Magazi a shuga am'magazi chifukwa chosakwanira kukonza matenda a shuga mellitus mosakayikira amatsogolera kuwonongeka kwa mitsempha yamagazi ndi mafupa amitsempha. Zilonda za trophic pamiyendo ndizomwe zimawonetsera kwambiri zamtunduwu. Kutupa kosalekeza kwamapazi kumapazi kumabweretsa zolakwika zozama mu epithelium, minofu, komanso masiteji akulu, ndi minofu yamafupa. Chifukwa cha kuperewera kwa maselo m'dera lomwe lakhudzidwa, chithandizo cha zilonda zam'mimba ndizovuta komanso ndizitali.
Pambuyo pakuchira chifukwa cha kutayika kwa minyewa, mabala ambiri amakhalabe, osagwiritsidwa ntchito molakwika mabala onse ndi matenda a shuga, zilonda zam'magawo oyambawo zimasanduka gawo lophatikizika la minyewa ya miyendo, yomwe madokotala amawatcha kuti phazi la matenda ashuga. Odwala omwe ali ndi matenda ashuga amatha kulephera kuyima pawokha, amatha kutaya miyendo chifukwa cha kuyambika kwa gangrene, komanso ngakhale kufa ndi sepsis. Zotsatira zoyipa zitha kupewedwa poyambira kuphwanya malamulo, kutsatira malamulo osavuta popewa zilonda zam'mimba.
Chifukwa chiyani zilonda zam'mimbazi zimawonekera mu odwala matenda ashuga
Trophic ndivuta kupatsa minyewa yathupi mzakudya zofunika, chifukwa chomwe amatha kugwira bwino ntchito ndikuchira munthawi yake. Zilonda zam'mimba zomwe zimapezeka m'matenda a shuga zimatchedwa trophic, chifukwa zimapangika chifukwa chosowa mpweya komanso michere. Matendawa amakula chifukwa cha kutuluka kwa zinthu zotayika kwa cell.
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%
Mavuto am'mitsempha, kufalikira kwam'magazi komanso zam'mimba ndizofunikira kwambiri pakubwera kwa shuga. Kuchulukitsa kwa ma pathologies kumadalira mawonekedwe a thupi la wodwalayo. Koma mutha kukhala otsimikiza kuti ngati shuga wamagazi amakhala ambiri kuposa kale, zilonda zam'mbuyo zimayamba kuwonekera pakhungu.
Ndi matenda amtundu wa 2 shuga, mwayi wokhala ndi zilonda zam'mimba ndizambiri, popeza umakhala ndi nthawi yayitali, ndipo ambiri mwa odwala ndi okalamba omwe ali ndi vuto la kuchepa kwa thupi chifukwa cha kunenepa kwambiri komanso matenda angapo okhalitsa.
Zomwe zimayambitsa zilonda zoyambirira za matenda a shuga:
- Matenda a shuga a shuga - kuwonongeka kwa ziwiya zing'onozing'ono chifukwa cha shuga wambiri m'magazi. Kuthamanga kwa magazi kumasokonezeka mu zimakhala zamiyendo, edema imawoneka chifukwa cha kuwonongeka kwa mitsempha yamagazi, madera omwe ali ndi vuto logona bwino komanso kuchuluka kwakukulu kwa minofu yolumikizana. M'malo awa, khungu limakhala loyipa, louma, masamba, maonekedwe. Cholinga cha minofu necrosis chimapangidwa pang'onopang'ono.
- Mawonekedwe owonongeka pakhunguomwe sanathandizidwe ndi antiseptics munthawi komanso sanachite. Mabala ang'ono ndi mikwingwirima yomwe imakhala yathanzi mwa odwala matenda a shuga imachiritsa moipa kwambiri. Ngati sanapatsidwe kachilomboka komanso matendawa, amakhala zilonda zam'mimba.
