Ciwon sukari: Kisan karni na 21
Ciwon sukari mellitus cuta ce mai kazanta da haɗari, saboda haka dole ne koyaushe ku kula da yadda yake, don kar ku ƙara tsananta yanayin yanayin jiki. Marasa lafiya na iya jin dumbin alamu - wannan shine yawan urination, gajiya, saurin nauyi, yawan jin ƙishirwa. Tare da alamun farko, yana da daraja a bincika nan da nan, in ba haka ba za'a iya samun sakamako mai banƙanci ga kwayoyin gaba ɗaya.
A cikin labarin za mu tattauna dalla-dalla game da abin da ke fama da cutar sankara, menene haɗari ga rayuwar ɗan adam da lafiya.
Ta yaya ciwon sukari
Jikin ɗan adam yana buƙatar glucose koyaushe, tunda wannan sashin ne wanda dole ne ya ɗauki aiki a cikin metabolism wanda ke faruwa a sel. Idan akwai isasshen insulin a cikin jiki, to babu wata matsala data taso, kuma sel suna samar da isasshen makamashi.
Idan cutar tarin fitsari ba ta shawo kan samar da kwayoyin halittar ba, to cutar sankari ta fara ci gaba. Kwararru kan raba cutar zuwa nau'ikan biyu:
- Insulin-dogara lokacin da jiki baya iya samar da kansa hormone.
- Insulin-mai zaman kanta, lokacin da farji yayi asirin insulin a cikin karamin adadin, amma kwayoyin jikin basu iya karbarsa saboda dalilai daban daban.
A kowane hali, tare da rashin isasshen hormone, dole ne a gabatar dashi a cikin jikin mutum ta wucin gadi. Ta wannan hanyar kawai gabobin ɗan adam zasu iya aiki ba tare da gazawa ba.
Yadda ake gane cutar siga a farkon matakai
Cutar da aka bayyana za a iya gane ta alamun farko:
- Urination akai-akai.
- Rashin ruwa na mucous membrane a cikin bakin, wanda ke kiyaye kullun.
- Rage nauyi ko akasin haka shi.
- Dizzness da jin rauni a ko'ina cikin jiki.
- Sell na acetone daga bakin.
- Akai-akai na hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka.
- Saurin warkar da raunuka.
Idan akwai alamu da yawa a lokaci guda, ya kamata ku nemi taimakon ƙwararrun likita kuma ku ƙaddamar da gwaje-gwajen da suka dace don ƙayyade wannan cutar.
Kiwon Lafiya daga cutar sankara
Lokacin da mara lafiya glycated haemoglobin ya zama al'ada na dogon lokaci, cutar ba za ta haifar da wani rikitarwa ba. Lokacin da aka fara aiwatar da sakamako mara kyau a cikin jikin mutum, to ko da hakane za'a iya mayar da komai zuwa wuraren su. Don yin wannan, ya isa ya daidaita matakin sukari, amma zai yi tasiri a farkon cutar.
Haɓaka sukari zuwa matakan mahimmanci a farko yana shafar aikin tasoshin jini, saboda suna ba da jini ga gabobin jiki. Kodan da zuciya sune rikicewar hanta. Gabobin gani da gabobin suna wahala. Sau da yawa, marasa lafiya suna fuskantar bugun jini, bugun zuciya, makanta, kuma maza zasu iya fama da rashin ƙarfi.
Abubuwa biyu na rikicewar ciwon sukari
Likita zai iya gano mai haƙuri da rikice-rikice sau ɗaya a lokaci daya, amma mabanbanta sun kasu kashi biyu:
- Matsaloli masu ƙaranci waɗanda ke faruwa kwatsam sakamakon raguwa mai sauri ko hauhawar sukari jini.
- Rikice-rikice na kullum wanda ke faruwa sannu a hankali. Irin waɗannan bayyanar cutar suna haɗuwa da kullun babban sukari a cikin jini.
A matsayinka na mai mulki, galibi mutane kan fara lura da wata cuta yayin da lokacin cutar ke faruwa, amma a wannan yanayin jikin yana iya riga ya kasance a gefen rayuwa da mutuwa. Yi la'akari da cikakkun bayanai game da rikicewar rikice-rikice a cikin mutanen da ke da ciwon sukari. Menene haɗarin irin wannan lokacin a rayuwarsu?
- Hyma na jini na iya faruwa. Wannan na faruwa yayin da matakin sukari na jini ya faɗi ƙasa sosai, kuma ba za ku iya tashi da sauri ba. Wannan halin na iya haifar da yawan shan ruwa ko yawan motsa jiki na baya. Gane hypoglycemic ɗin ba abu mai wahala ba ne ga kowa - mai haƙuri ya bayyana rikicewa, yana rawar jiki a cikin kafaɗunsa da ƙafafunsa, gumi ya bayyana kuma yana tayar da ji daɗin yunwar. Kuna iya ƙoƙarin daidaita yanayin mutum ta amfani da ruwan zaki ko ruwan 'ya'yan itace.
