Phekolo ea lefu la tsoekere le encephalopathy

Mehopolo e thellang, menahano ea monahano, tlhokomelo. Batho ba fetang 32% ba nang le lefu la tsoekere ba sithabetse maikutlo. Ho sisinyeha ha maikutlo ho hlaha.

Matšoao a methating ea pele ha a qaqileng, kahoo bakuli hangata ba hlokomoloha lipontšo tsa lefu lena mme ha ba etele ngaka.

Lefu lena le tšoauoa ka linako tse ling tsa khatello ea maikutlo

Ts'oaetso

Tlhahlobo ea encephalopathy ho lefu la tsoekere e etsoa ka mor'a tlhahlobo e felletseng ea mokuli.

Ho etsoa lithuto tsa laboratori le tse fanang ka matla, ho khetholla mafu a mang a boko:

1. Electroencephalography. Ho arohanngoa ha lithane tsa mantlha, matšoao a ts'ebetso ea sethoathoa a tlalehiloe.
2. Scene ea MRI Mokhahlelong oa pele, ha ho liphetoho tse fumanoeng. Mehatong e latelang, ho bonoa liphetoho tse nyane tse lebisang pherekanong.
3. Liteko tsa laboratori tsa moroto le mali. Lekola boemo ba tsoekere, cholesterol le insulin. Ka lefu lena, lipontšo tsohle lia eketseha.

Ho hlokahala hape ho etsa tlhahlobo e fapaneng ea ts'oaetso ea tšoaetso le maqhubu a bokong.

Matšoao a CT encephalopathy

Ha ho na thuso ho phekola encephalopathy feela ntle le ho fana ka lithethefatsi tse fokotsang tsoekere ho mokuli. Ka hona, kalafo ea lefu la tsoekere e amanang le lefu la tsoekere e etsoa ka kopanelo ke litsebi tsa methapo le methapo ea kutlo.

Bongaka

Phekolo ea mantlha e etselitsoe ho tloaela tsoekere ea mali. Bakeng sa sena, ho sebelisoa meriana ea insulin kapa e fokotsang tsoekere ea lihlopha tse ling, ho latela mofuta oa lefu la tsoekere. The endocrinologist e tšoarehile tlhopho ea lithethefatsi. Phekolo ka lithethefatsi tse joalo e etsoa bophelo bohle, hoa hlokahala ho lekanya boemo ba tsoekere ka linako tsohle.

Litaelo bakeng sa kalafo ea encephalopathy li kenyeletsa tšebeliso ea lihlopha tse latelang tsa lithethefatsi:

• mekhoa ea ho ntlafatsa microcirculation - Pentoxifylline, Trental,
• Ho hlokahala livithamini tsa B ho khutlisetsa tsamaiso ea methapo,
• lithethefatsi tse theolelang k'holeseterole - li-statins, fibrate,
• mekhoa ea ho felisa ho tsekela - Cinnarizine, Vinpocetine.

Phekolo e telele ebile hangata e tsoela pele bophelo bohle ba motho.

Thibelo

Matšoao a encephalopathy a ka utloisa motho bohloko bo boholo. Ka hona, ho molemo ho leka ho thibela lefu lena ho fapana le ho le phekola.

Ho hlokahala eng bakeng sa see? Ngaka ea hau e tla u hlalosetsa ka mokhoa oa ho boloka tsoekere e tloaelehileng maling, hore na mokuli ea nang le lefu la tsoekere o lokela ho ja eng.

Phepelo ea mali bokong e tla ntlafatsa ts'ebetso e leka-lekaneng ea 'mele moeeng o mocha. Ntho ea bohlokoa ke ho mamela 'mele oa hau ka hloko' me, haeba ho e-na le ponaletso e sa thabiseng, ikopanye le setsi sa bongaka.

Glucometer e tla thusa ho lekola maemo a tsoekere

Lefu la tsoekere ke lefu le tsoelang pele le ka felisang 'mele. Pherekano ena e khethoa ke ho teba le litšobotsi tsa mofuta oa lefu la tsoekere. Ho fumanela mafu matšoao le kalafo e latelang e ka emisang nts'etsopele ea lefu lena.

Lipotso ho ngaka

Hobaneng ha lefu la tsoekere la lefu la tsoekere le lula le belaelloa?

Lyudmila. Kursk, ea lilemo li 35.

Sena se bakoa ke ho ba teng ha matšoao a mang. Mokuli ea nang le lefu la tsoekere a ka ba le khatello e matla ea mali, ea tsamaeang le khatello e phahameng le kotsi ea ho otloa. Maemong ana, lingaka li lula li thibela lefu la tsoekere le ho bua ka mofuta o itseng oa lefu lena.

'M'a (ea lilemo li 68) o fumanoa a e-na le lefu la tsoekere le amanang le lefu la tsoekere. Ke phepo e feng e lokelang lefu lena? Ke lijo life tse kotsi?

Inna R., Voronezh, ea lilemo li 42.

U ka ja bohobe ba lijo-thollo tse felletseng, nama e mafura a fokolang ka bongata bo fokolang, tlhapi e phehiloeng kapa e halikiloeng le lijo tsa leoatleng. Meroho e ncha e sebetsang, lieie, konofolo.

U ka ja ka mokhoa o sireletsehileng litholoana tsa lamunu, tse tala, fragole, li-currants, li-cherries. Buckwheat, perela ea harese, nyalothe le oatmeal le tsona li kenyellelitsoe lijong. Ka tekanyo e nyane, o ka ja lihlahisoa tsa lebese, oli ea meroho, mahe, confectionery e khethehileng le li-sweeteners.

Bohobe bo bosoeu le meqathatso, nama ea kolobe, meroho e halikiloeng, lisoseji le nama e tsubiloeng, litapole, lihoete, lieta le linaoa li tla tlameha ho khelloa lijong. Litholoana, u tla tlameha ho lahla morara, mahapu, libanana, lithunya. Mafura a liphoofolo, tsoekere, mahe a linotsi, chisi, lijo tse nokiloeng ka linoko le lijo tse potlakileng ha li lumelloe.

Ke mathata afe a amanang le lefu la patsi a ka bang teng?

Igor, Moscow, lilemo tse 35.

Ho senyeha ha kelello ho ka lebisa ho 'dementia' (dementia). Sena se fokotsa mokhoa oa ho itlhokomela oa bakuli ebile se baka lekoala. Mathata a bakoang ke ho ba metlae ea ischemic, hemorrhages ea intracranial, mathata a puo, mathata a koloi.

