Retinal Angiopathy Txoj Cai ICB

Cov npe tshuaj uas txhim kho cov ntshav microcirculation hauv eyeballs:

Raws li kev siv dag zog hauv lub cev, kws kho mob ntsej muag yuav pom zoo kom mus dhau ntawm kev siv tshuaj kho mob, kho laser (retina teeb).

Thaum cev xeeb tub, retinal angiopathy muaj ntau yam:

1. Gestosis lossis mob toxicosis lig.
2. Ua rau cov ntshav siab ntxiv.
3. Muaj ntshav qab zib ntau ntxiv.

Tus mob yog kuaj pom tus poj niam nyob rau lub hlis thib peb, tsis tas yuav muaj kev kho mob tshwj xeeb. Txij li thaum txoj kev kho yuav tsum ua kom tshem tawm cov hauv paus hauv kev hloov pauv ntawm cov hlab ntsha thiab lawv cov channel.

txo hauv cov ntshav siab (cov poj niam cev xeeb tub tau sau tseg Dopegit, Papazol). Tab sis kev kho lub siab qhov muag tau zoo li cas tuaj yeem pom hauv tsab xov xwm ntawm no.

normalization ntawm raum muaj nuj nqidiuretics ntawm lub hauv paus chiv keeb yuav pab kho qhov mob: Kanefron, Fitolizin, thiab lwm yam. Tab sis dab tsi ointment pab nrog barley hauv qhov muag thiab siv yuav raug li cas tau piav ntawm no.

Cov npe tshuaj uas txhim kho cov ntshav microcirculation hauv eyeballs:

Raws li kev siv dag zog hauv lub cev, kws kho mob ntsej muag yuav pom zoo kom mus dhau ntawm kev siv tshuaj kho mob, kho laser (retina teeb).

Thaum cev xeeb tub, retinal angiopathy muaj ntau yam:

1. Gestosis lossis mob toxicosis lig.
2. Ua rau cov ntshav siab ntxiv.
3. Muaj ntshav qab zib ntau ntxiv.

Tus mob yog kuaj pom tus poj niam nyob rau lub hlis thib peb, tsis tas yuav muaj kev kho mob tshwj xeeb. Txij li thaum txoj kev kho yuav tsum ua kom tshem tawm cov hauv paus hauv kev hloov pauv ntawm cov hlab ntsha thiab lawv cov channel.

txo hauv cov ntshav siab (cov poj niam cev xeeb tub tau sau tseg Dopegit, Papazol). Tab sis kev kho lub siab qhov muag tau zoo li cas tuaj yeem pom hauv tsab xov xwm ntawm no.

normalization ntawm raum muaj nuj nqidiuretics ntawm lub hauv paus chiv keeb yuav pab kho qhov mob: Kanefron, Fitolizin, thiab lwm yam. Tab sis dab tsi ointment pab nrog barley hauv qhov muag thiab siv yuav raug li cas tau piav ntawm no.

Cov kab mob ntawm cov choroid ntawm lub pob muag, tsis yog lwm qhov kev faib tawm (H31)

Seem ntawm ICD no suav nrog:

• Chorioretinal nti (H31.0),
• Kev hloov pauv hloov pauv hauv qhov choroid (H31.1),
• Dystrophic cov txheej txheem hauv choroid ntawm qhov muaj keeb muaj kabmob (H31.2),
• Cov pob txha lov, choroid tawg hauv thaj av no ntawm lub qhov muag (H31.3),
• Kev Siv Tau Choroidal (H31.4),
• Cov kab mob tseem tshuav ntxiv ntawm choroid (H31.8),
• Cov kab mob tsis paub meej ntawm tus choroid (H31.9).

Retinal Ntsig thiab Tear (H33)

Cov kab ke no koom nrog:

Cov txheej txheem:

• Lwm Yam Kab Mob Plum (H35)
• Mob ntshav qab zib angiopathy ntawm retina thiab qis dua qhov kawg: ICD-10 code, cov tsos mob thiab txoj kev kho
• No yog dabtsi?
• Cov lus qhia luv luv
• ICD-10 code
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Macular Angioid Txaij

Druze (tsis zoo) macula

Senile macular cuam tshuam (atrophic) (exudative)

Yog tias tsim nyog, txheeb xyuas cov tshuaj uas ua rau mob txhab, siv ib txoj cai ntxiv ntawm qhov ua rau sab nraud (chav kawm XX).

• BDU
• ntshai kawg
• microcystic
• palisade
• resembling cobblestone txoj kev pob zeb hauv qhov tsos
• thaub laus

Tsis suav: nrog rub tawm kom rov zoo li qub (H33.3)

• retinal (albipunctate) (xim) (yolk-zoo li)
• Tubkawmntxawm
• vitreoretinal

Nruab nrab serous chorioretinopathy

Retinal xim epithelium detachment

Hauv tebchaws Lavxias, Kev Hloov Kab Mob Thoob Ntiaj Teb ntawm 10 kev kho dua tshiab (ICD-10) tau raug coj los ua ib tsab cai tswjfwm rau kev suav nrog qhov teebmeem, qhov laj thawj ntawm pej xeem thov mus rau cov chaw khomob ntawm txhua lub chaw haujlwm, thiab ua rau muaj kev tuag.

ICD-10 tau muab qhia rau hauv kev coj ua hauv kev noj qab haus huv thoob plaws hauv Lavxias Lavxias xyoo 1999 los ntawm kev coj ua ntawm Ministry of Health ntawm Russia ntawm 05.27.97. No. 170

Kev tshaj tawm ntawm kev hloov kho tshiab (ICD-11) yog npaj los ntawm WHO xyoo 2017 2018.

Nrog kev hloov pauv thiab ntxiv ntawm WHO.

Angiopathy yog qhov ua txhaum ntawm kev ua haujlwm ntawm cov hlab ntsha ntawm lub pob muag ntawm lub qhov muag, uas ua rau nws tus kheej hauv kev ua kom tsis muaj suab tsis zoo hauv lub suab nrov ntawm cov hlab ntsha ntawm retina thiab capillary txaj ntawm fundus.

Vim tias cov kabmob no, muaj kev txo qis hauv cov ntshav cov ntshav ua haujlwm rau cov kabmob thiab cov kev cai hauv lub siab. Nws zoo nkaus li coj txawv txawv tias qhov tsis txaus ntshai thiab mob hnyav tsis muaj ICD-10 code.

Tab sis qhov no tsis txhais tau tias kev nyab xeeb ntawm tus kabmob. Nws, zoo li cov kab mob zoo sib xws, yuav tsum tau saib xyuas zoo los ntawm kws kho mob ntsej muag. Kab lus no muab cov ncauj lus kom ntxaws txog cov kab mob pathology xws li mob ntshav qab zib ua kom tsis muaj ntshav, raws li ICD-10.

Retinal angiopathy tsis yog tus kab mob ntawm tus kheej, tab sis tsuas yog qhov kev paub ntawm qee yam kev mob uas cuam tshuam rau cov hlab ntshav ntawm tag nrho tib neeg lub cev. Tus mob nthuav qhia nws tus kheej hauv txoj kev hloov ntshav hauv txoj hlab ntshav vim kev ua txhaum loj ntawm cov kev cai ntawm txoj hlab ntsha.

Retinal Mob Hlwb

Qhov zoo, kev saib xyuas kom txaus yog them rau tus kab mob, vim nws tuaj yeem ua rau lub txim tsis zoo rau tag nrho lub cev. Qhov phom sij tshaj plaws ntawm lawv yog qhov tsis pom kev. Tus kab mob feem ntau no kuaj tsis tau tsuas yog rau menyuam yaus, tab sis kuj tseem ua rau cov neeg muaj hnub nyoog loj dua.

Nws feem ntau pom tshwm hauv cov txiv neej thiab poj niam uas laus dua 30 xyoo. Muaj qee qhov kev faib tawm ntawm tus mob uas muaj kev cuam tshuam rau kev txhim kho ntawm tus mob no.

Nyob ntawm lawv, kev mob hlwb hauv hlwb yuav ua tau raws li cov hauv qab no:

1. ntshav qab zib. Hauv qhov no, cov hlab ntsha puas tsuaj tshwm sim vim qhov tsis saib xyuas ntawm ob hom ntshav qab zib. Hauv qhov no, kev puas tsuaj yog pom tsis tsuas yog nyob hauv cov hlab ntsha ntawm lub qhov muag, tab sis kuj nyob rau hauv cov hlab ntshav ntawm tag nrho cov kab mob. Qhov tshwm sim no ua rau muaj kev cuam tshuam tseem ceeb hauv cov ntshav khiav, nrog rau kev txhaws ntawm cov hlab ntsha, leeg ntshav thiab capillaries. Raws li qhov tshwm sim, cov khoom noj khoom haus ntawm lub qhov muag zuj zus, thiab cov haujlwm ua kom pom tseeb zuj zus,
2. hypotonic. Cov ntshav siab qis tuaj yeem ua rau lub ntsej muag tsis sib haum nyob rau hauv lub suab ntawm cov hlab ntshav me ntawm cov pob muag. Tsis tas li, muaj ntau dhau ntawm lawv cov ntshav thiab txo cov ntshav hauv cov ntshav. Cov ntshav txhaws tuaj yeem tshwm me ntsis tom qab. Nrog hom mob no, tus neeg hnov ​​lub zog loj hauv cov hlab ntawm lub qhov muag,
3. hypertonic. Yog tias tus neeg mob ntshav siab, tus kab mob hauv nqe lus nug feem ntau tshwm sim. Nws ua tau nws tus kheej hauv kev txiav txim siab thiab nthuav dav ntawm cov leeg, nquag ntshav tawm hauv cov kab noj hniav ntawm lub pob muag ntawm lub qhov muag thiab qhov tsis zoo ntawm nws cov qauv. Nrog kev ua tiav ntawm kev kub siab, mob ntsws ntawm lub retina ntawm ob lub qhov muag yuav ploj mus ntawm nws tus kheej,
4. kev poob plig. Daim ntawv ntawm tus kabmob no tuaj yeem txhim kho nyob rau ntawm qhov muaj mob loj txha caj qaum, mob hlwb thiab nias ntawm pob tw. Kev tsim ntawm angiopathy tuaj yeem yog vim yog nias ntawm cov leeg ntshav loj thiab me me hauv thaj av ntawm lub ncauj tsev menyuam. Lwm qhov laj thawj rau qhov xwm txheej no yog qhov nce siab hauv cov pob txha taub hau,
5. hluas. Cov kab no feem ntau suav tias yog qhov txaus ntshai tshaj plaws thiab tsis tsim nyog, vim qhov ua rau nws tshwm sim tseem tsis tau paub. Cov tsos mob tshwm sim feem ntau muaj li hauv qab no: cov txheej txheem ua mob rau hauv cov hlab ntshav, nrog rau cov ntshav tawm ntawm lub cev, ob qho tib si hauv retina thiab vitreous. Qhov tsim ntawm cov nqaij sib txuas ntawm cov retina tsis yog tsis suav nrog. Cov cim ceeb toom ntawm tus kab mob feem ntau ua rau cataracts, glaucoma, retinal detachment, thiab txawm dig muag.

Occlusion ntawm cov leeg nrawm (H34)

Retinal txog ntsha occlusion tuaj yeem yog cov hom hauv qab no:

ICD 10. HOOB IX. Kab mob sib kis (I00-I99)

Tsis suav: tus neeg mob tshwm sim hauv cov sijhawm tsis tos neeg lub sijhawm (P00 —P96 )

qee cov kis mob thiab cov cab (A00 —B99 )

cov teeb meem ntawm cev xeeb tub, kev yug menyuam thiab lub sijhawm yug menyuam (O00 —O99 )

yug los ua yam ntxwv tsis zoo, lub cev tsis ua haujlwm thiab lub qog ib ce txawv txav (Q00 —Q99 )

cov kab mob endocrine, noj zaub mov tsis haum thiab metabolic ntshawv siab (E00 —E90 )

cov tsos mob, cov paib thiab txawv txav qhia tau nrog

Chav kawm no muaj cov haujlwm nram qab no:

I00 —I02 Mob taub hau rheumatic

I05 —I09 Mob plawv rheumatic

I10 —I15 Cov kab mob uas pom cov ntshav siab

I20 —I25 Coronary mob plawv

I26 —Kuv28 Pulmonary lub plawv thiab lub ntsws muaj kev ntshaus siab

I60 —I69 Cerebrovascular kab mob

I70 —I79 Kab mob ntawm cov hlab ntsha, cov hlab ntsha thiab cov hlab ntsha

I80 —I89 Cov kab mob ntawm cov leeg, mob hlab ntsha thiab lub qog ntshav, tsis nyob rau lwm qhov chaw

I52 Lwm lub qhov txhab mob hauv cov kab mob sim lwm qhov

I68 Mob vascular txhab voos xwm txheej hauv cov kab mob cais lwm qhov

I79 Txhab ntawm cov hlab ntsha, cov hlab ntsha thiab cov hlab ntsha hauv cov kab mob cais rau lwm qhov

I01 Rheumatic ua npaws koom nrog lub plawv

Tsis suav: mob plawv mob ragumatic keeb kwm (I05 —I09 ) tsis muaj kev txhim kho tib lub sij hawm ntawm cov txheej txheem mob rheumatic lossis tsis muaj qhov tshwm sim ntawm kev ua kom rov zoo lossis rov ua dua ntawm tus txheej txheem no• Yog tias muaj kev ua xyem xyav txog qhov kev ua haujlwm ntawm lub rheumatic thaum lub sijhawm tuag, ib qho yuav tsum tig mus rau cov lus pom zoo thiab cov cai rau coding kev tuag tshwm sim hauv t• 2.

I01.0 Mob caj dab mob txhaws thoob plawv

Ib qho xwm txheej twg cuam tshuam nrog qhov rubric I00Cov. nyob rau hauv kev sib xyaw nrog pericarditis

Tsis suav: kab mob pericarditis, tsis xaiv tus mob rheumatic (I30. -)

I01.1 Mob rheumatic endocarditis

Ib qho xwm txheej twg cuam tshuam nrog qhov rubric I00Cov. txuam nrog endocarditis lossis valvulitis

Mob rheumatic valvulitis

I01.2 Mob rheumatic myocarditis

Ib qho xwm txheej twg cuam tshuam nrog qhov rubric I00Cov. txuam nrog myocarditis

I01.8 Lwm yam mob rheumatic mob plawv

Ib qho xwm txheej twg cuam tshuam nrog qhov rubric I00Cov. ua ke nrog lwm yam lossis ntau hom kev mob

hais txog lub plawv. Mob rheumatic pancreatitis

I01.9 Cov tsis paub meej mob plawv mob rheumatic

Ib qho xwm txheej twg cuam tshuam nrog qhov rubric I00Cov. ua ke nrog ib daim ntawv tsis pom tseeb ntawm kev mob plawv

• mob caj dab rheumatic

• nquag lossis mob plawv

I05 Cov mob Rheumatic ntawm mitral valve

Nrog rau: tej yam mob uas muab cais ua pawg I05.0

thiab I05.2 —I05.9Cov. sau tseg lossis tsis sau tseg tias yog rheumatic

Raug tshem tawm: cov teeb meem tau teev tseg uas tsis yog-rheumatic (I34. -)

I05.0 Mitral stenosis. Mitral valve constriction (rheumatic)

I05.1 Rheumatic mitral regurgitation

• hauj lwm tsis zoo

• kev rov tsim txom

I05.2 Mitral stenosis nrog kev tsis txaus. Mitral stenosis nrog kev ua haujlwm tsis txaus lossis regurgitation

I07 Cov kab mob pob txha ntawm lub tricuspid valve

Muaj nrog: mob teev los yog tsis teev raws li

Raug tshem tawm: cov teeb meem tau teev tseg uas tsis yog-rheumatic (I36. -)

I07.0 Tricuspid stenosis. Tricuspid (valve) mob stenosis (mob pob qij txha)

I07.1 Tricuspid tsis txaus. Tricuspid (valve) tsis txaus (rheumatic)

I07.9 Tricuspid valve kab mob, tsis paub meej. Kev ua txhaum ntawm txoj haujlwm ntawm tricuspid valve NOS

I08 Kev puas tsuaj rau ntau lub qub

Xws li: cov mob uas teev tseg lossis tsis sau meej tias yog rheumatic

Tsis suav: kab mob endocarditis, valve tsis tso cai (I38 )

rheumatic endocardial kab mob, valve

tsis sau tseg (I09.1 )

I08.0 Cov kev sib txuas ua ke ntawm cov caj ces mitral thiab aortic li qub

Kev puas tsuaj rau ob qho tib si mitral thiab aortic li qub, txawm hais tias lossis tsis sau meej tias yog rheumatic

I08.8 Lwm yam ntau yam kab mob valve

I11 Cov kev mob ntshav siab hypertensive plawv mob siab tshaj plaws nrog lub plawv tsis zoo

Muaj nrog: ib qho xwm txheej qhia nyob hauv cov ncauj lus I50. —. I51.4 —I51.9Cov. tshwm sim los ntawm kev kub siab

I11.0 Kev kub siab tawg nrog lub plawv mob siab tshaj nrog (mob txeem) mob plawv

tsis txaus. Kev kub siab hypertensive plawv nres

I11.9 Kev mob ntshav siab tawg nrog lub plawv feem ntau yog tsis muaj (tsis muaj leeg txhaws) kev mob plawv

tsis txaus. Cov kev mob ntshav siab NOS

I12 Kev mob ntshav siab tawg nrog lub raum feem ntau kev puas tsuaj

Muaj nrog: ib qho xwm txheej qhia nyob hauv cov ncauj lus N18. —. N19Cov. lossis N26Cov. - nrog txhua yam mob,

sau tseg rau hauv nqe hau lus I10

arteriosclerotic nephritis (mob ntev)

Tsis suav: Qhov kub siab thib ob (I15. -)

I12.0 Kev mob ntshav siab tawg nrog lub raum tsis ua haujlwm nrog lub raum tsis ua haujlwm

Hypertensive raum tsis ua haujlwm

I12.9 Kev mob ntshav siab tawg nrog lub raum ntau tshaj tsis muaj lub raum tsis ua haujlwm

Renal daim ntawv ntawm kev kub siab NOS

I13 Kev mob ntshav siab tawg nrog kev puas tsuaj loj rau lub plawv thiab ob lub raum

Muaj: ib qho xwm txheej qhia hauv tshooj Kuv11Cov. -. ua ke nrog ib qho kev mob twg tau teev nyob hauv qhov rubric I12Cov. kab mob:

• mob raum

• hlab plawv raum

I13.0 Kev mob ntshav siab tawg nrog kev puas tsuaj ntau rau lub plawv thiab ob lub raum nrog (tsis sib haum) lub plawv

I13.1 Kev mob ntshav siab tawg nrog lub raum tsis ua haujlwm nrog lub raum tsis ua haujlwm

I13.2 Kev mob ntshav siab tawg nrog kev puas tsuaj ntau rau lub plawv thiab ob lub raum nrog (tsis sib haum) lub plawv

tsis txaus thiab lub raum tsis ua haujlwm

I13.9 Kev mob ntshav siab tiv thaiv nrog mob siab lub plawv thiab lub raum puas, ua haujlwm tsis meej

Mob ntshav qab zib angiopathies ntawm qis qis dua (ICD-10 code: E10.5, E11.5)

Kev mob puas tsuaj rau cov hlab ntsha me me (microangiopathy) lossis cov hlab ntshav ntsa (macroangiopathy). Kev tswj hwm ntawm cov tshuaj insulin nyob rau hauv cov ntshav qab zib mellitus, uas ua rau lub neej nce ntxiv ntawm cov neeg mob, txawm li cas los xij tsis tiv thaiv kev txhim kho ntawm micro- thiab angiopathies, nyob hauv 70-80% ntawm cov neeg mob ua rau muaj mob xiam oob qhab thiab tuag ntawm cov neeg mob.

