Kodi matenda a shuga - edephalopathy ndi ati?

Mtundu woyamba 1 ndi mtundu 2 wa matenda a shuga umachitika ndikutulutsa kovuta kwambiri kwa impso, mitsempha yamagazi, retina, ndi mantha. Malinga ndi WHO, mu kapangidwe ka zovuta kuchokera ku dongosolo lamanjenje, matenda ashuga a m'mimba amakhala gawo lalikulu (60%). Kutchulidwa koyamba kwa ubale wapakati pa matenda a misempha yodwala matenda a shuga komanso matenda opatsirana a matenda ashuga kumachitika mu 1922, mawu akuti "matenda ashuga a shuga" adayambitsidwa m'ma 50 omaliza.

Njira yopititsira kukhazikitsidwa ndi mfundo zakuzindikira

Matendawa amadziwika pamaziko a madandaulo a wodwala, deta kuchokera pakuwunikira kwamitsempha, magawo amomwe ammagazi am'magazi komanso zotsatira za njira zofufuzira (MRI, EEG, ultrasound scan ya chapakati mantha dongosolo).

Matenda a diabetesic encephalopathy ndi mawonekedwe opatsirana a ubongo kutsutsana ndi kusokonezeka kwa kagayidwe kazakudya komanso kukula kwa kusintha kwa dysmetabolic.

Kukula kwa encephalopathy kumalumikizidwa ndi kusintha kwa pathological komwe kumayendera shuga.

Kuphwanya kwazenera kwa mtima khoma kumabweretsa kukula kwa hypoxia ndi kuchepa kwa mphamvu m'maselo amitsempha, chiopsezo chokhala ndi ngozi ya mtima pachimake (stroke) ukuwonjezeka.

Kusintha kwa ma metabolic ndi mawonekedwe amtundu wa matenda ashuga a 2.

Kuchepa kwa lipid kagayidwe kumabweretsa mapangidwe amtundu wa atherosrance. Kusokonezeka kwa chakudya cha carbohydrate metabolism (hypoglycemia, hyperglycemia), ketoacidosis imalowerera ndikutuluka koyenda limodzi ndi mitsempha ya mitsempha, kuwononga mtolo wa myelin wamitsempha, ndikuthandizira kudziunjikira kwa ma radicals aulere omwe amachititsa kufa kwa mitsempha.

• Matenda oopsa a arterial amatha chifukwa cha kuwonongeka kwa impso mu matenda a shuga kapena matenda odziyimira pawokha. Kuthamanga kwa magazi kumachulukitsa njira ya encephalopathy.

Chithunzi cha chipatala cha matenda ashuga a m'mimba

Kusintha kwachidziwitso cha matenda a shuga mellitus kumakhudza magawo angapo a ubongo, omwe amafotokozera zosiyanasiyana zamatenda azam'mimba za matenda a shuga. Kwa anthu okalamba, encephalopathy yosakanikirana imasungidwa nthawi zambiri, yomwe imayamba osati motsutsana ndi maziko a zovuta za metabolic, komanso chifukwa cha chitukuko cha matenda amisempha kapena pambuyo pa mikwingwirima yapitayi.

Mawonetsedwe omwe amapezeka kwambiri ndi awa:

• Zovuta zazidziwitso.

Kuchepetsa chidwi, kuiwalaiwala, kusiya chidwi ndi zinthu zakunja, kuganiza pang'ono, kuphunzira zovuta.

Kupsinjika, mantha (phobias), ndi kufulumira kwa mphamvu yamanjenje (asthenia) kuwululidwa. Mawonekedwe a Asthenic amaimiridwa ndi kufooka wamba, kuchepa kwa magwiridwe antchito, komanso kutopa kwambiri.

Odwala omwe ali ndi matenda ashuga, kuunika mozama nthawi zambiri kumavumbula zovuta zomwe zimakulitsa matendawa. Izi ndichifukwa choti munthu atakhala wachisoni, munthu amaleka kuwononga mankhwalawa, akudya. Zolakwika pakuwongolera mankhwala osokoneza bongo ndi zakudya zimayambitsa kusokonezeka kwa magwiritsidwe antchito ndikuwonjezera njira ya matendawa.

Ululu umatha kukhala wachilengedwe ngati "mutu wamavutidwe" kapena utha kuthiridwa popanda kudziwikiratu. Mwa anthu ena, kupweteka kwa mutu kumawonekera pang'onopang'ono, mwa ena kumakhalapo. Kukhazikika kwa analgesics nthawi zina kumathandizira cephalgic syndrome.

• Mobwerezabwereza ngozi yam'madzi.

Kuphatikizidwa kwa michereopathies yothamanga kwambiri kumawonjezera chiopsezo chamikwingwirima kangapo.

Munthu amasokonezeka ndi chizungulire, kusokonekera kwa kayendedwe ka kayendedwe, kusakhazikika, kukomoka mobwerezabwereza komanso kukomoka.

