Hadari da sakamakon ciwon sukari
Maganin cutar sankarau ba magana ce ga mara lafiya ba. Magunguna koyaushe yana canzawa. Sabili da haka, kowace shekara, masana kimiyya suna samo sabbin mafita waɗanda zasu iya inganta ingancin rayuwar mutanen da ke fama da ciwon sukari. Koyaya, ci gaban cutar a cikin dogon lokaci yana tattare da yawancin matsaloli.
Me yasa ciwon sukari yake da haɗari? Menene jigon cutar? Menene sababi da alamun cutar? Menene yiwuwar rikice-rikice da sakamako na ciwon sukari? Amsoshin waɗannan da sauran tambayoyi ana ba su cikin littafinmu.
Menene haɗarin ciwon sukari?
Cutar sankara (mellitus) cuta ce ta rayuwa wanda ke ɗauke da cutar sankara (glucose jini). Yana matukar firgita sakamakonsa da rikitarwarsa.
Rashin jini na kullum (hawan jini glucose) na jini yana shafar jiki baki daya. Tsarin zuciya da jijiyoyi, da gabobin gani da kodan, sun lalace.
Babu damuwa wane irin ciwon sukari mutum yake rashin lafiya da ita, tunda sakamakon wannan cutar daidai yake da nau'in 1 da nau'in 2.
M rikitarwa na ciwon sukari
Cututtukan hazo ko na farkon cutar wannan shine sakamakon cutar hawan jini, kuma ba su dogara da tsawon lokacin cutar ba. Wannan mummunan yanayin yanayin rashin lafiyar jiki ne. A lokaci guda, matakan glucose na jini na iya ƙaruwa zuwa 50-55 mmol / L. Amma, kowane mutum yana da damar da keɓaɓɓen haƙuri na babban adadin sukari a cikin jini, sabili da haka, coma na iya faruwa tare da ƙarancin sakamakon binciken.
Yawan hauhawar glucose yana haifar da barazanar kai tsaye ga rayuwar mutum. A cikin adadi mai yawa yana da mummunar tasiri a cikin yanayin kwakwalwa. Irin wannan “maye” tare da kwakwalwar kwakwalwa zai iya haifar da asarar sani, kwaro da mutuwar mutum.
Hyperglycemic coma na iya zama da dama iri, dangane da concomitant na rayuwa cuta. Amma, abu daya ya haɗu da su - wani babban matakin glucose mai yawa a cikin jini.
Ciwon mara na kullum
Rikici ba ya faruwa a cikin duk marasa lafiya. Idan an tsara ingantaccen magani, mai haƙuri ya bi abinci, yin aikin motsa jiki, shan magunguna al'ada ne, to, watakila ba za a sami rikitarwa ba ko kaɗan.
Akwai manyan rikice-rikice guda biyar na ƙarshen ciwon sukari, waɗanda ke bayyana kansu lokaci mai tsawo bayan farkon cutar:
- Macroangiopathy ko rikitarwa na jijiyoyin jiki. Macroangiopathy ra'ayi ne na haɗin gwiwa wanda ya haɗa da atherosclerosis na tasoshin gabobin ciki, reshe da kwakwalwa. Don haka, canje-canje atherosclerotic a cikin tasoshin na iya haifar da rauni na zuciya, bugun jini a cikin kwakwalwa, da hargitsi da zagayawawar jini a cikin tasoshin kafafu da hannaye, wanda ake nunawa ta hanyar jin magana ko guntu a cikin gabar jiki.
- Neuropathy. Ya kamata a fahimci wannan kalmar a matsayin rauni na tsarin juyayi, mafi yawan lokuta daga sassan. A zahiri ana bayyanar da wannan azaba ta hanyar kafafu, rage zafi da ji zafin jiki, jin bugun gabbai.
- Retinopathy. Ana nuna shi da lalacewar tasoshin retina, microbleeding yana faruwa, wanda kawai za'a iya gani a ƙarƙashin ƙaramin ƙaramin microscope. Sakamakon wannan, hangen nesan mutum ya fara da rauni, kuma sakamakon hakan, na iya haifar da makantar idanu biyu, katsewa gaba ɗaya.
- Kwayar cuta. An kwatanta shi da lalacewar koda. Wannan babban rikitaccen rikicewa ne wanda aikin nakirin ya lalace. Kodan ba za su iya yin aikinsu ba kuma ba zai yuwu a maido su ba. Ciwon koda na lokaci mai tasowa. Don haka, idan babu aikin tacewa a cikin ƙodan, hemodialysis, wanda ake yi sau 3 a mako don rayuwa, zai iya taimaka wa mutum kawai. Rayuwar mutum gaba daya ta dogara da kayan aikin tsarkake jini.
- Ciwon ƙafar ƙafafun ciwon sukari. Mafi bayyanuwar bayyananniyar tasirin cutar sankara, wanda kowa ya sani. Yana faruwa ne daga baya na take hakkin microcirculation jini da lalacewar jijiyoyi a cikin fata, tsokoki, guringuntsi, gidajen abinci da kasusuwa na ƙafa. A hankali aka nuna shi ta hanyar lalacewa na kafa, ulcers, mutuwar kasusuwa na reshe da gangrene. Yanayin yana buƙatar yanki a matakin lalacewar reshe.
Sakamakon cututtukan sukari na nau'in 1 da 2
Rashin rikice-rikice na yau da kullun yana da wuya a lokacin gano cutar a cikin marasa lafiya da ke dauke da ciwon sukari na 1. Hoto na asibiti tare da wannan nau'in yana da haske sosai, ana iya kafa tushen binciken nan da nan daga farkon cutar kuma waɗannan rikice-rikice ba su da lokacin haɓaka.
Amma game da nau'in ciwon sukari na 2, yanayin shine akasin haka. Sau da yawa, ana gano nau'in na 2 a cikin mutanen da ke fama da mummunar gabobin daga glucose. Don haka, an riga an gano rikicewar halayen cikin marasa lafiya.
