Ana shirin hutu na masu ciwon sukari

14 ga Nuwamba ita ce Ranar Ciwon Rago ta Duniya. An gudanar da shi tun 1991, kuma a wannan lokacin, likitoci a duk duniya sun sami damar ilmantar da miliyoyin mutane, hada kan al'ummomin masu ciwon sukari da kuma sa mutane su zama masu sanin ciwon sukari da kuma matsalolin sa.

An zaɓi ranar don girmama ranar haihuwar likitan Kanada Frederick Bunting, ɗaya daga cikin majagaba na insulin. Duk haƙƙoƙin buɗewa, ya ba da kyauta ga Jami'ar Toronto.

A wannan shekara, ana gudanar da mahimman lamura don sadaukarwa da rigakafin wannan cuta a karo na 28. Kowace shekara ana sadaukar da ita ga wani takamaiman al'amari ("Laifin koda a Cutar Cutar"), "Lalacewar idanu a Cutar Cutar", "Ciwon sukari da tsufa"). A wannan shekara yana kama da: "Ciwon sukari da dangi."

Letidor ya halarci taron manema labarai da aka sadaukar domin wannan taron, inda manyan kwararru na kasarmu a fannin ilimin endocrinology da diabetology suka yi magana.

Waɗannan su ne mahimman bayanai da suka yi tarayya.

1. Akwai manyan nau'ikan ciwon sukari guda 3. A nau'in 1 mellitus na ciwon sukari (wanda aka sani da insulin-dogara, matashi ko ƙuruciya), isasshen samar da insulin halayyar ne, shine, gudanarwarsa ta yau da kullun wajibi ne.

A cikin nau'in ciwon sukari na 2 na mellitus (wanda aka sani da baya-wanda yake dogara da shi, ko kuma girma), jiki yana amfani da insulin ba tare da izini ba. Yawancin mutane suna fama da wannan nau'in ciwon sukari.

Cutar sankarar ciki wacce take dauke da cutar sankara (hyperglycemia). Matan da ke da wannan nau'in ciwon suga suna da haɗarin haɗari na rikice-rikice yayin ciki da haihuwa. Yin azumi sukari na jini a cikin irin wannan mahaifiyar da ke zuwa ta kasance daidai yake da ko mafi girma 5.1 mmol / L. Ya kamata a ɗauki jini don bincike don duk mata a farkon matakin sannan kuma a lokacin haihuwa na makonni 24.

1. A cewar Diungiyar ciwon sukari ta ƙasa, yawan waɗanda ke fama da ciwon sukari a duk duniya miliyan 425 ne, kuma rabinsu ba su da masaniya game da shi.

Duk yara 'yan kasa da shekara 14 wadanda ke fama da ciwon sukari irin na 1 suna karbar tawaya.

1. Kashi 27% na yara a ƙasarmu suna da kiba, 7% daga cikinsu masu kiba ne. Haka kuma, karuwar cutar ciwon kai yana da alaƙa kai tsaye da karuwar yawan yara masu nauyin yara.

1. Nau'in na 1 na ciwon sukari na iya yin rashin lafiya a kowane zamani, har ma a jarirai, yayin da magada yake taka rawa sosai. Idan uba yana da ciwon sukari, to kawai 6% na yara zasu gaji cutar, idan mahaifiyar kawai - to 6-7%, idan iyayen biyu ne, to 50%.

1. Buryats, Yakuts, Nenets ba sa fama da ciwon sukari na 1, ba su da tsinkayar wannan cutar. Duk da yake a yammacin ƙasarmu wannan cuta ta zama ruwan dare gama gari: Karelia, gundumar tarayya ta arewa maso yamma, wakilai na ƙungiyar Finno-Ugric.

Ciwon sukari na 1 shine “rushewa” na tsarin rigakafi (har ma da farji). Wato, rigakafin mutum yana ɗaukar gangar jikinta a matsayin makiyi.

