Chithandizo cha Maso cha Mashuga

Odwala matenda ashuga ayenera kuyang'anitsitsa thanzi lawo ndikuwonetsetsa kuchuluka kwa shuga m'magazi awo, chifukwa chilichonse cholakwika chitha kubweretsa zovuta zazikulu, kuphatikizapo retinopathy. Mkhalidwe uwu umadziwika ndi kutayika pang'ono kapena kwathunthu kwamaso, kuwonekera kwa chithunzicho chowoneka kapena mawonekedwe a chophimba pamaso pa maso.

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Komabe, ndi funso la zoyenera kuchita ngati masomphenya agwera ndi matenda ashuga, anthu ambiri odwala matenda ashuga sathamangira kukaonana ndi dotolo ndikuyesera okha kuti athetse vuto lawo. Koma kuchita izi m'magulu sikungatheke, popeza kuchita zamtunduwu pamtunduwu kungayambitse kuwonongeka kwa masomphenyawo.

Zomwe zimapangitsa kuti anthu asamaone

Matenda a shuga ndi matenda ochitika mwadongosolo momwe kuchuluka kwa shuga m'magazi nthawi zonse kumakhala kwakukulu. Izi zimasokoneza dongosolo lamatumbo - makoma amitsempha yamagazi ndi ma capillaries amakhala oonda, amatayika komanso amakhala owonongeka. Potengera maziko awa, kufalikira kwa magazi kumasokonezeka, chifukwa chake michere imalowa m'maselo ndi minyewa ya thupi.

Mwa zina mwazomwe zimapangitsa kuti masoka azitha kutha kuchitika ndi matenda ashuga, matenda otsatirawa amatha kusiyanitsidwa:

Matenda a maso awa amapezekanso nthawi zambiri m'mayendedwe a matenda ashuga, komanso amatengera kuvutika kwa magazi. Koma ziyenera kudziwika kuti kuchepa pang'ono m'maso kumatha kuwonedwa mwa wodwala nthawi ndi nthawi makamaka pakakhala kuwonjezeka kwambiri kwa shuga m'magazi. Potere, pofuna kusintha momwe alili, pamafunika kuchita zinthu zomwe zimachepetsa kuchuluka kwa shuga m'magazi.

Zizindikiro zoyambira ndi zizindikiro

Kusintha ndi kuwonongeka kwa ziwalo za mucular mu matenda opatsirana a shuga kumachitika pang'onopang'ono, chifukwa chake, pamagawo oyamba opanga njirazi, wodwalayo samazindikira kusintha kwakanthawi. Kwa zaka zingapo, masomphenya amatha kukhala abwino, kupweteka komanso zizindikiro zina zakusokonekera kungakhale kusakhalakonso.

Ndipo pamene njira za pathological zikufika kale pagawo lina la chitukuko, wodwalayo amatha kuwona zotsatirazi:

chophimba pamaso
"mawanga" akuda kapena "tsekwe" pamaso pa maso,
zovuta zowerengera zomwe sizinawonedwe kale.

Izi ndi zizindikiro zoyambirira zomwe zikusonyeza kuti matenda am'mimba adayamba kale kupita patsogolo ndipo ndi nthawi yoti athane nawo. Koma nthawi zambiri, anthu ambiri omwe amadwala matenda ashuga sawonetsa kufunika kwa kusintha kumeneku pakuwona ndipo samachita chilichonse.

Komabe, kupitirira apo zimakulirakulira. Masamba amayamba kuchepa, chifukwa minyewa ya m'maso imayamba, kupweteka kwa mutu, kumakhala kupweteka m'maso komanso kumva kutiuma. Ndipo ndendende nthawi ino, odwala nthawi zambiri amapita kwa dokotala kukayezetsa, zomwe zimathandiza kudziwa kukula kwa retinopathy.

Njira zakuzindikira zomwe zimachitika kuti zizindikire za m'mayendedwe amaso zimatha kuphatikizira:

Kuyang'ana maonekedwe ndi kuzindikira malire ake,
kuyang'ana kwamphamvu kwa fundus pogwiritsa ntchito zida zapadera,
muyeso wa intraocular anzawo,
fundus ultrasound.

Tiyenera kudziwa kuti nthawi zambiri mavuto amawonedwe amapezeka mwa anthu omwe akhala akudwala matenda a shuga kwa zaka zambiri (zaka 20 kapena kuposerapo).Koma muzochitika zachipatala mwakhala mukuchitika mobwereza bwereza pomwe kupezeka kwa matenda osokoneza bongo kumachitika kale motsutsana ndi maziko akhungu.

Matenda a shuga a retinopathy

Diso lakumaso ndi zovuta zosiyanasiyana za maselo apadera omwe amagwira ntchito yofunika kwambiri. Ndi omwe amasintha kuwala kudutsa mandala kukhala chithunzi. Kenako, mitsempha ya maso imalumikizidwa ndi ntchitoyi, yomwe imasinthira zidziwitso kuubongo.

Momwe magazi amayenderera m'magazi am'maso zimasokonekera, amayamba kulandira michere yochepa, chifukwa chomwe kuchepa kwapang'onopang'ono kwa ntchito za retina ndi mitsempha ya optic kumawonedwa, chifukwa chomwe matenda a shuga amayamba.

Pankhaniyi, kuchepa kwa maonedwe achuity kumachitika chifukwa chakuwonjezeka kwa kukakamizidwa kwa intraocular, kuwonongeka kwa capillaries ndi mitsempha yamitsempha. Mkhalidwe uwu wamankhwala umatchedwa microangiopathy, womwe umapezekanso ndi matenda a impso. Pomwe matendawa amakhudza ziwiya zazikulu, ndiye kuti tikulankhula za macroangiopathy, yomwe imaphatikizaponso zochitika za m'magazi monga infarction ya myocardial ndi stroke.

Ndipo kafukufuku wambirimbiri watsimikizira kulumikizana komwe kumachitika pakati pa matenda ashuga komanso kukula kwa microangiopathy, kotero yankho lokhalo pakuthandizira matendawa ndi kufananizira misempha yamagazi. Ngati izi sizichitika, retinopathy imangopita patsogolo.

Pofotokoza za matendawa, ziyenera kudziwika:

ndi mtundu wa 2 matenda a shuga, retinopathy ikhoza kuwononga kwambiri mitsempha ya optic ndikuwonongeka kwathunthu kwamawonedwe,
Kutalika kwa shuga
ngati mulibe chidwi ndi chitukuko cha retinopathy munthawi yake ndipo simumalandira chithandizo chilichonse chamankhwala, ndiye kuti ndizosatheka kuti mupewe kuwonongeka kwathunthu.
Nthawi zambiri, retinopathy imapezeka mwa okalamba, mwa ana aang'ono ndi anthu azaka zapakati pa 20 mpaka 48 zimayamba kamodzikamodzi.

Odwala ambiri nthawi zambiri amadzifunsa kuti: momwe angatetezere maso awo ku shuga? Ndipo kuchita izi ndikosavuta. Ndikokwanira kuyendera pafupipafupi katswiri wa ophthalmologist ndikutsatira malingaliro ake onse, komanso kuchita zochitika zina zowunika kuchuluka kwa shuga m'magazi.

Kafukufuku wachipatala adatsimikizira mobwerezabwereza kuti ngati wodwala akhala ndi njira yolondola, alibe zizolowezi zoyipa, amatenga mankhwala pafupipafupi ndikuyendera ophthalmologist, ndiye kuti matenda amaso omwe ali ndi matenda ashuga amatsitsidwa ndi 70%.

Proliferative retinopathy

Vutoli limadziwika ndi kuperewera kwa okosijeni ku ziwiya zomwe zimapereka ziwalo za ocular, chifukwa chake zombo zatsopano zimayamba kupezeka kumbuyo kwa fundus kumatsogolera ku kuwonongeka kwake.

Zotsatira zamachitidwe onse omwe ali pamwambapa, cataract imayamba kukulira, yomwe imadziwika ndi khungu la mandala, ikakhala yodziwika bwino imawoneka bwino. Magalasi akayamba kuzimiririka, kuthekera kwambiri kuyang'ana chithunzicho ndi kusiyanitsa zinthu kumachepa, chifukwa chotsatira munthuyo amalephera kuwona.

Tiyenera kudziwa kuti odwala matenda ashuga, matenda amkati amadziwika kawirikawiri kuposa anthu athanzi, ndipo amadziwonetsa ndi zizindikiro monga zithunzi zosasangalatsa komanso kuwona kopanda chiyembekezo. Chithandizo cha mankhwala chamatumbo sichimachitika, chifukwa sichimapereka zotsatira. Kubwezeretsa masomphenya, kulowererapo kwa opaleshoni kumafunikira, pomwe ma ndolo osauka amadzalanso ndi kulowetsa. Koma zitatha izi, wodwalayo amayenera kuvala magalasi nthawi zonse kapena magalasi.

Nthawi zambiri ndi zovuta zovuta za retinopathy mu odwala matenda ashuga, kupezeka kwa kukhaina kwa diso.Chipinda chamkati chamaso chimadzaza ndi magazi, omwe amafunika kuwonjezeka kwa katundu ziwalo zam'maso ndikuchepa kwambiri kwamaso m'masiku angapo. Ngati magazi amatupa ndipo chipinda chonse chammaso chimadzaza ndi magazi, muyenera kufunsa dokotala, popeza pali chiopsezo chachikulu cha kutayika kwathunthu kwa mawonekedwe.

Ndi kukula kwa retinopathy mu matenda ashuga, njira zonse zochizira zimayamba ndikusintha zakudya zopatsa thanzi ndikuwonjezera kagayidwe. Pachifukwa ichi, kukonzekera kwapadera kungaperekedwe komwe kuyenera kuchitika mosamalitsa malinga ndi chiwembu chomwe adokotala adapereka.

Kuphatikiza apo, odwala amafunikira kuyang'anira shuga wawo wamagazi, kumwa mankhwala ochepetsa shuga, ndi kuperekanso jakisoni wa insulin. Koma ziyenera kudziwika kuti njira zonsezi zimagwira ntchito pokhapokha magawo oyambirira a retinopathy. Ngati wodwalayo ali ndi zowonongeka zowoneka bwino, ndiye kuti njira zakugwirira ntchito sizogwiritsidwa ntchito, chifukwa sizimapereka zotsatira.

Pankhaniyi, kuwala kwa laser kwa retina, komwe kumachitika pogwiritsa ntchito mankhwala opha tizilombo, kumapereka zotsatira zabwino zochizira. Njira iyi imakhala yopweteka kwambiri kwa wodwalayo ndipo simumapitilira mphindi 5. Kutengera kuchuluka kwa kuzungulira kwa magazi ndi kusokonekera kwa mitsempha, kufunikira kwa kupangika kwa laser kumatha kuchitika mobwerezabwereza.

Ngati wodwalayo apezeka ndi matenda a diabetesic glaucoma, ndiye kuti mankhwalawa amachitika motere:

Mankhwala - mavitamini apadera okhala ndi mavitamini ndi madontho amaso amagwiritsidwa ntchito kuti athandize kuchepetsa kuthamanga kwa maso komanso kuwonjezera mphamvu ya mtima,
opaleshoni - pamenepa, chithandizo cha laser kapena vitlimomy chimagwiritsidwa ntchito nthawi zambiri.

Vitrectomy ndi mtundu wa chithandizo chopangira opaleshoni chomwe chimachitika pakachitika kukha magazi kwa vitreous, kupindika kwa retinal kumachitika, kapena ngati katswiri wowonera wavulala. Kuphatikiza apo, vitibleomy imagwiritsidwa ntchito nthawi zambiri pomwe sikutheka kubwezeretsanso magwiridwe antchito am'maso pogwiritsa ntchito njira zina zamankhwala. Izi zimachitika pokhapokha kugwiritsa ntchito mankhwala oletsa ululu.

Tiyenera kumvetsetsa kuti ngati njira ya shuga ikuwonekera ndi kuwonongeka kwamawonekedwe, ndiye kuti simukuyenera kukoka nthawi. Zokha, izi sizingathe, mtsogolomo, masomphenya akuchulukira. Chifukwa chake, ndikofunikira kufunsa dokotala munthawi yake ndikuwunika ndalama. Kusankha koyenera pamenepa ndikutsatira malingaliro onse a adokotala, kukhalabe ndi moyo wathanzi ndikuwunikira nthawi zonse chitukuko cha matenda ashuga.

Matenda a shuga

Matenda a shuga ndi njira yovuta kwambiri yovutirapo, yomwe imakhala yowopsa ndi zovuta zazikulu. Matenda a maso odwala matenda ashuga ndioperewera kwa matendawa. Kusintha komwe kumachitika m'maso kumakhudzidwa ndi malo omwe pali vutoli, komanso kuuma kwa njirayi. Monga lamulo, kusintha kwa ma pathological kumakhala kovuta kuwonekera m'malo ake onse.

Zoyambitsa zowonongeka mu shuga

Shuga wambiri mthupi amatsogolera kuvala pang'ono pang'ono kwamitsempha, mitsempha ndi ma capillaries, zomwe zimawononga mphamvu ya maonekedwe a maso.

