Ululu wam'mlenze: kutupa ndi zilonda zam'mimba. Chithandizo cha trophic ulcer mu shuga

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Chimodzi mwazinthu zovuta za matenda a shuga ndi kuperewera kwa magazi miyendo. Nthawi yomweyo, kupweteka m'miyendo, kutupa, kutupa nthawi zambiri kumapangidwa, mabala osachiritsika, othandizira amawoneka. Potsogola, gulu la zigawo zimapangidwa.
Kodi zizindikirozi zitha kupewedwa? Ndi njira ziti zoletsa zomwe zimathandizira kuti miyendo yanu ikhale ndi matenda ashuga?

Zowawa zam'mimba mu shuga: zimayambitsa komanso momwe mungathane nayo?

Matenda a shuga amasintha kapangidwe ka magazi.
Mwazi wa munthu wodwala matenda ashuga amakhala wamaso, wamafuta, wandiweyani, chifukwa chake kuthamanga kwa magazi kumachepa. M'mitsempha yayikulu komanso m'mitsempha, kuchepa kwa kuthamanga kwa magazi ndi kochepa. M'magawo ang'onoang'ono otumphukira (kutali ndi mtima) mitsempha ndi ma capillaries, magazi amasokonezeka. Chifukwa chiyani izi zili zoyipa?

Selo iliyonse ya thupi limalandira oxygen m'masekondi iliyonse ndikupereka zopangidwa ndi ntchito yake yofunika (kaboni dayokisaidi, asidi, urea, ammonia, madzi). Ngati magazi azungulira pang'onopang'ono, kuchotsa zakumwa zochoka m'maselo kumachitika. Kuphatikizika kwa poizoni kumapangika mawonekedwe a purulent.

Ngati magazi a m'chigawo cholumikizidwa kwathunthu atsekedwa, khungu louma limayamba (minofu necrosis yotseka pang'onopang'ono mitsempha yamagazi, ndipo nthawi zambiri palibe fungo losasangalatsa, kufooka kwa miyendo ndi kusisita mtembo).

Kuthamanga ndi kukula kwa njira ya pathological mu miyendo imadalira kuchuluka kwa shuga m'magazi.
Ngati munthu wodwala matenda ashuga awona zakudya komanso machitidwe ake olimbitsa thupi, shuga amachepetsedwa mpaka muyeso, zovuta ndi zowawa kumapeto kwake zimayamba pang'onopang'ono. Ngati shuga amakonda kugubuduzika, magaziwo amachepetsa, kuchuluka kwa poizoni m'misempha ndi mapangidwe a edema.

Shuga akamakulitsidwa nthawi zambiri, njira zake za m'magazi zimapangidwa mwachangu. Kupweteka kosalekeza m'miyendo kumawoneka kuti kumadodometsa munthu, onse munthawi yokhala bata.

Pofuna kuthana ndi ululu, wodwala matenda ashuga amayenera kuwunika zakudya zopatsa thanzi ndikuwathandiza. Onani mwatsatanetsatane momwe njira zosavuta zimathandizira kupewa zovuta za shuga pamiyendo.

Kodi kubwezeretsa magazi?

Kutupa kambiri mthupi la munthu kumapangidwa ndi magazi osakwanira. Kubwezeretsa kayendedwe ka magazi kumapangitsa kuti maselo ndi minyemba zisinthidwe.
 
Kodi chimathandiza bwanji kuti magazi azituluka?

  • Zochita zolimbitsa thupi. Kuchita masewera olimbitsa thupi, kuyenda, kuthamanga kuthamanga, kusuntha kuyendetsa magazi mthupi lonse. Kuti achulukitse magazi m'mitsempha yamapazi, amapanganso masewera olimbitsa thupi omwe amasankhidwa kuti akwaniritse minyewa ya phazi, maondo, ana ang'ono ndi zala. Zolimbitsa thupi zoterezi ndizofunikira kwa onse odwala matenda ashuga kupewa zovuta mu mawonekedwe a phazi la matenda ashuga kapena zilonda zam'mimba.
  • Chakudya chokhazikika komanso kuwerengera kwamtundu wa mkate. Kuyeza kumeneku kumakupatsani mwayi wowongolera shuga ndi magazi. Chifukwa chake, kuwongolera zakudya zamatumbo ndi maziko a moyo wodwala wokhala ndi matenda ashuga, chinsinsi cha moyo wabwino. Munthu wodwala matenda ashuga amatha kusuntha pawokha sikudalira shuga m'magazi, osamva ululu wamiyendo osati miyendo, komanso mbali zina za thupi.

