Daya daga cikin mahimman ka'idodi don aiki na yau da kullun shine mai nuna matakin glucose a cikin jini. Idan mit ɗin ya kasance 27 mmol / l, zaku iya tunani game da haɓakar hyperglycemia, wanda ke da haɗari tare da rikitarwa mai rikitarwa.
Ciwon sukari (mellitus) - tsarin karatun ba koyaushe ba ne a cikin haihuwa, amma, a matsayin mai mulkin, tsawon rayuwa: kirkirar insulin, nau'ikan magungunan antidiabetic 10 har ma da wucin gadi na wucin gadi ba su magance matsalar ba.
Amma yana yiwuwa kuma ya zama dole don sarrafa bayanan glycemic ɗinku ta hanyar cimma iyakar iyakar biyan kuɗin sukari tare da taimakon gyare-gyaren salon rayuwa da kuma magunguna masu dacewa.
Sanadin hauhawar jini
Haɓaka sukari zuwa matakan mahimmanci yana faruwa ba kawai a cikin masu ciwon sukari ba, har ma a wasu halaye. Don tsara cikakken magani, yana da muhimmanci a san ainihin dalilin cutar.
Rarrabewa tsakanin raunin jiji da jijiyoyin jini. Rukunin farko sun hada da:
- Abincin (alimentary) iri-iri wanda ke haɓakawa bayan cin abinci na carbohydrates na yau da kullun, kamar yadda a cikin bulimia;
- Juyawar motsin rai (raɗaɗi), yana faruwa ne bayan matsanancin damuwa;
- Tare da zubar da jini ta jiki.
Yanayin cututtukan mahaifa sun hada da:
- Ciwon sukari iri iri;
- Rashin daidaituwa na glucose;
- Kwayar cutar kansa
- Yanayin da ke buƙatar kulawa ta gaggawa kamar ciwon zuciya;
- Babban yanki yana ƙonewa da raunin da ya faru;
- Neoplasms a kan koda;
- Transistor hyperglycemia a cikin jarirai;
- Thyrotoxicosis, cututtukan Itsenko-Cushing, acromegaly;
- Mai tsananin rashin hanta;
- Tsarin kwayoyin halitta;
- Cututtukan yanayi mai kamuwa da cuta (cikin m ko na kullum).
Matsayi na glycemia a cikin jiki yana sarrafa shi ta hanyar homones. Insulin yana inganta amfani da kwayoyin glucose a cikin sel, sauran suna haɓaka aiki da glycogen ta hanta da canjin glucose zuwa cikin jini.
Hadarin na sukari mai yawa
Tsarin ciwan jini wanda yake da haɗarin haɗari shine haɗarin rikice-rikice, musamman daga gefen zuciya, tasoshin jini, jijiyoyi.
Babban taro na glucose yana da guba sosai, tunda tare da tsawan tsawan lokaci yana haifar da tarin abubuwanda suka shafi jiki gaba daya. Maganin furotin yana farawa, wanda ke lalata tsarin nama da hanyoyin sabuntuwa.
Rarrabe micro da macroangiopathy. Na farko ya shafi ƙananan tasoshin idanu, ƙodan, kwakwalwa, kafafu. Retinopathy (lalacewar tasoshin idanun), nephropathy (lalacewar tasoshin kodan), neuropathy (canje-canje na jijiyoyin jijiyoyin kwakwalwa) haɓaka. Hankali yana raguwa (har zuwa cikakken asara), kodan ya zama mai lanƙwasa, ƙwaƙwalwar hannu tayi, raunuka suna warkarwa mara kyau, tsananin jin tsoro, ciwon kai yana yawan damuwa.
Bayan lalacewar manyan jiragen ruwa, jijiyoyin jini, musamman kwakwalwa da zuciya, sune farkon waɗanda zasu sha wahala. Idan ba a kula da ciwon sukari ba ko biyan diyya bai cika ba, atherosclerosis na haɓaka cikin hanzari. Cutar tana bayyana kanta da lalacewar jijiyoyin jiki har zuwa katangar su, sakamakon - cututtukan zuciya, bugun jini, bugun zuciya.
