Magungunan zamani ana nazarin koyaushe ba kawai abubuwan da ke haddasawa ba, har ma da sakamakon ciwon sukari.
Idan ba a kula da su ba, suna iya haifar da rikice-rikice har ma da mutuwa.
Abin da ya sa yana da matukar muhimmanci a gane wannan cutar cikin lokaci kuma fara magani. Labarinmu game da alamu da sakamakon cutar sankarau a cikin maza.
Etiology da cututtukan dabbobi
A yau, sama da mutane miliyan ɗari huɗu suna wahala da wannan cuta, kuma mutane da yawa ba su ma san cewa matakan glucose na jininsu ya wuce iyakatacce ba. A lokaci guda, tsakanin shekarun talatin zuwa hamsin, ana lura da cutar sankarar fata a cikin maza cikin kashi 47%. Bayan shekara hamsin, mata sun fi fama da rashin lafiya (58%). Babban mahimmancin ci gaban cutar shine nauyi mai nauyi da rashin abinci mai gina jiki.
Kowace shekara, mutane sama da miliyan huɗu suna mutuwa saboda sakamakon wannan cutar. Babban abu shine lahani na tasoshin jini da jijiyoyin da ke cikin idanun, ƙananan gabobi da kodan. Ciwon sukari na iya zama mai dogaro da insulin ko kuma bai dace da insulin ba. Sakamakon mummunan sakamako a wannan yanayin ya dogara da tsananin cutar, a kan matsayin bayyanar alamun ta.
Type 1 ciwon sukari (insulin-dogara) a cikin maza
Nau'in na 1 na ciwon sukari mellitus (na yara, i.e. matasa) wata cuta ce mai matsananciyar damuwa wanda ya danganta da yawan rashin insulin. Wannan yana ba da gudummawa ga ci gaban yanayin barazanar rayuwa: acidosis, ketosis, ciwon sukari koda har mutuwa. Wannan nau'in cutar ana lura dashi ne kawai a cikin 5% na marasa lafiya.
A cikin magani, an yi imanin cewa babban abin da ke haifar da ci gaban ciwon sukari shine ƙaddarar jini, watau gado na gado. Hakanan, abubuwan da ke haifar da ciwon sukari a cikin yara maza da matasa yawanci sun dogara da waɗannan abubuwan:
- hoto ko bidiyo mai zagaya yanar gizo da sauri;
- haɓaka haɓakar ɗan yaro;
- wanda ba a taɓa samu ba lokacin kamuwa da cuta a cikin yara;
- iyakance hulɗa da mutanen da ba su kai shekara biyar ba.
Duk waɗannan suna ba da gudummawa ga rushewar ci gaban tsarin garkuwar jikin mutum, kuma tare da haɓakar ƙarancin ƙwaƙwalwar ƙwayar cuta yana ƙara haɗarin kamuwa da ciwon sukari na 1
Hoto na asibiti
Alamun farko na cututtukan sukari a cikin maza bayan shekaru 30 sun bayyana a farkon shekarun ci gaban cutar. Da farko, suna da ƙananan buƙatar insulin, lokacin da mutum zai iya rayuwa ba tare da allura ba. A tsawon lokaci, alamun cutar na ƙaruwa, akwai buƙatar insulin. Matsakaicin rauni na cutar a cikin maza bayan shekaru talatin ana haifar da jinkirin hanya na kumburi na autoimmune. A cikin yara, duk waɗannan matakan suna ci gaba da sauri.
Don hana faruwar mummunan sakamako wanda zai iya zama haɗari ga rayuwa, ana bada shawara don kula da alamun cututtukan sukari a cikin maza bayan shekaru 30. Wadannan bayyanar cututtuka sun hada da:
- ƙishirwa kullun da bushe bushe;
- itching na fata;
- ƙarancin urination;
- rage rigakafi, karuwar gajiya;
- haɓaka mai kaifi ko raguwa cikin nauyi;
- cututtukan fata da warkewar rauni na rauni;
- kasancewar kamshin acetone a cikin fitsari da iska mai narkewa;
- asarar gashi
- karuwa cikin karfin jini.
Fiye da 30% na jima'i masu ƙarfi zasu koya game da kasancewar nau'in ciwon sukari na 1 lokacin, ban da duk alamun da ke sama, canje-canje a cikin tsarin zuciya.
