Anthu oposa mamiliyoni awiri padziko lonse lapansi ali ndi zilonda zam'mimba zomwe zimawoneka pamapazi ndi miyendo. Zilonda za trophic ndimatenda omwe vuto lalikulu la epithelium kapena chapansi pamimba limachitika, ndipo njira zotupa zimawonedwa.
Matendawa amachititsa kuchepa kwa minofu m'miyendo, ndipo pambuyo pochiritsa zilonda pakhungu, zipsera zimatsalira.
Chithandizo cha mabala a trophic pamiyendo, ngakhale kuti masiku ano mankhwala amapangika kwambiri, ndi njira imodzi yovuta kwambiri. Ndi matenda m'maselo, kuphwanya njira zopatsa thanzi kumachitika - trophic.
Komanso, ntchito zoteteza thupi zimachepetsedwa kwambiri, kotero mphamvu yakuchira imatayika pang'ono. Mtundu wovuta kwambiri wa zilonda zam'mimba ndi matenda a shuga.
Zilonda za matenda ashuga
Ndi matenda monga matenda ashuga, zovuta zambiri zosiyana zimatulukira, chimodzi mwazo ndi zilonda zam'mimba za matenda ashuga. Matendawa ndi owopsa chifukwa amagwidwa ndi matenda osiyanasiyana, omwe ngati sanachiritsidwe, angayambitse zilonda zam'miyendo ndi kuduladula mwendo.
Kumayambiriro kwa matendawa, miyendo yam'munsi imakhala yochepa kwambiri chifukwa cha kufa kwa maselo amitsempha. Izi zitha kumveka mukamagwira dzanja lanu mwendo, lomwe limazizira kukhudza.
Komanso, wodwalayo amakhudzidwa ndi zowawa za usiku. Zizindikiro zake ndizofanana ndi zilonda zam'mbuyo pamiyendo. Komabe, pali kusiyana kwakukulu:
- palibe pang'onopang'ono claudication syndrome;
- chilonda chakuya;
- chilonda ndi chachikulu.
Zilonda za matenda ashuga nthawi zambiri zimakhala pamazala. Nthawi zambiri chomwe chimapangitsa kuti izi zichitike ndi kuvutikira chimanga chokha. Chochititsa china chodziwika bwino cha zilonda zam'mimba ndi angiopathy am'magazi a shuga.
Chithandizo cha matenda ashuga
Kuti muchotse zilonda za trophic pamadera akumunsi mu shuga mellitus, wodwalayo amasankha chithandizo cha wodwala aliyense. Njira imeneyi ndiyofunikira chifukwa pali zifukwa zambiri zopezekera pamapangidwe am'mimbamo.
Kuti muzindikire izi, musanayambe chithandizo cha matenda a shuga, kupatsirana kwa bacteria, cytological ndi histological kumachitika. Zida zowunikira zida zimagwiritsidwa ntchito.
Pambuyo pakupanga maphunziro osiyanasiyana ndikukhazikitsa njira yoyenera yodziwira, dokotalayo amapereka mankhwala oyenera.
- Therapy ikhoza kukhala opareshoni,
- mankhwala
- mankhwala akumaloko nawonso adzagwirizana ndi zochizira, zomwe zilonda zimatsuka mafinya ndi minofu yakufa.
Kuti muchite izi, bala la mwendo mu matenda a shuga limathandizidwa ndimayankho amtundu wa antiseptic ndi mafuta omwe amalimbikitsa kukonzanso khungu komanso kupweteka kwa mabala. Kuphatikiza apo, physiotherapy ndi njira zina zochiritsira zosafunikira zili ndi gawo lofunikira pakuchiritsa.
Mankhwala othandizira othandizira zilonda zam'mimba
Ndi opaleshoni yolowerera, dokotalayo amatha kuyamwa minofu ya necrotic, komanso amachotsa yotupa. Ma opaleshoni oterowo akuphatikizapo:
- Kupha;
- Curettage;
- Vacuum Therapy (VAC Therapy)
Mankhwala, malo omwe akukhudzidwawo amakhala ndi mavuto ochepa otsika (-125 mmHg) ogwiritsira ntchito kavalidwe ka polyurethane.
