Vuto lalikulu monga gangrene limayamba mwa anthu omwe amapezeka ndi matenda osokoneza bongo ndipo limayenderana mwachindunji ndi matenda a shuga. Chiwopsezo cha zovuta zimachuluka ngati munthu wabala matenda a shuga kwa nthawi yayitali, kuchuluka kwa shuga m'magazi kumadutsa 12 mmol ndipo kuchuluka kwa shuga kumadumpha nthawi zonse.
Matenda a shuga a matenda a shuga amachititsa kuti matenda ashuga azikhala ochepa, matenda oterewa amatha kuchitika ngati shuga yayikulu ikukhudza mitsempha ya mitsempha ndi mitsempha yaying'ono ya magazi, yomwe imayambitsa kusokonezeka kwa magazi.
Malinga ndi ziwerengero, vuto limodzimodzilo limapezeka mwa 80 peresenti ya odwala omwe akhala akuvutika ndi matenda amtundu wa 2 kapena matenda a 2 kwa zaka zoposa 20. Ngati dotolo azindikira kuti ali ndi vuto chifukwa atatenga nthawi yayitali, kudula mwendo kumayambitsa matenda a shuga.
Chifukwa chiyani gangrene amakula shuga
Ndi kuchuluka kwa glucose m'magazi, mitsempha ya magazi imayamba kuchepa pakapita nthawi ndipo imayamba kuchepa pang'onopang'ono, zomwe zimayambitsa matenda a shuga. Zombo zazing'ono komanso zazikulu zimakhudzidwa. Mapeto a mitsempha amasinthanso zomwezi, chifukwa cha matenda a shuga amadziwika kuti ali ndi matenda ashuga.
- Zotsatira zakuphwanya, chidwi cha khungu chimachepa, potengera izi, munthu samamva nthawi zonse kuti kusintha koyambirira pamagawo oyambawo kwayamba ndikupitiliza kukhala ndi moyo, osadziwa zovuta.
- Wodwala matenda ashuga sangakhale ndi chidwi ndi kuwoneka kwa mabala ang'onoang'ono pamiyendo, pomwe malo owonongeka m'mapazi ndi zala sizichiritsa kwa nthawi yayitali. Zotsatira zake, zilonda zam'mimba zimayamba kupanga, ndipo zikagwidwa, chiwopsezo cha matenda obwera chifukwa cha m'munsi chimatsika.
- Zovulala zazing'ono zingapo, chimanga, misomali yovomerezeka, kuvulala kwa cuticle, kuwonongeka kwa msomali panthawi ya pedicure kumathanso kukhudza maonekedwe a gangrene.
Zizindikiro za gangore
Ischemia yovuta, yomwe imakhala ikusowa magazi, imatha kukhala zovuta kwambiri. Wodwala matenda ashuga ali ndi zizindikiro zamtundu wopweteka kwambiri kumapazi ndi zala zakumaso, zomwe zimakulitsa pakuyenda, kuzizira kwamapazi, ndikuchepetsa chidwi cham'munsi.
Pakapita kanthawi, kuphwanya pakhungu kumatha kuzindikirika pamiyendo, khungu limakhala louma, limasintha mtundu, limakutidwa ndi mafinya, puroses necrotic komanso mawonekedwe a ulcerative. Pakakhala chithandizo choyenera, chiwopsezo chachikulu ndikuti munthu akhoza kuyamba kudwala.
Matenda a shuga angayambike ndi matenda owuma kapena onyowa.
- Dry gangrene nthawi zambiri imayamba pang'onopang'ono, kwa miyezi ingapo kapenanso zaka. Poyamba, wodwala matenda ashuga amayamba kumva kuzizira, kupweteka, komanso kumva kutentha m'mapazi. Kupitilira apo, khungu lomwe lakhudzidwa limayamba kuchepa mphamvu.
- Mtundu wamtunduwu ungapezeke, ngati lamulo, m'dera la zala zakumapeto. Chotupa chake ndi chotupa chaching'ono chomwe khungu limakhala ndi wotumbululuka, wamtambo kapena wamtambo.
- Pankhaniyi, khungu limakhala louma komanso lotupa. Pakapita kanthawi, necrosis ndikutchotsa minofu yowonongeka kumachitika, pambuyo pake minofu ya necrotic imayamba kukanidwa.
- Matenda owuma sakhala pachiwopsezo cha moyo, koma popeza matendawa akukhumudwitsa ndipo pali chiwopsezo chowonjezeka cha zovuta, kudula malekezero kaŵirikaŵiri kumachitika ndi matenda a shuga.
Ndi chonyowa, dera lomwe lakhudzidwalo limakhala lokongola kapena lamtambo. Chotupacho chimaphatikizidwa ndi fungo lakuthwa kwambiri, mawonekedwe a matuza m'dera la minofu yakufa, kuyezetsa magazi kumawonetsa mawonekedwe a neutrophilic leukocytosis. Kuphatikiza apo, adotolo awona kuchuluka kwa ESR.
Kukula kwa zonyansa m'mimba sikuchitika mwachangu, koma kumathamanga kwambiri. Mwa odwala matenda ashuga, khungu, minofu yolumikizira minofu, minyewa, imakhudzidwa.
Kuwonjezeka kwakukulu kwa kutentha kumawonedwa, mkhalidwewo umakhala wowopsa ndikuwopseza moyo kwa wodwalayo.
Chithandizo cha Matendawa
Njira yayikulu yothanirana ndi matenda am'mimba mu shuga ndi kulowererapo kwa maopa, ndiko kuti, kuduladula mwendo pamwamba pa bondo, phazi kapena phazi. Ngati dotolo azindikira kuti ali ndi chonyansa, kuyambiranso kwa gawo lomwe lakhudzidwalo limachitika pokhapokha kuphwanyidwa kwadziwika kuti zotsatira zake sizisokoneza wodwalayo. Kupanda kutero, ikhoza kupha.