Likarolo tsa encephalopathy ho lefu la tsoekere

Hoa makatsa, empa tlhahlobo e joalo e hlahisa lipelaelo tse ngata, le haeba e ne e thehiloe. Sena se bakoa ke ho khethoa ha matšoao a fapaneng ka ho felletseng ka tlhaho.

Mohlala, haeba nalaneng ea bongaka, ntle le lefu la tsoekere, ho boetse ho na le khatello ea methapo ea mali le likotsi tsa khatello ea mali khafetsa, le tšitiso ea ho potoloha ha likatse, lingaka li ka thibela lefu la tsoekere le lefu la tsoekere. Boemong bo joalo, ho ka ba le mofuta oa lefu lena kapa o kopaneng.

Matšoao a sehlooho

Mofuta ona oa lefu lena o hlaha le ho hola ka ho felletseng le ka hanyane butle. Liphetoho tsohle tsa dystrophic li ka eketsa lebelo ntle le ho iponahatsa esita le ka lilemo tse 'maloa ka tatellano. Ho bua ka nepo haholoanyane, ho na le matšoao, empa a ka 'na a se ke a bonoa kapa a tšoaelitsoe feela ke mafu a mang. Kahoo, matšoao a bonahala a lets'oao la lefu la tsoekere:

• ponahatso efe kapa efe ea dystonia ea limela,
• hlooho e bohloko le ho tsekela,
• mokhathala o feteletseng, mala o sa khaotseng,
• bohale bo bokhutšoaane bo bobe, boemo ba ho tšoha (karabelo e feto-fetohang e boetse ea khonahala, mohlala, ho felloa ke thahasello bophelong le bophelo bo botle ba motho),
• ho lebala, tahlehelo ea erudition.

Matšoao ana kaofela a ka hlokomolohuoa. Ka hona, bakuli ba bangata ba qala lefu lena, ntle le ho batla thuso ea ngaka sethaleng sena, ho bonahala ho bona hore matšoao ohle a fokola ka botlalo mme ha a na bohlokoa ba letho.

Ho ea pele, mohato oa bobeli oa lefu lena o qala, o nts'etsopele ka potlako e kholo, 'me ea boraro ke qalo ea mafu a hlakileng a boemo ba kelello ba lefu la tsoekere.

Motho eo a ke ke a tlohela maemo a sithabetsang mme a tepelletse maikutlo haholo, manic syndrome, hammoho le boitšoaro bo sa lokelang. Ho thata ho lahleheloa ke matšoao a joalo, empa a tla bonts'a motsoako oa sena.

Taba le tlhahlobo ea lefu lena

Lefu la tsoekere le ka mpefatsa maloetse a mang. Haeba re bua ka batho ba baholo, joale tsena ke lits'oaetso tšebetsong ea boko, le bathong ba bacha - tsena ke litholoana tsa tlhaselo e matla ea ketoacidotic.

Setšoantšong sa lefu lena u ka se bona:

1. asthenic syndrome (mokhathala o feteletseng, ts'ebetso e fokotsehileng, ho tšoenyeha ho feteletseng, bofokoli, ho hloka boroko, mathata a ho tsepamisa mohopolo),
2. cephalgic syndrome (hlooho ea hlooho). E ka ba ntho e kopanyang kapa e nyenyefatsang. Khafetsa, bohloko bo ka hlalosoa e le maikutlo a hlooho e boima ka mor'a ho roala hloohong e thata,
3. dystonia ea limela le nts'etsopele ea paroxysms, maemo a ho fokola le ho felloa ke letsoalo.

Ntle le matšoao ana, ho na le matšoao a bontšang mathata a fapaneng a sekametseng. Ke matšoao a boloi ba maemo a holimo (matšoao a ho haella ha pyramidal, anisocoria, ho senyeha ha tlhaho) hammoho le vestibulo-atactic syndrome (gait shakiness, ts'ebetso e kopanetsoeng ea ho sisinyeha, ho tsekela).

Matšoao a hlalosang hantle setšoantšong sa nako ea encephalopathy khahlanong le semelo sa lefu la tsoekere le hona ke tlolo ea mesebetsi ea kelello:

• mathata a ho hopola
• ho khutla hoa menahano,
• ho hloka thahasello
• khatello ea maikutlo

E 'ngoe le e' ngoe ea matšoao ana e bonts'a ho senyeha ha likarolo tsa methapo e sa tsejoeng bokong. Ka mofuta ofe kapa ofe oa lefu la tsoekere, khatello ea maikutlo e ka hlaha hangata. Hoo e ka bang karolo ea 32 lekholong ea bakuli ba tla kula ka lebaka la eona.

Ntle le tšusumetso e mpe boiketlong ka kakaretso, khatello ea maikutlo e telele e kotsi ka lebaka la tahlehelo ea taolo nakong ea lefu lena, phepo e nepahetseng le ts'ebeliso ea insulin.

Lebaka le ka sehloohong la tloaelo ena ho bakuli ke liphetoho tse fapaneng 'meleng, hammoho le ho itšetleha ka lefu lena le tlhoko ea ho le laola.

Litsebi tse ling tsa tsoekere ea mofuta oa pele kapa oa bobeli li ka ba le hypoglycemic encephalopathy ka lebaka la hypoglycemia. E ka hlaha ka tsela e latelang:

1. lethargy
2. ho hloka thahasello
3. mafu a letsoalo a joalo ka delirium,
4. Adynamia ka mor'a mosebetsi kapa ka mpeng e se nang letho.

Li-syndromes tse matlafatsang hammoho le pyramidal hemiparesis le tsona li na le tšobotsi.

Bakeng sa ho theha tlhahlobo e nepahetseng ea lefutso, ho kenyelletsa litletlebo tsa asthenic le tsa limela, ho boetse hoa hlokahala ho tseba matšoao a amanang le methapo ea kutlo.

Liphetoho life kapa life ho electroencephalogram (EEC) ho bakuli ba nang le encephalopathy ka lebaka la lefu la tsoekere le nkoa e le dysregular. Li fokotseha ka tlhaho, e bonahatsoang ke ho fokotseha ha maikutlo a EEG, litekanyetso tsa hypersynchronization, phokotso ea lipalo tsa alpha tsa kakaretso le tsa lehae, liphetoho phetohong ea li-curls tsa EEG, hammoho le maqhubu a kenelletseng a pathological a mofuta oa delta le oa theta.

