Lefu la tsoekere le lefu la tsoekere: likarolo tsa thupelo le kalafo

Mofuta oa 1 le mofuta oa 2 oa lefu la tsoekere le hlaha ha ho hlaha mathata a teng hangata lipelong, methapong ea mali, retina, le tsamaisong ea methapo. Ho latela WHO, ka sebopeho sa mathata a tsoang tsamaisong ea methapo, lefu la tsoekere le lula le le karolo e kholo (60%). Ha ho buuoa ka lekhetlo la pele kamano e teng lipakeng tsa ho senyeha hoa kelello le lefu la tsoekere le hlaha ka 1922, poleloana ea "lefu la tsoekere" e hlahisitsoe lilemong tsa bo-50 tsa lekholong la ho qetela.

Mokhoa oa nts'etsopele le melaoana ea tlhahlobo ea mafu

Boloetse bona bo fumanoa motheong oa litletlebo tsa mokuli, tlhaiso-leseling e tsoang tlhahlobong ea methapo, methapo ea methapo ea mali le sephetho sa mekhoa ea ho etsa lipatlisiso (MRI, EEG, tlhahlobo ea methapo ea methapo ea kutlo.

Lefu la tsoekere le lefu la tsoekere ke lesela le sa foleng la kelello khahlano le mafu a amanang le metabolism ea carbohydrate le nts'etsopele ea liphetoho tsa dysmetabolic.

Nts'etsopele ea encephalopathy e amahanngoa le liphetoho tsa pathological tse tsamaeang le lefu la tsoekere.

Tlokotsi ea boteng ba lesapo la methapo e lebisa ho nts'etsopele ea hypoxia le khaello ea matla liseleng tsa methapo ea kutlo, kotsi ea ho tšoaroa ke kotsi ea methapo ea methapo ea methapo (stroke) e eketseha.

Liphetoho tsa metabolism li tsebahala haholoanyane ho lefu la tsoekere la mofuta oa 2.

Ho senyeha ha lipid metabolism ho lebisa ho thehoeng ha liathomo tsa atherosselotic likepeng. Mathata a amanang le metabolism ea carbohydrate metabolism (hypoglycemia, hyperglycemia), ketoacidosis e kena-kenana le likhakanyo tse tloaelehileng haufi le methapo ea kutlo, e senya sheel ea myelin ea methapo, hape e kenya letsoho ho bokelleng ha li-radicals tsa mahala tse bakang lefu la methapo ea methapo.

Ho baka khatello ea mali ea methapo ho ka baka tšenyo ea liphio ho lefu la tsoekere kapa lefu le ikemetseng. Khatello e phahameng ea mali e mpefatsa tsela ea encephalopathy.

Setšoantšo sa kliniki ea lefu la tsoekere le nang le lefu la tsoekere

Liphetoho tsa methapo ea methapo ea lefu la tsoekere le ama likarolo tse fapaneng tsa boko, tse hlalosang matšoao a fapaneng a kliniki ea lefu la tsoekere le lefu la tsoekere. Ho batho ba baholo, encephalopathy e tsoakiloeng e rekota hangata haholo, e sa tsoeng khahlano le semelo sa mathata a metabolic, empa hape e le ka lebaka la nts'etsopele ea lefu la mokokotlo oa mokokotlo kapa ka mor'a ho otloa ke metsu e fetileng.

Liponahatso tse atileng haholo ke:

Ho senyeha hoa kelello.

Tsitsipano e fokotsehileng, ho senyeha ha mohopolo, ho lahleheloa ke thahasello ho lefatše le kantle, ho nahana butle, mathata a ho ithuta.

Ho senoloa ho sithabetsoa ke maikutlo, tšabo (phobias) le ho tepella ka potlako hoa tsamaiso ea methapo (asthenia). Lipontšo tsa bonohe ba linaleli li emeloa ke bofokoli bo akaretsang, ts'ebetso e fokotsehileng, le mokhathala o eketsehileng.

Ho bakuli ba nang le lefu la tsoekere, tlhahlobo e batsi hangata e senola maemo a sithabetsang a eketsang lefu lena. Sena se bakoa ke taba ea hore maemong a sithabetsang, motho o khaotsa ho laola tšebeliso ea lithethefatsi, ho ja. Liphoso tsamaisong ea lithethefatsi tse khahlanong le lefu la tsoekere le lijo li baka tšenyo ea mekhoa ea ho ikamahanya le maemo le ho mpefatsa lefu lena.

