I-Cataract in sikashukela mellitus: izimbangela, izimpawu nezindlela zokwelapha ezinengqondo

Inkinga yesifo sikashukela ejwayelekile. Lesi sifo sithinta i-lens yeso, siphazamisa kakhulu umbono.

Iningi labantu elinempilo lakha le-pathology ngeminyaka yobudala ngenxa yezinguquko kumetabolism. Kodwa ezigulini ezine-hyperglycemia, ubungozi besifo se-ophthalmic buphakeme esemncane kakhulu.

Namuhla, sekusetshenziswe amasu amaningana, ngenxa yokuthi ikwelapha isifo sikashukela selapheka ngokuphelele. Yiziphi lezi zindlela, futhi yiziphi izindlela zokuthibela okufanele zithathwe, lesi sihloko sizotshela.

Ukuchazwa kwezifo

I-Cataract iqondwa njengokugcwala kwe-lens yeso. Hlanganisa izinhlungu zekati ezi-senile nezesifo sikashukela. Esokuqala kungenxa yokuphulwa kwe-microcirculation ngenxa yesifo sokuqina kwemithambo. Lesi sifo sikhula kubantu abangaphezulu kweminyaka engama-65. Ngaphandle kokwelashwa, kukhona ubungozi bokulahlekelwa ngokuphelele umbono.

Iso elinempilo (kwesobunxele) ne-cataract (kwesokudla)

E-diabetesics, ama-cataracts avame ukwenzeka esemncane. Lokhu kungenxa yokuthi i-lens yeso iyisakhiwo esincike ku-insulin. Uma i-glucose ingena ngokweqile inegazi esweni, iqala ukucutshungulwa ibe yi-fructose futhi idonswe ngaleli fomu ngamangqamuzana.

Ngesikhathi esifanayo, i-sorbitol nayo ikhiqizwa, okuvame ukuthi isetshenziswe kalula ngumzimba. Kepha ngesifo sikashukela, i-sorbitol iba kakhulu. Ngenxa yokwedlula le nto, kuphakama ingcindezi ye-intracellular, izinqubo ze-metabolic ziyaphazamiseka, futhi ilensi iba ngamafu.

Ngokwezibalo, ikati ezinesifo sikashukela zenzeka ku-2-4% yeziguli ezinesifo sikashukela. Ngasikhathi sinye, i-pathology ikhula kubantu abangaphansi kweminyaka engama-40. Futhi uma ushukela wegazi uphakeme kakhulu, izinguquko zamehlo zibonakala zisencane kakhulu.

Izimbangela zokwenzeka

• ukuntuleka kwe-insulin. Kubangela ushintsho ekubonakaleni kwe-lens;
• ukwephulwa kokujikeleza kwegazi kwe-ocular;
• ukukhubazeka okwandayo kwemithambo yamehlo;
• ushukela ophakeme.

Ngokusho kokuphawuliwe, izinhlungu zekati ezinesifo sikashukela sohlobo 2 zikhula kancane kakhulu kunokuba zikashukela sohlobo 1.

Odokotela bahlukanisa izigaba eziningana zokukhula kwalezi zindlela zokuphefumula:

• isigaba sokuqala. Izinguquko ku-microcirculation zithinta kuphela izingxenye ezikhulu ze-lens. Umbono awonakalisi. Isiguli asiboni ukuthi kukhona okuphathekayo. Ungabona inkinga ekhulayo kuphela ngokuqokwa ne-dokotela wamehlo;
• ikati elingagugi. Izinguquko zenzeka engxenyeni esemaphakathi ye-lens. Umuntu onesifo sikashukela angayibona inkinga ngokwakhe. Isiguli siphawula ukwehla okukhulu kwekhwalithi yombono;
• ikati elivuthiwe. Ilensi iba ngamafu, embozwe ifilimu yobisi noma empunga. Umuntu ucishe alahlekelwe ukubonwa. Kusetshenziswa imisindo yokukhanya eyisisekelo kuphela;
• eseqiwe. Kubonakala ngokuphuka kwemicu ye-lens nokuqala kobumpumputhe ngokuphelele.

