Refinal Angiopathy ICB Code

Mndandanda wamankhwala omwe amasintha kukoka kwa magazi m'magazi a m'maso:

Monga chithandizo cha physiotherapeutic, ophthalmologist angalimbikitse kudutsa njira ya magnetotherapy, mankhwala a laser (kuwala kwa retina).

Pa mimba, angiopathy ya retinal imayamba pazifukwa zingapo:

1. Gestosis kapena mochedwa toxicosis.
2. Kuchulukitsa kwa magazi.
3. Kuchuluka shuga.

Vutoli limapezeka mu azimayi wachitatu trimester, safunikira chithandizo chapadera. Popeza chithandizocho chikuyenera kutsata chomwe chimayambitsa kusintha m'matumba ndi njira zawo.

kutsika kwa magazi (amayi apakati ndi Dopegit, Papazol). Koma momwe kuthinidwira kwa maso kumathandidwira titha kuwona m'nkhaniyi.

matenda a impsodiuretics yachilengedwe achilengedwe ithandizire kukonza izi: Kanefron, Fitolizin, ndi zina.

Mndandanda wamankhwala omwe amasintha kukoka kwa magazi m'magazi a m'maso:

Monga chithandizo cha physiotherapeutic, ophthalmologist angalimbikitse kudutsa njira ya magnetotherapy, mankhwala a laser (kuwala kwa retina).

Pa mimba, angiopathy ya retinal imayamba pazifukwa zingapo:

1. Gestosis kapena mochedwa toxicosis.
2. Kuchulukitsa kwa magazi.
3. Kuchuluka shuga.

Vutoli limapezeka mu azimayi wachitatu trimester, safunikira chithandizo chapadera. Popeza chithandizocho chikuyenera kutsata chomwe chimayambitsa kusintha m'matumba ndi njira zawo.

kutsika kwa magazi (amayi apakati ndi Dopegit, Papazol). Koma momwe kuthinidwira kwa maso kumathandidwira titha kuwona m'nkhaniyi.

matenda a impsodiuretics yachilengedwe achilengedwe ithandizire kukonza izi: Kanefron, Fitolizin, ndi zina.

Matenda a choroid wamaso, osatchulidwa kwina (H31)

Gawo ili la ICD limaphatikizapo:

• Chorioretinal scars (H31.0),
• Masinthidwe obwera mu choroid (H31.1),
• Njira za Dystrophic mu choroid cha chikhalidwe chobadwira (H31.2),
• Kutumphuka kwa choroid, zotupa m'dera lino la maso (H31.3),
• Choroidal detachment (H31.4),
• Zolemba zotsala za choroid (H31.8),
• Matenda osadziwika a choroid (H31.9).

Kutembenuka kwa retinal ndi Misozi (H33)

Izi matenda ophatikiza:

Zamkatimu:

• Matenda Ena a retinal (H35)
• A shuga angiopathy a retina ndi malekezero: ICD-10 code, zizindikiro ndi njira zamankhwala
• Ichi ndi chiyani
• Kufotokozera kwapfupi
• Khodi ya ICD-10
• Makanema okhudzana nawo
• Kodi chiwopsezo cha retinal angiopathy ndi chiyani komanso momwe angachitire bwino?
• Kutanthauzira kwamatenda
• Zomwe zimachitika
• Zizindikiro
• Mavuto omwe angakhalepo
• Chithandizo
• Mankhwala
• Njira zopangira opaleshoni
• Zithandizo za anthu
• Kupewa
• Kanema
• Mapeto
• Chizindikiro Chopangitsa Kuwona
• Kufotokozera ndi mitundu ya matenda
• Ndi chiani china chomwe chingapangitse kuti pakhale chidwi cha angiopathy komanso momwe mungazindikire?
• Kodi adotolo amawona chiani pakuwunika?
• Momwe mungabweretsere ziwiya zazitali?
• Matenda am'mbuyo - ICD-10 gulu (ma code)
• Chorioretinal kutupa (H30)
• Matenda a choroid wamaso, osatchulidwa kwina (H31)
• Kusintha kwachiwiri kwa maori (H32)
• Kutembenuka kwa retinal ndi Misozi (H33)
• Kukhazikika kwa retinal vasculature (H34)
• Zotsatira zina za retina (H35)
• Zotupa zachiwiri zam'mbuyo (H36)
• Zokhudza malo athu
• Pangana nthawi pano!
• Kufunsira kwa Ophthalmologist pamalopo
• Kanema weniweni
• Zizindikiro
• Zizindikiro
• Matenda
• Chithandizo
• Omwe timacheza nawo
• Retinal angiopathy: ICD-10 code, chithandizo, mitundu
• Ichi ndi chiyani
• Khodi ya ICD-10
• Retinal Angiopathy mu Mwana
• Zizindikiro
• Chithandizo
• Kodi retinal angiopathy ili ndi ICD code ya 10?
• Ndipo pang'ono zinsinsi.
• Kodi angiopathy kodi ndi chiyani, ndipo nambala yamatenda 6 ya ma virus,
• Khodi ya ICD-10
• Zoyambitsa ndi gulu
• Kufotokozera kwa zizindikiro
• Zizindikiro
• Chithandizo
• Njira ndi chithandizo cha amayi apakati

Macular Angioid Mikwingwirima

Macru Druze (woipa)

Senile macular degeneration (atrophic) (exudative)

Ngati ndi kotheka, zindikirani mankhwala omwe anayambitsa zotupa, gwiritsani ntchito kachidindo kakang'ono ka zifukwa zakunja (kalasi XX).

• BDU
• kuchuluka
• microcystic
• palisade
• wofanana ndi phata la miyala yamiyala yooneka bwino
• zotengera

Zopanda izi: ndi chotupa cha retinal (H33.3)

• retinal (albipunctate) (pigmented) (yolk-like)
• tapetoretinal
• vitreoretinal

Central serous chorioretinopathy

Retinal pigment epithelium detachment

Ku Russia, International Classification of Diseases of the 10th revid (ICD-10) idalandiridwa ngati chikalata chokhacho chovomerezeka pakuganizira za kusakhazikika, zomwe zimayambitsa madandaulo apagulu kuzipatala zamadipatimenti onse, komanso zoyambitsa kufa.

ICD-10 idayambitsidwa machitidwe azachipatala ku Russian Federation mu 1999 mothandizidwa ndi Unduna wa Zaumoyo ku Russia wa 05.27.97. Ayi. 170

Kusindikiza kwa kukonzanso kwatsopano (ICD-11) kukonzedwa ndi WHO mu 2017 2018.

Ndikusintha ndi zowonjezera za WHO.

Angiopathy ndikuphwanya mphamvu ya ziwiya zam'maso, zomwe zimadziwonetsera momwe zimasokonekera ndikumvekera kwa ziwiya za retina ndi kama wamabedi a capillary.

Chifukwa cha matendawa, pali kuchepa kwa magazi ku chiwalo ndi machitidwe amanjenje. Zikuwoneka zachilendo kuti zovuta zowopsa komanso zovutazi zilibe code ya ICD-10.

Koma izi sizitanthauza chitetezo cha matendawa. Iye, monga matenda ofanana, amafunikira chidwi kuchokera kwa ophthalmologists. Nkhaniyi imafotokoza mwatsatanetsatane za matenda monga matenda ashuga angiopathy, malinga ndi ICD-10.

Retinal angiopathy si matenda odziyimira pawokha, koma mawonekedwe a matenda ena omwe amakhudza mitsempha ya magazi athupi lonse la munthu. Mkhalidwe umadziwonekera mu kusintha kwa zamitsempha m'mitsempha chifukwa chakuphwanya kwakukulu kwamalamulo amanjenje.

Matumbo Ammbuyo

Mwamwayi, chisamaliro chokwanira chimaperekedwa ku matendawa, chifukwa zimatha kubweretsa zotsatira zosasangalatsa kwa thupi lonse. Choopsa kwambiri mwa iwo ndi kutaya kwamaso. Matenda ofala samapezeka mwa ana okha, komanso mwa anthu amsinkhu wokhwima.

Nthawi zambiri zimapezeka mwa abambo ndi amayi omwe ali ndi zaka zopitilira 30. Pali gulu la matenda omwe amakhudza momwe izi zimayambira.

Kutengera ndi iwo, angiopathy a retinal akhoza kukhala amitundu:

1. matenda ashuga. Potere, kuwonongeka kwa mtsempha wamagazi kumachitika chifukwa cha kunyalanyaza mitundu yonse iwiri ya matenda ashuga. Potere, zowonongeka zimawonedwa osati m'makutu amaso okha, komanso m'mitsempha yamagazi yonse. Izi zimapangitsa kutsika kwakukulu kwa magazi, komanso kutsekeka kwa mitsempha, mitsempha ndi ma capillaries. Zotsatira zake, thanzi la maso limakulirakulira, ndikuwonekeranso ntchito pang'onopang'ono,
2. hypotonic. Kuthamanga kwa magazi kumatha kubweretsa kuwonongeka mumayendedwe amitsempha yamagazi yaying'ono yamaso. Komanso, pali kusefukira kwa magazi awo ndi kuchepa kwa magazi. Kuwonongeka kwa magazi kumawonekeranso patapita nthawi pang'ono. Ndi matenda amtunduwu, munthu amamva kupweteka kwamphamvu m'matumbo amaso,
3. hypertonic. Ngati wodwala ali ndi matenda oopsa, matendawa amafunsidwa kawirikawiri. Imadziwoneka yokha monga nthambi ndi kukulitsa mitsempha, zotupa zokhazikika pamkono wamaso ndi kusinthasintha kwa kapangidwe kake. Ndi chithandizo chopambana cha matenda oopsa, angiopathy amaso onsewo amachoka okha,
4. zopweteka. Matenda amtunduwu amatha kukhala ndi vuto lalikulu la msana, kuvulala kwa ubongo ndi kukakamira kwa sternum. Kukula kwa angiopathy kungakhale chifukwa cha kuponderezedwa kwa mitsempha yayikulu komanso yaying'ono m'dera la khomo lachiberekero. Chifukwa china chazinthu izi ndizowonjezereka zowopsa mkati mwa chigaza,
5. unyamata. Mitundu iyi imawerengedwa kuti ndiyowopsa komanso yosayenera, popeza zomwe zimayambitsa kuchitika sizikudziwika. Zizindikiro zodziwika bwino za chochitikachi ndi izi: njira yotupa m'mitsempha yamagazi, komanso kukha magazi kwakanthawi, zonse mu retina ndi vitreous. Kapangidwe ka minofu yolumikizana pa retina sikasiyanitsidwa. Zizindikiro zochenjeza za matendawa nthawi zambiri zimayambitsa matenda am'kati, khungu, khungu, ngakhale khungu.

Kukhazikika kwa retinal vasculature (H34)

Kuphatikizanso kwa chotengera cham'mimba kungakhale mwa mitundu ili:

ICD 10. CLASS IX. Matenda ozungulira a dongosolo (I00-I99)

Kuchotsera: zinthu zomwe zikuwonekera mu nthawi ya perinatal (P00 —P96 )

matenda ena opatsirana komanso parasitic (A00 —B99 )

zovuta zapakati pa kubereka, kubereka komanso nthawi yoberekaO00 —O99 )

kusabadwa kobadwa nako, kukomoka ndi vuto la chromosomal (Q00 —Q99 )

matenda a endocrine, mavuto azakudya ndi zovuta zama metabolic (E00 —E90 )

Zizindikiro, zizindikilo ndi zotupa zomwe zimadziwika ndi

Kalasiyi ili ndi:

I00 —I02 Pachimake kuphwanya thupi

I05 —I09 Matenda a mtima ophwanya

I10 —I15 Matenda okhala ndi kuthamanga kwa magazi

I20 —I25 Matenda a mtima

I26 —I28 Pulmonary mtima ndi matenda a m'mapapo

I60 —I69 Cerebrovascular matenda

I70 —I79 Matenda am'mitsempha, ma arterioles ndi capillaries

I80 —I89 Matenda a mitsempha, ziwiya za m'mimba komanso zamitsempha, osatchulidwa kwina

I52 Zilonda zina zamtima m'matenda omwe amapezeka kwina

I68 Zilonda zam'mitsempha yam'magazi mu matenda omwe amapezeka kwina

I79 Zilonda zam'mitsempha, ma arterioles ndi capillaries mu matenda omwe amapezeka kwina

I01 Mafupa am'mimba okhudza mtima

Zina: matenda amtima wovuta kwamtundu wa rheumatic (I05 —I09 ) popanda munthawi yomweyo kukonzanso kwamphamvu kapena popanda zodabwitsazi kapena kuyambiranso kwa njirayi• Ngati mukukayika zokhudzana ndi machitidwe osokoneza bongo panthawi yaimfa, wina ayenera kutengera malingaliro ndi malamulo olemba zolemba zomwe zalembedwera pa t• 2.

I01.0 Pachimake riconitis

Chilichonse chokhudzana ndi rubric I00. kuphatikiza ndi pericarditis

Zapadera: pericarditis, osasankhidwa ngati rheumatic (I30. -)

I01.1 Pachimake rheumatic endocarditis

Chilichonse chokhudzana ndi rubric I00. kuphatikiza ndi endocarditis kapena valvulitis

Pachimake valvulitis

I01.2 Pachimake myocarditis

Chilichonse chokhudzana ndi rubric I00. kuphatikiza ndi myocarditis

I01.8 Matenda ena amphwayi amtima

Chilichonse chokhudzana ndi rubric I00. kuphatikiza pazinthu zina kapena zingapo

okhudza mtima. Pachimake pancreatitis

I01.9 Matenda a mtima osadziwika

Chilichonse chokhudzana ndi rubric I00. kuphatikiza ndi mawonekedwe osadziwika a kuwonongeka kwa mtima

• pachimake kwamtima Carditis

• yogwira kapena yamphamvu mtima matenda

I05 Matenda amtundu wa mitral valavu

Kuphatikizidwa: Mikhalidwe yoperekedwa m'magulu I05.0

ndi I05.2 —I05.9. osatchulidwa kapena osatchulidwa ngati opandapake

Osachotsedwa: milandu yotchulidwa ngati yosasangalatsa (I34. -)

I05.0 Mitral stenosis. Mitral valve constriction (rheumatic)

I05.1 Rheumatic mitral regurgation

• ntchito kuwonongeka

• kulembetsa

I05.2 Mitral stenosis ndi kusakwanira. Mitral stenosis yothandizila kuchepa kapena kudziwikanso

I07 Matenda amtundu wa tricuspid vala

Kuphatikizidwa: milandu yotchulidwa kapena yosatchulidwa

Osachotsedwa: milandu yotchulidwa ngati yosasangalatsa (I36. -)

I07.0 Tricuspid stenosis. Tricuspid (valavu) stenosis (wotsutsa)

I07.1 Kuchepa kwa Tricuspid. Tricuspid (valavu) kusakwanira (kosangalatsa)

I07.9 Matenda a Tricuspid valve, osadziwika. Kuphwanya ntchito ya tricuspid vala NOS

Zilonda za I08 zamavalo angapo

Kuphatikizidwa: milandu yotchulidwa kapena yosatchulika ngati yaphokoso

Kupatula: endocarditis, valavu yosatchulidwa (I38 )

rheumatic endocardial matenda, valavu

osatchulidwa (I09.1 )

I08.0 Ophatikizira zotupa za ma maral ndi ma aralic

Zowonongeka pamanjavu onse a mitral ndi aortic, kaya kapena osatchulidwa ngati amphokoso

I08.8 Matenda ena angapo a valavu

I11 Matenda a mtima oopsa oopsa kwambiri

Kuphatikizidwa: chilichonse chomwe chikuwonetsedwa pamutu I50. —. I51.4 —I51.9. chifukwa cha matenda oopsa

I11.0 Matenda oopsa oopsa ndi kuwonongeka kwa mtima ndi (congestive) mtima

kusakwanira. Hypertensive hypertensive mtima kulephera

I11.9 Matenda oopsa oopsa ndi kuwonongeka kwa mtima kopanda popanda (congestive) mtima

kusakwanira. Matenda a mtima oopsa a NOS

Mankhwala oopsa a I12

Kuphatikizidwa: chilichonse chomwe chikuwonetsedwa pamutu N18. —. N19. kapena N26. - kuphatikiza iliyonse,

zatchulidwa pamutuwo I10

arteriosranceotic nephritis (aakulu)

Zopatula: matenda oopsa achiwiri (I15. -)

I12.0 Matenda oopsa oopsa oopsa komanso aimpso kulephera

Kulephera kwaimpso

I12.9 Mankhwala oopsa oopsa kwambiri komanso kuwonongeka kwa impso popanda kulephera kwaimpso

Njira yeniyeni ya matenda oopsa a NOS

Mankhwala oopsa a I13 oopsa kwambiri kuwonongeka kwa mtima ndi impso

Kuphatikizidwa: chilichonse chomwe chikuwonetsedwa mu gawo I11. -. kuphatikiza pa chilichonse chomwe chikufotokozedwa mu rubric I12. matenda:

• mtima aimpso

• mtima

I13.0 Matenda oopsa oopsa komanso kuwonongeka kwa mtima ndi impso ndi (congestive) mtima

I13.1 Matenda oopsa oopsa oopsa komanso aimpso kulephera

I13.2 Matenda oopsa oopsa komanso kuwonongeka kwa mtima ndi impso ndi (congestive) mtima

kusakwanira komanso kulephera kwa impso

I13.9 Matenda oopsa oopsa ndi mtima wambiri komanso kuwonongeka kwa impso, osadziwika

Angiopathies a shuga a m'munsi malekezero (ICD-10 code: E10.5, E11.5)

Kuwonongeka kwa Diabetogenic kwa ziwiya zing'onozing'ono (microangiopathy) kapena makoma a mtsempha wamagazi (macroangiopathy). Kukhazikitsidwa kwa insulin mu matenda a shuga, komwe kumawonjezera kuchuluka kwa moyo wa odwala, komabe sikulepheretsa kukula kwa micro- ndi angiopathies, kukhala 70-80% ya milandu chifukwa cha kulumala ndi kufa kwa odwala.