Opaleshoni imakhala ndi zotulutsa zometa zomwe zimakhala pamwamba pa malo a necrosis. Chifukwa chake, ngati munthu ali ndi matenda a shuga, kuduladuka kwa phazi lonse kumachitika ndi matenda am'manja chala chimodzi. Ngati phazi lakhudzidwa, kuchotsedwa kumachitika pamwamba, ndiye kuti, theka la mwendo wotsika limadulidwa.
Kuphatikiza pa kuti kuduladula mwendo kumachitika ndi khungu pakukalamba, thupi limabwezeretseka pambuyo kuledzera komanso matenda.
Pachifukwa ichi, ma anti-wodziwikiratu maantibayomiki amagwiritsidwa ntchito, magazi amawikidwa magazi, ndipo detoxification chithandizo chimachitika.
Kukonzanso pambuyo podzidulira mwendo
Kuti machiritso a suture adutsemo mwachangu komanso wodwalayo athetse kaye nthawi yomwe atachitidwa opaleshoni, kukonzanso kwathunthu kumafunikira.
- M'masiku oyamba atachitidwa opaleshoni, madokotala amapondereza kutupa kambiri ndikuletsa kupititsanso kwa matendawa. Gawo lolumikizidwa limapindika tsiku lililonse ndipo sutures imathandizidwa.
- Ngati sikunafunikire kudula mwendo wonse, koma chala chokhacho, ma prosthetics safunika, ndipo odwala matenda ashuga amakhala ndi mwendo wathanzi. Komabe, ngakhale izi zitachitika, wodwalayo nthawi zambiri amamva kupweteka kwambiri kwa phantom ndipo sazengereza kusuntha m'masiku oyamba.
- Dera lomwe lingakhudzidwe likadulidwa, dzanja lowonongeka limayikidwa pamalo okwera kuti lichepetse kutupa. Kudula mwendo ndi vuto, chifukwa nthawi yakukonzanso, ngati malamulo satsatiridwa, matenda amatha kubweretsedwa.
- Wodwala matenda ashuga ayenera kutsatira njira yochizira, kupaka minofu m'munsi tsiku lililonse kukonza maselo okhala ndimitsempha ndi magazi.
- Pakati pa sabata lachiwiri ndi lachitatu, wodwalayo ayenera kugona pang'onopang'ono pamimba yake pamalo olimba. Ziwalo zathanzi za thupi ziyenera kupukutidwa ndi zolimbitsa thupi kuti zilimbikitse minofu, kuwonjezera minofu kamvekedwe ndikukonzekeretsa thupi kuyambika kwa ntchito yamagalimoto.
Masitima osamala pafupi ndi kama, wodwala amagwira kumbuyo, akuchita zolimbitsa thupi kumiyendo ndi manja. Ngati ma prosthetics angapangidwe, minofu yake imayenera kukhalabe yolimba, chifukwa pambuyo poti kudulidwapo kachitidwe kamayendedwe achilengedwe kamasokonekera.
Kupewa Kwa Matendawa
Ngati munthu wodwala matenda ashuga apita patsogolo, pomwe nthawi yayitali yatha zaka 20, zonse ziyenera kuchitidwa kuti mavuto asamachitike.
Kuti izi zitheke, muyenera kuyang'anira kuchuluka kwa shuga m'magazi pogwiritsa ntchito glucometer. Kamodzi pa miyezi itatu iliyonse, wodwalayo amayesedwa magazi a glycated hemoglobin.
Ndikofunikanso kutsatira zakudya zapadera, kumwa mankhwala osokoneza bongo kapena insulin. Zilonda zazing'onoting'ono zikaonekera pakhungu, ayenera kulandira chithandizo nthawi yomweyo.
Kupewa kwakukulu kwa zovuta ndi kusamalidwa kwaukhondo kwa momwe phazi limakhalira, kunyowa kwawo, kusamba. Kusokoneza. Ndikofunikira kuvala nsapato zapamwamba zokha zomwe sizikakamiza zolowera m'munsi. Anthu odwala matenda ashuga ayenera kupanga lamulo kuti azichita mayeso a tsiku ndi tsiku a miyendo ndi miyendo kuti apeze nthawi yowonongeka pakhungu. Ma insoles apadera a matenda a shuga ndiabwino.
Madokotala amalimbikitsanso kuchita masewera olimbitsa thupi a m'munsi.
- Wodwala amakhala pamphasa, ndikudzikokera masokosi, kenako ndikuwachotsa kwa iye.
- Mapazi amapindika ndipo amachepetsa.
- Phazi lililonse limazungulira mozungulira.
- Wodwala matenda ashuga amafinya zala zake momwe angathere ndikuwazindikira.
Chilichonse cholimbitsa thupi chimachitika kawiri konse, kenako ndikulimbikitsidwa. Kuti muchite izi, phazi lakumanja limayikidwa pabondo la miyendo yakumanzere, mwendo umamangidwa bwino pang'ono kuchokera kumapazi mpaka ntchafu. Kenako miyendo imasinthidwa ndipo njirayi imabwerezedwanso ndi phazi lamanzere.
Kuti achepetse kupsinjika, munthu amagona pansi, akukweza miyendo yake ndikuigwedeza pang'ono. Izi zithandiza magazi kupita kumapazi. Kusisita kumachitika tsiku lililonse kawiri pa tsiku. Kanema wapezeka munkhaniyi akuwonetsa ngati achifwamba angachiritsidwe popanda kudulidwa.
