Nau'in ciwon sukari na 1 na guda ɗaya: sanadin, bayyanar cututtuka da magani, rikitarwa

Komai yanayin rashin lafiyar mutum da ciwon sukari, akwai dalili a kansa. Shekaru da yawa, likitoci suna ta magana game da abubuwan da ke haifar da rikice-rikice, amma har ya zuwa yau ba su sami damar sanin yanayin waɗannan abubuwan mamaki ba.

A lokaci guda, da yawa yanayi da aka sani cewa ni'imar bayyanar canje-canje canje-canje na ilimin halittar jiki. Mafi na kowa wadanda aka jera a ƙasa:

• rashin abinci mai kyau, haifar da rikicewar metabolism,
• wuce haddi glucose da / ko sodium,
• ƙara yawan jini,
• jari na lactic acid a cikin jiki.

Babban abinda ke haifar da ciwon sukari nau'in 1 sune tsinkayewar jini. Sanannen abu ne cewa, yiwuwar haifar da rashin lafiya a cikin yaro zai bambanta dan kadan dangane da wane ɗan ɗan gidan ke fama da irin wannan cuta. Misali:

• tare da mahaifiyar mara lafiya, damar ba ta wuce 2%,
• idan cutar ta kamu da cutar a wurin mahaifinsa, to yuwuwar ya bambanta daga kashi 3 zuwa 6,
• faruwar cutar kamar wani nau'in ciwon sukari guda 1 a cikin ɗan uwan ​​yana ƙara yiwuwar kashi shida ko fiye.

Sanadin, alamu, magani da kuma gano cutar sankara a cikin yara da manya

Abubuwan da ke faruwa a cikin yara ana bayyana su da kadan, idan saboda karamin “gogewa” ne. Mutuwar da ke ƙasa da shekara 18 tana gab da sifiri. Koyaya, idan yaro ya kamu da ciwon sukari, wannan yana nufin cewa tsarin ƙaddara ya riga ya fara. Likitoci sun lura da wasu matsaloli da ke tattare da cutar sikari ta yara / balagagge:

• microalbuminuria,
• mai ciwon sukari nephropathy,
• jin damuwa (a lokuta da dama),
• ma'asumi.

Rikicewar ciwon sukari a farkon lokacin yana da hadari saboda sirrinsu. Kwayar cututtukan da aka lura a cikin yaro yawanci ana danganta shi ga wasu, mafi halaye da cututtuka na yau da kullun. Bayar da isasshen damar zuwa likitan da ya cancanta, yana yiwuwa a sami cikakkiyar diyya ga masu ciwon sukari cikin kankanen lokaci tare da tabbatar da cikakkiyar kawar da abubuwan damuwa.

Alamomin kamuwa da cutar sd II

Janar
bayyanar cututtuka (ƙishirwa, polyuria, itching,
mai saukin kamuwa da kamuwa da cuta) masu matsakaici ne
ko ba ya nan. Sau da yawa kiba
(a cikin 80-90% na marasa lafiya).

Duk da yanayin da yake fama da shi, cutar, a ƙarƙashin tasirin dalilai masu haɗari, ana nuna shi ta hanyar haɓaka saurin ci gaba da sauyawa daga wani mataki zuwa mummunan.

Mafi kyawun alamun halayyar nau'in 1 mellitus na ciwon sukari an gabatar da su:

• ƙishirwa ta yau da kullun - wannan yana haifar da gaskiyar cewa mutum zai iya shan ruwa har lita goma na ruwa kowace rana,
• bushe bakin - aka bayyana ko da a bangon tushen yawan shan ruwan sha,
• mai yawa kuma urination,
• karuwar ci
• bushe fata da mucous membranes,
• rashin lafiya fata itching da purulent raunuka na fata,
• tashin hankalin bacci
• rauni da rage aiki
• katsewa na ƙananan ƙarshen,
• asarar nauyi
• karancin gani
• tashin zuciya da amai, wanda kawai ya dan kawo sauƙin,
• yunwa kullum
• haushi
• kwanciya - wannan cutar ta zama ruwan dare a cikin yara.

Ciwon sukari mellitus cuta ce ta kowa gama gari a wannan zamani. Wannan cuta ba kawai ta canza rayuwar mutum da mamaki sosai ba, amma har da wasu matsaloli.

Ciwon sukari mellitus sakamako ne na rashin aiki a cikin tsarin endocrine da yawan insulin da aka samar. Idan adadin insulin bai isa ba don rushewar glucose, to ana kiran wannan nau'in cutar a matsayin nau'in ciwon sukari na 1. Yawan wuce hadarin insulin da bazai iya tuntuɓar wasu masu karɓar ba yana nuna kasancewar ciwon sukari na 2.

