A na-akpọ ọrịa shuga (angiaathy) nke vaskụla ụbụrụ nke nnukwu (macroangiopathy) na obere (microangiopathy) caliber na-ebili na ndị ọrịa nwere ọrịa mellitus. Ọtụtụ mgbe ụbụrụ, nyocha ihe na-ahụ anya, usoro urinary, obi, arịa nke akụkụ ala dị ala na-esonye na usoro ahụ.
Njirimara nke oria
Mmepe nke ọnya na obara n’arụ megide ọrịa shuga mellitus so:
- compaction nke vaskụla mgbidi;
- nkwanye mmanu mmanu na cholesterol na endothelium;
- thrombosis;
- lumen vaskụla lumen;
- guzobe isi iyi nke puff puff and exuding;
- imebi mkpụrụ ndụ trophic na anụ ahụ ruo ọnwụ ha.
Ebe ọ bụ na capilla na-enwe ntakịrị mkpanaka n'etiti arịa niile nke ụdị akwara, ha na-ata ahụhụ na mbu. Nke a pụtara na usoro ọnya ahụ na-amalite site na mkpịsị ụkwụ, ụkwụ, ga-aga n’ukwu ala ma rute n’úkwù.
Foto nyocha
Ihe mgbaàmà nke ọrịa angiopathy nke mpaghara ala ala na-adabere na usoro nke usoro:
- Stage I - enweghị mgbanwe nlegharị anya, onye ọrịa ahụ enweghị mkpesa, akụrụngwa na nyocha ụlọ nyocha na-egosi mmepe nke usoro atherosclerotic n'ime arịa;
- Ahịrị nke II - ọdịdị nke a na-akpọ esemokwu na - ejighi atụ - akara nke akọwapụtara na ọ dị mkpa ịkwụsị mgbe ọ na - eje ije n'ihi nnukwu ihe mgbu n'ụkwụ, na - apụ n'anya n'oge izu ike;
- Agba nke III - ọnya mgbu na-egosi na enweghị ibu n'ụkwụ, na-achọ mgbanwe ọnọdụ ọ bụla na bed mgbe niile;
- Ọkwa III - imepụta ọnya na - enweghị mgbu na akpịrị nwụrụ anwụ na anụ ahụ n'ihi nnukwu nsogbu ọrịa trophic nke akwara na sel.
Atherosclerosis bụ otu n'ime ngosipụta nke ọrịa ụkwụ ọrịa mamịrị.
Ihe mgbaàmà njiri mara mmebi nke arịa ụkwụ n'ụba shuga mellitus:
- mmetụta na-ere ọkụ, na-akụ, "goose bumps";
- nhazi nke udiri ududo;
- pallor nke akpụkpọ ahụ;
- akpụkpọ akpọnwụ, peepe, ntutu na-egbu egbu;
- adighi nke ukwu aka;
- mmepe nke isi ike.
Ọrịa mamịrị
Otu n'ime nsogbu ndị kachasị njọ nke angiopathy nke arịa nke ụkwụ. Ọ nwere ike ịmalite site na ụdị ọrịa nwere insulin na-ejighi insulin. E gosipụtara ya site na usoro purulent-necrotic, guzobe ọnya, mmebi nke ọkpụkpụ na akwara. Usoro nke ime, akwara akwara, na akwara dị omimi na-esonye na usoro ahụ.
Mgbaàmà nke ụkwụ na-arịa ọrịa shuga:
- ọnya, ọnya n'ụkwụ megide ọrịa shuga;
- ndọkata nke efere ntu;
- ọrịa fungal n'ụkwụ;
- itching
- mgbu mgbu
- lambeness ma ọ bụ ihe isi ike ndị ọzọ zutere n'oge ije;
- mkpụkpu nke anụ ahụ;
- ọzịza;
- ọdịdị ọnya;
- ọbara mgbali.
