Ciwon sukari - abin mamakin alfijir safe: sanadin, alamu, hanyoyin rigakafin

Kusan 50% na masu ciwon sukari tare da ƙwarewar nau'in 1 da nau'in 2 na iya sanin abin da asirin alfijir ya waye kuma sun san yadda za su magance wannan ciwo, amma iyayen kusan dukkanin matasa masu fama da ciwon sukari da ke dogara da insulin sun san shi sosai.

Morning Dawn Syndrome ne musamman a cikin yara masu fama da ciwon sukari

Don “novice masu ciwon sukari” nau'in II, wannan kyakkyawan kalmar na iya zama "abin mamaki", wanda bugu da complicari yana rikitar da rayuwa, tilasta sarrafa matakan sukari da safe. Yana da mahimmanci a gare su don gano dalilin tashin hankali, tunda hanya don daidaita matakan glucose zai dogara da shi kai tsaye.

Yadda ake gano alfijir sanyin safiya a cutar sankarau

Hanya mafi dacewa don sanin ko akwai cutar asubahi ita ce ɗaukar ma'aunin sukari da dare. Wasu likitoci suna ba da shawara don fara matakan matakan glucose da ƙarfe 2 na safe, kuma suna ɗaukar ma'aunin iko bayan awa ɗaya.

Amma don samun cikakken hoto, yana da kyau a yi amfani da mitirin tauraron ɗan adam, alal misali, kowane sa'a daga agogo 00,00 har zuwa safiya - 6-7.

Sannan idan aka kwatanta sakamakon. Idan mai nuna alama ta ƙarshe ta bambanta da ta farkon, idan sukari bai ragu ba, amma ya ƙaru, koda kuwa ba kakkautawa, cutar sanyin asuba ta faru.

Yadda ake hana sakamako

Idan ana yawan lura da wannan ciwo a cikin ciwon sukari, kuna buƙatar sanin yadda ake yin hali yadda yakamata don guje wa sakamakon da ba a so.

Sauyawa cikin allurar insulin ta awanni da yawa. Wato, idan allurar ta ƙarshe kafin lokacin bacci yawanci ana yin sa a 21.00, yanzu yakamata a yi shi a cikin wakati 22.00-23.00. Wannan dabarar a mafi yawan lokuta tana taimakawa hana aukuwar hakan. Amma akwai banbancen.

Gyara jadawalin yana aiki ne kawai idan an yi amfani da insulin na asalin ɗan adam na matsakaiciyar matsakaici - Humulin NPH, Protafan da sauransu. Bayan gudanar da waɗannan magunguna a cikin ciwon sukari, mafi girman taro na insulin yana faruwa a cikin kimanin 6-7 hours.

Idan kayi allurar insulin daga baya, babban tasirin da maganin zaiyi daidai lokacin da sukari ya canza. Ta wannan hanyar, za'a hana abin mamaki.

Kuna buƙatar sani: canza jigon allura ba zai shafi sabon abu ba idan ana gudanar da Levemir ko Lantus - waɗannan kwayoyi ba su da wani matakin da ya dace, suna kawai kula da yanayin insulin. Saboda haka, baza su iya canza matakin sukari a cikin jini ba idan ya wuce yadda aka saba.

Gudanar da aikin insulin gajeriyar safiya. Don yin lissafin daidai kashi kuma ya hana sabon abu, ana auna matakan sukari da dare.

Ya danganta da yadda aka ƙaru, ana ƙaddara adadin insulin.

Wannan hanyar ba ta dace sosai ba, tunda tare da adadin da ba a bayyana ba daidai ba, harin hypoglycemia na iya faruwa. Kuma don kafa adadin da ake buƙata daidai, ya zama dole don auna matakan glucose na dare da yawa a jere. Yawan insulin aiki wanda za'a karba bayan abincin safe shima ana la'akari dashi.

Insulin famfo. Wannan hanyar tana ba ku damar iya magance yanayin ta hanyar saita jadawalin daban-daban don gudanar da insulin dangane da lokacin rana. Babban amfani shine cewa ya isa don kammala saiti sau ɗaya. Sannan famfon da kansa zai yi allurar adadin insulin a ƙayyadadden lokaci - ba tare da halayen mara lafiya ba.

Phenomenon na Morning Dawn a cikin masu ciwon sukari

Ciwon sukari mellitus cuta ce da ke buƙatar kula da lafiya. Marasa lafiya da ke dogara da allurar insulin sun san cewa ya zama dole don auna matakan glucose a cikin jini bayan cin abinci don hana shi hauhawa.

Amma ko da bayan hutun dare yayin cin abincin, wasu mutane kan san tsalle-tsalle cikin sukari, duk da kwazon da aka gabatar cikin lokaci.

Wannan sabon abu ana kiransa Morning Dawn Syndrome saboda hauhawar matakan glucose a cikin sa'o'in da aka riga aka fara.

A cikin cututtukan alfijir na safiya, haɓakar glucose na plasma yakan faru ne tsakanin ƙarfe huɗu zuwa shida na safe, kuma a wasu lokuta yana ci gaba har zuwa wani lokaci daga baya.

A cikin nau'ikan cututtukan guda biyu na mellitus a cikin marasa lafiya, yana bayyana kanta saboda daidaituwa na hanyoyin da ke faruwa a cikin tsarin endocrine.

Yawancin matasa suna da alaƙa ga wannan tasirin yayin canje-canje na hormonal, yayin haɓaka mai sauri. Matsalar ita ce tsalle-tsalle a cikin ƙwayar plasma yana faruwa a cikin dare, lokacin da mutum yayi bacci da sauri kuma baya iya sarrafa yanayin.

Mai haƙuri ya saba wa wannan abin mamakin, ba wai zargin shi ba, yana da haɗari da mummunan yanayin canje-canje a cikin jijiyoyi, gabobin hangen nesa, da halayyar kodan ciwon sukari. Wannan sabon abu ba shine lokaci daya ba, tashin hankali zai faru a kai a kai, yana kara dagula yanayin mai haƙuri.

Don gano ko mai cutar ya kamu da cutar, kuna buƙatar yin ma'aunin iko da ƙarfe biyu na safe, sannan kuma wani a cikin awa daya.

Insulin na hormone yana inganta amfani da sukari daga jiki, kuma kishiyar shi, glucagon, yana samarwa.

Hakanan, wasu gabobin suna toshe abubuwan da ke inganta hawan glucose a cikin jini. Wannan shine glandon pituitary wanda yake hade da hormone somatotropin, glandon adrenal yana samar da cortisol.

Da safe ne asirin gangar jikin yake aiki. Wannan baya tasiri ga mutane masu lafiya, saboda jiki yana samar da insulin a cikin martani, amma a cikin masu ciwon sukari wannan kayan aikin ba ya aiki. Irin waɗannan lokutan safiya a cikin sukari suna haifar da ƙarin damuwa ga marasa lafiya, saboda suna buƙatar maganin warkewar gaggawa.

Babban abubuwanda ke haifar da cutar sun hada da:

ba daidai ba daidaito sashi na insulin: ƙara ko ƙarami,
lokacin cin abinci
akai-akai danniya.

Yana ko dai yana ƙaruwa kuma yana haifar da hyperglycemia, idan ba a dauki matakan da suka dace don daidaita yanayin ba, ko ya ragu sosai bayan ƙarin aikin insulin.

Irin wannan canjin yana da ɓarna da faruwar cutar sankara, wanda ba shi da haɗari ga mai ciwon sukari fiye da haɓakar sukari. Raunin yana faruwa koyaushe, tare da shi haɗarin rikitarwa yana ƙaruwa.

