Matenda a shuga a m'munsi otsika

Matendawa ndi matenda oopsa omwe amadziwika ndi necrosis (necrosis) ya minofu yathupi. Pankhaniyi, dera lomwe lakhudzidwalo limapeza mtundu wakuda. Mthunziwu umachitika chifukwa chakuti hemoglobin, yomwe ili m'magazi a munthu, imakumana ndi hydrogen sulfide kuchokera kumlengalenga ndikupanga mchere - iron sulfide, ndipo chinthuchi chimakhala ndi mtundu wakuda pang'ono. Matenda am'munsi kwambiri mu shuga amawopseza munthu kuti adzidulidwa, chifukwa chake kuphatikizika kwa matendawa ndikwabwino kupewetsa kuposa kuchiza.

Zomwe zimachitika

Odwala omwe ali ndi matenda ashuga, chitetezo chamthupi chimachepa ndipo magazi amayenda bwino. Njira zonse zamatenda zimayamba mkati mwake mwachangu ndipo ndizovuta. Ngakhale mabala ang'onoang'ono, zipsera ndi zilonda pakhungu zimachiritsa kwa nthawi yayitali, chifukwa chake zovuta zamitundu mitundu nthawi zambiri zimabuka.

Zomwe zimayambitsa matenda a matenda ashuga nthawi yomweyo:

• atherosulinosis yamitsempha yamagazi (chifukwa chakuti ziwiya zotsekeka sizingapatse minofu ndi mpweya wokwanira, njira za necrosis zimayamba mwa iwo);
• kuwonongeka kwa mitsempha ya diabetes (kumva m'miyendo kumachepa kwambiri, munthu amasiya kumva kuzizira, kutentha komanso kupweteka, chifukwa chake, kuwonongeka pakhungu kumachitika kawirikawiri);
• kuchepa kwamphamvu kwa makoma a mitsempha yayikulu ndi yayikulu;
• kutsekeka kwa calcium kuchokera m'mafupa chifukwa cha kusokonekera kwa kagayidwe, komwe kumayambitsa kusokonekera kwachuma, ndipo, chifukwa chake, mawonekedwe a kutupa, ndipo nthawi zina ngakhale kuwonjezeka m'derali.

Khungu pamiyendo ya wodwala matenda ashuga limatulutsa pang'ono, chifukwa tiziwalo timene timatulutsa, mitsempha ndi ma receptor omwe amachititsa izi. Pamaso pa mapazi pouma zowawa ndipo timakonda kuchita ming'alu. Chifukwa cha kuwonongeka kwa makina, foci ya kutupa imachitika, momwe mabakiteriya okhala ndi pathogenic amatha kuchulukitsa.

Ngati zilonda zam'mimba zimapezeka m'miyendo ya munthu yemwe ali ndi matenda ashuga, samachira chifukwa cha kusokonezeka kwa magazi ndi mitsempha. M'malo mochulukitsa magazi ofunikira kuti tisinthike minofu, amachepetsa munthu wodwala, chifukwa chomwe matendawa amatha kufalikira mthupi lonse

Zinthu zomwe zimathandizira mosawoneka bwino kuti zimawonekera kwambiri:

• kusuta fodya ndi kumwa mowa mwauchidakwa (chifukwa cha izi, zovuta zamagazi zomwe zikupita patsogolo chabe);
• kuvala nsapato zopapatiza zopangidwa ndi zida zopangira;
• kunenepa kwambiri kwa thupi, komwe kumakwiyitsa katundu wamphamvu m'miyendo yam'munsi;
• kuchepa kwa chitetezo chamthupi;
• kunyalanyaza chithandizo ndi zakudya, ndichifukwa chake shuga yayikulu magazi imasungidwa nthawi zonse m'magazi.

