Nā hōʻailona a me ka mālama ʻana i ka retinopathy i ka maʻi diabetes
ʻO ka mālama ʻia ʻana o nā maʻi maʻi maʻamau e like me ke ka maʻi maʻi ma mua no ke ʻano o ka lāʻau lapaʻau hou. Hiki ke hopena i ka maʻi maʻamau no ka maʻi 2 a i ʻole ka make. Eia kekahi, e kū'ē i ke kua o ka maʻi, hiki i kahi hoʻopiʻi ulu hoʻomohala - ka mea i kapa ʻia ʻo ka maʻi lā. ʻO ka retinopathy i ka maʻi diabetes ka kumu nui o ka makapō. Ma muli o kēia maʻi, ua pili ka ʻōnaehana vaskular o ka eyeball.
He aha ka mea maʻi retinopathy maʻi?
I ka maʻi diabetes, ʻike mua ʻia nā loli i ka retina e kōkua i nā hana e pale ai i ka hoʻomohala ʻana o ka maʻi. ʻO ka retinopathy Diabetic he hoʻopiʻi koʻikoʻi kahi maʻi mellitus o ka maʻi mellitus, kahi mea i ʻike ʻia ma ka 90 pakeneka o nā mea maʻi e hoʻoneʻe i ka maʻi endocrine. ʻO ka maʻi maʻamau o ka maʻi ka hopena o ke ala lōʻihi o ka maʻi, akā e kōkua ka ʻike ʻana i nā manawa kūpono e ʻike i nā loli i kahi manawa mua.
ʻO nā hōʻailona nui o ka maʻi nā:
- ʻO ke ʻano mua o ka retinopathy i loko o ka maʻi ʻaʻeha, ʻaʻole ʻeha, ʻike paha ka mea maʻi i ka emi ʻana o ka hihio.
- Ke hele mai nei ke ʻano o ka hemorrhage intraocular me ka ʻike ʻana i ka pale a i nā nāhelehe waiho poʻohiwi, kahi e hala ana ka manawa me ka loaʻa ʻole o ka ʻūhai.
- ʻO ka pinepine, hiki i ka hemorrhage vitreous ke alakaʻi i ka ʻike ma muli o ka hoʻokumu ʻana o nā kaula vitreoretinal i loko o ke kino vitreous me ka detactment retinal detinalment hou.
- Loaʻa ʻia nā ʻike. ʻO ka hiʻohiʻona ka pilikia o nā pilikia i ka wā e heluhelu ai i ka pae kokoke a i ka wā e hana ai i ka hana.
Keʻano hana hoʻoheheʻe ʻole kūlana (background).
Hoʻonui ka ulu a me ka permeability o nā paia o nā capillaries.
Hōʻino i ka lalo o nā maka.
Hoʻokomo ʻia nā hemorrhages i ka maka, ulu nā ʻōpū retinal.
Hoʻomaka ka hana hōʻino ikaika. Hewa detinalment. Hōʻalo ka ʻike kikoʻī. Hiki paha ke nānā ʻana i ka maka.
Hoʻomaka nā moku kūwaha i ka ulu o ke alo.
ʻO ke ʻano o nā kapillaries hou, he mea ʻino wale nō, e alakaʻi ana i nā hemorrhages pinepine.
ʻO nā hoʻololi hope i ka retina i alakaʻi i ka makapō.
Hiki mai i kahi manawa e kuhikuhi ʻole ʻia ka ʻike i nā hihi o ke kukui, a e alakaʻi kēia i ka makapō piha.
