Hyperglycemia a cikin ciwon sukari
Mutane da yawa suna mutuwa daga cutar zuciya (CVD) kowace shekara fiye da kowace cuta. Kungiyar Lafiya ta Duniya ta yi hasashen cewa mutuwa daga CVD za ta karu duk shekara.
Wata cutar ba a warkewa ita ce cutar sankara. Ta kasance tare da mara lafiya har zuwa ƙarshen kwanakinsa. Don rayuwa tare da wannan matsalar, kuna buƙatar sanin yadda ake yin shi. Don sanin abin da zai yiwu da abin da ba zai yiwu ba, a sami fahimta game da hanyoyin ci gaban cutar da hanyoyin tallafawa ingantacciyar rayuwa, samun damar magance kayan aikin likita, fahimtar magunguna.
A cikin shekarun da suka gabata, magani ya isa sabon matakin magani don cututtukan zuciya: akwai magunguna waɗanda ke rage ƙananan ƙwayoyin cuta, ayyukan tiyata waɗanda ke cire filayen atherosclerotic, ƙwanƙwasa jini tare da ƙarancin haɗari ga lafiyar haƙuri.
Koyaya, har zuwa yanzu dai abin da likitoci za su iya yi tare da cututtukan da suka kamu da cuta shi ne su sassauta ci gaban cututtukan dabbobi tare da kawar da alamun cutar. Hanya mafi inganci don magance cutar cututtukan zuciya ya kasance rigakafin.
Cutar cututtukan zuciya sun hada da:
- hauhawar jini
- cututtukan zuciya da jijiyoyin jini da kuma rikicewar rikicewar zuciya,
- haɗarin mahaifa, bugun jini,
- na ciki na jijiyoyin jini cuta
- bugun zuciya
- cardyoyopathies
- cututtukan zuciya da rheumatic,
- nakasa zuciya.
Yawancin waɗannan cututtukan suna da alaƙa da haɓakar atherosclerosis - cuta mai rauni wanda ke faruwa tare da lalacewar tasoshin jini, raunin metabolism. An nuna shi ta hanyar ƙirƙirar filayen atherosclerotic a jikin bangon matsakaici, manyan jijiya.
Dalilin mafi yawan cututtukan zuciya shine kurakurai na rayuwa. Da zaran mutum ya kula da munanan dabi'unsa, hakanan zai samu damar samun rayuwa mai tsawo. Commonlyarancin kullun, cututtuka suna haifar da lahani na gado kuma akwai rikice rikicewar cututtukan gabobin ciki.
Sabili da haka, yana da matukar muhimmanci ga mutum na zamani ya kasance yana da masaniya game da yanayin cututtukan, alamomi na farko, hanyoyin gwagwarmaya, rigakafin, manyan ka'idodin cin abinci lafiya.
Shafin yanar gizon mu zai taimaka wajan fahimtar dukkan bangarorin da suka danganci ci gaban atherosclerosis, bugun zuciya, bugun jini, da sauran cututtukan cututtukan zuciya. Kwararru ne suka rubuta rubutun kwararru a yaren da zai iya fahimta da yawa.
Iri na Pathology
Dangane da lokacin abin da ya faru, an rarrabe nau'ikan nau'ikan nau'ikan abubuwa 2 na matakan glucose na jini:
- karuwa a cikin yawan sukari mai azumi, wanda aka bayar da abincin da ya gabata akalla awanni 8 da suka gabata (yin azumi ko "posthyperglycemia"),
- wani cigaba a cikin kwayoyin cutar nan da nan bayan an gama cin abinci (postprandial hyperglycemia).
Ga mutane masu lafiya da marasa lafiya da ke fama da cutar siga, alamu waɗanda ke nuni da hyperglycemia na iya bambanta. Don haka, ga marasa lafiya marasa kamuwa da cutar sankara, matakan sukari na azumi sama da mm 6.7 mmol / L ana ɗaukarsu masu haɗari ne kuma marasa ƙarfi. Ga masu ciwon sukari, wannan adadi ya ɗan fi kaɗan girma - suna ɗaukar cewa hyperglycemia haɓaka glucose ne akan komai a ciki sama da 7.28 mmol / l. Bayan cin abinci, sukarin jinin mutum mai lafiya ya kamata ya zama bai wuce 7.84 mmol / L ba. Ga mai haƙuri da ciwon sukari, wannan alamar ta bambanta. A wannan halin, matakin glucose na 10 mmol / L ko sama bayan cin abinci ana ɗauka cewa al'ada ne.
Me yasa mai ciwon sukari zai iya ƙara sukari?
