Mafi yawan rikicewar cututtukan cututtukan zuciya shine neuropathy masu ciwon sukari. An gano shi a cikin 30-50% na marasa lafiya.
Rashin daidaituwa na tsarin kai tsaye da na somatic, raunin jijiya da ƙwayar jijiya na iya magana game da kasancewar sa.
Menene wannan
Ta hanyar magani, al'ada ce don fahimtar cututtukan cututtukan zuciya a matsayin saitin abubuwan syndromes na cin zarafin sassan ayyukan juyayi da na yanki.
Sun tashi ne sakamakon rikice-rikice na rayuwa a cikin ciwon sukari. Akwai nau'ikan nau'ikan cututtukan cututtukan cututtukan zuciya.
Wannan ganewar asali na ɗaya daga cikin mafi girman rikice-rikice na ciwon sukari. An fasalta shi da alamun rashin hankalin mai raunin hankali da kuma motsawar jijiyoyi, rikicewar tsarin somatic da ƙari.
Rarrabuwa da Fayiloli
Neuropathy yana cikin yanki kuma mai ikon kansa.An magance cutar neuropathy kamar haka:
- ta hanyar amfani da lalacewa: axonal, neuropathic, demyelinating;
- ta nau'in fiber na jijiya: firikwensin-mota, autonomic, tsinkaye, hade, matattara;
- ya danganta da yankin lalacewar jijiya: azanci (hankali jijiyar rauni), raɗaɗi (rauni firikwensin), abin hawa (aiki motsi mai rauni da aikin tsoka).
Sanadin faruwa
Babban abin da ke faruwa a cikin abubuwan da ke haifar da ciwon sukari shine tsayayyen glucose na jini, wanda daga karshe yake haifar da canji a cikin aiki da tsarin kwayoyin halittar jijiya.
Bugu da kari, sanadin cututtukan neuropathy na iya zama:
- shekaru sama da 60;
- hawan jini;
- kiba ko kiba;
- tsawan lokaci na ciwon suga;
- kasancewar halaye marasa kyau;
- ɓata lokaci.
Pathogenesis
Mafi mahimmanci a cikin pathogenesis na neuropathy sune rikicewar metabolism da microangiopathy (canje-canje na tsari ko aiki a cikin abubuwan kwalliyar, wanda ke da alhakin microcirculation a cikin ƙwayoyin jijiya).
Canje-canje na musayar sun hada da waɗannan hanyoyin:
- raguwa a cikin matakin myoinositis, tare da rashi na kwayar cutar phosphoinositis, wanda sakamakon hakan yana haifar da jagorar lalacewar jijiyoyi da raguwa a cikin ƙarfin metabolism;
- stressara yawan damuwa na rashin ƙarfi;
- kunnawa na polyol shunt (rashin lafiyar fructose metabolism);
- enzymatic da rashin enzymatic glycosylation na kayan haɗin jikin ƙwayar jijiya - tubulin da myelin;
- haɓaka masana'antu na autoimmune.
Kwayar cutar
Babban alamun bayyanar cututtukan cututtukan zuciya shine:
- ƙage
- bayyanar cututtuka na neuropathic;
- ƙanshi mai saurin kisa;
- lantarki;
- paresthesia;
- latency;
- babban raguwa ko rashin gwiwa da raunin kwalliya;
- wuce kima take hakkin hankali;
- take hakkin tafiya.
Bayyanar cututtuka da magani
Da farko dai, don gano cututtukan neuropathy, ƙwararren likita ya bincika hankalin mai haƙuri. Ana yin allura don tantance zafin.
Hakanan ana bincika abubuwan jin dadi na sitiri ta hanyar taɓawa, matsa lamba na iska, zafi da sanyi kuma. Fa'idar jijiyoyin jiki an kaddara su ta hanyar yin amfani da cokali mai yatsa.
Ba tare da gwaji na reflex na gwiwa ba. Mai haƙuri na iya gudanar da duk waɗannan ayyukan da kansa, wanda hakan zai taimaka masa ya tantance idan yana da ciwon sukari na rashin lafiya. Likita, ta amfani da kayan aiki na musamman, zai tantance nau'in, matakin da tsananin cutar.
Don magani, ana amfani da wata hanyar hadadden magani, wanda ya haɗa da:
- alpha lipoic acid. Yana hana tarin glucose a cikin kyallen na jijiya, sannan kuma yana kunna wasu enzymes a cikin sel, wadanda suke iya dawo da jijiyoyin da suka shafa;
- painkillers;
- Bitamin B. Suna toshe tasirin guba a cikin jijiyoyi;
- Actovegin. Yana amfani da glucose, yana kwantar da microcirculation jini;
- aldose reductase inhibitors. Yana rage mummunan tasirin glucose a jiki;
- Kayayyakin Calcium da potassium. Rage kumburi da jijiyoyi.
