Cutar sankarar mahaifa - menene? Bayyanar cututtuka da rikice-rikice

A cikin wannan labarin zaku koya:

Duk mutumin da yake da tarihin “cutar suga” to yakamata yasan cewa cuta mai raunin kansa cuta ce ta jikin mutum sabanin wata cuta wacce matakin glucose na jini ya zarce na al'ada ba tare da magani ba ko kuma babu wani sakamako a bangon aikin.

Baya ga decompensation, wanda matakan suga na jini ya yawaita sosai, wani matakin canji na glycemia (matakin glucose a cikin jini) an rarrabe shi - subcompensation, wanda kimar sukarin jini bata da girma fiye da lambobin al'ada.

Yana da mahimmanci ga marasa lafiya da ciwon sukari mellitus su mallaki matakin glycemia a gida tare da glucometer, ta haka suna kula da ingancin magani da aka wajabta da kuma matsayin diyya na masu ciwon sukari.

Zaɓuɓɓukan Kula da Ciwon sukari

Akwai alamomi bisa ga abin da za a iya yanke hukunci game da diyya don ciwon sukari. Akwai ƙa'idodi da yawa waɗanda ake la'akari da lasafta ciwon sukari. Abubuwan rarrabuwa a cikin dabi'un alamomi daga wannan fanni suna ƙaddara matakin ƙeta hadarin metabolism. Babban ka'idojin sun hada da:

  • da lambar adadi na glucose a cikin jini akan komai a ciki kuma bayan cin abinci,
  • glycated alamar haemoglobin (matsakaicin darajar glucose a cikin jini cikin kwanakin 90-95 da suka gabata),
  • kasancewar kasala ko rashin glucose a cikin fitsari (glucosuria),
  • kasancewar acetone a cikin fitsari.

Bayan babban ka'idodi, ana kuma rarrabe ƙarin abubuwa. Idan sun bambanta da na yau da kullun, to wannan hanyar ciwon sukari tana buƙatar gyara. Includearin hada da:

  • jini cholesterol
  • matakin triglycerides a cikin jini (ɗayan nau'ikan lipids waɗanda ke ƙayyade ajiyar ƙwayar mai a jiki),
  • matakin systolic da hauhawar jini,
  • Kugu
  • bayanin jikin mutum.
Tebur - Digiri na Sakamakon Ciwon Cutar Diabetes

Idan koda ma'aunin ɗaya baya faɗi tsakanin yanayin al'ada, wannan yana buƙatar gyara.

Abubuwan da ke ba da gudummawa ga lalata cututtukan sukari

Akwai 'yan abubuwan da ke haifar da cinikin cutar:

  • ba daidai ba dabara dabara
  • rashin cin abinci
  • rashin amfani da magunguna ko magunguna marasa kyau,
  • yawan asarar ruwa mai yawa daga jiki (rashin ruwa),
  • sutudiyyar rayuwa
  • wuce gona da iri-tunanin mutum, damuwa.

Kowane ɗayan waɗannan haddasawa, idan akwai, na iya tsokani bayyanar cutar (bayyanuwar) cutar.

Bayyanar asibiti

Ana iya zargin mutum da ciwon suga ba tare da wata damuwa ba idan alamun bayyanannin na asibiti sun faru:

  • wanda ba a iya ganowa ba
  • polyuria (saurin urination),
  • rauni, rage aiki,
  • farin ciki, ciwon kai,
  • fata mai ƙaiƙayi
  • raguwa mai nauyi a jiki,
  • amai
  • warin acetone daga bakin.
Bayyanar cututtukan cututtukan ƙwayar cuta marasa ƙwayar cuta

Marasa lafiya da ciwon sukari yakamata su mai da hankali sosai game da yanayin lafiyarsu kuma duk wani ɓarnar rayuwa cikin jin daɗi ya kamata ya zama wani lokaci don sake tattaunawa da likita. Sau da yawa, marassa lafiya, canji don jin daɗin rayuwa bazai iya ɗaukar shi don lalata cututtukan ciwon sukari ba, kuma baya kula da wannan. Sakamakon kamuwa da cutar sankarau na iya zama mai hadarin rai ga mara lafiya, har ma da m.

Ko da rashin bayyanar cututtukan cututtukan ƙwayar cuta, marasa lafiya suna buƙatar auna matakan glucose a cikin jini sau 1-3 a mako a kan komai a ciki, kazalika 2 hours bayan cin abinci. Gudanar da kai zai rage haɗarin kamuwa da cutar siga.

