Nyob rau hauv tsab xov xwm no peb yuav tham txog cov kab mob xws li ntshav qab zib angiopathy, thiab nrhiav seb tus kab mob no txaus ntshai npaum li cas. Tsis tas li ntawd, peb yuav kawm txog nws cov tsos mob tseem ceeb, muaj teeb meem tshwm sim, thiab, ntxiv rau, nrhiav seb qhov kev kuaj mob tau ua li cas nrog rau kev kho thiab tiv thaiv tus kab mob.
Kuv yuav tsum hu rau tus kws tshwj xeeb twg?
Tawm tsam keeb kwm ntawm ntshav qab zib angiopathy, txhua yam kev hloov pauv ntawm cov hlab ntsha tshwm sim hauv lub cev, uas yog tshwm sim los ntawm cov piam thaj ntau. Raws li ICD, tus kab mob no tau encrypted E10.5 - insulin-dependent diabetes mellitus nrog peripheral circulatory disorders, E 11.5 - non-insulin-dependent diabetes mellitus nrog peripheral circulatory disorders.
Tus kab mob no txaus ntshai heev vim muaj kev cuam tshuam ntawm cov khoom nruab nrog cev los ntawm cov ntshav los ntawm cov hlab ntsha.
Vim tias ntshav qab zib tsis tuaj yeem kho tau tag nrho, angiopathy kuj tsis tuaj yeem lees paub kom zam thiab kho. Txawm li cas los xij, nyob rau hauv cov xwm txheej ntawm kev kho mob ntshav qab zib kom raug thiab tsis tu ncua, kev pheej hmoo ntawm angiopathy thiab ntau yam cuam tshuamnws kev ua txhaum ntawm cov dej num ntawm lub cev tau txo qis.
Kev kho mob, thiab, ntxiv rau, kev soj ntsuam ntawm cov neeg mob ntshav qab zib yog ua los ntawm tus kws kho mob tshwj xeeb, uas yog kws kho mob ntshav qab zib. Yog tias tus kws kho mob tshwj xeeb no tsis nyob hauv tsev kho mob, tus kws kho mob endocrinologist kho cov neeg mob zoo li no. Nyob rau hauv lub xub ntiag ntawm ib tug pronounced mob ntshav qab zib angiopathy ntawm qis extremities, nws muaj peev xwm hais tias tus angiologist, uas yog ib tug kws kho mob vascular, yuav tsum tau sab laj.
Yog tias qhov mob angiopathy ua rau muaj kev cuam tshuam ntawm kev ua haujlwm ntawm ntau lub hauv nruab nrog cev, kev pab los ntawm kws kho mob ntawm lwm qhov tshwj xeeb yuav xav tau. Piv txwv li, tus kws kho qhov muag xav tau rau qhov muag puas tsuaj, tus kws kho mob nephrologist rau lub raum tsis zoo, thiab tus kws kho mob rau cov mob plawv.
Ua rau kev loj hlob ntawm pathology
Kev hloov pauv hauv cov hlab ntsha tas li provoked los ntawm cov piam thaj ntau ntxiv. Tawm tsam keeb kwm no, cov piam thaj los ntawm cov ntshav nkag mus rau hauv cov qauv ntawm endothelium, uas yog lub hauv ob sab hauv ntawm lub nkoj. Qhov no tuaj yeem ua rau muaj kev sib txuam ntawm sorbitol thiab fructose hauv endothelium, nrog rau dej, uas ua rau edema thiab nce permeability ntawm cov phab ntsa vascular. Vim hais tias ntawm cov txheej txheem no, aneurysm yog tsim - ib tug pathological expansion ntawm cov hlab ntsha. Tawm tsam keeb kwm yav dhau los no, nquag hemorrhages tau.
Tsis tas li ntawd, lwm yam haujlwm tseem ceeb ntawm cov hlwb ntawm cov vascular membrane raug ua txhaum cai. Lawv tso tseg tsis tsim cov endothelial relaxing yam uas tswj cov vascular laus, uas, yog tias tsim nyog, yuav txo tau lawv spasm. Qhov no ua rau cov ntshav txhaws hnyav zuj zus, uas ua rau lub qhov khoob khoob khoob lossis ua kom tiav.
