ʻO ka pohō o nā moku koko nui e manaʻo ʻia e nā kauka e like me atherosclerosis. I ka poʻe e loaʻa ʻole i ka maʻi pancreatic endocrinological, ʻike ʻia ka loli atherosclerotic me nā ʻokoʻa ʻole. He mea maʻamau ka Macroangiopathy ma ka maʻi maʻamau a kūkulu i nā makahiki i hala. Pehea e ʻike ai i nā hōʻailona o ka hiki mai? ʻAʻohe ala e pale aku ai? Pehea e mālama ʻia ai ka maʻi vascular?
ʻO ka hiʻona o ka kumu o ka angiopathy
ʻO ka maikaʻiʻole, no ka manawa lōʻihi, ka hopena o ka maʻi maʻi ma ke kino e hōʻike ana iā ia iho i loko o ke ʻano o ka hoʻopiʻi pinepine ʻana - ka angiopathy (hōʻino i nā kīʻaha koko). ʻO nā hōʻike kumu o ka maʻi endocrinological e loaʻa i nā hanana pōpilikia me ka neʻe nui ʻana i ke kō koko koko (hypoglycemia) a i kona hoʻonui pinepine ʻana (ketoacidosis), coma.
Hoʻopili nā moku koko i ke kino holoʻokoʻa. Ma muli o ka ʻokoʻa ʻokoʻa o kā lākou caliber (nui a ʻuʻuku hoʻi), ka helu ʻana ʻo macro- a me microangiopathy. ʻO nā pā o nā veins a me nā kapillaries e palupalu a me ke aniani, ʻike ʻia lākou i ka glucose hou loa.
Hoʻokomo ʻia i loko o nā kīʻaha koko, nā mea kūlohelohe e hoʻopā i nā toxins kino e hoʻopōʻino i nā pūpū a me nā ʻāpana. ʻO nā loli e loaʻa ai nā haunaele i ka hana maʻamau o nā mea maʻi. ʻO ka mea mua, ʻo ka macroangiopathy i ka maʻi maʻi e hoʻopilikia i ka puʻuwai, ka noʻonoʻo, nā wāwae; microangiopathy - pūmole, maka, wāwae.
I ka hoʻohui nuiʻana o ke kō, hoʻoneʻe nā ipu koko i ka kolamu a me nā mea i hoʻokumu ʻia ma muli o ka ulaula o ka mea maʻi ʻo ia iho a i ʻole nā mea mai kona wahi kokoke. Hōʻalo ʻia nā ala koko me nā kololo polka. Ma kahi maʻi maʻi, aia ma lalo o nā kīʻaha pālua (glucose a me ka kolamu). Puhi ka mea puhipaka iā ia iho i kahi hanana luku ʻekolu ʻekolu. Loaʻa ia i ka loaʻa ʻana o ka maʻi atherosclerosis, ʻaʻole liʻiliʻi ma mua o kahi kanaka e loaʻa ana i ka maʻi o ka maʻi maʻi.
![](http://img.diabetesentity.com/img/diab-2020/8151/diabeticheskaya-makroangiopatiya.jpg)
Ke waiho nei i nā paia vascular, hoʻomaka ka cholesterol me ka hoʻoluliluli i ka kahe o ke koko
Ma ke alakaʻi koko kiʻekiʻe (BP) ke alakaʻi aku nei i ka pōʻino i ka palaki i loko o ka moku (aorta, veins). Hoʻokumu ʻia nā puʻu i waena o nā pūpili, e lilo ka pā i ka pā, a me kahi neʻe ʻana o nā ʻano o nā mumū. I ka hoʻonuiʻana i nā kolika poli, e kau ka lāʻau i nā pā i hoʻopili ʻia. Hiki i nā Neoplasms ke kahakaha a hoʻopau i nā lula i nā moku. Aia kekahi ʻano kūikawā o ka hōʻeha - hemorrhagic a hemorrhage cerebral paha.
