Rashin damuwa na endocrin da ke tattare da lalacewar metabolism metabolism sune sanadin ciwon sukari.
Cutar tana bayyanar da canji a cikin glucose jini kuma yana buƙatar magani na tsawon rai don hana ci gaba da rikitarwa.
Menene ciwon sukari?
Ciwon sukari mellitus cuta ce mai girman gaske da ta rashin hankali wacce ke tasowa a kowane zamani kuma ta kasance tare da mara lafiya har tsawon rayuwarsa. Ya danganta da nau'in cututtukan cututtukan ƙwayar cuta, an lalata aikin siririn ƙwayar jijiyoyin jiki ko kuma hormone da aka samar dashi yanzu ba masu karɓar sel ba, wanda ke haifar da matsala tare da ɗaukar glucose a cikin sel, kuma yana fara tarawa cikin jini.
Increasedara yawan yawan sukari a cikin jini na jini yana cutar da duk tsarin tsarin jikin mutum, wanda ya shafi tasirin jini, zuciya, kodan, tsarin jijiyoyi da aikin gani.
Pathology yana faruwa a lokacin rayuwa ko cuta ce ta haihuwa, amma a kowane hali, ciwon sukari ba shi da magani kuma ana tilasta marasa lafiya su canza salon rayuwarsu kuma suna lura da matakan sukari koyaushe, yayin shan magunguna masu rage sukari ko yin allurar insulin. Ta wannan hanyar ne kawai suke gudanarwa don magance cutar da kuma samun ingantacciyar lafiya.
Sanadin da rarrabuwa na cutar
Dangane da rarrabuwa, sankarau ya kasu kashi iri:
- nau'in ciwon sukari na 1;
- nau'in ciwon sukari guda 2;
- lokacin haihuwa.
A gestational nau'i na cutar ne sau da yawa ana iya juyawa. Irin wannan ilimin haɓaka yana tasowa a cikin mata yayin haihuwar yaro, lokacin da, a ƙarƙashin rinjayar canje-canje na hormonal, ƙwayoyin suna fara amsawa mafi muni ga insulin kuma matakin glucose a cikin jini ya tashi. Bayan haihuwa, yanayin yakan koma ga al'ada, kodayake akwai haɗarin cutar sukari mai zuwa.
Abubuwan bidiyo akan cututtukan ƙwayar cuta a cikin mata masu juna biyu:
Amma nau'in na 1 da na 2 nau'ikan cutar ne waɗanda ba za a iya daidaitawa ba don magani kuma suna rakiyar mai haƙuri a duk rayuwarsu. Wadannan maganganun sun bambanta da kansu a cikin hanyoyin haɓaka kuma suna buƙatar wata hanya ta daban a ilmin likita.
Me yasa cutar take faruwa? Ciwon sukari mellitus sakamako ne na gama gari wanda ke haifar da rikicewar rayuwa na endocrine kuma, ya danganta da nau'in, ana iya samun sa a cikin yara da manya.
Mafi sau da yawa, ana gano cutar a cikin maza, saboda halayyar su don cin zarafin halaye marasa kyau da kuma haɗuwa da matsananciyar damuwa.
Wannan shine ɗayan abubuwan da yawa waɗanda zasu tsokani haɓakar haɓakar metabolism.
Shin cutar ta gaji? Haka ne, akwai ƙididdigar cewa idan iyaye suka kamu da ciwon sukari, haɗarin haɓakar cututtukan yara a cikin yara shima ya ƙaru.
Bugu da kari, nau'in cutar ta 1 an samo shi ne galibi a cikin kuruciya, wanda hakan na iya nuna canza yanayin kwayar halittar maye a matakin kwayoyin.
Nau'in 1
Nau'in cuta na 1 na faruwa ne saboda cututtukan autoimmune, wanda ke haifar da lalata ƙwayar cuta. Tunda baƙin ƙarfe yana samar da insulin ga jiki, lalacewar ƙwayar cuta yana haifar da rashi mai mahimmancin ƙwayar hormone kuma ɗaukar glucose a cikin sel yana da wuya.
Wannan ilimin cutar ya fi yawa a cikin yara da matasa kuma yana iya faruwa saboda irin waɗannan dalilai:
- cututtukan cututtukan cututtukan fata na pancreatic;
- kasawar kwayoyin haifuwa wadanda ke da alhakin insulin kira;
- abin gado, sakamakon abin da jiki ya fara lalatar da tsokar glandar;
- maye gurbin kwayoyin halitta wanda ke haifar da rudani a cikin samar da kwayoyin halitta.
