Edema mu shuga: bwanji zimachitika

Kutupa kwa miyendo ndi matenda omwe amapezeka kwambiri matenda ashuga. Chifukwa chake, kwa iwo omwe akudwala matendawa, tikulimbikitsidwa kuyeserera miyendo tsiku ndi tsiku. Kunyalanyaza edema kumatha kubweretsa zotsatira zoyipa, kuphatikizapo kudula. Wodwala matenda a shuga ayenera kudziwa bwino chifukwa chake kutupika kwa miyendo kumachitika komanso momwe angathetsere.

Kutupa mwendo mu matenda a shuga nthawi zambiri kumayamba chifukwa cha zifukwa ziwiri:

1. Kukula kwa nephrotic syndrome chifukwa cha nthawi yayitali matenda.
2. Kuvulala kwamitsempha yamagazi chifukwa chakuyenda bwino m'miyendo.

Zinthu zonsezi ndi mphamvu yofanana zimakhudza chidwi cha miyendo, kusokoneza kayendedwe ka magazi ndikupangitsa kuchiritsa kwa mabala kwa nthawi yayitali. Ngakhale kukanda pang'onopang'ono pamaso pa matenda a shuga kumatha kuyambitsa kutulutsa kwamphamvu, kumayamba kukhala ndulu ndikuyambitsa kuduladula miyendo. Samalani moyenera ndi edema yomwe ikubwera.

Kuphatikiza pazinthu ziwiri zazikulu zomwe zimapangitsa kuti m'mimba mwafupike, pali zinthu zina zomwe zimapangitsa kuti madzi azikundana. Izi zitha kukhala kuphwanya kagayidwe kamchere wamadzi, mavuto a impso, kusadya bwino, pakati, kulephera kwa mtima, mitsempha ya varicose kapena kuvala nsapato zosasangalatsa komanso zolimba.

Mwa zina mwazomwe zimayambitsa zoopsa kwambiri, madokotala amatcha vein thrombosis, limodzi ndi kutupa kwamanja ndi miyendo, kupweteka komanso kufupika pakayimirira. Edema yoyambitsidwa ndi thrombosis sachepa ngakhale usiku: m'mawa, mwendo wotupa umakulitsidwa. Pamaso pa kuundana kwa magazi, kutikita minofu koletsedwa, chifukwa kungayambitse kugunda kwa mitsempha yam'mapapo ndipo, chifukwa chake, kumwalira.

Kuti mupewe mavuto omwe amayamba chifukwa chotupa m'miyendo, wodwala yemwe ali ndi matenda osokoneza bongo, ndikofunikira kuzindikira zizindikiro za kufooka kwa magazi m'miyendo nthawi. Zina mwazizindikiro ndi izi:

• Kukula kwa miyendo. Ndi nkhawa pakutupa ndi chala pakhungu, dzenje limakhalapo kwakanthawi.
• Kuchuluka kwamapazi.
• Kapangidwe ka matuza.
• Sinthani mawonekedwe a zala, kusintha kwa miyendo (kufupikitsa ndi kukulitsa).
• Kuchepetsa mphamvu, kutsekeka, kutentha kapena kuzizira m'mphepete.

Kutupa kwamiyendo ndi matenda ashuga sikokha kokha. Ayenera kuchitiridwa. Njira ndi njira zochizira zimadalira zomwe zimayambitsa matenda.

Neuropathic edema mu shuga ayenera kuchotsedwa ndi matenda a glycemia komanso zakudya zoyenera. Ndikulimbikitsidwa kuti musiye kudya chakudya chamafuta othamanga, mafuta komanso zakudya zamchere. Osuta matenda ashuga ayenera kusiya chikhalidwe choyipa: nikotini zimatithandizanso kudzikundikira kwamadzi.

Ngati kutupa kwa mwendo kumayambika chifukwa cha kulephera kwa mtima, ayenera kuchotsedwa ndi mankhwala apadera. Magulu otsatirawa a mankhwala amawoneka kuti ndi othandiza kwambiri pankhaniyi.

• Mankhwala omwe amachepetsa kuthamanga kwa magazi ndikuletsa eniotensin-kutembenuza enzyme. Mwachitsanzo, Valsartan.
• Mankhwala osokoneza bongo omwe amalepheretsa mavuto a impso ndikugwira ntchito yolepheretsa enzyme yotembenuza angiotensin, monga Captopril.
• Diuretics: Furosemide, Veroshpiron ndi ena.

Kutupa kwa mwendo komwe kumachitika chifukwa cha kusakwanira kwa mahomoni kwa odwala omwe ali ndi matenda amtundu wa 2 ayenera kuthandizidwa mosamala. Zimaphatikizapo kudya mavitamini, michere ndi michere yazakudya.

Kuti muchepetse kupweteka komwe kumachitika chifukwa cha nephropathy, tikulimbikitsidwa kutenga analgesics. Zothandiza kwambiri pamenepa ndi Ketorol, Ketorolac ndi mankhwala ena.

Mankhwalawa edema ya mwendo yoyambitsidwa ndi matenda a shuga a m'mitsempha motsutsana ndi kulephera kwa aimpso, ndikofunikira kuphatikiza njira zingapo: antihypertensive chithandizo, kuwongolera glycemia ndi kugwiritsa ntchito ma metabolic agents omwe ali ndi vuto la vasodilating. Pankhani ya mitundu yapamwamba ya kulephera kwa impso, hemodialysis imalimbikitsa.

