Matenda a 2 a mtundu wa shuga amakula pakati pa anthu azaka zapakati komanso achikulire, omwe kusintha kwakokhazikika kwa maso kumakulirakulira ndi matendawo. Zosintha zokhudzana ndi ukalamba zimaphatikizira amphaka ndi glaucoma. Kuphatikiza apo, imodzi mwazovuta zazikulu za "matenda okoma" ndi retinopathy (zovuta zamitsempha yama cell mu retina). Diso latsika la mtundu wa 2 shuga monga gawo la zovuta mankhwala lingathandize kukhalabe ndi mawonekedwe ndikuchepetsa njira ya pathological. Koma mankhwala osankhidwa molakwika amatha kupweteketsa mtima, motero katswiri wa matenda a maso amayenera kuwasankha.
Kodi ndikusintha kotani m'maso kumene kumayambitsa matendawa?
Chifukwa cha matendawa, matenda onse a maso omwe akupita patsogolo. Njira yamatumbo ndi glaucoma mwa anthu odwala matenda ashuga ndizovuta kwambiri kuposa anzawo popanda endocrine pathologies. Koma mwachindunji chifukwa cha matenda ashuga, munthu amakula mkhalidwe wina wopweteka wamaso - retinopathy. Imapitilira magawo atatu:
- koyamba
- wapakatikati
- zolemetsa.
Kumayambiriro kwa matendawa, retina amatupa, ziwiya zake zimawonongeka chifukwa cha shuga wambiri komanso kuthamanga kwa magazi. Sangakwanitse kupereka magazi ndi magazi, komanso ndi mpweya ndi michere. Pambuyo pake, aneurysms yaying'ono imapangidwa - kuchuluka kowawa kwamitsempha yamagazi, yomwe imadzazidwa ndi magazi. Ndi mawonekedwe oopsa a angiopathy, pali ma capillaries ochepa komanso ochepa - mitsempha yachilendo yopitilira muyeso ya retina. Satha kugwira ntchito bwinobwino, motero amaphulika ndipo amayambitsa magazi mkati mwa diso.
Ndi mtundu woyamba wa shuga, retinopathy imakhala yovuta komanso yachangu, koma izi sizitanthauza kuti odwala omwe ali ndi matenda amtundu 2 sangatengeke nawo. Nthawi zambiri, retinopathy imabweretsa kuwonjezeka kwa kukakamizidwa kwa intraocular ndikukula kwa mtundu wina wamatumbo. Ndizosatheka kupewa izi ndi madontho amaso okha - njira yophatikizidwa ndiyofunikira.
Kuphatikiza pa chithandizo chamankhwala, kuphatikiza pa mankhwala ammaso am'deralo, pamakhala zochitika zosiyanasiyana zakukonzekera mothandizirana. Mwachitsanzo, madontho a "Antidiabetes nano" amatengedwa pakamwa ngati chakudya chowonjezera ndi chakudya. Amalimbitsa chitetezo chamthupi, amawongolera kagayidwe kazakudya ndipo amalimbitsa makhoma a mitsempha yamagazi, kuti athandizire kulimbana ndi chiwonetsero choyambirira cha retinopathy. Koma musanagwiritse ntchito chida ichi (monga, mankhwala ena aliwonse), muyenera kufunsa endocrinologist.
Kuwongolera shuga ndimwazi ndichinthu chofunikira kwambiri pakubwera ndi matenda ashuga komanso njira yeniyeni popewa zovuta za maso
Madontho a Cataract
Ndi ma catalo, ma ndimu amakhala opanda mitambo, ngakhale nthawi zambiri amayenera kuwonekera. Ntchito yake ndikufalitsa ndi kukonzanso kwa kuwala, kuti munthu azitha kuwona bwino. Mukamangonena zochulukira, zimakhala zovuta kwambiri kuti wodwalayo awoneke ndi matenda ashuga. Panthawi yovuta, zingakhale zofunikira kusintha mandala achilengedwe ndi analogue yokumba, popeza wodwalayo ali pachiwopsezo chakhungu.
