Retinal angiopathy - hom, ua rau, cov tsos mob, txoj kev kuaj mob thiab kho mob

Tus retina, los yog sau ntawm photosensitive receptors ntawm lub fundus, yog ib qho ntawm cov ntaub so ntswg tshwj xeeb tshaj plaws ntawm tib neeg lub cev. Txais cov duab tshav tsom tsom los ntawm lub qhov muag thiab lub lens, lub retina xa nws los ntawm kev tshwj xeeb conduction rau lub chaw txheeb ntawm lub hlwb ntawm cortex, qhov twg cov duab pom ib txwm tau tsim. Zoo li lwm cov ntaub so ntswg, qhov retina xav tau cov as-ham thiab oxygen rau kev ua haujlwm, uas ib txwm los ntawm cov ntshav khiav. Txo cov hlab ntsha hla dhau, nce permeability ntawm phab ntsa, cov txheej txheem tiv thaiv kab mob, txhaws thiab lwm yam vascular anomalies ua rau kev tshaib plab ntawm cov ntaub so ntswg, uas ua rau cov txheej txheem dystrophic thiab atrophic, ua haujlwm tsis tiav lossis ua tiav.

Nyeg, cov kab mob pathology ntawm cov hlab ntsha (kuaj mob ntawm "mob ntsws" raws li lub sijhawm sib xyaw rau cov leeg ntshav tsis zoo) tsis tshwm sim yam tsis muaj laj thawj. Ib qho ntawm cov ntsiab tseem ceeb cuam tshuam rau kev mob vascular yog ntshav qab zib mellitus, muaj kev cuam tshuam loj endocrine mob uas, rau ib theem lossis ib qho ntxiv, cuam tshuam rau txhua lub cev. Hormonal tsis txaus thiab cov teeb meem hauv lub cev hauv lub cev, tshwj xeeb tshaj yog tias lawv tau nyob sab laug yam tsis muaj kev kho mob thiab kev tswj hwm rau xyoo, ua rau muaj kev cuam tshuam loj ntawm ob qho tseem ceeb plab hnyuv siab raum (mob siab, mob raum, raum, cov hlab ntsha loj), thiab cov hlab ntsha me me, cov hlab ntsha thiab hlab ntsha, nrog rau muab cov khoom noj ntshav rau tus retina. Txhawm rau hais txog qhov sib txawv hauv cov nplai ntawm cov koom tes nrog vascular system, macro- thiab microangiopathy raug txiav txim siab cais.

Yog li, lo lus "retinal diabetic angiopathy" yog hais txog ib pawg kab mob pathological ntawm cov nqaij mos qhov muag uas tsim los ntawm kev puas tsuaj rau cov hlab ntsha yug nws tawm tsam keeb kwm ntawm ntshav qab zib mellitus, uas feem ntau tsis saib xyuas thiab ntev ntev.

Ntshav qab zib retinal microangiopathy yog ib qho teeb meem mob hnyav thiab mob hnyav ntawm niaj hnub ophthalmology. Qhov no yog vim li cas, ua ntej, rau cov kab mob ntawm lub cev ntawm cov thawj endocrine pathology, thiab qhov thib ob, kev paub tsis txaus ntawm cov biochemical, neurocirculatory, kev hloov pauv hauv lub cev uas ua rau muaj kev ua txhaum ntawm retinal, retinal hemodynamics, thiab qhov thib peb, ib tug nyiam mus rau kev tiv thaiv kev tsis txaus siab pom nyob rau xyoo tsis ntev los no, i.e. "Rejuvenation" ntawm ntshav qab zib mellitus, kom nce qhov kev faib ua feem ntawm cov ntawv hnyav thiab atypical.

