Wani salo na zamani kan lura da lalacewar ƙafa a cikin cutar siga

Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.

Dalilin erysipelas (erysipelas) shine kwayoyin cuta: haemolytic streptococcus. A mafi yawancin halayen, waɗannan rukunin A streptococci ne, wani lokacin kuma rukunin B, C, ko G. Suna ratsa ta cikin ƙananan raunuka na babban fata na fata da membranes na mucous.

Bayyanar cututtuka da alamun erysipelas suna farawa kwatsam kuma yawanci suna tare da jin sanyi, zazzabi da ciwon kai. Wani karamin facin ja yana bayyana akan fatar. A cikin 'yan awanni, yana haɓaka sosai. Kamuwa da cuta ya bazu a cikin fata kamar igiyar ruwa, yana haifar da iyaka tsakanin yankin da kamuwa da fata mai lafiya.

Esarancin ƙarancin kyallen takarda a ƙarƙashin fata (mai kitse) sune ke saurin kamuwa da cuta. Ta fuskar, fantsama tayi yawanci ta watsu cikin kunci, a kusa da idanu da kunnuwa. Kwanan nan, erysipelas, yafi rinjayar fata na ƙananan ƙarshen. Erysipelas a kan kafa na iya faruwa a cikin mutanen da ke da niyyar varicose veins da cunkoso.

Ta yaya kuma me yasa zafin ciwo yake faruwa a cikin rauni na ciwon suga?

Cutar sankara ta kamu da kashi 70 cikin 100 na cututtukan da aka gano, yayin da ba su kula da matakan sukari wannan adadin ya fi haka yawa. Don haka me yasa ciwo na ƙafa ya faru a cikin ciwon sukari kuma wane alamun yakamata ku kula sosai don zargin ci gaban ƙafafun ciwon sukari?

The pathogenesis na ci gaban ciwon kafa a cikin ciwon sukari na kowane nau'in yana da alaƙa da rashin tabbas abin da ke faruwa na angiopathy, neuropathy. Sakamakon haɓakar dyslipidemia, haɓakar haɗarin atherosclerosis da kunna peroxidation, rikicewar wurare (ischemia) yana faruwa ba kawai a cikin manyan jiragen ruwa da ƙananan tasoshin ba, wanda aka nuna ta macro- da microangiopathy, bi da bi. Rashin nasarar ko da ƙananan tasoshin jiragen ruwa - vasa nervorum, wanda ke haɗuwa da abinci mai gina jiki na jijiyoyi, wanda ya haɓaka bayyanar da jin zafi, halayyar mutum ne. Waɗannan tabbaci sun ba mu damar yin bayanin yadda ƙafafuna na ciwo da ciwon sukari.

Raunin kafa a cikin ciwon sukari ba wai kawai saboda ci gaban angiopathic da rikicewar neuropathic ba. Kunnawa kananan halittu ke bada gudummawa ta musamman kan samuwar mummunar dangantakar “kafafu da ciwon suga”. Kafafu a cikin ciwon sukari mellitus suna da saurin kamuwa da cututtuka, saboda haka rikitutattun ƙwayoyin cuta na ƙafafu cikin nau'in ciwon sukari na 2 yawanci yakan fara, magani wanda ke buƙatar yin amfani da maganin rigakafi.

Kafafu suna ciwo a cikin ciwon sukari, ba tare da yin la'akari da aikin jiki ba. Rashin jinƙai, motsawa a cikin yanayi, musamman kafafu sun ji rauni a cikin ƙafafun ƙafa (yatsun kafa). Jin zafi na iya yadawa ga maraƙi, ga gindi. Kaukar magungunan jinya daga ƙungiyar NSAID da farko yana kawo sauƙin kai, amma sai ga shi basu da tasiri. Idan ƙafafu suna da rauni sosai da ciwon sukari, ya kamata ku nemi taimako nan da nan.

Bayan Fage na erysipelas

Fata shine muhimmin shinge na hana kwayoyin cuta. Domin erysipelas ta faru, kwayoyin cuta suna bukatar kananan raunuka ko wuraren da aka fallasa na fata (yashwa, alal misali saboda sikari, fasa) ta hanyar da zasu shiga. Irin wannan lalacewa na faruwa idan

• kamuwa da cuta a tsakanin yatsun - ɗayan cututtukan da suka fi kamuwa da su, sannan kuma shine "shigarwa" mafi yawan cuta ga streptococci
• sauran cututtukan fata masu raɗaɗi na kullum da ke haɗuwa da ƙarancin lalacewa, lalacewa, soki don 'yan kunne ko sokin, amai
• karancin isashshen jini ga fata, karancin jini.

Ana iya ɗaukar ƙarfin amfani daptoptoccci a ƙarƙashin kusoshi, to, ta hanyar tarkace, sami ƙashin fata na sama.

Bayyanar cututtukan cututtukan ƙafa a cikin cutar sankarar mahaifa

Abin da cututtuka da bayyanar cututtuka ya kamata a danganta su ga bayyanar cututtuka na ƙafa a cikin ciwon sukari mellitus za a iya gani a cikin jerin da ke ƙasa.

• Daban-daban siffofin neuropathy.
• Cutar mahaifa (a cikin ɓangarorin gwiwoyin, ƙafa, da yatsun kafa).
• Cutar sankarar mahaifa.
• Rashin rikicewar ƙwayar cuta (ulcers).
• Cutar ciwon sukari na cutar kansa (SDS) - lalacewar ƙafa a cikin nau'in ciwon sukari na 2, magani yana buƙatar tsarin kulawa.

