Matenda a shuga a matenda a shuga - kuchokera kuzizindikiro mpaka zotsatira zake

Kuphatikiza pa kuwonongeka kwa dongosolo la zotumphukira zam'mimba, matenda a shuga amatha kukhala ndi vuto pakatikati. Matenda a diabetes a encephalopathy ndikusintha kwachilengedwe ndi kapangidwe ka ubongo wake. Vutoli limayamba pang'onopang'ono, chifukwa chake, madokotala komanso odwala nawonso amadziona mochedwa zizindikiro zikafika povuta kwambiri. Kuwonetsedwa kwakukulu kwa matenda ashuga a m'mimba ndikuchepa kwa luso la kuzindikira, lomwe limabweretsa zovuta pakusinthasintha pagulu ndi pantchito, kutayika kwa maluso aukadaulo.

Matendawa amathandizira kwambiri moyo wa odwala, makamaka ukalamba, zimakhala zovuta kwa odwala matenda ashuga omwe amachititsa matenda kuwonda, amatha kuiwala kumwa mankhwala, kuwerengera molakwika kuchuluka kwa insulin, osatha kuwongolera zakudya zawo. Kulipidwa kwa matenda ashuga sikungatheke kwa odwala otere, chifukwa chake amakula msanga, kulumala kumayambika, ndipo kufa kwa 20% kumakweza. Njira yokhayo yopewereranso kusintha kwa ubongo ndikuzindikira mavuto anu adakali achichepere.

Kodi encephalopathy ndi chiyani?

Mawu akuti "encephalopathy" amatanthauza matenda onse amtundu wa bongo pomwe pakapanda kutupa matenthedwe ake amawonongeka. Tizilombo taubongo nthawi zambiri timawonongeka pang'ono ndi vuto la kuperewera kwa m'thupi. Mwachilengedwe, nthawi yomweyo, gawo limodzi la magawo amomwe amachitika mu ubongo limatayika. Zomwe zimayambitsa matenda a diabetes a encephalopathy ndi kusokonekera kwa metabolic komanso mtima m'thupi.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Malinga ndi magwero osiyanasiyana, zizindikiro za encephalopathy zimatha kupezeka pafupifupi 90% ya odwala matenda ashuga. Ngakhale izi, kufufuza koteroko kumapangidwira mosadukiza, popeza matendawa ndi ovuta kuzindikira ndikuzindikira kuti shuga ndiyomwe imayambitsa kusintha kwa ubongo.

Malinga ndi kalata yochokera ku Unduna wa Zaumoyo ku Russia, matenda ashuga ali ndi nambala ya ICD ya 10 (matenda apadziko lonse lapansi) E10.8 ndi E14.8 - zovuta zosadziwika za matenda ashuga.

Chomwe chimapangidwira kukula kwa encephalopathy sichimamveka bwino, koma amakhulupirira kuti imagwirizana kwambiri ndi matenda ashuga a m'mimba. Choyambitsa chachikulu cha matenda ndi zofanana ndi zovuta zina za matenda ashuga - hyperglycemia.

Shuga wapamwamba amatsogolera ku angiopathy yamitsempha yamagazi, yomwe imaphwanya zakudya za ubongo. Chifukwa cha kusokonezeka kwa magazi, ma neuron amamva kuperewera kwa mpweya, amagwira ntchito kwambiri, samatha kuchira munthawi yake ndikuchotsa zinthu zapoizoni. Vutoli likukulirakulira chifukwa cha kuchuluka kwa mafuta m'thupi, ma triglycerides ndi ma lipoproteins otsika kwambiri, okhala ndi matenda a shuga.

Magawo atatu a encephalopathy

Kukula kwa encephalopathy kumachitika mu magawo atatu. Zizindikiro zoyambirira sizili zachindunji, chifukwa chake odwala matenda ashuga sawalabadira. Nthawi zambiri, encephalopathy imadziwika kuti si yachiwiri kuposa gawo 2, pomwe zizindikiro zake zimatchulidwa. Kumayambiriro kwa matendawa, MRI imatha kuzindikira kusintha kwazing'ono kwambiri mu ubongo. Nthawi zambiri amapezeka mosiyanasiyana m'malo angapo. Pambuyo pake, chotupa chimapangidwa mu ubongo. Zizindikiro zoyambira ndi kuuma kwawo panthawiyi zimadalira kutulutsa chidwi.

Gawo la matenda a shuga

1. Pa gawo loyamba - wodwala amawona magawo a kukwera ndi kugwa kwa kuthamanga kwa magazi, chizungulire, kuzimiririka m'maso, kutopa ndi kupepuka. Monga lamulo, mawonekedwe awa amawonetsedwa ndi nyengo yoyipa, zaka kapena michere-vascular dystonia.
2. Mu gawo lachiwiri - Mutu umakhala pafupipafupi, kukumbukira kwakanthawi kochepa, kusokonezeka m'mlengalenga ndikotheka. Zizindikiro zamitsempha zimatha kuwoneka - zochita za ophunzira pakusintha kowala, malankhulidwe amasokonezeka, mawonekedwe amachoka, zovuta zowonekera zimawonekera. Nthawi zambiri, ndi nthawi imeneyi pomwe odwala omwe ali ndi matenda ashuga amatembenukira kwa wamatsenga.
3. Mu gawo lachitatu -Zizindikiro zimatchulidwa. Pakadali pano, kupweteka kwa mutu kumakulirakulira, mavuto ndi mgwirizano wamatenda, chizungulire chimawonekera. Kusowa tulo, kukhumudwa, kukumbukira kumakulirakulira. Pakadali pano, ndizosatheka kudziwa maluso ndi kudziwa kwatsopano.

