Phazi la matenda ashuga limatanthawuza kuwonongeka pakhungu, ziwiya zazikulu ndi zazing'ono, mathero a mitsempha, minofu ya mafupa, ndi minyewa yamapazi. Zomwe zimayambitsa izi zimayenderana ndi kupezeka kwa poizoni m'maso mwa kuchuluka kwa shuga m'magazi, kuwonjezereka komwe kumachitika chifukwa chophwanya malamulo ake ndi insulin ya mahomoni opangidwa pancreas.
Kodi vuto limayamba bwanji?
Matenda a diabetesic phazi ndi kuphatikizika kwa matenda a shuga, pomwe kuwonjezeka kwa shuga m'magazi sikumakhudza mitsempha yayikulu komanso yaying'ono, dongosolo lamanjenje, mafupa ndi minofu.
Zotsatira zake, ndi matenda otere, kuwonongeka kwa ziwalo zambiri ndi machitidwe zimachitika. Kuphatikiza apo, pali kuwonongeka m'magazi omwe amapezeka m'miyendo, makamaka maondo ndi mapazi, chifukwa amakhala kutali ndi mtima.
Panthawi yayitali ya kuchuluka kwa glucose pamitsempha yam'miyendo, mtundu wa matenda ashuga umayamba, womwe umayambitsa kuchepa kwamvedwe a ululu, pomwe zilonda zazing'onoting'ono pakhungu sizimamvetseka ndi odwala komanso sizichiritsa. Komanso, miyendo imakhala yolemedwa kwambiri poyenda, yomwe imalepheretsa kuchira mwachangu, ndipo matendawa odwala matenda ashuga akupitilirabe.
Mitundu yamatenda
Mitundu ya phazi la matenda ashuga:
- Neuropathic - kuwonongeka kwa minyewa yamitsempha.
- Ischemic - kutuluka kwa magazi kumasokonekera.
- Osakanikirana - zizindikiro za mawonekedwe a neuropathic ndi ischemic amawonekera.
Matenda a matenda ashuga amamuchititsa kumva kupweteka m'miyendo, pomwe kupuma ululu kumakulirakulira, ndipo pakusunthika kumayamba kuchepa mphamvu. Zizindikiro zina zosokoneza mu minyewa yamitsempha imawonedwanso - kumverera koyaka, dzanzi, kumva kuwawa kwa mapazi.
Ndi zilonda zakuya zam'mimba zomwe zimachitika chifukwa cha kusayenda bwino kwa magazi, zilonda zimachitika, amachira, komanso zilonda zam'mimba, gangrene.
Kuwonetsedwa kwa matendawa
Matenda a matenda ashuga a shuga, omwe amawonjezera mwayi wa kusintha kwakukulu, amatchedwanso "vuto laling'ono phazi". Ngakhale sakhala olakwira kwambiri, komabe, sayenera kuchitiridwa zinthu zina zilizonse chifukwa zingayambitse matenda ovuta, monga:
Msomali umadetsedwa chifukwa cha kukha magazi pansi pa msomali chifukwa chakanikizira nsapato zolimba, monga chithunzicho. Izi zimatha kuyambitsa purosesa ngati zotupa m'mimba sizikudziyambitsa zokha. Kenako simukuyenera kuvala nsapato zomwe zimayambitsa magazi. Ngati kupitiliza kwachitika, ndiye kuti dokotala amayenera kuchezeredwa.
Bowa pamisomali - misomali imakulitsidwa, amasintha mtundu, amakhala opaque. Misomali yotere imatha kupanikiza chala chomwe chili pafupi, kapena, chifukwa cha kupsinjika ndi nsapato, njira yotsukidwa imatha kuchitika pansi pa msomali ndipo phazi la matenda ashuga limayamba kukhazikika. Ndikofunikira kukaonana ndi dermatologist, yemwe mu labotale pogwiritsa ntchito scraping adzazindikira ndi kupeza chithandizo.
