Matenda a diabetes a osteoarthropathy: zimayambitsa, Zizindikiro, mfundo za mankhwala

Matenda a shuga amatha kuyambitsa zovuta zingapo.

Chimodzi mwazinthu zowopsa komanso zowopsa za vuto la endocrine ili ndi phazi la odwala matenda ashuga a Charcot.

Tidzakambirananso chifukwa chomwe zimachitikira, momwe zimachitikira, ndipo koposa zonse, momwe tingapewere kuchitika.

Zoyambitsa matenda

Mmodzi yekha mwa anthu 100 odwala matenda ashuga ali ndi matenda monga a Charcot a matenda ashuga. Asayansi akugwirabe ntchito kuti adziwe zomwe zimayambitsa izi.

Masiku ano, zifukwa zingapo zazikulu zatsimikiziridwa mwasayansi:

1. mawonekedwe osokoneza bongo a shuga ndi neuropathy yomwe ikupanga motsutsana ndi kumbuyo kwake. Panthawi imeneyi, chidwi chamiyendo cha miyendoyo chimasokonezeka, ndiye kuti, ngati mutapanikiza kumapazi, kutsina, kapena ngakhale kugunda, munthuyo sangamve chilichonse. Wodwala matenda ashuga sangathe kuyika phazi logontha pamene akuyenda; dzanja loterolo "silimva" kukhuthala kwa nsapato ndi zina zopanda pake zakunja - izi zimabweretsa kupunduka kwakukulu;
2. kusuta ndi kumwa mowa. Ngakhale mwa munthu wathanzi, zizolowezi zoyipa zimayambitsa kuchepa kwa lumen ya mitsempha yamagazi, kuchepa kwa magazi, kufa kwa ma capillaries komanso zotsatira zina zosasangalatsa. Mu odwala matenda ashuga, njirayi imachitika mwachangu, kotero phazi limakumana ndi kuperewera kwa zakudya ndi mpweya;
3. nsapato zosankhidwa bwino;
4. zotumphukira zamitsempha yamagazi, yomwe imadziwika kwambiri ndi atherosulinosis;
5. zovuta zomwe zilipo m'magazi oyenda ndi magazi mthupi. Kuperewera kwa oxygen m'magulu osiyanasiyana kumayambitsa kuperewera kwa zakudya, kudziunjikira kwa zinthu zowola, minofu necrosis (imfa).

Zizindikiro zowopsa

Chifukwa chake, timalemba zazikuluzo:

• kuvuta kuyenda, kunama;
• kufinya kwamphamvu m'munsi;
• kuvulala kwapamapazi pafupipafupi: ma dislocations, fractures, sprains;
• calluses yosatha, ming'alu, khungu lowuma;
• red of the mapazi;
• hyperthermia imatha kudwala;
• kupindika kwa zala;
• kuphwanya;
• kupweteka kwambiri m'mapazi tsiku lililonse;
• Zilonda zazitali zosachiritsa, mabala. Nthawi zambiri amatembenuka kukhala mabala amatsuka oyera ndi secretion;
• maluwa akutuluka pansi;
• kuwonongeka kwa msomali ndi bowa;
• ingrown toenail.

Kuzindikira matendawa

Magawo anayi a odwala matenda ashuga amasiyana. Choyambirira chimadziwika ndi kukhalapo kwa kutupa ndi mapazi ofiira, kuwonjezeka kwa kutentha kumalo achonde. Ngati chithandizo chayambika poyambira, ndiye kuti matendawo amapezeka kuti ali ndi chiyembekezo. Pambuyo pake wodwalayo amabwera kwa dokotala, mwayi wocheperako.

Phazi la Charcot mu matenda a shuga mellitus, mawonekedwe ovuta

Fotokozerani mwachidule za zomwe zimatsalira pakukula kwa matendawa:

• Lachiwiri, nsonga za phazi ndizophatikizika, kuwonekera kumawonekera kwambiri;
• zala zikugwada, phazi silingathenso kugwira ntchito zake, mapindikidwe amakula. Zodzipatula zokha ndi ma fractures zitha kuchitika;
• Zilonda zokhala ndi mabakiteriya owoneka ngati ovuta.

Chithandizo

Kusankha kwachiritsidwe kumatengera kwathunthu momwe matenda adapezeka.

Pali njira zingapo zomwe zimagwiritsidwa ntchito pofufuza zovuta za matendawa:

• amachita x-ray kapena MRIs kuti adziwe momwe mafupa amasweka, ngati pali fractures, dislocations, etc.
• khalani ndi maphunziro apadera kuti mudziwe kuthamanga ndi mawonekedwe a kuthamanga kwa magazi, mkhalidwe wamitsempha yamagazi ndi mitsempha yathupi la wodwalayo.
• Onetsetsani kuti mukuwona zovuta za neuropathy kuti muwone kuchuluka kwa miyendo yomwe yawonongeka.

