Kwayar cutar ciwon sukari cuta ce mai wuyar kamuwa da cutar sankara wacce a ke shafar ƙarshen jijiya. Sauye sauye na faruwa a cikin su, saboda wanda hankalin saƙan ƙarshen ƙarshen ya rikice.
Mafi sau da yawa, polyneuropathy yana faruwa bayan shekaru 15-20 na ciwon sukari, a lokuta mafi wuya, ana gano canje-canje na farko bayan shekaru 5 na wannan cutar. Hakan yayi daidai da nau'in 1 da nau'in ciwon sukari guda 2. Tare da hadaddun jiyya na bayyanar cututtuka na ciwon sukari na polyneuropathy, yana yiwuwa a hanzarta dakatar.
Me yasa polyneuropathy ya haɓaka tare da ciwon sukari
Isticsididdiga sun nuna cewa polyneuropathy na ciwon sukari yana faruwa a cikin 65% na marasa lafiya da ke fama da ciwon sukari. A tsawon lokaci, haɗarin canje-canje na pathogenic a cikin ƙarshen jijiya yana ƙaruwa sosai. Hakanan, tsawon lokacin rikice-rikice yana shafar halayen mutum na mutum, da kuma matsayin diyya ga masu ciwon sukari. Idan za a iya kiyaye matakan glucose tsakanin 8 mmol / l, to, haɗarin haɓakar ciwon sukari zai zama ragu sosai. A matsakaici, zai kasance kusan 10%.
- Increasearuwar yawan glucose a cikin jini yana haifar da haɓaka hanyoyin sake juyawa. Saboda wannan, an saki yawancin adadin 'yan tsuttsauran ra'ayi cikin jini. Suna mummunar tasiri ga gabobin ciki da kyallen takarda, suna tsoma baki ga aikinsu na yau da kullun.
- Hakanan, a kan asalin irin wannan abun da ke cikin jini, hanyoyin sarrafa kansa zasu fara haɓaka. Suna tsoma baki tare da haɓakawa na al'ada da haɓakar ƙwayoyin jijiya, wanda ke cutar da jijiyoyin jiki.
- Saboda rikice-rikice na rayuwa a cikin jini, matakan glucose yana ƙaruwa sosai. Yana tarawa cikin kyallen takarda, saboda wanda osmolarity na sararin samaniya ke rikicewa. Saboda wannan, hadarin haɓakar kumburin ƙwayar jijiyoyi yana ƙaruwa, aiki na yau da kullun yana da damuwa.
- A cikin sel, taro na myonositis yana raguwa, saboda wanda matakan metabolism a cikin sel ke ragewa. Hakanan ana saki Phosphoinositis a cikin jini, wanda ke rage ayyukan metabolism na makamashi.
Rarrabawa
Zuwa yau, kulawa da kwararru sun bambanta nau'ikan nau'ikan cututtukan cututtukan jini guda 3. Yana da mahimmanci a tantance takamaiman nau'in wannan cuta don zaɓar mafi kyawun tsarin kulawa. An bambanta nau'ikan waɗannan masu zuwa:
- Cikakken hoto tare da cututtukan cututtukan zuciya wani nau'in rauni ne wanda ƙwayar jijiya mai wahala take wahala. Hakanan yanayin jijiyoyin motar yana canzawa, wanda ke haifar da rauni a cikin rauni. A kan asalin irin waɗannan hanyoyin pathogenic, an kafa hyperglycemic neuropathy. Wannan yanayin yana bi da shi ta hanyar likita, yana buƙatar kulawa ta koyaushe daga likitocin halartar.
- Polyneuropathy na ciwon kai na kai mai kwakwalwa - wanda ya haifar da mummunan aiki a cikin yawan adadin ƙwayoyin jijiya. Saboda wannan, dukkanin gabobin ciki zasu iya tasiri. Ana buƙatar ƙarin cikakkiyar nazari, magani yawanci tsawo ne.
