Ntshav qab zib Angiopathy > Mob ntshav qab zib muaj teeb meem

Kev mob caj dab rau cov ntshav qab zib (dr. Greek άγγεϊον - "txog ntsha" thiab πάθος - "kev txom nyem", "kab mob") yog kev puas tsuaj ntau rau cov hlab ntsha ntawm cov qauv sib txawv, tsim rau cov keeb kwm ntawm ntshav qab zib mellitus.

Qhov kab mob vascular no yog qhov tseem ceeb ua rau muaj kev mob tshwm sim los ntawm ntau yam plab hnyuv siab raum thiab lub nruab nrog cev, kev xiam oob qhab thiab kev tuag ntawm cov neeg mob uas muaj keeb kwm mob ntshav qab zib mellitus ntev los yog mob hnyav heev. Lub hom phiaj kabmob hauv angiopathy feem ntau yog lub hlwb, raum, kabmob ntawm lub zeem muag, lub siab thiab qis qis.

Txog rau ib qib lossis lwm qhov, vascular puas tsuaj tau teev tseg hauv 9 ntawm 10 tus neeg nqa ntshav mob ntshav qab zib. Cov neeg muaj ntshav qab zib hom I (insulin-dependant) muaj qhov pheej hmoo ntau dua ntawm kev tsim kab mob.

Cov Neeg Ua thiab Teeb Meem Qhov Tseeb

Qhov tseem ceeb ua rau angiopathy mob ntshav qab zib mellitus yog cov kev puas tsuaj ntawm cov piam thaj hauv cov leeg sab hauv (endothelium) ntawm cov leeg ntsa, uas ua rau nws txoj haujlwm ua haujlwm thiab tus qauv kho dua tshiab.

Txij li thaum muaj ntshav qab zib mellitus, qib ntawm cov piam thaj hauv cov ntshav ntshav siab dua li qhov tseem ceeb vim qhov tsis txaus ntawm kev siv cov tshuaj hormones (insulin) lossis nws tsis raug cuam tshuam nrog lub hlwb ntawm lub cev, nws ntau dhau ua ntu nkag rau lub vascular phab ntsa. Raws li qhov tshwm sim, fructose thiab sorbitol, uas yog cov khoom lag luam kawg ntawm qabzib metabolism, nthuav tawm hauv endothelium. Ob qho tshuaj tsis zoo thauj mus los ntawm cov xovtooj ntawm tes; yog li ntawd, lawv tau nyob hauv cov ntau hauv cov hlwb endothelial.

Cov kab mob kev hloov pauv cuam tshuam nrog cov impregnation ntawm endothelium nrog piam thaj thiab nws cov khoom lag luam metabolic:

nce permeability thiab o ntawm phab ntsa vascular,
nce thrombosis (kev ua kom muaj cov txheej txheem coagulation),
txo qis nyob rau hauv zus tau tej cov endothelial so yam ua lub luag hauj lwm rau kev so ntawm leeg nqaij leeg.

Lub npe hu ua Virchow triad yog tsim, suav nrog kev puas tsuaj rau endothelial, ua rau ntshav khiav qeeb thiab ntau dhau hypercoagulation (thrombosis).

Txoj kev pheej hmoo ntawm kev tsim mob angiopathy mob ntshav qab zib mellitus yog tus neeg thiab ncaj qha nyob ntawm qhov tseeb ntawm kev kho, tus neeg mob ua raws li kev kho thiab ua raws li kev pom zoo ntawm kev ua neej hloov tswv yim.

Cov kab mob hloov pauv hloov ua rau hypoxia plab hnyuv siab raum thiab cov ntaub so ntswg los ntawm cov hlab ntsha cuam tshuam. Kev txo qis ntawm cov pa oxygen yog qhov tsim tawm rau cov kev ua si nquag ntawm fibroblasts (cov hlwb ua cov khoom ntawm cov nqaij sib txuas), uas, nyeg, ua rau txoj kev loj hlob ntawm atherosclerosis.

Cov qauv ntawm tus kabmob

Nyob ntawm qhov ntsuas ntawm cov hlab ntsha koom nrog, cov hauv qab no raug ntes:

Raws li kev pom ntawm kev tawm tsam ntawm cov txheej txheem pathological, ntau hom kev mob ntawm angiopathy txawv:

retinopathy - kev puas tsuaj rau cov hlab ntsha ntawm retina,
nephropathy - kev koom tes ntawm cov hlab ntsha ntawm lub raum,
encephalopathy - qhov hloov pauv ntawm cov hlab ntsha ntawm lub paj hlwb,
angiopathy ntawm cov hlab ntsha ntawm qhov qis qis,
angiopathy ntawm cov hlab ntsha ntawm lub plawv.

Cov tsos mob ntawm tus mob ntshav qab zib ua sib txawv raws li qhov chaw nyob ntawm txheej txheem pathological.

Cov tsos mob ntawm tus mob retinopathy tshwm sim nyob nruab nrab 3 xyoo tom qab paub meej ntawm kev kuaj mob. Nyob rau 20 xyoo tom ntej no, cov tsos mob ntawm cov leeg ntshav viav vias tau pom nyob hauv yuav luag 100% cov neeg nqa khoom ntawm kev kuaj mob ntshav qab zib mellitus. Nov yog:

txo kom pom tseeb rau tus muag pom kom ua tiav qhov muag tsis pom nyob rau hauv cov mob hnyav,
kev sib pauv ntawm cov txheej txheem ntawm cov khoom, tsis tuaj yeem paub qhov txawv me me,
"Veil" thiab flickering ntawm "yoov" ua ntej lub qhov muag,
lub teeb me ntsis, txaij txaij txaij, txaij taws,
nyob rau hauv cov ntaub ntawv ntawm hemorrhage nyob rau hauv lub cev vitreous (feem ntau yog pob tshab), ib tug ເລື່ອນ tsaus chaw tshwm nyob rau hauv pem hauv ntej ntawm lub qhov muag, qee zaum ob peb.

Tus mob ntshav qab zib ua kom ntshav qab zib yog yam ntxwv ntawm cov tsos mob ophthalmological kuaj tau los ntawm cov cuab yeej ntsuas. Cov kev qhia ntxov ntawm cov cim ntawm tus mob pathological yog yam ntxwv, thaum retinopathy tseem yog asymptomatic thiab tus neeg mob tsis nthuav qhia cov lus tsis txaus siab:

nqaim, convoluted, deformed cov hlab ntsha, qee zaum nrog microaneurysms,
nqaij hlav ntshav hauv cheeb tsam nruab nrab ntawm tus retina,
convoluted, ntshav puv, nrog cov leeg ntshav,
pob txha mos,
hemorrhages nyob rau hauv lub thickness ntawm lub vitreous lub cev.

Lub hom phiaj kabmob hauv angiopathy feem ntau yog lub hlwb, raum, kabmob ntawm lub zeem muag, lub siab thiab qis qis.

Cov leeg ntshav yog feem ntau tsim hauv cov neeg uas muaj keeb kwm mob ntshav qab zib ntev, tiv thaiv keeb kwm ntawm txoj kev mob hnyav lossis kev kho tsis raug ntawm qhov pib mob. Cov tsos mob ntawm kev puas tsuaj rau cov hlab ntsha ntawm lub raum:

o, feem ntau ntawm ntsej muag, thaum sawv ntxov,
leeg ntshav siab
xeev siab, kiv taub hau, tsaug zog,
qhov kev hloov pauv hauv chav kuaj - proteinuria (ib qho protein tau txhais hauv kev ntsuas dav dav ntawm cov zis), ua rau muaj kev puas tsuaj rau lub raum lim, uas pib kis cov protein loj loj uas tsis tau lim tau dua.

Mob caj dab mob hlwb txhim kho qeeb qeeb. Thaum pib, cov neeg mob yws ntawm qhov kev xav "lub taub hau" lub taub hau, ua txhaum ntawm "pw tsaug zog - sawv" puag ncig (nruab hnub tsis tsaug zog thiab pw tsaug zog thaum tsaus ntuj), nyuaj ua rau tsaug zog thiab sawv, nco, ua rau muaj kev mob taub hau, kiv taub hau, thiab tsis tuaj yeem ua rau poob siab.

Nrog kev vam meej ntxiv, cov tsos mob hauv qab no tshwm sim:

tsis khov ntawm gait,
ua txhaum ntawm kev sib koom tes
tsis muaj convergence,
qhov tsim ntawm pathological reflexes.

Rau qhov mob ntshav qab zib vascular lesion ntawm lub plawv, cov kev qhia pom yog yam ntxwv:

zuag, nias, hlawv mob ntawm angina pectoris tom qab sternum nrog irradiation hauv qab lub scapula, hauv sab caj npab sab laug, sab laug ib nrab ntawm lub puab tsaig qis, caj dab, hauv qhov epigastrium ntawm qhov siab ntawm lub cev lossis kev ntxhov siab,
lub siab tuaj cuam tshuam tuaj
txo lossis nce siab hauv plawv,
kev ua txhaum ntawm daim ntawv cog lus muaj nuj nqi ntawm lub siab nqaij mob plawv thaum ua haujlwm thiab (hauv cov mob hnyav) thaum so, o, mob thiab mob hnyav rau hauv txoj cai hypochondrium, thiab lwm yam.

Vascular angiopathy ntawm qhov qis qis hauv qab yog suav tias yog ib qho kev mob hnyav tshaj plaws ntawm ntshav qab zib thiab tau tshwm sim los ntawm cov cim ntawm cov yam ntxwv. Ntawm lawv:

loog, txias extremities,
nkag siab
qhov qhaj tau lossis qhov tseem ceeb txo lub plawv nyob nraub qaum,
mob mob ntawm cov leeg, tshwj xeeb tshaj yog lub plab hlaub (ob qho tib si thaum so thiab thaum qoj ib ce),
cramps
tsis tshua meej lossis ua tiav poob ntawm cov plaub hau,
qhov zoo nkaus li qaug zog thiab qhov mob thaum taug kev (ntawm sib txawv),
ua rau cov tawv nqaij hloov tsis zoo (dryness, pigmentation, cyanotic staining, tev),
mob tsis muaj qhov txhab trophic mob, feem ntau ib ncig ntawm ko taw, hauv pob taws.

Hauv cov theem tom qab ntawm angiopathy ntawm qis qis, thiaj li hu ua tus kab mob ntshav qab zib tau tsim, uas yog tus cwj pwm los ntawm kev hloov ntawm cov duab thiab xim ntawm cov ntsia hlau, qhuav ntawm daim tawv nqaij ntawm tus taw nrog cov kab nrib pleb thiab corns, deformation ntawm thawj ntiv taw.

Kev kuaj mob

Kev kuaj mob ntshav qab zib angiopathy ua tau siv ob txoj kev tshawb nrhiav thiab ntsuas.

Cov neeg muaj ntshav qab zib hom I (insulin-dependant) muaj qhov pheej hmoo ntau dua ntawm kev mob ntshav qab zib mob ntsws.

kev txiav txim siab ntawm cov ntshav qabzib concentration,
kev tshuaj ntsuam cov zis dav dav (proteinuria, acetonuria, glucosuria raug kuaj),
kuaj ntshav qabzib kuaj ntshav
kev txiav txim siab ntawm cov pa nitrogen, urea, ntshav creatinine (qhov ntsuas ntawm lub raum tsis ua haujlwm),
kev txiav txim siab ntawm glomerular pom kev nrawm, GFR (lub cim tseem ceeb ntawm kev hnov mob lub raum ua kom rov ua haujlwm zoo).

Kev siv cov lus tshawb fawb tsim nyog:

kev kuaj nyiaj
Ultrasound hauv plawv, raum,
ECG
cov ntawv sau hlwb (yog tias tsim nyog),
Doppler kawm txog cov hlab ntsha ntawm cov qis qis, raum,
xam los yog sib nqus resonance imaging ntawm lub hlwb.

Ntawm lwm yam, sab laj nrog tus kws kho mob ntsej muag, kws kho paj hlwb, kws phais plawv, tus kws kho plawv xav tau.

Ua ntej tshaj plaws, kev kho mob ntawm lub hauv paus kab mob uas ua rau kev txhim kho kev mob hlwb, mob ntshav qab zib mellitus, yog qhov yuav tsum tau ua. Ua raws li cov ntshav qab zib hom, qhov hnyav ntawm cov tsos mob thiab qhov pom muaj cov teeb meem, txawm tias cov ntsiav tshuaj qab zib lossis cov tshuaj insulin tau siv.

Tus kws tshuaj ntawm angiopathy ncaj qha yog multicomponent, nqa tawm siv cov txhais tau tias hauv qab no:

angioprotectors
tshuaj antispasmodic
microcirculation mus pab tau txoj tshuaj
cov tshuaj nootropic
cov neeg ua haujlwm antiplatelet
tshuaj thaiv tsev
stimulants metabolic
lipid-tej tshuaj,
aldose reductase inhibitors, thiab lwm yam.

Thaum thov, cov neeg mob tau kho cov tshuaj nitrates, cov tshuaj tiv thaiv kab mob siab, tshuaj tua kab mob, tshuaj txo plawv, tshuaj tiv thaiv kab mob, kho cov kab mob cerebrovascular cuam tshuam, biogenic stimulants, thiab lwm yam.

Yuav muaj teeb meem thiab tshwm sim

Ntshav qab zib angiopathy tuaj yeem ua rau muaj mob hnyav:

kev ua tub rog ntawm qis qis dua,
ua tiav lossis ib nrab ntawm qhov tsis pom kev,
mob raum lossis mob raum tsis zoo,
myocardial infarction
mob kev nrawm ntawm cerebrovascular.

Txog rau ib qib lossis lwm qhov, mob vascular (mob ntshav qab zib angiopathy) tau sau tseg hauv 9 ntawm 10 tus nqa cov mob ntshav qab zib.

Cov kev soj ntsuam rau cov mob ntshav qab zib angiopathy muaj mob muaj txiaj ntsig: nrog kev kuaj mob raws sij hawm thiab kev kho kom tsim nyog, qhov kev vam meej ntawm cov txheej txheem pathological tuaj yeem ua rau qeeb qeeb lossis nres kiag, kev ua haujlwm thiab kev ua haujlwm hauv zej zog tsis raug mob.

Txoj kev pheej hmoo ntawm kev tsim voos txhab yog ib leeg thiab ncaj qha nyob ntawm qhov tseeb ntawm txoj kev kho, tus neeg mob siab rau kev kho thiab ua raws li cov lus pom zoo rau kev hloov kho lub neej.

Kev Tiv Thaiv

Cov kev tiv thaiv muaj raws li nram no:

Yuav tsum ua raws li cov lus qhia txog khoom noj khoom haus, pluas noj.
Kev tshuaj xyuas cov ntshav qabzib feem ntau.
Kev tiv thaiv kab mob ib puag ncig nrog ib qho yuav tsum tau mus ntsib tus kws kho mob ophthalmologist, kws kho paj hlwb, kws kho plawv.
Ua si qoj ib ce.
Txiav kev haus luam yeeb, haus cawv.
Kev tu tawv nqaij kom huv si ntawm qhov qis qis.

Kev kawm ntawv: siab dua, 2004 (GOU VPO "Kursk State Medical University"), tshwj xeeb "General Tshuaj", kev tsim nyog "Tus Kws Kho Mob". Xyoo 2008-2012 - Cov tub ntxhais kawm PhD, Chav Saib Xyuas Kws Tshuaj, SBEI HPE "KSMU", tus neeg sib tw ntawm kev kawm tshawb fawb (2013, tshwj xeeb "Pharmacology, Clinical Pharmacology"). 2014-2015 - kev rov qhia dua tshiab, tshwj xeeb "Kev tswj hauv kev kawm", FSBEI HPE "KSU".

Cov ntaub ntawv no tau muab tso ua ke thiab muab rau kev qhia xov xwm nkaus xwb. Mus ntsib koj tus kws kho mob thaum pom thawj yam mob. Kev siv tshuaj rau tus kheej yog qhov txaus ntshai rau kev noj qab haus huv!

Mob ntsws yog dabtsi?

Ob hom angiopathies muaj qhov txawv txav, nyob ntawm seb cov nkoj twg cuam tshuam:

Microangiopathies - cov hlab ntsha me, cov hlab ntsha tau cuam tshuam. Microangiopathies tau muab faib ua:
- Retinopathies - kev puas tsuaj rau cov hlab ntsha ntawm lub qhov muag.
- Cov leeg ntshav - kev puas tsuaj rau cov hlab ntsha ntawm lub raum.
Macroangiopathies - cov hlab ntsha loj, cov hlab ntsha thiab cov leeg ntshav cuam tshuam:
- Coronary mob plawv.
- Cerebrovascular kab mob.
- Sab Nruab Nrab Angiopathies

Microangiopathy

Nrog rau tus kab mob ntshav qab zib ua kom lub ntsej muag, cov leeg ntshav ntws rov qab tshwm sim, cov hlab ntsha nthuav dav, ua kom lub denser, thiab lub retina nres kom tau txais oxygen txaus. Cov hlab ntsha tshiab tawm mus rau hauv nws, ua rau kev puas tsuaj rau qhov cuam tshuam rau optic thiab puas ntawm qhov retina. Yog tias kev kho mob tsis ua tiav, suav nrog laser coagulation, ua tiav qhov tsis pom kev yog qhov ua tau.