Muzochitika zamankhwala, angiopathies a ziwiya za impso (nephroangiopathy) ndi maso (angiopathy a ziwiya za retina) amalembedwa kawiri kawiri, komabe, ziyenera kuzindikira kuti angiopathy ndiyamachitidwe.

Chithandizo cha microangiopathies ndi njira zamankhwala othandizira laser chimakhala makamaka kuti abwezeretse endothelial trophism, kuthetsa kusokonezeka kwa miyambo, kusintha mkhalidwe ndi chiŵerengero cha coagulation wamagazi ndi dongosolo la anticoagulation, kubwezeretsa ma microcirculation, kubwezeretsa metabolism ndi oxygenation ya zimakhala.

Dongosolo la mankhwalawa limaphatikizapo kukhathamiritsa kwa magazi kapena kukhathamira kwa magazi m'miyeso ya ulnar fossa, komanso kuchuluka kwa zotengera zomwe zimapereka madera omwe akhudzidwa, zomwe zimapangitsa kuti mitsempha yamitsempha yamagalamu ikuyambira pachitatu chachikazi ndi fossa ya popliteal fossa ("windows windows"). Kuwunika momwe mankhwalawa amathandizira kumachitika ndi njira ya cutaneous thermometry ya zigawo zam'munsi zam'munsi - pogwiritsa ntchito luso kapena palpation. Momwe hemodynamics ikusinthira, kukhathamiritsa kwathunthu kwa miyendo ndi ziwalo zomwe zakhudzidwazo kumachitidwa monga mwaukadaulo. Kuthamanga kwa kayendedwe ka emitter pakukhazikitsa njira yowunikira: 0.5-1.0 cm / sec.

Nthawi za makulidwe a mankhwala a madokotala a matenda ashuga a shuga

Pathogenesis ya diabetesic retinopathy ndi yovuta. Chitsogozo chotsogola ndi zovuta zam'magazi zomwe zimagwirizana ndi cholowa chamatumbo am'mimba komanso kusintha kwa kagayidwe kachakudya kosakanikirana ndi matenda a shuga.

Mu 1992, Kohner E. ndi Porta M.A gulu la WHO a matenda ashuga retinopathy akutsimikiziridwa, omwe pakali pano amavomerezedwa:

Nonproliferative Retinopathy (diabetesic retinopathy I) - yodziwika ndi kukhalapo kwa maso a masinthidwe am'magazi mwa ma micaneurysms, hemorrhages (mwanjira ya madontho ang'onoang'ono kapena mawanga a mawonekedwe ozungulira (palinso otayika), amtundu wakuda, amtundu wapakatikati mwa fundus kapena m'mitsempha yayikulu yakuya zigawo za retinal), exudative foci (yodziwika pakatikati pa fundus, chikasu kapena choyera ndi malire omveka bwino kapena opanda mawonekedwe) ndi retema edema. Retinal edema yodziwika pakati (macular) dera kapena m'matima akuluakulu ndi chinthu chofunikira kwambiri pakukula kwa matenda osokoneza bongo a retinopathy.

Magawo oyamba a chotupa amadziwika ndi kusowa kwa zizindikiro zamaso (kuchepa kwa maonedwe owoneka, kupweteka, ndi ena). Kuwonongeka kapena kuchepa kwa maonedwe owoneka ndi chizindikiro chachedwa kwambiri chomwe chimayimira njira yofikira patali, yosasinthika (osanyalanyaza kuyesedwa kwamakono kwa ophthalmological).

arterioles - lipogaline arteriosulinosis ("plasma vasculosis"), omwe amakhudzidwa kwambiri ndi arterioles osakhazikika komanso capillaries m'dera lotsatira la fundus,

Osachepera 1 pachaka, anthu odwala matenda a shuga amayeza mayeso, kuphatikizapo kufunsa mafunso, kuyeza kupenyerera ndi kupenya (atatha kufinya) kuti apeze zotuluka, zotupa zodontha, ma michereurysms ndi kuchuluka kwa ziwiya zatsopano. Zoyenera, kuyeserera kumachitika ndi ophthalmologist wodziwa bwino chipatala cha matenda ashuga.

Kafukufuku waposachedwa wa DS adayesa kugwiritsa ntchito rendes-angiotensin receptor blocker (PAC) ya candesartan ya mtundu 1 ndi matenda a shuga a 2. Kugwiritsa ntchito kwa candesartan sikunachepetse kupita patsogolo kwa retinopathy. Phunziroli, panali njira yochepetsera kukula kwa retinopathy. Pakufufuza kocheperako kwa RASS, kwawonetsedwa kuti kukulitsa kwa retinopathy mu mtundu 1 wa matenda osokoneza bongo kumachepetsa ndi ASD kutsekeka ndi losartan ndi angiotensin-kutembenuza enzyme enalapril inhibitor. Chifukwa chake, kugwiritsidwa ntchito kwa ASD blockers kungakhale koyenera kwa odwala omwe ali ndi matenda amtundu wa 1 komanso retinopathy, koma osati ndi matenda a shuga 2.

Njira yokhayo yodalirika yopewera matenda ashuga retinopathy ndiyo maziko azithandizo zamankhwala ake onse magawo ndi kulipira koyenera kwa matenda a shuga mellitus (glycated hemoglobin HbA1C Diabetesic angiopathy ya retina ndi malekezero otsika: ICD-10 code, zizindikiro ndi njira zamankhwala

Angiopathy ndikuphwanya mphamvu ya ziwiya zam'maso, zomwe zimadziwonetsera momwe zimasokonekera ndikumvekera kwa ziwiya za retina ndi kama wamabedi a capillary.

Chifukwa cha matendawa, pali kuchepa kwa magazi ku chiwalo ndi machitidwe amanjenje. Zikuwoneka zachilendo kuti zovuta zowopsa komanso zovutazi zilibe code ya ICD-10.

Koma izi sizitanthauza chitetezo cha matendawa. Iye, monga matenda ofanana, amafunikira chidwi kuchokera kwa ophthalmologists. Nkhaniyi imafotokoza mwatsatanetsatane za matenda monga matenda ashuga angiopathy, malinga ndi ICD-10.

Retinal angiopathy si matenda odziyimira pawokha, koma mawonekedwe a matenda ena omwe amakhudza mitsempha ya magazi athupi lonse la munthu. Mkhalidwe umadziwonekera mu kusintha kwa zamitsempha m'mitsempha chifukwa chakuphwanya kwakukulu kwamalamulo amanjenje.

Matumbo Ammbuyo

Mwamwayi, chisamaliro chokwanira chimaperekedwa ku matendawa, chifukwa zimatha kubweretsa zotsatira zosasangalatsa kwa thupi lonse. Choopsa kwambiri mwa iwo ndi kutaya kwamaso. Matenda ofala samapezeka mwa ana okha, komanso mwa anthu amsinkhu wokhwima.

Nthawi zambiri zimapezeka mwa abambo ndi amayi omwe ali ndi zaka zopitilira 30. Pali gulu la matenda omwe amakhudza momwe izi zimayambira.

Kutengera ndi iwo, angiopathy a retinal akhoza kukhala amitundu:

Hyperglycemia yomwe yakhalapo kwa nthawi yayitali. Pali malingaliro pa kufunikira kwa chitetezo cha mthupi pazomwe zimapangidwira retinopathy.

Mu shuga mellitus, chotchinga chamagazi, chomwe chimalepheretsa kulowa kwa mamolekyu akuluakulu m'mitsempha yamagazi kulowa m'matumbo am'mimba, chimakhala chovomerezeka, chomwe chimayambitsa zinthu zosafunikira kulowa mu retina.

Kusintha kwina kumawonedwa pakupanga zizindikiro: vasodilation> kuchuluka kwa magazi> zowonongeka za endothelial> zotsekeka zotsekeka> kuchuluka kwachulukidwe> mapangidwe a arteriovenous shunts ndi micaneurysms> hemorrhages> kuchepa kwa thupi ndi kusakanikirana.

Choyambitsa chachikulu cha kutayika kwamaso ndi matenda ashuga retinopathy, mawonekedwe osiyanasiyana omwe amapezeka mu 80-90% ya odwala. Malinga ndi katswiri A. Efimov, mu kafukufuku wa ophthalmological wa anthu 5,334 omwe ali ndi matenda a shuga, retinopathy yamatenda osiyanasiyananso adapezeka mwa 55.2% ya odwala (gawo I - 17.6%, gawo II - 28.1%, gawo lachitatu - 9 , 5%). Kuwonongeka kwathunthu kwa masomphenya pakati pa onse omwe adawayeza kunali pafupifupi 2%.

Retinopathy - kuwonongeka kwa ziwiya za retina. "Zolinga" zazikulu pakusintha kwamachitidwe mu retina:

Chithandizo cha matenda ashuga retinopathy ndichovuta, chimachitika ndi endocrinologist ndi ophthalmologist. Zofunikanso monga kupatsidwa zakudya zoyenera ndi insulin. Ndikofunikira kuchepetsa mafuta muzakudya, m'malo mwa mafuta a nyama ndi mafuta am'masamba, osapatula chakudya chambiri (shuga, maswiti, zoteteza), komanso kugwiritsa ntchito zinthu zambiri zomwe zimakhala ndi lipotropic (tchizi tchizi, nsomba, oatmeal), zipatso, masamba (kupatula mbatata). Mankhwala othandizira a Vitamini ndi ofunika kwambiri, makamaka magulu B (B1, B2, B6, B12, B15) mkati ndi makolo. Vitamini C, P, E amakhala ndi zoteteza kukhoma la mtima (3-4 pachaka, maphunziro a mwezi umodzi). Angioprotectors akuphatikizapo anginin (prodectin), dicinone, doxium. Mankhwalawa amatengedwa monga adanenera dokotala.

Muzochitika zapamwamba komanso kuphatikiza kwa matenda osokoneza bongo a shuga ndi matenda oopsa, atherosulinosis ndi yoopsa kwambiri.

Mukukula ndi kupitiliza kwa retinopathy yamitundu yonse ya matenda a shuga, ntchito yofunika imaperekedwa pamlingo wolipirira pazomwe zimayambitsa matenda. Kukula kwa ochepa matenda oopsa ndi matenda ashuga nephropathy, nthawi zambiri limodzi ndi retinopathy, kukulitsa njira ya retinopathy mu matenda a shuga. Atherosulinosis imapita patsogolo kwambiri pakati pa anthu omwe ali ndi matenda osokoneza bongo aang'ono ndipo amakhala ovuta kwambiri - chifukwa cha kukhalapo kwa microangiopathy, mwayi wopanga kufalikira koyenda umachepetsedwa. Kuti mupeze matenda ake,

Popewa zotupa zam'maso kwambiri, kupezeka kwawo koyambirira ndikofunikira - achinyamata omwe ali ndi matenda ashuga amayenera kuwunikidwa ndi ophthalmologist osachepera nthawi 1 m'miyezi 6. Chidwi chachikulu chiyenera kuperekedwa kwa mawonekedwe a odwala omwe ali ndi matenda osokoneza bongo a nthawi yayitali - ndi kuwonjezereka kwa nthawi ya matenda osokoneza bongo, kuchuluka kwa kudziwika kwa matenda ashuga retinopathy kumawonjezereka.

matenda ashuga a m'matumbo a ana Mavuto azithandizo: Zovuta

matenda a shuga a mellitus Kuchuluka kwa insulin

Mitundu ya retinal Angiopathy

1. Hypertensive angiopathy ndi zotsatira za matenda oopsa amene munthu amakhala nawo. Ndi matenda amtunduwu, kufalikira kwam'mitsempha m'matumbo, mitsempha yocheperako (kuchuluka kwake 2: 3 kwa 1: 2 ndi 1: 4 ikuphwanyidwa), zotupa zodontha m'malo osiyanasiyana amaso, komanso kuwonekera kwa venous channel kumawonedwa. Ngati gawo la angiopathy la mtunduwu likanyalanyazidwa, ndiye kuti minyewa ya retinal imasinthidwa. Pankhani yochotsa matenda oopsa, olembera ndalama wodwalayo amapezanso mawonekedwe athanzi, ngati panali gawo loyambirira.

2. Matenda a shuga a m'maso amachitika chifukwa cha matenda ashuga omwe amapezeka panthawi yake. Pali mitundu iwiri: microangiopathy ndi macroangiopathy. Microangiopathy - kuwonda kwa makoma a capillaries, zomwe zimapangitsa kuti magazi azitupa omwe ali pafupi, komanso kuphwanya kwamphamvu magazi. Ndi macroangiopathy, ziwiya zazikuluzikulu za maso zimakhudzidwa. Ndi chitukuko cha matenda ashuga angiopathy, chapansi nembanemba, mucopolysaccharides amavala makhoma amitsempha, zomwe zimapangitsa kutsekeka kwa mipata mwa iwo, yomwe imakhala yodzala ndi kufalikira kwathunthu. Kusintha kwa m'matumbo kumeneku kumakulitsa kuchuluka kwa magazi, zomwe zimapangitsa minofu hypoxia (kusowa kwa oxygen). Muzochitika zapamwamba, zotupa zingapo zimawonedwa, zomwe zimayambitsa kuchepa kwakukulu kwa masomphenya.

3. Hypotonic angiopathy - kukula kwakukulu kwa mitsempha, kupindika kwa mitsempha. Zombozo zimawoneka zofooka.

4. Zowopsa zamkati mwa retina zimatha kuchitika mwadzidzidzi pachifuwa kapena kuvulala kwa khomo lachiberekero, ubongo. Ichi ndi chifukwa cha kupindika kwamankhwala mu khosi lachiberekero, kuwonjezeka kwazinthu zina, etc.

Kuzindikira ndi kuchizira matenda a retinal mtima

Dziwani ndi kupereka mankhwala a angiopathy a retinal ngati angathe katswiri.

Potere, adotolo atha kukupatsirani mankhwala omwe amasintha kuchuluka kwa magazi m'mitsempha yamaso: Emoxipin, Trental, Solcoseryl, Mildronate, ndi ena.

Mankhwalawa a matenda a shuga a shuga, kuphatikiza pa mankhwala, adotolo amafotokozera wodwala zakudya zapadera, zomwe sizimachotsa zakudya zonse zokhala ndi chakudya kuchokera m'zakudya. Odwala omwe ali ndi vutoli amalimbikitsidwa kuchita masewera olimbitsa thupi, zomwe zimapangitsa kuti shuga azimwa ndi minofu ndikuthandizira magwiridwe antchito amtima.

Mankhwalawa angiopathy oopsa, gawo lofunikira limachitika ndi kufalikira kwa kuthamanga kwa magazi, kutsitsa cholesterol. Chithandizo nthawi zambiri chimachitika ndi katswiri kapena wamtima.

Ndizotheka kusintha mkhalidwe wa wodwala ndi angiopathy pogwiritsa ntchito njira za physiotherapeutic (laser iradiation, acupuncture, magnetotherapy).

Mankhwalawa a retin angiopathy amafunikira kusiyidwa kwa zizolowezi zoipa, malingaliro oyenera ku thanzi lanu. Retinal angiopathy m'maso onse ndi vuto lomwe liyenera kuthandizidwa nthawi yomweyo. Simungachite chilichonse - kuthamangitsana ndi retin angosopathy kungayambitse kuwonongeka kwa maso, kuwonongeka kwathunthu kapena pang'ono pang'ono. Monga mukuwonera, osati madokotala amaso okha, komanso akatswiri okhudzana nawo amatenga gawo lofunikira mu mankhwalawa. Chithandizo cha matenda oyambitsidwa kumabweretsa zotsatira zabwino pa mankhwalawa a retinal angiopathy.

