Kev mob ntshav qab zib retinopathy, cov theem thiab kev kho mob

Peb muab koj los nyeem cov lus ntawm cov ncauj lus: "kev mob ntshav qab zib retinopathy, cov theem thiab cov txheej txheem kho" nrog cov lus los ntawm cov kws tshaj lij. Yog tias koj xav nug ib lo lus nug lossis sau cov lus pom, koj tuaj yeem ua qhov yooj yim li hauv qab no, tom qab kab lus. Peb tus kws tshaj lij endoprinologist yuav teb rau koj.

Kev kho mob ntshav qab zib: ntu, tsos mob thiab kho mob

Mob ntshav qab zib retinopathy - kev puas tsuaj rau cov hlab ntsha ntawm retina ntawm lub pob muag. Qhov no yog qhov mob hnyav heev thiab ntau zaus ntawm cov ntshav qab zib, uas tuaj yeem ua rau dig muag. Pom kev tsis pom kev hauv 85% ntawm cov neeg mob uas mob ntshav qab zib hom 1 nrog kev paub txog 20 xyoo lossis ntau dua. Thaum kuaj pom tus kab mob ntshav qab zib hom 2 hauv cov neeg muaj hnub nyoog nruab nrab thiab laus, tom qab ntawd ntau dua 50% ntawm tus neeg mob, lawv tam sim ntawd qhia kev puas tsuaj rau cov hlab ntsha uas muab ntshav rau lub qhov muag. Cov teeb meem ntshav qab zib yog qhov xub thawj tshaj plaws uas ua rau muaj kev dig muag tshiab ntawm cov neeg laus hnub nyoog 20 txog 74 xyoo. Txawm li cas los xij, yog tias koj niaj hnub kuaj xyuas los ntawm tus kws kho qhov muag thiab kho mob siab, tom qab uas muaj feem ntau koj yuav muaj peev xwm tswj tau lub zeem muag.

Video (nyem mus ua si).

Tus mob ntshav qab zib retinopathy - txhua yam koj yuav tsum paub:

Qib ntawm kev loj hlob ntawm cov ntshav qab zib muaj teeb meem nyob rau hauv lub zeem muag.
Proliferative retinopathy: nws yog dab tsi.
Kev ntsuam xyuas tas li los ntawm tus kws kho lub ntsej muag.
Tshuaj kho mob ntshav qab zib.
Laser photocoagulation (cauterization) ntawm tus retina.
Txoj kev kho mob yog txoj kev phais mob hlwb.

Hauv cov theem lig, cov teeb meem retinal hem ua kom tiav ntawm qhov tsis pom kev. Yog li, cov neeg mob uas muaj kabmob ntshav qab zib ua kom lub siab rov qab zoo dua li feem ntau kho cov laser coagulation. Qhov no yog kev kho mob uas tuaj yeem ncua qhov pib ntawm qhov muag dig muag ntev. Ib qho ntau tshaj% ntawm cov neeg mob ntshav qab zib muaj cov cim ntawm retinopathy thaum ntxov. Nyob rau lub sijhawm no, tus kabmob tsis ua rau pom lub qhov muag pom thiab tsuas pom thaum kuaj los ntawm tus kws kho qhov muag xwb.

Tam sim no, lub hnub nyoog nruab nrab ntawm cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2 nce ntxiv vim tias kev tuag los ntawm cov kab mob plawv yog muaj tsawg zuj zus. Qhov no txhais tau tias ntau tus neeg yuav muaj sijhawm los tsim kho tus mob ntshav qabzib retinopathy. Ntxiv rau, lwm yam kev cuam tshuam txog ntshav qab zib, tshwj xeeb tshaj yog cov kab mob ntshav qab zib thiab lub raum, feem ntau nrog cov teeb meem qhov muag.

Qhov tseeb txog kev txhim kho rau kev txhim kho ntshav qab zib kom tseem tsis tau muaj tsim. Tam sim no, cov kws tshawb fawb tab tom tshawb nrhiav ntau cov kev xav. Tab sis rau cov neeg mob qhov no tsis yog qhov tseem ceeb. Qhov loj tshaj plaws yog qhov pheej hmoo txaus ntshai twb paub meej, thiab koj tuaj yeem coj lawv mus tswj.

Qhov ntxim nyiam muaj qhov muag teeb meem hauv cov ntshav qab zib yuav nce sai yog koj:

Sij hawm nce cov ntshav qabzib
ntshav siab (tawg),
haus luam yeeb
mob raum
cev xeeb tub
kev tshuaj ntsuam genetic predisposition
kev pheej hmoo ntawm ntshav qab zib retinopathy nce nrog lub hnub nyoog.

Cov kev pheej hmoo tseem ceeb yog cov ntshav qab zib thiab ntshav siab. Lawv tseem nyob deb ua ntej ntawm lwm yam khoom siv nyob hauv cov npe. Xws li cov uas tus neeg mob tsis tuaj yeem tswj hwm, uas yog lawv caj ces, hnub nyoog thiab sijhawm mob ntshav qab zib.

Cov hauv qab no piav qhia hauv cov lus kom nkag siab txog dab tsi tshwm sim nrog tus mob ntshav qab zib retinopathy. Cov kws tshwj xeeb yuav hais tias qhov no yooj yim dhau kev txhais, tab sis rau cov neeg mob nws txaus. Yog li, cov hlab ntsha me me uas cov ntshav ntws mus rau lub qhov muag tau rhuav tshem vim tias cov ntshav qab zib ntau ntau ntxiv, kev kub siab thiab haus luam yeeb. Kev xa pa oxygen thiab cov khoom noj muaj roj zuj zus. Tab sis cov retina noj ntau oxygen thiab piam thaj hauv ib qhov hnyav dua li lwm cov nqaij hauv lub cev. Yog li ntawd, nws yog tshwj xeeb tshaj yog rhiab rau cov ntshav.

Hauv kev teb rau cov pa oxygen tshaib plab ntawm cov ntaub so ntswg, lub cev loj tuaj tshiab capillaries los kho cov ntshav ntws mus rau lub qhov muag. Kev loj hlob yog qhov loj hlob ntawm cov capillaries tshiab. Qhov pib, tsis yog nthuav tawm, theem ntawm kev mob ntshav qab zib retinopathy txhais tau tias cov txheej txheem no tseem tsis tau pib. Nyob rau lub sijhawm no, cov phab ntsa ntawm cov hlab ntsha me tsuas yog vau. Cov kev rhuav tshem no yog hu ua microaneurysms. Los ntawm lawv qee zaum ntshav thiab kua dej ntws mus rau qhov retina. Cov hlab hauv cov leeg thaum retina tuaj yeem pib o thiab qhov nruab nrab ntawm tus retina (macula) kuj tuaj yeem pib o, ib yam nkaus. Qhov no paub zoo li macular edema.

Kev loj hlob theem ntawm cov ntshav qab zib ua haujlwm retinopathy - txhais tau hais tias kev loj hlob ntawm cov nkoj tshiab tau pib, los hloov cov uas tau ua puas lawm. Cov hlab ntsha hauv lub cev tsis zoo tuaj yeem loj hlob nyob rau hauv retina, thiab qee zaum cov hlab ntsha tshiab tuaj yeem txhim kho mus rau hauv lub cev vitreous - lub pob tshab uas zoo li lub pob tshab uas ua rau hauv qhov chaw ntawm lub qhov muag. Hmoov tsis zoo, cov hlab ntsha tshiab uas loj zuj zus tuaj yeem ua haujlwm tsis zoo. Lawv cov phab ntsa tsis yooj yim heev, thiab vim tias qhov no, los ntshav tshwm sim ntau zaus. Cov ntshav txhaws ntau zuj zus ntxiv, cov ntawv ntawm cov ntaub ua fibrous, i.e. scars nyob rau thaj tsam ntawm hemorrhages.

