Wasu mutane suna kiran nau'in insulin-dogara da ciwon suga na suga. Sau da yawa, yana haɓaka saboda kasancewar jini a cikin adadin adadin corticosteroids na dogon lokaci. Waɗannan hormones ne da aka samar ta hanyar adrenal cortex. Bayyanar cututtuka da lura da ciwon sukari na steroid ya kamata ya zama sananne ga duk wanda ya sami irin wannan cutar.
Ci gaban ciwon sukari mellitus
Wani nau'in cututtukan da ke dogara da steroidal shine wani lokaci ana kiran shi mellitus na ciwon sukari ko kuma ciwon sukari mellitus. Daya daga cikin abubuwanda ke haifar da faruwar hakan shi ne amfani da magungunan cututtukan jijiyoyi.
Tare da yin amfani da magunguna na glucocorticosteroid, haɓakar glycogen a cikin hanta yana inganta haɓaka. Wannan yana haifar da karuwar ƙwayar cuta. Bayyanar ciwon sukari mellitus yana yiwuwa tare da amfani da glucocorticosteroids:
- Dexamethasone;
- Hydrocortisone;
- Kalamunda.
Waɗannan magungunan rigakafin kumburi ne waɗanda aka wajabta su a cikin lura da asma, da amosanin gabbai, da kuma cututtukan cututtukan cututtukan cututtukan fata (lupus erythematosus, eczema, pemphigus). Hakanan za'a iya basu magunguna don cututtukan sclerosis da yawa.
Hakanan wannan cutar zata iya haɓaka saboda amfani da wasu rigakafin maganin hana cin hanci da kuma maganin cututtukan thiazide: Nephrix, Hypothiazide, Dichlothiazide, Navidrex.
Bayan jujjuyawar koda, ana buƙatar tsawon prortmatory corticosteroid far. Bayan haka, bayan irin waɗannan ayyukan, wajibi ne a dauki magunguna waɗanda ke lalata tsarin garkuwar jiki. Amma yin amfani da corticosteroids ba koyaushe yana haifar da ciwon sukari ba. A sauƙaƙe, lokacin amfani da kudaden da aka ambata a sama, da alama cutar haɓaka wannan cutar tana ƙaruwa.
Idan a baya majinyata basu da tasirin metabolism a jikin mutum, to akwai yiwuwar cewa bayan karban magungunan da suka haifar da cutar sankara, yanayin ya zama al'ada.
Cutar tsokana
Ya danganta da nau'in ciwon sukari, ana sanya cutar ta lambar bisa ga ICD 10. Idan muna magana ne akan nau'in insulin-dogara da tsari, to lambar zata zama E10. Tare da fom-mai zaman kanta, ana sanya lambar E11.
A wasu cututtuka, marasa lafiya na iya nuna alamun cutar sankara. Daya daga cikin abubuwanda suka haifar da haɓakar steroid na cutar shine rashin lafiyar hypothalamic-pituitary. Rashin daidaituwa a cikin aiki na hypothalamus da ƙwayar cuta shine ke haifar da bayyanar rashin daidaituwa na hormones a cikin jiki. Sakamakon haka, sel ba su amsa wa insulin ba.
Babban abinda aka fi sani da cutar da ke haifar da cutar sankara ita ce cutar Itsenko-Cushing. Tare da wannan cuta a cikin jiki akwai haɓakar samar da hydrocortisone. Ba a gano dalilan ci gaban wannan ilimin ba, amma ya tashi:
- a cikin lura da glucocorticosteroids;
- tare da kiba;
- a bango daga giyar maye (na kullum);
- yayin daukar ciki;
- a bango daga wasu cututtukan jijiya da ta kwakwalwa.
Sakamakon ci gaban da ke tattare da cutar ta Hisenko-Cushing, ƙwayoyin suna gushewa daga kwayar cutar insulin. Amma babu ɓarkewar ƙwayar cuta a cikin aikin ƙwayar cuta. Wannan shi ne ɗayan manyan bambance-bambance tsakanin nau'in steroid na ciwon sukari da sauransu.
Haka kuma cutar na iya haɓakawa a cikin marasa lafiya tare da ƙwayar ƙwayar cuta mai guba (Cutar cuta, cutar Bazedova). Hanyar sarrafa glucose a cikin kyallen takarda yana da damuwa. Idan, a kan asalin waɗannan cututtukan thyroid, ciwon sukari ya haɓaka, to, buƙatar mutum ga insulin yana ƙaruwa sosai, kuma kyallen takan zama mai tsayayya da insulin.
Alamomin cutar
Tare da ciwon sukari na steroid, marasa lafiya ba sa gunaguni game da daidaitattun bayyanar cututtukan sukari. Kusan ba su da ƙishirwa marasa amfani, haɓaka yawan urin yawan ruwa. Bayyanar cututtukan da masu ciwon sukari ke kokawa game da ɗimbin sukari suma kusan babu su.