Idan kafafu suka ji rauni tare da ciwon sukari, wajibi ne don tantance yanayin zafin, lokacin da abin ya faru. Duba fata - sau da yawa yatsan yatsun fata, tsarin kusoshi yakan canza, suma wasu lokuta sukanyi baki. Yana da mahimmanci don kimanta gashin gashi na ƙafafu. Tare da neuropathy, adadin gashi yana raguwa, da sauri suna zama marasa launi. Ingulla a cikin kafafu shine farkon abin da ya fara da lalacewar ƙafa a cikin nau'in ciwon sukari na 2, lura da wannan yanayin ba zai ba da damar SDS su bunkasa ba.

—FITA - Mai mahimmanci! Idan yatsan ya juya baki, bai kamata ku jinkirta ziyarar zuwa likitan da ke halartar ba - SDS a matsayin nau'i na lalacewar ƙafa a cikin nau'in ciwon sukari na 2, ana buƙatar magani a cikin lokaci.

Kumburi, kumburi na iya faruwa a kafafu tare da ciwon sukari. Wannan yana haifar da tarkace a cikin kafafu. Kafar ta shafa da farko, sau da yawa tana ciwo. “Kwakwalwa”, sanyin jiki na iya faruwa a wuraren da ake fama da matsananciyar damuwa (wanda yake musamman halayyar ischemic neuropathy). Abun hankali yana raguwa, a lokaci guda, kafafu sun ji rauni sosai (ana kiyaye haushin azaba). Za a iya ƙaruwa da yawan zafin jiki na ƙafafunsa ko raguwa.

Yankunan karatu da ake buƙata don gano cututtukan ƙafa a cikin ciwon sukari mellitus:

1. Babban bincike na asibiti na fari da jan jini, fitsari.
2. Nazarin kwayoyin halittun jini.
3. Bayanin Glycemic, bayanan da ke cikin haemoglobin na glycosylated (wanda ya sa ke tabbatar da cewa ana kula da cutar suga).
4. X-ray na ƙafa.
5. Duban dan tayi.
6. Binciken duban dan tayi na tasoshin jijiyoyin hannu suna iya bayyana yanayin ciwon kafa a cikin nau'in ciwon sukari na 2, magani zai fara akan lokaci.

Abubuwan da ke kara haɗarin erysipelas:

• ciwon sukari
• Ciwon jijiyoyin jijiyoyin jini (cuta na jijiya)
• Cututtuka na tsarin ɓarayi, ƙarancin ƙwayar cuta
• Rashin rikitarwa na yau da kullun na tasoshin lymphatic, lymphostasis (lymphedema). Hakanan Lymphedema na iya zama sakamakon rashin lafiyar erysipelas, tunda erysipelas yana lalata tasoshin lymphatic.
• Rashin Ingancin cuta (har ila yau magungunan da ke hana tsarin garkuwar jiki)

Abin takaici, muhimmiyar haɗari ga erysipelas shine tsufa: Tsofaffi sun fi shan wahala daga erysipelas.

Sabili da haka, ana bada shawara don kula da cututtukan fata da sauri-wuri, kula da fata sosai kuma bincika kullun don raunin da raunin da ya faru. Wannan yana da mahimmanci musamman ga masu ciwon sukari. Tun da ciwon sukari na iya rage ji daɗin ciwo - a sakamakon haka, zaku iya lura da ƙananan raunuka, alal misali, a ƙafafu. Ciwon sukari shima abu ne mai hadarin gaske ga sauran cututtukan fata da ke haifar da staphylococci ko wasu ƙwayoyin cuta.

Jiyya yana gabatowa

Yaya za a bi da kafafu don ciwon sukari kuma menene ra'ayin yanzu game da jiyya ga masu ciwon sukari na 2?

Babban fifiko a cikin jiyya da rigakafin cutar ƙafa a cikin nau'in ciwon sukari na 2, lura da arthropathy, shine sarrafa sukari na jini. Ana amfani da magunguna masu rage yawan sukari. Bigunaids, sulfonylureas, thiazolidinedinones, glucose-sodium cotransporter inhibitors da sauransu ana amfani da su sosai wajen lura da ƙafafu don ciwon sukari na 2. Zaɓin magunguna fiye da magance alamun cutar mellitus na ciwon sukari yana faruwa daban-daban, yin la'akari da haƙuri na haƙuri ga wasu kwayoyi. Lalacewar ƙafafun Neuropathic a cikin nau'in ciwon sukari na 2: lura da magungunan baka yana da tasiri.

Jiyya na ƙafafun sukari na type 2 na iya haɗawa da maganin insulin. Gaskiya ne game da maganganu na sassauci ga maganganun sarrafawa na maganganun cututtukan jini, haɓakar jihohin precoatous, da cutarma. Lissafin adadin insulin ya dogara da nauyin jikin mai haƙuri. A lokaci guda, lura da ƙafafun ciwon sukari na 2 ana yin la'akari da "ƙwarewar" cutar.

Amma abin da za a yi lokacin da kafafu suke jin zafi a cikin ciwon sukari? Abu na farko da yakamata ayi shine ziyartar likitan halartar - therapist or endocrinologist. Zai jagoranci neman shawara ga ƙwararren masani, wanda ya samar da kayan karatun da kayan aiki na farko. Zasu bayyanar da cututtukan ƙafa a cikin ciwon sukari na 2: likita zai ba da magani.