- Ketoacidotic coma yana bayyana ne kawai a sakamakon ketoacidosis. Tare da rikice-rikice na rayuwa, jikin ketone zai iya tarawa cikin jini, kuma wannan rikicewar yana tare da yawan bacci da rauni a jiki baki ɗaya.
- Lactic acid coma yana haɗuwa da matsaloli a cikin aiki na kodan, hanta, zuciya, da lactic acid sun fara tarawa a cikin jiki. Hankarin huhu na wahala sosai.
Duk irin wannan rikicewar yana buƙatar asibiti da gaggawa na haƙuri.
Rashin rikitarwa na kullum
Rikice-rikice na ciwon sukari na iya faruwa kamar haka:
- Retinopathy yana haɓaka, wanda haƙuri zai iya zama makaho gaba ɗaya.
- Kodan ana shafawa a hankali. A magani, ana kiran wannan yanayin nephropathy.
- Gangrene na iya haɓaka. A cikin kalmomin likita akwai irin wannan a matsayin “ƙafar ciwon sukari”. A zahiri, mutum zai sami lameness.
- Encephalopathy ya bazu zuwa kwakwalwa.
- A cikin gabobin ciki, za'a iya lalata ƙarshen jijiya. Wannan yanayin ana kiransa neuropathy.
- Tare da yanayin rashin lafiya na cutar, kasusuwa da gidajen abinci sun lalace.
- Cututtukan zuciya da jijiyoyin jini yana faruwa.
Duk waɗannan rikice-rikice za a iya magance su cikin sauƙi idan, yayin lokaci, kun juya ga ƙwararren likita wanda zai ba da magunguna. Zasu iya kula da jikin mai haƙuri da kyau.
Yaya ƙafafun ciwon sukari yake bayyana
Sakamakon cewa ƙyallen ƙafafun mai haƙuri tare da ciwon sukari ba zai iya samun ingantaccen abinci mai gina jiki ba, hanyoyin da ba za a iya canzawa ba suna faruwa a ciki. A matsayinka na doka, da farko duk wani rudani ko fashewa ya lalace cikin cututtukan trophic, sannan kuma su lalata da haɓaka gangrene. Abubuwan da zasu biyo baya na iya haifar da irin wannan rikicewar:
- Wuce kima a jiki.
- Hawan jini.
- Addua ga munanan halaye.
Footafan ciwon sukari shine babban haɗarin ciwon sukari, saboda ƙarshe yana haifar da yankewa daga ƙarshen. Idan ka kula da wannan rikitarwa cikin lokaci kuma ka dauki matakan kariya na gaba, to duk wannan ana iya gujewa:
- Karku sanya takalmi mai nauyi mai tsini.
- Yi ƙoƙarin kada ku shafa ƙafafunku.
- Yi a hankali da kwalliya.
- Wanke ƙafafunku kullun cikin ruwa mai ɗumi.
Irin waɗannan matakan rigakafin suna da sauƙin yiwuwa, sabili da haka, mai haƙuri yakamata bashi da matsaloli.
Hadarin polyneuropathy
Dole ne a sami ƙarshen ƙarfin jijiyoyin mutum yayin da yake wadatar da isashshen iskar oxygen, kuma tare da haɓaka sukari wannan na iya haifar da babbar matsala. Bari muyi cikakken bayani menene haɗarin ciwon sukari mellitus tare da polyneuropathy. Da farko dai, ya kamata mai haƙuri ya mai da hankali ga irin waɗannan alamun:
- Jin zafi a kafafu.
- Kafafun kafafu a cikin yankin maraƙi galibi suna fuskantar cramps.
- Jin abin mamaki ya bayyana a cikin yatsunsu.
- Akwai rashin daidaituwa na urinary.
- Sanadin cutar gudawa.
- Hankali ya tsananta.
- Akwai matsaloli game da magana.
- Zai yi wuya mutum ya hadiye.
Polyneuropathy na iya bayyana kansa ta hanyoyi daban-daban, alal misali, alamu na iya shafar ayyukan firikwensin-mutum. Sannan mai haƙuri ya rasa ikon jin canje-canje na zazzabi, kuma koda tare da mummunar keta fata na ƙafafu, ba zai ji zafi ba.
