Extremarancin rashin haƙuri na angiopathy a cikin ciwon sukari: haddasawa, alamu da magani

Daya daga cikin cututtukan cututtukan muscleloskeletal, wanda ke haifar da nakasa da wuri na yawan ƙarfin jiki, shine cutar ƙafar ƙafafun ƙananan hanji.

Halin yana da alaƙa da cutar hawan jini, tare da lalacewar kodan da retina, yana da muhimmanci a tsakanin masana kimiyya a duniya.

A cewar kididdigar, a karshen karni na 21, kowane mutum na uku a duniyar tamu zai iya fuskantar matsalar juriya na insulin, mafi yawansu suna da matsalolin jijiyoyin jiki.

Menene wannan

Cutar sanƙuwar cutar malaria cuta ce mai haɗari ga nau'in 1 da nau'in ciwon sukari na 2. Idan ba a kula da alamun farkon rikice-rikice ba, to, bayan wani lokaci (kowane mutum daban-daban) rikice-rikice na trophic maras kyau na kyallen laushi na ƙananan ƙarshen haɓaka.

Abubuwa masu nisa na kafafu (ƙafafu) sun fi shafar, wanda yaduwar jini, koda a cikin yanayi na al'ada, yana a matakin ƙarami.

Injuryarancin rauni yana buɗe ƙofar zuwa kamuwa da cuta, a kan asalin rage rigakafi, tsarin rauni yana zama mai rauni, mai lalacewa. Idan ba a dauki matakan a cikin lokaci ba, tsari ya shiga cikin kumburi gangrenous, abin da ake kira "ƙafafun ciwon sukari" ke tasowa.

Dangane da mamayewar tsari, karkarwa da yiwuwar sakewa, likitoci sun bambanta manyan matakai uku na ƙafafun masu ciwon sukari:

• jijiya - shan kashi na manyan kanana da tsoffin jijiyoyi, take hakkin hankali da paresthesia ya zama kan gaba;
• neuroischemic - tasoshin, da farko, sha wahala;
• gauraye - yana da alamun biyun. 

Dangane da tsari, marasa lafiya suna da kararraki masu dacewa waɗanda ke tantance dabarun fifiko a cikin jiyya.

Kimanin shekaru 25, rabewar Wagner na ciwon sukari ya zama sananne a duk duniya. Yayi bayanin yawaitar hanyoyin lalata abubuwa na taushi:

• mataki 0. Hanyoyin sassauci a cikin kayan aikin osteoarticular na ƙafa, waɗanda ake iya gani akan raayoyi kawai;
• mataki 1. Raunin fata mai ƙoshin fata wanda ba ya yadu zuwa zurfin kasusuwa masu zurfi;
• mataki na 2. Raunin ya shimfiɗa cikin zurfi zuwa cikin ƙananan sassa, ya isa ƙasusuwa da jijiyoyin jiki;
• mataki na 3. Osteomyelitis da samuwar kumburin ciki;
• mataki na 4. Gangrene an kafa shi, yankin da abin ya shafa na ƙafafun baƙi, canjin da ba za a iya sauyawa ba;
• mataki na 5. Reungiyoyin gama gari, waɗanda zasu iya isa yankin haɗin gwiwa, yankan hanzarin reshe da aka shafa ya zama dole.

Sanadin faruwa

Kwayoyin suna buƙatar insulin don ɗaukar cikakken glucose.

Realizedara yawan ƙwayar jini a cikin masu ciwon sukari an gano ta cikin “matsewa” fiye da kima a cikin nama, ba tare da ƙarin metabolism ba.

Ruwan bugun zuciya na jijiya (rufaffen capillaries da arterioles) yana taimakawa glucose ne kawai saboda wannan nau'in kwayar halitta baya bukatar insulin don amfani dashi. Bayan wani lokaci, maida hankali ya kai matsayin mai guba, haɓakar ɗanƙoƙin osmolar na haɓaka.

Ruwa yana fara tarawa a cikin ƙwayoyin cuta, ƙwayoyin sun cika kuma sun mutu. Haka kuma, an samar da hanyar samarwa da sukari, wanda ya haifar da samuwar sorbitol, samfurin ne wanda yake da matukar hadari ga rayayyun halittu.

A cikin lokaci, ayyukan haɗin gwiwa na haɗin gwiwa da ƙungiyar suna rushe, mahaɗan macroglobular (sunadarai) sun fara wucewa cikin yardar kaina ta hanyar bango na jijiyoyin da ke lalace, edema na cikin perovascular sararin samaniya yana haɓaka.

Tsarin lymphatic bazai iya jure da yawan ƙwayar ƙwayar cuta a cikin kyallen ba, ƙafafu sun zama mai sauƙin sauƙi.

A irin waɗannan yanayi, har ma da ƙaramin rauni na iya haifar da kumburi da jijiyoyin jini da yawa.

Mafi sau da yawa, tare da nau'in neuropathic na ƙafar mai ciwon sukari, lokacin da aka ji rauni na jin zafi, mutane ba su lura da lalacewa na dogon lokaci, don haka sun ɓatar da alamun farko na rikitarwa.

