Shin za a iya warke nau'in ciwon sukari na 2?

Cutar sankarau ana kiranta cuta mai rikitarwa, wacce ke tattare da keta duk wasu matakai na rayuwa a jikin mutum wanda ke faruwa akan asalin ƙarancin insulin. Matsakaicin ilimin halittu yana da adadi mai yawa, kuma wannan ba ya amfani da takamaiman ƙasashe, amma ga yawan mutanen duniya gabaɗaya.

Nau'in 2 na ciwon sukari mellitus yana ɗaukar matsayi na gaba a tsakanin duk alamun bayyanar cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. Yana lissafin kusan 85% na duk matsalolin asibiti. Wannan nau'in ciwon sukari ya zama ƙarami a cikin 'yan shekarun nan. Idan a baya an gano cutar bayan shekaru 45, yanzu yanayin sanadin bayyanar wani nau'in insulin-mai zaman kansa an san shi koda a cikin yara.

Isticsididdiga ta nuna cewa a farkon kiran da likitocin da ke halartar za su yi, galibin marasa lafiya ba sa zargin babban cutar su. Sun zo tare da gunaguni na nakasasshe na gani, rauni marassa rauni, jin zafi a zuciya da kafafu. Wannan yana bayyana buƙatar gano wuri da zaɓi na magani don cutar. Maganin jiyya na nau'in ciwon sukari na 2, tsarin, ka'idodi, fasalin sarrafa haƙuri an tattauna cikin labarin.

Kadan game da cutar da kanta

Babban dalilin "cutar mai daɗi" nau'in 2 ana ɗauka shine rage ƙimar jijiyoyin sel da ƙananan ƙwayoyin jikin mutum zuwa aikin insulin. Insulin wani sinadari ne mai aiki da sinadarai a cikin farji wanda ke da alhakin rage matakan sukari na jini ta hanyar jigilar shi zuwa sel. Game da wannan cutar, ƙarfe yana samar da isasshen adadin insulin, amma kyallen takarda kawai "basa ganin sa".

Increasearin yawan glucose na jini yana faruwa lokacin da ayyukan ƙwayoyin insulin ƙwayoyin ƙwayar ƙwayar cuta suka ragu da rabi. Na dogon lokaci, ilimin halittar yana asymptomatic ne, kodayake canje-canje a matakin matakan jijiyoyin jini sun riga sun gudana.

Hadarin cutar rikice-rikice ya taso idan masu gwajin gwajin suka ƙetare ƙarshen ƙasan nan:

• matakin sukari kafin abinci ya wuce 6.5 mmol / l;
• Manuniya na glycemia sa'o'i da yawa bayan shigar abinci a cikin jikin mutum sama da 8 mmol / l;
• Lambobin haemoglobin na glycosylated sama da 7%.

Babban sukari na jini shine babbar alamar ci gaban ilimin cuta

Abin da ya sa yana da matukar wuya a amsa tambayar ko ana iya warke nau'in ciwon sukari na 2. Lallai, yawancin marasa lafiya basa zargin na dogon lokaci cewa suna da yanayin cutar.

An sani cewa salon rayuwa mara kyau, kurakurai masu ƙoshin abinci, nauyin jiki mara nauyi sune abubuwanda ke haifar da haɓaka cutar ta asalin kasancewar ƙaddarar jini a kanta. A lokaci guda, tasirin aiki akan waɗannan abubuwan yana ba da damar, har zuwa wani yanayi, don dawo da hanyoyin tafiyar matakai, kiyaye alamu na sukari tsakanin iyakance mai karɓa, da kuma hana ci gaba da cutar.

Ka'idojin jiyya

Magungunan zamani suna amfani da wadannan hanyoyi na magani don maganin ciwon sukari na 2:

• abinci
• motsa jiki;
• shan Allunan-sukari;
• maganin insulin.

Abincin far

Abin takaici, kawar da nau'in ciwon sukari na 2 bashi yiwuwa. Hanyoyin zamani na kulawa da sah. ciwon sukari na iya cimma matsayin diyya, wanda a ciki ake ɗaukar matakin glycemia kusan al'ada, baya tsoratar da ci gaban rikice-rikice. Ofayan waɗannan hanyoyin shine gyaran abinci.