• Epileptiform syndrome imawonetsedwa ndi mantha, kusokonezeka kwa chikumbumtima.

Zambiri za encephalopathy mu mtundu 1 wa shuga

Kafukufuku wazachipatala m'zaka zaposachedwa awonetsa kuti kuchepa kwa insulini kumathandizira kwambiri pakukula kwa matenda a shuga. Nthawi zambiri, insulin imakhudzidwa ndikupanga minyewa ya mitsempha, kuchepa kwake kumapangitsa kuti ma cell a mitsempha asokonezeke. Kukhazikika kwa matenda ashuga musanayambike kusokoneza magwiridwe antchito a ubongo, chifukwa nthawi imeneyi kumachitika chitukuko cha zigawo zikuluzikulu zamanjenje, zomwe zimatha kusokonezeka ndi zochitika za pathological. Mwa ana, njira zamaganizidwe zimachepera, zovuta za kuphunzira zimawonekera.

Zambiri za encephalopathy mu mtundu 2 shuga

Kuphatikizika kwa kunenepa kwambiri, matenda oopsa oopsa komanso mtundu wachiwiri wa matenda osokoneza bongo kumapangitsa kwambiri kudwala kwa encephalopathy. Odwala omwe ali ndi matenda a shuga, kudwala kwambiri (dementia) komwe kwakhala kukulembedweratu ka 6 pafupipafupi m'zaka zaposachedwa. Malinga ndi asayansi angapo, matenda a shuga amawonjezera mwayi wokhala ndi Alzheimer's kangapo.

Kodi matenda a shuga a encephalopathy ndi ati?

Matenda a shuga a encephalopathy ndi dzina la matenda onse okhudzana ndi ubongo momwe chiwonongeko cha maselo chimachitika popanda chotupa. Ndi chakudya chokwanira cha maselo, kuwonongeka kwawo pang'ono kumachitika. Zotsatira zake, ntchito zina zamanjenje zimatayika.

Matenda amtunduwu amachitika chifukwa cha kusokonezeka kwa kagayidwe kazakudya, kamene kamawononga mitsempha ndi mitsempha. Matendawa amawonekera mosiyanasiyana kutengera gawo la matendawa. Odwala ena amadwala mutu wokhazikika komanso kuchepa kwa kukumbukira, ena amakhala ndi mavuto akulu amisala, kukomoka, ndi zina zambiri.

Encephalopathy amaganiza kuti amafanana ndi matenda a shuga. Komanso, pazochitika zonsezi, kusokonezeka kumachitika chifukwa cha hyperglycemia. Chifukwa chokhala ndi shuga wambiri magazi, maselo am'mimba amawonongeka thupi lonse, ndikupangitsa mavuto azakudya zaubongo.

Popeza kufalikira kwa magazi konse kumasokonekera, ubongo umayamba kufa ndi njala. Zonsezi zimasokoneza kubwezeretsedwa kwa maselo ndipo zimathandizira kuti poizoni wambiri upangidwe mthupi. Kuti mupeze matenda omwe apezeka munthawi yake, ndikofunikira kudziwa zifukwa zomwe zikuphwanyazo zimachitikira, zomwe mungachite popewa zovuta.

Chifukwa chachikulu chomwe matendawa amapezekera chimawerengedwa kuti ndi mphamvu yokhazikika ya shuga m'maselo. Chifukwa cha kuchuluka kwa magazi ndi kuchuluka kwa magazi, mitsempha ya magazi imakhala yochepa komanso yocheperako, kapena kunenepa. Zotsatira zake, kayendedwe ka magazi achilengedwe amasokonezeka.

Zonsezi zimakwiyitsa kudzikundikira kwa zinthu zapoizoni, zomwe tsopano sizikutulutsidwa m'thupi. Poizoni atalowa mu ubongo, minyewa yamanjenje imatha, yomwe pang'onopang'ono imafa chifukwa chosowa zakudya. Maselo owonongeka kwambiri, ubongo umavutika kwambiri ndipo mkhalidwe wa wodwalayo umakulirakulira.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Kuphatikiza pa shuga wambiri, palinso zinthu zomwe zimawonjezera chiopsezo chotenga matendawa. Izi zikuphatikiza:

• kusuta fodya komanso mowa
• zaka zopitilira zaka 60
• onenepa kwambiri
• atherosulinosis
• kukhalapo kwa hyperglycemia,
• zovuta za impso,
• matenda osachiritsika a vertebra.

Tiyenera kumvetsetsa kuti ndizosatheka kudzipatula wekha kuchokera ku maselo osokoneza bongo kupita ku 100%. Ngakhale mtundu wofatsa wa shuga ungakhudze momwe wodwalayo alili.

Pankhaniyi, kukula kwa zovuta sikuyenera kupweteketsa. Odwala akanyalanyaza dala mankhwala, amaphwanya zakudya ndipo osatsata kuyamikiridwa, thupi limasintha shuga, lomwe limakhudza mitsempha yamagazi ndi maselo amitsempha.

