Sauki "ciwon sukari > Ciwon sukari

Alexei: Ni ɗan shekara 19, na kamu da ciwon sukari watanni 2 da suka gabata. Ya kasance a asibiti na makonni uku, likitocin sun umurce ni da insulin - mai sauƙi da tsawanta, sun yi digirin-digo, kuma sun saki ketoacidosis (sukari shine 21.5 lokacin da ya tafi asibiti). Bayan fitarwa, ya sami sauki, yanzu ina aiki a aikina na baya a matsayin mai talla, sau da yawa akan motsin dare.

Na san kadan game da ciwon sukari, an sanya mini insulin - Na allurar dashi, amma abin da likitocin suka bayyana mani - ban fahimta sosai ba. Yawan sukari na jini yakan fado daga 3.8 zuwa 12.5 mmol, yawanci ana jin rashin lafiya, kasala, rauni. Shin zaka iya yin bayani cikin sauki me ake nufi da ciwon sukari, yadda zaka bi dashi kuma ka kawo sukarin ka a al'ada? Shin dole ne in yi rayuwa kamar ta nakasasshe har abada?

Alexei, Abin takaici, ciwon sukari cuta ce mai mahimmanci wanda ke ɗaukar ragowar rayuwar mai haƙuri, wanda da wuya a bayyana a cikin “harshen lafazi”. Amma zan gwada.

Akwai tambayoyi masu mahimmanci, da kuma abubuwan jikin ku waɗanda babu shakka zaku yi nazari. Lallai kuna buƙatar yin ilimin-kai a fagen ciwon sukari, abinci mai gina jiki, saboda rikicewar ciwon sukari ya shafi, da farko, waɗanda ke da ƙima game da su.

Cutar sankarau a cikin harshe mai sauƙi

Menene ciwon sukari? Wannan cuta ce mai saurin lalacewa ta tsarin endocrine (Ina jaddada shi na kullum ne, saboda yana da warkewa a yau), wanda aka bayyana a cikin rashin karfin jiki don samar da adadin insulin da ake buƙata don sarrafa glucose daga abinci (tare da nau'in ciwon sukari na 1), ko kuma yanayin rashin iya amfani da glucose daga jini a cikin sel.

Don farawa, karanta cikakken bayani game da ciwon sukari, karanta labarin:

Mataki na gaba - kuna buƙatar koya cewa ku da kawai kuke da alhakin ciwon sukari, don matakin sukari na jini, ga abin da kuke ci. A cikin kalmomi masu sauƙi, ciwon sukari ba jumla ba ce. A yau, tare da kulawar da ta dace na cutar, marasa lafiya tare da masu ciwon sukari mellitus suna rayuwa har zuwa shekaru 83 kuma suna ci gaba da yin rayuwa mai aiki (alal misali, Dr. Bernstein masaniyar endocrinologist, nau'in ciwon sukari na 1 wanda aka gano a cikin 1947). Kuma akwai wadatattun misalai irin wannan, don haka ba kwa buƙatar rubuta kanku a cikin nakasassu ba, musamman ma lokacin tsufa.

Kasancewa cikin koshin lafiya da cutar siga yana buƙatar ƙoƙari a ɓangaren mai haƙuri ta hanyoyi da yawa. Sun hada da:

ingantaccen abinci mai gina jiki, wanda aka ƙididdige sinadaran abinci a bayyane,
aiki na jiki
shan magunguna da aka tsara a lokacin da ya dace da kuma abubuwan da suka dace, tare da tsari a ƙarƙashin halayen jikin ku,
Diary mai dauke da ciwon sukari a kullum
maimaita matakan na jini sugar a ko'ina cikin yini,
wucewa na shekara-shekara na gwaje-gwaje na likita da yawa, tare da saka idanu ba kawai matakin glucose a cikin jini ba, har ma da karfin jini, cholesterol a cikin jini da yanayin kafafunsu.

Menene nau'in 1 da nau'in ciwon sukari na 2? Menene bambance-bambance nasu?

A cikin kalmomi masu sauƙi, to, tare da nau'in ciwon sukari na 1, jiki ba ya samar da insulin da kansa don ɗaukar jigilar glucose daga jini zuwa sel. Saboda haka, mai haƙuri yana tilasta yin allurar insulin daga waje.

Yana da matukar muhimmanci a koyi yadda ake ƙididdige yawan insulin daidai - yana buƙatar daidai glucose kamar yadda kuka samu daga abinci. Idan ka rasa kashi, matakin sukari na jini zai karu (tare da karancin insulin) ko kuma ya ragu (idan har ka yi insulin da yawa).

Yi tunani game da kalmomin Elliot Joslin: "Insulin magani ne ga mai hankali, ba ga wawaye ba, shin likitoci ne ko marasa lafiya."

A nau'in na biyu na ciwon sukari, matsalar ta banbanta - kuɗin ta samar da insulin, amma ba zai iya shiga cikin sel su fara aikinsa ba. Sabili da haka, mai ciwon sukari yana tilasta shan kwayoyi (Metformin da sauransu) don taimakawa sel su tsai da madaidaiciyar hulɗa tare da insulin don amfani da glucose daga jini.

Karanta ƙari game da bambance-bambance tsakanin nau'in 1 da nau'in ciwon sukari na 2 a cikin kayanmu:

Daukar matakin da ya dace daidai gwargwado shine matakin farko na rama duk wani nau'in ciwon suga. Babu bambanci ko ana shan kwaya, allurar insulin, ko ana haɗa ku, yana da wahala ku lura da masu ciwon sukari idan ba a zaɓi madaidaicin matakin ba. Wannan tsari na iya ɗaukar ɗan lokaci. Idan matakin sukarin ku ya zube, to kuna buƙatar gaya wa likitanka game da wannan kuma, idan ya cancanta, sake komawa asibiti don neman isasshen ƙwayar insulin.

