Ndi matenda a shuga, miyendo nthawi zambiri imavutika. Mavuto omwewa amapezeka mu 30% ya anthu odwala matenda ashuga. Kuphatikiza apo, achikulire wodwala, amakhala ndi mwayi wokhala ndi mavuto am'munsi.
Nthawi zambiri ndi mtundu wachiwiri wa matenda ashuga, mtima wamatenda amaonekera, womwe umathandizira kufinya kwam'mitsempha, komwe kumapangitsa magazi kulowa m'mitsempha. Kuperewera kwa magazi kumabweretsa kuchepa kwa oxygen m'maselo ndi minofu. Zotsatira zake, thupi limatulutsa oyimira pakati - zinthu zomwe zimapweteka m'miyendo mu shuga.
Ngati chithandizo cha zovuta zotere sichikhala munthawi yake, ndipo magaziwo satuluka, ndiye kuti chilichonse chitha kutha ngakhale ndikuchotsa dzanja. Chifukwa chake, ndikofunikira kudziwa chifukwa chake miyendo imapweteka ndi shuga komanso momwe mungathetsere vutoli.
Zoyambitsa matenda a shuga m'miyendo
Nanga miyendo ingakhudze chiyani odwala ashuga? Zomwe zimatsogolera pakupezeka kosasangalatsa m'miyendo zimaphatikizapo diabetesic neuropathy, arthropathy ndi mtima chotupa.
Zopweteka za msanga mu mtundu 2 wa shuga zimachitika pamene mitsempha yaying'ono yam'magazi ikukhudzidwa, kupereka zakudya zopatsa thanzi komanso kugwira ntchito kwanthawi yayitali kumapeto kwa mitsempha. Khungu la miyendo likayamba kuchepa, wodwalayo amasiya kumva kupweteka matenda ashuga, kutentha ndi kukhudza kwamtondo.
Komanso, mu odwala matenda ashuga, zilonda zam'mimba ndi hematomas nthawi zambiri amapezeka pamiyendo. Ndipo kuwonongeka kwa khungu, wodwalayo nthawi zambiri samazindikira izi ndipo satenga njira zoyenera.
Zilonda zomwe zimawoneka zimafuna chithandizo cha nthawi yayitali, ndipo nthawi yayitali, kupweteka m'miyendo kumatha kupangitsa kuti phazi lisunthike kapena kuwonongeka kwamafupa a miyendo.
Komanso, ndi matenda a shuga a mtundu wachiwiri, matenda a shuga ammimba amayamba. Chifukwa chake, matenda ashuga neuralgia amatha kubweretsa zovuta zingapo, monga mawonekedwe a matenda opatsirana komanso kukula kwa gangrene.
Chifukwa cha mitsempha ya atherosulinosis, kupweteka kwa matenda a shuga kumawoneka pakakhala kusowa kwa mpweya, chifukwa cha zomwe minyewa yamthupi imangokulira. Kuphatikiza apo, motsutsana ndi maziko a vasoconstriction, mpweya wambiri umasonkhana m'thupi, zomwe zimapangitsa kupweteka kwamphamvu m'miyendo.
Mavuto omwe ali pamwambawa akaphatikizidwa, chiopsezo cha gangore chikuwonjezeka, zomwe zimatha kudula mwendo. Kupatula apo, wodwalayo samamvanso bwino ngakhale kuwonongeka kwa minofu kumachitika.
Kuphatikiza apo, kupweteka kwamiyendo mu shuga kumachitika motsutsana ndi maziko a arthropathy. Vutoli limayamba chifukwa cha kusayenda bwino kwa mapuloteni a glucose metabolism ndi cartilage dystrophy. Kuchita kotereku kumabweretsa kuwoneka ngati ululu, womwe umakulirakulira poyenda.
Kumayambiriro kwa matendawa, phazi limatha kutupira pang'ono ndi kuwonda. Komabe, ndi kupita patsogolo kwa matendawa, zala zake zimapunduka, ndipo mwendo umatupa kwambiri. Kuti mudziwe zoyenera kuchita ngati miyendo yanu ikupweteka ndi matenda ashuga, muyenera kudziwa bwino zomwe zikuwonetsa komanso zomwe zidachitika.
Mwanjira imeneyi, mutha kuzindikira vutoli moyenera komanso kupeza thandizo la kuchipatala msanga.
Matenda a matenda ashuga
Vutoli ndi vuto lomwe limakhala limodzi ndi matenda a shuga. Chifukwa chake, ndi kudwala kwamatenda, matendawa amapezeka mwa 90% ya odwala. Makina opangira SDS ndi ovuta, amaphatikiza njira zingapo zomwe zimachitika mthupi lonse.
