Ana daukar nau'in ciwon sukari na 2 wani cuta ce mai cin gashin kansa. Koyaya, aikin likitanci ya nuna cewa mafi yawan masu haƙuri da ke fama da wannan cuta, a wani mataki na nazarin halittu, suna buƙatar allurar hormone.
Ana ba da shawarar insulin jiyya don cimma wasu buri. Na farkon su shine shirya mara lafiyar don tiyata ko a gaban mummunan cututtuka na yanayin kamuwa da cuta.
A lamari na biyu, an ƙaddamar da gabatarwar insulin saboda ƙarancin abinci, aikin jiki, da kuma shan magunguna. Wannan yanayin shine kawai hanyar da za a rage yawan cutar glycemia.
A cikin maganin cututtukan type 2, an wajabta insulin a cikin ɗakunan magani, wanda yakamata a bi shi. Rashin bin shawarwarin likita mai halartar na iya haifar da yanayin hauhawar jini, lalacewa tare da coma.
Me yasa shirya insulin ya zama dole ga marasa lafiya da masu ciwon sukari? A waɗanne lokuta ake ba da shawarar gudanar da hormone, da kuma yadda za a zabi magani? A wane matakin sukari na jini ke wajabta insulin? Zamu amsa wadannan da sauran tambayoyi a cikin labarin.
Cutar Ciwon Mara
Kafin ka gano lokacin da ake buƙatar insulin don ilimin cuta na nau'in na biyu, za mu gano abin da alamun ke nuna ci gaba da cutar "mai daɗi". Ya danganta da nau'ikan cutar da yanayin halayen mutum na haƙuri, alamun bayyanar asibiti an ɗan bambanta su.
A cikin aikin likita, alamun sun kasu kashi manyan alamu, haka kuma alamomin sakandare. Idan mai haƙuri yana da ciwon sukari, alamomin sune polyuria, polydipsia, polygraphy. Wadannan sune abubuwan farko guda uku.
Verarfin hoto na asibiti ya dogara da ƙwaƙwalwar jiki zuwa haɓakar sukari na jini, har da kan matakin sa. An lura cewa a cikin taro ɗaya, marasa lafiya suna fuskantar nau'ikan alamu daban-daban.
Yi la'akari da bayyanar cututtuka a cikin ƙarin daki-daki:
- Polyuria yana halin urination akai-akai da kuma ci gaba, ,arawar takamaiman nauyin fitsari a rana. A yadda aka saba, sukari bai kamata a cikin fitsari ba, amma tare da T2DM, ana gano glucose ta hanyar gwaje-gwaje. Masu ciwon sukari sukanyi amfani da bayan gida da daddare, saboda yawan sukarin da ake tarawa yana barin jiki ta hanyar fitsari, wanda hakan ke haifar da tsananin rashin ruwa.
- Alamar farko tana da alaƙa da na biyu - polydipsia, wanda sha'awar shaye shaye take. Quen ƙishirwa yana da wahala isa, zaku iya faɗi ƙari, kusan ba zai yiwu ba.
- Bugawa shima "ƙishirwa", amma ba don shaye-shaye ba, amma don abinci - mai haƙuri ya ci abinci mai yawa, kuma a lokaci guda ba zai iya gamsar da yunƙurinsa ba.
Tare da nau'in farko na ciwon sukari na mellitus, a kan asalin karuwa a cikin ci, ana lura da raguwa mai nauyi a cikin nauyin jikin mutum. Idan lokaci bai mayar da hankali kan wannan yanayin ba, hoton yana haifar da bushewa.
Signsaramin alamun cutar endocrine:
- Itching na fata, mucous membranes na gabobin.
- Rashin rauni, gajiya mai rauni, ƙaramin aiki a jiki yana haifar da gajiya mai rauni.
- Rashin ruwa a cikin bakin da yawan shan ruwa ba zai iya shawo kan sa ba.
- Miguragin akai-akai.
- Matsaloli tare da fata, waɗanda suke da wuyar magancewa tare da magunguna.
- Narfin hannu da ƙafa, rauni na gani, yawanci lokacin sanyi da cututtukan huhu, cututtukan fungal.
Tare da manyan alamu da na sakandare, cutar tana nuna halaye na musamman - raguwa a cikin yanayin rigakafi, raguwa a ƙofar ciwo, matsaloli tare da ƙarfin erectile a cikin maza.