Mu ukalamba, kutupa kwa malekezero kumalimbikitsidwa kuchizidwa ndi wowerengeka azitsamba. Zida zokhala ndi edematous zimakhala ndi mbewu zamankhwala monga primrose, wort wa St. John, oats, burdock, muzu wa ginseng ndi hydrastis. Tsabola wa Cayenne amathandiza kuthetsa kuthamanga kwamadzimadzi mu minofu yofewa. Imabwezeretsa magwiridwe antchito amitsempha yamagazi ndi mapeto amitsempha.

Anthu ambiri odwala matenda ashuga amakonda kugwiritsa ntchito mafuta mwapadera kuti muchepetse kutupa, komwe kumaphatikizapo uchi ndi buluu. Imakutikiridwa m'miyendo yotupa katatu patsiku.

Mtundu wambiri wa mkuyu umawoneka ngati njira yosangalatsa kwambiri yotsitsimutsa miyendo ya matenda a shuga 1. Imawiritsa pamtengo. Nthawi yomweyo, kumapeto kuphika, onjezerani madzi akumwa akumwa pomaliza. Chidacho chimatengedwa mu 1 tbsp. l 5-6 pa tsiku.

Kupewa

Kutumiza kutupa ndi gawo laling'ono panjira yopita ku thanzi. Ndikofunika kwambiri kuti muchepetse kuchitika. Kuti muchite izi, muyenera kutsatira zochita zina. Mu malo oyamba pakati pa njira zothetsera kuchotsera kudzikuza ndikuchita zolimbitsa thupi tsiku lililonse. Chifukwa cha physiotherapy zolimbitsa thupi, zombo zimalimbikitsidwa, madzi owonjezera amachotsedwa m'thupi, zizindikiro za glycemia zimasinthidwa komanso kusakhazikika kumalimbitsidwa.

Musaiwale za njira zopewera kusamala ndikuyang'anirani miyendo yanu, miyendo ndi zala zanu tsiku lililonse kuti mupeze zofooka ndi zofooka. Ndikofunika kusunga ukhondo waumwini: sambani mapazi anu tsiku ndi tsiku ndi sopo ndikuwumitsa ndi thaulo.

Onetsetsani kuti mukuyenda nsapato zapamwamba komanso zapamwamba. Nthawi zina zimakhala nsapato zolimba kapena nsapato zomwe zimayambitsa kupindika kwa phazi. Kuti mupewe mavuto oterewa, ndikofunikira kuti mugule nsapato zamatumbo.

Popewa mavuto osafunikira, kumbukirani kuti ngati kutupika kwamiyendo ndi matenda ashuga, ndizoletsedwa kuchiritsa mabala a pakhungu ndi ayodini ndi wobiriwira wanzeru. Pazifukwa izi, ndibwino kugwiritsa ntchito hydrogen peroxide kapena mankhwala monga Betadine ndi Miramistin.

Ndi matenda a shuga, mphamvu zamafuta zamafuta nthawi zambiri zimakhala zovuta. Ichi ndichifukwa chake sikulimbikitsidwa kuti muzitenthetsa miyendo yanu ndi chotenthetsera kapena makatani a mpiru. Kupanda kutero, kuwotcha kumatha kuchitika.

Kuti muchepetse mwayi wokhala ndi mabala, yikani zonona kapena zopatsa thanzi tsiku lililonse pakhungu lanu.

Ngakhale kuti kutupa kwa miyendo kumatha kudwala wodwala matenda a shuga, musataye mtima. Mutha kuthana ndi matendawa. Chachikulu ndikupeza chomwe chimayambitsa mavutowo ndikuwathetsa.

Kutupa chifukwa cha kuwonongeka kwa miyendo

Pofotokoza zovuta zomwe matenda ashuga amapereka, kutupa kwa miyendo kumatha kutchedwa chotsatira chofala kwambiri cha matendawa.

Choyambitsa cha edema cha m'munsi cham'munsi ndi "phazi la matenda ashuga" - masinthidwe osiyanasiyana amtundu, omwe amaphatikizapo angiopathy (kuwonongeka kwamitsempha), arthropathy (kuwonongeka kwa mafupa) ndi neuropathy (kuwonongeka kwa mafupa amitsempha).

Makina omwe amapanga mawonekedwe a edema amafotokozedwa posungunuka kwamadzi mu minyewa ya miyendo. Makoma osinthidwa a ziwiya amatulutsa madzi am'magazi m'malo ophatikizika, komwe amadziunjikira. Nthawi yomweyo, chifukwa cha kuwonongeka kwa mitsempha, wodwalayo sangathe kuwona kusapeza komanso kupweteka chifukwa cha edema.

Zotsatira zosasangalatsa zomwe zingayambitse kutupa kwa matenda ashuga ndi venous thrombosis yam'munsi yam'munsi chifukwa cha magazi osayenda. Kuphatikiza apo, kutupa miyendo kumapangitsa minofu ndi khungu la miyendo yomwe yakhudzidwa kuti ikhale yovuta kwambiri kuvulala ndi matenda. Ndipo matenda am'mapazi kwa wodwala matenda ashuga ndi vuto lalikulu chifukwa kuchiritsa kwamabala ndi kubwezeretsanso khungu kumachepa.

Kutupa kwamiyendo chifukwa chakuwonongeka kwa impso

Chifukwa china chowonekera cha edema ya m'munsi malekezero a matenda ashuga nephropathy, kapena kuwonongeka kwa impso. Zotsatira zake chifukwa chakuti kuchuluka kwa magazi m'mitsempha ya impso ndi matumbu kumasokonekera, thupi silingathe kuthamanga ngati madzi. Madzi osagwiritsidwa ntchito mopitilira muyeso amakhumudwitsa kukula kwa edema.

