Shekaru nawa ke rayuwa tare da nau'in 1 da nau'in ciwon sukari na 2

Ciwon sukari yana ci gaba da satar marasa lafiya na tsawon shekaru na aiki, duk da kasancewar sababbin magunguna da sarrafawa. Matakan glucose na jini suna da tasiri a rayuwar mutane na masu ciwon suga.

Daidai ne, glycemia a cikin masu ciwon sukari bai kamata ya bambanta da al'ada ga mutum mai lafiya ba. Don yin wannan, kuna buƙatar canza asali ta rayuwarku ta yau da kullun: kula da abinci koyaushe da kayan lodi, ɗaukar kwayoyi a cikin ladabi kuma kuyi gwaje-gwaje. Don samun ingantacciyar lafiya, don hana ci gaban rikice-rikice zai yiwu kawai tare da cikakken shiga cikin masu ciwon sukari da danginsa a cikin tsarin kulawa.

Sanadin Rashin Cutar Raye

A cikin 'yan shekarun nan, Healthungiyar Lafiya ta Duniya na ƙara mai da hankali kan cutar sankara. Dalilin haka shine yaduwar cutar, babban haɗarinta ga kiwon lafiya, nakasa da wuri, da kuma mace-mace a tsakanin masu ciwon sukari. Yaƙi da rikice-rikice na jijiyoyin jiki na buƙatar kayan aiki masu kyau a asibitoci, kasancewar ƙwararrun ma'aikata, da kuma kuɗaɗen kashe kuɗi daga ma'aikatan kiwon lafiya da marasa lafiya. A cewar kididdigar, masu ciwon sukari sau 2 sun fi bukatar samun asibiti a asibiti fiye da sauran marasa lafiya.

Mafi yawan illolin cutar ciwon siga:

1. Lalacewar koda - nephropathy, wanda aka kara rikitarwa ta hanyar maye. Daga cikin marasa lafiya waɗanda ke raye tare da cututtukan haemo na yau da kullun, yawan masu ciwon sukari kusan 30%.
2. Babban rikice-rikice wanda zai haifar da ba kawai ga nakasa ba, har ma ga mutuwa, ita ce ƙungiya. Rabin rabin yankanmu a kasarmu sanadiyyar rikicewar cutar sankara, ƙididdigar shekara ta zama mai ban tsoro kawai: masu ciwon sukari 11,000 suna rasa ƙafafunsu a shekara.
3. Ciwon sukari mellitus shine haɗari ga atherosclerosis tare da hauhawar jini, kiba, da shan sigari. Yiwuwar samun cututtukan zuciya na zuciya (CHD) a cikin ciwon sukari yana ƙaruwa sau 3, cutar bugun jini - sau 4, bugun jini - sau 2.5. Kimanin kashi 40% na masu ciwon sukari sama da 40 suna mutuwa sakamakon cutar cututtukan zuciya.

Yawancin karatu sun tabbatar da cewa ana iya hana rikice-rikicen rayuwa ta hanya guda - don kiyaye glucose jini da matsin lamba a lambobin da suke kusa da al'ada. Idan mai haƙuri da ciwon sukari ya kula da cimma daidaito da daidaituwa na al'ada na dogon lokaci, zai ji daɗi, kuma tsammanin rayuwa daidai yake da na mutum lafiya.

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%

Mutane nawa ne suke rayuwa tare da nau'in 1

Nau'in na 1 na ciwon sukari yana faruwa a cikin matasa, a karonsa koyaushe yana tare da alamomin bayyanannun: asarar nauyi, rauni mai ƙarfi da ƙishirwa, tabarbarewa ingantacciyar rayuwa, ketoacidosis. Idan baku ga likita a wannan yanayin ba, ketoacidotic coma zai faru. Yanzu haka ana kwantar da marasa lafiya da ke dauke da cutar sankarau a asibiti ba tare da gazawa ba. Ana fitar da masu ciwon sukari daga asibiti ne kawai bayan kwantar da hankula, an zaba su da mafi kyawun kashi na insulin, ana horar dasu don yin lissafi da kuma sarrafa shi daidai. Ko da an kwantar da majinyacin a asibiti cikin halin rashin lafiya, yuwuwar samun sakamako mai kyau ya wuce 80%.

Kafin kirkirar insulin, yawan rayuwar masu ciwon sukari nau'in 1 ya kasance tsawon watanni 2. A cikin 1950-1965, a cikin shekaru 30 daga farkon cutar, 35% na marasa lafiya sun mutu, a cikin 1965-1980. - 11%. Tare da isowar insulin analogues da šaukuwa glucometers, marasa lafiya da ciwon sukari suna rayuwa har tsawon lokaci: maza yan shekaru 56.7, mata underan shekaru 60.8 (data ga Russia). Wannan shine shekaru 10 kasa da matsakaicin rayuwa a kasar baki daya.

