Zilonda zam'mimba za matenda ashuga - bwanji zimawonekera ndipo zimathandizidwa bwanji?

Matenda a shuga amayambitsa zovuta zazikulu. Nthawi zambiri, motsutsana ndi maziko a endocrine pathology, zilonda zam'mimba za m'matumbo, zomwe zimayambika chifukwa cha kufalikira kwa magazi, zimapangitsa kuti ziwonekere.

Vutoli limafanana ndi piramidi yokhala ndi bala la sepsis pachimake ndi neuropathy pamaziko a matenda ammimba a shuga.

Panthawi imeneyi, mkhalidwe wa wodwala ndiwopweteka, chithandizo chake ndizovuta komanso ndizitali. Ndikosavuta kupulumutsa pachilonda cha trophic. Kuperewera kwa mankhwalawa kumawopseza odwala matenda ashuga ndikuduladula miyendo ndi dzanja.

Zifukwa zachitukuko

Zilonda zam'mimba za diabetes ndi njira yodziwika yomwe imadziwonetsa ngati mabala osachiritsika kwa nthawi yayitali, mawonekedwe ake omwe amathandizidwa ndi kuperewera kwa vuto la minofu, kuchepa kwa ma capillary network.

Zinthu zotsatirazi zimathandizira kuti zilonda zam'mimba ziyambe:

• kuphwanya umphumphu wa khungu pamalo am'munsi (chimanga, ming'alu, punctures);
• matenda a mtima dongosolo (varicose mitsempha, thrombophlebitis);
• khungu limayaka kumapazi;
• kuwonongeka kwa ulusi wamitsempha yamautundu osiyanasiyana (kuphwanya malo osungirako malo osungirako);
• kuvala nsapato, zovala zosakhala zazitali (zosamasuka, zopanda mpweya, zoyendetsedwa).

Anthu omwe ali ndi kunenepa kwambiri ndi matenda a shuga II komanso mtundu wa matenda a insulin omwe amadalira matenda ali pachiwopsezo. Omwe ali pachiwopsezo ndi odwala matenda ashuga omwe amanyalanyaza masewera: kusokonekera kwa magazi m'malo otsika kumayambitsa makina a thrombosis.

Masiteji

Matendawa omwe amawaganizira amadziwika ndi chitukuko cha magawo.

• Gawo loyamba. Pali kuchepa kwa chidwi cha ma receptors poyankha kupweteka, kupsinjika, kuwonetsa kutentha. Wodwalayo amamva kutalika kwamiyendo ya miyendo, kuwawa, kulemera m'munsi m'munsi;
• 2 siteji. Kugonjetsedwa kwa ma capillaries ndi mitsempha yayikulu ya magazi kukuyenda bwino. Zizindikiro zoyambirira za matendawa zimawonekera: minyewa yolumikizira imakutidwa ndi mabala owuma, m'malo a microtrauma, kupukusira kukokoloka kumakhazikitsidwa, komwe sikusinthika bwino;
• 3 siteji. Zizindikiro zimayamba kuonekera. Zilonda zimaphimba malo akulu a khungu, zimanyowa ndi zotulutsa magazi. Popanda chithandizo choyenera cha antiseptic, pur purosesa imalumikizana. Pakadali pano, ululu wammbuyo ulibe, matendawo amapita patsogolo, kuwonongeka kwa khungu kumadziwika, mkhalidwe wa "phazi la shuga";
• 4 siteji. Zilonda zamkhungu zimapangidwa zovuta ndi mawonekedwe a purulent exudate, ululu wamankhwala umayamba. Zilonda zikafika pagawo ili, kutentha kwa thupi la wodwalayo kumawonjezeka, kufooka kumawonekera, kulumikizidwa pang'ono ndi dera lomwe lakhudzidwa ndi phazi kumabweretsa kupweteka kosaletseka. Ngati sanapatsidwe, gululi limakula, kumadulidwa kwamiyendo kwa mwendo kumachitika.

