Retinal angiopathy: kodi chowopsa ndi momwe mungapewere?

Retinal angiopathy ndimatenda omwe amadziwonetsa ngati akusintha mu mtima wamasamba ocular, omwe ndi capillaries ake ndi ziwiya zina. Vutoli limayamba chifukwa cha kusokonezeka kwa kayendedwe ka mitsempha ya mtima. Pakutero, zovuta zimabuka ndi kuchuluka ndi kutuluka kwa magazi kuchokera ku chiwalo, komwe kumasokoneza kayendedwe kake kabwinobwino ndipo kamabweretsa kusintha koyipa m'maso.

Mavuto ali pamwambawa si matenda odziyimira pawokha. Ndizosavuta kunena kuti kusokonezeka kumeneku kumawonekera pomwe mitsempha yamagazi yathupi lonse ili bwino. Zombo za retina zimavutika chimodzimodzi monga ma capillaries onse, mitsempha ndi mitsempha, chifukwa chake, ndi mawonekedwe amtunduwu wam'magazi, kusintha kumayamba, mwachitsanzo, m'maso a retina. Chifukwa chake, mawu oti "angiopathy" amangogwiritsidwa ntchito pazovuta zamaso zoyambitsidwa ndi vuto la mtima.

Kuchepa kwa thupi kotereku sikudalira zaka komanso mtundu wa wodwala. Amapezeka mwa ana ndi akulu, mwa amayi ndi amuna. Koma, komabe, njira inayake idawululidwa: patatha zaka makumi atatu, vutoli limachitika nthawi zambiri kuposa nthawi yaying'ono kapena yaying'ono.

Anthu omwe akukayikira mavuto amaso omwe ali ndi chidwi amakhala ndi chidwi, ndipo Kodi retinal angiopathy amatanthauza chiyani?

Mukakumana ndi a ophthalmologist, mutha kuwona chithunzichi. Fundus, yomwe imayesedwa ndi dokotala, si yachilendo. Dokotalayo anena za kusintha kwa mitsempha m'mbali iyi ya diso. Poterepa, pali kuphwanya mu lumen wamitsempha yamagazi kapena ndima. Zombozi zimatha kukhala m'malo osiyana: kuchepetsedwa kapena kuchepetsedwa, kulumikizidwa kapena kuwongoledwa, magazi okhaokha kapena kudzaza kofooka ndi zina zotero. Mkhalidwe wamasamba wamaso m'maso zimatengera zomwe zinapangitsa kuti zisinthe.

Nthawi zambiri, kukula kwa matendawa kumachitika m'maso onse, ngakhale kuti pali zina zomwe sizingachitike pazotsatira izi.

Khodi ya ICD-10

Dongosolo laumoyo padziko lonse lapansi limapereka gulu limodzi la matenda, omwe amatchedwa International Classization of matenda. Dongosolo ili linapangidwa ndi World Health Organisation kapena mwachidule - WHO. Pakapita kanthawi, dongosolo la maguluwo limawunikiridwa ndikusinthidwa malinga ndi kusintha komwe kwadziwika mu ntchito zamankhwala zapadziko lonse.

Pakadali pano, gulu la padziko lonse lapansi la matenda obwezeretsa khumi, omwe adavomerezedwa mu 2007, ndi othandiza. Ili ndi magawo makumi awiri ndi chimodzi, momwe mumakhala magawo omwe amapezeka ndi matenda ndi matenda amdziko.

Retinal angiopathy malinga ndi gulu la ICD ndi la gulu la matenda omwe amatchedwa "Matenda amaso ndi adnexa," Ayi. H00 - H59, ndipo ali mgulu la chisanu ndi chiwiri molingana kuyambira pachiyambi. Kuzindikira koyenera kuyenera kufunidwa mu gawo "Matenda a mitsempha yam'mimba ndi retina", ayi. H30 - H36. Nthawi yomweyo, ndikofunikira kudziwa kuti mawuwa ndi ofanana, ndipo mukamawafotokozera za mayesowo, mayina a matenda amagwiritsidwa ntchito mwachindunji ndi gawo ili la ophunzira, kapena amatumizidwa ku gulu lina la "Matenda ena" omwe amafotokozedwanso.

Zoyambitsa retinal Angiopathy

Zomwe zimayambitsa matenda a retinal angiopathy ndi prosaic, ngakhale zili zazikulu. Izi zikuphatikiza:

Mavuto mu khosi lachiberekero lomwe limagwirizanitsidwa ndi osteochondrosis.
Kukhalapo kwa zowopsa m'maso.
Zotsatira zakuchuluka kwa kukakamira kwa chidwi.
Zotsatira za kusuta fodya.
Kuchulukana kwa mtima kwa kamvekedwe ka mtima, kamene kamapangidwa pogwiritsa ntchito pulogalamu ya mantha.
Matenda ena a magazi.
Ntchito zopanga pamitundu yoopsa yamabizinesi.
Kukhalapo kwa matenda ashuga.
Kufika msinkhu winawake pomwe kusintha kosasintha kumayambira m'thupi.
Pamaso pa mbiri yokhudza matenda oopsa.
Kuvulaza kwa thupi.
Zina mwa mawonekedwe a makoma amitsempha yamagazi omwe ndi majini, mwachitsanzo, ndi telangiectasia.
Kupezeka kwa systemic vasculitis, yomwe ndi autoimmune m'chilengedwe.

Kufotokozera mwachidule mndandanda womwe uli pamwambapa, kuvulala kosiyanasiyana, matenda am'mimba a ziwalo zonse, komanso matenda a autoimmune ndi matenda a metabolic kumabweretsa mavuto m'matumbo a retina. Kuphatikiza apo, kuledzera kwa thupi ndi zinthu zosiyanasiyana za poizoni, zitsulo zolemera ndi zina zotero kumathandiza kwambiri.

, , , , , ,

Zizindikiro za retinal Angiopathy

Muyenera kudziwa Zizindikiro za retinal angiopathy kuti mudziwe matendawa munthawi yake. Zizindikiro za matenda zikuphatikiza:

Kukhalapo kwa zowonongeka m'maso.
Maonekedwe akhungu, ngati chophimba kapena mawonekedwe.
Mawu otayika.
Zomwe zilipobe.
Maonekedwe a zotupa m'matumbo, zomwe zimatulutsidwa m'maso.
Chiwonetsero cha kupita patsogolo kwamphamvu kwa myopia.
Kuzindikira kwa retinal dystrophy.
Maonekedwe a mawanga kapena mawanga amdima omwe amawoneka poyang'ana zinthu.
Maonekedwe a kuwala kwa nthawi ndi nthawi m'maso, akuwoneka ngati "mphezi".
Kupezeka kwacisoni ndi kupweteka m'maso.

Mutha kuwerenga zambiri zamitundu komanso zizindikiro za angisiopathy retinal pano.

Kodi angiopathy oopsa ndi chiyani?

Ndikofunika kwa munthu yemwe walandira matenda okhumudwitsa kuchokera ku ophthalmologist kuti adziwe chifukwa chake angiopathy ya retina ndiowopsa? Ndipo tengani njira zopititsira patsogolo thanzi lawo.

Mkhalidwe wamitsempha yamagazi umatha kutsogolera (ndikuwatsogolera) ku zowopsa. Choyamba, kugwira ntchito kwa diso kumadodometsedwa, komwe kumayambitsidwa ndi mavuto ndikuwonetsetsa kuti pakudya bwino. Kuphwanya magazi komwe kumayenda pakamayendedwe ka magazi kumayambitsa kukokomeza, komanso kulephera kwa maso kuti alandire mpweya wokwanira ndi michere ina. Zinthu zowola sizimafotokozedwanso pafupipafupi ndi magazi: chifukwa chosagwira bwino ntchito zotengera, zovuta zimayamba ndi izi.

