Khungu lotupa pakhungu la shuga: chithunzi cha dermopathy ya matenda ashuga

Matenda a shuga ndi matenda a gululi. Tanthauzo la WHO la matenda ashuga limawonetsa onse matenda a hyperglycemia, omwe amatha kuyambitsa zinthu zambiri, zonse zakunja, ndi majini omwe amachitika nthawi imodzi. Mu pathogenesis pamakhala kusowa kwathunthu kwa insulini (vuto la matenda a shuga 1), kapena kusowa kwa wachibale pankhani yokana mahomoni awa ndi vuto la insulin secretion (vuto la matenda a shuga a 2). Tikukamba za matenda osachiritsika, osachiritsika, omwe zotsatira zake ndikukula kwa zovuta komanso kusintha kwamitsempha. kuphwanya malamulo.

Njira zamankhwala zamatenda amishuga osiyanasiyana zimasiyana kwambiri, koma chodziwika ndicho kupezeka kwa hyperglycemia, yomwe yachitika chifukwa chosakwanira insulin m'matupi. Anomalies amapezekanso mu kagayidwe ka mafuta, mapuloteni ndi ma electrolyte, komanso kasamalidwe kazinthu zamadzi zamthupi.

Matenda a pakhungu omwe ali ndi matenda ashuga amakhudza 25-50% ya anthu odwala matenda ashuga nthawi ya moyo wawo. Kusiyanitsa kwakukulu kumatha kufotokozedwa ndi malingaliro osiyanasiyana okhudza kuwunika kwa "mawonekedwe" osintha pakhungu lomwe limayenderana ndi matenda ashuga, komanso kusiyana pakati pa mitundu yosiyanasiyana ya matenda.

Mawonekedwe a khungu mu shuga, ponena za ubale wawo ndi metabolism ya carbohydrate, amalembedwa motere:

• kusintha kwa khungu komwe kumayenderana ndi kuphwanya kagayidwe kazakudya, kamene kamachitika makamaka pakuwonongeka kwa kagayidwe kachakudya, ndipo pambuyo pakukhazikika kwa glucose kumatha,
• kusintha kwa khungu komwe sikikugwirizana ndi kuchuluka kwamomwe thupi limayendera (khungu limakulirakulira chifukwa cha matenda ashuga, microangiopathy ndi neuropathy),
• khungu limasintha chifukwa cha chithandizo cha matenda ashuga.

Mawonekedwe amtundu wa shuga

Matenda a shuga amatha kukhudza gawo lililonse la thupi, ndipo khungu limachita chimodzimodzi. Ndi matenda ashuga, khungu (i.e., kusintha mumkhalidwe wake) nthawi zambiri limakhala chizindikiro choyamba cha matenda. Ambiri mwa mavutowa ndiofala pakati pa anthu athanzi, koma odwala matenda ashuga amatuluka mosavuta, mwachitsanzo, kuyabwa kapena fungal ndi bacteria bacteria. Zovuta zina zomwe zimachitika chifukwa cha matenda ashuga zimayimiriridwa ndi zovuta monga matenda ashuga, necrobiosis (necrobiosis lipoidica diabetesicorum), matuza a matenda ashuga komanso matenda a xanthomatosis.

Bacteria matenda

Anthu odwala matenda a shuga nthawi zambiri amakhala ndi zovuta monga:

• barele
• furunculosis,
• folliculitis
• carbunculosis,
• matenda okhudza malo ozungulira msomali.

Minofu yoyaka, yotentha kwambiri mpaka kukhudza, kutupa, kupweteka komanso kufiyira. Zomwe zimayambitsa matenda ambiri ndi mabakiteriya ochokera ku gulu la staphylococcus.

Matenda oyamba ndi mafangasi

Gwero lalikulu la matenda oyamba ndi matenda ashuga nthawi zambiri imakhala bowa, wokhala ndi dzina lokongola - Candida Albicans. Zimathandizira kuti maonekedwe a kuyabwa - - ofiira, malo onyowa, ozunguliridwa ndi mabingu ang'onoang'ono komanso okutidwa ndi kutumphuka. Chotupa chake nthawi zambiri chimapezeka m'makhola a pakhungu (pansi pa tinthu tating'ono ta mammary, pakati pa zala ndi manja, mikondo, ndi zina).

Matenda ena a fungal omwe ali ndi matenda ashuga amaphatikizanso, mwachitsanzo, khungu la mycoses, tinea capitis - (nthenda ya fungal ya dera inguinal) ndi mycosis ya vaginal.

Kuyamwa kwina nthawi zambiri kumayamba chifukwa cha matenda ashuga. Zomwe zimayambitsa sizingokhala matenda oyamba ndi fungus, komanso khungu louma kapena magazi osokonekera (amachititsa kuyabwa m'miyendo yotsika). Nthawi zambiri pakakhala zotere, kugwiritsa ntchito moisturizer pambuyo pakusamba kumathandiza.

Matenda a shuga

Matenda a shuga ndi matenda omwe amayambitsa kusintha m'mitsempha yamagazi yaying'ono.Zotsatira zoyambitsidwa ndi zotupa za pakhungu zimatchedwa diabetesic dermopathy. Mawonekedwe oyera, ofota, owuma amapangidwa pakhungu, makamaka kutsogolo kwa miyendo. Malo oterowo samapweteka, musayime ndipo safuna chithandizo chapadera.

Necrobiosis (Necrobiosis lipoidica diabetesicorum)

Awa ndi matenda osowa kwambiri omwe, monga matenda a shuga a shuga, amayamba chifukwa cha kusintha kwamitsempha yamagazi. Koma mawanga ndiakulu, akuya kwambiri ndipo amawoneka ang'onoang'ono. Madera ofiira akuda, omwe amakhala, omwe pamapeto pake amasanduka mabala onyansa okhala ndi m'mphepete wofiirira. Mitsempha yamavuto am'mimba imawonekera kwambiri. Nthawi zina kuyabwa, kupweteka kapena kuphulika kumachitika, pakakhala zotere kufunsa dokotala.

Mawonekedwe amtundu wa khungu amakhudzana ndi kusokonezeka kwa kagayidwe kazakudya ka minofu ya odwala a shuga

Hyperglycemia imabweretsa kuphatikiza kwa glucose kwa mapuloteni amtundu wakunja ndi mapuloteni othandizira a micrillar, collagen, elastin ndi fibronectin. Zosintha mu kapangidwe kake zimakhudza magawo a magawo osiyanasiyana a minofu yolumikizidwa, kusokonezeka kwamavuto kumabweretsa kudzikundikira kwawo. T.N. diabetesic hand syndrome imaphatikizira matenda amisempha.

Kuphatikiza pakusintha kwapangidwe ndi kagwiritsidwe ntchito ka collagen, mawonekedwe a izi amalimbikitsidwanso ndikusintha kwa mtima ndi ischemia pang'onopang'ono, microangiopathy ndi neuropathy.

• Waxy khungu syndrome limagwirizana kwambiri ndi matenda amtundu 1, koma limapezekanso mwa anthu omwe ali ndi matenda a shuga a 2, omwe nthawi zambiri amakhala osapindulira bwino. Khungu la zala ndi manja limakhuta, limatembenuka, mawonekedwe owala (ngati scleroderma), nthawi zina amatha kufananizidwa ndi phula lokwirira. Zosintha nthawi zambiri zimakhala zowonongeka, nthawi zambiri zimapezeka pokhapokha. Mafupa amakhudzidwa pang'ono pokha, pali makulidwe amkati mwa ophatikizika ndi kusokonekera kwa mafolo, monga lamulo, chifukwa chala zomwe zala zimakhazikika.
• Matenda a Dupuytren ndi chipatala chowonjezera chomwe chimapezeka mwa kuchuluka kwa odwala omwe ali ndi matenda osokoneza bongo 2-3 nthawi zambiri kuposa pakati pa anthu athanzi. Tikuyankhula za kukula popanda kupweteka komanso kufupikitsa kwa aponeurosis ya kanjedza, yomwe imachepetsa kuyenda kwa zala. Kusisita ndi ultrasound kungachedwetse matendawa, mafomu owopsa ayenera kuthetsedweratu,
• Scleredema Bushke amakhudzana ndi anthu odwala matenda ashuga kanayi kuposa anthu athanzi, makamaka amuna okalamba onenepa kwambiri. Zimabwera pakulowetsedwa pakhungu, komwe limakonda kupezeka paziwalo za khosi ndi kumbuyo kwenikweni, nthawi zina ndi kukhalapo kwa erythema. Pamaso pa khungu pakhoza kukhala mawonekedwe a peel ya lalanje. Chithandizo chothandiza sichikudziwikabe, kuwongolera matenda a shuga sikukhudzana ndi zovuta.