Alamu don maganin insulin
Babban alamomi game da gudanar da maganin sun zama cin zarafin ayyukan ƙwayar cuta. Tunda wannan sashin na ciki ya shiga cikin dukkan hanyoyin tafiyar da rayuwa a jiki, kuma rikicewar aikinsa yake haifar da rashin aiki a cikin sauran tsarin jikin mutum da gabobin sa.
Kwayoyin Beta suna da alhakin samar da isasshen abubuwan halitta. Koyaya, tare da canje-canje masu tsufa a cikin jiki a cikin matsalolin ƙwayar cuta, yawan ƙwayoyin masu aiki suna raguwa, wanda ke haifar da buƙatar ƙaddamar da insulin.
Statisticsididdigar likita ta nuna cewa "ƙwarewa" na ilimin cututtukan endocrine na shekaru 7-8, a cikin mafi yawan hotuna na asibiti, suna buƙatar magani.
Ga wa kuma yaushe aka tsara maganin? Yi la'akari da dalilan wannan alƙawarin tare da nau'in cutar ta biyu:
- Halin hyperglycemic, musamman, darajar sukari ya fi raka'a 9.0. Wato, tsawan ƙarancin cutar.
- Shan magunguna dangane da maganin sulfonylureas.
- Ciwon ciki.
- Wucewar rashin daidaituwa na cututtukan cututtukan cututtukan daji.
- Daga nau'ikan cututtukan cututtukan Lada; mummunan yanayi (cututtukan cututtuka, raunin da ya faru).
- Lokacin daukar yara.
Yawancin marasa lafiya suna ƙoƙari ta hanyar jinkirta ranar da za su yi allurar insulin. A zahiri, babu wani abu da zai damu da shi, akasin haka, akwai wata hanyar da aka bayar wacce take taimaka wa waɗanda ke fama da wata cuta ta rashin lafiya suyi rayuwa cikakke.
Gwajin likita ya nuna cewa ba da dadewa ba, an wajabta insulin don ciwon sukari na 2. Wannan batun aikin ba da damar kawai kawar da cutarwa bayyanar cututtuka, amma kuma yana hana ci gaba da cutar, yana kange mummunan sakamakon.
Dole ne a tabbatar da dalilin irin wannan shirin, in ba haka ba zai taka rawar gani ba.
Me ya sa aka wajabta hormone?
Me yasa ake buƙatar shirin insulin don magance cututtukan sukari? Lokacin da ƙwayar glucose ta wuce alamar 9.0 raka'a, to wannan ƙididdigar sukari yayi mummunan tasiri game da aikin ƙwayoyin beta na pancreatic.
Rashin ƙarfi a hankali yana haifar da gaskiyar cewa akwai yiwuwar samar da abubuwan halitta a jikin mutum. Irin wannan yanayin ilimin cuta ana kiran shi glucotoxicity a cikin aikin likita.
Glucotoxicity yana nufin samar da hormone ta hanyar farji a cikin martani ga matakan glucose a jiki. Masana harkokin kiwon lafiya sun lura cewa yawan cutar yolymia a kan komai a ciki zai fara samun ci gaba bayan cin abinci.
A wannan halin, ba a cire lamarin ba, sakamakon abin da ya sa ba a lura da shi, wanda ba ya ba da damar rage adadin sukari da aka tara a cikin jini. Halin rashin lafiya na yau da kullun yana haifar da mutuwar ƙwayoyin beta na pancreas, bi da bi, samar da raguwa yana raguwa sosai.
Sakamakon haka, yawan glucose a cikin jikin mutum koyaushe yana da girma - kafin cin abinci, bayan cin abinci, da daddare, lokacin aiki na jiki, da sauransu.
Ba tare da taimako na waje ba game da asalin irin wannan yanayin ilimin cuta, mutum ba zai iya yin ba, an yi haƙuri da insulin. An wajabta sashi ne akan kowane mutum, irin waɗannan abubuwan rashin haƙuri kamar shekarun haƙuri, magani, abinci, da sauransu ana yin la'akari.
A cikin ciwon sukari na mellitus na nau'in na biyu, ilimin insulin na wucin gadi yana taimakawa wajen dawo da ƙwayoyin cututtukan cututtukan cututtukan cututtukan fata, wanda ke taimakawa haɓaka abubuwan kansu. An soke allurar ta hanyar yin bincike kan alamomin sukari. Ana gudanar da nazarin ne a cikin kowace cibiyar likitanci.
Jiyya na nau'in ciwon sukari na 2 na sukari tare da insulin ana gudanar dashi ta amfani da nau'ikan magunguna, wanda hakan zai baka damar zabar ingantaccen tsarin kulawa na duka masu ciwon sukari na 1 da masu haƙuri 2.
