Matenda a shuga ndi matenda ovuta komanso ovuta omwe ndi ovuta kuchiritsa ndipo nthawi zambiri amayenda ndi zovuta zingapo. Choyamba, malekezero am'munsi amadwala matendawa, popeza mothandizidwa ndi kuchuluka kwa glucose m'magazi, mathero a mitsempha amawonongeka ndikuyenda kwake kumasokonekera. Chifukwa chake, chisamaliro cha kumapazi kwa matenda ashuga ndizofunikira kwambiri ndipo ziyenera kuchitika molingana ndi malamulo ena.
Chifukwa chiyani muyenera kusamalira miyendo yanu ndi matenda ashuga?
Matenda a shuga ndi matenda oopsa, omwe amakhudza thupi lonse lathunthu. Komabe, monga tafotokozera pamwambapa, choyamba, nthendayi imakhudza ululu waukulu wamitsempha yamagazi ndi mitsempha yamagazi, yomwe ili kumapeto pang'ono. Zotsatira zake, matenda ashuga a polyneuropathy amayamba kukhazikika, omwe amadziwika ndi kuchepa kwamphamvu kwa khungu.
Poyamba, wodwalayo amatha kumva kulira kwa miyendo ndi dzanzi. Kenako amasiya kumva kukhudza komanso kupweteka, kenako kuthekera kwake kusiyanitsa kutentha kumatha. Izi, zimabweretsa kuti wodwalayo sazindikira kuti wagunda mwendo kapena kuduladula. Ndipo kuvulala kulikonse m'matenda a shuga ndi koopsa, chifukwa kungayambitse kukulitsa matenda opatsirana, omwe amangochitidwa mwa opaleshoni, ndikuduladula mwendo kapena kuwonongeratu dzanja.
Matendawa ndi vuto lalikulu la matenda ashuga. Ndipo zimayamba chifukwa chakuti ndi matenda ashuga, kagayidwe kamasokonezedwa ndikuwongoleka njira zimachepetsedwa, komwe mabala omwe amatuluka thupi amachira kwanthawi yayitali. Ndipo ngati matenda alowa pachilonda (miyendo ndi omwe ali pachiwopsezo chachikulu chotenga matenda, chifukwa mutha "kuyimitsa" ndikungoyenda osavala nsapato), imayamba kukhazikika ndipo zilonda zam'mimba zimangokhala pamalo ake, zomwe sizingogwire minofu yofewa yam'munsi, komanso ulusi wamisempha.
Pang'onopang'ono, zilonda zimayamba kufalikira m'miyendo yonse ndikupangitsa kukula kwa abscess ndi sepsis. Mtundu wachiwiri wa matenda ashuga, zovuta zotere ndizosowa. Komabe, musaiwale kuti T2DM ikhoza kupita ku T1DM mosavuta. Ndipo popewa kuwoneka ngati zovuta zotere, ndikofunikira kusamalira miyendo mukangozindikira.
Kusamalidwa bwino kwa matenda ashuga kumathandiza kupewa zovuta
Ndikofunikira kudziwa zomwe zizindikiro za matenda ashuga zimayambitsa makamaka kuti mufunse thandizo kwa dokotala ngati zingachitike. Ndipo matendawa amawonekera motere:
- miyendo yotsika nthawi ndi nthawi imasowa ndipo imawuma nthawi zonse;
- kupumula m'miyendo kumakhala kumva kutentha, kupweteka ndi kusasangalala;
- kukula kwa miyendo kumachepa ndipo phazi limakhala lopindika;
- mabala samachiritsa.
Mlingo wa kukula kwa matendawa umatengera msinkhu wodwala komanso matendawa. Komabe, akukhulupirira kuti chimodzi mwazomwe zimayambitsa matendawa ndiwambiri kwambiri. Chifukwa chake, ndikofunikira kuti odwala matenda ashuga azitha kuyang'anira shuga ndikutsatira malangizo onse a dokotala.
