Type 2 ciwon sukari mellitus: alamun ci gaba, yadda za a bi da kuma nawa rayuwa tare da shi

Wuce kima a rabi na biyu na rayuwa, rashin motsi, abinci tare da yalwar carbohydrates suna da tasiri sosai ga lafiya fiye da yadda aka yi imani da shi. Ciwon sukari na 2 wani cuta ne, marar lafiya. Yana haɓaka mafi yawan lokuta saboda yanayin rayuwa na zamani - samfura masu yawa, samun damar jigilar kayayyaki, da aikin kwance.

Statisticsididdigar cututtukan cututtuka sun tabbatar da wannan sanarwa: a cikin ƙasashe masu tasowa, yawan cutar sukari sau goma ya fi na ƙasashe matalauta. Wani fasali na nau'in 2 shine hanya mai tsawo, maras-nauyi alama. Idan ba ku shiga cikin binciken likita na yau da kullun ko ba da gudummawar jini don sukari da kanka, binciken zai zama latti lokacin da matsaloli masu yawa suka fara. Za'a iya ɗaukar magani a wannan yanayin fiye da yadda aka gano lokacin cutar.

Me yasa ciwon sukari na 2 ya fara girma kuma waye ya shafi

Bayyanar ciwon sukari ana yin sa ne yayin da aka gano saurin hauhawa a cikin glucose a cikin komai a ciki a cikin jinin mara lafiya. Matsayi sama da 7 mmol / L shine isa dalili don tabbatar da cewa take hakkin metabolism na carbohydrates ya faru a cikin jikin mutum. Idan an aiwatar da ma'aunin tare da gilashin ɗan iska mai sauƙi, alamu na ciwon sukari sama da 6,1 mmol / l yana nuna ƙwararrun ciwon sukari, a wannan yanayin ana buƙatar binciken ɗakin bincike don tabbatar da cutar.

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%

Yawancin cututtukan type 2 shine mafi yawan lokuta tare da keta alfarmar insulin. Sugar daga cikin jini ya shiga cikin kyallen takaddun saboda insulin, tare da juriya, karɓar insulin ta hanyar ƙwayoyin sun lalata, wanda ke nufin cewa ba za a iya samun glucose ba kuma ya fara tarawa cikin jini. Cutar fitsari tana ƙoƙarin daidaita matakan sukari, haɓaka aikinta. Daga baya ta daina aiki. Idan ba a kula da shi ba, bayan wasu 'yan shekaru, sai ya maye gurbin insulin wuce haddi ta rashin, kuma glucose na jini ya hauhawa.

Sanadin ciwon sukari:

1. Yawan kiba. Adadin nama yana da aiki na rayuwa kuma yana da tasiri kai tsaye a juriya na insulin. Mafi haɗari shine kiba a cikin kugu.
2. Rashin motsi yana haifar da raguwa a cikin bukatun glucose na tsoka. Idan aikin jiki ba ya nan, babban adadin sukari ya kasance cikin jini.
3. Wuce haddi a cikin abincin da ake samu a jikin carbohydrates - kayayyakin gari, dankali, kayan zaki. Carbohydrates ba tare da isasshen ƙwayar fiber ba suna shiga cikin jini da sauri, yana haifar da ƙara yawan aikin ƙwayar cuta da ƙarfafa juriya na insulin. Karanta labarinmu kan raunin glucose mai rauni.
4. Tsarin kwayoyin halitta yana kara saurin kamuwa da cutar cuta ta 2, amma ba abu bane wanda ba zai yuwu ba. Halaye masu ƙoshin lafiya suna kawar da haɗarin kamuwa da cutar siga, koda tare da ƙarancin gado.

Rashin damuwa a cikin ƙwayar carbohydrate yana tara na dogon lokaci, don haka ana ɗaukar shekaru kuma shine sanadiyar nau'in ciwon sukari na 2. Mafi sau da yawa, cutar tana farawa bayan shekaru 40, yanzu akwai dabi'ar rage matsakaicin shekarun masu ciwon sukari.