A matsayinka na mai mulkin, a farkon matakan cutar endocrine, ana wajabta allurar insulin fiye da sau biyu a rana. Yawancin marasa lafiya suna mamakin idan za'a iya zubar da kwayoyi masu ɗauke da insulin.
Irin wannan tambayar koyaushe yana tare da tsoran tsoron marasa lafiya cewa allurar za ta zama dole a duk rayuwa. A zahiri, suna da mahimmanci don maido da cikakken aikin cututtukan fata.
Bayan glycemic normalization, ana iya soke injections, bayan marasa lafiya sun sha magunguna don daidaita glucose a matakin da aka yi niyya.
Ba za ku iya rage kashi ɗaya ba lokacin da yanayin ya inganta, an hana maye gurbin magani ɗaya tare da wani.
Gudanar da insulin don nau'in ciwon sukari na 2 na cutar sukari: tasirin warkewa
Bukatar insulin a cikin lura da ciwon sukari ba a cikin shakka bane. Doka ta likita na dogon lokaci ya tabbatar da cewa yana taimakawa tsawan rayuwar mai haƙuri, yayin da a lokaci guda jinkirta sakamako mara kyau na tsawon lokaci.
Me yasa zan sa allurar ciki? Wannan manufar tana bin buri guda - don cimmawa da kuma kula da yawan kwalliyar haemoglobin, glucose a cikin komai a ciki da kuma bayan cin abinci.
Idan gabaɗaya, insulin ga mai ciwon sukari wata hanya ce da zata taimaka muku jin daɗin rayuwa, yayin rage jinkirin ci gaban cututtukan cututtukan, da kuma hana yiwuwar rikicewar cututtukan fata.
Yin amfani da insulin yana ba da tasirin warkewa mai zuwa:
- Gabatarwar maganin da aka wajabta zai iya rage yawan ƙwayar cuta, duka a kan komai a ciki da kuma bayan cin abinci.
- Hormoneara yawan ƙwayar cututtukan ƙwayar ƙwayar ƙwayar ƙwayar cuta a cikin mayar da martani ga motsa jiki tare da sukari ko cin abinci.
- Rage gluconeogenesis wata hanya ce ta rayuwa wacce take kaiwa zuwa ga samar da sukari daga gundarin wadanda basa amfani da su.
- M hanta glucose mai hanta.
- Rage lipolysis bayan abinci.
- Garancin glycation na abubuwan gina jiki a cikin jiki.
Harkokin insulin don kamuwa da ciwon sukari na 2 yana da amfani mai amfani akan metabolism na carbohydrates, lipids da sunadarai a jikin mutum. Yana taimaka wajen sanya adibas da rage karfin sukari, lipids da amino acid.
Kari akan haka, yana daidaita yanayin nuna alamun saboda hauhawar jigilar glucose zuwa matakin salula, haka kuma saboda hana hakoran sa ta hanta.
Kwayar tana inganta lipogenesis mai aiki, yana hana amfani da kitse mai mai kyauta a cikin aikin haɓaka, yana ƙarfafa samar da sunadarai, kuma yana hana ƙwayoyin tsoka.
Ciwon sukari mellitus da insulin
Yaushe aka tsara insulin? Kamar yadda muka fada a baya, akwai wasu alamomi na wannan dalilin. A takaice dai, yin amfani da shi ya kasance ne saboda wadancan hotunan na asibiti lokacin da wasu hanyoyin a cikin hanyoyin shan magunguna, motsa jiki, abinci mai kyau, bai bayar da sakamakon warkewar da ake buƙata ba.
Babu matsala ya kamata ka ƙi yin allurar insulin saboda tsoron allurar, kullun haɗin kai ga wannan nau'in sashi. Tabbas, ba tare da wannan kayan ba, jikin ya fara “rushewa”, wanda zai haifar da cututtukan da ke hade da cuta.
Yana faruwa sau da yawa cewa marasa lafiya sun fara allurar insulin tare da tsoro, amma bayan lokaci sai suka fahimci tasiri irin wannan ilimin. Wani muhimmin mahimmanci shi ne cewa idan yana yiwuwa a fara jiyya cikin lokaci, lokacin da ƙwayoyin beta ba su mutu ba, to wannan yana ba ku damar dawo da ayyukan ƙwayar cutar ƙwaƙwalwar ƙwayar cuta da kuma tsawon lokaci don watsi da amfani.