- Polyneuropathy na mai fama da cutar tarin yawa shine rukuni na cututtuka na tsarin juyayi wanda ya bayyana bayyananniya daban-daban. Mafi sau da yawa, ana yin raunin neuropathy na rami, ya zama mafi yawan mutane a cikin tsofaffi waɗanda ke da raunin metabolism. Paresthesia kuma na iya faruwa - cin zarafin jijiyoyin jijiyoyi, wanda akan sa mutum yaji kullun nutsuwa, ƙage da sauran bayyana.
Binciko
Bayyanin ciwon ciwon sikila mai sauƙin kai ne. Tare da hanyar da ta dace, zai yuwu a tantance wannan cuta a zahiri tare da taimakon bincike da yawa. Koyaya, don sanin tsarin kulawar da ya fi dacewa, likitan ya yi wani dogon gwajin binciken na mai haƙuri. Yana da matukar muhimmanci a tantance matsayin lalacewar, tsananin su da kuma tsananin su. Da farko dai, likita ya gudanar da gwajin 'yanci, ya hada da kimantawa:
- Bayyanar ƙananan ƙarshen;
- Ulsarfe daga cikin jijiyar dutsen;
- Soreness na fata.
Bayan wannan, mai haƙuri ya tafi duban dan tayi da ECG na zuciya, gwajin jini gaba ɗaya don maganin lipoproteins da cholesterol. Bayan wannan, likita yana auna matakin hawan jini kuma yana yin alƙawura na farko don maganin ƙwayar cuta. Bayan haka, ana aika mai haƙuri don gwajin ƙira, wanda ya haɗa da ma'anar:
- Haɗarin glucose;
- Matsayi na haemoglobin;
- C peptide matakin;
- Insulin hankali.
Hanyoyin jiyya
Tare da cikakken tsarin hadewa, kawar da cutar sankarar bargo zai yiwu da sauri. Shan magunguna da yawa zasu taimaka wajen dawo da hankalinka da aiki a cikin ƙarshen jinya. Jiyya ya haɗa da amfani da:
- Hadaddun abubuwan bitamin - suna taimakawa haɓaka ƙwayoyin jijiyoyi, suna hana mummunan tasirin glucose baya ƙarewa. Ana nuna mafi girman tasiri a haɗe tare da abincin da aka zaɓa daidai.
- Alpha-lipoic acid - yana hana tarin glucose ta hanyar ƙoshin jijiya, yana mayar da ƙwayoyin da suka lalace, suna kunna samar da enzymes masu amfani. Mafi sau da yawa, Tiogamma, Berlition, Thioctacid, Espalipon an wajabta su.
- Actovegin - kayan aiki wanda ke daidaita cirewar glucose daga jiki, dawo da tsarin tafiyar jini, yana kare sel jijiya daga mutuwa.
- Maƙasudin jinya - suna taimakawa wajen kawar da rashin jin daɗin da ke haifar da cututtukan cututtukan ƙwayar cuta. Mafi sau da yawa, ana ba da umarnin Ketanov, Ibuprofen, Diclofenac.
- Aldose reductase inhibitors - taimaka don cire glucose da aka tara daga jikin mutum, taimaka maido da aikin jijiyoyin jijiya. Shahararrun kwayoyi sune Izodibut da Epalrestat.
- Kwayoyi masu kare rigakafi - an tsara su ne a yanayin da kwayar cutar zazzabin cizon sauro ta rikitarwa ta hanyar kwayan cuta ko kamuwa da cuta.
- Potassium da alli - mayar da aikin tsarin na zuciya da jijiyoyin jini, rage tashin hankali da kunbuwa.
