Bayyanar cututtuka - Ciwon 2 Ciwon sukari

Ka'idojin tabbatar da cutar sune dabi'u masu zuwa a mmol / l:

• a kan komai a ciki - daga 7 zuwa 8 hours daga abincin ƙarshe,
• Mintuna 120 bayan cin abinci ko lokacin shan maganin glucose wanda ya ƙunshi 75 g na abu mai narkewa (gwajin haƙuri na glucose) - daga 11.1. Sakamakon ana ɗaukar tabbatattun alamun alamun kamuwa da cutar siga a cikin kowane ma'auni.

A wannan yanayin, ma'aunin guda na sukari bai isa ba. An bada shawara don maimaita shi aƙalla sau biyu akan ranaku daban. Wani banbanci shine halin da ake ciki idan a rana ɗaya mara lafiya ya wuce gwajin gwajin jini da hawan jini, kuma ya wuce 6.5%.

Idan ana gudanar da gwaje-gwaje tare da glucometer, to waɗannan alamun suna da inganci kawai ga na'urorin da aka kera su tun daga shekarar 2011. Don maganin farko sharuddan bincike shine bincike a cikin dakin gwaje-gwaje.

Normoglycemia an ɗauke shi a matsayin taro na sukari a ƙasa raka'a 6, amma ƙungiyar masu ilimin diabetologists sun ba da shawarar rage shi zuwa 5.5 mmol / l don fara matakan kan lokaci don hana cutar.

Idan an gano ƙimar iyakoki - daga 5.5 mmol / l zuwa 7, to wannan yana iya zama alama ta ciwon suga. Idan mai haƙuri bai bi ka'idodin abinci mai gina jiki ba, yana jagoranci salon rayuwa mara amfani, ba ya yin ƙoƙari don rage nauyi, daidaita yanayin jini, to, yiwuwar haɓaka cutar ya yi yawa.

Idan aka samo dabi'u na al'ada a cikin jini, amma mai haƙuri yana da abubuwan haɗari ga masu ciwon sukari, sannan aka nuna masa karin jarrabawa. Kungiyoyin irin wadannan marasa lafiya sun hada da:

• yana da dangi na jini da ciwon sukari - iyaye, 'yan'uwa,' yan'uwa,
• matan da suka haifi yaro wanda nauyinsa yakai 4 kilogiram ko sama da haka, masu ciwon suga a lokacin daukar ciki, kuma suna fama da kwayayen polycystic,
• tare da karfin jini sama da 140/90 mm RT. Art. ko ayi masa magani domin hauhawar jini,
• tare da tasoshin cholesterol, triglycerides, keta hadadden tsarin samar da wadataccen lipoproteins gwargwadon bayanan mai,
• wanda ma'aunin kayan jikinsa ya fi kilogiram 25 / m 2,
• akwai cututtuka na tsarin zuciya da jijiyoyin jini,
• tare da aiki na jiki kasa da minti 150 na mako daya.

Idan aƙalla ɗaya daga cikin haɗarin haɗarin akwai, ya kamata a gudanar da gwajin haƙuri na glucose. An nuna ko da cikakkiyar rashi alamun cutar sankarau.

Idan an samo sakamako sama da 7.8 mmol / L, amma a kasa 11.1 mmol / L (bayan yawan sukari), ana yin gwajin ciwon sukari. Hakanan ana nuna cewa latent na cutar kuma ta ƙaruwa da gemoclobin glycated a cikin kewayon daga 5.7 zuwa 6.5%.

Gwajin haƙuri a jiki yana nuna yiwuwar kamuwa da cutar siga ta biyu. A cikin bambance-bambancen-insulin-insulin, ƙaddarar insulin, C-peptide, an haɗa cikin shirin bincike.

Zaɓin insulin dogara yana farawa sau da yawa tare da ɓarnawa. Wannan ya faru ne saboda gaskiyar cewa tsawon lokaci pancreas yana kulawa don magance jinkirin samar da insulin. Bayan kawai fiye da 5-10% na sel suka ci gaba da aiki, ƙetare lahani na metabolism metabolism fara - ketoacidosis. A wannan yanayin, glycemia na iya zama 15 mmol / l kuma mafi girma.