Matenda a pakhungu la matenda a shuga

Thupi lawo siligwirizana ndi jakisoni wa insulini lasowa kwambiri pogwiritsira ntchito mahomoni a munthu. Komabe, nthawi zambiri, insulin lipodystrophy imachitika, yomwe imawoneka m'magulu awiri azachipatala, monga atrophy kapena hypertrophy ya subcutaneous minofu. Kusintha kumakhudza khungu ndi mawonekedwe a subcutaneous. Mwa zina ziyenera kudziwidwa mobwerezabwereza jakisoni wa tsiku ndi tsiku kapena cannulas ya insulin pump ndi wamba kagayidwe kachakudya ka insulin pa adipose minofu.

Dermatologist ndi zovuta kusamalira khungu

Khungu limalekanitsa ndikuteteza chilengedwe chamkati ndi zinthu zakunja, ndikuchita ntchito zambiri. Mosakayikira, ndi kalilole wa thupi la munthu. Khungu likhoza kukhala chizindikiro choyamba cha kuwonongeka kwa minofu ndi ziwalo kapena chizindikiro cha matenda ena omwe sanapezekabe.Zinthu zazikulu zomwe zitha kuchenjeza dokotala za kupezeka kwa matenda a shuga kapena matenda ena ndi zilonda zapakhungu zosachiritsa zomwe sizimayendera njira zachikhalidwe zamankhwala, kuchuluka, kunenepa kwambiri, komanso kufalikira kwa matenda ashuga m'mbiri ya mabanja.

Matenda a shuga ndi matenda omwe nthawi zambiri amayenda ndi khungu. Pofuna kupewa kusintha kwa khungu kapena kukonza mawonekedwe omwe alipo kale, chisamaliro chanthawi zonse komanso zakumwa zina ndizofunikira. Pakusamba, tikulimbikitsidwa kugwiritsa ntchito sopo wosalowerera womwe siwononge khungu, osayambitsa kukwiya komanso kuti usaume. Kusamba posamba kumayenera kusinthidwa ndi shawa. Mukatha kusamba, kugwiritsa ntchito ma enollient mafuta ndizoyenera nthawi zonse. Povulala, muzimutsuka ndi bala ndi madzi oyera ndikuphimba ndi mavalidwe osalala. Zinthu zomwe zili ndi ayodini, mowa ndi peroxide siziyenera kugwiritsidwa ntchito chifukwa chakwiya kwa khungu.

Kodi ndikusintha kotani komwe kumachitika mthupi?

Pafupifupi machitidwe ndi ziwalo zonse zimasinthidwa ndi pathological zomwe zimachitika mthupi lonse chifukwa cha matenda a shuga. Matenda a pakhungu ndi amodzi mwa mavuto ambiri omwe akutuluka.

Zomwe zimayambitsa khungu kuwonongeka kwa matenda osokoneza bongo ndi zomwe zimapangitsa izi:

• zosokoneza metabolic zomwe zikupitilira,
• kudzikundikira mu minofu ndi maselo a zinthu zamisempha,
• kukula kwa vuto la khungu ku matenda ashuga,
• kuchepa chitetezo chathupi,
• kuwoneka kwa njira zotupa za matenda a shuga mu follicles, khungu ndi thukuta la thukuta.

Chifukwa chodziwonera zonse zomwe zili pamwambapa, khungu limakhala ndi kachilombo ka tizilombo tating'onoting'ono tambiri. Chithunzichi chikuwonetsa momwe khungu limawonekera ndi matenda ashuga.

Kusintha kwapang'onopang'ono kwa matenda ashuga kumatha kuthandizidwa matenda akamakula. Pakapita kanthawi, kuyabwa kosalekeza komanso kopanda tanthauzo la epidermis kumayamba, komwe "kumatha" zigawo zonse. Ngati izi zimachitika pakhungu, tsitsi limayamba kusiya zizindikiro zomwe zimayendera limodzi nthawi zonse.

M'mitundu yosiyanasiyana ya thupi ndi nkhope, mawanga ofanana kapena otupa kwambiri amatha kuoneka, omwe nthawi zonse amakhalanso osasangalatsa. Kuphatikiza apo, misomali m'manja ndi miyendo imasintha kwambiri. Amataya mawonekedwe awo oyambilira, amakhala wandiweyani kwambiri ndikupanga utoto wachikasu.

Kuphatikiza apo, ziwalo za thupi zomwe zimalolera kumangokangana - manja ndi miyendo, zimatha kubweretsanso mavuto. Choyamba, pali keratinization wotchulidwa, maonekedwe a chimanga ndikusintha kwa mtundu wamba.

Kusintha kwakukulu komwe kumachitika ndi khungu ndikutulutsa matendawa ndi motere:

• Khungu lowuma, lomwe limakhala likucheperachepera,
• Kukula kwa misomali kumachitika
• pali kusintha pang'onopang'ono kwa manja ndi miyendo kumapazi,
• khungu limatha kukhala ndi mtundu wachikasu wachikasu.

Masiku ano, pali magulu atatu akuluakulu amatenda amkhungu omwe amachitika chifukwa cha matenda ashuga.

Njira zazikulu zoyambira pakhungu lomwe limatuluka chifukwa cha kusintha kwa ziwiya ndi zovuta zama metabolic,

Njira zamatenda am'mbuyomu, zomwe ndi matenda opatsirana osiyanasiyana, ndipo zimayamba chifukwa chakuchepa konse kwa chitetezo chokwanira komanso ntchito zofunika zosiyanasiyana za bowa ndi mabakiteriya,

Matenda a pakhungu omwe ali ndi matenda a shuga, omwe amapezeka mwa mawonekedwe a thupi lawo chifukwa chomwa mankhwala osiyanasiyana.

Kodi ndimatenda ati apakhungu omwe amakhala nthawi zambiri?

Zilonda zamkhungu zimatha kuwoneka ngati mawonekedwe totupa, mapepala ndi matuza, omwe amakhudzidwa ndi zinthu zosiyanasiyana zakunja ndi mkati. Matendawa ndi monga:

1. Pemphigus ndi mtundu wa matenda ashuga. Mukuwonetsedwa kwake, ndizofanana ndi kutentha kwa dzuwa ndipo nthawi zambiri zimakhudza gawo la mapewa, mikono, miyendo. Kupukutira kotere kapena chithuza sikubweretsa kusamvetseka kowawa ndipo, monga lamulo, chimatha msanga.
2. Zotupa zosiyanasiyana zomwe sizigwirizana m'chilengedwe ndipo zimawoneka chifukwa chogwiritsa ntchito mitundu yambiri ya mankhwala osiyanasiyana, kulumidwa ndi tizilombo kapena chakudya.
3. Granuloma wa annular amawoneka ngati mawonekedwe totupa pakhungu la mithunzi yofiira kapena ya bulauni. Nthawi zina, granuloma imatha kuthandizidwa ndimankhwala.

