Matenda a shuga a matenda ashuga ndi kusinthika kwa masinthidwe amtundu wazomwe zimakhala m'miyendo. Miyendo imavutika chifukwa cha kuchuluka kwa shuga m'magazi. Chithandizo cha phazi la matenda ashuga chimatengera kulumikizana kwa zochita za akatswiri a zamankhwala, endocrinologist ndi madotolo ena odziwa ntchito.
Matenda a shuga ndi matenda osachiritsika omwe amakhalapo ndi zovuta zingapo. Matenda a matenda ashuga a m'munsi ndi amodzi mwa iwo. Pathology nthawi zambiri imatsogolera pakupanga njira za necrotic, gangrene ndi kudula.
Pafupifupi 85% ya milandu yokhala ndi mabakiteriya, osteomyelitis, phlegmon, nyamakazi yotsukidwa, ndi tendovaginitis. Izi zimaphatikizaponso diabetesic osteoarthropathy.
Zoyambitsa matenda a shuga
Mu matenda a shuga, kuperewera kwa mphamvu kwa insulin kumachitika. Ntchito yofunikira ya timadzi ndikubweretsa shuga m'maselo a thupi. Chifukwa chake, kupanga insulin kosakwanira ndizomwe zikuwonjezera shuga. Muzovuta kwambiri, kufalikira kwatsiku kumacheperachepera.
Kwa munthu amene ali ndi matenda ashuga, mabala m'dera la phazi amachiritsidwa pang'onopang'ono. Zidendene mu shuga mellitus zimakhala zopanda chidwi. Pakapita kanthawi, izi zimayambitsa kupangika kwa zilonda zam'mimba, zomwe, ngati sizinachitike molakwika kapena molakwika, zimasandulika kukhala gangore.
Ngakhale mabala ang'onoang'ono komanso abrasions zimatha kubweretsa matenda. Chifukwa cha kusakwanira kwa magazi, kumva kutayika kumatayika, kotero munthu samamva kupweteka chifukwa chovulala. Zilonda zomwe zimapezeka pamenepa sizimadziwika ndi odwala matenda ashuga kwa nthawi yayitali.
Sizotheka nthawi zonse kuchiritsa matenda, mwendo uyenera kudulidwa. Tiyenera kudziwa kuti zilonda zam'mimba zimapezeka m'malo omwe amakhala ndi katundu mukayenda. Choyambitsa chomwe chimayamba - malo abwino olowera ndi kukula kwa mabakiteriya. Chifukwa chake, odwala matenda ashuga ali ndi mabala amatsukidwe omwe sangakhudze osati magawo apakhungu okha, komanso tendon ndi mafupa.
Chithandizo cha phazi la matenda ashuga kunyumba, komanso mothandizidwa ndi mankhwala azikhalidwe, zotere sizimabweretsa phindu. Madotolo aganiza zodula miyendo.
Zomwe zimayambitsa chitukuko cha phazi la matenda ashuga zimadziwika:
- kuchepa kwa chidwi cham'munsi,
- mtsempha wamagazi wamitsempha yamagazi ndi ma capillaries,
- kupunduka kwamapazi,
- zigawo zouma khungu.
Zizindikiro za phazi la matenda ashuga
M'magawo oyamba chidendene, odwala matenda ashuga sawoneka osinthika. Koma popita nthawi, anthu amazindikira zizindikiro zina.
Ndi chosakanikira chosinthika cha phazi la matenda ashuga, pali kuphwanya kwa magazi kumiyendo.
Nthawi zambiri anthu amazindikira:
- kusintha kwa khungu la miyendo,
- kutupa kosalekeza
- kutopa,
- ululu poyenda.
Ndi mitundu ya neuropathic, zovuta zina zimachitika kangapo. Mu mtundu uwu wa matenda am'mitsempha, mathero a mitsempha omwe amapezeka m'mapazi amiyendo amakhudzidwa. Anthu odwala matenda ashuga amamvetsetsa kuti chidwi chamiyendo chimachepa, nthawi zina ngakhale zolimba zamiyendo sizimamveka. Flatfoot imayambanso, mafupawo amayamba kucheperachepera, omwe amakhala ndi machiritso osachedwa kuphulika.