Marasa lafiya da ke da nau'in cuta ta 1 dole ne su nemi karancin insulin ta hanyar allura har tsawon rayuwarsu kuma a ko da yaushe suna sa ido kan yadda sukarin jininsu yake.
Nau'in 2
Tare da nau'in 2, aikin pancreatic ba shi da rauni kuma ana samar da insulin a cikin mai yawa, amma saboda dalilai da yawa, masu karɓar salula suna ƙin karɓar hormone, wanda kuma yana hana shan glucose. An samo wannan nau'in a cikin marasa lafiya na manya, yawanci bayan shekaru 35.
Abubuwan da ke haifar da ci gaban ilimin cututtukan sun hada da:
- hauhawar jini
- kwayoyin halittar jini;
- kasancewar nauyi mai yawa;
- salon tsinkaye;
- canje-canje atherosclerotic a cikin tasoshin;
- zagi abinci mai arziki a cikin mai, sukari da sauri carbohydrates.
Ana aiwatar da wannan nau'in cutar tare da yin amfani da magunguna masu rage sukari, tsananin kulawa da abinci da haɓaka cikin aiki na jiki. Hakanan za'a iya kula da glucose da hawan jini a kai a kai.
Alamomi da alamomin cutar
A farkon haɓaka, ciwon sukari yana gudana ba tare da bayyanar alamun bayyanar ba kuma yana jin kanta kawai lokacin da sauran gabobin suka fara cutar.
A matakin farko na samuwar kwayoyin cuta, zaku iya kula da wannan alamu:
- ƙishirwa da ƙoshin abinci;
- mafi yawan urination tare da karuwa a cikin fitowar fitsari;
- rauni na tsoka da gajiya;
- bushewa da mucous membranes na bakin da fata.
- fata mai ƙyalli;
- karuwar gumi, musamman da daddare;
- bayyanar sannu a hankali na warkar da raunuka da kumburin ciki;
- canji a jiki nauyi a cikin shugabanci na karuwa ko raguwa.
Yin watsi da alamun farko ba ya ba da damar gano da dakatar da cutar a farkon.
Cutar na ci gaba, kuma yayin da ake lalata gabobin da ake lalata da ita, to sai an sami karin bayyanar cututtuka.
- kumburi kafafu da fuska;
- sau da yawa ƙara matsa lamba;
- ciwon kai, rashin damuwa da rashin bacci;
- ya kara girman hanta, zafi a zuciya;
- aikin gani ba shi da kyau;
- ji na ƙananan ƙarshen lalacewa;
- a cikin kafafu akwai jin ƙamshi, ƙonawa da zafi;
- akwai warin acetone daga bakin;
- ragi na sabuntar rauni na raunuka fata yana raguwa.
A cikin manyan halaye, idan ba a yi ma sa magani ba, mai haƙuri yana da girgijewar ƙwaƙwalwa, fainting, da kuma tashin zuciya.
Karatun Bidiyo kan cutar sankara, dalilinsa da alamomin sa:
Kwayar cutar sankara
Tasirin magani da aka wajabta ya dogara da daidai ganewar asali. Gano cutar ta fara ne da tarihin likita. Yana da mahimmanci likita ya san gunaguni na mai haƙuri, halayensa da salon rayuwarsa, cututtukan da suka gabata da alaƙa, da kuma maganganun kamuwa da cutar sankarau a cikin dangi na kusa da mai haƙuri.
Idan ya cancanta, nemi shawara game da kunkuntar kwararru:
- kwararren likita;
- likitan jijiyoyin bugun jini;
- endocrinologist;
- neuropathologist;
- likitan zuciya;
- urologist.
Labarin dakin gwaje-gwaje da na kayan aiki an wajabta su:
- nazarin fitsari don kashin furotin, sukari da acetone a ciki;
- sukari na jini da kuma glycosylated matakin haemoglobin;
- gwajin haƙuri glucose;
- nazarin ilimin halittar jini don tantance abun da ke tattare da plasma da alamomin enzymes na hepatic da na koda;
- bayanin martaba;
- Gwajin Reberg;
- Doppler duban dan tayi;
- Duban dan tayi na kodan, ciki da zuciya;
- jarrabar kudi;
- electrocardiogram.
