Matenda a shuga ndi matenda osokoneza bongo omwe mufunika kuti azingoyang'anira kuchuluka kwa shuga m'magazi ndikutsatira zakudya, komanso njira zopewera kupewa zovuta zingapo, mwachitsanzo, phazi la matenda ashuga, momwe zilonda zam'mimba zimapangidwira.
Izi ndizofunikira kwambiri, chifukwa ndi matendawa, chifukwa cha kusokonezeka kwa kagayidwe kachakudya, makoma a zotengera ndi mathero a mitsempha amakhudzidwa.
Zotsatira zake, kuperewera kwa oksijeni kumachitika m'matipi, ndipo zinthu zoopsa za carbohydrate metabolism zimadziunjikira. Matenda a matenda ammimba a shuga amatha kupangitsa kuti miyendo yake ithe.
Kumayambiriro komwe matendawa amakula, odwala ayenera kusamala ndi mapazi awo, chifukwa mu shuga ndi omwe amalumala kwambiri ndipo ali pachiwopsezo cha zilonda zam'mimba.
Ngakhale ndimavulala ang'onoang'ono pakhungu, mabala osachiritsika, zilonda zam'mimba, amatha kupanga pamapazi, ndipo ndizowopsa kwambiri kwa phazi la matenda ashuga.
Izi ndichifukwa choti nthawi yayitali matenda a shuga, chifukwa cha matenda ashuga, zovuta zimayamba:
- matenda ashuga angiopathy - mitsempha yamagazi yaying'ono imakhudzidwa;
- diabetesic neuropathy - mathero amtsempha ang'onoang'ono amakhudzidwa.
Izi zimabweretsa kuti chikhalidwe cha minofu chimasokonekera ndipo phazi la matenda ashuga limapangidwa, pomwe samangokhala zilonda zam'mimba zokha, komanso zilonda zam'mimba zimatha kuwonekera mosavuta. Ndi njira yabwino, izi zitha kupewedwa.
Magawo a chitukuko cha zilonda zam'mimba
- Gawo la mapangidwe a zilonda - pakadali pano pali kuwonjezeka pang'onopang'ono pa kukula kwa zilonda, kuzama kwake ndi mawonekedwe ake pansi pa chinsalu choyera. Zonsezi nthawi zambiri zimakhala ndi fungo losasangalatsa. Mapazi ndi miyendo zimatha kuzimiririka ndi kuzizira, pamakhala kumverera kwa zikwanje zoyenda pansi.
- Gawo loyeretsa chilonda - pang'onopang'ono zolembera zimayamba kutha, pansi kumakhala pinki yowala. Kukula kwa chilonda ndi kuya kwake kumaleka kukula.
- Gawo la machiritso a zilonda - nthawi zambiri machiritso amayamba kuchokera m'mphepete mwa mapangidwe, ndipo kukula kwa zilondazo kumayamba kuchepa pang'onopang'ono. Ngati chithandizo chathanzi komanso cham'deralo chikuchitika, ndiye kuti machiritso ake amayamba kupezekanso pachilonda pachokha.
Magawo awa amadziwika ndi njira yabwino ya zilonda zam'mimba za matenda a shuga. Koma izi sizichitika nthawi zonse. Ngati nthendayo yaphatikizana ndi njirayo, ndiye kuti kutupa kumafalikira kwa minofu ya m'mafupa ndi minyewa, kuyamba kuvunda kumayamba, komwe kuyenera kuchitidwa opaleshoni ndikofunikira.
Ngati chilonda cha trophic sichingodutsa gawo loyamba mpaka lachiwiri, koma chikuyamba kupita patsogolo ndikuzama, ndiye kuti, mwayi wokhala ndi vuto la gangore. Izi nthawi zambiri zimatha kukhala ndi vuto losagwirizana ndi matenda ashuga komanso kuwoneka kwa mitsempha ya mitsempha.
Matenda a shuga a shuga ndi vuto lomwe limayambitsa chiwopsezo cha moyo ndipo, monga lamulo, limabweretsa kumadulidwa kuphazi. Kutengera ndi kufalikira kwa njirayo ndi kuya kwake, kudula kungakhalenso pamlingo wam'munsi kapena ntchafu, ngakhale zonse zimayamba ndi phazi la matenda ashuga.
Nthawi yomweyo, vuto la pakhungu lakunja silitchulidwa kawirikawiri, zilonda zimatha kumangika m'mbali, koma ndondomekoyi ikupitilira mwakuya. Ichi ndichifukwa chake amaletsedwa kudzilimbitsa okha zilonda zam'mimba mu shuga mellitus.
