原创 糖尿病视网膜病变怎么回事?注意这些症状,做好初期预防!
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240324/e673254d0197443597e07d9a8c076e14.jpeg" style="width: 50%; margin-bottom: 20px;"></p>糖尿病不仅影响血糖,还可能悄然侵袭您的视力。其中,糖尿病视网膜病变正是糖尿病<span style="color: black;">诱发</span>的一种<span style="color: black;">平常</span>且严重的并发症,它如同隐形的窃贼,<span style="color: black;">逐步</span>侵蚀着<span style="color: black;">病人</span>的视觉世界。<h1 style="color: black; text-align: left; margin-bottom: 10px;">糖尿病视网膜病变是什么?</h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">糖尿病视网膜病变是糖尿病最<span style="color: black;">平常</span>和最严重的眼部并发症之一。当<span style="color: black;">咱们</span>的身体<span style="color: black;">没</span>法有效处理血糖时,高血糖状态会损害视网膜中的微小血管,导致它们变得脆弱、易破裂。随着时间的推移,这些血管可能<span style="color: black;">显现</span>渗漏、<span style="color: black;">流血</span>,<span style="color: black;">乃至</span>形成瘢痕,严重影响视力,<span style="color: black;">乃至</span>可能<span style="color: black;">引起</span><span style="color: black;">眼瞎</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">病变<span style="color: black;">周期</span></strong></p>非增殖性糖尿病视网膜病变:初期<span style="color: black;">周期</span>,血管泄漏<span style="color: black;">引起</span>视网膜<span style="color: black;">显现</span>微血管瘤和硬性渗出物。增殖性糖尿病视网膜病变:较严重<span style="color: black;">周期</span>,新的血管在视网膜上生长,这些血管更脆弱,容易<span style="color: black;">流血</span>,可能<span style="color: black;">引起</span>视网膜脱离,从而<span style="color: black;">诱发</span>严<span style="color: black;">注意</span>力问题<span style="color: black;">乃至</span><span style="color: black;">眼瞎</span>。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240324/f74301bcb7614f06899a906d2ee840ee.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">危害</span><span style="color: black;">原因</span></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. 血糖<span style="color: black;">掌控</span>不良:<span style="color: black;">长时间</span>高血糖是<span style="color: black;">重点</span><span style="color: black;">危害</span><span style="color: black;">原因</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 糖尿病历时:糖尿病<span style="color: black;">病人</span>越久,发展成糖尿病视网膜病变的<span style="color: black;">危害</span>越高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. 高血压:高血压会加<span style="color: black;">注意</span>网膜血管的损害。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4. 胆固醇水平高:高胆固醇<span style="color: black;">亦</span>可能加剧视网膜的<span style="color: black;">损害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/images01/20240324/f35abeec79204f819c341f76b5f68898.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">症状与诊断</h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在初期,糖尿病视网膜病变可能不会出现任何症状。随着病情发展,可能会<span style="color: black;">显现</span>以下症状:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. 视力模糊</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 视野<span style="color: black;">显现</span><span style="color: black;">暗点</span>或空白区域</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. 视觉扭曲</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4. 夜间视力下降</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5. 颜色识别困难</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">定时</span>的眼科<span style="color: black;">检测</span><span style="color: black;">能够</span><span style="color: black;">初期</span><span style="color: black;">发掘</span>并诊断糖尿病视网膜病变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/images01/20240324/a18c8823481b4d02871cc2f452f45b0f.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">怎样</span>治疗?</h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">针对不同程度和<span style="color: black;">周期</span>的糖尿病视网膜病变,治疗手段多样,综合治疗<span style="color: black;">方法</span>应个体化定制,以下是<span style="color: black;">有些</span><span style="color: black;">重点</span>治疗<span style="color: black;">办法</span>:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. 