Cutar sankara ko ta glucoseuria cuta ce ta haɓaka ta ƙara yawan sukari a cikin fitsari a matakan al'ada na glucose na jini. Rashin lafiya yana faruwa ne sakamakon jigilar glucose mai ƙarancin ƙarfi ta cikin tsarin tubular ƙodan.
Cutar sankarau shima nau'in sodium ne na cututtukan zuciya. A wannan halin, kodan sun rasa hankalinsu ga hormones adrenal. Rashin lalacewa yana faruwa duka biyu a cikin gida (a cikin kodan kansu) kuma daga gefen tsarin juyayi na tsakiya (lalatawar hypothalamus).
Siffofin yanayin pathological
Cutar sankarau cuta cuta ce ta kowa. Idan tare da ƙwayar insulin ƙwayar cutar ƙwaƙwalwar ƙwayar cuta ta ɓace, to, tare da ciwon sukari na koda, tubules ko dai ya ragu ko kuma ya zama rigakafi ga aldosterone - hormone na glandar adrenal.
Kuna iya magana game da sabon abu na glucosuria lokacin da aka daidaita 2 zuwa 100 g na glucose a cikin fitsari kowace rana. Ba za a iya nuna alamun zahiri ta kowace fuska ta abinci, rayuwa, ko adadin ruwan da aka cinye. Duk wani fitsari (gami da rabe-rabe na daren) na iya ƙunsar gluafin glucose. Abin lura ne cewa a cikin jinin sukari wani lokaci yakan zama ƙasa da ƙasa.
Da wuya, “na gargajiya” ciwon sukari mellitus da kodan da ba su da saurin kamuwa da cutar aldosterone sune cututtukan biyu da ke haɓaka a cikin kwayoyin halitta guda ɗaya.
Ciwon Gyada
Ciwon koda na sodium yana haɓaka saboda rashin daidaituwa na ƙirar neurohumoral waɗanda ke da alhakin ƙirƙirar ƙwayar urinary. Sakamakon rikice-rikice a cikin reabsorption, jiki ya fara wahala daga rashin daidaituwa na ruwa.
Kodan ba za su iya yin aikinsu na kai tsaye ba. Wannan yana haifar da gaskiyar cewa an tilasta abubuwa masu mahimmanci daga jiki. Rashin ƙwayar soda yana haifar da adadin wasu cututtukan cututtukan cuta. Idan babu wannan kwayoyin, zuciya, jijiyoyin bugun jini da jijiyoyin jiki basa iya aiki yadda yakamata.
Symptomatology
Lalacewar kodan a cikin cutar sankara ya bayyana ta fuskoki da alamu da yawa. Ana ɗaukar adadin glucose da sodium a cikin fitsari.
Ga yanayin ilimin cutar sankara na glucosuria, alamu masu zuwa suna da halayyar:
- Rashin ƙarfi
- Dizziness
- M ji yunwa;
- Fata mai bushe;
- Ciwon kai da damuwa;
- Lalacewar hankali;
- Urination akai-akai.
Idan matsalar ta haɗu da ƙwayar ƙwayar ƙwayar cuta a cikin ƙwayar cuta mai narkewa, kodan da ya shafa tare da ciwon sukari zai tsokani abin da ya faru na bayyanar cututtuka masu zuwa:
- Abun ci;
- Vomiting;
- Rashin nauyi kwatsam;
- Maƙarƙashiya na kullum
- Halin zazzabi;
- Yankunan fitsari suna da yawa a al'ada.
Sakamakon saurin ciwan sukari na koda, da kodan na fitar da yawan fitsari, yanayin rashin ruwa na iya faruwa.
An kafa ciwon sukari na huhu, azaman yanayin ci gaba, a farkon ƙuruciya. A wannan yanayin, yawancin yara suna da karkacewa a cikin ci gaba na zahiri.
"Fitsari mai dadi" yana ɗaukar wata babbar barazanar. Ruwan mahaifa tare da yawan sukari shine kyakkyawan matsakaici don haɓaka ƙwayoyin cuta daban-daban.
Dalilai na samuwar cututtuka
Cutar sankara, ƙarancin cututtukan da koyaushe ke iya magana kuma basa barin kuskure cikin kamuwa da cuta, tana haɓaka saboda yanayi daban-daban.
Ginin glucosuria yana kasancewa saboda irin wannan mahaukaci:
- Ragewar tubules na siyan yara (na ilimin halin ɗan adam);
- Rushe yayin jigilar glucose
- Matsalolin Permeability don glucose.
Cutar koda na sodium tare da ciwon sukari yana ci gaba. Wannan na iya zama lahani ga haihuwa, wani nau'in halittar jini, wanda ake ɗauka daga bauta zuwa tsara.
