Ming'alu ndi chimanga cha anthu odwala matenda ashuga ndizofala kwambiri. Mu matenda ashuga, thupi limakhala ndi madzi ambiri, chifukwa khungu limakhala louma osati louma. Ntchito zotchinjiriza zimatayika pakhungu la mapazi, motero zigawo za keratinized zimatha kutulutsa madziwo momasuka.
Ngati ming'alu yazidendene iyamba kuwoneka, ichi ndi chizindikiro chachikulu cha kuwonongeka kwa mitsempha kumapeto pang'ono, zomwe pamapeto pake zingayambitse matenda a diabetesic polyneuropathy. Komanso, zomwe zimayendetsa khungu zimasokonezeka. Ngati mankhwala sanayambike munthawi yake, matendawa amayambitsa kupunduka kwa phazi.
Mu shuga mellitus, kuwoneka kwa ming'alu zidendene komanso kuchuluka kwa shuga m'magazi kumayambitsa kusokonezeka kwakukulu kwa magazi m malo amitsempha yayikulu komanso yaying'ono. Pankhaniyi, pamene zizindikiro zoyambira za matenda zimawonekera, ndikofunikira kufunsa dokotala kuti asankhe njira yoyenera yolandirira. Kupanda kutero, wodwalayo amakhala ndi zilonda zopweteka kapena, zowopsa,.
Khungu lowuma
Ndi shuga wambiri m'magazi, mkodzo wambiri umapangidwa, motero thupi limakumana ndi vuto losowa madzi ambiri. Zotsatira zake, kuperewera kwa khungu kumachitika, ulusiwo umatha. Ntchito ya sebaceous ndi thukuta tiziwonongeka, zomwe zimayambitsa chisangalalo, kumva kuyipa kwa khungu. Mabala obwera pakhungu nthawi zambiri amakhumudwitsa kukula kwa matenda.
Ngati mutsatira malamulo onse aukhondo waumwini, matenda owonjezera chifukwa cha kuchepa thupi samawonekera. Koma odwala matenda ashuga ayenera kusankha bwino zodzoladzola mosamala.
Makamaka, sopo wamba amatha kutsitsa acidity pakhungu, amachepetsa kulimbana ndi tizirombo. Chifukwa chake, muyenera kusankha njira yoyenera yothandizira khungu la odwala matenda ashuga. Pakusamba, kutsuka manja ndi mapazi musankhe njira yothetsera sopo kapena sopo wamabala, mafuta odzola kapena zodzikongoletsera zapadera.
Makamaka chidwi ayenera kulipidwa malinga ndi miyendo ndi manja. Kuti akhalebe aukhondo tsiku lililonse amagwiritsa ntchito zodzikongoletsera zapadera komanso zodzikongoletsera.
Kwa odwala matenda ashuga, zodzikongoletsera zomwe zimakhala ndi urea ndizofunikira pazolinga izi.
Hyperkeratosis
Mu shuga mellitus, nthawi zambiri amatha kuwona kuphuka kwakukulu pakhungu. Zodabwitsazi zimatchedwa hyperkeratosis, ngati njira zochokera panthawi yake sizitengedwa, zilonda zimayamba kuwonekera pakhungu. Matendawa amatenga ndi maziko osayang'anira malamulo aukhondo ndi chisamaliro chamiyendo yam'munsi.
Kuphatikiza kugwiritsa ntchito nsapato zolimba kwambiri kumabweretsa vuto pamene gawo lomwelo kumapazi likuponderezedwa nthawi zonse. Kuphwanya kumadziwonetsera ngati mawonekedwe a chimanga pachokhacho kapena kumtunda kwa zala. Nthawi zina zophuka zimakhazikika pambali kapena pakati pa zala.