Yana da haɗari a zaɓi sashin insulin da kanka, ya kamata a tsara shi ƙarƙashin kulawar likita, musamman a farkon ciwon sukari, lokacin da mai haƙuri bai ƙware ba.

Me kuke buƙatar sani game da rikicewar ciwon sukari?

A takaice ambaci game da rikitarwa na ciwon sukari. A sauƙaƙe, ciwon sukari kaɗai ba shi da haɗari kamar rikitarwa na dogon lokaci. Idan sukari a cikin jini yana tsawaita lokaci-lokaci, to, kamar sandar takarda ne, yake washe hanyoyin jinin jikinku. Cholesterol ta kutsa cikin wadannan microcracks - sinadarin da ke da alhakin "facin ramuka" a jiki. Tare da ƙara yawan sukari a cikin jini, tsarin jijiyoyin jini suna fuskantar kumburi mara nauyi - yanayin da tasoshin jini (musamman ƙananan) ke ci gaba da fuskantar microdamage, sabili da haka yawan ƙwayoyin cholesterol koyaushe suna shiga cikinsu. A sakamakon wannan, ana ƙirƙirar wata cuta mai saurin ɓoyewa a kan lokaci - ƙwayar jijiyoyin bugun gini, wanda a cikin ƙwayoyin cholesterol suke haifar, wanda ke haifar da bugun zuciya da bugun jini.

Bugu da kari, tare da mellitus na ciwon sukari mai raunin marasa lafiya, kananan jiragen ruwa suna wahala, saboda wanda rikitarwa ke farawa a cikin idanu da kodan. Ciwon sukari “na son” bugun kafafu - na tsawon lokaci, sun rasa ji da jijiyoyi saboda wadataccen jini, don haka kowane yanke, kira ko cons na iya haifar da gangrene da kashi.

Domin jinkirta ci gaban cututtukan masu ciwon sukari na dogon lokaci, dole ne a lura da ma'auni tsakanin sashi na kwayoyi da abinci.

Game da abinci mai gina jiki na marasa lafiya da ciwon sukari

Koyi yadda ake ƙidaya adadin furotin da carbohydrates a cikin abinci.. Da farko dai, carbohydrates, musamman ingantattun carbohydrates (sukari, cakulan, kayan lemo, Sweets) suna haɓaka matakan sukari na jini. Irin wannan "carbohydrates" mai sauri "ya kamata a zubar dashi, saboda sharparuwa mai yawa a cikin sukari na jini yana da lahani ga tasirin jini - spasms na faruwa. Idan tare da ƙara yawan sukari a cikin jini saka insulin fiye da dole, to sukari zai faɗi da ƙarfi. Wannan halin ana kiransa "zamewar mai ciwon suga." An hana shi sosai don rage ƙananan ƙwayar ku a cikin jiki, da kuma yin amfani da abinci mai sauri tare da carbohydrates mai sauri tare da hypoglycemia.

Kar ku manta game da sunadarai - suma suna shafar karuwa a cikin sukari na jini, amma a matsayi na biyu, bawai yawan carbohydrates ba. Yawan adadin furotin shima ya kamata a lura dashi a tsarin abincinku da lokacin shan magani.

Fats suna haɓaka matakan sukari na jini har da ƙima cewa ba a la'akari da su lokacin da ake lissafin yawan insulin.

Karanta karin abinci mai gina jiki a cikin ciwon sukari:

Yanzu ya zama sananne sosai low carb rage cin abinci don rama ciwon sukari. Zan ce yanzunnan - likitocin ba za su ba da shawarar a gare ku ba, saboda diabetology na zamani yana ɗaukar matakan postulates waɗanda suka haɓaka tun lokacin Soviet, cewa ya zama dole ku ci isasshen adadin carbohydrates kuma ku rama su tare da babban adadin ("masana'antu") allurai na insulin ko allunan.

Amma binciken da aka yi kwanan nan a Turai da Amurka sun tabbatar da cewa rage cin abinci mai ƙuntatawa na carbohydrate yana da kyau don kiyaye matakan sukari na jini al'ada. Misali na kwarai shine Dr. Richard Bernsteinwanda ya kamu da ciwon sukari na 1 a cikin 1947 kuma a cikin 60s na ƙarni na 20 waɗanda suka riga sun sami matsaloli da yawa da matsalolin koda, lura da tsarin abincin da likitocin suka ba da shawarar rage yawan fitsari da ɗimbin ƙwayoyin carbohydrates (likitocinmu sun ba da shawarar abinci guda, muna kiransa “ Abincin A'a. 9 "ko" Tebur 9 "). Sannan, a gwaji, ya gano cewa idan kun iyakance carbohydrates a abinci, to zaku iya sanya insulin da yawa kuma yana da sauƙin sarrafa matakin sukari na jini ("Rashin Ingancin Hanya"). Kuma da kasada da hadarin, Bernstein ya fara lura da irin wannan abincin ba da kansa. Me ya jawo hakan? Sugars ya zama cikakke, cholesterol ya koma al'ada, kuma rikicewar ciwon sukari ya koma baya (an riga an gano shi da furotin a wancan lokacin - mummunan rikicewar koda). Bayan haka, yana da shekara arba'in, kasancewar injiniyanci ta hanyar horarwa, ya tafi karatu a matsayin mai ilimin endocrinologist domin mutane da likitoci su fara sauraron hanyar sa na magance ciwon sukari. Yanzu Dr. Bernstein yana da shekara 83, har yanzu yana gudanar da aikin likita a karkarar New York kuma yana motsa jiki a kowace rana.

Karanta ƙari game da abincin low-carb:

Bayan familiarization, yanke shawara cewa kun kusanci - don kula da ciwon sukari tare da taimakon Diet No. 9, wanda yawancin likitoci suka ba da shawarar ku, ko ku yi ƙoƙarin ci gaba da rage cin abincin carb. Ina ba da shawarar kowa na biyu zaɓi.

