Amayambitsa, Zizindikiro ndi Chithandizo cha matenda ashuga a Encephalopathy

Matenda a diabetes a encephalopathy amadziwika ngati chindapusa cha maselo aubongo omwe amapanga motsutsana ndi maziko a matenda ashuga. Nthawi zina, matenda am'mawonekedwe amadziwoneka ngati kupweteka kwapafupipafupi, ndipo ena kumabweretsa kudwala kovuta kwambiri. Mutha kupewa zovuta zoopsa za matendawa podziwa zomwe zimayambitsa ndi momwe zimachitikira, komanso njira zopewera.

Zamoyo

Kuwonjezeka kwakukulu kwa shuga m'magazi, komwe kumadziwika kwa nthawi yayitali, kumapangitsa njira zosasintha mu ubongo. Chifukwa chowonjezeka mamasukidwe akachulukidwe ka magazi, ziwiya zimasinthika - makoma awo amatha kuzimiririka, kapena amakhala ofooka komanso osakhazikika. Zonsezi zimadzetsa kusayenda bwino, chifukwa chomwe mbali zina za ubongo zimayamba kufa ndi mpweya.

Chifukwa cha zovuta za metabolic, poizoni amadziunjikira m'magazi, omwe nthawi zambiri amayenera kutayidwa kuchokera m'thupi. Zotsatira zomaliza zamachitidwe amtunduwu zimalowa mu ubongo ndikukulitsa vutolo. Poyamba, mitsempha ina imatha, ndipo pambuyo pake, ngati magazi ake satuluka, amafa kotheratu. Kulingalira kwambiri mu ubongo, kumapangitsa mkhalidwe wa munthu kukula.

Kuphatikiza pa kuchuluka kwa shuga m'magazi, zovuta zina zimadziwika, munjira zambiri zimawonjezera mwayi wokhala ndi matenda a encephalopathy mu shuga mellitus:

• bongo - kusuta fodya komanso kumwa mowa mwauchidakwa,
• ukalamba
• kuchuluka kwa mndandanda
• atherosulinotic mtima matenda,
• kuthamanga kwa magazi
• aakulu aimpso kulephera
• kusintha kwa dystrophic kumutu.

Tsoka ilo, ndizosatheka kutsimikiza kuti matenda ashuga sangayambitse mavuto akulu ndi magazi kupita ku ubongo, chifukwa ngakhale njira yofatsa ya matendawa imakhudza kugwira ntchito kwa ziwalo zonse. Kukhala ndi mbiri yamavuto am'magazi a shuga, mulibe vuto lililonse kuti musanyalanyaze mankhwala omwe mumamwa komanso kudya, chifukwa izi ndizodzaza ndi kuchuluka kwa magazi m'thupi, zomwe zimapangitsa kuti magazi azikhala ndi mitsempha yamagazi komanso chiwopsezo cha matenda a shuga. kuchuluka.

Pathogenesis ndi magawo a matendawa

Pa mtima wa matenda ashuga encephalopathy ndi zovuta zonse zovuta za metabolic. Matenda a mtima omwe amayamba chifukwa cha microangiopathy amakhudzanso matenda a m'magazi, kupangitsa hypoxia ya maselo aubongo. Njira za pathobiochemical zophatikizira hyperglycemia zimayambitsa anaerobic glycolysis, zomwe zimasandulika kukhala mphamvu yanjala yamitsempha.

Zotsatira za ma free radicals zimakhudza ziwalo zam'mimba, ndipo maonekedwe a glycosylated hemoglobin amaletsa maselo am'magazi a michere. Kulephera kwa Hypoxia ndi metabolic kumayambitsa kufa kwa maselo a muubongo, pomwe munthawi yomweyo amapanga zosokoneza kapena kusintha kwazing'ono kwa organical cortex. Chifukwa cha kuwonongeka kwa kulumikizana kwa neural, ntchito yanzeru imayamba kuwonongeka pang'onopang'ono. Madokotala amasiyanitsa magawo atatu a encephalopathy mu shuga:

1. Poyamba. Choyamba, kudumpha mu kuthamanga kwa magazi kumadziwika, wodwalayo amadandaula za kupweteka mutu pafupipafupi, mumdima m'maso, kumva kutopa ndi kutopa. Nthawi zambiri, zizindikiro zotere zimafotokozedwa molakwika ndi nyengo yoyipa, zaka, kapena vegetovascular dystonia.
2. Wachiwiri. Mutu nthawi zambiri umakhala wokhazikika, kukumbukira kwakanthawi kochepa sikumatha, munthu akhoza kukumana ndi mavuto poyang'ana malo. Nthawi zambiri zizindikiro za dongosolo la mitsempha yolowa nawo - ophunzirawa amakhudzidwa ndikapepuka, malankhulidwe ndi nkhope yake zimasokonekera. Monga lamulo, ndi pa nthawi imeneyi kuti omwe ali pafupi ndi okondwerera akuyamba kuwomba.
3. Chachitatu. Chizindikiro cha mtima wam'mimba chimatchulidwa. Wodwala amadwala matenda osowa tulo komanso nkhawa. Pakadali pano, kukula kwatsopano kwa chidziwitso chatsopano ndi maluso ndizosatheka.