Akwai dalilai da yawa da suka sa mutumin da ke da ciwon sukari na iya haɓaka sukarin jini. Wadanda aka fi amfani dasu sun hada da:
- kashi ba daidai ba na insulin
- tsallake allura ko shan kwayoyin cuta (dangane da nau'in ciwon sukari da nau'in magani),
- babban cin zarafin abincin,
- wani tunanin damuwa, damuwa,
- shan wasu allunan hormonal domin lura da cututtukan endocrine na wasu gabobin,
- cututtuka
- karin bayani game da cututtukan cututtukan cututtukan daji.
Gwanin jini ya tashi sama fiye da yadda aka saba idan babu isasshen insulin don sarrafa shi. Akwai maganganun cututtukan hyperglycemia, wanda isasshen insulin yake ɓoye shi, amma ƙwayoyin nama sun kasa amsa shi sosai, sun rasa hankalinsu kuma suna buƙatar ƙarin samarwa. Duk wannan yana haifar da keta tsarin hanyoyin daidaita matakan glucose a cikin jini.
Alamar hauhawar cututtukan cuta ta dogara ne akan matakin cutar sankara. Matukar yawan sukarin jini, mafi muni da mai haƙuri ke ji. Da farko, yana iya damuwarsa da waɗannan alamun:
- rashin mahimmancin karfi, kasala da sha'awar bacci,
- matsananciyar ƙishirwa
- tsananin itching na fata,
- migraine
- narkewar abinci (maƙarƙashiya da gudawa na iya haɓaka),
- bushe fata da mucous membranes, musamman da aka ambata a cikin rami na bakin, wanda kawai yana kara haushi da ƙishirwa,
- hangen nesa, bayyanar kwari da "kwari" a gaban idanun,
- lokaci asarar sani.
Ofaya daga cikin alamun karuwar sukari na iya zama bayyanar acetone a cikin fitsari. Wannan saboda gaskiyar cewa ƙwayoyin ba su karɓar makamashi, tunda ba su iya rushe adadin glucose da ya dace ba. Don ramawa game da wannan, suna rushe mahallin mai don samar da acetone. Da zarar cikin jini, wannan abun yana kara yawan acidity kuma jiki baya iya aiki yadda yakamata. A waje, wannan na iya nuna wannan ta hanyar bayyanar da babban warin acetone daga mai haƙuri. Abubuwan gwaji na jikin ketone a cikin fitsari a wannan yanayin suna nuna sakamako mai kyawu.
Yayinda sukari ke ƙaruwa, alamun bayyanar cututtuka yana ƙaruwa. A cikin mafi yawan lokuta, mai ciwon sukari mai hawan jini na haɓaka.
Maganin rashin lafiya
Coma wanda ya haifar da karuwa a cikin sukari yana da haɗari sosai ga rayuwar ɗan adam. Yana haɓakawa saboda mahimmancin hyperglycemia kuma ana bayyana shi ta bayyanar cututtuka masu zuwa:
- asarar sani
- M m da m numfashi,
- ƙanshi na acetone a cikin dakin da haƙuri yake,
- rage karfin jini
- laushi na kyallen kwalayen idanu (lokacin da aka matse su, lanƙwasa zai zauna na ɗan lokaci),
- jan na fari, sannan kuma kyakkyawan fatar fata,
- katsewa.
Marasa lafiya a cikin wannan yanayin bazai iya jin bugun jini a hannunsa ba saboda rauni da yaduwar jini. Dole ne a bincika shi a kan manyan jiragen ruwa na cinya ko wuya.
Tashin hankali
Hyperglycemia mummunan ba kawai bayyanar cututtuka mara kyau ba ne, har ma da rikitarwa mai rikitarwa. Daga cikinsu, ana iya rarrabe jihohi masu haɗari:
- cututtuka na tsarin zuciya da jijiyoyin jini (bugun zuciya, thrombosis na huhu),
- haɗarin mahaifa,
- mummunan cuta na zubar jini,
- m renal gazawar
- lalacewar tsarin juyayi,
- rauni da gani da kuma hanzarta ci gaba da cutar sikari.
Idan hyperglycemia ya faru a cikin mai haƙuri tare da nau'in ciwon sukari na 1 kuma alamar a kan mita ya wuce 14 mmol / l, mai haƙuri ya kamata ya kira motar asibiti nan da nan. A matsayinka na mai mulkin, halartar endocrinologist a cikin shawarwarin da aka tsara sun gargadi masu ciwon sukari game da yiwuwar irin wannan yanayin kuma ya umurce shi game da matakan farko. Wani lokacin likita ya ba da shawarar a irin waɗannan lokuta don yin allurar insulin a gida kafin isowar ƙungiyar likitocin, amma ba za ku iya yanke irin wannan shawarar da kanku ba. Idan masu binciken endocrinologist basuyi shawara ko kafa wannan karar ba, zaku iya tuntuɓar motar motar asibiti yayin kiran. Kafin likita ya isa, ana iya ba da haƙuri tare da ƙari tare da taimakon farko ko da ba tare da magunguna ba.