Gudanar da ilimin insulin ga masu ciwon sukari yana da fasali:
- Wajibi ne a bi tsarin kulawa na insulin a cikin nau'in ciwon sukari na 2, yana da mahimmanci a lura da sashi da mitar gudanarwa.
- Kayan aikin zamani suna ba ku damar matakin zafin. A kan sayarwa akwai akwai alkalami na musamman waɗanda ke da magani tare da ƙwayoyi, sannan a haɗe suke a yankin da ake so, danna maɓallin yana samar da shigarwar abu.
- Za'a iya yin allurar cikin cinya, hannaye, kafafu, ciki (ban da cibiya).
Harkokin insulin don maganin ciwon sukari yana buƙatar cikakkiyar biyayya ga duk shawarar likita.
Harkokin motsa jiki yana ba ku damar yin cikakken rayuwa tare da sukarin jini na al'ada.
Wanne insulin ne yafi?
Yawancin marasa lafiya sun yi imanin cewa idan an kamu da cutar sankara, to rayuwa ta ƙare. A zahiri, hoton ya kasance akasin haka, maganin insulin don ciwon sukari na 2 yana ba da damar glucose a matakin salula, sakamakon wanda aka ba da damar ajiyar makamashi don gabobin ciki da tsarin.
Don sauƙaƙe ma'anar basal, likita zai iya ba da magani na matsakaiciyar tsaka-tsakin yanayi ko bayyananniyar matsananci Na farko sun haɗa da irin waɗannan sunayen magunguna: insulin Protafan NM, Insuman Bazal; ga rukuni na biyu - Tresiba, Lantus.
Idan an zaɓi gwargwadon ƙwayoyi yadda yakamata, to, sukari ɗin jini "yana tsaye" a wurin: baya ƙaruwa ko raguwa. Ana kiyaye wannan darajar a matakin da ake buƙata na awanni 24.
An gabatar da insulin mai sauƙi don lura da ciwon sukari kamar haka: tsakanin abinci da allura, ana kiyaye rata na minti 30. Wannan ya zama dole domin mafi girman tasirin kwayoyi ya fadi a daidai lokacin da ake samun karuwar glucose.
Wanne ne mafi kyawun insulin? Wataƙila wannan ita ce tambaya mafi sauri ga marasa lafiya waɗanda suka fahimci gabaɗaya cewa ba zai yuwu a guji rashin lafiya ba. Zai yi wuya a amsa tambayar, tunda akwai ɗimbin yawa na tatsuniyoyi da kuma rashin fahimta dangane da lura da irin wannan shirin.
Gaskiya mai ban mamaki ita ce cewa ba kawai marasa lafiya ke yin kuskure ba, har ma da likitoci, bi da bi, mafi kyawun magani shine wanda zai ba ku damar rama don ilimin.
Informationarin bayani: abinci mai gina jiki da wasanni
Bayan koyon cewa suna yin allurar tare da ciwon sukari, yadda za a zabi magani, kuma lokacin da kuke buƙatar yin haka, yi la'akari da mahimman abubuwan da ke cikin jiyya na cututtukan ƙwayar cuta. Abin takaici, ba shi yiwuwa a kawar da ciwon sukari har abada. Sabili da haka, hanya guda ɗaya don haɓaka tsammanin rayuwa da rage girman rikice-rikice.
Wane lahani ne insulin zai iya yi? Akwai mummunar ma'ana a cikin lura da nau'in ciwon sukari na 2 na cututtukan fata ta hanyar gudanar da hormone. Gaskiyar ita ce lokacin da kuka yi allurar, yana haifar da karin fam.
Nau'in nau'in ciwon sukari na 2 a kan insulin babbar haɗarin kiba ce, don haka an ba da shawarar cewa mai haƙuri ya shiga cikin wasanni don ƙara ƙwarewar ƙwayoyin laushi. Domin tsarin kulawa ya zama mai amfani, ana kulawa da kulawa ta musamman ga abinci mai gina jiki.
Idan kun yi kiba, yana da mahimmanci ku bi rage yawan kalori, yana iyakance yawan kitse da carbohydrates akan menu. Ya kamata a saita magungunan yin la'akari da abincin ku, kuna buƙatar auna sukari sau da yawa a rana.
Jiyya na nau'in ciwon sukari na 2 na mellitus wani yanki ne mai rikitarwa, tushen wanda shine abinci da wasanni, har ma tare da daidaitawar cututtukan glycemia da ake buƙata ta allura.
An bayar da bayanin nau'in ciwon sukari na 2 a cikin bidiyon a cikin wannan labarin.
