Type 2 ciwon sukari
Ciwon sukari na nau'in 1 na ciwon sukari wanda yake dogaro da kansa shine cuta mai wahala wanda rashin isasshen yawan insulin din da kwayoyin halittar ke motsa su. Wani nau'in ciwon sukari na 2 wanda ke haifar da rikice-rikice na tafiyar matakai na rayuwa, yayin da ƙwayar tsoka ta zama rigakafi ga glucose, sakamakon wannan abu yana tarawa cikin jini. Ko da wane irin cutar, ciwon sukari yana cikin haɗarin mummunan rikice-rikice da ke haɓaka lokacin da ba a bi shawarwarin magani.
Epidemiology
Lamarin yana girma koyaushe. Hukumar Kiwon Lafiya ta Duniya (WHO) ta yi hasashen karuwa na dogon lokaci a yawan masu cutar siga a duniya zuwa 300-350 miliyan a cikin shekaru 15-25. An bayyana wannan ta hanyar canji a cikin tsarin yawan jama'a, da kuma birane na yau da kullun.
Lambobi masu mahimmanci na yaduwar nau'in ciwon sukari na 2 ana lura dasu a cikin ƙasashe masu tasowa. A mafi nisa arewa yanayin ƙasa, da mafi yawan marasa lafiya da mai rauni carbohydrate metabolism.
Nuna halaye na kasa game da abin da ya faru. Don haka, abin ya faru musamman a tsakanin Indiyawan Pima da 'yan Mexico. A kowane yanki, tsofaffi sun fi rashin lafiya. Daga cikin duk tsofaffi, ana samun latti ko ciwon sukari a cikin 10% na nazarin. A cikin mutane sama da 65, yawanci ya kai 20%. Ana lura da mummunan tashin hankali bayan shekaru 75.
A cikin 'yan shekarun nan, an lura da wani sabon yanayin haɗari - gagarumin "sabuntuwa" na shekarun bayyanuwar cutar sukari na 2. Idan kafin cutar a zahiri ba ta faru ba a cikin mutane da ke ƙasa da 40, yanzu ana kamuwa da su ta yau da kullun game da cututtukan rashin lafiya a cikin matasa har ma da yara.
A cikin maza, ana gano nau'in ciwon sukari na 2 sau da yawa fiye da mata.
Abubuwan da ke haifar da Etiological
Yawancin abubuwan etiological suna taka rawa a bayyanar bayyanar cutar cuta ta rayuwa. Cutar sankarau na faruwa saboda:
- kwayoyin halittar jini
- rikicewar cikin ciki,
- tsufa
- kiba
- rashin aiki na jiki
- wuce haddi abinci.
Rashin Gaskiya
An tabbatar da cewa gado ne ke yanke hukuncin aukuwar kashi 50-70%. Idan ɗaya daga cikin iyayen ba shi da lafiya tare da nau'in ciwon sukari na 2, dama damar fuskantar wannan matsalar ta kai 1: 2. Hadarin cutar a cikin tagwaye iri ɗaya ya kai 1: 9.
Ciwon sukari an tantance shi ta haɗuwa da kwayoyin halittu daban-daban. Kowane alamomi yana ƙaruwa da haɗarin rashin lafiya ta 5-15%. Marasa lafiya na iya samun haɗuwa daban-daban na amfani da kwayoyin halittar da ke alaƙa da ciwon sukari na 2.
Wataƙila, ci gaba da cutar yana cutar da kwayoyin halitta:
- ƙaddara kira da ɓoye insulin,
- alhakin kulawar kyallen takarda zuwa insulin.
An riga an san cewa alamun alamun gado marasa kyau suna kara haɗarin ciwon sukari da kashi 35-147%:
Duk waɗannan abubuwan da ake amfani da su na kimiyyar lissafi sune da farko suna da haziƙan ƙwayar insulin.
Rashin daidaituwa na ciki
Lokacin intrauterine yana nunawa a cikin lafiyar mutum a duk rayuwa. An san cewa idan an haifi yaro da nauyin jiki, to damar sa kamuwa da ciwon sukari nau'in 2 suna da kyau sosai. Idan nauyin haihuwa ya fi na al'ada girma, to, yiwuwar gurɓataccen ƙwayar ƙwayar narkewar ƙwayar motsi a cikin girma shima yana ƙaruwa.
