Cutar sankara (mellitus) tana haifar da matakai da yawa a cikin jiki, wanda ke raunana mai haƙuri kuma ya sa shi ya zama mai saurin kamuwa da cututtuka masu yawa. Musamman ma sau da yawa, masu fama da cutar sankara suna kamuwa da wannan cuta mai haɗari kamar tarin fuka.
A baya can, ciwon sukari mellitus a hade tare da tarin fuka a cikin 90% na lokuta sun haifar da mutuwar mai haƙuri, amma a yau waɗannan ƙididdigar ba su da tsoro. Godiya ga cigaban ilimin zamani, yawan mace-mace a tsakanin wannan rukunin marasa lafiya an rage sosai.
Amma har a yau, tasiri na jiyya ya dogara ne akan gano cututtukan da suka dace, wanda zai hana ci gaba da rikitarwa. Don yin wannan, duk masu ciwon sukari suna buƙatar sanin yadda cutar tarin fuka da ciwon sukari ke haɗuwa, menene alamun ke nuna haɓakar cutar ta biyu, kuma wacce magani zai fi dacewa da wannan cutar.
Dalilai
Marasa lafiya waɗanda ke fama da ciwon sukari sau 8 sun fi haɓakar cutar tarin fuka fiye da mutane masu lafiya.
Mafi sau da yawa, wannan cuta tana shafar maza masu ciwon sukari masu shekaru 20 zuwa 40. A cikin wannan rukunin hadarin, kowane mara lafiya na 10 ba shi da lafiya tare da tarin fuka.
Cutar tarin fuka a cikin ciwon sukari tana haɓaka saboda waɗannan dalilai:
- Shawo kan tsarin rigakafi sakamakon raguwar ayyukan leukocytes, phagocytes da sauran sel na tsarin garkuwar jiki. Sakamakon haka, shiga cikin jikin mai haƙuri, cutar tarin fuka ta Mycobacterium an lalata shi ta hanyar rigakafi, kuma ya fara haɓaka.
- Tissue acidosis, wanda shine sakamakon ketoacidosis. Wannan yanayin yakan haifar da ciwon sukari mellitus kuma ana ɗaukar shi ta hanyar tarawar ketone a cikin jinin mai haƙuri, musamman acetone. Wannan yana haifar da mummunar guba da lalacewar kyallen ta ciki, wanda ke sa su zama masu saurin kamuwa da cuta.
- Take hakkin carbohydrate, kitse, furotin da kuma ma'adinan metabolism .. Wannan yana haifar da rashi na abubuwa masu mahimmanci kuma yana ba da gudummawar tarin samfuran metabolism, wanda ke rikicewa da aiki na al'ada na dukkanin tsarin ciki kuma yana raunana kaddarorin kariya.
- Takewa da sake kunnawar jikin mutum.Wannan kayan jikin ya zama dole don yakar kwayoyin cuta. Don haka a cikin mutane masu lafiya, cututtukan cututtuka, a matsayin mai mulkin, suna faruwa da zazzabi da zazzabi, wanda ke taimaka musu da sauri kan kawar da cutar. A cikin marasa lafiya da ciwon sukari, cututtuka suna haɓakawa da kwanciyar hankali, amma galibi suna haifar da rikice-rikice.
Musamman babban haɗarin cutar tarin fuka a cikin marasa lafiya da ke fama da cutar sankara mai ƙoshin mahaifa, wanda ke tattare da hawan jini a koda yaushe.
Wannan yana haifar da mummunar lalacewar gabobin ciki da haɓaka tafiyar matakai masu kumburi waɗanda ke haifar da yanayi mai dacewa ga ƙwayoyin cuta.
Kwayar cutar
Haɓaka cutar tarin fuka a cikin ciwon sukari bawai ya dogara da tsananin cutar ba, amma a kan matsayin biyan diyya ga ƙwaƙwalwar narkewar ƙwayar cuta. Tare da raunin cutar sankara mai ƙarancin cuta, tarin fuka yana yaduwa da sauri, yana shafar ƙwaran huhun huhu har ya kai ga mummunan yanayin.