ʻO ka maʻi macroangiopathy maʻi a i ʻole kahiʻuʻuku o nā moku nui he ʻano ʻano o nā maʻi 2. Ma ke kānāwai, ʻo ka mea maʻi ma luna o 40 mau makahiki a ʻo nā loli maoli i ka ʻōnaehana vascular e pani ʻia ma nā hoʻopiʻi maʻi maʻi. ʻAʻole hiki ke huli i nā kaʻina hana i ke ʻano, akā hiki ke ʻae ʻia ka hūnā ʻia o nā ʻili.
ʻAʻole maopopo i ke kuleana o ke kumu ʻē aʻe e alakaʻi ai i nā ʻano like ʻole o ka angathathies - he genisismisisation genetic i nā maʻi cardiovascular.
Nā hōʻailona o ka macroangiopathy
ʻO nā mea maʻi me ka atherosclerosis ke nānā aku i nā makahiki ma mua o ko lākou mau makahiki, e kaumaha ʻia ma luna o ka momona. Loaʻa iā lākou nā poli melemele melemele i nā elbows a me nā maka - nā waihona kolala. I ka poʻe maʻi, nāwaliwali o ka puluma o nā femoral a me ka popliteal arides, i kahi holoʻokoʻa, hiki ke hōʻeha ke ʻeha o nā ʻōpū o nā keiki bipi i ka wā e hele ana a ma hope o kekahi manawa ma hope o ka pau. Hoʻopiʻi ʻia ka maʻi maʻi me ka hoʻopiʻi lipi. I mea e hana ai i kahi maʻi kūpono, hoʻohana nā poʻe loea i ke ʻano o ka angiography.
Hoʻomaʻamaʻa ʻia nā pae aʻe i lalo o ka hoʻomohala ʻana o ka macro- a me microangiopathy o nā lalo haʻahaʻa:
- kiko;
- hana;
- kūlohelohe
- kūlohelohe ulcerative;
- huhui.
ʻO ke ʻano mua he mea i kapa ʻia ka asymptomatic a i ʻole metabolic, no ka mea e like me nā ʻikepili o nā hōʻike hana, ʻaʻole ʻike ʻia nā kue. ʻO ka lua o ka laʻana he maʻi hōʻeha koʻikoʻi. Ma lalo o ka hopena o ka mālama ʻia, nā maʻi me nā maʻi e hiki ke hoʻololi hou ʻia.
![](http://img.diabetesentity.com/img/diab-2020/8151/diabeticheskaya-makroangiopatiya-2.jpg)
Me ka hana pilikino a me nā loli ma hope aku nei
ʻO ka paʻa ʻana o ka moku koko e mālama i ka mea maʻi maoli e alakaʻi i ka ischemia (anemia kūloko). ʻIke pinepine ʻia kēlā mau ʻano ʻano i ka wahi o ka puʻuwai. ʻO ka'ōpala o ka wahī e hana ana i ka hoʻouka ʻana o angina. Hoʻomaopopo ka poʻe maʻi i ka ʻeha ma hope o ka sternum, palauʻeha naʻau o ka naʻau.
Hoʻopau koke ka wehe ʻana o ka moku puʻuwai i ka pono o ka ʻiʻo. Hoʻokomo ʻia nā mikrosis Tissue (necrosis o kahi pūnaewele) a me ka infarction myocardial. Nā kānaka i loaʻa i ka maʻi mai ka maʻi ʻeha i ka coronary. Hiki i ka hoʻokolohua Bypass ke hoʻonui i ka maikaʻi o ke ola o nā mea maʻi me ka maʻi artery coronary.