Sakamakon kamuwa da cutar siga a cikin mata
Abubuwan rikice-rikice na sama suna dacewa da mata da maza. Ba su dogara da shekaru, jinsi, ko matsayin zamantakewar mai haƙuri ba.
Akwai wasu rikice-rikice waɗanda ke halayen mata kawai:
- aikin nakuda na maza saboda rashin daidaituwa na maza,
- marigayi balaga a cikin 'yan mata,
- candidiasis na kamuwa da cuta (fungal infection), da wahala muyi,
- yawan zafin rai, rashin bacci.
Sakamakon ciwon sukari na nau'ikan guda biyu, ba tare da la'akari da dalilin ba, iri ɗaya ne kuma daidai yake da haɗari ga maza da mata.
Tabarbarewar haihuwa
Insulin hormone ne wanda ba kawai yana shiga cikin ɗaukar glucose a cikin jinin mutum ba, amma yana rage rushewar kitse a jiki.
A ƙarƙashin tasirin insulin, lalacewar lipids a cikin jiki yana hanawa, kuma daga lipids, ana haɗuwa da kwayoyin halittar jima'i, wanda ke tsara yanayin haila a cikin mata. Kwayoyin jima'i, wato estrogens, basu isa ba don ci gaban al'ada da ci gaban mahaifa, wanda ke nufin cewa wasu matsaloli zasu bayyana: yanayin sakewa, rashin haila, kuma a sakamakon haka, cin zarafin aikin haihuwa.
Kamar yadda ka sani, nau'in ciwon sukari na 1 shine halayyar matasa da yara. A cikin 'yan matan da ke shiga cikin balaga, farawa na haihuwar na iya zama shekaru 1-3 bayan hakan fiye da na abokan zama masu lafiya. Wannan shine ɗayan korafin yayin da ake magana akan kwararru.
Sabili da haka, masana sun ba da shawarar shirin yin juna biyu ga matan masu fama da cutar sankara tun da wuri, yayin da aikin haihuwa baya raguwa sosai. Tsarin ciki shine kawai yakamata ya saba da asalin matakan glucose na jini na yau da kullun.
Siffofin hanya a cikin yara
Abu ne mai wahala sosai gane cutar kansar yara. Sau da yawa cutar tana ci gaba ba tare da alamun bayyanuwa ba. A hanzarta kaje asibiti kaje kayi gwaji domin guban jini idan alamun ya bayyana:
- nauyi mai nauyi na yaro ko, kuma a takaice, asarar nauyi mai nauyi,
- gunaguni na jin zafi a tsokoki da gidajen abinci,
- m ƙishirwa
- karuwar ci
- rikicewar tsarin juyayi (damuwa, juyayi, hawaye),
- gajiya,
- peeling da rashin ruwa daga gwal,
- bushewa daga lebe da kuma bakin ciki.
A wani mataki na gaba na cutar, bayyanar cututtuka irin su nakasawar gani, kayu na karshen, bayyanar mawuyacin hali, cututtukan maimaitawa da cututtukan ƙwayoyin cuta na iya haɓaka.
Menene illar cutar daga cutar?
Yakamata ya fara da gaskiyar cewa ana iya samun wannan cutar a cikin mata da kuma rabin ɗan adam. Yana bayyana kanta cikin adadin glucose mai yawa a cikin jini. Akwai nau'ikan ciwon sukari da yawa.
Misali, tare da nau'in na biyu, jiki ya daina fahimtar insulin daidai, sakamakon wanda aka gano matakan sukari mai girma a cikin jini. Amma a kashin farko, fitsari kawai zai daina toshewar sinadaran da aka ambata. Kuma wannan, bi da bi, yana haifar da adadin sukari a cikin jini.
Idan zamuyi magana game da abin da cututtukan sukari ke barazana ga lafiyar mai haƙuri, to ya kamata a lura cewa yana shafar aikin yawancin gabobin ciki da duka tsarin. Wato, don aiki:
- zuciya da jijiyoyin jini,
- koda
- hanta
- hangen nesa ya gushe
- karancin ƙwaƙwalwar ajiya yana faruwa
- aikin tunani yana raguwa
- akwai haɗarin haɓaka ketoacidosis,
- raunuka a jiki ba su warke sosai, kuma ana kuma lura da wasu sakamako masu illa da yawa.
Game da sashin jiki da tsarin musamman, ciwon sukari ya fi haɗari, ya kamata a lura cewa jijiyoyin jini suna wahala sosai. Kuma wannan, bi da bi, mummunar rinjayar yanayin ƙirar dukkan sassan jikin mai haƙuri.
Mafi sau da yawa, masu ciwon sukari suna ba da rahoton mummunan rauni na gani. Wannan halin yana faruwa saboda gaskiyar cewa babban sukari yana lalata ƙananan ƙwayoyin hanji da jijiyoyin jini. Marasa lafiya suna wahala daga atherosclerosis da sauran mummunan sakamako na cin zarafin tsarin tasoshin jini da abubuwan sha.
Tabbas, idan kun amsa tambaya game da yadda ciwon sukari yake da haɗari, to a wannan yanayin duk ya dogara da matakin sukari. Mafi girman abin da yake faruwa shine mafi illar da yake yiwa jiki.
Mafi munin abin da ke barazanar kamuwa da ciwon sukari shine haɓakar cutar sankarar hanta da hyperglycemia. Waɗannan sharuɗɗan ne zasu iya haifar da mutuwa.
Menene hatsarin kamuwa da cutar siga yayin haihuwa?
Yayin bincike na yau da kullun lokacin haila, kusan 10% na mata masu juna biyu suna nuna yawan sukari a cikin fitsari ko jini.
Idan bincike na biyu ya nuna sakamakon guda ɗaya, to matar ta kamu da cutar sankara.
Carbohydrate metabolism gazawar
Matsayin hormonal wanda ke canzawa yayin gestation yana rage aikin samar da insulin, wanda, a kan tushen ƙara nauyi da raguwa a cikin aikin motsa jiki, yana haifar da ci gaba a cikin ƙimar glucose. Wannan yana da mummunar tasiri akan metabolism kuma yana rikitar da aikin gabobin ciki.
