Idan mutum yana da yawan sukari mai jini a cikin gwajin jini, tabbas likita zai sanar da shi cutar sankarar fata, wanda hakan shine farkon ciwon sukari. Kalmar hyperglycemia zai bi ta mai ciwon sukari tsawon rayuwarsa, don haka yana da muhimmanci a san komai game da shi.
Duk da karuwar ƙimar sukari a cikin ciwon sukari, ana iya haɓaka haɓakar hyperglycemia ko kuma yana iya kasancewa cikin matsakaiciyar al'ada lokacin da matakan glucose yana kusa da ƙimar abubuwan da ake buƙata kuma babu buƙatar gyara shi.
A bisa al'ada al'ada ne a raba matakai da yawa na ci gaban wannan yanayin:
- haske
- matsakaici;
- nauyi.
Likita mai halartar zai taimaka wajen tantance madaidaicin halayen daidai, wanda ke bayyana wa kowane mara lafiya dalilin da yasa yake da muhimmanci a sanya ido a kai a kai kuma a cikin wane tsari ne ya kiyaye shi.
Hyperglycemia yana taimakawa wajen tantance yanayin mai haƙuri: azumi, postprandial.
Idan hyperglycemia ya wuce kima sosai, zai iya haifar da cutar sikari, wanda kuma ana kiranta da cutar ketoacidosis. A wannan halin, mutum na iya rasa hankali kuma ya mutu.
Yana da mahimmanci koyaushe mahimmanci tuna cewa ciwon sukari cuta ne na endocrine wanda ba ya bayyana kansa a kowace hanya tsawon shekaru.
Sanadin Hyperglycemia
Haɓaka glucose na jini na iya faruwa saboda dalilai daban-daban, da farko saboda rashin bin ka'idodin abincin da likita ya umarta. Lokacin da mai ciwon sukari ya cinye adadin carbohydrates, a cikin rabin sa'a a cikin hankalin glucose na jini ya tashi da sauri.
Duk da gaskiyar cewa glucose tsarkakakken tushen samar da kuzari, yawanta yana haifar da cutarwa sosai fiye da yadda take a farko.
A tsawon lokaci, cutar rashin ƙarfi ta shafar tafiyar matakai na rayuwa, wanda zai bayyana kansa:
- Kiba
- take hakkin tsarin zuciya;
- mai fama da rashin daidaituwa na glucose;
- ƙara yawan triglycerides.
Lokacin da mara lafiya ya kamu da cutar 2 ko fiye na waɗannan alamun tare da kiba, za a gano shi da ciwo na rayuwa. Ba tare da magani na lokaci ba, nau'in ciwon sukari na 2 na mellitus yana haɓaka hankali.
Kiba mai yawa yana haifar da juriya na insulin, musamman ma sau da yawa tare da kiba a ciki, lokacin da aka ajiye mai a kusa da kugu. Yawancin marasa lafiya da masu ciwon sukari sun cika kiba (BMI sama da 25).
Anyi nazarin hanyoyin haɓakar ciwon sukari a cikin mutane masu kiba sosai. Yawan wuce haddi na tsopose nama yana kara yawan kiwan acid - babban tushen kuzari. Tare da tara yawan kitse a cikin jini, hyperinsulinemia, juriya na insulin yana faruwa. Bugu da kari, asarar kitse kyauta ce mai matukar illa ga jikin beta, yayin da suke rage ayyukan kungiyar kwayoyin halitta.
Saboda haka, a farkon yiwuwar gano cutar sankarau ta 2, ana nuna binciken plasma akan matakin FFA, tare da ɓarke waɗannan abubuwan da muke Magana game da haɓakar haɓakar glucose, hauhawar azumi.
Sauran abubuwan da ke haifar da hauhawar cutar hyperglycemia: m yanayi mai damuwa, shan wasu magunguna, cututtukan cututtukan cuta ko na kullum, karancin insulin.
Musamman masu haɗari shine rashin insulin, ƙwayar jigilar jigilar kai wanda ke inganta rarraba makamashi a cikin jiki. Tare da karancinsa, kwayoyin glucose zasu taru a cikin magudanar jini, wani bangare na makamashi mai yawa ana adana shi a cikin hanta, ana sarrafa wani sashi a kitse, sannan kuma a hankali ragowar tare da fitsari.
Lokacin da farji ya kasa samar da isasshen insulin:
- sugar poisons jini;
- ya zama mai guba.
