Pafupifupi 5% ya anthu padziko lapansi ali ndi matenda a shuga. Pathology imadziwika ndi kuwonjezeka kwa seramu glucose.
Imasokoneza ulemu komanso kufupikitsa moyo. Pafupifupi anthu onse omwe ali ndi matenda ashuga ali ndi vuto ndi zotengera zamaso.
Kodi chithandizo cha matenda ashuga retinopathy, ndizotheka bwanji kupewa zovuta, nkhani ikunena.
Gulu
Matenda a shuga a retinopathy amatanthauza kuwonongeka kwa retina chifukwa cha hyperglycemia. Matendawa amatsogolera pakuwonongeka kwamaso, kulumala.
Kuchepa kwa vutoli kumatengera zaka zomwe matenda a shuga adapezeka, munthu amakhala ndi vuto lotereku kwa nthawi yayitali.
Chifukwa chake, ngati matendawa adapezeka asanakwanitse zaka 30, ndiye kuti chiopsezo cha retinopathy chikuwonjezeka pazaka. Pambuyo pazaka 10 zodwala, masinthidwe amayamba kuwonongeka mu 50% ya odwala, ndipo patatha zaka 20 mu 75% ya odwala matenda ashuga, kuwonongeka kwakumapeto kumapezeka.
Ngati matenda amtundu wa endocrine adapezeka mwa munthu wamkulu wazaka 30, ndiye kuti zovuta zake zidzawonekera koyambirira ndipo zimakula msanga. Oposa 80% ya odwala pambuyo pa zaka 5-7 amadandaula zamavuto amaso. Pankhaniyi, mtundu wa matenda (woyamba kapena wachiwiri) ndiwofunikira.
Zosakondweretsa
Mtundu wopanda-proliferative umadziwika ndi kukhalapo kwa zotupa m'mimba, retane, micaneurysms. Edema, zotupa za exudative zitha kupezeka. Mitsempha yam'mimba imawoneka ngati malo owondera, madontho.
Retinopathy
Amakhala amtundu wakuda (bulauni kapena ofiira), otambasulidwa m'mitsempha yayikulu mkati mwa retina kapena pakati penipeni. Pali zotupa zotupa.
Zotulutsa zimawonedwa pakatikati pa fundus. Zoyera ndi zachikaso, zimakhala ndi malire. Retinal edema imapezeka patali pafupi ndi ma arterioles akulu, ku macular dera.
Preproliferative
Ndi njira ya prinositive retinopathy, venous, intraretinal microvascular.
Mwachitsanzo, kukula kwakukulu kwa mitsempha, kusiyana kwawo, kufalikira, kumveka bwino. Ambiri, otakasuka komanso okhazikika, ma hemorrhages akulu amapezeka.
Mukachulukirachulukirachulukirachulukira, mitundu yosinthika kwambiri ya retina imalimba. Mutha kuyimitsa njira ya pathological mothandizidwa ndi mankhwala.
Kuchulukitsa
Proliferative retinopathy imadziwika ndi kuchuluka kwa fibrotic komanso mtima, womwe umapangidwa m'mphepete mwa mitsempha yamanja kapena m'dera la optic disc.Nthawi zina, mbali zina za maso zimakhudzidwa.
Kumaso kwa thupi lamphamvu, mawonekedwe a sitima zatsopano amapangidwa. Nthawi zambiri pamakhala zotupa za m'mimba, zotupa.
Chifukwa cha kufalikira kwa thupi lamphamvu, kuchuluka kwa maselo a glial, michere ya patreoretinal imapangika, glaucoma imayamba. Proliferative retinopathy imatha kukhala miyezi ingapo mpaka 4.
Ndondomeko yeniyeniyo siyima. Kusintha kwachilengedwe kumachitika m'maso awiri. Pakadali pano, laser retinal coagulation yachitika.
Zizindikiro zake
Kukula kwa zizindikiro za matendawa kumatengera gawo la kukula kwake. Poyamba, njira ya wodwalayo sizivuta chilichonse.
Nthawi zina pamakhala kusokonezeka kwakanthawi komanso kuwonjezereka kwa kutopa kwa maso. Dokotala wamaso amatha kudziwa zomwe sizikuchitika nthawi yayitali mukamayang'ana gawo la masomphenya okhala ndi zida zapadera za maso.