Zizindikiro

Kuwonetsedwa kwa gangrene kumadalira mtundu wamatendawa. Itha kukhala youma komanso yonyowa. Matenda owuma amakula motsutsana ndi momwe masinthidwe amagazi amapangira minofu pang'onopang'ono, m'zaka zingapo, motero munthu amatha kuzolowera ndipo, ngakhale atafooka, chitetezo chathupi chimachepetsa njirayi.

Zizindikiro za matenda owuma:

Zizindikiro za matenda ashuga am'madera am'munsi

• koyambirira kwa matendawa, munthu amayamba kutopa mwendo, kukoka ululu, kumva kuwawa komanso kumva kutopa (zizindikiro zonse za kusokonekera kwa magazi m'deralo);
• matendawa akamapitirira, ululu wake umakulirakulira, khungu limasintha khungu - limasanduka utoto, cyanotic;
• pamapeto omaliza a matendawa, dera lomwe lakhudzidwa limatsika pang'ono, limakhala ndi mtundu wakuda ndipo limasiyanitsidwa momveka bwino kuchokera ku minofu yathanzi (matendawa pawokha sawika pachiwopsezo china chamoyo), popeza poizoni sikhala m'manda, malo owuma, ndipo nthawi zina amadulidwira panokha, ndiye kusiya).

Ndi matenda owuma, wodwalayo sasokonekera, popeza palibe kuledzera ndi zinthu zowola za tinthu tofa. Pofuna kukongoletsa komanso kuti muzitha kuyendayenda bwino, muyenera kuchitidwa opaleshoni. Ndikofunikira ngakhale podzidulira - pakuchita opareshoni, dokotala amatulutsa minyewa yonse yopweteka ndikupanga chitsa cholimba. Choopsa cha matendawa ndikuti nthawi zambiri chimakhala chonyowa, chomwe, popanda chithandizo (kudulidwa) chimayambitsa kufa msanga. Amayamba nthawi zonse, sizingatheke kuzindikira zizindikiro zake.

Ndi chonyowa chonyansa, tizilombo toyambitsa matenda timachulukitsa pachilondacho, chifukwa mwendo umachulukana, umapweteka komanso kumatupa

Zizindikiro zakuthwa kwamvula:

• mwendo umatupa ndikuchulukanso, khungu limayamba kupeza mtundu wobiriwira, kenako utoto wofiirira, womwe kumapeto kwa matendawa umakhala wakuda;
• kupweteka kwa miyendo kumatchulidwa - munthu sangathe kuloza mwendo uwu, kusapeza sikumangokhala pamalo a zotupa, kumafalikira;
• kuwonongeka kwakuthwa konsekonse mwa munthu chifukwa cha kuledzera kumawonekera - kutentha kwa thupi kumakwera pamwamba pa 38-39 ° C, chikumbumtima chimatha kusokonezeka;
• miyendo imagunda kwambiri;
• kuthamanga kwa magazi kukwera;
• fungo loipa la fetid limachokera kumtumbo;
• malo okhudzidwawo ayamba kuwola, ngati mtembo.

Chithandizo

Ndi khungu louma m'magawo oyamba, mutha kuyesa kubwezeretsa kufalikira kwa minofu mothandizidwa ndi mankhwala, koma sikuthandiza monga chithandizo cha opaleshoni. Kuphatikiza apo, mavitamini oyambitsa chitetezo cha mthupi ndi mankhwala a antibacterial amaperekedwa kwa wodwala.

Ndi matenda ofatsa, opaleshoni imakhala yotulutsa magazi m'mitsempha ndipo imangoyambitsa minyewa yokha yomwe imamwalira. Mofananamo, maantibayotiki ndi mankhwala osokoneza bongo, mankhwala othandizira kukweza magazi m'magazi, komanso mankhwala othandizira kugwiranso ntchito kwa mtima amatha kupatsidwa kwa wodwala. Ndi matenda owuma, ndikofunikira kuyang'anira ukhondo wamiyendo ndikuwonetsetsa momwe alili kuti matendawa asalumikizane ndi zotupa ndipo matendawa asakulitse.