Don yin wannan, kuna buƙatar:
- don tabbatar da cewa masu ciwon sukari suna zama a cikin kwanciyar hankali, wuri mai sanyi, ba tare da haske mai haske ba kuma tare da samun wadataccen iska,
- sha shi da ruwa mai yawa don kula da ma'aunin ruwan-gishiri da rage sukarin jini ta hanyar narke shi (a wannan yanayin, wannan shine gidan analog na dropper),
- Shafa bushe fata tare da tawul mai ruwa.
Kafin likita ya isa, kuna buƙatar shirya ainihin abubuwan don asibiti, katunan likita da fasfo na haƙuri. Wannan zai adana lokaci mai mahimmanci kuma yana hanzarta aiwatar da sufuri zuwa asibiti. Yana da mahimmanci musamman a tuna da wannan idan alamu suna nuna yiwuwar rashin lafiya. Dukansu hypo- da hyperglycemic coma suna da matukar haɗari yanayi. Suna bayar da shawarar kawai inpatient magani. Tooƙarin taimaka wa mutum a cikin irin wannan yanayin ba tare da likitoci yana da haɗari sosai ba, saboda ƙididdigar ba ta awanni ba, amma na minti.
Jiyya na asibiti ya ƙunshi maganin ƙwaƙwalwa tare da kwayoyi don rage sukari da tallafawa jiyya mai mahimmanci. A lokaci guda, ana bawa mai haƙuri taimako ta alama, ya danganta da tsananin cutarwar alamomin. Bayan an daidaita jihar da alamu na sukari, an sallame mai haƙuri gida.
Yin rigakafin
Yin rigakafin hauhawar jini yafi sauki fiye da ƙoƙarin kawar da shi. Don yin wannan, kuna buƙatar kula da nutsuwa ta jiki da tausayawa. Ba za ku iya daidaita sashin insulin ko ragewar kwayoyin cutar ba - ya kamata ku nemi shawarar likitanku game da duk irin waɗannan ayyukan. Yana da mahimmanci a lura da matakin glucose a cikin jini tare da glucometer kuma a yi rikodin duk canje-canje masu ba da tsoro.
Kyakkyawan abinci da abinci sune mabuɗin don lafiya mai kyau da matakan glucose na jini na al'ada. A kowane hali ya kamata ku yi ƙoƙarin rage sukari kawai tare da magungunan jama'a, ƙin kwayoyi. Hankali a hankali ga jikinka da cutar sankarau wani sharhi ne wanda dole ne mara lafiya ya lura idan yana son jin dadi kuma ya samu cikakken rayuwa.
Babban alamun bayyanar cututtukan hyperglycemia da kuma tsarin ci gaba
Abin sha'awa, tsoffin likitoci sun kira ciwon sukari "cutar fitsari mai daɗi." Pundits sun lura cewa a cikin marasa lafiyar da suka ɗanɗano ƙishirwa kuma sau da yawa urinated, fitsari ya ɗanɗano mai daɗi. Arnuka da yawa bayan haka, lokacin da suka koya don sanin glucose a cikin jini, hanyar binciken dakin gwaji ta nuna cewa sukari mai yawa jini ya bayyana da wuri a cikin jini.
Na tsara takamaiman bayyanar cututtuka, ci gaba da gaske:
- glucosuria - bayyanar a cikin fitsari na glucose, tare da maida hankali a cikin jini sama da 10 mmol / l,
- polyuria - adadi mai yawa na fitsari (a cikin balagagge, ƙa'idar yau da kullun ya kai lita biyu). Bayyanar a cikin fitsarin glucose yana jawo ruwa daga sel don cimma daidaiton sunadarai,
- polydipsia - ƙaruwar ƙishirwa, a sakamakon yawan ƙonewa na jiki.
Rukuni na II ba takamaiman bayyanar cututtuka ba, yana haɓaka a hankali.
Babban taro na glucose a cikin jini yana haifar da bushewar kyallen takarda, musamman kwakwalwa:
- ciwon kai
- nutsuwa
- janye hankali
- ƙwaƙwalwar ba ta da matsala,
- ƙwaƙwalwar ƙwaƙwalwar ajiya
Hyperglycemia, musamman dagewa na dogon lokaci, ya keta dukkan ayyukan haɗin kwayar halitta na carbohydrates ba wai kawai carbohydrates ba, har ma sunadarai, fats, bitamin da abubuwan abubuwan ganowa. Keta cinikin sunadarai yana haifar da karuwar hankali ga microorganism, idan babu adadin kwayoyin hana daukar ciki (kariya ta kariya), ya canza narkewar abinci mai guba wanda yake haifar da matakan cholesterol da sauransu.
