Nthawi zambiri mu shuga mellitus, chitukuko cha matenda ophatikizika amawonedwa, zomwe zimayambitsa kusokonezeka m'thupi chifukwa cha hyperglycemia. Kulephera kutsatira malangizo azachipatala, komanso matenda ashuga kwambiri, kumatha kupanga zilonda, makamaka pamiyendo. Zilonda za shuga kapena trophic ndizofala kwambiri. Chithandizo cha zilonda zam'mimba zam'mimba pachimake kunyumba ndi matenda a shuga ndizosatheka. Wovutikayo amafunika chithandizo chamankhwala ndi opaleshoni.
Feature
Zilonda za trophic zimaphatikizapo kuwonongeka kwakukuru kwa epithelial wosanjikiza khungu ndi ziwalo zonse zamkati. Nthawi zambiri matendawa amakhala ndi zotupa zomwe zimayamba chifukwa chothandizidwa ndi kachilombo.
Zilonda ndi mabala onyowa, okhala ndi buluzi wamkulu wa dzenje, malo akuluakulu a zotupa zozungulira zilonda zam'mimbazi, mumatuluka magazi nthawi zonse komanso kulekanitsa mafinya ndi fungo labwino.
Matendawa amapatsidwa nambala malinga ndi ICD-10, amatanthauza zilonda zamkaka zosakhazikika pena paliponse ndipo zimapatsidwa nambala ya L98.4.2.
Zomwe zimayambitsa zilonda zam'mimba mulinso:
- matenda a shuga;
- matenda ashuga angiopathy;
- kuwonongeka kwamakina kwa chimanga;
- kuwonongeka kwa makoma amitsempha yamagazi;
- matenda a kagayidwe kagayidwe;
- minofu hypoxia chifukwa cha matenda obwera chifukwa cha kuthamanga kwa magazi;
- zovulaza za poizoni zomwe zimapangidwa chifukwa chakusweka kwa mankhwalawa, kuchotsedwa kwa zomwe sizinachitike chifukwa cha chikhalidwe cha matenda ashuga.
Matenda a shuga ndi mtundu wa thupi lomwe limakhalapo m'magazi a kuchuluka kwa glucose, chifukwa cha kusokonezeka kwa metabolic. Glucose wokhala ndi nthawi yayitali osakhala wopanda malire umayamba kusokoneza masoka am'mitsempha ndi magazi. Poyamba, neuropathy imayamba, chachiwiri - angiopathy. Nthawi zambiri, pakakhala palibe chithandizo choyenera cha matenda a shuga, woyamba ndi wachiwiri amawoneka nthawi yomweyo. Ndi mikhalidwe yodabwitsayi yomwe ndiyomwe imayambitsa zovuta zomwe zimayambitsa zilonda zam'mimba.
Zilonda zam'miyendo sizimapangika nthawi yomweyo, zimayambitsidwa ndi zizindikiro zoyambirira zamitsempha yamagazi - kuwonda m'miyendo, cyanosis, kutupa.
Kenako eczema, lymphostasis imayamba, mawonekedwe a khungu la miyendo imasinthika, ndikuwonongeka pang'ono, chilonda chimayamba kupanga. Choyamba, amawononga zigawo zikuluzikulu za khungu ndikukula kukula, ndiye kuti kuwonongedwa kwa minofu yamkati kumayamba.
Zilonda za shuga zimadziwika ndi zizindikiro zotsatirazi:
- Osachiritsa okha;
- mukachotsedwa ndimankhwala kapena opaleshoni, zipsera zakuya ndi zipsera zimakhalabe pamalopo;
- kuzizira kwa miyendo kumayambiriro kwa chitukuko chifukwa cha kufa kwa mathero amitsempha omwe ali kumapeto pang'ono;
- kupweteka komwe kumasautsa wodwala makamaka usiku;
- khalani pachiwopsezo, kenako ndikuduladula miyendo chifukwa mulibe chithandizo chanthawi yake.
Zilonda zimagawika m'mitundu kutengera kukula kwa zotengera (ma capillaries, veins, mitsempha), ma dystrophy omwe amachititsa kuti zizichitika.
Poyamba, chomwe chimayambitsa zilonda zam'mimba chimakhala chodetsa nkhawa chaumoyo wake ndikunyalanyaza malangizo a dotolo wokhudza njira yoyenera yakhalira ndi zakudya. Kungokhalitsa kwa shuga wa magazi kwa nthawi yayitali kumabweretsa zotsatira zotere.
Chithandizo
Chithandizo cha zilonda zam'mimba za matenda ashuga zimatengera kuopsa kwa matendawa, koma nthawi zambiri zimatenga nthawi yayitali ndipo zimadwala.
Njira zochizira zimachitika m'magawo atatu, zomwe zimathandiza kuti matendawa asamachiritsidwe kwathunthu, koma motsatizana, omwe amathandiza kwambiri pakuwonongeka kwa minofu yayikulu.
Gawo loyambirira
Ndikofunikira kuti muchepetse zinthu zowonjezera ndikukhazikitsa malo abwino azachipatala.