Hypoxia mus tas li thiab ib qho tsis txaus ntawm cov keeb kwm tseem ceeb hauv cov retina, tsis muaj teeb meem dab tsi qhov teeb meem tseem ceeb ntawm cov kab mob ntawm cov kab mob ntawm cov leeg ntshav liab tau tshwm sim los ntawm cov tsos mob zoo sib xws. Yog li no, cov duab hauv chaw soj ntsuam mob ntshav qab zib angiopathy nrog me nuances rov ua cov tsos mob ntawm mob, mob ntshav- lossis hypertensive angiopathy, thiab suav nrog cov qauv hauv qab no:

• kev txo qis hauv qhov pom tseeb (myopia) kom txog thaum nws ua tiav,
• ua txhaum ntawm qhov zoo ntawm daim duab pom (txo qis zoo ib yam, ua nrawm, thiab lwm yam),
• ntau yam kev ua kom pom tseeb tshwm sim los ntawm cov ntshav tawm me, mob thiab o ntawm cov phab ntsa capillary ("xob laim", "txim taws ntawm lub teeb", thiab lwm yam),
• nquag los ntswg.

Kev kuaj ophthalmologic (uas, yog tias tsim nyog, suav nrog cov duab xoo hluav taws xob niaj hnub, ultrasound, tomography, thiab lwm yam kev kuaj mob) hauv cov qauv ntawm pob nyiaj tau nrog los ntawm cov kev hloov dystrophic, qhov hnyav thiab qhov tsis txaus ntseeg ntawm qhov raug txiav txim los ntawm lub sijhawm mob ntshav qab zib mellitus, qhov zoo ntawm kev kho kom zoo, thiab qhov ntsuas ntawm tus neeg mob ua raws nrog ib tug xov tooj ntawm cov kev txwv thiab cov lus pom zoo uas ua tsis dhau nyob rau hauv cov ntshav qab zib nrog rau kev noj haus, kev ua neej, thiab lwm yam. Qhov nyuaj tshaj plaws Rianta ntawm ntshav qab zib retinal microangiopathy yog Atrophy, retinal detachment thiab thiaj li dig muag irreversible.

Cov hau kev tseem ceeb ntawm kev kho tus mob

Hauv kev mob ntshav qab zib retinal angiopathy, raws li txoj cai, tshuaj tau qhia tias txhim kho cov ntshav hauv zej zog hauv cov kab mob pom (trental, emoxipin, solcoseryl, thiab lwm yam). Qee qhov xwm txheej, npaj calcium uas xav tau uas ua kom ntshav viscosity thiab vascular phab ntsa permeability. Hauv cov theem thaum ntxov, kev siv lub cev kev tawm dag zog yog qhov ua tau zoo. Nws yog qhov tseem ceeb heev uas yuav tsum ua tiag tiag cov lus pom zoo ntawm tus kws kho mob txog kev qoj ib ce thiab kev tawm dag zog tshwj xeeb rau lub qhov muag - kev cob qhia tas li pab tswj cov suab vascular tsim nyog, siv ceev xwmphem lossis tsawg kawg ua rau kev ua haujlwm tsis zoo ntawm retina.

Noj cov zaub mov yog qhov tshwj xeeb tiag tiag, yog tias tsis tseem ceeb, rau ntshav qab zib mellitus (thiab rau cov ntshav qab zib mob ntshav qab zib tshwj xeeb). Cov khoom noj uas muaj cov carbohydrate nrog rau cov dej cawv thiab haus luam yeeb, yuav tsum tsis suav nrog cov khoom noj muaj haus.

Pom tseeb, mob ntshav qab zib mellitus ua rau txo lub neej tag nrho, xav kom tus neeg mob lub luag haujlwm, kev soj ntsuam tas li thiab txhawb kev kho mob. Tawm tsam keeb kwm yav dhau los ntawm kev mob ntshav qab zib hauv ntau cov kab ke thiab cov plab hnyuv siab raum, ntau tus neeg mob qog mob qog ua rau muaj kev tsis txaus ntseeg, tsis muaj qhov cuam tshuam uas tsis xav tau kev saib xyuas tshwj xeeb thiab kev kho. Nyob rau tib lub sijhawm, nws yog qhov yuav tsum paub tias nrog txoj hauv kev kom raug thiab kev pabcuam ophthalmological txaus, kev sojntsuam rau feem ntau yog qhov muaj txiaj ntsig zoo: kev hloov pauv hauv cov kabmob retina tuaj yeem ua rau qeeb lossis nres, thaum tswj xyuas lub zeem muag tau ntau xyoo.

