Kukula kwa matenda ashuga kumachitika ndi kulephera kuyamwa chakudya chamagulu. Chomwe chimapangitsa izi ndi kuchepa kwa insulin secretion kapena kulephera kwa ma cell receptors kuti ayankhe. Zizindikiro zazikulu za matendawa zimagwirizanitsidwa ndi shuga wamagazi ambiri.
Mtundu wa matenda ashuga ndi: ludzu lakuya, kulakalaka kudya, kusintha kwadzidzidzi kwamkodzo, mkodzo umatulutsidwa pafupipafupi komanso kuposa momwe zimakhalira, kuyabwa pakhungu kumakhala ndi nkhawa.
Kuchiritsa pang'onopang'ono komanso kuwonjezera mabala a shuga. Chomwe chimapangitsa izi ndi kusokonezeka kwa magazi komanso kuperewera kwamatenda am'mimba, kuchepa kwa chitetezo cha mthupi.
Zimayambitsa supplement mabala mu shuga
Kuti mumvetse kuchiritsidwa kwamphamvu kwa mabala mu shuga mellitus, ndikofunikira kulingalira momwe zimachitika mu minofu yokhala ndi insulin (wachibale kapena mtheradi). Zinapezeka kuti kukulitsa nthawi yochiritsa mabala a ziwalo zopanda pake ndi minofu yofewa kumadalira kuchuluka kwa kuwonongeka kwa mtima.
Microangiopathies komanso kuchuluka kwa magazi m'magazi kumbuyo kwa intracellular acidosis, kuphatikizika kwa electrolyte ndi kuchuluka kwa lipoproteins kumabweretsa kuchepa kwa chitetezo chokwanira cha cellular, komanso kuphwanya njira yodzitetezera mwamanyazi.
Pankhaniyi, kulumikizana pakati pa zovuta za matendawa komanso kutalika kwa mafinya omwe angakhale nawo ndi matenda osokoneza bongo kumachitika. Gawo loyamba la bala (kutupa) limachitika ndikulimbikitsa kukanidwa kwa minofu yakufa, kutupira ndi kupezeka kwa tizilomboto timagwira molimbika.
Mu gawo lachiwiri (kusinthika), ulusi wa collagen komanso kusinthasintha kwa minofu ya granulation zimapangika pang'onopang'ono, ndipo pakufika pakuwoneka kwa milungu iwiri, minofu yatsopano yolumikizana. Chilondacho chilibe magazi ndipo chimadziwika ndi zotumphukira edema
Ngati mapangidwe a bala loyipa la matenda a shuga lipezeka motsutsana ndi maziko a matenda a shuga, ndiye kuti machiritso ake amalepheretsa izi pazifukwa zotsatirazi:
- Kuchekacheka kwama cellcircular ndi kuchepa kwa magazi kudzera m'mapilaries ndikuwonjezera kutuluka kwa magazi m'mitsempha.
- Kutupa kwakatikati kwa minofu.
- Kuchepetsa chidwi.
- Kugawa kwamakina pakukakamiza kwa phazi.
Kuwonetsedwa kwamatenda oyipa a shuga
Kuwoneka ngati kupweteketsa mabala a shuga m'mankhwala a shuga nthawi zambiri kumalumikizidwa ndi matenda a bala pambuyo pa ntchito, zilonda zam'mimba za matenda am'mimba, zotupa pambuyo pakubayidwa, zithupsa ndi mafuta am'mimba.
Choyang'ana chilichonse cha purulent chimayambitsa kuwonongeka kwa matenda osokoneza bongo, chifukwa izi zimawonjezera chiwonetsero cha hyperglycemia, mkodzo umawonetsa kuchuluka kwa kupanga kwa shuga, kuchuluka kwa ketoacidosis. Pamene matenda akupita patsogolo, ma virus ndi ma enzyme omwe amapangidwa ndi maselo oyera amawononga insulin.
Zimatsimikiziridwa kuti 1 ml yotsuka purulent yotulutsa inactivates magawo 15 a insulin. Nthawi yomweyo, zizindikiro zoterezi zimakula:
- Kuphwanya njira za kagayidwe kachakudya kowonjezera thupi.
- Kulimbikitsa mapangidwe a matupi a ketone, kufikira ketoacidotic coma.
- Kufalikira kwa kachilombo kakang'ono kufikira chitukuko cha sepsis.
- Kujowina emeomycosis.
Matenda a shuga, omwe amayamba ngati ali ndi matenda obwera chifukwa cha puritis, amakhala ovuta, ndipo kubwezeretsa kwake kumakhala kovuta kukwaniritsa. Matenda am'deralo omwe ali ndi chitetezo chamthupi chocheperako akukula mofulumira ndipo amathandizana ndi zovuta zam'mimba.
Ngati chithandizo cha mankhwala opha maantibayotiki ndi insulin pazifukwa zilizonse sizikuchitika, kuchuluka kwa omwe amayamba chifukwa cha mabala oyeretsa m'magazi a shuga ukufika 48%.
Kodi kuchitira mabala oyera a shuga?
Matenda a shuga amaphatikizira chithandizo cha matenda opatsirana mosakwanira kulipidwa kowonjezera shuga. Chifukwa chake, mukalumikiza kusangalala, muyenera kuyamba kuchitira wodwalayo matenda a kagayidwe kazinthu. Kuthamanga glycemia kuyenera kukhala mkati mwa 6 mmol / l, mkodzo suyenera kukhala ndi glucose.
