Ciwon sukari da rikicewar ƙafa. Ciwon sukari na Ciwon Ciwon - Jiyya

Ciwon sukari yakan ba da rikice-rikice ga kafafu. Matsalar ƙafa a duk rayuwa tana faruwa cikin 25-35% na masu ciwon sukari. Kuma mazan majinyacin, mai girma da yiwuwar abin da ya faru. Cututtukan kafafu tare da ciwon sukari suna kawo matsala da yawa ga marasa lafiya da likitoci. Kafafu suna ciwo da ciwon sukari - da rashin alheri, mai sauƙin warware wannan matsala har yanzu ba a wanzu ba. Dole ne in yi iyakar ƙoƙarin da za a bi na. Haka kuma, kuna buƙatar kulawa da ƙwararren likita kawai, kuma ba matsala ta hanyar "magungunan jama'a". A cikin wannan labarin, za ku koyi abin da za ku yi. Makasudin jiyya:

• Taimaka jin zafi a kafafu, har ma mafi kyau - kauda su gaba daya;
• Adana ikon motsi "akan naka."

Idan ba ku kula da yin rigakafi da lura da rikice-rikice na ciwon sukari a kafafu ba, mai haƙuri na iya rasa yatsun ƙafa ko ƙafafun gaba ɗaya.

Yanzu kafafun mai haƙuri ba su ji ciwo ba, saboda aikin don fadada ƙarancin katako a cikin jijiyoyin haɓaka kwararar jini a cikin su, kuma kyallen ƙafafun ya daina aika da alamun jin zafi.

Tare da ciwon sukari, kafafu sun ji rauni, saboda atherosclerosis bar maɗaukaki mai lumen a cikin tasoshin jini. Kafafun kafa basu karbar isasshen jini, “shayarwa” sabili da haka aika sakonni na zafi. Yin aiki don maido da kwararar jini a cikin jijiyoyin ƙananan ƙarshen zai iya rage jin zafi da haɓaka rayuwar mai ciwon sukari.

Akwai manyan hanyoyin abubuwa guda biyu don matsalolin ƙafafu da ciwon sukari:

1. Ciwon sukari na jini mai zurfi a jiki yana shafan jijiyoyin jijiyoyi, kuma sun gushe suna gudanar da ayyukanta. Wannan ana kiran shi da ciwon sukari mai ciwon sukari, kuma saboda hakan, kafafu sun rasa hankalinsu.
2. Jirgin jini wanda ya ciyar da kafafu ya zama ya toshe saboda cututtukan atherosclerosis ko kuma haduwar jini (jini). Ischemia yana haɓaka - yunwar oxygen na kyallen takarda. A wannan yanayin, kafafu yawanci suna jin rauni.

Ciwon ƙafar ƙafafun ciwon sukari

Lalacewar jijiya saboda tasirin glucose na jini ana kiranta da ciwon suga. Wannan rikitarwa na ciwon sukari yana haifar da gaskiyar cewa mai haƙuri ya rasa ikon jin motsin taɓa ƙafafunsa, jin zafi, matsi, zafi da sanyi. Yanzu idan ya ji rauni a ƙafafunsa, ba zai ji da shi ba. Yawancin masu ciwon sukari a wannan yanayin suna da rauni a kafafu da kafafu na ƙafa, waɗanda ke warkar da tsayi da wuya.

Idan hankalin mai kafafu ya raunana, to raunuka da raunuka basa haifar da ciwo. Ko da akwai fashewa ko karyewar kasusuwa na kafa, to zai zama kusan babu jin zafi. Wannan ana kiran shi da cutar ciwon sukari. Tun da marasa lafiya ba sa jin zafi, da yawa daga cikinsu sun kasance marasa hankali don bin shawarar likita. Sakamakon haka, ƙwayoyin cuta suna ƙaruwa a cikin raunuka, kuma saboda gangrene, sau da yawa dole a yanke kafa.

Cutar cututtukan mahaifa a cikin cutar sankara

Idan ikon ƙwayar jijiyoyin jini ya faɗi, to sai ƙyallen ƙafafun ƙafafunsu su fara “matsananciyar hankali” da aika sakonnin jin zafi. Raɗaɗi na iya faruwa a hutawa ko kuma lokacin tafiya kawai. A wata ma'ana, idan ƙafafunku suka ji ciwo tare da ciwon sukari yana da kyau har ma. Saboda jin zafi a kafafu yana motsa mai ciwon sukari yaga likita kuma a kula dashi da dukkan ƙarfinsa. A cikin labarin yau, zamu tattauna irin wannan yanayin.

Matsaloli tare da jijiyoyin jini wadanda ke ciyar da kafafu ana kiransu “cuta ta jijiyoyin hannu”. Peripheral - yana nufin nesa daga tsakiyar. Idan lumen a cikin tasoshin yana da kunkuntar, to, mafi yawan lokuta tare da ciwon sukari, yakan bayyana ma'amala da yawa. Wannan yana nufin cewa saboda mummunan ciwo a kafafu, dole ne mai haƙuri ya yi tafiya a hankali ko ya tsaya.

