Iziguli ezinesifo sikashukela zivame ukuhlakulela ukuhlukumezeka okubonakala kokulimaza ezindongeni zegazi. Ethintwa njengemithanjeni emikhulu nemithambo yegazi, kanye nama-capillary amancane kakhulu. I-angiopathy yesifo sikashukela ibuye ibonakale ekwephuleni kwe-hemostasis, izimpawu ezicacile eziphathelene nokwelashwa kuxhomeke kulohlobo, ubude kanye nesilinganiso somonakalo emithanjeni yegazi.
Izimpawu nezinhlobonhlobo ze-angiopathy yesifo sikashukela
Inkinga echazwe ihlukaniswe ngamaqembu amakhulu amabili - ama-macro- kanye nama-microangiopathies. Futhi, ngamunye wabo uqukethe izinhlobo zayo zezifo.
I-macroangiopathy ingumonakalo omkhulu emithanjeni yegazi. Njengomthetho, izitho ezingezansi nenhliziyo ziyathinteka.
I-Microangiopathy ibonakala ngokuphazanyiswa kwemisebenzi yamanzi amancane nama-capillari. Kulesi simo, izitho ezihlosiwe ziyamehlo (retina), izinso nobuchopho.
I-angiopathy yesifo sikashukela yamalungu angaphansi ahambisana nezimpawu ezilandelayo:
- ubuhlungu kanye nama-cramps emilenzeni;
- inzwa yezinyoni ezinwabuzelayo "i-goosebumps", i-numbness, ukubetha;
- izinguquko ezinama-dystrophic esakhiweni sesikhumba;
- ukucacisa okuphakathi;
- ukuqothula ngokugcwele unyawo;
- izilonda ze-trophic;
- i-necrosis (ezigabeni zokugcina).
Lapho izilonda zenhliziyo zisebenza, i-macroangiopathy ibonakala kanje:
- i-arrhythmia;
- ukuphefumula;
- i-tachycardia;
- inhliziyo ukukhwehlela;
- ukuphelelwa amandla;
- i-bradycardia;
- ukunciphisa izinga lokushaya kwesifo senhliziyo;
- i-extrasystole;
- isiyezi;
- izinzwa ezibuhlungu.
Manje cabanga ngezibonakaliso zokulimala kuma-capillaries nemithambo encane yegazi.
I-angiopathy yesifo sikashukela ye-retina ibonakala ngezibonakaliso ezinjalo zemitholampilo:
- ukwehla okucacile nokubonakala okubonakalayo;
- Izinto ezifakiwe, njengokungathi zimbozwe nge-shroud;
- ukukhanya kwamahlumela, amabala, ukukhanya phambi kwamehlo;
- ezinkathini eziseduze - ukungaboni.
Ukunqotshwa kwemikhumbi yezinso, i-nephropathy, kuhambisana nalezi zimpawu ezilandelayo:
- ukulala nokubuthakathaka;
- ukuvuvukala okukhulu;
- isicasuli;
- umfutho wegazi ophezulu;
- ukuvuthwa njalo.
Ukucindezeleka kwesifo sikashukela noma umsebenzi ongasebenzi kahle webuchopho unempawu ezinjalo:
- ukukhathazeka kwenkumbulo;
- ukuwohloka kokuguquguquka;
- ukwephulwa kokuhlanganiswa kwezinyathelo;
- ukutholakala kwezindinganiso ze-pathological;
- ukungaqiniseki kwemisebenzi;
- i-anisocoria;
- ukuqina kokucabanga;
- ukungakwazi ukugxila.
Ukwelashwa kwesifo sofuba sikashukela
Ukwelashwa kwe-complication echazwe yisifo sikashukela kuwukulawula okuqhubekayo kokuhlunga kweglucose egazini, njengesizathu esiyinhloko somonakalo emithonjeni yegazi. Kule njongo kusetshenziswe amalungiselelo akhethekile:
- Isifo sikashukela;
- Kamuva;
- I-Maninil;
- Siofor;
- Glicon;
- I-Metogamma;
- I-Diastabol;
- Amaryl.
Ukwengeza, imithi evela emaqenjini amaningana okwelapha ishiwo:
1. Ukunciphisa inani le-cholesterol:
- Lovasterol;
- Vazilip;
- I-cardiostatin;
- I-Zocor;
- I-atherostat;
- I-Holletar;
- I-Liptonorm;
- I-Torquard.
2. Ukunciphisa ukucindezelwa kwegazi:
- I-Diroton;
- I-Finoptin;
- Corinfar;
- Isoptin;
- I-Cordipine;
- Okungeyona ithikithi;
- I-Equator;
- I-Binelol.
3. Ukususwa kwe-fluid ngokweqile:
- I-Diakarb;
- I-Spironol;
- I-Lasix;
- I-Veroshpiron;
- I-Urakton.
4. Ukumelana nokukhuphuka kwezindonga zamathambo, ukuthuthukiswa kokujikeleza kwegazi:
- I-Niacin;
- I-Venoruton;
- I-Troxevasin;
- Rutin;
- I-Agapurgin;
- Ukumemeza;
- I-Trental;
- Ginkgo Biloba;
- I-Vitrum Memori.
5. Ukuvimbela ukwakheka kwe-thrombi:
- Wobenzym;
- I-Angioflux;
- Ukukhishwa kwemikhumbi F;
- I-Detraleks;
- Aspirin.
6. Ukuthuthukiswa kwezinqubo zokusebenzisa umzimba:
- I-Pyridoxine;
- I-solcoseryl;
- i-vitamin C;
- Trifosadenine;
- I-tocopherol.
Ngenxa yokungasebenzi kwemithi yokwelashwa noma izigaba ezinzima zokwelapha, kusetshenziswe izinyathelo ezinkulu kakhulu.
Ngakho-ke, ukwelashwa kwesifo sikashukela esinakekelwe emiphakathini engezansi kuncike ekunqunyweni kwezinyawo. Ukuze alwe nephropathy eqinile, i-hemodialysis ejwayelekile iyalulwe, futhi uma kwenzeka i-retinopathy eqhubekayo, i-laser photocoagulation inqunywe.