Zizindikiro

Kukula kwa matendawa kumachitika pang'onopang'ono. Mgawo la odwala achichepere, mawonetseredwe oterewa amawonekera bwino pambuyo pa hypo- ndi hyperglycemia. Mu kukalamba, kukula kwa matendawa kumachitika ndi moyo wautali wokhala ndi matenda ashuga.

Matenda a diabetes a encephalopathy alibe zizindikiro. Nthawi zambiri, matendawa amawonetsedwa ndimatenda amisala, asthenia, zizindikiro zomwe zimafanana ndi chilengedwe cha neurosis. Wodwala watopa kwambiri, akuchita zomwezo ngati kale, nkhawa zimawonekera, mutu umayamba kupweteka, mavuto okhala ndi nkhawa amakhala.

Matenda a diabetes a encephalopathy omwe ali ndi vuto lalikulu la m'maganizo poyamba amafanana ndi kuukira kwa neurosis. Wodwalayo amapereka theka la zokonda zake, kuganizira kwambiri za matendawa, kumakwiyitsidwa ndi dziko lakunja.

M'malo mwake, zizindikiro za matendawa zitha kugawidwa m'magawo atatu:

• Odwala amazindikira kulumpha mu kuthamanga kwa magazi, osawonetsedwa kale. Pali chizungulire popanda chifukwa, kudetsa khungu m'maso, kutopa ndi khungu lonse. Nthawi zambiri, mawonekedwe oterewa amaphatikizidwa ndi nyengo yoyipa kapena vegetovascular dystonia.
• Mutu wowonjezereka ukuonekera. Zowona zakukumbukira kwakanthawi kochepa zalembedwa, wodwalayo amasiya kuyenda m'malo. Kusintha kwa zochita za ophunzira pakuwala nako kungadziwikenso. Kalankhulidwe, nkhope ikhoza kukhala yopanda ulemu, mawonekedwe akumanzere. Mawonekedwe otere nthawi zambiri amayambitsa matenda amitsempha,
• Zizindikiro zomwe zafotokozedwa pamwambapa zimadziwonekera bwino nthawi iliyonse. Kuphatikiza apo, pali mavuto ndi mgwirizano wamagulu. Odwala amayamba kudwala matenda osowa tulo, amakhala okhumudwa. Kuphwanya kwakukulu kwa kukumbukira kwa malingaliro kunadziwika.

Zizindikiro

Choyamba, adokotala amadziwa momwe wodwalayo amakhala ndi matenda ashuga ndipo amamvera madandaulo ake. ICD yokhudzana ndi matenda ashuga okhudzana ndi shuga

Kuti mupeze matenda olondola, wodwalayo amayenera kuyesedwa:

• kuyezetsa magazi kwa shuga ndi mafuta m'chipatala.
• urinalysis kudziwa ketone matupi, shuga ndi mapuloteni zikuchokera,
• mphamvu zamatsenga ndi zolemba zowerengera,
• electroencephalography.

Njira zonsezi zodziwira matendawa sizithandizira kudziwa encephalopathy, komanso kudziwa bwino malo omwe kuwonongeka kwa maselo kunachitikira.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kuti muthane ndi matendawa, muyenera kutsatira upangiri wa neurologist ndi endocrinologist. Choyambirira kuchita ndikuwonetsetsa kuchuluka kwa shuga m'magazi ndikuwasunga bwino, kutsatira zakudya komanso kumwa mankhwala nthawi zonse.

Kuphatikiza apo, chithandizo chimatsimikiziridwa chomwe chimathandizira kusintha kwamphamvu zaubongo, kuthandizira kagayidwe ka neurons. Ntchito Inde mankhwala ntchito antiplatelet, antioxidant nootropic mankhwala.

Wodwala ayenera kupatsidwa mphamvu zowonjezera mphamvu za metabolism, mavitamini B ndi E, alpha lipoic acid. Pakakhala zolephera mu minculoskeletal function, madokotala amatha kupereka mankhwala a anticholinesterase. Zogwiritsidwanso ntchito:

• antihypertensive mankhwala
• mankhwala a antisulinotic,
• ma statins.

Kupangira kuneneratu, dotolo amaganizira zaka za wodwalayo, momwe zovuta zake zimapezekera, komanso nthawi komanso kuchuluka kwa chiphuphu cha matenda a shuga. Ndi kudziwitsidwa munthawi yake komanso chithandizo choyenera, odwala amatha kukhalabe ndi ubongo wogwira ntchito mokwanira, kuletsa kukula kwa zovuta.

Ngati wozindikira mochedwa encephalopathy, wodwalayo amayembekeza zovuta zamisempha, monga:

• migraine yayikulu yokhala ndi mawonekedwe osalekeza,
• kukokana
• mavuto amawonedwe.

