Menene haɗarin haƙuri da rashin haƙuri na glucose?
Rashin daidaituwa tsakanin glucose wani yanayi ne wanda ake samun hauhawar glucose a cikin jini, amma wannan nuna bai isa matakin da ake yin binciken cutar suga ba. Wannan mataki na rashin lafiyar metabolism na iya haifar da ci gaba na nau'in ciwon sukari na 2 na mellitus, saboda haka yawanci ana gano shi a matsayin mai ciwon suga.
ICD-10 | R73.0 |
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ICD-9 | 790.22 |
Raga | D018149 |
A matakin farko, ilimin halittu na haɓaka asymptomatally kuma ana gano shi kawai godiya ga gwajin haƙuri haƙuri.
Babban bayani
Rashin daidaituwa na glucose da ke da alaƙa da raguwa a cikin shan ƙwayar jini ta tsokoki ta jiki an taɓa ɗauka matakin farko na ciwon sukari (latent diabetes mellitus), amma kwanan nan an kira shi azaman wannan cuta daban.
Wannan cin zarafi wani bangare ne na cututtukan metabolism, wanda kuma aka nuna shi ta hanyar karuwar yawan kitse na visceral, hauhawar jini da hauhawar jini.
Dangane da ƙididdigar data kasance, an gano haƙuri mai raunin glucose a cikin kusan mutane miliyan 200, yayin da ake gano wannan cutar sau da yawa tare da kiba. Ana lura da cutar suttura a Amurka a cikin kowane yaro na huɗu tare da cikakke lokacin yana da shekaru 4 zuwa 10, kuma a cikin kowane ɗan biyar na cikakken yaro daga shekaru 11 zuwa 18.
Kowace shekara, 5-10% na mutanen da ke fama da rashin haƙuri a cikin sukari suna fuskantar sauyin wannan cuta zuwa mellitus na sukari (yawanci ana ganin irin wannan canjin a cikin marasa lafiya da masu kiba).
Dalilai na ci gaba
Glucose a matsayin babban tushen samar da makamashi yana samar da matakai na rayuwa a jikin mutum. Glucose yana shiga cikin jiki saboda yawan ƙwayoyin carbohydrates, wanda bayan an lalata su daga narkewa daga cikin jini.
Ana buƙatar insulin (hormone wanda ke samar da ƙwayar hanji) ana buƙatar don ɗaukar glucose ta kyallen. Sakamakon karuwa a cikin ƙwayoyin plasma membranes, insulin yana ba kyallen takarda damar ɗaukar glucose, rage girman matakin a cikin jini 2 hours bayan cin abinci zuwa al'ada (3.5 - 5.5 mmol / l).
Abubuwan da ke haifar da raunin glucose mai lalacewa na iya kasancewa saboda dalilai na gado ko salon rayuwa. Abubuwan da ke ba da gudummawa ga ci gaban cutar sune:
- kwayoyin halittar jini (kasancewar cutar sankarar mellitus ko ciwon suga a cikin dangi na kusa),
- kiba
- hauhawar jini
- dagagge jini lipids da atherosclerosis,
- cututtukan hanta, tsarin zuciya, kodan,
- gout
- hawan jini
- jurewar insulin, a cikin abin da jijiyoyin jijiyoyin jijiyoyin jikinsu ke cikin tasirin insulin ya ragu (an lura da rikice-rikice na rayuwa),
- kumburin ciki da sauran abubuwanda suke taimakawa wajen samarda insulin,
- babban cholesterol
- sutudiyyar rayuwa
- cututtukan tsarin endocrine, wanda aka samar da kwayoyin hormonal masu yawa a cikin jiki (cututtukan Itsenko-Cushing, da sauransu),
- cin zarafin abinci wanda ya ƙunshi babban adadin carbohydrates mai sauƙi,
- shan glucocorticoids, maganin hana haihuwa da wasu magungunan hormonal,
- shekaru bayan shekaru 45.
A wasu halaye, ana kuma gano cin zarafin haƙuri a cikin mata masu juna biyu (ciwon sukari na ciki, wanda aka lura a cikin 2.0-3.5% na duk lokuta na ciki). Abubuwan haɗari ga mata masu juna biyu sun haɗa da:
- matsanancin nauyin jiki, musamman idan nauyin da ya wuce kima ya bayyana bayan shekaru 18,
- kwayoyin halittar jini
- sama da shekara 30 da haihuwa
- kasancewar cutar sankara a cikin haihuwa,
- polycystic ovary syndrome.
