Mtundu wachiwiri wa matenda ashuga, momwe thupi limagwirira ntchito yonse imasokonekera ndipo dongosolo loyenda limayamba kuvutika. Ubongo, mtima, mitsempha yamagazi, ndi retina zimakhudzidwa nthawi zambiri. Nthawi zambiri, zizindikiro za matendawa sizitchulidwa kwambiri, motero zimapezeka kumapeto, chifukwa cha zovuta zomwe zimatha kufa.
Zovuta mu kagayidwe kachakudya njira, kuchepetsedwa chitetezo chokwanira komanso kuchepa kwa magazi kumapangitsa kuti munthu azidwala ndi maso. Odwala amakhala ndi blepharitis ndi conjunctivitis, omwe amatenga nthawi yayitali, ndipo amakhala ovuta komanso ovuta kuyankha.
Conjunctivitis nthawi zambiri imayenda m'magazi a khungu kapena glaucoma. Kuphatikiza apo, nthawi zambiri zizindikiro za matenda izi zimakhala zokhazo zomwe zimawoneka za matenda ashuga.
Chizindikiro chachikulu chomwe chikuwonetsa mawonekedwe a mavuto amaso ndi mawonekedwe amtambo, opanda mitambo. Kuti chitukuko chamtunduwu chisatithandizire khungu, ndikofunikira kudziwa kuti ndi mtundu wanji wodwala matenda ashuga komanso njira zomwe amagwiritsa ntchito pochiza.
Cataract: zoyambitsa ndi mawonetsedwe azachipatala
Matendawa amakula pomwe ma mandala a kuwala amatenga mitambo. Ndilenzi yomwe imasinthira chithunzi, ndikupangitsa kuti izitha kutengeka ndi gawo lamkati lakuwona mu ubongo.
Kusokonekera mu mawonekedwe a mandala a ophthalmic kumatha kuyambitsidwa ndi zinthu zosiyanasiyana. Komanso, ndi matenda amtundu woyamba 1, matendawa amakula msanga kwambiri kuposa matenda a shuga 2.
Ngakhale zomwe zimayambitsa matendawa onsewa ndi zofanana. Chifukwa chake, odwala matenda ashuga amatha kukhala ndi zifukwa zotsatirazi:
- Kuwonongeka kwa magazi kwambiri kumaso, komwe kumapangitsa mitambo yamagalasi, ndipo mitsempha yamagazi imakhala yosalimba.
- Kuperewera kwa insulini m'magazi kumabweretsa kusintha kwamwadzidzidzi kwa chiwalo chowoneka, makamaka, zotere zimadziwika mu odwala matenda ashuga omwe amadalira insulin.
Komanso, kuwonjezereka kwamphamvu kwa kuchuluka kwa shuga m'magazi, zochulukirapo zimayikidwa mu mawonekedwe a flakes mthupi la mandala. Koma lero, madokotala ambiri amakangana ngati pali ubale weniweni pakati pa shuga wambiri ndi chitukuko cha matenda amtundu wa shuga.
Kuwala kwa matenda a shuga kwa ma lens kungathe kusiyanitsidwa ndi zaka ndi zochitika zina. Chifukwa chake, ngati pali zolephera mu dongosolo la endocrine, zizindikiro za matenda amaso zimakula mudakali achichepere. Ndipo mphaka wokhwima akhazikitsidwa kale asanakwanitse zaka 40, pomwe zizindikiro zake zimachulukirachulukira.
Zizindikiro zoyambirira ndizophimba pamaso, zimatha kuwonekera odwala osakwanitsa zaka 25. Matendawa amaphatikizidwanso ndi mawonekedwe ena ambiri:
- nyansi ya zinthu zowala;
- mbiri yachithunzicho;
- chithunzi chikutha;
- Kusintha kwa mwana, komwe kumakhala mitambo ndikuwala, komwe kumapezeka pakufufuzidwa ndi ophthalmologist.
