Abin da ya sani game da maye gurbin juna idan kana da ciwon sukari

Matakai don hana rikitarwa a cikin masu ciwon sukari da ciwon hadin gwiwa maye gurbin

Ciwon sukari shine yanayin da zai haifar da ƙara (da rage) matakan jini , kuma zai iya haifar da tsarin jin daɗi, kwakwalwa, da kuma magance matsalolin tsaro. Fiye da mutane miliyan 25 na Amirka sun koyi irin wannan ciwon sukari ko iri na II, kuma duka biyu na iya haifar da matsala a cikin mutane idan za su yi la'akari da yadda za a iya amfani da su. Daga cikin magungunan zafin jiki na yau da kullum shine haɗuwa tare da juna tare da maye gurbin gwiwa, maye gurbin hip , da kuma maye gurbin kafa.

Mutane da ke fama da ciwon sukari, ko sun taso da glucose na jini har ma ba tare da ganewar asali na ciwon sukari ba, suna buƙatar yin shiri mai kyau don taimakawa wajen magance rikice-rikicen sakamakon sakamakon glucose na jini mara kyau. A kan takardun shaida mai kyau, ƙoƙarin kula da ciwon sukari da kuma inganta tsarin gudanarwa na glucose na jini zai iya samun tasiri mai kyau a cikin saukarda hadarin da ke hade da tiyata.

Sugar Blood Mai Girma

Kimanin kashi 8 cikin dari na mutanen dake da maye gurbin haɗin gwiwa a Amurka sun koyi irin na I ko kuma na buga ciwon sukari na II. Samun ganewar asali na ciwon sukari yana haɓaka hadarin ƙwayar maye gurbin haɗin gwiwa. Bugu da ƙari, haɓaka a haɗari yana haɗaka da yadda kyau (ko talauci) ke sarrafa jini glucose jini a lokacin tiyata. Samun ganewar asali na ciwon sukari ba yana nufin ba za ku iya ci gaba da maye gurbin haɗin gwiwa ba, yana nufin haɗari na tiyata zai iya zama dan kadan, kuma duk abin da ya kamata a yi don rage girman haɗarin rikitarwa.

Ciwon sukari yana haifar da matsalolin da ke cikin jiki, da jin tsoro, da kuma tsarin rigakafi. Kwayar cutar ƙwayar cuta (lalacewa da ƙaramin jini) zai iya rage ƙudar jini da kuma samo iska zuwa wurin da za'a samu magunguna. Ayyukan da ke canzawa ba zai iya ɓar da tsarin tsaro na jiki kawai ba, amma kuma ya sa jiki ya fi sauƙi don ɗaukar kamuwa da cutar kwayan cuta.

Sakamakon muni na mutanen da ke da ciwon sukari suna da mummunar muni ga wadanda ba tare da ciwon sukari ba saboda hanyoyin da dama, ba kawai maye gurbin haɗin gwiwa ba. Binciken ya nuna cewa ya kamu da haɗari tare da tarin hanyoyi masu tasowa ciki har da tiyata, tiyata, da tiyata. Sauran ƙwararrun ƙwarewa suna da misalai na ciwon sukari suna kasancewa mai hadari ga yiwuwar rikitarwa. Bugu da ƙari, waɗannan sakamako sunyi daidai da yanayin da yanayin yadda yake da kyau, ko rashin talauci, matakan jini na glucose za'a iya sarrafawa.

Dama akan Risks of Joint Replacement Surgery

Akwai hanyoyi da dama wadanda mutane da ciwon sukari suke shafar su yayin da suke aiki tare. Ciwon sukari yana kara yawan haɗari , ba kawai ɗaya ba. Wasu daga cikin ƙarin game da matsalolin da aka gani a cikin marasa lafiya na ciwon sukari waɗanda suke da maye gurbin haɗin gwiwa sun haɗa da:

• Rashin haɗari na kamuwa da cuta: Rashin kamuwa da cuta shine daya daga cikin abubuwan da suka fi dacewa game da sassan aikin gyaran haɗin gwiwa. Lokacin da kamuwa da cuta ta maye gurbin ya faru, ƙarin aikin tiyata yana kusan zama dole, kuma sau da yawa dole ne a cire implants domin ya warkar da kamuwa da cutar.
• Rashin haɗari ga matsalolin maganin warkar da cututtuka: Warkar da ƙwaƙwalwar ƙwayar ƙwayar alama alama ce mai saukin ganewa, amma magunguna na ci gaba, ciwon daji, da kuma wadanda ba a warkar da su ba zai iya faruwa a cikin mutanen da ke fama da ciwon sukari. Cigar da ba a warkar da cututtuka ba shine wariyar kamuwa da cuta a cikin mutane tare da maye gurbin juna.

