Ciwon sukari (mellitus) yana haɓaka daɗaɗɗar ɓarna a cikin farji, wanda ke da alhakin samar da insulin. Sakamakon irin wannan rikice-rikice, ƙwayar cuta na kullum yana faruwa, ana nuna shi ta hanyar ƙara yawan sukarin jini. Manyan alamun cutar suna da ƙishirwa, yawan fitar fitsari da bushewar baki.
Hadarin ciwon sukari shine cewa yana haifar da rikice-rikice da yawa waɗanda zasu iya shafar bangarori da tsarin daban-daban, gami da tasoshin jini, kodan da jijiyoyin mahaifa. Ofaya daga cikin sakamakon kullun da ke haifar da cutar shine cututtukan cututtukan cututtukan zuciya, rashin magani wanda ke haifar da bayyanar canje-canje marasa daidaituwa.
Hanya guda daya da za'a gano matsalolin koda da wuri a cikin masu ciwon sukari shine gano microalbuminuria ta amfani da bincike na musamman. Bayan haka, hanyar kawai don hana ci gaban lalacewa ta koda.
Sanadin lalacewar koda a cikin cutar sankara kuma menene microalbuminuria?
An gano cewa ban da cututtukan ƙwayar cuta na yau da kullun, ƙari kuma ana hade da nephropathy. Waɗannan sun haɗa da shan sigari da cin abinci mai yawa na furotin, musamman nama.
Wata matsalar koda koda yaushe tana faruwa ne akan yanayin hauhawar jini, wanda kuma alama ce ta irin wannan cuta. Alamar na gaba shine babban cholesterol.
Ana gano ƙwayar cuta ta microalbuminuria lokacin da aka gano albumin a cikin fitsari. A yau, bincike don gano shi ana iya yi ko da a gida, tun sayi kayan kwalliyar gwaji na musamman a kantin magani.
Cutar tana haɓaka tare da hauhawar jini, wanda shine ɗayan aikin naƙasa. A lokaci guda, arteriole ya ba da labari a cikin marasa lafiya, sakamakon abin da aka inganta aikin keɓewa, wanda sakamakon sa albumin a cikin fitsari ke ƙaruwa.
Amma kuma ana lura da babban abun ciki na albumin tare da lalacewar tasoshin endothelium. A wannan yanayin, shingen duniyan, wanda ke da hani ga hanawar kariyar sunadarai ya zama cikakke.
A matsayinka na mulkin, microalbuminuria a cikin ciwon sukari yana haɓaka shekaru 5-7. A wannan lokacin, an kafa matakin farko na cutar. Mataki na biyu - proteinuria - na iya ɗaukar shekaru 15, kuma na uku (gazawar renal) yana ɗaukar shekaru 15-20 daga lokacin rashin nasara a cikin samar da insulin.
A matakin farko, mai ciwon sukari ba ya jin zafi. Haka kuma, ana iya maganin microalbuminuria har zuwa lokacin da aka sake dawo da aikin koda. Koyaya, a matakai na 2-3 na nephropathy, an riga an sake aiwatar da tsari.
A matakin farko, alamomi sune kashi 30-300 na albumin. Abin lura ne cewa a farkon bayyanar wannan nau'in furotin a cikin fitsari ba a ba shi mahimmancin gaske ba, har sai an fayyace alakar da ke tsakanin nau'ikan cututtukan 2-3 na cutar.
Saboda haka, a yau duk masu ciwon sukari suna yin wani binciken da ke nuna kasancewar albumin a cikin fitsari, wanda ke ba da izinin kulawa da lokaci da kuma dawo da aikin koda.
Binciken Microalbuminuria: yadda ake gudanar dashi, shawarwari, kwafi
Don gudanar da bincike game da microalbuminuria, kuna buƙatar samun takarda daga likita. Bayan duk wannan, wannan binciken na daban ne, ba wani ɓangare na babban binciken fitsari ba.
Don hanya, ana iya amfani da kashi ɗaya ko na yau da kullum na fitsari. Koyaya, don ingantaccen tasiri, yana da kyau a yi nazari kawai kashi ɗaya na fitsari, a wani yanayi, sakamakon ba a dogara da shi ba.
Don bincike, ana tattara fitsari a ko'ina cikin rana a cikin gilashi ɗaya. Bayan haka, akwati dole ne a girgiza kuma jimlar adadin fitsari a rubuce.
Bayan haka, daga can na kowa, ana zuba 150 na fitsari a cikin ƙaramin akwati (200 ml), wanda daga baya aka kai shi dakin gwaje-gwaje. A wannan yanayin, mataimaka dakin gwajin yakamata ya faɗi menene jimlar fitsari, domin ya iya lissafin adadin sinadarin yau da kullun.
Idan adadin albumin bai wuce 30 MG cikin sa'o'i 24 ba, to wannan ana nuna wannan al'ada ne. Idan ƙimar ta wuce, ya kamata ka nemi likita wanda zai tantance girman haɗarin zuwa yanayin haƙuri.
