Hajoale, menyetla ea lefu la tsoekere e phahame haholo ebile e sebakeng sa pele hara mafu a endocrine. Ntho ea bohlokoa ka ho fetesisa ke lefu la tsoekere la mofuta oa bobeli, le atisang ho tsofala ka lebaka la hore manyeme ha a phethe mosebetsi oa ona ka botlalo le lisele tse hlahisang insulin butle butle lia shoa.
Ho lefu la tsoekere la mofuta oa pele, insulin ha e entsoe ho hang, 'me haeba mokuli a phekoloa hantle' me a kholisehile hore o latela litlhahiso tsohle tsa bongaka, boemo ba hae bo tla ba maemong a matle. Haeba insulin ha e hlahisoe ka ho lekaneng, empa ha ho tsejoe hore na e kae, joale ho thata haholo ho phekola lefu lena, 'me mathata a hlaha hangata. E 'ngoe ea tse mpe ka ho fetisisa ke lefu la tsoekere la maoto le matsoho angiopathy.
Pejana, lingaka li ne li lumela hore lijana tsa mabatooa a tlase hangata li ameha hantle ka ho nepahala hobane angiopathy ea maemo a tlase e hlaha, empa ho fihlela joale ho fumanoe hore tšenyo ea maoto ho lefu la tsoekere e etsahala ka lebaka la tšenyo ea methapo, ke hore, polyneuropathy. Lisebelisoa ka lehlakoreng le leng, li fetoha feela ho bakuli ba ka bang 15%.
Angiopathy ea likarolo tse tlase e ka aroloa likarolo tse peli:
- Lefu la tsoekere le lefu la tsoekere - tšenyo ea lijana tsa microvasculature (methapo ea methapo ea kutlo, liphio).
- Lefu la tsoekere la macroangiopathy - methapo e meholo ea methapo e utloa bohloko.
Sebopeho sa bobeli sa angiopathy, mme haholoholo ho lefu la lijana tsa maoto, se loketse ho lula ka botlalo.
Lefu la maoto
Ho latela morphology, lefu lena ke atherosclerosis, e amang methapo ea mali ho lefu la tsoekere, mme e na le litšobotsi tse itseng:
- - lesion e na le semelo se fapaneng;
- - nako ea lefu e tsoela pele ka nako;
- - e ka holisa ho bacha;
- - Ho thata ho e phekola le thrombolytics.
Atherosulinosis ea likepe e lebisa ho rarahaneng ea marako a methapo ea methapo, ebe ho ba le ho fokotseha ha lumen (stenosis) ho fihlela blockage e felletseng. Ka lebaka la sena, lisele li ba le tlala ea oksijene, e lebisang ho tsitsinyeho ea metabolic, 'me ho hlaha matšoao a itseng. Boemo bona bo tsamaisana le matšoao a sebopeho.
Classified of Fontaine-Lerish-Pokrovsky
Mothati oa I: lefu lena le atile haholo 'me le ikemiselitse feela ho sebelisa lingoloa tse hlahang.
Mothati oa II: matšoao a hlaha ka mokhoa oa bohloko maotong 'me ka linako tse ling, bohloko bo hlahang ha o tsamaea hole, ho buuoa ho qala. Ka nako e ts'oanang, ha motho a emisa, matšoao a bohloko a nyamela, leha ho le joalo, lefu la tsoekere le hlaha.
Khafetsa, angiopathy ea likarolo tse tlase e fetoha hammoho le neuropathy (tšenyo ea tsamaiso ea methapo). Maemong a joalo, bohloko ba khale bo ka ba sieo, 'me matšoao a mang a tla a nkela sebaka, ho ikutloa ho tepella, ho hloka thabo ho etsa hore motho a emise.
Mothati oa IIA: maikutlo a bohloko a hlaha o le hole le limithara tse fetang makholo a mabeli.
Mothati oa IIB: bohloko bo qala ka sebaka se ka tlase ho limithara tse makholo a mabeli.
Mothati oa III: bohloko bo boholo bo sithabetsa leha o le phomolong. E etsahala ha mokuli a le sebakeng se tsitsitseng. Haeba leoto le amehileng le theotsoe, matla a bohloko a kokobela, empa matšoao ha a fela.
Mothati oa VI: ponahalo ea liso tsa trophic, kholo ea seoa.
Angiopathies ea liphula tse tlase e ama methapo ea methapo ea popliteal le makala a tsona. Boloetse bona bo tsoela pele ka mabifi, bo tsoela pele ka potlako, bo lebisa ho ruruha, ebe leoto le tlameha ho khaoloa, 'me mokuli a holofala.