Weightarancin nauyi na jariri (har zuwa kilogram 2.3-2.8) galibi yana nuna rashin abinci mai gina jiki a cikin lokacin haihuwa. Wannan lamari yana shafar ƙirƙirar metabolism na musamman "na tattalin arziki". Irin waɗannan mutane suna da juriya na insulin da farko. A tsawon shekaru, metabolism na "tattalin arziki" yana haifar da ci gaba da kiba, nau'in ciwon sukari na 2, atherosclerosis, da hauhawar jini.
Kiba a wurin haihuwa (fiye da kilogiram 4.5) na nuna cin zarafin metabolism a cikin mahaifiyarsa. Irin waɗannan mata suna ba wa 'ya'yansu mummunan halayen kwayoyin halittar. Rashin kamuwa da ciwon sukari na 2 a cikin yaro ya kai 50% (a rayuwa).
Nauyin jiki da daidaituwa na jiki suna tasiri sosai ga ci gaban nau'in ciwon sukari na 2.
Weightwararren jiki na yau da kullun yayi daidai da jigon 18.5 zuwa 24.9 kg / m 2. Idan BMI na 25-29.9 kg / m 2, to, suna magana game da kiba.
Na gaba sune digiri 3 na kiba:
- Digiri 1 (30-34.9 kg / m 2),
- Digiri na biyu (35-39.9 kg / m 2),
- Digiri 3 (fiye da 40 kg / m 2).
Ana iya amfani da BMI a cikin maza tare da taƙaitaccen ƙuntatawa. Ba za a iya ƙaddara kiba a cikin mutanen da suka tsufa da kuma a cikin masu motsa jiki tare da dumbin ƙwayar tsoka ba. Ga waɗannan nau'ikan marasa lafiya, ya fi dacewa a yi amfani da hanyar yin ƙididdige yawan ƙwayar adipose ta amfani da caliperometry.
Bayan shekara 30, maza da yawa suna yin kiba fiye da kima a jiki. Yawancin lokaci, mai ƙarfin jima'i yana ƙarancin kulawa ga abinci mai kalori da ma wasanni. A bisa ga al'ada, ƙaramin nauyi mai yawa ba a la'akari dashi kasala a cikin mazan saurayi.
Don haɓakar ciwon sukari, babban rawa yana gudana ta hanyar motsa jiki. Yawancin maza suna da haɗari ga kiba a ciki. Tare da wannan zaɓi, ƙwayar kitse ya fi ajiya a ciki. Idan namiji yana da girman ciki fiye da santimita sittin da tara, to lallai cutar sankara ce ta ciki. A cikin mutane masu irin wannan yanayin, haɗarin kamuwa da cutar sankara ya ninka sau 20 sama da matsakaita.
Activityarancin aiki na jiki
Rashin motsa jiki yana ɗaya daga cikin halayen rayuwar birane. Maza yawanci suna aiki da hankali.
Aiki na jiki yana ƙasa da zama dole:
- saboda rashin lokacin kyauta,
- ƙananan shahararrun wasanni,
- babban wadatar motocin gwamnati da na masu zaman kansu.
A matsakaici, ƙauyen yana buƙatar kilogiram kilo 3500-4500 kowace rana. Wannan shine adadin kuzarin da mutum yake amfani dashi a ƙauyen akan aikin yau da kullun. Ga mazaunin birni, buƙata makamashi ba ta da yawa. Galibi ma'aikacin ofishin yana kashe kilo 2000-3000 a kowace rana.
Aiki na jiki yana taimakawa ci gaba da aiki na yau da kullun. An san cewa a cikin sa'o'i 12 bayan horo, adadin masu karɓa na insulin a kan membranes cell ya ci gaba. Tissu yana ƙara haɓaka hankalin su ga insulin, kamar yadda buƙatuwar su ta glucose ke ƙaruwa.
Pathogenesis na ciwon sukari na 2
Kullum, insulin yana aiki akan yawancin kyallen jiki.
A matakin sel, ya:
- Yana motsa glucose mai narkewa,
- yana haɓaka aikin haɗin glycogen,
- yana inganta amino acid,
- Yana haɓaka kwayar halittar DNA,
- yana tallafawa sufurin ion
- stimulates kira na furotin da kuma m acid,
- yana hana lipolysis,
- rage gluconeogenesis,
- yana hana apoptosis.
