Lokacin da wasu alamomi suka bayyana, mutum yana tunanin zuwa wurin kwararrun masana. Kowa ya san cewa idan hanjinka ya yi zafi, zai fi kyau ka je wurin likitan mata, don rikice-rikicen mata - ga likitan mata, tare da ciwon kunne - ga otolaryngologist, kuma idan ƙarancin gani na gani, likitan ido zai yi shawara. Yawancin marasa lafiya suna da tambaya game da wacce likita ke bi da ciwon sukari. Zamu tattauna wannan dalla-dalla a cikin labarin.
Wanene ya kamata in tuntube?
Idan mutum ya yarda cewa yana da ciwon sukari (ra'ayin na iya zama ba daidai ba ne), ya kamata ka tuntubi GP na gida ko likitan dangi. Suna zuwa wurin likita tare da korafin masu zuwa:
- sha’awar sha kullum;
- babban adadin fitsari a kowace rana;
- jin bushewar fata;
- fatar kan fata wanda ba ya warkar da dogon lokaci;
- ciwon kai
- zafi da rashin jin daɗi a ciki.
Bayan gwajin, likitan ya rubuta jagorori don jerin gwaje-gwaje na dakin gwaje-gwaje wadanda zasu ba ku damar tabbatar ko musanta cutar. Babban bincike zai zama kimantawa game da azumin jinin jinin haila. Mai haƙuri yana ɗaukar jini daga yatsan safe da safe a kan komai a ciki.
Tabbatar gudanar da gwaje-gwaje na asibiti da fitsari gaba daya. Gwajin jini yana ba ku damar sanin kasancewar hanyoyin kumburi a cikin jiki, canje-canje daga haemoglobin, ƙwayoyin jan jini, kasancewar halayen halayen. A cikin fitsari, ana tantance matakin furotin, sukari, farin farin sel, sel jini, salts, kwayoyin cuta da sauran abubuwan da ake amfani da su. Dangane da sakamakon, zaku iya sanin yanayin kodan da tsarin urinary.
Menene mai ilimin hanyoyin kwantar da hankali zai yi?
Likitocin gundumar suna da ƙwararrun fannoni na musamman, kodayake yawancin marasa lafiya sun yi imani da cewa irin waɗannan likitocin sun yi maganin musamman da cututtukan numfashi da sanyi. Kuna buƙatar zuwa wurin likitan ilimin likita idan an lura da canje-canje a cikin yanayin janar. Shi ne zai gaya muku wane likita ne yake bi da ciwon sukari idan kun yi tsammani cewa wata cuta ce.
Ayyuka da ayyukan likita mai halartar sune:
- ganewar asali game da cututtukan zuciya da jijiyoyin jini, lura da kuzarin farfadowa na mai haƙuri bayan likitan zuciya ya ba da cikakken isasshen magani;
- saka idanu na haemoglobin da kwayoyin jini a cikin yanayin cutar rashin haƙuri a cikin haƙuri;
- sarrafawa kan gaskiyar cewa marasa lafiya da diathesis da raunin abinci suna da rajista a wasu ƙwararrun ƙwararrun likitoci;
- taimakon farko idan ana kiran likita na gida a gida;
- gudanar da cikakken bincike, tare da bayyana bayyanar cututtuka "a cikin shakka", yana mai ba da haƙuri ga kwararrun don tattaunawa;
- kula da marasa lafiya da cututtukan cututtukan fata;
- shiri na takardun likita.
Wanene masanin ilimin endocrinologist?
Wannan kwararrun yana hulɗa da cututtukan cututtukan glandon endocrine. Aikinsa ya kunshi tuntuɓar marasa lafiya, nada wani bincike, zaɓin magani ga kowane ɗalibi na asibiti, kazalika da aiwatar da ayyukan da nufin hana wasu cututtuka.
Idan zamuyi magana game da ciwon sukari, rashin aiki mai narkewa. Wannan sashin jiki nasa ne na glandon endocrine. A layi daya, ƙwararren masani yana magance cututtuka:
- glandis adrenal;
- tsarin hypothalamic-pituitary;
- glandar thyroid;
- parathyroid gland;
- ovaries da testicles.
Gwanin endocrine yana samar da kwayoyin halittar da ke shiga cikin matakai masu mahimmanci.
Mahimmanci! Ana bincika likita na endocrinologist ba kawai idan akwai alamun bayyanar cututtuka ba, har ma don dalilan hana rigakafin (binciken likita).