Tus Retina tuaj yeem ncab thiab cais los ntawm sab nraum qab ntawm lub qhov muag, qhov no hu ua kev tsis kam ua retinal. Yog tias cov hlab ntsha tshiab cuam tshuam nrog cov kua hauv lub cev tawm ntawm lub qhov muag, ces cov kua muag ntawm lub qhov muag yuav nce ntxiv. Qhov no nyeg ua rau kev puas tsuaj rau optic hlab ntsha, uas nqa cov duab los ntawm koj lub qhov muag mus rau lub hlwb. Tsuas yog nyob rau theem no tus neeg mob muaj kev tsis txaus siab txog qhov pom kev plooj plooj, pom kev tsis pom kev tsaus ntuj, cuam tshuam rau cov khoom, thiab lwm yam.

Yog tias koj txo koj cov ntshav qab zib, thiab tom qab ntawd stably tswj nws ib txwm thiab tswj kom koj cov ntshav siab tsis siab tshaj 130/80 hli Hg. Txuj ci., Tom qab ntawv qhov kev pheej hmoo tsis yog tsuas yog retinopathy, tab sis kuj tseem muaj tag nrho lwm yam kev cuam tshuam ntawm cov ntshav qab zib kom tsawg. Qhov no yuav tsum txhawb cov neeg mob kom ua tiav txoj kev kho ncaj ncees.

Mob ntshav qab zib ua dab tsi, nws cov cim thiab txoj kev kho

Hauv cov neeg mob ntshav qab zib, piv nrog qhov nruab nrab, tus neeg muaj kev noj qab haus huv, qhov kev pheej hmoo ntawm ischemia thiab lub raum puas tsuaj yog qhov siab dua, ib ntawm 200 poob ntiv taw vim kev loj hlob ntawm gangrene, thiab qhov tshwm sim ntawm qhov ua tiav tsis pom kev yog 25 npaug ntau dua. Tsis muaj cov ntshav txaus txaus vim tias muaj suab thaj ntau ntxiv hauv cov kabmob uas muaj kabmob yooj yim tshaj plaws ntawm tus neeg - lub siab, ob txhais ceg, lub raum, qhov muag. Kev mob ntshav qab zib retinopathy, qhov kawg ntawm qhov uas yog qhov muag tsis pom kev, pib txhim kho thaum ntxov li 5 xyoos tom qab pib mob ntshav qab zib, thiab nrog lub siab, dhia cov suab thaj txawm tias ntxov.

Retinopathy, lus "tus kab mob raum", yog ib qho qhia pom muaj ntshav qab zib ntau dua. Raws li WHO hais, tus kab mob no cuam tshuam yuav luag txhua tus neeg mob ntshav qab zib hom 1 uas muaj kev paub ntau dua 15 xyoos. Coj txawv txawv thaum nws tuaj yeem zoo li, mob ntshav qab zib retinopathy yog li nthuav tawm ua tsaug rau kev siv zog ntawm cov kws kho mob. Ua ntej, tsis yog txhua tus neeg mob ntshav qab zib muaj txoj sia ua mob rau qhov muag raug mob hnyav, qhov laj thawj ntawm lawv txoj kev tuag yog kab mob plawv. Tam sim no, theem ntawm cov tshuaj tso cai zam kev tuag los ntawm ischemia thiab ua rau kev cuam tshuam cov kev mob ntshav qab zib mellitus ntau ntxiv, suav nrog kev mob ntshav qab zib.

Retina rau kev ua haujlwm ib txwm xav tau kom cov pa oxygen ntau dua piv rau lwm yam kabmob. Hlab ntsha puv nrog khov, cov ntshav tuab uas muaj cov piam thaj thiab triglycerides tsis muaj peev xwm muab cov khoom noj kom tsawg ntawm cov tshuaj retina. Phab ntsa uas me tshaj plaws ntawm cov hlab ntsha overstretch, tawg, muaj me me hemorrhages thiab aneurysms. Ib feem ua kua ntawm cov ntshav tawm tuaj yeem ua rau lub qhov dej tsis hnov qab, uas txwv qhov ua haujlwm ntawm lub qhov muag. Protein Cheebtsam ua rau muaj caws pliav ntawm qhov retina. Kev sib kis ntxiv ntawm qhov nti ua rau muaj cov leeg pob txha mos thiab stratification, mob puas ntsoog.

Kev sib koom ua ke ntawm cov ntshav qab zib ua kom muaj ntshav qab zib yog siv thoob plaws ntiaj teb. Nws faib cov kabmob no mus rau theem ua raws li muaj ntau ntawm kev loj hlob - nthuav tawm ntawm cov nkoj tsim tshiab hauv lub qhov muag.

Nws yuav zoo li tias qhov no yuav txaus ntshai? Tom qab tag nrho, cov hlab ntsha uas lub cev nce mus rau qhov chaw ntawm qhov chaw uas tsis zoo pab cov qhov txhab ua kom zoo sai dua thiab muab cov hauv paus hauv cov pob txha ua haujlwm hloov thaum hloov. Thaum nws los rau hauv cov plab hnyuv siab raum ntawm lub zeem muag, tej yam kuj sib txawv. Nyob hauv cov xwm txheej ntawm cov pa oxygen tshaib plab hauv cov ntshav qab zib, cov hlab ntsha tshiab yog nkig, lawv cov phab ntsa muaj tsuas yog 1 txheej ntawm cov hlwb. Kev tsim cov hlab ntsha zoo li no ua rau muaj qhov tsis txaus ntseeg nyob rau hauv qhov xwm txheej: tus naj npawb ntawm cov ntshav nce siab sai, edema nthuav dav, thiab qhov kev pheej hmoo ntawm qhov tsis pom kev nce ntxiv.

Theem ntawm retinopathy:

Cov mob ntshav qab zib hloov hauv lub qhov muag pom lub tshuab yog asymptomatic txog theem siab ntawm kev puas tsuaj. Kev pom tseeb tseeb tseem nyob siab kom txog thaum tsis muaj kev hloov pauv hloov pauv pib tshwm sim hauv qhov retina.

Cov mob ntshav qab zib uas tsis yog cov muaj sia nyob rau hauv cov ntshav qab zib mas yog kuaj tau thaum kuaj mob los ntawm kws kho mob hlwb xwb, yog li ntawd, thaum muaj ntshav qab zib teem sijhawm mus ntsib kws kho mob yog qhov yuav tsum tau ua.

Tseem Ceeb! Thawj zaug kev kuaj mob ntawm cov plab hnyuv siab raum ntawm lub zeem muag yuav tsum tau ua nrog mob ntshav qab zib rau 5 xyoo, yog tias txhua lub sijhawm no cov piam thaj yuav tuav tau nyob hauv ib txwm muaj. Yog tias cov piam thaj dhia tsis tseg - tus kws kho mob qhov muag yuav tsum mus ntsib 1.5 xyoo tom qab kuaj mob ntshav qab zib. Yog tias tus kws kho mob tsis tau qhia txog kev hloov pauv sab hauv lub qhov muag, kev kuaj mob yuav tsum tau kuaj txhua xyoo. Yog tias koj tau tshawb pom kev mob ntshav qab zib - feem ntau ntau dua.