Game da hypoglycemia a cikin harshen lafazi

Bayan haka, kuna buƙatar gano menene rashin ƙarfi a cikin jiki? Yawancin lokaci wannan ilimin yana ceton ran mai ciwon sukari. Hypoglycemia (likitoci da marasa lafiya sun kira shi da ƙauna - “hype”) yanayi ne mai haɗari na ɗan gajeren lokaci na haƙuri tare da ciwon sukari wanda ke cikin matakan sukari na jini ya faɗi ƙasa da ƙimar yarda. Marasa lafiya cikin gaggawa yana buƙatar cin wani abu mai daɗi don haɓaka matakin sukari na jini zuwa dabi'un al'ada (alewa, 1-2 guda na sukari, 1-2 tablespoons na jam, kukis, zuma, allunan glucose, da sauransu). Wadanda ke yin "Hanyar Bernstein", a farkon alamar "hype" (suna da sauƙin mil, saboda ana saka ƙananan allurai na insulin) suna ɗaukar glucose ko allunan dextrose (alal misali, Dextro4, wanda aka sayar tare da mu). Yawanci, irin waɗannan allunan suna dauke da gram 4 na carbohydrates mai sauri, wanda ya isa ya dakatar da hypoglycemia daidai, tare da daidaito na +/- 0.5 mmol / L.

Wannan hanya ce ta kimiya, yanzu kwatanta shi da shawarar likitocin gargajiya da suka bayar da shawarar cin 1-2 na sukari, alewa, kukis, da sauransu. Wa ya san yadda hauhawar jini ke tashi bayan wannan, za a iya samun saukad da ciwon sikila da sauƙi. Yana da mahimmanci kada a overdo shitare da zaki, irin wannan tsalle-tsalle a cikin matakan sukari na jini suna cutarwa ga hanyoyin jini.

Karanta ƙari game da hypoglycemia a cikin labaranmu:

Idan kana da sukarin jini, kana buƙatar cikin sauri da inganci rage shi. Wannan ba mai sauƙi bane ga masu fama da cutar siga, don haka tabbatar da karanta wannan kayan:

Motsa jiki don kamuwa da cutar siga

Motsa jiki yana sa jiki ya ƙona glucose, wanda shine dalilin da yasa suke rage sukarin jini. Ya kamata ku san cewa kafin motsa jiki kuna buƙatar rage sashi na insulin ko magani, ko ɗaukar karin carbohydrates. Kuna buƙatar koyon yadda ake kiyaye matakin sukari da kuma lokacin motsa jiki. Richard Bernstein, lokacin da ya shiga cikin motsa jiki, yana cin kowane minti 15-30, 0.5 Allunan Dextro4 (ko 2 gram na carbohydrates mai sauri), wanda ya ba shi damar kula da sukari a cikin madaidaiciya.

Aiki na jiki yana rage jurewar insulin wanda yawancin mutane masu fama da ciwon sukari na 2 da masu kiba ke fama da shi. Wasannin motsa jiki yana kara karfin jiki ga insulin, wanda yake da matukar amfani wajan magance masu cutar siga.

Ga abin da Dr. Bernstein ya rubuta game da aikin jiki:

“M, mai saurin motsa jiki shine matakin gaba na shirin kula da cutar siga bayan abinci. Zai fi dacewa, aikin jiki ya kamata ya haɗa da kowane shirin asarar nauyi ko magani don juriya na insulin (nau'in ciwon sukari na 2).

Yawancin karatu sun kafa hanyar haɗi tsakanin ƙoshin lafiya da ingantaccen tunani. Idan kana da ciwon sukari irin 1, kamar ni, motsa jiki mai karfi kai tsaye ba zai iya inganta maka sarrafa sukarin jininka ba, sabanin nau'in ciwon sukari na 2, amma ayyukan jiki na iya yin tasiri mai mahimmanci ga darajar kanka. Wannan zai yiwu idan kun kiyaye matakin sukarinku na yau da kullun kuma kuna motsa jiki akai-akai. Yi motsa jiki don kasancewa cikin yanayin lafiyar jiki fiye da abokanku marasa ciwon sukari. Bugu da kari, daga kwarewata, zan faɗi cewa marassa lafiya nau'in 1 masu cutar sukari waɗanda ke motsa jiki a kai a kai sun fi dacewa su kula da sukarin jininsu da tsarin abincinsu.

An daɗe da sanin cewa aikin jiki yana ƙara matakin ƙwayar cholesterol mai kyau kuma yana rage matakin triglycerides a cikin jini. Karatun da aka yi kwanan nan ya nuna cewa gina jiki (anaerobic maimakon motsa jiki) shima yana rage mummunar cholesterol. Akwai ma shaidar cewa atherosclerosis (hardening the arteries) na iya juyawa ga wasu mutane. Na cika shekaru 80 da haihuwa, ina horar da wuya a kullun kuma bana cin 'ya'yan itace da komai, Ina da nau'in ciwon sukari guda 1 shekaru sittin da biyar, kuma ina cin kwai don karin kumallo kowace rana. Ina cholesterol dina? Tana cikin kewayon lafiya sosai, yana da kyau fiye da mutane da yawa ban da ciwon suga. Wannan wani bangare saboda rage abincincina, amma kuma ga tsarin motsa jiki na na yau da kullun. ”

Karanta ƙari game da aiki na jiki a cikin ciwon sukari mellitus:

Abin da kuke buƙatar sani game da barasa?

