Izigulane ezinesifo sikashukela zihlala zihlakulela ingxaki ebonakalayo yonakaliswe kwiindonga zemithambo yegazi. Echaphazelekayo njengeemvini ezinkulu kunye nemithambo yegazi, kunye nama-capillaries amancinci. I-angiopathy yesifo sikasifo sikasifo sikwi-diabetic ibonakalisa nokuphulwa kwe-hemostasis, iimpawu ezithile zezilwanyana zixhomekeke kulo hlobo, ubude kunye nomlinganiselo wonakalo kwimithambo yegazi.
Iimpawu kunye neentlobo ze-angiopathy yesifo sikashukela
Iingxaki ezichazweyo zihlelwe ngamaqela amakhulu amakhulu-ama-macro kunye nama-microangiopathies. Ngaloo nto, nganye iqulethe iindidi zayo zezifo.
I-Macroangiopathy yingozi kwimithambo yegazi. Njengomthetho, izitho ezingezantsi kunye nentliziyo zichaphazelekayo.
I-Microangiopathy ibonakalisa ukuphazamiseka kwemisebenzi yeempahla ezincinci kunye nama-capillari. Kule meko, amalungu ajoliswe amehlo (retina), iintso kunye nengqondo.
I-ingiopathy yesifo se-diabethe yeengcambu ezisezantsi zihambelana nezi zilandelayo:
- intlungu kunye neenkampu emilenzeni;
- ukuvakalelwa kwezinto ezinwabuzelayo "i-goosebumps", ukuphazamiseka, ukubetha;
- utshintsho olunezitsholongwane kwisakhiwo sesikhumba;
- ukutyunjwa okuphakathi;
- ukukhutshwa ngokusisigxina kwezitho;
- zilonda;
- i-necrosis (kwizigaba zokugqibela).
Xa izilonda zeenqwelo zentliziyo, i-macroangiopathy ibonakalisa ngokolu hlobo lulandelayo:
- i-arrhythmia;
- ukuphefumula okufutshane;
- tachycardia;
- intliziyo yokukhwehlela;
- kutyhafa;
- bradycardia;
- ukunciphisa umthamo we-stroke wentliziyo;
- i-extrasystole;
- ukungcola;
- ezibuhlungu.
Ngoku qwalasela imimiselo yomonakalo kwi-capillaries kunye nemithambo encinane yegazi.
I-angiopathy ye-diabetes ye-retina ibonakaliswe ngolu hlobo lwezonyango:
- ukucaca okucacileyo kunye nokubonakala okubonakalayo;
- Izinto ezifihliweyo, ngokungathi zifihliwe ngesigubungelo;
- ukukhanya kweentshaba, amabala, ukukhanya phambi kwamehlo;
- ekuhambeni kwexesha - ukungaboni.
Ukutshatyalaliswa kwemikhumbi yeentso, i-nephropathy, ihamba kunye neempawu ezilandelayo:
- kuzela nobuthathaka;
- ukuvuvukala okukhulu;
- isicefe
- uxinzelelo lwegazi oluphezulu;
- ukuvuthwa rhoqo.
Ukuxilongwa kwesifo sikasifo sikasifo okanye isifo esingenakukhubazeka kwengqondo esineengcinga ezinjalo:
- izikhalazo zeememori;
- ukungonakaliswa kokuguquka;
- ukuphulwa kolawulo lokuhamba;
- ubukho beengcamango zomzimba;
- ukungaqiniseki kwemali;
- anisocoria;
- ukunyaniseka kokucinga;
- ukukwazi ukugxila.
Unyango lwe-angiopathy yesifo sikashukela
Ulwaphulo lwe-complication echazwe yinto yesifo sikashukela kukulawulwa rhoqo kwe-glucose egazini, njengento ebangela umonakalo kwimithana yegazi. Ngenxa yale njongo isetyenziswe amalungiselelo akhethekileyo:
- Diabeton;
- Kudala;
- Maninil;
- Siofor;
- Glicon;
- Metogamma;
- Diastabol;
- Amaryl.
Ukongezelela, amayeza avela kumaqela amachiza amaninzi amiselweyo:
1. Ukunciphisa inani le-cholesterol:
- Lovasterol;
- Vazilip;
- ICardiostatin;
- Zocor;
- Atherostat;
- I-Holletar;
- Liptonorm;
- Torquard.
2. Ukunciphisa uxinzelelo lwegazi:
- Diroton;
- Finoptin;
- Corinfar;
- Isoptin;
- Cordipine;
- Ukungabikho kwetikiti;
- Equator;
- Binelol.
3. Ukususwa kwe-fluid excess:
- Diakarb;
- I-Spironol;
- Lasix;
- Veroshpiron;
- Urakton.
4. Ukunyanyiswa okwandiswa kweendonga ze-vascular, ukuphucula ukujikeleza kwegazi:
- Niacin;
- Venoruton;
- Troxevasin;
- Rutin;
- Agapurgin;
- Imemoplant;
- Trental;
- Ginkgo Biloba;
- Iimvumi zeMemori.
5. Ukukhusela ukubunjwa kwe-thrombi:
- Wobenzym;
- Angioflux;
- Umkhumbi ngenxa yeF;
- Detraleks;
- Aspirin.
6. Ukuphuculwa kweenkqubo zetekisi:
- Pyridoxine;
- Solcoseryl;
- vitamin C;
- Trifosadenine;
- Tocopherol.
Ngenxa yokungaphumeleli kweyeza okanye izigaba ezinzulu zokugula, kusetyenziswe amanyathelo angaphezulu.
Ngoko, unyango lwe-angiopathy ye-diabetes ye-diabetes ye-sophthalmatically infringities iqulethe ukutshitshiswa kweenyawo. Ukulwa nephrophyathy enkulu, i-hemodialysis ehleliweyo imiselweyo, kwaye kwimeko yokuqhubela phambili kwe-retinopathy, i-laser photocoagulation imiselwe.