Nrog rau kev txhim kho ntawm cov txheej txheem ntawm endothelium, qhov kev pheej hmoo ntawm atherosclerotic plaque deposition nce, uas tseem ua rau nqaim ntawm lub lumen los yog tsis muaj qhov thaiv. Yog li, xws li pathology li ntshav qab zib angiopathy (ICD code E10.5 thiab E11.5) ua rau muaj cov xwm txheej hauv qab no:
- Cov tsos mob ntawm aneurysm - ib qho kev nthuav dav ntawm cov hlab ntsha uas cuam tshuam nrog cov ntshav ncig zoo.
- Kev muaj ntshav los ntawm cov hlab ntsha me.
- nce ntshav siab vim vasospasm, uas tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm endothelial factor.
- Clot formation.
- Kev txhim kho ntawm atherosclerosis.
- Kev qeeb ntawm cov ntshav vim yog vascular spasms, lawv cov aneurysms, nqaim ntawm lumen vim thrombotic lossis atherosclerotic loj.
Views
Nyob ntawm seb cov hlab ntsha cuam tshuam, ob hom kab mob no txawv li cas:
- Kev txhim kho ntawm microangiopathy. Qhov no ua rau cov hlab ntsha tawg. Cov hlab ntsha me uas cuam tshuam tau nyob rau hauv daim tawv nqaij (tshwj xeeb tshaj yog cov tawv nqaij ntawm qis extremities raug kev txom nyem), thiab, nyob rau hauv tas li ntawd, nyob rau hauv lub retina, lub raum thiab nyob rau hauv lub hlwb. Hom no yog tus yam ntxwv los ntawm kev tsim ntawm aneurysm nyob rau hauv lub capillaries, thaum lawv spasms thiab hemorrhage los ntawm lawv tuaj yeem pom.
- Cov hlab ntsha raug kev txom nyem los ntawm macroangiopathy. Nrog rau hom kab mob no, atherosclerosis yog tsim nyob rau hauv lub cev thiab kev pheej hmoo ntawm thrombosis yog nce ntau. Cov hlab ntsha ntawm tag nrho cov kab mob, nrog rau cov hlab ntsha coronary, raug puas, uas ua rau mob plawv.tsis ua haujlwm, myocardial infarction tsis suav nrog.
Qee zaus microangiopathy thiab macroangiopathy ua ke nrog ib leeg.
cuam tshuam kab mob rau tib neeg lub cev
Diabetic angiopathy (ICD code E11.5 thiab E 10.5) ua rau cov kab mob hauv qab no hauv lub cev:
- Kev txhim kho ntawm retinopathy - kev hloov pauv hauv lub retina vim cov ntshav tsis txaus thiab cov ntshav me me rau hauv nws.
- Kev tsim ntawm nephropathy, uas yog ib qho teeb meem ntawm kev ua haujlwm ntawm lub raum.
- Qhov tshwm sim ntawm encephalopathy, tiv thaiv lub hlwb puas.
- Kev txhim kho ntawm cov kab mob hauv lub plawv vim muaj ntau yam teeb meem tshwm sim hauv cov hlab ntsha.
- mob ntshav qab zib ko taw vim kev ua tsis tiav hauv ob txhais ceg.
Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua qhov kev ntsuam xyuas tiv thaiv los ntawm tus kws kho qhov muag, vim qee qhov kev hloov pauv ntawm cov hlab ntsha ntawm qhov muag yog qhov yooj yim tshaj plaws los kuaj xyuas. Nyob rau hauv cov ntaub ntawv ntawm kev tsis sib haum xeeb nyob rau hauv cov hlab ntsha ntawm lub qhov muag, muaj ntau yam kev tsis sib haum xeeb nyob rau hauv lwm yam kabmob yuav xav tias yuav. Nyob rau hauv cov ntaub ntawv ntawm kev kuaj mob raws sij hawm nyob rau hauv thawj theem, cov tsos mob tsis kaj siab yuav zam tau. Tom ntej no, xav txog seb cov tsos mob twg nrog tus kab mob no.
yam ntxwv tsos mob
Raws li cov hlab ntsha thiab cov hlab ntsha ntawm lub cev uas cuam tshuam rau ntau dua, ntshav qab zib angiopathy yog nrog los ntawm ntau yam tsos mob.