Nrog cov ntshav qab zib nephropathy, cov microcapillaries ntawm glomeruli ntawm ob lub raum ua rau tuab.Qhov no ua rau kom cov ntshav txaus hauv lub raum thiab lawv qhov kev puas tsuaj, qhov kev tso tawm ntawm cov protein nyob hauv cov zis. Ntev mus, lub raum ua haujlwm tsis zoo thiab lub raum tsis ua haujlwm. Hauv cov xwm txheej loj, tus neeg mob xav tau hemodialysis.

Macroangiopathy

Lub hauv paus tseem ceeb ntawm macroangiopathy yog atheroxlerosis vascular.

Coronary mob plawv - Qhov no yog kev puas tsuaj rau cov leeg lub plawv vim yog atherosclerosis ntawm cov hlab ntshav ntawm lub plawv. Nrog rau cov kab mob plawv, ib tus neeg txhawj xeeb txog qhov mob tom qab lub pob zeb thaum lub cev tawm ntawm lub cev, txog siav, tsis muaj huab cua, cuam tshuam hauv kev ua haujlwm ntawm lub plawv, edema. Myocardial infarction thiab lub plawv tsis ua haujlwm yuav loj hlob.

Cerebrovascular kab mob - Qhov no yog hom mob ntsig mus ntev rau lub hlwb. Ua los ntawm kiv taub hau, mob taub hau, mob taub hau, nco ploj. Hauv theem tom qab, kev sib tsoo yog qhov ua tau.

Sab Nruab Nrab Angiopathies ua lub luag haujlwm tseem ceeb hauv kev txhim kho mob hnyav ntshav qab zib. Feem ntau, cov hlab ntsha ntawm ob txhais ceg raug cuam tshuam, qhov mob no yog hu ua mob ntshav qab zib angiopathy ntawm qis qis dua. Cia peb nyob ntawm nws hauv kev nthuav dav ntxiv.

Vim li cas tus kab mob ntshav qab zib ko taw thiaj li muaj mob?

Mob ntshav qab zib angiopathy ntawm qis qis yog qhov mob ntawm cov hlab ntsha ntawm ob txhais ceg uas tshwm sim hauv cov neeg mob ntshav qab zib mellitus ntawm ob thiab 1 hom.

Nrog rau ntshav qab zib, txoj hlab ntsha ntawm qhov nruab nrab thiab qhov ntau me me tau cuam tshuam. Lawv tsim cov atherosclerotic plaques.

Vim tias qhov nce hauv qib ntawm cov piam thaj hauv ntshav, cov piam thaj hauv qab tau txuas nrog cov khoom ntawm lub nkoj phab ntsa. Qhov no ua rau microdamage ntawm cov hlab ntsha. Cov lipids tsis zoo, cov plasmaets (lub hlwb ua lub luag haujlwm ntawm cov ntshav coagulation), thiab lwm cov ntshav koom nrog cov chaw puas. Cov ntawv atherosclerotic plaque.

Ntev dhau sijhawm, atherosclerotic cov quav hniav nce ntxiv hauv qhov loj, tuab, thaiv cov ntu ntawm cov hlab ntshav. Nws tseem tuaj yeem vau, ua rau txhaws ntshav.

Qhov xwm txheej hnyav dua los ntawm kev yeej ntawm cov nkoj me me. Lawv ua rau tuab, khiav ntawm oxygen thiab cov khoom noj muaj zog rau cov ntaub so ntswg txo. Ntxiv nrog rau txhua yam, muaj cov ntshav tuab tuab, ua kom ntshav khiav qeeb.

Atherosclerosis ntawm cov hlab ntawm txhais ceg tshwm sim hauv cov neeg uas tsis mob nrog ntshav qab zib. Yog li lawv cov lus sib txawv yog li cas?

Cov lus - Qhov sib txawv ntawm kev puas tsuaj rau cov leeg ntshav ntawm cov neeg mob uas muaj thiab tsis muaj ntshav qab zib

Kos npe	Tus neeg mob ntshav qab zib	Mob ntshav qab zib pub dawb rau tus neeg mob
Twg cov hlab ntsha twg cuam tshuam ntau dua	Nruab nrab thiab me	Loj
Symmetry ntawm qhov chaw mob	Lub qhov txhab muaj ob sab, ntau ntu ntawm cov hlab ntsha cuam tshuam	Ntau ntau nyob ntawm ib sab tes thiab hauv ib ntu ntawm cov leeg
Cov hlab ntsha ua pob ("bypass", tso cai rau koj kom txuag ntshav ntshav thaum muaj kev puas tsuaj rau lub ntsiab)	Ua xav tsis thoob	Tsis ntaus

Yuav ua li cas paub txog - cov tsos mob ntawm tus mob ntshav qab zib angiopathy

Cov tsos mob ntawm tus mob ntshav qab zib angiopathy ntawm qis qis dua nyob ntawm nws theem.
Muaj 4 theem:

Theem Kuv yog asymptomatic. Muaj vascular puas tsuaj, tab sis nws tsis qhia nws tus kheej hauv txhua txoj kev. Nws tuaj yeem kuaj pom siv cov qauv kev kuaj tshwj xeeb.
Theem II - qhov mob lub cev thaum tawm dag zog lub cev. Sib quas ntus claudication tshwm sim. Tom qab dhau ib qho nrug deb, tus neeg mob txhim kho qhov mob ntawm cov leeg nqaij nyuj los ntawm cov pa oxygen tsis muaj. Tom qab nres, ntshav ntws rov qab, thiab qhov mob ploj mus.

Cov tsos mob ntawm tus kab mob ntshav qab zib Angiopathy

Kev mob heev ntawm cov ceg, loog, mob caj dab (goosebumps), thiab cramps kuj muaj kev ntxhov siab.

Theem III - qhov mob ntawm so. Mob mob, mob plab hauv cov nqaij ntshiv hauv qhov chaw tav toj. Tus neeg mob raug yuam kom dai nws ob txhais ceg ntawm lub txaj, yog li txo qis mob.
Theem IV - cov kab mob trophic tshwm sim - mob qog, mob txhab vwm.

Nws yuav tsum raug sau tseg tias mob ntshav qab zib, nrog rau cov hlab ntsha, cov leeg puav leej puav leej cuam tshuam, uas ua rau txo qis mob thiab cuam tshuam claudication. Ib tug neeg yuav tsis xav tias qhov tsos ntawm trophic mob siab, yog li ntawd, nws yog qhov yuav tsum tau kuaj xyuas lub taw kom tsis tu ncua rau lawv lub xub ntiag.

Dab tsi ua txhais ceg zoo li hauv ntshav qab zib angiopathy ntawm qhov qis qis?

Cov tawv nqaij ntawm txhais ceg nrog ntshav qab zib angiopathy daj ntseg, txias. Tus nqi ntawm cov plaub hau ntawm ob txhais ceg yog txo, lossis lawv tsis tuaj kiag li. Ntawm ob txhais taw muaj thaj chaw ntawm compaction, corns, tej zaum yuav muaj qhov mob trophic.

Kev tsim kho ntawm cov mob ntshav qab zib angiopathy

Kev kho mob ntawm cov mob ntshav qab zib angiopathy ntawm qis dua

Kev kho rau cov mob ntshav qab zib angiopathy yuav tsum tau pib nrog kev ua kom cov ntshav ntawm cov ntshav qabzib. Txawm tias cov tshuaj zoo tshaj plaws thiab kev ua haujlwm siab tshaj plaws yuav tsis hloov pauv lub xeev cov ntshav yog tias cov ntshav qab zib tsis tau them rov qab.

Nws yog ib qho tsim nyog yuav tsum ua tib zoo ua raws li kev noj zaub mov zoo, ua kom lub cev qoj ib ce, ua tib zoo saib xyuas cov ntshav qabzib hauv cov ntshav, noj cov tshuaj uas tau qhia tseg Sim ua kom muaj kev ceev glycated hemoglobin tsis ntau tshaj 7.5%.

Tsis txhob tsis kam pib kho cov tshuaj insulin yog tias koj tus kws kho mob hais tias qhov no tsim nyog.

Lub ntsiab lus tseem ceeb yog tswj cov roj (cholesterol) hauv cov ntshav. Thaum nws txo qis, qhov tsim ntawm ib qho atherosclerotic quav hniav yog inhibited, cov ntshav liquefies, thiab qhov ntxim nyiam ntawm thrombosis tsawg dua. Tag nrho cov no txhim kho cov ntshav txaus hauv cov hlab ntsha cuam tshuam.

Nyob rau hauv tsis muaj cov ntaub ntawv tsis haus luam yeeb, thiab yog tias koj haus luam yeeb - txiav tawm! Kev haus luam yeeb ua rau muaj kev ua kom sai ntawm kev txhim kho ntawm atherosclerosis, txwv tsis pub cov hlab ntshav ntshav, txo cov ntshav uas tsis muaj ntshav txaus hauv lawv.

Kev kho mob vascular lesions lawv tus kheej tuaj yeem kho thiab ua kom tiav.

Cov kev kho mob txhawm rau saib xyuas tus mob ntshav qab zib angiopathy ntawm qhov qis qis hauv qab no suav nrog kev teem caij tshuaj Lub ntsiab yog:

Kev npaj ntawm prostaglandin E. Lawv muaj lub peev xwm los ua kom cov hlab ntshav tawg, tiv thaiv lawv cov phab ntsa los ntawm kev puas tsuaj, txo kev tsim cov ntshav txhaws.
Cov tshuaj tiv thaiv thiab cov neeg ua haujlwm antiplatelet ua rau cov ntshav nyias, txo cov ntshav txhaws hauv cov hlab ntsha, txhawb kev khiav ntawm oxygen mus rau cov ntaub so ntswg. Lawv yuav tsum raug kho nyob rau hauv kev saib xyuas ntawm kws kho mob ntsej muag, vim lawv tuaj yeem ua rau cov ntshav tsis tuaj yeem hauv pob nyiaj.
Cov tshuaj uas txo cov ntshav cov roj (statins, fibrates) yog kho rau txhua tus neeg mob uas muaj mob ntshav qab zib mob ko taw.

Muaj lwm pab pawg ntawm cov tshuaj uas cuam tshuam txog cov hlab ntshav. Txawm li cas los xij, nws tau ua pov thawj tias actovegin, pentoxifyline, tsis muaj spa nyob rau hauv cov kab mob ntshav qab zib ntawm lub plab angiopathy tsis muaj txiaj ntsig thiab tsis muaj txiaj ntsig zoo ib yam li kev kho mob nrog tshuaj ntsuab.

Kev phais leeg - Qhov no yog kev kho mob siab tshaj plaws rau tus mob ntshav qab zib ceg angiopathy. Txawm li cas los xij, nws tsis muaj peev xwm nyob rau hauv txhua qhov teeb meem kom ua tiav lawv, txij li mob ntshav qab zib mellitus cuam tshuam rau ntau qhov chaw ntawm cov hlab ntshav, lawv cov khoom sib txuam, thiab cov hlab lawv tus kheej yog qhov me me.

Cov kev pab hauv qab no yog ua:

Zais pa angioplasty. Lub plhaw tshwj xeeb yog tso rau hauv cov leeg cov hlab ntsha, muaj lub zais pa ntawm nws qhov kawg. Lub zais pa swells sab hauv cov leeg, nce nws lumen. Feem ntau hom no ua ke nrog cov hauv qab no.
Stenting ntawm cuam tshuam leeg. Lub stent raug teeb tsa hauv qhov chaw txhab - tshwj xeeb "caij nplooj ntoo hlav" uas nthuav dav lumen ntawm lub nkoj.
Txog ntsha dhau. Thaum lub sijhawm ua haujlwm, tsim kho qhov tseeb yog tsim nyob ib puag ncig thaj chaw muaj kev cuam tshuam, thiaj li ua rau cov ntshav rov qab los hauv qab nws.
Endarterectomy. Yog tias lub nkoj loj txaus, cov kws phais yuav tuaj yeem tshem cov leeg quav txaij nrog rau phab ntsa sab hauv ntawm cov leeg.

Kev kho mob ntawm cov nqaij mos nqa tawm hauv qhov chaw ua haujlwm ntawm cov mob ntshav qab zib ko taw, yog tias muaj qhov txhab txhab txhab lossis pob txha. Nyob rau hauv cov xwm txheej hnyav dua, nrog kev loj hlob ntawm kev sib deev, kev txiav tawm ntawm thaj chaw cuam tshuam tau ua.

Nco ntsoov tias nrog kev tau txais kev kho mob kom raws sij hawm, nrog rau ua raws li cov lus pom zoo los ntawm koj tus kws kho mob, koj tuaj yeem tswj cov ceg kom zoo thiab lub neej zoo!

Ua rau muaj tus kabmob

Nrog rau ntshav qab zib, muaj piam thaj ntau ntau cuam tshuam tas li hauv cov nruab nrog cev thiab kev ua haujlwm ntawm tib neeg lub cev.Qhov tshwj xeeb tshaj yog muaj zog muaj kev paub los ntawm cov phab ntsa hauv cov hlab ntsha, cov hlab ntsha, cov leeg ntshav, thiab cov hlab ntsha me. Qee qhov chaw lawv tuaj yeem ua thinner, deform tsis txaus ntseeg, qhov chaw - ntawm qhov tsis tooj, lawv tuab, uas ua rau muaj kev cuam tshuam loj heev rau cov ntshav kev khiav mus los thiab kev hloov pauv ntawm cov tshuaj zoo ntawm cov ntaub so ntswg. Qhov txiaj ntsig ntawm qhov tshwm sim tsis zoo yog hypoxia (lossis oxygen starvation) ntawm cov ntaub so ntswg uas nyob ib puag ncig thaj chaw muaj kev puas tsuaj.

Yog tias peb tham txog cov hlab ntsha loj, tom qab feem ntau lawv cuam tshuam rau ntawm txhais ceg thiab lub siab. Cov kev mob sib xws no muaj txog li 70% ntawm tag nrho cov mob ntawm mob ntsws. Nws yog cov ntu ntawm lub cev uas tau ntsib qhov hnyav tshaj, thiab yog li ntawd qhov rhuav tshem ntawm cov hlab ntsha ntawm no yog qhov nrawm thiab pom tseeb. Ntawm cov microangiopathies, cov kws kho mob feem ntau nco ntsoov kev puas tsuaj rau hauv qab ntawm lub qhov muag.

Dab tsi ntawm cov mob yog mob angiopathy, thiab cov tsos mob zoo li cas nws yog nyob ntawm ntawm qhov chaw ntawm qhov tshwm sim. Rau cov tib neeg sib txawv, cov tsos mob ntawm tus kabmob tuaj yeem sib txawv kiag li, piv txwv li, yog tias ib tus neeg muaj angiopathy ntawm cov hlab ntsha ntawm lub qhov muag, thiab lwm tus muaj cov hlab ntsha ntawm qhov qis qis. Cov tsos mob tshwm sim feem ntau ntawm cov teeb meem suav nrog cov hauv qab no:

Cim qhov muag tsis pom.
Qhov tshwm sim ntawm cov teeb meem plawv.
Kev tsis hnov lus raum.
Txo tag nrho lub hlwb ua si.

Cov chaw xws li qhov muag, lub siab thiab qis dua, lub siab, lub raum, thiab lwm yam yog feem ntau yuav muaj kev pheej hmoo rau cov neeg mob ntshav qab zib. Muaj cov tsos mob tsis ncaj qhia los ntawm cov kws kho mob uas tuaj yeem txheeb xyuas tus mob thaum pib. Cov no suav nrog:

Tus mob petechiae (mob ntshav tawm) tshwm sim thoob plaws daim tawv.
Ntshav zais los ntawm kev hnoos heev.
Daim tawv nqaij qhuav pom zoo ntawm thaj chaw ntawm ko taw, tev tawm, tawg me me yog ua tau.
Tsis pom qhov pom tseeb tseeb. Qee qhov xwm txheej nyuaj, nws muaj peev xwm ploj tag nrho.
Ua pob khaus thiab khaus hauv qhov ceg.
Ntev li ntawm cov ntshav tawm ntawm lub qhov ntswg, rov ua ntau zaus thawm hnub.
Cov tsos ntawm cov ntshav hauv cov zis.
Qhov tshwm sim ntawm kev mob hnyav rau ntawm txhais ceg, nce nrog kev ua haujlwm ntawm lub cev tas li.

Rau cov tom qab thiab ua cov theem ntawm tus kab mob, cov tsos mob hauv qab no yog cov yam ntxwv: loog ntawm ko taw, cov tsos mob ntawm pob txha osteomyelitis, qhov pom ntawm cellulite nyob tom qab ko taw. Cov lus hais rau mob retinopathy los yog nephropathy kuj tseem tuaj yeem ua, mob txhab rau ntawm txhais ceg yuav tsim tau. Hauv kev muaj kev phom sij tshwj xeeb tshaj plaws, kev zes ntawm cov neeg ntawm tus kheej ntawm ko taw lossis txawm tias txhua tus qis dua yuav tshwm sim.

Nws yog tsim nyog kom nco ntsoov tias nrog mob ntshav qab zib angiopathy muaj qhov tshwm sim siab ntawm kev kis tus kab mob sai sai ntawm ib cheeb tsam ntawm lub cev, txawm hais tias muaj kev puas tsuaj me me sab nraud. Yog li, koj yuav tsum them sai sai rau cov kev tshwm sim tshiab tuaj kom pom qhov tshwm sim ntawm cov teeb meem hauv lub sijhawm.

