Diabetic Neuropathy ni iki? Ibimenyetso, Intandaro, & Ubuvuzi

Diabetic neuropathy ni ubwangavu bw’imijyana uterwa n’igipimo cy’isukari mu maraso kiri hejuru cyaturutse kuri diyabete, kikangiza imijyana yawe mu gihe kinini. Ni kimwe mu bibazo bikunze kugaragara cyane kuri diyabete, kigira ingaruka ku bantu bagera kuri ½ bafite iyi ndwara. Nubwo ibi bishobora kuba bibi, kumva icyabaye mu mubiri wawe bishobora kugufasha gufata ingamba zo kubigenzura neza no kubungabunga ubuzima bwawe.

Diabetic neuropathy ni iki?

Diabetic neuropathy ibaho iyo igipimo cy’isukari mu maraso kiri hejuru igihe kirekire cyangiza imiyoboro y’amaraso mito itanga ogisijeni n’ibiribwa ku mijyana yawe. Tekereza ku mijyana yawe nk’insinga z’amashanyarazi zitwara ubutumwa mu mubiri wawe wose. Iyo diyabete igize ingaruka kuri izo “nsinga”, ntabwo zishobora kohereza neza ubutumwa hagati y’ubwonko bwawe n’ibice bitandukanye by’umubiri wawe.

Ubu bwangavu bw’imijyana busanzwe butera gahoro gahoro mu myaka myinshi, bisobanura ko ushobora kutamenya ibimenyetso byihuse. Inkuru nziza ni uko gucunga neza isukari mu maraso bishobora kugabanya cyane cyangwa se bikabuza burundu ubwangavu bw’imijyana gukomeza kubaho.

Umubiri wawe ufite ubwoko butandukanye bw’imijyana, kandi diabetic neuropathy ishobora kugira ingaruka kuri iyo yose. Imwe igenzura ubwumva mu biganza no mu birenge, izindi zigenzura uburyo bwawe bw’igogorwa, izindi na zo zigenzura umuvuduko w’umutima na wa maraso.

Ni ubuhe bwoko bwa diabetic neuropathy?

Hari ubwoko bune bukuru bwa diabetic neuropathy, buri bwoko bugira ingaruka ku bice bitandukanye by’ubwonko. Kumva ubwo bwoko bishobora kugufasha kumenya ibimenyetso no gukorana n’abaganga bawe neza.

Peripheral neuropathy ni bwoko bugaragara cyane, bugira ingaruka ku mijyana iri mu birenge, mu maguru, mu biganza no mu maboko. Ibi bisanzwe bitangira mu myanya y’ibirenge hanyuma bigakwirakwira hejuru, bigatera ubuhumyi, guhumeka, cyangwa ububabare busanzwe bubi cyane nijoro.

Neuropathie ya système nerveuse autonome igira ingaruka ku mitsi igenzura imyanya y'imbere y'umubiri. Ibi bishobora kugira ingaruka ku gipimo cy'igogorwa, uruhago, imikorere y'imyororokere, umuvuduko w'umutima, no kugenzura umuvuduko w'amaraso. Iyi mitsi ikora mu buryo bwikora, bityo ushobora kutamenya ko hari ikibazo kugeza igihe ibimenyetso bigaragaye.

Neuropathie ya proximal igira ingaruka ku mitsi iri mu mavi, mu kibuno, mu kibuno, no mu maguru. Ubusanzwe igira ingaruka ku ruhande rumwe rw'umubiri kandi ishobora gutera ububabare bukabije n'intege nke z'imitsi. Ubu bwoko si bwo busanzwe ariko bushobora kugira ingaruka zikomeye iyo buje.

Neuropathie ya focal igira ingaruka ku mitsi imwe, cyane cyane mu mutwe, mu kibuno, cyangwa mu kuguru. Ishobora gutera ububabare bukabije butunguranye n'intege nke mu bice bimwe na bimwe. Nubwo ubu bwoko bushobora gutera impungenge, busanzwe bukira ubwabwo buhoro buhoro hamwe no kuvurwa neza.

Ni ibihe bimenyetso bya neuropathie ya diyabete?

Ibimenyetso ugaragaza biterwa n'ubwoko bwa neuropathie ufite n'imitsi igira ingaruka. Abantu benshi ntibabona ibimenyetso mu bihe byambere, ariyo mpamvu gusuzuma buri gihe kwa muganga ari ingenzi cyane.