Sakamakon

Ciwon mara wanda ba a san shi ba ko ba jima ko ba jima zai haifar da mummunan rikice-rikice.

Irin waɗannan rikice-rikice suna tasowa tsawon shekaru ko ma shekarun da suka gabata. Rashin tsayi na kullum yana da mummunar illa a jikin sel da tsokoki, kuma bayan wani lokaci, abin takaici, mai haƙuri yana da abin da ba zai iya warkewa ta hanyar magani ba.

Yana faruwa da lafiyar mutum ba ta canzawa sosai, baya ma lura cewa yana rayuwa tare da babban matakin glucose a cikin jini. Amma, a mataki na zuwa ga likita, akwai wasu rikice-rikice na cutar. Kwayar cuta mai narkewa na iya haifar da nakasa, rashin ƙarfi.

Lokacin da ciwon sukari ya rikita sosai, matakan glucose na jini suna da yawa sosai, ƙwaƙwalwar mahaifa, ƙwaƙwalwar ƙwaƙwalwa har ma da coma na iya haɓaka. A wannan halin, idan ba ku samar da ƙwararrun likitoci na musamman a cikin rukunin kulawa na kan lokaci ba, sakamakon zai iya zama mummunan wahala.

Yin rigakafin

Mafi mahimmancin matakan hanawa shine: bin abinci mai ƙarancin carb da kulawar glucose na yau da kullun. Kulawa da matakan glucose ya kamata a yi a gida sau da yawa a mako.

Bugu da kari, ana bada shawarar bayar da gudummawar jini don tantance matakin cutar haemoglobin tare da yawan lokuta sau 2 a shekara, haka kuma don halartar gwajin da aka shirya na endocrinologist da kwararrun kwararrun (likitan zuciya, likitan zuciya, likitan mahaifa, likitan mahaifa). Kuma tare da tabarbarewa cikin wadatar lafiya ko ƙimar glucose mai mahimmanci yayin da aka auna a gida, shawarci likitan ku cikin lokaci mai dacewa.

Endocrinologists suna ba da shawarar ajiye bayanan kundin tsarin kula da kai, a cikin abin da kuke buƙatar nuna matakin glycemia da alamomin hawan jini. Haɗin waɗannan bayanan yana ba wa likita damar yin hukunci game da yanayin kiwon lafiya da matsayin diyya ga cutar, kuma, idan ya cancanta, canza tsarin kula da haƙuri.

Hakanan yana da mahimmanci a jagoranci rayuwa mai aiki, lafiya da kuma kula da yanayin motsa jiki. Wani salon rayuwa mai sarkakiya da munanan halaye na kara dagula cutar kuma yana takura metabolism metabolism.

Jiyya don bazuwar cututtukan siga ya kamata ya zama cikakke. Ya ƙunshi ɗaukar allunan, allura (insulins), rage cin abinci, ba da halaye mara kyau, salon aiki, lura da karfin jini, sarrafa nauyin jikin mutum, ƙididdigar jini (guban mai azumi, gemocosylated haemoglobin, cholesterol, triglycerides) da urinalysis .

Wadannan abubuwan suna da matukar ban mamaki, cikakke kuma kyauta ga kowane mutum a karkashin tsarin inshorar kiwon lafiya a cikin kowace hukuma ta jihar.

Hakanan yana da kyau ga marasa lafiya suyi maganin marasa lafiyar da aka tsara tare da kwayoyi don inganta metabolism a cikin gabobin wadanda ke da rauni, kuma idan za ta yiwu, sanatorium-Resort.

Kammalawa

Yana da mahimmanci a fahimci cewa asarar kuɗi na faruwa idan ba a cika ɗayan sharuɗɗan maganin cutar ba. Wajibi ne a samo dalilin cutar hauka da kawar da ita cikin kankanin lokaci. Abin takaici, ciwon sikari da aka lalata yana da mummunar illa a jiki, kuma ba za'a iya sauya su ba.

Cutar sankara (mellitus) cuta ce da ba ta warkarwa, amma duk da wannan, akwai hanyoyi na zamani na jiyyarsa waɗanda ke sa rayuwar mutum jin daɗi kamar yadda zai yiwu. Kuma, mai haƙuri da ciwon sukari ya kamata ya san cewa hanya ta cutar ta dogara da kansa kawai. Horon mai haƙuri da alhakin shi ne mabuɗin don ingantaccen magani, jin daɗin rayuwa da lafiya.

