Setšoantšo sa Clinical

Lipontšo tsa kliniki tsa lefu lena li hlahisoa eseng ke mofuta feela lefu la tsoekere, empa hape le ka nako ea thupelo ea hae, tekanyo ea matseliso a metabolism ea carbohydrate, ho ba teng ha mathata a methapo le mathata a mang. Ka nako e tšoanang, matšoao a kliniki a arotsoe ka lihlopha tse peli:

matšoaoe bontšang ho bolaoa ha lefu lena,

matšoao a amanang le ho ba teng le ho teba ha tsona lefu la tsoekere,neuropathyle ba bangli-pathologies tse thata kapa tse kopaneng.

Hyperglycemiae baka ponahalo ea glucosuria. Matšoao a tsoekere e phahameng ea mali (hyperglycemia):polyuria,polydipsia, ho theola boima ba 'mele ka takatso e matla ea molomo, molomo o omeletseng, bofokoli

microangiopathies (lefu la tsoekere retinopathy,neuropathy,nephropathy),

macroangiopathies (atherosulinosismethapo ea methapo ea kutlo,aorta,Likepe tsa GM, maemo a tlase), syndromelefu la tsoekere

Psychology: furunculosis,colpitis,vaginitis, ts'oaetso ea pampitšana ea urinary joalo-joalo.

Ts'oaetso

Boikoetlisong ba bongaka, litekanyetso tse lekaneng bakeng sa ts'oaetso ea lefu la tsoekere la mofuta oa 1 lefu la tsoekere ke ho ba teng ha matšoao a tloaelehileng a hyperglycemia (polyuria le polydipsia) le hyperglycemia ea laboratori - glucose ea "capillary" e potlakileng ea "gluill" ea "capillary" ea "glucose" e potlakileng le tse fetang 11,1 mmol / l mohloli ha oa hlalosoa matsatsi a 556

Ha a theha lefu la bongaka, ngaka e sebetsa ho latela algorithm e latelang.

Khetholla maloetse a bonahatsoang ke matšoao a tšoanang (lenyora, polyuria, ho theola boima ba 'mele): lefu la tsoekere, polypipsia ea kelello, ho fokola ha methapo, joalo-joalo. Boemo bona bo phethela ka polelo ea laboratori ea hyperglycemia syndrome.

Sebopeho sa nosological sa lefu la tsoekere se boletsoe. Pele ho tsohle, mafu a kenyelelitsoeng sehlopheng sa "Mefuta e meng ea lefu la tsoekere" ha a qheleloe ka thoko. Ke feela moo taba ea lefu la tsoekere la mofuta oa 1 kapa lefu la tsoekere la bobeli e ka rarolloang. Boikemisetso ba boemo ba C-peptide ka mpeng e se nang letho le kamora boikoetliso. Boemo ba khatello ea li-antibodies tsa GAD maling le bona boa hlahlojoa.

Mathata

Hypoglycemic coma(haeba ho na le insulin e ngata)

Letsoalo le tsoekere le tsoekereangiopathy- tlolo ea botenglikepe, ba eketsa fragility ea bona, ba eketsa tekanyo ea hothrombosisho nts'etsopeleatherosulinosismethapo ea mali

Lefu la tsoekere la polyneuropathy—polyneuritisperipheralmethapobohloko bohareng ba methapo ea kutlo,paresisleho holofala,

Lefu la tsoekere- bohloko homanonyeletso, "Crunch", meeli ea ho sisinyeha, ho fokotseha ha bongata ba mokelikeli oa matla a marang-rang le ho eketsa pono ea eona,

Lefu la tsoekere ophthalmopathy- nts'etsopele ea pelemats'oenyeho(ho koaheloa ke lensisi)retinopathies(hloloaretina),

Nephropathy ea lefu la tsoekere- Tšenyo ea liphio ka chebahalo ea liprotheine le lisele tsa mali ka har'a moroto, le maemong a tebileng a nts'etsopeleglomerulonephritisleho hloleha ha rems,

Lefu la tsoekere encephalopathy- liphetohopsychele mongobo, lability ea maikutlo kapakhatello ea maikutlomatšoao a botahoaCNS .

Melao-kakaretso ea kalafo

Lipheo tsa mantlha tsa kalafo:

Ho felisoa ha matšoao ohle a kliniki ea lefu la tsoekere

Ho fihlela taolo e nepahetseng ea metabolic ka nako.

Thibelo ea mathata a hlobaetsang le a sa foleng a lefu la tsoekere

Ho netefatsa bophelo bo phahameng ho bakuli.

Ho fihlela lipheo tsena sebetsa:

Ho etsa mosebetsi oa motho ka mong (DIF)

ho ruta bakuli boitšoaro le mekhoa e bonolo ea kalafo (ho laola mafu a bona)