Ho batho ba tsofetseng ba nang le lefu la tsoekere, lefu la tsoekere le amanang le lefu la tsoekere le ka tsamaisoa le bofokoli ba methapo ea pelo, atrophy le liphetoho tsa kamora lefu la sethoathoa. Li ka bonoa ka computer tomography (CT) kapa imagonance imaging (MRI). Li-pathologies tse bonts'itsoeng li bonts'a mofetše oa lefu la tsoekere le mathata a amanang le ona: macroangiopathy, atherosulinosis le lefu la khatello ea mali le methapo.

Stroke, hammoho le tlhaselo ea nakoana ea ischemic, e ka nahanoa ho latela matšoao a neuropathy ea methapo.

Phekolo ea lefu le joang?

Phekolo e reretsoeng ho felisa lefu la tsoekere le amanang le tsoekere e tla lokisa boemo ba tsoekere ba mokuli joalo. Hape ke kalafo ea bohlokoa ka tlamo e tlamang ho nahanela mafu ohle a kopaneng le boemo ba tšenyo ea boko.

Ho theha mofuta oa kalafo o lekaneng, ho a hlokahala ho etsa tlhahlobo ea mmele ea pele le e phethahetseng. Ka mokhoa ona, liqeto li tla nepahala, mme kalafo e tla tlisa litholoana tse ntle.

E 'ngoe ea mathata a lefu la tsoekere ke lefu la tsoekere le amanang le lefu la tsoekere. Mofuta ona oa pathology o hlaha ka lebaka la tšenyo ea tsamaiso ea methapo e kholo ea lefu la tsoekere. Khafetsa ea ho ata ha lefu la tsoekere le amanang le lefu la tsoekere e itšetlehile ka mofuta oa lefu la tsoekere, 'me letšoao la kliniki le ipapisitse le hore na lefu le na le nako e kae.

Psychology ee ke eng?

Nts'etsopele ea lefu la tsoekere e amanang le lefu la tsoekere e ipapisitse le mathata a metabolic 'meleng, a lebisang ho senyeheng ha likarolo tsa tsamaiso ea methapo e bohareng.

Boemo bona bo fetoha ka lebaka la phepelo e mpe ea oksijene bokong, mathata a metabolic 'meleng le ho bokella lintho tse chefo. Ts'ebetso tsena kaofela li lebisa ho se lekane le ho tlola mesebetsi ea mantlha bokong. Ts'ebetso ea nts'etsopele ea lefu lena e nka lilemo tse ngata, ka hona ho thata haholo ho tseba matšoao a mathata maemong a pele.

Le lefu la tsoekere le amanang le lefu la tsoekere ke eng?

Lefu la tsoekere ke lefu le amanang le ho senyeha ha methapo ea methapo ea kutlo le bokong ka ho khetheha. Sena se etsahala ka lebaka la mathata a metabolic ho lefu la tsoekere. Ho latela bafuputsi, lefu la tsoekere le amanang le lefu la tsoekere le fumaneha hangata ho lefu la mofuta oa 1, ke hore maemong a fetang 80%.

Ka kakaretso, ena ke mohopolo o kopantseng lipontšo tsa maemo a fapaneng a boima. E ka ba bohloko bo bobe ba hlooho le ho senyeha ho tebileng hoa ts'ebetso ea kelello le kelello. Karolo ea pathology ke bothata bo tebileng mabapi le tlhahlobo ea mali le ho se sebetse hantle ha kalafo.

Matšoao a lefu lena

Matšoao a encephalopathy a ipapisitse ka ho toba le lilemo tsa mokuli, ho teba ha boemo ba hae, ho ba teng ha mathata le mafu a kahare. Ela hloko taba ea hore:

• Psychology e tsoela pele butle butle ho theosa le lilemo.
• a sa le monyane, matšoao a eketseha ka mor'a liketsahalo tsa hyper- le hypoglycemic, ho batho ba tsofetseng - mabapi le likotsi tse mpe tsa cerebrovascular,
• matšoao a kliniki ha a hlalosoe 'me a ka kenyelletsa ho senyeha ha kelello, asthenia, lipontšo tse kang tsa neurosis,
• qalong ea lefu lena, batho ba nang le lefu la tsoekere ba ka tletleba ka bofokoli, mokhathala o potlakileng, matšoenyeho. Ho opeloa ke hlooho le mathata a ho tsepamisa maikutlo ho ka etsahala.

Boemo bo kang ba neurosis bo amahanngoa le somatic (bophelo bo botle) ​​le psychogenic (tlhoko ea kalafo e sa feleng, 'nete ea mathata) mabaka.

Ha kalafo ea pele, ho fumanoa boemo ba neurotic ho 35% ea bakuli; ha lefu la tsoekere le eketseha, palo ea bona e tla nyolohela ho 64%.

Ho na le mathata a mangata a kelello le ho fokotseha kelellong.

Asthenic syndrome e amahanngoa le lethargy le lethargy, tse ka kopanngoang le mathata a limela le methapo le maemo a syncopal (ho felloa ke letsoalo ka tšohanyetso). Mathata karolong ea kelello a ka amahanngoa le ho eketseha ha mohopolo, ho sitisoa le ho nahana butle.

Lisosa tsa lefu la tsoekere Encephalopathy

Sesosa se atileng haholo sa nts'etsopele ea lefu lena ke lefu la tsoekere le lefu la tsoekere le metabolism. Lintho tse rerang esale pele li lokela ho nkoa e le botsofali, boima ba 'mele bo eketsehileng. Hape lethathamong lena ke karolo e phahameng ea lipid peroxidation le destabilization ea lipid metabolism. Ntho e 'ngoe e tebileng, litsebi li bitsa tsoekere e phahameng ea mali ka nako e telele le litekanyetso tse phahameng tsa hemoglobin ea glycosylated.

Ha u bua ka liphetoho tsa 'mele ho sebopeho sa encephalopathy ho lefu la tsoekere mellitus, ela hloko taba ea hore:

• tekanyo ea boemo ba tumello le sebopeho sa mabota a likepe tse nyane ha li sebetse,
• sephetho ke bothata ba phepo e nepahetseng ea methapo ea methapo le lisele, ho haella ha oksijene, le lisebelisoa tsa matla seleng ea methapo,
• ho arabela sena, ts'ebetso ea "metabolic" e se nang oksijene e ka hlahisoa, e lebisang ho bokelleng ha lihlahisoa tse nang le chefo.

