It is important that it is blind that candy network disease is caused " The arch-criminal "

It is important that it is blind that candy network disease is caused " The arch-criminal "
It is important that it is blind that candy network disease is caused " The arch-criminal "
" candy network disease " The damage to eyes is irreversible, 1/4 of the blind persons are ill but blind in the whole world If can find early, treat actively, insist on the rational diet, its course of disease may stop development Once the patient makes a definite diagnosis of diabetes, should go to the ophthalmology department to check regularly, in order to find its complication early With the intersection of people and improvement of living standard, plenty of meat and fish it gets married to be often potluck, push away cup, turn on often dinner party of one, lead to the fact the diabetic morbidity increases year by year, it is seen that following a series of complications are more and more too, display on eye, including retinal pathological change, cataract, crooking all, skin paralysis outside the eyes etc. temporarily, retinal pathological change (are abbreviate as among them " Candy network disease " )The most common. The relevant literature reveals, the average morbidity of diabetic's retinal pathological change is up to 50%. The expert points out, " candy network disease " The damage to eyes is irreversible, 1/4 of the blind persons are ill but blind in the whole world. But if can find early, cooperate with the correct treatment actively, insist on the rational diet, its course of disease may stop development. Clinical observation finds, blood glucose controls the diabetic not good, retinal pathological change has taken place in over 80% 20 years later, and blood glucose controls the good patient, only 10% present retinal pathological change from side to side. So, once makes a definite diagnosis of diabetes, should go to the ophthalmology department to check regularly while proposing the patient, in order to find its complication early. Case eyesight drops, find diabetes 61 -year-old aunt Zhang is a little fuzzy when seeing the things in recent months, it is not affective to drip eye drops, buy a pair of new presbyopic glass in the glasses city, but still unhelpful, is gone to the hospital to check, the doctor suspected unexpectedly she was the retinal pathological change that diabetes was caused. Check blood glucose, as expected the unfortunate speech. "Have not I been fat all the time, eating more either, drinking more and symptom of many urine, what diabetes is it? " Aunt Zhang wonders very much. "at being clinical,' more than three, not getting less ' (eat more, more drinking, urines much and become thin) Symptom obvious patient have many people the intersection of eye and pathological change really, examine on ophthalmology department finding, suffering from diabetes for the first time. " The first ophthalmology department of affiliated hospital yellow second committee's professor in Chinese Medicine University of Guangzhou points out, eye complication of diabetes is not rare on clinic, except that no symptom of the eyesight decline will appear as aunt Zhang does, also can have strabismus, reply, look at, appear shadow,etc. at the moment, get ophthalmology department can find retinal pathological change, cataract, crook all, the intersection of skin and the intersection of paralysis,etc. and disease outside the eyes temporarily. "Among them, retinal pathological change is the most common. The literature report reveals, the average morbidity of retinal pathological change of diabetes is up to 50%. " Yellow second committee points out, diabetes can cause the retinal blood vessel to lack proper care, diabetic eyes disease and retinal pathological change are abbreviated as " candy network disease " ,Improvement as growth which suffers from diabetic time of incidence of the disease. There are materials that reveal, the morbidity of diabetic of the course of disease under 5 years is 38%- 39%; The annual one is 50%- 56.7% in the course of disease 5- 10; The optical fundus in more than 10 years person change, increase to 69%- 90%. So, if the patient damages one and examines finding in the ophthalmology department it is " candy network disease " because of eyesight ,Much can infer its diabetic medical history has been perhaps even the above for 5 years. Warning " candy network disease " Not injuring the eyes reversibly, " candy network disease once happen, it is irreversible, and will further develop. " According to yellow second committee, the candy network divides into two big classes of background retinal pathological change and hyperplasia retinal pathological change. Among them, background candy network disease sees more in the initial stage when the disease is sent, most patients will not perceive eyesight is damaged, the intersection of optical fundus and rarely seen little hemangioma, point-like to bleed, not rigid to ooze out, a slight one want, find through the intersection of optical fundus and fluorogenic angiography perhaps. And hyperplasia candy network disease is the reason causing the vision to damage, are shown as the extensive capillary is stopped up, the intersection of cotton fibre and kinds of spot, point-like to bleed, extensive blood capillary unusual, can cause the retina to produce new born blood vessel and fibrous hyperplasia while being getting serious, shrink and pull retinal detachment, not only can influence eyesight seriously, even it is blind to cause, 1/4 of the blind persons are ill but blind in the whole world. Just because of this, Huang ZhongWei reminds and says, once the patient makes a definite diagnosis of diabetes, should go to the ophthalmology department to check regularly. If symptom of the eyesight decline appears, replying looking at etc., should go to a doctor in time. To the diabetes patient without retinal pathological change of appearance, even if eyesight is 1.0, also expand the once of pupil detailed survey optical fundus every year; The above one in 5 years of course of disease, should check once every half a year, still need to carry on the