Kuphatikiza apo, matenda apakhungu a shuga, omwe ali m'gulu loyambirira, amatha kuwoneka monga:

• Ngati matendawa aphatikizidwa ndi chitukuko cha atherosulinosis, khungu louma limatha kuchitika, limayamba kuchepa ndipo limayamba kutseguka. Kuphatikiza apo, polumikizana ndi kuphwanya koyenda kwamagazi abwinobwino, mavuto amawonedwa ndikuchiritsidwa kwa mabala ang'ono kwambiri, mawonekedwe a zilonda zopatsirana.
• Hypodystrophy yamtundu wa odwala matenda ashuga. Ndi chitukuko cha matendawa, redness ndi kuwonda kwa khungu zimawonedwa. Monga zizindikiro zotsatana, kuyabwa, kuwotcha ndi kupweteka m'malo omwe akhudzidwa kumatha kuchitika.
• Dermatopathy ya matenda ashuga ndi amodzi mwa matenda ofala kwambiri pakhungu. Monga lamulo, zimakhudza zigawo za kutsogolo kwa mwendo wakumbuyo mwa mawonekedwe a malo ang'onoang'ono amtundu wofiirira. Popita nthawi, kufiira koteroko kumazimiririka ndikusandulika pang'ono, pomwe malo ndi kapangidwe ka malowo zimasintha.
• Matenda a matenda ashuga. Kwenikweni, nthawi yamatendawa, kuwonongeka kwa chala kapena dzanja kumachitika, mgwirizano wamkhungu, mavuto amatuluka ndi kusinthasintha kwa mafupa.

Zilonda zamatenda osiyanasiyana zopatsirana m'matenda a shuga ndizowopsa, chifukwa mabala amachiritsa bwino. Bowa ndi mabakiteriya, kulowa pamasamba oterewa, amayamba zoyipa zawo. Nthawi zambiri, zilonda zonyowa zimatha kuchitika chifukwa cha moyo wawo.

Mosasamala ndi kusintha kwanji komwe kumachitika ndi khungu, ndikofunikira nthawi yomweyo kuyamba chithandizo choyenera. Nthawi zina, ndizokwanira kungoyang'anira kuchuluka kwa shuga, zakudya ndi malamulo onse aukhondo.

Khalidwe la khungu limatengera chitukuko cha matenda ashuga, ndichifukwa chake malingaliro onse omwe amathandizidwa ndi dotolo akatsatiridwa, zotheka zimatheka.

Kodi matenda amathandizidwa bwanji?

Madontho, kudetsa khungu ndi zotupa zina zimachitika mwa odwala azaka zilizonse (kuphatikiza ana). Chimodzi mwamagawo ofunikira kwambiri a chithandizo chamankhwala ndicho kutsatira kwambiri zakudya. Ndi zakudya zomwe sizingathandize khungu, komanso thanzi la wodwalayo.

Dokotala yemwe akupezekapo angalimbikitse kugula mafuta ofunikira ochizira ndi antimicrobial komanso anti-kutupa. Kuphatikiza apo, mumafunikira kumanunkhira manja anu ndi ziwalo zina zamthupi ndi mafuta apadera azamasamba kapena mafuta okufetsa khungu lakufa.

Ngati mawanga aliwonse awoneka kapena khungu liyamba kuda, muyenera kufunafuna thandizo kuchokera kwa akatswiri azachipatala, chifukwa ndi adokotala okhawo omwe angakuthandizeni kusankha chithandizo choyenera.

Chithandizo chimathandizidwanso kuti chizitetezedwa nthawi zonse ndi dzuwa lotentha, mphepo yamphamvu kapena kuzizira. Zinthu zodzitetezera ziyenera kuyikidwa pakhungu nthawi zonse kuti ziziteteza pakuwotcha, kuwumba kapena kufinya.

Amakhulupirira kuti Dimexide ya mankhwala ali bwino kwambiri chifukwa antifungal ndi antimicrobial. Ndibwino kuti pakhale njira iliyonse yotupa pakhungu.Matenda oterewa amaphatikizapo furunculosis, mabala a purulent, kuwotcha, thrombophlebitis ndi zilonda zam'mimba. Ndiye chifukwa chake, madokotala nthawi zambiri amalimbikitsa kugwiritsa ntchito Dimexide ngati muli ndi vuto lakhungu ndi matenda ashuga. Mankhwalawa amalimbikitsa kuchiritsa kwamabala msanga, kumakulitsa kukana kwa thupi ku kutentha kochepa kapena ma radiation. Kuphatikiza apo, Dimexide ndi imodzi mwama bajeti komanso mankhwala okwera mtengo.

Mwambiri, mankhwalawa a candidiasis ayenera kuphatikizapo njira zotsatirazi.

Ma mafuta a antimycotic kapena mafuta onunkhira amagwiritsidwa ntchito. Njira ya mankhwalawa imatha pafupifupi masiku asanu mpaka asanu ndi awiri mpaka zotupa zidzatheratu.

Ngati matendawa akukhudza madera akuluakulu amthupi, njira zapadera za utoto wa anilic zimagwiritsidwa ntchito (zimatha kukhala madzi kapena mowa).

Mankhwala omwe ali ndi mphamvu yoletsa kugwiritsidwa ntchito amagwiritsidwa ntchito. Izi ndiye, choyambirira, fluconazole ndi ketoconazole.

Ndalamazi ndizotsika mtengo, koma nthawi yomweyo zimagwira ntchito bwino.

Njira zopewera komanso maphikidwe a mankhwala azikhalidwe

Musanachiritse mavuto a khungu, muyenera kuyesa kusintha njira zonse zomwe zimachitika mthupi. Kuchokera pakusintha kwina konse komwe kumachitika m'thupi momwe wodwalayo angathenso kukhazikika kapena kuthetseratu matenda apakhungu.

Tiyenera kudziwa kuti chinthu china chofunikira kwambiri pakuchiritsa kovuta ndi kupatsa thanzi. Nkhaniyi iyenera kuonedwa bwino, kutsatira mosamalitsa zakudya zomwe zidaperekedwa. Nthawi zina kuyeza kolakwika kwa chakudya kungayambitse kuchuluka kwa shuga, komwe, kumakhudza wodwala.

Monga njira yothanirana, tikulimbikitsidwa kutsatira malamulo otsatirawa:

1. kugwiritsa ntchito zinthu zaukhondo panu popanda mafuta onunkhira komanso mulingo wofunikira wa Ph, amene sauma khungu ndipo samayambitsa kukwiya, matupi awo sagwirizana.
2. Nthawi zonse muziyang'anira khungu lanu m'miyendo pogwiritsa ntchito zida zapadera,
3. khungu la miyendo, makamaka madera pakati pa zala zakumaso, kumafunikira chisamaliro chofatsa komanso chokwanira. Apa ndipomwe mabakiteriya angapo ndi mafangasi amatha kuchuluka.
4. osadzimangirira chimanga, ming'alu ndi zovuta zina zamkhungu,
5. samalani zaukhondo,
6. mu zovala, perekani zokonda pazinthu zopangidwa ndi nsalu zachilengedwe zomwe sizifinya komanso sizikupaka khungu,
7. Pamaso pa mabala, ndikofunikira kuwachiritsa kaye, koma osawakankha ndi pulasitala wamankhwala.
8. ngati zotupa kapena mavuto ena akhungu atheka, funsani dokotala munthawi yake.

Kuthandizira khungu lanu ndikukhala labwinobwino, mutha kugwiritsa ntchito njira zosiyanasiyana zomwe mankhwala achikhalidwe amapereka:

• osasamba osamba ndi kuwonjezera kwa khungwa la oak kapena chingwe,
• pukuta madera oyatsidwa ndi decoction yokonzedwa pamaziko a birch,
• Pamaso pa zotupa kapena zotupa zina, mutha kupukuta khungu ndi madzi atsopano.

Ngati khungu likulowa, mutha kukonzekera kuchira kwakanthawi kochepa kuti mugwiritse ntchito mphamvu kuti muchepetse chizindikiro chomwe chayamba. Kuti muchite izi, muyenera kutenga masamba owuma a peppermint, wort ya St. Supuni zitatu zosakaniza zimatsanulira kapu ya madzi otentha ndikusiyapo kwakanthawi kuti ndikupatse. Pukutani madera omwe akhudzidwa ndi khungu ndi kulowetsedwa kwachikondi. Kanema yemwe ali munkhaniyi akuwonetsa zoyenera kuchita ndi miyendo yanu ya matenda ashuga.

Mawonekedwe amtundu wa shuga - ikhoza kukhala chizindikiro choyamba cha matendawa

Kusintha kwa khungu kumapezeka mwa anthu ambiri omwe ali ndi matenda ashuga. Nthawi zina, amatha kukhala chizindikiro choyamba chodwala matendawa.

