Izimbangela nezindlela zokwelapha i-angiopathy yesifo sikashukela

Minyaka yonke isibalo seziguli ezinesifo sikashukela siyakhuphuka. Phambilini, isifo sikashukela satholakala kubantu abadala kuneminyaka engaphezu kwengu-60. Namuhla, lesi sifo "sisencane", izinhlobo ezinzima zezinkinga zitholakala kubantu abangaphansi kweminyaka engama-50 ubudala. Lapho kukhona lokhu kugula, ubungozi bokuqhamuka nezinkinga eziningi buyanda.

Enye yezinkinga zesifo sikashukela yi-angiopathy yamaphethelo aphansi (ikhodi E10.5 ngokwe-ICD 10 nekhodi E11.5 ngokuya nge-ICD 10). Kokubili abantu asebekhulile nabancane basengozini.

Izimbangela kanye nendlela yokwenzeka

Ngokwenyuka kwamazinga kashukela, izicubu zomzimba zifakwe imikhiqizo ebolile. Izindonga ze-Vascular kanye nezicubu zemizwa zinokuzwela kwe-hyperglycemia. Ngaso leso sikhathi, ukwakheka kwabo okujwayelekile kwephulwa, okucasulayo ukuguqulwa kwemithambo yegazi futhi kuholele ezinkingeni ezahlukahlukene. Lezi zinguquko zibizwa ngokuthi yi-angiopathy.

I-Angiopathy isho ukuncipha kokuqina kwezindonga zemithambo yegazi, okuholela ekunciphiseni kwemithambo yemithambo yemithambo noma ukuphuma kwabo ngokuphelele. Ukugeleza kwegazi emikhawulweni engezansi kuncishiswa kakhulu, okuthinta isimo sempilo. Ukugeleza kwegazi okunganele okulandelwa yindlala ye-oxygen kuholela ekulahlekelweni kokusebenza, kanye necrosis, ukuthuthukiswa kwe-gangrene, necrosis yezicubu zonyawo.

Esikhungweni sikashukela, kuthinteka imithambo emikhulu nemithambo emincane nama-capillaries amancane, okuholela ekuqhekekeni nasekuwohlokeni kwezicubu namaseli.

Kunezinhlobo ezimbili zemithi:

• i-microangiopathy, lapho ama-capillaries athinteka khona;
• i-macroangiopathy - imithambo nemithambo kuyathinteka.

Lesi sifo sizibonakalisa kubantu abanesifo sikashukela seminyaka eyi-10-15.

Izimbangela ezijwayelekile eziholela ekwakhiweni kwalesi sifo yilezi ezilandelayo:

• ukulimala lapho imithambo kuthinteka khona;
• izindlela ezahlukahlukene zohlelo lokujikeleza kwegazi;
• umfutho wegazi ophakeme noma ophansi ohlala isikhathi eside;
• imiphumela yezinto ezinobuthi emzimbeni womuntu;
• izifo ze-autoimmune;
• ukusetshenziswa okuhlelekile kotshwala nogwayi;
• ukungasebenzi kahle kwe-metabolic;
• ukuguga.

Uma umuntu enenye yalezi zinto ezingenhla ngaphezu kwesifo sikashukela, khona-ke amathuba okuthola i-angiopathy aphezulu.

Izinguquko ezilandelayo zenzeka:

• ngokunyuka kweshukela egazini, ushukela ungena ezindongeni zemithambo yegazi, uzicekele phansi;
• izicubu ziqongelela uketshezi, lokhu kuholela ekuvuvukeni;
• ubungozi be-thrombophlebitis buyanda;
• ukuminyana kwegazi kukhubazekile;
• ukugeleza kwegazi kuya ngokuba kubi, njengoba ukukhanya kwemithambo kunciphile;
• kwizicubu eziseduze nemikhumbi, indlala yomoya-mpilo iyenzeka;
• kukhona i-vasler sclerosis, okuholela ekwehlulekeni kwezinso;
• izindonga zemikhumbi;
• imithambo yegazi iba brittle, okuthukuthelisa ukuphuma kwesibindi.