Alamomin cutar

Bayyanar bayyanar cututtukan cututtukan cututtukan cututtukan zuciya na iya samun fassarar ƙasa. Don haka, yawancin marasa lafiya sukan koka da rauni na gani, rauni gaba ɗaya, katsewa a cikin aikin zuciya.

Cutar Raunin Raunin Kafa ta ƙunshi alamomin masu zuwa:

• rikicewar trophic a cikin ƙafafu: peeling na fata, asarar gashi, itching;
• hyperemia na ciki (fatar kan yankin da abin ya shafa ya zama ba ja da gangan wani lokacin tare da alama ta cyanotic);
• yana tayar da zafin ƙafa yayin tafiya ko lokacin hutawa;
• zafi, zazzabi da ji na jijiyoyin jiki sun ragu;
• jijiyoyin jiki a cikin manyan jijiyoyin ƙafafunku yana raguwa;
• siffar raunuka;
• yatsun baki.

Duk wani alamomin da ke sama ya kamata ya zama alama ce ta firgita da siginar don ganin likita.

Binciko

Hanya na farko don gano cututtukan ciwon sukari na ƙananan ƙarshen shine cikakken binciken likita. Likita ya bincika koke-koke na mai haƙuri, ya tattara tarihin likita, ya ƙayyade tsawon lokaci da kuma matakin sarrafa ciwon sukari.

Don tabbatar da bayyanar cutar, an gudanar da jerin ɗakunan bincike da kayan aikin kida.

• janar gwajin jini (kasancewar amsawar kumburi a cikin hanyar leukocytosis da haɓaka a cikin ESR alama ce mai mahimmanci game da ci gaba);
• gwajin jini na kwayoyin (gwajin koda da hanta, glucose, haemoglobin, glycosylated, bayanin lipid);
• urinalysis (ƙuduri matakin glucosuria);
• Duban dan tayi na tasoshin ƙananan ƙananan a cikin yanayin da ake kira yanayin Doppler. Binciken yana ba ka damar ƙayyade matakin iyakancewar jijiyoyin jini da kuma wuraren da ba za a iya warkewar cutar ba;
• kallon iska. Bayan gudanarwa na jijiyoyi na idanu na musamman, ana yin jerin-hotunan raƙuman ƙananan ƙarshen, ana iya ganin bangarorin da ke cikin jini;
• MRI. Hanyar bincike mai mahimmanci da tsada wanda ke ba da bayanai masu amfani da yawa game da yawaitar ayyukan ischemic, kuma yana ba ku damar ƙayyade adadin tiyata;
• karafarini. Nazarin tasoshin asusun ba da labari mai mahimmanci game da raunuka na tsarin jijiyoyin jijiyoyin jiki, ciki har da kwakwalwa;
• ECG da ECHO-KG. Kimanta yanayin aikin zuciyar da yanayin zuciyar, musamman idan akayi shirin tiyata.

Hanyoyin jiyya

Don magance matsalar matsalar rashin lafiyar angiopathy, yana da mahimmanci da farko don ramawa game da yanayin ciwon sukari. Wannan yana nufin cewa yakamata ka dawo da tashin hankali metabolism na carbohydrates, sunadarai, fats, ma'adanai.

An zaɓi abincin mutum ɗaya, carbohydrates mai sauri da kitsen dabbobi yana da iyaka.

Abincin da kansa ba shi da fa'ida, amma kyakkyawar asali ne don maganin ƙwayoyi.

Yana da mahimmanci a zabi maganin insulin da ya dace ko magunguna na hypoglycemic na baka. Ana sarrafa cholesterol na jini, idan ya haɓaka, an wajabta gumaka.

Idan akwai canje-canje na jijiyoyin mahaifa, an haɗa likitan tiyata. Abubuwan da suka mutu sun balle, ana amfani da sutturar ƙoshin rigakafi tare da gyara da kuma kayan aikin warkarwa. Ana iya amfani da plasmapheresis gravitational, an tabbatar da cewa wannan hanyar na iya rage kumburi, rage zafi.

Ana magance canje-canje na ƙashi-articular ta hanyar hana ƙafa ƙafa da takalmin orthopedic.

Yin rigakafin

Masu ciwon sukari suna buƙatar bin waɗannan sharuɗan:

• rufe ido kan matakan glucose na jini;
• bincike na yau da kullun na tiyata;
• duba ƙafafun ƙafa da takalma a ƙarshen kowace rana;
• inganta ayyukan jiki.

Bidiyo mai amfani

Yadda ake tsabtace tasoshin jini don ciwon sukari:

Yana da mahimmanci a tuna cewa ciwon sukari na rashin lafiyar da ke ƙarshen ƙananan yanayin shine yanayin da za'a iya juyawa a farkon matakan ci gaba. Kulawar likita na kan lokaci yana taimakawa hana yanki. Gudanar da sukari yana taimakawa kawar da sakamako masu guba na glucose akan bango na jijiyoyin jiki.