Jurewar insulin da karancin insulin yana haifar da farko ga karuwar cutar glycemia. Wannan cuta na rayuwa cuta ce babba alama ce ta ciwon sukari na 2. Glucose mai jini yana haifar da shawo kan ƙofar mafitsara da glycosuria. Yawan osmotic diuresis yana tsokanar rashin ruwa.
Dukkanin kyallen takarda a cikin yanayin nau'in ciwon sukari na 2 wanda ba ya karɓar adadin kuzarin da ake buƙata. Rashin rufewar an rufe shi ne saboda lalacewar sunadarai da mai. Amma a cikin jikin tare da wannan nau'in cutar, aƙalla karamin abin ɓoye na insulin koyaushe ana kiyaye shi. Koda karamin matakin hormone na iya hana kwayar halittar jikin ketone (ketogenesis). Saboda haka, nau'in ciwon sukari na 2 na mellitus ba shi da ma'anar ketosis (samar da makamashi ga jiki saboda jikin ketone) da acidosis na metabolic (acidation na jiki saboda tara samfuran acidic a cikin kyallen takarda).
Nau'in na biyu na masu ciwon sukari mai ɗauke da sukari mai yawa, baƙon abu bane. Yawanci, wannan yanayin yana faruwa saboda tsananin rashin ruwa yayin shan diuretics ko tare da masifar zuciya (bugun zuciya, bugun jini).
Sakamakon ƙarin yawan ciwon sukari shine rikicewar rikice-rikice. Wadannan lalacewar tsarin kwayoyin cuta sune sakamakon kai tsaye daga cututtukan zuciya. Idan aka ɗaga sukari na jini, to yawan lalata ƙwayoyin.
Tare da nau'in 2, ana iya gano rikice-rikice a lokaci guda cewa an gano cutar da ke gudana. Wannan ya faru ne saboda gaskiyar cewa irin wannan cututtukan cututtukan cututtukan fata sau da yawa yakan gudana na dogon lokaci a ɓoye. Hanyar asymptomatic ta sa farkon ganewa da wahala.
Alamomin cutar
Yawanci, ciwon sukari na 2 a cikin maza ana samun shi ta hanyar haɗari. Karancin tabarbarewar lafiyar da ke tattare da cutar yawanci yakan haifar da marasa lafiya ganin likita. Gunaguni yawanci suna bayyana tare da tsananin hyperglycemia.
Wadannan alamu sune alamu na ciwon suga:
A farkon matakan cutar, marasa lafiya na iya fuskantar matsalar rashin daidaituwa. Rage cikin sukari na jini yana hade da hyperinsulinism.
Wadannan abubuwan suna bayyana:
- tsananin yunwa
- hannayenku na rawar jiki
- bugun zuciya
- karuwa
- gumi.
Wani lokaci marasa lafiya na dogon lokaci suna watsi da duk alamun cutar. Samuwar rikice-rikice na iya sa su nemi likita.
Ga maza, ɗayan mahimman dalilai don yin shawarwari tare da likitoci shine datsawar datti. Da farko, mai haƙuri na iya danganta rage ƙarfin aiki tare da matsananciyar damuwa, shekaru, da sauran abubuwan da ke haddasawa. Lokacin bincika irin waɗannan marasa lafiya, ana iya gano mummunan hyperglycemia da juriya insulin.
Wasu rikice-rikice na ciwon sukari na 2 ana nuna su:
- karancin gani
- rage ji na ƙwarai cikin yatsunsu da yatsun kafa,
- bayyanar fashewar warkaswa da rauni,
- na kullum cuta.
Hakanan za'a iya gano ciwon sukari a karon farko yayin asibiti don bugun zuciya ko bugun jini. Wadannan yanayi kansu sakamakon cuta ne na rayuwa. Zai yiwu a hana rikice-rikice tare da bayyanar cututtuka na farko game da ciwon sukari na 2.
Kallon Cutar Malaria
Bayyanar cututtuka na nau'in ciwon sukari na 2 ya hada da tabbatarwa da farko na hyperglycemia. Don wannan, ana ɗaukar samfuran sukari na jini a cikin komai a ciki kuma sa'o'i 2 bayan cin abinci. Da safe, glucose ya kamata ya kasance cikin kewayon 3.3-5.5 mM / L, da rana - har zuwa 7.8 mM / L. Ana gano ciwon sukari lokacin da aka gano cututtukan hyperglycemia daga 6.1 mM / L akan komai a ciki ko daga 11.1 mM / L a duk tsawon rana.
