ʻO kahi maʻi diabetes mellitus he ʻano maʻamau maʻamau; pili ia i ka 5% o ka heluna kanaka a puni ka honua. Me kahi maʻi, piʻi ka nui o ke glucose i ke kahe koko o kahi kanaka, e hoʻopilikia maikaʻi ʻia i ke ʻano o ke kaila o ka uila, a me nā kīʻaha o nā maka.
Ke kuhi nei ʻo Retina i ka hyperglycemia i kapa ʻia e nā kauka e like me ka retinopathy maʻi maʻi, kahi maʻi ʻo ia ke kumu nui o ka ʻike maka ʻana, hana a me ka makapō piha. I ka hoʻomakaʻana o ka maʻi, hiki i ka makahiki nui o ka mea maʻi ke hana koʻikoʻi, a ʻike ʻia ka maʻi diabetes ma mua o 30 mau makahiki, ʻo ka hopena o ka retinopathy e piʻi i nā makahiki. Ma hope o 10 mau makahiki, e loaʻa ka maʻi maʻi i nā pilikia me ka hopena o ka hopena o 50%, ma hope o 20 mau makahiki, hiki i ka hōʻemi o ka retinopathy hoʻi i ka 75%.
Inā maʻi ka maʻi diabetes i kahi kanaka ma mua o 30 mau makahiki, e ulu wikiwiki ana kona mau maka, ma kahi o 80% o nā maʻi makapō e hele i ka makahiki 5-7 makahiki ma hope o ka hōʻoia ʻana o ka maʻi maʻi. I ka manawa like, ʻaʻohe ʻano like o ke ʻano o ka maʻi metabolic kahi maʻi me ke kanaka, e loaʻa ana ka retinopathy i nā maʻi maʻi maʻi mua a me ka lua o ka maʻi.
Nānā maʻi retinopathy maʻi:
- ka mea mua (ke kūkulu ʻia ʻana o nā ʻāpana ʻāpana, retema edema, microaneurysms i nānā);
- ka lua (mau mea ulu wale, nui nā hemorrhages nui);
- ke kolu (e hōʻike ʻia ana e ka hemorrhages koʻikoʻi ma ke kino vitreous, ka paʻa ʻana o nā kiko fibrous, neoplasms i loko o nā moku o ka disc optic).
Inā ʻaʻole ʻoe e hoʻoki i ka maʻi ma ka papa mua, hāʻawi ka maʻi retinopathy maʻi i nā hoʻopiʻi.
Ka helu ʻana o ka Diabetic Retinopathy
ʻO ka retinopathy i loko o ka maʻi pākahi e kū nei i kekahi mau manawa, ʻo ka mua ka mea i kapa ʻia he non-proliferative diabetic retinopathy. Hōʻike kēia ʻano i ke kaina o nā microaneurysms, hoʻonāukiuki lākou i ka hoʻonui ʻia o nā ʻalihi, kuhikuhi hemorrhages ma nā maka.
Hōʻike ʻia nā hemorrhages e nā wahi pōkole o kahi ʻano pōʻai, ke kuhi o nā kaula. Eia kekahi, ʻo nā zona ischemic, ka ʻūhū o ka membrane mucous, ka ulu ʻana i ka retina, e pili ana i ka vascular permeability a me ka palupalu.
Hoʻopuka ka plasma koko i ka retina ma o nā paia i ʻoki ʻia o nā kīʻaha koko, e kū ai i ka edema. Ke komo nei ka ʻaoʻao kumu o ka retina i ke kaʻina pili, ʻike ka mea maʻi i ka emi wikiwiki ʻana i loko o ke ʻano o ka ʻike.
ʻAʻole e hoʻomaopopo ʻia o kēia ʻano:
- hiki mai i kekahi hanana o ka papa maʻi;
- is the first stage of retinopathy.
Me ka loaʻa ʻole o ka hoʻomaʻamaʻa kūpono, hele ka maʻi i ka papa lua ma luna o ka manawa.
ʻO ka retinopathy diabetic preproliferative o ke ʻano aʻe o ka maʻi, ua hele pū ʻia me nā pilikia o ke kaomi i loko o ka retina. ʻO ka hopena, aia ka nele o ka oxygen, ʻo ia ka ischemia a me ka pōloli oxygen.
