Angiopathy na-arịa ọrịa shuga

Etiology na pathogenesis

Hyperglycemia, ọbara mgbali ọbara, dyslipidemia, oke ibu, insulin resistance, hypercoagulation, endothelial dysfunction, nrụgide oxidative, mbufụt systemic.

Ihe ọghọm nke ibute ọrịa obi na-arịa ọrịa shuga 2 dị okpukpu 6 karịa nke okporo ụzọ na-enweghị ọrịa shuga. Achọpụtara ọbara mgbali elu na 20% nke ndị ọrịa nwere ọrịa shuga 1 na 75% nke ndị ọrịa nwere ụdị shuga 2. Peripheral arteriosclerosis obliterans na-etolite na 10%, ọrịa ụbụrụ thromboembolism na 8% ndị ọrịa nwere ọrịa shuga

Isi ngosiputa nke ulo ogwu

Yiri ndị ahụ na-arịa ọrịa shuga. Na ọrịa shuga myocardial infarction na 30% nke ikpe na-enweghị mgbu

Yiri ndị ahụ na-arịa ọrịa shuga.

Ọrịa obi ndị ọzọ, ọbara mgbali akwara na -akpa ọbara, dyslipidemia nke abụọ

Ọgwụ antihypertensive, mgbazi nke dyslipidemia, ọgwụgwọ antiplatelet, nyocha ya na ọgwụgwọ nke ọrịa obi obi.

Ọrịa obi na-anwụ 75% nke ndị ọrịa nwere ọrịa shuga 2 yana 35% nke ndị ọrịa nwere ụdị shuga 1

Ọrịa shuga microangiopathy

Isi ihe na-eme ka ọrịa angiopathy na-arịa ọrịa shuga bụ ọgwụgwọ na-adịghị mma nke ọrịa shuga mellitus, nke na-akpata ọgba aghara na-eme ọ bụghị naanị na carbohydrate metabolism na glucose ọbara dị elu na nnukwu (ihe karịrị 6 mmol / l) na-ada n'oge ụbọchị, kamakwa protein na abụba. N'ụdị ndị dị otu a, inye oxygen na anụ ahụ, gụnyere mgbidi akwara ọbara, na-emebi emebi na usoro ọbara na-erugharị n'ime obere arịa.

Enweghi nsogbu homonụ na -ewe efe na mmụba nke ọtụtụ homonụ nke na-ebute nsogbu metabolic na njọ na-emetụta mgbidi vaskụla dịkwa mkpa.

Ọrịa mamroangiopathy

Akụkụ iche iche ezubere iche na macroangiopathy na-arịa ọrịa shuga bụ tumadi obi na ala ala. N'ezie, macroangiopathy mejupụtara na mgbasawanye nke usoro atherosclerotic na arịa nke obi na ala ala.

Ọrịa shuga microangiopathy

• Nehropathy na-arịa ọrịa shuga
• Ọrịa mamịrị retinopathy
• Microangiopathy nke arịa nke akụkụ ala

Arịa arịa retina (ọrịa shuga angioretinopathy) na okpu ọbara nke glomerulus nke nephrons (ọrịa shuga angionephropathy) na-etinyekarị aka na microangiopathy mamịrị. Ya mere, akụkụ ebumnuche kachasị nke microangiopathy mamịrị bụ anya na akụrụ.