Ọrịa mamịrị - oke mmebi nke akwara ọkpụkpụ n’ọkpụkpụ ‘ọrịa ụtọ’
Diagnostics
Site na nsogbu ndị dị otú a, ị nwere ike ịkpọtụrụ angiosurgeon ma ọ bụ endocrinologist. Mgbe nyochachara ma chịkọtara mkpesa, dọkịta ahụ depụtara nyocha, nyocha ngwa ọrụ na ngwaike nke ihe ndị a na-egosi:
- Inyocha biochemical - ọkwa nke glucose, creatinine, urea, steeti ọbara coagulation;
- ECG, Echo nke CG na ezumike na ibu;
- Nyocha x-ray;
- arteriography nke nsọtụ ala - ntule ikike iche echiche site na iji usoro dị iche;
- Dopplerography - nyocha nke steeti akwara ọbara site na ultrasound;
- n'ihu ọnya ọnya ọnya - ọnya ọgbụgba ọkụ na-eji ọgwụ nje;
- mkpebi siri ike nke nrụgide transcutaneous - nyocha nke ogo oxygen n’arụ ahụ nke aka na aka;
- kọmputa capillaroscopy.
Njirimara ọgwụgwọ
Ntọala nke ọgwụgwọ bụ ịnọgide na-enwe ọkwa shuga dị n'ọbara ruo ókè a na-anabata ya. Typedị shuga shuga na-akpata insulin na-achọ inje nke homonụ a na-eme ka ọ bụrụ insulin atumatu nke endocrinologist mepụtara. Ọ dị mkpa iji lelee oge ntụtụ, usoro onunu ogwu, nyocha onwe ya na iji glucometer.
Site n'ọrịa shuga 2dị nke Abụọ, a na-eji ọgwụ ndị na-eme ka shuga dị:
- Metformin - na - enyere aka mee ka ọgụgụ anụ ahụ ka insulin dịkwuo elu, na - eme ka nnabata shuga site na anụ ahụ. Analogs - Glycon, Siofor.
- Miglitol - na-egbochi ike nke enzymes eriri afọ imebi carbohydrates na monosaccharides. Ihe si na ya pụta bụ enweghị shuga. Ihe analog bu Diastabol.
- Glibenclamide (Maninyl) - na - akwalite ịgbalite njikọta insulin.
- Amaryl - na - akwalite mmepụta nke ihe ndị na - eme ka homonụ na - arụ ọrụ, nke na - enyere aka belata shuga.
- Ọrịa mamịrị - ọgwụ na-akwalite mmepụta nke insulin, na-eme ka akwara ndị metụtara ọbara sie ike.
Pụtara maka iwetulata cholesterol
Enwere ike iji ọgwụ ndị a mee ihe dị ka akụkụ nke ọgwụgwọ yana maka mgbochi nke mmepe nke ọrịa angiopathy nke mpaghara ala. Ekwesịrị iwere ọgwụ na ọmụmụ nyocha ụlọ nyocha ọbara dị na biochemical.
| Aha ọgwụ ọjọọ | Ihe eji arụ ọrụ | Njirimara Ọrụ |
| Atherostat | Simvastatin | Na-ebelata cholesterol na lipoproteins, na contraindicated na akụrụ odida, ụmụaka, ime |
| Zokor | Simvastatin | Normalized ego nke triglycerides, ọkwa nke cholesterol zuru ezu. Jiri mkpachapụ anya na pathology nke imeju, akụrụ, ọnụ ọgụgụ buru ibu nke transaminases n'ọbara ọbara, yana ahoụrụma. |
| Cardiostatin | Lovastatin | Na-ebelata ikike nke imeju na-eme cholesterol, si otú a na-achịkwa ọkwa ya na ọbara |
| Lovasterol | Lovastatin | Kaadị anapụta Cardiostatin. Ejighị ya n’oge ime, n’oge a na-enye nwa ara, na-enwe ajọ akụrụ |
| Liptonorm | Atorvastatin | Na-eme ka usoro nchebe nke mgbidi vaskụla dị elu, na-egbochi usoro cholesterol |
Ọgwụ antihypertensive
Na-emegide ndabere nke mbelata ọbara mgbali, vasodilation, mmetụta antiarrhythmic na-apụta. Ọkpụkpụ ọbara na-aka mma. Jiri n'aka:
- Nifedipine
- Korinfar
- Cordipin
- Ekpo
- Binelol
- Nebilet.