Hauv kev xyaum ua haujlwm, angiopathies ntawm cov hlab ntsha ntawm lub raum (nephroangiopathy) thiab qhov muag (angiopathy ntawm cov hlab ntsha ntawm qhov retina) feem ntau tau sau tseg, txawm li cas los xij, nws yuav tsum lees paub tias angiopathy yog kab ke.

Kev kho cov kab mob microangiopathies nrog cov kev siv tshuaj tua kab mob laser yog txoj hauv kev tshwj xeeb ntawm kev kho kom zoo endothelial trophism, tshem tawm kev mob rheological, txhim kho cov mob thiab piv ntawm cov ntshav coagulation thiab anticoagulation system, rov kho microcirculation, rov qab cov metabolism thiab oxygenation ntawm cov ntaub so ntswg.

Cov phiaj xwm kev kho mob suav nrog kev tso ntshav lossis leeg ntshav tsis ua haujlwm nyob rau hauv kev ua haujlwm ntawm ulnar fossa, nrog rau cov phiaj xwm ntawm cov hlab ntsha xa mus rau thaj chaw muaj kev cuam tshuam, cuam tshuam rau ntawm cov neurovascular bundles projecting hauv cov duab peb caug thiab popliteal fossa ("vascular windows"). Saib xyuas qhov ua tau zoo ntawm kev kho yog nqa tawm los ntawm cov qauv ntawm cov ntsuas cua ntsuas ntawm qhov sib tshooj ntawm qhov qis qis - los ntawm cov cuab yeej siv los yog cov txheej txheem palpation. Raws li hemodynamics txhim kho, tag nrho irradiation ntawm cuam tshuam lim (s) yog ua raws li kev soj ntsuam txheej txheem. Qhov ceev ntawm emitter thaum lub sij hawm thaij kev ua: 0.5-1.0 cm / sec.

Cov cai tswjfwm kev nthuav tawm ntawm thaj chaw kho mob hauv kev kho mob ntshav qab zib

Lub pathogenesis ntawm ntshav qab zib retinopathy yog txoj. Cov kev sib txuas ua ntej yog microcirculation teeb meem cuam tshuam nrog cov caj ces qauv cov yam ntxwv ntawm cov hlab ntsha thiab cov pa hloov pauv nrog rau ntshav qab zib mellitus.

Xyoo 1992, Kohner E. thiab Porta M.LEEJ TWG kev faib tawm ntawm tus mob ntshav qab zib retinopathy tau npaj siab, uas tam sim no feem ntau lees txais:

Nonproliferative Retinopathy (cov kab mob ntshav qab zib retinopathy Kuv) - muaj tus cwj pwm pom nyob rau ntawm retina ntawm lub qhov muag ntawm kev hloov pauv pathological hauv daim ntawv ntawm microaneurysms, hemorrhages (nyob rau hauv daim ntawv me me lossis cov doog ntawm cov duab sib npaug (tseem muaj cov xim dashed), tsaus xim hauv cheeb tsam, hauv thaj chaw nruab nrab ntawm qhov fundus lossis raws cov leeg loj hauv qhov tob. txheej pob txha nqaj), exudative foci (thaj chaw hauv thaj chaw nruab nrab ntawm cov fundus, daj lossis dawb nrog ciam teb ntshiab lossis qhov muag plooj) thiab cov pob txha mos. Retinal edema nyob hauv thaj chaw nruab nrab (macular) thaj av lossis raws cov nkoj loj yog ib qho tseem ceeb ntawm cov tsis muaj kabmob ntshav qab zib ua lub pob maim retinopathy.

Thawj theem pib ntawm qhov chaw txhab pom tus cwj pwm tsis pom (qhov pom ntawm lub qhov muag, mob, thiab lwm tus). Kev poob lossis txo qhov pom ntawm lub ntsej muag yog tus mob lig uas qhia tau qhov kev ua kom deb, tsis tuaj yeem ua haujlwm (tsis txhob tsis saib tsis xyuas qhov kev ntsuam xyuas ophthalmological niaj hnub).

arterioles - lipogaline arteriosclerosis ("ntshav vasculosis"), qhov cuam tshuam tshaj plaws yog precapillary arterioles thiab capillaries nyob rau thaj tsam posterior ntawm cov nyiaj,

Tsawg kawg yog 1 zaug nyob rau ib xyoos, cov neeg mob ntshav qab zib mellitus tau kuaj xyuas qhov tsis zoo, suav nrog kev nug, ntsuas ntawm qhov muag pom thiab ophthalmoscopy (tom qab cov tub kawm ntawv xoob) kom pom cov exudates, pom cov ntshav, microaneurysms thiab loj hlob ntawm cov nkoj tshiab. Qhov zoo, kev tshuaj xyuas yog nqa los ntawm kws kho qhov muag nrog kev paub hauv cov chaw kho mob ntshav qab zib.

Txoj kev tshawb nrhiav DIRECT tsis ntev los no tau soj ntsuam kev siv cov lus rendes-angiotensin receptor blocker (PAC) ntawm candesartan rau hom 1 thiab ntshav qab zib hom 2. Kev siv cov tswm ciab candesartan tsis txo qis kev nce qib ntawm kev rov ua dua li qub. Thaum lub sijhawm kawm, muaj ib qho kev ywj pheej hais txog qhov txo qis ntawm qhov mob hlwb retinopathy. Hauv kev kawm RASS tsis tshua muaj ntau, nws tau pom tias kev loj hlob ntawm retinopathy nyob rau hauv hom 1 mob ntshav qab zib mellitus qeeb nrog ASD thaiv nrog losartan thiab ib qho angiotensin-hloov mus rau enzyme enalapril inhibitor. Yog li, kev siv tshuaj ASD blockers yuav tsim nyog rau cov neeg mob ntshav qab zib hom 1 thiab mob hlwb, tab sis tsis muaj mob ntshav qab zib hom 2.

Tsuas yog qhov txiaj ntsig zoo rau kev tiv thaiv kab mob ntshav qab zib retinopathy yog lub hauv paus rau kev kho mob ntawm txhua theem nws yog kev them nyiaj zoo tshaj plaws rau cov ntshav qab zib mellitus (glycated hemoglobin HbA1C Diabetesic angiopathy ntawm retina thiab qis tshaj qhov kawg: ICD-10 code, cov tsos mob thiab cov kev kho mob

Angiopathy yog qhov ua txhaum ntawm kev ua haujlwm ntawm cov hlab ntsha ntawm lub pob muag ntawm lub qhov muag, uas ua rau nws tus kheej hauv kev ua kom tsis muaj suab tsis zoo hauv lub suab nrov ntawm cov hlab ntsha ntawm retina thiab capillary txaj ntawm fundus.

Vim tias cov kabmob no, muaj kev txo qis hauv cov ntshav cov ntshav ua haujlwm rau cov kabmob thiab cov kev cai hauv lub siab. Nws zoo nkaus li coj txawv txawv tias qhov tsis txaus ntshai thiab mob hnyav tsis muaj ICD-10 code.

Tab sis qhov no tsis txhais tau tias kev nyab xeeb ntawm tus kabmob. Nws, zoo li cov kab mob zoo sib xws, yuav tsum tau saib xyuas zoo los ntawm kws kho mob ntsej muag. Kab lus no muab cov ncauj lus kom ntxaws txog cov kab mob pathology xws li mob ntshav qab zib ua kom tsis muaj ntshav, raws li ICD-10.

Retinal angiopathy tsis yog tus kab mob ntawm tus kheej, tab sis tsuas yog qhov kev paub ntawm qee yam kev mob uas cuam tshuam rau cov hlab ntshav ntawm tag nrho tib neeg lub cev. Tus mob nthuav qhia nws tus kheej hauv txoj kev hloov ntshav hauv txoj hlab ntshav vim kev ua txhaum loj ntawm cov kev cai ntawm txoj hlab ntsha.

Retinal Mob Hlwb

Qhov zoo, kev saib xyuas kom txaus yog them rau tus kab mob, vim nws tuaj yeem ua rau lub txim tsis zoo rau tag nrho lub cev. Qhov phom sij tshaj plaws ntawm lawv yog qhov tsis pom kev. Tus kab mob feem ntau no kuaj tsis tau tsuas yog rau menyuam yaus, tab sis kuj tseem ua rau cov neeg muaj hnub nyoog loj dua.

Nws feem ntau pom tshwm hauv cov txiv neej thiab poj niam uas laus dua 30 xyoo. Muaj qee qhov kev faib tawm ntawm tus mob uas muaj kev cuam tshuam rau kev txhim kho ntawm tus mob no.

Nyob ntawm lawv, kev mob hlwb hauv hlwb yuav ua tau raws li cov hauv qab no:

Ntev-ntev hyperglycemia. Muaj ib qho kev xav ntawm qhov tseem ceeb ntawm kev tiv thaiv kab mob hauv lub hauv paus chiv keeb ntawm retinopathy.

Hauv cov kab mob ntshav qab zib mellitus, qhov ntshav-rov ua dua, uas tiv thaiv kev nkag mus ntawm cov lwg me me loj los ntawm cov hlab ntshav mus rau hauv cov ntaub so ntswg, dhau los ua ntau permeable, uas ua rau cov khoom tsis haum nkag mus rau qhov mob retina.

Ib qho kev sib lawv liag yog pom nyob rau hauv kev tsim cov tsos mob: vasodilation> kom ntshav khiav ntau dua> endothelial puas tsuaj> txhaws capillaries> nce permeability> tsim cov hlab ntsha ua haujlwm thiab cov microaneurysms> neovascularization> hemorrhages> degeneration thiab disorganization.

Qhov tseem ceeb ua rau pom kev tsis pom tseeb yog tus mob ntshav qab zib, muaj ntau yam kev tshawb pom ntawm 80-90% ntawm cov neeg mob. Raws li tus kws qhia ntawv A. Efimov, nyob rau kev tshawb ophthalmological ntawm 5,334 tus neeg muaj ntshav qab zib mellitus, kev mob hlwb ntawm qhov txawv txav tau kuaj pom hauv 55.2% ntawm cov neeg mob (theem I - 17.6%, theem II - 28.1%, theem III - 9 , 5%). Tag nrho cov tsis pom kev ntawm txhua qhov kev kuaj mob yog kwv yees li 2%.

Retinopathy - kev puas tsuaj rau cov hlab ntsha ntawm retina. Lub ntsiab "lub hom phiaj" rau kev hloov pauv hauv cov retina:

Kev kho mob ntshav qab zib retinopathy yog txoj, ua los ntawm endocrinologist thiab tus kws kho keeb. Qhov tseem ceeb ib yam yog kev noj zaub mov zoo thiab kev kho tshuaj insulin. Nws yog ib qho tseem ceeb kom tsis txhob muaj cov rog hauv cov zaub mov noj, hloov cov tsiaj rog nrog roj zaub, tsis suav txog cov khoom noj zom tau yooj yim (cov suab thaj, qab zib, khaws cia), thiab tseem siv cov khoom muaj lipotropic tshuaj (tsev cheese, ntses, oatmeal), txiv hmab txiv ntoo, zaub (tshwj tsis yog rau cov qos yaj ywm). Kev kho mob Vitamin yog qhov tseem ceeb, tshwj xeeb tshaj yog cov pawg B (B1, B2, B6, B12, B15) sab hauv thiab niam txiv. Vitamin C, P, E muaj qhov ua haujlwm ntawm kev tiv thaiv kev ua haujlwm ntawm cov leeg ntshav (3-4 zaug hauv ib xyoos, kev kawm 1 lub hlis). Angioprotectors suav nrog anginin (prodectin), dicinone, doxium. Cov tshuaj yog coj raws li kws kho mob sau tseg.

Hauv kev ua haujlwm siab thiab nrog kev sib xyaw ntawm cov ntshav qab zib mellitus nrog cov ntshav siab heev, atherosclerosis yog qhov hnyav heev.

Hauv kev txhim kho thiab kev loj hlob ntawm tus mob hlwb rov qab rau txhua yam mob ntshav qab zib mellitus, lub luag haujlwm tseem ceeb yog muab rau cov txiaj ntsig zoo ntawm kev them nyiaj rau tus kab mob hauv qab. Kev tsim tawm ntawm txoj hlab ntshav txhaws thiab ntshav qab zib nephropathy, feem ntau ua ke nrog retinopathy, exacerbate cov chav kawm ntawm retinopathy mob ntshav qab zib mellitus. Atherosclerosis feem ntau mob siab rau ntawm cov neeg mob ntshav qab zib mellitus ntawm lub hnub nyoog yau thiab mob hnyav dua - vim tias muaj microangiopathy, kev muaj peev xwm tsim kom muaj kev sib txuam nrog kev txo qis. Txog lub hom phiaj kuaj mob raws sijhawm, txhua tus neeg mob ntshav qab zib yuav tsum raug kuaj los ntawm tus kws kho mob ophthalmologist tsawg kawg 1 zaug hauv ib xyoos thiab yog tias muaj kev tsis txaus siab tsim nyog.

Txhawm rau tiv thaiv qhov mob vascular txhab ntau ntawm lub qhov muag, lawv yuav tsum kuaj pom thaum ntxov - cov tub ntxhais hluas uas muaj ntshav qab zib yuav tsum tau kuaj los ntawm kws kho mob ophthalmologist tsawg kawg 1 zaug hauv 6 lub hlis. Kev saib xyuas tshwj xeeb yuav tsum tau them rau qhov muag mob ntawm cov neeg mob ntshav qab zib ntev - nrog kev nce ntawm lub sijhawm mob ntshav qab zib mellitus, qhov ntau zaus ntawm kev kuaj pom tus mob ntshav qab zib nce ntxiv.

ntshav qab zib mellitus rau cov menyuam yaus Kev kho mob hnyav: Teeb meem

ntshav qab zib mellitus Ntau heev insulin Saib ntxiv

Hom Mob Retinal Angiopathy

1. Cov kev mob ntshav siab (hypertensive angiopathy) yog qhov tshwm sim ntawm ib tus neeg lub siab tawg. Nrog hom mob no, qhov tsis sib luag ntawm cov hlab ntsha hauv pob txha, cov leeg ntshav sib xyaw (lawv qhov sib piv 2: 3 txog 1: 2 thiab 1: 4 yog ua txhaum), pinpoint hemorrhages nyob rau ntau qhov chaw ntawm lub pob muag, thiab ceg ntawm cov leeg ntshav yog cai. Yog hais tias theem ntawm angiopathy ntawm hom no tau raug tsis saib xyuas, tom qab ntawd cov ntaub so ntswg rov qab tau hloov kho. Nyob rau hauv kev cuam tshuam ntawm kev tshem tawm cov mob ntshav siab, tus neeg mob lub txhab nyiaj dua tau txais qhov zoo dua, yog tias muaj thawj theem.

2. Mob ntshav qab zib angiopathy ntawm lub qhov muag tshwm sim thaum tsis muaj kev kho mob sijhawm rau cov ntshav qab zib. Muaj ob hom: microangiopathy thiab macroangiopathy. Microangiopathy yog ib txoj hlab ntaws ntawm phab ntsa ntawm cov hlab ntsha, ua rau cov ntshav tawm hauv cov ntaub so ntswg uas nyob ze, ntxiv rau kev ua txhaum ntawm cov ntshav ncig cov ntshav. Nrog macroangiopathy, cov hlab ntsha loj dua ntawm lub qhov muag cuam tshuam. Nrog rau kev txhim kho mob ntshav qab zib angiopathy, hauv qab daus daim nyias nyias thicken, mucopolysaccharides txhaws cov phab ntsa ntawm cov hlab ntsha, uas ua rau txoj kev nqaim ntawm cov khoob hauv lawv, uas yog fraught nrog lawv ntxiv txhaws. Cov kev hloov pauv pathological ua rau tsis txaus ntseeg cov ntshav microcirculation, uas tej zaum yuav ua rau cov nqaij hypoxia (tsis muaj oxygen). Hauv kev ua haujlwm siab, pom ntau cov kev mob hemorrhages, uas ua rau muaj qhov tsis pom kev zoo.

3. Hypotonic angiopathy - nthuav dav ntawm cov hlab ntsha, kev tso ntshav tawm ntawm cov leeg. Cov hlab ntsha ntsia kom nruj.

4. Kev puas tsuaj mob angiopathy ntawm tus retina tuaj yeem tshwm sim nrog kev nrawm ntawm lub hauv siab lossis raug mob ntawm lub ncauj tsev menyuam, hlwb. Qhov no yog vim vascular compression nyob rau hauv lub ncauj tsev menyuam nqaj qaum, nce siab intracranial, thiab lwm yam.

Kev kuaj mob thiab kev kho mob ntawm cov leeg hlwb voos angiopathy

Kev kuaj mob thiab muab tshuaj rau kev kho mob rau cov leeg pob txha caj qaum yuav tsum yog tus kws tshaj lij.

Hauv qhov no, tus kws kho mob tuaj yeem sau tshuaj uas txhim kho cov ntshav microcirculation hauv cov hlab ntsha ntawm lub pob muag: Emoxipin, Trental, Solcoseryl, Mildronate, thiab lwm yam.

Thaum kho mob ntshav qab zib angiopathy, ntxiv rau cov tshuaj, tus kws kho mob tau sau ntawv rau tus neeg mob kom ua raws li cov khoom noj tshwj xeeb, uas tsis suav nrog tag nrho cov khoom noj uas muaj carbohydrates los ntawm kev noj haus. Cov neeg mob nrog rau kev kuaj mob no pom zoo ua kom lub cev qoj ib nrab, uas pab txhawb kev noj qab zib los ntawm cov leeg thiab txhim kho txoj haujlwm ntawm cov hlab plawv.

Hauv kev kho mob ntawm hypertensive angiopathy, lub luag haujlwm tseem ceeb yog ua si los ntawm kev ua haujlwm ntawm cov ntshav siab, txo cov roj (cholesterol). Txoj kev kho yog feem ntau nqa los ntawm tus kws kho mob lossis kws kho plawv.

Nws muaj peev xwm txhim kho tus neeg mob lub mob nrog angiopathy siv txoj kev siv lub cev ua haujlwm (laser irradiation, acupuncture, magnetotherapy).

Kev kho mob ntawm retinal angiopathy yuav tsum tso tseg cov cwj pwm tsis zoo, tus cwj pwm lav rau koj kev noj qab haus huv. Retinal angiopathy nyob rau hauv ob lub qhov muag yog qhov kev puas tsuaj uas yuav tsum tau kho tam sim ntawd. Koj tsis tuaj yeem ua tsis tau dab tsi - khiav rov ua haujlwm ntawm lub ntsej muag angiopathy tuaj yeem ua rau optic atrophy, ua tiav lossis ib nrab ntawm qhov tsis pom kev. Raws li koj tuaj yeem pom, tsis yog tsuas yog cov kws kho qhov muag xwb, tabsis kuj hais txog cov kws tshwj xeeb ua lub luag haujlwm tseem ceeb hauv kev kho mob. Kev kho mob ntawm lwm tus kab mob coj los ua rau muaj txiaj ntsig zoo hauv kev kho mob ntawm retinal angiopathy.