Bohloko e ka ba bo sithabetsang ka tlholeho joalo ka "hlooho ea khatello ea maikutlo" kapa bo ka tšoloha ntle le ts'ebeliso e hlakileng ea lehae. Bathong ba bang, lihlooho li hlaha khafetsa, ho ba bang ba lula ba le teng. Tsamaiso ea li-analgesics maemong a mang e tsamaisa lefu la cephalgic.

Kotsi e phetoang hangata ea cerebrovascular.

Ho kopana ha li-microangiopathies tse phahameng haholo ho eketsa kotsi ea ho ba le stroke.

Motho o tšoenngoa ke ho tsekela, ho kopanya hantle ha metsamao, shaky gait, maemo a fefohang a fehlang le a nakoana pele a akheha.

Epileptiform syndrome e bontšoa ke tlhaselo ea letsoalo, ho hloka kelello.

Likarolo tsa encephalopathy mofuteng oa 1 lefu la tsoekere

Boithuto ba tsa bongaka lilemong tsa morao tjena bo bontšitse hore khaello ea insulin e bapala karolo e kholo ho nts'etsopele ea lefu la tsoekere le mofuta oa 1 lefu la tsoekere. Ka tloaelo, insulin e kenella ho etsoang ka methapo ea methapo, ho fokotseha ha eona ho sitisa ts'ebetso ea methapo ea methapo liseleng tsa methapo ea kutlo. Ho qala ha lefu la tsoekere a sa le monyane ho ama ts'ebetso ea ts'ebetso ea boko, hobane nakong ena tsoelo-pele ea methapo ea methapo ea methapo, e leng tlokotsing ea ts'ebetso ea methapo ea methapo, e etsahala. Ho bana, mekhoa ea ho nahana e ea theoha, mathata a ho ithuta a hlaha.

Likarolo tsa encephalopathy ho mofuta oa 2 lefu la tsoekere

Ho kopana ha botenya, khatello ea methapo ea mali le mofuta oa 2 lefu la tsoekere ho mpefatsa boemo ba "encephalopathy". Ho bakuli ba nang le lefu la tsoekere, lefu le fetisisang la kelello ("dementia") le tlalehiloe makhetlo a 6 hangata lilemong tsa morao tjena. Ho ea ka bo-rasaense ba bangata, lefu la tsoekere le eketsa monyetla oa ho ba le Alzheimer's makhetlo a 'maloa.

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

Lefu la tsoekere le amanang le lefu la tsoekere ke lebitso la maloetse ohle a amanang le boko moo ho senyeha ha sele ho etsahalang ntle le ts'ebetso ea ts'oaetso. Ka phepo e sa lekaneng ea lisele, ho timetsoa ha tsona ka leoto hoa etsahala. Ka lebaka leo, mesebetsi e meng ea methapo ea kutlo e lahlehile.

Mathata a joalo a pathological a hlaha ka lebaka la ho sitisoa ha metabolism ea carbohydrate, e senyang methapo ea methapo le ea methapo. Boloetse bo iponahatsa ka tsela e fapaneng ho latela sethala sa lefu lena. Bakuli ba bang ba tšoeroe ke hlooho e sa feleng le ho fokotseha ha boleng ba memori, ba bang ba na le mathata a tebileng a kelello, ho tsukutloa, joalo-joalo.

Encephalopathy ho nahanoa hore e tšoana le lefu la tsoekere. Ho feta moo, maemong ana ka bobeli, ho hloka taolo ho bakoa ke hyperglycemia. Ka lebaka la ho pepesetsoa khafetsa tsoekere e phahameng ea mali, lisele tsa methapo ea kutlo li senyeha hohle 'meleng, ho baka mathata a phepo ea phepo ea kelello.

Kaha phallo ea mali e felletseng e ferekanngoa, boko bo qala ho ba le tlala ea oksijene. Sena sohle se kopanya ho khutlisetsoa hoa lisele mme se kenya letsoho ho bokelleng ha chefo 'meleng. Bakeng sa tlhahlobo ea boloetse bo nakong, hoa hlokahala ho tseba mabaka a tlisoang ke tlolo, hore na o lokela ho etsa eng ho thibela mathata.