Ku bijyanye na neuropathie ya périphérique, ushobora kubona izi mpinduka mu ntoki no mu birenge:

• Kugira umwiryane cyangwa ubushyuhe, cyane cyane nijoro
• Ububabare bukabije, buhita buza bugaca
• Kubabara cyangwa kugabanuka ubushobozi bwo kumva ububabare cyangwa ubushyuhe
• Kugira ubushobozi bwo kumva ibintu byinshi (ndetse n'ibitambaro byo kuryamaho bishobora kuba bidafuraha)
• Intege nke z'imitsi n'akaga mu guhuza
• Ibibazo by'ibirenge nka duka, indwara, cyangwa impinduka mu isura

Ibi bimenyetso bikunze gutangira buhoro buhoro kandi bishobora kugaragara cyane iyo uri kuruhuka cyangwa ugerageza gusinzira.

Neuropathie ya système nerveuse autonome ishobora gutera ibimenyetso bitandukanye kuko igira ingaruka ku myanya y'imbere y'umubiri:

• Ibibazo byo mu gifu nka kuryaryata, kuruka, kubyimbagira, cyangwa impinduka mu mirire
• Ibibazo byo mu mpyiko, birimo kunyara kenshi cyangwa kugorana gukura umusemburo wose mu kibuno
• Ibibazo byo mu mibonano mpuzabitsina ku bagabo n’abagore
• Kugorana kumenya igihe isukari y’amaraso igabanutse
• Kuzenguruka mugihe uhagaze kubera impinduka z’umuvuduko w’amaraso
• Umuvuduko w’umutima udakomeye
• Gukonja cyane cyangwa guke

Ibi bimenyetso bishobora kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi, ariko byinshi muri byo bishobora gufatwa neza ukoresheje uburyo bwiza bwo kuvura.

Ibimenyetso bya proximal na focal neuropathy birambuye kurushaho mu bice byangiritse. Ushobora kumva ububabare butunguranye kandi bukomeye mu gatuza, mu kibuno, cyangwa mu kibuno hamwe na proximal neuropathy. Focal neuropathy ishobora gutera kubona ibintu bibiri, kubabara amaso, gucika intege k’uruhande rumwe rw’isura, cyangwa ububabare bukomeye mu nda, bitewe n’umutsi wangiritse.

Ni iki giterwa na diabetic neuropathy?

Isuka y’amaraso iri hejuru igihe kirekire ni yo ntandaro nyamukuru ya diabetic neuropathy. Iyo glucose ikomeje kuba hejuru mu maraso yawe, ihanga ibidukikije bibabaza bigenda byangiza imiyoboro yawe y’imbere n’uturemangingo duto tw’amaraso tuyigaburira.

Iyi myangirire iba iterwa n’uburyo butandukanye mubiri bwawe. Urwego rwo hejuru rwa glucose rushobora kwangiza imiyoboro y’imbere kandi rukabuza ubushobozi bwayo bwo kohereza amakuru. Isukari nyinshi kandi itera kubyimba mu mutwe wose w’imiterere, bigatuma imiyoboro y’imbere irushaho kwangirika.

Byongeye kandi, isukari nyinshi yangiza utubari two mu maraso dutanga ogisijeni n’ibiribwa ku miyoboro yawe y’imbere. Utabonye amaraso ahagije, imiyoboro yawe y’imbere ntishobora gukora neza kandi ishobora kuza gupfa. Uyu muhora ubusanzwe uba buhoro buhoro mu mezi cyangwa imyaka.

Ibintu byinshi bishobora kongera ibyago byo kurwara diabetic neuropathy uretse isukari nyinshi mu maraso:

• Kuditsinda nabi kw’isukari mu maraso igihe kirekire
• Kugira diabete mu myaka myinshi
• Kuba ufite umubyibuho ukabije cyangwa ubwuzu
• Umuvuduko w’amaraso uri hejuru
• Urwego rwo hejuru rwa kolesterol
• Kunywa itabi, bigabanya umusaruro w’amaraso ujya mu mitsi
• Impamvu z’umuzuko zitera bamwe kuba bafite ibyago byinshi

Gusobanukirwa ibyago by’iyi ndwara biguha imbaraga zo gufata iya mbere mu guhindura ibyo ushobora guhindura, bishobora kugabanya cyangwa gukumira kwangirika kw’imitsi.

Ni ryari ukwiye kujya kwa muganga kubera diabetic neuropathy?

Wagomba kuvugana n’abaganga bawe niba ubona ibimenyetso bishobora kugaragaza kwangirika kw’imitsi. Kumenya hakiri kare no kuvura birashobora gutanga itandukaniro rikomeye mu gukumira ibindi bibazo no gucunga ibimenyetso byawe neza.

Hamagara muganga wawe vuba niba ufite uburibwe, gutwika, cyangwa kubabara mu ntoki cyangwa mu birenge. Ibi bimenyetso byo kuburira hakiri kare ntibikwiye kwirengagizwa, nubwo bigaragara nk’ibyoroheje. Ikipe yawe y’ubuvuzi ishobora gusuzuma niba ibi bimenyetso bifitanye isano na neuropathy kandi itangire kuvura bikwiye.

