Ukwehluka kwegama lesifo i- "diabetesic encephalopathy" kwahlongozwa usosayensi ogama linguR. De Jong. Lo mcimbi uqala ngo-1950. Ngokwezibalo, imvamisa ye-pathology isebangeni ukusuka kumaphesenti angama-2,5 kuye kwangama-78. Lesi sifo sibonakaliswa yizimpawu ze-pathogenesis, inkambo, kanye nezinga lokubonakaliswa.
I-encephalopathy yesifo sikashukela ihola uhlu lwazo zonke i-encephalopathies kanye nezinye izindlela zezifo ze-neurotic. Lokhu kugula kutholakala kakhulu esikhathini esiningi futhi kuvame ukudala ukukhathazeka, ngoba kubonakala sengathi umsebenzi wobuchopho kanye nesifo sikashukela kuyimiqondo engaxhunyiwe nganoma iyiphi indlela.
Kodwa-ke, konke kulula kakhulu, ngoba yonke into ixhumene ngaphakathi komzimba womuntu. Izinguquko ezihlala zivela ku-plasma glucose index zidala ukungasebenzi kahle kwe-metabolic. Impendulo yalokho okwenzekayo ukukhipha imfucumfucu egazini. Ngokugeleza kwegazi, lezi zinto zifinyelela izicubu zobuchopho.
Amacala amaningi anamuhla ahambisana ne-atherosclerosis. Izimo zemitholampilo ezifakwe kuhlu zibhekwa njengezinkinga ezenzeka ngenxa yokudla okungenampilo, okungenakulinganiswa, kanye nokungazinaki izincomo zokwelashwa. Izinga le-cholesterol ephezulu egazini liholela kokungasebenzi kahle ekuhambeni kwegazi, kufaka phakathi ubuchopho.
Lesi simo ngokuhamba kwesikhathi siholela ekukhuleni kwezinguquko ze-dystrophic ebuchosheni. Kuvela ukuthi ukuguquguquka okubukhali ekugxambeni kwe-glucose egazini kubaluleke kakhulu ekwakhekeni kwe-encephalopathy ku-mellitus yesifo sikashukela, nakho okuvame ukubangela i-coma yezinhlobo ezahlukahlukene.
Kungakho wonke umuntu onesifo sikashukela kufanele aqaphe impilo yakhe ngokucophelela, aqaphe ushukela wegazi, alandele yonke imiyalo yokwelapha i-endocrinologist.
Izimpawu zesifo
I-encephalopathy yesifo sikashukela ingaveli ngasikhathi sinye, ukuthuthukiswa kwayo kuhlala isikhathi eside ngokwanele, noma kunjalo, esigabeni sokuqala, izimpawu zibuthakathaka kakhulu. Ukugxila okubalulekile kufanele kukhokhwe ku-asthenic syndrome, ephawula ukuwohloka kwamandla, kanye nokuwohloka komzimba jikelele.
Ukwephula umthetho kuholela ekutheni isiguli siqala ukuba nobuthakathaka obukhulu, sikhathele ngokushesha kakhulu. Ngokuphikisana nesizinda sikashukela i-mellitus, ukusebenza nakho kuncishiswa kakhulu. Ukubonakaliswa kwalesi sifo kubhekwa njengesizathu esihle sokubonisana nodokotela okwathi, ngemuva kochungechunge lwezifundo, akwazi ukuthola ukutholakala kwesifo esifanelekile.
Ukuphazamiseka, okubizwa ngokuthi yi-diabetesic encephalopathy, kuphinde kuvezwe yi:
- ukwenzeka kokuqwasha;
- ukubonakaliswa kwe-vegetovascular dystonia;
- ikhanda, kanye nesiyezi;
- ukunaka ukungasebenzi, ukugxila kokunakwa;
- ukubonakaliswa kaninginingi kokukhathazeka, ukucabanga komoya. Isiguli singalahlekelwa yisifiso, intshisekelo empilweni. Ngezikhathi ezithile, isimo sokwethuka, ulaka noma ukufutheka okungenangqondo kuyabonakala.
Izinguquko zenzeka ngesizathu sokuthi ubuchopho abunayo i-oksijini eyanele, ngakho-ke ayinayo imithombo eyanele yokusebenza kahle. Le Symbomatology imvamisa ihlala ngaphandle kokubhekwa okufanele, ngakho-ke lesi sifo siyaqhubeka.
