Jin zafi a cikin tsokoki na ƙananan ƙarshen tare da ciwon sukari na iya faruwa duka tare da haɓakawa kuma yana rakiyar raguwar sukari mai jini.
Rushewar samarda jini, da lalata lalacewar tsarin jijiyoyin jiki, tarin kayayyakin abinci mai guba a cikin tsokoki ana samun su a cikin cututtukan sukari a kusan dukkanin marasa lafiya, musamman tare da karuwa tsawon lokacin cutar kuma tare da shekaru.
Bayyanar cututtuka na lalacewar ƙwayar tsoka ana nunawa ta hanyar jin zafi, rauni na tsoka, rawar jiki da rawar jiki.
Me yasa ciwon sukari yana haifar da ciwon tsoka?
Rashin daidaituwa na samar da jini a cikin mellitus na ciwon sukari yana da alaƙa da lalacewar bango na ciki na tasoshin jini, wanda, tare da adadi mai yawa na glucose a cikin jini, ya ji rauni, ƙarancin lipoproteins mai ƙarancin gaske yana ajiye shi, kuma ƙwayoyin tsoka mai laushi suna matse jirgin saboda karuwar haɓaka.
Neuropathy yawanci yana kara cutar da jijiyoyin jijiyoyin ƙananan ƙarshen, yayin da yake taƙaita ƙananan arterioles da capillaries, yayin da jini ke gudana ta hanyar ɓarkewar arteriovenous yana ƙaruwa. Tare da irin waɗannan canje-canje, abinci mai gina jiki da musayar gas a cikin ƙwayar tsoka suna ci gaba da raguwa har ma da ƙari, yana haifar, ban da ciwo, ƙanshi mai ƙonewa a cikin kafafu.
Lalacewa cikin ƙwayoyin jijiya a cikin ciwon sukari yana da alaƙa da adibas na sorbitol, wanda ke haifar da raguwar kwararawar jini a cikin jijiya kuma yana haifar da matsananciyar yunwar oxygen tare da aiki mara kyau da kuma tsarin ƙwayoyin jijiya.
Manyan hanyoyin da ke haifar da lalacewar fiber a cikin cututtukan mellitus:
- Halakar ƙwayoyin tantanin halitta da sunadarai ta hanyar ƙirƙirar abubuwa masu tsattsauran ra'ayi.
- Glycosylation na sunadarai ta hanyar kwayoyin glucose wadanda ke yaduwa cikin jini.
- Rushe da tasoshin da ke wadatar da jijiyoyi.
- Samuwar ƙwayoyin autoantibodies a kan jijiyoyin.
Canje-canje na jijiyoyin jijiyoyi a cikin jijiya da ƙwayar tsoka yana ci gaba tare da haɓakar hyperglycemia kuma yana iya raguwa tare da diyya na ciwon sukari. Hakanan Myalgia na iya kasancewa tare da rage raguwar glucose na jini.
A cikin mummunan hare-hare na hypoglycemia, akwai alamun alaƙa da ke tattare da aikin catecholamines - adrenaline da norepinephrine, wanda ke haifar da gaskiyar cewa hannayen da kafafu sun fara karkata, marasa lafiya sun kwatanta shi kamar haka: "sukari ya ragu kuma duk tsokoki sun tashi"
Raɗaɗi a cikin tsokoki na ƙafa don ciwon sukari
Bayyanar bayyanar raɗaɗin ƙwayar tsoka yana haɗuwa da matakin ƙara yawan sukari na jini, yayin da hyperglycemia ya rage ƙoshin zafin kuma yana hana aikin analgesics. Yawancin lokaci alamun bayyanar jin zafi suna ƙaruwa a hankali, tare da haɓakar alamun ciwon sukari.
Da wuya, ciwo mai zafi ya bayyana da gaske kuma yana haɗuwa da tashin hankali, rashin damuwa, asarar abinci da saurin asarar nauyi. Irin wannan asibitin yana faruwa ne tare da maganin cutar sankara na dogon lokaci da ba a san shi ba, haka kuma idan an kula da mara lafiyar ba daidai ba.
Kwayar cutar na iya bayyana a farkon maganin cutar sankara, suna bayyana ta wannan hanyar:
- Zafin yana da kwarjini, mai zafi, mai ƙuna.
- Yawancin lokaci yana farawa daga ƙafafu kuma yana tashi zuwa kwatangwalo, wani lokacin daga farkon farkon tsokoki na gaban cinyoyin cinya.
- Ricuntatawa motsi yana da alaƙa da alamomin raɗaɗi da rauni na tsoka.
A irin waɗannan halayen, ya kamata a rage yawan daidaituwa na glucose, kuma ana samun daidaituwa na matakan sukari a hankali.
Ciwan tsoka da jijiyoyi suna ta ƙaruwa da dare, cikin hutawa, don marasa lafiya da masu ciwon sukari, paresthesia shima halayyar mutum ne - jin motsi, ƙage, ƙafafu na iya ba da izinin jinkiri, buzz. Mafi sau da yawa, ana shafar tsokoki na maraƙi, ƙasa da sauƙin ƙwaƙwalwar ƙwaƙwalwa da ƙyallen hannu.
A cikin lokuta masu rauni, jin zafi yana tasowa a cikin jiki duka, hypersthesia, wanda har ma taɓa taɓawar takarda yana haifar da kaɗa zafi da ƙonawa. Lokacin bincika irin waɗannan marasa lafiya, an gano raguwa a cikin sassaucin jijiya, to, akwai raguwa a cikin kowane nau'in ji na jijiyoyin jiki - tactile, vibrational, pain and positional. A wannan matakin, ƙafafun ciwon sukari suna tasowa.
