Maganin ciwon sukari retinopathy: sanadin, bayyanar cututtuka, magani

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Rashin ƙwayar cututtukan fata na ɗaya daga cikin haɗari masu haɗari na ciwon sukari, haɓaka sakamakon lalacewar tsarin jijiyoyin jini (retina) na ƙwallon ido. Wannan ilimin halayyar cuta (a cikin matakai daban-daban na tsananin rauni) yana faruwa a cikin 90% na marasa lafiya da ciwon sukari.

Mafi sau da yawa, retinopathy shine sakamakon tsawon lokaci na cutar, amma bincika lokaci-lokaci na gabobin hangen nesa (musamman, asusus) yana ba ku damar gano kasancewar canje-canje na jijiyoyin jini a cikin farkon farkon ciwon sukari. Gano ilimin cutar daji na farko yana taimakawa wajen daukar matakan da suka wajaba don hana canje-canjen da ba za'a iya juya su ba a tsarin idanun.

Retinopathy: fasali a cikin ciwon sukari

Rashin gani a marasa lafiya da ke dauke da cutar siga yakan haifar da nakasa. Makafi a cikin masu ciwon sukari an yiwa rajista sau 25 sau da yawa fiye da mutanen da basa fama da wannan cutar. Bayan shekaru 10-15 na ciwon sukari, retinopathy yana cikin kashi 99% na duk marasa lafiya.
Hanyar ci gaban wannan cuta a cikin tsari mai sauƙi shine kamar haka. Smallananan tasoshin jini waɗanda ke gudana zuwa ga gabobin abubuwan gani suna lalacewa sakamakon hawan jini da hawan jini.

Tunda retina ido tana daukar mafi oxygen a kowane bangare na jikin mutum fiye da duk wata halitta a jikin mutum, yana da matukar damuwa ga wadataccen jini. Tsarin microaneurysms da kumburi suna faruwa a cikin jijiyoyin ido. Harshen macular na iya haɓaka.

Jiki yana ƙoƙarin magance matsalar karancin iskar oxygen da abinci mai gina jiki ta hanyar samar da sabon sikeli. Ana kiran wannan tsari yaduwa, kuma kasancewar ta na nufin matakin ci gaba na cutar. Jirgin jini na yau da kullun ba zai iya magance matsalar samar da iskar oxygen zuwa kyallen ba, sun kasance masu rauni sosai kuma suna fuskantar jini. Wannan yana haifar da haifar da microthrombi da samuwar ƙwayar fibrous a cikin yankin na jijiyoyin bugun jini.

Wadannan matakai na iya haifar da:

  • ƙarin haɓakar haɓakar ido;
  • lalata lalacewar jijiya;
  • gurbataccen ruwan magudanar ciki.
Matakan asibiti na lokaci ne kawai zasu iya hana kara lalata idanu. Zai fi kyau a kula da maganin ƙwayar cuta a cikin cibiyoyin kiwon lafiya na musamman waɗanda ke keɓance musamman cututtukan ido.

Sanadin masu ciwon sukari

Abubuwan da ke haifar da kai tsaye na rikicewar jijiyoyin jiki na gabobin hangen nesa sune cuta na rayuwa, wato, manyan alamomin cutar sankara. Rashin insulin da kuma carbohydrates a cikin jini wanda ke haifar da raguwa a cikin lumen tasoshin jini kuma saboda samuwar plaques a jikin bango.

Jigilar jini a cikin kyallen takarda yana rage gudu, metabolism metabolism da shigar abinci mai gina jiki cikin sel suna raguwa. Sakamakon haka, wasu sassan jikin mutum suna kasancewa gabaɗaya ba tare da wadatarwar jini ba, wanda ke haifar da lalata da jijiyoyin jini. Musamman mawuyacin hali sune kodan, ƙafar ƙananan ƙafa, ƙwayar zuciya, da gabobin hangen nesa.

Retinopathy na iya haɓakawa a cikin marasa lafiya da ciwon sukari riga shekaru 3-5 bayan farkon cutar, kuma bayan shekaru 10 mai haƙuri na iya tsammanin cikakken makanta.
Cutar tana da saurin ratsa jiki da sauri cikin mutane masu fama da ciwon sukari na 1 (marasa lafiyar insulin) A cikin nau'in ciwon sukari na 2, canje-canje na cututtukan cuta ya shafi ɓangaren tsakiya na retina.

Bugu da ƙari ga matakan sukari na plasma wanda ke da kullun, akwai ƙarin abubuwan haɗari waɗanda ke taimakawa ci gaban retinopathy a cikin ciwon sukari:

  • Hawan jini (hauhawar jini);
  • Shan taba
  • Rashin koda koda
  • Ciki
  • Yawan kiba;
  • Kasancewar illolin kamuwa da kwayar cuta a cikin jiki;
  • Shekaru (mafi girma shi ne, mafi girman hadarin canje-canje na jijiyoyin bugun gini);
  • Tsarin kwayoyin halitta.
Koyaya, babban abubuwan da ke haifar da tasiri sune yawan sukari da hauhawar jini. Normalization daga cikin wadannan Manuniya rage hadarin bunkasa retinopathy da sauran pathologies na gabobin na gani a wasu lokuta.