Tare da nau'in ciwon sukari na biyu yana da madaidaiciyar hanya, sukari ya tashi a hankali, alamu na iya shafe lokaci mai tsawo. Ba a gano cututtukan hyperglycemia (sukari mai ɗorewa) koyaushe, akwai mafi girma fiye da ƙimar al'ada kawai bayan cin abinci.

A lokacin daukar ciki mahaifa yana samar da kwayoyin hormon-counter. Suna hana sukari fadowa saboda jariri ya sami ƙarin abubuwan gina jiki don girma. A gaban abubuwan haɗari na iya haɓaka ciwon sukari. Ana nuna gwajin jini a kowane wata uku don gano shi.

Ka'idodin ganewar asali sune: karuwa a cikin glycemia daga 5.1 zuwa 6.9 mmol /, da awanni 2 bayan cin abinci (ciwan glucose) - daga raka'a 8.5 zuwa 11.1. Ga mata masu juna biyu, ana kuma tantance sukari sa'a ɗaya bayan motsa jiki yayin gwajin haƙuri. Wataƙila za a iya samun irin wannan zaɓin - a kan komai a ciki kuma bayan mintuna 120 gwaje-gwaje na al'ada ne, kuma bayan minti 60 ya fi 10 mmol / l.

Idan an gano mafi yawan abubuwan da ke tattare da cutar, to, ana yin gwajin sabon ƙwayar cutar sankara.

Mafi ƙarancin matakin, har ma don masu lafiyayyen lafiya, ba a kafa su daidai ba; maƙasudin shine 4.1 mmol / l. A cikin ciwon sukari na mellitus, marasa lafiya na iya fuskantar bayyanar raguwar sukari koda a cikin adadin al'ada. Jiki ya amsa ga faduwarsa ta sakin homonin damuwa. Irin waɗannan bambance-bambance suna da haɗari musamman ga tsofaffi. Mafi sau da yawa, a gare su, al'ada shine kewayon har zuwa 8 mmol / l.

Ana lura da ciwon sukari mellitus a matsayin mai biya (halatta) a ƙarƙashin irin wannan yanayi:

• glucose a cikin mmol / l: a kan komai a ciki har zuwa 6.5, bayan cin abinci (bayan minti 120) har zuwa 8.5, kafin lokacin kwanciya har zuwa 7.5,
• bayanin martaba
• saukar jini - har zuwa 130/80 mm RT. Art.
• nauyin jiki (ma'auni) - 27 kg / m2 ga maza, 26 kg / m2 ga mata.

Tare da matsakaici mai ƙarfi (subcompensation) na ciwon sukari, glucose yana cikin kewayon har zuwa 13.9 mmol / l kafin abinci. Irin wannan cututtukan glycemia galibi yana tare da samuwar sassan ketone kuma ci gaban ketoacidosis, tasoshin da jijiyoyin jijiya suna shafar. Ko da wane irin ciwo, marasa lafiya suna buƙatar insulin.

Decompensated hanya yana haifar da duk rikitarwa na ciwon sukari, ƙwayar cuta na iya faruwa. Matsakaicin matakin sukari tare da hyperosmolar shine 30-50 mmol / L. An bayyana wannan ta hanyar mummunan rauni na ayyukan kwakwalwa, rashin ruwa kuma yana buƙatar jiyya cikin gaggawa.

Karanta wannan labarin

Abin da sukari shine ciwon sukari

Don gano ciwon sukari (ba tare da yin la'akari da nau'in) ba, ana buƙatar gwajin jini don haɗuwa da glucose.

Ka'idojin tabbatar da cutar sune dabi'u masu zuwa a mmol / l:

• a kan komai a ciki - daga 7 (plasma sassan jini daga jijiya) bayan 8 hours daga abincin ƙarshe,
• Mintuna 120 bayan cin abinci ko lokacin shan maganin glucose wanda ya ƙunshi 75 g na abu mai narkewa (gwajin haƙuri na glucose) - daga 11.1. Sakamakon iri ɗaya ana ɗauka alamun abin dogara na masu ciwon sukari a cikin kowane ma'auni.

