Zambiri pamafuta odzola pachilonda cha matenda ashuga

Matenda a shuga a matenda ashuga (SDS) amapezeka mwa odwala omwe ali ndi vuto la glucose metabolism mu 8-10% ya milandu. Mtundu wa complication umadutsa magawo angapo.

Pakakhala chithandizo chokwanira, zovuta zoyambirira zam'matumbo zimatha kupangitsa kulumala.

Purroc necrotic foci amapangidwa, mpaka kulowa mkati mwa khungu, minofu, ndi mafupa. Matendawa akuwopseza kudula mwendo wosavulala ngakhale kufa, chifukwa chake chithandizo chikuyenera kuchitika mwachangu.

Chithandizo cha komweko ndi gawo lofunika kwambiri la zinthu zomwe zimapangitsa kuti odwala akhale ndi thanzi. Kukonzekera kwanuko kumayimiriridwa ndi mayankho osiyanasiyana, kuyimitsidwa, kavalidwe kokonzekera. Nthawi zambiri, monga gawo la kuphatikiza zilonda zapakhungu, kupaka gel, kupaka mafuta kapena mafuta a phazi la matenda ashuga.

Zomwe zimathandizira pakhungu la odwala matenda ashuga

Kuchuluka kwa shuga mu shuga mellitus (DM) kumabweretsa kuwonongeka kwa mitsempha, capillaries, mitsempha. Chifukwa cha kusintha kwa mtima.

Trophic ya minofu imavutanso chifukwa cha autonomic polyneuropathy. Zakudya zokhala ndi khungu lowonongeka zimatsogolera pakuchepa, kuthana kwambiri ndi kuvulala, ndi kuchepa kwa kusinthika kwa luso.

Matenda a shuga m'magawo atatu

Kuwonongeka kocheperako kumatha kupangitsa kuti chilonda chopweteka chilimbe, chomwe chimadutsa magawo angapo popanda kulandira chithandizo:

1. kachilombo kakang'ono kokhudza magawo a khungu;
2. mchitidwewo umafikira minofu yaying'ono, minofu;
3. cholakwika chachikulu chakupanga chimapangidwa, kutupa kumapita kulumikizana, mafupa (nyamakazi ndi mafupa a mafupa);
4. zigawo zonse za khungu zimafa pamalo ena ake kapena pansi lonse phazi;
5. tsamba la phazi lokha ndilabwino.

Udindo wa mafuta opaka pothana ndi zilonda zam'mimba kwa odwala matenda ashuga

Kukhalapo kwa kutulutsa kwa purulent kumafuna kugwiritsa ntchito mankhwala a antiseptic ndi mankhwala osokoneza bongo motsutsana ndi tizilombo tomwe timayambitsa bala.

Pambuyo poyeretsa zilonda zam'mimba, ndikofunikira kugwiritsa ntchito mankhwala omwe amalimbikitsa kukonza minofu.

Mafuta onse ochokera kuphazi la anthu odwala matenda ashuga amatha kugawidwa molingana ndi zolinga izi kukhala othandizirana pamankhwala oyambitsa matenda osokoneza bongo komanso mankhwala omwe amasintha kubadwanso. Kuchepetsa edema kwambiri ndikuchepetsa ululu m'miyendo, mankhwala ozikidwa NSAID angagwiritsidwe ntchito.

Mafuta amafuta omwe amakhudza kachilomboka

Kumayambiriro kwa mankhwalawa, mankhwala okhala ndi chloramphenicol, sulfonamides, aminoglycosides, ndi ena opangira antimicrobials amagwiritsidwa ntchito.

Maantibayotiki omwe ali ndi ntchito yambiri yochita kupanikiza mabakiteriya aerobic ndi anaerobic.

Mafuta ochiritsira phazi la matenda ashuga sayenera kupanga filimu yomwe imalimbikitsa kudzikundikira kwa exudate. Zokonda zimaperekedwa pazinthu zosungunuka zamadzi.

Zinthu zogwira ntchito

Zodzola za phazi la matenda ashuga, monga lamulo, zimakhala ndi zinthu zotsatirazi:

• chloramphenicol: imalepheretsa kukula kwa staphylococci, spirochetes, streptococci, mabakiteriya osagwira ma penicillin ndi sulfonamides;
• sulfonamides: imakhudza mabakiteriya osiyanasiyana, makamaka staphylococcus aureus ndi streptococci, shigella, chlamydia, Klebsiella, Escherichia coli;
• aminitrosol: yogwira motsutsana ndi protozoa (giardia, trichomonads, etc.), staphylococci, streptococci ndi ma virus ena ochepa, ilibe mphamvu pa Pseudomonas aeruginosa ndi Proteus;
• bacitracin: ili ndi zochitika zambiri zotsutsana ndi mabakiteriya oyenera;
• neomycin: imakhudza tizilombo tambiri, kuphatikizapo staphilo, strepto, enterococci, salmonella, shigella, proteina, ndodo ya kamwazi.

Zomwe zimapangidwira mafuta onunkhira a phazi la shuga zitha kuphatikizira zonse ziwiri za antibacterial, ndi kuphatikiza kwawo. Kuphatikiza kwa bacitracin ndi neomycin kumayimiriridwa ndi mawonekedwe a Baneocin. Sulfanilamide ndi gawo la antiprotozoal amapanga kukonzekera kwanuko Streptonitol. Chloramphenicol ndiye maziko a syntomycin liniment.