- Kukonzanso kwa nthawi yayitali kwa khungu - kuyenda osavala nsapato pagombe louma kapena udzu, osayenera kukula, kutikita nsapato zokhala ndi matenda am'mimba kumayambitsa kuonekera kwamasamba, kenako zilonda zam'mimba. Ndi diabetesic neuropathy mwa odwala, khungu limasokonekera, ndipo samatha kumva kusasangalala komanso kupewa kutemera kwa miyendo.
Momwe mungadziwire zilonda zam'mimba
Zilonda zam'mimba zambiri m'matenda am'mimba zimayambira ndikudula pang'ono komanso kukanda, kukanda, scuffs kapena calluses. Bakiteriya wa pathogenic amalowa pakhungu kudzera m'matumbo, nthawi zambiri staphylococci. Kutupa kumayamba, mafinya amasulidwa ku chilonda. Zilonda zam'madzi, zimanyowa, pang'onopang'ono zimachulukira, m'mbali mwake zimakhala zoyipa. Khungu lozungulira limatupa ndikusandulika red. Ngati matenda ashuga amaphatikizika ndi neuropathy, ululu sungakhale wofanana ndi gawo la kuwonongeka kwa minofu kapena kusakhalapo.
Madera omwe ali ndi kuthekera kwakukulu kwa mapangidwe a zilonda zam'mimba amatha kuzindikiridwa ndi mawonekedwe awo: khungu m'malo awa ndi owuma komanso owonda, otambasuka, nthawi zambiri amakhala ndi zaka. Nthawi zambiri, zilonda zam'mimba zimapezeka pamiyendo, koma ndi angiopathy, miyendo imathanso kukhudzidwa.
Magawo azilonda ndi mawonekedwe awo
Mu theka la odwala omwe ali ndi matenda osokoneza bongo, zizindikiro zoyambirira za matenda osokonezeka pakhungu la miyendo zimawonekera patatha chaka kuchokera kumayambiriro kwa matendawa. Milandu yayikulu, kupititsa patsogolo kwa zovuta kuyambira gawo loyamba mpaka gangrene kumatenga miyezi ingapo.
Magawo amasinthidwe amisala mu shuga ndi momwe amawonekera:
| Gawo | Kusintha kwamanja | Mawonekedwe | Zizindikiro zophatikiza | |
| № | Feature | |||
| 0 | Zosintha zam'mbuyo | Kuphwanya zakudya zama minofu ndi kusungidwa kwawo. | Kutupa kwamapazi, kusinthika khungu: khungu, redness kapena kupindika. | Kuchepa kwa khungu. Ululu wofatsa m'miyendo ndi ana amphongo, nthawi zambiri usiku, kukokana. |
| 1 | Gawo loyambirira | Maonekedwe a mabala ochiritsa bwino pakhungu. | Zilonda zimakhala zoyera, minofu yozungulira imakhala yamoyo, kumayambiriro kwa chithandizo, chizolowezi chomangiriza chimawoneka mwachangu, chomwe chimasiyanitsidwa ndi zilonda zamagazi. | Palibe ululu kapena kupweteka pang'ono ngakhale pochiritsa bala. |
| 2 | Gawo La Mawonekedwe Owonjezereka | Kukula kwa kukula ndi kuya kwa zilondazo, mafuta ndi minyewa ya subcutaneous zimaphatikizidwa. | Thumba limawoneka - kutumphuka pouma kuchokera ku minofu yakufa, kumaliseche kumakhala kosalala. Masamba atsopano azilonda amawoneka pafupi. | Ululu wolengeza palibe. |
| 3 | Kupita patsogolo kwa kusintha kwa zilonda | Kutupa kumakhudza minofu ya mafupa. | Zilonda zambiri zowonjezera ndi zigamba za necrosis, kutupa kwapulasitiki. Kutulutsa mafinya, fungo losasangalatsa kuchokera mabala. | Zizindikiro za kuledzera - nseru, kufooka, kuzizira. Kuchulukitsa ululu. |
| 4 | Zowonda kwambiri | Kuwonongeka kwathunthu kwa minofu ntchito, imfa. | Mtundu wabuluu kapena wakuda wa zala kapena mbali ya phazi, matuza okhala ndi zofukiza zamkati. | Kupweteka kwambiri, kuchepa kwa mavuto, kutentha thupi. |
Chithandizo cha zilonda zam'mimba
Kuvuta kwake pochiza zilonda zam'mimba m'matumbo a shuga kumachitika chifukwa chakuti chifukwa cha kusayenda bwino kwa magazi, minofu ilibe njira yochiritsira. Kuphatikiza apo, matenda ashuga amachepetsa chitetezo cha wodwalayo ndikuwonjezera pachiwopsezo cha chitetezo cha mabakiteriya ndi bowa.