Hoʻomaʻamaʻa maka
I nā pae āpau o ka pathogenesis o retinopathy i ka maʻi diabetes, pono e hana pono ʻia nā kīʻaha o ka maka no ka hoʻoponopono ʻana i ka maʻi metabolic. Eia kekahi, ʻo ka wikiwiki e like me ka hoʻomaka ʻana o ka maʻi, pono ka hoʻonohonoho pono ʻana i ka maʻi mellitus no ka mālama pono i ka pae o ka glycemia. ʻO kahi mea nui i ka mālama ʻana i nā maʻi maka, ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻohemo ai i nā angioprotectors, nā hōʻuluʻulu kolamu, nā immunostimulants, nā anabolic steroid, nā stimulants biogen, coenzymes.
Ke hoʻohana nei i ka coagulation laser o ka retina
ʻO ka mālama ʻia ʻana o ka hemorrhage ma ka maka me ka hōʻiliʻili ʻana o ka laser ka mea i ʻoi loa ka maikaʻi. ʻO ka hiʻona o ke ʻano o ka hana o ka hoʻopau ʻana i ka maʻi, ua mālama ʻia nā capillaries e hoʻohana ana i kahi laser kūikawā. ʻO ka nānā ʻana o ka maka laser he ala hou a he hopena hou, ke noi pololei a hoʻopaʻa ʻia i ka hoʻolālā ʻana o ka maʻi.
Wahi a nā kauka, kōkua ka photocoagulation e hoʻopau i nā lā o 82% o nā maʻi o ka maʻi ma ka pae preprofilerative, a hiki i ka 50% i ka wā proliferative. I ka hana hope o retinopathy, hiki i ka laser koina e mālama i nā mea maʻi e mālama i ka ʻike no 1 makahiki a 10 mau makahiki. Cataract diabetic a me ka catile cataract hiki ke hui pū me ka laser coagulated. E kōkua ka paʻi ʻana i ka photocoagulation kūpono o ka retina i ka maka ʻole.
Nā lāʻau lapaʻau
ʻO ka mea maʻi me ka retinopathy i loko o ka maʻi ʻaʻai e pono pū me ka lau ʻana e kahi optometrist a me ka endocrinologist. Hana ʻia ka hana ma lalo o ka kaohi o nā hōʻailona maʻamau o ka ʻōnaehana koko. Eia kekahi, pono ka therapy terapi, kahi pāʻai pilikino ponoʻī, a me ka lāʻau lapaʻau e pono e hoʻokomo i loko o ka hana hoʻōla. I ka mālamaʻana i ka maʻi maʻi o ka maka, hiki i nā ʻano lāʻau like ke kōkua i ka hoʻomaikaʻi ʻana i ke ʻano o nā moku retinal, a hoʻolōʻihi i ka maʻi.
ʻO ka lāʻau nui no ka retinopathy hōʻike pinepine ʻia "Neurovitan":
- ʻO kēia lāʻau lapaʻau ka palekana a me ka pono, ʻaʻole ia e hoʻonā i nā hopena ʻaoʻao.
- Hoʻonohonoho ʻia i nā poʻe pākuhi i nā papa papaʻa 2 i kēlā me kēia lā.
- ʻO ka papa o ka mālamaʻana he 2 wiki.
- Mai inu i ka waiʻona ka lawe ʻana i ka lāʻau lapaʻau.
I nā ʻano lāʻau ʻē aʻe, ua koho pinepine ʻia ʻo Vitrum Vision Forte. Hiki paha i kekahi kauka hou ke lawe i nā lāʻau lapaʻau e pili ana i ka "Ginkgo Biloba":
- Kuhi ʻia kēia mau lāʻau i loko o ka pepa capsule.
- Ua inu lākou i ka waiora - hoʻokahi kapsul i ka lā.
Ke kahui nei i ka maka
Hiki ke mālama ʻia me ka retinopathy Diabetic me Retinalamin:
- Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka nui o nā kaʻina kūloko o ka'āina.
- Hoʻohana ʻia ka lāʻau lapaʻau i ka parabulbarno, i.e. i ka kihi eyelid haʻahaʻa ma o ka ʻili.
