Cutar sankara (mellitus) cuta ce ta tsarin endocrine wanda a jikinsa ya wuce matakin glucose na jini ya wuce 6.0 mmol / L. Yana tasowa daga asalin rashi na insulin wanda ƙwaƙwalwar hanji ke samar dashi. Ciwon sukari mellitus cuta ce ta kowa gama gari a karni na 21. Wani salon rayuwa mara kyau, yanayin gado, rushewar aiki na gabobin ciki da ƙari na iya tayar da bayyanar.
M rikitarwa
Rashin rikicewar cuta rukuni ne na mafi haɗari ga sakamakon ciwon sukari. Suna haifar da mummunan barazana ba kawai ga lafiyar ba, har ma ga rayuwar ɗan adam. Irin waɗannan rikice-rikice suna haɓaka da sauri, suna iya haifar da babbar illa ga jiki cikin justan awanni kaɗan ko kwanaki.. Yawancin lokaci, saboda rashin taimako na lokaci, suna haifar da mutuwa. Akwai yanayi mai yawa da yawa na cututtukan cututtukan cututtukan fata waɗanda ke buƙatar tsarin daban don magani.
Ketoacidosis
Ketoacidosis wani yanayi ne wanda jiki ba zai iya samarda isasshen insulin ba, amma matakin glucose da jikin ketone yana ƙaruwa koyaushe. Jikin Ketone sune samfuran fashewar fats, wanda lokacin da suka shiga fitsari ana bayyana shi da ƙanshin ƙurar acetone. Wannan na faruwa ne saboda canjin acid a jikin mutum, da kuma bushewar sa. Ketoacidosis yana haɓaka da sauri, zai iya haifar da mummunan lahani cikin fewan kwanaki. Kuna iya gane ta ta wadannan alamun:
- Rage nauyi;
- Ciwon ciki, amai, gudawa;
- M ƙishirwa;
- Palpitations, tachycardia;
- Ciwon kai da danshi;
- Mood swings, ƙãra fushi;
- Fata mai bushe;
- Gajiya, yawan bacci;
- Sell na acetone daga bakin da urination na urination.
Tare da rashin kulawa na tsawan lokaci, ketoacidosis na iya haifar da rikitarwa mai haɗarin gaske - edema. An kwatanta shi da tara ruwa a cikin cikin meninges. Wannan ya mamaye lobes dinsa, sakamakon mummunar lalacewa. A cikin 70% na lokuta, wannan sabon abu mai kisa ne.
M na koda gazawar
Babban gazawar koda shine rauni wanda ya haifar da ƙonewa sosai. Saboda wannan, kodan ba sa jimre wa aikinsu na kai tsaye kuma sun daina aiki. Saboda wannan, ana riƙe abubuwa masu guba a cikin jiki, wanda ke lalata shi daga ciki. Yana yiwuwa a gane rashin lafiyar na yara game da alamun maye na gaba ɗaya:
- Rikicewa;
- Kumburi daga ciki;
- Ciwon ciki da amai;
- Ciwon kai da gajiya.
Jiyya don rashin lafiyar koda shine rage alamun rashin ruwa. Har sai an dakatar da kai harin, mara lafiyan ya sami dialysis - tsarkakewar wucin gadi na jini daga gubobi. Lokacin da matakan glucose na jini ya koma al'ada, kodan sun fara aiki kuma.
Hypoglycemia
Hypoglycemia wani sabon abu ne wanda matakan glucose ya faɗo ƙasa da alamar 2.8 mmol / L. Ana nuna wannan yanayin ta hanyar bayyanar cututtuka mara kyau mara kyau wanda ya katse wani salon rayuwa na yau da kullun. Lokacin da sukari ya kai ga matsayi mai mahimmanci, mutum ya rasa hankali. Duk wani jinkiri na iya haifar da nakasa da mutuwa. Sau da yawa, hypoglycemia yana haifar da mummunan lahani ga membranes na kwakwalwa. Daga cikin manyan rikice-rikice na wannan sabon abu za a iya lura:
- Samuwar cututtukan ido: glaucoma, retinopathy, cataract;
- Lalacewar koda;
- Peripheral ko autonomic neuropathy;
- Ionsauka daga cikin tsarin zuciya;
- Cutar cututtukan jijiyoyin mahaifa;
- Cutar jiki da bugun zuciya.
Sakamakon mafi haɗari na wannan yanayin za'a iya kiran shi cutar hypoglycemic. A wannan yanayin, saboda ƙarancin sukari na jini, mutum ya yi asara, wanda cututtukan fuka-fukan jini suka gabace shi. Sau da yawa mutane sukan karya kasusuwa ko lalata kyallen takarda. Hakanan ana iya faruwa yayin haila, wanda yakan haifar da mutuwar mai haƙuri.
