Ciwon suga da cutar koda

Cutar koda ko lalacewar koda sau da yawa yakan faru a kan lokaci cikin mutanen da ke da ciwon sukari. Wannan nau'in cututtukan koda ana kiransa da ciwon sukari nephropathy.

Kowane koda ana yinsa ne da dubunnan daruruwan kananan raka'a da ake kira nephrons. Wadannan tsarikan suna tace jininka, suna taimakawa cire dattin daga jiki, da kuma kula da daidaiton ruwa.

A cikin mutanen da ke da ciwon sukari, ƙwayoyin nephron suna yin kauri a hankali kuma su zama masu rauni a kan lokaci. Nephrons sun fara zubewa, kuma furotin (albumin) ya shiga cikin fitsarin. Wannan lalacewar na iya faruwa shekaru kafin duk wata alama ta cutar koda ta fara.

Lalacewar koda zai fi yuwuwa idan:

• Samun sukarin jini mara sarrafawa
• Yayi kiba
• Yi hawan jini
• Yi ciwon sukari na 1 wanda ya fara tun kafin ka kai shekaru 20
• A sami yan uwa wadanda suma suna da ciwon suga da kuma matsalar koda
• Hayaki
• Shin Ba'amurke ne Ba'amurke, Ba'amurke Ba'amurke, ko 'Yar Asalin Amurka

Yawancin lokaci, babu alamun alamun yayin lalacewar koda yana farawa kuma sannu a hankali yana ƙara muni. Lalacewar koda na iya farawa shekaru 5 zuwa 10 kafin bayyanar cututtuka ta fara.

Mutanen da ke da cutar mai tsanani mai tsawo da na dogon lokaci (na yau da kullun) na iya samun alamun bayyanar cututtuka kamar:

• Gajiya mafi yawan lokuta
• Jin rashin lafiyar gaba ɗaya
• Ciwon kai
• Bugun zuciya mara tsari
• Tashin zuciya da amai
• Rashin cin abinci
• Kumburin kafafu
• Rashin numfashi
• Fata mai kaushi
• Sauƙaƙe kamuwa da cuta

Mai ba ku kiwon lafiya zai yi odar gwaje-gwaje don gano alamun matsalolin koda.

Gwajin fitsari yana neman wani furotin, wanda ake kira albumin, wanda ke shiga cikin fitsarin.

• Yawan albumin da ke cikin fitsari galibi alama ce ta lalacewar koda.
• Wannan gwajin kuma ana kiransa gwajin microalbuminuria saboda yana auna kananan albumin.

Mai ba da sabis ɗinku zai kuma bincika bugun jini. Hawan jini yana lalata koda, kuma hawan jini yana da wuyar sarrafawa yayin da kake da cutar koda.

Ana iya yin odar kimiyyar biopsy na koda don tabbatar da ganewar asali ko neman wasu dalilan da ke haifar da lalacewar koda.

Idan kana da ciwon sukari, mai ba ka aiki zai kuma duba kodan ka ta yin amfani da wadannan gwaje-gwajen jini kowace shekara:

• Nitrogen na jini (BUN)
• Maganin creatinine
• An ƙididdige adadin tacewar glomerular (GFR)

Lokacin da lalacewar koda ta kama a matakan farko, ana iya jinkirta shi da magani. Da zarar sunadarai masu yawa sun bayyana a cikin fitsarin, lalacewar koda za ta ci gaba da zama sannu a hankali.

Bi shawarar mai ba ku don kiyaye yanayinku daga yin muni.

KYAUTATA MATSALAR JININKA

Kula da hawan jininka a ƙarƙashin iko (ƙasa da 140/90 mm Hg) ɗayan mafi kyawun hanyoyi ne don rage lalacewar koda.

• Mai ba ku sabis zai rubuta magunguna na hawan jini don kare kodar ku daga ƙarin lalacewa idan gwajin ku na microalbumin ya yi yawa aƙalla aƙalla ma'auni biyu.
• Idan hawan jini yana cikin zangon al'ada kuma kuna da microalbuminuria, ana iya tambayar ku ku sha magungunan hawan jini, amma wannan shawarwarin yanzu ana rigima.

KA MALLAKA MATSANANKA NA ZAGIN JINI

Hakanan zaka iya jinkirta lalacewar koda ta hanyar sarrafa matakan sukarin jininka ta hanyar:

• Cin abinci mai kyau
• Samun motsa jiki a kai a kai
• Shan magunguna ko allura kamar yadda mai bayarwa ya umarta
• Wasu sanannun magungunan ciwon sukari sanannu ne don hana ci gaban cutar cututtukan sukari mafi kyau fiye da sauran magunguna. Yi magana da mai baka game da waɗanne magunguna ne suka fi dacewa da kai.
  
• Yin la'akari da matakin sukarin jininku kamar yadda aka umurta da kuma adana bayanan yawan sukarin jinin ku don ku san yadda abinci da ayyuka ke shafar matakin ku

SAURAN HANYOYI DAN KIYAYE IYONKA

• Rini mai bambanta wanda wani lokaci ake amfani dashi tare da MRI, CT scan, ko wani gwajin hoto zai iya haifar da ƙarin lahani ga ƙododanka. Faɗa wa mai bayarwa da ke ba da odar gwajin cewa kana da ciwon suga. Bi umarni game da shan ruwa da yawa bayan aiwatarwa don zubar da fenti daga tsarin ku.
• Guji shan maganin ciwo na NSAID, kamar ibuprofen ko naproxen. Tambayi mai ba ku magani ko akwai wani nau'in magani da za ku sha a madadinsa. NSAIDs na iya lalata kodan, ƙari idan kayi amfani da su kowace rana.
• Mai ba ku sabis na iya buƙatar tsayawa ko canza wasu magungunan da za su iya lalata ƙododarku.
• Sanin alamomin kamuwa da cutar yoyon fitsari ka basu magani yanzunnan.
• Samun ƙananan matakin bitamin D na iya ƙara cutar koda. Tambayi likitan ku idan kuna buƙatar shan ƙarin bitamin D.

Yawancin albarkatu na iya taimaka muku fahimtar ƙarin game da ciwon sukari. Hakanan zaka iya koyon hanyoyin magance cutar koda.

Cutar ciwon sikari ita ce babbar cuta da mutuwa ga masu fama da ciwon sukari. Zai iya haifar da buƙata don wankin koda ko dashen koda.

Kirawo mai ba ku sabis idan kuna da ciwon suga kuma ba ku yi gwajin fitsari don bincika sunadarin ba.

Ciwon sukari nephropathy; Nephropathy - mai ciwon sukari; Ciwon sukari na glomerulosclerosis; Kimmelstiel-Wilson cuta

• ACE masu hanawa
• Rubuta ciwon sukari na 2 - abin da za a tambayi likitanka

• Tsarin fitsarin maza
• Pancreas da koda
• Ciwon sukari nephropathy

Diungiyar Ciwon Suga ta Amurka. 11. Matsalolin da ke tattare da jijiyoyin jini da kuma kula da ƙafa: mizanin kula da lafiya a cikin ciwon sukari-2020. Ciwon suga. 2020; 43 (Sanya 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

Brownlee M, Aiello LP, Sun JK, et al. Rarraba na ciwon sukari mellitus. A cikin: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 37.

Tong LL, Adler S, Wanner C. Rigakafin da maganin cututtukan koda mai ciwon sukari. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 31.