Ndikovuta kwambiri kuchotsa fungus ya phazi, makamaka kwa odwala matenda ashuga, chifukwa mitundu yambiri ya mankhwala imaperekedwa kwa iwo. Ndipo kuti mupewe kutukuka, ndikofunikira kutsatira malamulo osamalira phazi.
Malamulo oyambira osamalira mapazi
Popewa kukula kwa zovuta chifukwa cha matenda a shuga, odwala sayenera kungoyang'anira kuchuluka kwa shuga m'magazi, komanso amasamalira mapazi awo pafupipafupi. Tsiku lililonse, odwala matenda ashuga amalangizidwa kuti ayang'anire miyendo ndi malo omwe amagwirirana kuti ming'alu ndi mabala. Pakakhala zovuta kuti wodwala matenda ashuga azitha kuyang'ana pawokha miyendo chifukwa cha kusuntha, galasi la pansi lingagwiritsidwe ntchito poyesedwa tsiku ndi tsiku.
Kuyendera phazi ndi kalirole
Kuphatikiza pa kuyang'ana kwamapazi tsiku ndi tsiku, ndikofunikira kutsatira malamulo ena, omwe ali ndi chikumbutso cha odwala matenda ashuga:
Kodi odwala matenda ashuga atha kuchita miyendo hydromassage- Palibe chifukwa choti musayende opanda nsapato ngakhale kunyumba, kapena dziwe, kapena pagombe. Kulikonse komwe muyenera kuyenda mutavala nsapato zotsekeka (ngati kunyumba, ndiye poterera). Izi zimathandizira kuvulala mwangozi kumapazi.
- Zikatero kuti wodwalayo azizungulira miyendo yake, ayenera kuvala masokosi ofunda. Koma posankha iwo, muyenera kulabadira chingamu. Siyenera kukhala yolimba kwambiri ndi kutsina miyendo, chifukwa izi zimabweretsa kusokonezeka kwakukulu kwa magazi mkati mwake. Ngati simungathe kunyamula masokosi otero, mutha kutuluka mu izi mosavuta mutangopanga zidutswa zingapo zozungulira zolumikizana za sock iliyonse. Nthawi yomweyo, kumbukirani kuti palibe chifukwa chomwe mungagwiritsire ntchito mapampu otenthetsera kutentha miyendo yanu. Popeza chidwi cha miyendo chachepetsedwa, mutha kuwotcha popanda vuto.
- Sambani mapazi anu tsiku lililonse ndi madzi ofunda (osaposa digiri 35). Pankhaniyi, muyenera kugwiritsa ntchito sopo wa antibacterial. Pambuyo pa njirayi, miyendo imayenera kupukuta ndi thaulo louma, kulipira chidwi chapadera pakhungu pakati pa zala.
- Mapazi a tsiku ndi tsiku amafunikira kuthandizidwa ndi mafuta, monga urea. Amapereka kukhathamiritsa kwakuya pakhungu ndikuthandizira kusintha magwiridwe ena. Mukamagwiritsa ntchito zonona, onetsetsani kuti sizigwera m'magawo awiri. Zikatero kuti kirimuyo amakhalabe pakhungu pakati pa zala, ayenera kuchotsedwa ndi nsalu youma.
- Ngati thukuta lambiri lam'munsi ladziwika, mutatsuka mapazi, mapazi amayenera kuthandizidwa ndi talcum ufa kapena ufa wa ana.
- Osadula misomali yanu ndi lumo kapena mafinya. Kugwiritsa ntchito zinthu zakuthwa kumatha kuyambitsa microtraumas, komwe kumapangitsa kuti pakhale zovuta zazikulu. Pakukonza misomali, ndibwino kugwiritsa ntchito mafayilo amisala yagalasi. Pankhaniyi, chisamaliro chapadera chimayenera kulipira ngodya, kuzungulira. Izi zimapewa kupewera misomali pakhungu ndi kuvulala kwake.
- Kuyenda pamahatchi kumafunika tsiku lililonse. Amathandizira kukonza kufalikira kwa magazi mu miyendo ndikuthandizira kupewa thrombophlebitis.