Tare da mellitus-insulin-da ke fama da ciwon sukari, ya zama dole don saka idanu akan allurai na insulin, wanda ke gudana sau da yawa a rana. Daidai gwargwadon kwayar halitta koyaushe ya dogara da abinci mai haƙuri, shekarunsa da kuma wasu sigogi. Tare da isasshen adadin insulin gudanarwa, hyperglycemia yana haɓaka.
Ba shine rawar ƙarshe na haɓakar haɓakar hyperglycemia da nau'in ciwon sukari na 2 an sanya su cikin yanayin tsinkayen gado ba. Masana kimiyya sun bayyana fiye da ɗaruruwan kwayoyin halitta waɗanda ke da alaƙa da yiwuwar haɓaka juriya ga insulin, kiba, ƙwayar glucose mai narkewa da haɓakar mai.
Hyperglycemia da alamominsa kuma suna haifar da lalacewar ƙwayoyin beta na pancreatic, sune:
- aikin;
- na halitta.
Kamar yadda aka sani, abubuwan da ke haifar da matsalolin sukari na jini suna buƙatar kulawa na magunguna na dogon lokaci: hormones na adrenal cortex (glucocorticosteroids), diuretics (thiazides), kwayoyi da hauhawar jini, arrhythmias, don rigakafin cututtukan zuciya (beta-blockers), antipsychotics (antipsychotics), magungunan anticholesterol (statins).
Nazarin da aka gudanar akan manyan dangi da tagwaye sun tabbatar da cewa idan daya daga cikin iyayen ta kamu da ciwon sukari na 2, to yarinyar zata san menene cutar glycemia wacce ke da kusan kashi 40%.
Alamomin Maganin Ciwon Jiki
Marasa lafiya suna iƙirarin cewa yana da nisa ko da yaushe yiwuwar fuskantar alamun cututtukan hawan jini a cikin nau'in ciwon sukari na 2. Abin lura ne cewa tare da glucose a cikin kewayon daga 10 zuwa 15 mmol / lita, wanda ya ɗauki tsawon lokaci, mutum zai iya jin al'ada, kada ku yi gunaguni game da lafiya.
Koyaya, dole ne ku saurara ga jikinku, musamman tare da asarar nauyi kwatsam, yawan urination, kullun ƙishirwa, gajiya, haifar tashin zuciya, da amai. Tare da matsaloli tare da sukari, mutum yakan bushe cikin makogwaro da daddare, barci yana damuwa.
A wannan lokacin da matakin glucose ya wuce bakin ƙofar mafitsara, yawanta yana gudana tare da fitsari, don haka mai ciwon sukari yana tilastawa zuwa kullun zuwa bayan gida (kowane awa daya ko biyu). Sakamakon haka, jiki yana fara yin asara da danshi, bushewar jiki yakan faru ne akan tushen ƙishirwa.
Tunda kodan basu iya jure aikin su ba, jinin baya tsabtace yadda yakamata, tare da fitsari, mutum yakan rasa abubuwanda suke da lafiya ga lafiya:
- furotin
- chlorides;
- potassium
- sodium
Wannan hanyoyin ilimin halayyar dan adam ana bayyana shi ta hanyar bacci, rashi, nauyi.
Idan kodan gaba daya sun rasa ikon tsarkake jini, cutar sankarau ta kamu, wanda daga karshe ya zama gazawar koda. A cikin irin waɗannan halaye, akwai alamomi na cututtukan jijiyoyin koda, wanda ya ƙunshi tsarkakewar jini na mutum.
Thearfin da bayyanar cututtuka na hyperglycemia a cikin nau'in ciwon sukari na 2 na kai tsaye ya dogara da yawan sukari da tsawon lokacin da yake da girma. Idan babu magani na lokaci, ketoacidosis da ketonuria zasu fara haɓakawa tare da glucosuria.
Yayinda ciwon sukari ke tasowa, alamomin su zama mafi tsanani, mai yuwuwar haɗari. Lokacin da hyperglycemia ya kai matakan girma kuma an kiyaye shi tsawon lokaci, yana faruwa:
- ciwo mai zafi a kafafu;
- ci gaba da cutar yisti;
- jinkirin warkar da sikari, yanke;
- nunannun manya da ƙananan juzu'in.
Ciwon sukari na 2 yana ba da tasiri mai ƙarfi a cikin ƙwayar zuciya, a cikin mata ana furta wannan musamman. A cikin marasa lafiya, haɗarin bugun zuciya yana ƙaruwa nan da nan sau 2, da kuma raunin zuciya sau 4.