Tus kws kho mob ntsej muag tuaj yeem qhia tus neeg mob vascular npaj rau hauv cov qauv ntawm cov tee, qhov muag vitamins hauv daim ntawv ntawm cov ntsiav tshuaj txhawm rau txhim kho microcirculation ncaj qha rau hauv cov hlab ntsha ntawm lub qhov muag thiab khaws cia tus neeg mob lub zeem muag, nrog rau cov txiaj ntsig kho lub cev.

Kev hais txog kev siv cov vitamins, nws tsim nyog teev qhov tseeb tias nrog lub hnub nyoog, lub cev cov ntsiab lus ntawm lutein thiab zeaxanthin, uas tsim nyog rau kev noj qab haus huv qhov muag thiab pom tseeb, tsawg dua. Cov tshuaj yuav tsis tsim nyob rau hauv txoj hnyuv, yog li lawv cov ntsiab lus yuav tsum tau ua ntu zus. Thaum kuaj pom kev txhaws qog thiab cov kev tsis txaus siab ntawm qhov tsis pom kev zuj zus, cov neeg tshaj 45 xyoos yuav tsum ua raws kev noj haus. Ntxiv nrog rau zeaxanthin thiab lutein, cov zaub mov noj yuav tsum suav cov vitamin C, tocopherol, selenium thiab zinc, uas txhawb nqa, rov kho thiab tiv thaiv cov ntaub so ntswg ntawm lub qhov muag. Ntxiv nrog rau kev ua raws li kev noj haus, txhawm rau tiv thaiv kev txhim kho hnub nyoog ntsig txog kev hloov pauv hauv retina, nws yuav tsum tau noj cov tshuaj multivitamins tshwj xeeb. Piv txwv, Okuwait Lutein Forte vitamin thiab pob zeb hauv av ua ke nrog lutein thiab zeaxanthin uas tiv thaiv lub qhov muag los ntawm qhov cuam tshuam zoo ntawm tshav ntuj, vitamins C, E, zinc thiab selenium. Nws muaj pov thawj tias xws li kev sib xyaw ua ke txwv kev txhim kho kev hloov pauv ntawm hnub nyoog ntsig txog ntawm qhov retina ntawm lub qhov muag, thiab txawm tias cov neeg laus tuaj yeem txaus siab rau qhov muag pom.

Ib qho zoo tshaj plaws ntawm cov khoom siv kho mob lub cev uas tus neeg mob siv tau nyob hauv tsev los txhim kho lub zeem muag thiab qhov muag pom yog Sidorenko's Cov Tsom iav, uas ua ke nrog pneumomassage, phonophoresis, infrasound thiab kho xim. Tag nrho cov no tso cai rau koj kom ua tiav cov txiaj ntsig tau hauv lub sijhawm luv. Cov cuab yeej no yog tus cwj pwm ntawm cov nqi pheej yig, kev tshawb fawb ua pov thawj nws cov hauj lwm zoo thiab kev nyab xeeb.

Cov lus qhia luv luv

Feem ntau cov cim qhia ntawm angiopathy, nyob ntawm qhov uas koj yuav tsum mus ntsib tus kws paub tshwj xeeb:

• qhov muag plooj
• nyem cov hnub qub los sis ya ua ntej koj lub qhov muag,
• mob hauv qab qis dua,
• ntswg los ntswg
• qhov muaj mob ntawm myopia,
• los ntshav los ntawm txoj kev tso zis,
• pais plab thiab hnyuv los ntshav,
• retinal dystrophy.

Ntawm cov ua rau mob angiopathy yog cov hauv qab no:

• mob hnyav rau mob rau lub ncauj tsev menyuam,
• ua txhaum kev ncaj ncees ntawm lub taub hau nyob hauv caj dab,
• lub xub ntiag ntawm kev ua haujlwm siab intracranial,
• lub tsev me osteochondrosis,
• muaj cov kev coj tsis zoo, xws li kev haus luam yeeb,
• txhua yam kab mob ntshav,
• laus lawm
• kev ua haujlwm tsis zoo
• lom lub cev nrog ntau yam tshuaj lom,
• pom kev cuam tshuam ntawm cov hlab ntsha kev tswj hwm, uas yog lub luag haujlwm rau lub suab nrov ntawm cov phab ntsa ntawm cov hlab ntsha,
• ntshav siab
• tus kheej cov yam ntxwv ntawm phab ntsa ntawm cov hlab ntsha.

Qhov kev mob nkeeg no muaj ob daim ntawv tseem ceeb: tsis loj thiab tsis loj zuj zus. Hauv thawj daim foos, cov ntshav ntws los ntawm cov hlab ntsha qhuav los sis nres kiag li.

Los ntawm cov hlab ntsha uas tsis zoo, muaj kua, cov nqaijrog thiab cov rog rog nkag mus rau cov ntaub so ntswg uas nyob ib puag ncig, uas ua rau pom qhov tsis txaus ntseeg qhov tsis zoo. Ib me ntsis tom qab, o ntawm lub optic disc yuav dhau los ua tsis tau, uas tom qab ntawd tuaj yeem ua rau tsis muaj peev xwm pom.

Hauv hom kab mob thib ob, txoj hlab ntshav tshiab tshiab tsim nyob rau saum npoo ntawm retina.

Vim tias lawv lub cev tsis khov, nyob rau hauv cov ntaub ntawv ntawm kev sib tsoo ntawm kev puas tsuaj, cov pob me me tshwm rau hauv qab ntawm lub qhov muag, uas tuaj yeem ua rau cov txheej txheem ua mob hauv cov nqaij mos uas nyob ib puag ncig. Caws pliav feem ntau.

Cov theem kawg ntawm tus mob no yuav ua rau pom qhov retina - qhov tshwm sim no suav tias yog kev cuam tshuam loj tshaj plaws ntawm ntshav qab zib. Ntawm lwm yam, kev tsis tuaj yeem hemorrhage mus rau sab hauv ib puag ncig ntawm lub qhov muag tuaj yeem ua rau lub ntsej muag tsis pom kev zoo hauv lub zeem muag. Tsawg tsawg to taub txog qhov loj ntawm cov kab mob no.

Ib tus kab mob vam meej tuaj yeem ua rau cov kev tsis txaus siab xav tau xws li:

• ua tiav kev puas tsuaj rau optic hlab ntaws,
• nqaim ntawm lub zeem muag,
• dig muag.

Vim li no txhua tus neeg uas raug kev txom nyem siab thiab lub cev tsis txaus siab yuav tsum mus cuag kws kho mob qhov chaw ua haujlwm tsis tu ncua thiab ua raws li nws cov lus pom zoo. Qhov no yuav pab tswj kev noj qab haus huv.

ICD-10 code

Yuav pib nrog, nws yuav tsum nco ntsoov tias ICD-10 yog International (lees paub los ntawm WHO rau cov kws kho mob ntawm txhua pawg thiab lub teb chaws) kev faib tawm cov kab mob hauv kaum kev kho.

Raws li tau sau tseg yav dhau los, kev mob ntshav qab zib angiopathy tsis muaj ICD-10 code. Qhov no vim tias nws suav hais tias yog kev rau txim rau cov kev mob txaus ntshai xws li kev mob ntshav siab, mob ntshav kis, ntshav qab zib mellitus thiab lwm yam.

Thiab cov no tsuas yog qee qhov cuam tshuam rau cov teeb meem tseem ceeb cuam tshuam los ntawm cov ntshav tsis txaus hauv qhov retina. Ib qho phom sij tshwj xeeb ntawm cov kab mob pathological no yog qhov tseeb tias tiv thaiv keeb kwm ntawm angiopathy, kev txhim kho cov teeb meem loj dua, piv txwv, xws li mob hlwb txha caj qaum thiab myopia, tsis suav nrog. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias thaum tsis muaj sijhawm thiab kev kho kom zoo, qhov kev ua txhaum no tuaj yeem ua rau tiav qhov kawg ntawm kev ua haujlwm ntawm qhov muag pom.

Cov yam ntxwv tshwj xeeb tshaj plaws yog tias cov kab mob hnyav no, suav nrog tus mob hlwb retinopathy, uas tau tshwm sim tawm tsam keeb kwm ntawm kev tsis sib haum xeeb hauv cov kab mob endocrine, tuaj yeem cuam tshuam tsis yog ib qho, tab sis ob lub qhov muag tib lub sijhawm. Qhov no yog qhov sib txawv tshwj xeeb thaum tsim cov kev kuaj mob sib txawv. Koj tuaj yeem tshawb pom tus mob thaum lub sijhawm kuaj mob los ntawm tus kws kho lub ntsej muag.

Ntxiv nrog rau txoj kev txuag, kev kho mob ntawm tus kabmob kuj suav nrog kev phais mob.

Raws li txoj cai, laser kev kho yog nquag siv. Nws tshem tawm txoj kev loj hlob ntawm cov hlab ntsha thiab tiv thaiv qhov ntxim nyiam ntawm hemorrhage.

Nws yuav tsum raug sau tseg tias rau kev kho siab tshaj plaws ntawm kev ua kom pom tseeb, qee yam tshuaj siv kuj tseem siv, uas tsis tsuas txhim kho cov ntshav ncig, tab sis tseem tiv thaiv kom tsis txhob mob thrombosis, thiab txo vascular permeability.

Tsis tas li ntawd, cov tee tshwj xeeb tau sau tseg tias txhim kho cov txheej txheem metabolic uas tshwm sim hauv ib puag ncig sab hauv ntawm lub qhov muag. Ib qho ntawm cov tee no yog Taufon.

Hauv txoj kev kho, qee yam ntawm kev siv lub cev kev kho mob yog nquag siv. Cov no suav nrog cov hauv qab no:

Cov kws tshaj lij pom zoo tias koj ua kev tawm dag zog rau lub qhov muag. Raws li rau khoom noj khoom haus, nws yog ib qho tsim nyog los muab koj cov khoom noj txhua hnub nrog ntau yam ntses, khoom noj siv mis, zaub, txiv hmab txiv ntoo thiab txiv hmab txiv ntoo.

Thaum txhua 6 lub hlis twg, yuav tsum tau muab cov chav kawm muaj vitamin. Rau qhov no, nws raug nquahu kom siv cov vitamins B, C, E, A. Kev kho yuav tsum ntev txog li ob asthiv.

Raws li kev ntsuas ntxiv, nws raug nquahu kom siv cov khoom noj tshwj xeeb thiab tshuaj ntsuab kho mob raws li cov blueberries thiab carrots. Tab sis, nws yuav tsum tau sau tseg tam sim ntawd tias cov tshuaj no tsis muaj peev xwm rov ua dua kev ua haujlwm ntawm retina.

Lwm qhov mob uas tuaj yeem tsim kev puas tsuaj rau kev noj qab haus huv yog mob ntshav qab zib angiopathy ntawm cov hlab ntsha ntawm qis qis dua, ICD-10 code ntawm uas yog E 10.5 thiab E 11.5.

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Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!

Nws tsuas yog tsim nyog thov.

Mob ntshav qab zib yog dab tsi retinal angiopathy:

Yog li, raws li ICD-10, mob ntshav qab zib retinal angiopathy tsis encoded nyob hauv txhua txoj kev.Mob ntshav qab zib angiopathy ntawm qis qis dua, ICD-10 code muaj txawm tias ob - E 10.5 thiab E 11.5. Txhawm rau kom muaj kev noj qab haus huv qhov muag, koj yuav tsum tau kuaj xyuas tas li los ntawm kws kho qhov muag tshwj xeeb uas yuav soj ntsuam lawv tus mob.

Yog tias koj pom qhov teeb meem me me, tus kws kho mob yuav tshaj tawm txoj kev kho kom tsim nyog, uas yuav pab tshem tawm lawv kom meej. Nws yog ib qho tseem ceeb heev uas yuav tsum tau mus cuag kws kho mob tshwj xeeb chaw haujlwm txhawm rau txhawm rau txheeb xyuas qhov ua txhaum cai, vim tias qhov no tsuas yog txoj hauv kev tshem tawm sai thiab zoo.

• Tshem tawm cov ua rau muaj kev nyuaj siab
• Normalizes siab tsis pub dhau 10 feeb tom qab tswj hwm

Lub qhov muag tib neeg yog ib qho khoom ua haujlwm uas qhov tsis yooj yim thiab qhov tsis zoo ntawm qhov tsis pom kev zoo tsis yog kev mob nkaus xwb uas tuaj yeem ua rau ib tus neeg. Tib lub sijhawm, qee qhov kab mob qhov muag yog cov kab mob ywj pheej, thaum lwm tus tsuas yog cov tsos mob ntawm lwm tus. Thiab hauv ob qho tib si, nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov teeb meem thiab ua kev daws teeb meem kom raug. Tseeb tiag, feem ntau hauv qhov tsis muaj kev ua, koj tuaj yeem plam lub sijhawm kom pom zoo. Angiopathy tsis tas ua rau muaj kev hem thawj rau kev noj qab haus huv ntawm lub cev, tab sis nws txoj kev kho yog tsim nyog raws li kev kho mob ntawm ib qho kab mob qhov muag.

Kev txhais kab mob

Raws li txoj cai, retinal angiopathy tshwm tawm tsam ntawm keeb kwm ntawm lub paj hlwb tsis txaus siab thiab sawv cev rau kev hloov pauv hauv txoj kev mob ntshav nrog txoj kev ua kom tsis muaj zog hauv cov ntshav txav. Xws li lub pathology tsis yog tus kab mob ywj pheej thiab tshwm sim tawm tsam keeb kwm ntawm kev cuam tshuam dav dav hauv lub xeev cov hlab ntsha ntawm lub cev los ntawm ntau yam kab mob thiab kev hloov pauv. Qee lub sij hawm angiopathy tuaj yeem nrog kev cuam tshuam thiab ua tiav qhov tsis pom kev.

Ua rau

Angiopathy tuaj yeem tsim kho vim ntau yam thiab ntau yam. Ntawm qhov tseem ceeb:

• Nce siab intracranial,
• Txo cov leeg ntshav ntsa
• Mob ntshav qab zib
• Ntau yam kabmob ntshav,
• Lub hnub nyoog pauv
• Puas tsuaj thiab raug mob rau lub qhov muag.

Qhov ua rau ntawm tus kab mob tseem tuaj yeem faib raws nws hom.

• Hypertonic. Vim tias qhov kev txhim kho tawg, lub cev yuav poob lub suab nrov ntawm cov leeg thiab cov hlab ntshav, thiab tib lub sijhawm, kev txav ntshav hauv retina ntawm lub qhov muag tau ntxhov. Muaj qhov pom kev plooj plooj, myopia yog qhov nce zuj zus. Nyob rau hauv cov ntaub so ntswg ntawm retina, degeneration tshwm sim.
• Cov Hluas (Kab Mob). Nws yog cov mob vascular thiab tuaj yeem ua rau kev loj hlob ntawm tus mob hnoos qeev, txha caj dab thiab mob hlwb txha caj qaum.
• Kev Tsis Txaus Ntseeg. Nrog rau kev nthuav dav ntawm cov leeg thiab txoj hlab ntsha, cov hlab ntsha ntawm lub qhov muag nthuav dav, lawv cov suab nrov dav dav ploj. Raws li qhov tshwm sim ntawm no, cov ntshav txhaws tuaj yeem tsim, thiab tus neeg mob, nyeg, hnov ​​qhov hloov ntshav hauv thaj chaw qhov muag.
• Kev poob plig. Mob Angiopathy tuaj yeem tshwm sim vim yog voos txhab rau lub ncauj tsev menyuam txha nqaj qaum. Tej zaum yuav muaj kev sib txuam ntawm cov hlab ntsha hauv lub qhov muag thiab, vim li ntawd, hypoxia.
• Dystonic. Ua tau los ntawm kev nthuav dav sai ntawm myopia. Tus kab mob manifests nws tus kheej tawm tsam ntawm keeb kwm ntawm kev vascular kev ua haujlwm ntawm lub cev, hemorrhages hauv lub qhov muag tau muaj.
• Ntshav qab zib Nws tshwm sim uas tsis siv tshuaj kho mob ntshav qab zib kom raug. Hauv qhov no, cov hlab ntsha nqaim thiab, yog li ntawd, cov ntshav yuav pib txav qeeb qeeb.
• Tom Qab. Nws tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov tsos ntawm ntau yam kab mob thiab muaj cov kab mob tsis haum xeeb txuam nrog vascular system. Tej zaum ua rau mob ntshav khov mus ntev.
• Ntxeem Thoob plaws lub cev, cov leeg plam poob lawv lub suab thiab cov qauv, txhaws thiab cov ntshav txhaws. Nrog rau qhov no, qhov muag tsis pom kev thiab qhov muag plooj yog qhov ua tau.

Cov tsos mob tseem ceeb ntawm retinal angiopathy muaj xws li:

• Pom kev puas,
• Zaus retinal dystrophy,
• Myopia
• Xob laim hauv qhov muag
• Hemorrhage thiab hemorrhage,
• Sinuosity ntawm cov hlab ntsha,
• Kev loj hlob ntawm muaj capillaries.

Nrog microangiopathy, muaj qhov ua kom tsis nruj ntawm phab ntsa ntawm cov hlab ntsha, cov dej tsis tuaj yeem hauv cov ntshav. Kev tsim kho ntawm macroangiopathy yog nrog los ntawm kev ua tsis zoo ntawm cov hlab ntsha loj, cov ntshav qab zib - los ntawm kev txhaws thiab txhaws ntawm lawv cov mucopolysaccharides.

Angiopathy thiab tus neeg qhov ua rau nws tshwm sim tau tshawb pom los ntawm tus kws kho qhov muag siv ophthalmoscopy, nrog rau cov ntaub ntawv txog kev noj qab haus huv ntawm tus neeg mob.

Muaj teeb meem tshwm sim

Yog tias tsis muaj kev cuam tshuam nyob rau hauv lub sijhawm ntev ntev ntawm txoj hlab ntsws, qhov rov ua kom rov qab hloov dua tshiab, cov ntaub so ntswg hypoxia, thiab ntshav ntswg tuaj yeem xav tau. Cov hlab ntsha ntawm cov leeg qhov muag kuj tseem cuam tshuam ncaj qha. Nyeg, lawv muaj peev xwm deformed thiab poob ntshav conductivity. Qee qhov xwm txheej, ua tiav qhov tsis pom kev yog tau.

Cov kev mob tshwm sim tuaj yeem ua rau ntau yam cwj pwm tsis zoo, ntshav siab, tiv thaiv kab mob vascular, cov rog, cov rog rog.

Retinal angiopathy yog qhov tsis txaus siab tab sis yeej kho tau. Nrog nws txoj kev tsim kho kom raug, lub xeev ntawm retina tuaj yeem rov qab mus rau qhov qub. Tsuas yog tus kws kho qhov muag tau tsim nyog thiaj tuaj yeem tawm kev kawm.

Kev noj tshuaj rau tus kheej tuaj yeem ua rau tuag taus thaum muaj mob angiopathy, vim rau txhua qhov laj thawj qee cov txheej txheem thiab cov tshuaj siv tshuaj.

Nrog rau kev kho mob ntawm angiopathy, ib txoj kev kho ntawm cov kab mob raug ua, lub txim ntawm nws tau tshwm sim, yog li ntawd, nws yog ib qho tsim nyog yuav tau soj ntsuam lwm tus kws kho mob. Nws yog ib qho tseem ceeb kom ua raws li cov khoom noj tau hais tseg hauv lub sijhawm no.

