Diabetesic phazi matenda: Zizindikiro, Zizindikiro ndi chithandizo

Mapazi a matenda ashuga ndimayendo ndi miyendo yomwe imachitika chifukwa cha shuga wambiri. Matenda a shuga, omwe samayendetsedwa bwino, amasokoneza kuchepa kwa mitsempha (mitsempha), komanso amachepetsa magazi mu mitsempha ya miyendo. Izi zimawonjezera chiopsezo chovulala ndi matenda. Diabetesic phazi matenda - wodwala amakula zilonda, kuwonongeka mafupa ngakhale mafupa miyendo. Mabala samachiritsa bwino, tizilombo tating'onoting'ono timachulukana mwa iwo. Muzochitika zapamwamba, izi zimayamba chifukwa cha gangore ndi kudula. Otsatirawa akufotokozera zomwe zimayambitsa, Zizindikiro, kupewa komanso kuchiza matenda ashuga. Phunzirani zamomwe mungachiritsire zilonda zam'manja kunyumba ndi kuchipatala. Matenda am'mimba, kudula, komanso kulumala kwamtsogolo ndizowopsa kwa matenda ashuga. Koma mutha kuziletsa ngati mutsatira malamulo osamalira mapazi.

Matenda a shuga a matenda ashuga ndi omwe amachititsa kuti azidulidwa miyendo

Ngati mwakhala mukudwala matenda ashuga kwa zaka zingapo, ndipo makamaka, ngati mwakhala mukuulilamulira bwino nthawi yonseyi, ndiye kuti pali chiwopsezo chachikulu cha kuwonongeka mwendo wanu. Monga mukudziwa, mabala ndi kuvulala kulikonse kwa odwala matenda ashuga sikuchira. Ngakhale zowonongeka zazing'ono zimatha kukula, kuyamba kukula, ndipo phazi likufunika kuduladula. Izi ndi zomwe zimachitika. Kuti mupewe izi, phunzirani ndikutsatira mosamala malamulo osamalira mapazi, omwe alembedwa pansipa. Ngati miyendo yanu yapweteka chifukwa cha mitsempha, werengani nkhani ya "Feet Hurt in shuga - Momwe mungathandizidwe." Otsatirawa akufotokozera zoyenera kuchita ngati zomverera m'miyendo zili, mmalo mwake, zimatsitsidwa. Izi zimachitika pafupipafupi. Wodwala matenda ashuga samva kupweteka m'miyendo, kusintha kwa kutentha, kupsinjika, kudula, matuza, nsapato zikugwera nsapato, etc. Mutha kukhala ndi vuto ili, kenako mwadzidzidzi zimapezeka kuti mwendo wayamba kuvunda ndipo muyenera kugona pansi patebulo kupita kwa asing'anga. Tsatirani malangizowa pansipa kuti mukhale ndi mwayi woyenda "nokha."

Chiwerengero cha odwala matenda ashuga omwe ali ndi vuto la miyendo chikuchulukirachulukira nthawi zonse chifukwa chiwopsezo cha matenda a shuga a 2 chikuwonjezeka. Pa gawo la Russian Federation ndi mayiko a CIS, maofesi apadera oposa 200 ogwira ntchito za anthu odwala matenda ashuga m'malo opezeka. Mothandizidwa ndi njira zatsopano zamakono, madokotala amatha kupewetsa kuti azidulidwa.

Matenda a shuga a matenda ashuga amathandizidwa ndi dokotala wapadera wotchedwa podiatrist. Osasokoneza ndi dokotala wa ana.

Kuti mupeze akatswiri omwe ali pafupi nanu, lembani pamalo osakira "mzinda wapakati wa anthu odwala matenda ashuga [mzinda wanu, dera lachigawo]" kapena "ofesi ya chifuwa cha matenda ashuga [mzinda wanu, dera lachigawo]". Pambuyo pake, mudzawona nthawi yomweyo komwe kuli mabungwe azachipatala aboma ndi zipatala zapadera.

Zifukwa

Tiyeni tiwone zomwe zimayambitsa mavuto kumapazi. Mu odwala matenda ashuga, kufalikira kwa magazi m'matumbo omwe amadyetsa miyendo nthawi zambiri kumasokonezedwa. Osalandira chakudya chokwanira, khungu pamiyendo limakhala pachiwopsezo kwambiri kuwonongeka, ndipo amachira pang'onopang'ono. Frost imakhudzanso khungu la munthu yemwe ali ndi matenda ashuga, ngakhale kuti anthu athanzi amalola kuti kuzizira kuzizire popanda mavuto.

Chifukwa cha shuga wokwezeka kwambiri wamitsempha, kulowetsedwa kwa mitsempha kumapazi. Izi zimatchedwa sensory neuropathy. Zizindikiro zake - wodwala matenda ashuga samva bwino kapena amasiya kumva kupweteka, kukakamiza, kutentha, kuzizira komanso chilichonse pakhungu pamiyendo. Malingaliro awa amathandiza anthu athanzi kuchitapo kanthu mwachangu kuti adzitetezere pakuvulala mwendo. Ndipo odwala matenda a shuga amavulala m'njira zofananira.

Popeza matuza, kuwotcha ndi kupsinjika kwa odwala matenda ashuga sizipweteka, sangakhale ndi chidwi ndi mavuto awo ndi miyendo yawo mpaka chigulu chayamba.

Chowonetsera china cha matenda ashuga ndi chakuti khungu kumiyendo limataya thukuta ndipo limakhala louma nthawi zonse. Khungu louma, monga mukudziwa, nthawi zambiri limasweka. Ming'alu pakhungu la zidendene zimatha kusanduka zilonda. Popeza zilonda zam'mimba izi sizipweteka, odwala matendawa satenga njira zochizira, ndipo njirayo imayamba kulowamo. Mtundu wina wa matenda a shuga a shuga ndi omwe umalepheretsa kugwira ntchito kwa minofu kumapazi. Kusagwirizana kwa minofu kumachitika, komwe kumapangitsa kuti mafupa ampazi azisintha. Kusintha kwamtunduwu kumaphatikiza zala zakakhosi kapena zala zakumaso, komanso khwimbi lalitali komanso phazi lopindika.

Ngati matenda ashuga amalepheretsa kuwona, ndiye kuti vuto la phazi limayamba. Chifukwa munthu samawona bwino komwe amasuntha poyenda. Komanso, chiopsezo cha phazi la matenda ashuga chimakulitsidwa ngati miyendo ya wodwala yatupa chifukwa cha mavuto a impso. Chifukwa edema imachulukitsa kuchuluka kwa mapazi. Nsapato zimakhala zochepetsedwa, kufinya ndikuvulaza mapazi poyenda.

Zoyenera kuchita Njira yayikulu yothetsera ndikubwezeretsa shuga m'magazi ndi zakudya zamagulu ochepa. Ichi ndi chida chofunikira pothana ndi matenda a shuga amtundu wa 1 ndi mtundu wa 2. Sinthani shuga lanu - mawonetseredwe a matenda ashuga adzatha. Mudzawachotsa pakatha miyezi yochepa, pazovuta kwambiri - zaka 2-3. Werengani ndikutsatira njira yachiwiri yothandizira anthu odwala matenda ashuga (onani apa) kapena lembani chithandizo cha matenda ashuga 1.

Zizindikiro

Kupweteka kosatha kungakhale chizindikiro cha kupindika, kupunduka kwamapazi, kuphwanya, kuchuluka kwambiri, nsapato zosayenera, kapena matenda.