A wannan yanayin, ma'aunin guda na sukari bai isa ba. An bada shawara don maimaita shi aƙalla sau biyu akan ranaku daban. Wani banbanci shine halin da ake ciki idan a rana ɗaya mara lafiya ya wuce gwajin gwajin jini da hawan jini, kuma ya wuce 6.5%.

Idan ana gudanar da gwaje-gwaje tare da glucometer, to irin waɗannan alamun suna da inganci kawai ga na'urorin da aka kera su tun daga 2011, suna sake kwatanta alamar farin jini da za a gwada su da ƙimar ƙwayoyin plasma. Koyaya, don ganewar asali, abubuwan da ake buƙata shine bincike a cikin ɗakin bincike. Ana amfani da kayan aikin gida don sarrafa ciwon sukari.

Kuma a nan ne ƙarin game da hypoglycemia a cikin ciwon sukari.

Shin za'a iya samun ciwon sukari tare da sukari na al'ada

An dauki Normoglycemia a matsayin taro na sukari a ƙasa raka'a 6, amma ofungiyar Diabetologists ta ba da shawarar rage shi zuwa 5.5 mmol / L don fara matakan lokaci don hana cutar. Idan aka samo ƙimar iyaka - daga 5.5 mmol / l zuwa 7, to wannan yana iya zama alama ta ciwon suga.

Wannan halin shine iyaka tsakanin tsari da cuta. Zai iya haɓaka ƙarshe zuwa mellitus na ciwon sukari idan mai haƙuri bai bi tsarin abinci tare da ƙuntatawa na sukari, carbohydrates mai sauƙi da kitsen dabbobi, yana jagorantar rayuwa mara aiki, ba ya yin ƙoƙari don rage nauyi, da kuma kawo karfin jini zuwa al'ada.

Idan an samo alamun yau da kullun a cikin jini, amma mai haƙuri yana da dalilai masu haɗari don ciwon sukari mellitus, to, an nuna shi ƙarin bincike. Kungiyoyin irin wadannan marasa lafiya sun hada da:

• yana da dangi na jini da ciwon sukari - iyaye, 'yan'uwa,' yan'uwa,
• matan da suka haifi yaro wanda nauyinsa yakai 4 kilogiram ko sama da haka, masu ciwon suga a lokacin daukar ciki, kuma suna fama da kwayayen polycystic,
• tare da karfin jini sama da 140/90 mm RT. Art. ko ayi masa magani domin hauhawar jini,
• tare da tasoshin cholesterol, triglycerides, keta hadadden tsarin samar da wadataccen lipoproteins gwargwadon bayanan mai,
• wanda ma'aunin nauyin jikinsa ya wuce kilogiram 25 / m2,
• akwai cututtuka na tsarin zuciya da jijiyoyin jini,
• tare da aiki na jiki kasa da minti 150 na mako daya.

Idan aƙalla ɗaya daga cikin haɗarin haɗarin akwai, ya kamata a gudanar da gwajin haƙuri na glucose. Ana nunawa har ma da cikakkiyar raunin alamun cutar sankara (ƙishirwa, karuwar fitar fitsari, karuwar ci, canje-canje mai nauyi kwatsam).

Idan an samo sakamako sama da 7.8 mmol / L, amma a kasa da 11.1 mmol / L (bayan saukar da sukari), ana yin gwajin ciwon sukari. Hakanan ana nuna cewa latent na cutar kuma ta ƙaruwa da gemoclobin glycated a cikin kewayon daga 5.7 zuwa 6.5%.

Gwajin haƙuri a jiki yana nuna yiwuwar kamuwa da cutar siga ta biyu. Game da bambancin insulin-da ke dauke da cutar, wanda galibi yakan shafi yara da matasa, ma'anar insulin, C-peptide, yana cikin tsarin bincike.