Hakanan, a cikin marasa lafiya da ciwon sukari na steroid, kusan babu alamun ketoacidosis. Wani lokaci, ƙanshin sifofin acetone na iya fitowa daga bakin. Amma wannan yana faruwa, a matsayin mai mulkin, a cikin waɗannan lokuta lokacin da cutar ta riga ta shiga cikin hanyar da aka bari.
Bayyanar cututtukan ciwon sikari na steroid na iya zama kamar haka:
- daɗaɗɗar walwala;
- bayyanar rauni;
- gajiya.
Amma irin waɗannan canje-canjen na iya nuna ire-iren cututtuka, don haka likitoci ba za su iya ɗauka cewa mai haƙuri ya fara ciwon sukari ba. Mafi yawansu ba sa zuwa likitoci, suna gaskata cewa yana yiwuwa a maido da aikin ta hanyar shan bitamin.
Cutar halayyar mutum
Tare da ci gaban nau'ikan steroid na cutar, sel beta da ke cikin farji sun fara lalacewa ta hanyar ayyukan corticosteroids. A ɗan lokaci har yanzu suna iya samar da insulin, amma haɓaka haɓakarsa ke raguwa kaɗan. Halin damuwa na rayuwa ya bayyana. Abubuwan da ke cikin jiki ba su amsa insulin ba. Amma bayan lokaci, samarwarta ta daina gaba daya.
Idan cutar ta dakatar da samarda insulin, to cutar tana da alamun halayyar kamuwa da ciwon sukari na 1. Marasa lafiya suna da jin ƙishirwa, ƙaruwar yawan urination da haɓaka fitowar fitsari yau da kullun. Amma rashin nauyi mai kaifi, kamar yadda a cikin marasa lafiya da ke dauke da ciwon sukari na 1, ba ya faruwa a cikinsu.
Lokacin da jiyya tare da corticosteroids wajibi ne, ƙwayar ƙwayar cuta ta dandana damuwa da damuwa. Magunguna a gefe guda suna shafar shi, kuma a ɗayan ɗayan, suna haifar da karuwar juriya na insulin. Don kula da yanayin farjin koda, dole ne mutum yayi aiki zuwa iyaka.
Ba za a iya gano cutar koyaushe ba koda ta hanyar bincike. A cikin irin waɗannan marasa lafiya, yawan haɗuwa da sukari a cikin jini da jikin ketone a cikin fitsari yawanci al'ada ne.
A wasu halaye, yayin shan magungunan glucocorticosteroid, ciwon sukari ya tsananta, wanda a baya an nuna shi da kyau. A wannan yanayin, lalacewar yanayin yana yiwuwa har zuwa hauhawar ciki. Sabili da haka, yana da kyau a bincika maida hankali na glucose kafin fara maganin steroid. An ba da shawarar wannan shawarar don bin mutane masu kiba, matsaloli tare da hawan jini. Duk likitocin da suka yi ritaya ya kamata a duba su.
Idan babu matsaloli tare da metabolism kafin, kuma hanya na maganin steroid ba zai zama mai tsawo ba, to mai haƙuri na iya sani game da ciwon sukari na steroid. Bayan an kammala magani, metabolism na al'ada.
Dabarar magani
Don fahimtar yadda ake aiwatar da ilimin cutar na cutar, bayani akan ilimin halittar jikin kwayoyin cutar na jikin mutum zai bada izinin. Idan canje-canje da aka haifar da hyperproduction na glucocorticosteroids, to, maganin yana nufin rage adadin su. Yana da mahimmanci don kawar da abubuwan da ke haifar da wannan nau'in ciwon sukari da rage yawan sukari. Saboda wannan, magungunan corticosteroid da aka wajabta a baya, an dakatar da maganin hana haihuwa da maganin hana haihuwa.
Wasu lokuta koda ana buƙatar sa hannun tiyata. Likitoci sukan cire kiba adrenal nama. Wannan aikin yana ba ku damar rage adadin glucocotricosteroids a cikin jiki kuma ku daidaita yanayin marasa lafiya.
Endocrinologists za su iya ba da maganin jiyya wanda ke nufin rage matakan glucose. Wani lokaci ana ɗaukar shirye-shiryen sulfonylurea. Amma a kan asalin abin da suke ci, metabolism na metabolism na iya ƙaruwa. Jiki ba zai yi aiki ba tare da ƙarin motsawa ba.
Idan an gano ciwon sukari na steroid a cikin wani tsari wanda ba a ba da shi ba, babban dabarar magani shine kauda magungunan da suka haifar da cutar, abinci da motsa jiki. Karkashin waɗannan shawarwari, ana iya daidaita yanayin da wuri-wuri.