Matenda a shuga a nephropathy amakula pang'onopang'ono kwa nthawi yayitali. Poyamba, ndi asymptomatic. Chifukwa chake, mwa odwala matenda a shuga, njira imeneyi imapezeka pang'onopang'ono.

Matenda a diabetes nephropathy ndiwovuta kwambiri a matenda ashuga, omwe angayambitse kudwala. Mwanjira iliyonse, nephropathy imakhudza kwambiri moyo wa wodwalayo. Kuperekera chithandizo cha shuga kokha ndi komwe kumapangitsa kupewa komanso kuchiza matenda a impso. Chifukwa chake, ndikofunikira kwambiri kuchititsa chithandizo chokwanira kuti tipewe zovuta zazikulu.

Kodi edema ndi chiyani?

Oposa theka la zochitika zonse za edema mu matenda osokoneza bongo zimachitika m'munsi komanso kumbuyo kwamiyendo, gawo limodzi lokha lachigawo chamkati.

Odwala ambiri akufuna kudziwa ngati pakhoza kukhala kusiyana pakati pa edema m'mitundu yosiyanasiyana ya matenda ashuga. Mu matenda a mtundu 1, pamakhala kupindika, kutupa kumawonekera mosiyanasiyana, mbali ya kumanzere kwa thupi kuposa kumanja. Nthawi zambiri zimakhudza miyendo. Mtundu wachiwiri wa matenda ashuga, ululu umawonjezeredwa. Mwa akazi, m'mimba, nkhope ndi manja kumtunda kumatupa.

Zizindikiro za edema

Zizindikiro zamatenda zimasiyana, kutengera malo omwe chilondacho chikupangira:

Chitukuko cha edema	Zizindikiro zoyenda
Miyendo ndi mikono	Zowawa, kumva zowawa m'makutu, kuwotcha, kufiyira khungu, kuchepa tsitsi, kusintha kwa miyendo ndi zala, zotupa za pakhungu zimachiritsa kwa nthawi yayitali. Chingwe cholimba chimamveka, chidwi cha miyendo yomwe yakhudzidwa chimachepa
Impso	Edema ya nkhope, yotukuka kwambiri kumtunda kwake, kukhuthala kwa khungu, fossa pakhungu pakhungu, lomwe limasunthika msanga, diuresis
Mitima	Kutupa kwa malekezero apansi, ntchafu, ziwalo zamkati, kusokonezeka kwa mtima, kumva kutopa ndi kufooka. Khungu lotenthetsera khungu, fossa lopangidwa palpation limayendetsedwa pang'onopang'ono

Kutupa kwa insulin kwa odwala omwe ali ndi matenda amtundu woyamba 1 amadziwika ndi kutupika kwa malekezero, phazi, nkhope, ndi dera. Kuwonongeka kwakanthawi kochepa kumatha kuchitika.

Mankhwala osokoneza bongo a edema

Chithandizo cha mankhwalawa chikuyenera kupereka chokwanira mthupi, kuchita ntchito zambiri nthawi imodzi. Chithandizo chodziwika bwino cha edema mu matenda ashuga chitha kuwoneka motere:

Cholinga	Gulu la mankhwala osokoneza bongo	Mutu
Kuchepetsa magazi	Angiogenesis receptor blockers	Valsartan
Kukhetsa madzi owonjezera	Mankhwala osokoneza bongo	Veroshpiron, Furosemide
Thandizani impso	Angiotensin Kutembenuza Enzyme Inhibitors	Captopril
Pulumutsani ululu	Analgesic	Ketorolac
Wonjezerani ziwiya	Mankhwala osokoneza bongo	Riboxin
Kuchepetsa zotupa za pakhungu	Katundu wa antiseptic wogwiritsa ntchito kunja	Furacilin, Miramistin
Khazikitsani thupi ndi mavitamini ndi mchere	Biologically yogwira chakudya zowonjezera, mavitamini ndi ma mineral complexes	Oligim

Ngati zilonda, mabala, ming'alu yakhazikika pakhungu chifukwa cha edema, ndizoletsedwa kuti tizilombo toyambitsa matenda kupukuta. Mowa, ayodini, zelenka ndizoletsedwa kwathunthu!

Kutupa kwa miyendo ndi mapazi ndi shuga

Zotsatira zowopsa kwambiri za edema ya mwendo ndizovuta zamitsempha. Izi nthawi zambiri zimapha.

Kutupa sikuchitika zokha, kumakhazikitsidwa ndi zizindikiritso zomwe zimatha kukayikira kukhathamira kwamadzi mu minyewa, yomwe imakhalabe yosaoneka. Ngati mungapeze zotsatirazi, muyenera kufunsa kuchipatala msanga:

• zomverera zosasangalatsa mu miyendo pamalo oyimirira,
• kumva koyaka, kuyabwa, kumva kulira, miyendo,
• kusintha kwa khungu pakhungu la phazi ndi phazi: pallor imasinthidwa ndi redness,
• kuchepa kwa tsitsi kumutu miyendo,
• khungu lowuma, matuza, chimanga.

Ngati nsapato za tsiku ndi tsiku zitayamba kupindika mwadzidzidzi kapena kuvala, izi zikuwonetsa matendawa. Muyenera kufunsa dokotala.

Kodi muyenera kuchita chiyani kuti muchepetse edema?

Gawani kuchuluka kwa madzi tsiku lililonse mogwirizana. Chakumwa chomaliza sichinachedwe kuposa maola awiri asanagone.