Idan darajar glucose ta kasance tsaka-tsaki, to ana yin gwajin haɓakar glucose na baka (“curve sugar”).
Yakamata mai haƙuri ya zo asibitin akan komai a ciki. Da farko, yana ɗaukar farkon ma'aunin sukari na jini. Sannan a basu ruwa mai dadi a sha (75 g na glucose a kowace gilashin ruwa). Gaba gaba cikin awa 2 mara lafiya yana cikin yanayin hutawa na zahiri (zaune). A wannan lokacin, ba za ku iya sha ba, ko ci, ko shan taba, ko shan magani. Bayan haka, sai a sake yin gwajin jini na jini.
Dangane da sakamakon gwajin, ana iya yin maganin cutar:
- na al'ada
- ciwon sukari
- mai fama da rashin jarin glucose,
- azumi rashin lafiya.
An danganta yanayi na ƙarshe biyu ga ciwon suga. 15% na marasa lafiya da ke fama da rashin haƙuri na haɓaka ciwon sukari a cikin shekarar.
Tebur 1 - Sharuɗɗa don gano cutar sankarau da sauran rikice-rikice na metabolism metabolism (WHO, 1999).
A cikin 'yan shekarun nan, an ƙara yin amfani da bincike na haemoglobin don gano cutar hauka. Wannan alamar tana nuna matsakaiciyar glycemia a cikin watanni 3-4 da suka gabata. A al'ada, glycated haemoglobin shine kashi 4-6%. Tare da bayyanar ciwon sukari, wannan siga yana ƙaruwa zuwa 6.5% (mafi ƙaranci).
Ana yin ƙarin gwaje-gwaje don tabbatar da juriya na insulin da raunin insulin. Wajibi ne a bincika jini don insulin, C-peptide, jini da fitsari ga jikin ketone. Wani lokaci don bambance-bambancen ganewar asali tare da nau'in 1, ana ba da shawarar mai haƙuri don wuce takamaiman ƙwayoyin rigakafi (zuwa GAD, da sauransu)
Nau'in cuta na 2 an san shi da:
- matakan insulin na al'ada ko na al'ada,
- babba ko matakin C-peptide,
- low ko babu ketone jikin a fitsari da jini,
- rashin babban titer na rigakafi.
Hakanan ana lissafin abubuwan insulin juriya (HOMA da CARO). Increasearuwar darajar HOMA fiye da 2.7 yana nuna karuwar juriya na insulin. Idan tsarin CARO bai zama 0.33 ba, to wannan a kaikaice yana tabbatar da ƙarancin jiɓin kyallen takarda zuwa hormone beta-cell.
Type 2 ciwon sukari
Don lura da nau'in ciwon sukari na 2 a cikin maza, ana amfani da abinci, motsa jiki, kwayoyi na musamman a cikin allunan da shirye-shiryen insulin.
Abincin ya dace da tebur na 9 bisa ga Pevzner. A cikin abincin, yakamata a rage yawan kitse na dabbobi da carbohydrates masu sauƙi (duba siffa 1). Yana da kyau a shirya abinci akai-akai a cikin kananan rabo.
Hoto 1 - Ka'idodin shawarar abinci game da ciwon sukari 2.
Wani mutum yana buƙatar sanin kusan buƙatarsa ta makamashi yayin rana yana la'akari da adadin kuzari na abinci. Kar a wuce gona da iri. Yana da mahimmanci musamman iyakance abinci da maraice.
An zaɓi aikin jiki daidai da shekaru da cututtukan concomitant.
Tebur 2 - Ayyukan jiki a cikin lura da ciwon sukari na 2.
M tsanani | SAURARON MATA | Dubawa |
---|---|---|
Sauki | 30 | Saurin tafiya |
Matsakaici | 20 | Brisk yana tafiya |
Mai nauyi | 10 | Gudun kan matakala ko tuddai |
Mai nauyi | 5 | Yin iyo |
Magungunan ƙwayoyi yana farawa nan da nan yayin da ake kamuwa da cutar sukari. A farko, ana amfani da magani guda ɗaya ko kuma allunan Allunan. Idan wannan bai isa ba, to, an haɗa insulin zuwa jiyya.