Idan kuwa ba batun gado ba ne, dalilan cutar na iya zama kamar haka:
- Tsawon lokaci mai jan hankali da yawa (cututtukan tarin fuka, cututtukan hoto, cututtukan jima'i);
- Lalacewa ga hypothalamus ko ƙwayar ƙwayar mara nauyi;
- Lalacewa ga ɓangarorin kwakwalwa waɗanda ke da alhakin aiki na yau da kullun na aikin urinary (waɗannan na iya zama tattaunawar jiki da raunin kai, hanyoyin ƙwayar cuta, metastases, cututtukan hydrocephalic, sakamakon tasirin neurosurgical);
- Ilimin aikin jijiyoyin jini;
- Cututtukan autoimmune lokacin da tsarin keɓaɓɓe ya sha wahala daga ayyukan rigakafin jikinsu.
An lura cewa atherosclerosis da hauhawar jini na iya tsananta yanayin mai haƙuri, da mummunar cutar da kodan, nau'in ciwon sukari na 2 da sauran nau'ikan mahaɗan endocrine suma zasu ci gaba.
Ciwon sukari
Yin amfani da gwaje-gwaje masu sauƙi, zaku iya kimanta yadda ƙodan ke aiki tare da nau'in ciwon sukari na 2, glucoseuria da nau'in sodium na pathology. Nazarin mahimmanci na farko da aka wajabta wa mai haƙuri shine ƙaddara yawan adadin fitsari yau da kullun. A cikin layi daya, ana nazarin taro na fitsari.
Baya ga daidaitattun gwaje-gwaje (urinalysis general, ƙidaya jini gaba ɗaya da ma'aunin glucose na jini), ya kamata marasa lafiya suyi gwajin abin da ake kira "bushe" gwajin.
A cikin awanni 12, mutum zai iya cin abinci na musamman, yana kawar da kowane irin abinci na ruwa da ruwa daga abincinsa.
Sannan, kwararru suna lissafa jimlar adadin ruwan da kodan ya kwantar. Don yin ingantaccen ganewar asali, yana da muhimmanci a yi la’akari da dukkan sigogin fitsari da aka karɓa. Wani lokaci ana buƙatar MRI.
A bambance-bambancen ganewar asali, yana da muhimmanci a keɓance waɗannan halaye na yanayin:
- Adrenogenital ciwo;
- Hypoaldosteronism;
- Pyloric stenosis;
- Hypokalemia;
- Hyperkalemia
Farfesa
Kula da cututtukan koda don ciwon sukari ana nufin kawar da tushen abin da ke haifar da karuwar sodium, potassium da glucose a cikin fitsari. Halin gado ba shi da magani, sabili da haka, babban burin likitoci shine a daidaita yanayin mai haƙuri da kirkirar tsari mai kyau wanda zai ba mai haƙuri damar jin daɗi.
Babban glucose a cikin fitsari na iya haifar da cutar hawan jini.. Likita mai halartar zai gaya wa mara lafiya yadda ciwon sukari ke shafar kodan, menene zai iya zama mummunan sakamako da rikitarwa idan ka yi watsi da lafiyar ka.
Yana da mahimmanci don kwantar da duk alamomin mai haƙuri, sannan kuma ci gaba da lura da mahaukacin mahaukacin endocrine.
Abubuwa masu mahimmanci
Yawancin lokaci, ana tsara marasa lafiya koyaushe don tsawon makonni 2 zuwa 4 tare da ƙuntatawa na kayan zaki da na gari. 'Ya'yan itãcen marmari a cikin carbohydrates, wasu hatsi, taliya, da abinci tare da mai mai yawa mai fadi a ƙarƙashin dokar.
Don lura da cututtukan cututtukan cututtukan endocrine, ana iya tsara abubuwa masu zuwa:
- Yana nufin rage darajar sukari a cikin kwamfutar hannu;
- Insulin maye magunguna
- Kwayoyin bitamin;
- Yana nufin don gyaran hanta, kodan da cututtukan fata.
Don hana gazawar koda a cikin ciwon sukari da hana haɓaka kowane nau'in rikice-rikice, ana iya tsara samfuran magunguna masu zuwa ga marasa lafiya:
- Magungunan ƙwayoyin cuta;
- Corticosteroids a yawancin sigogi;
- Cytostatics;
- Shirye-shirye don inganta wurare dabam dabam na jini a cikin ƙwayoyin koda.
Game da rikitarwa
Tambayar abin da za a yi idan kodan ba shi da lafiya tare da cutar sankara ya dace da yawa. Koyaya, ba al'ada bane don yin magana game da rikice-rikice ba dangane da asalin cutar glucoseuria ba.
Tashin hankali don lura da:
- Babban haɗarin kamuwa da cuta;
- Rage ci gaba gazawar na koda a cikin ciwon sukari;
- Ketoacidosis;
- Cutar masu ciwon sukari
Duk wani karkacewa daga dabi'ance yana da hadari musamman a lokacin daukar ciki. Manyan matsalolin: haɗarin haɓakar farkon gestosis, daskarewa tayi a kowane mataki na ci gaba, zubar da ciki, polyhydramnios, girman tayi sosai, haihuwar rauni.