Shin sukari ya bambanta da nau'in ciwon suga

Duk da gaskiyar cewa a ƙarƙashin suna iri ɗaya cutar tana haɗuwa da abubuwan daban-daban na ci gaba, ƙarshen sakamakon nau'in 1 da nau'in ciwon sukari na 2 shine cutar hauka. Yana nufin karuwa cikin sukari na jini saboda karancin insulin a nau'in farko ko kuma rashin amsa shi a cikin na biyu.

Bambancin insulin-dogara da farawa yakan fara ne da yawan rarrabuwa. Wannan ya faru ne saboda gaskiyar cewa tsawon lokaci pancreas yana kulawa don magance jinkirin samar da insulin. Bayan kawai fiye da 5-10% na sel suka ci gaba da aiki, ƙetare lahani na metabolism metabolism fara - ketoacidosis. A wannan yanayin, glycemia na iya zama 15 mmol / l kuma mafi girma.

A nau'in na biyu, ciwon sukari yana da hanya mai sauƙi, sukari ya tashi a hankali, ana iya share alamun bayyanar lokaci mai tsawo. Ba a gano cututtukan hyperglycemia (sukari mai ɗorewa) koyaushe, akwai mafi girma fiye da ƙimar al'ada kawai bayan cin abinci. Koyaya, a kowane yanayi, ka'idojin ganewar asali ba su da bambanci ga nau'o'in cututtukan sukari.

Glucose na jini don ciwon sukari

Yayin cikin ciki, mahaifa na samar da kwayoyin homon-counter. Suna hana sukari fadowa saboda jariri ya sami ƙarin abubuwan gina jiki don girma. A gaban abubuwan da ke haifar da haɗari, mellitus na ciwon sukari na iya haɓakawa da wannan asalin. Ana nuna gwajin jini a kowane wata uku don gano shi.

Ka'idodin ganewar asali sune: karuwa a cikin glycemia daga 5.1 zuwa 6.9 mmol /, da kuma sa'o'i 2 bayan cin abinci (ciwan glucose) - daga raka'a 8.5 zuwa 11.1. Ga mata masu juna biyu, ana kuma tantance sukari sa'a ɗaya bayan motsa jiki yayin gwajin haƙuri.

Wataƙila za a iya samun irin wannan zaɓin - a kan komai a ciki kuma bayan mintuna 120 gwaje-gwaje na al'ada ne, kuma bayan minti 60 ya fi 10 mmol / l. Hakanan ana la'akari da shi da ciwon sukari na ciki..

Idan an gano mafi yawan abubuwan da ke tattare da cutar, to, ana yin gwajin sabon ƙwayar cutar sankara.

Mafi qarancin

Limitarancin ƙa'idar aiki, har ma ga mutane masu lafiya, ba a kafa su daidai ba. Jagorar itace 4.1 mmol / L A cikin ciwon sukari na mellitus, marasa lafiya na iya fuskantar bayyanar raguwar sukari koda a cikin adadin al'ada. Wannan shi ne saboda gaskiyar cewa jiki yana dacewa da matakan glucose mai yawa, kuma yana mayar da martani ga raguwarta ta hanyar sakin bazuwar damuwa.

Irin waɗannan bambance-bambance suna da haɗari musamman ga tsofaffi waɗanda ke fama da rauni mai rauni zuwa ga kwakwalwa. A gare su, endocrinologist yana ƙayyade maƙasudin maƙasudin alamar glycemia, wanda zai iya zama sama da yadda aka saba. Mafi yawan lokuta, wannan kewayon har zuwa 8 mmol / L.

Mai inganci

Ana lura da ciwon sukari mellitus a ƙarƙashin waɗannan yanayi:

• glucose a cikin mmol / l: a kan komai a ciki har zuwa 6.5, bayan cin abinci (bayan minti 120) har zuwa 8.5, kafin lokacin kwanciya har zuwa 7.5,
• bayanin martaba
• saukar jini - har zuwa 130/80 mm RT. Art.
• nauyin jiki (ma'auni) - 27 kg / m2 ga maza, 26 kg / m2 ga mata.