• Rashin haɗarin rashin lafiyar likita: Yawancin cututtukan kiwon lafiya ciki har da ciwon huhu, ƙwayar urinary tract, da kuma embolism na wucin gadi zai iya zama mafi kusantar mutane da ciwon sukari.
• Ƙara haɗari na transfusion: Cigaban jini yana karuwa sosai bayan an maye gurbin haɗin gwiwa. Tare da sababbin magunguna da ƙulle ƙulle ƙushirwa, yiwuwar transfusion ya sauka sosai. Duk da haka, haɗarin ya fi girma a cikin mutane da ciwon sukari.
• Ƙara yawan haɗarin mace-mace: Wannan abu ne mai ban tsoro don tunani game da, kuma yayin da hadarin mace-mace ke hade da haɗin gwiwa yana da ƙananan ƙananan, ba zera ba. Bugu da ƙari kuma, mutanen da ke fama da ciwon sukari suna da mummunan haɗari na mace-mace tare da aikin tiyata kamar maye gurbin juna.

Gudanar da Matsayin Glucose na jini

Akwai labari mai kyau! Ina ki jinin kullun kawo labarai mummunar zuwa teburin, kuma babu wata tambaya cewa mutanen da ke fama da wahalar yin amfani da jini yana yawan fuskantar matsalolin maganin likita. Gaskiyar ita ce ta hanyar inganta tsarin jinin jini, a kan gajeren lokaci da kuma dogon lokaci, hadari na samun maye gurbin ba dole ba ne yayi girma sosai.

Yawancin bincike sun nuna cewa hadarin da aka ambata a wannan labarin ya dace sosai da yadda za'a sarrafa jini. Wannan gaskiya ne don kare jini a cikin watannin da ke kusa da tiyata, da kuma a cikin kwanakin da ake aiki da ita. Saboda haka, ƙoƙari don tabbatarwa da sarrafa jini ta hanyar cin abinci, motsa jiki, magunguna, da wasu hanyoyi na iya taimakawa wajen hana rikitarwa da ke haɗuwa da aikin gyare-gyaren haɗin gwiwa.

Ana auna ma'auni na sukari a cikin hanyoyi biyu:

1. Matakan glucose: An auna yawan glucose na jini lokacin azumi (jim kadan kafin cin abinci, ba bayan) da kuma kusan 70-100 ba. A cikin mutanen dake da ciwon sukari da yawa, wannan lambar yana iya kasancewa a cikin jerin 90-130. Matakan glucose na jini zai iya tashi sosai, musamman ma mutanen da ke da ciwon sukari. Bayan cin abinci, ba abu ne wanda ba a sani ba ya kasance kusan 200 ko mafi girma a cikin wani da ke da ciwon sukari, yayin da a cikin mutane ba tare da wannan yanayin ba, glucose na jini bazai wuce sama da 125 ba.
2. Hemoglobin A1c : Haemoglobin A1c, ko HbA1c, wani ma'auni ne na matakan glucose na jini a cikin watanni kafin gwajin. Ba ya ba da hotuna na wani lokaci a lokaci, amma a matsayin ma'anar yadda yake da kyau, ko rashin talauci, sarrafa jini da suga. Wani wanda ba tare da ciwon sukari zai sami yawanci na haemoglobin A1c na kimanin 5.0 ba, yayin da wanda ke da ciwon sukari ya fi 6.5 (ko da yake akwai rashin daidaituwa game da matakin da ke nuna ma'anar ciwon sukari, mafi yawan sun yarda da kewayon 6.5 zuwa 7.0). Lokacin yin aiki don daidaita tsarin gudanarwa na glucose na jini, canje-canje a cikin haemoglobin A1c na iya ɗaukar watanni don ganewa.

