Ciwon sukari mellitus da ciwon kafa ɗaya suna tare koyaushe, tunda cutar da kanta tana shafar ayyukan gaba ɗaya. Za'a iya la'akari da jin zafi a cikin ƙananan ƙarshen azaman alama ta farko na farkon cutar.

Abin takaici, alamun farko ana watsi da su ta hanyar marassa lafiya, ana ganin bayyanar zafin a matsayin gajiya ko rauni, amma ba wai a matsayin alamar farkon cutar ciwon suga ba.

Matsalar ta ta'allaka ne da cewa kusan rabin marasa lafiya da masu ciwon sukari a cikin kuskure sun yi imani cewa ba su tsoron cututtukan zuciya da jijiyoyin jini, kasawa a cikin aikin kodan.

Koyaya, ciwon sukari mellitus sau da yawa yana nuna rashin tsammani, kuma kawai godiya ga cikakken bincike, sarrafawa a cikin dakin gwaje-gwaje da kuma horo, ana gano rikice-rikice na lokaci, wanda, dangane da jin zafi a kafafu, na iya haɗawa da haɓaka ƙafar mai ciwon sukari.

Idan ba a aiwatar da magani na lokaci-lokaci game da ciwon sukari ba bisa ga ka'idodin, to, yanke hannu na kafa yana yiwuwa, don haka ya kamata a kula da abin da ya faru na azaba sosai.

Me yasa zafin ƙafa ya faru a cikin ciwon sukari?

Babban abin da ke haifar da ciwo a cikin ƙananan ƙarshen cututtukan ƙwayar cuta shine sukari mai hawan jini, wanda ke haifar da ƙarancin jini ga kafafu.

Hakanan shekaruna yana shafar ci gaban wannan matsalar. A cikin tsofaffi, haɗarin cututtukan ƙafa yana da girma, wanda ke rikitar da rayuwarsu sosai, kamar yadda ƙananan ƙafafunsu wani lokacin suna jin rauni sosai, kuma idan ba a yi komai ba, wannan yana haifar da mummunan sakamako.

Yakamata a yi la’akari: wannan rikitarwa a cikin nau'in jin ciwo ba a bi da shi tare da taimakon maganin gargajiya, da jin zafi, idan ya yi rauni kaɗan, wannan ba yana nufin kawar da matsalar ba, zafin zai ragu kawai.

Atherosclerosis yana faruwa ne sakamakon ciwon sukari na mellitus, wanda a cikin akwai raguwar hanyoyin jini, a sakamakon haka, kwararar jini zuwa kafafu yana da wahala. Kafafu ba su karɓar abinci mai gina jiki da iskar oxygen ba, suna fara cutar da yawa, wanda ke haifar da matsaloli da yawa ga mai haƙuri da ciwon sukari.

Tare da aiki na lokaci don daidaita yanayin jini, za a iya hana ci gaba da irin wannan lalacewa a cikin ciwon sukari.

Tare da ciwon sukari, ciwon kafa yana faruwa saboda dalilai biyu:

• yawan glucose a cikin jini a kodayaushe yana matakin girma, jijiyoyin jijiyoyin kafafu suna shafar kansu, ba a karɓar abubuwa masu ƙarfi zuwa ga ƙashin ƙafa. Wannan tsari ana kiran shi mai ciwon sukari;
• atherosclerosis daga baya yana haifar da toshewar tasoshin jini, ƙwanƙwasa jini yakan faru, ischemia (rashi oxygen) ya bayyana. Sakamakon haka, mutum yana jin zafi a cikin ƙananan ƙarshen.

A cikin yanayin farko, tare da asarar mai saukin kamuwa, mai haƙuri ba ya jin zafi, sanyi ko zafi. Hakanan bai lura da lalacewar ƙafafunsa ba, saboda baya jin komai. Smallaramin ɓoci na iya haifar da ciwo wanda ba ya warkar da dogon lokaci, daga abin da ake gabatarwa zai iya ɗaukar babban ɓangare na kafa kuma ya haifar da ci gaba da gangrene.

