CHITHANDIZO CHA PHAZI LA MATENDA ASHUGA: MANKHWALA OSOKONEZA BONGO, OPALESHONI

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Matenda a shuga a matenda ashuga ndi kusinthika kwa masinthidwe amtundu wamtundu wam'munsi am'munsi omwe amayamba chifukwa cha kuchuluka kwa shuga m'magazi. Kusintha kumakhudza mankhusu amanjenje, mafupa, mitsempha yamagazi yamapazi. Matendawa amapezeka 80% ya anthu odwala matenda ashuga.

Kuchita bwino kwa mankhwalawa kumadalira zochita za endocrinologist, orthopedist, podologist, psychologist, dokotala wa opaleshoni ya mtima ndi purulent, anesthesiologist.

Chithandizo cha Conservative

Mankhwalawa amapha odwala matenda ashuga ndi mankhwala, kubwezeretsa shuga ndi kuchiritsa kwa zilonda zam'mimba ndizofunikira kwambiri.

Pazifukwa izi:

kuchepetsa matenda a shuga, ngati kuli kotheka - insulini kuti isinthe magazi;
antibacterial, antifungal, anti-yotupa mankhwala ndi kuwonjezera kwa bakiteriya, matenda oyamba ndi fungus;
ma pinkiller - ibuprofen, diclofenac;
makamaka antiseptic kukonzekera mu mawonekedwe a mafuta, mafuta, njira.

Mankhwalawa phazi la matenda ashuga, chitetezo cha mthupi chimakonzedwa ndi ma immunomodulators, milgamma yokhala ndi mavitamini a neurotropic ochokera ku gulu B imayikidwa, mankhwala omwe amasintha magazi, mtima, ndi ntchito ya impso amagwiritsidwa ntchito. Wodwalayo amapimidwa kuti apatsidwe kachilombo ndi fungi.

Odwala onse, ngakhale atakhala ndi mtundu wanji wa shuga, amalandila insulin kudzera m'mitsempha ya masana masana. Kuwongolera zomwe zimachitika mthupi, anti-yotupa-non -ididid mankhwala osokoneza bongo, ma tridclic antidepressants amagwiritsidwa ntchito kuchepetsa ululu.

Mankhwala opha matenda ashuga

Ndi kuwonjezeka kwa kutentha, kuwonjezeka kwa njira ya necrotic, komanso kuzama kwa zilonda, maantibayotiki adayikidwa. Musanapeze zotsatira za kafukufuku wamatsenga a microflora, mankhwala ogwiritsira ntchito mankhwala osiyanasiyana amagwiritsidwa ntchito

Mankhwala osankhidwa ndi m'badwo waposachedwa wa cephalosporins, fluoroquinolones. Nthawi zambiri zotchulidwa Zefter, Tsifran ST, Aveloks, Tsiprolet A, Heinemoks, Invanz.

Kuphatikiza kwa maantibayotiki kumagwiritsidwa ntchito - clindamycin-netilmicin, clindamycin-aztreonam, clindamycin-ciprofloxacin. Kuphatikiza komaliza kwa maantibayotiki kumagwira ntchito ngakhale ndi zilonda zapamwamba za ischemic phazi.

Mankhwala osokoneza bongo

Kusintha kwa mabala, mankhwalawa amalembedwa m'mapiritsi a Sulodexide ndi Lomoporan. Njira zomwe zili m'gulu la ma heparinoids, okhala ndi vuto la kuthana ndi mankhwalawa, amagwiritsidwa ntchito kudzera m'mitsempha yamagazi.
Ndi zilonda zapamwamba zoyambitsidwa ndi kuwonongeka kwa mitsempha yamagazi, Prostavazinum, Alprostadil ndi mankhwala. Mankhwala amasokoneza mitsempha yamagazi, amachepetsa magazi, magazi. Zotsatira zabwino zimaperekedwa pochiza matenda am'mimba a matenda ashuga okhala ndi Trental 400, omwe amasintha ma microcirculation mu zilonda zam'mimba.
Makamaka zochizira zilonda zam'mimba matenda a shuga, kukonzekera Vulnostimulin, Delaskin, Fusicutan cholinga chake. Kuphwanya mphamvu ya phazi chifukwa cha kuwonongeka kwa mitsempha kumathandizidwa ndi othandizira okhala ndi thioctic acid - Tiolepta, Thioctacid, Berlition.

