DISO LIMATSIKA CHIFUKWA CHA MATENDA ASHUGA

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Matenda a shuga ndi matenda amaso

Pali ubale wolunjika pakati pa matenda ashuga ndi matenda amaso.

Kuchuluka kwa shuga m'magazi kumakhudza mkhalidwe wamatsempha, izi zimakhudzanso ziwalo zonse zamkati. Nthawi yomweyo, zombo zakale zimawonongeka mwachangu, ndipo zina zatsopano m'malo mwake zayamba kusokonekera. Mthupi la munthu wodwala matenda ashuga, madzi ochulukirapo amadziunjikira, izi zimagwiranso ntchito m'dera la diso. Izi zimakhudza mawonekedwe owoneka ndipo zimayambitsa kuthambalala kwa mandala.

Matenda a shuga angayambitse izi:

Cataract - kufinya kapena kudetsa mandala amaso, yomwe imagwira ntchito yoyang'ana kwambiri chinthu. Ndi matenda ashuga, ngakhale achinyamata amakhala ndi vuto laukali. Ndi shuga wamagazi ochulukirapo, matendawa amakula mwachangu, zomwe zimatsogolera kuchepa kwamono pang'onopang'ono.
Glaucoma - imayamba chifukwa cha kusokonezeka kwa njira zoyambira zamadzimadzi mkati mwa diso. Ndi matenda a shuga, kudzikundikira kwake kumachitika, zomwe zimapangitsa kuti zikhale zowonjezereka. Izi zimabweretsa kuwonongeka kwamitsempha yamagetsi ndi zamanjenje, zomwe zimatha kuyambitsa kuwona kwathunthu. Zizindikiro za glaucoma ndi kusawona bwino, kupunduka kwamaso ndi mawonekedwe a areoles kuzungulira kuwala.
Matenda a shuga a retinopathy (maziko, maculopathy ndi proliferative) ndi vuto la mtima lomwe limayamba pamaso pa matenda a shuga. Pakuwonongeka kwamitsempha yamagazi yaying'ono m'dera la diso, matenda awa amatchedwa microangiopathy. Ngati ziwiya zazikulu zakhudzidwa, pali mwayi wokhala ndi matenda amtima, kuphatikizapo sitiroko.

Nthawi zambiri, matenda ashuga ndi omwe amachititsa glaucoma. Mphaka ndi retinopathy ndizochepa kwambiri.

Njira zochizira matenda amaso m'matenda a shuga

Ndi kutsimikiza kwakanthaŵi koyamba kwa matenda amaso a shuga, chitukuko chawo chimatha kupewedwa poyang'anira kuchuluka kwa shuga m'magazi a magazi kawiri pa tsiku.

Madokotala nthawi zambiri amalimbikitsa kugwiritsa ntchito mankhwala, omwe maso othandiza kwambiri amatsika. Mankhwala opangira opaleshoni amagwiritsidwa ntchito pochiza matenda amaso pokhapokha ngati ma pathologies ali ndi gawo lovuta kapena lotsogola.

Palibe wodwala matenda ashuga amene samva mavuto.

Ndi kovuta kwambiri kupewa, koma kuchedwa. Kuti muchite izi, tikulimbikitsidwa kuyang'anira kuchuluka kwa shuga m'magazi, kudya molondola ndikuwunika chaka chilichonse ndi endocrinologist ndi ophthalmologist.

Diso limatsika chifukwa cha matenda ashuga

Ndikotheka kuti muchepetse kukula kwa mavuto amawonedwe kwa odwala omwe ali ndi matenda osokoneza bongo osati kungoyang'anira kuchuluka kwa shuga mumtsinje wamagazi, komanso kugwiritsa ntchito madontho amaso. Kugwiritsa ntchito mankhwalawa kuyenera kusamala, mukuganizira mlingo womwe umawerengeredwa ndi akatswiri ndikulimbikitsa kuti mugwiritse ntchito.

Mwa zina mwa mankhwala othandizira a glaucoma ndi Betaxolol, Timolol, Latanoprost, Pilocarpine ndi Ganfort.

Betaxolol (mtengo 6 ma ruble)

Madontho a maso a Betaxolol amapatsidwa mtundu wa glaucoma wokhazikika, womwe umayamba chifukwa cha matenda ashuga. Wothandizila antiglaucoma amachepetsa kukhathamiritsa kwa 1-2 mawola ntchito. Mphamvu ya mankhwalawa imatha tsiku lonse.

Betaxolol iyenera kugwiritsidwa ntchito pokhapokha mukaonana ndi dokotala kuti muchepetse zovuta zoyipa. Mwa zina zosavomerezeka zomwe zimachitika chifukwa chosagwirizana ndi ma dosages kapena pamaso pa contraindication, titha kusiyanitsa

kusapeza bwino
zomwe zimachitika mderalo,
lacure.