Kukula kwa zombo zakale kumatha kugwa, ndipo zatsopano zomwe zimasinthidwa zimakhala zosalimba. Mwa odwala matenda ashuga, kuchuluka kwa madzimadzi m'thupi kumachuluka, komwe kumakhudza maselo, kumadetsa. Pali nthawi zina pamene matenda ashuga amakhala ovuta, ndipo kuwona sikugwa.

Izi zimapitirira mpaka mitsempha yamagazi, yomwe imapangitsa kuti maso azitha kuwona, atopa kwathunthu. Matendawa amatha kusokoneza masomphenyawo ndipo akuwonekanso poyambira matenda ashuga.

Kuwonongeka kwa matenda ashuga kumachitika pazifukwa zingapo:

mandala ake amakhala amitambo
kuchuluka kwazovuta zamitsempha,
ziwiya zam'maso zimakhudzidwa.

Matenda amaso ndi matenda ashuga komanso chithandizo chawo

Odwala omwe ali ndi matenda a shuga amellitus nthawi zambiri amatembenukira kwa ophthalmologist chifukwa cha zovuta ndi masomphenya. Kuti muwone zocheperako pakapita nthawi, muyenera kumayeserera pafupipafupi ku ophthalmologist. Glycemia wofunika, momwe mumakhala kuchuluka kwa shuga m'magazi, amawerengedwa ngati vuto pachitukuko cha matenda a ophthalmic. Matenda a shuga ndi imodzi mwazomwe zimayambitsa khungu kwa odwala azaka za 20-74.

Kanema (dinani kusewera).

Odwala onse omwe ali ndi shuga m'magazi ayenera kudziwa kuti pamene zizindikiro zoyambirira za kuwonongeka kwamawonekedwe zikuwonekera, kuphatikizapo kuchepa kwa mawonekedwe acuity, mawonekedwe akuwuma, ndikofunikira kuwona dokotala.

Kanema (dinani kusewera).

Kusintha kwa maso ndi shuga kumalumikizidwa ndi edema ya mandala, omwe amachitika motsutsana ndi maziko a glycemia wamkulu. Kuti muchepetse chiwopsezo cha matenda a ophthalmic, odwala matenda ashuga ayenera kuyesetsa kuchepetsa matenda a shuga (90-130 mg / dl (5-7.2 mmol / l) musanadye, osapitirira 180 mg / dl (10 mmol / l) pambuyo chakudya pambuyo maola 1-2). Kuti muchite izi, muyenera kuyang'anira glycemia mosamala kwambiri. Mothandizidwa ndi matenda a shuga, matenda amawonongeka amatha kuchira, koma izi zimatenga miyezi yitatu.

Kusawona bwino kwa odwala omwe ali ndi matenda ashuga kumatha kukhala chizindikiro cha matenda akulu amaso, omwe pakati pawo retinopathy, cataract ndi glaucoma.

Kukula kwa mphaka kumalumikizidwa ndi kuchepa kwa kuwonekera kwa mandala ofunika amaso - mandala. Nthawi zambiri, zimakhala zowonekera bwino pamagetsi ndipo zimayendetsa gawo ndikuwunikira mu ndege ya retina. Zachidziwikire, zovuta zamatumbo zimatha kukhala pafupi ndi munthu aliyense, koma odwala omwe ali ndi matenda osokoneza bongo, kuphwanya kuwonekera kwa mandala kumadziwika kale. Matendawa pawokha amakula msanga.

Mu shuga mellitus, odwala a cataract amavutika kuyang'ana maso awo pa fanizoli, kuwonjezera apo, chithunzicho chimakhala chowonekera bwino. Zizindikiro zikuluzikulu za njoka ndi kuwona kowoneka bwino.

Chithandizo cha opaleshoni chimagwiritsidwa ntchito pochiza matenda amkati, pomwe adokotala amachotsa mandala ake omwe amasintha ndikusintha ndi mandala okumba, omwe alibe mawonekedwe onse a mandala achilengedwe. Pankhani imeneyi, kugwiritsa ntchito magalasi olumikizana kapena magalasi nthawi zambiri amafunika kukonza masomphenya pambuyo pakuchita opaleshoni.

Ngati madzi amkati amasiya kuzungulira bwino, ndiye kuti kudzikundikira kwake kumachitika m'chipinda chilichonse cha maso. Izi zimabweretsa kuwonjezeka kwa kukakamiza kwa intraocular, ndiye kuti, glaucoma yokhala ndi matenda a shuga. Ndi kuchuluka kwazovuta zamitsempha, kuwonongeka kwa minyewa yamanjenje ndi mitsempha yamagazi kumachitika.

Nthawi zambiri, zizindikiro za intraocular matenda oopsa zimakhalapo mpaka glaucoma itadutsa kwambiri. Pankhaniyi, kutayika kwamaso kudzakhala kwakukulu. Nthawi zambiri zizindikiro za glaucoma zimawonekera kumayambiriro kwa matendawa, zimaphatikizira kupweteka m'maso, kupweteka kwa mutu, kuchepa kwa khungu, kusawona bwino, kusazindikira, ma glaucomatous halos omwe amapezeka mozungulira kuwala.

Zochizira glaucoma mu matenda ashuga, madontho apadera ayenera kugwiritsidwa ntchito, nthawi zina kuwonekera kwa laser ndi thandizo lothandizira la opaleshoni. Kuti muthane ndi mavuto akulu chifukwa cha kuchuluka kwa shuga wamagazi, muyenera kumayesedwa pafupipafupi ndi a ophthalmologist.

Retina imakhala ndi ma cell apadera omwe amatumiza ma kuwala kuchokera kumalo akunja kupita ku dongosolo lamanjenje lamkati. Zotsatira zake, ma pulows a chidziwitso chowonetsedwa amalandiridwa kudzera mu ulusi wamitsempha wamaso mu chithokomiro cha chithokomiro.

Ndi diabetesic retinopathy, zotengera zomwe zimakhala mu retina zimakhudzidwa. Matendawa ndi omwe amatulutsa kwambiri glycemia wambiri. Nthawi yomweyo, ziwiya zing'onozing'ono zimakhudzidwa ndi njira ya pathological, ndiye kuti, microangiopathy imayamba. Njira imodzimodziyo imakhudza dongosolo lamanjenje ndi impso mwa odwala omwe ali ndi matenda ashuga. Ngati ziwiya zazikulu zawonongeka, ndiye kuti, macroangiopathy imayamba, ndiye motsutsana ndi maziko a matenda ashuga, odwala amakhala ndi vuto la mtima kapena stroke.

Kafukufuku ambiri adachitika omwe awonetsa kulumikizana pakati pa microangiopathy ndi glycemia yayikulu. Ngati mungachepetse kuchuluka kwa shuga m'magazi am'magazi, ndiye kuti matulukidwe azinthu amatha bwino.

Pakadali pano, matenda a shuga a retinopathy nthawi zambiri amachititsa kuti khungu la odwala lisasinthe (malinga ndi ziwerengero zamayiko otukuka). Nthawi yomweyo, chiopsezo chotenga retinopathy mu matenda a shuga chimatengera nthawi yayitali ya matenda omwe amayambitsidwa, ndiye kuti, atakhala ndi shuga yayitali, chiopsezo chakulephera kuwona chifukwa cha retinopathy ndichulukirachulukira.

Mu matenda a shuga a mtundu woyamba, retinopathy imachitika kawirikawiri mu zaka zisanu zoyambirira za matenda (kapena mpaka kutha). Pamene matenda a shuga akupita patsogolo, chiopsezo cha kuwonongeka kwa retinal chikuwonjezeka.

Kuti muchepetse chiopsezo cha retinopathy, muyenera kuyang'anira glycemia mosamala. Pakufufuza kwakukulu komwe odwala omwe ali ndi matenda a shuga adatenga nawo mbali, zidawonetsedwa kuti kuwongolera mwamphamvu glycemic ndi pampu ya insulin (jakisoni wa insulin yambiri) kunachepetsa chiopsezo cha retinopathy ndi 50-75%. Zomwezo zinali chimodzimodzi kwa nephropathy ndi polyneuropathy.

Ndi mtundu wachiwiri wa matenda ashuga, mavuto amawonedwe ali ponseponse. Nthawi zambiri, zosintha zilizonse mu fundus zimatha kupezeka panthawi yodziwitsa. Pankhaniyi, ndikofunikanso kuwongolera glycemia, chifukwa izi zimachepetsa kupitilira kwa matenda. Popewa mavuto owonjezera a m'maso, kuthamanga kwa magazi ndi cholesterol iyeneranso kuyang'aniridwa.

Mu shuga mellitus, mitundu yotsatila ya zotupa imatha kujowina:

Maculopathy ndi owopsa chifukwa amawononga gawo lofunika kwambiri la retina, lotchedwa macula. Chifukwa chakuti dera lino limayang'anira masomphenya omveka bwino, ma acuity ake amatha kuchepetsedwa kwambiri.
Retinopathy yakumbuyo imachitika pamene mitsempha yamagazi yowonongeka. Ntchito yamasomphenya siyivutika. Pakadali pano, ndikofunikira kwambiri kuti muchepetse glycemia, chifukwa izi zithandiza kupewa kutalika kwa matendawa ndikuchepetsa kuwona kwa chidwi.
Proliferative retinopathy imagwirizanitsidwa ndi kuchuluka kwa ziwiya zatsopano za pathological pakhoma lakumbuyo yamaso. Njirayi imagwirizanitsidwa ndi ischemia ndi kusowa kwa mpweya m'derali. Zombo za m'matumbo nthawi zambiri zimakhala zoonda, zimakonda kukoka ndi kukonzanso.

Zowonongeka zamaso m'matenda a shuga zimatchedwa angioretinopathy. Kukhalapo kapena kusakhalapo kwa angioretinopathy, komanso gawo lake, lingatsimikizidwe ndi dokotala wamaso pakuyang'ana kwa fundus. Nthawi yomweyo, amawona kukhalapo kapena kusowa kwa zotupa, zotengera zatsopano za retina ndi zina. Pofuna kupewa kapena kuyimitsa kusintha kwa ndalama, ndikofunikira kuti magazi abweretse bwino.

Mankhwala ndi njira yochitira opaleshoni imagwiritsidwa ntchito pochiza anti-retinopathy. Wodwala aliyense yemwe ali ndi matenda ashuga amayenera kumuwunika kawiri pachaka ndi a ophthalmologist m'njira yomwe anakonza. Pazowonongeka zilizonse, izi ziyenera kuchitidwa mwachangu.

Mu shuga mellitus, pamlingo wina kapena wina, mawonekedwe onse amaso amakhudzidwa.

1. Pazovuta za metabolic odwala omwe ali ndi matenda osokoneza bongo, chodabwitsa monga kusintha kwa mphamvu yowonjezera yamankhwala amathandizidwe.

Nthawi zambiri, odwala matenda a shuga a mtundu uwu, ndi kupezeka koyambirira kwa matendawa motsutsana ndi kuchuluka kwa shuga m'magazi, myopia imachitika. Kumayambiriro kwa mankhwala a insulin ndi kuchepa kwambiri pamlingo wa glycemia, hyperopia imachitika mwa odwala ena. Ana nthawi zina amatha kuwerenga ndi kusiyanitsa zinthu zazing'ono pafupi. Popita nthawi, ndi matenda a shuga m'magazi, izi zimatha, maonekedwe amaso amatha, motero, sikulimbikitsidwa kusankha magalasi kuti muzindikire koyamba matenda a shuga m'miyezi iwiri yoyambirira.

Odwala omwe amatsatira malangizo onse a dotolo yemwe samakhalapo saona kusintha kwamphamvu kwa mphamvu ya maso. Amadziwika ndi kuchepa kwapang'onopang'ono mu kuthekera kwa diso. Odwala awa amayamba kugwiritsa ntchito magalasi owerengera pamaso pa anzawo.

2. Nthawi zambiri, odwala matenda ashuga, kulumikizika kwa minyewa ya m'maso kumavutika, komwe kumapangitsa kuti kamvekedwe ka minofu kusokonekera komanso kugwira ntchito, kuphatikizapo oculomotor. Izi zikuwonetsedwa pakuwonekera kwa kope lakumaso, kukula kwa strabismus, masomphenya awiri, kuchepa kwa matalikidwe amaso. Nthawi zina kukula kwa zizindikiro zotere kumayendetsedwa ndi zowawa m'maso, mutu. Nthawi zambiri, kusintha kotereku kumachitika mwa odwala matenda ashuga okhalitsa.

Vutoli limachitika pafupipafupi ndipo silimadalira kuopsa kwa matenda ashuga (nthawi zambiri limapezeka mwa matenda a shuga). Ndi chitukuko cha mawonetseredwe otere, ndikofunikira kufunsa osati endocrinologist, komanso neuropathologist. Chithandizo chimatha kukhala chotalika (mpaka miyezi 6), koma matulukidwe ake ndi abwino - kubwezeretsa ntchito kumawonedwa pafupifupi mu odwala onse.