Shaka ubufasha bw’abaganga vuba niba ufite ibindi bimenyetso bikomeye:

• Umucogo cyangwa ububabare ku kirenge cyawe budakira cyangwa bugaragaza ibimenyetso by’indwara
• Ububabare bukabije, butunguranye mu maguru, mu kibuno, cyangwa mu nkokora
• Isesemi idashira, kuruka, cyangwa guhinduka mu mirire
• Gukora nabi mu kumenya igihe isukari yawe mu maraso iri hasi
• Kuzenguruka cyangwa guta ubwenge igihe uhagaze
• Guhinduka mu kubona, cyane cyane kubona ibintu bibiri

Ibi bimenyetso bishobora kugaragaza neuropathy ikomeye cyangwa ibindi bibazo bikeneye kuvurwa vuba kugira ngo birindwe ibibazo bikomeye.

Ndetse nubwo udafite ibimenyetso, ni ingenzi kugira ibizamini by’ibirenge buri gihe hamwe n’ibizamini byo gukora kw’imitsi nk’igice cy’ubuvuzi bwawe bwa diabete. Muganga wawe ashobora kubona kwangirika kw’imitsi hakiri kare mbere yuko ubona ibibazo, bituma habaho ubufasha bwihuse.

Ni ibihe bintu byongera ibyago bya diabetic neuropathy?

Ibintu byinshi bishobora kongera amahirwe yo kurwara indwara y’imitsi iterwa na diyabete, nubwo bimwe muri byo ari ibyo ushobora kugenzura ibindi ukaba utabigenzura. Gusobanukirwa ibyo bintu bishobora kugufasha kwibanda ku byo ushobora guhindura.

Ibintu byingenzi ushobora kugenzura birimo:

• Kudagenzura neza isukari mu maraso, cyane cyane urwego rwa A1C rukomeza kuba hejuru ya 7%
• Igihe umaze ufite diyabete (ingaruka ziyongera uko umaze igihe kinini ufite diyabete)
• Kuba ufite umubyibuho ukabije, bishobora kongera ikibazo cyo kudakora neza kwa insulin
• Umuvuduko ukabije w’amaraso wangiza imiyoboro y’amaraso
• Urwego rwo hejuru rwa cholesterol rutera ibibazo by’imijyana y’amaraso
• Kunywa itabi, bigabanya umuvuduko w’amaraso ujya mu mitsi y’umubiri wawe wose
• Kunywisha inzoga cyane, bishobora kwangiza imitsi

Ibi bintu bikunda gukorana, bityo gukemura byinshi muri byo bishobora kugabanya cyane ibyago byo kurwara neuropathy cyangwa kugabanya iterambere ryayo.

Hari ibindi bintu udashobora guhindura ariko ukwiye kumenya birimo imyaka yawe (ingaruka ziyongera uko ugira imyaka), imvururu (amateka y’umuryango wa neuropathy), n’ubwoko bwa diyabete ufite. Abantu barwaye diyabete yo mu bwoko bwa mbere ntabwo bakunze kurwara neuropathy mu myaka 5 ya mbere nyuma yo kubimenya, mu gihe abafite diyabete yo mu bwoko bwa kabiri bashobora kuba basanganywe ikibazo cy’imitsi igihe babimenye bwa mbere.

Indwara zimwe na zimwe zidasanzwe z’imiterere y’umubiri zishobora kandi kongera ibyago byo kwangirika kw’imitsi, nubwo ibi bigize igipimo gito cyane cy’imiterere ya neuropathy iterwa na diyabete. Umuforomokazi wawe ashobora kugufasha gusobanukirwa ibyago byawe ku giti cyawe no gutegura ingamba zo kwirinda zikubereye.

Ni iki gishobora guterwa na neuropathy iterwa na diyabete?

Neuropathy iterwa na diyabete ishobora gutera ibibazo byinshi niba idakurikiranwe, ariko gusobanukirwa ibyo bishobora kugufasha gufata ingamba zo kubikumira. Inkuru nziza ni uko ibibazo byinshi bishobora kwirindwa hakoreshejwe ubuvuzi n’ubuzima bwiza.

Ibibazo by’ibirenge biri mu bibazo bisanzwe kandi bikomeye bya neuropathy ya moteri. Iyo utakiri kumva ibirenge byawe, ushobora kutamenya ibikomere bito, amatembabuzi, cyangwa ibikomere byatewe n’umuvundo bishobora kwandura.