Chithandizo chapafupi

Kusowa kwa chizindikiro chowawa mu diabetesic phokoso syndrome kuyenera kukhala chifukwa cholumikizirana ndi dokotala kuti athandizidwe. Kupambana kwamankhwala kumatengera kutsata mosamala tsiku lililonse malangizo onse a podologist. Wodwalayo akulimbikitsidwa:

khalani zilonda nthawi zonse, pewani madzi;
sinthani madiresi tsiku lililonse pogwiritsa ntchito mankhwala okhawo omwe dokotala wanu wakupatsani;
osapita opanda nsapato;
kuchepetsa zolimbitsa thupi.

Kuyeretsa konse. Kuchiza zilonda zam'deralo kumaphatikizapo kuyeretsa bala, kupindika ndi njira zothetsera mavuto, mavalidwe. Njira yabwino yoyeretsera ndikutsuka bala ndi scalpel. Njira yochitira opaleshoni yoyeretsa chilondacho imakonda mabakiteriya azilonda zam'mimba, kutulutsa mafinya. Kugwiritsa ntchito bwino kuyeretsa kwamakina, minofu yathanzi imayenera kukhalabe chilonda.
Zilonda zotuluka. Njira yabwino yotsuka chilonda chopanda poyizoni ndikutsuka ndi saline. Itha kusintha m'malo mwa 0.9% sodium chloride solution. Kusamba ndi 3% hydrogen peroxide njira tikulimbikitsidwa kuchotsa mafinya, motsutsana ndi bacteria wa anaerobic. Ndi kutsuka pafupipafupi kwa chilondacho ndi peroxide, yankho lake liyenera kuchepetsedwa katatu ndikuwonjezera ndi kuthirira kwa bala ndi saline. Miramistin imawerengedwa kuti ndiyo njira yothandiza yochapa zilonda. Kugwiritsa ntchito chida ichi sikuyambitsa kuchepa kuchiritsa, kukulitsa bala, mosiyana ndi yankho la hydrogen peroxide, potaziyamu permanganate, wobiriwira wanzeru, ayodini. Ndikulimbikitsidwa kuti kugwiritsa ntchito pafupipafupi ndikulimbikitsidwa kuti muchepetse nthawi 2-3, osasinthika, osagwiritsa ntchito pafupipafupi. M'milingo yoyambirira ya zilonda zam'mimba, kugwiritsidwa ntchito kwa chlorhexidine kumagwiritsidwa ntchito. Mankhwalawa alibe zotsatira zoyipa, koma amataya katundu wa antiseptic pamaso pa mafinya.
Kusankha kwa chivundikiro. Njira yayitali ya matendawa imafunikira kuphimba bala ndi bandeji yomwe sikuvulaza panthawi yosinthana yomwe imavomerezedwa ndikusinthana kwa mafuta. Zida zabwino kwambiri zovalira ndi:
- makanema ovomerezeka - ogwiritsidwa ntchito ngati zilonda zam'mimba zosavomerezeka, osavomerezeka kuti azigwiritsidwa ntchito kwa nthawi yayitali;
- masiponji onyansa - amagwiritsidwa ntchito pa malo ochiritsira pamene ochepa okakamiza amasiyana ndi bala;
- hydrogels - akulimbikitsidwa zochizira zilonda zam'mimba, yeretsani chilondacho bwino, zitsani machiritso osakhazikika;
- amorphous hydrogels - amagwiritsidwa ntchito pochiza zilonda zowuma, komanso kuchiritsa mabala ndi kutulutsidwa kwa exudate;
- Zovala za hydrocolloid - mtundu wodziwika bwino wa zovala, sizitanthauza kusintha pafupipafupi, kuli ndi mtengo wabwino / mtengo wabwino;
- alginates - bwino amachiritsa zilonda zam'mimba zochulukirapo, tikulimbikitsidwa kuti chilondacho chizitsukidwa bwino ndi saline mutatha kuphika.

