Created at:1/16/2025
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Diabete yo mu bwoko bwa 2 mu bana ibaho iyo umubiri wabo udashobora gukoresha insuline uko bikwiye cyangwa utayikora uko bikwiye. Iyi ndwara, yahoze ari nke mu bana, yiyongereye cyane mu myaka mike ishize, ubu ikaba igera no ku bana bakiri bato bafite imyaka 10.
Bitandukanye na diabete yo mu bwoko bwa 1, itera vuba kandi isaba kuvurwa na insuline ako kanya, diabete yo mu bwoko bwa 2 mu bana ikunda gutera buhoro buhoro. Imiryango myinshi ntiyiha uburemere ibimenyetso byayo ako kanya, niyo mpamvu gusobanukirwa iyi ndwara bishobora kugufasha kumenya igihe umwana wawe ashobora kuba akeneye ubuvuzi.
Diabete yo mu bwoko bwa 2 ibaho iyo umubiri w’umwana wawe uhangayikishijwe na insuline cyangwa utayikora uko bikwiye kugira ngo urugero rw’isukari mu maraso rugume rusanzwe. Insuline ni homoni ifasha glucose (isukari) kuva mu maraso ijya mu mitsi aho ikoreshwa nk’ingufu.
Tekereza kuri insuline nk’urufunguzo rufungura uturemangingo kugira ngo glucose yinjiyemo. Muri diabete yo mu bwoko bwa 2, cyangwa urufunguzo ntirwakora neza uko bikwiye, cyangwa nta mifunguko ihagije. Ibi bituma glucose yiyongera mu maraso aho gukoresha ingufu z’uturemangingo tw’umubiri.
Iyi ndwara itandukanye na diabete yo mu bwoko bwa 1, aho ubudahangarwa bw’umubiri busenya uturemangingo dukora insuline. Abana bafite diabete yo mu bwoko bwa 2 bakunda gukora insuline, ariko imibiri yabo ntibayisubizaho neza.
Ibimenyetso bya diabete yo mu bwoko bwa 2 mu bana bishobora kuba bito kandi bikagenda buhoro buhoro mu mezi cyangwa imyaka. Ababyeyi benshi ntibabona ko umwana wabo arwaye iyi ndwara kuko ibimenyetso bya mbere bishobora kugaragara nk’ububabare busanzwe bw’ubukure cyangwa imyitwarire isanzwe y’abana.
Dore ibimenyetso bikunze kugaragara ugomba kwitondera:
Bamwe mu bana bagira ibimenyetso bidakomeye cyangwa nta bimenyetso na bimwe mu ntangiriro. Niyo mpamvu diyabete yo mu bwoko bwa 2 mu bana rimwe na rimwe yitwa uburwayi “bwucecetse”.
Ibimenyetso bidakunze kugaragara ariko bikomeye bishobora kuba harimo isereri, kuruka, cyangwa umwuka ufite impumuro y’imbuto. Niba ubona ibi bimenyetso hamwe n’ibindi bimenyetso, ni ngombwa kuvugana na muganga w’umwana wawe ako kanya.
Diyabete yo mu bwoko bwa 2 mu bana iterwa n’ibintu byinshi bihurira hamwe mu gihe. Indwara iterwa no kurya isukari nyinshi cyangwa kuba “mubi” mu guhitamo ibyo kurya, rero ntukwiregure cyangwa ukwirengagize umwana wawe.
Ibintu by’ingenzi bigira uruhare mu iterambere rya diyabete yo mu bwoko bwa 2 birimo:
Amwe mu moko y’abantu afite ibyago byinshi, harimo abana b’Abahispanique, Abanyamerika b’Abirabura, Abanyamerika bakomoka mu moko y’abenegihugu, Abanyamerika b’Abayaziya, n’abana b’Abanyamerika bakomoka mu birwa bya Pasifika. Iyi kamere yo kugira ibyago byinshi isa n’iyatewe n’imiterere y’imibiri yabo ifitanye isano n’imiterere y’imibiri yabo igira ingaruka ku buryo umubiri utunganya insulin.
Bamwe mu bana barwara kudasira kwa insulin mu gihe cy’ubwangavu kubera impinduka z’imisemburo. Kuri benshi, ibi biracika iyo barangije gukura, ariko kuri bamwe, bishobora gutera diyabete yo mu bwoko bwa 2.
