Mekhoa ea phekolo ea lefu la tsoekere la angiopathy ea likarolo tse tlase
Re u fa hore u bale sengoloa se buang ka sehlooho se reng: "kalafo ea angiopathy ea lefu la tsoekere ea libaka tse tlase" ka maikutlo a litsebi. Haeba u batla ho botsa potso kapa ho ngola maikutlo, o ka etsa sena ka tlase, kamora sengoloa. Setsebi sa rona sa endoprinologist se ikhethang se tla u araba.
Lefu la tsoekere la Liabetes Limbs: Tlhahlobo e Felletseng
Ho tsoa sengoloeng sena u tla ithuta: lisosa tsa lefu la tsoekere la likarolo tse tlase le kalafo ea lefu lena. Matšoao a tloaelehileng, mekhoa ea ho hlahloba le ho thibela.
Ho ba le lefu la tsoekere la "lefu la tsoekere" la maemo a tlase-tlase ke mathata a lefu la tsoekere, leo ho lona ho nang le tšenyo methapong ea mali, methapo ea kutlo le khaello ea phepo e nepahetseng ea litho tsa maoto.
Ho thata ho phekola lefu la tsoekere le nang le lefu la tsoekere. Empa hoa khoneha ho netefatsa boemo bo tsitsitseng le ho qoba litlamorao tse nyahamisang: gangrene (necrosis), ho khaoloa ha maoto.
Sephetho sa kalafo se khethoa haholo ke karolo ea ts'ebetso ea methapo, taeo ea mokuli, nako ea ho batla thuso ea bongaka.
Lingaka tsa litsebi tse fapaneng li kenella ka nako e le ngoe kalafong ea phepelo ea methapo ea mali ho ea maotong ka lefu la tsoekere: ngaka ea methapo ea kutlo, ngaka ea methapo, lingaka tse akaretsang le methapo, le ngaka ea methapo ea pelo. Mokhoa o kopaneng oa ho fumana lefu lena le kalafo ea lefu lena o tiisa ho bolokoa ha bophelo bo botle le boleng ba bophelo ho bakuli ba nang le lefu la tsoekere.
Ho na le mefuta e 'meli ea lefu la tsoekere:
- Microangiopathy - eo ho eona li-microvasculature le li-capillaries li senyehileng.
- Macroangiopathy - mathata a teng sebakeng sa methapong le methapong.
Glucose e ngata, e teng maling maling a lefu la tsoekere, e kena leboteng la sejana. Sena se halefisa tshenyeho ea endothelium (bokaholimo ba marako a sekepe), e bang teng tsoekere. Ka endothelium, tsoekere e putlama ho sorbitol le fructose, eo ha e bokelletse ho hohela selikalikoe. Ho tetebela le ho teba ha lebota hoa hlaha.
Ts'ebetso ea bots'epehi ba methapo ea methapo e halefisa ho lokolloa hoa lintlha tsa tsamaiso ea mali ea mali (sebopeho sa microtrombi). Hape, endothelium e senyehileng ha e hlahise ntho e khathollang ea endothelial, e fanang ka tlhahiso ea khanya ea sekepe.
Ho tlola lesapo la methapo ea methapo, ts'ebetso ea ho ruruha le ho fokotseha ha phallo ea mali - Virchow triad ke letšoao le hlakileng la angiopathy.
Sena se lebisa ho tlala ea oksijene ea lisele le lisele, atrophy, ho ruruha le ts'ebetso ea li-fibroblasts. Ba kopanya lisele tse sebetsanang, li baka sclerosis (gluing) ea methapo ea mali.
Ka lijana tse kholo, ho etsoa ha li-atherosselotic plaque ho kenella liphetoho tsena.
Karolo e ka sehloohong ea ho hlaha ha bothata e bapaloa ke polyneuropathy - tšenyo ea methapo ea methapo ea maoto. Ka lefu la tsoekere, ho na le liphapang tse bang teng ha tsoekere e maling. Ha e fokotseha (hypoglycemia), lisele tsa methapo li ba le tlala. Ka tsoekere e ngata haholo, ho thehoa li-radicals tsa mahala, tse tsosang oxidation ea lisele le ho tsosetsa moea oksijene. Ho bokellana ha sorbitol le fructose ho lebisa ho edema ea methapo ea methapo.
Haeba khatello ea mali (khatello ea mali e eketsehile) e eketsoa ho sena, joale ho na le spasm ea li-capillaries tse fepang kutu ea methapo.
Ho kopana ha lintho tsena ho etsa hore ho be le tlala ea oksijene le lefu la lits'ebetso tsa methapo. Ba khaotsa ho fetisetsa ts'usumetso ea methapo ho lisele.
Ts'ebetso ena e kopaneng ea phepo e nepahetseng ea lithaelese tse tlase tse tlasa mochini oa ho hlaha ha lefu la tsoekere.
Lisosa tsa lefu la tsoekere la angiopathy ea likarolo tse tlase
Ntshetsopele ea lefu la tsoekere e etsahala khahlano le semelo sa lefu la tsoekere la mofuta oa pele kapa oa bobeli ka lebaka la glucose e eketsehileng ea mali le li-spikes tse bohale tse sa laoleheng maemong a tsoekere. Mofuta oa 1 oa lefu la tsoekere, ha insulin ea methapo ea kutlo e sa hlahisoe ho hang, ho bonolo haholoanyane ho laola sethala sa tsoekere se tsitsitseng. Ka mofuta oa 2, ha tlhahiso ea "insulin" makhophong e bolokoa, empa e sa lekana, litlhoro tse joalo li ka se qojoe, leha e le ho latela ka tieo likhothaletso tsa ngaka ea kalafo ea endocrinologist.