Ka'idojin ka'idoji na hanyoyin rage cin abinci ga masu fama da rashin lafiyar insulin:

• abinci mai rarrabewa akai-akai;
• ƙi yarda da sukari da abinci tare da manyan glycemic index lambobi;
• hadawa a cikin abincin kayayyakin abinci da suke da fiber na abin da ake ci da fiber a cikin kayan da aka shirya;
• wadataccen abinci mai gina jiki a jiki;
• tsananin kiyaye adadin kuzari na yau da kullun;
• amfani da kayan lambu da 'ya'yan itatuwa;
• hana shan giya.

Qualifiedwararren masanin abinci mai gina jiki zai taimaka ci gaba menu na farko

Yana da mahimmanci a tuna cewa yayin dafa abinci ya kamata ku kula da kula da zafi, ku dafa abinci a cikin tanda, akan gasa, dafa. Zai fi kyau ki ƙin soyayyen, kyafaffen, samfuran salted, har da muffins da keɓaɓɓun kayan abinci bisa ƙwararrun alkama na farko.

Abubuwan da aka hana su sune:

• sausages;
• abincin gwangwani tare da man shanu;
• nama mai kitse da kifi;
• mayonnaise, biredi shago;
• ruwa mai walƙiya;
• babban kayan kiwo;
• samfurori da aka kammala;
• abinci mai sauri.

Yana da mahimmanci a haɗa kayan lambu, 'ya'yan itatuwa, ganye mai yawa, hatsi a cikin menu na mutum. Nama da kifi ya zama iri-iri mai mai yawa, an yarda da abincin abincin teku.

Aiki na Jiki

An san ingancin tasirin wasanni da motsa jiki a cikin kyautatawa da yanayin masu ciwon sukari. Abubuwan da suka dace da isasshen kuɗaɗe ba zasu iya rage sukarin jini kawai ba, amma har da haɓaka jijiyoyin jijiyoyin ƙwayar cuta zuwa aikin motsa jiki na ƙwayar ƙwayar ƙwayar cuta (wannan yana sa su da amfani ga manyan nau'ikan "cutar mai daɗi").

Koyaya, ba duk marasa lafiyar motsa jiki ke haifar da amsa ɗaya ba. Zai iya kasancewa da dama iri:

• Ba a canza ma'aunin sukari da muhimmanci ba ko kuma an ɗan rage su zuwa matakan al'ada.
• Glycemia ya ragu zuwa raguwa da yawa.
• Matakan glucose na jini yana ƙaruwa.

Yoga - tsarin motsa jiki na wanda aka yarda don ciwon sukari

Zaɓin na ƙarshe yana faruwa ne a gaban lalata ƙwayar cuta. Aiki na jiki yana haifar da cin zarafin yawan glucose ta hanyar ƙwayar tsoka da haɓaka aikin gluconeogenesis. Masana kimiyya sun tabbatar da cewa maganin motsa jiki ya dace ne kawai idan matakin glycemia bai wuce 14 mmol / l ba.

Jiyya ga masu ciwon sukari na 2 sun hada da:

• Yoga
• yin iyo
• Yin yawo
• hawa keke;
• tsallake.

Motsa jiki ya shafi mai ciwon sukari kamar haka:

• ƙara ƙwaƙwalwar insulin;
• rage triglycerides da mummunan cholesterol;
• daidaita yanayin yanayin coagulation na jini;
• rage dankowar jini da kuma hana aiwatar da cututtukan cututtukan cututtukan platelet;
• rage lambobin fibrinogen;
• haɓaka fitarwa na zuciya;
• rage bukatar oxygen na myocardial;
• daidaita jinin alamu na jini;
• inganta yawan jini.

Haɗi tsakanin kiba da zaɓin magani

Tsarin ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta shine ɗayan abubuwa masu tayar da hankali na rashin lafiyar insulin-dogara da ciwon sukari mellitus. An sani cewa sha'awar kawar da ciwon sukari ana iya gano shi kawai a cikin batun magance kiba. Idan mai haƙuri ya rasa kilogiram 5-7, mutum zai iya amince cewa yiwuwar samun ramuwa yana ƙaruwa da kashi 50-60%.

Normalization na nauyi shine ɗayan matakan ilimin

Dukkanin marasa lafiya waɗanda nau'in 2 na "cututtukan zaki" suka fara ganowa sun kasu kashi biyu.

• Marasa lafiya tare da daidaitaccen ko rage nauyi (ƙididdigar ƙwayar jikin ƙasa da 25).
• Masu fama da cutar obese (jeri daga 25 zuwa 40).
• Marasa lafiya tare da ƙwayar kiba (BMI sama da 40).

