Amayambitsa, Zizindikiro ndi Chithandizo cha matenda ashuga a Encephalopathy

Matenda a diabetes a encephalopathy amadziwika ngati chindapusa cha maselo aubongo omwe amapanga motsutsana ndi maziko a matenda ashuga. Nthawi zina, matenda am'mawonekedwe amawonedwa ndi kupweteka kwa mutu kwapang'onopang'ono, ndipo kwa ena kumabweretsa kuwonongeka kwakatundu. Mutha kupewa zovuta zazikulu za matendawa podziwa zomwe zimayambitsa ndi momwe zimachitikira, komanso njira zopewera.

Zamoyo

Kuwonjezeka kwakukulu kwa shuga m'magazi, komwe kumadziwika kwa nthawi yayitali, kumapangitsa njira zosasintha mu ubongo. Chifukwa chowonjezeka mamasukidwe akachulukidwe ka magazi, ziwiya zimasinthika - makoma awo amatha kuzimiririka, kapena amakhala ofooka komanso osakhazikika. Zonsezi zimadzetsa kusayenda bwino, chifukwa chomwe mbali zina za ubongo zimayamba kufa ndi mpweya.

Chifukwa cha zovuta za metabolic, poizoni amadziunjikira m'magazi, omwe nthawi zambiri amayenera kutayidwa kuchokera m'thupi. Zinthu zomaliza zomwe zimachitika mu biochemical zimalowa mkatikati mwa ubongo ndikuonjezera zomwe zikuchitika. Poyamba, mitsempha ina imatha, ndipo pambuyo pake, ngati magazi sayenda, amafa kotheratu. Kulingalira kwambiri mu ubongo, kumapangitsa mkhalidwe wa munthu kukula.

Kuphatikiza pa kuchuluka kwa shuga m'magazi, zovuta zina zimadziwika, munjira zambiri zimawonjezera mwayi wokhala ndi matenda a encephalopathy mu shuga mellitus:

• mankhwala osokoneza bongo - kusuta fodya komanso kumwa mowa mwauchidakwa;
• ukalamba;
• kuchuluka kwa mafuta molozera;
• atherosulinotic mtima matenda;
• kuthamanga kwa magazi;
• aakulu aimpso kulephera;
• kusintha kwa dystrophic kumutu.

Tsoka ilo, kutsimikiza kuti matenda ashuga sikubweretsa mavuto akulu ndi magazi kupita ku ubongo ndikosatheka, chifukwa ngakhale njira yofatsa ya matendawa mwanjira ina imakhudza magwiridwe antchito a ziwalo zonse. Kukhala ndi mbiri yamavuto am'magazi a glucose, palibe chifukwa chomwe muyenera kunyalanyaza mankhwalawa ndikumwa mankhwala, chifukwa izi ndizodzaza ndi kuchuluka kwadzidzidzi m'magazi a shuga, omwe amasiya kuchuluka kwa mitsempha yamagazi ndi minyewa yamitsempha, komanso chiopsezo cha matenda a shuga kuchuluka.

Pathogenesis ndi magawo a matendawa

Pa mtima wa matenda ashuga encephalopathy ndi zovuta zonse zovuta za metabolic. Matenda a mtima omwe amayamba chifukwa cha microangiopathy amakhudzanso matenda am'mimba, amachititsa hypoxia yama cell ubongo. Njira za pathobiochemical zophatikizira hyperglycemia zimayambitsa anaerobic glycolysis, zomwe zimasandulika kukhala mphamvu yanjala yamitsempha.

Zotsatira zake za ma free radicals zimakhudza ziwalo zam'mimba, ndipo mawonekedwe a glycosylated hemoglobin amaletsa maselo am'magazi a michere. Kulephera kwa Hypoxia ndi metabolic kumayambitsa kufa kwa maselo a muubongo, pomwe munthawi yomweyo amapanga zosokoneza kapena kusintha kwazing'ono kwa organical colort. Chifukwa cha kuwonongeka kwa kulumikizana kwa neural, ntchito yanzeru imayamba kuwonongeka pang'onopang'ono. Madokotala amasiyanitsa magawo atatu a encephalopathy mu shuga:

