Ciwon sukari a cikin tsofaffi

Muna ba ku karanta labarin a kan taken: "ciwon sukari a cikin tsofaffi" tare da sharhi daga kwararru. Idan kana son yin tambaya ko rubuta ra'ayi, zaka iya yin wannan a ƙasa, bayan labarin. Kwararrun masanan ilimin likitancin mu zasuyi muku amsar.

Me yasa ciwon sukari ya tashi a cikin tsofaffi kuma menene haɗari?

Ana ɗaukar ciwon sukari mellitus wata cuta ce mai rashin hankali ga ɗan adam, yana buƙatar saka idanu akan yanayin da manyan kudade don tabbatar da magani.

Abubuwan da zasu iya haifar da cutar sankara - illa ga aikin koda, hanta, matsalolin zuciya. Sabili da haka, yana da mahimmanci a bincika daidai kuma a cikin lokaci.

Ana lura da juriya na insulin ba kawai a cikin tsofaffi ba. A yau, yara marasa lafiya da yara sukan kamu da cutar. Amma tambaya mafi dacewa ita ce har yanzu ga mutanen da shekarunsu suka fi shekaru 55. Menene dalilin wannan fasalin, yadda za a gano musababin musababin cutar sankara?

Kamar yadda bincike na asibiti ya nuna, ciwon sukari mellitus, musamman nau'in II, yana faruwa ne a kan asalin tsaran kwayoyin halitta (80% na cututtukan fata). Akwai wasu dalilai na biyu wadanda suma suke bayar da gudummawa ga ci gaban cutar.

Musamman, yana da mahimmanci a san abubuwa da yawa da ke haifar da ciwon sukari:

• kiba kowane wahala. Yana cikin metabolism na lipid cewa akwai hadarin da ke da matukar mahimmanci ga mutanen da ke da jinkirin metabolism a jiki,
• yanayin damuwa na kowane irin ƙarfi da tsawon lokaci. Ga tsofaffi, yanayin damuwa ɗaya ya isa, a bango wanda za a sami haɓakar haɓakar jini, arrhythmia da kuma ƙara yawan ɓoyewar cortisol (hormone damuwa). Sakamakon damuwa na damuwa na yau da kullun, jiki zai iya amsawa ba daidai ba, tsokani bayyanar insulin juriya,
• rayuwa mai zaman kanta a hade tare da ƙarancin abinci mai gina jiki (keɓaɓɓu, ƙoshin dabbobi) bisa ga masu bayar da kuɗi suna haifar da tsinkayar cutar sankara.

Marasa lafiya waɗanda suka girmi shekaru 50 sau da yawa suna da matakan haɓaka kwayoyin homon-contraor. An fara daga wannan zamani, akwai tsinkayar dabi'a ta dabi'a zuwa ga samar da kwayoyin hodar iblis a cikin STH, ACTH, da cortisol.

A ƙarshen wannan aikin, haƙurin glucose ya ragu. A aikace, alamomin da ke canzawa suna sanadiyyar abubuwan da zasu iya kawo canji ga cigaban ciwon sukari, duka dangane da yanayin gado kuma ba tare da shi ba.

Endocrinologists lura cewa kowace shekara 10 (bayan 50):

• sukari matakin hawa da sauka kusa 0055 mmol / l (a kan komai ciki),
• da yawaitar glucose a cikin kwayoyin halitta (plasma) bayan 1.5-2-2 hours bayan shigo da kowane abinci yana ƙaruwa da 0,5 mmol / L.

Waɗannan alamu ne kawai na matsakaita, waɗanda a rayuwa zasu iya bambanta.

A cikin tsofaffi, ba tare da la'akari da tsinkaya ba, maida hankali na HCT (glucose a cikin jini) ya bambanta da abubuwa da yawa, waɗanda aka ayyana a sama azaman na biyu. Sakamakon mafi girma ko ƙananan haɗari ga nau'in ciwon sukari na II a cikin masu ritaya.

Don yin bayani dalla-dalla, ya zama dole cikin kuzari don saka idanu kan abubuwan da ake amfani da shi na jini bayan kowace abinci (bayan awanni 2). Increasearuwar lambobi yana nuna cewa akwai rikice-rikice masu yawa a cikin jiki, wanda a cikin tsufa yana nufin kasancewar ciwon sukari .ads-mob-1

Take hakkin haƙuri (ƙarar alamun alamun plasma) zuwa glucose a cikin tsufa galibi shine sakamakon wasu dalilai da yawa:

• raguwa daga tushen canje-canje masu tsufa a cikin ji na jijiyoyin jiki zuwa insulin,
• rage aikin cututtukan ƙwayar cututtukan ƙwayar cuta, musamman, insulin insulin,
• sakamakon lalacewa (hormones) yana raguwa saboda tsufa.