Siffofin da tsananin ciwon sukari

Ciwon sukari mellitus ya kasu kashi na farko da na sakandare. Ciwon sukari na farko ba zai iya juyawa ba, dangane da nau'in rikice-rikice, ana rarrabe nau'ikan 2:

• Nau'in 1 (E10 bisa ga ICD-10) ana gano shi yayin da karuwar sukari jini ya faru ne sakamakon karancin insulin. Wannan na faruwa ne saboda rashi a cikin farji sakamakon tasirin ƙwayoyin cuta a jikin sel. Wannan nau'in ciwon sukari yana dogara da insulin, watau, yana buƙatar allura na yau da kullun na insulin.
• Nau'in na 2 (lambar MKD-10 E11) a farkon ci gaba ana nuna shi ta hanyar wuce haddi na insulin da ƙarfi mai ƙarfi na insulin. Yayin da ƙaruwa ke ƙaruwa, yana ci gaba da kusantowa nau'in 1 na ciwon sukari.

Ciwon sukari na sakandare yana faruwa ne sakamakon rikicewar ƙwayoyin cuta a cikin kwayayen, tare da cututtukan cututtukan cututtukan cututtukan zuciya, cututtukan hormonal. Bayan warkarwa ko gyara likita na sanadin cutar, glucose jini ya koma al'ada. Cutar sankara ta cikin ciki shima sakandare ce, yana fitowa a karon farko yayin daukar ciki kuma ya wuce bayan haihuwa.

Ya danganta da tsananin, ciwon ya kasu kashi biyu:

1. Matsakaici mai sauƙi yana nufin cewa rage cin abinci mai ƙarancin abinci kawai ya isa ya kula da matakan sukari na yau da kullun. Ba a ba da magunguna ga marasa lafiya ba. Mataki na farko ba kasafai ake samu ba saboda cututtukan bacci. Idan ba ku canza salon rayuwar ku a cikin lokaci ba, digiri mai sauƙi yana shiga tsakiya.
2. Matsakaici shine mafi yawan gama gari. Mai haƙuri yana buƙatar kuɗi don rage sukari. Har yanzu babu rikice-rikice na ciwon sukari ko suna da laushi kuma basa shafar ingancin rayuwa. A wannan matakin, karancin insulin na iya faruwa saboda asarar wasu ayyukan cututtukan zuciya. A wannan yanayin, ana sarrafa ta ta allura. Rashin insulin shine dalilin da yasa suke rasa nauyi a cikin cutar sankara tare da adadin kuzari na al'ada. Jiki ba zai iya shan sukari ba kuma an tilasta shi ya karya kashin kansa da tsokoki na kansa.
3. Cutar sankara mai nauyi ana rarrabe ta da rikitarwa masu yawa. Tare da kulawa mara kyau ko rashinsa, canje-canje suna faruwa a cikin tasoshin kodan (nephropathy), idanu (retinopathy), ciwon sukari na ƙafar ƙafafun zuciya, gazawar zuciya saboda angiopathy na manyan tasoshin. Har ila yau, tsarin mai juyayi yana fama da nau'in ciwon sukari na 2 na sukari, canje-canje masu lalacewa a ciki ana kiran shi da ciwon suga.

Mene ne bambanci tsakanin nau'in ciwon sukari na 2 da na 1

Bayyanar cututtuka na nau'in ciwon sukari na 2

A yawancin marasa lafiya, alamomin kamuwa da cuta mai nau'in 2 suna da laushi sosai wanda ba zai yiwu a yi zargin cutar ba. Mafi yawan lokuta, ana gano ciwon sukari ta hanyar gwajin jini na yau da kullun.

Don tsarke jini mai daɗi, jiki yana buƙatar ƙarin adadin ruwa, don haka ana iya ƙishirwa ko bushewar ƙwayoyin mucous. Tare da ƙara yawan amfani da ruwa, yawan fitsari shima yana ƙaruwa.