Kusan kowane mutum da ke da nau'in ciwon sukari na 1 yana da hakkin ya karɓi famfo na insulin (na'urar likita don gudanar da insulin) a matsayin ɓangare na inshorar likita na tilas. Tabbas, wannan ba kawai sha'awar mai haƙuri ba ne, wannan yanke shawara ce tsakanin likita da mai haƙuri, wato, dole ne likita ya fahimci cewa shigar da famfon zai zama da amfani ga mai haƙuri, ba kawai sha'awar mai haƙuri bane "Ina so, saka ni."

1. Akwai makarantu masu cutar ciwon suga a ƙasarmu inda marasa lafiya zasu iya samun taimakon doka da kuma shawarwarin likita.

1. Akwai wani yanayin da ke dauke da cutar sankara yayin da ake kara yawan glucose a cikin jini, amma har yanzu bai kai ga bangaren masu ciwon suga ba. Irin waɗannan marasa lafiya suna kuma buƙatar shawarar endocrinologist don hana cutar.

1. Aƙalla sau ɗaya a kowace shekara bayan shekara 45, kuna buƙatar ba da gudummawar jini don glucose. Kuma idan akwai nauyin jiki fiye da kima, to dole ne a gudanar da irin wannan binciken a koyaushe, ba tare da la'akari da shekaru ba, aƙalla 15, aƙalla shekaru 20.

1. A cikin 1948, a kan ƙaddamar da fitaccen masanin ilimin kimiyyar halittar Amurka Elliot Proctor Joslin, an kafa kyautar ta musamman - Lambar Nasara ga mutanen da suka yi rayuwa tare da cutar sankara fiye da shekaru 25. Bayan haka, lokacin da suka koyi yadda ake sarrafa adadin insulin da ake sarrafawa, mutanen da suke da nau'in ciwon sukari 1 suna fara rayuwa tsawon rai. Sannan an kafa sabon lambar yabo don shekaru 50 masu ƙarfin zuciya tare da ciwon sukari, kuma daga baya na 75, har ma (!) Tsawon shekaru 80.

1. Nau'in nau'in ciwon sukari na 2 ya dogara ne kawai da salon rayuwa, ana dangantawa shi da wuce gona da iri da kuma cin abinci mai kalori mai yawa. Wannan matsalar tana shafar da'irar mutane da girma musamman yara. Yaron yana lura da yadda dangin suke ci, kuma ya sake maimaita wannan ƙira tuni ga danginsa na gaba. Mutane ba su da isasshen ƙarfi. Sakamakon haka, komai ya tafi mai, mai yana da ciwon sukari. Ba da jimawa ba, bayan shekaru 5-10, amma a cikin masu kiba, kiba zai haifar da ciwon sukari.

1. Tun 1996, ana kula da rajistar masu ciwon sukari a cikin ƙasarmu.

Mutane miliyan 4,500 sune mutanen da suka je likitocin kuma suka shigar da su cikin bayanan.

Ginin ya ba ka damar sanin komai game da waɗannan marasa lafiya: lokacin da suka yi rashin lafiya, menene magunguna da suka karɓa, waɗanne magunguna ba a ba su ba, da dai sauransu. Amma wannan shine ainihin aikin hukuma, har yanzu akwai mutane da yawa waɗanda ba su san cewa suna da ciwo tare da nau'in ciwon sukari na 2 (nau'in ciwon sukari na 1 ana sananne koyaushe, saboda tare da wannan cutar akwai farkon farawa tare da precoma ko coma).

1. Intanet an rufe shi da hanyoyi daban-daban don cutar da ciwon sukari tare da abincin abinci da magunguna na mutane. Duk wannan ba gaskiya bane!

Dole ne likitoci su fasa tatsuniyoyi da yawa game da wannan cutar. Godiya ga makarantu na musamman na masu ciwon sukari, yana yiwuwa a rage yawan waɗannan tatsuniyoyin, saboda suna koyar da marasa lafiya yadda ake sarrafa cutar.

