Bayyanar cututtukan cututtukan insipidus a cikin mata, lura da cutar sune batutuwan da kan iya tasowa sau da yawa a cikin marasa lafiyar da aka gano wannan.
Abinda ke faruwa shine cewa wannan cutar ta shafi mata fiye da maza, don haka yakamata su yi taka tsantsan game da lamuran gano cutar tasa da kuma magani na gaba.
Bugu da ƙari, mutane da yawa suna rikitar da shi tare da ciwon sukari na yau da kullun, wanda ba daidai ba ne, saboda ita ce cuta gaba ɗaya daban-daban da ake bi da ita tare da wasu hanyoyin fiye da ciwon sukari na yau da kullun.
Babban Bayanin Cutar
Ta hanyar insipidus na ciwon sukari a cikin magani ana nufin wata cuta ce da ke faruwa sakamakon rashin isasshen ƙwayoyin maganin maye kamar vasopressin. Bugu da kari, irin wannan cutar na iya faruwa ne sakamakon rashin karfin kwayar koda ta kwashe shi. Sakamakon haka, mai haƙuri yana fara urination mai ƙarfi, ba a kame shi ba, tare da jin ƙishirwa. A lokaci guda, ba kamar mellitus na ciwon sukari ba, a cikin haƙuri haƙuri ƙimar sukari na jini cikakke ne.
Ya kamata a sani cewa yawan ciwon siga a cikin mata ya yi yawa sama da na maza. Wannan ya faru ne kawai ga ilimin halayyar mutum, amma maza kuma bai kamata su shakata ba, saboda suna iya samun wannan cutar, duk da cewa suna da alaƙa da jima'i mai ƙarfi. Saboda haka, samun bayanai game da wannan nau'in ciwon sukari ba zai cutar dasu ba.
Idan muka juya kai tsaye zuwa ga ilimin kimiya na jiki, babbar manufar maganin antidiuretic shine juya baya daukar ruwa a cikin kodan zuwa cikin jini. Gaskiyar ita ce ba duk ruwan da aka tace a jikin mutum yake keɓewa daga gare shi ba. Mafi yawanci yana dauke da su ta tsarin sa da kuma gabobin baya. A cikin insipidus na ciwon suga, duk ruwan 'da aka kashe' yana barin jiki a waje, kuma wannan na iya haifar da rashin ruwa.
Sakamakon haka, mai haƙuri yana jin ƙishirwa yana shan ruwa mai yawa. Irin wannan tsari yana haifar da ciwon sukari. Bayan haka, alamomin wannan cutar ana yin sa yawanci a cikin mata underan mata da ba su wuce shekara 25 ba, matakin cutar shine sau 3 a cikin mutane 100,000.
Mafi yawan abubuwan da ke haifar da cutar insipidus na sukari sune:
- ciwan kwakwalwa;
- ciwon kai;
- warkarwa;
- daban-daban na rashin abinci mai gina jiki na hypothalamus da pituitary gland shine yake;
- encephalitis;
- tarin fuka da zazzabin cizon sauro.
Bugu da kari, cutar na iya haifar da damuwa, ciki, da kuma mummunan tasirin wasu kwayoyi da kuma raguwar jabu. Yana da kyau a lura cewa wasu daga cikin alamomin da ke haifar da cutar ba su da cikakkiyar bayyani kuma har yanzu ba zai yiwu a rarrabe su ba a wasu yanayi. Sabili da haka, ana iya ba da magani na yau da kullun bayan cikakken gwaji a asibiti, kuma ba a yayin binciken likita na yau da kullun ba. Hakanan yana da kyau a tuna cewa cutar itace mafi tsananin jurewa bayan mace ta cika shekaru 30, saboda haka yana da kyau a gwada yin maganin ta kafin wannan lokacin.
Bayyanar cututtuka da alamun cutar
Bayyanar cututtukan cututtukan cututtukan insipidus suna da bambanci sosai, duk da haka, manyan alamun wannan cutar sune kamar haka:
- kishirwar rashin gajiya;
- nauyi mai nauyi;
- kasancewar bushewar bakin, kazalika da raguwar ci;
- rauni da rashin bacci;
- raguwa sosai a cikin aikin;
- rage matsin lamba;
- bushe fata
Bugu da kari, ana iya rikodin ketarewar haila, tare da canje-canje kwatsam a yanayi. Koyaya, yawan urination shine asalin cutar wannan cuta. Gaskiyar ita ce, yawan fitar fitsari a cikin lafiyayyen mutum ana daukar shi kamar lita 1-1.5, yayin da irin wannan fitsari yana sakandare kuma ya fi mayar da hankali. Yayin rashin lafiya, sai ta sake ta. Idan muka dauki bangaren ilimin halittar jiki na cutar, to, marassa lafiya suna kumbura kusan a kusa da agogo.