Kuchepa kwa khungu ndi chizindikiro cha matenda, makamaka ngati khungu lozungulira chilondacho lasanduka lofiira. Komanso, nsapato zosasankhidwa bwino kapena masokosi amatha kutikita khungu.

Kutupa mwendo ndi chizindikiro cha kutupa, matenda, nsapato zosankhidwa bwino, kulephera kwa mtima, kapena kufooka kwa magazi m'matumbo.

Kukula kwa kutentha pakhungu kumatanthauza matenda kapena kutupa komwe thupi limayesa kupondereza koma osatha kupirira chifukwa chitetezo cha mthupi chimafooka ndi matenda ashuga.

Kuwonongeka kulikonse pakhungu ndi kwakukulu chifukwa kachilomboka kitha kulowa.

Chimanga chimatanthawuza kuti nsapato sizisankhidwa moyenera, ndipo poyenda katundu pamapazi sikugawidwa bwino.

Matenda oyamba ndi misomali ndi khungu la mapazi, misomali yolowera - imatha kuyambitsa matenda.

Mafinya amatuluka chilonda - chizindikiro cha matenda opatsirana.

Zizindikiro zilizonse zomwe zalembedwa mgawoli zikutanthauza kuti muyenera kukaonana ndi dokotala nthawi yomweyo. Kuchepetsa thupi kumatha kudula mwendo kapena kufa. Ndikofunika kuti muwonedwe ndi katswiri, osati dokotala wokha pantchito. Nkhani yomwe ili pamwambapa ikufotokoza momwe mungapeze malo oyambira pafupi ndi komwe mumakhala.

Kuyenda movutikira kapena kuvuta kumatha kuwonetsa mavuto, kuphatikiza matenda, kapena kuvala nsapato.

Thupi kapena kuzizira kophatikizana ndi chilonda pamiyendo ndi chizindikiro cha matenda akulu omwe amawopseza imfa kapena kudula dzanja

Kuchepa kwa khungu kumafalikira kuzungulira chilondacho - zomwe zikutanthauza kuti matendawa amalowa, thupi silingathe kulimbana nalo, ndipo likufunika kuthandizidwa.

Kuchuluka kwa miyendo ndi chizindikiro cha kuperewera kwa mitsempha ya mitsempha (diabetesic neuropathy).

Ululu wamendo ndi chizindikiro cha phazi la matenda ashuga, koma amathandizidwa mosiyana. Werengani nkhani "Zilonda zam'mimba zokhala ndi matenda ashuga: momwe mungapangire" mwatsatanetsatane.

Zizindikiro zowonjezera zamavuto am'magazi:

• kupweteka m'miyendo, komwe kumakulirakulira poyenda ndikumapumira;
• tsitsi limaleka kukula pamiyendo ndi kumapazi;
• Khungu la miyendo limayamba ndipo likhala louma.

Zizindikiro

• chimanga;
• matuza;
• msomali;
• chida bursitis;
• warar warts;
• kupindika kwa nyundo;
• khungu lowuma ndi losweka;
• matenda oyamba ndi khungu la kumapazi (epidermophytosis ya phazi);
• bowa wa msomali.

Chimanga chimatuluka pomwe mbali ina ya phazi imakakamizidwa kwambiri kapena kupukutira kena kake. Monga lamulo, chifukwa chake ndi nsapato zosankhidwa bwino. Ndikulimbikitsidwa kuti chimanga chizichotsa mwala ndi mwala wa pumice mukasamba. Dr. Bernstein zinthu: Osachotsa chimanga konse! Osamachita izi nokha ndipo musalole aliyense, kuphatikizapo dokotala. Chifukwa chilondacho chimakhala pamalo ochotsa chimanga, chomwe chimatha kusintha kukhala chilonda.

Wodwala matenda ashuga wachotsa mano ake. Pali bala lomwe limachiritsa kwakanthawi yayitali, ndipo nthawi zambiri limadadwa ndi matenda.

Dr. Bernstein akuti kuchotsa chimanga ndicho chimayambitsa zilonda zam'mimba, zomwe matendawo amatenga. Chotsatira - gangrene ndi kuduladula ... M'malo mochotsa chimanga, konzani ndikuvala nsapato zabwino zamtundu wa orthopedic. Zitatha izi, katundu pa phazi mukamayenda adzagawidwa molondola, ndipo chimanga chitha pang'onopang'ono.

Zilonda zikuluzikulu khungu limadzaza ndimadzi. Chotumpacho chimapangidwa chifukwa chakuti nsapatozo zimakola malo omwewo nthawi zonse pamapazi. Chotumphukira chimatha kuonekanso ngati muvala nsapato zopanda masokisi. Popewa matuza, nsapato ziyenera kumayenda bwino osapita popanda masokosi. Ngati pali chotupa pamwendo, wodwala matenda ashuga ayenera kuwona katswiri. Dokotala adzaika bandeji moyenera. Ngati kachilombo kagwera, dokotala amachotsa mafinya ku chithuza ndikuwapatsa mankhwala othandizira.

Misomali imakula ngati munthu sawadula bwino kapena kuvala nsapato zolimba kwambiri. Osamadula misomali mozungulira m'mphepete. Ndikofunika kuti musadule ndi lumo, koma muziwasanja ndi fayilo ya msomali. Wodwala matenda ashuga sayenera kusiyidwa wopanda msomali wovomerezeka, ayenera kuwona dokotala. Mwina adotolo akuganiza zochotsa mbali ina ya msomali kuti asathenso kuwonjezeka. Ichi ndi choyipa chocheperapo kuposa bala lomwe lidayambukiridwa, gangore ndi kuduladula. Ngati kachilombo kaoneka kale pachala, adokotala amupatseni mankhwala othandizira.

Bursitis ndi bulge pamphepete wakunja kwa chala chachikulu. Popita nthawi, imatha kudzaza ndi minofu ya mafupa komanso madzimadzi. Bursitis imapangidwa ngati chala chimasokera kumbali ina kupita ku zala zina. Ili likhoza kukhala vuto lobadwa nalo. Zidendene zapamwamba komanso nsapato zazala zazitali zimakulanso chiopsezo chanu. Popewa bursitis kukula, dokotala angapangitse kugwiritsa ntchito nsapato zofewa. Ululu ndi kutupa zimatsitsidwa ndi mankhwala. Ngati bursitis imayambitsa kupweteka kwambiri pafupipafupi, ndiye kuti imachotsedwa modabwitsa. Popewa, Valani nsapato zomwe zikugwirizana ndi kukula kwanu.

The bursitis ya chala chachikulu chomwe zilonda zake zidawonekera. Zikuwoneka kuti bala ili ndi kachilomboka.

Mitengo ya Plantar ndi zophukira zazing'ono za utoto. Nthawi zina amakhala ndi madontho akuda akuda. Mitengo yokhala ndi nthochi imayambitsa papillomavirus yaumunthu. Kachilomboka kamalowa kudzera pazilonda zing'onozing'ono pakhungu la miyendo. Warts imatha kukhala yopweteka komanso kusokoneza kuyenda. Kuti muchepetse kufalikira, sambitsani manja nthawi iliyonse mukakhudza matako anu. Mapazi ayenera kukhala oyera ndi owuma. Osamayenda opanda nsapato pagulu. Dokotala atha kukuwuzani kuti muchotse mankhwalawa ndi laser, nitrogen yamadzimadzi, kapena opaleshoni yamankhwala opaleshoni yam'deralo.