The ophthalmologist angalimbikitse wodwala kukonzekera kwamankhwala ngati madontho, mavitamini amaso mwanjira ya mapiritsi kuti asinthe ma cellcirculation mwachindunji m'matumbo amaso ndikusunga kuwona kwa wodwalayo, komanso physiotherapeutic.

Ponena za kugwiritsa ntchito mavitamini, ndikofunikira kudziwa kuti ndi zaka, zomwe thupi limapanga lutein ndi zeaxanthin, zomwe ndizofunikira kuti thanzi la maso ndi kuwona. Zinthuzi sizipangidwa m'matumbo, kotero zomwe zimafunikira ziyenera kubwerezedwanso pafupipafupi. Pozindikira kutaya kwa retinal ndi madandaulo a kuchepa kwa masomphenya pang'onopang'ono, anthu opitilira 45 ayenera kutsatira zakudya. Kuphatikiza pa zeaxanthin ndi lutein, chakudyacho chikuyenera kukhala ndi vitamini C, tocopherol, selenium ndi zinc, zomwe zimachepetsa, kubwezeretsa ndikuteteza minofu ya maso. Kuphatikiza pa kutsata zakudya, kupewa masinthidwe okhudzana ndi zaka mu retina, ndikofunikira kumwa ma multivitamini apadera. Mwachitsanzo, mavitamini a Okuwait Lutein Forte ndi mchere wama mineral wokhala ndi lutein ndi zeaxanthin omwe amateteza maso ku zinthu zoyipa zomwe zimachitika chifukwa cha kuwala kwa dzuwa, mavitamini C, E, zinki ndi selenium. Zimatsimikiziridwa kuti kapangidwe kameneka kamalepheretsa kukula kwa kusintha kwa zaka-ndizosintha m'maso, ndipo ngakhale okalamba amatha kusangalala ndi mawonekedwe owoneka bwino.

Chida china chothandiza kwambiri chokhala ndi physiotherapeutic chomwe wodwala angagwiritse ntchito kunyumba kuti apititse patsogolo mawonekedwe ndi maso ndi Magalasi a Sidorenko, omwe amaphatikiza ma pneumomassage, phonophoresis, infrasound and color color. Zonsezi zimakuthandizani kuti mukwaniritse zotsatira zazifupi m'nthawi yochepa. Chipangizochi chimadziwika ndi mtengo wotsika mtengo, maphunziro akuwonetsa kugwira ntchito kwake komanso chitetezo.

Kufotokozera kwapfupi

Zizindikiro za angiopathy, komwe muyenera kupita kukaonana ndi katswiri:

• masomphenya osalala
• nyenyezi zowala kapena ntchentche pamaso panu,
• ululu m'munsi,
• mokhazikika nose
• kupitilira kwa myopia,
• magazi ochokera m'mitsempha,
• m'mimba ndi kukhetsa m'mimba,
• retinal dystrophy.

Zomwe zimayambitsa matenda a angiopathy ndi izi:

• kuvulala kwambiri kwa khosi lachiberekero,
• kuphwanya umphumphu wa mutu m'khosi,
• kupezeka kwa kukakamira kwakukulu,
• khomo lachiberekero,
• kupezeka kwa zizolowezi zoipa, monga kusuta,
• matenda amitundu yonse,
• ukalamba
• zochitika zoyipa
• poyizoni wa thupi ndi zinthu zingapo zapoizoni,
• zovuta zowoneka zamalamulo amanjenje, zomwe zimayang'anira mamvekedwe a makoma amitsempha yamagazi,
• kuthamanga kwa magazi
• mawonekedwe a makoma amitsempha yamagazi.

Matendawa ali ndi mitundu iwiri yayikulu: yosachulukirachulukira komanso yolimba. Mwanthawi yoyamba, magazi amatuluka m'makutuwo amawonongeka kapena kusiya.

Kuchokera ku ziwiya zowonongeka, madzimadzi, mapuloteni ndi mafuta amalowa minofu yoyandikana nayo, yomwe imayambitsa kuwonongeka kwakukulu. Pambuyo pake, kutupa kwa optic disc kumakhala kosapeweka, komwe pambuyo pake kumapangitsa kulephera kuwona.

Mu mtundu wachiwiri wa matenda, mitsempha yofooka yatsopano imapangika pamwamba pa retina.

Chifukwa cha kusokonekera kwambiri, pakaonongeka mwangozi, zotupa zazing'onoting'ono zimawoneka pansi pamaso, zomwe zingayambitse kutupa mkati mwa minofu yoyandikana nayo. Zovunda nthawi zambiri zimakhala.

Gawo lomaliza la vutoli ndi kuphwanya kwa retina - izi zimadziwika kuti ndizovuta kwambiri za matenda ashuga. Mwa zina, kukha mosayembekezeka kulowa mkati mwazinthu zam'maso kumatha kupangitsa kuti masomphenyawo akuwonongeka kwambiri. Ndi ochepa omwe amamvetsetsa kuopsa kwa matenda.

Matenda omwe amapita patsogolo amatha kubweretsa mavuto osafunikira monga:

• kuwonongeka kwathunthu kwa mitsempha ya optic,
• Kuchepetsa minda ya masomphenya,
• khungu.

Ichi ndichifukwa chake anthu onse omwe ali ndi vuto la kupanikizika kwa magazi komanso maopaleshoni owonjezera mafuta ayenera kuyendera ofesi ya ophthalmologist ndikutsatira malangizo ake onse. Izi zikuthandizani kukhala ndi thanzi labwino.

Khodi ya ICD-10

Poyamba, ziyenera kukumbukiridwa kuti ICD-10 ndiyo yapadziko lonse lapansi (yovomerezedwa ndi WHO ya madokotala a magulu onse ndi mayiko) yogawa matenda mukukonzanso kwakhumi.

Monga tanena kale, matenda ashuga angiopathy alibe nambala ya ICD-10. Izi ndichifukwa choti imawerengedwa kuti ndi chifukwa cha matenda oopsa monga kuchepa kwa magazi, matenda ammagazi, matenda a shuga komanso zina.

Izi ndi zina mwazomwe zimayambitsa kusokonezeka kwa magazi mokwanira mu retina. Chiwopsezo china cha matenda amtunduwu chimakhala chakuti, motsutsana ndi maziko a angiopathy, kukula kwamavuto akulu kwambiri, mwachitsanzo, monga retinal dystrophy ndi myopia, sikutha. Ndikofunika kudziwa kuti pakakhala kuti palibe chithandizo chamanthawi komanso chothandiza, kuphwanya kumeneku kungayambitse kutsimikizira kwathunthu kwa ntchito.

Chodziwika kwambiri ndikuti matenda oopsa, kuphatikizapo retinopathy, omwe amawonekera motsutsana ndi maziko a zovuta mu endocrine system, sangakhudze munthu mmodzi, koma maso awiri nthawi imodzi. Ichi ndi gawo lodziwikiratu mukamayendetsa matenda osiyanasiyana. Mutha kuwona matenda panthawi yoyeserera ndi katswiri wamaso.

Kuphatikiza pa njira zosasamala, chithandizo cha matendawa chimaphatikizanso othandizira.

Monga lamulo, mankhwala a laser amagwiritsidwa ntchito mwachangu. Amathetsa kukula kwa mitsempha yamagazi ndikuletsa mwayi wamatumbo.

Tiyenera kudziwa kuti pakubwezeretsa kwambiri ntchito zowoneka, mankhwalawa amagwiritsidwanso ntchito, omwe samangotulutsa magazi, komanso kupewa thrombosis, ndikuchepetsa kukula kwa mtima.

Kuphatikiza apo, madontho apadera amalembedwa omwe amasintha njira za metabolic zomwe zimachitika mkati mwa maso. Imodzi mwa madontho awa ndi Taufon.

Mankhwalawa, njira zina za physiotherapy zimagwiritsidwa ntchito mwachangu. Izi zikuphatikiza ndi izi:

Akatswiri amalimbikitsa kuti muzichita masewera olimbitsa thupi. Pankhani yokhudza zakudya, ndikofunikira kupatsa zakudya zanu zamasiku onse ndi nsomba zamkaka, zamkaka, masamba, zipatso ndi zipatso.

Kamodzi pa miyezi isanu ndi umodzi, maphunziro a mavitamini amayenera kuperekedwa. Mwa izi, tikulimbikitsidwa kugwiritsa ntchito mavitamini B, C, E, A. Therapy iyenera kupitilira milungu iwiri.

Monga njira yowonjezerapo, ndikofunikira kugwiritsa ntchito zakudya zapadera zopatsa thanzi komanso mankhwala azitsamba chifukwa cha buliberries ndi kaloti. Koma, ziyenera kudziwidwa nthawi yomweyo kuti zinthu izi sizingathe kubwezeretsanso magwiridwe antchito a retina.

Matenda enanso omwe angayambitse kuvulaza thanzi ndi matenda a shuga a m'matumbo am'munsi, ICD-10 code yomwe ndi E 10.5 ndi E 11.5.

Makanema okhudzana nawo

Matenda a shuga amawopa mankhwalawa, ngati moto!

Ndikofunikira kutsatira.

Kodi matenda a shuga a retinal angiopathy ndi ati:

Chifukwa chake, malinga ndi ICD-10, matenda a shuga a retic angiopathy samasungidwa mwanjira iliyonse.A shuga angiopathy am'munsi am'munsi, ICD-10 code ilinso ndi ziwiri - E 10.5 ndi E 11.5. Kuti mukhale ndi thanzi lamaso, muyenera kumayesedwa pafupipafupi ndi katswiri wazachipatala yemwe aziwaunikira.

Ngati mukuwona zovuta zazing'ono, dokotala akupatseni mankhwala oyenera, omwe angathandize kuti athetse kwathunthu. Ndikofunikira kuti muziyendera pafupipafupi ofesi ya katswiri kuti muwone ngati pali kuphwanya kwakanthawi, popeza iyi ndi njira yokhayo yomwe mungawachotsere mwachangu.

• Amachotsa zoyambitsa zovuta
• Imachepetsa kupanikizika mkati mwa mphindi 10 pambuyo pa kutsata

Diso la munthu ndi chiwalo chomwe chimakhala chosatetezeka kwambiri komanso kuwonongeka kwa mawonekedwe amunthu osati chokhacho chomwe chingagwere munthu. Nthawi yomweyo, matenda ena amaso ndi matenda odziyimira pawokha, pomwe ena ndi zizindikiro za ena. Ndipo m'malo onse awiriwa, ndikofunikira kuzindikira vutoli ndikupita molondola kuthetsa vutoli. Zowonadi, nthawi zambiri popanda kuchitapo kanthu, mutha kutaya mwayi wowona bwino. Angiopathy sikuti nthawi zonse imabweretsa chiwopsezo ku thanzi la thupi, koma chithandizo chake ndichofunikira monga chithandizo cha matenda aliwonse amaso.

Kutanthauzira kwamatenda

Monga lamulo, angiopathy ya retinal imawoneka motsutsana ndi maziko a vuto lamanjenje ndipo imayimira kusintha kwamitsempha yamagazi ndi kuwonongeka m'magazi. Psychology yotere si matenda odziyimira pawokha ndipo akuwoneka motsutsana ndi maziko a kuwonongeka konsekapangidwe ka ziwiya zamatumbo chifukwa cha matenda osiyanasiyana ndikupatuka. Nthawi zina angiopathy amatha kumayendetsedwa ndi kuwonongeka ndikuwonongeka kwathunthu kwamawonedwe.

Zomwe zimachitika

Angiopathy imatha kukhazikika chifukwa cha zifukwa zambiri komanso zinthu zina. Mwa zina zazikulu:

• Kuchulukitsa kwachulukira,
• Kutsitsa mtima kwamakoma a mtima,
• Matenda a shuga
• Matenda osiyanasiyana amwazi,
• Zaka zimasintha
• Zowonongeka ndi kuvulala m'maso.

Zomwe zimayambitsa matendawa zitha kugawidwa ndi mitundu yake.

• Hypertonic. Chifukwa chotukuka kwa matenda oopsa, thupi limatha kutaya mamvekedwe amitsempha ndi mitsempha yamagazi, ndipo munthawi yomweyo, kayendedwe ka magazi m'matumbo amaso amasokonezeka. Pali masomphenya osalala, myopia ikupita patsogolo. Kusintha kumachitika mu minofu ya retina.
• Achinyamata (Matenda a matenda). Ndi kutupa kwamitsempha ndipo kungayambitse kukulitsa kwamatumbo, glaucoma ndi kuthamanga kwa retinal.
• Hypotonic. Pamodzi ndi kukula kwa mitsempha ndi mitsempha, chotengera cham'maso chimakulitsidwa, kamvekedwe kake kamatayika. Zotsatira zake, mapazi amatha kupanga, ndipo wodwalayo, amamva kupukusira kwa diso.
• Zowopsa. Angiopathy imatha kuchitika chifukwa cha zotupa zam'mimba mu khosi lachiberekero. Kuchepetsa kwamitsempha yamagazi m'maso ndipo, chifukwa chake, hypoxia imatha kuonedwa.
• Dystonic. Limodzi ndi chitukuko chofulumira cha myopia. Matendawa amadziwonetsa pokhapokha ngati thupi lili ndi vuto la mtima, zotupa m'magazi amaso ndizotheka.
• Matenda a shuga Amayamba pakakhala kuti palibe chithandizo chokwanira cha matenda ashuga. Potere, mitsempha yamagazi imakhala yopapatiza ndipo, chifukwa chake, magazi amayamba kuyenda pang'onopang'ono.
• Mbiri. Zimachitika motsutsana ndi mawonekedwe a matenda osiyanasiyana komanso kupezeka kwa zotupa zokhudzana ndi chibadwa. Kusokonezeka kwakamagetsi kosavuta nkotheka.
• Zoyipa Mthupi lonse, mitsempha imatsika kamvekedwe ndi mawonekedwe ake, mapindikidwe ndi kuwunda kwa magazi kumachitika. Pamodzi ndi izi, kuwonongeka kwa mawonekedwe ndi maso osasalala ndikotheka.

Zizindikiro zazikuluzikulu za retinal angiopathy zimaphatikizapo:

• Zowonongeka,
• Progression retinal dystrophy,
• Myopia
• Mphezi m'maso
• Kukha magazi ndi kukha magazi,
• Kupitilira kwamitsempha yamagazi,
• Kukula kwa capillaries zosalongosoka.

Ndi microangiopathy, pali kuwonda kwa makoma a capillaries, kuwonongeka m'magazi. Kukula kwa macroangiopathy kumayendera limodzi ndi kuwonongeka kwa ziwiya zazikulu, odwala matenda ashuga - mwa kutseka ndi kufalikira kwa ma mucopolysaccharides awo.

Angiopathy ndi zomwe zimayambitsa kupezeka kwake zimapezeka ndi a ophthalmoscopy, komanso pamaziko a data pa thanzi la wodwalayo.

Mavuto omwe angakhalepo

Popanda kuchitapo kanthu panthawi ya angiopathy, kusintha kosinthika kwa retina, minofu hypoxia, ndi kukha mwazi kungayembekezeredwe. Zombo za retina zimakhudzidwanso mwachindunji. Nawonso, amakhala opunduka kwambiri ndipo amasiya kutulutsa magazi. Nthawi zina, kusiyiratu kuwona.

Mavuto amatha kubweretsa zizolowezi zosiyanasiyana zoyipa, kuthamanga kwa magazi, matenda amtundu wamatenda, kunenepa kwambiri, mafuta m'thupi.

Retinal angiopathy ndichinthu chosasangalatsa koma chothandizira. Ndi kapangidwe kake kolondola, dera la retina limatha kubwerera mwakale. Dokotala wodziwa bwino za matenda okha ndi omwe amatha kuyambitsa maphunziro.

Mankhwala omwe amadzipatsa nokha amatha kupha vuto la angiopathy, chifukwa pazifukwa zilizonse njira zina ndi mankhwala zimayikidwa.

Pamodzi ndi chithandizo cha angiopathy, chithandizo cha matenda chikuchitika, zotsatira zake zomwe zidawoneka, motero, nthawi zambiri zimakhala zofunika kudziwa madokotala ena. Ndikofunikira kutsatira zakudya zomwe zimaperekedwa panthawiyi.

Mankhwala

Pochiza matenda, ndikofunikira kuyambiranso magazi oyenera. Chifukwa cha ichi, monga lamulo:

Mankhwala omwe amaphatikizidwamo amaphatikizanso vasoconstrictors (Calcium Dobesylate, Parmidin, ndi zina), komanso mankhwala omwe amalepheretsa kuphatikiza kuundana (Aspirin, Ticlodipine, Dipyridamole, ndi zina). Ngati ndi kotheka, kuikidwa kwa mavitamini C, E, P ndi zinthu za gulu B.

Madontho amaso amagwiritsidwanso ntchito kwambiri, monga Taufon, Emoksipi, Antotsian forte.

Panthawi ya matenda a misempha, ndikofunikira kusiya zizolowezi zoyipa. Ngati anali amodzi mwa zifukwa zopititsa patsogolo matendawa, ayenera kusiyanitsidwa kwathunthu ndi moyo watsiku ndi tsiku.

