Glaucoma mu shuga: zimayambitsa chitukuko, chithandizo, opareshoni

Glaucoma ndi matenda amaso amodzi ndi kukhathamira kwa mitsempha. Zizindikiro zowonjezera mphamvu zimakhala nthawi kapena nthawi zonse ndipo zimafotokozedwa ndi kuthekera kwa kutuluka kwachilengedwe kwa diso.

Zotsatira za kuphwanya koteroko ndikuwongolera kwa mitsempha ya optic ndikuwoneka ndi zolakwika zingapo zowoneka.

Mankhwala a glaucoma a shuga ayenera kuyambika atangozindikira, apo ayi sizingatheke kubwezeretsa mawonekedwe.

Makhalidwe a matenda

Ndi retinopathy mu matenda ashuga, maukonde azitima zatsopano amakula mu khungu la diso. Izi ndizomwe zimatchedwa "iris rubeosis." Chifukwa cha izi, njira yayikulu yotuluka kuchokera kumaso imatsekeka.

Madokotala amatcha mtunduwu wa glaucoma sekondale, chifukwa zimagwirizanitsidwa ndi sitima zatsopano.

Ili ndi vuto lalikulu kwa odwala matenda ashuga, omwe nthawi zambiri kumabweretsa khungu lathunthu .

Mwazi wamatenda akulu ndimomwe umayambitsa kusowa kwamawonedwe. Kuchokera apa mutha kudziwa momwe matenda ashuga amakhudzira malingaliro a wodwala.

Ngati, mutatha kugwiritsa ntchito mankhwala am'deralo, kupanikizika mkati mwa diso sikubwerera kwachizolowezi, pakufunika opaleshoni. Ntchito yoperekera opaleshoni ndikusintha kukakamiza kwa intraocular popanga njira ina yopangira chinyontho.

Kuyang'anira kuyeserera kwa intraocular kungalepheretse kudwala kwa matenda komanso mawonekedwe a glaucoma.

Choyamba, adrenergic blockers ndi omwe amapatsidwa. Awa ndi timolol, betaxolol, pilocarpine, latanoprost ndi ena.

Nthawi zambiri, madontho a 025% kapena 0,5% a timolol amagwiritsidwa ntchito, omwe amagulitsidwa pamsika wamankhwala ogulitsa mankhwala pansi pa mayina osiyanasiyana ogulitsa. Izi ndi zakol, glimol, arutimol ndi ena.

Kugwiritsa ntchito timolol kungapangitse kuti pakhale kusintha kwa mawonekedwe osiyanasiyana monga lacrimation, kumverera koyaka ndi kuyabwa m'maso. Zotsatira zoyipa zazikulu ndizotheka:

  • Kutsitsa zimachitika ochepa.
  • Kuchepa kwa kugunda kwa mtima.
  • Kufooka ndi chizungulire.
  • Kupuma pang'ono.
  • Kulephera chifukwa cha kupuma chifukwa cha kuphipha kwa bronchial spasm.

    Kutsitsa kuthamanga kwa magazi ndi kugunda kwa mtima kumatha kuwonjezereka potenga othandizira a calcium.

    Mankhwala

    Chithandizo cha mankhwala a glaucoma mu matenda ashuga imakhudza mbali zitatu:

    Nthawi zina, glaucoma mu matenda a shuga amakhala limodzi ndi matenda ena - matenda a pakhungu. Uku ndi kuthambalala kwa mandala amaso, omwe tafotokozera mwatsatanetsatane apa. Ndi matenda awa, chithandizo cha opaleshoni chikuwonetsedwa, chomwe chimaphatikizapo kuchotsedwa kwa cataract, anti-glaucomatous kulowererapo, kukhazikika kwa mandala a intraocular.

    Njira yotetezeka kwambiri ndi chithandizo cha laser.

    Kuchita bwino pochiza matenda a glaucoma m'matenda a shuga kumatengera makamaka pamene matendawa apezeka ndipo mankhwalawa ayamba. Pachifukwachi, ndikofunikira kuti munthu aliyense azikapita kuchipatala chaka chilichonse patatha zaka 40.

    Kufufuza pafupipafupi kwaubwino ndiye njira yofunika yosungira mtsogolo.

    Mukamabwezeretsa zowoneka mu diabetes mitundu yosiyanasiyana ya chithandizo cha opaleshoni imagwiritsidwa ntchito:

    GNSE - sclerectomy yosagwira

    Pambuyo pa opaleshoni, mulingo wa intraocular fluid umasinthika mkati mwa diso. Kuchitapo kanthu kumatengera luso lapadera. Ndi chithandizo chake, palibe chifukwa chodutsa kuchokera potuluka chinyezi kuchokera kumkono wa chipinda chakunja cha diso.