Pa gawo loyambirira, ma capillaries ang'onoang'ono amawonongeka, ndipo pakapita nthawi, mitsempha ndi mitsempha zimakhudzidwa, chakudya chama minofu chimasokonekera, kenako mathero amanjenje amafa ndipo zilonda za trophic zimawonekera. Nthawi yomweyo, chifukwa chosintha pang'onopang'ono, matendawa amapezeka msanga ndipo machitidwe ake amayamba kukhala abwino.
Zizindikiro zomwe zimayenderana ndi phazi la matenda ashuga zimatengera mtundu wamatenda. Kotero ndi mawonekedwe a polyneuropathic, mitsempha yotsirizika imafa msanga, chidwi chamtopere ndi kutentha zimatayika. Nthawi yomweyo, khungu la phazi limakulitsidwa, chimanga ndi chimanga chimapangika pakamodzi, ndipo mawonekedwe a nthambiyo amasintha pang'onopang'ono.
Nthawi zambiri, pakadali pano, mwendo suvulala, ndipo khungu ndi kutentha kwa khungu sizisintha. Koma odwala ena omwe ali ndi vuto lalikulu amakhala ndi chonyowa cha kumapazi.
Fomu ya ischemic ya phazi la matenda ashuga imadziwika ndi:
- kufinya ndi kutupa kwa khungu;
- kutentha ndi chidwi cha ululu chimapitilira;
- Yekha yekhayo sanasinthe;
- mu minofu ya ng'ombe mumakhala kusokonezeka kwakukulu, chifukwa chomwe kulumikizana kwapang'onopang'ono kumayamba;
- pakupuma, kupweteka kumatha kupweteka mwendo, kuvuta usiku;
- Khungu la phazi limayamba kuzizira ndi kuwonjezeranso, chifukwa chomwe ma hemorrhages ambiri amawonekera;
- dystrophy ya subcutaneous minofu imabweretsa kuchepa kwa phazi kukula;
- motsutsana ndi ischemia, machitidwe amtundu wa necrotic amakula, zomwe zimapangitsa kuti ziume pang'onopang'ono phazi la distal.
Palinso mtundu wachitatu wa matenda ashuga othamanga, ophatikiza zizindikiro za mitundu iwiri yapitayo. Vutoli limachitika nthawi zambiri mwa anthu odwala matenda ashuga.
Zilonda zam'miyendo ndi kutupa kwa shuga
Ngati pali matenda ashuga, miyendo imapweteka, osati kokha chifukwa cha phazi la matenda ashuga. Nthawi zambiri, matenda oopsa a hyperglycemia amaphatikizidwa ndi kupweteka kwam'mimba. Zotsatira zotsatirazi mawonekedwe awo zimasiyanitsidwa: kuphwanya minofu ya trophic, mtima ndi neuropathic pathologies.
Chiwopsezo cha zilonda zam'mimba zimachulukana ndikuwonongeka kwa zotumphukira za NS, atherosulinosis, komanso zotupa zam'mimba kwambiri. Kuphatikiza apo, amuna nthawi zambiri amadwala matendawa. Maonekedwe amtunduwu amalimbikitsidwa ndi chimanga, kuwotcha, abrasions ndi ming'alu, mikwingwirima ndi microtraumas.
Matenda a zilonda zam'mimba m'matenda a shuga amapezeka pang'onopang'ono, ndizotsatira zosintha zosiyanasiyana zomwe zimachitika m'thupi kwanthawi yayitali. Mitundu yonse ya trophic imagawidwa m'magawo osiyanasiyana a chitukuko:
- Kukonzekeretsa. Amadziwika ndi kusowa tulo, kutupa, kupweteka pang'ono, kuwotcha, kuyabwa, khungu kapena kufiyika, nthawi zina cyanosis yamkhungu kumiyendo yam'munsi ndikugwidwa.
- Mawonetseredwe operekedwa. Pakadali pano, pali mawonekedwe a khungu ndi zofooka zowonekera za kuwonongeka kwa khungu. Zilonda zam'mimba zimatulutsa, zomwe zimayambitsa matenda komanso kukulitsa mabala.
- Pang'onopang'ono. Amadziwika ndi kupangika kwa zilonda zam'mimba zopweteka, kupweteka kwambiri, necrosis imafalikira kwa zigawo zakuya za zimakhala, zizindikiro za kuledzera (kuzizira, kufooka, kutentha thupi).
Kutupa kwa m'munsi kwambiri mu shuga kumachitika motsutsana ndi maziko a nephrotic syndrome.
Kuphatikiza apo, atherosulinosis, yomwe imapangitsa kuti magazi azikhala otupa komanso kusokoneza kayendedwe ka magazi achilengedwe, imathandizira pakuchitika izi.
Chithandizo ndi kupewa matenda amiyendo mu odwala matenda ashuga
Ndi matenda ashuga, miyendo yapweteka? Choyamba, ndikofunikira kulipiritsa matendawa. Kuti muchite izi, sinthani glycemia, kutsatira zakudya zapadera, pewani kupsinjika, lekani kusuta ndi kumwa mowa.