3. Kusintha kwa ma corne kumachitika mu cell ya cellular ndipo sikungathe kuwonekera mthupi. Koma pakuchita kwa diso, gululi limagwirizana mwamphamvu ndi maopaleshoni othandizira, amachiritsa kwa nthawi yayitali ndipo pang'onopang'ono amawunikiranso mawonekedwe ake.

4. Malinga ndikuwona kwa madotolo, mwa anthu omwe ali ndi matenda ashuga, glaucoma wamba komanso kukakamizidwa kwamankhwala kumachitika kawirikawiri kuposa pakati pa anthu ena onse. Palibe chifukwa chomwe chidafotokozedwera pano.

5. Cataract - kuthambalala kwa mandala mumtanda uliwonse ndi kukula kulikonse. Mu shuga mellitus, omwe amatchedwa matenda ashuga nthawi zambiri amapezeka - opccities opacities mu posterior lens kapisozi. Mukakalamba, mtundu wa mphaka wokhudzana ndi m'badwo umakhala wodziwika, pamene mandala ali ndi mitambo mosiyanasiyana, pafupifupi mawonekedwe onse m'magawo onse, nthawi zina mitambo imakhala yachikasu kapena yofiirira.

Nthawi zambiri, ma opacities amakhala osakhazikika, opepuka, osachepetsa maonedwe kapena kuchepetsa pang'ono. Ndipo izi zitha kukhazikika kwazaka zambiri. Ndi ma opacity kwambiri, ndikupita patsogolo pang'ono panjira, ndikotheka kuchita opareshoni kuti muchotse mandala amitambo.

Zaka 15 zapitazo, matenda ashuga anali kulepheretsa opaleshoni yamkati ndikutsatiridwa ndi kupaka kwa mandala opaka. Maukadaulo omwe analipo kale anali atadikirira kudikira mpaka nkhandayo "itakhwima" pamene masomphenya adayamba kutsalira. Maluso amakono amakupatsani mwayi kuti muchotse zozungulira pamtunda uliwonse kapena kukhwima pang'ono, ma lens apamwamba apamwamba.

M'magawo oyamba a matenda amkati, pamene maonedwe owoneka samachepetsedwa komanso kulowererapo sikunawonetsedwe, oculists amalimbikitsa kuti odwala akhazikitse madontho a vitamini. Cholinga cha mankhwalawa ndikuthandizira kuthana ndi mandala komanso kupewa kugwetsa mvula. Satha kuthana ndi mitambo yomwe ilipo, popeza kusintha kwa mandala kumalumikizidwa ndi kusintha kosasinthika kwa mapuloteni omwe adasowa mawonekedwe ndi mawonekedwe awonekera.

Kupititsa patsogolo mawonekedwe, amadya udzu wa porcelain mu mawonekedwe a saladi, kumwa infusions, decoctions ake, mafuta m'maso a maolivi.

Maluwa a lilac ngati tiyi (1 tsp. Mu kapu yamadzi otentha), ndikuyika ma tamponi kuchokera ku ma mankono mpaka m'maso kwa mphindi 3-5.

Brew ndi kumwa red rose petals ngati tiyi kwa nthawi yayitali.

Utakula mbatata (makamaka zikutuluka mchaka) kuti ziume, kunena 1 tbsp. d) kapu ya vodika (masiku 7). Tengani I tsp. katatu patsiku mutatha kudya kwa mwezi umodzi.

HIP BWINO. Kulowetsedwa kwa maluwa a rosehip (1 tbsp. Per chikho cha madzi otentha) imagwiritsidwa ntchito ngati mankhwala kuchapa kusamba kwamaso ndi mafuta odzola (mphindi 20 usiku) ndi vuto lowonongeka.

Kulowetsedwa kwa m'miyala yapakati (nsabwe za nkhuni) kumayikidwa m'maso m'maso pomwe ziphuphu zimaphimba.

IZI PA CHIYANI (leek leek). Ngati vuto la maso silabwino, tikulimbikitsidwa kudya anyezi wambiri wamabala mu mtundu uliwonse momwe mungathere.

ZONSE. Chithandizo cha makolo chimalimbikitsa kuti ngati simukuwona bwino, muzitsuka m'maso anu kawiri patsiku ndi kulowetsedwa kwa udzu wa euphrasia kapena muthire mankhwala a kulowetsedwa kwa mbewuyi kwa mphindi 20 kawiri pa tsiku.

"Udzu wamaso" amawonedwa kuti ndi timbewu tonunkhira, amagwiritsidwa ntchito ngati chakudya. Mbewu ya timbewu (yosakanizidwa ndi uchi ndi madzi muyezo wa 1: 1: 1) imayikidwa m'maso (madontho 2-3 m'mawa ndi madzulo). Kupititsa patsogolo kuwona, mafuta a peppermint amakonzedwa ndikugwiritsidwa ntchito (okonzedwa ngati wort wa St. John). Dontho limodzi la mafuta a peppermint limasakanizidwa ndi 100 ml ya madzi ndikuyika m'maso onse awiri 2-3 kutsikira kawiri pa tsiku.

Kukonzekera kwa Schisandra chinensis, ginseng, pantocrine ndi kukopa kumawongolera bwino.

Zovala za masamba a koriander zimayikidwa m'maso kwa mphindi 10-20 nthawi 1-2 patsiku zowonongeka.

Mankhwala akale, tikulimbikitsidwa kusintha masana tsiku lililonse kwa miyezi itatu kuti timwe mafuta a 100 g a mutton chiwindi, ndikudya chiwindi cham'mawa pamimba yopanda kanthu. Mutha kugwiritsa ntchito chiwindi cha ng'ombe, koma chimakhala chochepa.

Madzi a anyezi omwe ali ndi uchi amakhazikitsidwa m'maso onse awiri akutsikira kawiri patsiku, onse kusintha maonedwe ndikuchotsa maso.

Pofuna kupewa kuchepa kwa maonedwe achuity, amamwa popanda malire a decoction of red clover inflorescence.

Ngati masomphenya akuipiraipira chifukwa chodandaula kapena kukhala ndi nkhawa, ndiye kuti mkuwa wowerengeka umalimbikitsa kuwiritsa dzira lolira, kudula pakati, kuchotsa ululu, ndikuyika mapuloteni, otentha, ndi mkati mopanda kanthu.

Ginger tincture, umagwiritsidwa ntchito tsiku ndi tsiku (1 tbsp. M'mawa) kwa nthawi yayitali, umasintha masomphenya.

Kulowetsedwa kwa masamba a barberry kumakhala kuledzera katatu patsiku kukonza masomphenya komanso ngati tonic.

Ma Blueberries mwanjira iliyonse amasintha masomphenya ausiku ndikuthandizira "khungu usiku."

Ma saladi a Nettle ndi thyme ndi kabichi, omwe amamwetsedwa mwadongosolo, kusintha masomphenya.

Pamuamu yosakanizidwa ndi uchi imagwiritsidwa ntchito mkati ndikuthira maso kuti pakonzedwe kowoneka bwino.

A decoction of rhizomes of aus amamwa mosalekeza kwa miyezi iwiri iwiri kuti apititse patsogolo kuona komanso kutulutsa munga.

Sorelo yamahatchi opendedwa, nkhaka za peeled, maapulo a grated omwe amayikidwa m'maso amathandizira kuwona. Mazira otentha otentha owazidwa ndi shuga ndi mbatata zosaphika ndi zoyera za dzira zimakhalanso ndi vuto lofananalo.

M'malo mochita kudya cham'mawa, pezani masamba ophukira ndi zipatso tsiku ndi tsiku. Njira ya chithandizo ndi miyezi 1.5-2.

MALO OGULITSIRA. Masamba 4 mpaka 5 Bay masamba ndi madzi otentha mu chidebe. Tengani makapu 0,3 katatu patsiku ndi zowonongeka.

Ginseng amathandizira kuchiza matenda ambiri ndikuthandizanso kuona kwamaso.

Kudya fennel ufa ndi uchi kumathandiza kuti muzitha kuona.

Masomphenyawa atafooka usiku, ma lotion amachokera ku kulowetsedwa kwa zitsamba zotsatirazi amawaika m'maso: maluwa a calendula, petalser, ndi udzu wa eyebright amatengedwa chimodzimodzi. Chithandizo mpaka miyezi 6. Munthawi yamankhwala, sikulimbikitsidwa kuti muchepetse vuto lanu la maso kuti muwerenge kwa nthawi yayitali, kukumbira, etc.

Mitundu ndi zizindikiro

Ngati munthu amene ali ndi matenda a mtundu woyamba akumwa mowa kwambiri komanso ndudu, ndiye kuti akhoza kuyamba kumavutika kuona.

Ndi matenda amtundu 1, kuwonongeka kwa ntchito kumachitika nthawi zambiri kuposa mtundu wachiwiri.

Poyamba, masomphenya amatha kuwonongeka kwambiri chifukwa chodana ndi zakudya, kugwiritsa ntchito molakwika ndudu ndi mowa. Poyerekeza zakumbuyo yamatenda amtundu wachiwiri, kuwonongeka kowonekera kumachitika matenda oyambitsidwa asanapezeke, omwe adayambitsa kuwonongeka.

Kukula kwa matenda ashuga kumadzetsa zovuta zingapo. Zoyipa zazikulu ndi maso mu shuga ndi izi:

Backin retinopathy

Ngati retinopathy yapezeka kumbuyo, chithandizo chamankhwala chitha kupewedwa.

Amawerengedwa ngati gawo loyambirira pakukonzekera matenda. Zosintha mu fundus ndi shuga ndizochepa.

Zimakhudza ziwiya zazing'ono (capillaries, veins).

Ngakhale kuwonongeka kwa mitsempha yamagazi, kuwona sikunatayidwe, chifukwa chake, powunikira mosamala kuchuluka kwa shuga, kukula kwa matendawa kungathe kuyimitsidwa ndipo opaleshoni ikhoza kupewedwa.

Maculopathy

Zowonongeka zomwe zimagwirizanitsidwa ndi kuchuluka kwa mitsempha yamagazi yopweteka ndipo ndizowopsa. Mbali yodziwika ndi kupangidwa kwa magazi omwe amaphulika. Mitsempha yamagazi imawonedwa m'malo ovuta kwambiri otchedwa macula, momwe zopangira kuwala zimakhazikika. Kubwezeretsa kumatheka kokha mwa opaleshoni.

Glaucoma wa matenda ashuga

Kumapeto kwa matendawa, munthu amakhala ndi maso owonda.

Kuchulukana kwa madzimadzi m'diso kumapangitsa kuti magazi azitha. Zotengera, mitsempha zimatha, zomwe zimayambitsa kukula kwa khungu.

Pa gawo loyamba, munthu samakayikira chilichonse, palibe chizindikiro. Pambuyo pake, lakuthwa limatsika kwambiri, mumakhala mukuyang'ana mukuyang'ana chifunga. Anthu odwala matenda ashuga amamva mutu, amadzimva am'madzi komanso zilonda zake.

Popanda chithandizo chapadera, glaucoma imabweretsa kuwonongeka kwathunthu.

Njira zotupa

Malo otsekemera amalimbikitsa kukula kwa tizilombo tating'onoting'ono. Mu odwala matenda ashuga, matenda onse opatsirana komanso otupa amatuluka. Maso nawonso ndi osiyana. Maathithidwe amatha kukhala osiyana:

Blepharitis ndikutupa kwa chikope.
Balere ndimatumbo oyaka am'mimba.
Chalazion ndi njira yotupa yotupa mozungulira patali ya sebaceous kwa zaka zana.

Mavuto

kuchuluka kwa matendawa kungakhale iris rubeosis.

Matenda a shuga a matenda a shuga amaphatikizidwa ndi zovuta zina zowonjezera:

Kuphwanya kayendedwe ka maselo amwazi ndi michere mthupi lathu.
Kuwonjezeka kwa chiwerengero cha mabatani ang'onoang'ono.
Kukula ndi chiwonongeko cha mitsempha yam'mimba, mawonekedwe a magazi.
Rubeosis - kupangika, kuchepa kwa elasticity ndi mtima wosunthika.

Mu odwala matenda ashuga, kuchepa kwa chitetezo chokwanira kumawonedwa, chifukwa cha kupsinjika, matenda angayambitse matenda a kutupa.

Momwe mungabwezeretsere masomphenya?

Maziko a chithandizo cha ntchito yovomerezeka ndi chithandizo cha nthawi yake cha matenda ashuga, matenda a shuga. Poyimitsa chitukuko cha matendawa, mutha kukwaniritsa masomphenya abwino. Kuvuta kwa zizindikirazo kumakhudzanso chisankho cha mankhwala. Kumayambiriro, chithandizo chimachitika ndi mankhwala ndi kukonzekera kwa wowerengeka, mwachitsanzo, amayi, ovulala kwambiri, ndikofunikira kuchita opareshoni:

Glaucoma imayamba kuthandizidwa ndimankhwala a antihypertensive Drip, koma chithandizo chachikulu ndicho opareshoni. Mukamaliza, zimachitika bwino.
Kuwongolera masanjidwe am'matumbo ndikungongochita ntchito. Zotsatira zabwino zimakhudzidwa ndi kuchuluka kwa kuwonongeka kwa retinal mu shuga.
Ndi retinopathy, magawo a retinal laser othandizira amachitika. Koma ndi matenda osokoneza bongo omwe akupita patsogolo, kutero kungakhale kofunikira.