Edema mu matenda a shuga sanganyalanyazidwe. Ichi sichizindikiro chofala cha matendawa, koma chizindikiro chachikulu chokhudza njira zomwe zikuwonekera m'thupi. Chithandizo chokha chapanthawi yake, chokwanira, chitha kuchepetsa zoopsa komanso kubwezeretsa munthu ku moyo wabwino komanso wabwino.

Muyenera kulowa nawo kuti mulembe ndemanga.

Kodi ndichifukwa chiyani pali kutupa ndi matenda ashuga?

Kuphwanya carbohydrate metabolism kumabweretsa kuwonjezeka kwa ndende yamagazi. Kupita patsogolo kwa matenda a shuga kumakhudza thanzi la minofu ndipo nthawi zambiri kumabweretsa chitukuko cha edema. Madzimadzi amadziunjikira ziwalo zamkati ndi ziwalo, ndikukulitsa thanzi la wodwalayo. Munthu amayamba kuvutika ndi kayendedwe, kupweteka kwambiri kumawoneka m'miyendo.

Mu matenda a shuga, kutupa kwa malekezero kumawonedwa chifukwa cha kusokonezeka kwa magazi ndi magawo amanjenje.

Pali zifukwa zambiri zoyambitsa madzi. Nthawi zambiri izi zimabweretsa kukula kwa neuropathy, yomwe imawoneka motsutsana ndi maziko a matenda a hyperglycemia, chifukwa chake mathero amitsempha amayamba kufa. Nthawi zambiri kutupa miyendo ndi kuwonongeka kwa mitsempha.

Zomwe zimayambitsa kuchuluka kwa madzimadzi mu zimakhala:

• mitsempha ya varicose
• mimba
• kulephera kwa mtima
• matenda a impso
• angiopathy
• kulephera kwa chakudya
• kuphwanya kagayidwe kamchere wamadzi,
• kuvala nsapato zolimba.

Kutengera ndi gawo liti lomwe lakhudzidwa, izi ndizosiyanitsidwa ndi izi:

1. Kutupa kwa manja ndi miyendo: kufupika pakhungu, kulira, kuwotcha, kupweteka, kuphika kwa chala, kuchiritsa pang'onopang'ono mabala, kupezeka kwa phazi la matenda ashuga.
2. Kutupa kwa impso: nkhope imatupa, njirayi imayamba kufalikira kuchokera pamwamba mpaka pansi, mukadina pakhungu, dzenje limayamba kutuluka. Diuresis zimachitika.
3. Edi yamtima: miyendo yotupa, njirayi imafalikira mpaka ziwalo zamkati ndi m'chiuno, kutopa kumawonedwa, ndipo kugunda kwamtima kumasokonezeka. Khungu limakhala losakanikirana, ozizira kukhudza, fossa limatsitsidwa pang'onopang'ono.

Kutupa kwa insulin mu mtundu 1 wa shuga kumachitika pokhapokha poyambira mankhwala a insulin. Zizindikiro za matenda am'mimba zimaphatikizapo kuwonongeka kwakanthawi kowoneka, kutupa kwa nkhope, perineum, manja, mapazi. Pakapita nthawi, zizindikiro zosasangalatsa ngati izi zimangodzidzikira zokha.

Kodi chiwopsezo cha neuropathic edema ndi chiani?

Distal sensory neuropathy imayamba mu mtundu 1 ndi mtundu wa 2 matenda a shuga chifukwa cha kusowa kwa chithandizo. Zotsatira zake, mathero amtsempha amawonongeka. Miyendo ya munthu imatha kudyeka, amasiya kumva kuwawa chifukwa cha kupsa, mabala. Chifukwa cha kutayika kwa khungu pakhungu, khungu limatha kulumikizana, lomwe nthawi zambiri limadulidwa.

Matenda a shuga amakhalanso nthawi. Magawo ake akuluakulu:

• koyambirira - Zizindikirozo kulibe, ndipo matenda amapezeka pogwiritsa ntchito njira zapadera,
• pachimake - miyendo imayamba kuzimiririka, kenako miyendo imayamba kutentha ndikuyamba kulira,
• chomaliza - zilonda zam'mimba, minofu ya necrosis ndi gangrene yomwe ikupangidwanso kumapangidwa.

Neuropathic edema mu shuga imatsogolera ku mitsempha yakuya. Ndi kuphwanya kumene, miyendo imatupa mosasiyanitsa, kupweteka kumachitika, munthu amakhala wopanda nkhawa pakuyimilira. Njira zoyeserera ndizoletsedwa ndi izi.Izi nthawi zambiri zimathandizira kukulitsa kwamphamvu kwa kufalikira kwa m'mapapo, komwe nthawi zambiri kumabweretsa imfa.

Neuropathic edema mu shuga imatsogolera ku mitsempha yakuya.

Ngati miyendo yatupa, kuti muchepetse edema, wodwalayo ayenera kutsatira malangizo ena:

• shuga wamagazi amayenera kutalikitsidwa kuti apewe kuwonongeka kwa ziwiya zotumphukira,
• muyenera kusiya kusuta chifukwa chikonga chimayambitsa kukula kwa vasospasm,
• muyenera kutsatira zakudya, makamaka puffiness, zomwe zimayamba motsutsana ndi mtundu wa matenda ashuga a 2, chifukwa chake, kuchepetsa kudya kwamphamvu kwambiri wamafuta ndi mafuta a nyama.