Makina ngati khosi lolowera zala limachitika chifukwa chakuti kulumikizana kumodzi kumiyendo yayikulu kapena ziwiri zazingwe zosakhazikika. Izi ndichifukwa choti minofu kumapazi imafooka chifukwa cha matenda ashuga a m'mimba. Ngati pali vuto la kupindika kwa zala, ndiye kuti mawonekedwe a mapaziwo amasintha. Pangakhale zovuta kuyenda. Sizovuta kupeza nsapato zoyenera. Choopsa chachikulu - mabala ndi zilonda zam'mimba zomwe zimatengedwa ndi matenda zimatha kuchitika. Chithandizo - mankhwala a orthopedic insoles mu nsapato, komanso mankhwala a ululu ndi kutupa. Woopsa, opareshoni.

Khungu lowuma ndi losweka ndilakhungu ndi kusweka. Mtundu wa pakhungu amasintha, umatha kuyaka. Vutoli limayambitsidwa ndi zifukwa zosiyanasiyana - shuga wamagazi ambiri, kuwonongeka kwa mitsempha komanso magazi osayenda bwino kupita kumiyendo. Ming'alu pakhungu ndi owopsa chifukwa kachilomboka kamakhala mwa iwo. Sungani chinyezi komanso khungu lanu. Mafuta owirikiza nthawi zonse ndi mafuta, monga tafotokozera pansipa mu gawo la "Kusamalira Mapazi: Tsatanetsatane Wowerengera". Ngati simungathe kupirira komanso khungu likulipa, pitani kuchipatala. Mutha kupatsidwa mankhwala oti mumupangiri mafuta ambiri. Lankhulani ndi dokotala wanu za mavitamini A ndi mavitamini a zinc. Osangomvera ndalamazi! Inde, chinthu chachikulu ndichakuti muchepetse shuga wamagazi ndikuwasunga bwino.

Chungu kapena chimanga chomwe chadwala zilonda. Mutha kuwonanso chimanga kuchokera pansipa pamtunda wa chala.

Matenda oyamba ndi khungu la kumapazi amawonetsedwa ndi zizindikiro - kuyabwa, kuyaka, redness, ming'alu pakhungu. Mafangayi amachulukana pamiyendo komanso pakati pa zala. Kuti mupewe, sungani mapazi anu owuma momwe mungathere. Osamavala nsapato zomwezo nthawi zonse. Khalani ndi nsapato zingapo kuti musinthe. Mukuvala imodzi, ina imalira. Usiku, nsapato zilibe nthawi kuti ziume. M'malo apagulu musamayende opanda nsapato, valani osalala. Masokisi amayenera kupangidwa ndi zinthu zachilengedwe - thonje kapena ubweya. Mankhwala amagulitsa mafuta ndipo amapopera polimbana ndi bowa pamiyendo. Ngati ndi kotheka, dotolo adzalembera kalata yamapiritsi amphamvu.

Nail fungus - njira zofananira zofananira ndi matenda oyamba ndi khungu la mapazi. Mafangayi amapangitsa kuti misomali ikhale yolimba, zimakhala zovuta kuzidula. Mtundu wa msomali ukusintha. Nthawi zina misomali yomwe ikukhudzidwa ndi bowa imagwera. Dokotala atha kukulemberani mapiritsi, kuchotsera msomali kapena mwamankhwala. Fangasi ya msomali imathandizidwanso ndi laser, koma pamakhala kutsutsana pakati pa akatswiri pazomwe njirayi imathandizira bwino.

Zizindikiro

Mavuto amendo mu shuga angayambike chifukwa cha kuwonongeka kwa mitsempha, kutsekeka kwa mitsempha yamagazi yomwe imadyetsa miyendo, kapena onse. Izi zimatchedwa neuropathic, ischemic, kapena mawonekedwe osakanikirana a matenda ammimba a shuga.Dokotala amafufuza mtundu wa matendawa ndipo amafufuza kuti apereke mankhwala oyenera.

• Ultrasound ya ziwiya za m'munsi malekezero;
• M-mode ultrasound dopplerography (USDG);
• muyeso wa ankolo-brachial index;
• transcutaneous oximetry.

Kuyesa kwamphamvu kwa phazi kuyesa kuopsa kwa matenda ashuga a m'mimba

Pali kafukufuku wina - radiopaque angiography. Wothandizira mosiyanitsa ndi wailesi amalowetsedwa m'magazi a wodwalayo, omwe "amawala" m'makoma a ziwiya. Phunziroli ndi lothandiza kwambiri, koma lingayambitse mavuto kuchokera ku impso. Chifukwa chake, limayikidwa mosamala. Komabe, ngati opareshoni yakonzedwa kuti ibwezeretse magazi mu ziwiya, ndiye kuti ndizofunikira.

Kukula kwake kumatengera kutalika kwa matenda ashuga, momwe wodwalayo amathandizidwira, ngakhale atalimbikitsidwa kutsatira regimen. Matenda obwera ndi ofunikanso - atherosulinosis, matenda oopsa, zovuta za matenda a shuga mu impso ndi vuto la kuchepa kwa thupi. Chifukwa chake, pamene wodwala matenda ashuga apita kwa dokotala chifukwa cha zovuta za mwendo, kuyezetsa kumayenera kukhala kokwanira.

Mapazi a Charcot (diabetesic osteoarthropathy)

Mapazi a Charcot (diabetesic osteoarthropathy) ndi vuto la matenda ashuga, chifukwa chomwe kulumikizana ndi mafinya ndi minofu yofewa ya phazi, mawonekedwe ake amasintha. Kumayambiriro, kulumikizana kumakhala kowuma ndikutupa. Pambuyo pake, minofu imafooka ndikusiya kulimbana ndi katunduyo. Chifukwa cha izi, pali mavuto ndi mafupa, phazi limakhala lopindika. Zonsezi zimachitika mwachangu.

Phazi la Charcot (diabetesic osteoarthropathy), komanso zilonda zokhazokha. Ngakhale zowonongeka zazikulu, munthu samva kuwawa.

Chomwe chimapangitsa kuti phazi la Charcot likhale ndi matenda ashuga a shuga. Mitsempha yowonongeka singathe kufalitsa chizindikiro kuchokera ku mwendo kupita ku ubongo. Chifukwa chake, munthu molakwika amaponda phazi lake poyenda. Kuwonongeka kwa mafupa ndi mafupa kumabweretsa kupweteka, koma odwala matenda ashuga samamva. Akupitilizabe kupondaponda mpaka phazi lake limaoneka bwino.

Zizindikiro zoyambira:

• Khungu la phazi limasanduka lofiira, kutentha kwake kumadzuka;
• mwendo umatupa;
• kupweteka kumamveka, koma nthawi zambiri kulibe chifukwa cha neuropathy.

Chithandizo cha matenda a shuga a shuga - mwendo umayikidwa bandeji yapadera yopangidwa ndi ma polymer. Izi zimapangitsa kuti zitheke kumasula madera omwe akhudzidwa ndi phazi. Mwina dokotalayo angamuthandize wodwala kuti ayende ndi ndodo kapena asinthe mipando ya olumala. Nthawi zina mafupa opindika amawabwezeretsa ngati opareshoni.