Chifukwa chake, wodwala yemwe wakumana ndi kusintha kwamankhwala am'maso amatha kupatsanso matenda otsatirawa:

Patsogola myopia.
Retinal dystrophy.
Maonekedwe akhungu.
Kukula kwamaso m'maso amodzi kapena onse.

Sikoyenera kuti mavutowa amachitika mwa anthu. Koma, monga lamulo, anthu ambiri samayang'anira thanzi lawo, ndipo akakhala ndi vuto lalikulu, satenga njira yolimbikitsira thanzi lawo. Chifukwa chake, mwakuwopseza kwakukulu titha kuganiza kuti chitukuko cha chimodzi mwazovuta wodwala wokhala ndi zotseguka zam'mimba za retina.

Matenda a retinal angiopathy

Kuzindikira matenda a retinal angiopathy ndi njira yofunika kwambiri yomwe ingaperekedwe kwa ophthalmologist woyenerera. Popeza pali kuthekera kwa cholakwika pakuwazindikira koyenera.

Choyamba, adokotala amawunika wodwalayo ndikupeza madandaulo ake. Zizindikiro zokhala ndi matenda okhudzana ndi retina komanso zomwe wodwalayo ayenera kudziwa. Retina imawunikidwa pogwiritsa ntchito njira yoyeserera ndalama - ophthalmoscopy.

Pofuna kufotokoza bwino za matendawa, akatswiri a maso amagwiritsa ntchito njira zina zowonjezera: kusanthula kwa ziwiya za m'maso ndi maphunziro a x-ray. Kujambula kwa Ultrasound kumakupatsani mwayi wodziwa kuthamanga kwa magazi m'matumbo, komanso momwe mawonekedwe a makhoma amitsempha yamaaso. Kuunika kwa X-ray kumachitika kuti tipeze zambiri za momwe zonyamula zonyamula katundu zimayendera. Ndipo njirayi imachitika pogwiritsa ntchito zinthu zamagetsi.

Njira yachitatu yoyesera ikhoza kukhala kugwiritsidwa ntchito kwa kulingalira kwa maginito, momwe mungadziwire mbali zina za kapangidwe kake ndi kazinthu zofewa zamaso.

, , , , ,

Chithandizo cha retinal Angiopathy

Chithandizo cha retinal angiopathy, choyambirira, ndikuchotsa matenda omwe amayambitsa vuto lalikulu. Nthawi zambiri, momwe wodwalayo aliri matenda ake, mavuto ammaso amachoka okha, osafuna chithandizo chowonjezera.

Mutha kuwerenga zambiri zamankhwala amtundu wa retinal angiopathy pano.

Kupewa kwa matenda a retinal Angiopathy

Kupewa matenda a retinal angiopathy kumakhala motere:

Choyamba, ndikofunikira kuyamba mankhwala a matenda omwe amayambitsa, omwe amachititsa kusintha kwa mitsempha m'maso.
Kuphatikiza apo, ndikofunikira kuyang'anira kuwunika koyenera ndi kokwanira kwa malo antchito.
Osamawerengera magalimoto okhala ndi kuyatsa kotsika, komanso kunyumba ndi magetsi osakwanira.
Pogwira ntchito pafupipafupi pakompyuta, muyenera kupuma. Zolondola, munthu akagwira ntchito kwa mphindi makumi anayi ndi zisanu, ndikupumula kwa mphindi khumi ndi zisanu.
Ndikofunikira pakatikati pakati pa katundu wamasomphenya kuti mupumulitse maso - mugone pamalo oyimirira, pumulani ndikutseka maso. Zomwezo pakakhala kama pakachitika bedi zitha kuchitika pampando.
Ndikofunikira kawiri mpaka katatu patsiku, ndipo pogwira ntchito yama kompyuta komanso nthawi zambiri, chitani masewera olimbitsa thupi kuti muone. Kutikita minofu ya maso ndi ma acupressure kumathandizanso.
Ndikofunikira kuyang'anira kukanikizika kwanu osaloleza kukwera kapena kugwa mopambanitsa. Kuti muchite izi, muyenera kuchita masewera olimbitsa thupi pafupipafupi, kuchita masewera olimbitsa thupi kupuma, kuyenda mu mpweya wabwino, kuyenda kwambiri, komanso zakudya zomwe zimalimbitsa makhoma amitsempha yamagazi.
Kawiri pachaka amayeserera magazi a shuga.
Penyani zakudya zanu! Pali zokwanira, koma zochulukirapo, kupewa maswiti ambiri, ufa ndi zakudya zamchere, zakudya zamafuta ndi mafuta, komanso zakudya zina zopanda thanzi.
Mimba iyenera kukonzedwa, izi zisanakhale bwino ndikukhala ndi thanzi ndikuchotsa komwe kumayambira matenda opatsirana. Makamaka, imakhudza caries, tonsillitis, bronchitis ndi zina.
Pokhala ndi mbiri ya matenda monga matenda a shuga, matenda oopsa, kuchepa kwa thupi, ndikofunikira kuti muthe kulandira chithandizo chodzitetezera kawiri pachaka. Ndikofunikira kugwiritsa ntchito mankhwala ovuta pogwiritsa ntchito mavitamini a Trental, Actovegin, Vinpocetine, ATP ndi B.

Matumbo Ammbuyo

Retinal vascular angiopathy ndi vuto lalikulu la matenda ashuga. Pambuyo pazaka 20 kuchokera ku chiyambi cha matenda ashuga, kusintha kwa ma pathological m'matumbo am'mimba kumawonedwa pafupifupi ndi wodwala aliyense.

Matendawa ndi osachiritsika ndipo amadziwika ndi kupitilira pang'onopang'ono. Chifukwa chake, kuwunika kuchuluka kwa shuga m'magazi komanso kudziwidwa kwakanthawi kosintha kwa ndalama kumathandizira kuchedwa koyambika kwa matendawa.

A shuga angiopathy a retina ndi matenda odziyimira pawokha. Monga momwe dzinalo likunenera, matendawa ndi zotsatira za kakulidwe ka shuga m'thupi, imodzi mwazovuta zake.

Maso angiopathy ndimomwe kumachitika chisokonezo pakuchitika kwamitsempha yamagazi ya chiwalo cha masomphenya komanso kusintha kwa kapangidwe ka mtima ka khungu. Kusintha kwanyengo m'makoma amaso amachititsa kuti munthu asaone.

Matenda ofala kwambiri a shuga amapezeka mwa anthu achikulire. Komabe, m'zaka zaposachedwa, chiwerengero cha achinyamata omwe akudwala matendawa, omwe akukumana ndi zovuta zambiri, ayamba kuchuluka.

Kuphatikiza pa mtundu wa matenda ashuga, owopsa, oopsa, oyerekeza achinyamata komanso achinyamata. Nthawi zambiri, odwala amakhala ndi angiopathy ya retinal m'maso onse.

Kuwonongeka kwamaso kumachitika chifukwa cha njira zosasintha m'maso, zomwe ndi:

Kusintha kwachilendo kwa retina la diso,
kupatulira kwam'mbuyo
kupuma retinal
kusuzika kwa mawonekedwe.

Zotsatira zonsezi za kukula kwa angiopathy kwa maso zimaphatikizidwa pansi pa dzina loti retinopathy. Kuwonongeka kowonekera kumachitika chifukwa cha kuwonongeka kwa boma la retina, komwe kumachitika, chifukwa chakuwonongeka kwa magazi m'magawo amaso.

Zikachitika kuti khungu lisinthe kwambiri, khungu limachitika. Kupanga angiopathy amaso a maso onse awiri kumatha kuyambitsa kuwona kwathunthu.

Matenda a shuga

Matenda a shuga ndi matenda amtundu wa angiopathy omwe amapezeka ndi matenda a shuga osakhalitsa popanda chithandizo choyenera. Asayansi amasiyanitsa microangiopathy ndi macroangiopathy.

