Mtundu 1 kapena matenda a shuga a 2 amakhudzana mwachindunji ndi chitukuko cha matenda am'kamwa. Malinga ndi ziwerengero, matenda a mano amapezeka oposa 90 peresenti ya okhala padziko lapansi. Makamaka vutoli limakhudza anthu odwala matenda ashuga. Kuchuluka kwa shuga m'magazi kumabweretsa chiwopsezo cha kuwonongeka kwa enamel ya mano, wodwalayo nthawi zambiri amakhala ndi mano opweteka ndi mano otayirira.
Ndi zovuta zamagazi, kusintha kwa dystrophic mu nembanemba ya mucous, minofu ndi minyewa yozungulira dzino. Zotsatira zake, mano athanzi amapweteka, zimakhudzidwa ndi zakudya zozizira, zotentha kapena acid. Kuphatikiza apo, ma virus pang'ono amayamba kuchulukana mkatikati mwa pakamwa, ndikukonda malo otsekemera, ndikupangitsa kutupa.
Zingwe zomwe zimakhudzidwa sizingatheke kukhala ndi mano athanzi, chifukwa chake kuyamwa kwamano ndi matenda a shuga kumachitika popanda kuchita chilichonse. Ngati wodwala matenda a shuga sangayang'anire momwe khomo limayambira, mutha kutaya mano anu onse msanga, pambuyo pake muyenera kuvala mano.
Matenda a shuga ndi mano
Popeza matenda ashuga ndi mano zimalumikizana mwachindunji, chifukwa cha kuchuluka kwa shuga m'magazi odwala matenda ashuga, mavuto amano awa amatha kudziwika:
- Kukula kwa caries kumachitika chifukwa chowuma kwambiri mkamwa, chifukwa cha enamel iyi ya mano imataya mphamvu.
- Kukula kwa gingivitis ndi periodontitis kumawonekera mwa mawonekedwe a matenda a chingamu. Matenda a shuga amachititsa khoma la mitsempha yamagazi, chifukwa chake, michere singalowe mokwanira. Palinso kutsika kwapang'onopang'ono mu kutuluka kwa zinthu za metabolic. Kuphatikiza apo, odwala matenda ashuga amakhala ndi mwayi wochepa wokana kuteteza kumatenda, chifukwa mabakiteriya amawononga mkamwa.
- Kutupa kapena candidiasis mu shuga pamlomo wamkamwa kumawonekera ndikugwiritsa ntchito pafupipafupi maantibayotiki. Mwa odwala matenda ashuga, chiopsezo chotenga kachilombo ka fungus pamlomo wamkamwa chikuchuluka, zomwe zimapangitsa kuti glucose wambiri mu malovu. Chimodzi mwazizindikiro za kukhazikika kwa tizilomboti ndikuwoneka koyaka mkamwa kapena pamwamba pa lilime.
- Matenda a shuga, monga lamulo, amaphatikizidwa ndi kuchiritsa pang'onopang'ono kwa mabala, chifukwa chake, minofu yowonongeka pamlomo wamkati imabwezeretseka bwino. Ndi kusuta pafupipafupi, izi zikuchulukirachulukira, pokhudzana ndi izi, omwe amasuta fodya wa mtundu 1 kapena mtundu wa 2 amawonjezera chiwopsezo cha periodontitis ndi candidiasis nthawi 20.
Zizindikiro za kuwonongeka kwa dzino ndizodziwika kwambiri. Imadziwoneka ngati yotupa, kufupika kwa mano, kutulutsa magazi m'nthawi yochepa kwambiri yamakina, kusintha kwa matenda a mano.
Ngati mukumva zilizonse zomwe zikuwonetsa, kuuma kapena kutentha mkamwa, fungo losasangalatsa, muyenera kulumikizana ndi dotolo wamano. Mkhalidwe wofananawo mwa anthu ukhoza kukhala chizindikiro choyamba cha chitukuko cha matenda a shuga, pankhaniyi, dokotala angakulangizeni kuti muyezedwe ndi endocrinologist.
Mokulirapo mulingo wamagazi m'magazi, umakhala pachiwopsezo cha kuwola kwa mano, chifukwa mabakiteriya amitundu yosiyanasiyana amapanga mkamwa. Ngati zolembera pamano sizichotsedwapo, tartar imapangidwa, yomwe imayambitsa yotupa m'mkamwa. Ngati kutupa kumapita patsogolo, minofu yofewa ndi mafupa othandizira mano zimayamba kusweka.
Zotsatira zake, dzino lozimira limatuluka.
Kusamalira pakamwa pa matenda a shuga
Mano akayamba kuyamba kuyendayenda ndi kutuluka, zonse ziyenera kuchitidwa kuti magazi asiye kuwonongeka. Choyamba, muyenera kuphunzira momwe mungawongolere kuchuluka kwa shuga m'magazi, izi zithandiza wodwalayo, kupewa zovuta zambiri komanso kupewa matenda a mano.
Anthu odwala matenda ashuga amafunikira chisamaliro chapadera cha mano anu ndi mkamwa. Makamaka, ndi matenda amtundu wa 1 kapena mtundu 2, ndikofunikira:
- Pitani ku dokotala wamano pafupifupi kanayi pachaka ndikuyezetsa.
- Kawiri kapena kanayi pachaka kukaona periodontist chifukwa cha prophylactic chithandizo, physiotherapy kwa matenda ashuga, kupuma kwa matumbo, jakisoni wa mavitamini ndi biostimulants kuti magazi azisinthika.
- Musaiwale za kutsuka mano mukatha kudya.
- Poyeretsa dzino, gwiritsani ntchito chotsukira mano pogwiritsa ntchito mabowo.
