Masomphenya amatsitsa matenda ashuga choti achite

Ndikothekanso kubwezeretsa masomphenya ndi matenda amtundu 1 komanso ngati mumayendetsa shuga m'magazi, kumwa mankhwala omwe adokotala amupatsa, ndikukhala ndi moyo wathanzi. Mu odwala matenda ashuga, matenda amawonedwe amapezeka nthawi zambiri, ndipo nthawi zambiri amayambitsa zovuta zofanana, zomwe zimatha kuthana bwino ndi opereshoni. Ndikofunika kuyankha mwachangu zizindikiro zoyambirira za kuchepa kwa masomphenya, kudzichiritsa nokha pazinthu zoterezi ndikosavomerezeka.

ZOFUNIKA KUDZIWA! Ngakhale masomphenya "osasiyidwa" amatha kuchiritsidwa kunyumba, popanda opaleshoni ndi zipatala. Ingowerenga zomwe Yuri Astakhov akunena. werengani zonena zake.

Kodi matenda ashuga amakhudza bwanji maso?

Mwa anthu omwe apezeka ndi matenda a shuga, kuchepa kwa mawonekedwe ndi vuto lalikulu, kuwonetsa kupita patsogolo kwa matenda ashuga retinopathy. Mu zoterezi, kuchepa kwa masomphenya kumapezeka mu 90% ya odwala. Ndizovuta kwambiri kuyang'anira ntchito zowoneka pamkhalidwe wotere, chifukwa zombo zazikulu zonse ndi zazing'ono, kuphatikiza ziwalo zamasomphenya, zimadwala kwambiri. Zotsatira zake, kuchuluka kwa magazi ndi trophism ya mawonekedwe amaso akusokonezeka, njira zosasinthika zimayambitsa kuvulala kwamaso mu shuga mellitus, chifukwa chomwe wodwalayo amakhala wakhungu.

Zomwe zimayambitsa ndi kuwonjezeka

Kuchepa kwa mashuga m'matenda a shuga kumatha kukhala chizindikiro cha matenda oopsa a maso - amphaka. Ndi pathology iyi, mandala a maso amatupa, chifukwa chomwe munthuyo amaleka kuwona bwino, ndipo chifukwa chakuwononga masomphenyawo, kuwona kwamaso kumachitika m'maso. Munthu osadwala matenda ashuga, nthawi zambiri matendawo amakula, ngati pali vuto la matendawa. Mwa odwala matenda ashuga, chiwopsezo cha matenda nchochuluka ngakhale muunyamata.

Matenda a shuga a retinopathy

Ichi ndi vuto lalikulu lomwe limakhudzana ndi kuwonongeka kwa kayendedwe ka magazi. Ma capillaries ang'onoang'ono atawonongeka, microangiopathy imapezeka, ndipo ziwiya zazikulu zikaonongeka, matendawa amatchedwa macroangiopathy. Pankhaniyi, kuwongolera kuchuluka kwa shuga m'magazi kumathandiza kupewa khungu komanso kupititsa patsogolo kutha kwa matenda. Iyi ndiye njira yokhayo yoteteza minofu kuti isawonongeke komanso kupewa kuwonongeka.

Kutupa

Chifukwa cha kuwonongeka kwa ziwiya zam'maso komanso zotupa zamkati, thupi la gelatinous lawonongeka. M'malo hemorrhage, yotupa mawanga, amene, kuchiritsa, amapanga zingwe za zolumikizana minofu. Zipsera izi zimalowa mkatikati mwa thupi lamphamvu, lomwe limayamba kukhazikika, kupunduka. Nthawi zina wodwala sangazindikire vutoli, popeza palibe ululu ndi zina zoyipa zomwe zimadwala. Koma kufooka kwa maso kosafunikira kuyenera kuchenjeza, chifukwa ngati simuyamba chithandizo cha panthawi yake, kufalikira kwa retina kudzayamba posachedwa, ndiye kuti kutaya kwamaso ndi matenda ashuga sikungapewere.

