Mavuto a shuga amawonetseredwa ndi mitsempha ya mitsempha ndi minyewa yomwe imakhudza magawo otsika. Chifukwa chake, ndikulimbikitsidwa kwa odwala onse omwe ali ndi matenda ashuga kuti ayang'anire miyendo ndi miyendo yotsika tsiku ndi tsiku, kuti musaphonye kuwonetsa koyamba kwa matenda ashuga a mtima.
Zizindikiro zilizonse mu mawonekedwe a redness, kusokonezeka kwa chidwi kapena kuvulala pang'ono kungakhale chizindikiro cha kukula kwa matenda oopsa ngati phazi la matenda ashuga.
Malinga ndi ziwerengero, zimachitika mu 15% ya anthu odwala matenda ashuga pambuyo pa zaka 6-6 atadwala.
Ndi chiphuphu chokwanira cha matenda ashuga, matenda opatsirana amatuluka amalowa m'thupi la polyneuropathy, ndipo gangrene amatha kukulanso, zomwe zimapangitsa kuti azidulidwa.
Mdziko lapansi, 70% ya kudula kumene kumayenderana ndi matenda a shuga.
Zimayambitsa matenda a shuga
Kuwonongeka kwa ziwiya zamiyendo mu shuga kumalumikizidwa ndi kuchuluka kwa shuga m'magazi, komwe sikungalowe m'maselo chifukwa cha kuchepa kwa insulin. Madzi otuluka m'matumbo amachepa, kutsekeka kwa mitsempha kumalepheretseka. M'mikhalidwe yofooka yoperewera komanso kuchepa kwa chakudya, minyewa yamatenda imakhudzika, kuchiritsidwa kwa mabala kumachepa.
Zilonda zazing'onoting'ono pakhungu mu ming'alu, mabala kapena mabala amadzisandutsa zolakwika zotupa, ndipo zilonda zobisika zimapangidwa pansi pa keratinized epithelium. Zonsezi sizingawonedwe ndi odwala, chifukwa sizimayambitsa kusamva bwino. Nthawi zambiri, zilonda zimapangika m'malo ovuta omwe amapezeka poyenda.
Kuvulala kotereku kungachuluke ndikuvala nsapato zolimba, khungu lowuma komanso kukula kwa corneum yovunda, ngatiivulazidwa pa pedicure kapena kuyenda osavala nsapato.
Kupukwa kwa mtsempha wamagazi kumalumikizidwa ndi kuyika kwa cholesterol ndi calcium, ndikupanga cholembera cha atherosselotic. Kusintha kotere kwa matenda ashuga kumakhala ndi zochitika zingapo zamankhwala:
- Zotupa zimachitika m'munsi mwa malekezero am'munsi - kumapazi ndi kumbuyo.
- Miyendo yonse iwiri imavutika m'malo angapo.
- Kuyambira ndili ndi zaka zoyambirira kuposa odwala omwe alibe shuga.
- Limodzi ndi imfa ya zimakhala
- Zilonda zimatha kuchitika popanda kuvulala komanso kupanikizika kwa makina.
Zizindikiro za kuwonongeka kwa mwendo mu shuga
Khungu la odwala omwe ali ndi matenda osokoneza bongo auma komanso owonda, nthawi zambiri amakhala ovulala, makamaka m'dera la chala. Chida choyambitsa kupangika kwa zotupa zam'mitsempha ndi cham'mimba chimatha kukhala matenda oyamba ndi mafangasi, pedicure yoyipa kapena kuchotsa kwa msomali wolowera.
Popeza kupangidwa kwa phazi la matenda ashuga kumakhala ndi zovuta zoyipa modula mwendo kapena kufa kuchokera ku sepsis, yomwe idayamba chifukwa chakuchulukana kwakanthawi kochepa, kuzindikira zizindikiro zoyambirira za kupsinjika kwa phazi la matenda ashuga kungapulumutse moyo wa wodwala.
Chizindikiro choyamba chomwe ndi kuchepa kwa kugunda kwa chinyezi, kenako kutentha, kupweteka ndi tactile zimaphwanya pambuyo pake. Chizindikiro chowopsa chikhoza kutupa pamendo pansi pa ng'ombe, m'dera lamapazi. Ngati miyendo yatentha kapena kuzizira, ndiye kuti izi zikutanthauza kuti magazi amayenda kapena matenda alumikizana.