Jerin magunguna don maganin cututtukan cuta, ciki har da lura da kafafu don ciwon sukari, ya hada da shirye-shiryen jijiyoyin bugun gini. Waɗannan sun haɗa da Actovegin da Sulodexide (Wessel Duet f). Wadannan kwayoyi suna rage haɓakar thrombus, ƙarfafa tasoshin ƙafafu a cikin ciwon sukari na mellitus, suna da rarrabuwa da aikin antihypoxic. Yawancin karatu sun tabbatar da ingancin su a cutar ƙafa ta atherosclerotic (tare da ciwon sukari).

Actovegin yana samuwa a cikin ampoules na 2000 MG a cikin nau'in kwamfutar hannu (a cikin kwamfutar hannu guda 200 MG na wakili mai aiki). Mafi kyawun hanyar warkewa shine: sauyawa daga hankali zuwa sarrafawar ciki da aiki na baka. Ana gudanar da miyagun ƙwayoyi a cikin jijiya sau ɗaya a rana don makonni biyu, sannan na tsawon makonni shida ana shan shi a cikin maganin yau da kullun na 1200 MG (wato, alluna 3 ya kamata a sha sau 2 a kullun tare da ruwa mai yawa bayan abinci). Ana amfani da Sulodexide don lalacewar ƙafa a cikin nau'in ciwon sukari na 2, magani bisa ga makirci iri ɗaya, a hankali maye gurbin amfani da parenteral tare da gudanar da magana ta baka na tsarin kwamfutar hannu.

A cikin nau'in 2 na ciwon sukari na mellitus, lura da kowane nau'i na neuropathy ya haɗa da ɗaukar shirye-shiryen acid na thioctic - neuro lipone, thioctacide, thiogamma da analogues. Hakanan ana samun magungunan a cikin hanyar samar da mafita don amfani da ciki da allunan. Kashi - 600 MG. Jiyya yana faruwa a matakai biyu:

1. Ana gudanar da Thioctacid a cikin jijiyoyi na kwana goma sau ɗaya.
2. Kwana hamsin, ana shan maganin a baki, sau ɗaya a rana. Idan kafafu tare da ciwon sukari mellitus sun ji rauni sosai, tsawon lokacin amfani yana ƙaruwa.

Amfani da NSAIDs zai taimaka wajen rage ciwo a cikin ciwon mara, kamar yadda yake tare da sauran nau'ikan neuropathy (guji yin amfani da kullun saboda tsananin nephrotoxicity). Mai jan hankali baho yakan taimaka. Ana amfani da tasirin motsa jiki sosai. Tare da nau'in ciwon sukari na 2, magani yana da wahala. Ya kamata ya haɗa da hanyoyin psychotherapeutic, tausa. Musamman lalacewar ƙafa a cikin nau'in ciwon sukari na 2: magani shine nufin regressing bayyanar cututtuka, sake dawo da ayyukan da suka ɓace.

Rarrabewa na Cutar Malaria na Ciwon Mara

Ana bayyana ciwon sikila ta hanyoyi biyu - micro da macro. A cikin yanayin farko, ana shafar capillaries, a karo na biyu - manyan jijiyoyin jini - jijiyoyi da jijiyoyin jini.

Microangiopathy yana haifar da rashin abinci mai kyau na kyallen takarda, yana hana cire abubuwa masu cutarwa daga gabobin. Tightness na kyallen takarda yana haifar da hypoxia.

Macroangiopathy yana barazanar matsalolin zuciya. Wannan ilimin halayyar cuta yana haifar da cututtukan ischemic na nau'ikan daban-daban, yana barazanar ƙarancin ƙwaƙwalwar zuciya tare da rikitarwa masu zuwa.

Sanadin faruwa

Haɓaka aikin ɗan adam ya dogara da dalilai masu ciwon sukari - matakin haɓaka da siraran da ba'a zata ba a cikin ƙwayar plasma.

A cikin nau'in ciwon sukari na I, damar cuta yana da ƙasa, saboda haƙuri yana da ikon sarrafa matakin glucose da hannu ta hanyar insulin.

Masu ciwon sukari na nau'in na biyu suna cikin haɗari - kasancewar samfuran fashewar insulin a cikin jiki yana haifar da tsalle-tsalle a cikin matakan glucose.

Daga cikin abubuwanda ke haifar da faruwar cutar angiopathy na tasoshin ƙananan ƙananan, ya kamata a lura:

• Rashin hankali na tsarin jikin mutum zuwa insulin,
• Dyslipidemia - take hakkin metabolism na kitse da hadaddun furotin,
• Motsa jiki, rashin zaman rayuwa. Zuwa mafi girma, kiba mai yawa na visceral yana shafar tarin mai a cikin gastrointestinal fili - ciki,
• Hauhawar jijiyoyin jini, yawan jijiyoyin jini,
• Shan taba da c causedta ta hanyar halayen wurin haƙuri ko wurin aiki,
• Magaba har da shekaru. A hadarin masu ciwon sukari sun girmi shekara 50.

Tsarin haɓaka da alamu

Yawan wucewar glucose a jikin mai ciwon suga zai iya motsawa cikin tasoshin jini, yana fara aiwatar da hallaka.

Tissu yana rushe glucose cikin ƙananan abubuwa waɗanda suke jan hankalin taya. A sakamakon haka, tasoshin kumburi suna haifar da kumburi.

