Ciwon suga da cutar jijiya

Lalacewar jijiyoyin da ke faruwa a cikin mutane masu ciwon sukari ana kiransa neuropathy na ciwon sukari. Wannan yanayin shine rikitarwa na ciwon sukari.

A cikin mutanen da ke da ciwon sukari, jijiyoyin jiki za su iya lalacewa ta hanyar rage yawan gudanawar jini da kuma matakin hawan jini mai yawa. Wannan yanayin yana iya kasancewa lokacin da ba a kula da matakin sikarin jini sosai a kan lokaci.

Kimanin rabin mutanen da ke fama da ciwon sukari suna yin ɓarna a jijiya. Kwayar cutar galibi ba ta farawa sai bayan shekaru da yawa bayan an gano ciwon suga. Wasu mutanen da ke da ciwon sukari waɗanda ke tasowa a hankali tuni sun sami lahani a jijiya lokacin da aka fara gano su.

Mutanen da ke fama da ciwon sukari suma suna cikin haɗari ga wasu matsalolin jijiyoyin da cutar ba ta sukarinsu ba. Waɗannan sauran matsalolin jijiyoyin ba za su sami alamomi iri ɗaya ba kuma za su ci gaba ta wata hanya dabam da lalacewar jijiya da ciwon sukari ya haifar.

Kwayar cututtuka sau da yawa ci gaba a hankali a cikin shekaru da yawa. Nau'o'in alamun da kake da su sun dogara da jijiyoyin da abin ya shafa.

Jijiyoyi a ƙafafu da ƙafafu galibi suna shafar su. Kwayar cutar galibi tana farawa a yatsun kafa da ƙafafu, kuma sun haɗa da ƙwanƙwasawa ko ƙonewa, ko ciwo mai zurfi. Yawancin lokaci, lalacewar jijiya na iya faruwa a yatsun hannu da hannaye. Yayin da lalacewar ta ta'azzara, da alama za ku rasa ji a yatsunku, ƙafafunku, da ƙafafunku. Fatar ka ma zata dushe. Saboda wannan, zaku iya:

• Ba sanarwa lokacin da kuka taka wani abu mai kaifi
• Ba ku san cewa kuna da bororo ko ƙaramin yanka ba
• Kada ku lura lokacin da ƙafafunku ko hannayenku suka taɓa wani abu da ya fi zafi ko sanyi
• Samun ƙafafun da suke bushe da fashe

Lokacin da jijiyoyin da ke kula da narkewar abinci suka shafa, kuna iya fuskantar matsalar narkewar abinci (gastroparesis). Wannan na iya sa ciwon suga ya yi wuyar sarrafawa. Lalacewa ga jijiyoyin da ke kula da narkewa kusan koyaushe yana faruwa ga mutanen da ke fama da mummunan jijiya a ƙafafunsu da ƙafafunsu. Kwayar cututtukan narkewar abinci sun hada da:

• Jin cikakken abinci bayan cin ɗan ƙaramin abinci kawai
• Ciwan zuciya da kumburi
• Ciwan ciki, maƙarƙashiya, ko gudawa
• Matsalar haɗiya
• Yarda da abincin da ba a sa shi ba yan awanni bayan cin abinci

Lokacin da jijiyoyi a cikin zuciyar ku da jijiyoyin jini suka lalace, kuna iya:

• Jin kanki yayi haske lokacin da kika tashi tsaye (orthostatic hypotension)
• Yi saurin bugun zuciya
• Ba a lura da angina ba, ciwon kirji wanda ke gargaɗin cututtukan zuciya da ciwon zuciya

Sauran alamun cututtukan jijiya sune:

• Matsalolin jima'i, wadanda ke haifar da matsala wajen samun karfin maza a ciki da bushewar farji ko matsalolin inzali a cikin mata.
• Rashin iya fada lokacin da suga cikin jininka yayi kasa sosai.
• Matsalar mafitsara, wacce ke haifar da yoyon fitsari ko rashin iya zubar da mafitsara.
• Gumi ya yi yawa, ko da lokacin da yanayin zafi ya yi sanyi, lokacin da kake hutawa, ko kuma a wasu lokuta na daban.
• Etafafun kafa waɗanda suke da gumi sosai (lalacewar jijiya da wuri).