Yayin binciken jarrabawa, ana gudanar da wasu nazarin ne akai-akai don a iya sanin yanayin tsananin cutar.
Matsayin ci gaban cutar
Dangane da tsananin cutar da gaban rikitarwa, ciwon sukari ya kasu kashi biyu:
- Na farko shine mafi kyawun mafi cancantar yanayin cutar akan asalin kwarewar kulawa da yarda da abinci. A wannan yanayin, babu rikitarwa. Dangane da sakamakon bincike na sunadarai da glucose a cikin fitsari ba a lura da su ba, abubuwan da ke cikin gemocosylated haemoglobin da sukari yana tsakanin iyakoki na al'ada.
- Na biyu - magani a wani bangare yana rama matsalar rashin lafiyar metabolism. Ba a lura da sukari a cikin fitsari ba, kuma maida hankali a cikin jini bai wuce 10 mmol / l ba. Glycosylated haemoglobin yana ɗan ƙara haɓaka ko yayi daidai da matakin da aka yarda da shi. Sakamakon mummunan bai faru ba tukuna, amma lalacewar tsarin zuciya da jijiyoyi, an riga an lura da aikin gani mai rauni da aikin koda.
- Na uku - yana nuna rashi ko rashin isasshen magani. A irin wannan yanayin, lalacewar gabobin da tsarin cikin gida ya zama mai mahimmanci. Extarshen ƙananan yankuna suna rasa hankali, ganimar hango nesa, da hauhawar hauhawar jini. A cikin fitsari, abubuwan da ke cikin furotin da glucose yana ƙaruwa, glycosylated haemoglobin ya wuce matsayin yau da kullun, ana kiyaye taro na sukari a cikin jini na jini a 13 mmol / L.
- Na huɗu shi ne mafi wuya zaɓi. Akwai babban asara na furotin a cikin fitsari, ulcers da necrosis sun bayyana a kafafu, kuma gazawar koda da sauran matsaloli masu wahala. Matakan glucose sun tashi sama da 25 mmol / L, sakamakon hakan yana haifar da ci gaban ketoacidosis da cutar sikari.
Tashin hankali da sakamako
Cutar sankara ta gabatar da babban haɗari daidai tare da rikitarwa, wanda zai iya haifar da nakasa ko kuma shafar rayuwar mai haƙuri.
Abubuwanda ke faruwa ana yawan lura da su:
- Jin zafi a cikin ƙananan ƙarshen. Yana faruwa saboda haɓakar neuropathy ko angiopathy. Neuropathy ana nuna shi ta bayyanar ji na ƙonewa da azaba da daddare, tare da asarar ji a cikin kafafu da kuma ji na kima. Tare da angiopathy, mummunan ciwo yana bayyana yayin tafiya ko aiki na jiki kuma ya raunana a hutawa.
- Ciwon mara. Irin wannan lalacewar zuwa ƙarshen ƙarshen yana bayyana saboda ci gaban neuro- da angiopathy. A duk tushe na kashin hankali na wata gabar jiki, duk wani rauni ga fatar ƙafarku ba zai yiwu ba har sai ya fara murmurewa. Marasa lafiya suna neman taimako na likita lokacin da wata cuta ta trophic, da ƙafar ta kumbura da ja.
- Gangrene Mataki na ƙarshe na angiopathy. Abubuwan jini a cikin ƙafafun sun lalace, wurare dabam dabam na jini suna tawaya kuma jijiyar ƙira yana farawa a cikin reshe. Kafa ta fara juye da jijiyoyi, daga baya qafar ta juya zata zama cyanotic, daga baya kuma duhu mai zurfin ciki da kwari da ruwa mai narkewa suka bayyana a kai. Sakamakon rikice rikice shine an yanke hannun hannu zuwa wata kasa ta kasan. Idan kun fara nazarin halittu har ma fiye da haka, zaku iya asarar ƙafa gaba ɗaya.
- Kwari. Suna alama ce ta rikicewar cututtukan cututtukan ƙwayar cuta irin su nephropathy. Wannan mummunan lalacewar koda ne wanda zai haifar da ci gaban lalacewa na koda, wanda zai buƙaci juyawa daga ƙwayar lalacewa. Hakanan yana iya zama alama ta rashin karfin zuciya. Idan an kafa kumburi a ɗayan ƙananan ƙananan ƙananan, to wannan yana nuna ci gaban angiopathy tare da haɗin gwiwa na neuropathy.