Nau'in Rediyon Rana 1 ya fi kamari a cikin matasa da yara. Nau'in nau'in ciwon sukari shine mafi yawan lokuta ana gano shi a cikin tsofaffi. Tare da ingantaccen bincike, za a iya kawar da ci gaban cutar ta hanyar magani da abinci.

Bidiyo game da kulawa da rigakafin rikicewar cututtukan siga

Bayan tabbatar da bayyanar cutar, mutane da yawa marasa lafiya suna sha'awar tambayar - shin zai yuwu a warkar da ciwon sukari irin na 1? Ba shi da cikakken magani, amma yana yiwuwa a inganta yanayin haƙuri tsawon shekaru tare da taimakon irin waɗannan hanyoyin warkewa:

• sauya insulin far - da aka zaɓi sashi na irin wannan abun ɗin akayi daban-daban dangane da tsananin yanayin karatun da nau'in shekarun mai haƙuri,
• ciyar da abinci
• tsari na musamman da aka tsara musamman don motsa jiki - gabaɗaya, ana nuna marasa lafiya don yin haske ko motsa jiki na motsa jiki a kowace rana na akalla sa'a guda.

Abincin abinci don nau'in 1 na ciwon sukari yana nufin bin ka'idodi masu zuwa:

• cikakken cire kayan masarufi kamar sukari da zuma, adana kayan gida da kowane irin kayan kwalliya, gami da abubuwan sha mai kauri,
• wadatar da menu da abinci da hatsi, da dankali da 'ya'yan itatuwa suka ba da shawarar,
• akai-akai da karancin abinci,
• ƙuntatawa na yawan kitse na asalin dabba,
• sarrafa abinci mai kyau na kayan amfanin gona da kayayyakin kiwo,
• banda yin zubewa.

Cikakken jerin abubuwan da aka ba da izini da abubuwan da aka haramta, da sauran shawarwari dangane da abinci mai gina jiki, ana bayar da shi ne kawai daga likitan halartar.

Iri rikitarwa

Babban mummunan sakamako akan jikin mutum a cikin nau'in ciwon sukari na 1 ana samun shi ne saboda yawan matakan glucose a cikin jini.

Jiki bashi da ikon hada shi da kullun zuwa makamashi kuma yana fara aiwatar da rabe-raben kitse, wanda, biyun, ya rushe zuwa ketones kuma yana tarawa a kusan dukkanin gabobin har ma da jijiyoyin jini. Waɗannan abubuwa masu cutarwa ne, waɗanda suka haɗa da, misali, acetone.

Sau da yawa, akan asalin irin wannan rikice-rikice na rayuwa, mai haƙuri tare da nau'in 1 na ciwon sukari mellitus yana haɓaka ketoacidosis, cuta wanda samfuran metabolism ke tarawa cikin jiki, amma ba za a iya ɗaukar su ba.

Tare da ci gaba da cutar a cikin mace mai ciki, rikice-rikice za su kasance - ɓataccen ciki da rashin lafiyar tayin.

Ana ɗaukar cutar mellitus ɗaya daga cikin hadaddun cututtuka. Haka kuma, ba cutar kanta ba ce ke haifar da damuwa, amma rikice-rikice na ciwon sukari mellitus. Haɓaka rikice-rikice ba da jimawa ba ya ƙare da tawaya, doguwar wahala mai wahala da ke haifar da tawaya, da raguwa mafi rashin jin daɗi a rayuwa.

Sanadin rikitarwa

Babban dalilin duk rikitarwa na ciwon sukari shine karuwa a cikin matakan sukari a cikin jiki. Cututturar cuta mai narkewa, rashin haɓakar cuta a cikin jiki yana haifar da tasirin cutar sankara. Bugu da kari, wani babban matakin insulin a cikin jini lamari ne mai cutarwa ga wani bakin ciki da ke jikin magudanan jini.

Tare da ƙara yawan matakan sukari a cikin jini, ƙwayoyin jikin mutum suna ƙarƙashin guguwa mai ƙarfi na sukari, wanda ke haifar da rikice-rikice na ciwon sukari.