Irin wannan rarrabuwar masu ciwon sukari zuwa cikin rukuni yana ba da damar halartar endocrinologist don tantance yuwuwar cututtukan farji, kuma zaɓi tsarin kulawa da ya dace.

BMI kasa da 25

Nau'in Magungunan Ciwon Mara na zamani

Don ƙoƙarin warkar da ciwon sukari na 2 a cikin irin waɗannan marasa lafiya, yakamata a yi amfani da maganin rage cin abinci da motsa jiki. Zai yiwu a yi amfani da ilimin insulin, tunda akwai yuwuwar yiwuwar kasancewar ƙarancin insulin. A matsayinka na mai mulkin, ana amfani da allurar insulin kawai don dakatar da halayen halayen halayen farko.

Sannan amfani da maganin Metformin a cikin hanyar monotherapy ko a hade tare da incretins. A cikin rashin inganci, suna sake canzawa zuwa yin allurar hormone ko amfani da famfon na insulin.

BMI 25-40

Wannan rukunin marasa lafiya shine mafi yawan. Anan, gyaran abinci mai gina jiki, aikin jiki da gyaran rayuwa ana ɗaukarsu hukunci ne a cikin yiwuwar warkarwa. Nazarin asibiti ya tabbatar da cewa kawai tare da canji a cikin rayuwar su, kowane mai haƙuri goma zai iya ƙin yin amfani da allunan rage sukari a kowace shekara.

Ga marasa lafiya da ke da BMI na 25 zuwa 40, an tsara rukuni na rukuni na magunguna:

• Metformin;
• alpha glucosidase inhibitors;
• analogues na incretins.

Da zarar an raba kwata ko watanni shida, ya kamata a sake nazarin tsarin aikin bisa ga yadda ake kula da mara lafiyar. Idan matakin sukari a cikin jini ya zauna a babban adadi kuma nauyin mai haƙuri ya karu da sauri, alƙawarin ƙarin allunan rage sukari na iya zama mara gaskiya. Yakamata likitan yakamata ya bayar da shawarar wuce gona da iri. Wataƙila wani ɓangare na kuɗin, akasin haka, yana buƙatar sokewa.

Endocrinologist - gwani wanda zai taimaka wajen yaƙi da endocrinopathy

Idan mai haƙuri ya yi asarar nauyi ko nauyinsa ya ragu a daidai matakin, za a yi la'akari da yiwuwar ƙaddamar da shirye-shiryen insulin, amma sai dai idan an tabbatar da kasancewar hanyoyin rashin daidaituwa. Muna magana ne game da wadannan cututtukan:

• tarin fuka
• HIV
• tafiyar matakai tumo;
• kasawa na adrenal bawo.

BMI sama da 40

Irin waɗannan marasa lafiya, a matsayin mai mulkin, suna jagoranci salon rayuwa mara aiki, cin zarafin abincin takarce. Yana da matukar wahala a magance cutar sikari a cikin marasa lafiya na rukuni. Yana da mahimmanci a zabi magunguna waɗanda ba kawai za su iya sarrafa glycemia ba, amma kuma rage nauyin jiki, ko aƙalla kula da shi a matakin ƙayyadaddun.

Endocrinologists suna zaɓi don haɗuwa da metformin da glucagon-like peptide-1 analogues.

Magungunan magani

Akwai lokuta idan ya zama dole a hanzarta tsara yanayin mai haƙuri da matakin sigogin asibiti da sigogi na rayuwa. Don wannan dalili, zaɓi waɗannan hanyoyin jinya masu zuwa:

• infusions tare da bayani na Reopoliglukin;
• alƙawarin hepatoprotectors (magungunan da ke kare hanta daga mummunan tasirin) - Essentiale-forte, Carsil;
• enzymatic far - Mezim, Panzinorm;
• B-jerin bitamin da ascorbic acid a cikin hanyar injections;
• maganin rigakafi a gaban cututtukan ƙwayoyin cuta na ƙwayoyin cuta daga kodan;
• rigakafi (a gaban rashin bacci);
• bayyanar cututtukan mahaifa (misali, kulawa da murkushewa, lura da cututtukan mahaifa, maido da iko).

Babban rukuni shine allunan rage sukari. Zabi na haɗinsu ya dogara da tsananin yanayin mai haƙuri, shekarunsa da tsarin mulki, nauyin jikinsa, ƙididdigar glycemia.