Lalacewa daga cikin jijiya na gefe, neuropathy, rikicewar cuta ce ta gama gari. Yawan wuce haddi a cikin maye yana shafar fiber na jijiya, yana lalata lalata myelin na firam na jijiya. Jijiyoyi sun kumbura kuma suna fitar da abubuwa. Cutar na iya shafar kowane ɓangare na tsarin juyayi na gefe. Yana bayyana kanta duka a cikin kadaici kuma a hade tare da sauran rikitarwa na ciwon sukari.
Sau da yawa, neuropathy yana haɗe tare da cututtukan ƙwayar cuta, ƙafar ƙananan ƙwayoyin cuta suna cikin haɗari musamman a wannan batun. Duk wannan yana haifar da mummunan cuta, wanda ake kira "ƙafar ciwon sukari." A cikin yanayin da aka yi sakaci, wannan ilimin yana haifar da ƙungiyar ɓarna da yanke rauni na ƙafafu. Idan aka tabbatar da “kwarewar” mai cutar sikari, to kuwa tsananin girman hemoglobin dinsa, to tsananin yuwuwar wadannan rikice-rikice.
Polyneuropathy zai iya gane shi ta hanyar jin zafi, ƙonawa, fashewa. Wataƙila cikakkiyar rashi ko rashin kulawa a cikin kafafu. Tare da rashin isasshen kula da yanayin su, raunukan da ba a iya ganowa ba, mai yiwuwa ne, biyo bayan kamuwa da ƙafa da kuma tsawon lokacin warkarwa saboda rage yawan rigakafi.
Yadda ake gane babban sukari
Haɓaka sukari, har zuwa 27 mmol / L, ba koyaushe yana haɗuwa da mummunan bayyanar cututtuka. Ana iya danganta gajiya, amai, bushewar baki tare da gajeren lokaci na karin girma, kuma ana iya haifar da hauhawar jini ta hanyar dama, alal misali, yayin binciken jiki na yau da kullun.
Lokacin da cutar ta shiga cikin matsanancin lokaci, takamaiman asibiti ya fara bayyana kanta akan lokaci. Ba tare da la'akari da dalilan da suka haifar da ƙimar glucose mai ɗorewa ba, alamun za su kasance iri ɗaya ne, saboda haka, ba shi yiwuwa a tantance sanadin tashin hankali kawai alamu.
Don bambanta digiri, wanda aka azabtar ya iya fuskantar:
- M ƙishirwa da bushe baki;
- Canjin nauyi (duka a ɗayan kuma a cikin shugabanci);
- Karin gumi;
- Sau da yawa tafiye-tafiye zuwa bayan gida saboda yawan urination;
- Rage yanayin aiki, asarar ƙarfi;
- Itching, tare da candidiasis na mucous membrane da fata;
- Halitosis, abin tunawa da acetone;
- Rashin nutsuwa.
Ana iya gano cutar sankara a jikin gwaje-gwajen gwaje-gwaje, wanda aka wajabta don wanda ake zargi da nau'in 1 ko nau'in ciwon sukari na 2. Mai haƙuri yana ɗaukar gwaje-gwajen jini (don nazarin ƙwayoyin cuta) da gwajin fitsari (gaba ɗaya).
Idan, ban da gunaguni, akwai kuma abubuwanda ke haifar da tashin hankali (yawan kiba, juriya insulin, ƙwayar polycystic, ƙaddarar jini), suna ba da shawarar ɗaukar gwajin haƙuri na glucose da kuma bincika hawan jini na glycated.
Idan aka kafa abin da ke haifar da ƙwayar carbohydrate, ana gudanar da gwaje-gwaje don fayyace yanayin halittar cututtukan cututtukan da ƙayyade ƙarin abubuwan da ke haifar da haɓaka sukari. Idan an tabbatar da dalilin, zaku iya ci gaba zuwa cututtukan kwakwalwa.
Matakan taimakon farko
Shin zai yiwu a taimaka wa mutum a gida idan sukari akan mit ɗin ya kasance 27 mmol / l, kuma wanda aka azabtar bai yi korafi game da ƙoshin lafiya ba? Abin takaici, ba za a iya ba da isassun kulawar likita ba, tunda halin da ake ciki yana buƙatar gudanarwa ko jerin abubuwan da za a iya amfani da su na magungunan cututtukan fata ko inshora na insulin.