Tunda mai haƙuri ya rasa ɗumbin ruwa, sai ya fara jin ƙishirwa. Tryoƙarin cika ƙarancin ruwa, mutum ya sha da yawa, amma wannan bai ba da tasirin da ake so ba. Idan mara lafiya ya raunana kuma sabili da haka ba zai iya isa ga asalin sa ba, ko kuma idan akwai zafi a cikin yadi, watakila ya mutu sakamakon rashin ruwa.
Rashin ruwa a cikin jiki yana lalata tsarin juyayi na tsakiya, don haka bayyanar tashin hankali da asarar bacci ana ɗauka ɗayan alamun cutar insipidus. Mace na iya rushewa ba tare da wani dalili ba bayyananne ga ƙaunatattun, da sauri ta gaji. Hawan jini nata yana raguwa, kuma ciwon kai yayi rauni.
Idan mai haƙuri yana da tuhuma game da ciwon insipidus, to, alamun da ke cikin matan wannan cutar kuma za a iya bayyana su ta saɓawar ƙwayar gastrointestinal. Gaskiyar ita ce saboda rashin danshi, jikin mutum yana shimfiɗawa, kuma haɗin enzymes da ya wajaba don narkewar abinci yana da damuwa.
Sakamakon wannan, ban da rikicewar gida, na iya kasancewa sanadiyar kumburi da jijiyoyin ciki da ciki.
Babban hanyoyin da hanyoyin bincike
Don yin cikakken ganewar asali, bai isa ba don sanin alamun cututtukan sukari na wannan nau'in, ana kuma buƙatar binciken da aka yi ta amfani da gwaje-gwaje na musamman da kayan aiki.
A wannan yanayin, zai fi kyau idan za'a yi irin wannan binciken a asibiti. Misali, a cikin yanayin tsaran gwajin ana yin waɗannan:
- nazarin fitsari gabaɗaya;
- nazarin fitsari a cewar Zimnitsky;
- gwajin jini don taro na maganin antidiuretic;
- dubawar karfin jini;
- MRI
- Duban dan tayi na mafitsara da kodan;
- ECG
Bugu da kari, ana gano matakan sukari na jini, sannan ana yin wasu nazarin gwargwadon hanyar da ake bi don gano cutar insipidus. A wannan yanayin, ana iya tsara ƙarin nazarin da nufin ƙin kasancewar a cikin marasa lafiya na wasu cututtukan da ke hade da wannan cutar.
A kowane yanayi, yawan karatun binciken likita an wajabta shi ne a wurin likita, saboda haka, babu makawa a faɗi abin da wannan ko waccan matar za ta buƙaci ta yi.
Idan zamuyi magana takamaimai game da bangaren fasaha na batun, to kasancewar bayyanar cutar sankarar cututtukan cututtukan ƙwayar cuta na iya nuna:
- yawaitar fitsari a ƙasa 1005;
- mara kyau low taro na hormone vasopressin a cikin jini;
- babban matakin potassium a ciki, kazalika da babban abun ciki na alli da sodium.
- rashin ruwa na fitsari.
Yayin samun juna biyu ko kuma lokacin rashin daidaituwa na al'ada, zaku iya neman shawarar likitan mata wanda zai rubuto muku gwajin. Dukkanin karatun za a iya tsara ta ta ƙwararren masanin ilimin ƙwaƙwalwa. Bugu da kari, idan an sanya mara lafiya a asibiti, ana iya yin cikakken bincike.
A yayin aiwatar da gwajin cutar, ba a ba da shawarar shi ba kai magani ba, saboda wannan zai kara dagula yanayin haƙuri. Zai fi kyau a bi shawarar likita kuma ku ɗauki magungunan da zai rubuta kafin fara babban magani. Sabili da haka, ba za ku iya ajiye ƙarfi kawai don jiyya ba, har ma ku sami sakamako mai kyau a nan gaba.
Na dabam, yana da mahimmanci a ambaci matakan farko don bayyanar cututtuka na insipidus na ciwon sukari. Babban abin nuni anan shine yakamata ace mace ta fara amfani da ruwa mai yawa. Kada ku yi watsi da wannan lokacin kuma ku kashe komai a cikin wuta. Duk wani karkacewa da dabi'ar ya kamata a bincika nan da nan don yiwuwar wannan gaskiyar ta shiga cikin abin da ya faru na cutar.
Hanya guda daya da za a bi don kauce wa farkon sakamakon wannan cutar.
Yaya za a bi da ciwon sukari insipidus?
Yawancin lokaci ana yin maganin cututtukan insipidus ta amfani da magungunan gargajiya, dangane da nau'in cutar da ke tattare da wani mai haƙuri. Magungunan da suka fi yawanci sune magunguna irin su Minirin ko Adiuretin. A cikin kantin magunguna, ana ba su ta hanyar saukad da hancin cikin hanci ko allunan kuma wani ɓangare ne na hanya na sauya magani tare da analogues na hormone antidiuretic.
