Matendawa odwala matenda ashuga ndi matenda osasangalatsa, omwe amaphatikizidwa mwachindunji ndi kuchuluka kwa shuga m'magazi. Ngati matenda ashuga achoka, pali kuphwanya kwamvekedwe wama mitsempha (otchedwa neuropathy) ndi kutaya kwa magazi m'mitsempha ya miyendo kumawipira. Matenda a diabetesic phazi lalitali ndikofunikira kuti musawoneke zilonda zam'mimba mwa wodwala matenda ashuga, komanso kuwonongeka kwa mafupa ndi mafupa.
Ngati wodwalayo sakhudzidwa ndi mankhwalawa, mabala omwe amapangidwa pakhungu la miyendo mwina samachira, tizilombo toyambitsa matenda amagwera m'matumbo ndikuchulukana mwachangu. Kuperewera kwa mankhwalawa kumatha kubweretsa kukulira kwa gangrene ndi kuduladula kwina kwa dzanja lomwe lakhudzidwa. Matenda a shuga ndi matenda oopsa, zomwe zimapangitsa munthu kulumala mu chikuku.
Zotsatira zonsezi zimatha kupewedwa ngati musamalira bwino miyendo yanu ndi matenda ashuga.
Zomwe simuyenera kuchita
Anthu omwe akudwala matenda ashuga ayenera kusamalira thanzi lawo bwino momwe angathere ndikupewa zinthu zotsatirazi zomwe zimabweza zilonda pakhungu la miyendo yawo:
- hypothermia kapena kutentha miyendo;
- kugwiritsa ntchito mitundu yonse ya mapiritsi otenthetsera ndi zinthu zotentha kwambiri kuti muzitenthetsa miyendo. Izi zimakhudzanso zida zilizonse zotentha - munthu sangamve kutentha;
- Kufewetsa chimanga ndi mafinya ndi mankhwala aliwonse;
- Kuchotsa khungu la ma coarse kapena chimanga chokhala ndi zida zakuthwa (ndikofunikira kugwiritsa ntchito pumice nthawi zonse);
- mankhwalawa mabala ndi mabala omwe amaletsa khungu zinthu (ayodini, mowa);
- kuvala nsapato pamapazi opanda kanthu;
- kuyenda osavala nsapato (makamaka pamtunda wakuda kapena pansi);
- kusowa chinyezi pakhungu la miyendo, zomwe zimayambitsa kuwoneka kowuma komanso ming'alu yopweteka;
- kukonza kwa misomali yokhala ndi lumo lakuthwa (pachifukwa ichi pali ma tweezers apadera);
- kuvala masokosi okhala ndimawonekedwe ndi darn, msoko womwe umatulutsa ndi kuwononga khungu;
- kumwa mankhwala kuchokera ku gulu la beta-blocker - izi zimabweretsa khungu louma.
Njira zopewera
Mukatsuka, nthawi iliyonse ndikofunikira:
- yang'anirani khungu la miyendo kuti iwonongeke (izi zitha kuchitidwa pogwiritsa ntchito kalirole);
- ikani zonona zowirira pamiyendo ndikusuntha, kuti mupewe pakati pa zala, popeza khungu limakhala lonyowa mokwanira;
- gwirirani misomali yokhota ndi fayilo, yopanda ngodya;
- kuchitira mabala ndi kuwonongeka kulikonse ndi njira yopanda mankhwala ophera tizilombo toyambitsa matenda (chlorhexidine, miramistin), ngati kuli kotheka, ikani chovala chosabala;
- Valani masokosi atsopano kapena masokosi opanda msoko ndi zomangika zolimba nthawi iliyonse.
Kupewa kwa matenda ashuga odwala matenda ashuga sikungokhala kokha mwaukhondo machitidwe - malamulo ena ayenera kuchitika:
- Valani nsapato zapadera zamtundu wa orthopedic. Nsapato izi zimayenera kukwaniritsa zofunika zapamwamba: mutu wofewa, wolimba wokhawo womwe sungathe kuwongoka (pali mpukutu pamenepo), kusowa kwa msambo wamkati komwe kumatha kupukusa ndi kuwononga khungu la miyendo. Kuvala nsapato zokhala ndi zala zazing'onoting'ono, zidendene za stiletto kapena zokhala ndi jumper yokhazikika kumatha kubweretsa chimanga ndi kuvulala. Musanaveke nsapato, muyenera kuyang'ana ngati pali zinthu zakunja kapena kung'ambika maraya amkati mwa nsapato, ngati insole yakhazikika ndikuyika malo.
- Pewani shuga m'magazi ndikuyesera kuti ikhale yachilendo.
- Pezani nthawi yake fungus ya msomali, chifukwa kukula kwake kungapangitse kukula kwa misomali, yomwe, imakanikizira minofu yofewa pansi pa misomali ndikupangitsa kupweteka komanso njira zotupa.
- Kuchita masewera olimbitsa thupi pafupipafupi kwa miyendo - izi zimathandizira kutentha mapazi.
- Osagwiritsa ntchito zigamba, chifukwa angakulitse vuto lomwe akufuna kuthana nalo ndi thandizo lawo.
- Yang'anirani khungu la miyendo kuti mukhale ndi chidwi, chifukwa kutayika kwake kungayambitse kuwonongeka kosawoneka ndi kutupa, zomwe zimawopseza kukula kwa gangrene.
- Osakhala m'malo osambira komanso osamba, ndipo yesetsani kuti mapazi anu asanyowe mumvula.
- Itanani dokotala nthawi yomweyo kuti muvulaze kapena vuto lililonse lokhudza khungu lanu.
- Osasuta. Kusuta kumayambitsa kusokonezeka kwa magazi kumiyendo kumapazi osati kokha.
Kupewa kwa matenda ashuga ndi njira zingapo zofunika kuziteteza. Titha kunena kuti iyi ndi ntchito ya tsiku ndi tsiku, popeza kukonza mawotchi owuma komanso owononga khungu kumiyendo ndikumveka ndikovuta kwa ambiri odwala matenda ashuga. Moyenerera, mapazi a munthu wodwala matenda ashuga ayenera kukhala oyera nthawi zonse, owuma, otentha osati thukuta, omwe ngakhale anthu athanzi sangakwaniritse.