Cov Ua rau Retinal Angiopathy

Retinal angiopathy tuaj yeem yog cov tsos mob ntawm ib qho kab mob uas cuam tshuam rau lub xeev ntawm cov hlab ntsha. Kev hloov pauv ntawm cov hlab ntsha ntawm pob nyiaj tau ncaj qha rau qhov ntsuas ntawm kev puas tsuaj rau cov hlab ntawm cov kab mob tag nrho. Retinal angiopathy tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis nws tseem muaj feem ntau hauv cov neeg tom qab 30 xyoo.

Qhov feem ntau ua rau tus mob retinal angiopathy:

• kub siab ntawm ib yam keeb kwm,
• mob ntshav qab zib mellitus
• atherosclerosis
• cov leeg mob ntsws,
• hypotonic angiopathy (nrog rau ntshav siab),
• scoliosis
• mob ntsws caj dab.

Angiopathy tuaj yeem tshwm sim nrog osteochondrosis ntawm lub ncauj tsev menyuam, txhawm rau muaj cov leeg cov leeg txhab vasculitis (mob vascular txhab), mob ntshav.

Nws kuj tseem muaj ntau yam kev txhawb ua kom txoj kev mob hlwb txha caj qaum:

• haus luam yeeb
• teeb meem kev tsim txom hauv chaw ua haujlwm,
• ntau yam intoxications,
• kev tsis zoo los ntawm ntshav hlab ntshav,
• hnub nyoog siab heev.

Kev Mob Ntshav Qab Zib hypertathy (Retinopathy)

Txhawb cov ntshav siab ua rau lub vascular phab ntsa, rhuav nws sab hauv txheej (endothelium), cov hlab ntsha phab ntsa ua denser, fibrosed. Cov hlab ntsha ntawm qhov retina ntawm qhov sib tshuam nyem qhov leeg, cov ntshav ncig yuav cuam tshuam. Cov xwm txheej rau kev tsim cov ntshav txhaws thiab cov ntshav tawm yog tsim: ntshav siab yog siab, qee cov hlab ntsha tawg, thiab angiopathy hla mus rau hauv retinopathy. Nkhaus fundus hlab ntsha yog cov yam ntxwv ntawm siab tawg.

Raws li kev txheeb cais, nyob rau thawj theem ntawm kev kub siab, kev nrhiav nyiaj ib txwm pom nyob rau hauv 25-30% ntawm cov neeg mob, nyob rau theem ob hauv 3.5%, thiab theem peb, kev hloov pauv ntawm pob nyiaj muaj nyob hauv txhua tus neeg mob. Hauv theem siab, cov ntshav tawm ntawm lub qhov muag, lo ntawm lub qhov retina, thiab kev hloov pauv ntawm cov ntaub so ntswg ntawm retina feem ntau tshwm sim.

Kev kuaj mob

Retinal angiopathy raug kuaj pom thaum kuaj mob los ntawm tus kws kho keeb ntawm lub cev pob nyiaj. Retina tau kuaj xyuas nrog cov menyuam kawm ntawv qhov loj hauv qab lub tshuab tsom. Nrog rau qhov kev soj ntsuam no, nqaim lossis nthuav dav ntawm cov nkoj, muaj cov leeg ntshav, qhov chaw ntawm lub macula tau qhia tawm.

Cov kev soj ntsuam ntxiv uas tuaj yeem siv los kuaj mob angiopathy:

• Ultrasound ntawm cov hlab ntsha nrog duplex thiab Doppler scanning ntawm cov hlab ntsha retinal tso cai rau koj los txiav txim siab qhov ceev ntawm cov ntshav ntws thiab lub xeev ntawm cov leeg ntsa,
• Kev soj ntsuam xoo hluav taws xob nrog kev qhia ntawm kev sib piv nruab nrab rau hauv cov hlab ntaws tso cai rau koj los txiav txim siab kev ywj pheej ntawm cov hlab ntsha thiab cov ntshav nrawm,
• kuaj mob lub computer
• magnetic resonance imaging (MRI) - tso cai rau koj soj ntsuam lub xeev (cov qauv thiab ua haujlwm) ntawm cov nqaij mos ntawm lub qhov muag.

