Kodi retinopathy ndi odwala omwe ali ndi matenda ashuga? Retinopathy mu matenda ashuga: Zizindikiro, mankhwalawa wowerengeka azitsamba

Matenda a shuga ayamba kukhala imodzi mwazofala kwambiri. Matenda amatha kuchepetsa thanzi la osati wamkulu, komanso mwana. Madokotala amalumikizitsa izi makamaka ndi zinthu zambiri zomwe zingakhudze momwe thupi lamakono lilili: kutopa kwambiri, mitundu yonse yamavuto, kukhala wonenepa kwambiri, kuchepa thupi, kukhalabe pampando, malo osakhala bwino, komanso kusowa zakudya m'thupi.

Chifukwa chiyani zam'tsogolo zimatulukira, zimayamba bwanji?

Mu shuga mellitus, kukula kwa retinopathy ndichinthu chofala kwambiri m'mbiri ya zamankhwala. Mwa odwala khumi, asanu ndi anayi kumapeto kwa matendawo ali ndi kuwonongeka kwa mawonekedwe. Kuopsa kwa matendawa kumachitika pang'onopang'ono ndipo kumatenga nthawi yayitali. Zomwe zimayambitsa retinopathy zitha kuchepetsedwa chimodzi - shuga. Zombo zongopangika kumene zimakhala zosalimba, popeza zimakhala ndi makoma owonda kwambiri ndipo zimakhala zopanda kanthu chifukwa cha mawonekedwe amodzi. Ndi kutuluka kwa magazi pafupipafupi mkati mwa diso ndi kumeza kwa magazi osagonjetseka, kukula kwa minofu yam'mimba kumachitika, zomwe pamapeto pake zimapangitsa khungu lonse. Chodabwitsachi chomwe chimapezeka mu mankhwala chimatchedwa hemophthalmus, koma sichingatchedwe chifukwa chokhacho chomwe chimapangitsa kuti masomphenyawa asathe.

Tizigawo ta mapuloteni timene timatuluka m'madzi a m'magazi kudzera m'mitsempha yatsopanoyi timapangitsanso khungu. Amalumikizana ndi kuperewera kwa thupi la retina komanso mphamvu zake. Kuwonongeka kwa ziphuphu kumabweretsa kuphwanya kwamvekedwe wamitsempha yam'maso, yomwe imayambitsa kupindika kwa retina ndipo ndiye maziko a mapangidwe a glaucoma a mtundu wamitsempha.

Harbinger ndi zizindikiro za retinopathy

Monga tanena kale, chiopsezo chachikulu cha matendawa ndi njira yake yayitali. Zizindikiro za matenda ashuga retinopathy nthawi zambiri amadziwonetsa pomwe wodwalayo akumva kupenya bwino, mawonekedwe a mawanga ndi zophimba pamaso pake. Chifukwa cha kuwonongeka kwa ziphuphu, mawonekedwe amachepa msanga, ndipo khungu limachitika pakapita miyezi yambiri.

Kuti musunge kuwona, ndikofunikira kulabadira kusintha kulikonse komwe kumachitika ziwalo zamasomphenya pakapita nthawi. Mwachitsanzo, kumayambiriro kwa retinopathy odwala matenda a shuga, zosintha zotsatirazi zadziwika:

Zithunzi zilizonse kapena zithunzi zopanda pake,
Kuwerenga ndi kugwira ntchito ndi zazidziwitso zazing'ono kumakhala kovuta,
malo oyandama
kumverera kwa kusanza.

Macular edema ya retina imasokoneza moyo wabwinobwino wodwala, kukhazikitsa zochita zoyambira ndi manja pafupi. Nthawi zambiri, odwala amayesa kunyalanyaza "zizindikilo" zotere, chifukwa zimawoneka ngati kutopa, kuzizira, komanso kupindika kwambiri.

Zinthu zomwe zimadzetsa mavuto amaso

Diso retinopathy mu matenda ashuga si sentensi. Monga momwe masewera amasonyezera, odwala omwe ali ndi vuto la insulin nthawi yayitali amakhala ndi kuwonongeka kosiyanasiyana kwa retina ndi ziphuphu. Chifukwa chake, kuchuluka kwakukulu kwa odwala matenda ashuga kwa zaka zopitilira 10, akuti kukula kwa zizindikiro za retinopathy. Mapeto ake amadzitsimikizira: chiwopsezo cha kuchepa kwa masomphenya chikuwonjezeka ndi chaka chilichonse cha matenda. Zinthu zotsatirazi zimathandizira kutsata kwa matenda:

kulimbikira kwamankhwala ochepa, mikangano yamafupipafupi,
kuchuluka kwa shuga m'magazi,
aimpso ndi chiwindi kulephera,
kuchuluka kwa cholesterol ndi lipids,
kuwonjezeka kwa chiwopsezo cha minofu kukhala mafuta ochulukirapo,
kusokonezeka kwa kagayidwe kazachilengedwe,
chibadwire
Mimba ndi kuyamwa
uchidakwa komanso kusuta, kukhalabe ndi moyo wopanda thanzi.

Matenda a retinopathy

Powunikira shuga wamagazi pafupipafupi, kuchuluka kwake komwe ndiko chifukwa chachikulu cha kupitiriza kwa retinopathy, ndikokwanira kutsatira zakudya ndikumamwa mankhwala othandizira panthawi. Ena mwa mavitamini omwe ali ndi mavitamini omwe ali ndi zinthu zonse zofunika pazojambula zowoneka bwino amapangidwa makamaka kwa odwala matenda ashuga. Kuphatikiza apo, kuwunika pafupipafupi ndi akatswiri, kukhazikitsa mwamphamvu njira zonse zodzitetezera ndi malingaliro omwe ali ndi cholinga cholepheretsa njira za pathological kungathandize kupewa kukula kwa retinopathy.

Kutembenukira kwa madokotala ngati kuchepa kwa kuwona kwamphamvu mu shuga mellitus, munthu ayenera kukonzekera kufufuza mozama. Asanapitirire ndi chithandizo cha matendawa, katswiriyo ayenera kutsimikizira kudalirika kwa matendawa. Tsimikizirani izi ndi zotsatira za njira zingapo zakafukufuku. Pa matenda ashuga retinopathy, odwala amapita kukayezetsa kokwanira, komwe kumaphatikizapo:

Ma Visometry - pogwiritsa ntchito tebulo lapadera kuyesa kuwona kwakumaso,
kuthekera - kutsimikiza kwa mawonekedwe a wodwalayo ndi mbali iliyonse mosiyana ndi maziko a chotupa cha cornea (mbali yoyang'ana yocheperako kumawonetsa kukhalapo kwa vuto la maso)
biomicroscopy wa makoma anter of eyeball - mawonekedwe amakono omwe sanalumikizane nawo kuti aphunzire za zotupa za m'mimba ndi ziphuphu, amaphatikiza kuyatsa kwa nyali.
diaphanoscopy - kuwunika mwatsatanetsatane kapangidwe ka ziphuphu, gawo lamkati lamaso, kutsimikiza kukhalapo kapena kusapezeka kwa neoplasms,
ophthalmoscopy - kuwunika kwa fundus pogwiritsa ntchito kalasi yapadera ya ophthalmic.