Ibi bibazo by’ibirenge bishobora kuva ku bibazo bito bigakomeza bikagera ku bibazo bikomeye:

• Ibyo kubabara bitinda gukira bikaba byandura
• Uduce twangiritse twinjira mu mubiri
• Igufatwa ry’amagufa n’ingingo (ikirenge cya Charcot)
• Mu bihe bikomeye, gusatura bishobora kuba ngombwa

Ariko rero, kubitaho buri munsi no gukorerwa isuzuma buri gihe, ibyinshi muri ibi bibazo bishobora kwirindwa burundu.

Neuropathy ya moteri ishobora gutera ibibazo bijyanye n’imirimo y’imbere y’umubiri wawe. Uburyo bwawe bw’igogora bushobora kugenda buhoro cyane, bigatuma ibyo kurya bikomeza kuba mu gifu igihe kirekire (gastroparesis). Ibi bishobora gutuma gukurikirana isukari mu maraso bigorana kandi bikazana isereri, kuruka, no guhindagurika kudasobanutse kw’isukari mu maraso.

Ibibazo bijyanye n’umutima bishobora kuba harimo ibyago byiyongereye by’indwara z’umutima n’ubugorane bwo kumenya ibibazo by’umutima. Bamwe mu bantu bafite neuropathy ya moteri ntibagira ububabare busanzwe mu kifuba mu gihe cy’indwara z’umutima, ibyo bishobora gutinda kuvurwa. Ibibazo byo kugenzura umuvuduko w’amaraso bishobora kandi kongera ibyago byo kugwa no gukomereka.

Ibibazo by’inkari bishobora kuba harimo indwara z’inzira y’inkari kenshi, ugushidikanya mu gusuka umusemburo neza, kandi mu bihe bitoroshye, kwangirika kw’impyiko. Kugira ikibazo cy’imibonano mpuzabitsina bishobora kugira ingaruka ku bagabo n’abagore kandi bishobora kugira ingaruka ku mibanire n’imibereho myiza.

Nubwo ibi bibazo bisa n’iby’ubwoba, ni ingenzi kwibuka ko bigenda bigaragara buhoro buhoro kandi ko byinshi muri byo bishobora kwirindwa hakoreshejwe uburyo bwiza bwo kuvura diyabete no kwitabwaho n’abaganga buri gihe.

Uko diyabete neuropathy ishobora kwirindwa?

Uburyo bwiza bwo kwirinda indwara y’imitsi iterwa na diyabete ni ugutuma urwego rw’isukari mu maraso rumeze neza uko bishoboka kose. Kugira urwego rwiza rw’isukari mu maraso bishobora kwirinda ko imitsi yangirika kandi bigatuma iyangirika gahoro gahoro niba imaze kwangirika.

Urwego rwa A1C ugomba kugeraho rusanzwe rugomba kuba munsi ya 7%, nubwo umuvuzi wawe ashobora kugutegurira urundi rwego hashingiwe ku mimerere yawe bwite. Kusuzuma isukari yawe mu maraso buri gihe no gukorana n’itsinda ry’abaganga bawe kugira ngo uhindure imiti yawe bishobora kugufasha kugera kuri iyo migambi no kuyigumana.

Uretse kugenzura isukari mu maraso, hari izindi mpinduka mu mibereho zishobora kugabanya cyane ibyago byawe:

• Kugumana ibiro bikwiye binyuze mu kurya indyo yuzuye no gukora imyitozo ngororamubiri buri gihe
• Kugumana umuvuduko w’amaraso uri munsi ya 130/80 mmHg
• Kumenya urwego rwa kolesterol mu maraso hakoreshejwe indyo, imyitozo ngororamubiri, n’imiti niba ari ngombwa
• Kureka kunywa itabi, kuko yangiza imiyoboro y’amaraso itanga amaraso mu mitsi
• Kugabanya kunywa inzoga, kuko zishobora kwangiza imitsi
• Gukora imyitozo ngororamubiri buri gihe kugira ngo wongere umusaruro w’amaraso n’ubuzima bw’imitsi

Ibi bintu byo kwirinda bikora neza iyo byahujwe hamwe aho kwibanda ku gice kimwe gusa.

Kwita ku birenge byawe buri munsi ni ingenzi mu kwirinda ingaruka. Suzuma amaguru yawe buri munsi urebe niba hari ibikomere, amatembabuzi, cyangwa impinduka z’amabara. Oza neza amazi ashyushye, wumishe neza, kandi ushireho amavuta yo kwisiga kugira ngo wirinda ko yacika. Jya wambara inkweto zikubereye kandi ntujye ugenda utagira inkweto.