Idan cututtukan jijiyoyin hannu suna tare da cututtukan cututtukan zuciya, to zafin na iya zama mai sauƙi ko ma ba ya nan. Haɗin bugun jini na jijiyoyin jiki da asarar jijiyoyin bugun zuciya yana ƙaruwa da alama da mai ciwon sukari zata yanke ƙafa ɗaya ko duka biyu. Saboda kyallen kafafu suna ci gaba da rugujewa saboda “yunwar,” koda kuwa mara lafiyar baya jin zafi.

Abin da gwaje-gwaje suke yi idan ƙafafunku suka ji ciwo tare da ciwon sukari

Wajibi ne a bincika ƙafafunku da ƙafafunku yau da kullun, musamman ma a cikin tsufa. Idan jini ya gudana cikin tasoshin yana da damuwa, to zaka iya lura da alamun farko na wannan. Bayyanar cututtuka na farkon yanayin cutar mahaifa:

• fata a kafafu ya bushe;
• watakila zai fara ɓacin rai, a haɗe tare da ƙaiƙayi;
• alamu na fata ko najasa na iya bayyana akan fatar;
• a cikin maza, gashin da ke kan ƙananan kafa ya juya launin toka ya faɗi;
• fatar na iya zama mai daɗaɗa kullun sanyi da sanyi ga taɓawa;
• ko kuma akasin haka, zai iya zama da dumi da kuma samun launi mai launi.

Kwararren likita na iya duba ta taɓa irin nau'in bugun da mai haƙuri ke da shi a cikin jijiya waɗanda ke ciyar da kyallen ƙafafu. Wannan ana ɗauka mafi sauƙi kuma mafi araha ga hanya don gano rikicewar kewaya yankin. A lokaci guda, buguwa a kan jijiya tana tsayawa ko ta rage sosai lokacin da lumen ta ya toshe 90% ko fiye. Ya yi latti domin hana ciwan nama “yunwar”.

Sabili da haka, suna amfani da ƙarin hanyoyin bincike mai mahimmanci ta amfani da kayan aikin likita na zamani. Lissafta matsin lamba na systolic (“babba”) a cikin jijiyoyin kafafun kafa da na jijiya. Ana kiran wannan ƙasan ƙasan ƙafafun cinya (LPI). Idan yana cikin kewayon 0.9-1.2, to jinin jini a kafafu ana ɗaukarsa al'ada ne. Hakanan ana auna matsewar ƙwayar hancin.

Fuskokin ƙwanƙwurar ƙafa na baka yana ba da bayanan karya idan jiragen ruwa na cutar da ƙwaƙwalwar ƙwayar cuta na Menkeberg, wato, an rufe su da "sikelin hankali" daga ciki. A cikin tsofaffi marasa lafiya, wannan yakan faru sau da yawa. Don haka, ana buƙatar hanyoyin da ke ba da ƙarin ingantaccen sakamako mai daidaituwa. Wannan yana da mahimmanci musamman lokacin da ake kokarin warware aikin tiyata don dawo da ƙwayar jijiyoyin jiki don ƙafafun ya daina ciwo.

Oximetry Transcutaneous

Tsarin oximetry hanyar hanya mara zafi ce wacce take ba ka damar kimin yadda kyallen takarda ke cike da iskar oxygen. Transcutaneous yana nufin "ta fata." Ana amfani da firikwensin musamman akan fatar fata, wanda yake yin ma'auni.

Ingancin gwajin ya dogara da dalilai da yawa:

• yanayin tsarin huhun mara lafiya;
• matakin hawan jini da fitowar jini;
• oxygen taro a cikin iska;
• kauri daga fata wanda ake amfani da firikwensin;
• kumburi ko kumburi a wurin aunawa.

Idan darajar da aka samu tana ƙasa da 30 mm RT. Art., Sannan mahimmancin ischemia (yunwar oxygen) na kafafu an gano. Ingancin hanyar hanyar oximetry transcutaneous ba ta da girma. Amma har yanzu ana amfani dashi, saboda ana ɗaukarsa mai cikakken bayani ne kuma baya haifar da matsaloli ga marasa lafiya.

Duban dan tayi na bututun dake kawo jini zuwa kafafu

Binciko duplex (duban dan tayi) na jijiyoyin ƙananan ƙarshen - ana amfani dasu don tantance yanayin hauhawar jini kafin da kuma bayan anyi aikin tiyata a kan jiragen. Wannan hanyar tana haifar da damar da zata kasance cikin lokaci don gano wani toshewar jijiya ta hanyar thrombus ko maimaita ƙarancin lumen a cikin jiragen ruwa bayan tiyata (restenosis).

Duban dan tayi na jijiyoyin jini yana ba ku damar nazarin wuraren matsalar, wato, bangarorin da aka “kashe” daga hanyoyin jini sakamakon haɓakar cutar. Yin amfani da wannan hanyar, zaku iya yin la'akari da yanayin tasoshin kuma kuyi shirin gaba da aikin don dawo da ikon su.