Lintho tse kenyang letsoho ho ntlafatseng mathata a vascular ho lefu la tsoekere ke:
- insulin - insensitivity ea insulin,
- dyslipidemia - likaroloana tsa atherogenic tsa lipoprotein,
- botenya - haholo-holo visceral, mofuta oa banna, ka ho hlahisa lithane tsa adipose ka mpeng le litho tsa ka hare,
- khatello ea kelello ea methapo
- eketseha ha mali
- tsamaiso ea methapo
- ho tsuba
- bophelo ba ho lula fatše
- likotsi tsa mosebetsing
- bokapele ba lefutso
- lilemo - lilemo tse fetang tse 45 bakeng sa banna, 55 - bakeng sa basali.
Ho hlola likepe tse kholo le tse nyane ho ka hlaha pele ho feta lilemo tse tharo kamora lefu la tsoekere. Le hoja hangata e etsahala hamorao, kamora lilemo tse 10-15. Ka hona, hang ha ts'ebetso ea ts'oaetso ea lefu la tsoekere e thehiloe, ho hlokahala ho sebetsana le thibelo ea lefu la tsoekere la angiopathy.
Matšoao a phepelo e mpe ea mali maotong a qala butle. Qalong, mokuli a ka 'na a ikutloa a se a sa fetohe.
Tobetsa ho setšoantšo ho holisa
Matšoao a pele ao u lokelang ho a ela hloko a kenyeletsa:
- boteng ba maoto,
- maoto a batang
- cramps
- fokotsehile kapa tahlehelo ea maikutlo,
- bohloko ba mesifa ea nakoana
- ho satalla ha hoseng
- Bohloko ba "ho qala"
- Ho ruruha ha manonyeletso, ho ruruha ha maoto ka khatello ea kelello e telele,
- ho oma le ho fifala ha letlalo,
- leoto la leoto
- maikutlo a tukang
- phetoho le boima ba lipekere menoaneng ea menoana.
Ka tsoelo-pele ea psychology, lipakeng tsa nakoana, tlolo ea botšepehi ba letlalo, ponahalo ea liso tsa trophic li kopanela. Boemong bona, u ke ke ua lieha le ho chechisetsa ketelo ea ngaka ea bongaka. Mehato ea tšohanyetso e hlokahala ho thibela atrophy le gangrene.
Maemong a tsoetseng pele a lefu la tsoekere mellitus, ho thehoa motsoako oa mathata a amanang le lefu la tsoekere - leoto la lefu la tsoekere, le nang le liphetoho tse fetoletsoeng ke masapo.
Leoto la lefu la tsoekere le ulcers tse tebileng
Ka leoto la lefu la tsoekere, maqeba a phatsimang a tebileng a hlaha, a kenella ho tendon le masapong. Ho na le monyetla oa hore o tla hlaseloa, hape ho na le monyetla o mongata oa ho robeha ha masapo a leoto, maoto a holofetse.
Ka nako e ts'oanang, lijana tsa maoto le matsoho lia ts'oaroa 'me li ts'oaroe - Menkeberg syndrome.
Tlhahlobo ea sepheo e lekola boemo ba letlalo, lipekere, tlhahlobo ea maoto ka botlalo, libaka tse arohaneng li hlokahala. Ngaka e hlahloba ho ts'oaroa ha methapo ea mali, e lekanya khatello ea methapo ea methapo ea popliteal le ea basali, 'me e bapisa tatellano ea matšoao. E lekola mocheso, tactile le sensational kutlo ea maoto.
Ka thuso ea liteko tsa laboratori, ho kheloha mekhoa ea biochemical.
Mekhoa e metle ea ho khetholla le ho tseba hore na tsenyehelo e kae:
- angiography - Tlhahlobo ea x-ray ea methapo ea mali e sebelisang mokhoa o fapaneng,
- Ho hlahlojoa ha mebala ea "Doppler" - tlhahlobo e sa hlaseleng ea phallo ea mali,
- khomphutha video
- spiral computed tomography,
- monahano oa matla a kelello
- Tlhahlobo ea fundus - ponelopele ea phallo ea mali ea bethe ea microvascular.
Ho phethela setšoantšo sa bongaka, etela ngaka ea methapo ea kutlo, ngaka ea methapo, ngaka ea masapo le ngaka ka kakaretso
Boemo bo ka sehloohong bakeng sa kalafo ea lefu la tsoekere la angiopathy ea likarolo tse tlase ke ho thatafala ha metabolism ea carbohydrate. Ntle le lijo, khetho e lekaneng ea lithethefatsi tse theolelang tsoekere le taolo e tiileng ea maemo a tsoekere, mehato e meng kaofela ha e na thuso ebile e ke ke ea lebisa sephethong se lakatsehang.
- tlohela ho tsuba
- etsa hore boima ba 'mele bo fetohe
- laola khatello ea mali.
Phekolo ea Conservative e na le ts'ebeliso ea lithethefatsi tse reretsoeng ho ntlafatsa phallo ea mali le litekanyetso tsa eona tsa biochemical, metabolism ho li-tishu.
Bakeng sa morero ona, lithethefatsi tsa lihlopha tse latelang li laetsoe:
- Statins - ho theola k'holeseterole le ho loantša dyslipidemia.
- Ho bolela khahlano le khatello e phahameng ea mali.
- Li-antioxidants - li ama methapo ea mali hantle.
- Li-thinner tsa mali.
- Angioprotectors.
- Metaboliki.
- Lintho tse khothatsang tsa Biogenic.