Ndi mitambo yambiri ya cornea, thupi kapena mandala, kupimidwa kwa ultrasound ndikofunikira kwa wodwalayo. Chifukwa chake, kuzindikira kwa panthawi yake ziwalo zam'maso mu shuga mellitus kumathandizira kuti azindikiritsa matenda asanakwane, komanso kuti ayambe kulandira chithandizo chokwanira. Matenda a shuga a retinopathy amafunikira njira ya munthu payekha komanso akatswiri odziwa bwino ntchito yawo.

Kodi ndiyenera kulumikizana ndi ndani kuti athandize matendawa?

Popeza kuwonongeka kwa mawonekedwe ndi kuwonongeka kwa retin ndikachiwiri, kuwunika shuga wamagazi ndikofunikira kwambiri pakuthandizira matendawa. Kuyang'anira mwatsatanetsatane ntchito za impso komanso kuthamanga kwa magazi kumathandizanso kwambiri pakuchotsa matenda a retinopathy. Kuphatikiza pa ophthalmologist, wodwalayo afunika kufunafuna thandizo kuchokera kwa oimira ena a akatswiri apadera - a endocrinologist, a diabetes komanso a mtima. Kufunsira kowonjezera kumathandizira kukonza dongosolo la mankhwalawa ndikusunga kuchuluka kwa shuga, kupeza njira yoyenera kwambiri ya insulin pazochitika zina zamankhwala.

Laser chithandizo

Kuwonetsedwa kwa laser ndiyo njira yofala kwambiri komanso yothandiza yothana ndi matenda ashuga a retinopathy. Zomwe zili, mwina ambiri ali ndi lingaliro, komabe njira yothandizirayi ili ndi mawonekedwe ake. Chifukwa chake, laser chithandizo imagwiritsidwanso ntchito kwa macular edema. Ntchito ya njirayi ndikuletsa kapena kuyimitsa kwathunthu kwazinthu za m'magazi. Kuphatikiza kwa laser kumathandizira kulimbitsa makoma a mtima, kuchepetsa kupenyerera komanso mwayi wofikira. Ndi chithandizo ichi, adotolo amakwaniritsa zolinga zina:

kuwonongeka kwa malo okhala ndi njoka ya okosijeni am'mimba ndi ziphuphu - malo abwino otukukira zombo zaposachedwa,
machulukitsidwe amtundu wa okosijeni wa retina ochokera ku michere ya magazi,
kukhazikitsa kwa matenthedwe othandizira ziwiya zatsopano.

Kuphatikiza apo, kulanda kwa laser ndi ophthalmologists ndi opaleshoni kumaphatikizapo kuphedwa pamitundu yosiyanasiyana:

chotchinga - coagulates umagwiritsidwa ntchito multilayer mu mawonekedwe a gridi, njirayi imawoneka yothandiza kwambiri magawo oyamba a retinopathy ndi kukhalapo kwa macular edema,
- pochita ndi ma squaneurysms, ma hemorrhages, madzi (mwa njira, njirayi imagwiritsidwanso ntchito pamaso pa radiology yamatumbo a retina),
panretinal - coagulants imagwiritsidwa ntchito kudera lonse la retina, nthawi zambiri amatengera njira yolepheretsa retinopathy yachiwiri.

Pofuna kuthana ndi matendawa kapena njira zowonjezereka za matendawa, laser imagundana imafalikira paliponse la retina osakhudza zigawo zake zapakati. Zombo zatsopano zomwe zimapangidwa zimayikidwa ku focal laser irradiation. Njirayi imatchulidwa kuti kulowererapo kwa opaleshoni, imagwira ntchito kwambiri poyambira matenda ndipo imathandizira kupewa khungu muzochitika zingapo zamankhwala. Ndi chitukuko cha macular edema yolimbana ndi matenda a shuga, ma ray a laser amakhudza pakati pa retina. Ndizosatheka kunena za nthawi yayitali yothandizidwa, chifukwa zotsatira za chithandizo zimatsimikiziridwa ndi thanzi la wodwalayo.

Opaleshoni mankhwala a ziwalo masomphenya - vit sahihi

Retinopathy yokhala ndi matenda a shuga a 2 amakhazikika nthawi zambiri ndi vitteromy. Madokotala amapanga lingaliro la kuchitapo kanthu pokhapokha ngati wodwala ali ndi magazi owonjezera a magazi. Pakadali pano matendawa, chinthu chofunikira kwambiri ndichakuti magazi amuchotsa pamaso, pamalo pomwe pali matupi athu auzimu, komwe kumakhala madzi akumwa. Kuchotsa kwa zingwe za fibrovascular kuchokera ku retina kumachitika mokwanira, ndipo ngati kuli kotheka, nembanemba wa hyaloid yomwe ili kumbuyo, pafupi ndi vitreous, imakhudzidwa. Mwa kuthetsa gawo ili la chiwalo, akatswiri amatha kuletsa kupitilira kwa matenda ashuga retinopathy.

Kodi vitlimomy ndi chiyani, komanso momwe mankhwala a laser amathandizira matendawa, amafotokozedwa pamwambapa, kenako tiyenera kupitiliza kuganizira za njira zochizira. Mwa njira, kugwiritsa ntchito mankhwala osokoneza bongo a retinopathy a diabetes mpaka lero ndiye chifukwa chamakambirano omwe amakumana kwambiri. Palibe mankhwala apadera omwe angaimitse njira za pathological kuchepetsa acuity owoneka, komanso kugwiritsa ntchito bwino kwa mankhwala omwe amathandizira kukhazikika kwa mkhalidwe wa wodwala kuli kovomerezeka. Akatswiri ena a zamankhwala amatsimikiza kuti ndi bwino kugwiritsa ntchito mankhwala osokoneza bongo ngati njira yothandizira opaleshoni.

Kukonzekera kwa maso

Mu diabetesic retinopathy (malinga ndi ICD 10 - H36.0), akatswiri amalangizidwa kugwiritsa ntchito mankhwala omwe amasiya pakali pano ndikuletsa zotupa zatsopano za maso:

"Taufon" ndi antioxidant yomwe imathandizira kukonza njira zama metabolic pakapangidwe ka khungu.
"Antocyan Forte" - vasoconstrictor akutsikira, zomwe zimapangitsa kuti mtima wake ukhale m'malo.
"Emoxipin" - madontho amaso, omwe nthawi zambiri amagwiritsidwa ntchito ngati prophylaxis ya retinopathy mu shuga mellitus.

Kuphatikiza apo, mutha kuwonjezera kuchuluka kwa magazi kufikira minyewa yamaso mothandizidwa ndi zida zolimbitsa thupi. Mwachitsanzo, chimodzi mwazodziwika zomwe zikuwonetsa zotsatira zabwino ndi chipangizo cha Sidorenko Glass, chomwe chimagwirizanitsa bwino mitundu ingapo yowonetsera: phonophoresis, infrasound, color color ndi pneumatic massage. Zotsatira zamankhwala, monga lamulo, zimaposa zoyembekezera zonse.