Tare da nau'in cuta na 1, tsawon lokaci da ingancin rayuwa suna haifar da lalacewa ta hanyar lalacewa ta hanyar sukari mai haɓaka koyaushe. Lessarancin abubuwan da suka zama ruwan dare gama gari cutar siga ce. Mafi yawan lokuta yana faruwa ne a cikin yara 'yan ƙasa da shekaru 4 a farkon cutar, a cikin matasa waɗanda suka ƙi sarrafa sukari koyaushe, a cikin manya masu shan giya.

Alamar tsawon rayuwa da farin ciki akan insulin shine injiniyan Amurka Robert Krause. Ya kamu da rashin lafiya a shekarar 1926, yana dan shekara 5. Shekaru ɗaya kafin haka, ɗan'uwansa ya mutu sakamakon ciwon sukari da ke fama da cutar insulin, don haka iyayensa za su iya fahimtar alamun haɗari kuma su hanzarta kai Robert asibiti. A lokacin ƙuruciya, mahaifiya tana aiki da sarrafa sukari, tana auna samfuran a hankali kuma tana adana bayanan daidai ga gram, kafin kowane abincin da ta sanya insulin. Robert ya koyi halayen halayen masu cutar siga. Duk rayuwarsa ya ci abinci, ya lissafa daidai adadin kuzari da adadin carbohydrates, kashi na insulin, auna sukari sau 8-10 a rana. Robert Krause ya rayu har zuwa shekara 91, kuma har zuwa shekarun da suka gabata ya ci gaba da kasancewa mai himma da sha'awar rayuwa, ya sami damar samun ilimi mai zurfi, shiga cikin shirin roka, ya zama firist, haɓaka yara da jikoki masu yawa.

Tsammani na rayuwa tare da nau'in ciwon sukari na 2

Tsinkayar rayuwa a cikin masu ciwon sukari na 2 sun fi dogara ne akan matsayin diyyar cutar. Factorsarin abubuwan sun haɗa da cholesterol, matsin lamba, shekaru, jinsi, da shan sigari.

Nawa ne ke fama da ciwon sukari:

1. Mace mai shekaru 55 da ke lura da lafiyarta kuma ta bi shawarar likita za ta yi tsawon shekaru 21.8. Mace mai shekaru iri ɗaya ba tare da rage cin abinci ba, tare da cutar sikari da hawan jini - babu sama da shekaru 15.
2. Ga wani mutum mai shekaru 55, tsinkayen shine shekaru 21.1 da 13.2, bi da bi.
3. Masu shaye-shaye tare da ciwon sukari suna rayuwa a matsakaicin shekaru 2 ƙasa, ba tare da la'akari da matsayin diyya na cutar ba.
4. Babban cholesterol yana ɗaukar kimanin shekara 1 na rayuwa.
5. Rage matsin lamba na systolic daga 180 zuwa al'ada zai ba wa mutum kimanin shekaru 1.8 na rayuwa; Shekaru 1.6.

Kamar yadda za'a iya gani daga bayanan da ke sama, marasa lafiya suna rayuwa tare da nau'in ciwon sukari na 2 fiye da wanda ke tare da nau'in 1. Wannan shi ne saboda gaskiyar cewa wannan nau'in cutar yana fara latti, a yawancin mutane bayan shekaru 55. Sugar a cikin shekarun farko yana tashi kaɗan, wanda ke nufin cewa rikice-rikice sun haɗu da hankali.

A cikin 2014, Ma'aikatar Lafiya ta Rasha ta buga bayanai masu kyakkyawan fata. Godiya ga shirye-shiryen gwamnati don samar da masu ciwon sukari tare da magunguna masu kyauta, ƙaddamar da shirye-shiryen horarwa a gare su ya rage mace-mace ta kusan kashi 30% kuma cimma burin rayuwa na shekaru 72.4 ga maza da kuma 74.5 ga mata masu fama da cuta ta 2. Ya bayyana cewa mata suna rayuwa shekaru 2 ne kawai ƙasa da ƙwararar lafiyarsu, amma maza sun fi shekaru 10 yawa. Za'a iya bayanin irin wannan nasarar a cikin maza a cikin hanya ɗaya: a gaban masu ciwon sukari, ana tilasta wa marasa lafiya su kasance a ƙarƙashin kulawa na likita koyaushe kuma a yi gwaje-gwaje.

