Cututtukan ƙwayar cutar sankara marasa ƙwaƙwalwa: alamomi, magani da abin da ke da haɗari

Ofayan mummunar sakamako na karancin insulin a cikin jiki shine yalwataccen ciwon sukari mellitus, wanda, idan ba yadda yakamata ba ko kuma ba a san shi ba, na iya haifar da cutar hauhawar jini da mutuwa. Ba wai kawai nasarorin magungunan zamani ba, har ma da ka'idoji masu sauƙi waɗanda dole ne a bi kowace rana zasu iya taimakawa wajen guje wa wannan mummunan halin ga masu ciwon sukari.

MUHIMMI ZAI KYAUTA! Koda za a iya warkar da ciwon suga a gida, ba tare da tiyata ko asibitoci ba. Kawai karanta abin da Marina Vladimirovna ke faɗi. karanta shawarwarin.

Matakan ciwon suga

Tare da wuce haddi na glucose (wanda ake kira "sukari") a cikin jini, canje-canje na cututtukan cuta suna faruwa a jikin mutum kuma mummunan cuta yana faruwa - ciwon sukari mellitus. Dangane da ikon kawar da yawan glucose mai wuce haddi, ana rarrabe matakai da yawa na cutar, na ƙarshe wanda shine mafi girman nau'in cutar - ƙetarewar ciwon sukari mellitus.

An rage sukari nan take! Ciwon sukari na tsawon lokaci na iya haifar da tarin cututtuka, kamar matsalolin hangen nesa, yanayin fatar da gashi, ulcers, gangrene har ma da cutar kansa! Mutane sun koyar da ƙwarewar haushi don daidaita matakan sukari. karanta a.

1. Sakayya. Lokacin da zaka iya yin sukari na jini tare da magunguna, suna magana game da diyya. Ka'idojin ramawa game da ciwon sukari na 2 iri daya ne da na masu ciwon sukari na 1. Marasa lafiya a cikin wannan matakin suna jin gamsarwa, babu wani ilimin halittar da ke cikin gabobin ciki.
2. Compaddamarwa. Matsayi na tsakani tsakanin diyya da ramawa. Halin marasa lafiya yana daɗa muni, cututtuka na iya faruwa kuma rikice-rikice na haɓaka, amma faɗuwa cikin yanayin rashin lafiyar hyperglycemic ba shi yiwuwa. Wannan halin yana gudana ne ta hanyar asara na yau da kullun na 50 g na sukari a cikin fitsari, kazalika da matakin glucose na jini kimanin kimanin 13.8 mmol / L.
3. Sakayya. Ana nuna shi ta yanayin mawuyacin hali na cutar da cututtukan cututtukan biyu a mataki na faruwa da kuma na kullum. Marasa lafiya suna da kasancewar ketoacidosis da acetone a cikin fitsari. Babban jagora a cikin farkon cutar ana wasa ne ta hanyar gado da gado na cututtukan farji. Kwayar cutar sankara ta lalacewa na iya haɓakawa a cikin damuwa yayin kasancewa kamar rikicewar kamuwa da cuta ko kwayar cuta.

Alamar rarrabewa don cutar sankara

Ana samun ingantaccen hoto na gano cutar sankarau ne kawai bayan nazarin asibiti, duk da haka, nau'in cuta na cuta ya bayyana alamun, wanda mai haƙuri ya iya ganowa kansa, kuma ya nemi likita ba tare da jiran jarabawa ba. Rashin yawan ciwon sukari yana haifar da rikice-rikice wanda jikin mutum yake fama da ƙarancin sukari a cikin jini. Marasa lafiya sun rage rigakafi, wanda hakan ke sa su zama masu saurin kamuwa da cututtukan da ke haifar da cutarwa, ƙwayoyin cuta da fungi. Alamar larararrawa ana bayyana ta a cikin ragewa fata fata a hannayen, bayyanar nodules rawaya a kanta da kuma bayyanar dermatosis. An kara bayyanar cututtuka a cikin alamun gama gari tare da nau'in 1 da cuta ta 2.