Poyambirira, pali ming'alu zidendene, komanso malekezero ozizira. Wodwalayo nthawi ndi nthawi amawona kuti miyendo yake ikuwuma. Ndiye trophic zilonda amapezeka, ndipo popanda mankhwala gangrene akufotokozera.
Kuyambira kumayambiriro kwa matenda ashuga kukhala mawonekedwe a phazi la matenda ashuga, nthawi yambiri imatha. Kuchiritsa kwa chidendene kuyenera kuchitidwa mukangodziwika. Ngati wodwala matenda ashuga satsatira zakudya komanso njira zamankhwala, zotsatira za matendawa zitha kuwononga moyo wake.
Phazi la matenda ashuga ndi vuto lomwe limakhudza anthu ambiri odwala matenda ashuga, limakhala ngati chifukwa chachikulu chodulira miyendo popanda kuvulala kwakunja. Ming'alu ikawoneka zidendene za matenda a shuga, matendawa amatha kukhala owopsa kwambiri.
Kuyendayenda kwa Microvascular kumavulala mu shuga, zomwe zikutanthauza kulephera kwa chitetezo chokwanira cha munthu kutsutsana ndi tizilombo toyambitsa matenda.
Zilonda zimatha kupangika, ndipo ngati sizichiritsidwa, zimayambitsa kutupa kwamphamvu.
Mfundo zochizira matenda ashuga
Pali malo apadera azachipatala omwe amathandizira odwala matenda ashuga. Makabati amatha kugwira ntchito m'makiriniki akuluakulu. Pamenepo mutha kupeza upangiri wothana ndi matenda a matenda ashuga.
Ngati palibe mwayi wolumikizana ndi ofesi yapadera, muyenera kukaonana ndi endocrinologist kapena dokotala wa opaleshoni. Ndikofunika kutsatira kwathunthu malingaliro onse a adokotala. Chifukwa chake, kuchulukirachulukira kwa zinthu kungapeweke.
Dokotala ayenera kuthandizidwa dokotala akangoyamba phazi likayamba kusokonekera kapena kusintha kwina kulikonse. Mankhwalawa phazi la matenda ashuga, Mankhwala okhala ndi antimicrobial ntchito omwe alibe zida zofinya amagwiritsidwa ntchito. Choyamba, ndi:
- Chlorhexidine
- Dioxidine ndi ena.
Mukafunsidwa ngati ayodini kapena mowa ungagwiritsidwe ntchito ngati mankhwala, yankho limakhala losavomerezeka. Zogulitsa izi zimachedwetsa kuchiritsa chifukwa zimakhala ndi zida zofukiza. Kugwiritsa ntchito kwovala kwamakono komwe sikumamatira pachilonda, mosiyana ndi bandeji kapena gauze, ndikuwonetsedwa.
Mabala amayenera kuthandizidwa pafupipafupi ndipo minyewa yosagwiritsa ntchito bwino imachotsedwa. Njirazi ziyenera kuchitika ndi dokotala kapena namwino wokhala pafupipafupi 1 nthawi 2 masiku awiri. Muyeneranso kuteteza zilonda zam'mimba mukamayenda. Pazifukwa izi, zida zosiyanasiyana zimagwiritsidwa ntchito:
- nsapato
- kutsitsa boot ndi ena.
Ngati kusokonezeka kwa magazi kumayambitsa zolakwika kapena zilonda, ndiye kuti chithandizo cham'deralo chimakhala chochepa kwambiri ngati magazi sayambitsidwa. Pankhaniyi, simungathe kuchita popanda opaleshoni yamitsempha yamiyendo:
- balloon angioplasty,
- opaleshoni yodutsa.
Kudzicheka kumagwiritsidwa ntchito pafupifupi 15-20% ya odwala matenda amishuga. Koma, nthawi zambiri, opaleshoni iyi imatha kupewa ngati chithandizo choyenera chayamba. Ndikofunikira kuchita zodzitetezera pofuna kupewa zilonda zam'mapazi. Zowonongeka zikachitika, ndiye kuti chithandizo chamankhwala chiyenera kuyamba msanga.
