Rashin wadatar glucose na wucin gadi da kuma karancin kwayoyin cutar insulin a cikin marasa lafiya suna haifar da rikice-rikice iri-iri. Cututtukan kafafu da ciwon sukari suna tasowa sau da yawa. Aikin likita da mai haƙuri shine rage haɗarin cututtukan cututtukan cuta, saboda tsufa mutumin, mafi girman yiwuwar lalacewar ƙananan ƙarshen.
Dalilin da yasa nau'in 1 da nau'in 2 masu ciwon sukari suna da Matsaloli
Tun da ciwon sukari yana ba da rikice-rikice ga kafafu, farji ya zama dole, in ba haka ba sakamakon zai iya zama mafi munin bala'i (har zuwa yanki). Babban sukari na jini yana da matukar hatsari ga jiki. Glucose a cikin maida hankali na al'ada yana ba da makamashi kuma yana inganta mahimman ayyuka na gabobin da tsarin, amma a cikin ciwon sukari, shi, akasin haka, yana ɗaukar ƙarfi, yana lalata tsarin jijiyoyin jiki da juyayi.
Kafafuwan sun yi nesa da zuciya, saboda haka sun fi shafar ci gaban matsaloli irin na ciwon sukari na 2. Sakamakon rarrabewar jini da motsa jiki na yau da kullun, tafiyar matakai na faruwa a ƙafa. Tare da haɓaka matakin abubuwa na glycosylating, ƙwanƙolin myelin na ƙwayoyin jijiya yana lalacewa a hankali, yayin da adadin jijiyoyi ke raguwa da yawa.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Wani rikitarwa mara dadi wanda ya faru da kafafu shine toshewar hanyoyin jini. Haɓakar capillaries yana haifar da mummunan sakamako: wurare dabam dabam na jini a cikin kyallen da ke ƙaruwa, tasoshin sun lalace, lalata, bakin ciki da fashewa. Tissue abinci mai gina jiki daina, su sel a hankali mutu, wanda aka fraught tare da gangrene.
Babban dalilan rikicewar hannu a cikin cutar sun hada da:
- jijiyoyin jijiyoyin bugun jini wanda ke haifar da hypoxia na nama;
- neuropathy, halin da raguwa a cikin ji na ƙwarai da ƙin ƙafafu;
- kiba, wanda ke haifar da nauyin wuce kima a kasusuwa da tsokoki;
- shan taba da rashin aiki na jiki.
Mahimmanci! >> Me yasa masu ciwon sukari zasu fara cutar da ƙafafunsu da yadda za a shawo kan ciwo - mun fada anan
Wani irin raunuka ke shafar kafafu na masu ciwon sukari
Mafi sau da yawa, marasa lafiya tare da rikice-rikice a cikin ciwon sukari mellitus suna haɗuwa da:
- naman gwari farantin ƙusa da ƙafa;
- gonarthrosis;
- gangrene (necrosis);
- ƙafa mai ciwon sukari;
- zurfin fasa warkarwa;
- ciwon sukari polyneuropathy.
Duk waɗannan cututtukan suna buƙatar magani na gaggawa da isasshen magani. A cikin matakan ci gaba, yana da matukar wahala ka rabu da su, musamman don magance alamuransu masu raɗaɗi.
Kafar ciwon sukari
80% na masu ciwon sukari na 2 suna da masaniyar wannan cutar. Canje-canje na ƙwaƙwalwa yana shafar kasusuwa, juyayi, tsarin wurare dabam dabam na ƙafafu. Cutar na iya haifar da haifar da cututtukan ƙwayar tsoka, sau da yawa yana raguwa cikin gangrene.
Ciwon ciwon sukari yana haɓaka da:
- mai ciwon sukari mai cutar kansa;
- lalacewar tasoshin jini;
- kamuwa da cuta, yawanci yana rakiyar abubuwa biyu na farko.
Daga cikin alamun bayyanar cutar, akwai:
- yawan rauni na kafafu wanda lalacewar kafa ne;
- jan fata a kusa da rauni;
- kumburi kafafu, yana nuna alamar kumburi;
- rashin gashi a kan gwiwoyi da ƙafa;
- fata da fata na fata;
- ƙagewar ƙafa;
- ƙwanƙwasa ƙusa;
- plantar girma (ko warts);
- ƙusa naman gwari.
Yadda za a gano ƙafar mai ciwon sukari a cikin lokaci, hanyoyin yin magani da matakan kariya - karanta dalla-dalla anan
Cutar naman gwari
Masana sun tabbatar da alaƙar da ke tsakanin sukarin jini da naman gwari. A cikin ciwon sukari, marasa lafiya ya kamata suyi taka tsantsan musamman game da yanayin fata a ƙafafunsu.
Abubuwan da ke haifar da ci gaban cutar sun hada da:
- baqin ciki na rigakafi;
- ciwon sukari polyneuropathy;
- ciwon kai.