Ka lebaka la liphetoho tse joalo, ts'ebetso e phahameng ea ts'ebetso ea boko e bona liphetoho tsa methapo ea methapo. E le hore likotlo tsena li etsahale, nako ea bohlokoa e lokela ho feta, hangata re bua ka nako e telele ea lefu la tsoekere.

Ntlheng ena, encephalopathy e nkoa e le pheko ea morao-rao ea lefu lena. Khafetsa, Psychology e na le nako ea ho ba mofuteng oa 1 oa lefu la tsoekere, hobane e qala e sa le monyane lilemong. Ka hona, litsebi li supa monyetla o moholo oa ho holisa lefu lena ho batho ba baholo.

Mekhahlelo ea methapo ea kutlo

Lefu la tsoekere la lefu la tsoekere le tšoauoa ka mekhahlelo e meraro e latellanang ea ntlafatso. Ea pele ke eo setšoantšo sa kliniki se leng sieo. Ho tšoaroa ke hlooho e nyane, ho tsekela ho bonahala, phetoho ea matšoao a khatello ea mali e kanna ea ba teng. Maemong a mangata, batho ba nang le lefu la tsoekere ha ba tsotelle matšoao 'me ha ba batle thuso ho ngaka.

Boemong ba bobeli, matšoao a pathological a eketseha: lihlooho li fetoha tse ling tse hlalositsoeng, ho khopamisa mohopolo sebakeng ho ka etsahala. "Boemo" ba boraro bo amana le taba ea hore setšoantšo sa kliniki se hlahisoa ka ho hlaka. Nakong ea sethala se fanoeng, ho sitisoa ke menahano e matla, ho nahana, le boemo ba maikutlo.

Mekhoa ea ho khetholla

Tlhahlobo ea lefu la tsoekere e amanang le lefu la tsoekere e lokela ho fuoa tlhokomelo e khethehileng. Ke taba ea hore:

• cheke e etsoa ke ngaka ea methapo, 'me qeto e etsoa motheong oa tlhahlobo ea boemo ba methapo,
• Tlhahlobo ea liphetoho tse sebetsang le tse ling tsa tlhaho e etsoa ho sebelisoa mekhoa ea maiketsetso,
• electroencephalography, MRI ea boko, le hemodynamics ea cerebral e lokela ho etsoa ka tatellano.

Karolo e tlamang ea tlhahlobo ea mafu e lokela ho nkoa e le liteko tsa laboratori, tse etsang hore ho khonehe ho lekola tekanyo ea mathata a metabolic. Kahoo, boemo ba tsoekere, lipids, cholesterol, hammoho le C-peptide le insulin lia khetholloa. Tlhahlobo e khethollang e etselitsoe ho felisa lesapo le tšoaetsanoang bokong. Ho hlahlojoa ho amanang le tlhaiso-leseling ea bongaka, tlhahlobo eo e ka netefatsoa ka sebopeho sa monahano oa matla a tlhaho.

Phekolo ea lefu la tsoekere la Encephalopathy

Phekolo ea lefu la tsoekere la lefu la tsoekere ke mokhoa o tsoelang pele oa ho ja. Ho khothalletsoa ho tlohela nama, lebese, phofo le litapole. Ha rea ​​lokela ho lebala ka kenyelletso ea lithuto tsa vasoactive le metabolic kalafo, tse etsoang ho nahanela li-contraindication le ka tlasa taolo ea setsebi. Ho kenyelletsa ho kenella ho joalo ho ka sebelisoa bakeng sa merero ea prophylactic. Nako ea thupelo ea kalafo ea lefu la tsoekere e qala ho tloha ho khoeli e le 'ngoe ho isa ho e meraro, makhetlo a le mong kapa ho feta selemong.

Phethahatso ea matšeliso e ka fumaneha ka ho khethoa ha phekolo e nepahetseng, e etsoang ho latela mokhoa oa bophelo le tlas'a taolo ea glycemia. E lokela ho hopoloa hore:

• Li-antioxidants (mohlala, sebopeho se nang le alpha-lipoic acid), cerebroprotectors (Piracetam), hammoho le likarolo tsa vithamine (B1, B6, A, C) li sebelisoa e le phepo ea metabolic. Lithethefatsi tse kopaneng tse kang Neuromultivitis, Milgamm li hloka tlhokomelo e khethehileng.
• Phekolo ea vasoactive e ka kenyeletsa ts'ebeliso ea Piracetam, Stugeron le Nimodipine,
• ka nako e ts'oanang, kalafo ea khalemelo ho latela metabolism ea lipid e etsoa. E na le ts'ebeliso ea lithethefatsi tse karolo ea sehlopha sa li-statins.

Maemong a hlobaetsang a lefu la tsoekere le lefu la tsoekere le nang le mathata a tebileng a kelello, kalafo ea anticonvulsant e ka hlokahala. Ho ka sebelisoa thupelo e reretsoeng mathata a mangata a lefu la tsoekere. Tsena ke tšebetso e telele ho feta eo e rarahaneng.

Phatlalatso le thibelo ea lefu lena

Lefu la tsoekere la lefu la tsoekere ke boemo bo tsoelang pele bo sa foleng. Tekanyo ea ho mpefala ha setšoantšo sa kliniki e tla ipapisa ka kotloloho le ho teba ha lefu lena.

Ho shebella ka mokhoa o hlophisehileng ke setsebi sa endocrinologist le neurologist, kalafo e nepahetseng e fokotsang maemo a tsoekere, hammoho le lithuto tse tloaelehileng tsa kalafo ea methapo ea kutlo li ntlafatsa tsoelo-pele. Li etsa hore ho khonehe ho emisa kapa ho fokotsa butle-butle nts'etsopele ea matšoao a letsoalo le ho qhelela ka thoko sebopeho sa mathata. Thibelo ea encephalopathy ke ho khetholla ka nako le kalafo e nepahetseng ea lefu la tsoekere. Mohato oa bohlokoa ke ho kenyelletsoa ha khatello ea mali le kalafo ea khatello ea methapo.

Encephalopathy - ke eng?

Poleloana "encephalopathy" e bolela maloetse ohle a kelello ao ho hang ho se nang ts'ilafalo ts'enyo ea ona ea tlhaho e bang teng. Lithane tsa boko hangata li timetsoa ka tsela e itseng ke khaello ea phepo e nepahetseng. Ka tlhaho, ka nako e ts'oanang, karolo ea mesebetsi ea methapo e bohareng ea kelello e lahlehile. Sesosa sa lefu la tsoekere le amanang le lefu la tsoekere ke mathata a methapo le methapo ea mali 'meleng.

