Alamomin kamuwa da cutar siga a cikin maza da hatsarin ta
Bari yanzu mu faɗi cewa yayin da ciwon sukari bashi da magani. Manufar maganin jiyya ita ce daidaita yanayin glucose na jini, a wasu kalmomin, rama ga masu ciwon sukari. Idan mutum ya kiyaye glucose al'ada a cikin dogon lokaci, rikice-rikice ba sa ci gaba, wasu kuma har ma suna yin regress. Welloshin lafiya tare da raunin kula da masu cutar siga yana da kyau, babu alamun cutar, tsammanin rayuwa daidai yake da na maza masu lafiya. Saboda yanayin da ake fama da ciwon sukari, rigakafin yana da mahimmanci. Za'a iya guje wa cutar sankara tare da taimakon matakai masu sauƙi waɗanda suka dace da manufar kyakkyawan salon rayuwa.
Bayyanar cututtuka da alamomin cutar sankara
Harshen ciwon sukari yana ƙaruwa daga shekara zuwa shekara. A lokacin karami, maza da yawa sun kamu da rashin lafiya fiye da mata; a shekaru 55, yawan masu ciwon sukari na mata da maza su zama iri ɗaya. Dangane da kididdigar, kowane mara lafiya na uku bai san cewa ya ci gaba da ciwon sukari ba, ba ya jin wata alama kuma ya ci gaba da yin rayuwa ta yau da kullun, don haka yana ƙara girman sakamakon wannan ilimin.
Da yake magana game da ciwon sukari a cikin maza bayan 30, yawanci suna nufin mafi yawan jama'a (fiye da 90% na lokuta) cutar 2. Yawancin lokaci a farkon shekarun bayan farawar damuwa na rayuwa, wannan nau'in ciwon sukari ba shi da alamun bayyanar, ana iya gano shi kawai tare da taimakon gwaje-gwaje.
Ta yaya ciwon sukari ke farawa:
Alamomin farko na ciwon suga | Sanadin wannan cutar |
Polydipsia kishiyar halitta ce, mai kishi. | Daya daga cikin alamun farko. Da zaran sukari ya fara tonawa cikin jijiyoyin jini, to kuwa lalle yawan jini zai tashi. Don tsinkaye shi, jiki yana kunna cibiyar ƙishirwa a cikin kwakwalwa. |
Polyuria - fitowar fitar fitsari. | Lokacin da ciwon sukari ya fara, wannan cutar sakamakon sakamakon karuwar ruwa ne. Lokacin da yawan sukari a cikin tasoshin ya tashi sama daga bakin ƙusa (kusan 9 a cikin mazan mutane), yana fara gudana cikin fitsari. Polyuria yana inganta sosai, har zuwa lita 3-4. |
Gajiya, ciwon kai akai-akai. | Babban bayyanar cutar sankara a farkon shekarun cutar ita ce juriya ta insulin. A wannan yanayin, shigarwar glucose a cikin kyallen yana da wahala, saboda abin da gabobin maza ke fuskantar matsananciyar yunwar. |
Rashin lafiya bayan cin abinci. | Yawan cin Sweets, kayan abinci, dankalin turawa, kayayyakin gari suna ta haifar da hawan jini. Bayyanar cututtuka na wannan tashin hankali shine rashi, rauni, jin zafi bayan cin abinci. |
Wadannan bayyanar cututtuka suna da wuya a lokaci guda, yawanci maza suna lura da ɗayansu ko biyu. Yana faruwa cewa alamun yawan sukari ana iya ganin shi kawai na 'yan makonni a matakin farko na ciwon sukari, bayan haka jiki ya sami sabon yanayi, kuma duk abubuwan da ba su ji daɗi sun shuɗe.
Alamar marigayi cututtukan sukari a cikin maza na faruwa bayan shekaru da yawa na rayuwa tare da sukari mai yawa:
- Saurin warkar da ƙananan raunuka, bayyanar scuffs akan ƙafafu, a cikin yanki mai ciki ko yanki na axillary.