Saboda yawan sukari mai yawa, yana motsa jini a cikin mafi ƙarancin capillaries yana da damuwa, ana kunna fungi. Marasa lafiya da ciwon sukari na iya jin itching a kan fata da mucous membranes, thrush ya fi yawa a cikin mata. Raunin rauni ya fara murmurewa, rauni na fata yana faruwa ta fuskokin wuraren da ke cikin rauni ko ƙananan ƙurji.

Tissuearancin abinci mai narkewa saboda tsayayyar insulin yana bayyana ta hanyar jin gajiya, rauni na tsoka.

Ta yaya za a bi da wata cuta?

Kulawa don kamuwa da ciwon sukari na 2 shine daidaitaccen tsari, kai tsaye bayan gano cutar, masanin ilimin endocrinologist ya tanadi rage cin abinci da magunguna don rage sukari. Idan mai haƙuri ya kula da dakatar da cutar a farkon matakin, kuma ƙarfin ƙarfi yana ba ku damar bin tsarin abinci mai tsayayye, ana iya soke magunguna. Amincewa da duk shawarwarin likita game da abinci mai gina jiki da matakin aiki, cutar ba ta haifar da rikice-rikice ba, wanda ke ba da ciwon sukari damar jin ƙima kamar mutane masu lafiya.

Magungunan magani

Takamaiman magani don magani da kuma sashi na likita da aka zaba dangane da amincin pancreas, insulin juriya, nauyin haƙuri da sauran cututtuka.

Amfani da insulin

An tsara allurar insulin lokacin da hanyoyin magunguna suka kasa dawo da sukari a al'ada. Wannan yana faruwa tare da ci gaban ciwon sukari, wanda ke tattare da raguwa a cikin kwayar halitta kansa. Harkokin insulin na maganin ciwon sukari na nau'in 2 yana da hujja idan, bin abincin da amfani da wakilai na hypoglycemic, matakin glycated haemoglobin ya zama sama da 9%.

A wani lokaci, ana iya tsara insulin a yayin kula da cututtukan cututtukan cututtukan zuciya, kafin a fara aiki da kuma a cikin bayan haihuwa, tare da cututtukan zuciya da shanyewar jiki, manyan cututtuka masu kamuwa da cuta, a lokacin haila.

Matsakaicin, tare da nau'in ciwon sukari na 2, suna canzawa zuwa insulin shekaru 9 bayan ganewar asali. Waɗannan ƙididdigar sun haɗa da marasa lafiyar da aka horar dasu waɗanda ba sa buƙatar insulin shekaru da yawa, da kuma mutanen da ba sa son canza salon rayuwarsu.

Additionarin aikin insulin na lokaci zuwa tsarin kulawa yana ba da damar kiyaye ayyukan cututtukan ƙwayar cuta, inganta diyya na ciwon sukari, da jinkirta farawa da rikitarwa.

Nau'in insulin-dogara mai tsananin nau'in ciwon sukari guda 2 ana yawan barin shi ba tare da buƙatar magani ba saboda tsoron allura da kuma tsoron ƙwayar magunguna. Tabbas, allurai na gajeran insulin na iya haifar da cutar rashin haila. Amma tare da ciwon sukari, basal, tsawon insulin an tsara shi, wanda dole ne a gudanar dashi sau ɗaya ko sau biyu a rana a cikin girman guda. Ba shi yiwuwa a haifar da raguwar haɗari a cikin glucose ta irin waɗannan allurar. Kuma injections kansu ta amfani da sirinjin alƙawura tare da madaidaitan dabarun kusan ba su da rauni.

Bukatar aiki na jiki

Yawancin glucose a cikin jiki ana cinye shi yayin aiki mai ƙarfi. Saboda haka, aiki na jiki wajibi ne don hanzarta gudanawar sukari daga jini zuwa kyallen. Motsa jiki lokaci-lokaci sau uku a mako rage juriya na insulin, taimakawa wajen magance kiba.

A cikin lura da ciwon sukari, an fi son motsa jiki na motsa jiki. Don ƙayyade ƙarfin da ake buƙata, kuna buƙatar ƙidaya bugun jini a hutawa (da safe, ba tare da tashi daga gado ba).

