Yaƙi da nephropathy a cikin ciwon sukari na mellitus: magani da rigakafin

Cutar amai da gudawa cuta cuta ce sakamakon canje-canje na jijiyoyin jini a cikin jijiyar ƙodan.

Yana bayyana kanta a cikin marasa lafiya da ciwon sukari mellitus, raguwa a cikin ikon tacewa na sashin jiki, furotinuria, ciwo mai hauhawar jini, uremia.

Babban magani ga cutar an yi niyya don hana lalacewa na koda. Matakan rigakafin don ci gaban cutar sun hada da sa ido kan matakin glucose a cikin jini, biyo bayan shawarar likita.

Sanadin kamuwa da cutar sankara mai rashin lafiya

Cutar sankarar cutar sankarau sanadiyyar rikice-rikice iri biyu na ciwon sukari. An samo shi a cikin kashi ashirin na mutanen da ke fama da rashin lafiya "mai dadi".

Mafi yawan lokuta, maza suna rashin lafiya tare da bayyanar cutar sankara na farko a cikin samartaka.

Kwayar cutar Nephropathy ita ce babbar hanyar mutuwa ga marasa lafiya da ke fama da ciwon sukari, tunda yana haifar da lalacewar tasoshin jikin duka, gami da kodan, tsarin juyayi, da idanu. Ci gaban cutar na faruwa a hankali. Kimanin shekaru goma sha biyar na iya tashi daga lokacin da aka gano ciwon sukari zuwa farkon bayyanar cututtuka na tiyata nephropathy.

Babban abinda ke taimakawa ci gaban matsalolin koda shine hawan jini. Ciwon sukari ne mai rashin lafiya na faruwa tare da tsawan tsauraran matakan metabolism.

Glycemia yana haifar da canje-canje a cikin tsarin ƙirar biochemical:

1. aikin na koda na glomeruli yana raguwa. Su glycosylation na faruwa - ƙari na yawan sukari ga kwayoyin halitta;
2. gurbata ruwa-electrolyte homeostasis. Yana da wuya a musanya mai mai da kuma jigilar gawar oxygen;
3. saboda rashin kyawun amfani da glucose, tasirin mai gubarsa akan ƙirar koda. Jirgin ruwansu yana zama cikakke;
4. hauhawar jijiyoyin jini yana haifar da rushewar tsarin halittar ƙwayar jikin ƙwayar cuta. Tsarin ya shafi aikin tacewarsu. Ciwon koda na lokaci mai tasowa;
5. marasa lafiya waɗanda ke da kwayoyin halittar jinin haila suna da haɗari ga rashin lafiya.

Bayyanar cututtuka da alamu a cikin masu ciwon sukari

Ciwon sukari mai narkewa yana tasowa a hankali. An nuna shi ta tsawon lokaci asymptomatic.

Alamun asibiti a hankali suna bayyana:

1. a farkon cutar, glomeruli na kodan hauhawar jini, fadada a girma. A lokaci guda, yawan hauhawar jini yana ƙaruwa, ƙimar tacewar ƙasa tana ƙaruwa. Bayan shekaru da yawa, canje-canje na tsarin yana faruwa a cikin ƙwayar;
2. kan aiwatar da cutar, kodan sun fara asirin albumin. Addamar da waɗannan sunadarai tare da siginar ƙwayar fitsari yana lalata lalacewar ƙwayar jikin ƙwayar halittar jiki. Wani lokacin marasa lafiya suna koka game da tsalle-tsalle a cikin karfin jini;
3. tare da haɓaka cutar, zaman lafiyar janar na haƙuri yana ƙaruwa. Akwai furotin. Protein a cikin fitsari ya kai 300 MG kowace rana. Tsarin da ba a juya wa lalacewar koda ya fara. Ciwon Nephrotic yana haɓaka, kumburi ya bayyana;
4. matakin halin yana raguwa ne ta raguwar karfin tsaftace jikin mutum, yawan furotin a cikin fitsari yana ƙaruwa, matakin urea da creatinine a cikin jini ya tashi.

Tare da ci gaba da cutar, sukari jini bai tashi zuwa matakai masu mahimmanci ba, buƙatuwar ƙwayar hormone mai raguwa tana raguwa. Hauhawar jini da cututtukan uremic suna haɓaka cikin hanzari. Akwai alamun guba ta samfuran metabolism, lalacewar gabobin jiki da yawa.

Binciko

Don hana yiwuwar rikice-rikice da ke faruwa daga cututtukan cututtukan cututtukan daji, yana da muhimmanci a yi ainihin binciken da wuri.

Likita ya tsara nau'ikan gwaje-gwajen jini, gwajin fitsari: nazarin halittu, janar, gwajin Zimnitsky. Hakanan wajibi ne don yin duban dan tayi na tasoshin kodan.

Lokacin da aka tantance sakamakon, likitan ya jawo hankali ga kason albumin tare da fitsari, yawan tacewa.Ci gaba da cutar ta ci gaba, da yawan adadin furotin a cikin fitsari. Canje-canje a cikin alamun hawan jini a cikin babbar hanya kuma yana nuna ci gaban cutar.