Zizindikiro

Mu gawo loyamba, chilonda sichikuwonetsa zizindikiro zamatenda. Mbali yokhayo ndiyomwe ikukhudza khungu "patent". Hyperemia yogwira, kutupa kumadziwika m'dera lomwe lakhudzidwalo.

Popita nthawi, mawebusayiti akhungu amafa, ndikutsatira mawonekedwe oyera. Gawoli limachitika kwa milungu ingapo.

Magawo azilonda

Matendawa akamakula, zimachitika izi. Kusasinthasintha kwake ndi kafungo kabwinobwino kumaonetsa matenda. Pakadali pano, chilonda cha trophic ndi chilonda kale.

Amathandizana ndi kupweteka, kutuluka magazi pang'ono. Chizindikiro chodziwika bwino cha matenda ndi kuyabwa kosamvetseka, kumverera koyaka, kulemera m'miyendo. Chizindikiro ichi chimatchulidwa usiku.

Popanda mankhwala, mankhwalawo amapita patsogolo, amakhudza mbali zakuya. Wodwalayo amakhala ndi malungo, kuwonongeka kwa thanzi labwino, kuchuluka kwa zilonda zam'mimba, mafupa amakhudzidwa, minyewa imayamba.

Chithandizo

Systemic mankhwala akuwonetsedwa zochizira trophic zilonda zam'mimba mellitus. Muli njira izi:

1. njira yokhazikika yomwe imathandizira kuthetsa zomwe zimayambitsa, chotsani zizindikiro zopweteka;
2. othandizira opaleshoni (yoyenera magawo omaliza);
3. njira zolimbitsa thupi kukhazikitsa bata la odwala matenda ashuga, imathandizira kuchira.

Mankhwala

Chinsinsi chothandizira kupweteka kwam'mimba pakhungu ndi mankhwala amkamwa komanso kupakidwa pamutu. Yambani chithandizo ndikukhazikitsa shuga.

Ngati matenda oyambitsidwa ndi shuga omwe amadalira insulin apezeka, mlingo woyenera wa insulini yoyendetsera tsiku ndi tsiku umawerengedwa, chakudya chovomerezeka chimalimbikitsidwa. Insulin imathetsa pang'ono zomwe zimayambitsa zilonda, koma sizikhudza kuchuluka kwa kubwezeretsa umphumphu wa khungu.

Chithandizo chachikulu chimachitika pang'onopang'ono ndikukhazikitsidwa kwa mankhwala osokoneza bongo ophatikizidwa:

1. Chithandizo cha matenda a matenda a etiology;
2. analgesic yakumaloko;
3. kuchepetsa kuchepa kwa kukonza thayo;
4. kubwezeretsa ntchito yamanjenje;
5. kusintha kwa magazi kayendedwe ka magazi, kuchepa kwa thrombophlebitis;
6. kuperewera kwa mabala omwe ali ndi antibacterial mankhwala poletsa kudzikundikira kwa mafinya.

Gulu lalikulu la mankhwala ochizira zilonda zam'mimba:

• Delaskin - kirimu wopanda mankhwala, kuchepetsa kuyabwa. Chida chimapha pathogenic zomera, chimakwirira khungu ndi choteteza;
• Fusicutan, Chloramphenicol - maantibayotiki othandizira apakhungu;
• Vulnostimulin - antiseptic ndi kutchulidwa odana ndi kutupa kwenikweni, amachititsa epithelialization zilonda;
• Diclofenac - amachepetsa kutentha kwa thupi, amachepetsa kutupa, amachotsa zowawa;
• Actovegin - mankhwala okwanira ochotsera minofu hypoxia.

Kuthandizira opaleshoni

Ngati njira ya mankhwalawa singathandize, opaleshoni imachitidwa. Pambuyo pofufuza zotsatira za kusanthula ndikuwona kuya kwa kuwonongeka kwa minofu, kuyikika kwa khungu lakufa, zamkati zoyera zimawonetsedwa, ndipo pamapeto omaliza a gangrene - kudulidwa kwa mafupa omwe ali ndi kachilombo.

