He aha ka angiopathy maʻi maʻi: nā mea kūlohelohe, kumu a me nā hōʻailona

ʻO ka angathyathy Diabetic kahi hoʻopiʻi o ka maʻi mellitus o ka maʻi mellitus, ka mea i hōʻike iā ia iho i ke ʻano o ka hōʻino ʻana i nā moku a pau i ke kino o ke kanaka.

Ma ke kānāwai, hoʻokaʻawale ʻia nā ʻano ʻelua o kēia maʻi: microangiopathy (ʻeha ʻia nā moku liʻiliʻi, ʻoi aku ka nui o nā kapillaries), a me ka macroangiopathy (ʻike nui i nā moku nui - nā ʻili a me nā veins).

ʻO ka maʻamau, ulu ka maʻi me kahi papa lōʻihi o kahi maʻi endocrine e like me ka maʻi diabetes o kēlā me kēia ʻano. Ma lalo o ke kumu o ke kō o ke kō, e hoʻoneʻe ana ma waena o nā moku, e wāwahi ʻia nā paia o nā ʻalihi, nā veins a me nā capillaries.

I loko o kahi mau wahi, ke aniani nui nei lākou a i lalo i nā deformations, ʻoiai ma kahi ʻē aʻe, he kūlike lākou, e hoʻonaninani ana, e hoʻopili ʻia me ka kaila o ke koko a me ka metabolism ma waena o nā kāpili. Ma muli o kēia mea e hōʻike ai ka maʻi hypoxia (oxygen starness) o nā ʻili e puni ana.

No laila, he nui nā kino o nā kino kanaka. Hāʻawi kēia ʻatikala i nā ʻike kikoʻī e pili ana i kahi maʻi e like me ka angiopathy maʻi maʻi.

Nā hiʻohiʻona o ka angiopathy i ka maʻi diabetes

E like me ka ʻike o ka poʻe he nui, kahi hopena endocrine e like me ka maʻi maʻi e komo ai i kahi ʻano o nā maʻi hormonal-metabolic, ka mea i manaʻo ʻia he kumu koʻikoʻi no ka hoʻomohala hou ʻana o ka angiopathy maʻi. Eia nō naʻe, mamao loa mai nā maʻi āpau me nā pōkole metabolism ka hoʻopiʻi ʻana i kā lākou mau kauka e pili ana i nā ʻano o nā hōʻailona e hopohopo nei o ka maʻi.

Ma ke kānāwai, ʻo ka hōʻailona o ka maʻi e pili pololei ana i ka ʻano o ka hormonal background o ka mea. ^ E Ha yM. ʻO kekahi kumu nui koʻikoʻi. I kēia lā, ʻaʻole hiki i nā kānaka ʻepekema ke ʻōlelo pololei i nā ʻano genetic e hoʻonāukiuki i ka maʻi ma ka nīnau. Akā ua ʻike mua paha ia ka hopena o kēia ʻano mea i ka hoʻohālikelike ʻana no nā maʻi me nā maʻi maʻi mua a me ka lua.

ʻIke pū kekahi no ka poʻe e ʻeha nei i ke koko kiʻekiʻe, a me nā mea i loaʻa i ke kīpē (ʻo ia hoʻi, ka ulaula, a me ka inu ʻona) ʻoi aku ka nui o ka hoʻomōhala ʻana i ka maʻi like me ka angiopathy maʻi maʻi. ʻOiai ma kēia ʻao, hiki iā ʻoe ke hoʻonohonoho i kēlā poʻe maʻi e hana i nā ʻoihana me nā pilikia hana.

I ka wā o ka hoʻomohala ʻana o ka maʻi, ua emi maoli ka maikaʻi o nā pēpē, a ua ʻike ʻia hoʻi ka nui o ke koko.

Hōʻike pinepine i ka proteinuria (i ka manawa i loaʻa i kekahi mau pūmua nui ka nui o ka nui o ka protein i loaʻa i loko o ka urine a ka mea maʻi).

He mea paʻakikī loa ka wehe ʻana i ka maʻi mai kekahi. ʻO ka hana, ke hana i kēia, pono ʻoe e hana i kahi biopsy puncture kūikawā o ka pūpū.