Mu gawo loyambirira la bala, muyenera kuyeretsa bala la mabakiteriya ndi mafinya. Kuti muchite izi, simungagwiritse ntchito mafuta onunkhira chifukwa mafuta sapereka mafuta kuchokera pachilondacho. Chifukwa chake, kukonzekera kumawonetsedwa pokhapokha ngati madzi sungunuka ndikutha kukopa zomwe zilipo.
Mankhwala osokoneza bongo amaphatikizidwa ndi ma enzyme (chymotrypsin) kuti afulumizitse kuyeretsa. Zovala za mabala oyeretsa okhala ndi mankhwala a antibacterial amachitika nthawi imodzi patsiku.
Mankhwala ena otsatirawa amagwiritsidwa ntchito mu gawo la kutupa:
- Mafuta okhala ndi chloramphenicol: Levomekol, Levosin.
- Mafuta opangira mafuta a Nitazole: Nitatsid, Streptonitol.
- Mafenide Acetate Mafuta.
- Furagel.
- Dioxol.
- Mafuta a Iodopyron.
Komanso, zotsatira zabwino zomwe zimakhala ndi trophic ulcers zinawonetsa mankhwala omwe amapezeka ndi ayodini - Povidone-iodine ndi Betadine. Chithandizo cha zovuta.
Cholinga chogwiritsira ntchito mankhwalawa m'gawo lachiwiri (kusinthika) ndikupanga nkhokwe (minofu yatsopano yolumikizana). Chifukwa cha izi, limodzi ndi mafuta odzola (Iruksol, Levosin), Vinilin, yankho la 0.2% la Curiosin limayikidwa. Muli phula la hyaluronic acid wokhala ndi zinc, yemwe ali ndi bala lothandiza.
Mankhwala othandizira odwala matenda ashuga komanso kulowererapo kwa ultraviolet mabala, laser ndi maginito amagwiritsidwanso ntchito.
Gawo lachitatu liyenera kutha ndi kupangika kwa bala. Mu shuga mellitus, osakaniza a insulin okhala ndi mavitamini ndi shuga amagwiritsidwa ntchito povala, ndipo Curiosin akupitilizabe kugwiritsidwa ntchito.
Mankhwala opaleshoni a mabala a purulent mu shuga
Kwa nthawi yayitali, odwala adalimbikitsidwa kuti azisamalira mabala am'mimba a shuga. Kafukufuku waposachedwa akuwonetsa kuti pakuchita opareshoni, nthawi yakuchiritsa mabala imachepetsedwa, ndipo pafupipafupi zovuta zimachepa.
Kuti muchite izi, kwa masiku 3-5 motsutsana ndi maziko a kupezeka kwa antibayotiki mankhwala, opaleshoni yathunthu ya bala ndi kugwiritsa ntchito zilonda zazikulu komanso kukoka kwa bala limachitidwa.
Ndi njira yamankhwala iyi, kutentha kwa thupi komwe kumatulutsidwa kuchokera pachilonda kumachepetsedwa. Pambuyo pake, chilondacho chimatsukidwa ndimadzimadzi amadzimadzi a Chlorhexidine kapena Rivanol kwa masiku 3-4. Zovuta zimachotsedwa pa tsiku la 12th.
Kupewa kuperekera mabala mu shuga
Pofuna kupewa chithandizo chambiri, njira zodzitetezera ziyenera kuchitidwa popewa kuvulaza khungu. Izi ndizowona makamaka ku mapazi, omwe ali pachiwopsezo chachikulu cha matenda ashuga.
Popeza khungu limachepa, kuyezetsa kwamiyendo tsiku ndi tsiku kumalimbikitsidwa kuti muzindikire kudula, kuphwanya pakhungu, ndi kunenepa kwakanthawi. Afunika kuthandizidwa ndi mayankho amadzimadzi a antiseptics, monga Chlorhexidine, Furacilin, Miramistin. Mankhwala osokoneza bongo a ayodini, amadyera a diamondi a shuga sagwiritsidwa ntchito.
Kuti muchepetse chiwopsezo cha mabala ndi mabala, nsapato ziyenera kuvala zotsekedwa, ndizoletsedwa kuyenda osavala nsapato, makamaka kunja. Musanaveke, muyenera kuyang'ana nsapato kuti zikhalepo pazinthu zazing'ono zakunja - mchenga, miyala, etc.
Chitsogozo chofunikira popewa kukula kwa zovuta zamatenda a shuga ndikuwunika kuchuluka kwa shuga m'magazi ndikupeza chithandizo chamankhwala panthawi yake. Kuti tichite izi, tikulimbikitsidwa:
- Khalani ndi chida choyeza glucose wamagazi kunyumba ndipo nthawi zonse mumayeza.
- Kamodzi pa miyezi itatu iliyonse, yang'anani hemoglobin wa glycated.
- Osachepera miyezi isanu ndi umodzi, magazi amaperekedwa ku lipid tata, mkodzo wa glucose ndi mapuloteni.
- Sungani kuthamanga kwa magazi osapitirira 135/85 mm Hg
- Pewani mafuta azinyama komanso chakudya chamafuta mosavuta.
- Siyani kusuta ndi kumwa mowa.
Ngati pali zizindikiro za matenda a shuga mellitus, ndikofunikira kuchita chithandizo chamankhwala pochezera ndi endocrinologist. Simungathe kuchitira pakhungu lanu zotupa pakhungu kapena njira yotupa pa izo, popeza kupita kukaonana ndi dotoloyo kumathandizira kuti matenda afalikire komanso njira yoopsa kwambiri yotsukidwa.
Kanemayo m'nkhaniyi akuwonetsa mankhwalawa a zilonda zam'mimbazi ndi laser.