Lebaka le ka sehloohong leo lefu lena le bang teng ka lona le nkoa e le phello e sa feleng ea tsoekere e phahameng liseleng. Ka lebaka la keketseho ea viscosity le letsoalo la mali, methapo ea mali e ba mosesane ebile e brittle, kapa ka lehlakoreng le leng. Ka lebaka leo, phallo ea mali a tlhaho ea ferekana.

Sena sohle se halefisa ho bokellana ha dintho tse chefo, tse seng li sa ntšoa 'mele. Ha chefo e kena bokong, lisele tsa methapo ea kutlo li ea fela, ebe butle-butle li shoa ka lebaka la phepo e sa lekanang. Lisele tse senyehileng le ho feta, kelello ea hao e ba le bothata bo eketsehileng le boemo ba mokuli bo ntse bo mpefala.

Ntlafatso ea lefu la tsoekere - e-nooa feela letsatsi le leng le le leng.

Ntle le tsoekere e phahameng ea mali, ho boetse ho na le lintlha tse eketsang kotsi ea ho tšoaroa ke lefu lena. Tsena li kenyeletsa:

ho tsuba le bokhoba ba tahi,
dilemo tse kaholimo ho lilemo tse 60
ho nona haholo
atherosulinosis
boteng ba hyperglycemia,
mathata a a sa foleng a a meno
mafu a holofatsang a vertebra.

Ho lokela ho utloisisoa hore ho ke ke ha khoneha ho ipehela meeli ho tsoa ho mathata a lisele tsa methapo ho ea 100%. Le mofuta o bonolo oa lefu la tsoekere o ka ama boemo ba mokuli.

Maemong ana, nts'etsopele ea mathata ha ea lokela ho utloisoa bohloko. Ha bakuli ba hlokomoloha meriana ka boomo, ba qhala lijo mme ba sa latele likhothaletso, 'mele o fetoha le phetoho ea tsoekere, eo ka ho khetheha e amang methapo ea mali le lisele tsa methapo.

Matšoao a matšoao

Nts'etsopele ea lefu lena e etsahala butle butle. Mokhahlelong oa bakuli ba banyenyane, lipontšo tse joalo li hlaka haholoanyane ka mor'a hypo- le hyperglycemia. Botsofaling, nts'etsopele ea lefu lena ke litholoana tsa bophelo bo bolelele le lefu la tsoekere.

Lefu la tsoekere la lefu la tsoekere ha le na matšoao a boletsoeng. Hangata, mathata a bonahatsoa ke mafu a kelello, asthenia, matšoao a tšoanang le a neurosis joalo ka tlhaho. Mokuli o khathetse haholo, o etsa liketso tse tšoanang le tsa pele, matšoenyeho a hlaha, hlooho e qala ho utloa bohloko, mathata a nang le khatello ea kelello a hlaha.

Lefu la kahare la lefu la tsoekere le nang le mathata a tebileng a kelello qalong le tšoana le litlhaselo tse kang lefu la neurosis. Mokuli o fana ka halofo ea lithahasello tsa hae, a tsepamisa maikutlo ho lefu lena, o ts'oaroa ke lefats'e le kantle.

Ebile, matšoao a lefu lena a ka aroloa likarolo tse 3:

Bakuli ba hlokometse hore ba tlōla khatello ea mali, eseng e bontšitsoeng pejana. Ho na le ho kizaba ntle ho lebaka, ho fifala mahlong, ho tepella le malaise ka kakaretso. Hangata, lipontšo tse joalo li amahanngoa le maemo a leholimo a mabe kapa vegetovascular dystonia.
Ho na le lihlooho tse ngata tse eketsehileng. Linnete tsa tahlehelo ea memori ea nakoana li tlalehiloe, mokuli o khaotsa ho tsamaea sebakeng. Phetoho ea hore na ba bang ba tla e etsa joang leseling le eona e ka fumanoa. Puo, sefahleho sa sefahleho se kanna sa holofala, likhakanyo tsa nyamela. Lipontšo tse joalo hangata li baka ngaka ea methapo,
Matšoao a hlalositsoeng ka holimo a iponahatsa ka ho hlaka nako le nako. Ntle le moo, ho na le mathata a ho hokahanya motsamao. Bakuli ba qala ho ba le bothata ba ho hloka boroko, ba sithabetse maikutlo. Tlolo e mpe ea boleng ba memori e lemohiloe.

