yabaye ashishikajwe
• Hyperkalemia (ikigero cy’umunyu wa potasiyumu kirenze urugero)
• Uburozi bwa Uremic bugira ingaruka ku mikorere y’ubwonko
• Ibyago byo kwandura indwara byiyongera
• Uburwayi bwo gusinzira bufite aho buhuriye no kudakora neza kw’impyiko

Inkuru nziza ni uko gucunga neza diyabete no gukurikirana buri gihe bishobora gukumira cyangwa gutinza cyane izo ngaruka. Gukorana bya hafi n’abaganga bawe biguha amahirwe meza yo kugumana imikorere myiza y’impyiko imyaka myinshi iri imbere.

Uko diyabete ishobora gukumirwa

Gukumira bishoboka rwose kuri diyabete, kandi bitangira hakoreshejwe uburyo bwo gucunga neza diyabete. Uko utangiye kurengera impyiko zawe hakiri kare, ni ko amahirwe yo kwirinda ibibazo bikomeye aba menshi.

Komeza urwego rw’isukari mu maraso rwegereye urwego rusanzwe. A1C yawe igomba kuba munsi ya 7%, nubwo muganga wawe ashobora gushyiraho intego zitandukanye hashingiwe ku mimerere yawe. Gucunga neza isukari mu maraso ni cyo gikoresho gikomeye cyo kurengera impyiko.

Genzura umuvuduko w’amaraso wawe neza. Intego ni ukugira umuvuduko uri munsi ya 130/80 mmHg, cyangwa icyo muganga wawe agutegeka. Umuvuduko ukabije w’amaraso utera impyiko kwangirika, bityo ibi ni ingenzi cyane nk’igenzura ry’isukari mu maraso.

Fata imiti igabanya umuvuduko w’amaraso yo mu bwoko bwa ACE inhibitors cyangwa ARB niba muganga wawe akubwiye kuyifata. Iyi miti iringaniza impumuro z’impyiko zawe, kabone n’iyo umuvuduko w’amaraso wawe waba uri mwiza. Ifasha kugabanya ibyuka byinjira mu mpisho kandi igahagarika kwangirika kw’impyiko.

Komeza kugira ibiro bikwiye binyuze mu kurya indyo yuzuye no gukora imyitozo ngororamubiri buri gihe. No kugabanya ibiro bike bishobora kunoza cyane uburyo umubiri wawe ukoresha isukari kandi bikagabanya umuvuduko ku mpyiko.

Witanywa itabi, kandi uhagarike kunywa inzoga. Itabi yangiza imiyoboro y’amaraso mu mubiri wawe wose, harimo n’iyo mu mpyiko. Niba utabagira, kureka ni kimwe mu bintu byiza cyane wakora ku buzima bw’impyiko zawe.

Jya ukorerwa isuzuma buri gihe harimo n’ibizamini byerekana uko impyiko zawe zimeze. Kumenya hakiri kare bituma uhabwa ubuvuzi bw’igihe, bushobora kugabanya cyangwa guhagarika kwangirika kw’impyiko.

Nephropathy iterwa na diyabete imenyekanwa gute?

Kumenya nephropathy iterwa na diyabete bikorwa hakoreshejwe ibizamini byoroshye muganga wawe ashobora gukora mu isuzuma rya buri gihe. Kumenya hakiri kare ni ingenzi, bityo ibizamini bikorwa nibura rimwe mu mwaka niba ufite diyabete.

Ikizamini cya mbere ni isuzuma ry’inkari kugira ngo harebwe proteine (albumin). Ikiyapu gito cya proteine mu nkari zawe gishobora kuba ikimenyetso cya mbere cyangirika kw’impyiko. Muganga wawe ashobora gukoresha ikizamini cy’inkari cyihuse cyangwa agusaba gukusanya inkari mu masaha 24.

Ibizamini by’amaraso bipima uko impyiko zawe zimeze harebwa urwego rwa creatinine hanyuma hakabarwa umuvuduko w’amaraso mu mpyiko (eGFR). Aya mabara abwira muganga wawe uko impyiko zawe zitunganya neza imyanda mu maraso yawe.

