Matenda a diabetes a encephalopathy amawonetsa chithandizo cha asayansi

Matenda a diabetes a encephalopathy ali patsogolo pamitundu yonse yamatenda am'mimba komanso encephalopathy. Kuzindikira koteroko ndikosowa kwenikweni, koma kwa ambiri kumayambitsa kukhumudwitsidwa, chifukwa matenda a shuga ndi zochitika zaubongo, poyambirira, amagawana malingaliro.

M'malo mwake, zonse ndizosavuta, chifukwa mu thupi la munthu zonse zimalumikizana bwino. Kusintha kulikonse kwa chizindikiritso cha glucose kumatha kukhala chofunikira pakuwonekera kwa metabolic m'thupi. Zotsatira zake, zimayamba kutulutsa zinyalala za metabolic m'magazi, ndipo njira imazinyamula kupita nazo ku ziwalo zaubongo.

Mwambiri milandu ya odwala matenda ashuga, atherosclerosis amathanso kuonedwa. Zonsezi ziwiri zomwe zimachitika chifukwa cha zakudya zopanda pake komanso kusagwirizana ndi zakudya zomwe adotolo adalandira.

Poyerekeza zakumbuyo ya cholesterol yambiri, pali zovuta zina m'magazi ndi mu ubongo makamaka. Zomwezi zimapangitsa kusintha kwa ubongo.

Osati gawo lomaliza pakupanga matenda a shuga omwe amachitika chifukwa cha shuga.

Ichi ndichifukwa chake ndikofunikira kuti odwala azingoyang'aniridwa ndi dokotala wokhazikika, komanso kuti asayiwale za mayeso apanthawi yake ndikutsatira malangizo onse a dokotala.

Zambiri za encephalopathy mu shuga

Zosadabwitsa, koma kuzindikira kumeneku kumadzetsa kukayikira kambiri, ngakhale ngati iko kanakhazikitsidwa. Izi zimachitika chifukwa cha kuchuluka kwa zizindikilo zosiyanasiyana zachilengedwe.

Mwachitsanzo, ngati m'mbiri ya zamankhwala, kuphatikiza pa matenda ashuga, palinso matenda oopsa oopsa omwe amachitika pafupipafupi, komanso kusokonezeka kwa kufalitsa kwa matenda a mtima, ndiye kuti madokotala amatha kunena kuti matenda ashuga a matenda a shuga. Muzochitika zoterezi, pakhoza kukhala mtundu wamatenda wa matenda kapena osakanikirana.

Zizindikiro zazikulu

Matenda amtunduwu amakuka ndikukula kwathunthu komanso pang'onopang'ono. Kusintha konse kwa dystrophic kumatha kukulira popanda kudzipangitsa ngakhale kwa zaka zingapo motsatana. Kunena zowona, pali zizindikiro, koma sizingazindikiridwe kapena kungoyambitsa matenda ena. Chifukwa chake, zomwe zingachitike ndi matenda a matenda ashuga:

• mawonetseredwe aliwonse am'mimba-yam'mimba yotupa,
• mutu ndi chizungulire,
• kutopa kwambiri, kugona mosalekeza,
• kusachedwa kufulumira, mantha amtundu (kusintha kosinthika ndikothekanso, mwachitsanzo, kutaya chidwi ndi moyo komanso thanzi limodzi),
• kuyiwalako, kutayika kwa zolakwa.

Zizindikiro zonsezi zitha kunyalanyazidwa. Odwala ambiri potero amayamba matendawa, osafunsa thandizo la adokotala panthawiyi, zikuwoneka kuti zizindikilo zonse ndizazing'ono ndipo samangofunika.

Kupitilira apo, gawo lachiwiri la matendawa limayamba, lomwe limakula kwambiri, ndipo lachitatu ndi chiyambi cha matenda osokoneza bongo omwe amakhala nawo odwala matenda ashuga.

Munthu sangasiye zochitika zakale komanso zokhumudwitsa kwambiri, manic syndrome, komanso machitidwe osayenera. Ndikosavuta kuphonya izi, koma zikuwonetsa kuchuluka kwa njirayi.

Maphunzirowa ndikuwazindikira matendawa

Matenda a shuga a matenda a shuga amatha kupezekanso ndi matenda ena. Ngati tikulankhula za okalamba, ndiye kuti izi ndizovuta muzochita zam'kati, ndipo mwa achinyamata - izi ndi zotsatira za kuopsa ketoacidotic.

Mu chithunzi cha matenda tingaone:

1. asthenic syndrome (kutopa kwambiri, kuchepa kwa ntchito, nkhawa kwambiri, kufooka, kusowa tulo, mavuto okhala ndi ndende),
2. cephalgic syndrome (mutu). Itha kukhala yopanga kapena kufinya. Nthawi zambiri, ululu umatha kufotokozedwa ngati kumverera kwa mutu wakulemera mutavala chovala cham kumutu,
3. michere ya dystonia yomwe imapangidwa ndi ma paroxysms, kukomoka ndi kutaya chikumbumtima.