Ndikofunikira kudziwa pasadakhale kuchokera kwa endocrinologist za ntchito yapadera yaofesi ya odwala matenda ashuga ndikufunsira ku bungweli. Chiwopsezo chachikulu cha kudulidwa kumatha kuchitika:
- Nthawi yomwe osteomyelitis imayamba matenda a shuga - kuwonjezera mafupa,
- chilonda kumbuyo kwa miyendo ischemia - kutchulidwa kuphwanya magazi kupita kuphazi.
Ndi osteomyelitis, chithandizo cha phazi la matenda ashuga chimatha kuchitika popanda kudulidwa. Imayenera kumwa maantibayotiki mu Mlingo waukulu kwa miyezi iwiri, komanso kuphatikiza kwa mankhwala osiyanasiyana. Pankhani ya ischemia yovuta, zotsatira zake zidzachokera ku njira yaying'ono yochita opaleshoni - balloon angioplasty. Opaleshoni yam'mimbayo ingatchulidwenso.
Mankhwala olimbana ndi matenda ashuga amasonyezedwa kwa onse odwala matenda ashuga omwe ali ndi mabala akumiyendo. Dokotala azindikira:
- Kutalika kwavomerezedwa
- mtundu wa antiotic
- njira ndi mlingo wa makonzedwe.
Monga lamulo, mankhwala opha maantibayotiki omwe ali ndi matenda osokoneza bongo amaphatikizapo kugwiritsa ntchito mankhwala omwe ali ndi mawonekedwe ambiri. Musanapereke mankhwala, muyenera kudziwa zamphamvu za maantibayotiki okhala ndi tizinthu tina tomwe timakhudzidwa.
Nthawi zambiri, odwala matenda ashuga amakonda kugwiritsa ntchito mafuta odzola. Izi ndi zolakwika, chifukwa mafuta onunkhira, ngati mafuta, amatha kupanga malo abwino owonjezera kuchuluka kwa mabakiteriya ndikulepheretsa kutuluka kwa magazi kuchokera bala. Mafuta ochokera kumapazi a matenda ashuga sindiwo njira yabwino yothandizira kuti munthu aswe matenda a shuga.
Zotsatira zabwino kwambiri zimaperekedwa ndi zovala zaposachedwa za mibadwo, awa ndi opukuta omwe amakhala ndi zinthu zambiri zapantchito komanso zoyeserera. Masiponji a Collagen amagwiritsidwanso ntchito kudzaza mabala.
Chithandizo chamankhwala, komanso njira zina zochiritsira, nthawi zonse zimasankhidwa ndi adokotala ataphunzira za matenda.
Chithandizo chapafupi
Ngati palibe zopweteka phazi la matenda ashuga, muyenera kufunsa dokotala. Kupambana kwamankhwala kumadalira kukhazikitsidwa koyenera kwa malingaliro a podologist.
Wodwalayo akulimbikitsidwa:
- khalani oyera nthawi zonse
- lepheretsani madzi kulowa m'dera lomwe lakhudzidwalo,
- kusintha mavalidwe tsiku ndi tsiku
- gwiritsani ntchito ma pinkiller ndi mankhwala ena omwe adokotala adayambitsa,
- Osamayenda opanda nsapato
- gwiritsani masokosi a odwala matenda ashuga;
- masewera olimbitsa thupi.
Chithandizo cha zilonda zamderalo chimaphatikizapo:
- kuyeretsa bala
- kuchapa ndi antiseptics
- bandeji ntchito.
Ndikofunika kuyeretsa bala ndi scalpel. Njira yoyeretsera opaleshoni imasonyezedwa kupatula kwa mafinya ndi kachilombo ka bakiteriya pachilonda. Kuti mugwiritse ntchito bwino kuyeretsa kwamakina, chilondacho chimayenera kukhala ndi minofu yathanzi.
Mutha kuyeretsa zilonda zamchere ndi mchere. Chidacho chimasinthidwanso bwino ndi yankho lamchere la 0,9%. Madokotala amalangizira kuti azisamba ndi 3% hydrogen peroxide kuti muchotse mafinya ndi mabakiteriya a anaerobic. Miramistin siyimayambitsa kubwereranso pakubwezeretsa, mosiyana ndi hydrogen peroxide ndi ayodini. Ndalama zomwe zatchulidwa ziyenera kugwiritsidwa ntchito mosiyanasiyana.