Lissafin zuciya (HR) don motsa jiki yana ƙididdigewa ta hanyar dabara: (220 - shekaru - raunin zuciya da safe) * 70% + bugun zuciya da safe. Idan mai haƙuri da cutar sankara ya cika shekara 45, kuma faɗuwar safiya ta 75, a cikin azuzuwan kana buƙatar kula da matakin (220-45-75) * 70/100 + 75 = 150 bears a minti daya. Gudun jinkirin, kowane jirgi a wasan motsa jiki, yin iyo, rawa, tsalle-tsalle da sauran ayyukan da yawa sun dace.

Kuna buƙatar zaɓar nau'in ayyukan dangane da abubuwan da kuke so da kuma wadatar ku, tunda zaku yi maganin nau'in ciwon sukari na 2 a duk rayuwarku. Ga tsofaffi da masu fama da kiba, yin tafiya mai kyau yana bayar da ƙimar zuciyar da ta dace. Yana da kyawawa don fara tare da shi kuma tare da ƙarancin motsa jiki, sauyawa koyaushe zuwa ƙarin lodi mai nauyi.

Ingantattun magunguna na jama'a

A cikin magani na tushen shaida, ba a amfani da ganye don magance ciwon sukari. Abubuwan da ke warkar da su sun dogara da yankin girma, lokacin tattarawa, bushewa da adana su. Don haka, ba za a iya tabbatar da sakamakon tsire-tsire ta hanyar bincike ba, kamar yadda yake faruwa yayin da aka gabatar da sabbin kwayoyi a kasuwa. Abinda kawai masana'antun ke bada tabbacin shine aminci lokacin amfani da shi bisa ga umarnin.

Za'a iya amfani da magungunan jama'a kawai don sikantar da cutar siga ko azaman haɗin kan magunguna a matakin tsakiya.

Ta yaya ake amfani da wakili hypoglycemic:

• St John na wort
• kantin magani
• harbewar huhun fure;
• Aspen haushi;
• dawakai;
• wake wake;
• kirfa.

Daga sassan tsire-tsire masu magani, an shirya infusions da kayan ado. Yawancin yau da kullun shine teaspoon ko tablespoon a gilashin ruwa. Ana amfani da kirfa azaman yaji - an ƙara shi da abin sha, kayan zaki ko abincin nama - Dubi labarin akan cinnamon a cikin ciwon sukari.

Yadda ake cin abinci tare da nau'in ciwon sukari na 2

A zuciyar nau'in ciwon sukari na 2 wani gurbata ne na rayuwa, sanadiyyar shine, a tsakanin wasu abubuwa, rashin abinci mai kyau. An tsara abincin abincin don kusan dukkanin cututtuka masu tsanani, kuma a mafi yawan lokuta marasa lafiya suna watsi da su. A cikin ciwon sukari mellitus, wannan hanya ba zartar ba. Anan, abinci mai gina jiki shine tushen jiyya. Magungunan ƙwayar sukari ba tare da abinci ba zai iya jure matakan glucose masu yawa.

Abinda ke ciki na abinci don masu ciwon sukari tare da sauƙi mai narkewa, carbohydrates mai sauri ya kamata ya zama mafi ƙaranci (game da carbohydrates mai sauri da jinkirin). Fahimci yawan samfuran zasu taimaka teburin alamun glycemic index (GI). Mafi girma daga GI, mafi girman hauhawar sukari zai faru bayan cin abinci, wanda ke nufin cewa juriyawar insulin zai karu, lalacewar tasoshin jini zai faru, kuma mara lafiya zai ji mummunan rauni.

An yarda da rage yawan abubuwan carbohydrate. Kasancewar su a cikin abinci yana da iyakance gwargwadon yawan ciwon sukari da kuma kasancewar yawan kiba. Lissafin amintaccen carbohydrates ana lissafta, wanda aka yarda ya cinye kowace rana. A karo na farko, mai ciwon sukari mai nau'in cuta 2 zai buƙaci sikelin dafa abinci da teburin abinci mai gina jiki. A tsawon lokaci, masu ciwon sukari suna koyon yadda ake tantancewa, ta ido, nawa carbohydrates suke cikin aiki.