Bayyanar cututtuka da matakai na cutar

A farkon matakin, retinopathy ba ya haifar da bayyananniyar bayyananniyar, a nan gaba wadannan alamun zasu iya haɓaka:

  • Fog a gaban idanu, yanayin bayyanar makafi;
  • "Kwari" a gaban idanun;
  • Kwakwalwar mara lafiyar;
  • Rage damuwa a cikin hangen nesa.
Retinopathy yana da nau'i biyu na gudana:

  • bango (ko mara yaduwa) - yana haifar da ƙananan ƙwayoyin jini a cikin retina, edema da bayyanar ƙwayar wuce haddi, haifar da ƙin nama. Wannan nau'in cutar halayyar tsofaffi marasa lafiya ne kuma yana haifar da rauni a cikin wahayi.
  • yaduwar sakamako ne na rashin jinkirin haifar da ci gaba a sakamakon karancin iskar oxygen. Wannan nau'in nazarin halittar yana da alaƙa ta samuwar sabbin ƙananan tasoshin ruwa (capillaries) waɗanda ke girma cikin jikin ƙwayar ido da na retina. Thearfin sabbin jiragen ruwa da aka kafa sun haifar da ciwan jini, kumburi da hauhawar gani. Ana kiran mataki na ƙarshe na retinopathy tashar jirgin ruwa
Hanya mafi haɗari na ciwon sukari dangane da ragin ci gaban retinopathy shine na yara (na yara) ciwon sukari. Wannan cuta ce da ake gado a cikin ta wanda retinopathy na iya haɓaka daga asali zuwa yaduwa a cikin 'yan watanni.

Matsaloli da ka iya yiwuwa da kuma ganewar asali

Babban rikicewar retinopathy shine kin amincewa na baya saboda yawan jini da rashin abinci mai gina jiki. Wannan yana haifar da cikakken makanta, wanda ba za'a iya juyawa ba. Kisan mahaifa sakamakon cututtukan fata da sauran cututtukan idanu masu cutar masu cutar sankara shine babban dalilin makantawar manya a kasashe masu tasowa.

An ba da shawarar cewa marasa lafiya da masu ciwon sukari su ziyarci likitan mahaifa a kalla sau ɗaya a shekara, kuma zai fi dacewa sau ɗaya a kowane watanni shida. Yana da kyau a lura da likitan kwararrun likitan likitanci wadanda suka kware ga masu ciwon sukari. Ana iya samun irin waɗannan likitocin a cibiyoyin kiwon lafiya na musamman don marasa lafiya da ciwon sukari.
Hanyar ganewar asali na gano alamun cututtukan retinopathy a cikin ciwon sukari sune kamar haka:

  • Gwajewar ƙin ido da ƙwalƙwalwar ido (ophthalmoscopy) don alamun cututtukan ƙwayar cutar ƙwayar cuta;
  • Binciken kudade;
  • Visometry - ƙuduri na ƙimar gani ta tebur;
  • Ana duba matakin matsin lamba na ciki;
  • Nazarin kwayoyin halittar ido na ido.

Ganowar farko ta ba ka damar ba da isasshen magani na ra'ayin mazan jiya da kuma guje wa tiyata.

Hanyoyin jiyya

Harshe don maganin cututtukan cututtukan cututtukan mahaifa koyaushe yana da rikitarwa kuma yakamata a gudanar da shi ta hanyar kwararrun likitan dabbobi da kuma likitocin likitan ido.
Baya ga hanyoyin magunguna waɗanda ke shafar tasirin tashin hankali na ciki da yanayin tsarin jijiyoyin ido, an taka muhimmiyar rawa ta abinci mai kyau da kuma ingantaccen ilimin insulin. Idan hanyoyi masu ra'ayin mazan jiya basu bayar da tasiri mai karfi ba, an wajabta maganin ta da hankali.

Kula da ra'ayin mazan jiya

Abincin da ake amfani da shi don maganin retinopathy ya ƙunshi:

  • Ricuntatawa a cikin abincin ƙitsen dabbobi (yana da kyau a maye gurbinsu da kayan lambu gaba ɗaya);
  • Banda daga menu na carbohydrates masu narkewa mai sauƙi (sukari, Sweets, muffins, jams, da sauransu);
  • Increasearin haɓakar abincin abinci tare da riƙe da abubuwa na lipotropic (irin waɗannan abincin sun hada da kifi, oatmeal, cuku gida);
  • Increasearin yawan 'ya'yan itatuwa da kayan marmari ba dankali.

Hakanan ana amfani da maganin bitamin: don gabobin hangen nesa, bitamin B suna da mahimmanci, wanda za'a iya tsara shi azaman wani ɓangare na hadaddun bitamin da aka ɗauka ta hanyar magana, ko kuma gudanar da shi ga marasa lafiya intramuscularly. Bitamin P, E, C, shirye-shiryen Anginin, Ditsinon, Doksium an wajabta su azaman angioprotector (abubuwan da ke kare ganuwar jijiyoyin jiki).

Jiyya mai radadi

Mafi ingancin hanyar aikin tiyata shine Laser photocoagulation. Hanyar hanya ce da aka yi niyya game da retina, ta dakatar da bayyanar sabbin kayan maye. Idan an yi coagulation na laser a kan kari, wannan zai kwantar da aikin cikin kashi 80% na lokuta. Coagulation yana haifar da wuce gona da iri na tasoshin "karin" kuma yana taimakawa ci gaba hangen nesa a cikin matakan na gaba na cutar.

Wata hanyar tsattsauran ra'ayi ita ce ciwan cikimaye gurbin fitsari a jiki mai tsauri da kuma sake dawo da retina (wannan yana yiwuwa idan tsari bai kai matsayin da ba za'a iya canzawa ba).

Zaɓi likita kuma yi alƙawari tare da shi yanzu:

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