Idan wanda aka azabtar ya saninsa (kuma tare da irin wannan ƙarfi mai ƙarfi na jini, wannan yana iya yiwuwa, tunda likitoci sunyi la'akari da mai nuna alama 16 mmol / l mai mahimmanci), akwai hanya guda ɗaya kawai: a kira gaggawa a asibiti, ba za ku iya yin gwaji tare da injections da allunan ba.
Idan babu fainting, kuna buƙatar ba wa haƙuri haƙuri kamar yadda zai yiwu, yana iyakance yawan amfani da carbohydrates. Tattaunawa da likita mai halartar a cikin makusanci kuma a wannan yanayin ana buƙatar.
Jiyya na yanayin hyperglycemic
Kula da yara da tsofaffi yana da alaƙa kai tsaye da alamu da abubuwan da ke haifar da harin. Idan yana yiwuwa a kawar da sanadin, to akwai damar daidaita ƙwayar cutar glycemia.
Idan an kamu da cutar sankara, an ba da shawarar farko don canza salon: gyaran abinci mai gina jiki a cikin shugabanci na rage yawan motsa jiki, motsa jiki na yau da kullun da kuma motsa jiki na motsa jiki, kula da yanayin tunanin.
Siffofin hyperglycemia a cikin masu ciwon sukari
Ana samun mafi yawan yanayi na rashin daidaituwa tare da nau'in 1 ko nau'in ciwon sukari na 2.
Idan an riga an tabbatar da cutar kuma an wajabta maganin ta, yawan sukari yana faruwa:
- Tare da rashin isasshen magani;
- Saboda rashin yarda da tsarin abinci da tsarin magani;
- Idan akwai cututtukan concomitant, raunin da ya faru, aiki;
- A lokacin daukar ciki (cutar sankarar mahaifa).
Har ila yau, babban ƙwayar plasma yana faruwa a lokacin ƙuruciya. Sanadin da bayyanar cututtuka a cikin yara sun yi kama da na manya. Mafi sau da yawa, matasa marasa lafiya suna kamuwa da ciwon sukari na 1.
Nau'in Postprandial da nau'in azumi
Babban rubuce-rubuce na glucose ta bayan cin abinci an rubuta su yayin cin abinci mai yawa na carbohydrates mai sauri ko kuma marasa magani na kwayoyi. Endocrinologist zai yi ma'amala da maganin jigilar mahaifa.
Hyperglycemia da safe (a kan komai a ciki), bayan hutu na 8-14 na abinci, saboda karuwar aikin hanta da daddare tare da sakin manyan allurai na glucose. Za a iya daidaita yawan cututtukan hanji bayan ƙayyadadden ƙwayoyin magungunan antidi. Rage yawan adadin carbohydrates da aka cinye wajibi ne.
Ra'ayoyin dare da safiya
Bambance-bambance na dare a cikin glycemia a cikin shugabanci na ƙaruwa yana faruwa a cikin yanayi biyu: tare da zaɓin insulin da bai dace ba kuma tare da haɓakar glycogen a cikin hanta. A cikin zane na farko, wannan yakan faru sau da yawa tare da nau'in ciwon sukari na 1, a na biyu - a cikin masu ciwon sukari tare da cutar ta 2.
Idan hanta tana samar da glucose sosai a cikin dare, kuna buƙatar daidaita abincin ku, kuyi ƙoƙarin rasa nauyi, kuna iya buƙatar kuɓuta magunguna.
Wasu lokuta haske mai sauƙi kafin lokacin kwanciya ya taimaka, amma yakamata a yi tunanin abincin: gilashin kefir da aka saba yi ba zai yi kyau ba (samfuran kiwo suna haɓaka sukari da daddare), zai fi kyau ku ɗan dafa ƙwan da aka dafa-ba tare da burodi da gishiri ba.
Haɓakar safe a cikin sukari ana bayar da su ta hanyar maganin kwayoyin cututtukan jini. Irin wannan halayen na yiwuwa bayan rashin bacci na dare. Mafi sau da yawa tare da ciwo na "sanyin safiya" suna fuskantar masu ciwon sukari, masu saurin farashi. Wani lokaci ƙarin allura ya zama dole a tsakiyar lokacin bacci na dare.
Idan akwai famfon na insulin, ana iya tsara shi ta yadda a lokacin da ya dace ya ba da sashen da aka zaba na insulin.
Yin rigakafin tasirin cututtukan hyperglycemia
Me za a iya yi a yanzu? Bayan haka, koda karamin mataki shine farkon tafiya mai nisa.