Retinal angiopathy rau cov menyuam yaus

Coj mus rau hauv tus account qhov pib mob (ua rau mob angiopathy), mob ntshav qab zib, mob ntshav siab, hypotonic, mob caj dab mob angiopathies yog qhov txawv txav.

Ntshav qab zib Angiopathy kev loj hlob ntawm cov menyuam yaus hauv cov theem lig ntawm qhov mob ntshav qab zib thiab tom qab ntawd, ua ntej kev kho nws pib. Ntawm lub fundus muaj qhov nthuav dav thiab ua kom lub cev ntawm cov leeg, pob txha mos thiab cov leeg ntshav. Cov tsev neeg uas muaj qhov pheej hmoo tias yuav muaj ntshav qab zib yuav tsum tau ua tib zoo saib xyuas lawv cov piam thaj hauv ntshav.

Xws li cov menyuam yaus pib txhim kho cov hlab ntsha atherosclerosis thaum ntxov, raws li muaj pov thawj los ntawm kev pom ntawm microaneurysms ntawm cov hlab ntsha (tiv thaiv ntawm cov leeg phab ntsa vim nws daim nyias nyias) Hauv cov menyuam yaus, qhov pom ntawm pob ntseg txo qis, qhov pom kev tsis pom kev.

Ntawm hypertensive angiopathy ua ntej, nqaim ntawm cov hlab ntsha thiab nthuav cov leeg (vim yog lub zog tsis tuaj yeem), thiab tom qab ntawd cov hlab ntsha nthuav dav. Ntawm hypotonic angiopathyntawm qhov tsis sib xws, thaum pib cov hlab ntsha nthuav dav, lawv cov ceg ntoo tshwm thiab sib zog ntxiv.

Mob puas ntsoog angiopathy kuj muaj ntau yam hauv cov menyuam yaus, vim menyuam yaus feem ntau tau raug mob, suav nrog kev raug mob qhov muag. Nrog kev mob caj dab, cov me nyuam muaj kev ntxhov siab los ntawm qhov mob ntawm lub qhov muag, mob ntshav tawm ntawm lub qhov muag thiab ntawm tus Retina, thiab qhov muag pom tau tsawg.

Cov hluas angiopathy tau piav qhia saum toj no (saib ntu Cov Hom ntawm angiopathies).

Muab hais tias angiopathy tsuas yog cov tsos mob ntawm lwm tus kab mob, ua ntej txiav txim siab ntawm kev kho mob, nws yog ib qhov tsim nyog los tsim thiab kuaj tus kab mob no. Tom qab qhia meej meej txog kev kuaj mob, txoj kev kho mob nyuaj yog kho nrog kev mob siab rau kev kho mob ntawm tus mob pib. Rau kev kho mob ntawm angiopathy nws tus kheej, cov tshuaj uas txhim kho cov ntshav microcirculation yog siv.

Retinal angiopathy rau cov menyuam mos

Kev hloov pauv hauv qhov retina tuaj yeem pom txawm tias nyob hauv tsev kho mob. Tab sis lub sijhawm ntxov tom qab sijhawm yug menyuam tag, qhov no tsis yog pathology. Cov pob txha mos hloov pauv nyob rau lub sijhawm tom qab, thaum lub pob nyiaj tau kuaj xyuas raws li kws kho mob neurologist, tuaj yeem yog pathological.

Nws tsis yooj yim rau nws tus kheej txheeb xyuas qhov tshwm sim ntawm pathology. Muaj qee kis, qee qhov tsos mob yuav tshwm sim - lub ntsej muag liab lossis cov pob me me ntawm lub pob muag. Cov tsos mob zoo li no yuav tshwm sim nrog mob caj dab. Rau lwm cov kab mob, nws raug nquahu los sab laj nrog menyuam yaus nrog tus kws kho qhov muag.

Hauv cov menyuam yaus, kev hloov pauv ntawm tus kabmob Retina yuav tshwm sim vim yog kev ntxhov siab thiab lub cev, txawm tias tsawg li hloov me me ntawm qhov chaw hauv lub cev. Yog li no, tsis yog txhua qhov kev hloov pauv ntawm retina ntawm tus menyuam yug tshiab qhia tias pathology. Yog tias tag nrho cov hlab ntsha hauv pob nyiaj tau tshawb pom thaum tsis muaj vasoconstriction thiab kev hloov pauv hauv qhov kho qhov muag, ib tus menyuam yuav tsum tau sab laj los ntawm tus kws kho mob hlwb thiab, feem ntau, cov kev hloov no yuav tsis raug lees paub tias yog pathological.

