Matsayin glucophage a cikin jiyya na jijiyoyin jini na nau'in ciwon sukari na 2

Aka buga a mujallar:
Ciwon Canjin Nono na 18, No. 10, 2010

Ph.D. I.V. Kononenko, farfesa O.M. Smirnova
Cibiyar Binciken Cibiyar Binciken Endocrinology na Gwamnatin Tarayya, Moscow

Nau'in na 2 na ciwon sukari mellitus cuta ce mai alaƙar cuta da ke tattare da rikicewar hyperglycemia, wanda shine sakamakon lahani cikin ɓoyewa da aikin insulin. Wannan mummunan cuta ne, na kullum kuma na ci gaba ne. Garfafawar ci gaban marasa lafiya a cikin marasa lafiya da ke fama da ciwon sukari na 2 na ciwon sukari na 2 (nau'in ciwon sukari na 2) an ƙaddara shi ta haɓakar rikice-rikice na macro- da microvascular. Dalilin rikicewar cutar macronascular shine rauni na rauni na manyan hanyoyin ruwa, yana haifar da ci gaba da cututtukan zuciya da rikitarwa, cutar ta cerebrovascular da kuma murkushe raunuka na jijiya daga cikin ƙananan hanji. Dalili na rikitarwa na microvascular shine takamaiman lalacewar microvasculature, takamaiman don ciwon sukari, wanda ke da alaƙa da ƙwaƙwalwar ƙwaƙwalwar ƙasa na capillaries. Bayyanar cututtuka na microangiopathy sune nephropathy na ciwon sukari da retinopathy. DM shine mafi yawan dalilin makanta a cikin manya. Manufar maganin ciwon sukari shine daidaita al'ada da kuma rage haɗarin macro- da rikitarwa na ƙwaƙwalwa. Mafi mahimmancin haɗarin haɗari da ke haifar da haɓakar rikice-rikice na jijiyoyin jini a cikin marasa lafiya da ke dauke da ciwon sukari na 2 sune yanayin ƙwayar ƙwayar carbohydrate, hawan jini da ƙwayar lipid na jini. Tebur 1 ya gabatar da ƙimar abubuwan manyan alamomi, nasarar wanda ke tabbatar da ingancin aikin kula da marasa lafiyar masu fama da ciwon sukari na 2.

Tebur 1. Abun kulawa (makasudin kulawa) don nau'in ciwon sukari na 2 (Algorithms don kulawa na musamman ga marasa lafiya da masu ciwon sukari mellitus, 2009)