Kupewa

Kupewa ndikukhazikitsa malamulo osamalira bwino miyendo ndikuyang'ana miyendo tsiku ndi tsiku. Malangizo posamalira phazi amaperekedwa pansipa. Tsopano tikambirana za momwe mungayang'anire mapazi a wodwala yemwe ali ndi matenda ashuga, zomwe muyenera kuyang'ana. Mapazi amayenera kuwunikidwa tsiku lililonse, kuyambira kumwamba, kenako kuchokera kumbali ya yekhayo. Onani khungu pakati pa zala zanu mosamala. Mungafunike kalilore wa izi. Ndikofunika kuti wina achite nawo mayeso kumapazi, osati odwala matenda ashuga okha.

Ntchito yoyeserera siyenera kuphonya ngati chimanga chatsopano, kutupa, kufinya, malo opweteka, zotupa za pakhungu, kapena kusintha kwina kulikonse. Maonekedwe, mtundu wake ndi kutentha kwa phazi kumatha kusintha. Kuzindikira kukhudza - kufooketsa kapena kukhazikika. Ngati mukuwona kuti zosinthazo zikuyipiratu - m'mawa wotsatira, funsani dokotala, osakoka. Pakhoza kukhala mafinya ochepa ndi mafinya a mafupa, chifukwa chomwe phazi limatupa, mawonekedwe ake amasintha. Izi zimafunikira chisamaliro chofunikira kuchokera kwa dokotala.

Ngakhale zowonongeka zazing'ono zimatha kusintha kukhala zilonda zam'mimba, zomwe zimakhala zazitali komanso zovuta kuchiritsa. Pankhani ya matenda obwera ndi mabakiteriya pachilonda, khungu limakula, ndipo mungaone kuti kudulidwa kokha ndi komwe kungapulumutse wodwalayo kuimfa.

Khungu la miyendo likakhala lakuda kapena mosinthasintha, tsitsi limasowa - izi zikutanthauza kuti magazi m'miyendo akucheperachepera. Choyipa chachikulu ndikupanga mpweya wabwino ndi zakudya m'maselo, ndizowonjezera kuwonongeka kwa khungu. Onani ngati khungu lakukhudza kukhudza likukula. Kuti muchite izi, mutha kugwiritsa, mwachitsanzo, nthenga. Onetsetsani kuti wodwala matenda ashuga amatha kumva kusiyana pakati pa madzi ofunda ndi ozizira atatsitsa phazi lawo m'madzi. Musanasambe, muyenera kuwona kutentha kwa madzi ndi dzanja. Mulimonsemo, thermometer yosamba iyenera kukhala ndikuigwiritsa ntchito.

Matenda a matenda ashuga a m'mimba nthawi zambiri amakula chifukwa mwendo wa wodwalayo wavulala, koma samva. Cholinga cha kuyesedwa kwa tsiku ndi tsiku ndikuwonetsa kusintha komwe odwala matenda ashuga sanawone panthawi yomwe adachitika. Madokotala tsopano ali ndi zovala zamakono zopaka bwino. Izi ndi zida zomwe zimathandizira kuchiritsa mabala m'miyendo, kupewa matenda, zilonda zam'mimba komanso kudula. Komabe, muyenera kumuwona dokotala nthawi. Pamene gangrene yayamba kale, palibe njira ina kuposa kudulira.

Mumada nkhawa ndi phazi la matenda ashuga? Funsani kwa dokotala nthawi yomweyo, osakoka!

Tsatirani malamulo osamalira phazi, yang'anirani phazi tsiku ndi tsiku ndikuyang'ana dokotala mukangoona kuti zinthu sizikukuyenderani bwino. Njira zazikulu zopewera ndi kuchiza matenda ashuga ndikuchepetsa magazi kukhala abwinobwino, ndikuwasunga moyenerera, monga mwa anthu athanzi. Izi zitha kuchitika ndi matenda amtundu wa 1 komanso mtundu wa 2 wokhala ndi mtundu wocheperako wa carb. Lamulirani kagayidwe kanu - ndipo ambiri mwa zizindikiro za matenda ashuga adzatha nthawi. Makamaka, chidwi cha miyendo chimabwezeretsedwa. Komanso kuwonongeka pakhungu pamiyendo kuchira. Koma, mwatsoka, ngati mitsempha ya magazi yatsekedwa, ndiye kuti mawonekedwe awo sangathe kubwezeretsedwanso. Komanso, ngati mutaduka kapena kufalikira mafupa amiyendo, ndiye kuti izi sizingathe.

Kusamalira Mapazi: Malangizo atsatanetsatane

Otsatirawa ndi malamulo osamalira odwala phazi la matenda a shuga 1 ndi mtundu 2. Ngati mphamvu miyendo itenthe, kutentha ndi kupsinjika kwambiri zimatayika, ndiye kuti ziyenera kuchitidwa makamaka mosamala. Iyi ndi njira yokhayo yopezeka pa tebulo la opareshoni kwa dokotala wa opaleshoni amene akumadulidwa.

Nthawi yomweyo, ngati mungagwiritse ntchito pulogalamu ya 1 ya matenda a shuga kapena mtundu wachiwiri wa matenda ashuga ndikusungitsa shuga m'magazi anu mwachizolowezi, pakapita nthawi, mphamvu zamitsempha zimabwezeretseka. Pambuyo pake, chiwopsezo cha mavuto amiyendo amiyendo mu shuga amachepetsa mpaka zero. Kubwezeretsa chidwi chamanjenje kumatenga pafupifupi miyezi ingapo, ndipo nthawi zambiri zaka 1-2.

Siyani kusuta! Kusuta kumapangitsa magazi kulowa m'miyendo, motero, kumakulitsa mwayi womwe kudzicheka kuyenera kuchitidwa posachedwa.

Kuopsa kwa kuwotcha miyendo yanu ndikokwera, chifukwa mapazi anu amachepa chifukwa cha kumva kwawo kutentha. Sungani mapazi anu kutali ndi malo otentha momwe mungathere. Izi sizitanthauza kuti ndizoyatsira moto, zotenthetsa, mabotolo amadzi otentha kapena bulangeti lamagetsi. Kusamba kapena kusamba, madzi amayenera kukhala ozizira, osatenthedwa.

Nthawi yozizira, valani masokosi akuthwa ofunda ndi nsapato zazitali m'lifupi kuti zisakuikirani miyendo yanu masokosi. Ngakhale magazi akuyenda m'matumbo a miyendo ali ndi vuto laubongo angayang'anitsidwe ndi dokotala mothandizidwa ndi "transcutaneous oximetry" yopweteka. Ngati zaphwanyika - musakhale ozizira kwa nthawi yopitilira mphindi 20 mzere. Osamayenda wopanda nsapato, ngakhale mumsewu, ngakhale m'nyumba.

Osamatira chigamba kapena zinthu zina zomata pamapazi anu. Chifukwa mukamang'amba, zimatha kuwononga khungu, ndiye kuti zidzakhala zazitali komanso zovuta kuchiritsa. Ngati mukufunikira kuyika bandeji mwendo wanu, gwiritsani ntchito njira zina zoperekera - mwachitsanzo, magulu otanuka, ngati simangokhala phata yomata.

Ngati mumasambitsa mapazi anu ndi mankhwala aliwonse, ndiye kuti muzingochita monga mwauzidwa ndi dokotala. Zinthu zambiri zomwe zimagulitsidwa pa mankhwala ogulitsa mankhwala ndizowopsa pakhungu la miyendo ya wodwala matenda ashuga. Mwachitsanzo, ayodini, hydrogen peroxide ndi salicylic acid. Osagwiritsa ntchito ayodini kapena hydrogen peroksoni kuti muchepetse mabala amiyendo, ngakhale dokotala atakulangizani. Gulani ayodini wapadera mu mankhwala omwe samatentha khungu, ndikuwasunga.