Chithunzi cha kuchipatala

Njira yachilengedwe samachitika mwachangu. Munthu akadali wachichepere, zizindikiro zoyambirira za matenda ashuga a m'mimba nthawi zambiri zimadzipangitsa kumverera pambuyo pakuwukira kwa hypo- ndi hyperglycemic. Kwa anthu okalamba, zizindikiro za matendawa zimatchulidwa kwambiri pambuyo pa sitiroko.

Zizindikiro za pathology ndizosadziwikazimaphatikizira kuwonongeka kwa chizindikiritso, asthenic syndrome, zovuta za neurotic ndi kulephera kwamitsempha. Kumayambiriro kwa matendawa, munthu amalimbana ndi zofooka. Wodwalayo amadandaula za mutu, akumawoneka kuda nkhawa komanso mavuto ndi kupsinjika.

Mkhalidwe wofanana ndi wa neurosis umachitika chifukwa cha mitundu yambiri ya psychogenic komanso somatic. Zochita za wodwalayo zimacheperachepera, iye amangoganizira za matenda omwe alipo, kuvutitsidwa kwamomwe kumachitika nthawi zambiri. Pafupifupi 40% ya odwala omwe amalumikizana ndi dokotala amapezeka ndi matenda a kukhumudwa. Mwina chitukuko cha hysterical, nkhawa-phobic ndi manic.

Kwa asthenic syndrome, Zizindikiro zake zimakhala zowopsa, zopanda chidwi, zovuta za vegetovascular, kukomoka chifukwa cha kusokonezeka kwakanthawi kwa magazi. Mavuto azindikiritso amadziwika ndi kuwonongeka mu zochitika zamaganizidwe ndi zosokoneza. Zizindikiro zowoneka bwino zimawonetsedwa ndi kuchepa kwa kutembenuka, anisocoria (ma diameter osiyana a ophunzira), ataxia (chizungulire, mavuto ndi mgwirizano) komanso kuperewera kwa piramidi (kufooka kwa malekezero apansi ndi apamwamba, kufooka kwa minofu).

Njira zoyesera

Kuzindikira koyenera kumatha kupangidwa kokha ndi katswiri wa zamitsempha potengera zotsatira zakuwunika kwa wodwalayo. Kuti tiwone momwe masinthidwe amathandizidwe komanso zochita zanu za thupi zimapangidwira pokhapokha ngati mwazindikira. kuphatikiza njira izi:

1. Electroencephalography. Zimawonetsa kusintha kosiyanasiyana m'zinthu zamphesa. Kuchepetsa kwa phokoso la alpha ndi kupezeka kwa mafunde abwinobwino a theta ndi ma delta alembedwa.
2. Magnetic resonance imaging ya ubongo. Pa gawo loyambirira la matendawa, kupatuka sikudziwika. Pambuyo pake, zozama zazing'ono zamachitidwe osintha-atrophic zimapezeka.
3. Phunziro la matenda a ubongo. Imapangidwa pogwiritsa ntchito kupanga kabuku kabuku, angiography ndi rheoencephalography.

Kuyesedwa kwa Laborator kumapereka mwayi wowunikira mtundu wamatenda a metabolic, omwe kuchuluka kwa shuga, lipids, insulin ndi cholesterol amatsimikiza. Kusiyanitsa kofunikira ndikofunikira kuti musatenge zilonda zam'mimba komanso chotupa cha bongo.

Njira yakuchiritsira

Madokotala a matenda amitsempha yamagazi komanso (mpaka pang'ono) amtundu wa endocrinologists amathandizira pa matenda a shuga. Chofunika kwambiri pakuchipeza bwino ndikusunga shuga wokwanira m'magazi. Izi zitha kuchitika potsatira zakudya zomwe dokotala amatulutsa komanso kumwa mankhwala ochepetsa shuga pa nthawi. Odwala omwe apezeka ndi mtundu wa matenda a shuga 1 amawonetsedwa ndi insulin.