Matšoao le Ho Khetholla
Haeba mokuli a ea sepetlele, ngaka ha ea lokela ho ela hloko litletlebo le nalane ea lefu la tsoekere, empa le matšoao a latelang:
- - palpation ea methapo ea maoto ha e utloe ho otla;
- - mocheso oa lehae oa theoleloa (ho ba teng hoa letšoao ka lehlakoreng le le leng ho bohlokoa ha ho etsoa tlhahlobo);
- - ho haella ha moriri letlalong la leoto;
- - e omeletseng, e boreleli, letlalo la cyanotic, leoto le khubelu;
- - Ischemic edema (maemong a boima).
Lefu la tsoekere le boetse le etsoa ka mekhoa ea lipalo, eu lumellang ho nahana ka matšoao:
- - Tlhahlobo ea Dopplerographic ea methapo ea methapo (mokhoa oa ho hlahlobisisa);
- - ho hlahlojoa ka setaele sa duplex;
- - multispiral tomography;
- - bapisa Angiography.
Matsatsing a khale, rheovasography e ne e boetse e sebelisoa, empa joale ha e sebelisoe, hobane e ka fana ka liphetho tse ntle tsa leshano, mme sena se lebisa ho overdiagnosis ea angiopathy. Ka hona, mokhoa ona ha o khothalletsoe ho tšoaetsoa lefu le kang la lefu la tsoekere.
Phekolo
Phekolo ea lefu la tsoekere ea lefu la tsoekere e na le tlhokomeliso e tlamang ea lintlha tse 'maloa:
- kalafo ea atherosclerosis;
- ho hana ho tsuba;
- Ho tlisa k'holeseterole le tsoekere ea mali ho tloaelehileng;
- kalafo le ho fihlella boleng bo tsitsitseng ba khatello ea mali;
- taolo ea boima ba 'mele;
- ho beoa ha lithethefatsi tse tlotsang - li eketsa sebaka ha li tsamaea, empa ha li ame pherekano;
- mojaro o leka-lekaneng makaleng le ho roala lieta tse nepahetseng. Sena se ke ke sa etsoa haeba mokuli a e-na le liso tsa trophic, kalafo ea bona e tla hlokahala mona;
- kalafo ea ho buoa;
- kutloelo-bohloko le kalafo ho lumbar;
- ts'ebetso ea methapo le kalafo ka mor'a bona;
- ho feta le kalafo ea methapo ea methapo.
Bakeng sa ho fihlela matla a matla kalafong ea angiopathy, ho hlokahala hore ho lefella lefu lena le ka tlase 'me ho fetole metabolism ea protheine le carbohydrate. Bakeng sa sena, bakuli ba khethoa ka bomong bakeng sa kalafo le lijo, ba fokotsa tšebeliso ea mafura a liphoofolo le lik'habohaedreite tse hloekisitsoeng. Hape, ho latela mofuta oa lefu la tsoekere, kalafo ea insulin kapa kalafo e nang le lithethefatsi tsa antipyretic e laetsoe.
Hona joale, hangata, lingaka li sebelisa phekolo ea bongaka e sebelisang thipa. Ka nts'etsopele ea maloetse a mongobo le tahi e ntseng e eketseha, ho khaoloa hona ho etsoa.
Thibelo
Batho ba nang le lefu la tsoekere ba hloka ho leka ho etsa hore tsohle tse nang le lefu la tsoekere la methapo ea mali li qale ka morao kamoo ho ka khonehang. U hloka ho utloisisa hore, mohlomong, ts'ebetso ena e ke ke ea qojoa, empa u ka e etsa hore ho se ke ha e-ba le tsoelo-pele le ho tsamaisana le liketsahalo tse sa thabiseng.
Ho thibela bothata bona, o tlameha ho latela litlhahiso tsohle tsa kalafo kalafong ea lefu la tsoekere, ho lula u e-na le insulin, 'me u sebelisa ente ea lefu la tsoekere, kapa lithethefatsi tse khahlanong le lefu la tsoekere, latela lijo le ho laola boima ba' mele. Haeba ho hlokahala, e noe mali a fokolang. Ho bohlokoa ho lula u lekola boemo ba cholesterol, hobane keketseho ea eona e ntlafatsa tšenyo ea methapo, ka hona, e tlisa haufi le ho timetsoa ha lisele tsa litho. Ho hlokahala hape ho laola ts'ebetso ea sebete, hobane e ikarabella bakeng sa tlhahiso ea k'holeseterole le glycogen, ho bolelang hore e ama boemo ba nts'etsopele ea angiopathy.
Haeba u latela litlhahiso tsohle, ho ka lieha ho qaleha ha mathata ana kapa ts'ebetso e se e ntse e sebetsa e ka emisoa. Maemong ana, maoto a ke ke a utloa bohloko, mme boleng ba bophelo ba batho ba lefu la tsoekere bo tla ntlafala haholo.