- Tsiku lililonse, pogwiritsa ntchito mano, ndi bwino kuchotsa zinyalala za chakudya ndipo timavala mano.
- Gwiritsani ntchito chingamu chopanda shuga, chomwe chimabwezeretsa kuchuluka kwa asidi mkamwa, muchotse fungo losasangalatsa pamlomo wamkamwa, womwe nthawi zambiri umapezeka mwa odwala matenda ashuga.
- Ngati muli ndi zizolowezi zoipa, siyani kusuta.
- Ngati ma prosthetics a shuga achita, mano amachotsedwa ndikutsukidwa tsiku lililonse.
Odwala omwe ali ndi matenda a shuga ali pachiwopsezo cha matenda amkamwa, chifukwa chake muyenera kuyang'anira chisamaliro chilichonse chovuta ndikuyendera dotolo wamano panthawi. Paulendo wopita kwa dokotala ndikofunikira:
Dziwitsani za kupezeka kwa matenda a shuga 1 kapena 2. Ndi pafupipafupi hypoglycemia, ndikofunikanso kuchenjeza za izi.
Uzani dokotala wamano kuti akalumikizane ndi adotolo wa endocrinologist ndikuwalemba pa kirediti kadi.
Auzeni za mankhwalawa omwe amamwa kuti alepheretse mankhwala osagwirizana.
Ngati munthu wodwala matenda ashuga wavala chida chamagulu, ngati pali kusokonekera kwadongosolo, funsani kwa dotolo wamano. Musanapite kwa dokotala wamano, ndikofunikira kukaonana ndi endocrinologist kuti mukambirane mankhwala omwe angatenge komanso ngati angagwirizane ndi mankhwala omwe adagwiritsidwa kale.
Asanalandire chithandizo chachikulu cha matenda amkamwa, wodwalayo angafotokozere njira yothandizira maantibayotiki. Ngati wodwalayo ali ndi kuwonongeka kwakukulu, opaleshoni ya mano amalimbikitsidwa kuti ayimire. Ngati wodwala wapezeka ndi matenda ena opatsirana, chithandizo, m'malo mwake, sichichedwa kutha.
Popeza kuchiritsa kwa mabala a postoperative mu odwala matenda ashuga kumayenda pang'onopang'ono, malingaliro onse a dotolo wamano ayenera kutsatiridwa mosamalitsa.
Kupewa kwamano kwa odwala matenda ashuga
Popewa kuwononga minofu ya chingamu, mitundu yosiyanasiyana ya mano imagwiritsidwa ntchito. Kugwiritsa ntchito bwino kumawerengedwa ngati phala wamba, lomwe limaphatikizapo fluoride ndi calcium. Mankhwala mumagulitsanso ena apadera omwe amapangidwira minyewa ya mano - dokotala wamankhwala amatha kukupatsirani mankhwala a prophylaxis komanso munthawi ya chithandizo cha periodontitis.
Pafupipafupi kugwiritsa ntchito phukusi lapadera ndi dokotala. Madokotala a mano amalimbikitsanso kugwiritsira ntchito zala zofewa kapena zapakatikati, zomwe ziyenera kusinthidwa nthawi zonse.
Zoyeretsa pakamwa zimachitika m'mawa ndi madzulo, nthawi iliyonse mukatha kudya, muzitsuka pakamwa panu ndi zotulutsa zitsamba, rinses, kuphatikizapo sage, chamomile, calendula, wort ya St. John ndi zitsamba zina zothandiza.
Dokotala wamano amatha kulangizani kuti ndi mano ati omwe amaikidwa bwino ngati pakufunika. Nthawi zambiri, odwala matenda ashuga amalangizidwa kuti azigwiritsa ntchito ma prostheses opangidwa ndi zinthu zosalowerera ndale - titanium, ceramics, alloy golide wokhala ndi platinamu.
Chithandizo cha mano
Ngati munthu ali ndi mtundu woyamba kapena wachiwiri wa matenda ashuga, kuthandizira matenda a mano mu matenda ashuga kumachitika pokhapokha ngati amalipiritsa matendawa. Pankhani ya matenda opatsirana oyipa kwambiri mkamwa, chithandizo chimachitikanso chifukwa cha matenda osawerengeka a shuga, koma zisanachitike, wodwalayo ayenera kusamala kuti apereke mlingo wa insulin.
Kwa odwala oterowo, adotolo ayenera kuyamwa kuti amwe ma analgesics ndi maantibayotiki. Anesthesia amachitidwanso pokhapokha ngati atalipitsa matenda ena, nthawi zina amagwiritsa ntchito mankhwala oletsa ululu.
Aliyense wodwala matenda ashuga achepetsa chitetezo, kuchuluka kwa ululu, kudwala msanga, dokotala wamano ayenera kuganizira izi ngati ma prosthetics adakonzekera. Kusankhidwa kwa zitsulo zama mano kwa wodwalayo kumachitika mosamala, kupatsidwanso magawidwe a katundu ndi zinthu.
Kukhazikitsa kwa ma prostheses kumachitika pokhapokha ngati pali shuga wambiri, pomwe mano akuyenera kumvetsetsa zonse zomwe zimayambitsa matenda a mano.
Amaloledwa kuchotsa mano okhala ndi matenda amtundu wa 1 kapena mtundu wa 2, koma ngati malamulowo satsatiridwa, njira yotupa yopakika imatha kukhazikika pakamwa. Pankhaniyi, njira yochotsera ikuchitika m'mawa pokhapokha pakuyamba Mlingo wofunika wa insulin, mlingo uyenera kuwonjezeka pang'ono. Pamaso pa opareshoni, pakamwa pamatsanulidwa ndi yankho la antiseptic. Kanema wapezeka munkhaniyi akuwuzani. chithandizo cha mano ndimatenda a shuga.