Gulu

Gulu:
Kuphatikiza Kwa Fontaine (J.Fonteine, 1968), popereka magawo anayi a ischemia ya m'munsi miyendo:
· Gawo I - preclinical,
· Gawo lachiwiri - kutalikirana pang'ono,
Gawo lachitatu - ululu pakupuma ndi "kupweteka usiku",
· Gawo IV - matenda osokonezeka ndi zigawo za m'munsi zam'munsi 3.4.5.
Pa macro- ndi microangiopathy ya malekezero a m'munsi, magawo anayi amakhalanso odziwika:
Zachikale
Ntchito (hypertonicity, hypotension, spastic-atony),
Zamoyo
Zilonda zodziwika bwino, zamphawi.

Tebulo 1. Kugawika kwa zotupa zam'mitsempha yamitsempha yamagazi TASCII (2007).

Kusiyanitsa mitundu

Gome - 2. Kusiyanitsa kwakusiyana kwa kuwonongeka kwamankhwala kwa odwala omwe ali ndi matenda osokoneza bongo komanso anthu opanda matenda a shuga

Kufunsana kwaulere zamankhwala kunja! Siyani pempho pansipa

Pezani malangizo azachipatala

Zolinga zamankhwala:
Kubwezeretsa kutaya kwa magazi mu nthambi yake.
Kupewa kudula mwendo kwambiri,
Kuwongolera moyo wabwino.

Njira zamankhwala othandizira20,21:
Kuchiza kumapangidwa kuti muchepetse ischemia la nthambi yomwe yakhudzidwa, kubwezeretsanso kwakukulu kwa magazi.
Ndi chitukuko cha osasinthika miyendo ischemia, kukhalapo kwa purulent-necrotic njira (kulephera kuchita limbasasitisization wa miyendo) - mankhwalawa opaleshoni purulent.

Chithandizo chosamwa mankhwala:
Njira -I kapena II (kutengera kulimba kwa vutolo),
Zakudya- tebulo nambala 9.

Chithandizo cha mankhwala:
Aakulu ischemia ya I-II magawo (malingana ndi Fontane) ndi contraindication chifukwa chokonzanso ntchito zina. Mfundo zazikuluzikulu za njira zoteteza ndi izi:
Mankhwala ochepetsa shuga ndi mankhwala a insulin (UD - A) 22,23 amagwiritsidwa ntchito kukonza hyperglycemia(malinga ndi mapuloteni ovomerezeka azachipatala akuti "Type 1abetes mellitus" kapena "Type 2abetes mellitus").

Lipid-kutsitsa mankhwalakukonza dyslipidemia(UD - A) 22.23
Statins (simvastatin, atorvastatin, etc.) mu muyezo wambiri, pakamwa, kwa nthawi yayitali,

Mankhwala a Anticoagulant popewa zovuta za thrombotic (UD - B) 22,23:
heparin kapena analogies ochepa (enoxaparin, calcium nadroparin, etc.),
Mlingo woyambirira wa heparin ndi magawo 5000 mwaubwino kapena moyang'aniridwa ndi APTT.
Enoxaparin sodium 20-40 mg / tsiku modumphira
Kashiamu nadroparin 0,2-0.6 ml pang'onopang'ono, kutengera kulemera kwa thupi 1-2 nthawi / tsiku

Antibacterial mankhwala omwe cholinga chake ndi kuthetseratu pathogen (UD - A) 22-24.
Kukhazikitsidwa kwa antibacterial mankhwala kumawonetsedwa pokhapokha ngati pali matenda ndi ma labotale a matenda, mukuganizira zotsatira za chidwi cha tizilombo toyambitsa matenda. Dongosolo lamankhwala lodzipereka limaperekedwa poganizira zaumoyo wazachipatala; atalandira zotsatira za antioticogram, mankhwala othandizira othandizira amathandizika.

Malangizo othandizira odana ndi makina othandizira odwala a SDS:
Gome - 4. Njira ya antibacterial mankhwala

Kutalika kwa mankhwala opha maantibayotiki ndi masiku 7-14.
Antiplatelet mankhwala kusintha rheological katundu wamagazi: (UD - A) 22,23,25,26.
Acetylsalicylic acid 75-325 mg / tsiku pakamwa,
· Clopidogrel 75 mg, 300 mg 1 nthawi patsiku pakamwa,
Dipyridamole 50-600 mg / tsiku pakamwa
Antiplatelet mankhwala yoikidwa kwa nthawi yayitali (posagwirizana ndi contraindication, kugwiritsa ntchito mankhwala osokoneza bongo moyo wonse) dosing regimen, kuganizira kuwunika kwa zasayansi magawo.
Angioprotectors akuwonetsedwa ngati chithandizo cholumikizira kukonza ma microcirculation (UD - B)
· Alprostadil 20-60 mcg mu / 1-2 pa tsiku,
Pentoxifylline 100-300 mg / tsiku makolo, kapena 400 mg pakamwa katatu patsiku

Kupulumutsidwa kwa zowawa:
· NSAIDs muyezo ngati akuwonetsedwa.
Ma opioids - fentanyl, morphine, etc. Mlingo wofananira pamaso pa ululu waukulu womwe sungathe kupirira ndi NSAIDs.
Mitundu ina ya chithandizo:
· Physiotherapy.

Zowonjezera pa Opaleshoni (UD-V):
Opaleshoni yamkati28,29:
Mitundu ya opareshoni:
Opaleshoni "Open":
Endarterectomy,
Kubwezeretsanso minofu yamagazi yamafuta pogwiritsa ntchito kumezanitsa,
Kubwezeretsa mtsempha wamagazi pogwiritsa ntchito
Opaleshoni yamphongo
Kutulutsa kwina kwapadera kapena anastomosis,
Khalid
Kudula.
Opaleshoni Yotsimikizira:
Balloon angioplasty
Kukakamira kwamphamvu
Makina thrombintimectomy.
Njira zosinthira mwachindunji
· Kuchita Opaleshoni Yathanzi Lapakati
· Kusintha kwamphamvu yamafupa
· Kukondoweza kwa neoangioisuis
Opaleshoni Yanyama:
· Kuphatikiza kwa njira zamankhwala zochitira opaleshoni pamwambapa.
Zisonyezero zogwira ntchito 12,13:
Matenda a ischemia II-III-IVst. chithandizo cha opaleshoni chikuwonetsedwa.

Gawo No. 5. Kusankha kwa chithandizo cha opaleshoni malinga ndi TASC 2 (UD-C).

Zotsatira za opaleshoni:
Mandacardial atsopano (osakwana miyezi 3)
· ONMK (zosakwana miyezi 3),
· Matenda a mtima ndi chiwindi kulephera.

Kukonzanso:
· Kuyang'aniridwa ndi endocrinologist,
· Kuyang'aniridwa ndi angiosurgeon katatu pachaka (UD-S)
· Kugwiritsa ntchito zombo 1 kamodzi pachaka
· Kusunga shuga wabwinobwino m'magazi,
· Masanjidwe a lipid sipekitiramu.

Zisonyezero zamankhwala othandizira:
Kuteteza ziwalo,
Kuchiritsa kwa vuto la zilonda zam'mimba,
Kuchepetsa kuchepetsa.

Mankhwala (zinthu zogwira ntchito) zomwe zimagwiritsidwa ntchito pochiza

Kuchipatala

Zisonyezero zakugonekedwa kuchipatala ndi chizindikiro cha mtundu wa zipatala:

Zisonyezo zakuchipatala mwadzidzidzi:
· Mbiri ischemia yamitsempha yam'munsi mwa madigiri a IV-IV malinga ndi gulu la Fontaine,

Zisonyezero zakugonekedwa kuchipatala:
· Mbiri ischemia yamitsempha yam'munsi yachiwiri II - III madigiri malinga ndi gulu la Fontaine.

Magwero ndi mabuku

1. Miniti ya misonkhano ya akatswiri a RCHR a Ministry of Health and Social Development of the Republic of Kazakhstan, 2015
   1. Mndandanda wa mabuku omwe agwiritsidwa ntchito: 1. Losev RZ, Kulikova AN, Tikhonova LA Malingaliro amakono pa matenda ashuga a shuga am'munsi. Angiology ndi opaleshoni ya mtima. 2006, 12: 1: 25-31. 2. Angiology ya Clinical: Upangiri wa Madokotala M'mavoliyumu Awiri. A.V. Pokrovsky et al. M. Mankhwala. 2004, 1: 808. 3. Vachev A.N., Mikhailov M.S., Novozhilov A.V. Microsuction autotransplantation yayikulu kwambiri yotsikira kumunsi yotsika kwambiri yovuta ya ischemia odwala omwe ali ndi thromboangiitis obliterans. Angiology ndi opaleshoni ya mtima. 2008, 14: 3: 107–110. 4. Gavrilenko A.V., Voronov D.A., Konstantinov B.A., Bochkov N.P. Kuphatikiza kwa opaleshoni yamatenda opangidwanso ndi ma genetic engineering technology pofuna kulimbikitsa angiogeneis: njira yamakono yopangira zotsatira zazitali za chithandizo cha odwala omwe ali ndi matenda ochepa a ischemia. Angiology ndi opaleshoni ya mtima. 2008, 4: 14: 49-53. 5. Zhuravleva I.Yu., Kudryavtseva Yu.A., Ivanov SV, Klimov IA, Barbarash L.S. Njira ndi ziyembekezo zakukongoletsa zakukula zamankhwala ochepa. Matenda ozungulira ndi opaleshoni yamtima. 2005, 1: 78-83. 6. Kukkonen T, Korhonen M, Halmesmaki K, Lehti L, Tiitola M, Aho P, Lepäntalo M, Venermo M. Poor Interobserver Agation pa TASC II Classifi cation of Femoropopliteal Lesion. European Journal of Vascular & Endovascular Surgery. 2010, 39: 2: 220-2224. 7. Karpenko A. A., Chernyavsky A. M., Stolyarov M. S., Starodubtsev V. B., Komansov S. A., Marchenko A. V. Njira zosinthira zotsatira za opaleshoni mankhwala a odwala omwe ali ndi m'mimba aortic matenda ophatikizika ndi multifocal atherosulinosis. Angiology ndi opaleshoni ya mtima. 2008, 2 (zowonjezera): 15: 347–348. 8. Karpenko A.A., Chernyavsky A.M., Starodubtsev V.B., Shermatov A.M., Kaganskaya N.A. Zophatikiza pochita opaleshoni ya hybrid pochotsa matenda am'munsi miyendo. Zipangizo zamisonkhano ya All-Russian asayansi-othandiza "Kugawa matenda amitsempha: mavuto ndi ziyembekezo." 2009, 86-87. 9. Kokhan E.P. Zavarina I.K. Nkhani zomwe zasankhidwa pa angiology. 2nd ed., Yokonzedwanso. ndi kuwonjezera. M: Sayansi. 2006, 470. 10. Pokrovsky A.V., Doguzhieva R.M., Bogatov Yu.P., Goltsova E.E., Lebedeva A.N. Zotsatira zazitali za kukonzanso kwamkati mwa akazi mwa odwala a 2 matenda a shuga. Angiology ndi opaleshoni ya mtima. 2010, 16: 1: 48-52. 11. Malangizo aku Russia "Kuzindikira komanso kuchiza odwala omwe ali ndi matenda amitsempha yamagazi." - M: 2007. 12. Samoday VG, Parkhisenko Yu.A., Ivanov AA, Opaleshoni yopanda miyendo yofunika kwambiri ischemia. M.: Medical Information Agency LLC. 2009, 240. 13. Baril DT, Chaer RA, Rhee RY, Makaroun MS, Marone LK. Zochita endovascular for TASC II D femoropopliteal zotupa. Zolemba za Opaleshoni ya Mtima. 2010, 51: 6: 1404-1412. 14. Katelnitsky I.I., Trandofilov A.M. Kulungamitsidwa kokwanira kwa njira zodziwira matenda komanso zothandizira pa odwala omwe ali ndi matenda am'mimba a shuga. Angiology ndi opaleshoni ya mtima. 2012, 18: 2: 150–154. 15. Belyaev A.N., Pavelkin A.G., Rodin A.N.Intraarterial thrombolytic mankhwala a ischemic zovuta za matenda a shuga a miyendo. Angiology ndi opaleshoni ya mtima. 2012, 18: 3 13-17. 16. Dosluoglu Hasan H, Lall Purandath, Cherr Gregory S, et al. Ntchito yamagulu osavuta komanso ovuta a kusintha kosakanikirana kwa matenda am'munsi amawonongeka. JournalofVascularSurgery. 2010, 51: 6: 1425-1435 17. Kukkonen T, Korhonen M, Halmesmaki K, Lehti L, Tiitola M, Aho P, Lepäntalo M, Venermo M. Poor Interobserver Pangano pa TASC II Classifi cation of Femoropopliteal lesion. European Journal of Vascular & Endovascular Surgery. 2010, 39: 2: 220-2224. 18. Sugimoto I, Ohta T, Ishibashi H, et al Conservative chithandizo cha odwala omwe ali ndi nthawi yochepa. Maphunziro a Angiology. 2010, 29: Suppl 1: 2: 55-60. 19. 75. "Kuzindikira ndi kuyang'anira matenda am'munsi oyipa matenda: chidule cha chitsogozo cha Nice." BMJ. 2012, 345: e4947. 20. Beard J, Gaines P, Earnshaw J. Kuwongolera kwa asutemia ndi miyendo ya m'munsi. Opaleshoni ya mtima ndi endovascular. Kutulutsa kwa 4. 2009, 8: 129-146. 21. Karnabatidis D, Spiliopoulos S, Tsetis D, Siablis D. Kuwongolera kwa kuwongolera kwa ma pacheter omwe amawongolera intra-arterial thrombolysis ndi makina thrombectomy a ischemia pachimake. CardiovascInterventRadiol. 2011, Dec: 34 (6): 1123–36. 22. Mavuto a phazi la matenda ashuga: kupewa ndi kuwongolera. Maupangiri a Nice NG19 Tsiku Lofalitsidwa: Ogasiti 2015. 23. Malangizo a National Umboni Wokhazikika pa Kuteteza, Kuzindikira ndi Kuyang'anira Kupsinjika kwa Matenda a shuga (Gawo la Malangizo pa Management of Type 2 Diabetes) 2011. Melbourne Australia 24. 2012 Matenda Opatsirana a 2012 America Clinical Practice Guideline for Diagnosisand Treatment of Diabetesic Foot Infepts // CID 2012: 54 (Juni 15) • e132-173 25. Osamalira ana a Canadian Diabetes Association Clinical Exercise Guidelines Committee // Can J Diabetes 37 (2013) S145 - S149 26. Jeffrey I. Weitz, MD, Mpando, John Byrne, MD, G. Patrick Clagett, MD, Michael E. Farkouh, MD, John M. Porter, MD, David L. Sackett, MD, D. Eugene Strandness, Jr , MD, Lloyd M. Taylor, MD Diagnosis and Treatment of Chronic Arterial Insuffuffing of the Low Lowire: Kubwereza Kowunika // Dongosolo la 1996, 94: 3026-3049doi: 10.1161 / 01. CIR. 94.11.11.3026 27. Ruffolo AJ, Romano M, Ciapponi A. Prostanoids wa miyendo yovuta kwambiri. Database ya Cochrane ya Dongosolo la Makamaka pa 2010, Nkhani 1. Art. Ayi.: CD006544. DOI: 10.1002 / 14651858.CD006544.pub2. 28. Njira Zowongolera Ubwino wa Ma Percutaneous Management of Acute Limb Ischemia. J VascIntervRadiol. 2009, 20: S208 - S218. 29. Conte Michael S. Bypass motsutsana ndi Angioplasty mu Severe Ischaemia wa Mwendo (BASIL) ndi (kuyembekezera) kuyambuka kwa umboni wozikidwa pa umboni kwa ischemia yam'manja yapamwamba. Zolemba za Opaleshoni ya Mtima. 2010, 51: Zowonjezera S. 69S-75S.