Cov pab pawg muaj qhov pheej hmoo loj tshaj plaws ntawm kev tsim cov kab mob ntshav qab zib sai sai ua rau cov leeg ntshav qab zib muaj xws li cov neeg mob ntshav qab zib tsis muaj txiaj ntsig, ntshav siab, raum tsis ua haujlwm, BMI> 30, cov poj niam cev xeeb tub thiab cov hluas.

Cov tsos mob ntawm tus mob ntshav qab zib siab tshaj:

Hnov qhov muag plooj ntawm cov khoom sib luag nrog nrog o hauv lub macula.
Tsiv cov pob txho, tshwj xeeb tshaj yog pom meej meej thaum pom cov khoom sib me uas tsim thaum cov hlab ntaws thiab ntshav txhaws nkag mus rau hauv lub cev vitreous. Feem ntau lawv ploj nrog lub sijhawm lawv tus kheej.
Ntse qhov muag plooj cov duab, pos huab ua ntej lub qhov muag thaum los ntshav.

Thaum cov tsos mob no tshwm sim, pom zoo mus ntsib tus kws kho mob ntsej muag.

Thaum lub sijhawm kuaj xyuas tus kws kho mob, lub ntsiab lus tseem ceeb ntawm kev cuam tshuam ntawm ntshav qab zib yog pom nrog tus ophthalmoscopy. Nws tso cai rau koj los ua qhov kev kuaj mob, txiav txim siab qhov ntau npaum li cas ntawm retinopathy, txheeb xyuas qhov muaj cov roj ntshav ua kom ntshav khov, ntshav ntws los ntshav, ntshav tawm, txiav txim siab txoj kev kho mob. Ntawm theem kawg, ib qho kev sib txuas ntawm lub vev xaib, qhov chaw hla nkoj loj thauj mus los, cov hlab ntsha kom pom meej meej. Txhawm rau taug qab cov kev hloov pauv, muaj lub koob yees duab tshwj xeeb uas tuaj yeem nqa cov duab ntawm pob nyiaj.

Ophthalmoscopy tsis muaj peev xwm yog tias lub ntsej muag lossis lub ntsej muag lom zem yog huab, vim tias tsis muaj qhov pom lub Retina los ntawm lawv. Hauv qhov no, ultrasound siv.

Ntxiv nrog rau cov kev tshawb fawb no tau nqa tawm:

Perimetry rau kev tshawb pom ntawm pathologies ntawm cov npoo ntawm retina thiab muaj cov exfoliation.
Tonometry - kev txiav txim siab ntawm siab sab hauv lub qhov muag.
Saib xyuas kev ua haujlwm ntawm optic cov hlab ntsha thiab cov leeg ntshav ntawm cov retina siv cov txheej txheem electrophysiological, piv txwv li, electrooculography.
Txhawm rau txhawm rau soj ntsuam qhov txawv txav hauv cov hlab, angiography lossis tomography ntawm retina xav tau.

Tus kws kho mob endocrinologist tau qhia txog ntau yam kev ntsuas uas tuaj yeem pom txog qib kev them ntshav qab zib thiab muaj qhov tseem ceeb uas cuam tshuam rau kev txhim kho kev mob hlwb: kev ntsuas ntshav siab, ntsuas ntshav thiab zis rau cov ntshav qabzib, kev txiav txim siab glycosylated hemoglobin qib, lub raum vascular dopplerography, electrocardiography.

Raws li cov kev tshawb fawb no, cov lus pom zoo yuav ua rau xav tau tshuaj lossis kev kho mob phais mob ntshav qab zib mob ntshav qab zib.

Xav txog tias tus neeg mob ntshav qab zib tsis paub txog nws txoj kev muaj mob, txuas ntxiv mus rau cov zaub mov muaj zaub mov ntau, thiab tsis quav ntsej kev noj qab haus huv tsis zoo thiab qhov muag tsis pom. Peb yuav xyuas seb qhov no tuaj yeem xaus li cas, thiab kev tsis pom kev tsis zoo ntawm tus mob ntshav qab zib retinopathy nyob hauv kev tsis kho.

Yog li, kev tshaib plab sai li sai tau muab cov lus txib kom loj tuaj tshiab capillaries, thiab lawv loj hlob ua ke, qee zaum ntxeem tau cov tshuaj vitreous. Qhov ntxiv ntshav qab zib hauv ntshav qab zib ua rau lawv raug rhuav tshem, tshwm sim ntawm ntau cov doog ntshav. Lub cev, sim ua kom kov yeej cov xwm txheej no, nquag kho cov teeb meem ntshav thiab hlob tshiab cov hlab ntsha. Keeb kwm rov ua nws tus kheej hauv tib qho xwm txheej. Ntev mus, qhov ntau ntawm cov ntshav cov ntshav sib tsoo nce, qhov tshwm sim hu ua hemophthalmus hnyav. Nws tsis muaj peev xwm yaj ntawm nws tus kheej, uas txhais tau hais tias lub qhov muag tsis tuaj yeem ua haujlwm tsis tu ncua, pom kev sai sai.

Lub ntsej muag dig muag ua rau dig muag

Muaj lwm qhov xwm txheej: raws li txhua qhov sib tsoo lub nkoj, ib daim ntawv caws pliav ntawm qhov retina, cov ntaub so ntswg ib txwm nyob hauv qhov chaw no tau hloov los ntawm pathological - fibrous. Maj mam, qhov nyiaj ntawm cov nqaij ua mob loj hlob tuaj, nws ua kom nruj ntawm retina thiab ua rau nws cov stratification, mob rau cov hlab ntshav thiab ua rau cov mob ntshav tshiab, tiv thaiv cov kua hauv lub cev tawm ntawm lub qhov muag thiab ua rau muaj kev txhim kho ntawm lub ntsej muag.

Lawm, feem ntau tsis nyiam qhov kev xaiv tau piav qhia ntawm no. Raws li txoj cai, twb tau dhau los ntawm preproliferative theem lossis thaum pib ntawm ib tus neeg mob proliferative, mob ntshav qab zib mellitus tshwm ntawm tus kws kho mob ophthalmologist. Tsis tas li ntawd, qee qhov xwm txheej, lub cev muaj peev xwm ywj pheej cais lub voj voos no phem thiab tiv thaiv kev txhim kho txuas ntxiv ntawm tus kab mob. Hauv qhov no, rooj plaub tsuas yog tsuas yog los ntawm kev pom tsis zoo.

Kev ua lub luag haujlwm tseem ceeb hauv kev kho qhov tsis mob loj ntxiv tus kheej tsis yog los ntawm cov kws kho tsiaj tshwj xeeb rau txhua tus. Hauv qhov no, kev hloov kho metabolic, tswj ntshav qabzib, thiab txo qis ntshav siab yog qhov tshwj xeeb tshaj yog. Yog li, cov tshuaj uas tuaj yeem thim rov qab retinopathy tau yog kws kho los ntawm endocrinologist thiab kws kho plawv.

Yog tias koj tsis tuaj yeem them nyiaj mob ntshav qab zib nrog rau cov tshuaj qab zib thiab cov zaub mov tsis ua haujlwm, koj yuav tsum tsis txhob ntshai cov insulin. Nrog rau siv kom raug, nws tsis muaj kev phiv, thiab nws muaj peev xwm heev ntawm kev saib xyuas kev noj qab haus huv qhov muag.