- kutsatira mfundo za zakudya za odwala matenda ashuga, kuyang'anira kuchuluka kwa shuga m'magazi, kupewa kuchuluka kwake;
- perekani wodwalayo mtendere ndi kusayenda bwino (zilonda zam'mphepete mwa phazi zimavutitsidwa, chifukwa chotsatira zimachiritsa pang'onopang'ono);
- khazikitsani kuchuluka kwa shuga ndi mankhwala, ngati kuli kofunikira;
- muzindikire chomwe chikuyambitsa matendawa ndikuyamba kulowererapo;
- kubwezeretsanso dongosolo lozungulira.
Kuphatikiza apo, ndikofunikira kugwiritsa ntchito njira zam'deralo zothandizira:
- kutsuka chilonda ndi antiseptic agents;
- kuyeretsa chilonda ku mafinya, magazi, nkhanambo;
- kukhazikitsidwa kwa mabala pamalo;
- Kuletsa zodetsa kapena zinthu zakunja kuti zisalowe bala.
Gawo lachiwiri
Pambuyo pakugwiritsa ntchito njira zonsezi, mkhalidwe wa wodwalayo uyenera kukhazikika. Izi zikuwonetsedwa mu kuwawa kwa zilonda, komanso kukonza maonekedwe a bala - silikuwonjezeranso kukula, m'mphepete limakhala losalala ndi la pinki, mafinya ndi amayi wamagazi amasiya kutuluka.
Izi zikachitika, ndiye kuti mankhwalawo amanditsogolera ndikuyang'ana pa kugwiritsa ntchito mankhwala ochiritsa mabala, mankhwala omwe amalimbikitsa kukonzanso khungu. Ndikofunika kupitiliza kugwiritsa ntchito mankhwala odana ndi kutupa ndi antiseptic pakamwa komanso makamaka. Kuphatikiza apo, mankhwala azakudya ayenera kutsatiridwa molondola.
Ngati zizindikiro za kachilomboka zikuwoneka, m'mphepete mwa zilondazo zimatupa, kukula kwake kwa khungu kuzungulira zilonda, milingo yake imakulirakulira ndikuwotcha ndikuwonjezeredwa ku ululu, ichi ndichizindikiro kuti zilonda zam'mapazi zam'munsi zimawonekera chifukwa cha matenda omwe amalumikizana ndi chilonda choyambirira.
Pakadali pano, ndikofunikira kuyamba kumwa maantibayotiki ndi mankhwala osokoneza bongo omwe amateteza komanso kuteteza matumbo ndi mucous microflora (Linex). Mankhwalawa amathandizira kuchotsa kachilomboka, ndipo chifukwa chake chikatha, matendawa ayambiranso.
Ngati njira za necrotic zachitika, ndiye kuti kuchitapo kanthu kwa opaleshoni ndikofunikira. Ndikofunika kuchotsa minofu yakufa munthawi yake kuti mupewe kuyambika kwa matenda am'mimba, omwe, kenako, angadulidwe.
Gawo lomaliza komanso kupewa
Pomaliza, ndikulimbikitsidwa kupitiliza kuchiritsa kwamankhwala, kutenga mavitamini ndi ma immunomodulators kuti mulimbikitse chitetezo chachilengedwe mthupi motsutsana ndi zotsatira za viral ndi bacteriological. Physiotherapy angagwiritsidwe ntchito kubwezeretsa elasticity pakhungu ndi mtundu wathanzi.
Popewa matendawa, muyenera kutsatira malangizo osavuta:
- muzindikire kuchuluka kwa shuga m'magazi ndikuchita zina kuti muchepetse;
- munthawi yake zofunika mankhwala a varicose mitsempha;
- kuchepetsa zochitika zolimbitsa thupi zomwe zimakhudzana ndi kupanikizika kwa nthawi yayitali pazigawo zochepa;
- kupewa kuthamanga kapena kusefukira kwam'munsi, kutsika kwa kutentha kungayambitse njira zowonongeka m'matengera osalimba;
- pewani microtrauma kapena abrasions ang'onoang'ono pakhungu pamiyendo, poganiza kuti akhoza kukhala gawo loyamba pakupanga zilonda zam'mimba;
- gwiritsani nsapato zamatsenga kuti muwonetsetse magazi kulowa m'malo otsika.
Ndi hyperglycemia yayikulu, ndikofunikira kwambiri kuyang'anira thanzi lanu ndikutsatira malangizo onse a endocrinologist. Zotsatira zowopsa ngati zilonda zam'mimbayo zimakhala chizindikiro kuti mawonekedwe a matendawa adayamba kukhala ovuta komanso ozama. Zomwe mungachite ndi zilonda zam'mimba za matenda a shuga zimawuzanso dokotala. Kudzichitira nokha matendawa sikuloledwa, chifukwa chakuwonjezeka kwa gangore. Zithandizo za anthu sizoletsedwa kugwiritsa ntchito, koma kuphatikiza ndi mankhwala.