Pafupifupi gawo limodzi mwa anthu atatu ali ndi matenda amtunduwu ali ndi zizindikiro monga kuyabwa khungu, fungal kapena matenda a bakiteriya nthawi ya moyo wawo. Matenda enanso achilendo pakhungu amayamba.Zodzoladzola zambiri zapangidwa kuti zizigwiritsa ntchito kukhathamiritsa khungu komanso kuchepetsa zizindikiro.

Nthawi zambiri amapereka mawonekedwe kwakanthawi ndipo kugwiritsa ntchito pafupipafupi ndikofunikira kuti zitheke.

Matenda opatsirana ndi oopsa kwambiri mu shuga. Kuti muwalepheretse, muyenera kutsatira malamulo osamalidwa.

Khungu loyera

Pruritus ndi chimodzi mwazizindikiro zoyambirira za matenda ashuga. Nthawi zambiri zomwe zimayambitsa zimawonongeka ndi ulusi wamanjenje womwe umapezeka m'matumbo apamwamba a dermis, omwe amalumikizana ndi shuga wambiri.

Komabe, ngakhale mitsempha isanawononge, kutupa kumachitika mwa iwo ndikutulutsidwa kwa zinthu zomwe zimagwira - ma cytokines, omwe amayambitsa kuyabwa.

Muzovuta kwambiri, chizindikiro ichi chimagwirizanitsidwa ndi chiwindi kapena chiwindi kulephera, komwe kumachitika chifukwa cha kuwonongeka kwa minyewa.

Kuyabwa kumayendera limodzi ndi matenda ena apakhungu:

• fungal matenda kumapazi,
• matenda
• xanthomas,
• lipoid necrobiosis.

Matenda a shuga amakhalapo amayamba kumadera otsika. M'malo omwewa, khungu limasowa nthawi zambiri limatayika ndipo kumangomva kulira kapena kutentha. Wodwalayo samva bwino chifukwa cha zovala wamba, zomwe nthawi zambiri zimadzuka usiku, amafunikira nthawi zambiri kuti adziwande. Komabe, sipangakhale zizindikiro zina zakunja kwa matendawa.

Zomwe zimayambitsa kuyabwa pakhungu

Kudalira kwa zotupa za pakhungu pa mtundu wa matenda ashuga

Zilonda zotsatirazi mwa anthu odwala matenda ashuga ndizofala kwambiri kuposa pafupifupi. Komabe, ena a iwo ali ndi mawonekedwe amtundu wina wamatenda.

Ndi matenda a 1 mtundu, amadziwika kawirikawiri:

• periungual telangiectasia,
• lipoid necrobiosis,
• wodwala matenda ashuga
• vitiligo
• lichen planus.

Mwa anthu omwe ali ndi matenda amtundu wa 2, zotsatirazi zimawonekera nthawi zambiri:

• kusintha kwa sclerotic
• matenda a shuga
• acanthosis wakuda,
• xanthomas.

Zilonda zopatsirana zimawonedwa mwa anthu omwe ali ndi mitundu yonse ya shuga, koma nthawi zambiri ndi wachiwiri wawo.

Kusintha khungu

Madokotala azakhungu amadziwa zovuta zingapo za khungu ndi matenda ashuga. Njira zosiyanasiyana za pathological zimakhala ndi chikhalidwe chosiyana ndipo, motero, mitundu yosiyanasiyana ya chithandizo. Chifukwa chake, pakayamba kusintha khungu, muyenera kulumikizana ndi endocrinologist.

Matenda a shuga

Kuphatikizidwa ndi kuwonekera kwa mawanga pamphepete mwa miyendo. Uku ndikusintha khungu kofala kwambiri kwa anthu odwala matenda ashuga ndipo nthawi zambiri amawonetsa chithandizo chokwanira. Dermatopathy ndi malo ochepa owoneka kapena ozungulira bulauni pakhungu, ofanana kwambiri ndi a pigmented (timadontho-timadontho).

Nthawi zambiri zimawonedwa kutsogolo kwa miyendo, koma m'malo asymmetric. Matayo samatsata ndi kuyabwa ndi kupweteka ndipo safuna kulandira chithandizo. Chomwe chikuwonekera pakusintha kumeneku ndi matenda ashuga a shuga, ndiye kuti, kuwonongeka kwa kama.

Lipoid necrobiosis

Matendawa amagwirizanitsidwa ndi kuwonongeka kwa ziwiya zazing'ono kwambiri pakhungu. Odziwika bwino ndi mawonekedwe amodzi kapena zingapo zofiirira zofiirira zomwe zimayamba kupendekera kutsogolo kwa mwendo kwa miyezi ingapo. Amatha kupitiliza zaka zingapo. Mwa odwala ena, zotupa zimachitika pachifuwa, miyendo yayikulu, thunthu.

Pachiyambi cha matenda, mapepala ofiira kapena ofiira amtundu wina, omwe amaphimbidwa pang'onopang'ono ndi utoto wa waxy. Malire ozungulira amakwezedwa pang'ono, ndipo pakati ndikutsika ndikupeza hue-lalanje. The epermermis imakhala atrophic, yopyapyala, yonyezimira, telangiectasias yambiri imawoneka pamtunda.

Zolingazi zimakonda mame ndi zotumphukira. Potere, manambala a polycyclic amapangidwa. Milonda imatha zilonda;

Ngati necrobiosis imakhudza osati miyendo yotsika, koma mbali zina za thupi, malembawo amatha kupezeka pamalo oyambalala, omata, okutidwa ndi tinsalu tating'ono. Kukwiya kwa dermis sikuchitika.

1. Matenda a matenda ashuga
2. Lipoid necrobiosis

Periungual telangiectasia

Sonyezani ngati zotengera zofiira zowonda,

Zina mwazotsatira za kutayika kwa microvasculature yabwinobwino ndikukula kwa capillaries zotsalira. Mwa anthu omwe ali ndi vuto la matenda ashuga, chizindikiro ichi chimawonedwa theka. Nthawi zambiri zimaphatikizidwa ndi red of periungual cushion, minofu ululu, burris wokhazikika komanso kuvulala kwa cuticle.

Vitiligo

Maonekedwe a khungu lowala nthawi zambiri amapezeka ndi mtundu 1 wa shuga mu 7% ya odwala. Matendawa amakula ali ndi zaka 20-30 ndipo amagwirizanitsidwa ndi polyendocrinopathy, kuphatikiza kulephera kwa adrenal, kuwonongeka kwa autoimmune ku chithokomiro cha chithokomiro komanso pituitary pathology. Vitiligo ikhoza kuphatikizidwa ndi gastritis, kuchepa magazi m'thupi, kuchepa kwa tsitsi.

Matendawa ndi ovuta kuchiza. Odwala amalangizidwa kuti apewe kuwala kwa dzuwa ndikugwiritsa ntchito ma sunscreens okhala ndiosefera wa ultraviolet. Ndi malo ang'onoang'ono apadera omwe ali pankhope, mafuta opaka ndi glucocorticosteroids angagwiritsidwe ntchito.

1. Periungual telangiectasias
2. Vitiligo

Lichen planus

Vuto lotupa la khungu limawonedwa mwa odwala omwe ali ndi matenda a shuga 1. Mwachidule, lichen planus imawonetsedwa ndi khungu losakhazikika kumbuyo, kumbuyo kwa phazi ndi miyendo yotsika. Komanso, matenda am'mimbamo amakhudza patsekeke yoyenda pakamwa ngati mikwingwirima yoyera.

M'pofunika kusiyanitsa mawonetserowa kuchokera kuzomwe zimapangitsa kuti mankhwala asamayende bwino (mwachitsanzo, anti-yotupa kapena antihypertensive mankhwala), koma kusiyanitsa molondola ndikotheka pokhapokha patatha histological kuyesa kwa zotupa.

Matuza a matenda ashuga (bullae)

Matenda a pakhungu awa ndi osowa, koma akuwonetsa kuchuluka kwa shuga m'magazi. Anthu odwala matenda ashuga amafanana kwambiri ndi matuza omwe amapezeka nthawi yoyaka.

Amakhala padera pamapazi, miyendo, mikono yakutsogolo, malekezero otsika. Pakupita milungu ingapo, zotupa zimazimiririka zokha ngati kachilombo komwe sikunalumikizane ndipo thupi silinayambike.