Aikin damuwa da tasirin jijiyoyin jini na ƙananan ƙarshen yana haifar da sakin abubuwa masu narkewa, saboda wanda aka kafa thrombi microscopic.

Jimlar abubuwan suna haifar da yunwar oxygen da aiki fibroblasts - abubuwa wadanda ke haifar da hadewar jijiyoyin jini. A cikin jijiyoyin jini, aiwatar da ƙirƙirar filayen atherosclerotic waɗanda ke rage yawan jini yana iya farawa.

Abinda ya faru na angiopathy wanda lalacewa ta hanyar lalacewar kyallen takarda mai yiwuwa yana yiwuwa tare da bayyanar lokaci ɗaya na matakai guda biyu: yunwar jijiya a cikin ciwon sukari da hauhawar jini. Rashin isashshen sunadarin oxygen yana haifar da mutuwar jijiyoyi waɗanda ke shafar kasusuwa na gabar jiki. A matakin farko, canje-canje a cikin jiki ƙananan ne, amma za'a iya gano shi.

Daga cikin farkon alamun bayyanar cututtukan ciwon sukari na ƙananan ƙarshen:

• Nau'in rashin daidaituwa mara iyaka da / ko raguwa cikin zafin jiki,
• Rage hankali
• Muscle zafi da / ko murhun ciki,
• Stiff tsokoki a farkon sa'o'i bayan farkawa,
• Kumburi da kyallen takarda daban-daban, bushewar fata,
• Kafafu mara nauyi
• Peeling, ƙone fata na ƙafa,
• Canzawa daga yatsun kafa.

Arin ci gaba da cutar yana haifar da lameness, canji a farfajiyar fata, da kuma bayyanar ulcers. A cikin mafi yawan lokuta masu rauni, lalatawar nama yana faruwa tare da samuwar ƙafar mai ciwon sukari - ilimin halittu wanda yanayin kashin ƙashin gwiwa ya rikice, rauni mai zurfi na purulent.

Farkon alamun bayyanar cututtukan ciwon sukari ya ƙunshi ziyartar likita don shawara da ganawa jiyya. Jiyya da wuri yana haifar da tanadin bsarfin ƙafa.

Binciko

Cikakken bincike don kasancewar ciwon angiopathy ya hada da kimanta fata na ƙafa, kusoshi, bincika kasancewar bugun jini a cikin tasoshin, auna matsin jijiyoyin ƙafafun kafa da kwatanta karatun.

Kwararrun zai kuma bincika hankalin mai kafafu zuwa sakamako masu yawa.

Gwaje-gwaje da aka sanya zasu taimaka wajen gano karkacewa a cikin jirgin sama mai guba.

Daga cikin hanyoyin bincike da aka yi amfani da su:

• Angiography - x-rayukan hanyoyin jini tare da gabatarwar bambanci,
• Doppler launi duban dan tayi,
• Komfutar kwakwalwa na kafafu,
• Karkarar CT scan
• MRI

Ana yin cikakken gwajin cutar angiopathy na ƙananan ƙarshen bayan ƙwararrun masana da yawa:

• Masana ilimin dabbobi
• Neurologist
• Likita
• Likitan zuciya
• Likitan likitan ido.

Magungunan jinya na hanyoyin jini

Tare da ciwon sukari, ana wajabta masu haƙuri su tsaftacewa da ƙarfafa tasoshin jini tare da taimakon magunguna. Wadannan magunguna masu zuwa suna da inganci:

1. Anticoagulants. Suna taimakawa wajen rage yawan zubar jini, da hana cutar jini.
2. Magungunan rigakafi. An yi niyya don rage karfin jini, saboda wanda ya rage yawan motsa jiki da haɓakar ganuwar tasoshin sassan jikin duka.
3. Nootropics.Suna "bitamin ga kwakwalwa," yana tasiri sosai ga yanayin tsarin juyayi na tsakiya. Musamman mahimmanci shine liyafar su ga mutanen da suke da matsala tare da tasoshin kwakwalwa.
4. Neuroprotectors. Suna taimakawa hana faruwar lalacewar abubuwan kwakwalwa yayin da ake fuskantar abubuwa masu illa.
5. Statins Rukunin magunguna waɗanda ke daidaita matakan cholesterol a cikin jini. Amince da magunguna masu karfi.

Jigilar abubuwa na cikin jijiyoyin jini suna da kyakkyawan sakamako. Tare da taimakonsu suna warware waɗannan ayyukan:

• inganta metabolism a kyallen takarda da microcirculation,
• An sake zagayawa da kewayen gefe,
• alamun cututtukan dystonia
• ganuwar jini yana raguwa.

Yawancin lokaci, ana saukar da masu digo a cikin hanya sau 10. Yana da mahimmanci a tuna cewa likita kawai ya ba da izinin magani. Dukkanin rukunin magungunan da ke sama basu da tasirin amfani kawai kan tasoshin jini, har ma da yawan sakamako masu illa. Sabili da haka, an zaɓi sashi gwargwado, daidaitaccen lokaci yayin da magani yake ci gaba.

Yadda ake kula da toshewar hanyoyin jini

Da zaran an gano mara lafiyar da kecewar tasoshin kafafu tare da mellitus na ciwon sukari, ana fara jinyar da wuri-wuri. Da farko dai, kuna buƙatar tuntuɓar likitan dabbobi - ƙwararren likita wanda ke kula da cututtukan ƙafa. A cikin ciwon sukari, cutar ta fara tasiri a jikin jijiyoyin jini, bayan haka ta yadu zuwa kasusuwa masu taushi, guringuntsi da kasusuwa. A cikin maganganun ci gaba, mai haƙuri yana da rauni mai rauni wanda ba ya warkarwa a ƙafafunsa, saboda hakan yakan zama dole ne a cire wani reshe.