Wannan yana haifar da bayyanar cututtuka irin su:
- zub da jini (canje-canje na tsarin a cikin sel),
- nauyi asara (lalata tso adi nama),
- polyphagy (yawan ci abinci),
Alamu biyu na ƙarshe sun kasance masu dogaro da juna kuma sune ke haifar da yunwar sel. glucose baya shiga cikin sel a daidai adadin, kwakwalwa yana ba da umarni don cinye ƙarin abinci a cikin yunwar, da kuma cire abinci mai gina jiki daga ɗakin ajiyar abinci.
- low rauni waraka
- rage rigakafi
- bushe fata
- ƙwayoyin cuta da cututtukan fungal na fata da ƙwayoyin mucous,
- ci gaban atherosclerotic na jijiyoyin bugun gini raunuka,
Sanadin cututtukan hyperglycemia na iya zama da yawan cututtuka, amma har yanzu abin da ya fi yawa daga cikinsu shi ne cutar sankara. Ciwon sukari yana shafar 8% na yawan jama'a.
Tare da ciwon sukari, matakan glucose yana ƙaruwa ko dai saboda rashin isasshen insulin a cikin jiki, ko kuma saboda gaskiyar cewa ba za a iya amfani da insulin da kyau ba. A yadda aka saba, kumburin yana samar da insulin bayan cin abinci, sannan kwayayen na iya amfani da glucose a matsayin mai.
Wannan yana ba ku damar kula da matakan sukari na jini tsakanin iyakoki na al'ada.
Rikicin Hypoglycemic shima ya zama ruwan dare. Tare da shi, sukari na jini ya yi ƙasa. Idan ba a magance matsalar rashin lafiyar a cikin lokaci kan lokaci ba, cutar sikari na iya faruwa.
Me yasa wannan cutar ta haɓaka? A matsayinka na mai mulkin, rikici ya zama sakamakon hanyar da aka zaɓi ta hanyar insulin yadda yakamata.
Idan an bai wa mara lafiya ƙwaƙƙwaran ƙwayoyi, to za a rage yawan sukarin jini, wanda ke haifar da yanayi mai kyau don ci gaban rikicin.
Ciwon sukari a cikin ƙuruciya saboda dalilai da kuma rarrabewa ba su da bambanci sosai da irin wannan hanyar ilimin manya. Wannan cuta a cikin yara ba ta da yawa fiye da sauran cututtukan, amma a cikin 'yan shekarun nan an sami yanayin ci gaba.
Amare yara na kowane zamani, fara daga farkon watan rayuwa. Akudurin cutar yana faruwa a cikin kimanin shekaru 8-13. Wannan ya faru ne sakamakon haɓakar gaba ɗaya na metabolism da kuma sakin homon, musamman ƙaruwar haɓakar ƙwayar hormone.
A cikin ci gaba da haɓakawa, haɓakar furotin yana haɓaka, yawan amfani da wasu kyallen insulin yana ƙaruwa.
Idan cutar ta kamu da cutar koda, toshewar ƙwararrun sel waɗanda ke haifar da insulin yana faruwa da sauri kuma ciwon sukari ya haɗu. Sanadin hauhawar cututtukan ƙwayar cuta a cikin yara shine ƙarshen cututtukan ciwon sukari da alamomin da ke cikin lalacewa.
Lokacin da yara suka koka da ƙishirwa, bushe bushe, rauni, gajiya, yawan kumburi, to wannan ana ɗauka azaman alamun mamayewa helminthic, raunin narkewa ko wasu cututtuka. Wani magani mai biyo baya wani lokaci yakan haifar da mummunar haɗarin hauhawar jini, bayyanar sukari a cikin fitsari, da kuma ƙwayar cuta mai laushi.
An fahimci cutar hypoglycemia a matsayin yanayin da ake ciki ta hanyar haɗuwa da sukari a cikin jini da ke ƙasa da ƙayyadaddun matakan. Hyperglycemia shine tsalle mai tsayi a cikin glucose sama.
Dukkan zaɓuɓɓuka suna da haɗari ga mutane. Saboda haka, kuna buƙatar sanin abubuwan da ke haifar da amo kuma ku guje wa abubuwan da ke haifar da tashin hankali.
Hyperglycemia
Babban dalilin sukari mai yawa a cikin masu dauke da cutar sukari shine tsallake shan magungunan rage sukari ko allurar insulin. Idan an adana maganin ba daidai ba kuma ya lalace, to bazai iya aiki ba.
