I-Angiopathy ukwephula ukusebenza kahle kwemikhumbi yeso, okuzibonakala ngesimo sokuwohloka kwithoni yemikhumbi ye-retina kanye nombhede we-capillary we-fundus.
Ngenxa yalesi sifo, kukhona ukwehla ekuhlinzekweni kwegazi esitho nasezimisweni zemizwa. Kubukeka kuyamangaza ukuthi ukugula okunobungozi kangako futhi okunzima kangako akunayo ikhodi ye-ICD-10.
Kepha lokhu akusho ukuphepha kwesifo. Yena, njengezifo ezifanayo, udinga ukunakwa okusondele kakhulu kwizazi zezinso. Le ndatshana inikezela ngemininingwane eningilizayo mayelana ne-pathology efana nesifo sikashukela, ngokusho kwe-ICD-10.
Yini le
I-retinal angiopathy ayisona isifo esizimele, kepha ukubonakaliswa kwezifo ezithile ezithinta imithambo yegazi yomzimba wonke womuntu. Isimo sizibonakalisa ushintsho lwe-pathological emithanjeni yegazi ngenxa yokwephulwa okukhulu kwesimiso sezinzwa.
I-retinal Angiopathy
Ngenhlanhla, ukunakwa okwanele kuyakhokhelwa kulesi sifo, ngoba kungaholela emiphumeleni engathandeki kuwo wonke umzimba. Okuyingozi kakhulu kubo ukulahlekelwa umbono. Lesi sifo esijwayelekile sitholakala hhayi ezinganeni kuphela, kodwa nakubantu abakubudala obuvuthiwe.
Imvamisa kwenzeka kubantu besilisa nabesifazane abaneminyaka engaphezu kwengama-30 ubudala. Kukhona ukuhlukaniswa okuthile kwezifo ezithinta ukuthuthukiswa kwalesi simo se-pathological.
Ngokuya kubo, i-angiopathy ye-retinal ingaba yilezi zinhlobo ezilandelayo:
- isifo sikashukela. Kulokhu, ukulimala kwemithambo yegazi kwenzeka ngenxa yokunganakwa kwazo zombili izinhlobo zesifo sikashukela. Kulokhu, umonakalo awubonwa kuphela kuma-capillaries wamehlo, kodwa futhi nasemithanjeni yegazi yomzimba wonke. Le nto iholela ekuwohlokeni okukhulu kokugeleza kwegazi, kanye nokuvalwa kwemithambo yemithambo, imithambo kanye nama-capillaries. Ngenxa yalokho, umsoco wamehlo uya ngokuya uqina, nomsebenzi obonakalayo uya ngokuya uncipha;
- hypotonic. Umfutho wegazi ophansi ungaholela ekuwohlokeni kwethoni lemithambo yegazi emincane yezimpawu zamehlo. Futhi, kunokuchichima kwegazi labo kanye nokwehla kokulethwa kwegazi. Izicholo zegazi zingavela ngemuva kwesikhashana. Ngale hlobo lwalesi sifo, umuntu uzizwa edonsa kanzima emithanjeni yamehlo;
- hypertonic. Uma isiguli sine-hypertension, isifo okukhulunywa ngaso sivame ukwenzeka. Izibonakalisa ngesimo sokuhlotshiswa kwamagatsha nokunwebeka kwemithambo, ukuphuma kwesibindi njalo emgobeni wezinhlamvu zamehlo nokugqwala kwesakhiwo sawo. Ngokulashwa okuphumelelayo komfutho wegazi ophakeme, i-angiopathy ye-retina yamehlo womabili ayohamba yedwa;
- okuxakayo. Le ndlela yalesi sifo ingaqalwa lapho kukhona abalimele kakhulu umgogodla, ukulimala kobuchopho nokuxineka kwe-sternum. Ukuthuthukiswa kwe-angiopathy kungenzeka kubangelwa ukucindezelwa kwemithambo yegazi emikhulu nemincane esifundeni somgogodla wesibeletho. Enye imbangela yalesi simo ukwanda okukhulu kwengcindezi ngaphakathi kwegebhezi;
- ubusha. Le nhlobonhlobo ithathwa njengeyingozi kakhulu futhi engathandeki, ngoba izimbangela zokuvela kwayo azikaziwa. Izimpawu ezivame kakhulu zalesi simo yilezi ezilandelayo: inqubo yokuvuvukala emithanjeni yegazi, kanye nokuphefumula ngezikhathi ezithile, ku-retina nase-vitreous. Ukwakheka kwezicubu ezixhunywayo ku-retina akuhlanganisiwe. Izimpawu ezinjalo eziyisixwayiso zalesi sifo zivame ukuholela ekubambeni ikati, i-glaucoma, ukuhanjiswa kwethambo, kanye nobumpumputhe.