Ndi kuvulaza, kuyang'anira makonda a zinthu zomwe zili mu Gemaza ndi Lidaza kukonzekera. Nthawi yomweyo, munthu sayenera kuyiwala kuti mankhwala omwe angatilepheretse zana limodzi kuletsa kukula kwa retinopathy mu matenda a shuga sakhalapo. M'mayiko otukuka kwambiri, chithandizo cha matendawa chimachitika mozizwitsa komanso kuwunika mwadongosolo kuchuluka kwa odwala omwe ali ndi shuga.

Komabe, ofufuza sanachite zopanda pake; kufunafuna mankhwala ogwira ntchito kukupitirirabe. Ngakhale kuti nkhani zamankhwala othandizira kugwiritsa ntchito mankhwala osokoneza bongo a retinopathy ndi hemophthalmos sizigwirizana kwenikweni ndi olemba ntchito zapakhomo ndi akunja, ochita kafukufuku wa ophthalmologists amawona kuti zomwe zikugwirizana ndi izi zikuwathandiza kwambiri.

Mavuto ndi kupewa matenda

Kubwezeretsa ndi matenda monga retinopathy ndikovuta komanso sikutheka kutero. Kuti muimitse njira yotsogola yomwe imatsogolera khungu, ndikofunikira, kulumikizana ndi ophthalmologist ndikuyezetsa. Chifukwa cha zida zamakono zamakono, ndizotheka kuyesa bwinobwino ziwalo zamasomphenyawo, chifukwa chake, kusankha chisankho chachipatala chofufuza maso kuti muthe kuthana ndi mavuto azaumoyo, ndikofunikira kuti zitheke m'malo mwake. M'pofunika kuganizira osati mtengo wamankhwala kuchipatala chokha, komanso mbiri yake, ndemanga za odwala ena za mtundu wa ntchito zamankhwala.

Ndi matenda a shuga ndi retinopathy, zovuta monga matenda amkati ndi glaucoma yachiwiri imatha kuchitika. Ndiye chifukwa chake odwala omwe ali ndi vuto lotere, kuwunika kwadongosolo ndi endocrinologist ndi ophthalmologist ndikofunikira kwambiri. Kuphatikiza apo, pamavuto ambiri azachipatala omwe amatha kupeza chithandizo chamankhwala chapanthawi yake, ndizotheka kupewa kufinya komanso kuwononga magazi kuti asalowe mthupi la vitreous, zomwe zimapangitsa kuti maselo asaoneke. Pakadali pano, wodwalayo ali ndi mwayi uliwonse kuti asadziwe chomwe chili - matenda ashuga retinopathy. Kupewa kwake kumakhala pakutsatira malamulo awiri akuluakulu: kuwunika kwambiri shuga ndikuwonetsetsa magazi moyenera.

Zotsatira za matenda ashuga

Mwa anthu athanzi, kapamba amapanga insulin yokwanira kuti asinthane ndi shuga, mapuloteni ndi mafuta. Matenda a shuga amadziwika kuti ali ndi vuto la kuperewera kapena kuperewera kwa insulin. Nthawi zina zinthu izi zimaphatikizidwa mwa wodwala m'modzi. Njira yosavuta yokaikira kuti wapeza magazi ndi kupereka magazi kuchokera pachala.

Popeza insulin imagwiritsidwa ntchito kunyamula glucose, ikayamba kuchepa, kumwa kwake ndi minofu kumachepa ndipo shuga ya magazi imadziunjikira. Kuchuluka kwa shuga osakhudzidwa kumatchedwa hyperglycemia. Pali kuphwanya kwakukulu kwa kagayidwe ndi zakudya zama cell. Mosasamala mtundu wa matenda ashuga, minyewa kapena matenda am'mimba amawonedwa. Mtundu wa nthendayi, mphamvu ya mankhwala a insulin komanso momwe mungakhalire ndi zovuta zake komanso momwe zovuta zikuwonekera.

Hyperglycemia ndizofunikira kwambiri kuyambiranso kwa retinopathy, popeza kagayidwe koyenera ndikofunikira kwambiri pakugwira bwino ntchito kwa mawonekedwe. Pazifukwa izi, matenda ambiri a endocrine amakhala ovuta ndi zovuta za ophthalmic. Retinopathy ndi chiwonetsero cha microangiopathy pomwe patency ya ziwiya zazing'ono (capillaries) ya retina imalephera. Mavuto ofananawa amapezeka kawirikawiri mwa anthu omwe akhala ndi matenda a shuga kwa nthawi yayitali.

Retinopathy ndimavuto owopsa a matenda ashuga, popeza 90% ya odwala omwe ali ndi mtundu woyamba pambuyo pa zaka 15 - 20 atadwala amakhala ndi zizindikiro.Nthawi zambiri, kuwonongeka kwa mawonekedwe owonekera kumayamba zaka 5-10. Ndikupimidwa koyenera, ndizotheka kuzindikira zizindikiro za retinopathy ngakhale koyambirira, kotero onse odwala matenda ashuga ayenera kukaonana ndi ophthalmologist kawiri pachaka.

Kodi matenda ashuga a retinopathy amakula bwanji?

Mafuta ochulukirapo, omwe amakhala alipo kwa nthawi yayitali, amabweretsa kulephera kwakukulu kwa metabolic. Glucose imalowa mwachangu mu kuphatikizika kwa mankhwala pamene kupindika kwake kupitirira chizolowezi. Zotsatira zoyipa za shuga pamapangidwe a thupi ndi shuga wa glucose.

Glucose imamangiriza mapuloteni, kusintha kapangidwe kake ndi ntchito zazikulu. Mapuloteni a Glycosylated amawononga makoma amitsempha yamagazi, achulukitse kuchuluka kwa ma cellelo, kukulitsa secretion ya endothelin. Pali kuphwanya kwa hemostasis ndi hypercoagulation, ma microscopic thrombi amapangidwa.
Momwe oxidative amakhudzira mafuta, mapuloteni ndi shuga amawonjezeka, omwe amachititsa kupsinjika kwa oxidative. Kupanga mafayilo aulere kumawonjezeka kwambiri, ndipo mitundu yambiri yoopsa kwambiri imakhala.
Kuchulukitsa kwachulukidwe ka intracellular, monga sorbitol ndi fructose amayikidwa mu endothelium. Kutupa kumayamba, phospholipid ndi glycolipid kapangidwe ka cell membrane zimasokonekera, capillary nembanemba imayamba kunenepa.
Kusintha kwachilengedwe kwakasinthidwe ka magazi: kuphatikiza mapulateleti ndi maselo ofiira am'magazi, mapangidwe a microscopic magazi, kuyendetsa mpweya wa oxygen. Zotsatira zake, hypoxia ya retinal imayamba.

Kuwonongeka kwa mtima kwa shuga kumayenderana ndi hyperglycemia ndi glucose kawopsedwe. Izi zimakwiyitsa oxidative nkhawa, kupanga zochuluka zamankhwala osokoneza bongo ndi zinthu zomaliza za hyperglycemic. Ma pericytes, maselo omwe amapatsira kukhathamira m'matumba, amafa. Amawongolera kusinthana kwa madzimadzi, kufupikitsa ndi kukulitsa ma capillaries.