Kuti kukhazikika kwa mitsempha ya m'magazi komanso kuonjezera kukana kwa ma neuron ku hypoxia, chithandizo chamitsempha chonse chimachitika potsatira kugwiritsa ntchito mankhwala osokoneza bongo a vasoactive, cerebroprotective, antioxidant ndi antiplatelet. Wodwalayo adapangidwanso mavitamini, othandizira mphamvu kagayidwe.

Ngati pali zovuta zodziwika ndi ntchito zamagalimoto, ndiye kuti wodwalayo akulimbikitsidwa kumwa mankhwala a anticholinesterase. Malinga ndi zikuwonetsa, mankhwala osokoneza bongo a antihypertensive ndi antisulinotic ochokera pagulu la statins amaphatikizidwa mu maphunziro othandizira. Ma Vasodilators amathandizira kusintha kwamtundu wam'magazi ndikuchotsa kukwera kwamphamvu kwa magazi kuthana ndi vuto la mtima.

Chithandizo cha zovuta zama neurotic ndi psychotic level chimafuna kusankha koyenera kwa mankhwala, chifukwa ma sedative samawonetsedwa mwanjira yabwino pazidziwitso za munthu. Zomwe zimagwiritsidwa ntchito kwambiri ndi tranquilizer atypical. Zingakhale zothandiza kukaonana ndi akatswiri azamisala.

Zovuta zotheka

Kuopsa kwa zovuta mu encephalopathy kumakhudzana mwachindunji ndi msinkhu wa munthu komanso kuchuluka kwa kunyalanyaza kwa matenda. Njira yabwino yochizira imapangitsa kuti ubongo ukhale wautali nthawi yayitali, osawopa kuwonongeka mwadzidzidzi. Ndikofunikira kuti wodwalayo asalandidwe ntchito.

Koma ngati chithandizo chinayambika mochedwa, ndikutheka kwakukulu matendawa amatsogolera ku zovuta zambiri zamanjenje. Pakapita nthawi, wodwalayo amayamba kuchita khungu; Pamene matenda akupita patsogolo, ubongo umayamba kutaya ntchito zake, munthu amalephera. Mwina chitukuko cha matenda ashuga a m'mimba omwe ali ndi vuto lalikulu m'maganizo, pomwe wodwala amakhala ndi zowonera m'maganizo, malingaliro osokonekera, kusachita bwino kumawonedwa.

Njira zopewera

Popeza ngakhale zizindikiritso zing'onozing'ono za encephalopathy zimatha kuyambitsa munthu zovuta zambiri, yankho lolondola ndikuletsa izi zovuta za matenda ashuga. Njira imodzi yothandiza kwambiri yopewera ndikusunga shuga wa magazi pamlingo wovomerezeka ndikutsatira malangizo a dokotala anu pankhani ya zakudya za tsiku ndi tsiku. Zakudya za wodwala ziyenera kukhala ndizogulitsa zomwe zimakhala ndi cholembera cha glycemic chochepa. Kudya pafupipafupi ma plums, tomato, tsabola wofiira, adyo ndi anyezi, mutha kuwongolera momwe magwiridwe antchito amayendera ndipo potero mudziteteza ku kuwononga ubongo.

Zamasamba ndi zipatso zomwe zimakhala ndi chomera chachikulu chofera ndikuwongolera kuthamanga kwa magazi ndizothandiza kwambiri kwa odwala matenda ashuga. Mutha kuchepetsa chiwopsezo cha matenda ashuga a shuga ngati mutadya supuni zingapo za mafuta a maolivi a vitamini E olemera tsiku lililonse.

Onse odwala matenda ashuga, makamaka omwe ali ndi vuto la mtima komanso magazi, ayenera kuiwala za ndudu ndi mowa. Zachidziwikire, simungathe kuchita popanda kuchita masewera olimbitsa thupi. Kuyenda mu mpweya watsopano kumapangitsa magazi kuzungulira ziwalo zonse. Kuti zovuta zolimbitsa thupi zisawononge thanzi, ndikofunikira kugwirizanitsa ma nuances onse ndi katswiri woyenera.

Matenda a diabetes a encephalopathy ndi njira yowoneka bwino, ndizosatheka kuthana mpaka kumapeto ndi chikhumbo chonse. Matendawa amatengera kudera lomwe matendawa anapangidwira, komanso kuopsa kwa matendawo. Wodwala akamayamba kuchita zinthu mwachangu, pamakhala mwayi woti achepetse kupitiliza kwa encephalopathy ndikukhala ndi moyo wabwino kwanthawi yayitali.