Isigaba sesibili sesi sifo sikhula ngokushesha okukhulu, kanti isigaba sesithathu sivele sihambisana nokuphazamiseka kwengqondo okunesifo sikashukela. Isiguli esesimweni sokunganakwa asishiyi isimo sokudangala, sokudangala, sihambisana nokuziphatha okunganele kanye ne-manic syndrome. Izimpawu ezikhombisa ukuthi inkinga yenqubo inzima ukuziphosa.
I-diepicopathy yesifo sikashukela nayo iyimbangela ye-autonomic dystonia, ebhekwa njengophawu olukhangayo lwesimo somtholampilo okukhulunywa ngaso. Ngokuhamba kwesikhathi, isiguli siba nezifo zomlenze, izimo zokukhubazeka kanye nama-paroxysms wemifino. Izenzo ezifana:
- Ukuphazamiseka kwe-Vestibular-ataotic, kubonakaliswa yi-shakiness lapho uhamba, isiyezi, ukuhlangana okungahambi kahle kokunyakaza.
- Izinkinga ze-Upper-stem, kufaka phakathi ukwephulwa kokuguqulwa, i-anisocoria, kanye nezimpawu zokungapheleli kwepiramidi.
I-Anisocoria yinto lapho uphawu lwayo olusobala luhlukile lwabafundi. Uma iso lesiguli liyeka ngokuphelele ukuhamba noma lihamba ngenkani kokuphikisana nalokho, singakhuluma ngokwanda kwesifo esibizwa ngokuthi ukuguquguquka.
Kwenzeka into efanayo namanqina, omsebenzi wakhe uthinteka ngenxa yokushoda kwepherramidal.
Isimo sohlelo lwezinzwa oluphakathi siyisinkomba esinqumayo esibonisa ukugula, ngisho nasezigabeni zokuqala.
Inkambo yalesi sifo
I-encephalopathy yesifo sikashukela ezigabeni zokuqala ivezwa ukuphazamiseka kwememori okungenakuqhathaniswa. Isimo sesiguli singabuye sihambisane nezinkinga zokulala nokushintshwa kwesimo sakhe ngokwengqondo.
Izimpawu ze-encephalopathy yesifo sikashukela zingalandelwa kusukela ekuqaleni, kepha ngokungabi namandla. Ukubonakaliswa kwedatha yabo kuhlotshaniswa hhayi kuphela nokuntuleka komoya-mpilo, kepha futhi nokuntuleka kwamandla, ngaphandle kwalokho amaseli wohlelo lwezinzwa ngeke asebenze ngokugcwele.
Ngakho-ke, umzimba uphoqelelwa ukuba ube uhlobo lwesistimu yokuncephezela, ukusebenza okuqhubekayo kwalo okuholela ekungasebenzi kahle, okubonakala ngokuqongelela ngokweqile kwemikhiqizo enobuthi ebangelwa umetabolism.
Kunama-syndromes amaningi aphathelene nokugula:
- I-Asthenic syndrome ivame ukuzibonakalisa phambi kwabo bonke abanye. Izimpawu zayo eziphambili ukukhathala, ubuthakathaka, ukudangala, ukubekezela. Isiguli sikhononda ngekhono elincishisiwe lokusebenza, ukukhuphuka kokungabekezeleleki, ukungazinzi kwesimo somzwelo.
- I-Cephalgic syndrome ihambisana nobuhlungu bekhanda obungenasisekelo bokuqina okuhlukahlukene. Iziguli zivame ukuchaza ubuhlungu njengokuhlanganisa, ukugoqa, ukuziqhathanisa ne "hoop" emboza ikhanda. Ezinye iziguli futhi zibika umuzwa ongenakuqhathaniswa wobunzima ngaphakathi kwekhanda.
- I-Autonomic dystonia ihlotshaniswa nokubonakaliswa kwezinkinga zemifino, ehambisana nokuvutha amalangabi, umuzwa wokushisa, wokuhoxa nezimo zokufenda.
