Matenda am'munsi kwambiri mu shuga: Zizindikiro, momwe mungachitire

Kuwonongeka kwa minofu yamoyo ndi zomanga m'malo otsika nthawi zambiri kumayambitsa matenda osokoneza bongo monga matenda a shuga. Chifukwa cha kuwonongeka kwa kufalikira kwa magazi, zinthu za cadaveric zimalowa m'magazi, zikuwonjezera dongosolo la necrotic. Nthawi zambiri imayamba mabala akuya, imakhudza machitidwe amkati ndi ziwalo. Kodi matenda am'mimba amayamba bwanji, kodi zizindikiro za matendawa ndi ziti, ndipo mavuto angapewe bwanji?

Zomwe shuga imabweretsa

Njira yowonongeka mu minofu yofewa ndi mafupa mu shuga imayamba ndikupanga phazi la matenda ashuga. Matendawa amatengedwa kuti ndi zovuta kusintha kwa maumunthu komanso magwiridwe antchito chifukwa cha kuchuluka kwa zinthu za glycosylating m'madzi a m'magazi. Choyambitsa chachikulu cha matendawa ndikuphwanya patency ya capillaries. Magazi a anthu odwala matenda ashuga amakhala owonda kwambiri komanso okonda kuzungulira magazi, zomwe zimakhudza magazi ambiri.

Pang'onopang'ono, ziwiya za wozunzidwayo zimatha, zimatha kusinthasintha mwachilengedwe ndipo sipamaperekanso maselo okosijeni. Poyamba, zizindikiro za kusintha kwa pathological zimawonekera m'matumba ang'onoang'ono, ndiye kuti ziwiya zazikulu, mafupa, ndi mafupa zimakhala. Zilonda ndi kukokoloka kumiyendo kumapazi kwa bondo. Ngati palibe chomwe chimachitika panthawiyi, gangore imayamba.

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%

Kuperewera kwa chithandizo choyenera kumadzaza ndi imfa, pomwe mwayi wopita kuchipatala ungapulumutse zina mwazakufa. Ngati vutoli ndi lalikulu, njira yokhayo imathandizira ndikudula mbali ya mwendo. Chithandizo cha mankhwalawa chimawoneka ngati chothandiza ngati gululi lingathe kuimitsidwa pothana ndi phala imodzi yamavuto. Nthawi zambiri, madokotala amayenera kukweza pansi lonse phazi kapena mwendo.

Zomwe zimakhalapo pakakhala kuti matenda ashuga amatsogolera ku gangore ndi monga:

• kutsekeka kwamitsempha yamagazi chifukwa cha atherosulinotic njira ndi thrombosis;
• kuchiritsa koyipa kwa minofu yapakhungu mu odwala matenda ashuga, ngakhale mabala ang'onoang'ono akatenga kachilomboka, amadzaza ndikuwopseza ndi gangore;
• polyneuropathy chifukwa cha kuwonongeka kwa shuga. Pathology imadziwika ndi kutayika kwa kutalika kwa mitsempha yotulutsa mitsempha, chifukwa chomwe maselo amafa msanga;
• matenda a mafupa ndi mafupa;
• kunenepa kwambiri, komwe nthawi zambiri kumapezeka mwa odwala matenda ashuga;
• kuvala nsapato zopanda kukula;
• kusiya mowa ndi ndudu;
• poyizoni wa mankhwala.

Nthawi zambiri, mwendo wodwala mwendo umayamba pamene zifukwa zingapo zophatikizana zimagwirizana. Malinga ndi ziwerengero, odwala matenda ashuga amachititsa 80% ya odwala mwa odwala.

