Zizindikiro za matenda ashuga mwa akulu ndi ana ndizosiyanasiyana. Zizindikiro zoyambirira ndimakokota pafupipafupi, kudwala matenda a m'mitsempha, kuchepa, kapena, kunenepa kwambiri, kuchuluka kwa chilakolako chofuna kudya. Kuphatikiza pa chipatala china, shuga imawonetsedwa ndi pathologies a khungu. Zimaphatikizidwa ndi kupezeka kwa kuyabwa, kusintha kwa khungu ndi mawonekedwe a zotupa. Mavuto omwewa ndiwofanana kwa 30% ya odwala omwe ali ndi mtundu 1 ndi mtundu wa 2 matenda.
Kuzimiririka ndi matenda ashuga kumatha kuonekera m'thupi lililonse la wodwala:
- kumaso;
- m'makondo;
- m'mphepete;
- pa miyendo;
- m'dera la matako;
- m'dera lachiberekero.
Zolakwika za pakhungu zimabweretsa zosokoneza zambiri, zimatha kubweretsa kukulitsidwa kwamphamvu pakukhumudwa. Kuphatikiza apo, chifukwa chophwanya njira za kagayidwe kachakudya m'thupi la anthu odwala matenda ashuga, kusintha pakhungu sikamachiritsa kwa nthawi yayitali, ngakhale kuti sikungayambitse kupweteketsa mtima (chifukwa cha kuwonongeka kwa dongosolo lamanjenje).
Kodi ndimatenda amtundu uti amtundu wa diabetes?
Ndi matenda ashuga, khungu limasintha. Zimakhala zosasangalatsa komanso zowuma, zomwe zimatha kutsimikizika mosavuta ndi palpation. Pali kuchepa kwa elasticity ndi turgor, mukayang'aniridwa, mutha kuwona mawonekedwe a ziphuphu zakumaso, zakuda ndi mawanga.
Komanso, nthendayi yomwe imayambitsa matenda imakhumudwitsa kawirikawiri mafangayi a pakhungu komanso kuphatikizana ndi matenda a bacteria. Pali mitundu ingapo ya kusintha kwa matenda ashuga pakhungu:
Kulakalaka matenda a shuga komanso momwe mungachotsere- Matenda a pakhungu omwe adatulukira kudwala lokha. Njira zotere zimawonedwa chifukwa cha kuwonongeka kwa gawo limodzi la zotumphukira, mitsempha yamagazi, komanso kusintha kwa kagayidwe kachakudya. Gululi limaphatikizapo matenda ashuga a m'mimba, pemphigus, kukula kwa xentomatosis, lipoid necrobiosis, komanso mitundu yosiyanasiyana ya totupa.
- Ma pathologies a pakhungu omwe amatuluka chifukwa chophatikizidwa ndi kachilombo koyambitsa bakiteriya ndi fungus motsutsana ndi maziko a "matenda okoma".
- Maonekedwe a dermatoses ya mankhwala omwe amayamba chifukwa cha mankhwala osokoneza bongo pochiza matenda. Izi zimaphatikizira kukula kwa urticaria, toxidermia.
Mawonekedwe a kuzizira mu shuga mellitus ndi chikhalidwe chake zitha kuwerengeka kuchokera pa chithunzichi.
Chitukuko ndi mawonekedwe a khungu totupa mu odwala matenda ashuga
Zoyambitsa zotupa
Mkhalidwe wamatumbo umakula pazifukwa zingapo. Yoyamba ndikuwonongeka kwa mtima kwa mic- ndi macroscopic. Poyerekeza ndi hyperglycemia wosasintha, kusintha kwa ma scellotic mu capillaries ndi arterioles a thupi la wodwalayo kumawonekera. Khungu komanso minofu yolowerera, monga madera ena amthupi, imasiya kulandira chakudya chokwanira, kayendedwe ka magazi amasintha. Choyamba, khungu limakhala louma, kuyabwa ndi kubowola kumachitika, kenako mawanga ndi zotupa zimatuluka.
Chifukwa chachiwiri ndi kachilombo kakang'ono. Chitetezo cha thupi la odwala matenda ashuga chimafooka kwambiri, chomwe chimakwiyitsa anthu ambiri khungu ndi tizilombo tambiri. Bacteria ndi bowa amatha kupanga zinthu zapoizoni zomwe zimagwira kwanuko ndikupangitsa kusintha kwa khungu.
Chifukwa chachitatu ndi kusagwira bwino ntchito kwamkati. Mothandizidwa ndi mtima, mitsempha yamagazi, impso ndi ubongo, chiwindi chimavutika. Ili ndiye thupi lomwe limasintha thupi. Kuphwanya ntchito zake, totupa ndi madera ena oopsa zimawonekera pathupi.
Diabetesic lipoid necrobiosis
Ichi ndi chimodzi mwazovuta za matenda ashuga, pomwe azimayi amavutika kwambiri (pafupifupi katatu). Monga lamulo, matenda am'mimba amayamba kukula m'zaka khumi. Zimadziwika ndi chakuti pamiyendo, mikono, thunthu, maliseche, madera ofiira kwambiri amawonekera. Amatha kukhala ochepa (mwa mawonekedwe a zidzolo) kapena akulu (ofanana ndi mabala otupa, zilonda).
Foci ya necrobiosis imatha kukhala ndi zazikulu zosiyanasiyana
Pambuyo pake, khungu pakhungu la pathology limakhala louma, kusintha mtundu wake. Gawo lapakati m'dera lomwe lakhudzidwalo limakhala lachikasu, ndikuzungulira madera ofiira. Ngati vutoli lanyalanyazidwa kwa nthawi yayitali, palibe chithandizo chokwanira, matenda oyambitsidwa ndi bakiteriya angachitike. Pambuyo pochiritsa, mawanga amdima ndi zipsera amakhalabe.
