Phazi la matenda ashuga: Zizindikiro, zoyambitsa, njira zamankhwala

Phazi la matenda ashuga limachitika pamene shuga wa magazi kwa nthawi yayitali aposa mulingo wololedwa. Ngati munthu wodwala matenda a shuga sawongolera kuchuluka kwa glucose, kuchuluka kwa mitsempha kumakhala kufooka ndipo, chifukwa chake, mitsempha ya magazi imagwira bwino ntchito. Mwayi wovulazidwa ndi matenda opatsirana nawonso umakulanso.

Kufotokozera Matenda

Matenda a diabetesic phazi amawonekera pamapazi a odwala matenda ashuga momwe amaperewera, ndipo pamakhalanso kusintha m'mafupa ndi minyewa yolumikizira mafupa. Kuchiritsa koopsa kumakhala pang'onopang'ono; Chilondacho chimatha kupola kuposa kuchira. Ngati simutsatira mabala, amawopseza ndi zotsatira zoyipa - monga gangrene ndikudula mwendo pambuyo pake. Mwa anthu omwe akudwala matendawa, iyi ndi nkhani wamba.

Nthawi zambiri zimachitika kuti chidwi cha wodwalayo miyendo chazimiririka, ndipo samazindikira akapatsidwa kuvulala pang'ono. Akayamba kusamalira, wodwalayo akuyamba kuwonetsa alamu, ndipo popanda thandizo la dokotala sangachitenso. Koma izi zitha kupewedwa ngati mutsatira malamulo oyambira ukhondo ndi chitetezo.

Anthu omwe ali ndi matenda ashuga ayenera kuwonetsetsa kuti magazi awo ali ndi shuga. Ngati simukuchita izi, pakapita nthawi, zotchingira zachilengedwe zoteteza zimatsika ndipo, motero, kuvulala.

Chaka chilichonse chiwerengero cha anthu odwala matenda a shuga chikuwonjezeka. Izi makamaka zikutanthauza mtundu 2 matenda. Komabe, ngati mayeso a dokotala amachitidwa molingana ndi dongosolo, ndiye kuti nthawi zambiri kupewetsa kuti dzanja lanu lidulidwe.

Zomwe zimachitika

Kuti timvetsetse zomwe zimayambitsa kuwoneka kwa phazi la matenda ashuga, ndikofunikira kumvetsetsa momwe chitukuko cha matendawa chimayendera. Odwala omwe ali ndi matenda ashuga amakumana ndi kusintha m'mitsempha yamagazi, ndipo miyendo, monga gawo lakutali kwambiri la thupi kuchokera mu mtima, samalandira zakudya zoyenera. Kusintha kotereku kumabweretsa kuti khungu limayamba kuvulala mosavuta, kuchira kumayamba. Musaiwale kuti chisanu chimavulaza khungu.

Ndi kutaya chidwi, wodwalayo mwina kwa nthawi yayitali sadzalabadira mabala omwe adalandira. Chifukwa chake chimatha kukhalapo mpaka kupanga gangore. Komanso, khungu kumapazi limaleka thukuta, chifukwa khungu limakhala louma ndipo limakutidwa ndi ming'alu. Nthawi zambiri, zidendene muming'alu zimasanduka zilonda zam'mimba. Chifukwa chakuti zilonda zam'mimba sizimayambitsa kupweteka, wodwalayo samawona vutoli, zomwe zimayambitsanso gangore.

Milandu pamene wodwala ali ndi kufalikira kwa minofu yam'mapazi kumapazi sikachilendo. Fomuyi imadziwoneka yokha ngati zala zakumaso kapena kukwera kwambiri kwa phazi lakuthwa.

Matenda a shuga angayambitse kutaya kwamaso, komwe kumakhudzanso kuvulala.

Ndi matenda a impso, edema imatha kuchitika, yomwe imayambitsa kusayenda bwino mukamayenda. Nsapato zimamatirira kumapazi otupa ndikuwonongeka kumapazi.

Pofuna kupewa zovuta zonse, muyenera kusunga shuga komanso zakudya zapadera zokhala ndi chakudya chamagulu ochepa. Pogwiritsa ntchito njirayi, ndizotheka kusunga shuga mkati mwa malire ovomerezeka a mitundu yosiyanasiyana ya shuga. Kuwona zonse zokhala ndi zakudya zoyenera, mutha kuchiritsa matenda osokoneza bongo kwakanthawi kochepa. Ngati matendawa akadali patsogolo, zimatenga zaka ziwiri kapena zitatu kuti amuchotse.