Gwanin endocrinologist da nau'ikan kwarewar sa
Likita wanda yayi mu'amala da glandon endocrine na iya samun takamaiman kebantacce. Misali, likitan yara-endocrinologist yayi maganin matsalolin yara da matasa. Kwararrun likitan kuma ana kiransu likitancin yara.
Akwai endocrinologists na masu ƙwarewa masu zuwa:
- Likita - likita yana da ilimin ba kawai a cikin ilimin endocrinology da tiyata ba, har ma da oncology. Kwararrun yana aiki akan glandar thyroid, glandon adrenal, glandon gland, dole ne ya saba da dabarar duban dan tayi da kuma biopsy.
- Masanin ilimin likitanci kwararre ne a fagen ilimin halittar mata, daidaituwar tsarin jiki, yana magance rashin haihuwa da ashara ga asalin cutar cuta ta endocrine.
- Halittar jini - yana ba da shawarwari na likita da kwayoyin halitta ga marasa lafiya.
- Likitan diabetote ƙwararrun ƙwararren likita ne, likita ga nau'in 1 da nau'in 2 na ciwon sukari mellitus, ciwon insipidus.
- Masanin ilimin cututtukan mahaifa likita ne wanda ke hulɗa kai tsaye da cututtukan cututtukan thyroid.
Wanene masanin ilimin diba kuma yaushe za a buƙaci taimakonsa?
Likitan diabeto ba wai kawai likita ne wanda ke taimaka wa marasa lafiya da wani kyakkyawan yanayin da ya kamu da cutar sankara ba, harma da wanda ke hulɗa da mutanen da ke cikin haɗarin kamuwa da cutar. Ayyukansa sun haɗa da zaɓin tsarin kula da lafiyar insulin na mutum ga marasa lafiya, gano lokaci mai mahimmanci na rikicewar rikice-rikice da "cututtukan zaki", ƙirƙirar menu na yau da kullun da kuma daidaita tsarin abinci mai gina jiki.
Kwararren malami yana koyar da masu ciwon sukari ka'idodi na auna matakan sukari tare da glucometer
Likita ya kirkiro da wani aiki na motsa jiki, tsarin motsa jiki ga masu fama da cutar siga, yana koyar da ka'idodi na kayan agaji na farko idan aka samu ci gaban precoma da coma. Hakanan, aikin diabetologist shine koyar da mara lafiyar yarda da kansa, yasan kasancewar cutar kuma ya bayarda cikakkiyar amsa game da ita. Likita yana aiki ba kawai tare da marasa lafiya ba, har ma da danginsu.
An shigar da likita bisa ga tsarin shawara na sauran kwararrun kunkuntar. Likita ya tabbatar da kasancewar gunaguni, yana gudanar da bincike na zahiri na haƙuri. Halin fata da membranes na mucous, kasancewar rashes, lipodystrophy, ana kimanta adadin kitsen mai.
Nan da nan a cikin ofishin, likitan diabetologist na iya ƙayyade matakin sukari a cikin jini, alamomi na jikin acetone a cikin fitsari. Idan ya cancanta, ana tura mai haƙuri don tattaunawa tare da wasu likitoci.
Abinda Masu Ciwon Mara Lafiya ke Bukata
Cutar sankara (mellitus) cuta ce wacce take da haɗari saboda kamuwa da ita da rashin rikitarwa. Ba za su iya haifar da rashin ƙarfi kawai ba, har ma suna haifar da mutuwa. Rushewar manya da ƙananan jijiyoyi yana haifar da take hakkin halayen ɗabi'a da na ilimin halayya na kodan, ƙwaƙwalwar hanji, reshe, zuciya, da gabobin hangen nesa.
Likita mai gina jiki
Gano lokaci-lokaci na rikice-rikice zai ba da izinin ɗaukar matakai don hana ci gaban cututtukan cuta. Likitan da ke taimaka wa rigakafin rikice-rikice masanin abinci ne. Ayyukanta sune:
- ci gaba menu na mutum;
- ma'anar samfuran da aka yarda da abin da aka haramta;
- koyar da mai haƙuri yin amfani da bayanai daga abubuwan lura da abubuwan insulin samfurin;
- lissafin darajar adadin kuzari na yau da kullun;
- koyar da marasa lafiya yadda ake yin lissafin adadin insulin daidai don gudanarwa lokacin amfani da wasu kayayyaki ko kuma jita-jita.