Ngati kupanikizika kwamatsenga kukukwera nthawi ino, kuchepa kwa maonekedwe kwakupezeka, ndiye kuti wodwalayo amatumizidwa kukayesedwa.
Pa gawo lokonzekera, wodwalayo amadandaula:
- kupweteka m'maso;
- kuwonongeka kwamawonekedwe;
- mawonekedwe a madontho, mizere yowala patsogolo pa maso.
Mu mtundu wowonjezereka wa retinopathy, kuwona kumatsika mofulumira. Zizindikiro zimakulirakulira, khungu lathunthu nlotheka.
Matenda a shuga a retinopathy
Mankhwala amakono amagwiritsa ntchito njira zotsatirazi kuti amuchotsere matenda ashuga ku retinopathy:
- wodekha - pogwiritsa ntchito mapiritsi, madontho amaso, jakisoni;
- anthu - mothandizidwa ndi zomera ndi zinthu zomwe zimakhala ndi mankhwala;
- opareshoni - gwiritsani ntchito zakomweko, khalani ndi laser.
Momwe ma retinopathy amathandizidwira zimatengera gawo lake. Pachigawo choyamba cha kukhazikitsidwa kwa matenda amisala, njira zachikhalidwe komanso zachikhalidwe zimagwiritsidwa ntchito.
Zochita zimapangidwira kukonza omwe ali ndi matenda ashuga ndipo amawongolera kuchuluka kwa shuga, kutenga makapisozi ochepetsera shuga kapena subcutaneous makonzedwe a insulin, pogwiritsa ntchito antihypertensive mankhwala, antiplatelet agents ndi angioprotectors. Vitamini zovuta, michere ya enzymatic imaperekedwanso.
Retinopathy yachiwiri ndi yachitatu imafuna kukonza masomphenya a laser. Nthawi zina kupewa matendawa kumatheka kokha kudzera mwa kuchitira opareshoni mwachindunji.
Mankhwala
Pofuna kupewa komanso kuchiza matenda a shuga a retinopathy, mankhwala osiyanasiyana a mankhwala amagwiritsidwa ntchito. Cholinga chachikulu ndikuwongolera machitidwe amitsempha yamagazi, kuchepetsa mawonetsedwe a matenda a m'magazi, ndikuchepetsa kukula kwa matendawa.
Ophthalmologists nthawi zambiri amapereka odwala matenda ashuga Neurovitan. Mankhwalawa ali ndi mavitamini a B, otetezeka kwathunthu ndipo sayambitsa mavuto.
Mankhwala Vitrum Vision Forte
Mwa mavitamini, Vitrum Vision Forte amagwiritsidwanso ntchito. Madokotala ndi zinthu zokhazikitsidwa ndi Ginkgo Biloba ndikulimbikitsidwa. Amapezeka mu kapisozi kapamwamba ndipo amatulutsa zotsatira zowonekera patatha mwezi umodzi pakudya tsiku lililonse.
Matenda a shuga a retinopathy amathandizidwa ndi retinalamin. Ndi othandizira kukonza minofu. Muli zinthu zovuta kuzisakaniza ndi madzi a polypeptide a diso la nyamayo.
Mankhwalawa amathandizira kuvomerezeka kwa mtima wa endothelium, kumachepetsa kuopsa kwa njira yotupa. Mankhwalawa amathandizidwa pakhungu la m'munsi.
Retinalamine
Optometrists amalangiza odwala matenda ashuga ndi Vasomag. Mankhwalawa ali ndi meldonium dihydrate, yomwe imakweza kagayidwe kazakudya, minofu mphamvu. Zimathandizira kuyimitsa kapena kuchepetsa kudutsa kwa matenda.
Venoruton ndi Troxevasin mu kapisozi kapenanso ntchito retinopathy. Kuthana ndi matendawa ndikuthandizira maso kumayendetsa Emoksipin, Taufon. Amawonetsedwa 3-6 pa tsiku kwa akutsikira 2-4 kwa mwezi. Madokotala amapereka Tanakan, Neurostrong, ndi Dibikor kuchokera ku zitsamba azitsamba.
