Zilowetso zamano mu shuga mellitus, zomwe zimakhazikitsa chidziwitso cha malo osungirako dzino, zitha kufunikira m'malo osiyanasiyana. Komabe, pali zotsutsana zambiri pakuchita izi. Chifukwa chake, ambiri odwala matenda ashuga ali ndi chidwi ndi funso: kodi amatha kukhala ndi chikhazikitso cha matenda a hyperglycemia?
Malingaliro a orthopedists, implantologists ndi endocrinologists amasiyana pankhaniyi. Kuphatikiza apo, zotsatira zakufufuzanso ndizosiyana: mwa odwala matenda ashuga mano ena amatenga mizu, monga mwa anthu athanzi, pomwe ena, kulandira chithandizo kwa mankhwala kumakhala kopanda tanthauzo.
Chifukwa chake, ndi matenda ashuga, dokotala wodziwa bwino ayenera kuyika mano. Kupatula apo, pali zifukwa zingapo zomwe zimapangitsa kuperewera kwa hyperglycemia kukhala yotsutsana ndi njirayi.
Ndi nthawi ziti komwe kumayika mano kumaletsedwa ndikuloledwa shuga?
Pali zifukwa zingapo zomwe zingapangitse kuti kukhazikitsa kwa mano kukhale kovuta. Chifukwa chake, mwa ambiri mwa odwala omwewo atachita chimodzimodzi, kukana dzino latsopano kumadziwika.
Kupulumuka koyipa kumawonedwanso mu mtundu woyamba wa 2 ndi matenda a shuga a 2, omwe ali ndi vuto lalikulu la insulini, chifukwa pamenepa njira yopangidwira mafupa imasokonekera. Kuphatikiza apo, odwala matenda ashuga, chitetezo cha mthupi chimachepetsa, ndipo amatopa msanga pakukonzekera mano.
Koma ndi nthawi ziti zomwe shuga ndi mano zimathandizira? Kukhazikitsa zofunikira mu hyperglycemia, zinthu zingapo ziyenera kukwaniritsidwa:
- Munthawi yonse ya kukhazikitsidwa, wodwala amayenera kuwonedwa ndi endocrinologist.
- Matenda a shuga ayenera kulipidwa, ndipo sipayenera kusokonezeka mu kagayidwe ka mafupa.
- Kukana kusuta ndi mowa.
- Kusala kudya kwa glycemia musanachitike opaleshoni komanso mkati mwa kumangiriza sikuyenera kupitirira 7 mmol / L.
- Wodwala matenda ashuga sayenera kukhala ndi matenda ena omwe amalepheretsa implation (zotupa za National Assembly, matenda a chithokomiro, lymphogranulomatosis, kulakwitsa kwa hematopoietic dongosolo, etc.).
- Kutsatira malamulo onse aukhondo posamalira khomo lamkamwa ndikofunikira.
Kuti chithandiziro cha mano chikhale bwino, odwala ayenera kudziwa zomwe zimachitidwa opaleshoniyo. Chifukwa chake, kutalika kwa mankhwala opha maantibayotiki pakanthawi kogwiritsira ntchito kuyenera kukhala osachepera masiku 10. Pankhaniyi, ndikofunikira kuyang'anira glycemia nthawi zonse kuti zisonyezo zake zisaposa 7-9 mmol / l masana.
Kuphatikiza apo, pambuyo pa opaleshoni, kuyendera mano pafupipafupi ndikofunikira mpaka chiwalo chatsopano chitazika mizu. Ndikofunika kukumbukira kuti ndi matenda ashuga, nthawi ya osseointegration imawonjezeka: m'nsagwada yapamwamba - mpaka miyezi 8, otsika - mpaka miyezi isanu.
Popeza odwala matenda ashuga ali ndi vuto la metabolic, simuyenera kuthamangira mukamatsegula zinthuzo. Komanso, kulowetsedwa ndi kutsegula mwachangu sikuyenera kugwiritsidwa ntchito.
Zomwe Zimakhudza Kuthala Kwa Mano Kupambana mu Matenda A shuga
Zotsatira zabwino za opaleshoniyo zimakhudzidwa ndi zomwe zimachitika komanso mtundu wa matendawa. Chifukwa chake, pamene matendawo atenga nthawi yayitali, ndiye kuti mwayi waukulu wokanidwa nawo Komabe, powunikira bwino za momwe zinthu zilili, kumizidwa kwa matenda ashuga nthawi zambiri kumatheka.
Ngati wodwala matenda ashuga azitsatira zakudya zotsitsa shuga, ndiye kuti kupulumuka kwa dzino lochita kupanga kumachuluka kwambiri kuposa ndi othandizira a hypoglycemic. Ndi odwala matenda osokoneza bongo omwe amayendetsedwa bwino komanso omwe amawonetsedwa mosalekeza mankhwala a insulin, othandizira samalimbikitsidwa. Kuphatikiza apo, ndi mtundu woyamba wamatenda, kuwumbidwa kwa mano kumaloledwa kwambiri kuposa matenda amtundu wa 2, chifukwa mtundu uwu wa matendawa umakhala wowonda kwambiri.