Lokacin da aka gano matsalolin jijiyoyin jiki a farkon matakin, ya isa ga mai haƙuri ya kiyaye matakin sukari a ƙarƙashin kulawa, shan masu tunani na jini, maganin rigakafi. Idan magani mai ra'ayin mazan jiya bai kawo sakamako ba, kuma yanayin mai haƙuri ya tsananta, to za a buƙaci sa hannun tiyata. Akwai matakai da yawa waɗanda suke tsarkake tasoshin kuma suna hana ƙarin cukarwa:

1. Laser Therapy Ana kone jiragen ruwan da aka lalata tare da laser. Jiyya yana da tasiri tare da ƙananan raunuka.
2. Kawaz. An gabatar da catheter na musamman tare da balloon a cikin tasoshin ta hanyar articho artery, wanda ake jigilar shi zuwa wurin da lalacewa. Daga nan sai a huda shi da iska, ta yadda zai cire adon jirgin. Yayin aikin, ana bincika dukkan motsi ta amfani da kwamfuta.
3. Sanyawa. Yana da ƙari ga hanyar da ta gabata. An saka firam na musamman a cikin jirgin a maimakon catheter tare da balloon. An tsara ƙirar don dogon sutura.
4. Kewaya tiyata. An cire wani sashi na jirgin ruwa da ya lalace, wani sashi na jijiya ko kuma bututu na wucin gadi ana sanya shi a wurin sa.
5. Haskakawa. Ana tsabtace jijiyoyin jiki lokacin da aka lalata wuraren da suka lalace kuma a tsaftace su daga filaye don faɗaɗa ƙwayar katako.

Ana gudanar da dukkan jan hankali a asibiti, saurin warke bayan su ya dogara da tsananin rauni na jijiyoyin jiki, shekarun mai haƙuri. Hanyoyin da ke sama suna da tasiri mai kyau a cikin yanayin tsarin jijiyoyin jini, tunda tare da taimakonsu yana yiwuwa a hana ba kawai ci gaba da gangrene ba, har ma da bugun jini ko kuma guda ɗaya.

Sauran hanyoyin magani

Za'a iya rage lalacewar jijiyoyin jiki wanda ke faruwa tare da ciwon sukari ta amfani da maganin gargajiya. Mafi inganci sune girke-girke masu zuwa:

1. 250 ml na ruwan zãfi sha 1 tablespoon na blueberry ganye. Dukkan abubuwan an haɗa su, an ba su izini don minti 10. Aauki abin sha sau 3 a rana.
2. Yana da kyau ga masu ciwon sukari su ci fure. Ana amfani dasu duka a cikin ɗanye da kuma tsari mai tsari, alal misali, don shiri na compotes, ruwan 'ya'yan itace, jelly ko jelly.
3. Yana da amfani don amfani da jiko flaxseed. A saboda wannan, kayan albarkatun ƙasa sune ƙasa mai gari, an sanya shi cikin thermos kuma an cika gilashin ruwan zãfi. Aauki abin sha kafin abincin dare.
4. Ganyayyaki da furanni na tsire-tsire kamar Linden, chamomile, calendula an ƙara su a cikin salads kuma ana amfani da su a cikin abincin yau da kullun. Suna taimakawa haɓaka matakan jirgin ruwa na ƙananan ƙarshen.
5. Tsarkakewa na jijiyoyin jiki ta amfani da kernels na goro yana da matukar tasiri. An murkushe su zuwa jihar mai tsabta, sannan sai a ɗauki 1 tablespoon sau 2 a rana kafin abinci. Ya kamata a wanke magungunan da ruwa. Tsawon lokacin jiyya shine watanni 2, bayan haka kuna buƙatar hutawa.

Yana da mahimmanci a tuna cewa kafin tsaftace tasoshin don ciwon sukari mellitus tare da taimakon magungunan gargajiya, kuna buƙatar tuntuɓi likitanku. Yawancin tsire-tsire masu rashin lafiyan ƙwayoyi ne, kuma kwayoyi suna da yawa a cikin adadin kuzari, wanda zai haifar da mummunan yanayin yanayin mai haƙuri.

Yin rigakafin Jijiyoyin jiki

Don rage haɗarin lalata bututun jini, marasa lafiya masu ciwon sukari ya kamata su bi waɗannan matakan kariya:

1. Yi taka tsantsan bi duk umarnin likita kuma kar a ba da magani kai. Game da abubuwan jin daɗin ji a cikin gabobin, lalatawar lafiya, yana da muhimmanci a sanar da likita a kan kari. Wannan zai taimaka a lokaci don gane matsalar kuma a fara magani.
2. Ku bi abinci na musamman, kada ku tsokani karuwar sukari jini. A saboda wannan, duk abinci mai dadi, har da abinci maras carb, an cire shi daga abincin. An ba da fifiko ga wasu nau'ikan kayan lambu da 'ya'yan itace, ganye, ganye mai dausayi.
3. Jagoranci rayuwa lafiya. Yana da mahimmanci a bar kyawawan halaye, gwargwadon damar kasancewa cikin sabon iska don hana faruwar abubuwa masu tsayayye a jiki. Bayan yin shawarwari tare da likitan ku, zaku iya shiga cikin wasanni marasa nauyi masu nauyin gaske da nufin inganta zaman lafiya. Wannan na iya zama yoga ko Pilates, tafiya ta hutu, iyo.
4. Idan jiragen ruwa suka lalace, ana fara jinya da wuri domin a hanzarta lalacewa kuma a kiyaye su cikin yanayi mai kyau.
5. Wajibi ne a bincika ƙananan ƙarshen kowace rana, don kar a ɓacewar faruwar cututtukan trophic. Idan fatar jiki na iya kasancewa da bushewa, ana magance ta da mayukan shafawa da taushi da ke ƙaruwa da jijiyoyi.