A cikin matakin farko, adadin furotin ya kai 300 mg / rana. Amma a wannan matakin, magani na iya zama da tasiri sosai. Mataki na biyu ana nuna shi ta hanyar wuce haddi na albumin (fiye da 300 mg). Tare da ƙwayar furotin mai ƙarfi, an ƙirƙiri ciwon sukari mai haɗari ga rayuwa.
Koyaya, yana da mahimmanci a tabbatar cewa amsoshin abin dogara ne. Lallai, idan akwai rashin bin ka'idodi don isar da kayan tarihi, ko kuma ga wasu cututtukan, sakamakon na iya gurbata.
Babban shawarwarin tattara fitsari don tantance microalbuminuria:
- Don tattara fitsari, zaka iya amfani da kwalbar lita uku ko siyan kwantaccen ganga na lita 2.7 a cikin kantin magani.
- Kashi na farko na fitsari baya buƙatar tarawa, amma ya kamata a lura da lokacin yin kumburi.
- Dole ne a aiwatar da tarin daidai wata rana, alal misali, daga karfe 9 na safe zuwa 9 na safiyar gobe.
- Kuna iya urin immediatelyan wuta nan da nan a cikin kwandon shara ko a cikin sauran kayan abinci masu bushe da tsabta, rufe su sosai a cikin kwantena biyu.
- Don kiyaye biomaterial sabo ne kuma ba a kwashe shi ba, ya kamata a adana shi a cikin firiji.
Me za a yi idan an gano microalbuminuria?
A cikin cututtukan cututtukan cututtukan zuciya, ya zama dole don sarrafa glycemia (ƙarin cikakkun bayanai game da ganewar asali shine glycemia a cikin nau'in ciwon sukari na 2). Har zuwa karshen, likita na iya yin allurar iv na insulin.
Koyaya, bazai yuwu a murmure daga wannan matsalar ba, amma zai yuwu a rage yadda yake. Idan lalacewar koda ta kasance mai mahimmanci, to, yaduwar sashin jiki ko dialysis, wanda a cikin jinin yake tsabtace, za'a iya buƙatar shi.
Daga cikin shahararrun magunguna don microalbuminuria, Renitek, Kapoten da Enap an wajabta su. Wadannan kwayoyi suna hanawa ne wanda ke magance karfin jini da hana albumin shiga fitsari.
Hakanan, don hanawa da rage hanzarin aiwatar da lalacewar koda, ya zama dole don kula da cututtuka na lokaci. A saboda wannan dalili, ana iya tsara magungunan kashe ƙwayoyin cuta da magungunan ƙwayoyin cuta. Wasu lokuta, ana rubuta diuretics don rama ƙodan da dawo da ma'aunin ruwan-gishiri.
Additionari ga haka, magani na iya zama ba zai yi tasiri ba idan mai ciwon sukari ba ya bi abincin da ke rage cholesterol. Kayayyakin da ke rage ƙunsar wannan abun mai cutarwa sun haɗa da:
- kifi (kwall, kifi, tuna, kifin);
- hatsi da leda (wake, leas, lentil, oats), waɗanda ke yaƙar cholesterol saboda abubuwan da ke tattare da sinadarin fiber a cikinsu;
- 'Ya'yan itãcen marmari da berries marasa amfani;
- kayan lambu (linseed);
- ganye;
- tsaba da kwayoyi (almon, 'ya'yan kabewa, ƙwaya, flax);
- kayan lambu da namomin kaza.
Don haka, tare da babban cholesterol, duk abincin ya kamata ya ƙunshi samfuran halitta. Kuma daga abinci tare da sinadaran roba (masu ƙarfi, dyes, da sauransu), ana buƙatar barin abinci mai sauri da abinci mai dacewa.
Don haka, don hana haɓakar ciwan mai ciwon sukari, ya zama dole a hankali kula da matakin hyperglycemia da kuma nuna alamun hawan jini, saboda a yanayin idan mai haƙuri yana da hauhawar jini da ciwon sukari, yanayin mai haƙuri zai tsananta sosai. Idan glycemia da alamomin hawan jini ba al'ada bane, to wannan zai cutar da hankali ba kawai aikin kodan ba, har ma da jijiyoyin jini, kwakwalwa da sauran gabobin.
Hakanan yana da mahimmanci don shawo kan matakan rage kiba. Tabbas, dangantakar wannan mai nuna alama tare da haɓakar rikice-rikice na ciwon sukari, gami da babban abun da ke cikin albumin, kwanan nan an kafa shi. Idan a cikin yanayin dakin gwaje-gwaje aka gano cewa maida hankali ne na lipids ya yi yawa sosai, to mara lafiyar ya kamata ya ware naman da aka sanya, kirim mai tsami da mayonnaise daga abincin.
Bugu da ƙari, dole ne mu manta game da shan sigari, saboda wannan mummunan al'ada yana ƙara haɗarin rikicewa sau 25. Hakanan yana da mahimmanci a lura da matakin haemoglobin, yawanci bai kamata ya wuce 7% ba. Ya kamata a ɗauki gwajin haemoglobin kowane kwanaki 60. Abin da furotin a cikin fitsari na masu ciwon sukari ya ce - bidiyo a wannan labarin zai gaya.