Kupewa

Kubwezeretsa kuwona kwa wodwala matenda ashuga ndikovuta kuposa kupewa kutsika kwake. Kupewa ndiko kuthana ndimatenda oyamba.

Ndikofunikira kuyendera kamodzi pachaka, makamaka 2, ofesi ya ophthalmologist, ndikutsatira malangizo a dokotala.

Choyimira chachikulu chikuyang'anabe shuga wamagazi, kuthamanga kwa magazi ndi kusiya zizolowezi zoyipa. Zizindikiro za shuga izi zimakhudza mwachindunji kuwonongeka kwamawonekedwe.

Matenda a shuga ndi masomphenya: Zizindikiro zakuwonongeka komanso kutayika

Odwala omwe ali ndi matenda ashuga amayenera kupita ku ophthalmologist pafupipafupi kuti apewe mavuto amawonedwe. Kupezeka kwamphamvu kwa shuga (shuga) m'magazi kumawonjezera mwayi wokhala ndi matenda amaso oyambitsidwa ndi matenda a shuga. M'malo mwake, nthendayi ndiyomwe yayambitsa chifukwa chomwe kutayika kwamunthu kumakhala pakati pa 20 mpaka 75 zaka.

Pamaso pa matenda a shuga ndi vuto ladzidzidzi ndi maso (mawonekedwe a chifunga), simuyenera kupita kuchipatala chamtunduwu kukagula magalasi. Vutoli limatha kukhala kwakanthawi, ndipo lingayambitse kuchuluka kwa shuga m'magazi.

Shuga wambiri m'magazi a shuga angayambitse edema ya lens, yomwe imakhudza kuthekera kuwona bwino. Kuti abweretse kuwona m'magawo ake oyambirirawo, wodwalayo ayenera kusintha kuchuluka kwa shuga m'magazi, omwe ayenera kukhala 90-130 mg / dl musanadye, ndipo maola 1-2 atatha kudya, ayenera kukhala osakwana 180 mg / dl (5-7.2 mmol / l ndi 10 mmol / l, motsatana).

Wodwala akangophunzira kuwongolera kuchuluka kwa shuga m'magazi, kuwona kumayamba kuyambiranso. Zitha kutenga miyezi itatu kuti muchiritse bwino.

Kuwona kolakwika m'matenda a shuga kumatha kukhala chizindikiro cha vuto lina lamaso - lalikulu kwambiri. Nayi mitundu itatu yamatenda amaso omwe amachitika mwa anthu omwe ali ndi matenda ashuga:

Matenda a shuga a retinopathy.
Glaucoma
Mphaka

Matenda a shuga a retinopathy

Gulu la maselo apadera omwe amasintha kuwala komwe kumadutsa mu mandala kupita kujambulani amatchedwa retina. Mitsempha ya m'maso kapena ya m'maso imafikitsa mauthenga ku ubongo.

Matenda a shuga a retinopathy amatanthauza zovuta zamtundu wamatumbo (zimagwirizanitsidwa ndi zovuta za mitsempha yamagazi) zomwe zimachitika m'matumbo a shuga.

Chotupa chamtunduwu chimachitika chifukwa cha kuwonongeka kwa ziwiya zazing'ono ndipo chimatchedwa microangiopathy. Microangiopathies imaphatikizapo kuwonongeka kwa mitsempha ya diabetes komanso matenda a impso.

Ngati mitsempha yayikulu yamagazi yawonongeka, matendawa amatchedwa macroangiopathy ndipo amaphatikizanso matenda oopsa monga stroko ndi myocardial infarction.

Maphunziro ambiri azachipatala atsimikizira kuyanjana kwa shuga wambiri ndi microangiopathy. Chifukwa chake, vutoli litha kuthetsedwa ndikupangitsa matenda a shuga m'magazi.

Matenda a shuga a shuga ndi omwe amayambitsa khungu kusawona. Kutalika kwa shuga kwa nthawi yayitali ndiye chinthu chachikulu chomwe chimayambitsa matenda a retinopathy. Munthu akadwala nthawi yayitali, amakhala ndi mwayi wokulirapo.

Ngati retinopathy sazindikira mu nthawi yake ndipo chithandizo sichinayambike nthawi, izi zitha kuchititsa khungu.

Retinopathy mwa ana omwe ali ndi matenda amtundu woyamba amakhala osowa kwambiri. Nthawi zambiri, matendawa amadziwonekera pambuyo pa kutha msinkhu.

Mu zaka zisanu zoyambirira za matenda ashuga, retinopathy samakonda kukhala achikulire. Ndi chiwopsezo cha matenda ashuga okha chomwe chiopsezo cha kuwonongeka kwa retinal chimawonjezeka.

Zofunika! Kuwunikira tsiku lililonse kuchuluka kwa shuga m'magazi kudzachepetsa kwambiri ngozi ya retinopathy.

Kafukufuku wambiri omwe adachitika ndi odwala omwe ali ndi matenda amtundu wa 1 asonyeza kuti odwala omwe adakwanitsa kuwongolera shuga m'magazi pogwiritsa ntchito jakisoni wa insulin komanso jakisoni wa insulin adachepetsa mwayi wokhala ndi nephropathy, kuwonongeka kwa mitsempha, komanso retinopathy ndi 50-75%.

Ma pathologies onsewa ndi okhudzana ndi microangiapathy. Odwala a shuga a Type 2 nthawi zambiri amakhala ndi mavuto amaso atapezeka. Kuti muchepetse kukula kwa retinopathy ndikuletsa ma ocular pathologies, muyenera kuyang'anira nthawi zonse:

shuga m'magazi
cholesterol mulingo
kuthamanga kwa magazi

Glaucoma wa matenda ashuga

Mu shuga mellitus, kutulutsa kwamphamvu kwa madzi amkati mwa intraocular kumatha. Chifukwa chake, amadziunjikira ndikuwonjezera kukakamira mkati mwa diso.

Izi zimatchedwa glaucoma. Kupsinjika kwamphamvu kumawononga mitsempha yamagazi ndi mitsempha ya diso, ndikupangitsa kuwonongeka kwa mawonekedwe.

Pali mtundu wina wa glaucoma wofala kwambiri, womwe mpaka nthawi ina umakhala asymptomatic.

Izi zimachitika mpaka matendawa atakula. Kenako pali kutaya kwakukulu kwamasomphenya.

Nthawi zambiri glaucoma imakhala ndi:

kupweteka m'maso
mutu
lacure
masomphenya osalala
halos kuzungulira magwero owala,
kutayika kokwanira kwamasomphenya.

Chithandizo cha matenda a shuga a glaucoma akhoza kukhala ndi izi:

kumwa mankhwala
kugwiritsa ntchito madontho amaso,
njira za laser
opaleshoni, matenda a maso.

Mavuto akulu amaso ndi matenda ashuga amatha kupewetsa kupenyerera pachaka ndi ophthalmologist chaka chino.

Gulu

Kutengera ndi gawo la matendawa, momwe masinthidwe am'magazi m'matumbo, komanso minyewa ya diso, gulu lotsatirali limalandiridwa:

Matenda a shuga
Prerolopathy matenda a shuga
kuchuluka odwala matenda ashuga retinopathy.

Njira yopititsira patsogolo

Gwero lalikulu lamphamvu yogwira ntchito mokwanira ndi thupi la glucose. Mothandizidwa ndi insulin, timadzi ta kapamba, timadzi tam'magazi timalowa m'maselo momwe timakonzekera. Mu shuga mellitus, pazifukwa zina, kuphwanya insulin katulutsidwe kumachitika. Shuga wosakonzedwa amadzaza m'magazi, chifukwa chomwe metabolic metabolism m'thupi amasokonezeka. Zimabweretsa kufalikira, kuwonongeka kwa mitsempha yamagazi ya ziwalo zosiyanasiyana, kuphatikizapo ziwalo zamasomphenya. Ngati kukonza kwa glucose okwanira mwa odwala omwe ali ndi matenda osokoneza bongo sikungayambike nthawi, ndiye kuti matenda a shuga amayamba kukula.

Zomwe zimachitika

Choyambitsa chachikulu cha matenda ndi kuchuluka kwa shuga m'magazi (shuga) kwa nthawi yayitali.

Nthawi zambiri, kuchuluka kwa shuga m'magazi sikuyenera kukwera pamwamba pa 5.5 mmol / L pamimba yopanda kanthu komanso 8.9 mmol / L atatha kudya.

Kuphatikiza apo, kupezeka kwa zinthu zothandizanso kwa odwala omwe ali ndi matenda a shuga kumakhudzanso kuchuluka kwa retinopathy. Sangathe kupangitsani kupangika koteroko, komanso kuwonjezera njira yake.

kuchuluka kwa magazi
kulimbitsa matenda oopsa (kuthamanga kwa magazi),
mimba
matenda osiyanasiyana a impso,
onenepa kwambiri
kusuta
mowa
zosintha zokhudzana ndi zaka mu mtima
chibadwa kutsimikiza.

Magawo a retinopathy

Njira yamatendawa masiku ano nthawi zambiri imagawika m'magulu anayi, iliyonse imatenga nthawi yayitali. Pali kusiyanasiyana - ndi matenda a shuga (ana) a shuga, kutha kwamawonedwe kumatha kuyamba miyezi ingapo.

Magawo a retinopathy mu matenda osokoneza bongo:

Ndine Art. chosatulutsa - chodziwika ndi kuwoneka kakang'ono kwakanthawi komwe capillaries ya retina imawonekeranso, komanso mawonekedwe a lipids olimba. Pakati penipeni pa fundus, pamatuluka zotupa. Kusintha kotereku kumatha kuonekeranso mu zigawo zakuya za retina, zopangidwira m'matumbo akuluakulu, mitsempha. Retina amatupa.
Luso Lachiwiri.preproliferative - kusintha kumakhala ndi mawonekedwe omveka. Zotengera zimatsekeka, kukhala zowonjezereka, kuwirikiza, makulidwe awo amasinthika mowoneka ndipo amatha kusintha. Chiwerengero cha zolimba ndi zotupa zokhazikika zimawonjezeka, njira zosasinthika zimachitika mu ulusi wamanjongo womwe ungayambitse necrosis yawo, ndikuwonjezera "thonje" latsopanolo. Retina, yomwe imasowa michere ndi mpweya chifukwa cha kuthamanga kwa magazi, imatumiza zikwangwani kuti zipangike ziwiya zatsopano (zonyansa).
Zojambula za III. kuchuluka - m'malo a hemorrhage fibrous minofu mitundu, magazi amalowa thupi vitreous. Zombo zowonda zachilendo zokhala ndi makoma osalimba, osalimba zimamera m'mbali mwa retina ndi thupi lanyama. Zombo zatsopano zomwe zimapangidwa nthawi zambiri zimapindika, zomwe zimayambitsa kukokanso kwa magazi, chifukwa chomwe retina imachoka. Kudziwika kwa neoplasms yotere mu iris ya maso kumatha kuyambitsa yachiwiri glaucoma.
IV Art. terminal - pafupipafupi ndi kuphatikiza vitreous hemorrhages block block. Kuchulukana kwa magazi komwe kumatambasulira minofu ya retina ndipo kungayambitse kutuluka kwake. Kuwonongeka kwamaso kumachitika pamene mandala amasiya kuyang'ana kuwala kwa macula.

Magawo oyamba a matendawa ndi asymptomatic. Pang'onopang'ono kuphwanya:

kuthamanga kwa "ntchentche" pamaso,
maonekedwe a "nyenyezi" ndi kuzimiririka pakuwala,

Izi ndi zizindikiro zoyambirira zomwe sizimapangitsa wodwala kapena kusasangalala. Mawonetseredwe achizindikiro oterewa amatengedwa chifukwa cha kutopa, samapatsidwa chidwi.

Kupweteka kwamaso, kuchepa kwa maonedwe acuity, komanso kuchepa kwake - Zizindikiro zakuchedwa, zimawonekera ndi kupitilira kwa matendawa pambuyo pake, pomwe njirayo yapita patali kwambiri kapena yasunthira kumalo osasinthika.

Zizindikiro zoterezi zikuwonetsa kuti munthu aliyense wathanzi amangofunika kuwona ndi ophthalmologist kamodzi pachaka, komanso kwa odwala omwe ali ndi matenda ashuga miyezi isanu ndi umodzi iliyonse kuti awonenso ziwalo zawo zamawonedwe. Izi zikuthandizani kuti muwone zizindikiro za chisokonezo kumayambiriro kwa matendawo, osadikirira mawonekedwe awonekera, pamene chithandizo cha mankhwala chingakhale kuti sichikuthandiza.

Zizindikiro

Akapita kwa ophthalmologist, dokotala amayesa kuwunika ziwalo zamasomphenya pogwiritsa ntchito maluso onse omwe amatha kuzindikira zizindikiro zoyambirira za matendawa, zimachitika popanda kuwonetsa zizindikiro zoyambirira.