Diyya da decompensated ciwon sukari: menene bambanci?

Da farko, yana da mahimmanci fahimtar ainihin bayanin. A yau, mutane da yawa suna fuskantar matsala kamar su cutar sankarar mama. Menene wannan

Idan muna magana ne game da nau'in cutar da aka biya, to wannan yana nuna cewa matakin glucose a cikin jinin mai haƙuri ya zama al'ada. Ana iya kiyaye wannan alamar ta hanyar taimakon magunguna (gami da insulin), abinci mai dacewa, hutu da bacci.

Amma saboda dalili ɗaya ko wata, cutar na iya zama da rikitarwa. Mafi sau da yawa, ana yin rajista na ciwon sukari na nau'in 2, kodayake hanya mai kama da wannan zata yiwu tare da nau'in insulin-dogara da cutar (nau'in 1).

Wadanne alamomi ne masu mahimmanci don tantance matsayin diyya?

A yayin aiwatar da bincike game da wannan cuta, ana la'akari da abubuwa da yawa.

  • Gwanin jini shine mafi mahimmancin alama. Ana ɗaukar jini a cikin komai a ciki domin bincike. A yadda aka saba, sakamakon ya kamata ya zama daga 3.3 zuwa 3.5 mmol / L.
  • Hakanan ana yin gwajin jini don haƙuri na glucose. Sa'o'i biyu kafin gwajin jini, mara lafiya ya ɗauki maganin glucose. A yadda aka saba, wannan alamar kada ta wuce 7.7 mmol / L.
  • Yana da mahimmanci a ƙayyade adadin haemoglobin mai narkewa. Yayin binciken, zaku iya tantance rabo na kwayoyin haemoglobin da suka riga sun hade da glucose zuwa jimlar adadin haemoglobin. A cikin mutane masu lafiya, wannan alamar tana daga 3-6%.
  • Ana yin gwajin fitsari don sukari. A yadda aka saba, glucose din baya fitsari a cikin fitsari. Iyakar da aka yarda da masu ciwon sukari shine 8.9 mmol / L.
  • Yana da mahimmanci a ƙayyade adadin cholesterol kaɗan. A cikin mutane masu lafiya, wannan adadi bai wuce 4 mmol / L ba.
  • A yayin gudanar da bincike, ana kuma auna karfin jini, saboda cutar sankarau tana da nasaba da yanayin tasoshin jini. Yayinda tsarin rarrabuwar ke ƙaruwa, hawan jini ke tashi. Zai dace a tuna cewa, a kullun, wannan alamar bazai wuce Hg 140/90 mm ba. Art.
  • Eterayyade matakin triglycerides a cikin jini, zaku iya ƙididdige yiwuwar haɓakar rikicewar jijiyoyi a cikin haƙuri.
  • Wani muhimmin sashi na ganewar asali shine ƙudurin ƙididdigar taro, wanda galibi bai kamata ya wuce 24-25 ba. Marasa lafiya da ciwon sukari mellitus (musamman idan yazo da wata cuta ta nau'in na biyu) sau da yawa suna fama da wani kiba.

Babban abubuwanda ke haifar da lalata

Kun riga kun san abin da dalilai ke ba da hankali ga lokacin da ake bincika cututtukan ƙwayar cutar sukari da kuma menene. Amma menene zai iya haifar da farkon lalata?

Dangane da sake dubawa, dalilai kowannensu a kowane yanayi. Likitoci sun gano abubuwan da ke tattare da hadarin:

  • abinci mara kyau, yawan wuce gona da iri, cin abinci wanda aka haramta wa masu ciwon sukari,
  • tsarin kulawar da ba ta dace ba, mara amfani da abin da ake amfani da shi ta hanyar mai haƙuri a maimakon ba da magunguna,
  • zaɓi na rashin kuskure na insulin,
  • ƙi insulin magani,
  • cututtuka na cututtuka wanda ke hade da gudawa,
  • akai danniya, tunanin wuce gona da iri.

Ciwon mara wanda ba a kula dashi ba: alamu

Abin takaici, mutane da yawa suna fuskantar irin wannan cutar. Menene ma'anar ciwon sukari? Wadanne alamu ke tattare da wannan tsarin? Hoton asibiti yana da fasali da yawa:

  • akwai nauyi asara mai nauyi,
  • marasa lafiya suna koka game da gajiya, rauni koyaushe da rashin bacci,
  • tura zuwa urinate
  • alamar halayyar ciwon sukari busasshiyar baki ce da tsananin kishirwa,
  • wani lokacin cin zarafin ayyukan masu nazarin gani yana yiwuwa.