Da farko kuna buƙatar kawar da abubuwan da ke haifar da sukari, saboda babu, koda magunguna na zamani ba zasu rabu da rikice-rikice ba idan glycemia ba al'ada bane.
Duk wani rikice-rikice yana da abin da ake kira alamar dawowa, lokacin da babu abin da ke taimakawa, har ma da sarrafa glycemic 100%. A irin waɗannan halayen, mutum dole ne ya yi ƙoƙarin akalla jinkirin ci gaban cutar. Yaya za a sarrafa sukari yayin da duk ba'a rasa ba?
Yi bita game da tsarin abinci da abinci don rage yawan carbohydrates da haɓaka yawan lokutan abinci. Dole ne a rage girman bautar.
Masu ciwon sukari masu kamuwa da cuta ta 2 su yi zurfin tunani game da rasa nauyi. Yayinda kwayar take cikin kwantaccen mai, masu karban ta suna insulin basu da nutsuwa. Masu ciwon sukari masu dauke da cutar ta 1 ba sa fuskantar kiba, yana da mahimmanci a gare su su koyi yadda za su ramawa da carbohydrates tare da insulin don guje wa faduwa cikin sukari kwatsam.
Ya kamata ku tsara ayyukanku na yau da kullun ta yadda aƙalla sau 4-5 a mako an ware sa'a guda don tafiya mai aiki da sauran ayyukan jiki. Kuna buƙatar yin karatu na awa daya, da ci gaba - na biyu.
Ayyukan tsoka kada ta kasance a tsaye, amma mai tsauri: ƙazantar da gonar a wannan yanayin ba zaɓi bane. Ya kamata a zaɓi motsa jiki don motsa jiki, don jiki ya sami isashshen oxygen kuma yana ƙone glucose.
Idan ba tare da isasshen ajiyar zuciya (60% na ƙaddamarwa ba), wannan baya faruwa. Lissafin zuciya ana lissafta ne kawai: shekara debe 200. Daga wasanni don wannan dalili sun dace: hawa hawa, tsaurara tafiya ko gudu, yoga, iyo, kwallon kafa, wasan tennis.
Masu fama da cutar siga tare da nau'in cuta ta 1 a wannan yanayin sukan rasa nauyi, amma don daidaita ƙwayoyin cutar lipid. Abubuwan nau'ikan nau'ikan nau'ikan da aka jera su ma sun dace da su.
Yana da mahimmanci a zabi dacewa da maganin da ya dace. Idan babu diyyar cutar sikari 100%, canza magunguna ko likitanka.
Kamar yadda ƙarin hanyoyin, za a iya amfani da madadin magani, amma daidai kamar ƙarin. Hakanan wajibi ne don sarrafa motsin zuciyarmu, don guje wa kamuwa da cuta da rauni.
Yana da mahimmanci a lura da alamomin ku na sukari tare da glucometer kuma a yi rikodin su a cikin littafin furucin. Uzuri kamar "Ina jin al'ada a yanzu" ko "Ba zan yi fushi da ƙari ba saboda yawan sukari" ba a yarda da su ba. Yawancin lokuta ma'aunai, ƙananan dabi'u na haemoglobin, kuma wannan babbar hujja ce don hana tawaya da kuma wanda bai mutu ba daga rikitarwa.
Dangane da kididdigar, tare da nau'in ciwon sukari na 1, ma'aunin 8 a rana yana samar da 6.5% na gemoclobin glycated. Don nau'in ciwon sukari na 2, “ranakun gwaji” suna da amfani lokacin da aka kimanta tsarin bayanan glycemic: sukari mai jin yunwa da safe, kafin abinci, da awanni 2 bayan kowace abinci, kafin lokacin kwanciya da kuma tsakiyar barci na dare (awanni 2-3).
Wannan don masu farawa ne, amma gabaɗaya, kowane wakilin ƙungiyar hadarin, musamman idan sukari shine 27 mmol / l, ana buƙatar yin gwaje-gwaje a kowace shekara daga duk manyan kwararrun don bincikar rikice-rikice na ciwon sukari don magance su cikin lokaci. Kuma yaushe ne lokacin ƙarshe da kuka sami irin wannan binciken ta jiki?
Karanta ƙarin game da rikicewar hyperglycemia a cikin bidiyon.
