Matenda a shuga ndi matenda omwe amapezeka ndimavuto ambiri, amakhudza machitidwe onse amthupi. Chimodzi mwazizindikiro zoyambirira za matenda a shuga ndi matenda osiyanasiyana akhungu, omwe samangowonjezera mawonekedwe a wodwalayo, komanso amamuvutitsa kwambiri.
Nthenda yofala kwambiri pakhungu la shuga ndi eczema, yomwe imatha kukhudza madera akuluakulu pakhungu.
Kuti muthane ndi matenda a shuga a shuga, kuperekanso chithandizo chokwanira ndikofunikira, sikuti kungochotsa zilonda zapakhungu, komanso kutsitsa shuga wamagazi ndikusintha momwe wodwalayo alili.
Zifukwa
Eczema mu shuga angachitike pazifukwa zotsatirazi. Kuwonongeka kwa magazi. Amayamba chifukwa chakuwonjezeka kwa shuga m'magazi, omwe amawononga makhoma amitsempha yamagazi, yomwe imasokoneza kayendedwe ka magazi m'thupi mokwanira.
Shuga imakhudzanso makamaka ma capillaries, kuwononga kwathunthu kapangidwe kake ndikusokoneza kuperekanso kwa okosijeni ndi michere yofunika kuzinthu. Izi zimatsogolera pang'onopang'ono necrosis ya khungu maselo ndi mapangidwe a eczema.
Khungu lowuma. Chimodzi mwazizindikiro zazikulu za matenda a shuga ndi kukodza mopitirira muyeso, zomwe zimapangitsa kuchepa kwambiri kwa chinyezi m'thupi komanso kukula kwa kuchepa kwa madzi m'thupi. Khungu limakhudza mwamphamvu kuperewera kwa chinyontho, komwe kumakhala kouma kwambiri ndikuyamba kusiya.
Kuphatikiza pa kuphwanya magazi m'matupi, izi zimayambitsa kuyabwa kwambiri kosaloledwa. Kuphatikiza madera a pakhungu, wodwalayo amawavulaza, kusiya zikanda zazikulu ndi zipsera. Zowonongeka zoterezi ndi chimodzi mwazomwe zimayambitsa chikanga.
Thupi lawo siligwirizana. Jakisoni wokhazikika wa insulin komanso kumwa mankhwala ochepetsa shuga m'magazi nthawi zambiri kumayambitsa zovuta zosiyanasiyana zoyipa, monga urticaria ndi dermatitis. Milandu yoopsa kwambiri, khungu lawo limakhala lofanana ndi chikanga. Kuvuta kwa vutoli kuli m'lingaliro loti wodwala matenda ashuga sangakane kugwiritsa ntchito mankhwala osokoneza bongo, omwe amakulitsa mayendedwe a ziwengo ndipo amatsogolera pamavuto akulu a eczema.
Chitetezo chochepa. Kuchepetsa mphamvu ya chitetezo chathupi kumapangitsa mkwiyo wa eczema, ngakhale anthu athanzi. Ndipo popeza matenda ashuga amawononga kwambiri chitetezo chathupi, odwala onse omwe akudwala matendawa amatenga kwambiri mapangidwe a eczema.
Kuwonjezereka kwadzidzidzi mu shuga ndizowonjezera zomwe zimathandizira kukulira kwa chikanga. Nthawi zambiri, wodwalayo amatha kuwona pakhungu lake chizindikiro choyamba cha chikodzo pambuyo pa kuwonedwa kwa hyperglycemia.
Zizindikiro
Eczema ndi matenda otupa a pakhungu okhala ndi zizindikiro zotsatirazi:
- Kutupa kwa malo okhudzidwa ndi khungu komwe kumawoneka mawanga ofiira osafotokoza bwino;
- Kupangidwe kwa zotupa zapapa, zomwe zimawoneka ngati ma vesicles ang'ono. Amatha kukhala a diameter osiyanasiyana kuchokera pa 5 mm mpaka 2 cm. Ndi chitukuko cha matendawa, thovu limaphulika komanso kukokoloka kumawonekera m'malo awo;
- Kukula kwa zitsime za serous, zomwe zimatchedwanso kukokoloka. Zikuwoneka ngati zilonda zam'mimba zomwe serous fluid fluid. Pazifukwa izi, eczema nthawi zambiri amatchedwa kulira lichen;
- Kuyabwa kwambiri, komwe kumatha kukhala chizunzo chenicheni kwa wodwala. Kuphatikiza khungu loyaka kale, odwala matenda ashuga amachulukitsa njira ya matendawa ndikuwonjezera chiopsezo chotenga zilonda;
- Popita nthawi, zilonda zanu zimayamba kusokonekera, khungu lomwe limakhudzidwa limayamba kutuluka ndipo limakutidwa ndi ming'alu yakuya.
Ndi matenda a shuga, eczema nthawi zambiri imalowa mu mawonekedwe osakhazikika, omwe amapezeka pafupipafupi. Ndizovuta kwambiri kuchiza matenda a eczema, chifukwa ndi ovuta kuchiza.
