Kodi matenda a shuga ndi matenda a shuga amayenera kuchitanji?

Dongosolo la matenda ashuga angiopathy ndi lingaliro logwirizanitsa lomwe limatanthauzira zotupa zazing'onoting'ono. Ndi matenda awa, makoma a zotengera amayamba kulimba, ndipo kupezeka kwawo kumaphwanyidwa. Zotsatira zake, kuthamanga kwa magazi kumachepa. Chifukwa cha njirazi, zotupa zosasinthika zamkati - mtima, impso, ndi diso - zimachitika.

Zifukwa

Anthu ambiri amasamala za funso: matenda a shuga angiopathy - ndi chiyani? Kuti mumvetsetse bwino za njirayi, muyenera kuwunika momwe amapangidwira. Ndi matenda a shuga opitilira, shuga wamagazi ambiri alipo. Pang'onopang'ono izi zimakwiyitsa kuwonongeka kwa makoma amitsempha.

M'malo ena amayamba kuchepera ndipo opunduka, pomwe ena amayamba kukula. Izi zimayambitsa kuphwanya kwamtundu wabwinobwino wamagazi, kumabweretsa kufooka kwa kagayidwe kachakudya michere. Njira izi zikamayamba, hypoxia ya zimakhala zapafupi imayamba.

Ambiri a shuga angiopathy a m'munsi malekezero. Izi ndichifukwa cha katundu wokhazikika pamiyendo.

Zotsatira zake, zovuta zomwe zili m'derali zikukula msanga. Nthawi zina matenda amakhudzana ndimatumbo a retina.

Mitundu ndi chithunzi cha matenda

Zizindikiro zamatenda zimadalira kutengera komwe magwero a mavutowo adakwaniritsidwa. Nthawi zambiri ziwiya za impso, maso, mtima, manja kapena mapazi zimavutika. Ichi ndichifukwa chake zizindikiro zazikulu za matenda ashuga angiopathy ndizotsatirazi:

• Zowonongeka;
• Zovuta pakuchita kwa mtima;
• Kuphwanya ntchito zamaubongo;
• Kuwonongeka mu impso.

Matenda a shuga angiopathy atha kukhala ndi njira ziwiri zachitukuko:

1. Microangiopathy - mu nkhani iyi, ma capillaries a chamoyo chonse amavutika;
2. Macroangiopathy - nthawi zambiri imakhudza ziwiya zazikulu, monga mitsempha ndi mitsempha.

Chithunzi cha chipatala cha matenda amatsimikiza ndi kukula kwa ziwiya zowonongeka komanso kuopsa kwa matendawa. Microangiopathy imatha kukhala ndi magawo 6 a chitukuko:

• 0 digiri. Munthu samazindikira zilizonse, komabe, pakuwunika, katswiri amazindikira zotupa za mtima.
• 1 digiri. Pakadali pano, khungu la miyendo limasuluka, kumazizira kukhudza. Mutha kuzindikiranso zolakwika zazing'ono zam'mimba zomwe sizikhala ndi malo oyipitsidwa komanso sizimayambitsa kupweteka.
• 2 digiri. Zilonda za peptic zimakhala mwakuya. Mwanjira iyi, minofu yamatumbo ndi mafupa amavutika. Nthawi zambiri pamakhala matenda opweteka.
• 3 digiri. Pansi ndi malire a chilema cha zilondazo ali ndi madera a necrosis, omwe amaperekedwa mwanjira ya zinthu zakuda. Malowa amakhala ofiira komanso otupa. Palinso chiopsezo chotenga osteomyelitis, komwe ndi kutupa kwamafupa. Kuphatikiza apo, pali chiwopsezo cha phlegmon ndi abscesses.
• 4 digiri. Njira za necrotic zimadutsa malire a zilonda zam'mimba, zimakhudza chala kapena maziko a phazi.
• 5 digiri. Kusintha kwa Necrotic kumakhudza pafupifupi phazi lonse. Pankhaniyi, kudula sikungapeweke.