Ngati tirikunena za momwe tingachitire ndi matenda a shuga, ndiye kuti masiku ano pali njira ziwiri zomwe zimagwiritsidwa ntchito pochotsa vutoli - chosasinthika komanso opaleshoni. Mlandu woyamba, wodwalayo amapatsidwa mankhwala a antibacterial ndi analgesic.
Pazithandizo zam'deralo, antiseptics ndi maantibayotiki amagwiritsidwa ntchito. Komanso, ngati miyendo imapweteka mu shuga, mankhwala amalembedwa omwe amasintha magazi m'matumbo.
Kuphatikiza apo, adadya kale zala zazikulu zam'mimba zokhala ndi matenda ashuga, kenako wodwalayo amawonetsedwa opaleshoni, pomwe njira zotsatirazi zingachitidwe:
- Kuchotsa kwa necrosis zone;
- angioplasty (kuyambiranso kwa ntchito ya mtima);
- endarterectomy (kuchotsa ziwiya zomwe sizingabwezeretsedwe);
- kuluma kwamitsempha (kukhazikitsa maukonde othandizira);
- gengen resection (kuchotsa kwa dera la necrotic pachala kapena phazi);
- ngati ndi kotheka, kuduladula mbali zosiyanasiyana zamiyendo kumachitidwa.
Mu 80% ya milandu, zilonda zopangidwa mu shuga mellitus zimafuna chithandizo champhamvu, chomwe chimatha kukhala chachikhalidwe komanso opareshoni.
Ndi zilonda zam'mimbazi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga ndi hemoglobin m'magazi. Glycemia yoyenera kwambiri ndi 6-10 mmol / L, ndipo atatha kudya - 9-10 mmol / L.
M'pofunikanso kupewa chitukuko ndi chithandizo chanthawi ya matenda a concomitant, monga matenda oopsa kapena thrombophlebitis. Potere, adotolo amafotokozera mankhwala omwe amachotsa mawonetsedwe opweteka ndi mankhwala omwe amasintha machitidwe a NS. Ngakhale anthu odwala matenda ashuga amawonetsedwa kugwiritsa ntchito njira zapadera zotumizira zomwe zimateteza bala ku kupsinjika kwamakina.
Kuphatikiza apo, antibacterial ndi antifungal mankhwala ndi mankhwala ndipo amatengedwa kuti ayambe kugwiritsira ntchito lipid metabolism. Musaiwale za chisamaliro cha phazi kwa matenda ashuga amtundu uliwonse.
Kuphatikiza apo, kukonza magazi m'magazi mothandizidwa ndi mankhwala ochezera komanso kugwiritsa ntchito mankhwala osokoneza bongo ndikofunikira.
Mankhwala othandizira odwala zilonda zam'mimba ndi monga:
- mankhwalawa mabala ndi peroxide ndi kuvala kotsatira;
- kusokonezeka ndi chithandizo cha zilonda zam'mimba;
- ngati ndi kotheka, kukonzanso kwamanja kapena kuduladula miyendo kumachitika.
Miyendo yanu ikapweteka ndi matenda ashuga, muyenera kuvala nsapato zapadera komanso kusamalira bwino mapazi anu. Kuti izi zitheke, tsiku lililonse liyenera kupimidwa miyendo, kulabadira ngakhale zolakwika zazing'ono.
Komanso, kuti muchepetse kukula kwa SDS ndi mawonekedwe a zilonda, miyendo imayenera kutsukidwa tsiku lililonse pogwiritsa ntchito mankhwala ophera tizilombo, kenako ndikupukuta ndi owuma ndi mafuta opatsa thanzi. Zizindikiro zoyambirira za bowa zikaonekera, muyenera kufunsa dokotala wa mano.
Odwala matenda ashuga ayenera kuvala nsapato zabwino zomwe zimapangitsa kuti mapazi awo apume. Chifukwa chake, zokonda ziyenera kuperekedwa kwa nsapato zamatumbo, makamaka ngati njira yopangidwira phazi yayamba kale.
Ndikofunika kupangira misomali ndi fayilo ya msomali, ndikuchotsa khungu lowuma pogwiritsa ntchito pumice. Komanso, ngati manja ndi miyendo yanu yapweteka ndi matenda ashuga, musaiwale za kuyenda mlengalenga ndi masewera apadera olimbitsa thupi, omwe adzatsegula magazi mu miyendo.
Kuphatikiza pa chithandizo chamankhwala, mankhwala azitsamba amtundu uliwonse wa shuga azitha. Chifukwa chake, ndimatumbo a shuga ndi zilonda zam'mimba, kulowetsedwa, mafuta odzola ndi decoctions zochokera pamizu ya burdock, flaxseed, blueberry, uchi, nkhuyu, Kalanchoe, mankhwala a mandimu, thandizo la mahatchi ndi ma nettle.
Mu kanema munkhaniyi, adotolo azikambirana za chisamaliro cha matenda osokoneza bongo.