Yawan nau'in ciwon sukari na II na cikin masu karban fansho ana ɗaukar nauyi da dalilai kamar su yawan cututtukan ƙwayoyin cuta.

Dangane da kididdigar endocrinologists, 80% na marasa lafiya da wannan cuta a baya suna da hauhawar jini ko dyslipidemia. Irin waɗannan yanayi suna buƙatar magani na musamman (prophylactic ko inpatient).

Bayan wasu magunguna don cututtukan da ke sama, sakamako masu illa suna faruwa: take hakkin carbohydrate da lipid metabolism. Waɗannan halayen suna rikitar da cututtukan metabolism waɗanda ke buƙatar gyara a cikin masu ciwon sukari.

Determinationudurin ciwon sukari a cikin tsofaffi yawanci bazuwar.

A matsayinka na mai mulkin, marasa lafiya ko danginsu ba su mai da hankali ga rashin bayyanar cututtuka ba, wanda, a halin yanzu, alamomi ne masu mahimmanci na haɓaka wata cuta mai rikitarwa.

Gajiya, rashin barci, sauyawa yanayi da cututtukan hoto na yau da kullun - waɗannan alamun halaye ne ga tsofaffi.

Saboda haka, da yawa kawai basa neman shawara, suna danganta dukkan alamu shekaru. A halin yanzu, waɗannan alamun ne, har ma da adadin adadin ruwan da aka ɗauka wanda ke nuna kasancewar cutar.

Kamar kowane cuta a cikin tsofaffi ko tsufa, ciwon sukari yana da maki masu haɗari waɗanda suke da mahimmanci don la'akari da duka marasa lafiya da kansu da danginsu:

• rikice-rikice na jijiyoyin jini (macroangiopathy na manyan jijiya da jijiya),
• microangiopathy ko canjin arterioles, capillaries, venules (atherosclerosis),
• cututtukan zuciya da jijiyoyin jini
• karuwar hadarin na ta hanyar mamayar da zuciya,
• karuwar hadarin bugun jini,
• atherosclerosis na tasoshin ƙafafun.

Ya kamata a fahimci cewa microangiopathies (atherosclerosis) yana haɓaka cikin tsofaffi da sauri fiye da a cikin marasa lafiya da ke da irin waɗannan cututtukan tun suna ƙarami. A kan asalin ciwon sukari mellitus, irin waɗannan rikice-rikice mara kyau kamar raguwar hangen nesa (don cikakkiyar makanta), aikin retinopathy na baya, da kuma girgizar ruwan tabarau an bayyana.

A gaban cututtukan koda, nephroangiopathy, cututtukan pyelonephritis na kullum. Sau da yawa ana fama da cutar ƙwallon ƙafa. Wannan tsari yana tattare da rage girman hankalin fata akan kafafu, daga lokaci zuwa lokaci akwai abin da ke jan hankali game da creeps, kuma dukkan fatar ta bushe, kamar takarda nama .ads-mob-2

Idan kuna zargin ciwon sukari, likita ya ba da izinin yin binciken (aƙalla sau biyu) na abubuwan glucose na jini:

• glycated haemoglobin,
• albumin karin albumin,
• sukari na azumi (plasma)> 7.0 mmol / l - mai nuna ciwon sukari,
• sukari na jini daga yatsa> 6.1 mmol / L shima alama ce ta ciwon suga.

Yana da mahimmanci la'akari da shaidar fitsari don kasancewar glucose, acetone. Binciken da likitan likitan ido, likitocin kwakwalwa ke dauka na tilas ne.

Yawancin marasa lafiya, suna fatan samun waraka tare da taimakon shawarwari masu sauƙi, fara yanayi mai rikitarwa, yana haifar da samuwar cutar siga.

Sugar a cikin wannan yanayin ya wuce alamar 30 mmol / l (a ƙimar kasa da 5), ​​magana ta narke, tunani ya saba. Ba wai kawai ƙwayoyin kwakwalwa ba ne suke lalata, harma da dukkanin gabobin ciki. Ads-mob-1

Magana game da magani a wannan yanayin yana da matukar wahala. Aikin shine na likita don ceton rai da inganta halayyar rayuwa. Yin magani na ciwon sukari shine kawai zaɓi na daidai wanda zai iya tsayar da lafiyar, sannan kawai sai a kula da yanayin al'ada.

Lokacin da zai yuwu a daidaita matakan sukari, ana bada shawara don amfani da increatins (mimetics, GLP-1). Amma, a kowane hali, yana da mahimmanci a fahimci cewa ingancin rayuwa ya dogara da yanayin farkon mai haƙuri, kuma matakan da yawa na warkewa suna nufin rage sukari. A nan gaba, mara lafiya ne kawai ke lura da abincin, yana ɗaukar shawarar likitansa.