Sakamakon nau'in ciwon sukari na 1 akan maza
Idan ba ku kula da alamun farko na cututtukan sukari a cikin maza ba, kar ku kula da cutar na lokaci, to wannan zai haifar da lalata koda. 36% na marasa lafiya suna haɓakar nephropathy, wanda zai iya haifar da mutuwa. Hakanan, a cikin wakilan da ke da karfi na jima'i, akwai take hakkin yaduwar jini, ilimin cuta na ƙwayoyin jijiya waɗanda ke ba da gudummawa ga raguwa da jijiyoyin jiki da raunana zubar jini a cikin ƙananan ƙarshen. Wannan sau da yawa yakan haifar da raunin da ya faru na kafa, da samuwar raunin trophic har ma da yanke hannuwan kafa.
Tunda aikin mai juyayi ya rikice, wannan yakan haifar da narkewa mai narkewa, bayyanar zawo, amai da tashin zuciya. A lokuta da yawa, sakamakon cutar sankarau ga maza, akwai tauye aikin jima'i, a cikinsa akwai raguwar tashin hankali, haɓakar rashin ƙarfi.
Akwai haɗari masu haɗari sosai. Don haka, mutum zai iya haɓaka ketoacidosis a cikin ɗan gajeren lokaci, tunda samfuran metabolic suna tarawa cikin jikin mara lafiya, wanda ke haifar da asarar hankali, rashin aiki mai yawa na gabobin jiki da tsarin jikin mutum. Hakanan, yawanci ana samun raguwa sosai a cikin sukarin jini (hypoglycemia), mutum na iya fadawa cikin rashin lafiya, wani lokacin kuma zai iya zama mai mutuwa.
Nau'in ciwon siga na 2 (wanda ba shi da insulin) a cikin maza
Nau'in 2 na ciwon sukari mellitus cuta ce ta rayuwa wanda yawan aikin insulin din ya ragu ko kuma ya fahimci yanayin aikin sa. An lura da wannan nau'in cutar a cikin 95-98% na marasa lafiya da ciwon sukari. Yawancin lokaci wannan nau'in ciwon sukari ya fi yawa a cikin maza bayan shekaru 50.
Likitocin sun yi imanin cewa abubuwa da yawa suna taka rawa wajen bunkasa cutar:
- kwayoyin halittar jini;
- karancin ci gaban tayin cikin mahaifar;
- tsufa;
- rage aiki na jiki;
- wuce haddi abinci mai gina jiki da kiba.
A cikin maza, bayan shekaru sittin da biyar, ana lura da ciwon sukari a cikin 20%, bayan shekaru saba'in da biyar, wannan alamar yana ƙaruwa da sauri.
Hoto na asibiti
Yawanci, nau'in ciwon sukari na 2 a cikin maza ana samun shi kwatsam. Wannan na faruwa ne musamman lokacin da alamun farko na cututtukan sukari a cikin maza bayan shekaru 50 ke bayyanuwa ta hanyar lalacewa kadan cikin ƙoshin lafiya, wanda ke haifar da ƙaramar jima'i don tuntuɓar likita. Waɗannan alamun sun haɗa da:
- ƙishirwa kullun da bushe bushe;
- bushewa da itching na fata;
- urination akai-akai
- kullun gajiya da rauni.
A farkon matakin cutar, mutum na iya fuskantar raguwa sannu-sannu a cikin sukari na jini (hypoglycemia). A wannan lokacin, ana ganin alamun alamun ciwon sukari a cikin maza bayan shekaru 50:
- jin tsananin yunwa;
- karuwar zuciya;
- karuwa cikin karfin jini;
- hannayenku suna rawar jiki da zufa.
Sakamakon kamuwa da cutar siga ta 2 akan maza
Wasu maza zasu iya yin watsi da duk waɗannan bayyanar cutar da juya wa likitoci idan rikitarwa ta haifar. Ofaya daga cikin rikice-rikice na farko shine lalacewa ta lalace, wanda a ciki ikon sha wahala. Don haka, a cikin maza, ana iya lura da alamun ciwon sukari masu zuwa:
- kasawa;
- rage jima'i drive;
- rashin haihuwa
Ciwon sukari na 2 shima yana haifar da hakori da asarar gashi, matsalar rashin jini da kuma thrombocytopenia, arteriosclerosis, nephropathy, cututtukan cututtukan jijiyoyi da jijiyoyi, rashin gani, ci gaban bugun zuciya, tashin zuciya, da sauransu. Maza na iya koka da rage karfin hauhawar jini, gudawa. ko maƙarƙashiya, rashin iya tsayayya da aikin jiki, da sauransu.
