Tashin hankalin mahaifa na ƙananan ƙarshen cuta a cikin ciwon sukari na mellitus: alamu, magani, rigakafin

Cutar malaria a cikin ƙananan ƙarshen, ko ƙafa ta masu ciwon sukari, babban rikicewa ne wanda ke faruwa a cikin mutane masu ciwon sukari. Cutar ta shafi marasa lafiya na kowane tsararraki da jinsi. Don hana haɓakar ciwon angiopathy, ya zama dole a kula da bayyanar alamun alamun damuwa a cikin lokaci, don kula da cutar da ke haifar da hana rikice-rikice.

Kafar ciwon sukari - menene

Ciwon sukari mellitus ba wai kawai cuta ce ta tsarin endocrine ba, kawai da farko cututtukan jijiyoyin jiki ne. Babban sukari na jini yana haifar da lalacewar tasoshin kafafu, retina, kwakwalwa. A waje na tushen matakan glucose mai ƙarfi, yanayin da ke ciki na jijiyoyin jini - endothelium - ba ya yin ayyukan daidaita karfin jini, hana ƙwanƙwasa jini da haifar da kumburi a cikin su. A sakamakon lalacewar jijiyoyin bugun jini, jini yana tsaye a cikin ƙananan hanyoyin, yana ba da gudummawa ga ci gaban ilimin cuta.

Lalacewa daga cikin glucose da kayan aikin sa, kashi na ciki na tasoshin jini yana rike ruwa a jikin bango, yana rage zubar jini zuwa kafafu. Thrombi da sauri suna fitowa akan abin da ke cikin ciki na jijiyoyin jini, yana kara hadarin ƙyallen lumen. Bayan lokaci, ƙananan tasoshin suna sclerosize, kuma manyan jiragen ruwa sukan daidaita kuma suna sake haɗuwa da su.

Rarrabawa

Ya danganta da katangar jirgin ruwan da ya lalace, akwai:

macroangiopathy - lalacewar manyan jiragen ruwa,
microangiopathy - ilimin halittar kananan yara,
haɗe-haɗe - haɗuwa da ƙananan tasoshin ƙarami da ƙananan haɓaka a cikin aikin hanyoyin.

Hakanan likitocin suna yin la’akari da wurin da aka mayar da hankali:

masu ciwon sukari na jijiya daga cikin tasoshin ƙananan ƙananan,
cututtukan fuka-fukan dake cikin jijiyar ido,
mai ciwon sukari nephropathy yana shafar tsarin jijiyoyin koda.

Ba sau da yawa sau da yawa, likitoci suna bincikar cututtukan zuciya da gudawa yayin da tasoshin zuciya da kwakwalwa ke shiga cikin hanyoyin cututtukan cuta.

Rukunin Hadarin

Isticsididdiga ta nuna cewa ƙananan matsanancin rashin haƙuri a cikin ciwon sukari shine mafi yawan rikitarwa.

20% na duk marasa lafiya da ke fama da ciwon sukari suna fuskantar ƙananan cututtukan hannu. Kusan 70% na duk yankewa na ƙananan ƙarshen sune saboda cututtukan ƙafafun kafaɗar jini. Fiye da 40% na marasa lafiya sun fara jin maganin cutar su bayan canje-canje marasa jituwa sun riga sun faru a cikin tasoshin.

Ciwon sukari mellitus cuta ce mai tsanani wacce ba ta warkarwa, hanyar da za a iya sarrafa ta ta hanyar gwajin ƙwaƙwalwar lokaci, ziyarar kai tsaye zuwa ga endocrinologist ɗinku, da kuma bin shawarwari.

Marasa lafiya suna cikin haɗarin:

tare da kwayoyin halittar jini game da cutar,
hauhawar jini tare da gwaninta
rashin lafiyan metabolism,
nau'in shekaru sama da 55,
masu shan sigari
yawanci shan giya.

Siffofin cutar

Dogaro da tasoshin da ke fama da cutar, cututtukan ciwon sukari na ƙananan ƙarshen (lambar don ICD 10 E11.5) na iya bayyana kanta a cikin nau'in microangiopathy na ciwon sukari da macroangiopathy.