Zambiri

Mndandanda wazopanga protocol:

1) Nursultan Aydarkhanovich Kospanov - woimira mayeso a zamankhwala, JSC A.N. Syzganov Science Science National Center of Surgery, wamkulu wa dipatimenti ya angiosurgery, Chief freelance angiosurgeon of the Ministry of Health and Social Development of the Republic of Kazakhstan.
2) Tursynbaev Serik Erishovich - Dokotala wa Medical Sayansi, JSC "Kazakh Medical University ofendeleza Maphunziro." Pulofesa wa Dipatimenti ya Opaleshoni Yamtima.
3) Sagandykov Irlan Nigmetzhanovich - woyimira masukulu a zamankhwala, JSC "National Science Science Center of Oncology and Transplantology", wamkulu wa dipatimenti yopanga opaleshoni ya mtima
4) Zhusupov Sabit Mutalyapovich - Wopangika wa Sayansi ya Zachipatala, Yunivesite ya State Pedagogical ku Pavlodar City Hospital No 1, Dipatimenti ya Zaumoyo, Pagulu la Pavlodar, Mutu wa Dipatimenti ya Opaleshoni ya Mtima.
5) Zemlyansky Viktor Viktorovich, JSC "Sayansi Yadziko Lonse Kusintha Kwambiri ndi Oncology", dokotala wa X-ray.
6) Azimbaev Galimzhan Saidulaevich - dokotala wamkulu wa PhD, JSC "Sayansi ya Zachipatala ya National Scientist atatchedwa A.N. Syzganov", angiosurgeon wa kuofesi ya Opaleshoni ya X-ray.
7) Yukhnevich Ekaterina Aleksandrovna - Master of Medical Sayansi, dokotala wa PhD, RSE ku PCV Karaganda State Medical University, Clinical Pharmacologist, Wothandizira wa Department of Clinical Pharmacology and Evidence-based Medicine.

Mikangano:kusowa.

Ndemanga: Konysov Marat Nuryshevich - MD, CGP ku Atyrau City Hospital, dokotala wamkulu.

Chowonetsa mikhalidwe yosinthira protocol: Kukonzanso kwa protocol zaka 3 kuchokera pomwe idasindikizidwa komanso kuyambira tsiku lomwe idalowa mphamvu kapena pamaso pa njira zatsopano ndi umboni.

Njira zopangira opaleshoni

Ngati angiopathy apeza mtundu wonyalanyaza, kuchitapo kanthu kwa opaleshoni kungafunike. Photocoagulation imachitidwa, yomwe imalepheretsa kuzungulira kwa retinal, mapangidwe a minofu ya fibrous ndikuchepetsa maonekedwe a ziwiya zopanda pake, komanso chithandizo ndi opereshoni ya laser. Njira zamankhwala othandizirana zimagwiritsidwanso ntchito kwambiri.

Khungu khungu la usiku - Zizindikiro mwa anthu, komanso njira zamankhwala zafotokozedwera pano.

Zithandizo za anthu

Pochizira matenda am'mimbamo, kugwiritsa ntchito mankhwala azikhalidwe kumavomerezeka, koma pokhapokha ndi njira zazikulu zochiritsira komanso pokhapokha mukaonana ndi madokotala.

Kuchiza ndi wowerengeka azitsamba nthawi zambiri kumachitika mothandizidwa ndi infusions: zipatso za phulusa la mapiri, masamba a currant, katsabola ndi mbewu zowonongeka.

Kutola nambala 1. Ndikofunikira kusonkhanitsa magalamu zana a yarrow, chamomile, wort wa St. John, wosafa ndi masamba a birch. Kukonzekera kulowetsedwa kumafunikira molingana ndi gawo: supuni imodzi yosonkhetsa theka la lita imodzi ya madzi otentha. Pambuyo kulowetsedwa kwa mphindi makumi awiri, osakaniza ayenera kusefa ndi kuchepetsedwa ndi madzi otentha mu theka la lita. Kulandila kumachitika kawiri patsiku - m'mawa ndi madzulo mugalasi limodzi. Njira ya mankhwalawa imachitika mpaka ntchito yonse itatha.

Kutola nambala 2. Magalamu khumi ndi asanu a mafuta a mandimu ndi valerian ayenera kusakanikirana ndi magalamu makumi asanu a yarrow.Lita imodzi ya madzi otentha ndikofunikira popanga supuni ziwiri zilizonse za zosakaniza zotsalazo. The kulowetsedwa amayenera kusungidwa kwa maola atatu, ndiye kuwotcha mumadzi osamba ndikusefa. Mlingo wa mankhwala azitsamba uyenera kugawidwa tsiku lonse. Chithandizo chikuchitika kwa milungu itatu.

Pofuna kupewa kuwoneka ndi kukula kwa matenda am'mimba, muyenera kutsatira malamulo oyambira:

1. Muyenera kuchiza matenda omwe amayambitsa matenda a retinos.
2. Pewani kuchuluka kwambiri.
3. Amayesedwa mwadongosolo ndi a ophthalmologist.
4. Khalani ndi moyo wathanzi ndikutsatira zakudya zoyenera.
5. Pewani zizolowezi zoipa.
6. Pamaso pa matenda obadwa nawo a mtima dongosolo, tsatirani dongosolo ndi malingaliro a dokotala.

Maso a Levomycitin: Malangizo ogwiritsira ntchito akufotokozedwa pano.

Retinal angiopathy sindiye matenda odziyimira pawokha, omwe amatha kusokoneza pulogalamu yake ya chithandizo, kutengera zifukwa zomwe zadziwika. Sikulimbikitsidwa kulola zovuta ndikuyambitsa vutoli ndi mawonekedwe ake, chifukwa izi zimatha kubweretsa zotsatira zoyipa, mpaka kutaya kwathunthu kwamaso. Nthawi yomweyo, ndikusankha koyenera chithandizo cha matenda angiopathy komanso matenda oyambitsidwa, mutha kukwaniritsa kubwerera kwathunthu ku chikhalidwe cham'mbuyo cha retina ndikubwerera ku moyo wabwinobwino.

• Tatyana: amblyopia yayikulu kwambiri: zomwe zimayambitsa ndi kuchiza matendawa. Nthawi yochepa bwanji yaubwana, yomwe mumatha kumvetsetsa ...
• Anastasia: Kulipira kuti maso asinthe. - Zochita zotchuka. Zochita zolimbitsa thupi sizidziwika bwino momwe zimakhalira, ndimafuna ...
• Masha: Ndingatani kuti ndisinthe? Ngati mukuonetsetsa kuti maso anu sagwira ntchito, ndiye kuti ...
• Angelina: Gome la masomphenya - ndimatebulo amtundu wanji ndipo ndimayeso amomwe anthu amawonetsera? Kuzindikiritsa panthawiyi matenda aliwonse ndikofunikira, osati kokha ...
• Maria: Conjunctivitis mu mwana: Zizindikiro, mankhwala ndi kupewa Ana nthawi zambiri amakhala ndi conjunctivitis, zimachitika ...

Zambiri zomwe zimatsambidwa pamalopo zimaperekedwa pazolinga zophunzitsira, onetsetsani kuti mukulumikizana ndi opaleshoni.

Nthawi zambiri matenda amitsempha yama mtima amakhudza maso. Chifukwa chake, kudzera mu zolakwitsa zawo, angiopathy angayambike. Mu ICD-10, matendawa alibe kachidindo kake - amatha kuikidwa mumitu ya matenda omwe adayambitsa. Tiona zina zomwe zingayambitse angiopathy, momwe tingazizindikirire komanso chithandizo chomwe chimathandiza kukhalabe ndi thanzi la maso athu onse.

Kufotokozera ndi mitundu ya matenda

Angiopathy ndikusintha kwa mitsempha yamagazi, kuphatikiza ma capillaries, omwe amayamba chifukwa cha kuphwanya kwamphamvu kwa kamvekedwe ka mawu awo, kuvuta kosuntha magazi mu lumens. Ndi chitukuko chake, ziwiya zimatha kuchepetsedwa kapena kuchepetsedwa, magazi okhaokha, mafuta, ndi zina zambiri.

Zizindikiro za angiopathic ndizotsatira zowonongeka pamitsempha yonse. Zimaphatikizanso kusokonezeka kwa magwiridwe antchito komanso thanzi la maso onse, zimayambitsa kukulitsa kapena kupitilira kwa myopia, njira za dystrophic mu retina.

Kutengera zomwe zimayambitsa, angiopathy of the retinal chotengera:

1. Malinga ndi mtundu wa hypotonic - zotengera zolimba, zotupa zamagetsi, zotupa zam'mitsempha. Choyambitsa matendawa ndi hypotension.
2. Pa hypertonic - kusasinthika kwa mitsempha ya fundus, mitsempha yosungunuka, nthambi ya venous network. Hemorrhages amatha kuonedwa m'malo osiyanasiyana amaso. Muzochitika zapamwamba, kusintha kwa minofu ya retinal kumayamba. Matendawa amapezeka chifukwa cha matenda oopsa. Chithandizo ndikuchotsa matenda oyambitsidwa. Mankhwala osokoneza bongo amasankhidwa malinga ndi International Classization of Diseases-10.
3. Malinga ndi mawonekedwe a matenda ashuga, mitundu iwiri ikhoza kusiyanitsidwa pano: macro- ndi microangiopathy.Poyamba, pali zotupa za ziwiya zokulirapo, mu chachiwiri - makoma a capillaries amakhala owonda kwambiri, omwe amachititsa kuti magazi azitupa m'maso apafupi ndi kusokonezeka kwa magazi. Zomwe zimayambitsa matendawa ndi matenda a shuga.

Kwakukulu, kusintha kwa matenda ashuga angiopathic kumayambitsa makulidwe apansi, kutsekeka kwa makoma a mtima ndi mucopolysaccharides ndi kupendekera kwa lumen, yomwe imakhala yodzaza ndi kufalikira kwathunthu. Zotsatira zake, kayendedwe ka magazi kamasokonezedwa, komwe kungayambitse hypoxia (kufooka kwa okosijeni) kwamasempha a maso onse. M'masiku otukuka, kutuluka kwamatumbo angapo kumawonekera, zomwe zimapangitsa kuwonongeka kwakukulu.

Palinso zoopsa za m'maganizo za retina. Amaphatikizidwa ndi kuvulala kwa chifuwa kapena khosi lachiberekero, zomwe zimayambitsa kupindika kwamankhwala.

Ndi chiani china chomwe chingapangitse kuti pakhale chidwi cha angiopathy komanso momwe mungazindikire?

Zina zomwe zingayambitse kuwonongeka kwa mtima wam'mimba wa retina malinga ndi ICD-10:

• Zizolowezi zoipa.
• Matenda amwazi.
• Ukalamba.
• Intoxication.
• Cervical osteochondrosis.
• Zovuta pamavuto.
• Matenda a autoimmune.
• Zovuta zamkati.
• Atherosulinosis ndi ena.

Ndi angiopathy ya retina, zizindikiro monga kuchepa kwa mawonekedwe, kumveka bwino kwa chithunzi, maso osasinthika, kutayika kwa kuwala ndi mawonekedwe amtundu, komanso kuchepa kwa mawonekedwe owonekera kumatha kuwonedwa. Nthawi zina mizere yoyera, ntchentche kapena mphezi zimatha kuwonekera patsogolo pa maso. Nthawi zina, kuwonongeka kwamitsempha yamagazi kumayendetsedwa ndimatenda amkati kapena glaucoma, myopia kapena astigmatism (retinal angiopathy OU).

Ngati zizindikiro zotere zikuchitika, pitani kuchipatala ndipo ngati ndi koyenera, akatswiri ena. Izi ndizofunikira kuti tizindikiritse matenda moyenera komanso kupewa kutulutsa zovuta. Kupatula apo, chithandizo chamankhwala chikuyambitsidwa, ndipamenenso mwayi wochira!

Kodi adotolo amawona chiani pakuwunika?

Kuti azindikire matenda am'mitsempha, akatswiri am'maso amawunika zomwe zili pansi pa maso onse. Izi zimakuthandizani kuti muwone kusintha ndi kuuma kwawo. Mwachitsanzo, dotolo amawoneka: kodi mitsempha imachepetsedwa, kodi mitsempha imachepetsedwa, kapena kodi ziwiya zimasenda. Akapindika, amafanana ndi waya kapena siliva wamkuwa.

Nthawi zina, magazi amapezeka, zotupa ndi ma cellaneurysms amatha kupezeka. Ndalama zikuwoneka zotumbululuka, zotupa zowonekera kwambiri zikuwonekera. Kutupa kwa mitsempha ya kuwala ndi retina, kuyambika kwa njira ya dystrophic kumatha kuonedwa.

Kutengera kuchuluka kwa kuwonongeka kwa mtima wam'mimba wa retina, potengera gulu la International Classization of Diseases-10, a ophthalmologist amatha kudziwa "angiopathy":

1. Digiri yoyamba, ngati pali kufinya pang'ono ndi kuphatikizika kwa makoma a mtima.
2. Digiri yachiwiri, ngati mitsempha igwada ndikusintha mawonekedwe, mipata yawo imachepetsedwa ndipo pali kusayenda kwa magazi.
3. Digiri yachitatu, ngati zombozo zimamizidwa mu makulidwe amisempha ndikung'ambika.

Ngati chithandizo chikuyambira munthawi yake komanso chifukwa cha angiopathy chikuchotsedwa, fundus idzatenga njira yake yakale.

Momwe mungabweretsere ziwiya zazitali?

Popeza angiopathy malinga ndi ICD-10 ndi chizindikiro cha matenda osiyanasiyana, chithandizo chamankhwala ndicholinga chothetsa chenicheni chomwe chimachitika. Mankhwala omwe aperekedwa:

• Kupititsa patsogolo kufalikira kwa magazi - Actovegin, Xanthinol nicotinate, Pentoxifylline kapena Solcoseryl.
• Makoma olimbitsa amitsempha yamagazi - Parmidin, Calcium Dobesylate, Biloba, Ginkgo.
• Kukhala ndi katundu wa antiplatelet - Aspirin, Dipyridamole kapena Ticlopidine.
• Kuchokera pagulu la anabolic steroids.
• Kupititsa patsogolo kagayidwe kazakudya mu minofu - ATP, cocarboxylase.

Kuphatikiza apo, mavitamini: C ndi nicotinic acid, gulu B limayikidwa Ngati pali chiwopsezo cha kufinya kwamtundu wa mankhwalawo (manambala amatengera ndi International Classization of Disease-10), chithandizo monga kupewera kwa laser kumachitika.

Dzisamalire! Musayese maso anu ndi katundu wambiri wowonekera, sinthani moyo wanu, osakana zizolowezi zoyipa, chiritsani matenda onse munthawi yake. Musalole iwo awononge thupi ndikuchotsa masomphenya. Kuyembekezera ndemanga zanu.

Malinga ndi ICD, mitundu ingapo yamatenda am'mimba imasiyanitsidwa.

Zotsatira zina za retina (H35)

Mwa zina mwa matenda a retina, pali:

• Backin retinopathy kapena retinal vascular pathology (H35.0),
• Preretinopathy (H35.1),
• Zoyimira zotsalira za mtundu wowonjezereka (H35.2),
• Kusintha kwa kusintha kwa macula kapena posterior pole (H35.3),
• Kusintha kwa madera ofikira kwa retina (H35.4),
• Herederal retinal dystrophy (H35.5),
• Retinal hemorrhage (H35.6),
• Kugawikana kwa zigawo za cell mu retina (H35.7),
• Zochita zina zodziwika bwino zapakatikati (H35.8),
• Matenda a retinal osadziwika (H35.9).

Zokhudza malo athu

Center for Diagnosis and Treatment of the retina ku MGK ndi gawo lozipatulira la Moscow Eye Clinic, imodzi mwazachipatala zotsogola kwambiri ku Moscow.

Kuthekera kwathu ndikuwonetsetsa mwachangu komanso kuchotsa bwino matenda a kumbuyo kwa diso (retina ndi vitreous) mothandizidwa ndi njira zamakono zamakono, zida zatsopano zakuzindikira komanso za opaleshoni kuchokera kwa opanga otsogola.

Gulu la madokotala aluso limathandiza odwala kukonza kapena kubwezeretsa m'maso ngakhale pazovuta kwambiri.

Ndipo pang'ono zinsinsi.

Kodi mudayamba mwadanapo ndi KUMVA MTIMA? Poona kuti mukuwerenga nkhaniyi, kupambana sikunali kumbali yanu. Ndipo zowonadi mukuyang'anabe njira yabwino yobweretsera mtima wanu.

Kenako werengani zomwe Elena Malysheva akunena mu pulogalamu yake yokhudza njira zachilengedwe zothandizira mtima ndi kuyeretsa mitsempha yamagazi.

Zambiri patsamba lino zimaperekedwa kuti zidziwitso. Musanagwiritse ntchito malingaliro aliwonse, onetsetsani kuonana ndi dokotala.

Kukopera kwathunthu kapena pang'ono tsambalo kuchokera pamalowo popanda kuwonetsa kulumikizana komwe kuli komweko sikuletsedwa.

Angiopathy ndikusintha kwa ziwiya zam'maso, zomwe zimatha kutsogola kusintha kwa dystrophic (dystrophy ya retina), myopia, atrophy of the optic nerve, etc.

Retinal vascular angiopathy si matenda ndipo ophthalmologists nthawi zambiri amangoganizira izi, koma vuto lomwe lingachitike motsutsana ndi maziko a matenda ena. Kusintha kwachilengedwe m'matumbo kumawoneka ndi kuvulala komanso kuvulala, komanso kumawonedwa mu shuga mellitus.

Kufotokozera kwa zizindikiro

Angiopathy imakhala ndi zizindikiro zingapo zomwe munthu amatha kuzindikira, koma achoke popanda chidwi. Kulemba zofunikira kupsinjika kapena kutopa.

