Cutar sankarar mahaifa (DM) ita ce ɗayan nau'ikan nau'ikan da ke dogara da insulin na “cuta mai daɗi” (sunan mai ciwon sukari mellitus, wanda ake amfani da shi a cikin mutane gama gari). Cutar ta danganta da babban adadin kwayoyin halittar jijiyoyin jini adrenal a cikin jini. Pathology kuma ana kiranta ciwon sukari mellitus.
Ciwon suga na ciwon sikila bashi da alaƙa da yanayin aikin farji. Zai iya haɓaka ko da a cikin mutane masu cikakken lafiya tare da tsawan lokacin jiyya kuma ya ɓace bayan dakatar da magani. An yi ƙarin cikakken bayani game da abubuwan da ke haifar da ci gaban cututtukan cuta, alamu, zazzagewa da kuma siffofin magani a cikin labarin.
Wadanne magunguna ne zasu iya haifar da cutar?
Ana amfani da magungunan da suka danganta da kwayoyin adrenal (glucocorticosteroids) a cikin magani sau da yawa. Suna da sakamako masu zuwa ga jikin mutum:
- daina hanyoyin kumburi;
- cire kwantar da hankali da bayyanar rashin lafiyan;
- amfani da shi don magance yanayin girgiza (ƙara yawan karfin jini);
- zalunta sojojin tsaron gida;
- inganta microcirculation a cikin yankin na kumburi;
- ba da gudummawa ga takaita abubuwan capillaries;
- toshe ayyukan wasu enzymes da yawa;
- shafi metabolic tafiyar matakai.
Magungunan da aka fi amfani dasu sune Hydrocortisone, Prednisolone, Dexamethasone. An wajabta su don maganin cututtukan ƙwayoyin cuta, rheumatism, hare-haren fuka, ilimin cututtukan jini, cututtukan mononucleosis, cututtukan ƙwayar cuta. Har ila yau, alamun da ake amfani da su sune glomerulonephritis, matakai na kumburi na hanji da hanta, cututtukan autoimmune, girgiza asali daban-daban.
Sauran kwayoyi na iya tayar da irin wannan cutar:
- thiazides (wakilan magungunan diuretic);
- hade da maganin hana haihuwa.
Tsawaita amfani da COCs yana ɗayan abubuwan etiological na cutar.Sauran dalilai na haɓaka yanayin cututtukan cuta sune cututtukan adrenal, rikice-rikice na rayuwa, cututtukan hanta, ciwon sukari na insulin-dogara da cutar sankara (sakamakon cutar). Ana daukar marasa lafiya masu kiba sosai a matsayin manyan candidatesan takara na farkon cutar.
Hanyar ci gaban cutar
Don fahimtar yadda ciwon sukari na steroid ke faruwa, masana kimiyya sun gudanar da gwaji na asibiti ta hanyar gabatar da magungunan hormonal a jikin dabbobi. Bayan sakamakon da aka samu, masana kimiyya sun yanke shawara kan cewa asalin cutar shine tasirin hormones na adrenal cortex akan hanyar metabolism (musamman idan yazo da sunadarai da saccharides).
Abubuwa na sinadarai na motsa jiki suna ta rushewar kariyar sunadarai kuma ya sassauta tsarin kirkirar su. Sakamakon haka, hanyar gluconeogenesis yana canzawa, lokacin da samuwar ƙwayoyin sukari daga abubuwan da ba su da carbohydrate suna faruwa a cikin hanta hepatocytes. An saka Glycogen a cikin ƙwayoyin hanta a cikin adadin mai yawa fiye da yadda ake buƙata don rayuwa ta al'ada.
Sakamakon karuwar abubuwan gina jiki a cikin fitsari, sai aka fitar da adadin nitrogen. A lokaci guda, glucocorticosteroids yana rage tsarin yawan sukari ta ƙwayoyin sel da kyallen takarda a kan haɓakar, wanda ke haifar da hyperglycemia (glucose mai yawa a cikin jini) a matsayin nau'in ciwon sukari marasa ƙarfi na insulin-insellus.
Kwayar cutar
Cutar tana da hangen nesa mai kyau, wanda aka san shi ta hanyar bayyananniyar bayyanannun hoto na asibiti. Sha'awar cututtukan jini da kuma cutar yawan fitsari tana da rauni. Gwanin jini ba ya tsalle sosai, wanda ba za a iya faɗi ba game da sauran nau'ikan "cutar mai daɗi".
Bayyanar cututtuka na yanayin pathology basu da takamammen bayani, sabili da haka, yana yiwuwa a yi gwaji ba tare da bincikar cutar ba ko kuma yin wani aiki
Marasa lafiya suna da ƙararraki masu zuwa:
Bayyanar cututtuka na nau'in ciwon sukari na 2- kaifi rauni;
- rashin iya aikin yau da kullun;
- jin rashin lafiya;
- ciwon kai
- karin nauyi;
- blush a kan cheeks;
- kuraje masu fashewa;
- karuwa cikin karfin jini.