Ngati chilonda kapena ma fomu a phazi, sangasindikizidwe ndi band-thandizo. Mukamachotsa zinthu zomata, microtrauma ya pakhungu, yomwe imakhala yoopsa kwa matenda ashuga, siyimachotsedwa

Chithandizo cha zilonda zonyowa ndikuchotsa gawo lakufa la chiwalo. Kudulira kumadalira kutengera komwe matendawa apita. Kuphatikiza pa kuchotsa minofu yakufa, madokotala ochita opaleshoni amatulutsa mitsempha yamagazi mothandizidwa ndi zida zapadera kuti magazi asinthe magazi m'deralo ndi kupewa gangore mtsogolo. Maluso apulasitiki amakono amathandizira kuti azigwira ntchito zomangamanga kuti chitsa chizigwira ntchito momwe mungathere.

Panthawi ya opaleshoni, madokotala nthawi zonse amayesa kusunga magwiridwe antchito momwe angathere, koma ngati dera lomwe lakhudzidwalo ndi lalikulu kale, liyenera kuchotsedwa kwathunthu. Ngakhale madera ochepa kwambiri omwe ali ndi necrosis angayambitse kubwereranso kwamankhwala, ziwalozo zimachira ndikuwoneka bwino kwambiri, zomwe mtsogolomo zikuwopseza kuti angadule madera akuluakulu. Pambuyo pa opaleshoni, wodwalayo amapatsidwa mankhwala othandizira kupewa zovuta komanso kukonza makhwala.

Kupewa

Zotsatira za gangrene ndizowopsa kwa anthu. Matendawa amabweretsa kulumala, ndipo nthawi zina ngakhale kufa. Chifukwa chake, odwala onse omwe ali ndi matenda ashuga ayenera kuwunika momwe miyendo yawo imakhalira ndikukumbukira kufunika kopewa kukula kwa matenda a shuga.

Kusamalira miyendo ya tsiku ndi tsiku, kudzilimbitsa komanso kupenda khungu bwinobwino kuti muwononge kungathandize kuti muchepetse vuto la trophic

Pofuna kupewa kuwonekera kwa zovuta za matenda osokoneza bongo monga mtundu wa gangore, muyenera kutsatira malamulowa:

• nthawi zonse muziyang'anira kuchuluka kwa shuga ndikutsitsa pazofunikira zomwe adotolo adalandira;
• tsiku lililonse limanyowetsa khungu la mapazi, kupewa kupukuta ndi kusweka;
• ngati mabala, zikanda ndi kuvulala kwina kukaonekera pamiyendo, akuyenera kuthandizidwa ndi antiseptic ndikuwonetsetsa kuti kachilomboka sakuphatikizana nawo;
• kusintha kayendedwe ka magazi madzulo aliwonse muyenera kuchita masewera olimbitsa thupi a m'munsi, ndipo m'mawa - chitani masewera olimbitsa thupi mwapadera;
• Ndikofunikira kwambiri kusiya kusuta, chifukwa chikonga chimayambitsa kupanikizika kwamitsempha yamagazi ndikuwonjezera kuwala kwawo;
• muyenera kuvala nsapato zopangidwa ndi zikopa zenizeni, ndi masokosi opangidwa ndi thonje (ndibwino kugwiritsa ntchito masokosi apadera a odwala matenda ashuga);
• mukusamba kapena kusamba, kutentha kwa madzi kuyenera kukhala kotentha, koma osati kotentha.

Kutsatira malamulo osavuta awa nthawi zambiri kumatha kutha kapena kuletsa kwathunthu kukula kwa zovuta zoyipa za matenda ashuga. Ndiosavuta kuchita zinthu zingapo zodziteteza tsiku lililonse ndikukhala omasuka kusuntha kuposa pambuyo pake kuchitira gangore nthawi yayitali komanso yovuta.