Ciwon sukari mellitus a cikin tsofaffi: abin da ke haɗari ga mutum ya tsufa kuma me yasa yake faruwa

Ana ɗaukar ciwon sukari mellitus wata cuta ce mai rashin hankali ga ɗan adam, yana buƙatar saka idanu akan yanayin da manyan kudade don tabbatar da magani.

Abubuwan da zasu iya haifar da cutar sankara - illa ga aikin koda, hanta, matsalolin zuciya. Sabili da haka, yana da matukar muhimmanci a tabbatar da bayyanar cutar daidai kuma cikin lokaci.

Ana lura da juriya na insulin ba kawai a cikin tsofaffi ba. A yau, yara marasa lafiya da yara sukan kamu da cutar. Amma tambaya mafi dacewa ita ce har yanzu ga mutanen da shekarunsu suka fi shekaru 55. Menene dalilin wannan fasalin, yadda za a gano musababin musababin cutar sankara?

Dalilai na ci gaba

Kamar yadda bincike na asibiti ya nuna, ciwon sukari mellitus, musamman nau'in II, yana faruwa ne a kan asalin tsaran kwayoyin halitta (80% na cututtukan fata). Akwai wasu dalilai na biyu wadanda suma suke bayar da gudummawa ga ci gaban cutar.

Musamman, yana da mahimmanci a san abubuwa da yawa da ke haifar da ciwon sukari:

kiba kowane wahala. Yana cikin metabolism na lipid cewa akwai hadarin da ke da matukar mahimmanci ga mutanen da ke da jinkirin metabolism a jiki,
yanayin damuwa na kowane irin ƙarfi da tsawon lokaci. Ga tsofaffi, yanayin damuwa ɗaya ya isa, a bango wanda za a sami ƙarin hauhawar jini, arrhythmia da kuma ƙara yawan ɓoyewar cortisol (hormone damuwa). Sakamakon damuwa na damuwa na yau da kullun, jiki zai iya amsawa ba daidai ba, tsokani bayyanar insulin juriya,
rayuwa mai zaman kanta a hade tare da ƙarancin abinci mai gina jiki (keɓaɓɓu, ƙoshin dabbobi) bisa ga masu bayar da kuɗi suna haifar da tsinkayar cutar sankara.

Siffofin a cikin tsofaffi marasa lafiya

Marasa lafiya waɗanda suka girmi shekaru 50 sau da yawa suna da matakan haɓaka kwayoyin homon-contraor. An fara daga wannan zamani, akwai tsinkayar dabi'a ta dabi'a zuwa ga samar da kwayoyin hodar iblis a cikin STH, ACTH, da cortisol.

A ƙarshen wannan aikin, haƙurin glucose ya ragu. A aikace, alamomin da ke canzawa suna sanadiyyar abubuwan da zasu iya kawo canji ga cigaban ciwon sukari, duka dangane da yanayin gado kuma ba tare da shi ba.

Endocrinologists lura cewa kowace shekara 10 (bayan 50):

Na daɗe ina nazarin matsalar Cutar DIABETES. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

Na yi hanzarin ba da labari mai kyau - Cibiyar Bincike ta Endocrinological na Kwalejin Kimiyya ta Rasha ta gudanar da wani magani wanda ke warkar da ciwon sukari gaba daya. A yanzu, ingancin wannan magani yana gab da kusan kashi 100%.

Wani albishir mai kyau: Ma'aikatar Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya duk farashin magunguna. A Rasha da kasashen CIS masu ciwon sukari a da 6 ga Yuli na iya karɓar magani - KYAUTA!

sukari matakin hawa da sauka kusa 0055 mmol / l (a kan komai ciki),
da yawaitar glucose a cikin kwayoyin halitta (plasma) bayan 1.5-2-2 hours bayan shigo da kowane abinci yana ƙaruwa da 0,5 mmol / L.

Waɗannan alamu ne kawai na matsakaita, waɗanda a rayuwa zasu iya bambanta.

A cikin tsofaffi, ba tare da la'akari da tsinkaya ba, maida hankali na HCT (glucose a cikin jini) ya bambanta da abubuwa da yawa, waɗanda aka ayyana a sama azaman na biyu. Sakamakon mafi girma ko ƙananan haɗari ga nau'in ciwon sukari na II a cikin masu ritaya.

Don yin bayani dalla-dalla, ya zama dole cikin kuzari don saka idanu kan abubuwan da ake amfani da shi na jini bayan kowace abinci (bayan awanni 2). Numbersaruwar lambobi yana nuna cewa akwai matsaloli masu girma a cikin jiki, wanda a cikin tsufa yana nufin kasancewar ciwon sukari.

A shekara ta 47, an gano ni da ciwon sukari na 2. A cikin 'yan makonni kaɗan na sami kusan kilo 15. Rage jiki, bacci, jin rauni, hangen nesa ya fara zama.

Lokacin da na cika shekaru 55, na riga na saka kaina da insulin, komai yayi dadi sosai. Cutar ta ci gaba da ci gaba, rikicewar lokaci ya fara, motar asibiti ta dawo da ni daga duniya ta gaba. Duk lokacin da nayi tunanin cewa wannan lokacin zai zama na karshe.

Duk abin ya canza lokacin da 'yata ta bar ni in karanta labarin guda a kan Intanet. Ba za ku iya tunanin irin yadda nake gode mata ba. Wannan labarin ya taimaka mini in kawar da ciwon sukari gaba daya, cutar da ba a iya Magani. Shekaru 2 na ƙarshe na fara motsawa, a cikin bazara da lokacin rani Ina zuwa ƙasar kowace rana, girma tumatir da sayar da su a kasuwa. Aan uwana sun yi mamakin yadda nake ci gaba da komai, inda ƙarfi da ƙarfi suke fitowa, amma har yanzu ba su yarda cewa ina da shekara 66 ba.

