Ciwon sukari mellitus cuta ce ta rashin lafiya wacce ake danganta shi da yawaitar glucose a cikin jini. Ofaya daga cikin rikitarwarsa shine neuropathy. An kwatanta shi da lalacewar tsarin kulawa da jijiyoyi na yau da kullun. Wannan rikitarwa yana faruwa bayan shekaru 10-15 bayan fara ciwon sukari.
Rage sukari na jini
Neuropathy na faruwa lokacin da ba'a lura da raguwar sukari na jini ba. A yadda aka saba, mutumin da ke da lafiya yana da yawan azumin glucose mai jini na 3.5-6.2 mmol / L. A cikin ciwon sukari, wannan alamar ya wuce 6.5 mmol / L. Rage glucose na jini shine aiki mafi mahimmanci a cikin lura da ciwon sukari a cikin mutane.
Cutar sankara (mellitus) cuta ce mai alaƙa ta haɗu da keɓaɓɓen ƙwayar glucose a cikin jini, ɗayan rikitarwarsa shine neuropathy.
Acid Alpo Lipoic Acid ga Ciwon Cutar
Tare da karancin insulin a cikin jini ko rashi rashi na kwayoyin jikinsu, alpha-lipoic acid abune mai mahimmanci. Ana ɗaukar duka biyu don maganin maganin cutar daji (prophylaxis) da kuma maganin cututtukan type 1 da nau'in ciwon sukari na 2. Lipoic acid yana da tasirin waɗannan abubuwa a jiki:
- Magungunan antioxidant ne mai ƙarfi. Wannan abu yana kare jiki daga tsattsauran ra'ayi waɗanda aka kafa sakamakon sakamakon hanyoyin rayuwa. Babban matakan sukari a cikin ciwon sukari yana haifar da karuwa a cikin abubuwan da ke tattare da siffofin oxygen kyauta a cikin jiki, wanda ke haifar da damuwa na oxidative. Yana taka muhimmiyar rawa a cikin ci gaban neuropathy.
- Yana ɗaure abubuwa masu guba.
- Yana inganta watsawar jijiyoyi.
- Yana inganta wadatar jini zuwa jijiya.
- Yana cikin metabolism na sel na mitochondrial.
- Yana haɓaka amfani da glucose mai kama da insulin.
Ana samun Lipoic acid a cikin nau'ikan allunan don sarrafawar baka.
Masu hana ciwon suga
Alpha glucosidase inhibitors suna da tasiri wajen kula da masu ciwon suga. Glucobay nasa ne. Abubuwan da ke aiki shine acarbose. Wannan maganin hypoglycemic (saukar da sukari na jini) magani na baki don nau'in ciwon sukari na 2.
Magani yana taimakawa rage jinkirin shan ƙwayoyi da ƙirar ƙwayoyin glucose. Sakamakon shi ne jinkirin ci na sukari a cikin jini da raguwa cikin haɗuwarsa. Glucobay an wajabta shi don hadadden magani na ciwon sukari na 2. Shan magani dole ne a haɗe shi da abinci.
Magungunan rigakafin ƙwayar cuta marasa lalacewa
Tare da lalata lalacewar tsarin jijiya, ana amfani da magungunan rigakafin kumburi daga ƙungiyar NSAID. Abubuwan da akafi tsarawa sune indomethacin, nimesulide da analgin. Suna rage kumburi, kumburi da ciwo. Indomethacin yana taimakawa kawar da alamun cutar polyneuropathy na ciwon sukari (zafi, rauni na tsoka). Magungunan rigakafin ƙwayar cuta da marasa narkewa da magungunan marasa narkewa sune mafi inganci ga nau'in ciwon jijiya.
Actovegin don polyneuropathy
Idan mutum yana da ciwon sukari na ciwon sukari, to magungunan da ke da tasirin neuroprotective da antihypoxic suna cikin tsarin kulawa. Waɗannan sun haɗa da Actovegin. Ana amfani dashi a cikin nau'i na mafita don allura da allunan. Samfurin ya ƙunshi kayan aikin maraƙi.
Actovegin yana da sakamako masu zuwa ga jikin mutane masu ciwon sukari:
- Inganta kaiwar kwayar halitta da kuma amfani da glucose. An samu wannan sakamakon saboda kasancewar inositol phospho-oligosaccharides a cikin shirye-shiryen.