Kuphatikiza apo, odwala matenda ashuga nthawi zambiri amadwala matenda opatsirana ndi maso, monga:

Glaucoma wa matenda ashuga

Kuchuluka kwa shuga m'magazi kumayambitsa kusokonezeka kwa kayendedwe kazinthu zama thupi a intraocular fluid. Zotsatira zake, ma pathological exudate amadziunjikira m'matumbo amaso, ndikupangitsa kuwonjezeka kwa mapangidwe a intraocular. Ngati kupsinjika kwamkati mwa diso sikunathere kwa nthawi yayitali, mitsempha ndi mafupa am'mimba a chiwalo cha masomphenya amawonongeka chifukwa cha kukakamira. Pa magawo oyamba, zizindikirazo sizimafotokozedwa, koma momwe glaucoma ikupita, wodwalayo amadandaula chifukwa cha kuchulukana, mawonekedwe a halo kuzungulira gwero lounikira, ndikusokonekera, ngati kuti kukuwonekera m'maso. Kuphatikiza apo, munthu amakhala ndi mutu wambiri, chizungulire, mseru, komanso kusagwirizana.

Kusokonekera kwa diso

Mawonetseredwe ocular a shuga amathanso kugwirizanitsidwa ndi kuwonongeka kwa mitsempha yomwe imayendetsa ntchito ya mota mu gawo la masomphenya. Mu odwala matenda ashuga, matenda ashuga a mitsempha ya oculomotor amadziwika nthawi zambiri, omwe amakulitsa diplopia, yomwe masomphenya amakhala osalongosoka, komanso matenda am'mimba.

Kuyipa kwakanthawi

Mavuto oterewa nthawi zambiri amapezeka mwa odwala omwe angoyamba kumene kuchiza matendawa ndi mankhwala okhala ndi insulin. Ngakhale kuchuluka kwa shuga m'magazi kumakhala kwakukulu, shuga muyezo womwewo umakhazikika mu mandala, pomwe amasinthidwa pang'onopang'ono kukhala sorbitol. Katunduyu amalimbikitsa kuti madzi azisungika mkati mwake, chifukwa, ma ndimu amatsitsimutsa molakwika, chifukwa chamomwe myopia imayamba. Ngati chithandizo sichikuchitidwa, chiopsezo chokhala ndi matenda a matenda ashuga chikuwonjezeka. Pambuyo kumwa insulin, shuga amachepetsa pang'onopang'ono, kukonzanso kumachepetsa, komwe kumakhudza maonekedwe acuity.

Mankhwala

Mankhwala wowerengeka a maso omwe ali ndi matenda ashuga makamaka amatsitsa matenda a shuga.

Izi zimatheka pomwa mankhwala apadera a insulin, komanso kugwiritsa ntchito zakudya. Mtundu wachiwiri wa matenda ashuga, nthawi zambiri amakhala ndi malire pochepetsa vuto limodzi, ngati mtundu 1 wapezeka, ndiye kuti simungathe popanda mapiritsi. Kuti alimbikitse mawonekedwe owonekera, dokotalayo amatumiza madontho a ophthalmic. Mankhwala bwino trophic minofu, kumapangitsa magazi, ndipo amakhala ochepa intraocular anzawo. Ngati maso apweteka ndipo akuwoneka, antibacterial, anti-yotupa, ndi ma pinkiller amagwiritsidwanso ntchito.

Opaleshoni

Nthawi zina, ndi matenda ashuga, njira yosasinthika imalephera kubwezeretsa mawonekedwe owoneka. Kenako dokotalayo apanga lingaliro pa chithandizocho. Retinopathy imathandizidwa motere:

• retinal laser coagulation,
• kapangidwe.

Njira zonsezi zimakhala ndi zomwe zikuwonetsa, zolephera, zabwino komanso zowawa. Pambuyo pa chithandizo cha opaleshoni, kukonzanso kumafunika. Kuti achire zitha kuchitika popanda mavuto, ndikofunikira kutsatira upangiri wa dokotala ndi malingaliro ake, kumwa mankhwala mosiyanasiyana malinga ndi nthawi, kuchita zolimbitsa thupi, ndikukonzekera kukaonana ndi ophthalmologist malinga ngati pali zovuta zomwe zingachitike pambuyo pake.

Njira zosagwirizana

Kuchepetsa kuchuluka kwa shuga m'magazi ndikusintha masanjidwewo kumathandizira kulowetsedwa kwa duwa lakuthengo, lomwe lakonzedwa molingana ndi izi:

1. Kugona 3 tbsp. l chipatso chomera mu thermos ndikuthira malita awiri a madzi otentha.
2. Lolani kuti ntchitoyi ichitike kwa maola 4.
3. Tengani pakamwa komanso mu mawonekedwe a compress pamaso, omwe amagwiritsidwa ntchito pogona kwa mphindi 20.