Njira iyi imapangitsa:
- Chotsani mawonekedwe a purulent ku zilonda;
- kuchepetsa kutupa, kukula ndi kuya kwa bala;
- kumawonjezera magazi mu minyewa ya miyendo;
- iyamba kupanga mapangidwe atsopano;
- chiwopsezo cha zovuta zimachepa;
- Amapanga malo onyowa mkati mwa zilonda zam'mimba zomwe zimateteza motsimikizika ku matenda ndi ma bacteria.
Kuphatikiza kumagwiritsidwa ntchito pochiza zilonda zam'mimba, zotupa za venous zomwe sizichiritsa kwa nthawi yayitali.
Kuduladula Virtual ndi njira yomwe ikufunika kwambiri pochiza zilonda za neurotrophic mu shuga mellitus. Njira imakhazikitsidwa ndi resection ya metatarsophalangeal olowa ndi fupa.
Nthawi yomweyo, umphumphu wa anatomiki samasweka pamapazi, maziko a matenda amfupa komanso mavuto opsinjika kwambiri amachotsedwa.
Kuyatsidwa kwamphamvu kwa venistial fistulas. Njirayi imagwiritsidwa ntchito pochiza zilonda zam'mimba (Martorell syndrome). Opaleshoniyo amachitidwa kuti asiyanitse fistulas m'mphepete mwa chilonda.
Mankhwala osokoneza bongo a zilonda zam'mimba
Chithandizo choperekera mankhwala chimaperekera chithandizo chilichonse cha opaleshoni. Chithandizo cha mankhwala osokoneza bongo chitha kukhalanso njira yodziyimira payokha, makamaka pamitundu ina ya zilonda zam'mimba, yofatsa pang'ono.
Kutengera mtundu wa matendawa, matendawa amagawidwa m'magawo osiyanasiyana.
Gawo loyamba
Pa gawo loyambirira la chilonda cholira, mankhwala otsatirawa amaphatikizidwa ndi chithandizo:
- mankhwala oletsa kupikirira (suprastin, tavegil, etc.);
- yotupa yotakata;
- antiplatelet othandizira jakisoni wamkati (reopoliglyukin, pentoxifylline);
- mankhwala odana ndi yotupa (non-steroidal) (diclofenac, ketoprofen).
Chithandizo cham'deralo pachigawo choyambirira chimalinga ndikuchotsa maselo akufa ndi mabakiteriya pachilonda. Zimatengera:
- kutsuka zilonda ndi mayankho a antiseptic potengera furatsilina, potaziyamu permanganate, chamomile, celandine, chlorhexidine kapena mndandanda;
- Kugwiritsa ntchito kwa compress ndi mafuta othandizira (streptolaven, levomikol, dioxicol), komanso kuvala kwapadera kwa sorption (corbonet).
Nthawi zina, dokotalayo amatha kupereka mankhwala a hemosorption, njira yoyeretsera magazi.
Gawo lachiwiri
Pakadali pano mankhwalawa akalandira mankhwala, pomwe gawo la machiritso ndi mapangidwe ake limayamba, mafuta odzola (ebermin, solcoseryl, actevigin) ndi antioxidants (tocopherone) amagwiritsidwa ntchito pochiza zilonda zam'mimba.
Chikhalidwe cha chithandizo chakudziko chikusintha. Pa gawo lachiwiri, kuvala kwamabala kumayikidwa:
- allevin;
- Sviderm;
- algipore;
- algimaf;
- heshispon ndi zinthu.
Komanso, zilonda zam'mimba m'magazi amathandizidwa ndi curiosin.
Gawo lachitatu
M'magawo omaliza a mankhwala osokoneza bongo, matenda omwe amayambitsa kuwoneka ngati zilonda zam'mimba amathetsedwa.
Physiotherapy pochiza zilonda zam'mimba
Kuti muwonjezere mphamvu ya njira zolimbitsa thupi, imodzi mwazinthu zowongolera zamtunduwu ndizomwe zimayikidwa pa siteji ya machiritso:
- Chithandizo cha mavuto a m'deralo mu chipinda cha Kravchenko. Njira imeneyi imagwiritsidwa ntchito ku zilonda za atherosulinotic.