Idan irin waɗannan bayyanar cututtuka sun faru, kada ku yi shakka - kuna buƙatar tuntuɓar likitancin endocrinologist. Mahimmin mahimmanci a cikin wannan halin shine kulawa akai-akai na matakan glucose na jini.

Matsaloli da ka iya faruwa na rashin cikakkiyar cuta

Ta yaya haɗarin kamuwa da ciwon sukari? Tashin hankali mai yiwuwa ne, kuma lissafinsu yana da yawa babba. Acarancin ɓacin rai yana da haɗari, saboda yana tasowa da saurin walƙiya - rikice-rikice na haɓaka a cikin 'yan sa'o'i kaɗan, wani lokacin har ma da minti.

  • Hypoglycemia. Wannan yanayin yana tare da raguwa mai yawa a cikin sukarin jini. Marasa lafiya suna jin rauni sosai. Akwai ji na matsananciyar yunwar.
  • Hyperglycemia. Sharpara yawan haɓakar glucose, wanda yake da haɗari, saboda yana iya haifar da ci gaba da ƙwayar cuta.
  • Ketoacidosis. Wannan yanayin yana haɗuwa tare da ƙaruwa mai yawa a cikin taro na sukari. Rashin narkewar ƙwayar cuta yana haifar da samuwar sassan ketone, waɗanda suke da guba ga jiki.
  • Glucosuria. Ana fara fitar da glucose tare da fitsari.
  • Cutar masu ciwon sukari. A yayin ciwon sukari, matakan insulin sun ragu tare da hauhawar matakan sukari. Koda yake, kyallen takarda, musamman, tsarin tsarin juyayi, basu iya amfani da glucose. Sakamakon abu ne mai laima.

Abinda yakamata ayi Shin akwai wani magani mai inganci?

Tsarin ciwon sukari mai haɗari yana da matuƙar haɗari. Matakan insulin da matakan glucose na jini kusan ba zai yiwu ba don sarrafawa tare da magani. Sabili da haka, magani a cikin wannan yanayin yana ragewa don kawar da bayyanar cututtuka da rikitarwa. Mai haƙuri yana buƙatar kulawa da kulawa koyaushe. Yana da mahimmanci kula da aikin zuciya, matakin sukari a cikin jiki, aikin kodan, da dai sauransu.

Matakan hanawa

Kun riga kun san dalilin da yasa ake lalata cututtukan ƙwayar cuta, menene kuma menene rikice-rikicen da ke haifar da shi. Tabbas, irin wannan yanayin yana da haɗari kuma yana da nisa daga koyaushe ingantacce zuwa gyara likita. Abin da ya sa ya fi sauƙi a hana ci gaban lalataccen tsari. Dole ne kawai ku bi ka'idodi masu sauki.

  • An shawarci masu ciwon sukari su guji masu yaji, abinci mai gishiri, gami da abinci mai ɗauke da glucose.
  • Kada ku gabatar da soyayyen abinci a cikin abincin. Likitoci suna ba da shawarar dafa abinci don ma'aurata ko a cikin tanda - don haka ya fi amfani sosai.
  • Zai fi kyau a kula da tsarin abincin - yana da kyau a ci sau da yawa, amma a cikin ƙananan rabo.
  • Kuna buƙatar saka idanu kan ma'auni na adadin kuzari da aka ƙone.
  • Wani muhimmin sashi na rayuwar mai haƙuri da ciwon sukari shine aikin jiki. Tabbas, muna magana ne game da ayyukan da ake iyawa, shin safiya ce, yin iyo ko tafiya kawai a wurin shakatawa.
  • Masana sun ba da shawarar lura da yanayin aiki daidai da hutawa, saboda yawan aiki yana shafar yanayin haɓakar hormonal da matakin sukari na jini.
  • Ya kamata kuyi tunani game da yoga da zuzzurfan tunani, saboda yana taimakawa jure wahala cikin sauki.

Tabbas, masu ciwon sukari yakamata su kula da sukarin jininsu da kansu. Idan kowane canje-canje da kuma yanayin rayuwa sun bayyana, ya kamata ka nemi likitanka. Da zaran anga matakin lalatarwa, da mafi yawan damar akwai damar hana ci gaban wasu matsaloli.