Kupewa kwa matenda ashuga a 2

Ululu womwe umakhala nawo nthawi zonse umatha chifukwa cha kutalika, kusinthika kwa phazi, kuphulika, kutulutsa kwambiri chifukwa cha nsapato zosamasuka, komanso kufiira pakhungu chifukwa cha matenda, chifukwa chake, ndikofunikira kusamalira nsapato zomasuka poyamba.

Wodwala matenda a shuga amakhala ndi chitetezo chamthupi chofooka. Kuwonongeka kulikonse pakhungu kwa odwala matenda ashuga kumatha kukhala koopsa, chifukwa kachilomboka kamalowa mchilondacho, ndipo thupi lilibe mphamvu yolimbana nayo. Zotsatira zake, kutentha kwa thupi kumatha kuwonjezeka. Ngati pali chilonda pamendo ndi kuwonjezeka kwa kutentha kwa thupi, muyenera kufunsa dokotala. Zizindikiro zotere zimayambitsa matenda akulu omwe angachititse kuti munthu afe kapena kudulidwa chiwalo.

Pewani nsapato zosavomerezeka ndikulakwitsa nsapato

Komanso, mwa kufooka chitetezo chathupi, thupi silitha kudziteteza ku matenda oyamba ndi fungus, omwe amatha kunyamula matenda. Kuchepetsa kwa platinamu ya msomali kumakhala chimodzi mwazomwe zimayambitsa kutupa. Chifukwa chake, kulumikizana ndi dermatologist ndi dokotala wa opaleshoni ngati mukukayikira mavuto awa.

Kuvulala mpaka phazi kumatha kukhala limodzi ndi dzanzi, zomwe zimawonetsa kuchepa kwa chidwi cha mathero a mitsempha, komanso kulumala, zomwe zingasonyeze kuti mafupa akuvutika.

Kuti adziwe zizindikiro, wodwala matenda ashuga ayenera kukhala atcheru:

• kuwonjezereka ululu m'miyendo mukuyenda ndikuyenda pansi pakupumula;
• kuchepa kwa kukula kwa tsitsi pamiyendo;
• khungu la miyendo limakhala loyipa kwambiri komanso louma.

Zizindikiro za phazi la matenda ashuga

Zizindikiro zoyambukira za matenda ammimba ya shuga zimafotokozedweratu, muzowawa. Imatha kuwona redness pakhungu limodzi ndi kutentha thupi. Ngati zizindikiro zotere za phazi la matenda ashuga zimayang'aniridwa, odwala ayenera kufunsa chithandizo kuchokera kwa dokotala. Zizindikiro zazikulu za phazi la matenda ashuga:

• Maonekedwe a calluses wankhanza. Mwa njira, nthawi zambiri matendawa amapezeka pambuyo pochotsa chimanga kwa wodwala matenda ashuga. Wovulala popanda kuvulala mosatetezeka komanso kuchira kwa nthawi yayitali. Iyenso, imayamba kukhala pang'onopang'ono ndikuduladula kwina kwa mwendo;
• Maonekedwe a matuza. Izi ndi zizindikiro zoyambirira za phazi la matenda ashuga. Mukapukuta mapazi anu ndi nsapato, matuza amatha. Pofuna kupewa kuwoneka ngati chimanga chamadzi, muyenera kusankha nsapato zoyenera ndikuzivala mosalephera ndi masokosi. Koma ngati zidachitika kuti matuza adawonekerabe, ndikofunika kukaonana ndi dokotala. Katswiriyu azitha kugwiritsa ntchito bandeji yofunikira. Pofuna kupukutira, ndiye kuti dokotala amatsuka chilondacho ndikuwonetsa maantibayotiki omwe ayenera kugwiritsidwa ntchito;
• Ingrown misomali. Kupindika kwa mbale ya msomali kumachokera ku nsapato zosankhidwa bwino kapena msomali wosadulidwa woluka. Osadula ngodya za platinamu. Njira yofatsa komanso yotetezeka kwambiri yofupikitsa msomali wokulirapo ndi kuipaka m'malo mongidula ndi lumo. Ngati, komabe, msomali utakhazikika mu chala, muyenera kufunsa dokotala nthawi yomweyo. Popewa kupitilira, dokotala amatha kuchotsa gawo la msomali lomwe likukula. Ngati kutupa kwayamba kale, njira yothira mankhwala oyenera idzaperekedwa;
• Bursitis. Bursitis ndi kupindika pa mwendo womwe ulibe chala. Kupumphuka kumatha kukhala kolimba kapena zofewa. Zimayambitsa zopweteka kwambiri. Bursitis imagwirizana mwachindunji ndi matenda a impso. Nthawi zina, ngakhale chinsalu chomwe chagona pamwendo chimapweteka kwambiri. Kuchiritsa matendawa, chithandizo cha impso chiyenera kuyamba, ndipo ululu wamendo uyamba kuchepa;
• Zovala kumiyendo. Ali ndi mawonekedwe a zophuka pa mwendo. Chingwe ndimatenda a virus. Amatha kukhala ndi mizu yambiri, nthawi zina yakuda. Mbuna imatha kukhazikika pamalo pomwe imapweteka poyenda. Kuti mupewe kukula kwa ziwunda pamthupi, muyenera kusamba m'manja nthawi zonse mukakumana nawo. Sungani mapazi anu oyera ndi owuma. Ngati wart ili ndi mawonekedwe osawoneka kapena kupweteka, imatha kuchotsedwa. Osati yekha, koma m'chipatala omwe ali ndi zida zapadera;
• Zala zopindika. Izi nthawi zambiri zimakhala chachiwiri ndi chachitatu. The curvature imachokera ku kugawa molakwika kwa kulemera pakokha. Zomverera zowawa zamapazi kumapazi mukayenda zimayambitsa kugawa kwamphamvu pazala. Ndipo iwonso amapinda kuti akhale ndi moyo wabwino. Popita nthawi, kupunduka kwa tendon kumachitika, ndipo zala sizingathenso kuwongoka. Pakupendekeka kwa zala zala kapena kuphatikizira mawonekedwe a ma cones amapangidwa. Anthu omwe ali ndi matenda ashuga amatha kukhala ndi nkhawa. Zala zoterezi zimatchedwa kuti ngati nyundo. Akayambitsa kusamvana, vutoli litha kuthetsedwa;
• Kuuma ndi kuwonongeka kwa khungu la miyendo. Kupepuka ndi kuvulala kumapazi komwe kumachitika chifukwa cha khungu louma. Amayambitsa kuyabwa ndipo nthawi zina ngakhale kupweteka, ming'alu imatha kuwoneka. Pali zinthu zambiri zoyambitsa izi, ndipo chimodzi mwazo ndi matenda ashuga. Ndikofunika kukhazikika pakhungu pang'onopang'ono pamapazi, chifukwa ming'alu yotsatirayi imakhala malo abwino ochulukitsa matenda. Pali mafuta ambiri amiyendo, omwe amatha kufewetsa komanso kupukuta khungu;
• Matenda oyamba ndi mafangasi. Mafangayi owopsa kwambiri omwe amatha kuwoneka pakhungu chifukwa cha kuchepa kwa chitetezo chathupi. Mafangayi amayambitsa kusunthika kosangalatsa - kuyabwa, limodzi ndi kutentha komanso nthawi zina zizindikiro zopweteka. Pali fungo losasangalatsa lomwe limayendera pafupifupi mitundu yonse ya bowa. Matenda a fungus pamiyendo amapezeka pakati pa zala. Popewa kuti bowa asachulukane, miyendo iyenera kukhala youma. Nsapato zomwe mumavala ziyenera kukhala zowuma mkati. Hosiery imasankhidwa kokha kuchokera ku ulusi wachilengedwe. Njira yothetsera bowa ikhoza kugulidwa ku malo ogulitsira mankhwala, koma ngati kuli kotheka, dokotala amafotokoza zomwe zingachitike;
• Mafangayi a mbale yamiyendo. Sipangokhala ndi zovuta komanso zovuta kuposa fungus pakhungu. Kupewa ndi kusamalira misomali ziyenera kukhala zofanana ndendende ndi mafangasi akhungu. Ndi kuwonongeka kwa msomali ndi bowa, amasintha kapangidwe kake. Zimakhala zovutirapo, osalimbana kwambiri ndi kudula. Chifukwa chake, kusintha kwa msomali kumachitika. Pali nthawi zina pomwe msomali ungagwere kwathunthu.