Tarihi na farko yana damuwa da mutanen da a wa’adin likita suka ayyana cewa ba sa cin sukari, saboda cutar ana kiranta “ciwon suga” masu ciwon suga. Yawan sukari da aka cinye, hakika, yana da wasu darajar, amma ba mai yanke hukunci ba. Yaci gaba da cewa suna cin wasu abinci a cikin adadin da zai fi kyau a haɗa sukari a cikin abincin.

Yana biye daga farkon labari na biyu game da buckwheat. Shekaru 50-60 a cikin ƙasarmu, an yi imanin cewa buckwheat samfurin masu ciwon sukari ne. A cikin Soviet, sau da yawa sauƙaƙe masanin ilimin endocrinologist ya ba da takaddun shaida na buckwheat ga shagon Abincin. Wannan hatsi ya kasance samfurin ƙarancin abinci, kuma marasa lafiya da ke dauke da ciwon sukari sun karbe shi a kan takardun shaida, saboda yana da amfani.

Tana haɓaka sukari kamar taliya da dankali.

Tarihi na Uku 'Ya'yan itãcen marmari: kore na iya, amma ayaba ba zai iya ba. A sakamakon haka, mutum zai iya cin 5 apples na Antonovka iri-iri, amma a cikin kowane hali banana banana. Sakamakon haka, apples 5 sun ba da sukari sau 5 fiye da banana ɗaya.

Tarihi na huxu: burodin baki yana da kyau, fararen abu ne mara kyau. A'a, sukari zai tashi daga nau'in burodin biyu.

Akwai kuma tatsuniyoyi game da magani, lokacin da wasu marasa lafiya ke hutu yayin shan kwayoyin, in ba haka ba “zaku iya dasa hanta”. Wannan ba shi da karbuwa. Wannan tatsuniya iri ɗaya ta shafi aikin insulin: ga wasu marasa lafiya da ke ɗauke da ciwon sukari na 2, ƙwayoyin ba su daina taimakawa a wani mataki, amma ba sa son juyawa zuwa insulin akan lokaci, wanda kawai ke cutar da yanayin su.

Ka tuna kuma cewa babu wani saukad ko faci na Sinawa don kamuwa da cutar sankara, koda kuwa kusa da littafin akwai hoto da kuma regalia na manyan kwararru a ilimin endocrinology.

Kuna son samun nasihu masu amfani da labaran labarai masu ban sha'awa?

Muna son taimaka muku yadda yakamata ku kula da ciwon ku! Yi rajista don Labaran Labaran Wasanni na OneTouch ® , kuma zaku sami kayan abinci na yau da kullun, salon rayuwa, da labarin samfurin OneTouch ® .

Kuna son samun nasihu masu amfani da labaran kansar masu ban sha'awa?

Wannan rukunin yanar gizon Johnson Johnson LLC ne, wanda ke da alhakin abubuwan da ke ciki.

Gidan yanar gizon yana nufin mutane fiye da shekaru 18 da ke zaune a Tarayyar Rasha kuma an yi niyya don sanya bayanai game da kula da ciwon sukari, yin rijistar mambobi na shirin OneTouch ® Loyalty, tattarawa da rubuta abubuwan kashewa a cikin shirin OneTouch ®.

Bayanin da aka sanya akan shafin yana cikin yanayin shawarwari kuma ba za'a iya la'akari dashi azaman likita ko maye gurbinsa ba. Koyaushe tuntuɓi mai ba da lafiya ka kafin bin shawarwarin. Idan kuna da wasu tambayoyi, koyaushe kuna iya tambayar su ta kiran layin wayar: 8 (800) 200-8353.

