Kukula msanga kwa matenda ashuga kumatha kuvulaza kwambiri thanzi, kupangitsa kuti ntchito zina zonse zisamachitidwe.
Kubwezera kwa nthawi yayitali kumatha kupangitsa munthu kuti akumane ndi zovuta komanso zovuta kwambiri.
Endocrinologists amati ndi odwala matenda ashuga omwe nthawi zambiri amadula zala, ndipo nthawi zina pamafunika kuchita zinthu mopitilira - kuchotsa dzanja lonse lakumunsi.
Inde, kuchitapo kanthu kotereku kumachitika pokhapokha pazoyambitsa kwambiri, pamene chithandizo cha mankhwala sichinabweretse zotsatira zomwe mukufuna. Payokha, ndikofunikira kulingalira kuti kudula kwa matenda a shuga kungapewedwe, koma pokhazikitsidwa mosamala pazotsatira zonse zachipatala.
Kodi nchifukwa ninji malekezero otsika amawadula shuga?
Wodwala matenda ashuga asayang'ane kuchuluka kwa glycemia, njira zina zosagwirizana zimachitika m'thupi lake zomwe zimasokoneza kugwira ntchito kwa mitsempha ndi ziwiya zofunika, pang'onopang'ono zimawononga kapangidwe kake.
Chifukwa cha kuwonekera kotere, zowopsa komanso zowopsa zimadza.
Munthu amene ali ndi matenda ashuga, mabala ndi mabala onse amachira pang'onopang'ono, zomwe zimayambitsa gangore. Izi zimadziwika chifukwa chakuti minofu yowonongeka imafa pang'onopang'ono.
Madokotala odziwa bwino adatha kupanga njira zambiri zopangidwira kuti athane ndi matenda omwewa komanso zomwe zimabweretsa. Koma nthawi zina pamakhala mankhwala achikhalidwe komanso chikhalidwe.
Pankhaniyi, kuti apulumutse moyo wa wodwala, madokotala amatha kusankha kuti adzadula miyendo. Kuthandizira opaleshoni kumathandiza kupewa kuledzera, kuchuluka kwa minofu yomwe yakhudzidwa ndi poyizoni wamagazi.
Zifukwa zazikulu zomwe zimadulidwa miyendo zimaphatikizapo:
- Magawo a mitsempha yamagazi ambiri adasinthidwa. Ndikofunikira kudziwa kuti izi sizingogwira ntchito kokha zazikulu, komanso njira zazing'ono zazing'ono zamagazi;
- machitidwe a necrotic omwe amapezeka nthawi zovuta kwambiri komanso zosasamalidwa;
- kuwonongeka kwakukulu pamalingaliro am'mitsempha omwe amakhala osagwira ntchito.
Ndikofunika kukumbukira kuti zinthu izi zokha sizingayambitse kudula miyendo.
Kusintha kosasintha mthupi kumatha kuchitika pokhapokha ngati chitetezo cha mthupi sichitha kupirira. Zimatengera munthu kuti chitetezo chake sichitha kukhala champhamvu bwanji.
Ngati madokotala sakanatha kuthetsa kutupikirako kwakanthawi, ndiye kuti opaleshoni yayikulu ndiyo njira yokhayo yomwe ingathandizire kupulumutsa moyo wa munthu.
Zizindikiro ndi matenda am'mbuyomu
Zizindikiro zoyambirira za kusintha kwa ma trophic ndizosatheka kuziyang'ana ndi maliseche. Nthawi zambiri, izi sizikhala ndi zizindikiro zooneka.
Gulu lachiwerewere likayamba kutchulidwa, zitha kuyenda limodzi ndi mawonekedwe awa:
- kumverera kwadzisanu kapena koyaka;
- kuluma kosasangalatsa ndi dzanzi m'miyendo;
- Mapazi amapunduka;
- kutopa ndi kulemera m'miyendo ngakhale mutakhala ndi masewera olimbitsa thupi pang'ono komanso poyenda. Nthawi zambiri, wodwalayo amakumana ndi ululu waukulu m'misempha ya ng'ombe.