Diabetesic retinal angiopathy amatanthauza microagniopathy ndipo amawonetsedwa pogonjetsedwa kwa capillaries a retina. Chotupa choterechi chimawoneka pakutupa kwa makoma a capillaries, komwe kumayambitsa kuchepetsedwa kwa lumens ndi kufalikira kwathunthu kwamitsempha yamagazi mtsogolo.

Magazi amawonjezereka, ndipo minyewa (hypoxia) ikayamba. Masamba achikasu amawonekera pamaso, ndipo zotupa zazing'ono zimakonda kuchitika mozungulira mitsempha ya m'maso, zomwe zimapangitsa kuwonongeka kwa mawonekedwe.

Chimodzi mwazinthu zovuta kwambiri za matenda a shuga ndi angiopathy. Izi zimachitika chifukwa chophwanya lamulo lamanjenje ndipo zimakhudza kayendedwe kazinthu kakang'ono ka thupi kuchokera ku ziwiya zazikulu kupita kumalo obisika ang'onoang'ono.

Matenda a diabetes angiopathy ndi amodzi mwa mitundu ya matendawa omwe amapezeka ngati vuto la matenda obwera chifukwa cha matenda ashuga nthawi yayitali popanda kupezeka chithandizo choyenera. Mu ophthalmology, microangiopathy ndi macroangiopathy zimasiyanitsidwa.

Matenda monga matenda ashuga nthawi zambiri amakhudzidwa ndi okalamba. Koma m'zaka zaposachedwa, pakhala chiwonjezeko chofulumira kwambiri cha achinyamata pakati pa achinyamata.

Matenda a diabetes angiopathy, omwe amatchedwa microangiopathy, amakhudza ma capillaries a retina amaso. Mawonetsedwe ake ndikutupa kwa makoma a capillary, zomwe zimatsogolera kukuchepa kwa lumen ya ziwiya komanso mtsogolo ku blockage yathunthu.

Pali mitundu iwiri yayikulu ya angiopathy mu shuga:

Matenda a shuga a shuga (kuwonongeka kwa ziwiya zam'munsi za mtima),
Matenda a shuga a shuga.

Diabetesic angiopathy ya retina imatha kudaliridwa ndi microangiopathy, njirayi imadziwoneka mu mawonekedwe a zotupa za capillaries a retina, imatha kudziwika motere: njira yotupa yamakoma a capillaries, yomwe imakhala ndi kutsika kwathunthu kwa chotengera kapena kufinya kwa lumen.

Poyerekeza ndi zomwe zasintha, kufalikira kwamwazi kumakhala kovuta, chifukwa cha kukhudzidwa ndi mpweya wa minofu, hypoxia.

Nthawi zambiri, anthu okalamba amadwala matenda ashuga. Koma posachedwa, kuwonjezeka kwa ziwerengero za matendawa pakati pa achinyamata kwazindikirika. Matendawa amatenga zovuta zingapo.

Chimodzi mwazinthu zovuta kwambiri za matenda a shuga ndi angiopathy, mafupa amitsempha yamagazi, kuchokera ku capillaries kupita ku ziwiya zazikulu, chifukwa chakukwiyitsidwa kwamalamulo amanjenje.

Matenda a ana

Matenda a shuga angiopathy amakula mwa ana kumapeto kwa matendawo.Ngati simukuyambitsa ndondomekoyi ndikuyamba kulandira chithandizo panthawi, ndiye kuti matendawa amatha kupewedwa kwa nthawi yayitali. Sizotheka kuthana ndi matendawa kwathunthu, chifukwa ndi zovuta za matenda ashuga.

Pa kuyesedwa, kukoka ndi kufalikira kwa mitsempha, komanso zotupa zazing'ono ndi zotupa za retinal, zimawonedwa.

Kuchulukitsa kwamaonedwe kwa mwana kumachepera, nthawi zina kumatha kutayika kwathunthu,
Masomphenya otumphukira ndi operewera
Zofooka zowoneka zimawoneka, zomwe zimawoneka ngati banga kapena mphezi pamaso pa maso.

Njira zotsatirazi zimagwiritsidwa ntchito pochiza matenda ana:

Lemberani mankhwala omwe amathandizira kusintha kwa magazi m'magazi am'maso, monga Solcoseryl, Actovegin ndi mavitamini,
Njira zolimbitsa thupi
Reflexology
Mtundu mankhwala
Magnetic mankhwala.

Ngati m'modzi wa makolo ali ndi matenda obadwa nawo a shuga, ndiye kuti kuyenera kusamala kwambiri ndi kuchuluka kwa shuga mwa mwana ndikofunikira.

Zolinga za maonekedwe

Ndikosavuta kulingalira kuti chomwe chimayambitsa matenda a angiopathy pamenepa ndi matenda a shuga. Komabe, pali zinthu zingapo zomwe zimachulukitsa njirayi ndikuzifulumiza:

Kusuta
Mowa
Kulephera kutsatira malangizo azachipatala okhudzana ndi mankhwala,
Kusokonezeka kwa mafuta kagayidwe (atherosulinosis),
Wopangidwira chibadwa,
Pitani ku ophthalmologist zosakwana kamodzi pachaka.

Angiopathy ndizotsatira zakukula kwa matenda aliwonse omwe amakhudza mkhalidwe wamkati mwa mtima.

Kuphatikiza apo, matendawa amatha kuphukira chifukwa cha kupitilira kwa osteochondrosis kwamchiberekero ya khomo pachibelekeropo. Autoimmune vasculitis, zotupa za mtima ndi matenda ammagazi, zitha kukhala zomwe zimayambitsa kusokonezeka mu choroid yamaso.

Njira yopititsira patsogolo

Makina oyamba.

Mu shuga mellitus, shuga wambiri (oposa 5.5 mmol / l) amatsimikizika m'magazi. Zotsatira zake, glucose amayamba kulowa mkati mwa khoma la mtima ndikudziunjikira pa endothelium (wosanjikiza womwe umalowera mkati mwa mtsempha wamagazi).

Popita nthawi, chifukwa cha kuchuluka kwachulukidwe, zinthu zamafuta a glucose, fructose ndi sorbitol, zomwe zimakopa madzi, zimayamba kuyikiridwa m'matumba. Zotsatira zake, zombozo zimatupa ndikudwala.

Endothelium imakhala yowonongeka ndipo njira zambiri zimachitikira.

Njira yachiwiri yofunika kwambiri yopangira matenda a retinal angiopathy ndi kutsegula kwa thrombosis, yomwe imayamba chifukwa cha kutupa.

Izi zimachepetsa kuyenda kwa magazi ndikupangitsa kuti magazi azisamba, zomwe zimayambitsa zotupa m'mimba. Njira izi zimapangitsa mitsempha yamagazi ndikuchepetsa kuyenda kwa magazi.

Retina samalandira michere yokwanira. Pali njala ya oxygen, yomwe imawonongeranso endothelium ndikuwonjezera edema.

Mitundu yamatenda

Zizindikiro chimodzi cha matendawo chimawonetsedwa mwa odwala omwe ali ndi matenda osokoneza bongo pafupifupi zaka zitatu atazindikira. Ndipo patatha zaka 20, amawawonedwa pafupifupi onse odwala mpaka pamlingo wina kapena wina.

Malinga ndi matendawa, imagawidwa motere:

Benign (akukula pang'onopang'ono),
Zoyipa (zikuyenda mwachangu).

Malinga ndi chikhalidwe ndi zamankhwala, matendawa amagawidwa m'mitundu mitundu:

Ili ndiye gawo loyambirira la matenda, lomwe limadziwika ndi kufalikira kwamitsempha yam'mimba. Nthawi yomweyo, m'mimba mwake mumayikidwa ma 2 kapena 3 mulifupi wamitsempha yama mitsempha (kawirikawiri chiwerengerochi sichikhala choposa 1.5).