Yana da mahimmanci a bi duk matakan da aka lissafa a sama, sannan za a rage haɗarin haɗari a cikin tsarin zuciya.

Cutar sankara (mellitus) cuta ce mara nauyi wanda ke fara cutar da jijiyoyin jini, hakan yana haifar da rashin aiki a cikin dukkan gabobin ciki. Don kauce wa rikice-rikice, kuna buƙatar kulawa da lafiyar ku a hankali kuma bi duk umarnin likitan ku.

Babban bayani

Ciwon sukari mellitus - wata cuta wacce take faruwa sakamakon ƙarancin wadatar ko ƙarancin dangi insulin.

Mutanen da ke da ciwon sukari suna da matsala tare da tsarin zuciya da jijiyoyin jini kafin a fara bayyanar alamun cutar sankara. Mutanen da ke da ciwon sukari, musamman nau'in na biyu, suna da haɗarin haɓakar cutar cututtukan zuciya.

Sanadin lalacewar bugun zuciya na hanji

An yi la'akari da tabbaci cewa mafi yawan lokacin da mutum yake fama da ciwon sukari, hakan shine mafi girman hadarin lalacewa na jijiyoyin jiki. Increasedarin haɗarin cutar bugun jini a cikin ciwon sukari yana da alaƙa kai tsaye zuwa babba hawan jinirashin bin doka da oda abinci, shan taba, rashin isasshen aikin jiki. Tare da ciwon sukari, yawanci yakan faru atherosclerosis a sakamakon tarawa a bangon jijiyoyin jini cholesterol. A kan lokaci, ilimi Platin cholesterolwannan ya kawo cikas ga harkokin sufuri oxygen zuwa zuciyar tsoka. Idan akwai yiwuwar rabuwa da ƙwayar cholesterol, to a ƙarshen a wannan wurin na iya bayyana suturar jini, wanda daga baya ya zama sanadin mummunan cututtuka - bugun jini, 'yan ta'addasakamakon karancin yaduwa a cikin gabar jiki.

Bayyanar cututtuka na lalata na jijiyoyin bugun jini

A cikin mutanen da suka yi rashin lafiya ciwon sukari, Idan akwai matsaloli tare da tasoshin, ana iya lura da nau'ikan alamu. Lalacewar tasoshin jini a cikin mellitus na ciwon suga ana iya bayyana shi ta hanyar matsaloli tare da hangen nesa: mutum yana ganin komai wofi, lokaci-lokaci “ƙudaje” a gaban idanunsa. Mafi sau da yawa, mai haƙuri yana da kumburi daga gefen da fuska, raunuka sun bayyana akan kafafu, kuma hankalin hannayen biyu da kafafu ya ɓace. Wani lokacin idan tafiya ta bayyana cikakken bayani da jin zafi a kafafu. Bugu da ƙari, a cikin haƙuri tare da raunuka na jijiyoyin bugun jini, girgije da kumburin fitsari na iya faruwa, ana nuna hawan jini a kai a kai, jin zafi a cikin yankin kirji lokaci-lokaci.

Ciwon mara na Angola

Ciwon mara na Angola Shin lalataccen jijiyoyin bugun zuciya, wanda ake kira maganin ciwon kai. Wannan ilimin aikin likita yana da takamaiman ne ga masu ciwon sukari. A jikin mutum, a matakin kauri, ana jigilar abubuwa masu mahimmanci zuwa kyallen takarda, kazalika da dawo da kayayyakin sharar salula daga kyallen takarda. Idan capillaries sun lalace, wannan tsari yana raguwa, wanda ke shafar jiki gaba ɗaya.

A cikin marasa lafiya da ciwon sukari, atherosclerosis yana bayyana a baya fiye da sauran mutane. Wannan cuta ta fi tsanani a cikin masu ciwon sukari fiye da sauran marasa lafiya. Atherosclerosis a cikin ciwon sukari na iya haɓaka cikin mutanen biyu maza da kowane zamani, yayin da ake haɗuwa da shi sau da yawa microangiopathy. Atherosclerosis yana shafar jijiyoyin zuciya, tasoshin kwakwalwa, jijiyoyin jikin manya da ƙananan.

Ciwon sukari (angiotathy) na tasowa cikin haƙuri saboda sakamako mara kyau na cutar da ciwon suga. Wannan ya ƙunshi take hakki a ciki mai da metabolism metabolismAndaura mai ƙarfi da haɓakawa cikin abun ciki glucose a cikin jini, mahimmancin rashin daidaituwa na hormonal. A sakamakon haka, tasoshin jini suna wahala: wadatar iskar oxygen zuwa kyallen takan zama ba ya aiki, kuma kwararar jini a cikin kananan tasoshin suna da damuwa.