Payokha, ndikofunikira kulingalira kuti gangrene imayambitsidwa ndi vuto lina, lomwe pakati pa madokotala amatchedwa ischemia yovuta. Potere, zilonda zazing'ono za trophic, necrosis imawonekera pakhungu la wodwala. Pakadali pano, munthu amamva kupweteka kwambiri kumapeto kwapansi, komwe kumakulirakukhazikika.
Ischemia yovuta kwambiri ndi malire amalire omwe amafunika chithandizo choyenera, popeza sichingadutse. Kuphatikiza apo, kumwa mapiritsi kulibe vuto.
Pofuna kuchepetsa kusasangalala komanso kupewa zovuta, ndikofunikira kukonzanso magazi achilengedwe m'miyendo. Kupanda kutero, wodwalayo adzafunika kudulidwa mchaka chikubwerachi.
Magawo a chitukuko cha gangrene
Wodwala matenda ashuga asayang'anira momwe alili wathanzi ndi glycemia, zizindikiro zosakhazikika zimayamba kuchuluka, ndipo gululi palokha limawoneka ndi maliseche.
Wodwalayo amawona kuti kutentha ndi khungu la miyendo zikusintha. Miyendo imayamba kuzizira, khungu limapweteka. Nthawi zina, chimanga ndi kutupa zimatha kupanga.
Kupezeka kwa mochedwa gawo la gangrene kungatsimikizidwe ndi izi:
- mabala amtundu wa machiritso omwe amatulutsa fungo la fetid;
- khungu lakuda;
- kutulutsa kwa mafinya nthawi ndi nthawi;
- kusowa kwathunthu kapena pang'ono kwa magazi.
Kucheka kwa chala, phazi, ndi miyendo pamwamba pa bondo: kukonzekera ndi kupita patsogolo kwa opaleshoni
Mlingo wodulidwayo umatsimikiziridwa kokha ndi dokotala wazachipatala wodziwa bwino, yemwe mosakayikira amayesa kuwonongeka konse kwa miyendo. Kuphatikiza apo, akatswiri amaganizira zinthu zonse zofunikira za ma prosthetics.
Mitengo yolumikizidwa ikuphatikizapo izi:
- Kuchotsa kwa phazi lakhudzidwa. Mtundu wa opaleshoni yamtunduwu umakhala ndi magawo opitilira 10. Onsewa amagawidwa m'magawo ena phazi. Poyamba - kudula kwa zala zakukhudzidwayo kukafika ku metatarsal zone. Nthawi zina, kuchotsedwa kwathunthu kwa metatarsus kungafunike;
- kuduladula miyendo yakumunsi. Mukuchita izi, kulekanitsa mosamalitsa kochepa ndi tibia kumachitika;
- kapangidwe ka bondo. Mukuchita opaleshoni iyi, dokotalayo amalekanitsa bondo ndi fupa ndikuchichotsa m'thupi. Ntchafu pankhani iyi ndiyosungika kwathunthu;
- Kudulidwa kwa ntchafu yowonongeka. Mwakutero, dokotalayo amangochotsa gawo lowonongeka la fupa.
- kucheka kwa malo a necrotic kuchokera m'chiuno molumikizana;
- Nthawi zina, hemipelvectomy imachitika. Pogwira ntchito iyi, kuchotsa pang'ono pakati pathupi la pelvis kumachitika.
Kukonzanso nthawi
Mu nthawi ya postoperative, ndikofunikira kupewetsa njira zotupa, kupatula kukhazikitsa kwa ma pathologies owopsa, ndikuphatikizanso chithandizo chatsiku ndi tsiku ndi mabala. Kuphatikiza apo, wodwalayo ayenera kuchita masewera olimbitsa thupi, omwe amaphatikizidwa pamndandanda wazolimbitsa thupi.