Muganga wawe azareba kandi umuvuduko w’amaraso yawe, kuko umuvuduko w’amaraso ukabije ukoresha impumuro z’impyiko. Ashobora kugutegeka gupima umuvuduko w’amaraso yawe iwawe kugira ngo abone ishusho yuzuye.

Ibizamini by’inyongera bishobora kuba harimo kureba urwego rwa cholesterol, hemoglobin A1C, n’uburinganire bw’amanyungunyungu. Rimwe na rimwe muganga wawe ashobora gutegeka isuzuma ry’amashusho nka ultrasound kugira ngo arebe imiterere y’impyiko zawe.

Mu bihe bitoroshye, gusuzumwa kw’impyiko bishobora kuba ngombwa niba muganga wawe akeka izindi mpamvu z’indwara z’impyiko uretse diabete. Ibi bisobanura gufata igice gito cy’umubiri w’impyiko kugira ngo gisuzuzwe hakoreshejwe microscope.

Ubuvuzi bw’indwara y’impyiko iterwa na diabete ni iki?

Ubuvuzi bw’indwara y’impyiko iterwa na diabete bugamije kugabanya umuvuduko w’ibyangiritse by’impyiko no gucunga ingaruka. Ubuvuzi butangira hakiri kare, ni bwo bugira akamaro kanini.

Gucunga isukari mu maraso biguma ari inkingi y’ubuvuzi. Muganga wawe azakorana nawe kugira ngo ugerere ku rugero rw’isukari mu maraso hakoreshejwe imiti, impinduka mu mirire, no guhindura imibereho.

Gucunga umuvuduko w’amaraso ni ingenzi cyane. Imiti ya ACE inhibitors cyangwa ARB niyo ikunze gukoreshwa mbere kuko itanga uburinzi bwihariye ku mpyiko uretse kugabanya umuvuduko w’amaraso. Muganga wawe ashobora kwandika indi miti igabanya umuvuko w’amaraso niba bibaye ngombwa.

Impinduka mu mirire zishobora kugira ingaruka ku buzima bw’impyiko zawe. Ushobora kuba ukeneye kugabanya ibyokurya birimo poroteyine, kugabanya umunyu, no gucunga uburyo bwo kurya potasiyumu na fosfore. Inzobere mu mirire ishobora kugufasha gutegura ifunguro ribereye uko uhagaze.

Gusuzuma buri gihe biragenda byiyongera uko imikorere y’impyiko igenda igabanuka. Muganga wawe azakurikirana hafi ibipimo byawe by’ubuvuzi, kandi azahindura ubuvuzi uko bibaye ngombwa.

Ku rwego rwo hejuru, gutegura ubuvuzi bwo gusimbuza impyiko bitangira hakiri kare. Ibi bishobora kuba birimo kuganira ku buryo bwo kuvura hakoreshejwe dialyse cyangwa isuzuma ry’ubuhinzi bw’impyiko. Itsinda ry’abaganga bazakufasha kumva ibyo bisobanuro no gufata ibyemezo byiza.

Gucunga izindi ndwara nk’ubukene bw’amaraso, indwara y’amagufwa, n’ibibazo by’umutima biragenda biba ingenzi uko imikorere y’impyiko igenda igabanuka.

Uko wakwitaho iwawe mu gihe ufite indwara y’impyiko iterwa na diabete?

Kwitaho iwawe bigira uruhare rukomeye mu kugabanya umuvuduko w’indwara y’impyiko iterwa na diabete. Ibyo uhitamo buri munsi bishobora kugira ingaruka ku mikorere y’impyiko zawe mu gihe kirekire.

Kora isuzuma ry’isukari yawe mu maraso nk’uko itsinda ry’abaganga bawe ribitegeka. Andika ibyavuye mu isuzuma kandi bandika ibyo ubona bitunganye cyangwa ibyo ugize impungenge. Gukora isuzuma buri gihe bifasha wowe n’umuganga wawe gufata ibyemezo by’ubuvuzi bifatika.

Fata imiti yose nk’uko yagutegetswe, naho waba wumva umeze neza. Tegura ahantu hagufasha kubika imiti yawe cyangwa komeza ukoreshe amatangazo ya telefone kugira ngo ugumane n’ibihe byawe. Ntuzigere ucika ku miti y’umuvuduko w’amaraso cyangwa ya diyabete.