Microangiopathy

Magungunan microbetiopathy na ƙananan ƙarshen yana tasowa tare da shan kashi, lalata da sclerosis na ƙananan tasoshin kafafu. Ya danganta da sakaci, likitocin sun rarrabe masu nauyin 6 na wannan nau'in cutar:

Zero, ko na farko, - rashi koke-koke daga mai haƙuri, amma kasancewar alamomin halayyar haɓakar cututtukan haɓaka (rashin gashi a ƙafafu, ƙyalli da haske na fata, jin sanyi a cikin ƙananan ƙarshen).
Na farko shine thinning na fata, lokaci-lokaci akwai jin zafi a kafafu yayin tafiya, kananan raunuka masu launin fata suna bayyana ba tare da alamun halayen kumburi.
Na biyu shi ne rauni mai rauni a kafafu, wanda ke shafar fata ba kawai ba, har da kyallen takarda mai laushi, wani lokacin har ya kai ga ƙashi. Wannan zamani na cutar ana saninsa da azaba mai zafi.
Na uku, asalin cutar sankara mai narkewa yana bayyana a tsakiyar sakamakon cututtukan da suke haifar da rauni.
Na hudu - ya bambanta da wanda ya gabata a wannan ban da ƙari na necrosis, ana lura edema da hyperemia na kyallen da ke kusa. A wannan lokacin, ana nuna cutar ƙyallen ƙuraje, phlegmon ko osteomyelitis na ƙasan ƙananan ƙafa.
Na biyar - wanda aka gano a lokuta inda nama na kusa ya mutu.
Na shida - wani tsari ne da akeyi wanda ya rufe ƙafa ya kwashe ƙafa.

Macroangiopathy

Macroangiopathy na ciwon sukari, wanda ya shafi manyan jijiyoyin wuya, ya fara haɓaka hankali, yana da matakai 5 na ci gaba na canje-canje na cututtukan:

Babu alamun bayyanar cutar, marasa lafiya suna koka da saurin gajiya da jin zafi yayin ƙoƙarin jiki; yayin gwaji, mafi yawan cututtukan jijiyoyin jini da ciwan atherosclerosis.
Jin daɗin sanyi a cikin kafafu, yawan lanƙwasa, canje-canje atrophic a ƙafafu da bayyanar lameness lokacin tafiya.
Jin zafi a cikin wata gabar jiki har a lokacin cikakken kwanciyar hankali, bushewa da kwantar da fata, daddarewar dare.
Bayyanuwar ƙananan raunuka waɗanda ke canzawa cikin sauri da hanzarin ƙwayoyin cuta.
Mutuwar yatsun yatsun da ƙafa, guguwa ta gindi.

Marigayi ƙarshen cutar suna da alamu na yau da kullun na cutar zazzabin cizon sauro a cikin rauni, ciwon kai, rashin ci, sanyi da zazzabi.

Baya ga alamun da ke sama na cutar, hoto na gaba yana nuna halayyar masu cutar malariya ta yara:

Paresthesias, wanda aka bayyana da ƙarancin kafafu, wanda ke da alaƙa da ischemia na nama sakamakon yunwar oxygen,
harbi zafi a kafafu, wanda ke ƙaruwa lokacin tafiya da raguwa yayin hutawa,
ƙwayar tsoka a cikin bacci na dare,
rage aiki na gashi girma a kan kafafu,
fata ya bushe, ya fusata da fasa da bawo,
kafafu ƙara da redden
wari mara dadi yana tasowa daga ɗayan ɗaya ko biyu,
the gabar ta yi sanyi da rigar zuwa taɓawa
farantin ƙusa ya yi kauri, kauri, shuɗi,
fitowar manyan raunuka masu hawaye a maimakon tsoffin kogunan ko raunuka waɗanda ba za a iya bi da su ba.

A cikin waɗannan alamun, marasa lafiya suna koka da rauni, tashin hankalin dare, damuwa, yawan ciwon kai da zazzabi.

Binciko

Za'a iya yin ainihin ƙwaƙwalwar likita ta likitancin, dangane da bayanan ƙimar gwaji da ƙarin bincike. Don zargin rashin lafiyar angiopathy na ƙananan ƙarshen ƙarshen a cikin ciwon sukari na mellitus, ya isa ga ƙwararren likita ya tattara anamnesis kuma ya gudanar da bincike na haƙuri. Kula da irin waɗannan alamun:

pallor na fata,
reshe pareshesia,
gaban zafi da lameness,
karancin bugun jini a tasoshin kafa,
ragewan zafin jiki na kafafu.