Magunguna da aka saba rubutowa:

Kula da ciwon sukari a gida shine fasahar bayyanar mutane wanda ke taimakawa a farkon matakan cutar ba tare da dogaro da insulin ba. Canji ga hormone ba ya wanzu.

Yana yiwuwa a inganta yanayin, a yawaita gafarar cutar ta hanyoyin tabbatar da mutane:

• buckwheat da kefir. Grit grits (zai fi dacewa ba a soyayyen) a cikin adadin 1 tbsp. l zuba a gilashin kefir da daddare, kuma sha da safe. Yi shi aƙalla wata ɗaya
• kayan ado na bay. Zuba ganye 8-10 tare da ruwan zafi, sannan a zuba ruwan zãfi (600-700 grams). Bada izinin kwantar, ɗaukar ciki rabin rabin gilashin na kwanaki 14,
• Boiled wake. Hakanan yana rage sukari sosai. Kawai hada shi a cikin abincinka,
• decoction na matattu ƙudan zuma. Yana da mahimmanci a tuna cewa ƙwayoyin zuma kada su yi rashin lafiya. Dafa ƙudan zuma 20 a cikin lita biyu na ruwa na awa 2. 200auki gram 200 a rana.

Babban abu tare da ciwon sukari, ba tare da la'akari da nau'in ba, shine matsakaici na aiki da abinci mai dacewa.

Ka fitar da kifin mai mai (marine), nama, da dukkan abubuwan da ke ƙunshe da sinadarin cholesterol daga abincin.

Yana da mahimmanci a cire kayan sabo da kayan gasa.

A mafi yawan lokuta, teburin cin abinci likita ne wanda jagoran bincike suka jagorance shi, yanayin mai haƙuri da kuma cutar ta cuta. Yarda da duk ka'idodi suna taimakawa haɓaka tasirin magani.ads-mob-2

Game da ciwon sukari a cikin tsofaffi a cikin bidiyo:

• Yana daidaita matakan sukari na dogon lokaci
• Maido da aikin samarda insulin

Ciwon sukari a cikin tsofaffi maƙiyi ne mai haɗari mai laushi, wanda galibi ana gano shi lokacin da ya yi latti ... A yau ina son in gabatar da muhimmiyar taken ga mutane da yawa, kuma, musamman, a gare ni. Bayan haka, iyalina ma sun wahala da baƙin ciki sakamakon asirin ciwon sukari.

An rubuta shi sau da yawa cewa a cikin tsofaffi marasa lafiya hanyar cutar ta tabbata kuma ba ta da lafiya (mai laushi). Kuma manyan matsaloli sun taso tare da wannan, saboda:

• Babban alamar cutar sankara a cikin tsofaffi, masu kiba, tana cikin kusan 90% na tsofaffi.
• Ta hanyar al'ada ta baƙin ciki, mutane a cikin ƙasashen bayan Soviet ba sa son ganin likitoci, sabili da haka, a cikin rashin alamun bayyanannu, ciwon sukari na iya haɓaka shekaru da yawa.

Tare da duk wannan stealth, cutar a cikin mutanen da ke tsufa, rikice-rikice daga rashin aiki da rashin magani na iya jefa rayuka da yawa. Kashi 90 cikin dari shine nau'in ciwon sukari na 2 a cikin tsofaffi. Nau'in na farko yana da wuya, kuma yana da alaƙa da cututtukan cututtukan cututtukan fata.

Ciwo na jijiyoyin jiki da na trophic. Atherosclerotic vascular raunuka na iya haifar da ciwon sukari kuma ya kasance rikitarwarsa. Babban alamun bayyanar shine hangen nesa, zafin zuciya, kumburin fuska, ciwon kafa, cututtukan fungal, da cututtukan fata.

Coronary atherosclerosis a cikin masu ciwon sukari an gano shi sau 3 sau da yawa a cikin maza da sau 4 a cikin mata fiye da mutanen da ba tare da ciwon sukari ba. Marasa lafiya da ciwon sukari sau da yawa suna haɓaka infarction na zuciya. Wannan shine ainihin abin da ya faru da kakata.

Kuma mafi haɗarin ba ma bugun zuciya ba ne, amma gaskiyar cewa tare da ciwon sukari ba za ku iya narke glucose ba - babban magani don riƙe zuciya. Saboda haka, jiyya da dawowa yana da wahala sosai, kuma sau da yawa cutar sankara ce ke haifar da mutuwa.