Ho latela mehloli e fapaneng, matšoao a encephalopathy a ka bonoa hoo e ka bang 90% ea bakuli ba nang le lefu la tsoekere. Leha ho le joalo, ts'oaetso e joalo e etsoa khafetsa, hobane lefu lena ho thata ho le tseba le ho tseba hore lefu la tsoekere ke lona lisosa tsa liphetoho tsa kelello.

Ho latela lengolo le tsoang ho Lekala la Bophelo la Rephaboliki ea Russia, lefu la tsoekere le nang le lefu la tsoekere le na le khoutu ea ICD ea 10 (tlhahlobo ea machaba ea maloetse) E10.8 le E14.8 - mathata a sa hlalosoang a lefu la tsoekere.

Mochini oa nts'etsopele ea encephalopathy ha o utloisisoe ka botlalo, empa ho lumeloa hore e tšoana hantle le lefu la tsoekere. Sesosa se ka sehloohong sa pathology se tšoana le mathata a mang a lefu la tsoekere - hyperglycemia.

Tsoekere e phahameng e lebisa ho angiopathy ea methapo ea mali, e silafatsang phepo e nepahetseng ea kelello. Ka lebaka la mathata a ho potoloha, li-neuron li ikutloa li bolaoa ke oksijene, li sebetsa hampe le ho feta, ha li na matla a ho fola ka nako e loketseng 'me li lahla lintho tse chefo. Boemo bona bo mpefala ke ho ata ha cholesterol, triglycerides le lipoprotein tse fokolang, e leng tšobotsi ea lefu la tsoekere.

Mehato e meraro ea encephalopathy

Nts'etsopele ea encephalopathy e etsahala ka mekhahlelo e 3. Matšoao a pele ha a hlalosoe, ka hona, hangata batho ba nang le lefu la tsoekere ha ba ba ele hloko. Hangata, encephalopathy ha e fumanoe e sa le pele ho mophato oa 2, ha matšoao a eona a bitsoa haholoanyane. Ha lefu lena le qala, MRI e khona ho lemoha liphetoho tse nyane haholo bokong. Hangata li fumaneha ka mokhoa o fapaneng libakeng tse 'maloa. Kamora moo, ho etsoa lesela bokong. Matšoao a boholo le ho teba ha tsona nakong ena ho ipapisitse le ho tsepamisa maikutlo sebakeng seo.

Mokhahlelo oa lefu la tsoekere:

1. Boemong ba pele - mokuli o hlokomela likarolo tsa ho phahama le ho oa ha khatello ea mali, ho tsekela, ho fifala mahlong, ho tepella le malaise. Ha e le molao, lipontšo tsena li hlahisoa ke maemo a leholimo a mabe, lilemo kapa limela tsa dystonia ea limela.
2. Boemong ba bobeli - Ho opeloa ke hlooho ho fetoha khafetsa, ho lahleheloa ke mohopolo ka nako e khuts'oane, ho senyeha sebakeng hoa khoneha. Matšoao a methapo ea kutlo a ka hlaha - karabelo ea barutoana ho liphetoho tsa leseli, puo e ea ferekana, maikutlo a fela, mathata a nang le sefahleho a hlaha. Hangata, ke mothating ona moo bakuli ba nang le lefu la tsoekere ba fetohelang ho ngaka ea methapo.
3. Boemong ba boraro - Matšoao a bitsoa. Lekhetlong lena, hlooho e opa hlooho, le mathata a ho hokahana ha metsamao, ho tsekela ho hlaha. Ho hloka boroko, ho tepella maikutlong, ho hopola ho teba haholo. Mothating ona, ho batla ho le thata ho tseba tsebo le tsebo e ncha.

Likarolo tsa lefu lena le mofuta oa 1 le lefu la tsoekere la 2

Ka mokhoa o hloekileng ka ho fetisisa, lefu la tsoekere le amanang le lefu la tsoekere le fumanoa feela ho bakuli ba nang le lefu la tsoekere la mofuta oa 1. Ho senyeha kelellong ea bona ho tsamaisana le ho haella ha insulin ea bona le ho e amohela ka tšohanyetso ka mokhoa oa lithethefatsi. Ho na le maikutlo a hore tsoelo-pele ea encephalopathy ha e itšetlehe feela khafetsa ho hyperglycemia, empa hape le ho se sebetseng ha C-peptide 'meleng - karolo ea molek'hule ea proinsulin e tlositsoeng ho eona nakong ea ho etsoa ha insulin. Insulin ea indasteri, e laetsoeng bakuli bohle ba nang le lefu la 1, ha e na C-peptide - bala haholoanyane ka C-peptide.

Encephalopathy e baka kotsi e kholo ho mofuta oa 1 lefu la tsoekere ho bana ba banyenyane. Ba na le mathata a ho lebisoa tlhokomelo, tlhahiso ea tlhahisoleseling e ea fokotseha, 'me mohopolo oa fokotseha. Liteko tse khethehileng li bontšitse hore ho mokuli ea nang le encephalopathy, IQ ea ngoana ea fokotseha, le tšusumetso e mpe ea bohlale bashanyana ba matla ho feta banana. Boithuto ba kelello ho bakuli ba nang le lefu la tsoekere ba qala ho bontša hore botsofaling ba bona ba na le bothata bo tlase ba bohlooho ho fapana le batho ba phetseng hantle.

Lefu la tsoekere le lefu la tsoekere la tsoekere le tsoekere. Maemong ana, boko bo ameha hampe eseng feela ka hyperglycemia, empa hape le mathata a kopaneng:

1. Phekolo ea methapo ea kutlo e ntlafatsa liphetoho tsa atherosulinotic likepeng, makhetlo a 6 e eketsa kotsi ea encephalopathy.
2. Ho ba le botenya ba lilemo tse bohareng ho lebisa ho encephalopathy e matla le ho feta botsofaling.
3. Ho hanyetsa insulin ka matla ho lebisa ho bokellweng ha amyloid beta bokong - dintho tse ka bopang li-plaque mme tsa fokotsa haholo ts'ebetso ea kelello.

Encephalopathy e hlahisa kotsi e ka sehloohong ea lefu la tsoekere la mofuta oa 2 botsofaling, e lebisang ho hola ha 'dementia ea methapo le lefu la Alzheimer's.