Potere, mavuto amawonedwe samawonedwa.

Zosavuta za matenda ashuga angioretinopathy.

Pakadali pano, zosintha za fundus zimachitika. Mitsempha yam'mimba imakulirakulira ndikukula, ma hemorrhages ndi ma micaneurysms amawoneka.

Pankhaniyi, zithunzi zowoneka zimangokhala mu nthawi yamasana, ndipo mawonekedwe amtundu samveka.

Kuchuluka kwamakoko ndi ma aneurysms, zofewa komanso zolimba, komanso kupweteka kwa edema ndizofala mu retina. Visithi acuity ndiosowa.

Amadziwika ndi kuchuluka kwakukulu kwa ziwiya zam'mimbamo, zotupa za mtima, kukhathamiritsa kwamphamvu ndi khinya. Pali zomata pakati pa retina ndi vitreous. Pankhaniyi, kuwona kwa wodwala kumachepetsedwa kwambiri, khungu limatha.

Zizindikiro zamakhalidwe

Njira yamagulu awa ikuphatikizira:

kuchuluka odwala matenda ashuga angioretinopathy.
chachikulu hemorrhage chachikulu.
macular edema wa retina.

Ngati tikulankhula za kukonzekera kwa m'mimba kwakutali, ndiye chifukwa cha kuchuluka kwa anthu odwala matenda ashuga angioretinopathy kapena kukulira zisanachitike. Koma, makamaka, ma hemorrhages awa ndi osiyana ndi matenda a shuga angioretinopathy.

Ngati tikulankhula za macular edema ya retina, ndiye kuti kupanikizika uku kumadziwika ndi koopsa, komwe kumachitika chifukwa chowonjezeka kwambiri pamakoma a capillaries m'chigawo cha Corpus luteum. Kuphwanya masomphenya apakati kumachitika (wodwalayo samasiyanitsa pakati pazinthu zazing'ono komanso sangathe kuwerenga).

Zizindikiro za matenda a shuga a retinal angiopathy ndi ofanana ndi mitundu ina ya retni agniopathy:

kusawona bwino kapena kusawona bwino,
kusintha kwa myopia,
mphezi m'maso
zotheka mphuno.

Nthawi zambiri, wodwala amakhala ndi mutu ndikusunthira mawotchi amaso atagwira ntchito yofuna zovuta za maso. Mtsogolomo, pali kusokonezeka pakugwira ntchito kwa ziwalo zamasomphenya, ndipo zizindikiro zoyambirira zimapitilira.

Chizindikiro chachikulu chomwe chimapangitsa kuchezera kwa ophthalmologist ndi kuchepa kwa kuwona kwa chidwi. Wodwalayo amadandaula kuti sangathe kuwona zinthu zazing'ono patali. Metamorphopsies amawoneka pang'onopang'ono - kupotoza kolakwika kwa zinthu.

Ngati matendawa adakhudzidwa ndi kukoka kwa magazi kulowa mu vitreous patity, ndiye kuti mabwalo oyenda kapena mdima akuwoneka m'munda wamasomphenya. Popita nthawi, mawanga amachoka, koma masomphenya samabwezeretseka.

Ngati simukuonana ndi dokotala munthawi yake, kudzikundikira kumachitika pakati pa retina ndi thupi lanyama, komwe kungayambitse kukokana kwa retinal.

Nthawi zina, angiopathy imayendera limodzi ndi edema ya retinal, ndipo zimawoneka ngati munthu akuyang'ana chophimba chakumaso. Kukula kwa angiopathy kumatha kuchitika pa nthawi iliyonse, koma nthawi zambiri anthu azaka zopitilira 30 amakhudzidwa ndi matendawa.

Kuphwanya ndi kuwopsa kwa mwadzidzidzi

Mu matenda a shuga a shuga, pali: mafuta operewera ndi mapuloteni, kuwonjezeka kwa shuga m'magazi kwa nthawi yayitali komanso kudumpha pafupipafupi kwa 6mmol / l.

Masana, kupezeka kwa oxygen m'misempha kumakulirakulira, komwe kumayambitsa kuphwanya magazi m'matumba ang'onoang'ono, kusowa kwa mahomoni kumachitika, komwe kumakhudza makoma a mitsempha yamagazi.

Mavuto omwe amabwera chifukwa cha matenda ashuga a shuga Amayambitsa zomwe zimapangitsa kuti matenda ashuga azikhala ndi matenda a shuga:

kusuta
kuledzera
kuthamanga kwa magazi
ntchito yowopsa
ukalamba
belated ndi zosayenera chithandizo cha matenda ashuga.

Njira Yodziwitsa

Kuzindikira kumapangidwa pamaziko a deta ya zida zophunzirira ndi mbiriyakale (kukhalapo kwa matenda osokoneza bongo).

Diagnosis ya diabetesic retinal angiopathy nthawi zambiri imakhala yolunjika ndipo imachokera pa mbiri ya matendawa (ndiko kuti, kukhalapo kwa matenda ashuga mwa munthu), komanso paziwonetsero za maphunziro othandizira:

Achimedia,
Ophthalmoscopy
Biomicroscopy wa Iris, conjunctiva ndi retina.

Dokotala wamaso amatha kudziwa malo a vasoconstriction, zotupa zotupa ndi zina mwanjira ya angiopathy. Kuphatikiza apo, odwala ena achepetsa malingaliro amtundu, operewera khungu pang'onopang'ono komanso kuzindikira kutulutsa.

Vuto la angiopathy limapezeka pakusanthula kwa ndalama muofesi ya ophthalmologist.

Dokotala wamaso amawunika bwino wodwalayo ndi wophunzira wokulirapo pogwiritsa ntchito maikulosikopu inayake. Mukamayesedwa, akatswiri am'maso akuwonetsa kukhalapo kwa kupendekera ndi vasodilation, kupezeka kwa zotupa ndi malo a macula.

Ngati ndi kotheka, owonjezera amayesedwa. Pozindikira matendawa amagwiritsidwa ntchito:

Ultrasound yamitsempha ya ziwalo zam'maso zowonera komanso kuwunika kwa Doppler ya ziwiya za retina imapangitsa kudziwa kuthamanga kwa magazi ndikuwunika momwe khoma lamitsempha yamagazi limayendera.
Kuunika kwa X-ray pogwiritsa ntchito njira yosiyanitsa kumakupatsani mwayi wowunika momwe mtima wam'magazi ulili komanso kuthamanga kwa magazi kudzera m'mitsempha.
Kuzindikira kwa makompyuta.
Magnetic resonance imagment imagwiritsidwa ntchito pofufuza momwe minofu yofewa ya gawo la masomphenyawo imathandizira.

Chithandizo cha retinal Diabetesic Angiopathy

Chithandizo cha matendawa ziyenera kuyamba kumayambiriro kwa chitukuko. Njirayi imapewetsa zovuta zambiri, pomwe zazikulu zake ndi izi:

Kutaya kwamaso, komwe kungakhale kwathunthu kapena pang'ono,
kusintha kwa mitsempha ya maso,
kuchepa kwakumunda kwamawonekedwe.

Angiopathy ndi matenda omwe amafunikira njira yophatikizira yamankhwala. Pokonzekera regimen ya chithandizo, amafunika kufunsa madokotala angapo, akatswiri apakati pakati pawo ndi awa:

Choyambitsa chachikulu cha angiopathy ndi matenda ashuga omwe amapita patsogolo. Ndiye chifukwa chake, ngati chithandizo cha matenda ashuga a retinal angiopathy, osawerengera zamankhwala zomwe zimathandiza kusintha magazi, mwachitsanzo: emoxipin ndi solcoseryl, trental.