Ma Visometry - kuyang'ana zithunzi zowoneka bwino pogwiritsa ntchito tebulo,
gonioscopy - Kapangidwe ka kagawo ka diso lililonse, ndi kuwonongeka kwa ziphuphu, kumasintha,
mwachindunji ndi kusiyanitsa ophthalmoscopy - kuyang'anira mandala, thupi lodziwikiratu kuti muwone bwino,
mayeso owunikira - kuwunika kwa choroid, kuwala kwamitsempha yamafuta, retina,
ophthalmochromoscopy - imathandiza kudziwa kusintha koyambirira kwa fundus,
biomicroscopy - kuwunika kwa mawonekedwe onse a maso ndi kuphatikiza kwawo mpaka nthawi 50-60 pogwiritsa ntchito nyali,
zachuma - muyeso wa intraocular anzawo.

Popeza matenda ashuga retinopathy amapezeka kumbuyo kwa kusokonezeka kwa kagayidwe kachakudya koyambitsa matenda obwera chifukwa cha matenda osokoneza bongo, wodwalayo amapatsidwa chithandizo chokwanira cha matenda ashuga omwe amayang'aniridwa ndi dokotala wamaso ndi endocrinologist. Ntchito yayikulu pakuthandizira kwa matenda ammimbayi imaseweredwa ndi zakudya zosankhidwa ndi insulin.

Chithandizo cha insulini cholinga chake ndi kulipitsa matenda a carbohydrate metabolism; amasankhidwa mosiyanasiyana. Njira yosankhidwa bwino ya insulin komanso kugwiritsidwa ntchito kwakanthawi kumachepetsa chiopsezo cha kuyambuka ndi kupitirira kwa njira ya pathological. Ndi endocrinologist wokhayo amene angasankhe njira yoyenera, mtundu wa insulin ndi mlingo wake, kutengera zotsatira za mayeso omwe amachitika mwapadera.Kuti muwongolere mankhwala a insulin, makamaka, wodwalayo ayenera kuyikidwa kuchipatala.

Mankhwala othandizira

Anthu omwe ali ndi matendawa ayenera kutsatira zakudya zoyenera, yomwe ndi njira imodzi yayikulu yovuta yogwiritsira ntchito.

Pazakudya musatchule:

shuga, m'malo mwake ndi m'malo mwa (xylitol, sorbitol),
kuphika ndi kuwononga makeke,
mkate woyamba ndi woyamba
nyama yamafuta, nsomba,
zotsekemera zotsekemera ndi ma curds, zonona,
ankasuta nyama
pasitala, semolina, mpunga,
mafuta msuzi, msuzi wophika mkaka ndi chimanga, Zakudyazi,
zokometsera zotentha, msuzi, zonunkhira,
zakumwa zozizilitsa kukhosi komanso zopanda mpweya, zakumwa, kuphatikizapo mphesa,
wokondedwa, ayisikilimu, kupanikizana

imvi, mkate wabwino kwambiri, komanso buledi
Mitundu yamafuta ochepa nyama, nkhuku, nsomba - yophika ndi michere,
nguluwe, oat, kapena barele ya ngale (chifukwa cha kuletsa mkate),
tsiku lomwe simuyenera kudya mazira awiri kapena owiritsa,
tchizi, wowawasa wowawasa m'mitundu yambiri,
zipatso, monga ma cranberries, wakuda wakudya kapena zipatso zoperewera, maapulo omwe sanagulidwe, koma osaposa magalamu 200 patsiku,
phwetekere ndi zipatso zina zopanda zipatso ndi mabulosi,
khofi imayenera kusinthidwa ndi chicory.

Chofunika kwambiri ndi phytodiet. Odwala omwe ali ndi matenda osokoneza bongo, acidization amapezeka m'thupi, chifukwa chake kugwiritsa ntchito masamba omwe ali ndi alkalizing akulimbikitsidwa:

Imwani kapu ya birch mu theka lagalasi mpaka katatu patsiku, mphindi khumi ndi zisanu musanadye.

Mankhwala

Mankhwala, malo akuluakulu amakhala:

magazi cholesterol kutsitsa mankhwala
anabolic steroids
antioxidants
mavitamini
angioprotectors
immunostimulants
zopatsa mphamvu za biogenic,
michere
kukana mankhwala
coenzymes ndi ena.
Hypocholesterolemic mankhwala:
kumachikon
missterron.

Mankhwalawa amalimbikitsidwa kuti azigwiritsidwa ntchito mu matenda a shuga a retinopathy, omwe amapezeka pamodzi ndi atherosulinosis.

Angioprotectors:
zilonda zapakhosi
Parmidin
Doxium
Dicinone "kapena" Etamsylate,
wamkulu
pentoxifylline.
Zochizira za prrolifative siteji yamatenda, mankhwala "Phosphaden" amagwiritsidwa ntchito, omwe amasintha hemodynamics, zomwe zimachitika pang'onopang'ono ndipo zimapangitsa kagayidwe kachakudya.
Mphamvu ya immunomodulating kumayambiriro kwa matendawa imatheka ndi kugwiritsa ntchito piritsi la Levomesil, ndi jakisoni Tactivin ndi Prodigiosan.
Mavitamini a gulu B, C, E, R.
Kubwezeretsa ndikuwongolera kagayidwe kazinthu m'maso: kukonzekera "Taufon", "Emoksipin".
Intraocular makonzedwe a enzyme kukonzekera "Lidaza", "Gemaza" amagwiritsidwa ntchito pamaso pa zotupa zotupa.

Zotsatira zapamwamba zamankhwala zimatheka pogwiritsa ntchito zida zamagalasi za Sidorenko zolimbitsa thupi, zomwe ndizoyenera kugwiritsa ntchito kunyumba, zomwe zimapangitsa kuti magazi azikhala ndi magazi.

Tsoka ilo, chithandizo cha mankhwala chitha kukhala chothandiza magawo oyamba a mtundu wa retinopathy. Pambuyo pake chitukuko, laser mankhwala imagwiritsidwa ntchito.

Kuphatikiza kwa laser kumakupatsani mwayi kuti muchepetse kapena ngakhale kuyimitsa kuchuluka kwa zombo zomwe zangopangidwa kumene, kumalimbitsa makoma awo ndikuchepetsa kupenyerera pang'ono. Kuthekera kwa kukanidwa kwa retinal kumachepetsedwa.

Ndi mawonekedwe apamwamba a matenda a shuga a retinopathy, opaleshoni ndiyofunikira - vit sahihi.

Kutulutsidwa kwa zoopsa: kukhazikika kwa kulemera kwa thupi, chithandizo cha matenda oopsa, kukana mowa komanso kusuta kumathandizira kubwezeretsa njira za metabolic, kumawonjezera zotsatira zamankhwala.

Zizindikiro za matenda ashuga retinopathy, matenda

ShugaManWomenSomenShuga yanu kapena sankhani jenda kuti mupeze ndemangaLevel0.58 Kuyang'ana osapezedwaTchulani zaka za manAge45 KusakaNot anapezaYambirani zaka za mkaziAge45

The pathogenesis of diabetesic retinopathy ndi zizindikiro zake zimatengera kuuma kwa matendawa, nthawi zambiri odwala matenda ashuga amadandaula za kuyenderera ozungulira kapena midges m'maso, kusawona bwino, khungu nthawi ndi nthawi. Chofunikira ndikutsimikiza kuti mtundu wa masomphenya umadalira kuchuluka kwa shuga m'magazi.

Kumayambiriro kwa matendawa, kusokonezeka kowonekera sikudziwika kwa wodwala; vutoli limatha kupezeka pokhapokha ngati mwazindikira. Wodwala aliyense yemwe ali ndi matenda a shuga a mtundu woyamba ndi wachiwiri ayenera kuyang'aniridwa ndi kuyang'aniridwa ndi adotolo, makamaka uyu ndi endocrinologist, ophthalmologist ndi psychapist.

Kuzindikira kwa retinopathy mwa odwala matenda a shuga kumapangidwa motengera:

kudandaula madandaulo a mtundu wotsika wamawonedwe,
kuyang'ana kwa fundus ndi ophthalmoscope.

Njira ya ophthalmoscopy imapangitsa kuti zidziwike kukhalapo kwa kusintha kwa ma pathological mu fundus. Kusiyanitsa matenda osiyanasiyana kumathandizira kusiyanitsa matenda a shuga a retinopathy ndi mavuto ena amaso.

Maphunziro ena a ophthalmological ndi kutsimikiza kwa mapangidwe a intraocular, biomicroscopy ya ziwalo zakunja zamawonedwe. Kujambula zithunzi za fundus ndikuwonetsedwanso, izi ndizofunikira kulemba zosintha m'maso. Kuphatikiza apo, adotolo amakupatsani mtundu wa angiography kuti mupeze malo atsopano omwe amatulutsa timadzi timene timayambitsa timadzi tambiri.

Mothandizidwa ndi nyali yoyenda, kuphunzira kumachitika - lens biomicroscopy, zomwe ndi, zitha kuwerengeka pa intaneti.

Chithandizo cha wowerengeka azitsamba, zakudya zowonjezera zakudya

Matenda a shuga ndi retinopathy amathandizidwanso m'njira zina, odwala ena amapatsidwa njira yothandizira pazakudya. Tsopano pamashelefu ammalo ogulitsa zamankhwala muli zakudya zambiri zowonjezera zopangira zoweta. Glucosil akhoza kukhala mankhwala, ayenera kuledzera katatu patsiku pakudya, nthawi yayitali ya chithandizo kuchokera miyezi itatu. Monga gawo la mankhwala, akupanga azomera mankhwala, kufufuza zinthu, bioadditive kumathandizira kuyamwa kwa shuga.

Zizindikiro za matenda ashuga retinopathy amathandizidwa ndi phytosarves Arfazetin, Sadifit. Gramu imodzi ya mankhwala ili ndi 0,2 ga masamba a stevia, masamba a nyemba, mphukira za mabulosi, Mzere wa artichoke, komanso 0,15 g wa tiyi wobiriwira, 0,05 g wa peppermint. Fitosbor kutsanulira 300 ml ya madzi otentha, kukulunga ndi thaulo ndikukakamira kwa mphindi 60. Tengani kulowetsedwa katatu patsiku mu theka lagalasi, tikulimbikitsidwa kutenga maphunziro athunthu - masiku 20-30.

Ngati wodwala ali ndi prinifosicos wosakhazikika, adadziwika kuti Arfazetin, mankhwalawa amakhala ndi mankhwala a chamomile, udzu wa St. M`pofunika kutsanulira 2 magawo a mankhwala ndi madzi otentha, muzimva kutentha 2 pa tsiku musanadye. Kutalika kwa chithandizo ndi mwezi umodzi.

Mukachulukana ndi kutuluka kwamadzi, kuphatikiza kosiyanasiyana kudzakhala kothandiza, tifunika kuchita motere:

masamba a msondodzi,
mizu ya burdock
masamba a peppermint
masamba a nanonberry,
kupindika
mabulosi.

Kuphatikizikako kumaphatikizanso nettle, knotweed, masamba a nyemba, amaranth, Yerusalemu artichoke, udzu wa mbuzi .. supuni ya chopereka imathiridwa ndi 500 ml ya madzi otentha, omangidwira kwa ola limodzi, osasankhidwa, otengedwa mu kapu itatu katatu patsiku.

Kuwonongeka kwa mashuga m'matenda a shuga: chithandizo cha fundus

Matenda a shuga a retinopathy ndi amodzi mwa zovuta za matendawa, chifukwa chomwe kuwonongeka kwa maso kumachitika mu shuga. "Matenda a maso" ndizovuta zam'mimba, ndipo zimakhazikika pakuwonongeka kwa ziwiya zazing'ono kwambiri.

Matenda a shuga amatchedwa endocrine matenda, omwe amadziwika ndi shuga wambiri m'thupi la munthu. Pathology imadziwika ndi njira yayitali, komanso kukula kwa zovuta zowopsa.

Kuwona m'matenda a shuga kumachepa kwambiri, ndipo kusinthika kosasintha kumachitika mu kusanthula kowoneka, chifukwa chomwe mawonekedwe amaso amasokonezedwa - fundus, retina, thupi lapamwamba, mitsempha yamagalasi, magalasi, omwe ali oyipa kwambiri kwa gawo la masomphenya.

Mukuyenera kuganizira za matenda amaso omwe ali ndi matenda ashuga a 2? Momwe mungasungire mawonekedwe ndi kuteteza maso anu? Kodi opaleshoni ya maso ndikuti abwezeretse bwanji masomphenya?

Kusintha kwa mashuga m'matenda a shuga kumachitika pang'onopang'ono, ndipo poyamba munthu saona kusintha kulikonse m'malingaliro ake. Monga lamulo, kupenya kwa odwala kumadwalirabe, kulibe ululu m'maso ndi zizindikiro zina zomwe njira zamatenda zayamba.