A cikin matakai na gaba, an gano alamun cutar rashin jini, acidosis, munafunci, cutar urea ta tashi. Mai haƙuri yana da tsananin kumburin fuska da jiki.

Jiyya na nephropathy a cikin ciwon sukari

Matakan hanyoyin warkewa don magance cutar ana nufin magance matsaloli daga kodan da zuciya. An wajabta mai haƙuri da ingantaccen iko akan matakan glucose, matsa lamba, bin ka'idodi don dacewa da abinci mai kyau, rayuwa mai lafiya.

Wadanne magunguna za mu bi?

Ciwon sukari da ke dogaro da insulin na bukatar gyara farji. Lokacin da ake rubuta magungunan rage sukari, mutum yakamata yayi la’akari da yadda ake fitar da miyagun ƙwayoyi daga jiki.

Don rage karfin jini, nema:

• Lisinopril, enalapril;
• allunan tashar alli (verapamide) da masu karɓar angiotensin (losartan);
• saluretics: Furosemide, Indapamide.

Idan mai haƙuri yana da ƙwayar cholesterol sosai, an wajabta shi ta hanyar statins da fibrates.

A matakin ƙarshen cutar, ana buƙatar tiyata don kawar da jikin mutum. Likita ya tsara sihirin, magunguna don daidaita matakan haemoglobin. An gyara mai haƙuri don maganin ciwon sukari.

Abincin Kidney

An wajabta wa marasa lafiya abinci mai ƙoshin gishiri. Abincin bai kamata ya ƙunshi furotin dabbobi da yawa ba, carbohydrates, potassium, phosphorus.

Farfesa tare da maganin gargajiya

Magunguna na kantin magani na kasa zasuyi tasiri kawai a farkon cutar. Zaka iya amfani da:

1. kayan ado na lingonberries, 'ya'yan itaciyar rowan, strawberries, cranberries, fure kwatangwalo. Suna ba da gudummawa ga daidaituwar aikin koda;
2. bushe bushe ganye jiko. An zuba giram 50 na albarkatun ƙasa tare da lita na ruwan zãfi, suna tsawan awa uku. Sha rabin gilashin wata daya. Kayan aiki yana daidaita sukari na jini, yana da tasiri mai amfani akan kodan;
3. zaitun, man zaitun. Lestananan cholesterol. Yankin da aka bada shawarar shine cokali biyu. An kara samfurin zuwa abinci;
4. jiko na Birch buds. Zai taimaka ingantaccen aiki na jiki. Ana zuba cokali biyu na samfurin tare da ruwa a cikin thermos, nace minti talatin. Sha gilashi kwata sau hudu a rana.

Cututtukan zuciya da jijiyoyin jini

Idan yanayin ya yi muni sosai, an wajabta mai haƙuri hanyar tsarkake jini ta na'urar musamman ko ta cikin ramin ciki.

Ba shi yiwuwa a warkar da kodan ta wannan hanyar, zaka iya tallafawa aikin su kawai. Jurewar da yawancin marasa lafiya ke jurewa akai-akai. Tare da maganin hemodialysis, ana amfani da na'urar dialyzer.

Jinin da ke ciki yana tsarkaka daga gubobi. Wannan yana ba ku damar kula da daidaiton lantarki da daidaiton alkaline a jiki. Ana yin wannan aikin sau uku a mako don awa biyar a asibiti. Ana nuna yanayin diyyar lokacin da yake kwance ba zai yiwu ba.

An tsarkake jini ta cikin peritoneum, wanda shine dialyzer. Ana aiwatar da rikice-rikice a asibiti da a gida, aƙalla sau biyu a mako. Mai haƙuri na iya fuskantar kumburi da peritoneum, hernia, matsaloli tare da urination.

Shawarwarin asibiti da rigakafin

Idan an gano cutar ta makara, za a nuna mai haƙuri hanyar hemodialysis, dasawa da gabobin da abin ya shafa.

Yin rigakafin nephropathy ya ƙunshi lura da mai haƙuri tare da endocrinologist, masanin abinci mai gina jiki, a cikin gyaran lokaci na kulawa.

Mai haƙuri ya kamata ya kula da matakin ƙwayar cuta, matsin lamba, ɗaukar magungunan da likita ya umarta, ci daidai, amfani da magunguna na kantin magani na ƙasa, shiga cikin wasanni masu yuwuwar, guje wa damuwa da halaye marasa kyau.

Bidiyo masu alaƙa

Game da lura da cutar nephropathy a cikin ciwon sukari a cikin bidiyo:

Matakan farko na nephropathy ba su bayyana kansu da alamun bayyanar cututtuka ba, wanda ke rikita batun gano cutar. A cikin fewan shekaru kaɗan na gano ciwon sukari, mai haƙuri yana haɓaka furotin, hawan jini ya tashi, gajeriyar numfashi, ciwon kirji, kumburi mai zafi. Manufar magani ita ce a hana faruwar haɗarin da lalacewa ta jijiya.

Ziyarar likita na yau da kullun, gwaji, lura da matakan glucose na jini, bin shawarwarin da aka tsara za su taimaka wajen gano ciwo a farkon matakin da kuma hana aukuwar lalacewar koda.