Nau'in ciwon sukari na 2 a cikin tsofaffi ya fi sabawa sau 70 a cikin mata kuma sau 60 a cikin maza akwai gangrene NK (ƙananan ƙarshen).

Wata rikice-rikice na ciwon sukari shine kamuwa da urinary fili (1/3 na marasa lafiya).

Rikice-rikice na Ophhalmological sun haɗa da maganin cututtukan cututtukan cututtukan zuciya da “senile” cataract, wanda a cikin masu ciwon sukari ke haɓaka da sauri fiye da lafiyar mutane.

Gano cutar sankarau a cikin tsofaffi da tsofaffin marasa lafiya suna da wahala. Sakamakon canje-canje masu dangantaka da shekaru a cikin kodan, ana lura da ɓoyayyiyar dangantaka tsakanin hyperglycemia da glycosuria (rashin sukari a cikin fitsari tare da abubuwan hawan jini).

Saboda haka, gwajin sukari na yau da kullun na jini a cikin duk mutanen da ke da shekaru 55, musamman tare da hauhawar jini da sauran cututtuka daga jerin rikice-rikice, kyawawa ne.

Ya kamata a lura cewa a cikin tsufan tsufa akwai matsalar cutar sankara. Don haka, ga mafi yawan mutane sama da 55, haɓakar haɓakar carbohydrate yana da raguwa sosai, don haka lokacin gwaji, ƙwararrun sukari ana fassara su a matsayin alamar cututtukan sukari na latent.

Akwai cibiyoyi na tsofaffi, inda ake kula da ciwon sukari koyaushe a cikin tsofaffi, kuma ana gano ciwon sukari a farkon matakan. A cikin kundin adireshin gidaje da gidajen kulawa da noalone.ru zaku sami cibiyoyi sama da 800 a biranen 80 na Rasha, Ukraine da Belarus.

Abinci shine mafi mahimmanci a cikin kulawa da rigakafin cutar sankara a cikin tsofaffi. Ko da rasa nauyi fiye da kima wata hanya ce mai kyau don daidaita sukarin jini.

A matsayin nau'in magani mai zaman kanta, ana amfani da ciwon sukari don ciwo mai laushi.

Yawancin marasa lafiya tsofaffi suna da matukar kulawa ga magunguna masu rage yawan sukari.

• sulfonamide (butamide, da sauransu) Sakamakon rage ƙwayar sukari na kwayoyi ya faru ne sakamakon haɓakar ƙwayar insulin kansa ta jikin ƙwayoyin fitsari. An nuna masu ciwon sukari a cikin shekaru 45.
• biguanides (adebit, phenformin, da sauransu). Suna haɓaka aikin insulin a cikin jiki saboda ƙaruwa mai girma a cikin ƙwaƙwalwar ƙwayar tsoka ta jiki don glucose. Babban nuni shine ciwon sukari na matsakaici tare da kiba.

A cikin marasa lafiya na tsufa da maganin ƙwaƙwalwar ƙwayar cuta, yakamata a kula da matakin sukari a ƙarshen iyakar ƙa'idar ko dan kadan sama da shi. Tabbas, tare da raguwar wuce kima a cikin sukari, ana kunna tasirin adrenaline, wanda ke tayar da hawan jini kuma yana haifar da tachycardia, wanda a kan asalin cutar atherosclerosis zai iya haifar da rikicewar thromboembolic, zuwa infarction na myocardial ko bugun jini.

Don magance yadda ya kamata tare da rikice-rikice masu yawa na ciwon sukari, an tsara magunguna waɗanda ke daidaita metabolism na ciki a cikin jiki:

• bitamin B da C
• nicotinic acid
• miscleron
• shirye-shiryen aidin
• lipocaine
• methionine
• ma'asumi
• panangin da sauransu

Hakanan, ana amfani da magunguna don daidaita sautin jijiyoyin bugun gini da kuma lalacewa, da kuma coagulation na jini. Dukansu hanyoyin maganin oxygen da kuma motsa jiki mai sauki suna nuna.

1. 
   Rozanov, V.V.V.V. Rozanov. Abun rubuce-rubuce. A cikin kundin 12. Juzu'i na 2. Yahudanci. Saharna / V.V. Rozanov. - M.: Jamhuriyar, 2011 .-- 624 p.
2. 
   Dreval A.V. Endocrine syndromes. Binciko da kulawa, GEOTAR-Media - M., 2014. - 416 c.
3. 
   Akhmanov, Mikhail Ciwon sukari a cikin tsufa / Mikhail Akhmanov. - M.: Nevsky Prospect, 2006 .-- 192 p.

Bari in gabatar da kaina. Sunana Elena. Na kasance ina aiki a matsayin endocrinologist fiye da shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai. Duk kayan aikin don wurin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.