    Pakupanga opaleshoni, dokotala wa opaleshoni amatha gawo limodzi la nembanemba yomwe yakhudzidwa, yomwe imadziwika ndi kukana kwachilengedwe. Panthawi imeneyi, ma collagen drains amatha kuikidwira, ntchito yawo ndikupewa kusintha kwa njira yotulutsa madzi.

    Monga tafotokozera pamwambapa, glaucoma mwa odwala omwe ali ndi matenda ashuga nthawi zambiri amakhala limodzi ndi chitukuko cha matenda amkati. Mwanjira imeneyi, dokotala wochita opaleshoniyo nthawi yomweyo amachotsa matenda amkati ndikuchita opaleshoni yothandizira glaucoma.

    Ntchito ya dotolo pamenepa ndikuchepetsa kuthamanga mkati mwa diso. Kuti izi zitheke, njira ina imapangidwira momwe chinyezi cha intraocular chimayendera. Ndala yapadera ya intraoculatory imayikidwanso.

    Chithandizo cha laser cha glaucoma mwa odwala matenda a shuga ndi njira yothandiza kwambiri. makamaka kumayambiriro kwa matendawa. Nthawi zina, laser imathandizira ndi gawo lachitatu.

    Kufunika kogwiritsa ntchito mankhwalawa kumatanthauza adokotala atapima mayeso. Opaleshoni ya laser siyowopsa komanso yopweteka.

    Amalembera odwala matenda ashuga omwe ali ndi matenda ena achilendo, mwachitsanzo, a mtima dongosolo, musculoskeletal system ndi ena.

    Opaleshoni yamtunduwu ndiye otetezeka kwambiri ndipo amakupatsani mwayi wowonjezera ntchito.

    Kuteteza Kwa Glaucoma

    Pofuna kupewa kuwoneka glaucoma mu matenda ashuga kumatheka mwa kuwunika mwatsatanetsatane.

    Anthu odwala matenda ashuga amayenera kuunikiridwa ndi ophthalmologist kamodzi pa miyezi isanu ndi umodzi. Kufufuza mozama kumapangitsa kuti pasakhale kupangitsa kuti khungu lisawonongeke komanso kuti asawonongeke.

    Kuyendera dokotala mwatsatanetsatane ndi mwayi wodziwa zovuta zamaso poyambira gawo.

    Kuchiza ndi madontho amaso ndikoyenera komanso ndikofunika kuposa chithandizo chilichonse chamankhwala.

    Kuchita bwino kwa mankhwalawa ku glaucoma mu matenda a shuga kumatengera nthawi yopanga chidziwitso chokwanira ndi a ophthalmologist.

    Kodi mumakonda nkhaniyo? Uzani anzanu za izi →

    Chithandizo cha Cataract a shuga

    Matenda a shuga ndi matenda omwe mawonekedwe ake amakhudzana ndi pafupifupi ziwalo zonse za anthu ndi machitidwe ake. Kutengera mawonekedwe amomwe matendawa amatengera, mawonekedwe owoneka ndi ziwalo zam'maso amapezeka pafupifupi onse odwala. Mafuta am'magazi samadutsa popanda kufunafuna ziwiya za fundus. Vutoli ndikuti chithandizo chamankhwala othandizira odwala matenda ashuga ndizovuta chifukwa Zizindikiro zikuwoneka kale mwa achinyamata, ndipo chidwi chawo chikukula kwambiri. Kulipiritsa kutayika kwamaso, kuonetsetsa kuti moyo wabwino wokwanira, nthawi zambiri, opaleshoni yochotsa mandala ofikira ndi njira yayikulu yothandizira.

    Zoyambitsa Cataract

    Cataract ndikusintha kwa mandala amaso, yomwe ndi mandala omwe amasintha chithunzicho kuti chiwone ndi gawo lake lamkati lakuwona mu ubongo. Kusintha kwa mawonekedwe a mandala a ophthalmic kumatha kuchitika pazifukwa zosiyanasiyana. Ndi matenda amtundu woyamba wa matenda a shuga, amphaka amkati amakula kangapo mwachangu kuposa matenda ashuga amtundu wa 2. Koma zomwe zimayambitsa mitundu yonse ya matenda ndizofanana.