Kuchepa kwakanthawi kwa ntchito yaubongo kumachitika pang'onopang'ono ndipo kumabweretsa kulumala. Komanso, gawo lotsiriza limatha kutsagana ndi kuyerekezera zinthu m'maganizo, chiphadzuwa, kusachita bwino kwa wodwalayo, mavuto okhala ndi kuwongolera ndi kukumbukira kukumbukira.

Kupewa ndi malingaliro

Encephalopathy mu diabetes ndi matenda opita patsogolo mwa mawonekedwe osakhazikika. Mlingo wa kukula kwa zovuta za matendawa umadalira njira ya matenda ashuga okha.

Kuyendera pafupipafupi kwa madotolo, kutsatira upangiri wochepetsera shuga wamagazi, mitsempha yamitsempha - zonsezi zimathandiza kuti muchepetse kukula kwa matendawa, ndipo mwina ngakhale kuyimitsa kwakeko Njira yayikulu yopewa kupewera kwa encephalopathy ndiko kuzindikira koyenera komanso chithandizo chokwanira cha matenda a shuga ndi mawonetsedwe ena okhudzana.

Zambiri

Ubale pakati pa matenda okhudzika ndi matenda a shuga ndi matenda ashuga mellitus (DM) wafotokozedwa mu 1922. Mawu akuti "diabetesic encephalopathy" (DE) adayambitsidwa mu 1950. Masiku ano, olemba angapo amati lingaliro la encephalopathy lomwe limayamba chifukwa cha njira ya dysmetabolic limawerengedwa ngati vuto la matenda ashuga. Amafunsidwa kuti apange matenda amisempha chifukwa cha vuto la mtima mu shuga mellitus to discirculatory encephalopathy (DEP). Komabe, mu Russian neurology, lingaliro la DE mwamwambo limaphatikizapo mitundu yonse ya pathogenetic ya encephalopathy: metabolic, mtima, osakanizidwa. Mwanjira imeneyi, matenda a shuga a encephalopathy amapezeka mu 60-70% ya odwala matenda ashuga.

Zoyambitsa matenda a shuga a Encephalopathy

Chotsatira cha DE ndi matenda a shuga. Encephalopathy ndi vuto lakumapeto lomwe limayamba zaka 10-15 atatha matenda ashuga. Zomwe zimayambitsa ndikusokonekera kwa kagayidwe kachakudya komwe kumayambitsa matenda ashuga, zomwe zimapangitsa kuwonongeka kwa minyewa ya ubongo ndi mitsempha yamagazi. Zotsatira za DE zimapereka:

• Dyslipidemia wa matenda ashuga. Amadziwika ndi matenda amtundu wa 2 shuga. Dysmetabolism ya lipids ndi cholesterol imabweretsa mapangidwe a mtima atherosranceotic malo. Progressive systemic and cerebral atherosulinosis imawonedwa mwa anthu odwala matenda ashuga zaka 10-15 m'mbuyomu kuposa anthu wamba.
• Mashuga a macroangiopathy. Kusintha kwa khoma la mtima kumalepheretsa magazi kulowa m'mitsempha yamatumbo, ndimomwe kumayambitsa matenda a ischemia osachiritsika, ndikukulitsa chiwopsezo cha stroke.
• Pachimake hypo-, hyperglycemic zinthu. Hypoglycemia ndi ketoacidosis zimasokoneza mkhalidwe wa neurons, zimawonjezera chiopsezo cha DE ndi dementia. Kafukufuku akuwonetsa kuti palimodzi ndi kuchuluka kwa shuga, kukhazikika kwa insulin ndi C-peptide m'mwazi ndikofunikira.
• Matenda oopsa. Amawonedwa mu 80% ya anthu odwala matenda ashuga. Zotsatira za matenda ashuga nephropathy kapena ndizofunikira. Zosokoneza magazi m'magazi, zimatha kubweretsa stroke.

Matenda a diabetesic encephalopathy ali ndi makulidwe opanga njira zophatikizira, kuphatikiza mtima ndi ma metabolic. Kusokonezeka kwa mtima chifukwa cha macro- ndi microangiopathy kumakulitsa matenda am'mimba ndipo kumapangitsa kuti njala ya m'magazi a ubongo ipangidwe. Mphamvu ya pathobiochemical yomwe imachitika nthawi ya hyperglycemia imayambitsa kutseguka kwa anaerobic glycolysis m'malo mwa aerobic, zomwe zimatsogolera ku njala ya ma neurons. Ma radicals omasuka omwe ali ndi chiwopsezo cha minofu yamatumbo. Kapangidwe ka glycosylated hemoglobin, kuchepa kwa okosijeni, kumachulukitsa hyponalia ya neuronal chifukwa cha kuvulala kwamitsempha. Hypoxia ndi dysmetabolism zimatsogolera ku kufa kwa ma neurons ndikupanga mapindikidwe kapena kusintha kwakanthawi kachilengedwe kazinthu kazinthu - encephalopathy kumachitika. Kuwonongeka kwa kulumikizana kwa ma interneuronal kumabweretsa kuchepa kwapang'onopang'ono pantchito zam'maganizo.