Ngaka ea Saense ea Bongaka, Hlooho ea Setsi sa Lefapha la Diabetes - Tatyana Yakovleva

Ke qetile lilemo tse ngata ke ithuta ka bothata ba lefu la tsoekere. Hoa tšosa ha batho ba bangata ba shoa, mme le ho feta ba holofala ka lebaka la lefu la tsoekere.

Ke mothating oa ho bolela litaba tse molemo - Setsi sa Patlisiso sa Endocrinological sa Russian Academy of Medical Science se atlehile ho hlahisa moriana o folisang lefu la tsoekere ka botlalo. Hona joale, katleho ea sethethefatsi sena e atametse 98%.

Litaba tse ling tse monate: Lekala la Bophelo le se le iphumanetse tšebetso ea lenaneo le ikhethileng bakeng sa litšenyehelo tse phahameng tsa lithethefatsi. Naheng ea Russia, ba lefu la tsoekere HO fihlela ka la 18 Motšeanong (ho kenyeletsoa) ka e fumana - Bakeng sa li-ruble tse 147 feela!

Matšoao le matšoao

Matšoao a encephalopathy ho diabetics a hlalosoa ke ho se khonehe ha lisele tsa boko ho sebetsa ka mokhoa o tloaelehileng ka lebaka la khaello ea oksijene le phepo e nepahetseng, ka hona li ts'oana le lipontšo tsa encephalopathy ka lebaka la atherosulinosis, khatello ea maikutlo kapa kotsi ea cerebrovascular.

Mokhoa oa ho phekola lefu la tsoekere le amanang le lefu la tsoekere

Phekolo ea encephalopathy ho bakuli ba nang le lefu la tsoekere e rarahane, e ikemiselitse ka nako e ts'oanang ho rarolla metabolism le ho ntlafatsa boemo ba likepe tse fanang ka boko. Bakeng sa molao oa metabolism o sebelisoa:

1. Khalemelo kalafo ea lefu la tsoekere e neng e laetsoe pele hore e atlehe.
2. Li-antioxidants ho fokotsa litlamorao tse senya tsa radicals mahala. Hangata, ho na le acid e bitsoang eloic acid.
3. Vithamine B, hangata e le karolo ea mefuta e ikhethang ea mofuta - Milgamma, Neuromultivit.
4. Statins bakeng sa tloaelehileng ea lipid metabolism - Atorvastatin, Lovastatin, Rosuvastatin.

Ho ntlafatsa phallo ea mali, ho sebelisoa li-angioprotectors le li-antiplatelet: Pentoxifylline, Actovegin, Vazaprostan. Nootropics e ka boela ea beoa - lithethefatsi tse tsosang mohopolo, mohlala, vinpocetine, piracetam, nicergoline.

Liphello

Tsoelo-pele ea encephalopathy e latela lilemo tsa mokuli, nako le boemo ba puseletso bakeng sa lefu la hae la tsoekere, ho lemoha mathata ka nako. Phekolo e nepahetseng ea encephalopathy le lefu la tsoekere e lumella lilemo tse ngata ho boloka boemo ba kelello ba mokuli ka mokhoa o ts'oanang, ntle le ho senyeha ho hoholo. Ka nako e ts'oanang, mokuli o boloka boholo ba ts'ebetso ea ho sebetsa le bokhoni ba ho ithuta.

Haeba kalafo e le morao haholo, lefu la tsoekere le amanang le lefu la tsoekere le baka mathata a mangata tsamaisong ea methapo: migraines e matla, lefu la tsitsipano ea maikutlo le ho senyeha ha pono. Nakong e tlang, bokong bo lahleheloa ke mesebetsi, e bonahatsoang ke tahlehelo ea nakoana ea boipuso ho fihlela ho holofala ho hoholo.

Encephalopathy e ka ba teng ka mathata a tebileng a kelello, ao ho ona ho nang le lintlafatso, boits'oaro, boitšoaro bo sa lokelang, ho se khone ho tsamaea sepakapakeng le nako, tahlehelo ea mohopolo.

Etsa bonnete ba hore o ithuta! Na u nahana hore ho sebelisa lipilisi le insulin ka nako e telele ke eona feela tsela ea ho boloka tsoekere e le taolong? Ha se nnete! U ka netefatsa sena ka ho qala ho e sebelisa. bala haholoanyane >>

Lisosa tsa lefu la tsoekere le lefu la tsoekere?

Mabaka a mantlha a hlohlelletsang kholo ea boemo bona ba methapo ea methapo ke lefu la tsoekere la lefu la tsoekere (tlolo ea sebopeho sa marako a likepe tse nyane) le mathata a metabolic 'meleng. Lintlha tse tlatsetsang ho simoloheng le ho holofala ha lefu la tsoekere ke:

• ho nona haholo
• botsofali
• metabolism ea mafura a senyehileng,
• process of lipid peroxidation ea lisaele tsa lisele,
• tsoekere e phahameng ea mali e phehellang nako e telele.

Khutlela tafoleng ea litaba

Matšoao a Kliniki a Encephalopathy

Matšoao a mantlha a boemo bona ba methapo ea methapo ke:

• mathata a neurasthenic - mokhathala, ho hloka botsitso maikutlong, mathata a ho robala,
• ho tsekela, hlooho ea mefuta e fapaneng,
• diplopia (ho tlatsa lintho ka mahlo), "moholi", "ho fofa ha lintsintsi" ka pel'a mahlo,
• e sa tsitsang Gait
• mathata a kelello
• mohopolo o sa sebetseng hantle, menahano ea ho nahana, ho tsepamisa maikutlo le ho se tsotelle,
• mafu a sithabetsang
• ho hloka kelello (pherekano),
• cramps
• likotsi tsa cerebrovascular (tlhaselo ea nakoana ea ischemic, lichapo).

Mebuso e sithabetsang e tšoaea mohato oa boraro oa encephalopathy.

Mehatong ea pele ea nts'etsopele ea lefu la tsoekere le lefu la tsoekere, setšoantšo sa kliniki ha se hlahisoe hantle. Ha Psychology e ntse e tsoela pele, matšoao a eona a mpefala. Ho sithabela maikutlo, khatello ea kelello (ho se tsitse), tsitsipano, pherekano hangata li bonoa mohatong oa boraro oa boemo bona. Ntle le moo, encephalopathy e na le likarolo tsa mofuta oa 1 le lefu la tsoekere.