Kupweteka kwa mwendo: sangakhale?

Osati nthawi zonse kupezeka kwa ululu m'miyendo kumawonetsa kusowa kwa njira zamatumbo.
Nthawi zambiri ndi matenda a shuga, pamakhala kuchepa kwa chidwi, chifukwa chosakwanira kudya michere ya mitsempha. Vutoli limatchedwa diabetesic neuropathy.

Chifukwa cha kuchepa mphamvu kwa minyewa, wodwala matenda ashuga sangamve kupweteka povulaza miyendo, kusokonezeka, kapena kuwonongeka kwa minyewa yake. Zotsatira zake, wodwalayo amakhalanso ndi malingaliro olakwika kuti chilichonse chiri munthawiyi ndi miyendo. Mavuto akayamba kuoneka (zilonda zam'mimba, mawonekedwe a edema), njirazi zikuyenda kale, chithandizo chake chimakhala chovuta.
Ndi zizindikiro ziti zakunja zomwe munthu angaganize kuti kuphwanya magazi kumiyendo?

  • Kuuma, kusenda ndi kuyabwa kwa khungu, nthawi zina kumakhala kuyaka.
  • Maonekedwe amalo opanga utoto.
  • Chophimba chakunja, mapazi, zala, ana amphongo mpaka kuzizira.
  • Mtundu wa pakhungu kapena wamtambo pa miyendo, maondo, miyendo.
  • Kutayika kwa tsitsi pa ng'ombe ndi mwendo wotsika.
  • Kutupa kowoneka bwino kwam'mapewa ndi mwendo wapansi, kukokana kwa minofu, kumverera kolemetsa.

Kukhalapo kwa zizindikirozi kukuwonetsa kusakwanira kwa magazi kumiyendo. Mikhalidwe yopangira zotupa ndi zilonda zam'mimba zimapangidwa. Kuphatikizika kwa zotupa zokhala m'munsi kwambiri mu shuga kumatchedwa phazi la matenda ashuga. Kodi mawu achipatala amatanthauza chiyani?

Matenda a shuga, zilonda zam'mimba, kutupa ndi edema

Munthu wodwala matenda ashuga nthawi zambiri samva zowawa zakupweteka akamavulaza mapazi ake.
Munthu wathanzi amamva kupsinjika ndi kupweteka m'miyendo yodzaza kwambiri. Wodwala matenda ashuga nthawi zambiri samamva zowawa pakumvulaza mapazi ake. Chifukwa chake, ndikuzindikira matenda a shuga, sikulimbikitsidwa kuyenda osavala nsapato kapena nsapato zotseguka. Komanso, musatenge maulendo ataliitali osafunikira, perekani nkhawa kwambiri pamiyendo (kuchita nawo masewera othamanga, kuthamanga mtunda wautali).

Ululu umatha kutha kwambiri pamene kukonza minyewa kumakhala kovuta. Kuphatikiza apo, mwa odwala matenda ashuga, kuchiritsa kulikonse kwam'mphepete kumakhala koperewera, mabala wamba amatha kuvunda, kusinthanso minofu kumafooka. Kuphatikiza kwa zizindikiro za kuchepa kwambiri komanso kuchiritsa mabala osachedwa kumatchedwa phazi la matenda ashuga.

Zilonda zam'mimba zam'mimba zimapangika pamene ma cell amaperewera.
Zakudya za maselo mu terminology yamankhwala zimatchedwa "trophic." Kuti muchiritse mabala, kupangika kwa maselo atsopano a epithelial cell (minofu yakunja) ndi maselo amisempha yamkati ndikofunikira. Pokhala osakwanira pazakudya, maselo atsopano samapangika, ndipo maselo akale amafa.

Kutalika kwa khungu la khungu limodzi kwamasiku 14. Pamapeto pa nthawi yosankhidwa, khungu lizisintha ndi lina. Chifukwa chake m'thupi laumunthu mumakhala kusinthika mosalekeza kwa maselo.
Kuphwanya njira zakukonzanso kumayambitsa kupangika kwa zilonda ndi zilonda zam'mimba (mabala ndi mafinya, ochepa kukula, okhala ndi chikaso chakumaso komanso fungo losasangalatsa).

Zilonda zimakhudza minofu yokhala ndi khungu (khungu), kenako yofewa (minofu) ndikufika pa periosteum. Pali zilonda zam'mimba komanso venousic zilonda.

