Lefu la tsoekere le bitsoa "lefu la pelo" le bitsoang "macroangiopathy" le "corangiopathy" le lenyane le fumanehang ho bakuli ba nang le lefu la tsoekere. Hangata, ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea ts'ebetso ea kelello?
Likarolo tsa lefu lena
Nts'etsopele ea lesion ho phallo ea mali khahlanong le lefu la tsoekere e tsamaisoa ke:
- compaction ea methapo ea methapo;
- lipid le cholesterol li beha ho endothelium;
- thrombosis;
- lumeneng ea vascular;
- sebopeho sa puffness le ho eketseha ha exudation;
- tlolo ea lisele tsa trophic le lisele ho fihlela lefung la bona.
Kaha li-capillaries li na le tumello e nyane ho feta likepe tsohle tsa mofuta oa khale, li utloa bohloko qalong. Sena se bolela hore ts'ebetso ea lesion e qala ka menoana, maoto, ebe e tsoela pele ho ea maotong a tlase ebe e fihla lethekeng.
Setšoantšo sa Clinical
Matšoao a "angiopathy" ea lefu la tsoekere la lipheo tse tlase a ipapisitse le thuto ea methapo ea methapo.
- Mothati oa I - ha ho na liphetoho tse bonoang, mokuli ha a na litletlebo, litlhahlobo tse sebelisitsoeng le tsa laboratori li bontša nts'etsopele ea ts'ebetso ea atherosselotic likepeng;
- Mothati oa II - ponahalo ea seo ho thoeng ke phallo ea nakoana - sesupo se khetholloang ke tlhoko ea ho emisa nakong ea ho tsamaea ka lebaka la bohloko bo boholo maotong, o nyamela nakong ea phomolo;
- Mothati oa III - lefu la bohloko le hlaha ha ho sa ba le moroalo maotong, ho hloka phetoho ea maemo a kamehla betheng;
- Mothati oa IV - sebopeho sa liso tse se nang bohloko le letlalo le shoeleng letlalong ka lebaka la likotsi tse kholo tsa trophic tsa lisele le lisele.
Atherosclerosis ke e 'ngoe ea lipontšo tsa lefu la tsoekere la angiopathy.
Matšoao a amanang le tšenyo ea methapo ea maoto a lefu la tsoekere:
- maikutlo a tukang, ho hobosa, "liqhubu tsa" "goose bumps";
- sebopeho sa methapo ea sekho;
- pallor ea letlalo;
- letlalo le omeletseng, ho peeling, ho kuta moriri;
- fragility ea menoana ea maoto;
- ntshetsopele ea puffness.
Leoto la lefu la tsoekere
E 'ngoe ea mathata a tebileng ka ho fetisisa a angiopathy ea lijana tsa maoto. E ka hola ka mefuta ea lefu lena le la insulin. E bonahatsoa ke lits'ebetso tsa purulent-necrotic, sebopeho sa li-ulcers, tšenyo ea sebopeho sa masapo le tendon. Tsamaiso ea bolulo, lisebelisoa tsa mesifa le litho tse tebileng li kenelletse ts'ebetsong.
Matšoao a leoto la lefu la tsoekere:
- maqeba, liso maotong khahlanong le lefu la tsoekere;
- botenya ba lipente tsa lipekere;
- ts'oaetso ea fungal maotong;
- ho hlohlona
- lefu la bohloko
- lameness kapa mathata a mang ao a bileng le ona nakong ea ho tsamaea;
- ho fifala ha letlalo;
- ho ruruha;
- ponahalo ea letsoalo;
- hyperthermia
Leoto la lefu la tsoekere - tšenyo e tebileng ea sebopeho sa "lefu le monate"
Ts'oaetso
Ka mathata a joalo, o ka ikopanya le angiosurgeon kapa setsebi sa endocrinologist. Kamora ho hlahloba le ho bokella litletlebo, ngaka e beha tlhahlobo ea laboratori, ea lisebelisoa le ea lisebelisoa tse latelang:
- tlhahlobo ea biochemical - boemo ba tsoekere, creatinine, urea, boemo ba ho hasana ha mali;
- ECG, Echo ea CG e phomola hape ka mojaro;
- Tlhahlobo ea X-ray;
- arteriography ea libaka tse tlase - tlhahlobo ea patency e sebelisa mokhoa o fapaneng;
- Dopplerography - thuto ea boemo ba methapo ea mali ka ultrasound;
- boteng ba ho hloekisoa ha purulent ho tloha seso - tlhatlhobo ea baktheria e nang le lithibela-mafu;
- boikemisetso ba khatello ea methapo - tlhahlobo ea oksijene liseleng tsa maoto le matsoho;
- capillaroscopy ea khomphutha.