Rashin daidaituwa na glucose yana haifar da haɗuwa da lalata insulin mai lalacewa da raguwar jijiyar nama.
Samuwar insulin ana motsa shi ta hanyar abinci (ba lallai ne ya zama carbohydrates) ba, sakin sa yana faruwa ne yayin da matakin glucose na jini ya tashi.
An inganta insulin insulin ta hanyar tasirin amino acid (arginine da leucine) da wasu kwayoyin halittar jini (ACTH, HIP, GLP-1, cholecystokinin), har da estrogens da sulfonylureas. Tionara yawan insulin insulin kuma tare da haɓaka abun cikin plasma na alli, potassium ko kitse mai mai kyauta.
Rage insulin insulin yana faruwa a ƙarƙashin rinjayar glucagon, hormone na pancreas.
Insulin yana kunna mai karɓar insulinrane, wanda ke nufin hadaddun glycoproteins. Abubuwan da ke tattare da wannan mai karɓa sune alfa biyu da kuma beta biyu da aka haɗa ta hanyar ɗaure abubuwan haɗin gwiwa.
Abubuwan da suke karɓa na alpha receipor suna nan a waje da sel, kuma ana gabatar da jerin abubuwan beta na protein a cikin tantanin halitta.
Anara yawan matakan glucose yawanci yana haifar da karuwa a cikin aikin tyrosine kinase, amma tare da ciwon suga akwai ƙananan cin zarafin insulin mai ɗaukar mai karɓa. Tushen wannan cin zarafi shine raguwa a cikin adadin masu karɓar insulin da furotin da ke ba da jigilar glucose a cikin tantanin halitta (masu jigilar glucose).
Babban gabobin da aka yiwa kwalliya da insulin sun hada da hanta, adipose da tsoka. Kwayoyin waɗannan kyallen takarda sun zama marasa hankali (tsayayya) ga insulin. Sakamakon haka, haɓaka glucose a cikin kyallen na yanki yana raguwa, ƙirar glycogen yana raguwa, kuma ciwon sukari yana haɓaka.
Za'a iya haifar da nau'in ciwon sukari na latent na wasu abubuwan da ke shafar ci gaban insulin juriya:
- A take hakkin permeability na capillaries, wanda take kaiwa zuwa take hakkin kai na insulin ta hanyar na jijiyoyin zuciya endothelium,
- jari na canza lipoproteins,
- acidosis
- tara hydrolase aji enzymes,
- kasancewar alamu na yau da kullun na kumburi, da sauransu.
Rashin jarin insulin na iya alaƙa da canji a cikin ƙwayoyin insulin, kazalika da haɓaka ayyukan ƙwayoyin haila ko kwayoyin ciki.
Lationarya aikin haƙuri a matakin farko na haɓakar cutar ba a bayyanuwa ba ta asibiti. Marasa lafiya yawanci sun cika kiba ko kiba, kuma binciken ya nuna:
- azumi normoglycemia (glucose a cikin jini na al'ada shi ne na al'ada ko dan kadan sama da na al'ada),
- karancin glucose a cikin fitsari.
Abunda ke iya haɗuwa da:
- furunlera,
- zub da jini da cututtukan tari,
- fata da farjin farji, busassun fata,
- dogon lokacin da raunikan fata raunuka,
- rauni, jima'i, rashin daidaituwa na al'ada (amenorrhea yana yiwuwa),
- angioneuropathy (rauni na kananan jiragen ruwa tare da rauni jini yawo, a hade tare da jijiya lalacewa, wanda aka tare da mai illa na hanyar da impulses) na daban-daban mai ƙarfi da kuma ta wurin.
Yayin da rikice-rikicen ke ƙaruwa, ana iya ƙara hoto na asibiti:
- jin ƙishirwa, busasshen baki da haɓaka ruwa,
- urination akai-akai
- raguwa cikin rigakafi, wanda ke tare da cututtuka masu kumburi da cututtukan fungal.
Binciko
Rashin haƙuri da haƙuri a cikin mafi yawan lokuta ana gano shi kwatsam, tun da marasa lafiya ba su gabatar da koke ba. Tushen ganewar asali yawanci sakamakon gwajin jini ne ga sukari, wanda ke nuna karuwar glucose mai azumi zuwa 6.0 mmol / L.
- an tantance bayanan tarihi (bayanai kan cututtukan gamuwa da dangi da ke fama da cutar siga),
- jarrabawa na gaba daya, wanda a lokuta da yawa ya bayyana kasancewar yawan tsawan jiki ko kiba.
