Cudurka sonkortu (diabetes) waa cudur aad halis u ah oona sababa hadii aanan si sax ah loo koontoroolin dhibaatooyin kala duwan sida:- indha la’aan, kalyo beel , wadna xanuun, iyo dhibaatooyin kale oo ku yimaada in badan oo kamid ah xubnaha jirka.Sonkorta
laba nooc (type) aya loo kala saaraa, Type1 iyo Type 2. Sonkorta type
1; jirka ma sameensan karo hormonka Insulin oo ah hormonka suurta galiya
in qeybo kamid ah unugyada jirka ey dhuuqaan sonkorta, hormonkaan wuxu
saameyn ku leeyahay qaabilayaasha (receptors) kuyaala murqaha iyo
nudayaasha baruurta (adipose tissue) uuna ku qaabilo sonkorta xaga
dhiiga.
Caruurta
ayaa u badan dadka uu ku dhoco noocan waxayna u baahanyihiin ineey isku
duraan hormonka insulin noloshooda inta ka dhiman. Sonkorta Type 2,
jirka bini aadanka ma sameesan karo insulin ku filan, inta yar uu
samaystana si wanaagsan uma isticmaali karo . Inta badan noocan wuxuu
saameeyaa dadka waawayn laakiin caruurtana wuu ku dhici karaa.
Hadaba sidee looga hortagi karaa type 2 diabetes?
Kahortagida
waxeey ka kooban tahay, daawooyin, cunada oo la iskafiiriyo (control)
iyo jimicsi. Qoraalkaan wuxu eegayaa xeriirka udhaxeeya sonkorta iyo
jimicsiga, anagoo qeexayna jimicsiga noocyada ugu wanaagsan ..
Wuxuu
jirka u qaybsamaa laba nuuc oo nudayaal ah (tissues). Nudayaal u baahan
insulin suu u helo sonkorta iyo nudayaasha aan u baahneyn Insulin.
1) Kuwa ka maarma insulin-ka waa: nervaha, kilyaha, mindhicirada, dhiiga, murqaha shaqada badan iyo (pancreas).
2)
kuwa u baahan hormoonka insulin waa:- baruurta iyo murqaha aanan
shaqaynin. Hadaba jimicsigu wuxuu gubaa baruurta murqahana wuu-ka
sheqeysiiyaa.
Maadaama baruurta iyo muraqaha aanan shaqeynin ey yihiin
nudayaasha u baahan insulin, islamarkaane jimicsigu uu gubayo baruurta
uuna shaqa galinayo murqihii aanan shaqeyneynin, waxaa meeshaas ku
yaraanayo baahidi loo qabay insulin oo jirka asagaaba dhuuqi karo
sonkorta asagoon isticmaalin insulin, sidaasne jimicsigu sonkorta ayuu
hoos u ridaa.
Faa,idada
jimicsigu aad ayuu u fara badan yiihin laakin waxaa muhiim ah inuu
gofku iska eego heerka (level-ka) sonkorta intuusan bilaabin jimicsiga .
Haduu
ka yaryahay 100 mg/dL (5.6 mmol/L). sonkortaada aad ayeey u hooseysaa,
marka inaad wax yar oo cuntaa cuntid wa muhiim ka hor inta aadaan
aalamiiteynin, (small carbohydrate-containing snack), waayoo jimicsiga
adigoo sonkortu hooseyso wuxuu keeni karaa in heerka sonkorta dhiiga uu
aad hoos ugu sii dhoco (hypoglycemia) oo ah xaalad kale oo caafimaad.
100 ilaa 250 mg/dL (5.6 to 13.9 mmol/L). waa level lagu sameyn karo jimicsi.
*250 mg/dL (13.9 mmol/L) ama kabadan
Intaadan
bilabim jimicsiga utag dhaktar si loo fiiriyo ineey kaadida ay lasocoto
maadada loo yaqaano ketones. Ketones waa wax uu jirka sameeyo markuu
baruur u istimalayo suu u helo energy. (sida caadiga ah jirku awoodiisa
wuxuu kasoo saaraa inta badan sokorta laakin qofka sokorowga qabo
maadaama sokortu eysan gali karin unugyada jirk oo ey dhiiga uun iska
dhex taalo, jirku wuxuu awoodiisa kasoo saaranayaa baruurta) Hadu gofku
jimicsi sameeyo asagoo ketones ku badanyahay jirka waxay sababtaa xaalad
aad halis u ah oo loo yaqaano ketoacidosis oo ubahan in dagdag loo
daaweeyo.
Qofka qabo sonkorta wuxuu samayn karaa jimicsiyo kala
duwan laakin sadexdaan aya ugu sahlan una fa,iido badan. 1) socod
boobsiis ah , 2) baaskiil wadid , 3) dabaal. Madaama dadka sonkorta qaba
u badanyihiin dad culus sadaxdaan jimicsi waxay u dhoorayaan
kalagoysyada culeeska qaada ee loyaaqaano weight bearing joints.
By Dr. Ahmed Abukar Omar
_____________________
Xafiiska Shabakada Daajis
USA-Alaska
Ceelka@gmail.com
www.daajis.com
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