- ʻO 5-10 mg o ka hana e pono ai e lawelawe ʻia i kēlā me kēia lā, ma hope o ka hoʻoheheʻe ʻia i loko o 2 ml o ka paʻakai.
- ʻO ke ala papa o ka mālama i kahi lā 10 mau lā.
Manaʻo hoʻi nā kauka i ka hoʻohana ʻana i ka Vazomag:
- Hiki i kēia lāʻau lapaʻau ke hōʻola i ka hoʻoliʻi a me ka lako o nā lako kiko.
- Ma kona hoʻohana kūpono ʻana i ka maʻi diabetes e kōkua i ka hoʻolohi i ka pathology.
- "Vasomag" e lawelawe ʻia ana ʻo parabulbarno.
- Hōʻike ʻia e hoʻohana i ka lāʻau i ke kakahiaka ma muli o ka hopena hoʻoikaika.
- Contraindicated ma ka hāpai ʻana, me ka hoʻonui ʻia o ka paʻu intracranial, no nā keiki ma lalo o 18 makahiki o kona mau makahiki.
Nā kumuwaiwai no ka maka o ka maka
- Aia i ka waiwai ikaika - indapamide.
- He lāʻau lapaʻau ka vasodilator, diuretic, hypotensive hopena.
- Kuhi ʻia nā ʻōpio i 1 papa i kēlā me kēia lā, pono ʻia e inu i ka lāʻau lapaʻau i ke kakahiaka.
- ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau i nā keiki, me ka lactation, me nā maʻi puʻuwai a me nā puʻupaʻa.
Hiki ke hoʻokō ʻia ka lāʻau lapaʻau o nā maka i ka maʻi diabetes me ke kōkua o nā lāʻau lapaʻau e pili ana i nā capillaries o ka retina. E pili ana kēia:
Hoʻohana ʻia nā lāʻau lapaʻau aʻe ma luna aʻe:
- Hoʻohana ʻia ia e nā kiʻi capsule.
- ʻĀ nā papa papa i ʻekolu manawa i ka lā no nā pule he ʻelua.
Holo nā maka mai ka hōʻeha o nā maka
Me ka retinopathy maʻi maʻi, hiki ke hāʻule ka maka o ka maka. Kauka nā kauka i ka inu ʻana iā Emoxipin:
- Kuhi ʻia nā kiʻi o ka lāʻau me ke syringe ʻole me ka pono ole, a laila hoʻokomo ʻia ka wai i loko o ka maka.
- Pono ka pipi i nā 2 mau manawa 3 i ka lā.
- ʻO ke ala no ka mālama ʻana he 30 lā.
Hiki iā ʻoe ke hoʻohana i ka hāʻule o "Timolol":
- Ka hoʻoneʻe ʻana o ka mea ikaika me ka neʻe intraocular.
- Hoʻomaka ka lāʻau lapaʻau e hana i nā minuke 20 ma hope o ka noi.
- ʻAʻole ia e hoʻohana i ka lāʻau no ka hānō bronchial, ʻokiʻoki i ka maʻi o nā pūpaka, ʻoiai nā umauma.
Hiki i ka hihiʻo ke hoʻihoʻi pono iā ia iho
I ka wā e loaʻa mai ai kahi maʻi e like me ka angiopathy, ʻaʻole e hiki ke ʻike maka. E noʻonoʻo e hoʻomaʻemaʻe i ka mālama ʻana, me ka hoʻohana ʻana i nā lāʻau lapaʻau, kaʻai, ka hoʻopaʻa ʻana o ka makahiki i nā loea, a me ka ʻano o ka maʻi o ka maʻi - ke hana lapaʻau. ʻAʻole hiki ke hoʻōla i ka ʻike maka ʻole me nā leaka papa a me nā papa. No laila, ʻo ka ʻoihana ikaika loa o ka retinopathy diabetes, e kōkua ana i ka pale ʻana i ka makapō, ʻo ka retinal pan-retinal laser coagulation.