- Akupanga otsika-pafupipafupi cavitation. Chithandizo cha mankhwalawa chimakulitsa mphamvu ya maantibayotiki ndi ma antiseptics pama virus mkati mwa zilonda.
- Magnetic mankhwala. Amasankhidwa ngati vasodilator, sedative, analgesic ndi decongestant kwenikweni.
- Laser Therapy Amagwiritsidwa ntchito pochepetsa ululu, kuchotsa kutupa ndikutsatira minyewa yam'manja.
- Chiwonetsero cha UV. Njirayi imapangidwira kuti ikwaniritse kukana kwa thupi kumatenda osiyanasiyana.
- Zochizira ndi nayitrogeni ndi ozoni. Amawonjezera kuyamwa kwa okosijeni ndi maselo amkhungu ndikuyambitsa kukula kwa minofu yolumikizika.
- Mankhwala othandizira matope ndi balneotherapy. Chithandizo chotere chimaperekedwa kuti achire kwathunthu.
Kodi zilonda zovuta za zilonda zam'mimba zimathandizidwa bwanji?
Zimachitika kuti zilonda zimakhazikitsidwa m'malo ambiri, kotero chithandizo sichimabweretsa zotsatira zoyenera. Zilondazo sizichiritsa ndipo izi zimabweretsa wodwala kuzunzidwa kosatha. Nthawi zambiri izi zimadziwika kuti ndizochulukirapo.
Zilonda zazikulu za trophic, kupatsirana khungu kumachitika. Chikopa chofunikira chimatengedwa kuchokera ntchafu kapena matako.
Pambuyo poziika tinthu tating'onoting'ono ta epithelium timazika mizu ndikukhalanso zolimbikitsa za kubadwanso khungu kuzungulira chilonda.
Folk azitsamba zochizira zilonda zam'mimba
Kuchiritsa zilonda zam'mimba ndi njira yovuta kwambiri. Mabala oterowo ndi ovuta kuchotsa mafinya, ndipo izi zimasokoneza kuchira ndi kuchira. Pa nthawi ya machiritso, wowerengeka azachipatala amathandiza bwino kugwiritsa ntchito mankhwalawa.
Amakhala mukutsuka chilonda ndi decoctions ndi infusions kuchokera ku mankhwala azitsamba, komanso chithandizo chotsatira ndi mafuta opangira mafuta, ndiye kuti, mankhwalawa amachititsa kuti matenda ashuga pakhomo azitha.
Makhalidwe olimba a antiseptic amakhala ndi zotsatizana, celandine, calendula ndi chamomile. Zitsamba izi sizimachotsa mosavuta kutupa, komanso zimapanga epithelium yaying'ono. Pambuyo pakutsuka, asing'anga amalimbikitsa kugwiritsa ntchito zotsatirazi:
- Zilonda zoyera ziyenera kuwotchedwa ndi vodka kapena phula tincture. Pambuyo pake, zonona za ichthyol kapena mafuta a Vishnevsky, omwe ali ndi phula la birch, amawaika pamalo owawa.
- Ngati zilonda zanu sizichiritsa kwa nthawi yayitali, ndiye kuti gwiritsani ntchito matumba a thonje omwe amadzaza ndi phula. Zotsatira zoponderezedwa zimagwiritsidwa ntchito pachilondacho kwa masiku atatu, pambuyo pake ziyenera kusinthidwa ndi zatsopano. Njirayi imabwerezedwanso mpaka zilonda zitazimiririka.
- Chida chabwino kwambiri popewa zilonda zam'mimba ndi ufa womwe umapangidwa ndi masamba omauma. Asanayambe chithandizo, zilonda ziyenera kutsukidwa ndi yankho la rivanol. Kenako amayenera kuwaza ndi ufa wokonzekera ochiritsa ndi bandeji. Mchitidwewo uyenera kubwerezedwa mwadongosolo, mobwerezabwereza kupukuta komwe kwakhudzidwa ndi khungu ndi ufa, koma chilondacho sichitsukidwa kale. Chifukwa cha ufa kuchokera ku tatarnik, zilonda zam'mimba zidzachira posachedwa.