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Jarabawar na iya gano cewa kuna da masu zuwa:

• Babu ƙwarewa ko rauni mai rauni a idon sawun
• Rashin ji a ƙafafu (ana bincika wannan da kayan goge-goge da ake kira monofilament)
• Canje-canje a cikin fata, gami da bushewar fata, zubewar gashi, da ƙusoshin lokacin farin ciki ko launuka
• Rashin ikon fahimtar motsin mahaɗanku (tsinkaye)
• Rashin ikon fahimtar jijjiga a cikin cokali mai yatsu
• Rashin ikon fahimtar zafi ko sanyi
  
• Sauka a cikin karfin jini lokacin da kake tsaye bayan zaune ko kwance

Gwajin da za'a iya yin oda sun hada da:

• Electromyogram (EMG), rikodin aikin lantarki a cikin tsokoki
• Gwajin saurin tafiyar da jijiyoyi (NCV), rikodin saurin da sigina ke tafiya tare da jijiyoyi
• Nazarin woron ciki don bincika yadda saurin abinci ke barin ciki ya shiga cikin ƙananan hanji
• Karkatar da karatun tebur don bincika idan tsarin juyayi yana sarrafa karfin jini yadda yakamata

Bi shawarwarin mai ba ku game da yadda za a rage lahanin jijiyoyin ciwon sukari.

Gudanar da matakin jinin ku (glucose) ta:

• Cin abinci mai kyau
• Samun motsa jiki a kai a kai
• Binciki sukarin jininku kamar yadda aka umurta da kuma adana lambobinku don ku san nau'ikan abinci da ayyukan da suka shafi matakin sukarin jininku
• Shan shan magunguna ko na allura kamar yadda mai bayarwa ya umurta

Don magance cututtukan cututtukan jijiya, mai ba da sabis na iya ba da umarnin magunguna don bi da:

• Jin zafi a ƙafafunku, ƙafafu, ko hannuwanku
• Tashin zuciya, amai, ko wasu matsalolin narkewar abinci
• Matsalar mafitsara
• Matsalar tashin hankali ko bushewar farji

Idan an ba ku magunguna don alamun bayyanar cututtukan jiji, ku kula da masu zuwa:

• Magunguna yawanci basu da tasiri idan yawan jinin ku yawanci yayi yawa.
• Bayan kun fara magani, gaya wa mai ba ku idan ciwon jijiya bai inganta ba.

Lokacin da kake da lalacewar jijiya a ƙafafunka, ana iya rage jin ƙafafunka. Ba za ku iya jin komai ba ko kaɗan. A sakamakon haka, ƙafafunku bazai warke sosai ba idan sun ji rauni. Kula da ƙafafunku na iya hana ƙananan matsaloli daga zama masu tsanani har kuka ƙare a asibiti.

Kula da ƙafafunku ya haɗa da:

• Duba ƙafafunku kowace rana
• Samun gwajin ƙafa duk lokacin da kuka ga mai ba ku sabis
• Sanye da safa da takalmin da ya dace (tambayi mai ba ku sabis game da wannan)

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

Jiyya yana saukaka ciwo kuma yana sarrafa wasu alamun.

Sauran matsalolin da zasu iya haɓaka sun haɗa da:

• Ciwon mafitsara ko ciwon koda
• Ciwan ulcer
• Lalacewar jijiya wanda ke boye alamun cututtukan kirji (angina) wanda ke gargadi game da cututtukan zuciya da bugun zuciya
• Rashin yatsa, kafa, ko kafa ta hanyar yankewa, galibi saboda ciwon kashin da baya warkewa

Kira mai ba ku sabis idan kun ci gaba da alamun bayyanar cututtukan neuropathy na ciwon sukari.

Ciwon neuropathy; Ciwon sukari - neuropathy; Ciwon sukari - neuropathy na gefe

• Ciwon sukari - ulcers
• Rubuta ciwon sukari na 2 - abin da za a tambayi likitanka

• Ciwon suga da cutar jijiya
• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Diungiyar Ciwon Suga ta Amurka. 11. Cutar rikicewar jijiyoyin jiki da kulawa da ƙafa: mizanin kula da lafiya a ciwon suga - 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.