Cutar sankarau wata cuta ce sanadiyyar sakamako daga lalacewar gurbataccen aiki da kuma aikin kodan.
Wannan yana haifar da bayyanar sukari a cikin fitsari, canji a cikin ma'aunin ruwan-gishiri da haɓaka ƙazantar ƙazanta.
Menene tsarin ci gaban cutar, me yasa hakan ke faruwa?
Sanadin Rashin Ciwon Rari
Akwai da yawa siffofin na koda na ciwon sukari:
- Salma - yana faruwa ne sakamakon asarar da keɓaɓɓe na ƙwayoyin cuta mai saurin kamuwa da cutar ta aldosterone - wani sinadari na haɓaka ta hanji. Sakamakon haka, ana lalata tsari na sodium reabsorption, kuma an cire shi fiye da kima daga jiki tare da fitsari.
- Glucosuria (sukari) - yana haɓaka tare da aiki na ƙarancin nahail kuma ana ƙaddara shi da bayyanar glucose a cikin fitsari, a ƙarshen asalin alamun sukari da aka yarda da su.
- Non-sugar - a wannan yanayin, ji na koda na gora glomeruli zuwa hormone da ke ɓoye ta hanjin gwal yana raguwa. Tare da wannan ilimin, an saki ƙwayar yawan fitsari a hankali.
Abubuwan da ke haifar da ci gaban ciwon sukari sune:
- ciwon kai;
- cutar bugun jini;
- kwayoyin halittar jini;
- cututtuka;
- cututtukan autoimmune;
- ciwan kwakwalwa na oncological;
- ilimin cututtukan cututtukan ƙwayar ciki da na hypothalamus.
Cutar sankarar mahaifa mellitus na iya zama a cikin haihuwa (na farko) ko haɓakawa sakamakon cututtukan ƙwayar cuta na koda (sakandare).
Sau da yawa, ana gano glucosuria a cikin mata masu juna biyu kuma zasu iya zama cututtukan jini da na ilimin mutum.
Pathological glucosuria na faruwa ne saboda dalilai masu zuwa:
- ƙarancin mahaifa ko babban nauyinta;
- gado na gado;
- mummunan guba;
- m pancreatitis;
- ciki bayan shekaru 35.
The ilimin halittar jiki iri-iri na cutar tasowa tare da irin wadannan dalilai:
- rikicewar hormonal;
- hauhawar yawan zubar jini a cikin kodan da hauhawar hauhawar jini;
- raguwa a cikin permeability na sel membranes.
Idan an gano glucose a cikin fitsari, ana sake maimaita binciken, tunda irin wannan ba koyaushe yake nuna ci gaban tsarin cututtukan ƙwayar cuta a cikin kodan ba.
Sugar a cikin fitsari na iya bayyana a sakamakon cin zarafin masu siraye kafin ranar gwaji ko bayan aikin motsa jiki.
Yawancin lokaci a cikin irin waɗannan halayen, a sakamakon reanalysis, duk alamu sun koma al'ada. Idan an sake gano glucose a cikin fitsari, an tsara cikakken bincike.
Babban bayyanar cututtuka
Bayyanar cututtuka na glucoseuria yawanci ba a faɗo sosai kuma ana iya biyan hankali kawai a lokuta masu rikitarwa lokacin da jiki ya rasa adadin glucose.
Sannan alamu masu zuwa zasu bayyana:
- jin yunwa na kullum;
- dizziness harin;
- mai rauni na hankali;
- girma rauni.
Idan mace mai ciki wani lokaci zata sami sukari a cikin fitsari, to, idan ta rama asarar glucose, wannan ba haɗari bane ga cigaban cikin da tayi. Amma idan ana gano glucosuria na dogon lokaci da kullun, to wannan alama ce game da yiwuwar kamuwa da cutar suga ta mahaifa.
Bidiyo kan cutar sankarar mahaifa a cikin mata masu juna biyu:
Kwayar cutar sankara ta Nephrogenic insipidus ana kamanta shi da irin wannan bayyanin:
- increasedara yawan fitsari a kowace rana, gwargwadon tsananin cutar, ana iya fitar da lita 2 zuwa 20 na fitsari;
- ƙishirwa;
- tashin hankali na barci da rauni;
- haushi;
- hare-haren migraine;
- rashin asara mara nauyi;
- zazzabi;
- bushe fata;
- raguwa a yawan adadin yau.
Sabanin tushen ciwon insipidus, maza za su iya fuskantar tabarbarewa, kuma a cikin mata ana lalata tsarin kowane wata. Ga yara, wannan ilimin cuta shine mafi haɗari. Sakamakon asarar abubuwan gina jiki da rashin ruwa, yara marasa lafiya suna faduwa a baya a cikin ci gaba, kuma balaga tana jinkirtawa a cikin samari.
A cikin maganganun ci gaba, lalacewar koda yana ƙaruwa: ƙashin ƙugu na haɓaka, da kuma girman ureters da canjin mafitsara. Girman gabobin ciki suna matse ciki, wanda ke haifar da gudun hijira. Bugu da ƙari, ganuwar hanji suna cikin damuwa, bututun bile sun lalace kuma zuciya ta damu.