Hiki ke hoʻihoʻi i ka uku o ka oxygen ma muli o ka hoʻokumu ʻana o nā moku hou; ua kapa ʻia kēia kaʻina neovascularization. Ua hoʻopilikia ʻia nā Neoplasms, ikaika i ke koko, ke komo nei ke koko i nā ʻāpana o ka retina, ke kino vitreous.
Ke pōʻino nei ka pilikia, e nānā ka mea maʻi me ka mauʻu e holo nei i ka wā e hōʻemi ana ka lohi i ka ʻike ʻike. ʻO nā papa lihi o ka maʻi me ka ulu lōʻihi o nā moku koko hou, e lilo ka ʻili ʻili i kahi mea pono:
- detinalment retinal;
- ka hoʻomaka ʻana o ka maʻi glaucoma.
ʻO ke kumu o ka retinopathy diabetic ka nele o ka insulin hormone, kahi e hōʻemi ai ka sorbitol, fructose.
Me ka nui o ka waiwai o kēia mau mea, he piʻi nui i ke koko, ke mānoanoa o nā pā o ka capillary, a me kahi liʻiliʻi o ka lumen i loko o lākou.
Nā hōʻailona o ka retinopathy diabetic, maʻi maʻi
ʻO nā pathogenesis o ka retinopathy diabetes me nā hōʻailona i pili i ka nui o ka maʻi, e hele pinepine ka maʻi maʻi maʻi e pili ana i ka neʻe ʻana o nā pōʻeleʻele a i nā mea waena paha i nā maka, ʻike maka pōkole. ʻO kahi mea nui ka mea kūpono o ka hihiʻo i ka neʻe o ka glucose i ke koko.
I ka hoʻomaka ʻana o ka maʻi, ʻaʻole ʻike ka haunaele i ka mea maʻi; hiki ke ʻike wale ʻia ka pilikia i ka wā o ka maʻi. ʻO kēlā me kēia mea maʻi me ka maʻi mellitus o ka ʻano mua a me ka lua e noho pono ma lalo o ke kāohi a me ka nānā o ke kauka i hele mai, he mea mua kēia o ka endocrinologist, ophthalmologist a me ka mea lapaʻau.
Hoʻomau ʻia ka loaʻa ʻana o ka retinopathy i nā maʻi me ka maʻi ma ka:
- i nā hoʻopiʻi hoʻomanawanui o ka hōʻemi o ka maikaʻi o ka ʻike;
- ʻO ka hōʻike kālā kālā me kahi ophthalmoscope.
ʻO ke kaʻina hana ophthalmoscopy e hiki ke hoʻoholo i ka hele ʻana o nā loli pathological i loko o ka waihona kālā. Loaʻa nā maʻi ʻokoʻa i ka wehe ʻana i ka retinopathy diabetic mai nā pilikia maka ʻē aʻe.
ʻO nā haʻawina ophthalmological ʻē aʻe ke hoʻoholo i ke kaomi o intraocular, biomicroscopy o nā kino o ka hiʻona o ka ʻike. Hōʻike ʻia ke kiʻi o nā kālā, pono kēia e palapala i nā loli i nā maka. Eia kekahi, ke kauka nei ke kauka i ka fluorcence angiography e maopopo ai i kahi o nā moku hou e huna ai i ka wai a hoʻonāukiuki i ka edular macular.
Ke hoʻohana nei i kahi kukui slit, ke hoʻopaʻa ʻia nei kahi haʻawina - lens biomicroscopy, ʻo ia hoʻi, hiki ke heluhelu ʻia i ka Pūnaewele.
Hana ʻia me ka lapaʻau ʻana o ka lahui, mea hoʻohanaʻai
Hoʻohana ʻia nā maʻi maʻi mellitus a me ka retinopathy me nā ʻano hana ʻē aʻe, ua kau ʻia kekahi mau maʻi he papa o nā mea hoʻohui meaʻai. I kēia manawa ma nāʻaoʻao o nā lāʻau lapaʻau he nui nā meaʻaiʻai o nā huahana kūloko. ʻO Glucosil kekahi mea lapaʻau, pono inu ia i nā manawa 3 i ka lā i ka wā eʻai ai, ʻo ka lōʻihi o ke ʻano o ka mālama ʻana. Ma keʻano he lāʻau lapaʻau, hoʻonui i nā mea lapaʻau lāʻau, nā mea hōʻiliʻili, ʻo ka bioadditive e hoʻomaikaʻi i ka hoʻopili ʻana o ka glucose.