Zouma komanso chonyowa

Mwanjira ya gangore mu matenda ashuga, zimachitika:

1. Zouma. Ndi matenda amtunduwu, kuwonongeka kwa mtima wam'mimba kumachitika pang'onopang'ono, pazaka zambiri. Munthawi imeneyi, thupi la wolakwiralo limasinthasintha pang'onopang'ono, ndikuyamba kukhala ngati chitetezo. Zala zimakhudzidwa kwambiri pamenepa, ndipo minofu yakufa ndi zida zake sizili ndi kachilomboka. Chifukwa chake, zizindikiro za kuledzera sizimawonedwa, ndipo kuopsa kwa matenda ashuga kumachepetsedwa. Poizoni amatulutsidwa m'magazi tating'onoting'ono ndipo amakhala ndi nthawi yoti atulutsidwe ndi ma phula.
2. Zowonda kwambiri Choyipa chachikulu, chifukwa mabala amatenga kachilombo ka bacteria komwe kumachulukana mwachangu, zomwe zimachulukitsa malo owonongeka. Kunja, matenda abwinobwino odwala matenda ashuga amawoneka ngati malo amthupi omwe amakhala ndi khungu lakuda. Kulimba kwa matendawa, kukulitsa kwamtundu wa zotupa: kuphatikiza chala, phazi lonse, ana amphongo, ndipo nthawi zina manja amatenga nawo mbali muzochitika za necrotic (pamene necrosis idayamba m'miyendo yam'mwamba).

Momwe gangrene amayamba

Vuto lofananalo likuwopseza odwala omwe ali ndi matenda amtundu woyamba 1. Nthawi zambiri, odwala otere amakhala ndi ululu wochepetsetsa kwambiri, kotero zilonda, ming'alu, mabala m'thupi amapita osazindikira. Munthawi imeneyi, mabakiteriya okhala ndi tizilomboti komanso matenda oyamba ndi mafangayi amaberekanso mwachangu, ndipo amatenga gawo lalikulu la zinthu zachilengedwe.

Kuwonongeka kwa chidwi kumafotokozedwa ndi kuchuluka kwazinthu za glycosylating m'magazi. Mapeto amitsempha amathera pang'onopang'ono, ndipo ululu sukutumikiranso ku gawo lalikulu lamanjenje. Maselo amitsempha amachititsa thukuta nawonso amafa, zomwe zimapangitsa kuti khungu lizidwaladwala komanso kupanga ming'alu yozama kwambiri.

Malingaliro a Katswiri

Arkady Alexandrovich

Endocrinologist wodziwa zambiri

Funsani katswiri funso

Akatswiri akukhulupirira kuti kugwiritsa ntchito mankhwala ochepetsa mphamvu ya kachilombo ka HIV kumathandizira pokhapokha poyambira matendawa. M'tsogolomu, mabakiteriya amasintha mofulumira pazigawo zogwira ntchito za mankhwala ndipo samafa, koma, m'malo mwake, zochulukitsa mwachangu.

Wet gangrene nthawi zambiri imaphimba malekezero ochepa ndipo sizimawoneka kawirikawiri m'manja ndi torso. Njira yoopsa kwambiri yamatenda imadziwika kuti ndi yopanda vuto, pamene venous thrombosis imayamba. Koma matenda ngati amenewo amapezeka mwa ochepa odwala. Nthawi zambiri, zimatenga nthawi yambiri kuti mupange njira ya necrotic.

Zizindikiro zazikuluzikulu za magulu ovuta ndi awa:

• kufiyira, kuchita khungu, kuzimiririka khungu pakukhudzidwa;
• dzanzi, kumva, kutupira m'munsi;
• kutopa kosafunikira m'miyendo posuntha;
• kupweteka m'miyendo - za kupweteka kwa mwendo mu odwala matenda ashuga;
• kuwonongeka kwa msomali, kusintha mawonekedwe ndi mtundu wake, zomwe zikuwonetsa kufala kwa fungus;
• pafupipafupi mawonekedwe a mycosis m'dera lomwe lakhudzidwa.

Pakumwalira kofunikira kwa minofu yamoyo, wodwalayo amamva ululu womwe sungathe kuimitsidwa ndi opweteka. M'dera lomwe lakhudzidwa, magazi amayenda. Wodwala akapezeka kuti ali ndi vuto lonyowa, amakhala kuti nthawi zonse amakhala limodzi ndi mankhwala owonjezera. Matenda necrosis pambuyo pake amakhudza thupi lonse ndipo amadziwika ndi kutentha thupi, kuzizira, cephalgia, chizungulire, kusanza, ndi zina zambiri.

