Chirwere cheshuga - a ... Diagnostics, zvinokonzera njodzi, hunokonzera, kurapwa

Chirwere cheshuga - chirwere chakakomba, izvo zvinogona kutambura vakuru nevana zvakafanana. It kutyora pancreatic basa, zvichiguma vaichengeta dzakakwirira ropa shuga. Izvi zvinotungamirira matambudziko zvakakomba, mazhinji hahuenderani upenyu.

Diabetes: Definition

First kunzwisisa zvimwe mazwi. Chii chinonzi chirwere cheshuga? chirwere ichi, icho pamwe pakaputsika mvura-munyu uye chicherwa muviri, muviri mumwe makabhohaidhiretsi, mapuroteni uye mafuta ari mumuviri. Yakadaro kusaenzana kunoitika nokuda kukundikana rwatata, izvo nokuda kwechikonzero hunoguma vabereke kwazvo insulin. Hazvina kemikari iri anokonzera ropa shuga pamwero munhu. Mellitus - ane chirwere nhaka kana vawana. Ane chirwere. Kusvikira pakuguma hazvibviri kurapa, vanachiremba vanoedza nepavanogona napo kuti vasunge chirwere uye kuderedza zvinobvira matambudziko.

How ngozi ndiyo cheshuga?

Munhu cheshuga, ropa shuga yakawedzera, uye jekiseni mumatunhu rakadonha. In mazhinji Muzviitiko sezvo pakutsvaga shuga iri weti. Izvi zvingaita kuti maronda, atherosclerosis, BP, kukuvara itsvo, musimboti tsinga, ziso madonhwe. Sezvaunogona kuona, chirwere cheshuga - ndiyo chirwere ane ngozi. Naizvozvo, usarega kutora ayo kosi.

The zvinokonzera chirwere

Doctors kusiyanisa zvinhu mukana cheshuga:

• Ndakagara mararamiro.
• Stress.
• Depression.
• Kufuta.
• Kushaya hope.
• Usava kudya.
• Kunwisa sugary zvinwiwa.
• BP.
• Nhodzera.
• Race.

Zvose izvi zvinokonzera njodzi kuti chirwere kungaita kuti kudzikira mune murwere ezvinhu. Naizvozvo, zvakakosha kuti tichengete hurumende zuva, mudye zvakanaka, kudzivisa kushushikana, vanoita panyama kurapa. Zvakakosha kuyeuka kuti chirwere cheshuga - ichi hachisi mutongo. Early kunokwanisa kubatsira.

What vanachiremba chifunga

Varwere zvakasikwa mubereko: "? Chii kuita cheshuga" Kuti tipindure mubvunzo uyu, tinofanira kuenda zvishoma mberi kupinda nyaya.

Kusiyanisa 1 chirwere cheshuga uye nyora 2 chirwere cheshuga. In wokutanga mhando munhu anova chose jekiseni kubatsirwa, uye wechipiri - kwete. Mabatirwo cheshuga mhando 2 ine yakaderera carbohydrate zvokudya, nomuviri kurapa uye mapiritsi kuti vawedzere jekiseni wanda. Mune zvimwe zviitiko, akananga majekiseni jekiseni.

Chii ndichifanira kutya

Vanachiremba vanonyevera kuti zvakafanira kuedza kudzivisa matambudziko anoitika mhando 2 cheshuga. chirwere ichi chinogona kukonzera kukura kwezvirwere zvakadai hyperglycemia, gipoglekimiya, neuropathy, ophthalmopathy, arthropathy, ramakagadzwa zvakafanira kumaka shuga angiopathy. Ndizvo ngozi chirwere cheshuga! comorbidities kuti vakawanda kungatowedzera achiipa murwere wacho nemamiriro. Matambudziko cheshuga mellitus mhando 2 - kwete mutongo panyaya nenguva nechirwere uye kurapwa.

Chirwere cheshuga angiopathy - chirwere ngozi kunoitika sezvo kuomesa mune vanhu vachitambura cheshuga rokutanga kana repiri mhando. Kana munhu achirwara kuti anopfuura 5 makore, zvingangoita, chirwere cheshuga angiopathy vakatotanga kutanga. Saka, unofanira kufunga pamusoro kurapwa, pane ekudzivirira kwayo.

kuomesa Izvi zvinoonekwa zvishoma nezvishoma kurasikirwa patency of arteries. Inobva nzvimbo njodzi mudziyo, tinogona kutaura dambudziko pamwe anotevera miviri:

• itsvo;
• mwoyo;
• meso;
• uropi.

The zvinokonzera shuga angiopathy

The chikuru chinokonzera chirwere ichi kunorira shuga mukuru ropa, zvinoparadza madziro capillaries, mutsinga, arteries ose. Madziro inogona akaremara, wakawondereiko kudai mazuva ose kana mukobvu, izvo zvinotadzisa ropa kuyerera kuipa uye muviri zvavo. kutadza kwakadaro kunotungamirira hypoxia (kushayikwa okisijeni mumuviri) nyama uye nhengo dzomukati zvomurwere lesion.

Types uye zviratidzo shuga angiopathy

In mushonga kusiyana 2 zvirwere ichi:

• macroangiopathy - chirwere kunokanganisa arteries uye mutsinga;
• microangiopathy - chirwere kunokanganisa capillaries.