Ngati muli ndi khungu louma pamapazi anu, funsani katswiri wamtima kapena wamankhwala kuti asakupatseni beta-blockers okhathamira magazi kapena mavuto amtima. Chifukwa kumwa mankhwala kuchokera pagulu la beta-blocker kudzakulitsa kusintha kwa khungu la miyendo yanu. Momwe mungachiritsire matenda a mtima popanda mapiritsi a "mankhwala" owopsa

Ngati chimanga sichinawonekere pamiyendo yanu, ndiye musayese kuzichotsa! Osagwiritsa ntchito misomali, scalpel, kapena zinthu zina. Osachotsa nokha chimanga chija ndipo musalole aliyense kuchita izi, kuphatikiza wosakwiririka. Khungu loyipa pama calluses ndikuteteza kwamiyendo kumapazi kuwonongeka chifukwa cha nsapato zosasankhidwa bwino. Mukachotsa chimanga, ndiye kuti chitetezo chimatha.

Kuchotsa chimanga mwa odwala matenda ashuga ndizomwe zimayambitsa zilonda zam'mimba, zomwe zimapangitsa kuti azidulidwa phazi. Ngati ma calluses ali ndi miyendo, muyenera kusinthira ku nsapato za orthopedic. Ngati nsapatozo zidasankhidwa molondola, ndiye kuti sipadzakhala zochulukitsa pamiyendo ya miyendo, ndipo nthawi ikakwana, chimanga chidzazimiririka.

Mafangayi pamisomali. Pa chala chachikulu chakumiyendo, iye anali atayambitsa kale msomali.

Ngati wodwala wodwala matenda ashuga ali ndi zofinya, ndiye ndikofunikira kudziwa ngati bowa ndi amene amayambitsa izi. Zitapezeka kuti iyi ndi matenda oyamba ndi fungus, ndiye kuti dokotala adzafotokozereni chithandizo chomwe chikufunika kuthandizidwa ku misomali yomwe yakhudzidwa kawiri pa tsiku. Tsoka ilo, bowa nthawi zambiri amayenera kulandira chithandizo kwa miyezi 12 kapena kupitilira apo. Osati chithandizo chakwathu chokha chitha kukhala chofunikira, komanso kumwa mapiritsi odana ndi fungus.

Ndikofunika kusindikiza pa chosindikizira malamulo osamalira phazi, omwe amaperekedwa pamwambapa, komanso gawo "Momwe mungasungire ukhondo wamapazi." Werengani werengani nkhaniyi nthawi ndi nthawi ndikuwonetsa am'banja lanu odwala matenda ashuga nawo. Ngati mumatsatira bwino mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa chithandizo cha matenda ashuga, muthanso kusunga magazi anu kukhala olimba komanso athanzi. Pakupita miyezi yochepa, chidwi cha mitsempha mumiyendo chimayamba kuchira pang'onopang'ono. Osati mochedwa patatha zaka 2-3, adzachira kwathunthu. Chiwopsezo cha matenda ammimba a shuga kapena matenda osokoneza bongo achepetsa mpaka pafupifupi zero.

Momwe mungagule nsapato

Gulani kapena kulamula nsapato zonse osati m'mawa kapena masana, koma madzulo, chifukwa madzulo kukula kwakukulu kwa phazi. Nsapato ziyenera kukhala bwino mukamayesera kwa iwo koyamba. Siyenera kukhala yofunikira kuvala nsapato zatsopano. Nsapato zokhala ndi zala zakaloledwa siziyenera kuvalira. Mumafunikira nsapato zokhala ndi malo akulu komanso ofanana kumanja. Nsapato zam'mimba ndizosankha bwino. Sizowoneka zokongola kwambiri, koma ndizabwino komanso zimawonjezera mwayi kuti mupulumutse miyendo yanu popanda kuwonongeka.

Osamavala nsapato ndi chingwe pakati pazala zanu. Chifukwa choti zingwe zimatha kukola khungu lanu. Zotupa zimatuluka, zomwe zimasanduka chilonda. Osamavala nsapato zomwezo masiku angapo motsatana. Khalani ndi nsapato zingapo zabwino kusinthana tsiku lililonse. Nthawi iliyonse, musanavale nsapato, muziyang'ana kuchokera mkati. Sipayenera kukhala zinthu za gulu lachitatu - miyala ya kanjedza, etc.

Musamavale masokisi kapena masokosi okhala ndi zotanuka zolimba zomwe zimapondera miyendo ndikuchepetsa kuyenderera kwa magazi mu ziwiya. Osamavala masokosi okhala ndi mabowo kapena okongoletsedwa. Musamavale masokosi owonda kwambiri kapena zokhala ndi zingwe zolimba. Masokosi ovuta amatha kuwononga khungu la miyendo, kuyambitsa chithuza choyamba, kenako zilonda kenako mpaka kumayambitsa khungu. Kusungika pa nsalu kumatha kutayikitsa kwambiri chifukwa cha kulumala.

Ukhondo wathanzi labwino

Tsiku lililonse muyenera kupenda mapazi a wodwala yemwe ali ndi matenda ashuga, ngati panali zovulala kapena zizindikilo zatsopano kuti nsapato sizinali bwino. Onetsetsani kuti palibe matuza, chimanga, ming'alu, kufufuza kwa bowa kapena kuwonongeka kulikonse pakhungu la miyendo. Onaninso khungu pakati pa zala zanu. Yenderani zidendene ndi galasi. Ngati wodwala matenda ashuga sangathe kuchita izi payekha, ndiye kuti ayenera thandizo la munthu wina. Ngati mukuwona kuwonongeka kwa miyendo yanu, funsani dokotala wanu nthawi yomweyo.

Musayang'ane kutentha kwa madzi osamba ndi phazi lanu, koma ndi dzanja lanu lokha, bwino - gulani ndikugwiritsa ntchito thermometer yosamba. Kutentha kwamadzi mu bafa sikuyenera kupitilira kutentha kwa 33 digiri Celsius. Chifukwa ngakhale kutentha kwamadzi kwa madigiri 34 Celsius kumatha kuyambitsa kutentha ngati magazi m'mitsempha asokonekera.

Osamiza madzi m'madzi kwa nthawi yayitali kuposa mphindi 3-4. Kupanda kutero, khungu pamiyendo limanyowa, ndipo pakhungu lowira, chiopsezo chowonongeka chikuwonjezeka. Kutsatira lamuloli, musakhale nthawi yayitali kwambiri m'bafa kapena shawa. Sambani mwachangu ndi kutuluka. Yesetsani kuti musanyowe. Ngati paliopseza kukulitsa phazi la matenda ashuga, ndiye kuti nyengo yamvula ndiyowopsa. Nsapato zazitali ndi mapazi - osavomerezeka.

Ngati mukufuna kusambira mu dziwe, ndiye musanakwere m'madzi, ikani mafuta amchere (petroleum jelly) pakhungu lanu kuti muteteze madzi. Mukamaliza kusambira, chotsani mafuta odzola m'miyendo yanu ndi thaulo.

Ngati khungu lanu kumapazi lumauma - mafuta pang'ono kamodzi patsiku, pafupipafupi. Izi zimachepetsa chiopsezo cha kusweka. Mafuta azonunkhira komanso mafuta abwino ndi oyenera.

