Matenda a shuga ndi matenda a polysymptomatic, owonetsedwa ndi zizindikiritso zingapo. Mukukula kwa matenda, thanzi la minofu limachepa, ndipo kutupira kwa malekezero kumachitika nthawi zambiri.
Ngakhale ndi matenda ashuga, chifukwa cha kusayenda bwino mu njira za metabolic, mitsempha yamagazi, ma capillaries ndi mitsempha ya m'magazi zimatsekeka. Zotsatira zake, izi zimabweretsa kuwonongeka kwamawonedwe, kupweteka kwa mtima komanso mtima. Zomwe zimayambitsa edema ya mwendo mu matenda ashuga ndizosakwanira magazi komanso kusayenda bwino kwamanjenje.
Kuti vuto lotere lisakhumudwitse odwala matenda ashuga kapena kuthetsedwa munthawi yake, muyenera kudziwa mwatsatanetsatane zomwe zimayambitsa kutupa. Sikofunikanso kuzindikira zizindikiritso za nthawi ino kuti mupewe mavuto mtsogolo.
Etiology ndi mawonetsedwe azachipatala
Kuti mumvetsetse chifukwa chake miyendo imatupa ndi matenda ashuga, muyenera kudziwa kaye tanthauzo la kutupira. Ndi chikhalidwe ichi, madzi ochulukirapo amadziunjikira mu minofu yofewa ya thupi.
M'pofunikanso kudziwa kuti edema ya mwendo mu shuga akhoza kukhala wamba komanso wamba. M'mbuyomu, timadzi tambiri timene timasungidwa m'thupi lonse komanso ziwalo zamkati, zomwe zimatsagana ndi kuwonongeka kwathunthu. Nthawi yomweyo, zimakhala zovuta kuti munthu azungulira, ndipo amakumana ndi zovuta m'miyendo.
Zomwe zimayambitsa kutupa mu miyendo ya shuga ndizosiyanasiyana. Izi zitha kukhala matenda am'mimba a shuga omwe amachitika motsutsana ndi maziko a matenda a hyperglycemia, zomwe zimatsogolera ku kufa kwa mitsempha yotsiriza.
Mavuto omwewo akhoza kuchitika ndi kuwonongeka kwa mitsempha yamagazi. Nthawi zambiri pa vuto la angiopathy, minyewa yam'manja imagwira.
Zotupa zina zofewa zomwe zimachitika mwa odwala matenda ashuga:
- kuphwanya kagayidwe kamchere wamadzi;
- osagwirizana ndi zakudya;
- matenda a impso
- kulephera kwa mtima;
- mimba
- mitsempha ya varicose;
- kuvala nsapato zolimba.
Pofuna kupewa kupitirira kwamatenda, odwala matenda ashuga ayenera kuphunzira kuzindikira munthawi yake zizindikiro zomwe zikuwonetsa kuphwanya magazi m'miyendo. Chifukwa chake, ndikuwoneka ngati moto wowotcha, kupsinjika mwamphamvu, ndikofunikira kuchitapo kanthu mwachangu, chifukwa awa ndi chizindikiro choyambirira cha kuphatikizika komwe kumatha kuthandizidwa mosavuta.
Zizindikiro zina zokhala ndi chotupa chakumapeto kumaphatikizapo kupweteka, kufooka kwa khungu, kuchepa tsitsi, komanso kubwezeretsa pang'onopang'ono mabala. Zonsezi zimatha kutsagana ndi kusintha kwa momwe zala ziliri, kuchepa mphamvu, kumva tulo, kufupikitsa ndi kukulitsa phazi.
Monga mukuwonera, kudziwa kutumphuka ndi zizindikiro ndikosavuta. Palinso kuyesa kosavuta: muyenera kuyika chala pamapazi, kenako ndikumasulidwa ndikuwona ngati "dzenje" likupangidwira pamalo opondera.
Ndizofunikira kudziwa kuti ndi mtundu wachiwiri wa matenda ashuga, osati magawo omwe amachepa okha, koma mbali zina za thupi. Mwachitsanzo, mwa akazi, m'mimba, manja, kapena nkhope zimatupa.
Kodi kutupa miyendo yoopsa ndi chiyani?
Kukhazikika kwa madzimadzi mu minofu yofewa sikuti kumabweretsa munthu nthawi zambiri zovuta, kotero ambiri odwala matenda ashuga samatengera kufunikira kwa chizindikiro ichi. Koma, ngati simuchiza matenda a edema, matendawo amakula kwambiri.
Chifukwa chake, pakapita nthawi, munthu amayamba kumva kupweteka komanso kutentha m'malo otupa. Nthawi yomweyo khungu limakhala loonda komanso lofooka, lomwe limakhala loopsa kwa odwala matenda ashuga, chifukwa khungu lawo limakhala lozindikira komanso losatetezeka. Chifukwa chake, kutupa kwambiri kumawonjezera mwayi wokhala ndi matenda apakhungu.
Koma chomwe chimawopsa kwambiri ndikugundika kwamitsempha, mwendo, limodzi ndi kutupa ndi miyendo, ululu, kufalikira, komanso kusakhazikika komwe kumachitika. Ndizofunikira kudziwa kuti ndi matenda ngati awa, amaletsedwa kutikita minofu, apo ayi, pulmonary artery thromboembolism imatha kukhazikika, yomwe nthawi zambiri imatha kufa.
Chifukwa chake, ngati pali kutupa kwa miyendo ndi matenda ashuga, muyenera kuchita ndi kuchitira?
