Lefu la tsoekere la lefu la tsoekere - ho tloha mathateng ho ea ho litlamorao

Ntle le tšenyo ea tsamaiso ea methapo ea kutlo, lefu la tsoekere le ka ba le phello e mpe ho e bohareng. Lefu la tsoekere ke phetoho ea methapo tsamaisong le tšebetsong ea boko. Phepelo ena e ea butle butle, kahoo, lingaka le bakuli ka bobona ba hlokomela matšoao a kliniki a le morao haholo ha lits'oaetso li le mothating o moholo. Ponahatso ea mantlha ea lefu la tsoekere ke ho fokotseha hoa bokhoni ba kelello bo lebisang mathateng ho ikamahanya le maemo setjhabeng le mosebetsing, tahlehelo ea litsebo tsa boiphihlelo.

Boloetse bona bo mpefatsa boleng ba bophelo ba bakuli, haholo-holo botsofaling, ho ba thata ho batho ba nang le lefu la tsoekere ba nang le encephalopathy ho laola lefu lena, ba ka lebala ho nka meriana, ho bala ka nepo ea insulin, ba sa khone ho laola lijo tsa bona. Matšeliso a tsitsitseng a lefu la tsoekere ha a khonehe ho bakuli ba joalo, ka hona, a ba le mathata ka potlako, kholofalo ea pejana e etsahala, mme lefu le phahame ka 20%. Mokhoa o le mong feela oa ho qoba liphetoho kelellong ke ho fumana mathata le mathata a hau qalong.

Encephalopathy ke eng?

Poleloana "encephalopathy" e bolela maloetse ohle a kelello ao ho hang ho se nang ts'enyo e ka bakang ho senyeha ha 'mele. Lithane tsa boko hangata li timetsoa ka tsela e itseng ke khaello ea phepo e nepahetseng. Ka tlhaho, ka nako e ts'oanang, karolo ea mesebetsi ea methapo e bohareng ea kelello e lahlehile. Sesosa sa lefu la tsoekere le amanang le lefu la tsoekere ke mathata a methapo le methapo ea mali 'meleng.

Lefu la tsoekere le khatello e matla e tla ba ntho ea khale

• Ts'oarelo ea tsoekere -95%
• Ho felisoa ha vein thrombosis - 70%
• Ho felisa ho otla ha pelo e matla -90%
• Ho tlosa khatello e phahameng ea mali - 92%
• Keketseho ea matla mots'eare, ho ntlafatsa boroko bosiu -97%

Ho latela mehloli e fapaneng, matšoao a encephalopathy a ka bonoa hoo e ka bang 90% ea bakuli ba nang le lefu la tsoekere. Leha ho le joalo, ts'oaetso e joalo e etsoa khafetsa, hobane lefu lena ho thata ho le tseba le ho tseba hore lefu la tsoekere ke lona lisosa tsa liphetoho tsa kelello.

Ho latela lengolo le tsoang ho Lekala la Bophelo la Rephaboliki ea Russia, lefu la tsoekere le nang le lefu la tsoekere le na le khoutu ea ICD ea 10 (karohano ea machaba ea maloetse) E10.8 le E14.8 - mathata a sa hlalosoang a lefu la tsoekere.

Mochini oa nts'etsopele ea encephalopathy ha o utloisisoe ka botlalo, empa ho lumeloa hore e tšoana hantle le lefu la tsoekere. Sesosa se ka sehloohong sa pathology se tšoana le mathata a mang a lefu la tsoekere - hyperglycemia.

Tsoekere e phahameng e lebisa ho angiopathy ea methapo ea mali, e silafatsang phepo e nepahetseng ea kelello. Ka lebaka la mathata a ho potoloha, li-neuron li ikutloa li bolaoa ke oksijene, li sebetsa hampe le ho feta, ha li na matla a ho fola ka nako e loketseng 'me li lahla lintho tse chefo. Boemo bo mpefatsoa ke ho ata ha cholesterol, triglycerides le lipoprotein tse fokolang, e leng tšobotsi ea lefu la tsoekere.

Mehato e meraro ea encephalopathy

Nts'etsopele ea encephalopathy e etsahala ka mekhahlelo e 3. Matšoao a pele ha a hlalosoe, ka hona, hangata batho ba nang le lefu la tsoekere ha ba ba ele hloko. Hangata, encephalopathy ha e fumanoe e sa le pele ho mophato oa 2, ha matšoao a eona a bitsoa haholoanyane. Ha lefu lena le qala, MRI e khona ho lemoha liphetoho tse nyane haholo bokong. Hangata li fumaneha ka mokhoa o fapaneng libakeng tse 'maloa. Kamora moo, ho etsoa lesela bokong. Matšoao a boholo le ho teba ha tsona nakong ena ho ipapisitse le ho tsepamisa maikutlo sebakeng seo.

Mokhahlelo oa lefu la tsoekere:

1. Boemong ba pele - mokuli o hlokomela likarolo tsa ho phahama le ho oa ha khatello ea mali, ho tsekela, ho fifala mahlong, ho tepella le malaise. Ha e le molao, lipontšo tsena li hlahisoa ke maemo a leholimo a mabe, lilemo kapa limela tsa dystonia ea limela.
2. Boemong ba bobeli - Ho opeloa ke hlooho ho fetoha khafetsa, ho lahleheloa ke mohopolo ka nako e khuts'oane, ho senyeha sebakeng hoa khoneha. Matšoao a methapo ea kutlo a ka hlaha - karabelo ea bana ho liphetoho tsa leseli, puo ea ferekana, maikutlo a nyamela, mathata a sefahleho a hlaha. Hangata, ke mothating ona moo bakuli ba nang le lefu la tsoekere ba fetohelang ho ngaka ea methapo.
3. Boemong ba boraro - Matšoao a bitsoa. Lekhetlong lena, hlooho e opa hlooho, le mathata a ho hokahana ha metsamao, ho tsekela ho hlaha. Ho hloka boroko, ho tepella maikutlong, ho hopola ho teba haholo. Mothating ona, ho batla ho le thata ho tseba tsebo le tsebo e ncha.