Thandizo lofunika pochiza zilonda zam'mimba ndizomwe zimapangidwira shuga wamagazi ndi kukwaniritsidwa kwa cholinga cha glycated hemoglobin - osapitilira 6% ya kuchuluka kwake. Kuti muchite izi, ndikofunikira kukhazikitsa zakudya zoyenera komanso kudya kwakanthawi mankhwala omwe mumamwa. Woopsa, wodwalayo amapatsidwa mankhwala a insulin kapena kukonzanso kwake.
Chithandizo choyambirira chimayambitsidwa, chimalimbikitsa kwambiri kudalirika kwake. Ndiwothandiza kwambiri kuti muyambe kulandira chithandizo chamankhwala ena omwe ali pang'onopang'ono.
Kugwiritsa ntchito mankhwala
Kusankhidwa kwa mankhwalawa azilonda zam'mimba zimachitika mosiyanasiyana payekhapayekha, poganizira kuphwanya komwe kulipo.
Zogwiritsidwa ntchito kwambiri:
- yotakata maantibayotiki kapena poganizira za kufesa kwa zotuluka pachilonda;
- mankhwalawa antifungal;
- NSAIDs kuti muchepetse kutupa ndi kuchepetsa ululu;
- antihistamines kuti muchepetse kuyabwa;
- ma antiplatelet othandizira omwe amachepetsa magazi;
- sedative ndi antidepressants chithandizo chambiri cha zilonda zam'mimba komanso kusokonezeka kwa kugona;
- mankhwala ochepetsa magazi;
- ndalama zothandizira kugwira ntchito kwa minyewa ya mitsempha: alpha lipoic acid, mavitamini B;
- ma statin kukonza lipid kagayidwe.
Othandizira am'deralo amagwiritsidwa ntchito mochizira zilonda zam'mimba. Choyamba, zilonda zamankhwala zimachitika tsiku ndi tsiku, ndiye kuti mavalidwe azomwe amachepetsedwa amakhala 2 pa sabata. Choyamba, chilondacho chimatsukidwa ndi ma antimicrobial othandizira omwe samavulaza mapangidwe a zimakhala zatsopano, nthawi zambiri chlorhexidine kapena miramistin.
Kugwiritsa ntchito mowa, zobiriwira bwino, ayodini komanso mankhwala amtundu wina antiseptics poletsa mabala ndizoletsedwa.
Pambuyo pakutsuka, mabala amachiritsa (Pronosal, Iruksol, Solcoseryl) amaikidwa mkati mwa zilonda. Kugwiritsa ntchito mabandeji achizolowezi ndikosayenera, chifukwa amamatirira kumtunda wa chilondacho ndipo, akachotsedwa, amawonjezera kuwonongeka. Zokonda zimaperekedwa pazophimba zapadera za mabala, omwe amachotsedwa mosavuta ndipo samasiya villi pachilonda.
Physiotherapy
Kuthandizira zolimbitsa thupi zilonda zam'mimba ndikufuna kubwezeretsa magazi m'deralo, kuthamangitsanso minofu, komanso kuchotsa kutupa.