Chimanga, chimanga - hemorrhage, komanso purifine process, zimatha kuchitika pano. Chimanga chizichotsedwa ndi pumice, koma osachiwotcha m'madzi otentha, osagwiritsa ntchito pulasitala ndipo musafewetse. Nsapato ziyenera kusinthidwa, thandizo la akatswiri a zamankhwala posankha ma insoles a orthopedic, umu ndi momwe phazi la matenda a shuga limadziwonekera.
Kuwonongeka pakhungu pakudula kwa misomali - kumawonekera chifukwa cha kuperewera kwa ululu, phazi la matenda ashuga limachepetsa mphamvu, ndipo nthawi zina zimakhala zovuta kwa munthu wonenepa kwambiri kapena wopuwala pang'ono kuti adule misomali yake bwino. Zilonda zimapezeka pamalo owonongeka. Wodulidwa amayenera kuthandizidwa ndikukonzekera ndi antimicrobial ndikukonzekera ndi bandeji yosabala. Muyenera kuyesa kudula misomali yanu molondola - osadula mpaka muzu, kusiya 1 mm. Ngati vuto lanu lamaso silili bwino, ndibwino kuti muzigwiritsa ntchito thandizo la okondedwa anu.
Ming'alu pazidendene - zimachitika ndikuyenda opanda nsapato kapena nsapato, pomwe chidendene chili chotseguka, chokhala ndi khungu louma. Matendawa odwala matenda ashuga amawatsogolera pakukula kwa ming'alu, amatha kukhala zilonda zam'mimba. Khungu lowuma m'dera la chidendene limachiritsidwa ndi mafuta ndi mafuta omwe amakhala ndi urea (Callusan, Diacrem, Balzamed, Heel-cream, etc.). Kuphatikiza apo, pumice iyenera kuyikidwa zidendene; ndikulimbikitsidwa kuvala nsapato ndi chidendene chotseka. Zomwe ming'aluyo itamiza, idayamba kutuluka magazi - ndikofunikira kugwiritsa ntchito ntchito zapakati pa phazi la odwala matenda ashuga.
Mafangayi kumapazi - amakhala chomwe chimayambitsa kukula kwa gawo la ming'alu nthawi yomweyo ndi peeling ndi kuyanika kwa khungu la phazi. Phazi la matenda ashuga limatsogolera pakupanga ming'alu yomwe imasanduka zilonda za matenda ashuga. Monga fungus ya msomali, kufunsira kwa dermatologist ndikofunikira.
Kusintha kwa phazi - kuwonjezeka kwa mafupa pachala (chala chikadzapinda m'chigawo cholumikizira koyamba) - kumatsogolera kukuwonekera kwa chimanga mbali yomwe imatuluka. Kenako mudzayenera kunyamula ndi kuvala nsapato za orthopedic, insoles kuti muchepetse kupanikizika pamalo owonongeka a phazi, kuti tsambalo lisatukuke.
Matenda am'mimba mu shuga ndi gawo lovuta kwambiri la mawonekedwe. Zimachitika ngati matenda a anaerobic atakula kwambiri m'magazi ndi m'miyendo ya m'munsi. Njirayi imachitika mwachangu kwambiri ndipo nthawi zambiri imabweretsa zotsatira zoyipa, ngakhale kufa. Masiku ano, kudula ndi imodzi mwanjira zazikulu zochiritsira gulu lachiberekero. Kuphatikiza apo, maantibayotiki ndikuchotsa kuledzera amagwiritsidwa ntchito. Pazifukwa izi, ndikofunikira kwambiri kuyambitsa chithandizo cha matenda apanthawi yake.
Kusamalira phazi la matenda ashuga?
Zimafunikira kukaonana ndi katswiri pazomwe zimapangitsa kutupa pang'ono. Njira yochepa yotupa ingayambitse zovuta zambiri, ndipo chithandizo cha matenda a matenda ashuga chimakhala chovuta.
Ukhondo wa kumapazi umachitika tsiku lililonse kunyumba, kupukuta modekha osakuta. Kumbukirani mipata yomwe ili pakati pa zala - imafunanso kutsukidwa ndi kuyanika mokwanira, izi sizithandiza kuyambitsa vuto monga matenda ashuga a polyneuropathy am'munsi ...
