Ntshav qab zib Angiopathy

Etiology thiab pathogenesis

Hyperglycemia, hlab ntsha tawg, dyslipidemia, kev rog, insulin tsis kam, hypercoagulation, endothelial kawg, oxidative kev nyuaj siab, kab mob ntawm lub cev

Txoj kev pheej hmoo ntawm kev tsim mob plawv mob ntshav qab zib nrog ntshav qab zib hom 2 yog 6 npaug ntau dua li ntawm txoj kev tsis muaj ntshav qab zib. Arterial hypertension tau tshawb pom hauv 20% ntawm cov neeg mob uas muaj ntshav qab zib hom 1 thiab 75% ntawm cov neeg mob ntshav qab zib hom 2. Peripheral arteriosclerosis nyob rau hauv cov hlab ntsha peripheral kev loj hlob hauv 10%, thiab cov hlab hlwb hauv 8% ntawm cov neeg mob ntshav qab zib

Lub ntsiab soj ntsuam tshwm sim

Zoo ib yam li cov neeg nyob tsis muaj ntshav qab zib. Nrog ntshav qab zib myocardial infarction hauv 30% ntawm cov neeg mob tsis hnov ​​mob

Zoo ib yam li cov neeg nyob tsis muaj ntshav qab zib.

Lwm yam kab mob ntawm cov hlab plawv, tsos mob ntsig txog hlab ntsha tawg, theem siab dyslipidemia

Antihypertensive kev kho, kev kho ntawm dyslipidemia, kev kho mob antiplatelet, kev tshuaj ntsuam thiab kho kab mob plawv

Kab mob plawv tuag 75% ntawm cov neeg mob ntshav qab zib hom 2 thiab 35% ntawm cov neeg mob ntshav qab zib hom 1

Ntshav qab zib microangiopathy

Lub hauv paus tseem ceeb uas ua rau muaj tshwm sim rau tus mob ntshav qab zib angiopathy yog kev kho mob tsis zoo ntawm cov ntshav qab zib mellitus, uas kev cuam tshuam loj heev tsis tsuas yog nyob hauv cov metabolism hauv cov metabolism nrog cov ntshav qabzib thiab tseem ceeb (ntau tshaj 6 mmol / l) poob thaum nruab hnub, tab sis kuj muaj protein thiab rog. Nyob rau hauv cov xwm txheej zoo li no, cov pa oxygen rau cov ntaub so ntswg, nrog rau cov phab ntsa ntawm cov hlab ntsha, deteriorates thiab cov ntshav khiav hauv cov hlab ntsha me yog cuam tshuam.

Kev tsis haum lub cev kev tsis txaus sib luag, kev nce ntxiv ntawm kev zais ntawm ntau ntawm cov tshuaj hormones, uas ua rau cov khoom noj tsis txaus siab hauv lub cev thiab ua rau muaj kev cuam tshuam loj heev rau cov phab ntsa vascular, kuj tseem ceeb.

Ntshav qab zib macroangiopathy

Phiaj plab hnyuv siab raum nyob rau hauv cov ntshav qab zib macroangiopathy feem ntau yog lub siab thiab qis qis kawg. Qhov tseeb, macroangiopathy muaj qhov nrawm nrawm ntawm cov txheej txheem atherosclerotic hauv cov hlab ntsha ntawm lub siab thiab qis qis dua.

Ntshav qab zib microangiopathy

• Ntshav Qab Zib Nepropathy
• Mob ntshav qab zib retinopathy
• Microangiopathy ntawm cov hlab ntsha ntawm cov qis qis

Cov hlab ntsha ntawm retina (mob ntshav qab zib angioretinopathy) thiab cov hlab ntshav ntawm glomeruli ntawm cov nephrons (mob ntshav qab zib angionephropathy) feem ntau koom nrog cov txheej txheem ntawm ntshav qab zib microangiopathy. Yog li, lub hom phiaj tseem ceeb ntawm cov kabmob ntshav qab zib microangiopathy yog qhov muag thiab lub raum.