Kuna buƙatar neman taimakon likita idan an lura da lalacewar yanayin bazara-bazara. A lokaci guda, ana samun canji cikin launi da tsarin ƙusoshin akan ƙananan yatsunsu da yatsun hannu. Nan gaba, lokacin da naman gwari ya yawaita kuma ya fara kai hari a wuraren da ya zauna, fatar ƙafar zai fara yin ja, ya yanke baya, kuma fasa zai bayyana tsakanin yatsunsu, koyaushe yana jin ƙoshin lafiya ba warkewa.
Kwayar cutar ciwon sukari
Wannan cuta ta bayyana a cikin marasa lafiya 5-10 bayan halarta na farko na nau'in ciwon sukari na 2. Wannan cin nasara ne na tsarin juyayi, wanda aka danganta shi da rikice-rikice masu haɗari a cikin cututtukan sukari na kowane nau'in. Tsarin cututtukan cuta yana farawa saboda tsananin iskar oxygen na sel na jijiyoyi, waɗanda ke da alhakin abinci na ƙananan capillaries, mafi haɗari ga hallaka.
Akwai matakai da yawa na cutar:
- Subclinical, wanda wanda aka azabtar kansa ma bazai lura da farko ba. Likita ne kawai bayan cikakken bincike yayi wani gwaji idan ya bayyana raguwar jijiyoyin zazzabi, zafi, rawar jiki.
- Matsayi na asibiti, ana nuna shi da ciwo na lokaci-lokaci a cikin kafafu, ƙarancin ƙafafunsa, mai rauni sosai. Tare da siffar amyotrophic, mai haƙuri yana gunaguni da rauni na tsoka da wahalar tafiya.
- Na uku, mataki mai tsanani, tare da bayyanar raunuka akan fatar ƙafafu. A cikin 15% na waɗannan marasa lafiya, an yanƙatar da wuraren da abin ya shafa don guje wa rikitarwa.
Muhimmi: polyneuropathy na ciwon sukari na ƙananan ƙarshen - alamun ci gaban rikitarwa da abin da za a yi da su.
Gonarthrosis
Wannan ciwo yana tare da lalacewa a hankali, nakasa, bakin ciki na tabin hyaline da ke a gwiwa. Marasa lafiya suna da ƙafafu masu ciwo, suna da raɗaɗi kuma suna da wahala yin tafiya. Babban abubuwanda ke haifar da haifar da amosanin gabbai sune rikicewar jijiyoyin jiki.
Saboda yawanta da danko, jinin mai ciwon sikila yana gudana sannu a hankali yana kwance ta gado na jijiyoyin jiki da ƙarancin wadata sel da abubuwan gina jiki da iskar oxygen. Hanyar cire gubobi da gubobi ma yana da rikitarwa, wanda ke ba da gudummawa ga haɓakar guba ta jiki da kumburi.
Bugu da kari, kashi 85% na masu fama da cutar sankara suna da kiba. Burdenarin ƙarin nauyi a kan bakin ciki na gwiwa da kuma guringuntsi hypoxia yana haifar da gonarthrosis (arthrosis na gwiwa gwiwa).
Fasa a cikin ƙafa
Daya daga cikin matsalolin ƙafafun gama gari gama gari shine bayyanar fasa a cikin diddige. Wannan ya yi nisa daga lahani na kwaskwarima wanda za'a iya magance saurin amfani da kwalliya. Rarrabe mara zurfi a kan ƙafafunsa yana barazanar shigar ciki da ƙwayoyin cuta, wanda ke cike da rikice-rikice.
Tare da ciwon sukari, da sannu ko kuma daga baya, ƙoshin jijiya a cikin ƙarshen ƙarshen ya fara lalacewa, wanda kusan kullun yana haɗuwa da ƙara flaking da bushe fata. A sakamakon haka, fatar fata, raunuka sun bayyana. Idan ba a fara jiyyarsu akan lokaci ba, nakasar ƙafa, gurgujiya, da fata za su iya ci gaba.
Kuma kun san cewa don kare kafafu na masu ciwon sukari daga rikice-rikice marasa mahimmanci, ana bada shawara don sa safa na musamman na ciwon sukari.
Gangrene
Rashin narkewar yanayin cuta yana cutar da dukkan gabobin. Dangane da ƙididdigar likitanci mai cike da takaici, kowane maraƙi na biyu yana fuskantar tarin yawa da ke tattare da cutar sankara. Ofaya daga cikin rikice rikice masu ciwon sukari shine necrosis a jiki saboda raunin jini a cikin kyallen (ƙwayar cuta).
Daga cikin alamun bayyanar cutar, ana iya lura da su:
- discoloration na fata (cyanosis, redness, darkening);
- asarar ji na ƙafa;
- kaifi zafi, rauni lokacin tafiya (mara lafiya na kuka cewa kafafun sa sun kasa a zahiri);
- kumburi daga reshen da abin ya shafa;
- karancin zafin jiki a yankin matsalar;
- bayyananniyar bayyanar cututtuka na fungal.
