Aliyense amene ali ndi matenda ashuga ayenera kudziwa kuti pali zovuta zingapo za khungu zomwe zitha kuoneka nthawi yayikulu kwambiri. Nthawi zambiri, mavuto a pakhungu amatha kuthetsedwera munthawi yochepa, koma chifukwa chake ndikofunikira kufunafuna chithandizo chamankhwala posachedwa ngati mawanga ayamba kuwoneka pamiyendo ndi thupi.
Kodi zotupa za pakhungu zimayambitsidwa ndi matenda ashuga?
Mankhwala amadziwa mavuto ambiri osiyanasiyana. Choyamba, ziyenera kudziwika kuti diabetesic scleroderma.
Mkhalidwe wofananawo umakula motsutsana ndi maziko a matenda osokoneza bongo ndipo amawonekera ndikukulira khungu kumbuyo ndi khosi kumbuyo, khungu limatha kusintha mtundu, mawanga amawoneka.
Chofunika kwambiri pa mankhwalawa ndichowongolera kwambiri m'thupi la wodwalayo m'magazi a wodwala. Malinga ndi zodzikongoletsera, kugwiritsa ntchito moisturizer kapena mafuta odzola pakhungu lakhudzidwa kungathandize. Izi zimafewetsa ndikuchotsa zosasangalatsa zomverera, zimatha kuchotsa madontho, komanso zotupa.
Vitiligo ndi mnzake wa matenda ashuga. Nthawi zambiri, dongosolo lotupa la khungu limachitika ndi mtundu woyamba wa matenda ashuga. Ndi vitiligo, maselo a khungu amataya khungu lawo lachilengedwe (lomwe limayang'anira khungu), zomwe zimapangitsa kuti pakhale mawanga oyera thupi, miyendo, nkhope, monga chithunzi.
Kwambiri, vitiligo chimakhudza m'mimba, pachifuwa, komanso kumaso (mawanga oyera amawoneka kuzungulira pakamwa, m'maso, kapena pamphuno). Pakadali pano, thirani vitiligo - izi zikutanthauza kuti mutenge mankhwala okhala ndi mahomoni apamwamba (mahomoni), komanso kugwiritsa ntchito micropigmentation (ma tattoos).
Awo omwe ali ndi vuto lodzikongoletsera ili ayenera kukhala nawo mu nduna yawo yamankhwala zonona zapadera zomwe zimateteza ku dzuwa. Mulingo wake woteteza ku ma radiation a ultraviolet uyenera kukhala osachepera 15. Ndi chifukwa chomwechi chomwe chimawotcha malo osalala a khungu sichidzaperekedwa, ndipo mawanga sangaoneke.
Zofooka za khungu zimayamba chifukwa cha insulin
Acantokeratoderma akuphatikizidwa m'gulu lino. Matenda amtunduwu amachititsa kuti khungu likhale lakuda komanso limakhuthala m'malo ena a integument, makamaka m'malo a crease. Khungu limakhala lofiirira komanso limatchinjika, komanso kukwera kumapangika.
Nthawi zambiri, izi zimawoneka ngati nyongolotsi ndipo zimapezeka pamalo a armpit, m'mphepete kapena pansi pa chifuwa. Nthawi zina, zala za munthu wodwala zimathanso kusintha.
Acanthokeratoderma ndiwotsogolera matenda ashuga ndipo tinganene kuti matenda amtundu wa chikopa ndi chikhomo. Mankhwala amadziwa mitundu ingapo yofananira yomwe imakhala yolimbikitsa kwa acanthosis pakhungu. Tikulankhula za matenda otere:
- Itsenko-Cushing's syndrome;
- acromegaly.
Zofooka za pakhungu zimayenderana ndi kuperewera kwa magazi
Nthawi zambiri, atherosclerosis imatha kukhala chifukwa cha totupa. Matendawa amawonetsedwa ndi kuchepa kwamitsempha yamagazi chifukwa chakuthinima ndi kukhazikika kwa makoma, zomwe zimachitika chifukwa cha kufalikira kwa ziboliboli, chifukwa chitha kukhala ndi mawanga ndi zotupa pakhungu.
Ngakhale kuyanjana mwachindunji kwa atherosulinosis ndi ziwiya zama pericardial, matendawa amathanso kukhudza omwe ali pansi pa khungu. Nthawi zina, amatha kumachepetsa komanso osalola kuti mpweya wofunikira udutse. Zizindikiro mu nkhaniyi:
- kuthothoka tsitsi;
- kupyola khungu, kunyezimira kwake;
- kuzizira kwazizira;
- kukula ndi kusintha kwa misomali yamiyendo pamapazi.