A cikin magani, akwai irin wannan abu kamar "polyneuropathy na kai tsaye." A wannan yanayin, mai haƙuri zai fuskanci tsananin zafin rai, kuma tare da motsi kwatsam zai iya duhu a idanunsa. A zahiri, ba tare da karbar adadin oxygen daidai ba, gabobin za su fara aiki ba tare da bata lokaci ba. Da farko dai, hanta tana fama da cutar sankara, wani mummunan tasiri shima yana shafar kodan da zuciya.
Hadari tare da retinopathy
Tare da tsawan lokaci na cutar, alal misali, idan mai haƙuri ya wahala daga gare shi tsawon shekaru ashirin, sakamakon zai iya zama mafi rashin tabbas. A matsayinka na mai mulkin, akwai matsaloli na hangen nesa, amma sauran dalilai na iya shafar bayyanar rikitarwa:
- Babban sukari na jini ya tsaya a daidai wannan matakin na dogon lokaci.
- Mai haƙuri yana da wasu cututtukan koda.
- Kasancewar munanan halaye.
- Hawan jini.
- Tsarin kwayoyin halitta.
- Shekarun mai haƙuri.
Kawai a kan misalin maganin kwayar cuta, yana yiwuwa a bincika dalla-dalla dalilin da ya sa ciwon sukari ke da haɗari ga hanyoyin jini.
Gaskiyar ita ce tasoshin jini suna fara rasa amincin su, sabili da haka, sun daina ciyar da retina yadda yakamata. Da farko, ana shafar capillaries, sannan akwai zubar jini a cikin farji, wanda ke haifar da rasa karfin gani.
Ciwon sukari a cikin maza
Duk da gaskiyar cewa mata suna fama da cutar sikari, sakamakon sa sun fi haɗari ga jima'i mai ƙarfi. Yi la'akari dalla-dalla menene haɗari ga maza masu ciwon sukari. Gaskiyar ita ce cutar tana haifar da babban rauni ga aikin jima'i na jikin namiji. Wannan na iya faruwa a waɗannan take hakki:
- m urinary riƙewa
- asarar gashi
- kumburin ciki
- rasa nauyi ko akasin haka,
- matsa lamba
- abin mamaki na itching a cikin makwancin gwaiwa,
- abin da ya faru na rashin ƙarfi.
Irin wannan tasirin cutar sankara na iya haifar da rashin haihuwa da rashin iya haihuwa.
Hadari ga jikin yaron
Cutar sankarau a cikin yara ana ɗaukar matukar hatsari, tunda tana da nau'in farko, wanda ke nuna cewa cutar tana da haɗari. Karamin yaro na iya fuskantar irin wadannan karkacewar:
- Jariri na iya ci gaba da girma a cikin girma.
- A cikin yaro, hanta yana ƙaruwa.
- Ana fitar da fitsari a cikin adadi mai yawa.
- Kiba mai yawa yana tasowa.
- Sau da yawa ana iya lura da guba ta Ketone.
Lokacin da iyaye ba su kula sosai ba ga alamun da yawa, cutar ta zama m kuma cutar sikila zata iya haɓaka. Kowane mahaifa ya kamata ya lura da yadda haɗarin ciwon sukari yake yiwa yaro. Musamman kulawa ya kamata a biya shi hankali da halayyar sa, saboda wannan ma alama ce mai mahimmanci na wannan cuta a cikin yara.
Shin ciwon sukari yana da haɗari ga mata masu juna biyu?
Cutar sankarau tana da haɗari ga mata kaɗai, har ma ga yaran da take ɗauke da ita. Lokacin da cutar ta bayyana kanta a farkon matakan ciki, to komai na iya karewa cikin ɓata. Gaskiyar ita ce ci gaban sukari na jini na iya shafar yanayin tayin, kuma nau'ikan cututtukan cuta zasu iya tasowa a jikin amfrayo. Bari mu bincika dalla-dalla yadda ciwon sukari yake da haɗari ga mata masu juna biyu da kuma ɗan da ba a haife shi ba a matakai daban-daban na ciki.
Kamar yadda aka ambata a sama, a farkon matakan, mace na iya rasa shi kawai, amma ƙarshen ciki ana ɗaukar lokaci mafi haɗari, tunda ƙara yawan sukari na iya haifar da saurin haɓakar tayi. Idan har yanzu likitocin sun sami nasarar ceton rayuwar yaron, to yana da mahimmanci a kula cewa bayan haihuwa, a cikin irin waɗannan jariran, a mafi yawan lokuta, matakan glucose ya ragu zuwa mawuyacin halin.
Duk wannan na iya zama sakamakon sakamakon rashin aiki a lokacin daukar ciki. Babu shakka rikice-rikicen ciki na iya tashi. Matan da suka riga sun sami ciwon sukari a lokacin da nauyin jariri ya kasance kilogiram 4 lokacin haihuwar farko ya kamata suyi taka tsantsan.