Cov cim qhia ntawm retinopathy
Retinal hlab ntsha puas rauthawj theem tuaj yeem ua asymptomatic tag nrho. Hauv qhov no, yog tias ib tus neeg muaj ntshav qab zib, nws yuav tsum tsawg kawg ib xyoos ib zaug kuaj xyuas los ntawm tus kws kho mob ophthalmologist thiab ua qhov kev ntsuam xyuas ntawm cov nyiaj. Raws li cov kab mob vascular nce, cov tsos mob uas cuam tshuam tus neeg mob:
- Lub ntsiab yog txo qhov pom kev.
- los ntshav vitreous tej zaum yuav ua rau tsaus me ntsis, flashes ntawm lub qhov muag los yog sparks.
- Thaum muaj qhov muag pom ntawm qhov muag, tej zaum yuav muaj kev xav ntawm daim ntaub thaiv ntawm lub qhov muag.
Nws yuav tsum tau hais tias qhov tsis muaj kev kho mob tsim nyog tuaj yeem ua rau tus neeg dig muag. Yog tias kev kho mob tsis tau pib raws sijhawm, thaum pom kev txo qis, nws yuav tsis tuaj yeem rov qab los. Ib tug tsuas tuaj yeem tiv thaiv qhov muag tsis pom qhov muag.
Cov tsos mob ntawm Diabetic Nephropathy
Nws tshwm sim yog vim tsis yog rau kev hloov pauv pathological hauv cov hlab ntsha ntawm ob lub raum, tab sis kuj ua rau muaj kev cuam tshuam tsis zoo rau lawv cov ntsiab lus qabzib ntau dhau. Yog tias cov piam thaj hauv cov ntshav nce siab dua 10 mmol ib liter, cov piam thaj tau tawm ntawm lub cev nrog cov zis. Thiab qhov no, nyob rau hauv lem, muab lub nra hnyav ntxiv rau lub raum.
Nephropathy raug kuaj pom hauv ib tus neeg feem ntau kaum tsib xyoos tom qab kuaj mob ntshav qab zib mellitus. Nrog kev kho mob ntshav qab zib tsis raug, qhov tshwm sim ua ntej ntawm lub raum tsis ua haujlwm tuaj yeem ua tau. Nephropathy tuaj yeem pom nws tus kheej nrog cov tsos mob hauv qab no:
- Kev tso zis ntau zaus hauv ib tus neeg.
- Kev muaj qhov tas mus linqhis dej.
- Kev muaj puffiness. Qhov kos npe ntxov tshaj plaws yog o nyob ib ncig ntawm lub qhov muag, uas yog tshaj tawm thaum sawv ntxov. Kev nyiam rau edema tuaj yeem ua rau muaj kev cuam tshuam ntawm cov kabmob ntawm lub plab mog. Thiab vim yog qhov o ntawm daim tawv nqaij pericardial, lub plawv tuaj yeem ua tau.
- ntshav siab.
- Muaj cov cim qhia ntawm intoxication nrog ammonia thiab urea vim qhov tseeb tias lawv cov kua mis tawm los ntawm lub raum yog qhov tsis zoo. Nyob rau tib lub sijhawm, cov neeg mob tau txo qis kev ua haujlwm nrog rau lub cev tsis muaj zog, tsaug zog, xeev siab thiab ntuav, thiab tseem muaj kiv taub hau. Hauv kev mob raum hnyav, thaum qhov concentration ntawm ammonia nyob rau hauv lub hlwb nce ntau, convulsions tshwm sim.
Yuav ua li cas ntshav qab zib encephalopathy manifest nws tus kheej?
Nws tsim los ntawm microcirculation tsis zoo hauv lub hlwb thiab vim kev puas tsuaj rau nws cov hlwb vim cov ntshav tsis txaus. Encephalopathy nce qeeb, feem ntau ntau xyoo lawm.
Thaum pib, muaj qhov txo qis hauv kev ua haujlwm thiab ua kom qaug zog thaum lub sijhawm ua haujlwm kev txawj ntse. Tom qab ntawd mob taub hau ntxiv, uas nyuaj rau tshem tawm nrog tshuaj. Muaj kev ua txhaum ntawm kev pw tsaug zog hmo ntuj, uas entails pw tsaug zog nruab hnub. Nyob rau theem nruab nrab thiab hnyav, cov kws kho mob nco ntsoov cov tsos mob ntawm lub paj hlwb thiab focal hauv cov neeg mob.