Yana da mahimmanci a lura cewa koda daidaitaccen lokacin da cutar tarin fuka ba zai kawo sakamakon da ake so ba idan mai haƙuri ya kasa daidaita matakan glucose a jiki. A wannan yanayin, har yanzu zai faru tare da rikice-rikice na kullun da kuma komawa da ke da wuyar magani.
A cikin farkon matakan, tarin fuka a cikin marasa lafiya da ciwon sukari mellitus na iya kusan asymptomatic. A wannan lokacin, mai haƙuri na iya fuskantar waɗannan alamun:
- Rashin ƙarfi, rage aiki;
- Rashin ci;
- Karin gumi.
Ganin gaskiyar cewa wadannan alamomin ba takamamme bane, masu haƙuri suna iya ganin su a matsayin alamun ciwon sukari da ke kara kumburi. Sau da yawa, tarin fuka a cikin masu ciwon sukari ana gano shi ne kawai lokacin da ake yin hoton, wanda zai iya bayyana mahimman raunukan huhu a cikin cikakkiyar bayyanar cututtuka.
Wata alama da ke nuna ci gaban huhun huhu a cikin cututtukan mellitus shine karuwa kwatsam a cikin sukarin jini ba tare da wani tabbataccen dalili ba. Wannan saboda saboda ci gaba da cutar tarin fuka a cikin jiki, buƙatar insulin yana ƙaruwa, wanda ke haifar da lalata cututtukan sukari da haɓaka matakan glucose.
Wannan fasalin na tarin fuka wani lokacin yana haifar da haɓakar ciwon sukari a cikin marasa lafiya waɗanda ba su da matsala a baya na metabolism. Cutar tarin fuka a cikin ciwon sankara ce mai matukar muni, tana ci gaba da sauri kuma tana shafar manyan wuraren huhu. Wannan yana haifar da gaskiyar cewa koda tare da ingantaccen maganin warkar da tarin fuka, mai haƙuri yana riƙe da cutar huhu.
Ofaya daga cikin sifofin halayen haɗin gwiwa na haɓakar tarin fuka da ciwon suga shine fassarar cutar ta cikin ƙananan ƙwayoyin huhu. Idan aka saukar da wata alama mai kama da wannan a cikin mai haƙuri da cutar tarin fuka, ana aika shi don gwajin jini don sukari, saboda abin da zai yuwu a gano saurin cutar sankara.
Don haka, ciwon sukari tare da tarin fuka ƙarin ƙarin ne wanda ke rikita yanayin cutar kuma yana ba da gudummawa ga saurin haɓaka rikice-rikice.
Sabili da haka, lura da tarin fuka, tare da babban sukari na jini, yana buƙatar amfani da hadadden jiyya, wanda ya haɗa da amfani da magungunan tarin fuka da magungunan ƙwayoyin cuta na zamani.
Hakanan dole ne ku bi tsarin abinci kuma kuyi tsarin aikin likita.
Jiyya
Ana gudanar da aikin tiyata na nau'in 1 da nau'in ciwon sukari na 2 bisa ga hanyoyin likita daban-daban.
Don haka don yaƙar cutar tarin fuka tare da nau'in ciwon sukari na 1, tiyata ta warke dole ne ya haɗa da waɗannan matakan.
Da farko, kuna buƙatar ƙara yawan sashi na insulin da kashi 10. Duk da haka bukatar:
- Anara ƙarin adadin inje na insulin a kowace rana, yin gabatarwar ta zama ƙarin juzu'i. Yawan adadin alluran ya kamata ya zama aƙalla 5 kowace rana;
- Sauya wani ɓangare ko cikakkiyar ƙwaƙƙwaran ƙwayoyi na saki tare da gajeren insulins. Gaskiya ne gaskiya ga marasa lafiya da ke haifar da ci gaban ketoacidosis.