- Lithethefatsi tse tlatsetsang.
- Diuretics
- Lihlahisoa tsa nchafatso ea lisele.
Bakeng sa kalafo ea polyneuropathy, lithethefatsi tsa neurotropic, livithamini tsa B, li-antidepressants li sebelisoa.
Khetho ea meriana e etsoa ka bonngoe, ho nahanela liphapang tse khethiloeng.
Ho buoa ho kenyelletsa lipheo tse peli tse fapaneng: ho khutlisetsa phepelo ea mali libakeng tse tlase le libaka tse shoeleng.
Mesebetsi ea ho khutlisetsa methapo e sebelisitsoeng ho lefu la tsoekere:
- Mokhoa o sa hlaseleheng habonolo - ka ho thuha likepe tse kholo,
- ts'ebetso ea endovascular - ka lesion e arohaneng,
- Ho sisinyeha - ka ho thunya ha nako e telele ho theha mocha oa maiketsetso bakeng sa phallo ea mali ho fetela litsing tsa stenotic.
Ts'ebetso e joalo e khutlisetsa phallo ea mali maotong le ho khothaletsa ho ruruha ha liso tsa kahare tsa trophic.
Kutloelo-bohloko ea Lumbar - ho phunya - ho kenyelletsa ho kenella ha likutu tsa kutloelo-bohloko tikolohong ea lumbar. Ho kenella ka tsela ena ho tlosa ho ruruha ha methapo ea methapo mme ho eketsa phallo ea mali maotong.
Phekolo ea kalafo e sa tloaelehang - ho pongoa - e bitsoa khetho e fetelletseng ha ho bile le liphetoho tse ke keng tsa fetoha, necrosis ea tishu kapa lefu la seoa. Bophahamo ba modumo bo khethoa ho latela sebaka sa sebaka se amehileng: menoana, karolo ea leoto, leoto.
Phello ea 'mele ke mokhoa o thusang mme o na le phello e sa tsitsang. Leha ho le joalo, ka kakaretso, e nolofalletsa boemo ba mokuli haholo.
Physiotherapist e ka fana ka taelo:
- magnetotherapy
- kalafo ea seretse
- ho silila
- libate tsa maoto.
Litlama tsa litlama bakeng sa lefu la tsoekere la angiopathy ea likarolo tse tlase li nkuoa ka molomo (tee, infusions) mme li sebelisoa kantle (libate, li-compress).
Hopola: meriana ea litlama e ke ke ea nkela litlamorao tsa lithethefatsi, empa e sebetsa joalo ka kalafo ea adjunct.
Litlolo tsa litlama li matlafatsa tlhahiso ea insulin, li matlafatsa methapo ea mali le ho itšireletsa mafung, li ntlafatsa le ho tsitsisa mekhoa ea metabolic 'meleng.
- Tee le kofi li nkeloa sebaka ke tee ea chicory le herbal: chamomile, linden, blueberry, ho tloha sage, lilac.
- Dandelion e na le ntho e tšoanang le insulin. Bakeng sa ho pheha: nka 2 tbsp. l Metso ea dandelion e ncha kapa e omisitsoeng, tšela 800 ml ea metsi a belang, tlohela bosiu. Nka metsotso e leshome le metso e mehlano pele u ja.
Ho itokisetsa: 400 g ea sonobolomo kapa oli ea mohloaare butle-butle tlisa ho pheha ka sekotlolo sa ceramic. Kenya 50 g ea linotsi, 100 g ea spruce kapa phaene ea phaene. Pheha motsoako ona bakeng sa metsotso e 5-10, qoba ho pheha. Pholisa 'me u boloke oli e felisitsoeng ka phapusing e le hore e se ke ea chaba letsatsi. Kenya kopo e kolobisitsoeng ka ho kenngoa ha oli leqebeng le leng le le leng ka metsotso e 20-30 ka letsatsi.
10-15% ea bakuli ba bolaoa ke mathata a lefu la tsoekere, necrosis le chefo ea mali (sepsis).
Ho latela mehato ea thibelo ho pholosa bophelo. Ho khutlisetsoa phepelo e felletseng ea phallo ea mali maotong ho ka etsahala haeba mathata a amanang le ho kena-kenana le methapo ea methapo a e-so fihle.
Phekolo ea lefu la tsoekere la angiopathy ea likarolo tse tlase ha e sebetse kamehla, haholoholo mekhahlelong e tsoetseng pele. Leha ho le joalo, boemo bona bo ka thibeloa.
Mehato e etselitsoeng ho thibela mathata a lefu la tsoekere:
- taolo ea tsoekere
- boima ba 'mele
- ts'ebetso e ntle
- bohloeki ba maoto
- pedicure ea bongaka
- lieta tsa masapo tse boreleli,
- ho tlohela mekhoa e mebe.
Ho ikamahanya le liketso tsena tse bonolo ho na le makhetlo a mabeli ho isa ho a 4 a atlehang ho feta kalafo ea lithethefatsi ea pathology e tsoetseng pele.
Wayne, A.M. Hypersomnic Syndrome / A.M. Wayne. - M: Bongaka, 2016 .-- 236 leq.
Strelnikova, Natalia Lijo tse folisang lefu la tsoekere / Natalya Strelnikova. - M.: Vedas, 2009 .-- 256 leq.
Gurvich Mikhail Phekolo ea phepo e nepahetseng bakeng sa lefu la tsoekere, Terra - M., 2013. - 288 leq.