Wannan nau'in cutar ana nuna shi ta hanyar rikicewar rikice-rikice wanda ke ci gaba a zahiri a idanu. Wasu daga cikin waɗannan yanayin cututtukan suna buƙatar magani na gaggawa kuma ana iya gyara su ta hanyar rigakafin. Yi la'akari da menene rikitarwa na nau'in 1:

• Ketoacidosis shine gano gawawwakin ketone a cikin jini a cikin yanayi yayin da ba a isar da insulin ba. Yayinda yake kula da rashi na hormone, da sauri mai haƙuri ya faɗi cikin ƙwayar ketoacidotic.
• Dalilin rashin wadatar jini shine karuwa a cikin sukari, wannan shine dalilin da ya sa jiki ya bushe. Idan ba a bi da mara lafiyar a wannan lokacin, to, haɗarin mutuwa ya yi yawa.
• An cema coma Hypoglycemic lokacin da, bisa kuskure, mara lafiyar ya karɓi yawan insulin. A saboda wannan, rashi yawan glucose a cikin kwakwalwa, wanda yake haifar da aiki mai rauni, wanda ke haifar da rashin cikakken sani, fainting da coma.

Rikici na ciwon sukari mellitus, saboda tsananin ƙarancinsa, yana da haɗari musamman ga yara, saboda jikinsu yana da rauni sosai don samun isasshen hanyoyin ramawa, kuma duk wasu ƙungiyar da aka bayyana za su iya zama m.

Baya ga mummunan sakamako, nau'in 1 shima ana saninsa da rikitarwa na "ƙarshen". Ba su da kullun a cikin yanayin kuma suna kama da alamun bayyanuwa a cikin nau'in cuta 2.

Yin rigakafin

Abinda kawai zaɓi don ingantaccen rigakafin rikicewar cututtukan sukari shine tsananin bin shawarwarin likita, da kuma sanya idanu akai-akai game da matakan sukari na jini da kiyaye shi a matakin "lafiya".

Ba zai yiwu a iya dakile mummunan sakamakon cutar ta wannan hanyar ba, amma yana yiwuwa a rage su.

Zuwa yau, takamaiman rigakafin kamuwa da ciwon sukari na 1 bai inganta ba. Don rage yiwuwar bunkasa ciwo, ana bada shawara:

• bar gaba daya miyagun halaye,
• ku ci daidai
• sha magani kawai kamar yadda mai kula da asibitin ya umurce shi,
• guji damuwa a duk lokacin da zai yiwu
• kiyaye nauyin jiki a cikin iyakoki na al'ada,
• da hankali cikin shirin ciki
• dace bi da wani cuta ko hoto ko bidiyo mai zagaya yanar gizo da sauri,
• jarrabawar yau da kullun ta hanyar likitancin endocrinologist.

Hasashen, da kuma yadda suke rayuwa tare da nau'in ciwon sukari na 1, kai tsaye ya dogara da yadda mai haƙuri zai bi duk shawarwarin warkewa na endocrinologist. Tashin hankali na iya zama m.

Type 1 ciwon sukari - menene wannan cutar?

Nau'in 1 na ciwon sukari mellitus (ko ciwon sukari da ke dogara da insulin) wani cuta ne na endocrine wanda ke nuna isasshen samar da insulin na hormone wanda kumburin ciki. Sakamakon haka, mutum yana da ƙara yawan sukari a cikin jini da babban alamomin da ke tare da su - ƙishirwa koyaushe, asarar nauyi mara nauyi.

Cutar ba ta warkarwa, sabili da haka, a cikin gano ciwon sukari, dole ne marasa lafiya su ɗauki magunguna waɗanda ke rage matakan sukari jini don rayuwa kuma a hankali suna lura da yanayin su.

Tsammani na rayuwa a cikin nau'in 1 mellitus na sukari, tare da kulawa mai dacewa da aiwatar da shawarar likita, ya yi yawa - fiye da shekaru 30-35.

Sanadin Type 1 Ciwon sukari

Ba a tabbatar da ainihin musabbabin cutar ba. An yi imani cewa mafi yawan abubuwanda ke haifar da ciwon sukari na dogaro da insulin shine kwayoyin halittar jini.

Baya ga gado, sauran dalilai na iya haifar da ci gaban cutar:

• Kiba mai nauyi ko kiba
• Cin cuta - akai-akai amfani da muffin, cakulan, carbohydrates mai sauƙi, sakamakon abin da ke motsa jiki wanda yake haifar da rikicewar jiki a cikin jikin mutum, wanda hakan ke tsokanar da malfunctions a cikin pancreas,
• Ciwon mara na kullum ko cututtukan zuciya,
• Damuwa
• Al'adar fata
• Yin amfani da kwayoyi waɗanda ke lalata sel ƙwayoyin cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa waɗanda ke da alhakin samar da insulin na hormone (wanda ake kira tsibirin Langerhans),
• Cututtukan da ke daɗaɗar cuta da cuta da cututtukan ƙwayar cutar thyroid.