Chitani kafukufuku wa phazi tsiku ndi tsiku kuti mupeze kuvulala, kudula, ming'alu, matuza, ndi zina zomwe zingayambitse matenda. Kuyendera mapazi kumatha kuchitika pogwiritsa ntchito magalasi. Ngati wodwala saona bwino, ayenera kupita kukathandiza wina wa banja lake.
Tsiku lililonse muyenera kuyang'ana nsapatozo kuti mupewe chimanga ndi chimanga, zomwe zimatha kukhala kuti zikulowa mu nsapato za chinthu chakunja, kukhalapo kwa cholembera chophwanya, chopondera.
Tsiku lililonse muyenera kusintha masokosi, omwe akuyenera kukhala kukula koyenera, popanda zotanuka zolimba. Sitikulimbikitsidwa kuvala masokosi opotera, zinthu zonsezi zitha kuchitidwa kunyumba.
Yesani kupangitsa nsapato kukhala bwino, mutakhala mwendo bwino. Osagula nsapato zomwe zimafuna kutumiza. Ngati pali kusintha kwakukulu pamapazi, muyenera kugwiritsa ntchito nsapato zapadera za orthopedic. Osamavala nsapato zapamsewu pamapazi opanda kanthu. Palibenso chifukwa chovalira nsapato komwe lamba ili pakati pa zala. Sizoletsedwa kuyenda popanda nsapato pamchenga wotentha, dothi, etc.
Povulala, chithandizo cha phazi la anthu odwala matenda ashuga sichilimbikitsa kumwa mowa, ayodini, wobiriwira wanzeru, potaziyamu wambiri, popeza ali ndi othandizira pofinya. Ndikofunika kuchitira kuwonongeka ndi mankhwala apadera - chlorhexidine, miramistin, dioxidine kapena hydrogen peroxide mu 3% yankho, bandage yosalala iyenera kuyikidwa.
Chenjerani ndi kuvulala kwa khungu la kumapazi. Ndi zoletsedwa kugwiritsa ntchito mankhwala omwe amathandiza kuti chimanga chisamfewe, simuyenera kuchotsa chimanga ndi lezala, scalpel ndi zida zina zodulira. Ndikulimbikitsidwa kugwiritsa ntchito pumice kapena fayilo ya msomali.
Muyenera kudula misomali molunjika, simungathe kuzungulira ngodya. Mukasindikiza msomali, simuyenera kuti muchepetse, koma muziyika. Mopanda kupenya bwino, wodwalayo ayenera kupempha thandizo kwa munthu wapafupi.
Ngati khungu m'miyendo likuyamba kuuma, muyenera kugwiritsa ntchito kirimu mafuta nthawi zonse, monga peach, mafuta a buckthorn, kupewa mtunda pakati pa zala. Chovomerezeka kugwiritsa ntchito mafuta omwe amaphatikizapo urea (Callusan, Balzamed, ndi ena).
Ndikofunikira kusiya kusuta, chifukwa chizolowezi chotere chimawonjezera chiopsezo cha gangore nthawi 2.5.
Kodi nsapato za phazi la matenda ashuga ziyenera kukhala chiyani?
Pofuna kupewa njira zopewera, nsapato zamadzimadzi ndizofunikira kwa odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi vuto la kumapazi. Nsapato zosankhidwa bwino zimatha kuchepetsa ngozi yopanga phazi la matenda ashuga katatu.
Zina mwa nsapato zomwe ndizoyenera odwala omwe ali ndi matenda ashuga:
- Nsapato zopanda seams kapena zokhala ndizochepa kwambiri.
- Nsapato sizopapatiza kotero kuti kutalika kwake sikotsika kuposa kupingasa kwokhako.
- Voliyumu ya nsapatoyo imasinthidwa pogwiritsa ntchito Velcro kapena lading.
- Yokha pa nsapato iyenera kukhala yolimba, ndi yokulungira.