A ƙarshe, idan kai mai siye ne, ya kamata ka sani Ta yaya giya za ta shafi sukarin jini? Idan kai mai fama da cutar rashin insulin ne, yakamata ka lura da shan giya. Ethyl barasa, wanda shine mahimmin aiki a cikin ruhohi, kazalika da bushewar giya, ba ya shafar sukarin jini kai tsaye saboda jiki baya juyar da shi zuwa glucose. Vodka, brandy, gin, busassun giya ba sa ƙara yawan jini.

Carbohydrate ruhohi, a gefe guda, na iya haɓaka matakan sukarin jini. Misali, giya. Idan kun sha gilashin giram 330, to, matakin sukari na jini ba zai tashi sosai ba. Amma idan kun sha giya a cikin manyan magungunan gargajiya, to, sukarinku zai zama mai girma. Hakanan yana dacewa da ruwan inabin giya, wanda sukari muhimmin abu ne, har ma da ruwan inabi mai ban sha'awa. Sabili da haka, a hankali bincika hanyar tasirin barasa akan marasa lafiya da masu ciwon sukari kuma kar ku ci shi:

Kammalawa

Babu shakka, babu wani “sauƙin” warware matsalar ciwon sukari. Kyakkyawan kula da ciwon sukari ya ƙunshi ba kawai calibrated sashi na kwayoyi ba, har ma da haɗaɗɗiyar hanya, da masaniya da yawa game da wannan cuta. A halin yanzu, har yanzu ba su fito da wata hanya ta magance cutar sukari gaba daya ba, amma don magance wannan cutar kuma ta zauna tare da ita mai yiwuwa.

Yaya cutarwa na sukari na jini?

Babban sukari na jini zai iya haifar da lalata kusan dukkanin gabobin, har zuwa sakamako na mutuwa. Mafi girman matakin suga na jini, mafi bayyananne shine sakamakon ayyukanta, wanda aka bayyana a:

- kiba,
- glycosylation (yawanci) na sel,
- maye na jiki tare da lalacewar tsarin juyayi,
- lalacewar tasoshin jini,
- ci gaban ƙananan cututtuka da ke shafar kwakwalwa, zuciya, hanta, huhu, hanji, tsokoki, fata, idanu,
- bayyananniyar yanayi na rashin nutsuwa, coma,
- m.

Alamun farko na cutar sankarau

- yawan jin ƙishirwa
- m bushe baki
- urinearin fitowar fitsari (ƙaruwar diuresis),
- increasedara bushewa da tsananin itching na fata,
- predarin yanayin tsinkayar cututtukan fata, pustules,
- warkar da raunuka na dogon lokaci,
- raguwa mai kaifi ko karuwa a jiki,
- karin gumi,
- rauni na tsoka.

Alamomin cutar sankarau

- yawan ciwon kai, rauni, rashi,
- rashin gani,
- ciwon zuciya
- numbness na kafafu, jin zafi a kafafu,
- rage ƙwarewar fata, musamman a ƙafafu,
Busa fuska da kafafu,
- haɓakar hanta,
- warkar da raunuka na dogon lokaci,
Hawan jini
- haƙuri yana fara fitar da ƙanshin acetone.

Hadarin Ciwon sukari

Ciwon mara mai cutar kansa - bayyanar da zafi, ƙonawa, ƙyallen ƙafafu. Yana da alaƙa da take hakkin hanyoyin rayuwa a cikin ƙwayar jijiya.

Kurajewa. Edema a cikin ciwon sukari na iya yada gida - a fuska, kafafu, ko ko'ina cikin jiki. Yawan yawa yana nuna cin zarafi a cikin aikin kodan, kuma ya dogara da matsayin ƙarancin bugun zuciya. Asymmetric edema yana nuna ciwon sukari na microangiopathy.

Jin zafi a kafafu. Raunin kafa a cikin ciwon sukari, musamman idan tafiya da sauran motsa jiki a ƙafafu, na iya nuna ƙwaƙwalwar ciwon sukari. Raunin kafa a yayin hutu, musamman da dare, yana nuna masu ciwon suga. Sau da yawa, ciwo na ƙafa a cikin ciwon sukari yana haɗuwa da ƙonewa da ƙarancin ƙafa ko wasu sassan ƙafafu.

Ciwon mara. Cutar huhu a cikin ciwon sankara, bayan jin zafi a kafafu, sune mataki na gaba a haɓakar ciwon sankarar fata mai-cutar kansa da kuma jijiya. Nau'in raunuka sun sha bamban da juna, don haka an tsara maganin cututtukan trophic a cikin ciwon sukari bayan ingantaccen ganewar asali, lura da mafi ƙarancin alamun bayyanar cutar. Sakamakon mummunan rauni na rauni shine rage ji na ƙasan ƙafafun da ya shafa, wanda ke faruwa saboda lalacewar jijiya yayin lalata ƙafa. A wasu wurare, corns suna fitowa ƙarƙashin abin da hematomas suke ciki tare da ƙarin ci gaba. Duk waɗannan ayyukan suna faruwa sau da yawa ba zato ba tsammani, sabili da haka, a matsayin mai mulkin, mutanen da suka riga sun sami rauni na kumburi, ja da baya, da ciwon fata na trophic ya bayyana akan likita.

Gangrene. Gangrene a cikin ciwon sukari shine a mafi yawan lokuta sakamakon cututtukan ciwon sukari. Farkon ɓarna na faruwa ne sakamakon rashin nasara ƙanana da manyan jijiyoyin jini a cikin gindi, mafi yawan lokuta babban yatsan hannu ne. A wannan yanayin, mai haƙuri yana jin ciwo mai zafi a ƙafa. Akwai sake fasalin yankin lalacewa, wanda a tsawon lokaci ya maye gurbinsa da fatar shuɗi, kuma bayan ɗan lokaci, wannan yanki an rufe shi da wuraren baƙi da kumfa tare da abubuwan girgije. Hanyar ba za'a iya juyawa ba - yanke hannu wani ya zama dole. Mafi kyawun matakin reshe na hannu, shine kafafun kafa.