Ga marasa lafiya da ke da nau'in 2, ana bada shawarar maganin insulin iri ɗaya kamar na marasa lafiya da nau'in 1. Bambance-bambance na jiyya:
- wani lokacin kawai basal insulin ya isa,
- babu bayyananne bukatar aikin famfon,
- allurai insulin sunada yawa,
- haɗa kwayoyi suna ba da sakamako mai kyau.
Tebur 3 - Manufar warkewa don nau'in 1 da nau'in ciwon sukari na 2.
Nau'in nau'in ciwon sukari na 2 yana maganin cututtukan endocrinologist. Duk marasa lafiya ya kamata a yi masu rajista a cikin zazzagewar. Ana buƙatar cikakken jarrabawa sau ɗaya a shekara. Marasa lafiya magani - bisa ga alamu.
Menene haɗarin cutar?
Hadarin cutar sankara ya san kowane mai haƙuri. Rage sukari na jini yana haifar da rushewar dukkanin hanyoyin tafiyar matakai a jiki. Concentaukar yawan glucose a koyaushe yana haifar da cin zarafin microcirculation na jini, wanda shine babban abin da ake buƙata don haɓakar rikice-rikice.
Take hakkin yaduwar jini da sauri yana shafar lafiyar mai haƙuri. Wannan yana nunawa da yanayin ƙananan ƙarshen. Marasa lafiya sun lura da saurin gajiya lokacin tafiya, juyawa da kafafu, zafi da rashin jin daɗi.
Keta ketarewar jijiyoyin jini yana haifar da raguwa a cikin ayyukan kariya na fata, a sakamakon haka, duk lalacewar almara ta warke cikin dogon lokaci. Wannan an cika shi da haɗarin raunuka marasa warkarwa (cututtukan fata na rauni). Tsananin bangon jijiyoyin jini na iya haifar da matsaloli da yawa, har zuwa gangrene. Rashin kula da cutar na iya zama mai m.
Ragewar kwararar jini yana shiga:
- ƙafa mai ciwon sukari
- jijiya
- lalacewar tasoshin furen,
- lalata kwakwalwa.
Duk waɗannan yanayin suna da haɗari sosai kuma ba tare da magani ba na iya haifar da raunin mai haƙuri.
Sakamakon ciwon sukari za'a iya kasu kashi biyu manya - wadannan sune canje canje a cikin jikin mutum da kuma rikice rikicewar lalacewa ta hanyar karuwar sukarin jini. Don haɓaka canje-canje na cututtukan ƙwayar cuta yana ɗaukar dogon lokaci, irin waɗannan rikice-rikice sun bayyana tare da ƙetaren tsarin magani. Alamar farko na iya bayyana shekaru da yawa bayan gano ciwon sukari.
Sakamakon ciwo mai mahimmanci yana haɓaka tare da canji mai mahimmanci a matakan sukari.
Matsalar farko
Kowa ya san haɗarin ciwon sukari - haɓakar cutar gudawa. Coma yana nufin farkon rikice-rikice na cutar kuma yana faruwa da tushen canji kwatsam a matakan sukari zuwa mahimman ƙimar. Ciki na faruwa yayin da yawan kuzarin sukari ya hau zuwa hatsari kuma idan ya fadi sosai.
Tare da rashin insulin kulawa, haɗarin haɓaka ketoacidosis yana da girma. Wannan halin yana tattare da tarin samfuran metabolic. Wani rikici na haɓaka da sauri kuma yana iya haifar da ci gaba.
Duk waɗannan yanayin suna buƙatar asibiti na haƙuri na haƙuri.
Canje-canje na ƙwaƙwalwar ƙwayar cuta a cikin ciwon sukari
Ciwon sukari yaci dukkan tsarin jiki. Cutar na iya haifar da rikice-rikice na tsarin urinary da tsarin juyayi. Tare da ciwon sukari, tsarin wurare dabam dabam na jiki na shan wahala sosai, mai yiwuwa raunin baya da asarar hangen nesa.
Rashin haɗarin haifar da haɗari mai haɗari yana ƙaruwa sau da yawa idan mai haƙuri bai saurari shawarwarin likita ba.