Ngati matendawa ndi oopsa, pakufunika opaleshoni. Zikatero, chilondacho chimaphimbidwa nthawi zonse ndi bandeji chomwe sichimayambitsa kuvulala ndikusintha, ndipo chimalola mpweya kudutsa.
Mpaka pano, zida zabwino kwambiri zovalira ndizovala zazovomerezeka zomwe zimasonyezedwa zilonda zam'mimba za shuga. Sizingagwiritsidwe ntchito kwa nthawi yayitali. Masiponji onyansa amathanso kugwiritsidwa ntchito pa nthawi yamachiritso ngati gawo laling'ono la exudate latulutsidwa.
Nthawi zambiri amaika ma hydrogel, omwe amakhala ndi zotsatira zabwino pa zilonda zowuma za necrotic ndikuwonetsa zotsatira za kuyeretsa bala. Chidacho chimalimbikitsa machiritso popanda kupanga zipsera.
Posachedwa, zokutira za hydrocolloid zikuyamba kutchuka. Ndalama zotere sizifunikira kubwezeredwa pafupipafupi ndipo zimasiyanitsidwa ndi chiwongola dzanja chabwino. Alginates amachiritsa zilonda zosiyanasiyana ndi kuchuluka kwakukulu. Pambuyo pophika, ndibwino kusamba bala ndi saline.
Kuchiza kwanuko ndi wowerengeka azitsamba kumakhudzana ndi kuvala kwamafuta:
- nyanja
- m'chiuno,
- mapira.
Musanagwiritse ntchito bandeji, muyenera kuyeretsa bala ndi mafuta:
- Iruxol
- Dioxicain-P.
Muli ma enzymes a proteinase ndi collagenase. Zilonda zikagwidwa chifukwa cha poizoni, mankhwalawa ayenera kuikidwa mosamala, chifukwa zimakhudzanso minofu yathanzi.
Zilonda zam'mimba za purulent, zomwe zimayendera limodzi ndi edema yovuta, mankhwala omwe ali ndi ayodini ndi polyethylene oxide. Kuphatikiza apo, adotolo atha kukupatsirani antiseptics monga:
- Lavasept
- Iodopiron
- Brownol
- Dioxidine.
Kugwiritsa ntchito ndalama zotere kumiyendo kumafunikira kupenda mabala tsiku ndi tsiku chifukwa cha chiwopsezo chambiri chopondera bala pamankhwala. Bepanten ndi mankhwala amakono omwe amagwiritsidwa ntchito poletsa zovuta.
Chithandizo cha anthu odwala matenda amishuga angagwiritsidwenso ntchito. Kugwiritsa ntchito masamba a mabulosi. Masamba asanu ndi limodzi amafunika kutsanulidwa ndi kapu yamadzi otentha ndikuthiridwa kwa maola awiri. Tengani 100 ml m'mawa ndi madzulo.
Phazi limatha kumetedwa kwambiri ndi uchi ndipo burdock yatsopano imayikidwa pamwamba. Asanagwiritse ntchito, mmera umathiridwa ndi madzi otentha. Dera lomwe lakhudzidwalo limathandizidwa ndi njira yofooka ya furatsilina.
Chithandizo cha matenda ashuga kunyumba chitha kuchitidwa pogwiritsa ntchito mapira a bulugamu. Pa supuni yayikulu ya tincture wopanda pake, muyenera kumwa uchi wofanana. Chovala chowoneka bwino choviikidwa mu msanganikowo ndikuthira kumalo omwe akhudzidwa. Komanso, kapangidwe kameneka kitha kugwiritsidwa ntchito kusamba kwamapazi. Amakulolani kuti muchepetse chidendene spurs, ngati mumasamba pafupipafupi.
Mutha kunyowetsa chidutswa cha yogurt kapena kefir ndikugwirizana ndi zomwe zakhudzidwa. Compressyo imasinthidwa ikamaliza. Yopakidwa ndi juniper kapena singano za spruce zimatha kuwonjezeredwa kuzinthu zamkaka zopatsa mkaka. Kanemayo munkhaniyi akuwuzani chochita ndi phazi la matenda ashuga.
