Matenda a matenda ashuga: zimayambitsa ndi zizindikiritso za chitukuko, njira zamankhwala ndi kupewa

Matenda a shuga ndi chifukwa chomwe akatswiri amakakamizidwa kuti apange chisankho chofunikira kwambiri kuti athetse zisonyezo za matendawo mwa odwala, zomwe zimathandiza kuwonjezera nthawi yayitali ya moyo wawo ndikuchotsa kwathunthu kutha kwakupha.

Chimodzi mwazinthu zosokoneza komanso zowopsa za matendawa ndi matenda ashuga odwala matenda ashuga. Zimayamba kukula pamene thupi la munthu likhazikitsa njira zowoneka bwino. Izi zimaphatikizira kuwonongeka kwa kuphatikizika, kuwoneka kwa zilonda pamapeto am'munsi komanso mavuto akulu ndi magazi. Monga lamulo, zotsalazo ndizotsatira za atherosulinosis.

Ngati wodwala wa endocrinologist satenga njira zoyenera mu nthawi, zomwe zimaphatikizapo chithandizo choyenera komanso chofunikira kwambiri, ndiye kuti pamavuto otere am'magawo otsika amayamba. Amadziwika kuti amaika moyo pachiswe. Ndiye ndi chiyani?

Lingaliro ili limafotokoza za kufa kwa zomangira za thupi lathupi, zomwe pambuyo pake zimatsogolera ku mfundo yoti minofu yamoyo ndi magazi “zimadzaza” ndi mankhwala a cadaveric ndi poizoni. Munkhaniyi, mutha kuphunzirapo za izi komanso kuopsa kwake.

Gulu la odwala matenda ashuga: Code ICD-10

Anthu odwala matenda ashuga omwe ali ndi diabetes ali ndi nambala yotsatira malinga ndi ICD-10 - E10-E14.

Zifukwa zachitukuko

Zotsatira za chitukuko cha matenda omwe amafunsidwawa, kuwonongeka koopsa kwa ziwalo zosiyanasiyana zofunika kumayamba: mtima ndi mitsempha yamagazi, mapapu, m'mimba, chiwindi ndi impso. Mukanyalanyaza chithandizo choyenera, ndiye kuti zotsatira zake sizingatheke.

Kuchitidwa mosavomerezeka ndi ogwira ntchito zachipatala, komanso chithandizo chochepa, kumatha kubweretsa kuchotsedwa kwa dzanja lomwe lakhudzidwa. Ndi matendawa a endocrine dongosolo lomwe lingaganiziridwe, ndiwofatsa matenda am'munsi.

Monga lamulo, izi zitha kukhala zowonongeka zosiyana: kuyambira phalax imodzi, chala chonse, phazi, ngakhale kudula mwendo mpaka kutsogolo kwa bondo. Kwenikweni, izi zomaliza zimatheka pokhapokha pazovuta kwambiri komanso zowopsa za shuga.

Ponena za zifukwa zomwe zingayambire kukula kwa gangore, ndiye kuti zinthu zomwe zimayambitsa kuwoneka kwa shuga ndi izi:

1. Ischemic gangrene imachitika motsutsana ndi maziko a atherosulinosis, omwe amatchinga magazi ndi kusokoneza kayendedwe ka magazi seramu. Zotsatira za njirayi yovuta ndikusowa kwa okosijeni, ndipo pambuyo pake kufa mwachangu kwa minofu yomwe yakhudzidwa ndikuyamba kudziwonetsa;
2. phazi lotchedwa diabetic limawonetsedwa ngati zilonda kuphazi kapena mwendo wapansi. Amachira kwa nthawi yayitali, ndiye kuti kachilombo kamalowa mwa iwo kenako kumayamba kwa gangrene;
3. koma polyneuropathy imachokera ku zovuta zazikulu mu chakudya cha metabolism. Monga momwe mumadziwira, zimachitika m'maselo amtundu uliwonse wamaselo amthupi. Munthawi imeneyi, ma microvessels amakhudzidwa, koma maselo amayamba kukalamba msanga;
4. Pambuyo pake pali kuphwanya umphumphu wa ziwiya zama microscopic. Ndikofunikira kudziwa kuti kuchuluka kwa makoma a capillaries kumachepa;
5. Mwa zina, zombo zazikulu zimakhudzidwanso. Monga lamulo, izi zimachitika chifukwa cha atherosulinosis. Pambuyo pake, wodwalayo amakula ndi thrombosis;
6. Pali kuphwanya kwakukulu kwa njira zonse zachilengedwe zopangidwira mafupa. Komanso, munthu wodwala matenda ashuga amakhala ndi mafupa. Nthawi zambiri pamakhala abscess, aseptic necrosis ndi fistula;
7. wodwala endocrinologist amachepetsa chitetezo chamthupi, komanso mapaundi owonjezera.