Kho mob rau mob ntsws

Tus kws kho mob sau tawm kev kho mob ntshav qab zib angiopathy ntawm tus kheej hauv txhua kis. Cov hau kev rau kev kho mob ncaj qha nyob ntawm lub caij nyoog ntawm kev loj hlob ntawm tus kab mob, ntawm cov kabmob uas raug cuam tshuam, cov tsos mob tshwm sim, thiab lwm yam.

Hauv plawv ntawm kev mob siab rau cov neeg mob yog cov txheej txheem kho mob. Ntau yam tshuaj tshwj xeeb tso cai rau koj kom muaj kev cuam tshuam zoo microcirculation hauv cov ntaub so ntswg. Feem ntau siv tshuaj uas ua kom cov ntshav coagulation, txhim kho ntshav kev hauv cov hlab ntsha ntawm lub hlwb thiab lwm yam hauv nruab nrog cev. Nws tseem yog txoj haujlwm tseem ceeb uas yuav tsum tswj cov tshuaj insulin, uas tso cai rau koj ua kom lub cev tsis muaj ntshav khov hauv cov neeg mob cov ntshav.

Feem ntau hom tshuaj hauv qab no yog tshuaj rau tus neeg mob:

Statins (atorvastatin). Cov tshuaj no tuaj yeem txo cov kev pheej hmoo ntawm cov hlab plawv.
Antioxidants (e.g. Vitamin E). Tsim nyog los txhim kho cov mob ntawm cov hlab ntsha.
Metabolism Txhim Kho Cov Tshuaj (Mildronate, Trimetazidine).
Angioprotectors (anginin, dicinone).
Cov stimulants biogenic (aloe).

Cov txheej txheem qoj ib ce feem ntau pom zoo rau cov neeg mob uas mob caj dab.Hauv kev tshwj xeeb, kev kho mob nrog av nkos, plasmapheresis, thiab lwm yam muab cov txiaj ntsig zoo.

Yog hais tias tus kab mob ntawm tus kabmob hnyav tshaj plaws, tom qab ntawd phais tau ua. Ua ntej tshaj plaws, lub lumbar sympathectomy tuaj yeem ua, uas txo cov nyhuv cuam tshuam ntawm cov hlab ntsa. Cov txheej txheem uas kim dua kuj tseem tuaj yeem ua tau - phais kho dua tshiab. Nws tso cai rau koj los kho lub lumen ntawm cov hlab ntsha loj tshaj plaws, uas txhim kho cov ntshav microcirculation.

Qhov feem ntau nyuaj, yuav luag tsis quav ntsej cov xwm txheej ntawm angiopathy ntawm qis qis kawg yog kho tsuas yog los ntawm txiav tes (yog tias mob caj dab twb tshwm sim lawm). Tsuas yog hauv txoj kev no nws muaj peev xwm los cawm tus neeg mob lub neej. Tom qab qhov kawg ntawm txhua theem ntawm kev cuam tshuam ntawm kev phais mob, nrog rau tom qab lub sijhawm rov qab, ib qho kev ua haujlwm zoo siab rau tus neeg mob ua haujlwm zoo li qub.

Nws yog tsim nyog kom nco ntsoov tias lwm txoj hauv kev ntawm kev kho mob ntshav qab zib angiopathy tau siv nruj me ntsis ua ke nrog cov txheej txheem kho mob thiab kho lub cev. Txij li thaum cais lawv yuav tsis muab cov txiaj ntsig tshwm sim.

Ua ntej tshaj plaws, tus neeg mob xav tau noj cov nroj tsuag tshuaj uas ua kom ib txwm muaj thiab txhim kho cov metabolism. Cov no suav nrog: ginseng, Aralia Manchurian, oregano, nettle, horsetail, thiab lwm yam Cov tshuaj no tseem ua rau txoj kev ua kom lub cev tsis sib luag ntawm lub cev.

Nws yog pab rau haus dej qab zib ntawm elecampane thiab dandelion. Cov nroj tsuag no txhim kho cov metabolism hauv cov metabolism, cov ntshav qab zib tsawg.

Nrog rau ntshav qab zib, tus neeg mob yog qhov zoo dua rau tso tseg kas fes thiab hloov nws nrog chicory. Cov tshuaj ntsuab no pab tua tau cov piam thaj, kom qis roj, thiab txhim kho kev tiv thaiv.

Ua raws li cov lus pom zoo ntawm tus kws kho mob uas tuaj koom thiab ua raws li txhua tus tiv thaiv thiab kho lub sijhawm, kev txhim kho mob ntshav qab zib tuaj yeem txo qis qis. Nws kuj tseem ceeb kom ua tib zoo saib xyuas kev hloov pauv hauv lub cev thiab kom tsis txhob nco lub ntsej muag ntawm cov tsos mob tshiab.

Tus mob ntshav qab zib ua rau lub ntsej muag angiopathy yog dab tsi?

Qhov phom sij tseem ceeb ntawm cov ntshav nce ntxiv mus yog cov impregnation ntawm cov khoom lag luam ntawm nws qhov kev hloov pauv ntawm cov ntshav protein thiab cov nqaij hauv lub cev. Cov yav tas nyob rau tib lub sij hawm poob lawv cov qauv. Qhov tshwj xeeb tshaj yog rhiab rau hyperglycemia (nce ntshav qab zib) yog cov phab ntsa vascular, nrog rau cov hlab ntsha cov leeg.

Nws tawm tsam tom qab ntawm pathological hloov pauv ntawm cov hlab ntshav uas txhua yam mob ntshav qab zib mellitus tshwm sim. Xws li qhov hloov pauv tsis meej hu ua angiopathy.

Vasoconstriction ua rau cov mob hauv cov ceg qis

Mob ntshav qab zib angiopathy ntawm qis qis yog qhov hloov pauv ntawm cov qauv ntawm cov hlab ntsha hauv cov neeg mob ntshav qab zib mellitus nyob rau hauv daim ntawv ntawm ib qho kev poob qis hauv lub elasticity ntawm cov vascular phab ntsa thiab nws cov thickening, uas ua rau nqaim ntawm lumen lossis ua tiav obliteration (blockage) ntawm cov hlab ntsha. Cov kev hloov pauv no ua rau cov ntshav khiav mus rau qhov qis qis. Ko taw yog feem ntau cuam tshuam, vim nws yog qhov ntu tshaj plaws ntawm ceg. Qhov tshwm sim ischemia (tsis muaj ntshav txaus thiab oxygen tshaib plab) ua rau poob ntawm lub peev xwm ua haujlwm ntawm qhov qis qis, kev hloov pauv hauv daim tawv nqaij, necrosis (necrosis, mob caj dab) ntawm cov ntiv tes, ko taw lossis txawm tias tag nrho cov ceg tawv.

Kev faib tawm

Nyob ntawm seb cov nkoj twg muaj kev cuam tshuam, tus kab mob tau muab faib ua hom:

Macroangiopathy yog qhov txhab ntawm cov leeg ntshav thiab cov hlab ntshav loj (ib qho loj) hauv qee ntu ntawm cov qis hauv qab. Ua raws li qhov chaw tshwj xeeb ntawm lub nkoj, macroangiopathy tuaj yeem nyob hauv:
- aorta
- iliac cov hlab ntsha
- popliteal leeg,
- poj niam ntu
- hlab ntsha ntawm sab ceg qis.
Microangiopathy yog qhov mob ntshav qab zib ntawm microvasculature. Cov kev hloov pauv cuam tshuam tsuas yog cov hlab ntsha me ntawm ob txhais ceg:
- hlab ntsha
- txoj leeg ntshav
- venules.
Ua ke ntawm cov kabmob sib txawv ntawm angiopathy - kev sib txuas ntawm cov kabmob uas muaj ntshav qab zib ntawm cov hlab ntsha loj thiab cov hlab ntsha me me ntawm cov ceg.

Nws yog ib qho tseem ceeb kom nco ntsoov! Kev mob ntshav qab zib microangiopathy ntawm qhov qis qis hauv kev sib cais yog qhov tsawg. Nws ua ke nrog kev puas tsuaj rau microvasculature ntawm lwm qhov chaw hauv zos, suav nrog ob lub raum (nephropathy) thiab retina (retinopathy)!

Qhov ua rau thiab muaj cov kabmob ntawm tus kabmob

Kev kuaj mob ntshav qab zib angiopathy ntawm qhov qis qis hauv ib qhov qhia pom tshwm sim ntawm pathology tshwj xeeb rau cov neeg mob ntshav qab zib mellitus ntawm ob hom thawj thiab hom thib ob. Tsuas yog ua ntu zus thiab lub sijhawm ua kom muaj ntau ntxiv hauv qib ntawm cov piam thaj hauv cov ntshav tuaj yeem ua qhov tsuas yog ua rau muaj kev cuam tshuam tshwj xeeb ntawd.

Qhov ntxim nyiam ntawm angiopathy ntawm ob txhais ceg thiab qhov nrawm ntawm nws kev nce qib yog cuam tshuam los ntawm ntau yam sab nraud thiab sab hauv.

Cov yam phom sij los tsim kho tus mob ntshav qab zib angiopathy - rooj

Yam pheej hmoo	Kev cuam tshuam ntawm qhov tshwm sim thiab chav kawm ntawm mob caj dab
Mob ntshav qab zib ntev	Qhov ntev dua ib tus neeg muaj ntshav qab zib, qhov muaj peev xwm ntau dua ntawm kev puas tsuaj rau cov hlab ntsha ntawm qhov qis qis.
Cov theem ntawm nce nyob rau hauv cov ntshav qab zib	Cov ntshav ntau dua glycemia (ntshav qabzib feem ntau), sai dua angiopathy tshwm sim thiab mob hnyav dua.
Lub hnub nyoog ntawm cov neeg mob	Cov nyhuv ntawm lub hnub nyoog tsis tseem ceeb thiab tsis meej xwm:

qhov pib ntawm ntshav qab zib hauv cov tub ntxhais hluas ua rau muaj kev puas tsuaj thaum ntxov rau cov hlab ntsha ntawm microvasculature, tshwj xeeb tshaj yog nyob rau hauv kev txhoj puab heev ntawm tus kab mob. Cov hlab ntsha loj hauv qhov no tsis tshua muaj kev txom nyem,
hauv kev mob ntshav qab zib ntawm pab pawg hnub nyoog laus dua, qhov tshwm sim ntawm tus mob microangiopathy tsawg dua. Cov nkoj loj yog cuam tshuam feem ntau.

Kab mob viav vias yooj yimLub xub ntiag ntawm txhua qhov pathology ntawm txoj hlab ntshav lossis txoj hlab ntshav hauv cov neeg mob ntshav qab zib (atherosclerosis obliterans, mob txha mos tsis muaj mob txaus, mob leeg, thiab lwm yam) ntxiv rau qhov tshwm sim ntawm angiopathy thiab ua rau nws txoj kev mob loj tuaj.Kev phamNws pab txhawb rau kev nce qib ntawm pathological kev hloov pauv ntawm cov hlab ntshav (feem ntau ntawm cov hlab ntsha loj) tiv thaiv ntshav qab zib.Tawg siabCuam tshuam tsis zoo rau microvasculature.Haus YeebNws ua qhov ua rau ntawm qhov tso ntawm atherosclerotic plaques hauv cov hlab ntsha loj, spasms (nqaim) cov hlab ntsha.Thauj khoom thauj khoomKev thauj khoom ntau dhau thiab tsis txaus rau ntawm cov nqaj qis ua rau kev tsim txom ntawm angiopathy.Nce ntshav coagulationNws ua kom sai ntawm qhov pib ntawm kev hloov ntshav qab zib hauv cov hlab ntsha me thiab loj.

Cov tsos mob thiab kuaj mob

Lub xub ntiag ntawm cov ntshav qab zib mellitus (txawm tias nws txoj kev nyiam tshaj plaws) rau 5 xyoo ua rau muaj kev hem thawj rau kev txhim kho kev mob ntshav ntawm qis qis. Cov neeg mob muaj cov lus tsis txaus siab txog lawv ob txhais ceg:

Mob lub cev ua si thiab thaum so.
Qaug zog thiab qaug zog.
"Sib cav sib ceg" yog qhov xwm txheej thaum tus neeg raug yuam kom nres thaum taug kev luv vim kev mob ntawm nws txhais ceg.
O o.
Yim mob khaub thuas.
Hloov xim tawv nqaij ntawm txhais ceg thiab taw (pallor, liab, liab ntawm cov ntiv tes).
Lub xub ntiag ntawm trophic mob rwj thiab tsis zoo kho cov ceg mob

Nthuav kom paub! Tus mob ntshav qab zib muaj peev xwm tshwm sim nws tus kheej rau qib sib txawv ntawm ib lossis ob qho qis dua. Nws yog feem ntau ua ke nrog neuropathy (kev puas tsuaj rau cov hlab ntsha hauv lub cev thiab cov pob tw), uas cuam tshuam ntau cov chav kawm. Txhawm rau muaj ntau dua, cov yam ntxwv no yog cov yam ntxwv ntawm microangiopathy. Qhov teeb meem tseem tsis tau lees paub tau ntev ntev vim tias tsis muaj qhov mob lossis lwm yam cim taw qhia, pom nws tus kheej nkaus xwb nrog kev txhim kho ntawm kev hloov pauv tsis tau hauv cov ntiv taw.

Cov cim ntawm ntshav qab zib mob angiopathy ntawm qis qis - rooj

Cov cim ntawm tus kabmob	Ntseg
Tawv daj thiab tawv nqaij txias	Nws feem ntau tsuas yog sau npe nkaus xwb ntawm ko taw thiab sab ceg qis thiab qhia tias muaj lub zog rov thim rov qab.
Cyanosis	Kev mob ntshav siab (mob ischemia tseem ceeb), hem hloov mus rau kev ua haujlwm rau mob qog ntshav (daim tawv yog txias).
Ko taw liab	Feem ntau qhia tau hais tias cov ntshav qab zib ko taw phlegmon lossis erysipelas (tawv nqaij sov sov tib lub sijhawm).
Tsaus ntiv tes lossis taw	Cov pov thawj uas tsis hloov pauv lossis mob hnyav mus los:

tsuas yog cov lus qhia ntawm cov ntiv tes kis tau rau zas dub - macroangiopathy,
trophic rwj, loj ntub dej ntawm thaj chaw ntawm daim tawv nqaij tsaus - microangiopathy.

Lub xub ntiag ntawm tsis kho kom rov zooEdemaYog tias nws tshwm sim tsis tseg lossis luv luv ntawm ob txhais ceg, qhov no tsis muaj kev phom sij rau nws tus kheej. Nrhav ntom ntog edema, ib ncig ntawm ib qho ceg, qhia tias mob angiopathy tshwj xeeb tshaj yog tshwj xeeb yog ua ke nrog lwm cov cim ntawm ischemia.Hypotrophy (txo qis)Cov cim ntawm kev mob ncua ntev macroangiopathy cuam tshuam rau cov qib ntshav siab.Ceg plaub hau tsis ua haujlwmTsis tshua muaj qhov nco ntawm cov hlab ntsha lossis nws cov qaug zogCov tsos mob ncaj qha thiab txhim khu kev qha ntawm obliteration (nqaim lossis sib tshooj) ntawm cov hlab ntsha loj. Ntxiv mus, kev tso ntshav ntawm txoj hlab ntshav hauv qab ntawm qhov chaw ntawm qhov nqaim yog feem ntau tsis tau txiav txim siab txhua.Nqaij tsis muaj zogNws ua tau nws tus kheej thaum taug kev, nrog mob ntawm lub plab hlaub thiab lwm cov leeg ntawm cov ceg qis, hloov ua ke nrog lameness. Cov neeg mob tsis muaj peev xwm ua qhov ib txwm ua, thiab nrog mob hnyav ntawm lub ntsws thiab mob me, ua hnyav.

Qib ntawm angiopathy

Kev faib tawm ntawm cov ntshav qab zib mob ntshav qab zib los ntawm kev mob hnyav yog qhov tseem ceeb heev rau kev ntsuas kev paub ntawm tus neeg mob tus mob, kev txiav txim siab ntawm pab pawg neeg tsis taus. Txhua yam kev puas tsuaj rau cov hlab ntsha hauv lub xub ntiag ntawm ntshav qab zib mellitus tau muab faib ua cov theem hauv qab no:

Peb muaj. Cov kab kev hloov pauv thaum pib tshwm sim hauv cov hlab, tab sis lawv tsis pom los ntawm ib qho tsos mob dab tsi. Koj tuaj yeem ntes lawv tsuas yog thaum kuaj tshwj xeeb.
Tej Kev Ua Haujlwm Tsis Zoo Kev hloov pauv ntawm cov hlab ntsha yog li tau tshaj tawm tias muaj qee yam kev soj ntsuam uas tshwm sim los ntawm kev ua txhaum ntawm cov ntshav mus rau ceg. Lawv thim rov qab.
Organic pauv. Vascular kev hloov pauv thiab cov kev mob hauv cov ntshav qis hauv qhov qis qis thiaj li hais tawm tias trophic mob tshwm sim. Lawv ob tog twg los thim rov qab los yog tsis hloov pauv tau. Cov nqaij mob thoob plaws hauv ob txhais ceg txhawm, txhawm rau mob tus ntiv tes lossis txhua tus ko taw tshwm sim.