Mankhwala Baneocin

Omasulidwa katundu okhala ndi zinthu za multidirectional action. Kuphatikizika kwa mankhwala Levomekol, omwe angagwiritsidwe ntchito ngati mafuta kuchokera kuphazi la matenda ashuga kwambiri, ali ndi mankhwala opha maantibayotiki komanso chinthu chomwe chimasintha.

Mphamvu yotsutsa ya sulfonamide limodzi ndi chloramphenicol, yothandizidwa ndi mankhwala oletsa kupweteka komanso mabala, imayimiriridwa ndi kuphatikiza kwa mankhwala osakanikirana ndi mankhwala omwe amapezeka ndi dzina la malonda a Levosin.

Udindo wa mankhwala am'deralo pakuchiritsa

Pambuyo pazovuta za matenda opatsirana, kugwiritsa ntchito othandizira omwe amalimbikitsa kukonza minofu kumayamba. Pachifukwa ichi, kukonzekera kochokera pa anabolic steroid ndi obwerera akuwonetsedwa. Amatembenuka pogwiritsa ntchito methyluracil, solcoseryl, mafuta a hepatrombin ndi miyala yofanana.

Gel Kollost

Popeza mankhwalawa alibe antiseptic katundu, ndikofunikira kuti zitheke kaye kuti kuthetsere kachilomboka komanso chiyambi cha kupukutira zilonda. Pa nthawi iyi komanso yapita ya mankhwala, kugwiritsa ntchito mankhwala a antiseptic (mwachitsanzo, Argosulfan, Katacel paste) nthawi zambiri amakhudzidwa.

Zotsatira zabwino zikuwonetsedwa ndikugwiritsa ntchito zatsopano. Kugwiritsa ntchito biomembranes ndi gel osakaniza a Kollost kwa phazi la matenda ashuga imathandizira njira yopanga minofu. Mankhwalawa amachokera ku collagen ya ana a ng'ombe, motero, ndi achilendo kwa thupi la munthu popangidwa ndi antigenic. Izi zimakupatsani mwayi wothandizira kukhazikitsidwa kwa ulusi wawo wa collagen.

Gawo lomaliza pakuchiritsa mabala ndikutulutsa ziwalo ndi mapangidwe. Munthawi imeneyi, amayamba kugwiritsa ntchito njira zolimbitsa thupi, mafuta opaka pakhungu patsopano mafuta onunkhira chifukwa cha mafuta (Bepanten, Actovegin).

Njira zina

Kuwongolera odwala omwe ali ndi VDS ndi njira yowononga nthawi. Zilonda zam'mimba zimafuna kuvala kwa bandeji kwanthawi yayitali. Kusintha kosasintha kavalidwe kosavuta kumabweretsa microtrauma, kuwonongeka kwa minofu kusinthika.

VDS ikayamba kugwiritsa ntchito njira zotsatirazi:

1. Nthambi. Maukonde a zinthuzi amaleredwapo ndi mankhwala a ku Peru, omwe ali ndi antiseptic komanso mabala ochiritsa;
2. Atrawman. Mavalidwe onunkhira ndi siliva. Absorbent;
3. Inadin. Kuvala ndi ayodini wa povidone. Ili ndi mphamvu yotsutsa. Mabala omwe amasakanikirana;
4. Actisorb Kuphatikiza. Muli siliva ndikuyambitsa kaboni.

Pali umboni kuti ndalama monga ichthyol, streptomycin, mafuta a tetracycline, Vishnevsky liniment zimatha ntchito. Malinga ndi zotsatira za kafukufuku, kusakwanira kwawo pa chithandizo cha matenda ashuga kumatsimikiziridwa.

Mukamasankha antibacterial mankhwala, amatsogozedwa ndi chidwi cha tizilombo toyambitsa matenda. Kugwiritsa ntchito mankhwala osokoneza bongo mopitilira muyeso kumabweretsa kutuluka kwa zovuta, kufalikira kwa matenda oyamba ndi fungus, kuchulukitsa kwa matenda awa.

Makanema okhudzana nawo

Doctor of Medical Science pa njira zochizira mabala ndi zilonda zam'mimba za odwala matenda ashuga:

Chithandizo cha SDS chakomwe chikuyenera kuchitika mu magawo, onetsetsani kuti mukuwongolera glycemia. Kukhalapo kwa kusintha kwa purulent-necrotic kumafuna opaleshoni ya zilonda zam'mimba, kuchotsedwa kwa zimakhala zosagwira. Pambuyo pokhapokha mwanjira zonsezi, kugwiritsa ntchito mankhwala am'deralo, kuphatikiza kugwiritsa ntchito mankhwalawa. Zotsatira zamankhwala zimatsimikiziridwa osati kokha ndi kupeza chithandizo chamankhwala panthawi yake, ziyeneretso za akatswiri, chitetezo cha wodwalayo, komanso chifukwa cha kuleza mtima kwa iye yemwe ali ndi matenda osokoneza bongo potsatira nthawi zonse.