Chifukwa cha kupanikizika kosalekeza kwa chimanga pamalo ena pakhungu, magazi amapangika pansi pa chimanga. Ngati mankhwala sayambika, wodwalayo amakhala ndi zilonda zam'mimba. Khungu lowuma pamapazi zidendene zimayambitsa keratinization, ming'alu yaying'ono imayamba kuwoneka. Zilonda zoterezi zimawonjezera mavuto panthawi yoyenda ndipo zimatha kutenga kachilomboka.
- Popewa zovuta zoyipa, odwala omwe ali pachiwonetsero choyamba chophwanya lamulo ayenera kugwiritsa ntchito nsapato zapamwamba kwambiri zamtundu wa mafupa. Chifukwa cha izi, mapazi sakhala opunduka ndipo abrasions sawoneka.
- Ngati chimanga chakhazikika pamiyendo, ndizosatheka kudula mulimonse, ndikuletsedwa kuba mapazi m'madzi otentha.
- Ndikofunikira kugula kirimu ndi urea, mankhwala odzola amawaikira tsiku lililonse pafupipafupi. Izi zisanachitike, miyendo imatsukidwa ndikusamalidwa ndi pumice. Ndikofunikira kuwonetsetsa kuti zonona sizigwera pamalowo pakati pa zala zikagwiritsidwa ntchito.
Kukula kwa matenda a shuga
Matenda a shuga a matenda amtundu wa shuga ndi mtundu woipa kwambiri wa matenda ashuga womwe umatha kuchotsedwa nthawi zambiri. Kupweteka kwakumaso kowononga kwamiyendo kumayambitsa matenda a mitsempha kumapeto pang'ono, chifukwa cha izi, khungu la odwala matenda ashuga satha kuyankha kupweteka, kukhudza.
Kuvulala kulikonse kumatha kumamveka munthu akaimirira msomali, kuwotcha khungu, kupukusa mwendo wake. Chifukwa cha kuchepa mphamvu yakuchiritsa, mabala opangika amachira nthawi yayitali ndikukhalira pakhungu nthawi yayitali.
Ndikofunika kumvetsetsa kuti matenda ashuga sayambitsa matenda otere, koma malekezero am'munsi amakhudzidwa kwambiri ndi zosayenera za wodwala matenda ashuga panthawi yomwe palibe chithandizo chanthawi yake.
Zizindikiro za matenda am'magazi a shuga amasonyezedwa ndi izi:
- Zilonda za trophic zimawonekera;
- Pali mabala osachiritsika, opaka nthawi yayitali;
- Phlegmon amapangidwa kumapazi;
- Bone osteomyelitis imawonekera;
- Gangrene amakula, matenda amafalikira mpaka zala zingapo, phazi lonse kapena gawo limodzi.
Kuthandiza chimanga cha matenda ashuga ndi njira yovuta kwambiri komanso yayitali. Nthawi zambiri munthu samalabadira momwe miyendo yake imayambira mpaka pakuwoneka zovuta. Pathology imatha kuyamba mwachangu kwambiri kotero kuti zotsatira zake zimakhala kudzicheka kwa dzanja. Kuti mupewe izi, ndikofunikira pazizindikiro zoyambirira kukafunsira kwa dokotala kuti akupatseni malangizo.
Muyenera kusamalanso mapazi anu tsiku lililonse, kupewa kutulutsa chimanga, nthawi yomweyo chitani kanthu kuti muchepetse chimanga choyamba.
Wodwala amayenera kuyang'anira kuchuluka kwa shuga m'magazi kuti matenda ashuga asapatsidwe thanzi.
Zizindikiro za matenda am'munsi amendo
Pali zizindikiro zina zomwe zimapangitsa kuti matenda awonjezeke. Ngati khungu layamba kufiira, izi zikuwonetsa kachilomboka m'dera la mabala omwe adapangidwa. Chimanga chimatha kupezeka chifukwa cha nsapato zosasankhidwa bwino kapena masokosi apamwamba.