- Yana haɓaka ƙwayar oxygen.
- Yana rage samuwar lactate (lactic acid) a cikin kyallen da ke gudana ischemia.
- Inganta yanayin jijiyoyin jiki.
- Inganta microcirculation.
Actovegin ya ƙunshi kayan jinƙai na maraƙi.
Iri na masu fama da cutar sankarau
Ciwon sukari na cutar sankara na iya kasancewa da yawa. Waɗannan halaye na wannan ilimin aikin an rarrabe su:
- Cutar Sauke Kai tsaye ta Ciwon Kai. An rarraba nau'ikansa guda 5: urogenital, gastrointestinal, sudomotor, numfashi (numfashi) da jijiyoyin jini (jijiyoyin jini).
- Cutar cutar da ke haifar da ƙwayar cutar neuropathy. Zai iya zama mai azanci (jijiyoyin jijiya sun fi shafa), motsi (jijiyoyin motsa jiki suna cikin aiki), gauraye da hyperglycemic.
- Ciwon mara ko yawan ciwo mai yawa. Radiculoneuropathy (lalacewar tushen jijiya a cikin kashin baya ko plexuse na jijiya), amyotrophy (atrophy tsoka), demyelinating polyneuropathy, rami da siffofin cranial an bambanta.
Ana rarrabe matakai masu zuwa na neuropathy:
- subclinical (bayyanar cututtuka suna da laushi);
- asibiti (mai raɗaɗi ko mara azanci);
- rikice-rikice na ƙarshen (sananne da haɓakar rikice-rikice a cikin nau'i na ciwon sukari da nakasar ƙafa).
Hakanan kuma rarrabe tsakiya da na waje siffofin wannan ilimin.
Distal neuropathy
Ana gano cututtukan dake ɗauke da cutar ta hanji a kusan duk marasa lafiya na biyu masu ɗauke da cutar sankara. Wannan nau'in ana nuna shi ta hanyar lalacewar tsarin mai juyayi wanda yake nesa da jirgin sama na tsayi na jiki. An kwatanta shi da lalacewar jijiyoyi waɗanda ke haɗa kwakwalwa kai tsaye da igiyar kashin kai zuwa tsokoki. Tare da wannan ilimin, aikin hannu da kafafu ya tarwatse.
Babban alamun wannan cutar shine:
- Rashin daidaituwa na motsi.
- Rashin ƙarfi lokacin tafiya.
- Shaky gait.
- Muscle atrophy (rage girma).
- Rashin rauni.
- Rage motsi na haɗin gwiwa.
- Harshen ciki na ciki.
- Musalawa ga gabar jiki a kafafu da hannaye.
Peripheral neuropathy na ƙananan ƙarshen
Neuropathy tare da ciwon sukari yana haifar da lalacewar ƙananan ƙarshen. Kwayar cutar tasa tana da alaƙa da aikin glucose akan ƙwayar jijiya. Soda a cikin taro yana tayar da hankali sosai game da motsawar jijiyoyi kuma yayi mummunan tasiri kan tafiyar matakai na rayuwa. Akwai alamun alamun wannan nau'in ƙwayar cutar neuropathy sune:
- Sense of pain (tare da jin zafi). Mafi yawan lokuta, yana da ciwo kuma yana faruwa a ƙafafu biyu. Zafin ya kai ga yatsan yatsa.
- Paresis mara iyaka da na biyu (ƙuntatawa motsi).
- Muscleararrawar tsoka mai saurin juyawa (fasciculation).
- Cramps.
- Rashin rauni.
- Muscle atrophy.
- Wuya a cikin motsi.
- Tingling a cikin kafafu.
- Abin gwanin sha'awa.
- Ataxia (asarar daidaituwa).
- Jin bugun tsohuwa a wasu sassan jikin hannu.
- Asarar zafin jiki.
- Rashin rauni na juyayi (gwiwa, Achilles) ko asarar su.
- Rashin daidaituwa ko haɗin gwiwa (paralysis).
Hoto na asibiti yana dogara ne akan abin da jijiyoyin ke shafa (azanci ko motsa jiki). Kwayar cutar sannu a hankali tana ci gaba tsawon watanni.
