Miyendo yoyaka moto sitha kutchedwa matenda odziyimira pawokha, ndi chizindikiro chomwe chiziwonetsa ma pathologies ambiri. Matenda oterewa amaphatikizapo zotupa pakhungu, matenda amitsempha yamagazi, minofu, mafupa, kagayidwe kachakudya, komanso matenda ashuga.
Vuto la neuropathy posachedwapa lakhala imodzi mwazofunikira kwambiri mndandanda wazovuta za matenda ashuga. Malinga ndi zomwe zaposachedwa, pafupifupi 90% ya anthu onse odwala matenda ashuga amavutika nayo. Chifukwa chiyani kuphika mapazi ndi shuga? Cholinga chachikulu ndikusintha kwapangidwe ndi kagwiridwe kake ka ma capillaries, omwe amachititsa magazi kulowa m'mitsempha ya mitsempha.
Kuphatikiza apo, mapazi amatha kutentha chifukwa cha kufooka kwa mafupa a metabolism, omwe amachititsa kuti minyewa yamitsempha, kuchepa kwa mphamvu, kagayidwe kake ka mitsempha, komanso kudzikundikira kwa ma radicals aulere omwe amapha thupi. Kutseguka kwa ma autoimmune complexes kumatha kuyambitsa mafupa amitsempha, chifukwa cha momwe thupi limapangira kuchuluka kwa ma antibodies ku insulin ya mahomoni.
Zowawa zimakulirakulira, miyendo imasokonezeka ngakhale ikapuma, imakhala yotumbululuka, ndipo zala zimayamba kupindika. Matenda osiyidwa a shuga amakhumudwitsa zala, zilonda zam'miyendo.
Stage Diabetesic Neuropathy
Miyendo yoyaka mu shuga imayambika pakatha miyezi yochepa kapena zaka. Chifukwa cha zotupa zambiri zam'mphepete zam'mphepete, kuphwanya kwamphamvu kwa zochitika zamagetsi zamagetsi kumachitika.
Ndi matenda a shuga a m'magazi, khungu kumiyendo limayuma, limayamba kubooka. Wodwala, wodwalayo amapeza zilonda zazing'ono ndi ming'alu m'miyendo. Kusazindikira kwamiyendo mwapang'onopang'ono kumakhala chifukwa chodwala, wodwalayo amakhala ndi vuto losakhazikika, ndipo mutu umakhala wopanda nkhawa.
Gawo loyambirira la matendawa limadzimva kukhala lopanda nkhawa kumadera akutali a miyendo, woyamba wodwala matenda ashuga awone:
- goosebumps;
- kumverera koyaka;
- kupweteka mukakanikiza zala.
Pakapita kanthawi, neuropathy imadutsa miyendo yakumtunda, zimayamba kuvuta kuti munthu angavale nsapato, kuyenda pang'ono ndi manja ake.
Kugonjetsedwa kwa mitsempha mathero kumabweretsa zowawa mu mawonekedwe a mapazi oyaka, komanso zomverera zina zosasangalatsa, mwachitsanzo, kuchepa kwamphamvu kwa chidwi ndi madzi otentha, ming'alu, mabala.
Kuzindikira matenda a shuga
Pozindikira matenda ashuga a m'mimba, dokotala amayenera kuganizira nthawi yayitali ya matenda ashuga, madandaulo a wodwalayo pakusintha kwa thanzi. Chotsatirachi ndikuwunika kofotokozera ena za matendawo.
Kuzindikira kwa Tactile kumatsimikizika pakukhudza khungu, mawonekedwe a tendon amawunikidwa ndi nyundo yamanjenje pogwiritsa ntchito njira yolimira. Kuwulura mtundu wa conduction wa mitsempha kukoka kwa minyewa kumachitika chifukwa cha njira ya elekitirodi.
Ngati mapazi ayaka ndi matenda ashuga:
- adotolo amawunika momwe miyendo imagwedezekera pogwiritsa ntchito foloko yopendekera, yomwe imakhudza miyendo;
- kudziwa kukula kwa kupweteka, tibia imadulidwa ndi mbali yakunja ya singano yachipatala;
- kutentha kumakhazikitsidwa ndikugwiritsa ntchito njira zina zotentha ndi kuzizira.