1. Poyamba. Choyamba, kudumpha mu kuthamanga kwa magazi kumadziwika, wodwalayo amadandaula za kupweteka mutu pafupipafupi, mumdima m'maso, kumva kutopa ndi kutopa. Nthawi zambiri, zizindikiro zotere zimafotokozedwa molakwika ndi nyengo yoyipa, zaka, kapena vegetovascular dystonia.
2. Lachiwiri. Mutu nthawi zambiri umakhala wokhazikika, kukumbukira kwakanthawi kochepa sikumatha, munthu akhoza kukumana ndi mavuto poyang'ana malo. Nthawi zambiri zizindikiro za dongosolo la mitsempha zimalowamo - ophunzirawo amamva kupweteka poyang'ana kuwala, malankhulidwe ndi nkhope zawo. Monga lamulo, ndi pa nthawi imeneyi kuti omwe ali pafupi ndi okondwerera akuyamba kuwomba.
3. Chachitatu. Chizindikiro cha mtima wam'mimba chimatchulidwa. Wodwala amadwala matenda osowa tulo komanso nkhawa. Pakadali pano, kukula kwanzeru kwa chidziwitso chatsopano ndi maluso ndizosatheka.

Chithunzi cha kuchipatala

Njira yachilengedwe samachitika mwachangu. Munthu akadali wachichepere, zizindikiro zoyambirira za matenda ashuga a m'mimba nthawi zambiri zimadzipangitsa kumverera pambuyo pakuwukira kwa hypo- ndi hyperglycemic. Kwa anthu okalamba, zizindikiro za matendawa zimatchulidwa kwambiri pambuyo pa sitiroko.

Zizindikiro za pathology ndizosadziwikazimaphatikizapo kuwonongeka kwa kuzindikira, asthenic syndrome, vuto la mitsempha komanso kulephera kwa mitsempha. Kumayambiriro kwa matendawa, munthu amalimbana ndi zofooka. Wodwalayo amadandaula za kupweteka kwa mutu, ndikumverera kovutikira kavuto ndi mavuto a kupsinjika.

Mkhalidwe wofanana ndi wa neurosis umachitika chifukwa cha mitundu yambiri ya psychogenic komanso somatic. Zochita za wodwalayo zimachepetsedwa kwambiri, iye amangokhalira kuganizira za matenda omwe alipo, kuukira kwamwadzidzidzi kumachitika. Pafupifupi 40% ya odwala omwe amalumikizana ndi dokotala amapezeka ndi matenda a kukhumudwa. Mwina chitukuko cha hysterical, nkhawa-phobic ndi manic.

Kwa asthenic syndrome, Zizindikiro zake zimakhala zowopsa, zopanda chidwi, zovuta zam'mimba, kukomoka chifukwa cha kusokonezeka kwakanthawi kwa magazi. Mavuto azindikiritso amadziwika ndi kuwonongeka mu zochitika zamaganizo ndi zosokoneza. Zizindikiro zowoneka bwino zimawonetsedwa ndi kuchepa kwa kutembenuka, anisocoria (ma diameter osiyana a ophunzira), ataxia (chizungulire, mavuto ndi mgwirizano) komanso kuperewera kwa piramidi (kufooka kwa malekezero apansi ndi apamwamba, kufooka kwa minofu).

Njira zoyesera

Kuzindikira kolondola kumatha kupangidwa kokha ndi katswiri wa zamitsempha potengera zotsatira za kuwunika kwa wodwalayo. Kuti tiwone momwe masinthidwe amathandizidwe komanso zochita zanu za thupi zimapangidwira pokhapokha ngati mwazindikira. kuphatikiza njira izi:

1. Electroencephalography. Zimawonetsa kusintha kosiyanasiyana m'zinthu zamphesa. Kuchepetsa kwa phokoso la alpha ndi kupezeka kwa mafunde abwinobwino a theta ndi ma delta alembedwa.
2. Magnetic resonance imaging ya ubongo. Pa gawo loyamba la matendawa, kupatuka sikudziwika. Pambuyo pake, zozama zazing'ono zamachitidwe osintha-atrophic zimapezeka.
3. Phunziro la matenda a ubongo. Imapangidwa pogwiritsa ntchito kupanga kabuku kabuku, angiography ndi rheoencephalography.

Kuyesedwa kwa Laborator kumapereka mwayi wowunikira mtundu wamatenda a metabolic, omwe kuchuluka kwa shuga, lipids, insulin ndi cholesterol amatsimikiza. Kusiyanitsa kofunikira ndikofunikira kuti musatenge zilonda zam'mimba komanso chotupa cha bongo.

Njira yothandizira

Madokotala a matenda amitsempha yamagazi komanso (mpaka pang'ono) amtundu wa endocrinologists amathandizira pa matenda a shuga. Chofunikira kwambiri pakuchita bwino kwa mankhwala ndikusunga shuga wokwanira m'magazi. Izi zitha kuchitika mwa kutsatira mosamalitsa zakudya zomwe dokotala amatulutsa komanso kumwa mankhwala ochepetsa shuga pa nthawi. Odwala omwe apezeka ndi mtundu woyamba wa shuga amakhala akuwonetsa chithandizo cha insulin.