Ci gaban angiopathy yana faruwa a ƙarƙashin rinjayar hanyoyin sarrafa kansa. A cikin jikin mutum, halayen autoimmune yana haɓaka sakamakon amfani da insulins masu aiki na tsawon lokaci don jiyya. Bugu da ƙari, yin amfani da barasa da shan taba sigari ta marasa lafiya yana da matukar illa ga ci gaban angiopathy.

Cutar tasoshin kafafu tare da ciwon sukari

Ba tare da la’akari da yadda cutar zazzabin cizon sauro ke bayyana kanta ba, a cikin marasa lafiya da alamun cututtukan mellitus kamar su rarrabuwar kai, rauni na ƙafa sukan lura sosai. Bayan haka, cutar na iya haifar da ci gaba 'yan ta'adda. Dangane da ƙididdigar likita, a cikin marasa lafiya da masu ciwon sukari 'gangrene suna haɓaka sau 50 sau da yawa fiye da mutane masu lafiya. Mafi sau da yawa, gangrene a cikin ciwon sukari na tasowa a cikin matan da ke da ciwon sukari.

A matsayinka na mai mulkin, a matakin farko na haɓakar angiopathy na ƙafafu, ba a lura da canje-canje da alamun cutar ba. Kasancewar wasu canje-canje za a iya ƙaddara lokacin nazarin ta amfani da hanyoyin tachoscillography, capillaroscopy, rheography.

A mataki na biyu na ci gaba da cutar da tasoshin ƙafafun kafafu, wanda ake kira da aiki, mutum ya riga ya bayyana ciwo lokaci-lokaci a cikin ɓangarorin nesa. A farko, jin zafi na iya wahala kawai tare da doguwar tafiya. Daga baya, zafin yakan fara bayyana kansa lokaci-lokaci shima yana hutawa, yayin da lokaci zuwa lokaci mai haƙuri yana da paresthesia, firgita mai ƙuna ko jin sanyi. Can a gaji da damuwa cikin dare katsewa kafafu.

A kan aiwatar da nazarin mai haƙuri a wannan matakin, ƙwararren masani ya lura cewa yana da paleness da sanyaya ƙafafunsa. A kan palpation, za a ji rauni a farji a cikin jijiyoyin baya da kuma jijiyoyin jijiyoyin baya.

Idan cutar ta ci gaba, sannu a hankali ya wuce zuwa kashi na uku, matakin kwayoyin. A wannan lokacin, mutum ya riga ya sami cikakkiyar matsala ta magana, wanda ke ci gaba da samun ci gaba. Bayan wani lokaci, zafin yakan zama na dindindin kuma baya raguwa ko da rana ko a dare. Kodayake, idan mai haƙuri ya mamaye abubuwan mamaki na microangiopathy na masu ciwon sukari, to zafin bazai faɗi haka ba. Saboda haka, bayyanuwar canje-canje mai zafi na iya zama mai kaifi kuma kwatsam ga mutum.

Fata a kan kafafu kuma ya canza tsarinta: ya zama mai laushi da bushe, mai sauƙin rauni. A farko, fata mai launin palelo a hankali tana samun kullun mai launin cyanotic. Akwai rauni mai rauni na jijiya, sai kuma jijiyoyin kafafun da suka biyo baya. Idan ta bugo, to ya yi rauni sosai. Wani lokaci ya bayyana akan babban yatsan yatsa ko a kan yatsun kafafu, da kan tafin hannu kumfacike da ruwa mai fitar da farin jini. Daga baya, mai haƙuri ya bayyana rauni na trophicwaɗanda ba sa warkar da dogon lokaci.

A lokaci guda, raunuka na iliac da feminin arteries suna bayyana a cikin mafi yawan lokuta mafi wahala. Irin wannan ilimin halitta shaida ne cewa mai haƙuri ya ɓullo da mummunan yanayin atherosclerosis obliterans.

A sakamakon haka, gangrene ya zama mummunan haɗarin cututtukan cututtukan jijiyoyin jiki, wanda zai iya haɓaka sakamakon gogewar atherosclerosis, da kuma rikitarwa na microangiopathy na ciwon sukari. Gangrene yana kawo rikicewar cutar kansa mai fama da cutar amai da gudawa. Haɓakar gangrene galibi yana farawa ne da wurin da masarar keɓaɓɓiya ko wani rauni da ya gabata. Haɓaka gangrene na iya faruwa ta hanyoyi daban-daban. A Dry gangrene necrotic talakawa ne sannu-sannu mummified da ƙi. A Wet gangrene mara lafiya yana da matukar tsananin bayyanar cututtuka, da kuma yankuna kwance ke tasowa na rayayye.

Lalacewar jijiyoyin bugun zuciya a cikin mutane daban-daban na iya faruwa ta hanyoyi daban-daban. A wasu halaye, tsarin yana tafiya a hankali, tsawon shekaru, wasu lokuta shekarun da suka gabata. Amma wani lokacin, a cikin marasa lafiya da ciwon sukari mellitus, hanyar ciwon sukari-da microangiopathy na haɓaka da sauri, kuma gangrene na iya haɓakawa a wannan yanayin kusan nan take. Siffofin tsari kai tsaye sun dogara da yanayin hanyar ciwon sukari mellitus da aka lura a cikin haƙuri.

Jiyya na lalata da jijiyoyin bugun jini

Kulawa da cututtukan jijiyoyin jiki a cikin ciwon sukari ya ƙunshi samar da iko akan matakin hawan jini, da kuma tallafawa koyaushe ga matakan sukari na al'ada. A saboda wannan, yana da matukar muhimmanci a bi abincin da likitocin halartar suka bada shawarar, da kuma shan magunguna masu dacewa.