Limbitsani bwino kachitidwe ka mawonekedwe a mabulosi amtunduwu, omwe ndi othandiza pakudya zosaphika popanda shuga ndi zina zowonjezera. Komanso, madontho amaso amakonzedwa kuchokera ku chomera. Chinsinsi ndi chosavuta:

1. Finyani madzi ku zipatso zakupsa, phatikizani ndi madzi muyezo wa 1: 2.
2. Thandizani mankhwalawa m'maso onse awiri 2 patsiku.

Kupewa

Kuti tisunge masheya komanso kuti matenda ashuga asadutse, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi, kumwa mankhwala operekedwa ndi dokotala, kutsatira mosamalitsa kadyedwe, komanso kupewa kuchulukitsa kwadzidzidzi mu shuga. Komanso, kupewa, ndikofunika kumayesedwa ndi katswiri wazachipatala, kukhala ndi moyo wathanzi, kumwa mavitamini, ndi kusiya zizolowezi zoipa.

KODI ZIKUKHUDZANI KUTI MUKABWERETSA ZOONA ZOTSATIRA ZAULEMU?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi masomphenya osakhazikika kulibe kumbali yanu.

Ndipo mudaganizapo kale za opaleshoni? Ndizomveka, chifukwa maso ndi ofunikira kwambiri, ndipo magwiridwe ake ntchito ndi chinsinsi cha thanzi komanso moyo wabwino. Kupweteka kwambiri m'maso, kuthina, malo akuda, kumva thupi lachilendo, kuuma, kapena mosemphanitsa, maso amadzi. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani ya Yuri Astakhov, yomwe adalimbikitsa kuti ichitike. Werengani nkhani >>

Magawo a shuga a retinopathy.

Njira yoyamba ya matenda ashuga retinopathy (DR) imatchedwa non-proliferative. Kusintha kocheperako mu retina posachedwa kumakhala pafupifupi mwa wodwala aliyense yemwe ali ndi matenda osokoneza bongo ndipo samakhudza masomphenya.

Izi zitha kuchitika kwa nthawi yayitali, popanda kuwonongeka, komanso kubwereranso kumbuyo chifukwa chakulipira matenda a shuga komanso kutsitsa magazi. Kuchiza kumaphatikiza matenda a shuga komanso kuthamanga kwa magazi.

Gawo lotsatira la DR ndilowonjezera. Pakadali pano, masomphenya nawonso sasintha. Koma gawo ili, ngati silinaphunzitsidwe, limatha kupita patsogolo kufikira gawo lina la retinopathy. Kuchiza kumaphatikiza, kuwonjezera pa kuphatikiza shuga komanso kuthamanga kwa magazi, kusokonekera kwa laser.

Mtundu wowopsa kwambiri wa retinopathy ndiwachulukirachulukira. Ngakhale pakadali pano, masomphenya amatha kukhala bwino kwakanthawi.

Nthawi zina wodwalayo amawona mawonekedwe amalo oyandama pamaso pa diso. Komabe, kusintha kwakuchulukirachulukira kumadziwika pa fundus - kukula kwa sitima zomwe zangopangidwa kumene komanso minyewa yolumikizana, zomwe zitha kuchititsa kuchepa kwamono, khungu, ngakhale kufa kwamaso.

Pakadali pano, laser retinal coagulation ndiyofunikira. Komabe, chithandizo pakadali pano sichimapereka zabwino zonse.

Ndi kupitilira kwa njirayo pa fundus, kutupikana m'matumbo amaso ndikotheka - hemophthalmus, zomwe zimapangitsa kuchepa kwamono. Mwina kukula kwa neovascular glaucoma, limodzi ndi kusasintha kwathunthu kwa masomphenya ndi kupweteka kwambiri m'maso. Kuphatikiza apo, kuyandikira kwa retinal kumatha kuchitika.

Zotsatira zonsezi za gawo lochulukirachulukira la retinopathy zimafunikira kuchitapo kanthu kovuta m'maso, koma ngakhale sizimalola kubweranso kwa masomphenyawo.