Type lefu la tsoekere

Mofuteng ona oa lefu la tsoekere, encephalopathy e atile haholo ho feta lefu la tsoekere la mofuta oa II. Ho bakuli ba joalo, lefu la tsoekere le amanang le lefu la tsoekere le bonahatsoa ke 'dementia' (ho thibela ts'ebetso ea kelello le mohopolo), hobane CD-1 ke lefu la autoimmune le qalang ho iponahatsa bongoaneng kapa bohlankaneng. Ho ipapisitse le ho se khonehe ha manyeme ho hlahisa insulin, e lebisang ho liphetoho tse kholo 'meleng, ho kenyelletsa le bokong. Hangata, bakuli ba joalo ba ba le lichapo, haholo-holo botsofaling.

Lefu la tsoekere la Type II

Mofuta ona oa lefu la tsoekere - o fumanoeng, o hlaha ka lebaka la mathata a metabolic 'meleng. Lefu lena le kopantsoe le khatello ea methapo ea methapo, atherosulinosis le botenya. Ho bakuli ba joalo, mathata a kelello a atile haholo, ka nako e telele ea lefu la tsoekere (ho feta lilemo tse 15), kotsi ea ho ba le mafu a kelello: mohopolo le ho nahana, li eketseha ka 50-114%. Ntle le moo, ho ba teng ha methapo ea methapo ea methapo le methapo e atisang ho senya makhetlo a 'maloa ho eketsa kotsi ea ho ba le stroke.

Mokhoa oa ho fumana lefu la tsoekere le amanang le lefu la tsoekere?

Tšoaea lefu lena le lumella setšoantšo se loketseng sa kliniki. Etsa bonnete ba hore na boemo ba tsoekere e maling le moroto ke eng, u tsebe hemoglobin ea glycosylated. Ho feta moo, boemo ba 'mele oa ketone maling bo ikemiselitsoe. Ntle le moo, ho etsoa lithuto tse ikhethang tsa boko: EEG (electroencephalography), CT, MRI. Lithuto tsena li u fa monyetla oa ho tseba hore na o senya hokae.

Pheko ea Encephalopathy

Phekolo ea mantlha ea lefu la tsoekere ke lefu la tsoekere. E lokela ho bonoa ka hloko ho qoba ponahalo le tsoelo-pele ea encephalopathy. Ntle le moo, ho hlokahala ho latela lijo tse boletsoeng ke ngaka. Tabeng ea ho fumana boemo bo joalo ba methapo, ho fanoa ka mefuta e 'meli ea kalafo:

• Metabolic - e ama mekhoa ea metabolic. Mofuta ona oa kalafo o kenyelletsa meriana ea Actovegin, li-antioxidants: litokisetso tsa alpha-lipoic acid), nootropics: Piracetam, Cytoflavin, Bilobil, Noofen, livithamini A, C, livithamini tsa sehlopha B: Magne-B6 ″, "Neovitam", "Neurorubin".
• Vasoactive - e etselitsoe ho ntlafatsa boemo ba methapo ea mali le mali. Sena se kenyelletsa le lithethefatsi tsa nootropic, hoa khoneha ho sebelisa lithethefatsi tse matlafatsang marako a methapo ea mali (Ascorutin), venotonics.

Ha ho tsitsipana ho hlaha, kalafo ea anticonvulsant e etsoa - Carbamazepine, Finlepsin, Lamotrigine. Ntle le moo, boteng ba methapo ea kelello e kopanetsoeng: khatello ea mali le atherosclerosis, kalafo ea maemo ana e laetsoe, ho kenyeletsoa lithethefatsi tsa antihypertensive le li-statins. Ntle le moo, bakuli ba nang le boima ba 'mele ba khothalletsoa ho fokotsa boima ba' mele. Ho ikoetlisa ka bobebe, ho tsamaea moeeng o mocha, ho sesa, yoga ho khothalletsoa.

Kotsi ea ts'ebetso ee ke efe?

Kotsi e kholo ka ho fetesisa ke encephalopathy, e tšoailoeng methating ea hoqetela, hobane liphetoho tse ke keng tsa fetoloa li ba teng bokong. Ntle le moo, mathata a ho potoloha bokong, a ka lebisang ho holofala le lefu, a beha kotsi ho mokuli. Ho sitisoa ha menahano le ho hopola ho kotsi hape, ho lebisang ho se itlhokomeleng, tlhokomeliso ea se etsahalang.

Katleho ea lefu la tsoekere ke eng?

Ha e le molao, ho ke ke ha khoneha ho felisa lefu lena ka ho feletseng. Ho a khonahala ho fokotsa tsoelo-pele le ho thibela ho hlaha ha mathata. Bakeng sa sena, ho hlokahala ho tsebahatsa le ho phekola lefu la tsoalo ka nako. Haeba mokuli a latela kalafo ea antidiabetes, ho ka etsahala hore a fokotsa kotsi ea ho ba le encephalopathy. Maemong a joalo, lefu lena la tsoelo-pele le molemo. Tabeng ea ho ba teng ha encephalopathy ea mohato oa boraro, ho ea ka sebopeho sa mathata, ho tsebahala ha bophelo ho sa rateheng. Ka hona, ho qoba sephetho se sa rateheng, ho hlokahala ho latela litlhahiso tsa ngaka, ho latela lijo le kalafo e behiloeng, le ho phela bophelo bo phetseng hantle.

Lefu la tsoekere la lefu la tsoekere - Sebelisa tšenyo e mpe bokong e hlahang khahlano le semelo sa lefu la tsoekere. E tšoauoa ka mohopolo o sa sebetseng hantle, ho fokotseha hoa sekhahla sa kelello, liphetoho tse kang li-neurosis, asthenia, ho se sebetse hantle ha methapo ea methapo, matšoao a hlakileng. E fumanoa ho lefu la tsoekere ka lebaka la tlhahlobo ea methapo, tlhahlobo e felletseng ea lintlha tsa EEG, REG, data ea cerebral MRI. Phekolo e etsoa khahlano le semelo sa kalafo ea antidiabetes, ho kenyeletsoa masapo, metabolic, vithamine, antioxidant, psychotropic, meriana e khahlanong le sclerotic.

Lefu la tsoekere la lefu la tsoekere

Kamano lipakeng tsa ho senyeha hoa kelello le lefu la tsoekere mellitus (DM) e hlalositsoe ka 1922. Poleloana e reng "diabetesic encephalopathy" (DE) e hlahisitsoe ka 1950. Kajeno, bangoli ba bangata ba fana ka maikutlo a hore encephalopathy e bang teng ka lebaka la dysmetabolic process e nkuoa e le pheko ea lefu la tsoekere. Ho khothalletsoa ho hlahisa lefu la tsoekere la mokokotlo ka lebaka la mathata a methapo ho lefu la tsoekere ho discirculatory encephalopathy (DEP). Leha ho le joalo ho Ramatology ea Russia, mohopolo oa DE ka setso o kenyelletsa mefuta eohle ea pathogenetic ea encephalopathy: metabolic, vascular, e kopantsoe. Ka kutloisiso ena e pharaletseng, lefu la tsoekere le amanang le lefu la tsoekere le hlaha ho 60-70% ea batho ba nang le lefu la tsoekere.