Kudzera mwa endothelium ya capillaries ndi pericyte, ma cell metabolism amachitika. Mankhwala atawonongeka, mitsempha ya m'magazi imayamba kucheperachepera ndipo zamadzimadzi am'madzi zimayamba kutayikira mbali zina za retina. Zoyipa zoyipa zimapangidwa, zotengera zimatambasuka ndipo ma micaneurysms amapangidwa.

Magawo a shuga a retinopathy

Zomwe zikuluzikulu pakukula kwa zovuta zimaphatikizapo kupendekera kwamakoma a capillaries, mawonekedwe a microthrombi ndi occlusion a zotengera zapamadzi. Zotupa zosiyanasiyana zimawonekera pa fundus, transcapillary metabolism imasokonezeka, ischemia ndi njala ya oxygen ya retinal zimakhala.

Mtundu woyamba wa shuga, munthu akamadalira jakisoni wa insulin, retinopathy imakula msanga. Mwa odwala, matendawa amapezeka ndi matenda osiyidwa. Mtundu wachiwiri (wodalira insulin), zosinthazo zimapangidwa kumtunda mu macula, ndiye kuti, pakatikati pa retina. Nthawi zambiri vuto la retinopathy ndi maculopathy.

Mitundu yayikulu ya retinopathy:

Zosakondweretsa. Microscopic aneurysms, zotupa m'mimba, edema, maziko a zotupa amapangidwa mu retina. Malowedwe am'mimba (ozungulira ndi amdima kapena mawonekedwe a mikwingwirima) amakhala pakati kapena minofu yakuya ya retina. Wokongola ndi wofewa komanso wolimba, woyera kapena wachikaso ndi utoto, wokhala ndi malire kapena wowoneka bwino, omwe amakhala pakati. Fomu yosasangalatsa imadziwika ndi macular edema. Kumayambiriro, masomphenya samawonongeka. Retinopathy yopanda proliferative imapezeka makamaka odwala matenda ashuga omwe amadziwa zambiri.
Preproliferative. Pali malingaliro osagwirizana ndi ma cellvascular, ambiri okhudzana ndi magawo osiyanasiyana, komanso ma hemorrhages akulu.
Kuchulukitsa. Neovascularization ya optic disc ndi madera ena a retina, hemophthalmus, cholinga cha minofu ya fibrous imapangidwa. Ma capillaries atsopano ndi osalimba, omwe amayambitsa kuyambiranso kwamatumbo. Mwina kupangika kwa mavuto ampreoretinal ndi kufunsa kwina kwa retinal. Neovascularization ya iris imayambitsa yachiwiri glaucoma. Fomu yowonjezerayo imadziwika ndi kuwonongeka kowoneka kwambiri.

Kusintha kuchoka ku mtundu wosakulitsa kukhala wowonjezereka kumatha kuchitika mwa miyezi yambiri kwa wachinyamata yemwe ali ndi hyperglycemia. Chifukwa chachikulu chomwe chikuwonongera ntchito yowoneka ndi ma macular edema (kuwonongeka pakati pa retina). Mitundu ina pambuyo pake imakhala yoopsa chifukwa chotayika m'maso chifukwa cha zotupa, kutaya kwa retinal kapena glaucoma.

Chithunzi chachipatala cha magawo osiyanasiyana a retinopathy

Retinopathy imapitilira posachedwa, ngakhale ikakhala yotsogola imatha kuvuta. Kukula kwa zovuta kumadalira nthawi yayitali ya matenda a shuga, kuchuluka kwa shuga komanso zizindikiro zamagazi. Retinopathy imakulirakulira nthawi yapakati, chifukwa zimakhala zovuta kuti shuga azikhala bwino.

Preproliferative siteji

kuchuluka kwa zizindikiro zomwe zidalipo gawo loyamba,
kukula kwamitsempha yamafuta,
subretinal and preretinal hemorrhages,
hemophthalmus,
maculopathy exudative,
ischemia ndi kukomoka mu macula,
diabetesic papillopathy yokhala ndi kutupa kwakanthawi kwa disc ya disc.

Pakumayambiriro kwa gawo, ndikofunikira kuyesedwa bwino kwa zotupa za ischemic za retina. Ischemia ikuwonetsa kufalikira kwa matendawa, kusintha kwa mawonekedwe ochulukirachulukira ndikukula kwamitsempha.

Chithunzi cha chipatala cha gawo lomwe likukula

neovascularization of the retina or optic nerve disc,
zotupa zazikulu,
Ma fibrous moorings ndi mafilimu.

Mavuto a matenda ashuga retinopathy:

hemorrhages (zochuluka zamagazi kuchokera ku capillaries zowonongeka m'malo a preretinal ndi intravitreal),
kuzungulira kwachulukidwe (mavuto ochokera ku vitreous) kapena regmato native, pulayimale,
neovascularization of the iris, yomwe imakwiyitsa khungu lamitsempha.

Mlingo wa kusokonezeka kwa kuwala kwa retinopathy kumadalira kwambiri mkhalidwe wa macula. Kuchepa pang'ono kwa mawonekedwe owoneka ndi khalidwe la maculopathy ndi macular ischemia. Kuwonongeka kwakuthwa (mpaka khungu) ndikotheka ndi kukha magazi kwambiri, kufinya kwam'mimba ndi glaucoma chifukwa cha kukopa kwamitsempha.

Kuwona khungu la matenda ashuga kwambiri kumachitika chifukwa cha matenda amkati kapena glaucoma. Matenda a matenda ashuga amasiyana ndi akale kwambiri chifukwa amakula mwachangu (mpaka maola angapo panthawi yamavuto). Kukulitsa ma mandala amtunduwu nthawi zambiri kumadziwika kwa atsikana ndi atsikana. Mutha kuchiritsa matenda amishuga, kuzindikira matendawa ndi biomicroscopy.

Neovascular glaucoma imachokera ku kuchulukana kwa capillaries ndi minofu ya ulusi pa iris ndi mbali ya gawo lakunja la diso. Mapangidwe a mtima opangika a mtima, opanga goniosynechia ndikupangitsa kuwonjezeka kosapanikira kwa kuponderezedwa kwa kanyamaka. Neovascular glaucoma ndi vuto lofala kwambiri la retinopathy lomwe siligwiritsidwa ntchito bwino ndipo lingayambitse khungu.

Zizindikiro za matenda a shuga a retinopathy

Mavuto am'maso ndi matenda ashuga sawoneka poyamba. Pokhapokha pakuwonekera kwa zizindikiro zooneka, nthawi zambiri matendawa amapezeka kale. Edema ikakhudza pakati pa retina, kumveka bwino kwa masomphenya kumawonekera. Zimakhala zovuta kuti munthu athe kuwerenga, kulemba, kulemba, kugwira ntchito ndi mfundo zazing'ono kapena pafupi kwambiri.

Ndi zotupa m'maso, malo oyandama akuwonekera m'munda wowonekera, kumverera kwophimba. Zithunzithunzi zikasungunuka, mawanga amatha, koma mawonekedwe ake ndi chifukwa chachikulu chogwirizanirana ndi ophthalmologist. Nthawi zambiri mkati mwa kukha magazi mu vitreous thupi mkangano amapangidwa, zomwe zimapangitsa kuti azitha kuona msanga komanso kuti asiye kuona.