Sakamakon haka, matakan glucose na plasma zai karu.
Daga cikin abubuwan da ke haifar da hauhawar cutar hyperglycemia sune:
- cin abinci mai narkewa a jiki
- tsananin damuwa, tashin hankali,
- rashin ayyukan motsa jiki,
- gaban daban-daban pathologies, ciki har da cututtuka,
- wuce gona da iri.
Hypoglycemia
Yana tsokani rage yawan cututtukan jini a cikin mutumin da ke fama da ciwon sukari, yawan ƙwayoyi. Raguwar raguwar sukari cikin jini na iya haifar da canji a cikin kantin magunguna na wasu ƙwayoyi.
Wannan na faruwa lokacin da mara lafiya ya sami ciwan koda ko kuma gazawar hanta. Hakanan ana lura da canje-canje a cikin kantin magani tare da gabatarwar miyagun ƙwayoyi zuwa zurfin da ba daidai ba (alal misali, insulin ba ya shiga fata, amma a cikin tsoka).
Menene alamu da alamun hyperglycemia?
Tare da haɓaka matakin glucose a cikin jini, ana yawan ganin bayyanar glucose a cikin fitsari (glucosuria). A yadda aka saba, bai kamata a sami glucose a cikin fitsari ba, tunda ƙodan ya sake cika shi.
Babban alamun bayyanar cututtukan hyperglycemia yana ƙaruwa da ƙishirwa da haɓakar urination. Sauran alamu na iya haɗawa da ciwon kai, gajiya, hangen nesa, yunwar, da matsaloli tare da tunani da kuma natsuwa.
Increaseara yawan hawan jini a cikin jini na iya haifar da gaggawa (“masu ciwon sukari”). Wannan na iya faruwa tare da nau'in ciwon sukari guda 2 da kuma nau'in ciwon sukari na 2.
Mutanen da ke da nau'in ciwon sukari na 1 suna inganta ketoacidosis na masu ciwon sukari, kuma marasa lafiya da ke da nau'in ciwon sukari na 2 suna haɓaka cututtukan hyperosmolar bezketonovy (ko kuma hyperosmolar coma). Wadannan abubuwan da ake kira rikice-rikice na hyperglycemic sune mummunan yanayi wanda ke barazanar rayuwar mai haƙuri idan ba a fara magani nan da nan ba.
A cikin lokaci mai tsawo, hyperglycemia na iya haifar da lalata gabobin da kyallen takarda. Dogaro da hauhawar cututtukan ƙwayar cuta yana raunana martabar rigakafi, wanda ke haifar da rauni mai warkarwa da raunuka. Hakanan za'a iya shafa tsarin jijiya, jijiyoyin jini, kodan, da hangen nesa.
Hyperglycemia wani mummunan yanayi ne wanda ke buƙatar kulawa da likita. Don hana sakamako masu illa, yana da mahimmanci a gane cin zarafin ƙwayoyin carbon a farkon matakin.
Abin takaici, yana da nisa daga kullun yiwuwar jin alamun bayyanar sukari mai yawa.
Idan ƙarancin glucose na 10-15 mmol / lita ya kasance tsawon shekaru, to mutum zai iya jin cikakken yanayin al'ada kuma ba tare da alamun bayyanar cututtuka ba.
- mutum ya rasa nauyi
- fuskantar yawan urination (polyuria) da ruwa mai yawa a cikin fitsari
- ƙishirwa
- sugar da aka samu a cikin fitsari (glucosuria)
- musamman a lokacin bacci ko da dare yana bushewa da ƙarfi a cikin makogwaro
- gaji da sauri, yana jin rauni, rushewa gabaɗaya
- yiwuwar tashin zuciya, amai, ciwon kai
Da zaran taro na “zaki mai karfi” ya zarce bakin mafitsara, to sai sukari ya wuce cikin fitsari. Sau da yawa mutum yakan shiga bayan gida a ɗan awa ko awa biyu.
Saboda haka, jiki yakan rasa danshi da danshi kuma yana faruwa ne yayin da ƙishirwa take jin ƙishirwa.
Tun da kodan sun daina fama da aikin su, jinin ba ya samun ingantaccen tsarkakewa ba wai kawai sukari mai yawa ba, har ma da sauran abubuwa masu amfani ana keɓance su a cikin fitsari: potassium, sodium, chloride, protein. An bayyana wannan cikin nauyi asara, wahala, gajiya.
Idan kodan gaba daya sun rasa ikonsu (da farko cutar ne mai son cutar ta hanta, sai gazawar koda na gauraya ta taso), to dole ne a nemi maganin cutar sankara, wanda ta yadda jini ke tsarkaka.
