Encephalopathy na ciwon sukari - daga alamu zuwa sakamako

Bugu da ƙari ga lalacewar tsarin juyayi na gefe, ciwon sukari na iya yin tasiri mara kyau akan na tsakiya. Encephalopathy na ciwon sukari shine wani canji na cuta a cikin tsari da ayyukan kwakwalwa. Wannan rikitarwa yana tasowa a hankali, sabili da haka, duka likitoci da marasa lafiya da kansu suna lura da alamun asibiti latti lokacin da rikicewar ke cikin mawuyacin mataki. Babban bayyanar cutar sankarar mahaifa shine raguwar iyawar fahimta, wanda ke haifar da matsaloli ga karbuwa a cikin jama'a da kuma aiki, asarar kwarewar masu fasaha.

Cutar ta cutar da ƙarancin rayuwar marasa lafiya, musamman ma a cikin tsufa, yana zama da wahala ga masu ciwon sukari tare da encephalopathy don magance cutar, suna iya manta shan magunguna, ƙididdigar rashin daidaituwa na yawan insulin, ba su iya tsara abincinsu. Cikakken diyya ga masu ciwon sukari ba zai yiwu ga irin wannan marassa lafiya ba, saboda haka suna haɓaka rikice-rikice da sauri, nakasar da ta gabata ta faru, kuma mace-mace ta kaso 20%. Hanya daya tilo da za a bi don kauce wa canje-canje a kwakwalwa ita ce gano asali da kuma magance rikice-rikice a farkon matakin.

Menene encephalopathy?

Kalmar "encephalopathy" tana nufin duk cututtukan kwakwalwa wanda a cikin rashin kumburi da lalacewar kwayoyin sa ke faruwa. Yawancin ƙwayoyin cuta mafi ƙarancin ƙwayar cuta yana lalata jikinta. A zahiri, a lokaci guda, wani ɓangare na ayyukan tsarin juyayi na tsakiya ya ɓace. Sanadin encephalopathy na ciwon sukari shine cuta na rayuwa da na jijiyoyin jiki a jiki.

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%

A cewar kafofin daban-daban, ana iya gano alamun encephalopathy a kusan 90% na marasa lafiya da ke fama da ciwon sukari. Duk da wannan, ana yin irin wannan binciken ne akai-akai, tunda cutar tana da wahalar ganowa da tabbatar da cewa cutar sankarau ce sanadin canje-canje a cikin kwakwalwa.

A cewar wata wasika daga Ma'aikatar Lafiya na Rasha Federation, ciwon sukari encephalopathy yana da lambar ICD na 10 (rarrabuwa na cututtuka) E10.8 da E14.8 - matsalolin da ba a bayyana ainihin cutar sankara ba.

Ba a fahimci hanyoyin da ake amfani da su wajen samar da ma'amala (encephalopathy) ba, amma an yi imanin cewa yana da alaƙa da keɓaɓɓu tare da cututtukan cututtukan zuciya. Babban dalilin cutar ita ce daidai da na sauran rikice-rikice na ciwon sukari - hyperglycemia.

Babban sukari yana haifar da angiopathy na tasoshin jini, wanda ya keta abincin abinci na kwakwalwa. Sakamakon rikice-rikice na wurare dabam dabam, jijiyoyin suna jin yunwar oxygen, aiki ya yi muni, ba su da ikon murmurewa cikin lokaci kuma ku rabu da abubuwa masu guba. Yanayin cholesterol, triglycerides da low-yawa lipoproteins, halin haɓaka shine halin da ake ciki.

Matakai uku na encephalopathy

Ci gaban encephalopathy yana faruwa a cikin matakai 3. Kwayar cutar farko ba takamaiman bayani ba ce, don haka masu ciwon sukari da wuya su kula da su. Yawancin lokaci, ana gano encephalopathy ba daga farkon mataki na 2 ba, lokacin da alamun cutar ta fi bayyanuwa. A farkon cutar, MRI na iya gano ƙananan canje-canje na kwayoyin a cikin kwakwalwa. Yawancin lokaci ana samun su wurare dabam dabam. Bayan haka, ana haifar da rauni a cikin kwakwalwa. Babban alamun bayyanar da tsananin su a wannan lokacin ya dogara da ainihin fifitawar.

Mataki na mai ciwon sikila:

1. A matakin farko - mara lafiya ya lura da abubuwan tashin hankali da faduwar jini, amai, duhu cikin idanu, gajiya da zazzabi. A matsayinka na mai mulkin, an danganta wadannan bayyanar ga mummunan yanayi, shekaru ko ciyayi-dystonia mai tsire-tsire.
2. A mataki na biyu - ciwon kai ya zama mafi yawan lokuta, asarar ƙwaƙwalwar ajali na ɗan lokaci, kwance cikin sarari zai yiwu. Kwayar jijiyoyi na iya bayyana - amsawar ɗalibai ga canje-canjen haske, magana tana cikin damuwa, nutsuwa ta ɓace, matsaloli tare da fuskokin fuskoki suna faruwa. Mafi yawan lokuta, shi ne a wannan matakin da marasa lafiya da ke dauke da cutar sukari suka juya zuwa wani likitan fata.
3. A mataki na uku - Ana bayyanar da alamun cutar. A wannan lokacin, ciwon kai yana ƙaruwa, matsaloli tare da daidaituwa na motsi, tsananin farin ciki ya bayyana. Rashin damuwa, ɓacin rai yana haɓakawa, ƙwaƙwalwar ajiya ta yi rauni sosai. A wannan matakin, kusan bashi yiwuwa a kware sabbin dabaru da ilimi.