Chifukwa chake, kuwonongeka kwa maso a anthu odwala matenda ashuga ndikopewedwa kuposa kubwezeretsa masomphenya.

Zomwe zimachitika pakupanga matenda ashuga retinopathy.

Kutalika kwa matenda ashuga ndi komwe kumabweretsa chiopsezo kwambiri. Matenda a shuga a retinopathy samakonda kukhala zaka zisanu zadwala kapena asanathe kutha, koma mwa 5% ya odwala omwe ali ndi matenda ashuga a 2, matenda a diabetes a retinopathy amapezeka nthawi imodzi ndi kupezeka kwa matenda ashuga.

Mafuta ochulukirapo sakhala chinthu chowopsa kwambiri kuposa kutalika kwa matendawa. Amadziwika kuti kuyendetsa bwino shuga mumagazi kumatha kulepheretsa kapena kuchepetsa kukula kwa matenda ashuga.

(nephropathy) kumapangitsa kukulira kwa njira ya matenda ashuga a shuga.

Zina zomwe zimayambitsa ngozi zimaphatikizapo kunenepa kwambiri, hyperlipidemia, komanso kuchepa kwa magazi m'thupi.

Zombo zosalimba ngati izi

Chimodzi mwazomwe zimawonetsa kwambiri shuga ndi shuga wamagazi. Ngati imawonedwa kwa nthawi yayitali, nthabwala za retina, vitreous, lens ndi ma optic nerve zimatha kuwonongeka.

Pofuna kulipirira, thupi limayamba kukula kwamitsempha yatsopano m'maso. Sali olimba monga aja omwe amayambira, motero amaphulika nthawi zonse. Kutuluka kwa magazi kumachitika, zomwe zimangokulitsa chithunzi chonse. Mapeto ake, retina "makwinya", mapangano, omwe amatsogolera pakukula kwa mawonekedwe ake ndikuwonongeka kwamuyaya.

Zovuta kuchitira

Munthu yemwe ali ndi matenda ashuga ayenera kusamala ngati azindikira zizindikiro za matenda ashuga. Uku ndi kuwona "kosasakanika", ndipo kuchuluka kwa "kusakanikirana" kumasiyanasiyana malinga ndi kuchuluka kwa shuga m'magazi, kuchepa kowoneka kwambiri kwa mathupi, "ntchentche" m'maso.

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.

Kodi matenda ashuga amakhudza bwanji masomphenya?

Ndi hyperglycemia, thupi la munthu limakhala likuchulukirachulukira m'magazi a shuga. Ngati ndende ya shuga ikuchulukitsidwa kwanthawi yayitali, ndiye kuti izi zimabweretsa kusintha kwa kupendekeka kwa mandala ndikuwonongeka kwa retina, optic nerve. Zotsatira zake, amadumphira m'mawonedwe amawonedwa, ndikupangitsa kuwonongeka kwa mitsempha yamagazi yomwe imadyetsa retina la diso. Matenda a maso amatha kuyambitsa myopia kwakanthawi, zomwe zimatha msanga ndi matenda a shuga.

Matenda a shuga

Mphaka ndi nthenda yamaso yomwe imagwetsa ma mandala a maso. Matendawa ndi amodzi mwa zovuta zomwe zimayambitsa matenda ashuga. Chifukwa cha kuchuluka kwa kuchuluka kwa shuga m'magazi, kagayidwe kazinthu kosokoneza thupi kamasokonezeka, zakudya zam'maso zimasokonekera kwambiri, chifukwa chomwe glucose amaphatikizana mu mawonekedwe a mandala, omwe amachititsa kuphatikizika kwake ndikuchita khungu. Izi zimabweretsa kutsutsana kolakwika kwa mauni owala ndi kupangika kwa chithunzi chowoneka bwino.

Matenda a matenda ashuga, omwe amatha kukhala owona kapena osakhazikika, amatha kukula nthawi iliyonse komanso nthawi iliyonse ya hyperglycemia. Nthawi zambiri, izi zimachitika mwa akazi okulirapo zaka 40 ndipo zimakhudza ziwalo zonse ziwiri za masomphenyawo. Ndi chithandizo cha panthawi yake, ndikuyang'anira kuchuluka kwa shuga mumagazi, matenda a shuga amatha kuchepa mkati mwa masabata awiri.