Ciwan zuciya
Wannan ilimin halin sanannan cuta yana saninsa ta hanyar rashin daidaituwa ta hankali. Mafi yawan lokuta, jijiyoyi masu hankali suna tasiri a fuska, makamai da kafafu. Alamun ƙwayar ƙwayar jijiya sune:
- Hyperesthesia A cikin mutane marasa lafiya, fata a yankin na ƙafa, hannaye ko fuska sun zama marasa hankali ga masu tayar da hankali. Akwai raɗaɗi mai zafi akan saduwa, tingling da ƙonawa. Wata kila creeping abin mamaki.
- Cutar sanyi. Dalilin shine karuwa a cikin ƙwayar fata zuwa ƙarancin zafin jiki.
- Ba daidai ba amsa ga zafin rana da na tsokanar fushi. Zai yiwu a sami tinnitus da kuma aftertaste mara dadi a cikin bakin lokacin da aka fallasa ga haske.
- Rage hankali. A lokaci guda, ƙwanƙwurar jin zafi a cikin mutum yana ƙaruwa. Kafafun kafafu da dabino (safar hannu da safa mai ratsa jiki) sun fi yawan shafawa.
Dysmetabolic neuropathy
A cikin endocrinology, akwai irin wannan abu kamar dysmetabolic neuropathy. Wannan ilimin haɓakar cuta yana haɓakawa da asalin abin da ya faru da ƙwayar metabolism, wanda aka lura a cikin ciwon sukari na mellitus.
Alamun ƙwaƙwalwar ƙwayar cuta shine ƙoshin sanyi, ƙwarewar fata ga ƙarancin zafin jiki.
Raunin kai tsaye
Wannan nau'in neuropathy an bayyana shi ta hanyar shiga cikin tsarin haɗin kai na tushen kansa mai juyayi. Yana da alhakin aikin gabobin ciki. Ana iya shafar sassan na juyayi da na parasympathetic. Ana ganin alamun cututtukan masu zuwa:
- Dysphagia (wahalar hadiye abinci da ruwa).
- Burnwannafi Ciki ko ɓacin rai.
- Amai
- Ciwon ciki
- Take hakkin sahun kamar yadda maƙarƙashiya ko zawo. Dalilin kwance takaddara ya karu peristalsis. Stool na iya zama sau 5-10 a rana ko fiye da haka.
- Alamar ƙashin ƙugu (rage ƙarfi, urination mai wuya). Paarancin narkewa da rage sautin na tsokoki na mafitsara yana haifar da haɗewar kamuwa da cuta da haɓakar cystitis.
- Bayyanar cututtukan zuciya da na jijiyoyin jiki (katsewa a cikin aikin zuciya, rage karfin jini, tachycardia, rauni).
- Haɗaɗɗa.
- Redness na fuska.
- Fata bushe.
- Rashin gani.
Me yasa ciwon sukari mai ciwon sukari ya haɓaka?
Tushen lalacewar ƙwayar jijiya daga cututtukan cututtukan fata sune: lalacewar samfuran hadawan abu da iskar shaka, microangiopathy (lalacewar ƙananan tasoshin ruwa), gurguntawar microcirculation, metabolism a cikin ƙwayar jijiya da kuma haifar da hadaddun abubuwan autoimmune. Abubuwan haɗari don haɓakar neuropathy sune: tsufa, rashin bin ka'idojin magani, shan sigari, shan giya da kiba.
Bayyanar cututtukan cututtukan cututtukan ƙwayar cutar sankara
Hoto na asibiti na neuropathy ya ƙunshi alamun motsi, azanci da alamu na ciki.
Ingonawa da kuma haƙoƙar ƙananan ƙafa
Burnonawa da tingling alamun rashin damuwa. Ana jin su cikin reshen da abin ya shafa. Wasu lokuta jijiyoyin fuska suna shafawa.
Ssarancin ƙwarewar ƙafa
Cikakkar asarar hankali ana kiranta azabtarwa. Wannan yanayin yana da haɗari saboda mutum baya jin ƙarancin lahani. Ba a watsi da bayyanar gida game da sanyi, ƙonewa da raunin da zai iya haifar da ɓarnatar da kyallen takarda. Akwai raunuka.