Kujya kwa muganga gusuzuma buri gihe ni ingenzi mu gusobanukirwa hakiri kare no kwirinda. Umuvuzi wawe agomba gusuzuma amaguru yawe no gusuzuma imikorere y’imitsi yawe nibura rimwe mu mwaka, cyangwa kenshi niba umaze kugira ibimenyetso. Ibizamini by’amaso, ibizamini by’imikorere y’impyiko, n’isuzuma ry’ubuzima bw’umutima na byo ni ibintu by’ingenzi mu kwita ku ndwara ya diyabete.

Indwara y’imitsi iterwa na diyabete imenyekanwa gute?

Kumenya indwara ya diyabete neuropathy bisaba ibizamini n’isuzuma bitandukanye bifasha umuganga wawe kumenya imiyoboro y’imbere yafashwe n’uburemere bw’uburwayi. Ubusanzwe, uburyo bugenda butangira ibiganiro birambuye ku bimenyetso byawe n’amateka yawe y’ubuzima.

Muganga wawe azakubaza ibibazo ku guhumeka, gutwika, kubabara, cyangwa kubabara wahuye na byo, cyane cyane mu biganza no mu birenge. Azakubaza kandi ibibazo ku bibazo byo mu gifu, ibibazo by’umukaya, ibibazo by’imyororokere, cyangwa ibindi bimenyetso bishobora kugaragaza neuropathy ya autonomic.

Isuzuma ngiro ririmo ubusanzwe ibizamini byoroshye bimenya imikorere y’imiterere yawe:

• Kugerageza imikorere y’imitsi hakoreshejwe inyundo nto
• Kureba ubushobozi bwawe bwo kumva ibintu byoroheje hakoreshejwe ubwoya buto cyangwa ipamba
• Kugerageza ubushyuhe hakoreshejwe ibintu bishyushye n’ibikonje
• Kureba uburyo bwo guhindagurika hakoreshejwe forke y’umuziki
• Kureba ibirenge byawe kugira ngo urebe niba hari ibyago, indwara, cyangwa ibibazo by’imiterere

Ibi bizamini nta kuribwa bigira, kandi bitanga amakuru y’agaciro ku muganga wawe ku mikorere y’imiterere yawe.

Ibizamini byihariye bishobora kuba bikenewe niba ibimenyetso byawe bikomeye cyangwa niba ubumenyi budasobanutse. Ibizamini byo kuyobora imiyoboro y’imbere bipima uburyo bwihuse ubutumwa bwa electrique butembera mu miterere yawe. Electromyography (EMG) igerageza uburyo imitsi yawe isubiza ubutumwa bwa nerve. Ibi bizamini bishobora kugaragaza neza imiyoboro y’imbere yangiritse n’uburemere bwayo.

Ku bijyanye na neuropathy ya autonomic, muganga wawe ashobora gukora ibizamini bisuzuma impinduka mu muvuduko w’umutima, impinduka z’umuvuduko w’amaraso iyo uhagaze, cyangwa uburyo uburyo bwawe bw’igifu bukora. Ibi bizamini bifasha kumenya niba imiyoboro y’imbere igenzura imyanya y’imbere y’umubiri yafashwe.

Ibizamini by’amaraso na byo ni ingenzi mu kwirinda izindi mpamvu zangiza imiyoboro y’imbere no kureba uburyo diyabete yawe igenzurwa. Muganga wawe ashobora kureba urwego rwa A1C, imikorere y’impyiko, urwego rwa vitamine B12, n’imikorere ya thyroid.

Ubuvuzi bw'indwara y'imijyana iterwa na diyabete ni iki?

Ubuvuzi bw'indwara y'imijyana iterwa na diyabete bugamije kugabanya cyangwa guhagarika kwangirika kw'imijyana no gucunga ibimenyetso byayo kugira ngo wongere ubuzima bwiza. Ubuvuzi bw'ingenzi ni ugukuraho no kubungabunga isukari y'amaraso ku rwego rwiza.

Gucunga isukari y'amaraso bikomeza kuba inkingi y'ubuvuzi. Umuganga wawe azakorana nawe kugira ngo azamure imiti yawe ya diyabete kandi akore gahunda yo kugenzura isukari y'amaraso. Ibi bishobora kuba birimo guhindura umwanya w'insuline, kugerageza imiti mishya, cyangwa gukoresha ibikoresho byo gukurikirana isukari y'amaraso kugira ngo ukurikirire neza urwego rwayo.

