Diabetes Mellitus
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Transcript of Diabetes Mellitus
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Diabetes Mellitus Dr. Ahmad mowafy
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Diabetes Mellitus
Diabetes Mellitus lecture Dr. Ahmad mowafy
!!
diabetes
!!
complications
,, rological complicationsneu
,, diabetic coma
,, Keto-acidosis coma
non-neurological complications
1 .
diabetes-pre
,,
diabetes-pre :
diabetes
insulin deficiency could be either: absolute (decreased insulin level) = type I diabetes or relative (the insulin level is normal, but the function is impaired, because of tissue resistant) = type II diabetes
-
sutilleM setebaiD
( (
:ecnarelot esoculg deriapmi
,, ,,
,,
:) ( .2
setebaid tnetal
,
setebaid lacimehc .3
snoitatsefinam lacinilc
. 4
setebaid lacinilc
dairt !!!
snoitacilpmoc
setebaid dairt
dairt
airuylop
-
sutilleM setebaiD
aispidylop aigahpylop
fo gninialpmoc uoy ot emoc lliw setebaid htiw stneitap fo %04 ylno
dairt siht
snoitacilpmoc htiw uoy ot tneserp lliw %06 rehto eht
llew yrev snoitacilpmoc eht wonk ot evah uoy yhw si siht
:setebaid fo snoitacilpmoC
yhtapolucsav yhtaporuen
,,
-
sutilleM setebaiD
=
:
slessev doolb
yhtapolucsav
yhtapoignaorciM
yhtapoignaorcaM ro
lotibros
yhtaporuen
slessev doolb cixot yrev
yhtaponiter
loitibros fo noitalumucca yhtapolucsav
-
sutilleM setebaiD
setebaid snoitacilpmoc
11
dairt
: 1. 1
noitcefni
noitcefni tnerrucer evah ot elbail si tneitap eht
,,
noitcefni
,,
selcnubrac
,,
QCM . 2
avluv sutirurp
,,
amsalohtnaX . 3
. 4
-
sutilleM setebaiD
sdnuow fo gnilaeh deyaled
energnag . 5
)setebaib cificeps ,, (
murocitebaid acidiopil sisoiborceN
aibit
tnemgip nworb fo sehctap
yhtapolucsav
-
Diabetes Mellitus
Respiratiory complications of diabetes
recurrent chest infection is very common in diabetic patients, also TB
is common in them
Gastro-intestinal complications of diabetes
GIT diabetic patient
Cardiovascular complications of Diabetes
onscardiovascular complicati
heart
vessels
vessels :
Micro-angiopathy Macroangiopathy
,, 3 :
Retinopathy
Neuropahty
Nephropathy
,, :
cerebral blood vessels --> stroke
renal artery stenosis --> hypertension, renal failure
coronary arteries --> ischemic heart disease
blood vessels of muscles --> intermittent claudications
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sutilleM setebaiD
yranoroc
noisnetrepyh
:
yendik
noisnetrepyh
%10
esebo era II epyt fo
noisnetrepyh sesuac ytisebo &
setebaid yr2
emordnys gnihsuc
noitneter retaw - tlas
,,
-
Diabetes Mellitus
complication of diabetes in kidney
1 . pylonephritis
increased liability to infection
2 . nephropathy
nephropathy
nephron
afferent
glomerulus
efferent
Micro-angiopathy
efferent
-
sutilleM setebaiD
suluremolg
eniru
eniru yhtorf
eniru
elubut
:
noitprosbaer
eruliaf laner cinorhc
yhtaporhpen
aerunietorp
tnereffe
lirpotpac
rotibihni ECA
!!!!o_O
-
sutilleM setebaiD
yhtaporhpen ,,
!! ,,
:setebaid fo noitacilpmoc eye
. 1
noizalahc
noitcefni tnerrucer
. 2
rorre noitcarfer
,, ,,
,,
rorre noitcarfer
-
sutilleM setebaiD
yhtaponiter . 3
snoitacilpmoc eye
:
yhtaponiter evitarefilorp
yhtaponiter noitarefilorp-non
evitarefilorp-non
amede aimehcsi
evitarefilorp
noitamrof slessev doolb wen aniter
aimehcsi
slessev doolb
ssendnilb neddus
ssendnilb
sixalyhporp
-
sutilleM setebaiD
noitalugaocotohp ,,
ssendnilb neddus
,,
,,
noitalugaocotohp
,, ,,
setebaid fo snoitacilpmoc lacigolorueN
setebaid
snoitacilpmoc lacigoloruen
% 10
: 3
orcaM-yhtapoigna) (
snoitatsefnam lacigoloruen ekorts
-
sutilleM setebaiD
2
yhtaporuen citebaid yhtapoignaorciM
3
) (
: 4
amoc cimecylgopyh .1
amoc sisodicaotek .2
)CNHH( amoc citoteknon cimecylgrepyh ralomsorepyh .3
amoc sisodica citcaL .4
amoc cimecylgopyH :
amoc sisodicaotek
,,
amoc cimecylgopyh
amoc cimecylgopyh
!!