Incazelo emfushane
Izimpawu ezinokwenzeka kakhulu ze-angiopathy, lapho kufanele uvakashele khona onguchwepheshe:
- umbono omfiphele;
- izinkanyezi ezifiphayo noma izimpukane ngaphambi kwamehlo;
- Ubuhlungu emaphethelweni aphansi;
- i-nosebleeds ejwayelekile;
- ukuqhubeka kwe-myopia;
- ukopha okuvela ohlelweni lomchamo;
- ukopha kwesisu namathumbu;
- i-retinal dystrophy.
Ezinye zezimbangela ze-angiopathy yilezi ezilandelayo:
- ukulimala okungathi sína emgogodleni wesibeletho;
- ukwephulwa kokwethembeka kwekhanda entanyeni;
- ukuba khona kwengcindezelo ephezulu ye-intracranial;
- i-cervical osteochondrosis;
- ukuba khona kwemikhuba emibi, ngokwesibonelo, njengokubhema;
- zonke izinhlobo zezifo zegazi;
- ukuguga;
- izimo zokusebenza ezingezinhle;
- ubuthi bomzimba ngezinto ezahlukahlukene ezinobuthi;
- ukuphazamiseka okubonakalayo komthethonqubo wezinzwa, obhekene nethoni yezindonga zemithambo yegazi;
- umfutho wegazi ophakeme
- izici zomuntu ngamunye zezindonga zemithambo yegazi.
Lokhu kugula kunezinhlobo ezimbili eziyinhloko: ezingezona ezandisayo futhi ezandayo. Ngefomu lokuqala, ukuphuma kwegazi kudlula kuma-capillaries kuya kwehla noma kuyeke ngokuphelele.
Ezikhunjeni ezonakalisiwe, uketshezi, amaprotheni namafutha angena kwezicubu ezizungezile, okuvusa ukonakala okukhulu embonweni. Ngemuva kwesikhashana, ukuvuvukala kwe-opic disc kuba yinto engenakugwenywa, okuthi kamuva kubangele ukulahleka kwekhono lokubona.
Ohlelweni lwesibili lwesifo, imithambo yegazi emisha engenamandla iwela ngaphezulu kwe-retina.
Ngenxa yokuqina kwawo okuphezulu, uma kwenzeka kulimala ngengozi, kuvela isikhwehlela esincane ngaphansi kwamehlo, okungaholela kwinqubo yokuvuvukala kwezicubu ezizungezile. Izibazi zivame ukwakheka.
Isigaba sokugcina salesi simo ukuqubuka kwe-retina - lo mkhuba uthathwa njengengxaki enkulu yesifo sikashukela. Phakathi kokunye, ukuphuma kwegazi okungalindeleki okungaphakathi kwangaphakathi kwamehlo kungavuselela ukonakala okubukhali embonweni. Bambalwa ababuqondayo ubucayi balesi simo se-pathological.
Isifo esiqhubekayo singavusa imiphumela engathandeki njengokuthi:
- ukulimala okuphelele kwe-opic nerve;
- kunciphisa amasimu wombono;
- ubumpumputhe.
Kungakho bonke abantu abanenkinga yokucindezela nama-carbohydrate metabolism kufanele ngezikhathi ezithile bavakashele ihhovisi le-ophthalmologist futhi balandele zonke izincomo zakhe. Lokhu kuzosiza ukugcina impilo enhle.
Ikhodi ye-ICD-10
Okokuqala, kufanele kukhunjulwe ukuthi i-ICD-10 yi-International (yemukelwa yi-WHO yodokotela bazo zonke izigaba namazwe) ukuhlukaniswa kwezifo ekubuyekezweni kweshumi.
Njengoba kuphawuliwe ngaphambili, i-angiopathy yesifo sikashukela ayinayo ikhodi ye-ICD-10. Lokhu kungenxa yokuthi kubhekwa njengomphumela wezifo ezinobungozi njenge-hypertension ye-intracranial, izifo zegazi ezithathelanayo, isifo sikashukela nokunye.