Ngati zilonda zam'mimba ndi mabala, ndiye kuti wothandizila wa causative wa matendawa amapezeka lactopus kwambiri kwa matenda osokoneza bongo kuti apereke chithandizo choyenera cha antibacterial.

Chithandizo chake nthawi zonse chimakhala chovuta, chimaphatikizapo:

1. kumwa mankhwala, mafuta ndi mafuta;
2. kuyimitsa njira yowonongera mafupa;
3. Zochita zolimbitsa thupi;
4. kudya. Amasankhidwa ndi dokotala mosamalitsa monga mtundu wa matenda;
5. physiotherapy. Amasankhidwa malingana ndi kuopsa kwa vuto la wodwalayo komanso kupezeka kwa matenda olimba.
6. kusankha nsapato, insoles, orthosis. Kugwiritsa ntchito pa gawo lililonse. Zogulitsa zotere zimapangidwa ndi dokotala wa amisala; Chalk chotere chimathandiza kuchotsa katundu kumapazi, zomwe zimalepheretsa kuwoneka ngati scuffs ndi deformations.

Chitani masewera olimbitsa thupi

Kunja kwa gawo lodziwika bwino la matenda, komanso kupewa kwa matenda a matenda ashuga, tikulimbikitsidwa kuchita izi:

1. timakonza chidendene pansi, ndipo zala zathu timayesa kuzungulira. Timabwereza, koma takhazikitsa masokosi kale;
2. kwezani thupi zidendene ndi masokosi;
3. kugwada ndikugwetsa zala;
4. ndi phazi lowongoka timapanga zozungulira mlengalenga;
5. Timawongola miyendo ndi kukweza, timayesetsa kuchotsa phazi kwa ife, kenako kwa ife eni;
6. kokerani sock tokha, kuloza ndikukweza miyendo yolunjika kuchokera pansi.

Katatu patsiku, kuphatikiza mukadzuka, ndikulimbikitsidwa kuti muzichita masewera olimbitsa thupi: ikani mapazi anu papilo pafupi ndi 30% kwa mphindi ziwiri, khazikani pansi kwa mphindi zitatu, ikani miyendo mwamphamvu mpaka mphindi zisanu.

Mankhwala

Chithandizo chimatengera wodwala wina.Magulu akulu a mankhwala:

• diuretics, mankhwala osapweteka a anti-kutupa - amapatsidwa edema;
• calcitonin subcutaneous kapena intramuscularly, komanso bisphosphonates, amagwiritsidwa ntchito pakamwa ngati pakufunika kuimitsa njira yowonongera mafupa;
• anabolic steroids. Ntchito zawo: kukonza kukomoka kwa minyewa ndi kamvekedwe ka minofu, kulimbikitsa kuyamwa kwa calcium, kuonjezera kugwirizanitsa kwa kayendedwe.

Pa gawo loyamba, ndizovomerezeka kugwiritsa ntchito njira zina. Mwachitsanzo, osamba kapena odzola ndi kapangidwe ka uchi. Kuphika motere: pogaya magalamu 50 a bulugamu (pa chikho cha madzi) posamba m'madzi kwa kotala la ola limodzi. Kuzizira, kupsyinjika, kuwonjezera supuni ziwiri za uchi, sakanizani.

Ndipo njira ina yothandiza: sakanizani gawo limodzi la rosemary ndi magawo awiri a njere za mpiru ndi maluwa a chamomile. Thirani madzi otentha ndi theka la lita, tsimikizirani kwa tsiku. Masokosi a ubweya wa Moisten, ikani miyendo mkati mwawo, mumatha ola limodzi kapena kupitilira apo.

Njira zopewera

Njira zofunikira kwambiri zodzitetezera ku matenda oopsa monga olowa ndi a Charcot mu shuga mellitus ndi izi:

1. kutsatira kwathunthu malangizo a dokotala;
2. kuyang'anitsitsa miyendo. Ngati khungu linasintha khungu, ndipo mapazi ake anali otupa, chimanga, zopindika, misomali yoyenda inayamba kuwoneka, ndiye awa anali mabelu oyamba omwe sayenera kunyalanyazidwa;
3. Simungayese kuthana ndi phazi la Charcot;
4. Ndikofunikira kuchita masewera olimbitsa thupi;
5. ndikofunikira kuvala nsapato zapadera, orthostalkes;
6. Musaiwale kulimbitsa chitetezo cha mthupi;
7. nthawi zonse amawunika ndi endocrinologist;
8. kudya mokwanira, kuyang'anira shuga wamagazi pafupipafupi, ndi kukana kwathunthu zoyipa zilizonse ndizofunikira kwambiri.

Makanema okhudzana nawo

Sharko's matenda ashuga amitundu:

Phazi la odwala matenda a shuga a Charcot ndilobisika komanso lovuta kwambiri kwa matenda ashuga. Ndizotheka kupewa zovuta ngati malingaliro onse omwe aperekedwa pamwambapa akuwonetsetsa.