-
sutilleM setebaiD
,, ,
,,
,, noitprosba
!!! amoc cimecylgopyh
" "
aimecylgopyh
01
amoc
:
sngis gninraw 5 semotpmys SNC 5
:
-
sutilleM setebaiD
= cinomenm
aidracyhcaT
gnittewS
sromerT
yteixnA
regnuH
SNC
:
hcadaeh
noitartnecnoc fo ssol
noisev fo gnirrulb
snoisluvnoc amoc
-
sutilleM setebaiD
citahtapmys
citahtapmys
citahtapmys
ciethtapmys , .1
citehtapmys yhtaporuen
! ,, .2
!
tceffe citehtapmys srekcolb ateB
,, ,,
citehtapmys ,, .3
!!
esaesid nosiddA
amoc cimecylgopyh
-
sutilleM setebaiD
,, ,,
%05 ro %52 esoculg enilas ,,
,, ,, ,,
,,
!! ! :
aimecylgopyh
ytlibirav
evissergorp wols evissergorp tsaf
htaed niarb
,, ,,
,,
,,
tsaf ro wols
-
sutilleM setebaiD
,,
,, sserts citahtapmys
aimecylgopyh
amoc cimecylgopyh
,,
,,
AKD
: 3
setebaid sisodica sisotek
,,
ycneiciffed nilusni
!!!!!!!!o_O
yeniciffed nilusni
-
sutilleM setebaiD
yecniciffed nilusni REVES
amoc sisodicaotek
amoc sisodicaotek
!!! !!
!!!!!!
: 5
, 113 ,, 152 ,, ,, .1
,, 110 ,, 110,, 115
,, ,, .2
,,
aimelakrepyH ,,
aimelakrepyh noitatsefinam
ygolorhpen
-
sutilleM setebaiD
taf ,, taf : ,, .3
,,
ydob noteK
sisoteK : 3
sisodica
sisodica .4
,, ) ( ,, .5
,
: sisodicaotek citebaid ,,
aimecylgrepyH .1
aimelakrepyH .2
sisoteK .3
sisodica .4
amoc .5
sisotek fo snoitatsefinam
,, seidob notek
: 5 seidob notek
: ,,
:
selcsum latelks .1
selcsum caidrac .2
)TIG( selcsum htooms .3
-
sutilleM setebaiD
R
,,
yrotaripser .4
laner .5
!! 5
selcsum
selcsum latelks .1
snoitacidualc tnetimretni
"IG" selcsum htooms .2
ytilitcartnoc
gnittimov & aisuan
niap lanimodba
selcsum caidrac .3
ytilitcartnoc
tuptuo caidrac wol
noitnetopyH = aiemhtyrra
yrotaripser
sisodica
gnihtaerb gnipsag peed
:laner
-
sutilleM setebaiD
aeruylop
aimecylgrepyh
noitardyhed
!! aispedylop
!!
yecneiffed nilusni REVES AKD
2 epyt ro eno epyt
eno epyt
2 epyt
AKD
yecnecifed nilusni REVES
nilusni
noisufni 11 5
ruoh/ stinu
!!!!!!!!!!!!!o_O
,, 5,,
aimecylgopyh
-
sutilleM setebaiD
152
5
4 - 2
!! 152
:2
aeruylop
detardyhed
enilas
noitulid ,,
!!
152
esortxed enilas
aimecylgopyh
:3
-
sutilleM setebaiD
aimelakrepyh
aimelakrepyh
elotsaid
!! ,, noitcartnoc
!!! ,,
ygolorhpen
etanoculg muiclac
esoculg nilusni
aimelakrepyh
!!!
3
srotcaf gnitatipiserp
-
sutilleM setebaiD
noitcefni
scitoiboitna
:
sisodica
noitcerroc sisodica
etanobracib aN
yecniceiffed nilusni REVES
sisodica
amoc citoteknon ralimsorepyH cimecylgrepyH
yecniciffed nilusni
!!!!!!!!!!!!!!!!!!!!!!!!! REVES
-
sutilleM setebaiD
sisoteK
aimecylgrepyH
aimecylgrepyh citotek-non :
,,
AKD
,,
AKD
aimecylgrepyH
aimelakrepyH
sisoteK
,, ,, 110
!! ,,
amoc citoteknon ralimsorepyH cimecylgrepyH
aimecylgrepyH
noitatsefinam
1111
!!! 110
-
sutilleM setebaiD
ytiralimsorepyh aimecylgrepyH
sdiulf
:
aimecylgrepyH
ytiralmisorepyH
AKD ,,
!!
AKD
noitacefidom
sdiulf
-
sutilleM setebaiD
aiemuilovopyH
noitalugaoc
sisobmorht
eruliaf laner reves
tnalugaoc-itna
nirapeh
:
sisodica citcaL
dica citcal
aixopyH
yawhtap ciborana
amoc dica citcal
..
-
sutilleM setebaiD
gurd
yawhtap ciborana fo noitalumits
aixopyh eussit
sisodica citcal
nimroftem dna nimrofnehp
setebaid 2 epyt
,
etanobracib aN
setebaid fo snoitagitsevnI
: snoitagitsevni
eniru
sCBR
: .1
level esoculg doolb gnitsaf
-
sutilleM setebaiD
111 - 10 :
121
setebaid
!!!!!!
111 121
setebaid-erp
ecnarelot esoculg deriapmi :
) (
tset esoculg laidnarptsop :
141
112
112 141
setebaid-erp
tnuoc ragus doolb
-
sutilleM setebaiD
gnitsaf
,,
5
4 gnitsaf
:
101 mumixam
eniru 101
eniru
101
:
141 ,, 111
-
sutilleM setebaiD
141
) (
laidnarp-tsop gnitsaf
esoculg doolb
esoculg doolb lausac
:
ragus doolb emodnar
112
)112 (
airetirc airetirc !!! :
!!!!!!!
:
eniru
-
sutilleM setebaiD
!!!
,,
eniru
eniru :
!!
!!
!!
!!
eniru
::
,,
!!
,,
!!
:
4, 3 ,,
:
!!
!! !! :
-
sutilleM setebaiD
!! 3 ,,
CBR
!! CBR
% 0
aimecylgrepyH
%21 sCBR
3
C1A nibolgomeh
,,
!! C1A nibolgomeh
!!!
!!
! :
!! !!