Shin zai yiwu a ci gaba da sauri

Wata hanyar magani don ciwon sukari shine abin da ake kira "rigar" azumi. Tana wadatar da cikakken musun kowane abinci da ruwa mara iyaka. Wannan lokaci ba tare da abinci ya kamata ya zama tsawon lokaci - aƙalla mako guda. Manufar yin azumi ita ce samun ketoacidosis, wato rushewar ƙwayoyin mai tare da sakin acetone cikin jini. Mabiya na warkewa azumi yin jayayya cewa jiki ba tare da abinci ke daga saba carbohydrate metabolism zuwa mai, Kwayoyin pancreatic samu lokaci zuwa hutu da kuma murmurewa.

A zahiri, wannan magana tayi nesa da gaskiya. Lokacin da tasoshin glucose a cikin jikin mutum suka ƙare, ana kiyaye matakan suga na jini ta hanyar gluconeogenesis. Jiki ta hanyar hadaddun halayen sunadarai suna samar da sukari daga mai da sunadarai. Fat ajiya a cikin wannan yanayin da gaske narke, amma a lokaci guda tsokoki suna lalata. Baron kuma ba zai sami damar hutawa ba - dole ne a ba da sukarin da ya sha wuya a sel, wanda ke nufin ana buƙatar insulin. Kuna iya cimma rushewar mai ƙima tare da asara mai yawa ta amfani da rage abincin carb tare da adadin kuzari na al'ada.

Nau'in cutar siga ta 2

Nau'in na biyu na ciwon suga za'a iya hana shi koda da ƙarancin gado. Don yin wannan, ya isa ya kula da nauyi kusa da al'ada, haɗa da wasanni na wajibi, a cikin ayyukan yau da kullun, kada ku wuce kima, kada ku ji matsananciyar ƙuntatawa da ƙuntataccen carbohydrates - Sweets da gari.

Ya hada da rigakafin cutar sankara da kuma gwajin jini na lokaci-lokaci. Ana ba da gudummawar jini don glucose aƙalla sau ɗaya a cikin shekaru uku. Tare da tsinkayen kwayoyin halitta ko salon rayuwa mara kyau - kowace shekara.

Hakanan akwai nazarin dakin gwaje-gwaje wanda zai iya gano raunin na rayuwa, gwajin haƙuri a jiki. Irin waɗannan canje-canje na ilimin halittu a farkon matakin za'a iya warke gaba ɗaya. Idan ba'a rasa lokaci ba, ciwon sukari na iya haɓaka.

Tsawon rayuwa

Za ciwon sukari mellitus ci gaba, ya dogara da haƙuri. Likitocin sun ce gudummawar da suka bayar wajen magance wannan cuta ba ta wuce kashi 20 cikin dari.

Tsawo shekarun rayuwa da hana rikice-rikice zai taimaka:

1. Gudanar da glycated haemoglobin, raguwa daga 10 zuwa 6% yana ba shekaru 3 na rayuwa.
2. Tsayawa matsin lamba low. Tare da matsi na sama na 180, mai ciwon sukari na shekaru 55 an yarda da shekaru 19 na rayuwa. Ragewa zuwa 120 yana tsawaita matsakaiciyar rayuwar mutum har zuwa shekaru 21.
3. A adadin adadin cholesterol a cikin jini zai ba da ƙarin ma'aurata na shekaru.
4. Shan taba yana rage rayuwa ta shekaru 3.

Matsakaicin bayanai game da tsammanin rayuwa tare da nau'in ciwon sukari na 2 a halin yanzu yana kama da wannan: wani mutum mai shekaru 55 wanda ya kalli cutar tasa zai rayu shekaru 21.1, mace - shekaru 21.8. Idan babu magani da kula da cutar siga, an rage waɗannan adadi zuwa 13.2 da 15, bi da bi. Haka kuma, mai haƙuri yana karɓar ba kawai ƙarin shekaru 7 ba, har ma da damar da za su ciyar da su sosai ba tare da wahala daga rikitarwa masu yawa ba.