Idan kuna da wasu tambayoyi, koyaushe kuna iya tambayar su ta kiran layin wayar: 8 (800) 200-8353

Reg. doke RZN 2015/2938 kwanan wata 08/08/2015, reg. doke RZN 2017/6144 kwanan wata 08/23/2017, Reg. doke RZN 2017/6149 kwanan wata 08/23/2017, reg. doke RZN 2017/6190 kwanan wata 09/04/2017, Reg. doke RZN No. 2018/6792 wanda aka sanya ranar 02/01/2018, reg. doke RZN 2016/4045 wanda aka sanya ranar 11.24.2017, Reg. doke RZN 2016/4132 kwanan wata 05/23/2016, reg. doke FSZ No. 2009/04924 na Satumba 30, 2016, Reg. doke Ma'aikatar Tsaro ta Tarayya No. 2012/13425 na Satumba 24, 2015, reg. doke Ma'aikatar Tsaro ta Tarayya No. 2008/00019 na Satumba 29, 2016, Reg. doke FSZ Lambar 2008/00034 wacce ta gabata 06/13/2018, reg. doke Ma'aikatar Tsaro ta Tarayya Lambar 2008/02583 wacce aka sanya ranar 09/29/2016, Reg. doke Ma'aikatar Tsaro ta Tarayya No. 2009/04923 daga 09/23/2015, reg. doke Ma'aikatar Tsaro ta Tarayya No. 2012/12448 mai lamba 09/23/2016

MAGANAR ANA BUKATAR DA KWANCIYA

Wannan rukunin yanar gizon yana amfani da kukis. Ta hanyar ci gaba da lilo shafin, kuna ba da izinin amfani da su. Karin bayani.

“Alƙawarinmu Johnson & Johnson LLC suna ɗaukar mahimmancin gaske game da batun kare bayanan mai amfani. Muna da cikakkiyar masaniya cewa bayanan ku mallakarku ne, kuma muna yin iyakar ƙoƙarinmu don tabbatar da tsaro na adanawa da sarrafa bayanan da aka watsa mana. Amincinka yana da matukar mahimmanci a gare mu. Mun tattara ƙaramin adadin bayanan kawai tare da izininka kuma muna amfani da shi kawai saboda abubuwan da aka ayyana. Ba mu samar da bayanai ga ɓangare na uku ba tare da yardar ku. Johnson & Johnson LLC suna yin kowane ƙoƙari don tabbatar da amincin bayananku, haɗe da amfani da hanyoyin aminci na bayanan fasaha da hanyoyin gudanarwa na ciki, gami da matakan kariya na zahiri. Na gode. "

Shirye-shiryen tafiyewar ciwon sukari

Idan ya zo ga yin shiri don hutu, abu na farko da zai zo ga tunani shi ne ƙirƙirar jerin abubuwan da suka zama dole waɗanda za ku buƙaci a wuri mai nisa da gidanka. Wataƙila kuna buƙatar kasancewa da damuwa kaɗan saboda kuɓutar da su a ƙasashen waje idan akwai sakaci ko mantuwa, kuma wasu na'urori / magunguna ba za a iya siyan su a ƙasashen waje ba tare da takaddun buƙatun ba.

Don haka ina mai ba ku shawara ku yi nazarin wannan jeri sosai, kuma ku rubuta wa kanku dukkan mahimmancin ranakun hutu:

- Magunguna insulin gajere da aiki na yau da kullun, ko gaurayar insulin, gwargwadon abin da kuke amfani da shi. Insauki insulin sau biyu gwargwadon adadin da aka lissafa akan ranakun hutu. Wannan zai taimaka wajen magance matsaloli game da neman magani idan aka sami asara ko ɓarna.

- Alkalamiin sirinji ko talakawa insulin maganin insulin cikin isasshen adadi.

- mita gulukor din jini (biyu sun fi kyau) tare da tsarukan gwaji, lancet (+ yawan kwalliya da batir in dai har ya kasance).