Don nau'in ciwon sukari na 2, ya kamata a gudanar da magani a cikin matakan masu zuwa:
- Theara yawan adadin magungunan hypoglycemic;
- Haɗe a cikin aikin injections na insulin bai wuce raka'a 10 ba;
- A cikin cututtukan tarin fuka, cikakken maye gurbin magunguna masu rage sukari tare da injections na insulin gajere.
Mafi mahimmancin bangaren kulawa da cutar tarin fuka shine amfani da magunguna na musamman. Don magance wannan cutar, mai haƙuri ya kamata ya sha kwaya akai-akai don tarin fuka, wanda, a haɗe tare da maganin antidiabetic, na iya cimma sakamako mai girma.
Da yake magana game da kwayoyi game da tarin fuka, ya zama dole a nuna irin waɗannan hanyoyin:
- Amikacin;
- Isoniazid;
- Kanamycin;
- Capreomycin;
- Paraaminosalicylic acid;
- Ethambutol;
- Pyrazinamide;
- Protionamide;
- Rifabutin;
- Rifampicin;
- Tsarincin
- Tubazide;
- Ftivazide;
- Cycloserine;
- Etionamide.
Yana da mahimmanci a jaddada cewa wasu daga cikin waɗannan ƙwayoyin za a iya contraindicated a cikin rikitarwa na ciwon sukari, sune:
- Ethambutol ba shi da shawarar don microangiopathy na retinal (rauni na kananan jiragen ruwa a cikin gabobin hangen nesa);
- Isoniazid yana contraindicated idan akwai wani polyneuropathy (lalacewar tsarin jijiya na gefe);
- An haramta Rifampicin a cikin lokuta na ketoacidosis ko hepatosis mai mai mai mai yawa.
A wannan yanayin, mai haƙuri ba zai yiwu ba, amma kuma yana buƙatar fara shan wani magani wanda yake da cikakken aminci a gare shi.
Don kiyaye jikin da ya raunana kuma ya karfafa tsarin na rigakafi, marasa lafiya da cutar tarin fuka sukan wajabta maganin fitsari. Wadannan bitamin masu zuwa suna da amfani sosai ga wannan cuta:
- Vitamin B1 - 2 MG kowace rana;
- Vitamin B2 - 10 MG kowace rana.
- Vitamin B3 - 10 MG kowace rana.
- Vitamin B6 - 15 MG kowace rana. A cikin cututtukan huhu da ke fama da cutar kwayar cuta, ana iya haɓaka yawan ƙwayoyin yau da kullun zuwa Vitamin B6 zuwa 200 MG kowace rana.
- Vitamin PP - 100 MG kowace rana;
- Vitamin B12 - 1.5 mcg kowace rana;
- Vitamin C - kimanin 300 MG kowace rana;
- Vitamin A - 5 MG kowace rana.
Bugu da ƙari, ana iya haɗa abinci mai gina jiki a cikin maganin rigakafin tarin fuka, wanda yakamata a daidaita shi kuma ya ƙunshi babban adadin abubuwan gina jiki.
Tare da tarin fuka, mai haƙuri yana cikin damuwa a cikin furotin da metabolism metabolism, wanda za'a iya kira shi ɗayan manyan dalilai na haɓaka sakamako masu yawa. Sakamakon wannan, duk abinci tare da babban abun ciki na furotin na dabba, har da sukari, jam da sauran abinci masu wadataccen carbohydrates, dole ne a cire su daga abincin mai haƙuri.
Mafi kyawun zaɓi don duka tarin fuka da ciwon sukari shine ƙarancin abinci-carb, wanda ya haɗa da cin abinci tare da ƙarancin glycemic. Bugu da kari, an haramta soyayyen abinci da mai-kalori a karkashin wannan abincin, amma an kyale kayan lambu da hatsi da yawa Don maganin tarin fuka da ciwon suga, kalli bidiyo a wannan labarin.
