Hadin gwiwa tsakanin cutar sankarar mahaifa cuta ce da ta zama ruwan dare. Irin wannan rikice-rikice yana buƙatar magani na gaggawa, wanda ba kawai zai iya rage tsarin lalacewa ba, amma zai ba da damar inganta yanayin yanayin musculoskeletal gaba ɗaya.
Abubuwanda ke haifar da rikicewar cututtukan cututtukan daji, watau kashi-articular pathologies, sune matakan glucose din jini koyaushe. Bayan haka, cututtukan cututtukan ƙwayar cuta na yau da kullun suna da mummunar illa akan gabobin jiki da tsarin mutum.
An gano cewa yawan haɓakar glucose yana shafar kira na sorbitol wanda aka tara cikin jijiyoyin jini da ƙwayoyin endothelial. A kan wannan yanayin, ciwon neuropathy na ciwon sukari yakan haifar da ci gaba.
Bugu da ƙari, abubuwan da ke haifar da ciwo na haɗin gwiwa a cikin ciwon sukari na iya zama saboda gaskiyar cewa canje-canje a cikin kyallen haɗin haɗin gwiwar yana tsoratar da damuwa na rashin ƙarfi da haɗarin radicals. Kuma idan akwai karancin insulin, ana yin canje-canje a cikin tsarin kariya na kasusuwan da kasusuwa.
Hadin gwiwa tare da cututtukan sukari
A cikin raunin ƙwayar cuta na kullum, an shafi gidajen abinci daban. A wasu halaye, cutar ta haifar da lalacewa a cikin microcirculation, yaduwar kyallen takarda, ko rikicewar neuropathic. Kuma rheumatic syndromes an fi lura da shi a cikin marasa lafiya tare da alamun bayyanar cututtukan kwayoyin.
Akwai rikitarwa masu yawa na ciwon sukari. Wadannan sun hada da:
- yadudduba yanayin kasusuwa na idiopathic;
- osteoporosis;
- mai ciwon sukari mai rauni.
Hakanan, tare da matakan sukari mai hawa da kullun, yawancin marasa lafiya suna nuna alamun wata alama ta rashin iyawar motsi na ƙirar articular, gami da irin raunuka kamar:
- Kwangilar Dupuytren;
- ciwon sukari chiroartropathy (mafitsara);
- tenosynovitis na tsokoki na flexor (yatsan yatsa);
- adhesive capsulitis (periarthritis, numbness a cikin kafada).
Wata matsalar rikicewar cutar sankara guda ɗaya ita ce neuropathy. Waɗannan sun haɗa da amyotrophy, amosanin gabbai na mahaifa (osteoarthropathy, haɗin gwiwa na Charcot), dystrophy na juyayi mai juyayi, cututtukan ƙwayar carpal da ƙari.
Domin kada ya haifar da waɗannan sakamakon, Ni da haƙuri ba dole ba ne a shigar da implants, yana da matukar muhimmanci a gudanar da aikin a kan kari. Kuma don daidaita matakan glucose, magungunan antidiabetic kamar Metformin ya kamata a sha akai-akai.
A waje da tushen tsarin cutar sankara na tsawon lokaci (shekaru 5-8), da yawa daga cikin mara lafiya suna da cutar osteoarthropathy. Ana gano alamun farko na cutar ta hanyar osteometry duban dan tayi.
Mafi sau da yawa, cutar ta shafi ƙananan reshe. A cikin 60% na lokuta, yatsun-kasusuwa cikin yatsun hannu suna cikin aikin jijiyoyin cuta, yayin da idon gwiwa da kasusuwa na cikin kafa ya hade da kadan (30%).
Wani lokacin haɗin gwiwa da gwiwa suna wahala. A matsayinka na mai mulkin, wannan tsari yana da gefe daya.
Bayyanar bayyanar cututtuka na osteoarthropathy sune zafi, busa da kuma nakasa da gidajen abinci. Sakamakon ketawar hankali, saurin rashin kwanciyar hankali da kuma yanayin kafafun kafa suna fitowa, wanda yakan haifar da gajartawa da nakasawa.