Matakan cutar


Ya danganta da yadda mai yiwuwa ne a kiyaye cutar a cikin sigogi na karɓa, ana rarrabe nau'ikan 3 na hanyar cutar gwargwadon girman su:

  • rama
  • subcompensated
  • ƙetare.

Tare da magani mara kyau ko cin zarafin abincin mai haƙuri da magani, yana iya ƙaruwa kuma cutar ta kara tsananta.

Sakamakon cututtukan ciwon sukari mellitus yana cikin damuwa da ji na farko ko ƙaruwa na bayyanar cututtuka a cikin hanyar:

  • karancin gani
  • itching da fata raunuka,
  • bushe bakin
  • ci gaba da ciwon kai.

Manufofin sharudda don tantance matakin cutar

Don guje wa rikice-rikice, mai haƙuri ya kamata a kai tsaye saka idanu kan matakin sukari yayin gwajin jini da fitsari. Abu ne mai sauki a tantance matakin da cutar ke ciki ta amfani da teburin:

Bayani / MatakiSakayyaCompaddamarwaSakayya
Halaye
Jinin jiniKusa da al'adaMahimmanci sama da na al'adaYa wuce 13.9
Guban mahaifaAn ganoYa wuce 50 g
Fitsari Acetone+
Verarfin bayyanar cututtukaBabu / rauniMatsakaiciBayyanawa
Carbohydrate metabolismNa al'adaGirmaBabban
Yiwuwar rikitarwaMafi qarancinKadanBabban
Manuniya
Sugar a cikin gwajin jini don komai a ciki4.4 zuwa 6.16.2 zuwa 7.8Sama da 7.8
Ya yi awoyi 1.5-2 bayan cin abinci5.5 zuwa 88.1 zuwa 10Fiye da 10
Sashi na fitsari a rana (a cikin grams)Har zuwa 50Sama da 50
Gemocosylated haemoglobin (%)Kasa da 6.56.5 zuwa 7.5Fiye da 7.5
triglyceridesHar zuwa 1.71.7 zuwa 2.2Sama da 2.2
Jimlar cholesterolHar zuwa 5.25.2 zuwa 6.5Fiye da 6.5
Manunin jikin mutum (na mata)Kasa da 2424 zuwa 26Sama da 26
BMI (cikin maza)Kasa da 2525 zuwa 27Fiye da 27
Hawan jini (a mmHg)Har zuwa 140/85140/85 zuwa 160/95Sama da 160/95

Duk ma'aunai na jini banda haemoglobin ana auna su a mmol / L. Don ƙaddara BMI, ana ƙididdige rabo na girman jikin mutum zuwa tsayi a nisan mita. Mai haƙuri zai iya sarrafa fitsari, jini da hauhawar jini da kansa. Sauran sigogi an ƙaddara su ne sakamakon sakamakon ƙirar ƙwayoyin cuta, wanda aka gudanar kamar yadda likita ya umarta.

Ba duk marasa lafiya ba ne suka san menene “glycosylated haemoglobin”, kuma me yasa kuke buƙatar sarrafa shi. A yadda aka saba, har zuwa 6% na furotin din sun danganta ga glucose kuma ana ajiye shi a cikin sel jini, wanda tsawon rayuwarsa yakai kwanaki 120. Wannan mai nuna alama yana nuna yanayin yanayin aikin carbohydrate a cikin watanni 3 da suka gabata.

Triglycerides yana nuna yawan kitse daga abinci yana shiga jini lokacin da ya karye. Wannan sigar, kazalika da alamomin cholesterol, yana nuna matsayin hadarin cututtukan zuciya, wanda sau da yawa yakan tashi bayan sauyin cutar zuwa mataki na lalata.

Aa'idodin ƙa'idodi don ƙayyade tsananin cutar da aka bayar a cikin tebur ana jimrewa kuma yana iya bambanta ga yara da tsofaffi.

Bayani na asali

Yawan cutar a tsakanin jama'a yayi yawa. A kididdiga, bayanai sun nuna cewa an gano cutar sankarau a cikin kashi 8 cikin dari na yawan jama'a.

Bayani na asali game da cutar.

Yana da mahimmanci a sani! A jikin mutum, ana samar da hormone - insulin. Yana bayarda tsari na sukari na jini. Tare da nau'in ciwon sukari na 1, an keta tsari ko kuma ya daina aiki. A cikin nau'in ciwon sukari na 2, ana samar da insulin, amma masu karɓa sun rasa ƙarfinsu. A kan wannan yanayin, glucose yana tarawa cikin jini, saboda jiki ba shi da ikon rama kansa da wannan yanayin.