Kuphatikiza pazizindikirozi, pali zizindikiro zomwe zikuwonetsa zovuta zina zoyang'ana mbali. Amakhala pamwamba-tsinde (zizindikiro za kuperewera kwa piramidi, anisocoria, matenda opatsirana), komanso vestibulo-atactic syndrome (gait shakiness, kusokonezeka koyanjana, kayendedwe ka chizungulire.

Zizindikiro zokuwuzani kwambiri pachithunzi cha njira ya encephalopathy motsutsana ndi shuga

• mavuto amakumbukiro
• kubweza kwamalingaliro,
• mphwayi
• kukhumudwa

Chimodzi mwazonsezi chimawonetsa kusokonekera kwa kapangidwe kazigawo zamkati mwa ubongo. Ndi mtundu uliwonse wa matenda ashuga, kukhumudwa kumatha kuchitika. Pafupifupi 32 peresenti ya odwala adzadwala nthendayi.

Kuphatikiza pazovuta zomwe zimabweretsa thanzi lathunthu, kupsinjika kwa nthawi yayitali ndizowopsa chifukwa cha kuchepa kwa kuwongolera nthawi yonseyo matendawa, kupatsa thanzi komanso kugwiritsa ntchito insulin.

Cholinga chachikulu cha izi muzochitika za odwala ndizosintha zamankhwala m'thupi, komanso kudalira kwamatenda pafupipafupi komanso kufunika koyilamulira.

Matenda ena a shuga a mtundu woyamba kapena wachiwiri amatha kukhala ndi hypoglycemic encephalopathy chifukwa cha hypoglycemia. Itha kudziwonetsa motere:

1. ulesi
2. mphwayi
3. matenda a chikumbumtima monga delirium,
4. Adynamia pambuyo pa ntchito kapena pamimba yopanda kanthu.

Ma syndromes othandizira komanso phiramidi ya hemiparesis amakhalanso ndi chikhalidwe.

Kuti mupeze kuzindikira koyenera, kuphatikiza madandaulo a asthenic ndi michere-dystonic, ndikofunikira kuzindikira zizindikiro za minyewa yozungulira.

Kusintha kulikonse mu electroencephalogram (EEC) mwa odwala omwe ali ndi encephalopathy chifukwa cha matenda osokoneza bongo amawonedwa ngati dysregular. Amasinthasintha mwachilengedwe, zomwe zimawonetsedwa ndi kukula kwa EEG, mitsempha ya hypersynchronization, kuchepa kwa mizere ya alpha wamba komanso yakusintha, kusintha kwakukonzanso kwa ma EEG curve, komanso mafunde a intological ophatikizidwa a delta ndi mitundu ya theta.

Mu odwala matenda ashuga okalamba, matenda a shuga a encephalopathy amatha kutsatiridwa ndi kuperewera kwa mitsempha, atrophy, komanso kusintha kwam'mbuyo kwa sitiroko. Amatha kuzindikiridwa ndi computed tomography (CT) kapena maginito a resonance imaging (MRI). Njira zowonetsera zomwe zikuwoneka ndi matenda a shuga komanso mavuto ena okhudzana ndi izi: macroangiopathy, atherosulinosis, ndi ochepa matenda oopsa.

Stroke, komanso kufooka kwa ischemic, zitha kuganiziridwa malinga ndi zizindikiro za chapakati neuropathy.

Kodi chithandizo cha matendawa chimakhala bwanji?

Chithandizo chothandizira kuchiritsa matenda a shuga omwe amachititsa kuti odwala matenda ashuga asinthe. Ndibwino kuti mukumalandira chithandizo ndikuyenera kukumbukira zovuta zonse komanso kuwonongeka kwa ubongo.

Kuti apange njira yoyenera yothandizira, ndikofunikira kuyambitsa kuwonetsetsa kuti thupi lonse lawonekeratu. Ndi njira iyi, mawu omaliza akhale olondola, ndipo chithandizo chamankhwala chimangobweretsa zabwino.

Kuphatikiza pa kuwonongeka kwa dongosolo la zotumphukira zam'mimba, matenda a shuga amatha kukhala ndi vuto pakatikati. Matenda a diabetes a encephalopathy ndikusintha kwachilengedwe ndi kapangidwe ka ubongo wake. Vutoli limayamba pang'onopang'ono, chifukwa chake, madotolo komanso odwala nawonso amawona zizindikiro zazamankhwala mochedwa kwambiri pamene matendawo akula kwambiri. Kuwonetsedwa kwakukulu kwa matenda ashuga a m'mimba ndi kuchepa kwa luso la kuzindikira, lomwe limabweretsa zovuta pakusinthasintha pagulu ndi pantchito, kutayika kwa maluso aukadaulo.

Ndikofunikira kudziwa! Nkhani yatsopano yomwe ikulangizidwa ndi ma endocrinologists a Kuwunika Kwachisawawa Kokulu! Mumangofunika tsiku lililonse ... >>

Matendawa amafooketsa kwambiri moyo wa odwala, makamaka ukalamba, zimakhala zovuta kwa odwala matenda ashuga okhala ndi encephalopathy kuwongolera matendawa, amatha kuiwala kumwa mankhwala, kuwerengera molakwika mlingo wa insulin, sangathe kuwongolera zakudya zawo. Kulipira okhazikika kwa matenda ashuga sikungatheke kwa odwala otere, chifukwa chake amakula msanga, kulumala kumayambika, ndipo kufa kwa 20% kumakweza. Njira yokhayo yopewera kusintha kwa ubongo ndikuzindikira ndikuthana ndi mavuto adakali achichepere.