Mene ne maganin hemodialysis na kodan kuma me yasa ake buƙata
Yayinda yake kara maida hankali a cikin glucose kuma ya tsawanta tsawon lokaci, to ya kara tsananta alamu da bayyanar cututtukan hawan jini.
Idan baku tsoma baki cikin lokaci ba kuma fara magani, wannan yanayin tare da glucosuria zai taimaka ga ci gaban ketonuria da ketoacidosis.
Hyper-, hypoglycemia na iya haifar da ciwan ciki idan baku dauki matakan daidaita matakan sukari ba. Kuna buƙatar aiwatarwa a farkon harin. Sabili da haka, kuna buƙatar sanin alamun matakan glucose mai girma da ƙananan matakan jini.
Hypoglycemic
Alamar hauhawar cututtukan cuta ta dogara ne akan matakin cutar sankara. Matukar yawan sukarin jini, mafi muni da mai haƙuri ke ji. Da farko, yana iya damuwarsa da waɗannan alamun:
- rashin mahimmancin karfi, kasala da sha'awar bacci,
- matsananciyar ƙishirwa
- tsananin itching na fata,
- migraine
- narkewar abinci (maƙarƙashiya da gudawa na iya haɓaka),
- bushe fata da mucous membranes, musamman da aka ambata a cikin rami na bakin, wanda kawai yana kara haushi da ƙishirwa,
- hangen nesa, bayyanar kwari da "kwari" a gaban idanun,
- lokaci asarar sani.
Ofaya daga cikin alamun karuwar sukari na iya zama bayyanar acetone a cikin fitsari. Wannan saboda gaskiyar cewa ƙwayoyin ba su karɓar makamashi, tunda ba su iya rushe adadin glucose da ya dace ba.
Don ramawa game da wannan, suna rushe mahallin mai don samar da acetone. Da zarar cikin jini, wannan abun yana kara yawan acidity kuma jiki baya iya aiki yadda yakamata.
A waje, wannan na iya nuna wannan ta hanyar bayyanar da babban warin acetone daga mai haƙuri. Abubuwan gwaji na jikin ketone a cikin fitsari a wannan yanayin suna nuna sakamako mai kyawu.
Yayinda sukari ke ƙaruwa, alamun bayyanar cututtuka yana ƙaruwa. A cikin mafi yawan lokuta, mai ciwon sukari mai hawan jini na haɓaka.
Kula da cututtukan hyperglycemia na buƙatar kulawa da cutar da kanta ke haifar dashi. Cutar hawan jini a cikin mafi yawan lokuta ana iya kulawa da shi ta hanyar gudanar da insulin kai tsaye. A cikin nau'ikan cututtukan cututtukan ƙwayar cuta, ana amfani da maganin hana daukar ciki na jiki, wanda a cikin lokaci-lokaci kuna buƙatar shan "kwayoyin kwayar cutar sankara".
Tare da hyperglycemia, an lura da mai haƙuri ta hanyar endocrinologist. Hakanan, kowane watanni 6 wajibi ne don yin gwaji ta hanyar likitancin zuciya, nephrologist, ophthalmologist da neuropathologist.
Tare da haɓaka sukari, don masu farawa, ana bada shawarar maganin marasa amfani, wanda ya ƙunshi lura da abinci na musamman. Sabili da haka, wajibi ne a ci abinci na karami a abinci (gari da kayan masarufi). A yau, yawancin manyan kantuna suna da sassan da ke sayar da abinci na musamman ga mutanen da ke fama da ciwon sukari.
Abincin abinci tare da halayyar bayyanar cututtukan hyperglycemia yana nufin tilasta amfani da kabeji, tumatir, alayyafo, Peas kore, cucumbers, soya. Cuku ƙaramin mai-mai mai ƙwai, oatmeal, semolina ko kayan masara, nama, kifi kuma ana bada shawarar. Don sake cike tushen samar da bitamin, zaku iya cin 'ya'yan itace da ƙamshi da' ya'yan itace Citrus.
Idan abincin bai kawo sakamakon da yakamata ba kuma ƙwararren jini ba ya daidaita, to likitan ya tsara magungunan da ke taimakawa ƙwayar cutar sikari ta haɓaka insulin na hormone wanda yakamata don rushewar sukari zuwa gwargwado.
Yin amfani da insulin, kuna buƙatar kulawa da sukarin jini koyaushe. A cikin nau'ikan nau'ikan ciwon sukari, ana gudanar da maganin a karkashin fata da safe mintina 30 kafin cin abinci (sashi shine raka'a 10-20).