Osteomyelitis
Ofaya daga cikin rikitattun abubuwan da ke tattare da ciwon sukari shine ƙananan raunin neuropathy, tare da ƙirƙirar ƙafar mai ciwon sukari. Yana ci gaba musamman bayan shekaru 5-7 daga farkon cutar a farkon nau'in ciwon sukari. A lamari na biyu, wannan bayyanar cutar yana bayyana sosai ƙasa da akai-akai.
Kafar ciwon sukari
Babban mahimmancin ci gaban rikice-rikice na ciwon sukari shine raunin glucose low. Ana lura da irin wannan alamar saboda mummunan nau'in cutar, ko gaza bin shawarwarin likitancin endocrinologist. Babban sukari na jini da canje-canje kwatsam suna shafar fiber na jijiyoyi da bango na jijiyoyin jiki.
Syndromes na ciwon sukari kamar haka:
- asarar rigakafi;
- angiopathies (cuta na jijiyoyin jiki);
- ciwan ciki;
- osteoporosis da lalacewar kashi.
Footafarin ciwon sukari na iya faruwa a cikin yanayin ischemic da neuropathic, ya danganta da waccan cuta da ta ci nasara. Koyaya, sau da yawa abubuwan biyu suna aiki lokaci guda.
Sensorimotor
Saboda sensorimotor neuropathy, ikon motsi yana raguwa, kuma abin mamaki na ciki saboda lalacewar jijiya na iya faruwa.
Babban dalilin cutar shine cuta, ko lalacewar jijiya. Wannan tsari na iya faruwa a waje da kashin kashin baya kuma ana kiransa neuropathy na gefe.
Wannan cuta cuta ce, saboda haka, yana iya shafar jijiyoyi masu mahimmanci, aikin wanda shine samar da ji ko haifar da motsi. Ta wannan hanyar, sensorimotor neuropathy na iya haɓaka. Babban burinta shine tasiri ga ƙungiyoyi.
Sakamakon lalacewar ƙwayoyin cuta masu yawa, aiwatar da rage alamun siginar jijiyoyi yana faruwa. Kuma saboda tasirin neuropathy a kan ƙwayoyin jijiya ko duk ƙwayoyin, aikin su na iya ɓace.
Mummunar alama cuta ce ta hankali a ɗayan ɓangarorin jiki, kuma ilimin halayyar cuta yana haɗuwa da:
- wahalar hadiyewa;
- wahalar amfani da hannaye;
- ƙanshi mai saurin kisa;
- rauni a sassa daban daban na jiki;
- abin mamaki;
- zafi da wahalar tafiya;
- abubuwan rashin fahimta a kowane bangare na jiki.
Kwayar cutar sensorimotor neuropathy na iya haɓaka a cikin matakai daban-daban, duka cikin sauri da sannu a hankali, a cikin makonni da yawa ko shekaru. Mafi yawan lokuta, wannan ilimin tarihin ya fara bayyana daga ƙarshen yatsunsu.
Tsayayyar
Cutar sankara mai narkewa cuta ce wanda ke fuskantar ta kai tsaye daga tsarin jijiya, babban aikinta shine sarrafawa da daidaita ayyukan gabobin ciki. Hakanan, yayin aiwatarwa, bayyanar cututtuka daban-daban ta gabobin da yawa halayyar halayya ce.
Cutar cututtukan da ke faruwa tare da wannan cutar sun bayyana a cikin hanyar:
- farawa na tashin zuciya;
- ƙwannafi;
- rashin tsoro;
- zawo
- maƙarƙashiya
- lokacin cin abinci koda karamin adadin abinci, ana lura da nauyi a cikin ciki;
- rage jinkirin jigilar abinci daga ciki zuwa hanjin ciki.
Wadannan bayyanar cututtuka suna nuna damuwa a cikin aiki na ciki.
Hakanan, yayin wannan, aikin jijiyoyi waɗanda ke da alhakin yanayin ƙananan hanji zai iya rikicewa, wanda daga nan zai shiga cikin ci gaba da zazzabin cizon sauro.
Tare da neuropathy na kai tsaye, jijiyoyin da ke haifar da tashin hankali yayin tashin hankali a cikin maza suna da mummunar tasiri. Wannan koyaushe yana haifar da lalatawar datti, wanda baya cire sha'awar jima'i da sha'awar mai haƙuri. Amma ga mace, marasa lafiya na iya koka game da matsanancin bushewa a farji, haka nan rashi ko raguwa cikin sha'awar jima'i.
Bidiyo masu alaƙa
Yin rigakafi da magani na neuropathy a cikin ciwon sukari:
Ciwon sukari na daya daga cikin mafi yawan rikice-rikice a cikin masu ciwon sukari, ana gano shi a kusan rabin marasa lafiya. Ya zo a cikin rarrabuwa daban-daban da siffofin, kowannensu yana da hanya da alamu. Mafi yawan lokuta wannan cututtukan yana faruwa a cikin marasa lafiya da nau'in ciwon sukari na farko.
