Momwe mungagwiritsire angiopathy

Mpaka pano, matenda a shuga amawoneka ngati matenda ofala kwambiri a endocrine system. Type II shuga mellitus amayenera chisamaliro chapadera. Matendawa ndi amtundu wa okalamba, ndi osowa kwambiri mwa achinyamata. Owopsa kwambiri angiopathy a m'munsi malekezero a shuga mellitus, chithandizo chomwe nthawi zambiri chimaphatikizapo kulowererapo. Matenda a shuga amtundu 1 amapezeka ndi kuperewera kwathunthu kwa timadzi timeneti. Ndikofunikira kwambiri kupanga chithandizo chokwanira chokwanira, ndikofunikira kutsimikizira wodwalayo kufunika kotsatira malangizo onse azachipatala. Malingaliro oterewa amatha kuchepetsa chiopsezo cha zovuta zingapo kangapo. Izi zimakulitsa zovuta pakuchiza matenda amtundu 1 shuga: masiku ano ndizosatheka kudziwa momwe wodwala akuvutikira ndi insulin.

Angiopathy monga zovuta za matenda ashuga

Chimodzi mwazinthu zovuta kwambiri za matenda a shuga ndi angiopathy a malekezero otsika. Malinga ndi gulu, amaphatikizidwa m'gulu la angiopathies. Zambiri zakale za mabuku zimati njirayi imagwira mwachindunji kuwonongeka kwa khoma lamitsempha. Komabe, maphunziro atsopano a njirayi adakhazikitsa kuti kuvulala kwamapazi kwa odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi vuto losiyana ndi etiology komanso pathogeneis, zokhudzana mwachindunji ndi kukula kwa polyneuropathy. Kuwonongeka kwa mtima kumachitika osaposa 12-15% ya odwala.

Gawoli limaphatikizapo mitundu iwiri ya angiopathies.

1. Microangiopathy, momwe mitsempha yaying'ono ndi arterioles amakhudzidwira. Zida zokhudzana ndi matendawa ndimatumbo a impso, retina.
2. Macroangiopathy yokhudza mitsempha yayikulu. Mitsempha yama coronary, ubongo, nthambi zam'munsi zimavutika pano.

Angiopathy a ziwiya zokhala m'munsi

Morphologic, matendawa amatha kutchedwa atherosulinosis, yomwe imayamba motsutsana ndi maziko a matenda ashuga. Komabe, mosiyana ndi chizolowezi cha atherosulinosis, angiopathy yotsika m'matenda a shuga ilinso ndi zina.

1. Kupita patsogolo kwamatenda, komwe kumachitika ndi wamba atherosulinosis. Kusiyanako ndikuti ndi matenda ashuga, matenda ammimba amapita mwachangu kwambiri.
2. The polysegmental chikhalidwe cha zotupa. Ndiye kuti, pali zingapo zofunika nthawi imodzi.
3. Zitha kuchitika mwa achinyamata.
4. Kuyankha kovutikira kwa mankhwala othandizira a thrombolytic, ma statins.

Atherosclerosis imayamba kukhala m'magawo. Choyamba, pali kuphatikizika kwa khoma la mtima, gawo lotsatira ndikuchepa kwawo, komwe kumatchedwa stenosis. Gawo lomaliza likhoza kukhala kutsekereza kwathunthu kapena kufalikira kwa chotengera. Zotsatira zake, hypoxia yamatenda yayikulu imayamba, metabolism ndi homeostasis imasokonezeka, yomwe imawonetsedwa ndi zizindikiro zina.

Gulu logulika bwino kwambiri komanso lovomerezeka kwambiri pamtunduwu limadziwika kuti ndi Fontaine-Lerish-Pokrovsky. Mulinso magawo 4.

Gawo lachiwiri

Mulinso gawo 2, 2A, 2B.