Ciwon sukari mellitus shine mafi yawan cututtukan endocrinopathy a cikin yawan jama'ar duniya. Al’amarin alfijir na safiya shine karuwar yawan glucose na jini da safe, yawanci daga 4 - 6, amma wani lokacin yakan kasance har zuwa 9 da safe. Wannan sabon abu ya samo sunan ne saboda daidaituwa lokacin lokacin glucose ya karu daga wayewar gari.

Cutar sankarau tana ɗaya daga cikin cututtukan ɗan adam da ke ta'azzara. Hadarinsa yana haɓaka ta dalilin cewa a yau babu maganin warkarwa na duniya. Abinda kawai zai inganta rayuwar mai haƙuri shine karuwa a cikin insulin insulin ta kowace hanya.

Halin yana ƙara rikitarwa ta hanyar gaskiyar cewa sau da yawa a matakin farko cutar ba ta bayyana kanta. Koyaya, tare da haɓakawarsa, mutum yana fuskantar yawancin syndromes masu ciwon sukari (wannan wasu alamu ne na alamomin halin da mutum yake ciki). Yi la'akari da yawancin abubuwan syndromes don ciwon sukari.

Al’amarin alfijir ya kasance gari ne na yawan sukari mai jini da aka lura da fitowar rana. Ana lura da abin mamakin alfijir sanyin safiya a cikin tsaka-tsayuwar awa daga karfe huɗu zuwa shida na safe. A wasu halaye, yana yiwuwa a ƙara matakan sukari har zuwa ƙarfe 9 na safe. Yawancin lokaci ana samun shi a cikin nau'in ciwon sukari na mellitus-dogara da jini.

Sabuwar alfijir sanyin safiya na faruwa ne a cikin marassa lafiya saboda dalilai masu zuwa:

danniya samu ranar da ta gabata
Abincin abinci sosai a cikin dare,
karancin adadin insulin da ake sarrafawa da daddare.

Wasu lokuta ƙididdigar daidai adadin adadin insulin yana taimakawa hana ci gaban alfijir sanyin safiya. Koyaya, dole ne a ɗauka a zuciya cewa a wannan lokacin adadin glucocorticoids a cikin jiki ya hau. Suna taimakawa haɓaka matakan glucose.

Hadarin da ke faruwa a safiyar alfijir ya ƙunshi daidai cikin kiyaye hawan jini. Yana nan a jikin mutum har sai allurar insulin ta gaba. Kuma tare da gabatarwar insulin mai yawa, mai haƙuri na iya fuskantar matsalar rashin ƙarfi na hypoglycemia.

Bi da safiyar asuba ta ƙunshi bin wasu shawarwari.

A cikin ciwon sukari mellitus-insulin-dogara (1st) - ƙara yawan insulin da maraice.
Don daina gudanar da aikin insulin na tsawan lokaci. Wani lokacin wannan zai iya yiwuwa a hana bayyanar alfijir sanyin safiya.
Da safe, ana yarda da gudanar da insulin gajeren zango don hana cututtukan jini.

Abubuwan da suka faru da sanyin safiya, suna buƙatar tsarin kulawa da hankali. Ciwon sukari, ba tare da la'akari da nau'in ba, yana buƙatar saka idanu akai-akai, magani da gyaran hanyar magani. Abubuwan alfijir na alfijir yakamata a ko da yaushe su kasance a karkashin kulawa.

Kwayar cutar Nephrotic ta bayyana kanta a cikin cututtukan cututtukan cututtukan ƙwayar cuta - canji a cikin tasoshin koda, wanda ke haifar da ci gaban lalacewa na koda. Yana faruwa ba tare da la'akari da irin ciwon sukari ba.

Ciwon ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta ya haɗa da furotinururia (wato, bayyanar furotin a cikin fitsari), furotin mai ƙarancin abinci da mai mai yawa, da edema. Ciwon cutar alama ta Nephrotic yana rikitar da cutar cututtukan koda a kusan kashi ɗaya cikin biyar na marasa lafiya.

Ana samun nau'ikansa na asali a cikin m glomerulonephritis, pyelonephritis, amyloidosis da sauran cututtuka. Ana samun nau'i na sakandare a cikin hanyoyin da yawa.

Statisticsididdiga masu ciwon sukari suna ƙaruwa kowace shekara! Diungiyar ciwon sukari ta Rasha ta ce ɗaya daga cikin mutane goma a ƙasarmu na da ciwon sukari. Amma mummunar gaskiyar ita ce, ba cutar da kanta ba ce mai ban tsoro, amma rikice-rikicinta da salon rayuwar da take kaiwa zuwa.

Doctors endocrinologists sun saba da alfijir sanyin safiya a cikin ciwon sukari. Bayan kyakkyawan kyakkyawan magana shine tsalle tsalle cikin glucose na jini, wanda ke faruwa a lokacin da mutum yake kwance tun da sanyin safiya.

Babu shakka, irin wannan cuta mai rikitarwa kamar ciwon sukari tana buƙatar cikakken iko akan yanayin jikin, tunda glycemia na iya zama babbar haɗari ga lafiyar ɗan adam. Zamu fahimci abubuwan da ke haifar da cutar, da kuma hanyoyin magance ta. Bayanin zai zama da amfani ga marasa lafiya da masu ciwon sukari na farko da na biyu.

Kuna buƙatar fahimtar cewa tasirin sanyin safiya a cikin nau'in ciwon sukari na 2 ba shine faruwa lokaci ɗaya ba, amma yanayin ne na dindindin. Kuma kodayake ba kowane mai haƙuri yana da ciwo ba kuma a cikin sharuddan adadin wannan mai nuna alama yana ƙasa da na farkon cutar, kuna buƙatar sanin abubuwan da ke haifar da wannan sabon abu kuma a cikin halin rashin kulawa da shi.

Samun hancin mutum yana aiki har zuwa g 6 na glucose a cikin awa daya. Amma tare da bayyanar cututtuka na nau'in ciwon sukari na 2, wannan alamar yana ƙaruwa. Jurewar insulin a cikin kayan jikin mutum yana haifar da babban sukari a cikin hutawa da daddare.

Samun isowar insulin antagonist, wanda shima yana gab da safiya, yana kaiwa ga gaskiyar cewa gwajin jini mai azumi yana nuna karuwar yawan sukari. A mafi yawan, ana gyara yanayin ne bayan cin abinci.

Hadarin wannan sabon abu shine cewa dangane da asalinsa cututtuka daban-daban na ciwon sukari suna ci gaba sosai. Daga cikin su akwai irin waɗannan cututtukan masu haɗari kamar su cataracts, nephropathy (aiki na keɓaɓɓiyar aiki), polyneuropathy (lalacewar yankin NS).

Ya kamata a lura cewa hyperglycemia na faruwa ba kawai a kan asalin cin zarafin abinci guda ɗaya ba, amma ana tsokanar sa da abubuwan da ke faruwa a cikin kullun.

Wato, don kawar da shi, wajibi ne don daidaita ilimin.

Mutanen da ke da cutar sankara suna da masaniya da yanayin tashin hankali na safe, wanda ya karɓi suna na waƙa - sanyin safiya. Ana gano wannan cutar lokacin da nau'in 2 da nau'in 1 na ciwon sukari ke haɓaka.

Bayan kyakkyawan suna shine sanyin safiya, babu irin wannan yanayin mai kyau na jiki ga tsalle-tsalle a cikin gubar jini yayin fitowar rana. Cutar asuba ta alfijir a cikin nau'in 2 da nau'in 1 ciwon sukari mellitus ana lura dashi a cikin wasu marasa lafiya; fasali na ayyukan endocrine na ciki suna haifar da bayyanar.