Likita zai ba da ƙarin ƙarin gwaje-gwaje na kayan aiki da na gwaje-gwaje:

Doppler dubawa na tasoshin ƙananan ƙananan,
Gwajin X-ray, da kuma bambancin angiography,
MRI
komfutoci na kwamfuta

Tare da alamun cututtukan osteomyelitis, gwajin radionuclide ta amfani da pyrophosphate kuma za a iya tsara shi da ƙari, wanda zai ba ku damar gano ƙananan canje-canje a cikin kashi a cikin hoton. Bugu da kari, da yawa daga cikin gwaje-gwaje na gwaje-gwaje na jini da fitsari wajibi ne don ƙayyade matakin glucose, creatinine, bayanan lipid da ƙimar tacewa ta duniya.

Game da tabbatar da rashin lafiyar angiopathy na ƙananan ƙarshen a cikin ciwon sukari mellitus, ana aiwatar da ilimin a sarari kuma an yi niyya:

kawar da damuwa damuwa,
na al'ada glucose na jini,
ƙananan ƙwayoyin cuta
kunna jini zagayawa a cikin jiragen.

Abincin abinci shine abu na farko a cikin hadaddun farji. Tunda angiopathy ya haɗu da asalin ciwon sukari mellitus, magani ya kamata ya fara da gyaran abincin da aka saba. Wajibi ne a iyakance yawan kitse, soyayyen abinci da gwangwani.

A saukad da abubuwan narkewa a cikin jiki suna da rauni sosai ko kuma an cire su gaba daya. Ana bada shawara don cinye fiber, kayan lambu, ganye. Kula da tsarin shan ruwan sha: adadin ruwan sha na manya kada ya zama kasa da lita 2 a rana. Ku ci sau da yawa, a cikin ƙananan rabo don kunna metabolism kuma hana kwatsam a cikin matakan glucose jini.

Amma game da wasanni, tare da angiopathy yana da matukar wuya a ziyarci dakin motsa jiki ko a gudu a wurin shakatawa, saboda an shafi ƙananan ƙafar ƙafa. Amma kowa zai iya iyo a cikin tafkin, yin motsa jiki na numfashi ko kuma tsari mai sauƙi a gida.

Magungunan magani

Cikakken ilimin likita ya hada da kungiyoyin magunguna:

ƙwayoyin ƙwayoyin cuta na ƙwayoyin cuta na tsarin tsari da aiki na gida don yaƙi da kamuwa da cuta a cikin rauni (Levofloxacin, Cefopectam),
magungunan rigakafi (Lisinopril, Bisoprolol, Valsacor),
mutum-mutumi mutum-mutumin da zai keɓance cholesterol na jini (Atorvastatin, Lovastatin, Rosuvastatin),
masu tunani na jini (Asfirin, Akard, Kleksan),
diuretics da edema-rage magunguna (Torsid, Lasix, Furosemide),
angioprotectors waɗanda ke cire cututtukan jijiyoyin bugun gini kuma ke daidaita tafiyar matakai na rayuwa a cikinsu (Anginin, Ditsinon, Etamsylate),
kwayoyi don kunna metabolism a cikin kyallen takarda (Trimetazidine, Mildronate),
magungunan antioxidant, bitamin B (Nerviplex, Neuromidin).

Conservative far

Da kyau sun kafa kansu:

Trental - yana dawo da jini, yana sauƙaƙa kumburi (1 t sau 3 a rana),
Pentoxifyline - yana kunna jijiyoyin jini a cikin kyallen, yana rage edema (1 t. Sau 2-3 a rana),
Lipoic acid - yana ƙara ƙarfin jijiyoyin bugun jini (kwamfutar hannu 1 a kowace rana),
Venoruton magani ne na farko, yana sauƙaƙa kumburi, inganta hawan jini, yana kawar da ciwo (1 capsule sau 3 a rana),
Dialipon - yana hana faruwar cutar kansa, wanda ya haɗa da pareshesia na ƙarshen (2 capsules sau 1 a rana),
Cardiomagnyl - magani ne don rage danko jini da hana ƙwanƙwasa jini (1 kwamfutar hannu 1 lokaci ɗaya kowace rana).

Tsarin motsa jiki

Yana da kyau a haɗu da hadadden jiyya tare da tausa da hanyoyin motsa jiki, aikin da aka ƙaddamar da shi don dawo da ƙwararrun jini na yau da kullun a cikin tasoshin ƙananan ƙarshen:

plasmophoresis
wutan lantarki
amfani da laka.