Ts'oaetso

Pele ho tsohle, ngaka e fumana hore na ke maemong afe moo mokuli ea nang le lefu la tsoekere a lulang le ho mamela litletlebo tsa bophelo bo botle. ICD e amanang le lefu la tsoekere e amanang le lefu la tsoekere e kentsoe e le E 10 - E 14.

Bakeng sa tlhahlobo e nepahetseng ea lefutso, mokuli o fuoa tlhahlobo e latelang:

Teko ea mali bakeng sa tsoekere le cholesterol sebakeng sa laboratori,
urinalysis ho tseba 'mele oa ketone, tsoekere le sebopeho sa protheine,
matla a maholo a khoheli le tomography e kopanetsoeng,
electroencephalography.

Mekhoa ena eohle ea ho lemoha e thusa eseng feela ho lemoha encephalopathy, empa hape le ho tseba ka nepo sebaka seo Tšenyo ea sele e etsahetseng ho sona.

Re fana ka theolelo ho babali ba sebaka sa rona sa marang-rang!

Ho phekola lefu lena, o hloka ho latela likeletso tsa ngaka ea methapo le methapo ea kutlo. Ntho ea pele eo u lokelang ho e etsa ke ho shebella tsoekere ea mali le ho e boloka e tloaelehile, ho latela lijo le ho sebelisa meriana e fanoeng khafetsa.

Ho feta moo, kalafo e ikemiselitsoe e tlatsetsang ntlafatsong ea matla a bokong, e ts'ehetsang metabolism ea li-neurons. Phekolo e sebelisitsoeng e sebelisa antiplatelet, lithethefatsi tsa antioxidant nootropic.

Mokuli o tlameha ho fuoa litlatsetso tsa metabolism ea matla, livithamini B le E, alpha lipoic acid. Ha ho na le liphoso ts'ebetsong ea musculoskeletal, lingaka li ka fana ka litlhare tsa anticholinesterase. E boetse e sebelisoa:

antihypertensive lithethefatsi
litlhare tsa litlhare,
li-statins.

Ho etsa polelo esale pele, ngaka e nahana ka lilemo tsa mokuli, hore na mathata a fumanoeng a fumanoe neng, le nako le phello ea tefo ea lefu la tsoekere. Ka ho lemoha ka nako le kalafo e nepahetseng, bakuli ba ka boloka ts'ebetso e felletseng ea bokong, ba thibela nts'etsopele ea mathata.

Maemong a ho lemaloa ha encephalopathy ka mor'a nako, mokuli o tla lebella mathata a tebileng a tsamaiso ea methapo, joalo ka:

migraine e matla e nang le semelo se sa khaotseng,
cramps
mathata a pono.

Ho lahleheloa ke karolo e itseng ea ts'ebetso ea boko ho tla etsahala butle mme ho ka fella ka ho holofala. Mokhahlelo oa ho qetela o kanna oa tsamaisana le lipono, ho hlasimoloha, boitšoaro bo sa lokang ba mokuli, mathata a ho sekamela le tahlehelo ea mohopolo.

Thibelo le likhothaletso

Encephalopathy ho lefu la tsoekere ke lefu le tsoelang pele le sa foleng. Tekanyo ea kholo ea mathata a lefu lena e ipapisitse le lefu la tsoekere ka kotloloho.

Ho etela lingaka khafetsa, ho latela litlhahiso tsa ho theola tsoekere ea mali, kalafo ea methapo - tsena tsohle li tla thusa ho liehisa nts'etsopele ea lefu lena, mme mohlomong le ho emisa tsoelo-pele ea lona. Molao-motheo oa bohlokoa oa thibelo ea encephalopathy ke tlhahlobo ea nako le kalafo e nepahetseng ea lefu la tsoekere le lipontšo tse amanang.

Tlhahisoleseling ka kakaretso

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.