Hoʻokomo pū ʻia ka atherosclerosis o nā kīʻaha o ka pūpū e ka mahuna, ka ʻeha, ka hoʻoluhi ʻana o ka hoʻomanaʻo. Aia kahi pilikia i ka wā e hōʻole ʻia ka hāʻawi o ke koko i ka lolo. Inā ma hope o ka "kī" ola ke kanaka e ola ana, a laila hiki i nā hopena koʻikoʻi (neʻe ka ʻōlelo, nā hana kaʻa). Hiki i ke atherosclerosis ke hōʻeha i ka ischemic stroke i ka wā e hoʻopilikia ai ke kahe o ke koko ma muli o ke kolamu kiʻekiʻe.
ʻO ka mālama nui no ka angiopathy
ʻO nā hopena ka hopena o ka hoʻonāukiuki i ka hopena ma ke kino. Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻomaʻamaʻa i nā ʻano ʻano like ʻole o ka metabolism ʻano o ka maʻi macroangiopathy maʻi.
![](http://img.diabetesentity.com/img/diab-2020/8151/diabeticheskaya-makroangiopatiya-3.jpg)
- kalaka (insulin, acarbose, biguanides, kahi helu o ka sulfonylureas);
- momona (lipid-hoʻohaʻahaʻa i nā lāʻau);
- protein (steroid anabolic hormones);
- wai-electrolyte (hemodesis, reopoliglyukin, pālala, kalapona, mākaukau magnesium hoʻomākaukau).
ʻOi aku ka pinepine, ʻike ʻia kahi hōʻailona kolikola i ka type 2 diabetes mellitus, hoʻonui ʻia ke kino o ke kino. Kuhi ʻia ʻia ʻelua ma ka makahiki. Inā kiʻekiʻe nā hōʻike koko ma mua o kahi maʻamau, a laila pono:
- mea mua, e hoʻopiʻi i ka ʻai o ka mea maʻi (hoʻokaʻa i nā momona manu, hoʻēmi i nā hāmeʻa haʻahaʻa hāpū i ka 50 g i kēlā me kēia lā, ʻae ka ʻaila aila i 30 ml, iʻa, nā lau a me nā huaʻai);
- lua, e lawe i nā lāʻau lapaʻau (Zokor, Mevacor, Leskol, Lipantil 200M).
E hoʻomaikaʻi ʻia ke kahe o ke koko i loko o nā moku peripheral. Kūlike me ka papa hana maʻamau, ʻōlelo nā endocrinologists i ka hoʻohana ʻana o nā huaora B (thiamine, pyridoxine, cyanocobalamin).
Pono nō hoʻi:
- ka hoʻōho maʻamau o ke koko me ka lāʻau lapaʻau (Envas, Enalopril, Arifon, Renitek, Corinfar);
- lohi ka nui o ke kaumaha nui;
- lā e hoʻokuʻu aku ai i ka hoʻohui i ka puhi ʻole a me ka inu wai;
- ho'ēmi ma ka kau paʻakai;
- pale i nā kūlana koʻikoʻi lohi.
ʻOiai he mea kūpono no ka mālama ʻana i nā pathologies vascular, ʻōlelo ʻo ka endocrinologists i ka hoʻohana ʻana i nā ʻano lāʻau lapaʻau hou. No kēia hana, ua hoʻohana ʻia nā hoʻomākaukau ʻana i nā lāʻau lapaʻau (ʻōpala buckthorn, nā pāʻai palaoa me nā stigmas, nā aʻa o ka burdock nui, nā hua o ka lulu ʻana i nā kaloti, ka lau nahele.
Hoʻopilikia nā hopena maʻi maʻi kanameka ma mua o nā mahina, mau makahiki, a he ʻumi makahiki. Ma United States, ua hoʻokumu ka Dr. Joslin Foundation i kahi mekala kūikawā. ʻO ka maʻi hoʻokūkū lanakila, ka mea i lanakila i ke ola he 30 mau makahiki me ka ʻole o nā hoʻopili, me ka angiopathy, ua hāʻawi ʻia i ka inoa inoa like ʻole. Hōʻike ka mekala i ka mana kūpono o nā maʻi o ka makahiki.