  • Mlingo wa glucose m'magazi umachulukirachulukira, zochuluka zimatha kuyikiridwa mthupi la mandalawo ngati ma flakes. Ngakhale maphunziro ena adakana kuti pali mgwirizano pakati pa shuga ndi kuyambika kwa matenda amishuga, chifukwa ichi tsopano chikuwoneka kuti ndi chodalirika.
  • Mwazi kumaso umakulirakumwa, zotengera zimakhala zopanda mphamvu, mandimu amakhala amitambo.
  • Milingo ya insulin yokwanira imayambitsa kusintha koyambirira kwa kuwala kwa mandala, makamaka kwa achinyamata omwe ali ndi matenda a shuga a 2.
  • Zizindikiro za Cataract

    Kuwonetsedwa kwa lens opacity mu shuga mellitus ali ndi mawonekedwe ena poyerekeza ndi omwe ali ndi vuto laukalamba. Zizindikiro zimayamba kukhala zazing'ono, kupangika kwamatumbo okhwima ndikotheka asanakwanitse zaka 35- 40, ndipo mawonetseredwe a matendawa amatha kukulitsidwa msanga.

    Werengani komanso chifukwa chake khungu loyera limachitika komanso momwe mungathane nalo

    Ngati pali kumverera kwazinthu zakutha kwa nkhaniyo pamafunso, chophimba pamaso pa maso, kulephera kuyang'ana bwino masomphenyawo, limodzi ndi kupsyinjika kwa maso kuti mufufuze nkhaniyo, muyenera kulumikizana ndi a ophthalmologist kuti mupeze upangiri, ndipo mukalandire chithandizo.

    Dokotala adzasanthula wodwalayo mosamala, atoletsa anamnesis, kuti apereke mayeso ofunikira, ngati zotsatira zakuwunika kwathunthu zimayambitsa matenda a matenda ashuga, dokotala aganizirani za opaleshoni yomweyo kapena kulandira chithandizo chamankhwala chokhazikika, kuphatikizapo ndi endocrinologist.

    Opaleshoni yamatumbo lero lero yakhala chinthu chapadera. Kuthandizira kochenjera kumeneku kwachitika m'chipatala cha microsuction ophthalmologic kwa nthawi yayitali komanso kwa odwala osiyanasiyana. Kwa odwala omwe ali ndi matenda a shuga a shuga pali zinthu zingapo zomwe zimakhudzana ndi chithandizo cha matendawa, kuphatikizapo kudzera pa opaleshoni.

    Kuyambira pachiyambi chake ndikofunikira kumvetsetsa kuti ntchito yayikulu ndikuchiza matenda oyamba, matenda ashuga. Lotsatira:

  • kulitsa milingo ya shuga,
  • Sankhani mtundu wokwanira wa mankhwala a insulin kapena kutsitsa shuga,
  • zakudya zabwino kwambiri
  • Khazikitsani kagayidwe koyenera
  • khalani ndi moyo wathanzi
  • kusiya zizolowezi zoipa: kusuta fodya, kumwa mowa mwauchidakwa.

    Tsoka ilo, kuthekera kwa kugwiranso ntchito kwa matenda amtundu wa matenda ashuga popanda opaleshoni kumakhala kotsika kwambiri, chifukwa zizindikiro zowonekera zimachulukirachulukira. Odwala ochepa omwe ali ndi zaka zakubadwa amadwala matendawa, chifukwa chake akatswiri ambiri, posankha chithandizo, amalankhula mochitira opaleshoniyo.

    Dokotala wamaso opezeka ndi matenda a shuga amathandizana kwambiri ndi endocrinologist. Wodwala amatumizidwa kukalandira chithandizo ndi opaleshoni pokhapokha ngati zotsatirazi zikumana.

    Mukachotsa mandala amtambo, njira zotsatirazi za opaleshoni zimagwiritsidwa ntchito: phacoemulsification pogwiritsa ntchito mtanda wa laser kapena ultrasound. M'magwiridwe onse awiriwa, mandalawo amaphwanyidwa tinthu tating'onoting'ono kudzera gawo limodzi yaying'ono ndikuchotsa gawo lachiwiri la cornea.

    Werengani komanso Zizindikiro zazikulu za hypoglycemia mu mtundu 2 shuga

    Zolemba za Glaucoma mu shuga

    Chifukwa cha kuwonekera kwa glucose ochulukirapo, makoma amitsempha yamagazi amawonongeka, thupi poyankha mwachangu limapanga kukula, kukulitsa kwamitsempha yatsopano yamagazi. Mwachiwonekere, palibe cholakwika ndi njirayi, zombo zakale zowonongeka, zatsopano zimabwera m'malo mwake.

    Komabe, izi zimangowoneka choncho poyamba. Vuto ndiloti ma neoplasms awa samakhala ndi mikhalidwe yofunikira pamoyo komanso thanzi lamaso, amadzetsa kuvulaza kwakukulu chifukwa cha kupanda ungwiro kwawo.