Nthawi yozizira, muzivala masokosi ofunda opangidwa ndi zinthu zachilengedwe komanso nsapato zaulere zoyenera. Musamavale masokosi ndi zotanuka zolimba zomwe zimakakamiza mitsempha yamagazi ndikutsitsa magazi. Ngati mukuyenda mozungulira m'miyendo yanu, osangokhala ozizira kwa nthawi yopitilira mphindi 20 motsatana.

Dulani zoseweretsa pokhapokha ngati mukuwona bwino zomwe mukuchita. Ngati sichoncho, pemphani thandizo kunja kwa izi. Ngati mukukayikira kuti zala zanu zakhudzidwa ndi bowa, musonyezeni adokotala ndipo akupatseni mankhwala. Mapazi anu ayenera kukhala owuma komanso ofunda nthawi zonse, kuti asazizirire, asatenthe kwambiri, komanso asathukute.

Matenda a matenda ashuga

Njira yodwala odwala matenda ashuga ndi njira zingapo zingapo:

1. Kuphunzitsa wodwalayo maluso - kupenda mapazi tsiku ndi tsiku, kusintha mavalidwe ndi zina zofunika.
2. Kuwongolera magazi shuga, kuthamanga kwa magazi ndi cholesterol.
3. Chithandizo chowawa - kuvala, kuchotsa opaleshoni ya minofu yosagwira.
4. Maantibayotiki kuti athane ndi matenda.
5. Mavalidwe a Total Contact Cast, omwe amathandizanso madera omwe akhudzidwa ndi phazi kukakamizidwa kwambiri.
6. Kubwezeretsa kufalikira kwa magazi m'miyendo, kuphatikizapo kudzera mu opaleshoni ya mtima.

Nthawi zambiri mwa odwala omwe ali ndi matenda ashuga, mphamvu ya mitsempha imasokonekera chifukwa chake miyendo sikuvulala, ngakhale zowonongeka. Nthawi yomweyo, kuchiza matenda osokoneza bongo ndi zovuta zambiri. Chifukwa chake, odwala ena amayesedwa kuti alole kuti matenda ayambe kudwala. Zotsatira zake, adzakhala pa tebulo la opareshoni kwa dokotala wa opaleshoni. Chifukwa ngati ma virus amafalikira momasuka mabala m'miyendo, ndiye kuti amayambitsa gangore. Kudula kungathe kupewedwa pokhapokha ngati chithandizo chayamba nthawi yake ndipo boma limalangidwa.

Momwe mungachiritsire zilonda zapazi

Zilonda pamapazi a odwala matenda a shuga nthawi zambiri sizimayambitsa kupweteka chifukwa cha neuropathy - kuchepa kwa mitsempha yodutsa. Koma izi sizabwino, koma vuto. Chifukwa kusowa kwa ululu kumapangitsa odwala kuyesedwa kuti asalandire. Anthu odwala matenda ashuga oterewa amangogwira mwendo utayamba kuwola. Yang'anirani chithandizo ndi kupewa kwa matenda ashuga kuti musadwale, kuti mutha kuyenda moyenera.

1. Kuwongolera shuga la magazi mosamala ndikofunikira, apo ayi sipapambana.
2. Pangakhale kofunikira kuchotsa minofu yosagwira. Kwa izi, sikuti ndimangopanga opaleshoni yokha, komanso njira zina (onani pansipa).
3. Zilondazo zimayenera kukhala zoyera ndikuziteteza ku zinthu zakunja.
4. Yenderani malo owonongeka tsiku ndi tsiku, sinthani bandeji, ndikutsatira malangizo ena a dokotala.
5. Yesetsani kuyenda pang'ono mpaka zilonda zapaziyenda.
6. Kuyenda osavala nsapato ndizoletsedwa.

Kuyambira mu 2000s, madotolo awoneka munkhokwe yamitundu yosiyanasiyana yovalira pochiza mabala am'miyendo odwala matenda ashuga. Kavalidwe kameneka kamatha kuyamwa mafinya kuchokera pachilonda ndipo amakhala ndi mankhwala ophera tizilombo. Pogwiritsa ntchito kuvala, mutha kuyika ma enzyme ku zilonda zam'mimba zomwe zimachotsa minofu yosagwiritsidwa ntchito, mmalo mowachotsa. Mavalidwe amakono ndi chida chothandiza chomwe chimafulumira kuchiritsa.

Matenda a shuga - zilonda zokhazokha. Wodwalayo amayenera kuchitidwa opaleshoni chithandizo.

Amakhala kuti mabala amasiyidwa otseguka, chifukwa mpweya umawathandiza kuchira. Madokotala tsopano akudziwa kuti mabala amachira msanga, ndipo chiopsezo chotenga kachilomboka ndichoperewera ngati mukuwasunga ndikunyowa ndikuwaphimba ndi mabandeji. Kuyambira koyambirira kwa 2000s, chithandizo cha zilonda zam'miyendo chakhala bwino kwambiri. Palinso ma bandeji amtundu wa chitho kapena filimu yowonekera, mmalo mwa mabandeji akale abwino. Kusankha mwanjira inayake yamankhwala kumachitika ndi adokotala. Komabe, kufunikira kwa kayendetsedwe kabwino ka shuga m'magazi sikunathetse.

Ngati wodwala sanalandiridwe kuchipatala koma atumizidwa kunyumba kuti akalandire, ndiye, kuwonjezera pa mavalidwe, maantibayotiki omwe ali m'mapiritsi atha kupatsidwa mankhwala. Ayenera kumwedwa chimodzimodzi ndi adokotala. Simungachepetse mankhwalawo kapena kuonjezera mwanjira iliyonse. Asanapereke mankhwala othandizira, dokotala amatha kutumiza zitsanzo za minofu kuti ziziunike kuti adziwe kuti ndi ma virus omwe amayambitsa matenda. Muyenera kukaonana ndi dokotala kamodzi masiku angapo kuti mukamayesedwa.

Zilonda pamapazi nthawi zambiri zimawonekera chifukwa chakuti katunduyu sagawidwa bwino poyenda. Kuchiritsa wodwala kuchokera pachilonda, pangafunike kuchepetsa kukakamiza kwa mbali ya phazi. Kuti muchite izi, gwiritsani mavalidwe a Total Contact Cast, omwe akufotokozedwa mwatsatanetsatane pansipa. Kuphatikiza pa bandeji, wodwalayo afunika kuyitanitsa nsapato zamatumbo. Dokotala wanu angakulimbikitseni kuti muzivala ndodo kwakanthawi kapena kuti musunthane pa wheelchair. Ngati izi zikuthandizira kupewa kudula, musakane.

Mavalidwe Konse Kulumikizana ndi Cast

Kuwonetsetsa kutsitsa kwa phazi lomwe lakhudzidwa ndikuwapanikizika kwambiri ndi gawo lofunika kwambiri kuti machiritso amala athe. Ndipo makamaka, zochizira matenda ashuga neuroosteoarthropathy (mapazi a Charcot). Kafukufuku watsimikizira motsimikiza kuti chida chothandiza ndikugwiritsa ntchito kuvala kwamtundu wa Total Contact Cast.

Bandejiyi imachepetsa kuyenda kwa phazi ndi mwendo. Lero, ndi chida choyamba chambiri kuchepetsa zovuta: zilonda zamkati, kukomoka ndi kuwonongeka kwa mafupa, komanso gangrene, komwe kumabweretsa kuduladula. Njira yonse yolumikizirana imatha kuikidwa ndi endocrinologist kapena dokotala wa opaleshoni kuchipatala kapena kuchipatala.