Ciwon sukari mellitus cuta ce da ke buƙatar kulawa ta musamman daga mai haƙuri. Cikin sauri mutum ya lura da duk wasu canje-canje a jikinsa wanda ke iya nuna ƙarin sukari na jini, da alama zai iya gujewa mummunan sakamako da aka lissafa a sama.
Mene ne jigon ciwon sukari?
Ciwon sukari (mellitus) cuta ce ta endocrine wacce a cikin matakan sukari take cikin jini yana ƙaruwa koyaushe saboda ƙarancin insulin ko kuma rashin ƙarancin insulin - hormone na kashin kansa, wanda ke tabbatar da jigilar glucose daga jini zuwa sel. Cutar na haifar da cin zarafin kowane nau'in metabolism, lalacewar tasoshin jini, tsarin jijiyoyi, da sauran gabobin jiki da tsarin.
Akwai manyan nau'ikan ciwon sukari guda biyu:
- Insulin dogara da ciwon sukari (nau'in ciwon sukari na). Abin da ake kira "ciwon sukari matasa ne da bakin ciki." Wannan cuta tana haɓaka galibi a cikin yara da matasa (har zuwa shekaru 40). Ya dogara ne akan wani tsari na autoimmune - lalata tsarin rigakafi, wanda lalacewa ta faru tare da ƙwayoyin tsohuwar jiki, sune ƙwayoyin beta na ƙwayar cuta wanda ke haifar da insulin.
- Rashin kamuwa da ciwon sukari wanda baya cikin insulin (nau'in ciwon sukari na II), "tsofaffi da masu ciwon sikila", yawanci yakan haɗu a cikin mutane sama da 40 waɗanda suke da kiba. Wannan shine mafi yawan nau'in cutar (wanda aka samo a cikin 80-85% na lokuta). Dalilin faruwarsa shine rayayyen rigakafin ƙwayoyin jikin mutum zuwa insulin kuma, a sakamakon haka, riƙewar glucose a cikin gado na jijiyoyin jiki. Rashin glucose na sel alama ce ga mafi girma ga samar da insulin, amma wannan ba shi da wani tasiri, kuma bayan lokaci, samar da insulin ya ragu sosai.
Bugu da kari, har yanzu akwai wasu nau'ikan cutar da ba a sani ba, irin su sakandare (ko alamomi) na ciwon sukari na mellitus, ciwon sukari na mata masu juna biyu da cutar sankarau saboda rashin abinci mai gina jiki.
Wace irin cutar siga ce mafi haɗari?
Yana da matukar wuya a amsa wannan tambayar. A gefe guda, nau'in ciwon sukari na I yana buƙatar ƙarin matakai masu rikitarwa don sarrafa matakan sukari: waɗannan sune injections na yau da kullun na insulin kafin kowane abinci, da kuma buƙatar buƙata akai-akai na matakan sukari na jini. Rayuwar irin wannan mai haƙuri ya dogara da alƙawarin sirinji wanda yake kwance a aljihunsa: injections da aka rasa ko, biyun kuma, yawan haɗari na bazata, yana cike da rashin lafiya.
Mutanen da ke zaune tare da wannan nau'in ciwon sukari suna tilasta musu su kirga carbohydrates a koyaushe a cikin abincin da suke ci, kuma suna ganin likita kowane wata don magunguna na insulin da kula da lafiya. Farkon cutar tana tilasta muku ku riki kula da kanku tun daga ƙuruciya - domin ta balaga da kuka zama ba nakasassu ba ce da ke da yawan ciwon sukari.
A gefe guda, marasa lafiya waɗanda ke da nau'in ciwon sukari na II na mellitus, waɗanda galibi suna kare buƙatar yin amfani da insulin kuma ana iyakance su ta hanyar abinci kawai, sau da yawa suna da mummunan rikice-rikice na cutar: ciwon sukari retinopathy (lalacewar jijiyoyin bugun zuciya), nephropathy na cutar kansa (lalacewar koda wanda ke haifar da gazawar su ), mai ciwon sukari mai narkewa (lalacewar jijiyoyin farji), cutar angiopathy (lalacewar babba da ƙananan tasoshin). Likitoci suna haɗa wannan. kawai tare da sauƙi mai sauƙi na cutar: sau da yawa tsofaffi marasa lafiya ba su fahimci haɗarin rashin bin yarda da shawarwari da kuma “fara” yanayin su don rashin kulawar su yana haifar da sakamako mai lalacewa: makanta, yanki na ƙananan ƙarshen, lalacewar na koda.