Piv txwv li, kev tsis nco qab nrog rau kev tsis nco qab, kev xav qeeb thiab kev ua txhaum ntawm nws txoj kev xav yuav tsum raug ntaus nqi rau cov cim qhia ntawm lub hlwb. Kuj pomnyuaj concentrating.
Raws li cov tsos mob focal, qhov no tsis muaj kev sib koom tes, kev tsis muaj zog ntawm kev taug kev tshwm sim thiab cov menyuam kawm ntawv sib txawv. Nyob rau tib lub sijhawm, ib tug neeg tsis muaj lub sijhawm los txo nws cov menyuam kawm ntawv rau ib leeg, uas yog, nws tsis tuaj yeem saib nws lub qhov ntswg. Tsis tas li ntawd, tus neeg mob muaj qhov tsis txaus ntseeg ntawm kev xav.
Nrog rau ntshav qab zib encephalopathy, qhov kev pheej hmoo ntawm mob stroke tau nce ntau. Nyob rau theem hnyav, encephalopathy tuaj yeem ua rau tus neeg tsis muaj peev xwm ua haujlwm thiab kev pabcuam tus kheej.
Cov tsos mob ntawm qhov muaj tus kab mob coronary artery
Thaum muaj cov pa oxygen tsis txaus rau myocardium, angina pectoris tshwm sim hauv lub cev, thiab tom qab ntawd lub plawv tsis ua haujlwm. Tib lub sijhawm, kev pheej hmoo ntawm lub plawv nres nce.
Angina pectoris tshwm sim nws tus kheej raws li kev tawm tsam ntawm qhov mob omissions tom qab lub sternum, uas tau muab rau sab laug caj npab, thiab, ntxiv rau, rau lub xub pwg nyom, ib feem ntawm lub caj dab, lub xub pwg hniav thiab lub puab tsaig. Mob tuaj yeem tshwm sim thaum lub cev lossis lub siab xav thiab ntev txog kaum feeb. Nyob rau hauv lub xub ntiag ntawm kev puas tsuaj loj rau cov hlab ntsha coronary, qhov mob pib tshwm thaum so. Qhov no theem ntawm angina qhia tau hais tias, yog tias tsis kho, muaj peev xwm ua rau myocardial infarction thaum ntxov. Cov cim qhia ntawm lub plawv tsis ua haujlwm suav nrog:
- Kev muaj arrhythmias uas muaj kev cuam tshuam ntawm lub plawv dhia. Lawv tau nrog cov kev xav ntawm kev cuam tshuam hauv kev ua haujlwm ntawm lub siab. Nws kuj tseem yuav hnov zoo li nws khov, thumps nyuaj, lossis txawm dhia tawm. Kuj yuav muajkiv taub hau nrog rau kev qaug zog thaum lub sij hawm tawm tsam ntawm arrhythmia.
- Qhov ua tsis taus pa. Thaum xub thawj, nws tshwm sim thaum lub cev tawm dag zog, thiab tom qab theem nws kuj tseem tuaj yeem tshwm sim thaum so.
- tshwm sim ntawm hnoos qhuav, tsis cuam tshuam nrog cov kab mob otolaryngological.
- Tshem tawm ntawm edema ntawm extremities. Hauv cov theem hnyav, qhov o ntawm lub plab lossis lub ntsws kuj tshwm sim.
- Human ce intolerance.
Kev txhim kho ntawm angiopathy ntawm cov hlab ntsha coronary yog qhov txaus ntshai rau myocardial infarction, thiab, ntxiv rau, lub plawv tsis ua haujlwm hnyav. Ob qhov teeb meem tuaj yeem ua rau tuag taus.
Tus mob ntshav qab zib angiopathy ntawm qis extremities tshwm sim li cas (ICD E11.5 thiab E 10.5)?