A tsarin rarrabuwa na zamani akwai matakai uku na biyan diyya:

  • fitina
  • subtantarwa
  • ramawa.
Yadda ake sarrafa ci gaban cutar.

Ana yin kimantawa na yanayin haƙuri yayin la’akari da waɗannan alamomi masu zuwa:

  • matakin haemololobin,
  • azumi jini jini
  • jini
  • hawan jini
  • jini cholesterol da triglycerides,
  • sashin jikin mutum na mai haƙuri.

Abun biya bashi da haɗari kamar diyya, amma sakaci da irin wannan halin bai halatta ba.

Ana la'akari da mahimmancin halayen matakan a cikin tebur:

Babban matakai na raunin cutar sankara
SunaBayanin
SakayyaMafi mahimmancin yanayin mai ciwon sukari. Yawan sukari na jini yayin lalatawa baya raguwa tare da amfani da magunguna. Cututtuka da yawa suna saurin ci gaba a jikin mai haƙuri. Wani mataki mai kama da wannan na iya faruwa a kowane lokaci, a ƙarƙashin rinjayar dalilai daban-daban, duk da haka, a mafi yawan lokuta, mai haƙuri da kansa shine ya ɗora alhakin haɓaka decompensation, rashin sanin haɗarin ciwon sukari da ƙin bin shawarwarin likitan halartar.
CompaddamarwaTare da ƙaddamarwa, matakan sukari na jini ya haɓaka dan kadan da sauri kuma tsayar bayan gyaran jiyya.
SakayyaSakamako shine maƙasudin kula da ciwon sukari. Ana kiyaye sukari na jini a wannan matakin tsakanin iyakoki na al'ada.

Babban haɗarin ciwon sukari a matsayin cuta shine cewa yawancin masu haƙuri da ciwon sukari ba su fahimci tsananin cutar su ba kuma sun musanta buƙatar yin la'akari da tsarin magani wanda likita ke halarta. Irin wannan rikice-rikice yakan haifar da lalata, wannan yanayin yana da mahimmanci, tun da canje-canje marasa canje-canje sun shafi gabobin jiki da tsarin jikin mutum.

Hanyoyi na alamun masu sa ido.

Kafin yin la’akari da hanyoyin da za a iya kawar da kuma lalata kuɗi, yana da kyau a kafa dalilan da ke ƙaddara ci gabanta.

Ana iya danganta masu zuwa ga jerin irin waɗannan:

  • wanda ba a iya amfani da shi ba daga abincin da ya ƙunshi carbohydrates,
  • yin amfani da karancin, allurai marasa amfani na insulin,
  • katsewa daga far
  • da amfani da abin da ake ci kari a matsayin hanyar far,
  • da amfani da madadin hanyoyin far a matsayin hanyar magani,
  • mummunan halaye
  • m cututtuka
  • maye maye,
  • tabin hankali
  • aikin jiki.

Abubuwan da aka lissafa sune manyan abubuwanda zasu iya haifar da lalata a cikin ciwon suga. Don samun biyan diyya, ya zama tilas a tabbatar da ainihin abin da ke haifar da abin da ke jawo damuwa a matsayin mai karawa juna sani. In ba haka ba, magani ba zai zama mai tasiri ba.

Gajiya a matsayin alamar rashin lafiya.

Mahimmanci! A wasu halaye, sanadin lalacewar shine ba daidai ba ne shawarar da aka bayar na insulin ta hanyar likitocin da ke halartar. Saboda haka, marassa lafiya waɗanda suka sami sabon tsarin ya kamata su lura da yanayin su a hankali ta hanyar ɗaukar matakan sukari na jini gwargwadon tsarin da likitan halartar ya ƙaddara.

Ya kamata a biya hankalin marasa lafiya ga gaskiyar cewa zubar da cuta wani yanayi ne mai hatsari, wanda idan babu sa hannun lokaci zai iya sa mara lafiyar ya mutu.

Bayyanar cututtukan cututtukan sukari

Babban burin wani masanin ilimin endocrinologist wanda ke da hannu a cikin lura da ciwon sukari ya kamata ya koya wa mai haƙuri ka'idar rayuwa tare da ciwon sukari. Mai haƙuri ya kamata karɓa daga likita ba wai kawai tsarin kulawa ba, har ma ya taimaka wajen shawo kan yanayin gaggawa wanda zai iya faruwa a kowane lokaci.