Gucunga ububabare akenshi biba ari ngombwa ku bantu bafite indwara y'imijyana itera ububabare. Ubwoko butandukanye bw'imiti bushobora gufasha kugabanya ububabare bw'imijyana:

• Imiti igabanya ibitotsi nka gabapentin cyangwa pregabalin igarura amahoro mu mijyana ikora cyane
• Imiti yo kuvura ihungabana nka duloxetine cyangwa amitriptyline igira ingaruka ku bimenyetso by'ububabare
• Imiti yo kwisiga nka capsaicin cream yo kuvura ububabare buherereye ahantu hamwe
• Mu bihe bimwe na bimwe, imiti yo kugabanya ububabare ishobora kuba ikenewe

Muganga wawe azatangira amahitamo yizewe kandi akora neza, hanyuma azahindura bitewe n'uko usubiza neza ubuvuzi.

Ku bijyanye n'indwara y'imijyana yigenga, ubuvuzi bugamije ibimenyetso byihariye. Gastroparesis ishobora kuvurwa hakoreshejwe imiti ifasha umwijima gukora vuba, guhindura imirire, cyangwa mu bihe bikomeye, imiyoboro yo kugaburira. Ibibazo by'umwimerere bishobora gucungwa hakoreshejwe imiti, catheterization, cyangwa uburyo bwo guhindura imyitwarire.

Imiti igabanya umuvuduko w'amaraso ishobora gufasha niba ufite orthostatic hypotension (guhinda umutwe igihe uhagaze). Ibibazo by'imibonano mpuzabitsina bishobora kuvurwa hakoreshejwe imiti, ibikoresho, cyangwa inama.

Buri kimenyetso gisaba uburyo bwihariye bushingiye ku mimerere yawe.

Ubuvuzi budakoresha imiti bushobora kandi gufasha cyane. Fizioterapi ishobora kunoza imbaraga, umutekano, n’ubufatanye bw’imikoreshereze mu gihe ufite intege nke z’imikaya. Ubuvuzi bw’imirimo isanzwe bushobora kukwigisha uburyo bwo guhindura imikorere ya buri munsi. Imikino ngororamubiri ya buri munsi, cyane cyane koga cyangwa kugenda, ishobora kunoza umusaruro w’amaraso ujya mu mitsi yawe kandi igafasha mu gukumira ububabare.

Bamwe bagira ihumure mu buvuzi bw’inyongera nka akupuncture, massage, cyangwa transcutaneous electrical nerve stimulation (TENS). Nubwo aya mavuriro adakiza neuropathy, ashobora gufasha kugabanya ububabare no kunoza imibereho yawe muri rusange iyo akoreshejwe hamwe n’ubuvuzi busanzwe.

Nigute wakwita kuri diabetic neuropathy murugo?

Kwita kuri diabetic neuropathy murugo bisobanura imyifatire ya buri munsi ishobora kunoza cyane ibimenyetso byawe no gukumira ingaruka. Icyingenzi ni ugushyiraho gahunda iba nk’umuco kandi ihuye n’ubuzima bwawe.

Gupima no kugenzura isukari mu maraso bigomba kuba ari cyo kintu cya mbere ukora. Pima isukari yawe mu maraso nk’uko umuganga wawe abikugira inama, ufate imiti nk’uko yagutegetse, kandi ukore gahunda yawe y’ibiryo buri gihe. Komeza inyandiko y’ibipimo byawe kandi bandika ibyo ubona bijyanye n’ibimenyetso byawe.

Kwita ku birenge buri munsi ni ingenzi niba ufite peripheral neuropathy. Suzuma amaguru yawe buri munsi, urebe niba hari ibikomere, amatembabuzi, kubyimba, cyangwa impinduka z’amabara. Koresha urukiramende cyangwa usabe umuntu kukufasha kubona ibirenge byawe byo hasi. Koga amaguru yawe n’amazi ashyushye (atari ashyushye cyane) hanyuma uyumye neza, cyane cyane hagati y’intoki.

Inkweto zikwiye zishobora gukumira ibibazo byinshi:

• Kambara inkweto zikubereye kandi zidatera igitutu
• Suzuma imbere y’inkweto zawe mbere yo kuzikambara
• Kambara amasogisi meza kandi yumye, hanyuma uyahindura buri munsi
• Ntuzigere ugenda utagira inkweto, ndetse no mu nzu
• Tegereza inkweto zivura niba umuganga wawe abikugira inama

Aya ntambwe yoroshye ashobora gukumira ibibazo byinshi by’ibirenge mbere y’uko bitangira.

Gukuraho ububabare mu rugo bishobora kuba harimo gushyira ubushyuhe cyangwa ubukonje ahantu bababara, imyitozo ngororamubiri yoroheje, cyangwa uburyo bwo kuruhuka nko guhumeka cyane cyangwa gukora imyitozo yo mu bwenge. Bamwe basanga ibyiza byo kuzamura amaguru cyangwa kwambara amasogisi ahambira bifasha mu kubabara no kubyimbagira.