Komabe, ngati pali chophimba pamaso pa maso, chomwe chitha kuchitika mwadzidzidzi nthawi iliyonse, "mawanga" pamaso, kapena zovuta zamtunduwu zawonekera, ichi ndi umboni kuti zamankhwala zayamba kupita patsogolo, ndipo pakhala kusintha pa fundus yokhala ndi matenda a shuga.

Matenda a shuga akangopezeka kumene, dokotalayo amalimbikitsa kuti wodwalayo apite kukawona dokotala wamaso kuti akawone. Kuunika koteroko kuyenera kuchitika chaka chilichonse pofuna kupewa zovuta zamaso mu nthawi.

Njira zoyeserera masomphenya zimaphatikizapo mfundo izi:

Acuity owoneka amayendera, malire ake amafotokozedwa.
Pansi pamaso amayesedwa.
Kupanikizika kwa intraocular kumayeza.
Ultrasound ya diso (kawirikawiri).

Ndizofunikira kudziwa kuti mawonetsero ocular a shuga mellitus amapezeka kwambiri mwa odwala omwe ali ndi mbiri yayitali ya matendawa. Malinga ndi ziwerengero, atatha zaka 25 akulimbana ndi matenda am'mimba, kuchuluka kwa zomwe matenda amaso amakumana ndi matenda a shuga kumayandikira.

Zosintha mu fundus ndi matenda ashuga sizichedwa kuchepa. Poyamba, wodwalayo amatha kumva kuwonongeka pang'ono kowonekera, kowoneka bwino, "ntchentche" pamaso pake.

Pakapita nthawi, vutoli limachulukirachulukira, monganso zizindikiro zake: mawonekedwe a wodwalayo amachepetsa kwambiri, sikuti amasiyanitsa zinthu. Ngati mumanyalanyaza izi, ndiye kuti kuwonongeka kwa mashuga mu shuga ndi nkhani ya nthawi.

Ndiyenera kunena kuti muzochitika zambiri, njira zowonongeka zowonekera zimatha kuzindikira pakapita nthawi.

Mwambiri, mwa odwala ambiri, chizindikiro cha kuchepa kwa masomphenyawo chimawonedwa kale panthawi yazindikiritso.

Retina ndi gulu la maselo apadera m'thupi la munthu omwe amatembenukira ku kuwala ndikupita kujambulidwa. Maso kapena mitsempha ya maso ndi njira yotumizira zidziwitso, ndikuwongolera ku ubongo.

Matenda a shuga a retinopathy amadziwika ndi kusintha kwamatumbo a fundus, kuphwanya magwiridwe antchito amitsempha yamagazi, omwe amayamba chifukwa cha matenda omwe amapezeka kale.

Kutsika kwa mashuga m'matenda a shuga kumachitika chifukwa chakuti zombo zazing'ono zimawonongeka, ndipo matendawa amatchedwa microangiopathy. Microangiopathy imaphatikizapo zovuta za mitsempha ya shuga, komanso matenda a impso. Pazomwe zowonongeka m'mitsempha yayikulu yamagazi zinachitika, matenda amatchedwa macroangiopathy, ndipo amaphatikizanso matenda otere - kugunda kwa mtima ndi sitiroko.

Kafukufuku wokhudzana ndi zovuta za matenda "okoma" adawonetsa kuti pali mgwirizano weniweni pakati pa matendawa ndi microangiopathy. Pokhudzana ndi ubale womwe wakhazikitsidwa, yankho linapezeka. Kuti muchiritse wodwalayo, muyenera kusintha zomwe zili shuga m'thupi lake.

Zotsatira za matenda ashuga retinopathy:

Mtundu wachiwiri wa matenda ashuga, matenda ashuga retinopathy angapangitse kusintha kwamitsempha yamagazi osasinthika, zomwe zimapangitsa kuti anthu asaone bwino matenda ashuga.
Kutalikirana kwambiri kwa zam'madzi kumayambira, kumakhala kuthekera kwakukula kwamaso.
Ngati njira yotupa siyikuwoneka munthawi yake, ndipo njira zingapo zomwe zikuthandizira kukonza masanjidwe sizinatenge, ndiye kuti ndizosatheka kuteteza wodwalayo kuti asachite khungu.

Ndikofunika kudziwa kuti retinopathy mwa odwala achinyamata omwe ali ndi mtundu woyamba wa matenda amapezeka kawirikawiri kwambiri. Nthawi zambiri, zamatsenga zimadziwonekera ndendende nthawi ya kutha.

Odwala ambiri ali ndi chidwi chofuna kuteteza maso anu ndi matenda ashuga. Kuteteza maso anu ndikofunikira kuyambira nthawi yomwe chizindikirocho chimapezeka. Ndipo njira yokhayo yomwe imathandizira kupewa zovuta ndikuwongolera shuga la magazi, kuwasunga pamlingo wofunikira.

Kafukufuku wachipatala akuwonetsa kuti ngati mukulamulira shuga wanu, kutsatira malingaliro onse a dotolo, idyani moyenera, khalani ndi moyo wakhama ndikuyendera pafupipafupi katswiri wa ophthalmologist, mutha kuchepetsa mwayi wopanga matenda ndi 70%.

Backin retinopathy imadziwika chifukwa chakuti kuwonongeka kwa mitsempha yaying'ono ya m'magazi kulibe zizindikiro zowonongeka. Pakadali pano, kuwongolera kuchuluka kwa gluu m'thupi ndikofunikira kwambiri. Izi zimathandizira kupatula chitukuko cha ma endology ena ammaso, ndipo sizimalola kumbuyo retinopathy kupita patsogolo. Fundus, makamaka zotengera zake, zimasintha mu miyendo.

Maculopathy Pakadali pano, wodwalayo amawulula zotupa m'malo ovuta kwambiri otchedwa macula. Chifukwa chakuti kuwonongeka kunapangidwa pamalo ovuta, omwe ali ndi chofunikira pakuwona kwathunthu, kuchepa kwamphamvu kwamawonedwe.

Proliferative retinopathy imadziwika ndi mapangidwe amitsempha yatsopano ya magazi pazithunzi zakumaso kwa chiwalo chowoneka. Chifukwa chakuti nthendayi imakhala yophatikizira shuga, imayamba chifukwa cha kuperewera kwa oxygen kwa mitsempha yamagazi yosokonezeka. Fundus ndi malo omwe ali kumbuyo kwa gawo la diso asinthidwa moyipa.

Makatoni amatchedwa kuti khungu lamaso amdima, lomwe limakhala loonekera bwino. Kudzera pamagalasi, munthu amatha kusiyanitsa pakati pazinthu ndikuyang'ana chithunzicho.

Ngati simumaganizira kuti zitha kupezeka ndi anthu athanzi labwino, odwala matenda ashuga amadziwika kale kwambiri, ngakhale ali ndi zaka 20-25. Ndi makulidwe amtundu wa maso, maso sangayang'ane zithunzi. Zizindikiro za matenda amtunduwu ndi motere:

Munthu amawona kudzera pa chifunga.
Kusazindikira kwamaso.

Muzochitika zambiri, kuti mubwezeretse masomphenya, muyenera m'malo mwake mandala osauka ndikulowetsedwa. Kenako, kuti tisinthe kaonedwe kathu, munthu ayenera kuvala magalasi oyenera kapena magalasi.

Ndi zovuta za matenda a maso, wodwala matenda ashuga amatha kutaya magazi m'maso (monga chithunzi). Chipinda chamkati chimadzaza ndimagazi, katundu pamaso amawonjezereka, masomphenya amachepetsa kwambiri ndikukhalabe otsika kwa masiku angapo.

Diso likadzaza ndi magazi, ndikofunikira kuti mupite kwa dokotala tsiku lomwelo kuti musatenge zovuta zina.

Dokotala wopezekapo amasanthula maso ndi makomedwe, ndikupereka nthawi yomwe ingathandize kusintha masomphenya.

Zoyenera kuchita ngati masomphenya ayamba kutsika, ndipo ndi njira ziti zochiritsira zomwe zingabwezeretse, odwala adzifunsa? Chithandizo cha maso kwa matenda ashuga chimayamba ndi kukula kwa zakudya komanso kukonza matenda.

Odwala amayenera kuwonetsetsa kuchuluka kwa shuga mthupi, kumwa mankhwala ochepetsa shuga, ndikuwunika kagayidwe kazinthu. Komabe, pakadali pano chithandizo chovuta kwambiri sichokwanira.

Kutupa kwa laser kwa retina kumatchedwa njira yamakono yochizira matenda ashuga retinopathy. Chitetezo chimachitika pang'onopang'ono pansi pa mankhwala ochititsa dzanzi, kutalika kwa njirayi sikupitilira mphindi zisanu.

Kubera, monga lamulo, kumagawika magawo awiri. Zonse zimatengera kuchuluka kwa kuwonongeka kwa fundus, ndi kuphwanya kwamitsempha yamagazi.Njirayi imathandizanso kubwezeretsa kuwona kwa odwala.

Chithandizo cha matenda a shuga a glaucoma ndi motere:

Kumwa mankhwala.
Madontho amaso akulimbikitsidwa.
Njira ya laser.
Kuthandizira opaleshoni.

Vitenessomy ndi njira yogwiritsira ntchito yomwe imagwiritsidwa ntchito kukoka kwa magazi m'thupi la vitreous, kufinya kwa retina, komanso kuvulala kwambiri kwa katswiri wazophatikizira zotsutsana ndi matenda a shuga.

Ndizoyenera kunena kuti kulowererapo kumachitika pokhapokha ngati sizotheka kuchititsa kubwezeretsa masomphenya ndi zina. Opereshoni imachitidwa pansi pa opaleshoni yotupa.

Pamaso pake pamayenera kudulidwa m'malo atatu, chifukwa chomwe malo amatulutsidwa omwe amalola adokotala kuti azitha kuyendetsa retina ndi mphamvu zake. The vitreous amachotsedwa kwathunthu ndi njira yopukutira, ndipo minyewa ya m'magazi, zipsera, ndi magazi amachotsedwa. Kenako, njirayi imachitidwa pa retina.

Ngati wodwalayo ali ndi mawonekedwe owonetsa ndi matenda a shuga, simuyenera kutaya nthawi mukukhulupirira kuti zonse zidzangochitika zokha. Simungathe kudzisinkhasinkha, palibe phindu limodzi lomwe lingapereke yankho pazomwe mungathetsere vutoli. Ndikofunikira kufunsa dokotala mwachangu, kenako kuthandizira kuwona.

Kupewa, komwe kumathandiza kupewa zovuta m'maso kapena kuletsa kupitilizabe, ndikuphatikiza kugwiritsa ntchito vitamini. Monga lamulo, amalimbikitsidwa kumayambiriro kwa matendawa, pakadali lakuthwa masomphenya, ndipo palibe chisonyezo cha opareshoni.

Alphabet Diabetes - mavitamini a diabetes omwe amapangitsa kuti masomphenya azikhala bwino, amaphatikizanso zinthu zina. Mlingo nthawi zonse umasankhidwa ndi dokotala, momwe wodwalayo alili, zovuta zomwe zikuwonekera, komanso ziwonetsero zamagazi a Laborator zimawaganiziridwa.

Mtundu wachiwiri wa matenda ashuga umakhudza kadyedwe kena, ndipo sizotheka nthawi zonse kupeza mavitamini onse ofunikira komanso zothandiza pazakudya. Doppelherz Asset - vitamini ndi mchere wopangira zinthu zomwe zimathandizira kuteteza zida zowonekera pochotsa ma buliberries, lutein, beta-carotene, zithandiza kuti mudzaze.

Odwala omwe ali ndi matenda a shuga amachepetsa kwambiri zovuta za ocular ngati amawongolera shuga wamagazi ndipo amayang'aniridwa pafupipafupi ndi ophthalmologist. Kanemayo munkhaniyi akupitiliza mutu wamavuto amisala.

Matenda a shuga ndi endocrine pathology, owonetsedwa ndi kuwonjezeka kwa shuga m'magazi. Matendawa amadziwika ndi njira yayitali komanso kukula kwa zovuta zazikulu.

Kusintha kosintha komwe kumachitika mu chosanthula chowoneka: pafupifupi mawonekedwe onse amaso amakhudzidwa - thupi lamphamvu, retina, mandala, mitsempha ya maso.

Matenda a shuga a retinopathy ndi omwe amachititsa kuti mtima ukhale wovuta chifukwa cha matenda a shuga. Pamtima pa matenda amaso awa ndi kuwonongeka kwa ziwiya zazing'ono.

Pokonza matenda amaso mu shuga, magawo angapo amadziwika:

Kuchulukanso kwamitsempha yamagazi.
Kubala kwawo.
Kuzindikira kwa magazi kupita kwa retina.
Hypoxia mu tiziwalo timaso.
Kukula mumaso a zombo "zofooka" zatsopano.
Kutupa kwam'mimba.
Puckering ndi retinal contraction.
Kubwezeretsanso kwina.
Kuwonongeka kosasintha kwa matenda ashuga.