血糖<span style="color: black;">掌控</span>:<span style="color: black;">病人</span><span style="color: black;">首要</span><span style="color: black;">必须</span>严格<span style="color: black;">掌控</span>血糖水平,<span style="color: black;">经过</span><span style="color: black;">膳食</span>调控、运动以及<span style="color: black;">运用</span>口服降糖药或胰岛素注射等<span style="color: black;">办法</span>,使血糖接近正常值,这是预防和延缓糖尿病视网膜病变的<span style="color: black;">基本</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 血压和血脂管理:<span style="color: black;">掌控</span>高血压和高血脂有助于减少糖尿病视网膜病变的恶化<span style="color: black;">危害</span>,采取适当的<span style="color: black;">药品</span>治疗和生活方式<span style="color: black;">调节</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. <span style="color: black;">药品</span>治疗:针对非增殖性糖尿病视网膜病变,可能<span style="color: black;">运用</span>的<span style="color: black;">药品</span><span style="color: black;">包含</span>:降糖<span style="color: black;">药品</span>:如二甲双胍、磺脲类<span style="color: black;">药品</span>、胰岛素等;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">抗血小板<span style="color: black;">药品</span>:如阿司匹林,用于减少血栓形成;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血管<span style="color: black;">守护</span>剂:如羟苯磺酸钙,改善视网膜微循环;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">局部治疗:例如黄斑水肿时可采用抗VEGF<span style="color: black;">药品</span>的眼内注射,如雷珠单抗、阿柏西普等,用于减轻水肿和<span style="color: black;">控制</span>新生血管生成。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4. 激光治疗:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">光凝疗法是糖尿病视网膜病变治疗的<span style="color: black;">要紧</span>手段,<span style="color: black;">包含</span>:局限性光凝或格栅样光凝:针对非增殖性病变中的微血管渗漏点或毛细血管<span style="color: black;">没</span>灌注区;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">全视网膜光凝:适用于更严重的增殖性病变,以阻止新生血管的生成;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">黄斑区光凝:针对黄斑水肿进行针对性治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5. 手术治疗:<span style="color: black;">针对</span>增殖性病变或<span style="color: black;">显现</span>严重并发症的<span style="color: black;">病人</span>,可能<span style="color: black;">必须</span>:玻璃体切割术:用于清除玻璃<span style="color: black;">身体</span>的积血、纤维增殖膜、以及修复视网膜脱离等问题;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">冷凝治疗:较少<span style="color: black;">运用</span>,但在某些<span style="color: black;">状况</span>下可替代或辅助激光治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6. <span style="color: black;">定时</span>监测和<span style="color: black;">评定</span>:糖尿病<span style="color: black;">病人</span>应按<span style="color: black;">大夫</span><span style="color: black;">意见</span><span style="color: black;">定时</span>进行眼科<span style="color: black;">检测</span>,<span style="color: black;">包含</span>散瞳后的眼底<span style="color: black;">检测</span>和荧光素眼底血管造影等,以便<span style="color: black;">即时</span><span style="color: black;">发掘</span>和跟踪病变<span style="color: black;">发展</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">糖尿病视网膜病变的治疗是一个综合过程,<span style="color: black;">必要</span>结合病情的轻重、<span style="color: black;">发展</span>速度以及<span style="color: black;">病人</span>的整体<span style="color: black;">情况</span>制定个性化治疗计划。强调的是,任何治疗都<span style="color: black;">不可</span>代替良好且持久的血糖<span style="color: black;">掌控</span>,这是所有治疗策略中最<span style="color: black;">重要</span>的一环。<span style="color: black;">同期</span>,遵循医嘱、积极<span style="color: black;">协同</span>治疗以及保持健康的生活方式<span style="color: black;">一样</span><span style="color: black;">要紧</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240324/3898dfb7865041c9a249557171c07608.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">怎样</span>预防?</h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. 监控血糖水平:保持血糖水平在<span style="color: black;">大夫</span><span style="color: black;">举荐</span>的范围内有助于延缓或防止视网膜病变的发展。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">定时</span>检测血糖水平,遵循<span style="color: black;">大夫</span>的<span style="color: black;">意见</span>进行<span style="color: black;">膳食</span>、运动和<span style="color: black;">药品</span>治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. <span style="color: black;">掌控</span>血压和胆固醇:高血压和高胆固醇<span style="color: black;">亦</span>可能加剧眼底血管的<span style="color: black;">损害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">跟进医嘱,<span style="color: black;">经过</span><span style="color: black;">药品</span>治疗和生活方式改变来<span style="color: black;">掌控</span>这些指标。