Madontho akuchiza ndi kupewa matenda:
- kukonzekera kochokera pa taurine ("Taurine", "Taufon"). Iwo amateteza kuchira njira mu minofu ya diso, imathandizira kagayidwe kachakudya ndi kusintha trophism;
- Wothandizila wa Quinax (chinthu chake chogwira ntchito chimayendetsa ma enzymes omwe ali m'chipinda chamkati cha diso, ndipo amamwa kuyendetsa kwa mapuloteni a mandala);
- mankhwala "Catalin" (amalepheretsa njira zoyambira zama protein mapuloteni ndipo amalepheretsa mapangidwe osintha a mandala);
- kukonzekera "Potaziyamu iodide" (kuthyolako mapuloteni madigiri ndipo ali antimicrobial ntchito, kumalimbitsa chitetezo cha m'thupi mucous nembanemba wa maso).
Popewa matenda amkati, muyenera kugwiritsa ntchito madontho amaso, omwe dokotala angakulimbikitseni. Ndiosavuta kuteteza kuyambika kwa mitundu yayikulu ya matendawa kuposa kuchiza pambuyo pake.
Dontho kutsutsana ndi glaucoma
Glaucoma ndi matenda omwe kupanikizika kwa mitsempha kumayamba. Chifukwa cha izi, atrophy (kusowa kwa zakudya zopanda pake) yamitsempha ya optic imatha kuyamba, zomwe zimatsogolera khungu. Kuwonjezeka kwa kuchuluka kwamadzimadzi mkati mwa diso kumayambitsa kuthamanga kwa magazi, zomwe zimayambitsa kuwonongeka kwa mawonekedwe. Pochiza matenda awa, madontho otsatirawa amagwiritsidwa ntchito:
- othandizira omwe amasintha intraocular outflow (Pilocarpine ndi analogues);
- ndalama zomwe zimachepetsa kupanga kwa intraocular fluid (Betaxolol, Timolol, Okamed, etc.).
Kodi retinopathy imatha kuyimitsidwa ndi mankhwala am'deralo?
Mavitamini a shuga a Type 2Tsoka ilo, ndizosatheka kuyimitsa kusintha kwachisoni komwe kumayamba. Koma mothandizidwa ndi zovuta za njira zopewera kuphatikiza, kuphatikizapo madontho amaso, ndizotheka kuchepetsa njirayi komanso kwa nthawi yayitali kuti mukhalebe okhoza kuwona bwino. Madontho monga Taufon, Quinax, Catalin, kuwonjezera pa odwala omwe ali ndi matenda amtundu wa m'matumbo, agwiritsidwa ntchito bwino pochiza retinopathy. Muthanso kugwiritsa ntchito mankhwalawa:
- "Lacemox", "Emoxipin" (moisturise mucous membrane of the eyes, activate activation of antioxidant system, amathandizira kuthetsa zotupa mkati mwa diso mwachangu, zomwe zimayambitsidwa ndi kuwonongeka kwamitsempha);
- "Chilo-chifuwa" (madontho opukutira omwe amathandizira kuthetsa kukhumudwa komwe kumayamba chifukwa cha kuperewera kwa zakudya m'thupi m'ziwalo).
Ndikofunikira kumayezetsa nthawi, pomwe adotolo amawunika mkhalidwe wa retina. Ndi matenda a shuga, mipata imatha kukhalapo, yomwe imatha kulimbikitsidwa ndi laser coagulation. Kuchita koteroko kumathandizira kupewa zotsatira zoyipa - kuyambiranso kwamtsogolo komanso kusawona.
Ngati wodwala yemwe ali ndi matenda ashuga akuwona kuwonongeka kowoneka m'maso, ayenera kulumikizana ndi dokotala wofufuza maso. Kuzindikira kungayambitse zovuta zambiri, kuphatikizapo kusawona.
Ndemanga
Ndinapezeka ndi matenda osokoneza bongo zaka zoposa 10 zapitazo. Diso limodzi litayamba kuwona bwino, ndinapita kwa dokotala wa maso. Zotsatira zoyesedwa zinali zokhumudwitsa - "cataract", ndipo pambali pake, osati poyambira. Dotolo adati njira ziwiri: chitani opaleshoni kapena yesetsani kuyambiranso pang'ono mothandizidwa ndi madontho a Quinax. Zachidziwikire, monga anthu onse, ndinkaopa kupita pansi pa mpeni, motero ndinasankha njira yachiwiri. Pambuyo pa miyezi itatu ya chithandizo chanthawi zonse, mawonekedwe a maso anasintha kwambiri, ndipo dokotala wa maopenti adandijambula pulani ya mtsogolo. Mankhwalawa adandipulumutsa kuchokera ku opaleshoni, ndikuthokoza kwambiri kwa adotolo chifukwa cha upangiri uwu. Mwa njira, ndimagwiritsabe ntchito madontho ngati njira yolepheretsa.