Wanene yake so ya rayu tsawon rai, mai kuzari kuma ya manta da wannan mummunan cutar har abada, ɗauki mintuna 5 kuma karanta wannan labarin.

Take hakkin haƙuri (ƙarar alamun alamun plasma) zuwa glucose a cikin tsufa galibi shine sakamakon wasu dalilai da yawa:

raguwa daga tushen canje-canje masu tsufa a cikin ji na jijiyoyin jiki zuwa insulin,
rage aikin cututtukan ƙwayar cututtukan ƙwayar cuta, musamman, insulin insulin,
sakamakon lalacewa (hormones) yana raguwa saboda tsufa.

Yawan nau'in ciwon sukari na II na cikin masu karban fansho ana ɗaukar nauyi da dalilai kamar su yawan cututtukan ƙwayoyin cuta.

Dangane da kididdigar endocrinologists, 80% na marasa lafiya da wannan cuta a baya suna da hauhawar jini ko dyslipidemia. Irin waɗannan yanayi suna buƙatar magani na musamman (prophylactic ko inpatient).

Bayan wasu magunguna don cututtukan da ke sama, sakamako masu illa suna faruwa: take hakkin carbohydrate da lipid metabolism. Waɗannan halayen suna rikitar da cututtukan metabolism waɗanda ke buƙatar gyara a cikin masu ciwon sukari.

Hoto na asibiti

A matsayinka na mai mulkin, marasa lafiya ko danginsu ba su mai da hankali ga rashin bayyanar cututtuka ba, wanda, a halin yanzu, alamomi ne masu mahimmanci na haɓaka wata cuta mai rikitarwa.

Gajiya, rashin barci, sauyawa yanayi da cututtukan hoto na yau da kullun - waɗannan alamun halaye ne ga tsofaffi.

Saboda haka, da yawa kawai basa neman shawara, suna danganta dukkan alamu shekaru. A halin yanzu, waɗannan alamun ne, har ma da adadin adadin ruwan da aka ɗauka wanda ke nuna kasancewar cutar.

Menene haɗarin kamuwa da ciwon sukari na 2 a cikin tsofaffi?

Kamar kowane cuta a cikin tsofaffi ko tsufa, ciwon sukari yana da maki masu haɗari waɗanda suke da mahimmanci don la'akari da duka marasa lafiya da kansu da danginsu:

rikice-rikice na jijiyoyin jini (macroangiopathy na manyan jijiya da jijiya),
microangiopathy ko canjin arterioles, capillaries, venules (atherosclerosis),
cututtukan zuciya da jijiyoyin jini
karuwar hadarin na ta hanyar mamayar da zuciya,
karuwar hadarin bugun jini,
atherosclerosis na tasoshin ƙafafun.

Ya kamata a fahimci cewa microangiopathies (atherosclerosis) yana haɓaka cikin tsofaffi da sauri fiye da a cikin marasa lafiya da ke da irin waɗannan cututtukan tun suna ƙarami. A kan asalin ciwon sukari mellitus, irin waɗannan rikice-rikice mara kyau kamar raguwar hangen nesa (don cikakkiyar makanta), aikin retinopathy na baya, da kuma girgizar ruwan tabarau an bayyana.

A gaban cututtukan koda, nephroangiopathy, cututtukan pyelonephritis na kullum. Sau da yawa ana fama da cutar ƙwallon ƙafa. Wannan tsari yana tattare da raguwar jijiyar fata akan kafafu, daga lokaci zuwa lokaci akwai abin da yake haifar da creeps, kuma duk fatar ta bushe, kamar takarda nama.

Binciko

Idan kuna zargin ciwon sukari, likita ya ba da izinin yin binciken (aƙalla sau biyu) na abubuwan glucose na jini:

glycated haemoglobin,
albumin karin albumin,
sukari na azumi (plasma)> 7.0 mmol / l - mai nuna ciwon sukari,
sukari na jini daga yatsa> 6.1 mmol / L shima alama ce ta ciwon suga.

Yana da mahimmanci la'akari da shaidar fitsari don kasancewar glucose, acetone. Binciken da likitan likitan ido, likitocin kwakwalwa ke dauka na tilas ne.

Magungunan magani

Kula da ciwon sukari zai buƙaci ba kawai lokaci mai yawa ba (aƙalla shekaru biyu), har ma da babbar ɓarnar kuɗi.

Yawancin marasa lafiya, suna fatan samun waraka tare da taimakon shawarwari masu sauƙi, fara yanayi mai rikitarwa, yana haifar da samuwar cutar siga.

Sugar a cikin wannan yanayin ya wuce alamar 30 mmol / l (a ƙimar kasa da 5), magana ta narke, tunani ya saba. Ba wai kawai kwayoyin kwakwalwa ba ne suke hallaka, har ma da dukkanin gabobin ciki.

Magana game da magani a wannan yanayin yana da matukar wahala. Aikin shine na likita don ceton rai da inganta halayyar rayuwa. Yin magani na ciwon sukari shine kawai zaɓi na dama wanda zai iya inganta lafiyar, sannan kawai ya kula da yanayin al'ada.

Lokacin da zai yuwu a daidaita matakan sukari, ana bada shawara don amfani da increatins (mimetics, GLP-1). Amma, a kowane hali, yana da mahimmanci a fahimci cewa ingancin rayuwa ya dogara da yanayin farkon mai haƙuri, kuma matakan da yawa na warkewa suna nufin rage sukari. A nan gaba, mara lafiya ne kawai ke lura da abincin, yana ɗaukar shawarar likitansa.

Magunguna da aka saba rubutowa: