Chimodzi mwazonda zotupa zamaso kwambiri mu shuga zimadziwika kuti ndi matenda a shuga.

Ndi dzina "retinopathy" muyenera kumvetsetsa kusintha kwa retina komwe kulibe zinthu zotupa.

Kuyika zoopsaKukula kwa matenda ashuga retinopathy kumaphatikizapo hyperglycemia, nephropathy, kuzindikira mochedwa komanso kusakwanira kwa matenda ashuga.

Pathogenesisdiabetesic retinopathy imatsimikiza ndi kuphwanya kwa kagayidwe kazakudya. Zotsatira za hypoxia ya minofu, kusintha kwa ma microvascular system kumachitika, ndipo zotengera za impso ndi maso zimakonda kukhudzidwa.

Matenda a shuga a retinopathy amakhala ndi zaka zisanu ndi ziwiri matenda atayamba. Kuchulukana kwa makoma a capillaries, ma blockage (blockage) a bedi lamitsempha komanso edema ya zotsekemera zimakhala njira zazikulu zowonetsera njira ya matenda ashuga.

Zosintha za ndalama zitha kugawidwa m'magawo atatu:

- osapitirira shuga - retinopathy - chifukwa cha kukhalapo kwa diso la kusintha kwa maselo amomwe ma cellaneurysms, zotupa, zotupa za exudative ndi edema ya retina. Retinal edema yodziwika pakati (macular) dera kapena m'matima akuluakulu ndi chinthu chofunikira kwambiri pakukula kwa matenda ashuga a retinopathy.

- Prerolopathy ya matenda ashuga retinopathy - yodziwika ndi kukhalapo kwa anomalies venouses, ambiri okhazikika ndi "thonje" exudates, intraretinal microvascular anomalies, ndi zotupa zazikulu za retinal hemorrhages.

- kuchuluka kwa matenda ashuga retinopathy - yodziwika ndi neovascularization ya optic disc ndi / kapena mbali zina za retina, vitreous hemorrhages, ndi kapangidwe ka minofu ya fibrous m'dera la preretinal hemorrhages.

Zizindikiro zoyambirira za matenda ashuga retinopathy ndi ma micaneurysms, kutulutsa m'mimba kochepa, komanso kukulitsa mitsempha. Mu magawo otsatirawa, zotupa zowonjezereka zimachitika, nthawi zambiri zimakhala ndi gawo logulika. Zotulutsa zimawonekera mu retina, minyewa yokhala ndi ulusi ndipo zimapangika zimba. Njirayi imatha pamapeto pake patakonzedwa.

Zizindikiro- osachepera 1 pachaka, anthu omwe amadwala matenda a shuga amawunikira, kuphatikizapo kufunsa mafunso, kuyeza kupenyerera komanso kupenya (atatha kufooketsa mwanayo) kuti adziwe kutuluka kwazinthu, zotupa zakumaso, ma micaneurysms ndi kuchuluka kwa ziwiya zatsopano.

Chithandizo cha pathogenetic ndi chizindikiro.

Chithandizo cha pathogenetic: chomveka mankhwala a shuga, malamulo a chakudya, mafuta, mapuloteni kagayidwe kachakudya ndi madzi mchere.

Chakudya chimayenera kukhala ndi mapuloteni ambiri, ochepa mafuta komanso ochulukirapo m'thupi monga kuphatikiza shuga konse.

Chithandizo cha ZizindikiroKuchotsa ndi kupewa zovuta za matenda ashuga. Amagwiritsa ntchito mankhwala omwe amasintha microcirculation ndikulimbitsa khoma lamitsempha, angioprotectors: ethamzilate (dicinone), calcium dobesylate (doxychem), methylethylpyridinol (emoxypine), pentoxifylline (trental, agapurin), heparin, Vitamini mankhwala. Kugunda kwa nthawi yokwanira komanso koyenera kwa retinal kumafunikiranso.

Matenda a shuga a retinopathy

Matenda a shuga a retinopathy (kuwonongeka kwa retinopathy) ndi omwe amachititsa kwambiri kuwonongeka kwakanthawi komanso kosasinthika kwa odwala omwe ali ndi matenda ashuga omwe ali otukuka.

Kutalika kwa matenda ashuga ndiye chinthu chofunikira kwambiri pa retinopathy. "Zambiri" za shuga zomwe zimachitika, zimawonjezera mwayi wokhala ndi vuto la maso. Ngati retinopathy sazindikira msanga kapena sanalandiridwe, zimapangitsa kuti khungu lonse lithe.

Mwa anthu odwala matenda ashuga amtundu woyamba, retinopathy ndiosowa kwambiri asanafike paunyamata. Akuluakulu omwe ali ndi matenda amtundu woyamba, retinopathy amakula modabwitsa zaka zisanu zoyambirira za matendawa. Chiwopsezo chokhala ndi kuwonongeka kwa retinal kumawonjezereka ndi kupitirira kwa shuga. Kuchulukitsa kwa shuga wamagazi kumachepetsa kwambiri vuto la izi.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, monga lamulo, ali kale ndi zizindikiro zoyambirira za kusintha kwa retinal panthawi yodziwitsa. Pankhaniyi, gawo lofunikira pakuchepetsa kukula kwa retinopathy imaseweredwa ndikuwongolera shuga, kuthamanga kwa magazi, cholesterol ndipo, ngati pakufunika, chithandizo cha laser chimayambira panthawi yake.

Magawo a retinopathy mu shuga

Mbiri (yopanda kuchuluka) ya matenda ashuga retinopathy imadziwika ndi mawonetseredwe oyamba a zotupa zazing'ono, nthawi zambiri samatsatiridwa ndi kuchepa kwakukulu kwa masomphenya. Pa nthawi iyi ya retinopathy, njira zochiritsira zogwira ntchito sizofunikira, komabe, wodwala amafunikira kuwunika kwamphamvu ndi ophthalmologist.

Preproliferative komanso wowonjezera matenda ashuga retinopathy. Pakadali pano, mawonekedwe ofanana ndi thonje amawonekera pa retina (zigawo za ischemia, retin microinfarction) ndi mitsempha yamagazi yatsopano yomwe imakhala ndi khoma lopanda malire, lomwe limatsogolera kukhetsa magazi. Kuphatikiza apo, zotengera zama pathological zimakonda kukula mwamphamvu (kuchuluka), mapangidwe a zotupa zolumikizana m'thupi la vitreous komanso pa retina, zomwe zimayambitsa kusokonezeka komanso kufalikira. Ndikofunikira kumvetsetsa kuti kukula kwamitsempha yongopangidwa kumene kumene kumatha kuchitika popanda kusintha kwamasomphenya. Wodwala matenda a shuga sangakayikire kuti asintha kwambiri mu ndalama zake.

Maculopathy (matenda ashuga macular edema) amatha kutsatana ndi gawo lililonse la matenda ashuga retinopathy. Ndi mawonekedwe amtunduwu wa odwala matenda ashuga, chigawo chapakati cha retina, macula, chawonongeka. Chifukwa chake, kupezeka kwa macular edema kumayendetsedwa ndi kuchepa kwa kuwona maonekedwe, kupindika kwa zinthu zowoneka (metamorphopsies).

Kuti mupeze matenda am'matenda a matenda a shuga, molingana ndi miyezo yapadziko lonse, kuyezetsa ndalama kumachitika pogwiritsa ntchito magalasi apadera omwe ali ndi kuchepa kwamphamvu kwa ophunzira. Ngati ndi kotheka, ndizotheka kuchita njira zowonjezereka zophunzitsira za retina, monga optical coherence tomography (OCT), fluorescence angiography (FAG) ndi Optical tomography mu angiography mode (OCTA).

Kufufuza kokwanira kotero, komwe kumachitika ku Eastern Siberia kokha ku ofesi ya Irkutsk ya IRTC "Diso Microsurgery", kumalola kudziwikitsa moyenera nthawi komanso njira zamankhwala.

Matenda a shuga a Macular Edema

Anti-VEGF chithandizo chofuna kuchepetsa kukhathamira kwamitsempha komanso kuthana ndi kukula kwa ziwiya zatsopano ndi njira yapadziko lonse yochizira matenda a shuga a macular edema. Gululi limaphatikizapo mankhwala "Lutsentis" ndi "Eilea." Malinga ndi malingaliro apadziko lonse lapansi, kuti muchepetse matenda a shuga a shuga, osachepera 5 jakisoni wa mankhwalawa amafunika pamwezi kapena mwanjira yomwe akufuna. Odwala ena, ngakhale amagwiritsa ntchito mankhwalawa pafupipafupi, matenda a shuga a macular edema amatha kupitiliza kapena kuyambiranso. Zikatero, ndizotheka kulumikiza kuwala kwa laser kwa retina.

Nthawi zambiri, wodwala wokhala ndi macular edema amawonetsedwa mankhwala ena - intraocular implant dexamethasone "Osurdex", yomwe imakhala ndi nthawi yayitali (mpaka miyezi 6).

Nthambi ya Irkutsk ya MNTK "Maso Microsurgery" imakhala ndi chidziwitso chachikulu ku Russia pakugwiritsa ntchito njira zamankhwala izi.

Preproliferative komanso wowonjezera matenda ashuga retinopathy

Njira yothandiza kwambiri ndi "golide woyenera" pochizira matenda ashuga retinopathy ndiyo kugwiritsidwa ntchito kwa nthawi yokwanira kwa laser.

Zotsatira za kafukufuku wamitundu yambiri wa DRCRNet zawonetsa kuti kuphatikiza laser kochitika koyambirira kwa retinopathy kumachepetsa khungu ndi 50%.

Njira ya laser chithandizo (panretinal laser coagulation ya retina) imagwiritsa ntchito pafupifupi 2500 laser coagulates pafupifupi dera lonse la retina, kupatula dera lapakati (macular). Zomwe zimayambitsa madera awa ndi laser zimabweretsa kuchepa kwa retinal hypoxia, kuchepa kwa kukula kwa ziwiya zatsopano za pathological.

Kuti mupeze laser yathunthu, osachepera magawo atatu a opaleshoni ya laser ndiyofunikira, zomwe zimatha kutenga nthawi yayitali, mpaka milungu ingapo kapena miyezi. Munthambi ya Irkutsk ya IRTC "Maso Microsurgery", kupanikizana kwa laser kumachitika pogwiritsa ntchito laser ya Navilas *. Amapangidwa mwanjira yoti opareshoniyo ikhale yotetezeka komanso yabwino kwa onse odwala ndi opereshoni. Opaleshoni isanachitike, dokotalayo amafunika "kujambula" papulogalamu ya pakompyuta pamalo omwe matenga a laser amayenera kupita, ndipo kompyutayo "idzawapeza" pamawonekedwe a wodwalayo ndikuwathandiza. Kuphatikiza apo, ngakhale wodwalayo atayang'ana kumbali ina, kompyutayo nthawi yomweyo imagwira kusunthaku ndikuyimitsa opaleshoniyo kuti mtanda wa laser usagwere mwangozi m'magawo amaso omwe amafunikira kuchepetsedwa kuchokera ku mtundu uwu wa chithandizo.

Panretinal laser coagulation ya retina sikukweza masomphenya, iyi ndi njira yolepheretsa kuwonongeka kwake kwina.

Chakumapeto kwa proliferative diabetesic retinopathy, chithandizo cha opaleshoni ndichotheka, chomwe chimaphatikizapo kuchotsedwa kwa thupi losinthika la vitreous, zomatira, zipsera pa retina, kuyambitsa zinthu zapadera (perfluorane, silicone) zomwe zimathandizira kuyamwa kwa retina yophatikizika. Ngati ndi kotheka, pa opareshoni, kuphatikiza kwa laser yowonjezera kumachitika. Opaleshoni ya Ophthalmic yamaofesi a Irkutsk a MNTK Eye Microsurgery ali ndi ulemu waku Russia ndi mayiko ena pothandizidwa ndi matenda opweteka kwambiri amtunduwu, amatenga nawo mbali pazowonetsa pochita opaleshoni yamaso ku Moscow, amachita makalasi apamwamba, ndipo ndi akatswiri pamlingo wa All-Russian.

Tsoka ilo, nthawi zina, matenda ashuga a retinopathy akupita patsogolo. Laser kapena opaleshoni sikuti nthawi zonse kumayambitsa kukhazikika kwa matenda ashuga retinopathy, ndipo mawonetseredwe a matendawo angayambenso. Mwachizolowezi, izi zimachitika chifukwa chokwanira kubwezera anthu odwala matenda ashuga, omwe akupitilizabe kuwonongeka kwa retina. Wodwala aliyense ayenera kukumbukira izi ndikutsatira malamulo otsatirawa:

• lipira glycemia (kuwongolera pafupipafupi komanso kokhazikika kwa shuga ndi magazi a glycated hemoglobin)
• lipira magazi
• Pitani kuchipatala pafupipafupi
• kudziyimira pawokha payekha

Ngati kutaya kwamaso kwakuthupi, kapena kuwoneka kwatsopano kwamayendedwe amtundu wamayendedwe oyandama, kutayika kwa malo owonekera, kupindika kwa mizere yowongoka kapena mizere yazinthu, nthawi yomweyo funsani katswiri.

Mutha kupeza mndandanda wamitengo watsatanetsatane wa ntchito zathu mu gawo la Mitengo.

Pa mafunso onse omwe mumafuna, mutha kulumikizana ndi foni 8 (3952) 564-119, mutha kulembetsanso kufufuza pa intaneti.

Zowonongeka zamaso mu shuga mellitus: zimayambitsa, njira zamankhwala zamakono ndi malingaliro a ophthalmologists

Matenda a shuga ndi njira yoopsa ya endocrine system, yomwe kwa nthawi yayitali siziwonetsa ndi chizindikiro chilichonse.

Zida ndi ma capillaries omwe amapezeka mu ziwalo zonse zamunthu: ubongo, impso, mtima, retina, amadwala matendawa.

Mu matenda a shuga, mavuto ammaso amapezeka mwa odwala ambiri, ndipo ophthalmologist ndiye dokotala woyamba kukayikira wodwala yemwe wabwera kwa iye akudandaula chifukwa cha kuwonongeka kwa mawonekedwe.

Chifukwa chiyani maso akudwala matenda ashuga?

Choyambitsa chachikulu cha kuwonongeka kwamatenda a matenda ashuga ndikugonjetsedwa kwa mitsempha yamagazi ndi ma capillaries omwe ali m'maso.

Pali lingaliro lamtsogolo la mawonekedwe a mavuto ammaso:

• matenda oopsa
• shuga wamagazi nthawi zonse
• kusuta fodya komanso kumwa mowa mwauchidakwa
• onenepa kwambiri
• matenda a impso
• mimba
• chibadwa.

Kukalamba ndi chimodzi mwamavuto omwe amabwera chifukwa cha zovuta za maso matenda a matenda ashuga.

Matenda amaso

Popeza chitetezo cha thupi chimachepetsedwa kwambiri mu shuga, odwala nthawi zambiri amakhala ndi matenda otupa a chiwalo chowoneka. Ngati maso akuyang'ana ndi matenda a shuga, ndiye kuti mankhwalawa amatha kukhala blepharitis, conjunctivitis, balere yambiri. Keratitis nthawi zambiri imayendera limodzi ndi mawonekedwe a zilonda zam'mimba komanso kuwoneka kwa cornea.

Matenda odziwika ndi maso a matenda ashuga:

1. retinopathy. Ndi matenda awa, khungu la maso limakhudzidwa. Kukula kwa chotupa kumatengera nthawi yayitali ya matenda, kupezeka kwa matenda ogwirizana: matenda oopsa, matenda a shuga a ziwalo zina, kunenepa kwambiri komanso atherosclerosis. Ma capillaries am'mimba amatsekedwa, pomwe ena amakula kuti abwezeretse magazi. M'makoma a ziwiya amtundu amapangidwa - ma micaneurysms, omwe gawo lamadzimadzi limalowa mu retina. Zonsezi zimayambitsa kutupa kwa macular zone ya retina. Edema imakanikiza maselo ochititsa chidwi, ndipo amafa. Odwala amadandaula za kutayika kwa magawo ena a fanolo, pomwe masomphenya amachepetsedwa kwambiri. Pali kusintha pang'ono pa fundus yokhala ndi matenda osokoneza bongo - ziwiya zimaphulika ndipo zotupa zazing'ono zimawonekera, zimasiyanitsidwa ndi odwala ngati maulendo akuda. Magulu ang'onoang'ono amasungunuka, ndipo akuluakulu amapanga hemophthalmos. Diso lakumaso chifukwa cha njala ya okosijeni komanso kuchuluka kwa ma capillaries osinthika amachepa komanso amakhala kunja. Masomphenya amatha
2. yachiwiri ya neovascular glaucoma. Kukwera kwa kukakamizidwa kwa intraocular kumayendetsedwa ndi zowawa komanso kugwa kwamaso mofulumira. Matendawa amatenga matenda a shuga chifukwa chakuti mitsempha yambiri ya magazi imakulirakulira mpaka kulowa mkati mwa chipinda chamaso, potero kusokoneza kutulutsa kwa madzi amkati mwa magazi. Glaucoma ndi matenda a shuga ndi matenda omwe nthawi zambiri amapita limodzi. Glaucoma mu matenda a shuga amakula kangapo kuposa anthu athanzi,
3. mphira. Matendawa amadziwika ndi kuphwanya njira ya kagayidwe kachakudya mu mandala achilengedwe a maso motsutsana ndi matenda ashuga osawerengeka. Postcapsular cataract imakula msanga ndipo imatsogolera pakuwonetsetsa. Matendawa, omwe, mothandizidwa ndi matenda a matenda ashuga, ndimu imakhala yamphamvu pamitsempha, amakhala ochepa khunyu. Pankhaniyi, zovuta zamatumbo ndizovuta kuthyola pakachotsedwa kokhazikika.

Zizindikiro

Wodwala akapezeka ndi matenda a shuga, amafunika kumuyesa ndi wamankhwala ounikira kuti adziwe kusintha kwamphamvu kwa ziwalo za masomphenyawo.

Kafukufuku wokhazikika amakhala ndi kuzindikira ma acuity komanso malire a minda yake, kuyeza kuthamanga kwa ma intraocular.

Kuyendera kumachitika pogwiritsa ntchito nyali yoyenda ndi ophthalmoscope.Magalasi atatu a Goldman omwe ali ndi magalasi atatu amachititsa kuti azitha kuyang'ana osati dera lapakati, komanso mbali zopumira za retina. Kukhazikitsa zoopsa zina nthawi zina sizimalola kuti muwone kusintha kwa fundus mu shuga. Poterepa, kuyezetsa kwamphamvu kwa chiwalo pakufunika.

Ndiye, kodi mungabwezeretse bwanji masomphenya anu? Kodi ndingathe kuchitira opaleshoni yamaso chifukwa cha matenda ashuga?

Chithandizo cha mavuto amaso mu shuga amayamba ndi kukonza metabolism m'thupi la wodwalayo.

Endocrinologist amasankha mankhwala ochepetsa shuga, ndipo ngati ndi kotheka, mupeze mankhwala a insulin.

Dokotala adzalembera mankhwala omwe akufuna kutsitsa cholesterol m'magazi, mankhwala osungitsa kuthamanga kwa magazi, mankhwala olimbitsa mtima a vaso ndi mavitamini. Chofunikanso pakuyenda bwino kwa njira zochiritsira ndikusintha kwa moyo wa wodwalayo, komanso kusintha kwa zakudya. Wodwala ayenera kulandira zolimbitsa thupi zofunikira m'thupi lake.

Madontho a nela a mtima glaucoma nthawi zambiri amatha kutulutsa mphamvu ya intraocular. Nthawi zambiri, chithandizo cha opaleshoni chimalembedwa, zomwe zimapangitsa kuti pakhale njira zowonjezera zotulutsira madzi amtundu wa intraocular. Kuphatikiza kwa laser kumachitika kuti awononge zombo zomwe zangopangidwa kumene.

Makatoni amathandizidwa ndi opaleshoni yokha. Magalasi owoneka bwino amaikidwira m'malo mwa mandala amtambo.

Retinopathy poyambira gawo limachiritsidwa ndi laser coagulation ya retina. Njira ikuchitidwa kuti awononge ziwiya zosinthidwa. Kuwonetsedwa kwa laser kumatha kuchulukitsa kufalikira kwa minofu yolumikizana ndikuletsa kuchepa kwa masomphenyawo. Kupita patsogolo kwa matenda a shuga nthawi zina kumafuna opaleshoni.

Pogwiritsa ntchito vitibleomy, ma punctures ang'onoang'ono amapangidwa m'diso lamaso ndipo thupi lamphamvu limachotsedwa pamodzi ndi magazi, zipsera zomwe zimakoka m'maso, ndipo zotengera zimagwidwa ndi laser. Njira yothetsera vuto la retina imalowetsedwa m'maso. Pambuyo pa masabata angapo, yankho kuchokera ku chiwalo limachotsedwa, ndipo m'malo mwake, mafuta a saline kapena silicone amalowetsedwa mu patre ya patreous. Chotsani madziwo ngati pakufunika.

Kupewa

Matenda a shuga ndi matenda oopsa, opita patsogolo. Ngati chithandizo choyenera sichinayambike nthawi, zotsatira za thupi lanu sizingasinthe.

Kuti muwone matendawa kumayambiriro, ndikofunikira kuyesedwa shuga kamodzi pachaka. Ngati endocrinologist wapeza, ophthalmologist amayenera kuwunikira kamodzi pachaka.

Ngati dokotala wapezeka kuti ali ndi vuto la matenda a shuga, matenda am'maso osweka mu matenda a shuga komanso kusintha kwina, kuwunika pafupipafupi kuyenera kuchitika kawiri pachaka.

Q & A

Mayankho a akatswiri pamafunso odziwika bwino a odwala:

1. Kodi kuzindikira macular edema? Yankho: Kuphatikiza pazowonongeka, mwa odwala omwe ali ndi macular edema, chifunga kapena kuchepa pang'ono kumawonekera pamaso, zinthu zowoneka zimasokonekera. Vutoli limafalikira kwa onse. Pankhaniyi, kutayika kwamayiko awiri kwapakati ndikotheka,
2. Kodi matenda ashuga angakhudze minofu ya oculomotor? Yankho: Inde, matenda a shuga (makamaka ophatikizidwa ndi matenda oopsa kapena matenda a chithokomiro) amathanso kukhudza ntchito ya minofu ya maso kapena mbali zina za ubongo zomwe zimayendetsa mayendedwe amaso.
3. Kodi pali mgwirizano wanji pakati pa retinopathy ndi mtundu wa matenda ashuga? Yankho: Chiyanjano pakati pa mtundu wa matenda ashuga ndi zomwe zimachitika chifukwa cha retinopathy chilipo. Odwala omwe amadalira insulin, matendawa sapezeka pa nthawi ya matenda. Zaka 20 atapezeka matendawa, pafupifupi odwala onse adzadwala retinopathy. Mu gawo limodzi mwa magawo atatu a odwala omwe ali ndi insulin, retinopathy imapezeka nthawi yomweyo matenda a shuga atapezeka. Magawo awiri mwa atatu a odwala atatha zaka 20 nawonso adzadwala.
4. Kodi wodwala matenda ashuga ayenera kumuwona pafupipafupi motani? Yankho: Odwala amayenera kukayezetsa mayeso kamodzi pachaka. Kwa retinopathy yomwe siikukula, muyenera kukaonana ndi a ophthalmologist kamodzi miyezi isanu ndi umodzi, kuti mupeze mankhwala othandizira pambuyo pake kwa miyezi 4 Kupezeka kwa macular edema kumafunikira kuyesedwa ndi a ophthalmologist miyezi itatu iliyonse. Odwala omwe amakhala ndi shuga wambiri komanso omwe akudwala matenda oopsa amayenera kuwona dokotala miyezi isanu ndi umodzi iliyonse. Asanayambe chithandizo cha insulin, odwala matenda ashuga ayenera kutumizidwa kukakumana ndi ophthalmologist. Pambuyo pakutsimikizira kuti ali ndi pakati, azimayi omwe ali ndi matenda ashuga amayenera kuwunikira miyezi itatu iliyonse. Ana odwala matenda ashuga amatha kumawunika zaka ziwiri zilizonse.
5. Kodi chithandizo cha laser chimapweteka? Yankho: Ndi macular edema, mankhwala a laser samayambitsa kupweteka, kusapeza bwino kungayambitse kuwunika kowala kwambiri pakuchita.
6. Kodi vuto la vitrumomy limachitika? Yankho: Mavuto omwe angakhalepo akuphatikizapo kukoka magazi pakanthawi kogwira ntchito, ndipo izi zimachedwetsa njira yobwezeretsanso masomphenyawo. Pambuyo pakuchita opaleshoni, retina imayamba kuzimiririka.
7. Kodi pamakhala kupweteka m'maso atachitidwa opaleshoni? Yankho: Zowawa pambuyo pakuchita opaleshoni ndizosowa. Kufiira kwamaso kokha ndikotheka. Chotsani vutoli ndi madontho apadera.

Makanema okhudzana nawo

Kodi matenda a shuga a retinopathy ndi ati ndipo ndi oopsa? Mayankho mu kanema:

Matenda a shuga amachepetsa kuchuluka kwa mitsempha yamagazi ya ziwalo zonse, kuphatikiza khungu la m'maso. Zombozi zimawonongeka, ndipo m'malo mwake amadziwika ndi kufalikira kwakuchulukirapo. Mu matenda a matenda ashuga, mandimuwo amakhala amtambo ndipo chithunzicho chimakhala chosalala. Odwala amasiya kuwona chifukwa cha zovuta zamatumbo, glaucoma ndi matenda ashuga retinopathy. Ngati maso anu apweteka ndi matenda ashuga, muyenera kufunsa katswiri wa ophthalmologist. Maganizo a ophthalmologists ndi ofanana: amagwira ntchito ndi shuga wamagazi ngati chithandizo cha mankhwala sichili bwino kapena sichikupereka zotsatira. Ndi chithandizo chanthawi yake, matendawo ndiabwino kwambiri. Ndikofunikira kuyang'anira shuga wamagazi ndikuwunika kuthamanga kwa magazi. Ndikofunikira kuyang'ananso chakudyacho, kudya zakudya zochepa zamagalimoto ndikuyang'ana kwambiri zakudya zomwe zili ndi mapuloteni komanso mafuta athanzi.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->