Bayan 'yan kalmomi game da Pathology kanta
Kafin yin magana game da dalilin da ya sa ciwon sukari yana da muni sosai, kuna buƙatar faɗi wordsan kalmomi game da kayan ci gabanta. Kuma don wannan kuna buƙatar la'akari da nau'ikansa. Saboda haka, ciwon sukari ya faru:
- Nau'in farko. An kwatanta shi da lalacewar sel na hanji da kuma rashin saurin samar da insulin. Amma wannan hormone ne ke da alhakin rushewar da shan glucose. Sabili da haka, lokacin da yake rasa, sukari baya shiga cikin sel mai laushi kuma yana farawa cikin jini.
- Nau'i na biyu. Wannan cutar ana nuna shi ta hanyar aiki na yau da kullun da kuma isasshen matakin insulin a jiki.Amma sel sel masu taushi da gabobin ciki saboda wasu dalilai sun fara rasa hankalin sa, don haka suka daina shan glucose a jikinsu, wanda hakan ya fara tara jini.
- Gestational. Hakanan ana kiranta ciwon sukari mai ciki, tun lokacin da ake ci gaban gestosis shine yake samu. Hakanan ana saninsa da hauhawar yawan sukari na jini, amma ba wai saboda ƙwayoyin farji sun lalace ba, amma saboda yawan insulin da yake samarwa bai isa ya samar da jikin matar da ɗanta ba. Sakamakon karancin insulin, sukari yana farawa da hankali sosai, saboda haka babban sashinsa ya zauna cikin jini. Ana la'akari da ciwon sukari na yara a matsayin cuta na ɗan lokaci kuma yana wuce kansa da kansa bayan haihuwa.
Akwai kuma wata ma'anar - insipidus na ciwon sukari. Haɓakawar sa yana faruwa ne a kan asalin isasshen ƙwaƙwalwar sinadaran antidiuretic (ADH) ko kuma sakamakon raunin jijiyar tubules na koda. A lokuta biyu da na biyu, ana samun karuwar fitowar fitsari a kowace rana kuma ana ganin bayyanar ƙishirwa. Increasearin yawan sukari na jini baya faruwa tare da wannan cutar, wannan shine dalilin da ya sa ake kiran shi da rashin sukari. Koyaya, babban maganin cutar alaƙa yana da alaƙa da masu fama da ciwon suga.
Ganin cewa ciwon sukari yana da nau'ikan nau'ikan, sakamakon ci gaban su ma ya bambanta. Kuma don fahimtar abin da ke barazanar ciwon sukari, wajibi ne a yi la'akari da kowane nau'ikansa dalla-dalla sosai.
Nau'in 1 na ciwon sukari da sakamakonsa
Da yake magana game da haɗarin kamuwa da ciwon sukari na 1, yakamata a faɗi cewa wannan cuta tana yawan haɗuwa tare da farawar hyperglycemia da hypoglycemia. A cikin lamari na farko, akwai karuwa mai yawa a cikin sukarin jini. Haka kuma, zai iya tashi zuwa matakai masu mahimmanci - 33 mmol / l kuma mafi girma. Kuma wannan, a cikin sa, ya zama sanadin farawar cutar hyperglycemic coma, wanda ke kasancewa ba kawai tare da lalacewar ƙwaƙwalwar ƙwaƙwalwa ba da babban haɗari na inna, har ma da kamawar zuciya.
Hyperglycemia sau da yawa yakan faru a cikin masu ciwon sukari a kan asalin tsarin kulawa da injections na insulin, kuma saboda rashin bin shawarwarin da likitocin halartar suka bayar game da abinci mai gina jiki. Hakanan a cikin wannan al'amari, salon tsinkaye yana taka muhimmiyar rawa. Tun da karancin mutum yake motsawa, ƙarancin makamashi yana cinyewa kuma yana haɗuwa da ƙarin sukari a cikin jini.
Hypoglycemia wani yanayi ne wanda matakan glucose a cikin jini, akasin haka, ya ragu zuwa mafi ƙimar darajar (ya zama ƙasa da 3.3 mmol / l). Kuma idan ba a daidaita shi ba (wannan an yi shi a sauƙaƙe, ya isa ya ba wa mara haƙuri yanki na sukari ko cakulan), akwai haɗarin haɗarin hauhawar jini, wanda kuma ya ɓarke tare da mutuwar ƙwaƙwalwar ƙwaƙwalwa da kamawar zuciya.
Ganin wannan, likitoci ba tare da togiya suna ba da shawarar cewa duk masu ciwon sukari koyaushe suna auna matakan sukari na jini ba. Idan kuwa yakasance ko ya raguwa, to ya wajaba a yi kokarin saba shi.
Toari ga gaskiyar cewa ciwon sukari ya ƙaru tare da yawan ci gaba da hauhawar jini - da kuma hypoglycemia, idan ba a kula da shi ba, zai iya haifar da wasu matsalolin kiwon lafiya. Da fari dai, yawan sukarin jini yakan haifar da gazawar koda, wanda hakan kan iya haifar da rashin jijiya da gazawar koda.