Dalilin ganowar cutar kansa shine gwajin haɓakar glucose, wanda ke kimanta ƙarfin jikin mutum don ɗaukar glucose. A gaban cututtukan cututtuka, haɓaka ko rage yawan aiki na jiki yayin ranar kafin gwajin (bai dace da saba ba) da shan kwayoyi waɗanda ke shafar matakin sukari, ba a gudanar da gwajin ba.
Kafin ɗaukar gwajin, ana ba da shawarar kada ku iyakance abincin ku na tsawon kwanaki 3, saboda yawan ƙwayoyin carbohydrates aƙalla 150 g kowace rana. Aiki na jiki kada ya wuce madaidaicin lodi. A maraice, kafin wucewa da bincike, yawan adadin carbohydrates da aka cinye ya kamata ya zama daga 30 zuwa 50 g, bayan wannan abincin ba a cinye shi tsawon awanni 8-14 (an yarda da ruwan sha).
- azumi samfurin samfurori don bincike na sukari,
- liyafar glucose bayani (na 75 g na glucose 250-300 ml na ruwa wajibi ne),
- maimaita samfurin jini don nazarin sukari 2 sa'o'i bayan ɗaukar maganin glucose.
A wasu halaye, ana ɗaukar ƙarin samfurori na jini kowane minti 30.
A lokacin gwajin, an haramta shan sigari domin kada a gurbata sakamakon binciken.
Har ila yau, an ƙaddara cin zarafin glucose a cikin yara ta amfani da wannan gwajin, amma ana ɗaukar nauyin "nauyin" glucose akan yaro bisa la'akari da nauyin - 1.75 na glucose ana ɗauka a kowace kilogram, amma jimlar ba ta wuce 75 g.
Rashin daidaituwa tsakanin glucose a lokacin daukar ciki ana duba shi ta amfani da gwajin baka tsakanin makonni 24 zuwa 28 na ciki. An gudanar da gwajin ta amfani da hanya guda, amma ya haɗa da ƙarin ma'aunin matakin glucose a cikin jini sa'a daya bayan an ɗauki maganin glucose.
A yadda aka saba, matakin glucose a lokacin yin gwajin jini sau da yawa kada ya wuce 7.8 mmol / L. Matsayi na glucose na 7.8 zuwa 11.1 mmol / L yana nuna rashin haƙuri na glucose, kuma matakin sama da 11.1 mmol / L alama ce ta ciwon sukari.
Tare da sake gano matakan glucose mai azumi wanda ke sama da 7.0 mmol / L, gwajin ba shi da amfani.
An yi gwajin ne a cikin mutane wadanda yawan su yakai yawan glucose a cikin jini wanda ya zarce 11.1 mmol / L, da kuma wadanda suka yi rauni na baya-bayan nan, tiyata ko haihuwa.
Idan ya zama dole don tantance asirin insulin, likita zai iya yin ƙuduri na matakin C-peptide a layi ɗaya tare da gwajin haƙuri na glucose.
Kula da cutar sankarar bargo ya dogara ne da tasirin rashin magani. Farfesa ya hada da:
- Gyara kayan abinci. Abincin abinci don haƙuri mai ƙarancin haƙuri yana buƙatar haɓaka Sweets (Sweets, da wuri, da dai sauransu), iyakance yawan cin abinci mai narkewa mai sauƙi (gari da taliya, dankali), iyakancewar ƙima na mai (mai daɗi, man shanu). Ana ba da shawarar rage cin abinci kaɗan (ƙananan servings kimanin sau 5 a rana).
- Activityarfafa aikin jiki. Nagari aikin yau da kullun, tsawan minti 30 - awa daya (yakamata a gudanar da wasanni a ƙalla sau uku a mako).
- Gudanar da nauyin Jiki.
Idan babu sakamakon warkewa, an tsara magunguna na baka (a-glucosidase inhibitors, sulfonylureas, thiazolidinediones, da sauransu).
Hakanan ana aiwatar da matakan kulawa don kawar da abubuwan haɗari (glandon thyroid yana daidaita al'ada, ana gyara metabolism na lipid, da sauransu).
A cikin 30% na mutanen da ke fama da cutar rashin daidaituwa na glucose, matakan glucose na jini daga baya sun koma al'ada, amma a mafi yawan marasa lafiya akwai babban haɗarin wannan cuta ta zama nau'in ciwon sukari na 2.