Yog tias muaj qhov hloov pauv tau tshwm sim hauv cov cuab yeej siv qhov muag pom uas lub cev tsis tuaj yeem tiv taus, tus kws kho qhov muag yuav sau ntawv kho. Qhov no tuaj yeem yog ib qho kev saib xyuas zoo rau tus mob ntshav qab zib ua kom rov zoo, lossis kev phais mob.

Txhua yam kev siv yav dhau los siv tshuaj uas tau hais tseg kom nres retinopathy, ziag no pom tau hais tias tsis muaj nuj nqisCov. Cov txheej txheem tshuaj rau kev kho mob ntshav qab zib nrog cov tshuaj tiv thaiv kab mob ntshav siab, tshuaj tiv thaiv vascular tus sawv cev, tshwj xeeb ophthalmic enzymes, vitamins, thiab tshuaj ntsuab tuaj yeem them taus tsuas yog nyob hauv keeb kwm yav dhau los ntawm tus kab mob.

Koj puas mob siab los ntshav siab? Koj puas paub tias kub siab ua rau lub plawv nres thiab mob nkees? Ntsig koj lub siab nrog. Lub tswv yim thiab cov lus qhia hais txog tus qauv nyeem ntawm no >>

Lawv siv nyob rau hauv kev mob ntshav qab zib retinopathy yog ib qho kev ploj ntawm lub sijhawm zoo uas tuaj yeem siv rau cov kev kho mob niaj hnub no kom zoo.

Piv txwv, Taurine lub qhov muag tsim yog tsim los txhim kho cov txheej txheem rov ua dua tshiab thiab ua kom ntshav kev rov qab los. Kev teem sijhawm ntawm cov tee no yuav pab tau thaum pib muaj kev ntshawv siab nyob rau hauv cov vascular network, tab sis kiag li tsis tsim nyog thiab txawm muaj kev phom sij nyob rau theem preproliferative.

Ib qho kev cuam tshuam tseem ceeb ntawm kev siv tshuaj tiv thaiv VEGF yog lawv tus nqi siab. Thawj zaug kev txhaj tshuaj yuav tsum tau ua ib zaug txhua 1-2 lub hlis, tus nqi ntawm txhua tus yog txog 30 txhiab rubles.Qhov nruab nrab ntawm kev kho mob yog 2 xyoos, 8 txhaj nyob rau ib xyoo. Eilea yog cov yeeb tshuaj ntev dua, kev sib cuam tshuam ntawm nws cov kev tswj hwm tau ntev dua, yog li kev kho mob siab ntsws nrog cov tshuaj no yuav raug nqi me ntsis pheej yig nrog tib cov txiaj ntsig.

Kev kho mob laser ntawm kev kho tus kab mob ntshav qab zib siab tshaj tam sim no tau kho ntau tshaj plaws. Nws pom tias nws qhov kev ua tau zoo hauv 80% ntawm cov neeg mob ntawm theem 2 ntawm tus kabmob thiab hauv ib nrab ntawm tus kabmob thaum kawg. Ua haujlwm nrawm dua, kev ua haujlwm zoo dua yuav tiav. Lub ntsiab ntawm cov qauv yog kom kub cov hlab ntsha tshiab siv ib lub teeb txav ntawm laser, cov ntshav hauv lawv coagulates thiab cov hlab ntsha tsis ua haujlwm tau. Feem ntau, ib txoj kev ua ntawd yog txaus kom muaj lub zeem muag rau 10 xyoo tom ntej.

Qhov txheej txheem no tau ua tiav li 20 feeb nyob rau hauv lub zos muaj tshuaj loog, tsis muaj kev cuam tshuam tom tsev kho mob, tus neeg mob tau tso cai rov mus tsev ntawm hnub phais. Nws yog qhov yooj yim zam rau cov neeg mob, tsis tas yuav rov qab los, tsis ua mob rau lub siab thiab cov hlab ntsha. Tus kws phais mob sib cais ua tiav qhov tseeb ntawm laser coagulation nrog lub tshuab tsom.

Thaum muaj mob hnyav heev ntshav qab zib ua pauj ntshav qab zib, kev ua haujlwm ntau dua me me raug tso cai - vitrectomy. Nws sawv cev rau kev tshem tawm tag nrho ntawm lub cev vitreous nrog rau cov ntshav txhaws thiab nti. Thaum lub sij hawm nyob rau hauv cov hlab ntshav voos, txoj kev ua kom ntshav ntawm cov hlab ntshav kuj tseem tuaj yeem. Thaum kawg ntawm txoj haujlwm, lub pob muag puv nrog ib qho kev daws tshwj xeeb lossis roj uas nias lub retina thiab tsis pub nws ua rau exfoliate.

Qhov tseem ceeb tshaj plaws hauv kev tiv thaiv ntawm retinopathy yog qhov kev paub ntxov tshaj plaws. Rau qhov no, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam los ntawm kws kho qhov muag tsim nyog uas paub txog cov yam ntxwv ntawm kev cuam tshuam hauv cov ntshav qab zib mellitus. Qhov yooj yim nrhiav cov kws kho mob hauv chaw kho mob ntshav qab zib. Ntawm thawj cov cim ntawm kev puas tsuaj vascular thiab kev loj hlob tshiab, nws tsim nyog suav tias yog qhov ua tau ntawm kev ua tau laser coagulation.

Qhov tseem ceeb zoo ib yam rau kev tiv thaiv retinopathy yog kev them nyiaj mob ntshav qab zib, kho rau cov kab mob sib kis, thiab lub neej muaj kev noj qab nyob zoo.

Cov neeg mob ntshav qab zib tau pom zoo:

tswj tau cov ntshav qabzib zoo, tswj kev qhia chaw noj mov,
ua rau kom ntshav siab thiab cov roj (cholesterol) siab txog qib ib ce,
txiav kev haus luam yeeb
kev zam ntawm qhov xwm txheej ntxhov siab.

Nco ntsoov kawm! Koj puas xav hais tias cov ntsiav tshuaj thiab cov insulin yog tib txoj kev ua kom tswj qab zib? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>

Mob ntshav qab zib retinopathy - Kev mob caj dab tshwj xeeb, cuam tshuam cov hlab ntsha ntawm qhov retina ntawm lub qhov muag thiab txhim kho tiv thaiv keeb kwm ntawm cov ntshav qab zib ntev ntev. Tus mob ntshav qab zib muaj lub ntsej muag zoo zuj zus: nyob rau theem pib, qhov muag plooj, ib daim ntaub thaiv thiab ntab mus rau pem hauv ntej ntawm lub qhov muag tau sau tseg, nyob rau theem tom ntej muaj qhov txo qis lossis tsis pom kev. Kev kuaj mob suav nrog kev sab laj nrog kws kho qhov muag thiab kws kho ntshav qab zib, ophthalmoscopy, biomicroscopy, visometry thiab perimetry, retinal vascular angiography, thiab kev kuaj ntshav biochemical. Kev kho mob ntawm cov ntshav qab zib retinopathy yuav tsum muaj kev tswj hwm cov ntshav qab zib, kho cov teeb meem metabolic, thiab yog muaj teeb meem, kev siv tshuaj intravitreal ntawm cov tshuaj, laser retinal coagulation, lossis vitrectomy.