Litšobotsi tsa kalafo
Motheo oa phekolo ke ho boloka maemo a tsoekere ea mali a le kahara meeli e amohelehang. Mofuta o itšetlehileng ka insulin ea lefu la tsoekere o hloka liente tsa "pancreatic hormone" (insulin) ho latela morero o hlahisitsoeng ke endocrinologist. Hoa hlokahala ho boloka nako ea ente, litekanyetso, ho itlhahloba u sebelisa glucometer.
Ka lefu la tsoekere la mofuta oa 2, ho sebelisoa litlhare tse fokotsang tsoekere:
- Metformin - e thusa ho ntlafatsa kutloisiso ea lisele tsa 'mele ho kenella insulin, ho eketsa ho monya ha tsoekere ka lisele. Li-Analogs - Glycon, Siofor.
- Miglitol - e thibela bokhoni ba li-enzyme tsa mala ho senya lik'habohaedreite ho li-monosaccharides. Phello ke ho haella ha tsoekere. Analogue ke Diastabol.
- Glibenclamide (Maninyl) - e khothalletsa ts'ebetso ea ts'ebetso ea insulin.
- Amaryl - e hlohlelletsa tlhahiso ea lintho tse nang le li-hormone, tse thusang ho fokotsa tsoekere.
- Diabeteson - sethethefatsi se ntlafatsang tlhahiso ea insulin, se ntlafatsa likarolo tsa mali tsa rheological.
Mokhoa oa ho theola cholesterol
Lithethefatsi li ka sebelisoa e le karolo ea kalafo le bakeng sa thibelo ea nts'etsopele ea lefu la tsoekere la maemo a tlase. Meriana e lokela ho nooa le lithuto tsa laboratori tsa paramente ea biochemical ka matla.
| Lebitso la lithethefatsi | Ntho e sebetsang | Litšobotsi tsa Ketso |
| Atherostat | Simvastatin | Fokotsa cholesterol le lipoprotein, e kopantsoeng le ho hloleha ha liphio, bana, baimana |
| Zokor | Simvastatin | Normalized palo ea triglycerides, boemo ba k'holeseterole e felletseng. Sebelisa ka hloko ka methapo ea methapo ea lesapo, liphio, palo e eketsehileng ea li-transaminase ka serum ea mali, ka joala. |
| Cardiostatin | Lovastatin | E fokotsa matla a sebete a ho theha cholesterol, ka hona e laola boemo ba eona maling |
| Lovasterol | Lovastatin | Cardiostatin analog. Ha e sebelisoe nakong ea kemolo, nakong ea ho nyekeloa, ka ho se sebetse hantle haholo ha renal |
| Liptonorm | Atorvastatin | E eketsa menyetla ea ho itšireletsa ea lebota la vascular, e nolofalletsang ts'ebetso ea ho etsoa ha k'holeseterole |
Lithethefatsi tse thibelang kelello
Khahlano le semelo sa ho fokotseha ha khatello ea mali, vasodilation, antiarrhythmic athari e etsahala. Ho potoloha ha mali ho ntlafatsa hanyane. Tšebeliso e bolela:
- Nifedipine
- Corinfar
- Cordipin
- Equator
- Binelol
- Nebilet.
Corinfar - moemeli oa sehlopha sa meriana se theolang khatello ea mali
Mochine oa vasodilation o thehiloe holima taba ea hore ho na le blockage ea li-receptor tse marakong a methapo ea pelo le pelo. Mekhoa e meng ea lithethefatsi e ka khutlisa pelo.
