Lalacewar ido a cikin cututtukan cututtukan ƙwayar cuta: sanadin, hanyoyin magani na yanzu da kuma shawarwarin likitocin mahaifa

Ciwon sukari mellitus cuta ce mai hadarin gaske game da tsarin endocrine, wacce ta dade ba ta bayyana kanta da kowane alamu.

Jirgin ruwa da gangar jikin dake jikin dukkan sassan jikin dan adam: kwakwalwa, kodan, zuciya, retina, suna fama da wannan cutar.

A cikin ciwon sukari, matsalolin ido suna faruwa a cikin yawancin marasa lafiya, kuma likitan likitan ido shine likita na farko da ake zargi da rashin lafiya a cikin majinyacin da ya zo masa da korafin rashin gani.

Me yasa idanu ke fama da ciwon sukari?

Babban abin da ke haifar da rauni na gani a cikin cutar sankarau shi ne lalacewar tasoshin jini da ganuwar dake jikin idanun.

Akwai tsinkayar yanayin bayyanar matsalolin hangen nesa:

• hauhawar jini
• mai kullum jini na jini;
• shan taba da barasa;
• matsanancin nauyi;
• ilimin cutar koda;
• ciki
• kwayoyin halittar jini.

Hakanan tsufa shima yana daya daga cikin hadarin dake haifar da matsalar ido a cikin cutar sankara.

Cututtukan ido

Tun da aikin kariya na jiki yana raguwa sosai a cikin ciwon sukari, marasa lafiya galibi suna da cututtukan kumburi na sashin gani. Idan idanu suna jin ƙaiƙayi tare da ciwon sukari, to wannan shine mafi yawan cututtukan cututtukan jini, conjunctivitis, sha'ir mai yawa. Keratitis galibi yana tare da bayyanar cututtukan cututtukan trophic da girgijewar cornea.

Mafi yawan cututtukan ido na yau da kullum don masu ciwon sukari:

1. ma'asumi. Tare da wannan ciwo, ƙwayar ido ta shafi. Verarfin tsananin rauni ya dogara da tsawon lokacin cutar, kan kasancewar cututtukan haɗuwa: hauhawar jini, ciwon sukari na sauran gabobin, kiba da kuma atherosclerosis. Ruwan kwarin gwiwar an toshe, yayin da wasu ke fadada don maido da zubar jinni. A cikin ganuwar tasoshin thickenings an kafa - microaneurysms, ta hanyar abin da ruwa sashin jini ya shiga cikin retina. Duk wannan yana haifar da edema na yanki na kashin baya. Edema yana tilasta kwayoyin halitta, su mutu. Marasa lafiya suna koka game da asarar wasu sassan hoton, yayin da hangen nesa ke ragu sosai. Akwai ɗan canji a cikin asusun tare da mellitus na ciwon sukari - tasoshin sun fashe da ƙananan basur sun bayyana, bambanta ta hanyar marasa lafiya a matsayin flakes na baki. Cloananan clots sun narke, kuma manyan suna samar da haemophthalmos. Tsinkayar ido saboda tsananin iskar oxygen da yaduwar cututtukan kwalliyar filayen jiki da kuma abubuwan kwalliya. Ganuwa na iya bacewa gaba daya;
2. sakandare neovascular glaucoma. Yunƙurin matsin lamba na ciki tare da raɗaɗi da raguwa cikin hangen nesa. Wannan cuta ta ido tana tasowa ne a cikin ciwon suga saboda gaskiyar cewa jijiyoyin jini na haɓaka cikin farji da kuma kusurwar gaban ɓangaren ido, ta yadda hakan zai iya gurɓata magudanar cikin ruwa. Glaucoma da ciwon sukari sune cututtukan cututtukan da suke gudana koyaushe. Glaucoma a cikin ciwon sukari yana haɓaka sau da yawa sau da yawa fiye da lafiyar mutane;
3. kamawa. Wannan rashin lafiya yana dauke da wani take hakkin tsarin rayuwa a cikin ruwan tabarau na ido akan cutar sankarar mahaifa. Cutar katako bayanta na tasowa cikin hanzari kuma yana haifar da raguwar hangen nesa. Cutar, wanda ruwan tabarau ya zama girgije a cikin cibiyar gaba da cutar cutar sankara, ana saninsa da yawan gaske. A wannan yanayin, asarar cataracts yana da wuya a fasa yayin cirewar mazan jiya.