Korinfar - onye nnọchite anya otu ọgwụ ọgwụ na - agbada ọbara mgbali elu
Usoro vasodilation sitere na eziokwu na enwere mkpọchi nke ndị na-anabata ya nke dị na mgbidi akwara na obi. Offọdụ ọgwụ nwere ike iweghachi obi obi.
Ndi Etiopia
Ihe ndi otu ọgwụ a mere bụ iji mee ka ọbara dị n’arụ na akwara ndị dị n’ịbara ahụ, tinyekwukwa iguzogide arịa ọbara.
- Pentoxifylline (Trental) - ọgwụ ahụ na - enyere aka mee ka akwara ọbara dị, mezie mgbasa ọbara, mee ka usoro ihe nchebe nke endothelium dịkwuo elu.
- Troxevasin - na - egbochi opi egbugbere ọnụ, nwere mmetụta antiexudative, ma na - egbochi mmepe nke usoro mkpali.
- Niacin - site n'ịkọwa arịa ọbara, ọgwụ na - enyere aka belata cholesterol zuru ezu.
- Bilobil - na - eme ka nsogbu nke akwara onwe ya sie ike, na - etinye aka na mweghachi nke usoro metabolic.
Ndị ọrụ Antiplatelet
Sọks ọgwụ maka ndị ọrịa mamịrịỌgwụ ndị ahụ na-egbochi usoro biochemical nke guzobe thrombus, na-egbochi ntachiri akwara vaskụla. Ndị nnọchi anya ndị a gosipụtara ịdị irè:
- Aspirin
- ReoPro,
- Tirofiban,
- Curantil
- Dipyridamole
- Plavix.
Enzymes na vitamin
Ọgwụ na-eweghachi usoro metabolic, na-ekere òkè na normalization nke permeability nke vaskụla mgbidi, na-enwe mmetụta antioxidant, na-abawanye ọkwa nke glucose na-eji sel na anụ ahụ, na-enyere aka na usoro a nke mbelata ọbara. Tinye Solcoseryl, ATP, vitamin usoro-B, Ascorbic acid, Pyridoxine.
Ọgwụ ịwa ahụ
Iji weghachite paterve nke akwara ozi ma ọ bụ otu akụkụ ya, a na-arụ ọrụ mmelite.
Passwa ahụ - mgbochi nke akwara vaskụla n’ụdị ebe a na - arụ ọrụ iji weghachite mgbasa ọbara mgbe ọ gaghị ekwe omume ịgbasa oghere nke arịa ahụ. Onwere ebe aortic-femoral, femoral-popliteal, na iliac-femoral, na-adabere na saịtị a na-agbanye.
Profundoplasty - ọrụ iji dochie akụkụ akwara atherosclerosis mechiri emechi yana oghere ihe eji eme ihe. Ejikọtara ya na endarterectomy.
Lumbar sympathectomy - mwepu nke lumbar ganglia na-akpata vasospasm. Site na mwepu ha, ụgbọ ndị ahụ na-agbasawanye, na-eme ka ọbara na-aga n'ihu na mpaghara ebe arịa ahụ metụtara. Ọtụtụ mgbe jikọtara ya na profundoplasty ma ọ bụ ịwa ahụ gafere.
Revascularizing osteotrepanation - a na-eme ihe ngosipụta n’ọkpụkpụ ọkpụkpụ iji mee ka ọbara na-ebute ọnụ.
Balloon angioplasty - iwebata ngwaọrụ pụrụ iche (cylinders) na lumen nke akwara ozi metụtara ka ọ dịkwuo elu.
Plastik balloon na-etinye ọnya ụkwụ siri ike - ntinye vaskụla dị irè
A na-eme stent dị ka balloon angioplasty, naanị stent na-anọgide na lumen arịa. Ngwaọrụ dị otú a anaghị ekwe ka akwara ike wedata ma nwee ọnya isi.
Na ọkwa dị elu nke ọrịa ahụ, mgbatị nwere ike ịdị mkpa iji chekwaa ndụ onye ọrịa. Dọkịta na-ekpebi ịdị elu nke ntinye site na ọkwa nke ọnụnọ nke anụ ahụ "dị ndụ". Mbido ọgwụgwọ oge ga-ebelata ohere ọghọm ma nyeghachi onye ọrịa ahụ ọmarịcha ahụike.