Cutar sukari na iya taimakawa ci gaban cututtukan cututtukan zuciya.
Yin rigakafin
Yin rigakafin kamuwa da ciwon suga ya hada da:
- Abincin da ya dace, wanda ke kawar da amfani da abinci mara kyau, gari da abinci mai ƙoshin mai, da kuma ƙara yawan bitamin da ma'adanai.
- Isasshen aikin motsa jiki na yau da kullun (kowane wasanni ko tafiya mai tsayi. Kada nauyin ya wuce kima (tsananin da tsawon lokacin motsa jiki yana ƙaruwa a hankali).
Ikon kula da nauyin jikin jiki shima ya zama dole, kuma bayan shekaru 40, yin bincike na yau da kullun (kowace shekara 2-3) na matakan glucose na jini.
Sanadin cutar
NTG (ƙarancin haƙuri na glucose) yana da lambar ta don ICD 10 - R 73.0, amma ba cuta ce mai zaman kanta ba. Irin wannan ilimin shine aboki na yawan kiba kuma ɗayan alamun cututtukan metabolism. Abunda ya faru shine bayyanar da canjin adadin sukari a cikin jini, wanda ya wuce dabi'un da aka halatta, amma har yanzu bai kai ga hauhawar jini ba.
Wannan na faruwa ne sakamakon gazawar matakai na ɗaukar glucose a cikin sel gabobin saboda ƙarancin isar da masu karɓar wayar salula zuwa insulin.
Wannan halin ana kiranta da cutar kansa kuma, idan ba a kula da shi ba, mutumin da ke da NTG zai jima ko kuma daga baya ya kamu da cutar sankarau ta nau'in ciwon sukari guda 2.
An gano cin zarafi a kowane zamani, har ma a cikin yara kuma a mafi yawan marasa lafiya, ana yin rikodin digiri na kiba daban-daban. Wuce kima a jiki yawanci yana tare da raguwa a cikin hankalin masu karɓar sel zuwa insulin.
Bugu da kari, abubuwanda zasu iya haifar da tsoratarwa ga NTG:
- Activityarancin aiki na jiki. Rayuwa mai wucewa tare da nauyin kiba yana haifar da rikicewar yanayin, wanda, bi da bi, yana haifar da matsaloli tare da zuciya da tsarin jijiyoyin jini, kuma yana shafar metabolism.
- Jiyya na ciki. Irin waɗannan kwayoyi suna haifar da raguwa a cikin amsawar salula zuwa insulin.
- Tsarin kwayoyin halitta. Jinsi mai mutuntaka yana shafar hankalin mai karɓar masu aiki ko aikin horon. An gaji irin wannan hanyar gado, wannan yana bayanin gano rashin haƙuri da ƙaranci a cikin ƙuruciya. Don haka, idan iyaye suna da matsala game da metabolism na metabolism, to yaron ma yana da babban haɗarin haɓaka NTG.
Wajibi ne a yi gwajin jini don haƙuri a cikin waɗannan halaye:
- ciki da babban tayi,
- haihuwar jariri babba ko sake haifuwa a ɗaukar ciki na baya,
- hauhawar jini
- shan diuretics
- maganin cututtukan farji,
- low plasma matakan na lipoproteins,
- gaban Cushing's syndrome,
- mutane bayan shekaru 45-50,
- babban triglycerides,
- hauhawar jini.
Cutar cutar sankara
Binciken cutar sankarau yana da wahala saboda rashi bayyanar cututtuka. NTG shine mafi yawan lokuta ana gano shi ta hanyar gwajin jini yayin binciken likita don wata cuta.
A wasu halaye, lokacin da yanayin cutar ta ci gaba, marasa lafiya suna kula da irin waɗannan bayyanar:
- ci abinci yana ƙaruwa sosai, musamman da dare,
- akwai ƙishirwa mai ƙoshi kuma ta bushe a cikin bakin,
- da yawan urination yana ƙaruwa,
- Rikicin migraine yana faruwa
- m bayan cin abinci, da yawan zafin jiki ya tashi,
- rage aiki saboda karuwar gajiya, ana jin rauni,
- narkewar ta rikice.
Sakamakon gaskiyar cewa marasa lafiya ba sa mai da hankali ga irin waɗannan alamu kuma ba su cikin sauri don ganin likita, ikon gyara rikicewar endocrine a farkon matakan yana raguwa sosai. Amma yiwuwar haɓaka ciwon sukari mara magani, akasin haka, yana ƙaruwa.
