Dogon lokaci, mai dawwamammen diyya ga masu ciwon suga za a iya cimma ta ne kawai ta hanyar mafi yawan marasa ladabi. Sauran zasu jima ko kuma daga baya su fara haifar da rikitarwa, ɗayan mafi kyawun halayen shine neuropathy masu ciwon sukari.
Ciwon sukari na mamma - menene?
Wannan cuta cuta ce a cikin filayen jijiya na ciki. Suna iya zama da yawa ko kuma na gida, suna shafar tsarin da yawa ko gungiyoyi ɗaya. A alƙawarin likita, ana gano neuropathy a cikin kowane haƙuri na bakwai tare da ciwon sukari, tare da taimakon hanyoyin kulawa da ƙwaƙwalwar ƙwayar cuta - kowane sakan na biyu.
Alamar farkon cutar ita ce raguwa a cikin yaduwar yaduwa a cikin ƙwayoyin jijiya. Don nau'ikan nau'ikan neuropathy, raunin hankali yana yiwuwa, ciwo mai raɗaɗi, raunin ƙwayar cuta, rauni na tsoka har zuwa nakasa yana yiwuwa.
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%
Sanadin neuropathy a cikin masu ciwon sukari
Babban mahimmancin haɗarin haɗari don haɓakar ciwon sukari shine cututtukan hawan jini. Thearfafawar tasirin sugars a cikin ƙwayoyin jijiya, lalata yana farawa, asalinsu da mamaye su ya dogara da halayen mutum na mai haƙuri da kuma matakin tashin hankali na jiki.
Abubuwan da suka fi haifar da cututtukan neuropathy a cikin ciwon sukari sune:
- Increaseara yawan abun ciki na sorbitol a cikin ƙwayoyin jijiya, samfurin abun ƙonawa na glucose.
- Rashin myoinositol, wanda yake wajibi ne don watsa abubuwan motsa sha'awa.
- Glycation (yawanci) na sunadarai:
- Glencation wanda ba enzymatic ba shine amsawar sunadarai tsakanin kwayoyin glucose da amino rukuni na sunadarai. Zasu iya haɗawa da myelin, sinadarin da yake yin ƙushin jijiya, da kuma tarin fitsari, sinadarin da yake buƙata don jigilar ƙwayoyin sel.
- Enzymatic glycation ya rikitar da aikin enzymes - abubuwan da ke hanzarta tafiyar matakai a jiki.
- Releasearin ƙaddamar da radicals kyauta a cikin ciwon sukari shine sanadin lalata tsarin ƙwayoyin jijiya. Higherarfin hyperglycemia, mafi yawan lalata. Aƙarshe, ƙwayar mai juyayi ana hana ta ikon ƙirƙirar sabon myelin, wanda ke haifar da mutuwar jijiya.
- Angiopathy a cikin ƙananan tasoshin yana haifar da rashin abinci mai gina jiki na ƙoshin jijiyoyin jiki da lalata halayen axons.
A ƙarƙashin rinjayar waɗannan dalilai, ƙwayoyin jijiya suna rasa ikon yin gyaran kai, ischemiarsu ta haɓaka har zuwa ƙarshen mutuwar sassan, kuma ayyuka suna da rauni sosai.
An tabbatar da cewa hanya guda kawai da za a bi don kiyaye cutar neuropathy a cikin ciwon sukari shine kiyaye lafiyar glycemia na yau da kullun, wanda aka samu tare da taimakon wakilai na hypoglycemic, abinci da injections insulin kuma yana buƙatar horo mai tsauri akan ɓangaren haƙuri.
Wanda ke cikin hadarin
Babban haɗarin haɓakar ƙwaƙwalwar ƙwayar cuta shine a cikin marasa lafiya waɗanda ke fama da ciwon sukari marasa daidaituwa. An gano cewa cimma daidaitattun sugars a kowane mataki na cutar rage hadarin neuropathy da 57%. Babban ingancin magani na ciwon sukari daga farkon cutar yana rage yiwuwar neuropathy zuwa 2% ga cututtukan da basu da insulin-insulin da 0.56% don shirye-shiryen insulin.
Baya ga sukari mai yawa, haɗarin kamuwa da cutar siga na haɓaka ta:
- shan taba
- shan giya - me yasa bai kamata a bar masu giya su masu ciwon suga ba;
- hauhawar jini
- kiba
- babban cholesterol;
- shekarun tsufa na mai haƙuri;
- abubuwan asali.