Bai dogara da nau'in cutar sankara ba, amma ana yawan ganin shi a cikin samartaka masu dauke da cutar sankara, sakamakon haɓakar haɓakar hormone girma, wanda ake kira ɗayan abubuwan da ke tattare da bayyanar cutar. Dangane da ka'idodi na wucin gadi, ana lura da wannan tasirin daga 4 zuwa 8 na safe, a cikin lokuta masu wuya, har zuwa 9.

Yaya ake bayyana shi?

Abun alfijir sanyin safiya shine bayyananne ta hanyar tsalle a matakan glucose da safe. Increasearin yawan glucose mai lalacewa yana faruwa lokacin da mutum yake bacci kuma ba zai iya ɗaukar matakan rage shi ba. Yana kaiwa zuwa ga ci gaban cututtukan cututtukan kwayoyin halittar hangen nesa, kodan ko tsarin juyayi, wanda mutane ke da cutar siga suna da yawa.

Wannan shine haɗarin cutar. An tabbatar da shi ta hanyar magani cewa wannan sabon abu ba zai iya zama lokaci ɗaya ba, lokacin da aka fara haifar da yanayin tashin hankali a safiyar yau, za a sake maimaita shari'o'i, yana haifar da cututtukan da ba a so.

Wanda yake kama da abin alfijir sanyin safiya shine ake kira Somoji syndrome a cikin ciwon sukari. Kodayake waɗannan jihohi 2 suna da yanayin ci gaba guda ɗaya na ci gaba, sun bambanta a asali saboda dalilan da ke haifar da su. Cutar Somoji tana faruwa ne a dalilin karin yawan adadin insulin da ake buƙata.

Cutar Cutar Ruwa a Zina

Ko da menene sanadiyar tashin hankali na safe, ana iya gane shi ta abubuwan da ke biyo baya:

mummunan barci, yawanci tare da alamomin dare,
ƙara yin gumi
jin abin da ya faskara bayan farkawa,
nutsuwa har lokacin abincin rana,
karuwa da haushi
harin da ba tsoka ba,
canjin yanayi
ƙiyayya da duniya.

Mahimmanci! Bayyanar cututtukan da aka lissafa a sama a cikin alfijir sanyin safiya na iya faruwa tare da bambance bambancen matakan ƙarfi kuma a cikin haɗuwa daban-daban, amma yana iya kasancewa gaba ɗaya. Babban mahimmanci, gaskiya kuma akai-akai alamar wannan ciwo shine ciwon kai na safe.

Sanadin karuwar glucose na jini da safe

Hawan hyperglycemia ko haɓaka yawan sukari na jini da safe wani lamari ne da ya zama ruwan dare ga mutane masu lafiya. Me yasa sukari na jini ya tashi yayin bacci?

Wannan na iya zama saboda dalilai masu zuwa:

Abincin dare da “dadi” da isasshen matakin sinadarin insulin a cikin jini, wanda hanta ke lalata shi tun da sanyin safiya,
haɓaka haɓakawa na halitta na maganin rigakafi na kwayoyin cuta.

A cikin halayen guda biyu, ƙwaƙwalwar lafiyayyen ƙwayar cuta tana magancewa da sauri kuma hanya ɗaya - kawai tana samar da ƙarin adadin ƙwayar insulin wanda ke da alhakin amfani da sukari. Don haka, sakamakon cututtukan alfijir na safiya ga yawancin mutane masu lafiya suna wucewa ba tare da wata alama ba kuma bayyananniya, kuma waɗannan kaɗan waɗanda ke da raunin rashin lafiya da safe, suna kwashe abincinsu da safe, kuma suna jin jijjiga kuma suna cike da ƙarfi.

Ga marasa lafiya da ke fama da ciwon sukari, karuwar sukari da safe zai iya zama saboda dalilai daban-daban. Daga gare su sunaye na cututtukan cututtuka.

Cutar Insulin Wucin Gashi - sake dawo da al'amari, cutar Samoji

A nau'in na masu fama da cutar sanƙara, yanayin ɓacin rai na safe yana iya zama ci gaba na nocturnal.

Cutar Samoji cuta ce sakamakon yawaitar yawan allurai na insulin allurar ba da kyau, wanda babu makawa yana iya haifar da wadannan hanyoyin:

hawan jini,
wuce gona da iri
secrearin ɓoye ƙwayar hormones na contrainsulin,
jini a cikin jini a cikin jini.

Ga marasa lafiya masu fama da ciwon sukari na 2 waɗanda ba sa allurar insulin ba, cutar Samoji ba halayyar mutum ba ce. Koyaya, a wasu halaye, a cikin marasa lafiya waɗanda ke da mugunta da ci gaba da keta halayyar abinci a cikin sa'o'i maraice kuma basu daidaita sukarin jininsu ba kafin lokacin kwanciya tare da magungunan cututtukan jini, ana iya lura da irin wannan hoto

Hankali! Babban glucose a cikin safiya ana iya lalacewa ba kawai ta hanyar yawan wuce haddi ba, har ma da isasshen ƙwayoyin maraice na hormone mai aiki.

Dalilin babban sukari

Sanadin cututtukan alfijir na safe sune irin waɗannan dalilai:

damuwa kafin hutawa da daddare,
karancin maganin insulin kafin lokacin bacci
tunanin da ya gabata ko kuma tunanin mutum,
na cuta da kumburi tsari,
mura.

Zamu fahimci abubuwan da ke haifar da cutar, da kuma hanyoyin magance ta. Bayanin zai zama da amfani ga marasa lafiya da masu ciwon sukari na farko da na biyu.

A jikin mutum, komai yana hade, kuma kowane mataki yana da nasa adawa. Misali, maganin insulin din yana adawa dashi ta hanyar karbarsa ta glucagon antagonist. Kuma idan sukari na farko cikin jini yayi amfani da shi, to kishiyar sa ce ta samar dashi.

Baya ga glucogon, jiki kuma yana samar da wasu abubuwa, kasancewar hakan yana haifar da karuwar taro a cikin glucose. Wannan shine hormone girma somatotropin wanda aka haifar da ƙwayar pituitary, glandon cortisol, wanda gibren adrenal ke haɗuwa dashi, da kuma sinadarin ƙarfafa jini na tsotsar jini (shi kuma ƙwayar ciki ta ciki shine ke haifar da ita).

Peafin ɓoyewar ɓoyayyensu zai faɗi da sanyin safiya, ko kuma, a tazara daga huɗu zuwa takwas. Ayyukan dukkan tsarin kafin farkawa ya kasance cikin yanayi. Jiki, godiya ga wannan, yana rawar jiki kafin sabuwar ranar, ta farka don aiki.

Lokaci na aiki na glandar adrenal da glandon ciki shine mutum, a fannoni da dama ya dogara da shekaru.

A cikin kwayoyin lafiya, tsarin biyan diyya, shine, samar da insulin, a lokaci daya aka kunna, amma wannan baya faruwa dangane da cutar sankarau.

Cutar asuba ta asuba alama ce ta yara da yara, saboda ana yin sa ne musamman ta hanyar girma (somatotropin), ƙwaƙwalwar ƙwaƙwalwar ƙwayar mahaifa. Yayinda yara ke girma a cikin hawan keke, yawan glucose da safe ba zai zama mai dindindin ba. A cikin shekaru, matakin girma na hormone girma, matsakaicin mutum ya girma zuwa shekaru 25.