Babban da matsin lamba. Ana lura da hauhawar jini da hawan jini a cikin ciwon sukari lokaci guda a maki biyu a jiki. A cikin jiki na sama (a cikin jijiya mai rauni) - kara matsa lamba, wanda ke nuna lalacewar kodan (cutar sankarar mahaifa). A cikin ƙananan jikin (a cikin tasoshin kafafu) - saukar karfin jini, wanda ke nuna alamar cutar angiopathy na ƙananan ƙarshen.

Coma Coma a cikin ciwon sukari na faruwa da sauri. Takaitaccen tarihin kwayar cutar sankarau shine hanawar mara lafiya da halin kasala. Kafin wannan, mutum na iya jin warin kamar acetone wanda ke fitowa daga bakin lokacin da yake numfashi, wanda saboda tsananin maye ne ga jikin mutum. Bugu da kari, mai haƙuri na iya jefa shi cikin gumi mai sanyi. Idan mai haƙuri yana da aƙalla ɗaya daga cikin waɗannan alamun, dole ne a kai shi asibiti kai tsaye.

Sanadin Ciwon sukari

Za'a iya haifar da dalilai masu yawa na masu ciwon sukari, saboda haka zamu haskaka mafi mahimmanci:

- gadar,
- tsufa (mafi yawan mutumin, da alama rashin lafiya ne),
- kiba,
- juyayi iri,
- cututtukan da ke lalata ƙwayoyin beta na pancreatic waɗanda ke haifar da insulin: kansa, cututtukan cututtukan fata, da sauransu,,
- cututtukan hoto ko bidiyo mai zagaya yanar gizo da sauri: hepatitis, chickenpox, rubella, mura, da sauransu.

Bugu da ƙari, ciwon sukari na iya haɓaka gaba da tushen:

- adrenal hyperfunction (hypercorticism),
- ciwace na narkewa kamar jijiyoyi,
- haɓaka matakin kwayoyin halittar da ke toshe insulin,
- cirrhosis na hanta,
- hawan jini,
- karancin narkewar ƙwayar carbohydrates,
- -ara yawan gajere a cikin sukari na jini.

Ta hanyar ilimin etiology:

I. Nau'in ciwon sukari na 1 na ciwon sukari (mai fama da insulin-insulin, ciwon suga na yara). Mafi sau da yawa, ana ganin wannan nau'in ciwon sukari a cikin matasa, sau da yawa na bakin ciki. Zai yi wuya Dalilin ya ta'allaka ne ne ga rigakafin kwayoyin halittar da jikin ke samarwa, wanda ke toshe β-sel wanda ke haifar da insulin a cikin ƙwayar cuta. Kulawa yana dogara ne akan ci gaba da amfani da insulin, tare da taimakon allura, haka kuma tsananin bin abincin. Daga cikin menu yana da Dole a cire gabaɗayan amfani da carbohydrates mai narkewa mai sauƙi (sukari, sukari mai dauke da abubuwan sha mai laushi, Sweets, ruwan 'ya'yan itace).

A. Autoimmune.
B. Idiopathic.

Na II. Type 2 ciwon sukari mellitus (rashin lafiyar insulin-da ke fama da cutar kansa). Mafi sau da yawa, mutane masu kiba daga shekaru 40 suna fama da ciwon sukari na 2. Dalilin ya ta'allaka ne ga yawan abubuwan gina jiki a cikin sel, wannan shine dalilin da yasa suka rasa hankalinsu ga insulin. Kulawa ya samo asali ne daga tsarin abinci don asarar nauyi.

A cikin lokaci, yana yiwuwa a tsara allunan insulin, kuma kawai a matsayin wurin zama na ƙarshe, ana wajabta allurar insulin.

III. Sauran nau'ikan ciwon sukari:

A. Rashin lafiyar kwayoyin halittar sel
B. Laifin kwayoyin a cikin aikin insulin
C. Cututtuka na sel na endocrine na pancreas:
1. rauni ko fitsari,
2. maganin huhu,
3. cigaban neoplastic,
4. cystic fibrosis,
5. cututtukan hanji mai ƙwaƙwalwa,
6. hemochromatosis,
7. sauran cututtuka.
D. Endocrinopathies:
1. Ciwon kansa na Cutar kansa,
2. acromegaly,
3. glucomanoma,
4. pheochromocytoma,
5. somatostatinoma,
6. maganin cututtukan jini,
7. aldosteroma,
8. sauran endocrinopathies.
E. Ciwon sukari a sakamakon sakamako masu illa na kwayoyi da abubuwan guba.
F. Cutar sankarau a matsayin rikice-rikice na cututtukan cututtuka:
1. rubella
2. kamuwa da cutar cytomegalovirus,
3. sauran cututtuka.

IV. Ciwon ciki. Yawan jini a lokacin haila. Sau da yawa yakan wuce kwatsam, bayan haihuwa.

Sanadin cutar a cikin maza

Nau'in ciwon sukari na 1 yawanci ba ya girma a cikin manya. Mafi yawan lokuta ana gano shi a cikin samartaka ko lokacin samartaka. Irin wannan cutar an kasu kashi biyu, wato, cututtukan fata da cututtukan fata na jiki da na huɗun jini da na idiopathic. Na biyu jinsunan ne da rashin fahimta, saboda haka, Sanadin abin da ya faru ba a sani ba.

Abubuwan da ke haifar da wadatar kansu tsakanin mazaje sun zama ruwan dare gama gari. Dukkaninsu suna da alaƙa da aiki na rashin aiki na rigakafi. A wannan yanayin, ƙwayoyin rigakafi suna da tasiri a kan aikin ƙwayar cuta, yana lalata ƙwayoyin da ke da alhakin samar da insulin. A wannan yanayin, ciwon sukari a cikin tsofaffi na iya lalacewa ta hanyar haɗuwa da gubobi, kazalika da cututtuka masu yaduwa.