Rashin ingantaccen magani, maganin ya ci gaba. Glucose, tarawa a cikin plasma, fara shafar abun da ke cikin jini, yana kara yawan acid dinsa.
A lokaci guda, sakamakon hulɗa da sukari tare da abubuwan jini, yawansa yana canzawa. Wannan yana haifar da ketare wurare dabam dabam na jini, sakamakon wanda cututtukan zuciya da jijiyoyin jini ke haɓaka.
Laifin metabolism na metabolism baya wuce ba tare da wata alama ba don sauran tsarin jikin. Karancin koda, hanta, gabobin narkewa.Da kyau, ƙetare iyaka na ƙarshe da ba a sarrafa shi ba shine haƙuri da ciwon sukari.
Hanyar ganewar asali
Idan ana zargin NTG, ana kiran mai haƙuri don tattaunawa tare da endocrinologist. Kwararren ya tattara bayanai game da salon rayuwar mai haƙuri da halayensa, ya bayyana kararraki, kasancewar cututtukan da ke tattare da juna, da kuma maganganun cututtukan endocrine tsakanin dangi.
Mataki na gaba zai zama nadin ƙididdiga:
- ilimin halittar jini
- gwajin jini na asibiti,
- urinalysis na uric acid, sukari da cholesterol.
Babban gwajin cutar shine gwajin haƙuri.
Kafin gwajin, da yawa yanayi dole ne a hadu:
- abinci na ƙarshe kafin gudummawar jini ya kamata ya zama awanni 8-10 kafin binciken,
- ya kamata a guji damuwa da damuwa ta jiki,
- kada ku sha giya na kwana uku kafin gwajin,
- kar a sha taba a ranar binciken
- ba za ku iya ba da gudummawar jini don hoto ko bidiyo mai zagaya yanar gizo da sauri ko bayan tiyata kwanan nan ba.
An gudanar da gwajin kamar haka:
- jini samfurin don gwajin da aka dauka a kan komai a ciki,
- Ana ba wa mara lafiyar maganin glucose da za a sha ko kuma ana gudanar da maganin zazzabin,
- bayan sa'o'i 1-1.5, ana maimaita gwajin jini.
An tabbatar da cin zarafi tare da irin waɗannan alamu na glucose:
- jini da aka ɗauka a kan komai a ciki - sama da 5.5 da ƙasa da 6 mmol / l,
- jini da aka dauka awanni 1,5 bayan nauyin carbohydrate ya zarce 7.5 kuma ƙasa da 11.2 mmol / L.
NTG magani
Me za a yi idan an tabbatar da NTG?
Yawanci, shawarwarin asibiti sune kamar haka:
- Kula da sukari jini a kai a kai,
- lura da hawan jini
- kara yawan motsa jiki
- bi abinci, cin nasarar asara.
Bugu da ƙari, ana iya tsara magunguna waɗanda ke taimakawa rage ci da kuma hanzarta rushewar ƙwayoyin mai.
Muhimmancin abinci mai gina jiki
Biye da ka'idodin ingantaccen abinci mai amfani yana da amfani har ma ga mutum cikakkiyar lafiya, kuma a cikin haƙuri tare da cin zarafin metabolism, canjin abinci shine babban batun tsarin kulawa da abincin ya kamata ya zama hanyar rayuwa.
Ka’idojin abinci sune kamar haka:
- Kasa cin abincin. Kuna buƙatar cin abinci sau da yawa, aƙalla sau 5 a rana kuma a cikin ƙananan rabo. Abincin ƙarshe na ƙarshe ya kamata ya zama kamar sa'o'i biyu kafin lokacin kwanciya.
- Sha yau da kullun daga 1.5 zuwa 2 na ruwa mai tsabta. Wannan yana taimaka wa bakin jini, rage kumburi da haɓaka metabolism.
- Abubuwan alkama na alkama, har da kayan ƙoshin tsami, kayan maye da lemun tsami an cire su daga amfani.
- Ka iyakance yawan shan kayan lambu da ruhohinsu kaɗan.
- Theara adadin kayan lambu mai wadatar da fiber. Legumes, ganye da kuma 'ya'yan itatuwa mara amfani an kuma basu izini.
- Rage yawan cin gishiri da kayan yaji a cikin abincin.
- An maye gurbin sukari tare da masu zaitun na zahiri, an yarda da zuma a iyakataccen adadi.
- Guji menu na jita-jita da samfurori mai yawa na yawan mai mai.