Ndikofunikira kugwiritsa ntchito njira zowonjezera, makamaka, zakudya zoyenera. Pofala kwambiri masiku ano alandila yunifolomu zakudya zinayi patsiku, chifukwa cha izi titha kupewa kudumpha kowopsa m'magazi a shuga.

Kuperewera kwa chithandizo choyenera cha njira yotsogola yotsogola ndiye chifukwa chachikulu cha chitukuko cha matenda a shuga. Chifukwa chake, munjira yochizira matendawa, kuphatikiza pa mankhwala othandizira kusintha magazi, chakudya chamagulu chimaphatikizidwanso.

Chomwe chimagwiritsidwa ntchito kwambiri tsopano ndi chakudya momwe zofunika tsiku lililonse kwa wodwala zama chakudya zimawerengeredwa payekhapayekha potengera kulemera kwa thupi, zaka, ntchito komanso moyo wawo. Yunifolomu ya chakudya inayi patsiku imaletsa kuchitika kwa mwadzidzidzi kuchuluka kwa shuga m'magazi.

Pankhani ya matenda a shuga, kutsimikizika kwa madokotala ndiko kupatula kapena kuchepetsa kudya komwe kumakhala zakudya zamagulu ochepa: shuga, chokoleti, makeke, maswiti, ayisikilimu, jamu, mkaka wokhala ndi mowa, komanso zakumwa zina zamowa.

Ndi kugwiritsidwa ntchito kosalamulika kwa zinthu zotere zomwe nthawi zambiri kumayambitsa zovuta za matenda ashuga, pakati pomwe zofala kwambiri ndi matenda a shuga.

Palibe njira zabwino zomwe zakhazikitsidwa popewa chitukuko cha matenda ashuga angiopathy. Komabe, ndizotheka kuchepetsa kwambiri chiwopsezo cha kukula kwa zovuta izi mwa kutsogoza moyo wathanzi, kupewa kuchita khama kwambiri komanso kutsatira kwambiri zakudya.

Maziko a chithandizo cha retinal angiopathy ndikukonzanso kwa shuga mellitus ndikubweretsa glucose wamagazi pamilingo yokhazikika (3.5 - 5.5 mmol / l). Kukonzanso shuga pafupipafupi pamlingo uwu kumakupatsani mwayi wopewa kuthana ndi zovuta kwanthawi yayitali.

Zokhudza mankhwalawa a retinal angiopathy, ndi chizindikiro. Ntchito mankhwala omwe amateteza khoma lamitsempha, komanso ndalama zokhala ndi antioxidant komanso zotulukanso: trental, Actovegin, solcoseryl, divaskan, emoxipin ndi ena.

Kamodzi pa miyezi isanu ndi umodzi, maphunziro a mavitamini amayenera kuperekedwa. Mwa izi, ndikulimbikitsidwa kugwiritsa ntchito mavitamini B, C, E, A.

Mankhwalawa amayenera kupitilira milungu iwiri. Monga njira yowonjezerapo, ndikofunikira kugwiritsa ntchito zakudya zapadera zopatsa thanzi komanso mankhwala azitsamba chifukwa cha buliberries ndi kaloti. Koma, ziyenera kudziwidwa nthawi yomweyo kuti zinthu izi sizingathe kubwezeretsanso magwiridwe antchito a retina.

Opaleshoni

Pamaso pa okhwima kwambiri osakhazikika othandizira odwala matenda ashuga, kupindika kwa laser kumachitika pofuna kupewa kuwona. Kuchita opareshoni kumachitika kwa mphindi 20 pansi pa opaleshoni yakumaso.

Magalasi amaikidwira pamaso owawa, omwe amalola kuyang'ana kwambiri cheza pa fundus. Chomwe chimagwiridwira ntchito ndikuti retina imalumikizidwa ndi zimakhala kuti apange zomata zomata zomwe sizimalola kuti ziwoneke. Mu gawo loyambirira la matendawa, kusokonekera kwa laser sikothandiza.

Pofuna kuthandiza wodwalayo kuti azioneka, ndi umboni wake. Imeneyi ndi njira yochita opaleshoni yomwe thupi lamphamvu kwambiri limachotsedwa pang'ono kapena kuchotsedwa kwathunthu, ndipo limakhala ndi zipsera, magazi kapena minyewa yomwe imayambitsa kusagwirizana.

Vitreous yochotsedwa imasinthidwa ndi ma polima owumba ndi saline. Zinthu izi, zitakula, ndikulimbitsa diso la diso kuti liziwoneka bwino. Izi zimalepheretsa kuwoneka kwa mitsempha yatsopano komanso kuchuluka kwa magazi m'mitsempha.

Kuphatikiza pa njira zosasamala, chithandizo cha matendawa chimaphatikizanso othandizira. Monga lamulo, mankhwala a laser amagwiritsidwa ntchito mwachangu. Amathetsa kukula kwa mitsempha yamagazi ndikuletsa mwayi wamatumbo.

Kuphatikiza apo, madontho apadera amalembedwa omwe amasintha njira za metabolic zomwe zimachitika mkati mwa maso. Imodzi mwa madontho awa ndi Taufon. Mankhwalawa, njira zina za physiotherapy zimagwiritsidwa ntchito mwachangu.

Izi zikuphatikiza ndi izi:

maginotherapy
katemera
laser chithandizo.

Amayambitsa ndi pathogenesis

Retinal angiopathy m'maso onse a shuga imachitika chifukwa cha zinthu zotsatirazi:

kusuta
kumwa mowa
kulephera kwa chakudya
kusowa tulo
kugwira ntchito mopitirira muyeso
kuphwanya malamulo a tsikulo,
zopsinjika pafupipafupi
kugwiritsa ntchito mankhwala ena
matenda oopsa
atherosulinosis
hypotension
kusintha kwa scoliotic mu khomo lachiberekero,
michere-misempha dystonia,
kunenepa
koyamba
kusasamala kwa mahomoni,
kuledzera
chibadwire
ukalamba wa wodwala
kuvutika.

Kupanikizika kwa shuga kwa shuga kumabweretsa kuchepa kwa khoma kupindika, komwe kumapangitsa kukha magazi m'maso.

Matenda a shuga a retinopathy ndi microangiopathy pomwe ziwiya zazing'onoting'ono zimavutika makamaka. Matendawa amatsogolera kuwonongeka kwa makhoma awo ndikuwonjezera kuchuluka kwa magazi, komwe kumayambitsa kutupa kwa ziwalo zozungulira komanso kuchepetsedwa kwa lumen, komwe kumasokoneza kayendedwe kamagazi.Ngati kuphwanya koteroko kumawonedwa kwa nthawi yayitali, ndiye kuti hypoxia yamatenda a macula ndi kufa kwawo kumatha kukula. Kuphatikiza apo, makoma am'mimba amachepa ndipo nthawi zambiri amaphulika, zomwe zimakwiyitsa michere pamwamba pa fundus.

Zizindikiro

Matenda a shuga angioretinopathy amachititsa kuti wodwalayo akhale ndi zizindikiro zamankhwala izi:

metamorphopsia
kupotoza mtundu
kuchepa kwapakatikati kwamawonedwe,
kupweteka kwa m'maso
kuyaka ndi kuwawa
kulephera kugwira ntchito ndi zinthu zazing'ono,
chophimba pamaso
Maonekedwe a mphezi,
lacure
mphuno
kukula kwa myopia
Photophobia
redjunctival redness.

Ngati maselo ochititsa chidwi a macula ayamba kufa, mawanga amawoneka pamaso pa maso omwe amalepheretsa kuwona.

Matendawa amadziwika ndi kuwonjezeka pang'onopang'ono kwa zizindikiro, pomwe wodwalayo sangazindikire nthawi yanthawi yowoneka. Choyamba, madera osatha kuwona amawonekera pakati. Izi ndichifukwa chakumwalira kwama cellensitive cell a macula. Pambuyo pa izi, pali zosokoneza mawonekedwe ndi mawonekedwe a dziko lozungulira, komanso kulephera kuwona zinthu zazing'ono. Gulu la retinopathy limaphatikizapo mawonekedwe owuma komanso onyowa, omwe amatsimikiziridwa ndi mawonekedwe a pathogenesis ya matendawa.