- Jaka tarrrrrrrrrrrrrrrrrrrrrrrrrrr jakar jaka. Kusan abu ne da ba dole ba ne ga marasa lafiya da ke fama da ciwon sukari na insulin, suna taimakawa don kare miyagun ƙwayoyi daga haɗuwa da matsanancin zafi.

- Allunan saukar da sukari idan kayi amfani dasu.

- Gwaje gwaje-gwaje don nazarin fitsari don acetone da glucose.

- Thermometer Room - domin fayyace zazzabi a cikin minibar (a otal) ko kuma firiji a kasashen waje.

- Sikeli na karafa - don kirga raka'a gurasa.

- Ruwan insulin da / ko ci gaba da tsarin sa ido (idan ana amfani da shi).

- Takaddun shaida ko rikodin likita wanda ya ƙunshi bayanin cewa kuna da ciwon sukari mellitus, kazalika da nau'i tare da bayyananniyar algorithm na ayyuka don taimakon farko idan akwai batun haɓakar hypo-ko hyperglycemic yanayi.

- Sake sake fasalin sukari, akwatuna tare da ruwan 'ya'yan itace, glucose mai tsabta, shirye-shiryen glucagon idan akwai cutar hypoglycemia.

- Jaka mai hana ruwa (idan akwai).

- Almakashi, fayil don kula da ƙafa, cream na musamman don sanya fata fata na ƙafafu.

Bayan wannan jerin abubuwan na yau da kullun, marasa lafiya masu ciwon sukari na iya buƙatar:

- Magungunan Antihypertensive (aiki na yau da kullun da kuma kawar da rikice-rikice).

- Magungunan rigakafin ƙwayoyin cuta (ƙwayoyin cuta, fibrates, da sauransu).

- Tonometer - don tantance matakin systolic da tashin jini na jini a gida.

- Da kyau, ba shakka, ba zai zama superfluous ɗaukar kai tare da ku a cikin maganin rigakafin ƙwayar cuta (Zirtek, Suprastin), antiemetic (Cerucal, Motilium), antidiarrheal (Imodium), antipyretic (Paracetamol) da antiviral (Arbidol, Kagocel) magunguna, har ma da , aidin, hydrogen peroxide, filastar giya da barasa don kowane yanayin "wuta".

Bayanai ga matafiya masu ciwon sukari

Lokacin tafiya zuwa ƙasar waje tare da wani yanayi mai ban mamaki, kar ka manta cewa babban zafi da zafin jiki sune abubuwan da ya kamata ka lura dasu kuma ka guji duk lokacin da suka yiwu.

A cikin yanayin zafi, bushewar ruwa na faruwa da sauri kuma a hankali, don haka a gwada shan ruwan tsabta a cikin irin wannan yanayin.

Yana da matuƙar mahimmanci don sarrafa bayanan glycemic a cikin lokutan yiwuwar bushewar ruwa, tunda yana kasancewa cikin hasken rana mai haske a cikin wasu marasa lafiya waɗanda ke haifar da sakamakon sugars su daina sikelin akan mai saiti na mitir.

Ina kuma son in taɓa kan batun motsa jiki na aiki ga mutanen da ke fama da ciwon sukari yayin tafiya. Ina ba ku shawara kada ku cika jiki da wasannin motsa jiki, kuma ku ƙara nauyin a hankali. Ka ce, a ranar farko ana iya tafiya da sauri a cikin filin shakatawa na otal, a na biyu - kekuna, a na uku - wasan tennis, wasan kwallon raga, da sauransu.

Yi ƙoƙarin canza wurin balaguron balaguron balaguro da tafiye-tafiye, da kuma kowane irin wasanni zuwa ƙaramin lokacin zafi. Daidai ne, wannan shine lokacin bayan 17:30 pm kuma har zuwa 11:00 na safe.