Kugwiritsa ntchito moyenera

Kuti afotokozere bwino za matenda am'miyendo kumapazi, adotolo atatha kuyang'ana m'dera lomwe lakhudzidwa limatsogolera wodwalayo kuti ayesedwe magazi, x-ray, dopplerography ya ziwiya. Zotsatira zonse zakukonzekera, chithandizo chokwanira chimayikidwa. Kulimbana ndi zigawenga zomwe zimayambitsa matenda ashuga ndi njira yokhazikika komanso yosasintha. Conservative Therapy, yomwe imagwiritsidwa ntchito pamene gangrene yam'munsi yokhala pachigawo choyambirira, ikuchokera:

• kutsitsa shuga;
• kuchepa thupi zolimbitsa miyendo odwala;
• kupewa matenda atsopanowa ndi mankhwala othandizira komanso odana ndi kutupa;
• Kuchotsa kwa zopweteka;
• kuwonjezera chitetezo chokwanira cha wozunzidwa mothandizidwa ndi vitamini.

Wovutikayo akuyesera kubayira madzi ambiri mthupi kuti apewe kuledzera. Amamuikiranso malo ogona kuti asalemereretse ziwalo zowonongeka. Koma gangore odwala omwe ali ndi matenda ashuga sikuti amangoperekabe njira zamankhwala izi. Mwachitsanzo, ndimvula yonyowa, chithandizo chamankhwala nthawi zambiri ndiyo njira yokhayo yothanirana ndi imfa.

Opaleshoni amatha kuchitidwa m'njira zingapo:

• microsuction;
• chibwibwi;
• angioplasty.

Microsurgery imagwira ntchito ndi zida zapadera, zomwe, m'mene zalowa chombo chotengera, zimakulitsa pang'ono. Ndi angioplasty, kapisozi yodzazidwa ndi madzi amaikidwa mumtsempha wamavuto. Makoma olimbitsa mtima amakula pansi pa kupanikizika komwe kumapangitsa magazi kuyenda bwino.

Chifukwa cha kununkha, zigawenga zam'munsi sizimatha ndikudulidwa. Njirayi imachepetsa magazi. Kupeza adokotala koyambirira kumawonjezera mwayi wokhala ndi zotsatira zabwino zamankhwala.

Muzovuta kwambiri, njira izi zikagwirira ntchito, amayamba kuduladula. Pa nthawi ya opareshoni, minofu yomwe imakhudzidwa ndi necrosis imapukutika kwathunthu ndipo madera omwe ali pafupi ndi tsamba loyambukiralo amayeretsedwa. Wodwalayo amachotsedwa ndi osokoneza omwe amathanso magazi.

Kupewa

Kuchiritsa gangrene ndikovuta kwambiri kuposa kuchenjeza. Pofuna kupewa matenda a matenda a shuga, odwala ayenera kutsatira njira zosavuta zotetezera:

• muziyang'ana miyendo yanu tsiku ndi tsiku;
• musaiwale za ukhondo: osamavala masokosi akuda kapena onyowa, sambani mapazi anu ndi sopo, ziume bwino - chisamaliro cha khungu;
• kuchitira nthawi mabala ndi ming'alu;
• kuvala masokosi ndi nsapato zopangidwa ndi zinthu zapamwamba, zopumira, zinthu zachilengedwe - masokosi a odwala matenda ashuga;
• Nthawi ndi mafuta ophikira mapazi ndi othandizira antifungal othandizira, apukuseni ndi mafuta a masamba kapena zonona za mwana - zonona zamiyendo kwa odwala matenda ashuga;
• chotsani chimanga munthawi yake;
• tsiku ndi tsiku chitani zolimbitsa thupi miyendo;
• kuwongolera magazi.

Mavuto ndi zotsatirapo zake

Odwala nthawi zambiri amakhala ndi chidwi chofuna kudziwa kuti ndi anthu angati omwe adachitiridwa chipongwe pambuyo podziwitsa anthu za matendawo. Ngati mungafune thandizo kuchipatala munthawi yake ndikukhala ndi chithandizo chokwanira, ndiye kuti madokotala amakupatsirani mwayi. Tiyenera kudziwa kuti kudzivulaza pakokha sikovomerezeka.

Matenda a matenda ashuga ndi owopsa pazotsatira zake. Minofu yakufa imatha kupha magazi ndi zinthu zapoizoni. Ngati kuledzera kwa thupi kumachitika, ndiye kuti zotsatira zake zakupha.