Abubuwan da ke haifar da ciwon sukari sukan bayyana ne ta hanyar jijiyoyin bugun zuciya da na jijiyoyin jijiyoyin jiki waɗanda ke shafar ƙananan ƙarshen. Don haka, an ba da shawarar ga duk marasa lafiya da masu ciwon sukari don bincika ƙafa da ƙananan kafafu kowace rana, don kar su ɓoye bayyananniyar bayyananniyar cututtukan cututtukan zuciya na neuropathy.
Duk wani bayyanar cututtuka a cikin nau'in jan launi, ƙarancin jijiya ko ƙananan raunin rauni na iya zama alama ta ci gaban irin wannan mummunar cuta kamar ƙafar mai ciwon sukari.
A cewar kididdigar, yana faruwa a cikin 15% na masu ciwon sukari bayan shekaru 5-6 na rashin lafiya.
Tare da ƙarancin biyan diyya ga ciwon sukari, kamuwa da cuta ya shiga cikin polyneuropathy, kuma gangrene na iya haɓaka, yana haifar da buƙatar yanki.
A cikin duniya, kashi 70% na yankan hannu suna da alaƙa da cutar sankarar mahaifa.
Sanadin ciwon sukari neuropathy
Lalacewa a cikin tasoshin ƙafafu a cikin ciwon sukari yana haɗuwa da wuce haddi na glucose a cikin jini, wanda ba zai iya shiga cikin sel ba saboda raunin insulin. Jigilar jini ta cikin jiragen ruwa yana raguwa, yana hana isharar motsa jijiya. A cikin yanayin rauni ciki da rage abinci mai gina jiki, ji na nama shan wahala, rauni warkar sauka a hankali.
Orarancin raunuka fata a cikin nau'i na fashe, yanke ko abrasions sun juya zuwa lahani na rauni, kuma rauni na ɓoye a ƙarƙashin ruhun keratinized epithelium. Duk waɗannan marasa lafiya baza su iya lura da wannan ba, saboda ba ya haifar da rashin jin daɗi a ƙarancin ji. Mafi sau da yawa, cututtukan mahaifa suna haifar a cikin wuraren ƙara damuwa wanda ke faruwa lokacin tafiya.
Irin waɗannan raunin za a iya tayar da su ta hanyar sanya takalmi mai ƙoshi, da ƙara bushewar fata da kuma taƙura da kwayar cutar stratum, idan an ji rauni yayin fitsari ko tafiya ta ƙafa.
Rufewa daga cikin jijiyar jini yana da alaƙa da ɗibar cholesterol da alli, samar da wani ƙwaƙwalwar atherosclerotic. Irin waɗannan canje-canje a cikin ciwon sukari suna da fasali na asibiti da yawa:
- Raunin yana faruwa a cikin ƙananan ƙananan ƙananan ƙarshen - a cikin ƙafa da ƙananan kafa.
- Dukkan kafafu biyu suna wahala a yankuna da yawa.
- An fara daga farkon shekaru fiye da marasa lafiya ba tare da ciwon sukari ba.
- Tare da mutuwar kyallen takarda
- Ulcers na iya faruwa ba tare da raunin rauni da damuwa na inji ba.
Alamun lalacewar kafa a cutar sankara
Fata na marasa lafiya da ciwon sukari mellitus sun bushe da bakin ciki, galibi suna da rauni, musamman a yankin yatsa. Hanyar jawo abubuwa don ci gaban jijiyoyin jijiyoyin jiki da raunuka na jijiyoyin jiki na iya zama cututtukan fungal, da katsewa ko kuma cirewar wucin gadi.
Tun da samuwar ƙafar mai ciwon sukari yana da mummunar sakamako a cikin hanyar yanke ƙafa ko mutuwa daga sepsis, wanda ya samo asali sakamakon rikicewar purulent, gano alamun farko na lalacewar ƙafafun fata na iya ceton rayuwar mai haƙuri.
Alamar farko ita ce raguwa a cikin yanayin motsawar girgiza, sannan zazzabi, zafin da zafin jiki ya ketare daga baya. Wata alama mai ban tsoro na iya yin kumburi a kafa a ƙasan ɗan maraƙin, a cikin ƙafafun ƙafa. Idan kafafu sun yi zafi ko sanyi, to wannan yana nufin cewa keɓar jini ya rikice ko kuma kamuwa da cuta ya shiga.