Pali mwayi wokhala wolumikizira wa conjunctival, anisocoria, ndi Photophobia. Mwa zina zomwe zimachitika mwatsatanetsatane, zomwe zimatchulidwa kwambiri ndi kupsinjika kwa mitsempha komanso kusowa tulo.

Timolol (mtengo 35 ma ruble)

Maso a anti-glaucoma akutsikira "Timolol" ali ndi timolol maleate ngati gawo logwira ntchito. Chithandizo chogwira bwino ntchito chimachepetsa kukhathamiritsa, kuchulukitsa kuseka kwamadzi mwakuchulukitsa. Madontho amayamba kuchita ngati mphindi 20 atagwiritsidwa ntchito, ndipo mphamvu yakeyo imatheka pokhapokha maola 1.5-2.

Madontho "Timolol" sawonjezeredwa kuti azigwiritsidwa ntchito mosagwiritsa ntchito mankhwala, chifukwa mankhwalawa amayambitsa zovuta zingapo:

khungu la eyelids ndi conjunctiva,
conjunctivitis
kutupa m'dera la epithelium corneal,
kuchepa kwa zowoneka bwino,
mphuno
mphuno.

Latanoprost (mtengo 5 rubles)

Misozi ya Latanoprost imathandizira kuchepetsa kuthamanga kwa intraocular mu shuga mellitus. Mphamvu ya mankhwalawa imatheka chifukwa chothandiza kuti chinyezi chizituluka. Madontho amathandizidwanso kwa matenda oopsa. Kugwiritsa ntchito kwawo kumaloledwa kuonjezera mphamvu ya mankhwala omwe amachepetsa kuthamanga kwa intraocular.

Zotsatira zoyipa mukamagwiritsa ntchito madontho a Latanoprost:

mamolekyu edema angawoneke,
pigment of the iris kusintha
sokoneza khungu la eyel,
ma eyelashes amatha kusintha (kuchuluka, kusintha mtundu ndi makulidwe).

Pali kuthekera kwa conjunctival hyperemia ndi kuwona kwamaso.

Pilocarpine (mtengo 35 ma ruble)

Madonthowa amaso "Pilocarpine" ndiofunikira kwambiri pakuchita kwa ophthalmic. Ndi thandizo lawo, mutha kuchepetsa kupanikizika kwapakati pa ana ndi kufinya ana, omwe mu shuga amaletsa kusintha kwa matenda poyambira kukula. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimalowa mosavuta mu cornea ndikuphatikizana ndi minyewa yamaso.

Madontho amalimbikitsidwa kuti azigwiritsidwa ntchito mu pulayimale yachiwiri ndi sekondale, minyewa yam'mimba komanso yapakati pamitsempha, komanso kuwala kwa mitsempha ya maso.

Ngati malingaliro omwe atsatiridwa samatsatiridwa kapena ngati pali zotsutsana, pali mwayi wokhala ndi zovuta monga:

redjunctival redness,
masomphenya osalala
kupweteka kwakanthawi
zotupa zam'mphuno zambiri,
kutsika kwa kugunda kwa mtima.

Ganfort (mtengo 590 rub.)

Maso a Ganfort ali ndi kuphatikiza komwe kumagwira zosakaniza: timolol ndi bimatoprost. Kuchita kwawo ndikofunikira ndikuchepetsa kupanikizika kwa ma intraocular, komwe kumathandiza kupewa matenda amtundu wa maso mu matenda a shuga.

Maso akuyenera kugwiritsidwa ntchito mosamala, chifukwa amatha kuyambitsa zovuta zingapo: mutu, kukula kwa eyelash, conjunctival hyperemia, keratitis wapamwamba, rhinitis, hirsutism, kutuluka m'maso, zotupa za mucous, kutupa kwa matope.

Malangizo ogwiritsira ntchito madontho amaso

Mukamalandira chithandizo cha matenda amaso omwe ali ndi madontho a shuga, njira yokhazikika ndi kugwiritsa ntchito mankhwalawa iyenera kuyang'aniridwa. Kupanda kutero, pali kuthekera kwakukulu koyamba koyamba kotengera zovuta.

Njira ya chithandizo ndi madontho amaso sayenera kupitilira masabata awiri.

Ichi ndichifukwa chake amalimbikitsidwa kuti agwiritsidwe ntchito limodzi ndi mankhwala omwe amachotsa zomwe zimayambitsa matenda ashuga.

Kulowa kwaulere kwa dokotala:

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