Idan cutar ta fi rikitarwa, to, maganin da aka ba da shawarar da safe shine 20-30 NA BIYU, da maraice, kafin ɗaukar abincin abinci na ƙarshe, - 10-15 FITO. Tare da wani hadadden nau'in ciwon sukari, sashi yana ƙaruwa sosai: yayin rana, dole ne mai haƙuri ya yi allura uku na raka'a 20-30 zuwa cikin ciki.
Idan mai haƙuri yana da alamun halayyar cutar rikice-rikice, to ya kamata a ba shi taimako na farko. Da farko, ana ba da shawarar gabatar da insulin matsanancin-gajere, kuma a auna sukarin jini.
Hakanan, mai haƙuri yana nuna yawancin abin sha. A bu mai kyau mutum ya ba da ruwan alkaline, wanda ya qunshi magnesium da ma'adanai. Idan ya cancanta, sha potassium. Wadannan matakan zasu rage yiwuwar ci gaba zuwa ketoacidosis.
Tabbatar saka idanu akan yanayin bugun jini da numfashi. Idan babu bugun jini ko numfashi, to ya kamata a sake yin huda wucin gadi da kuma tausayar zuciya kai tsaye.
Idan rikicin na hyperglycemic yana haɗuwa da amai, to ya kamata a dage mai haƙuri zuwa gefe ɗaya. Wannan zai hana yin amai daga shiga cikin hanyoyin iska da mai harshe. Hakanan kuna buƙatar rufe mai haƙuri tare da bargo kuma ya rufe tare da masu wuta tare da ruwa mai zafi.
Idan mai haƙuri ya haɓaka ƙwayar cutar mahaifa, to a cikin asibiti, ana yin amfani da waɗannan hanyoyin:
- Gudanar da heparin. Wannan ya zama dole domin rage yiwuwar jinin haila a cikin tasoshin.
- Abarfafa metabolism metabolism tare da insulin. Jirgin zai iya fara yin amfani da jet din, sannan kuma faduwa.
- Gabatarwar bayani na soda. Wannan maginin zai kwantar da acid-base metabolism. Don daidaita daidaituwar wutan lantarki, ana amfani da shirye-shiryen potassium.
Hakanan, a cikin aikin jiyya, an wajabta haƙuri tare da magunguna waɗanda ke taimakawa wajen daidaita aikin zuciya. An zaɓi su gaba ɗaya daban-daban.
Bayan an yi jiyya, dole ne a yi wa mai haƙuri gwaji. Ya haɗa da kin amincewa da munanan halaye, kwantar da hankulan abinci na yau da kullun, yawan ci gaban multivitamin. Hakanan, yayin lokacin farfadowa, an nuna mai haƙuri matsakaiciyar motsa jiki.
Wadannan abubuwan da aka samo a cikin kayan shuka suna taimakawa sosai rage matakan sukari na jini a cikin magance cututtukan hyperglycemia. Muna ba da hanyoyi don shirye-shiryen ganyen ganye na ganye.
Dandelion. Tushen wannan shuka dole ne a yankakken. Sanya cokali na kayan albarkatun ruwa zuwa gilashin ruwan zãfi kuma nace don awanni biyu. Kuna buƙatar sha jiko wanda aka shirya a cikin rabin gilashi, sau hudu a rana kafin abinci.
Dandelion salatin kuma zai amfana daga hauhawar jini. Fresh matasa ganye na shuka ya kamata a tsoma cikin ruwa mai tsabta, sannan yankakken, gauraye da ganye, ƙara kayan lambu da kirim mai tsami.
Rikicin Hyperglycemic: taimako na farko da magani
Da farko kuna buƙatar yin ma'aunin sukari na jini tare da na'urar ta musamman - glucose, wanda kowane mai ciwon sukari yana da shi. Amfani da shi mai sauqi qwarai: yi fenti da fatar a saman yatsanka, sanya digon jinin da aka saki a tsiri.
Bayan haka, ana nuna lambar a allon, yana nuna matakin glucose. Idan babu glucometer, to idan zai yiwu yakamata ku nemi likita - da yawa likitocin da likitocin endocrinologists suna da wadatuwa a ofis.
Matsakaicin matsakaicin glucose a cikin jini shine 3.5-5.5 m / mol kowace lita na jini. Hakanan ya kamata a ɗauka a cikin zuciya cewa a cikin yara a ƙarƙashin watanni 1.5 na rayuwa, wannan alamar tana iya zama 2.8-4.4 m / mol kowace lita, kuma a cikin mata da maza bayan shekara 60 - 4.6 - 6.4 m / mol per lita
Sakamakon sakamako da rikice-rikice
Mafi sau da yawa, cututtukan hyperglycemia mai yawa suna fuskantar ta marasa lafiya da ke fama da ciwon sukari na 1. Tare da nau'in ciwon sukari na 2, ƙara haɓaka mai yawa a cikin sukari na jini shima zai iya yiwuwa, amma wannan ba shi da yawa kuma ana buƙata, a matsayin mai mulkin, shine bugun jini ko infarction myocardial.