  • Zilonda zam'mimba Kupangidwa pambuyo hypothermia miyendo ndi miyendo, mutavala nsapato zolimba, kuphwanya khungu. Malo okhala ndi zilonda zam'mwazi wam'mimba: kumtunda, chala, chidendene.
  • Zilonda zam'mimba kutanthauziridwa pamwambapa - pa ma shins ndi m'dera la ankolo. Amathandizana ndi kupweteka kwa ng'ombe, mawonekedwe amtundu wowoneka wamitsempha, mawanga ofiira, khungu lolimba ndikapangira mawonekedwe owala.
Kuponderezedwa kwa mabala aliwonse ndi mapangidwe a mafinya kumayambitsa kutupa ndipo kutupa kwa minofu. Phazi limachulukana kukula, khungu limakhala ngati limatambalala.

Chizindikiro cha kutupika kwa mwendo mu matenda ashuga chimatha kuchitika popanda kupezeka mabala kapena zilonda. Edema imapangidwa ndimatenda otaya magazi, kukhazikika kwa njira zamkati zotupa ndipo ndi chizindikiro chodwalitsa cha matendawa.

Chithandizo cha zilonda zam'mimba ndi edema

Thupi losasunthika lamadzi (edema) limapangidwa chifukwa cha kusakwanira kwamadzi amadzimadzi, kukakamira kwa mitsempha (nsapato zolimba), kusagwira bwino ntchito kwa impso, matenda komanso kutupa. Edema imayeneranso kutsagana ndi neuropathy (kutaya chidwi).

Mu gawo loyambirira la matendawa, miyendo imatupa madzulo (chifukwa cha katundu woima pamiyendo) komanso m'mawa mutagona (chifukwa chakuchepa kwa magazi nthawi yopuma usiku).
Kuchitira edema, ndikofunikira kuyambitsa magazi ndi kutulutsa matenda a minofu. Chifukwa cha izi, zochitika zotsatirazi zimachitika:

  • Mankhwala osokoneza bongo kuti muzitha kufalikira. Mwachitsanzo actovegin - bwino kagayidwe kachakudya njira, trophism (zakudya) ndi minofu kusinthika.
  • Vitamini ndi potaziyamu mankhwala. Kupereka maselo okhala ndi mavitamini kumapangitsa kuti kagayidwe kazachilengedwe kakonzedwe. Potaziyamu amachotsa mchere ndi madzi.
  • Onetsetsani kuchuluka kwamadzi omwe mumamwa.
  • Kugundika kwa ana a ng'ombe, maondo ndi miyendo.
  • Malo okwera pamiyendo pakugona ndikupumula.
Kuchiritsa zilonda zam'mimba ndizovuta kwambiri kuposa kuchiza edema.
Ndi zotupa za trophic, njira zotsatirazi zamankhwala zam'deralo zimagwiritsidwa ntchito:

  • Kuteteza matenda a mdera (chithandizo ndi hydrogen peroxide, potaziyamuanganamu, iodinol).
  • Mankhwala a antimicrobial ndi antifungal (miramistin, kukonzekera siliva, dioxidine) - zochizira mabala ndi mavalidwe.
  • Kukonzekera kwa kusinthika kwa minofu.
  • Ndi zilonda zam'mimba - kulumikizidwa kwamanja kwa miyendo.

Malinga ndi ziwerengero, 80% ya odwala omwe amapezeka ndi matenda osokoneza bongo pambuyo pakupita zaka 20 matenda ali ndi zilonda zam'mapazi, kutupa ndi edema.

  1. Mu gawo loyambirira la zovuta, zopweteka zimapangidwa makamaka usiku.
  2. Mkati mwa matendawo, matendawa amapangika. Kwachilendo kumva kupweteka kumachitika pamapazi, zala ndi m'munsi mwendo. Nthawi zina ululu woyenda umakhala wosalephera.
  3. Pambuyo pake, zilonda zimawonekera pazala zazala zazikulu zakumaso, m'malo a chimanga ndi chimanga.

Ndikofunikira kumvetsetsa kuti mu matenda ashuga, kuvulala kwa miyendo ndikosasintha. Choyamba, kufalikira kumawonekera, popanda chithandizo, zilonda zam'mimba zimawonjezeredwa, zomwe pambuyo pake zimayamba kukhala zowawa.

Thanzi la miyendo ya wodwala limadalira momwe chithandizo chokwanira komanso chapanthawi yake chimayambira. Ndipo prophylaxis yofunikira tsiku ndi tsiku imakulitsa moyo wa wodwala matenda a shuga.

Mutha kusankha dokotala ndikupanga nthawi pano:

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