Zilonda zowoneka bwino pakhungu zimakhazikika mu 50% ya anthu odwala matenda ashuga, kusintha kosintha ndi zizindikiro zimatha kupezeka pafupifupi onse odwala. Dermopathy ya matenda a shuga amatanthauza zotupa zoyambirira za khungu zomwe zimayambitsa matenda ashuga. Zomwe zimayambitsa mavutowa ndizofanana ndi zovuta zina - kuchuluka kwa shuga m'magazi komanso kudzikundikira kwa zinthu za metabolism ya m'magazi. Zotsatira zake zoyipa zam'madzi, ma epermis, ma follicle ndi ma glands, kapangidwe kake ndi kusintha kwake kwa utoto. Matenda a pakhungu la matenda ashuga nthawi zambiri sawopsa ngati sasokonezedwa ndi bacteria kapena fungal.
Kodi kudwala matumbo ndi chiani?
Dermopathy ya matenda ashuga amawoneka ngati zigamba za khungu loyipa lakuda. Matendawa amatengedwa ngati chiwonetsero chofala kwambiri pakhungu la matenda ashuga. Nthawi zambiri, mawanga amawoneka ofanana pamaso pa mwendo wakumbuyo ndi kunsi kwa phazi, koma gawo lina la thupi limathanso kukhudzidwa.
Mawonekedwe akawoneka, amakhala ochepa, pafupifupi 1 cm, wozungulira kapena wowondera, ofiira kapena ofiira. Mpumulo ndi kachulukidwe kakakhungu nthawi zambiri sikasinthika, koma timabowo tomwe timatuluka pang'ono pamwamba pake titha kuonekanso. Nthawi zambiri, matenda opatsirana a shuga a matenda oyamba kumene amakhala olakwika. Pang'onopang'ono, kuchuluka kwa mawanga kumawonjezeka, amatha kuphatikizana wina ndi mzake ndikuphimba pansi lonse mwendo. Khungu lomwe limakhala m'malo akuluakulu limakhala lopota komanso lopuwala, ndipo limayakhula kapena kuyabwa. Mwambiri, dermopathy ndi asymptomatic.
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
Zokhudza matendawa:
- Zimachitika pokhapokha ngati mukudwala matenda ashuga, chifukwa chake dermopathy ndi chizindikiro chotsimikizika cha shuga.
- Amawonedwa nthawi zambiri mwa amuna omwe ali ndi matenda a shuga ochedwa.
- Ndi conneitant polyneuropathy m'malo omwe akhudzidwa, kupweteka kapena kuwotcha kumatha kumveka.
- Mphete zimazimiririka pazaka ziwiri zokha, pomwe kuwoneka kwatsopano sikumatha.
Kutsimikizira matenda a dermopathy, kuyezetsa thupi ndi kuchuluka kwa magazi m'magazi ndikokwanira. Kuti mupeze matenda osiyanasiyana, mwa kukayikira, khungu limakulungidwa ndi kuyesedwa kwina, kuyesedwa ndi nyali ya Wood.
Zomwe zimayambitsa vuto la matenda ashuga
Kugwiritsa ntchito mbiri yakale ndi ma microscopic a khungu, zimatsimikiziridwa kuti shuga yanyengo imasintha kwambiri mawonekedwe a khungu, "kukalamba". Mmenemo, kuchuluka kwa ulusi wa elastin kumachepa, minofu yolumikizana imakula, kaphatikizidwe ka elastin kamachepa, ndipo kapangidwe kazinthu kazosintha ka collagen. Mwapangidwe, khungu la wodwalayo wazaka 40 wodwala matenda ashuga ali pafupi ndi khungu la munthu wazaka 60 wopanda mavuto a metabolism ndi mahomoni. Matenda owopsa a shuga amawongolera, khungu limawoneka loipitsitsa.
Mavuto akulu ndi kusenda, kuuma, kumva kukomoka, kuyabwa, tsitsi. Zonsezi ndizotsatira za kusowa bwino kwa khungu chifukwa cha Microangiopathy. Zinakhazikitsidwa kuti m'malo omwe ali ndi dermopathy ya matenda a shuga zizindikiro zonse za angiopathy zimayang'aniridwa: ma capillaries amawonongedwa, makoma a arterioles ndi venule amakhala odakasa.