- Ukulimazeka kwengqondo kubhekwa njengokuphulwa kwemisebenzi ebalulekile yobuchopho. Isiguli sinenkinga yokulimazeka kwenkumbulo, ukuhoxa, ukuthambekela kabi kolwazi olutholakele, asikwazi ukucabanga ngokwakhayo, sithuthukisa isimo esinamandla sokudangala.
Isigaba sokugcina salesi sifo sixhumene ngokungahambeki nokuphazamiseka okukhulunywayo ekusebenzeni kohlelo lwezinzwa olwenzeka emnyangweni ngamunye. Izimpawu eziphambili zokunganakwa kwe-encephalopathy yesifo sikashukela zifaka:
- Ukuphazamiseka komsebenzi wezimoto. Ezimweni ezinzima kakhulu, isiguli asikwazi ngisho nokwenza isenzo sokuqala.
- Isifo sikashukela esiqinile. Imvamisa izinhlungu zingapheli.
- Ukulahleka kokuzwela ezindaweni ezithile zesikhumba.
- Isikhathi esithile, izinkambu zombono ngamunye zingalahleka;
- I-Convulsive syndrome, okunobunzima ukuyibona umahluko phakathi kwesifo sokuwa.
- Ubuhlungu bangaphakathi esifundeni sezinso, isibindi, njalonjalo.
Kubaluleke kakhulu ukuthola lesi sifo ngendlela esifike ngesikhathi, ngoba esigabeni sokuqala kungaqedwa ngokuphelele.
Izigaba ezilandelayo zokukhula kwalesi sifo ziholela ezinkingeni ezingeke ziguqulwe nesiguli okufanele siphile ngaso kuze kube sekupheleni kwempilo yaso.
Izici Ezingozini Zesifo Sikashukela
Izici ezinobungozi obukhulu bokuvela kwe-encephalopathy yesifo sikashukela phakathi kwalezo ziguli ezithuthukise isifo sikashukela ngamaphuzu alandelayo:
- Ikhubaza izinkinga ezigulini.
- Ukweqiwa kobuntu.
- Isikhathi salesi sifo sidlula iminyaka eyishumi.
- Isimo esingesihle se-microsocial.
- Ukuchayeka njalo ekucindezelekeni kwengqondo, okubuye kube yisici esicasulayo.
- I-diabetes mellitus ayinxephezelwe ngokuphelele, ukudla akudliwanga, kuphilwa impilo yokuhlala, yonke imiyalo kadokotela ayinakwa.
Ukwelashwa
Ukwelashwa kwe-encephalopathy yesifo sikashukela kufanele kube okuphelele. Isiguli kufanele siqaphe njalo ushukela wegazi. Izinkomba zesifo sikashukela eziqhubekayo zibhekwa njengeyisinyathelo esiyinhloko sokuvimbela nokwelapha esisiza ekuqedeni i-encephalopathy yesifo sikashukela.
Lo mthetho ubaluleke kakhulu kwabanesifo sikashukela sohlobo lwesibili okufanele basilandele, ngoba izinqubo ze-metabolic zehluleka ezingeni lofuzo, ngakho-ke, zingavela ngisho nangamanani ajwayelekile kashukela.
Ukuqeda ukuphazamiseka kwe-metabolic, kuyadingeka ukusebenzisa ama-antioxidants, izakhiwo eziqinile, kanye ne-cerebroprotectors. Ukwelapha ukuphazamiseka kwemithambo, odokotela basebenzisa iPentoxifylline, eyenza ukuthi ukuhamba kwegazi kube ngokujwayelekile, kuqeda ukuvela kwegazi ngokweqile, okuvimbela ukuguqulwa kwamangqamuzana abomvu egazi.
Ngaphezu kwalokho, umuthi usiza ukuqeda ubuthi, futhi futhi wandisa inani lamanzi ngaphakathi emzimbeni. Yingakho livame ukunikezwa iziguli ezinesifo sokuqina kwesifo sikashukela sokuhlukahluka kobunzima.
Ngaphandle kokuthi izinga lokufa lihlala liphezulu, yonke imithetho yokufa ingagwenywa. Ukuvikela ukufa, umuntu onesifo sikashukela kufanele futhi angaphuzi utshwala noma intuthu.
Imininingwane nge-encephalopathy yesifo sikashukela inikezwe kuvidiyo kule ndatshana.