Cov tsos mob ntawm daim tawv nqaij circulatory disorders
Microangiopathy feem ntau cuam tshuam rau ntawm daim tawv nqaij ntawm ob txhais ceg. Yog li ntawd, nyob rau hauv cov tshuaj muaj ib lo lus tshwj xeeb, uas yog: mob ntshav qab zib ko taw syndrome. Los yog lo lus yuav suab yooj yim dua: mob ntshav qab zib ko taw. Nws qhia txog kev hloov pauv pathological hauv ob txhais ceg thaum muaj ntshav qab zib. Cov tsos mob no, ntxiv rau cov ntshav qab zib angiopathy ntawm cov hlab ntsha ntawm qis qis, tuaj yeem ua rau muaj kev cuam tshuam ntawm lub paj hlwb uas tshwm sim nrog ntshav qab zib. Daim ntawv angiopathic ntawm ko taw mob ntshav qab zib tau pom hauv 10% ntawm cov neeg mob uas muaj ntshav qab zib. Feem ntau, pathology tau pom thaum muaj hnub nyoog plaub caug tsib xyoos. Cov tsos mob ntawm ntshav qab zib angiopathy ntawm qis qis yog raws li hauv qab no:
- Tau tawv nqaij nrog rauCov ntsia hlau loj hlob qeeb thiab cov plaub hau poob ntawm ob txhais ceg.
- Ntawm qhov txias txias ntawm ko taw nrog rau chilliness.
- Nyob ntawm daim tawv nqaij.
- Tom ntej tom qab, cov kab mob tshwm sim ntawm lub ntsej muag lossis ko taw.
Cov kab mob tsis kho tuaj yeem ua rau gangrene, uas tuaj yeem ua rau qis qis.
ICD-10 code E 11.5 - mob ntshav qab zib angiopathy ntawm qis extremities muab faib ua macro- thiab microangiopathy. Thawj qhov mus dhau ntau theem:
- Thaum pib, tsis muaj qhov txawv txav loj, tab sis kev ua haujlwm ntawm ob lub raum tsis yooj yim, muaj cov hlab ntshav siab thiab proteinuria (cov protein nyob hauv cov zis), lub raum biopsy yog qhov tsim nyog rau kev kuaj mob.
- Tom ntej no, daim tawv nqaij ntawm ob txhais ceg yuav daj ntseg, ob txhais ceg txias, mob tsis mob.
- Nyob rau theem thib peb ntawm mob ntshav qab zib angiopathy ntawm cov hlab ntsha ntawm cov extremities, cov kab mob ua rau loj dua, mob thiab tsis xis nyob.
- Plaub theem: necrosis tshwm nyob rau hauv nruab nrab ntawm lub qhov txhab, cov ntaub so ntswg tuag, thaj tsam ib ncig ntawm lub qhov txhab o, daim tawv nqaij yog hyperemic, osteomyelitis feem ntau tshwm sim nyob rau theem no, nrog rau abscesses, abscesses thiab ulcers.
- thib tsib - cov ntaub so ntswg txuas ntxiv tuag.
- thib rau theem - ko taw necrosis tshwm sim.
Kev kho mob ntshav qab zib angiopathy ntawm qis qis yuav tau tham hauv qab no.
YKev kuaj mob ntawm pathology
Kev kuaj mob feem ntau suav nrog kev sim nrog rau ntau yam txheej txheem thiab kev sab laj ntawm cov kws kho mob sib txawv. Tus kws kho mob tuaj koom kom paub meej txog kev kuaj mob angiopathy tuaj yeem xa mus rau tus neeg mobrau cov kws tshaj lij hauv qab no:
- Rau kev sab laj nrog kws kho qhov muag, uas yog, kws kho qhov muag.
- mus ntsib kws kho plawv.
- Rau tus kws kho mob raum, uas yog, rau tus kws kho mob nephrologist, thiab yog tias tsis muaj, ces mus rau tus kws kho mob urologist, uas yog tus kws kho mob tshwj xeeb hauv cov kab mob genitourinary.
- Rau tus kws kho mob hlwb uas kho lub paj hlwb, suav nrog lub hlwb.
- Rau kev sab laj nrog tus kws kho mob angiologist tshwj xeeb hauv cov hlab ntsha.
Tsis tas li, cov neeg mob tau sau cov ntshav kuaj rau lipids, qab zib, thiab lwm yam. Qee cov kws kho mob hauv lub hauv paus ntawm kev kuaj mob ntshav qab zib angiopathy (ICD E10.5 thiab E 11.5) tuaj yeem sau ntau yam txheej txheem:
- Ophthalmoscopy feem ntau yog xaj los ntawm tus kws kho qhov muag nrog rau qhov muag tomography.
- Tus kws kho plawv xa cov neeg mob mus rau ECG, ultrasound ntawm lub plawv, nrog rau kev kuaj xyuas cov hlab ntsha.