Futhi lezi ngezinye nje zezimbangela eziningi zokuphazamiseka okukhulu kokuhlinzeka kwegazi ku-retina. Ingozi ethile yalesi simo se-pathological ilele eqinisweni lokuthi, ngokumelene nesizinda se-angiopathy, ukuthuthukiswa kwezinkinga ezinkulu kakhulu, ngokwesibonelo, njenge-retinal dystrophy ne-myopia, akukhishwa. Kubalulekile ukuqaphela ukuthi uma kungekho ukwelashwa okufika ngesikhathi nokunekhono, lokhu kwephula umthetho kungaholela ekuqinisekisweni okuphelele kokusebenza okubonakalayo.
Isici esivelele ukuthi lesi sifo esibi, kufaka phakathi i-retinopathy, esivele siphikisana nesizinda sokuphazamiseka ohlelweni lwe-endocrine, ngeke sithinte iso elilodwa kepha amabili ngasikhathi sinye. Lesi isici esehlukanisa lapho wenza ukuxilongwa okuhlukile. Ungabona ukugula ngesikhathi sokuhlolwa okujwayelekile ngudokotela wezifo zamehlo.
Phezu kwezindlela zokubamba ongezansi, ukwelashwa kwalesi sifo kufaka nokwokuhlinzwa.
Njengomthetho, i-laser therapy isetshenziswa ngenkuthalo. Ikuvumela ukuthi uqede ukukhula kwemithambo yegazi futhi uvikele amathuba okuba ne-hemorrhage.
Kumele kuqashelwe ukuthi ekubuyiselweni okuphezulu kokusebenza okubonakalayo, kusetshenziswa eminye imishanguzo, engagcini ngokuthuthukisa ukuhamba kwegazi, kodwa futhi ivimbele i-thrombosis, futhi inciphise ukuqina kwemithambo yegazi.
Ngaphezu kwalokho, kudonswa amaconsi akhethekile athuthukisa izinqubo ze-metabolic ezenzeka endaweni yangaphakathi yeso. Elinye lawa maconsi iTaufon.
Ekwelashweni, izindlela ezithile ze-physiotherapy zisetshenziswa ngenkuthalo. Lokhu kufaka lokhu okulandelayo:
- i-magnetotherapy;
- i-acupuncture;
- ukwelashwa kwe-laser.
Ochwepheshe batusa ukuthi wenze izivivinyo zamehlo ukuze uthole iso. Ngokuqondene nokudla, kuyadingeka ukuhlinzeka ngokudla kwakho kwansuku zonke nezinhlobonhlobo zezinhlanzi, imikhiqizo yobisi, imifino, izithelo namajikijolo.
Kanye ezinyangeni ezi-6, kufanele kunikezwe amavithamini ezokwelashwa. Kulokhu, kunconywa ukusebenzisa amavithamini B, C, E, A. Ukwelashwa kufanele kuphele amasonto amabili.
Njengesilinganiso esingeziwe, kungakuhle ukusebenzisa izithasiselo ezikhethekile zokudla okunempilo namakhambi asuselwa ku-blueberries kanye izaqathi. Kepha, kufanele kwaziwe ngokushesha ukuthi lezi zinto azikwazi ukubuyisa ukusebenza kwe-retina.
Okunye ukugula okungadala ukulimala kabi kwezempilo yi-angiopathy yesifo sikashukela yemikhumbi esezingeni eliphansi, ikhodi ngokwe-ICD-10 okuyi-E 10.5 no-E 11.5.
Amavidiyo ahlobene
Yini i-angiopathy yesifo sikashukela:
Ngakho-ke, ngokwe-ICD-10, i-angiopathy yesifo sikashukela ayixhunyiwe nganoma iyiphi indlela. I-angiopathy yesifo sikashukela semikhawulo ephansi, ikhodi ye-ICD-10 ine ngisho ezimbili - E 10.5 no-E 11.5. Ukuze ulondoloze impilo iso, kufanele uhlolwe njalo ngudokotela wezifo zamehlo ozoqikelela isimo sabo.
Uma uthola izinkinga ezincane kakhulu, udokotela uzokunikeza ukwelashwa okufanelekile, okuzokusiza ukuziqeda ngokuphelele. Kubaluleke kakhulu ukuthi uvakashele njalo ihhovisi lochwepheshe ukuze uthole ukuphulwa kwezinyathelo ngesikhathi, ngoba le ukuphela kwendlela yokubasusa ngokushesha.