    Ndi kuwonjezeka kwa neoplasm, kumawoneka ngati kukukulira m'maso, kutsekereza kutulutsa kwachilengedwe kwa madzi amkati, kupsinjika m'maso kukuchulukirachulukira. Madzimadzi atalephera kutuluka, dongosolo lamakina amadzitsekeka, ngodyayo imatseka, yomwe imapangitsa kukhumudwa kowoneka bwino, kukhazikika kwa kotchedwa glaucoma yachiwiri - neovascular. Matenda ngati amenewo, ngati simumalandira chithandizo chokwanira, ndi njira yolunjika yakhungu.

    Mkhalidwe waukulu womwe mungachotse glaucoma ndi glaucoma yachiwiri ndi:

    1. mankhwala a shuga
    2. kukhala ndi shuga m'magazi munthawi yochepa.

    Mukangoyamba kulimbana ndi matenda a zam'tsogolo, mumakhala mwayi woti muchiritse, kuteteza masomphenya. Therapy iyenera kuyamba pomwe atatsimikizira kuti ali ndi matendawa, apo ayi kuthekera kwa atrophy of the visual works of blind and blindness to be 100%.

    Zizindikiro za matendawa

    Pali zizindikiro zomwe zimayenera kuchenjeza wodwala yemwe ali ndi matenda ashuga, monga: kupweteka kwakanthawi m'maso, mizere yozungulira pamaso pa maso poyang'ana maso anu pa gwero lowala, nebula ya chithunzicho, kusapeza bwino m'maso motsutsana ndi kumbuyo kwa ululu pamutu womwe umafika kumbuyo kwa mutu ndi akachisi. .

    Kuvutikira kwambiri kwa matendawa nthawi zambiri kumayambitsidwa ndi kuwonjezeka kwa njira ya matenda ashuga, pomwe kubwezeretsedwa kwa vutoli kumalowa gawo loyambitsidwa, kuukira kwa glaucoma kumathanso kuchitika.

    Kayezetsa wodwalayo kungathandize dokotalayo kuti azindikire matenda moyenera, kusokonekera kwa khungu la maso, kutupa kwa ziphuphu, kupsinjika kwa ana kukhala chizindikiro cha matendawa. Matendawa akuwonetsedwa ndikuchepa kwa gawo ndikuchepa kwa malo owonekera, kuchepa kwa chipinda chamaso, ndikuwonjezereka kwa kukakamizidwa kwa intraocular.

    Kugunda pachimake kumadziwika ndi kutupa kwa eyelone, kuwonongeka kwambiri mu mawonekedwe am'maso, kupweteka nthawi ya palpation yamaso.

    Mfundo zoyenera zochizira glaucoma mu shuga

    Mankhwala apanga njira zingapo zochizira glaucoma nthawi imodzi, ngati kuwunika kwa matendawa kunali koyenera, ndiye kuti kupititsa patsogolo kwake kumatha kuyimitsidwa ndi mankhwala osavuta omwe amasiyana modekha m'thupi la wodwalayo. Chithandizo chokwanira chimapatsa wodwala chiyembekezo choti adzachotsere matendawa. Nthawi zambiri, mankhwala ochokera ku gulu la adrenergic blockers amalimbikitsidwa, awa: Timolol, Latanoprost, Betaxolol.

    Tiyenera kumvetsetsa kuti ndi ophthalmologist yemwe ayenera kupereka mankhwala, mankhwalawa, komanso kusintha kwa mtundu uliwonse wa mankhwalawo ayenera kukhala m'manja mwake. Ndi zoletsedwa kuti anthu odwala matenda ashuga azisangalala, apatseni mankhwala okha, chifukwa mapiritsi ambiri amakhala ndi zovuta zoyipa zomwe zingakhale ndi vuto lalikulu pa matenda oyambitsawa - matenda ashuga.

    Nthawi zambiri, chithandizo chimachitika m'njira zitatu zazikulu. Amayamba maphunzirowo ndi chithandizo chapadera chomwe chimathandiza kukonza machitidwe onse m'thupi, magazi m'mitsempha yamagazi, mitsempha yamagazi yokhudza khungu. Gawo lotsatira ndikuteteza matenda a intraocular.

    Chifukwa cha chithandizo chamankhwala kuti muthandize kusintha kagayidwe kachakudya mthupi la munthu:

    • Njira zina zimalephereka,
    • njira ya glaucoma imasiya.

    Kuphatikiza apo, njira zomwe zimayambitsa kupezeka kwa khungu la maso zimachotsedwa m'thupi la munthu.