Kuphatikiza apo, kafukufuku wazomwe zimachitika pakudya m'mimba, mtima dongosolo, ziwalo zoberekera. Chifukwa chaichi, radiography, kuyeza kuthamanga kwa magazi tsiku ndi tsiku, ECG, ultrasound imachitidwa.
Ndikofunikanso kuyesa kuchuluka kwa mapuloteni m'magazi, urea, creatinine ndi kuchuluka kwa kusefera.
Chithandizo cha matenda ashuga a Neuropathy
Kuchepetsa shuga m'magazi, ndichizolowezi kupereka mankhwala omwe amachulukitsa katemera wa insulin, kumva kwa minofu yake, komanso mankhwala osokoneza mayamwidwe m'matumbo a wodwalayo.
Ndizotheka kuti chithandizo chomwe chikufunsidwacho sichikupereka zotsatira, momwe muli zomwe zikuwonetsa kuyambitsa jakisoni wa insulin (mpaka katatu patsiku). Mankhwala, zizindikiro za neuropathy ndi kuwotcha zimawonjezeka pang'ono, izi zimachitika chifukwa cha kusintha kosasintha kwa ma pathological mu minyewa yamitsempha.
Kukwiya, redness ndi kuwotcha mapazi mu matenda osokoneza bongo amatha ngati chithandizo chikuchitika nthawi zingapo zingapo:
- matenda a shuga;
- kubwezeretsa kwa ulusi wamanjenje;
- mpumulo wa zowawa.
Kupititsa patsogolo kuchuluka kwa mitsempha, kumalimbikitsidwa kutenga jakisoni wokhala ndi mavitamini a B. Kuti muchepetse shuga, mubwezeretse ulusi wowonongeka, kusintha magazi m'matumbo, pamafunika kutsatira:
- alpha lipoic acid;
- aldose reductase zoletsa;
- Actovegin.
Kukonzekera kwa potaziyamu ndi calcium kumathandizira kuthana ndi dzanzi kumapazi. Wodwala matenda ashuga ali ndi zilonda m'miyendo, zilonda zam'mimba, ayenera kupereka mankhwala opha tizilombo. Kuti athetse ululu, antispasmodics amatengedwa, komabe, kusankhidwa kwawo kuyenera kuyang'aniridwa payekhapayekha, chifukwa amatha kupereka zovuta.
Kuphatikiza apo, physiotherapy ikuwonetsedwa: electrophoresis, masewera olimbitsa thupi, kukondoweza kwamagetsi, acupuncture. Izi zimathandiza kubwezeretsa minofu minofu, kuphatikiza njira yayikulu ya chithandizo.
Kuchiza matenda a neuropathy mu matenda osokoneza bongo kumachitika kokha payekhapayekha, maluso amatengera gawo la matendawa, kuuma kwake komanso kupezeka kwa zovuta zina. M'tsogolomu, wodwalayo amayenera kuwunika mwadongosolo magazi ake, kuwasunga mokwanira.
Pofuna kuthana ndi zotentha m'miyendo, mankhwala osokoneza bongo amathandizidwa ndi mankhwala azitsamba. Zitsamba zochiritsa zimathandizira kuchepetsa kupweteka, kuchepetsa kubwezeretsa kwina kwa matenda, kukonza ntchito za minyewa yamitsempha.
Pazida zabwino, gwiritsani ntchito mbewu zomwe zimapanga metabolism, zimakhala ndi mphamvu:
- opinya;
- antioxidant;
- neuroprotective.
Zosakaniza za analgesic monga St. John wa wort ndi angelica zimathandizira kuchepetsa ululu m'miyendo ndikupereka chithandizo chokwanira. Scutellaria baicalensis ipereka mphamvu yotsutsa-yotupa ku zosungika za phyto; melilot yamankhwala idzasandukira mbewu.
Kucheperako kumatha ngati mungayang'anire milingo ya glycemia mothandizidwa ndi nthenga zamkaka zowoneka bwino, ndikukhalabe ndi ntchito ya antioxidants ginger. Ndikotheka kuti muchepetse mavuto obwera chifukwa cha michere yomwe imachulukitsa kuchuluka kwa shuga m'magazi ndimagwiritsidwe ntchito a udzu winawake.