Zizindikiro za matenda a shuga a Encephalopathy

DE imachitika pang'onopang'ono. Ali aang'ono, mawonekedwe ake amawonjezeka pambuyo pa zochitika za hyper- and hypoglycemic, mwa okalamba - pokhudzana ndi mbiri ya stroke. Zizindikiro zamankhwala ndizosazindikira, kuphatikiza kuwonongeka kwa ziwopsezo, asthenia, zizindikiro zofanana ndi neurosis, komanso kufooka kwamitsempha ya minyewa. Kumayambiriro kwa matendawa, odwala amadandaula za kufooka, kutopa, kuda nkhawa, kupweteka mutu, mavuto okhala ndi nkhawa.

Mikhalidwe yofanana ndi neurosis imayambitsidwa ndi somatic (wathanzi) ndi psychogenic (kufunikira kopitilira chithandizo, chenicheni cha kukula kwa zovuta) zinthu. Monga kuchepa kwa chidwi, kuganizira kwambiri matendawa, kuukiridwa kwamwano. Pa chithandizo choyambirira, neurosis yodandaula imapezeka mu 35% ya odwala; momwe matenda a shuga amakulira, kuchuluka kwa odwala omwe ali ndi vuto la kukhumudwa kumawonjezereka mpaka 64%. Hysterical, nkhawa-phobic, hypochondriac neurosis imatha kuchitika. Nthawi zina, mtundu wina umadutsa wamtundu wina. Mavuto akulu amisala ndi osowa.

Asthenic syndrome imadziwika ndi ulesi, kusasamala, kuphatikiza ndi michere-mtima wamatumbo, syncope. Kuwonongeka kwazidziwitso kumawonekera mwa kuchepa kwa kukumbukira, kusokoneza, ndi kulingalira pang'onopang'ono. Pakati pazisonyezo zoyang'ana, kuperewera kwa kusakanikirana, anisocoria (m'mimba mwake wosiyana), ataxia (chizungulire, kuyenda kosagwirizana), kusakwanira kwa piramidi (kufooka kwa malekezero, kuchuluka kwa minofu).

Mavuto

Kuwonjezeka kwa kuwonongeka kwa chizindikiritso kumabweretsa kutsika kwa luntha ndi dementia (dementia). Izi ndizomwe zimayambitsa kulemala kwakukulu kwa odwala, kumachepetsa kudzisamalira. Vutoli likuchulukirachulukira chifukwa cholephera kugwira bwino wodwala mankhwala othandizira odwala. Mavuto a DE ndi kusokonezeka kwambiri kwa ubongo: Zotsatira zakuthwa ndi zovuta zamagalimoto, kuwonongeka kwa mitsempha yamagetsi, kusokonezeka kwa mawu, komanso kupita patsogolo kwa kuzindikira kwanzeru.

Chithandizo cha matenda ashuga a Encephalopathy

Therapy ya DE imachitika ndi neurologist molumikizana ndi endocrinologist (diabetesologist). Chofunikira pa chithandizo ndikusunga kuchuluka kwa shuga m'thupi mwakutsatira zakudya zoyenera, kumwa mankhwala ochepetsa shuga, ndipo ngati ndi kotheka, mankhwala a insulini. Mankhwala a Neurological cholinga chake ndi kukonza matenda a hemodynamics, kusunga kagayidwe ka neurons, ndikuwonjezera kukana kwawo kwa hypoxia. Maphunziro anthawi zonse a zovuta mankhwala amachitika pogwiritsa ntchito mankhwala osokoneza bongo a vasoactive, antiplatelet, antioxidant, nootropic.

Ma stimulators a metabolism a mphamvu, mavitamini B, alpha-lipoic acid, vitamini E amaperekedwa Pamaso pamavuto amoto, othandizira anticholinesterase (neostigmine) amalimbikitsidwa. Malinga ndi zikuwonetsa, mankhwalawa amathandizidwa ndi mankhwala a antihypertensive (omwe ali ndi vuto losagwirizana ndi matenda oopsa) komanso mankhwala antisranceotic ochokera ku gulu la ma statins. Pharmacotherapy yokhala ndi vuto la neurosis imafuna kusankha mankhwala okwanira, chifukwa kusintha kumakhudza ntchito yamavuto. Nthawi zambiri atypical tranquilizer (mebicar) amagwiritsidwa ntchito. Kufunsira kwa psychotherapist, nthawi zina wamisala, kumalimbikitsidwa.

Zotsogola ndi kupewa

Matenda a diabetes a encephalopathy ndi matenda opita patsogolo. Kuchulukitsa kwa zizindikiro kumadalira makamaka kuwonongeka kwa matenda ashuga. Kawonedwe mwadongosolo ndi endocrinologist ndi neurologist, chithandizo chokwanira cha hypoglycemic, ndi maphunziro okhazikika a minyewa yamitsempha amatha kuyimitsa kapena kuchepetsa kufalikira kwa zizindikiro zamatumbo, ndikuletsa kukula kwa zovuta. Kupewa kumatengera kupezeka kwa nthawi yake komanso chithandizo chokwanira cha matenda ashuga, kukonza matenda oopsa, komanso kuchiza matenda amitsempha yama mtima.