Hoʻohanaʻia nā hōʻailona retinopathy diabetes e phytosarves Arfazetin, Sadifit. Hoʻokahi mau lāʻau lapaʻau i ka 0.2 g o ka lau stevia, nā lau pī, nā pua blueberry, Ierusalema artichoke aʻa, me ka 0.15 g o ke kīmaʻomaʻo, 0,05 g o ka pepē. E ninini ʻo Fitosbor i ka 300 ml wai wai, e kāwili me ka kāwele a hoʻopaʻa i 60 mau minuke. Lawe i kahi infusion ʻekolu mau lā i ka lā i loko o ke aniani, pono ʻia e lawe i ke papa holoʻokoʻa - 20-30 mau lā.
Inā loaʻa ka mea maʻi i ka retinopathy non-proliferative, ua hoʻohua ʻia ʻo ia iā Arfazetin, ua loaʻa ka lāʻau lapaʻau i ka chamomile lāʻau, nā huaʻāina a St. John, nā hua rosehip, ka hōiho puaʻa, nā wana blueberry, a me ka lau o ka pī, a me ka rhizome chokeberry. Pono e ninini i ʻelua mau ʻeke o ka huahana me ka wai anuanu, e mahana iā 2 mau manawa i ka lā ma mua o ka papaʻaina. ʻO ka lōʻihi ka mālamaʻana i kahi mahina 1 mahina.
I ka hoʻomaʻamaʻa ʻana o kahi me ka exudation, e loaʻa i kahi ʻano ʻokoʻa ka mea e pono ai, e pono ai e lawe i nā pae like:
- ʻōpala a me nā lau willow;
- moloka lahui;
- kila lauʻaila;
- lau lingonberry;
- Pūnaewele
- ʻōlaʻi.
Hōʻuluʻulu ʻia ka pūpū me ka nettle, knotweed, bean leaf, amaranth, Ierusalema artichoke, kao puaʻa.ʻO kahi papaʻaina o ka hōʻiliʻili ʻia ka ninini ʻia me 500 ml o ka wai hoʻolapalapa, hoʻopiʻi ʻia no hoʻokahi hola, kānana, lawe ʻia i loko o ka wai aniani 3 mau manawa i ka lā.
ʻO ka papa papa o ka maʻi he 3 mau mahina.
Hoʻomaopopo i ka Diinic Retinopathy Diabetic
ʻO ka mālama ʻia o ka retinopathy i loko o ka maʻi type 2 e hilinaʻi ana i ka nui o ka maʻi, a me ka helu ʻana o nā ʻano lāʻau therapeutic. I ka hoʻomakaʻana o ke kaʻina pathological, pono ia e hoʻomau i kahi papa o ka mālama therapeutic, hōʻike ʻia ka lāʻau lapaʻau lōʻihi e hōʻemi i ka palupalu o nā capillaries. Hoʻokomo ʻia nā angrotrotectors: Predian, Ditsinon, Doksium, Parmidin. Pono e mālama i ka pae o ka glucose i loko o ke koko.
No ka pale a me ka mālama ʻana mai i nā hoʻopiʻi o ka maʻi mellitus type 2 mai nā moku koko, me ka retinopathy diabetes, e hoʻohana ʻia nā lāʻau Sulodexide. Eia kekahi, ʻo ka waikawa ascorbic, huaora E, P, nā antioxidants i hana ʻia ma ke kumu o ka hua o ka blueberry kūlohelohe, ua lawe ʻia ka beta-carotene. Ua hōʻike ʻia ka lāʻau Styx iā ia iho, ke kāpae ʻia me ka hoʻoikaika o nā pā vascular, pale i nā hopena ʻino o nā radical manuahi, a hoʻomaikaʻi i nā maka. I kekahi manawa pono e hāʻawi i kahi inje ma ka maka.
Ke hōʻike nei ka maʻi o ka retinopathy maʻi maʻi i nā loli a me nā hopena koʻikoʻi, ka hoʻokumu ʻana o nā kīʻaha koko hou, e wīwī ana i ka pae o ka retina, a me ka hemorrhage i loko, pono e hoʻomaka i ka hoʻomehana laser ma ka hiki. Inā hōʻike ʻia ka retinopathy diabetic e kahi papa koʻikoʻi, hōʻike ʻia ka hoʻomaʻamaʻa o ka ʻōpū.