Txog rau macroangiopathy cov ntshav qab zib huv si, cov kev faib tawm hauv qab no tau tsim:

Theem thib 1 - pib tshwm sim nyob rau hauv daim ntawv ntawm kev txias ntawm ob txhais ceg, mob nyob rau hauv ceg thaum taug kev ntawm deb ntawm 1 km,
Theem thib 2 - qhov pom ntawm "sib quas ntus sib dhos" (mob ceg thaum taug kev, ua rau koj nres) ntawm qhov deb ntawm 50-200 txog 400-500 m,
Theem 3 - qhov tsis muaj peev xwm taug kev 50 m yam tsis muaj mob, nrog rau kev mob lub siab thaum so,
Qib plaub - mob hnyav, mob ncauj plab, mob qog txhawm rau ntiv tes lossis tag nrho ko taw.

Kev txuag tshwj xeeb - rooj

Kho kev taw qhia	Piav qhia thiab nthuav dav
Txo cov ntshav qab zib	kev noj zaub mov noj nyob hauv lub moj khaum ntawm rooj 9: (txo qis kom tsawg vim tias cov zaub mov ua kom yooj yim thiab cov tsiaj rog), noj Siofor, Diabeton, Glucophage, kev tswj hwm ntawm insulin.
Cov roj (cholesterol) tsawg dua	cov tshuaj statin (Lovastatin, Atorvastatin, Simvastatin)
Ntshav ntshav	cov tshuaj tiv thaiv ncaj qha (Heparin, Kleksan, Fraksiparin). Lawv muab tshuaj subcutaneously lossis tso ntshav khov rau hauv cov qauv mob hnyav thiab mob hnyav ntawm tus mob ntshav qab zib angiopathy, anticoagulants tsis ncaj (Warfarin, Sinkumar). Muab tso rau tom qab ib chav kawm ntawm kev txhaj tshuaj ntawm cov tshuaj tiv thaiv ncaj nraim nyob hauv kev tswj hwm ntawm cov ntshav coagulation (INR tsom xam), cov tshuaj tiv thaiv kab mob: npaj muaj acetylsalicylic acid (Magnikor, Cardiomagnyl), clopidogrel (Trombone, Plavix), Ticlopidine.
Txhim kho cov ntshav ncig thiab microcirculation	Pentoxifylline (Trental), Tivortin Rheosorbylact Pestazole Vazaprostan Ilomedin.
Kev ruaj khov ntawm cov txheej txheem metabolic hauv cov nqaij cuam tshuam	Actovegin, Nicotinic acid Vitamin E Txhawj Cytoflavin.
Kev tswj hwm qhov mob	tshuaj tua kab mob thiab tshuaj tiv thaiv (Ketorolac, Dexalgin, Diclofenac, Ibuprofen)
Kev tswj hwm tus kab mob	Cov tshuaj tua kab mob tau qhia tias muaj kev puas tsuaj rau daim tawv nqaij thiab qhov mob ntawm qhov qis qis txhawm rau tiv thaiv keeb kwm ntawm tus mob ntshav qab zib angiopathy, cov cim pom tseeb ntawm cov txheej txheem suppurative. Cov tshuaj tua kab mob loj (Broad-spectrum) yog raug kho (Ceftriaxone, Ciprinol, Levofloxacin).
Kev kho mob ntawm concomitant neuropathy	Berlition lossis Thiogama ua ke nrog ib pawg ntawm cov vitamins B (Neuromax, Milgama, Vitaxone)
Kev Tu Mob Ko Taw	Lub ntsiab lus tseem ceeb tshaj plaws uas cuam tshuam ntau zaus ntawm purulent-gangrenous muaj teeb meem ntawm kev mob ntshav qab zib angiopathy ntawm qis qis dua. Cov neeg mob yuav tsum saib xyuas cov khau (nws yuav tsum xis nyob), qhov zoo li thiab kho cov scuffs, calluses, qhov txhab, zam kom tsis txhob nyob ntev ntawm lawv ko taw, kho kom raug thiab tsim nyog txiav cov ntsia hlau thiab caj dab (cov pob txha qhuav).

Qhov xav tau thiab hom kev phais mob

Kev phais mob ntshav qab zib mob angiopathy yog mus rau:

Txhab ntawm cov hlab ntsha loj (ntu ntawm ilio-femoral-popliteal) nyob rau hauv daim ntawv ntawm ib ntu txwv ntawm qhov nqaim. Xws li cov neeg mob tau ua:
- kev ua haujlwm shunting (hloov cov ntu ntawm lub txaj viav vias nrog cov khoom cuav lossis prostheses los ntawm nws tus kheej leeg),
- thrombectomy thiab endarterectomy - tshem tawm cov ntaub so ntswg pathological uas thaiv lumen ntawm cov leeg,
- Kev tiv thaiv endovascular - nthuav dav ntawm qhov chaw nqaim siv lub pob pneumatic los yog tshwj xeeb vascular stent.

Hauv kev ua haujlwm vascular, patency ntawm cuam tshuam hlab ntsha rov qab yog rov qab

Nws yog ib qho tseem ceeb kom nco ntsoov! Kev ua kom huv rau kev mob ntshav qab zib angiopathy ntawm qhov qis qis tsis txuag ib tus neeg los ntawm cov teeb meem, tab sis tsuas yog tiv thaiv kev qaug cawv thiab kev sib kis ntawm cov txheej txheem purulent.

Cov peev xwm ntawm cov tshuaj suav tshuaj thiab homeopathy

Kev kho ntawm angiopathy ntawm qis qis yuav tsum muaj kev nkag siab, yog li tsis muaj ib qho twg yuav tsum yog ib tus neeg tso siab rau kev kho mob ntawm pej xeem thiab homeopathy Ua ntej siv qee cov zaub mov txawv, koj yuav tsum sab laj nrog tus kws tshaj lij.

Cov zaub mov txawv ntawm cov tshuaj ib txwm muaj:

Linden tshuaj yej. Ncuav ib tug tablespoon ntawm tws qhuav linden nyob rau hauv ib khob ntawm boiling dej. Tuav rau 10-12 feeb dhau kev tshav kub tsawg. Tsis txhob coj mus rhaub. Haus ib khob ntawm cov dej haus tom qab noj mov 3 zaug hauv ib hnub.
Blueberry tshuaj yej. Zom kom qhuav los yog tshiab nplooj xiav (blueberry nplooj), tso rau hauv hlau tais thiab hliv ob khob dej npau. Muab hluav taws tso rau 5-7 feeb, tsis tas coj mus rau ib qho cub uas muaj zog. Noj 3-4 zaug ib hnub twg rau 15-20 feeb ua ntej noj mov.
Txoj kev lis ntshav ntawm taum nplooj. 5 tbsp. l tws taum sashes, 2 tbsp. l John lub wort thiab horsetail, 1/2 tbsp. l muab cov flaxseeds hauv lub thermos, ntxiv ib khob ntawm cov dej npau. Hais kom tsawg li 2-3 teev. Faib rau 3 koob tshuaj. Haus 30 feeb ua ntej noj mov.
Ko taw da dej raws li cov hauv paus hniav wheatgrass. Noj 50 g ntawm tws qhuav wheatgrass keeb kwm, qhov chaw nyob rau hauv ib tug hlau zaub mov thiab ncuav 1 liter ntawm dej kub. Nqa mus rau ib lub rhaub thiab tuav dua cov cua sov kom ntev li 10-15 feeb. Ntxiv cov npaj npaj rau lub tais los yog da dej nrog 5 l dej (tsis pub ntau tshaj 35-36˚C). Lub sijhawm ntawm cov txheej txheem yog 15-20 feeb.

Siv cov tshuaj los kho tus mob ntshav qab zib - duab

Muaj peev xwm tshwm sim thiab muaj teeb meem

Mob ntshav qab zib angiopathy ntawm qis qis sai sai los sis tom qab ntawd ua rau muaj teeb meem. Qhov tshwm sim ua tau los ntawm tus kab mob:

Cov chav kawm ruaj khov nrog cov qauv tsawg kawg thiab kev loj hlob qeeb. Txoj kev xaiv no feem ntau yuav ua nrog hom mob ntshav qab zib hom ob.
Kev nce qib ntawm angiopathy nrog kev tsim cov ntshav qab zib mob ko taw: mob tsis tu ncua, o, ko taw deformity, purulent muaj teeb meem (phlegmon, osteomyelitis), mob rau sab hauv trophic.
Necrosis (mob caj dab, necrosis) ntawm cov ntiv tes, taw, ceg qis.

Lub xub ntiag ntawm cov neeg mob caj dab thiab purulent-necrotic teeb meem ua rau muaj kev hem thawj tam sim ntawd rau tus neeg mob lub neej, vim nws ua rau lub cev nyhav ntawm lub cev nrog cov khoom tawg ntawm nws tus kheej cov ntaub so ntswg.

Nthuav kom paub! Kev kho mob ntawm cov neeg mob ntshav qab zib mellitus nyuaj los ntawm kev puas tsuaj rau cov hlab ntsha ntawm ob txhais ceg tau ib txhij nqa los ntawm cov kws kho mob ntawm ob peb qhov tshwj xeeb: tus kws kho mob endocrinologist lossis tus kws phais vascular. Niaj hnub no, muaj cov kws paub nqaim ua haujlwm hauv “chav saib xyuas mob ntshav qab zib”. Lawv hu ua cov kws saib xyuas cov ntxhais!

Kev tiv thaiv kev ntsuas

Kev tiv thaiv lub hom phiaj yog:

kev tiv thaiv ntawm qhov pib thiab kev loj hlob ntawm ntshav qab zib. Qhov tseeb tsuas yog muaj hom mob thib ob. Nws koom nrog qhov ib txwm ua ntawm kev noj zaub mov zoo, tawm tsam kev rog, kev txiav luam yeeb, kev haus luam yeeb thiab lwm yam tsis zoo,
tus nqi tsawg dua ntawm kev nce zuj zus ntawm angiopathy. Kev kho cov ntshav qab zib kom sai, kev siv yeeb tshuaj hauv nruab nrog cev thiab kev phais mob txhawm rau kho kom rov qab muaj ntshav ncig hauv cov hlab ntsha hauv ob txhais ceg,
kev tiv thaiv ntawm purulent-gangrenous cov teeb meem. Pom tau tias ua tiav nrog txhua yam kev ntsuas rau kev saib xyuas ntawm nqaj qis.

Mob taw vwm ko taw - video

Angiopathy ntawm qis qis yog qhov txaus ntshai pathological uas tshwm sim tshwj xeeb rau cov neeg mob ntshav qab zib. Kev kuaj mob raws sij hawm thiab kev kho yuav pab kom zam dhau qhov kev mob hnyav, xws li deformation ntawm ko taw, mob caj dab. Nco ntsoov, muaj kab mob yooj yim dua los tiv thaiv dua li kho, yog li ua raws cov lus qhia rau kev tiv thaiv thiab noj qab nyob zoo!

Mob ntsws yog dabtsi?

Feem ntau, pathologies cuam tshuam nrog cov hlab ntsha me me ua rau kev txhim kho kev mob hlwb hauv ntshav qab zib mellitus.

Angiopathy ntawm qis qis yog feem ntau kuaj mob ntshav qab zib, tsis hais txog hom mob twg. Qhov kev mob zoo sib xws no yog tshem tawm los ntawm kev phais mob lossis kho kho kom zoo.

Ntshav qab zib angiopathy yog kab mob uas cuam tshuam rau vascular system thiab hlab ntsha. Feem ntau, qhov qis kawg ntawm cov ntshav qab zib muaj feem cuam tshuam. Ntxiv mus, xws li ib tus kab mob tuaj yeem cuam tshuam cov hlab ntsha ntawm lwm yam plab hnyuv siab raum thiab qhov chaw hauv lub cev, uas tsis siv rau cov yam ntxwv ntawm tus kab mob qab zib. Kev mob ntshav qab zib hauv txoj kev kho mob tau muab faib ua 2 hom:

macroangiopathy - ntshav qab zib pathology ntawm cov hlab ntsha thiab cov hlab ntsha. Nws yog tus yam ntxwv ntawm cov neeg muaj mob tau ntau tshaj 10 xyoo,
microangiopathy yog kev ntshawv siab capillary.

Kuj tseem muaj kev faib tawm, nyob ntawm hom ntawm cov hlab ntsha cuam tshuam:

retinal mob ntshav qab zib angiopathy - retinopathy,
kev puas tsuaj ntawm vascular cov ntaub so ntswg ntawm ob lub raum - nephropathy,
kev puas tsuaj rau cov hlab ntsha thiab cov hlab ntsha,
ko taw angiopathy
cerebrovascular kab mob - encephalopathy.

Nrog kev mob caj dab, mob ntshav qab zib ua rau lub siab tuaj yeem ua rau tsis zoo. Qhov xwm txheej dav dav zuj zus, qhov ua tau zoo thiab lub neej ntawm cov neeg mob tau pom zoo txo qis. Txog rau qib mob hnyav, kev tuag hauv nruab nrog cev yog yam ntxwv, qhov muag tsis pom yuav xav tau txiav tu ntawm qhov kawg nkaus.

Tsuas yog cov neeg mob lawv tus kheej tuaj yeem nres kev txhim kho kabmob, saib xyuas txhua qhov kev pom zoo, saib xyuas qhov ntsuas qab zib thiab zaum ntawm cov zaub mov tshwj xeeb.

Kev nkag siab txog qhov mob hnyav thiab qhov tshwm sim ntawm kev tsis quav ntsej cov tshuaj ntawm kws kho mob yog qhov tsim nyog.

Vim li cas rau qhov tsos

Lub hauv paus rau kev loj hlob ntawm pathology raug txiav txim siab ua qhov tsis tu ncua ntawm cov kua nplaum theem. Raws li qhov tshwm sim, cov piam thaj ntau ntau yog nqus rau cov phab ntsa ntawm cov hlab ntshav. Cov khoom lag luam ntawm kev hloov pauv piam thaj thiab dej, tsim hauv endothelium, ua rau txhawm rau, txo cov txheej txheej tiv thaiv ntawm cov hlab ntshav. Tag nrho cov no pab txhawb kev tsim cov ntshav txhaws thiab txhaws ntshav hlab ntsha.

Muaj ob peb lub laj thawj uas ua rau kev txhim kho ntawm cov teeb meem:

pheej hyperglycemia,
tshaj li cov kua dej hauv lub cev,
insulin kuj
raum tsis ua hauj lwm lub raum - nephropathy.

Cov txiaj ntsig ntawm txoj kev loj hlob ntawm angiopathy yog:

qhov tsim ntawm pob qij txha yog ib qho tseem ceeb vascular nthuav dav uas cuam tshuam cov ntshav kev khiav mus los, txhua qhov no tuaj yeem ua rau cov hlab ntsha tawg
tawg ntawm cov hlab ntsha me, ua rau hemorrhage,
nce ntshav nce ntxiv, raws li qhov tshwm sim los ntawm kev mob hlwb vau,
cov tsos ntawm cov ntshav txhaws hauv cov hlab ntsha,
atherosclerosis
ua kom ntshav khiav qeeb.

Retinal Mob Hlwb

Angioretinopathy yog mob ntshav qab zib retinal pathology. Nyob rau thawj theem, lub qhov txhab tseem tsis pom, vim tias tus mob kis yuav luag tsis muaj cov tsos mob thiab hnov mob.

Qeb rov kawg ntawm retinopathy yog tus cwj pwm los ntawm:

ntse poob hauv kev pom tseeb tseeb,
tsaus nti tshwm sim ua ntej koj ob lub qhov muag
txim taws tshwm hauv kuv lub qhov muag
ib zaj yeeb yaj kiab uas tsaus nti nyob ntawm kuv xub ntiag.

Tus kab mob tuaj yeem pom los ntawm edema ntawm tus retina, qhov tshwm sim ntawm uas yog daim ntaub thaiv rau hauv qhov muag. Yog li ntawd, tsis muaj kev kho ntxiv, tus neeg mob plam nws lub qhov muag thiab tseem dig muag mus ib txhis.

Nees Qaum Ntuj

Cov leeg ntshav lossis kab mob kev nyab xeeb ntawm cov hlab ntshav voos ntawm ob lub raum, ib qho ntawm kev cuam tshuam ntawm angiopathy mob ntshav qab zib. Qhov tshwm sim ntawm tus kab mob yog lub raum tsis ua haujlwm. Lub sij hawm txaus tsim nyog ntev yuav tsis hnov zoo.

Cov tsos mob tshwm sim zoo sib xws rau exacerbation ntawm cov ntshav qab zib. Cov tsos mob ntawm tus mob nephropathy muaj xws li: nqhis dej, ua kom qhuav ntawm daim nyias nyias hauv qhov ncauj, khaus ntawm daim tawv nqaij, thiab tso zis heev.

Thaum qhov ntsuas no ntau dua 10 mmol / l, qab zib nkag mus rau lub raum yam tsis muaj teeb meem, tawm hauv lub zais zis, noj noo noo los ntawm daim tawv nqaij, thiab tib lub sijhawm ua rau khaus thiab nqhis dej.

Ua tau zoo, tus mob ntxiv yuav ua rau cov tsos mob ntxiv:

O o. Ua ntej tshaj plaws, o tshwm ib ncig ntawm lub qhov muag. Ib qho ntxiv, qhov chaw hauv ib cheeb tsam txuas ntxiv rau lub ntsej muag tuaj yeem yog thaj chaw mob plab, ntu pericardium. Cov chaw ntawm edema daj ntseg hauv cov xim, sov, muaj qhov sib thooj. Feem ntau tshwm sim thaum sawv ntxov.
Qiv ntshav siab.
Cov cim qhia kev ua lom yog xeev siab, kev ua kom lub cev tsis muaj zog, tsis xav ua kom tsaug zog. Qhia txog theem tom qab ntawm tus kab mob. Feem ntau tshwm sim thaum muaj ntau dhau ntawm cov piam thaj metabolism khoom uas yuav tsum tau ua tawm los ntawm ob lub raum tau tsim hauv lub cev.