Njira Zodziwitsira

Matenda a diabetes angiopathy amatha kukayikiridwa ndi zomwe wodwala akuchita zomwe zimadziwika ndi matenda awa. Kuphatikiza apo, ophthalmoscopy ikulimbikitsidwa, zomwe zimapangitsa kuti ziwonetsedwe momwe zimakhalira ndalama, komanso ma venous ndi arterial network omwe amadyetsa retina. Ndikofunikira kudziwa maubwino acion, kupanikizika kwa intraocular ndikuwunika magawo owoneka. Ndikulimbikitsidwa kuchita diagnostics a ultrasound, computer tomography ndi angiography yamaso. Ndikofunikira kupimitsa kuyesa kwamagazi ndi a biochemical.

Ngati angiopathy ndi ochokera ku matenda ashuga, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi.

Zochizira

Therapy a matendawa amakhala ndi mphamvu yolumikizira matenda a shuga a shuga, omwe amathandiza kuyimitsa kuwonongeka kwa kuthamanga kwa shuga pamitsempha yamitsempha yama mitsempha ndi mitsempha yam'mimba. Maziko a mankhwalawa ndi zakudya komanso mankhwala a hypoglycemic. Njira izi zimathandiza kupewa kulumpha m'magazi a magazi. Imawonetseranso kugwiritsa ntchito mankhwala omwe amateteza khoma lamitsempha kuti lisawonongeke, likhale ndi antioxidant komanso kusintha. Woopsa milandu, angiopathy amatha kuthandizidwa ndi laser coagulation. Zimathandizira kupewa kuwonongeka chifukwa chakuthengo. Kuti izi zitheke, macula amaphatikizidwa ndi zimakhala. Zotsatira zolimbitsa thupi ndizofunikira, monga magnetotherapy, chithandizo chamtundu ndi acupuncture.

Mankhwala

Pofuna kuthana ndi angiopathy, mankhwala amaikidwa omwe amalimbitsa khoma lam'mimba komanso amathandizira kukulitsa mawonekedwe a mitsempha yomwe imadyetsa macula, monga Ascorutin, Troxevasin ndi Trental. Ikuwonetsanso kugwiritsidwa ntchito kwa zinthu zomwe zimasokoneza mapangidwe a magazi omwe amasintha metabolism ndi metabolic rate. Pofuna kusintha kufalikira kwa magazi mu retina, jakisoni wa kukonzekera kwa Lucentis kumachitika. Venotonics komanso kudya michere yama mineral-mineral okhala ndi lutein amafunikira.

Kuthandizira opaleshoni

Mu matenda a shuga a retinopathy, opaleshoni yovuta kwambiri ndi opaleshoni yotseguka amachitidwa. Zonsezi cholinga chake ndi kulimbitsa minyewa ya m'mimba ndi kuwotcherera kwawo kuzinthu zoyambira, zomwe zimathandizira kupewa kufalikira kwa macula ndikusunga mawonekedwe a wodwalayo. Nthawi zambiri, laser coagulation imachitidwa, yomwe sikutanthauza kukonzekera ndi nthawi yayitali kukonzanso pambuyo pa njirayi.

Zakudya zamagulu

Ndikulimbikitsidwa kwa odwala omwe ali ndi matenda ashuga retinopathy kupatula zakudya zamafuta m'zakudya ndi kukana kuphika zakudya zamafuta a nyama. Zakudya zothiridwa, kusuta komanso mchere zimakhala zovulaza. Ndikofunikira kupatsa chidwi kuzakudya zophika ndi zotentha. Ndikofunika kudya masamba ndi zipatso zomwe zili ndi mavitamini ndi michere yambiri.

Type 2 shuga mellitus amachiritsa zakudya zoyenera.

Njira zopewera

Ndikotheka kupewa zovuta zomwe zimayambitsidwa ndi matenda ashuga angioretinopathy ngati matenda amathandizika munthawi yake. Ndikofunikanso kutsata moyo wokangalika, kupewa kupsinjika ndikusiya zizolowezi zoipa, kuchepetsa kugwiritsa ntchito mafuta, okazinga ndi zakudya zonunkhira. Ndikofunika kuti musagwire ntchito mopitirira muyeso ndikukhalabe ndi shuga wabwinobwino komanso kuthamanga kwa magazi.

Kuzindikira kwa retinal angiopathy

Kukula kwa retinal angiopathy kumatengera chomwe chikuyambitsa, komanso pa gawo lomwe chithandizo cha matenda am'mimba chimayambira.

Mu mawonekedwe a matenda ashuga, ndikofunikira kusamalira momwe wodwalayo alili ndikuwunika kuchuluka kwa shuga m'magazi. Kenako vuto la mitsempha ya m'magazi silitha kuyenda, ndipo mkhalidwe wa retina umakhazikika.
Mankhwala oopsa kwambiri, pamafunika kuchitapo kanthu kuti muchepetse kuthamanga kwa magazi. Komanso khalani ndi moyo wathanzi womwe umathandizira kuchepetsa kuwonetsa kwa matenda oopsa.
Ndi mawonekedwe owopsa, ndikofunikira kuchiritsa zotsatira za kuvulala ndipo nthawi zina mumalandira chithandizo chamankhwala othandizira. Potere, angiopathy amasiya kupita patsogolo ndipo mkhalidwe wa wodwalayo ukupita bwino.
Ndi hypotonic angiopathy, ndikofunikira kuchitapo kanthu kuti muchepetse kuthamanga kwa magazi komanso kuchitira matenda oopsa. Pazomwezi, wodwalayo sangadandaule chifukwa cha kuwonongeka kwa diso.
Paunyamata, mwatsoka, mkhalidwe wa wodwalayo umakulirakulira. Kuti muchepetse kupita patsogolo kwa matendawa, mutha kugwiritsa ntchito zovuta, zomwe ziyenera kuchitika pafupipafupi. Kukhala ndi moyo wathanzi komanso kutsatira malangizo a akatswiri ndikofunikanso.

Ngati palibe njira zomwe zingachitike pothana ndi matendawa komanso kukonza momwe zombo zilili, ndiye kuti kutha kwa chidziwitso cha myopia ndikutheka kuti masomphenyawo atheretu.

Ndi magawo ofatsa komanso osachepera matendawa omwe angayambitse matenda, ndizotheka kuchotsa kwathunthu zizindikiro za angiopathy ndikubwezeretsa thanzi, kuphatikiza zowoneka bwino, ndi chithandizo cha panthawi yake.

Kuphatikizika kwam'mimba komwe kumakulirakulira panthawi yapakati kumatha kukulitsa mawonekedwe a maso. Ndipo pakubala, kutaya kwamaso kwathunthu ndikothekanso. Koma panthawi imodzimodzi, ndikofunikira kukumbukira kuti kukonzekera kubereka, kukhala ndi moyo wathanzi panthawi yapakati, kukhala ndi malingaliro olimba mtima, komanso kuchita zinthu molondola pakubala kumathandizira kuyang'ana kwamaso pamlingo womwewo monga nthawi isanachitike. Amayi amtsogolo akuyenera kudziwa kuti kuti asunge maonedwe pakubala kwa mwana ndikofunikira kuti athe kupumula ndikuchotsa minofu yowunikira kuti apatse mpumulo wothandizira pantchito komanso kuti asanyamule katundu wazonse. Ngakhale, makamaka, muzovuta kwambiri, gawo la caesarean limawonetsedwa kuti lipewe zovuta kwambiri.