Maculopathy Diabetic, i ka wā o ka palena o ka mea i loko o ka retina, hōʻano hou ke koko, pili i ka laser retinal coagulation. I ka wā o ke kaʻina hana, ua hōʻili ʻia ka beam a ka ʻeha i nā wahi i hoʻopiʻi ʻole ʻia ma o:
- ka lopa;
- hui kino;
- cornea;
- kāmepila mua.
Mahalo i kaʻaila, hiki ke hoʻomālamalama i nā wahi ma waho o ke kahe o ka hihiʻo kikowaena, e kāpae ana i ka hiki o ka pololi oxygen. Ma kēia hihia, kōkua ke kaʻina hana e luku i ke kaʻina ʻo ischemic i ka retina, ʻike hou nā moku koko hou i ka mea maʻi. Hoʻohana ka hoʻohana ʻana i kēia ʻenehana i nā moku pathological mua, no laila ke hoʻemi ʻana i ka huehue, ʻaʻole ʻulaʻulaʻula ka maka.
Hiki ke hoʻopau i ka pahuhopu nui o ka coagulation retinal i mea e pale ai i ka holo mua ʻana o nā hōʻailona o ka retinopathy diabetic. Hiki ke hoʻokō i ka pahuhopu i kekahi mau manawa, lawe ʻia lākou i waena o kekahi mau lā, ʻo ka lōʻihi o ke kaʻina hana ma kahi o 30-40 mau minuke. Pono nā wahine hāpai i ka maʻi maʻi e hoʻohana i nā kaʻina ma mua o 2 mau mahina ma mua o ka DA.
I ka wā e hōʻemi ʻia ai kahi laser, ʻike pinepine ʻia nā mea maʻi me ka maʻi maʻi i ka ʻehaʻeha, kahi i hōʻemi ʻia e ka hoʻohana ʻana i kahi lāʻau lapaʻau ʻehā kūloko. ʻO kekahi mau mahina ma hope o ka pau ʻana o ka hoʻomaʻamaʻa, ua koi ʻia nā flu angiene fluorescence e ʻike i ke kūlana o ka retina. Eia kekahi, pono e kuhikuhi ʻia nā lāʻau lapaʻau, nā hoʻoheheʻe ʻana.
Hoʻomaʻamaʻa pinepine ʻia ka maʻi maʻi retinopathy me ka cryocoagulation i ka wā ʻo ka mea maʻi:
- aia nā loli nui i ka waihona kālā;
- ua hōʻike ʻia he mau hemorrhages hou;
- ka loaʻa ʻana o nā moku hou i kūkulu ʻia.
Eia kekahi, pono ke kaʻina hana inā hiki ʻole ke hoʻokō aku i ka coagulation laser a me vitrectomy (e like me ka kiʻi).
Hōʻike ʻia ka retinopathy prepabetiferative Diabetic e ka hemorrhage vitreous, inā ʻaʻole ʻae, a hoʻoholo ʻia e ka optometrist nā vitrectomy. ʻOi aku ka maikaʻi e hoʻokō i nā kaʻina i nā wā mua o ka maʻi, i ka wā kū ʻole i nā exudates paʻa. I kēia manawa o ka pilikia o ka hoʻopiʻi o ka retinopathy i loko o ka maʻi type 2 heʻuʻuku. Hiki ke hana ʻia ke kaʻina hana i nā keiki, mākaukau ke keiki no ke kaʻina mua.
I ka wā o ka mālamaʻana, e kāohi ana ka mea maʻi i ka vitreous, hōʻiliʻili i ke koko, e hoʻopili iā ia me ka hinu silicone a i ʻole saline. Nā kīʻaha i kumu no ka detinalment a nahu:
- kue;
- e hāhai i ka wī.
I ka mālamaʻana i ka retinopathy diabetes, ʻo ka hana maʻamau o ka hana kāohiʻana o ka pale i ka mea hope loa, no ka mea ʻo uncompensated hyperglycemia e hōʻeha a me ka holomua o ka retinopathy. ʻO nā hōʻailona o ke kō koko nui e hoʻopau pono me nā lāʻau anti-diabetes kūikawā. Pono ʻoe e nānā i kāu meaʻai, pili i ka papa ʻai haʻahaʻa, a kanu i nā lāʻau lapaʻau.
Hoʻomaʻamaʻa ʻia ka maʻi retinopathy Diabetic e kahi ophthalmologist a me ka endocrinologist. Hāʻawi ʻia i hiki ke hoʻokaʻawale i ka maʻi i ka manawa manawa, i ka hoʻopihapiha ʻana i kona nānā ʻana, aia nā manawa maoli e ho'ōla i ka maʻi, mālama pono i ka hihiʻo, e hoʻi hou i kahi ola piha a me ka hana.