Ana nuna matakan ladabi ga marasa lafiya da farkon cutar, kazalika a yayin ci gaba mai daurewa. A cikin lokaci mai zafi, rashin yarda da jan amfani da jan kafa ba ya karba.

Sabuwar kalma a cikin ilimin ilimin lissafi na zamani shine lymphomodulation. Ana amfani da wannan hanyar magani don cututtuka daban-daban, har ma da angiopathy. The na'ura don lymphomodulation lokaci guda ya gudanar:

jijiyar oxygen
hasken rana na gani guda uku,
lantarki taguwar ruwa
na lantarki girgiza na low mita.

Tare da taimakonsa, kyallen da ischemia ta shafa na karɓar oxygen da abubuwan gina jiki da suke buƙata.

Turewa

Cutar sanƙuwar cutar malaria ta ba da kanta ga magani mai ra'ayin mazan jiya, amma yana ɗaukar watanni da yawa zuwa shekara guda ko fiye. Lokacin da raunuka suka bayyana, tsabtace tiyata wajibi ne. A cikin matakan ci gaba, yankan reshen yawun na iya zama dole. Ana yin irin wannan shawarar ne ta hanyar shawarar likita.

Magungunan magungunan gargajiya

Madadin magani na iya amfani da girke-girke na madadin magani, amma dole ne likitan halartar ya yarda da amfanin su. Idan ya zo ga yiwuwar gangrene ko osteomyelitis, kayan kwalliyar ganye ba zasu sami tasirin warkarwa ba. A wani matakin farko na cutar kuma yayin sakewa, magunguna na mutane suna da tasirin sakamako akan kyallen takarda da ke ƙarshen ƙananan. Ya kamata a gudanar da magani a karkashin kulawa daga likitan da ke halartar.

Calendula matsawa da wanka mai warkarwa

Yana da tasiri daidai don kawar da alamun kumburi don kula da kayan ado na ganyayyaki don ruwan shafawa da wuraren wanka na warkewa. A saboda wannan dalili, yi amfani da calendula, chamomile, nettle. Ana iya ɗaukar ganye daban daban, amma yafi tasiri don shirya tarin ganye. Don shirya 2 l na broth, ɗauki 50 g na kayan ƙarancin bushe, zuba tafasasshen ruwa, bar don mintuna 30-40, zuriya da amfani don damfara ko wanka.

Hasashen yanayin cutar

Tare da kulawar likita a kan lokaci, zazzabin cizon sauro na rashin lafiya ana iya magance shi. Ba shi yiwuwa a kawar da cutar gaba daya, amma, bin duk shawarwarin likita, zaku iya samun ingantacciyar takaddama tare da hana ci gaban rikice-rikice ta hanyar:

ƙafa mai ciwon sukari
ƙayyadaddun jini,
'yan ta'adda
yankan hannu

Yin rigakafin

Don hana cutar ciwon sukari, ya zama dole don aiwatar da prophylaxis akai-akai, wanda ya hada da:

gwajin jini da sarrafa glucose a ciki,
lafiya rayuwa
Lokacin tuntuɓar likitan fata lokacin da wani fata ta kumbura, raunuka ko raunuka suka bayyana.

A cikin hadadden hana rigakafi, ya wajaba a kula da lafiya da yanayin fatar kafafu. Woundarancin rauni ko ƙyallen akan kafa na iya haifar da rauni. Sabili da haka, an bada shawara don gudanar da aikin tsabta na yau da kullun da kuma bincika ƙafafu. Kula da fata da sanyaya fata tare da samfuran kulawa na kwaskwarima, kuma a datsa ƙusoshin sosai a kusurwar dama. A gaban abrasions da karce, ya zama dole a magance su da maganin ƙwari gabaɗaya, amma kada a yi amfani da filayen masara da samfuran cike da barasa ko sauran tannins. Takalma suna jin daɗi don sawa, wanda ba ya shafa kuma baya matse ƙafa. Guji matsanancin zafi da yawan kwantar da kafafu.

Cutar sankarau cuta ce mai rashin nutsuwa wacce take shafar jijiyoyin jini. Don rage haɗarin haɓakar ciwon sukari na ƙafafu, yana da mahimmanci don gano duk abubuwan da ke haifar da barazanar, magance cutar da ke haifar da hana rikice-rikice masu yiwuwa.