Cov tshuaj noj

Thaum kho tus kab mob, nws yog thawj qhov yuav tsum tau rov ua kom muaj ntshav txaus. Rau qhov no, raws li txoj cai, taw:

Cov tshuaj tseem ceeb kuj suav nrog vasoconstrictors (Calcium Dobesylate, Parmidin, thiab lwm yam), thiab cov tshuaj uas tiv thaiv platelet adhesion (Aspirin, Ticlodipine, Dipyridamole, thiab lwm yam). Yog tias tsim nyog, kev teem caij muaj cov vitamins C, E, P thiab cov pab pawg ntawm B.

Qhov muag tso zis kuj tseem siv dav, xws li Taufon, Emoksipi, Antotsian forte.

Thaum lub sij hawm kho ntawm kev cuam tshuam ntawm cov leeg ntshav, nws yog qhov tsim nyog kom tso tseg cov cwj pwm tsis zoo. Yog tias lawv yog ib qho ntawm cov laj thawj ntawm kev loj hlob ntawm tus kab mob, lawv yuav tsum tau muab tshem tawm kom tsis txhob muaj lub neej txhua hnub.

Kev faib tawm

Kev soj ntsuam kev faib tawm:
Kev faib tawm Fontaine (J.Fonteine, 1968), muab 4 ntu kev txo tus nqaj ischemia:
Age Theem I - kev tshaj lij,
Stage II theem - sib quas ntus sib hais,
Stage Theem III - qhov mob ntawm so thiab "mob hmo",
Theem IV - kev muaj pluaj siab thiab kev ua qias neeg ntawm qhov qis qis tshaj 3.4.5.
Thaum lub sij hawm loj heev- thiab microangiopathy ntawm qis qis, 4 theem kuj raug cais:
Peb muaj
Muaj nuj nqi (hypertonicity, hypotension, spastic-atony),
Organic
Ulcerative necrotic, ua laib.

Rooj ntawv 1. Kev faib tawm ntawm qhov txhab ntawm cov leeg ntshav ntawm TASCII (2007).

Kev kuaj mob sib txawv

Cov lus - 2. Kev kuaj mob txawv txav ntawm txoj kev mob ntshav hauv cov neeg mob ntshav qab zib mellitus thiab hauv cov neeg tsis muaj ntshav qab zib

Pab sab laj pub dawb rau kev kho mob txawv teb chaws! Cia ib qho kev thov hauv qab no

Tau txais tswv yim kho mob

Lub hom phiaj ntawm kev kho mob:
Kev ua kom rov qab los ntawm cov ntshav txaus rau hauv cov ceg,
Kev tiv thaiv ntawm lub siab txhais ceg txiav,
Txhim kho lub neej zoo.

Cov tswv yim kho mob20,21:
Txoj kev kho yog tsom rau txo ischemia ntawm qhov cuam tshuam rau txoj kev nqua, kev kho kom ntshav ntws tuaj.
Nrog rau kev txhim kho ntawm lub cev tsis tuaj yeem ischemia, lub xub ntiag ntawm cov txheej txheem purulent-necrotic (qhov tsis muaj peev xwm ua rau nqaj rov mob) - kev kho mob hauv cov xwm txheej ntawm purulent phais.

Cov tshuaj tsis raug:
Hom –I lossis II (raws li mob nyav ntawm cov xwm txheej),
Kev noj haus- rooj ntawv 9.

Kho tshuaj:
Hauv cov ischemia ntawm I-II theem (raws li Fontane) thiab contraindications rau kev rov ua haujlwm ntawm lwm theem, kev kho yog kev taw qhia. Cov ntsiab cai tseem ceeb ntawm kev tiv thaiv yog:
Cov tshuaj uas tsis muaj piam thaj thiab kev kho tshuaj insulin (UD - A) 22,23 raug siv los kho hyperglycemia(raws li kev pom zoo soj ntsuam chaw txhaj tshuaj "Hom 1 mob ntshav qab zib mellitus" lossis "Hom Ntshav Qab Zib 2").

Kev kho lipid-txo qistxhawm rau kho kho dyslipidemia(UD - A) 22.23
Statins (simvastatin, atorvastatin, thiab lwm yam) hauv kev muab tshuaj, qhov ncauj, rau lub sijhawm ntev,

Anticoagulant txoj kev kho rau kev tiv thaiv ntawm kev mob nrawm (UD - B) 22,23:
heparin lossis nws cov fractionated analogues (enoxaparin, calcium nadroparin, thiab lwm yam),
Thawj koob tshuaj heparin yog 5000 units yog ua rau kev pauv lossis subcutaneously raws li APTT tswj hwm.
Enoxaparin sodium 20-40 mg / hnub subcutaneously
Calcium nadroparin 0.2-0.6 ml subcutaneously, nyob ntawm lub cev qhov hnyav 1-2 zaug / hnub

Antibacterial txoj kev kho rau kev tua cov kab mob tseem ceeb (UD - A) 22-24.
Lub sij hawm teem tseg ntawm cov tshuaj tua kab mob yog qhia tsuas yog nyob rau hauv kev kuaj mob thiab kuaj pom ntawm kev kis tus kab mob, suav txog cov txiaj ntsig ntawm qhov rhiab ntawm pathogens. Txoj kev kho qhov tseeb yog nthuav tawm mus rau hauv tus txheej txheem hauv tsev kho mob, tom qab tau txais cov txiaj ntsig ntawm cov tshuaj ua haujlwm, kev kho ntawm cov tshuaj tua kab mob yog qhov yuav tsum tau ua.

Cov tshuaj tua kab mob raws li soj ntsuam cov qib ntawm SDS:
Cov lus - 4. Txwm txheej txheem ntawm kev siv tshuaj tua kab mob

Lub sijhawm siv tshuaj tua kabmob yog 7-14 hnub.
Antiplatelet Kev kho los txhim kho rheological zog ntawm cov ntshav: (UD - A) 22,23,25,26.
Acetylsalicylic acid 75-325 mg / hnub rau qhov ncauj,
Clopidogrel 75 mg, 300 mg 1 zaug nyob rau ib hnub twg,
Dipyridamole 50-600 mg / hnub ntawm qhov ncauj
Antiplatelet Kev kho taw rau lub sijhawm ntev (hauv qhov tsis muaj contraindications, kev siv tshuaj lub neej) kev noj tshuaj nyob rau ib leeg, coj mus rau kev saib xyuas lub chaw ntsuas.
Angioprotectors qhia raws li kev kho mob txuas kom kho qhov tseeb microcirculation (UD - B)
· Alprostadil 20-60 mcg hauv / 1-2 zaug hauv ib hnub,
Pentoxifylline 100-300 mg / hnub parenterally, lossis 400 mg hais lus 2-3 zaug ib hnub

Nyem qhov mob:
· NSAIDs hauv kev muab tshuaj yog hais qhia.
Opioids - fentanyl, morphine, thiab lwm yam. hauv kev muab tshuaj rau hauv qhov muaj qhov mob hnyav uas tsis tuaj yeem siv nrog NSAIDs.
Lwm hom kev kho mob:
Iot Kev tawm dag zog lub cev.

Kev phais mob (UD-V):
Tshuaj mob hauv tsev kho mob 28,29:
Hom kev ua haujlwm:
Kev phais "Qhib":
Endarterectomy,
· Rov kho cov leeg ntshav hlab nqaij pob txha,
Kev Txum Tim Rov Qab ntawm cov hlab ntsha siv hluav taws xob cog,
Femoral-popliteal bypass phais,
Lwm peripheral shunt los yog anastomosis,
Necrectomy
Kev Sib Koom Siab.
Kev phais mob endovascular:
Zais pa angioplasty
Endovascular stenting
Txhua yam thrombintimectomy.
Indirect revascularization txoj kev
· Kev Mob Hlaws Hlaws Hlaws
· Kho cov hlab ntsha osteotrepanation
· Stimulation ntawm neoangiogenesis
Kev phais me:
Sib koom ua ke ntawm cov qauv kev phais mob saum toj no.
Kev ntsuas rau kev lag luam 12,13:
Ischemia Hlob II-III-IVst. kev phais mob yog qhia.

Rooj ntawv 5. Qhov kev xaiv ntawm kev kho mob phais raws li TASC 2 (UD-C).

Cov txheej txheem rau kev phais:
Cov myocardial infarction tshiab (tsawg dua 3 hlis)
· ONMK (tsawg dua 3 hlis),
Lub davhlau ya nyob twg theem ntawm lub plawv thiab lub siab tsis ua haujlwm.

Kev saib xyuas ntxiv:
Ervation Kev soj ntsuam los ntawm tus kws tshuaj endocrinologist,
· Kev soj ntsuam los ntawm angiosurgeon 2 zaug hauv ib xyoos (UD-S)
E Siv nkoj ntev ib zaug hauv ib xyoos
· Kev tswj cov ntshav qabzib kom nyob ib leeg,
· Qhov nruab nrab ntawm lipid spectrum.

Qhov ntsuas ntawm kev kho mob:
Ervation Txoj cai khaws cia ntawm tes taw muaj nuj nqi,
Kho ntawm ib tug necrotic mob rwj,
Txo hauv kev txiav tes txiav taw.

Cov tshuaj (cov tshuaj yeeb dej caw) tau siv hauv kev kho mob

Tsev Kho Mob

Cov lus qhia rau tsev kho mob nrog rau qhov ntsuas qhov pom ntawm hom tsev kho mob:

Cov lus qhia rau tsev kho mob ceev:
Is Mob ntsws ischemia ntawm cov hlab ntsha ntawm qhov qis qis ntawm III-IV degrees raws li kev faib tawm Fontaine,

Cov lus qhia rau kev npaj pw tsev kho mob:
Is Mob ischemia ntawm cov hlab ntsha ntawm qhov qis qis hauv qhov kawg II - III degrees raws li kev faib tawm Fontaine.

Qhov chaw thiab cov ntawv nyeem

1. Daim ntawv teev cov rooj sib tham ntawm Cov Kws Paub Lus Sawv Cev RCHR ntawm MHSD ntawm Tsoom Fwv Tebchaws Kazakhstan, 2015
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NICE cov lus qhia NG19 Luam tawm hnub tim: Lub Yim Hli 2015. 23. Kev Qhia Ntawv Pov Thawj Hauv Tebchaws Kev Tiv Thaiv, Kev Qhia thiab Kev Tiv Thaiv Kab Mob Ntshav Qab Zib Ntawm Cov Mob Ntshav Qab Zib (Ntu Cov Lus Qhia ntawm Kev Tswj Kab Mob Ntshav Qab Zib 2) 2011. Melbourne Australia 24. 2012 America Kev Ntsuam Xyuas Kev Qhia Tshuaj rau Kev Tshuaj Ntsuam Xyuas thiab Kho Tus Mob Ntshav Qab Zib // CID 2012: 54 (Lub Rau Hli 15) • e132-173 25. Kev Saib Xyuas Ko Taw Kev Ntshav Qab Zib Cov Kab Mob Ntshav Qab Zib Kev Tshuaj Ntsuam Xyuas Pab Pawg Kws Tshaj lij // Tau J Ntshav Qab Zib 37 (2013) S145 - S149 26. Jeffrey I. Weitz, MD, Tus Thawj Coj, John Byrne, MD, G. Patrick Clagett, MD, Michael E. Farkouh, MD, John M. Porter, MD, David L. Sackett, MD, D. Eugene Strandness, Jr , MD, Lloyd M. Taylor, MD Kev kuaj mob thiab Kev Kho Mob ntawm Cov Kab Mob Hlwb Hlav Quav Hluav Taws Xob uas tsis tshua muaj qhov qis dua: Kev Rov Ntsuam Xyuas Dua // Kev Hloov Tsheb. 1996, 94: 3026-3049doi: 10.1161 / 01. CIR. 94.11.11.3026 27. Ruffolo AJ, Romano M, Ciapponi A. Prostanoids rau qhov mob tseem ceeb lim ntshav ischaemia. Cochrane Cov Ntaub Ntawv ntawm Cov Kev Ntsuam Xyuas Raws Xyoo 2010, Qhov Xwm Txheej 1. Kos Duab. Tsis muaj .: CD006544. DOI: 10.1002 / 14651858.CD006544.pub2. 28. Kev Txhim Kho Cov Lus Qhia Kom Ua Tau Zoo rau Kev Tswj Xyuas Txheeb Ze Neeg Mob Hnyav Hlav Ischemia. J VascIntervRadiol. 2009, 20: S208 - S218. 29. Conte Michael S. Bypass tiv thaiv Angioplasty hauv Kev Txawv Tebchaws Ntshav Nruab Nrab (BASIL) thiab (cia siab rau) cov pov thawj ntawm kev ua pov thawj-kev kho mob rau sab lim qis ischemia. Phau ntawv Journal Vascular Kev Kho Mob. Xyoo 2010, 51: Ntxiv S. 69S-75S.

Cov Ntaub Ntawv

Daim ntawv uas muaj raws tu qauv:

1) Nursultan Aydarkhanovich Kospanov - tus neeg sib tw ntawm kev kawm kho mob, JSC A.N. Syzganov Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Tebchaws, tus thawj coj ntawm lub chaw haujlwm ntawm lub chaw saib xyuas kabmob, tus thawj saib xyuas kev ntseeg ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Noj Qab Haus Huv ntawm Tsoomfwv ntawm Kazakhstan.
2) Tursynbaev Serik Erishovich - Tus Kws Kho Mob ntawm Medical Science, JSC "Kazakh Medical University of Continuing Education". Cov xibfwb ntawm Lub Tsev Haujlwm Saib Xyuas Cov Plab Hlawv.
3) Sagandykov Irlan Nigmetzhanovich - tus neeg sib tw ntawm kev kawm kho mob, JSC "National Science Center ntawm Oncology thiab Transplantology", lub taub hau ntawm lub tuam tsev ntawm kev phais vascular
4) Zhusupov Sabit Mutalyapovich - Tus neeg sib tw ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Tsev Kawm Ntawv Hauv Xeev ntawm Pavlodar City Tsev Kho Mob No. 1, Chav Pej Xeem Kev Noj Qab Haus Huv, Pavlodar Thaj Chaw, Lub Taub Hau ntawm Lub Tsev Haujlwm Saib Xyuas Kev Mob Hlawv.
5) Zemlyansky Viktor Viktorovich, JSC "Lub Chaw Tshawb Nrhiav Kev Tshawb Fawb Hauv Tebchaws" Kev Tshawb Fawb thiab Oncology ", kws phais neeg xoo hluav taws xob.
6) Azimbaev Galimzhan Saidulaevich - tus kws kho mob siab tshaj lij, PhD, JSC "Lub Chaw Tshawb Fawb Kev Tshawb Fawb hauv National Science muaj npe tom qab A.N. Syzganov", angiosurgeon ntawm Lub Tsev Haujlwm Saib Xyuas X-ray.
7) Yukhnevich Ekaterina Aleksandrovna - Master of Medical Science, tus kws tshaj lij ntawm kev sib tw ntawm PhD, RSE ntawm PCV Karaganda State Medical University, Cov Chaw Muag Tshuaj Kho Mob, Tus Pabcuam ntawm Chav Saib Xyuas Tshuaj thiab Kws Tshuaj Pov Thawj.

Cov Teeb Meem Ntawm Kev Txaus Siab:tsis tuaj kawm ntawv.

Cov Neeg Tshuaj Xyuas: Konysov Marat Nuryshevich - MD, CGP ntawm Tsev Kho Mob Atyrau City, tus kws kho mob taub hau.

Qhia txog cov xwm txheej rau qhov hloov kho cov txheej txheem: kev kho dua ntawm kev ua raws txoj cai 3 xyoos tom qab nws tshaj tawm thiab txij hnub nws nkag mus rau hauv lub zog lossis qhov muaj cov txheej txheem tshiab nrog theem pov thawj.

Kev phais mob

Yog tias angiopathy tau nrhiav ib daim ntawv uas tsis saib xyuas, yuav tsum tau muaj kev phais mob. Photocoagulation ua tiav, uas txwv tsis pub rov ua kom zoo nkauj, tsim cov nqaij thiab ua rau cov leeg tsis muaj zog, nrog rau kev kho nrog lub ntsej muag phais. Kev siv dag zog hauv lub cev kuj tau siv dav.

Hmo ntuj dig muag - cov tsos mob rau tib neeg, nrog rau cov txheej txheem kho tau piav qhia ntawm no.

Cov tshuaj kho neeg mob

Hauv kev kho mob ntawm kev mob pob txha nraub qaum, kev siv tshuaj kho mob pej xeem kuj raug tso cai, tab sis tsuas yog ua ke nrog cov kev tseem ceeb ntawm kev kho thiab tsuas yog tom qab sab laj nrog kws kho mob.

Kev kho mob nrog tshuaj ntsuab tshuaj feem ntau yog nqa nrog kev pab ntawm infusions: txiv hmab txiv ntoo ntawm roob tshauv, nplooj currant, dill thiab caraway noob.

Suav sau 1. Nws yog ib qho tsim nyog kom sau ib puas grams ntawm yarrow, chamomile, St. John lub wort, immortelle thiab birch buds. Npaj lub Txoj kev lis ntshav yog qhov yuav tsum tau ua raws qhov kev faib ua feem: ib tablespoon ntawm sau ib nrab ib liter ntawm dej npau. Tom qab Txoj kev lis ntshav rau nees nkaum feeb, qhov sib tov yuav tsum tau lim thiab diluted nrog dej kub hauv qhov nyiaj ntawm ib nrab ib liter. Kev txais tos yog nqa ob zaug nyob rau ib hnub - thaum sawv ntxov thiab yav tsaus ntuj nyob rau hauv ib lub khob. Lub chav kawm ntawm kev kho mob yog nqa tawm kom txog thaum tus sau tiav kiag li siv.

Suav sau 2. Kaum tsib grams ntawm txiv qaub balm thiab valerian yuav tsum tau muab sib xyaw nrog tsib caug grams ntawm yarrow.Ib lub hlis twg liv ntawm cov dej npau yog tsim nyog rau kev zom txhua ob diav ntawm qhov sib tov. Txoj kev lis ntshav yuav tsum khaws cia rau peb teev, tom qab ntawd ua kom sov hauv dej da thiab lim. Tus nqi ntawm cov tshuaj ntsuab yuav tsum tau faib thoob plaws lub hnub. Kev kho mob yog nqa tawm rau peb lub lis piam.

Txhawm rau tiv thaiv qhov pom thiab kev loj hlob ntawm cov leeg hlwb viav vias, nws yog qhov tsim nyog yuav tau ua raws cov cai yooj yim:

1. Ncaws sijhawm kho cov kab mob uas ua rau mob hlwb txha caj qaum.
2. Zam txhob ua kom lub cev nyhav dhau heev lawm.
3. Kev soj ntsuam kom zoo los ntawm kws kho qhov muag.
4. Ua lub neej noj qab nyob zoo thiab ua raws li kev noj zaub mov zoo.
5. Zam kev coj ua tsis zoo.
6. Nyob rau hauv muaj cov mob muaj keeb ntawm cov kab mob ntawm cov hlab plawv, ua raws li kev tswj hwm thiab cov lus pom zoo ntawm tus kws kho mob tuaj koom.

Levomycitin qhov muag ntxiv: cov lus qhia rau kev siv tau piav qhia ntawm no.