Sau da yawa, mata kafin daukar ciki ba su sami alamun bayyanar da rashin nasara na metabolism.
Bayan bayarwa, alamun sukari sune al'ada, amma suna nuna alama na yiwuwar keta tsarin endocrine a nan gaba. Cutar sankarar mahaifa tana da lambar ICD na 10 - O24.4.
Idan ciwon sukari cuta ce da keɓaɓɓen sananniya kuma sanannu ne, ciwon sukari a lokacin daukar ciki ba shi da masaniya ga kowa. Wannan cutar tana faruwa ne kawai cikin kashi huɗu na mata masu ciki, amma har yanzu yana da mahimmanci a san wannan cutar, tunda tana da haɗari sosai.
Cutar sankara ta hanji da rikitarwa
Cutar sankarar mahaifa mellitus cuta ce da ke haifar da hauhawar sukarin jini a lokacin haihuwar yaro. Irin wannan sabon abu na iya cutar lafiyar lafiyar ɗan da ke girma a cikin mahaifa.
Tare da haɓaka cutar a cikin farkon farkon haihuwa, akwai babban haɗarin ɓari. Mafi haɗari ita ce gaskiyar cewa a wannan lokacin, saboda rashin lafiya, tayin na iya haifar da rashin daidaituwa a cikin mahaifa, galibi yakan shafi irin waɗannan gabobin masu mahimmanci kamar kwakwalwa da tsarin jijiyoyin jini.
Idan cutar sankarar mahaifa mellitus ta tsiro a cikin kashi biyu na biyu na ciki, tayi tayin ya wuce kima kuma aka ciyar dashi. Wannan na iya haifar da haɓakar hyperinsulinemia a cikin jariri bayan haihuwa, lokacin da jariri bazai iya samun adadin glucose ɗin da ake buƙata daga uwa ba. Sakamakon haka, matakin glucose na jini na jariri ya zama ƙasa sosai, wanda ke shafar lafiyarsa.
Idan an gano cutar sankara yayin daukar ciki, ana buƙatar tiyatar likitanci don kada cutar ta haifar da ci gaban kowane irin rikice-rikice a cikin tayin saboda rashin daidaituwar ƙwayoyin carbohydrates a jikin mace mai ciki.
Yaran da ke da irin wannan larura na iya fuskantar waɗannan alamun:
- Yawancin jarirai da nauyinsu lokacin haihuwa,
- Rashin daidaituwa masu girman jiki - hannayen bakin ciki da kafafu, ciki mai fadi,
- Edema a jiki da kuma yawan tara kitsen jiki,
- Yellowness na fata,
- Gazawar numfashi
- Sugararancin sukari mai jini, ƙarancin jini, ƙananan ƙwayoyin kalsiya da magnesium.
Cutar sankarar mahaifa da kuma dalilan ci gabanta a cikin mata masu juna biyu
Mace mai ciki tana fuskantar kowane nau'in canje-canje na hormonal a lokacin haihuwar jariri, wanda zai haifar da rikice-rikice iri daban-daban da rashin lafiyar jiki. Daga cikin wadannan abubuwan mamaki, ana iya samun raguwa a yawan shan sukari na jini ta hanyar kayan jikin mutum saboda canje-canje na hormonal, amma ya yi saurin magana game da ciwon sukari.
Cutar sankarar mahaifa galibi yakan bayyana ne a cikin uku a cikin uku na ciki sakamakon rashin daidaituwa na hormonal a jikin mace. A wannan lokacin, mai juna biyu tana fara samar da insulin sau uku domin ta kiyaye canje-canje na al'ada cikin sukarin jini. Idan jikin mace ba zai iya fuskantar irin wannan girma ba, mace mai ciki tana dauke da cutar sankarar mama.
Riskungiyar haɗarin, a matsayin mai mulkin, ya haɗa da mata tare da wasu alamomin kiwon lafiya. A halin yanzu, kasancewar duk wadannan halaye baza su iya tabbatar da cewa mace mai juna biyu ta kamu da ciwon suga ba. Hakanan ba zai yiwu a faɗi da tabbacin cewa wannan cutar ba za ta bayyana a cikin matan da ba su da alamun cutar da aka lissafa a ƙasa.
Wadannan mata masu juna biyu suna cikin haɗari:
- Samun kara girman jiki ba kawai a lokacin daukar ciki ba, har ma a baya,
- Ana gano cutar ta yawanci a cikin mutanen da ke cikin ƙasashe kamar Asiya, Latinos, Negroes, Amurkawa.
- Mata masu yawan fitsari a jiki
- Hawan jini ko kuma ciwon suga
- Mata wadanda a cikin danginsu akwai masu fama da cutar sankarar bargo
- Matan da suka haihu a karo na biyu, waɗanda jaririnta na fari ke da nauyin haihuwa,
- Haihuwar wani yaro da ya mutu a lokacin haihuwa na farko,
- Matan da aka kamu da cutar sankarau a lokacin hailarsu ta farko,
- Mata masu juna biyu da polyhydramnios.
Bayyanar cutar a cikin mata masu juna biyu
Lokacin gano duk alamun rashin tabbas, yana da farko a nemi likita wanda zai yi gwaje-gwajen da suka dace kuma suyi bincike, tabbatar da menene adadin sukari yayin ciki.
Kari akan haka, duk matan da ke haihuwar yaro suna yin aikin tantancewa na tilas a cikin makonni 24 zuwa 27 na ciki don gano cutar sankarar haihuwa. Don yin wannan, ana yin gwajin jini don sukarin jini.
Bayan haka, kuna buƙatar shan ruwan zaki, a cikin abin da aka cakuda 50 g na sukari. Mintuna 20 bayan haka, ana shan jini mai kwakwalwa daga mace mai ciki a cikin yanayin dakin gwaje-gwaje.