Zomwe zimasinthazi ndi shuga wambiri. Amatsogolera:
- kufooketsa makoma amitsempha yamagazi chifukwa cha kuseka kwa mapuloteni mkati mwake;
- kudzikundikira minyewa ya zinthu zopotoza kagayidwe - sorbitol ndi glycosaminoglycan. Amachulukitsa kuwonongeka kwamitsempha, zimakhudza mathero amtsempha;
- pakukula kwa endothelium, kulowa mkati mwa maselo akufa ndikuwunikira kwa ziwiya.
Chifukwa chake, chomwe chimapangitsa kuti mawanga azikhala ndi kukhetsa magazi kwathunthu kwa khungu. Amakhulupirira kuti kuvulala kwapang'onopang'ono ndi kukanda kumayambitsa kuwonongeka kwa mtima.
Dermopathy ndi chizindikiro chowala chomwe chimawonetsa mavuto ndi ziwiya. Maonekedwe a mawanga amafunika kuzindikira kosaneneka kwa matenda ena a shuga. Pa nthawi yomweyo monga dermopathy, retinopathy, nephropathy, arthropathy, neuropathy imayamba.
Mitundu ya dermopathy yomwe ilipo
Matenda apakhungu omwe amapezeka kwambiri m'matumbo a shuga ndi dermopathy m'munsi mwendo, rubeosis ya khungu, acrochordones ndi hemorrhagic vasculitis. Ochepa kwambiri ndi lipoid necrobiosis, pemphigus, xanthomatosis.
| Matenda achikopa | Mawonekedwe | Zizindikiro | Chifukwa |
| Dermopathy | Mawanga pakhungu, poyambirira ofooka, pang'ono ndi pang'ono amayamba kuda. | Palibe, kawirikawiri - peeling ndi kuyabwa. | Kuwonongeka kwa mitsempha yamagazi yopereka khungu chifukwa chosabwezera bwino matenda a shuga. |
| Rubeosis | Kuchepa kwa khungu, koyamba pamasaya ndi chibwano, kumatha kuphimba nkhope yonse pang'onopang'ono. | Sapezeka. | Kukula kwa capillaries monga zochita zawo kuwonongeka shuga |
| Acrochordons | Phuma pamwamba pa khungu, lathyathyathya kapena mwendo. Nthawi zambiri beige, koma bulauni imapezekanso. | Ngati ikupezeka m'malo omwe mumakangana, imatha kuwonongeka, kupweteketsa, kuyaka. | Kukalamba khungu. Ukalamba ndimasintha wamba pakhungu. |
| Hemorrhagic vasculitis | Mawanga ofiira akuda, matuza ang'onoang'ono okhala ndi zamagazi pamiyendo kapena matako. Pakupita masiku angapo, mawanga amayamba kuwala kenako pang'onopang'ono. | Palibe nthawi zonse. Kuyabwa, kutupa kwa mapazi kapena manja m'dera lomwe lawonongeka kumatha kumveka. Mwakamodzikamodzi, kupweteka m'malo olumikizirana kumveka, zilonda zimawoneka. | Kutupa kwa ziwiya za pakhungu chifukwa cha kuwonongeka kwawo komanso kuchepetsa chitetezo chokwanira kwa wodwala matenda ashuga. Nthawi zambiri amagwirizana ndi matenda ashuga nephropathy. |
| Lipoid necrobiosis | Mizere, yofiyira kuzungulira mkombero ndi chikasu, yokhala ndi zigamba za khungu mkati, imakonda kutchulidwa pamiyendo. | Palibe mpaka khungu lawonongeka. Ululu umawoneka ngati zilonda zam'mimba zimapezeka m'magawo a necrosis. | Sinthani mu chakudya chamafuta ndi lipid mkati mwa khungu, magazi osakwanira m'magawo ena. |
| Pemphigus (bullae) | Makuni akulu akulu odzazidwa ndi madzi. Nthawi zambiri imapezeka kumapeto. | Ululu pambuyo kuwonongeka kwa chikhodzodzo. | Osakhazikitsidwa, matendawa amakhala ochulukirapo kwa odwala omwe ali ndi matenda ashuga akulu kwambiri. |
| Xanthomatosis | Mawonekedwe ofiira kapena achikuda amtundu wachikasu, omwe amapezeka pazikope kapena m'mizere ya pakhungu. | Kuyabwa ndikutheka pamaso pa xanthoma. | Kutuluka kwa lipids pakhungu chifukwa chokwezeka kwambiri m'magazi. |
Kodi matenda a shuga a shuga angalandiridwe bwanji
Njira zachindunji zomwe zitha kuchiritsa matenda a dermopathy kulibe. Chifukwa chake, kuyesayesa kwa madokotala ndikufuna kuti akwaniritse glycemia, chithandizo cha angiopathy ndi neuropathy. Zinapezeka kuti ndikusintha kwamachitidwe a sitimayo, mawonekedwe a dermopathy akuchepa, malo atsopano amasiya kuwoneka, ndipo okalamba amawala mofulumira. Ngati mungayambire chithandizo koyambirira, mutha kukwaniritsa kusintha kwamkati mwa miyezi iwiri.