Yaya ake gano cutar?
Don gano ƙwaƙwalwar ƙwaƙwalwa za ku buƙaci:
- Binciken dakin gwaje-gwaje (gwaje-gwaje na jini da fitsari, bincike-binciken kwayoyin).
- Binciken.
- Gwajin jiki.
- Nazarin kayan aiki (duban dan tayi, ECG, CT, MRI, radiography, electromyography, electroencephalography).
- Nazarin Neurological.
Aikin likita shine ware wasu cututtukan cututtukan zuciya, gami da sauran siffofin neuropathy.
Eterayyadewa yanayin girgiza kai
Ana amfani da kunna cokali mai yatsa na Riedel. Ana amfani da na'urar mai jijjiga a jiki (yawanci yatsun kafa) kuma ana kimanta amsawar mai haƙuri.
Gano Abincin Sanyi
Ana gudanar da binciken ne ta amfani da sinadarai. Wannan na'urar elongated ce tare da layin kamun kifi. Suna sanya matsin lamba akan fatar kuma suna kimanta hankali. Don wannan dalili, sau da yawa amfani da ulu auduga, wanda ke taɓa jikin daga kafafu zuwa wuyansa.
Gano ƙwayar zafin jiki
Don yin wannan, ana amfani da na'urar a cikin nau'i na Silinda, mai rufi a ƙarshen ƙarshen tare da ƙarfe da filastik a ɗayan. Endaya daga ƙarshen kayan aiki yana da sanyi ɗayan kuma yana da dumi. Suna kuma shafa fata.
Cutar sankarar cututtukan cututtukan ƙwaƙwalwar zuciya
Ana neman magani ne don kawar da cututtukan, kawar da cututtukan da ke tattare da cutar (ciwon sukari) da kuma inganta abinci mai narkewar ƙwayar jijiya. Harkokin warkarwa sun haɗa da abinci mai ƙarancin carb, motsa jiki na motsa jiki, magani da kayan motsa jiki (motsawar lantarki, phototherapy, magnetotherapy). Marasa lafiya suna buƙatar sa takalman orthopedic, sanya fata su yi ruwa, ɗaukar wanka da yin fallasa.
Magungunan magani
Tare da neuropathy ana amfani da su:
- Shirye-shiryen bitamin na rukunin B (Combilipen, Milgamma).
- Shirye-shiryen acid na alpha-lipoic (Thiogamma, Tiolept, Oktolipen, Espa-Lipon).
- Antioxidants.
- Painkillers da anti-mai kumburi magunguna.
- Anticonvulsants (Gabapentin, Convalis, Tebantin) da sauran wakilai masu alamomin cutar. Suna da tasiri a cikin cututtukan zuciya na autonomic.
A cikin nau'in 1 na ciwon sukari, ana buƙatar allurar insulin. Tare da nau'in 2, ana amfani da wakilan hypoglycemic na bakin jini (Metformin, Glucofage, Formmetin).
Sauran hanyoyin don magance cututtukan cututtukan zuciya na hanji
Magungunan mutane ba su da tasiri. Don kawar da ciwo, rage kumburi, haɓaka aiki da ƙwayoyin jijiya da watsa abubuwan motsa jiki, ana amfani da abubuwa masu zuwa:
- jiko na calendula;
- lemun tsami zest;
- kayan ado bisa zuma, eleutherococcus da lemo;
- nettle da jiko na chamomile;
- shuɗin yumbu (amfani da damfara).
Tashin hankali
Sakamakon cututtukan neuropathy na iya zama: arrhythmia, ƙafafun ciwon sukari, bugun zuciya, atrophy tsoka, rashin ƙarfi, hangen nesa, raguwar ƙwayar cuta, cututtukan fata, dysbiosis, gurgu da cutar cuta.
Cutar sankarar cututtukan zuciya
Yin rigakafin cutar ta saukake zuwa tsaftataccen abinci, ingantaccen magani na kamuwa da cutar siga, daina shan sigari da barasa, ma'aunin sukari na yau da kullun na jini, gyaran nauyi (idan akwai kiba), bincike na farko, taimako tare da alamun farko na kamuwa da cuta (ƙishirwa, rauni, polyuria, yunwa ) da kuma kyakkyawan tsarin rayuwa.