Ndili ndi zaka 60, ndakhala ndikulimbana ndi matenda ashuga mzaka 5. Nthawi zonse ndimamvera upangiri wa endocrinologist ndipo ndimayesetsa kudzipeza ndekha chakudya, chifukwa ndimakonda kunenepa. Posachedwa ndidazindikira kuti nthawi zina ntchentche komanso malo owoneka bwino amakhala akuonekera pamaso panga. Dokotala wamaso adandiwonetsa madontho omwe amasintha magazi m'maso, ndikulimbitsa zolimbitsa thupi zomwe zimayenera kuchitika tsiku ndi tsiku. Mofananamo, ndidawerenga za madontho a "Nano Antidiabetes" ndipo ndidafunsana ndi endocrinologist za kudya kwawo - adokotala adavomereza. Shuga adakhala abwinobwino mwezi wachitatu, koma limodzi ndi madontho ndimamwa mapiritsi pafupipafupi, chifukwa sindinganene motsimikiza kuti izi zimachokera kuti. Nditaponya madontho tsiku ndi tsiku, maso anga sanatope kwambiri ndipo maso anga sanathenso kutuluka, zomwe zinandisangalatsanso.
Amayi anga ali ndi matenda a shuga komanso amawonongeka. Amatsata zakudya, amamwa mapiritsi omwe adauzidwa ndi adotolo, ndikugwetsa Taufon m'maso mwake, ndikuwatcha mavitamini amaso. Pazonse, amayi anga amasangalala kwambiri ndi zotsatira zake, ndipo akatswiri a zamankhwala pamayeso amodzimodzi, pakadali pano, akuti palibe kuwonongeka m'maso.
Ndinapezeka kuti ndadwala matenda ashuga posachedwapa, ndisanakhale ndi vuto ndi masomphenya, omwe ngakhale madotolo adadabwitsa, poganizira zaka zanga (zaka 56). Popewa, ndimayesetsa kudya zipatso za zipatso posakhalitsa, popeza zimakhala ndi zinthu zolimbitsa mitsempha yamagazi. Mwezi wapitawu, madontho a "Potaziyamu iodide" adayamba kutsika. Dokotala wanga akuti ndikofunikira kuyang'anira shuga wamagazi ndikupewa kusintha mwadzidzidzi. Ndikukhulupirira kuti zonse pamodzi zimathandizira kuchedwetsa zotsatirapo zosasangalatsa ndi maso.
Malamulo onse ogwiritsira ntchito madontho
Asanagwetse mankhwalawa, kope lakumanzere liyenera kukokedwa pang'ono, ndikuyang'ana ndikugwetsa madontho oyenera. Pambuyo pa izi, muyenera kutseka maso anu ndikukhala chete kwa mphindi 5. Kugawa bwino kwamadzimadzi, ma eyel amatha kutentheka pang'ono, koma osaphwanyika. Mukamagwiritsa ntchito dontho lililonse la maso, ndibwino kutsatira malangizo amenewa:
- Pamaso pa njirayi, muyenera kusamba m'manja ndi sopo bwino;
- botolo silitha kusamutsidwira kwa anthu ena kuti agwiritse ntchito, chifukwa matenda opatsirana amaso amatha kufalikira motere;
- ngati pakufunika kukhazikitsa mitundu iwiri ya mankhwala, ndiye kuti kupatula pakati pawo kuyenera kukhala mphindi 15;
- ndibwino kukhazikitsa madontho akugona kapena atakhala pansi, ndikuponyera mutu wanu;
- Chotsitsa chopopera chimayenera kutsukidwa pambuyo poti chigwiritsidwe ntchito ndikutsukidwa.
Ngati wodwala wavala magalasi, ayenera kuchotsedwa pakukhazikitsa mankhwala. Mankhwalawa sangathe kulowa kwathunthu kapena kuwononga kuwala kwa chipangizochi. Matenda onse amaso omwe ali ndi matenda a shuga amapita patsogolo mwachangu kwambiri. Popanda chithandizo, ambiri a iwo amatsogolera ku khungu lathunthu popanda kuchita kubwezeretsa mawonekedwe. Chifukwa chake, ndi zizindikiro zowopsa, simuyenera kuchita kudzilimbitsa nokha ndikuchedwa kuchezera kwa dokotala.