Dalilin tuntuɓar likitan tiyata ko likitan dabbobi na iya zama canje-canje masu zuwa:
- Gajiya yayin tafiya yana ƙaruwa.
- Akwai raɗaɗi a cikin kafafu na tsananin ƙarfi yayin tafiya ko da dare.
- Tingling, abin jin ƙonewa ya bayyana a ƙafa, kuma sanyi yana ƙaruwa.
- Launin fata a ƙafafu yana ja ko cyanotic.
- Abun gyaran gashi akan kafafu ya ragu.
- Yatsun sun yi kauri, maras kyau, launin shuɗi.
- Jinya ya tashi a cikin farantin ƙusa.
- Nan da nan yatsan ya juya ja ko kumbura.
Marasa lafiya na iya lura cewa raunuka ko warkarwa na warkarwa maimakon mako guda a cikin wata ɗaya ko biyu. Bayan rufe raunuka, alamar duhu ta ragu.
Ulcers na iya faruwa a ƙafa, wani lokacin kuma zurfin ciki.
Iri na Cutar Malaria
An bambanta nau'ikan cututtukan ƙafafun ƙafafun guda biyu wadanda suka dogara da fifikon rikicewar ciki ko samar da jini. Tare da rashin iyawa a cikin ƙwayoyin jijiya, wani nau'in neuropathic yana haɓaka. Halin halayen mata shine sassauƙawa ta jijiyoyin bugun tsoka. Yayyana da kuma dagewa edema ya bayyana akan kafafu.
Etafa a cikin wannan nau'in suna da ɗumi, launi na fata al'ada ne ko dan ƙaraɗaɗɗen fata, ƙashin ciki yana wurin (kamar yadda yake a cikin hoto) a cikin yanki na ƙarin karɓar kaya - a cikin ɓangaren kasusuwa na metatarsal. Ciwon ciwo yana da laushi. Raunin ya yi laushi, gefuna sun yi kauri. Yawancin lokuta yakan shafi matasa masu fama da ciwon sukari na 1, shan giya na iya zama sanadi.
Redness na kafafu a cikin mellitus na ciwon sukari a cikin hoto na iya zama alama ta yanayin ischemic na polyneuropathy, wanda rikicewar jijiyoyin jini ke tantance alamun ciwon ƙafa.
Tare da wannan zaɓin, kafafu suna da sanyi, bugun jini yana da wuya a ƙayyade, ƙafafun na iya zama ƙyalli.
Cutar mahaifa tana cikin wuraren da cutar mafi munin jini - sheqa, gefen ƙafafun kafa, da yatsa. Fata a kusa da rauni na bakin ciki. A lokaci guda, marasa lafiya suna rikicewa da jin zafi a hutawa, mafi muni da daddare, kuma lokacin tafiya, ana tilasta musu dakatar da tsayawa saboda mummunan ciwo.
Hanyar hadewa ana samun mafi yawan lokuta a cikin marasa lafiya da ciwon sukari, yana haɗar da alamun ischemia da rikicewar jijiyoyin jini. Abubuwan haɗari don haɓaka ƙafafun ciwon sukari sune:
- Matsakaicin ciwon sukari ya wuce shekaru 10.
- Ciwon mara ko labile ko labile.
- Shan taba.
- Marasa lafiya waɗanda suka sami bugun zuciya ko bugun jini.
- Almubazzaranci.
- Tare da nuna halin kirkiro ƙyallen jini.
- Mai tsananin kiba.
- Cutar varicose.
Ganowa da lura da ciwon sukari na neuropathy
Don bincika matakin cutar rauni, marasa lafiya suna yin cikakken jarrabawa: gwaje-gwaje na jini don nazarin glucose da nazarin ƙirar ƙwayoyin cuta, ƙuduri na aikin renal, x-ray da nazarin angiographic. Masanin ilimin ƙwaƙwalwar ƙwaƙwalwa yana bincika amincin shakatawa da azanci don jin zafi, taɓawa, rawar jiki da zazzabi.
Don ƙayyade kwararar jini, ana yin aikin dopplerometry, ana auna matsa lamba a cikin tasoshin ƙafafun. A gaban ciwo, ana ɗaukar al'adun microflora da hankali ga magungunan ƙwayoyin cuta.
Maganin ciwon sukari yana farawa ne da daidaita matakan glucose na jini zuwa matakan da aka tsara. Idan mai haƙuri ya karɓi kwayoyin don rage sukari, to, an canza shi gaba daya zuwa insulin ko gabatarwar insulin tsawanta da magungunan antidiabetic a cikin allunan.