Chithandizo
Ndikofunikira kwambiri kuchitira nthawi yodwala mwendo edema mu matenda osokoneza bongo kuti muchepetse kupangika kwa zilonda zosachiritsa komanso mawonekedwe a matenda ammimba a shuga. Nthawi zambiri, chithandizo chimasankhidwa malinga ndi zomwe zimapangitsa kuti pakhale kuchuluka kwa madzimadzi mu minofu yofewa.
Ngati zifukwa zili mu nephropathy, ndiye kuti ndikofunikira kusintha matenda a glycemia ndikusunga mfundo zamankhwala othandizira odwala matenda ashuga, zomwe zikutanthauza kukanidwa kwa chakudya chamafuta kwambiri, mafuta komanso mchere. M'pofunikanso kuti musasute fodya, chifukwa vasospasm imabweretsa kukokoloka kwamadzi mu mitsempha yotumphera.
Pofuna kulephera kwa mtima, njira yothandizira mankhwalawa ndi kumwa mankhwala apadera. Pali mitundu yambiri ya zida zotere, koma zida zothandiza kwambiri ndizophatikiza:
- Angiotensin-akatembenuza enzyme blockers - kuthamanga kwa magazi (Valsartan).
- ACE zoletsa - ali ndi achire zotsatira, kupewa kuyambika kwa matenda aimpso (Captopril).
- Diuretics - kumwa mankhwala okodzetsa kumathandiza kuchotsa madzi m'matupi onse a thupi powonjezera mkodzo (Furosemide, Veroshpiron).
Ndi kusalinganika kwa mahomoni komwe kwachitika motsutsana ndi mtundu wachiwiri wa matenda ashuga, wodwalayo adapangizidwa kuti azisamalira. Chifukwa chaichi, kuchuluka kwa mavitamini ndi michere yama mineral ndi zakudya zowonjezera zimasonyezedwa.
Kuchotsa kupweteka m'mapazi chifukwa cha neuropathy, analgesics ikhoza kutumikiridwa. Izi zimaphatikizapo Ketorol, Ketorolac ndi mankhwala ena.
Ngati kutupa m'miyendo kunachitika chifukwa cha kulephera kwa impso, ndiye pakukonzekera mankhwalawo, malamulo angapo ofunikira amawonedwa. Awa ndi antihypertensive mankhwala, glycemic control ndi makonzedwe a metabolic othandizira omwe ali ndi vuto la vasodilating. Ndi mawonekedwe apamwamba a nephropathy, pamene impso zalephera, hemodialysis akuwonetsedwa.
Ndi edema ya m'munsi yotsika, makamaka odwala okalamba, chithandizo cha mankhwala wowerengeka chimachitika nthawi zambiri. Zomera zamankhwala zimakhala ndi mphamvu kwambiri, zomwe zimaphatikizapo primrose, muzu wa ginseng, burdock, wort wa St. John, oats ndi hydrastis.
Malo apadera mu wowerengeka azitsamba ndi a tsabola wa cayenne, omwe amathandizira kukonzanso mitsempha yamagazi komanso mathero amitsempha. Komanso, odwala matenda ashuga ambiri amagwiritsa ntchito mafuta enaake apadera potengera uchi ndi bulugamu. Osakaniza amapaka m'malo otupa miyendo kangapo patsiku.
Njira yabwino yothetsera edema ndi compote wa mkuyu. Pakukonzekera kwake, zipatsozo zimadulidwa kukhala magawo ndikuwuphika ngati compote ina iliyonse, koma pamapeto onjezerani koloko pang'ono. Imwani chakumwa cha 1 tbsp. l 5 pa tsiku.
Kupewa
Popewa kutupa kwambiri, komanso kuchepetsa kuchepa kwa zovuta zina zovuta za matenda ashuga, kuchita masewera olimbitsa thupi okwanira tsiku lililonse kumafunikira. Kupatula apo, kuchita masewera olimbitsa thupi a shuga kumalimbitsa mitsempha, kumathandiza kuchotsa madzi ochuluka mthupi, kupangitsa matenda a glycemia kulimbikitsanso chitetezo cha mthupi.
Kuphatikiza apo, tsiku lililonse muyenera kupenda miyendo, makamaka, mapazi ndi malo pakati pa zala, kuti pakhale zolakwika zosiyanasiyana. Ndikofunika kutsuka miyendo tsiku lililonse ndi sopo ndikumupukuta ndi thaulo.
Njira yofunikira kwambiri yodzitetezera ndikuvala nsapato zapamwamba komanso zabwino. Ndipo pakuwonongeka kwa phazi, ndikofunikira kuvala nsapato zapadera kapena nsapato za orthopedic.
Ngati puffuffuff, kuti achulukitse vutoli, zimaletsedwa:
- Pangani zovuta zakhungu ndi iodini kapena wobiriwira wanzeru (Betadine, Miramistin kapena hydrogen peroxide bwino).
- Pukutsani mapazi anu ndi pepala lotenthetsera kapena pulasitala ya mpiru. Mu matenda ashuga, kutentha kwamtambo nthawi zambiri kumachepetsedwa, kotero wodwala samatha kudziwa nthawi yakutentha kwakanthawi.
Kuti muchepetse mabala owoneka bwino, muyenera kuphatikiza khungu la miyendo tsiku ndi tsiku pogwiritsa ntchito zonunkhira komanso chakudya chamafuta. Inde, kuwonekera pakhungu ndi kuuma kwa khungu ndi vuto lambiri, lomwe likukulitsa njira yothandizira mankhwalawa.
Mu kanema munkhaniyi, a Elena Malysheva amalankhula za mankhwala wowerengeka azotupa mwendo.