Dole ne mai haƙuri ya san ainihin halayen nasara diyya ga cutar:

Siffofin Kulawa da Cututtuka
MatsayiDaraja
Glycosylated haemoglobinKa'ida shine 6.5%, alamar fiye da 7.5% na iya nuna ci gaban lalata.
Azumi sukari na jini6, 2 mmol / l
Ruwan jini awa 2 bayan cin abinci8.1 mmol / l
Sugar a cikin fitsariya ɓace
Jikin Ketone0.43 mmol / L
Cholesterol6.5 mmol l
Jigilar jini2.2 mmol / l
Massididdigar taro na JikiGa maza -25, ga mata -24
Hawan jiniBabu fiye da 150/90

Tabbas, don sarrafa duk waɗannan alamomin a rayuwa ta ainihi abu ne mai wahala, saboda mai haƙuri dole ne ya fara koyon kasancewa lafiya, don tantance lafiyar su. Ya kamata mai haƙuri ya iya yin amfani da mit ɗin daidai, ma'aunin ya kamata a gudanar da shi akai-akai.

Yana da mahimmanci don saka idanu akan alamun alamun hawan jini, musamman wannan shawarwarin ya shafi tsofaffi.

Rashin damuwa a cikin ciwon sukari.

A mafi yawan lokuta, rarrabuwar kawuna yana nuna alamun masu zuwa:

  • karuwa da ƙishirwa
  • karuwar ci
  • urination akai-akai
  • ƙara rauni
  • gajiya
  • tashin hankali,
  • girgije na hankali
  • ƙanshi na acetone daga bakin ciki,
  • asarar sani.

Hankali! A cikin yanayin samun isasshen diyya ga masu ciwon sukari, duk waɗannan alamu sun ɓace, kuma mai haƙuri yana jin al'ada.

Tasirin lokaci

An gabatar da jerin abubuwan lalacewa na yau da kullun na lalata cututtukan sukari a cikin tebur.

Sakamakon raunin da ya shafi lalacewar DM
Abin da gabobin da tsarin ke shafarMatsaloli masu yiwuwa
Fata da mucous membranesJinƙan tsoka - Marasa lafiya tare da alamu suna bayyana akan fatar kan fata, ba a cire bayyanar cututtukan cututtukan trophic a kan ƙananan ƙarshen.
Xanthomatosis - fitowar ruwan nodules ruwan hoda. Tsarin na iya samun girma da sifofi daban-daban, suna bayyana a sassa daban daban na jikin mutum, musamman a ɓangaren folds.
Lipoid necrobiosis - a kan fata, an samar da tubercles, wanda ake kira papules. Yayinda cutar ke ci gaba, fata a wurin da cutar ta mutu, cututtukan cututtukan fata.
Lipodystrophy - halayyar rashin rashi yadudduka. Sau da yawa yana bayyana a wurin allurar insulin lokacin da yake amfani da ƙarancin magunguna.
Kiba mai yawa na dysplastic - a ƙarƙashin rinjayar insulin, glucose yana cike da ƙoshin mai. Kayan kitse yana zama a cikin sassan jikin mutum, yayin da ƙafafun mai haƙuri da kuma gindi suka kasance siriri.
Joints da kasusuwaCututtukan ciwon sukari cuta ce ta haɗin gwiwa wanda yawanci ke haɗuwa da cututtukan zuciya. A kan asalin cin zarafi, canje-canje na cututtukan jijiyoyi a cikin tsarin juyayi, tafiyar matakai na rayuwa, da tsarin jijiyoyin jiki sukan bayyana. Sau da yawa, ilimin kansar ya rufe hannaye da kafafu.
Tsarin osteoparosis na jini - yana ci gaba a hankali, yana haifar da zikirin nama.
Abubuwan narkewar abinciEnteropathy na ciwon sukari - mai haƙuri yana haɓaka kullun zawo. A lokuta masu wahala, ba a cire huruwa ba.
Ciwon sukari na cutar sankara - raguwa a cikin glycogen an nuna shi, maida hankali ne akan yawan kiba a hanta yana ƙaruwa. A kan wannan yanayin, hepatosis mai ƙiba yana haɓaka.
Amfani da hango nesaTsarin ciwon sukari - yayin da cutar ke ci gaba, ingancin hangen nesa ya ragu sosai.
Cutar masu ciwon sukari (hoto) - gilashin ruwan tabarau. Pathology a cikin ciwon sukari yana halin haɓakawa mai sauri saboda kullun tsalle-tsalle a cikin yawan sukari a cikin jini.
Tsarin cikiA kan koma bayan lalata, neuropathies sukan bayyana. Don wannan ilimin, yanayin canje-canje na jijiyoyin jini a cikin tasoshin halayyar ne. Da farko dai, aikin ciyayi da aikin motsi ya shafa.