Furunculosis
Chithupsa amatchedwa madera a kutupa kwa tsitsi komanso tsitsi la sebaceous, mawonekedwe ake amayamba chifukwa cha staphylococci. Zithupsa zimakhala ndi izi:
- mawonekedwe a conical;
- mkati muli ndodo yoyenga;
- ozunguliridwa ndi madera a hyperemia ndi kutupa;
- atatha masiku 4-8 amatsegulidwa, ndikutulutsa zomwe zimapezeka kunja;
- kuchira, kusiya kachala kakang'ono;
- ikhoza kukhala imodzi kapena m'magulu.
Ndi matenda ashuga, amatuluka motsutsana ndi maziko a kuphatikizika kwa kufooka kwa chitetezo chokwanira komanso kulowerera kwa microflora yodutsamo mwa kupyola zazing'ono, abrasions, ming'alu. Chifukwa cha kagayidwe kachakudya kagayidwe kachakudya, wodwala matenda ashuga sangathe kupanga kuchuluka kwa mapuloteni omwe angatenge nawo mapangidwe a antibodies. Izi zikufotokozera momwe kusakhazikika kwamphamvu kumakhalira.
A shuga pemphigus
Pemphigus mu matenda a shuga, monga lamulo, amapezeka motsutsana ndi maziko a matenda amtundu wa 1. Izi ndichifukwa cha autoimmune chikhalidwe cha pathological mkhalidwe. Pali mitundu ingapo ya pemphigus, zomwe zimakambidwa pansipa.
Zowona
Mtundu wowopsa kwambiri womwe umafuna nthawi yayitali, nthawi zina ngakhale chithandizo cha moyo. Mankhwalawa amachitika mu Mlingo waukulu wa mankhwala a mahomoni, zingakhale zofunikira kugwiritsa ntchito ma immunosuppressants, komanso mankhwala othandizira chiwindi.
Vutoli limadziwika chifukwa chakuti ma vesicles ang'onoang'ono omwe ali ndi zomwe zitha kuwoneka bwino kapena zodetsa zamagazi zimawonekera pakhungu ndi mucous membrane ya odwala matenda ashuga. Pakapita kanthawi, mabuluni amatsegulidwa, zamadzi zotuluka zimatuluka. Ziphuphu zimapezeka pamalo a misozi.
Nthawi yomweyo, magawo angapo a kusintha kwa maselusi pakhungu amawonedwa (kuyambira pakubwera kokha mpaka pakuchiritsidwa kale)
Kuphatikiza pa zizindikiro zamderalo, zambiri zitha kuchitika:
- • Hyperthermia;
- kufooka kwambiri;
- kuchepa kwa magwiridwe antchito;
- mawonekedwe a zilonda zapakhosi.
Nthawi zina, kachilombo koyambitsa matenda kamalumikizidwa, zomwe zikutanthauza kuti pamafunika kugwiritsa ntchito maantibayotiki.
Seborrheic
Amadziwika ndi kuwoneka kwa thovu yaying'ono. Pamwamba iwo amaphimbidwa ndi utoto wa chikasu kapena mtundu wa bulauni, womwe amafanana ndi mamba. Nthawi zambiri zimachitika pakhungu la nkhope, khungu, chifuwa, kumbuyo ndi mapewa. Ziphuphuzo zikachotsedwa, pamatuluka pang'onopang'ono.
Zamasamba
Zing'alu zimawonekera pakhungu lamkati lamkati, kenako ndikupita kumanja, m'mbali mwa makutu, pansi pa chifuwa. Kupezeka kwawo kumayendera limodzi ndi zizindikiro zopweteka, zizindikiro za kuledzera.
Yokhala ngati masamba
Mtundu wachilendo wa pemphigus, womwe umadziwika ndi thovu ndi thovu. Mabulowa atatsegulidwa, mawonekedwe akuwoneka kuti akuwoneka kuti akuwonekera ayaka imodzi. Omaliza amaphatikizana wina ndi mnzake, ndikupanga mabala akulu kwambiri. Chithandizo cha mitundu yonse ya pemphigus mu shuga sichimangofunika kugwiritsa ntchito mankhwala, komanso hemosorption, plasmapheresis, ndipo nthawi zina ngakhale kuthiridwa magazi.
Malangizo pochiza matenda a shuga
Choyamba, ndikofunikira kulabadira zomwe zimawonetsa shuga mwa wodwalayo, popeza ndi kuchepa kwake kokha komwe tingakwanitse kulipiritsa zomwe zimayambitsa matenda ndikuletsa kupitirira kwa zovuta za matendawa. Kuti muchite izi, gwiritsani ntchito:
- zakudya mankhwala;
- zolimbitsa thupi zokwanira;
- mankhwala (jakisoni wa insulin, kumwa mapiritsi ochepetsa shuga).
Chithandizo chofunikira chikuthandizani kusankha endocrinologist
Kuthamanga matenda a shuga amafunikira chithandizo pamalopo. Mafuta omwe ali ndi maantibayotiki amagwiritsidwa ntchito polimbana ndi matenda, mankhwala osokoneza bongo, mankhwala oletsa ululu (painkillers gels). Madokotala amakhazikitsanso mankhwala a ziwengo kuti muchepetse kuyabwa, kutentha ndi kutupa, komwe kumayendetsedwa ndi khungu.
Kuthandiza pa nthawi yake ndikutsatira malangizo a akatswiri kungakuthandizeni kuyimitsa kupitilira kwamatumbo ndikuthandizira kuchiritsidwa kwa totupa ndi mabala.