Hyperosmolar coma
Hyperosmolar coma yanayi ne wanda ke faruwa tare da matsakaiciyar hanya na ciwon sukari mellitus, wanda magunguna da abinci suka ci musamman. Ana iya kiran shi rikitarwa na cutar ketoacidotic. Sakamakon ƙwayar cutar hyperosmolar, mutane suna mutuwa a cikin 60%, a duk sauran yanayin da suke fuskantar rikice-rikice. Wannan halin an nuna shi ta hanyar tsalle mai ƙarfi a cikin matakan glucose, saboda wanda yawan sukari a cikin jini ya kai 55 mmol / lita. A lokaci guda, yawan karuwar ya wuce fiye da 300m / l, kuma ketoacidosis ba ya nan.
Cikakken hasashen wannan yanayin ya dogara da halaye na cutar. Inganci magani da kuma kulawar likitanci na lokaci lokaci zai taimaka wajen rage tsananin rikitarwa. Mafi sau da yawa, saboda ƙwayar hyperosmolar, mutane suna da mummunar lalacewar kwakwalwa, wanda ke haifar da asarar ji, hangen nesa, cutar Alzheimer da sauran cututtukan cututtukan zuciya.
Lactic acidosis coma
Lectoid coma wani sabon abu ne wanda ke faruwa a cikin mutane masu ciwon sukari, tare da raunin hypoxemia mai ƙarfi. A koyaushe suna da mummunan cututtuka na tsarin numfashi, tsarin jijiyoyin jini, girgiza ko rushewa. A kan asalin rashin isashshen sunadarin oxygen a cikin jiki, yawan haɗuwar glycogen yana ƙaruwa, wanda ke haifar da karuwa a cikin matakin lactic acid. Wannan sabon abu yana haifar da take hakkin aikin kodan. Yana da matukar wuya, mace-mace daga shi ya kai 80%.
Late sakamakon
Bayyanar farkon sakamako na ƙarshe na ciwon sukari yawanci yakan faru shekaru da yawa bayan kamuwa da cutar ta farko. Babban haɗarin su ya ta'allaka ne a cikin jinkirin, amma rikicewar rikicewar lafiyar haƙuri. Ko da zaɓaɓɓen zaɓe da ingantaccen magani koyaushe ba shi da damar haifar da kyakkyawan sakamako. Likitocin sun danganta cututtukan da ke biyo bayan sakamakon ƙarshe.
Retinopathy
Retinopathy - raunuka na jijiyoyin jiki a cikin ido wanda ke haifar da cin zarafin wurare dabam dabam na jini. Saboda wannan, mutum ya fara haifar da dystrophy da atrophy na jijiya na optic, retina exfoliates, kuma yawanci makanta na faruwa. Babban haɗarin wannan yanayin shine asymptomatic.
Da wuya, marasa lafiya suna lura da raguwa mai yawa a yanayin gani, bayyanar ɗamarar iyo a idanu. Binciken wannan matsala yana buƙatar m jarrabawa na kwararru a lokaci daya, kazalika da wucewa ta babban ɗakunan dakin gwaje-gwaje da hanyoyin nazarin kayan aiki.
Don dakatar da cutarwa na retinopathy a jiki, ya zama dole don aiwatar da matakan rama don cututtukan haɗin gwiwa. Yawancin lokaci, maganin anticoagulants, hadaddun bitamin, vasodilators ana wajabta su don wannan dalili. Tare da tsari na ci gaba, ana yin coagulation laser ko oxygen hyperbaric. Koyaya, har zuwa yau, babu magunguna waɗanda zasu iya dakatar da haɓakar wannan cutar.
Cutar Malaria mai ciwon sukari
Angiopathy cuta ce da ke faruwa ga asalin lalacewar tasoshin jini. Hakanan, sanadin wannan yanayin na iya zama cin zarafi a cikin tsarin tsarin juyayi.
Daga cikin mummunan hatsarin da ke tattare da wannan rikice-rikice ana iya kira cikakken makanta.
Tashin hankalin mutum na iya faruwa a cikin manya da yara. Hanyar haɓaka irin wannan cuta mai sauƙi ce: yawan glucose mai yawa a cikin jini yana lalata ganuwar tasoshin, waɗanda ke warware tasirin ƙwaƙwalwar jijiyoyin. Saboda wannan, akwai wata hanyar toshe hanyoyin jini, wanda ke kawo cikas ga tsarin rayuwa na yau da kullun.