- Khungu loyipa zidendene, chimanga ndi chimanga ziyenera kuchotsedwa ndi pumice. Simungagwiritse ntchito lezala kapena chinthu chilichonse chakuthwa kuti muchichotse. Ngati palibe pumice, mutha kusintha ndi fayilo yodzikongoletsa, koma osati ndi chitsulo. Musanayambe kutsatira njirazi, simungathe kusenda khungu, ndikugwiritsanso ntchito mafuta apadera ndi mayankho kuti muchotse chimanga. Popeza chidwi cha manja ndi miyendo chimachepa, pamakhala chiopsezo chotentha kwamankhwala.
- Ngati mungodzipaka nokha ndi mafayilo ndi ma pumice samakulolani kuti muchotse khungu loyipa, chimanga ndi chimanga, lemberani kuofesi ya Diabetesic Foot ku chipatala komwe mudzalandira pedicure wachipatala.
Mukapanda kuzungulira ngodya za misomali, izi zimatha kubweretsa kulowerera kwa mbale ya msomali pakhungu, komwe kumayambitsa kutupa kwake
Tiyenera kumvetsetsa kuti ndikofunikira kukaonana ndi dokotala osati kokha ngati ma hematomas ndi njira za purulent zimawonekera, komanso nthawi yamaphunziro:
- mabala;
- zilonda;
- kuwotcha;
- kuzimiririka kwa khungu;
- kusintha kwa khungu;
- kupezeka kwa edema.
Muyenera kuonana ndi dokotala ngakhale mutawona kuwonongeka pang'ono pamapazi. Komabe, odwala matenda ashuga nawonso ayenera kudzipereka okha kuti athe kupeza zovuta. Ndipo zomwe zimaphatikizapo, tsopano mupeza.
Muyenera kuwona dokotala ngakhale pali ming'alu yaying'ono pamiyendo!
Kupereka thandizo
Aliyense wodwala matenda ashuga pakhomo ayenera kukhala ndi zida zothandizira, momwemo pakhale mankhwala othandizira kuti khungu lisawonongeke. Mwakutero:
- kupukuta wosabala;
- njira zothetsera mabala ophera matenda, mwachitsanzo, 3% hydrogen peroxide, chlorhexidine, mirastin, ndi zina;
- ma bandeji, osema.
Ndalamazi siziyenera kungosungidwa kunyumba, komanso zizitengedwa mukamayenda. Ngati mabala kapena ming'alu yaying'ono yapezeka pakuyang'aniridwa kwamapazi, khungu liyenera kuthandizidwa. Gawo loyamba ndikugwiritsa ntchito yankho la mankhwala ophera tizilombo. Ayenera kupukuta nsalu yosalala ndikuipukuta ndi khungu. Chotsatira, muyenera kuyika kuvala kosalala, kokha simungathe kumanga bandeji, chifukwa kumatha kuponderezana miyendo yam'munsi, ndikupanga kuphwanya magazi. Poterepa, opanga mawonedwe ayenera kugwiritsidwa ntchito kukonza.
Musanagwiritse bandeji kumapazi, khungu liyenera kuthandizidwa ndi mankhwala ophera tizilombo toyambitsa matenda!
Mwatsatanetsatane mwakukhazikika kwa chithandizo chisanachitike mankhwala mukalandira zitsamba zamapazi amakambirana ndi adokotala ndi odwala. Ngakhale wodwalayo akadziwa momwe angachitire ndi miyendo yake kuti apewe zovuta, mutavulala, muyenera kuonana ndi katswiri.
Kumbukirani kuti ngati muwona kuwonongeka kulikonse pamapazi anu, onetsetsani kuti muchepetse katunduyo pamapazi anu. Yendani zochepa ndikupuma kwambiri. Musamavale nsapato zolimba komanso zosamasuka, chifukwa izi zimangokulitsa zinthu.
Kodi choletsedwa kuchita chiyani ndi matenda ashuga?