Mavuto nthawi zambiri amakhudza amuna.

Zomwe zimayambitsa matenda a bully dermatosis ndi kuvulala, koma kuwonongeka kumatha kuchitika kamodzi. Kukula kwa buluni imodzi kumasiyana mamilimita angapo mpaka 5 cm.

Zomwe ng'ombe zamphongo za matenda ashuga sizidziwika. Amakhala ndimadzimadzi omveka bwino kenako amachira osasiya zipsera. Nthawi zina pokhapokha pamakhala zipsera zazing'ono zomwe zimayankha bwino chithandizo chakunja.

Matendawa amaphatikizidwa ndi kuwongolera koyipa kwamatendawa komanso shuga wambiri.

1. lichen planus
2. Wachinyamata wodwala matenda ashuga

Matenda a shuga

Uku ndi kuwonongeka kwakanthawi kapena kosakhalitsa kwa khungu, ndipo nthawi zambiri pamphumi kapena miyendo. Zimaphatikizidwa ndi kuwonongeka m'magazi a ma capillaries panthawi ya microangiopathy.

Pyoderma

Mawonekedwe amtundu wa shuga amakhala ndi zotupa zopatsirana. Izi zimachitika chifukwa cha kuchepa kwa chitetezo chokwanira komanso magazi m'thupi. Matenda aliwonse omwe amapezeka motsutsana ndi maziko a matenda ashuga a mtima ndiwowopsa. Mwa anthu otere, zithupsa, carbuncle, folliculitis, impetigo, ziphuphu zakumaso, panaritium ndi mitundu ina ya pyoderma nthawi zambiri zimachitika.

Zilonda zapakhungu pakhungu la shuga ndi furunculosis. Uku ndikutupa kwakuya kwa mawonekedwe a tsitsi, zomwe zimatsogolera pakupanga kwa abscess. Mafupa ofiira, otupa, opweteka amawoneka m'malo a khungu omwe ali ndi tsitsi. Nthawi zambiri ichi ndi chizindikiro choyamba cha matenda ashuga.

1. Matenda a shuga
2. Pyoderma

Matenda oyamba ndi mafangasi

Matenda a pakhungu omwe ali ndi matenda ashuga nthawi zambiri amagwirizanitsidwa ndi matenda oyamba ndi fungus. Makamaka malo abwino amapangidwira kufalitsa kwa bowa wamtundu wa Candida.

Nthawi zambiri, zowonongeka zimayamba m'makhola a pakhungu ndi kutentha kwambiri komanso chinyezi, mwachitsanzo, pansi pa tiziwalo ta mammary. Malo ophatikizika pakati pa manja ndi miyendo, ngodya za kamwa, milomo ya axillary, zigawo za inguinal komanso majini amakhudzidwanso.

Matendawa amaphatikizidwa ndi kuyabwa, kuwotcha, kufiyira, kuyala koyera m'malo omwe akhudzidwa. Mafangayi amisomali ndi ndere zamitundu yambiri zimatha kukhazikika.

Annular granuloma

Ichi ndi matenda obwereranso khungu omwe ali ndi chithunzi chosiyana ndi matenda. Zowombera zimatha kukhala chimodzi kapena zingapo, zimakhala pang'onopang'ono kapena mwa mawonekedwe. Mu shuga, mawonekedwe omwe amafalitsidwa (ambiri) amawonedwa.

Kunja, zotupa zimawoneka ngati mapepala akuda (ma tubercles) ma mawonekedwe a mandala ndi mabulangete ofiira ofiira kapena amtambo. Amalumikizana m'mipangiri yambiri yosavuta ndi yosalala.

Zili pamapewa, torso yakumtunda, kumbuyo kwa manja ndi ma soles, kumbuyo kwa mutu, kumaso. Kuchuluka kwa zotupa kumatha kufikira mazana angapo, ndipo kukula kwake - mpaka 5 cm.

Madandaulo nthawi zambiri amakhala palibe, kuyabwa kwapang'onopang'ono nthawi zina kumadziwika.

1. Matenda oyamba ndi mafangasi
2. granuloma woboola pakati

Matenda a shuga a pakhungu

Kusintha kwa khungu kumayambitsidwa ndi edema ya kumtunda kwa dermis, kuphwanya kapangidwe ka collagen, kudzikundikira kwa mtundu 3 collagen ndi acid mucopolopolacacides.

Sclerosis ndi gawo limodzi la matenda a "diabetesic arm", omwe amakhudza pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi insulin yodalira matendawa ndipo amatikumbutsanso za matenda ena omwe amapita patsogolo. Khungu louma kwambiri kumbuyo kwa manja ndi zala zimalimbika ndi mapangano, m'malo ophatikizika ndi mafupawo mumakhala owuma.

Mchitidwewo ungathe kufalikira m'manja komanso ngakhale kwa thupi, kutsanzira scleroderma. Kuthamanga komanso kosadukiza komwe kumalumikizana ndikochepa, zala za dzanja zimatenga malo mosinthasintha.

Kuchepa ndi khungu la khungu pakhungu lakumwambalo kumatha kuonekanso. Izi zimawonedwa mu 15% ya odwala. Madera okhudzidwa amachotsedwa kwambiri khungu labwino. Izi zimachulukanso ka 10 kwa amuna. Mchitidwewo umayamba pang'onopang'ono, osapezeka bwino, amapezeka mwa anthu onenepa kwambiri.

Xanthomas

Kuyendetsa bwino magazi shuga kumatha kubweretsa kukula kwa xanthomas - mapapu achikasu (totupa), yomwe ili kumbuyo kumbuyo kwa miyendo. Xanthomas imagwirizanitsidwa ndi ma lipids okwera amwazi. Mwanjira imeneyi, mafuta amadziunjikira m'maselo a pakhungu.

1. Matenda a shuga a pakhungu
2. Xanthomas

Matenda a shuga a shuga

Uku kumatenda kwambiri chifukwa cha phazi lomwe limachitika ndikuphwanya kwamphamvu magazi kumiyendo. Zimakhudza zala ndi zidendene. Kunja, zotupa zimawoneka ngati dera lakuda, lomwe limapangidwa kuchokera kumisempha yathanzi ndi malo ofiira owonongeka. Matendawa amafunika chithandizo chamwadzidzidzi, kudula mbali ya chiwalo kungakhale kofunikira.

Zilonda za matenda ashuga

Ichi ndi chotupa chozungulira, chakuya, chochepa. Nthawi zambiri zimachitika pamapazi ndi pansi pa chala. Zilonda zimachitika chifukwa cha zinthu zosiyanasiyana, monga:

• mapazi osalala ndi kuwonongeka kwina kwa mafupa a phazi,
• zotumphukira neuropathy (kuwonongeka kwa mafupa amitsempha),
• atherosulinosis ya zotumphukira mitsempha.

Zonsezi nthawi zambiri zimawonedwa ndendende mu shuga.

1. Anthu odwala matenda ashuga
2. Zilonda za shuga

Black acanthosis

Imawoneka ngati ma symmetric hyperpigmented changes mu mawonekedwe amkati mwa khungu omwe amakhala pamalo ophatikizika a mafupa ndi madera omwe amatsutsana kwambiri. Malo okhala amdima a Keratinized amapezekanso m'makola a axillary, m'khosi, m'manja.

Nthawi zambiri imakhudzana ndi kukana insulini komanso kunenepa kwambiri, nthawi zambiri kumatha kukhala chizindikiro cha chotupa choopsa.Acanthosis imathandizanso ngati chimodzi mwazizindikiro za Cushing's syndrome, acromegaly, polycystic ovary, hypothyroidism, hyperandrogenism ndi zovuta zina za endocrine ntchito.

Kodi mungapewe bwanji kuyimitsidwa mu shuga?

Lamulo loyamba ndi kukula kwa shuga m'magazi, ndiye kuti, chithandizo chokwanira cha matenda oyambitsidwa.