1. Gawo 2. Zizindikiro monga kupweteka kwam'malo am'munsi zimayamba kuonekera, ma shini, nthawi zina m'chiuno, amakhudzidwa nthawi zambiri. Zomverera izi nthawi zambiri zimachitika pambuyo poyenda kwakanthawi kathanzi - kuyenda, kuthamanga. Amatha kutsagana ndi kudalirana kwapang'onopang'ono. Chofunikira chodziwitsa za gawoli ndikuti ululu umatha pomwe katundu pamapazi atha. Komabe, matendawa akupitiliza kukula kwake kosasunthika. Dziwani kuti ngati polyneuropathy inali yoyambitsa matenda angiopathy, ndiye kuti chithunzi chamankhwala chovomerezeka, kupweteka kwamankhwala sikungakhaleko. Mwanjira imeneyi, zizindikirazi zimaphatikizapo kutopa kwambiri, kusasangalala, zomwe zimakakamiza wodwalayo kuchepetsa kuyenda kapena ngakhale kuyima.
2. Gawo 2A limaphatikizapo kukula kwa ululu pa mtunda wopitilira mamiliyoni mazana awiri, koma osapitirira kilomita imodzi.
3. Gawo 2B limadziwika ndi kuwoneka kwa ululu m'malo ochepera 200.

Gawo lachitatu

Ululu umatha kuchitika ngakhale mu nthawi yopuma yonse ya odwala, mpaka kukhala pamalo opingasa. Ngati mwendo womwe wakhudzidwa sutayidwa, kuchuluka kwa kupweteka kwamankhwala kumachepa kwambiri, koma chithunzi cha chipatala chimasungidwa.

Gawo lachinayi

Amayamba ndi zilonda zam'mimba, gawo lomaliza la matendawa ndi kukula kwa matenda osokoneza bongo.

Vascular angiopathy a m'munsi malekezero aakulu ischemia amathanso kukhudza mitsempha popliteal. Kupita patsogolo mwachangu komanso mwankhanza kwa matenda amenewa kumadziwika. M'magawo otukuka kwambiri, chithandizo chokhacho cholondola ndikuduladula kwa dzanja lanu lomwe lakhudzidwa, zomwe zimabweretsa kudwala kwa wodwala.

Chithunzi cha kuchipatala komanso matenda

Wodwala akapita kuchipatala, dokotala amayenera kuyang'anitsitsa kupezeka kwa madandaulo, kufanana ndi matenda a shuga, komanso kuwonetsedwa koteroko.

1. Kuchepa kapena kusowa kwa pulmation m'mitsempha ya phazi.
2. Kuchepetsa kutentha kwa dera. Pazidziwitso zakusiyanitsa, chizindikiro ichi ndichofunikira kwambiri, chifukwa mu matenda a shuga ammiyendo mwendo umodzi umakhudzidwa nthawi zambiri, kutentha kumachepa pamenepo.
3. Kutayika kwa tsitsi pamendo kapena kusakhalapo kwawo kwathunthu.
4. Kuuma kwambiri pakhungu, kuchepa kwa phazi, nthawi zina kwamphamvu kwambiri.
5. Milandu yambiri imakhalapo ndi ischemic edema.

Kupeza zida ndi zida kumaphatikizapo kugwiritsa ntchito njira izi:

• kuwunika pogwiritsa ntchito scan wamba
• Ultrasound pogwiritsa ntchito kupanga sikani kabatani,
• tomography
• kujambula kwa zombo zam'mphepete mosiyanitsa, njirayi imakupatsani mwayi wambiri.

M'mbuyomu, madokotala ankakonda kugwiritsa ntchito rheovasography, koma chifukwa chakuti panthawi yoyeserera ndi chithandizo chake nthawi zambiri zimatha kupeza zotsimikizira zabwinobwino, kugwiritsidwa ntchito kwake kunali kuzimiririka.