Bayyanar cututtuka a nau'in 1

Nau'in masu ciwon sukari na 1 suna jin kullun jin ƙishirwa da yunwa, koda za a ciyar da su. Haka kuma, suna da rage kiba a jikin mutum, wani lokacin ma har da kasa “lafiya”. Ana nuna nau'in 1 na ciwon sukari ta hanyar karuwa a diuresis na yau da kullun, kuma a cikin rashin isasshen magani zai iya haifar da lalacewar haɗin gwiwa da osteoporosis. Sakamakon mara dadi yana iya zama zawo na kullum.

Bayyanar cututtuka a nau'in 2

Ana nuna nau'in ciwon sukari na 2 na cikin wannan yanayin halayen na iya kasancewa ba har sai lokacin diba ya fara. Tare da karuwa a cikin glucose na jini, marasa lafiya sun fara jin bushewar baki, ja da fata da ƙaiƙayi, ƙarancin gani na gani da matsanancin ciwon kai wanda zai iya jujjuya zuwa migraines. Idan binciken ya yi latti, rikice-rikice a cikin nau'in cututtukan ido - cataracts, retine detachments yana iya yiwuwa, akwai kuma haɗarin samun cutar nephropathy kuma fadawa cikin halin rashin lafiya na hyperglycemic. Saboda haka, marasa lafiya da ke fama da cutar siga dole ne su kasance suna saka idanu akan lafiyar su koyaushe kuma, idan ta tsananta, tuntuɓi likita nan da nan.

Binciken dakin gwaje-gwaje

Idan ka samu cikakkiyar daidaituwa game da cutar, to akwai yuwuwar a magance cutar kuma a sami ci gaban da zai fi dacewa don karin magani. Don tabbatar da tabbacin warkewa, za a buƙaci adadin gwaje-gwaje na jini da fitsari. Kasancewa da alamun gwaje-gwaje a hannu, likita zai tantance wane nau'in ciwon sukari da mara lafiyar yake da shi, sannan kuma zaɓi magani da ya dace. Lokacin da ake tattara hoton asibiti, ana misalta abubuwan da ke gaba, aka fasalta su a teburin:

Hadarin rikitarwa

Idan kun makara, magani mara kyau, ko kuma a lokuta idan masu haƙuri suka maye gurbin magunguna da likitan halartar ya tsara tare da kayan abinci, masu ciwon sukari a cikin matakin ƙetare na iya bayar da gamsuwa na rikitarwa. M gabobin jiki sune idanu da kodan; tsokoki, kasusuwa, narkewa, da kuma tsarin jijiyoyin zuciya. Marasa lafiya na iya haɓaka:

• kamawa
• glaucoma da retinopathy,
• nephropathy da tsananin tsananin,
• osteoporosis
• enteropathy da na kullum zawo,
• kitse mai kitse.

Cutar ciki tana da babban haɗari a cikin cututtukan cututtukan ƙwayar cuta, saboda yana tattare da wasu canje-canje na ƙwayoyin cuta a cikin jiki.

Tare da haɓakar tayin, ƙananan ƙwayar cuta na mellitus na iya zuwa matakin lalata, kuma aikin tiyata na iya farawa koyaushe, tunda magunguna masu mahimmanci zasu iya shafar yanayin ciki kuma suna haifar da sakamako wanda ba a so: guba, ƙwayar tayin, jinkirin tayin da kuma haifar da cututtukan cuta.

Matakan hanawa

Compada kuɗi ya fi wahalar magani fiye da hana canja cutar zuwa wannan matakin. Idan sanadin ba shine tushen gado ba, masu haƙuri yakamata su bi wasu ka'idodi masu sauƙi don kada masu raunin cutar su shiga cikin lalata. Musamman, wajibi ne don gudanar da gwaje-gwaje na rigakafi a kai a kai a cikin kwararrun likitocin - masaniyar endocrinologist da kuma likitan ido. Hakanan ya kamata ku yi karatun da aka shirya akan lokaci (nazarin halittu, ECG, urinalysis). Kuna buƙatar kulawa da hawan jini koyaushe kuma ku kula da matakin glucose a cikin jini. Babban ƙari shine zai zama abinci da sarrafawa game da adadin kuzari da aka cinye, tare da riƙe rubutaccen abinci, wanda zai nuna tarihin canje-canje a tsarin abincin da sakamakon mai yiwuwa. Amma hanya mafi mahimmancin rigakafin shine ɗaukar lokacin magunguna wanda likitanka ya tsara.