Verarfin cutar neuropathy kuma ya dogara da lokacin da aka gano cutar. Idan an gano canje-canje na cututtukan jijiyoyi a cikin matakan farko, maganin su yafi tasiri.
Menene nau'ikan nau'ikan neuropathy?
Ciwon sukari na cutar sankara na iya lalata manya da ƙananan ƙwayoyin jijiya, waɗanda suka dogara da gabobin jiki da tsarinsu, da gurɓataccen tsari. Abin da ya sa ake amfani da neuropathies da alamu iri-iri - daga asarar hankali zuwa zawo, matsalolin zuciya, da raunin gani saboda matsalar ɗalibai. Ciwon sukari wanda ke da cutar siga yana da cikakkun bayanai daban-daban. Mafi yawan lokuta ana rarrabuwa cikin nau'ikan azanci, masu cin gashin kansu da nau'ikan motoci.
| Nau'in cututtukan zuciya | Lesion mayar da hankali | Alamar farko | Ci gaban Cutar |
| Sensory (na waje) | Axons na m da autonomic jijiya fibers | Rashin hankali da zafin jiki, da farko yana iya zama asymmetric. Numbness da tingling a cikin ƙafa, sau da yawa da dare, wanda raguwa bayan farkon tafiya. | Jin zafi a ƙafafu, karuwa mai mahimmanci, ko akasin haka, raguwa mai kaifi kwatankwacin sawu a ƙafafu biyu. Shigar da hannu, sannan ciki da kirji. Rashin daidaituwa na motsi. Ilimi a wuraren matsanancin raunuka masu rauni. Ci gaban ƙafafun ciwon sukari. |
| Sharp tabawa | Sharp, m, kona Symmetrical zafi a cikin ƙafa. Ngarfafa a mafi ƙarancin taɓawa. | Yaɗuwar jin zafi a gaban cinya, rashin damuwa, matsalolin barci, rashin nauyi, rashin iya motsawa. Sake dawowa yana da tsawo - daga watanni shida zuwa shekaru biyu. | |
| Kayan lambu (m) | Hanyoyin jijiyoyi waɗanda ke ba da aikin ƙwayar cuta ko tsarin. | Bayyanar cututtuka suna da yawa kuma suna da wahala a gano a farkon matakan. Mafi yawanci ana samun su: rashin farin ciki yayin tashi daga gado da safe, narkewar abinci, maƙarƙashiya da zawo. | Slowed ko hanzarta kwashe ciki, ƙara yin zufa da daddare, bayan cin abinci. Rashin wucewa, sau da yawa akan kafafu da kafafu. Matsaloli tare da sarrafa cikewar mafitsara, rikicewar jima'i. Arrhythmias, asarar hangen nesa. Rashin lafiyar hypoglycemia. |
| Mota | Kwayoyin jijiya na kashin baya, mafi yawan lokuta asalin sautin lumbar na sama. | A hankali yana ƙaruwa da rauni na tsoka, farawa daga ƙananan ƙarshen. Wani lokacin farawa mai girma shine bayyanar zafin jin ƙone a cikin ƙananan baya, a gaban cinya. | Sauke tsokoki na wuyan kafada da makamai. Takewa da ƙwarewar motsa jiki, iyakance motsi a cikin gidajen abinci. Rashin amsawar tsoka. Babu raguwa game da hankali ko ƙarami. |
Mafi sau da yawa, azanci na ciki (50% na lokuta), autonomic, neuropathies na mota tare da lalacewar tushen jijiyoyin kirji da yankuna lumbar ana samun su.
Matsalar Cutar Cutar
Kwayar cutar neuropathy ba kasafai take ba - tana iya zama sanyin rashin jin daɗi ko rashi da ba a saba dashi ba, karuwar tashin zuciya da tashin zuciya, maƙarƙashiya da zawo. Ganin cewa mai ciwon sukari na cutar za a iya keɓe shi ta kowane bangare na jiki ko kuma ya kasance ƙungiyoyi da yawa, gano cutar wannan cuta yana da wahala.
Don ingantaccen ganewar asali, ana buƙatar tsarin binciken:
- Cikakken bincike na mara lafiya don gano kokewar ciyawar-jijiyoyi: tsananin farin ciki tare da canji a jiki, fainting, tinnitus, bugun zuciya, inna da tashin hankali, rashin jin daɗi a cikin ƙwayar hanji. A wannan yanayin, ana amfani da tambayoyi na musamman da gwaje-gwaje.