Kodi encephalopathy ndi chiyani?

Mawu akuti "encephalopathy" amatanthauza matenda onse amtundu wa bongo pomwe pakapanda kutupa matenthedwe ake amawonongeka. Tizilombo taubongo nthawi zambiri timawonongeka pang'ono ndi vuto la kuperewera kwa zakudya m'thupi. Mwachilengedwe, nthawi yomweyo, gawo limodzi la magawo amomwe amachitika mu ubongo limatayika. Zomwe zimayambitsa matenda a diabetes a encephalopathy ndi kusokonekera kwa metabolic komanso mtima m'thupi.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

Matenda a shuga ndi omwe amayambitsa pafupifupi 80% yonse yamikwingwirima ndi kuduladula. Anthu 7 mwa anthu 10 amafa chifukwa cha mitsempha ya mtima kapena ubongo. Pafupifupi nthawi zonse, chifukwa chomaliza chomaliza ndi chimodzimodzi - shuga wamwazi.

Shuga akhoza ndipo ayenera kugwetsedwa; Koma izi sizichiritsa matendawa, koma zimangothandiza kulimbana ndi kufufuza, osati zomwe zimayambitsa matendawa.

Kugwiritsa ntchito bwino kwa mankhwalawa, kuwerengera malinga ndi njira yokhazikika (kuchuluka kwa odwala omwe achiwonjezere kuchuluka kwa odwala omwe ali mgulu la anthu 100 omwe adachitiridwa chithandizo):

• Matenda a shuga - 95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu - 90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kulimbitsa tsiku, kukonza kugona usiku - 97%

Opanga Ji Dao si bungwe lazamalonda ndipo amalipiridwa ndi boma. Chifukwa chake, tsopano wokhala aliyense ali ndi mwayi wopeza mankhwalawo kuchotsera 50%.

Malinga ndi magwero osiyanasiyana, zizindikiro za encephalopathy zimatha kupezeka pafupifupi 90% ya odwala matenda ashuga. Ngakhale izi, kufufuza koteroko kumapangidwira mosadukiza, popeza matendawa ndi ovuta kuzindikira ndikuzindikira kuti shuga ndiyomwe imayambitsa kusintha kwa ubongo.

Malinga ndi kalata yochokera ku Unduna wa Zaumoyo ku Russia, matenda ashuga ali ndi nambala ya ICD ya 10 (matenda apadziko lonse lapansi) E10.8 ndi E14.8 - zovuta zosadziwika za matenda ashuga.

Chomwe chimapangidwira kukula kwa encephalopathy sichimamveka bwino, koma amakhulupirira kuti imagwirizana kwambiri ndi matenda ashuga a m'mimba. Choyambitsa chachikulu cha matenda ndi zofanana ndi zovuta zina za matenda ashuga - hyperglycemia.

Shuga wapamwamba amatsogolera ku angiopathy yamitsempha yamagazi, yomwe imaphwanya zakudya za ubongo. Chifukwa cha kusokonezeka kwa magazi, ma neuron amamva kuperewera kwa mpweya, amagwira ntchito kwambiri, samatha kuchira munthawi yake ndikuchotsa zinthu zapoizoni. Vutoli likuchulukirachulukira ndi kuchuluka kwa cholesterol, triglycerides ndi otsika osalimba lipoproteins, wokhala ndi matenda a shuga.

Magawo atatu a encephalopathy

Kukula kwa encephalopathy kumachitika mu magawo atatu. Zizindikiro zoyambirira sizimakhala zachindunji, chifukwa chake odwala matenda ashuga sawalabadira. Nthawi zambiri, encephalopathy imadziwika kuti si yachiwiri kuposa gawo 2, pomwe zizindikiro zake zimatchulidwa. Kumayambiriro kwa matendawa, MRI imatha kuzindikira kusintha kwazing'ono kwambiri mu ubongo. Nthawi zambiri zimapezeka mosiyanasiyana m'malo angapo. Pambuyo pake, chotupa chimapangidwa mu ubongo. Zizindikiro zoyambira ndi kuuma kwawo panthawiyi zimadalira kutulutsa chidwi.

Gawo la matenda ashuga a shuga:

1. Pa gawo loyamba - wodwala amawona magawo a kukwera ndi kugwa kwa kuthamanga kwa magazi, chizungulire, kuzimitsa khungu m'maso, kutopa ndi khungu. Monga lamulo, mawonekedwe awa amawonetsedwa ndi nyengo zoyipa, zaka kapena michere-vascular dystonia.
2. Mu gawo lachiwiri - Mutu umakhala pafupipafupi, kukumbukira kwakanthawi kochepa, kusokonezeka m'mlengalenga ndikotheka. Zizindikiro zamitsempha zimatha kuwoneka - zochita za ophunzira pakusintha kowala, malankhulidwe amasokonezeka, mawonekedwe amadzimiririka, mavuto okhala ndi nkhope amapezeka. Nthawi zambiri, ndi nthawi imeneyi pomwe odwala omwe ali ndi matenda ashuga amatembenukira kwa wamatsenga.
3. Mu gawo lachitatu - Zizindikiro zimatchulidwa. Pakadali pano, kupweteka kwa mutu kumakulirakulira, mavuto ndi kulumikizana kwa mayendedwe, chizungulire chikuwonekera. Kusowa tulo, kukhumudwa, kukumbukira kumakulirakulira. Pakadali pano, ndizosatheka kudziwa maluso ndi kudziwa kwatsopano.