Kumburi daga cikin ƙananan ƙarshen ƙananan marasa lafiya a cikin marasa lafiya da ciwon sukari

Edema na kafafu a cikin marasa lafiya da ciwon sukari mellitus na iya faruwa saboda ilimin halin nephrotic, saboda abin da puffiness ke tasowa. Bugu da kari, kasancewar atherosclerosis kuma na iya tsokanar edema a kafafu, tare da shi akwai toshewar hanyoyin jini, kuma samarda jini yana da damuwa, kafafu sun ji rauni, kamar yadda muka rubuta a sama.

Sannan an tsara mai haƙuri mai tsayayyen abinci, motsa jiki na jiki wanda likita ya umarta don taimakawa dawo da yanayin jiki zuwa al'ada, kuma an tsara maɗaukaki, maƙasudin wanda shine kubutar da mai haƙuri daga cutar da ke haifar da kumburi - cututtukan nephrotic ko atherosclerosis.

Bayyanar cututtukan kafafu a cikin marasa lafiya da masu ciwon sukari

Abubuwan da ke haifar da rauni na ƙafa a cikin marasa lafiya da ciwon sukari:

• a kan take hakkin kasusuwa na kafafu (trophic);
• saboda cin zarafin ƙwayoyin jijiya (neuropathy);
• saboda haɓakar cututtukan jijiyoyin bugun gini (rheology);
• hade da dalilai da yawa.

Sau da yawa, abin da ya faru na rauni na trophic saboda ciwon sukari mellitus yana hade da irin waɗannan dalilai:

• cutar atherosclerosis (a cikin maza, irin wannan cututtukan yana faruwa sau da yawa);
• raunuka na jini;
• rikicewar tsarin jijiya na gefe.

Abun ulcer shine mafi yawanci da:

1. lalacewa da tarko a ƙafafu;
2. kona gidaje da yawa;
3. bayyanar corns;
4. ƙananan rauni da rauni.

Me yasa ciwon ulcer ke faruwa kuma ta yaya suke girma?

Tare da ciwon sukari, ya kamata ku kula da hankali sosai game da matakin glucose a cikin jini, kuna buƙatar kuma saka idanu akan duk jikin, yanayin fata. Kamar yadda aka ambata a baya - za a iya tsayar da cututtukan da suka dace a kan lokaci kuma ci gaba da rikice-rikice ya tsaya, yayin da kafafu suka ji rauni, kuma raunuka na ci gaba da ci gaba.

A cikin mai haƙuri da ciwon sukari, ulcers na tasowa sakamakon haɓakawa na ci gaba na rikitarwa, wanda zai iya lalata jikin mutum da sannu a hankali har tsawon shekaru.

Ka'idojin ka'idodin jiyya game da cututtukan ƙafafun ƙafa a cikin marasa lafiya da masu ciwon sukari mellitus:

• Kulawa da glucose da matakan haemoglobin. Tamanin sukari na yau da kullun shine 6-10 mmol / L kafin abinci da 9-10 mmol / L bayan abinci.
• Hanyar warkewa da hanyoyin prophylactic na rakiyar rikitarwa (hawan jini, thrombophlebitis).
• Rage ƙananan ciwo.
• Yi amfani da saukarwa da kafafu.
• Yin amfani da magunguna waɗanda ke taimakawa daidaitaccen aikin jijiyoyin mahaifa.
• Normalization na jini coagulation tare da taimakon na'urorin lafiya.
• Tsarewar karfin metabolism.
• Amfani da magunguna masu aiki ga hanyoyin jini.
• Aiwatar da magani a kan fungi da kwayoyin.

Yin aikin tiyata a cikin marasa lafiya da masu ciwon sukari:

1. Ana kula da mahaifa ta hanya ta musamman (hydrogen peroxide), ana amfani da bandeji.
2. Ana yin gwaji, an cire ƙwayar cuta, yayin da ake adana kyallen takarda idan zai yiwu.
3. Ana yin tiyata na jijiyoyin jiki (idan ya cancanta).
4. Game da batun lokacin da ake cikin jiyya babu wani sakamako da ake so, to sai an ƙara ƙarar tiyata, yankan kafafu zai yiwu.

Mummunar ci gaban ulcers a cikin ciwon sukari:

Duk wata cuta da ta taso daga cutar sankara, tana iya haifar da rikice-rikice:

• bayyanar kumburi a cikin nau'in erysipelas;
• tafiyar kumburi a cikin tasoshin da jijiyoyin jiki;
• abin da ya faru na ƙamusu yan jihar.

