{"id":5732,"date":"2016-07-18T22:40:41","date_gmt":"2016-07-18T19:40:41","guid":{"rendered":"http:\/\/prodiab.md\/?p=5732"},"modified":"2016-07-18T22:40:41","modified_gmt":"2016-07-18T19:40:41","slug":"complicatiile-cronice-ale-diabetului-zaharat","status":"publish","type":"post","link":"http:\/\/prodiab.md\/ro\/complicatiile-cronice-ale-diabetului-zaharat\/","title":{"rendered":"Complica\u0163iile cronice ale diabetului zaharat"},"content":{"rendered":"<p><\/p>\n<p style=\"text-align: justify;\">Complica\u0163iile cronice ale diabetului sunt macroangiopatia, microangiopatia \u015fi neuropatia diabetic\u0103. Prin angiopatie diabetic\u0103 se \u00een\u0163elege totalitatea alter\u0103rilor vasculare secundare tulbur\u0103rilor metabolice produse de deficitul absolut sau relativ de insulin\u0103, cu accent pe vasele mici (microangiopatia) \u015fi cele mari (macroangiopatia).<\/p>\n<div class=\"ads_articol\" style=\"text-align: justify;\">\u00a0Frecven\u0163a acestor modific\u0103ri este mare, microangiopatia ap\u0103r\u00e2nd mai des la tineri, spre deosebire de macropatie care este depistat\u0103 la adul\u0163ii trecu\u0163i de 40 de ani (fiind \u00een leg\u0103tur\u0103 \u015fi cu ateroscleroza vaselor mari, \u00eent\u00e2lnit\u0103 \u015fi la nediabetici).<\/div>\n<p style=\"text-align: justify;\">Macroangiopatia diabetic\u0103 determin\u0103 manifest\u0103ri cardiace (cardiopatie ischemic\u0103 \u015fi hipertensiune arterial\u0103), manifest\u0103ri ale circula\u0163iei periferice (arteriopatia diabetic\u0103 \u015fi gangrena) \u015fi manifest\u0103ri cerebrale (atacuri vasculare cerebrale).<\/p>\n<p style=\"text-align: justify;\">Cardiopatia ischemic\u0103 este mai frecvent\u0103 la diabetici, la fel ca \u015fi infarctul miocardic acut \u015fi insuficien\u0163a cardiac\u0103. \u015ei hipertensiunea arterial\u0103 este mai frecvent\u0103 la diabetici, unele medicamente antihipertensive fiind contraindicate (diureticele tiazidic \u015fi unele betablocante).<\/p>\n<p style=\"text-align: justify;\">Arteriopatia diabetic\u0103 (macroangipatia periferic\u0103) este una dintre cele mai severe complica\u0163ii cronice ale diabetului, fiind accentuat\u0103 de obezitate, fumat \u015fi cre\u015fterea gr\u0103similor din s\u00e2nge; localizarea cea mai frecvent\u0103 este la nivelul membrelor inferioare, iar gangrena este ultimul stadiu de evolu\u0163ie a bolii care apare la circa 25% din cazuri, de obicei dup\u0103 v\u00e2rsta de 60 de ani \u015fi mai des la cei neglija\u0163i terapeutic.<\/p>\n<p style=\"text-align: justify;\">Atacurile vasculare cerebrale sunt mai dese la diabetici, ap\u0103r\u00e2nd \u00een peste 10% din cazuri, fiind mai severe \u015fi cu mortalitate mai ridicat\u0103 (la peste 30% din cazuri, fa\u0163\u0103 de circa 15% la nediabetici). Despre profilaxia diabetului zaharat, \u00een num\u0103rul viitor.<\/p>\n<p style=\"text-align: justify;\"><strong>ATEN\u0162IE!<\/strong><\/p>\n<p style=\"text-align: justify;\">Microangiopatia diabetic\u0103 afecteaz\u0103 cel mai frecvent vasele retiniene \u015fi renale. Retinopatia diabetic\u0103 apare \u015fi la diabeticii tineri, afect\u00e2nd circa 10% din bolnavi \u00een primii 10 ani de boal\u0103, dar dup\u0103 15 ani cre\u015fte la 50%, iar dup\u0103 25 de ani de evolu\u0163ie exist\u0103 la 90% din bolnavi. Leziunile se eviden\u0163iaz\u0103 prin consultul specializat oftalmologic. Retinopatia poate duce la orbire (diabeticii pot ajunge nev\u0103z\u0103tori de 10 ori mai des ca nediabeticii, diabetul fiind prima cauz\u0103 de orbire ap\u0103rut\u0103 \u00een cursul vie\u0163ii), glaucom (cre\u015fterea presiunii intraoculare) \u015fi cataract\u0103. Microangiopatia renal\u0103 determin\u0103 glomerulonefrite \u015fi inec\u0163ii urinare care pot evolua spre pielonefrit\u0103 cronic\u0103.<\/p>\n<p style=\"text-align: justify;\"><strong>RE\u0162INE\u0162I!<\/strong><\/p>\n<p style=\"text-align: justify;\">Neuropatia diabetic\u0103 este una dintre cele mai frecvente complica\u0163ii ale diabetului, interes\u00e2nd at\u00e2t sistemul nervos somatic c\u00e2t \u015fi cel vegetativ, manifest\u0103rile fiind foarte variate, doar 1-3% dintre bolnavi prezent\u00e2nd semne obiective, 10-30% av\u00e2nd semne minore subiective \u015fi 20-30% neav\u00e2nd nici un simptom. Neuropatia diabetic\u0103 popate fi periferic\u0103 (mai ales la membrele inferioare, dar \u015fi la cele superioare) \u015fi visceral\u0103 (modific\u0103ri pupilare ale ochiului, afectarea esofagului, stomacului \u015fi intestinului sub\u0163ire, modific\u0103ri la nivelul vezicii urinare, impoten\u0163\u0103).<\/p>\n<p style=\"text-align: justify;\">Sursa:\u00a0http:\/\/www.ebihoreanul.ro\/<\/p>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Complica\u0163iile cronice ale diabetului sunt macroangiopatia, microangiopatia \u015fi neuropatia diabetic\u0103. Prin angiopatie diabetic\u0103 se \u00een\u0163elege totalitatea alter\u0103rilor vasculare secundare tulbur\u0103rilor metabolice produse de deficitul absolut sau relativ de insulin\u0103, cu accent pe vasele mici (microangiopatia) \u015fi cele mari (macroangiopatia). \u00a0Frecven\u0163a acestor modific\u0103ri este mare, microangiopatia ap\u0103r\u00e2nd mai des la tineri, spre deosebire de macropatie care&#8230;<\/p>\n","protected":false},"author":3,"featured_media":5733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[5],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.5.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Complica\u0163iile cronice ale diabetului zaharat - PRODIAB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/prodiab.md\/ro\/complicatiile-cronice-ale-diabetului-zaharat\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Complica\u0163iile cronice ale diabetului zaharat - PRODIAB\" \/>\n<meta property=\"og:description\" content=\"Complica\u0163iile cronice ale diabetului sunt macroangiopatia, microangiopatia \u015fi neuropatia diabetic\u0103. 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