Zolemba zamatenda a matenda amtundu 1 komanso matenda ashuga 2

Mwanjira yake yoyera kwambiri, matenda a shuga omwe amachititsa anthu odwala matenda ashuga a mtundu woyamba 1. Kusokonezeka muubongo wawo kumalumikizidwa ndi kusowa kwa insulin yawo komanso kulandira mosayembekezereka ngati mawonekedwe. Pali malingaliro oti kupititsa patsogolo kwa encephalopathy kumangotengera kuchuluka kwa hyperglycemia, komanso kusakhalapo kwa C-peptide m'thupi - gawo la molekyulu ya proinsulin yomwe imachotsedwa pamenepo pakupanga insulin. Insulin ya mafakitale, yomwe imalembedwa kwa odwala onse omwe ali ndi matenda amtundu wa 1, ilibe C-peptide - werengani zambiri za C-peptide.

Encephalopathy imavulala kwambiri mu mtundu woyamba wa shuga kwa ana aang'ono. Amakhala ndi mavuto ndi chidwi, chidwi chazidziwitso chimachedwa, ndikukumbukira kumachepa. Kuyesedwa kwapadera kunatsimikizira kuti wodwala yemwe ali ndi encephalopathy, IQ ya mwana imachepa, komanso zotsatira zoyipa za luntha anyamata amphamvu kuposa atsikana. Kafukufuku wamaubongo omwe ali ndi odwala omwe adayamba matenda ashuga amawonetsa kuti akadzakula, amakhala ndi vuto latsitsi kuposa anthu athanzi.

Matenda a diabetes a encephalopathy okhala ndi matenda amtundu wa 2 amasakanikirana. Pankhaniyi, ubongo umakhudzidwa osati ndi hyperglycemia yokha, komanso zovuta zina:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Marichi 13 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

>> ONANINSO ZABWINO POPHUNZITSANI CHITSANZO

1. Hypertension imawonjezera kusintha kwa atherosselotic m'matumbo, nthawi 6 kumawonjezera chiopsezo cha encephalopathy.
2. Kunenepa kwambiri kwamkatikati kumayambitsa matenda owopsa a encephalopathy mu ukalamba.
3. Kukana kwamphamvu kwa insulin kumayambitsa kudzikundikira kwa amyloid beta mu ubongo - zinthu zomwe zimatha kupanga zolembera ndikuchepetsa kwambiri kuzindikira kwa ntchito.

Encephalopathy imapereka chiopsezo chachikulu mu mtundu 2 wa matenda ashuga okalamba, zomwe zimayambitsa kukula kwa mtima ndi mtima komanso matenda a Alzheimer's.

Zizindikiro zake

Zizindikiro za encephalopathy mu diabetesics amafotokozedwa ndi kulephera kwa maselo a mu ubongo kugwira ntchito moyenera chifukwa cha kuperewera kwa mpweya ndi michere, chifukwa chake ali ofanana ndikuwonetsa kwa encephalopathy chifukwa cha atherosulinosis, matenda oopsa, kapena ngozi ya cerebrovascular.

Momwe mungathanirane ndi matenda a shuga a encephalopathy

Chithandizo cha encephalopathy odwala omwe ali ndi matenda ashuga ndi ovuta, umapangidwa munthawi yomweyo kutulutsa kagayidwe kachakudya ndikusintha momwe ziwiya zimaperekera ubongo. Pakugwiritsa ntchito malangizo a kagayidwe:

1. Kuwongolera chithandizo cha matenda a shuga omwe adapangidwa kale kuti akwaniritse standardoglycemia.
2. Ma antioxidants kuti muchepetse zowonongeka za ma free radicals. Nthawi zambiri, lipoic acid amakonda.
3. Mavitamini B, nthawi zambiri monga gawo la ma protein apadera - Milgamm, Neuromultivit.
4. Statin kwa matenda a lipid kagayidwe - Atorvastatin, Lovastatin, Rosuvastatin.

Kupititsa patsogolo magazi, magazi a angioprotectors ndi antiplatelet amagwiritsidwa ntchito: Pentoxifylline, Actovegin, Vazaprostan. Nootropics itha kutumikiridwa - mankhwala omwe amalimbikitsa ubongo, mwachitsanzo, vinpocetine, piracetam, nicergoline.

Zotsatira zake

Kukula kwa encephalopathy kumadalira m'badwo wa wodwalayo, nthawi yake komanso kuchuluka kwake pobwezeretsanso kudwala kwake. Kuchiza koyenera kwa encephalopathy ndi matenda a shuga kumalola zaka zambiri kukhalabe ndi ubongo wa wodwalayo pamlingo womwewo, popanda kuwonongeka kwakukulu. Nthawi yomweyo, wodwalayo amasungabe mphamvu yayikulu yogwirira ntchito komanso luso lotha kuphunzira.