Abin baƙin ciki, a cikin yanayin zafi, mai ciwon sukari yana daidai da haɗarin haɓakar haɓakawa da hauhawar jini. Don haka tuna cewa lura da kai tare da glucometer ya kamata a yi duk lokacin da yawan zafin jiki na yanayi ya fi girma.

Yin iyo a ruwa ko kuma a wurin shakatawa na iya zama ɗaya daga cikin dalilan haɓakar sukarin jini. Sabili da haka, kafin yin nutse cikin ruwa, yi ƙoƙarin cin apple ɗaya ko guntun burodi.

Lokacin zaman cikin ruwa kada ya wuce minti 15. Idan kayi amfani da famfon na insulin, zaku bukaci cire shi yayin aikin ruwa.

Wani batun daban shine adana insulin lokacin tafiya zuwa wata ƙasa. Kafin jirgin, kar a manta sanya dukkan insulin a cikin kayan hannunka, saboda yana iya daskarewa a cikin kayan kaya na jirgin, kuma don haka zai zama gaba daya ba a saba gani ba.

A cikin lissafin da ke sama, na nuna cewa ya zama dole a fito da ma'aunin ma'aunin zafi na yau da kullun tare da ni yayin tafiya. Yanzu zan bayyana muku dalilin da yasa ... Tunda yanayin zama a kowane otal ya bambanta, ba wanda zai iya gaya muku tabbas yanayin zafin iska ne a cikin ƙaramin ɗakin da kuke cikin sa'ilin da za ku adana duk wadataccen insulin.

Kawai ka bar ma'aunin zafi da sanyio a cikin minibar na yan 'yan awanni, bayan haka zaka san amsar wannan muhimmiyar tambaya ga marassa lafiyar da ke dauke da cutar suga ta insulin-da-suga.

Ina tsammanin duk masu karatu sun riga sun san cewa a kowane yanayi ya kamata ku ajiye insulin a cikin hasken rana kai tsaye ko cikin matsanancin sanyi (daskare). Hakanan, kar ku manta cewa idan kunyi aikin insulin, kuma nan da nan bayan kun ziyarci gidan sauna ko kuma kuna aiki da motsa jiki, dole ne kuyi taka tsantsan, tunda aikin tsoka da tasirin iska mai zafi yana ƙara yawan ƙwayar maganin. Sakamakon haka, ana iya samun alamun hypoglycemia (gumi mai sanyi, ma'anar tsoro, tachycardia, rawar jiki, jin yunwa, da sauransu).

Dangane da yadda ake samar da allurar insulin: yayin jirgin zuwa kasashen da ke da dumin yanayi, yawanci ana bukatar insulin (basal da bolus) akasari. Dole ne a rage adadin a hankali: fara raguwa tare da kashi na insulin maraice da aka fadada (yayin da ake mayar da hankali ga sukari na safiya), sannan kuma ci gaba zuwa gyaran insulin bolus.

Halin da ke tattare da su, ba shakka, ya ɗan ƙara rikitarwa, tunda kashi yana kai tsaye ga abincin da aka cinye, wanda matafiya da yawa suna da lokaci don yin masaniya da kawai a cikin kwanaki 2-3 na ƙarshe na zama a otal. fifiko don jita-jita tare da kayan aiki mai sauƙi, wanda zaku iya ƙididdige adadin raka'a gurasa.

Wannan, watakila, shine duk abin da na so in raba tare ku. Ga duk wanda ke shakka har yanzu, kawai zan iya cewa ciwon sukari ba wani cikas bane ga sabbin binciken da tafiye-tafiye. Tabbas, tabbatattun motsin zuciyar da muka samu yayin dawowa ana tuna su da dadewa. Gwada, ganowa, yin kuskure kuma sake gwadawa! Bari kowa ya yi rayuwa mai haske, mai arziki, cike da kyawawan motsin rai da rayuwa na tunawa. Bayan haka, kamar yadda na ce, ciwon sukari ba matsala ba ne ga wannan!