Nthawi zambiri, odwala amadandaula:

1. Pakuwoneka "ntchentche" m'maso.
2. Kuchepetsa kupenyerera.
3. Maonekedwe akuwala kapena chifunga pamaso.
4. Zowawa kapena colic m'maso.
5. Kutopa msanga kwa ziwalo za masomphenyawo.
6. Pa kuwoneka m'dera la mapuloteni am'mawu otupa kapena kuphulika, ziwiya zofiira.

Yang'anirani kuchepetsedwa kwa maonedwe owoneka, mawonekedwe a ntchentche kapena mphezi patsogolo pa maso. Kuwonongeka kwakanthawi, koma kwathunthu kapena pang'ono. Mukakhala ndi khungu lakuthwa m'maso mukamadzuka kapena ndi masewera olimbitsa thupi, vuto la chizungulire.

Izi zikuwonetsa kuti munthu ali ndi mavuto ndi kuthamanga kwa magazi muubongo, hypoxia, kapena kuthamanga kwa intracranial. Poyerekeza ndi maziko a izi matenda, angiopathy a retina akufotokozera.

Zizindikiro zimatha kusintha, zimachitika nthawi ndi nthawi (kokha ndi kuwonjezeka kwa kuthamanga kwa magazi), koma osasiya izi osakhudzidwa. Ngati zizindikiro zoopsa zikuwoneka, pitani kuchipatala msanga.

Njira ndi chithandizo cha amayi apakati

Pa mimba, angiopathy ya retinal imayamba pazifukwa zingapo:

1. Gestosis kapena mochedwa toxicosis.
2. Kuchulukitsa kwa magazi.
3. Kuchuluka shuga.

Vutoli limapezeka mu azimayi wachitatu trimester, safunikira chithandizo chapadera. Popeza chithandizocho chikuyenera kutsata chomwe chimayambitsa kusintha m'matumba ndi njira zawo.

• kutsika kwa kuthamanga kwa magazi (amayi apakati ndi omwe adapereka Dopegit, Papazol). Koma momwe kuthinidwira kwa maso kumathandidwira titha kuwona m'nkhaniyi.

matenda a impso, kukonza zomwe zithandizidwazo zimathandiza kukokolola mwachilengedwe: Kanefron, Fitolizin, ndi zina.

kudya zakudya (kukana zotsekemera, mchere, kusuta, zokometsera komanso zopanda thanzi, kutsatira malamulo ena opatsa thanzi).

Angiopathy imatha kuchitika osati pakubala, komanso pambuyo pobala. Zikachitika kuti njira yobereka inali yayikulu kapena yayitali ndipo izi zimapangitsa kuti magazi azituluka.

Mkazi akhoza kudandaula za:

1. Maonekedwe a chifunga m'maso.
2. Kuchepetsa maonedwe owoneka. Koma zomwe ndizofunikira kuwonjezera chiwonetsero chazithunzi ziyenera kugwiritsidwa ntchito koyamba, chidziwitso chithandiza kumvetsetsa ulalo.
3. Magetsi owala (mphezi). Koma bwanji ma Flash amawalira m'maso ngati mphezi, ndipo zomwe zitha kuchitidwa ndi vuto lotere zikuwonetsedwa apa.

Pankhaniyi, kuyankhulana ndi ophthalmologist ndikofunikira. Mutachoka kuchipatala cha amayi oyembekezera, muyenera kufunsa dokotala, adzakuthandizani kukonza zomwe zachitika komanso kupewa zovuta.

Retinal angiopathy ndi chizindikiro choopsa chomwe sichiyenera kunyalanyazidwa. Ngati zizindikiro zosasangalatsa zikuwoneka, muyenera kuonana ndi ophthalmologist. Dokotala amathandizira kuzindikira njira zoyenera ndi kuperekera chithandizo choyenera.

Pofufuza momwe ndimagwirira ntchito, dokotala wa maso anazindikira kuwonjezeka pang'ono kwa sitimayo, makamaka sanalangize china chilichonse koma Taufon ndi zina zotero. Zikuwoneka kuti, komabe, katswiri amayang'anira matenda a mtima, omwe amayambitsa matenda a mtima kapena matenda omwe amayambitsa mavuto awa m'mitsempha yamagazi. Cardiologist, choyambirira. Ngakhale ndingakonde kuti madokotala athu azikhala ndi chidziwitso chokulirapo, ndi ophthalmologist, atha kuyendayenda bwino pazomwe zimayambitsa matenda a maso.

Kodi chiwopsezo cha retinal angiopathy ndi chiyani komanso momwe angachitire bwino?

Diso la munthu ndi chiwalo chomwe chimakhala chosatetezeka kwambiri komanso kuwonongeka kwa mawonekedwe amunthu osati chokhacho chomwe chingagwere munthu. Nthawi yomweyo, matenda ena amaso ndi matenda odziyimira pawokha, pomwe ena ndi zizindikiro za ena. Ndipo m'malo onse awiriwa, ndikofunikira kuzindikira vutoli ndikupita molondola kuthetsa vutoli. Zowonadi, nthawi zambiri popanda kuchitapo kanthu, mutha kutaya mwayi wowona bwino. Angiopathy sikuti nthawi zonse imabweretsa chiwopsezo ku thanzi la thupi, koma chithandizo chake ndichofunikira monga chithandizo cha matenda aliwonse amaso.

Kupewa

Pofuna kupewa kuwoneka ndi kukula kwa matenda am'mimba, muyenera kutsatira malamulo oyambira:

1. Muyenera kuchiza matenda omwe amayambitsa matenda a retinos.
2. Pewani kuchuluka kwambiri.
3. Amayesedwa mwadongosolo ndi a ophthalmologist.
4. Khalani ndi moyo wathanzi ndikutsatira zakudya zoyenera.
5. Pewani zizolowezi zoipa.
6. Pamaso pa matenda obadwa nawo a mtima dongosolo, tsatirani dongosolo ndi malingaliro a dokotala.

Maso a Levomycitin: Malangizo ogwiritsira ntchito akufotokozedwa pano.

Retinal angiopathy sindiye matenda odziyimira pawokha, omwe amatha kusokoneza pulogalamu yake ya chithandizo, kutengera zifukwa zomwe zadziwika.Sikulimbikitsidwa kulola zovuta ndikuyambitsa vutoli ndi mawonekedwe ake, chifukwa izi zimatha kubweretsa zotsatira zoyipa, mpaka kutaya kwathunthu kwamaso. Nthawi yomweyo, ndikusankha koyenera chithandizo cha matenda angiopathy komanso matenda oyambitsidwa, mutha kukwaniritsa kubwerera kwathunthu ku chikhalidwe cham'mbuyo cha retina ndikubwerera ku moyo wabwinobwino.

Zotupa zachiwiri zam'mbuyo (H36)

Matenda am'mbuyo amatha kuchitika ndi zina:

• Matenda a shuga a retinopathy (H36.0),
• Matenda ena mu retina (H36.8).

Zokhudza malo athu

Center for Diagnosis and Treatment of the retina ku MGK ndi gawo lozipatulira la Moscow Eye Clinic, imodzi mwazachipatala zotsogola kwambiri ku Moscow.

Kuthekera kwathu ndikuwonetsetsa mwachangu komanso kuchotsa bwino matenda a kumbuyo kwa diso (retina ndi vitreous) mothandizidwa ndi njira zamakono zamakono, zida zatsopano zakuzindikira komanso za opaleshoni kuchokera kwa opanga otsogola.

Gulu la madokotala aluso limathandiza odwala kukonza kapena kubwezeretsa m'maso ngakhale pazovuta kwambiri.

Pangana nthawi pano!

Kufunsira kwa Ophthalmologist pamalopo

Mutha kufunsa funso lanu kwa katswiri wa retina wa pakati pathu A.V. Korneeva

Kanema weniweni

Kuphatika kwa laser ("kulimbitsa") kwa retina chifukwa cha kupasuka komanso kukumbukira kwa wodwala.

Omwe timacheza nawo

Ichi ndi chiyani

Angiopathy ndimkhalidwe wamatumbo amtumbo momwe kusintha kwa ma capillary kumasintha chifukwa cha kusokonezeka mu kubisala kwawo kwamanjenje. Izi zimachitika chifukwa chodzaza m'mitsempha yamagazi kapena kuphipha kwawo kwakanthawi.

Mankhwala samasiyanitsa angiopathy ngati matenda odziyimira pawokha; Zizindikiro zoterezi zimatha kukhala zovuta za metabolic kapena mahomoni, kuvulala ndi kuledzera, komanso chifukwa cha zizolowezi zoipa monga kusuta fodya kapena kugwiritsa ntchito mankhwala osokoneza bongo.

Vutoli, lomwe lingadziwike moyenera nthawi yomweyo komanso chithandizo, limasinthanso. Pazaka zodziwika bwino zokha pomwe matendawa amapangitsa zovuta zazikulu:

Magawo a retinal Angiopathy

Dokotala wamaso adzaika mankhwala a angiopathy atayeza mozama. Kupambana kwamankhwala mwachindunji kumadalira njira zomwe cholinga chake ndikuchotsa matenda oyambira.

Khodi ya ICD-10

Malinga ndi typology yapadziko lonse yamatenda, angiopathy ilibe kachidindo kake, popeza ilibe matenda omwe angadziyendere payekha. Chifukwa chake, kukhazikitsa njira kumatsata njira yomwe imayambitsa kuperewera kwa minyewa.

Izi zitha kukhala matenda osiyanasiyana:

• kuvulala kwamaso, nkhope, khosi, mutu,
• kuthamangitsidwa kwamphamvu kapena kwakanthawi,
• osteochondrosis, spondylosis ya khomo lachiberekero,
• matenda ashuga
• Hypo - kapena kuchepera kwa vitamini,
• matenda a magazi
• atherosulinosis, vasculitis,
• kuledzera ndi poizoni kapena ma poizoni okhala ndi mankhwala (ma radiation),
• kupsinjika kwamphamvu kwakuthupi ndi kwamaganizidwe, kuchititsa kupsinjika kwa nthawi yayitali,
• Presbyopia kapena dystrophy ya zimakhala mu zida za ocular.

Angiopathies ali ndi gulu lawo:

1. Achinyamata (matenda a Ills), amatanthauza ma pathologies osowa omwe ali ndi etiology yosadziwika. Matendawa amakhudza achinyamata ndikuwonekera:

• kutupa kwa capillaries ndi mitsempha ndi kuchuluka kwa zolumikizira ulusi mu retina,
• Kutupa m'matumbo amaso,

Kukula kwa matendawa ndi akulu, chifukwa kumatha kupangitsa kuti munthu asamayang'ane komanso asamayang'anitsidwe, komanso chitukuko cha matenda amkati kapena glaucoma.

2. Hypertensive retinal angiopathy imayamba chifukwa cha kuthamanga kwa magazi kwa odwala, chifukwa cha izi, mitsempha ya maso nthawi zambiri imakhala yochepetseka, yomwe imasokoneza magazi omwe amapezeka kwa retina, omwe nthawi zambiri amasintha kwambiri.

3.Angiopathy yowopsa imayamba ndi kuvulala kumutu, khosi kapena chifuwa. Apa, makina ophatikizira amitsempha ndi ma capillaries kapena kuwonjezeka kwazovuta zamkati ndizotheka. Pathology imapangitsa kuchepa kwakanthawi kapena kwakanthawi kwakanthawi kwakanthawi, kuwonongeka kwa mitsempha, kupindika kwa m'maso, kusintha kwampangidwe pama cell a retina ndi vitreous.

4. Mtundu wa nthenda ya hypotonic imadziwika ndi kukhathamira kwa magazi ndi kuchuluka kwa magazi, motero pamakhala chiopsezo cha kupindika, kutupa kwa mitsempha m'maso.

5. Matenda a diabetes angiopathy ndi chifukwa cha kufalikira kwa matendawa. Kusagwirizana kwa ma cell kagayidwe kathu kumapangitsa kusintha kwamitsempha yamagazi (kuwonda kwawo kapena kunenepa kwambiri), kotero kufalikira kwamwazi kudzera mwa iwo kumasokonekera.

6. Mawonekedwe okhudzana ndi zaka zakubadwa amayamba chifukwa cha kukalamba kwa thupi, zotengera zovala sizingathenso kulimbana ndi katunduyu, kamvekedwe kake kamachepa, komanso kusintha kwa dystrophic kumawonekera.

Retinal Angiopathy mu Mwana

Kusintha kwa kamvekedwe ka ziwiya za maso ana muubwana kumatha kuonedwa ndikusintha kwa thupi kapena kulira. Izi zimachitika chifukwa cha kusakhazikika kwa magazi a ana komanso sizoyambitsa matenda ayi. Kupindika kwa nthawi yayitali kwamitsempha komanso ma capillaries omwe amapezeka nthawi yoyesedwa m'chipatala (chipatala cha amayi oyembekezera, chipatala cha ana) kapena m'malo otayika amakamba za kupweteka kwamitsempha yamaso mwa ana.

Chifukwa cha angiospasm ana akhoza:

• matenda oopsa a ma virus ndi matenda a bakiteriya (chifuwa chachikulu, meningitis, brucellosis, chimfine chovuta, ndi zina zambiri).
• matenda oyamba ndi majeremusi (toxoplasmosis ndi matenda apamwamba a helminthic),
• poyizoni ndi nthenga za zebaki, chlorine ndi mankhwala ena,
• matenda akhungu oyambitsidwa ndi kupsinjika kowonera kusukulu kapena kunyumba (kulakalaka masewera apakompyuta, kuwonera makanema pa TV),
• matenda a impso,
• rheumatism
• kusowa kwa mapuloteni, mavitamini kapena michere,
• kutopa kwakuthupi, kukonzanso, kusangalala kwa nthawi yayitali.

Zizindikiro zamatenda zimawonekera:

• pakuchepetsa maonedwe,
• mawonekedwe oyera, oyera kapena owala pamaso pa maso, "kuyaka kwamoto, mphezi, mphezi",
• kutopa kwambiri pakuwerenga, kuonera TV kapena kugwira ntchito pa PC,
• mapangidwe pa mucous nembanemba wa diso la ma capillaries, mu conjunctival redness, pozindikira zotupa zotupa,
• pochepetsa mavuto amtsogolo,
• m'maganizo amkati mwake,
• pakusintha kwachilengedwe mu fundus (ndi kupimidwa ndi dokotala).

Therapy ya angiopathy imachitika malinga ndi matenda akumbuyo:

1. Njira yodwala matenda a shuga imafuna kutsatira kwambiri zakudya komanso / kapena makonzedwe a insulin.
2. Hypertensive angiopathy ya retina ya maso onsewo imachiritsidwa makamaka ndi mankhwala omwe amachepetsa kuthamanga kwa magazi ndi vasodilator.
3. Angiopathy yovuta imaphatikizira chithandizo kuchipatala chopangira opaleshoni, kugwiritsa ntchito kwapadera (matayala, kuponya) kapena ntchito.

Kupititsa patsogolo kayendedwe ka magazi m'mitsempha yamaso ndi mitundu yonse ya angiopathy ingathe kufotokozedwa:

Njira za physiotherapy nthawi zambiri zimawonjezeredwa ku njira zachipatala:

Njira zolimbikitsira kwambiri pamenepa:

• kutsatira chakudya chopanda chakudya chopatsa mphamvu,
• amayenda mumweya watsopano,
• zolimbitsa thupi zolimbitsa thupi (kusambira, zolimbitsa thupi),
• kuchepetsa nkhawa,
• kugwiritsa ntchito mavitamini.

Matenda ovuta a maso monga retinal angiopathy alibe ICD-10 code. Ndipo izi sizitanthauza kuti matenda awa a ziwalo zamasomphenya sayenera kuyang'aniridwa ndi akatswiri a maso. Kodi matendawa amatanthauza chiyani, ndipo tingatani?

Kumbukirani. kuti ICD-10 ndiyo yapadziko lonse lapansi (yovomerezedwa ndi WHO ya madokotala a magulu onse ndi mayiko) m'gulu la matenda mukukonzanso kwakhumi.

M'mawu azachipatala, angiopathy ndimavuto am'maso, omwe amawonekera ndikuphwanya kamvekedwe ka zotengera zam'mimba komanso bedi lamasewera a fundus. Potengera maziko a izi, kuchepa kwa magazi ndi magonedwe amanjenje zimawonedwa. ICD-10 ilibe magawo ena payokha, chifukwa izi zimachitika chifukwa cha matenda oopsa. Nthawi zambiri, angiopathy imachitika motsutsana ndi maziko a matenda:

1. Intracranial matenda oopsa.
2. Kuwonongeka kwa zigawo za khomo lachiberekero.
3. Osteochondrosis wa khomo lachiberekero.
4. Matenda osiyanasiyana magazi.
5. Matenda a shuga.
6. Kugwiritsidwa ntchito molakwika ndi kusuta fodya komanso uchidakwa.
7. Kubadwa kolakwika.