Komeza umurire wawe nk’uko wategetswe. Ibi bishobora gusobanura gupima ibice by’ibiribwa, gusoma ibimenyetso by’ibiribwa, no gutegura ibiryo byinshi murugo. Impinduka nto mu myitwarire yawe yo kurya zishobora kugira ingaruka nini ku buzima bw’impyiko zawe.

Komeza wisukure amazi, ariko ntukabikabikire. Niba ufite indwara ikomeye y’impyiko, nywa amazi umunsi wose, ariko komeza ukurikije inama z’umuganga wawe ku bijyanye no kunywa amazi.

Kora imyitozo ngororamubiri buri gihe ukurikije ubushobozi bwawe. Ndetse n’imirimo yoroshye nko kugenda bishobora kugufasha kunoza uburyo bwo kugenzura isukari mu maraso no kunoza ubuzima muri rusange. Suhuza n’umuganga wawe ku rwego rw’imyitozo ikubereye.

Kora isuzuma ry’uburemere bwawe buri munsi kandi ubwira umuvuzi wawe igihe ubona uburemere bwawe bwiyongereye cyane. Iyongera ry’uburemere bwihuse rishobora kugaragaza ko amazi ari mu mubiri, ibyo bikaba bishobora kugaragaza ko imikorere y’impyiko igenda irushaho kuba mibi.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura uruzinduko rwawe bifasha kwemeza ko ubonye akamaro kenshi mu gihe cyawe hamwe n’umuvuzi wawe. Gutegura neza biganisha ku itumanaho ryiza kandi ku buvuzi bujyanye n’umuntu.

Zana imiti yawe yose iriho, harimo imiti igurwa mu maduka n’ibindi bisubizo. Andika urutonde cyangwa uzane icupa nyir’izina kugira ngo muganga wawe asuzume buri kimwe mu byo ufata kugira ngo arebe ko hari ikibazo cyangwa ingaruka ku mpyiko.

Komeza umubare w’isukari yawe mu maraso, umuvuduko w’amaraso, n’uburemere bwawe bwa buri munsi byibuze icyumweru kimwe mbere y’uruzinduko rwawe. Aya makuru afasha muganga wawe gusuzuma neza uko gahunda yawe y’ubuvuzi iri kugenda.

Andika ibimenyetso byose wabonye, n’ubwo byaba bigaragara nkibito. Vuga igihe byatangiye, ukuntu bikunze kubaho, n’icyo biba byiza cyangwa biba bibi.

Tegura urutonde rw’ibibazo ku buzima bw’impyiko zawe, uburyo bwo kuvurwa, cyangwa impinduka mu mibereho. Ntukabe umuntu uhangayitse no kubaza ibibazo byinshi - muganga wawe arashaka kugufasha kumva uko uhagaze.

Zana umuntu wo mu muryango cyangwa inshuti niba ushaka ubufasha cyangwa ubufasha bwo kwibuka amakuru y’ingenzi. Kugira umuntu uri kumwe nawe bishobora kugufasha cyane cyane mugihe uganira ku myanzuro y’ubuvuzi igoranye.

Suzuma ubwishingizi bwawe kandi uzane amakarita cyangwa inyandiko zikenewe. Gusobanukirwa ubwishingizi bwawe bituma wirindira ibitunguranye mu bipimo cyangwa ibiciro byo kuvurwa.

Ni iki kintu gikuru cyo kwibuka ku bijyanye na nephropathie ya diyabete?

Ikintu gikomeye cyo kwibuka ku bijyanye na nephropathie ya diyabete, ni uko bishobora kwirindwa kandi bigacungwa neza hakoreshejwe ubuvuzi bukwiye. Kumenya hakiri kare no gucunga neza bishobora kugufasha kugumana imikorere myiza y’impyiko imyaka myinshi.

Amahitamo yawe ya buri munsi afite akamaro gakomeye. Kugumana isukari y’amaraso n’umuvuduko w’amaraso bigacungwa neza, gufata imiti yagenewe, no gukurikiza indyo ibereye impyiko bishobora kugabanya cyangwa se no guhagarika iterambere ryangirika ry’impyiko.

Nturetse ubwoba bugutware - shyira imbaraga mu byo ushobora kugenzura. Kusuzuma buri gihe, kuganira ukuri n’itsinda ry’ubuvuzi bwawe, no kwiyemeza gahunda yawe yo kuvurwa biguha amahirwe meza yo kurinda impyiko zawe.

