Zizindikiro ndi chithandizo cha retinopathy mu shuga

Chithandizo cha matenda oopsa monga matenda ashuga ndichofunikira kwambiri pamankhwala amakono. Zotsatira za matenda ashuga a mtundu 2 zimatha kubweretsa kulumala kapena kufa. Kuphatikiza apo, potengera matendawa, matendawo angayambike - omwe amatchedwa matenda a shuga. Retinopathy mu shuga ndi chifukwa chachikulu cha khungu. Chifukwa cha kudwala, minyewa yamaso imakhudzidwa.

Kodi matenda ashuga retinopathy ndi ati?

Mu matenda a shuga, kuzindikira koyambirira kwa kusintha kwa retina kumathandizira kuchitapo kanthu popewa kukula kwa matendawa. Matenda a shuga a retinopathy ndi ovuta kwambiri a matenda a shuga, omwe amawonedwa mwa 90 peresenti ya odwala omwe amakonda kudwala matenda a endocrine. Matenda a shuga a m'maso nthawi zambiri amakhala chifukwa cha matendawo omaliza, koma kuwunika moyenera kumathandiza kuzindikira kusintha koyambirira.

Zizindikiro zazikulu za matendawa ndi:

• Gawo loyambirira la retinopathy mu matenda a shuga ndilopweteka, wodwalayo mwina sangathe kuwona kuchepa kwa masomphenyawo.
• Maonekedwe a mitsempha ya intraocular imayendera limodzi ndi mawonekedwe a chophimba kapena malo oyandama amdima, omwe patapita kanthawi amatha popanda chotsata.
• Nthawi zambiri, kukokoloka kwa vitreous kumabweretsa kuwonongeka kwa masomphenya chifukwa cha kupangika kwa zingwe za vitreoretinal mu vitreous ndikuwonjezeranso patakhala.
• Zowonongeka. Khalidwe ndikochitika kwa zovuta mukamawerenga pafupi kwambiri kapena mukamagwira ntchito.

Gawo losasangalatsa (kumbuyo).

Kuchepa mphamvu ndi kuchuluka kwa makoma a capillaries kumawonjezeka.

Zowonongeka pamakona amaso.

Kutupa kumachitika m'maso, retema edema imayamba.

Njira zowononga zowonongeka zimayamba. Kubwezeretsanso kwina. Acuity owoneka amagwa. Kutupa kwamaso kumatha kuchitika.

Zombo zonyansa zimayamba kukula m'maso.

Maonekedwe a capillaries atsopano, omwe ndi osalimba kwambiri, omwe amachititsa kuti magazi azituluka pafupipafupi.

Kusintha komaliza mu retina kumabweretsa khungu.

Mphindi ingathe kubwera pamene ma lens sangayang'anitsitse kunyezimira kwa kuwala, ndipo izi zidzapangitsa khungu lonse.

Chithandizo cha maso

Nthawi zonse za pathogenesis ya retinopathy mu matenda ashuga, ziwiya zam'maso ziyenera kuthandizidwa kuti zithetse zovuta zama metabolic. Komanso kumayambiriro kwa matendawo, njira zoyenera zothandizira odwala matenda ashuga komanso kuwongolera kwambiri milingo ya glycemia ziyenera kukonzedwa. Chofunikira pakuthandizira matenda a maso ndi kugwiritsa ntchito mankhwala omwe amachititsa kuchepa kwa angioprotectors, cholesterol concentrations, immunostimulants, anabolic steroids, biogenic stimulants, coenzymes.

Kugwiritsa ntchito laser kukulira kwa retina

Chithandizo cha kukha magazi m'maso ndi laser coagulation imawoneka kuti yothandiza kwambiri. Chinsinsi cha njirayi ndikuti pofuna kuletsa matendawa, ma capillaries amathandizidwa pogwiritsa ntchito laser yapadera. Chithandizo chamaso cha Laser ndi njira yamakono komanso yothandiza, kugwiritsa ntchito moyenera komwe kumakhazikitsa kukula kwa matendawa.

Malinga ndi madotolo, Photocoagulation imathandizira kuthetsa mpaka 82% ya milandu yamatendawa gawo loyambirira, mpaka 50% ikuwonjezeka. Pa gawo lotsiriza la retinopathy, kuphatikiza kwa laser kumalola odwala kukhalanso ndi masomphenya kwa chaka chimodzi mpaka 10. Matenda a shuga a mtundu wa shuga komanso a senile angathenso kupangika laser. Kujambula kwa nthawi yake kwa retina kungathandize kupewa khungu!

