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
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: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
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3
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: 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
,,
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sisoteK : 3
sisodica
sisodica .4
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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
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airetirc airetirc !!! :
!!!!!!!
:
eniru
sutilleM setebaiD
!!!
,,
eniru
eniru :
!!
!!
!!
!!
eniru
::
,,
!!
,,
!!
:
4, 3 ,,
:
!!
!! !! :
sutilleM setebaiD
!! 3 ,,
CBR
!! CBR
% 0
aimecylgrepyH
%21 sCBR
3
C1A nibolgomeh
,,
!! C1A nibolgomeh
!!!
!!
! :
!! !!
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