Matsalolin da aka bayyana suna haifar da babban haɗari kuma suna haifar da barazana ga rayuwar mai haƙuri, saboda haka ya fi kyau a kula da lokaci don rigakafin abin da ya faru.

Ciwon mara.

Bidiyo a cikin wannan labarin zai gabatar da masu karatu zuwa ƙa'idodi na asali don rayuwa tare da ciwon sukari.

Cutar sankarar mahaifa - menene? Bayyanar cututtuka da rikice-rikice

Mutane da yawa suna fuskantar gwajin cutar sankarar bargo.

Menene wannan Yaya haɗarin wannan nau'in cutar? Shin akwai ingantattun jiyya?

Shin zai yuwu a hana fara fitarwa? Amsoshin waɗannan tambayoyin suna da mahimmanci ga mutane da yawa.

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

Manufar lura da ciwon sukari shine don kula da matakan glucose kusa da al'ada na dogon lokaci. Idan wannan ya kasa, sai suce mara lafiyan ya lalata ciwon sukari. Samun biyan diyya na ɗan lokaci mai yiwuwa ne kawai tare da taimakon horo mai ƙarfi. Tsarin kulawa ya hada da: bin ka'idodin tsarin abinci da abubuwan da aka tsara, mai aiki, amma ba ilimin motsa jiki da ya wuce kima, yawan magunguna masu rage sukari, lissafin da ya dace da gudanar da insulin.

Ana Kula da sakamako na jiyya kowace rana tare da glucometer. Idan mai ciwon sukari ya yi nasarar cimma sakamako na dindindin, to, za a rage haɗarinsa na matsananciyar wahala da rikice-rikice, kuma ana sa rai a rayuwa.

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

  1. Sakayya - alamomin sukari a cikin haƙuri suna kusa da al'ada. A cikin nau'in ciwon sukari na 2, ana kuma kimanta tsarin bayanan lipid na jini da hawan jini. Lokacin da aka sami biyan diyya, haɗarin rikicewa ya zama kaɗan.
  2. Sakayya - glucose yana ƙaruwa sau da yawa, ko kuma matakansa suke canzawa yayin rana. Ingancin rayuwar mai haƙuri yana taɓarɓarewa sosai, ana jin rauni koyaushe, barci yana damuwa. Decompensation yana da haɗari tare da haɗarin haɗari na rikitarwa mai zurfi, saurin haɓakar angiopathy da neuropathy. Mai haƙuri yana buƙatar gyaran magani, ƙarin gwaje-gwaje.
  3. Compaddamarwa - ya mamaye wani matsakaiciyar matsayi tsakanin diyya da zubar da ciwon sukari. Matsayin sukari ya ɗan ɗan fi sauƙi sama da na al'ada, don haka haɗarin rikitarwa ya fi hakan. Idan ba a kawar da subcompensation a cikin lokaci ba, keta hadarin metabolism zai lalace a cikin matakin lalata.

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).

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.

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.

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.

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.

Shin kana shan azaba da cutar hawan jini? Shin kun san hauhawar jini yana haifar da bugun zuciya da bugun jini? Normalize your matsa lamba tare da. Ra'ayoyi da kuma bayani game da hanyar karantawa anan >>

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 kyawawa don auna matsin lamba yau da kullun, har ma da tsananin farin ciki da ciwon kai.

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.

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! Kuna tsammanin kwayoyin hana daukar ciki da insulin sune kawai hanyar da za a kula da sukari a ciki? Ba gaskiya bane! Kuna iya tabbatar da wannan da kanku ta hanyar fara amfani da shi. kara karantawa >>

Likitocin sun gano cutar tarin yawa ga mutane da yawa. Ba kowa ya san abin da irin nau'in ƙaddarawar sukari yake ba, wane irin haɗari ne ke lalata nau'in ciwon sukari na 2 kuma ko ana iya warkewa. Kuma wata muhimmiyar tambaya - shin zai yiwu a hana haɓakar wata cuta kamar cinkewar cutar sankara?

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