Mob Angiopathy

Mob ntshav qab zib mellitus cuam tshuam rau kev mob ntawm cov hlab ntsha me thiab cov hlab ntshav ntawm lub plawv.

Hauv ob qho tib si, tus kabmob kis tau nws tus kheej zoo li angina pectoris, nrog rau cov tsos mob hauv qab no:

Kev hnov mob mob - qhov mob siab tau hnov meej meej, qhov zoo li tshwm sim los ntawm kev puas tsuaj ntawm cov hlab ntshav ntawm lub plawv. Qhov mob yog hnov hauv pob tw, tsis tshua pom, tab sis tuaj yeem hnov nyob rau hauv ib feem ntawm epigastrium. Qhov hnov mob tau nrawm hauv qhov, qee zaus kuj hnov nrov. Ua tau qhov rov qab los ntawm qhov mob mus rau sab laug ntawm lub cev (txhais caj npab, hniav caj dab, xub pwg los yog puab sab). Kev tawm tsam mob tsis ploj hauv 15 feeb.
Ua tsis tiav ntawm kev mob plawv - cov yam ntxwv ntawm qhov yeej ntawm cov hlab ntsha leeg thiab cov leeg nqaij ntawm lub plawv. Myocardial thinning tuaj yeem ua rau ntau cov kev cuam tshuam kev sib txuam (bradycardia, tachycardia, arrhythmia, lossis extrasystole).
Thawj theem ntawm lub plawv tsis ua hauj lwm - txog siav, hnoos tshwm sim, lub siab poob qis.

Lim hiam angiopathy

Mob caj pas angiopathy hauv ntshav qab zib tsis yog los ntawm kev hloov pauv nrog qee yam tshwj xeeb ntawm tus kabmob, tab sis kuj los ntawm kev txhim kho cov txheej txheem atherosclerotic hauv nqua.

Cov tsos mob ntawm hom mob no yog:

Loog ntawm ob txhais ceg, txias, goosebumps - tuaj yeem tshwm sim hauv qhov txawv kiag li ntawm ob txhais ceg.
Lameness, mob, ntswj - ntse uas tsis muaj oxygen.
Thinning ntawm daim tawv nqaij ntawm ob txhais ceg. Cov tawv nqaij hloov ua daj ntseg, tuaj yeem tau txais qhov bluish zas, tas li txias, ntsia hlau hloov pauv, qeeb kev loj hlob, tawg.
Tsis kho qhov mob zoo mob - qhov cim ntawm theem kawg ntawm kev mob qab zib. Raws li txoj cai, lawv tshwm sim los ntawm kev raug mob.

Encephalopathy

Qhov kev tshwm sim yog cuam tshuam nrog lub cim xeeb tsis haum, teeb meem nrog kev ua nco qab. Nws qhia nws tus kheej tias mob taub hau heev thiab qhov ua rau lub cev tsis muaj zog. Tag nrho cov no yog qhov tshwm sim ntawm kev ua txhaum ntawm microcirculation ntawm lub hlwb cov ntaub so ntswg.

Cov tsos mob ntawm tus kab mob tau qhia lawv tus kheej rau lub sijhawm ntev. Txhua tus nws pib nrog qhov kev ua kom tsis muaj zog ntawm lub cev, tus neeg mob xav tias ua rau qaug zog zuj zus. Muaj qhov mob taub hau tas mus li uas tsis ua kom quav yeeb nrog tshuaj mob. Dab tsi hauv qab no yog ib qho tab kaum hauv kev pw tsaug zog ib txwm muaj. Muaj teeb meem nrog txoj kev nco thiab kev xav.

Cov teeb meem nrog kev ua kom sib luag, ua kom txaj muag thaum taug kev, cov tub ntxhais kawm muaj qhov sib txawv, kev hloov pauv ntawm lub siab.

Phiaj plab hnyuv siab raum

Nws tsis tuaj yeem hais meej thaum tus mob pib tshwm sim. Angiopathy ntawm qis qis yog suav hais tias yog feem ntau cov pathology, vim hais tias cov ntshav qab zib tso ntau yam rau lawv. Txawm hais tias qhov kev pheej hmoo ntawm kev tsim mob vascular, capillary thiab leeg ntshav ntawm lwm thaj chaw ntawm tib neeg lub cev tsis suav nrog.

Cov kws kho mob paub qhov sib txawv ntawm ob peb lub plab uas feem ntau yuav ua tau rau mob angiopathy:

cov ntaub so ntswg hlwb
kev mob plawv
daj qhov muag
ob lub raum
mob ntsws.

Nws yog qhov ncaj ncees cov kabmob uas cov neeg mob ntshav qab zib yuav tsum saib xyuas txhua yam.

Pej xeem sawv daws

Nrog rau cov kev mob ntshav qab zib, tshuaj ntsuab tshuaj feem ntau siv. Cov zaub mov zoo li no tsuas yog ua tau zoo nyob rau thawj theem ntawm txoj kev loj hlob.

linden tshuaj yej
blueberry tshuaj yej
taum nplooj Txoj kev lis ntshav,
Txoj kev lis ntshav ntawm wheatgrass keeb kwm, siv rau txhav ceg.

Yog tias cov tshuaj tsis ua kom tiav, yuav tsum tau phais.

Muaj ntau hom haujlwm ua haujlwm, xws li:

kev tshem tawm ntawm thaj chaw cuam tshuam npog txoj hlab ntshav lumen - thrombectomy,
nthuav dav ntawm thaj chaw nqaim siv lub dav hlau pneumatic - kev phais mob endovascular,
tshem tawm cov hlab qhov kawg ua rau txoj hlab qhov ntswg - sympathectomy,
kev tshawb pom ntawm thaj chaw uas purulent pawg ntau zuj zus, kev tshem tawm ntawm cov nqaij mos ua kom sib luag (txiav ntawm ntiv tes, nqaj) - kev phais mob huv si.

Nrog rau kev txhim kho angiopathy, cov neeg mob yuav tsum tau saib xyuas kev noj zaub mov, saib kev noj zaub mov nruj. Pluag mov - nyob rau hauv cov feem muaj txog li 5 zaug hauv ib hnub. Tsis pub siv lub zog thiab kev yoo mov.

Qhov tshwm sim ntawm cov kab mob tuaj yeem tiv thaiv los ntawm kev saib txoj cai:

tsis txhob noj khoom kib thiab haus luam yeeb,
muaj ntau cov hauv dos hauv daim ntawv hau los yog ci,
muaj ntau ntau cov txiv hmab txiv ntoo thiab zaub uas tso cai tshiab,
nws yog qhov zoo dua rau hauv lub tais diav, rhaub lossis ci,
qee zaum noj nqaij ntshiv,
tshem tawm kev siv cov khoom noj muaj suab thaj ntau.

Ua raws li kev noj haus yuav ua rau me ntsis txo tus mob ntawm tus neeg mob.

Teeb meem

Yuav tiv thaiv lub sijhawm ua txhaum cai tuaj yeem tiv thaiv tau.

Nrog kev ua tiav ntawm cov kab mob, cov kev coj nram qab no muaj peev xwm ua tau:

kev loj hlob ntawm kev qog cev rau ntawm txhais ceg uas muaj ntshav tsis txaus. txiav tes taw thaum mus cuag tus kws tshaj lij. tsis muaj kev kho mob - kev tuag vim kev lom ntawm lub cev,
kev mob plawv, mob hlab ntsha tawg - tshwm sim los ntawm kab mob txhaws txhaws,
tsis pom kev li
lub raum tsis ua hauj lwm.

Vascular anatomy

Cov phab ntsa ntawm cov hlab ntshav muaj ob peb txheej. Cov khaubncaws sab nraud povtseg no sib txawv hauv kev muaj pes tsawg leeg nyob ntawm tus ntsuas thiab hom nkoj.

Tus qauv ntawm phab ntsa ntawm cov hlab ntsha:

txheej sab hauv (tunica intima),
nruab nrab txheej (tunica xov xwm),
txheej txheej (tunica externa).

Sab hauv txheej

Cov txheej no muaj cov hlwb endothelial, yog li nws tseem hu ua vascular endothelium. Endothelial cell ua cov kab ntawm sab hauv ntawm cov hlab hauv ib txheej. Cov vaus endothelium tau hloov mus rau lumen ntawm lub nkoj thiab yog li ntawd tas li nyob rau hauv kev sib cuag nrog cov ntshav ncig.Cov phab ntsa no muaj ntau cov coagulation yam, o thiab vascular permeability yam. Nws yog nyob rau hauv txheej txheej no uas cov khoom lag luam ntawm polyol metabolism ntawm cov piam thaj ntau ntau hauv cov ntshav qab zib mellitus (sorbitol, fructose).

Kuj, qhov txheej no ib txwm zais cov khoom lag luam endothelial relaxing. Nrog cov tsis muaj yam no (dab tsi yog pom muaj ntshav qab zib) lub lumen ntawm endothelium nqaim thiab tsis kam ntawm cov hlab ntsha nce siab. Yog li, vim tias kev sib txuas ntawm ntau yam tshuaj lom neeg, sab hauv phab ntsa ntawm cov hlab ntsha ua tau ntau lub haujlwm tseem ceeb.

Endothelial zog:

tiv thaiv kev tsim cov ntshav txhaws hauv cov hlab ntshav,
tswj cov permeability ntawm phab ntsa vascular,
tswj ntshav siab
ua txoj haujlwm thaiv txoj haujlwm, tiv thaiv kev nkag mus ntawm cov tshuaj txawv teb chaws,
koom rau hauv cov tshuaj tiv thaiv mob, ua kom sib xyaw cov leeg kho mob.

Nrog rau ntshav qab zib, cov haujlwm no tsis tiav. Lub permeability ntawm phab ntsa vascular nce, thiab cov piam thaj penetrates los ntawm endothelium mus rau hauv cov hlab ntsa. Cov kua nplaum provokes txhim kho synthesis ntawm glycosaminoglycans, glycosylation ntawm cov protein thiab lipids. Raws li qhov tshwm sim ntawm qhov no, lub vascular phab ntsa o, nws lub lumen nqaim, thiab cov ntshav ntawm cov ntshav hauv cov hlab ntsha tsawg dua. Qhov theem ntawm txo cov ntshav ntws ncaj qha nyob ntawm qhov mob hnyav ntshav qab zib. Nyob rau hauv cov mob hnyav, ntshav ncig hauv cov hlab ntsha yog li txo nws thiaj li tso tseg tsis pub noj cov nqaij thiab cov pa oxygen tshaib nqhis hauv lawv.

Txheej txheej

Cov txheej no yog tsim los ntawm cov ntaub so ntswg, nrog rau cov xov ntawm collagen thiab elastin. Nws tiv thaiv cov hlab ntshav los ntawm sprains thiab kua muag. Cov hlab ntsha me hu ua vasa vasorum lossis cov hlab ntsha hla mus los ntawm nws. Lawv tu lub plhaw sab nraud thiab nruab nrab ntawm cov hlab.

Lub hom phiaj tseem ceeb rau cov ntshav qab zib yog cov hlab ntsha me - cov hlab ntsha tuaj ntshav thiab cov hlab ntaws, tab sis cov hlab ntsha loj kuj raug puas ntsoog.

Tus mechanism ntawm vascular kev puas tsuaj hauv ntshav qab zib

Ntshav qab zib angiopathy ua raws li kev puas tsuaj rau phab ntsa vascular (ntau dua, qhov endothelium), nrog kev ua txhaum ntxiv ntawm nws txoj haujlwm. Raws li koj paub, muaj ntshav qab zib muaj cov ntshav qab zib siab ntau (piam thaj) hauv cov ntshav lossis hyperglycemia. Raws li qhov tshwm sim ntawm cov ntshav qab zib hyperglycemia no, qabzib los ntawm cov ntshav pib nkag mus rau sab hauv txoj hlab ntsha. Qhov no ua rau muaj kev ua txhaum ntawm cov qauv ntawm phab ntsa endothelial thiab, vim li ntawd, kev nce ntxiv hauv nws cov permeability. Cov khoom qabzib hauv cov khoom lag luam, namely sorbitol thiab fructose, txuam hauv phab ntsa ntawm cov hlab ntsha. Lawv nyiam ua kua nrog lawv. Raws li qhov tshwm sim, cov phab ntsa ntawm cov hlab ntsha o tuaj thiab ua kom tuab.

Tsis tas li ntawd, qhov tshwm sim ntawm kev puas tsuaj rau phab ntsa vascular, txheej txheem txheej coagulation tau qhib (ntshav txhaws), txij li lub capillary endothelium paub los ua cov ntshav coagulation yam. Qhov tseeb ntxiv ua rau mob ntshav ncig hauv cov hlab ntsha. Vim tias kev ua txhaum ntawm cov qauv ntawm cov khoom siv endothelium, nws tsis tu ncua rau qhov xaus ntawm qhov chaw ua rau endothelial, uas ib txwm tswj hwm txoj kab uas hla ntawm cov hlab.
Yog li, nrog angiopathy, Virchow triad tau pom - hloov pauv ntawm phab ntsa vascular, qhov kev ua txhaum ntawm txoj kev coagulation thiab cov ntshav khiav qeeb.

Vim tias cov txheej txheem saum toj no, cov hlab ntsha, feem ntau me me, nqaim, lawv cov lumen tsawg dua, thiab cov ntshav ntws tsawg dua kom txog thaum nws nres. Hauv cov ntaub so ntswg uas lawv muab ntshav, kev saib xyuas hypoxia (cov pa tshaib plab heev), atrophy, thiab vim muaj cov permeability thiab edema ntxiv.

Kev tsis muaj oxygen nyob rau hauv cov ntaub so ntswg ua kom cov fibroblasts ntawm lub cell, uas ua ke cov ntaub so ntswg sib txuas. Yog li no, hypoxia yog qhov tsim kom muaj kev txhim kho vascular sclerosis. Ua ntej tshaj plaws, cov hlab ntsha me me - cov hlab ntsha ntawm lub raum - raug kev txom nyem.
Raws li qhov txiaj ntsig ntawm sclerosis ntawm cov capillaries, lub raum muaj peev xwm ua tsis taus thiab lub raum tsis ua haujlwm.

Qee zaum, cov hlab ntsha me yog daig ntawm cov ntshav txhaws, thaum lwm tus me me pob cov leeg ntshav (bulging vascular phab ntsa) Cov hlab lawv tus kheej ua tsis taus, nkig, uas ua rau nquag ntshav tawm (feem ntau ntau nyob ntawm retina).

Vascular kev puas tsuaj yog ib qho ntawm cov teeb meem ntawm ntshav qab zib, uas feem ntau ua rau kev tuag ntawm cov neeg mob. Yog li, cov neeg muaj ntshav qab zib yuav tsum tau mob siab rau kev tiv thaiv ntawm cov mob vascular. Rau lub hom phiaj no, saib xyuas yuav tsum tau them nyiaj rau txoj kev txhim kho ntawm cov kws tshawb fawb hauv tsev - cytamines. Cytamines muaj peptides ntxawg - cov tshuaj uas tswj cov txheej txheem intracellular thiab xyuas kom muaj kev ua haujlwm ntawm cov nruab nrog cev thiab cov ntaub so ntswg. Lub teeb tshwj xeeb ntawm peptides yog qhov tsim nyog rau txhua yam khoom hauv nruab nrog. Txog kev tiv thaiv thiab kho mob vascular cuam tshuam, Vasalamine tau tsim thiab qhia rau hauv kev coj ua.
Vasalamine:

Nws muaj cov kev xaiv zoo ntawm cov nqaij vascular, normalizes ntshav microcirculation hauv cov plab hnyuv siab raum thiab cov ntaub so ntswg hauv ntau yam kab mob thiab kis rau qhov muaj feem cuam tshuam rau lub cev.
Nws txhim kho lub xeev ntawm vascular phab ntsa nrog endothelial kawg, txhim kho vascular permeability, thiab nce lub zog ntawm cov phab ntsa ntawm cov hlab ntsha.
Nws yog qhia nyob rau hauv thawj theem ntawm kev mob ntshav qab zib angiopathy, mob ntshav siab, thiab cov neeg laus kom tswj hwm txoj haujlwm ntawm vascular system.

Cov tsos mob ntawm tus kab mob ntshav qab zib Angiopathy

Cov tsos mob ntawm tus mob ntshav qab zib angiopathy nyob ntawm nws hom. Hom kab mob angiopathy sib txawv hauv cov nkoj uas raug puas ntsoog.

Hom mob ntshav qab zib angiopathy:

uas yog retinopathy (cov leeg phais mob vascular),
ntshav qab zib nephropathy (raum puas tsuaj),
mob ntshav qab zib nrog kev puas tsuaj rau cov hlab ntsha ntshav hlab plawv thiab cov hlab ntshav txhaws rau lub plawv,
kev noj qab haus huv angiopathy ntawm qis qis,
encephalopathy uas mob ntshav qab zib (cerebrovascular tus kab mob).