Ukubonakaliswa kwesimilo

Isigaba ngasinye sekhathalogu yesifo sikashukela sinezimpawu zayo. Ukuthola izinga lokuthuthuka kwalesi sifo, udokotela uxoxa nesiguli futhi enze ukuhlolwa.

Ngesikhathi sokuqala kwembubhiso, kuboniswa okulandelayo:

• ubunzima bokugxila nezithombe eziphindwe kabili;
• ubunzima bokuhlukanisa umbala;
• umuzwa weveli ngaphambi kwamehlo;
• imininingwane emincane ayibonwa kahle;
• izinhlansi zivele phambi kwamehlo ami.

Emazingeni akamuva, uhlu lwezimpawu luyanda:

• Izinguquko kulensi ziyabonakala ngisho nasesifundweni esithile. Kuvela uhlaka lwesimilo esweni;
• umbono uncishiswe kakhulu;
• umuntu ulahlekelwa yikhono lokuhlukanisa izinto.
  

Ukubona inkinga ekhaya kulula. Kukhona ukuhlolwa kwamakhathaza. Ukuyidlulisa, udinga i-opaque, iphepha elisindayo. Kuyadingeka ukwenza ama-puncture amabili ebangeni lamamilimitha ayi-5. Letha lelo phepha bese ubheka indawo ekhanyayo. Uma yonke into icacile, khona-ke ilensi ye-crystalline isobala. Kepha, uma isithombe sibunjiwe, kufanelekile ukusola ukuthuthukiswa kwe-pathology.

Izindlela zokuvimbela

Namuhla, ukuhlinzwa kwe-cataract yesifo sikashukela kuyindlela ethembekile kunazo zonke zokonga iso lapho isifo sesiqala. Kodwa kungcono ukuvimbela ukuthuthukiswa kwe-pathology. Kuze kube manje, kufanele kuthathwe izinyathelo eziningana zokuthuthukisa impilo.

Ochwepheshe bayeluleka:

• Vakashela udokotela wamehlo kanye njalo ezinyangeni eziyisithupha;
• Sebenzisa amaconsi esamehlo akhethekile. Ezisebenza kakhulu zibhekwa njengeCatalin, Taurine, Quinax noma iCatachrome. Banqunywe inkambo yezinsuku ezingama-30. Ngemuva kwalokho bathatha ikhefu inyanga bese beqala futhi ukuphrinta. Iziguli ezinesifo sikashukela kuzofanela zisebenzise ukulungela iso. Le ndlela ukuphela kwendlela yokunciphisa ubungozi bekati;
• lawula izinga lakho ushukela nge-glucometer. Khetha umthamo ofanele we-insulin;
• yeka yonke imikhuba emibi;
• faka ukudla okune-zinc ne-beta-carotene kwimenyu yansuku zonke. Kuyasiza ukusebenzisa ukudla kwesitshalo okuqinisa ukungatheleleki.

Abanesifo sikashukela banikezwa izidakamizwa ezahlukahlukene ukuze balondoloze impilo yabo. Kepha eminye imithi inemiphumela emibi eminingana. Isibonelo, i-Trental, ethuthukisa ukugeleza kwegazi emilenzeni, ithinta kabi imithambo yamehlo, ingadala ukuphuma kwegazi esikhwameni.

Amaphilisi we-Anthocyan Forte

Ukuze ugweme ukwenzeka kwezinkinga zesifo sikashukela, iziguli eziningi zithatha i-Anthocyanin Forte. Lesi sidakamizwa sokubumba esibanzi, esingokwemvelo ngokuphelele esiqinisa okokusebenza kwe-ocular futhi sithuthukise umsebenzi obonakalayo.

Ukwelashwa

Uma kutholakala ukuthi i-cataract yesifo sikashukela, ukwelashwa kufanele kube ngokushesha. Imithi ithinta kalula inkinga, ithuthukise isimo isikhashana. Amaconsi wamehlo angehlisa ijubane ukukhula kwesifo, kepha awakwazi ukumisa ukuqhubeka kwawo.