Kimanin bakwai daga cikin lokuta goma na cututtukan cututtukan ciwon sukari suna haɓaka nephropathy. Wannan halin yana cikin halin rashin lafiyar da ke tattare da mummunan aiki a cikin kodan dangane da asalin abin da ya faru na maganin carbohydrate da kuma gina jiki metabolism a jiki. Nephropathy yana haɓaka hankali. Cutar ba ta tare da kowane alamun bayyanar cututtuka. Ana iya shakkar cutar sankara ta hanyar bayyanar cututtuka:
- gajiya,
- urination akai-akai,
- mara nauyi na baya baya
- ciwon kai
- kumburi.
Jin zafi tare da nephropathy abu ne mai fasali a cikin yanayi, wani lokacin yakan tashi, sannan ya ɓace. Edema tare da cututtukan koda da ke yaduwa daga sama zuwa ƙasa kuma da farko, jikunan halaye a ƙarƙashin idanun suna bayyana. Rashin lafiyar metabolism na iya samun mummunar tasiri a cikin kodan tsawon shekaru, yayin da babu alamun, kuma mai haƙuri ba shi da masaniya game da ci gaban rikitarwa. Ana gano cutar Nephropathy lokacin da aka samo furotin a cikin fitsari mai haƙuri.
A wuri na biyu a cikin yawan rikice-rikice shine angiopathy. Wannan cutar ana saninsa da rashin ƙarfi na capillaries da kuma sannu a hankali lalata bango na jijiyoyin jini. Cutar tana shafar duk tsarin jijiyar jikin mutum. Alamar halayyar wannan ilimin shine cutar ƙoshin ƙafa, wacce ke hade da samuwar cututtukan trophic. A tsawon lokaci, mara lafiya yana haɓaka ƙwayar cuta. Matsalar jijiyoyin jiki na faruwa ne saboda yawan matakan glucose, lokacin da mara lafiya baya bin abinci mai karancin abinci kuma baya shan magunguna na hypoglycemic.
Wannan rikicewar na iya "buga" tasoshin idanun da kodan; sakamakon haka, cututtukan fata da kuma kasala na haɓaka, wanda a tsawon lokaci na iya juya zuwa nephropathy.
Kwayar cutar ciwon sukari cuta ce wacce take cikin rauni na jijiyoyin jiki. Cutar ana santa ta hanyar jijiyar wuya, raɗaɗi, ƙarancin ƙafafu. Hadarin wannan cuta shine rage yawan jin daɗin ciwo, wanda zai iya haifar da rikice-rikice a cikin marasa lafiya da ciwon sukari. Mafi sau da yawa, neuropathy yana shafar ƙananan ƙafa. Takaitawa da jin ciwo yana haifar da raunin raunin da ya faru da fata, wanda a cikin cututtukan sukari ya cika tare da haɓakar cututtukan fata saboda lalacewar yanayin fata.
Encephalopathy a cikin ciwon sukari yana haifar da ƙwaƙwalwar aiki da ƙwaƙwalwar kwakwalwa. Cutar tana tare da ciwon kai.
Rikice-rikice na yau da kullun da ke hade da aikin kodan, wurare dabam dabam da jijiyoyin jiki suna haɓakawa a cikin shekaru 15-20 bayan fara ciwon sukari. Sakamakon raunin cutar sankara na iya jinkirta ci gaban waɗannan tasirin.
Saboda haka, a cikin tsofaffi marasa lafiya, akwai plethora na cututtukan cututtukan daji wanda dole ne a bi da su. Da farko dai, fata ta wahala. Take hakkin hauhawar jini yana gudana tare da raguwa a cikin ragin farfadowa. Wannan yana haifar da haɓakar ƙwayar trophic tare da ƙaramin lalacewa ga epidermis. Idan ba a kula da wannan ilimin ba, yana ci gaba kuma ya zama sanadin ƙafafun ciwon sukari da ƙwayar cuta. Binciken bayyanar cututtukan trophic da kwatanta shi da hoto, mai haƙuri yakamata a kira likita da gaggawa idan irin wannan matsalar ta fara bayyana.
Renarancin kayan aiki na yara yana bayyana saboda tara samfuran metabolic. Ba tare da magani na lokaci ba, cuta ta hanzarta haifar da gazawar koda.
A kan tushen ƙara yawan sukari da ke ƙaruwa koyaushe, ƙarancin katako tsakanin ganuwar tasoshin yana faruwa. Wannan an cika shi da hadarin cututtukan jini, haɓakar bugun zuciya da bugun jini.