Yin amfani da kwayoyi na yau da kullun waɗanda ke rage glucose ko insulin wajibi ne ga masu ciwon sukari. Don rage karfin hawan jini a cikin cutar sankara beta-blockers, angiotensin yana canza masu hana enzyme, allunan tashar allikazalika kamuwa da cuta. Za'a iya rage cholesterol na jini tare da gumaka.

Idan mai haƙuri yana da haɗarin haɗarin jini, to, ana iya tsara magunguna waɗanda ke rage matakin hulɗa countlet plate. Zai iya zama Asfirin, Plavix.

Idan raunuka sun samo asali akan fata na kafafu, to ya kamata a bi da su ta hanyar tiyata. Don hana bayyanar sababbin raunuka da yaduwar kamuwa da cuta, an wajabta mai haƙuri maganin rigakafi. Rashin ingantaccen magani na ƙarshe zai iya haifar da ƙarin kamuwa da cuta, ɓarna da yanke hannu. Don gargadi yanki yi angioplasty, stenting, kewaye tiyata. Hanyar magani ana ɗaukar su daban-daban ta likitan jijiyoyin bugun gini.

Tare da maganin retinopathy, ana yin wani aikin laser na musamman wani lokaci. Tare da taimakonsa, ana fitar da jijiyoyin jijiyoyin ƙwayoyin cuta, waɗanda ke haifar da raunin gani a cikin marasa lafiya da masu ciwon sukari.

Sanadin rushewar hanyoyin jijiyoyin jini

Abubuwan da ke haifar da lalacewar jirgin jini a cikin sukari mellitus sune tsawaita yawan jini a cikin jini, halaye marasa kyau, rashin motsa jiki, da hauhawar jini. Bugu da kari, likitocin sun tabbatar da cewa rushewar hanyoyin jijiyoyin jini na iya haifar da rashin bin ka’idar abincin da aka ba da shawarar.

Ya kamata a lura cewa kasancewar ciwon sukari ya riga ya zama sanadin lalacewa mai girma a cikin jikin mutum, sakamakon wannan na iya zama wanda ba zai iya juyawa ba. Amma kamar yadda al'adar ta nuna, tare da ciwon sukari, batun bin umarnin likita na likitoci, ana iya kiyaye tasoshin jini cikin yanayi mai kyau na dogon lokaci.

Waɗannan shawarwarin za su kasance:

1. ban da abinci takarce
2. rigakafin cututtukan zuciya
3. motsa jiki na yau da kullun
4. amfani da maganin ganye.

Godiya ga waɗannan ƙananan hanyoyin, zaka iya ƙarfafa tsarin rigakafi.

A gaban ciwon sukari, ana buƙatar mai haƙuri ya lura da yadda tasoshin sa ke motsawa a cikin idon ƙafa, gwiwoyi, wuyan hannu. Hakanan kuna buƙatar yin la'akari da tsari ko azaba mai raɗaɗi ko ba tafiya mai tsawo, kula da launi na fata, kasancewar pallor, hujjoji na asarar gashi mai yawa.

Idan mataki na cutar ya makara, abincin da ke cikin fata ya lalace har ya sa adadi mai yawa na cututtukan trophic suka haɓaka, waɗanda suke da wahalar bi da ƙwaƙƙwaran rauni na warkarwa.

Ciwon mara jijiyoyin bugun zuciya yana bayyana kansa ta hanyoyi daban-daban, wasu lokuta hanyoyin kanada rauni, sunada shekaru masu yawa ko ma shekarun da suka gabata. Koyaya, akwai sauƙin ci gaba mai sauri na microangiopathy na ciwon sukari, gangrene na iya bayyana walƙiya cikin sauri. Ta yaya daidai wannan ya faru ya dogara da tsananin ciwon sukari. A cikin marasa lafiya da yawa, gangrene yana farawa daidai daga wurin da aka yi rauni a baya, ɓarke ​​a cikin fata ya faru.

Saboda matsananciyar yunwar oxygen, ana shafar ƙarshen jijiya, yanayin da ake kira polyneuropathy na ciwon sukari. Lokacin da matakan ke da sauƙi, rashin jin daɗi yana iyakance ga:

• abin mamaki
• ƙarancin tsoka.

Bayan wani lokaci, zafin da ba za a iya jurewa ba yana farawa waɗanda ke farka da dare.

Kada ku manta da gwaje-gwaje na likitoci, ziyartar asibitin don gwaji, gudanar da bincike game da yanayin zuciya, tasoshin jini, da sauran gabobin ciki. Wajibi ne a kula da yawan magunguna da nufin daidaita matakan glucose na jini.

Ya kamata a tsara tsaftacewa na jijiyoyi don kamuwa da cuta don haɓaka ayyukansu, ƙarfafa aikin su.

Me zai yi idan kafafu suka ji ciwo tare da ciwon sukari?

• Bayyanar cututtuka da nau'ikan cututtukan ƙafa a cikin masu ciwon sukari
• Me yasa kafafuwana suka ji ciwo tare da ciwon sukari?
• Matakan bincike
• Me zai yi idan kafafu suka ji ciwo tare da ciwon sukari?
• Hanyoyi na gari
• Sakamakon mai yiwuwa
• Siffofin Kulawa da Kafa