Ngati chithandizo chachedwa, matenda ashuga a m'mimba amachititsa matenda ambiri am'mitsempha: migraines yayikulu, kupweteka kwa mtima, komanso kuwonongeka kwa mawonekedwe. M'tsogolomu, ubongo umataya pang'ono ntchito zake, zomwe zimawonekera ndikutaya pang'ono pang'onopang'ono mpaka kulumala kwakukulu.

Kutheka kwa encephalopathy kwamatenda akulu amisala, momwe mumakhala kuyerekezera zinthu zina, kunyengerera, zosayenera, kulephera kuyenda pamtunda ndi nthawi, kuiwala kukumbukira.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kugwiritsa ntchito ... werengani zambiri >>

Kuchita endocrinologist wogwira ntchito wazaka zopitilira 7

Matenda a shuga - kuphwanya kapangidwe ka zigawo za ubongo chifukwa cha kusokonezeka kwa mitsempha yamagazi kapena kagayidwe kamene kamapezeka mu shuga mellitus.

Pathology siyodziyimira pawokha ndipo imatha kuchitika ngati vuto lakalipo. Mwa anthu omwe akumanapo ndi zovuta, pafupifupi 80% ndi odwala matenda a shuga 1.

Pathology ndizovuta kudziwa: encephalopathies ndi ofanana.

Zoyambitsa matenda

Pathology imachitika chifukwa cha zovuta zosiyanasiyana za thupi.
Mwa zina zazikulu:

• Microangiopathy - kuwonongeka kwa minofu yamitsempha yamagazi yaying'ono,
• The zimachitika kagayidwe kachakudya, zikubweretsa kuphwanya kapangidwe ka mitsempha mathero.

Mavuto onsewa ndi odziyimira okha, ngakhale ali pafupi, ndipo amayambitsa matenda ashuga nthawi zambiri kuposa ena. Pali zinthu zingapo zomwe zimayambitsa matenda a shuga, zomwe zimayambitsa zovuta. Odwala omwe ali ndi zizindikiro zotsatirazi ali pachiwopsezo:

• Nkhope zachikulire
• Anthu onenepa kwambiri
• Odwala omwe ali ndi metabolism osayenera a chakudya chamagulu ndi mapuloteni,
• Anthu odwala matenda ashuga okhala ndi shuga wa plasma wambiri.

Wothandizira wamkulu pakubwera kwa matenda a shuga a encephalopathy - microangiopathy. Vutoli limayambitsa kuperewera kwa mpweya, limasokoneza kagayidwe kake, sikuloleza thupi kuti lichotse poizoni. Zinthu zowonongeka, zoyipa zimayamba kuwononga bongo. Matenda a metabolism amabweretsa kusintha pamachitidwe a mitsempha, ndikuwonjezera kuyankha kwa mathero.

Mavuto okhala ndi vuto lofananalo amawonekera nthawi zambiri mukakalamba. Mwinanso kuoneka kwa matenda atadwala matenda aubongo, omwe ali ndi mavuto a glycemic.

Zizindikiro za matenda a shuga a Encephalopathy

Matenda a diabetes a encephalopathy alibe zizindikiro zapadera - matendawa ndi ofanana ndi ena. Zizindikiro za matendawa ndi ofanana ndi ubongo atherosulinosis, matenda oopsa. Kuzindikira kwenikweni kumachitika ndi dokotala potengera mayeso.

Zizindikiro kumayambiriro a matendawa:

• Migraine yofatsa, mavuto a kukumbukira pang'ono,
• Asthenia - kufooka kwakanthawi, kusakwiya, kugona.
• Mwina chizungulire pang'ono, mavuto ammaso.

Mu gawo lomwe lakhazikika, matendawa amawonjezera matendawa, amakhudza kwambiri ubongo:

• Mutu ulibe vuto
• Kufooka ndi kukwiya kumayendetsedwa ndi chidwi, kulephera kukumbukira,
• Mumaganizo, munthu amawoneka wokhumudwa, woopsa,
• M'malo ovuta kwambiri, kuyang'ana malo m'malo motayika, mavuto amayamba ndi malankhulidwe ndi luso la galimoto, komanso kukhudzika. Kukomoka sikusowa.

Ndi encephalopathy, wodwalayo samangoyeserera modekha thanzi. Kufufuza kuchipatala ndiye njira yofunika kukhazikitsira matenda ndikupeza mankhwala oyenera. Kufunafuna thandizo panthawi yake kumatha kusintha njira zofatsa ndikulepheretsa kukula koopsa.

Njira ya matendawa

Ndi matendawa atangoyamba kumene, matendawa ndi ofatsa, zomwe zimapangitsa kuti zikhale zovuta kudziwa vutolo nthawi yomweyo.

Matenda a diabetes a encephalopathy amadziwonetsa pang'ono: wodwala amayamba kugona mokwanira, amaiwala nthawi zochepa, amakhala wosakwiya pang'ono. Chilichonse chimayamba chifukwa cha kusowa kwa mpweya wa okosijeni.