Kuti khazikitse hemodynamics yamatumbo ndikuwonjezera kukana kwa ma neurons ku hypoxia, chithandizo chamatsenga chokwanira chimachitika potsatira kugwiritsa ntchito mankhwala osokoneza bongo a vasoactive, cerebroprotective, antioxidant ndi antiplatelet. Wodwalayo adapangidwanso mavitamini, othandizira mphamvu kagayidwe.

Ngati pali zovuta zodziwika ndi ntchito zamagalimoto, ndiye kuti wodwala akulimbikitsidwa kumwa mankhwala a anticholinesterase. Malinga ndi zikuwonetsa, mankhwala osokoneza bongo a antihypertensive ndi antisulinotic ochokera pagulu la statins amaphatikizidwa mu maphunziro othandizira. Ma Vasodilators amathandizira kusintha kwamtundu wam'magazi ndikuchotsa kukwera kwamphamvu kwa magazi kuthana ndi vuto la mtima.

Chithandizo cha zovuta zama neurotic ndi psychotic level chimafuna kusankha koyenera kwa mankhwala, popeza ma sedative samawonetsedwa mwanjira yabwino pazidziwitso za munthu. Zomwe zimagwiritsidwa ntchito kwambiri ndi tranquilizer atypical. Zingakhale zothandiza kukaonana ndi akatswiri azamisala.

Zovuta zotheka

Kuopsa kwa zovuta mu encephalopathy kumakhudzana mwachindunji ndi msinkhu wa munthu komanso kuchuluka kwa kunyalanyaza kwa matenda. Njira yabwino yochizira imapangitsa kuti ubongo ukhale wautali nthawi yayitali, osawopa kuwonongeka mwadzidzidzi. Ndikofunikira kuti wodwalayo asalandidwe ntchito.

Koma ngati chithandizo chinayambika mochedwa, ndikutheka kwakukulu matendawa amatsogolera ku zovuta zambiri zamanjenje. Pakapita nthawi, wodwalayo amayamba kuchita khungu; Pamene matenda akupita patsogolo, ubongo umayamba kutaya ntchito zake, munthu amalephera. Mwina chitukuko cha matenda ashuga a m'mimba omwe ali ndi vuto lalikulu m'maganizo, pomwe wodwala amakhala ndi zowonera komanso malingaliro, malingaliro onyenga, osayenera.

Njira zopewera

Popeza ngakhale zizindikiritso zing'onozing'ono za encephalopathy zimatha kuyambitsa munthu zovuta zambiri, yankho loyenera ndikuletsa izi zovuta za matenda ashuga. Njira imodzi yothandiza kwambiri yopewera ndikusunga shuga wa magazi pamlingo wovomerezeka ndikutsatira malangizo a dokotala anu pankhani ya zakudya za tsiku ndi tsiku. Zakudya za wodwala ziyenera kukhala ndi zinthu zokhala ndi chisonyezo chochepa cha glycemic. Nthawi zonse kudya plums, tomato, tsabola wofiira, adyo ndi anyezi, mutha kuwongolera momwe magwiridwe antchito amayendera ndipo potero mudzitchinjiriza kuti musawononge ubongo.

Masamba ndi zipatso zomwe zimakhala ndi chomera chokulirapo komanso kuphatikiza kuthamanga kwa magazi ndizothandiza kwambiri kwa odwala matenda ashuga. Mutha kuchepetsa chiwopsezo cha matenda ashuga a shuga ngati mutadya supuni zingapo za mafuta a maolivi E olemera tsiku lililonse.

Onse odwala matenda ashuga, makamaka omwe ali ndi vuto la mtima komanso magazi, ayenera kuyiwala za ndudu ndi mowa. Zachidziwikire, simungathe kuchita popanda kuchita masewera olimbitsa thupi. Kuyenda mu mpweya watsopano kumapangitsa magazi kuzungulira ziwalo zonse. Kuti zovuta zolimbitsa thupi zisawononge thanzi, ndikofunikira kugwirizanitsa ma nuances onse ndi katswiri woyenera.

Matenda a diabetes a encephalopathy ndi njira yowoneka bwino, ndizosatheka kuthana mpaka kumapeto ndi chikhumbo chonse. Matendawa amatengera kudera lomwe matendawa anapangidwira, komanso kuopsa kwa matenda oyambitsidwa. Wodwala akamayamba kuchita zinthu mosamala, nthawi zambiri zimachepetsa kupitilira kwa encephalopathy ndikukhala ndi moyo wabwino kwanthawi yayitali.