Ga masu fama da ciwon sukari-da ke fama da ciwon suga, tashin safiya na sukari yana haifar da matsaloli masu yawa. Ganin cewa ana maimaita yanayin lokaci-lokaci, dole ne a dauki matakan inganta shi. Daga cikin sanadin sabon abu, masana ilimin kimiyar lissafi sun rarrabe yawancin abubuwa:

kwa kadan na insulin
Hearty abincin dare
cututtuka masu kumburi
danniya jihar
kuskure a cikin lissafin yawan insulin akan asalin cutar Somoji.

Ana aiwatar da jiyya a cikin matakai biyu, amma tabbas ya haɗa da daidaita sashin insulin, wanda saboda wasu dalilai bai isa ba kafin abincin safe.

A wasu halaye, canza allurar zuwa wani lokaci daga baya ya isa sosai. Wannan sassaucin dabara tana amfani da amfani da abin da ake kira "matsakaiciyar insulins", kamar "Protofan" ko "Basal".

Suna da ganiya mai fadi, wanda za'a iya canzawa ta yadda aikin miyagun ƙwayoyi zai faru yayin samar da kwayoyin halitta na insulin antagonist. Don haka, sun sami nasarar soke juna waje.

Analogues masu “marasa karfi” basu da irin waɗannan kaddarorin, kuma canja lokacin lokacin gabatarwar su baya taimakawa ramawar alfijir lokacin alfijir. A wannan yanayin, ƙarin gudanarwa na miyagun ƙwayoyi zai zama dole, lokacin allurar ya kamata ya kasance a wannan yanayin a lokacin 4-5 da safe.

An lissafta sashi na miyagun ƙwayoyi dangane da bambanci tsakanin ƙayyadadden tsarin glucose, wanda aka san shi a matsayin daidaitacce da matsakaicin matsakaicin haɓaka. Domin kada ku fara aiwatar da aikin hypoglycemia, ana daidaita sashin da aka zaɓa gwargwadon zaman lafiya. Short insulin kafin karin kumallo kuma ana gudanar da shi tare da yin la’akari da abin da ya kasance mai aiki.

Hanya ta uku don shawo kan cututtukan alfijir na asuba tare da nau'in ciwon sukari na 1 shine mafi tsada, ta amfani da famfon. Za ta kawar da bukatar farkawa don samun allura. Ta hanyar shirya na'urar don takamaiman lokacin, zaku iya allurar magungunan hormone ta atomatik.

Amma tare da ciwon sukari, cututtukan alfijir na safiya yana haifar da rashin jin daɗi kuma yana haifar da mummunan lahani ga mai haƙuri. Mafi yawan lokuta, ana ganin wannan sabon abu a cikin samari. A lokaci guda, babu tabbatattun dalilai na tsalle cikin sukari: an allurar da insulin akan lokaci, harin hypoglycemia bai riga ya kawo canje-canje a matakan glucose ba.

Bayani mai mahimmanci: Cutar asuba ta alfijir tare da nau'in ciwon sukari guda 2 na cuta ne na yau da kullun, ba wani keɓewa ba. Sannan watsi da sakamako yana da haɗari sosai kuma ba shi da ma'ana.

Likitocin ba za su iya sanin ainihin abin da ya sa wannan abin ya faru ba. An yi imani da cewa dalilin yana cikin halayen mutum na jikin mai haƙuri. A mafi yawan lokuta, mai ciwon sukari yana jin cikakken al'ada a lokacin bacci. Koyaya, da safe, don dalilai marasa cikakken bayani, sakin insulin antagonist na faruwa.

Glucagon, cortisol da sauran kwayoyin halittu suna haɗuwa da sauri, kuma wannan shine yake haifar da tsalle mai yawa a cikin sukarin jini a wani lokaci na rana - cutar asuba.

Cutar asuba ta safiya zai iya faruwa babu makawa ga mai ciwon kansa, amma idan canje-canje a cikin glucose bashi da mahimmanci. Wani abin aukuwa ya faru, yana farawa da ƙarfe 3 na safe da ƙare da ƙarfe 9 na safe, mafi yawan lokuta yayin barci mai kyau.

A cikin samartaka, wannan abin yawanci ana gano shi sau da yawa, amma babu wani dalilin wuce haddi na glucose, i.e. Ana gudanar da insulin a kan lokaci. Masana sun kasa sanin dalilin cutar, amma an yi imanin cewa wannan yana hade da tsarin kowane bangare na jikin mutum.

Ainihi, masu ciwon sukari suna jin kamar al'ada kafin hutuwar dare, amma kafin farkawa, ana fitar da homon a cikin jiki don cire insulin. Ga mutanen da ke fama da ciwon sukari na 2, cututtukan alfijir na asubahi abin da ke faruwa ne na yau da kullun, amma yin watsi da wannan ilimin yana da haɗari.

Idan ciwon sukari mai dogaro da insulin, cutar sanyin safiya ta sanadiyyar lalacewa ta hanyar insulin kulawa dashi yana taimakawa ci gaban manyan matsaloli, kamar:

Cire ido (duhu na ruwan tabarau)
flaccid ingarma na wata gabar jiki (bayyanuwar polyneuropathic),
mai ciwon sukari nephropathy (gazawar koda.

Wasu marasa lafiya suna rikitar da cutar sanyin safiya tare da Somoji ciwo (insulin overdose), duk da haka, wannan sabon abu ya bayyana ne sakamakon yawan motsa jiki na yawan jini da kuma tushen asalin rashin insulin na halitta.

Bayyanar cututtuka na sabon abu

Bayyanar cututtukan da ke tattare da cutar sune bayyanannu masu zuwa:

janar gaba daya
tashin zuciya
yi amai,
ƙara gajiya
asarar daidaituwa
matsananciyar ƙishirwa
rage a cikin acuity na gani,
haske mai haske a idanun.

Don tabbatar da cikakken idan kana da cutar asubahi, sai a auna ƙididdigar sukari da daddare. Likitocin sun ba da shawarar amfani da na’urar aunawa ta musamman - glucose.

Ya kamata a aiwatar da ma'aunin farko daga 2 na safe, na biyu - bayan awa daya. Don kammala hoton, ana iya ɗaukar ma'auni daga 23:00, duk masu zuwa - kowane sa'a har zuwa 7 na safe.

Bayan haka, ana kwatanta alamun. Ana kulawa da kulawa ta musamman ga sakamakon da aka auna daga 5 na safe. Idan matakin glucose ya karu, ko da dan kadan, to kuna da wannan ilimin.

Sabuwar alfijir

Wannan ciwo na iya faruwa a cikin masu ciwon sukari na kowane nau'in ciwon sukari na mellitus, gami da ciwon sukari a cikin mata masu juna biyu. Da sunan wannan ciwo, kalmar "sabon abu" bai fito kwatsam ba.

Gaskiyar ita ce idan kun auna sukarin jini a cikin dare, har zuwa 4-00, to, zai kasance tsakanin iyakoki na al'ada, amma daga 5-00 zuwa 7-00, kuma wani lokacin har zuwa 9 na safe, sukari jini ya fara girma.

A yau an bayyana wannan sabon abu da dalilai masu zuwa:

daga 4-00 zuwa 6-00, glandon endocrine yana haɓaka homonin contrainsulin - glucagon, cortisol, adrenaline, amma musamman somatotropin (hormone girma),
a wannan lokacin, hanta a hankali tana cire insulin daga cikin jini don kar ta tsinci kanta a cikin ayyukan kwayoyin halittun da ke sama, kuma da taimakonta sai ta canza shagunan glycogen ta zama glukos, wanda yake wajibi ne don samun nasarar aikin "hormonal".