Nrog rau qhov nce ntawm intracranial siab, o ntawm lub paj optic zoo li tshwm sim, nws lub disc ua kom tsis sib xws, cov hlab ntsha nqaim, thiab cov leeg muaj ntshav khov thiab ua kom tiav. Thaum muaj cov kev hloov zoo li no tshwm sim, menyuam yaus yuav tsum tau mus pw hauv tsev kho mob sai thiab ua tib zoo tshuaj saib xyuas.

Retinal Angiopathy Mob Cev Xeeb Tub

Tab sis angiopathy tuaj yeem tsim kho hauv tus poj niam cev xeeb tub hauv lub hlis thib ob lossis thib peb nrog rau cov mob toxicosis qeeb thiab ntshav siab. Yog tias tus poj niam muaj mob angiopathy tiv thaiv keeb kwm yav dhau los ntawm kev kub siab ua ntej xeeb tub, tom qab ntawd thaum cev xeeb tub nws tuaj yeem txhim kho thiab ua rau muaj teeb meem loj tshaj plaws. Kev tshuaj xyuas cov ntshav siab tas li, kuaj xyuas kev noj nyiaj txiag thiab kev siv tshuaj tiv thaiv kab mob ntshav liab yog qhov tsim nyog.

Nyob rau hauv cov ntaub ntawv ntawm kev hloov kho ntawm angiopathy, yog tias muaj kev hem thawj rau tus poj niam lub neej, qhov teeb meem ntawm kev rho menyuam yog daws. Kev qhia txog kev rho menyuam yog txoj hlab hlwb, mob hlab ntsha hauv plawv hlab ntsws thiab rov zoo tuaj. Raws li kev qhia, kev ua haujlwm ntawm kev xa khoom yog nqa tawm.

Kev Kho Mob Lub Pob Ntseg Mob Angiopathy

Kev kho mob rau hauv nruab nrab ntawm txoj kev kho cov mob angiopathies yog kev kho mob ntawm tus mob hauv qab. Kev siv cov tshuaj uas ua kom cov ntshav siab, cov neeg sawv cev hypoglycemic thiab kev noj zaub mov kom qeeb me ntsis lossis tseem nres qhov kev txhim kho ntawm kev hloov pauv ntawm cov hlab ntsha ntawm retina. Tus nqi ntawm cov kab mob pathological hloov pauv hauv cov hlab ntsha ntawm qhov retina ncaj qha nyob ntawm qhov kev ua tau zoo ntawm kev kho mob ntawm qhov mob qis.

Kev kho mob yuav tsum tau ua kom nkag siab zoo hauv kev saib xyuas tsis yog tsuas yog tus kws kho mob, tab sis kuj yog endocrinologist lossis therapist. Ntxiv nrog rau kev siv tshuaj, kho lub cev, kev kho mob hauv zos, thiab kev noj zaub mov noj kom zoo nkauj kuj tseem siv.

Hauv cov ntshav qab zib mellitus, kev noj zaub mov noj tsis muaj ib qho tseem ceeb tshaj li kev siv tshuaj kho mob. Cov khoom noj muaj cov carbohydrate tsis nyob hauv cov zaub mov. Cov tsiaj rog yuav tsum tau hloov nrog cov rog cov zaub, nco ntsoov suav nrog zaub thiab txiv hmab txiv ntoo, cov khoom noj siv mis, ntses hauv cov khoom noj. Lub cev hnyav thiab cov ntshav qab zib yuav tsum tau kuaj xyuas lub cev.