Retinal angiopathy tsis yog tus kab mob ywj pheej, uas tuaj yeem ua kom nyuaj rau nws txoj kev kho mob, nyob ntawm yam ua rau pom. Nws tsis pom zoo tso cai rau cov kev tsis sib haum xeeb thiab pib qhov xwm txheej nrog nws qhov tsos, vim qhov no tuaj yeem ua rau muaj kev rau txim loj, mus txog rau qhov ua tiav tsis pom kev. Nyob rau tib lub sijhawm, nrog txoj kev xaiv txoj kev kho mob rau txoj kev mob qog thiab mob hauv qab, koj tuaj yeem ua tiav rov qab mus rau yav dhau los kev noj qab haus huv lub xeev ntawm lub retina thiab rov qab rau lub neej zoo.

• Tatyana: Qib siab amblyopia: ua rau thiab kho tus kab mob. Dab tsi yog lub sijhawm luv luv ntawm menyuam yaus, uas koj tseem tuaj yeem nkag siab ...
• Anastasia: Them rau lub qhov muag los txhim kho lub zeem muag - nrov ua si .Txoj kev qoj ib ce tsis meej meej tias lawv ua dab tsi, Kuv xav ...
• Masha: Kuv tuaj yeem txhim kho kuv lub qhov muag li cas? Yog tias koj paub tseeb tias koj lub qhov muag tsis ua haujlwm dhau, ces yuav ua li cas ...
• Angelina: Lub rooj rau lub zeem muag - cov rooj zoo li cas thiab cov tib neeg kuaj qhov muag pom tau zoo li cas rau lawv? Kev kuaj kab mob raws sij hawm hauv txhua yam kab mob tseem ceeb, tsis tsuas yog ...
• Maria: Kab mob hauv ib tus menyuam: cov tsos mob, kev kho mob thiab kev tiv thaiv Cov menyuam yaus feem ntau muaj mob qog pob txha, nws tshwm sim ...

Cov ntaub ntawv ntawm lub xaib tau nthuav tawm rau txoj kev kawm, nco ntsoov hu rau tus kws kho qhov muag.

Feem ntau cov kab mob ntawm cov hlab plawv cuam tshuam rau lub qhov muag. Yog li, dhau ntawm lawv qhov kev txhaum, kev mob hlwb retinal tuaj yeem txhim kho. Hauv ICD-10, tus kabmob no tsis muaj nws tus lej - nws tuaj yeem raug cais rau hauv cov kab npe ntawm cov kabmob uas ua rau nws. Peb yuav xyuas seb lwm qhov twg tuaj yeem ua rau mob angiopathy, yuav ua li cas paub nws thiab kev kho mob dab tsi pab tswj kev noj qab haus huv ntawm ob lub qhov muag.

Kev piav qhia thiab hom kab mob

Angiopathy yog kev hloov pauv ntawm cov hlab ntsha, nrog rau cov hlab ntsha, ua rau muaj kev ua txhaum ntawm txoj cai ntawm txoj hlab ntshav ntawm lawv cov laus, nyuaj rau kev txav ntshav hauv cov lumens. Nrog nws txoj kev txhim kho, cov hlab ntsha tuaj yeem ua kom ceev lossis nqaim, muaj roj puv, ua kom pom tseeb, thiab lwm yam.

Cov tsos mob Angiopathic yog qhov tshwm sim ntawm kev puas tsuaj rau lub vascular system raws li tag nrho. Lawv hais txog kev cuam tshuam nyob rau hauv qhov ib txwm ua haujlwm thiab khoom noj khoom haus ntawm ob lub qhov muag, ua rau kev txhim kho lossis kev loj hlob ntawm myopia, dystrophic cov txheej txheem hauv retina.

Nyob ntawm qhov ua rau, angiopathy ntawm cov hlab ntsha retinal pib:

1. Raws li hom hypotonic - convoluted hlab ntsha, dilated hlab ntsha, pulsating leeg. Qhov ua rau ntawm tus kabmob yog hypotension.
2. Ntawm hypertonic - tsis sib npaug nqaim ntawm cov hlab ntsha ntawm lub fundus, dilated leeg, ceg ntawm cov leeg ntshav. Lub ntsej muag hem ntshav tseem tuaj yeem pom nyob hauv thaj chaw sib txawv ntawm lub qhov muag. Hauv cov neeg mob siab, kev hloov kho ntawm cov leeg nqaij pib. Tus kab mob no tshwm sim vim kub siab. Txoj kev kho yog qhov tshem tawm ntawm tus mob qis. Cov tshuaj raug xaiv raws li International Kev faib tawm ntawm Cov Kab Mob-10.
3. Raws li daim ntawv ntshav qab zib, ob hom tuaj yeem paub qhov txawv ntawm no: macro- thiab microangiopathy.Hauv thawj kis, muaj qhov mob ntawm qhov hlab ntsha loj dua ntawm pob nyiaj, hauv ob - cov phab ntsa ntawm cov hlab ntsha ua haujlwm nyias, uas ua rau cov ntshav tawm hauv cov nqaij hauv qhov muag ze thiab qhov cuam tshuam dav dav ntawm cov ntshav ncig. Qhov ua kom muaj tshwm sim yog ntshav qab zib mellitus.

Feem ntau, kev hloov pauv ntawm tus kab mob ntshav qab zib ua rau muaj qhov tuab ntawm hauv qab daus daim nyias nyias, txhaws ntawm cov hlab ntsha nrog cov leeg mucopolysaccharides thiab ib qho ntawm lawv cov lumen, uas yog fraught nrog lawv cov txhaws tag. Raws li qhov tshwm sim, cov ntshav ncig tau cuam tshuam, uas tuaj yeem ua rau hypoxia (oxygen oxygen depletion) ntawm cov ntaub so ntswg ntawm ob lub qhov muag. Hauv kev ua haujlwm siab, ntau cov kev mob hem tshwm tuaj, uas ua rau pom kev tsis pom kev zoo.

Kuj tseem muaj kev mob caj dab ntawm lub hlwb retina. Nws muaj feem xyuam nrog kev raug mob ntawm lub hauv siab lossis lub ncauj tsev menyuam, ua rau vascular compression.

Dab tsi ntxiv tuaj yeem ua rau txhim kho angiopathy thiab yuav ua li cas paub nws?

Lwm qhov ua rau muaj kev puas tsuaj rau cov hlab ntshav ntawm qhov retina raws li ICD-10:

• Cov cwj pwm tsis zoo.
• Ntshav kabmob.
• Laus lub caij nyoog.
• Kev deev luag poj luag txiv.
• Caws mos osteochondrosis.
• Ua haujlwm muaj mob txaus ntshai.
• Cov kab mob autoimmune.
• Intracranial siab qhov muag.
• Atherosclerosis thiab lwm yam.

Nrog angiopathy ntawm retina, cov tsos mob xws li tsis pom kev, duab meej, qhov muag plooj, ploj ntawm lub teeb thiab xim rhiab, thiab nqaim ntawm thaj chaw pom tau pom tau. Qee zaum cov kab dawb, yoov lossis xob laim tshwm ntawm hauv ntej lub qhov muag. Qee qhov xwm txheej, kev puas tsuaj rau cov kab mob vascular yog nrog cov kev loj hlob ntawm tus mob hnoos qeev lossis txha caj qaum, myopia lossis astigmatism (retinal angiopathy OU).

Yog tias muaj cov tsos mob zoo li no, sab laj nrog kws kho qhov muag thiab, yog tias tsim nyog, lwm tus kws tshaj lij. Qhov no yog qhov tsim nyog rau kev ua kom paub tseeb thiab tiv thaiv kev txhim kho ntawm cov teeb meem. Tom qab txhua tus, kev kho mob sai sai pib, qhov muaj feem ntau ntawm rov qab!

Tus kws kho mob pom dab tsi thaum kuaj?

Txhawm rau txheeb xyuas vascular pathology, ophthalmologist kuaj xyuas qhov xwm txheej hauv qab ntawm ob lub qhov muag. Qhov no tso cai rau koj los txiav txim siab qhov hloov pauv thiab mob hnyav. Piv txwv li, tus kws kho mob zoo nkaus li: yog cov hlab ntsha nqaim, yog cov leeg ntshav tau khov kho, lossis yog cov hlab ntsha tawg. Yog tias lawv nqaim, lawv yuav zoo ib yam li nyiaj tooj lossis tooj hlau.

Qee qhov xwm txheej, kuaj ntshav txhaws, hemorrhages thiab microaneurysms tuaj yeem kuaj pom. Tus fundus zoo li daj ntseg, nthuav dav cov ntshav tsis pom kev. Kev o ntawm lub ntsej muag ntawm lub qhov muag thiab retina, qhov pib ntawm dystrophic cov txheej txheem tuaj yeem pom.

Nyob ntawm seb qhov kev puas tsuaj rau kev mob ntshav vias rau ntawm retina, raws li Kev Koom Tes Thoob Ntiaj Teb ntawm Cov Kab Mob-10, tus kws kho mob ntsej muag tuaj yeem soj ntsuam "mob ntsws":

1. Thawj qib, yog tias muaj zog me ntsis thiab muab khi ua ke rau ntawm cov hlab ntsha.
2. Qib ob, yog tias leeg leeg khoov thiab coj tus duab ua ke, lawv cov qhov khoob qis thiab muaj cov ntshav khov.
3. Qeb qib thib peb, yog tias lub nkoj tau muab tso rau hauv cov tuab tuab ntawm cov ntaub so ntswg thiab ua rau muaj kev sib dua.

Yog tias kev kho mob tau pib raws sijhawm thiab qhov ua rau mob angiopathy raug tshem tawm, cov fundus yuav nqa nws daim ntawv qub.

Yuav ua li cas coj cov hlab pas retinal mus rau qub?

Txij li thaum angiopathy raws li ICD-10 yog cov tsos mob ntawm ntau yam kab mob, kev kho yog tsom mus rau tshem tawm qhov tseeb txhaum ntawm nws tshwm sim. Kuj tseem tshuaj:

• Txhim kho cov ntshav ncig - Actovegin, Xanthinol nicotinate, Pentoxifylline lossis Solcoseryl.
• Cov kev ua kom muaj zog ntawm cov hlab ntsha - Parmidin, Calcium Dobesylate, Biloba, Ginkgo.
• Muaj cov tshuaj antiplatelet - Aspirin, Dipyridamole lossis Ticlopidine.
• Los ntawm cov pab pawg ntawm anabolic steroids.
• Txhim kho cov metabolism hauv cov ntaub so ntswg - ATP, cocarboxylase.

Ib qho ntxiv, cov vitamins: C thiab nicotinic acid, pab pawg B yog tau sau tseg.Yog muaj kev pheej hmoo ntawm rov ua haujlwm (qhov chaws nyob ntawm Kev Koom Tes Hauv Tebchaws Thoob Ntiaj Teb-10), xws li kev kho mob tiv thaiv laser coagulation tau ua.

Saib xyuas koj tus kheej! Tsis txhob ua kom koj lub qhov muag pom dhau los, saib xyuas koj lub neej, hais qhov tsis zoo rau nws tus kheej, kho txhua yam kabmob raws sijhawm. Tsis txhob cia lawv ua kom lub cev puas tsuaj thiab muab lub zeem muag ploj mus. Tos koj cov lus.

Raws li ICD, ntau pawg ntawm cov kab mob retinal raug cais.

Lwm cov pathologies ntawm tus retina (H35)

Ntawm lwm yam kab mob ntawm tus mob retina, muaj:

• Keeb kwm yav dhau los retinopathy lossis leeg nqaij vascular pathology (H35.0),
• Preretinopathy (H35.1),
• Cov seem uas tseem tshuav ntawm qhov xwm txheej loj (H35.2),
• Kev hloov pauv hauv macula lossis ncej tom qab (H35.3),
• Degeneration ntawm peripheral thaj av ntawm lub retina (H35.4),
• Cov kab mob pob txha caj qaum (H35.5),
• Kev Ntsuas Qib Siab (H35.6),
• Kev sib cais ntawm cov khaubncaws sab nraud povtseg ntawm cov hlwb hauv qhov retina (H35.7),
• Lwm qhov kev tso tawm ntawm tus menyuam (H35.8),
• Tsis pom tseeb mob retinal (H35.9).

Hais txog peb lub chaw

Lub Chaw Rau Kev Tshuaj Ntsuam Xyuas thiab Kev Kho Mob ntawm Retina ntawm MGK yog qhov kev mob siab rau ntawm Chaw Kho Mob Moscow Qhov Muag, ib qho ntawm cov chaw kho mob ophthalmological hauv Moscow.

Peb qhov tshwj xeeb yog kev tshawb nrhiav qhov nrawm thiab tshem tawm cov kab mob ntawm cov zoo tom qab ntawm lub qhov muag (retina thiab vitreous) nrog kev pab ntawm cov txheej txheem ntiaj teb niaj hnub no, cov kev kuaj mob tshiab tshaj plaws thiab cov khoom siv phais mob los ntawm cov tuam ntxhab.

Pab pawg kws tshaj lij ntawm cov kws kho mob pab cov neeg mob tuav lossis kho lub zeem muag txawm tias qhov xwm txheej nyuaj tshaj plaws.

Thiab me ntsis txog kev zais siab.

Koj puas tau muaj kev nyuaj siab los ntawm KEV SIB RAUG ZOO? Kev txiav txim los ntawm qhov tseeb tias koj tau nyeem cov lus no, kev yeej tsis nyob ntawm koj ib sab. Thiab ntawm chav kawm koj tseem tab tom nrhiav txoj hauv kev zoo los coj koj lub siab kom zoo.

Tom qab ntawd nyeem dab tsi Elena Malysheva hais hauv nws txoj haujlwm hais txog cov txheej txheem ntuj hauv kev kho lub plawv thiab ntxuav cov hlab ntshav.

Txhua yam ntaub ntawv ntawm lub xaib yog npaj rau kev qhia xov xwm. Ua ntej thov cov lus pom zoo, nco ntsoov sab laj nrog koj tus kws kho mob.

Tag nrho los yog ib nrab ntawm kev luam cov ntaub ntawv los ntawm lub xaib tsis muaj qhov taw qhia tsis txuas rau nws yog txwv tsis pub.

Angiopathy yog kev hloov pauv hauv lub xeev ntawm cov hlab ntsha ntawm lub qhov muag ntawm retina, uas tuaj yeem ua rau txoj kev txhim kho ntawm kev hloov dystrophic (dystrophy ntawm retina), myopia, atrophy ntawm optic hlab ntsha, thiab lwm yam.

Retinal vascular angiopathy tsis yog kab mob thiab ophthalmologists feem ntau tsom rau qhov no, tab sis yog ib qho xwm txheej uas tuaj yeem tshwm sim tawm tsam ntawm lwm yam kab mob. Kev hloov pauv hauv txoj hlab ntsha tshwm sim nrog kev raug mob thiab raug mob, thiab tseem pom nyob hauv ntshav qab zib mellitus.

Cov lus piav qhia ntawm cov tsos mob

Angiopathy muaj ntau cov kev qhia tshwj xeeb uas ib tus neeg tuaj yeem pom, tab sis tawm yam tsis muaj kev saib xyuas. Sau tawm qhov mob rau qhov kev ntxhov siab lossis qaug zog.

Feem ntau, cov neeg mob yws txog:

1. Ntawm cov tsos ntawm "yoov" hauv qhov muag.
2. Txo kom pom tseeb tseeb tseeb.
3. Cov tsos ntawm flashes lossis pos huab ua ntej muag.
4. Rau qhov mob lossis colic hauv lub pob muag.
5. Lub cev sai sai ntawm cov kabmob ntawm cov tsis pom kev.
6. Ntawm cov tsos nyob hauv thaj av ntawm cov protein ntawm taw tes los ntshav lossis tawg, cov hlab ntsha liab.

Ua tib zoo saib kom txo qis ntawm qhov muag pom, cov tsos ntawm yoov lossis xob laim pem hauv ntej lub qhov muag. Ib ntus, tab sis ua tiav lossis ib nrab ntawm cov tsis pom kev. Thaum muaj qhov muag plooj nyob hauv lub qhov muag thaum sawv saum txaj los yog lub cev ua kom lub zog hnyav, muaj qhov muaj mob hnyav rau kiv taub hau.

Qhov no qhia tau tias tus neeg muaj teeb meem nrog ntshav ncig ntawm lub hlwb, hypoxia, lossis muaj ntshav siab intracranial. Tawm tsam cov keeb kwm yav dhau los ntawm cov pathologies, angiopathy ntawm retina loj hlob.

Cov tsos mob yuav hloov, tshwm sim tsis tu ncua (tsuas yog ua kom ntshav nce siab), tab sis tsis txhob tseg cov phiajcim no. Yog tias pom muaj cov tsos mob tshwm sim, sab laj tus kws kho mob sai li sai tau.

Cov chav kawm thiab kev kho mob ntawm cov poj niam cev xeeb tub

Thaum cev xeeb tub, retinal angiopathy muaj ntau yam:

1. Gestosis lossis mob toxicosis lig.
2. Ua rau cov ntshav siab ntxiv.
3. Muaj ntshav qab zib ntau ntxiv.

Tus mob yog kuaj pom tus poj niam nyob rau lub hlis thib peb, tsis tas yuav muaj kev kho mob tshwj xeeb. Txij li thaum txoj kev kho yuav tsum ua kom tshem tawm cov hauv paus hauv kev hloov pauv ntawm cov hlab ntsha thiab lawv cov channel.

• txo qis hauv cov ntshav siab (cov poj niam cev xeeb tub tau Dopegit, Papazol). Tab sis kev kho lub siab qhov muag tau zoo li cas tuaj yeem pom hauv tsab xov xwm ntawm no.

ib txwm ua haujlwm ntawm lub raum, txhawm rau kho tus mob yuav pab tau diuretics ntawm lub hauv paus chiv keeb: Kanefron, Fitolizin, thiab lwm yam.

kev noj zaub mov (tsis kam noj qab zib, qab ntsev, haus luam yeeb, ntsim thiab tsis noj zaub mov, ua raws li qee txoj cai khoom noj khoom haus).

Angiopathy tuaj yeem tshwm sim tsis tsuas yog thaum cev xeeb tub, tab sis kuj tom qab yug menyuam. Thaum muaj kev yug menyuam yog mob hnyav lossis ntev thiab coj mus ua rau cov leeg ntshav ntws rov qab.

Tus pojniam yuav yws txog:

1. Cov tsos ntawm huab nyob hauv lub qhov muag.
2. Tsawg dua pom pom tseeb tseeb. Tab sis dab tsi kev tawm dag zog kom pom kev pom tseeb yuav tsum tau siv ua ntej qhov chaw, cov ntaub ntawv yuav pab kom nkag siab qhov txuas.
3. Ci ntsa iab (xob laim). Tab sis vim li cas flash flashes hauv qhov muag zoo li xob laim, thiab dab tsi tuaj yeem ua nrog qhov teeb meem zoo li no tau qhia ntawm no.

Hauv qhov no, kev sab laj nrog tus kws kho mob ntsej muag yog qhov tsim nyog. Tom qab tso tawm hauv tsev kho mob poj niam, koj yuav tsum tau sab laj nrog kws kho mob sai, nws yuav pab kho qhov xwm txheej thiab zam kom tsis txhob muaj lwm qhov teebmeem ntxiv.

Retinal angiopathy yog cov paib uas tsis tsim nyog yuav tsum tsis txhob quav ntsej. Yog tias tsis pom cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho qhov muag. Tus kws kho mob yuav ua qhov kev kuaj mob tsim nyog thiab sau ntawv yuav kho kom zoo.