- Zinthu za nsapato, zonse kumtunda komanso zingwe, zimasinthasintha.
- Ndikofunikira kuti nsapatozo zikhale zopepuka, ndipo orthopedic insole imayikidwamo.
- Mbali yakutsogolo ya chidendene chili ndi bevel.
- The insole iyenera kukhala yofewa komanso yosachepera 1 cm.
- Ngati pali kusinthika kwa phazi, ndiye kuti ndikofunikira kupanga ma insoles aogwirizanitsa payekha, omwe amatha kuvala kuyambira miyezi isanu ndi umodzi mpaka chaka.
Pogula ndi kuvala nsapato, zotsatirazi ziyenera kukwaniritsidwa:
- Nsapato zimayenera kugulidwa masana, pomwe kutupa kwa miyendo kungawonedwe, ndipo kukula kwa nsapato ndikutsimikiza molondola.
- Zovala ziyenera kukhala zofewa, zomasuka, zazikulu, zokhala bwino phazi, zopangidwa ndi zinthu zachilengedwe, kuti zisamveke bwino mukavala. Nsapato siziyenera kutsina phazi.
- Ndi chidwi chocheperapo phazi, ndikofunikira kugwiritsa ntchito mawonekedwe a phazi panthawi yoyenera (muyenera kuyika phazi lanu papepala, kuzungulira phazi ndikudula chojambula chozungulira). Inbu iyi imayikidwa mu nsapato - ngati ingagwada m'mphepete, zikutanthauza kuti nsapatozi zidzakanikizidwa, chimanga ndikusinthana kumatha kuchitika.
- Malingaliro akuyenera kukhala olondola - osadutsa malowedwewo, koma alowe nawo limodzi.
- Osamavala nsapato popanda sock.
Matenda a matenda ashuga
Oyenera kwambiri ndi thandizo la madokotala othandizira opaleshoni kuchipatala chapadera cha odwala matenda ashuga. Malo kapena maofesiwa amapezeka m'makiriniki akuluakulu ambiri. Ngati simungathe kulowa mu ofesi ya odwala matenda ashuga, muyenera kufunsa dokotala wa opaleshoni kapena wa opaleshoni.
Pokhapokha ngati mutatembenukira kwa madotolo kuti akuthandizeni, mutha kupewa zovuta za zovuta zovuta komanso zovuta za matenda osokoneza bongo, zomwe zimayambitsa phazi la matenda ashuga, chithandizo chikuyenera kuchitika kokha ndi dokotala, kenako angiopathy yam'munsi yotsika imatha kuchepetsedwa.
Akatswiri azachipatala ayenera kulumikizidwa nthawi yomweyo akangoyamba kuwonongeka kwa khungu la yekhayo. Pa mankhwalawa chifuwa cha matenda ashuga, ma antimicrobials amagwiritsidwa ntchito omwe alibe khungu, monga dioxidine, chlorhexidine ndi ena.
Iodine, mowa, greenback, potaziyamu permanganate ndizoletsedwa, chifukwa zimatha kukulitsa kuchiritsa kwamiyendo chifukwa chofufuta katundu. Ndikofunikira kugwiritsa ntchito mavalidwe aposachedwa omwe samamatira pachilonda, omwe amawasiyanitsa ndi gauze.
Chithandizo chowawa chikuyenera kuchitika mwadongosolo, kuchotsa minofu yakufa. Njirayi iyenera kuchitidwa ndi akatswiri azachipatala omwe amakhala ndi masiku atatu mpaka 15. Ndikofunikira kuteteza zilonda zamtunduwu pakuyenda. Kuti muchite izi, gwiritsani ntchito zinthu zapadera - kutsitsa nsapato, nsapato za theka.
Ngati zomwe zimayambitsa zilonda kapena kufooka zayamba kufalikira, ndiye kuti chithandizo cham'deralo chitha kukhala chofooka popanda kuyambiranso magazi ake. Chifukwa chaichi, opaleshoni yam'mitsempha imachitidwa (ma balloon angioplasty, opaleshoni ya bypass amachitidwa).