E re ke itsebise. Lebitso la ka ke Elena. Ke qetile lilemo tse fetang 10 ke sebetsa ke le setsebi sa endocrinologist. Ke lumela hore hajoale ke setsebi lebaleng la ka mme ke batla ho thusa baeti bohle ba sebakeng sena ho rarolla mesebetsi e rarahaneng eseng joalo. Lisebelisoa tsohle tsa sebaka sena sa marang-rang li bokelloa ebe li sebetsoa ka hloko e le hore li fetise litaba tsohle tse hlokahalang ka hohle kamoo ho ka khonehang. Pele o sebelisa se hlalosoang webosaeteng, ho hlokahala tumellano ea ho buisana le litsebi kamehla.
Tlhomamiso
Ho latela hore na lefu lena le ama likepe kapa li-capillaries life.
- Lefu la tsoekere lephropathy (Tšenyo ea liphio),
- Diabetesic retinopathy (motsoako o amang mahlo o tšoauoa ka tšenyo ea lijana tsa retina),
- Lefu la pelo,
- Letsoalo la lefu la tsoekere la libaka tse tlase,
- Vasular dementia (ho fokotseha ha bokhoni ba ho nahana bo bakoang ke ho fokotseha ha phallo ea mali ho ea bokong).
Lihlopha tsa likotsi
Lefu la tsoekere le baka likhathatso tsa metabolism le lihormone, tse etsang hore ho be le lefu la tsoekere. Boloetse bona bo hlile bo itšetleha ka liphatsa tsa lefutso le litšobotsi tsa motho. Bakuli ba nang le lefu la tsoekere la mofuta oa 1 le mofuta oa 2 ba utloa bohloko ka tsela e fapaneng. Batho ba nang le khatello e matla ea systolic ba sebelisang joala hampe, hammoho le batho ba tsubang le batho ba sebetsang indastering e kotsi, ba tloaetse ho ba le lefu la tsoekere. 20% ea bakuli ba nang le lefu la tsoekere ba kena sepetlele ka lebaka la mathata a lipelong tse tlase, hangata e le tšoaetso. 50-70% ea lintlafatso tsohle tsa liphello tse tlase li hlaha ho bakuli ba lefu la tsoekere. Liso tsa liphello tse tlase (ulcer, tšoaetso ea fungal e sa feleng kapa paronychia) e kanna ea ba sesupo sa lefu la tsoekere.
Angiopathy e fumanehang ho batho ba nang le lefu la tsoekere makhetlo a 15 * khafetsaho feta ho bakuli ba se nang lefu la tsoekere. Lefu la sebete la lefu la tsoekere ha le fumanehe haholo ho bakuli ba nang le lefu la ho hlobaela.
* ho latela AmericanDiabetesAssociation (American Diabetes Association)
Lefu la tsoekere la Micro-angiopathy
Diabetes angiopathy e arotsoe ka mefuta e 'meli: micro- and macro-angiopathy:
- Macro-angiopathy e ama lijana tsa lipheo tse tlase le pelo. Lipids le metjeko ea mali li bokellana methapong ea mali, li khomarela marako a tsona, li thibela phallo ea mali,
- Micro-angiopathy e senya mahlo le liphio. Marako a methapo e menyenyane ea mali a fokola, a tsoa mali hape a tsoa le protheine.
Ts'oaetso
Tlhahlobong ea pele, setsebi se tla lekola lipontšo tsa kliniki tsa angiopathy, tse kenyeletsang matšoao a 6:
- Bohloko (phomolong, bohloko ba bosiu le boroko),
- Ho haelloa ke pulse (litšusumetso tsa leoto ha li eo, tšusumetso ea popliteal e matla ebile e ea bonahala)
- Poikilothermy (ho sa khone ho etsa puseletso bakeng sa liphetoho bakeng sa mocheso o ts'oanang, ho fokotseha hoa mocheso oa maoto),
- Maoto a boreleli,
- Paresthesia
- Ho holofala.
Hape, ngaka e tla fana ka liteko tse latelang:
- U sebelisa tlhahlobo ea Doppler (Ho hlahlojoa mebala ea Doppler) - liteko tse sa hlaseleng ho lekola khatello ea methapo le phallo ea mali ho tsoa / ho tsoa methapong ea mali,
- Photoplethysmography - Tlhahlobo ea mafu a ipapisitseng le liphetoho tse hlahang letlalong, - litlaleho tsa tlolo ea phallo ea mali ea venous,
- Arteriography maemo a tlase a tlase a hlokahala bakeng sa bakuli ba lebisitsoeng ho opereishene ea methapo ea methapo. Arteriografia e etsoa khahlano le semelo sa ponahalo ea liso maotong le litšusumetso tse sieo tsa leoto,
- X-ray (hammoho le angiography usingasiyana) ho lekola boemo ba methapo ea mali,
- Magnetic resonance angiography liteko tse sebelisoang ho lekola angiopathy, e na le monyetla o hlakileng ka lebaka la tlhokahalo ea phapang,
- Capillaroscopy ea khomphutha - bakeng sa ts'oaetso ea maloetse a potoloha,
- Scadionuclide scan sebelisa pyrophosphate e ka sebelisoa ho kenyelletsa radiology, keketseho ea ho monya e lumella ho bona osteomyelitis maemong a pele.
Ntle le liteko tsohle tse kaholimo, mokuli o lokela ho feta:
- Teko ea mali (palo ea lisele tse felletseng e nang le phapang, ESR),
- Urinalysis
- Motsoako, tlhahlobo ea mali
- Sekhahla sa filtara,
- Teko ea mali bakeng sa beta 2 microglobulin (ho lekola tšenyo ea liphio),
- Boemo ba lipid (cholesterol, triglycerides, LDL, HDL).
