Mukapezeka ndi matenda a shuga, odwala amakumana ndi mavuto akhungu ndi khungu, chifukwa ndi hyperglycemia chidwi cha mathero amitsempha chimachepetsedwa kwambiri, kufalikira kwa magazi kumawonjezeka. Komanso, anthu odwala matenda ashuga amadwala matenda amadzimadzi, amadandaula za khungu louma la miyendo, mapazi, mapazi ndi mbali zina za thupi.
Khungu louma likusweka, tizilombo tating'onoting'ono tomwe timayambitsa mkwiyo wa matenda opatsirana amatha kulowa m'malo omwe akhudzidwa. Chifukwa chake, madokotala amalimbikitsa mwamphamvu kusamalira khungu, izi zimatha kutchedwa kuti chinthu chofunikira kwambiri kwa matenda ashuga.
Kuphwanya kochepa kwa malamulo a chisamaliro cha integument kumasintha mosavuta kukhala zovuta zamatenda oyamba .. Osati kuuma kokha kumakhala vuto kwa odwala omwe ali ndi matenda osokoneza bongo, nthawi zambiri odwala amakhala ndi zizindikiro zingapo, chimodzi chomwe ndikupanga mabala pakhungu.
Lipoid necrobiosis mu shuga
Ngati wodwala yemwe ali ndi matenda a shuga ali ndi mikwingwirima yofiirira kapena yachikaso pakhungu, dokotala adzaganiza kuti apeza cholid necrobiosis. Vutoli limayamba pang'onopang'ono, lopanda tanthauzo kwa munthu.
Ziphuphu zimakonda kuwoneka pamiyendo, khungu limatha kukhala ndi zilonda komansoonda kwambiri. Necrobiosis ikachiritsidwa, zipsera za bulauni zimatha kukhalabe m'malo mwa zilonda. Zifukwa zodalirika za kuphwanya izi sizikudziwika, koma zimachitika kwambiri odwala matenda ashuga ndi mtundu woyamba wa matenda.
Necrobiosis ndiosowa; Matendawa amadziwonekera pamtundu uliwonse, koma nthawi zambiri amakhala ndi akazi azaka 30 mpaka 40. Amuna amadwala mu 25% yokha ya milandu.
Sikovuta kudziwa matenda ashuga a necrobiosis, popeza kuti matendawa amatanthauza:
- ndikokwanira kwa adotolo kuti amupime koyenera;
- Nthawi zina pamafunika kuwongolera wodwalayo kuti akuuze mtundu wina uliwonse.
Ndi necrobiosis, muyenera kuperekanso magazi kuti muwone kuchuluka kwa shuga m'magazi. Ndikosatheka kuneneratu zamatsenga; nthawi zambiri, ziphuphu za atrophic zimawoneka mwachangu. Nthawi zambiri amakhala osatha, obwereza.
Mpaka pano, mankhwala ochizira matendawa kulibe. Kuti athetse kapena kuyimitsa matenda a shuga, mankhwalawa sanapangidwe. Jakisoni wa Steroid angachedwetse kupita patsogolo kwa matenda, koma kuthekera kwa kuwonjezereka kwa zizindikiro za matendawa sikumaphatikizidwa. Muzovuta kwambiri, ndikulimbikitsidwa kuti mupite mlungu uliwonse wa mankhwala a corticosteroid.
Ndikofunikira kuchiza matenda osokoneza bongo komanso mikwingwirima nthawi yomweyo, amayamba ndi kuletsa kwakanthawi kokwanira kudya zakudya zopatsa mphamvu. Kuti mukhale ndi thanzi labwino, chotsani zizindikiro za matenda ashuga, mankhwala ogwiritsidwa ntchito:
- kuchepetsa shuga;
- kwa vasodilation;
- mavitamini.
Kuphatikiza apo, physiotherapy iyenera kuphatikizidwa ndi njira ya mankhwalawa: electrophoresis, phonophoresis.
Pamaso pa malo owonongeka kwambiri pakhungu pali zisonyezo zothandizira opaleshoni kuti ichoke pakhungu lina kuchokera mbali zina za thupi.
Lipohypertrophy, wakuda acanthosis
Kwa odwala matenda ashuga, zovuta zina za mtundu 1 za matenda a shuga zimatha kuchitika kwa hematoma - lipohypertrophy. Mavuto amtundu wa khungu amatha kusiyanitsidwa ndi mawonekedwe osindikizidwa angapo pakhungu, amawonekera ngati wodwalayo amapanga jakisoni wa insulin m'malo amodzi nthawi zambiri.
Muyenera kudziwa kuti mabala atha kupewedwa ndikusintha ma jakisoni pafupipafupi, kugwiritsa ntchito njira zolimbitsa thupi, ndi kutikita minofu.
Black acanthosis imakhalanso ndi khungu lakuda m'malo ena a thupi, chikhodzodzo chimakhala chovundikiratu, m'malo olumikizirana kumtunda ndi m'munsi, khosi ndi zikopa. Odwala amadziwa kuti m'malo omwe akukhudzidwa ndi khungu khungu limakhala lalitali, lonenepa komanso lonunkhira kosasangalatsa.
Black acanthosis ndi chizindikiro choonekeratu cha kukana kwa wodwala ku insulin ya mahomoni.
Malangizo a Kusamalira Matenda a shuga
Malangizo pazosamalira anthu odwala matenda ashuga sizosiyana kwambiri ndi maupangiri a anthu omwe alibe mavuto a hyperglycemia. Komabe, pali malamulo ena osamalira anthu, kuyang'anira kumathandizira kuti khungu lizisamalidwa bwino.
Amawonetsedwa kugwiritsa ntchito mitundu yofewa ya sopo wachilengedwe, njira za madzi ndikofunikira kuti thupi liume bwino. Ndikofunikira kusanthula mosamala pakati pa zala, pansi pa mikono ndi malo ena kumene kumatha kukhalabe madontho amadzi.
Madokotala amalangizanso kugwiritsa ntchito mafuta opaka pakanthawi kochepa, amathandiza kuti khungu likhale lowonjezereka, lofewa. Zodzikongoletsera zoterezi zilipo ndipo zimaperekadi zotsatira za matenda ashuga.
Kusamala khungu lanu kumathandiza:
- kugwiritsa ntchito tsiku lililonse madzi ambiri oyera;
- kugwiritsa ntchito masokosi a odwala matenda ashuga;
- kugwiritsa ntchito bafuta wapadera wopangidwa ndi thonje labwino (kuti pakhale mpweya wabwino pakhungu).
Ndikofunikanso kuvala nsapato zamatumbo, masokosi apamwamba apamwamba kwambiri, izi ndizofunikira makamaka pamaso pa neuropathy. Muyenera kuyang'anira maonekedwe a malo ofiira, owuma pakhungu. Ngati mukumva kuwawa, ndikofunikira kuwonjezera kukayezetsa magazi.
Kodi odwala matenda ashuga ali ndi vuto lotani muvidiyoyi?