Matenda a maso nthawi zambiri amakhala asymptomatic komanso osapweteka konse. Zizindikiro za matenda ashuga retinopathy ndi awa:

Poyambirira - chophimba pamaso, zovuta pantchito ndi kuwerenga ngakhale pafupi, malo oyandama ndi "goosebumps" kutsogolo kwa maso, kusawona bwino kwa matenda ashuga.
Kumapeto kwambiri - kuchepa kwakukhungu kwamaso.

Anthu ambiri omwe ali ndi matenda ashuga amawonetsa kuwonongeka kwakanthawi panthawi yodziwitsa.

Mitundu yayikulu ya kuwonongeka kwa maso mu odwala matenda ashuga:

Backin retinopathy imadziwika ndi kuwonongeka kwakukulu m'mitsempha ya m'mimba mwa retina ndikusungidwa kwa masomphenya.

Maculopathy imawonetsedwa ndikuwonongeka kwa malo ovuta - macula. Mtundu uwu wa retinopathy umadziwika ndi kuchepa kwa masomphenya a shuga.

Ndi prinositive retinopathy, mitsempha yatsopano ya magazi mu retina imakula. Chomwe chimapangitsa izi ndi kusowa kwa mpweya m'matumbo amaso omwe amakhudzidwa ndi maso, omwe amayamba kuwonda komanso kutsekeka nthawi yayitali. Mwachikhalidwe, mtundu wamatendawa umawonetsedwa ndi kuchepa kwa masomphenya.

Kuzindikiritsa zotupa zam'maso mu shuga kumachitika pamodzi ndi ophthalmologists ndi akatswiri a matenda ashuga.

Njira zazikulu zodziwira matenda:

Kufufuza mwachangu ndi akatswiri a maso.
Ophthalmoscopy
Biomicroscopy
Ma Visometry
Perimetry.
Fluorescence angiography.

Kuzindikira koyambirira kokha kungathandize kuyimitsa chitukuko cha matenda amaso mu shuga ndikupangitsa kuwona.

Chithandizo cha matenda ashuga odwala matenda am'maso amayamba ndi matenda a shuga komanso kukonza matenda a metabolic. Odwala ayenera kuyang'anira shuga wamagazi nthawi zonse, kumwa mankhwala ochepetsa shuga ndikuwongolera kagayidwe kazakudya.

Kusamalira maso kwa odwala matenda ashuga pakadali pano sikuwoneka ngati osathandiza, makamaka pakakhala zovuta zazikulu.

Laser retinal coagulation ndi njira yamakono yothandizira matenda ashuga retinopathy. Opaleshoniyo imachitika pang'onopang'ono pansi pa mankhwala oletsa ululu kwa mphindi 5. Opaleshoni imachitidwa mu magawo a 1 kapena 2, omwe amatsimikiziridwa ndi kuchuluka kwa kuwonongeka kwa fundus. Izi zimathandiza kwambiri pakubwezeretsa masomphenya.

Pali njira zamakono za izi: transpiliary lansectomy kapena ultrasound phacoemulsification. Pogwiritsa ntchito njirazi, ma katoni a kukhwima kulikonse amachotsedwa, ndipo magalasi ochita kupanga amawaikiratu kudzera munjira zochepa.

LASIK masomphenya kukonza kwa matenda ashuga ndi contraindicated kwa odwala ambiri ndipo zitha kuchitika pokhapokha ngati avomerezedwa ndi omwe amakuthandizani pazaumoyo.

Njira zodzitetezera kuti muchepetse kukula kwa matenda ashuga retinopathy kapena kuyimitsa kupitilira kwake ndikuphatikizira kugwiritsa ntchito madontho a vitamini m'maso. Amalembedwa koyambirira kwa matenda amkati, pomwe palibe chisonyezo choti opaleshoni ingachitike ndipo mawonekedwe abwinobwino amawonongeka.

Madontho odziwika kwambiri a matenda ashuga ndi awa: Taufon, Senkatalin, Quinax, Catalin, Oftan-Katahrom, Vitafakol. Iliyonse yaiwo imakhala ndi michere, mavitamini, kufufuza zinthu, ma amino acid omwe amathandizira mawonekedwe onse a maso.

Mavitamini omwe amakonzekera shuga ayenera kukhala ndi mavitamini C, A, E, B1, B2, B6, zinc, chromium, lutein, zeaxanthin, anthocyanins ndi antioxidants ena. Mavitamini amaso sayenera kukhala ndi shuga. Werengani zambiri za mavitamini a shuga m'mutu uno.

Alphabet Diabetes ndi mavitamini ovuta kwambiri kwa anthu odwala matenda ashuga okhala ndi zomera zam'mimba, mavitamini, mchere, mankhwala opatsirana ndi lipic acid. Ndikofunikira kuti muchepetse zovuta. Mlingo wa mankhwalawa amasankhidwa ndi endocrinologist poganizira kuchuluka kwa magazi ndi zomwe wodwalayo ali nazo.
"Doppelherz Chuma cha odwala omwe ali ndi matenda ashuga" ndi njira yokonzekera mavitamini omwe amabwezeretsanso kuchepa kwawo mthupi ndikuwongolera kagayidwe kazinthu. Kugwiritsidwa ntchito kwanthaŵi yayitali kumakongoletsa mkhalidwe wa odwala omwe ali ndi matenda ashuga. Ophthalmo-DiabetoVit zovuta za kampani yomweyo ndizoyenera.
"Alphabet Opticum" imakhala ndi zinthu zofunikira thupi lonse, komanso ntchito yofananira ndimaso - mabulosi am'mimba, lycopene, lutein, beta-carotene. Mankhwalawa ali ndi kuchuluka kwa mavitamini E ndi B2, omwe amathandiza kwambiri kuteteza ndi kubwezeretsa masomphenya.

Ndikotheka kuti muchepetse kukula kwa matenda ashuga retinopathy ndikuwonetsetsa mashuga amtundu wa 2 powona kadyedwe, kusintha magazi m'magazi kuti akhale abwinobwino komanso kumwa mankhwala a antiidiabetes.

Weixin Wu, Wu Ling. Matenda a shuga: mawonekedwe atsopano. Moscow - St. Petersburg, yofalitsa nyumba "Neva Publishing House", "OL-MA-Press", 2000., masamba 157, kufalitsa makope 7000. Kusindikizidwanso kwa buku lomwelo, Healing Recipes: Shuga. Moscow - St. Petersburg. Nyumba Yosindikiza "Neva Publishing House", "OLMA-Press", 2002, masamba 157, kufalitsa makope 10,000.
Balabolkin M.I., Klebanova E.M., Kreminskaya V.M. Funderalal and clinical thyroidology, Medicine - M., 2013. - 816 p.
C. Kilo, J. Williamson “Matenda a shuga ndi otani? Mfundo ndi malingaliro. ” M, Mir, 1993

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Ndani amakhudzidwa?

Monga lamulo, zomwe zikufotokozedwazo zimawonekera mwa anthu azaka zapakatikati ndi achikulire popanda kutchulapo jenda. Pathology imakhudza ziwalo zowoneka za omwe ali ndi matenda ashuga kwa zaka zopitilira 20. Odwala omwe ali ndi mtundu wa 2 matenda a shuga okalamba, retinopathy amapezeka theka.

Mulingo wambiri wa matenda ashuga retinopathy siwowonjezera:

kusapeza bwino m'maso
kuwonongeka kwapadera kwamaso, mpaka kwakanthawi kwakhungu,
madontho a magazi pakhungu
kumva mutaphimbidwa pamaso, mawonekedwe a madontho akuda m'munda wamaso, kulephera kuwerenga ndi kulemba.

Zofunika! Zizindikirozi zikaonekera, muyenera kupita kukaonana ndi akatswiri a zamankhwala ndikuwunikira shuga wamagazi pafupipafupi.

Matenda a shuga a retinopathy chifukwa chosagwirizana ndi zomwe zimachitika panthawi yake amayambitsa zovuta zingapo:

Kuchulukitsa kwapanikizika,
Hemophthalmus chifukwa chomwe magazi amalowa ndi mandala,
Khungu chifukwa cha retina chakumaso.

Pathogenesis ya retinopathy imatha kuwoneka m'chithunzichi:

Magawo a matenda

Gawo losakondera: koyambirira kwa chitukuko cha matenda. Kuyamba kwa njira zowonongeka kwa capillaries zomwe zimadyetsa retina ya ocular ya maso onse awiri. Zombo zazing'ono nthawi zonse zimawonongedwa. Chifukwa chazinthu zowonongeka, makoma a capillaries amathanso kuvomerezedwa, chifukwa omwe mawonekedwe a retinal amapangidwa.
Gawo loyambira: m'malo osasokoneza, gawo ili litha kukhala chothandizira kwambiri pakusintha kosintha kwa chinthu chowoneka. Pali mbali zambiri za hemorrhage komanso madera athunthu a isularia ocular, madzimadzi amayamba kudziunjikira kumaso. Ndipofunika kuti mpweya wabwino wambiri uyambike.
Kukula: Pakadali pano pakupanga matenda a pathology, kufalikira kwamphamvu kwa maukonde amitsempha yatsopano kumachitika, kotero thupi limayesetsa kusintha njira zowonongeka kuti ziperekenso mpweya ndi michere. Zombo zatsopano zimapangidwa zofooka, komanso sizitha kuthana ndi ntchito yawo, zimangotulutsa foci yatsopano ya hemorrhage. Chifukwa cha magazi omwe amalowa mu retina, minyewa yam'mimbayo imakwera kwambiri, ndipo gawo lamkati mwa lingwe lamkati lamaso (macula) limatupa.
Gawo lachigawopomwe njira zosasinthika zimachitika. Pa gawo lomwe tafotokozalo, zotupa m'malowo ndizotheka. Mitsempha yamagazi imapanga zigawo zambiri zamagazi, zomwe zimapangitsanso retina, kuipitsa ndikuyambitsa njira yokanira. Zomwe zimachitika pakadali pano sizolimbikitsa, chifukwa ma lens pakapita nthawi amataya mwayi wowunika ma macula ndipo wodwala amataya pang'ono pang'ono, mpaka khungu.

Palinso gulu la retinopathy malinga ndi kuwonongeka kwa retina:

Zosavuta: Mtunduwu umadziwika ndi microdamage ku mitsempha yamagazi. Ophthalmoscopy amatanthauzidwa ngati madontho ofiira ochepa, kukhalapo kwake komwe sikunatsimikizidwe popanda zida,

Zochepa: kuchuluka kwa microdamages kumawonjezeka, kuchuluka kwa mitsempha kumawonjezeka, zizindikiro za retinal hypoxia zimawonekera,

Zachikulu: microscopic hemorrhages amapanga dera lonse la retina. Gawo lalikulu la ma capillaries amaso amasiya kugwira ntchito. Kufunsana mwachangu ndi ophthalmologist ndikofunikira.

Njira zoyesera

Vutoli limazindikiridwa ndi ophthalmologist ndipo limakhala ndi zotsatirazi:

Kuyendera ma eyel ndi ma eye eyebr,
Makani kukhathamira pakati,
Biomicroscopy wa anterior eyeball
Kuyesa kwa macula ndi mitsempha ya m'maso,
Kuyang'anira chithunzi,
Ophthalmoscopy - mwachindunji ndikusintha,
Kuyendera thupi lamphamvu.

Kuthandizira kwamankhwala

Chithandizo chitha kukhala ndi zigawo zingapo zochizira monga:

Jakisoni wamaso
Laser coagulation: cauterization ya retina ndi laser. Cauterization salola zotengera zatsopano kukula mkati mwa diso. Njirayi imasunga masomphenya ngakhale kwa iwo omwe ali ndi retinopathy kwa zaka zopitilira 10,
Vitenessomy imaphatikizapo kuchotsa pang'ono kwa vitreous. Chifukwa cha izi, kukhulupirika kwa chigoba chamkati kumabwezeretseka.

Pomaliza

Retinopathy - owopsa matenda a shuga. Masinthidwe osinthika mu gawo la masomphenyawo osasinthiratu amasintha.

Chifukwa chake, musanyalanyaze upangiri wa ophthalmologist, kuyang'anira kuyang'ana kwa maso ndi kudya kwa odwala matenda ashuga.

Mphaka ndi shuga

Zachidziwikire, zovuta zamatumbo zimatha kukhala pafupi ndi munthu aliyense, koma odwala omwe ali ndi matenda osokoneza bongo, kuphwanya kuwonekera kwa mandala kumadziwika kale.

Matendawa pawokha amakula msanga.

Glaucoma ndi matenda ashuga

Nthawi zambiri, zizindikiro za intraocular matenda oopsa zimakhalapo mpaka glaucoma itadutsa kwambiri. Pankhaniyi, kutayika kwamaso kudzakhala kwakukulu.

Nthawi zambiri zizindikiro za glaucoma zimawonekera kumayambiriro kwa matendawa, zimaphatikizira kupweteka m'maso, kupweteka kwa mutu, kuchepa kwa khungu, kusawona bwino, kusazindikira, ma glaucomatous halos omwe amapezeka mozungulira kuwala.