Kuchotsa minofu yomwe yakhudzidwa kumachitika motere:

1. catheterization. Kugwiritsira ntchito infusomat kumalola chithandizo chachigawo cha malo okhala ndi miyendo yayitali osachiritsa. Osagwiritsidwa ntchito pa matenda a ochepa occlusion;
2. kudulidwa kwenikweni. Kusankha kuchotsa fupa la metatarsal ndikusunga phazi;
3. scleroobliteration. Njira yochepetsetsa yomwe ingaphatikizepo kukhazikitsidwa kwa catheter wamkati ndi mabowo. Izi zimathandiza kuchotsa purulent misa ndi resorption ya mitsempha yowonongeka popanda opaleshoni yoyipa;
4. kachikachiyama. Njira yopanda zoopsa pakuchotsa mitsempha yowonongeka m'magazi akulu. Imachitika pansi pa mankhwala oletsa kugwiritsa ntchito laser;
5. autodermoplasty. Uku ndikusintha kwa malo atsopanowo omwe amatengedwa kuchokera mbali ina ya thupi. Mothandizidwa ndi dermatome, gawo la minofu yathanzi limapangidwa, lomwe limakola ndi suture yotupa kumalo omwe akhudzidwa;
6. hydrosurgical system VERSAJET. Chida chamakono chimalola kuphipha kwa minofu ya necrotic. Kuchotsa kwathunthu kwa detritus molumikizana ndi maluwa a pathogenic kumathandizira kukulitsa kwathunthu kwa zilonda popanda kuyambiranso.

Zithandizo za anthu

Kugwiritsa ntchito maphikidwe a wowerengeka kumathandizira mwachilengedwe. Izi zimakuthandizani kuthamangitsa kuchiritsidwa kwa zilonda, kuti muchepetse nthawi ya matendawa.

Kuchita bwino kwambiri kuli ndi maphikidwe:

1. mankhwala azitsamba. 20 g ya njere za mpiru, maluwa a chamomile ndi calendula amatengedwa, kuwiritsa ndi madzi otentha, ogwiritsidwa ntchito kutsuka zilonda kwa mwezi umodzi;
2. clove ether. Madontho a 3-5 a mafuta a clove amamuyika pa gauze swab, amagwiritsidwa ntchito pamalo opaka zilonda. Ntchito ngati antiseptic pokonza;
3. decoction wa mbalame chitumbuwa. Mbali ya mmera imapangidwa, chilondacho chimazokotedwa ndi decoction musanayambe kugwiritsa ntchito mafuta;
4. mafuta opaka ndi sage ndi uchi. A decoction amakonzedwa kuchokera kwa tchire, uchi wachilengedwe umawonjezeredwa ku madzi, umagwiritsidwa ntchito pachilonda.

Njira za thupi

Chithandizo cha zilonda zam'mimba zimaphatikizana ndi kuperekedwa kwa mankhwalawa. Zithandizo zochizira zimaperekedwa ndi:

1. laser antibacterial zotsatira;
2. mphamvu ya maginito yobwezeretsa patency yam'mimba ndikuchepetsa ululu;
3. mankhwala a ozoni kuti akhutitse maselo ndi mpweya;
4. matumba osamba a kubwezeretsanso kwa epithelial, kubwezeretsa kwa microcirculation.

Kupewa

1. muyenera kuwunika momwe khungu limakhalira pamapazi ndi miyendo;
2. mankhwalawa onse pamiyendo ndikofunikira kuti azichita osalimba;
3. kupewa kuwonongeka kwa misomali ya msomali yokhala ndi bowa;
4. kukhala ndi shuga wabwinobwino wamagazi;
5. Valani nsapato zabwino.

Makanema okhudzana nawo

About mankhwalawa trophic zilonda zam'mimba mu kanema:

Mankhwalawa a zilonda zam'mimba za m'mimba ndikuletsa kupatutsidwa kwa miyendo. Chifukwa chake, kukhala ndi malingaliro oyenera ndi matendawa kumakupatsani mwayi wopewa matenda a shuga, kupewa zotsatira zosasintha.