Karatu | Short Short |
Polyuria | Urination akai-akai. Tare tare da fitsari, ana cire salts da suka dace don daidaita daidaitaccen ruwan-gishiri daga jiki. |
Glucosuria | Sugar a cikin fitsari (yawanci bai kamata ya kasance ba). Tare da karuwa a cikin glucose a cikin jini, kodan suna ƙoƙarin cire ainihin kashi ta hanyar fitsari. An cire sukari a cikin nau'i mai narkewa, saboda haka jiki yana barin dukkan ruwa mai kyauta, wanda ke haifar da bushewar gaba ɗaya. |
Ketoacidosis | Yawan tarawar jikin ketone a cikin jiki, sakamakon karancin sinadarai na kitse mai narkewa da kitsen carbohydrates. Ana ɗauka wannan yanayin azaman precoma. |
Ketonuria (Acitonuria) | Cire jikin ketone tare da fitsari. |
Cutar Ketoacidotic | Maimaita yawanci yana faruwa, wanda baya kawo sauƙin kai. M zafi ciki, lethargy, lethargy, disorientation na tsawon lokaci. Idan ba a taimaki mai haƙuri a wannan matakin ba, to kuwa gazawar zuciya, riƙewar numfashi, asarar sani, raunin raɗaɗi zai faru. |
Rikice-rikice na dogon lokaci tare da tsawan jini na iya zama mai rauni sosai. Suna faruwa a cikin mutane masu ciwon sukari idan yanayin ba shi da kulawa. A matsayinka na mai mulkin, waɗannan yanayi suna haɓaka sannu a hankali kuma ba tare da iyawa ba, na dogon lokaci. Ga wasu daga cikinsu:
- Cututtuka na zuciya da jijiyoyin jini wadanda zasu iya kara hadarin kamuwa da bugun zuciya, bugun jini, da kuma cututtukan zuciya,
- Rashin aikin koda, gazawar koda,
- Lalacewa a cikin jijiyoyi, wanda zai haifar da konewa, tingling, zafi da azanci mai rauni,
- Cututtukan ido, gami da lalacewar retina, glaucoma da cataract,
- Cutar cutar sankara.
Duk wata cuta ta yau da kullun, cututtukan ƙwayar cutar sankara, ta wuce cikin ci gabanta wanda halayenta ya wuce wanda alamun manyan rikice-rikice mai yiwuwa ne. Wannan yana da mahimmanci musamman a gaban wasu cututtukan haɗin haɗin gwiwa da kuma yanayin mummunan yanayin mutum (tsufa, yanayin aiki mai cutarwa, ƙarancin zaman jama'a).
Don ciwon sukari, rikitarwa masu zuwa sune halaye:
- Myocardial infarction, bugun zuciya, kwakwalwa na yatsunsu na ƙananan hancin, sakamakon haɓakar haɓakar atherosclerosis, da lalata lalatattun manyan jiragen ruwa.
- Microangiopathies da haɓaka gazawar renal. Lalacewa cikin ƙwayoyin ƙwayar ƙwayar cuta na kodan sakamakon tsuka bango na jirgin ruwa da rikicewar rayuwa tsakanin jini da kyallen takarda.
- Retinopathies - lalacewar ƙananan jiragen ruwa na retina, ɓoye na akan tantin ido, makanta,
- Neuropathies - takamaiman rauni na tsarin juyayi da ƙetare iyaka na tsarin jijiyoyin jijiya
Sharparancin haɓakar haɓakar haɓaka, ba tare da magani na lokaci ba, na iya haifar da mummunan yanayin. Wadannan rikice-rikice na iya haɓaka a cikin 'yan kwanaki, ko ma awanni.
Hyperglycemia mummunan ba kawai bayyanar cututtuka mara kyau ba ne, har ma da rikitarwa mai rikitarwa. Daga cikinsu, ana iya rarrabe jihohi masu haɗari:
- cututtuka na tsarin zuciya da jijiyoyin jini (bugun zuciya, thrombosis na huhu),
- haɗarin mahaifa,
- mummunan cuta na zubar jini,
- m renal gazawar
- lalacewar tsarin juyayi,
- rauni da gani da kuma hanzarta ci gaba da cutar sikari.
Don hana wannan a farkon alamun tsoro, kuna buƙatar auna sukari tare da glucometer kuma, idan ya cancanta, nemi taimakon likita.