Mankhwala osokoneza bongo

Wodwala yemwe ali ndi retinopathy mu matenda ashuga ayenera kuthandizidwa ndi dokotala wamaso ndi endocrinologist. Kuchiza kumachitika motsogozedwa ndi ziwonetsero zina zamagazi. Kuphatikiza apo, mankhwala a insulini, othandizira kudya, komanso mavitamini ayenera kuphatikizidwanso pakuchira. Pochiza matenda a shuga am'maso, mitundu ingapo ya mankhwala ingagwiritsidwe ntchito kuthandiza kusintha kwamitsempha yamafuta, komanso kuchepetsa matendawa.

Chithandizo chachikulu cha retinopathy nthawi zambiri chimalembedwa "Neurovitan":

1. Mankhwalawa ndi otetezeka komanso ogwira ntchito, samayambitsa mavuto.
2. Amalembera achikulire piritsi 2 patsiku.
3. Njira ya mankhwala ndi milungu iwiri.
4. Osamamwa mowa pomwa mankhwalawo.

Mwa mitundu ina ya Vitamini, Vitrum Vision Forte nthawi zambiri imayikidwa. Dokotala wina atha kukuthandizani kumwa mankhwala kutengera "Ginkgo Biloba":

1. Mankhwalawa nthawi zambiri amapezeka mu mawonekedwe a capule.
2. Iwo aledzera ngati mavitamini - kapisozi kamodzi patsiku.

Jakisoni m'maso

Matenda a shuga a retinopathy amatha kuthandizidwa ndi retinalamin:

1. Mankhwalawa amatha kuchepetsa kukula kwa njira zamkati zotupa.
2. Mankhwala chikuyendetsedwera parabulbarno, i.e. mpaka kumtunda kwa khungu.
3. 5-10 mg yogwira ntchito iyenera kuperekedwa tsiku lililonse, itatha kuyimitsidwa mu 2 ml ya saline.
4. Njira ya chithandizo mpaka masiku 10.

Madokotala amalimbikitsanso kugwiritsa ntchito Vazomag:

1. Mankhwalawa amatha kutsegula kagayidwe komanso kupatsa mphamvu kwa minofu.
2. Kugwiritsa ntchito kwake kwa matenda ashuga amaso kumathandiza kuti muchepetse matenda.
3. "Vasomag" imayendetsedwa parabulbarno.
4. Ndikulimbikitsidwa kugwiritsa ntchito mankhwalawa m'mawa chifukwa chogwira mtima.
5. Contraindified mu mimba, ndi kuchuluka kwachulukidwe, kwa ana ochepera zaka 18.

Mapiritsi a kuthamanga kwa diso

1. Muli yogwira mankhwala - indapamide.
2. Mankhwala ali ndi vasodilator, okodzetsa, ochititsa chidwi.
3. Akuluakulu amatchulidwa piritsi limodzi patsiku, ndikofunika kumwa mankhwalawa m'mawa.
4. Mankhwalawa sagwiritsidwa ntchito mwa ana, ndi mkaka wa m'mawere, ndimatenda a impso ndi chiwindi.

Chithandizo cha matenda amaso mu shuga chimatha kuchitika mothandizidwa ndi mankhwala omwe amakhudza ma capillaries a retina. Izi zikuphatikiza:

Mankhwala omwe ali pamwambawa amagwiritsidwa ntchito motere:

1. Amagwiritsidwa ntchito mu mawonekedwe a capule.
2. Mapiritsi aledzera katatu patsiku kwa masabata awiri.

Diso limatsika kuchokera kupweteka m'maso

Ndi matenda a shuga a retinopathy, madontho amaso angathandize. Madokotala amalangiza kumwa Emoxipin:

1. Zomwe zili mu mankhwalawa zimakokedwa ndi syringe yopanda singano, ndiye kuti madzi amadziona.
2. Dontho likuyenera kukhala 2 akutsikira katatu patsiku.
3. Njira ya mankhwala ndi masiku 30.

Mutha kugwiritsa ntchito madontho a "Timolol":

1. Chithandizo chogwira chimachepetsa kukhathamiritsa kwa intraocular.
2. Mankhwala nthawi zambiri amayamba kuchita mphindi 20 atatha kugwiritsa ntchito.
3. Ndi osavomerezeka kugwiritsa ntchito mankhwalawa chifukwa cha mphumu ya bronchial, kutsekeka kwamapapu, mukuyamwitsa.
4. 

Kutha kuwona bwino

Matenda ofanana ndi angiopathy akapezeka, masoka okha sangathe kuchira. Onetsetsani kuti mukumalandira chithandizo, kuphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo, zakudya, kuyezetsa kwapachaka ndi akatswiri, komanso paukalamba wa matendawa - opareshoni. Ndikosatheka kuchiritsa kusawona bwino ndi madontho amaso kapena mapiritsi. Chifukwa chake, njira zothandiza kwambiri za matenda ashuga retinopathy, omwe amathandiza kupewa khungu, amakhalabe ndi vuto la patretinal laser.