Hakanan rikitaccen cuta na yau da kullun na cututtukan ƙwayar cuta shine cututtukan ƙafafun ƙwayar cuta (SDS). Wannan cuta ne na ƙafa wanda ke haɓaka lokacin da aka shafi kashi, articular da taushi, har da jijiyoyi da jijiyoyi. A sakamakon wannan, purulent necrotic tafiyar matakai faruwa a cikin haƙuri da ulcers a kan kafafu kafa.
Ainihin, SDS ya bayyana a cikin tsofaffi marasa lafiya a kan asali na dogon lokaci na ciwon sukari (daga shekaru 15). Abin takaici, a cikin 70% na lokuta, ci gaba da cutar yana buƙatar yanki kuma wani lokacin dole ne a sanya ƙafa.
Alamomin asibiti na cututtukan cuta shine kumburi da hauhawar ƙafafun ƙafa. Da farko, jin zafi yana bayyana a cikin ƙananan ɓangaren, wanda ke buƙatar nazarin bambancin ra'ayi tare da matsanancin arthritis ko thrombophlebitis venous.
Yayin aiwatar da cutar, kwancen kafa yana faruwa. A ƙarshen mataki, mummunan neuropathy yana haɓaka, kuma babu ciwo.
Sau da yawa, tare da ci gaba da ƙaruwa a cikin sukari na jini, ciwo mai ciwon sukari na ƙarancin motsi yana bayyana. Yawancin lokaci ƙananan kuma wasu lokuta manyan gidajen abinci ba su cika aiki.
Kwayar cutar OPS ciwo ce da ke faruwa yayin motsin haɗin gwiwa. Mafi sau da yawa, rikitowar kusanci da haɗuwa da metacarpophalangeal, ba su da yawa - gwiwar hannu, gwiwa, wuyan hannu da gwiwowi.
Sau da yawa, ana gano cutar yayin da mara lafiya ba zai iya ɗaura hannayen juna ba. Sau da yawa, cututtukan "hannayen addu'a" yana tasowa daga tushen wasu canje-canje na rheumatic. Haka kuma, faruwar cutar OPS ya dogara da tsawon lokacin da ake yin cutar sikari da kuma biyan diyya.
Wani rikitarwa na yau da kullun na hyperglycemia shine periarthritis kafada-kafada. Wannan ilimin aikin shine yawanci tare da cutar OPS, kuma wani lokacin, tare da tenosynovitis na dabino. Don hana ci gaban irin waɗannan cututtukan, yana da mahimmanci don saka idanu kan alamu na glucose, kuma don daidaitawar su, marasa lafiyar marasa aikin insulin suna buƙatar ɗaukar Metformin koyaushe.
Sau da yawa, tsawan lokaci na cutar da ke haifar da hauhawar jini yana taimakawa canje-canje a cikin gyaran ƙashi. Tare da rashi insulin, wannan sabon abu ya shafi aikin osteoblastic.
A cikin rabin lokuta, osteopenia da osteoporosis suna rarraba. Haka kuma, hanyar wadannan cututtukan yana haifar da rashin yiwuwar kasala. Dalilai waɗanda zasu iya ba da gudummawa ga ci gaban cututtukan osteopenic:
- decompensation na carbohydrate metabolism;
- bayyanar cutar sankarau a cikin marasa lafiya 'yan ƙasa da shekaru 20;
- ciwon sukari na sama da shekaru 10.
Rheumatoid arthritis shima cuta ce ta gama gari wanda ya kamu da cutar siga, musamman a cikin tsofaffi marassa lafiya. Cutar tana bayyanar da bayyanar zafin raɗaɗi a cikin haɗin gwiwa, take hakkin motsi da kumburi na yankin da abin ya shafa.
Amma idan akwai ciwon sukari, abincin yana lalata dukkanin gidajen abinci da ƙafafun kafafe, me za a yi da kuma yadda ake bi da irin waɗannan yanayin?
Matakan warkewa
Babban yanayin don hana ci gaba da cututtukan haɗin gwiwa shine kiyaye matsakaicin glucose index (har zuwa 10 mmol / l) a ko'ina cikin rana. In ba haka ba, magani don nakasar ƙafa da sauran rikice-rikice na ciwon sukari ba zai yi tasiri ba. Sabili da haka, yana da mahimmanci a ɗauki allunan rigakafin kullun, irin su Metformin ko Siofor.
