MATENDA A SHUGA, MITSEMPHA YAMAGAZI, ANGIOPATHY - ZONSEZI ZIMALUMIKIZANA BWANJI?

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Matenda a shuga - matenda omwe amasiyitsa chidwi pa mbali zonse za moyo wa wodwalayo. Chimodzi mwazinthu zake zosasangalatsa ndichakuti sichimawoneka nthawi yomweyo muulemerero wake wonse. Matenda ambiri ophatikizana ndi matenda amafika patapita zaka zambiri atazindikira kuti ali ndi vuto la kuchedwa kwakanthawi. Chimodzi mwa izo tidzafotokozeredwa pansipa.

Kodi matenda ashuga angiopathy ndi amachitika bwanji?

Kusintha kwakukulu pamapangidwe ndi magwiridwe amwazi mu shuga amatchedwa diabetesic angiopathy (kuchokera ku mawu achi Greek akuti angelo - chotengera ndi pathos - matenda, kuvutika)

Kumbali imodzi, ali chifukwa cha kuchuluka kwa shuga m'magazi a wodwala. Ma mamolekyulu a saccharide awa, omwe ali ochulukirapo, amalowa m'makoma amitsempha yamagazi ndikupanga zowonongeka m'munda pamenepo. Zotsatira zake, mphamvu zimachepa, kusintha kwakanthawi kovomerezeka, mawonekedwe a lumen amachepa komanso dera lamkati la mitsempha, mitsempha ndi ma capillaries amachepetsa.

Kumbali inayo, matendawa amakhudza kayendedwe ka mafuta ndi kagayidwe ka nayitrogeni m'thupi, ndikupangitsa vasospasm. Kuwonjezeka kwa misempha ya magazi yotsika kwambiri komanso yotsika kwambiri ya lipoproteins kumabweretsa kuyikika kwa makhosi a cholesterol pamakoma a mtima komanso kukulitsa kwa atherosulinosis.

Mwachidziwikire, mothandizidwa ndi kusintha koteroko, kufalikira kwamagazi mthupi mthupi komanso kupangitsa minyewa yokhala ndi mpweya komanso michere kusokonezedwa. Zinthu zowola sizimachotsedwa mwachangu. Kuchulukana kwamitsempha yamagazi kumawonjezera mwayi woti pakhale ziphuphu komanso kukha magazi kwakanthawi.

Mitundu ndi zotsatira zake

Kutengera ndi kukula kwa ziwiya zowonongeka, angiopathy mu shuga zimagawika m'magulu ang'onoang'ono-ndi macroform

At macroangiopathies Zolinga zake ndi mitsempha yayikulu ndi mitsempha, makamaka mphamvu ya mtima ndi ziwiya zam'munsi. Fomuyi ikuwonetsedwa pakukula msanga kwa kusintha kwa atherosulinotic.

Pankhani ya mtima, pamapeto pake zimayambitsa matenda a coronary omwe ali ndi chiopsezo cha myocardial infarction, pankhani ya miyendo - mu thrombosis komanso kuwonongeka kwa magwiridwe antchito.

Matenda a shuga microangiopathy zimakhudza kapangidwe kakang'ono ka capillary ndipo pakupita nthawi kumayambitsa ma pathologies awiri:

angioretinopathy - kuwonongeka kwapang'onopang'ono kwa mawonekedwe a mtima a retina amaso, omwe, ngati osagwiritsidwa ntchito moyenera, angayambitse kutaya kwamaso zaka zingapo (amakhala ndi zovuta zambiri m'matenda a matenda ashuga onse, koma amatchulidwa kwambiri mu matenda 2);
angionephropathy - kuwonjezeka kwa impso capillaries, komwe kumachitika patsogolo kumapangitsa kulephera kwa impso ndi kufa (nthawi zambiri kumachitika mwa odwala omwe ali ndi matenda amtundu 1).

Palinso chochitika china chodziwika chomwe chimayamba chifukwa cha kuyenda kwa magazi m'mitsempha yayikulu (mitsempha ndi mitsempha yam'munsi yam'munsi) komanso m'magona ogona. Uwu ndiye wotchedwa wodwala matenda ashuga - matenda omwe amadziwika ndi kupezeka kwa zilonda zam'mimba zazitali pamiyendo chifukwa cha kukhumudwa kwa magazi komanso kuphatikiza ndi kachilombo ka bakiteriya kapena fangasi. Pambuyo pake, necrosis ndiyotheka ndikuduladula kwina kwa mbali ya nthambi. Izi zosagwirizana ndizofala kwambiri pakati pa odwala omwe ali ndi matenda amtundu wa 2.

Kupewa komanso kuchiza matenda a shuga

Monga njira zochizira zowonekera paziwonetsero zonse za matenda ashuga:

mankhwalawa a shuga mellitus mwachindunji ndi insulin kapena kumwa mankhwala ochepetsa shuga kuti mukhale glycemia m'malo otetezeka;
kugwiritsa ntchito mitundu yosiyanasiyana ya mankhwala omwe amateteza makhoma a mitsempha yamagazi kuti asawonongeke komanso asinthe momwe kagayidwe kachakudya kamare mwa iwo (otchedwa angioprotectors);
kupewa thrombosis, kugwiritsa ntchito magazi owonda;
kukhazikitsidwa kwa anabolic steroids, mahomoni ogonana ndimakonzedwe osiyanasiyana a enzyme kuwongolera njira za metabolic mthupi;
kumwa mavitamini a gulu B, komanso vitamini C, P, E ndi PP m'maphunziro ang'onoang'ono katatu pachaka;
kugwiritsa ntchito mchere wam potaziyamu (mankhwala ena a chloride ndi acetic) kuti achulukitse kagayidwe kazakudya zomanga mchere komanso kupondera chilakolako cha kunenepa;
kusunga kuthamanga kwa magazi m'malo otetezeka;
apadera othandizira kapena opaleshoni pochotsa matenda ena am'matumbo (mafupa amkati, nephrosis, thrombosis ya mitsempha yayikulu ndi mitsempha, etc.);
zolimbitsa thupi;
physiotherapy, UV chithandizo, madzi ndi matope mankhwala, laser hemotherapy, plasmophoresis, hyperbaric oxygenation, etc.

Mankhwala ndi muyezo wa mankhwala onse ofunikira, kuchokera ku insulin mpaka mavitamini, ndiudindo wa adotolo. Popanda malingaliro ake, simuyenera kumwa nokha.

Njira yabwino kwambiri yopeweretsera matenda a angiopathy ndikutsatira njira za anthu odwala matenda ashuga komanso malangizo onse omwe dokotala akupatsani. Popanga matenda a matenda ashuga, kuyeserera pafupipafupi (kapena pafupipafupi) ndi a ophthalmologist, cardiologist ndi nephrologist kapena urologist ziyenera kukhala zachilendo. Ndikofunikira kusiya kusuta kwathunthu ndipo makamaka kumwa mowa, popeza amapereka kwambiri pamatumbo. Zabwino popewa kupewa mchere wochepa komanso zakudya zochepa zomanga thupi.

Odwala ayenera kukulitsa kudziletsa, kuyang'anira thanzi lawo mosamala, kuyang'ana pazinthu zazing'ono zilizonse zomwe zingakhale ndi mavuto akulu mtsogolo. Nthawi zambiri njira yotsogola ya matendawa imangodalira iwo okha. Ndi njira yabwino yodziwira, matendawo amapezeka nthawi zambiri.

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