Cov tsos mob ntawm tus mob ntshav qab zib Retinopathy

Qhov muag qauv
Lub qhov muag muaj lub qhov muag ntawm lub qhov muag, cov hlab qhov muag thiab cov chaw pabcuam (cov leeg tawv muag) Lub pob muag ntawm nws tus kheej muaj lub plhaub sab nraud (mob ntug thiab pob tsuas), nruab nrab - vascular thiab sab hauv - retina. Retina lossis "retina" nws muaj lub network capillary, uas yog lub hom phiaj rau ntshav qab zib. Nws yog sawv cev los ntawm cov hlab ntsha, txoj hlab ntsha, veins thiab capillaries. Cov tsos mob ntawm tus mob ntshav qab zib angiopathy tau muab faib ua qhov chaw kuaj mob (cov qhia los ntawm tus neeg mob) thiab ophthalmoscopic (cov uas tau kuaj pom thaum kuaj ophthalmoscopic).

Cov chaw kho mob cov tsos mob
Kev puas tsuaj rau cov hlab ntsha ntawm retina hauv ntshav qab zib mellitus tsis muaj mob thiab yuav luag tsis muaj asymptomatic hauv thawj theem. Cov tsos mob tsuas yog tshwm sim tom qab qib, uas yog piav qhia los ntawm kev mus ntsib kws kho mob thaum lig.

Kev yws yws los ntawm tus neeg mob txom nyem los ntawm kev kho mob ntshav qab zib:

txo nyob rau hauv nrig txog kev pom tseeb,
tsaus me ntsis ua ntej lub qhov muag
txim taws, flashes ua ntej lub qhov muag,
daim ntaub thaiv lossis daim ntaub thaiv ua ntej lub qhov muag.

Cov tsos mob tseem ceeb ntawm tus mob ntshav qab zib angiopathy yog ib qho kev txo qhov muag pom tseeb txog kev dig muag. Tus tib neeg poob lub peev xwm los paub qhov txawv ntawm cov khoom me me, kom pom ntawm qhov deb. Qhov tshwm sim no nrog nrog qhov sib txawv ntawm cov duab thiab cov loj me ntawm cov ntawv, ib qhov nkhaus ntawm cov kab ncaj.

Yog hais tias retinopathy yog qhov nyuaj los ntawm cov tshuaj tiv thaiv kab mob hauv lub cev, ces nws yog qhov pib los ntawm qhov pom ntawm qhov tsaus ntab ntab uas tsis pom kev ntawm lub qhov muag. Cov pob ntawd tuaj yeem ploj mus, tab sis lub zeem muag tuaj yeem ploj mus qhov twg. Txij li thaum lub cev vitreous ib txwm muaj pob tshab, qhov muaj ntau ntawm cov ntshav hauv nws (vim kev puas ntsoog ntawm cov hlab ntshav) thiab ua rau pom qhov sib txawv ntawm cov pob tsaus hauv daim teb uas tsis pom kev. Yog hais tias ib tug neeg tsis sab laj tus kws kho mob raws sijhawm, tom qab ntawd ntawm lub cev ntawm lub cev thiab cov leeg ntshav ntawm qhov ntswg, ntshav yuav tsim kom rub tus pas nrig retina, uas ua rau nws qhov cuam tshuam. Retinal detachment yog pom los ntawm qhov kev txo qis hauv lub zeem muag (mus txog thaum dig muag), cov tsos ntawm flashes thiab tawg nyob rau hauv pem hauv ntej ntawm lub qhov muag.

Kuj, mob ntshav qab zib retinopathy tuaj yeem tshwm sim nrog kev txhim kho ntawm retinal edema. Hauv qhov no, tus neeg mob tau muaj qhov xav tias daim ntaub thaiv nyob rau hauv pem hauv ntej ntawm nws lub qhov muag, ib qho ploj ntawm kev pom tseeb ntawm cov duab. Daim ntaub thaiv tsis tu ncua nyob rau hauv pem hauv ntej ntawm lub qhov muag lossis huab hauv zos yog qhov chaw ntawm kev kwv yees ntawm lub edema lossis exudates rau ntawm retina.

Cov tsos mob Ophthalmoscopic
Cov tsos mob no tau kuaj pom thaum kuaj ophthalmoscopic, uas muaj nyob hauv kev pom lub fundus siv lub ntsej muag tsom iav thiab lens. Hauv kev ua tiav ntawm txoj kev tshawb no, tus kws kho mob tshuaj xyuas cov hlab ntsha ntawm retina, hlab ntsha. Cov tsos mob ntawm vascular kev puas tsuaj rau tus retina tshwm sim ntau dhau los ua kev tsis txaus siab ntawm tus neeg mob.

Nyob rau tib lub sijhawm, cov hlab ntsha nqaim tau pom ntawm pob nyiaj, thiab microaneurysms raug kuaj pom hauv qhov chaw. Hauv nruab nrab thaj chaw lossis raws cov leeg loj muaj ob peb lub qe ntshav dai hauv daim ntawv ntawm cov dots. Edema tau nyob ze ib ncig ntawm cov hlab ntsha lossis hauv qhov chaw ntawm macula. Ntau cov mos mos exudates kuj tau sau tseg rau ntawm retina (kua buildup) Nyob rau tib lub sijhawm, cov leeg yog dilated, muaj qhov ntau ntawm cov ntshav, sinuous, thiab lawv cov ntsiab lus yog qhia meej meej.

Qee lub sij hawm hauv lub cev ntau ntawm cov ntshav tawm hauv lub cev. Tom qab, fibrous cords yog tsim ntawm nws thiab tus retina. Cov leeg optic disc txeem cov hlab ntshav (optic neovascularization) Feem ntau, cov tsos mob no nrog nrog poob siab hauv lub zeem muag. Feem ntau, tsuas yog nyob rau theem no, cov neeg mob uas tsis saib xyuas lub cev niaj hnub kuaj mob tham nrog kws kho mob.

Cov tsos mob ntawm tus mob Ntshav Qab Zib

Kev mob ntshav qab zib yog qhov kev puas tsuaj rau cov hlab ntsha ntawm lub raum hauv ntshav qab zib nrog kev txhim kho ntxiv rau lub raum tsis ua haujlwm.

Raum qauv
Cov nuj nqi ua haujlwm ntawm lub raum yog nephron, uas muaj cov glomerulus, tshuaj ntsiav thiab tubules. Lub glomerulus yog kev txuam nrog ntau cov hlab ntsha uas cov ntshav ntws tawm ntawm lub cev. Los ntawm cov hlab ntsha mus rau hauv cov menyuam, txhua yam khoom tseem ceeb hauv lub cev yog lim, thiab cov zis los kuj raug tsim. Yog tias phab ntsa capillary yog puas ntsoog, txoj haujlwm no raug yuam.

Cov tsos mob ntawm tus mob ntshav qab zib muaj xws li tsis txaus siab los ntawm tus neeg mob, nrog rau cov kev qhia pom thaum ntxov. Rau sijhawm ntev heev, ntshav qab zib nephropathy yog asymptomatic. Cov tsos mob tshwm sim ntawm ntshav qab zib mellitus tuaj ua ntej.

Cov tsos mob tshwm sim ntawm tus mob ntshav qab zib:

kev nqhis dej
qhov ncauj qhuav
khaus tawv
nquag tso zis.

Tag nrho cov tsos mob no yog vim muaj kev nce siab ntxiv ntawm cov piam thaj hauv cov nqaij thiab hauv cov ntshav. Ntawm qee qhov kev ntsuas ntawm cov piam thaj hauv cov ntshav (ntau tshaj 10 mmol / liter) nws pib dhau txoj hlab raum. Tawm mus nrog zis, qabzib nqa dej nrog rau nws, uas qhia txog cov tsos mob ntawm nquag thiab tso zis heev (polyuria) Kev tso tawm heev tawm ntawm cov dej tawm hauv lub cev ua rau lub cev qhuav dej (qhov ua rau ntawm daim tawv nqaij khaus) thiab kev nqhis dej tas li.

Cov chaw kuaj ntshav muaj sia uas tshwm sim ntawm tus mob ntshav qab zib nephropathy tshwm li 10 txog 15 xyoos tom qab kuaj mob ntshav qab zib. Ua ntej rau qhov no, tsuas yog kuaj pom ntawm nephropathy kuaj. Cov paib tseem ceeb yog cov protein nyob hauv cov zis (lossis proteinuria), uas tuaj yeem kuaj pom thaum lub sijhawm kuaj mob.

Nquag, qhov cov protein nyob hauv cov zis txhua hnub yuav tsum tsis pub ntau tshaj 30 mg. Hauv thawj theem ntawm tus mob nephropathy, cov protein nyob hauv cov zis ib hnub ntau li 30 mus rau 300 mg. Hauv cov theem tom qab, thaum cov kev mob tshwm sim, cov protein ntau tshaj 300 mg rau ib hnub.

Tus txheej txheem ntawm cov tsos mob no yog kev puas tsuaj rau lub raum lim (nws permeability nce), vim tias nws tshwm sim ua ntej me me, thiab tom qab ntawd cov protein loj loj.

Thaum tus kab mob mus zuj zus, cov tsos mob ntawm lub raum tsis ua haujlwm pib koom nrog qhov dav dav thiab kuaj mob.

Cov tsos mob ntawm tus mob nephropathy mob ntshav qab zib:

o tuaj
ntshav siab
cov tsos mob tshwm sim ntawm intoxication - qaug zog, tsaug zog, xeev siab.

O o
Thaum xub thawj, edema yog ib cheeb tsam hauv cheeb tsam periorbital (ncig lub qhov muag), tab sis thaum tus mob loj zuj zus, lawv pib tsim muaj kab noj hniav hauv lub cev (plab, pericardial) Edema nrog cov ntshav qab zib nephropathy yog daj ntseg, sov, zoo ib yam, tshwm thaum sawv ntxov.

Tus txheej txheem ntawm kev tsim kho ntawm edema cuam tshuam nrog kev poob ntawm cov protein nyob hauv cov ntshav, uas tau tawm ua ke nrog zis. Nquag, cov roj ntsha ntshav tsim cov ntshav oncotic, uas yog, lawv khaws cov dej hauv lub txaj vascular. Txawm li cas los xij, nrog cov ploj ntawm cov protein, cov kua tsis tuav hauv cov hlab ntsha thiab nkag mus rau hauv cov ntaub so ntswg. Dua li ntawm qhov tseeb tias cov neeg mob ntshav qab zib nephropathy poob ceeb thawj, sab nraud lawv zoo li edematous, vim yog qhov loj heev.

Ntshav siab
Hauv cov theem tom qab, cov neeg mob ntshav qab zib nephropathy muaj ntshav siab. Ua kom ntshav siab ntxiv yog txiav txim siab thaum systolic siab siab tshaj 140 mmHg thiab diastolic siab siab txog 90 mmHg.

Tus txheej txheem los ua kom ntshav siab ntau ntxiv ntawm ntau txoj kab kev sib txuas. Ua ntej txhua yam, nws yog qhov tuav dej thiab ntsev hauv lub cev. Qhov thib ob yog kev ua kom ntawm renin-angiotensin system. Renin yog cov kev ua haujlwm lom biologically tsim los ntawm lub raum thiab uas, dhau los ntawm cov txheej txheem nyuaj, tswj ntshav siab. Renin pib ua haujlwm tshwj xeeb tshaj yog thaum lub raum cov nqaij mos tau ua pa oxygen tshaib plab. Raws li koj paub, lub capillaries ntawm lub raum nyob rau hauv ntshav qab zib mellitus yog sclerotic, raws li kev txiav txim siab uas lub raum nres tau txais qhov tsim nyog ntawm cov ntshav, thiab nrog nws oxygen. Hauv kev teb rau hypoxia, dhau li ntawm renin pib tsim. Nws, nyeg, ua kom cov tshuaj angiotensin II, uas txwv cov hlab ntsha thiab txhawb kev tso cai ntawm aldosterone. Ob lub ntsiab lus kawg yog qhov tseem ceeb hauv kev txhim kho tawg.

Cov tsos mob tshwm sim ntawm intoxication - qaug zog, tsaug zog, xeev siab
Tsis muaj zog, nkees nkees, thiab xeev siab yog cov tsos mob tom qab ntawm tus mob ntshav qab zib nephropathy. Lawv txhim kho vim yog kev txuam nrog kev lom cov khoom hauv lub cev hauv lub cev. Nquag, lub cev cov khoom tseem ceeb (ammonia, urea) raug tawm hauv raum. Txawm li cas los xij, nrog kev swb ntawm cov hlab ntaws ntawm lub nephron, qhov kev ua haujlwm zoo ntawm lub raum pib raug kev txom nyem.

Cov tshuaj yuav tsis ua kom lub raum thiab zwm rau hauv lub cev. Kev txuam nrog urea hauv lub cev ua rau cov neeg mob ntshav qab zib ua pa tsis hnov tsw. Txawm li cas los xij, qhov txaus ntshai tshaj plaws yog kev txuam nrog cov tshuaj ammonia hauv lub cev. Nws yooj yim nkag mus rau hauv lub hauv nruab siab lub paj hlwb thiab ua rau nws puas tsuaj.

Cov tsos mob ntawm Hyperammonemia (siab ammonia concentration):

xeev siab
ntuav
kiv taub hau
tsaug zog
cramps yog tias qhov ua paug ntawm ammonia hauv lub hlwb tau mus txog 0.6 mmol.

Qhov hnyav ntawm intoxication nrog cov khoom lag luam metabolic ntawm lub cev yog nyob ntawm qhov neeg kawm ntawv poob qis hauv kev ua haujlwm ntawm lub raum.

Cov tsos mob ntawm tus kab mob ntshav qab zib

Mob ntshav qab zib encephalopathy tshwm sim los ntawm kev tsis nco qab thiab nco qab, ua rau mob taub hau thiab tsis muaj zog. Qhov laj thawj yog kev ua txhaum microcirculation ntawm theem ntawm lub hlwb. Vim muaj kev puas tsuaj rau phab ntsa vascular, lipid peroxidation cov txheej txheem tau qhib hauv nws nrog kev tsim cov dawb radicals, uas muaj kev puas tsuaj rau cov hlwb hlwb.

Cov tsos mob ntawm tus kab mob ntshav qab zib ua rau muaj mob qeeb qeeb. Txhua tus nws pib nrog kev ua kom tsis muaj zog thiab cov rog nkees ntau ntxiv. Cov neeg mob feem ntau txhawj xeeb txog mob taub hau uas tsis teb rau cov tshuaj loog. Tom qab, pw tsis tsaug zog koom nrog. Encephalopathy zoo li yog teeb meem kev pw tsaug zog thaum hmo ntuj, thiab tib lub sijhawm pw tsaug zog ib hnub.
Ntxiv mus, cim xeeb thiab saib xyuas cov teeb meem tshwm sim - cov neeg mob tsis nco qab thiab cuam tshuam.Kev ua haujlwm qeeb, ua tib zoo xav, tsis muaj peev xwm txhim kho yog pom. Cov tsos mob ua ke tau ntxiv rau cov tsos mob ntawm lub hlwb.

Cov tsos mob ua rau mob ntshav qab zib angiopathy ntawm hlab ntsha hlwb:

txav tsis meej,
ntxhab gait
anisocoria (sib txawv me ntsis),
convergence tsis meej
pathological reflexes.

Residual ntshav nitrogen

Residual nitrogen yog qhov ntsuas tseem ceeb ntawm lub raum ua haujlwm. Nquag, nws cov ntsiab lus hauv cov ntshav yog 14 - 28 mmol / liter. Cov ntsiab lus ntau ntxiv ntawm nitrogen nyob rau hauv cov ntshav qhia qhov kev ua txhaum ntawm excretory muaj nuj nqi ntawm lub raum.
Txawm li cas los xij, kev tshaj xov xwm tshaj plaws hauv kev kuaj mob ntshav qab zib nephropathy yog kev txiav txim siab ntawm nitrogen-muaj cov sib txuas, xws li urea thiab creatinine.

Urea
Hauv cov ntshav ntawm cov neeg muaj kev noj qab haus huv, qhov kev tsom ntawm urea muaj thaj tsam li ntawm 2.5 txog 8.3 mmol / litre. Nrog rau cov ntshav qab zib nephropathy, urea concentration nce ntau. Tus nqi ntawm urea ncaj qha nyob ntawm theem ntawm lub raum tsis ua haujlwm nyob rau hauv ntshav qab zib. Yog li, lub suab ntawm urea ntau dua 49 mmol / litre qhia qhov puas tsuaj rau lub raum. Hauv cov neeg mob uas mob raum tsis ua haujlwm vim muaj ntshav qab zib ua kom tsis muaj zog, cov tshuaj urea tuaj yeem ncav cuag 40-50 mmol / litre.

Neej Khuam Siab
Zoo li urea, creatinine concentration hais txog lub raum kev ua haujlwm. Nquag, nws cov ntsiab lus hauv cov ntshav hauv cov poj niam yog 55-100 micromol / liter, hauv cov txiv neej - los ntawm 62 txog 115 micromol / liter. Kev nce siab hauv siab tshaj cov nqi no yog ib qho ntawm qhov ntsuas ntawm ntshav qab zib nephropathy. Hauv thawj theem ntawm ntshav qab zib nephropathy, qib ntawm creatinine thiab urea yog nce me ntsis, tab sis thaum kawg, theem nephrosclerotic, lawv cov peev xwm nce siab zuj zus.