A shuga Glaucoma

Ndi hyperglycemia, kuwonongeka kwamitsempha kumachitika mu ziwalo zonse zofunika, kuphatikizapo maso. Kupezeka kwa shuga m'magazi kumapangitsa kupangika kwa ziwiya zatsopano za ocular, zomwe zimalepheretsa kuthamanga kwamadzi amtundu wa intraocular, ndikupangitsa kuwonjezeka kwa ophthalmotonus (kuthamanga kwa maso). Chifukwa chake, khungu la maso limayamba, limodzi ndi zizindikiro zake:

• Kuwala kwamaso akuwala,
• zithunzi
• kuchuluka kwachulukidwe,
• kupweteka
• maso oyang'ana
• kusapeza bwino

Matenda a shuga a shuga ndi njira yodziwika bwino ya matenda ashuga, amene akapanda kuchiritsidwa, amachititsa khungu.

Diso la shuga limatsika

Choyamba, ngati pali matenda a shuga a m'maso, mankhwala ochepetsa shuga kapena insulin amalembedwa, omwe amakupatsani mwayi woti mupeze kuchuluka kwa shuga m'magazi, komanso masewera olimbitsa thupi apadera. Kwa matenda ashuga 1, izi ndizokwanira. Pa magawo awiri, madontho amaso amalembedwa kuti ayimitse kupititsa patsogolo kwa matenda ashuga a retinopathy, amphaka kapena glaucoma. Ngati hyperglycemia ili yovuta kwambiri ndi glaucoma, mankhwala otsatirawa angalimbikitsidwe:

Matenda a shuga odwala matenda a shuga amathandizidwa ndimankhwala otsatirawa:

Madontho otsatirawa ophthalmic amathandiza kuthana ndi matenda ashuga a retinopathy:

Misozi ya matenda a shuga iyenera kugwiritsidwa ntchito 1-2 imatsika katatu patsiku kwa masabata awiri. Kuchiza matenda a shuga a shuga kumatha nthawi yayitali.

Mavitamini amaso omwe ali ndi matenda ashuga

Ndi matenda a shuga, kagayidwe kazinthu zimasokonekera, chifukwa chomwe thupi sililandira mavitamini ndi mchere wambiri.Chifukwa chake, odwala omwe ali ndi hyperglycemia ayenera kuyikidwa mankhwala a vitamini, omwe amathandizira kulimbikitsa masomphenya. Anthu odwala matenda ashuga omwe ali ndi ma acular pathologies ayenera kumwa mavitamini awa tsiku lililonse:

1. Mavitamini B. Sinthani misempha ya glucose, onetsetsani kuti pali zochitika zina za CNS, kusintha magazi.
2. Ascorbic acid. Imalimbitsa chitetezo cha mthupi, imapangitsa kuti mitsempha yamagazi ikhale yotsika.
3. Tocopherol. Atsuka thupi ndi poizoni ndi mankhwala osokoneza bongo, amalimbitsa magazi.
4. Retinol Zimapereka mawonekedwe abwino usiku, zimawonjezera maonedwe owoneka.
5. Vitamini R. Amakulitsa mitsempha yam'magazi, imakweza ma microcirculation.

Kuphatikiza pa mavitamini awa, odwala matenda a shuga ayenera kutenga mineral complexes. Mu matenda a shuga a retinopathy, madontho amaso a Quinax kapena Prenacid nthawi zambiri amadziwikiratu. Mavitamini a maso omwe ali ndi matenda ashuga, monga Blueberry Forte, Selenium Active ndi Vervag Pharm, amathandizanso.

Opaleshoni yamaso

Odwala apamwamba odwala matenda a shuga a retinopathy, amkati kapena glaucoma, amachitidwa opaleshoni. Nthawi zambiri, laser retinal coagulation imalembedwa kuti muchepetse mapangidwe a ziwiya zamatumbo. Vitrectomy nthawi zina imachitika. Opaleshoni yamaso imagwiritsidwa ntchito pokhapokha ngati chithandizo chokhazikika sichitha.

Mitundu ya Matenda A Maso

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.

Zizindikiro

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

Njira zazikulu zodziwira matenda:

• Kufufuza kwachidziwitso ndi a ophthalmologist.
• Ophthalmoscopy
• Biomicroscopy
• Ma Visometry
• Perimetry.
• Fluorescence angiography.