Yawan matakan sukari a cikin jini da fitsari da wuya su kai yawan mutane, babu kamshin acetone a cikin iska mai ƙonewa, kamar yadda jikin ketone a cikin jini da fitsari.
Wanne likita zan je?
Tun da hoton asibiti na cutar ba shi da tsananin rauni, yawancin marasa lafiya suna zuwa saduwa ta farko tare da mai ilimin hanyoyin kwantar da hankali ko likita na iyali. Idan kuna zargin ci gaban sukari na steroid, likita ya tura ku zuwa shawara tare da endocrinologist. Dole ne gwani ya tattara bayanan tarihin:
- abin da bayyanar damu da tsawon lokacin da suka taso;
- tare da abin da mai haƙuri da kansa ya haɗu da haɓakar bayyanar cututtuka;
- menene cututtuka a baya;
- ko ana bi da mara lafiyar tare da kowane magani yanzu ko ya sha su a cikin kwanan nan;
- ko mara lafiyar yana shan jiyya ta hanyar hormone;
- Shin mata suna amfani da magungunan hana haihuwa?
Mahimmanci! Ta hanyar shawarar endocrinologist, an aika mai haƙuri don tattaunawa tare da likitan jijiyoyin bugun gini, likitan ido, likitan zuciya, masana ilimin halittar jiki, masanin ilimin halayyar dan adam, mai kula da lafiyar jiki.
Masana ilimin kimiyya na endocrinologist shine likitan halarta a duk matakin kulawa da mara lafiya (a asibiti da a gida)
Menene taimakon haƙuri?
Kula da cutar ya yi kama da nau'in ciwon sukari na 1 na koda, duk da haka, tsarin kulawa da tsarin ci gabanta an inganta su daban-daban ga kowane mara lafiya. Hadaddun hanyoyin warkewa ya hada da abubuwa masu zuwa:
- insulin far don tallafawa aikin inginar na huhu;
- gyaran abinci mai gina jiki a cikin yarda da tebur-carb;
- yin amfani da maganin hana haihuwa hypoglycemic;
- sa bakin ciki (a cikin mawuyacin yanayi);
- hana yin amfani da magungunan kwantar da hankali wanda ya haifar da ci gaban cutar.
Abincin
Gyara menu na mutum shine tushen maganin kowane nau'i na ciwon sukari na mellitus, ciki har da nau'in steroid. An bada shawarar mai haƙuri don ƙin sukari da sauran samfuran da ke da babban abun ciki na carbohydrates mai sauri-narkewa a cikin abun da ke ciki. Inganci rage cin abinci an barata ta hanyar masu zuwa:
- yawan allurar insulin da kuma magungunan rage sukari ana iya rage su sosai;
- Manuniya na sukari a cikin jini ana kiyaye su a cikin iyakoki na yau da kullun kafin da kuma bayan abincin da aka saka;
- kyautatawa na haƙuri ya inganta, an kawar da gajiya;
- da yiwuwar ci gaban rikice-rikice na cutar an rage;
- jini cholesterol yana raguwa.
A low-carb rage cin abinci ba zai iya kawai m sugar matakan, amma kuma rabu da mu pathological jiki taro
Menu na yau da kullun ya kamata ya haɗa da kayan lambu, 'ya'yan itãcen marmari (iri mai tsami), ganye, hatsi, madara da samfuran madara mai tsami. Yana da mahimmanci cewa nama da kifi suna nan (zaɓi nau'ikan mai mai). Idan mai haƙuri yana da nauyi a jiki da kuma yawan ƙwayar cutar glycemia, ƙwararrun masu ba da shawara na abinci suna ba da shawarar sauyawa zuwa tebur mai lamba 8, inda ka'idodi game da iyakance carbohydrates sun fi tsauri.
Magungunan magani
A farkon matakin farko na maganin, magungunan sulfonylurea sun nuna tasiri, duk da haka, ba a ba da izinin yin amfani da rukuni ba, saboda a kan yanayin da aka tsawaita magani, ana lura da sabanin sakamako, wanda ke kara ci gaban ilimin cutar.
Yawancin likitoci suna ba da shawarar haɗar allurar insulin tare da allunan maganin antidiabetic. Idan ba a sami biyan diyya ba, ana iya nuna tiyata.
Yana da muhimmanci a tuna cewa lura da kai da cutar da kuma amfani da hanyoyin jama'a na musamman na iya haifar da haɓaka cutar. A wannan yanayin, zai zama da matukar wahala a maido da cututtukan cututtukan fata da na hanji. Yarda da shawarwarin likitoci shine mabuɗin don hanzarta murmurewa tare da hana haɓaka rikice-rikice na yanayin cututtukan cuta.