Chithandizo cha edema zimachitika:

1. Zodzikongoletsa. Mothandizidwa ndi mankhwala ndi wowerengeka azitsamba amachititsa kuti shuga azikhala m'magazi, chotsani timadzi tambiri tomwe timagwira.
2. Opaleshoni Malo ocheperako pakhungu lomwe limakhala ndi zotupa zotupa amachotsedwa. Chitani angioplasty (kubwezeretsa kwamankhwala). Mukusokonezeka kwakukulu, phazi limadulidwa pang'ono kapena kuduliratu.

Ngati miyendo yatupa, ndiye kuti amagwiritsa ntchito mankhwalawa:

• angiotensin receptor blockers omwe amachepetsa kuthamanga kwa magazi (Valsartan),
• okodzetsa omwe amachotsa madzimadzi owonjezera kuchokera mthupi chifukwa chakuwonjezeka kwa mkodzo (Veroshpiron, Furosemide),
• ACE zoletsa zomwe zimalepheretsa zovuta ku matenda a impso (Captopril),
• ma analgesics omwe amachepetsa ululu (Ketorolac, Ketorol),
• vasodilator metabolism (riboxin),
• antiseptics omwe amagwiritsidwa ntchito pochotsa zilonda ndi mabala (Furacilin, Miramistin),
• Zowonjezera zomwe zimabwezeretsa kuchuluka kwa michere ndi mavitamini (Oligim).

Mankhwala othandiza kwambiri pochiza matenda a shuga:

• Valsartan - amateteza kuthamanga kwa magazi, amachepetsa chiopsezo cha mtima.
• Actovegin - bwino cell kagayidwe, kuwonjezera capillary magazi.
• Thiogamma - imasintha mkhalidwe wamitsempha yamafungo am'mitsempha, imakulitsa kuchuluka kwa glycogen m'chiwindi.

Ngati ming'alu, abrasions, kapena abrasions zimachitika nthawi ya matenda ashuga, sayenera kuthandizidwa ndi ayodini, mowa, kapena wobiriwira wanzeru. Izi zimakulitsa vutolo, chifukwa ndalama zotere zimawuma khungu. Betadine amagwiritsidwa ntchito bwino pamenepa. Kuti khungu lisavulazidwe, mapazi amafunika kuti azilungidwa ndi mafuta opangira mafuta komanso mafuta othandizira usiku uliwonse.

Chifukwa chiyani edema imachitika m'matenda a shuga

Kutupa m'miyendo ndimatenda a shuga kumatha kuchitika pazifukwa zingapo:

• matenda a shuga amatha kutsatiridwa ndi matenda a mitsempha mathero (matenda ashuga a m'mimba),
• arthropathy - kuwonongeka kwa mafupa,
• nephropathy - matenda a impso,
• matenda amtima
• mavuto okhala ndi mchere wamchere,
• ziwiya zowonongeka, zopanda mphamvu,
• Zakudya zopanda pake, zopatsa mphamvu zamafuta ambiri amchere, amadzimadzi,
• nsapato zosankhidwa bwino, zomwe zimayambitsa kuphwanya magazi,
• kunenepa kwambiri, kumangokhala, kukhala ndi pakati, kugona.

Kodi chiwopsezo cha neuropathic edema ndi chiani?

Kutupa kwa miyendo kumayamba ndi matenda a shuga a madigiri a 1.2, makamaka ngati munthu saonana ndi dokotala kuti amupatse chithandizo chamankhwala. Zotsatira zake, kuwonongeka kwa malekezero amitsempha kumawonedwa, chifukwa chomwe miyendo imatupa. Zinthu zoterezi zimatsatiridwa ndi:

• dzanzi la miyendo
• kuchuluka kwa phazi,
• kumva kumachepa mabala akamapsa,
• pamakhala kumverera kosasangalatsa mukavala nsapato.

Kuwonongeka kwathunthu kwa chidwi ndi chiwalo cha miyendo kumawonjezera mwayi woti azidulidwa.

Kutupa sikuchitika nthawi yomweyo - chitukuko cha matendawa chimatenga nthawi ndipo chimagawika m'magawo atatu:

Poyamba	Palibe chizindikiro chotchulidwa, njira zapadera zodziwitsira matenda zimathandiza kuzindikira vutoli.
Lakuthwa	Kupweteka kwamawonekedwe kumakulirakulira, kumakhala ndikumva kuluma, kuwotcha. Odwala okalamba, matendawa amatha limodzi ndi kutayika kwambiri kwa minofu.
Zovuta	Maphunziro: zilonda necrosis zigawenga. Nthawi zambiri, matenda amtunduwu amafunika kudulidwa.

Chimodzi mwa zoopsa za matendawa ndi mitsempha yayikulu. Vutoli limaphatikizidwa ndi kutupa kosasiyananso kwam'munsi, kupweteka komwe kumakulirakulira. Ndikofunika kuzindikira - kutikita minofu pamikhalidwe imeneyi sikulimbikitsidwa kwambiri - pali kuthekera kwakukulu kofalikira kwam'mitsempha yam'mapapo, yomwe imatsogolera kuimfa.

Kutupa pamaso pa shuga kumayambitsa kusintha kwa miyendo - pali kutupira, khungu, kufupika kwa zala. Zizindikiro zodziwika bwino zimaphatikizapo:

• kumva koyaka, kugona m'miyendo,
• redness pakhungu,
• khungu limapindika kumapazi,
• cholimba champhamvu chimamveka
• chidwi cha miyendo chimachepa pang'onopang'ono
• dzanzi limachitika
• goosebumps
• miyendo imakhala yoyipa
• M'mphepete mwamanzere, tsitsi limatha.
• Mabala amachiritsa amachepetsa kwambiri,
• mapangidwe a chimanga nthawi zonse, kukomoka,
• kupweteka m'mapewa, miyendo.