    Mukamapangira chithandizo chovuta, ngati zinthu zonse pamwambazi zikuphatikizidwa, kufunikira kwa chithandizo cha opaleshoni ndikuchotsa opaleshoni ya glaucoma kumapetsedwa.

    Mankhwala othandizira

    Pakadali pano, madokotala akuyesera njira zingapo zochizira opaleshoni kuti achotse glaucoma. Imatha kukhala scleroderma yozama, njira yomwe imathandizira kubwezeretsa moyenera madzi mkati mwanu. Njira zoterezi ndizothandiza, munjira yake, maso sakhala akungotulutsa mawu, mumangofunika kufoola tinthu timaso.

    Njira ina ndi kuphatikizika kwa mandala. Nthawi zambiri zimachitika kuti glaucoma imathandizidwanso ndi ma catarget (pakakhala kuti mandala apangika), pankhaniyi pamakhala kufunika kothana ndi mavuto atatu nthawi imodzi: kuchotsedwa kwa matenda a m'mimba, kuimitsa chitukuko cha magazi a glaucoma, kutsitsa magazi a intraocular. chifukwa chakuti dokotala amapanga zomwe zimapangitsa kuti madzi azituluka ndipo nthawi yomweyo ma ndolo amaikiratu.

    Mwina chothandiza kwambiri kwa odwala matenda ashuga ndi laser chithandizo cha zotupa m'maso, koma njirayi imakhala yoyenera kumayambiriro kwa matenda, pomwe adapezeka munthawi yake. Koma pali zochitika zina pomwe laser mankhwala a shuga adachitika mu gawo lachitatu, mankhwalawo adachita bwino.

    Mosasamala kanthu za njira yochitira opaleshoni ya glaucoma:

    1. wodwala samva ululu, akumva kuwawa,
    2. pafupifupi palibe microtrauma ya thupi.

    Ndizofunikira kudziwa kuti chithandizo cha opaleshoni yochotsa ma neoplasms m'maso chimaloledwa ngakhale ngati wodwala yemwe ali ndi matenda ashuga ali ndi zovuta zingapo m'mbiri yamatendawa kuchokera ku chiwindi, impso ndi mtima.

    Njira zopewera kupewa matendawa

    Mkhalidwe woyamba womwe kukhazikitsidwa kwa matenda a glaucoma wodwala matenda ashuga kumatha kupewedwa ndikuwunikidwa pafupipafupi ndi ophthalmologist, makamaka ngati pali kuchepa kwa masomphenya a matenda ashuga.

    Kusankhidwa kwa njira yolandirira bwino kumatengera momwe kuphatikizira kumadziwika msanga. Matendawa akapezeka msanga, mumachotsa mosavuta komanso mopweteketsa mtima.

    Nthawi zambiri zimachitika kuti sipakufunika chithandizo komanso kugwiritsa ntchito mankhwalawa, ndikokwanira kusunga zisonyezo za glycemia pamlingo woyenera, kusintha zakudya zomwe wodwala amadya, zakudya zake ndikuphatikiza zolimbitsa thupi zolimbitsa thupi tsiku ndi tsiku.

    Kutengera malamulo omwe ali pamwambawa, wodwala matenda ashuga amatha kuiwala za mavuto ake amaso kapena kuchepetsa matendawa.

    Kanemayo munkhaniyi ayankhula za glaucoma mu shuga.

    Zinthu Zogwira Ntchito

    Ndi maopaar othandizira odwala matenda ashuga pali zinthu zingapo. Pankhani yopezeka ndi matenda a shuga, sikofunikira kuyembekezera kukhwima kwake kwathunthu, ndiko kuti, kuyang'ana mwamphamvu kwa mandala kuti muchotse. Izi zimachitika chifukwa, monga tafotokozera pamwambapa, matendawa amapita patsogolo ndipo masomphenya amachepa mwachangu.

    Koma, kuwonjezera apo, matenda a shuga amathandizika ndi kusintha kwamatumbo m'matumbo a retina la diso - retinopathy. dziko lomwe liyenera kuyang'aniridwa nthawi ndi nthawi. Ma mandala opaque amataya katswiri wa mwayi wotere, chifukwa chake uyenera kulowedwa m'malo mwachangu ndi wowonekeratu, wokumbira. Matenda a retina mu matenda a shuga amatsogolera pakuwonongeka kwathunthu kwamawonedwe, makamaka ngati palibe chithandizo choyenera komanso kubwezeretsa boma la ziwiya.