Hyperglycemia a lokacin daukar ciki yana haifar da rikice-rikice idan mace ta yanke shawarar yin juna biyu: ƙarshen toxicosis, polyhydramnios, ashara, cututtukan urinary tract.
Bayyanar cututtuka na ketoacidosis na ciwon sukari
Bin shawarar likitocin da ke halartar zasu taimaka dakatar da cutarwa a cikin jiki. A kowane hali, akwai buƙatar neman taimakon masanin abincin da zai inganta tsarin abinci mai karancin kayan abinci. Don matsalolin koda, akwai alamun da za a rage yawan adadin abincin furotin da ake ci, da gishiri.
Tare da nau'in ciwon sukari na 2 na ciwon sukari, alamun ketoacidosis zai zama ciwon kai a kai a kai, ƙanshi mara dadi daga ƙuƙwalwar bakin, rauni, raunin ciki, tashin zuciya, zawo, saurin numfashi, raguwar ci, har zuwa kuma ya haɗa da tashin hankali ga abinci. Don tsananin numfashi, amai, da tashin zuciya:
- kira jirgin motar asibiti;
- wannan yanayin yana samar da asibiti mai sauri.
Bugu da kari, a kowane yanayi da ba a saba gani ba, mara lafiya ya zama mai matukar rauni. Misali, tare da cututtukan da ke kamuwa da cuta ko na kwayar cuta, idan zafin jiki ya tashi, wani bangare na insulin ya lalace. Idan jiki a yayin cutar ya raunana sosai, babban zafin jiki yana daɗewa, ketoacidosis yana haɓaka cikin hanzari. Saboda wannan, ba za a iya watsi da bayyanar cututtukan hawan jini a cikin nau'in 2 na ciwon sukari na 2 ba.
Shawarwarin na biyu zai zama karuwa a cikin aiki na jiki, musamman ga marasa lafiya:
- tsufa;
- tare da kiba.
Yana da mahimmanci a kula da tafiya, wasan motsa jiki na likita, amma, kar a manta cewa an haramta ayyukan motsa jiki tare da hyperglycemia sama da 13 mmol / l.
Hakanan ana buƙatar shan ruwa mai isasshen ruwa, musamman tare da glycemia sama da 12 mmol / L. Sha ruwa mai yawa a duk rabin sa'a. Magunguna don rage yawan sukari suna taimakawa, amma ba za ku iya ɗaukar su da yawa ba kuma sau da yawa, in ba haka ba halayen masu illa suna ci gaba.
A farkon matakan hyperglycemia a cikin ciwon sukari mellitus kawai za'a iya gyara shi ta hanyar ingantaccen abinci mai daidaitawa.
Likitoci na da tabbacin cewa irin wannan magani zai zama mabuɗin rayuwa ba tare da cutar sankara ba a nan gaba.
Cutar cutar sankara
Bayyanar cututtukan hyperglycemia a cikin ciwon sukari mellitus mai yiwuwa ne ta hanyar yin nazarin plasma na azumi, gwajin haƙuri da keɓaɓɓe.
Yin nazarin glucose a cikin jini na jini shima yana taimakawa wajen tabbatar da kasancewar hypoglycemia. Suna yin ta a kan komai a ciki bayan awa 10 na azumi. Matsayi na glucose zai zama al'ada a cikin alamomi daga 3.9 zuwa 5.5 mmol / l, ana tsammanin ciwon sukari ya kasance daga 5.6 zuwa 6.9%, ana gano cutar sukari mellitus ta hanyar bincike daga 7 mmol / l (don cire kurakurai, ana maimaita nazarin sau da yawa )
Gwajin glucose ya nuna matakin glucose na awanni 2 bayan shan babban ruwan sukari (kashi 75 na sukari da ruwa 300 na ruwa). A cikin ciwon sukari, sakamakon zai zama 11.1 mmol / L kuma mafi girma.
Idan ka sami sakamakon guda ɗaya kawai, kana buƙatar maimaita gwajin sau da yawa. A wasu halaye, hauhawar jini ta haɗu da tushen:
- yawan damuwa;
- raunin da ya faru
- cututtuka.
Don tabbatarwa ko ware haɓakar ciwon sukari, an nuna yin gwaje-gwajen glucose da yawa a lokuta daban-daban na rana, bayan abinci da kan komai a ciki.
A cikin bidiyon a cikin wannan labarin, likita zai yi bayani dalla-dalla game da alamun cutar hauka.