Hada magungunan ƙafafun kafa ga marasa lafiya da masu ciwon sukari mellitus

Dangane da matsayin cutar, ana amfani da hanyoyi uku na magani da aka sani da magani:

1. tasirin akan wasu matakai waɗanda ke haifar da cutar atherosclerosis;
2. lura da cutar ciwon sukari da ke fama da cutar siga;
3. tiyata don dawo da kwararar jini a cikin kyallen kafafu.

Baya ga cututtukan trophic da ke faruwa a cikin marasa lafiya da masu ciwon sukari mellitus, waɗannan mummunan cututtuka masu tasowa masu tasowa a cikin masu ciwon sukari sun haɗa da ciwon sukari na ƙafa, lokacin da mai haƙuri ya kamu da cutar a ƙafa kuma kafafu suna da matsanancin ciwo. Sakamakon rashin amfani da jijiyoyin wuya, yanke kafafu a matakai daban-daban yana yiwuwa.

Ana lura da waɗannan lalacewa a cikin 90% na lokuta tare da ciwon sukari, idan abin da ya faru na cutar, edema, ba a lura da shi a kan kari kuma gaskiyar cewa ƙafafun sun ji rauni.

Me yasa cutar ciwon sukari ta haɓaka?

Cutar ciwon sukari cuta ce mai taƙaddara, yayin da yawancin ayyukan jikin ke da hannu saboda haɓakar ciwon sukari mellitus.

Raunin ciwon sukari na tsawon lokaci, yawan motsa jiki a yawan jini a jiki yana sa jijiyoyin jini a hankali ya rushe.

Na farko, kananan capillaries sun lalace, sannan lalacewar jijiyoyin jini ya fara, akwai cin zarafin wadatar jini, jijiyoyi suna ƙarewa, ayyukan na rayuwa suna da damuwa, fata kuma ya lalace.

Tare da lalacewar fatar mutum mai lafiya, yana hanzarta fara warkarwa, amma a cikin haƙuri tare da ciwon sukari, tare da cikakkiyar tasirin zagayawa cikin jini, ƙaramin sikari na iya haifar da rikice-rikice a cikin ƙafar mai ciwon sukari, ƙoshin mahaifa, da kuma haɓaka hanyoyin purulent idan ba a yi komai ba.

Siffofin cututtukan ƙafafun ciwon sukari

Bayyanar cututtuka na cutar na iya bambanta saboda matakin cutar na yanzu:

• Matsayi na Neuropathic - mummunar lalacewar tsarin juyayi yana faruwa. Zafin rikicewar kafafu ya rikice, jin zafin yana ƙaruwa, ana lura da canji a cikin ƙafar kafa, sanyin fata yana farawa.
• Digirin Ischemic - akwai rauni na jijiyoyin jini. Fatar fatar kafar ta zama tazarar ruwa, kumburi na faruwa; zafi yana nan, siffar ƙafa ba ta lalace ba, ba a kula da corns.
• Matsakaicin digiri - yakan faru sau da yawa.

Inganci Ciwon Cutar Cutar na Ciwon Mara

Zuwa yau, akwai hanyoyi guda 2 da za a bi don magance wannan cuta - ra'ayin mazan jiya da tiyata.

Conservative far:

1. daidaituwa na glucose;
2. yin amfani da rigakafin ƙwayar cuta mai fadi-yawa (zaɓaɓɓu daban-daban dangane da nau'in ciwon);
3. amfani da kwayoyi don saurin jin zafi;
4. ingantattun wurare dabam dabam na jini;
5. yin amfani da kwayoyi a kan kwayoyin cuta da kuma maganin antiseptics na mahimmancin gida (daban-daban).

Binciken tiyata na cutar ciwon sukari:

• an cire karamin yanki na necrosis;
• da sake dawo da jijiyoyin jini;
• wadancan jiragen da ba su maido da ayyukansu ba;
• An sanya raga a kan jiragen ruwa don kula da aikin su;
• idan mai ciwon suga ne, to, an cire yankin da yatsa na ƙafa ko yatsa;
• yankan sassan guntun kafa, in ya zama dole.