I kēia manawa, kiʻekiʻe loa ka uluʻana o ka maʻi maʻi ma kahi mua ma waena o nā maʻi endocrine. ʻO ka mea nui loa, ʻo ka maʻi mellitus o ka lua o ka ʻano, kahi e ulu pinepine ai i ka wā kahiko ma muli o ka hiki ʻole o ka pancreas ke hoʻokō pono i kāna hana a me nā hua i hana ʻia i ka insulin make kino.
Ma ka maʻi ʻaina o ka ʻano mua, ʻaʻole synthesized ke ʻano o ka insulin, a inā hoʻomaʻamaʻa maikaʻi ʻia ka mea maʻi a hoʻopaʻa ʻia e hoʻokō me nā ʻōlelo lapaʻau a pau, a laila e hoʻomau ʻia kona kūlana. A inā ʻaʻole i hua nui ʻia ka insulin, a ʻaʻole ʻike ʻia ka nui, a laila paʻakikī loa ka maʻi e mālama ʻana, a kū pinepine nā pilikia. ʻO kekahi o nā mea koʻikoʻi nui loa ʻo ka maʻi diabetes angiopathy haʻahaʻa haʻahaʻa.
Ma mua, manaʻoʻiʻo nā kauka e ʻike pinepine ʻia nā moku o nā ʻāpana haʻahaʻa loa, no ka mea ke ulu nei ka angiopathy o nā haʻahaʻa haʻahaʻa haʻahaʻa, akā a hiki i kēia lā ua hoʻokumu ʻia ka pōʻino o ka maʻi maʻi i ka maʻi maʻi ma muli o ka luku ʻana i nā ʻupena, ʻo ia hoʻi, ʻo ka polyneuropathy. ʻO nā ʻōnaehana, ma kahi ʻē, e loli wale ana ma kahi o 15% o nā maʻi.
Hiki ke hoʻokaʻawale ʻia ʻo Angiopathy o nā haʻahaʻa haʻahaʻa i ʻelua mau māhele:
- Ma ka microangiopathy Diabetic - hoʻopōʻino i nā moku o ka microvasculature (nā lāʻau retinal, ʻehā).
- Ma ka maʻi macroangiopathy maʻi kanikau - pilikia nā mākeke nui.
Ma ka puka lua o ka angiopathy, a ma mua hoʻi o ka maʻi o nā moku o nā wāwae, he mea kūpono ke noho me ka kikoʻī.
ʻO nā wāwae wāwae
Wahi a morphology, ʻo kēia maʻi ka atherosclerosis, e pili ana i nā moku koko ma ka maʻi maʻi, a he mau ʻano:
- - ua loaʻa i ka lesion kekahi ʻano multisegmental;
- - ka holomua o ka maʻi ma ka manawa;
- - hiki i nā kānaka'ōpiopio;
- - He paʻakikī i ka mālama ʻana me thrombolytics.
Atherosclerosis o nā moku e alakaʻi i ka hoʻopili ʻana o nā paia o nā ʻalā, a laila ke kahiki ʻana i ko lākou lumen (stenosis) a hiki i kahi oki paʻa ʻana. Ma muli o kēia, ua ʻike nā ʻili i ka pololi pololi, kahi e hopohopo ai i ka haunaele o ka metabola, a loaʻa kekahi mau hōʻailona. Hoʻopono ʻia kēia kūlana me nā hōʻailona ʻano.
Ka helu ʻana o Fontaine-Lerish-Pokrovsky
Stage I: kahi maʻi like asymptomatic a ua hoʻoholo ʻia wale nō ka hoʻohana ʻana i nā diagnostics instrumental.
ʻO kahi kahua II: ʻike ʻia nā hōʻailona ma ke ʻano o ka ʻeha ma nā wāwae a i kekahi manawa ke kau, ka ʻeha e kū ana i ka wā e hele ana ma kahi mamao, hoʻomaka ka claudication kikowaena. I ka manawa like, ke kū kahi kanaka, hopohopo nā hōʻailona hōʻeha, akā naʻe, ulu ka angiopathy maʻi maʻi.
Hoʻohui pinepine, ʻo ka angathyathy o nā haʻahaʻa haʻahaʻa e ulu pū me ka neuropathy (hōʻeha i ka ʻōnaehana o ka pīpī). I ia pilikia, e hala ʻole ka hōʻeha o nā lohi, a hiki mai nā hōʻailona ʻē aʻe e sui, e ʻeha i ke ʻano o ka luhi, nā pilikia ʻole, e hōʻoki i ka mea.
ʻO kahi kahua IIA: ka manaʻo o ka hōʻeha e hōʻeha nei i kahi lōʻihi ma mua o ʻelua haneli mau mika.
Stage IIB: hoʻomaka ka ʻeha ma kahi lōʻihi ma lalo o ʻelua haneli mau mika.
Stage III: hana ʻino loa i ka ʻeha. ʻIke ia i ka mea i ke kau kahi. Inā hoʻohaʻahaʻa ʻia ka limu i hoʻopilikia ʻia, a laila e emi ka nui o ka ʻeha, akā ʻaʻole i nalowale nā hōʻailona.
Kūlana VI: ke ʻano o nā ʻōpio trophic, ka hoʻomohala ʻana o ka gangrene.
Hoʻonāukiuki nā angiopathies o nā ʻoi loa o ka popliteal a me nā lālā. Ke hoʻomau nei ka maʻi mai, holomua koke, alakaʻi pinepine i ka gangrene, a laila hana ʻia ka hope, a lilo ka mea maʻi.