Zvinofungidzirwa kuti kushandiswa jekiseni kunodzivirira angiopathy, umo 80% dzokushungurudzwa kukonzera rufu kana vakaremara murwere. Asi ichi handizvo.

Zviratidzo makro vascular uye microangiopathy zvakasiyana uye vane nzendo wandei kukura.

Zvokukura kukura macroangiopathy:

• Stage 1 - murwere anotanga neta nyore, ruzivo kuomarara muna kufamba ake, zvigunwe kwake unoshaya simba, uye zvipikiri - mukobvu. Feet dikitira uye kuramba -oma. Zvingamuka inoratidza claudication (zvikamu zvingava kusvika 1 km).
• Step 2Vanhu - murwere anonyunyuta kuti chiveve tsoka uye makumbo vanotanga kunzwa chando kunyange muzhizha. Skin migumo rakachenuruka, uye inoratidza claudication anotanga kuitika zvikamu zviduku - 200-500 m.
• Step 2b - zviratidzo kuramba kuchinja, asi inoratidza claudication kunotanga kuitika nokuvaapostora neeSultan diki - 50-200 m.
• Step 3a - zviratidzo vanotanga achiipa, akawedzera kurwadziwa makumbo, iyo zvinokunetsa zvakasimba usiku. Skin anova rakachenuruka, uye zvigunwe vanotanga kuti rinokwanisa kucheneruka ruvara, kana chaizvo refu yakamira kana akagara. The ganda inotanga peel they and and kure uye akaoma, inoratidza claudication kunotangira kuitika panguva 50 m.
• 3b rwakazara - marwadzo anotanga kuva kunopfuurira, uye kuzvimba zvikuru nemakumbo yakaderera. Huge rinofanira nemaronda kuti vave necrosis.
• Stage 4 - necrosis munwe kana rutsoka, izvo achiperekedzwa muutera, mukuru tembiricha (kutapuriranwa pfungwa rinowanikwa mumuviri).

Kukura microangiopathy kunoratidzwa 6 madhigirii:

• 0 dhigirii - zvichemo pamusoro chikamu murwere kuchengetwa. Ziva chirwere chinogona chete kuva chiremba.
• 1 dhigirii - murwere anonyunyuta gumbo ganda paleness uye kunzwa chando. Unogona kuona nemaronda diki dzisina achiperekedzwa soreness kana fivhiri.
• 2 dhigirii - nemaronda vanotanga varove pfupa, tsandanyama; kurwadziwa.
• Grade 3 - kumicheto uye nechepasi nemaronda nhema, zvichiratidza necrosis. Areas sei nemaronda dzinotanga kuzvimba uye redden. Pane vaparidzi mukana wokuita dzichiri mwongo kuzvimba uye zvinyama (osteomyelitis), abscesses uye purulent ganda zvirwere (abscesses).
• 4 dhigirii - necrosis of minwe kana zvimwe zvikamu rutsoka.
• 5 dhigirii - necrosis kunosvika retsoka yose, iyo inotungamirira kuupenyu pakarepo kudimurwa.

Chirwere uye vabatwe shuga angiopathy

Zviratidzo uye anoshivirira zvichemo hazvisi hwaro kwakakwanira rokutanga kuongorora chirwere. Naizvozvo, chiremba prescribes kugadzwa nokuda zvinotevera chirwere maitirwo ezvinhu:

1. Assays nokuti Pakusarudza padanho shuga muropa uye weti.
2. Angiography - X-ray Kuongorora nzira uchishandisa vascular mamiriro kusiyana nevamiririri.
3. Doppler Ongororo - Ultrasound midziyo kushandisa Doppler Switch, izvo zvinoratidza aibuda ropa kuburikidza nhumbi.
4. Kutsunga vascular pulsation.
5. Videokapillyaroskopiya.

Panguva Chaiyo chirwere kwaizotevera kunokwanisa kudzivisa neronda rinonyenga uye kudimurwa kukura. Chirwere cheshuga angiopathy hwapedyo pamusoro akawanda. Kana asiri zvaidiwa zvose zvinodiwa kupinda chiremba, pane mukana mukuru vakaremara uye kunyange rufu.

Zvino pane nzira dzakawanda akagadzirirwa kurapa chirwere ichi. Standard kurapwa kunosanganisira statin uye antioxidants. Somuenzaniso, "simvastatin" kana "atorvastatin", uye vhitamini E. Zvinokoshawo kudzorera muviri kwakakodzera mune munyama. Kuti aite izvi, chiremba anogona mishonga "Mildronat", "Thiotriazoline" kana "Trimetazidine". Uyewo chinokosha kugadzwa biogenic stimulators (FiBS, Aloe) uye angioprotectors ( "Parmidin", "Dicynone" kana "Anginin"). Chiremba wenyu anogona mishonga "Heparin", "clopidogrel" kana "Cardiomagnyl" kuti dzakaonda ropa uye kudzivirira clots ropa uye plaques.

Kana nechirwere yakaitwa pamusoro nguva, uye denda rakanga dzakaonekwa mukutanga mumatanho, murwere ushandiswe muviri (anoratidza Burger uye pfupi kufamba).