    Ntchito ya mandala phacoemulsification sakhala yoopsa, yofunikira makamaka kwa odwala matenda a shuga mellitus. Amadziwika kuti kuchiritsa mabala mwa odwala koteroko kumakhala kovuta, chifukwa chake opaleshoni yama microsuction ndiye njira yabwino kwambiri yochizira matenda amtunduwu. Opaleshoniyo imatha osapitirira mphindi 10-30, ikuchitika pansi pa opaleshoni yodwalayo, wodwalayo amakhala kuchipatala osaposa tsiku limodzi.

    Mavuto amabuka pambuyo pakuchita opaleshoni nthawi zina. Chithandizo cha opaleshoni ndiyo njira yabwino yochotsera matenda a shuga, makamaka kwa odwala azaka zazing'ono komanso ogwira ntchito.

    Momwe mungachepetse msanga magazi kwa odwala matenda ashuga?

    Ziwerengero za anthu odwala matenda ashuga zikuwonjezeka chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera.

    Zifukwa zachitukuko

    Magalasi ndi mawonekedwe owonekera mkati mwa eyeball momwe kuwala kudutsa, kukokeranso. Imawonetsetsa kuti kuwala kwakeko kumagunda retina, pomwe chithunzicho chikuwonekera.

    Kuchuluka kwa shuga m'magazi kwa odwala omwe ali ndi matenda ashuga kumabweretsa zotsatira zoyipa zamagalasi.

    Pang'onopang'ono, mankhwala ochulukirapo amadziunjikira mu mandala, omwe amayamba kuwononga kapangidwe kake, ndikupangitsa kuti pakhale mitambo ndikuwoneka ngati makala.

    Zotsatira zakukwera ndi kusokonekera kwa mandala ndizowonekera zowonongeka.

    Mfundo zachithandizo

    Ndondomeko za matenda ashuga zimafuna chithandizo, ndipo posakhalitsa zimakhala bwino. Chithandizo cha mankhwala osokoneza bongo ku matenda a shuga chimayambitsa vutoli ndipo sichochepa kwakanthawi.

    Kugwetsa maso kumachepetsa kukula kwa matendawa, koma alephera. Madontho oterowo, monga adapacen (quinax), taurine (dibicor, taufon), amagwira ntchito pokhapokha magawo oyamba amakula matendawa.

    Magalasi kapena magalasi sizithandiza ndi matendawa, chifukwa chake chosankha cholondola kwambiri ndichovomera kugwiraku. Opaleshoni yamatumbo a shuga ndi njira yolimba yopulumutsira masomphenya. Kuthandizira pakuchita opaleshoni ndikuchotsa kwathunthu kwatsoka. Tiyenera kudziwa kuti kuchita izi kumayambiriro kwa matendawo ndikosavuta.

    Opaleshoni yamatenda a shuga amachitika pansi pa opaleshoni yam'mimba ndipo imatenga pafupifupi mphindi 10. Mu 97-98% ya milandu - popanda zovuta.

    Kusintha kowoneka bwino kumabwera pambuyo poti kuchitidwe opaleshoni, koma zimatenga nthawi kuti ndikonzenso malingaliro. Pambuyo pa masabata 3-6, mfundo zatsopano zitha kuperekedwa.

    Cataract Phacoemulsification

    Njira ya ultrasound ndi laser chithandizo cha matenda amtundu wa shuga wotchedwa phacoemulsification yatchuka kwambiri lero. Chithandizo chotere chimagwiritsidwa ntchito poyambira matenda. pamene masomphenya amasungidwa pafupifupi 50-60%.

    Kuchotsa kwa mandala kumachitika kudzera pakachulukidwe kakang'ono, kulumikizana ndi mtundu uwu wa mankhwalawa sikofunikira, zomwe zimalepheretsa astigmatism.

    Opaleshoniyo ikuchitika motere:

  • Mothandizidwa ndi zida zapadera, maziko a mandala omwe amachotsedwa amachotsedwa, pomwe thumba la capular silikuyenda.
  • Chingwe, cholocha cha intraocular, chimayikidwa pamalo omwe adapangidwa.
  • Imalowetsa mandala chifukwa cha zinthu zake zabwino, zomwe zimapereka mawonekedwe abwinobwino.

    Pambuyo pa izi, monga lamulo, njira yotsitsimutsira masomphenyawo imachitika mwachangu kwambiri.

    Contraindication opaleshoni

    Maganizo olakwika akuti anthu odwala matenda ashuga sangathe kuyikiratu mandala enaake. Ndizotheka ndi umboni wa dokotala.