Kuti mudziwe kuti mwatupa miyendo, muyenera kukanikiza chala chanu pamalo otupa ndikuchichotsa pomwepo. Ngati dzenje lomwe limawonekera silisowa nthawi yomweyo, koma patapita masekondi angapo (pafupifupi 10), muyenera kulumikizana ndi katswiri kuti mupeze njira zodziwira matenda.

Zizindikiro

Kuti mudziwe bwino, muyenera kukaonana ndi dokotala wa opaleshoni kapena endocrinologist. Dokotala amayesa mawonetseredwe opita kuchipatala, kuyezetsa miyendo, kupereka mayeso ndikuwonetsa wodwalayo kuti athe kuzindikira zoyenera kudziwa. Kuzindikira kwa matenda amapezeka m'magawo:

• Kukhazikika kwa miyendo,
• kuwongolera mitundu yosiyanasiyana ya chiwopsezo,
• Ngati mulibe edema yokwanira, yeretsani zimachitika m'miyendo.
• cheketsa mphamvu
• ma ultrasound adalembedwa,
• gawo la ENMG kuti mudziwe momwe misempha ndi minofu imayendera.

Njira zochizira

Zoyenera kuchita pakupanga kutupa kwa matenda ashuga, komanso momwe mungachitire matendawa? Nthawi zambiri, chithandizo chamankhwala chimakhala chovuta kutsatira malamulo ena:

• Choyamba muyenera kusintha matendawo - ngakhale msuzi wamagazi m'magazi, popeza milingo yambiri imapangitsa kuwonongeka kwamitsempha yamagazi.
• Chofunikira pakumwa ndi zakudya. Ndikofunikira kupatula kapena kuchepetsa kugwiritsa ntchito zakudya zamafuta, chifukwa zimawononga thanzi la mtima.
• lekani zizolowezi zoyipa (zopangira fodya, mowa).

Pali mitundu iwiri ya chithandizo:

• wodekha - umalimbana ndi kusintha matendawa, kupewa
• opareshoni - kuchotsedwa kwa malo owonongeka a khungu osachiritsika, kumabweretsa chitukuko chachikulu cha matenda.

Chithandizo cha mankhwala osokoneza bongo cha puffness ndizovuta kugwiritsa ntchito mitundu yamagulu osiyanasiyana:

• angiotensin receptor blockers kuti muchepetse kuthamanga kwa magazi,
• okodzetsa kuti muchotse madzi owonjezera mthupi,
• ACE zoletsa kusintha matenda impso ndi kupewa kukula kwa matenda.
• analgesics amathandizira kuthetsa ululu
• kagayidwe ka vasodilation,
• antiseptic othandizira kuthana ndi tizilombo tating'onoting'ono tomwe timapanga mabala, zilonda zam'mimba,
• Zowonjezera - zimakhutitsa thupi ndi michere yonse yofunikira, mavitamini.

Zochita zolimbitsa thupi zimasankhidwa ndi adokotala, poganizira zotsutsana. Maphunziro akuthupi amayenera kuperekedwa tsiku lililonse kwa pafupifupi mphindi 20.

Gawo loyamba la masewera olimbitsa thupi limachitidwa maulendo 15, kukhala oyambira (ataimirira, manja kumbuyo kwa mpando).	Ndikofunikira kuchita masikono kuyambira masokosi mpaka zidendene komanso mosemphanitsa. Imirirani mwendo umodzi, tsitsani mwendo wotsika ndi mwendo wachiwiri, womwe mukuyimirira. Kusunthira pakatikati pa mphamvu yokoka kuchokera ku phazi limodzi kupita kwachiwiri, nyamulani zala zanu ndikudzigwetsa pang'onopang'ono mpaka zidendene zanu.
Kuphatikiza kwachiwiri kumapangidwanso maulendo 15. Malo oyambira, atagona ndi miyendo yowongoka.	Pang'onopang'ono kwezani miyendo yowongoka (motsatana kapena nthawi imodzi). Gwadani mawondo anu, tembenuzirani miyendo yanu, ndikuwalumikiza ndi nsapato. Ikani odzigudubuza pansi pa mapazi anu, kutambitsani mapazi anu. Chitani zala zamasekondi asanu. Onetsani miyendo yanu, kwezani imodzi ndikuyenda mozungulira ndi mapazi, kenako mwendo wachiwiri.
Gawo lotsiriza limachitika mutakhala pampando.	Ikani wodzigudubuza, pini wokugudubuza kapena mpira wa tennis pansi pamiyendo ndi kukolowera pansi. Kanikizani zidendene pansi, kwezani masokosi - kuchita kusintha ndikulimbitsa zala. Kwezani mwendo umodzi, jambulani manambala kuyambira 1 mpaka 10 ndi zala zanu m'mwamba, tsitsani mwendo wanu ndikubwereza zolimbitsa thupi ndi mwendo wachiwiri. Kwezani ndikusinthira bokosi lofananira kapena pensulo ndi zala zanu.

Zithandizo za anthu

Njira zochiritsira zosagwiritsidwa ntchito masiku onse zimathandizira kuthetsa mavuto, kuchepetsa ululu komanso kuchepetsa miyendo.

Ndikofunikira kudziwa kuti njira zilizonse zochiritsira, kuphatikiza zina, zimakhala ndi zotsutsana zingapo, ngati sizinyalanyazidwa. Chifukwa chake, musanagwiritse ntchito izi kapena izi, muyenera kufunsa dokotala.