Phekolo e lokela felisa matšoao a lefu lena 'me e fokotseha ho boloka boemo bo phahameng ba tsoekere maling, ho ntlafatsa phallo ea mali le ho hanyetsana ha mali, ho theola cholesterol.
Phekolo ea lithethefatsi
Phekolo e fapana ho latela hore na ts'oaetso e tebile hakae le ho ba teng ha tšoaetso e behang bophelo kotsing, e kang sepsis, myonecrosis, gangrene le osteomyelitis. E sebelisoa hangata:
- Lithibela-mafu (ntoeng ea ho loants'oa liso tsa kaetso),
- Maemo (bakeng sa ho fokotsa cholesterol - atorvastatitis, lovastatin),
- Metabolic litokisetso (ho ntlafatsa phepelo ea matla ea lisele, bonolo, trimetazidine),
- Litokisetso tse ncha madi (aspirin)
- Angioprotectors (fokotsa vasema edema, fetisa metabolism, dicinone, anginin)
- Lithethefatsi tse felisang ho ruruha (diuretics - furosemide)
- Li-antioxidants le livithamini Sehlopha B.
Lithethefatsi tse tloaelehileng haholo:
Lebitso la lithethefatsi | Se amang | Contraindication | U ka e nka joang | Theko (e fapana ho latela sebaka, nka boleng bo bohareng) |
Venoruton | E thusa ho ntlafatsa phallo ea mali, e imolla bohloko le ho ruruha. E le kalafo ea mola oa pele ho bakuli ba atherosulinosis le khatello ea mali | 1 trimester ea bokhachane | 1 capsule makhetlo a 2-3 ka letsatsi ka likhoeli tse 2-3 | Hoo e ka bang li-ruble tse 700 ka li-pcs tse 50. 300 mg |
Trental | E sebelisoa bakeng sa liso tsa trophic, mathata a ho potoloha, vasema edema | Hypersensitivity ho likarolo, moimana, lilemo ho fihlela lilemo tse 18 | Letlapa le le leng la 100 mg makhetlo a 3 ka letsatsi | 400 li-ruble 100 mg 60 likhomphutha. |
Pentoxifylline | E potlakisa li-microcirculation, e fokotsa methapo ea methapo | Hypersensitivity, boimana, myocardial infarction | Letlapa le le 1 makhetlo a 2-3 ka letsatsi, tsela ea kalafo - libeke tse 2 ho ea ho tse 2 | 160-180 li-ruble 60 li-pcs. 100 mg |
Lipoic acid | E ntlafatsa ntlafatso ea methapo | Boimana, ho anyesa | Letlapa le le leng ka letsatsi | 35-50 li-ruble 12 mg 50 li-pcs. |
Cardiomagnyl | Mofuta oa mali | Tloaelo ea ho tsoa mali, asthma, ho ima, ho se sebetse hantle ha renal | Letlapa le le leng hang ka letsatsi | Li-ruble tsa 120-290 li-ruble tse 30 likhomphutha. 150 mg |
Melao-motheo ea kalafo ea angiopathy ea lefu la tsoekere ea lipakeng tse holimo le tse tlase
Tlalehong ea Machaba ea Maloetse, lefu lena le fuoe khoutu ea 10,5 (ea lefu la tsoekere la mofuta oa 1) le khoutu ea 11.5 (mofuta oa 2 lefu la tsoekere). Mekhoa ea phekolo e etselitsoe ho fokotsa ischemia ea vascular le ho ntlafatsa phallo ea mali ka kakaretso.
Haeba sena se sa khonehe, mme li-abscesses le libaka tse nang le necrotic li le teng, kalafo e etsoa mafapheng a ho buoa ka puruse.
Phekolo ea lefu la tsoekere e feteletseng (lefu lena leo ho thoeng ke DAC) e reretsoe ho emisa matšoao a lefu le tsosang: lefu la tsoekere. Mokuli o fetola tsela e tloaelehileng ea bophelo: o hana mekhoa e mebe, o leka ho theola boima ba 'mele mme o lokisa lijo tse fetileng, o etsa ts'ebetso ea thibelo ea litho tse holofetseng.
Pele o qala kalafo e akaretsang, tlhahlobo ea lefu lena e ea etsoa, ho kenyelletsa le:
- Ultrasound ea boemo ba likepe,
- angiography. Boithuto bona bo thusa ho utloisisa hore na matla a "vascular" a hantle hakae.
Har'a mekhoa ea kajeno ea kalafo, e lokela ho khetholloa:
- lymphomodulation, e thusang ho ntlafatsa phallo ea mali. Mokhoa ona oo e seng oa puisano o thusa ho tlosa ho ruruha ha lisele hantle.
- kalafo ea lithethefatsi
- kalafo ya mmele
- ho kenella ha opereishene molemong ha meriana le physiotherapy li sa fane ka sephetho se lakatsehang.
Ho bohlokoa ho utloisisa hore DAK ha e phekolehe kapele. Leha ho le joalo, mekhoa ea sejoale-joale e fana ka phello e ntle esita le methating ea morao ea lefu lena.
Ho khaoloa ho sebelisoa feela maemong a feteletseng ka ho fetesisa (ka lesapo la mokokotlo la litho tsa maoto).
Ke lihlopha life tsa lithethefatsi tse fuoeng bakuli ba lefu la tsoekere?