Wadannan hanyoyin sun isa ga masu ciwon sukari su tarwatsa rabo na glucose da insulin a cikin jini:

a cikin marasa lafiya da ciwon sukari mellitus na nau'in farko, ƙwayoyin beta da aka shafa na pancreas ba su da ikon samar da adadin da ya dace na ƙwayar insulin don "biya" na glucose da ke hanta,
a cikin nau'in masu ciwon sukari na 2, hanta ya zama insulin rigakafi kuma yana haɓaka ƙarin glucose fiye da yadda ake buƙata, wanda, tare da haɓakar samar da glucose a cikin amsawar ƙwayar hormone, yana ba da tsalle mai haɗari a cikin sukari.

Don bayani. Masana kimiyya sun yi imani da cewa babban abin da ke haifar da cututtukan alfijir na safe shine ɓoyewar ƙwayar hormone. A kowane hali, wannan na iya bayanin cewa waɗannan bayyanannun suna ba da fatawa musamman ga masu ciwon sukari a cikin lokacin haɓaka cikin sauri kuma suna da wuya a cikin tsofaffi waɗanda ke fama da ciwon sukari na 2.

Yadda ake bambance cutar Samoji daga abin alfijir lokacin asuba

Bambanta yanayin rashin lafiyar insulin hormone overdose da kanta wani aiki ne na ɗaukar lokaci wanda zai buƙaci haɗin gwiwa na mahaɗan endocrinologist da nau'in 1 masu ciwon sukari, da iyayensa tun yana matashi.

Don tabbatar da kasancewar alfijir sanyin safiya, ana ba da shawarar marasa lafiya da kowane irin nau'in ciwon sukari waɗanda ke damuwa game da rashin jin daɗi kuma suna da ciwon kai na safe ya kamata su ɗauki ma'aunin glucose a cikin jini na jini na tsawon kwanaki a jere.

Na farko, kafin lokacin bacci, sannan kuma kowane awa har zuwa karfe 9 na safe, farawa daga karfe 3 na safe. A gaban abubuwan alfijir na safiya, yawan glucose zai zama aƙalla 1.5-2 mmol / l sama da maraice da dare.

Hanyoyin Ciwon Da safe

Tun da sukarin jini “tsalle” a cikin kowane mara lafiya ta hanyoyi daban-daban, gami da safiya, hanyoyin sarrafawa ba ɗaya bane. Kowa da kowa ya zabi yadda yake so.

A halin yanzu, waɗannan shawarwari masu zuwa sun kasance:

Tabbatar cewa abincin dare bai jinkirta ba fiye da 19-00.
Da mahimmanci kan iyakance abincin ɗan fiber da yamma.
Rarraba maganin yau da kullun na insulin hormone don yin allura guda daya na insulin wanda aka yiwa aiki tsakanin 1-00 zuwa 3-00. Tabbatar duba matakin sukarin ka kafin yin allura.
“”Arin” injections na gajeren insulin a 3-00, a 4-00 ko a 5-00 suna da tasiri, amma suna buƙatar ƙididdigewa da yarda da ainihin sashi (daga raka'a 0.5 zuwa 2) da kuma bayyana takamaiman lokacin allura.
Don masu ciwon sukari na 2, ɗauki Glucofage-Long a lokacin bacci. A wannan yanayin, nan da nan bayan farkawa, wajibi ne don yin ma'aunin iko tare da glucometer. Idan kwamfutar hannu guda ɗaya na 500 MG bai isa ba, to dole ne a zaɓi sashi, a hankali yana ƙaruwa da shi. Matsakaicin maganin da dare shine allunan 4. A wannan yanayin, nan da nan bayan farkawa, wajibi ne don yin ma'aunin iko tare da glucometer.

Idan hanyoyin da ke sama ba su kawo sakamakon da ya dace ba, akwai hanya guda ɗaya don sarrafa sukari na jini - maganin injin-ta-da-agogo.

Mahimmanci! Idan a cikin dare ana auna matakin sukari na jini, maida hankali ya zama baya ga 3.5 mmol / l, yi hankali! Kada kayi bacci da gangan cikin rashin baccin insulin kuma kar ka manta da shan kwamfutar hannu.

Tare da ciwo na alfijir safiya a cikin mata masu ciki tare da ciwon sukari, ana ɗaukar ta ɗayan hanyoyin da ke sama. An ba da shawarar mata masu juna biyu waɗanda ke da ciwon sukari kafin ɗaukar ciki suyi amfani da famfon na insulin nan da nan, amma ku yi hankali sosai kuma ku sarrafa glycemia, ku tabbata cewa getoacidosis guguwar ba ta ci gaba ba.

A ƙarshe, muna son tunatar da ku cewa ciwon sukari yana nufin mummunan cututtukan cututtukan da ke haifar da barazanar rayuwa. Sabili da haka, a gaban kowane aiki wanda zai iya shafar matakin taro na sukari a cikin jini, duka da ƙasa, ya kamata ka sami amincewar likitanka.

Yin rigakafin

Idan kun sha wahala daga cututtukan alfijir na asuba tare da ciwon sukari, ya kamata ku bi shawarwarin masu zuwa don hana ci gaban wannan yanayin:

Tunda matakin glucose ya tashi da safe, ya kamata ka yi matsanancin allurar insulin kafin lokacin kwanciya, an canza shi cikin lokaci zuwa awanni da yawa. Wato, idan allurar insulin ta kasance a 22.00, to lokacin da aka raba shi ya kamata a gudanar dashi a karfe 23: 00-00: 00. A mafi yawancin lokuta, waɗannan canje-canjen suna taimakawa.
Ya kamata kulawa ta musamman don shirye-shiryen insulin na matsakaici. Zai iya zama irin waɗannan hanyoyin kamar "Humulin NPH", "Protafan", da dai sauransu. Tsawon lokacin da kwayoyi suka bambanta game da 7 hours. Saboda haka, mafi girman matakin insulin zai kasance daidai ne da 6-7 na safe.
Don kula da insulin kullun dauki "Lantus" ko "Levemir", amma waɗannan kwayoyi tare da ƙarfin wuce haddi na glucose ba su shafar manyan alamun.
Kuna iya yin wani abu: gudanar da insulin gajeren aiki kaɗan-farkon lokaci - daga 4 zuwa 5 na safe. Amma ka tuna cewa a wannan yanayin yana da mahimmanci a lissafta ƙimar sinadarin daidai. In ba haka ba, hypoglycemia na iya faruwa. Don wannan, mai ciwon sukari dole ne ya gwada glucose a cikin dare da yawa. A cikin dare ɗaya, ana ɗaukar matakai da yawa. Bayan haka, ana lasafta matakin tattara yawan sukari, ana daukar nauyin sinadarin da ake sarrafawa bayan karin kumallo.

Kuna iya hana ciwo a safiyar asuba tare da taimakon wata sabuwar na'urar - matatar mai ta Omnipod. Na'urar tana ba ku damar saita kowane jadawali don gabatar da shirin insulin tare da magana kan lokaci.

Jirgin insulin shine na'urar likita tare da ƙananan sigogi. Godiya ga wannan na'urar, ana ci gaba da yin insulin a jikin fata. Ko da kun manta game da lokacin da aka gudanar da hormone din, famfo zai yi muku.

Tsarin yana sanye da bututu masu santsi da sassauya waɗanda suke haɗi da tafki insulin da ƙananan yadudduka na nama adipose. Babban fa'ida shine cewa famfon ɗin baya buƙatar yin kwaskwarima yau da kullun, ya isa ya saita lokaci da adadin hodar da ake sarrafawa sau ɗaya. Rashin kyau shine babban farashin na'urar.

Babban sukari da safe tare da nau'in 1 na ciwon sukari shine abin da ya zama ruwan dare gama gari. Ta hanyar ƙaddara dalilin da ya sa mai haƙuri yana da sukari mai yawa da safe kafin cin abinci, ana iya daidaita magani.