Ndipo izi ndi zina mwazomwe zimayambitsa kusokonezeka kwa magazi m'magazi. Choopsa cha matenda awa ndikuti, motsutsana ndi maziko a angiopathy, zovuta zowopsa, monga retinal dystrophy ndi / kapena myopia, zitha kuchitika. Kuphatikiza apo, pakapanda kulandira chithandizo chanthawi yake komanso chokwanira, kuphwanya lamulo mu trophic retina kungayambitse kuwonongeka kwathunthu.

Ndizodziwika kuti angiopathy, kuphatikizapo matenda ashuga retinopathy, amakhudza maso onse nthawi imodzi. Ichi chimakhala chizindikiritso pochita mayeso osiyanasiyana. Angiopathy imapezeka pakayang'aniridwa ndi fundus ku ophthalmologist.

Pali mitsempha yotupa yamtunduwu mwa akulu ndi ana. Chifukwa chake, zifukwa zenizeni zomwe zimachitika mwanjira inayake zimakhala zovuta kudziwa. Komabe, nthenda zamtundu uliwonse zimatengedwa kuti ndizomwe zimapangitsa kwambiri. Chomwe chimayambitsa angiopathy imatengedwa ngati ziwonetsero za ziwiya za thupi, momwe mumakhala kuphwanya kapangidwe ka khoma lamitsempha, kuphatikizapo pabedi lamitsempha.

Nthawi zambiri pamakhala kuwonongeka kotere kwa ziwiya za retina mu nthawi yomaliza ya mimba kapena pambuyo pobadwa, zomwe zinachitika ndi kuphwanya. Kwa mwana, angiopathy imeneyi siziwopseza, koma amayi ayenera kuyamba kulandira chithandizo chamankhwala oyikidwa ndi dokotala wamaso.

Mitundu ya mayendedwe itha kulembedwa motere:

1. 1. Hypertensive angiopathy of the retina. Zimayamba ndikumachitika kwa matenda oopsa komanso kupita patsogolo kwake. Nthawi zambiri, mothandizidwa ndi kuthinana kwambiri, kumachitika chipwirikiti cham'mimba komanso mafupa am'mimba. Koma ndikuzindikira mwachangu komanso kuchotsedwa kwa nthawi, izi sizikupereka chiwopsezo cha kutayika kwa masomphenya.
2. 2. Hypotonic. Mtundu wa kutuluka, womwe umayang'anizana ndi mtundu woyamba, umapanikizika. Kuopsa kwa izi kuli pachiwopsezo cha kuponderezedwa m'makutu ndi kutsekeka kwina kwa chombo.
3. 3. Anthu odwala matenda ashuga amawopseza zopinga zazingwe za fundus.
4. 4. Zoopsa angiopathy - Vutoli limachitika ndi chotupa cha khosi lachiberekero kapena thoracic komanso kuwonjezeka kwazovuta za intracranial kumadera ovuta.
5. 5. achinyamata angiopathy ndi mtundu wofufuzira bwino kwambiri wamaso. Fomuyi imayendetsedwa ndi kukoka kumodzi kapena kangapo mu thupi la vitreous komanso / kapena retina. Nthawi zambiri kuphatikizidwa ndi mphaka, glaucoma, kapena kutaya kwamaso kwathunthu.

Muyenera kufunsa dokotala nthawi yomweyo ngati mawonekedwe amtundu wa matenda a retinal mtima.

1. 1. Maonekedwe opanda pake.
2. 2. Zowoneka ndi / kapena ntchentche pamaso.
3. 3. Ululu m'miyendo.
4. 4. Pafupipafupi mphuno.
5. 5. Kutulutsa magazi mu kwamikodzo ndi m'mimba.
6. 6. Myopia.
7. 7. retinal dystrophy.

Ngati ena adayamba kuzindikira ziwiya zingapo zamkati mwa diso lanu, ndiye ndi chizindikiro ichi, muyenera kulankhulana ndi dokotala wamaso.

Monga chithandizo, mankhwala amathandizidwa kuti azisinthasintha magazi m'magulu ang'onoang'ono komanso kuthamanga kwa magazi.Kuphatikiza apo, kudya zakudya zochepa zam'magazi, masewera olimbitsa thupi mlengalenga, komanso zakudya zopatsa mavitamini ambiri zimalimbikitsidwa.

Magnetotherapy, acupuncture, mankhwala a laser angalimbikitsidwe.

Ndipo pang'ono zinsinsi.

Kodi mudayamba mwadanapo ndi KUMVA MTIMA? Poona kuti mukuwerenga nkhaniyi, kupambana sikunali kumbali yanu. Ndipo zowonadi mukuyang'anabe njira yabwino yobweretsera mtima wanu.

Kenako werengani zomwe Elena Malysheva akunena mu pulogalamu yake yokhudza njira zachilengedwe zothandizira mtima ndi kuyeretsa mitsempha yamagazi.

Zambiri patsamba lino zimaperekedwa kuti zidziwitso. Musanagwiritse ntchito malingaliro aliwonse, onetsetsani kuonana ndi dokotala.

Kukopera kwathunthu kapena pang'ono tsambalo kuchokera pamalowo popanda kuwonetsa kulumikizana komwe kuli komweko sikuletsedwa.

Angiopathy ndikusintha kwa ziwiya zam'maso, zomwe zimatha kutsogola kusintha kwa dystrophic (dystrophy ya retina), myopia, atrophy of the optic nerve, etc.

Retinal vascular angiopathy si matenda ndipo ophthalmologists nthawi zambiri amangoganizira izi, koma vuto lomwe lingachitike motsutsana ndi maziko a matenda ena. Kusintha kwachilengedwe m'matumbo kumawoneka ndi kuvulala komanso kuvulala, komanso kumawonedwa mu shuga mellitus.

Khodi ya ICD-10

Angiopathy ilibe code malinga ndi gulu la mayiko ena, chifukwa silingatengeke ngati matenda odziyimira pawokha. Nambala imapatsidwa matenda omwe adatsogolera kukula kwa pathological mkhalidwe.

Umu ndi momwe mawonekedwe a retinal angiopathy amawonekera

Zoyambitsa ndi gulu

Angiopathy imayambitsa zifukwa zingapo. Zowongolera zama sitima zimatuluka motsutsana ndi maziko a:

1. Zovulala pachifuwa kapena pachifuwa. Zomwe zimabweretsa kutsekeka kwa magazi, kumachitika kwa hypoxia.
2. Matenda oopsa a arterial - m'mawu ena, kuthamanga kwa magazi. Chifukwa cha kuthamanga kwa magazi, ma capillaries ang'onoang'ono a retina sangathe kupirira ndi kuphulika. Mitsempha yam'mimba imachitika, zomwe zingayambitse kuchepa kwa zowonekera m'maso, kupezeka kwa kusintha kwa ziwiya ndi njira yawo.
3. Arterial hypotension - kuthamanga kwa magazi komwe kumachitika chifukwa cha kuchuluka kwamitsempha ndi ziwiya zazikulu, kumabweretsa mapangidwe amitsempha yamagazi m'mitsempha ya retina.
4. Cervical osteochondrosis ndimatenda omwe amatsogolera kutsekeka kwa magazi kupita ku ubongo, kuchuluka kwazovuta zamkati.
5. Matenda a shuga ndi njira ya endocrine system, yodziwika ndi kuwonjezeka kwa shuga m'magazi. Popanda chithandizo chokwanira, matenda a shuga amachititsa kuti makoma azigawo azikula ndipo zimakhudza ma cell a retina.
6. Kuvulala kwaubongo - kumabweretsa chisokonezo mu ubongo, kuwonjezeka kwa kuthina kwazinthu zamkati, komanso kukula kwa hypoxia. Pankhaniyi, angiopathy imachitika chifukwa chovulala.
7. Mimba ndi njira yobadwira - kusintha m'matumbo kumatha kuonekera nthawi yapakati kapena kubereka pambuyo povuta. Pankhaniyi, vutoli likuyenera kuwongoleredwa, pokhapokha ngati chidziwitso cha matenda chakhazikitsidwa.
8. Matenda a Autoimmune ndi matenda a hematopoietic dongosolo sizomwe zimayambitsa. Potengera momwe matenda amenewa amasinthira, zotengera m'matumbo a retina ndizosowa kwambiri.

Koma chomwe presbyopia ndi angiopathy a retina, ndi momwe amathandizira, chingathandize kumvetsetsa izi.

Kanemayo - kufotokoza kwa matendawa:

Pali mitundu ingapo ya angiopathy, zimachitika:

• hypertonic - kumachitika ndi kuwonjezeka kwa kuthamanga kwa magazi kapena kuthamanga kwa intracranial,
• Hypotonic - imayamba motsutsana ndi maziko a kuthamanga kwa magazi komanso mapangidwe a magazi,
• matenda ashuga - chifukwa chachikulu ndi matenda a shuga kapena kuchuluka kwa shuga m'magazi (angapezeke mwa ana a chaka choyamba cha moyo kapena akhanda),
• kumbuyo - kumachitika motsutsana ndi kusintha kwa zinthu m'matumbo a diso, ndikamapita nthawi yayitali kumakhala koopsa ndi zovuta,
• zowopsa - zotsatira za kuvulala komwe kumakhalapo, kuvulala kumachitika pakakhala kuphwanya magazi kupita ku ubongo,
• aubwana - amawonekera mwa ana patha msinkhu. Choyambitsa chenicheni sichinakhazikitsidwe. Imadziwoneka ngati yotayika kwambiri yakuwonongeka kwakumaso, imakula mofulumira ndipo imatha kuyambitsa glaucoma kapena retinal dystrophy.

Angiopathy ya maso onse amapezeka pafupipafupi. Koma pali zochitika pamene zombo zimasintha m'maso amodzi okha. Izi zitha kuwonetsa kupita patsogolo kwa matenda.

Kufotokozera kwa zizindikiro

Angiopathy imakhala ndi zizindikiro zingapo zomwe munthu amatha kuzindikira, koma achoke popanda chidwi. Kulemba zofunikira kupsinjika kapena kutopa.

Nthawi zambiri, odwala amadandaula:

1. Pakuwoneka "ntchentche" m'maso.
2. Kuchepetsa kupenyerera.
3. Maonekedwe akuwala kapena chifunga pamaso.
4. Zowawa kapena colic m'maso.
5. Kutopa msanga kwa ziwalo za masomphenyawo.
6. Pa kuwoneka m'dera la mapuloteni am'mawu otupa kapena kuphulika, ziwiya zofiira.

Yang'anirani kuchepetsedwa kwa maonedwe owoneka, mawonekedwe a ntchentche kapena mphezi patsogolo pa maso. Kuwonongeka kwakanthawi, koma kwathunthu kapena pang'ono. Mukakhala ndi khungu lakuthwa m'maso mukamadzuka kapena ndi masewera olimbitsa thupi, vuto la chizungulire.

Izi zikuwonetsa kuti munthu ali ndi mavuto ndi kuthamanga kwa magazi muubongo, hypoxia, kapena kuthamanga kwa intracranial. Poyerekeza ndi maziko a izi matenda, angiopathy a retina akufotokozera.

Zizindikiro zimatha kusintha, zimachitika nthawi ndi nthawi (kokha ndi kuwonjezeka kwa kuthamanga kwa magazi), koma osasiya izi osakhudzidwa. Ngati zizindikiro zoopsa zikuwoneka, pitani kuchipatala msanga.

Zizindikiro

Sizovuta, ingopita kwa akatswiri azachipatala. Dokotala amawunika ziwiya za fundus.

Kuti muwone kusintha, ndikokwanira kungoyeserera kamodzi, koma ngati ndi kotheka, dokotala angalimbikitse kuyesa kwa maso. Amayezanso kupanikizika kwa mitsempha, komwe kumathandiza kuthetsa mwayi wokhala ndi glaucoma. Koma momwe kuzindikira kwa matenda a retinal angiopathy mwa mwana kumachitikira, izi zithandizira kumvetsetsa.

Chithandizo cha mankhwalawa ndikufuna kuthana ndi chomwe chimayambitsa matenda. Ngati angiopathy ikupezeka motsutsana ndi matenda ochepa matenda oopsa, dokotalayo amauza munthu amene angamuthandize ndi mtima. Dotolo amatipatsa mankhwala omwe amatha kukhazikika magazi komanso kuchepetsa mwayi wotaya magazi m'mitsempha ya retina komanso capillaries yaying'ono.

Ngati angiopathy imagwirizanitsidwa ndi matenda a shuga, ndiye kuti amachiza matenda oyambitsawo ndikuyesetsa kupewa zovuta.

Chifukwa chake, ndimankhwala ati omwe dokotala wamaso angakupatseni:

• vasodilator (Cinnarizine, Vinpocetine, etc.),

mavitamini ma complexes (kukonzekera koyang'ana pang'ono, mavitamini amaso amagwiritsidwa ntchito). Koma mavitamini azaka zokhudzana ndi ukalamba akuyenera kugwiritsidwa ntchito koyamba, akufotokozedwa Pano kukonzekera komwe kumapangitsa magazi kukhathamiritsa (makamaka madontho, madontho amaso a Taufon).

Mndandanda wamankhwala omwe amasintha kukoka kwa magazi m'magazi a m'maso:

Monga chithandizo cha physiotherapeutic, ophthalmologist angalimbikitse kudutsa njira ya magnetotherapy, mankhwala a laser (kuwala kwa retina).

Njira ndi chithandizo cha amayi apakati

Pa mimba, angiopathy ya retinal imayamba pazifukwa zingapo:

1. Gestosis kapena mochedwa toxicosis.
2. Kuchulukitsa kwa magazi.
3. Kuchuluka shuga.

Vutoli limapezeka mu azimayi wachitatu trimester, safunikira chithandizo chapadera. Popeza chithandizocho chikuyenera kutsata chomwe chimayambitsa kusintha m'matumba ndi njira zawo.

• kutsika kwa kuthamanga kwa magazi (amayi apakati ndi omwe adapereka Dopegit, Papazol). Koma momwe kuthinidwira kwa maso kumathandidwira titha kuwona m'nkhaniyi.

matenda a impso, kukonza zomwe zithandizidwazo zimathandiza kukokolola mwachilengedwe: Kanefron, Fitolizin, ndi zina.

kudya zakudya (kukana zotsekemera, mchere, kusuta, zokometsera komanso zopanda thanzi, kutsatira malamulo ena opatsa thanzi).

Angiopathy imatha kuchitika osati pakubala, komanso pambuyo pobala. Zikachitika kuti njira yobereka inali yayikulu kapena yayitali ndipo izi zimapangitsa kuti magazi azituluka.

Mkazi akhoza kudandaula za:

1. Maonekedwe a chifunga m'maso.
2. Kuchepetsa maonedwe owoneka. Koma zomwe ndizofunikira kuwonjezera chiwonetsero chazithunzi ziyenera kugwiritsidwa ntchito koyamba, chidziwitso chithandiza kumvetsetsa ulalo.
3. Magetsi owala (mphezi). Koma bwanji ma Flash amawalira m'maso ngati mphezi, ndipo zomwe zitha kuchitidwa ndi vuto lotere zikuwonetsedwa apa.

Pankhaniyi, kuyankhulana ndi ophthalmologist ndikofunikira. Mutachoka kuchipatala cha amayi oyembekezera, muyenera kufunsa dokotala, adzakuthandizani kukonza zomwe zachitika komanso kupewa zovuta.

Retinal angiopathy ndi chizindikiro choopsa chomwe sichiyenera kunyalanyazidwa. Ngati zizindikiro zosasangalatsa zikuwoneka, muyenera kuonana ndi ophthalmologist. Dokotala amathandizira kuzindikira njira zoyenera ndi kuperekera chithandizo choyenera.

Pofufuza momwe ndimagwirira ntchito, dokotala wa maso anazindikira kuwonjezeka pang'ono kwa sitimayo, makamaka sanalangize china chilichonse koma Taufon ndi zina zotero. Zikuwoneka kuti, komabe, katswiri amayang'anira matenda a mtima, omwe amayambitsa matenda a mtima kapena matenda omwe amayambitsa mavuto awa m'mitsempha yamagazi. Cardiologist, choyambirira. Ngakhale ndingakonde kuti madokotala athu azikhala ndi chidziwitso chokulirapo, ndi ophthalmologist, atha kuyendayenda bwino pazomwe zimayambitsa matenda a maso.

Ichi ndi chiyani

Angiopathy - Awa ndi momwe zinthu zimasinthira, zomwe chifukwa cha kuphwanya kwawo kubadwa kwa mantha, kusinthasintha kwa kapangidwe kazinthu kumasintha. Izi zimachitika chifukwa chodzaza m'mitsempha yamagazi kapena kuphipha kwawo kwakanthawi.