- Ara yawan girman ciki, samuwar kitse mai “Lifebuoy” wanda ya shimfida zuwa ga bangarorin kuma a wani ɓangare zuwa bayan.
- Itching a cikin maza akan azzakari gland, a kusa da dubura, a cikin mafitsara.
- Naman gwari a cikin bakin, a kan kusoshi, a cikin manyan fatar fatar, akan al'auran. Alamar ciwon sukari a cikin maza shine balanitis ko balanoposthitis. Alamomin su shine itching, bayyanar plaitish, redness of the penis and / ko foreskin. Kumburi yana haifar da ciwo yayin ma'amala da lokacin urination.
- Fata mai bushe, musamman akan ƙafa, 'yan maruƙa da hannaye. Daga baya, faratirin fata ya fara, to sai fararen jan ya bayyana a shafukan da ake kira peeling.
- Tingling a cikin kafafu, yatsunsu. An bayyana bayyanar cutar sankarau ta hanyar lalacewar raunin wasu yankunan fata, cramps na dare a cikin thean maraƙi.
- Rage ji na azzakari na glans, matsalolin tashin hankali.
- Wahala mai hangen nesa. Alamun mummunan tasirin ciwon sukari a cikin retina - mutum zai iya gani ta cikin tabo, aibobi mai iyo na iya fitowa a gaban idanunsa.
- Black acanthosis shine ɗaya daga cikin alamun bayyanar alamun cututtukan ciwon sukari. Ya bayyana a cikin nau'i na duhu launuka launuka a cikin fayilolin fatar, yawanci a cikin tsintsaye ko makwancin gwaiwa.
Wasu maza ba su lura da alamun ba har sai glucose ta hau zuwa lambobi masu haɗari - 14 mmol / L kuma sama. Tare da irin wannan babban hyperglycemia, jiki bai iya sarrafa metabolism ba, kuma lalatawar tasa ta faru. Jikunan Ketone sun fara shiga cikin jini, wanda hakan ke haifar da ƙanshin fitsari na fitsari, iska mai ƙarewa, wani lokacin ma fata. Idan ka yi watsi da wannan alamar, yanayin na iya taɓarɓarewa cikin fewan kwanaki zuwa ga cutar sikari.
Nau'in nau'in 1 na carbohydrate ana saninsa ta hanyar hanzari. Bayyanar cutar sankarau a cikin maza iri ɗaya ce da ta cuta ta type 2, amma suna faruwa ne cikin awanni kaɗan. Sugar yana girma da sauri, a cikin 'yan kwanaki mara lafiya na iya fada cikin rashin lafiya. A cikin maza bayan shekara 40, saiti na farko na nau'in ciwon sukari 1 keɓaɓɓu ne. Idan alamun cutar sukari ya tashi ba zato ba tsammani da sauri ya karu, yana da kyau a bincika wani tsari na tsakiyar cuta tsakanin nau'in 1 da 2 - ciwon sukari na Lada.
Manyan abubuwan da ke haifar da ciwon sukari a cikin maza
Glucose shine babban kayan samar da makamashi a jikin mu, yawancin shi muke samu daga abinci. Bayan narke abinci da lalata hadaddun sugars, glucose ya shiga cikin jini. Saboda ya iya ci gaba cikin sel, jiki yana buƙatar insulin. Wannan sinadarin dake faruwa ta hanjin hanji wanda ya saba da karuwar sukarin jini.
A matakin farko na kamuwa da cutar siga a cikin maza, yawan jure insulin a hankali yana ƙaruwa. Sanadin wannan yanayin shine yawan shan sukari a cikin jini daga abinci mai hatsari. Babban masu sayen glucose sune tsokoki. Tare da ƙarancin aiki, farashin yana ƙanƙanta, wanda ke nufin cewa ƙwayoyin za su iya hana duk shigar azzakari cikin su. Suna iya yin hakan ta hanya guda ɗaya: ta hanyar watsi da insulin, wato, ta haɓaka jarin insulin.