Mukamayang'ana popanda zizindikilo zakunja, malangizo otsatirawa angathandize:

• osasamba madzi osamba owuma khungu,
• ikani mafuta odzola pathupi lonse mutangotha ​​kuyanika pakhungu, kupatula malo okhwima,
• Pewani moisturizer yokhala ndi utoto ndi kununkhira, ndibwino kugwiritsa ntchito mankhwala opangira hypoallergenic kapena mankhwala apadera pokonzekera khungu kusamalira matenda ashuga,
• samalani zakudya zofunika, pewani kugwiritsa ntchito mafuta osavuta.

Kusamalira khungu matenda a shuga kumaphatikizanso malamulo awa:

• gwiritsani sopo wofatsa, muzimutsuka bwino ndikuwuma pang'ono khungu lanu osalipaka,
• pukutani malo a madalo awiri, pewani thukuta kwambiri mapazi,
• pewani kuvulala pakhungu, periungual roller, cuticle mukasamalira misomali,
• gwiritsani zovala zamkati ndi masokosi okha,
• ngati kuli kotheka, valani nsapato zotseguka zomwe zimathandiza kuti mapazi azikhala ndi mpweya wabwino,
• ngati banga lililonse kapena kuwonongeka kuwoneka, funsani endocrinologist.

Khungu lowuma limasweka nthawi zambiri ndipo limatha kutenga kachilomboka. M'tsogolo, izi zitha kuyambitsa zovuta zambiri. Chifukwa chake, pakaonongeka, kuonana ndi dokotala ndikofunikira. Kuphatikiza pa mankhwala omwe amasintha kayendedwe ka magazi ndi ma peripheral nerve function (mwachitsanzo, Berlition), endocrinologist amatha kukupatsani mankhwala othandizira. Nayi othandiza kwambiri pa matenda ashuga:

• Bepanten, Pantoderm, D-Panthenol: ndiuma, ming'alu, abrasions,
• Methyluracil, Stisamet: ndi mabala ochiritsa olakwika, zilonda zam'mimba,
• Kubwezera: Zilonda zam'mimba, zilonda zam'mimba,
• Solcoseryl: gel - kwa zilonda zatsopano, zonyowetsa, mafuta - a mabala owuma, ochiritsa,
• Ebermin: yankho lothandiza kwambiri la zilonda zam'mimba.

Kuchiza kuyenera kuchitika kokha moyang'aniridwa ndi dokotala. Matenda a shuga amfalikira mwachangu ndipo amakhudza zigawo za khungu lakuya. Kusokonezeka kwa magazi ndi kusungidwa kwa malo osungirako zinthu zakale kumapangitsa kuti minofu necrosis ipangidwe. Chithandizo cha matenda oterewa nthawi zambiri chimachitidwa opareshoni.

Khungu limakhudza insulin

Musaiwale kuti zotupa zambiri pakhungu la shuga zimagwirizanitsidwa ndi kayendetsedwe ka insulin. Protein zosokonekera pokonzekera, zoteteza, mamolekyulu enieniwo amatha kuyambitsa mavuto:

• Zomwe zimachitika mdera lanu zimafika pakadutsa mphindi 30 ndipo zimatha ola limodzi. Kuwonetsedwa ndi redness, nthawi zina urticaria imachitika.
• Mawonekedwe amachitidwe amatsogolera kumawoneka ofiira khungu ndikusokoneza zotupa za urticardial. Kuyankha kwa anaphylactic sikungakupangitseni.
• Nthawi zambiri, zimachitika mochedwa hypersensitivity zimadziwika. Amadziwika pakatha masabata awiri atayamba kuperekera insulin: kuyamwa kumawonekera pakatha jekeseni maola 4-24 pambuyo pake.

Zovuta zina za jakisoni wa insulini zimaphatikizira kupindika kwa keloid, kupha khungu, kupindika, komanso kutulutsa khungu. Mankhwala a insulin angayambitsenso lipoatrophy - kuchepa kwapang'ono kwa kuchuluka kwa minofu ya adipose pamalo opangira jakisoni miyezi 6 mpaka 24 atayamba chithandizo. Nthawi zambiri ana ndi amayi omwe ali ndi kunenepa kwambiri amadwala matendawa.

Lipohypertrophy imakumbutsanso za lipoma (wen) ndipo imawoneka ngati malo ofewa pamalo opangira jakisoni pafupipafupi.

Kodi khungu limasintha bwanji ndi matenda ashuga?

Khungu la wodwala yemwe ali ndi matenda osokoneza bongo auma, matupi awo amachepa, munthu amakhala ndi nkhawa chifukwa choyabwa kwambiri.

Odwala omwe ali ndi matenda ashuga, khungu limakhala louma ndikutaya turgor.Nthawi zambiri, ndimawonetsero enieni monga kuyabwa ndi khungu lowuma, chizolowezi chofalitsa pafupipafupi ndimatenda oyambitsa mabakiteriya, omwe amasandulika kukhala woyamba chizindikiro cha matenda oopsa.

Mu odwala matenda ashuga, khungu limakhala ndi mtundu wopanda pake wachikasu, misomali imakhuthala ndikusintha mawonekedwe awo, tsitsilo limakhala losalala ndikutuluka. Mphepete mwa zovuta ndi matendawa imatha kuwonetsa chithandizo cholakwika komanso kukula kwa zovuta. Mwachitsanzo, ndi neuropathy yam'munsi yotsika, tsitsi kumapazi kwapansi limatsika.

Kodi zotupa za khungu zimagawidwa bwanji mu shuga?

M'mabuku azachipatala, mutha kupeza mitundu 30 ya mankhwala omwe amapezeka ndi matenda a shuga. Makina onse amtundu wa khungu amagawika m'magulu atatu:

1. Poyamba. Kusintha kumeneku kumayambitsidwa ndi zovuta za matenda ashuga (kagayidwe kazakudya, polyneuropathy, angiopathy). Izi zimaphatikizapo matenda a shuga, matenda a xanthomatosis, matuza, lipoid necrobiosis, ndi zina zambiri.
2. Sekondale Mikhalidwe yabwino yopangidwa ndi matenda ashuga imayambitsa matenda opatsirana pakhungu la bacteria komanso fungal.
3. Mankhwala omwe amapezeka chifukwa chogwiritsa ntchito mankhwala pochiza matenda ashuga. Izi zikuphatikizira modabwitsa, poizoni, urticaria, ndi post-jakisoni lipodystrophy.

Ma pathologies onse omwe ali pamwambapa samayankha bwino chithandizo, chitani nthawi yayitali ndipo nthawi zambiri umachulukana. Monga gawo la nkhaniyi, tidzidziwitsa kusintha komwe kumachitika kawirikawiri pakhungu la odwala matenda ashuga.

Lipoid necrobiosis

Matendawa amapezekanso chifukwa cha matenda obwera chifukwa cha matenda a shuga ndipo amathandizana ndi kuwonongeka kwa minyewa ya adipose. Nthawi zambiri amapezeka mwa atsikana ndi akazi azaka 15 mpaka 40.

Choyambitsa chachikulu cha lipoid necrobiosis ndi matenda a shuga a shuga, omwe amatsogolera ku necrosis ya zotanuka. Poyamba, mawonekedwe a pinki-cyanotic lathyathyathya komanso mawonekedwe osalala amawonekera pakhungu la wodwalayo.

Amakhala ndi mawonekedwe ozungulirapo kapena osasinthika, koma m'kupita kwanthawi amatalika ndipo amapanga zigawo zozungulira zomwe zimakhala ndi malire. Pakatikati pawo pamakhala utoto wonyezimira pang'ono, ndipo mapindikidwe ofiira amtunduwu amakwezedwa pang'ono pamwamba pa minofu yathanzi.

Pamwamba pa kusintha kwa khungu kumeneku nthawi zambiri kumakhala kosalala, nthawi zina kumayamba kusuntha.

Popita nthawi, malo opezeka zigawo za atrophies, ndikuwunika kwakukulu ndi mitsempha ya kangaude kumaonekera pa iwo. Zilonda zenizeni sizimayambitsa kusasangalala, koma wodwalayo akayamba zilonda, ululu umapezeka mwa wodwalayo.

Chithandizo cha zilonda zam'miyendo mu shuga

Zilonda za matenda ashuga zimawoneka pamiyendo, pa chilichonse. Awa akhoza kukhala gawo lamapazi kumtunda kumapeto kapena kumunsi komwe kulumikizana ndi nsapato. Ngakhale zidendene komanso m'malo opanga chimanga.