ʻO nā ana pale, hiki ke hoʻopiʻi
Kāohi i ka retinopathy maʻi i ka mālama ʻana i ka glycemia maʻamau, uku maikaʻi loa no ka protein o ka ʻaila, mālama i ke koko, a hoʻoponopono i ka hana momona momona. Hiki i kēia mau hana ke hōʻemi i nā pilikia o nā hoʻopiʻi mai nā kino o nā mea ʻike.
ʻO kaʻai kūpono kūpono, hōʻeha kino o ke kino maʻi i ka maʻi maʻi e hoʻopilikia maikaʻi i ka nui o nā mea maʻi. ʻAʻole pono ka prophylaxis e pili ana i ka retinopathy diabetes proliferative i nā manawa hope o ka maʻi maʻi. Eia naʻe, ma muli o ka hapanui o nā pilikia e ʻike ʻole ai i nā hōʻailona i ka hoʻomaka ʻana o kahi maʻi maʻi, ke ʻimi nei nā mea maʻi i ke kōkua olakino wale nō inā e loaʻa iā lākou:
- ʻūhā ākea;
- ka loli o ka piula ma ke kikowaena o ka maka.
ʻO nā mea hoʻonā nui nui i nā mea maʻi me ka retinopathy diabetic he traction detinalment retaction, Second neovascular glaucoma, a me hemophthalmus. Ke koi ʻia nā ʻano hana maʻalahi.
I ka manawa pinepine, ma ka hoʻopiʻi ʻana i ka mālama conservative o ka retinopathy diabetes, ua ʻōlelo ʻia e hoʻomā ʻia i kahi papa o ka lāʻau lapaʻau. Hōʻike ʻia nā hoʻomākaukau e pili ana iā Ginkgo biloba, ʻo kekahi o ia mau lāʻau ʻo Tanakan. ʻO ka lāʻau lapaʻau e pono e lawe i ka 1 papa ʻekolu mau manawa i ka lā, ʻo ka lōʻihi ma mua o 3 mau malama ka lōʻihi.
Hoʻohana ʻia ka retinopathy Diabetic me kekahi lāʻau lapaʻau hou - Neurostrong, ua hana ia i nā māhele:
- ʻiliʻili blueberry;
- lecithin;
- Nā huaora B;
- ginkgo biloba.
Ke kōkua nei ka lāʻau lapaʻau e hoʻomaikaʻi i ka saturation o ka oxygen, hōʻemi i ka hopena o ka hoʻomohala ʻana i ka thrombosis, a me ka retinal hemorrhage. Pono e lawe i ka lāʻau lapaʻau i 3-4 mau lā i ka lā.
Hoʻohana ʻia ka retinopathy Diabetic o ke ʻano mua me ka Dibicor, pono ʻoe e inu i ka lāʻau lapaʻau 0.5 g 2 mau manawa i ka lā, ʻoi loa ka lawe ʻana i ka mālama 20 minuke ma mua o ka ʻai ʻana. ʻO ka papa o ka mālama ʻana noʻeono mau malama, e hoʻomaikaʻi ka lāʻau lapaʻau i nā kaʻina loina metabola, e kōkua ai e hoʻonui i ka lako o ke kino o nā ʻāpana o nā maka ʻelua.
Aia kekahi mau lāʻau lapaʻau i hana ʻia ma ke kumu o ka colostrum o ka waiū o nā bipi, kahi lāʻau lapaʻau e hoʻonui i ka pale ʻana. E inu i ka lāʻau lapaʻau 2 mau pūliki 3-4 mau lā i kahi lā no ʻeono mahina. Hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau like ma ke ʻano o ka hāʻule i ka maka.
No ka kūkākūkā, pono ʻoe e hoʻokaʻawale i ke keʻena o ka maʻi retinopathy diabetes, e haʻi ke kauka iā ʻoe i ka mea o ka retinopathy a pehea ka maʻi o ka retinopathy maʻi proliferative e pili ana i ke kūlana olakino, kahi e hana ai i hele ʻole ʻole e makapō.
Hāʻawi ʻia ka ʻikepili e pili ana i ka retinopathy maʻi maʻi i ke wikiō ma kēia ʻatikala.