Sanadin kara yiwuwar nau'in 2 a cikin maza:
- Yawan abinci mai gina jiki.
- Kiba Duk yadda mutum yai kiba, to yawan karfin insulin sa yake.
- Fassarar mai mai. Mafi haɗarin kiba mai haɗari na maza shine ciki. Alamar sa: kitse yana tarawa tsakanin gabobin, an kafa babban ciki mai wuya. Alamar babbar haɗarin kamuwa da ciwon sukari shine ƙwayar ciki fiye da 94 cm.
- Rashin aiki, rashin ƙwayar tsoka. Ana rage karancin glucose a rayuwa, yayin da yake ci gaba da kasancewa cikin jini.
- Abubuwan gado. Za a iya hango wani hasashen zai iya haifar da gurɓataccen metabolism na metabolism ta hanyar nazarin tarihin dangi na kusa. Wannan dalilin ba yanke hukunci bane. Mutumin da ke aiki mai santsi bai da haɗarin kamuwa da ciwon sukari, koda mahaifan biyu suna fama da wannan cutar.
- Shekaru. Bayan shekaru 50, ciwon sukari a cikin maza yana faruwa sau 30% fiye da lokacin ƙarami. Likitoci sun ba da shawarar cewa wannan ya faru ne saboda yawan hauhawar nauyi da kuma rashin lafiyar gaba ɗaya. Duba labarin - ƙa'idodin sukari na jini a cikin maza bayan shekaru 50.
Matakan bincike
Bayyanar alamun rarrabewar kamuwa da cutar sankarau a cikin maza galibi suna fitowa ne kawai tare da glucose na jini. Wannan yawanci yakan faru ne bayan shekaru 5-7 bayan fara cutar. A matsayinka na mai mulkin, bincika a wannan lokacin cutar ta bayyana rikitarwa sama da ɗaya.
Yadda za a gane ciwon sukari a farkon matakin:
- Mafi sauki bayani shine glucose na jini; ana yin samfur daga jijiya ne kawai akan komai a ciki. A cikin mutum mai lafiya, sakamakon bai kamata ya wuce 5.9 mmol / l ba, tare da mellitus na ciwon sukari - sama da 7. Idan an yi nazarin ta amfani da mita glintar jini na gida, glucose sama da 6.1 alama ce ta gargaɗi. Glucometers suna da daidaito sosai, sabili da haka, ana buƙatar nazarin dakin gwaje-gwaje don tabbatar da cutar.
- Yin gwajin haƙuri a cikin glucose zai taimaka wajen gano haɓakar insulin juriya a mataki na ciwon suga. Ana zana jini sau biyu a cikin awanni 2, tsakanin samfuran da mara lafiya ke cin glucose. Sakamakon ma'auni na biyu sama da 7.8 an kiyasta azaman ciwon sukari, sama da 11.1 - azaman ciwon sukari.
A cikin tsakiya da tsufa, ya kamata a yi gwaje-gwaje a kowace shekara 3, don maza masu babban yiwuwar ciwon sukari - kowace shekara.
Kula da cutar sukari a matakai daban-daban
Tsarin kula da cutar sankarau mai sauki ne. Idan an gano cutar a farkon matakan, don rasa sukari ya isa ya rasa nauyi mai yawa, ƙara yawan aiki (daga mintina 150 na horo mai ƙarfi a mako), gina tsoka, da ƙarancin abinci mai ƙoshin abinci. Metformin (Siofor et al.) Mafi yawan lokuta ana ba da umarnin rage insulin juriya. Ana iya gyara kuskuren abinci mai gina jiki ta wani bangare ta amfani da acarbose (Glucobay).
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 haɓaka maganin da ke warkar da ciwon sukari gaba ɗaya. 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!