Melao-motheo ea kalafo e bolokang lintho tse latelang ke e latelang:
- kalafo ea insulin le lithethefatsi tse theolelang tsoekere maling: Siofor, Glucofage, insulin le Diabeteson. Hape, ja lijo
- lipid tse fokotsang kalafo. Morero ke ho etsa hore metabolism ea metabolism e se ke ea sebetsa. Lithethefatsi: Simvastatin kapa Atorvastatin. E amoheloa ka molomo, e le telele,
- kalafo ea anticoagulant. Morero ke ho thibela ho bola ha mali ka ho eketsa nako ea ho putlama. Lithethefatsi tse nang le sena - Heparin, Enoxaparin. Heparin ka tekanyetso ea pele ke likarolo tse likete tse 5. mme e ts'oaroa ka mokhoa o ikhethileng kapa ka methati. Enoxaparin - ho fihlela 40 mg / ka letsatsi motsoali,
- kalafo ea antibacterial. Haeba ho na le bopaki,
- antiplatelet kalafo ea nako e telele. Morero oa eona ke ho ntlafatsa pono ea mali. Ho sebelisa lithethefatsi ka molomo feela (ka mg / ka letsatsi): Clopidogrel - 300, Dipyridomol - 30-450, Aspirin - 100-300. Tekanyetso ke motho ka mong,
- angioprotectors. E sebelisoa e le keketso ea kalafo ea mantlha e le ho ntlafatsa phallo ea mali. Xanthinol, Pentoxifylline kapa Alprostan e laetsoe. Ho qetela ke vasodilator e ntle ebile e ntlafatsa pono ea plasma. Le masea a sa tsoa tsoaloa a ka beoa,
- Phokotso ea matšoao a bohloko ke lithethefatsi tse khahlanong le ho ruruha (non-hormonal). Haeba li sa thusa, li-opioid tsa mofuta oa Morphine li fanoa ka tekanyetso e tloaelehileng,
- bohloeki ba maoto. Ena ke ntlha ea bohlokoa haholo kalafong. Mokuli o lula a roala lieta tse phutholohileng, tse sa pikitleng, a khone ho sebetsana le poone kapa maqeba, le ho tlosa poone.
Li-vithamini le Meriana ea Homeopathic
Bakeng sa litokisetso tsa vithamini, ho boleloa libaka tse amanang le li-Thiogamma kapa Berlition. Li ntlafatsa phallo ea mali haholo le ho matlafatsa methapo ea mali. Phekolo ea homeopathic e nka nako e telele 'me e hloka kalafo e tšoanelehang e tlamehang.Ho ka khothaletsoa litlhare tse latelang tsa homeopathic.
- Sekale Kortunum. E sebelisoa bakeng sa mofuta ofe kapa ofe oa lefu la tsoekere haeba ho na le bothata ba gangrene le / kapa lefu la tsoekere (DS),
- Graphitis. Phekolo ea lefu la tsoekere la mofuta oa 2. Ha ho na li-contraindication. E bontšoa kalafong ea DS,
- Arsenic. E sebelisetsoa mellitus e sa itšetleheng ka insulin 'me e laetsoe hammoho le lithethefatsi tse theolelang tsoekere. Thupelo ena e nka likhoeli tse peli kapa ho feta. Setlhare ha se na litlamorao. Empa ka bokhoba ba joala, ha ua lokela ho bo amohela.
Nahana ka maemo a makatsang a ketso ea kalafo ea homeopathic: a ka baka tsitsipano khoeling matsatsing a pele a 12 - 12. Haeba ho sena mokhoa o motle, kalafo e eketsehileng e lokela ho tšohloa le ho fetoloa le ngaka ea hau.
Mekhoa ea Phekolo ea Lefu la Tsoekere
Ts'ebetso ea ho buoa bakeng sa angiopathy ea lefu la tsoekere e etsoa e le mokhoa oa ho qetela oa ho khutlisa phallo ea mali le ho tlosa libaka tse shoeleng.
Haeba methapo ea kutlo ea basali kapa ea popliteal e fetoha e ke keng ea fetoloa, 'me ho emisa ha eona ho bonoa sebakeng se fetang 50%, ho laetsoe:
- thrombectomy. Tabeng ena, makeno a mali a epolloa sebakeng sa sebopeho 'me a tlosoa ka har'a likepe. Mokhoa oa sejoale-joale ke Endovascular. Tabeng ena, sebaka sa sebopeho sa "thrombus" se tšoailoe 'me mohoanto o monyane o etsoa haufi le sona. Ebe ho kenngoa catheter e khethehileng, e ntšang seaparo sa mali,
- hobella. Tsena ke li-prosthes tse khethehileng tse etsang hore li hokahane le likepe tse haufi. Ts'ebetso e na le likhohlano tse ngata,
- endarterectomy. Ts'ebetso ena e kenyelletsa ho hloekisa letheka la atherosselotic ke ngaka e buoang e tsoang ka hare leboteng la methapo. Ka lebaka leo, leseli la mokokotlo le eketseha, le lumella mali ho potoloha ka bolokolohi. Ka linako tse ling ho kopantsoe le ts'ebetso ea bongaka e fetang kapele.
- profundoplasty. E etselitsoe "ischemia" e tebileng ea serope se kaholimo, ha methapo ea methapo ea methapo e nyenyefatsa leseli la mokokotlo oa mokokotlo hoo mali a ke keng a kena ka ho lona. Se boleloang ke ts'ebetso ke ho khahla lithapo tse tsoang botebong ba pelo le ho eketsa bophara ba eona ka patch. Kotsi e tlaase: ka tlase ho 1%,
- e koenya. U sebelisa moetso o khethehileng oa lithapo (stent), mabotlele a ka sekepeng a atolosoa. Sesebelisoa se otlollotsoe ka balune e khethehileng sebakeng se mahlonoko, mme eena, a atolosa leseli, o lula a le teng ka ho sa feleng,
- balaton dilatation. Catheter e nang le balune e nyane qetellong e kenngoa ka lesoba letlalong. E fafalitsoe sebakeng se nepahetseng, 'me se hahelletsoe hantle ka polasetiki,' me sethala sa sekepe sea khutlisoa. Empa, kaha ho na le monyetla oa hore stenosis e phetoa, ts'ebetso ena e tlatselletsoa ka ho tsitsipanya.