Kalli bidiyon kan sukarin jini a cikin ciwon suga:

Matsakaici

Tare da tsananin matsakaici (ƙananan ƙwayar cuta) na ciwon sukari, glucose yana cikin kewayon har zuwa 13.9 mmol / L kafin abinci. Irin wannan cututtukan glycemia galibi yana tare da samuwar sassan ketone kuma ci gaban ketoacidosis, tasoshin da jijiyoyin jijiya suna shafar. Ko da wane irin cutar, marasa lafiya suna buƙatar insulin.

Manyan dabi'u suna ba da ma'anar ƙaƙƙarfan kwarara. Duk rikitarwa na ci gaba da ciwon sukari, ƙwayar cuta na iya faruwa. Matsakaicin matakin sukari tare da hyperosmolar shine 30-50 mmol / L. An bayyana wannan ta hanyar mummunan rauni na aikin kwakwalwa, bushewar fata kuma yana buƙatar kulawa da gaggawa don ceton rai.

Kuma anan shine ƙarin game da insulin a cikin ciwon sukari.

Matakan sukari na jini suna nuna canje-canje a cikin metabolism metabolism. Bayyanar ciwon sukari na buƙatar ninki biyu na yawan glycemia na azumi. Matsayi na glucose na jini yana faruwa tare da ɓoye hanyar cutar, sabili da haka, ana buƙatar ƙarin bincike game da haƙuri na glucose, ƙaddarawar glycated haemoglobin, insulin, da kuma C-peptide. T

Ana nuna irin wannan binciken a gaban abubuwan haɗari. A lokacin haihuwa, dukkan mata suna yin gwaje-gwaje don gano nau'in ciwon sukari.

Babban hanyoyi don rage sukari jini: abinci, salon rayuwa. Wanne zai taimaka dawo da glucose zuwa al'ada da sauri. Motsa jiki da hanyoyin jama'a don rage sukarin jini. Lokacin da magunguna kawai zasu taimaka.

Hypoglycemia yana faruwa a cikin cututtukan sukari guda ɗaya a cikin sau 40 cikin marasa lafiya. Yana da mahimmanci a san alamunsa da kuma abubuwan da ke haifar dashi don fara magani a cikin lokaci da kuma aiwatar da prophylaxis tare da nau'in 1 da 2. Dare yana da haɗari musamman.

An wajabta insulin don ciwon sukari a lokacin da abinci, ganye, da kuma canje-canjen rayuwa basu taimaka ba. Menene ake buƙata ga mata masu juna biyu? Wadanne allurai ne aka zayyana wa masu cutar sukari?

Irin wannan ilimin kamar su mellitus na ciwon sukari a cikin mata za a iya tantance su a bango na damuwa, rushewar jijiyoyin jiki. Alamun farko suna da ƙishirwa, urination mai yawa, ɗagewa. Amma ciwon sukari, koda bayan shekaru 50, ana iya ɓoye. Sabili da haka, yana da mahimmanci don sanin al'ada a cikin jini, yadda za a guje shi. Nawa ne ke fama da ciwon sukari?

Daya daga cikin mafi kyawun kwayoyi shine ciwon sukari mellitus. Kwayoyin suna taimakawa wajen magance nau'in na biyu. Yadda za a sha maganin?

Wadanne gunaguni ne aka gabatar dasu ga masu dauke da cutar sukari guda 2?

Alamomin gargajiya (alamu) na nau'in ciwon sukari guda 2:

• mai tsananin kishi (sha'awar shan ruwa a yawan mai yawa),
• polyuria (urin yawan urination),
• gajiya (rauni na gaba daya),
• haushi
• cututtuka na yau da kullun (musamman na fata da gabobin urogenital).

• makama ko ƙyallen fata a ƙafafu ko makamai,
• Rage ƙarancin gani na gani (mara haske ko gani).

Tashin hankali (na iya kasancewa farkon alamun cutar sankarau):

• candida (fungal) vulvovaginitis da balanitis (kumburin ciki a mata da maza),
• mara kyau warkar raunuka ko staphylococcal cututtuka a kan fata (pustular rashes, gami da furunlera a kan fata),
• polyneuropathy (lalacewar jijiyoyin jijiya, wanda ya bayyana ta paresthesia - gurguwar rarrafe da ƙamus a cikin kafafu,
• erectile tabarbarewa (rage penile erection a cikin maza),
• angiopathy (rage ƙwaƙwalwar jijiyoyin zuciya da jin zafi a cikin yankin na ƙananan ƙarshen ƙarshen, wanda aka bayyana da jin zafi da kuma ji na ƙafafun iska).