Kupenda ziwalo zamasomphenya mu shuga

Kwa nthawi yayitali, matenda a shuga a retinopathy samawoneka mwanjira iliyonse, omwe amapangitsa kuti azindikire kusankha ndi kusankha chithandizo. Pochiza munthu wodwala matenda ashuga, dokotala wam'magazi amayenera kufotokoza nthawi yayitali komanso mtundu wa matendawa, kuchuluka kwa chithandizo chamankhwala, kupezeka kwa zovuta ndi zina zowonjezera zamitsempha.

Kupewa, kufunsira kwa ophthalmologist ndikulimbikitsidwa kwa anthu onse omwe amapezeka ndi matenda ashuga. Ngati kuwunika koyambirira sikunawonetse chizindikiro cha retinopathy, mayeso obwerezedwa a 1-2 amafunsidwa chaka chilichonse. Njira yopanda proliferative ikapezeka, kuyezetsa kumachitika miyezi 6 iliyonse. Mitundu yodziwika bwino komanso yowonjezereka imafunikira kuwunika miyezi itatu iliyonse. Kupimidwa kowonjezera ndikofunikira posintha mankhwalawa.

Popeza retinopathy sapezeka kawirikawiri mwa ana ochepera zaka 10, amawunika zaka 2-3 zilizonse. Pa nthawi yoyembekezera, mayeso amawonetsedwa nthawi iliyonse, ndipo ngati angasokonezedwa, pamwezi kwa miyezi itatu.

Gulu la mayeso a matenda ashuga retinopathy:

kuyesa kwamawonekedwe owoneka (kumapangitsa kuti chiwonetsero chazigwira ntchito pakatikati pa retina),
mwachindunji ophthalmoscopy (onani retinal ischemia, kudziwa zam'mimba ziwiya, michereurysms, zotupa m'mimba, kufooka kwamitsempha),
biomicroscopy ya gawo lakunja la diso ndi thupi lamphamvu,
gonioscopy (kuyang'ana makomedwe a chipinda chosanja),
zoyipa (kusanthula kwa mawonekedwe owoneka, kutsimikizira kwa mawonekedwe owonekera),
tonometry (muyeso wa kupanikizika kwa maso).

Zambiri pazakuwoneka kwa mawonekedwe owonekera zimatha kupezeka pa fluorescence angiography ya retina, kuwala kwa macheke tomography, ultrasound, fluorophotometry, electroretinography. Ngati ndi kotheka, pangani mayeso a psychophysiological kuti muwone mawonekedwe amtundu, kusiyanitsa, kusintha mawonekedwe.

Zizindikiro za retinopathy zomwe sizikuwoneka panthawi ya mayeso wamba zimatha kupezeka pa fluorescence angiography. Malinga ndi zotsatira za kafukufukuyu, kufunikira kwa laser coagulation komanso malo omwe akuwonetsedwa ndizotsimikizika. Angiography imatsimikizira mosakayika kuti matendawa ndi othandizira ndikuwonetsetsa kuchuluka kwa ischemia. Mwa chilungamo, mbali zonse za fundus zimachotsedwa.

Mankhwala osokoneza bongo a ziwiya zam'maso

Mankhwala othandizira odwala matenda ashuga retinopathy amafunika kuwongolera kagayidwe kake komanso kuchepetsa vuto la hemocirculatory. Gwiritsani ntchito mankhwala ndi physiotherapy. Muyenera kumvetsetsa kuti mankhwalawa sangathe kuletsa kapena kusiya kuwonongeka kwa matenda ashuga. Amagwiritsidwa ntchito ngati chiwonetsero chowonjezera musanayambe kuchita opareshoni kapena pambuyo pa opareshoni. Zotsatira zonse zimatengera kulipira kwa shuga, matenda a kuthamanga kwa magazi ndi matenda a lipid.

Zomwe mankhwala omwe amagwiritsidwa ntchito pochita matenda a shuga:

zoletsa za ma enzyme omwe amasintha angiotensin I kukhala angiotensin II (Lisinopril),
kukonza lipid kagayidwe (Lovastatin, Fluvastatin, Simvastatin, Fenofibrat),
mankhwala a vasodilator, osagwirizana (Aspirin, Pentoxifylline),
antioxidants (Vitamini E, Mexicoidol, Emoxipine, Histochrome),
ma acioctic acid ngati ma antioxidants ena (lipoic acid, Berlition, Espa-Lipon),
angioprotectors (ascorbic acid, rutoside, etamsylate, calcium dobesylate),
kukonza kagayidwe kachakudya (retinalamin, Mildronate),
kupewa ndi kuchiza matenda a hemorrhage (Prourokinase, Fibrinolysin, Collagenase, Wobenzym),
glucocorticoids zochizira maculopathy exudative (Triamcinolone),
angiogenesis blockers pokonzanso neovascularization (Bevacizumab).

Mankhwala ochizira matenda a shuga a retinopathy

Vitibleomy imagwiritsidwa ntchito pochiza thupi la vitreous, retina ndi macular zone. Njirayi imalimbikitsidwa chifukwa cha edema ya macula yomwe imakwiya. Vitrectomy imathandizira kuthetsa kukhalitsa kwa hemophthalmus ndi kufinya. Opaleshoni imaphatikizapo kuchotsa pang'ono kapena kwathunthu kwa thupi la vitreous ndikuyimitsa ndi biomatadium yogwirizana.

Vitrectomy imachitika monga momwe anakonzera, koma ndizothekanso kuchitapo kanthu mwachangu ndi kuphipha kwa retina kapena kukula kwa retinopathy. Contraindication imaphatikizaponso kulephera kugwiritsa ntchito mankhwala oletsa kupweteka, matenda oopsa a dongosolo, mavuto amtundu wamagazi, zotupa zopweteka m'diso.

Kuti mubwezere thupi la vitreous, silicone, fluorocarbon emulsions, kusakaniza kwa mpweya, njira zamchere zimagwiritsidwa ntchito. Samakanidwa ndi diso, samasinthasintha mawonekedwe ake ndikukonzanso retina pamalo oletsa kuyimitsidwa. Mafuta oyenera kwambiri a silicone amazindikiridwa, omwe amatsitsimutsa bwino ndipo pafupifupi samayambitsa chisokonezo.

Ngati khomalo ladzala ndi mpweya, munthuyo aziwona chophimba pamaso pake nthawi yonse yomwe amasungunuka. Pakupita milungu ingapo, gawo lamphamvu lamadzimadzimadzimadzimu limadzaza ndimadzi kuchokera ku diso lomwe.

Kupewa kwa Matenda a shuga a Ophthalmic

Popeza kusintha kwazovuta za shuga ndikosapeweka, kuwunika ndikadali njira yayikulu yopewetsa matenda a retinopathy. Ndi matenda amtundu woyamba 1, muyenera kupita kukakumana ndi oculist patatha zaka 5 kuyambira nthendayi isanayambike. Anthu awiri odwala matenda ashuga a mtundu 2 amayesedwa pambuyo poti amveketse bwino. M'tsogolomu, muyenera kuyesedwa mozama kwambiri pakumayambitsa masamu. The ophthalmologist amawona pafupipafupi mayeso kwa wodwala aliyense payekha atayesedwa koyambirira.