Bugu da kari, tsarin jijiyoyin jiki suna cutar wannan cuta sosai. Ganuwar jijiyoyin jini suna rasa sautinsa, ƙwayar jini tana cikin damuwa, ƙwaƙwalwar zuciya tana fara aiki mara kyau, wanda yawanci yakan haifar da bugun zuciya da bugun jini. Sakamakon rarrabuwar jini, ƙwayoyin kwakwalwa suna fara fuskantar rashi a cikin iskar oxygen, don haka aikinsu zai iya zama rauni kuma yana haifar da ci gaba da cututtuka daban-daban.
Hakanan ya kamata a lura cewa tare da haɓaka nau'in ciwon sukari na 1, sabuntawar fata yana da rauni. Duk wani rauni da cutarwa na iya haɓaka zuwa cikin cututtukan mahaifa, wanda zai iya haifar da haɓakar ƙurucin da ɓarna. Lokacin da na ƙarshen ya faru, ana buƙatar datse reshen.
Da yawa suna sha'awar wannan tambaya game da shin shin zai yuwu a mutu daga cutar sankarau. Ba shi yiwuwa a amsa ba tare da izini ba. Dole ne in faɗi cewa tsawon rayuwa game da wannan cuta ya dogara da mai haƙuri da kansa da kusancinsa ga salon rayuwa. Idan ya cika duk shawarar da likitan ya bayar, yana bayarda allurar insulin, kuma idan wata matsala ta same shi to nan da nan zai bi, to zai iya rayuwa da tsufa sosai.
Koyaya, an sami lokuta yayin da marasa lafiya, har ma da duk ka'idoji don magance cututtukan sukari, suka mutu daga wannan cutar. Kuma dalilin wannan a mafi yawan lokuta shine cutar cholesterol, wacce tauraron dan adam ne mai yawan T1DM.
Tare da haɓakawarsa, ƙwayoyin ƙwayar cholesterol suna gudana akan bangon jijiyoyin jini, waɗanda ba wai kawai suna rushe wurare dabam dabam na jini ba, har ma suna da mallakar watsewa da kaiwa ga raunin zuciya ta rafin jini. Idan suka shiga ciki, toshewar tsoka zata toshe, kuma wannan ya zama sanadin tashin zuciya.
Da yake magana game da sauran haɗarin ciwon sukari, ya kamata a lura cewa ana iya watsa shi sauƙi daga tsara zuwa tsara. A lokaci guda, haɗarin watsa shi ga yaro yana ƙaruwa idan iyayen sun sha wahala daga wannan cutar.
Ciwon sukari a cikin maza yakan haifar da rashin daidaituwa na mara baya da haɓakar prostatitis, kamar yadda shima yana shafar tsarin halittar jini. Kuma ga mata, wannan rashin lafiyar tana da haɗari tare da manyan matsaloli game da ɗa cikin yaro, ɗaukar shi da haihuwa.
A cikin tsufa, wannan cutar na iya tsokani:
- Retinopathy Halin da ake amfani da jijiya na gani. An kwatanta shi da raguwar ƙarancin gani.
- Encephalopathy Lalacewa ga ƙwayoyin kwakwalwa.
- Neuropathy. Rushewar jijiyoyi da lalacewar fata.
- Cutar Osterethropathy. Rushewar articular da tsarin kasusuwa.
- Cutar Ketoacidotic. Sakamakon ketoocytosis (haɓaka matakin jikin jikin ketone a cikin jini), wanda bayyanar da ƙamshi na acetone daga bakin, ƙwaya, amai, da ƙishirwa.
- Don lactic acidosis. Wannan yanayin yana faruwa ne daga asalin abin da aka tattara na lactic acid a jiki. An cika shi da rashin aiki sosai na kodan, hanta da zuciya.
Nau'in cuta na 2 da sakamakon sa
Da yake magana game da haɗarin kamuwa da ciwon sukari na 2, yakamata a lura cewa cutar ita kanta, ban da yiwuwar cututtukan cututtukan trophic a jiki, ba karamar haɗari ba ce. Amma idan ba ku aiwatar da magani ba, to yana iya zama sanadin ci gaban nau'in 1 na ciwon sukari, sakamakon abin da aka riga aka tattauna a sama.
Bugu da kari, tare da T2DM akwai kuma manyan hadarin dake tattare da yawan zubar jini da hauhawar jini, tunda yayin haɓaka shi ma akwai matakan tsuke jini a jiki. Bugu da ƙari, wannan cutar ta fi gādo fiye da T1DM. Hadarin abin da ya faru a cikin yara ya kai 90%, idan dai iyayen sun sha wahala daga T2DM. Idan mutum bashi da lafiya, to yuwuwar faruwar hakan a cikin zuriya shine kashi 50%.
