Game da manyan alamomi guda uku na ciwon suga a Sinhala 😱

Ruwan (mai shekaru 45), injiniyan software, ya zo asibiti na a safiyar Laraba da ta gabata. Ya zauna a kujera, yana kallon cikin damuwa da rashin taimako.

"Dr. Priya, ina jin ƙishirwa sosai kwanan nan. Duk da cewa ina shan ruwa lita 5-6 a rana, ƙishirwata ba ta kashewa. Haka kuma, dole ne in je bayan gida duk bayan minti 30-45. Dole ne in tashi sau 5-6 da dare don zuwa bayan gida. Bugu da ƙari, komai yawan abincin da na ci, yunwata ba ta ƙarewa. Ina jin yunwa sosai. Amma duk da wannan, nauyina ya ragu da kimanin kilo 4 a watan da ya gabata," Ruwan ya bayyana rashin jin daɗinsa.

Na duba rahoton gwajin sukarin jinin Ruwan na yi bayani: "Ruwan, sukarin jininka na azumi ya karu zuwa 280 mg/dL. Alamomin da kake bayyanawa su ne abin da kimiyyar likitanci ke kira Ps 3 na Ciwon Suga . Waɗannan su ne:
1. Polyuria: Yawan yin fitsari.
2. Polydipsia: Jin ƙishirwa sosai.
3. Polyphagia: Jin yunwa mai yawa.

"A yau, bari mu yi magana kawai game da dalilin da yasa waɗannan alamun guda uku ke faruwa saboda yawan sukari a jikinka da kuma yadda za ka guji su."

🚨 Ja Tutocin da ke buƙatar kulawar likita nan take

Idan akwai Ps 3 na ciwon suga, musamman a cikin marasa lafiya da ke fama da ciwon suga na nau'in 1, yawan sukarin jini da ba a sarrafa shi ba na iya haifar da wata cuta mai barazana ga rayuwa da ake kira Diabetic Ketoacidosis (DKA) . Idan kun fuskanci waɗannan alamun, ya kamata ku je sashen gaggawa na asibiti mafi kusa da ku nan da nan:

• Ƙamshin 'ya'yan itace ko kamar acetone a kan numfashi (Ƙamshin numfashin 'ya'yan itace).
• Numfashi mai sauri da zurfi akai-akai (Numfashin Kussmaul).
• Tashin zuciya da amai tare da matsanancin ciwon ciki.
• Barci mai tsanani, barci, ruɗani, ko kuma rashin sani.
• Matakan sukari a jini sama da 250 mg/dL da kuma kasancewar ketones a cikin fitsari.

Asalin kimiyya a bayan Ps 3 na ciwon sukari

Waɗannan alamu guda uku suna faruwa ne sakamakon ayyukan jiki masu alaƙa da juna:

1. Polyuria - yawan yin fitsari

Idan matakin glucose a jini ya wuce 180 mg/dL (Renal Threshold), kodan ba za su iya sake ɗaukar dukkan glucose ɗin cikin jini ba. Sai glucose ɗin da ya wuce kima ya fito a cikin fitsari. Idan aka fitar da glucose, yana kuma jawo ruwa mai yawa daga jiki zuwa kansa saboda matsin lamba na osmotic. Wannan tsari ana kiransa Osmotic Diuresis . Sakamakon haka, majiyyaci yana yin fitsari akai-akai kuma a adadi mai yawa.

2. Polydipsia - Kishirwa mai yawa

Idan aka rasa ruwa mai yawa daga jiki saboda yawan fitsari (polyuria), ƙwayoyin jiki za su bushe. Cibiyar ƙishirwa a cikin kwakwalwa (Hypothalamus) za ta motsa, wanda ke haifar da ƙishirwa mai yawa don kiyaye daidaiton ruwan jiki. Komai yawan ruwan da ka sha, wannan ƙishirwa ba ta ƙarewa har sai matakin sukari a cikin jininka ya ragu.

3. Polyphagia - Yunwa mai yawa

A cikin jiki mai lafiya, insulin hormone yana da mahimmanci ga glucose don shiga cikin ƙwayoyin halitta da samar da kuzari. Duk da haka, a cikin ciwon suga, saboda rashin insulin ko juriyar insulin, glucose ba zai iya shiga ƙwayoyin ba. Sakamakon haka, duk da cewa akwai isasshen sukari a cikin jini, ƙwayoyin suna ci gaba da jin yunwa. Kwakwalwa koyaushe tana karɓar saƙon "rashin isasshen kuzari", don haka majiyyaci yana jin yunwa sosai. Tunda ƙwayoyin ba sa samun kuzari, jiki yana fara karya kitse da tsoka, wanda ke haifar da raguwar nauyi.

Wasu matsalolin lafiya da suka shafi 3 Ps

Abubuwan da za a yi & waɗanda ba za a yi ba

Majiyoyin kimiyya (Nassoshi)

• 📚 Ciwon Suga - NHS
• 📚 Sabbin hanyoyin gano cutar polyuria polydipsia syndrome - PMC