Laser chithandizo
Pofuna kuletsa kukula kwa mitsempha yamagazi, chitani laser Photocoagulation. Ndi njirayi, adokotala amapanga cauterization ya retina. Mitsempha yongobwera kumene imawotchedwa ndi boriti ya laser, plasma imangodzaza mkati mwake.
Chithunzi cha laser
Kenako zombo zimadzaza ndi timinofu tating'ono. Njira mumilandu 85% imakuthandizani kuti muimitse njira yowonjezera ndipo mu 55% - yowonjezereka retinopathy kwa zaka 10 mpaka 13. Kupanga kwa laser kumatha kuchitidwa kangapo ndikubowoleza pamwezi.
Mukamaliza maphunzirowa, ndikulimbikitsidwa kuti odwala matenda ashuga azibwera kudzachita mayeso kamodzi pa kotala. Mtengo wa chithandizo choterocho ndiwamkulu. Koma laser coagulation ndiyo njira yokhayo yobwezeretsanso masomphenya ndi retinopathy yapamwamba.
Kuchiza ndi wowerengeka azitsamba
Njira zochiritsira zosagwiritsidwa ntchito masiku onse zimapereka maphikidwe ogwira ntchito mankhwalawa matenda a maso:
- burdock rhizome, masamba a msondodzi, lingonberry, chimbalangondo, dioica nettle, masamba a birch, walnuts, amaranth, masamba a nyemba, sheaths udzu, knotweed kusakaniza mu zofanana. Thirani supuni mu thermos ndikutsanulira 500 ml ya madzi otentha. Kuumirira maola atatu, mavuto. Imwani 220-240 ml katatu patsiku kwa miyezi ingapo;
- Finyani madzi kuchokera masamba a aloe ndi chopukusira nyama kapena blender. Mtengowo suyenera kupitirira zaka zitatu. Wiritsani madziwo kwa mphindi zingapo. Witsani m'maso usiku 2 madontho. Komanso, chimodzimodzi, imwani supuni ya mandimu katatu patsiku pamimba yopanda kanthu;
- maluwa a calendula (supuni 1.5) amathira 500 ml ya madzi otentha ndikusiya kwa maola atatu. Imwani 100-120 ml 5 pa tsiku. Kulowetsedwa tikulimbikitsidwa kupukuta maso.
Kupewa retinopathy mu shuga
Chifukwa chachikulu chomwe chimapangitsa kuti retinopathy akhale ndi shuga wa plasma yayikulu, cholinga chachikulu cha munthu wodwala matenda ashuga ndicho kusunganso shuga m'magazi enieni.
Kuthana ndi glycemia tikulimbikitsidwa:
- kuchepetsa maswiti kwa odwala omwe ali ndi mtundu wachiwiri wa matenda;
- Nthawi zonse muziyang'ana kuchuluka kwa glycemia ndi glucometer;
- kutsatira ndondomeko ya chithandizo chosankhidwa ndi endocrinologist wa mankhwala ochepetsa shuga (jakisoni wa insulin);
- idyani pomwe, osadya kwambiri.
Njira zina zodzitetezera kwa retinopathy zimaphatikizapo:
- kuyesedwa kwapachaka ndi akatswiri a maso;
- kugwiritsa ntchito mankhwala omwe amasintha zakudya zam'maso, mkhalidwe wamitsempha yamagazi;
- kudya mavitamini;
- kukhalabe ndi magazi abwinobwino.
Makanema okhudzana nawo
About njira zochizira matenda ashuga retinopathy popanda opaleshoni mu kanema:
Chifukwa chake, matenda omwe amafunsidwa alipo ambiri mwa odwala matenda ashuga. Matendawa amatha kubweretsa khungu. Popewa kukula kwa matenda a zam'mimba, kuti muchepetse mawonetseredwe ake, muyenera kulumikizana ndi ophthalmologist munthawi yake, kuyesedwa ndikutsatira malangizo onse a dokotala. Ndikofunikira kukhala ndi shuga pakati pazomwe zimachitika, chifukwa retinopathy imayambira motsutsana ndi maziko a hyperglycemia.