Tshuaj kho mob nkeeg

• Thaum kuaj pom kabmob angiopathy, cov neeg mob tau sau tshuaj uas txhim kho cov ntshav kev: Pentilin, Vasonite, Trental, Arbiflex, Xanthinol nicotinate, Actovegin, Pentoxifylline, Cavinton, Piracetam, Solcoseryl. Cov tshuaj no yog contraindicated thaum cev xeeb tub thiab pub niam mis, nrog rau menyuam yaus. Tab sis qee kis, hauv kev txhaj tshuaj qis, lawv tseem raug kho rau pawg neeg no.
• Tsis tas li, cov tshuaj uas txo qis permeability ntawm lub nkoj qab thus phab ntsa yog siv: Parmidin, Ginkgo biloba, Calcium dobesylate.
• Cov tshuaj uas txo cov platelet adhesion: Ticlodipine, Acetylsalicylic acid, Dipyridamole.
• Kev kho mob Vitamin: B vitamins (B₁, Hauv₂, Hauv₆, Hauv₁₂, Hauv₁₅), C, E, R.

Cov kev kho mob yuav tsum tau ua rau 2-3 lub lis piam 2 r. nyob rau ib xyoo. Txhua yam tshuaj tsuas yog siv raws li kws kho mob qhia.

Hauv cov kab mob ntshav qab zib mellitus, kev noj cov tshuaj insulin lossis lwm yam kev tiv thaiv hypoglycemic uas los ntawm tus kws kho mob endocrinologist yuav tsum pom zoo. Nrog rau kev kub siab thiab mob atherosclerosis, ntxiv rau cov tshuaj uas txo cov ntshav siab, cov tshuaj uas cov roj cholesterol ua kom tsis txaus siab feem ntau siv. Cov theem ntawm cov ntshav siab thiab cov ntshav qab zib uas them rov qab los cuam tshuam txog kev hloov pauv ntawm cov hlab ntsha ntawm qhov retina uas kov tsis tau cov kab mob no.

Cov tshuaj kho neeg mob

Cov tshuaj ib txwm muaj peev xwm thiab tsim nyog siv, tab sis koj yuav tsum xub sab laj nrog koj tus kws kho mob thiab paub tseeb tias tsis muaj ib tus neeg nkag tsis tau rau hauv cov tshuaj ntawm cov tshuaj.

Ob peb zaub mov txawv los ntawm cov tshuaj ib txwm muaj:

• Nqa hauv qhov sib npaug (100 g) St. John lub wort, chamomile, yarrow, birch buds, immortelle. 1 tbsp sau, ncuav 0.5 l ntawm dej rhaub, tawm rau 20 feeb, lim thiab coj mus rau ib qho ntim ntawm 0.5 l, haus 1 khob thaum sawv ntxov ntawm lub plab khoob thiab 1 khob thaum hmo ntuj (tom qab siv yav tsaus ntuj, tsis txhob haus dej haus lossis noj dab tsi). Xav noj txhua hnub ua ntej siv kev sau tag nrho.
• Noj 15 g ntawm valerian paus thiab txiv qaub balm nplooj, 50 g ntawm yarrow tshuaj ntsuab. 2 tsp sau cov ncuav 250 ml dej, hais kom 3 teev nyob rau qhov chaw txias. Tom qab ntawd sawv hauv dej da dej rau 15 feeb, txias, lim thiab kho qhov ntim rau 250 ml. Hauv feem me me, Txoj kev lis ntshav yog qaug dej qaug cawv thoob plaws hnub. Lub chav kawm ntawm kev kho mob yog 3 lub lis piam.
• Noj 20 g ntawm horsetail, 30 g ntawm mountaineer, 50 g ntawm hawthorn paj. 2 tsp tws tshuaj ntsuab ncuav 250 ml ntawm dej npau, ntxig 30 feeb. thiab coj hauv 30 feeb. ua ntej noj mov, 1 tbsp. 3 p. ib hnub, rau ib hlis.
• Noj 1 tsp. dawb mistletoe (yav dhau los hauv av rau hmoov) ncuav 250 ml ntawm dej npau hauv ib lub thermos, hais kom tsaus ntuj thiab haus 2 tbsp. 2 p. ib hnub, rau 3-4 hlis.

Nws tseem yog ib qho tseem ceeb kom noj ib qho kev txhawm ntawm dill noob, ib qho kev txauv ntawm caraway noob thiab pob kws cog paj, tshuaj yej los ntawm cov txiv hmab txiv ntoo ntawm cov roob dub thiab cov nplooj ntsuab.