- Hawan jini ko hauhawar jini. Pressurearancin matsin lamba a cikin ƙananan ƙarshen sakamako ne sakamakon samuwar angiopathy. Kuma haɓaka matsin lamba a cikin jijiya yana nuna saurin ɓarkewar kodan da haɓakar nephropathy.
- Cutar masu ciwon sukari Rikicewa mafi sauri kuma mai haɗari da cutar. Abubuwan da suka haifar da haɓakar ƙwaƙwalwar ƙwayar cuta suna kwance a cikin gagarumin ƙaruwa a cikin glucose jini da kuma bayyanar a cikin plasma na jikin ketone (ketoacidotic coma) ko kuma a cikin raguwa mai yawa a cikin yawan sukari (ƙimar hypoglycemic coma). Kowane ɗayan waɗannan yanayin yana buƙatar kulawa ta lafiya da gaggawa. Idan babu gyara na lokaci, lalacewar ƙwaƙwalwa mai lalacewa, wanda ke haifar da dementia ko mutuwa.
Yin rigakafin
Yin rigakafin rikitarwa ya kunshi lura da yawancin ka'idodi:
- daina nicotine da jarabar giya;
- tsaya a ingantaccen abinci mai gina jiki, tare da matsakaicin ƙuntatawa na jita-jita waɗanda ke ɗauke da ƙwayoyin carbohydrates mai sauri, fats da cikakken ƙin yarda da Sweets da man shanu yin burodi;
- guji tsawan tsayi tsakanin abinci, yalwata babban rabo da wuce gona da iri a lokacin bacci;
- watsi da soyayyen, abinci mai gishiri da kayan yaji, da haɓaka amfani da kayan kayan lambu, dafaffen abinci da stewed;
- rage amfani da kofi, shayi mai ƙarfi da soda, kuma maye gurbinsu da ruwan 'ya'yan itace sabo, broths da lita 2 na ruwa kowace rana;
- Bada lokaci don ayyukan motsa jiki na yau da kullun, guje wa aikin wuce gona da iri;
- saka idanu cikin glucose a cikin jini da alamomin hawan jini, tsayawa kan lokaci canje-canje mara kyau;
- sa ido sosai kan lafiyar su kuma, lokacin da alamun farko na alamun damuwa suka bayyana, nemi taimakon likita;
- kowane watanni 6 don gudanar da gwaje-gwaje don gano da kuma cancantar kula da cututtuka na gabobin ciki;
- sarrafa nauyin ku, hana haɓakar kiba;
- tsananin bin duk shawarar likita, jadawalin allurar insulin ko shan magunguna masu rage sukari;
- Kada ku sami magunguna da kanku kuma ku bi abubuwan da aka tsara.
Za a iya warkewa?
Bayar da tsananin rikice-rikice na ciwon sukari, sha'awar marasa lafiya don kawar da ciwon su mai wuyar fahimta ne. Abin takaici, irin wannan yiwuwar akwai kawai don farkon matakan kamuwa da cuta na 2, wanda ya haɓaka da yanayin kiba. A wannan yanayin, batun abinci da haɓaka aiki na jiki, zaku iya murmurewa daga cutar. Amma haɗarin sake dawowa yana da girma sosai kuma idan kun koma yanayin rayuwar ku na baya, cutar ta sake komawa.
Amma nau'in ciwon sukari na 1 da tsawon lokaci na nau'in cuta 2 ba su da magani. Kulawar da ta dace zata iya hana ko jinkirta ci gaban rikitarwa, amma ba zai iya warkar da cutar gaba daya ba.
Zaɓin da za a bi don magance cutar da matsananciyar ƙima shine rashin shakku, saboda ba tare da halartar ƙwararrun masu ƙwararrun irin wannan hanyar ba, za su iya ƙara dagula yanayin.
Yin aikin tiyata na cututtukan siga, wanda aka jujjuya ƙwayar cuta ta wucin gadi zuwa mara haƙuri, shima yana da kyawawan halaye da mara kyau.
Littattafan bidiyo daga Dr. Bozhiev game da maganin ciwon sukari:
Sabili da haka, kawai saka idanu da hankali na tattara yawan sukari na jini da kuma bin duk abubuwan da likita zai bayar zai taimaka wa mai haƙuri ya kamu da ƙoshin lafiya kuma ya guji mummunan sakamako. Kuma irin waɗannan ayyuka ya kamata a aiwatar da su don rayuwa.