Ntshav lipid spectrum

Txoj kev kuaj ntshav no tshuaj xyuas cov feem ntshav xws li lipoproteins thiab roj (cholesterol). Nrog rau kev txhim kho cov ntshav qab zib macroangiopathy nyob rau hauv cov ntshav, cov lipoproteins ntau ntom tsawg, nrog rau cov roj (cholesterol) nce ntxiv, tab sis tib lub sijhawm lipoproteins ntau ntom tsawg tsawg. Kev nce ntxiv ntawm qhov kev txiav txim ntawm cov lipoproteins uas tsis muaj zog ntau dua li 2.9 mmol / litre qhia qhov muaj kev pheej hmoo loj ntawm kev tsim macroangiopathy. Nyob rau tib lub sijhawm, qhov txo qis hauv kev saib xyuas ntawm high-density lipoproteins hauv qab 1 mmol / litre tau suav hais tias yog qhov tseem ceeb ntawm kev txhim kho atherosclerosis hauv cov hlab ntsha.

Qhov kev sib xyaw ntawm cov roj (cholesterol) yog cov sib txawv ntawm cov neeg sib txawv. Lub tswv yim tsis meej ntawm qhov teeb meem no ntawm cov kws tshwj xeeb. Qee qhov pom zoo kom koj tsis txhob tshaj dhau cov roj (cholesterol) siab tshaj 7.5 mmol ib liter. Qhov kev lees paub dav dav niaj hnub no tsis pub tshaj 5.5 mmol. Kev nce hauv cov roj (cholesterol) siab dua 6 mmol pom tias muaj kev pheej hmoo ntawm kev tsim mob macroangiopathy.

Cov hau kev qhia rau txoj kev kawm txog tus mob ntshav qab zib angiopathy:

ib qho kev soj ntsuam ophthalmological zoo, uas suav nrog ncaj qha ophthalmoscopy, gonioscopy, kev kuaj nyiaj, kev thaij duab thaij sab hauv thiab thaij duab tom qab (OCT).
electrocardiogram
echocardiography
lub paj hlwb angiography,
dopplerography ntawm qis qis dua,
arteriography ntawm qis qis kawg,
raum ultrasound
Dopplerography ntawm cov hlab ntsha ntawm lub raum,
sib nqus nuclear resonance ntawm lub hlwb.

Echocardiography

Nov yog tus qauv ntawm kev kawm morphological thiab kev hloov pauv ntawm lub siab siv ultrasound. Txoj hau kev yog qhov tseem ceeb rau kev txheeb xyuas qhov cog lus cog lus ntawm lub siab. Nws txiav txim siab qhov mob stroke thiab feeb ntawm lub plawv, hloov hauv lub plawv, thiab tseem tso cai rau koj pom kev ua haujlwm hauv lub siab hauv lub sijhawm.

Txoj hau kev no yog siv los ntsuam xyuas kev puas tsuaj rau lub siab nqaij vim mob sclerosis ntawm cov hlab ntsha hauv lub plawv. Hauv qhov no, feeb feeb ntawm lub plawv poob qis dua 4,5 - 5 litres, thiab cov ntshav uas lub siab tawm hauv ib qho kev cog lus (mob stroke ntim) hauv qab 50 - 70 ml.

Dopplerography ntawm qis qis dua

Qhov no yog tus qauv ntawm kev soj ntsuam ultrasound ntawm ntshav ntws hauv cov hlab ntsha, qhov no, hauv cov hlab ntsha ntawm qhov qis qis.Nws tso cai rau koj txhawm rau txheeb xyuas kev ceev ntawm cov ntshav khiav hauv cov hlab ntsha thiab txiav txim siab qhov twg nws qeeb. Tsis tas li, tus txheej txheem ntsuas tus mob ntawm cov leeg, lawv patency thiab ua haujlwm valve.

Cov txheej txheem yog txoj cai yuav tsum tau ua rau cov neeg muaj tus mob ko taw, mob rwj lossis mob caj dab ntawm qhov qis qis. Nws txheeb xyuas qhov zoo ntawm txhua qhov kev raug mob thiab ntxiv cov kev kho mob ntxiv. Yog tias tsis muaj qhov thaiv tag nrho ntawm cov hlab ntsha, thiab ntshav cov ntshav tuaj yeem rov qab tau, tom qab ntawd tau txiav txim siab kom tau txais kev pom zoo los ntawm kev saib xyuas kom zoo. Yog tias, thaum lub sijhawm dopplerography, ua kom tiav cov hlab ntsha ntawm lub nkoj, yog tias tsis muaj qhov ua kom rov ua kom muaj ntshav ntxiv, qhov no hais tawm tsam kev kho mob ntxiv.

Raum Ultrasound

Kev kuaj xyuas ultrasound tso cai koj los soj ntsuam cov kev hloov pauv hauv lub raum - nws qhov loj me, kev zoo ib yam ntawm parenchyma, nyob ntawm fibrosis hauv nws (kev sib txuas ntawm cov nqaij mos) Txoj kev xav tau no yog tsim rau cov neeg mob uas mob nephropathy. Txawm li cas los xij, nws pom txog cov kev hloov hauv lub raum uas tau tshwm sim twb tawm tsam keeb kwm ntawm lub raum tsis ua haujlwm. Yog li, ntawm zaum kawg thiab theem kawg ntawm kev mob ntshav qab zib nephropathy, lub raum parenchyma yog hloov los ntawm cov ntaub so ntswg sib txuas (sclerosed), thiab lub raum nws tus kheej poob rau hauv lub ntim.

Ntshav qab zib nephropathy yog tsiag ntawv los ntawm diffuse thiab nodular nephrosclerosis. Hauv thawj kis, kev sib txuas ntawm cov nqaij mos kom loj hlob cia li pom kev. Hauv qhov chaw thib ob sclerosis tau sau tseg nyob rau hauv daim ntawv ntawm nodules. Ntawm ultrasound, cov chaw ntawm sclerosis yog pom nyob rau hauv daim ntawv ntawm hyperechoic foci (cov teeb pom kev zoo tuaj yeem pom ntawm lub tshuab tshuaj ntsuam).

Kev kho mob ntshav qab zib angiopathy nrog tshuaj ntsuab tshuaj

Tsoos tshuaj rau kev kho mob ntshav qab zib angiopathy:

teas
infusions
cov nqi tshuaj
dab da dej
compresses.

Raws li lub hauv paus tseem ceeb, cov nroj tsuag tshuaj ntsuab tau siv uas muaj cov tshuaj kho rau lub cev.

Hom kis tau los ntawm cov nroj tsuag tshuaj muaj:

dav dav cov nyhuv - ginseng, eleutherococcus, lure, leuzea.
kev ua yeeb yam zoo li insulin thiab zoo li insulin - clover, dandelion, nettle, elecampane,
cov txiaj ntsig metabolic - knotweed, blueberries, linden paj, St. John lub wort,
ib qho kev txiav txim uas txo qhov xav tau ntawm insulin - blackberry, pear, cornel, pomegranate, chicory,
immunostimulating effect - roob tshauv, lingonberry, sawv liab,
suab thaj txaij nyhuv - horsetail, pob kws (lub paj), birch (nplooj thiab buds),
insulin-stimulating effect - nplooj ntawm roob arnica, qhiav cag, pob kws stigmas.

Thaum npaj cov tshuaj ib txwm muaj, koj yuav tsum ua raws li cov ntaub ntawv hauv daim ntawv yuav tshuaj rau ntawm koob tshuaj thiab kev ua haujlwm. Txhawm rau kho nrog tshuaj ntsuab pej xeem kom tau txais txiaj ntsig zoo, qee txoj cai yuav tsum ua raws.

Cov cai ntawm cov tshuaj ntsuab:

yog tias cov tsos mob ntawm kev tsis txaus siab tau tshwm sim (xoo pob, khaus, kub, ua daus no), cov tshuaj yuav tsum nres,
Cov tshuaj kws kho mob ua ntawv yuav tsum tau yuav ntawm chaw muag tshuaj. Kev yuav khoom los ntawm cov tib neeg ntiag tug yuav tsum tsis txhob muaj nyiaj tsawg, tshwj xeeb yog tias koj xav tau tsob ntoo uas tsis tshua pom kev zoo rau tus neeg mob,
Thaum nriav cov nroj tsuag hauv ib lub tsev muag tshuaj, koj yuav tsum tau txheeb xyuas lub hnub tas sijhawm,
tom tsev, koj yuav tsum ua raws li cov lus pom zoo rau khaws cia tshuaj ntsuab (lub sijhawm, qhov xwm txheej thiab lwm yam),
kev sau ywj siab ntawm cov nroj tsuag tshuaj muaj peev xwm ua tau yog tias paub cov cai ntawm txoj kev no.

Tshuaj yej yog npaj los ntawm cov nroj tsuag muaj tshuaj ntsuab thiab hloov nrog cov dej haus no yog kas fes, ntsuab thiab dub tshuaj yej. Cov txiaj ntsig zoo ntawm cov dej haus yog khaws cia rau ib lub sijhawm luv. Yog li, npaj cov tshuaj yej ntim dej txhua hnub thiab muab cia rau hauv lub tub yees.

Chamomile tshuaj yej
Chamomile tshuaj yej muaj cov lus tshaj tawm suab thaj. Tsis tas li, cov dej haus muaj cov nyhuv antimicrobial thiab tiv thaiv. Nws yuav tsum tau yug nyob rau hauv lub siab tias cov haus dej haus cawv chamomile yog ib qho zoo anticoagulant.Yog li, cov neeg uas muaj ntshav nce siab yuav tsum tsis txhob haus cov tshuaj yej no. Ua cov tshuaj yej, koj yuav tsum noj ob lub teaspoons ntawm qhuav chamomile (15 grams) thiab hliv dej npau npau (250 milliliters) Tseg qhov muaj pes tsawg leeg rau ib nrab ib teev mus rau infuse, tom qab ntawd lim thiab haus dej hauv daim ntawv chilled lossis sov.

Linden tshuaj yej
Linden tshuaj yej txo qis qis hauv qab zib thiab yog li ntawd pom zoo hauv kev kho mob ntshav qab zib angiopathy. Tsis tas li, kua txiv qaub qaub ntau ntxiv lub cev tiv thaiv kab mob thiab tiv thaiv kev txhim kho ntawm cov teeb meem. Cov tshuaj yej yuav tsum tau npaj los ntawm cov nroj tsuag qhuav, uas yuav tsum tau yuav hauv chaw muag tshuaj. Nrog rau tus kheej kev sib sau, cov ntoo cog ze ntawm txoj kev loj thiab chaw tsim khoom yuav tsum raug zam.
Txhawm rau rhaub ib liter dej tshuaj yej koj yuav tsum sib xyaw ib liv ntawm cov dej npau (4 khob) thiab plaub diav nrog ib lub toj ntawm cov nroj tsuag qhuav. Tuav qhov sib xyaw ntawm cov hluav taws rau tsib mus rau kaum feeb, kom tsis txhob npau npau. Koj tuaj yeem noj tshuaj linden tsis muaj kev txwv rau ib hlis, tom qab ntawd koj xav tau so rau ob rau peb lub lis piam.

Blueberry Nplooj Tshuaj Yej
Blueberry nplooj muaj neomyrtillin - ib yam khoom uas txo cov ntshav qab zib. Txhawm rau haus, koj yuav tsum tau noj ib tug tablespoon ntawm tshiab, finely tws nplooj, ncuav ob khob dej npau (500 milliliters) thiab tuav li tsib feeb rau ntawm cov cua sov tsawg. Haus cov dej haus dej haus no yuav tsum yog kaum tsib feeb ua ntej noj mov, siv cov kev npaj haus rau ib hnub.

Los ntawm blueberries koj tuaj yeem ua dej haus, uas kuj muaj cov ntsiab lus siab ntawm cov as-ham. Koj yuav tsum noj nees nkaum-tsib grams ntawm cov kua txiv tshiab (ib diav nrog saum), txuas nrog lub khob dej (250 milliliters) thiab sawv ntsug ntawm hluav taws rau kaum tsib feeb, yam tsis tau nqa mus rau lub rhaub muaj zog. Kaum feeb ua ntej noj mov, haus ob dia (35 milliliters) Txoj kev lis ntshav ntau zaus ib hnub.

Sage tshuaj yej
Sage qhib kev ua haujlwm ntawm insulin hauv lub cev, tshem tawm cov co toxins thiab ntxiv dag zog rau lub cev. Nws yog ib qho tsim nyog yuav tau sau rau hauv ib lub thermos ntawm nplooj qhuav ntawm sage (ib mus rau ob dia), ncuav ib khob dej rhaub (250 milliliters) thiab tawm mus rau infuse rau ib teev. Haus dej haus yuav tsum yog ob rau peb zaug hauv ib hnub, 50 grams (ib khob tsib) Thaum cev xeeb tub, pub mis niam thiab kev mob siab, tshuaj yej thiab lwm yam zaub mov raws li qhov kev qhia yuav tsum muab pov tseg.

Lilac Tshuaj Yej
Lilac tshuaj yej normalizes ntshav qab zib ntau ntau. Hauv lub caij nplooj ntoo hlav thaum ntxov, lilac buds tau siv, hauv lub caij nplooj ntoo hlav lig - paj, thiab lub caij ntuj sov koj tuaj yeem ua dej haus los ntawm cov nplooj ntsuab ntawm cov nroj tsuag no. Koj yuav tsum ua cov tshuaj yej hauv lub thermos. Ib tug tablespoon ntawm buds los yog lilac paj yuav tsum tau nchuav nrog ib liter ntawm dej npau. Siv cov dej haus li no peb zaug ib hnub ua ntej noj mov, 85 milliliters (ib feem peb ntawm iav).

Nquag noj tshuaj infusions raws cov nroj tsuag tshuaj txhawb kev tsim cov tshuaj insulin, ua kom cov metabolism zoo li qub thiab ua kom lub cev muaj zog. Tus nab npawb ntawm cov tshuaj ntsuab ua raws li cov tshuaj tiv thaiv kab mob, txhim kho pancreatic muaj nuj nqi thiab normalizing carbohydrate metabolism.

Taum nplooj ntoos Txoj kev lis ntshav
Qhov sib xyaw ntawm cov taum nplooj muaj cov tshuaj arginine, uas muaj cov nyhuv zoo li insulin rau ntawm lub cev. Los npaj lub Txoj kev lis ntshav, koj xav tau ib txhais tes ntawm taum nplooj (100 grams) muab tso rau hauv lub thermos. Ntxiv ib liter ntawm dej npau thiab tawm mus rau ob peb teev. Strained thiab chilled Txoj kev lis ntshav yuav tsum tau noj ib nrab ib teev ua ntej ib pluas noj. Siv taum nplooj los ua lub ntsiab lus tseem ceeb, koj tuaj yeem npaj cov kev lis ntshav nrog qhov ntau ntawm cov teebmeem.

Cheebtsam rau kev npaj ntawm Txoj kev lis ntshav:

taum nplooj - tsib diav (100 grams),
Hypericum perforatum - ob diav (40 grams),
sawv duav - ob dia (50 grams),
horsetail - ob diav (40 grams),
flax noob - ib me nyuam diav (10 grams).

Ib tug tablespoon ntawm qhov sib tov ntawm cov khoom xyaw saum toj no yuav tsum tau muab ncu txhua hnub hauv lub thermos nrog ib khob ntawm dej npau (250 milliliters) Koj yuav tsum tau haus dej haus me me rau txhua hnub, thiab tag kis sawv ntxov los npaj lub qab zib tshiab. Horsetail muaj qhov ua kom lub cev huv, tshem tawm cov co toxins. John lub wort muaj cov tshuaj tua kab mob thiab tua kab mob. Cov noob flax rov qab ua haujlwm ntawm cov txiav, uas tsim cov tshuaj insulin.

Dandelion Hauv paus Txoj kev lis ntshav
Cov hauv paus hniav Dandelion muaj cov tshuaj inulin, uas yog ib tsob nroj uas siv cov tshuaj insulin. Tsis tas li, keeb kwm ntawm dandelion suav nrog fructose, uas yog nqus los ntawm lub cev sai dua li cov piam thaj. Qhov tsim nyog txaus ntawm inulin thiab fructose kuj pom muaj nyob hauv chicory thiab Jerusalem artichoke.

Los npaj Txoj kev lis ntshav, ob dia ntawm lub hauv paus yuav tsum tau sau rau hauv ib lub thermos hauv daim ntawv qhuav lossis tshiab. Ncuav ib liter ntawm boiled dej kub (4 khob) thiab tawm ib hmos. Koj yuav tsum tau haus cawv thaum nruab hnub, noj cov kev kho mob kaum rau kaum tsib feeb ua ntej noj mov.

Cov nqi them tshuaj

Suav sau 1
Nroj tsuag rau sau

Arnica (paj thiab nplooj),
hawthorn
elecampane cag
nettle nplooj - ib nrab ntawm cov cai,
blueberry nplooj - ib nrab ntawm kev cai.

Cov nroj tsuag qhuav yuav tsum tau muab tsoo rau hauv kas fes grinder, tshiab - finely tws. Nws yog ib qho tsim nyog los npaj txoj kev lis ntshav txhua hnub, txij li lub zog ntawm cov tshuaj ntsuab hauv nws thaum lub sij hawm ntev cia tig los ntawm cov muaj txiaj ntsig tsis zoo. Ib tug tablespoon ntawm sau, ncuav ib khob ntawm dej npau, nws yog ib qhov tsim nyog los tawm mus rau infuse rau ib teev. Lim thiab haus 85 milliliters (ib feem peb ntawm iav) kaum feeb ua ntej noj mov.

Suav sau 2
Txoj kev lis ntshav ntawm no sau ntawm tshuaj ntsuab yuav tsum tau noj nyob rau hauv ib lub lis piam, tom qab uas raug ncua ib qho tsim nyog. Koj yuav tsum siv lub decoction rau ib feem peb ntawm cov iav (65 milliliters) kaum feeb ua ntej noj mov.