Hanyar da ke rage karfin sukari na jini zai iya haifar da rikitarwa kamar ƙwanƙwasa jini. Tunda glucose shine babban tushen abinci mai gina jiki ga tsarin juyayi, lokacin da ya fara faɗi, alamu na neuroglycopenic sun haɗu:
- Rage hankali, fargaba, bugun zuciya.
- Ciwon kai da danshi.
- Tingling, rarrafe, rawar jiki.
- Tsokoki suna murguda baki a sassa daban daban na jiki.
- Rashin rauni.
- Rashin zafin jijiyoyin jiki mai yawan gaske.
Mai tsananin rashin ƙarfi yana haɗuwa tare da ƙaruwa da rauni na tsoka, rashiwar sani, ciwo mai narkewa. Idan ba a kula da shi ba, mai haƙuri ya faɗi cikin halin rashin lafiya na hypoglycemic.
Jiyya na jin tsoka zafi a cikin marasa lafiya da ciwon sukari
Ana amfani da yankuna uku don kula da myalgia: diyya na ciwon sukari, magani na jin ciwo da kuma warkarwa don magance jijiyoyin jijiyoyin jiki da jijiyoyin jini.
Sakamakon ciwon sukari ana yinsa ne ta hanyar gyara abinci da kuma daidaita matakan glucose. A wannan yanayin, kulawa akai-akai game da matakan glucose a ko'ina cikin rana, da kuma nazarin glycated haemoglobin, yana da mahimmanci. Ana yin wannan tiyata ta hanyar da zata hana kwatsam cikin sukari na jini.
A saboda wannan, abincin ya ƙunshi iyakanin carbohydrate mai iyaka tare da cikakkiyar keɓaɓɓen na sucrose da samfuran alkama masu daraja. Hakanan ana bada shawara don rage yawan kayan abinci, musamman nama mai ƙima da mara kyau, don ware giya.
Ana cire cututtukan ciwo yayin hanyoyin da ba magunguna ba, waɗanda suka haɗa da:
- Galvanization.
- Magungunan ƙwayar cuta.
- Damuwa.
- Laser Therapy
- Rashin lalata jijiyoyi.
- Magnetotherapy.
- Yin amfani da rura wutar lantarki ta hanyar daidaita yanayin igiyoyi.
Wani fasali na lura da ciwo tare da ciwon sukari shine rashin tasirin likitanci mai sauƙi da magungunan anti-inflammatory marasa steroidal. Saboda haka, anticonvulsants, antidepressants, analioics opioid da kuma maganin motsa jiki na gida ana amfani dasu don magani.
Anticonvulsants yana sauƙaƙa jin zafi saboda toshewar tashoshin sodium da kuma jinkirin watsa abubuwan jin zafi. Ana amfani da magungunan masu zuwa: Finlepsin, Gabapentin, Pregabalin.
Mafi inganci maganin rigakafi don rage ciwo shine amitriptyline. Ana amfani dashi a cikin ƙananan sashi. Sakamakon sakamako masu illa, yakamata a yi amfani da hankali a cikin marasa lafiya da hauhawar jini, gajiyawar zuciya, glaucoma. A cikin tsofaffi marasa lafiya, maganin tricyclic antidepressants na iya haifar da tashin hankali, rikicewa.
Ana amfani da farfadowa na opioid a cikin lokuta mafi wuya tare da ci gaba da rauni mai rauni saboda ci gaban dogara da hankali da ta jiki. Yawancin lokaci ana amfani da Tramadol, wanda ba shi da ƙari. Mafi sau da yawa, yin amfani da shi na iya haifar da tashin hankali na orthostatic, rashi.
Ana gudanar da jiyya na gida tare da filastik da man shafawa tare da lidocaine (Versatis), Capsaicin, wanda ke da ikon rusa matsakancin zafi a ƙarshen jijiyoyin gefe kuma yana iya fara haɓaka zafi da ƙoshin abin ji a wurin aikace-aikace.
Don dawo da aikin lalacewar ƙwayar jijiya, ana amfani da rukunin ƙwayoyi masu zuwa:
- Acio acid: Berlition, Espa-Lipon, Thiogamma, Dialipon.
- Benfotiamine, Cyanocobalamin.
- Dalilin ci gaban jijiya - Neurophazole.
- Alfa reductase inhibitor - Avodart.
- Inhibitors na kariya daga protein - Nexavar, Spraycel, Tasigna.
- Cikakkun shirye-shiryen bitamin - Neurorubin, Milgamma.
Magungunan da ke shafar hanyar jijiyoyi da maido da ƙwayoyin jijiya ana amfani da su aƙalla wata guda, yayin da ayyukan haɓaka ke ci gaba a hankali, musamman a cikin cututtukan sukari da carbohydrate da mai mai narkewa.
Hakanan an ba da shawarar don rigakafin ci gaban lalacewar tsoka a cikin ayyukan yau da kullun don haɗawa da jerin abubuwan motsa jiki, dakatar da shan taba, wanda ke kara jijiyoyin jijiyoyin jiki da kuma lalata jini a cikin kyallen da abin ya shafa. Bidiyo a cikin wannan labarin yayi magana game da manyan alamun cutar ciwon sukari.