Zimayambitsa ndi mapangidwe a ziwalo za ubongo kuwonongeka

Diabetesic encephalopathy ili ndi code E10-E14 malinga ndi ICD 10 ndipo ikufanana ndi gulu G63.2. Matendawa nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga 1.

Vutoli limapezeka pamaziko a Microangiopathy yotsimikizika, yodziwika ndi kuwonongeka kwa ziwiya, komanso kusintha kwapangidwe kwa makhoma awo.

Kusinthasintha pafupipafupi muyezo wa glucose womwe umapezeka m'magazi kumayambitsa kusokonezeka kwa metabolic. Zida zoyipa za metabolic zimalowa m'magazi ndikufalikira thupi lonse, mpaka zimakhala ndi ubongo.

Kukula kwa encephalopathy kumachitika pazifukwa ziwiri zazikulu:

• Mphamvu yamiyendo yam'mimba imachepa, ndipo kupezeka kwawo kumachulukanso.
• zovuta zama metabolic zikupita patsogolo, zikubweretsa kuwonongeka kwa minyewa yamitsempha.

Kupezeka kwa matendawa, kuphatikiza pa zifukwa zomwe zalembedwazo, kumatha kupangitsa kuti pakhale zovuta zina:

• ukalamba
• atherosulinosis
• kunenepa kwambiri kapena kunenepa kwambiri,
• kusadya bwino,
• mavuto a lipid kagayidwe,
• cholesterol yayikulu magazi,
• kunyalanyaza malangizo azachipatala,
• Magulu a shuga wokwanira.

Kusintha kwa ma metabolism kumakhudza gawo lamthupi, kumayambitsa kukonzanso kwamakina onse a minyewa yomwe ilipo ndikuchepetsa kufalikira kwa zikopa kudzera mumitsempha.

Kupatuka kotere sikuwoneka pomwepo, koma patatha zaka zingapo, chifukwa chake, kwa nthawi yoyamba, odwala amatha kukumana ndi zovuta zomwe zafotokozedwa kale atakalamba.

Nthawi zina, chifukwa cha encephalopathy imatha kukhala kugunda kwa ubongo, mkhalidwe wa hypoglycemia, komanso hyperglycemia.

Zizindikiro za encephalopathy mu shuga

Izi zovuta za shuga zimachitika pang'onopang'ono ndipo zimachitika popanda chizindikiro chazaka zingapo. Kuwonetsedwa kwa encephalopathy nthawi zambiri kumakhala kolakwika pazizindikiro za matenda ena, omwe amaphatikizira kuzindikira koyambirira kwa matenda.

Pa chithunzithunzi cha momwe matenda am'magazi amapezekera:

1. Asthenic syndrome - akuwonetsa kutopa kwambiri, kuchepa kwa ntchito, kusowa tulo, mavuto okhala ndi nkhawa.
2. Cephalgic syndrome - yodziwika ndi kupezeka kwa mutu. Zomverera izi zimafanana ndi boma mutavala chipewa kwambiri.
3. Masamba dystonia, yomwe imayendetsedwa ndi kukomoka, kukulira kwa paroxysm, kapena kusazindikira.

Odwala omwe ali ndi vuto la matenda ashuga nthawi zambiri amakhala ndi vuto la kuzindikira, lomwe limafotokozeredwa ndi izi:

• mavuto amakumbukiro
• mavuto
• mphwayi.

Zizindikiro zomwe zimatsagana ndi zovuta:

• kugona
• mutu,
• kutentha kwa thupi,
• chizolowezi chambiri
• kuphulika kopanda nzeru,
• kuyiwala
• mantha
• kutayika kwa zolakwika
• kutopa.

Odwala nthawi zambiri amanyalanyaza izi.

Zotsatira zake, matendawa amapita patsogolo ndipo amadutsa magulu onse a kukula kwake:

1. Choyamba. Pakadali pano, zizindikiro za matendawa sizimasiyana ndi mawonekedwe a michere-vascular dystonia.
2. Wachiwiri. Matenda a wodwalayo akuipiraipira chifukwa cha kuwoneka kwa mutu komanso kusokonekera bwino.
3. Chachitatu. Gawo ili ndi kusokonezeka kwamisala. Odwala nthawi zambiri amakhala opsinjika. Kukhalapo kwa manic syndrome, kusakwanira machitidwe kumawonetsa kupatsirana kwa ndondomekoyi.

Gawo lomaliza la matenda am'madzi limadziwika ndi zovuta zotsatirazi:

• wanena kusintha kwamitundu yonse yamanjenje,
• kupatuka kwakukulu pakuchita zolimbitsa thupi,
• kupweteka kwambiri m'mutu,
• kutaya kwamverera (pang'ono kapena kokwanira) m'malo ena a thupi,
• kuwonongeka kwamawonekedwe
• kugwidwa kofanana ndi kugwidwa,
• ululu wamkati.