Zochizira, ma infusions osiyanasiyana, decoctions pamankhwala azitsamba amagwiritsidwa ntchito. Zitha kugwiritsidwa ntchito ngati compress, malo osambira. Nthawi zina, kutikita minofu pogwiritsa ntchito mafuta ofunika ndi masamba amaloledwa.

Chifukwa chiyani miyendo imatupa ndi matenda ashuga?

Zinthu zomwe zimatsogolera pakupanga edema mu shuga zingakhale zambiri. Neuropathy iyenera kuonedwa ngati yofala kwambiri, chifukwa mothandizidwa ndi matenda, mitsempha ya m'mitsempha imawonongeka pang'onopang'ono, kenako kufa kwathunthu. Izi zimabweretsa chakuti wodwalayo samva kutupa kokha, komanso zilonda ndi kuvulala kwina. Mfundo ina yofunika ndi yakuti neuropathy imatha kuwononga macula, yomwe imachulukitsa njira ya nthendayi yoyambira.

Angiopathy ndichinthu chotsatira chomwe matendawa amadziwonetsa. Mkhalidwe wamatumbo onse umakulirakulira, koma zotengera zamiyendo zimakumana msanga. Kuphatikiza apo, khungu la miyendo limataya kunenepa, chifukwa chomwe ming'alu ndi zilonda zam'mimba zimapita patsogolo msanga. Edema amawoneka pamiyendo ndi matenda a shuga chifukwa:

• kudzikundikira kwamadzi m'magulu amisempha chifukwa chakuthamanga kwa madzi ndi kagayidwe kamchere,
• matenda a impso (nthawi zambiri amakhala omaliza),
• onenepa kwambiri, zomwe zingayambitse matenda a shuga a macular edema,
• zolakwika mu chakudya.

Nditalandira yankho ku funso loti bwanji miyendo imatupa ndi matenda a shuga, ndikofunikira kumvetsetsa zomwe zimachitika.

Zizindikiro za matendawa

Kukula kwa gawo limodzi kapena miyendo yonse imadziwika ngati miyendo yotupa ndi matenda a shuga. Chizindikiro choyenera chizikhala kupezeka kwa kukopeka pamenepo pakhungu lomwe limakanikizidwa ndi chala. Kutupa kwa miyendo kumathanso kumalumikizidwa ndi zizindikiro monga kupsinjika kwa phazi, kuchepa kwa tsitsi komanso mapangidwe a matuza mwachindunji m'malo otupa.

Osati mochulukirapo, kutupa kwa miyendo kumalumikizidwa ndi kuchepa kwamlingo wazamphamvu mu edema ya phazi. Kusintha kwa mawonekedwe a zala, zomwe zimawoneka mochulukirapo, zitha kudziwika. Ngati munthu watupa kwambiri miyendo ndi matenda ashuga, ndi funso lofupikitsa kapena kukulitsa phazi. Ndikofunikira kumvetsetsa mwatsatanetsatane kuti dziko lomwe limaperekedwa mowopsa ndiyani.

Kodi chiwopsezo cha edema cha m'munsi chotsika ndi chiani?

Ngati edema ya mwendo mu matenda a shuga singalandiridwe pakapita nthawi, ndiye kuti mavuto ena monga kupweteka ndi kuwotcha amakula. Khungu limakhala losalimba komanso limatsika, zomwe zimapangitsa kuti pakhale matenda opatsirana. Komabe, mitsempha yakuya kwambiri m'munsi yotsika iyenera kuganiziridwa ngati vuto lalikulu kwambiri la matendawa.

Kukula kwa zinthu zotere kumatha kuwonetsedwa ndi kusakhazikika kwa kutupa, pomwe mwendo umodzi ndi wokulirapo. Kuphatikiza apo, zinthu pakati pausiku sizitaya mphamvu, chifukwa, pofika m'mawa, miyendo imakhalabe yowonjezereka. Akatswiri amatchereranso chidwi kuti:

• ululu umapangidwa ngakhale poyimilira pang'ono,
• redness ndi kusasangalala m'miyendo zimawonedwa nthawi zambiri,
• mwayi wa pulmonary embolism ukuwonjezeka. Umu ndi gawo lowopsa lomwe limapangitsa kuti munthu azifa.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Chizindikiro choyamba chiyenera kuonedwa ngati kulekanitsidwa kwa magazi ndi kuthamanga kwa mapapu, chifukwa cha kupuma movutikira ndi kupweteka kwa sternum. Popeza zonsezi, kuzindikira kwake komanso chithandizo cha nthawi yake sikuyenera kunyalanyazidwa.

Kodi kuzindikira matenda ndi matenda kumaphatikizapo chiyani?

Kuzindikira kuyenera kuphatikiza njira zingapo pofuna kuonetsetsa kuti chithandizo chokwanira chikhale chokwanira m'tsogolo. Kuwona koyenera kuyenera kuchitika, chidziwitso pazowonetsa zazikulu, kuyezetsa magazi (zonse komanso zamankhwala osakanikirana) zomwe zasonkhanitsidwa. Kuphatikiza apo, ndi matenda amtundu wa 2 shuga, kuwonetsa urinalysis, kusanthula kwa kuzindikiritsa kwa mahomoni ndi ECG (kafukufuku wa electrocardiographic) akulimbikitsidwa.

Zida zotupa zimalimbikitsidwa kuyesedwa pa gawo lililonse la chithandizo, komanso ngati njira yochira imatha. Izi zithetsa mwayi wamavuto, komanso kukupatsani mwayi wosankha njira yothandiza kwambiri yachipatala.