Miyendo ikatupa, zizindikirazo zimayendera limodzi ndi chitukuko cha matenda, kulephera kwa mtima, kuzungulira kwa magazi kudzera m'mitsempha. Ndi kuwonjezeka kwamphamvu kwa kutentha, adotolo amawunika matenda kapena kuyamba kwa kutupa. Thupi limalimbana ndi kuphwanyidwa, koma silitha kuthana ndi matendawa chifukwa cha chitetezo chamthupi chofooka.
Ngati msomali ukukula pakhungu kapena bowa ukakula, nthenda yolimba imatha kulowa mthupi. Matendawa akakula, kumeta kumatuluka m'matumbo. Vutoli limaphatikizidwanso ndi kuzizira, kuwonjezeka kwambiri kwa kutentha kwa thupi. Ndikofunika kumvetsetsa kuti zizindikiro zotere ndizowopsa, chithandizo cha matenda a m'magazi nthawi zina chimakhala chosathandiza, chifukwa chomwe kumadulidwa kwamanja kumafunikira.
- Pofuna kupewa kukula kwa matenda oopsa komanso kukhalabe ndi mawonekedwe oyenera a mapazi, muyenera kutsatira malamulo ena.
- Tsiku lililonse ndikofunikira kuyang'ana miyendo, kuyesa momwe alili, kulabadira mwachidwi dera lomwe lili pakati zala ndi zidendene. Ngati anthu oyandikana nawo sangathe kuyesa mayeso, nthawi zambiri amagwiritsa ntchito kalilole kakang'ono kuti akhale kosavuta.
- Ndikofunikira kuyang'ana mtundu ndi kutentha kwa khungu. Kusintha kulikonse kukachitika, kupangika kwa mabala, kupindika msomali pakhungu kuyenera kufunafuna malangizo azachipatala ndi thandizo.
- Sambani mapazi anu tsiku lililonse, ngakhale osakhala odetsedwa. Kuti muchite izi, gwiritsani ntchito madzi ofunda madigiri 35. Kuti muwone kutentha kwa madzi, gwiritsani ntchito thermometer yapadera kapena dzanja. Kusamba kwa phazi sikutenga mphindi zosaposa zisanu, pambuyo pake miyendoyo imapukutidwa kwathunthu, kuphatikiza pakati pa zala.
- Popewa ming'alu, gwiritsani ntchito mafuta okuthirisirani kumapazi. Dokotala amathandizira kudziwa kusankha kwa mankhwala azodzikongoletsera oyenera kwambiri. Osatinkhira zonunkhira pakati pa zala, chifukwa izi zimathandizira kukulitsa mafangayi ndi matenda ena.
Masokosi a odwala matenda ashuga, ma tonne ndi masokisi amasowa tsiku lililonse. Misomali imakonzedwa ikamamera pang'ono. Zitsulo zimamenyedwa ndi zonona pamene khungu louma limamveka. Kupaka misomali, mutha kugwiritsa ntchito fayilo ya msomali yosavuta, kuzungulira sikuloledwa pambale ya msomali. Ngati munthu wodwala matenda ashuga akayendera malo okongoletsa, ndikofunikira kumalangiza mbuyeyo kuti asalakwitse.
Kuchotsa chimanga ndi chimanga chowuma, gwiritsani ntchito pumice, koma osagwiritsa ntchito masamba, lumo kapena mpeni. Nsapato zimayesedwa tsiku ndi tsiku kuti ziwonongeke kapena kung'ambika.
Mutha kugwiritsa ntchito masokosi olimba, koma osati olimba, apo ayi kufalikira kwa magazi kumawipira. Nsapato zotseguka kapena nsapato sizikulimbikitsidwa kuti zivalidwe, makamaka ngati chidwi cha miyendo sichili bwino. Nsapato ziyenera kukhala zabwino, zotheka, zokhala ndi zidendene zotsika, zikopa zofewa, zopanda seams. Ngati mapazi ali opunduka, gwiritsani ntchito nsapato zamatumbo kwa odwala matenda ashuga.
Zambiri panjira zothanirana ndi chimanga zimaperekedwa mu kanema munkhaniyi.