Mphaka mu shuga mellitus imatha kudziwonetsa ngati vuto la HC. Chifukwa chake, wodwalayo amakhala wopanda mpumulo, wosakwiya, chifukwa cha kusowa kwanjira yoyenda payokha m'malo.
Chithandizo
Kuzindikira kwa matenda a cataract omwe ali ndi matenda a shuga kumachitika ndi ophthalmologist. Dokotala amafunsa
- kuchuluka kwamawonekedwe;
- kuchuluka kwa kukakamizidwa kwa intraocular;
- chizindikiritso cha malire a masomphenya.
Kenako, pogwiritsa ntchito zida zamakono zamankhwala, adokotala amawunika fundus, retina ndi mandala. Matendawa amayamba kuthandizidwa pokhapokha atapezeka kuti ali ndi matendawo.
Kuchiza kwa Cataract kumachitika limodzi ndi kuchotsedwa kwa zomwe zimayambitsa ndi zizindikilo za matenda oyamba - matenda ashuga. Pachifukwachi, mankhwala a insulin amatha kulembedwa, wodwalayo amayeneranso kutsata zakudya zapadera, kudya zakudya zamagulu odwala matenda ashuga ndipo musaiwale za zolimbitsa thupi.
Chithandizo cha matenda amkati popanda opaleshoni ndizothandiza pokhapokha poyambira matendawa, komabe ndikofunikira kuganizira zomwe zimayambitsa. Pa mankhwala, madontho a maso amalembedwa kuti achepetse kukula kwa matenda, koma osasiya. Chifukwa chake, ndi matenda a shuga a shuga, Taurine (Taufon, Dibikor) ndi Adapentacen (Quinax) amakhazikika m'maso.
Ngati pali matenda a cataract ndi shuga, ndiye kuti ma lens ndi magalasi sizithandiza, chifukwa chake, mankhwalawo amagwiritsidwa ntchito. Cholinga cha opaleshoniyo ndikuchotsa kwamkati.
Mchitidwewo umachitika pansi pa mankhwala oletsa kugwiritsa ntchito ma microscope omwe amakulitsa ndikuwunikira malo opangira opaleshoni. Ngati maso onse akukhudzidwa, choyamba filimuyo imachotsedwa pachinthu chimodzi, ndipo pambuyo pa miyezi 3-4 mandala achiwiri amathandizidwa.
Pakakhala matenda a cataract, chithandizo chiyenera kukhala chofatsa momwe mungathere. Chifukwa chake, phacoemulsification imagwiritsidwa ntchito nthawi zambiri, kuphatikizidwa ndi kukhazikitsidwa kwa mandala okumba. Njirayi imapangitsa kuti zithetse zovuta zamtundu uliwonse.
Kodi opaleshoni yamatumbo amachitika bwanji? Pogwiritsa ntchito kafukufuku wa ultrasound, dokotala wa opaleshoniyo amaphwanya mandala amiyala, kenako kufunsa kwa tinthu tating'onoting'ono kumachitika. Kudzera m'maso omwe adapangidwa kale, chikhazikitso chowoneka ngati chubu chimayikidwa m'diso ndi jakisoni wapadera wa syringe.
Kuchita opaleshoni kumatheka. Kutalika kwa njirayi mpaka mphindi 25.
Phindu la phacoemulsification limaphatikizapo:
- chitetezo ndi kusapweteka;
- mwayi wochepa wopeza zovuta;
- kukula kwa kukula koyambira mpaka 2,5 mm;
- nthawi yochepa ya njirayi;
- kukonzanso mwachangu (masiku 30 apamwamba).
Kubwezeretsa masomphenya pambuyo pa opaleshoni, magalasi ochita kupanga amagwiritsidwa ntchito. Ma IOL amaikidwira m'diso, ndikusintha chiwalocho. Njira yakuchiritsirayi imawonedwa ngati njira yothandiza kwambiri yokuthandizira, yomwe imakupatsani mwayi wobwerera kwambiri. Zowonadi, mawonekedwe a mandala a intraocular ali pafupi kwambiri ndi kuthekera kwa mandala achilengedwe.