Lisosa tsa Encephalopathy ea lefu la tsoekere

Ntho ea tlhaho ea DE ke lefu la tsoekere. Encephalopathy ke motsoako o liehang ho hlaha lilemo tse 10-15 kamora ho qala lefu la tsoekere. Sesosa sa eona ke mathata a metabolism a tsoekere, a lebisang tšenyehong ea lisele tsa boko le methapo ea mali. Ho hlaha ha DE kenya letsoho:

• Dyslipidemia ea lefu la tsoekere. Ke tšobotsi ea lefu la tsoekere la mofuta oa 2. Dysmetabolism ea lipids le cholesterol e lebisa ho thehoeng ha li-poster tsa methapo ea methapo ea methapo. Progressive systemic and cerebral atherosulinosis e bonoa ho diabetics lilemo tse 10-15 pejana ho feta karolelano ea baahi.
• Letsoalo la lefu la tsoekere. Liphetoho leboteng la vascular li sitisa phallo ea mali ka har'a methapo ea methapo, ke sesosa sa ischemia e sa foleng, 'me e eketsa kotsi ea ho ba le stroke.
• Acute hypo-, maemo a hyperglycemic. Hypoglycemia le ketoacidosis li ama boemo ba li-neurons hampe, li eketsa kotsi ea lefu la 'dementia' le 'dementia'. Boithuto bo bontšitse hore hammoho le boemo ba tsoekere, khatello ea insulin le C-peptide maling e bohlokoa.
• Phekolo ea methapo. E bonoa maemong a 80% a lefu la tsoekere. Ke litholoana tsa lefu la tsoekere kapa lefu la tlhaho le bohlokoa. Ho sitisoa ke phallo ea mali a khoheli hantle, ho ka baka stroke.

Lefu la tsoekere le nang le lefu la tsoekere le na le mochine o ntlafatsang oa mefuta e mengata, ho kenyeletsoa likarolo tsa methapo le methapo. Ho senyeha ha methapo ea kutlo ka lebaka la macro- le microangiopathy ho mpefatsa methapo ea methapo le ho baka ho bolaoa ke tlala ea lisele tsa boko. Liphetoho tsa pathobiochemical tse etsahalang nakong ea hyperglycemia li baka ts'ebetso ea anaerobic glycolysis ho fapana le aerobic, e lebisang ho matla a tlala ea li-neurons. Li-radicals tsa mahala tse tsoang li na le tšenyo e mpe liseleng tsa boko. Ho thehoa ha hemoglobin ea glycosylated, ha e tlamisa oksijene e ngata, e mpefatsa hyponalia ea neuronal e bakoang ke mathata a methapo ea methapo. Hypoxia le dysmetabolism li lebisa lefung la li-neuron ka ho theha ho senyeha kapa liphetoho tse nyane tsa tšebetso ea tlhaho nthong ea mokelikeli - encephalopathy e etsahala. Tšenyo ea likhokahano tsa li-interneuronal e lebisa ho fokotseha hanyane ka hanyane mesebetsing ea kelello.

Matšoao a Encephalopathy ea lefu la tsoekere

DE e etsahala butle butle. A sa le monyane, liponahatso tsa eona li eketseha kamora liketsahalo tsa hyper- le hypoglycemic, ho maqheku - mabapi le nalane ea ho otloa. Matšoao a Clinical ha a na ho hlaka, ho kenyelletsa ho senyeha ha kelello, asthenia, matšoao a kang a neurosis, le bofokoli ba methapo ea methapo. Qalong ea lefu lena, bakuli ba tletleba ka bofokoli, mokhathala, matšoenyeho, hlooho e bohloko, mathata a ho tsepamisa mohopolo.

Maemo a kang a neurosis a bakoa ke somatic (bophelo bo bobe) le psychogenic (tlhoko ea kalafo e tsoelang pele, 'nete ea nts'etsopele ea mathata). Tloaelo e fokotsang lithahasello, ho tsepamisa maikutlo ho lefu lena, litlhaselo tsa ho hlaseloa ka mokhoa o hlabisang lihlong le o makatsang. Nakong ea kalafo ea mantlha, lefu la khatello ea maikutlo le fumanoa ho bakuli ba 35%; ha lefu la tsoekere le ntse le eketseha, palo ea bakuli ba nang le khatello ea maikutlo e eketseha ho fihla ho 64%. Ho ka ba le ho ruruha, ho tšoenyeha, kapa ho tšoenyeha, hypochondriac neurosis. Maemong a mang, mofuta o mong o fetela ho o mong. Mathata a tebileng a kelello ha a fumanehe.

Asthenic syndrome e tšoauoa ka lefu la ho nyefola, ho hloka thahasello, ho kopantsoe le mathata a amanang le limela le methapo, syncope. Ho senyeha ha kelello ho bonahala ka ho fokotseha ha mohopolo, ho sitisoa le monahano o liehang. Har'a matšoao a shebiloeng, ho haella ha convereness, anisocoria (bophara ba seithuti se fapaneng), ataxia (kizunguzungu, ho tsamaea ka tsela e sa lekanang), ho haella ha pyramidal (bofokoli ba maoto, molumo o eketsehileng oa mesifa).

Mathata

Keketseho ea ho fokola ha kelello e lebisa ho theoheng ha kelello le khatello ea maikutlo (dementia). Qetellong ke sesosa sa ho holofala ha bakuli, ho fokotsa boitšepo ba bona. Boemo bo eketsoa ke ho se khonehe ha mokuli ho etsa kalafo ea antidiabetesic ka boithaopo. Mathata a DE ke mafu a hlobaetsang le ho hlasimoloha ha methapo ea methapo ea methapo: litlhaselo tsa nakoana tsa ischemic, lichapo tsa ischemic, hangata li-hemorrhages tse ka hare. Ditlamorao tsa ho otloa ke lefu la ho qhoebeshana ha koloi, tšenyo ea methapo ea kutlo, mathata a puo, le ho se sebetse hantle hoa kelello.