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Dhukkubni sukkaaraa hangam nama huba?

— September 17, 2019 338 comments

Kutaa 2fa

Namni kamuu yaalamuuf haaldureen jalqabaa dhukkubasaa beekuu qaba. Akkuma yeroo darbe kaasnetti namoonni hedduu dhukkuba sukkaaraa kana utuu qaamasaanii keessaa qabanii akka qaban waan hinbeekneef qofa yaala argataa hinjiran.  Kanaaf of qoratanii dhukkuba kana akka qabaniifi hinqabne beekuun daran barbaachisaadha.

Namoonni dhukkuba kanaaf qoratamuu qaban umuriifi jiraachuuf jiraachuu dhiisuu mallattoo dhukkuba sukkaaraarratti hundaa’a. Walumaagalatti namoonni haala armaan gadii keessatti argaman yoo kan mallattoo dhukkubichaa hinqabne ta’ellee dhukkuba sukkaaraaf qoratamuu qabu:

  • Namoota ulfaatinnisaanii olka’aa ta’e ykn ‘BMI’ isaanii 25 ‘kg/m2’ ol ta’eefi kanneen armaan gadii keessaa haala tokko ykn isaa ol qaban
    • Sochii qaamaa kan hintasifne
    • Fira dhiigaa dhiyoo (kan akkka haadha, abbaa, obbolaafi kkf) yoo kan dhukkuba sukkaaraa qaban ta’e.
    • Dhukkuboota sirna onneefi hidda dhiigaa beekame kan qabu/qabdu yoo taate
    • Dhukkuba dhiibbaa dhiigaa akkasumas, dhukkuba garmalee olka’uu cooma ykn koolestiroolii (‘hypercholesterolemia’) qaamaa kan qabu/qabdu.
  • Namoota umriinsaanii waggaa 45 ga’e hunduu qoratamuu qabu, yoo bilisa ta’anis wagga sadii, sadiin itti deebanii ilaalamuu qabu.
  • Dubartii yeroo ulfaa dhukkuba sukkaaraa yeroo ulfaan qabamtee turte, yoo xiqqaate waggaa sadi sadiin qoratamuu qabdi.
  • Kanaan dura qoratamani dhukkuba sukkaaraatiif carraan isaan qaban olka’aa ta’uu kan itti himame jiru yoo ta’e/taate, yoo xiqqaate waggaa waggaan qoratamuu qabu.

Yaala dhukkuba sukkaaraa keessatti eenyutu ga’ee guddaa qaba?

Yaalli dhukkuba sukkaaraa akka dhukkuboota tokko tokkoo ogeessi fayyaa qofti kan ga’ee ba’u osoo hintaane ga’een guddaan kan dhukkubsataa sukkaaraati.  Kunis qorichoota mana yaalaa kennaman irratti dabalee haala jireenyaafi waantonni garagaraa sirreessuun waan barbaachisuuf akkasumas qorichoota dhukkuba kanaaf kennaman yeroo hedduu dhukkubsataan ofiin kan ofiif kennu (waraanu) waan ta’eef. Walumaagalatti yaalli dhukkuba sukkaaraa kan addaan hincitne, yaala umurii guutuuti. Haa ta’u malee haalliifi malli ittiin akaakuuwwan dhukkuba sukkaaraa lamaan yeroo darbe ilaalle yaallu garaa gara.

Yaala dhukkuba sukkaaraa gosa tokkoffaa (‘type I diabetes mellitus’)

Dhukkubni sukkaaraa akaakuu tokkoffaa akkuma kanaan dura ibsinetti insuuliiniin qaamasaanii keessaa waan hinjirreef, hormoonii insuuliinii lilmoodhaan kennuun dirqama. Hagi ykn ciminni insuuliinii kennamuu akkuma barbaacha dhukkubichaatti olka’uufi gadi bu’uu danda’a.

Isa kana ogeessi fayyaa ilaalee haga (dose) qorichaa sirreessa waan ta’eef asirratti hinkaasnu. Dhukkubsataan insuuliinii fudhatu kun yoo seeraan olkaa’atuu baateefi yoo seeraan waraannachuu baate insuuliin sun seeraan hojjechuu hindanda’u.

Insuuliinii akkamiin olkaa’uu qabna?

Akkuma nuuf kennameen yeroon kan irra darbe akka hin ta’iin adda baafnee laaluu qabna. Insuuliiniin ho’a cimaas ta’e qorra cimaan akkasumas ifti aduu kallattiin yoo itti ba’e dandeettiin hojjechuu isaa ni dhabama. Kanaaf yoo qorrisiistuu (‘fridge’) kan manaa qabnu ta’e bakka xiqqoo qofa qabbaneessu keessa malee tasuma bakka hedduu qorrisiisu (irra keessa bakka cabbii uumu) kaa’uu hin qabnu.