Kupereka chithandizo choyenera, maphunziro akuchitika. Onetsetsani kuti mukuyesera kufalikira kwa magazi m'chigwa. Ngati chisonyezo chili pafupifupi 0,9 kapena kuchepera, dokotala wamankhwala ofunikira adzafunika. Kafukufuku akuchitidwabe kuti adziwe mtundu wa matenda omwe adayambitsa kupanga zilonda. Mankhwala, opaleshoni ndiyofunikira.

Munthawi ya chithandizo, ndikofunikira kuti muchepetse katundu pa mwendo. Ndodo zitha kugwiritsidwa ntchito. Njira zingapo ndi njira zingapo zitha kugwiritsidwa ntchito pochiza, koma izi zimangotengera kupatsidwa kwa dokotala komanso mtundu wa kapangidwe kake. Mu matenda a shuga, chithandizo chonse chikuyenera kuyang'aniridwa ndi katswiri.

Atha kugwiritsa ntchito ma opaleshoni kuti athandize kuchotsa minofu yakufa ndipo, ngati zingatheke, chotsani mafinya omwe amapangidwawo. Ikani zochiritsira, kuthawa, kukhetsa madzi.

Pazachipatala, mankhwala opha ma antibayotiki ndi omwe amagwiritsidwa ntchito. Dokotala atha kukulemberani jakisoni ndi mankhwala a chifuwa. Chithandizo cha antiseptic iyenera kuchitika pamalo omwe amapangidwira zilonda. Kuti muchite izi, mutha kugwiritsa ntchito:

1. Chida chabwino kwambiri popewa zilonda zam'mimba ndi ufa womwe umapangidwa ndi masamba owoneka bwino a tatar. Asanayambe chithandizo, zilonda ziyenera kutsukidwa ndi yankho la rivanol. Kenako amayenera kuwaza ndi ufa wokonzekera ochiritsa ndi bandeji. Njirayi iyenera kubwerezedwa mwadongosolo, mobwerezabwereza kupukuta komwe kwakhudzidwa ndi khungu ndi ufa, koma chilondacho sichitsukidwa kale. Chifukwa cha ufa kuchokera ku tatarnik, chilonda cha matenda ashuga achira posachedwapa.

Matenda a shuga

Miyendo ya matenda ashuga imapweteka pakamabwera odwala matenda ashuga. Kupanikizika kumadziwika ndi kuwonongeka kwamanjenje. Mchitidwe wamanjenje umakhala ndi mitolo ya ulusi wamanjenje womwe umapangidwa pamodzi ndi mfuti ya minofu yolumikizana (perineurium). Mu perineuria, pali mitsempha yamagazi yomwe imadyetsa ulusi wamitsempha.

Ndi matenda ashuga, pamakhala kusinthasintha kwakukuru kwa shuga m'magazi:

1. Ndi mulingo wama glucose okwera, chiwerengero chachikulu cha ma radicals omasuka chimapangidwa chomwe chimayambitsa ma oxidative.
2. Ndikusowa kwa shuga, ulusi wamanjenje umasowa mu oxygen.

Magazi ochulukirapo m'magazi amatsogolera pakuphatikizana kwa fructose ndi sorbitol mu ulusi wamanjenje, ndikupangitsa edema. Zotsatira zake, mitolo yamanjenje imalephera pang'ono kugwira ntchito zawo. Pamodzi ndi kusintha kwa matenda ashuga, ma myelin sheaths omwe amapatula minyewa yamitsempha amawonongeka. Chifukwa cha izi, zokopa zamanjenje zimabalalika ndipo sizimakwaniritsa cholinga chomaliza. Popita nthawi, ulusiwu umayenda ndipo umasiya kufalitsa mauthenga amitsempha. Ngati matenda a shuga akuphatikizidwa ndi kuthamanga kwa magazi, ma cell amitsempha amatha kufa chifukwa cha kuphipha kwa ma capillaries ochepa.

Kupweteka kwa mwendo mu shuga kumachitika poyankha kukhumudwa kulikonse kwapakhosi. Nthawi zina wodwala amatha kudzuka usiku kuchokera ku zowawa zomwe zimayambitsidwa ndi kukhudza kwa bulangeti. Kuwonongeka kwa ulusi wamitsempha nthawi zambiri kumachitika mozungulira pamagawo am'munsi onse. Zosangalatsa zosasangalatsa zimawonekera pakhungu pakumeta, kuwotcha, "kuphulika kwa tsekwe".

Nthawi zina ululu wofinya wamkati umalowa m'miyendo. Mwa iwo kumverera kumatsika. Matendawa amatchedwa sock syndrome. Munthu amamva zinthu zomwe zakhudzidwa ndi mwendo, mosazindikira, ngati ali m'masokosi. Miyendo yake yam'munsi imakhala yotupa nthawi zonse. Chifukwa cha kuchepa kwa chidwi cha miyendo mwa wodwalayo, kulumikizana kwa kayendedwe kumakhala kolemekezeka. Miyendo yam'munsi simumumvera. Kuletsa kuyendayenda komanso kusayenda bwino kwa magazi kumayambitsa minyewa. Amataya mphamvu komanso kuchepa kukula.

Kuchepa kwa chidwi chomvera sikulola munthu kumva kupweteka m'miyendo panthawi yovulala, kuti amve chinthu chakuthwa kapena chotentha. Amatha kuzindikira zilonda zam'miyendo kwa nthawi yayitali. Izi ndi zoopsa thanzi la wodwalayo.

Bungwe Lopewera №1

Kukhala ndi matenda ashuga kumafunika chidwi chapadera ndi thanzi lanu komanso matenda. Tsatirani malangizo a dokotala anu okhudzana ndi zakudya, masewera olimbitsa thupi, komanso mankhwala.

Kusungabe kuchuluka kwa glucose m'magawo olimbikitsidwa ndichinthu chabwino chomwe mungachite kuti muthane ndi matenda anu ndikuteteza miyendo yanu.

Matenda a shuga ndi matenda amiyendo. Bungwe Lachitetezo №2

Yang'anirani miyendo yanu mosamala kuti mukhale ndi redness, matuza, mabala, chimanga, ndi zizindikiro zina zoyipa. Kupimidwa kwa tsiku ndi tsiku ndikofunikira makamaka ngati magazi anu ali ndi vuto.

Matenda a shuga ndi matenda amiyendo. Khothi Lopewera Na. 3

Tsatirani malangizowa posamalira bwino miyendo:

• Kusintha kwa khungu kapena kutentha.
• Kutupa kwa phazi kapena chidendene.
• Maonekedwe a chimanga, chimanga, misomali yovomerezeka, misomali yodwala, khungu lowuma komanso losweka.
• Ululu pamwendo.
• Fungo losasangalatsa, lopitilira kapena lachilendo kuchokera kumapazi.
• Zovala zazing'onoting'ono kapena misomali yomwe ili ndi kachilombo koyambitsa bowa.
• Madzi, mabala otseguka ndi makutu omwe amachiritsa pang'onopang'ono.

Zomwe shuga imakhudzira khungu

Chifukwa cha kuchepa kwa kagayidwe kazakudya komanso kuchuluka kwa shuga mwa munthu, ziwalo zonse ndi minyewa zimakhudzidwa. Ndipo khungu limachita chimodzimodzi.

Zomwe zimayambitsa kusintha pakhungu pakhungu la matenda ashuga ndi izi:

• chifukwa chakuti nthawi zonse mumakhala shuga wambiri m'magazi, maselo amkhungu amatenga michere yochepa, ndipo amakhala ochepa thupi.
• kagayidwe kachakudya michere,
• kuchepa chitetezo chokwanira
• kuchuluka kwa triglycerides m'maselo ndi minofu,
• kuyang'aniridwa kwa malo okhala.

Zonsezi zimapangitsa kuti dermis isathe kulimbana ndi mabakiteriya ndi bowa omwe amakhalamo. Chifukwa chake, wodwalayo amakhala ndi chiopsezo chachikulu chotenga kachilomboka. Ndi kukula kwa njira za pakhungu pakhungu, limakhala laling'ono, loyenda, malo okhala ndi mawonekedwe amtundu wa pathological. Kuperewera kwa chakudya kwa tsitsi kumatha kumabweretsa alopecia.

