Isifo seswekile - a ... Diagnostics, ubungozi, ebangela, unyango

Isifo seswekile - bagula kakhulu, nto leyo Yekani abadala kunye nabantwana ngokufanayo. Kukuyihlambela umsebenzi pancreatic, kwaze oko kwakhokelela iswekile egazini high waphawula. Oku kukhokelela iingxaki ezinzulu, zininzi apho ayihambelani nobomi.

Isifo seswekile: Inkcazo

Okokuqala ukuqonda amanye amagama. Yintoni isifo seswekile? Esi sifo, nto leyo sikhatshwa njengokutyhoboza kwamanzi-ityuwa kunye nezimbiwa ukutya, ukutya carbohydrate, iiproteins kunye namanqatha emzimbeni. Loo kungalingani kwenzeka ngenxa yokusilela zepancreas, leyo ngenxa yesizathu esithile uyayeka ukuvelisa ngokupheleleyo insulin hormone. Yiyo le hormone inoxanduva kwinqanaba iswekile igazi lomntu. Sinwenwa - sisifo njengelifa okanye bathenga. It has ezingapheliyo. Kude ekugqibeleni akunakwenzeka ukuba ukunyanga, oogqirha zama kangangoko ukuba kubamba isifo kwaye ukunciphisa iingxaki kunokwenzeka.

Indlela eyingozi seswekile?

Umntu seswekile, iswekile yegazi eyonyukileyo kunye namanqanaba insulin wawisa. Kwiimeko eziphambili njengoko kumiselwe yi swekile kwi yokuchama. Oku kothi kudale ukuba izilonda, yegazi, lwegazi, nomonakalo wezintso, inkqubo luvo, wamehlo. Njengoko ubona, seswekile - sisifo eyingozi. Ngoko ke, musa ukuvumela ukuba uthathe indawo yawo.

Izinto ezibangela izifo

Oogqirha bahlule izinto ingozi seswekile:

• umzimba.
• Uxinezeleko.
• Depression.
• Amavila.
• Unqongophalo ubuthongo.
• ukutya ngendlela engafanelekanga.
• Ukuxhatshazwa iziselo ezineswekile.
• Kwegazi.
• Yofuzo.
• Race.

Zonke ezi zinto ingozi yesifo seswekile kungakhokelela ekubeni ukwehla kwi imeko yesigulane. Ngoko ke, kubalulekile ukuba bagcine ulawulo lale mini, nidle okulungileyo, xiphephana, senze impilo yomzimba. Kubalulekile ukukhumbula ukuba seswekile - oku isivakalisi. Unyango lwakwangoko ukunceda.

Yini oogqirha luleka

Izigulane kwemvelo: "? Yintoni ukuyenza seswekile" Ukuze siphendule lo mbuzo, kufuneka uye phambili umganyana olwenziweyo ngesihloko.

Ukwahlula 1 seswekile kunye Chwetheza seswekile-2. Xa Uhlobo lokuqala umntu uba insulin ngokupheleleyo, yaye okwesibini - akukho. Unyango lwe seswekile 2 iquka elisezantsi-carbohydrate adla, unyango ngokwasemzimbeni kunye neepilisi ezinyusa insulin uvakalelo. Kwezinye iimeko, iinaliti ngqo insulin.

Sifanele sibe yintoni ndoyike

Oogqirha zilumkisa ukuba kuyimfuneko ukuzama ukuthintela iingxaki type 2 diabetes. Esi sifo kunokubangela uphuhliso izifo ezifana hyperglycemia, gipoglekimiya, neuropathy, ophthalmopathy, arthropathy, phakathi apho kuyimfuneko ukugxininisa angiopathy seswekile. Yiloo nto iyingozi isifo seswekile! Oko comorbidities multiple kunokukhokelela zisiba mbi imeko yesigulane. Iingxaki seswekile sinwenwa type 2 - hayi isivakalisi kwimeko loxilongo ngexesha kunye nonyango.

angiopathy abaneswekile - isifo esiyingozi apho kwenzeka njengoko kwingxaki kwi abantu abaphethwe seswekile uhlobo yokuqala okanye yesibini. Xa umntu egula iminyaka engaphezu kwama-5, kungenzeka, angiopathy seswekile sele iqalile ukuphuhlisa. Ngoko ke, kufuneka ucinge malunga unyango, kunokuba kuthintelo yayo.

Le ingxaki lubonakaliswa ilahleko yokupasa patency kwemithambo. Ngokusekelwe kwi indawo benqanawa ochaphazelekayo, singakwazi ukuthetha ingxaki le mibutho ilandelayo:

• sezintso;
• intliziyo;
• amehlo;
• ingqondo.

Izinto ezibangela angiopathy seswekile

Esona sizathu sokuba esi sifo imiphumela emibi eswekile yegazi ophezulu, elonakalisileyo iindonga emithanjeni, imithambo yegazi. Iindonga unako gqitha, ithinasi okanye ziyatyeba, nto leyo ethintela ukuhamba kwegazi eziqhelekileyo kunye yokucolwa ngokubanzi. ukusilela esinjalo sikhokelela hypoxia (yokunqongophala kwe-oksijini emzimbeni) ancedisana amalungu angaphakathi sisilonda esidumbileyoesingaphakathi nomonde.

Iintlobo kunye nezimpawu angiopathy seswekile

Xa amayeza, iyayahlula iindidi 2 kwesi sifo:

• macroangiopathy - sisifo esichaphazela imithambo ngemithambo;
• microangiopathy - sisifo esichaphazela emithanjeni.