Chithandizo cha zilonda zam'mimba
Chithandizo cha zilonda zam'mimba za matenda ashuga ziyenera kuchitika kokha moyang'aniridwa ndi achipatala ndikuwonetsetsa kuti gawo lavulala. Odwala ayenera:
- samalani pakama (nthawi zina pama bedi),
- idyani pomwe
- kudya mapuloteni okwanira
- mchere ndi mavitamini
- Nthawi zonse muziyang'anira kuchuluka kwa shuga m'magazi moyang'aniridwa ndi endocrinologist.
Ngati wodwala sakhala ndi vuto lotsatira malangizowo kapena kuchuluka kwa shuga sikungatheke pokhapokha, ndiye kuti zitha kuchitika kuchipatala cha endocrinological.
Mu shuga mellitus, kuwonongeka kulikonse kwa miyendo kuyenera kuthandizidwa m'madipatimenti apadera a phazi la matenda ashuga kapena chipinda cha podology omwe amapangidwira odwala matenda ashuga. Ndi zoletsedwa kuchitira nokha.
Chithandizo cha zilonda zam'mimba zisanachitike
Pachigawo choyambirira, pochizira zilonda zam'mimba, ndikofunikira kuti phazi la matenda ashuga liyang'anire kuchuluka kwa shuga m'magazi, kusintha ngati kuli koyenera, ndikuwathandiza. B
Chithandizo chachikulu chimaphatikizanso maphunziro a jakisoni ndi kukonzekera kwa mtima komanso kugwiritsa ntchito mankhwalawa kukonza trophism (thanzi) la minyewa yamiyendo. Pakadali pano, cholinga chachikulu chothandizira zilonda zam'mimba ndikuletsa kupitirira.
Chithandizo cham'deralo chimakhala pochiza m'mphepete mwa mabala omwe mumamwa ma antiseptic mowa (wobiriwira wanzeru, ayodini, 70% mowa).
Chilondacho chiyenera kutsukidwa bwino ndi mayankho amadzimadzi a furatsilina, potaziyamu permanganate (otsika ndende), hydrogen peroxide.
Pambuyo mankhwala, mankhwala umagwiritsidwa ntchito m`dera la matenda ashuga trophic, amene imathandizira kuchiritsa kwa zilonda ndi kudyetsa zimakhala. Kuchiritsa kumachitika onse chifukwa cha kutsegula kwa kaphatikizidwe ka collagen, komanso chifukwa cha kuthamanga kwa kubereka kwamaselo. Kukonzekera kuyenera kukhala ndi mawonekedwe a gelisi kuti filimu yopanda mpweya izitenga.
Zovala ziyenera kuchitidwa kawiri pa tsiku, ndikuyenera kupewera kachilonda (manja amayenera kuthandizidwa, zida zosafunikira ndi zovala) ziyenera kugwiritsidwa ntchito).
Chithandizo cha zilonda zam'mimba mu gawo la kuyeretsa
Pakadali pano, ndikofunikira kupitiliza chithandizo chamankhwala (mtima ndi trophic) ndikuwongolera shuga m'magazi.
Chidwi chachikulu chiyenera kuperekedwa kuti ayeretse zilonda zam'mimba. Kuti izi zitheke, m'mphepete mwa chilondacho muyenera kulandira chithandizo chamankhwala a antiseptic. Kunyumba, mungagwiritse ntchito tincture wa mowa wa calendula ndi mowa wamchere. Zitatha izi, chilondacho chimatsukidwa bwino ndi yankho la 3% haidrojeni.
Ndikofunika kwambiri kusamba tsiku ndi tsiku kusamba kwa firiji ndi njira yofooka ya potaziyamu permanganate. Nthawi ya chithandizo ndi mphindi 20. Zovala za Helium zimagwiritsidwa ntchito kuyeretsa zilonda kuchokera ku zolengeza, zomwe zimasintha minofu ya trophic.
Amasinthidwa ndi zovala zomwe zimanyowa mu chinthu chomwe chimakupatsani mwayi oyeretsa dera la zilonda. Zovala zimayikidwa kawiri pa tsiku mpaka chilondacho chikatsukidwa kwathunthu. Ngati khungu lozungulira chilondacho lasanduka lofiira, ndiye kuti izi zikuwonetsa kukula kwa kutupa. Nthawi yomweyo, kutentha kwa thupi kumakwera, kufooka kumawoneka, ululu kumapazi.