Kukonzanso kwapamwamba kumakhala magawo angapo:
- kuchita kutikita minofu kuti mutetetse minyewa;
- kusamalira mabala mosamala, zomwe zingathandize kupewa matenda ndi kutupa;
- kudya;
- chagona kumbuyo kwanu, ndikofunikira kusunga phazi lopweteka pachikomo chaching'ono kuti muchepetse kutupa.
Zotsatira ndi zovuta
Nthawi zina, munthu amene waduladula mbali yakumapazi amatha kukumana ndi zovuta zina:
- mkhalidwe wowopsa wa thupi, womwe uli ndi vuto la mtima;
- thromboembolism;
- kupweteka kwa phantom;
- kukonzanso mabala omwe angayambitse sepsis;
- subcutaneous hematomas yomwe imachitika chifukwa cha kuyimitsidwa kosayenera kwa magazi;
- Patatha masiku atatu atachitidwa opaleshoni, chibayo chingachitike.
Ndi angati amakhala atachotsedwa miyendo?
Kuchepetsa matenda a shuga kumawoneka kuti ndizofala kwambiri, chifukwa chomwe wodwalayo angapulumutsidwe.
Nthawi zonse muzikumbukira kuti kutayika kwa mwendo sikukhudza chiyembekezo chamoyo, zonse zimatengera munthu mwini.
Kutsatira malingaliro onse a madokotala, komanso kuwongolera kuchuluka kwa shuga, mupewe kuyambiranso kwa matenda osokoneza bongo komanso kupitirira kwa shuga. Prostate wapamwamba kwambiri komanso wosankhidwa bwino amakulolani kuti mukhale ndi moyo womwewo popanda zoletsa.
Nthawi zambiri zimachitika kuti ndi zovuta zomwe zimapangitsa kuti anthu azimenyera nkhondo, kusewera masewera komanso kuyenda.
Kupeza gulu la olumala
Gulu la anthu olumala limaperekedwa malinga ndi gawo la matendawa. Chowonadi cha momwe wodwalayo agwirira ntchito chimawerengedwa.
Kuzindikira koyenera kumafuna ntchito yapadera. Wodwala akuyenera kudutsa mu Optometrist kuti atsimikizire kapena kutsimikizira kukhalapo kwa khungu.
Kufunsira kwa Neurologist ndikofunikanso, chifukwa matenda a shuga amatha kupanga kusintha kosagwirizana ndi kachitidwe ka mantha.
Payokha, ndikofunikira kulingalira kuti gulu lina lopuwala pambuyo ndikudula mwendo limatengera momwe chitsa chidapangidwira, mphamvu ya ma prosthetics, mkhalidwe wachiwiri wa mwendo wachiwiri ndi dongosolo lonse la minofu.
Magulu opuwala 2 amapatsidwa milandu iyi:
- ngati miyendo yonse pamwamba pa bondo imadulidwa;
- Madokotala ochita opaleshoni adachotsa mwendo umodzi pamwamba pa bondo, koma pali zotupa zam'magazi pamphuno yachiwiri.
Gulu loyamba la olumala limaperekedwa pokhapokha ngati miyendo yonse idadulidwa pamtunda wa gawo lachitatu la ntchafu. Ndizofunikanso kudziwa kuti atachotsa mbali ya kumapazi, gulu la olumala la 3 lingapatsidwe gawo la ma prosthetics litatha ndipo wodwalayo akudziwa kuti wadwala.
Pakadali pano, chiphuphu chimapezeka chifukwa cha zoyenda ndi zoyimirira.
Makanema okhudzana nawo
Chifukwa chiyani kudulidwa kosadukiza kwa matenda ashuga? Yankho mu kanema:
Pomaliza, titha kunena mwachidule kuti ndi njira yabwino yodulira matumbo yomwe imathandiza odwala ambiri kupeza bwino, kuchira pantchito, kapenanso kuyamba kupeza njira zatsopano, zosazolowereka.
Prote yosankhidwa bwino imalola wodwalayo kukhala ndi chizolowezi. Chachikulu ndichakuti musakhale wokhumudwa ndi kuyesetsa kupeza malo okwera.