Zovuta zambiri zimatha kubweretsa matenda a shuga. Amadziwika ndi kusintha kwa mafuta a collagen ndi subcutaneous pamiyendo ndi thupi. Magawo apamwamba a khungu amasanduka ofiira komanso ochepa thupi. Zowonongeka zambiri zimapezeka pamapazi apansi. Matendawa akapezeka, ndiye kuti madera omwe akhudzidwa ndi zilonda, mawanga adzalowa zilonda.
Nthawi zambiri, mawanga owoneka pakhungu amakhala opanda malire. Nthawi zina, kuyabwa ndi kuwawa kumatha kuyamba. Ngati chilonda sichikuvutitsanso, ndiye kuti chithandizo chinanso sichinaperekedwe, ngakhale zili choncho, kufunsa dokotala sikupweteke.
Chowonetseranso china cha matenda omwe amapezeka m'magazi a anthu odwala matenda ashuga ndi matenda a shuga.
Zomwezi zimachitikanso chifukwa cha kusintha kwamitsempha yamagazi yopereka khungu ndi magazi. Zilonda zam'mimba ndizotupa kapena ozungulira. Amadziwika ndi khungu loonda ndipo amatha kukhala kutsogolo kwa mwendo wapansi. Ngakhale ma stain sakhala achilengedwe, amawawa, amayambitsa chisangalalo. Izi sikufunanso kuchipatala mosiyanasiyana.
Odwala ambiri omwe ali ndi matenda ashuga amatha kudwala sclerodactyly. Ndi matendawa panthawi ya matenda ashuga, khungu pazala ndi zala zimakhazikika. Kuphatikiza apo, makulidwe amtundu wa manambala amatha kuchitika, komanso kuuma pakati pa phalanges.
Dokotala atha kukulemberani mankhwala apadera othandiza kuti magazi a shuga azikhala bwino. Kuti muchepetse vutoli, zodzoladzola zosiyanasiyana zitha kugwiritsidwa ntchito kufewetsa khungu lamanja.
Rash xanthomatosis ndiwonso mnzake wa matenda ashuga. Kulephera kotere kwa khungu kumatha kukhala ndi shuga wosalamulira m'magazi a wodwala matenda a shuga. Pokana kwambiri ndi insulin, zingakhale zovuta kuchotsa mafuta m'magazi. Ngati kuchuluka kwa mafuta kumatsika pamlingo, ndiye kuti izi, chiopsezo chokhala ndi pancreatitis chimawonjezeka kangapo.
Xanthomatosis imachitika pakhungu monga mawonekedwe a chikasu cha waxy. Amatha kupezeka m'malo otere a pakhungu:
- kumbuyo kwa manja;
- pa miyendo;
- miyendo ikugwada;
- nkhope;
- matako.
Izi amawayang'ana, imakhala yofiyira ndipo mwina atazunguliridwa ndi halo yofiira. Chithandizo chimaphatikizapo kuwongolera lipids yamagazi. Vutoli likakwaniritsidwa, nthenga zachikasu ndi zotupa kuchokera pakhungu zimatuluka pakatha milungu ingapo. Kuphatikiza apo, mankhwala omwe amatha kuwongolera kuchuluka kwamafuta osiyanasiyana m'magazi angagwiritsidwe ntchito. Ndikofunikira kusiyanitsa mawanga ndi omwe ali ngati phazi la matenda ashuga oyambira.
Zilonda zina za pakhungu
Gawoli liyenera kukhala:
- zotupa
- zolembera;
- matuza;
- granulomas;
- wodwala matenda ashuga.
Mafuta pazakudya, tizilombo, komanso mankhwala zimatha kuchitika ndi zotupa pakhungu m'njira zokhala ngati zotupa kapena zolembera, zomwe nthawi zambiri zimakhala zotupa kwambiri. Kuphatikiza apo, zotupa zofananira khungu zimachitika m'malo omwe insulin imakonda kuperekedwa.
Pafupipafupi, matenda a shuga a pemphigus (bullae) amatha kuyamba. Amakhala ofanana ndi matuza kuchokera kuwotcha. Ma vesicles oterewa amatha kupezeka pazala ndi zala zakumaso, manja kapena miyendo. Amatha kudutsa popanda kulowererapo kuchipatala, ndipo amakhala achilengedwe mwa odwala omwe ali ndi matenda a shuga. Mankhwala onse amakhala a shuga.
Kuwonetsedwa komaliza kwa matenda a shuga pakhungu kungakhale kofalitsidwa grularulan. Amakula mwachangu ndipo amawonetsedwa ndi gawo lofotokozedwalo kapena lakunja kwa khungu. Zotupa zotere zimatha kutha makutu kapena zala, ndipo nthawi zina pamimba kapena miyendo.
Chotupa chake ndi chofiyira, chofiirira, kapena chofiirira. Njira yayitali kwambiri yolowera ku chipatala ndiyo kugwiritsa ntchito ma steroid, monga hydrocartisone.
