Rikitarwa na nau'in ciwon sukari na 2 na cututtukan zuciya: lura da raunuka na jijiyoyin bugun gini da cututtuka masu alaƙa
Tare da ciwon sukari, duk nau'ikan tafiyar matakai na rayuwa a jikin mutum, musamman metabolism metabolism, suna da damuwa. Pathology yana da hanya mai wahala, kuma, duk da ci gaban magani, basu koyi yadda za'a magance shi gaba daya ba.
A cikin mafi yawan lokuta, ana gano nau'in ciwon sukari na 2 a cikin marasa lafiyar da suka ƙetare alamar shekaru 40. Cutar ta bar alama a kan rayuwar mai haƙuri, kuma yana buƙatar ba kawai daidaita abincinsa ba, har ma ya yi rayuwa mai aiki, kula da tsabta.
Koyaya, cutar kanta ba ta da ban tsoro kamar rikice-rikice na ciwon sukari na 2. Babban ilimin likita yana haifar da rikice-rikice da yawa da rikice-rikice a cikin aikin gabobin ciki, sakamakon abin da ke tattare da cututtukan haɗuwa.
Wajibi ne a yi la'akari da rikice-rikice masu alaƙa da cututtukan ƙwayar cuta, da kuma yadda za a iya hana irin waɗannan sakamakon? Kuma don gano yadda za a bi da rikitarwa, kuma menene maganin ƙwayar cuta.
M nau'i na rikitarwa
A nau'in ciwon sukari nau'in 2, rikicewar cuta ta yau da kullun shine ketoacidosis mai ciwon sukari, wanda shine sakamakon gaskiyar cewa kayan lalata mai (jikin ketone) sun haɗu a jikin mutum.
Dalilin wannan ilimin cuta shine rashin cika ka'idar abincin da likitan halartar ya gabatar, ko kuma ya ta'allaka ne cewa an wajabta maganin ba daidai ba.
Jikin Ketone zai iya haifar da sakamako na neurotoxic, sakamakon wanda mutum yayi asara. Kuma a lokuta masu tsanani, akwai cutar rashin lafiyan cuta. Alamar halayyar halayyar takamaiman kamshi ce daga ƙwayar bakin.
Hypoglycemia ana nuna shi da raguwa mai yawa a cikin adadin sukari a cikin jinin mai haƙuri. A matsayinka na mai mulki, yana faruwa a cikin marasa lafiya waɗanda ke yin allurar insulin, ko kuma suna shan magunguna don rage sukari a jiki.
Abubuwan da ke ba da hankali ga cututtukan hypoglycemia:
- Ciwon jiki.
- Rashin tausayi, tashin hankali.
- Smallarin adadin carbohydrates wanda ke shiga jiki tare da abinci.
- Ba daidai ba sashi na magunguna.
An sani cewa glucose ya zama dole don cikakken aiki na kwakwalwa. Abin da ya sa hypoglycemia shine mafi hadarin rikicewar cuta, saboda tsarin juyayi na tsakiya yana fara wahala.
Da farko, mai haƙuri ya zama mai saurin fushi, wanda bayan haka ana lura da alamun: gumi mai sanyi, rawar jiki daga ƙarshen, asarar yanayin hanzari. Duk wannan an maye gurbinsu da annashuwa, sannan ya zo da wakafi.
Hyperglycemia rikitarwa ne na ciwon sukari mellitus, wanda ya ƙunshi babban taro na glucose a jikin mai haƙuri.
Lactic acidosis shine sakamakon yawaitar tarin lactic acid a cikin jiki, kuma ana saninsa da karuwar hankali a hankali.
Nau'in nau'i na rikitarwa
Kwancin cuta ko rikitarwa na ciwon sukari na 2 shine tushen lalacewar tasoshin jini. Dangane da take hakkin aikin wani sashi ko tsarin, akwai rikice-rikice da yawa na ciwon sukari.
Thyroiditis tsari ne mai kumburi wanda ke faruwa a cikin farji. Yana da m, subacute, na kullum da autoimmune. Babban alamomin sune raunin motsi a cikin wuya, wahalar hadiye abinci, da kuma canji a cikin sautin murya.
Nephropathy shine sakamakon rashi mai aiki na yara. A gefen asalin irin wannan ilimin, ana gano furotin a cikin fitsari na mai haƙuri, kumburin ƙananan ƙarshen yana girma, cututtukan haɗin gwiwa kamar hauhawar jijiya.