Idan an gano cutar sankara a cikin mutum bayan shekaru da yawa, to, abinci, wasanni da metformin don rama cutar ba zai isa ba. A wannan lokacin, samar da insulin yana faduwa, don haka ana sanya abubuwan kara kuzari: blibenclamide na gargajiya (Maninil), glimepiride (Amaryl), ƙarin vildagliptin na zamani (Galvus), sitagliptin (Januvia) da sauransu.
Idan ka kiyaye tsarin abinci mai karancin-abinci kuma ka dauki shirye-shiryen taushi, za a iya tsawaita sinadarin insulin a cikin masu cutar sankara tsawon shekaru. Yayinda yawanci jinin sukari yake sama da al'ada, yadda rikitowar kwazo zaiyi gaba, da sauri hanjin zai yanke jiki kuma ya daina samarda insulin.
Da zaran insulin mutum ya ishe shi maganin al'ada wanda yake aiki da shi, dole ne a allurar dashi. Da farko, allura 1-2 a rana sun isa. Idan kwayar insulin ta daina aiki gabaɗaya, tsarin insulin far ya zama iri ɗaya kamar na ciwon sukari na 1: daga injections 4 kowace rana.
Tashin hankali da sakamako
A cikin ƙaramin adadin masu ciwon sukari (ƙasa da 5%), rikitarwa ya haɓaka tare da magani na lokaci. Kusan 15% na maza sunyi sa'a. Suna da ci gaba mai rauni koda da isasshen sarrafa sukari. A mafi yawan, tsananin matsalar rikicewar cutar sankara kai tsaye ya dogara da matsayin diyyarta.
Cutar sankara tana da haɗari ga duka, in ban da togiya, ƙwayoyin jikin mutum. Dalilin cututtukan cuta shine hanyoyin glycation, ko narkewa, waɗanda suke da yawa lokuta masu ƙarfi idan aka ƙara yawan glucose jini. Na farko, tasoshin da suka fara haɗuwa da sukari suna wahala. Ganuwar su ta rasa murya, ta zama mai rauni, ta daina cika ayyukanta. Destroyedarancin capillaries suna lalacewa, rukunin wuraren nama ba tare da wadatawar jini ba. Sakamakon cututtukan hyperglycemia ana iya lura dashi musamman a cikin gabobin da aikinsu bashi yiwuwa ba tare da tasoshin tasoshin ba: kodan da retina. Cin nasarar manyan jiragen ruwa yana haifar da hauhawar hauhawar jini, a lokuta da dama yana kara yawan bugun zuciya da bugun jini a cikin maza.
Glycation na haemoglobin tare da sukari mai yawa na iya kaiwa zuwa 20%, a sakamakon wanda ƙwayoyin suke fuskantar matsananciyar yunwar oxygen. Wahala daga ciwon sukari da jijiyoyi. Neuropathies na kebance daban-daban sune sanadiyyar raunin cutar marassa lafiya a gwiwa, rauni a kafa. Ciwon sukari yana shafar tasirin maza. Jinin da ke cikin jikin cavernous ya zama bai ishe shi ba, yanayin jinsi na raguwa saboda jijiyoyin jini. Lalacewa a cikin jijiyoyi yana haifar da gaskiyar cewa sphincters sun daina aiki kullum, retrograde ejaculation yana tasowa: maniyyi baya fita waje, amma yana shiga cikin mafitsara, wanda ke haifar da dabi'ar halitta ta yaro ba zai yiwu ba.
Yin rigakafin
Wariyar abubuwan da ke haifar da saurin kamuwa da cutar siga sune manyan matakan kariya. Rage nauyi zuwa al'ada, raguwa mai kauri a cikin carbohydrates, cikakken cire sauƙin sukari (glucose, sucrose) daga abinci, horarwa na yau da kullun na iya bada garantin rigakafin ciwon sukari. Koda a mataki na maganin ciwon suga, lokacin da sukari ya riga ya wuce matsayin al'ada, waɗannan matakan kariya suna da tasiri a cikin kashi 75% na maza.
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 >>