Duk waɗannan matakan zasu iya taimakawa a hanyoyi daban-daban, amma ba cikakke ba. Alal misali, samun ciwon glucose na jini fiye da 200 a lokacin maye gurbin haɗin gwiwar an nuna ya zama babban haɗari ga matsalolin, koda kuwa A1c yana da iko sosai. Hakazalika, da ciwon glucose na jini a ranar da ake aiki a lokacin da aka kafa wani babban A1c ba yana nufin kai ba hadarin ba ne. Dukkanin gwaje-gwaje na iya taimakawa mutane su sarrafa glucose iko kuma su rage haɗarin da suka danganci aikin maye gurbin haɗin gwiwa.

Shin Ya Kamata Ya zama Cutoff?

Wasu cibiyoyi na maye gurbin sun kafa tsarin da suke buƙatar takamaiman gwajin gwajin don ci gaba da aiki tare. Mafi gwajin da aka fi amfani dashi shine haɓakar hemoglobin A1c. A kokarin kokarin tabbatar da mutanen da suke samun maye gurbin su suna da ciwon sukari mai kyau, da wasu cibiyoyin na buƙatar wani sakamako na musamman na hemoglobin A1c, kamar matakin da ke ƙasa da 7.5 ko kasa 8.

Abin sha'awa shine, haɗin hemoglobin A1c mai yiwuwa ba jarrabawa mafi kyau ba ne don hango ganin yiwuwar rikitarwa dangane da maye gurbin haɗin gwiwa, amma wannan jaraba ce mai kyau don samun, kuma yana nuna kyakkyawan alamar yadda mutum zai iya sarrafa matakan jini. Daidaita lambar da yake da lafiya, da abin da ba haka ba, shi ne mai kawo rigima, amma wasu wuraren maye gurbin sun ƙayyade cutoff ga wadannan hanyoyin.

Wani bincike na kwanan nan game da rajistar maye gurbin wadanda suka fi yawan marasa lafiya 18,000 gano cewa cutoff a cikin wannan rukuni ya kasance A1c haemoglobin na 8.0 ko mafi girma. A cikin wadannan marasa lafiya, akwai babban haɗari na kamuwa da cuta mai tsanani da kuma warkaswa. A wata sanarwa mai kyau, yawan haɗarin rikitarwa a cikin wannan rukuni na marasa lafiya 18,000 ya ragu sosai (kimanin kashi 1), kuma ko da yake haɗarin ya kusan sau biyu a cikin mutane da A1c sama da 8, haɗarin ya kasance kawai kimanin kashi 2.

Kalma Daga

Wannan yana kama da mummunan labarai, don haka bari in ƙare tare da tabbatacce: Dubban mutanen da ke fama da ciwon sukari suna ci gaba da samun nasara da kuma sauye-gyaren rayuwa ta haɗin gwiwa a kowace shekara. Duk da yake akwai yiwuwar ƙalubalantar matsalolin matsaloli, za'a iya gudanar da waɗannan hadarin. Yin la'akari da matakan jini, musamman ma a lokacin da ake tiyata, ana tsammani shine muhimmiyar mahimmanci wajen gudanar da waɗannan hadarin. Mutane da ke fama da ciwon sukari kada su ji tsoron maye gurbin juna, amma ya kamata suyi aiki tare da likitoci don inganta lafiyarsu ta jini don kiyaye haɗarin haɗari da haɗin gwiwa tare da haɗin gwiwa kamar yadda ya kamata.

> Sources:

> Rizvi AA, Chillag SA, Chillag KJ. "Tsarin cututtukan ciwon sukari da hyperglycemia a cikin marasa lafiya da ke jurewa tiyata" J Am Acad Orthop Surg. 2010 Jul; 18 (7): 426-35.

> Stanton T. "HbA1c Hadarin Risanci ga Kamuwa da cuta Da aka gano ga masu ciwo da ciwon sukari wanda ke da yunkurin maye gurbin" AAOSNow. Afrilu 2017.

> Uhl RL, Rosenbaum AJ, Dipreta JA, Desemone J, Mulligan M. "Ciwon sukari da ciwon ciwon sukari: bayyanar ƙwayoyin cuta da ka'idodin lokaci na likitan likitancin" J Am Acad Orthop Surg. 2014 Mar, 22 (3): 183-92.