Chifukwa chofunsira kwa dokotala wa opaleshoni kapena podiatrist zingakhale zosintha izi:
- Kutopa pakuyenda kumakulitsidwa.
- Pali zowawa m'miyendo yamphamvu zosiyanasiyana poyenda kapena usiku.
- Kuona, moto wowotcha udawonekera m'mapazi, ndipo kutsekeka kudakulirakulira.
- Mtundu wa khungu pamiyendo ndi wofiira kapena cyanotic.
- Mtambo wamatsitsi kumapazi unachepa.
- Misomali idayamba kunenepa, yopunduka, chikasu.
- Kubala kunabuka pansi pa msomali.
- Chala chake mwadzidzidzi chidasanduka chofiira kapena chotupa.
Odwala amathanso kudziwa kuti mabala kapena ma callus amachira m'malo mwa sabata mkati mwa mwezi umodzi kapena awiri. Pambuyo pokhwimitsa mabala, chizindikiro chakuda chimatsalira.
Zilonda zam'mimba zimatha kukhala pamapazi, nthawi zina kwambiri.
Mitundu ya Diabetesic Phazi
Mitundu itatu ya matenda ammimba a shuga imasiyanitsidwa kutengera kuchuluka kwa vuto la kusungirako malo kapena magazi. Ndi vuto la maselo amitsempha, mawonekedwe a neuropathic amakula. Mbali yodziwika kwa iye ndi kutsimikiza kosavuta kwa kwam'mimba. Edema yodziwika komanso yosalekeza imawoneka pamiyendo.
Mapazi mu mawonekedwe awa ndi ofunda, khungu limakhala labwinobwino kapena pang'ono pang'onopang'ono, chilondacho chimapezeka (monga pachithunzichi) m'malo opezeka katundu - m'dera la mafupa achitsulo. Matenda a ululu amakhala ofatsa. Chilondacho ndi chonyowa, m'mphepete ndichopindika. Nthawi zambiri zimakhudza achinyamata omwe ali ndi matenda amtundu 1, kumwa mowa mwauchidakwa kungakhale chinthu chotsogola.
Kuchepa kwamiyendo mu matenda am'mimba mu chithunzi akhoza kukhala chizindikiro cha mtundu wa polyneuropathy, momwe matenda ammagazi amathandizira kudziwa momwe phazi la matenda ashuga limayendera.
Ndi njira iyi, miyendo imakhala yozizira, zimachitika bwanji.
Zilonda zimapezeka m'malo omwe amapezeka magazi kwambiri - zidendene, kunsi kwa phazi, ndi chala. Khungu lozungulira chilondacho ndi loonda. Nthawi yomweyo, odwala amasokonezeka ndi kupweteka popumira, usiku kwambiri, ndipo akamayenda, amakakamizidwa kuti aime chifukwa cha ululu waukulu.
Fomu yosakanikirayi imadziwika kwambiri kwa odwala omwe ali ndi matenda ashuga, amaphatikiza zizindikiro za ischemia ndi zovuta zamitsempha. Zowopsa zomwe zimapangitsa kuti matenda ashuga akhale ndi:
- Kutalika kwa matenda ashuga kuposa zaka 10.
- Zosawerengeka kapena matenda a shuga.
- Kusuta.
- Odwala omwe adakumana ndi vuto la mtima kapena stroke.
- Mowa.
- Ndi chizolowezi chopanga magazi.
- Kunenepa kwambiri.
- Matenda a Varicose.
Kuzindikira ndi kuchiza matenda a shuga
Kuti adziwe kuchuluka kwa zotupa, odwala amayesedwa kwathunthu: kuyesedwa kwa magazi ndi kuphatikizidwa kwa zamankhwala amodzi, kutsimikiza kwa ntchito yaimpso, x-ray ndi maphunziro a angiographic. The neuropathologist amayendera chitetezo chamakutu ndikuwonetsetsa kupweteka, kukhudza, kugwedeza ndi kutentha.
Kuti muwone kutuluka kwa magazi, dopplerometry imachitika, kukakamiza m'matumbo a miyendo kumayezedwa. Pamaso pa chilonda, chikhalidwe cha microflora ndi chidwi cha antibacterial mankhwala chimatengedwa.
Chithandizo cha phazi la matenda ashuga chimayamba ndikusintha kuchuluka kwa glucose m'magazi kuti athe kugunda. Ngati wodwala adalandira mapiritsi ochepetsa shuga, ndiye kuti amasamutsidwa kwathunthu kupita ku insulin kapena kuyambitsa mankhwala a insulin ndi antidiabetic omwe amapezeka nthawi zonse.