Thaum kuaj xyuas kuv cov pob nyiaj, tus kws kho qhov muag tau pom me ntsis ntxiv ntawm cov hlab ntsha, tshwj xeeb tshaj yog qhia tsis muaj dab tsi tab sis Taufon thiab cov zoo li. Pom tau tias, txawm li cas los xij, tus kws tshaj lij yog lub luag haujlwm saib xyuas cov kab mob vascular pathology, uas yog lub luag haujlwm rau cov kab mob vascular lossis cov kab mob uas ua rau cov teeb meem no nrog cov hlab ntsha. Kws kho plawv, ua ntej txhua yam. Txawm hais tias kuv xav tau tiag tiag rau peb cov kws kho mob kom muaj kev paub ntau dua dav dav ntawm qhov kev paub, thiab tus kws kho qhov muag, tshwj xeeb, tuaj yeem tshawb xyuas ntau yam ua rau muaj kab mob qhov muag.

Dab tsi yog qhov txaus ntshai ntawm retinal angiopathy niaj hnub no thiab yuav kho nws li cas?

Lub qhov muag tib neeg yog ib qho khoom ua haujlwm uas qhov tsis yooj yim thiab qhov tsis zoo ntawm qhov tsis pom kev zoo tsis yog kev mob nkaus xwb uas tuaj yeem ua rau ib tus neeg. Tib lub sijhawm, qee qhov kab mob qhov muag yog cov kab mob ywj pheej, thaum lwm tus tsuas yog cov tsos mob ntawm lwm tus. Thiab hauv ob qho tib si, nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov teeb meem thiab ua kev daws teeb meem kom raug. Tseeb tiag, feem ntau hauv qhov tsis muaj kev ua, koj tuaj yeem plam lub sijhawm kom pom zoo. Angiopathy tsis tas ua rau muaj kev hem thawj rau kev noj qab haus huv ntawm lub cev, tab sis nws txoj kev kho yog tsim nyog raws li kev kho mob ntawm ib qho kab mob qhov muag.

Kev Tiv Thaiv

Txhawm rau tiv thaiv qhov pom thiab kev loj hlob ntawm cov leeg hlwb viav vias, nws yog qhov tsim nyog yuav tau ua raws cov cai yooj yim:

1. Ncaws sijhawm kho cov kab mob uas ua rau mob hlwb txha caj qaum.
2. Zam txhob ua kom lub cev nyhav dhau heev lawm.
3. Kev soj ntsuam kom zoo los ntawm kws kho qhov muag.
4. Ua lub neej noj qab nyob zoo thiab ua raws li kev noj zaub mov zoo.
5. Zam kev coj ua tsis zoo.
6. Nyob rau hauv muaj cov mob muaj keeb ntawm cov kab mob ntawm cov hlab plawv, ua raws li kev tswj hwm thiab cov lus pom zoo ntawm tus kws kho mob tuaj koom.

Levomycitin qhov muag ntxiv: cov lus qhia rau kev siv tau piav qhia ntawm no.

Retinal angiopathy tsis yog tus kab mob ywj pheej, uas tuaj yeem ua kom nyuaj rau nws txoj kev kho mob, nyob ntawm yam ua rau pom.Nws tsis pom zoo tso cai rau cov kev tsis sib haum xeeb thiab pib qhov xwm txheej nrog nws qhov tsos, vim qhov no tuaj yeem ua rau muaj kev rau txim loj, mus txog rau qhov ua tiav tsis pom kev. Nyob rau tib lub sijhawm, nrog txoj kev xaiv txoj kev kho mob rau txoj kev mob qog thiab mob hauv qab, koj tuaj yeem ua tiav rov qab mus rau yav dhau los kev noj qab haus huv lub xeev ntawm lub retina thiab rov qab rau lub neej zoo.

Mob khees xaws hauv ob (H36)

Mob raum yuav tshwm sim nrog lwm cov kab mob:

• Tus mob ntshav qab zib (H36.0),
• Lwm qhov kev cuam tshuam lwm qhov hauv qhov retina (H36.8).

Hais txog peb lub chaw

Lub Chaw Rau Kev Tshuaj Ntsuam Xyuas thiab Kev Kho Mob ntawm Retina ntawm MGK yog qhov kev mob siab rau ntawm Chaw Kho Mob Moscow Qhov Muag, ib qho ntawm cov chaw kho mob ophthalmological hauv Moscow.

Peb qhov tshwj xeeb yog kev tshawb nrhiav qhov nrawm thiab tshem tawm cov kab mob ntawm cov zoo tom qab ntawm lub qhov muag (retina thiab vitreous) nrog kev pab ntawm cov txheej txheem ntiaj teb niaj hnub no, cov kev kuaj mob tshiab tshaj plaws thiab cov khoom siv phais mob los ntawm cov tuam ntxhab.

Pab pawg kws tshaj lij ntawm cov kws kho mob pab cov neeg mob tuav lossis kho lub zeem muag txawm tias qhov xwm txheej nyuaj tshaj plaws.

Teem sijhawm tamsim!

Kev sab laj kws kho mob ntawm kws kho mob

Koj tuaj yeem nug koj cov lus nug rau tus kws paub txog retina ntawm peb lub chaw A.V. Korneeva

Ua yeeb yaj kiab video

Laser coagulation ("ntxiv dag zog") ntawm cov retina hauv kev sib txuas nrog nws cov kev sib tawg thiab kom rov qab nco tus neeg mob.

Peb cov npe

Dab tsi yog qhov no

Mob ntsws yog ib qho mob ntawm cov hlab ntsha uas cov hlab ntsha hloov pauv vim muaj kev cuam tshuam hauv lawv cov hlab ntshav sab hauv. Qhov no yog vim muaj cov roj ntsha txhaws qis los yog lawv qhov kev ncua ntev.

Tshuaj tsis paub qhov txawv ntawm txoj hlab ntsws yog qhov muaj cov kab mob ywj siab; kev kawm txog niaj hnub kev tshawb fawb pom tau tias nws yog qhov pom ntawm tus mob tseem ceeb. Xws li cov tsos mob hnyav tuaj yeem yog qhov tshwm sim ntawm metabolic lossis hormonal ntshawv siab, kev raug mob thiab haus dej cawv, nrog rau lub txim ntawm kev coj ua tsis zoo xws li kev haus luam yeeb lossis quav tshuaj yeeb.

Tus mob no, nrog paub nrhiav thiab kho mob tsis raws sij hawm, yuav thim rov qab. Tsuas yog nyob rau hauv kis zoo-paub tus kab mob no ua rau muaj mob hnyav:

Theem ntawm Retinal Angiopathy

Tus kws kho qhov muag tshwj xeeb tau xaiv kho tus mob angiopathy tom qab kuaj mob txhij txhua. Kev vam meej ntawm kev kho mob ncaj qha yog nyob ntawm cov txheej txheem txhawm rau tshem ntawm tus mob tom qab.

ICD-10 code

Raws li thoob ntiaj teb kev tshaj tawm ntawm cov kab mob, angiopathy tsis muaj nws tus kheej txoj cai, vim nws tsis muaj cov xwm txheej ntawm tus kab mob ywj pheej. Yog li ntawd, coding ua raws cov pathology uas ua rau vascular tsis txaus nyob rau hauv cov ntaub so ntswg retinal.

Cov no tuaj yeem yog ntau hom kabmob:

• kev raug mob ntawm lub qhov muag, ntsej muag, caj dab, lub taub hau,
• siab intracranial lossis arterial siab,
• osteochondrosis, txha nqaj qaum ntawm lub ncauj tsev menyuam,
• mob ntshav qab zib mellitus
• hypo - lossis vitamin ua tsis zoo,
• ntshav kab mob
• atherosclerosis, vasculitis,
• intoxication nrog microbial co toxins lossis lom nrog tshuaj (hluav taws xob),
• kev ua kom lub cev thiab lub siab ntawm kev ntxhov siab, ua rau lub cev ntev ntawm txoj hlab ntaws,
• Presbyopia lossis dystrophy ntawm cov ntaub so ntswg hauv lub tshuab raj.

Angiopathies muaj lawv qhov kev faib tawm:

1. Cov Hluas (Cov Mob Muaj Kab Mob), yog hais txog cov kab mob uas tsis tshua muaj nrog ib tus neeg tsis paub tseeb. Tus kab mob cuam tshuam rau cov tub ntxhais hluas thiab qhia nws tus kheej:

• o ntawm cov hlab ntsha thiab leeg ntshav thiab loj hlob ntawm cov nqaij txuas rau hauv cov qhov retina,
• hemorrhages nyob rau hauv cov ntaub so ntswg ntawm lub qhov muag,

Qhov kwv yees ntawm tus kab mob yog qhov mob hnyav, vim nws tuaj yeem ua rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau ploj mus, nrog rau kev txhim kho cataracts lossis glaucoma.

2. hypertensive retinal angiopathy tshwm sim los ntawm kev mob ntshav siab hauv cov neeg mob, vim qhov no, cov hlab ntsha ntawm lub qhov muag feem ntau nyob hauv lub xeev qhov nqaim, uas cuam tshuam nrog cov ntshav ib txwm xa mus rau qhov retina, feem ntau nrog cov cim hloov ntawm lub cev nyiaj.

3.Mob ntsws caj dab txhim kho nrog kev raug mob rau lub taub hau, caj dab lossis hauv siab. Ntawm no, cov neeg kho tshuab nyem ntawm cov leeg thiab capillaries lossis nce siab hauv intracranial siab yog tau. Pathology ua rau ib ntus lossis ntev ntev ntawm qhov pom ntawm lub qhov muag, puas tsuaj rau cov hlab ntsha plexuses, ua rau qhov muag tsis pom kev, ua rau muaj kev hloov pauv hauv cov hlwb ntawm retina thiab vitreous lub cev.

4. Hom kab mob hypotonic yog tus yam ntxwv vascular dua nrog cov ntshav thiab lawv txoj kev loj hlob ntawm txoj kev loj hlob, yog li muaj kev pheej hmoo ntawm kev mob ntshav siab, mob ntshav hauv lub qhov muag.

5. Ntshav qab zib angiopathy yog qhov tsim nyog ntawm kev muaj mob ntawm tus mob no. Cov xovtooj ntawm cov roj ntsha tsis zoo ua rau cov kev hloov pauv ntawm cov hlab ntshav (lawv cov ntshav lossis ua rog dhau), yog li cov ntshav ncig mus los ntawm lawv yog kev ntxhov siab.

6. Lub hnub nyoog ntsig txog tus kab mob tshwm sim vim kev laus ntawm lub cev, cov hlab ntsha hauv lub cev tsis tuaj yeem tiv taus lub nra hnyav, lawv lub suab nrov zuj zus tuaj, thiab hloov dystrophic tshwm sim.

Retinal Angiopathy Hauv Ib Tug Me Nyuam

Hloov pauv ntawm lub suab nrov ntawm cov hlab ntawm lub qhov muag hauv cov menyuam yaus thaum tseem yau tuaj yeem pom nrog kev hloov pauv ntawm lub cev lossis quaj quaj. Qhov no yog vim muaj immaturity ntawm lub circulatory thiab lub paj hlwb ntawm cov menyuam yaus thiab tsis yog pathology. Ib qho kev hnoos qeev ntev ntawm cov leeg thiab cov hlab ntsha tau kuaj pom thaum kuaj mob hauv tsev kho mob (tsev kho mob poj niam, tsev kho mob menyuam yaus) lossis mob sab nrauv hais txog qhov mob ntawm lub qhov muag mob hauv cov menyuam yaus.

Ua rau mob hlwb rau menyuam yaus tuaj yeem:

• cov kab mob kis hnyav thiab cov kab mob kis tau tus mob (tuberculosis, meningitis, brucellosis, mob khaub thuas nyuab, thiab lwm yam),
• cov kab mob parasitic (toxoplasmosis thiab advanced helminthic infestations),
• lom nrog vapors ntawm mercury, chlorine thiab lwm yam tshuaj lom neeg,
• cov kab mob qhov muag thiab muaj kev ntxhov siab ntau ntxiv hauv tsev kawm ntawv lossis hauv tsev (kev nyiam ua si hauv computer, saib yeeb yaj kiab TV),
• lub raum pathology,
• mob rwj
• tsis muaj protein ntau cov zaub mov, cov vitamins lossis minerals,
• lub cev ua rau lub cev nyhav heev, rov qab ua kom rov zoo dua, ua rau lub siab ntev ntev.

Soj ntsuam cov cim ntawm tus kab mob yog manifested:

• hauv kev txo qhov muag pom tseeb,
• nyob rau hauv cov tsos ntawm flickering, dawb los yog tsaus tsaus nyob rau hauv pem hauv ntej ntawm lub qhov muag, "nplaim taws teeb, xob laim, flashes",
• hauv kev nce qhov muag nkees thaum nyeem ntawv, saib TV lossis ua haujlwm ntawm lub PC,
• nyob rau hauv kev tsim ntawm cov qog ua kua ntawm lub qhov muag ntawm lub network ntawm capillaries, hauv pom kev liab, nyob rau hauv kev tshawb pom ntawm pinpoint hemorrhages,
• hauv kev txo cov teb ntawm tom qab lub zeem muag,
• nyob rau hauv qhov hnov ​​ntawm pulsation hauv qhov muag,
• hauv kev hloov pauv pathological hauv pob nyiaj (nrog kev soj ntsuam lub hom phiaj los ntawm tus kws kho mob).

Kev kho ntawm angiopathy yog nqa tawm raws li keeb kwm yav dhau los:

1. Diabetic daim ntawv ntawm pathology yuav tsum nruj rau kev noj haus thiab / lossis kev tswj hwm ua haujlwm ntawm cov kab mob insulin.
2. Hypertensive angiopathy ntawm retina ntawm ob lub qhov muag tau kho feem ntau nrog cov tshuaj uas txo cov ntshav siab thiab vasodilator.
3. Mob ntsws angiopathy koom nrog kev kho mob hauv tsev kho mob phais, siv kev siv tshwj xeeb (cov log tsheb, nrum hlau) lossis kev ua haujlwm.

Txhawm rau txhawm rau txhim kho cov ntshav kev hauv cov hlab qhov muag nrog txhua daim ntawv ntawm angiopathy tuaj yeem kho:

Cov txheej txheem kho lub cev feem ntau yog ntxiv rau cov kev kho mob:

Cov txheej txheem hais txog kev ua kom muaj zog nyob hauv tus mob no suav nrog:

• ua raws li cov khoom noj tsis pub muaj carbohydrate,
• mus kev saum huab cua,
• kev siv lub cev ua si (ua luam dej, kis las)
• txo qhov muag pom kev ntxhov siab,
• kev siv cov vitamins.

Tus kab mob muag muag nyuaj nyuaj xws li cov hlwb tsis ua haujlwm (angiopathy) tsis muaj ICD-10 code. Thiab qhov no tsis txhais tau tias qhov kab mob no ntawm cov plab hnyuv siab raum ntawm lub zeem muag tsis tsim nyog tau txais kev pom zoo ntawm ophthalmologists. Cov tsos mob ntawm tus kabmob no yog dabtsi, thiab yuav kho nws li cas?

Rov Nco Txog. tias ICD-10 yog Kev Sib Thoob Thoob Ntiaj Teb (lees paub los ntawm WHO rau cov kws kho mob ntawm txhua pawg thiab lub teb chaws) kev faib tawm cov kab mob hauv kev kho thib kaum.

Hauv cov nqe lus kev kho mob, angiopathy yog mob vascular cuam tshuam ntawm lub qhov muag, tshwm sim hauv kev ua txhaum ntawm lub suab nrov ntawm cov hlab ntsha retinal thiab cov hlab ntsha capillary ntawm fundus. Tawm tsam keeb kwm ntawm tus kab mob pathology no, txoj kev txo qis ntshav txaus thiab txoj cai tswj kev tshee. ICD-10 tsis muaj kev cais kev sib cais ntawm tus mob no, txij li nws yog qhov tshwm sim ntawm ntau yam kab mob loj dua. Feem ntau, angiopathy tshwm sim tawm tsam ntawm keeb kwm ntawm cov kab mob no:

1. Intracranial tawg.
2. Kev puas tsuaj rau lub ncauj tsev menyuam ntu.
3. Osteochondrosis ntawm lub ncauj tsev menyuam nqaj qaum.
4. Ntau yam kabmob ntshav.
5. Mob ntshav qab zib mellitus.
6. Kev tsim txom ntawm kev haus luam yeeb thiab cawv.
7. Congenital malformations.

Thiab cov no tsuas yog qee qhov ua tau cuam tshuam ntawm cov teeb meem hauv cov ntshav tuaj rau lub retina. Qhov phom sij ntawm cov kab mob pathology no yog, tawm tsam keeb kwm ntawm mob caj dab (angiopathy), muaj cov kab mob loj dua, xws li mob hlwb thiab / lossis myopia, yuav tshwm sim. Ntxiv mus, thaum tsis muaj sijhawm thiab kev kho mob txaus, qhov kev ua txhaum ntawm trophic retina tuaj yeem ua rau kom tsis tiav cov tsis pom kev.

Nws yog yam ntxwv hais tias angiopathy, suav nrog tus mob retinopathy uas mob ntshav qab zib, cuam tshuam ob lub qhov muag ib txhij. Qhov no ua haujlwm ua haujlwm pabcuam thaum ua cov kev kuaj mob sib txawv. Tshuaj tua kab mob ntsws yog kuaj lub sijhawm kuaj xyuas pob nyiaj nyob ntawm tus kws tshuaj ophthalmologist.

Muaj vascular pathology ntawm hom no hauv cov neeg laus thiab cov menyuam yaus. Yog li, qhov tseeb uas yuav tshwm sim hauv qee kis tshwj xeeb nyuaj rau kev txiav txim siab. Tab sis txawm li cas los xij, ib qho kab mob ntev ntev tau muab suav tias yog qhov tseem ceeb tshaj plaws. Lub hauv paus tseem ceeb ua rau angiopathy txiav txim siab dav dav pathology ntawm cov hlab ntsha ntawm lub cev, nyob rau hauv uas muaj kev ua txhaum ntawm tus qauv ntawm lub vascular phab ntsa, suav nrog hauv lub txaj vascular ntawm cov retina.

Heev feem ntau, qhov kev puas tsuaj rau cov hlab ntsha ntawm qhov retina tshwm sim hauv peb lub hlis kawg ntawm cev xeeb tub lossis tom qab yug menyuam, uas tau coj nrog kev ua txhaum. Rau ib tug menyuam yaus, kev mob caj dab tsis ua rau muaj kev hem thawj, tab sis niam yuav tsum pib kho sai raws li kws kho qhov muag.