Munthawi yomweyo komanso chithandizo chokwanira cha matenda osokoneza bongo, komanso mavuto azovuta, amakupatsani mwayi kuchedwetsa kusintha kwa retinopathy ndikuletsa kupitilira kwake. Wodwala ayenera kuphunzira kudziletsa, kudya zakudya komanso kuchita tsiku ndi tsiku, kudziyesa wolimbitsa thupi, kusiya kusuta, kuwonjezera kukhumudwa. Iyi ndiye njira yokhayo yopewa khungu ndi kulumala.

Njira yokhayo yopeweretsera matenda ashuga retinopathy ndi kusintha kagayidwe kazakudya. Zowopsa zake zimaphatikizapo kuthamanga kwa magazi ndi matenda ashuga a m'mimba. Izi ziyenera kulamulidwa osachepera shuga.

Pachikhalidwe, matenda ashuga retinopathy amadziwika kuti ndi gawo la hyperglycemia. Komabe, m'zaka zaposachedwa, akatswiri afikira pakumanena kuti matenda ashuga retinopathy siwovuta, koma chizindikiro choyambirira cha matenda ashuga. Izi zimakuthandizani kuti muzindikire matendawa pachiwonetsero komanso nthawi yopereka chithandizo. Malingaliro oyembekezera amakhala achikale ndipo amadziwika kuti ndiwowopsa, chifukwa kuwunika koyambirira kunachitika pamene zizindikiro zinayamba kale pa gawo la kupitirira kwa dystrophy.

Mawonekedwe owopsa

Matenda a shuga a retinopathy sindiwo matenda okhawo omwe amakhalapo. Kafukufuku wina akuwonetsa kuti pofika chaka cha 2025 chizindikirochi chidzaikidwa. Asayansi amati anthu mamiliyoni 300 azadwala matenda ashuga. Ndipo iyi ndi 5% ya anthu onse padziko lapansi.

Mawonekedwe a shuga

Kuti muchepetse retinopathy mu matenda osokoneza bongo kuti asayambitse msanga, muyenera kudziwa momwe mungapewere izi. Izi zimafuna kumvetsetsa momwe matendawa amagwirira ntchito. Chizindikiro chachikulu cha matenda a shuga ndi kuchuluka kwa shuga m'thupi la odwala. Mwa munthu wathanzi, maselo a pancreatic amatulutsa timadzi - insulin. Ndizinthu izi zomwe zimayang'anira kagayidwe kazakudya ndipo makamaka shuga, mapuloteni ndi mafuta.

Mu shuga, insulin yokwanira imapangidwa. Zotsatira zake, kuphwanya kumachitika osati pongoganiza za metabolism. Mwazi wamagazi umakwera. M'mikhalidwe yotere, ma cell a thupi samatha kugwira ntchito moyenera.

Kuperewera kwa insulin kumayambitsa kukayika kwa mafuta, komanso kuchuluka kwa mafuta m'thupi. Zinthu izi zimadziunjikira pang'onopang'ono pamakoma amitsempha yamagazi ndipo zimabweretsa zotsatirapo zomvetsa chisoni. Ndi matenda a shuga, maso, impso, mtima, zida zamagetsi, komanso zombo zomwe zili kumapeto kwenikweni nthawi zambiri zimavutika.

Kodi retinopathy imachitika liti?

Patatha zaka 5 mpaka 30 kuchokera ku matenda oyamba a shuga, munthu amayamba kudwala matenda ashuga. Ndi matenda amtundu 1, izi zimachitika mwachangu.Retinopathy imakula mwachangu ndikukula. Ngati wodwala ali ndi matenda amtundu wa 2, ndiye kuti masinthidwe onse amawonekera kwambiri pakatikati pa retina. Nthawi zambiri, maculopathy amakula. Ili, monga lamulo, ndi cystic ndipo limatsogolera pakuwonongeka kwapakati pakuwona.

Kodi ndichifukwa chiyani matenda a shuga mellitus ndi zina zokhudzana ndi matendawa zimachitika?

Zadziwika chifukwa chachikulu chomwe chimayambitsa matenda ashuga. Popewa kuwonjezereka kwa matendawa, ndizotheka kupewa kukula kwa retinopathy. Zina mwa zifukwa zazikulu:

Kunenepa kwambiri
Kudziletsa.
Matenda a kapamba omwe amayambitsa kusintha m'maselo a beta, monga khansa, kapamba, ndi zina.
Matenda a ma virus, kuphatikizapo chimfine, mliri wa hepatitis, nthomba, rubella, ndi zina zambiri. Matenda ngati amenewa ali ngati chinyengo kwa iwo omwe ali pachiwopsezo.
Kupsinjika kwa mitsempha.

Kodi retinopathy imatha kupezeka nthawi yomweyo

Retinopathy mu matenda osokoneza bongo sazindikira msanga, chifukwa machitidwe ovuta amapezeka m'thupi la wodwalayo. Nthawi zambiri, matendawa amawonekera pokhapokha pakuwonekera zovuta zina. Malinga ndi ziwerengero, retinopathy mu mtundu 1 wa shuga amapezeka pafupifupi 99% ya odwala onse.

Matendawa ndiwovuta kwambiri. Retinopathy imakhudza makamaka ziwiya zomwe zili mu retina mwachindunji m'maso amaso. Mavuto amawonekera muoposa 90% ya odwala onse omwe ali ndi matenda ashuga. Chizindikiro chachikulu cha kudwala ndikuwonongeka kwakumaso ndikuwonongeka, chifukwa chomwe munthu amasiya kuwona mwachizolowezi. Ndi matenda a shuga, anthu nthawi zambiri amakhala akhungu. Ndikotheka kuzindikira zizindikiro zoyambirira za retinopathy. Kuti mupeze izi, ndikofunikira kuyesedwa mozama ndi akatswiri a maso.

Matenda a shuga a retinopathy: Zizindikiro

Matendawa amatuluka popanda chizindikiro chodziwika bwino. Poyambirira, wodwalayo samadzimva mavuto komanso sawona kuchepa kwake. Retinopathy mu matenda a shuga amayamba kuonekera pambuyo pa kukha magazi komwe kumachitika mkati mwa diso. Pakadali pano, wodwalayo amakhala ndi chophimba mosalekeza komanso malo oyandama akuda. Pakapita kanthawi, zizindikirazi zimazimiririka.

Komabe, kukha magazi sikungotsata wodwalayo. Chifukwa cha kuphwanya kotero, kutaya kwathunthu kwamaso kumatha kuchitika. Zowonadi, mkati mwa thupi lamphamvu, zingwe zimayamba kupanga, zomwe zimatha kuyambitsa kuzungulira kwa retinal.

Kuphatikiza apo, pamakhala kutupa m'madipatimenti apakati omwe ali ndi vuto loti munthu athe kuwerenga ndikuwona zinthu zazing'ono. Zikatero, chophimbacho chimabwereranso m'maso. Kuwerenga, kugwira ntchito pafupi, komanso kusoka, kuluka, ndi kuluka, zimayamba kukhala zosatheka.