Binciko

Idan mara lafiyar yana kamuwa da cutar sankara, yana buƙatar yin gwaji ta ƙwararren likitan likitancin ido don gano yiwuwar canje-canje na cututtukan jijiyoyin gani.

Standardwararren nazarin ya ƙunshi ƙayyadadden yanayin gani da iyakokin filayensa, auna matsin lamba na ciki.

Ana gudanar da dubawa ta amfani da fitilar yanki da kuma maganin ophthalmoscope. Tabarau na madubi uku na Goldman yana sa ya yiwu a bincika ba kawai yankin tsakiya ba, har ma da sassan yanki na retina. Haɓaka cataracts wani lokacin bazai ba ku damar ganin canje-canje a cikin asusun tare da ciwon sukari ba. A wannan yanayin, ana buƙatar binciken duban dan tayi.

Jiyya

Don haka, ta yaya za ku iya dawo da hangen nesa? Zan iya yin tiyata a ido don ciwon sukari?

Kula da matsalolin ido a cikin ciwon sukari yana farawa tare da gyaran metabolism a jikin mai haƙuri.

Masanin ilimin endocrinologist zai zabi magunguna masu rage sukari, kuma idan ya cancanta, rubuta maganin insulin.

Likita zai ba da magunguna don nufin rage jini cholesterol, kwayoyi don kula da matakin jini na yau da kullun, magungunan vaso-ƙarfafa da bitamin. Daidai da mahimmanci a cikin nasarar matakan warkewa shine gyara yanayin rayuwar mai haƙuri, canjin abinci. Yakamata mai haƙuri ya sami isasshen aikin jiki don yanayin lafiyarsa.

Saukad da abubuwa na ƙwarƙwaran neuvascular glaucoma da wuya su iya daidaita ƙwayar ciki. Mafi sau da yawa, ana yin aikin saiti na tiyata, yana ba da gudummawa ga ƙirƙirar ƙarin hanyoyi don fashewar ƙwayar cikin ciki. Ana yin coagulation na Laser don lalata sabbin jiragen ruwa.

Cire guba

Ana magance cututtukan cataracts na musamman ta hanyar tiyata. Ana shigar da tabarau na wucin gadi a madadin gilashin girgije.

Retinopathy a farkon farawa ana warkewa ta hanyar maganin coselation na retina. Ana aiwatar da hanya tare da nufin lalata jiragen ruwan da aka gyara. Bayyanar Laser na iya dakatar da haɓakar ƙwayar haɗi tare da dakatar da raguwar hangen nesa. Ciwon sukari mai ci gaba wani lokaci yana buƙatar tiyata.

Amfani da vitrectomy, ana yin ƙananan yatsun hannu a cikin ƙwallon ido kuma ana cire jikin mutum tare da jini, ƙoshin da ke ja da ido, kuma jiragen ruwa suna daɗaɗa da Laser. Maganin da zai sake kwantar da kwayar ta ido a ciki ya shiga cikin ido. Bayan mako biyu, an cire maganin daga sashin, kuma a maimakon sa, an saka saline ko silicone a cikin kogon fitsari. Cire ruwa kamar yadda ake buƙata.

Yin rigakafin

Ciwon sukari mellitus cuta ce mai raunin ci gaba. Idan ba a fara jinya ta dace ba cikin lokaci, to sakamakon da zai haifar ba zai yiwu ba.

Don gano cutar a farkon matakin, yana da buƙatar ɗaukar gwajin sukari aƙalla sau ɗaya a shekara. Idan endocrinologist ya gano, ophthalmologist yakamata a bincika sau ɗaya a shekara.

Idan likita ya kamu da rashin bacci a cikin cututtukan mellitus, fashewar ƙwayar ido a cikin ciwon sukari mellitus da sauran canje-canje, ya kamata a riƙa sanya idanu a kai a kai sau biyu a shekara.

Wadanne kwararru ne ya kamata a lura dasu?

Baya ga likitan ilimin endocrinologist da likitan mahaifa, mutanen da ke fama da cutar sankara za su bukaci likita ENT, likitan tiyata, likitan hakori, da kuma babban likitan likitan mata don gano illar cutar kamuwa da cuta.