Nthawi zambiri, mawonekedwe a gangrene si chifukwa chimodzi chofunikira, koma zingapo. Kuphatikiza apo, iliyonse ya izo imangokulitsa mawonetsedwe am'mbuyomu.

Ndi matenda ati omwe amawonekera?

Monga mukudziwira, njira zomwe zimachitika mkati mwa thupi, monga ochepa sclerosis, zomwe zingayambitsenso vuto la mtima, kuchepa kwa magazi ndi zovuta zina zimatha kuyipa kwambiri pakuyenda kwa magazi. Izi ndi zomwe zimayambitsa matendawa.

Arterial sclerosis ndi chotengera chathanzi

Zizindikiro

Pakadali pano, ndizovuta kukhazikitsa zizindikiro zoyambirira za kuwonongeka kwa minofu yamoyo ya miyendo, komanso kutengera kwake mwachindunji ndi ziphe za cadaveric, popeza sizikupezeka chifukwa chazinthu zomwe zasokonekera.

Koma, komabe, pali zina zosokoneza zomwe zimafunikira kuyang'aniridwa kwambiri. Ndi kuchokera kwa iwo kuti mutha kudziwa chiyambi cha matenda oopsa komanso oopsa.

Izi ndi njira zazikuluzikulu zodwala matenda ashuga:

1. kumangokhalira kumva kulemera ndi kutopa kwa malekezero. Nthawi zambiri, odwala amazindikira kuuma, kutentha thupi komanso kugona;
2. pali kuwonongeka kooneka phazi ndi kupweteka kwakukuru m'matumbo;
3. pamakhala kusintha kwa khungu la phazi, komanso kutentha kwake. Monga lamulo, izi zimatha kutsagana ndi redness, ndipo nthawi zina kukoka kwa miyendo. Muzochitika zosokoneza kwambiri, cyanosis ya miyendo imapezeka. Amakhala ozizira nthawi zambiri, nthawi zambiri ngakhale ndi mithunzi ina, calluses ndi madera ofiira.

Zizindikiro zaposachedwa kwambiri za matendawa ndi monga:

1. pa minyewa yokhudza miyendo pali kupweteka kosalekeza komwe sikungathetsedwe;
2. khungu m'malo ovuta limakhala lakuda ndipo ngakhale burgundy;
3. minofu yakufa siyikuzunguliranso;
4. matenda amatenga limodzi njirayi, makamaka ndi chonyansa;
5. nseru, kuzizira, kutentha kwambiri kwa thupi kumamveka, ndipo kumatuluka zotulutsa zambiri zamkati.

Kuti mutsimikizire matendawa, muyenera kulumikizana ndi akatswiri kuti adziwe mbali zomwe zakhudzidwa ndi thupi, kuyezetsa zamitsempha ndi bakiteriya, kutenga mkodzo, creatinine, kuyezetsa magazi, ndikuwonetsanso kufufuza kwapadera kwa magazi ndi x-ray.

Kodi ndiyenera kupita kwa dokotala uti?

Ochulukira ambiri ali ndi chidwi ndi funso lofunsalo, kodi ndiyenera kulumikizana ndi ndani? Kuphatikiza pa kupita kukaonana ndi endocrinologist, muyenera kukaonana ndi dokotala.

Zizindikiro

Poyamba, adokotala amayenera kuwunika moyenera, kuphatikiza kufufuza mbali zowonongeka za thupi.