Ciwon sukari na 2 wanda ya fi kamari a tsakanin mazajen da suka wuce shekaru 45. Koyaya, a yau ƙarancin shekaru yana raguwa a kai a kai, wanda ke haifar da yawan kiba da kiba. Hadarin kamuwa da rashin lafiya yana karuwa sosai ta mazajen da suke shan giya, akai-akai, suna shan ranak da sauransu.

Mafi saurin kamuwa da ciwon sukari shine nau'in maza na ciki, wanda ya ƙunshi tarin ƙwayoyin mai a ciki da gefuna. Yawancin lokaci, wannan matsalar ta fara kama da manya, waɗanda galibi suna cin abinci mai sauri.

A saboda wannan dalili, an yanke ƙauna sosai don siyan karnukan zafi, kwakwalwan kwamfuta da sauran abinci masu sauri ga yara.

Sanadin cutar a cikin mata

Me ke haifar da ciwon sukari ya zama ruwan dare a tsakanin mata? Kuna iya magana game da waɗannan abubuwan ƙarfafawa:

Rashin cika abincin. Abinci a cikin dare yana ɗaukar fitsari.
Canja a matakan hormonal. Fairancin rabin ɗan adam yana da haɗari ga rikicewar hormonal, musamman lokacin ciki da farawa na menopause.
Mata ma sun fi saurin wuce gona da iri saboda sun saba da cin abinci ta hanyar al'ada ba tare da carbohydrates ba. Masu son dankalin turawa masu dadi sau 7 suna iya kamuwa da cutar sankara.

Bugu da kari, wakilan marasa ƙarfi ana ɗauka su zama mai tausayawa, sabili da haka sun fi saurin tasiri ga tasirin yanayi mai wahala. Mai tsananin damuwa da raunin hankali yana rage rauni mai ƙwaƙƙwaran ƙwayoyin insulin zuwa tasirin kwayar.

Hakanan ana iya haɗawa da irin wannan cutar sankarau da ƙaunar mata don ɗaukar cuta tare da kayan maye, alal misali, cakulan. Don warkar da ciwon sukari a cikin manya, ya isa a bi shawarwarin likita, abinci, da motsa jiki matsakaici.

Hanyoyin da aka lissafa na magani, ban da maganin ƙwayar cuta, kuma zasu iya zama matakan matakan rigakafin cutar. Idan mutum yana cikin haɗari, bai kamata a yi sakaci da shi ba, tunda a cikin 70% na lokuta suna taimakawa don guje wa ciwon sukari.

A cikin bidiyon a cikin wannan labarin, likita zai ci gaba da tattauna abubuwan da ke haifar da ciwon sukari.

Dangane da tsananin cutar:

Ciwon sukari guda biyu (m). Lowarancin ƙananan ƙwayar cutar glycemia (sukari jini) halayyar - ba fiye da 8 mmol / l ba (a kan komai a ciki). Matsayi na glucosuria na yau da kullun bai wuce 20 g / l ba. Zai iya kasancewa tare da angioneuropathy. Jiyya a matakin abinci da shan wasu magunguna.

Ciwon sukari guda biyu (digiri na tsakiya). Dangane da karami, amma tare da ƙarin bayyananniyar sakamako, karuwa a matakin glycemia a matakin 7-10 mmol / l halaye ne. Matsayi na glucosuria na yau da kullun bai wuce 40 g / l ba. Bayyanar bayyanar ketosis da ketoacidosis ana iya zuwa lokaci-lokaci. Tsananin damuwa a cikin aiki gabobin baya faruwa, amma a lokaci guda, wasu rikice-rikice da alamu a cikin aiki na idanu, zuciya, jijiyoyin jini, ƙananan hanji, kodan da tsarin jijiyoyi mai yiwuwa ne. Bayyanar cututtuka na cututtukan ciwon sukari mai yiwuwa. Ana gudanar da jiyya a matakin maganin rage cin abinci da kuma maganin baka na magunguna masu rage sukari. A wasu halaye, likita na iya ba da allurar insulin.

Ciwon sukari mellitus 3 digiri (mai tsauri). Yawanci, matsakaicin matakin glycemia shine 10-14 mmol / l. Matsayi na glucosuria na yau da kullun shine kusan 40 g / l. An lura da matakan proteinuria (furotin a cikin fitsari). Hoton bayyanar cututtuka na asibiti na gabobin da aka yi niyya yana ƙaruwa - idanu, zuciya, jijiyoyin jini, ƙafafu, kodan, tsarin juyayi. Gyaran gani yana raguwa, kumburi da zafi a kafafu suna bayyana, hawan jini ya tashi.

Ciwon sukari mellitus 4 digiri (super mai girma tsari). Halin halayyar haɓakar glycemia shine 15-25 mmol / l ko fiye. Matsayi na glucosuria na yau da kullum ya wuce 40-50 g / l. An inganta Proteinuria, jiki ya rasa furotin. Kusan dukkan gabobin suna cutar. Marasa lafiya yana iya zama kusan coma mai ciwon sukari. Ana kiyaye rayuwa ne kawai akan allurar insulin - a ƙayyadaddun 60 OD ko sama da haka.

Jiyya don ciwon sukari na 1 (insulin-dogara)

Kamar yadda muka ambata a tsakiyar labarin, a cikin sashin “Raba daidaituwa na ciwon sukari mellitus”, masu haƙuri da ke da nau'in 1 na ciwon sukari koda yaushe suna buƙatar allurar insulin, tunda jiki ba zai iya samar da wannan hormone ɗin a cikin wadataccen adadin ba. Sauran hanyoyin bayar da insulin ga jiki, ban da allura, a halin yanzu babu su. Allunan-insulin don maganin ciwon sukari na 1 ba zai taimaka ba.