- Gwajin jiki: ganowa na rage raunin hankali, kasancewar raunin jijiya. Ana iya nuna alamar ƙwayar cuta ta hanji ta hanyar buɗe ido, matsayin harshe a cikin kogon baki, fuskokin hanji, da kuma hanyar da ba ta da ƙarfi. Hakanan za'a iya aiwatar da gwaji tare da ma'aunin matsa lamba a kwance kuma bayan haɓaka mai ƙarfi.
- Electroneuromyography yana ba ku damar sanin yanayin yanayin juyayi na ciki, fassarar cutar kansa mai narkewa da darajar nakasa ayyukan ayyukan juyayi.
Bayyana cutar neuropathy ana iya haifar dashi ba kawai ta hanyar ciwon sukari ba, amma har da wasu dalilai: barasa ko wasu maye, cututtuka na rheumatic, guba na jiki saboda ƙarancin aikin koda, cututtukan hereditary. Abun neuropathies na wucin gadi da na wucin gadi suna buƙatar bambance-bambance tare da cututtuka na gabobin ciki, tarin fuka, da ciwace-ciwacen daji. Sabili da haka, bincike na ƙarshe ana yin shi ta hanyar cirewa, bayan cikakken bincike.
Yadda za a bi da masu ciwon sukari na rashin lafiya
Tushen magani na neuropathy shine rama na dogon lokaci don ciwon sukari. Tare da normalization na glucose taro, ci gaban da mai ciwon sukari neuropathy tsaya, akwai cikakken murmurewa jijiyoyi a cikin m matakin cutar da m juyayi na canje-canje a mai tsanani. A wannan yanayin, ba shi da mahimmanci yadda mai haƙuri ya sami normoglycemia, sabili da haka, ba a buƙatar miƙa mulki ga insulin ba. Wannan tsari yana da tsayi, cigaba ana lura yana faruwa watanni 2 bayan inganta sukari. A lokaci guda, suna ƙoƙari su daidaita lafiyar mai haƙuri da daidaita matakan lipid na jini.
Don hanzarta aiwatar da hanyoyin dawo da su, an wajabta bitamin B Ana inganta haɓaka abinci mai gina jiki tare da taimakon wakilan antiplatelet - acetylsalicylic acid da pentoxifylline.
Game da cututtukan neuropathy, ƙaddamar da maganin antioxidants, yawanci thioctic (alpha-lipoic) acid, ana daukar su a matsayin tilas. Suna da ikon tarko tsattsauran ra'ayi, inganta shaye-shaye na sugars, dawo da daidaitaccen makamashi a cikin jijiya. Hanya na magani daga makonni biyu zuwa hudu na shigar kutsawar ciki, sannan watanni 1-3 na shan maganin a allunan.
Lokaci guda tare da maido da tsarin juyayi don sauqaqa jin zafi, an wajabta maganin cututtukan neuropathy:
- Capsaicin a cikin gels da man shafawa.
- Anticonvulsants - Pregabalin, Gabapentin, Topiramat.
- Antidepressants sune magungunan tricyclic ko magungunan ƙarni na uku.
- Analgesics, gami da opioids, idan akwai wani rashin ingancin wani maganin rashin lafiyar.
A cikin neuropathy na kai tsaye, ana iya amfani da magunguna don kula da aikin ƙwayar da ta lalace - anti-mai kumburi, vasotropic, magungunan zuciya, ƙwayoyin narkewa. Tare da ƙwaƙwalwar motsi na ƙananan ƙarshen ƙarshen da yankin thoracic, jiyya na iya buƙatar taimakon orthopedic ga mai haƙuri - corsets, canes, walkers.
Yin rigakafin
Don hana ci gaban cututtukan cututtukan ciwon sukari na iya zama alhakin lafiyar ku:
- Gudanar da glucose na jini nan da nan bayan gano ciwon sukari.
- Gwajin haemoglobin na yau da kullun don gano ƙididdigar karuwa a cikin sukari.
- Cire shan taba da shan giya da ciwon suga.
- Jiyyar hauhawar jini.
- Normalization na nauyi.
- Duba likita kai tsaye bayan alamun bayyanar cutar farko sun bayyana.
- Nazarin na yau da kullun a ofishin ƙwararren mahaifa.
- Magungunan rigakafin rigakafin bitamin B (alal misali, 1 kwamfutar hannu na Milgamma sau uku a rana don makonni 3) da acid na thioctic (600 MG kowace rana, hanya - 1 watan).
