Ntshav Qab Zib Ophthalmopathy: Kho Cov Mob Ntshav Qab Zib

Kev txhim kho ntawm ophthalmopathy tau tiv thaiv keeb kwm yav dhau los ntawm kev hloov kho ntawm ntshav qab zib mellitus, uas yog qhov mob tseem ceeb. Pathology tshwm sim los ntawm qhov tshwm sim ntawm kev cuam tshuam nyob rau hauv cov txheej txheem ntawm cov khoom noj metabolism hauv tib neeg lub cev.

Cov tsos mob ntawm cov ntshav qab zib ophthalmopathy yog txuam nrog kev tshwm sim ntawm physiological, biochemical thiab kev tiv thaiv kab mob hauv lub cev. Ib qho kev cuam tshuam tshaj plaws ntawm kev hloov pauv ntawm cov ntshav qab zib yog kev hloov pauv ntawm cov yam ntxwv ntawm cov ntshav thiab hloov pauv ntawm cov hlab ntshav ntawm cov ntshav ncig.

Cov kev hloov pauv no ua rau txoj kev loj hlob ntawm cov txheej txheem pathological uas ua rau pom qhov ntev ntawm lub cev muaj pa oxygen tshaib plab hauv cov ntaub so ntswg ntawm cov khoom hauv nruab nrog kev pom.

Tsis muaj oxygen ua rau lub cev puas tsuaj. Tus mob ntshav qab zib pib ua haujlwm hauv lub cev. Cov kab mob (pathology) no, raws li kev kho mob, suav txog li 70% ntawm tag nrho cov tshwm sim ntawm tus mob ntshav qab zib ophthalmopathy.

Qhov seem 30% ntawm kev tshaj tawm cov neeg mob ntshav qab zib ophthalmopathy ua rau:

zawv plab cataract
mob siab lub ntsws,
mob blepharitis
cholazion
txo qis hauv qhov pom tseeb tseeb.

Yog tias muaj ntshav qab zib hauv lub cev, cov neeg mob yuav tsum nco ntsoov tias tsis muaj kev tswj hwm kom tsis txhob muaj cov ntshav qab zib hauv lub cev ua rau muaj kev nce qib ntawm cov kev mob hnyav hauv lub cev tiv thaiv cov keeb kwm yav dhau los.

Kev hloov pauv ntawm cov khoom hauv nruab nrog kev pom nrog kev txhim kho mob ntshav qab zib ophthalmopathy

Kev mob ntshav qab zib retinopathy, feem ntau cov kev cuam tshuam los ntawm ntshav qab zib mellitus, yog ib qho mob tshwm sim ntawm cov khoom hauv nruab nrog cev. Qhov kev mob tshwm sim no feem ntau yuav tshwm sim hauv hom 1 ntshav qab zib. Nyob rau hauv tus txheej txheem ntawm kev muaj mob ntawm tus kab mob hloov pauv ntawm cov vascular phab ntsa ua rau tseem ceeb tsis muaj zog ntawm qhov tsis pom kev lossis nws qhov ua tiav ploj.

Kev txhim kho ntawm hom mob ntshav qab zib ophthalmopathy raws li cov kab mob ntshav qab zib ua rau muaj kev hloov pauv ntawm cov hlab ntshav ntawm cov hlab ntaws ntawm cov plaub muag, tib lub sijhawm muaj kev loj hlob ntawm cov hlab ntsha tshiab.

Ntxiv rau cov txheej txheem no, qhov tshwm sim ntawm pathologies nyob rau thaj tsam ntawm lub macula raug pom hauv lub qhov muag.

Kev loj hlob ntawm cov ntshav qab zib ophthalmopathy tuaj yeem qhia nws tus kheej hauv ntau hom pathologies ntawm optic hlab ntsha.

Kev txhim kho ntawm qhov no lossis daim ntawv ntawd ntawm pathology feem ntau nyob ntawm cov neeg kawm tiav ntawm cov ntshav qab zib. Tsis tas li ntawd, daim ntawv ntawm cov kev qhia pom tshwm sim tuaj yeem nyob ntawm qee tus yam ntxwv ntawm tus neeg mob lub cev.

Feem ntau pathologies nyob rau hauv lub optic hlab ntsha yog:

Atrophy ntawm optic qab haus huv yog pathology uas ua ke nrog kev txhim kho ntshav qab zib hauv cov neeg hluas. Cov kab mob no yog pom los ntawm kev txo qis ntawm qhov pom ntawm lub ntsej muag, qhov nqaim ntawm lub kaum sab xis ntawm thaj chaw ntawm kev saib thiab blanching ntawm lub disc ntawm photosensitive qab haus huv.
Papillopathy tshwm sim nrog decompensation ntawm qhov pib mob, qhov kev loj hlob ntawm pathology yog nrog los ntawm lub ntsej muag ntawm kev tawm tsam ntse ntawm qhov muag plooj. Tsis tas li ntawd, txoj kev loj hlob ntawm cov kab mob pathology no yog tus cwj pwm ntawm cov tsos ntawm edema ntawm cov leeg photosensitive thiab corpus luteum.
Lub anterior thiab posterior neuropathy ntawm ischemic genesis yog yus muaj los ntawm cov tsos ntawm cov yam ntxwv ntawm tus yam ntxwv xws li ib tug-ib tog poob nyob rau hauv lub suab pom thiab cov tsos ntawm xws tshwm sim raws li sectoral poob nyob rau hauv lub nrig txog kev pom teb.