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. <span style="color: black;">定时</span>眼科<span style="color: black;">检测</span>:糖尿病<span style="color: black;">病人</span>应每年<span style="color: black;">最少</span>进行一次全面的眼科<span style="color: black;">检测</span>,<span style="color: black;">初期</span>诊断<span style="color: black;">针对</span>预防视力损失至关<span style="color: black;">要紧</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>检出视网膜问题,<span style="color: black;">按照</span>医嘱进行必要的治疗,<span style="color: black;">例如</span>激光治疗、注射<span style="color: black;">药品</span>或手术。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4. 戒烟:吸烟会加剧血管损害,<span style="color: black;">增多</span>糖尿病并发症的<span style="color: black;">危害</span>,<span style="color: black;">包含</span>视网膜病变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5. <span style="color: black;">平衡</span><span style="color: black;">膳食</span>:遵循营养师的<span style="color: black;">意见</span>,<span style="color: black;">摄食</span><span style="color: black;">饱含</span>蔬菜、全谷物、瘦蛋白和健康脂肪的<span style="color: black;">膳食</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">减少摄入含糖量高的<span style="color: black;">食品</span>和饮料,<span style="color: black;">掌控</span>体重以降低糖尿病并发症的危险。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6. 积极<span style="color: black;">熬炼</span>:规律的身体活动有助于<span style="color: black;">掌控</span>血糖水平,并可能减少视网膜病变的<span style="color: black;">危害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">大夫</span>的<span style="color: black;">指点</span>下<span style="color: black;">选取</span>适合自己的运动方式。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">7. 服药依从性:按时按量<span style="color: black;">吃下</span><span style="color: black;">大夫</span>开具的<span style="color: black;">药品</span>,不随意更改<span style="color: black;">药品</span>剂量或中断治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">8. 避免过度饮酒:过度饮酒可能影响血糖<span style="color: black;">掌控</span>,应限制酒精摄入。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">9. 管理<span style="color: black;">心情</span>和压力:压力可能会<span style="color: black;">引起</span>血糖水平波动,学习和实践减压技巧<span style="color: black;">能够</span><span style="color: black;">帮忙</span>管理糖尿病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">10. <span style="color: black;">认识</span>家族病史:<span style="color: black;">倘若</span>家族中有人<span style="color: black;">身患</span>糖尿病或糖尿病并发症,应与<span style="color: black;">大夫</span>讨论<span style="color: black;">是不是</span><span style="color: black;">必须</span>更频繁的监测和预防<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">请<span style="color: black;">重视</span>以上的<span style="color: black;">意见</span>并<span style="color: black;">不可</span>完全<span style="color: black;">保准</span>不<span style="color: black;">出现</span>糖尿病视网膜病变,但能<span style="color: black;">明显</span>降低其发展的<span style="color: black;">危害</span>。还应<span style="color: black;">定时</span>与<span style="color: black;">大夫</span>沟通,针对个人<span style="color: black;">状况</span><span style="color: black;">调节</span>预防<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">糖尿病视网膜病变是一场<span style="color: black;">必须</span><span style="color: black;">咱们</span>高度<span style="color: black;">警觉</span>的战役。<span style="color: black;">经过</span><span style="color: black;">掌控</span>血糖、<span style="color: black;">定时</span><span style="color: black;">检测</span>、<span style="color: black;">调节</span>生活方式以及积极治疗,<span style="color: black;">咱们</span><span style="color: black;">能够</span>有效地<span style="color: black;">保护</span><span style="color: black;">咱们</span>的“心灵之窗”,让清晰的世界继续<span style="color: black;">陪同</span><span style="color: black;">咱们</span>前行。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛:http://www.fok120.com/</span>,查看<span style="color: black;">更加多</span></span></a></p>
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