Kuchotsa kupweteka kwa matenda ashuga polyneuropathy kumachitika ndi mankhwala otsatirawa:
- Maanticonvulsants (Finlepsin, Gabalept).
- Ma Painkiller (Dexalgin, Nimesulide).
- Ma antidepressants (venlafaxine, clofranil).
- Kirimu ndi lidocaine.
Kuchiza ndi thioctic acid kukonzekera (Thiogamma, Berlition), komanso jakisoni wa mavitamini a B (Milgamma, Neurobion) kumathandizira kubwezeretsa chidwi cha minofu ndikuthandizira kuchiritsa kwa vuto la zilonda zam'mimba. Dipyridamole, Actovegin, Pentoxifylline amagwiritsidwa ntchito kukonza magazi.
Kuphatikiza apo, zilonda zimaperekedwa, ndipo nthambi yomwe yakhudzidwa imatsitsidwa. Zilonda zam'miyendo yam'munsi, muyenera kuyesetsa kukhala pamalo owoneka bwino. Zipangizo zamtundu wapadera zimagwiritsidwanso ntchito kuti muchepetse katunduyo kumapazi. Polimbana ndi matendawa, physiotherapy ya matenda a shuga m'mankhwala othandizira amapatsa zotsatira zabwino.
Ngati kachilomboka kakakamira, mankhwala opha mabakiteriya amadziwika kwa nthawi yayitali musanachiritsidwe zilonda.
Kuchiza kwambiri kumachitidwanso pofuna kuchiza matenda omwe amakhalanso ovuta kuchiritsa: kuchepa magazi, kuwonongeka kwa impso, ndi chiwindi.
Kupewa kwa polyneuropathy
Kwa wodwala yemwe ali ndi matenda ashuga, kuyezetsa mwendo nthawi ya ukhondo tsiku ndi tsiku ndi njira yofunika kwambiri yopewera zovuta za neuropathy. Mabala kapena mabala onse amafunika kuthandizidwa ndi Miramistin kapena Chlorhexidine, yankho lamadzimadzi la furacilin. Osagwiritsa ntchito njira zokhala ndi zakumwa zoledzeretsa.
Zochizira zilonda zam'mimba, Solcoseryl, Actovegin, gelusi la Iruksol amagwiritsidwa ntchito. Mukamayendetsa pedicure, simungagwiritse ntchito masamba, ndi bwino kugwiritsa ntchito maluso a hardware. Mapazi azikhala ndi mafuta ophikira a ana kuti muchepetse kuuma kapena mafuta apadera a odwala matenda ashuga: Balzamed, Alpresan.
Mukamavala nsapato, muyenera kuyendera kuyang'ana kwa kukhulupirika, kusapezeka kwa miyala, miyala yolimba kapena zipsera zomwe zitha kuvulaza khungu la phazi. Nsapato zimayenera kufananizidwa ndendende kukula ndi kutalika kwa kukweza. Pankhaniyi, simungagwiritse masokosi opapatiza, kufinya zala zanu. Otsuka ndi chidendene chotseka ndi chala chake amasankhidwa kuti azivala kunyumba.
Njira zotsatirazi zopewera kupangitsa kuti matenda ashuga azilimbikitsanso:
- Kuthetsa kwathunthu kusuta fodya ndi mowa.
- Palibe miyendo yolumikizira miyendo yomwe iyenera kuloledwa.
- Mukasamba phazi losamba, kutentha kwawo kukhale pafupifupi madigiri 36.
- Ndi maso osawona bwino, simungadule misomali yanu nokha.
- Sikulimbikitsidwa kuyenda wopanda nsapato, ngakhale kunyumba.
- Osamagwiritsa ntchito mapepala otenthetsera, mabatire, kapena zotenthetsa kuti musentheze mapazi anu.
Njira yayikulu yopeweretsera zovuta zonse za shuga ndikuwunika shuga. Kuti muchite izi, muyenera kugwiritsa ntchito chipangizo choyezera shuga m'magazi tsiku lililonse komanso kamodzi pa miyezi itatu iliyonse kuti mudziwe kuchuluka kwa hemoglobin ya glycated ndikuchezera endocrinologist kuti akonze chithandizo. Kufunsidwa kwa dokotala wa ana ndi neurologist kumalimbikitsidwa kamodzi pachaka.
Kanemayo munkhaniyi amatsimikiza za matenda a shuga.