Phekolo ea lefu la tsoekere la Encephalopathy

Therapy ea DE e etsoa ke setsebi sa methapo ea kutlo hammoho le endocrinologist (lefu la tsoekere). Boemo bo hlokahalang bakeng sa kalafo ke ho boloka tsoekere e ngata ea mali ka ho latela lijo tse nepahetseng, ho sebelisa lithethefatsi tse theolelang tsoekere, 'me ha ho hlokahala, kalafo ea insulin. Phekolo ea methapo e ikemiselitse ho ntlafatsa methapo ea methapo ea methapo, ho boloka metabolism ea li-neurons, ho eketsa ho hanyetsa ha tsona ho hypoxia. Lithuto tsa khafetsa tsa kalafo e rarahaneng li etsoa ho sebelisoa li-vasoactive, antiplatelet, antioxidant, litlhare tsa meriana tsa nootropic.

Li-metabolism tsa metabolism ea matla, li-vithamine tsa B, alpha-lipoic acid, vithamine E li fanoa ka pel'a boteng ba makoloi, li-anticholinesterase agents (neostigmine) lia khothaletsoa. Ho ea ka lipontšo, kalafo e tlatselletsoa ka lithethefatsi tsa antihypertensive (ka khatello ea maikutlo ea methapo e sa khaotseng) le lithethefatsi tse khahlanong le lefutso tse tsoang sehlopheng sa li-statins. Pharmacotherapy ea maemo a kang a neurosis e hloka khetho e lekaneng ea lithethefatsi, hobane lisente li ka ama ts'ebetso ea kelello. Hangata ho sebelisoa li-tranquilizer tsa atypical (mebicar). Keletso ea ngaka ea mafu a kelello, ka linako tse ling e ba setsebi sa mafu a kelello.

Phatlalatso le Thibelo

Lefu la tsoekere la lefu la tsoekere ke lefu le sa foleng le sa foleng. Tekanyo ea matšoao a eketsang matšoao ka kotloloho e ipapisitse le boima ba lefu la tsoekere. Tlhahlobo e hlophisehileng ea setsebi sa endocrinologist le neurologist, kalafo e lekaneng ea hypoglycemic, le lithuto tse tloaelehileng tsa kalafo ea methapo li ka emisa kapa tsa liehisa tsoelo-pele ea matšoao a letsoalo, mme tsa thibela nts'etsopele ea mathata. Thibelo e kenyelletsa ho bonoeng ka nako le kalafo e nepahetseng ea lefu la tsoekere, khalemelo ea khatello ea mali le kalafo ea khatello ea methapo.

Lisosa le mochine oa ho senyeha ha lisele tsa boko

Lefu la tsoekere le nang le lefu la tsoekere le na le khoutu ea E10-E14 ho ea ka ICD 10 mme e tsamaisana le sehlopha G63.2. Lefu lena le fumanoa hangata ho bakuli ba nang le lefu la tsoekere la mofuta oa 1.

Khatello e fumanoa motheong oa microangiopathy e netefalitsoeng, e tšoauoang ke tšenyo ea likepe, hammoho le liphetoho boteng ba mabota a tsona.

Ho feto-fetoha hangata hoa boleng ba tsoekere e fumanehang maling ho baka pherekano ea metabolic. Lihlahisoa tse hlahisang litšila tsa metabolic li kenella maling le ho kenella hohle 'meleng, li fihla liseleng tsa boko.

Nts'etsopele ea encephalopathy e etsahala ka mabaka a mabeli a mantlha:

matla a marako a methapo a fokotseha, 'me matla a tsona a eketseha,
mathata a metabolic a ntse a tsoela pele, a lebisang tšenyehong ea methapo ea methapo.

Ho ba teng ha lefu lena, ntle le mabaka a thathamisitsoeng, ho ka baka mabaka a itseng a lefu lena:

botsofe
atherosulinosis
botenya kapa ho nona haholo,
khaello ea phepo e nepahetseng,
mathata a lipid metabolism,
k'holeseterole e phahameng ea mali,
ho iphapanyetsa likeletso tsa bongaka
litekanyetso tsa boleng bo phahameng tsa tsoekere kamehla.

Liphetoho tsa metabolism li ama boemo ba 'mele hampe, li etsa hore tlhophiso ea methapo eohle e teng ea methapo ebe e liehisa ho fetisoa ha litšusumetso.

Ho kheloha ho joalo ha ho hlahe hanghang, empa ka mor'a lilemo tse 'maloa, ka hona, ka lekhetlo la pele, bakuli ba ka kopana le bothata bo hlalositsoeng ba se ba le botsofaling.

Maemong a sa tloaelehang, sesosa sa encephalopathy e ka ba ho otla ha kelello, boemo ba hypoglycemia, hammoho le hyperglycemia.