Don haka, idan aka kwatanta sakamakon sai ya zama yadda jiki yake daidaitawa da kuma kamuwa da sinadarin glucose. Idan alamar da aka samu shine 7.7 mmol / l ko sama da haka, likita zai sake yin ƙarin bincike akan komai a ciki bayan mace mai ciki bata ci abinci awanni da yawa ba.
Cutar sankara ta hanji da magani
Kamar yadda yake da ciwon sukari na yau da kullun, mata masu juna biyu suna buƙatar bin wasu ƙa'idodi don kada su cutar da ɗan da ba a haife su da kansu ba.
- Kowace rana, sau hudu a rana, Wajibi ne a gwada don matakan glucose na jini. Kuna buƙatar yin iko a kan komai a ciki da sa'o'i biyu bayan cin abinci.
- Yana da muhimmanci a dauki fitsari a kai a kai domin bincike domin hana samuwar sassan jikin ketone a ciki, wanda ke nuna sakaci da cutar.
- An wajabta wa mata masu juna biyu abinci na musamman da wani irin abinci.
- Mata a cikin wani wuri na rigakafin dole ne su manta game da motsa jiki na motsa jiki da dacewa ga mata masu juna biyu,
- Yana da mahimmanci kula da nauyinku da kuma hana ƙimar nauyi,
- Idan ya cancanta, ana ba da insulin ga mata masu juna biyu don kula da jikin. Matan da ke cikin matsayi an yarda da wannan hanyar don cike karancin insulin a cikin ciwon sukari.
- Wajibi ne a lura da hawan jini a kai a kai kuma a kai rahoton duk canje-canje ga likita.
Abincin abinci mai gina jiki don cutar
Lokacin da aka gano cutar sankarar mahaifa, mata masu juna biyu an wajabta musu abinci na musamman. Abincin da ya dace kawai da tsayayyen tsari zai taimaka wajan magance cutar kuma ɗaukar yaro ba tare da wani sakamako ba. Da farko dai, mata masu matsayi ya kamata su kula da nauyinsu don kara yawan samar da insulin.
A halin yanzu, yunwan an hana shi cikin haihuwa, saboda haka yana da mahimmanci cewa tayin ya karbi duk abubuwan da ake buƙata, kula da ƙoshin abinci na samfuran, amma ya ƙi abinci mai kalori mai yawa.
An shawarci mata masu juna biyu su bi wasu ka'idodi waɗanda zasu taimaka wajen magance cutar kuma suna jin cikakkiyar lafiya.
Alamomin Cutar Rana 1 a cikin Mata
Secondary bayyanar cututtuka da cutar ci gaba, yafi tare da tsawan Hakika na ciwon sukari. Waɗannan sun haɗa da waɗannan bayyanannun alamun:
- fata da ƙaiƙayi da fata na fata,
- rauni da kariya daga rigakafi, da mura zuwa mura da cututtuka na kwayan cuta,
- asarar ji da gani
- rage raunin hankali reshe
- ci gaban raunuka fata da raunuka waɗanda suke da wuyar magani.
Intensarfin bayyanar cututtuka ya dogara da halaye na mutum na jikin mai haƙuri da kuma ciwon sukari.
Ciwon sukari mellitus yana haifar da canji a cikin ayyukan gaba daya kuma wanda ya fara buguwa shine tasoshin jini da kwalliyar jini, bayarda jini ga mucous membranes yana rushewa, wanda ke haɓakawa da tushen ciwon sukari kuma wannan halin yana haifar da rikice-rikice a cikin kyallen jikin mutum:
- akwai bushewa da bushewa a jikin fata, jikin mucous membrane yana rufe da microcracks,
- janar da rigakafin gida da duk ayyukan kariya na jiki an rage su,
- ma'aunin acid-base a cikin farji ya canza
- mucous membranes sun zama bakin ciki da canza wuri a cikin acidity zuwa tsaka tsaki ko kuma alkaline na faruwa
- microcracks suna kamuwa da cututtukan hoto ko bidiyo mai zagaya yanar gizo da sauri, fungi, wanda ke haifar da tsarin kumburi.
Polydipsia
Polydipsia ko jin daɗin jin ƙishirwa na ɗaya daga cikin alamun cutar sananniyar nau'in ciwon sukari na 2. Sakamakon rikice-rikice na rayuwa yayin ci gaban ilimin halittu, jiki yana ƙoƙarin hana bushewa (bushewa) ta hanyar aika da sigina ta hanyar jin ƙishirwa. A kowane hali ya kamata ku yi watsi da waɗannan alamun. Lokacin da suka bayyana, ya kamata ka yi alƙawari tare da likita, ɗauki jini da gwajin fitsari.
Rashin jin ƙarancin abinci a cikin aikin likita ana kiransa polyphagy. Tare da nau'in ciwon sukari na 2, wannan shine abin da ya zama ruwan dare. Polyphagy ya kasance saboda ƙarancin aikin insulin. Wani lokaci, yayin nazarin, kayan abinci, akasin haka, ba ya nan. Irin wannan alamar na iya nuna kasancewar gastritis, ulcers, ko samuwar kansa a cikin ciki.
Wata alama ta yau da kullun na cututtukan cututtukan cuta shine yawan motsa jiki don urinate. Urineaukar fitsari mai gudana yana raguwa tare da raguwa da reabsorption na ruwa a cikin tubules na koda. Sakamakon wannan cin zarafin shine cire dukkanin ruwa daga jiki ba tare da ɗaukar abin da ke cikin tubule epithelium. Sanadin cutar ita ce babban adadin sukari a cikin jini.
Kamshin acetone lokacin numfashi
Wani wari mara dadi mara kyau wanda yake kama da lalatattun apples yana bayyana a cikin marasa lafiya da ciwon sukari mellitus saboda ƙirƙirar jikin ketone a cikin jini. An haɗa su cikin tsari na rarraba mai. Idan cuta, akwai glucose mai yawa a cikin plasma na mutum, amma ba a sarrafa shi da kyau saboda rashin insulin. Saboda haka, sel jikin sun fara rushewar kitse.