Tus mob retinopathy yog ib qho qhia ntxov rau tus mob ntshav qab zib mellitus, ob hom insulin thiab tsis-insulin-kev vam khom. Hauv ophthalmology, mob ntshav qab zib retinopathy ua rau pom kev tsis pom kev hauv cov neeg mob ntshav qab zib hauv 80-90% ntawm cov neeg mob. Hauv cov neeg muaj ntshav qab zib, qhov muag tsis pom kev yuav muaj 25 zaus ntau dua li lwm tus neeg sawv cev ntawm cov pej xeem. Nrog rau tus mob ntshav qab zib retinopathy, cov neeg mob ntshav qab zib tau muaj kev pheej hmoo mob ntshav siab, mob ntshav qab zib nephropathy thiab mob polyneuropathy, cataracts, glaucoma, occlusion ntawm lub hauv nruab nrab lub paj hlwb thiab lub paj hlwb hlab plawv, mob ko taw ko taw thiab mob caj dab ntawm lub siab. Yog li, kev kho mob ntshav qab zib yuav tsum muaj kev ua ntau yam, nrog rau kev koom tes ntawm cov kws tshwj xeeb los ntawm endocrinologist (kws kho mob ntshav qab zib), ophthalmologist, kws kho plawv, kws kho pob ntseg.

Lub tshuab kev txhim kho ntawm cov ntshav qab zib retinopathy yog cuam tshuam nrog kev puas tsuaj rau cov hlab ntsha hlwb (cov hlab ntsha ntawm cov leeg ntshav): lawv cov permeability nce ntxiv, occlusion ntawm capillaries, cov tsos ntawm cov nkoj tsim tshiab thiab kev txhim kho ntawm kev nthuav dav (caws pliav) cov ntaub so ntswg.

Feem ntau ntawm cov neeg mob uas muaj lub sijhawm ntev ntev ntawm mob ntshav qab zib mellitus muaj qee yam lossis lwm yam cim kev puas tsuaj rau pob txha. Nrog lub sijhawm ntev li ntshav qab zib txog 2 xyoo, mob ntshav qab zib retinopathy raug kuaj pom mus rau ib qib lossis lwm qhov hauv 15% ntawm cov neeg mob, nce txog 5 xyoo - hauv 28% ntawm cov neeg mob, txog 10-15 xyoo - hauv 44-50%, txog 20-30 xyoo - hauv 90-100%.

Cov kev pheej hmoo tseem ceeb cuam tshuam rau ntau zaus thiab kev hloov pauv ntawm tus mob ntshav qab zib retinopathy muaj xws li lub sijhawm mob ntshav qab zib, hyperglycemia, kub siab, mob raum tsis ua haujlwm, dyslipidemia, metabolic syndrome, thiab kev rog. Txoj kev txhim kho thiab kev loj hlob ntawm tus mob retinopathy tuaj yeem pab ua tiav nkauj tiav nraug, cev xeeb tub, caj ces tsis muaj zog, thiab haus luam yeeb.

Muab cov kev hloov pauv zuj zus nyob rau hauv cov kev khwv nyiaj, uas tsis yog neeg tawm tsam, kev npaj ua ntej thiab kev mob ntshav qab zib muaj peev xwm sib txawv tau tshwm sim.

Txhawb siab, tswj cov ntshav qab zib tsis zoo yuav ua rau kev puas tsuaj rau cov hlab ntshav ntawm ntau yam plab hnyuv siab raum, suav nrog tus retina. Hauv qhov tsis nce qib ntawm kev mob ntshav qab zib retinopathy, cov phab ntsa ntawm cov hlab ntsha retinal ua permeable thiab nkig, uas ua rau taw tes rau hemorrhages, kev tsim cov microaneurysms - lub zos saccular dilatation ntawm cov hlab ntsha. Kev tso dej ua kua ntawm cov ntshav seeps los ntawm phab ntsa semipermeable los ntawm cov hlab ntsha mus rau ntawm qhov retina, ua rau kom cov leeg o tuaj. Xws li kev koom tes hauv cov txheej txheem ntawm nruab nrab ntawm thaj av ntawm cov retina, macular edema nthuav dav, uas tuaj yeem ua rau tsis pom kev zoo.

Hauv lub sijhawm npaj ua ntej, nce qib ntawm lub pob txha caj qaum ischemia tsim vim muaj occlusion ntawm txoj hlab ntsha, ntshav tawm hauv lub plawv, mob ntshav tsis txaus.

Preproliferative diabetic retinopathy ua ntej qib proliferative, uas tau txheeb xyuas hauv 5-10% ntawm cov neeg mob ntshav qab zib mellitus. Muaj feem xyuam nrog hauv kev txhim kho cov kabmob ntshav qab zib muaj sia nyob ntau dua li cov kabmob myopia, muaj mob ntawm cov hlab ntsha carotid, posterior vitreous detachment, optic atrophy. Nyob rau theem no, vim tias cov pa oxygen tsis paub dhau los ntawm qhov retina, cov hlab ntsha tshiab pib tsim nyob rau hauv nws kom tswj kev nqus pa kom txaus. Cov txheej txheem ntawm neovascularization ntawm retina ua rau rov ua dua preretinal thiab retrovitreal hemorrhages.

Feem ntau, mob ntshav liab me hauv cov khaubncaws sab hauv retina thiab vitreous lub cev daws teeb meem ntawm nws tus kheej. Txawm li cas los xij, nrog cov ntshav tawm hauv lub qhov muag kab mob hauv lub cev (hemophthalmus), cov kab mob tsis muaj zog nyob rau hauv lub cev vitreous tshwm sim, yam ntxwv ntawm fibrovascular fusion thiab caws pliav, uas thaum kawg ua rau tractional retinal detachment. Thaum txhaws qhov tawm ntawm cov kab mob HPV, kev txhim kho ntawm lub cev nqaij daim tawv neau leeg.

Tus kab mob no loj hlob thiab loj zuj zus yam tsis hnov mob thiab tsis nco qab - qhov no yog nws lub ntsiab insidiousness. Nyob rau theem tsis-loj zuj zus, txo lub zeem muag tsis pom lub ntsiab lus. Macular edema tuaj yeem ua rau blurring ntawm pom cov khoom, tsis yooj yim nyeem ntawv lossis ua haujlwm ntawm qhov ze.

Hauv theem loj ntawm tus mob ntshav qab zib retinopathy, thaum mob ntshav khov tshwm sim, ntab tsaus nti thiab daim ntaub thaiv tshwm sim nyob rau hauv lub qhov muag, uas tom qab ib pliag ploj ntawm lawv tus kheej. Nrog cov ntshav khov hauv lub cev vitreous, qhov txo qis los yog ua tsis tiav qhov muag pom tshwm sim.

Cov neeg mob ntshav qab zib yuav tsum mus kuaj mob raws tus kws kho mob qhov muag txhawm rau txheeb xyuas qhov hloov pauv thaum ntxov thiab tiv thaiv kom tsis txhob mob ntshav qab zib.

Rau lub hom phiaj kev kuaj ntshav qab zib retinopathy, cov neeg mob raug kuaj qhov muag, perimetry, biomicroscopy ntawm anterior ntu ntawm qhov muag, biomicroscopy ntawm lub qhov muag nrog lub Goldman lens, diaphanoscopy ntawm lub qhov muag qauv, Maklakov tonometry, ophthalmoscopy raws li mydriasis.