Izimpawu nokubonakaliswa komtholampilo

Ngokuya endaweni yomthombo wale nkinga, lesi sifo siziveza ngezindlela ezihlukile. Ngenxa yalokhu, izimpawu nazo zihlukile.

Engcupheni yimikhumbi:

• i-ophthalmic;
• imilenze ephansi nangaphezulu;
• izinso;
• onobuhle.

Iziguli zingathola lezi zimpawu ezilandelayo:

1. Umbala wesikhumba semikhawulo engezansi uyashintsha. Ngokushintshwa kokugeleza kwegazi okungejwayelekile, isikhumba siphuzi, futhi nangokwephulwa kokugeleza kwegazi kwe-venous - cyanotic. Umphumela wesikhumba esiminyene nawo uvame ukubakhona.
2. Izinga lokushisa lesikhumba semikhawulo engezansi liyancipha. Izinyawo zibanda ekuthweni, zingahambisana nobumsulwa.
3. Ubuhlungu, izinga lokushisa kanye nokuzwela okubucayi kuyancishiswa. Amanani wemikhawulo engezansi.
4. Ukudipha okubuthakathaka kwemithambo yemikhawulo engezansi. Lesi sici singabonakala kudokotela lapho ehlola isiguli. Ukungabikho ngokuphelele kwe-pulsation kukhombisa ukuthi kukhona ukuphazamiseka kwemithambo yegazi.
5. Imvamisa ekulimazeni. Noma umthelela omncane womzimba uholela ku-hematoma.
6. Ingaphezulu lesikhumba limbozwe ngenethiwekhi yemithambo, ama-asterisks ayabonakala futhi.
7. Ngokuphazamiseka kwe-trophic, ukukhonkotha kwesikhumba kwenzeka, kanye nokugcotshwa kwemibala.
8. Ingaphezulu lesikhumba limbozwe ngezilonda eziyizimbotshana.
9. Amandla esikhumba okuvela kabusha ayancipha. Amanxeba awapholi isikhathi eside ngisho nangokwelashwa okusebenzayo.
10. Ukuvela kobuhlungu emaphethelweni aphansi, akhuphuka ngokuzikhandla komzimba. Ukuhamba kubangela ukuvutha kanye nokuncanyana emilenzeni.

Uma ungayinaki le-Symbomatology, lokhu kungaholela ekuthelelekeni kwezinyawo kanye nokukhula kwe-gangrene. Kubalulekile ukukhomba inkinga usekuqaleni bese uyiqala ukuyilwa nayo.

Ukuxilongwa nokwelashwa

Uma usola i-angiopathy yesifo sikashukela, udokotela wenza ukuhlolwa okubonakalayo, futhi ulalele ngokucophelela izikhalazo zesiguli. Kubalulekile ukuqinisekisa ngokunembile ukuthi isiguli sinesifo sikashukela.

Ukuhlolwa kwelabhoratri kunqunyelwe amadivayisi akhethekile adingekayo:

1. Magnetic resonance imaging. Kwenza ukuthi kuhlolwe ukwakheka kwezicubu ezithambile esikrinini sokuqapha. Le nqubo iphephile ngokuphelele futhi ayinabuhlungu.
2. Ukuhlolwa kwe-Ultrasound Isimo sezindonga zemikhumbi, kanye nesivinini sokugeleza kwegazi, kuyahlolwa.
3. I-Angiography. Into ekhethekile yokwenza imibala ifakwa emzimbeni. Kuthathwa ama-X-ray, akhombisa ukuthi le ndaba yokufakelwa imibala ihlakazeka kanjani emzimbeni wonke.
4. I-Tomography ivumela ukuhlolwa kwesiza se-pathological. Izithombe ezihleliwe zithathwa emkhakheni othintekile.

Ukuze uthole ukwelashwa okuphumelelayo kwalesi sifo, kubalulekile ukwenza ngokwejwayelekile i-carbohydrate metabolism. Kuyadingeka ukulandela ukudla okuyisipesheli, ubheke ngokucophelela izinga leshukela egazini futhi uthathe izidakamizwa ezinciphisa ushukela. Yenza futhi ukubheka njalo kwengcindezi, yeka imilutha futhi wenze umzimba ube ngokwejwayelekile.