Mitundu ya retinopathy mu shuga

Mu shuga mellitus, mitundu yotsatila ya zotupa imatha kujowina:

Maculopathy ndi owopsa chifukwa amawononga gawo lofunika kwambiri la retina, lotchedwa macula.Chifukwa chakuti dera lino limayang'anira masomphenya omveka bwino, ma acuity ake amatha kuchepetsedwa kwambiri.
Retinopathy yakumbuyo imachitika pamene mitsempha yamagazi yowonongeka. Ntchito yamasomphenya siyivutika. Pakadali pano, ndikofunikira kwambiri kuti muchepetse glycemia, chifukwa izi zithandiza kupewa kutalika kwa matendawa ndikuchepetsa kuwona kwa chidwi.
Proliferative retinopathy imagwirizanitsidwa ndi kuchuluka kwa ziwiya zatsopano za pathological pakhoma lakumbuyo yamaso. Njirayi imagwirizanitsidwa ndi ischemia ndi kusowa kwa mpweya m'derali. Zombo za m'matumbo nthawi zambiri zimakhala zoonda, zimakonda kukoka ndi kukonzanso.

Zizindikiro zoyambira

Njira zoyeserera masomphenya zimaphatikizapo mfundo izi:

Acuity owoneka amayendera, malire ake amafotokozedwa.
Pansi pamaso amayesedwa.
Kupanikizika kwa intraocular kumayeza.
Ultrasound ya diso (kawirikawiri).

Zosintha mu fundus ndi matenda ashuga sizichedwa kuchepa. Poyamba, wodwalayo amatha kumva kuwonongeka pang'ono kowonekera, kowoneka bwino, "ntchentche" pamaso pake.

Ndiyenera kunena kuti muzochitika zambiri, njira zowonongeka zowonekera zimatha kuzindikira pakapita nthawi.

Mwambiri, mwa odwala ambiri, chizindikiro cha kuchepa kwa masomphenyawo chimawonedwa kale panthawi yazindikiritso.

Pali mitundu yanji ya matenda?

Makatoni amatchedwa kuti khungu lamaso amdima, lomwe limakhala loonekera bwino. Kudzera pamagalasi, munthu amatha kusiyanitsa pakati pazinthu ndikuyang'ana chithunzicho.

Munthu amawona kudzera pa chifunga.
Kusazindikira kwamaso.

Muzochitika zambiri, kuti mubwezeretse masomphenya, muyenera m'malo mwake mandala osauka ndikulowetsedwa. Kenako, kuti tisinthe kaonedwe kathu, munthu ayenera kuvala magalasi oyenera kapena magalasi.

Diso likadzaza ndi magazi, ndikofunikira kuti mupite kwa dokotala tsiku lomwelo kuti musatenge zovuta zina.

Dokotala wopezekapo amasanthula maso ndi makomedwe, ndikupereka nthawi yomwe ingathandize kusintha masomphenya.

Odwala amayenera kuwonetsetsa kuchuluka kwa shuga mthupi, kumwa mankhwala ochepetsa shuga, ndikuwunika kagayidwe kazinthu. Komabe, pakadali pano chithandizo chovuta kwambiri sichokwanira.

Kubera, monga lamulo, kumagawika magawo awiri. Zonse zimatengera kuchuluka kwa kuwonongeka kwa fundus, ndi kuphwanya kwamitsempha yamagazi. Njirayi imathandizanso kubwezeretsa kuwona kwa odwala.

Chithandizo cha matenda a shuga a glaucoma ndi motere:

Kumwa mankhwala.
Madontho amaso akulimbikitsidwa.
Njira ya laser.
Kuthandizira opaleshoni.

Ndizoyenera kunena kuti kulowererapo kumachitika pokhapokha ngati sizotheka kuchititsa kubwezeretsa masomphenya ndi zina. Opereshoni imachitidwa pansi pa opaleshoni yotupa.

Pamaso pake pamayenera kudulidwa m'malo atatu, chifukwa chomwe malo amatulutsidwa omwe amalola adokotala kuti azitha kuyendetsa retina ndi mphamvu zake. The vitreous amachotsedwa kwathunthu ndi njira yopukutira, ndipo minyewa ya m'magazi, zipsera, ndi magazi amachotsedwa. Kenako, njirayi imachitidwa pa retina.

Kodi mungadziteteze bwanji?

Alphabet Diabetes - mavitamini a diabetes omwe amapangitsa kuti masomphenya azikhala bwino, amaphatikizanso zinthu zina.Mlingo nthawi zonse umasankhidwa ndi dokotala, momwe wodwalayo alili, zovuta zomwe zikuwonekera, komanso ziwonetsero zamagazi a Laborator zimawaganiziridwa.

Odwala omwe ali ndi matenda a shuga amachepetsa kwambiri zovuta za ocular ngati amawongolera shuga wamagazi ndipo amayang'aniridwa pafupipafupi ndi ophthalmologist. Nkhaniyi ipitiliza mutu wa mavuto ammaso mu shuga.

Zoyambitsa zowonongeka mu shuga

Pathology ya retina m'maso onse omwe ali ndi matenda ashuga ndi zovuta zomwe zimachitika mu 90% ya milandu. Nthawi zambiri anthu omwe akudwala matendawa amawonongeka. Matenda a shuga a retinopathy ndi matenda omwe amapita patsogolo nthawi zonse omwe amavuta kwambiri kuzindikira m'magawo oyamba. Matendawa akamakula, odwala amakhala ndi zithunzi zosawoneka bwino, maonekedwe a khungu lawo ndi mawanga pamaso. Zizindikirozi zimachitika chifukwa cha kusintha kwa ziphuphu zakumaso - mawonekedwe akunja a maso. Pakapita kanthawi, masomphenya amachepa kwambiri ndipo pang'onopang'ono amachititsa khungu.

Zombo zatsopano zomwe zimapezeka mu diabetesic retinopathy zimakhala zosalimba, zimadziwika ndi:

kukula msanga
yogwira pophika magazi,
makoma owonda osanjikiza amodzi,
fragility yayikulu, yomwe imatsogolera kutaya kwamkati m'maso mwa munthu.

Kugundika kwamwazi komwe kumalowa mu vitreous kumayambitsa kukulitsa kwa minyewa ya minofu, yomwe imapangitsa khungu lonse.

Kodi retinopathy imachokera kuti?
Zoyenera kuchita ngati chotengera cha maso chaphulika

Kuyamba kwa khungu kumachitika osati munthawi ya hemophthalmus. Kungayambitsenso kutulutsidwa kwa mapuloteni am'madzi m'magazi omwe amakula, pomwe kusintha kosasintha kwa retina ndi corneal pathology kumatsata. Kuwona kwapakati kumakhudzidwa chifukwa cha kufalikira kwa retina, komwe kumachitika chifukwa chakuchepetsedwa kosalekeza kwa mawonekedwe am'magazi omwe amakhala m'sitima zaposachedwa komanso mu mitsempha ya optic. Minofu yowonda imacheperachepera kukula, ndikukulitsa chiwopsezo cha zotumphukira za diso, zomwe zimayambitsa kubwerezanso kwa hemophthalmus. Kuphatikizika kwa zochitika izi kumalongosola zotsatira zosasangalatsa kwambiri za chitukuko cha matenda ashuga retinopathy. Monga lamulo, kuwonongeka kwakuthupi sikungapeweke, koma kulowererapo kwakanthawi kumathandiza kupewa khungu lonse.

Magawo a shuga a retinopathy

Ophthalmologists amasiyanitsa mitundu itatu ya kukula kwa matendawo, malingana ndi kusintha kwa ziphuphu za diso:

Gawo losakondera,
Gawo loyambira,
Kukula gawo.

Gawo loyamba (losakhazikika) - matendawa ali pachiyambi penipeni pa chitukuko. Mwazi womwe umapezeka m'magazi a wodwala matenda ashuga, umapangitsa kuchuluka kwa zotupa zam'mimba m'diso. Pankhaniyi, njira zotupa m'mimba zimayamba, zotsatira zake zomwe ndi kuwonjezeka kwa micaneurysms. Zizindikiro zoyambirira za tsambali ndi redness pafupi ndi cornea, yomwe imayambitsa edema. Ngati, chifukwa cha kusayenda bwino kwa ziwiya, chidacho sichidangolowa m'mbali zokha, komanso gawo lapakati la patular retina, kuwonekera kwa macular kumawonekera. Gawoli limatha kukhala zaka zingapo popanda mawonekedwe owoneka komanso kuwonongeka kwa mawonekedwe.

Gawo lachiwiri (preroliferative) la matenda ashuga retinopathy. Monga gawo loyamba, sapezeka kwambiri kawirikawiri, malinga ndi ziwerengero - mwa 5-8% milandu. Gulu lamavuto ndi odwala owonera kwakanthawi, komanso odwala matenda ashuga omwe ali ndi vuto la Optic atrophy. Pakadali pano, kuwonongeka kowonekera kwayamba kale kuwonekera, ophthalmologist amatha kuwona kusintha kwa fundus.Pa nthawi iyi ya matendawa, diso la retina limakumana ndi vuto la okosijeni, lomwe ndi ma venous pathologies angayambitse hemorrhagic kugunda kwa mtima.

Gawo lachitatu (lochulukitsa) limadziwika ndi kufooka kwa magazi. Njira yogwira ntchito yomera zombo zatsopano imayamba chifukwa cha njala. Macular edema imawonedwa, chomwe ndi chifukwa chozizira kwambiri m'masomphenyawo.

Kodi anthu omwe ali ndi matenda ashuga angapewe khungu lathunthu?

Kwenikweni, anthu omwe ali ndi nthawi yayitali yodwala matenda a shuga amawonongeka chifukwa cha kuwonongeka kwa retina ndi ziphuphu zakumaso, zomwe zimasiyana mosiyanasiyana. Akatswiri adawonetsa kuti 15% ya anthu odwala matenda ashuga anali ndi zizindikiro zochepa za matenda ashuga retinopathy. Mu odwala matenda ashuga omwe ali ndi matenda opitilira zaka 5, Zizindikiro zidapezeka mwa anthu 29 mwa 100. Mwa anthu omwe ali ndi matenda ashuga omwe ali ndi zaka 10 mpaka 15, mwa 50% milandu, mwazidziwitso, matendawa adapezeka. Mapeto ake amadzitsimikizira - munthu atadwala matenda a shuga, mwayi wotaya kuwona umawonjezeka.

Zinthu zomwe zimawononga kwambiri kuwonongeka kwa zithunzi zowoneka bwino ndi izi:

matenda a corular cornea,
kagayidwe kachakudya
kusuta ndi kumwa mowa
mkhalidwe wapadera wa mkazi (pakati),
Matendawa azigwirizana ndi wachibale aliyense (majini),
magawo osiyanasiyana onenepa,
kuchuluka kwa mafuta ochulukirapo,
Matenda a impso.
vutoli mu lipids yamagazi,
kuchuluka kosalekeza kwa kuthamanga kwa magazi ndi kuchuluka kwa mtima wamagazi.

Komabe, kuwunikira komanso kuwongolera kuchuluka kwa shuga m'magazi mwakutsatira zakudya zoyenera kwa inu, komanso kukhala ndi moyo wathanzi, kugwiritsa ntchito mitundu ingapo ya mavitamini ndi michere kuti muthandizire kuwona bwino kudzachepetsa chiopsezo cha khungu chifukwa cha matenda ashuga.

Ndikofunikira kudziwa kuti kupewa komanso kupewetsa chidwi kwambiri komwe kumachitika pakuyang'ana kwa munthu yemwe ali ndi matenda ashuga ndi endocrinologist ndi ophthalmologist. Kutsatira upangiri wawo ndi malingaliro awo, mutha kuyamba "kukonza" masomphenya anu bwino nthawi, kapena osayambitsa matenda.

Kuwala m'maso, kapena Photopsia

Uku ndikunamizira kowoneka bwino m'maso pa kuwala, cheza, mphete zowala, mizere ndi zina zotero. Kawirikawiri, izi zimachitika chifukwa cha kukondoweza kwa ma neuroreceptors a retina, ndi magawo ena a owunikira mawonekedwe. Izi ndizimodzi mwazinthu zamitundu mitundu, zomwe zimalumikizidwa ndi dzina lodziwika bwino - "entopic".

Photopsia imachitika ndi kukwiya kwa magetsi kapena makina kwa madera osanthula zithunzi, omwe amatchedwa "phosphenes". Amatha kuchitika ngati mukulimbira pakona lakunja kapena lamkati. Matendawa amatha kuchitika chifukwa chotupa kapena kufinya kwa retina, chorioditis, kuwonongeka kwa mitsempha ya maso.

Ndi kutuluka kwakutali kwambiri m'maso, simuyenera kuganiza kuti izi ndi kutopa kapena mwangolingalira, muyenera kufunsa katswiri wamaso.

Chophimba pamaso pamaso

Chophimba pamaso pake chikuwonetsedwa ndi kutayika kwa kuwala ndi kumveka kwa chithunzicho. Chizindikiro ichi chiri ndi etiology yosiyana. Mu matenda a shuga a retinopathy, zochitika zoterezi zimatha kusiyanasiyana komanso nthawi yayitali.

Chophimba pamaso pamaso - chizindikiritso chomveka bwino kuti muyenera kuwona dokotala