Muzu wa Dandelion umathandizira ndi neuropathy, muyenera kutenga supuni yaiwisi, kutsanulira kapu ya madzi otentha, wiritsani ndi madzi osamba kwa mphindi 10-15, kenako ndikuumirira kutentha kwa firiji kwa mphindi zina 45. Ndikofunikira kugwiritsa ntchito katatu patsiku kwa supuni ziwiri, ndibwino musanadye.
Ma cloves a zokometsera amakhala ndi mphamvu yabwino ya antioxidant, supuni ya mbewu imapangidwa theka la madzi otentha, omwe amaumirizidwa kwa maola awiri pansi pa chivindikiro. Muyenera kumwa mankhwala a 200 ml, mlingo umagawidwa tsiku lonse. Kulowetsedwa kwa matenda ashuga amatengedwa kwa milungu iwiri, ndiye kuti amapuma masiku 10. Pafupifupi, nthawi ya chithandizo ndi miyezi 4-5.
Njira ina yochotsera chidwi chamiyendo m'miyendo ndikugwiritsa ntchito njira yofunika kwambiri ya phyto, zomwe zimagwirizana ndi matenda a shuga ndikuchepetsa kuopsa kwa mitsempha.
Njira zopewera
Cholinga chopewa matenda a diabetesic neuropathy ndikuwunikira kosalekeza kwa hypoglycemia. Wodwalayo ayenera kumvetsetsa kuopsa kwa vutolo ndi kukhalabe wathanzi ndi insulin ndi mankhwala ena omwe adamupatsa.
Popewa kuwotcha mapazi a matenda a shuga, amafunika kangapo pachaka kuti adziwe matenda a endocrinologist, kutsatira malangizo ake.
Njira yodzitetezera yoyaka m'mapazi ndiyo chizolowezi chovala masokosi opangidwa kuchokera ku zinthu zachilengedwe zokha zomwe sizisokoneza magazi. Pofuna kuti musavulaze khungu la mapazi, ndi bwino kupewa kuyenda popanda masokosi ndi nsapato, kapena kugwiritsa ntchito insoles zamatenda a shuga.
Pansi pa vuto la kuthamanga kwa magazi:
- kupindika kwa capillary kumachepa;
- amathetsa njala yakufa kwa minofu ya miyendo.
Pakawonongeka khungu la mapazi, kuyezetsa ming'alu tsiku ndi tsiku, kuphwanya, matuza ndi mabala kumachitika. Mwendo wowonongeka umasamaliridwa bwino ndi madzi ofunda, wopukutidwa ndi thaulo lofewa, ndikuumitsa khungu pakati pa zala.
Ngati munthu akuvutika ndi kutentha m'miyendo, ndikofunikira kuti azivala nsapato zapamwamba, zomwe phazi silimaphika. Pakakhala kusintha kwamiyendo, nsapato zamatumbo zomwe zimapangidwira kuti ziziyatsidwa zimavalidwa.
Wodwala aliyense ayenera kukumbukira kuti ndibwino thanzi kukhala ndi moyo wakhama, kuti muchepetse kunenepa. Ndi kunenepa kwambiri, kulemera kwa thupi kumakhudzira mathero a mitsempha, chitetezo cha mthupi, chifukwa chake metabolism imasokonezeka.
Khungu likadzikwirira, moisturizer amasonyezedwa:
- maolivi, mafuta a pichesi;
- zonona.
Ndikofunikanso kusiya zizolowezi zoyipa, chifukwa mowa ndi chikonga zimawononga kwambiri mathero a mitsempha, potero zimawonjezera chiopsezo choduladula miyendo.
Pokayikira kochepa kokhala ndi matenda a shuga ndi neuropathy, muyenera kufunsa chithandizo chamankhwala dokotala. Kusankha kudzisankhira nokha kumabweretsa zotsatirapo zoyipa kwambiri.
Elena Malysheva mu kanema munkhaniyi ayankhula za matenda ashuga a m'mimba ndi njira zamankhwala.
