Ọrịa mamịrị na-arịa ọrịa shuga: ụdị, ọgwụgwọ, mgbochi

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Ọrịa shuga mellitus - ọrịa nke na - enweghị atụ zuru oke n'akụkụ niile nke ndụ onye ọrịa. Otu njirimara ya adighi nma bu eziokwu na odighi egosi ya n’ebube ya nile. Ọtụtụ usoro ọgwụgwọ concomitant na-abata na afọ mgbe nchọpụta nchoputa n'ụdị nsogbu na-egbu oge na-egbu oge. A ga-atụle otu n'ime ha n'okpuru.

Gịnị bụ ọrịa mamịrị ma ọ bụrụ na ọ bụrụ na ọ nwere ọrịa

Mgbanwe sitere n'ọdịdị na arụ ọrụ nke akwara ọbara na ọrịa shuga ana - akpọ ọrịa shuga angiopathy (site na okwu Greek iwe iwe - arịa na ọrịa - ọrịa, nhụjuanya)
N'otu aka, ha bụ n'ihi ọdịnaya glucose dị elu n'ọbara onye ọrịa. Themụ irighiri ihe ndị dị n'ụbara a, nke gabigara ókè, na-abanye na mgbidi nke arịa ọbara ma na-ebute mbibi n'ebe ahụ. N'ihi ya, ike na-ebelata, mgbanwe ndụ na-agbanwe agbanwe, ụkwara lumen na mpaghara nke akwara ozi, veins na capillaries belatara.

N'aka nke ọzọ, ọrịa ahụ na-emetụta usoro nke abụba na metabolism metabolism n'ime ahụ, na-akpata vasospasm. Mmụba na ọkwa ọbara nke ala lipoproteins dị ala na nke dị ala na-eduga n'inweta kristal nke kristal na mgbidi vaskụla na mmepe nke atherosclerosis.

N'ụzọ doro anya, n'okpuru mgbanwe nke mgbanwe ndị dị otú a, mgbasa ọbara nke ahụ nke ọma site n'ahụ ahụ na inye anụ ahụ oxygen na nri ndị na-edozi ahụ. Anaghị ewepụkwa ihe ndị rere ere na ngwa ngwa. Fragba ụba nke arịa ọbara ọbara na-abawanye ohere nke mgbapu na ọbara ọgbụgba mpaghara.

Pesdị na nsonaazụ ya

Dabere nha nha arịa ndị mebiri emebi, ọrịa angiopathy na ọrịa shuga bụ nke kewara ekewa n'ime micro- na macroforms

Na macroangiopathies Ebumnuche a bụ nnukwu akwara na akwara, ọkachasị usoro akwara obi na arịa nke akụkụ ala. E gosipụtara ụdị a na ngwangwa nke mgbanwe nke atherosclerotic.

N'ihe banyere obi, nke a ga - emecha bute ọrịa na - akarị akwara nke nwere oghere myocardial infarction, n'ihe gbasara ụkwụ - na thrombosis na arụ ọrụ.

Ọrịa mamịrị microangiopathy na-emetụta obere ihe eji arụ ọrụ na oge na-eduga na ọrịa abụọ:

  • angioretinopathy - mbibi na-aga n’ihu nke akwara nke akwara nke retina nke anya, nke, ọ bụrụ na elezighi ya anya nke ọma, nwere ike ibute ọhụhụ n’ime afọ ole na ole (ọ nwere ọnụọgụ dị ukwuu na-arịa ndị ọrịa mamịrị niile, mana a na-ekwupụta ya karịa ụdị ọrịa 2);
  • angionephropathy - mmebi na-abawanye na capillaries akụrụ, nke n'ọnọdụ dị elu na-ebute ọdịda akụrụ na ọnwụ (na-ebukarị ndị ọrịa nwere ụdị 1).
Enwere ihe omuma ozo emere ka obara na -eme ka obara n’obere mmiri (akwara na akwara nke ala ala) yana akwa nke ime obodo. Nke a bụ ụkwụ a na-akpọ ụkwụ nke ọrịa mamịrị - ọrịa nwere ike ịmịpụta ọnya na-agwọ ọnya n'ụkwụ n'ihi nsị ọbara ọgbụgba na mgbakwunye nke nje ma ọ bụ ọrịa fungal. N'ihe dị iche iche, akụkụ akwara ozi ga-ekwe omume ma ọ bụrụ na e bepụ aka n'ụdị aka ahụ. Ugwu a na-agbasa ebe niile n’etiti ndị ọrịa nwere ụdị ọrịa 2.

Mgbochi na ọgwụgwọ nke ọrịa angiopathy

Dika usoro ọgwụgwọ izugbe maka ngosipụta niile nke ọrịa angiopathy na-arịa:

  • ịgwọ ọrịa shuga mellitus ozugbo site na ọgwụ insulin ma ọ bụ na-a drugsụ ọgwụ na-ebelata shuga iji nọgide na-enwe glycemia n'ime oke nchebe;
  • iji ọgwụ dịgasị iche iche na-echebe mgbidi nke arịa ọbara site na mmebi ma na-ahazi usoro metabolic dị n'ime ha (ndị a na-akpọ angioprotector);
  • igbochi thrombosis, ihe ndi choro ọbara;
  • nhọpụta steroid anabolic, homonụ mmekọahụ na ụdị enzyme dị iche iche iji hazie usoro metabolic na ahụ;
  • na-a vitaminsụ vitamin nke otu B, yana vitamin C, P, E na PP na obere ọmụmụ 2-3 ugboro n'afọ;
  • ojiji nke potassium salts (chloride na acetic acid) to norm metabolism metabolism na-ebelata agụụ n'agbanyeghị oke ibu;
  • ijigide ọbara mgbali n'enweghi nchebe;
  • nchedo ma ọ bụ ọgwụgwọ ịwa ahụ pụrụ iche n'ihe gbasara otu ọrịa (retinal detachment, nephrosis, thrombosis nke nnukwu akwara na veins, wdg);
  • mmega ahụ;
  • physiotherapy, UV ọgwụgwọ, mmiri na apịtị ọgwụgwọ, hemotherapy laser, plasmophoresis, oxygenation hyperbaric, wdg.
Thechekwa na ị doụ ọgwụ niile dị mkpa, malite na insulin ruo vitamin, bụ ọrụ nke dibịa na-eleta. Na-enweghị ntuziaka ya, ịkwesighi ị were ọgwụ ọ bụla n'onwe gị.

Ihe mgbochi kachasị maka angiopathy bụ ịgbaso usoro ndị ọrịa mamịrị na ọgwụ ndị dọkịta niile. Mgbe ị na-achọpụta nrịanrịa shuga, nyocha kwa afọ (ma ọ bụ karịa ugboro ugboro) nke otu dibia bekee, kadiologist na nephrologist ma ọ bụ urologist kwesịrị ịbụ usoro. Okwesiri ịkwụsị ị smokingụ sịga kpamkpam ọkacha mma ị alcoholụ mmanya, ebe ọ bụ na ha na-enye nnukwu ibu na arịa. Ọ dị mma maka mgbochi mgbochi obere nnu na nri protin.

Ọ dị mkpa ka ndị ọrịa zụlite njide onwe onye, ​​nyochaa nlekọta ahụike ha nke ọma, lekwasị anya ntakịrị ihe ọ bụla nke nwere ike ịmalite ịghọ nnukwu nsogbu n'ọdịnihu. Ọtụtụ mgbe ụzọ ọzọ nke mmepe nke ọrịa na-adabere naanị ha. Site n'inwe usoro dị mma, ịkọwapụta n'ọtụtụ oge dị mma.

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