    About Matenda A shuga

    Chifukwa chake, zovuta zamatumbo, zomwe zimawoneka osati matenda a shuga okha, komanso matenda ena aliwonse, ndizovuta kugwiritsa ntchito mandala. Vutoli limatha kuonedwa m'magawo aliwonse ndipo limatha kukhala mwamphamvu iliyonse.Ndi matenda omwe aperekedwa (makamaka ndi mtundu woyamba), mawonekedwe apadera amkati amayamba. Tikuyankhula za zomwe zimatchedwa kuti diabetesic cataract, kapena kungosintha mwachangu kwa kapisozi kapangidwe kake ndi kugwiritsa ntchito koperewera ma apricots owuma .

    zimachitika chimodzimodzi mgawo lililonse ndipo zimafanana odzola ,

    Kodi magawo amatsenga ndi ati?

    Tekinoloje zomwe zidalipo kale zothandizira opaleshoni zinaonetsa kudikirira "kukhwima" kwathunthu kwamatope. Pankhaniyi, ntchito za masomphenya zinagwera mphamvu yakuwala isanachitike ndipo zinali zochepa kwa izi. Tiyenera kudziwa kuti ngakhale nthawi zambiri pamenepa mulingo womwewo umatsimikiziridwa. Komabe, nthawi yobwezeretsa imatenga nthawi yayitali, chifukwa chake, njira ina yabwino kwambiri ndiyochitapo kanthu poyambira.

    Maluso apano monga:

    apatseni mphamvu yochotsa zoopsa pamlingo uliwonse wa kukhwima kwake. Izi zimachitika pogwiritsa ntchito mabala osachepera kukula, momwe ma lens apamwamba kwambiri amaikidwira. Ndiwo omwe amathandizira kuti azitha kusunga ndikuwongolera ntchito zonse zowoneka.

    M'magawo oyamba a matenda amkati, pamene kuchuluka kwa maonedwe achilengedwe sikunachepetsedwe, ndipo palibe chifukwa chothandizira opaleshoni, odwala matenda ashuga amalimbikitsidwa kugwiritsa ntchito madontho apadera omwe ali ndi mavitamini. Cholinga cha chithandizo chomwe chikugwiritsidwa ntchito mwanjira imeneyi chikuyenera kukhala kuthandiza pakudya m'thupi mwa mandala komanso kupewa kuthana. Chifukwa chake, izi ndi nkhambakamwa chabe, pomwe maopareshoni sangakhale ofunika kale.

    Madontho okhala ndi mavitamini sangathe kuchotsa ziphuphu zomwe zapangidwa kale. Izi ndichifukwa zosintha zomwe zidachitika mu lens ndizogwirizana mwachindunji ndikusintha kwa mapuloteni omwe sangathe kubwezeretsedwanso. Chifukwa pamene mphaka zikukula, kapangidwe kake kapadera komanso mtundu wake wowonekera zimatayika.

      "Catalin" ndi njira zina zambiri.

    Kuphatikiza apo, matenda oyambitsidwa ndi matenda ashuga amatha kugonjetsedwa mothandizidwa ndi maphunziro apadera a minofu ya maso, omwe amayeneranso kutsagana ndi kuchuluka kwa mavitamini. Pokhapokha pamenepa ndi pomwe zingatheke kukwaniritsa zosokoneza mtundu uliwonse wa matenda ashuga.

    Kuphatikiza apo, akatswiri ena amalangizira kuti kuthana ndi mphaka pogwiritsa ntchito njira zamankhwala azikhalidwe. Tikuyankhula za ma poultices ndi ma compress, koma ziyenera kudziwidwa kuti kupanga pawokha kwa dontho lililonse lamaso kumatha kukhala koopsa. Chifukwa chake, matenda a shuga omwe ali ndi matenda a shuga amathandizika kwathunthu - ndikofunikira kukaonana ndi dokotala panthawi.

    Milandu yamatenda, chithandizo ndi opaleshoni ya shuga

    Ndi matenda monga matenda ashuga, mavuto osiyanasiyana okhala ndi ntchito yamavuto ndiofala. Ikhoza kukhala retinopathy, glaucoma, komanso matenda oyipa. Ndikofunikira kukhazikika mwatsatanetsatane pamatope, chifukwa matendawa ali ndi machitidwe ena. Chifukwa chake, opaleshoni ingafunike, mwanjira yapadera yoyenera kuchitidwa makamaka odwala matenda ashuga. Za izi ndi mochedweranso malembawo.

    Pazakuwopsa

    Pa gulu lachiwiri la matenda a shuga, mtundu wa mphaka wokhudzana ndi zaka zambiri umadziwika. Pankhaniyi:

  • magalasiwo amasanduka amphongo chifukwa cha kusokonekera,
  • Nthawi zina, mankhusu amakhala achikasu kapena amakhala amtundu wakuda (munthawiyi, kuchitidwa koyamba ndikofunikira).