Matenda a shuga a m'munsi am'mphepete amaphatikizira chithandizo chovuta, chomwe chili ndi masitepe angapo.

1. Anachita muyezo mankhwala a atherosulinosis ntchito thrombolytic, antiplatelet mankhwala, ma statins.
2. Wodwala ayenera kusiyiratu kusuta.
3. Glycemia ndi lipid metabolism iyeneranso kukhala yofanana.
4. Kubweretsa yokhazikika ndi yotsatira bata la kuthamanga kwa magazi.
5. Kulimbana ndi kunenepa kwambiri, kulephera kuchita masewera olimbitsa thupi.
6. Kugwiritsa ntchito mankhwala osokoneza bongo, komwe kumapangitsa thanzi la wodwalayo, kumathandizira kuti azichita zolimbitsa thupi, komabe, sizikuwakhudza matendawa.
7. Kuchiritsa kwakuthupi, kusankha nsapato kwa wodwala. Njira zochizira zimatha kupatula gawo ili ngati wodwala ali ndi zilonda zam'mimba, zomwe zimafunikanso kuthandizidwa.
8. Kugwiritsa ntchito njira zopangira opaleshoni - opaleshoni yam'kati, opaleshoni yam'mitsempha yakhudzidwa, kasamalidwe ka wodwalayo atachitidwa opaleshoni.

Kuti mphamvu zamankhwala zikhale zabwino, ndikofunikira kuchitapo kanthu pazomwe zimayambitsa matenda. Kuchita monga kusintha kwa mapuloteni, mafuta ndi chakudya, sikungangotithandizira patsogolo pang'onopang'ono, komanso kukulitsa chitetezo cha wodwalayo. Kuti muchite izi, muyenera kusankha kadyedwe komwe kangachepetse kuchuluka kwamafuta a nyama, zakudya zamafuta othamanga, komanso zakudya zokhala ndi index yayikulu ya glycemic.

Chithandizo chokwanira cha hypoglycemic ndikofunikira, chomwe chingapangitse matenda a shuga, omwe ndi glycosylated hemoglobin, omwe ndiye chidziwitso chachikulu cha munthu aliyense wodwala matenda ashuga. Masiku ano, chithandizo cha opaleshoni chimagwiritsidwa ntchito nthawi zambiri, chomwe chimagwirizanitsidwa ndi kuchuluka kwonyowa kwam'madzi, komwe kumayambitsa chidakwa chachikulu cha thupi.

Njira zopewera

Odwala omwe ali ndi mtundu uliwonse wa matenda osokoneza bongo ayenera kuyesetsa kuti achedwetse angiopathy. Tiyenera kukumbukira kuti ndizosatheka kupeweratu izi, koma kuti muchepetse kukula kwake ndizowona. Izi zimapewa zizindikilo zambiri zosasangalatsa.

Njira zodzitetezera zimaphatikizapo kukhazikitsa malangizo onse azachipatala okhudzana ndi matenda a shuga. Osadumpha kuti muchepetse mankhwala ochepetsa shuga kapena insulin, musinthe mosamala. Ndikofunikira kuti muchepetse kulemera kwanu, kutsatira malangizo azakudya.

Nthawi zina pamakhala kufunika kogwiritsa ntchito mankhwala ochepetsa magazi, mankhwala omwe amachepetsa cholesterol. Izi ndichifukwa choti pakuchepetsa lumen ya mitsempha, thrombosis imachulukana, ndipo milids yayitali imathandizira kupititsa patsogolo kwa atherosclerosis.

Ndikofunikira kuti chiwindi chizigwira ntchito bwino, chifukwa ndi chomwe chimayendetsa glycogen, pang'ono ndi lipid metabolism. Ngati malangizo onse azachipatala amatsatiridwa, mutha kuchepetsa kukhumudwa kwa omwe adayamba kale angisiopathy kapena kuchedwa kuyamba kwake. Izi zithandiza kwambiri moyo wa odwala.