Total Contact Cast ndi bandeji yokhazikika pamkono ndi phazi, yomwe imapangidwa ndi zida zamakono za polima. Mukamagwiritsa ntchito, gawo lomwe lakhudzidwa ndi matenda ashuga limatsitsidwa, chifukwa cha njira zotsatirazi:

1. Mpaka 30% ya katunduyo amawasamutsa kuchokera kumapazi kupita kumapazi.
2. Dera lamapazi othandizira limakulirakulira ndi 15-24%. Potere, katundu pazigawo zosiyanasiyana amagawidwa mofanananira. Chifukwa chake, katundu wambiri pamitu yayikuluyo amatsitsidwa ndi 40-80%.
3. Kavalidwe kamateteza mabala kuti asasokonekera.
4. Kutupa kwamiyendo kumachepetsedwa.
5. Pambuyo povala kuti muteteze zowonjezereka komanso kulimba mtima kwa wodwala, Total Contact Cast amavala nsapato ya Cast, nsanja yokhala ndi ma clasps.

Kuvala kosavomerezeka komwe kumapangidwa ndi zinthu za polymer Total Contact Cast

Poyenda mumsewu payokha nsapato zopangidwa ndi mafupa amagwiritsidwa ntchito. Potere, wodwalayo amalangizidwa kuti asamayende mtunda wotalika mpaka 30% mtunda wake.

Zisonyezero pakugwiritsa ntchito polima polase:

• pachimake gawo la matenda a shuga;
• nthawi yayitali ya osteoarthropathy, yomwe inali yovuta ndi kukula kwa chilonda cha kumapazi;
• kutengera kwachuma pakati (pamiyendo yonse) ya osteoarthropathy ndi / kapena zilonda zam'mapazi.

Kutsutsana kotheratu pakugwiritsira ntchito Total Contact Cast ndi njira yolowerera yopatsirana mkati mwa minofu yaku phazi, komanso gangrene kapena sepsis.

Zotsutsana:

• ischemia yayikulu (kusokonezeka kwa magazi) ya malekezero, ngati chidendene cha brasha <= 0.4 kapena chokhazikitsidwa molingana ndi kutalika kwa transcutaneous;
• kuya kwa chilondacho kupyola m'lifupi mwake;
• mawonekedwe a khungu la wodwalayo (kuchuluka kwa chinyezi, kusatetezeka, kusintha kwa thupi lawo pazovala);
• wodwalayo samatsata malangizidwe osamalira bandeji komanso kupewa zovuta zina, komanso ndandanda yochezera dokotala;
• cholowa cholumikizira chimakhala chopunduka kwambiri.

1. Chotsani bandeji tsiku ndi tsiku kuti muwone khungu.
2. Yendani zochepa, osapitirira 30% ya mtunda wanu wachilendo.
3. Tetezani kuvala
4. Ngati pakhungu pakulowa kapena musagwiritse ntchito zinthu zakuthwa kapena zolimba.
5. Ngati chizindikiro chilichonse chachilendo chikuwoneka (kutentha kwa thupi kwakwera, mafinya amamasulidwa ku chilonda, kuvala kumasokonekera, kupweteka kapena kusasangalala kwawoneka) - muchotse chovalacho ndikufunsani dokotala.
6. Muyenera kuyitanitsa nsapato zamatumbo musanayambe ndikuyamba kuvala nthawi yomweyo mukalandira chithandizo.

Chiyanjano Chonse Cholumikizana ndi Cast

Kavalidwe ka polima kamodzi kamachepetsa miyendo. Popeza awa sakhala thupi, zitha kubweretsa zovuta:

• minofu atrophy - amakula kale sabata yoyamba kuvala bandeji;
• kuyanjana koyipa kumakulirakulira;
• mafupa am'madera;
• mtsempha wakuya wa nthambi, pomwe bandeji imayikidwa;
• kuwonongeka kwa khungu pansi pa bandeji.

Kafukufuku awonetsa kuti kusinthasintha kwa zovuta mukamagwiritsa ntchito Total Contact Cast imachokera ku 6 mpaka 43%. Izi zimatengera chidziwitso cha katswiri yemwe amagwiritsa ntchito kuvala. Komanso pa momwe wodwalayo amaphunzirira bwino komanso ngati amatsatira malangizo a kuchipatala mosamala.

Zovala zamakono za Total Total Contact Cast zimagwiritsa ntchito zinthu zatsopano za Softcast m'malo mwa Scotchcast wakale. Imasinthasintha. Kuchokera pazinthu za m'badwo wakale wa Scotchcast, zoikika zokha ndizomwe zimapangidwa zomwe zimapatsa bandeji mphamvu yofunikira. Kusintha kwatsopano kwa mavalidwe kumapangitsa kuti wodwalayo apange minyewa yaying'ono ya dzanja, ndipo izi zimachepetsa chiopsezo cha zovuta.

Mankhwala - Maantibiotic

Ngati bala lili ndi kachilomboka kapena ngati pali chiopsezo chotenga kachilombo ka matenda ashuga, mankhwala opatsirana othandizira amapatsidwa mankhwala. Kuchita bwino kwake sikumangotengera kusankha koyenera kwa maantibayotiki ndi njira yoyendetsera, komanso chithandizo cha opaleshoni ya bala. Mankhwalawa amayenera kukhala a panthawi yake komanso okwanira, makamaka ngati matendawa ndi oopsa komanso akuya kwambiri. Mankhwala othandizira phazi sayenera kuchedwetsa, koma ayenera kuchitika nthawi yomweyo pamene mankhwala a antibayotiki atchulidwa. Ziyenera kukhala zowoneka bwino, i.e., zimakhudza minofu yonse yovuta komanso yosagwira.

Ngati wodwala ali ndi zizindikirazi, ndiye kuti zikuwoneka kuti akuyenera kuthandizidwa ndi maantibayotiki, komanso mu Mlingo wokwanira, ndikuyamba mwachangu. Koma mu shuga mellitus, makamaka odwala okalamba, chitetezo cha mthupi chimakhala chodabwitsa, mwachitsanzo, chimayankha mofatsa matenda. Zikatero, zizindikiro zomwe zatchulidwazi sizimawoneka, ndipo adokotala amayenera kupereka mankhwala, atayang'anitsitsa mawonekedwe awomwe akutenga matendawa.

Mabala owopsa komanso osakhazikika, zizindikiro za matenda ndizosiyana. Poyamba, ndi chotupa, kutupa, kupweteka, kutentha thupi pakhungu, mafinya amasulidwa ku bala. Mabala osatha, Zizindikiro zopatsirana ndikuwoneka ngati ululu m'zilonda ndi minyewa yoyandikana nayo, fungo losasangalatsa, kukula kwa kukula kwa bala, kusintha kwa mtundu wa "kutumphuka", ndi kumasulidwa kwa mafinya kapena magazi kuchokera bala.

Ma microorganism amakono amakana mankhwala ambiri. Chifukwa chake, kuthekera kopambana mukamapereka mankhwala opha mabakiteriya “mwakhungu” nthawi zambiri sikoposa 50-60%. Kuti musankhe mankhwala oyenera kapena kuphatikiza kwa maantibayotiki, ndikofunikira kupenda ma bacteriological a minofu.