Mankhwala omwe amagwiritsidwa ntchito pofuna kuteteza matenda a metabolism:
- Mavitamini a B, makamaka B3 - nicotinic acid. Jakisoni wa mu mnofu kapena mapiritsi amalembedwa (Neuromultivit, Milgamma compositum, Angiovit, Mega B tata);
- thioctic (lipoic) acid, makonzedwe amkati kapena piritsi;
- ma statins, makamaka rosuvastatin.
Njira zina zochizira
Zochizira mabala, mbewu zomwe zimakhala ndi ma tannins nthawi zambiri zimagwiritsidwa ntchito: decoctions of oak and barkowow, udzu wa wort wa St. John, tiyi wamphamvu. Mu diermicathy ya diabetes, othandizira awa amatha kubweretsa kuwonongeka kwa khungu chifukwa cha kuyanika kwambiri. Pazifukwa zomwezo, kulowetsedwa kwa mowa kumaletsedwanso. Njira yabwino kwambiri yolimbikitsira kusinthika kwa minofu komanso kukula kwa ma capillaries atsopano ndi aloe, othandizira ena achilengedwe.
Momwe mungagwiritsire dermopathy ndi aloe:
- Sankhani chomera chathanzi, mtengo wa aloe umakhala wabwinoko, osakhalapo - aloe vera, uchisiye osathirira sabata limodzi.
- Dulani masamba akumunsi, ndikukulungani mu pepala ndikutumiza mufiriji kwa masiku 12.
- Sambani pepala limodzi, ndikukulira mu gruel, ikani bandeji kapena nsalu ndikuthira pakhungu la khungu ndi mphindi 20.
- Compress mwezi woyamba umachitika tsiku ndi tsiku. Ndi poyambira kusintha, amasinthira ku ma compress 2 pa sabata.
Kupewa
Kuti muwatsimikizire kupewa dermopathy, wodwalayo moyo wake wonse azisamalira matenda ake a shuga: pezani dokotala waluso ndikutsatira malingaliro ake onse, kusewera masewera, kukayezetsa nthawi yake. Chithandizo cha angiopathy ndi neuropathy ziyenera kuyambika mutangoyamba kudziwa zoyipa zamagetsi pogwiritsa ntchito njira zamagetsi.
Zofunikanso monga kusamalira khungu. Poyeretsa gwiritsirani ntchito timadzi tosambira tokha opanda pH - malamulo osamalira khungu pakakhala odwala matenda ashuga. Pizindikiro zoyambirira zouma ndi kusenda, ma moisturizer okhala ndi urea amagwiritsidwa ntchito, omwe ndiwabwino kwa odwala matenda a shuga. Zovala ziyenera kukhala zachilengedwe momwe zingathekere, nsapato ziyenera kukhala zabwino komanso zofewa mkati.
Muyenera kuwona dokotala mukazindikira njira yodwala matenda ashuga. Mankhwala amayamba mwachangu, ndipamenenso amayamba kudwala.