fluorogenic angiography of optical fundus if necessary; If has already presented pathological change, has needed checking once in 1~2 months. "Once suffer from the diabetic eyes disease, must not seek no medical advice lest one should be known as a victim of disease, the false propaganda that don't be believed ' the diabetic eyes disease can effect a radical cure ' still more. " Yellow second committee points out, because people's scarce understanding of eye complication of diabetes, a lot of patient to drop obviously in eyesight, even influence seek medical advice until after working normally and living, have missed treating the opportunity best in vain. Many old patients even drop eyesight to think that result from cataract, have not realized the irreversible consequence of pathological change of optical fundus. "Once candy network disease appears, patients should accept instead of following all one's life. " Huang ZhongWei claims, so long as face objectively, optimistically, cooperates and treats actively, insist on the rational diet, the candy network may stop development. The treatment controls blood glucose first, and then construct and manage to the ill "The treatment of candy network disease, should treat its old complaint first - -Diabetes. " Yellow second committee points out, drop blood glucose to normally or is close normally, prevent, delay or lighten the important measure of candy network disease. On this basis, according to different courses of disease, can also adopt the following treatment means: The medicine is guarded to treat the target: Early simple candy network disease patient. Western medicine: (1)Resist the blood platelet and gather medicines, such as aspirin, Pan ShengDing,etc.; (2)Anticoagulatory medicine, such as Heparin; (3)Urge finely to dissolve medicines, such as urine kinase, chain kinase,etc.. Traditional Chinese medicine: From the viewpoint of Chinese medicine, it is empty that it belong to deficiency of Yin of the kidney of liver or angry overcast two more that candy network disease is early, select, take Chinese medicine six the intersection of bad smell and the intersection of digitalis and pill, the intersection of stone and Hus of luminous pill, make eyes bright the intersection of digitalis and pill, the intersection of chrysanthemum and digitalis pill Qi, there is certain curative effect; Can also make the powder to take with Radix Astragali, American ginseng, Tian Qi, the concrete proportion weight should be depended on personal physique by the doctor; As to the thing that the persons who bleed of retina, can take compound root of red-rooted salvia and drip pills, open capsule of compound thrombus,etc.; As to the thing that the persons who bleed and has not absorbed for a long time of optical fundus, have certain curative effect to instil parenteral solution of root of red-rooted salvia to adopt intravenously. The laser treats the target: New born blood vessel, little hemangioma and candy network disease patient with fluorogenic seepage appear, it is not good even invalid to the results of blood of serious cataract, glass volume, retina edema person. Characteristic: The laser treatment can be congealed directly Firm to close new born blood vessel, little hemangioma and capillary with fluorogenic seepage, may prevent the development of the retinal pathological change. But the laser treatment is not omnipotent, even the correct light is congealed and treated, also will cause certain damage to eyesight, visual field,etc.. The vitreous body cuts the skill target: Candy network disease proliferating phase patient. Characteristic: In later period in diabetic's retinal pathological change has arrived, the blood of glass volume appears, and accumulate the blood and does not absorb (generally observe for 3 months closely) for a long time ,Vitreous hyperplasia, it is out of danger to have pulling retina, must implement the vitreous excision, try to keep remaining eyesight to the maximum extent. It is salty that the diet avoids drinking to avoid the diet and passes " the adjustment of diet is a foundation of treating candy network disease. " Yellow second committee recommend, there is clinical observation that finds, blood glucose controls the diabetic not good, retinal pathological change has taken place in over 80% 20 years later, and blood glucose controls the good patient, only 10% present retinal pathological change from side to side. The diabetic appears in the candy net, relate to the fact that it is not very ideal to control all the time in blood glucose, answer even more at this moment " Mend the fold after the sheep have been stolen " ,Should be paid special attention to even more in the daily diet. Should: Should eat more coarse fibre food and stem leaf vegetables; Should supplement the food with rich protein, the intaking amount should be equal to normal people or slightly high, but have it while amalgamating disease, should decide the intaking amount of protein according to the doctor's guidance; Should be appropriate and supplement vitamins, microelement, coarse food grain, nut, leaf dish, meat, poultry, egg, beans, potatoes, marine product, tea,etc. match to eat appropriately, some health products with many kinds of vitamins and microelements can also be taken under the guidance of doctor. Avoid: Avoid carbohydrate and sweet food, restrain rice, wheaten food the intersection of staple food and quantity from can't " exceed the proper limits in righting a wrong " ,Have more meals a day but less food at each, in case that often the hungry state of place influences the health; Avoid the fatty meal, limit edible oil, animal fat and high cholesterol food, especially fat patient, should reduce the absorption of heat energy, it should not be over 40 grams every day that the fat is taken in; Avoid eating the over-salty food, the salt amount of one day don't exceed 6 grams; Avoid drinking, especially strong drink, drink and damage bigger on an empty stomach, can cause hypoglycemia, blood glucose fluctuates too big, ketone disease and acidosis,etc. can aggravate diabetic condition.


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