Ubwino wake ndi zokutira za hydrogel, mavalidwe a collagen. Pazithandizo zam'deralo, zovala za mafuta zimagwiritsidwanso ntchito pogwiritsa ntchito mafuta a mapira, ma sea buckthorn, ndi ma rose

Mankhwala othandizira apakhungu

Chithandizo cha zilonda zam'mimba za chifuwa pamiyendo ndi m'munsi mwendo ndi antiseptics amagwiritsidwa ntchito limodzi ndi mabala opaleshoni Musanayambe kuvala mankhwalawa ndi mankhwalawa, chilondacho chimatsukidwa ndi mafuta Iruksol, Dioxikain-P, wokhala ndi collagenase ndi ma protein enase C, motero.

Mankhwala amaikidwa mosamala vuto la kachilomboka chifukwa cha zovuta zoopsa osati mabakiteriya okha, komanso minofu yathanzi pachilonda chokha. Ndi zilonda zam'mimba za purulent, limodzi ndi edema yozama, mafuta okhala ndi polyethylene oxide, ayodini amadziwika.

Ntchito mankhwalawa antiseptic zilonda, iodopyron, brownol, lavasept, dioxidine. Kugwiritsa ntchito ndalamazi kumafunikira kuyang'anitsitsa chilondacho tsiku ndi tsiku chifukwa cha chiwopsezo chowonjezera bala pamalonda. Zilonda zakuya zomwe zimakhala ndi minofu yambiri ya necrotic, Gilil wa Purilon amagwiritsidwa ntchito - mankhwala omwe amathandizira kubwezeretsanso minofu, kuyeretsa zilonda zakuya zodzala ndi ma puroma misa.

Mavalidwe osintha

Kupambana kwamankhwala kumadalira mawonekedwe a kupatula kwa phazi, kuchepa kwa ntchito zolimbitsa thupi. Kutsitsa kwabwino kwambiri kwa phazi ndiko kugona kama. Ngati ndizosatheka kutsatira izi, ndiye kuti muzipita nsapato zapadera zamtundu wamkati, ma insoles opangidwa polamula, gwiritsani ntchito ndodo poyenda.

Njira yothandiza yochepetsera katundu wapazi pamapazi ndikumangirira bandeji pamwendo wapansi wopangidwa ndi zida za polima. Kavalidwe kameneka kamakupatsani mwayi wogwira ntchito osakhumudwitsa bala la zilonda.

Mankhwala othandizira

Mankhwala othandizira opaleshoni amagwiritsidwa ntchito moyenera pa mtundu wa ischemic phazi la odwala matenda ashuga, omwe ndi ovuta kuchiza ndi mankhwala ena. Kuchepetsa kwa machiritso a zilonda kumakonzedwa kwambiri ndi kukonzanso kwamitsempha yama cell kudzera mwa shunt kapena endovascular kulowerera.

Opaleshoniyo cholinga chake ndicho kubwezeretsa magazi ake m'mitsempha ya popliteal ndi m'mitsempha yam'munsi. Chitetezo chimachitika pansi pa mankhwala oletsa ululu. Pa opaleshoniyo, catheter imayikidwa kudzera mkutuluka kwa nyambo. Kenako, baluni imalowetsedwa m'mitsempha yam'munsi kudzera mu catheter, kukulitsa kuunikira kwamitsempha, kusintha magazi.

Matenda a shuga

Kufikira 70% ya milandu yonse ya zilonda zam'mimba zimachitika chifukwa cha mawonekedwe amitsempha ya matenda am'mimba omwe amayamba chifukwa cha kuwonongeka kwa mitsempha. Mphamvu ya mankhwalawa neuropathic zilonda ukufika 90%.

Privosis yoipa kwambiri ya ischemic ndi mitundu yosakanikirana ya phazi la matenda ashuga. Ndi kuwonongeka kwakukulu m'mitsempha yamagazi, chithandizo chamankhwala chothandizira kumathandiza kupewa kudula kwa phazi mu 30% yokha ya zilonda zam'mimbazi.

Kuchiritsa zilonda zam'mimba za shuga kumakhala kovuta chifukwa cha matenda omwe amabwera chifukwa cha zilonda, kuwonongeka kwa makina komwe kumathandizanso kuwonongeka kwa minofu, ndikupangitsa kuti pakhale pang'onopang'ono ndikuduladula miyendo.

Simuyenera kuyika pachiwopsezo thanzi lanu, kusankha njira zodziyimira pawokha pochiza zilonda zanu. Njira yothandizira mankhwalawa imawonjezera mwayi wa gangore, imawonjezera chiopsezo chodulidwa phazi.

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