Kuti athe kulipirira kusowa kwa mphamvu, malekezero amitsempha amagwiritsa ntchito njira zapadera, ntchito yayitali yomwe imayambitsa kudziunjikira kwa zinthu zovulaza.

Njira ya matendawa imatha kubweretsa kuwoneka kwama syndromes owonjezera:

• Asthenia amapezeka koyamba. Kukhala ndi chidwi ndi thupi lonse, kumapangitsa munthu kuti akhale woopsa. Wodwalayo amayamba kudandaula za kufooka, amalephera kugwira ntchito, amakhala wopanda nkhawa - osakwiya, osowa - okonda,
• Cephalgia amayambitsa mitundu ingapo ya mutu. Kugonjetsedwa kwa ziwalo kumawonetsedwa mosiyanasiyana: kupweteka, kufupika, koopsa, kusokonezedwa ndi ndende, yayitali,
• Masamba dystonia siziwonekera zokha, koma mwa ambiri. Zizindikiro zake ndi: kutentha kosatha ndi kusinthanitsa ndi syncope,
• Vuto lalikulu, kuwonongeka kwa ubongo kumadzetsa: kukula kwa maso a ana, mayendedwe amaso, chizungulire, kusokonekera bwino kwa malo, ziwalo,
• Komanso, matenda omwe amayambitsidwa amayambitsa kusokoneza ubongo ndi ntchito zapamwamba za ubongo: zomwe zimachitika zimachepetsedwa, amnesia pang'ono

Ma syndromes amatha kupewedwa ndikuwongolera zakudya zomwe zimadulidwa ndikutsata kuchuluka kwa shuga mumapasma.

Mu gawo lomaliza, encephalopathy imasonyezedwa ngati yasokonezedwa kwathunthu ndi ntchito ya mitsempha m'thupi lonse.

Zotsatira zake ndi:

• Kuwonongeka kwa magalimoto, kuwonetseredwa ngati ziwalo zathunthu kapena pang'ono,
• Kuchepetsa kwambiri migraine,
• Kuwonongeka kwa mathero a mitsempha,
• Zowonongeka, mpaka kutayika kwakanthawi,
• Mphesa yofanana ndi khunyu
• Kusokonekera kwa ziwalo zotuluka - chiwindi ndi impso.

Mwa anthu odwala matenda ashuga, nthawi zina, ophwanya kwambiri malangizo a dokotala komanso kuwonongeka kwa shuga hypoglycemic encephalopathy. Mavuto ambiri imakulitsa nthawi ya matendawakupangitsa kutaya kwamayendedwe m'malo, nkhawa ndi nkhawa, kukokana kwa minofu, kukokana. Kutsika kwina kwa shuga m'magazi, wodwalayo amatembenuka, kutaya mphamvu ndipo amatha kugwa. Kukhazikitsidwa kwa glucose kumakulirakulira, pang'onopang'ono kubwezeretsa thanzi la munthu.

Kuchepetsa kwambiri shuga msanga kumachulukitsa nthawi yayitali ya chithandizo, nthawi zina kumapangitsa kuti ikhale yosatheka. Kuchuluka kwa zinthu zomwe zimatsogolera hypoglycemia, imavulaza kuchira osati kungoyambitsa konse.

Zizindikiro

Kutanthauzira kwabwinoko kwa matendawa kumathandizidwa ndi kufufuza koyambirira kwa wodwalayo pazodandaula ndi malo okhala. Molondola, matendawa amatsimikiziridwa pamayeso ake:

1. Kusanthula kwa Laborator kwa glucose ndi cholesterol,
2. Urinalysis yamatumbo a ketone, kuchuluka kwa shuga komanso mapuloteni,
3. Kuyerekezera kapena maginito a resonance imagne, electroencephalography. Amathandizira kumveketsa gawo lavuto.

Mukalamba

Mu odwala matenda ashuga okalamba, matendawa amatha kuthandizidwa ndi mavuto a neuralgic komanso kuwonongeka kwa minofu pambuyo pake. Mavuto amadziwika ndi CT kapena MRI.

Ndikosatheka kuthana ndi zamatsenga kwathunthu. Njira yamankhwala imakhala yokhazikika, komanso kusintha pang'onopang'ono kwa thanzi. Chithandizo chimakhala chowunikira zizindikiro zitatu:

1. Plasma glucose control. Kupeza mndandanda wokhazikika wa shuga ndi matenda a shuga ndi cholinga chomwe dokotala aliyense akufuna akwaniritse. Chofunikira kwambiri ndi cha odwala omwe ali ndi matenda amtundu wa 2, chifukwa zovuta za metabolic zimapitilira pambuyo pa kubadwa. Encephalopathy prophylaxis tikulimbikitsidwa kusintha magazi.
2. Kuchira kwantabolic,
3. Kubwezeretsa kwa minofu ndi microangiopathy.

Mankhwala

Kubwezeretsa kwa metabolism yokhazikika kumathandizidwa ndi kukonzekera kwamagulu a antioxidant, othandizira a cerebroprotective ndi mavitamini. Malinga ndi maguluwa: espalipon ndi analogues, piracetam ndi analogues.

Pakati pa mavitamini, A, C, E nthawi zambiri amapatsidwa mankhwala.