Zizindikiro

Pali zifukwa zambiri zomwe phazi la matenda ashuga limapangidwira. Kuti muthandizidwe moyenera, dokotala ayenera kudziwa komwe matendawo amafotokozera ndikupereka chithandizo choyenera. Kuti muzindikire bwino, dokotala:

• amachita kafukufuku wamapazi a wodwalayo kuti adziwe ngati ali ndi matenda;
• imasankha X-ray kapena MRI (maginito a resonance imaging) kusiya. Izi ndizofunikira kuti muwone kuwonongeka kwa minofu ya mafupa;
• amachita njira yomwe imawonetsa kukhudzidwa ndi zochitika zam'munda, kutentha, kugunda kwamtondo, ndi mawonekedwe a mafupa. Izi ndizofunikira kuti tidziwe momwe masinthidwe amaselo amanjenje aliri;
• amachita kafukufuku wa nsapato zomwe wodwalayo amavala nthawi zonse kuti amvetsetse momwe zimamukwanira komanso momwe zilili;
• amatenga bala kuchokera pachilonda kuti adziwe mabakiteriya omwe agunda phazi. Phunziroli likufunika kuti musankhe antibacterial wabwino.

Kafukufuku yemwe amathandiza kudziwa ntchito yamitsempha yamagazi, magazi othamanga omwe amadyetsa miyendo yam'munsi:

• Kuyendera mkhalidwe wamasamba a miyendo ndi ultrasound;
• UZDG (Ultrasound Dopplerography) munthawi yeniyeni.

Kuunika kuyenera kukhala kokulirapo, chifukwa chake, kuwonjezera pa kuyesedwa kwamtopola, adotolo amayenera kuchititsa wodwalayo kuti azindikire momwe wodwalayo alili. Katswiriyu adzaona momwe mankhwalawa amayendera ndikukhazikitsa shuga.

Kukula kwa matenda

• 0 degree - zilonda zokha sizinawonekere, koma zoopsa zomwe zimachitika ndizambiri. Izi zikuphatikizapo kupangidwa kwa chimanga, kusintha kwa mapazi;
• 1 digiri - zilonda zomwe zimapezeka pakhungu;
• 2 digiri - zilonda zomwe zayamba kuzama phazi, pomwe zotupa zimachitika m'matumbo okha, koma osati m'mafupa;
• Giredi 3 - zilonda zomwe zidalowa kwambiri momwe kuwonongeka kwa mafupa kunayamba;
• 4 digiri - mawonekedwe a gangrene pazala;
• 5 digiri - kuwonongeka kwa zimakhala za phazi lonse.

Chithandizo

Matendawa odwala matenda ashuga amafuna chithandizo chovuta:

• Kosi yophunzitsira wodwalayo kuti adziyang'anire okha komwe akukhudzidwa, kudzisintha.
• Kupitiliza kosalekeza kwa shuga wamagazi komwe kumayang'aniridwa.
• Kuyeserera pafupipafupi komanso kuwongolera mafuta a cholesterol.
• Chithandizo cha m'dera lomwe lakhudzidwalo, kuvala, kuchotsa minofu yakufa ndi dotolo.
• Mankhwala othandizira antibacterial kuti athetse matendawa.
• Chovala chapadera chomwe chimathandizira kuthetsa nkhawa kuchokera kumalo ovulala a phazi.
• Kubweretsa mitsempha yam'munsi m'miyendo yam'mbuyo kuti ikhale yachilendo, ngakhale pakuthandizira opaleshoni pakufunika.

Chithandizo cha phazi la matenda ashuga ndi njira yovuta. Zimatenga nthawi yayitali ndipo zimafunanso kukonzanso. Koma izi siziyenera kukhala zowopsa, popeza pakalibe chithandizo, zotsatirapo zake zingakhale zowopsa, kudula kumayikidwa. Gangrene sataya mwayi wopanganso minofu. Ili ndiye gawo lomaliza la matendawa. Muyenera kusamala ndikukhala ndi chidwi ndi thanzi lanu, kumayesedwa pafupipafupi ndi dokotala ndipo, ngati mukukayikira pang'ono kuti mwayamba kutupa, pitani kuchipatala mwachangu.