Bayyanar cututtukan cututtukan cututtukan cututtukan mahaifa sun dogara da nau'in cutar, da kuma tsananin rikice-rikice - akan tsawon lokacin cutar da daidaiton magani. Wannan yanayin na iya faruwa a ko'ina. Ana iya gane shi ta hanyar zub da jini daga cikin gastrointestinal fili, canje-canje a cikin yanayin fata, rashin kulawa mai kyau, ƙarancin gani na gani da sauran alamu masu yawa.
Rashin daidaituwa
Polyneuropathy cuta ce da ake lalacewa a cikin sassan jikin juyayi. Yana faruwa akan bango na lalacewar sassan ɓangaren nesa, waɗanda ke da alhakin ɗarikar bugun jini. A tsawon lokaci, cutar ta ci gaba, ta fara yaduwa zuwa wuraren da ke kusa. Ana iya gane shi ta hanyar sifofin ɗabi'ar mutum. Bayyanar cututtuka na polyneuropathy sune kamar haka:
- Canje-canje a cikin hali;
- Rage ƙarancin gani ko cikakken makanta;
- Bayyanar lameness;
- Kwarewar itching da ƙonewa a cikin gabar jiki;
- Paarancin kulawa da ƙwaƙwalwa;
- Hawan jini a cikin esophagus;
- Rarraba cikin sarari.
Kafar ciwon sukari
Kafar ciwon sukari - wani sabon abu ne wanda ulcers ke haifar akan ƙananan ƙarshen. Suna tashi saboda lalata tasoshin jini ƙarƙashin rinjayar babban taro na glucose a cikin jini. Duk wannan yana da rikitarwa ta hanyar kulawa mara kyau, saka takalmin da ba shi da kyau da kuma lodi mai yawa.
Tare da raunin jiyya na tsawan lokaci, wannan yanayin na iya buƙatar cikakken yankan ragowar ginin. Footafarin mai ciwon sukari na iya zama da rikitarwa:
- Ulcers - lalacewar kyallen takarda mai taushi, wanda halayyar hawaye da jijiyoyin jiki ke nunawa;
- Necrosis - mutuwar kasusuwa, wanda ke rikitar da jini ko'ina cikin jiki;
- Osteomyelitis - mutuwar kasusuwa na kasusuwa tare da ci gaba mai gudana na tsarin purulent. Yana faruwa a kan tushen yaduwar kamuwa da cuta;
- Abun gyara na ƙafa - canji a cikin matsayin yatsun da abin ya shafa, yawan ƙafar ƙafa ko ƙwayar tsoka;
- Sepsis - shigarwar cututtukan fata ko tsohuwar nama zuwa cikin jini.
Rashin rikitarwa na kullum
Za'a iya tantance rikice rikice na ciwon sukari bayan shekaru 10-15 na ci gaba da cutar.
Increasedara yawan matakan glucose a cikin jini koyaushe yana shafar jikin mutum, yana haifar da rikicewa. Sakamakon gaskiyar cewa jini yana gudana cikin jiki, sakamakon yana faruwa a kusan dukkanin gabobin.
Koyaya, wasu tsarin suna wahala fiye da wasu.
Wasikun
Mafi sau da yawa, a cikin marasa lafiya da ciwon sukari mellitus, ana lura da mummunar lalacewar tasoshin jini. A tsawon lokaci, haɗarin haɗarin su yana ƙaruwa koyaushe. Hawan jini, wanda kuma yawanci ana samun shi a cikin mutanen da ke da ciwon sukari, na ƙara haɗarin karatun. Hakanan, rashin motsa jiki, shan sigari, shan giya, da kuma rashin lura da wani abinci na musamman na iya hanzarta aiwatar da lalacewa.
Kodan
Kodan sun lalace sosai sakamakon cutar sankara. Increasedara yawan matakan glucose a cikin jini yana haifar da gazawar koda, wanda a ƙarshe yakan haifar da buƙatar dialysis - tsaftace jinin gubobi. Hakanan ana iya buƙatar juyawa daga wannan sashin ƙwayar cuta. Idan kuma aka tsawaita rashin magani, kusan mutuwa na iya faruwa. Mutum zai sha wahala daga mummunan ciwo.
Fata
Coseara yawan glucose na jini lalle yana shafar yanayin fatar. Canje-canje da aka haifar suna shafar wurare da yawa. A tsawon lokaci, jikin ɗan adam ya zama mai saurin ɗaukar ciki, ƙwanƙwasawa yana raguwa sosai, yana fara gunaguni da bushewa da kwantar da fata. Hakanan, gashinsa ya fara rarrabawa, rasa haskenta kuma ya faɗi. Karye da kwano na iya fitowa a kan dabino da soles, kuma rawaya launuka suna bayyana.