Matšoao a encephalopathy ho lefu la tsoekere

Phepelo ena ea lefu la tsoekere e etsahala butle mme e ba ntle le matšoao a hlakileng ka lilemo tse ngata. Lipontšo tsa encephalopathy hangata li fosahetse bakeng sa matšoao a maloetse a mang, a thatafatsang ho lemoha ha lefu la pelo.

Setšoantšong sa ts'ebetso ea methapo ea methapo ho na le:

Asthenic syndrome - E bontšoa ke mokhathala o feteletseng, ts'ebetso e fokotsehileng, ho hloka boroko, mathata a ho tsepamisa mohopolo.
Cephalgic syndrome - e tšoauoa ke ho hlaha ha hlooho ea hlooho. Maikutlo ana a tšoana le 'muso ka mor'a ho roala katiba e thata.
Vegetative dystonia, e kopantsoeng le maemo a ho tepella, nts'etsopele ea paroxysm, kapa ho lahleheloa ke kelello.

Bakuli ba nang le bothata ba lefu la tsoekere hangata ba na le bothata ba ho kula, bo hlalosoang matšoao a latelang:

mathata a ho hopola
maemo a sithabetsang
ho hloka thahasello.

Matšoao a tsamaeang le motsoako ona:

ho otsela
hlooho e bohloko,
phapang ea mocheso oa 'mele,
malaise khafetsa
ho phatloha ho sa utloahaleng ha moea,
lebala
boemo ba ho tšoha
tahlehelo ea litlolo
mokhathala.

Hangata bakuli ba iphapanyetsa matšoao ana.

Ka lebaka leo, lefu lena le tsoela pele ebile le ea methating eohle ea kholo ea lona:

Ea pele. Mothating ona, matšoao a lefu lena ha a fapane le lipontšo tsa dystonia ea limela.
Ea bobeli. Boemo ba mokuli bo mpefala ka lebaka la ponahalo ea hlooho le khokahano e sa sebetseng.
Ea boraro. Bohato bona bo nang le mathata a tebileng a kelello. Hangata bakuli ba sithabetse maikutlo. Ho ba teng ha lefu la manic syndrome, boitsoaro bo sa lekaneng bo bonts'a motsoako ona.

Mokhahlelo oa ho qetela oa ts'oaetso ea lefu lena o tšoauoa ka mathata a latelang:

ho boletse liphetoho likarolong tsohle tsa tsamaiso ea methapo,
ho kheloha ho hoholo mesebetsing ea 'mele,
linako tse ling tsa bohloko bo boholo hloohong,
tahlehelo ea maikutlo (karolo e itseng kapa e felletseng) likarolong tse ling tsa 'mele,
ho sitisoa ha pono
ho tsitsipana ho kang ho tsietsana ha sethoathoa,
bohloko bo utloileng ka hare ho litho tsa ka hare.

Ho se bone ngaka ka mokhoa o sa lekanyetsoang ho mpefatsa boemo ba mokuli le ho fokotsa menyetla ea ho felisoa ka botlalo hoa lipontšo.

Phekolo le ramatiki

Phekolo ea encephalopathy e thehiloe ho boloka matšeliso a eona a tsitsitseng hammoho le lithuto tse ling tsa kalafo.

Ts'ebetso ea ho tlosa matšoao le ho khutlisa 'mele e lokela ho ba tlasa taolo ea ngaka.

Tsela ea kalafo e ka nka ho tloha khoeli ho isa lilemo tse 'maloa. Nako e hlokahalang ho khutlisetsa mmele le ho thibela tsoelo-pele e eketsehileng ea mathata e latela boemo ba mokuli le litšobotsi tsa kholo ea kholo ea methapo.

O ka fokotsa matšoao a lefu lena ka thuso ea kalafo e rarahaneng, e nang le likarolo tse latelang:

leihlo le tsoelang pele la glycemia,
ho fihlela boleng bo tsitsitseng ba tsoekere e ka har'a meeli e tloaelehileng,
tsamaiso ea methapo ea metabolic 'meleng.

Litšupiso tse thathamisitsoeng li lokela ho lateloa ke bakuli bohle ba nang le lefu la tsoekere la mellitus, hobane ke litekanyetso tse sebetsang tsa thibelo tse ka thibelang ho hlaha ha encephalopathy.