Nau'in cuta ta biyu wacce ba kasafai ke haɗuwa da manyan matsaloli ba. Koyaya, sau da yawa a cikin aikin likita akwai lokuta na cututtukan cututtukan zuciya da rashin ƙarfi daga mamayar asali. A matsayinka na mai mulkin, wannan yana faruwa ne saboda gaskiyar cewa marasa lafiya da kansu basa bin ka'idodin salon rayuwa da aka nuna a T2DM. Idan mai haƙuri ya gudanar da aikin daidai, ya bi abin da ake ci kuma ya shiga wasanni, to, mummunan sakamako ga asalin T2DM yana da wuya sosai.
Ciwon ciki
Kamar yadda aka ambata a sama, ci gaban ciwon sukari yana faruwa a lokacin daukar ciki. Ga matar da kanta, ba ta kawo babbar barazana ga lafiyar ba, amma tana iya kawo matsaloli da yawa yayin haihuwa.
Haka kuma, tare da haɓakar ciwon sukari akwai babbar haɗarin haɓakar ciwon sukari a cikin yaro. Saboda haka, bayan haihuwar yara, dole ne a bincika su don wannan ilimin. Amma koyaushe ba zai yiwu a gano shi nan da nan ba. Abinda ke faruwa shine cewa wannan cuta sau da yawa tana tasowa daga baya mai nauyi, kuma idan wata sabuwar minted mahaifiyar zata iya daidaita nauyin ɗanta, to, haɗarin ciwon sukari zai ragu sau da yawa.
Ya kamata kuma a san cewa ciwon sikari a lokacin daukar ciki shima ya cika da farawar hypoxia, tunda shima yana haifar da rikicewar jini da isasshen wadataccen oxygen ga jariri. Saboda wannan, yana iya haɓaka cututtuka daban-daban. Mafi sau da yawa, ana danganta su da aikin kwakwalwa da tsarin juyayi na tsakiya.
Idan mace ta kamu da wannan nau'in ciwon suga yayin daukar ciki, ba a wajabta mata magani sosai ba. A wannan yanayin, ana bada shawara don kula da sukari na jini da nauyi kullum. Don wannan, an tsara takamaiman ciwon sukari na musamman, wanda ke ba da jiki tare da dukkanin ma'adanai da bitamin da suke buƙata, amma a lokaci guda baya ƙyale shi ya tara adadi mai yawa.
Yayin taron cewa abincin ba ya taimakawa kuma cutar ta ci gaba, an sanya allurar insulin. Ana sanya su sau 1-3 a rana a lokaci guda kafin abinci. Yana da matukar muhimmanci a bi tsarin allura, tunda idan ta karye, za a sami babbar haɗarin hauhawar jini da hawan jini, wanda hakan na iya haifar da mummunan rauni ga tayin a cikin tayin.
Ciwon sukari insipidus
Ciwon sukari insipidus yafi hatsari sosai fiye da duk nau'ikan cututtukan da ke sama. Abinda shine cewa tare da wannan cutar ana cire adadin ruwa mai yawa daga jiki kuma ba jima ko ba jima, rashin ruwa ya faru, wanda sama da mutum ɗaya suka mutu. Saboda haka, a kowane yanayi ya kamata ka bada izinin ci gaban wannan cutar. Jiyyarsa ya kamata ya fara kai tsaye bayan ganowa.
Ya kamata a sani cewa polyuria a cikin insipidus na ciwon sukari ya ci gaba koda lokacin bushewar fata ya riga ya faru. Wannan halin yana nunawa:
- amai
- rauni
- asarar sani
- tsananin farin ciki
- rikicewar kwakwalwa
- tachycardia, da sauransu.
Idan, a lokacin da ake fitar da ruwa, babu wani yunƙurin da aka yi don sake mamaye ruwan da ke cikin jikin mutum, to matsaloli suna tasowa daga wasu gabobin ciki da tsarin. Kwakwalwa, hanta, kodan, zuciya, huhu, tsarin jijiyoyi na tsakiya - duk suna fama da karancin ruwa, aikinsu ya lalace, wanda ya haifar da bayyanar alamomi da yawa, wanda, kamar ba su da alaƙa da ci gaban cutar.
Ya kamata a lura cewa, ba tare da la'akari da irin ciwon sukari ba, ya kamata a kula da shi nan da nan. Tabbas, kusan dukkanin gabobin ciki da tsarin suna wahala daga gare ta, wanda hakan na iya haifar da rashin rauni kawai, amma kuma kwatsam. Koyaya, ba shi yiwuwa ku kula da ciwon sukari da kanku, tun da kun karanta tukwici da shawarwari daban-daban a kan wuraren tattaunawa da sauran shafuka. Kuna iya yin wannan kawai a ƙarƙashin tsananin kulawa na likita, wucewa gwaje-gwaje koyaushe da kuma lura da yanayin jikin ku baki ɗaya.