Ba a lura da alamun gargajiya (alamu) na ciwon sukari da aka bayar a sama ba koyaushe. MAI KYAUTA - KARYA! Ciwon sukari mellitus sau da yawa asymptomatic ne, saboda haka ana buƙatar kulawa da yawa daga likitan dangi.

Yaushe ake kamuwa da ciwon sukari na 2?

Idan akwai gunaguni (duba sashin da ya gabata) don tabbatar da kamuwa da cutar, ya zama dole yin rajista da zarar an sami ƙara yawan glucose na jini daga yatsa sama da 11.1 mmol / l sau ɗaya (duba tebur 5).

Tebur 5. Cutar glucose a cikin cututtukan da yawa na metabolism na metabolism:

Matsayin glucose -
daga kanshin gaskiya (daga yatsa)

Wane matakin sukari na jini ke sa ya yiwu a bincika?

Za'a iya yin maganin cutar sankarar mellitus idan mai haƙuri a kowane lokaci ba shi da matakin glucose na jini sama da 11.1 mmol / L. Haka kuma dole ne a lura da alamun cututtukan type 2 na sukari ko alamun nau'in ciwon sukari na 1. Karanta karin bayani game da labarin "Cutar Ciwon Cutar Cutar Cutar Ciki a cikin Mata." Idan babu alamun bayyane, to, awo guda na sukari bai isa ya yi maganin cutar ba. Don tabbatarwa, kuna buƙatar samun ƙarin valuesan girma da keɓaɓɓen darajar glucose a cikin kwanaki daban-daban.

Ana iya gano ciwon sukari ta hanyar yin azumi na glucose plasma na jini sama da 7.0 mmol / L. Amma wannan hanya ce mara tushe. Domin a yawancin masu cutar sukari, yin azumi jini bai isa irin wannan kyawawan dabi'u ba. Kodayake bayan cin abinci, matakan glucose su yana ƙaruwa sosai. Saboda wannan, rikicewar rikice-rikice sannu a hankali ke ci gaba akan kodan, gani, kafafu, sauran gabobin jiki da tsarin jikin mutum.

Tare da alamun alamun glucose na 7.8-11.0 mmol / l, ana gano cutar haƙuri da keɓaɓɓen haƙuri ko rashin lafiya a cikin jini. Dr. Bernstein ya ce irin wannan marassa lafiyar yana bukatar a gano masu cutar siga ta cutar siga ba tare da yin wani karin bayani ba. Kuma tsarin kulawa ya kamata ya zama mai zafi. In ba haka ba, marasa lafiya suna da babban haɗarin mutuwa na wanda ya mutu daga cutar zuciya. Ee, kuma rikitarwa na yau da kullun yana fara haɓaka ko da ƙimar sukari sama da 6.0 mmol / L.

Don gano cutar sukari a cikin mata yayin daukar ciki, ƙayyadaddun iyakokin glucose na jini ya ɗan ƙanƙanta fiye da duk sauran ɓangarorin marasa lafiya. Karanta labaran "Cutar Cutar Ciki" da "Ciwon Cutar na ciki" don ƙarin bayani.

Bayyanar cututtuka na nau'in ciwon sukari na 2

Ciwon sukari na 2 na iya ta dawwama tsawon shekaru ba tare da haifar da alamun bayyanar cututtuka ba. Jin daɗin rayuwa sannu a hankali yana taɓarɓarewa, amma kaɗan marasa lafiya suna ganin likita game da wannan. Yawancin sukari na jini mafi yawanci ana gano shi da haɗari. Don tabbatar da ganewar asali, kuna buƙatar ƙaddamar da gwajin gwaje-gwaje don haemoglobin glycated. An ba da shawarar yin gwajin jini don sukari mai azumi. An bayyana dalilan wannan.