- Thaum kuaj mob ntshav qab zib angiopathy, tus kws kho mob nephrologist feem ntau yuav xa koj mus kuaj ultrasound ntawm lub raum, thiab, ntxiv rau, yuav kom koj mus rau vascular dopplerography, tso zis rau qab zib thiab beta-2-microglobulin. Kev kuaj ntshav rau urea, creatinine thiab residual nitrogen kuj yuav tsum tau.
- Nyob rau hauv rooj plaub no, tus kws kho mob neuropathologist xa cov neeg mob rau angiography ntawm cerebral hlab ntsha thiab ib qho electroencephalogram.
- Angiologist teem ib lub duplex scan ntawm cov hlab ntsha ntawm extremities.
Yog tias ib tug neeg mob ntshav qab zib mellitus, ib xyoos ib zaug nws yuav tsum tau kuaj xyuas los ntawm txhua tus kws kho mob saum toj no. Yog li tam sim no cia peb paub tias dab tsikev kho mob yog ua los tiv thaiv tus kab mob.
Kev kho mob ntshav qab zib angiopathy yog dab tsi?
Txoj Kev Kho Mob
Cov kab mob no, yog tias nws tau ua rau lub cev tsis zoo, hmoov tsis zoo, tsis tuaj yeem kho tau. Kev kho mob yog tsom rau kev txo cov tsos mob, thiab, ntxiv rau, ntawm kev txwv tsis pub kev loj hlob ntawm tus kab mob thiab tiv thaiv cov teeb meem. Raws li qhov tshwm sim ntawm kev ntsuam xyuas thiab kev ntsuas ntsuas, nrog rau cov tsos mob uas cuam tshuam rau tus neeg, ntau pab pawg tshuaj tuaj yeem muab tshuaj:
- txhawm rau txo cov roj cholesterol thiab kho atherosclerosis, Atorvastatin tau sau nrog Lovastatin thiab Simvastatin.
- Txhawm rau txo qhov siab, cov tshuaj tau sau npe hauv daim ntawv ntawm Lisinopril, Corinfar thiab Verapamil.
- txhais tau tias txhawm rau ntxiv dag zog rau cov hlab ntshav thiab txhim kho microcirculation feem ntau "Bilobil" nrog rau "Cavinton", "Rutin" thiab "Troxerutin".
- Ntau zaus, cov neeg mob no tau muab tshuaj diuretics kom tshem tawm cov edema, uas yog cov tshuaj nyob rau hauv daim ntawv ntawm Spironolactone, Diakarba thiab Furosemide.
- Rau kev tiv thaiv cov ntshav txhaws, "Aspirin" nrog "Sulodexide" yog sau.
- txhawm rau txhim kho cov khoom metabolism hauv cov ntaub so ntswg, kws kho mob tsuas yog sau cov vitamins C, E thiab B6.
Tsis tas li ntawd, txoj haujlwm kho mob ntshav qab zib angiopathy suav nrog cov tshuaj kho mob hauv qab, uas yog ntshav qab zib. Rau kev kho mob, cov tshuaj uas txo cov piam thaj, peb tab tom tham txog Metformin, Diastabol, Diabeton, Glimepiride, thiab lwm yam.tom ntej no.
Tom ntej no, peb yuav kawm yuav ua li cas tiv thaiv kab mob ntshav qab zib vascular angiopathy ua tiav.
Kev Tiv Thaiv
Nws yuav tsum tau hais qhia tias kev txhim kho ntawm cov kab mob xws li ntshav qab zib angiopathy (ICD 10 E11.5 thiab E10.5) tuaj yeem zam tau.
- Yuav ua li no, koj yuav tsum ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob uas tuaj koom txog kev kho mob ntshav qab zib. Koj yuav tsum noj tag nrho cov tshuaj tsim nyog raws sij hawm, ua raws li kev noj haus.
- Koj yuav tsum tso tus cwj pwm phem tag nrho, thiab, ntxiv rau, sim taug kev hauv huab cua ntshiab kom ntau li ntau tau.
- Nws yog ib qho tseem ceeb uas yuav tsum tau ceev faj txog kev nyiam huv ntawm koj txhais taw thiab tsis txhob hnav nruj, thiab tib lub sijhawm khau tsis xis nyob.