Mafi yawan abubuwan da ke haifar da glucose na azumi yana karuwa:

karamin adadin magungunan da ake sarrafawa kafin zuwa gado,
hawan jini a yayin hutu na dare,
Ciwon mara (sabon abu) na alfijir na safiya a cikin cututtukan mellitus na 1 da na 2.

Hakanan, haɓaka glucose na iya lalacewa ta hanyar rashin abinci mai gina jiki kafin lokacin bacci ko ƙetare ka'idodi na aikin insulin.

Yawan ba daidai ba na tsawon lokaci insulin a cikin nau'in 1 na ciwon sukari yana haifar da karuwar sukari mai azumi. Wannan ya faru ne saboda gaskiyar cewa allura ba su isa ya kula da yanayin glucose na yau da kullun cikin dare ba.Tare da babban adadin insulin, sukari yana raguwa da dare, amma da safe akwai tsalle mai tsayi.

Yadda za a rabu da cutar?

Idan an gano alamun cutar, mai haƙuri na iya ɗaukar waɗannan matakan:

gudanar da insulin a wani lokaci daga baya. A wannan yanayin, ana iya amfani da hormones na matsakaici na tsayi: Protafan, Bazal. Babban tasirin magungunan zai zo da safe, lokacin da aka kunna kwayoyin halittar insulin antagonist,
inarin allura. Ana yin allura da misalin ƙarfe huɗu na safe. Ana yin lissafin yin la'akari da bambanci tsakanin kashi na yau da kullun da ake buƙata don kwantar da yanayin,
amfani da famfo na insulin. Za'a iya saita shirin na'urar domin a kawo insulin a lokacin da ya dace, yayin da mara lafiya ke bacci.

Ya danganta da nau'in cutar (insulin-dependant ko nonon-insulin-based diabetes diabetes), alamunta sun bambanta. Don haka, tare da nau'in insulin-dogara da nau'in (1st), mutum yana fuskantar irin waɗannan alamun:

tashin zuciya
amai
gajiya, haka kuma rashin kulawa ga duk abin da ya faru,
karuwa da ƙishirwa
asarar nauyi, duk da cewa abincin ya kasance iri daya ne.

Bayyanar cututtuka na nau'in insulin-mai zaman kanta (na 2) sun ɗan bambanta:

karancin gani
gajiya, zuciya, rashin tausayi,
tashin hankalin barci (bacci a lokacin rana, rashin bacci),
hadarin kamuwa da fata
bushe baki, ƙishirwa,
fata mai ƙaiƙayi
fatalwa da fata sabunta hanyoyin,
take hakkin jin murfin yatsun kafa,
rauni na tsoka da rage sautin tsoka gaba daya.

Kowane mutum yana buƙatar kulawa da waɗannan bayyanar cututtuka, tun da jiyya daga baya don kamuwa da cutar yana haifar da rikitarwa masu haɗari.

Amfani da famfo na insulin

Don gano dalilin da yasa jinin mai haƙuri ya tashi da daddare ko me yasa aka lura da tsinin tsinkayensa da safe tare da gwaji mai sauƙi. Don yin wannan, kuna buƙatar yin ma'aunin matakan glucose da yawa: kafin lokacin bacci, da biyu da safe, a huɗu da shida na safe.

Ta hanyar tantance ganiya mafi karanci da matsakaici taro, zaku iya daidaita yawan insulin kafin lokacin kwanciya. Ga marasa lafiya masu fama da ciwon sukari na 2, wannan yana ba ku damar yanke shawara game da yiwuwar shan magungunan rage ƙwayar sukari kafin zuwa gado.

Increasearuwar sukarin jini da safe na iya zama saboda rashin allura ko allunan rage sukari a lokacin bacci.

Gyara sukari mai azumi da safe tare da nau'in ciwon sukari na 1 zai taimaka wajen haɓaka aikin insulin. Wani lokaci ya isa kawai a jinkirta allura da ƙarfe 23:00 don guje wa karuwar glucose na jini da safe.

Babban sukari da sanyin safiya bayan bacci tare da nau'in ciwon sukari na 2 ana gyara ta hanyar canza magunguna masu rage sukari kafin lokacin bacci ko karuwa da adadinsu. Samu cikakken bayani game da wannan batun daga likitanka.

Hypoglycemia da dare

Wani dalili kuma da ya sa sukarin jini a cikin haƙuri ya zama al'ada da maraice, kuma da safe an ɗaukaka shi sosai, yana iya zama hypoglycemia na dare. Ana nuna wannan yanayin ta hanyar raguwar glucose jini yayin bacci, sannan tsalle mai tsayi a cikin safiya.

Hypoglycemia na iya lalacewa ta hanyar manyan matakan insulin da ake sarrafawa a lokacin bacci. A wannan yanayin, ya zama dole don sarrafa sukari na jini kafin lokacin kwanciya. Zai dace, ƙimar sa ya zama kusan 10. Sannan ana gudanar da allura ta yadda da tsakar daren, matakin glucose ya fara sauka zuwa 4.5, sannan ya tashi zuwa raka'a 6.

Ana samun irin waɗannan dabi'u ta hanyar tsinkaye masu tsawo da juriya zuwa kashi na hodar da ake sarrafawa ta hanyar amfani da allunan glucose. Don hana hypoglycemia da dare, ya kamata a yi gwajin jini tsakanin biyu zuwa uku da safe. Daidai, ƙimar ya zama aƙalla 6 mmol / L.

A karkashin yanayin gwaji, gwaji tare da haɓakar insulin za a iya amfani dashi don wannan, amma a aikace wannan hanya mai yiwuwa ba mai yiwuwa bane. A lokacin wannan gwajin, bayyanar cututtukan neuroglycopenic ko kuma jinkirtawa don sake dawo da matakin glucose na farko bayan matsakaicin matsakaicin lalacewarsa ta hanyar jiko na daidaitaccen adadin insulin yana aiki a matsayin mai nuna alamun cin zarafi a cikin tsarin daidaitawa.

Tambayar ita ce ko alamun hypoglycemia na iya bayyana ba tare da hypoglycemia kowace se ba, alal misali, a cikin martani ga raguwar hawan glucose mai sauri. Kodayake ba shi yiwuwa a amsa wannan tambayar daidai, akwai hujjoji cewa ba gudu ko matsayin wannan rashi ba yana amfani da alamun sigari don sakin kwayoyin halittar dake hanawa, siginar kawai ƙarancin glucose ne a cikin plasma.

Tha'idodin matakan wannan matakin sun bambanta a cikin mutane daban-daban, amma tare da daidaitattun abubuwa ko haɓaka glucose na yau da kullun, ɓoyewar kwayoyin hormones masu hanawa ba sa ƙaruwa. Adrenergic bayyanar cututtuka da aka lura da bango na hyperglycemia ne mafi kusantar saboda tashin hankali ko jijiyoyin zuciya jijiyoyin jini.

Hypoglycemia a cikin marasa lafiya na ciwon sukari kuma za a iya haifar da wasu dalilai. Misali, lalacewar koda a cikin cututtukan koda yawanci yana tare da raguwa a cikin buƙatar insulin kuma, idan ba a canza adadinsa ba, bayyananniyar ƙwayar cutar za ta iya ci gaba. Ba a san hanyar da za a rage yawan bukatar insulin a irin wannan yanayin ba.

Kodayake tare da cutar sankara mai ciwon sukari, rabin ƙwayar plasma na rayuwa yana ƙaruwa, aikin wasu abubuwan kuma ba a da tabbas. Hypoglycemia na iya zama sanadiyyar ƙarancin ƙarancin yanayi na yanayin ƙwayar cuta - ɗayan bayyanar cututtukan Schmidt, wanda shine mafi yawan jama'a a cikin masu ciwon sukari fiye da na jama'a gaba ɗaya.