Pamaso pa zisonyezo zotere, ndikofunikira kufesa kuchokera pachilondacho kuti musankhe maantibayotiki omwe tizilombo toyambitsa matenda titha kuzindikira, ndikuyamba chithandizo. Kuchita opaleshoni nthawi zina kungafunike kuti mutsegule bala ndikuchiza kwambiri.
Chithandizo cha zilonda zam'mimba pa nthawi ya machiritso
Kuti muthandize zilonda zam'mimba zomwe mumachiza kale, ndikofunikira kugwiritsa ntchito mafuta ndi mafuta omwe angapangitse kuti izi zisunthike komanso kuti muzikhala ndi michere yoyenera. Minyewa imayikidwa m'malo opaka magazi a zilonda zotsukidwa, ndi mafuta m'malo owuma ndi m'mbali mwa chilondacho.
Monga kusinthika kwa chilondacho kumangogwiritsa ntchito mafuta okha. Pa siteji yamachiritso, madiresi amatha kuchitika osati kawiri patsiku, koma kamodzi. Chithandizo chotere chiyenera kupitilirabe mpaka zilonda zichiritsidwe.
Mankhwalawa zilonda zam'mimba iliyonse, njira zopanda mankhwala zimagwiritsidwa ntchito:
- Mankhwala amanjenje;
- mafunde d,Arsonval;
- laser walitsa magazi;
- hirudotherapy - kugwiritsa ntchito leeches;
- mankhwala ozoni;
- ultraviolet walitsa magazi.
Chida chothandiza kwambiri chomwe chimathandizira kusinthika kwa minofu ndikusintha zakudya zawo ndi Solcoseryl. Amagwiritsidwa ntchito pamagawo onse a trophic ulcer mankhwala. Kuphatikizika kwa mankhwalawa kumaphatikizapo kuphipha (kuchotsera) ku magazi a ng'ombe, oyeretsedwa kuchokera ku gawo la protein.
Solcoseryl amapangidwa mu mitundu ya helium ndi mafuta, motero ndioyenera kugwiritsidwa ntchito pochiza zilonda pamitundu yonse ya chitukuko. Gilala imagwiritsidwa ntchito pa magawo a mapangidwe ndi kuyeretsa, komanso mafuta - pamlingo wochiritsa zilonda.
Mitundu yonseyi imakonzanso kupezeka kwa minofu yomwe ikukhudzidwa ndi okosijeni komanso chakudya. Zotsatira zake, njira zochira pansi ndi makoma a zilondazo zimayendetsedwa.
Gilalo imayambitsa kupangika kwa minofu ya granulation ndikuchepetsa kubisala kwa exudate, ndipo mafuta amadzitchinjiriza ndi zilonda zam'mimba pakachiritsidwe zilonda, amathandizira njira ya epithelization ndikulimbikitsa mapangidwe a minofu yovuta.
Mafutawo amayenera kupakidwa mu wosanjikiza wowonda katatu patsiku, mafuta amapaka kamodzi kapena kawiri pa tsiku.
Kupewa kwa trophic ulcer mapangidwe mu shuga
Njira yayikulu yopewa matendawa ndi kupezeka koyambirira kwa matenda ashuga (makamaka mtundu wachiwiri), chithandizo chake chothandiza komanso kukwaniritsa kukhazikika kwa shuga m'magazi.
Ngati pali chosowa, ndiye kuti muyenera kutsatira zakudya zinazake, kumwa mankhwala osokoneza bongo kuti muchepetse shuga kapena kupanga jakisoni wa insulin.
Popeza matenda ashuga angiopathy ndi polyneuropathy ndi zovuta kwambiri za matenda a shuga, ndikofunikira kuti ayambe kupewa msanga momwe angathere, kumayambiriro kwa matendawo. Kuphatikiza apo, anthu odwala matenda ashuga ayenera kutsatira malangizo awa:
- Valani nsapato zapadera za orthopedic (kapena osakhala bwino) nyengo yoyenera;
- nthawi zonse muziyang'anira momwe mapazi awo aliri, kuteteza kwakanthawi microtrauma, ming'alu ndi abrasions;
- Pewani kuyenda nthawi yayitali komanso kuchuluka kwa miyendo;
- Pewani kutentha kwambiri kapena kuthamanga kwa mapazi;
- ngakhale mutavulala pang'ono phazi, yambani kulandira chithandizo mwachangu moyang'aniridwa ndi achipatala.