Nthawi zambiri, mwa azimayi ambiri oyembekezera pambuyo pobadwa, zizindikiro za angiopathy zimatha okha. Ndipo azimayi ena okha omwe ali pantchito amafunikira chithandizo chapadera.

Mwa makanda, kuzindikiraku nthawi zambiri kumachitika molakwika. Ndipo, mwachitsanzo, wazaka chimodzi zikafika, amachotsedwa kwathunthu.

Mu mawonekedwe a ubwana wa matendawa, pamene njira zamankhwala zimatengedwa pa nthawi yake komanso molondola, nthawi zambiri, vutoli limazimiririka kwamuyaya, ndipo masomphenyawo amabwezeretsedwa.

Chakudya cha matendawa

Cholinga chachikulu cha kupezeka kwa matenda ashuga retinal angiopathy chinali chokhazikika mtundu wa matenda ashuga. Chifukwa chake, mankhwalawa a matenda a shuga a shuga, kuphatikiza pa mankhwala omwe amasintha magazi (emoxipin, solcoserial, trental ndi ena), amaphatikiza zakudya zoyenera.

Chodziwika kwambiri pakadali pano ndi zakudya zamayendedwe anayi, zomwe zimapewa kudumpha mwadzidzidzi m'magazi a magazi. Chofunikira chatsiku ndi tsiku chama carbohydrate chimawerengeredwa payekha kwa wodwala aliyense kutengera kulemera kwake, zaka zake, moyo wake komanso ntchito yake.

Ndi matenda ashuga, madokotala amalimbikitsa kuti achotse kapena kuchepetsa kunenepa kwa zakudya zomwe zimakhala ndi zopatsa mphamvu za m'mimba. Zina mwa zinthu monga: chokoleti, shuga, ma cookie, maswiti, ayisikilimu, mkaka wokhala ndi mafuta ambiri, jamu, zakumwa zoziziritsa kukhosi komanso zakumwa zoledzeretsa (zina).

Chithandizo cha matenda a shuga a shuga chikuyeneranso kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi kumathandizira kuti munthu azikhala ndi shuga m'mitsempha yambiri komanso kukhala wathanzi.

Njira zogwira mtima zopewera matenda a shuga a retic angiopathy sizinapangidwebe. Komabe, moyo wathanzi, kuphatikizidwa kwa kulimbikira kuchita masewera olimbitsa thupi, ukhondo wamaganizidwe ndi machitidwe osamalitsa azakudya kungachepetse chiopsezo chokhala ndi zovuta zotere.

Kumva njala kapena kudya kwambiri osaloledwa. Ndikofunikira kuchepetsa kuchuluka kwa chakudya chamafuta chimbudzi:

Sahara
Zinthu zophika buledi
Maswiti
Wokondedwa
Zipatso zokhala ndi shuga wambiri (mphesa, nthochi).

Nyama zamafuta, monga nkhumba kapena mwanawankhosa, zimasowa m'malo ndi nkhuku, nkhukundembo, kalulu, kwinaku mukuziphika popanda khungu ndi mafuta,
Zakudya zokazinga, nyama zosuta, ma pickles sayenera kuperekedwa kuchakudya. Chakudya chawotchi kapena chophika chikuyenera kupitilira
Muyenera kuwonjezera kudya zipatso ndi ndiwo zamasamba munjira yaiwisi,
Pofuna kukonza njira yogaya mafuta, zonunkhira ziyenera kuwonjezeredwa ku chakudya (kusiyapo ndi tsabola wotentha),
Chocolate ndi maswiti ayenera m'malo ndi pastille, marshmallows, marmalade.

Ubwino wathu

Chipatala cha Maso a Moscow chimapereka chidziwitso chokwanira chazithandizo zothandizira matenda osiyanasiyana amaso. Kugwiritsa ntchito zida zamakono kwambiri komanso akatswiri ambiri ogwira ntchito pachipatalapo samapatula mwayi wolakwitsa pofufuza.

Kutengera zotsatira za mayeso, mlendo aliyense adzapatsidwa malingaliro pazakusankha njira zabwino kwambiri zochizira matenda a maso omwe awonekera mwa iwo. Kutembenukira ku "Moscow Eye Clinic", mutha kukhala otsimikiza kuti mwazindikira mwachangu komanso molondola komanso ndi chithandizo choyenera.

Mulingo wapamwamba kwambiri wophunzirira zamawuzeru komanso chidziwitso chochuluka cha akatswiri athu amatsimikizira kukwaniritsidwa kwa zotsatira zabwino zamankhwala.

Mitengo yamankhwala othandizira odwala matenda a shuga

Mtengo wochizira matenda ashuga a retic angiopathy ku MGK amawerengedwa pawokha ndipo zimatengera kuchuluka kwa machitidwe azachipatala ndi matenda omwe amachitidwa. Mutha kufotokozera mtengo wa njirayi mwakuimbira foni 8 (495) 505-70-10 ndi 8 (495) 505-70-15 kapena pa intaneti, pogwiritsa ntchito mawonekedwe oyenera pa webusayiti, mungadziwenso ndi gawo la "Mitengo".

Kuteteza Matenda

Mankhwala akapezeka ndi matenda oopsa, choyamba, chizindikiritso cha magazi chiyenera kukhala chofanana komanso kusungidwa chimodzimodzi.

Mukazindikira mtundu wa matenda a shuga a angiopathy, muyenera kuganizira kwambiri zakudyazo. Zakudya za munthu yemwe ali ndi matenda ashuga ayenera kukhala ndi zakudya zomwe zimakhala ndi shuga ochepa, izi ndizakudya zosiyanasiyana za odwala ashuga.

Pokonzekera njira zachipatala, munthu sayenera kuyiwala za zolimbitsa thupi, zomwe zimathandizira kulimbitsa magazi ndi thupi lonse, komanso zimathandizira kukonza kuyamwa kwa shuga ndi minyewa.

Pakukonzekera chithandizo, njira zamankhwala, zamankhwala ndi wowerengeka zimagwiritsidwa ntchito. Njira zazikulu zopewera ndi njira zomwe zimapangidwira kuti thupi likhale lothandiza.

Pachifukwa ichi, anthu omwe ali ndi kuthamanga kwa magazi amayenera kuwunikidwa pafupipafupi ndi akatswiri a mtima, ndipo ngati pali matenda a shuga m'thupi, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga wamagazi ndikuyankhulana pafupipafupi ndi endocrinologist.

Odwala ayenera kukhala ndi moyo wathanzi, kusiya zizolowezi zoipa ndikutsatira zakudya zopangidwa ndi akatswiri azakudya.

Ndikosatheka kupeweratu angiopathy ndi matenda ashuga, koma malangizo otsatirawa akatsatira, matendawa amakula pang'onopang'ono:

Ndikofunikira kukhala ndi moyo wathanzi ndikupewa kupsinjika m'maganizo.
Muyenera kutsatira zakudya ndikutsatira zakudya zochepa mchere, mapuloteni ndi zakudya,
Kuyenda mtunda wautali ndi masewera olimbitsa thupi amalimbikitsidwa.
Ndikofunika kusiya zizolowezi zoipa,
Odwala omwe ali ndi matenda oopsa kwambiri amafunika kuthandizira kwambiri matendaŵa, chifukwa amachititsa kuti matenda a angiopathy apite patsogolo,
Ndikofunikira kutsatira malingaliro onse a dotolo ndikumwa mankhwala omwe mumalandira, mumayezera kuchuluka kwa shuga m'magazi ndikuwusunga.

Matenda opita patsogolo amatha kupweteketsa mavuto osafunikira monga: kuwonongeka kwathunthu kwa mitsempha ya maso, kutsekeka kwaminda yakuwoneka, khungu. Ichi ndichifukwa chake anthu onse omwe ali ndi vuto la kupanikizika kwa magazi komanso maopaleshoni owonjezera amafuta amayenera kupita ku ofesi ya ophthalmologist ndikutsatira malangizo ake onse.