Rashin ciwon sukari yana nufin cututtukan ido. A cewar kididdigar, kusan rabin marasa lafiya da ke da nau'in ciwon sukari na 2 ana gano su. Cutar na tasowa saboda gaskiyar cewa ƙananan ƙwayoyin jini na retina an lalace. Na farko, ƙarancin gani na gani yana raguwa, kuma lokacin watsi da lamarin, cikakken makanta.
Cutar na iya haifar da matsaloli masu zuwa:
- Cutar mai ciwon sukari yana bayyana ta hanyar microangiopathy na kafafu. A cikin yankin da aka shafa na ƙananan ƙarshen, ana aiwatar da ayyukan necrotic, gami da waɗanda ke purulent (alal misali, gangrene a cikin sukari mellitus)
- Myocardial infarction shine sakamakon ciwon sukari. An lura da keta hadarin jijiyoyin zuciya.
- Polyneuropathy yana faruwa a cikin fiye da rabin marasa lafiya da ciwon sukari. An samo asali ne daga keta ayyukan jijiyoyin da ke cikin jijiyar wuya, tunda cikakkiyar gudummawar jini a cikin jiki yana cikin damuwa.
- Stroke wani rikitarwa ne wanda ya samo asali daga raunin jini a cikin jikin mai haƙuri.
Idan matsanancin rikice-rikice sau da yawa "yana" haɗuwa da farkon bayyanar cututtuka, to, ƙwayoyin su na yau da kullun suna haɓaka watanni da yawa ko shekaru bayan kamuwa da cutar sukari na 2.
Jiyya da rigakafin rikitarwa
Suna kulawa da mummunan siffofin rikitarwa a cikin sashin kulawa mai zurfi, saboda akwai babban haɗari ga rayuwar mai haƙuri.
A cikin tsakaitattun yanayi, marasa lafiya waɗanda ke da farkon rikitar cutar, wanda ke tare da samuwar acidosis, ana allurar dasu da ruwan inabin da insulin na hormone.
Dukkanin hanyoyin magance rikitarwa na yau da kullun ana aiwatar da su daidai da sashin da ke ciki da ke ciki. Nephropathy yana buƙatar gyara alamun alamu na hawan jini, an gyara hemodynamics na ciki. Idan gazawar koda ta haɓaka, to, mara lafiyar yana cikin allurar, ana tsabtace kodan.
Kulawa da rikitarwa ya ƙunshi waɗannan ayyuka:
- Za'a iya magance ƙafafun ciwon sukari tare da magani, da kuma maganin tiyata. Zaɓin farko ya haɗa da amfani da maganin antiseptics na gida, maganin hana ƙwayoyin cuta, saka takalma na musamman. A fitowa ta biyu, yayin da gangrene ke tasowa, sai a tsinkaye shi da sauran kayan maye.
- Don rage yawan sukari a cikin jiki, ana bada shawarar allurar insulin, ko kuma an ba allunan allura don rage sukarin jini.
- Gudanar da marasa lafiya tare da cututtukan zuciya ba wani bambanci da magani na al'ada da aka yarda da ra'ayin mazan jiya.
- Ana magance polyneuropathy na ciwon sukari a bayyanuwa don inganta yanayin haƙuri. An tsara rukuni na bitamin B, immunomodulators.
Tushen hanyoyin kariya shine kiyaye yawan sukarin jini a cikin marassa lafiya matakin da ake buƙata. Don yin wannan, kuna buƙatar shan magunguna, ku bi abinci mai ƙoshin abinci, kuma ku sarrafa nauyin jikin ku.
Don guje wa rikice-rikice na cutar, kuna buƙatar ziyartar likitan ku a kai a kai, ɗaukar gwaje-gwajen da suka dace. Asfirin yana ba da sakamako mai laushi, wanda zai taimaka hana bugun zuciya, bugun jini, bugun jini.
Ana kulawa da kulawa ta musamman ga ƙananan ƙarshen zuwa don gano raunuka, fashe da raunuka a farkon matakin. Idan har an gano mafi ƙarancin lahani na fata, an ba da shawarar cewa ka tuntuɓi likitanka nan da nan.
Me kuke tunani a kan wannan? Shin matakan kariya zasu taimaka wajen magance rikice-rikice na gaba?