Microangiopathy imathandizira kuchiritsa pentoxifylline, ndipo Cavinton kapena analogues amagwiritsidwa ntchito prophylaxis.

Zotsatira ndi matendawo

Kutengera zinthu zosiyanasiyana, kuphatikiza:

• M'badwo
• Shuga ya wodwala
• Ma pathologies owonjezera omwe adachitika nthawi ya matenda ashuga.

Kuchiza moyenera kumatha kuchepetsa matendawa, kumulola wodwalayo kukhala ndi moyo wonse kwa zaka zingapo., koma ndizovuta kubwezeretsa thanzi kwathunthu - pokhapokha gawo loyamba chitukuko. Kulephera kutsatira malingaliro ndi upangiri wa dokotala kumaphatikizapo kutayika kwa maluso ambiri ndi zizindikiro zazikulu. Mwapadera, munthu amakhala olumala kapena kufa.

Kanema wothandiza

Muvidiyoyi mudzazindikira kulumikizana pakati pa encephalopathy ndi retinopathy.

Matenda a shuga - Matenda osachiritsika omwe amadziwika ndi gulu la matenda padziko lonse lapansi (ICD code 10) monga E10.8-E14.8: Matenda a shuga ndi vuto losadziwika.

Pathology imatha kupeweka ngati chithandizo cha matenda a shuga chikuchitika. Encephalopathy imayamba pang'onopang'ono, ndipo chithandizo chokhazikika chimathandiza wodwalayo kukhala ndi moyo wathunthu.

Matenda a diabetes a encephalopathy amadziwika kuti ndi amodzi mwa zovuta zoyambirira zomwe zimachitika chifukwa cha matenda a shuga. Amapezeka mwaoposa theka la odwala omwe ali ndi matendawa.

Nthawi zambiri, kusokonezeka kwamanjenje kumamvedwa ndi munthu kale kuposa zizindikiro za matenda ashuga.

Zimayambitsa ndi mapangidwe a ziwalo za ubongo kuwonongeka

Diabetesic encephalopathy ili ndi code E10-E14 malinga ndi ICD 10 ndipo ikufanana ndi gulu G63.2. Matendawa nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga 1.

Vutoli limapezeka pamaziko a Microangiopathy yotsimikizika, yodziwika ndi kuwonongeka kwa ziwiya, komanso kusintha kwapangidwe kwa makhoma awo.

Kusinthasintha pafupipafupi muyezo wa glucose womwe umapezeka m'magazi kumayambitsa kusokonezeka kwa metabolic. Zida zoyipa za metabolic zimalowa m'magazi ndikufalikira thupi lonse, mpaka zimakhala ndi ubongo.

Kukula kwa encephalopathy kumachitika pazifukwa ziwiri zazikulu:

• Mphamvu yamiyendo yam'mimba imachepa, ndipo kupezeka kwawo kumachulukanso.
• zovuta zama metabolic zikupita patsogolo, zikubweretsa kuwonongeka kwa minyewa yamitsempha.

Kupezeka kwa matendawa, kuphatikiza pa zifukwa zomwe zalembedwazo, kumatha kupangitsa kuti pakhale zovuta zina:

• ukalamba
• atherosulinosis
• kunenepa kwambiri kapena kunenepa kwambiri,
• kusadya bwino,
• mavuto a lipid kagayidwe,
• cholesterol yayikulu magazi,
• kunyalanyaza malangizo azachipatala,
• Magulu a shuga wokwanira.

Kusintha kwa ma metabolism kumakhudza gawo lamthupi, kumayambitsa kukonzanso kwamakina onse a minyewa yomwe ilipo ndikuchepetsa kufalikira kwa zikopa kudzera mumitsempha.

Kupatuka kotere sikuwoneka pomwepo, koma patatha zaka zingapo, chifukwa chake, kwa nthawi yoyamba, odwala amatha kukumana ndi zovuta zomwe zafotokozedwa kale atakalamba.

Nthawi zina, chifukwa cha encephalopathy imatha kukhala kugunda kwa ubongo, mkhalidwe wa hypoglycemia, komanso hyperglycemia.

Zizindikiro za encephalopathy mu shuga

Izi zovuta za shuga zimachitika pang'onopang'ono ndipo zimachitika popanda chizindikiro chazaka zingapo. Kuwonetsedwa kwa encephalopathy nthawi zambiri kumakhala kolakwika pazizindikiro za matenda ena, omwe amaphatikizira kuzindikira koyambirira kwa matenda.

Pa chithunzithunzi cha momwe matenda am'magazi amapezekera:

1. Asthenic syndrome - akuwonetsa kutopa kwambiri, kuchepa kwa ntchito, kusowa tulo, mavuto okhala ndi nkhawa.
2. Cephalgic syndrome - yodziwika ndi kupezeka kwa mutu. Zomverera izi zimafanana ndi boma mutavala chipewa kwambiri.
3. Masamba dystonia, yomwe imayendetsedwa ndi kukomoka, kukulira kwa paroxysm, kapena kusazindikira.