Cov hom ntws tuaj yeem muab teev cia raws li hauv qab no:

1. 1. Cov tshuaj hypertensive angiopathy ntawm retina. Nws pib nrog qhov tshwm sim ntawm kev kub siab thiab nws mob zuj zus. Feem ntau, nyob rau hauv kev tiv thaiv ntawm qhov mob siab, ib qho capillary tawg thiab retinal hemorrhage tshwm sim. Tab sis nrog tshuaj ntsuam sai thiab tshem tawm kom raws sij hawm, qhov no tsis ua rau muaj kev hem thawj ntawm qhov tsis pom kev.
2. 2. Cov Ntshav Qab Zib. Qhov xwm ntawm cov ntws tawm, uas tawm tsam rau thawj hom, hauv qab tswj qis. Qhov phom sij ntawm qhov xwm txheej no nyob hauv kev hem thawj ntawm thrombus hauv cov hlab ntsha thiab tom qab kev khi ntawm lub nkoj.
3. 3. Ntshav qab zib hem nrog cuam tshuam dav ntawm cov hlab ntsha ntawm pob nyiaj seem.
4. 4. Mob caj pas mob ntsws angiopathy - qhov xwm txheej no tshwm sim nrog qhov mob puas ntawm ncauj tsev menyuam lossis thoracic nqaj qaum thiab nce ntxiv ntawm kev mob siab ntawm intracranial rau qib tseem ceeb.
5. 5. Cov hluas angiopathy yog qhov kev soj ntsuam tsis zoo tshaj plaws ntawm cov kab mob vascular pathology ntawm lub qhov muag. Daim ntawv no nrog nrog cov ntshav tawm lossis ntau txoj hauv hlab ntshav hauv lub cev thiab / lossis retina. Feem ntau cuam tshuam los ntawm kab mob qhov muag, ntsej muag daj, lossis ua kom tsis pom kev kiag.

Koj yuav tsum tam sim ntawd sab laj tus kws kho mob nrog cov tsos ntawm cov tsos mob ntawm qhov pib ntawm kev pib ntawm kev txhim kho ntawm cov leeg nqaij vias pathology:

1. 1. Qhov muag plooj.
2. 2. Asterisks thiab / lossis ya ua ntej lub qhov muag.
3. 3. Mob ceg ntawm ceg.
4. 4. Nquag nquag txhaws ntswg.
5. 5. Los ntshav rau hauv lub plab thiab lub plab zom mov.
6. 6. Myopia.
7. 7. Retinal dystrophy.

Yog tias lwm tus pib pom tias muaj cov hlab ntshav ntau heev uas tau txhaj rau hauv koj lub qhov muag, tom qab ntawd nrog cov tsos mob no, koj yuav tsum hu rau kws kho qhov muag.

Raws li kev kho mob, cov tshuaj tau raug muab los txhim kho cov ntshav ncig hauv cov hlab ntsha me thiab txo cov ntshav siab.Tsis tas li ntawd, kev noj zaub mov carbohydrate tsawg, kev tawm dag zog hauv cov huab cua ntshiab, thiab cov zaub mov muaj vitamins ntau yog qhov pom zoo.

Kev pom zoo kho kho, kho acupuncture, kho laser txoj kev pom zoo.

Thiab me ntsis txog kev zais siab.

Koj puas tau muaj kev nyuaj siab los ntawm KEV SIB RAUG ZOO? Kev txiav txim los ntawm qhov tseeb tias koj tau nyeem cov lus no, kev yeej tsis nyob ntawm koj ib sab. Thiab ntawm chav kawm koj tseem tab tom nrhiav txoj hauv kev zoo los coj koj lub siab kom zoo.

Tom qab ntawd nyeem dab tsi Elena Malysheva hais hauv nws txoj haujlwm hais txog cov txheej txheem ntuj hauv kev kho lub plawv thiab ntxuav cov hlab ntshav.

Txhua yam ntaub ntawv ntawm lub xaib yog npaj rau kev qhia xov xwm. Ua ntej thov cov lus pom zoo, nco ntsoov sab laj nrog koj tus kws kho mob.

Tag nrho los yog ib nrab ntawm kev luam cov ntaub ntawv los ntawm lub xaib tsis muaj qhov taw qhia tsis txuas rau nws yog txwv tsis pub.

Angiopathy yog kev hloov pauv hauv lub xeev ntawm cov hlab ntsha ntawm lub qhov muag ntawm retina, uas tuaj yeem ua rau txoj kev txhim kho ntawm kev hloov dystrophic (dystrophy ntawm retina), myopia, atrophy ntawm optic hlab ntsha, thiab lwm yam.

Retinal vascular angiopathy tsis yog kab mob thiab ophthalmologists feem ntau tsom rau qhov no, tab sis yog ib qho xwm txheej uas tuaj yeem tshwm sim tawm tsam ntawm lwm yam kab mob. Kev hloov pauv hauv txoj hlab ntsha tshwm sim nrog kev raug mob thiab raug mob, thiab tseem pom nyob hauv ntshav qab zib mellitus.

ICD-10 code

Angiopathy tsis muaj tus lej raws li kev faib tawm thoob ntiaj teb, vim nws tsis suav hais tias yog tus kabmob ywj pheej. Txoj cai tau muab rau tus kabmob uas coj mus rau kev txhim kho kab mob pathological.

Qhov no yog dab tsi retinal angiopathy zoo li

Cov ua thiab sib cais

Angiopathy muaj ntau yam ua. Cwj pwm hauv cov hlab ntsha tshwm sim tawm tsam ntawm keeb kwm ntawm:

1. Kev raug mob rau lub hauv siab lossis lub ncauj tsev menyuam. Uas ua rau yus cov ntshav khiav tsis zoo, qhov tshwm sim ntawm hypoxia.
2. Arterial hypertension - txhais tau tias, ntshav siab. Nrog rau kev nce ntshav ntxiv, cov hlab ntsha me ntawm lub retina tsis tuaj yeem tiv taus lub nra thiab tawg. Hemorrhages tshwm sim, uas tuaj yeem ua rau txo qhov pom ntawm qhov pom, qhov tshwm sim ntawm kev hloov pauv ntawm lub nkoj thiab lawv cov channel.
3. Arterial hypotension - ntshav siab los qis uas tshwm sim los ntawm qhov nthuav dav ntawm cov leeg ntshav thiab cov hlab ntsha loj, ua rau muaj ntshav txhaws hauv cov hlab ntsha ntawm qhov retina.
4. Cervical osteochondrosis yog ib yam kab mob uas ua rau cov ntshav khiav tsis zoo mus rau lub hlwb, nce ntshav siab intracranial.
5. Mob ntshav qab zib mellitus yog pathology ntawm endocrine system, uas pom los ntawm kev nce ntxiv hauv cov ntshav qab zib. Thaum tsis muaj kev kho kom zoo, kev mob ntshav qab zib mellitus ua rau kev ua kom tuab ntawm phab ntsa ntawm daim nyias nyias thiab cuam tshuam rau lub xeev ntawm cov leeg ntshav ntawm cov retina.
6. Kev raug mob rau lub hlwb - ua rau muaj kev cuam tshuam ntawm lub hlwb, nce ntxiv hauv intracranial siab, thiab kev txhim kho ntawm hypoxia. Hauv qhov no, angiopathy tshwm sim los ntawm kev raug mob.
7. Cev xeeb tub thiab txheej txheem yug menyuam - kev hloov pauv ntawm lub nkoj tuaj yeem tshwm sim thaum cev xeeb tub lossis tshwm sim tom qab yug menyuam tas. Hauv qhov xwm txheej no, qhov xwm txheej yuav raug kho, tab sis tsuas yog tias ua rau muaj tus kab mob pathology.
8. Cov kab mob autoimmune thiab kab mob ntawm cov kab mob hematopoietic tsis yog cov teeb meem tshwj xeeb. Tawm tsam cov keeb kwm yav dhau los ntawm cov kab mob zoo li no, cov kev hloov pauv ntawm cov nkoj ntawm cov leeg muaj tsawg heev.

Tab sis dab tsi presbyopia yog angiopathy ntawm tus retina, thiab nws kho li cas, yuav pab kom nkag siab txog cov ntaub ntawv no.

Hauv daim vis dis aus - kev piav qhia ntawm tus kab mob:

Muaj ob peb hom angiopathy, nws tshwm sim:

• hypertonic - tshwm sim nrog kev nce hauv cov ntshav siab lossis intracranial siab,
• hypotonic - kev txhim kho tiv thaiv keeb kwm ntawm cov ntshav siab thiab tsim cov ntshav khov,
• ntshav qab zib - qhov laj thawj tseem ceeb yog ntshav qab zib mellitus lossis nce rau hauv cov ntshav qab zib cov ntshav (tuaj yeem kuaj tau rau cov menyuam ntawm thawj xyoo ntawm lub neej lossis cov menyuam tshiab),
• keeb kwm yav dhau los - tshwm sim tawm tsam keeb kwm ntawm kev hloov pauv hauv lub xeev ntawm cov hlab ntsha ntawm qhov muag ntawm retina ntawm lub qhov muag, nrog chav kawm ntev nws yog qhov txaus ntshai nrog cov teeb meem,
• raug mob - qhov tshwj xeeb ntawm kev raug mob raug mob, kev raug mob tshwm sim thaum muaj kev ua txhaum ntawm cov ntshav ntws mus rau lub hlwb,
• cov hluas - tshwm nyob hauv menyuam yaus thaum tiav nkauj tiav nraug. Qhov tseeb vim li cas tseem tsis tau tsim. Nws ua tau nws tus kheej ua qhov tsis meej ntawm qhov pom ntawm lub ntsej muag, nthuav dav sai sai thiab tuaj yeem ua rau mob caj pas lossis rov ua paug.

Mob ntsws ntawm ob lub qhov muag yog txheeb xyuas ntau zaus. Tab sis muaj cov xwm txheej thaum cov hlab ntsha pauv ib zaug xwb. Qhov no yuav qhia tau qeeb zuj zus ntawm lub pathology.

Cov lus piav qhia ntawm cov tsos mob

Angiopathy muaj ntau cov kev qhia tshwj xeeb uas ib tus neeg tuaj yeem pom, tab sis tawm yam tsis muaj kev saib xyuas. Sau tawm qhov mob rau qhov kev ntxhov siab lossis qaug zog.

Feem ntau, cov neeg mob yws txog:

1. Ntawm cov tsos ntawm "yoov" hauv qhov muag.
2. Txo kom pom tseeb tseeb tseeb.
3. Cov tsos ntawm flashes lossis pos huab ua ntej muag.
4. Rau qhov mob lossis colic hauv lub pob muag.
5. Lub cev sai sai ntawm cov kabmob ntawm cov tsis pom kev.
6. Ntawm cov tsos nyob hauv thaj av ntawm cov protein ntawm taw tes los ntshav lossis tawg, cov hlab ntsha liab.

Ua tib zoo saib kom txo qis ntawm qhov muag pom, cov tsos ntawm yoov lossis xob laim pem hauv ntej lub qhov muag. Ib ntus, tab sis ua tiav lossis ib nrab ntawm cov tsis pom kev. Thaum muaj qhov muag plooj nyob hauv lub qhov muag thaum sawv saum txaj los yog lub cev ua kom lub zog hnyav, muaj qhov muaj mob hnyav rau kiv taub hau.

Qhov no qhia tau tias tus neeg muaj teeb meem nrog ntshav ncig ntawm lub hlwb, hypoxia, lossis muaj ntshav siab intracranial. Tawm tsam cov keeb kwm yav dhau los ntawm cov pathologies, angiopathy ntawm retina loj hlob.

Cov tsos mob yuav hloov, tshwm sim tsis tu ncua (tsuas yog ua kom ntshav nce siab), tab sis tsis txhob tseg cov phiajcim no. Yog tias pom muaj cov tsos mob tshwm sim, sab laj tus kws kho mob sai li sai tau.

Kev kuaj mob

Nws tsis yog qhov nyuaj heev, tsuas yog mus rau ntawm tus kws kho qhov muag xwb. Tus kws kho mob yuav tshuaj xyuas cov hlab ntawm pob txhaws.

Txhawm rau txhawm rau hloov cov kev hloov, nws txaus los ua kev ntsuam xyuas ib qho nkaus xwb, tab sis yog tias tsim nyog, tus kws kho mob yuav pom zoo cia kuaj ultrasound ntawm lub qhov muag. Lawv kuj ntsuas txog kev ua haujlwm siab, uas pab ua kom tshem tawm qhov tshwm sim ntawm kev mob txha caj dab. Tab sis li cas kev kuaj mob ntawm tus mob retinal angiopathy hauv ib tus menyuam tshwm sim, cov ntaub ntawv no yuav pab kom nkag siab.

Txoj kev kho yog txhawm rau tshem tawm lub hauv paus ntawm qhov mob pathological. Yog hais tias angiopathy tshwm sim tawm tsam keeb kwm ntawm txoj hlab ntshav siab, tus kws kho mob sau ib daim ntawv xa mus rau tus kws kho plawv. Tus kws kho mob sau cov tshuaj uas tuaj yeem tswj kom ntshav siab thiab txo qhov kev pheej hmoo los ntshav hauv cov hlab ntsha ntawm retina thiab cov hlab ntsha me.

Yog tias angiopathy cuam tshuam nrog ntshav qab zib, tom qab ntawd lawv kho cov kab mob hauv qab thiab sim tiv thaiv kev txhim kho ntawm cov teeb meem.

Yog li, dab tsi tshuaj tuaj yeem ua daim ophthalmologist tau sau tseg:

• vasodilator (Cinnarizine, Vinpocetine, thiab lwm yam),

vitamin complexes (nqaim-npaj ua kom pom tseeb, cov vitamins rau lub qhov muag tau siv). Tab sis dab tsi cov vitamins rau kev cuam tshuam txog lub hnub nyoog yuav tsum tau siv thawj qhov chaw, tau piav qhia ntawm no. Kev npaj uas txhim kho ntshav microcirculation (feem ntau yog poob, Taufon qhov muag ntshav).

Cov npe tshuaj uas txhim kho cov ntshav microcirculation hauv eyeballs:

Raws li kev siv dag zog hauv lub cev, kws kho mob ntsej muag yuav pom zoo kom mus dhau ntawm kev siv tshuaj kho mob, kho laser (retina teeb).

Cov chav kawm thiab kev kho mob ntawm cov poj niam cev xeeb tub

Thaum cev xeeb tub, retinal angiopathy muaj ntau yam:

1. Gestosis lossis mob toxicosis lig.
2. Ua rau cov ntshav siab ntxiv.
3. Muaj ntshav qab zib ntau ntxiv.

Tus mob yog kuaj pom tus poj niam nyob rau lub hlis thib peb, tsis tas yuav muaj kev kho mob tshwj xeeb. Txij li thaum txoj kev kho yuav tsum ua kom tshem tawm cov hauv paus hauv kev hloov pauv ntawm cov hlab ntsha thiab lawv cov channel.

• txo qis hauv cov ntshav siab (cov poj niam cev xeeb tub tau Dopegit, Papazol). Tab sis kev kho lub siab qhov muag tau zoo li cas tuaj yeem pom hauv tsab xov xwm ntawm no.

ib txwm ua haujlwm ntawm lub raum, txhawm rau kho tus mob yuav pab tau diuretics ntawm lub hauv paus chiv keeb: Kanefron, Fitolizin, thiab lwm yam.

kev noj zaub mov (tsis kam noj qab zib, qab ntsev, haus luam yeeb, ntsim thiab tsis noj zaub mov, ua raws li qee txoj cai khoom noj khoom haus).

Angiopathy tuaj yeem tshwm sim tsis tsuas yog thaum cev xeeb tub, tab sis kuj tom qab yug menyuam. Thaum muaj kev yug menyuam yog mob hnyav lossis ntev thiab coj mus ua rau cov leeg ntshav ntws rov qab.

Tus pojniam yuav yws txog:

1. Cov tsos ntawm huab nyob hauv lub qhov muag.
2. Tsawg dua pom pom tseeb tseeb. Tab sis dab tsi kev tawm dag zog kom pom kev pom tseeb yuav tsum tau siv ua ntej qhov chaw, cov ntaub ntawv yuav pab kom nkag siab qhov txuas.
3. Ci ntsa iab (xob laim). Tab sis vim li cas flash flashes hauv qhov muag zoo li xob laim, thiab dab tsi tuaj yeem ua nrog qhov teeb meem zoo li no tau qhia ntawm no.

Hauv qhov no, kev sab laj nrog tus kws kho mob ntsej muag yog qhov tsim nyog. Tom qab tso tawm hauv tsev kho mob poj niam, koj yuav tsum tau sab laj nrog kws kho mob sai, nws yuav pab kho qhov xwm txheej thiab zam kom tsis txhob muaj lwm qhov teebmeem ntxiv.

Retinal angiopathy yog cov paib uas tsis tsim nyog yuav tsum tsis txhob quav ntsej. Yog tias tsis pom cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho qhov muag. Tus kws kho mob yuav ua qhov kev kuaj mob tsim nyog thiab sau ntawv yuav kho kom zoo.

Thaum kuaj xyuas kuv cov pob nyiaj, tus kws kho qhov muag tau pom me ntsis ntxiv ntawm cov hlab ntsha, tshwj xeeb tshaj yog qhia tsis muaj dab tsi tab sis Taufon thiab cov zoo li. Pom tau tias, txawm li cas los xij, tus kws tshaj lij yog lub luag haujlwm saib xyuas cov kab mob vascular pathology, uas yog lub luag haujlwm rau cov kab mob vascular lossis cov kab mob uas ua rau cov teeb meem no nrog cov hlab ntsha. Kws kho plawv, ua ntej txhua yam. Txawm hais tias kuv xav tau tiag tiag rau peb cov kws kho mob kom muaj kev paub ntau dua dav dav ntawm qhov kev paub, thiab tus kws kho qhov muag, tshwj xeeb, tuaj yeem tshawb xyuas ntau yam ua rau muaj kab mob qhov muag.

Dab tsi yog qhov no

Mob ntsws caj dab - Qhov no yog lub xeev ntawm cov hlab ntsha retinal, nyob rau hauv uas vim kev ua txhaum ntawm lawv cov leeg poob siab, kev hloov pauv capillary. Qhov no yog vim muaj cov roj ntsha txhaws qis los yog lawv qhov kev ncua ntev.

Tshuaj tsis paub qhov txawv ntawm txoj hlab ntsws yog qhov muaj cov kab mob ywj siab; kev kawm txog niaj hnub kev tshawb fawb pom tau tias nws yog qhov pom ntawm tus mob tseem ceeb. Xws li cov tsos mob hnyav tuaj yeem yog qhov tshwm sim ntawm metabolic lossis hormonal ntshawv siab, kev raug mob thiab haus dej cawv, nrog rau lub txim ntawm kev coj ua tsis zoo xws li kev haus luam yeeb lossis quav tshuaj yeeb.

Feem ntau, angiopathy kuaj mob rau cov neeg laus (laus dua 30 xyoo), feem pua ​​me me poob rau cov menyuam yaus thiab hluas lub zog ntawm pathology.

Tus mob no, nrog paub nrhiav thiab kho mob tsis raws sij hawm, yuav thim rov qab. Tsuas yog nyob rau hauv kis zoo-paub tus kab mob no ua rau muaj mob hnyav:

• kev txhim kho ntawm dystrophy thiab atrophy ntawm cov retina thiab optic hlab ntsha,
• txo qis hauv qhov pom thiab pom thiab nqaim ntawm qhov chaw pom

Theem ntawm Retinal Angiopathy

Tus kws kho qhov muag tshwj xeeb tau xaiv kho tus mob angiopathy tom qab kuaj mob txhij txhua. Kev vam meej ntawm kev kho mob ncaj qha yog nyob ntawm cov txheej txheem txhawm rau tshem ntawm tus mob tom qab.

ICD-10 code

Raws li thoob ntiaj teb kev tshaj tawm ntawm cov kab mob, angiopathy tsis muaj nws tus kheej txoj cai, vim nws tsis muaj cov xwm txheej ntawm tus kab mob ywj pheej. Yog li ntawd, coding ua raws cov pathology uas ua rau vascular tsis txaus nyob rau hauv cov ntaub so ntswg retinal.