Bayyanar cutar
Don gano ilimin cuta, ana buƙatar gwaje-gwaje masu zuwa:
- gwajin jini don sukari - ana yi da safe akan komai a ciki. Wannan binciken yana ba ka damar sanin matakin glucose a cikin jini. Matsayi na yau da kullun lambobi ne tsakanin 5.5 mmol / l,
- Ana yin gwajin haƙuri a kan glucose - ana yin niyya idan akwai tuhuma game da cin zarafin ƙwayoyin carbohydrate na jiki. A cikin ciwon sukari, ƙimar glucose na jini sun wuce 11 mmol / L. A cikin mutane masu lafiya, waɗannan lambobin suna tsakanin 7.5 mmol / L,
- gwajin fitsari don kasancewar acetone da insulin. A cikin mutane masu lafiya, fitsari baya ɗauke da acetone.
Daga cikin ƙarin hanyoyin don gano cutar, ECG, maganin urography na gaba, gwajin likitan mahaifa da likitan fata.
Establisheda'idodin sukari na tsofaffi ba su wuce 5.5 mmol / l. Lokacin ɗaukar jini da gwajin fitsari don sukari a cikin marasa lafiya tare da ciwon sukari, mai nuna alama zai zama mafi girma fiye da na al'ada.
Bugu da ƙari, kuna buƙatar gudummawar jini don cholesterol. Idan akwai haɗarin kamuwa da ciwon sukari, yi nazari akai-akai.
Binciken duban dan tayi game da kodan da kuma tattaunawa da kwararrun kwararru: masanin ilimin nephrologist, likitan mahaifa, likitan zuciya, ophthalmologist, yana taimakawa wajen binciken ciwon suga.
Kula da cutar: magani, abinci mai gina jiki da magunguna
Alamun farko na masu kamuwa da cutar siga a cikin mata na iya bacewa idan an gudanar da magani yadda ya kamata. Kula da ciwon sukari a cikin mata ya ƙunshi lura da abinci mai gina jiki da daidaitaccen aiki na jiki.
Ana gudanar da magani na musamman a kan shawarar likita. Zai yuwu a kara aikin jiyya tare da taimakon magungunan gargajiya, idan wannan bai saba wa jiyya da magunguna ba.
Mai haƙuri a kai a kai yana lura da matakan glucose. Idan ya cancanta, an wajabta wa mara lafiya allurar insulin.
Ba shi yiwuwa a rage maganin da likita ya tsara. Yana da mahimmanci ku ci daidai.
Mace an wajabta wa mata abinci abinci na musamman. An yarda da takaddun carbohydrates.
Ana cire carbohydrates mai sauƙi da mai daga abincin. A cikin kashi dari na 60% - abincin carbohydrate, 30% - sunadarai, kuma ba fiye da 20% - fats.
Marasa lafiya suna cin 'ya'yan itace da kayan marmari. Mace da ke da ciwon sukari kada ta sha giya da ruwan sha (ruwan 'ya'yan itace, soda).
Da farko dai, an wajabta tsayayyen tsarin abinci. Mai haƙuri dole ne ya daina abinci mai daɗi da abinci, da ruwan 'ya'yan itace da aka shirya, sodas, da dai sauransu har tsawon rayuwarsa .. Hakanan za ku buƙaci iyakance ƙoshin mai da soyayyen abinci, gabatar da ƙarin kayan lambu da' ya'yan itatuwa sabo a cikin abincin.
Idan abincin bai wadatar ba, to an tsara magunguna na musamman waɗanda suke maye gurbin insulin na halitta a cikin jini. Awararren likita ne kaɗai zai iya zaɓar magani da ya dace, don haka kada a jinkirta ziyarar likita. Idan an dauki matakan a cikin lokaci, to cutar sankara ba za ta haifar da rikice-rikice ba kuma ba zai hana ku jin daɗin rayuwa ba.
Sakamakon mai yiwuwa
Ciwon sukari na 2 wanda galibi yana tare da manyan matsaloli. Mafi sau da yawa, mummunan sakamako yana tasowa saboda rashin kulawa da kyau ko keta cin abincin yau da kullun a cikin mata da maza bayan shekaru 50.
Daga farkon jiyya don ciwon sukari kai tsaye ya dogara da abin da sakamakon ciwon sukari zai bayyana a cikin haƙuri a kan lokaci. Sakamakon ciwon sukari a cikin mata na iya zama haɗari ga rayuwar mata da lafiya.
Game da neman taimakon likita ba da gangan ba, asarar hangen nesa tana faruwa. A cikin mummunan yanayi, ciwon sukari yana da haɗari, saboda ƙananan ƙarshen zai iya yankewa.
Mace tana cikin haɗarin rashin ƙarfi da wahala ta jiki.
Da yake magana game da haɗarin kamuwa da ciwon sukari na 1, yakamata a faɗi cewa wannan cuta tana yawan haɗuwa tare da farawar hyperglycemia da hypoglycemia. A cikin lamari na farko, akwai karuwa mai yawa a cikin sukarin jini.
Haka kuma, zai iya tashi zuwa matakai masu mahimmanci - 33 mmol / l kuma mafi girma. Kuma wannan, a cikin sa, ya zama sanadin farkon tashin zuciya, wanda ke kasancewa ba kawai tare da lalacewar ƙwaƙwalwar ƙwaƙwalwa ba da kuma babban haɗarin cutar inna, har ma da kamawar zuciya.
Da yake magana game da haɗarin kamuwa da ciwon sukari na 2, ya kamata a lura cewa nan da nan cutar da kanta, ban da yiwuwar cutar ta trophic a jikin mutum, ba ta haifar da babbar haɗari ba. Amma idan ba ku aiwatar da magani ba, to yana iya zama sanadin ci gaban nau'in 1 na ciwon sukari, sakamakon abin da aka riga aka tattauna a sama.