Ngaphezu kwalokho, zisebenza kuphela ezigabeni zokuqala ze-pathology. Amabhubesi, izingilazi azikwazi ukusiza ekulweni namabala. Ukuphela kwendlela yokonga iso namuhla ukuhlinzwa.

Ukwelashwa kwe-cataract

Kuhlinzwa kwenziwa ukususa ama-catarices uma kwenzeka isifo sikashukela ngaphansi kwe-anesthesia yendawo. Ihlala isikhathi esingadluli imizuzu eyi-10. Futhi ezimweni ezingama-98% iya ngaphandle kwezinkinga. Umbono ubuyiselwa ngokushesha ngokwanele. Ngemuva kwamahora ambalwa, isiguli siqala ukubona ukuthuthuka. Futhi emva kwezinsuku ezimbalwa, umbono omuhle ubuya ngokuphelele. Ngemuva kwenyanga, udokotela angakunikeza izingilazi ezintsha.

Namuhla, kusetshenziswa ukwelashwa kwe-cateract kwele laser ne-Ultra, okubizwa ngokuthi yi-phacoemulsification. Le ndlela isetshenziswa kuphela ezigabeni zokuqala zesifo, lapho umbono ugcinwa okungenani ama-50%.

Ukuhlinzwa kwenziwa ngale ndlela:

• kwenziwa ama-puncturi amabili acashile ezicutshini zamalensi;
• Ngalezi zikhonkwane ngosizo lwemishini ekhethekile, umnyombo welensi osuswe amafu uyakhishwa. Isikhwama se-capsule asithintekile;
• izinsalela ziyancanywa;
• kufakwa ilensi ethambile ye-intraocular esikhundleni sokwakheka okukude, okungena esikhundleni selensi futhi kunikeze i-visual acuity ejwayelekile.
  

Kodwa akuzona zonke iziguli eziboniswa ukungenelela okunje kokuhlinzwa. Contraindication ifaka:

• i-retinopathy enzima. Uma kuvela izibazi eziqinile kwi-retina, ngeke kwenzeke ukubuyisa umbono nge-phacoemulsification;
• ukwakheka kwemithambo yegazi ku-iris yeso;
• ukuvuvukala kwamehlo.

Kulezi zimo, abanesifo sikashukela bavame ukucabanga ngokusebenzisa ezinye izindlela zokwelapha. Kepha odokotela abancomi ukuthi kuzame ukuqeda amachibi besebenzisa ezinye izindlela zokwelapha.

Ama-compress ahlukahlukene, ama-lotions angalimaza lesi simo. Kuliqiniso, amanye ama-tiniit kanye nama-tinctures anganciphisa ukuthuthukiswa kwe-pathology futhi athuthukise ikhwalithi yombono. Izinwele ezingama-Mint ne-rose zilusizo ikakhulukazi kulesi sifo. INettle nayo inemiphumela ezuzisayo.

Amavidiyo ahlobene

Udokotela wamehlo ukhuluma ngamehlo emithi yesifo sikashukela kanye nezimpawu zokwelashwa kwaso:

Ngakho-ke, i-cataract yesifo sikashukela ivame ukuvela njengengxaki yesifo sikashukela. Ingozi yayo ilele eqinisweni lokuthi kungaholela ekulahlekelweni ngokuphelele kombono. Ezigabeni zokuqala, lesi sifo asibonakaliswa. Ngakho-ke, odokotela bayalulekwa ukuthi bahlolwe njalo nge-ophthalmologist ukuze bangaphuthelwa ukuthuthukiswa kwe-pathology. Namuhla, okuwukuphela kwendlela ethembekile yokusindisa iso ngamehlo ngalesi sifo ukuhlinzwa. Kepha akubona bonke abakhombisayo. Ngakho-ke, udinga ukubheka impilo yakho futhi wenze izindlela zokuthibela.