Wibuke ko kugira nephropathie ya diyabete ntibivuze ko uzajya mu gukorwa kwa dialyse cyangwa gucika intege kw’impyiko. Abantu benshi bafite indwara y’impyiko mu ntangiriro babaho ubuzima buzuye, bukora, kandi bagacunga neza uburwayi bwabo.

Gukomeza kwiringira no kwitabira ubuvuzi bwawe. Ubuvuzi bukomeza gutera imbere, kandi uruhare rwawe mu gucunga ubuzima bwawe rugira uruhare rukomeye mu bizava mu gihe kirekire.

Ibibazo bikunze kubaho ku bijyanye na nephropathie ya diyabete

Uburwayi bw'impyiko buterwa na diyabete bushobora gukira?

Nubwo uburwayi bw'impyiko buterwa na diyabete budashobora gukira burundu, ibyangirika by'impyiko mu ntangiriro rimwe na rimwe bishobora kuzahuka iyo isukari n'umuvuduko w'amaraso bigenzurwa neza. Ikintu nyamukuru ni ukubimenya hakiri kare no gufata ingamba zikomeye zo kurinda imikorere y'impyiko zisigaye. Nubwo mu bihe bya nyuma, ubuvuzi bukwiye bushobora kugabanya cyane iterambere ryabyo kandi bugufasha kugumana ubuzima bwiza.

Biramarana igihe kingana iki kugira ngo diyabete itere ibyangirika by'impyiko?

Uburwayi bw'impyiko buterwa na diyabete busanzwe butangira nyuma y'imyaka 10-20 ufite diyabete, nubwo ibi bitandukanye cyane ku bantu. Bamwe bashobora kugaragaza ibimenyetso bya mbere mu myaka 5, abandi bakagumana imikorere isanzwe y'impyiko mu myaka myinshi. Imvange y'umubiri wawe, uburyo isukari igenzurwa, uburyo umuvuduko w'amaraso ugenzurwa, n'ibindi bintu by'ubuzima byose bigira uruhare kuri iyi gahunda.

Ni ibihe biribwa nakwirinda mfite uburwayi bw'impyiko buterwa na diyabete?

Ubusanzwe uzakenera kugabanya ibiryo birimo umunyu mwinshi, potasiyumu, na fosfore, uko imikorere y'impyiko igenda igabanuka. Ibi birimo ibiryo bitegurwa, amasupu y'amaduka, inyama zitunganyirijwe, imyembe, ibinyampeke, ibinyamisogwe, n'ibinyobwa byijimye. Ariko kandi, amabwiriza yo kurya atandukanye bitewe n'icyiciro cy'imikorere y'impyiko, bityo ukorane n'umuhanga mu mirire kugira ngo ubone gahunda y'ibiryo ikubereye.

Ese uburwayi bw'impyiko buterwa na diyabete bubabaza?

Uburwayi bw'impyiko buterwa na diyabete ubwabwo busanzwe ntabwo bubabaza. Abantu benshi ntibabona ibibabaza kugeza igihe imikorere y'impyiko igabanutse cyane. Ariko kandi, ingaruka nk'ububabare bukabije, ibibazo by'umutima, cyangwa gukenera kuvurwa hakoreshejwe imashini zisukura amaraso bishobora gutera ububabare. Niba ufite ububabare kandi ufite uburwayi bw'impyiko, ni ingenzi kubiganiraho na muganga wawe kugira ngo umenye icyabiteye.

Ngahe nakwiye kujya nkora isuzuma ry'impyiko mfite diyabete?

Ugomba gupimisha imikorere y’impyiko byibuze rimwe mu mwaka niba ufite diabete kandi imikorere y’impyiko yawe ikaba imeze neza. Niba umaze kugira ikibazo cy’impyiko, muganga wawe ashobora gushaka gusuzuma imikorere y’impyiko zawe buri mezi 3-6 kugira ngo akurikirane uko ikibazo gikomeza. Abantu bafite indwara ikomeye y’impyiko bashobora gukenera gupimwa buri kwezi cyangwa kenshi kurushaho kugira ngo imiti ivurwa ihindurwe uko bikwiye.