Niba ufite indwara y’imitsi y’ubwonko (autonomic neuropathy), ushobora kuba ukeneye guhindura imirire kugira ngo ubone uko ugenzura ikibazo cyo kudindira kw’ibiryo mu gifu (gastroparesis). Kurya ibiryo bike, bikunze, no guhitamo ibiryo biroroshye gukemura bishobora kugufasha. Kuguma wisukura ni ingenzi, cyane cyane niba ufite ibibazo byo mu gifu.

Kurema ahantu hatuje mu rugo ni ingenzi niba ufite ibibazo byo kugira umutekano muke cyangwa ugabanyuka kw’ubwenge. Kuraho ibintu byose bishobora gutera impanuka, komeza umucyo uhagije, kandi utekereze gushyira ibikoresho byo gufata mu bwiherero. Gabanya nimero za terefone z’abantu bo kuvugana nabo mu gihe cy’ubuhangange.

Wategura gute uruzinduko kwa muganga?

Gutegura uruzinduko kwa muganga bishobora kugufasha gukoresha neza igihe cyanyu hamwe kandi bikabuza impungenge zose. Gutegura neza biganisha ku itumanaho ryiza no gutegura neza uburyo bwo kuvura.

Tangira ubanza kwandika ibimenyetso byawe mu gihe cy’icyumweru kimwe cyangwa bibiri mbere y’uruzinduko rwawe. Andika igihe ibimenyetso bigaragara, ubukana bwabyo, icyabongerera cyangwa icyabagabanya, n’uburyo bigira ingaruka ku mirimo yawe ya buri munsi. Aya makuru afasha umuvuzi wawe gusobanukirwa neza uburwayi bwawe.

Zana urutonde rwuzuye rw’imiti yose ukoresha, harimo imiti ivurwa na muganga, imiti igurwa mu maduka, amavitamini, n’ibindi byongerwamo. Vuga umubare w’imiti ukoresha buri munsi. Ibi bifasha kwirinda guhura kw’imiti bishobora kugira ingaruka mbi kandi bikabuza gahunda yawe yo kuvura kuba yuzuye.

Tegura ibibazo byihariye uzabaza umuvuzi wawe:

• Mfite ubwoko ki bwa neuropathy, kandi bukomeye gute?
• Ni ubuhe buryo bwo kuvura buhari kuri situation yanjye?
• Nakora iki kugira ngo ngenzure isukari yanjye mu maraso kugira ngo birinde gukomeza?
• Ni ibihe bimenyetso byo kwirinda ngomba kwitondera bisaba ubufasha bw’ihutirwa?
• Ngahe nagomba kugira gahunda yo gukurikirana no gupima?
• Hari ibikorwa nagomba kwirinda cyangwa guhindura?

Andika ibibazo byawe mbere kugira ngo utabyibagirwa mu gihe cy’isura.

Zana ibyanditswe byawe by’isukari mu maraso, harimo ibipimo biheruka n’imiterere iboneka. Niba ukoresha ikintu gipima isukari mu maraso buri gihe, zana amakuru cyangwa witegure kuyasangiza umuvuzi wawe. Aya makuru ni ingenzi mu guhindura gahunda yawe yo gucunga diyabete.

Teganya kuzana inshuti cyangwa umuryango wawe wizewe mu gihe cy’isura. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugutera inkunga. Kugira undi muntu uri aho birashobora kandi kugufasha gutekereza ku bibazo ushobora kuba utatekerejeho.

Vuga ukuri ku bimenyetso byawe, nubwo byaba biteye isoni cyangwa bigaragara ko bidafite aho bihuriye na diyabete yawe. Kugira ibibazo by’imyororokere, ibibazo byo mu gifu, no guhinduka kw’imitekerereze byose bishobora kuba bifitanye isano na neuropathy no gucunga diyabete. Umuvuzi wawe akeneye amakuru arambuye kugira ngo akugireho umumaro.

Ni iki gikuru cyo kuzirikana kuri diabetic neuropathy?

Ikintu gikomeye cyo gusobanukirwa kuri diabetic neuropathy ni uko bishobora kwirindwa kandi bigacungwa neza hakoreshejwe ubuvuzi bukwiye. Nubwo kwangirika kw’imitsi iterwa na diyabete bishobora kuba bibi, ufite ububasha bukomeye bwo kumenya niba bizatera no gute bizakomeza.

Gucunga neza isukari mu maraso ni ikintu gikomeye cyo kwirinda no gucunga diabetic neuropathy. Kugumana A1C munsi ya 7% no kugumana urwego rw’isukari mu maraso ruhoraho umunsi wose bishobora kwirinda kwangirika kw’imitsi gutangira no kugabanya umuvuduko niba byamaze gutangira.