Likitan likitan ido
Tunda ana daukar cutar retinopathy (lalacewa ta baya) matsala ce ta "cutar zaki", duk mara lafiya ya kamata ya ziyarci likitan likitan ido sau biyu a shekara. Gano farkon canje-canje zai tsawaita lokacin acuity na gani sosai, yana hana kame ido, haɓakar kamfe da glaucoma.
A liyafar ta kwararrun, an gudanar da wadannan abubuwan:
- kimanta yanayin yanayin wasan ƙwallon ido.
- tsaftacewar tsinkayar gani;
- ma'aunin matsin lamba na ciki;
- bincike na kasan ido ta amfani da ophthalmoscope;
- bayani game da yanayin filin kallo.
Mahimmanci! Likita na iya yin allurar rigakafin cututtukan fata, duban dan tayi da gwajin lantarki.
Likitan ilimin dabbobi
Na gaba mai yiwuwa rikitarwa na ciwon sukari shine cututtukan cututtukan zuciya masu rashin lafiya. Wannan cin zarafi ne game da aikin koda, wanda yake faruwa sakamakon lalacewar tasoshin ƙananan yara na koda. Kwararrun mashawarci yana ba da shawara ga mai ciwon sukari a cikin lokuta inda akwai koke ko canje-canje daga sigogi na dakin gwaje-gwaje.
Likitan nephrologist ya tattara aikin anamnesis na rayuwar mai haƙuri da rashin lafiya, yana da sha'awar kasancewar dangi tare da cutar daga kodan. Kwararren yana yin tsinkaye tare da kwantar da hancin kodan, yana nuna alamun hawan jini, yana nazarin ƙwayoyin mucous.
Likita ya tsara waɗannan karatun:
- janar na asibiti da gwajin fitsari;
- Cutar gwaje-gwajen cututtukan yara;
- nazarin duban dan tayi;
- CT da MRI.
Likita
Wannan kwararren ya ba da shawara ga mai ciwon sukari idan ya cancanta. Dalilan jiyya na iya haɗawa:
- ci gaba na karya "m ciki";
- jini na ciki;
- tafiyar matakai masu kumburi da fata da kuma kashin jikin mutum wanda ke da yanayin dabi'a;
- doguwar warkarwa, raunin trophic;
- ƙafa mai ciwon sukari;
- 'yan ta'adda.
Likitoci za su gudanar da aikin na marasa lafiya ko marasa aikin yi ta hanyar amfani da tiyata na manya-manya
Neurologist
Yawancin masu ciwon sukari suna fama da cututtukan neuropathy - lalacewar tsarin juyayi na mahaifa, wanda aka nuna ta hanyar canji na jin zafi, tashin hankali, sanyin sanyi. Tashin hankali yana faruwa ne da yanayin macro- da microangiopathies, wanda ke bayyane sakamakon yaduwar wasu sassan jikin mutum.
Kwararren ya tattara bayanai akan tarihin mai haƙuri game da rayuwa da cuta, yana kimanta yanayinsa na gaba ɗaya. Gwajin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ya haɗa da bincika nau'ikan nau'ikan jiyya ta amfani da kayan aiki na musamman. Methodsarin hanyoyin bincike shine electroneuromyography, duban dan adam dopplerography.
Mahimmanci! Ana kimanta matsayin jijiyoyin bugun zuciya sau da yawa a shekara.
Sauran kwararru
Idan ya cancanta, ana binciken mai haƙuri:
- likitan mahaifa - akwai kimantawa game da lafiyar haihuwa, gyara da kuma hana lalacewar haila da daidaituwar hormonal;
- podologist - likita wanda ke bi da hana ci gaban cututtukan ƙafa (masu ciwon sukari sau da yawa suna da ƙashin ciwon sukari);
- Likitan hakora - ƙwararren likitan likitanci ya kimanta matsayin lafiyar ƙwararrun bakin, bakin, hakora, kuma idan ya cancanta yana ɗaukar magani;
- likitan fata - tunda masu ciwon sukari na iya fuskantar lalacewar fata da mucous membranes, wannan kwararren masanin yana bincika marasa lafiya kamar yadda ya cancanta.
Neman likita idan alamun cutar sun bayyana isasshen. Yana da mahimmanci a bincika likita na shekara-shekara don hana bayyanar yanayin cututtukan cuta ko kuma gano su a farkon matakan.