Tsarin haila
Yin rigakafin kamuwa da cutar siga a cikin mata, babban aiki ne. Ana yin matakan kariya kawai don nau'in ciwon sukari na 2. Yin rigakafin ba ya taimakawa a cikin yaƙin cuta da nau'in ciwon sukari na 1.
Tsarin haila a matakai daban-daban ana san shi da matakan hormonal marasa daidaituwa a jikin mace. Matsayin hormones ya tashi, kuma saboda wasu kwayoyin halittu, matakin glucose na jini na mace mai ciwon sukari yana raguwa.
A cikin mata masu fama da nau'in 1 da nau'in ciwon sukari na 2, glucose tana cikin babban matakin na wasu kwanaki kafin a fara haila. Lokacin da kwanaki masu mahimmanci suka ƙare, bayan kwanaki 2-3, glucose zai koma al'ada.
Bayan bayyanar ranakun mahimmanci, rage sashin insulin ta 1/5.
- Dakatar da shan giya da daina shan sigari.
- Motsa jiki rayuwa ce, wasa wasanni da yin tafiya a waje
- Rasa nauyi
- Yi amfani da mitirin glucose na jini ka bincika matakin sukarinka a cikin mijjoji biyu a mako.
- Ci gaba da maganin insulin kuma ɗauki magunguna masu rage jini
- Don bincika yanayin ku, zama "baƙo mai yawa" a alƙawarin endocrinologist
Idan zamuyi magana game da mafi kyawun rabi, to, sakamakon cututtukan ƙwayar cuta a cikin mata yana bayyana a cikin mutuwar tayin, ko ɓataccen matsala a cikin ciki. Amma, idan kun lura da komai kuma ku mallaki komai, to babu abin tsoro.
Ciwon sukari (mellitus), wannan ba hukuncin kisa bane, wannan kawai bincike ne na cutar da ke da wahala, amma ana iya warke gaba daya.
Iri ciwon sukari
Ciwon sukari (mellitus) wata cuta ce wacce take rarrabu zuwa nau'I da yawa. Bambancin cutar cututtukan da ke dogara da insulin ana bayyana shi ta takamaiman alamun asibiti kuma ana nuna shi ta bayyanar cututtuka.
Me yasa ciwon sukari na 2 yake da haɗari? Rashin ilimin insulin-mai zaman kansa yana haɓaka kusan babu tsammani. Gano cutar na faruwa ne kwatsam yayin sauran binciken.
Ya kasance kamar yadda yake iya, duka nau'ikan cutar ana nuna su ta hanyar haifar da yawan fitsari a yayin rana, wanda shine babban siginar ƙararrawa. Mutum yana buƙatar fara damuwa idan akwai kullun yunwa, matsanancin nauyi. Duk wannan yana nuna ci gaban nau'in guda ɗaya ko wani na ciwon sukari.
Sanadin cutar
Dangane da lura da likitocin, rashin lafiyar insulin shine sakamakon metabolism mai rauni, musamman, katsewa a cikin abubuwan da ke haifar da narkewar ƙwayoyin carbohydrates saboda hanawa ayyukan ayyukan farji. Mai haƙuri yana da haɓaka mai mahimmanci a cikin glucose a cikin jini, kuma wani lokacin a cikin tsarin fitsari. Ciwon sukari wanda yake dogaro da insulin na iya samun duka saurin ci gaba kuma yana nuna kansa a hankali a hankali. Dukkanta sun dogara ne akan halayen jikin kowane mutum, salon rayuwa, sauran dalilai.
Nau'in 2 na ciwon sukari mellitus yana faruwa ne sakamakon rashin gado na rashin ƙarfi. Cutar tana bayyana kanta ko da a cikin yara da samari. Alamar cutar ba koyaushe take faruwa ba, musamman idan aka sami tasirin abin da ya shafi gado.
Alamar farko
Don kewayawa, akwai abubuwan da ake buƙata na gaske game da haɓakar ciwon sukari, likitoci suna ba da shawara don mayar da hankali kan makirci na musamman. An ba da shawarar ku je asibiti don bincikar cutar idan kuna da alamun masu zuwa:
- Ba za a iya sha ƙishirwa kullun ba, wanda ba ya ba ku damar shan maye gaba ɗaya.
- Dole ne ku sami rashin jin daɗi saboda urination na yau da kullun.
- Sau da yawa akwai nutsuwa, gajiya gaba ɗaya.
- Tarkuna masu kama da sitiri a cikin bayyanar sun ci gaba da kasancewa a cikin rigunan.
- Wuri yayi fadi sosai, abubuwa sunyi kama da su, abubuwa kamar a cikin hazo.
- An lura da bayyanar kuraje, wanda yake da wahalar kawar da kai.
- Akwai tsinkayewar jikin mutum na jijiyoyin jiki da nawaya a cikin babba da na ƙananan gwiwa, ana jin tasirin “gudan kumburin” a jikin fatar.
- Tsage, yanke da raunuka suna warkar da sannu a hankali.
- A cikin 'yan watanni, nauyin jiki yana raguwa da 3-5 kilogiram a cikin yanayi mai inganci, abinci mai yawa kuma ba tare da motsa jiki na yau da kullun ba.
- Abincin mai-kalori ba zai iya daidaita jikin mutum ba, ana jin yunwa kullun.
Mun gano abubuwanda ake buƙata don ci gaban cutar da alamomin halayyar. Yanzu bari mu ci gaba don magance kai tsaye tambayar menene haɗarin ciwon sukari.
Hanyar rikitarwa na cutar
Glucose wani abu ne mai mahimmanci ga jikin mutum. Koyaya, idan akwai wani abu mai yawa a cikin kyallen da ruwan jiki, ana lura da sakamako mai guba. Akwai sakamako mai haɗari na karuwar gubar glucose. Canza abu zuwa guba yana da illa mai kyau a jikin ganuwar jijiyoyin jiki, waɗanda suke zama ƙasa da laushi kuma suna halakarwa na yau da kullun.