Bugu da ƙari, irin waɗannan ƙwayoyi kamar Chlorpropamide, Miskleron, Carbamazepine zasu iya shiga cikin wannan ilimin. A wannan yanayin, za'a iya samun cikakkiyar mafita kan matsalolin tare da wucewar fitsari a cikin mara haƙuri kawai ta hanyar kawar da babban dalilin cewa ba a samar da ƙwayar hormone ko kuma gabobin jikin mutum ba. Misali, idan kwayar wannan kwayar ta daina aiki saboda kasancewar ire-iren wadannan cutuka masu cutarwa a cikin mara lafiya, ana iya nuna mata tiyata ta hanyar tiyata ko kuma maganin fitsari.
A wannan yanayin, lokacin da mara lafiya ya kamu da cutar zazzabin cizon sauro, ya zama dole a gudanar da aikin jiko don dawo da tsarin gishirin da jini a al'ada, tare da kara girman sa. A saboda wannan, ana bada shawara ga mai haƙuri ya iyakance adadin ruwan da aka cinye. Idan ta kasa yin wannan da kanta, an wajabta mata magani kamar maganin hypothiazide.
Idan, a lokacin gano cutar, ya juya cewa wannan nau'in ciwon sukari na dabi'a ne na yara, tushen magani ya kamata ya zama amfani da abin da ake kira thiazide diuretics, kazalika da magungunan rigakafin kumburi daga ƙungiyar NSAID, alal misali, kamar Indomethacin ko Ibufen. Bugu da ƙari, tare da kowane nau'in insipidus na ciwon sukari, ana nuna alamar maganin alamomi. A wannan yanayin, lokacin da baccin mai haƙuri ya rikita, za a nuna magungunan maye kamar su mama, da valerian, ko hop cones.
Game da batun gabaɗaya, tare da ciwon insipidus na sukari shine yafi dacewa. Misali, tare da takamaiman cutar sankara, sutturar cututtuka kamar zazzabin cizon sauro ko cutar ciwace-ciwace, ramuwar ɗari bisa ɗari yakan faru. Amma game da mafi girman yanayin, wannan bambancin nephrogenic na cutar, wanda ba kasafai ake samun mata ba.
Bugu da kari, abin da ya faru irin wannan cutar bai kamata ya rikitar da mata masu juna biyu ba, hare-hare kamar su bayan haihuwa, irin wannan cutar yawanci tafi haka.
Abinci da kuma amfanin magunguna
Dangane da yanayin da mace ta kamu da cutar insipidus kuma aka wajabta mata magani, a lokaci guda mara lafiyar zai bi tsarin da ya dace. Tare da ciwon sukari insipidus, irin wannan abincin yakamata ayi niyya don rage yawan fitsari da jiki yake sha, yana shayar da kishirwa, sannan kuma ya sake samarda abubuwa masu amfani da jikin dan adam ya bata. A lokaci guda, a kan asalin shan maganin hana daukar ciki, irin wannan abincin zai kasance yana ƙarfafa sakamako.
Da farko dai, an shawarci marasa lafiya da su rage adadin gishirin da suke amfani da shi, wanda suke dafa abincin nasu kuma basa cin abincin da aka sarrafa. Zai cancanci ƙarawa a cikin abincinku na yau da kullun wanda ya ƙunshi adadin magnesium, alal misali, 'ya'yan itatuwa da aka bushe. Wannan kayan ya zama dole don ingantaccen tsarin vasopressin a cikin jiki, amma duk samfuran da zasu haifar da ƙishirwa ya kamata a cire su.
Fresh kayan lambu, 'ya'yan itatuwa da berries, akasin haka, ya kamata a haɗa su a cikin abincinku, saboda suna da wadatar abubuwa masu yawa, abubuwan bitamin da wasu abubuwa masu amfani. Don wannan manufa guda ɗaya, yana da daraja cinyewar 'ya'yan itace da ruwan' ya'yan itace na gida. Madara, kayayyakin kiwo, nama da kifaye iri-mai mai da mai ne maraba. Ya kamata a cinye abinci don insipidus na ciwon sukari sau kashi a cikin sau biyar zuwa shida a rana. A wannan yanayin, lura da mai haƙuri zai tafi da sauri.
Idan kun kasance masu son maganin gargajiya, to, zaku iya bi da wasu alamun cutar tare da ganye na magani. Misali, jiko na burdock ko motherwort tare da hop cones, mint da valerian tushen yana taimaka sosai. A lokaci guda, yana da daraja sayi tarin kayan da aka shirya a kantin magani da kuma tuntuɓi likita kafin amfani da shi. A wannan yanayin, magungunan jama'a na iya ba da sakamako mai kyau, kuma ba su lalata yanayin mai haƙuri ba. Hakanan yana amfani da sauran hanyoyin madadin magani don insipidus na ciwon sukari.
Masana za su ba ku labarin insipidus na ciwon sukari a cikin bidiyo a cikin wannan labarin.