Daim duab ophthalmoscopic yog qhov tseem ceeb tshaj plaws rau kev txiav txim siab txog theem ntawm kev mob ntshav qab zib retinopathy. Hauv theem tsis-loj, microaneurysms, "mos" thiab "nyuaj" exudates, hemorrhages tshawb pom ophthalmoscopically. Hauv cov theem loj zuj zus, daim duab fundus yog pom los ntawm cov leeg ntshav tsis haum ntshav ntawm lub plab (txoj hlab ntshav tawm, nthuav dav thiab ua kom cov leeg ntshav ntawm cov leeg ntshav), preretinal thiab endovascular hemorrhages, neovascularization ntawm retina thiab optic lub paj hlwb disc, fibrous proliferation. Txhawm rau sau cov kev hloov ntawm daim duab retina, ua yeeb yaj kiab ntawm kev yees duab nyiaj tau los siv cov koob yees duab nyiaj.

Nrog clouding ntawm lub lens thiab lub cev vitreous, es tsis txhob ophthalmoscopy, lawv mus rau ultrasound ntawm lub qhov muag. Txhawm rau ntsuas qhov kev nyab xeeb lossis kev ua haujlwm ntawm qhov retina thiab optic hlab ntsha, kev tshawb nrhiav electrophysiological tau nqa tawm (electroretinography, kev txiav txim siab ntawm CSFM, electrooculography, thiab lwm yam). Txhawm rau kuaj pom neovascular glaucoma, gonioscopy tau ua.

Txoj kev tseem ceeb tshaj plaws rau kev pom lub hlwb qaum yog fluorescence angiography, uas tso cai rau cov ntshav ntws mus rau hauv cov hlab hauv choreoretinal. Ib qho hloov pauv ntawm cov ntawv xoo yog lub ntsej muag tsom iav thiab laser scanning tomography ntawm lub retina.

Txheeb xyuas cov kev pheej hmoo txaus rau kev hloov pauv ntawm tus mob ntshav qab zib retinopathy, ib txoj kev tshawb nrhiav yog ua los ntawm cov ntshav thiab cov ntshav ntawm cov ntshav qabzib, insulin, glycosylated hemoglobin, lipid profile thiab lwm yam kev ntsuas, kev ntsuas ntshav hauv lub raum ultrasound, echocardiography, ECG, tshuaj xyuas ntshav 24-teev.

Hauv cov txheej txheem kev tshuaj ntsuam thiab kev kuaj mob, nws yog qhov yuav tsum tau ua dhau los txhawm rau txheeb xyuas cov kev hloov pauv uas qhia tau hais tias qhov kev hloov kho ntawm lub pob txha hlwb thiab xav tau kev kho mob kom tiv thaiv qhov txo qis lossis tsis pom kev.

Nrog rau cov qauv dav dav ntawm kev kho mob retinopathies, kev kho mob suav nrog kev kho cov teeb meem metabolism, txhim kho kev tswj kom zoo dua qib ntawm glycemia, ntshav siab, lipid metabolism. Yog li no, nyob rau theem no, txoj kev kho mob tseem ceeb yog kho los ntawm tus kws kho mob endocrinologist-diabetologist thiab tus kws kho plawv.

Ua tib zoo saib xyuas txog qib glycemia thiab glucosuria, kev xaiv cov tshuaj insulin txaus rau kev mob ntshav qab zib mellitus yog nqa tawm, angioprotectors, tshuaj tiv thaiv kab mob siab, tshuaj tiv thaiv kab mob, thiab lwm yam.

Cov neeg mob uas mob ntshav qab zib ua kom rov ua hauj lwm zoo yog qhia tau rau laser retinal coagulation. Laser coagulation tso cai rau koj los txwv cov txheej txheem ntawm neovascularization, kom ua tiav obliteration ntawm cov hlab ntshav nrog nce siab thiab permeability, los tiv thaiv kev pheej hmoo ntawm retinal detachment.

Kev phais kab mob Retina rau cov ntshav qab zib retinopathy siv ntau txoj hauv kev. Teeb meem laser coagulation ntawm tus retina cuam tshuam nrog cov ntawv thov ntawm paramacular coagulates ntawm hom "ntoo", nyob rau ntau kab, thiab yog qhia rau qhov tsis tshwm sim ntawm retinopathy nrog macular edema. Focal laser coagulation yog siv los ua kev ceev faj me me ntawm cov kab mob hlwb, ua kom tiav, thiab cov ntshav tawm me me thaum lub sijhawm angiography. Nyob rau hauv cov txheej txheem ntawm panretinal laser coagulation, coagulates yog thov thoob plaws lub retina, tsuas yog thaj chaw macular, txoj kev no tsuas yog siv ntawm theem preproliferative los tiv thaiv nws cov kev nruam ntej.

Nrog opacification ntawm cov kho qhov muag tawm ntawm lub qhov muag, ib qho kev xaiv rau laser coagulation yog transscleral cryoretinopexy, raws li kev rhuav tshem txias ntawm pathological seem ntawm retina.

Nyob rau hauv cov ntaub ntawv ntawm loj proliferative diabetic retinopathy nyuaj los ntawm hemophthalmus, macular traction lossis retinal detachment, vitrectomy yog nyob rau, thaum lub sijhawm ntawd cov ntshav, lub cev vitreous nws tus kheej raug tshem tawm, qhov nqaij sib txuas strands raug txiav, hlab ntsha hlab ntshav hlawv.

Cov teeb meem mob ntshav qab zib ntawm lub siab ceev tuaj yeem yog zaum ob hauv lub ntsej muag, cataracts, retinal detachment, hemophthalmus, qhov tseem ceeb txo qis ntawm qhov pom kev, qhov muag tsis pom kev. Txhua yam no yuav tsum tau tshuaj xyuas tas mus li ntawm cov neeg mob ntshav qab zib los ntawm tus kws kho mob endocrinologist thiab kws kho keeb.

Lub luag haujlwm tseem ceeb hauv kev tiv thaiv kev mob ntawm cov ntshav qab zib retinopathy yog ua si los ntawm kev tswj kom zoo los ntawm cov ntshav qab zib thiab ntshav siab, ua kom raws sijhawm ntawm hypoglycemic thiab antihypertensive tshuaj. Kev ua kom raws sij hawm ntawm kev tiv thaiv laser coagulation ntawm cov retina ua rau kev ncua kev kawm thiab kev hloov pauv ntawm cov kev hloov hauv pob txha.

Ntawm cov teeb meem uas tau ntsib nyob rau hauv cov tib neeg kev mob ntshav qab zib mellitus ntawm ob hom thawj thiab hom thib ob, cov kab mob ntshav qab zib tau suav tias yog qhov hnyav tshaj thiab txaus ntshai. Los ntawm lub npe "tus kab mob ntshav qab zib" txhais tau tias yog kev ua txhaum ntawm qhov muag pom vim yog kev puas tsuaj rau cov hlab ntsha ntawm lub qhov muag, ua rau txo qis, thiab qee zaum ua tiav qhov tsis pom kev. Hauv cov ntshav qab zib hom I, nrog kev paub txog txog 20 xyoo lossis tshaj saud, pom kev tsis pom kev hauv 85% ntawm cov neeg mob. Thaum kuaj pom hom II mob ntshav qab zib mellitus, kwv yees li 50% twb muaj qhov tsis zoo no.