Wagomba kuvugana na muganga w’umwana wawe niba ubona ibimenyetso byavuzwe haruguru, cyane cyane inyota nyinshi, kwinnya kenshi, n’umunaniro udasobanutse ukomeza iminsi irenga mike.
Ntugatege amatsiko kugira ngo ibimenyetso bikomeze. Kumenya hakiri kare no kuvura bishobora gukumira ingaruka zikomeye kandi bigafasha umwana wawe kugira ubuzima bwiza igihe kirekire.
Tegura gahunda yo kujya kwa muganga vuba niba umwana wawe agira ibimenyetso biramba nk’uko kunywa amazi menshi, kubyuka inshuro nyinshi mu ijoro kugira ngo ajye kwinnya, cyangwa kumva ananiwe cyane nubwo aruhuka bihagije. Ibi bimenyetso bigaragaza ko umubiri we ushobora kuba uhanganye no gucunga urugero rwa glucose mu maraso.
Shaka ubufasha bwa muganga ako kanya niba umwana wawe agaragaza ibimenyetso bya ketoacidose ya diabete, nubwo ibi bidafite akarusho muri diyabete yo mu bwoko bwa 2. Ibi bimenyetso byihutirwa birimo kuryarya cyane, kuruka, kugorana guhumeka, impumuro y'imbuto mu mihumeko, cyangwa uburwayi bukabije.
Kumenya ibintu byongera ibyago bishobora kugufasha kumenya niba umwana wawe ashobora kuba afite ibyago byinshi byo kurwara diyabete yo mu bwoko bwa 2. Kugira ibintu byongera ibyago ntibisobanura ko umwana wawe azahita arwara diyabete, ariko bisobanura ko ugomba kwita cyane ku buzima bwe.
Ibintu byongera ibyago byingenzi birimo:
Bamwe mu bana bafite ibindi bintu byongera ibyago bidakunze kugaragara ariko bikaba ingenzi. Ibi birimo kugira syndrome ya polycystic ovary (PCOS) mu bakobwa, gufata imiti imwe nka steroide, cyangwa kugira izindi ndwara zigira ingaruka ku mporerwa.
Niba umwana wawe yavukiye ku mubyeyi warwaye diyabete y'inda, ibyago bye biyongera. Ubu buhunganirane bugaragaza uko ibyago bya diyabete bishobora kugerwaho n'ibintu bibaho mbere y'uko umwana avuka.
Nubwo ingaruka ziterwa na diyabete yo mu bwoko bwa 2 mu bana zidafata cyane nk’uko bigenda mu bakuru, zishobora kubaho, cyane cyane niba urugero rw’isukari mu maraso rukomeje kuba rwinshi igihe kirekire. Inkuru nziza ni uko kuyigenzura neza bishobora gukumira cyangwa gutinza ingaruka nyinshi.
Dore ingaruka zishobora kubaho ugomba kumenya:
Bamwe mu bana bashobora kugira ingaruka zihutirwa cyane niba isukari yabo mu maraso igeze hejuru cyane. Ibyo bishobora kuba harimo kukama cyane, kugorana kwibanda ku ishuri, cyangwa indwara zikunze kugaruka zikira buhoro.
Ibyago by’ingaruka bigenda byiyongera uko kudacunga isukari mu maraso neza n’igihe diyabete imaze. Ariko kandi, abana bagumana urugero rwiza rw’isukari mu maraso binyuze mu buvuzi bukwiye bafite ibyiringiro byiza by’igihe kirekire kandi bashobora kubaho ubuzima busanzwe, bwiza.
Diyabete yo mu bwoko bwa 2 mu bana ishobora kenshi gukumirwa cyangwa gutinza binyuze mu migenzereze myiza y’ubuzima umuryango wose ushobora kwifatanya. Gukumira bigendera ku kugumana ibiro byiza, kuguma ukora imyitozo ngororamubiri, no kurya ibiryo birimo intungamubiri.
Dore ingamba zikomeye zo gukumira:
Niba umwana wawe ari mu kaga kenshi kubera amateka y’umuryango cyangwa ibindi bintu, korana n’umuganga we kugira ngo akurikirane ubuzima bwe neza. Kusuzuma buri gihe bishobora gufata ibimenyetso bya mbere byo kudakora neza kwa insulin mbere yuko bigera kuri diyabete.
Wibuke ko gukumira atari ukurema ibidukikije bifunze. Ahubwo, shyira imbere gukora amahitamo meza yumvikana kandi ashimishije ku muryango wawe wose.