Odwala omwe ali ndi vuto la matenda ashuga nthawi zambiri amakhala ndi vuto la kuzindikira, lomwe limafotokozeredwa ndi izi:

• mavuto amakumbukiro
• mavuto
• mphwayi.

Zizindikiro zomwe zimatsagana ndi zovuta:

• kugona
• mutu
• kutentha kwa thupi,
• chizolowezi chambiri
• kuphulika kopanda nzeru,
• kuyiwala
• mantha
• kutayika kwa zolakwika
• kutopa.

Odwala nthawi zambiri amanyalanyaza izi.

Zotsatira zake, matendawa amapita patsogolo ndipo amadutsa magulu onse a kukula kwake:

1. Choyamba. Pakadali pano, zizindikiro za matendawa sizimasiyana ndi mawonekedwe a michere-vascular dystonia.
2. Wachiwiri. Matenda a wodwalayo akuipiraipira chifukwa cha kuwoneka kwa mutu komanso kusokonekera bwino.
3. Chachitatu. Gawo ili ndi kusokonezeka kwamisala. Odwala nthawi zambiri amakhala opsinjika. Kukhalapo kwa manic syndrome, kusakwanira machitidwe kumawonetsa kupatsirana kwa ndondomekoyi.

Gawo lomaliza la matenda am'madzi limadziwika ndi zovuta zotsatirazi:

• wanena kusintha kwamitundu yonse yamanjenje,
• zoopsa kwambiri muzochitika zamagalimoto,
• kupweteka kwambiri m'mutu
• kutaya kwamverera (pang'ono kapena kokwanira) m'malo ena a thupi,
• kuwonongeka kwamawonekedwe
• kugwidwa kofanana ndi kugwidwa,
• ululu wamkati.

Kufikira kwa dokotala popanda vuto kumakulitsa mkhalidwe wa wodwalayo komanso kumachepetsa mwayi wokhala ndi mawonekedwe owonekera.

Chithandizo ndi matenda am'mimba

Therapy ya encephalopathy imakhazikika pakukhazikitsa chikhazikitso chokhazikika molumikizana ndi maphunziro ena othandizira.

Njira yochotsera zizindikiro ndi kubwezeretsa thupi iyenera kuyang'aniridwa ndi dokotala.

Njira yochizira imatha kutenga mwezi umodzi mpaka zaka zingapo. Nthawi yofunikira kubwezeretsanso thupi ndikupewa kupitirira kwakanthawi kovuta kwamatenda kumadalira momwe wodwalayo alili ndi zomwe zikuchitika pakukula kwa matenda.

Mutha kusintha zizindikiro za matendawa mothandizidwa ndi zovuta mankhwala, wokhala ndi awa:

• kuyang'anira mosalekeza kwa glycemia,
• kukwaniritsa shuga yokhazikika yomwe ili ndi malire,
• malamulo a kagayidwe kachakudya njira mu thupi.

Malangizo omwe adalembedwera akuyenera kutsatiridwa ndi odwala onse omwe adapezeka kale ndi matenda osokoneza bongo, popeza ndi njira zomwe zingathandize kupewa kuwonekera kwa encephalopathy.

Mankhwala omwe amathandizidwa ndi odwala omwe ali ndi zovuta izi:

• antioxidants okhala ndi alpha lipoic acid,
• adamamama
• mankhwala osakanikirana (Milgamma, Neuromultivit),
• Ndalama za gulu la ma statins - zomwe zimagwiritsidwa ntchito kuti lipid metabolism,
• mavitamini (B1, B6, B12, komanso A ndi C).

Kukula kwa kupitiriza kwa zovuta kumadalira zinthu zingapo:

• zaka odwala
• kuchuluka kwa glycemia, komanso kuchuluka kwa kuwunika kwake,
• kupezeka kwa matenda enanso,
• kuchuluka kwa kuwonongeka kwa ubongo,
• kuthekera kwa wodwala kutsatira zakudya zomwe wapatsidwa, kupuma.

Kusankha dongosolo la mankhwala, dokotala amaganizira zotsatira za mayeso onse omwe amaperekedwa ndipo pambuyo pake amakapereka mankhwala ena. Njira iyi yothandizira matendawa imakuthandizani kuti mukhale ndi moyo wabwino kwa wodwala komanso kuti azitha kugwira ntchito kwazaka zambiri, komabe samapereka mpata wochira kwathunthu.

Kunyalanyaza njira zamankhwala komanso moyo wosalamulira kungapangitse wodwala kulumala, komanso kutaya luso lodzisamalira.

Mavidiyo azokambirana zamavuto amtsitsi ndi a mtima:

Encephalopathy, yomwe idayamba motsutsana ndi matenda ashuga, imawerengedwa ngati njira yosachiritsika yomwe ingathe kupewedwa ndi chipepeso chokhazikika komanso chokhazikika cha matendawa. N`zosatheka kuyimitsa kupitilira kwa matenda ashuga a m'mimba kunyumba.

Wodwalayo ayenera kufunsa dokotala ndikusankha naye njira yoyenera yothandizira pakukonzanso. Kuwunikira mosamala mkhalidwe waumoyo komanso kuchuluka kwa glycemia kumathandiza anthu omwe ali ndi matenda ashuga kuti azikhala amoyo wathanzi kwazaka zambiri.