Mankhwala othandizira odwala matenda ammimba amathandizanso kuthandizira odwala kuchipatala, kapena wodwala atha kupita nawo kunyumba mapiritsi. Njira yoyamba ndiyofunikira ngati matendawa ali oopsa, ndipo akuwopseza moyo wa wodwalayo kapena chitetezo cha dzanja. Ngati wodwala matenda ashuga apezeka ndi phlegmon, zilonda zam'mimba kwambiri, chonyowa kapena kuti sepsis, ndiye kuti mankhwala opha maantibayotiki amachitika kudzera m'mitsempha. Amaphatikizidwanso ndi opaleshoni yamadzimadzi a purulent foci, detoxization ndi miyeso yokhala ndi shuga m'magazi. Zonsezi zimachitika m'chipatala.

Ngati purulent foci sinali yakuya ndipo pakangokhala zisonyezo zakuthambo chabe zamatenda, wodwalayo amatha kumwa maantibayotiki ngati mapiritsi osapita kuchipatala. Ndikofunika kudziwa kuti chifukwa cha autonomic neuropathy, kuyamwa kwa michere ndi mankhwala osokoneza bongo m'matumbo kumatha kusokoneza. Poterepa, ndikofunikira kusinthira ku kukonzekera kwa maantibayotiki.

(kutha kwa 2011)
Yang'anani! Chidziwitsochi ndi "chinyengo cha pepala" kwa madokotala okha! Odwala - musamamwe mankhwalawo. Funsani dokotala woyenera!

Nthawi zambiri, odwala matenda ashuga a m'mimba amaphatikizidwa ndi vuto laimpso. Zikatero, ngati mankhwala opha maantibayotiki kapena mankhwala ena ataperekedwa mu mulingo woyenera wowerengeka, kuvulaza kwakukulu kungachitike ku thanzi la wodwalayo. Chifukwa chiyani pali ngozi:

• Ngati ntchito yotsika impso itachepa, ndiye kuti mankhwalawo ndi ma metabolites ake amatha kukhala ndi poizoni m'thupi ukuwonjezeka;
• Odwala ndi mkhutu aimpso ntchito, kulolera mavuto ambiri amachepetsa;
• maantibayotiki ena samawonetsa kwathunthu ngati mawonekedwe a impso afooka.

Popeza izi, ngati wodwala ali ndi zovuta za miyendo yake ndi matenda a nephropathy, ndiye kuti dotolo ayenera kusintha payokha mankhwala osokoneza bongo

Opaleshoni, kudulidwa

Kuchita opaleshoni pachilonda ndikuchotsa khungu lakufa ndi mafinya. Ziyenera kuchitidwa kuti minofu yomwe yatha sikhala malo operekera mabakiteriya ovulala.

Kodi izi zimachitika bwanji:

1. Khungu limatsukidwa ndikuthira mankhwala.
2. Zimadziwika kuti vutoli lakuya bwanji komanso ngati pali chinthu china chachilendo chomwe chinagwera.
3. Dokotalayo amachotsa minofu yakufa ndi scalpel ndi lumo ndikuchita opaleshoni kenako ndikuyambitsa bala.

Pamapeto pa opaleshoniyo, chilondacho chimatha kuwoneka chachikulu komanso chakuya kuposa kale. Ikhale yapinki kapena yofiyira, yowoneka ngati nyama yatsopano.

Wodwala zilonda zam'mbuyo musanayambe kuchita opareshoni

Kuphatikiza pa opaleshoni, palinso njira zina zochizira chilonda:

• Ma Enzymes amatha kuyamwa omwe amasungunula minofu yosagwira.
• Gwiritsani ntchito mphutsi zapadera kwambiri zomwe zimangodya maselo akufa. Nthawi yomweyo, amabisa zinthu zomwe zimathandizira kuchiritsa zilonda.

Njira yokhala ndi mphutsi yadziwika kuyambira Nkhondo Yoyamba Yapadziko Lonse. Kuyambira 2000s, chidwi mwa iye chabwereranso.

Chithandizo chowawa sichimawonedwa ngati opareshoni. Opaleshoni yeniyeni imayamba kugwira ntchito ngati njira zina zonse zalephera. Kulongosola kwa zovuta za kudulidwa sikungathe kufotokozeredwa ndi nkhaniyi. Kuchiritsa pambuyo pochita opaleshoni kumatha kutenga milungu ingapo kapena miyezi, kutengera momwe wodwalayo amalamulirira bwino matenda ake a shuga.

Nsapato zamatumbo

Nsapato zamatumbo ndiye njira yofunika kwambiri yopewera matenda ashuga a m'mimba. Ngati wodwala wavala nsapato zamatumbo zoyenera kwa iye, ndiye kuti izi zimachepetsa kukula kwa zilonda zapazi ndi katatu.

Nsapato zopangidwa ndi orthopedic.

Chovala chachala ndi chidutswa cha zinthu zolimba zomwe zimalimbitsa masokosi a nsapato. Mukuvala nsapato zamankhwala pakakhala kuti palibe chovala chala cholimba. Pamwamba pa nsapatoyo muyenera kukhala ofewa, omasuka komanso otetezeka kwa zala zakumwa za matenda ashuga. Pasakhale zotchingira mkatikati mwa nsapato zamadzimadzi kuti pasapezeke zolakwika.

Yokhayo iyenera kukhala yolimba, i.e. yolimba, osati zotanuka. Chifukwa chake, kupanikizika komwe kumakhala kutsogolo kwa phazi lakutsogolo kumatsitsidwa, ndipo katundu pazigawo za phazi umagawidwa mofanananira. Zovala zamadzimadzi ziyenera kukhala zabwino komanso zoyenera kuchokera koyenera koyambirira.

Mapeto

Pambuyo powerenga nkhaniyi, mwaphunzira zonse zomwe mungafune zokhudza matenda ashuga othamanga. Zithunzi zambiri zimaperekedwa kuti zikuthandizeni kuwunika momwe zinthu ziliri - momwe miyendo yanu imakhudzidwira komanso zomwe matendawo amafala. Matendawa odwala matenda ashuga ndi vuto lalikulu la matenda ashuga omwe angayambitse kudulidwa. Komabe, si odwala onse omwe ali ndi zilema. Tsatirani malingaliro omwe aperekedwa pamwambapa - ndikuwatsimikizira kuti musunge mwayi woti musunthire nokha " Chachikulu ndikuwona dokotala munthawi mukangowononga miyendo yanu. Madokotala tsopano amatha kuvala bwino komanso zonunkhira mu zida zawo zomwe zimalimbana ndi matenda ndikupatsanso machiritso.

Osadalira mapiritsi alionse ozizwitsa. Osamamwa maantiyamu nokha! Chachikulu ndichakuti wodwalayo amayamba kulandira chithandizo pa nthawi yake, ngakhale miyendo yake isanayambe kufinya. Mutha kuyesa alpha lipoic acid kuti muchepetse matenda ashuga komanso kubwezeretsa chidwi m'miyendo. Koma chinthu chabwino chomwe mungachite ndikusinthira ku chakudya chochepa chamafuta kuti musinthe shuga lanu lamagazi. Werengani zambiri za mankhwalawa a matenda a shuga a mtundu wachiwiri komanso chithandizo cha matenda ashuga a mtundu woyamba. Chakudya chamafuta ochepa sichimachepetsa shuga ndipo chimathandiza kuti chizikhala chokwanira, monga momwe zimakhalira ndi anthu athanzi. Chifukwa cha izi, matenda a shuga amawonongeka. Kuzindikira m'miyendo kumabwezeretsedwa kwathunthu. Iyi ndi njira yeniyeni yochiritsira phazi la matenda ashuga komanso zovuta zina.