Kuma tare da mummunar lalacewar gidajen abinci, ciki har da amosanin gabbai, magungunan anti-kumburi da kwayoyi waɗanda ke sabunta ƙwayar guringuntsi an tsara. A cikin manyan maganganun, ana yin allura, amma idan an kiyaye rarar interarticular.
Hakanan, lura da lalacewar haɗin gwiwa a cikin masu ciwon sukari sau da yawa yakan sauko don ɗaukar magunguna na pyrazolone da bitamin B 12. Ba a daɗe da amfani da corticosteroids don atropathy, kamar yadda suke shafar haɗarin sukari. Amma in ya zama dole, a wasu lokuta ana nuna alamar intra- da periarticular na ƙananan allurai (har zuwa 37 ml na hydrocortisone).
Don maganin ƙwayar cuta don yin tasiri, mai haƙuri dole ne ya ɗauki maganin a cikin darussan kuma na dogon lokaci. A lokaci guda, yana buƙatar a gwada shi bisa tsari, wanda zai ba da izinin likita don sarrafa tsarin kulawa.
Idan lalacewar ƙafa, ana kula da cututtukan trophic kuma ana wajabta maganin rigakafi. Hakanan wajibi ne don barin kyawawan halaye, samarda saukar da wata gabar jiki da warkar da cututtukan da ke haifar da sake haifuwa tsarin maye.
Tare da arthritis ko arthrosis a cikin ciwon sukari na mellitus, za a iya amfani da hanyoyin da ba na al'ada ba. Ofaya daga cikin shahararrun hanyoyin shine maganin Magnetic, lokacin da gidajen abinci ke da zafi a zurfin santimita sha biyu.
Fa'idodin bayyanar maganadisu:
- cire kumburi;
- kawar da ciwo;
- inganta yanayin gaba ɗaya na tsarin musculoskeletal;
- ana iya aiwatar da hanyar a kusan kowane zamani.
Aikin magani yakai kwanaki 30. Koyaya, bayyanar magnetic yana taimakawa kawai a farkon haɓakar cututtukan haɗin gwiwa. Haka kuma, wannan hanya takaddara ce idan akwai matsalar cututtukan zuciya, cutar kansa, tarin fuka, yawan cutar jini da kuma lokacin daukar ciki.
Idan mai ciwon sukari yana da lalacewar haɗin gwiwa, ana yawan ba shi maganin laser. Ana aiwatar da irin wannan tsarin a cikin darussan - zaman 20 a kowace rana. Amma suna da tasiri kawai a cikin siffofin masu laushi na cutar.
Baya ga shan magungunan antihyperglycemic, irin su Metformin, bitamin, painkillers da magungunan anti-mai kumburi, ga masu ciwon sukari tare da matsalolin haɗin gwiwa, yana da mahimmanci a bi duk ka'idodi don kulawa da ƙafa, saka kulawa ta musamman ga ƙafa. Hakanan yana da mahimmanci a yi wasu motsa jiki na musamman idan an sanya aikin rigar, musamman idan an sanya abun da za'a iya dasawa kwanannan.
Bugu da ƙari, tare da matsaloli tare da gidajen abinci, an nuna mashin warkewa. Don haka, idan kuna aiwatar da irin wannan hanya aƙalla minti 10 a rana, zaku iya rage yawan zafin da kuma kara yawan jijiyoyin gwiwa. Koyaya, irin wannan maganin yana cikin kwanciyar hankali na jijiya, zazzabi, jini da cututtukan fata.
Yin rigakafin faruwar haɗarin articular a cikin ciwon sukari ya ƙunshi kulawa na hankali na glycemic, saboda ba za ku iya kawar da matsalar ba kawai, amma kuma hana faruwar hakan a nan gaba. A saboda wannan dalili, ya zama dole a bi cin abinci, motsa jiki, guji damuwa, ɗaukar Metformin, Metglib da sauran magungunan antidiabetic.
Yadda ciwon sukari ke shafar gidajen abinci ya gaya wa wani kwararre a cikin bidiyo a wannan labarin.
