Tam sim no, qhov xwm txheej ntawm ntshav qab zib yog ntau heev thiab yog thawj qhov ntawm cov kab mob endocrine. Ntawm qhov tshwj xeeb tseem ceeb yog ntshav qab zib mellitus ntawm yam thib ob, uas feem ntau loj hlob nyob rau hauv lub hnub nyoog laus vim qhov tseeb tias tus txiav tsis ua tiav nws txoj haujlwm thiab cov hlwb ua cov tshuaj insulin maj tuag.
Ntawm cov ntshav qab zib ntawm thawj hom, insulin tsis raug tsim kho txhua lub sijhawm, thiab yog tias tus neeg mob tau kho kom zoo thiab ntseeg tau tias yuav ua raws txhua cov lus qhia kho mob, ces nws tus mob yuav nyob rau theem zoo. Thiab yog tias cov tshuaj insulin tsis tsim txaus, tab sis ntau npaum li cas tsis paub, ces tus kab mob yog qhov nyuaj rau kev kho, thiab ntau yam mob tshwm sim. Ib qho uas mob hnyav tshaj plaws yog mob ntshav qab zib qis ntshav qab zib angiopathy.
Yav dhau los, cov kws kho mob ntseeg hais tias cov hlab ntsha ntawm qhov qis qis tshaj feem ntau cuam tshuam meej vim tias angiopathy ntawm qis qis txhawm rau, tab sis mus txog rau hnub tim nws tau tsim tias txhais ceg puas tsuaj nyob rau hauv cov ntshav qab zib tau tshwm sim los ntawm kev puas tsuaj ntawm cov hlab ntsha, uas yog, polyneuropathy. Nkoj, ntawm qhov tod tes, hloov tsuas yog hauv thaj tsam 15% ntawm cov neeg mob.
Angiopathy ntawm qis qis tuaj yeem faib ua ob ntu:
- Kev mob ntshav qab zib microangiopathy - kev puas tsuaj rau cov hlab ntsha ntawm microvasculature (retinal hlab ntsha, raum).
- Ntshav qab zib macroangiopathy - cov hlab ntsha loj raug kev txom nyem.
Ntawm daim ntawv thib ob ntawm angiopathy, thiab tshwj xeeb tshaj yog nyob rau ntawm tus kab mob ntawm cov hlab hauv ob txhais ceg, nws tsim nyog los nyob hauv ntau dua.
Kab mob ko taw
Raws li morphology, tus kab mob no yog atherosclerosis, uas cuam tshuam txog cov hlab ntsha hauv ntshav qab zib, thiab muaj qee yam ntxwv:
- - cov qhov txhab muaj ntau qhov cim;
- - chav kawm ntawm tus kabmob zuj zus nyob rau lub sijhawm;
- - tuaj yeem tsim kho rau cov hluas;
- - Nws yog qhov nyuaj rau kho tau nrog thrombolytics.
Atherosclerosis ntawm cov hlab ntsha ua rau kom muaj kev sib txuam ntawm cov phab ntsa ntawm cov hlab ntsha, thiab tom qab ntawd muaj qhov nqaim ntawm lawv cov lumen (stenosis) kom txog thaum txhaws tag. Raws li qhov no, cov nqaij mos tau pom muaj pa oxygen tshaib plab, uas ua rau lub cev tsis txaus siab, thiab muaj cov tsos mob tshwm sim. Tus mob no yog nrog nrog cov yam ntxwv ua cim.
Kev faib tawm ntawm Fontaine-Lerish-Pokrovsky
Theem I: tus mob yog asymptomatic thiab txiav txim siab tsuas yog siv cov tshuaj kuaj pom.
Theem II: cov tsos mob tshwm sim nyob rau hauv daim ntawv ntawm qhov mob ntawm ob txhais ceg thiab qee zaum lub duav, qhov mob uas tshwm sim thaum taug kev ntawm qhov kev deb, cuam tshuam claudication pib. Tib lub sijhawm, thaum ib tug neeg tsum, qhov tsos mob ploj mus, txawm li cas los xij, mob ntshav qab zib angiopathy muaj.
Feem ntau, angiopathy ntawm qis qis qis kuj tshwm sim ua ke nrog neuropathy (kev puas tsuaj rau cov hlab ntsha poob siab). Hauv cov xwm txheej zoo li no, kev mob classic yuav tsis tuaj, thiab lwm cov tsos mob tuaj hloov nws, qhov kev xav ntawm qaug zog, tsis xis nyob tshwm sim, ua rau tus neeg nres.
Theem IIA: qhov hnov ntawm qhov mob tshwm sim ntawm qhov deb ntawm ntau tshaj ob puas meters.
Theem IIB: qhov mob pib ntawm ib qho me me li ob puas meters.
Theem III: mob hnyav cuam tshuam los ntawm so. Nws tshwm sim thaum tus neeg mob nyob hauv kab rov tav. Yog hais tias qhov cuam tshuam nqaj qis qis qis qis, tom qab ntawd qhov kev siv ntawm qhov mob yuav tsawg dua, tab sis cov tsos mob tsis ploj.
Theem VI: qhov pom ntawm trophic mob rau sab hauv, kev txhim kho ntawm qog nqaij hlav.
Angiopathies ntawm cov qis qis cuam tshuam rau cov hlab ntsha popliteal thiab lawv cov ceg. Tus kab mob no ua ntau zuj zus, nce qib sai sai, feem ntau ua rau mob caj dab, thiab tom qab ntawd nqua yuav tsum txiav, thiab tus neeg mob ua tsis taus.