Cov khoom xyaw rau qhov npaj ntawm kev sau:

flax noob - kaum grams,
elecampane paus - 20 grams,
nettle nplooj - 30 grams,
horsetail - 30 grams.

Ib chav da dej ntsuab pab txo qis txoj kev pheej hmoo ntawm kev mob ntshav qab zib. Kev kho mob nrog tshuaj ntsuab da dej tiv thaiv kev puas tsuaj rau ntawm cov hlab ntsha leeg, uas tshem tawm txoj kev pheej hmoo ntawm kev tsim mob ko taw.

Tsis hais txog qhov muaj pes tsawg leeg ntawm kev siv tshuaj ntsuab siv los npaj da dej, txoj cai hauv qab no yuav tsum pom tom qab cov txheej txheem dej:

tshem tawm kev muab lub cev qoj ib ce tsis pub dhau ob teev tom qab da dej,
tsis txhob noj zaub mov txias lossis dej qab zib tom qab ua tiav,
tshem tawm kev siv cov khoom tsim kev puas tsuaj thiab tshuaj lom ua ntej 24 teev tom qab da dej.

Wheatgrass da dej
50 grams ntawm wheatgrass qhuav paus creeping ncuav dej npau npau (ib mus rau ob liv) thiab tuav ntawm hluav taws rau kaum txog kaum tsib feeb. Ncuav lub si rau hauv lub dab da dej uas muaj dej, qhov kub uas tsis tshaj 35 degrees. Lub sijhawm tiv thaiv ntawm cov txheej txheem tsis yog ntau tshaj kaum tsib feeb. Lub chav kawm ntawm kev da dej yog txhua txhua hnub rau ob lub lis piam, tom qab uas ib lim piam so yuav tsum ua.

Dawb lub hauv paus da dej
Sau 50 grams ntawm tsob ntoo nrog dej (ob rau peb tsom iav) thiab hais rau ob peb (ob rau peb) teev sijhawm. Tom ntej, muab cov infusion rau hluav taws thiab cia sawv ntsug ntawm lub qhov cub me me rau nees nkaum feeb. Lim lub broth thiab ntxiv rau da dej nrog dej (35 - 37 qib) Qhov txheej txheem dej no yuav tsum tau ua ua ntej yuav mus pw rau kaum txog kaum ob hnub.

Da dej nrog Jerusalem artichoke
Txhawm rau npaj da dej nrog Jerusalem artichoke, npaj ib thiab ib nrab phaus ntawm qhov sib xyaw ntawm cov saum, cov paj, cov tub (tshiab lossis qhuav) Ncuav Jerusalem artichoke nrog ib thoob ntawm dej npau npau (kaum liv) thiab muab ib qho taws me. Tom qab kaum rau kaum tsib feeb ntawm ib qho cub me me, tshem tawm los ntawm tshav kub thiab tawm mus rau infuse rau nees nkaum feeb. Lim lub broth thiab ntxiv nws mus rau hauv dej da dej (35 - 40 degrees) Da dej nrog Jerusalem artichoke yuav tsum yog txhua ob hnub rau ob rau peb lub lis piam.

Clover da dej
Noj 50 gram ntawm qhuav meadow clover thiab sau nrog ib litre (4 khob) dej kub. Tom qab ob teev Txoj kev lis ntshav, ntxiv rau chav da dej, qhov dej kub ntawm qhov uas yuav tsum tsis pub tshaj 37 degrees. Nws yog ib qho tsim nyog yuav tsum tau ua cov txheej txheem ua ntej mus pw rau ob lub lis piam. Lub sijhawm tiv thaiv ntawm da dej yog los ntawm kaum rau kaum tsib feeb.

Yuav kom kho sai sai ntawm qhov mob ntawm ko taw nyob rau hauv mob ntshav qab zib angiopathy, lwm yam tshuaj muaj cov compresses thiab hnav khaub ncaws raws li cov tshuaj thiab cov roj.

Herbal tej khaub ncaws
Los npaj ib lub zaws, zom cov khoom xyaw rau hauv daim ntawv qhia thiab siv rau qhov mob txhab. Qhov loj yog tsau nrog daim ntaub qhwv caj dab. Ua ntej thov kev tsim ntawm cov taw, ntxuav nrog dej sov. Tom qab hle cov ntaub qhwv tuaj yeem, yaug koj ob txhais taw thiab hnav cov thom khwm huv huv. Qhov ntau zaus ntawm tshuaj ntsuab compresses yog ob rau peb zaug ib hnub.

Cheebtsam rau compresses:

shredded thiab tag nrho tshiab marigold nplooj,
crushed nplooj thiab yuav luag linden zoo li lub plawv,
qhuav nettle tawm hauv av hauv hmoov av.

Roj compresses
Kev zaws raws li cov roj, tshuaj ntsuab thiab lwm yam muaj txiaj ntsig muaj qhov ua kom zoo rau qhov mob ntawm qhov txhab, ua kom tawv nqaij thiab txo qhov mob.

Cov khoom xyaw rau zib ntab compress:

cov roj ua kom zoo zoo roj - 200 grams,
cob ntawm ntoo thuv lossis spruce - 50 grams (roj hmab yuav tsum tau yuav hauv khw muag tshuaj lossis khw tshwj xeeb),
beeswax - 25 grams.

Muab cov roj tso rau hauv lub tais tej hub tso rau ntawm qhov cub thiab coj mus rau rhaub. Ntxiv cov ciab thiab dej qab thiab khaws cov hluav taws ntxiv li 5 txog 10 feeb. Txias qhov muaj pes tsawg leeg rau chav sov, tso rau ntawm daim ntaub ci. Xauv ntawm qhov txhab thiab tawm rau nees nkaum mus rau peb caug feeb. Cov txheej txheem yuav tsum tau nqa tawm txhua hnub.

Kev tswj ntshav qab zib

Rau cov neeg muaj kev pheej hmoo, nws yog ib qhov tsim nyog yuav tsum ua cov kab ke ntshav mus soj ntsuam cov ntshav qab zib. Qhov no yuav tsum tau ua raws li lub sijhawm tshwj xeeb, uas tus kws kho mob yuav pab kom kos duab. Cov neeg muaj rog lossis cov neeg txheeb ze uas muaj ntshav qab zib yuav tsum kuaj lawv cov piam thaj ntau ntau hauv ib lub lis piam. Niaj hnub no ntawm kev muag khoom muaj cov cuab yeej tshwj xeeb uas pab txhawb txoj haujlwm ntawm tus kheej saib xyuas cov piam thaj hauv ntshav. Teb raws sij hawm rau kev nce ntshav qab zib cov ntshav yuav pab tiv thaiv kev txhim kho ntawm cov teeb meem.

Tom qab kuaj mob ntshav qab zib, kev tiv thaiv yog tiv thaiv tiv thaiv cov teeb meem. Cov theem ntawm cov cholesterol nyob rau hauv cov ntshav yog ib qho kev taw qhia uas yuav tsum tau soj ntsuam, txij li nws nce provokes vascular pathology thiab cov nqaij puas tsuaj. Thaum cov piam thaj cov ntshav nce siab dua 10 mmol / litre, nws nkag mus rau lub raum lim thiab tshwm rau hauv cov zis. Yog li, nws raug nquahu kom tsis txhob cia ib qho kev nce nrawm nrawm dhau 6.5 mmol / litre. Nyob rau tib lub sijhawm, ib tus neeg tsis tuaj yeem tso cai kom tau qhov nce siab thiab tso zis ntau dhau ntawm cov piam thaj, vim nws yog cov nplaig ntws ntawm glycemia uas ua rau cov hlab ntshav puas.

Cov lus ntsuas uas yuav tsum tau muab tso rau hauv kev mob ntshav qab zib angiopathy:

piam thaj ntau: 6.1 - 6.5 mmol / liter,
piam thaj ob teev tom qab noj mov: 7.9 - 9 mmol / litre,
glycosylated hemoglobin: 6.5 - 7.0 feem pua ntawm tag nrho hemoglobin,
cov roj (cholesterol): 5.2 - 6.0 mmol / litre,
ntshav siab: tsis ntau tshaj 140/90 mmHg.

Yog tias mob ntshav qab zib angiopathy nyuaj los ntawm kev txhim kho cov hlab plawv lossis cov ntshav ntws tsis tsaug zog, tom qab ntawd cov sib txawv no txawv me ntsis.

Cov kev txiav txim siab uas yuav tsum tau ua raws li mob ntshav qab zib angiopathy nyuaj los ntawm kev mob plawv, nrog rau cov kev mob hypoglycemic ntau zaus:

piam thaj ntau: 7.8 - 8.25 mmol / liter,
glycosylated hemoglobin: 7 txog 9 feem pua,
glycemic fluctuations hauv ib hnub tsis ntau tshaj 10 - 11 mmol / liter.

Zaub mov kom tsawg

Cov uas pheej hmoo yuav tsum tswj hwm cov zaub mov noj kom ntau thiab cov khoom noj kom tsis txhob mob angiopathy. Cov zaub mov yuav tsum ua feem me, cov zaub mov yuav tsum noj tsib zaug ib hnub nyob rau hauv qhov me me, zam kev muaj kev tshaib kev nqhis lossis kev noj qab nyob zoo. Tus nqi ntawm cov zaub mov carbohydrates yooj yim noj yuav tsum tau txo kom tsawg. Cov khoom lag luam no suav nrog qab zib, ncuav qab zib thiab khob cij dawb, khob noom, zib ntab. Qhov tsis muaj qab zib tuaj yeem them taus los ntawm cov khoom noj qab zib thiab muaj pes tsawg qib zaub thiab txiv hmab txiv ntoo. Kev nqus ntawm txiv tsawb, txiv quav ntswv nyoos thiab lwm yam txiv hmab txiv ntoo nrog cov piam thaj hauv siab yuav tsum txo kom tsawg.

Cov cai khoom noj khoom haus rau kev tiv thaiv cov mob ntshav qab zib angiopathy:

tsis suav siv cov khoom kib thiab khoom noj uas muaj lub siab haus,
nce qhov ntau ntawm cov dos (ci los yog hau),
nce nqi ntawm cov txiv hmab txiv ntoo thiab zaub noj,
steamed, ci lossis hau zaub mov yuav tsum yeej ntawm cov khoom noj
Cov rog rog (yaj, nqaij npuas) yuav tsum tau hloov los ntawm lean (nqaij qaib, qaib cov txwv, nqaij menyuam nyuj),
thaum ua noj nqaij qaib, nqaij yuav tsum tau muab tshem tawm ntawm cov nqaij,
cov kaus poom zaub mov thiab cov khoom noj muaj txiaj ntsig yuav tsum tau ua kom tsawg
txhawm rau txhim kho cov txheej txheem ntawm kev zom ntawm cov rog, cov txuj lom yuav tsum tau ntxiv rau hauv cov zaub mov (tsuas yog kua txob kub).

Nrog txoj kev ntshaw zoo rau cov qab zib, chocolate thiab cov khoom lag luam los ntawm nws tuaj yeem hloov nrog marmalade lossis marshmallows. Koj tuaj yeem qab qab zib compote thiab lwm yam dej haus nrog cornel, blackberry, raspberry. Tsis tas li ntawm muag yog cov khoom lag luam tshwj xeeb muaj suab thaj uas hloov pauv nrog cov khoom cua lossis cov khoom qab zib. Nws yuav tsum tau yug los hauv lub siab tias qhov ntau ntawm cov khoom siv suab thaj hluavtaws muaj teebmeem rau kev noj qab haus huv.

Cov khoom noj rau kev tiv thaiv tus kab mob ntshav qab zib angiopathy:

wholemeal hmoov nplej khoom,
mov, buckwheat thiab barley groats, oatmeal,
oat, nplej, txhuv, nplej rye,
qos yaj ywm thiab lwm cov zaub mov muaj fiber ntau.

Kev zom cov carbohydrates nyuaj yuav tsum siv sijhawm ntau dua li lwm cov zaub mov. Raws li qhov tshwm sim, cov piam thaj maj mam nkag mus rau hauv cov hlab ntshav thiab lub qhov quav muaj sij hawm txaus los tsim cov tshuaj insulin, thiab lub cev tswj kom nqus nws. Muaj ntau tus naj npawb ntawm cov khoom uas txo cov ntshav qab zib, txhawb cov insulin ntau lawm, thiab muaj cov txiaj ntsig zoo rau kev ua haujlwm ntawm tus txiav.

Pancreatic stimulant khoom:

sauerkraut,
blueberries
ntsuab taum
zaub ntsuab
zaub ntsuab.

Dej tshuav nyiaj
Tswj kev noj qab haus huv dej tshuav yog ib qho tseem ceeb tiv thaiv kev txhim kho mob ntshav qab zib. Qhov dej txaus txaus stimulates tsim tawm ntawm insulin thiab nws nqus los ntawm lub cev. Txhawm rau muab cov hlwb nrog cov tsim nyog ntawm cov dej noo, koj yuav tsum haus dej haus li ob liv dej nyob rau ib hnub (yim iav) Xum cov ntxhia ntxiv dej, tsis muaj qab zib tshuaj ntsuab thiab txiv hmab txiv ntoo. Txog kev tiv thaiv tus kab mob ntshav qab zib angiopathy, nws yog qhov tseem ceeb uas siv kua txiv pomegranate, kua dib tshiab, kua txiv plum.
Kev haus dej ua ke yuav tsum tsis pub dhau yog tias lub raum tsis ua haujlwm, kev mob ntshav siab.

Kev saib xyuas ko taw

Kev saib xyuas ko taw yog lub luag haujlwm tseem ceeb hauv kev tiv thaiv kab mob ntshav qab zib. Tu koj txhais taw kom huv thiab ua raws txhua txoj cai rau kev tu lawv. Yog tias koj cov tawv nqaij qhuav, koj yuav tsum siv cov tshuaj pleev kom ntub dej, uas suav nrog siv zis. Nkawm khau yuav tsum hnav zoo, tsis txhob ua qhov tsis xis nyob (muab tshuaj ntxuav, muab qhwv) Cov khau khau nrog cov insoles uas ua los ntawm cov khoom ntuj yuav tsum tau xaiv. Xaiv dav dav-ntiv taw thiab cov khau siab khau siab. Zam txhob hnav thom khwm ua los ntawm cov khoom siv hluavtaws. Nco ntsoov tias koj txhais taw yuav tsis raug teeb meem ntshav lossis txo tsis dhau.Zam kev ua kom puas, doog ntshav, txiav. Kev kho cov pob txha thiab calluses kom raws sij hawm, kev siv cov tshuaj tua kab mob thiab kuaj cov kab mob ntawm lub ko taw yuav zam kom tsis txhob muaj ntshav qab zib.

Cov cai hais txog kev saib xyuas ko taw rau tus mob ntshav qab zib qis qws angiopathy:

txhua yav tsaus ntuj, taw yuav tsum tau muab ntxuav nrog dej sov nrog cov poov tshuaj permanganate thiab me nyuam xab npum,
tom qab cov txheej txheem dej, taw yuav tsum nplawm ntsej muag nrog phuam, pleev cov tshuaj tua kab mob thiab ua roj rau ntawm daim tawv nqaij ntawm cov ntiv tes nrog dej cawv,
koj yuav tsum tau txiav toenails ib zaug ib lub lim tiam ntawm lub kaum sab xis,
tshem tawm cov txheej txheem txhav thiab muab cov tawv nqaij ntawm txhais ceg,
tsis txhob taw nyob ze ntawm hluav taws, qhov cub lossis lwm yam khoom siv cua sov,
tsis txhob ntsuas nkawm khau tshiab ntawm txoj kev txhais ko taw,
tsis txhob siv lwm tus li khau, thom khwm, phuam da dej,
hauv cov chaw pej xeem (tsev so, pas dej ua ke, sauna) siv cov khau uas pov tseg.

Yog tias koj pom ib tus ntsia hlau ingrown ntsia hlau, tawg lossis mob rau ntawm taw, yog tias koj hnov mob thaum taug kev thiab nrog ua tiav lossis ib nrab ntawm cov neeg rhiab ntawm ko taw, koj yuav tsum sab laj nrog cov kws tshaj lij.

Lub cev qoj ib ce

Kev tiv thaiv kev tiv thaiv hauv kev tua cov mob ntshav qab zib mellitus thiab nws cov teeb meem suav nrog kev ua kis las thiab ua si lub cev.

Hom kev tawm dag zog hauv cov ntshav qab zib mellitus:

taug kev hauv cov tiaj ua si, plaub fab,
mus ncig ua si da dej
kev caij tsheb kauj vab
taug kev ntawm taw ntaiv dua li of the elevator,
txo cov hauv kev uas siv thauj khoom uas nyiam taug kev,
nce roob hauv hav zoov.

Thaum lub sijhawm nyob hauv cov huab cua ntshiab, cov metabolism hauv lub cev hloov kho, cov ntshav muaj kev hloov kho. Cov roj ntsha ua kom lub cev puas lawm, thiab cov piam thaj tsis nyob hauv cov ntshav. Yog tias muaj teeb meem cuam tshuam nrog kev rog, koj yuav tsum mob siab peb caug feeb ib hnub rau kev ua kis las. Cov kev ua kis las uas tau pom zoo thiab hom kev thauj khoom yuav tsum xaiv nyob ntawm seb lub cev nqaij daim tawv zoo li cas, hauv kev sab laj nrog kws kho mob.