Alfa Glucosidase Inhibitors

Wadannan magungunan an yi niyya ne don rage jinkirin shan kwayoyi ta hanyar ganuwar hanji cikin jini. Ingantaccen magani shine Glucobai dangane da acarbose. An tsara miyagun ƙwayoyi tare da sarrafawa mara kyau a kan alamu na glucose a cikin yarda da tsarin abincin, idan ya kasance rashin daidaituwa na maganin Metformin, tare da mummunan hyperglycemia bayan cin abinci da baya na gabatarwar shirye-shiryen insulin.

Ingancin samfurin Jamusanci

Maganin ba wai kawai zai iya daidaita jinin sukari bane bayan cin abinci. Amma kuma rage matakin "mummunan" cholesterol da triglycerides. Yana da mahimmanci cewa magani bai haifar da raguwa mai mahimmanci a cikin glycemia na jini ba, wanda ya ba da damar amfani dashi a cikin kula da marasa lafiya tsofaffi.

Shirye-shiryen Sulfonylurea

Idan ba a warke da cutar sankara ba, to aƙalla mafi girman biyan diyya, shirye-shiryen sulfonylurea sun bada izinin. Alamu kan saduwarsu:

• rashin tasiri na hadewar abinci da isasshen motsa jiki;
• kasancewar nau'in cutar ta 2 a cikin marasa lafiya da ke da alaƙa na al'ada ko kuma babban taro na jiki, lokacin da aka samu biyan diyya tare da ƙananan allurai na insulin na hormone.

Yardajewa:

• Nau'in nau'in "cuta mai laushi";
• lokacin haihuwar yaro da shayarwa;
• coma;
• yanke ƙauna a gaban cututtukan asali na kamuwa da cuta;
• tsinkaya zuwa raguwa mai mahimmanci a cikin glycemia;
• m shisshigi.

Wakilan kungiyar:

• Gliburide;
• Gliclazide;
• Tolbutamide;
• Chlorpropamide.

Biguanides

An yi amfani dashi da yawa don nauyin jikin mara lafiya, idan akwai rashin inganci na nada wasu hanyoyin. Wakilai - Metformin, Buformin. Magunguna suna rage gluconeogenesis, rage yawan sukari a cikin narkewa, haɓaka aikin insulin, ƙara yawan masu karɓa mai nauyi akan sel da kyallen takarda.

Yadda za a bi da nau'in ciwon sukari na 2 na wannan rukunin ƙwayoyi tare da wannan rukuni na kwayoyi, ƙwararren likitancin endocrinologist zai gaya. Haɗin Metformin da sulfonamides yana yiwuwa.

Harkokin insulin

Hada alluran hormonal a cikin tsarin kulawa an nuna shi a cikin halaye masu zuwa:

• ciki
• gaban jijiyoyin bugun jini;
• rikicewar zuciya;
• asarar nauyi da haɓaka ketoacidosis;
• ayyukan;
• cututtukan cututtuka;
• Rashin tasiri na magani tare da magungunan hypoglycemic.

An saka allurar cikin ciki a cikin bangon ciki na ciki, gindi, kafadu, kwatangwalo

Mahalarta halartar endocrinologist na iya zaɓar jarin tsayi ko gajere na amfani da magani na hawan ciki. Wakilan insulin sun haɗa cikin tsarin:

• Aiki;
• Insulrap;
• Humulin P;
• Tef;
• Humulin L;
• Ingantaccen BOC;
• Depot-N-Insulin.

ASD

Zamu iya warkar da ciwon sukari na 2 ko a'a, kuma marasa lafiya suna gwadawa ta kowane hali don cimma sakamakon da ake so na maganin ta amfani da magani tare da magungunan jama'a, hanyoyin da ba na al'ada ba. ASD (Dorogov's antiseptik stimulant) shine kawai irin wannan hanyar da ba'a saba dashi ba.

Ana yin shirye-shiryen ne a kan mushin ciwan mushen dabbobi da aka samu sakamakon maganin zafi. Ya ƙunshi acid acid, hydrocarbons, sulfur, polyamides da ruwa. Kayan aiki yana da nufin kunna ƙarfin garkuwar jiki, yana motsa ƙwayoyin sel na insulin, suna daidaita matakan rayuwa.

Tambayar ko za a iya warke nau'in ciwon sukari na 2 kowane mutum mai haƙuri wanda ya ci karo da wannan cutar. Abin takaici, a wannan matakin magani babu hanyoyin da zasu iya magance 100% na maganin. Idan an san irin waɗannan maganganun cewa wani ya warkar da ciwon sukari na 2, wataƙila, muna magana ne game da dasa ƙwayoyin jikin mutum da kuma cikakken canjin yanayin rayuwa.