Nyob ntawm theem ntawm tus kab mob, qhov xwm txheej ntawm cov kev hloov pauv ntawm cov hlab ntsha, nrog rau cov ntaub so ntswg ntawm lub qhov muag, cov kab ke hauv qab no tau saws:

uas tsis yog-cov xwm txheej mob ntshav qab zib,
preproliferative mob ntshav qab zib retinopathy,
proliferative mob ntshav qab zib retinopathy.

Lub hauv paus tseem ceeb ntawm lub zog rau kev ua haujlwm ntawm lub cev tag nrho yog nyob hauv qab. Nyob hauv kev cuam tshuam ntawm cov tshuaj insulin, qhov tshuaj ntawm lub cev ua kua dej, cov piam thaj nkag mus rau hauv lub hlwb qhov chaw uas nws tab tom ua. Hauv cov ntshav qab zib mellitus, rau qee qhov laj thawj, kev ua txhaum ntawm cov tshuaj insulin secretion tshwm sim. Cov piam thaj tsis tov tom qab ntawv hauv ntshav, vim qhov kev zom zaub mov hauv lub cev tau cuam tshuam. Nws ua rau txhaws, ua kev puas tsuaj rau cov hlab ntsha ntawm ntau yam kabmob, nrog rau cov kabmob ntawm cov tsis pom kev. Yog tias kho qhov nce ntxiv ntawm cov piam thaj hauv cov neeg mob ntshav qab zib mellitus tsis tau pib hauv lub sijhawm, tom qab ntawd tus kab mob ntshav qab zib pib tsim.

Qhov tseem ceeb ntawm tus kab mob pathology yog nce ntshav qab zib ntxiv (qabzib) ntev mus.

Nquag, cov ntshav qab zib cov ntshav yuav tsum tsis txhob nce siab tshaj 5.5 mmol / L ntawm lub plab khoob thiab 8.9 mmol / L tom qab noj mov.

Tsis tas li ntawd, muaj cov yam tsis pom qab hauv cov neeg mob ntshav qab zib cuam tshuam qhov tshwm sim ntawm retinopathy. Lawv tuaj yeem tsis tsuas yog ua rau kev tsim ntawm kev cuam tshuam li no xwb, tab sis kuj tseem ceev nws cov chav kawm.

ntxiv ntshav qab zib
kub siab lub cev (mob ntshav nce siab),
cev xeeb tub
ntau yam pathologies thiab kab mob ntawm lub raum,
thawj
haus luam yeeb
cawv
muaj hnub nyoog txog kev hloov pauv ntawm cov hlab plawv,
txhob kaw txiav txim siab qhov kev txwv.

Cov chav kawm ntawm tus kab mob hnub no feem ntau muab faib ua plaub ntu, txhua ntu ntawm cov sij hawm ntev dua. Muaj qhov tshwj tsis yog - nrog rau cov hluas (tus hluas) mob ntshav qab zib, qhov muag tsis pom kev tuaj yeem tshwm sim hauv ob peb hlis.

Theem ntawm retinopathy mob ntshav qab zib mellitus:

Cov theem pib ntawm tus kabmob yog asymptomatic. Cov kev ua txhaum cai maj mam tshwm sim:

flickering ntawm "yoov" ua ntej lub qhov muag,
cov tsos ntawm "hnub qub" thiab lub teeb pos huab,

Cov no yog thawj cov tsos mob uas tsis ua rau muaj mob tsis xis nyob lossis tsis xis nyob rau tus neeg mob.Xws li cov tsos mob tshwm sim tau noj rau qhov qaug zog, lawv tsis tau mloog.

Qhov muag mob, qhov qis ntawm qhov pom ntawm lub ntsej muag, nrog rau nws poob - cov tsos mob lig, tshwm sim nrog qhov kev vam meej ntawm cov kab mob pathology tom qab theem, thaum cov txheej txheem tau dhau mus lossis txav mus rau theem ntawm kev tsis tuaj yeem.

Cov tsos mob zoo li no qhia tias txhua tus neeg muaj kev noj qab haus huv tsuas xav ntsib tus kws kho qhov muag tsawg kawg ib xyoos ib zaug, thiab rau cov neeg mob ntshav qab zib txhua txhua rau lub hlis los kuaj xyuas lawv lub plab ntawm qhov muag. Qhov no yuav ua rau koj pom cov tsos mob ntawm kev tsis txaus siab nyob rau thaum ntxov ntawm tus kab mob, tsis tas tos rau cov tsos mob tshwm sim, thaum kho tshuaj yuav ua tau tsis muaj txiaj ntsig.

Thaum mus ntsib tus kws kho qhov muag, tus kws kho mob yuav kuaj xyuas cov plab hnyuv siab raum ntawm lub zeem muag siv txhua cov tswv yim uas tuaj yeem paub cov tsos mob tshwm sim thaum ntxov, tshwm sim uas tsis muaj qhov pom ntawm cov tsos mob thaum ntxov.

Visometry - kuaj xyuas pom tseeb pom siv lub rooj,
gonioscopy - kev txiav txim siab saib lub kaum sab xis ntawm txhua qhov muag, nrog kev puas tsuaj rau lub qhov muag, nws hloov,
ncaj qha thiab rov qab ophthalmoscopy - kuaj lub lens, vitreous lub cev rau pob tshab,
kuaj lub teeb kis - kev soj ntsuam cov mob ntawm choroid, optic hlab ntaws disc, retina,
ophthalmochromoscopy - pab soj ntsuam kev hloov pauv thaum ntxov,
biomicroscopy - kev kawm txog txhua lub tsev ntawm lub qhov muag nrog lawv lub zog loj txog 50-60 npaug ntawm siv lub teeb looj,
tonometry - ntsuas ntawm kev tso siab ntawm intraocular.

Txij li thaum tus kab mob ntshav qab zib retinopathy muaj kev tiv thaiv keeb kwm ntawm kev cuam tshuam txog cov metabolism hauv lub cev los ntawm kev muaj ntshav qab zib mellitus, tus neeg mob tau txais kev kho mob meej meej rau tus mob ntshav qab zib retinopathy nyob rau hauv kev saib xyuas ntawm tus kws kho qhov muag thiab tus kws kho qhov muag endocrinologist. Lub luag haujlwm tseem ceeb hauv kev kho mob pathology yog ua si los ntawm kev xaiv kev noj haus zoo thiab kev kho tshuaj insulin.

Insulin txoj kev kho yog tsom rau kev tsim txom rau cov mob kev zom zaub mov carbohydrate; nws raug xaiv nruj me ntsis. Ib qho tsim nyog xaiv cov txheej txheem tshuaj insulin thiab nws cov kev siv sijhawm tau txo nws txoj kev pheej hmoo ntawm qhov pib thiab kev vam meej ntawm cov txheej txheem pathological. Tsuas yog tus kws endocrinologist tuaj yeem xaiv cov txheej txheem tsim nyog, hom tshuaj insulin thiab nws qhov ntau npaum li cas, raws li cov txiaj ntsig tau los ntawm kev ntsuas tshwj xeeb. Txhawm rau kho cov tshuaj insulin, feem ntau yuav ua li cas, tus neeg mob yuav tsum tau tso rau hauv tsev kho mob.

Cov neeg muaj tus kabmob no yuav tsum ua raws li kev noj haus kom zoo, uas yog ib txoj hauv kev tseem ceeb ntawm kev siv tshuaj kho txoj siv tau.