Izi zikuthandizani kukhala ndi thanzi labwino. Ndi ochepa omwe amamvetsetsa kuopsa kwa matenda.

Gawo lomaliza la vutoli ndi kuphwanya kwa retina - izi zimadziwika kuti ndizovuta kwambiri za matenda ashuga. Mwa zina, kukha mosayembekezeka kulowa mkati mwazinthu zam'maso kumatha kupangitsa kuti m'maso muzitha kuwonongeka.

Zimayambitsa retin angiopathy

Angiopathy ndizotsatira zakukula kwa matenda aliwonse omwe amakhudza mkhalidwe wamkati mwa mtima.

Zosintha mu minyewa yam'mimba ya fundus zitha kuwonetsa molakwika kuchuluka kwa kuwonongeka kwa dongosolo lamoyo lonse. Nthawi zambiri, angiopathy a maso amawoneka pazifukwa zotsatirazi:

matenda oopsa a komwe kunachokera,
matenda ashuga
atherosulinosis
hypotonic angiopathy - angiopathy yomwe imachitika ndi kuthamanga kwa magazi,
scoliosis
kuvulala - zoopsa angiopathy.

Kuphatikiza pazifukwa zomwe zimapangitsa kuti matendawa apitirire, pali zinthu zosiyanasiyana zomwe zimalimbikitsa kupitilira kwa matendawa, zinthu monga izi:

kusuta
kuwonetsedwa kwa anthu pazinthu zowononga zachilengedwe, monga mpweya wa mafakitale,
mitundu mitundu ya kuledzera kwa thupi,
kukhalapo kwa zovuta zokhudzana ndi kubadwa kwa magazi pakukula kwamitsempha yamagazi,
ukalamba.

Mankhwala, mitundu ingapo ya angiopathy imadziwika.

Mitundu ya Zizindikiro za Angiopathy

Zizindikiro zoyambirira zakukula kwamavuto ndi ma ntchentche patsogolo pa maso, mawonekedwe amdima m'maso, mawonekedwe amisamba kapena madontho kutsogolo kwa maso, mwina kuwoneka kwa ululu m'maso, kupweteka m'maso. Nthawi zambiri, wodwala amakhala ndi mutu ndikusunthira mawotchi amaso atagwira ntchito yofuna zovuta za maso.Mtsogolomo, pali kusokonezeka pakugwira ntchito kwa ziwalo zamasomphenya, ndipo zizindikiro zoyambirira zimapitilira.

Mitundu yotsatirayi ya angiopathy imasiyanitsidwa, kutengera mtundu wamatenda omwe adapangitsa kupendekera kwa matenda amitsempha yamagazi:

matenda ashuga angiopathy,
hypertonic
hypotonic
zopweteka
Matenda a Ilza kapena ana angileopathy.

Chowonetsera chachikulu cha kukula kwa chisokonezo ndikugonjetsedwa kwa choroid ya diso, yomwe imapezeka pakamayesedwa ndi zida zapadera muofesi ya ophthalmic.

Kutengera zifukwa zomwe zinapangitsa kuti pakhale kuphwanyidwaku, kumatha kuchitika pakuwunika m'njira yochepetsetsa kapena kukulitsa mitsempha yamagazi yomwe imadyetsa minyewa yamaso.

Kukula kwa angiopathy kumatha kuchitika pa nthawi iliyonse, koma nthawi zambiri anthu azaka zopitilira 30 amakhudzidwa ndi matendawa.

Makhalidwe a matenda ashuga, hypo- komanso oopsa

Ndi chitukuko cha matenda ashuga mthupi, osati ziwiya zazing'ono zokha zomwe zimakhudzidwa, zomwe zimayambitsa kuwoneka kwa microangiopathy, komanso mitsempha yayikulu ya magazi yomwe imadyetsa khungu.

Ndi kugonjetsedwa kwamitsempha yayikulu m'magazi, kukula kwa macroangiopathy kumawonedwa. Pamene macroangiopathy imachitika, mitsempha yayikulu yamitsempha yamagazi imakhudzidwa osati kokha mumapangidwe amaso, komanso ziwalo zina. Kugonjetsedwa kwa ziwiya zazikulu mthupi lonse kumabweretsa kulumala.

Kuthamanga kwa magazi kumakhudza khoma lamitsempha, ndikupangitsa kuti liwonongeke

Kupita patsogolo kwa matenda a shuga kumayambitsa matenda oopsa m'thupi. Kukula kwa matenda oopsa ndi matenda oopsa a shuga kumadzetsa maonekedwe ovuta kuwoneka chifukwa cha matenda ashuga ndi matenda oopsa nthawi imodzi. Vutoli limatchedwa diabetesic hypertension angiopathy.

Vuto lomwe limayamba chifukwa cha matenda oopsa limatchedwa hypertensive angiopathy.

Kuchulukana kwamphamvu mu mtima kumachita khoma lamitsempha, ndikuwononga mkati mwake. Izi zimatsogolera pakuphatikizana kwa makoma ndi ma fibrosis awo. Mitsempha ya retina imayamba kufinya pamsewu, zomwe zimayambitsa kuphwanya magazi. Kuphwanya malamulo kumene kumapangitsa kuti pakhale zinthu zomwe zingapangitse kuti magazi azisungunuka komanso kukha magazi. Kuchulukitsa kwa magazi kumadzetsa ziwunda zina. Kupindika kwa ziwiya zopangira ndalama ndi chizindikiro cha kukula kwa matenda oopsa oopsa.

Mwanjira yonyalanyazidwa, odwala amapanga zotupa m'maso am'maso, retac opacization ndi ma pathologies owonongeka mu minofu ya retinal amawonedwa.

Hypotonic angiopathy imayenda bwino ngati munthu ali ndi magazi ochepa m'thupi. Kutsika kwa kuthamanga kwa magazi kumachepetsa kuthamanga kwa magazi, komwe kumapangitsa kuti magazi azisuntha. Vutoli limadziwika ndi kuphatikiza mitsempha yamagazi ndikuwonetsa kukula kwa mitsempha. Kuphatikiza apo, pakuyesa, kupezeka kwa mitsempha kumapezeka, nthawi zina zamkati zimakhala zolimba kwambiri mpaka munthu amayamba kuzimva m'maso.

Munthu amakhala ndi chizungulire, kupweteka mumutu komanso kudalira kwam'thupi.

Makhalidwe aoperewera ndi ana angiopathy

Angiopathy yowopsa imachitika pamene kukakamira kwa chifuwa, cranium, dera lam'mimba kapena kuwonongeka kwa khomo lachiberekero kumachitika. Kuwonongeka kwa mtima wosanjikiza kumachitika chifukwa chakuwonjezeka kowonjezereka kwa kukakamiza ndi kupindika kwa mitsempha yamagazi pamlingo wam'kati mwa khomo lachiberekero. Chizindikiro cha mtundu wamtunduwu ndi mawonekedwe a zotupa m'mimba ya retina komanso kupendekera mwamphamvu kwa capillaries ya fundus. Ndi chitukuko cha izi, dontho lakuthwa likuwoneka lomwe silimabwezedwanso mtsogolo.

Unyamata wa angiopathy ndi vuto lomwe silinaphunzirepo kwathunthu etiology. Kukhazikika kwa zovuta kumachitika motsutsana ndi maziko a kutupa komwe kumapita mkati mwa makhoma a mtima. Chikhalidwe cha mawonekedwe a kutupa sichidziwika bwino. Izi zikachitika, zotupa za m'maso zimayang'aniridwa.

Juvenile angiopathy ndi mtundu wovutikira kwambiri. Mukuyenda patsogolo, kuchuluka kwa minofu yolumikizana ndikuwonekeranso kwa retinal kumawonedwa.