Kamar yadda kake gani, duk rikitarwa na yau da kullun suna da alaƙa da haɓaka tare da haɓaka sukari koyaushe. Sakamakon cutar, wanda aka samu ta hanyar bin abinci mai ƙanƙan da keɓaɓɓu, shan magunguna masu rage sukari da sarrafa nauyin mai haƙuri, yana taimakawa wajen nisantar ci gaban matsanancin ciwon sukari a cikin mata da maza.
Damuwa a cikin mata
Haskaka jini na yau da kullun yanayi ne mai dacewa don yaduwar ƙwayar yisti. Rikitarwa na nau'in ciwon sukari na 2 a cikin mata yana bayyanuwa ta hanyar cututtukan fungal na cututtukan ƙwayoyin cuta, waɗanda suke da wuyar amsa maganin ƙwayar cuta.
A cikin ciwon sukari, glucose yana shiga fitsari, saboda haka cututtukan fungal suna shafar mafitsara. Irin waɗannan cututtukan suna tare da itching da jin zafi yayin urination. Kula da kamuwa da cuta na fungal yana da rikitarwa ta hanyar gaskiyar cewa kullun ƙara yawan sukari yana tsokani saurin haɓakar microflora na pathogenic, sakamakon kowane matakan warkewa yana kawo taimako kawai na ɗan lokaci.
Tare da nau'in insulin-dogara da ciwon sukari wanda ba a daidaita shi ba, yawancin rikice-rikice sun tashi yayin haihuwar ɗa. Haka kuma, idan mace ba ta sami sakamako na dorewa na cutar ba kafin ɗaukar ciki, to akwai haɗarin ci gaban haila a cikin tayin. Sau da yawa, uwaye waɗanda ba su da isasshen raunin insulin-dogara da sukari suna haifar yara da kiba.
Mutane da yawa sun san hadarin da ke haifar da nau'in ciwon sukari guda 2, amma ba sa bin ka'idodin magani. Idan ba a bi shawarwarin likitancin endocrinologist ba, ƙwanƙolin ƙwayar cuta ya cika tare da shekaru kuma nau'in na biyu na ciwon sukari na iya shiga cikin tsarin da ke dogara da cutar, lokacin da injections na yau da kullun na hormone ya zama dole don kula da tallafin rayuwa. Don jinkirta ci gaban sakamakon cututtukan type 2, da inganta halayyar rayuwa, horo da kulawa ga lafiyar mutum zai taimaka. Marasa lafiya yakamata su lura da tsarin abincin, tare da yin la’akari da nauyin ƙwayar abinci, da kuma shan magungunan da kwararrun masu halartar suka ba da shawarar a kan kari. Rashin yin biyayya ga tsarin kulawa yana haifar da sakamako masu haɗari waɗanda ke taƙaita tsammanin rayuwar mai haƙuri.
Tare da ciwon sukari, mutum yana da cuta na rayuwa. Yawancin waɗannan rikice-rikice suna da alaƙa da metabolism na metabolism, tun da karancin samar da insulin ya sa raguwar glucose ya gagara. Kyautatawar mutum ya dogara da matakin shi cikin jini. Ciwon sukari na iya zama mai dogaro da insulin (ana kiransa nau'in 1) da wanda ba shi da insulin (irin na 2). Nau'in cutar an ƙaddara shi da yawan insulin da jikin yake samarwa: ba a samarwa da kullun ko kuma ana samarwa, amma kyallen ba su damu da ita ba.
Cutar tana da kullun kuma ba a warke ta gaba daya. Ana sarrafa shi ta hanyar abinci ko magani. Marasa lafiya yana buƙatar lura da tsarin yau da kullun, saka hannu cikin ayyukan jiki da saka idanu akan tsabtace jiki. Ana tilasta wa masu ciwon sukari su saka idanu a kai a kai game da sukarin jini da hawan jini. Yawan maida hankali na farko ya kamata ya zama 4-6.6 mmol / l, na biyu kuma bai kamata ya kai 8% ba. Yayin da yake nuna alamun a wannan matakin, faruwar rikice-rikice ba ya barazanar mutum. Rikicin ciwon sukari yana da matukar matsala kuma koyaushe yana faruwa idan ba ku kula da cutar ba.