Kufikira kwa dokotala popanda vuto kumakulitsa vuto la wodwalayo ndipo kumachepetsa mwayi wokhala ndi mawonekedwe owonekera.

Chithandizo ndi matenda am'mimba

Therapy ya encephalopathy imakhazikika pakukhazikitsa chikhazikitso chokhazikika molumikizana ndi maphunziro ena othandizira.

Njira yochotsera zizindikiro ndi kubwezeretsa thupi iyenera kuyang'aniridwa ndi dokotala.

Njira yochizira imatha kutenga mwezi umodzi mpaka zaka zingapo. Nthawi yofunikira kubwezeretsa thupi ndikupewa kupititsa patsogolo kwa zovuta kumadalira momwe wodwalayo alili ndi zomwe zikuchitika pakukula kwa matenda.

Mutha kusintha zizindikiro za matendawa mothandizidwa ndi zovuta mankhwala, wokhala ndi awa:

• kuyang'anira mosalekeza kwa glycemia,
• kukwaniritsa shuga yokhazikika yomwe ili ndi malire,
• malamulo a kagayidwe kachakudya njira mu thupi.

Malangizo omwe adalembedwera akuyenera kutsatiridwa ndi odwala onse omwe adapezeka kale ndi matenda osokoneza bongo, popeza ndi njira zomwe zingathandize kupewa kuwonekera kwa encephalopathy.

Mankhwala omwe amathandizidwa ndi odwala omwe ali ndi zovuta izi:

• alpha lipoic acid antioxidants,
• adamamama
• mankhwala osakanikirana (Milgamma, Neuromultivit),
• Ndalama za gulu la ma statins - zomwe zimagwiritsidwa ntchito kuti lipid metabolism,
• mavitamini (B1, B6, B12, komanso A ndi C).

Kukula kwa kupitiriza kwa zovuta kumadalira zinthu zingapo:

• zaka odwala
• kuchuluka kwa glycemia, komanso kuchuluka kwa kuwunika kwake,
• kupezeka kwa matenda enanso,
• kuchuluka kwa kuwonongeka kwa ubongo,
• kuthekera kwa wodwala kutsatira zakudya zomwe wapatsidwa, kupuma.

Kusankha mtundu wa mankhwala, dokotala amaganizira zotsatira za mayeso onse omwe amaperekedwa ndipo pokhapokha amapereka mankhwala ena. Njira iyi yothandizira matendawa imakuthandizani kuti mukhale ndi moyo wabwino kwa wodwala komanso kuti azitha kugwira ntchito kwazaka zambiri, komabe samapereka mpata wochira kwathunthu.

Mavidiyo azokambirana zamavuto amtsitsi ndi a mtima:

Encephalopathy, yomwe idayamba motsutsana ndi matenda ashuga, imawerengedwa ngati njira yosachiritsika yomwe ingathe kupewedwa ndi chipepeso chokhazikika komanso chokhazikika cha matendawa. N`zosatheka kuyimitsa kupitilira kwa matenda ashuga a m'mimba kunyumba.

Wodwalayo ayenera kufunsa dokotala ndikusankha naye njira yoyenera yothandizira pakukonzanso. Kuwunikira mosamala mkhalidwe waumoyo komanso kuchuluka kwa glycemia kumathandizira kuti anthu omwe ali ndi matenda ashuga azikhala ndi moyo wathanzi kwazaka zambiri.

Zoyambitsa matenda

Zoyambitsa zazikulu zomwe zimayambitsa matenda a shuga ndi zovuta zomwe zimakhudza kapangidwe kazinthu zazing'onoting'ono kapenanso kulephera kwa kagayidwe kazinthu. Zomwe zingayike pachitukuko cha izi ndi izi:

• onenepa kwambiri
• ukalamba
• mafuta ochepa kagayidwe,
• kuchuluka kwa anthu omwe ali ndi shuga, omwe sanakhalepo kwanthawi yayitali,
• lipid peroxidation mu cell nembanemba.

Njira ya matendawa

Kukula kwa pathological mkhalidwe kumaphatikizapo magawo atatu. Zizindikiro zoyambira sizimakhala zachindunji, chifukwa odwala matenda ashuga nthawi zambiri sawaganizira. Nthawi zambiri, kuphwanya kumadziwika m'mbuyomu kuposa gawo lachiwiri, pomwe zizindikirozi zimatchulidwa. Mukamayendetsa MRI, zosintha zazing'onoting'ono zazing'ono zimawonekera pokhapokha m'malo ena. Pambuyo pake, chotupa chachikulu chimapangidwa.