Angioprotectors
Ketso ea sehlopha sena sa meriana e etselitsoe ho ntlafatsa phepelo ea mali ho lisele le lisele tsa 'mele, hammoho le ho eketsa ho hanyetsa ha methapo ea mali.
- Pentoxifylline (Trental) - sethethefatsi se thusa ho thefula methapo ea mali, ho ntlafatsa phallo ea mali, ho eketsa tšebetso ea methapo e sireletsang ea endothelium.
- Troxevasin - e thibela lipid oxidation, e na le litlamorao hape e hatella nts'etsopele ea ts'ebetso ea ts'oaetso.
- Niacin - ka ho fokotseha methapo ea mali, sethethefatsi se boetse se thusa ho fokotsa cholesterol e felletseng.
- Bilobil - e bebofatsa ho pepeseha hoa marako a methapo, e kenelletseng ho tsosoloseng mekhoa ea metabolic.
Li-antiplatelet agents
Li-socks tsa bongaka tsa lefu la tsoekereLithethefatsi li thibela tšebetso ea "biochemical" ea sebopeho sa thrombus, ho thibela ho koaloa ha lesapo la mokokotlo. Baemeli ba latelang ba bontšitse katleho:
- Aspirin
- ReoPro,
- Tirofiban,
- Curantil
- Dipyridamole
- Plavix.
Enzymes le livithamini
Lithethefatsi li khutlisetsa mekhoa ea metabolic, li nka karolo ho thatafeng ha methapo ea methapo, li na le phello ea antioxidant, li eketsa tekanyo ea ts'ebeliso ea tsoekere ke lisele le lisele, ho kenya letsoho ts'ebetsong ena ea ho fokotseha hoa eona maling. Etsa kopo Solcoseryl, ATP, livithamini tsa B-mfululizo, Ascorbic acid, Pyridoxine.
Phekolo ea kalafo
Ho khutlisetsa patency ea methapo kapa karolo e itseng ea eona, ts'ebetso ea ho ts'oaroa hoa phethoa.
Ho buuoa ka methapo ea mokokotlo - ho sutumetsoa ha methapo ea methapo ka mokhoa oa ho sebetsa ho khutlisetsa phallo ea mali ha ho se bonolo ho atolosa lumen ea sekepe. Ho na le likhakanyo tsa basali tsa aortic-femal, femal-popliteal le iliac-ho latela sebaka seo shunt e rokelletsoeng ho sona.
Profundoplasty - ts'ebetso ea ho khutlisetsa karolo e koetsoeng ea methapo ea methapo ka setsi sa lintho tsa maiketsetso. E kopantsoe le endarterectomy.
Lumbar sympathectomy - ho tlosoa ha lumbar ganglia e bakang vasospasm. Ka ho panya ha bona, likepe lia atoloha, li ntlafatsa phallo ea mali sebakeng se amehang sa methapo ea methapo. Hangata e kopantsoe le profundoplasty kapa ngaka e sebelisang thipa.
Revascularizing osteotrepanation - li-perforations li etsoa ka tishueng ea masapo ho kenya ts'ebetso ea phallo ea mali.
Balloon angioplasty - kenyelletso ea lisebelisoa tse ikhethang (li-cylinders) ka har'a lumen ea artery e amehang ho e eketsa ka ho nyoloha.
Ballet ea polasetiki ea methapo e nang le stent ho beoa - ho kenella hantle ha methapo
Stenting e etsoa ka mokhoa o ts'oanang le balloon angioplasty, ke karoloana feela e setseng tsebong ea sekepe. Sesebelisoa se joalo ha se lumelle mokelikeli hore o be mosesaane ebile o ts'oasa maraba.
Maemong a tsoetseng pele a lefu lena, ho khaoloa ho ka hlokahala ho boloka bophelo ba mokuli. Ngaka e beha qeto ea bophahamo ba ho kenella ka boemo ba ho ba teng ha "li" tishu. Ho qala kalafo ka nako ho tla fokotsa kotsi ea mathata le ho khutlisetsa boemo bo nepahetseng ba bophelo ho mokuli.