Treatmentarancin jiyya na ƙwayar cutar sankara
Bayan bayyanar cutar, likita ya ba da cikakken bayani game da yadda za a bi da ƙafafu da ciwon sukari. Lokacin da ciwon sukari na polyneuropathy ya faru, mai haƙuri dole ne:
- barin abubuwan jaraba (shan sigari da shan barasa tare da ciwon sukari ba a yarda da shi ba);
- sarrafa metabolism;
- alauki aldose reductase inhibitors da angioprotector waɗanda ke gyara microcirculation jini da rage tasirin glucose akan ƙwayoyin jijiya;
- sha bitamin da ke inganta watsa jijiyoyin jijiya.
Bugu da ƙari, an tsara maganin hemosorption, plasmapheresis, enterosorption, anticonvulsants, hanyoyin motsa jiki, tausa, aikin motsa jiki. Idan ƙafafuwa ya lalace, likitan octhopedist zai ɗauki takalmi na musamman da wando.
Tare da cututtukan fungal na kafafu, likitoci sun ba da shawarar yin amfani da sinadarin hydrogen peroxide, chlorhexidine ko maganin shafawa mai maganin shafawa, lotions. Iodine, kore mai haske da ƙwayar potassium ba a bada shawarar ba. Kulawa da naman gwari na iya wuce kusan shekara guda, gwargwadon matsayin cutar da girman lalacewar fatar fata da ƙusa faranti.
Kulawa da cututtukan gwiwa arthrosis yana dogara ne da amfani da:
- masu aikin kwandishan, maido da ƙwayar guringuntsi. Amma idan cutar ta kasance a cikin matakan ci gaba, kuma an lalata katako na gwiwa, waɗannan kwayoyi ba zasu taimaka ba;
- magungunan anti-mai kumburi wanda ke rage kumburi, rage kumburi, dakatar da ciwo;
- kwayoyi waɗanda ke rage gani da jini da kuma sauƙaƙa ƙwayar tsoka.
A cikin manyan lokuta, ana yin aikin. Amma yana da kyau ba a kawo shi tiyata ba, tun da sabuntawar ƙwayar cuta a cikin marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2 yana da hankali sosai kuma ya fi na mutane talakawa.
Lokacin da zurfin fashewar marasa warkarwa ya bayyana, likitoci suna ba da mayukan shafawa na musamman, balms, lotions, maganin shafawa, wanka, damfara ga marasa lafiya:
- man fetur na jellymoisturizing, disinfecting, softness fata. Amfani da wannan samfurin kullun bayan wanka mai zafi yana ba ku damar warkad da fasa a cikin ƙafa;
- fir balm - Kyakkyawan kayan aiki don warkar da raunuka mai zurfi. Kowane fasa yana daɗaɗa su tare, kuma ana sanya swab auduga a saman;
- paraffin damfara yi da narke karamin paraffin a cikin wanka na ruwa. Bayan yayi sanyi, ana amfani dashi a yankin da abun ya shafa, kuma ana sanya safa mai tsabta a saman.
Tare da gangrene, ana amfani da hanyar tiyata sau da yawa, yana haifar da asarar iya aiki da rashin ƙarfi. Sabili da haka, a farkon alamun cutar haɗari, ya zama dole a ɗauki duk matakan da suka yiwu don kawar da shi.
Ciwon sukari na rigakafin cutar siga
Don hana raunin ƙafa daga haɓaka tare da nau'in ciwon sukari na 2 na sukari, dole ne a kiyaye matakan kariya masu zuwa:
- yi duk ƙoƙari don rama don cutar da keɓaɓɓiyar cutar (ciwon sukari mellitus);
- sarrafa hawan jini;
- saka takalma na halitta masu inganci, waɗanda aka zaɓa cikin girma;
- yau da kullun wanke ƙafafunku kuma bincika ƙafafun don amincin fata;
- guji kiba, wanda ke cutar da yanayin mara haƙuri sosai kuma yana tsokanar ci gaba da rikice-rikice masu alaƙa da ƙafafu;
- Kada kuyi tafiya da ƙafa ba a cikin fili ba (wurin wanka, shawa, tafki, rairayin bakin teku);
- bayan yanke ƙusa, shafa yatsunsu da ƙafafunku tare da barasa;
- a kai a kai ana ɗaukar allurai na multivitamins da chondropojectors don hana arthrosis haɗin gwiwa.
Tare da ciwon sukari, kuna buƙatar fahimtar cewa ya fi sauƙi don hana ci gaban rikitarwa fiye da magance su daga baya. Neman taimakon likita na kan lokaci, tare da aiwatar da shawarwari da matakan kariya zasu hana mummunan sakamako da jinkirta aukuwar matsalolin da ke hade da ƙananan ƙarshen.