Cov tsos mob thiab kuaj mob
Yog hais tias tus neeg mob mus rau hauv tsev kho mob, tom qab ntawd tus kws kho mob yuav tsum tau saib xyuas tsis yog kev tsis txaus siab thiab keeb kwm ntawm ntshav qab zib, tab sis kuj ua rau cov tsos mob hauv qab no:
- - palpation ntawm cov hlab ntsha ntawm ob txhais taw tsis hnov mob mem tes;
- - qhov ntsuas kub nyob hauv zos qis dua (qhov muaj nyob ntawm cov tsos mob ntawm ib sab yog qhov tseem ceeb thaum ua kev kuaj mob);
- - tsis muaj plaub hau ntawm cov tawv nqaij ntawm ceg;
- - Cov tawv nqaij qhuav, tawv nqaij, tawv tawv cyanotic, txhais taw liab;
- - Ischemic edema (hauv kis mob loj).
Kev kuaj mob yog tseem nqa tawm los ntawm cov hau kev txoj hau kev, uas tso cai rau koj los xav txog cov tsos mob:
- - Kev soj ntsuam Dopplerographic ntawm cov hlab ntsha (tshuaj ntsuam xyuas txheej txheem);
- - duplex ultrasound scanning;
- - multispiral tomography;
- - sib txawv ntawm cov ntawv sau keeb kwm.
Hauv cov hnub qub, rheovasography kuj tseem siv, tab sis tam sim no nws tsis siv, vim tias nws tuaj yeem muab cov txiaj ntsig tsis zoo, thiab qhov no ua rau muaj kev saib xyuas ntau tshaj ntawm angiopathy. Yog li no, txoj kev no tsis pom zoo rau kev kuaj mob tus kab mob xws li mob ntshav qab zib angiopathy.
Kev Kho Mob
Kev kho kab mob ntshav qab zib angiopathy muaj qhov tseem ceeb tshaj ntawm kev saib xyuas ntawm ob peb lub ntsiab lus:
- kev kho mob ntawm atherosclerosis;
- tsis kam haus luam yeeb;
- Nqa cov roj cholesterol thiab ntshav qab zib mus rau lub qub;
- kev kho mob thiab ua tiav ntawm tus nqi tseem ceeb ntawm cov ntshav siab;
- kev tswj qhov hnyav;
- kev teem sij hawm ntawm cov tshuaj vasoactive - lawv nce qhov kev ncua deb thaum taug kev, tab sis tsis cuam tshuam qhov tshwm sim;
- Kev tswj hwm me ntsis ntawm cov nqaj thiab coj ntawm nkawm khau yog. Qhov no tsis tuaj yeem ua yog tias tus neeg mob muaj mob raum, lawv txoj kev kho yuav tsum tau nyob ntawm no;
- Kev phais mob;
- sympathectomy thiab kev kho mob hauv lub lumbar;
- kev khiav haujlwm thiab kho mob tom qab lawv;
- kev hla thiab kev kho mob ntawm cov hlab ntsha.
Txhawm rau kom ua tiav qhov muaj zog zoo hauv kev kho mob ntawm angiopathy, nws yog qhov tsim nyog los them rau cov kab mob hauv qab thiab ua kom ib txwm muaj protein thiab carbohydrate. Rau qhov no, cov neeg mob tau xaiv ib tus zuj zus rau ob qho tib si kev kho thiab kev noj zaub mov, txwv kev noj ntawm cov tsiaj rog thiab cov roj ua kom zoo. Tsis tas li ntawd, nyob ntawm daim ntawv mob ntshav qab zib, kev kho mob insulin lossis kev kho mob nrog cov tshuaj tiv thaiv kev ua kom noj tshuaj tiv thaiv yog muaj.
Tam sim no, ntau zaus, kws kho mob nyiam rau kev phais mob. Nrog rau kev txhim kho ntawm ntub dej txhaws thiab nce mus rau hauv intoxication, txiav txiav ib qho yog ua.
Kev Tiv Thaiv
Cov neeg muaj ntshav qab zib yuav tsum tau sim ua txhua yam uas mob ntshav qab zib angiopathy ntawm cov hlab ntshav pib sai li sai tau. Koj yuav tsum nkag siab tias, feem ntau yuav ua tau, txoj kev ua no tsis tuaj yeem zam, tab sis koj tuaj yeem ua rau nws thiaj li tsis muaj kev vam meej thiab nrog cov kev tsis txaus siab.
Txhawm rau tiv thaiv cov kev mob no, koj yuav tsum ua raws txhua cov lus qhia kho mob hauv kev kho mob ntshav qab zib, tas li noj tshuaj insulin siv cov koob txhaj tshuaj rau cov ntshav qab zib, lossis cov tshuaj tiv thaiv kab mob, ua raws li kev noj haus thiab tswj lub cev qhov hnyav. Yog tias tsim nyog, haus cov ntshav ua nyias. Nws yog ib qho tseem ceeb uas yuav tsum tau soj ntsuam txhua theem ntawm cov roj (cholesterol), vim tias nws nce ntxiv txhim kho vascular kev puas tsuaj, thiab, yog li ntawd, coj los rhuav tshem cov ceg ntawm cov nqaij kom ze. Nws kuj yog qhov tsim nyog los tswj lub luag haujlwm ntawm lub siab, vim nws yog lub luag haujlwm rau cov roj (cholesterol) thiab glycogen ntau lawm, txhais tau tias nws cuam tshuam rau tus nqi ntawm kev loj hlob ntawm angiopathy.
Yog tias koj ua raws li tag nrho cov lus pom zoo, tom qab ntawd qhov pib ntawm qhov kev cuam tshuam no tuaj yeem raug ncua lossis lub txheej txheem twb khiav lawm tuaj yeem raug ncua. Hauv qhov no, ob txhais ceg yuav tsis raug kev txom nyem, thiab lub neej zoo ntawm cov ntshav qab zib yuav hloov pauv tau zoo.