A cikin wasu marasa lafiya, haɓakar ƙwayar cuta yana da alaƙa da babban titin abubuwan rigakafi ga insulin a cikin jini. A irin waɗannan halayen, ba a san ainihin ainihin abin da ya faru don faruwawar hypoglycemia ba. Wani lokaci marasa lafiya masu ciwon sukari na iya haɓaka insulinoma. Da wuya dai, akwai yawan sake kamuwa da cutar siga ta waje.

Abubuwan da suka haifar da wannan ba a bayyane suke ba, amma alamun hypoglycemia a cikin marasa lafiya da aka ba da ladabi a baya na iya zama alama ta farko. Ya kamata a jaddada cewa harin hypoglycemia yana da haɗari kuma, idan an maimaita shi akai-akai, tona mummunan rikice-rikice ko ma mutuwa.

Raunin hyperglycemia wanda ke tasowa bayan wani harin hypoglycemia saboda sakin kwayoyin homonin da ake kira counter-regulence ana kiransa Somogy sabon abu. Ya kamata a ɗauka duk lokacin da aka sami canje-canje masu ƙarfi a cikin matakan glucose na plasma a cikin ɗan gajeren lokaci, koda kuwa mara lafiya ba ya korafi.

Irin waɗannan saurin canzawa sun bambanta da sauye-sauyen da aka lura yayin ficewar insulin a cikin marassa lafiyar da suka sami biyan bukata a ƙarshen halin, hyperglycemia da ketosis suna haɓaka a hankali kuma a cikin sa'o'i 12-24.

Yawancin ci da kuma ƙaruwa a cikin jiki dangane da tushen hauhawar hauhawar jini na iya nuna ƙarancin insulin, tun da raguwar nauyin jikin mutum (yawanci saboda osmotic diuresis da asarar glucose) yawanci halayyar rashin biyan diyya ne.

Idan kuna zargin wani abu na Somoji, ya kamata kuyi ƙoƙarin rage kashi na insulin koda babu takamaiman alamun bayyanar insulinization. A cikin marasa lafiya da ke amfani da famfon insulin na jiko, abin da ke faruwa a Somoji ya zama ba a gama gari fiye da waɗanda ke karɓar maganin insulin na yau da kullun ko allurar guda ɗaya na insulin.

Abinda ya faru da sanyin safiya shine ake kira da haɓakar glucose na plasma da sanyin safiya, wanda ke buƙatar ɗimbin insulin da yawa don kula da cututtukan euglycemia. Kodayake, kamar yadda muka ambata a sama, sanyin asuba da sanyin asuba na iya danganta shi da yanayin tashin hankali, asirin safiyar alfijir kamar irin wannan ana ɗauka mai zaman kansa ne daga tsarin abubuwan Somoji.

Babban mahimmanci ana ba da izinin sutturar haila a cikin dare. Da sanyin safiya, an kuma hanzarta cire insulin, amma wannan bazai taka rawar gani ba. Wanda zai iya bambance abin alfijir sanyin safiya daga posthypoglycemic hyperglycemia, a matsayin mai mulkin, ta hanyar tantance matakin glucose a cikin jini da karfe 3 na safe.

Wannan yana da mahimmanci, kamar yadda za'a iya kawar da sabon abu na Somoji ta hanyar rage ƙarancin insulin ta wani lokaci, kuma alfijir sanyin safiya, akasin haka, yana buƙatar haɓaka kashi na insulin don kula da matakan glucose na yau da kullun. Oral wajen.

Don lura da marasa lafiya waɗanda ba su da insulin-da ke fama da ciwon sukari, waɗanda ba za su iya rama ta abinci mai gina jiki ba, ana amfani da shirye-shiryen sulfonyl-urea. Ba shi da wahala a yi amfani da waɗannan abubuwan, kuma a fili suna da lahani.

Damuwa da aka bayyana a cikin rahotannin Kungiyar Jami'ar Diabetological Group (UDG) game da yiwuwar karuwar mace-mace daga cututtukan zuciya da jijiyoyin jini sakamakon amfani da wadannan kudade an zubar da su sosai saboda tambayar shirin binciken.

A gefe guda, yawan yaduwar masu amfani da bakin shine ya hana ta hanyar hango cewa mafi kyawun diyya ga masu cutar sankara na iya rage ci gaban da take fuskanta. Kodayake a cikin wasu marasa lafiya da ke da sauƙi mai sauƙi na ciwon sukari, matakan glucose na plasma suna daidaita al'ada a ƙarƙashin rinjayar wakilai na bakin, amma a cikin marasa lafiya da cutar hawan jini, idan ya ragu, ba al'ada bane.

Sabili da haka, a halin yanzu, babban adadin marasa lafiya da ke dauke da cutar rashin insulin-insulin na karɓar insulin. Shirye-shiryen Sulfonylurea suna aiki ne kamar yadda ƙwayoyin insulin ƙwayoyin sel suke motsa su.

Koyaya, an sami daidaituwa game da haɓakar glucose a cikin rashin kasancewar yawan ci gaba a cikin matakan insulin lokacin da aka nuna cewa tare da karuwa a cikin glucose zuwa matakin da aka lura kafin magani, ƙwaƙwalwar ƙwayar plasma a cikin irin waɗannan marasa lafiya yana ƙaruwa zuwa mafi girma fiye da magani.

Saboda haka, waɗannan abubuwan farko suna haɓaka ƙwayar insulin kuma hakan zai rage glucose plasma. Yayinda yake haɗuwa da yawan glucose, matakan insulin kuma suna raguwa, tunda glucose plasma shine babban abin ƙarfafawa don ɓoye insulin.

A karkashin irin wannan yanayi, ana iya gano tasirin insulinogenic na kwayoyi ta hanyar ƙara yawan abubuwan glucose zuwa matakin farko na haɓaka. Gaskiyar cewa shirye-shiryen sulfonylurea ba su da inganci a IDDM, wanda aka rage yawan ƙwayoyin p-Kwayar, yana tabbatar da ra'ayin babban aikin aikin maganin ƙwayoyin cuta na waɗannan kwayoyi, kodayake babu tabbas hanyoyin da ake aiwatar da aikin su kuma suna da mahimmanci.

Abubuwan haɗuwa kamar glipizide da glibenclamide suna da tasiri a cikin ƙananan allurai, amma a wasu fannoni ba su da bambanci sosai ga wakilai masu tsayi kamar su klorpropamide da butamide. Yakamata a tsara marasa lafiya da cutarwa na koda da butamide ko tolazamide (Tolazamide), tunda suna metabolized kuma basa aiki a cikin

Chlorpropamide zai iya fahimtar ƙwayoyin halittar koda na aikin ƙwayoyin antidiuretic. Sabili da haka, yana taimakawa wasu marasa lafiya da ciwon insipidus na ciwon sukari, amma tare da ciwon sukari na iya haifar da riƙe ruwa a cikin jiki.

Lokacin amfani da wakilai na bakin, hypoglycemia ba shi da yawa fiye da lokacin amfani da insulin, amma idan ya faru, yawanci yana bayyana kansa da ƙarfi kuma ya fi tsayi. Wasu marasa lafiya suna buƙatar matsanancin infusions na glucose a cikin 'yan kwanaki bayan ɗaukar kashi na ƙarshe na sulfonylurea.

Sabili da haka, a cikin taron hypoglycemia a cikin marasa lafiya da ke karɓar irin waɗannan magunguna, asibitirsu wajibi ne. Sauran magunguna na baka wanda ke tasiri a cikin ciwon sukari na manya sun haɗa da biguanides kawai.