Fasali na hanyar cutar a nau'in 1 da nau'in ciwon sukari na 2

A cikin mafi tsabta, ana iya samun encephalopathy na ciwon sukari kawai a cikin marasa lafiya da ke da nau'in ciwon sukari na 1. Rushewa a cikin kwakwalwansu yana haɗuwa da rashin insulin nasu da kuma karɓar karɓuwa ta hanyar da ta sha magani. Akwai ra'ayoyin da cewa ci gaban encephalopathy ya dogara ba kawai akan yawan hyperglycemia ba, har ma akan rashi na C-peptide a cikin jiki, wanda shine sashin kwayoyin proinsulin da aka tsinke daga ciki yayin samar da insulin. Insulin masana'antu, wanda aka wajabta ga duk masu fama da cutar ta 1, basu da C-peptide - karanta ƙari game da C-peptide.

Encephalopathy yana yin babbar illa ga nau'in 1 na ciwon sukari ga yara ƙanana. Suna da matsaloli tare da hankali, ƙaddamar da bayanai yana yin aiki a hankali, ƙwaƙwalwar su ta ragu. Gwaje-gwaje na musamman sun tabbatar da cewa a cikin haƙuri tare da encephalopathy, IQ yaro ya ragu, da mummunar tasiri akan hankali samari sun fi 'yan matan ƙarfi. Nazarin kwakwalwa a cikin marasa lafiya da farkon ciwon sukari sun nuna cewa a lokacin balaga, suna da ƙananan maganganun launin toka fiye da mutane masu lafiya.

Encephalopathy na ciwon sukari a cikin nau'in ciwon sukari na 2 an haɗe shi. A wannan yanayin, kwakwalwa ba ta da matsala ba kawai ta hanyar hyperglycemia ba, har ma da rikice-rikice masu rikitarwa:

1. Hauhawar jini yana haɓaka canje-canje atherosclerotic a cikin tasoshin, sau 6 yana kara haɗarin encephalopathy.
2. Kiba-tsufa na haifar da mafi girman rashin lafiyar encephalopathy a cikin tsufa.
3. Resistancearfafa insulin mai ƙarfi yana haifar da tarawa a cikin kwakwalwar beta-amyloids - abubuwan da zasu iya samar da filaye kuma suna rage aiki mai mahimmanci.

Bayyanar cututtuka da alamu

An bayyana alamun cututtukan encephalopathy a cikin masu ciwon sukari ta rashin iyawar ƙwayoyin kwakwalwa don yin aiki na yau da kullun saboda rashin isashshen sunadarin oxygen da abinci mai gina jiki, saboda haka suna kama da alamun encephalopathy saboda atherosclerosis, hauhawar jini, ko haɗarin cerebrovascular.

Yadda za a magance encephalopathy na ciwon sukari

Kula da encephalopathy a cikin marasa lafiya da ciwon sukari yana da rikitarwa, yana da nufin duka daidaita yanayin metabolism da inganta yanayin tasoshin da ke samar da kwakwalwa. Don tsari na metabolism ana amfani da su:

1. Gyara aikin da aka riga aka tsara na maganin cutar sankara don cimma daidaituwar ƙwayar cuta.
2. Antioxidants don rage tasirin lalacewa na abubuwa masu tsattsauran ra'ayi. Mafi sau da yawa, an fi son lipoic acid.
3. Bitamin B, mafi yawan lokuta a matsayin bangare na hadaddun abubuwa na musamman - Milgamma, Neuromultivit.
4. Statins don normalization na lipid metabolism - Atorvastatin, Lovastatin, Rosuvastatin.

Sakamakon

Matsayin encephalopathy ya dogara da shekarun mai haƙuri, tsawon lokaci da matakin diyya ga masu ciwon sukari, gano lokaci mai rikitarwa. Kyakkyawan jiyya na encephalopathy da ciwon sukari yana ba da damar shekaru da yawa don kula da kwakwalwar mai haƙuri a matakin guda, ba tare da mummunar lalacewa ba. A lokaci guda, mai haƙuri yana riƙe da iyakar ƙarfin aiki da ikon koya.

Idan jiyya ta makara, ciwon sikila na haifar da rikicewar rikice-rikice na tsarin juyayi: ƙaura mai tsanani, cututtukan mahaifa, da raunin gani. Nan gaba, kwakwalwar wani bangare tana rasa ayyukanta, wanda ke bayyane ta hanyar asarar 'yanci har a kai ga wani rauni mai wahala.

Encephalopathy mai yiwuwa tare da raunin tunani mai zurfi, wanda akwai hallicin, damuwa, halayen da basu dace ba, rashin iya kewayawa a sarari da lokaci, rashi ƙwaƙwalwa.