Mankhwala samasiyanitsa angiopathy ngati matenda odziyimira pawokha; Zizindikiro zoterezi zimatha kukhala zovuta za metabolic kapena mahomoni, kuvulala ndi kuledzera, komanso chifukwa cha zizolowezi zoipa monga kusuta fodya kapena kugwiritsa ntchito mankhwala osokoneza bongo.

Nthawi zambiri, angiopathy amapezeka mwa anthu akuluakulu (azaka zopitilira 30), ochepa amapezeka pa mitundu ya ana ndi achinyamata.

Vutoli, lomwe lingadziwike moyenera nthawi yomweyo komanso chithandizo, limasinthanso. Pazaka zodziwika bwino zokha pomwe matendawa amapangitsa zovuta zazikulu:

• kukula kwa dystrophy ndi atrophy ya retina ndi optic nerve,
• kuchepa kwamawonekedwe owoneka ndi kuchepa kwa minda yowoneka.

Magawo a retinal Angiopathy

Dokotala wamaso adzaika mankhwala a angiopathy atayeza mozama. Kupambana kwamankhwala mwachindunji kumadalira njira zomwe cholinga chake ndikuchotsa matenda oyambira.

Khodi ya ICD-10

Malinga ndi typology yapadziko lonse yamatenda, angiopathy ilibe kachidindo kake, popeza ilibe matenda omwe angadziyendere payekha. Chifukwa chake, kukhazikitsa njira kumatsata njira yomwe imayambitsa kuperewera kwa minyewa.

Izi zitha kukhala matenda osiyanasiyana:

• kuvulala kwamaso, nkhope, khosi, mutu,
• kuthamangitsidwa kwamphamvu kapena kwakanthawi,
• osteochondrosis, spondylosis ya khomo lachiberekero,
• matenda ashuga
• Hypo - kapena kuchepera kwa vitamini,
• matenda a magazi
• atherosulinosis, vasculitis,
• kuledzera ndi poizoni kapena ma poizoni okhala ndi mankhwala (ma radiation),
• kupsinjika kwamphamvu kwakuthupi ndi kwamaganizidwe, kuchititsa kupsinjika kwa nthawi yayitali,
• Presbyopia kapena dystrophy ya zimakhala mu zida za ocular.

Angiopathies ali ndi gulu lawo:

1. Achinyamata (matenda a Ills), amatanthauza ma pathologies osowa omwe ali ndi etiology yosadziwika. Matendawa amakhudza achinyamata ndikuwonekera:

• kutupa kwa capillaries ndi mitsempha ndi kuchuluka kwa zolumikizira ulusi mu retina,
• Kutupa m'matumbo amaso,

Kukula kwa matendawa ndi akulu, chifukwa kumatha kupangitsa kuti munthu asamayang'ane komanso asamayang'anitsidwe, komanso chitukuko cha matenda amkati kapena glaucoma.

2. Hypertensive retinal angiopathy imayamba chifukwa cha kuthamanga kwa magazi kwa odwala, chifukwa cha izi, mitsempha ya maso nthawi zambiri imakhala yochepetseka, yomwe imasokoneza magazi omwe amapezeka kwa retina, omwe nthawi zambiri amasintha kwambiri.

3. Angiopathy yowopsa imayamba ndi kuvulala kumutu, khosi kapena chifuwa. Apa, makina ophatikizira amitsempha ndi ma capillaries kapena kuwonjezeka kwazovuta zamkati ndizotheka. Pathology imapangitsa kuchepa kwakanthawi kapena kwakanthawi kwakanthawi kwakanthawi, kuwonongeka kwa mitsempha, kupindika kwa m'maso, kusintha kwampangidwe pama cell a retina ndi vitreous.

4. Mtundu wa nthenda ya hypotonic imadziwika ndi kukhathamira kwa magazi ndi kuchuluka kwa magazi, motero pamakhala chiopsezo cha kupindika, kutupa kwa mitsempha m'maso.

5. Matenda a diabetes angiopathy ndi chifukwa cha kufalikira kwa matendawa. Kusagwirizana kwa ma cell kagayidwe kathu kumapangitsa kusintha kwamitsempha yamagazi (kuwonda kwawo kapena kunenepa kwambiri), kotero kufalikira kwamwazi kudzera mwa iwo kumasokonekera.

6. Mawonekedwe okhudzana ndi zaka zakubadwa amayamba chifukwa cha kukalamba kwa thupi, zotengera zovala sizingathenso kulimbana ndi katunduyu, kamvekedwe kake kamachepa, komanso kusintha kwa dystrophic kumawonekera.

Pali zochitika pamene angiopathies amapitilira molingana ndi mtundu wosakanizika, i.e. Kukula kwawo kumayambitsa "maluwa" athunthu amkati, mwachitsanzo, matenda a shuga komanso matenda amtundu wam'mimba omwe amapezeka motsutsana ndi kunenepa kwambiri. Zikatero, matendawa amakula ndipo amafunikira mankhwala ambiri.

Retinal Angiopathy mu Mwana

Kusintha kwa kamvekedwe ka ziwiya za maso ana muubwana kumatha kuonedwa ndikusintha kwa thupi kapena kulira. Izi zimachitika chifukwa cha kusakhazikika kwa magazi a ana komanso sizoyambitsa matenda ayi. Kupindika kwa nthawi yayitali kwamitsempha komanso ma capillaries omwe amapezeka nthawi yoyesedwa m'chipatala (chipatala cha amayi oyembekezera, chipatala cha ana) kapena m'malo otayika amakamba za kupweteka kwamitsempha yamaso mwa ana.

Chochulukitsa chomwe chimapangitsa kuti retinal angiopathy m'maso onse a makanda akhale othandizira. Mwa ana okulirapo, awa ndi kuvulala, kusokonezeka kwa metabolic, matenda a autoimmune matenda ndi cholowa cham'kati.

Zitha kuyambitsa ana:

• matenda oopsa a ma virus ndi matenda a bakiteriya (chifuwa chachikulu, meningitis, brucellosis, chimfine chovuta, ndi zina zambiri).
• matenda oyamba ndi majeremusi (toxoplasmosis ndi matenda apamwamba a helminthic),
• poyizoni ndi nthenga za zebaki, chlorine ndi mankhwala ena,
• matenda akhungu oyambitsidwa ndi kupsinjika kowonera kusukulu kapena kunyumba (kulakalaka masewera apakompyuta, kuwonera makanema pa TV),
• matenda a impso,
• rheumatism
• kusowa kwa mapuloteni, mavitamini kapena michere,
• kutopa kwakuthupi, kukonzanso, kusangalala kwa nthawi yayitali.

Kanema:

Zizindikiro zamatenda ziwoneka:

• pakuchepetsa maonedwe,
• mawonekedwe oyera, oyera kapena owala pamaso pa maso, "kuyaka kwamoto, mphezi, mphezi",
• kutopa kwambiri pakuwerenga, kuonera TV kapena kugwira ntchito pa PC,
• mapangidwe pa mucous nembanemba wa diso la ma capillaries, mu conjunctival redness, pozindikira zotupa zotupa,
• pochepetsa mavuto amtsogolo,
• m'maganizo amkati mwake,
• pakusintha kwachilengedwe mu fundus (ndi kupimidwa ndi dokotala).

Therapy ya angiopathy imachitika malinga ndi matenda akumbuyo:

1. Matenda a shuga mtundu wa matenda amafunika kutsatira kwambiri zakudya ndi / kapena makulidwe a insulin.
2. Hypertonic retinal angiopathy m'maso onse amathandizidwa makamaka ndi mankhwala omwe amachepetsa kuthamanga kwa magazi ndi vasoconstrictors.
3. Zowopsa angiopathy imaphatikizapo chithandizo kuchipatala chopangira opaleshoni, kugwiritsa ntchito kwapadera (matayala, kuponyera) kapena ntchito.

Kupititsa patsogolo kayendedwe ka magazi m'mitsempha yamaso ndi mitundu yonse ya angiopathy ingathe kufotokozedwa:

Njira za physiotherapy nthawi zambiri zimawonjezeredwa ku njira zachipatala:

• mankhwala a laser
• mankhwala osokoneza bongo
• katemera.

Njira zolimbikitsira kwambiri pamenepa:

• kutsatira chakudya chopanda chakudya chopatsa mphamvu,
• amayenda mumweya watsopano,
• zolimbitsa thupi zolimbitsa thupi (kusambira, zolimbitsa thupi),
• kuchepetsa nkhawa,
• kugwiritsa ntchito mavitamini.

Angiopathy ndikusintha kwa ziwiya zam'maso, zomwe zimatha kutsogola kusintha kwa dystrophic (dystrophy ya retina), myopia, atrophy of the optic nerve, etc.

Retinal vascular angiopathy si matenda ndipo ophthalmologists nthawi zambiri amangoganizira izi, koma vuto lomwe lingachitikeonet a matenda ena. Kusintha kwachilengedwe m'matumbo kumawoneka ndi kuvulala komanso kuvulala, komanso kumawonedwa mu shuga mellitus.

Angiopathy ilibe code malinga ndi gulu la mayiko ena, chifukwa silingatengeke ngati matenda odziyimira pawokha. Nambala imapatsidwa matenda omwe adatsogolera kukula kwa pathological mkhalidwe.

Izi ndizomwe zimapangitsa mawonekedwe a retinal:

Angiopathy imayambitsa zifukwa zingapo. Zowongolera zama sitima zimatuluka motsutsana ndi maziko a:

1. Zovulala pachifuwa kapena pachifuwa. Zomwe zimabweretsa kutsekeka kwa magazi, kumachitika kwa hypoxia.
2. Matenda oopsa - mwachidule, kuthamanga kwa magazi. Chifukwa cha kuthamanga kwa magazi, ma capillaries ang'onoang'ono a retina sangathe kupirira ndi kuphulika. Mitsempha yam'mimba imachitika, zomwe zingayambitse kuchepa kwa zowonekera m'maso, kupezeka kwa kusintha kwa ziwiya ndi njira yawo.
3. Matenda ogwirizana - kuthamanga kwa magazi komwe kumabwera chifukwa cha kuchuluka kwamitsempha ndi ziwiya zazikulu, kumapangitsa kuti mapangidwe amitsempha yamagazi m'mitsempha ya retina.
4. Cervical osteochondrosis - matenda omwe amabweretsa kuphwanya kwa magazi kupita ku ubongo, kuchuluka kwambiri kwa nkhawa.
5. Matenda a shuga - matenda a endocrine dongosolo, amadziwika ndi kuwonjezeka kwa shuga m'magazi. Popanda chithandizo chokwanira, matenda a shuga amachititsa kuti makoma azigawo azikula ndipo zimakhudza ma cell a retina.
6. Kuvulala kumutu - kumabweretsa chisokonezo mu ubongo, kuchuluka kwa kukhudzika kwa intracranial, kukula kwa hypoxia. Pankhaniyi, angiopathy imachitika chifukwa chovulala.
7. Mimba komanso njira yobadwira - kusintha m'mitsempha yamagazi kumatha kuoneka pakati pa nthawi yobereka kapena kumachitika pambuyo pobala. Pankhaniyi, vutoli likuyenera kuwongoleredwa, pokhapokha ngati chidziwitso cha matenda chakhazikitsidwa.
8. Matenda a autoimmune ndi matenda a hematopoietic dongosolo - zosayambitsa. Potengera momwe matenda amenewa amasinthira, zotengera m'matumbo a retina ndizosowa kwambiri.

Koma chomwe presbyopia ndi angiopathy a retina, ndi momwe amathandizira, chingathandize kumvetsetsa izi.

Kanemayo - kufotokoza kwa matendawa:

Pali mitundu ingapo ya angiopathy, zimachitika:

• hypertonic- amapezeka ndi kuwonjezeka kwa kuthamanga kwa magazi kapena kukakamira kwa intracranial,
• hypotonic - amakula motsutsana ndi maziko a kuthamanga kwa magazi ndi mapangidwe a magazi,
• matenda ashuga - choyambitsa chachikulu ndi matenda a shuga kapena kuchuluka kwa shuga m'magazi (angapezeke mwa ana a chaka choyamba cha moyo kapena akhanda),
• maziko - kumachitika motsutsana ndi momwe masinthidwe am'madzi am'maso am'maso amawonongekera, ndipo nthawi yayitali imakhala yowopsa ndi zovuta,
• zopweteka - Zotsatira zakuvulala zomwe zidavulala, kuvulala kumachitika pakakhala kuphwanya magazi kupita ku ubongo,
• unyamata - zimawonekera mwa ana nthawi yakutha msinkhu. Choyambitsa chenicheni sichinakhazikitsidwe. Imadziwoneka ngati yotayika kwambiri yakuwonongeka kwakumaso, imakula mofulumira ndipo imatha kuyambitsa glaucoma kapena retinal dystrophy.

Angiopathy ya maso onse amapezeka pafupipafupi. Koma pali zochitika pamene zombo zimasintha m'maso amodzi okha. Izi zitha kuwonetsa kupita patsogolo kwa matenda.

M'pofunikanso kuphunzira zambiri za zomwe zimapangitsa kuti matenda a hypertensive retinal angiopathy pamaso.

Angiopathy imakhala ndi zizindikiro zingapo zomwe munthu amatha kuzindikira, koma achoke popanda chidwi. Kulemba zofunikira kupsinjika kapena kutopa.

Nthawi zambiri, odwala amadandaula:

1. Pakuwoneka "ntchentche" m'maso.
2. Kuchepetsa kupenyerera.
3. Maonekedwe akuwala kapena chifunga pamaso.
4. Zowawa kapena colic m'maso.
5. Kutopa msanga kwa ziwalo za masomphenyawo.
6. Pa kuwoneka m'dera la mapuloteni am'mawu otupa kapena kuphulika, ziwiya zofiira.

Yang'anirani kuchepetsedwa kwa maonedwe owoneka, mawonekedwe a ntchentche kapena mphezi patsogolo pa maso. Kuwonongeka kwakanthawi, koma kwathunthu kapena pang'ono. Mukakhala ndi khungu lakuthwa m'maso mukamadzuka kapena ndi masewera olimbitsa thupi, vuto la chizungulire.

Izi zikuwonetsa kuti munthu ali ndi mavuto ndi kuthamanga kwa magazi muubongo, hypoxia, kapena kuthamanga kwa intracranial. Poyerekeza ndi maziko a izi matenda, angiopathy a retina akufotokozera.

Zizindikiro zimatha kusintha, zimachitika nthawi ndi nthawi (kokha ndi kuwonjezeka kwa kuthamanga kwa magazi), koma osasiya izi osakhudzidwa. Ngati zizindikiro zoopsa zikuwoneka, pitani kuchipatala msanga.

Sizovuta, ingopita kwa akatswiri azachipatala. Dokotala amawunika ziwiya za fundus.

Kuti muwone kusintha, ndikokwanira kungoyeserera kamodzi, koma ngati ndi kotheka, dokotala angalimbikitse kuyesa kwa maso. Amayezanso kupanikizika kwa mitsempha, komwe kumathandiza kuthetsa mwayi wokhala ndi glaucoma. Koma momwe kuzindikira kwa matenda a retinal angiopathy mwa mwana kumachitikira, izi zithandizira kumvetsetsa.

Chithandizo cha mankhwalawa ndikufuna kuthana ndi chomwe chimayambitsa matenda. Ngati angiopathy ikupezeka motsutsana ndi matenda ochepa matenda oopsa, dokotalayo amauza munthu amene angamuthandize ndi mtima. Dotolo amatipatsa mankhwala omwe amatha kukhazikika magazi komanso kuchepetsa mwayi wotaya magazi m'mitsempha ya retina komanso capillaries yaying'ono.

Ngati angiopathy imagwirizanitsidwa ndi matenda a shuga, ndiye kuti amachiza matenda oyambitsawo ndikuyesetsa kupewa zovuta.

Chifukwa chake, ndimankhwala ati omwe dokotala wamaso angakupatseni:

vasodilator (Cinnarizine, Vinpocetine, etc.),

Mndandanda wamankhwala omwe amasintha kukoka kwa magazi m'magazi a m'maso:

Monga chithandizo cha physiotherapeutic, ophthalmologist angalimbikitse kudutsa njira ya magnetotherapy, mankhwala a laser (kuwala kwa retina).

Njira ndi chithandizo cha amayi apakati

Pa mimba, angiopathy ya retinal imayamba pazifukwa zingapo:

1. Gestosis kapena mochedwa toxicosis.
2. Kuchulukitsa kwa magazi.
3. Kuchuluka shuga.

Vutoli limapezeka mu azimayi wachitatu trimester, safunikira chithandizo chapadera. Popeza chithandizocho chikuyenera kutsata chomwe chimayambitsa kusintha m'matumba ndi njira zawo.

kutsika kwa magazi (amayi apakati ndi Dopegit, Papazol). Koma momwe kuthinidwira kwa maso kumathandidwira titha kuwona m'nkhaniyi.

matenda a impsodiuretics yachilengedwe achilengedwe ithandizire kukonza izi: Kanefron, Fitolizin, ndi zina.