Yawan wuce haddi a cikin jiki yayi mummunan tasiri kan yanayin jijiyoyin jini daban-daban. Ana cutar da mafi girman cutarwa ga ƙananan ƙwayoyin cuta, wanda ke shiga cikin kyallen duk jikin mutum da tsarinsa, yana tabbatar da jigilar oxygen da abubuwan gina jiki ga kowane rayayyun tantanin halitta.
Makasudin sune jijiyoyin jijiya. Sakamakon ilimin halayyar cuta, ba kawai ƙafarta ba, har ma gabobin ciki, musamman, kwakwalwa, suna wahala. Saboda rikicewa a cikin tsarin juyayi, kusan babu wani wuri inda babu rikitarwa ya tashi. Increasedara yawan matakan glucose a cikin jini yana haifar da halakar ƙwayoyin jijiya - abubuwan da ake kira Tsarin myelin. Waɗannan kyallen takarda ne ke da alhakin babban watsa ƙwayar cutar ƙwayar huhu. Kwakwalwa ba zata iya ba da umarni ga hukuma tare da ingancin su iri daya kuma tana karban hankali da sauri.
Koyaya, yanayi mara kyau yana haifar da ba kawai ta hanyar yawan kwantar da hankali na glucose a cikin kyallen jiki ba. Abubuwan da ke tattare da cutar sankara suna bayyana ne sakamakon wuce haddi na insulin a cikin jini. Wannan sabon abu da aka san shi da ma'anar hyperinsulism yana haifar da matsaloli masu zuwa:
- Rashin nauyi mara nauyi.
- Ngarfafa aikin haɗin mai, wanda ke tsokani haɓakar ci gaban atherosclerosis.
- Rage ƙwayoyin sel, saboda sakamakon hakan akwai ɓacin rai daga sassan jikin membrane na jijiyoyin jini, abin da ke faruwa na yiwuwar tashin bugun jini da yaduwar cutar sankara.
- An kunna Lipogenesis - tarin kitse mai yawa a hanta da kodan.
Don hana ƙaddamar da irin waɗannan hanyoyin, babban aiki ga mara lafiya shine amfani da hanyoyin magance nufin daidaita yanayin glucose na jini da matakan insulin, da kuma rage yawan ƙwayar lipid. Don waɗannan dalilai, yakamata a yi amfani da masu gwaji na yau da kullun, waɗanda ke nazarin yawan haɗarin abubuwa masu haɗari a cikin ruwan jiki.Mutumin da ke fama da ciwon sukari dole ne ya bi shawarar likita kuma yayi gwaje-gwaje a kai a kai a cikin asibiti.
Matsalar ido
Shin ciwon sukari yana da haɗari ga idanu? Saurin ci gaban cutar sau da yawa yana haifar da cututtukan fata na cututtukan fata. Muna Magana game da matakan lalata a cikin retina. Abu ne mai sauki mutum yayi rikitarwa na haifar da raguwar ingancin hangen nesa kuma yana iya haifar da cikakkiyar hasara.
Mene ne mafi haɗarin ciwon sukari? Haɓaka haɓakar sukari na jini zai iya haifar da ci gaban:
- Katsewa
- Glaucoma
- Rashin bayyananniyar hangen nesa.
Don rage haɗarin matsalolin da ke sama, ana ba da shawarar marasa lafiya su bayyana a kai a kai a wani alƙawari tare da likitan ido. A lokaci guda, kuna buƙatar saka idanu kan matakan sukari kuma ku bi shawarar mai kwararrun halayen, wanda zai iya guje wa irin waɗannan matsalolin.
Haramcin aikin koda
Shin ciwon sukari yana da haɗari ga kodan? Ofayan ɗayan ɓangarorin ilimin shine lalata jijiyoyin bugun jini. Rashin magance matsalar da kodan. Dalilin haka ne yana da wahala ga jikin mutum ya iya tsayayya da tsarin fitar fitsari, da cire gubobi masu cutarwa daga jiki. Mafi ingancin makami don hana cutar shine farkon cutar sankarau.
Tsarin ciki
Mene ne ciwon sukari mai haɗari ga tsarin juyayi? Akwai haɗarin gaske na haɓakar polyneuropathy. Halin da ke tattare da cuta yana haɗuwa tare da lalacewar ƙananan tasoshin da ke ba jijiyoyin oxygen da abubuwa masu amfani ta hanyar jini. Masifa na iya shafar kowane bangare na jiki. Kamar yadda al'adar ke nunawa, dattijon mutumin da yake da ciwon suga, zai zama mafi girman yiwuwar halayen marasa kyau daga tsarin mai juyayi.
Shin ciwon sukari yana da haɗari ga jijiyoyi a farkon matakan? A farko, ana iya lura da matsala guda ko ƙari:
- Matsayin hanawar tunani.
- Lokaci na lokaci na tinnitus.
- Rashin raunin hankali.
- M dysfunction na wani tashi a cikin maza, saboda rauni rauni na jijiya impulses.
Idan ba a kula da ciwon sukari ba, to a nan gaba, tsarin waɗannan matsalolin zasu sanar da kai game da kanka. Don hana irin wannan rikice-rikice daga tsarin mai juyayi, yana da muhimmanci a nemi taimakon ƙwararren mahaifa.
Limarfin ƙananan ƙafa
Me yasa ciwon sukari na 2 yake da haɗari? Sakamakon haɓaka cutar ta hanzari, ana iya samun barkewar yanayin jini a cikin ƙafafu da ƙafa. Wata gabar jiki zata kasance cikin sanyi koda da yanayin zafi na yanayi. Wannan na faruwa sakamakon mutuwar sannu-sannu na ƙwayoyin jijiya waɗanda basu wadataccen isasshen abubuwa masu amfani.