Ha ho fumanoa hore ho na le mokokotlo, leoto le ka tlase le tla koaloa ka bomalimabe.
Tsepamiso ea kelello le "necrosis" ea lisele tsa lisele li hloka ho tlosoa. Ts'ebetso tsena li kenyelletsa ho bula mohopolo o tšoaetsanoang le litšila tsa lona (ho hloekisoa). Phekolo e joalo e ke ke ea rarolla bothata, empa e ke ke ea lumella tšebetso ea purulent ho ata le ho feta.
Mekhoa ea sejoale-joale ea 'mele
Lefu la tsoekere le tšaba pheko ena, joalo ka mollo!
U hloka ho kenya kopo ...
Physiotherapy e na le mekhoa e mengata e fapaneng e sebelisang lintlha tsa 'mele tse kang mahlaseli a hajoale le a bobebe, moea le matla a khoheli. Mekhoa ea theknoloji e lula e ntlafatsoa. Khatiso e kholo kalafong ea angiopathy ea liqeto tse phahameng e behiloe ho electrophoresis le kalafo ea ultrasound.
Ntle le moo, ho ka khethoa tse latelang:
- Tharollo ea methapo le seretse,
- libaka tsa ho hlapela ka maoto le ho silila (lisebelisoa tsa matsoho kapa bukana),
- maqhubu a sebe
- lymphodulation
- kalafo ea decimeter: e ama sebaka sa shin.
Ho khothaletsa ts'ebetso ea pancreatic, electrophoresis e nang le ts'ebeliso ea lithethefatsi e boetse e sebetsa: litokisetso tsa nicotinic acid, Heparin, magnesium le potasiamo. Mokhoa o bontšoa bakeng sa lefu la tsoekere le itekanetseng. Nako - libeke tse 12 - 12 mme ke sepetlele feela.
Mokhoa oa ho phekola litlhare tsa setso?
Phekolo e 'ngoe e ka sebelisoa ka mokhoa oa mehato e meng ea kalafo ea DAK:
- camomile. E thusa ho khutlisetsa tsoekere ho tloaelehileng hape e na le phello e ntle ea antimicrobial le diaphoretic, e fokotsa mats'oafo a mala. Recipe: thispone e le 1 e phethahetseng pharmacy chamomile (kapa mekotla e meraro e hlophisitsoeng e entsoeng ka pampiri) tšela metsi a belang (kopi e 1) ebe u tlohela metsotso e 20. Bophahamo ba modumo bo arotsoe ka litekanyetso tse peli tsa 100 di ml ka nako ea lijo. E ka sebelisoa e le compress libakeng tse bohloko,
- sage. Semela se na le bokhoni ba ho boloka secretion le ho ntlafatsa ts'ireletso ea mmele. Recipe: likhaba tse 2 tse phethahetseng makhasi a lihlahisoa tse tala a tšela 400 ml ea metsi a belang ebe o tlohela hora e le 'ngoe. Nka e le tee: halofo ea senoelo pele ho lijo. Sehlahisoa se lokela ho jeoa letsatsi lohle,
- dandelion. Ho lokisa tharollo ho tsoa metso ea semela ho khothalletsoa letsatsi le letsatsi. Recipe: 1 tbsp. metso e sithabetseng ea 1 tbsp. metsi a belang. U ka ja makhasi a dandelion a lecha. Ho etsa sena, rinse makhasi a 5, u ba kha, 'me u kenye bakeng sa tatso halofo ea khaba ea oli ea meroho.
- calendula. E bontšoa bakeng sa mafu a letlalo le atherosclerosis, kaha e na le phello e matla ea antimicrobial. Ho phekola mafu a letlalo kapa maqeba, sebelisa lero la semela. Likhatello li etsoa ho eona. U ka sebelisa setlolo. Recipe: chop 100 g ea lipalesa tsa limela 'me u tšollele 2,5 tbsp. oli ea soneblomo (e chesa haholo, empa ha e belise). Kamora libeke tse peli tsa ho tsitlella, setlolo se se se loketse.
Sephetho ka ultrasound ea lijana tsa maoto le matsoho
Ho hlahlojoa ha Ultrasound ho fana ka pontšo ea boemo ba likepe.
Haeba u latela ts'ebetso ka kamoreng ea ultrasound, sephetho se tla fanoa ka mokhoa oa maikutlo a ngotsoeng. Ho thata haholo ho e utloisisa u le mong.
Ngaka ea hau e tla hlakola tlhaloso, o tla u fa le kalafo e latelang (haeba ho hlokahala). Haeba thuto e etsoa ke ngaka e buoang ka boeona, sephetho sa tlhahlobo le tlhahlobo ea mafu li tla etsoa hang-hang.
Boemo ba phallo ea mali bo hlahlojoa ke matšoao a latelang:
- phapang ea khatello ea mali e tlalehiloeng thekeng le mahetleng. Tloaelo ke 0.9. Melao e tlase e bonts'a stenosis e teng,
- phallo e phahameng ea mali mokokotlong oa basali le leoto le tlaase,
- khatello ea methapo
- bokaholimo ba lerako la methapo
- sekhahla sa ripple.