Gulu la retinopathy

Matenda a shuga a retinopathy, omwe amasonyezedwa pamwambapa, ali ndi mitundu ingapo. Gulu la matendawa adapangidwa mu 1992. Adavomerezedwa ndi World Health Organisation. Kugawikaku kukuvomerezeka. Retinopathy ikhoza kukhala:

Zopanda phindu. Uku ndi mtundu wa kusintha kwamomwe kumachitika mu retina. Imadziwonetsa yokha, monga lamulo, ndi zotupa, ma microscopic aneurysms, mawonekedwe ake omwe ndi malo amdima kapena madontho.
Preproliferative. Yemweyo retinopathy mu matenda ashuga, chithunzi chomwe tingaiwone pansipa, ndi chodabwisa. Ali ndi contour yochotsa malupu, kuchuluka kwakukulu exudates. Nthawi zambiri ndi kuphwanya uku, kupezeka kwa zotupa zazikuluzikulu kumadziwika.
Kuchulukitsa. Poterepa, neovascularization of the disk, yomwe ili mu optic nerve, imadziwika. Pankhaniyi, kukha mwazi kwa vitreous kumachitika. Zotsatira zake, mafupa am'mimba owoneka bwino m'dera lowonongeka. Zombo zatsopano zomwe zimapangidwa ndizosalimba ndipo zimakhala ndi makoma owonda kwambiri. Ndi mwa iwo momwe kukokoloka kobwereza kumawonedwa. Zotengera zomwe zimapangika mu khungu la diso nthawi zambiri zimayambitsa glaucoma yachiwiri.

Magawo a retinopathy

Kodi retinopathy ndimatenda a shuga? Magawo a matendawa amatsimikiziridwa ndi mawonekedwe awo. Pali magawo atatu a matendawa:

Gawo losavuta. Nthawi imeneyi imadziwika ndi retinopathy yosasintha. Ili ndiye gawo loyambirira la matendawa. Munthawi imeneyi, ma micaneurysms amakula - awa ndi matupa achilendo mu mawonekedwe a mipira, yomwe imapangidwa muzombo zazing'ono za retina.
Gawo labwino. Ndi kukula kwa matendawa, kumatuluka kwamitsempha yamagazi, yofunikira pa thanzi labwino la retina.
Gawo lalikulu. Ndi matenda awa, zombo zambiri zimatsekeka. Nthawi yomweyo, magazi osakwanira amawonedwa mu retina. Pakadali pano, thupi limalandira zisonyezo kuti ndikofunikira kupanga ziwiya zatsopano kuti ziyambirenso zakudya zamtundu wanthawi zonse.

Osachiritsika komanso wowonjezera retinopathy

Kupanda proliferative retinopathy mu shuga mellitus amadziwika ndi mapangidwe a aneurysm m'chigawo chapakati. Itha kuonekanso pafupi ndi mitsempha yayikulu yomwe imadutsa zigawo za retina. Pankhaniyi, zozindikiritsa za exudative mu fundus zimadziwika. Monga lamulo, ali ndi tint yoyera kapena yachikaso, komanso malire owoneka bwino. Ndi matenda otere, edema ya retinal imapezeka m'chigawo chapakati, komanso m'chigawo cha zombo zapakati komanso zazikulu. Chodabwitsachi ndiye chizindikiro chachikulu cha non-proliferative retinopathy mu shuga mellitus.

Ponena za matenda ochulukirachulukira, ili ndi gawo laposachedwa la matendawa. Chifukwa chakuti retina samalandira chakudya chokwanira, ziwiya zatsopano zokhala ndi makoma osalimba komanso owonda zimayamba kupanga. Nthawi zambiri amatchedwa zachilendo. Zombo zotere zimakula pa retina, komanso zimakhudza gawo lalikulu la vitreous lomwe lili mkati mwa diso. Satha kuona bwinobwino, koma osalimba. Mwa izi, monga lamulo, magazi amatayikira. Zotsatira zake, kukhumudwa kumawoneka, komwe kumakhala ndi zotsatirapo zoyipa. Nthawi zambiri, matendawa amayambitsa khungu.

Malangizo Ofunika Achilengedwe

Retinopathy imathandizidwa ndi matenda a shuga a mtundu wachiwiri ndipo amalemba matenda amtundu 1 m'mitundu yosiyanasiyana. Kupatula apo, zizindikiro zawo sizofanana. Nthawi zina, sizotheka kuchiritsa matendawa popanda kuchitapo opareshoni. Monga lamulo, mankhwalawa amatenga matenda osiyanasiyana. Asanapange mankhwala, wodwala amayenera kuwunika osati kokha ndi dokotala wamaso, komanso ndi endocrinologist. Ngati matendawa ali pagawo lachiwiri kapena lachitatu, ndiye kuti kumwa mankhwalawo sikokwanira. Mu izi, laser Photocoagulation ya retina ndiyofunikira. Iyi ndiye njira yothandiza kwambiri.

Retinopathy mu shuga mellitus, zomwe zimatha kuwoneka pokhapokha ndi matenda ovuta. Mankhwalawa amachitika mosamalitsa a insulin, komanso pokonzekera chakudya choyenera kwa wodwalayo. Wodwalayo amaletsedwa kudya mafuta ambiri achinyama. Nthawi zambiri zimasinthidwa ndi mankhwala azitsamba. Zakudya zopatsa mphamvu mosavuta sizimachotsedwa muzakudya. Ndi matenda oterewa, ndi owopsa.

Zakudya ndi Mankhwala Osokoneza bongo

Kuthandiza retinopathy kwa matenda ashuga ndi njira yovuta kwambiri yomwe imafunikira kudekha. Choyamba, ndikofunikira kupanga chakudya cha odwala. Akatswiri amalimbikitsa kudya zakudya zomwe zimakhala ndi lipotropic zomwe ndizothandiza m'maso. Zakudya za wodwala ziyenera kuphatikizapo broccoli, blackcurrant, blueberries ndi viburnum, zotentha ndi zotsekemera, Brussels zikumera, nyanja kale. Kuphatikiza apo, zakudya monga mbatata zazing'ono, mkaka, chiwindi, mafuta a nsomba ndi zina zotero ziyenera kupezekanso muzakudya.

Kuphatikiza apo, ndikofunikira kumwa mavitamini. Kukonzekera kwa Gulu B ndikothandiza kwambiri kwa odwala omwe ali ndi matenda osokoneza bongo.Amatha kutengedwa osati mkati, komanso makolo.

Mavitamini monga E, P ndi C ali ndi phindu pa makoma amitsempha yamagazi. Mankhwala ogwira mtima a angioprotective ndi Doksium, Ditsinon, Anginin.

Kulandila kwa mankhwala kuyenera kuchitidwa pokhapokha ngati akatswiri akudziwa. Chithandizo cha retinopathy mu matenda a shuga sikuti ndikugwiritsa ntchito mankhwala okha. Matendawa amafunikira mayeso amagetsi a ophthalmological nthawi zonse. Kuphatikiza apo, muyenera kumayeza nthawi zonse kuti mupeze shuga lanu.

