糖尿病慢性合併症
1.視網膜病變
視網膜的基本變化為微血管的擴大,微血管瘤及血管的硬化,再進一步的變化為出現滲出物及出血, 再下來就是增殖性視網膜炎可看到血管增生的現象,血管滋生的結果,使得血管易破裂或視網膜剝離。
視網膜病變和血糖高血壓的控制好壞有密切的關係。良好的糖尿病控制,有助於減少或遏止視網膜病變的發生或進展
2.腎臟病變
糖尿病患者在發病十至十五年後,百分之三十到四十會發生尿蛋白,若沒有加強血糖的控制, 可能會漸漸演變成慢性腎功能衰退甚至惡化成尿毒症,這期間腎功能的變化,和高血壓的控制有關, 患者在發病初期應注意血糖血壓。
3.神經病變
糖尿病的控制與神經病變之間有相當密切的關係, 發生神經病變原因有的與血液循環有關,有的與代謝異常有關。臨床症狀病人可能出現膀胱無力、腹脹、便祕、瀉肚、陽萎、 對冷熱感覺差、手腳無力酸麻刺痛。
4.血管併發症
糖尿病常併有血脂肪過高,高血壓等症狀,這些都是促成動脈硬化的原因, 隨之而來的是腦中風、心肌梗塞、末梢血液循環不良、足部感染等。how to know if wife has cheated
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