A cikin ciwon sukari, raunin haɗari dole ne a guji shi. Yana da mahimmanci a lura da yankan, blister, corns, sauran lalacewar kyallen na cikin gida cikin dacewar lokaci. Yin watsi da raunin kafafu zai haifar da yaduwar cututtuka daban-daban saboda jinkirin warkarwa. A cikin mawuyacin halin mahalli, ba tare da yanke wasu sassan ƙananan ƙarshen ba.
Tsarin kasusuwa
Insulin yana da mahimmanci don ƙirƙirar kwarangwal. Rashin kayan yana haifar da lalacewa a cikin aikin ma'adinan nama na gida. Kasusuwa sun yi zurfi, yawansu yana raguwa. Zai zama da wahala mutum yayi motsi, da yiwuwar kasala na bazata ya karu.
Menene haɗarin kamuwa da ciwon sukari na 2 ga ƙasusuwa? Musamman matsaloli a cikin haɓakar ƙwayar cutar ta hanyar insulin-ta cutar saboda mummunan gado gami da yaɗuwa tsakanin yara. Kasusuwan ba zai iya kiruwa ba kwatsam saboda rashi mai yawa a cikin kasusuwa. Bayan balagarsa, mutanen da ke da ilimin halittar jini suna cikin haɗarin kamuwa da cutar osteoporosis. Yawancin lokaci wannan ya faru riga yana da shekaru 25-30.
Wani mummunan ciwo mai saurin kamuwa da cutar sankara shine rashin ruwa a jiki. Sakamakon ba shine hanya mafi kyau ba yana rinjayar yanayin fata. Yadudduka na sama suna samo bushewar kayan rubutu. Fata yana kan bakin ciki, yana kama da takardar shinkafa. Idan mai haƙuri ya yi watsi da matsalar, akwai kowane nau'ikan fashe-fashe wanda ya zama ƙofofin shiga cikin jiki don ƙwayoyin cuta na ƙwayoyin cuta.
Hadarin yana kan wahalar cire raunuka akan fatar. Yawancin lokaci yin amfani da daskararru ba ya ba da wani sakamako. Yayin maganin fata, dole ne marassa lafiya su guji amfani da samfuran da ke ɗauke da abubuwan giya, salicylic acid, abubuwan adanawa da kayan ƙanshi.
Menene haɗarin ciwon sukari yayin daukar ciki?
Sakamakon cutar sankaran mama ga mata yayin haihuwar yara shine yawan zubar da ruwa da ke kewaye tayin da ke cikin mahaifa. A kan matsalar baya, lalacewar kyallen masu kusa, tashin farko na rashin haihuwa, zubar jini, da mutuwar jariri mai yiwuwa ne.
Mene ne mafi haɗarin ciwon sukari a lokacin daukar ciki? Sakamakon yawan ƙwayar sukari a cikin jini, wanda ke cutar da mummunan aikin jikin mutum, kamuwa da cuta a cikin ɓangaren ƙwayar cuta da kwayar urinary.
Wace siga ce mafi haɗari ga mata masu juna biyu? Tare da nau'in cuta ta 2, ana yuwuwon kasadar hip a cikin matsalolin da ke sama. Musamman a tsakanin mata sama da arba'in.
A ci gaba da taken game da haɗarin kamuwa da cutar siga a cikin mata, yana da daraja a lura da haɗarin rasa haihuwa. A baya can, cutar ta yi mummunar barazana ga youngan matan da ke shirin daukar ciki. Har zuwa 20s na karni na karshe, maganganun rashin haihuwa a tsakanin mata masu ciwon sukari sun kusan kashi 95%. A zamanin yau, saboda kowane nau'in shirye-shiryen insulin, kusan 2% na 'yan mata marasa lafiya suna damuwa da matsalolin hadi. Duk da wannan, akwai haɗarin gaske ga jarirai waɗanda ke cikin haɗarin haɗari a cikin jiki.
Menene haɗarin ciwon sukari mai haɗari?
Cutar ciki kuwa cuta ce da aka bayyana kai tsaye bayan tabbatar da juna biyu. Har ila yau kalmar ta dace da shari'ar rashin yarda da mutum ta jikin samfuran da ke dauke da glucose. A halin da muke ciki na biyu, raunin jijiyoyin sel zuwa insulin an yi bayani ne ta hanyar babban taro na nau'ikan kwayoyin halittu a tsarin jini wanda ya haifar da samuwar tayin. Bayan haihuwa, yawanci komai ya koma daidai. Koyaya, mata masu juna biyu ya kamata su lura da wataƙila yiwuwar haɓakawa a cikin matsalolin irin 1 da nau'in ciwon sukari na 2.
Menene haɗarin ciwon sukari mai haɗari yayin daukar ciki? Iyaye mata masu juna biyu ana fuskantar barazanar tawaya ta gani, hana aikin kayyadewa, hauhawar jini. Sau da yawa, saboda yanayin rashin sanin cutar, koda a lokacin samuwar tayi, mata suna fama da rauni gaba ɗaya, matsalolin numfashi. Strengtharancin ƙarfi da mita na rikice-rikice na buƙatar sashin cesarean.
Kammalawa
Marasa lafiya da ciwon sukari suna da sha'awar likitoci sau da yawa, waɗanne magunguna ne ya kamata a sha don rigakafin don guje wa ci gaban rikice-rikice da mummunan sakamako? Masana sun ba da shawarar farko da su fara yin cikakken bincike, wanda zai ƙayyade ƙimar "kwanciyar hankali" na glucose a cikin jini. Idan baku bayar da yanayin gabatar da mahimmancin farko ba, koda magunguna masu tsada zasu iya zama marasa amfani.
Mai rikitarwa mai yawa na ciwon sukari yana faruwa ne kawai idan an yarda da tsawon lokaci na ƙara yawan sukari. Wajibi ne a bi ƙimar abin da ke cikin, wanda zai iya kawar da mummunan sakamako ga gabobin da tsarin sa. Kyakkyawan yanke shawara don cimma burin shine a cire abin da ake kira carbohydrates mai sauri daga abincin yau da kullun kuma maye gurbin irin waɗannan samfuran tare da maye gurbin sukari mai haɗari.