Cutar Ciwon Ciki 1

Cutar cututtukan cututtukan type 1, hoto 1

Alamun farko na nau'in ciwon sukari guda 1 sune:

• Rage nauyi mai nauyi
• Thirstara yawan ƙishirwa
• Appara yawan ci
• Yawan urination (polyuria),
• Lethargy, gajiya, gajiya,
• Yunwar, wanda ke tare da pallor na fata, tachycardia, fitowar gumi mai sanyi, raguwar hauhawar jini,
• Sautin hankali a cikin yatsu da rauni na tsoka.

A cikin mata, ɗayan alamun farko na ciwon sukari shine ƙararrawar itaciya ta ciki da na gabobin ciki, wanda ke haifar da kasancewar lu'ulu'u a cikin fitsari.

Bayan ziyartar bayan gida, saukowar fitsari na ci gaba da zama a jikin fatar da jikin mucous, yana haifar da matsanancin fushi da ƙoshin da ba za a iya jure su ba, wanda ke tilasta mata su nemi likita.

A cikin maza, farkon bayyanar asibiti na nau'in ciwon sukari na 1 shine lalatawar jima'i (lalatawar datti) da kuma rashin sha'awar jima'i.

Cutar na iya faruwa ba da jimawa ba na wani lokaci ko mai haƙuri kawai ba ya haɗa mahimmancin hoto mai haɓaka.

Hankali kuma ya zama dalilin ziyarar kai tsaye ga likita yakamata ya zama maras murmurewa da ƙananan raunuka a farfajiyar fata, samuwar kumburi da kumburin ciki, da kuma lalacewar yanayin rigakafi, yawan sanyi da yawan zazzabi.

Ciwon sukari na nau'in ciwon sukari na 1

Binciken ciwon sukari da ke dogaro da insulin shine yawanci ba mai wahala bane, idan kuna zargin wata cuta, an wajabta mai haƙuri don yin gwajin jini don sanin matakin glucose.

Domin sakamakon binciken ya kasance abin dogaro, dole ne a dauki jini a hankali a kan komai a ciki, kuma awanni 8 kafin aikin, mara lafiya kada ya ci Sweets, ci abinci, shan kofi, shan taba ko shan magunguna.

Kyakkyawan mai nuna alama na sukari jini shine 3-3.5 mmol / l, a cikin mata masu juna biyu waɗannan alamomin zasu iya kaiwa 4-5 mmol / l, wanda ba shine maganin cutar ba. A cikin ciwon sukari, matakin glucose a cikin jini akan komai a ciki zai zama daidai da 7.0-7.8 mmol / L.

Don tabbatar da daidaito game da ganewar asali, mara lafiyar yana yin gwajin haƙuri na glucose: na farko, ana ɗaukar jini a cikin komai a ciki, sannan an ba wa mai haƙuri maganin da zai sha kuma ana ba da shawarar ya sake nazarin bayan sa'o'i 2. Idan sakamakon bayan awa 2 ya fi 9.0-11.0 mmol / l, to wannan yana nuna nau'in ciwon sukari na 1.

Hanyar da ta fi dacewa don gano cutar ita ce gwaji don haemoglobin A1C, wanda ke ba ku damar gano daidai kuma ba sa buƙatar dogon haƙuri na mai haƙuri.

Type 1 ciwon sukari

Lokacin da yake tabbatar da ganewar asali game da ciwon sukari-wanda ke dogara da cutar sukari, likita ya rubuta wa mai haƙuri tsarin kulawa na mutum - waɗannan magunguna ne waɗanda ke rage matakin glucose a cikin jini, wanda dole ne mara lafiya ya ɗauki rayuwa.

Za'a iya daidaita adadin magungunan dangane da halayen jikin mai haƙuri, hanyar cutar, daidaitattun amfani da wasu kwayoyi, kasancewar rikitarwa.

A matakin farko na jiyya, an wajabta mai haƙuri a cikin shirye-shiryen insulin a cikin kwamfutar hannu, duk da haka, idan tasirin bai isa ba ko rauni, kuma mellitus ciwon sukari ya ci gaba, to, sai su koma allurar insulin.

Ana yin lissafin adadin kwayoyin a cikin daidaiku daban-daban, dole ne a gudanar da shi a ƙarƙashin mai haƙuri (a yankin kafada, cinya na waje, bangon ciki).

Ya kamata a riƙa yin amfani da wurin allurar koyaushe, tun lokacin da allurar cikin insulin take zuwa wuri guda, mai haƙuri da sauri yana haɓaka lipodystrophy.