Eczema mu shuga mellitus samakula mwa odwala onse chimodzimodzi. Chifukwa chake odwala omwe ali ndi matenda amtundu wa 1 komanso a 2, matendawa nthawi zambiri amatuluka mosiyanasiyana, omwe amayenera kukumbukiridwa pochiza matenda a eczema omwe amayamba chifukwa cha shuga wambiri.
Eczema ya matenda amtundu 1 komanso mtundu wachiwiri wa shuga amawonetsedwa ndi izi:
- Matenda a shuga 1 amayamba chifukwa chakuchepetsa kwambiri kapena kufafaniza kwathunthu kwa kupangika kwa insulin yofunikira kuti khungu likwaniritse. Matendawa nthawi zambiri amakhudza wodwala kuubwana kapena unyamata. Matenda a shuga amtundu 1 amadziwika ndi kupita patsogolo msanga, zomwe zimapangitsa kuti wodwalayo azikhala ndi zovuta, kuphatikizapo matenda a pakhungu. Chifukwa chake, zizindikiro zoyambirira za eczema zitha kuwonetsedwa mwa wodwala kale chaka chachiwiri cha matenda. Nthawi zambiri zimawonekera mwadzidzidzi komanso mwachangu kwambiri kufikira magawo ovuta kwambiri.
- Matenda a shuga a Type 2 nthawi zambiri amakhudza anthu akuluakulu, pamene minyewa yamkati ya wodwalayo itaya chidwi ndi insulin. Ndi matenda awa, shuga m'magazi amakwera pang'onopang'ono, chifukwa chomwe zizindikiro zoyamba za matenda ashuga zimayamba kuwonekera pokhapokha nthawi yayitali. Zotsatira zake, chikanga chimatha kukhala chosakhazikika muubwino wobwerezabwereza. Ndi matenda amtunduwu a shuga, eczema ndiwofatsa kwa nthawi yayitali.
Chifukwa chake, mtundu wa matenda ashuga ndiwofunikira kwambiri pakukula kwa eczema. Ndiye amene akuwonetsetsa kukula kwa chotupa ndi kuchuluka kwa matendawo.
Chithandizo
Chithandizo cha eczema mu shuga ndi njira yayitali yomwe imafuna kugwiritsa ntchito mankhwala amphamvu.
Kuti muthane ndi mawonekedwe apamwamba a eczema, wodwalayo amangothandizanso mankhwala a mahomoni, omwe ndi glucocorticosteroids.
Nthawi zambiri, mankhwala otsatirawa amagwiritsidwa ntchito pochiza matenda:
- Corticotropin;
- Prednisone;
- Triamcinolone;
- Dexamethasone wa matenda ashuga.
Ndikofunika kutsindika kuti ndikofunikira kuwatenga ndi matenda ashuga mosamala kwambiri ndikuyang'aniridwa ndi dokotala, chifukwa chimodzi mwazotsatira zoyipa za mankhwalawa ndi kuwonjezeka kwa shuga m'magazi.
Kuphatikiza apo, kukonza khungu ndikukhwimitsa chitetezo chokwanira cha odwala omwe ali ndi matenda ashuga, ndikofunika kwambiri kukonza mavitamini. Mankhwala otsatirawa amawonedwa kuti ndi othandiza kwambiri kwa matenda ashuga:
- Vitamini E mafuta yankho;
- Ascorbic ndi nikotini acid m'mapiritsi;
- Jekeseni wa mavitamini a gulu B;
- Folic acid m'mapiritsi kapena mapiritsi.
Mankhwala othandizira mavitamini amenewa ndi othandiza pamitundu iwiri ya eczema komanso matenda oopsa.
Ngati mugwiritse ntchito zodutsa pakamutu pa khungu lanu, mutha kugwiritsa ntchito mafuta apadera omwe amathandizira kuyimitsidwa ndikulimbikitsa kuchira khungu. Wotchuka kwambiri polimbana ndi chikanga, mafuta onunkhira monga:
- Eplan;
- Bepanten (kapena fanizo lake Panthenol, D-Panthenol, Pantoderm);
- Chikopa chachikopa;
- Radevit;
- Gistan (kuti isasokonezedwe ndi Gistan N);
- Elidel;
- Losterin;
- Thymogen;
- Naftaderm;
- Tikuwona.
Ena mwa mankhwalawa amagwira ntchito m magawo oyamba a eczema, ena amatha kuthana ndi zotupa zapakhungu, ndipo ena amatha kuchiritsa eczema, ngakhale atakhudzidwa ndi kachilombo ka bacteria. Chifukwa chake, musanasankhe chida choyenera kwambiri, muyenera kudziwa momwe amapangira, pharmacological zochita ndi momwe angagwiritsire ntchito. Kanemayo munkhaniyi akuwuzani chochita ndi kuyabwa ndi chikanga.