Kumenya diyabete yo mu bwoko bwa 2 ku bana bikubiyemo ibizamini by’amaraso byinshi bipima uko umubiri w’umwana wawe utunganya glucose. Muganga wawe arashobora kugusaba gupima niba umwana wawe afite ibimenyetso cyangwa ibyago bya diyabete.
Ibizamini by’ingenzi byo gupima birimo:
Muganga wawe ashobora kandi gutegeka ibizamini byiyongereye kugira ngo akureho diyabete yo mu bwoko bwa mbere cyangwa izindi ndwara. Ibi bishobora kuba harimo ibizamini by’antikorora runaka cyangwa urwego rwa C-peptide, bifasha kumenya uko insuline ya pankireasi y’umwana wawe ikora.
Uburyo bwo kuvura busanzwe bukorwa mu masura menshi kugira ngo hamenyekane ibyavuye mu isuzuma kandi habeho ukuri kwabyo. Muganga wawe azakora kandi isuzuma ry’umubiri kandi asuzume amateka y’ubuzima bw’umwana wawe n’amateka y’umuryango wawe ku diyabete.
Kuvura diyabete yo mu bwoko bwa 2 mu bana byibanda ku gufasha umubiri wabo gukoresha insuline neza no kugumana urwego rw’isukari mu maraso rukwiye. Uburyo busanzwe burushaho koroha ugereranyije no kuvura abantu bakuru kandi bugashyira imbere impinduka mu mibereho mbere.
Ingamba nyamukuru zo kuvura zirimo:
Abana benshi barwaye diyabete yo mu bwoko bwa 2 bashobora kuyigenzura neza gusa bahindura imibereho yabo, cyane cyane iyo bayimenye hakiri kare. Ariko kandi, bamwe bashobora kuba bakeneye imiti ifasha imibiri yabo gukoresha insuline neza.
Gahunda z’ubuvuzi zigirwa ku giti cya buri mwana hagendewe ku myaka ye, urugero rw’isukari mu maraso, izindi ndwara afite, n’imiterere y’umuryango we. Ikipe y’abaganga bazakorana nawe kugira ngo mubone uburyo bujyanye n’ubuzima bw’umwana wawe kandi bumufasha gutera imbere.
Kwitaho diyabete yo mu bwoko bwa 2 iwawe mu rugo bisobanura gushyiraho imikorere ishyigikira ifasha umwana wawe kugumana urugero rw’isukari mu maraso rukwiye mu gihe agikomeza kwishimira ubuzima bwe bwo mu bwana. Ikintu nyamukuru ni ukugira ngo kwitaho diyabete bigire nk’igice gisanzwe cy’ubuzima bwa buri munsi aho kuba umutwaro.
Dore ingamba zo kuyigenzura iwawe mu rugo:
Ni ngombwa kugira uruhare rw’umwana wawe mu kwitaho kwe mu buryo bukwiye ubw’imyaka ye. Abana bato bashobora gufasha guhitamo ibiryo byiza, mu gihe abana bakuze bashobora kwiga kugenzura isukari yabo mu maraso no gusobanukirwa uko ibiryo bitandukanye bigira ingaruka ku bipimo byabo.
Tegura imigambi y’ibanze ku bihe bidasanzwe nko mu birori by’amavuko, ibirori by’ishuri, cyangwa ingendo. Kugira ingamba ziteguwe bifasha umwana wawe kwitabira ibikorwa byuzuye mugihe agumana imicungire myiza ya diyabete.
Gutegura gahunda z’ubuvuzi bwa diyabete bigufasha gukoresha neza igihe cyawe hamwe n’itsinda ry’ubuvuzi kandi bikabuza ko ingingo z’ingenzi zivugwa. Gutegura neza bigatuma habaho itumanaho ryiza kandi imiti igakorwa neza.
Mbere y’uruzinduko rwawe, kora ibi bikurikira:
Tegeka umwana wawe kugira uruhare mu gutegura gahunda yo gusura muganga niba ageze aho abishobora. Ashobora kuba afite ibibazo bye cyangwa impungenge ku bijyanye n’uko diyabete igira ingaruka ku mirimo ye ya buri munsi cyangwa ubucuti.
Ntugatekereze kubyerekanira ibintu bishobora kugaragara nkibito. Ibintu nk’impinduka mu mbaraga, mu mimerere, cyangwa mu buryo bwo kuryama bishobora kuba ibimenyetso by’ingenzi ku bijyanye n’uko ubuvuzi bwa diyabete bugenda neza.