Lithethefatsi tse ka sehloohong tse fuoeng bakuli ba nang le mathata ana:

alpha lipoic acid antioxidants,
helenanthem
meriana e sebelisang litlolo (Milgamma, Neuromultivit),
lichelete tse tsoang sehlopheng sa li-statins - tse sebelisoang ho nolofatsa metabolism ea lipid,
livithamini (B1, B6, B12, hammoho le A le C).

Tsoelo-pele ea nts'etsopele ea mathata a mang e itšetlehile ka lintlha tse 'maloa:

lilemo tsa mamello
boemo ba glycemia, hammoho le tlhaiso ea eona khafetsa.
boteng ba maloetse a mang a kopaneng,
boemo ba tšenyo ea kelello,
bokhoni ba mokuli ba ho latela lijo tse behiloeng, phomola.

Ho khetha mofuta oa kalafo, ngaka e nahanisisa ka sephetho sa litlhahlobo tsohle tse fetisitsoeng ebe feela o beha litlhare tse itseng. Mokhoa ona oa ho phekola lefu o u lumella ho boloka bophelo bo tloaelehileng ho mokuli le bokhoni ba hae ba ho sebetsa lilemo tse ngata, empa leha ho le joalo ha a fane ka monyetla oa pholiso e felletseng.

Puo ea video mabapi le mathata a lefu la tsoekere le methapo ea mali:

Encephalopathy, e tsoetseng pele khahlano le lefu la tsoekere, e nkuoa e le lefu le sa phekoleheng le ka thibeloang ke puseletso e tsitsitseng le e tsitsitseng bakeng sa lefu lena. Ho thata ho emisa tsoelo-pele ea lefu la tsoekere lapeng.

Mokuli o lokela ho buisana le ngaka 'me a khethe le eena tsela e nepahetseng ea ho hlaphoheloa kalafo. Ho lekola ka hloko boemo ba bophelo bo botle le boemo ba glycemia ho thusa batho ba nang le lefu la tsoekere ho phela bophelo bo felletseng ka lilemo tse ngata.

Lisosa tsa pathology

Lisosa tse ka sehloohong tse fetohelang sesosa sa ts'ebetso ea lefu la tsoekere ke mathata a amang sebopeho sa likepe tse nyane kapa ho hloleha hoa mekhoa ea metabolic. Lisosa tsa kotsi bakeng sa nts'etsopele ea boemo bona ke tse latelang:

ho nona haholo
botsofe
metabolism ea mafura a senyehileng,
keketseho ea khatello ea tsoekere, e sa tloaelehang ka nako e telele,
lipid peroxidation ka liseleng tsa sele.

Kholo ea lefu lena

Nts'etsopele ea boemo ba pathological e kenyeletsa mekhahlelo e meraro. Matšoao a ea pele ha a hlalosoe, hobane hangata batho ba nang le lefu la tsoekere ha ba ba ele hloko. Hangata, tlolo ea molao e bonoa pejana ho feta sethaleng sa bobeli, ha matšoao a bitsoa haholoanyane. Ha u tsamaisa MRI, liphetoho tse nyane haholo tsa tlhaho li bonahala hantle libakeng tse ling feela. Kamora moo, ho etsoa lesela le pharaletseng.

Mehato ea tsoelo-pele ea encephalopathy ho lefu la tsoekere ke:

Qalong. Mokuli o ela hloko likarolo tsa liphetoho tsa khatello ea mali, ka linako tse ling tse tsepisang maikutlo, li fifatsa mahlo, ho sithabela ha maikutlo. Ka tloaelo, matšoao ana a hlahisoa ke ho tepella, liphetoho tsa maemo a leholimo, liphetoho tse amanang le lilemo.
Ea bobeli. Bohloko ba hlooho bo ntse bo bonahala haholoanyane, tahlehelo ea mohopolo oa nako e khuts'oane, maemo a moea a ka hlaha. Matšoao a amanang le methapo ea kutlo a boetse a hlaha - phetoho molemong oa baithuti ho hlakisa, ho bua hampe, ho ba sieo ha likhakanyo tse itseng, le liphetoho liponong tsa sefahleho. Hangata, mothating ona, bakuli ba retelehela ho ngaka ea methapo.
Ea boraro. Tleliniki e iponahatsa ka mokhoa o khanyang, mokuli o tletleba ka hlooho e bohloko, khokahano e ferekanngoa, pele ho syncope ho etsahala hangata. Ho hloka boroko, khatello ea maikutlo le eona ea eketseha, mohopolo oa mpefala. Mothating ona, matla a ho ba le tsebo e ncha le ho ntlafatsa mahlale a lahlehile.