Kukonzekera azitsamba ku pharmacy

Chifukwa chake, retinopathy mu matenda ashuga, zomwe zimadziwika kwambiri mu magawo omaliza, ndi matenda omwe amavuta kwambiri kuchiritsa. Mu mankhwala mungagule mankhwala azitsamba. Nayi mndandanda wazothandiza kwambiri:

"Tanakan." Mankhwalawa amaperekedwa nthawi zambiri. Mankhwalawa amapangidwa kuchokera ku chomera monga ginkgo biloba. Imwani mankhwalawa katatu patsiku, piritsi limodzi. Maphunzirowa ali osachepera miyezi itatu.
Neurostrong. Awa ndi mankhwala ena othandiza. Amapangidwa kuchokera ku zigawo zingapo: ma blueberries, mavitamini a B, ginkgo biloba ndi lecithin. Mankhwalawa amatha kusintha kayendedwe ka magazi, kupatsanso maselo kupuma movomerezeka. Izi zimachotsa chiwopsezo cha kukha magazi ndi magazi. Tumizani "Neurostrong" mpaka 4 pa tsiku, piritsi limodzi.
Dibikor. Retinopathy mu matenda osokoneza bongo amayamba chisanadze mankhwala. Kodi kuchitira matenda ndimankhwala otere? Mankhwalawa mu theka la gramu mpaka kawiri pa tsiku. Gwiritsani ntchito mankhwalawa ayenera kukhala pafupifupi mphindi 20 chakudya cham'mawa komanso chamadzulo chisanachitike. Maphunzirowa ndi miyezi 6. Chidachi chimatha kukonza kagayidwe kazakudya ndi maselo amtundu wa saturate okhala ndi zofunikira.

Scarlet ndi matenda

Retinopathy mu mtundu wachiwiri wa matenda a shuga, mankhwalawa wowerengeka omwe amaloledwa, amathanso kuyambitsa mavuto. Mankhwala ena amagwiritsidwa ntchito poteteza matenda. Ngati zizindikiro za matendawa sizinawonekere kapena matenda ali pachiwopsezo choyambirira, ndiye kuti mutha kuyesa mankhwala oledzera a aloe.

Chomerachi chili ndi katundu wapadera ndipo amagwiritsidwa ntchito pofuna kuthana ndi mavuto ambiri. Pofuna kukonzekera mankhwala, muyenera kukhala ndi aloe, yemwe zaka zake siziposa zaka zitatu. Zomera ziyenera kupendedwa bwino ndikusankha masamba athanzi komanso amtundu. Ayenera kutsukidwa bwino kenako ndikulungidwa ndi pepala. Bola kugwiritsa ntchito zikopa. Zotsatira zopangira ziyenera kuchitika kwakanthawi pansi paketi la firiji. Kuti ndikhale wolondola kwambiri, zimatenga pafupifupi masiku 12. Pambuyo pokhapokha, masamba a aloe amatha kuphwanyika. Kuti muchite izi, ndibwino kugwiritsa ntchito chopukusira nyama kapena chosakanizira.

Chifukwa chachikulu amayenera kumizidwa ndi gauze. Madziwo amayenera kusefedwa pogwiritsa ntchito nsalu yothinitsidwa mokwanira, kenako ndikuyika pamoto ndikuwubweretsa. The zikuchokera ayenera kuphika pafupifupi mphindi zitatu.

Sungani madzi omalizidwa kwa nthawi yayitali. Mankhwala amayamba kutaya katundu wake mwachangu kwambiri. Chifukwa chake, ndibwino kuphika motere musanalandire. Muyenera kumwa msuzi wa aloe katatu patsiku supuni ya theka la ola musanadye. Kuphatikiza apo, mankhwalawa amatha kukhazikika m'maso. Muyenera kuchita izi usiku. Madontho ochepa akukwana. Komabe, pakukhazikitsa ndiyenera kusamala. Kuchita chithandizo choterocho kumangovomerezedwa ndi adokotala.

Infusions ndi timadziti

Kodi ndi njira ina iti yomwe imachotsera shuga? Kuchiza ndi wowerengeka azitsamba nthawi zambiri amathandizidwa kuti azikhala wodwala, komanso kupewa. Ngati matendawa ali pachigawo choyambirira, ndiye kuti mankhwalawa amatha kuyimitsa patsogolo. Mankhwala osagwiritsidwa ntchito, mankhwala osiyanasiyana a zitsamba amagwiritsidwa ntchito.

Chithandizo chimodzi chothandiza ndi calendula. Kuti mukonzekere, muyenera kupera maluwa a mbewu iyi ndikuthira madzi otentha. Hafu ya lita imodzi ya madzi otentha imafunikira supuni zitatu za zopangira. Chidebe cha udzu chimakutidwa ndikuchilimbitsa kwa maola atatu. Mapangidwe omalizidwa amakhala osasefedwa bwino. Tengani kulowetsedwa kwa calendula mpaka kanayi patsiku kwa ½ chikho. Mankhwalawa omwewo angagwiritsidwe ntchito kukhazikitsa maso.

Tincture wokhazikitsidwa ndi ma blueberries amakhalanso ndi zotsatira zabwino. Kukonzekera mankhwalawa, muyenera kuthira supuni ya zipatso mu kapu yamadzi otentha. Kuumirira mankhwala kwa ola limodzi. Chomalizidwa chimayenera kuledzera patsiku.

Ziphuphu kuchokera ku zipatso zosiyanasiyana ndizothandiza. Kupatula apo, zimakhala ndi zinthu zambiri zothandiza. Pothana ndi retinopathy ndi matenda ashuga, mutha kugwiritsa ntchito chakumwa chopangidwa kuchokera ku lingonberry. Ndikofunika kudziwa kuti kugwiritsa ntchito madzi tsiku lililonse kumathandiza kuthana ndi carotenopathy poyambira.

Zopeza zodabwitsa

Kuti muthane ndi retinopathy mu shuga, mutha kugwiritsa ntchito ndalama zingapo. Ngati mungafune, chida choterechi chitha kukonzedwa palokha. Nayi imodzi mwazomwe mungagwiritse ntchito ngati mankhwala ena.

Pokonzekera muyenera: muzu wosemedwa wa burdock, masamba osankhidwa, komanso makungwa a msondodzi, masamba a nyemba, knotweed, bearberry, nettle, walnut, birch ndi masamba a timbewu. Zophatikizira ziyenera kutengedwa chimodzimodzi. Mu chidebe chakuya, phatikizani zinthu zonse zosakanikirana, kenako sakanizani. Supuni ya osakaniza ayenera kumwedwa ndi theka la lita imodzi ya madzi otentha. Mankhwalawa amayenera kupatsidwa kwa ola limodzi. Pambuyo pake muyenera kulisokoneza. Gwiritsani ntchito chopereka ichi chikhale theka lagalasi, makamaka musanadye. Maphunzirowa ndi osachepera miyezi itatu. Zotsatira zake zimatheka ngati mungagwiritse ntchito mankhwalawa popanda yopuma. Tsopano mukudziwa chomwe retinopathy ili mu odwala matenda ashuga. Musaiwale kuti chithandizo chilichonse chokhala ndi njira zachikhalidwe siziyenera kuchitika popanda upangiri wa akatswiri. Kupanda kutero, zitha kuvulaza.