Cov no tuaj yeem yog ntau hom kabmob:

• kev raug mob ntawm lub qhov muag, ntsej muag, caj dab, lub taub hau,
• siab intracranial lossis arterial siab,
• osteochondrosis, txha nqaj qaum ntawm lub ncauj tsev menyuam,
• mob ntshav qab zib mellitus
• hypo - lossis vitamin ua tsis zoo,
• ntshav kab mob
• atherosclerosis, vasculitis,
• intoxication nrog microbial co toxins lossis lom nrog tshuaj (hluav taws xob),
• kev ua kom lub cev thiab lub siab ntawm kev ntxhov siab, ua rau lub cev ntev ntawm txoj hlab ntaws,
• Presbyopia lossis dystrophy ntawm cov ntaub so ntswg hauv lub tshuab raj.

Angiopathies muaj lawv qhov kev faib tawm:

1. Cov Hluas (Cov Mob Muaj Kab Mob), yog hais txog cov kab mob uas tsis tshua muaj nrog ib tus neeg tsis paub tseeb. Tus kab mob cuam tshuam rau cov tub ntxhais hluas thiab qhia nws tus kheej:

• o ntawm cov hlab ntsha thiab leeg ntshav thiab loj hlob ntawm cov nqaij txuas rau hauv cov qhov retina,
• hemorrhages nyob rau hauv cov ntaub so ntswg ntawm lub qhov muag,

Qhov kwv yees ntawm tus kab mob yog qhov mob hnyav, vim nws tuaj yeem ua rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau ploj mus, nrog rau kev txhim kho cataracts lossis glaucoma.

2. hypertensive retinal angiopathy tshwm sim los ntawm kev mob ntshav siab hauv cov neeg mob, vim qhov no, cov hlab ntsha ntawm lub qhov muag feem ntau nyob hauv lub xeev qhov nqaim, uas cuam tshuam nrog cov ntshav ib txwm xa mus rau qhov retina, feem ntau nrog cov cim hloov ntawm lub cev nyiaj.

3. Kev mob caj dab mob txhim kho nrog mob taub hau, caj dab lossis hauv siab. Ntawm no, cov neeg kho tshuab nyem ntawm cov leeg thiab capillaries lossis nce siab hauv intracranial siab yog tau. Pathology ua rau ib ntus lossis ntev ntev ntawm qhov pom ntawm lub qhov muag, puas tsuaj rau cov hlab ntsha plexuses, ua rau qhov muag tsis pom kev, ua rau muaj kev hloov pauv hauv cov hlwb ntawm retina thiab vitreous lub cev.

4. Hom kab mob hypotonic yog tus yam ntxwv vascular dua nrog cov ntshav thiab lawv txoj kev loj hlob ntawm txoj kev loj hlob, yog li muaj kev pheej hmoo ntawm kev mob ntshav siab, mob ntshav hauv lub qhov muag.

5. Ntshav qab zib angiopathy yog qhov tsim nyog ntawm kev muaj mob ntawm tus mob no. Cov xovtooj ntawm cov roj ntsha tsis zoo ua rau cov kev hloov pauv ntawm cov hlab ntshav (lawv cov ntshav lossis ua rog dhau), yog li cov ntshav ncig mus los ntawm lawv yog kev ntxhov siab.

6. Lub hnub nyoog ntsig txog tus kab mob tshwm sim vim kev laus ntawm lub cev, cov hlab ntsha hauv lub cev tsis tuaj yeem tiv taus lub nra hnyav, lawv lub suab nrov zuj zus tuaj, thiab hloov dystrophic tshwm sim.

Muaj qee kis thaum mob angiopathies mus raws li ntau hom, i.e. lawv txoj kev txhim kho ua rau tag nrho "pob paj" ntawm cov kab mob sab hauv, piv txwv li, ntshav qab zib mellitus txuas ntxiv nrog cov mob atherosclerosis lossis leeg ntshav mob tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev rog. Hauv cov xwm txheej zoo li no, chav kawm ntawm lub pathology yog ntxiv dag zog thiab yuav tsum tau siv tshuaj kho mob hnyav ntxiv.

Retinal Angiopathy Hauv Ib Tug Me Nyuam

Hloov pauv ntawm lub suab nrov ntawm cov hlab ntawm lub qhov muag hauv cov menyuam yaus thaum tseem yau tuaj yeem pom nrog kev hloov pauv ntawm lub cev lossis quaj quaj. Qhov no yog vim muaj immaturity ntawm lub circulatory thiab lub paj hlwb ntawm cov menyuam yaus thiab tsis yog pathology. Ib qho kev hnoos qeev ntev ntawm cov leeg thiab cov hlab ntsha tau kuaj pom thaum kuaj mob hauv tsev kho mob (tsev kho mob poj niam, tsev kho mob menyuam yaus) lossis mob sab nrauv hais txog qhov mob ntawm lub qhov muag mob hauv cov menyuam yaus.

Cov teeb meem feem ntau ua rau retinal angiopathy nyob rau hauv ob lub qhov muag hauv cov menyuam mos yog qhov nce ntawm intracranial siab. Hauv cov menyuam yaus hnub nyoog laus dua, cov no yog kev raug mob, kev ntshaus plab, cov kab mob autoimmune thiab kab mob muaj keeb.

Tej zaum yuav ua rau angiospasm ntawm cov menyuam yaus:

• cov kab mob kis hnyav thiab cov kab mob kis tau tus mob (tuberculosis, meningitis, brucellosis, mob khaub thuas nyuab, thiab lwm yam),
• cov kab mob parasitic (toxoplasmosis thiab advanced helminthic infestations),
• lom nrog vapors ntawm mercury, chlorine thiab lwm yam tshuaj lom neeg,
• cov kab mob qhov muag thiab muaj kev ntxhov siab ntau ntxiv hauv tsev kawm ntawv lossis hauv tsev (kev nyiam ua si hauv computer, saib yeeb yaj kiab TV),
• lub raum pathology,
• mob rwj
• tsis muaj protein ntau cov zaub mov, cov vitamins lossis minerals,
• lub cev ua rau lub cev nyhav heev, rov qab ua kom rov zoo dua, ua rau lub siab ntev ntev.

Yees duab:

Cov chaw txhaj tshuaj ntawm tus kabmob pom:

• hauv kev txo qhov muag pom tseeb,
• nyob rau hauv cov tsos ntawm flickering, dawb los yog tsaus tsaus nyob rau hauv pem hauv ntej ntawm lub qhov muag, "nplaim taws teeb, xob laim, flashes",
• hauv kev nce qhov muag nkees thaum nyeem ntawv, saib TV lossis ua haujlwm ntawm lub PC,
• nyob rau hauv kev tsim ntawm cov qog ua kua ntawm lub qhov muag ntawm lub network ntawm capillaries, hauv pom kev liab, nyob rau hauv kev tshawb pom ntawm pinpoint hemorrhages,
• hauv kev txo cov teb ntawm tom qab lub zeem muag,
• nyob rau hauv qhov hnov ​​ntawm pulsation hauv qhov muag,
• hauv kev hloov pauv pathological hauv pob nyiaj (nrog kev soj ntsuam lub hom phiaj los ntawm tus kws kho mob).

Kev kho ntawm angiopathy yog nqa tawm raws li keeb kwm yav dhau los:

1. Ntshav qab zib ib daim ntawv ntawm pathology yuav tsum nruj rau kev noj haus thiab / lossis kev coj ua zoo ntawm cov kab mob insulin.
2. Hypertonic retinal angiopathy nyob rau hauv ob lub qhov muag yog kho feem ntau nrog cov tshuaj uas txo cov ntshav siab thiab vasoconstrictors.
3. Kev poob plig angiopathy koom nrog kev kho mob hauv tsev kho mob phais, siv cov kev siv tshwj xeeb (cov log tsheb, nrum hlau) lossis kev ua haujlwm.

Txhawm rau txhawm rau txhim kho cov ntshav kev hauv cov hlab qhov muag nrog txhua daim ntawv ntawm angiopathy tuaj yeem kho:

Cov txheej txheem kho lub cev feem ntau yog ntxiv rau cov kev kho mob:

• kev kho laser
• sib nqus impulse kho,
• kev kho mob

Cov txheej txheem hais txog kev ua kom muaj zog nyob hauv tus mob no suav nrog:

• ua raws li cov khoom noj tsis pub muaj carbohydrate,
• mus kev saum huab cua,
• kev siv lub cev ua si (ua luam dej, kis las)
• txo qhov muag pom kev ntxhov siab,
• kev siv cov vitamins.

Angiopathy yog kev hloov pauv hauv lub xeev ntawm cov hlab ntsha ntawm lub qhov muag ntawm retina, uas tuaj yeem ua rau txoj kev txhim kho ntawm kev hloov dystrophic (dystrophy ntawm retina), myopia, atrophy ntawm optic hlab ntsha, thiab lwm yam.

Retinal vascular angiopathy tsis yog kab mob thiab ophthalmologists feem ntau tsom rau qhov no, tab sis ib qho xwm txheej uas tuaj yeem tshwm sim rauonet ntawm lwm yam kab mob. Kev hloov pauv hauv txoj hlab ntsha tshwm sim nrog kev raug mob thiab raug mob, thiab tseem pom nyob hauv ntshav qab zib mellitus.

Angiopathy tsis muaj tus lej raws li kev faib tawm thoob ntiaj teb, vim nws tsis suav hais tias yog tus kabmob ywj pheej. Txoj cai tau muab rau tus kabmob uas coj mus rau kev txhim kho kab mob pathological.

Dab tsi retinal angiopathy zoo li: Ua rau thiab faib tawm

Angiopathy muaj ntau yam ua. Cwj pwm hauv cov hlab ntsha tshwm sim tawm tsam ntawm keeb kwm ntawm:

1. Kev raug mob rau lub hauv siab lossis lub ncauj tsev menyuamCov. Uas ua rau yus cov ntshav khiav tsis zoo, qhov tshwm sim ntawm hypoxia.
2. Arterial tawg - yooj yim muab tso, ntshav siab. Nrog rau kev nce ntshav ntxiv, cov hlab ntsha me ntawm lub retina tsis tuaj yeem tiv taus lub nra thiab tawg. Hemorrhages tshwm sim, uas tuaj yeem ua rau txo qhov pom ntawm qhov pom, qhov tshwm sim ntawm kev hloov pauv ntawm lub nkoj thiab lawv cov channel.
3. Arterial hypotension - ntshav siab qis tshwm sim los ntawm qhov nthuav dav ntawm cov leeg ntshav thiab cov hlab ntsha loj, ua rau muaj ntshav txhaws hauv cov hlab ntsha ntawm qhov retina.
4. Caws mos osteochondrosis - ib tug kab mob uas ua rau muaj kev ua txhaum ntawm cov ntshav txaus rau lub hlwb, nce ntxiv intracranial siab.
5. Mob ntshav qab zib mellitus - pathology ntawm endocrine system, cim tau los ntawm kev nce hauv cov ntshav qab zib. Thaum tsis muaj kev kho kom zoo, kev mob ntshav qab zib mellitus ua rau kev ua kom tuab ntawm phab ntsa ntawm daim nyias nyias thiab cuam tshuam rau lub xeev ntawm cov leeg ntshav ntawm cov retina.
6. Lub taub hau raug mob - ua rau muaj kev cuam tshuam nyob rau hauv lub hlwb, nce ntxiv ntawm intracranial siab, kev txhim kho ntawm hypoxia. Hauv qhov no, angiopathy tshwm sim los ntawm kev raug mob.
7. Cev xeeb tub thiab txheej txheem yug menyuam - kev hloov pauv ntawm cov hlab ntsha tuaj yeem tshwm sim thaum cev xeeb tub lossis tshwm sim tom qab yug menyuam tas. Hauv qhov xwm txheej no, qhov xwm txheej yuav raug kho, tab sis tsuas yog tias ua rau muaj tus kab mob pathology.
8. Cov kab mob autoimmune thiab kab mob ntawm cov kab mob hematopoietic - tsis yog-qhov ua rau. Tawm tsam cov keeb kwm yav dhau los ntawm cov kab mob zoo li no, cov kev hloov pauv ntawm cov nkoj ntawm cov leeg muaj tsawg heev.

Tab sis dab tsi presbyopia yog angiopathy ntawm tus retina, thiab nws kho li cas, yuav pab kom nkag siab txog cov ntaub ntawv no.

Hauv daim vis dis aus - kev piav qhia ntawm tus kab mob:

Muaj ob peb hom angiopathy, nws tshwm sim:

• hypertonic- tshwm sim nrog kev nce ntshav lossis ntshav siab intracranial,
• hypotonic - kev txhim kho tiv thaiv keeb kwm ntawm cov ntshav siab thiab kev tsim cov ntshav txhaws,
• ntshav qab zib - qhov laj thawj tseem ceeb yog ntshav qab zib mellitus lossis nce rau hauv cov ntshav qab zib cov ntshav (yuav raug kuaj tau rau cov menyuam ntawm thawj xyoo ntawm lub neej lossis cov menyuam tshiab),
• tom qab - tshwm sim tiv thaiv keeb kwm yav dhau los ntawm kev hloov pauv hauv lub xeev ntawm cov hlab ntsha ntawm qhov muag ntawm retina, nrog chav kawm ntev nws yog qhov txaus ntshai nrog cov teeb meem,
• kev poob plig - qhov tshwm sim ntawm kev raug mob raug mob, kev raug mob tshwm sim thaum cov ntshav ntws mus rau lub hlwb tau ntxhov,
• hluas - tshwm hauv cov menyuam thaum tseem tiav nkauj tiav nraug. Qhov tseeb vim li cas tseem tsis tau tsim. Nws ua tau nws tus kheej ua qhov tsis meej ntawm qhov pom ntawm lub ntsej muag, nthuav dav sai sai thiab tuaj yeem ua rau mob caj pas lossis rov ua paug.

Mob ntsws ntawm ob lub qhov muag yog txheeb xyuas ntau zaus. Tab sis muaj cov xwm txheej thaum cov hlab ntsha pauv ib zaug xwb. Qhov no yuav qhia tau qeeb zuj zus ntawm lub pathology.

Nws kuj tseem tsim nyog kawm ntxiv txog dab tsi ua kom hypertensive retinal angiopathy nyob rau hauv ob lub qhov muag.

Angiopathy muaj ntau cov kev qhia tshwj xeeb uas ib tus neeg tuaj yeem pom, tab sis tawm yam tsis muaj kev saib xyuas. Sau tawm qhov mob rau qhov kev ntxhov siab lossis qaug zog.

Feem ntau, cov neeg mob yws txog:

1. Ntawm cov tsos ntawm "yoov" hauv qhov muag.
2. Txo kom pom tseeb tseeb tseeb.
3. Cov tsos ntawm flashes lossis pos huab ua ntej muag.
4. Rau qhov mob lossis colic hauv lub pob muag.
5. Lub cev sai sai ntawm cov kabmob ntawm cov tsis pom kev.
6. Ntawm cov tsos nyob hauv thaj av ntawm cov protein ntawm taw tes los ntshav lossis tawg, cov hlab ntsha liab.

Ua tib zoo saib kom txo qis ntawm qhov muag pom, cov tsos ntawm yoov lossis xob laim pem hauv ntej lub qhov muag. Ib ntus, tab sis ua tiav lossis ib nrab ntawm cov tsis pom kev. Thaum muaj qhov muag plooj nyob hauv lub qhov muag thaum sawv saum txaj los yog lub cev ua kom lub zog hnyav, muaj qhov muaj mob hnyav rau kiv taub hau.

Qhov no qhia tau tias tus neeg muaj teeb meem nrog ntshav ncig ntawm lub hlwb, hypoxia, lossis muaj ntshav siab intracranial. Tawm tsam cov keeb kwm yav dhau los ntawm cov pathologies, angiopathy ntawm retina loj hlob.

Cov tsos mob yuav hloov, tshwm sim tsis tu ncua (tsuas yog ua kom ntshav nce siab), tab sis tsis txhob tseg cov phiajcim no. Yog tias pom muaj cov tsos mob tshwm sim, sab laj tus kws kho mob sai li sai tau.

Nws tsis yog qhov nyuaj heev, tsuas yog mus rau ntawm tus kws kho qhov muag xwb. Tus kws kho mob yuav tshuaj xyuas cov hlab ntawm pob txhaws.

Txhawm rau txhawm rau hloov cov kev hloov, nws txaus los ua kev ntsuam xyuas ib qho nkaus xwb, tab sis yog tias tsim nyog, tus kws kho mob yuav pom zoo cia kuaj ultrasound ntawm lub qhov muag. Lawv kuj ntsuas txog kev ua haujlwm siab, uas pab ua kom tshem tawm qhov tshwm sim ntawm kev mob txha caj dab. Tab sis li cas kev kuaj mob ntawm tus mob retinal angiopathy hauv ib tus menyuam tshwm sim, cov ntaub ntawv no yuav pab kom nkag siab.

Txoj kev kho yog txhawm rau tshem tawm lub hauv paus ntawm qhov mob pathological. Yog hais tias angiopathy tshwm sim tawm tsam keeb kwm ntawm txoj hlab ntshav siab, tus kws kho mob sau ib daim ntawv xa mus rau tus kws kho plawv. Tus kws kho mob sau cov tshuaj uas tuaj yeem tswj kom ntshav siab thiab txo qhov kev pheej hmoo los ntshav hauv cov hlab ntsha ntawm retina thiab cov hlab ntsha me.

Yog tias angiopathy cuam tshuam nrog ntshav qab zib, tom qab ntawd lawv kho cov kab mob hauv qab thiab sim tiv thaiv kev txhim kho ntawm cov teeb meem.

Yog li, dab tsi tshuaj tuaj yeem ua daim ophthalmologist tau sau tseg:

vasodilator (Cinnarizine, Vinpocetine, thiab lwm yam),

Cov npe tshuaj uas txhim kho cov ntshav microcirculation hauv eyeballs:

Raws li kev siv dag zog hauv lub cev, kws kho mob ntsej muag yuav pom zoo kom mus dhau ntawm kev siv tshuaj kho mob, kho laser (retina teeb).

Cov chav kawm thiab kev kho mob ntawm cov poj niam cev xeeb tub

Thaum cev xeeb tub, retinal angiopathy muaj ntau yam:

1. Gestosis lossis mob toxicosis lig.
2. Ua rau cov ntshav siab ntxiv.
3. Muaj ntshav qab zib ntau ntxiv.

Tus mob yog kuaj pom tus poj niam nyob rau lub hlis thib peb, tsis tas yuav muaj kev kho mob tshwj xeeb. Txij li thaum txoj kev kho yuav tsum ua kom tshem tawm cov hauv paus hauv kev hloov pauv ntawm cov hlab ntsha thiab lawv cov channel.

txo hauv cov ntshav siab (cov poj niam cev xeeb tub tau sau tseg Dopegit, Papazol). Tab sis kev kho lub siab qhov muag tau zoo li cas tuaj yeem pom hauv tsab xov xwm ntawm no.

normalization ntawm raum muaj nuj nqidiuretics ntawm lub hauv paus chiv keeb yuav pab kho qhov mob: Kanefron, Fitolizin, thiab lwm yam. Tab sis dab tsi ointment pab nrog barley hauv qhov muag thiab siv yuav raug li cas tau piav ntawm no.