Don rigakafin, wasu marasa lafiya sun fara amfani da abubuwan kara kuzari (kayan abinci). Wadannan kwayoyi basa buƙatar takardar sayan magani kuma ana sayar dasu kyauta. Kafin shan shi, zai fi kyau a nemi likita ta wata hanya kuma a bincika ko akwai wasu halayen ganyayyaki na abubuwan ganyayyaki. Ya kamata kuma a tuna cewa karin abinci shine karin abinci, kuma ba cikakken magani bane, don haka, cikakken rama ga masu cutar siga tare da taimakonsa bashi yiwuwa kuma ba zai iya maye gurbin magunguna ba.

Shin har yanzu yana da alama ba zai yiwu a warkar da ciwon sukari ba?

Yanke hukunci da cewa kuna karanta wadannan layin yanzu, nasara a yaki da cutar hawan jini ba a bangaren ku ba tukuna.

Kuma kun riga kunyi tunani game da maganin asibiti? Abu ne mai fahimta, saboda cutar sankarau cuta ce mai matukar hatsari, wanda, idan ba a yi maganin ta ba, na iya haifar da mutuwa. Tsammani mai ƙishi, saurin fitar iska, hangen nesa. Duk waɗannan alamun suna sane da ku.

Amma shin zai yiwu a bi da sanadin maimakon tasirin? Muna ba da shawarar karanta wata kasida game da cututtukan cututtukan ciwon sukari na yanzu. Karanta labarin >>

Digiri na diyya na diyya

Dangane da ka'idodin Rasha, ciwon sukari ya kasu kashi uku:

Ana amfani da wannan rarrabuwa don kimanta tasirin magani. Misali, lokacin da aka shigar da shi Asibiti, ban da nau'in cutar sankarar mellitus, gwajin ya nuna “a lokacin wahalhalu”. Idan an fitar da mara lafiya tare da ƙananan ƙwayar cuta, wannan yana nuna ilimin da ya dace.

Canji mai sauri daga sukari mai yawa zuwa al'ada ba a so, saboda yana haifar da neuropathy na ɗan lokaci, raunin gani da kumburi.

A cikin al'adar kasa da kasa, ba a amfani da matakin biyan diyya. Ana kimanta ciwon sukari mellitus daga matsayin haɗarin rikice-rikice (ƙananan, babban yiwuwar angiopathy da microangiopathy).

Sharuddan Bada Magana

Godiya ga haɓaka magunguna, tare da kowace ƙarnin, masu ciwon sukari suna samun dama da yawa don kawo ƙididdigar jininsu kusa da al'ada, wanda ya haɓaka lokacin rayuwarsu da rage adadin rikitarwa. Tare da haɓaka sabbin magunguna da maganin gwajin-kai, ana buƙatar buƙatun masu ciwon sukari.

WHO da ofungiyar ciwon sukari sun tsara sharuɗan masu zuwa don cutar ta 1:

Ciwon sukari na 2 mai cuta kodayaushe yana tare da lalacewa a cikin mai mai, sabili da haka, bayanin bayanan lipid na jini yana kunshe a cikin ka'idojin diyya:

Criteriaarin sharuɗan diyya don masu ciwon sukari na 2:

Ka'idodin biyan kuɗi ba daidaituwa ba ne ga duk rukuni na marasa lafiya. Ya kamata manya masu shekaru masu aiki su yi ƙoƙari don layin “al'ada” idan adadin hypoglycemia bai haɓaka ba. Ga yara, masu ciwon sukari, marasa lafiya tare da rage ƙarfin jiyya ga ƙwaƙwalwar ƙwayar cuta, matakan sukari na manufa na iya zama ɗan sama kaɗan.