Likarolo tsa lefu lena le mofuta oa 1 le lefu la tsoekere la 2

Ka mokhoa o hloekileng ka ho fetisisa, lefu la tsoekere le amanang le lefu la tsoekere le fumanoa feela ho bakuli ba nang le lefu la tsoekere la mofuta oa 1. Ho senyeha kelellong ea bona ho tsamaisana le ho haella ha insulin ea bona le ho e amohela ka tšohanyetso ka mokhoa oa lithethefatsi. Ho na le maikutlo a hore tsoelo-pele ea encephalopathy ha e itšetlehe feela khafetsa ho hyperglycemia, empa hape le ho se sebetseng ha C-peptide 'meleng - karolo ea molek'hule ea proinsulin e tlositsoeng ho eona nakong ea ho etsoa ha insulin. Insulin ea indasteri, e laetsoeng bakuli bohle ba nang le lefu la 1, ha e na C-peptide - bala haholoanyane ka C-peptide.

Encephalopathy e baka kotsi e kholo ho mofuta oa 1 lefu la tsoekere ho bana ba banyenyane. Ba na le mathata a ho lebisoa tlhokomelo, tlhahiso ea tlhahisoleseling e ea fokotseha, mohopolo oa bona oa fokotseha. Liteko tse khethehileng li bontšitse hore ho mokuli ea nang le encephalopathy, IQ ea ngoana ea fokotseha, le tšusumetso e mpe ea bohlale bashanyana ba matla ho feta banana. Boithuto ba kelello ho bakuli ba nang le lefu la tsoekere ba qala ho bontša hore botsofaling ba bona ba na le bothata bo tlase haholo ba bohlooho ho fapana le batho ba phetseng hantle.

Le tsoekere la lefu la tsoekere le mofuta oa 2 lefu la tsoekere le tsoakiloe. Maemong ana, boko bo ameha hampe eseng feela ka hyperglycemia, empa hape le mathata a kopaneng:

1. Phekolo ea methapo ea kutlo e ntlafatsa liphetoho tsa atherosselotic likepeng, makhetlo a 6 e eketsa kotsi ea encephalopathy.
2. Ho ba le botenya ba lilemo tse bohareng ho lebisa ho encephalopathy e matla le ho feta botsofaling.
3. Ho hanyetsa insulin ho matla ho lebisa ho bokelleng bokong ba beta-amyloids - lintho tse ka bōpang li-plaque mme tsa fokotsa haholo ts'ebetso ea kelello.

Matšoao le matšoao

Matšoao a encephalopathy ho diabetics a hlalosoa ke ho se khonehe ha lisele tsa boko ho sebetsa ka mokhoa o tloaelehileng ka lebaka la khaello ea oksijene le phepo e nepahetseng, ka hona li ts'oana le lipontšo tsa encephalopathy ka lebaka la atherosclerosis, khatello ea maikutlo kapa kotsi ea cerebrovascular.

Mokhoa oa ho phekola lefu la tsoekere le lefu la tsoekere

Phekolo ea encephalopathy ho bakuli ba nang le lefu la tsoekere e rarahane, e etselitsoe ho rarolla metabolism le ho ntlafatsa boemo ba likepe tse fanang ka boko. Bakeng sa molao oa metabolism o sebelisoa:

1. Khalemelo kalafo ea lefu la tsoekere e neng e laetsoe pele hore e atlehe.
2. Li-antioxidants ho fokotsa litlamorao tse senya tsa radicals mahala. Hangata, ho na le acid e bitsoang eloic acid.
3. Vithamine B, hangata e le karolo ea mefuta e ikhethang ea mofuta - Milgamm, Neuromultivit.
4. Statins bakeng sa normalization ea lipid metabolism - Atorvastatin, Lovastatin, Rosuvastatin.

Liphello

Tsoelo-pele ea encephalopathy e ipapisitse le lilemo tsa mokuli, nako le puseletso ea lefu la tsoekere, ho lemoha mathata ka nako. Phekolo e nepahetseng ea encephalopathy le lefu la tsoekere e lumella lilemo tse ngata ho boloka boko ba mokuli ka mokhoa o ts'oanang, ntle le ho senyeha ho hoholo. Ka nako e ts'oanang, mokuli o boloka boholo ba ts'ebetso ea ho sebetsa le bokhoni ba ho ithuta.

Haeba kalafo e le morao haholo, lefu la tsoekere le amanang le lefu la tsoekere le baka mathata a mangata tsamaisong ea methapo: migraines e matla, lefu la tsitsipano ea maikutlo le ho fokola hoa pono. Nakong e tlang, bokopa bo lahleheloa ke mesebetsi, e bonahatsoang ke tahlehelo ea boipuso butle-butle ho fihlela ho holofala ho hoholo.

Encephalopathy e ka ba teng ka mathata a tebileng a kelello, ao ho ona ho nang le lintlafatso, boits'oaro, boitšoaro bo sa lokelang, ho se khone ho tsamaea sepakapakeng le nako, tahlehelo ea mohopolo.