Kukholelwa ukuba ukusetyenziswa insulin likhusela ngokuchaseneyo angiopathy, apho i-80% amatyala ikhokelele ekufeni okanye ukukhubazeka malunga nesigulane eso. Kodwa akunjalo.

Iimpawu semithambo olukhulu kunye microangiopathy ezahlukeneyo kwaye amanqanaba ezininzi zophuhliso.

Amanqanaba ekukhuleni macroangiopathy:

• Isigaba 1 - isigulane iqala ukuze singadinwa ngokulula, amava ukuqina e iintshukumo zakhe, iinzwane zakhe ndindisholo, nezikhonkwane - ziyatyeba. Iinyawo ukubila kwaye rhoqo ngumkhenkce. Ngamana ukuphuhlisa claudication uveza (amathuba ukuze ukuya ku-1 km).
• Inyathelo 2A - isigulane ikhalazela of antsi iinyawo nemilenze baqale uyadana nkqu ehlotyeni. Ulusu yesiqephu lipholi, kunye claudication uveza iqala zenzeke ngamathuba ezincinane - 200-500 m.
• Inyathelo 2b - iimpawu kuhlala injalo, kodwa claudication uveza iqalisa ukuba kwenzeka ngokusebenzisa kolundi ezincinane - 50-200 m.
• Inyathelo 3A - iimpawu ziyaqala zimbi, wongezelela iintlungu emilenzeni, nto leyo ephazamisana kakhulu ebusuku. Isikhumba uba libunile, neenzwane baqala ukufumana umbala oluhlaza, ukuba ndimi elide kakhulu okanye uhleli. Isikhumba luqala amaxolo waza owomileyo, iqala claudication uveza zenzeke-50 m.
• isigaba 3B - iintlungu iqalisa ukuba wona uqhube okoko, kwaye mbile kakhulu nemilenze. okuba Huge of izilonda abe necrosis.
• Isigaba 4 - necrosis umnwe okanye unyawo, nto leyo sikhatshwa ubuthathaka, lobushushu eliphezulu (focus esosulelayo kwenzeka emzimbeni).

Uphuhliso microangiopathy luphawulwa degrees 6:

• 0 degree - izikhalazo malunga inxalenye isigulane uyabonakala. Chonga sifo kuba ngugqirha kuphela.
• 1 degree - isigulane ikhalazela komlenze kwesikhumba isiyezi kunye nokubanda novelwano. Kungahle izilonda ezincinane ezingahambi ukuqaqamba okanye umkhuhlane.
• 2 degree - nezilonda ziyaqala ukubetha amathambo, imisipha; ubuhlungu obukhulu.
• Grade 3 - kungqameko kunye nasezantsi nangezilonda abamnyama, ebonisa necrosis. Imimandla abachaphazelekayo nezilonda baqala ukudumba kunye redden. Kukho amathuba omkhulu wokuba lomongo wethambo nokudumba zomzimba (osteomyelitis), amathumba kunye nezifo zolusu ubovu (amathumba).
• 4 degree - necrosis neminwe okanye kwezinye iindawo unyawo.
• 5 degree - necrosis kudlulela unyawo lonke, nto leyo ekhokelela okwalandelwa ngoko nangoko.

Uxilongo kunye nonyango lwe angiopathy seswekile

Iimpawu kunye nezikhalazo nomonde akukho ngesiseko esaneleyo ukuba unesifo lokuqala. Ngoko ke, ugqirha imisela zokuqesha iinkqubo zokuxilonga zilandelayo:

1. ZePCR ukulinganisa izinga iswekile egazini kunye nomchamo.
2. Angiography - X-ray indlela uviwo usebenzisa ubume nemithambo-arhente umahluko.
3. Doppler scan - iimpahla ultrasound usebenzisa woluvo Doppler, nto leyo ebonisa ithombo legazi ngokusebenzisa iimpahla.
4. Ukuzimisela pulsation yegazi.
5. Videokapillyaroskopiya.

isifo ngexesha unyango elandelayo kunokuthintela ekuboleni okwalandelwa nophuhliso. angiopathy seswekile ukwakheka, kungathatha iminyaka emininzi. Kwimeko ka-non ukuthotyelwa zonke iimfuno igqirha ukuya, kukho amathuba amaninzi yokukhubazeka kunye nokufa.

Ngoku kukho ubuchule ezininzi yaphuhliswa ukuba unyango lwesi sifo. unyango Standard kuquka statin kunye Antioxidants. Umzekelo, "simvastatin" okanye "atorvastatin", kunye novithamini E. Kukwabalulekile ukubuyisela ukutya efanelekileyo zomzimba. Ukuze benze oku, ugqirha unakho ukumisela "Mildronat", "Thiotriazoline" okanye "Trimetazidine". Enye into ebalulekileyo ukuqeshwa stimulators biogenic (FiBS, zekhala) kunye angioprotectors ( "Parmidin", "Dicynone" okanye "Anginin"). Ugqirha wakho ukuze ukumisela "lweeHedfowuni", "clopidogrel" okanye "Cardiomagnyl 'ukuba obhityileyo igazi ukuvimbela ukwakheka igazi kunye umonakalo.

Ukuba isifo lwaqhutywa ngexesha, kwaye kubonakele esi sifo usaqala, isigulane emiselweyo umzimba (usebenzisa Burger kunye nokuhamba emfutshane).