Diyabete yo mu bwoko bwa 2 mu bana ni uburwayi bushobora kuvurwa budakwiye kugabanya ubushobozi bw’umwana wawe cyangwa ibyishimo bye. Hamwe no kwitaho neza, ubufasha, no gucunga imibereho, abana bafite diyabete yo mu bwoko bwa 2 bashobora kugira ubuzima busanzwe, bukorwa neza.
Kumenya hakiri kare no kuvura bigira uruhare rukomeye mu bizava mu gihe kirekire. Niba ubona ibimenyetso cyangwa ufite impungenge ku bijyanye n’ibintu bishobora gutera umwana wawe iyi ndwara, ntutinye kuvugana na muganga we.
Wibuke ko gucunga diyabete ari umurimo w’umuryango. Iyo umuryango wose ufite imyifatire myiza hamwe, birakorohera umwana wawe gucunga neza isukari mu maraso ye adahangayitse cyangwa adafunzwe.
Icya mbere gikomeye cyo gusobanukirwa ni uko diyabete yo mu bwoko bwa 2 atari amakosa yawe cyangwa ay’umwana wawe. Ni uburwayi bushobora guhangana neza hakoreshejwe uburyo bukwiye, ubufasha, n’itsinda ry’abaganga.
Diyabete yo mu bwoko bwa 2 mu bana rimwe na rimwe ishobora kugaruka mu buryo busanzwe binyuze mu guhindura imibereho cyane cyane kugabanya ibiro no kongera imyitozo ngororamubiri. Ariko rero, ibi bisaba gukomeza gukurikiza imyifatire myiza, kandi urwego rw’isukari mu maraso rugomba gukurikiranwa buri gihe. Nubwo yaba yaragarutse, umutima wo kurwara diyabete uracyahari, bityo gukomeza imyifatire myiza ni ingenzi kugira ngo tugire intsinzi mu gihe kirekire.
Diyabete yo mu bwoko bwa 1 ni uburwayi bw’umubiri aho umubiri usenya uturemangingabo dukora insuline, bikaba bisaba ko uvurwa insuline ako kanya. Diyabete yo mu bwoko bwa 2 itera iyo umubiri ubaye intambamyi kuri insuline cyangwa udakora ihagije. Abana barwaye diyabete yo mu bwoko bwa 2 bakunze gukora insuline, kandi bashobora kubanza kuvurwa binyuze mu guhindura imibereho no gufata imiti y’amenyo aho gukoresha insuline.
Abana benshi barwaye diyabete yo mu bwoko bwa 2 bashobora guhangana n’uburwayi bwabo batakoresheje inshinge z’insuline, cyane cyane niba babimenye hakiri kare kandi bakagira imyifatire myiza. Ariko kandi, bamwe mu bana bashobora gukenera insuline by’agateganyo mu gihe barwaye cyangwa mu gihe urwego rw’isukari mu maraso rudahwitse. Abandi bashobora gukenera insuline nk’igice cy’ubuvuzi bwabo busanzwe, bitewe n’uko pankirese yabo ikora.
Ni byo rwose! Imikino ngororamubiri ni kimwe mu bitanga imiti myiza yo kuvura diyabete yo mu bwoko bwa 2. Umwana wawe ashobora kwitabira imikino n’ibindi bikorwa, hakoreshejwe igenamigambi rikwiye no kugenzura isukari mu maraso. Korana n’itsinda ry’abaganga bawe kugira ngo mugire ingamba zo gucunga isukari mu maraso mu gihe cy’imyitozo ngororamubiri n’amarushanwa. Abakinnyi benshi b’abahanga baragenzura diyabete neza mu gihe bakina ku rwego rwo hejuru.
Koresha ururimi rukwiye igihe cy’umwana kandi ushimire ibintu byiza byo kuyigenzura aho kwibanda ku migenzo. Basobanurire ko diyabete ari uburwayi bushobora kugenzurwa hakoreshejwe amahitamo mazima, kandi ubashimire ko bashobora gukora ibyo bashaka byose. Bakomeze bababaza ibibazo kandi ubahe uruhare mu kwitaho buhoro buhoro. Tekereza guhuza n’andi miryango igenzura diyabete y’abana kugira ngo ubone ubufasha n’ibitekerezo byiyongereye.