Nā ʻlelo a me nā Diagnosis
Inā hele ka mea maʻi i ka haukapila, a laila pono e mālama ke kauka ʻaʻole i nā hoʻopiʻi a me ka mōʻaukala o ka maʻi maʻi, akā pū kekahi no nā hōʻailona aʻe:
- - ka palpation o nā ʻōpū o nā wāwae ʻaʻole i manaʻo i ka pulse;
- - ke hoʻoheheʻe ʻia ke kūloko kūloko (kahi i hele mai kahi hōʻailona ma ka lima hoʻokahi i mea nui ke hana ana i kahi maʻi maʻi);
- - ka nele o ka lauoho ma ka ʻili o ka wāwae;
- - keokeo, keʻokeʻo, kaʻili saniotic, ʻulaʻula;
- - Edema Ischemic (i nā hihia koʻikoʻi).
Ke lawe ʻia nei ka Diagnosis e nā ʻano mea hoʻokele, hiki iā ʻoe ke noʻonoʻo i nā hōʻailona:
- - ka nānā ʻana Dopplerographic o nā hāmeʻa (ke nānā ʻana i nā ʻenehana);
- - kāʻili wili ultrlex duplex;
- - pākuʻikepili multispiral;
- - kūlike ka angiography.
I ka wā kahiko, ua hoʻohana ʻia ka rheovasography, akā i kēia manawa ʻaʻole ia i hoʻohana ʻia, no ka mea hiki ke hāʻawi i nā hopena maikaʻi ʻole, a alakaʻi kēia i ka overdiagnosis o ka angiopathy. No laila, ʻaʻole kuhikuhi ʻia kēia ala no ka ʻike ʻana o kahi maʻi e like me ka angiopathy maʻi maʻi.
Hoʻomaʻamaʻa
ʻO ka Therapy o ka angiopathy maʻi hoʻokaʻawale o nā mālama pono i kekahi mau helu:
- ka mālamaʻana i ka atherosclerosis;
- ka hōʻole ʻana i ka ulaula;
- Ke lawe nei i ka cholesterol a me ke kaila koko i ka maʻamau;
- ka hoʻomaʻamaʻa ʻana a me ka loaʻa ʻana o ka waiwai paʻa o ka kaila o ke koko;
- ka kaupaona momona;
- ke koho ʻana i nā lāʻau lapaʻau vasoactive - hoʻonui lākou i ka mamao ke hele ʻana, akā ʻaʻole i hoʻopilikia i ka maʻi pā;
- ke kala hōʻemi ma nā wāwae a kau i nā kāmaʻa kūpono. ʻAʻole hiki i kēia hiki ke hana inā ke loaʻa i nā maʻi ulia trophic, pono lākou e nānā ma ko lākou maʻi;
- ka hoʻomaʻemaʻe maʻi;
- ka pili ʻana o ka maʻi a me ka mālama ʻana i ka lumbar;
- ka hana intravascular a me ka mālama ʻana ma hope o lākou;
- kāpili a me ka mālama ʻana i nā ʻuhane.
No ka hoʻokō ʻana i nā dinamics maikaʻi i ka mālama ʻana i ka angiopathy, pono ia e hoʻokūkū i ka maʻi mānoanoa a hoʻomaʻamaʻa i ka protein a me ka metabolism. No kēia, koho ʻia nā mea maʻi no ka mālama ʻana a me ka meaʻai, hoʻopaʻa ʻia ka ʻai ʻana o nā momona holoholona a me nā ʻaina moline. Eia kekahi, hilinaʻi ma ke ʻano o ka maʻi maʻi, ka mālama ʻana i ka insulin a i ʻole ka mālama ʻana me nā lāʻau antipyretic.
I kēia manawa, pinepine nā kauka i ka hana lapaʻau. Me ka hoʻomohala ʻana o ka gangrene māhu a hoʻonui i ka hoʻohuihui, hana ʻia ka amputation.
Kāohi
Pono ka poʻe me ka maʻi maʻi e hoʻāʻo e hana i nā mea āpau e hiki ai i ka angathyathy o ke kōleka koko e hoʻomaka me ka hiki. Pono ʻoe e hoʻomaopopo e, ʻaʻole, ʻaʻole hiki i kēia kaʻina ke pale ʻia, akā hiki iā ʻoe ke hoʻolilo iā ia i ʻole ka holomua a me ka hīnaʻi pū kekahi.
No ka pale ʻana i kēia hoʻopiʻi ʻana, pono ʻoe e hahai i nā ʻōlelo lapaʻau a pau i ka mālama ʻana i ka maʻi maʻi, e hoʻomau mau i ka insulin me ka hoʻohana ʻana i ka syringe no nā maʻi maʻi, a i ʻole nā lāʻau antidiabetic, e hāhai i ka mea ʻai a mālama i ke kaumaha o ke kino. Inā pono, e inu i nā thinner koko. He mea koʻikoʻi ke kiaʻi pinepine i ka pae o ka cholesterol, no ka mea e hoʻonui ana i ka hoʻonui ʻia vascular, a, no laila, e lawe kokoke i ka luku ʻia o nā pale kino. Pono hoʻi e kāohi i ka hana o ke akea, no ka mea he kuleana ia no ka cholesterol a me ka hana glycogen, ʻo ia ka mea e pili ia i ka helu o ka hoʻomohala ʻana i ka angiopathy.
Inā ʻoe e ʻimi i nā ʻōkuhi a pau, a laila hiki ke hoʻomaka ke hoʻomaka ʻana kēia hoʻopiʻi a hiki paha ke hoʻokuʻu ʻia ke kōna mua ʻana. I kēia hihia, ʻaʻole e ʻino ka wāwae, a ʻoi aku ka maikaʻi o ke ola o ka maʻi maʻi maʻi maʻi.