Abun takaici, bashi yiwuwa a magance cutar sankara, amma zaku iya hana faruwar rikice-rikice dangane da asalinta. Babban abu shine a bi dukkan shawarwarin likita da jagorantar rayuwa madaidaiciya, inda babu inda kyawawan halaye da abinci mara kyau.
Shin rashin lafiyar na kwance?
Zuwa yau, lura da ciwon sukari, wanda ke samuwa ga yawancin marasa lafiya, yana da halayyar mai tallafawa: yin amfani da magunguna na insulin da yawa ya sa ya yiwu a kawo tsarin “waje” na matakan sukari na jini kusa da tsarin halitta. Koyaya, har ma da taimakon sarrafa kai mafi wahala ko kuma yin amfani da famfo na insulin na musamman, ba shi yiwuwa a yi la’akari da dukkan ƙarancin wannan tsari na kimiyyar lissafi.
Zamu iya cewa duk kokarin da akeyi na maganin masu cutar sukari a yau ana kokarin baiwa marasa lafiya wani “jinkiri” har zuwa lokacin da ake kirkirar ingantacciyar hanyar magani.
Kwanan nan, a cikin gidan labarai na cikin gida da na waje, akwai ƙarin rahotanni na samun nasarar watsa ƙwayar cututtukan ƙwayar cuta a cikin marasa lafiya da nau'in ciwon sukari na nau'in. Koyaya, wannan ma yana da nasa matsaloli - bayan duk, dasawa tsari ne na babban gabatarwar sashin kasashen waje a cikin jikin mutum (koda kuwa an karbe shi daga dangi na kusa). Nan ba da jimawa ba, tsarin na rigakafi zai yi aikinsa - kuma irin wannan kukan zai daina aiki. Don haka fahimtar aikin a matsayin kashin bayan panacea, shima, ba lallai bane.
Abin takaici, jita-jita game da yiwuwar warkar da cutar sankara ya haifar da mummunan sakamako. Mutane da yawa suna tuna babban shari'ar tare da maganganun maganganun anti-kimiyya na Gennady Malakhov, kantin sayar da littattafai suna cike da takaddun littattafai waɗanda ke yin alkawarin cikakken magani ga masu ciwon sukari ba tare da amfani da insulin da abinci ba. Abin takaici, amincin tsofaffi marasa lafiya kuma, mafi muni, iyayen matasa marasa lafiya waɗanda ba sa son yin imani da mummunan cutar, kawai sun kara dagula lamarin, kuma irin wannan maganin ba shi da inganci a cikin 100% na lokuta.
Me za a yi?
Kwanan nan, sha'awar matsalar ciwon sukari ya karu sha'awa ba zato ba tsammani daga Ma'aikatar Lafiya ta Yankin Krasnoyarsk Territory. Mai yiwuwa, wannan ya faru ne sakamakon taron 'yan jaridu na kwanan nan kan bikin tunawa da ƙudurin Majalisar Dinkin Duniya game da cutar sankarau da sauran abubuwan da suka shafi wannan batun. Hanya ɗaya ko wata, Cibiyoyin Lafiya da yawa sun riga sun buɗe a cikin yankin, inda akwai yuwuwar gano abubuwan haɗari don haɓaka ciwon sukari a cikin wani mai haƙuri, da kuma samun amsoshin tambayoyi da yawa. An samo su ne a kan tushen cibiyoyin kiwon lafiya masu zuwa:
- Lambar polyclinic 14 (Krasnoyarsk)
- Lambar polyclinic 1 (Krasnoyarsk)
- Lambar polyclinic 3 (Krasnoyarsk)
- Asibitin garin No. 1 na Krasnoyarsk
- Cibiyar Yanki na Krasnoyarsk don rigakafin likitanci
- Cibiyar Minusinsk don rigakafin likitanci
- Asibitin Yankin Lesosibirsky
- Asibitin Kansas ta Tsakiya
- Achinsk Central District Hospital
- Polyclinic lambar 1 (Norilsk)
Ina bayar da shawarar a tuntuɓar duk waɗanda suke da dalilai don zargin masu ciwon sukari a cikin kansu ko waɗanda suke ƙauna. Kuma, a matsayina na mutumin da ba ya nuna damuwa ga endocrinology da kuma matsalar wannan cuta musamman, zan iya ƙoƙarin amsa tambayoyin da za su yiwu - a bayyane ko na sirri.
Kwayar cutar sankarau. Hasashen shekara ta 2030