Kafukufuku adawonekeranso kuti kukhazikitsa zinthu zofunika kuzilimbitsa kunayenda bwino kwambiri kwa odwalawo omwe kale amaphunzitsidwa zaukhondo komanso kutsuka kwamkati pamlomo, pofuna kuponderezera kulowerera pakamwa. Pa cholinga chomwecho, antimicrobials amalimbikitsidwa kwa odwala matenda ashuga asanafike opaleshoni.
Kuchita bwino kwa mankhwala othandiza kumachepetsa ngati wodwala ali ndi:
- matenda opatsirana;
- makalata;
- matenda amitsempha yamagazi ndi mtima;
- xerostomia;
- periodontitis mu shuga.
Ndikofunikira kudziwa kuti kapangidwe kazinthuzo zimakhudza kuthekera kwake. Kufunika kwapadera kumaperekedwa kwa magawo awo, kotero sayenera kukhala aatali kwambiri (osaposa 13 mm) kapena apafupi (osapitirira 10 mm).
Pofuna kuti tisakhumudwitse, komanso kuti tisaphwanye mawonekedwe amisala, kuchuluka kwa odwala matenda ashuga kuyenera kupangidwa ndi cobalt kapena nickel-chromium alloys. Kuphatikiza apo, kapangidwe kake kalikonse kamayenera kukwaniritsa zonse zofunika poyesa katundu moyenera.
Ndizofunikira kudziwa kuti patsaya latsaya gawo lambiri la kupulumuka kolimbitsidwa ndilabwino kwambiri kuposa kumtunda. Chifukwa chake, izi ziyenera kukumbukiridwa ndi madokotala a zamankhwala popanga mapangidwe a mano.
Nthawi yomweyo, odwala matenda ashuga ayenera kukumbukira kuti chifukwa cha kusokonezeka kwa metabolic, osseointegration, poyerekeza ndi anthu athanzi, kumatenga nthawi yayitali (pafupifupi miyezi 6).
Kukonzekera ndikukhazikitsa zofunikira
Njira yokhazikitsira chomera cha matenda ashuga imachitikanso mwa munthu wathanzi. Koma ndi matenda oopsa a hyperglycemia, tikulimbikitsidwa kusankha dokotala yemwe akudziwa ntchito ndi anthu odwala matenda ashuga, chifukwa ayenera kumvetsetsa zoopsa zonse ndikuchita mosamala momwe angathere.
Wodwalayo amatha kupatsidwa njira yolumikizira matenda ashuga omwe amachedwa kunyamula (ma prostheses amayikidwa pokhapokha zinthuzo akazikhazikitsa kwathunthu), kapena njira yodula mwachangu atangoika. Koma pazonse, kusankha kwa njira ndikofunikira kwa dotolo, kutengera deta yazidziwitso.
Pamaso pakuchita opaleshoni yamano, wodwalayo amayenera kuyesedwa malovu, mkodzo ndi magazi. Muyeneranso kufunsa ndi endocrinologist ndi akatswiri othandizira.
Kukonzekereranso kukhudzidwa kwa mano mu shuga ndi motere:
- kuyeretsa kwamkamwa;
- kupukusa bwino kwa miyezi iwiri musanalowe;
- ngati kuli kotheka, zolembera zimachotsedwa m'mano, mawonekedwe owoneka ndi miyala amachotsedwa;
- kuzindikira matenda a chibwano. (kuvumbulutsa matenda obisika ndipo kumakupatsani mwayi wofufuza kuchuluka ndi kuchuluka kwa minofu yamafupa).
Ndikofunikira kuti opareshoniyo ikhale yosamala momwe angathere ndikuwonongeka pang'ono kwa minofu. Izi ndizofunikira kuti tifulumizire kubadwanso komanso kupewa zotsatira zoyipa. Chifukwa chake, ndikofunikira kusankha njira zowononga zachilengedwe zothandizira kukhazikitsa mano, zomwe ndizotheka pokhapokha mutadzaza ndikuyika mwachangu.
Pambuyo pakuchita opaleshoni yamano, odwala matenda ashuga ayenera kuyang'anira glycemia wawo mosamala kwambiri. Momwe shuga amapezekera m'magazi kuyambira chala ndi 5.5-6.1 mmol l. Kuphatikiza apo, maantibayotiki amayenera kumwedwa kwa masiku 12, kuwunika kwambiri ukhondo wamkamwa ndikuyendera dokotala patatha masiku atatu aliwonse atayikidwa. Nthawi yomweyo, ndikofunikira kwambiri kusiya kusuta.
Ndikofunika kudziwa kuti matenda ashuga m'mano samafuna ndalama zochepa, chifukwa ndi matenda oterewa palibe chitsimikizo kuti chofunikacho chidzazika mizu. Komanso, kukonzekera bwino komanso kubwezera matenda oyambitsawa sikungachotse kotheratu kukana kwa dzino lodziwika bwino.
Chifukwa chake, onse odwala matenda ashuga, makamaka pamaso pa matenda ophatikizika, ali pachiwopsezo. Chifukwa chake, kupambana kwa chithandizo chamankhwala nthawi zonse sikudalira ziyeneretso zamano.
Mtengo wapakati wazoyala umachokera ku 35 mpaka 40 rubles. Mtengo woikapo ndi pafupifupi ma ruble 20,000.
Tsatanetsatane wazambiri za ma prosthetics a shuga adzauza katswiri kuchokera kanemayu munkhaniyi.