Wadannan mahadi yawanci ana amfani dasu kawai tare da shirye-shiryen sulfonylurea, lokacin da ba za'a iya biyan isasshen biyan kuɗi tare da taimakon ƙarshen shi kaɗai. Tunda yawancin wallafe-wallafen sun danganta amfani da phenformin zuwa ci gaban lactic acidosis, Hukumar Abinci da Magunguna ta hana amfani da asibiti wannan cibiyar a Amurka, ban da wasu lokuta idan aka ci gaba da amfani da shi don dalilai na bincike.

A wasu ƙasashe, ana amfani da phenformin da sauran biguanides. Bai kamata a rubuta musu marasa lafiya da cututtukan koda kuma ya kamata a soke su idan tashin zuciya, amai, zawo, ko duk wasu cututtukan da suka kama daga ciki sun faru.

Wadancan marasa lafiya waɗanda galibi ke tantance yawan glucose a cikin jininsu don zaɓin kashi na insulin a sauƙaƙe yana iya daidaita yawan sukari. A halin yanzu, mafi yawan masu ilimin likitanci suna amfani da ƙudurin matakin haemoglobin A1c don tantance darajar diyya na dogon lokaci don bincika daidaito na sarrafa kai.

Cutar tamowa da allura

Wataƙila dalilin da yasa jinin mai haƙuri da safe ya fi na yamma shi ne saboda ƙarancin abinci mai gina jiki.

Idan abinci na ƙarshe kafin lokacin bacci ya ƙunshi babban adadin mai da carbohydrates, matakan glucose da safe zai yi yawa sosai. Gyara abinci mai gina jiki zai taimaka duka biyu rage sukari na safe (azumi) da kuma guje wa daidaita insulin da kara yawan magunguna masu rage ƙwayar glucose.

A cikin marasa lafiya da masu ciwon sukari mellitus, wani nau'in insulin da ke dogara da shi na iya haifar da karuwa a cikin sukari saboda allurar da ba ta dace ba. Yana da mahimmanci a tuna da waɗannan ƙa'idodi kuma a kowane hali watsi da su.

Ana saka allurar dogon insulin a cinya ko a gindi. Abubuwan da ke cikin wannan magani a cikin ciki suna haifar da raguwa a cikin tsawon lokacin maganin kuma rage tasiri.
Ya kamata a canza wurin allurar a kai a kai. Wannan zai taimaka wajen hana samuwar siraran wuya, wadanda ke kawo cikas ga shan kwayar ta al'ada.
Lokacin yin allura, ya kamata a samar da karamin crease akan fatar. Wannan zai hana hormone zuwa cikin tsoka, wanda zai iya rage tasirirsa sosai.

Mutane da yawa suna mamakin dalilin da ya sa sukarin jini a cikin haƙuri a maraice ya fi yadda yake bayan nan da safe. A zahiri, wannan yanayi ne na al'ada, yayin hutawa da daddare, sukari ya kamata ya ɗan ɗanɗana ƙarƙashin rinjayar insulin ko metformin, idan aka kwatanta da alamu maraice.

Yadda za a guji kuskure?

Sau da yawa dole ne a daidaita magani da kanka, ba tare da neman likita ba. Don hana kurakurai, dole ne a riƙa ajiye bayanin kula a koda yaushe don yin rikodin alamun glucose, adadin magungunan da aka sarrafa da kuma menu.

Wannan zai ba ka damar bin diddigin haɓaka ko haɓaka glucose a cikin jini, gwargwadon yawan ƙwayoyi da lokacin gudanarwarsu.

Koyaya, idan ba zai yiwu a rinka rage glucose na safe akan kan mutum ba, yana da buqatar a nemi likitan dabbobi. Tattaunawa tare da ƙwararrun likita zai taimaka wajen kawar da kurakurai masu yiwuwa a magani da gargaɗi game da haɓaka rikice-rikice.

Idan ƙarfin kuɗi ya ba da izini, ana ba da shawarar marasa lafiya su sayi fam ɗin insulin, amfanin abin da ya sauƙaƙa gabatarwar da daidaitawa.

Bayanai akan shafin an bada shi ne kawai don shahararrun dalilai na ilimi, baya da'awar kwatankwacinsu da ƙimar likita, ba jagora bane ga aiki. Kada ku sami magani na kai.

Me yasa ake lura da irin wannan sabon abu

Idan zamuyi magana game da ka'idojin yanayin motsa jiki na jiki, to, karuwa ga monosaccharide jini da safe shine al'ada. Wannan shi ne saboda sakin yau da kullun na glucocorticoids, matsakaicin sakin abin da ke gudana da safe.

A cikin mutum mai lafiya, sakin glucose ana rama shi ta hanyar insulin, wanda kumburin kansa ya samar da adadin da ya dace. A cikin cututtukan mellitus, dangane da nau'in, ba a samar da insulin ba a cikin adadin da jiki ke buƙata, ko kuma masu karɓa a cikin kyallen suna da tsayayya da shi. Sakamakon shine hyperglycemia.

Yana da matukar muhimmanci a tantance matakin sukari sau da yawa a cikin rana domin gano abin alfijir sanyin safiya cikin lokaci.

Menene haɗarin cututtukan alfijir na safe da kuma yadda za a bincika sabon abu?

Hakanan, haɓakar mummunan yanayi sakamakon hauhawar yanayi a cikin sukari jini baya cirewa. Irin waɗannan yanayi sun hada da coma: hypoglycemic, hyperglycemic, da hyperosmolar. Wadannan rikice-rikice suna haɓaka da saurin walƙiya - daga mintuna da yawa zuwa awanni da yawa. Ba shi yiwuwa a hango hasashen farkonsu game da asalin alamun yanzu.

Tebur "M rikicewar ciwon sukari"

Wannan halin yana da haɗari mai haɗari mai haɗari, wanda ba ya dakatarwa har zuwa lokacin gudanar da insulin. Kuma kamar yadda kuka sani, tsauraran ƙarfi a cikin taro na glucose a cikin jini wanda al'adarsa ta kasance daga 3.5 zuwa 5.5 mmol / l, yana ba da gudummawa ga haɓaka mai sauri na rikitarwa.

Hakanan, cututtukan alfijir na asuba yana da haɗari a cikin hakan yana bayyana sama da sau ɗaya, amma yana faruwa a cikin haƙuri kowace rana a kan tushen ƙaddamar da ƙwayar ƙwayoyin tsohuwar ƙwayar cuta da safe. Don waɗannan dalilai, metabolism metabolism yana rushewa, wanda ke ƙara haɗarin haɓakar rikice-rikice masu ciwon sukari.

Yana da mahimmanci a san cewa yana da mahimmanci a sami damar rarrabe tasirin alfijir safiya daga abubuwan Somoji. Don haka, sabon abu na ƙarshe ana nuna shi ta hanyar yawan ƙwayar cutar insulin, wanda ke faruwa a kan tushen yawan zubar jini da kuma halayen posthypoglycemic, kazalika da rashin ƙarancin insulin.

Don gano cututtukan safiya na safe, ya kamata ku auna yawan haɗuwar glucose a cikin jini kowane dare. Amma gabaɗaya, ana bada shawarar yin irin wannan matakin daga 2 zuwa 3 da dare.

Idan a cikin wannan lokacin babu wani raguwa mai mahimmanci a cikin tattarawar glucose a cikin jini idan aka kwatanta da tsakar dare, amma, akasin haka, akwai karuwa da yawa a cikin alamu, to zamu iya magana game da ci gaban tasirin safiya.