Ya danganta da iyawa da adadin samarda insulin ta hanyar tsibirin na Langerhans, an wajabta mai haƙuri ta hanyar asalin (kana buƙatar shigar da sau da yawa a rana) ko kuma tsawaita aiki (allura 1 kawai a rana ya isa).

Kowane haƙuri da ke dauke da nau'in ciwon sukari na 1 ya kamata ya sami glucometer na musamman tare da shi - na’urar aljihu wacce zata auna glucose na jini da sauri.

Insulin famfo

Hoto na Inshorar Insulin 3

Ga marasa lafiya waɗanda cutar kumburin su kusan aiki ba sa aiki kuma ba sa fitar da insulin na hormone, an saka famfo ta insulin.

Motsin ya kasance ƙaramin na'ura wanda a koyaushe ana samar da mai haƙuri tare da insulin a cikin ƙaddarar da aka ƙaddara ta hanyar bututu na musamman tare da allura.An saka allura a cikin bangon ciki kuma an maye gurbinsa duk 'yan kwanaki.

Amfanin wannan hanyar magani shine kawar da buƙata ta yin allurar insulin a koyaushe kuma mafi kyawun kula da cutar, amma matsalar famfon ita ce babban kuɗinta, a sakamakon haka, ba duk masu ciwon sukari ba zasu iya shigar da shi.

Abun Ciki na Cutar Rana 1

Mellitus-insulin-da ke fama da cutar suga ta ƙwaya a cikin jiki ya sa cutar ta ci gaba cikin hanzari kuma yanayin haƙuri na iya saurin lalacewa cikin sauri.

Tare da gano rashin sani na cutar sankara kuma tare da canje-canje kwatsam a matakin glucose a cikin jijiyoyin jini, mai haƙuri na iya haɓaka rikitarwa:

1. Ciwon mara wanda ke fama da cutar kansa - jijiyoyin jini na idanu, gabobi, zuciya, kodan da sauran gabobi masu mahimmanci ana cutar da su, sakamakon wanda aikinsa ya rikice,
2. Rashin wadataccen jini da abinci mai gina jiki na zuciya, tashin zuciya,
3. Gangrene - yana tasowa sakamakon bayyanar fata a farfajiyar fata da ƙananan raunuka da raunuka da ba sa warkarwa kuma suna iya warkewa koyaushe,
4. Cutar masu ciwon sukari - canza kamannin kafa, rage saurin fata, cututtukan cututtukan fata da samuwar fasa kwatar jiki,
5. Ciwon mara
6. Osteoporosis
7. Ciwan mai mai.

Mafi haɗarin rikitarwa na ciwon sukari na 1 shine coma:

• Hypoglycemic - saboda yawan shan insulin,
• Ketoacidotic - wanda ya haifar da glucose na jini da tarin jikin ketone.

Duk yanayin yanayin biyu suna haifar da barazana ga rayuwar mai haƙuri, kuma in babu ingantaccen kulawar da ya dace yana haifar da mutuwa.

Yawancin mutane da ke da nau'in ciwon sukari na 1 suna rayuwa sun fi dogaro da hoton asibiti na cutar da ikon sarrafa matakan glucose na jini.

Lokacin cika duk shawarar likita, bin tsarin abinci da kuma ci gaba da rayuwa mai kyau, marasa lafiya suna rayuwa har zuwa tsufa ba tare da wahala ba.

Abinci mai gina jiki ga Cutar Rana 1

Baya ga magani, mai haƙuri dole ne ya bi tsarin abinci tare da ƙuntataccen ƙuntatawa a kan adadin carbohydrates da kitsen (dankali, fats na dabba, Sweets, cakulan, kofi, wake, waina da kayan lemo, cuku na gida mai ƙarfi, giya mai giya, taliya, taliya mai farin burodi).

Tushen abincin shine hatsi, burodi, 'ya'yan itatuwa da kayan marmari, nama mai ƙamshi, kayan kiwo.

Type 1 ciwon sukari mellitus ICD 10

A cikin kasafin duniya daban daban na cututtukan cututtukan cututtukan sukari na 1 shine:

Class III - Cututtukan tsarin endocrine, raunin cin abinci da rikice-rikice na rayuwa (E00 - E90)

Ciwon sukari mellitus (E10-E14)

• E10 insulin-dogara da ciwon sukari mellitus.

An cire masu zuwa daga wannan sakin layi: ciwon sukari mellitus wanda ke da alaƙa da rashin abinci mai gina jiki (E12.-), jarirai (P70.2), a lokacin haihuwa, yayin haihuwa da kuma lokacin haihuwa (O24.-), glycosuria: NOS (R81), renal (E74.8), mai rauni haƙuri haƙuri (R73.0), cututtukan jini bayan jini (E89.1)