X-ray bambanci angiography

X-ray bambanci angiography hanya ce ta jarrabawa wacce a ciki aka shigar da sigar bambanci a cikin magudanar jini, sannan jiragen suna “translucent” tare da x-ray. Angiography yana nufin "gwajin jijiyoyin jiki". Wannan ita ce hanya mafi fa'ida. Amma ba shi da daɗi ga mara haƙuri, kuma mafi mahimmanci - wakilin bambanci na iya lalata kodan. Sabili da haka, an bada shawarar yin amfani dashi kawai lokacin da za'ayi batun gudanar da aikin tiyata don dawo da tsarin jijiyoyin bugun gini.

Matsayi na rikitarwa na ciwon sukari a kafafu

Akwai digiri 3 na tazarar jini na yanki a cikin marasa lafiya da masu ciwon sukari mellitus.

Digiri na farko - babu alamun bayyanar cututtuka da alamun cutar jini a cikin kafafu:

• ana jin bugun tsoka;
• manunnan ƙwallon ƙafa - 0.9-1.2;
• manuniyar hannu-kafada> 0.6;
• transimcry oximetry rate> 60 mmHg. Art.

Digiri na biyu - akwai alamomi ko alamu, amma har yanzu babu wani mummunar yunwar oxygen da ke tattare da kyallen takarda:

• takamaiman bayani (kafafu mai zafi);
• indexanƙarar gwiwar gwiwa <0.9, tare da matsa lamba na systolic a cikin jijiyoyin ƙafafun kafa na sama da 50 mm RT. st .;
• Alamar yatsa-kafada na 30 mm RT. st .;
• oximetry na transcutaneous 30-60 mm RT. Art.

Digiri na uku - matsananciyar yunwar oxygen na kyallen takarda (ischemia):

• systolic matsa lamba a cikin arteries na ƙananan kafa <50 mm RT. Art. ko
• Yatsa artery <30 mmHg. st .;
• oximetry transcutaneous <30 mm Hg. Art.

Wane magani idan kafafu suka ji ciwo tare da ciwon sukari

Idan ƙafafunku suka ji rauni tare da ciwon sukari, to, ana gudanar da jiyya a cikin matakai 3:

1. bayyanar abubuwan da ke haifar da ci gaban atherosclerosis, gami da cikin jijiyoyin kafafu;
2. aiwatar da shawarwari a hankali game da yin rigakafi da lura da matsalolin kafa, wanda aka tattauna dalla-dalla a cikin labarin “Cutar cutar ciwon suga”;
3. maganin matsalar ayyukan tiyata don dawo da kwararar jini a cikin jiragen

Har kwanan nan, a mataki na wucin gadi bayani, marasa lafiya an wajabta su magungunan pentoxifylline. Amma bincike ya nuna cewa babu wani fa'ida ga fa'ida ga marasa lafiya da ke fama da cutar sankara tare da cututtukan jijiyoyi.

Tare da rikice-rikice na ciwon sukari a kafafu, tiyata don dawo da kwararar jini a cikin tasoshin na iya zama babbar fa'ida. Likitocin sun yanke shawarar tambayar yanayin aikinta tare da kowane mara lafiya, tare da yin la’akari da ƙayyadaddun alamuran sa na maganin tiyata.

Marasa lafiya tare da ciwo na ƙafa a cikin ciwon sukari, a matsayin mai mulkin, sun ba da sanarwar rikicewar metabolism na metabolism (sukari jini yana da girma sosai), cutar ƙafar ƙafafun ƙafa, har ma da alamun wasu rikice-rikice na ciwon sukari. Don taimaka musu da gaske, kuna buƙatar haɗa ƙungiyar ƙwararrun likitoci a cikin jiyya.

Jiyya na ciwo na ƙafafun ciwon sukari ana yin shi ta likitan kwalliya na musamman (kada a rikita shi da likitan yara). Na farko, tiyata na raunuka a ƙafa na iya zama mahimmanci don hana gangrene, sannan kawai - maido da ikon mutum na jijiyoyin jini.

Cutar Malaria da Matsalar Kafa: Binciko

Muna fatan wannan labarin ya bayyana muku dalla-dalla yadda za ku yi idan ƙafafunku suka ji ciwo da ciwon sukari. Wajibi ne a canza zuwa rayuwa mai kyau don daidaita sukari na jini da dakatar da haɓakar atherosclerosis. Tare da likita, zaku iya yanke shawara akan aikin tiyata wanda zai dawo da ikon jijiyoyin jijiyoyin kafafu. Hakanan kuna buƙatar bincika ku don wasu rikice-rikice na ciwon sukari kuma ku kula da su.

Don Allah kar a gwada "shayarwa" jin zafi daga na gefe na ciki tare da taimakon wasu kwayoyin. Abubuwan da zasu haifar zasu iya cutar da yanayinka da tsinkayar rayuwa. Tuntuɓi ƙwararren likita. A cikin ciwon sukari, yana da mahimmanci a kula da tsabtace ƙafafun domin a kula da ikon motsawa “da kanka.”

Karanta abubuwa kuma:

• Yadda za a rage sukarin jini da kuma kula da shi al'ada;
• Jiyya don ciwon sukari na 2 shine mafi inganci;
• Yadda ake yin allurar insulin ba da jin zafi ba.