Chithandizo cha kutupa kwa mwendo mu shuga

Chithandizo cha edema ya mwendo mu shuga iyenera kuphatikizapo njira zingapo. Diuretics (mayina a diuretic) amagwiritsidwa ntchito pa matenda a impso. Komabe, chithandizo choterechi chimayenera kukhala cholondola momwe zingathere kupatula kuchotsedwa kwa potaziyamu m'thupi, chifukwa chake imayikidwa pambuyo pofunsa katswiri.

Mtundu wachiwiri wa matenda ashuga, mayina amagwiritsidwa ntchito omwe amalepheretsa kupangika kwa hormone ya steroid - aldosterone. Zofunanso zimatha kukhala zinthu zamapuloteni zomwe zimagwiritsidwa ntchito kuchepetsa magazi. Chisamaliro chapadera chofunikira:

• kugwiritsa ntchito miyala yamtengo wapatali komanso mafuta opangira mafuta, omwe ndi venotonics, omwe amalimbitsa makhoma amitsempha yamagazi ndikuwongolera kuyenda kwa magazi,
• Zitsamba za diuretic, zomwe, monga mankhwala ena ochizira mwendo, ziyenera kugwiritsidwa ntchito maola atatu kapena anayi asanagone. Izi zimaletsa kugona usiku, koma kugwiritsa ntchito kwawo sikuyenera kukhala kwachikhalire, chifukwa kuledzera kumatha.
• kugwiritsa ntchito kukakamira kophatikizana ndi masokosi apadera ndi ma tights. Ndikofunika kuti mugule muma malo ogulitsira, m'masitolo apadera, omwe amathandiza bwino zomwe zimayambitsa matenda okalamba ndi achinyamata.

Kutupa mwendo mu shuga komanso chithandizo chawo sichingakhale chothandiza popanda kuchita masewera olimbitsa thupi. Imodzi mwa masewera othandiza kwambiri pamenepa ndi kusambira, komanso aerobics yamadzi. Izi ndichifukwa choti madzi amadziwika ndi pang'onopang'ono pakhungu, kupatula kukulitsa kwamitsempha yamagazi ndikutupa kwa miyendo. Kuyenda maulendo ataliatali komanso kuthamanga, mwachitsanzo, kumathandizira kuti kutupika kwa kutupa m'miyendo.

Pressotherapy kapena hardware lymphatic drainage phazi kutikita minofu angagwiritsidwe ntchito. Monga gawo la njirayi, zimakhudza dongosolo la mitsempha ya m'mimba, chifukwa amadzimadzi amomwe amachoka m'thupi la munthu.Nthawi yomweyo, njirayi sayenera kuchitika pa nthawi yoyembekezera, pamaso pa zilonda zam'mimba komanso nthawi ya msambo. Zokhudza chithandizo cha matenda a shuga a macular edema, tikulimbikitsidwa kuti muzikambirana ndi dokotala mwatsatanetsatane.

Njira zopewera matenda ashuga

Pazolinga zopewera, tikulimbikitsidwa kupenda miyendo tsiku lililonse. Iyenera kuwunika makamaka pamapazi ndi mipata pakati pa zala. Izi zikuthandizani kuti muwone zilonda zazing'ono zilizonse, matuza, ndi kuchepera kwa nthawi. Ndikofunika kwambiri kutsuka manja anu tsiku ndi tsiku, posankha mitundu ya sopo yopanda mbali. Ndikulimbikitsidwa kuwapukuta ndi chopukutira chotsimikizika.

Tisaiwale za kudula misomali mosamala kuti isakule, ndipo kuvulala kwa miyendo yofewa kungapewedwe. Pazizindikiro zoyambirira za redness, ingrowth ndi zofooka zina, ndikulimbikitsidwa kukaonana ndi katswiri posachedwa.

Ndi kuyabwa ndi kufiira kwa khungu la phazi, kuchezanso kwa adokotala ndikofunikira. Kuphatikiza apo, nsapato zimalimbikitsidwa kuyang'aniridwa tsiku lililonse, zomwe zimawulula misozi ndi kuwonongeka. Monga momwe mumadziwira, amatha kuvulaza phazi ndikuyambitsa matenda opatsirana. Tiyenera kukumbukira kuti:

• Kutentha miyendo, ndibwino kugwiritsa ntchito masokosi ofunda, kuposa kutentha. Mwachitsanzo, mapiritsi otenthetsera amayesedwa chifukwa chotheka kutentha,
• Sizovomerezeka kugwiritsa ntchito yankho lobiriwira komanso la ayodini. Kuti muthane bwino mabala, monga hydrogen peroxide, Miramistin, Betadine,
• kuti muthane ndi kuuma kwa khungu, ndibwino kuti mumize ndi kirimu wokhala ndi mafuta ambiri.

Nsapato ziyenera kukhala zabwino kwambiri. Ngati phazi lipindika, tikulimbikitsidwa kuvala nsapato zapadera kapena nsapato zomwe zimakhala za mafupa. Ndikofunikira kwambiri kuyenda momwe mungathere. Kuyenda kotereku kumathandiza kuti thupi likhale lolimba, magazi azithamanga komanso azitha kuchira msanga. Kusuta kumaletsedwa kotheratu, chifukwa kumawonjezera kugwira ntchito kwa mitsempha yamagazi ndi magazi.

Ndikofunikanso kuteteza matenda a shuga komanso kusaganizira za zovuta zina za matenda ashuga. Chifukwa cha kupewa kwathunthu kotere, titha kulankhula za kuphatikizidwa kwa zotupa mu zodwala komanso kukhazikika kwa zizindikiro zosasangalatsa. Njira zoyenera kwambiri, monga njira zamankhwala, zidzakhala pachigawo chomaliza chachitukuko.