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

Chithandizo cha maso

Pali njira zingapo zochizira retinopathy:

• laser cauterization yamatumbo am'mimba,
• kuyambitsa mankhwala osokoneza bongo
• kapangidwe.

Choyamba, kukonza chakudya, mapuloteni ndi mafuta a metabolism a wodwalayo amachitika. Izi zimafunikira kuonana ndi endocrinologist woyenerera, kusankha mankhwala okwanira a hypoglycemic, ndipo ngati sangathe, kusinthana kwa insulin.

Mankhwala omwe amachepetsa magazi a cholesterol, antihypertensive, vasoconstrictor mankhwala osokoneza bongo ndi mavitamini. Udindo waukulu umachitika ndi kukonza moyo wa wodwalayo, kadyedwe kake komanso zochita zolimbitsa thupi.

Kuchotsa kwa foci yodwala matenda kumachitika, komwe wodwala amafunikira kufunsira kwa dotolo wamano, katswiri wa ENT, opaleshoni, othandizira.

Kusankhidwa kwamankhwala azizindikiro za matenda amhuga kumadalira mawonekedwe awo. Matenda otupa a mawonekedwe a maso ndi gawo lake lakunja amathandizidwa pogwiritsa ntchito ziwembu zomwe zikuwongoleredwa ndi misempha yamagazi. Chowonadi ndi chakuti corticosteroids - mankhwala amphamvu odana ndi kutupa omwe amagwiritsidwa ntchito kwambiri mu ophthalmology, angayambitse hyperglycemia.

Chithandizo cha glaucoma ya neovasasm imayamba ndikusankhidwa kwa mankhwala a antihypertensive Drip, komabe, monga lamulo, matenda a mapangidwe a kukondoweza pamilandu iyi ndikovuta kwambiri kukwaniritsa. Chifukwa chake, njira yayikulu yothandizira matenda amtunduwu wa glaucoma ndi opareshoni, cholinga chake ndikupanga njira zina zotulutsira madzi amkati mwa intraocular.

Tiyenera kukumbukira kuti momwe opaleshoniyo imachitidwira, ndi mwayi waukulu wolipiridwa chifukwa cha kukakamizidwa kwa intraocular. Pofuna kuwononga zombo zomwe zangopangidwa kumene, zopanga zawo za laser zimachitika.

Chithandizo cha Cataract chimangochita opareshoni. Phacoemulsization ya mandala amtambo ndi kuphatikizika kwa mandala opangira kuwonekera kumachitika.

Kuchita opareshoni kumachitika ndi maonekedwe owoneka a 0.4-0,5, chifukwa ndi matenda ashuga, matenda a cataract amakula msanga kwambiri kuposa anthu athanzi. Opaleshoni yayitali, yomwe imatha kuchepetsedwa chifukwa chonyalanyaza matendawa, imatha kubweretsa zovuta m'matumbo a hemorrhagic.

Tiyenera kukumbukira kuti zotsatira za opareshoni zimatengera mkhalidwe wa retina. Ngati pali chiwonetsero chachikulu cha matenda ashuga retinopathy pa fundus, ndiye kuti masanjidwe apamwamba sayenera kuyembekezeredwa.

Chithandizo cha retinopathy poyambira gawo limaphatikizapo retina laser coagulation, yomwe imachitika m'magawo atatu ndikupumula kwa masiku 5-7. Cholinga cha ndondomekoyi ndikuchepetsa gawo la edema komanso kuwonongeka kwa zombo zomwe zangopangidwa kumene.

Kuchita izi kumatha kupewa njira yodziwitsa kuchuluka kwa minofu yolumikizika ndikuwonongeka kwamaso. Mofananamo, tikulimbikitsidwa kuti maphunziro othandizira othandizira olimbitsa mtima a vasoconstrictor, metabolic, mavitamini minofu 2 pachaka.

Komabe, izi zimathandizira pang'onopang'ono kuwonetsa chiwonetsero cha matenda ashuga, matendawa pawokha - matenda a shuga - amakhala ndi njira yopitira patsogolo, ndipo nthawi zambiri amafunika kuyambiranso opaleshoni.

Pachifukwa ichi, vitibleomy imachitika - kudzera m'magulu atatu apanthawi yamagalasi am'maso, thupi lamphamvu limodzi ndi magazi, minyewa yolumikizana ndi minyewa, zipsera zomwe zimakoka retina kumbuyo kwawo zimachotsedwa ndi zida zapadera, ziwiya zimawotchedwa ndi laser.