Bakka ho’aa akka konkolaataa keessaafi kana fakkaatanillee kaa’uun akkasuma qoricha kana miidha. Dhuma irratti yoo waraannachuuf jennu utuu sirinjii dhaan hin waraabiin dura halluun isaa akka hin jijjiiramiin adda baafachuu qabna. Waraantuu (‘syringe’) ittiin of waraannu bakka qulqulluu kaa’uu, fiixeen ishii gogaa keenya irraa kan hafe waan biraa kam waliin akka wal hin tuqne eeggachuu, nama biraa waliin tasuma waliin fayyadamuu dhiisuuun dirqama.

Insuuliinii akkamiin waraannachuu qabna? Jalqaba haga (‘dose’) nutti himame sana qodaa insuuliinii keessaa waraabbachuudha. Achiis fiixee /qara/ waraantuu sani gara samiitti il garagalchuun altokko ykn lama quba harkaan rurukkutuudha (kunis qilleensi ykn air bubble akka keessaa ba’uufi).

Qaama keessaa bakki waraanaman: Foon irree harkaa kan gara alaa (‘arm’), sarbaa miillaa (‘tigh’) teessuma (‘buttock’) fi garaa irra (handhuura irraa xiqqoo hiiqanii) dha. Yoo waraannannu qara waraantuu kallattii gogaa irraan digrii 45 (45oC) dalga ciibsinee ta’uu qaba. Kunis insuuliiniin kun gogaa jalatti malee maashaa keessatti gadi seenee dhangala’uu waan hin qabneefi.

Yaala dhukkuba sukkaaraa gosa lammaffaa (‘type II diabetes mellitus’)

Yaalli dhukkuba sukkaaraa isa gosa lammaffaa kun akkuma armaan olitti ibsame yeroo hedduu qorichoota liqimsaman (‘oral hypoglycemic agent’) yoo ta’an, gostii fi hagi (‘dose’) qoricha kennamuu haala jiru irratti hundaa’uun ogeessa yaaluu fi dhukkubsataan mari’atanii kan murteessanidha. Yeroo tokko tokko ammoo yoo qorichaan to’achuun dadhabamu gara insuuliinii waraannachuutti deemama. Insuulii kanas haaluma armaan olitti ibsameen fudhatama.

Eeggannoo namoonni dhukkuba sukkaaraa (‘diabetes mellitus’) qaban gochuu qaban

Dhukkubsattoonni sukkaaraa qoricha fudhatan irratti dabalataan haalota jireenyaa isaanii irratti eeggannof jijjiirama tokko tokko taasisuu qabu, isaan keessaas:

  • Yoo qeensa qoratan of eeggannoo guddaadhaan akka of hin murretti qeensa gadi hambisuun qorachuu, kunis yoo madaa’e salphaatti waan hin fayyineefi.
  • Yoo kophee godhatan kophee babal’aa ykn kan duraan kaa’atan irra lakkoofsa tokkoo ol dabalanii kaa’achuu.
  • Yoo deeman miila qul’aafi kopheewwan miila mul’isan kaa’achuu irraa of eeggachuu.
  • Yoo miila dhiqatan bishaan dilallaa’aadhaan dhiqachuu.
  • Miillasaanii irra yeroo yerootti akka madaan irra jiruuf hin jirre caqasuu qabu.
  • Sababa adda addaatiin madaan miilla irratti yoo ba’e akka warra kaanii ofiin fayyuun waan yeroo dheeraa fudhatuuf mana yaalaa deemuu qaban.
  • Waantoota qabiyyee sukkaaraa qaban kanneen akka shayii, dhugaatii lallaafaa mi’aawaafi kkf irraa of qusachuu qabna.
  • Nyaata coomaafi dhadhaaan itti baay’ate nyaachuu irraa of qusachuu. Kunis nyaanni kun oofuma isaatiin illee rakkoo qaamota keenya akka onneefi hiddoota dhiigaa irratti waan fiduuf warra dhukkuba kana qaban irratti ammoo waan irra hammaatuuf.
  • Sababa adda addaatiin (keessumaa qoricha fudhatanii nyaata osoo hijn nyaatiin hafuu) yoo sukkaarri qaama keessaa gadi bu’e mallattoo akka dafqisiisuu, dadhabsiisuu, rukkuttaan onnee garmalee akka nama fiigaa jiruutti rukkutuufi of wallaaluu yoo argitan ariitiidhaan waan sukkaara qabu (akka karamellaafi lallaafaa) xiqqoo fudhachuudha.

Akkuma mallattoon sirraa’een garuu dhaabuu qabna. Yoo irra deddeebi’ee yeroo baay’ee mallattoon akkasii dhufe tarii hagi (dose) qoricha fudhachaa jirruu olka’aa ta’uu waan danda’uuf mana yaalaa deemnee sirreessisuu qabna.

Horaa Bulaa!

Doktar Gurmeessaa Hinkoosaa ogeessa fayyaa yoo ta’an, Koolleejjii Medikaalaa Hospitaala Kiddus Phaawuloosiitti baratan. Wayita
ammaa Yuniivarsiitii Arsiitti barsiisaa jiru.

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