Hanyoyin Pathogenic suma suna shafan faranti ƙusa - suna ɗaukar ciki kuma sun yi kauri, hyperkeratosis na iya faruwa.
Za'a iya danganta shi da ingancin fata kuma yana iya kasancewa yana hade da kwayoyi masu ɗauke da cutar siga Sau da yawa suna haifar da mummunan halayen halayen. Wani yanayi na musamman na irin wannan raunukan ana iya kiransa babban mawuyacin hali, harma da rigakafi ga magani. Hakanan, hanya na iya rikitarwa ta hanyar wuce gona da iri na cututtukan cututtukan cututtukan daji. Tare da ciwon sukari, ana lura da matsaloli masu zuwa tare da fata:
- Dermatoses - na iya faruwa yayin shan magunguna game da ciwon sukari.
- Lic necrobiosis - mafi yawanci yakan faru ne a cikin mata masu shekaru 15-50. An kwatanta shi da bayyanar lebur da santsi nodules a saman kafafu. Idan ba a kula da su ba, sai su girma kuma suka samar da keɓaɓɓun filaye. Hakanan zasu iya kwasfa da ƙaiƙayi, tare da bayyanar cututtukan ulcers suna haifar da rashin jin daɗi sosai.
- Cutar ciwon sukari cuta ce wacce ake sanya papules mai launin shuɗi launin shuɗi a saman kafafu, wanda daga baya ya zama siɓin atrophic.
- Itching dermatosis - yana haifar da matsanancin itching a cikin hanjin ciki, makwancin gwaiwa ko tsakanin gindi, a kafafu, baya da hannu. Jiyya ta ƙunshi matakan sukari na al'ada, shan magungunan antihistamines ko magungunan antipruritic ba ya kawo sakamako.
- Raunin fata wani abu ne mai saurin faruwa wanda yafi sau 10 yawanci a cikin masu fama da cutar siga fiye da sauran. Wannan halin yana haifar da rarrabuwar kawuna da wasu wuraren fata.
- Ciwon sukari cuta ce da yawa wanda blisters da ke dauke da sinadarai suka ɓullo ko'ina cikin fatar. Yawancin lokaci suna wucewa da kansu bayan makonni 2-3 bayan bayyanar.
- Kulla fata - yana faruwa a cikin mutanen da suka daɗe suna fama da ciwon sukari. Sanadin peeling da discoloration. Wannan sabon abu shine mafi yawan lokuta ana gano shi a cikin tsofaffi, kamar yadda metabolism dinsu ke raguwa. Ba ya buƙatar takamaiman magani na magani, tunda ba shi da ikon ba da babban sakamako.
- Cututtukan cututtuka masu kumburi da kumburi cuta ba cuta ce takamaiman cuta na ciwon sukari wanda ke faruwa saboda hana ayyukan dawo da jiki a jiki. Sugarara yawan sukari na jini yana rage ƙarfin ikon rigakafi, saboda abin da izinin jiki ke ƙaruwa sosai.Sau da yawa mutum yana shan wahala daga yawan maganganun naman gwari, wanda yake da wahalar warkewa. Sauran hanyoyin kwayoyin cuta wadanda zasu iya haifar da lalacewar gabobin ciki suma zasu iya faruwa. Irin wannan matsalar tana ƙara haɗarin haɓakar ƙafafun ciwon sukari.
Tsarin ciki
Tsarin juyayi yana wahala sosai daga ciwon sukari. Za'a iya kasusuwa ta raunuka zuwa takamaiman kuma ba na musamman bane. Nau'in na biyu ya haɗa da canje-canje na yanayi na dindindin, ƙara yawan tashin hankali, ciwon kai da hauhawar ciki, rashin bacci, ji da kullun da ƙari. Yawanci, ana haifar da waɗannan tasirin ne a cikin matasa waɗanda suka fi kamuwa da wahala da canje-canje na tunanin mutum. Yawancin lokaci suna haifar da ji na rashin ƙarfi.
Sakamakon takamaiman sakamakon ciwon sukari ya haɗa da masu ciwon suga da ke fama da cutar siga. Irin wannan cutar ana saninsa da lalacewar ƙwayar jijiya, wanda ke tabbatar da watsawar jijiyoyin jijiyoyi. Saboda wannan, mutum ba zai iya fahimtar daidai bayanan daga waje ba, hankalin sa zai ragu. Wannan na iya haifar da mummunar lalacewa ga sauran tsarin a cikin jiki, yayin da mutum ya daina jin kowane jin zafi. A cikin matakan ci gaba, hoton yana canzawa kwatsam, kuma mai ciwon sukari ya fara fuskantar rashin jin daɗi koyaushe.