Ana cire cututtukan ciwo a cikin cututtukan ciwon sukari tare da kwayoyi masu zuwa:
- Anticonvulsants (Finlepsin, Gabalept).
- Masu fama da bakin ciki (Dexalgin, Nimesulide).
- Antidepressants (venlafaxine, clofranil).
- Cream tare da lidocaine.
Jiyya tare da shirye-shiryen acid na thioctic (Thiogamma, Berlition), har ma da injections na bitamin B (Milgamma, Neurobion) yana taimakawa dawo da hankalin jijiyoyin jiki da kuma hanzarta warkar da lahani na fata. Ana amfani da Dipyridamole, Actovegin, Pentoxifylline don inganta wurare dabam dabam na jini.
Bugu da kari, an yi maganin mahaifa, kuma ba a saukar da raunin da ya shafa ba. Tare da raunuka a kan ƙananan kafa, ya kamata ku yi ƙoƙarin kasancewa a cikin kwance a kwance sau da yawa. Hakanan ana amfani da na'urori na orthopedic na musamman don sauke nauyin akan ƙafa. A cikin yaƙar wannan cuta, ilimin halittar jiki don maganin ciwon sukari na mellitus a cikin hadaddun jiyya yana ba da sakamako mai kyau.
Lokacin da aka haɗu da kamuwa da cuta, an wajabta maganin rigakafi na dogon lokaci kafin warkarwa ta miki.
Hakanan ana gudanar da aikin kwantar da hankali don magance cututtukan da ke haifar da wahalar dawo da marasa lafiya: anemia, koda da lalata hanta.
Yin rigakafin polyneuropathy
Ga mai haƙuri da ciwon sukari, binciken kafa a yayin hanyoyin tsabtace kullun hanya ce mai mahimmanci don hana rikicewar neuropathy. Duk raunuka ko yankewa suna buƙatar kulawa tare da Miramistin ko Chlorhexidine, maganin maganin furacilin mai ruwa-ruwa. Karka yi amfani da mafita mai amfani da giya.
Don maganin cututtukan ulcers, ana amfani da Solcoseryl, Actovegin, Iruksol gel. Lokacin gudanar da fitsari, ba za ku iya amfani da ruwan wukake ba, zai fi kyau a yi amfani da dabaru na kayan masarufi. Ya kamata a shafa ƙafafun tare da kirim na yara don hana bushewa ko shafawa na musamman ga masu ciwon sukari: Balzamed, Alpresan.
Lokacin da kake sa takalmin takalmi, kuna buƙatar bincika shi don amincin insoles, rashin isowar pebbles, wuya mai wuya ko ƙyallen da zai cutar da fata ƙafar. Ya kamata a dace da takalmin daidai daidai da girman da ɗagawa. A wannan yanayin, ba za ku iya amfani da kunkuntun safa ba, yana matso yatsun. Zaɓin sutura tare da diddige da diddige da yatsan kafa don suturar gida.
An kuma bayar da shawarar hanyoyin kariya masu zuwa don ci gaban ƙafafun sukari:
- Cikakkiyar dakatar da shan sigari da barasa.
- Bai kamata a kyale ƙafafuwan ƙafafun kafa overcool.
- Lokacin riƙe ƙafafun ƙafa, yanayin zafinsu ya kamata ya zama kimanin digiri 36.
- Tare da ƙarancin gani, ba za ku iya yanke ƙusoshinku da kanku ba.
- An ba da shawarar yin tafiya da ƙafafu ba, ko da a gida.
- Karka yi amfani da murfin murhu, batura, ko mai-ruwa don ɗumi ƙafafunku.
Babban hanyar don hana duk rikice rikice na ciwon sukari shine saka idanu da sukari na jini. Don yin wannan, kuna buƙatar amfani da na'ura don auna glucose a cikin jini yau da kullun kuma sau ɗaya kowane watanni uku don ƙayyade matakin glycated hemoglobin kuma ziyarci likitancin endocrinologist don gyara magani. Ana ba da shawarar shawarar likitan yara da kuma likitan ƙwaƙwalwar ƙwaƙwalwa aƙalla sau ɗaya a shekara.
Bidiyo a cikin wannan labarin yana ba da cikakkun bayanai game da ciwon sukari na ciwon sukari.