Macroangiopathy ili ndi magawo angapo. Kutengera ndi siteji, matenda a shuga a ziwiya zamagawo akum'munsi ali ndi mawonekedwe awa:

• Gawo loyamba. Pakadali pano, miyendo yam'munsi imatopa msanga, kulimba kumachitika m'mawa, mbale ya msomali imakulitsidwa, zala zimayamba kuzima. Pankhaniyi, zizindikiro za matenda a shuga a m'munsi am'munsi zimaphatikizapo thukuta kwambiri komanso kuzizira msanga. Nthawi zina kulumikizana kwapang'onopang'ono kumawonekera, nthawi zake ndi 0.5-1 km.
• 2a siteji. Mapazi a munthu amayamba kuzimiririka, miyendo yake imazizira ngakhale nthawi yotentha. Khungu limakhala losalala komanso kutuluka thukuta kwambiri. Lameness amawonekera atagonjetsa 200-500 m.
• 2b siteji. Pakadali pano, zizindikiro zomwezo zimawonedwa, koma lameness imachitika pambuyo pa 50-200 m.
• 3a siteji. Kuphatikiza pazizindikiro zomwe zili pamwambapa, kupweteka m'miyendo kumawonekera, komwe kumakulirakulira usiku. Kugwedezeka m'miyendo yam'munsi kumathanso. Kuwona ndi kuyaka kumverera kumveka pakhungu. Pamalo a supine, dermis imakhala yotumbululuka, ndipo pakukhala kapena kuyimilira, zala zake zimayamba kulocha. Kuphatikiza apo, paliuma ndi kusenda kwa epithelium. Lameness amapezeka osakwana 50 m.
• 3b siteji. Ululu m'miyendo ulipo nthawi zonse. Kuphatikiza apo, kutupa kwa miyendo kumawonekera. Nthawi zambiri pamakhala zolakwika zamodzi kapena zingapo zokhala ndi vuto la necrosis.
• 4 siteji. Pakadali pano, zala kapena phazi lonse zimatha. Izi zimadziwika ndi kufooka wamba komanso kuwonjezeka kwa zizindikiro za kutentha. Zizindikirozi zikuwonetsa matenda.

Kudzifufuza

Kuzindikira matenda ashuga a mtima, kuyezetsa wodwalayo kumachitika kaye.

Dokotala amayenera kuyang'ana chithunzichi ndikuwonetsa zotsatira za kafukufuku wazokhudza matenda ashuga.

Pambuyo pake, maphunziro angapo amalembedwa, omwe amachitidwa pogwiritsa ntchito zida zapamwamba:

1. Magnetic resonance imaging. Ndi chithandizo chake, ndizotheka kusanthula kapangidwe ka minofu yofewa. Ubwino wosatsutsika wa njirayi ndi kusakhalapo kwa radiation. Ngakhale ndikugwiritsa ntchito pafupipafupi, mtundu uwu wa tomography ulibe vuto lililonse kwa wodwala.
2. Zolemba pamakompyuta. Njirayi imathandiza kuwona m'maganizo madera achitetezo a anomaly. Mothandizidwa ndi kafukufukuyu, zithunzi zingapo zokhala ndi matanga zitha kupangidwa nthawi imodzi.
3. Angiography. Kuti muchite njirayi, chizindikiritso chimayambitsidwa m'thupi, mothandizidwa ndi momwe ma x-ray amathandizira. Amathandizira kudziwa kuchuluka kwa mitsempha yamagazi ndi kuthamanga kwa kufalikira kwa utoto nawo.
4. Kuyesa kwa Ultrasound Mothandizidwa ndi maphunziro a Doppler, ndizotheka kudziwa kamvekedwe ka makoma a mtima ndikuwunika momwe alili. Mu gawo lotsatira, kupanga sikani mwanjira imodzi kumagwiritsidwa ntchito. Njirayi imathandizira kuwunika moyenera kayendedwe ka magazi m'thupi lonse.
5. Chinsinsi. Pogwiritsa ntchito phunziroli, ndizotheka kudziwa momwe funde lamaso amunthu limayendera. Chifukwa cha njirayi, mutha kupeza chithunzi chomwe ziwiya za masomphenya zimawonekera. Chifukwa cha izi, adotolo ali ndi mwayi wodziwa zoyambitsa mdera lino.

Zochizira zachikhalidwe

Mankhwalawa a matenda a shuga a shuga ayenera kukhala okwanira. Chithandizo cha mankhwalawa chimaphatikizapo magawo angapo omwe amafunikira kukhazikitsidwa mosamala kwa malangizo azachipatala:

• Kukana zizolowezi zoyipa - kusuta ndi kumwa;
• Cholesterol ndi glucose control;
• Matenda a kulemera kwa thupi;
• Kugulidwa kwa nsapato zapadera;
• Matenda a kukakamiza;
• Kugwiritsa ntchito mankhwala kuchokera pagulu la vasodilators.