Odwala matenda ashuga ayenera kukumbukira kuti chisamaliro cha mapazi chimakhala ndi "ayi" wawo, chomwe chimakhala chofunikira kuganizira. Izi zikuphatikiza:
- kugwiritsa ntchito njira zokhala ndi zakumwa zochizira mabala ndi ming'alu, popeza zimapukuta khungu ndikuthandizira kukulitsa zovuta;
- yikani miyendo kwambiri hypothermia (kuvala masokosi amalimbikitsidwa ngakhale m'chilimwe);
- Valani masokosi okongoletsedwa, komanso matcheni ndi mathalauza okhala ndi zingwe zolimba;
- miyendo yofowoka;
- kuvala nsapato zosasangalatsa komanso zotsendereza (za matenda ashuga, zimalimbikitsidwa kuvala nsapato zamatumbo zomwe zimapangidwa payokha);
- gwiritsani ntchito zinthu zakuthwa, mwachitsanzo, tsamba kapena lumo kuti muchotse khungu loyipa, chimanga ndi chimanga;
- chotsani mwaokha misomali yolowera;
- Valani zovala zomwe zimayenda tsiku lonse;
- Valani nsapato pamapazi opanda kanthu;
- gwiritsani ntchito ma insoles a maginito;
- Valani nsapato zolemera monga nsapato kapena nsapato kwa maola opitilira 3 mzere;
- gwiritsani ntchito mafuta onunkhira chifukwa amalimbikitsa kuchuluka kwa mabakiteriya pamapazi.
Ndikofunikira kwambiri kutsatira malamulo osamalira matenda ashuga! Iyi ndiye njira yokhayo yopewera zovuta zoyipa chifukwa cha matenda.
Kumbukirani kuti kuchita zolakwika zilizonse posamalira mapazi kungayambitse zovuta mu sepsis, abscess kapena gangren. Chifukwa chake, pankhaniyi ndikofunikira kulingalira za nuances onse. Ngati simungathe kusamalira miyendo yanu chifukwa cha kusuntha pang'ono kapena khungu lowoneka bwino, muyenera kufunsa abale anu kuti akuthandizeni kapena kukaonana ndi a Diabetesic Foot office kangapo pa sabata, komwe mungapatsidwe chisamaliro choyenera komanso choyenera.
Kupewa kwa Mavuto
Popewa zovuta za matenda ashuga, ndikofunikira kuchita pafupipafupi njira zomwe zingapewe mavuto obwera chifukwa cha matenda.
Kupewa kumaphatikizapo:
- Kutsatira ukhondo.
- Kusiya zizolowezi zoyipa. Kugwiritsa ntchito zakumwa zoledzeretsa ndi kusuta fodya ndizomwe zimayambitsa chitukuko cha matenda a shuga, zomwe zimapangitsa kuti ziwonjezeke, chifukwa zimawononga magazi.
- Pakusamalira miyendo, mutha kugwiritsa ntchito mafuta okhawo omwe ma dotolo adayamula.
- Pofuna kupewa matenda a fungal, mutha kugwiritsa ntchito kusamba ndi decoction ya chamomile kapena calendula. Koma kumbukirani kuti popanga, madzi sayenera kupitirira 35 digiri ndipo ndizosatheka kuzitenga kwa mphindi zoposa 10.
- Osagwiritsa ntchito njira zina kuchiza matenda ashuga ndi zilonda zamthupi. Sangopereka zabwino zokha, komanso amakulitsa nthawi yamatendawa.
- Nthawi zonse musani minofu yam'munsi, izi zithandiza magazi kulowa mkati mwake.
- Chitani zolimbitsa thupi tsiku lililonse (mutha kudziwa zambiri za nkhaniyi kuchokera kwa dokotala).
- Penyani zakudya zanu ndikuwongolera shuga lanu lamagazi.
Njira zonsezi zikuthandizirani kupewa zovuta komanso kupereka njira zodalirika zothetsera matenda ashuga.