Qhov tshwm sim ntawm kev loj hlob ntawm cov txheej txheem pathological tsim nyob rau hauv cov khoom hauv lub zeem muag yog ib nrab lossis ua tiav tsis pom kev thiab ib feem lossis ua tiav atrophy ntawm cov leeg photosensitive.

Xanthomatosis

Cov tawv nqaij ntawm cov neeg muaj decompensated ntshav qab zib mellitus los ntawm lub cev qhuav dej yog qhuav, ntsws, ntxhib thiab flaky ntawm xib teg thiab cov nplaig, nws cov turgor txo. Nrog cov ntshav qab zib ntev ntev, yuav luag 80% ntawm cov neeg muaj ntau yam dermatoses cuam tshuam nrog cov teeb meem hauv lub cev, qhov txo qis hauv kev tiv thaiv ntawm daim tawv nqaij thiab cov microcirculation tsis zoo. Hauv cov menyuam yaus nrog lub labile ntawm cov ntshav qab zib mellitus, tus cwj pwm ntsej mua nce ntshav (mob ntshav qab zib rubeosis) yog sau tseg - qhov tshwm sim ntawm kev nthuav dav ntawm cov tawv nqaij capillaries - muab rau cov neeg mob ua rau pom kev zoo ntawm kev ua kom muaj kev noj qab haus huv. Cov neeg mob nrog “kev paub dhau los” tej zaum yuav muaj dermopathy mob ntshav qab zib ua rau cov nqaij mob loj atrophic, hyperpigmented, flaky me ntsis rau ntawm pem hauv ntej ntawm ob txhais ceg. Nrog rau kev txhim kho cov mob ntshav qab zib mob ntshav qab zib, mob raum rau ntawm daim tawv nqaij ntawm txhais ceg thiab txhais taw tau pom.

Xanthomatosis hloov |

Yam 1 ntshav qab zib

Hom 1 mob ntshav qab zib mellitus yog kab mob ntawm cov endocrine system, uas cov yam ntxwv ntawm lub cev yog qhov nce ntxiv ntawm cov piam thaj hauv cov ntshav, uas tshwm sim vim cov txheej txheem puas tsuaj hauv cov hlwb txiav tshwj xeeb uas zais cov tshuaj hormones - insulin, vim tias qhov no tsis muaj qhov tsis txaus ntawm insulin hauv lub cev.

Ntshav qab zib mob ko taw

Diabetic foot syndrome yog ib qho ntawm cov teeb meem ntshav qab zib, nrog rau mob ntshav qab zib ophthalmopathy, nephropathy, thiab lwm yam, uas yog cov kab mob pathological uas tshwm sim los ntawm kev puas tsuaj rau lub paj hlwb peripheral, cov leeg thiab microvasculature, uas ua rau nws tus kheej ua purulent-necrotic, ulcerative thiab kev puas tsuaj rau cov pob txha thiab pob qij txha ntawm ko taw.

Ntshav qab zib mellitus yog ib lo lus uas txuas nrog cov kab mob endocrine, yam ntxwv ntawm lub cev yog qhov tsis muaj nqis ntawm cov tshuaj insulin. Cov tsos mob tseem ceeb ntawm ntshav qab zib yog qhov kev loj hlob ntawm hyperglycemia - ib qho kev nce ntxiv hauv cov concentration ntawm cov piam thaj hauv cov ntshav, uas tau txuas ntxiv

Cov tsos mob ntshav qab zib

Kev ua haujlwm ntawm kev kho mob ntshav qab zib ncaj qha nyob ntawm lub sijhawm ntawm kev kuaj pom tus kab mob no. Nrog hom 2 mob ntshav qab zib mellitus, tus kab mob no tuaj yeem ua kev tsis txaus siab me ntsis rau lub sijhawm ntev, uas tus neeg mob yuav tsis quav ntsej. Cov tsos mob ntawm tus mob ntshav qab zib tuaj yeem lwv, ua rau kev kuaj mob nyuaj. Thaum kuaj tau sai thiab kho tus kab mob ntshav qab zib tau sai dua, qhov kev pheej hmoo ntawm kev mob ntshav qab zib tsawg zuj zus

Cov tshuaj insulin yog cov tshuaj tsim los ntawm cov qe ua haujlwm ntawm cov hlab ntsha ntawm pancreatic islets ntawm Langerhans. Lub npe insulin los ntawm Latin insula - kob

Kev sab laj ntawm Endocrinologist

Cov kws tshaj lij ntawm Northwestern Endocrinology Center nqa tawm kev kuaj mob thiab kho cov kab mob ntawm cov kab mob endocrine. Cov endocrinologist ntawm qhov chaw hauv lawv txoj haujlwm yog ua raws li cov lus pom zoo los ntawm European Association of Endocrinologist thiab Asmeskas Association of Clinical Endocrinologist. Niaj hnub nimno kuaj mob thiab kho mob thev naus laus zis muab cov txiaj ntsig kho tau zoo tshaj plaws.