Baya ga allurar insulin, magani ga masu cutar siga na 1 ya hada da:

- cin abinci,
- aiwatar da dosed mutum aiki na jiki (DIF).

Motsa jiki don kamuwa da cutar siga

A wannan “lokacin” na yanzu, lokacin talabijan, Intanet, talauci, kuma a lokaci guda ana samun aikin da ake karba sosai, yawan mutane yana tafiya ƙasa kaɗan. Abin takaici, wannan ba shine hanya mafi kyau ba don shafar lafiyar. Ciwon sukari mellitus, hauhawar jini, basur, gazawar zuciya, raunin gani, cututtukan kasusuwa wani bangare ne na cututtukan da yanayin rayuwa mara aiki ne kai tsaye kuma a wasu lokuta kai tsaye mai laifi.

Lokacin da mutum ya jagoranci rayuwa mai aiki, yana tafiya da yawa, yana hau keke, yana motsa jiki, yana motsa jiki, motsa jiki yana motsa jiki, jini "wasa". A lokaci guda, duk sel suna karɓar abinci mai mahimmanci, gabobin suna cikin tsari mai kyau, tsarin garkuwar jiki yana aiki daidai, kuma jiki gaba ɗaya yana da rauni sosai ga cututtuka daban-daban.

Abin da ya sa motsa jiki matsakaici a cikin ciwon sukari yana da sakamako mai amfani. Lokacin da kuke yin motsa jiki na jiki, ƙara yawan hadawan abu da iskar shaka daga jini yana faruwa a cikin ƙashin tsoka, sabili da haka, matakin sukari na jini yana raguwa. Tabbas, wannan baya nuna cewa yanzu an canza ka sosai zuwa sutturar motsa jiki, kuma kayi tafiyar 'yan kilomita kaɗan ba tare da saninsa ba. Kwastom ɗin da suka wajaba a gare ku shine likitanku zai wajabta muku.

Magungunan Ciwon Mara

Yi la'akari da wasu rukuni na kwayoyi game da ciwon sukari (magungunan antipyretic):

Magunguna waɗanda ke motsa ƙwayar tsoka don samar da ƙarin insulin: Sulfonylureas (Glyclazide, Glycvidon, Glipizide), Meglitinides (Repaglinide, Nateglinide).

Kwayoyin da ke sa ƙwayoyin jikin mutum su zama masu hankali ga insulin:

- Biguanides ("Siofor", "Glucophage", "Metformin"). Contraindicated a cikin mutane da zuciya da koda gazawar.
- Thiazolidinediones ("Avandia", "Pioglitazone"). Suna haɓaka tasiri na aikin insulin (haɓaka juriya na insulin) a cikin adipose da ƙwayoyin tsoka.

Yana nufin tare da aiki na gaba: Inhibitors na DPP-4 (Vildagliptin, Sitagliptin), glucagon-like peptide-1 agonists mai karɓa (Liraglutid, Exenatide).

Magunguna waɗanda ke hana shan glucose a cikin narkewar abinci: alpha glucosidase inhibitor ("Acarbose").

Shin za a iya magance cutar sankara?

Tabbataccen tsinkaya a cikin maganin cututtukan siga ya dogara ne akan:

- nau'in ciwon suga,
- lokacin gano cutar,
- cikakken bincike,
- tsananin riko da mai ciwon sukari ga magungunan likitan.

A cewar masana kimiyyar zamani (hukuma), a halin yanzu ba shi yiwuwa a murmure gaba daya daga nau'in ciwon sukari na 1, da kuma nau'in nau'in ciwon sukari na 2. Aƙalla, irin waɗannan magunguna har yanzu ba a ƙirƙira su ba. Tare da wannan ganewar asali, magani yana nufin hana rikice-rikice, kazalika da tasirin cutar cutar kan aikin wasu gabobin. Bayan duk, kuna buƙatar fahimtar cewa haɗarin ciwon sukari ya ta'allaka daidai ga rikitarwa. Tare da taimakon allurar insulin, zaku iya rage hanzarin tafiyar matakai na jiki kawai.

Jiyya na nau'in ciwon sukari na 2 na sukari, a mafi yawan lokuta, tare da taimakon gyaran abinci, da kuma aiki na jiki, yana da matukar nasara. Koyaya, idan mutum ya sake komawa tsohuwar hanyar rayuwa, hyperglycemia baya ɗaukar dogon jira.

Zan kuma so in lura cewa akwai wasu hanyoyin da ba a bi da su don magance cututtukan siga, alal misali, yin azumi na warkewa. Irin waɗannan hanyoyin sau da yawa suna ƙare don farfado da masu ciwon sukari. Daga wannan dole ne mu yanke shawara cewa kafin amfani da magunguna da shawarwari na mutane daban-daban, tabbatar da tuntubi likita.

Tabbas, ba zan iya faɗi ba amma sake faɗi wata hanya ta warkarwa daga cutar sankara - addu'a, juya zuwa ga Allah. Dukansu a cikin Littafi Mai Tsarki da kuma a cikin zamani na zamani babban adadin mutane da yawa mai ban mamaki sun sami warkarwa bayan sun juya ga Ubangiji, kuma, a wannan yanayin, ba abin damuwa da abin da mutum ba shi da lafiya, saboda abin da ba zai yiwu ga mutum ba, komai mai yiwuwa ne ga Allah.

Madadin magani ga masu ciwon sukari

Mahimmanci! Kafin amfani da magunguna na mutane, tabbatar cewa ka nemi likitanka!

Seleri tare da lemun tsami. Kwasfa 500 g na seleri tushen kuma juya su tare da lemons 6 a cikin nama grinder. Tafasa ruwan magani a cikin kwanon rufi a cikin wanka na ruwa na awa 2. Na gaba, sanya samfurin a cikin firiji. A cakuda dole ne a sha 1 tbsp. cokali a cikin minti 30. Kafin karin kumallo, tsawon shekaru 2.