Nthawi zina sizingatheke popanda kuchitidwa opareshoni. Opaleshoni yam'mimba, masheya, kapena kulowerera mkati mwaubongo angapangidwe kuti athandize odwala.

Cholinga chachikulu cha chithandizo ndikusintha shuga m'magazi.

Njira ina yochizira ndi lymphomodulation. Njirayi imathandiza kuthana ndi minyewa ya edema komanso imathandizira njira zama metabolic m'malo omwe akhudzidwa. Izi zimapereka mwayi wopitilira mpweya ndi michere.

Pamene retinopathy imachitika, Photocoagulation imasonyezedwa. Zikakhala zoterezi, ndizotheka kuchepetsa kuchuluka kwa mitsempha yamagazi kudzera mu point cauterization. Chifukwa cha zomwe ndizotheka kupulumutsa maso a munthu kwa zaka zina 10-15.

Chofunikanso kwambiri ndi kukhazikitsidwa kwa parabulbar ya corticosteroids. Kuphatikiza apo, intraventric makonzedwe a othandizira kuletsa mtima minofu ikuchitika. Izi zikuphatikiza ndi ranibizumab.

Chithandizo cha matenda ashuga a shuga a m'munsi malekezero ziyenera kuphatikizapo zinthu izi:

• Kubwezeretsa njira za metabolic;
• Kugwiritsa ntchito mankhwala kuti mubwezeretsere malamulo a mitsempha, omwe amathandizira kulimbitsa khoma lamitsempha ndikupanga magazi kuundana;
• Kuwongolera kwa ma autoongerojeni ndi mahomoni olimbana ndi mahomoni, omwe amathandiza kupewa kuphatikizika kwawo.

Kuteteza matenda a metabolism, chithandizo cha m'munsi miyendo ya shuga m'magazi kumaphatikizanso kugwiritsa ntchito mankhwala omwe amathandiza kuchepetsa shuga. Gululi limaphatikizapo kukonzekera insulin yayitali. Kuphatikiza pa zinthu ngati izi, mavitamini a B ndi P amayikidwa.

Ndi kuwonongeka kwa mtima, ma anabolic steroid amathandiza bwino. Amathandizira kuti mapangidwe a protein agwiritsidwe ntchito komanso kuchepetsa ntchito ya glucocorticoids. Komanso, othandizira amagwiritsidwa ntchito omwe amasintha kuchuluka kwa makhoma amitsempha yamagazi ndikusinthanso kwa zotupa.

Kuphatikiza pa mankhwala othandizira, mankhwalawa a shuga a m'munsi a miyendo amaphatikizapo electrophoresis a novocaine ndi heparin. Chofunikanso kwambiri ndi kutikita minofu ndikukhazikitsa njira zapadera zolimbitsa thupi.

Ndi mapangidwe a zilonda zam'mimba, mankhwala am'deralo ndi mankhwala. Imakhala ndi chovala cha antiseptic. Komanso, mafuta a insulin ndi Vishnevsky amagwiritsidwa ntchito nthawi zambiri. M'malo a magazi amalowetsedwa kudzera m'mitsempha. Chithandizo cha angiopathy a m'munsi malekezedwe a shuga mellitus akhoza monga ochepa zokoma. Izi zimafunikira kuti magazi azithamanga.

Ngati simukuonana ndi dokotala mwachangu, pali chiopsezo cha gangore. Panthawi imeneyi, angiopathy yotsika kwambiri m'matenda a shuga amathandizidwa ndikudulidwa kwa chala chakumenyedwa kapena mwendo wonse. Pakapita kanthawi, wodwalayo amatha kuyamba kugwiritsa ntchito mankhwala a prostrate.

Njira zina zochiritsira

Kuphatikiza pa chithandizo chachikhalidwe, maphikidwe ogwira ntchito wowerengeka angagwiritsidwe ntchito. Nthawi zambiri amalimbikitsa kugwiritsa ntchito mapangidwe awa:

• Tiyi;
• Malo osambira;
• Ma compress;
• Infusions.