- An ba da damar yin amfani da kiba mara-mai da kayan madara, kifi da naman alade.
- Dole ne a yi kayayyakin burodi daga dukkan hatsi ko gari, ko kuma tare da ƙari.
- Daga hatsi don fi son sha'ir lu'ulu'u, buckwheat, shinkafa launin ruwan kasa.
- Da muhimmanci a rage taliya mai fasti mai fasti, semolina, oatmeal, shinkafa mai akaɗa.
Guji yunwar da abinci mai yawa, har ma da abinci mai kalori Abincin kalori na yau da kullun ya kamata ya kasance a cikin kewayon 1600-2000 kcal, inda hadaddun carbohydrates ya ƙunshi 50%, mai kimanin 30% da 20% don samfuran furotin. Idan akwai cutar koda, to yawan adadin furotin yana raguwa.
Motsa jiki
Wani mahimmin batun maganin shine motsa jiki. Don rage nauyi, kuna buƙatar tsokane yawan ƙarfin kuzari, ƙari, wannan zai taimaka rage matakan sukari.
Motsa jiki na yau da kullum yana hanzarta tafiyar matakai na rayuwa, yana inganta jini, yana karfafa ganuwar jijiyoyin jiki da jijiyoyin zuciya. Wannan yana hana haɓakar atherosclerosis da cututtukan zuciya.
Babban mahimmancin motsa jiki ya kamata ya zama motsa jiki. Suna haifar da karuwa a cikin zuciya, wanda ke kara rushewar sel mai.
Ga mutanen da ke fama da hauhawar jini da cututtukan cututtukan zuciya, ƙarancin matakan aji sun fi dacewa. Saurin tafiya, yin iyo, motsa jiki mai sauƙi, shine, duk abin da baya haifar da ƙarancin matsin lamba da kuma bayyanar gajeruwar numfashi ko jin zafi a cikin zuciya.
Ga mutane masu lafiya, azuzuwan suna buƙatar zaɓar ƙarin zafin jiki. Ya dace da gudu, igiya tsalle, keke, tsere ko kan tsalle, rawa, wasan ƙwallon ƙafa. Tsarin motsa jiki na jiki yakamata a tsara shi ta hanya mafi yawancin motsa jiki ya zo motsa jiki.
Babban yanayin shine tsari na azuzuwan. Zai fi kyau a kebe mintuna 30-60 a kullun don wasanni fiye da yin awoyi biyu zuwa uku sau ɗaya a mako.
Yana da mahimmanci a kula da zaman lafiya. Bayyanarwar ciki, tashin zuciya, zafi, alamun hauhawar jini ya kamata ya zama alama don rage girman nauyin.
Magungunan magani
Idan babu sakamako daga abinci da wasanni, ana bada shawarar yin magani.
Irin waɗannan kwayoyi na iya wajabta su:
- Glucophage - lowers taro na sukari da kuma hana sha na carbohydrates, bayar da kyakkyawan sakamako a hade tare da abinci abinci,
- Metformin - yana rage yawan ci da sukari, yana hana sha da carbohydrates da kuma samar da insulin,
- Acarbose - lowers glucose
- Siofor - yana shafar samar da insulin da haɗuwa da sukari, yana rage jinkirin rushewar ƙwayoyin carbohydrate
Idan ya cancanta, ana wajabta magunguna don daidaita karfin jini da dawo da aikin zuciya.
- ziyarci likita lokacin da alamun farko na cututtukan cuta suka haɗu,
- Yi gwajin haƙuri a kan kowane gwaji a kowane wata shida,
- a gaban kwayar polycystic kuma cikin gano cutar sankarar mahaifa, yakamata a yi gwajin jini don sukari akai-akai,
- ware barasa da kuma shan sigari,
- bi ka'idodin abinci,
- ware lokaci don ayyukan jiki na yau da kullun,
- saka idanu akan nauyinka, idan ya cancanta, kawar da karin fam,
- kar a basu magani kai - duk magunguna yakamata a sha kawai kamar yadda likita ya umurce ka.
Abubuwan bidiyo game da ciwon suga da yadda za a bi da shi:
Canje-canje da suka faru a ƙarƙashin tasirin cututtukan metabolism na ƙwayar cuta, tare da farawa na lokaci na magani da yarda da duk abubuwan da likitocin likita suka bayar, suna da amfanuwa sosai a kan gyara. In ba haka ba, haɗarin ciwon sukari yana ƙaruwa sosai.