Halin kwatankwacin halayen masu ciwon sukari da insipidus na sukari
Ya kamata a faɗi nan da nan cewa ciwon sukari da insipidus na ciwon sukari sune cututtukan guda biyu gaba ɗaya waɗanda kalmar ta "haɗu"ciwon sukari".
Ciwon sukari, fassara daga Girkanci, yana nufin "wucewa"A cikin magani, ciwon sukari yana nufin yawancin cututtuka waɗanda ke haɓaka yawan wucewar fitsari daga jiki. Wannan shine kawai abin da ya haɗu" ciwon sukari da ciwon insipidus - a cikin duka cututtukan da mara lafiyar ke fama da cutar ta polyuria (yawan urination na ciki).
Ciwon sukari mellitus yana da nau'ikan biyu. A nau'in ciwon sukari I, ƙwayar ƙwayar cuta ta dakatar da samar da insulin, wanda jiki ke buƙatar ɗaukar glucose. A cikin marasa lafiya da nau'in sukari na II na ciwon sukari mellitus, ƙwanƙwasa, a matsayin mai mulkin, yana ci gaba da samar da insulin, amma hanyar da yake sha yana lalata. Saboda haka, a cikin ciwon sukari mellitus, karuwa a cikin abubuwan glucose a cikin jinin mai haƙuri yana faruwa, kodayake saboda dalilai daban-daban. Yayinda yawan sukari mai jini ya fara lalatar da jikin, sai yayi kokarin kawar da yawanta ta hanyar karuwancinsa. Bi da bi, yawan urination akai-akai yana haifar da rashin ruwa, saboda haka, masu ciwon sukari suna bin kullun ta hanyar jin ƙishirwa.
Type I ciwon sukari bi da allurar insulin tsawon rai Nau'i Na II - a matsayin mai mulkin, magani. A cikin halayen guda biyu, an nuna abinci na musamman, wanda ke taka muhimmiyar rawa wajen lura da cututtukan dabbobi.
Ciwon sukari insipidus, ba kamar sukari ba, cuta ce mai wahalar gaske, wacce aka dogara da ita tsarin hypothalamic-pituitary, a sakamakon wanda aka samar da maganin antidiuretic hormone ya ragu, ko ma ya daina aiki baki ɗaya vasopressin, wanda ke shiga cikin rarraba ruwa a jikin mutum. Vasopressin ya zama dole don kula da homeostasis na yau da kullun ta hanyar daidaita adadin ruwan da aka cire daga jiki.
Tunda tare da ciwon insipidus na sukari yawan vasopressin da ke haifar da glandon endocrine bai isa ba, jiki yana damuwa da reabsorption (juyawa daga ciki) na ruwa ta hanyar tirinles na koda, wanda ke haifar da polyuria tare da ƙarancin fitsari.
Akwai nau'ikan guda biyu na insipidus na ciwon sukari: mai aiki da na halitta.
Yawan ciwon sukari insipidus suna cikin nau'in nau'in idiopathic, sanadin wanda ba a fahimta sosai ba, ana ɗaukar yanayin ilimin hereditary.
Organic ciwon sukari insipidus yana faruwa ne sakamakon raunin kwakwalwa, rauni, tiyata, musamman bayan cire adenoma na pituitary adenoma. A wasu halaye, ciwon insipidus na ciwon sukari yana haɓaka da asalin cututtukan CNS daban-daban: sarcoidosis, ciwon daji, meningitis, syphilis, encephalitis, cututtukan autoimmune, da cututtukan jijiyoyin zuciya.
Rashin ciwon sukari wanda ba shi da ciwon suga ya kama maza da mata duka daidai.
Bayyanar cututtuka na insipidus ciwon sukari:
- karuwa a cikin fitowar fitsari kullun zuwa 5-6 l, tare da ƙara ƙishirwa,
- sannu a hankali polyuria yakan tashi zuwa lita 20 a kowace rana, marasa lafiya suna shan ruwa mai yawa, suna fifita sanyi ko kankara,
- ciwon kai, rage yawan nutsuwa, bushewar fata,
- haƙuri yana da bakin ciki sosai
- Damuwa da faɗuwar ciki da mafitsara yakan faru
- saukar karfin jini, tachycardia yana tasowa.
A cikin abin da ya haifar da ciwon sukari insipidus a cikin jarirai da yara na shekarar farko ta rayuwa, yanayin su na iya zama mai muni.
Jiyya na insipidus na ciwon sukari ya ƙunshi maganin maye tare da analog na roba na vasopressin, wanda ake kira adiuretin ciwon sukari ko desmopressin. Ana gudanar da maganin a cikin jijiya (ta hanci) sau biyu a rana. Wataƙila sadar da wani magani mai dogon tsayi - tanada tanata, wanda ake amfani dashi lokaci 1 cikin kwanaki 3-5. Tare da insipidus nephrogenic diabetes, thiazide diuretics da shirye-shiryen lithium an wajabta su.
Marasa lafiya tare da ciwon insipidus na sukari ana nuna masu abinci tare da karuwar adadin carbohydrates da abinci akai-akai.
Idan ciwon insipidus ya haifar da kumburin kwakwalwa, ana nuna tiyata.
Insipidus na ciwon sukari na postoperative yawanci shine mai jinkiri a yanayi, yayin da cutar sankarar lafiyar idiopathic ta ci gaba a wani yanayi na yau da kullun. Hasashen ciwon insipidus na ciwon sukari, wanda ya inganta saboda rashin isasshen hypothalamic-pituitary insufficiency, ya dogara da matakin adenohypophysial insufficiency.
Tare da maganin da aka tsara lokacin kan cutar insipidus, maganin hango rayuwa yana da kyau.
GASKIYA! Bayanin da aka gabatar akan wannan rukunin yanar gizon don ra'ayi ne kawai. Ba mu da alhakin sakamakon mummunan sakamako na shan magani!
Kiba yana taimakawa ci gaban cutar ta nau’i na biyu.