Ma mandala opanga amapangidwa ndi zinthu zapadera zowonekera bwino zomwe zimalekeredwa bwino ndi minyewa ya chinthu chowoneka popanda kupangitsa kutulutsa. Koma IOL ya wodwala aliyense amasankhidwa payekhapayekha, kutengera mawonekedwe ndi kudziyang'anira kwa diso lake.
Pambuyo pa opaleshoni, kwa milungu inayi, maso ayenera kukhazikika ndi osagwiritsa ntchito mankhwala ndi ma cellidal. Nthawi zambiri Indocollir ndi Dexamethasone amadziwika (2 akutsikira 4 r. Patsiku). Pakupita masiku 10, antibacterial mankhwala amaikidwa chimodzimodzi.
Mpaka pomwe machiritso amachira kwathunthu, mkati mwa masiku 14 ndikofunikira kuwunika bwino ukhondo kuti usathenso. Chifukwa chake, osakhudza diso ndikutsuka pansi pamadzi. Komanso, mukachira, sikofunikira kugwiritsa ntchito zodzoladzola, masewera olimbitsa thupi ndikupita ku sauna.
Komabe, kodi ndizotheka kuchitidwa opaleshoni ndi retinopathy yotsogola ngati pali zipsera ku retina? Pankhaniyi, opaleshoni yamankhwala imapangidwa. Komanso phacoemulsification sikuchitika ndi kutupa kwa m'maso ndi mapangidwe amitsempha yamagazi pa iris.
Kupewa
Kukula kwamatenda am'mayendedwe odwala matenda ashuga atha kupewedwa. Pachifukwa ichi, miyezi isanu ndi umodzi iliyonse, odwala amayenera kukaonana ndi ophthalmologist yemwe amayang'anitsitsa fundus, adziwe momwe mandalawo adayang'anire ndikuwona mawonekedwe.
Kuti muteteze ziwalo zowonjezera m'magazi a glucose ochulukirapo, madontho a maso ayenera kugwiritsidwa ntchito. Mwachitsanzo, Catalin kapena Katachrome.
Kutalika kwa njira yodzitetezera ndi mwezi umodzi, ndipo tikulimbikitsidwa kuti mupumule kwa masiku 30 ndikubwereza gawoli. Komabe, nthawi zambiri, kugwiritsa ntchito mankhwalawa kwa moyo wonse ndikofunikira.
Avetotsian Forte ali ndi njira yokwanira yothetsera zovuta za matenda ashuga. Amakhala ndi mapangidwe achilengedwe (mbewu za mphesa, ma currants, ma buluu), kukonzanso ntchito zowoneka bwino, kulimbitsa zida za maso ndi mtima.
Matenda a shuga ndi matenda amtundu wa shuga sangakhale malingaliro ofananira ngati mumayang'anira zonse zomwe zili ndi shuga, kupewa kutumphuka kwake kwamphamvu. Kuti muchite izi, muyenera kumwa mankhwala apadera omwe amasintha shuga wamagazi ndikuyambitsa metabolism. Izi zimaphatikizira maofesi a multivitamin, omwe amaphatikizapo ma amino acid, ma antioxidants ndi zina zomwe zimalimbitsa ndikuyeretsa dongosolo la mtima.
Vitamini C ndi njira yothanirana ndi matenda a chifuwa cha matenda ashuga. Chifukwa chake, wodwalayo ayenera kulemeretsa chakudya chake ndi tsabola wa zipatso komanso mabulosi. Komanso, chinthuchi chimapezeka mu zipatso (blackcurrant, blueberries), zomwe sizimangongolera ntchito zowoneka, komanso kusunga mandala.
Riboflavin ndiwothandizanso thanzi. Itha kupezeka mbewu zonse, yisiti ndi mkaka. Komanso, kusintha masomphenya, muyenera kumwa tiyi wobiriwira wambiri. Kanemayo munkhaniyi amafotokoza za matenda amtundu wa shuga.