ʻO nā kumu maʻi

I nā mea pilikia aku i loko o nā penei:

1. glucose serum kiʻekiʻe. I kēia manawa, manaʻoʻiʻo ʻo ia ka mea nui e hōʻike ai i kahi mea i hāʻawi ʻia, ʻoi aku ka paʻakikī o ka maʻi.
2. kaumaha nui
3. ulaula Kekahi poʻe kānaka ʻike ka waiwai o nā votors nikotine i kekahi waiwai o ka waiho ʻia ʻana o nā mea mana atherosclerotic ma luna o nā paia o nā kīʻaha koko, no ka mea o ka manawa koke a i ʻole nā ​​moku liʻiliʻi, nā capillaries, e wāhī nui
4. koko koko kiʻekiʻe. ʻO kēia maʻi ka hopena maikaʻi ʻole o ka kaila o ke koko, ka mea e alakaʻi ai i ka angathyathy o nā pili koko,
5. ka lōʻihi o ka maʻi maʻi ma ka mea maʻi. Ua ʻike ʻia aia, ʻaʻole paha ka maʻi i nīnau ʻia ma ke ʻano kiʻekiʻe o ka glucose i ke koko. ʻO ia ke kumu e hoʻomaka ana mai kēia hopena, e loaʻa ana ka mea maʻi o ka endocrinologist i ka maʻi mellitus o ka maʻi kiʻekiʻe, ʻoi aku ka nui o ka ʻeha o ka ʻike ʻana i ka pōʻino nui o nā pili koko.
6. coagulability kiʻekiʻe koko. Ua ʻike ʻia he hopena maikaʻi loa ia o nā moku koko o ke kanaka,
7. ka nele i ka ʻole a ka nele o ka hana pilikino ma nā pae haʻahaʻa. Hoʻopilikia nui kēia i ka papa o ka maʻi.

Nā hui kikowaena

ʻOi nui ka paʻakikī i ka loaʻa ʻana o ka maʻi ma ka nīnau. ʻO ka angiopathy o nā haʻahaʻa haʻahaʻa loa e nānā pinepine ʻia, no ka mea, me ka maʻi endocrine i kapa ʻia ʻo ka maʻi mellitus, ua kau ʻia ka nui o lākou. Akā ʻoi vascular, arterial, capillary lesions e pili paha.

Ua ʻike ʻia nā ʻōpala pūnaewele i loaʻa i ka pinepine e ka angiopathy:

Nā kumu a me nā hōʻailona

ʻO nā kumu o ke ʻano, i ka wā o ka papa o ka maʻi mellitus, ma muli o ke kaanaka o ka glucose i loko o ke koko, e hoʻopau ʻia nā kīʻaha koko. I waena o nā mea ākea nui, nā aʻa a me nā veins i nā wāwae i ka pinepine. Hoʻopilikia ka maʻi hoʻi i ka naʻau.

Ma ka microangiopathy diabic o nā haʻahaʻa haʻahaʻa

Eia nō naʻe, i ka manawa like, hoʻopiʻi nui ʻia kahi ukana nui loa i nā ʻāpana āpau o ke kino, no ka kumu maoli o kēia ʻano, ʻo ke ʻano o ka hoʻololi ʻana o ka moku. Ma waena o microangiopathies, hōʻino ʻia i ka hōʻino o ka waihona kālā (retinopathy).

Ua noʻonoʻo like kēia hoʻopiʻi ʻana. Aia nā hōʻailona o ka maʻi, ma ka angiopathy maʻi maʻi e hilinaʻi nei i ka nui o nā kīʻaha koko a me ke kiʻekiʻe o kēia lesi.

I kēia manawa, ua māhelehele ʻia ka microangiopathy i ʻeono papa nui:

1. kūlana ʻokoʻa. ^ E Ha yM. ʻAʻole hōʻike ka mea maʻi i nā hoʻopiʻi, akā i ka wā o ka loiloi maʻamau, ʻike ʻia ke kauka i nā loli mua i ka hana hana a me ke ʻano o nā moku koko,
2. pae mua. ^ E Ha yM. ʻO ka ʻili o nā ʻili o nā haʻahaʻa haʻalulu a ʻili, ʻeleʻele keʻokeʻo. A ʻoi aku hoʻi ka wāwae i ka pā. Me kahi hōʻike ʻike kikoʻī, hiki iā ʻoe ke loaʻa nā ʻōmole liʻiliʻi ma luna o ka ʻili o ka ʻeha, ʻaʻole i hōʻeha ʻia, a ʻaʻole hoʻi e hōʻeha.
3. kekona ʻalua. ^ E Ha yM. Mālama, ulu nā ʻūhā a ʻike hou. Hiki iā lākou ke hoʻopilikia wale i nā mea Muse wale nō, akā nā iwi kūkulu. E hoʻopiʻi ka mea maʻi i ka ʻeha
4. kūlana ʻekolu. ^ E Ha yM. ʻO nā kihi a me lalo o ka ulia ua mau ʻāpana o ka necrosis (make ʻole cell) i ke ʻano o ka pōʻeleʻele ʻia, a i kekahi manawa he ʻāpana ʻeleʻele. ʻO ka hiʻona nui ʻana o kēia wahi, i ʻike ʻia, a me kahi hōʻoki nui ʻana o nā kiko. Hiki ke hōʻike i ka osteomyelitis (ka mumū o nā kiko o ka iwi a me ka kinapu o ka iwi), nā mea i hoʻopau a me ka phlegmon (nā maʻi purulent o ka ʻili a me nā kumu lalo).
5. ha ʻehā. ^ E Ha yM. Nā ʻōnaehana o ka palaki ʻōnaehana o ka umauma ma waho o ka ulula (no ka laʻana, i ka phalanx, ka lima, a i ʻole ka hoʻomaka ʻana o ka wāwae).
6. ʻelima papa. ^ E Ha yM. ʻO ka make ʻana o nā ʻili e lawe kokoke i ka wāwae holoʻokoʻa. I kēia hihia, ʻike ʻole ʻia ka amputation o kahi limu.