Abubuwan da aka ƙaddara sun dogara da likitan halartar. A kowane hali, suna cikin iyakokin rama ko biyan kuɗi. Ba a kuɓutar da diyya ga kowane mai haƙuri ba.

Ikon sarrafawa a gida

Don hana zubar da cutar sukari, gwaje-gwajen dakin gwaje-gwaje basu isa ba kafin ziyartar likita. Buƙatar kulawa na yau da kullum na jini da matsa lamba. Kitaramar kit ɗin da ake buƙata don masu ciwon sukari: glucometer, tonometer, tube fitsari tare da ikon ƙayyade matakin ketones. Marasa lafiyar Obese zasu buƙaci sikelin bene. Kwanan wata, lokaci da sakamakon dukkan ma'aunin gida yakamata a shigar dasu cikin takaddara na musamman - bayanin kula da masu ciwon sukari. Bayanan da aka tara za su ba mu damar bincika hanyar cutar kuma mu canza jiyya a kan kari don hana rarraba.

Jinin jini

Don sarrafa sukari, mafi sauƙi glucometer, lancets da tube na gwaji a kansa sun isa. Siyan na'urori masu tsada tare da ƙarin ayyuka masu yawa ba lallai ba ne, kawai zaɓi masana'antaccen abin dogara kuma ka tabbata cewa abubuwan sayarwa na mita koyaushe suna kan siyarwa.

Ya kamata a auna sukari da safe akan komai a ciki, bayan kowane abinci, kafin lokacin kwanciya. Cututtukan da ke fama da cutar sikari suna buƙatar ƙarin ma'auni akai-akai: da dare kuma tare da kowane lalacewa cikin jin dadi. Masu ciwon sukari kawai masu fama da cuta mai laushi 2 suna iya auna sukari ba sau da yawa.

Acetone da sukari a cikin fitsari

Sugar a cikin fitsari yana bayyana mafi yawan lokuta tare da lalata cututtukan sukari, lokacin da matakinsa cikin jini ya fi ƙwanƙwasa ƙirar mutum (kimanin 9 mmol / l). Hakanan yana iya nuna matsalolin koda, gami da cutar cututtukan koda. Ana auna sukarin fitsari sau ɗaya a wata.

A yayin cinikin cututtukan ƙwayar cuta, haɗarin ketoacidosis da coma yana da yawa. A cikin lokaci, ana iya gano waɗannan rikice-rikice ta hanyar nazarin fitsari don ketones. Dole ne a yi duk lokacin da sukari ya kusanto kusan mil 13 / Lol.

Don ma'aunin gida na ketones da sukari a cikin fitsari, kuna buƙatar siyan tsaran gwajin, alal misali, Ketogluk ko Bioscan. Binciken yana da sauki sosai kuma yana ɗaukar mintuna kaɗan. Tabbatar karanta labarinmu akan acetone a cikin fitsari.

Likita na Kimiyyar Kimiyya, Shugaban Cibiyar Nazarin Diabetology - Tatyana Yakovleva

Na yi shekaru da yawa ina nazarin ciwon sukari. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

Na yi hanzarin ba da labari mai daɗi - Cibiyar Binciken Endocrinological na Kwalejin Kimiyya ta Rasha ta sami nasarar inganta maganin da ke warkar da ciwon sukari gaba daya. A yanzu, ingancin wannan magani yana gab da kashi 98%.

Wani albishir: Ma'aikatar Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya diyyar magunguna mai yawa. A Rasha, masu ciwon sukari har sai 18 ga Mayu (m) samun shi - Don kawai 147 rubles!

Glycated haemoglobin

Wannan mai nuna alama yana nuna daidai da sakamako na diyya ga masu ciwon sukari kuma yana baka damar sanin matsakaicin sukari a cikin 'yan shekarun nan. Binciken ya nuna kashi na haemoglobin da aka fallasa shi da glucose na watanni 3. Mafi girma shine, ciwon sukari ya kusan kusan lalata. Glycated (ana kuma amfani da sigar glycosylated) haemoglobin a gida ta hanyar amfani da na'urori na yare ko nazarce-nazarce na musamman. Waɗannan na'urori suna da tsada kuma suna da kuskure na babban kuskure, saboda haka ya fi dacewa da kwata-kwata mu ɗauki bincike a cikin dakin gwaje-gwaje.