Tee ea Chamomile
Ka k'hemisteng u ka reka lipalesa tsa chamomile ka mekotleng ea likotoana tse 20. Li-skets tse peli li tšela 250 ml ea metsi a belang, e tlohele e tsoe nako e ka etsang hora, o hloka ho noa tee ea chamomile e halikiloeng hang ka letsatsi. Chamomile e na le phello e matla ea antimicrobial le anti-inflammatory.
Tee ea sage
Sage ke antioxidant e matla e matlafatsang sesole sa 'mele. Li-dessert tse peli tsa sessert li tšela 250 ml ea metsi a belang, e tlohele e fete hora, tee e nang le sage e lokela ho nooa makhetlo a 3 ka letsatsi.
Sage contraindified ka moimana le basali ba lactating, hammoho le batho ba nang le hypotension.
Keletso e thusang: ha ho hlokahale ho sebelisa chamomile le sage e le lisebelisoa tse ka sehloohong tsa ho etsa tee le infusions. U ka khetha litlama tse ling tse tloaetseng metabolism, ka mohlala, ginseng le dandelion li tla fokotsa lipontšo tsa ho se sebetse hantle ha lihormone, 'me elecampane e ntlafatse metabolism ea carbohydrate.
Bakuli ba nang le lefu la tsoekere ba lokela ho hana kofi.
Calendula compress
Kopanya makhasi a calendula le makhasi a linden le makhasi a nettle (khaba e le ngoe ea sessense), hlatsoa maoto a hau ka metsi a futhumetseng, ka hloko sebelisa motsoako ho liso, thatela maoto ka gauze (eseng ka thata). Khafetsa ea tšebeliso ke makhetlo a 2-3 ka beke, nako e ka ba metsotso e 20. Kamora ho sebelisa compress, hlakola maoto a hau ka metsi a futhumetseng.
Keletso e thusang: bakeng sa li-compress, u ka sebelisa metsoako e kang spruce kapa phaene resin (50 g) e kopantsoeng le linotsi (20 g) le oli ea meroho (200 g), likarolo tsohle li tlameha ho tsoakoa le ho pheha ka mocheso o tlase bakeng sa metsotso e 5, ebe u li kuta ka lero le bonojoana le sebetse ho liso tsa ka hanyane metsotso e 10.
Libaka tsa ho folisa
Bakeng sa ho hlophisoa ha libate, u ka sebelisa li-clover, joang ba koro, stepworm, art artooke ea Jerusalema.
Risepe e bonolo: tšela ligrama tse 50 tsa setlama leha e le sefe ka litara e le 1 ea metsi a belang. Tsitlella hora. Taba ea pele, u hloka ho chencha bath ka metsi a futhumetseng (hoo e ka bang likhato tse 35), tšela ka decoction, nako ea ho hlapela ke metsotso e 15. Nako ea kalafo hangata e nka libeke tse peli (haeba u hlapa matsatsi ohle a mabeli).
Thibelo
Ho kenyelletsa mehato e latelang:
- Ho theola tsoekere ea mali le taolo ea eona,
- Phekolo e bohloko
- Phekolo ea tšoaetso efe kapa efe
- Phokotso ea likhohlano le khatello,
- Pholoso ea phallo ea mali e lekaneng.
Bakuli ba bangata ba nang le lefu la tsoekere e ka qoba liso. Mokhoa o kopaneng o kenyelletsa ho theola boima ba 'mele, ho ikoetlisa (ho latela mamello) le ho tlohela ho tsuba le joala. Ho hloeka leoto letsatsi le leng le le leng ho bohlokoa ho fokotsa kotsi ea ho liso tsa ka mpeng. Khetho e lokela ho fuoa lieta tsa letlalo la 'nete le lisokisi tsa k'hothone, libaka tsa ho hlapisa tsa letsatsi le letsatsi li tla ba le phello e ntle.
Phetolelo e khahlehang mabapi le ho silila maoto ka lefu la tsoekere
Lijo le lipapali
Lijo tse nang le phepo e nepahetseng bakeng sa lefu la tsoekere li kenyeletsa mefuta e mengata ea lijo:
- Meroho
- Lithollo ka botlalo
- Litholoana
- Lero, khalase, bulgur, quinoa,
- Lihlahisoa tsa lebese tsa letlalo
- Linaoa
- Lijo tsa nama (khoho, mohatla),
- Litlhapi.
Lihlahisoa tsa Trigger ha lia lokela ho behelloa ka thoko:
- Tsoekere e bonolo le lik'habohaedreite,
- Lijo tse halikiloeng, tse letsoai, tse tsoekere,
- Nako e chesang kapa e nokiloeng
- Nama e khubelu.
Keletso e thusang: E ja bonyane makhetlo a 5 ka letsatsi ka likarolo tse nyane. Se ke la lebala ka metsi - bonyane lilithara tse 1.5 ka letsatsi.
Se ke oa hlokomoloha ho ikoetlisa. Khetha lipapali tse kang yoga, ho tsamaea ka sekhahla, qigong, ho palama baesekele. Boikoetliso bofe kapa bofe bo bobebe bo tla etsa, ebang ke ho tsamaea le ntja kapa ho sesa. Ntho ea bohlokoa ke ho etsa bonnete ba hore u li etsa letsatsi le leng le le leng.
Mehatong ea pele ea lefu la tsoekere e phekolehang hantle. Ha u belaela hore bokuli bo teng, ho bohlokoa ho batla thuso ea bongaka. Mokhoa o nepahetseng o felletseng le likeletso tsa setsebi li tla thusa ho sebetsana ka katleho le lefu lena.