PFOS (organofluorine poda) imalowetsedwa m'diso - yankho lomwe, ndi kuuma kwake, limakanikiza mitsempha yotulutsa magazi ndikutulutsa khungu.

Pambuyo pa masabata awiri ndi awiri, gawo lachiwiri la opareshoni limachitika - PFOS imachotsedwa, ndipo mafuta a saline kapena mafuta a silicone amalowetsedwa m'matumbo a vitreous m'malo mwake, kuchotsa komwe kumatsimikiziridwa ndi dokotala wa opaleshoni aliyense payekha.

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.

Chithandizo cha Cataract chimachitidwa opaleshoni: kuchotsa mandala amtambo ndi kupakidwa kwa mandala opanga. Pakalipano, opareshoni yosankha kwa odwala omwe ali ndi matenda ashuga ndi njira yosinthira kochotsa ng ombe yolimba pogwiritsa ntchito ultrasound - phacoemulsification.

Opaleshoni iyi imachitidwa popanda kuyang'aniridwa, pogwiritsa ntchito ma piquence awiri amaso. Mlengalenga wamitambo umaphwanyidwa ndi mafunde akupanga ndipo umayamwa kupyoza kwina.

Lens yofewa (lens yokumba) imayikidwa kudzera kupyoza komweku. Kuwonongeka kochepa kwa opaleshoni iyi kumabweretsa kuchira mwachangu ndikupangitsa kuti zitheke popanda kuchipatala wodwala.

Kuphatikiza apo, opareshoniyi imachitika pakhungu lakale, i.e. simuyenera kudikirira mpaka mandimuwo atangokhala pomwepo kuti asawonekere kwathunthu, koma mutha kuchotsa mandala pamene mtundu wamaso anu sukuyenereranso.

Kuchotsa ma catarothi sikuti kungowongolera mawonekedwe owoneka, komanso kupatsa ophthalmologist mwayi wabwino wowunikira fundus yanu kuti mupeze kusintha kwaposachedwa kwam'mimba - retinopathy.
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Ndi chithandizo chiti chomwe chimathandizira kusunga masheya a shuga

Nthawi zambiri (mu 65% ya milandu), odwala matenda ashuga amagwiritsa ntchito magalasi kuyendayenda m'malo. Ngati magalasi okha ndi osakwanira, ndiye kuti muyenera kuyankhula ndi othandizira kuti mudziwe za laser Photocoagulation. Njirayi ndi yothandiza kwambiri, chifukwa pambuyo pake, wodwala matenda ashuga amakhala ndi vuto loti sangakhale wakhungu chifukwa cha chitukuko cha matenda a shuga a 2%.

Dziwani zambiri za laser Photocoagulation. Njirayi ndi yothandiza kwambiri, chifukwa pambuyo poti wodwala matenda ashuga ali ndi mwayi wokhala wakhungu chifukwa cha matenda a shuga a retinopathy, amachepetsa mpaka 2%.

Kujambula kwa laser kwa retina ndi njira yamankhwala yovulaza, yomwe imakhazikitsidwa ndi kuyamwa kwa mphamvu yowunika ndi utoto wa maso (melanin, hemoglobin ndi xanthophyll) ndikusintha kuti ikhale mphamvu yamafuta.

Vitibleomy kapena kuchotsa kwa vitreous thupi kwa odwala omwe ali ndi matenda a shuga 1 amathandizanso kuwona msanga atatuluka magazi chifukwa cha zovuta za matenda ashuga. Vitreous ndi chinthu chokhala ngati galatinous, chowoneka bwino chomwe chimadzaza mpata pakati pa mandala ndi retina m'maso.

Ponena za odwala omwe ali ndi matenda a shuga a 2, safunikanso kukhala ndi vuto lililonse, malinga ndi zotsatira za kafukufuku.

Ngati mumasamala zaumoyo, zimangopindulitsani. Kupatula apo, asayansi atsimikizira kuti ngati wodwala matenda ashuga azitsatira zomwe amalimbikitsa akatswiri, ndiye kuti kuchuluka kwa mavuto omwe amadza chifukwa cha kuwonongeka kwamawonekedwe kumachepa.