Diyya na cutar kansa

Likitoci sun yi imanin cewa za a iya samun diyya na dogon lokaci ga masu fama da larura masu laushi da matsakaita a cikin kowane haƙuri, kuma a mafi yawan lokuta, tare da wadatattun magunguna masu araha. Gaskiya ne, ilimin da gwaninta na likita bai isa ba don nasarar cin nasara. Za a iya biyan diyya mai dorewa ne kawai ga wadanda suka horar da su a makarantar ciwon sukari ko kuma sun karanci halayen cutar, su fahimci nauyin su na saurin haɓakar rikice-rikice, gudanar da gwaje-gwaje a kai a kai don gano rikice-rikice a farkon matakan da suka dace, kuma bi duk umarnin likita, gami da rage cin abinci da aikin jiki.

Bayanai na ƙididdiga na Federationungiyar Tarayyar Rasha:

Kamar yadda ake iya gani daga tebur, a cikin yawancin masu ciwon sukari na Tarayyar Rasha, cutar ta rikice. Menene dalilin wannan halin? Abin takaici, mutanen da ke da cututtukan cututtukan fata da ke buƙatar rikice-rikice na rayuwa tsawon rai ana kamanta su da mummunan halin zuwa yanayin su. A cikin shekara guda, yawancin marasa lafiya suna ba da damar yarda da abinci a cikin abinci, ko ma rayuwa ba tare da cin abinci ba na tsawon makonni, dakatar da shan kwaya akai-akai, da samun nauyi.

Ta hanyoyi da yawa, wannan ingantaccen halin kula da lafiyar su yana sauƙaƙa ta hanyar ingantacciyar lafiyar marasa lafiya tare da sukari mai sauƙi. A matsayinka na mai mulkin, basu da alamu, rayuwa kusan babu bambanci da rayuwar mutane masu lafiya. Matsaloli masu nauyi (asarar hangen nesa, rikicewar jijiyoyin jini a cikin ƙafa) suna bayyana lokacin da mutum ya zauna tare da ciwon sukari na shekaru 5-10. A matsayinka na mai mulkin, ana iya gano manyan matsaloli na jijiyoyin jiki a wannan lokacin, wanda ba za'a iya kawar dashi gaba daya.

Wanne masu ciwon sukari ke rayuwa kasa da haka

Ungiyoyin marasa lafiya da masu ciwon sukari waɗanda ke da haɗarin haɗari na rikice-rikice, sabili da haka mafi karancin tsammanin rayuwa:

• Yara 'yan kasa da shekaru 4 da ciwon sukari masu dogaro da insulin. Tsarin lalata ƙwayoyin ƙwayoyin ƙwayoyin cuta a cikin ƙananan yara yana da sauri, sukari jini ya hau zuwa kyawawan dabi'u cikin haɗari. Tare da haɓakar ketoacidosis, jarirai suna rasa hankali da sauri kuma suna fada cikin rashin lafiya, suna iya mutu.
• A lokacin balaga, yara sukan ƙi yarda da rashin lafiyarsu, suna ƙoƙarin kawar da ƙuntatawa, suna jin kunyar shiga allurar insulin a kan titi kuma suna auna sukari. Kuma ko da tare da halayen halayen lafiya ga lafiyar su, ƙin kuɗi ya zama ruwan dare a cikin samari saboda mummunan canje-canjen halayyar yanayin wannan zamani.
• Masu ciwon sukari masu shan gwaiba yawanci basa iya lissafin allurai insulin daidai, mafi yawan lokuta suna karewa ne cikin rashin lafiya.
• Tare da nau'in ciwon sukari na 2, kiba yana rage rayuwa. Yawancin marasa lafiyar da suka wuce kima suna tilasta shan allurai na magungunan hana daukar ciki, a baya sun daina samarda insulin nasu, wata dama mawuyacin hali na bugun zuciya da bugun jini.
• Marasa lafiya waɗanda ba su shan magungunan da likita ya umarta. Tare da nau'in cuta ta 2, masu ciwon sukari sau da yawa suna buƙatar statins, magungunan antihypertensive, da bitamin ban da magungunan rage sukari.
• Marasa lafiya waɗanda suka ƙi ilimin insulin. Idan tare da nau'in ciwon sukari na 1 babu wani madadin, to tare da nau'in ciwon sukari na 2, suna ƙoƙari mafi kyau su jinkirta gudanar da maganin. Yawancin karatu sun tabbatar da cewa wannan dabarar takaitacciyar rayuwa ce. Likitocin sun bayar da shawarar a ko da yaushe suna kula da haemoglobin na glycated, suna kara sabon magani a cikin maganin da zaran GH ya kai 7-7.5. Kuna buƙatar canzawa zuwa insulin da zaran yiwuwar magani tare da kwayoyin sun ƙare, wato, magunguna 2-3 na ka'idodi na aiki daban-daban basu isa ga al'ada ta al'ada ba.