Tambaya & A

Amsoshin kwararrun tambayoyi ga mashahuran tambayoyin marasa lafiya:

1. Yaya za a gane ƙwayar macular? Amsa: toari ga raunin gani, a cikin marassa lafiya da haɓakar macular, hazo ko ƙarancin haske ya bayyana a gaban idanun, abubuwa masu ganuwa suna gurbata. Kasancewar rauni yakan yadu zuwa idanun biyu. A wannan yanayin, asarar fahimtar hangen nesa na tsakiya mai yiwuwa;
2. Shin ciwon sukari zai iya shafar tsokoki na oculomotor? Amsa: Ee, ciwon sukari mellitus (musamman a hade tare da hauhawar jini ko cututtukan thyroid) na iya shafar ayyukan tsokoki na ido ko ɓangarorin kwakwalwa wanda ke sarrafa motsin ido;
3. Menene dangantakar dake tsakanin retinopathy da nau'in ciwon sukari? Amsa: Dangantaka tsakanin nau'in ciwon sukari da abin da ya faru na retinopathy yana wanzu. A cikin marasa lafiyar insulin-da-kwayar cutar, kusan ba a gano cutar yayin bayyanar cututtuka. Shekaru 20 bayan gano cutar, kusan dukkanin marasa lafiya za su sha wahala daga maganin taƙasasshe. A cikin kashi ɗaya na uku na marasa lafiya masu zaman kansu, ana gano retinopathy kusan nan da nan lokacin da aka gano wata cuta ta cutar sankara. Kashi biyu cikin uku na marasa lafiya bayan shekaru 20 suma zasu sha wahala daga raunin gani.
4. Da wane irin tsari ne likitan likitan ido zai hango mai ciwon sukari? Amsa: Marasa lafiya yakamata a yi jarabawar rigakafin a kalla sau daya a shekara. Don marasa maganin cututtukan fata marasa ƙwayar cuta, yakamata ku ziyarci likitan kwantar da hankali sau ɗaya a kowane wata shida, don maganin cututtukan fata na fata bayan maganin laser - sau ɗaya a kowane watanni 4, kuma don maganin farfadowa - sau ɗaya a kowane watanni uku. Kasancewar macular edema na bukatar jarrabawa daga likitan likitan ido kowane wata uku. Wadancan marasa lafiyar da suke da yawan sukari na jini da kuma wadanda ke fama da hauhawar jini ya kamata su ga likita duk wata shida. Kafin canja wurin zuwa insulin therapy, masu ciwon sukari yakamata a tura don shawara ta ophthalmologist. Bayan tabbatar da juna biyu, ya kamata a bincika mata masu ciwon suga duk wata 3. Ana iya bincika yara masu ciwon sukari duk shekara biyu.
5. Shin jiyya laser yana da zafi? Amsa: Tare da cutar macular, maganin laser baya haifar da ciwo, rashin jin daɗi na iya haifar da fitilun haske mai haske yayin aiwatarwa.
6. Shin rikicewar vitrectomy ya faru? Amsa: Matsaloli masu yuwuwar sun hada da basur lokacin aiki, kuma wannan yana jinkirtar da tsarin dawo da hangen nesa. Bayan tiyata, retina na iya kwantar da ciki.
7. Shin za'a iya jin zafi a ido bayan tiyata? Amsa: Jin zafi bayan tiyata yana da wuya. Jan idanu kawai zai yiwu. Kawar da matsalar tare da saukad da na musamman.

Bidiyo masu alaƙa

Menene maganin ciwon sukari da kuma me yasa yake da haɗari? Amsoshin a cikin bidiyon:

Ciwon sukari ya cutar da jijiyoyin jini na dukkan gabobin ciki har da wasan qwallon ido. Jirgin ruwan ya lalace, kuma abubuwan da suke canzawa ana san su da karyewar ƙanshi. A cikin cutar sankara, ruwan tabarau ya zama girgije kuma hoton ya zama mara nauyi. Marasa lafiya suna rasa idanuwa saboda ci gaban cataracts, glaucoma da retinopathy na ciwon sukari. Idan idonka ya ji ciwo tare da ciwon sukari, ya kamata ku nemi shawarar nan da nan likitan likitan ido. Ra'ayoyin likitocin mahaifa suna kama da juna: suna yin ayyuka da sukari na jini idan magani bai dace ba ko kuma ba ya bayar da sakamako. Tare da magani na lokaci, tsinkayen yana da matukar dacewa. Yana da mahimmanci don sarrafa sukari na jini da kuma kula da hawan jini. Zai dace a sake nazarin tsarin abincin, cin ƙarancin carbohydrates da mayar da hankali ga abinci mai wadataccen furotin da mai.