Izindlela zokubamba

I-Conservativeapy iqukethe ukusetshenziswa kwezidakamizwa okuhloswe ngazo ukwenza ngcono ukuhamba kwegazi, imingcele ye-biochemical, kanye ne-metabolism kwezicubu.

Izidakamizwa ezilandelayo zizosiza ukufeza lokhu:

• izidakamizwa ezokwehlisa i-cholesterol;
• ukwehlisa umfutho wegazi;
• ama-antioxidants athinta uhlelo lwe-vascular;
• izidakamizwa ezinciphisa igazi;
• ama-angioprotectors;
• umzimba;
• ukwenza ngcono ukuvuselelwa kwezicubu;
• okokugcoba.

Udokotela ofanelekayo kuphela okufanele akhethe izidakamizwa.

Isidingo nezinhlobo zokuhlinzwa

Ukungenelela kokuhlinzwa kuboniswa kumacala alandelayo:

1. Kukhona i-pathology yemikhumbi emikhulu lapho kunqunywa khona kwezigaba ngazinye. Inhloso eyinhloko yokusebenza ukubuyisa i-patency ye-vascular. Ukwelashwa okulandelayo kukhonjisiwe ezigulini ezinokuphambuka:
   • imisebenzi yokushaqeka (isiza esinqunyiwe siyasuswa, bese kufakwa ama-prostheses noma owenziwe ngemithambo yakhe endaweni yayo);
   • i-thrombectomy ifaka phakathi ukususwa kokuqukethwe kwe-pathological okuvala ukukhanya kwe-lumen yomkhumbi;
   • Ukungenelela kokuqina kokuphela komkhumbi lapho uvinjelwe khona kusetshenziswa ibhaluni le-pneumatic.
2. Ngokulimazeka kwemithambo kuzo zonke izingxenye, noma ukuncipha kwamagatsha amakhulu. Kulesi simo, kwenziwa i -zwelactomy, lapho izinzwa zezinzwa ezibhekene nomsipha we-arterial zisuswa.
3. Amanxeba anokuqukethwe kwe-purulent, i-osteomyelitis, izicubu ze-necrosis. Kwenziwa imisebenzi yokususa kanye neyokudonsa amanzi, kususwe izicubu ezifile, bese kuthiwe iminwe uma kunesidingo. Uma amanxeba endawo enkulu ehlanziwe, ambozwe ngesikhumba.
4. Uma kwenzeka i-gangrene yenzeka, okuwukuphela kwendlela yokuphuma ukunqunywa, okwenziwa ngokuya ngendawo:
   • isembatho sangaphambili, esenzeka nge-gangrene yayo yonke iminwe;
   • ezingeni le-tibia, lapho indawo yesithende ithinteka;
   • ezingeni lethanga, ngomonakalo onyaweni nasemlenzeni ophansi.

Zokupheka zemithi yendabuko

Ekwelapheni i-angiopathy, amakhambi esintu asebenza kahle, asetshenziswa ngendlela yokugeza, ama-lotions, ama-decoctions:

1. I-ChamomileUmuthi othandwa kahle itiye le-chamomile. Kuboniswa ukuthi kusetshenziswe yilabo abanegazi eliphakeme kakhulu. Ukuze ulungiselele itiye le-herbal, udinga uthele isipuni esisodwa somhluzi engilazini yamanzi abilayo. Akuyeke kube yisigamu sehora. Ukuphuza ngamanani angenamkhawulo. Ungenza nezindawo zokugeza ze chamomile zesilonda esithintekile.
2. I-Sage.Umhluzi we-Sage uthuthukisa ukwakheka kwe-insulin, ususe ubuthi, uqinisa ukungatheleleki. Ukuyilungiselela, udinga ingilazi yamanzi abilayo kanye no-2 wezipuni zeqoqo. Ukumnika kufanele kufakwe ihora, kusatshalaliswe ngemithamo emithathu usuku lonke.
3. Amabhontjisi ebhontshisi.Elinye ikhambi elisebenzayo ukufakwa kwamabhontjisi obhontshisi kanye ne-dandelion. Lezi zingxenye zingahlanganiswa nalawa makhambi okwelapha alandelayo: i-hypericum, rose yasendle, ihhashi lamahhashi. Thela isipuni esisodwa seqoqo nengilazi yamanzi abilayo bese ugcizelela. Thatha phakathi nosuku.
4. Impande ye-Dandelion.Ukufakwa kwezimpande ze-dandelion kune-fructose, ethakwa kalula ngumzimba. Ukulungiselela ukumnika, ungasebenzisa zombili izimpande ze-dandelion ezithengiwe ekhemisi, noma uzimbele ngokwakho. Ku-thermos uthele 2 wezipuni zeqoqo bese uthela amanzi abilayo. Sebenzisa ngaphambi kokudla.
5. I-Jerusalema artichoke.Yidla ama-tubers aluhlaza njengama-apula ejwayelekile. Pheka isaladi. Ukuyilungiselela, ungasebenzisa noma yimiphi imifino esezandleni: pepper pepper, iklabishi, izaqathe, beet. Ingxenye eyinhloko kufanele kube i-artichoke yaseJerusalema. Gaya yonke into bese ufaka uwoyela wemifino.
6. ImililoI-Lentil porridge isiza ushukela wegazi ophansi. Ilungiselelwe njenganoma yiliphi elinye iphalishi, ekugcineni kokupheka engeza uwoyela omncane. Sebenzisa okungenani kabili ngesonto.

Isimo sezulu nokuvikela

Ngokuvela kwe-macroangiopathy yesifo sikashukela, ubungozi bezinkinga eziningi bukhuphuka. Ngefomu emincane yesifo sikashukela, kungenzeka ukuthi i-angiopathy iyoba nenkambo ezinzile futhi idlule cishe ngaphandle kokuthuthuka.

Ukulimala ezinyaweni kwenzeka ngokuthuthuka okuqhubekayo kwe-angiopathy. Kulokhu, kubuhlungu obuqhubekayo nokuvuvukala kwezinyawo, izilonda ezindexekile. Ezimweni ezinzima kakhulu, kwenzeka i-gangrene yezinzwane noma umlenze ophansi.

IGangrene iyinkinga ebucayi kakhulu, ngokuqhekeka kwezicubu kunokuphuza okunamandla komzimba, okusongela impilo.

Ukuvimbela ukuvimbela ukwenzeka kwezinkinga.

Kubalulekile ukulandela lezi zeluleko:

• Musa ukuhamba ungafake zicathulo emhlabathini, njengoba ingozi yokutheleleka kwamanxeba ezinyaweni inyuka;
• khetha ngokucophelela izicathulo, ukungakhululeki kungaholela ekulimaleni kwesikhumba;
• geza nsuku zonke izinyawo zakho ngamanzi afudumele, bese usebenzisa ukhilimu onempilo;
• ukwenza izivivinyo ezihlelekile, kuqashwe ushukela wegazi;
• landela ukudla okubandakanya ukondleka okungaxutshiwe nokuqukethwe okuncane kokudla kwe-carbohydrate;
• buyekeza lokhu kudla futhi ukucebise nge-blueberries, ubhontshisi, isipinashi ne-sauerkraut;
• ukwenqaba ngokuphelele imilutha, efana notshwala nokubhema, ngoba utshwala buthinta kabi ukusebenza kwamanyikwe.
• ukusebenza ngokomzimba okulinganiselayo, lapho ingozi yokulimala emlenzeni incane.

Ukuvimbela ukukhula kwesifo sikashukela, kuyadingeka ukulawula amapharamitha athile.

Ithebula lezinkomba okumele libe lijwayelekile:

I-Angiopathy yemikhawulo engezansi yisifo esibi futhi esiyingozi. Uma kungekho ukwelashwa ngezidakamizwa, amathuba okufa aphezulu.

Izinto zevidiyo eziphathelene nezimbangela kanye nokwelashwa kwesifo sikashukela:

Uma kukhona nokusola okuncane ngokwakhiwa kwe-pathology, kufanele uthintane nodokotela ngokushesha. Kubalulekile ukunciphisa ukulinganiselwa kwakho kwamaswidi futhi uqaphe ushukela wakho wegazi ngokucophelela. Yiba nokuthile okumnandi njalo nawe, uma kungenzeka ushukela wegazi lakho uwe. Yiba nempilo!