SAKAMAKO DA DECOMPENSATED CIWON SUKARI

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Menene diyya na cutar sankara?

Sakamakon wannan cutar yana nufin tsayayyen matsakaicin adadin adadin glucose a cikin jini zuwa ƙimar al'ada da rage girman wasu alamun cutar.

A zahiri, jin daɗin rayuwar mutumin da yake da irin nau'in cutar sankarau ba ta bambanta da ta mutane masu lafiya. Dangane da haka, haɗarin haɓakar kowane rikice-rikice a wannan yanayin ma ƙarami ne.

Dangane da matsayin diyya, mellitus na ciwon sukari ya kasu kashi uku:

rama - duk alamomi na rayuwa suna da kusanci zuwa ga al'ada, haɗarin haɓaka rikitattun rikice-rikice ƙananan, ingancin rayuwa yana ɗan ɗanɗano - wannan nau'in mai sauƙi ne na cutar;
subcompensated - tsaka-tsaki na tsaka-tsaki, haɓaka alamu, haɓaka haɗarin kamuwa da cuta mai rauni har zuwa ƙarshen rikice-rikice - yanayin matsakaici na cutar;
ƙetare - babban karkacewar alamomin daga dabi'un, babban hadarin gaske na bunkasa dukkan nau'ikan rikice-rikice, ingancin rayuwa yana da mummunar illa - mummunar hanya ta cutar, ƙarancin ci gaba.

Tare da wata cuta ta nau'in 2, a matsayin mai mulkin, yana da sauƙi a sami babban diyya, musamman a farkon matakan haɓaka cutar, da kuma kula da shi na dogon lokaci.

Don wannan, marasa lafiya suna buƙatar yin nazari akai-akai kuma suna ɗaukar gwaje-gwajen da suka dace.

Raruwa mai rama

Glucose ko sukari na jini, adadin wanda aka auna akan komai a ciki, ɗayan mahimman alamu ne na ingantacciyar hanyar metabolism a jiki. A cikin mutane masu lafiya, alamomi sun haɗu daga 3.3-5.5 mmol / L.
Glucose haƙuri haƙuri sugar gwajin yawanci ana yin sa a cikin awanni 2 bayan haƙuri ya ɗauki maganin glucose. Baya ga nuna matsayin diyya ga masu ciwon sukari, ana iya amfani da shi don gano mutanen da ke fama da matsanancin haɓakar glucose (wanda ake kira da yanayin ciwon suga, wani mataki ne na tsaka-tsaki tsakanin al'ada da farkon cutar). A cikin mutane masu lafiya, baya wuce 7.7 mmol / L.
Abun cikin glycated (glycolized) haemoglobin nuna karawa daga HbA1c da auna a kashi. Yana nuna adadin ƙwayoyin haemoglobin da suka shiga cikin daidaituwa dangane da ƙwayoyin glucose, kwatankwacin ragowar ƙwayoyin haemoglobin. Yana nuna matsakaicin glucose na jini a tsawon kimanin watanni 3. A cikin lafiya, kashi 3-6%.
Glucose, ko sukari da aka gano a cikin fitsari, yana nuna yadda adadinsa a cikin jini ya wuce iyakar halatta (8.9 mmol / l), wanda kodan zai iya tace shi. A yadda aka saba, glucose na urinary ba a keɓe shi ba.
Cholesterol (muna magana ne game da cholesterol "mara kyau") shima yana kai tsaye ne kan tsananin cutar siga. Manyan kyawawan dabi'unta suna da tasiri sosai ga lafiyar jijiyoyin jini. Ga mutane masu lafiya, ƙimar wannan alamar ba ta wuce 4 mmol / L.
Karkacewar - rukunin abinci na musamman na abubuwan samarda abinci, wadanda suke daga bangarori da makamashi na jikin dan adam, suma suna aiki ne a matsayin mai yawa na yiwuwar kamuwa da cutar jijiyoyin jiki. A cikin mutane masu lafiya, yana da bambanci da yawa, amma ga masu ciwon sukari, ana ɗaukar abun da ke ƙasa da 1.7 mmol / L.
Indexididdigar masari yana aiki azaman nuna lamba na ƙarancin kiba, wanda a mafi yawan lokuta yakan haifar da nau'in cuta 2. Don ƙididdige shi, ana rarraba nauyin jiki (kg) ta murabba'in girma (m). A yadda aka saba, wannan ƙimar kada ta fi 24-25.
Hawan jini kai tsaye yana nuna matakan cutar kuma ana amfani dashi don tantance yanayin mai haƙuri a cikin haɗin tare da sauran sigogi. Kasancewar ciwon sukari babu makawa yana shafar yanayin tasoshin jini, sabili da haka, tare da lalata diyya, a matsayinka na mai mulki, matsin lamba shima yana ƙaruwa. A yau, ana ɗaukar matsin lamba na al'ada zuwa 140/90 mm RT. Art.