Meriana, le litlhaloso tsa tsona tse khutšoane

Mehato ea ho hlaphoheloa e fana ka maikutlo a ho ama metabolism, ts'ebetso ea methapo, e kengoa ts'ebetsong ka nako e le ngoe le kalafo ea antidiabetes.

Lihlopha tse latelang tsa meriana li fanoe:

ho ntlafatsa phallo ea mali liseleng - Memoplant,
li-antioxidants tsa metabolism e nepahetseng - "Berlition", "Thioctacid",
li-neuroprotectors le li-antioxidants - "Tiocetam", e sireletsa lisele ho litlamorao tsa lintho tse bohloko, khaello ea oksijene,
Vithamini A - e thusa ho fokotsa matšoao a hypoxia, ho etsa hore ho hanyetsa lisele ho liehe ho sebetsa,
Li-vithamine tsa B - "Milgamma", "Thiamine", "Pyridoxine", li nka karolo ho sireletsong ea methapo ea methapo, li kenya letsoho ho hlaphoheng,
ho hlophisoa ha methapo - Trental, e khutlisetsa phallo ea mali maemong a li-capillaries, e sebelisetsoa ho thibela mats'oafo,
Lithethefatsi tse tlotlang - "Stugeron", "Cavinton", ba holisa methapo ea kelello, ba fokotsa menyetla ea mali, hangata ba sebelisoa ho kalafo le ho thibela mathata a bakoang ke phallo ea mali bokong.

Lefu la tsoekere la lefu la tsoekere ke lefu le sa foleng, le lulang le tsoela pele. Ho etela khafetsa ho setsebi sa methapo ea kelello, endocrinologist, lithuto tse nakong le tse nepahetseng tsa lithethefatsi tsa antidiabetic, kalafo ea setšoantšo sa methapo ea methapo e tla fokolisa haholo ts'ebetso ea pathology.

Tsoelo-pele le litlamorao tsa lefu lena

Tsoelo-pele ea kholo ea mafu a tšoaetsanoang e itšetlehile ka tšusumetso ea lintlha tse 'maloa' meleng:

lilemo
glycemia
tlhaiso ea kamehla
mafu a kopaneng
botebo ba ho senyeha ha bokong,
bokhoni ba mokuli ba ho latela lijo tse boletsoeng, ho sebetsa le ho phomola.

Haeba mokuli a hlokomoloha kalafo, a phela bophelo bo sa laoleheng, ka lebaka leo, ho holofala ho ntse ho hlaha, tsebo ea ho itlhokomela e lahlehile.

Phekolo e nepahetseng e tla thusa ho boloka tšebetso ea boko ka lilemo tse ngata ntle le ho senyeha ho hoholo. Mokuli o tla khona ho ntlafatsa bokhoni ba hae ba ho sebetsa, bokhoni ba ho ithuta.

Ha kalafo e lieha, encephalopathy e tšosa ka mathata a tebileng mabapi le tsamaiso ea methapo:

khafetsa khafetsa migraine,
cramps
mathata a pono.

Kamora nako, kelello e lahleheloa ke mesebetsi, e bakang tahlehelo ea boipuso le karolo ea sehlopha sa bokooa ho mokuli.

Ka linako tse ling mathata a baka mathata a tebileng a kelello ha likhopiso, ho bona lintho ka tsela e sa lekanyetsoang, boitšoaro bo sa lekaneng, ho lahleheloa ke kelello sebakeng, nako, taolo ea mohopolo e ba teng.

Qeto

Encephalopathy e nang le lefu la tsoekere ha e phekolehe. E ka thibeloa feela ke puseletso e tiileng ea lefu lena. Ka boipuso emisa tsoelo-pele ha e sebetse. Ho hlokahala thuso ea bongaka ea bongaka le khetho ea mekhoa ea kalafo le ho hlaphoheloa hammoho le ngaka. Ho shebisisa bophelo bo botle ba hau ho tla u lumella ho phela bophelo bo makatsang ka lilemo tse ngata.