Pambuyo pokhapokha atatenga mayeso onse ofunikira pamwambapa (mkodzo, creatinine, kuyezetsa magazi).

Izi zithandiza dokotala kutsimikizira matenda omwe akufuna.

Njira zochizira

M'pofunika kudziwa kuti odwala matenda ashuga omwe ali ndi matenda osokoneza bongo amatha kuthandizidwa pogwiritsa ntchito njira ziwiri. Monga lamulo, munkhaniyi tikulankhula zokhudzana ndi maopaleshoni ndi njira zopangira opaleshoni, komabe, njira yomalizayi ndiyothandiza kwambiri.

Kuti mupeze mtundu woyamba wa mankhwala a gangrene omwe ali ndi vuto la endocrine lomwe mukufunsidwa, muyenera kukayezetsa ndi kupeza zotsatira zotsatirazi:

• kulipira shuga;
• Kuchepetsa kufalikira kwa matenda opatsirana ndi poyizoni pogwiritsa ntchito mankhwala opha tizilombo;
• kuchepa kwakukulu kwa kuchuluka kwa katundu pamiyendo yakumunsi, makamaka pamalo omwe akukhudzidwa;
• mukamagwiritsa ntchito mavitamini ndi ma microelements ena, kuwonjezereka kwa chitetezo cha mthupi kuyenera kuchitika.

Ngati ili ndi matenda osokoneza bongo a shuga, ndiye kuti njira yochita opaleshoniyo iyenera kugwiritsidwa ntchito kupatula kuti zotsatira zake ziphe. Nthawi imeneyi, dokotalayo amachotsa zonse zomwe zimakhudzidwa ndi minyewa. Kuphatikiza apo, amagwiranso ntchito yoyeretsa ziwalo zozungulira.

Ngati chala chimodzi chikukhudzidwa, kuchotsa phazi, lomwe limabweretsa mavuto, ndikofunikira kuti pakhale zovuta. Ndi mtundu wamtunduwu kumapazi, zidzakhala zofunikira kuyankhula ndikuchotsa mwendo mpaka mulingo wa bondo. Monga lamulo, ngakhale zoterezi zingakhale zofunikira pakuwonetsa matenda a shuga angiopathy am'munsi. Chithandizo chake, pankhaniyi, chitha kukhalanso champhamvu kwambiri.

Pamodzi ndi kuchitapo kanthu kogwira ntchito, zinthu zotsatirazi ndizotheka:

1. kugwiritsa ntchito mankhwala opha tizilombo;
2. kuchitira chithandizo, chomwe cholinga chake ndikuchepetsa kuchuluka kwa poyizoni ndi chiphe cha thupi lonse;
3. kuthira magazi.

Kuphatikiza pa kuchotsedwa kwa maselo omwe anafa, ndikofunikira nthawi imodzi kuchitira chimodzimodzi.

Kuchepetsa-free gangrene chithandizo

Itha kuwululidwa pochotsa ma magazi m'mitsempha yamagazi omwe amawoneka chifukwa cha matenda a coronary.

Chithandizo chikusonyeza kuyeretsa kwamitsempha pogwiritsa ntchito kafukufuku wapadera yemwe amayikidwa mkati mwawo.

Njirayi imathetseratu mabala pakhungu, ndikofunikira kwa anthu omwe ali ndi matenda ashuga.

Kupewa

Izi ndi monga kusuta fodya, komanso uchidakwa.

Kwa odwala matenda ashuga, musagwiritsire zomatira zomatira, popeza kuwachotsa kumatha kuchotsa khungu lakumaso, pambuyo pake kumatuluka zilonda zomwe zimatenga nthawi yayitali kwambiri kuti zithe.

Kuphatikiza apo, matenda osafunikira amatha kulowa mkati.

Ndikofunika kwambiri kuti musazengereze kuzindikira zizindikiro zoyambitsa ndikuyamba kuchitapo kanthu. Ngati mukukayikira phazi la matenda ashuga, muyenera kulankhulana ndi katswiri yemwe adzachite zonse zofunika kuti asachotse kapena kutsimikizira kuti ali ndi matenda oopsa.