- Y Koj yuav tsum tau txais ib qho glucometer uas yuav pab koj saib xyuas koj cov ntshav qab zib tas li. Hauv qhov no, cov ntsuas hauv ib tus neeg ntawm lub plab khoob yuav tsum yog los ntawm 6.1 txog 6.5 mmol ib liter. Thiab ob teev tom qab noj mov, lawv yuav tsum qhia tus nqi ntawm 7.9 txog 9 mmol / liter.
- Koj yuav tsum ntsuas koj cov ntshav siab txhua hnub. Nyob rau tib lub sijhawm, nws yuav tsum tau ua kom ntseeg tau tias nws tsis nce siab tshaj 140/90 millimeters mercury.
- Yog tias koj muaj ntshav qab zib txawv txav lossis ntshav siab, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd.
- Txhua xyoo yuav tsum tau kuaj xyuas kev tiv thaiv los ntawm tus kws kho qhov muag, thiab, ntxiv rau, los ntawm urologist thiab kws kho plawv.
Kev kho mob ntshav qab zib angiopathy ntawm qis qis yog ua tiav siv:
- Tshuaj tua kab mob (rau cov kab mob rwj).
- Statins (kom txo cov roj cholesterol).
- Metabolic tshuaj (txhim kho cov ntaub so ntswg zog, "Mildronate", "Trimetazidine").
- ntshav nyias.
- Angioprotectors (txo cov hlab ntsha o, normalizing metabolism).
- YDecongestants (diuretics).
- YAntioxidants thiab B vitamins.
Mob ntshav qab zib angiopathy ntawm qhov kawg yog qhov txaus ntshai heev thiab tuaj yeem ua rau muaj teeb meem.
YKev kuaj mob ntawm pathology
Yog tias kuaj pom tus kab mob no nyob rau theem pib, qhov kev cia siab yuav zoo. Nrog rau kev kho kom raug, tus kab mob no yuav tsis zoo mus ntxiv. Tab sis thaum tsis muaj kev kho kom raug, kab mob xws li mob ntshav qab zib angiopathy, ICD code E11.5, tuaj yeem ua rau muaj kev hem thawj hauv tsuas yog tsib mus rau kaum xyoo thiab ua rau muaj qhov tshwm sim loj heev:
- Vim muaj kev cuam tshuam ntawm cov txheej txheem ntawm cov ntshav ncig hauv daim tawv nqaij ntawm sab qis, tus neeg tuaj yeem tsim gangrene. Tawm tsam keeb kwm yav dhau los ntawm kev kho mob ntawm qhov teeb meem no hauv tsev kho mob, ib tus neeg tuaj yeem txiav ib ceg ceg. Tab sis nyob rau hauv cov xwm txheej uas txawm nrog gangrene koj tsis tig mus rau kws kho mob, kev tuag yuav sai sai no tshwm sim vim intoxication ntawm lub cev.
- Kab mob Coronary tuaj yeem ua rau lub plawv nres lossis mob stroke, thiab hmoov tsis zoo qhov kev ciaj sia tsawg.
- Kev mob ntawm lub qhov muag cov hlab ntsha hauv tsib mus rau xya xyoo tuaj yeem ua rau qhov muag tsis pom tseeb.
- Kev tsis ua haujlwm ntawm cov hlab ntsha hauv lub raum ua rau lub cev tsis txaus, uas ua rau lub neej tsis zoo.
- Kev cuam tshuam ntawm cov ntshav ncig hauv cov hlab ntsha hauv hlwb ua rau lub hlwb ua haujlwm tsis zoo, uas cov neeg mob ua tsis taus. Nws kuj tseem tsis suav nrog tias qhov no tuaj yeem tshwm sim stroke.
Yog tias tag nrho cov lus pom zoo txog kev kho mob tau ua raws li kev kho mob, cov teeb meem txaus ntshai no tuaj yeem zam tau, lossis tsawg kawg ncua sijhawm ntau xyoo. Yog li, ib tug yuav tsum tsis txhob tso tseg ib qho kev noj qab haus huv thiab tsis quav ntsej txog qee yam tsos mob uas yog hom teeb liab rau kev ua ntawm lub cev. Thiab yog tias muaj cov cim ceeb toom me ntsis tshwm sim, koj yuav tsum sab laj nrog kws kho mob rau cov lus qhia thiab kev kho mob tom ntej yog tias tsim nyog.
Peb tau tshuaj xyuas mob ntshav qab zib angiopathy (ICD code 10 E11.5 thiab E 10.5).