Bayan shekaru hamsin, ciwon sukari na iya haifar da cutar lactocidotic, wacce ke tattare da girgijewar ƙwaƙwalwa, retinopathy, wanda ke nuna kanta a cikin zubar jini a cikin asarar kuɗi da asarar hangen nesa, kazalika da ƙirƙirar ƙafar mai ciwon sukari, a cikin abin da fasa da jijiyoyin wuya suka bayyana akan kafafu.
Hidden (latent) ciwon sukari a cikin maza
Maza suna da nau'i na musamman na cutar - latent diabetes mellitus, wanda ke faruwa ba tare da alamun alamu ba, wanda ke ba da gudummawa ga matsaloli wajen yin bincike. Ta yaya zazzage cututtukan sukari za su bayyana idan mutum ya ji jiki? Yawancin lokaci, ana gano rashin lafiya a mataki lokacin da mutum ya kamu da cutar zuciya. Idan ba a kula da wannan ilimin ba, tsarin juyayi yana cikin damuwa, gazawar zuciya, da asarar hangen nesa na iya faruwa. Likitocin sun bayar da shawarar a tuntuɓi cibiyar likita idan mutum ya lura da alamun nan:
- gaban furunlera da rashes akan fatar;
- abin da ya faru na matsaloli tare da hakora da gumis;
- lalatawar jima'i;
- rage ji na jiki;
- ko da yaushe ji ƙishirwa;
- karuwar ci.
Hanyoyin rigakafin
Waɗanda ke da alaƙa ga haɓakar kamuwa da cuta suna buƙatar sanin yadda za su yi ƙoƙarin guje ma ta. Likitoci sun ba da shawarar fara rigakafin cutar sankara kamar yadda ya kamata. Wani dattijo zai iya lura da yadda yake cin abinci.
Da farko, dole ne mutum ya kula da ma'aunin ruwa a jikinsa. An ba da shawarar sha kofuna biyu na tsarkakakken ruwan da safe da kuma kafin kowane abinci. Hakanan wajibi ne don bin tsarin kayan lambu, yana iyakance amfani da kayan abinci na gari da dankali. Maza masu kiba kada su ci bayan shida da yamma. An ba su shawara su ware nama mai, kiwo da kayan abinci na gari daga abincin. Wadanda ke cikin haɗarin ya kamata sun haɗa da walnuts, ganye da tumatir, wake da 'ya'yan itatuwa citrus a cikin abincinsu na yau da kullun.
Hanyar hana kamuwa da cutar siga shine motsa jiki. Kowace rana kuna buƙatar yin kowane wasa na minti ashirin. Za'a iya kiyaye aikin jiki ta amfani da abubuwan da suke tafe:
- tafiya mai nauyi;
- yamma maraice;
- wasanni masu aiki tare da yara ko jikoki;
- amfani da safarar mutane.
Don rage yiwuwar bayyanar cututtukan sukari, likitoci sun ba da shawarar kada su shiga cikin yanayin damuwa, don guje wa damuwa na damuwa. Hakanan kuna buƙatar kawar da barasa da cutarwa na nicotine, don jagoranci rayuwar da ta dace. Kar ku manta cewa magunguna, ƙwayoyin cuta da cututtuka na iya taimakawa wajen fara cutar sukari a cikin jima'i mai ƙarfi.
Ciwon sukari mellitus ya zama ruwan dare gama gari. Nau'in nau'in 1 na ciwon sukari galibi yakan shafi maza bayan shekaru talatin, da kuma nau'in ciwon sukari na 2 - bayan shekara hamsin. Amma kuna buƙatar sanin cewa wannan cutar ba hukuncin kisa bane, amma cuta ce da zaku iya rayuwa. Yana da mahimmanci kawai a bi duk umarnin da shawarwarin likita. Dukkanin rikice-rikicen cutar za a iya kawar dasu ta hanyar sanya idanu akan rayuwar ka da lafiyar ka. A yau, akwai magunguna da yawa waɗanda ke taimaka wa rage yawan sukarin jini. Ta hanyar cinye su a kai a kai, za a iya guje wa mummunan tasirin cutar sankara a nan gaba.