Los ntawm cov khoom noj tsis suav:

qab zib, hloov nws nrog hloov chaw (xylitol, sorbitol),
ncuav thiab ncuav puff pastry,
hwm thiab thawj khob cij,
rog nqaij ntses, ntses,
cov khoom qab zib thiab curd qab zib, qab zib,
muab nqaij noj
nplej zom, semolina, mov,
kua txiv muaj roj zoo nkauj, kua zaub siav nrog mis nyuj, mov,
cov khoom ua kua kub, cov kua txob, cov txuj lom,
cov dej qab zib thiab dej tsis qab ntsev, kua txiv, nrog rau txiv hmap,
zib ntab, ice cream, jam

grey, rye zoo tshaj plaws, nrog rau mov ci,
Cov muaj roj tsawg nqaij, nqaij qaib, ntses - hau thiab cov ntses aspic,
buckwheat, oat, lossis pearl barley (vim muaj kev txwv khob cij),
ib hnub koj yuav tsum noj tsis ntau tshaj li ob lub qe muag muag lossis ib qho nqaij to,
cheese, qaub cream nkaus xwb hauv qhov tsawg,
txiv hmab txiv ntoo, xws li cranberries, dub currants lossis txiv hmab txiv ntoo stewed, txiv qab zib tsis qab, tab sis tsis ntau tshaj 200 grams tauj ib hnub,
txiv lws suav thiab lwm cov kua txiv uas tsis qab zib thiab kua txiv.
kas fes xav tau hloov nrog chicory.

Ntawm qhov tseem ceeb tshwj xeeb yog phytodiet. Hauv cov neeg mob ntshav qab zib mellitus, kev ua rau acidification tshwm sim hauv lub cev, uas yog vim li cas cov zaub siv nrog cov nyhuv alkalizing tau pom zoo:

Haus birch SAP hauv ib nrab ib khob txog peb zaug hauv ib hnub, kaum tsib feeb ua ntej noj mov.

Hauv tshuaj kho, qhov chaw loj yog nyob ntawm:

ntshav cov ntshav cov roj ua kom tsawg
anabolic tshuaj yuam
tshuaj tiv thaiv kab mob
cov vitamins
angioprotectors
txhaj tshuaj tiv thaiv kab mob
tshuaj tua kab mob biogenic,
cov enzymes
desensitizing cov tshuaj
coenzymes thiab lwm tus.
Cov tshuaj tiv thaiv mob siab Hypocholesterolemic:
tribusponin
miscleron.

Cov tshuaj no raug pom zoo rau kev siv rau kev mob ntshav qab zib retinopathy, uas tau tshwm sim rau kev sib xyaw nrog kev mob siab atherosclerosis.

Angioprotectors:
mob caj pas
Parmidin
Doxium
Dicinone "lossis" Etamsylate,
trental
pentoxifylline.
Rau kev kho mob ntawm preproliferative theem ntawm pathology, cov tshuaj "Phosphaden" yog siv, uas txhim kho qhov muag hemodynamics, cov xwm txheej dav dav ntawm pob txha thiab stimulates cov txheej txheem metabolic.
Kev siv tshuaj tiv thaiv kab mob hauv cov theem thaum ntxov ntawm tus kabmob yog ua tiav los ntawm kev siv cov tshuaj Levomesil, thiab kev txhaj tshuaj Tactivin thiab Prodigiosan.
Cov vitamins ntawm pab pawg B, C, E, R.
Rov qab thiab txhim kho metabolism hauv qhov muag nqaij: npaj "Taufon", "Emoksipin".
Hauv kev tswj hwm ntawm cov enzyme npaj Lidaza, Gemaza siv nyob rau hauv muaj cov lus tawm los ntshav.

Ib qho txiaj ntsig zoo hauv kev kho tau tuaj yeem ua tiav nrog kev pab ntawm Sidorenko lub tsom iav siv lub cev ua haujlwm, uas yooj yim rau kev siv hauv tsev, uas txhim kho cov ntshav.

Hmoov tsis zoo, kev kho tshuaj muaj peev xwm tsuas ua tau zoo thaum nyuam qhuav pib ntawm hom retinopathy no. Hauv cov sijhawm tom qab ntawm nws txoj kev loj hlob, kev kho cov tshuaj laser yog siv.

Laser coagulation tso cai rau koj kom qeeb los yog tseem nres qhov loj hlob ntawm cov nkoj tsim tshiab, ntxiv dag zog rau lawv cov phab ntsa thiab txo qhov permeability mus rau qhov tsawg kawg nkaus. Qhov tshwm sim ntawm retinal tsis lees paub yog txo.

Nrog rau daim ntawv qib siab ntawm cov ntshav qab zib ua kom muaj ntshav qab zib, kev phais mob yuav tsum - vitrectomy.

Kev cais tawm ntawm cov teeb meem kev pheej hmoo: ua kom lub cev nyhav, kho kev mob ntshav siab, tsis kam haus cawv thiab haus luam yeeb pab rov qab cov teeb meem hauv lub cev, ua kom tshwm sim ntawm kev kho mob.

Cov theem pib ntawm retinopathy tuaj yeem teb tau zoo heev rau kev kho mob nrog tshuaj ntsuab, koj tuaj yeem siv cov kev kho mob pej xeem tom qab theem tom qab ua ke nrog kev kho mob tshuaj.

Yog hais tias es tsis txhob siv tshuaj yej, haus ib qho kev lis ntshav ntawm linden lub paj, koj tuaj yeem txo qis dua ntawm cov piam thaj. Npaj lub Txoj kev lis ntshav yog yooj yim heev: ob dia ntawm linden lub paj yuav tsum ncuav 0.5 liv ntawm cov dej npau. Insist rau txog ib nrab ib teev.

Qhov sau "Genius" txhim kho cov ntshav txaus hauv cov hlab ntsha ntawm retina thiab txo kev pheej hmoo ntawm retinopathy. Ob dia ntawm kev sau ncuav ib nrab ib liter ntawm boiling dej, insist 3 teev, ntws. Siv 1/2 khob kaum feeb ua ntej noj mov 3-4 zaug ib hnub. Lub sij hawm ntawm kev kho mob yog txog li 4 lub hlis.

Blueberries rov qab zoo pom tseeb tseeb. Txhua txhua hnub 3 zaug nyob rau ib hnub, tsis hais txog ntawm cov zaub mov noj, yuav tsum noj ib lub roj qab li ib diav. Txhua lub sijhawm ntawm lub xyoo, khov blueberries tau muag hauv khw muag khoom. Nws kuj tseem pom zoo kom noj cov infusions los ntawm kev sau ntawm tshuaj ntsuab, uas suav nrog no cov txiv hmab txiv ntoo qhuav.

Gryaznova I.M., VTorova VT. Mob ntshav qab zib mellitus thiab cev xeeb tub. Moscow, tshaj tawm tsev "Tshuaj", 1985, 207 pp.
Ametov, A.S. Hom 2 mob ntshav qab zib mellitus. Teeb meem thiab kev daws teeb meem. Phau ntawv qhia kev kawm. Ntim 1 / A.S. Ametov. - M .: GEOTAR-Media, 2015 .-- 370 p.
Ametov, A.S. Hom 2 mob ntshav qab zib mellitus. Teeb meem thiab kev daws teeb meem. Phau ntawv qhia kev kawm. Ntim 1 / A.S. Ametov. - M .: GEOTAR-Media, 2015 .-- 370 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog cov kws tshwj xeeb ib txwm tsim nyog.