Lemun tsami tare da faski da tafarnuwa. Mix 100 g lemun tsami bawo tare da 300 g na faski tushe (zaka iya sanya ganye) da 300 g tafarnuwa. Mun karkatar da komai ta hanyar nama na karasa.Sanadin cakuda da aka sa an saka a cikin tulu kuma a saka a cikin duhu mai sanyi na sati 2. Sakamakon samfurin ya kamata a sha sau 3 a rana, teaspoon 1 mintuna 30 kafin cin abinci.

Itace Linden. Idan kana da sukari na jini, sha jiko na linden maimakon shayi na tsawon kwanaki. Don shirya samfurin, saka 1 tbsp. cokali na lemun tsami a kan 1 kopin ruwan zãfi.

Hakanan zaka iya dafa da kayan kwalliyar linden. A saboda wannan, kofuna waɗanda 2 na fure mai linden zuba ruwa 3 na ruwa. Tafasa wannan samfurin na minti 10, sanyi, laushi kuma zuba cikin kwalba ko kwalabe. Ka a cikin firiji. Ku ci rabin kopin lemun tsami kullun idan kun ji ƙishirwa. Lokacin da kuka sha wannan yanki, hutu na makonni 3, bayan haka ana iya maimaita karatun.

Alder, nettle da quinoa. Mix rabin gilashin alder ganye, 2 tbsp. spoons na ganye quinoa da 1 tbsp. a spoonful na nettle furanni. Zuba ruwan cakuda 1 na ruwa, girgiza sosai kuma ajiye shi na kwanaki 5 a wuri mai haske. Sannan ƙara tsunkule na soda a cikin jiko kuma cinye 1 teaspoon a cikin minti 30. Kafin abinci, safe da maraice.

Buckwheat Kara tare da kofi grinder 1 tbsp. cokali cokali na buckwheat, sannan a kara shi a kofi 1 na kefir. Nace da dare kuma sha da safe minti 30 kafin abinci.

Lemun tsami da qwai. Matsi da ruwan 'ya'yan lemun tsami daga lemun tsami 1 kuma a haɗa shi daidai da kwai 1 raw da shi. Sha sakamakon samfurin 60 mintuna kafin abinci, don kwanaki 3.

Gyada Zuba kashi 40 g na walnuts tare da gilashin ruwan zãfi. Sannan sanya duhu acikin ruwan wanka na tsawon mintuna 60. Cool da iri da jiko. Kuna buƙatar ɗaukar jiko na 1-2 na minti 30 kafin abinci, sau 2 a rana.

Ganyen ganye na gyada kuma yana taimakawa. Don yin wannan, cika 1 tbsp. cokali biyu na daskararre-ƙasa da ƙasa bar 50 ml na ruwan zãfi. Na gaba, tafasa da jiko na mintina 15 a kan zafi kadan, sannan ku bar don infuse na kimanin minti 40. Ya kamata a tace broth kuma a dauki sau 3-4 a rana a cikin rabin gilashi.

Hazel (haushi). Finice sara da zuba 400 ml na tsarkakakken ruwa 1 tbsp. cokali biyu na hazel haushi. Bar samfurin don yin infuse na dare, bayan wannan mun sanya jiko a cikin kwanon ruwan da ke cike da wuta kuma kunna wuta. Cook dafa magani don kimanin minti 10. Bayan haka za mu kwantar da broth, rarraba shi zuwa sassa daidai kuma ku sha ko'ina cikin yini. Rike broth a cikin firiji.

Aspen (haushi). A sa a cikin wani kwanon rufi enamel dintsi na planpen Aspen haushi, wanda zuba 3 lita na ruwa. Kawo samfurin a tafasa ka cire daga wuta. A sakamakon broth dole ne a bugu a maimakon shayi, na makonni 2, bayan haka hutu na kwanaki 7 da sake maimaita hanyar magani. Tsakanin karatun na 2 da na 3, ana yin hutu tsawon wata daya.

Ganyen Bay. Sanya ganye na bushe goma 10 a cikin kwanon ruɓaɓɓen ko gilashin kwano kuma zuba ruwa 250 na ruwan zãfi a kansu. Kunsa ganga da kyau kuma bar shi ta tsaya na awanni 2. Sakamakon jiko na ciwon sukari ya kamata a sha sau 3 a rana a cikin rabin gilashi, mintuna 40 kafin cin abinci.

'Ya'yan flax Niƙa cikin gari 2 tbsp. tablespoons na flax tsaba kuma cika su da 500 ml na ruwan zãfi. Tafasa ruwan cakuda a cikin akwati na enamel na kimanin minti 5. Dole ne a bugu sosai a lokaci 1, a cikin yanayin dumi, mintuna 30 kafin cin abinci.

Don rauni waraka a cikin ciwon sukari, yi amfani da lotions akan insulin.

Yin rigakafin ciwon sukari

Don hana farkon ciwon sukari, masana sun bada shawarar bin ka'idodin rigakafin:

- Kula da nauyin ka - hana bayyanar ƙarin fam,
- jagoranci rayuwa mai aiki,
- a ci daidai - ku ci kaɗan, ka kuma yi ƙoƙarin guje wa abincin da ke cikin wadataccen carbohydrates mai narkewa, amma ka mai da hankali ga abinci mai wadataccen abinci na bitamin da ma'adanai,
- kula da hauhawar jijiyar jini (hauhawar jini) da kuma yawan motsa jiki,
- kar a daina kula da cututtukan da ba a kula da su ba,
- kar a sha giya,
- lura da matakan sukari na jini lokaci-lokaci, kuma idan ya cancanta, ɗauki matakan kariya don hana canzawar hawan jini zuwa matsakaici da matsanancin digiri.