A no ke ana kahi o ka hoʻomohala ʻana, ua mahele ʻia kahi maʻi i kēia ʻano.

1. Ke kahua 1 Ke hopohopo nei ka mea maʻi e pili ana i nā hōʻailona e like me ke kaumaha nui ma nā haʻahaʻa haʻahaʻa, ʻo ka hoʻopaʻapaʻa i ka wā o ka neʻe mua ʻana ma hope o ke ala ʻana, hōʻeha o nā manamana wāwae, a me kahi mānoanoa nui hoʻi o nā papa o ka nail.
2. 2 kahi hana. ^ E Ha yM. Hoʻomaʻamaʻa ka mea maʻi i ka palupalu o nā wāwae, keʻae ʻole kona mau wāwae i ka wela wela o ke kauwela. ʻOluʻolu loa ka ʻili o nā haʻahaʻa haʻahaʻa. Aia ka hyperhidrosis o nā wāwae. Hoʻomaka ʻia nā claudittm (intermittent claudication) i nā manawa ʻike ʻole.
3. 2 papa kūlana. ʻO nā ʻōhumu kanaka hoʻi like
4. 3 kahi hana. ^ E Ha yM. I nā hōʻailona o mua o ka maʻi, ua hoʻohui ʻia ka ʻeha ma ka wahi o nā wāwae. Ma ke kānāwai, hoʻonui maoli lākou i ka pō. Hoʻomaʻ pinepine pinepine ʻo ka mea maʻi i nā palaka i loko o nā wāwae. ʻEleʻele loa ka ʻili o nā wāwae. I ka kūlana kiʻekiʻe, lilo ia i ka mālamalama. Akā me kahi kūlana paʻa me nā wāwae i lalo, lilo nā manamana lima. Hoʻomaka ʻili i ka ʻili i nā wahi i loaʻa. Hōʻike wale ka male ʻana ma kahi mamao aʻe ma lalo o 50 m,
5. 3 papa kūlana. ^ E Ha yM. Noho mau ka ʻeha i nā wāwae. ʻEwili mālie nā wāwae. Hiki iā ʻoe ke trace i ke ʻano hoʻokahi a ʻoi aku hoʻi nā ʻōkuhi o nā make.
6. ʻOi aku ka wā 4. ^ E Ha yM. ʻO ka necrosis o nā manamana lima a ʻo ka wāwae āpau o ka mea maʻi he ʻano ʻano. Hoʻohana pinepine ʻia e ka nāwaliwali hoʻopiʻi ʻia, me ka hoʻonui ʻia ʻana o ke ʻano wela o ke kino.

Nā huapau

I mea e hōʻoia hope ai ka loaʻa ʻana o kahi mea maʻi i ka angiopathy maʻi maʻi, ʻaʻole lawa loa kahi hōʻike a me ka hōʻiliʻili ʻana o nā hōʻailona.

• angiography
• Ke kālai manu ʻōuli Doppler,
• ka hoʻoholo ʻana o ka pāila a me ka hoʻokuʻi ʻana ma ka wāwae wāwae,
• nā pāpō kamaliʻi wikiō.

E kaukaukau ke kauka i nā lāʻau lapaʻau kūikawā e kōkua i ke kaua ʻana i ka maʻi.

He mau heluʻelima kēia, nā antioxidants, nā lāʻau lapaʻau metabolic, nā kahikaha koko, angioprotectors, a me nā mea hoʻonani biogen.

Inā pono, pono kahi hui o ka umauma.

Nā wikiō pili

E pili i nā hōʻailona, ​​ke kumu a me ka mālama ʻana i ka angiopathy retinal diabetes i loko o ke wikiō:

Kauka nā kauka e pili i nā ʻōlelo aʻoaʻo a pau i mua o ka maʻi i nīnau ʻia. E kōkua kēia i ka pale ʻana ʻaʻole wale nō ka hōʻino o ka limu, akā ʻo ka make. Ke hōʻike ʻia nā hōʻailona mua o ka maʻi, pono ke hoʻopili koke i ka haukapila no ka hoʻokolokolo hou, hōʻike ʻana a me kahi hōʻike kūikawā.

• Mālama i nā pae o ke kō no ka lōʻihi
• Hoʻihoʻi hou i ka hana insulin pancreatic

Ike nui i na palapala. ʻAʻole ia he lāʻau lapaʻau. ->