Rashin ciwon sukari na Renal na bayyana kanta a cikin alamun dake zuwa:
- nauyi asara;
- yawan maƙarƙashiya;
- asarar ci
- yawan tashin zuciya ya zama amai;
- urination akai-akai tare da sakin karin yawan fitsari.
Alamar sankara ta sukari shine matakin sodium a cikin fitsari, wanda ya wuce abin halatta sama da sau 15.
Babban haɗarin ciwon sukari na koda shine babban bushewa, wanda, idan ba a kula dashi ba, na iya haifar da mutuwa.
Binciko da hanyoyin magani
Daga cikin hanyoyin binciken, ana iya amfani da wadannan karatukan da kuma karatuttukan kayan aikin:
- nazarin fitsari gabaɗaya - don tattara fitsari, don kasancewar glucose da jikin ketone;
- ilimin halittar jini - a kan matakin potassium, sodium, glucose, urea da creatinine;
- gwajin fitsari game da rashin ruwa;
- nazarin duban dan tayi na kodan - zaku iya gano ayyukan kumburi a cikin kodan da canje-canje a cikin ƙashin ƙugu, ureters da mafitsara;
- tsarin maganadisu na Magnetic;
- a cikin hadaddun lokuta, ana yin ƙirar koda.
Ana yin gwajin fitsari don yawan sukari a cikin ɓangaren fitsari da aka ɗauka daga jimlar yawan fitsari da aka tara kowace rana.
Idan, bisa ga sakamakon binciken, an lura da fitowar glucose a cikin fitsari fiye da 2 g kuma an gano canje-canje a cikin tsarin kodan, to ana gano cutar sankara na koda.
An tabbatar da ciwon sukari na gishiri idan aka samu karancin sinadarin sodium a jiki da kuma yawan toshiyar fitsari a cikin fitsari
Dangane da sakamakon gwajin gwajin rashin ruwa a jiki, watau idan akwai raguwa a cikin nauyin mai haƙuri da 5% tare da halayen fitsari mara canzawa, raguwar hankali da yawan fitsari, to ana gano cutar insapidus nephrogenic.
An wajabta magani ne gwargwadon nau'in cutar sankara. Tare da ciwon sukari na gishiri, babban matakin farfaɗo shine dawo da ƙwaƙwalwar da aka rasa da kuma rigakafin bushewa. A saboda wannan, an ba wa haƙuri haƙuri cikin ƙwayar ciki.
Importantarin ƙari mai mahimmanci zai zama abinci tare da ƙuntataccen kayan abinci mai gina jiki da kuma ɗorawar ƙoshin kitse da carbohydrates.
Introducedarin abincin tsire-tsire, ruwan 'ya'yan itace, abubuwan sarrafawa da ruwa mai tsabta an shigar da su a cikin abincin. Ba a cire abinci kamar gishiri, kofi, soda da barasa ba.
Rashin cututtukan da ba su da sukari ana bi da su tare da diuretics da magungunan anti-steroidal anti-inflammatory (Indomethacin, Ibuprofen).
Hakanan za'a iya tsara magungunan cututtukan ciki (Minirin, Desmopressin). Idan cutar ta faru ne sakamakon kasancewar ciwace-ciwacen ƙwayar cuta a cikin hypothalamus, to, ana yin shawarar yiwuwar yin maganin tiyata.
Ciwon sukari na cutar sankara mellitus baya buƙatar kulawa ta musamman. An wajabta mai haƙuri a cikin haɓakar ƙwayar maganin saline don hana bushewa, rage cin abinci tare da iyakance yawan ci da kuma sa ido a kai a kai na matakan glucose.
Rikicewar cutar
Cutar zazzabin cizon sauro ba tare da magani a kan lokaci yana haifar da mummunan sakamako ba. Sakamakon karancin sodium a cikin jiki, ana cutar da tsarin jijiyoyin zuciya, wanda ke haifar da rikicewar jijiyoyin jini kuma, a sakamakon haka, kwakwalwa na fama da matsalar karancin iskar oxygen, wanda hakan kuma ke haifar da waƙar cuta.
Glucosuria yana tsokanar cutar koda:
- Pyelonephritis cuta ne mai ƙonewa na ƙwayar cuta wanda ke haifar da ƙwayoyin cuta. Cutar tana tare da zazzabi da yawan urination.
- Kwayar cutar Nephropathy cuta ce mai haɗari wanda ke faruwa sakamakon cin zarafin wadatar jini. An kwatanta shi da kasancewar furotin a cikin fitsari da kuma hauhawar hawan jini. Idan ba a aiwatar da kulawar lokacin nephropathy ba, to kuwa gazawar koda na kullum zai iya haɓaka.
Je wurin likita nan da nan bayan alamun farko na cutar da kuma lura da duk shawarwarin asibiti, musamman game da yarda da abinci da kuma guje wa jaraba masu cutarwa, zai dakatar da ilimin a farkon farkon ci gaba da hana faruwar rikice-rikice, wanda ke ƙara haɓakar damar haɓaka mai kyau.
Bidiyo game da insipidus ciwon sukari:
Idan an riga an gano rashin lafiyar koda, to wannan tsari ba zai yuwu ba kuma ana iya tsammanin sakamako mai kyau kawai dangane da batun cutar koda.