Tsarin motsa jiki
Don samun ingantacciyar magani don maganin ciwon sukari, likitoci sukan ba da umarnin hanyoyin motsa jiki. Mafi yawan lokuta, igiyoyin diadynamic, magnetotherapy, electrophoresis, motsawar lantarki, balneotherapy, oxygenation, acupuncture da ƙari mai yawa ana rubuta su. Tare da taimakonsu, yana yiwuwa a hanzarta tsayar da hanya a cikin ƙwayoyin jijiya. Hakanan, don hanzarta murmurewa, za'a iya yin motsawar kashin kashin. Hanyoyin motsa jiki koyaushe ana wajabta su tare da haɗuwa da magani.
Jiyya na ciwon sukari polyneuropathy na buƙatar haɓaka haɗakar m. Yana da matukar muhimmanci cewa likita an wajabta shi ne kawai ta hanyar ƙwararren masanin halartar likita. Zai zabi muku irin wannan magani wanda ba zai ba da damar faruwar cutar ba.
Ba'a ba da shawarar yin magani na kai ba, wanda zai haifar da rikice rikice. Matsakaici, tsawon lokacin magani zai iya ɗaukar watanni da yawa ko ma fiye da haka. A kowane yanayi, tsarin mutum yayi mahimmanci.
Hasashen
Tsinkayar cutar sankarar bargo ta dogara da matsayin lalacewa. Karami shi ne, mafi girma shine damar damar kula da aikin motsa jiki na yau da kullun da hankali. Ana iya tsammanin samun hangen nesa mai dacewa idan:
- Raunin kafa ya bayyana ƙasa da watanni 6 da suka gabata;
- Tashin hankali ba ya nan ko kuma a farkon matakin;
- Matsayi na glucose yana a matakin al'ada;
- Sakamakon ciwon sukari na polyneuropathy ya tashi ne bayan ragi a cikin matakan glucose.
A wasu halaye, hanyar cutar za a iya ɗauka mara kyau. Ba shi yiwuwa a kawar da cutar ciwon sikari gaba daya, amma likita zaiyi duk mai yiwuwa don dakatar da bayyanar cututtuka mara kyau.
Ta hanyar haɗa kai, zai iya yiwuwa a kawar da alamun cutar zazzabin cizon sauro tare da dawo da rayuwar da ta saba.
Yin rigakafin
Matakan rigakafin farko don hana ci gaban cututtukan cututtukan cututtukan jini ya kamata su fara nan da nan bayan bayyanar cutar sankara. Yana da matukar muhimmanci a sanya ido a kan matakin glucose a cikin jini, dole ne a yi duk abin da zai yiwu domin a daidaita shi. Hakanan bincika matakan glycated hemoglobin kullun. Matakan rigakafin hana ci gaban cutar sikila sun hada da:
- Dace da daidaita tsarin abinci, wanda zaku iya dawo da matakan sukari a al'ada;
- Rayuwa mai aiki, wasanni, wanda ke taimakawa kawar da ambaliya a cikin ƙananan ƙarshen;
- Yin aiwatar da darasi na musamman;
- Gudanar da hanyoyin motsa jiki wanda ke mayar da jini;
- Rashin shan giya da shan sigari;
- Amincewa da hadaddun bitamin wanda ke kara karfin garkuwar jiki;
- Kulawar yadda yakamata ta bangaren;
- Ziyara ta yau da kullun zuwa likita don gano duk wani rashin lafiyar a farkon matakan.
Polyneuropathy na ciwon sukari cuta ce da ke faruwa ga asalin tsarin tafiyar jini a cikin jijiyoyin jini sakamakon karuwar kuzarin jini. Sakamakon glucose a cikin jiki, yanayin ƙwayoyin jijiya suna damuwa da kullun, wanda shine dalilin da yasa canje-canjersu ke faruwa.
Mutanen da ke fama da ciwon sukari ya kamata su mai da hankali sosai game da yanayin lafiyar su. Lokacin da alamun farkon lalacewar ƙananan ƙarshen ya bayyana, ya kamata ka tuntuɓi likitanka nan da nan. Tare da damar da ta dace, yana yiwuwa a warkar da wannan cutar a cikin watanni 6-20.