    Malo omwe amawonetsedwa nthawi zambiri amakhala "odekha", ochepa kapena owonekera. Ndiye kuti, iwo amene mulimonse amalepheretsa kuwona kapena kuchepetsa, koma pang'ono chabe, monga cocoa. Dziko lofananalo limatha kukhalabe lokhalokha kwa zaka zambiri.

    Makatoni, omwe amakumana ndi zovuta zambiri komanso matenda ashuga, ngati njirayi ipita patsogolo msanga, akuyenera kuchotsedwa. Uwu ndi mtundu wa kuyeretsa kwa mandala, kupewa komwe kungafunikire zoumba. Komabe, chisankho chimapangidwa makamaka ndi wodwala.

    Za ntchito

    Opaleshoni m'zaka zam'ma 2000 mosakayikira apita patsogolo. Izi zitha kutsimikiziridwa, mwina, poti zaka zosachepera 15 zapitazo matenda monga matenda ashuga anali kulepheretsa kukhazikitsa njira zochizira "zochotsa" ndikuthandizira kwina kwa mandala opanga.

    Kuchita koteroko kunawonedwa kukhala kovuta kwambiri ndipo, koposa zonse, koopsa kwa wodwala yemwe ali ndi matenda amtundu uliwonse.

    1. transciliary lansectomy,
    2. akupanga phacoemulsization

    Njira Zakuchotsera Mphaka

    About Kuteteza

    Madontho okhala ndi mavitamini samangokhala ndi zovuta zokha, komanso amino acid ndi zida zambiri zopatsa thanzi.

    Mwambiri, zimaperekanso zowonjezera pazakudya zamaso. Akatswiri amatchula madontho ngati awa:

    Nanga bwanji za kupewa?

    Onsewa amaperekedwa kokha ndi mankhwala azachipatala ndipo sayenera kugwiritsidwa ntchito ngati gawo lodzithandizira. Izi zili choncho makamaka kwa onse omwe ali ndi matenda ashuga.

    Opaleshoni ya Magazi a Matenda a shuga

    Nthawi zambiri, kuyang'anira kumafunika kuti mupeze hemoglobin yoyenera. Ngakhale kuthana ndi endocrinologist, ma contraindication opangira opaleshoni ngati pakufunika kutero ndi kuwononga moyo, kuwopsa. M'm zipatala zosiyanasiyana, komwe kuli madokotala odziwa bwino, wodwalayo amalipidwa kwa masiku angapo (nthawi zina ngakhale amasamutsa ku insulin, ndiye kuti pambuyo pa opaleshoni ikhoza kuchitika) ndipo amachitidwa opareshoni.

    Ndipo ngati uku ndikumasulira kwa owombera komanso kupezanso mphamvu ndi endocrinologist "simuyenera kugwira ntchito," funsanani ndi azachipatala aliwonse, ngakhale ang'onoang'ono. Ine.e. Zonse zimatengera boma, ndikofunikira kulipilira. Koma simuyenera kudikirira kwamuyaya, thanzi lanu silidzakhala bwino - ndipo pakhoza kukhala zovuta zina pakuchita opareshoni. Anesthesiologist sikuti nthawi zonse, zimasankhidwa mkati mwa mkhalidwe wa diso, chikhalidwe ndi momwe wodwalayo amakondera (kuyatsa, ndi zina). Anesthesiologist ndi yofunikira m'mikhalidwe yovuta, yomwe sitidzawona pa intaneti.

    Izi, zachidziwikire, ngati momwe matendawo aliri, amasokoneza ndipo palibenso matenda ena amtundu wa retina ndi optic. Kodi mutha kutsitsa zomwe zapezazo? Kapena kodi mafunso awa ngakhale asanapite kwa dokotala?

    Kodi ma hypo-coms amadziwa chiyani? Type 1 kapena Type 2 shuga? Ndili ndi zaka 45, ndipo zidayamba liti? Kodi ochiritsa matenda ashuga ndi ati? Kodi kuthamanga kwa magazi ndi chiani?

    sinthani. polemba zododometsa, iwalani za pamwambapa. Koma zaka zapakati pa 45, zoopsa ndi mawu onena za opaleshoni mwanjira inayake zimalumikizana ndi zovuta zazikulu motsutsana ndi matenda a shuga. Yakwana nthawi yoyambitsa mavitamini kuti muzitha kukumbukira komanso kusamala.

  • Kusiya Ndemanga Yanu