An bayar da darajan waɗannan alamomin, halayyar wani matakin ramuwa, a cikin tebur.

Manuniya	Digiri na diyya
Manuniya	rama ciwon sukari	ciwon sukari	decompensated ciwon sukari
Jinin jini ("Binciken yunwar")	4.4-6.1 mmol / L	6.2-7.8 mmol / L	> 7.8 mmol / L
Jinin jini (gwajin haƙuri haƙuri)	5.5-8 mmol / L	har zuwa 10 mmol / l	> 10 mmol / l
Hba1c	<6,5%	6,5-7,5%	>7,5%
Fitsari sukari	0%	<0,5%	>0,5%
Cholesterol	<5.2 mmol / l	5.2-6.5 mmol / L	> 6.5 mmol / l
Karkacewar	<1.7 mmol / l	1.7-2.2 mmol / L	> 2.2 mmol / l
Manunin jikin mutum ga maza	<25	25-27	>27
Manunin jikin mutum ga mata	<24	24-26	>26
Hawan jini	<140/85 mmHg Art.	<160/95 mmHg Art.	> 160/95 mmHg Art.

* A cikin kafofin daban-daban, ƙimar alamomin teburin na iya bambanta dan kadan.

Yaya ake samun kyakkyawan aiki?

Sau da yawa, don samun nasarar rama ga nau'in ciwon sukari na 2, ya isa ya bi ka'idodi da yawa game da abinci, salon rayuwa da kuma motsa jiki ba tare da neman magani ba. Da ke ƙasa akwai wasu daga cikinsu

gabaɗa ware sukari da ke ƙunshewa, kayan yaji, gari (gari ban da abinci), mai mai daɗi mai gishiri daga abincin;
Yin amfani da abinci da soyayyen abinci ne wanda ba a ke so;
ci sau da yawa kuma a cikin ƙananan rabo;
kula da ma'aunin kuzari da aka cinye;
ba kanka wani nauyi na zahiri;
guji yanayin damuwa;
yi ƙoƙarin kada ku cika aiki, lura da bacci da farkawa.

Lokacin da waɗannan shawarwarin basu isa su biya cikakke ba don cutar, marasa lafiya ana haɗe su da magunguna waɗanda ke rage matakan sukari. Yayinda cutar ta ci gaba, ana iya buƙatar allurar insulin.

Babu shakka, marasa lafiya da kowane nau'i na ciwon sukari mellitus, har ma da mutanen da ke cikin haɗari (tare da haƙuri da haɓakar glucose ko ƙarancin gado), dole ne su kula da lafiyarsu, suyi gwaje-gwajen da suka dace kuma a kai a kai tare da likita.

Baya ga mai ilimin hanyoyin kwantar da hankali da kuma endocrinologist, yana da daraja a kai a kai ofisoshin likitocin zuciya, likitan hakora da likitan fata domin hanawa ko kuma gano yanayin ci gaba na haɗarin haɗari.

Dole ne a tuna cewa cutar sankarau ta daina jin sauti kamar jumla. Tabbas, ya sanya ƙuntatawa da yawa akan mara lafiyar, duk da haka, dukkan su masu yiwuwa ne. Tare da yin taka tsantsan da shawarwarin da aka ambata a sama, inganci da tsammanin rayuwa na marasa lafiya suna kasancewa a matakin ɗaukaka koyaushe.

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