Diabetes Mellitus

36
Diabetes Mellitus Dr. Ahmad mowafy

description

lkk

Transcript of Diabetes Mellitus

  • Diabetes Mellitus Dr. Ahmad mowafy

  • 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

  • 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

    !!!

    !!

    ! :

    !! !!