Njira zomwe zimagwiritsidwa ntchito:
- Magnetolaser mankhwala. Ma radiation ofiira amagwiritsidwa ntchito, pamaso pa nkhanambo - infrared. Ponseponse pachilonda cha matenda ashuga amatsitsidwa ndikugwidwa kwa madera oyandikana nawo.
- Electrophoresis kukonza malowedwe a mankhwala, nthawi zambiri antibacterial othandizira. Kupititsa patsogolo kuyeretsa kwa bala kuchokera ku minofu yakufa, ma enzyme a proteinolytic amatha kugwiritsidwa ntchito, ndipo mavitamini ndi zinc angagwiritsidwe ntchito polimbikitsa kuchira.
- Mankhwala othandizira okosijeni - chithandizo cha okosijeni m'chipinda chapadera, chimathandizira kuthetsa kutupa, zimachepetsa kuchuluka kwa ma radicals aulere m'malo owonongeka.
Opaleshoni
Chithandizo cha opaleshoni chimagwiritsidwa ntchito pakuwongolera kwa kusintha kwa zilonda zam'mimba ngakhale mankhwala othandizira. Amakhala ndikuchotsa minofu yakufa komanso kukhazikitsa ma catheters mu zilonda zam'mimba zomwe sizimachiritsa bwino. Chithandizo cha katemera chitha kugwiritsidwa ntchito - kuyeretsa kuchokera ku mafinya popanda kukulitsa chilondacho, pomwe magazi akuyenda kuzungulira zilonda amatha bwino ndipo kutupa kumatsitsimuka.
Njira zopangira opaleshoni yapulasitiki zimagwiritsidwa ntchito pochiza zilonda zam'mimba zambiri: bala la chivundikirocho limatsekedwa ndi lunguzi la khungu lotengedwa kuchokera kwa wodwala kumalo abwino. Ndi kukula kwa gangrene kapena kuthekera kwake kwakukulu, njira zosinthika zimagwiritsidwa ntchito - kudulira zala zakumiyendo kapena phazi lonse.
Folk azitsamba zochizira zilonda zam'miyendo
Nthawi zambiri, kupweteka kwa zilonda zam'mimba kumayambitsa kulumikizana mochedwa ndi madokotala. Munthawi yonseyi, mabala akhala akuyesedwa popanda kuchita bwino mpaka matenda atadutsa kwambiri.
Chithandizo cha zilonda zam'mimba zokhala ndi zitsamba zitha kukhala zomveka pazoyambira kusintha, muzochitika zina zonse ndi gawo lina panjira yodulidwa mwendo. Mankhwala ovomerezeka pakuchiritsa mabala ndi othandiza kwambiri kuposa wowerengeka.
Kuwongolera kuchiritsa kwa mabala, ma decoctions a mbewu omwe ali ndi bactericidal amagwiritsidwa ntchito: mankhwala chamomile, tatarnik, calendula, motsatizana, celandine. Madzi a Aloe angagwiritsidwe ntchito ngati pobwezeretsa. Mowa infusions ndi decoctions sangagwiritsidwe ntchito kutentha. Ngati chilondacho sichichira mu sabata limodzi, chithandizo chikuyenera kupitilizidwa kuchipatala.
Kupewa
Kuti mukhale ndi thanzi la mwendo mu shuga, muyenera:
- Kudzera pakudya ndi mankhwala osokoneza bongo, konzekerani kuchuluka kwa shuga m'magazi munthawi yochepa.
- Pewani kutaya mtima kwambiri.
- Gwiritsani ntchito moisturizer tsiku lililonse.
- Musamayende opanda nsapato.
- Kumbukirani kuthekera kwa mitsempha m'matenda a shuga, zomwe zimapangitsa kuti munthu asamveke bwino: onetsetsani nsapato mukamagula malo opukutira, gwiranani nsapato nthawi iliyonse musanapereke, yang'anirani miyendo yonse kuti iwonongeke.
Werengani pomaliza: Vuto lalikulu la mwendo mu shuga