Magawo a kupitilira kwa encephalopathy mu shuga ndi:

• Poyamba. Wodwalayo amawunikira magawo a kusintha kwa kuthamanga kwa magazi, nthawi zina chizungulire, kumadetsedwa m'maso, kutopa kumamveka. Nthawi zambiri, zizindikirozi zimadziwika chifukwa cha kutopa, kusintha kwanyengo, kusintha kokhudzana ndi zaka.
• Wachiwiri. Mutu ukuwonekera kwambiri, kukumbukira kwakanthawi kochepa, kusintha kwa malo kumatha kuchitika. Zizindikiro zamitsempha zimakhazikikanso - kusintha kwa zochita za ophunzira kuti ziunikire, kuyankhula, opuwala, kusowa kwa zinthu zina, komanso kusintha kwa nkhope. Nthawi zambiri, pa nthawi imeneyi, odwala amatembenukira kwa katswiri wamitsempha.
• Chachitatu. Chipatala chimadziwoneka bwino, wodwalayo amadandaula kupweteka kwambiri pamutu, kugwirizanitsa kumasokonezeka, pre-syncope imakonda kuchitika. Kusowa tulo, kukhumudwa kumapitiriranso, kukumbukira kumakulirakulira. Pakadali pano, kuthekera kopeza chidziwitso chatsopano ndikupanga luso kumatayika.

Mankhwala, ndi mafotokozedwe ake achidule

Njira zochizira zimakhudza kagayidwe kachakudya, ntchito ya mtima, imayendetsedwa nthawi imodzi ndi mankhwala a antidiabetesic.

Magulu otsatirawa a mankhwala amalembedwa:

• kusintha magazi kutuluka kwa minofu - Memoplant,
• antioxidants a kagayidwe koyenera - "Berlition", "Thioctacid",
• ma neuroprotectors ndi ma antioxidants - "Tiocetam", amateteza maselo ku zotsatira za zovuta, kuchepa kwa mpweya,
• Vitamini A - amathandiza kuchepetsa zizindikiro za hypoxia, sinthanso kukana kwa ma cell ku ma radicals othandiza,
• Mavitamini a B - "Milgamma", "Thiamine", "Pyridoxine", amatenga nawo gawo pakuteteza minofu ya mitsempha, amathandizira kuchira,
• kukonzekera kwamitsempha - Trental, imabwezeretsa kuthamanga kwa magazi pamlingo wa capillaries, imagwiritsidwa ntchito poletsa mikwingwirima,
• mankhwala osokoneza bongo - "Stugeron", "Cavinton", amakulitsa ziwiya zamaubongo, amachepetsa mwayi wamagazi, amagwiritsidwa ntchito pochizira komanso kupewa mavuto obwera ndi magazi muubongo.

Shuga encephalopathy ndi matenda osachiritsika, omwe amapita patsogolo nthawi zonse. Kuyendera pafupipafupi kwa katswiri wa zamitsempha, endocrinologist, munthawi yake komanso molondola mankhwala a antidiabetic, chithandizo cha chithunzi chamitsempha cha m'mitsempha chidzafooketsa zochitika zamatenda.

Zotsatira ndi matendawo

Kukula kwa zovuta kumadalira mphamvu ya zinthu zingapo mthupi:

• zaka
• glycemia
• kuyang'anira pafupipafupi
• matenda ophatikizika
• kuopsa kwa kuwonongeka kwa ubongo,
• kuthekera kwa wodwala kutsatira zakudya zomwe wapatsidwa, ntchito komanso kupumula.

Wodwalayo akanyalanyaza chithandizo, amakhala moyo wosalamulira, chifukwa, kulumala kumakula, maluso odzisamalira amatayika.

Kuchiza moyenera kumathandizira kuti ubongo uzigwira ntchito kwa zaka zambiri popanda kuwonongeka kwakukuru. Wodwala azitha kukulitsa luso lake logwira ntchito, kukhoza kuphunzira.

Mankhwala akachedwa, encephalopathy amawopseza ndi zovuta pamagulu amanjenje:

• pafupipafupi migraine,
• kukokana
• mavuto amawonedwe.

Pambuyo pake, ubongo umalephera kugwira ntchito zake, kupangitsa kuti gulu la anthu olumala lithe kudzipereka komanso kudzipereka.

Nthawi zina zovuta zimayambitsa kusokonezeka kwa m'maganizo pomwe chinyengo, kuyerekezera zinthu zina, kusakwanira, kulephera kuyang'ana malo, nthawi, kukumbukira kukumbukira.

Pomaliza

Encephalopathy yokhala ndi matenda osokoneza bongo ndi osachiritsika. Itha kupewedwa kokha ndi kubwezeretsa okhazikika kwa matendawa. Kudziyimira pawokha kusiya sikugwira ntchito. Thandizo la akatswiri pa zamankhwala komanso kusankha njira zochiritsira ndikuchira pamodzi ndi adokotala ndikofunikira. Kusamala kwambiri ndi thanzi lanu kumakupatsani mwayi wokhala ndi moyo wathunthu kwazaka zambiri.