Kwayar cutar sankara ta lalacewa tare da canje-canje na jijiyoyin jini a cikin tasoshin da kuma hauhawar jini. Hauhawar jini yana haifar da saurin ci gaba na angiopathy da neuropathy, sabili da haka, ga marasa lafiya da ciwon sukari, ƙa'idodin ƙa'idodin matsin lamba sun kasance mai tsauri fiye da mutanen da ke da lafiya - har zuwa 130/85. Maimaita wuce haddi na wannan matakin yana buƙatar nadin magani. Yana da kyau a auna matsa lamba yau da kullun, harma da amai da ciwon kai - duba labarin akan hauhawar jini a cikin ciwon suga.

Abubuwan da suka lalace

Don tsokanar da canji na ciwon sukari zuwa wani nau'in lalata zai iya:

• gwargwadon iko na allunan da insulin,
• rashin bin ka’idar abinci, lissafin da ba daidai ba na carbohydrates a abinci, cin mutuncin sugars mai sauri,
• rashin magani ko magani kai tare da magungunan jama'a,
• ba daidai ba dabara don gudanar da insulin - ƙari akan wannan,
• jurewa canzawa daga allunan zuwa insulin far don kamuwa da cutar siga 2,
• matsananciyar damuwa
• munanan raunuka, aikin tiyata,
• sanyi, cututtuka na kullum,
• nauyi riba zuwa mataki na kiba.

Matsaloli da ka iya yiwuwa

Cututtukan ƙwayar cuta marasa ƙwaƙƙwaran ƙwaƙwalwa mellitus yana haifar da rikitarwa na nau'ikan 2: m da na kullum. Ciki yana tasowa da sauri, a cikin 'yan sa'o'i ko kwanaki, ba tare da magani yana haifar da ƙwayar cuta da mutuwa ba. Waɗannan sun haɗa da mummunan hypoglycemia, ketoacidosis, lactic acidosis da hyperosmolarity.

Hypoglycemia yana da haɗari fiye da sauran rikitarwa, saboda yana haifar da canje-canje ba a canzawa a cikin mafi ƙarancin lokacin da zai yiwu. Alamar farko ita ce yunwa, rawar jiki, rauni, damuwa. A matakin farko, ana dakatar da shi ta hanyar carbohydrates mai sauri.Ana buƙatar masu haƙuri da precoma da coma asibiti mai saurin yaduwa da kwantar da hankali.

Manyan sukari mai yawa yana haifar da canzawa a cikin kirga jini na nau'ikan da yawa. Dangane da canje-canje, ƙwaƙwalwar hyperglycemic an kasu kashi ketoacidotic, lactic acidotic da hyperosmolar. Marasa lafiya suna buƙatar kulawa da gaggawa na likita, maganin insulin dole ne ɓangare na magani.

Rashin rikice-rikice na yau da kullun na iya haɓaka tsawon shekaru, babban dalilin su shine tsawaita ƙarancin ciwon sukari. Saboda babban sukari, manyan (angiopathy) da ƙananan jijiyar (microangiopathy) sun lalace, wanda shine dalilin da ya sa gabobin ke cikin damuwa. Wadanda suka fi fama da rauni su ne retina (cututtukan fata), da kodan (nephropathy), da kwakwalwa (encephalopathy). Hakanan decompensated nau'in ciwon sukari yana haifar da lalata ƙwayoyin jijiya (neuropathy). Wani hadadden canje-canje a cikin jirgi da jijiyoyi ne sanadin haifar da haifar da ƙafar mai ciwon sukari, mutuwar nama, osteoarthropathy, cututtukan trophic.

Tabbatar koya! Shin kuna tsammanin kulawa da kwayoyin hana daukar ciki da insulin shine hanya daya tilo da za'a kula da sukari? Ba gaskiya bane! Kuna iya tabbatar da wannan da kanku ta hanyar fara amfani da shi. kara karantawa >>