Chofunikira kwambiri pazinthu izi ndi mbewu, zomwe zimathandiza kuchiritsa thupi. Zitsamba zimalimbikitsidwa kuti zisankhidwe kutengera zovuta zomwe zilipo:

• Zomera monga Eleutherococcus, Ginseng, Leuzea zimakhala ndi mphamvu yolimbitsa;
• Kuti muchepetse shuga, mutha kugwiritsa ntchito birch, cornflower, akavalo;
• Nettle, clover, elecampane ali ndi zotsatira za insulin ndi mahomoni;
• Yambitsani kusakhazikika kwa lingonberry, phulusa laphiri, duwa lamtchire;
• Kuchepetsa kufunika kwa insulin, peyala, makangaza, chicory ndizoyenera;
• Kuti muchepetse kagayidwe, mutha kugwiritsa ntchito linden, blueberries, wort wa St.
• Ginger, manyazi a chimanga, mapiri a arnica ali ndi mphamvu yotsatsira insulini.

Kuti mukwaniritse zotsatira zofunika, ndikofunikira kutsatira kwambiri chinsinsi. Kuti mupeze phindu, ndikofunikira kutsatira malamulo ena:

• Ngati pali zizindikiro zosalolera mankhwala, ntchito yake iyenera kutayidwa;
• Zomera zopanga mankhwala zikulimbikitsidwa kuti mugule mu pharmacy;
• Yang'anani moyo wa alumali pazopangira;
• Tsatirani malangizo omwe mungasungidwe azomera zamankhwala.

Mavuto

Muzochitika zapamwamba za angiopathy, pamakhala chiopsezo cha zotsatira zowopsa. Izi zikuphatikiza ndi izi:

• Kulephera kwa mtima;
• Achilonda akulu;
• Kuwonongeka kwathunthu kwa masomphenya;
• Kufunika kokadulidwa miyendo;
• Matupi necrosis.

Ziwonetsero

Ndi chithandizo choyenera cha angiopathy a ziwiya zamagawo am'munsi okhala ndi matenda ashuga, phokoso lomwe lingayambike kumapazi. Ngati mukuphwanya malangizo azachipatala, mu 90% ya odwala izi zimawonekera pakatha zaka 5. Kuphatikiza apo, pafupifupi 10-15% ya anthu amafa poizoni wamagazi ndi mankhwala oopsa a necrosis. Odwala otsala amakhalabe olumala.

Kupewa

Choyamba, odwala matenda a shuga ayenera kutenga nawo mbali kupewa. Kuti muchite izi, tsatirani malingaliro awa:

• Tsatirani mosamalitsa malangizo am kuchipatala;
• Kupereka insulin mwadongosolo ndikugwiritsa ntchito mitundu ina ya matenda a shuga;
• Sinthani kulemera kwa thupi;
• Khazikitsani zakudya zoyenera.

Kuphatikiza apo, munthu ayenera kupereka magazi mwadongosolo kuti ayang'anire cholesterol ndikupanga kuyesa kwa chiwindi. Magawo awa amakupatsani mwayi wowunika momwe chiwindi chikuwonera ndikuwonetsa kuwonongeka kwa mtima.

Pamaso pa zizindikiro za angiopathy, kupewa kumalimbana ndi kupewa mavuto. Kuti muchite izi, ndikofunikira kudziwa pafupipafupi mawonekedwe amwazi ndi kupindika kwake. Chofunikanso chimodzimodzi ndikuwunika kwa cholesterol. Malinga ndi zotsatira za kafukufukuyu, ndikotheka kusintha zakudya.

Kuchita masewera olimbitsa thupi kumathandizira thupi kukhala bwino ndikuwongolera magazi. Komabe, ayenera kukhala odziletsa. Kuchulukitsa nkhawa kumatha kuyambitsa vuto la angina. Mwayi wokhala ndi vuto la mtima kapena matenda opha ziwalo nawonso ndiwokwezeka.

Popewa zovuta zowopsa, ndikofunikira kupita pafupipafupi kwa akatswiri othandizira, endocrinologist ndi ophthalmologist. Izi zimagwirizanitsidwa ndi chiopsezo chokhala ndi zovuta za mtima wamitsempha.

Tsopano mukudziwa tanthauzo la matenda ashuga. Matendawa ali ndi matendawa. Kuti mupewe zovuta, muyenera kuyang'anitsitsa momwe muliri ndikutsatira malangizo a dokotala.