Kumenya hakiri kare no kuvura bituma ibyavuyeho bihinduka cyane. Kujya gusuzuma buri gihe kwa muganga wawe, gusuzuma ibirenge byawe buri munsi, no kwita ku bimenyetso umubiri wawe utanga bishobora gufasha mu gufata ibibazo mbere yuko biba ibibazo bikomeye.

Wibuke ko indwara y’imitsi iterwa na diyabete ari ikibazo gisanzwe, ariko ntibigomba kuyobora ubuzima bwawe. Hamwe no kuyigenzura neza, abantu benshi barwaye iyi ndwara bakomeza kubaho ubuzima buhamye kandi buzuye. Icyingenzi ni ugukorana bya hafi n’itsinda ry’abaganga bawe no gukomeza kwiyemeza gahunda yawe yo kuvura diyabete.

Ntukamere nk’ufite ubwoba cyangwa isoni zikubuza gushaka ubufasha. Abaganga bawe bari aho kugufasha mu bice byose byo kuvura diyabete, harimo n’imbogamizi iyi ndwara y’imitsi ishobora kuzana. Hamwe n’uburyo buboneye, ushobora guhangana neza n’iyi ndwara kandi ukagumana ubuzima bwiza.

Ibibazo bikunze kubaho ku ndwara y’imitsi iterwa na diyabete

Ese indwara y’imitsi iterwa na diyabete ishobora gukira?

Nubwo kwangirika kw’imitsi guterwa na diyabete bisanzwe ari ibyangirika burundu, kugira isukari mu maraso igenzurwa neza bishobora guhagarika kwangirika no rimwe na rimwe bigatuma ibimenyetso bigabanuka gato. Bamwe bagabanya ububabare kandi bagira imikorere myiza y’imitsi iyo bageze ku rwego rw’isukari mu maraso kandi bakaruhagarara. Icyingenzi ni uguhereza kuvura hakiri kare no gukomeza kuvura diyabete buri gihe.

Birama igihe kingana iki kugira ngo indwara y’imitsi iterwa na diyabete igaragare?

Indwara y’imitsi iterwa na diyabete isanzwe itera gahoro gahoro mu myaka myinshi isukari mu maraso idagenzurwa. Abantu barwaye diyabete yo mu bwoko bwa mbere ntabwo bakunze kurwara iyi ndwara y’imitsi mu myaka itanu ya mbere nyuma yo kubimenya. Ariko kandi, abafite diyabete yo mu bwoko bwa kabiri bashobora kuba basanganywe kwangirika kw’imitsi igihe babimenye bwa mbere kuko iyi ndwara ishobora kutagaragara imyaka myinshi mbere yuko ibimenyetso bigaragara.

Ese indwara y’imitsi iterwa na diyabete ibabaza buri wese?

Si buri wese ufite indwara ya diyabete neuropathy afite ububabare. Bamwe bagira ubuhumyi cyangwa kubura ubwumva nta bubabare, abandi bagira ububabare bwaka, bwica, cyangwa bukora nk’umuriro. Ubwoko n’uburemere bw’ibimenyetso biterwa n’imitsi ikozweho n’ingano y’ibyangiritse. Urwego rw’ububabare rushobora guhinduka umunsi ku munsi.

Siporo ishobora gufasha mu ndwara ya diyabete neuropathy?

Yego, gukora siporo buri gihe bishobora kugira akamaro cyane kuri diyabete neuropathy. Gukora imyitozo ngororamubiri birwanya amaraso kugera ku mitsi, bifasha kugenzura urwego rw’isukari mu maraso, kandi bishobora kugabanya ububabare kuri bamwe. Imikino itoroshya umubiri nko kugenda, koga, cyangwa kugendera kuri velo ni byiza cyane. Buri gihe banza ubaze muganga wawe mbere yo gutangira gahunda nshya yo gukora siporo, cyane cyane niba ufite ibibazo byo kubura umutekano cyangwa ibibazo by’ibirenge.

Nzagomba guhora mfata imiti igabanya ububabare?

Si ngombwa. Ibyo umuntu akeneye mu miti igabanya ububabare bitandukanye cyane ukurikije umuntu, kandi bishobora guhinduka uko igihe gihita. Bamwe basanga ububabare bwabo bugabanuka uko uburyo bwo kugenzura isukari mu maraso bwabo buzamuka, bibatuma bagabanya cyangwa bahagarara imiti igabanya ububabare. Abandi bashobora gukenera kuvurwa igihe kirekire. Muganga wawe azakorana nawe kugira ngo ahindura gahunda yawe yo guhangana n’ububabare hakurikijwe ibimenyetso byawe n’uburyo ugaragaraho mu kuvurwa.