Zolemba zamatenda a matenda amtundu 1 komanso matenda ashuga 2

Mwanjira yake yoyera kwambiri, matenda a shuga omwe amachititsa anthu odwala matenda ashuga a mtundu woyamba 1. Kusokonezeka muubongo wawo kumalumikizidwa ndi kusowa kwa insulin yawo komanso kulandira mosayembekezereka ngati mawonekedwe. Pali malingaliro oti kupititsa patsogolo kwa encephalopathy kumangotengera kuchuluka kwa hyperglycemia, komanso kusakhalapo kwa C-peptide m'thupi - gawo la molekyulu ya proinsulin yomwe imachotsedwa pamenepo pakupanga insulin. Insulin ya mafakitale, yomwe imalembedwa kwa odwala onse omwe ali ndi matenda amtundu wa 1, ilibe C-peptide - werengani zambiri za C-peptide.

Encephalopathy imavulala kwambiri mu mtundu woyamba wa shuga kwa ana aang'ono. Amakhala ndi mavuto ndi chidwi, chidwi chazidziwitso chimachepetsa, kukumbukira kwawo kumachepa. Kuyesedwa kwapadera kunatsimikizira kuti wodwala yemwe ali ndi encephalopathy, IQ ya mwana imachepa, komanso zotsatira zoyipa za luntha anyamata amphamvu kuposa atsikana. Kafukufuku wamaubongo omwe ali ndi odwala omwe adayamba matenda ashuga akuwonetsa kuti atakula, amakhala ndi vuto latsitsi kuposa anthu athanzi.

Matenda a diabetes a encephalopathy amtundu wa 2 shuga amasakanikirana. Pankhaniyi, ubongo umakhudzidwa osati ndi hyperglycemia yokha, komanso zovuta zina:

1. Hypertension imawonjezera kusintha kwa atherosulinotic m'matumbo, nthawi 6 kumawonjezera chiopsezo cha encephalopathy.
2. Kunenepa kwambiri kwamkatikati kumayambitsa kudwala kwambiri kwa encephalopathy mu ukalamba.
3. Kukana kwamphamvu kwa insulin kumayambitsa kudzikundikira muubongo wa beta-amyloids - zinthu zomwe zimatha kupanga zolembera ndikuchepetsa kwambiri kuzindikira kwa ntchito.

Zizindikiro zake

Zizindikiro za encephalopathy mu diabetesics amafotokozedwa ndi kulephera kwa maselo a mu ubongo kugwira ntchito moyenera chifukwa cha kuperewera kwa mpweya ndi michere, chifukwa chake ali ofanana ndikuwonetsa kwa encephalopathy chifukwa cha atherosulinosis, matenda oopsa, kapena ngozi ya cerebrovascular.

Momwe mungathanirane ndi matenda a shuga a encephalopathy

Chithandizo cha encephalopathy kwa odwala omwe ali ndi matenda ashuga ndizovuta, umapangidwa kuti onse azitha kutulutsa kagayidwe komanso kusintha momwe ziwiya zimaperekera ubongo. Pakugwiritsa ntchito malangizo a kagayidwe:

1. Kuwongolera chithandizo cha matenda a shuga omwe adapangidwa kale kuti akwaniritse standardoglycemia.
2. Ma antioxidants kuti muchepetse zowonongeka za ma free radicals. Nthawi zambiri, lipoic acid amakonda.
3. Mavitamini B, nthawi zambiri monga gawo la ma protein apadera - Milgamm, Neuromultivit.
4. Statin kwa matenda a lipid kagayidwe - Atorvastatin, Lovastatin, Rosuvastatin.

Zotsatira zake

Kukula kwa encephalopathy kumadalira zaka za wodwalayo, nthawi yake komanso kuchuluka kwake komwe kulipidwa ndi matenda ashuga, kuzindikira kwakanthawi pazovuta zake. Kuchiza koyenera kwa encephalopathy ndi matenda a shuga kumalola zaka zambiri kuti ubongo wa wodwalayo ukhale wofanana, popanda kuwonongeka kwakukulu. Nthawi yomweyo, wodwalayo amasungabe mphamvu yayikulu yogwirira ntchito komanso luso lotha kuphunzira.

Ngati chithandizo chachedwa, matenda ashuga a m'mimba amachititsa matenda ambiri am'mitsempha: migraines yayikulu, kupweteka kwa mtima, komanso kuwonongeka kwa mawonekedwe. M'tsogolomu, ubongo umataya pang'ono ntchito zake, zomwe zimawonekera ndikutaya pang'ono pang'onopang'ono mpaka kulumala kwakukulu.

Kutheka kwa encephalopathy yovuta kwambiri m'maganizo, momwe mumakhala kuyerekezera zinthu zina, kunyengerera, kusachita bwino, kulephera kuyendetsa malo ndi nthawi, kuiwala kukumbukira.