Izi zimathandizira keratinization ya khungu, kusintha kapangidwe kake.

Zida zapadera za kachilombo ka HIV

Kupezeka kwachangu pamaso pa kachilombo ka HIV mthupi lanu pali zinthu zingapo:

1. Kusintha kwakukulu kwa njirayi - kufalikira kwa totupa kumadera akulu a thupi kapena malo angapo (mwachitsanzo, pamutu, pakhosi ndi kumbuyo).
2. Maonekedwe ofulumira a zinthu zotupa (amatha kupezeka m'malo angapo mkati mwa masiku 5-7).
3. Zambiri matenda Inde (soreness, pakhoza kukhala kutentha kwambiri), pafupipafupi zilonda zamkati zotupa, zomwe zimapangitsa kuti pakhale matenda opatsirana (mapangidwe a pustules).

Kupezeka kwachangu pamaso pa kachilombo ka HIV mthupi lanu pali zinthu zingapo:

1. Kusintha kwakukulu kwa njirayi - kufalikira kwa totupa kumadera akulu a thupi kapena malo angapo (mwachitsanzo, pamutu, pakhosi ndi kumbuyo).
2. Maonekedwe ofulumira a zinthu zotupa (amatha kupezeka m'malo angapo mkati mwa masiku 5-7).
3. Zambiri matenda maphunziro (zilonda, pamakhala kutentha kwambiri), pafupipafupi zilonda zamkati zotupa, kudziphatika kwa matenda ena achiwiri (mapangidwe a ma pustules).

Matenda oyambitsidwa ndi matenda ashuga

Choyamba, matenda ashuga amakhumudwitsa kutayika kwa khungu la ntchito zake zachilengedwe - zoteteza, kunyowa, antibacterial. Danga lakumwamba sililandira magazi ndi mpweya wokwanira, zomwe zimapangitsa kuti maselo onse azofunikira ndipo pang'onopang'ono amayamba kuwonetsa zovuta.

Pambuyo kuyabwa kumayamba kumveka, ngakhale zovuta zovuta zopweteka zimayamba ndipo matenda amtundu wa khungu amadziwonekera.

• Matenda a shuga a matenda ashuga nthawi zambiri amawonekera mwa anthu omwe ali ndi matenda ashuga a 2 ndipo amadziwika ndi kukula kwa khungu kumbuyo kwa khosi, kumbuyo kwakumbuyo.Njira yochizira matendawa ndi kuwongolera kwambiri shuga ndi kugwiritsa ntchito mafuta opaka ndi mafuta.
• Vitiligo amapezeka mwa anthu omwe akudwala.

. Chizindikiro choyamba cha matendawa ndi kusintha kwa khungu lachilengedwe. Kukula kwa matendawa kumachitika, kuwonongeka kwa maselo am'mimba, omwe amapanga utoto womwe umatsimikizira mtundu wa khungu ndikuyamba kuwoneka malo owala omwe amasiyana kwambiri ndi khungu ndi khungu labwino, amapezeka choyamba. Nthawi zambiri vitiligo chimakhudza m'mimba ndi chifuwa, nthawi zambiri, koma zimachitika kumaso kuzungulira mphuno ndi pakamwa. Chithandizo cha matendawa chimachitika pogwiritsa ntchito mahomoni ndi micropigmentation. Odwala omwe ali ndi matenda osokoneza bongo omwe amakhala ndi matenda osokoneza bongo omwe ali ndi vitiligo samalimbikitsidwa kuti asambe dzuwa, ndipo akamatuluka, gwiritsani ntchito khungu kuti lisayaluke khungu, chifukwa kutentha kwa dzuwa kumakwiyitsa matenda.

Shuga mellitus, choyambirira, amakwiya khungu limataya zinthu zachilengedwe - antibacterial, moisturizing, zoteteza. Mpweya ndi mpweya sizilowa pakhungu lakumaso kuti zitsimikizire kuti maselo onse amakhala ofunikira, ndipo pang'onopang'ono zovuta zimayamba kufotokoza.

Urticaria ili ndi chikhalidwe chosiyana, mwa anthu ena limawoneka pa thupi, ndipo mwa odwala ena ndikotheka kuwerengetsa kuchuluka kwa mapangidwe pazala. Ngati zotupa sizinafotokozedwe, nkovuta kuzindikira ndipo izi zikutanthauza kuti matendawa ndiwosokosera komanso ovuta kukayikira. Zingwe zamtundu wina ndi izi:

1. Zilonda zam mycotic zomwe zimakwiya ndi kuchulukitsa kwa bowa. Matendawa amatenga dermatosis.
2. Pyodermatitis yoyambitsa kuwonongeka kwa staphylococci ndi streptococci. Ndi mawonekedwe awa, ma vesicles amadzazidwa ndi mafinya.
3. Khungu lomwe layamba kuwoneka ndi kachilombo ka HIV limawoneka pomwe mtima wamasinga udawonongeka. Zidutswa zosiyanasiyana zazikulu zimafalikira thupi lonse.
4. Dermatitis ya seborrheic amalankhula za HIV kumayambiriro. Mbali ina yosiyanasiyananso ndi kusenda kwa khungu ndikuluma kwambiri.
5. Mitundu yoyipa yomwe imawoneka ndi chitukuko cha matendawa.
6. Phala lomwe limapanga papular limawonetsedwa poyang'ana timizere tating'ono. Awa ndi matenda omwe amayamba chifukwa cha HIV. Kuchuluka kwa mitundu yochokera kuzidutswa zochepa mpaka thupi lonse.

Kuti mumvetsetse matenda omwe muli nawo, muyenera kukayezetsa. Zingwe zopatsirana ndi kachilombo ka HIV zimawonekera osati pakhungu, pakhungu ndi mbolo. Mawonekedwe oyamba amawonekera mwa munthu patsiku la 12-56 la matenda, kutengera kwa chitetezo cha wodwalayo, ndipo amakhala nthawi yayitali.

Ananthema ndi chizindikiro cha matenda osiyanasiyana, omwe amadziwika kuti HIV. Pakapezeka, totupa imakhala yolimba komanso yofiyira pakhungu. Zizindikiro zomwezo sizosangalatsa, monga zimayendera limodzi ndi kuyabwa.

Zizindikiro zoyambirira mwa akazi

Tonsefe tamva kangapo konse kuti matenda omwe apezeka koyambirira ndikosavuta kuchiritsa kapena kupewa zovuta zake. Ichi ndichifukwa chake ndikofunika kwambiri kusamala ndi zovuta zosokoneza.

Nthawi zambiri, mutha kuwona zizindikiro za matenda ashuga mwa akazi pakhungu (onani chithunzi 4).

Amakhala wouma, amawoneka wachikulire kuposa anzawo. Nthawi zambiri amakumana ndi vuto la kumaliseche, kuuma, kuyaka.

Amayi nthawi zambiri amakhala ndi nkhawa kuti matenda obwerekera kumaliseche. Mavutowa ndiwonetsanso matenda ashuga.

Ndipo pano sikokwanira kungoyendera katswiri wazodzikongoletsa kapena katswiri wazamankhwala, makamaka, muyenera kulumikizana ndi endocrinologist.

Munthawi ya makulitsidwe, zizindikiro za matenda omwe ali ndi chitetezo cha mthupi mwa abambo ndi amayi zimatha kuchokera ku ziwalo zosiyanasiyana. Komabe, chizindikiro choyamba cha matendawa ndicho kupitilirabe kutentha, nthawi zambiri mpaka madigiri 38.

Kuwonjezeka koteroko kumawoneka popanda chifukwa ndipo kumatenga pafupifupi masiku 10. Pang'onopang'ono kutsokomola, migraine, kusowa tulo komanso kupindika.

Mutha kuwona zotupa.Madontho a HIV amatha kukhala ndi mthunzi wosiyana, kuchokera ku pinki mpaka wofiyira.

Zizindikiro za HIV izi zitha kuwoneka pa chithunzi pansipa.

chizindikiro choyamba cha matenda ndi kutentha kosatha

Amayi nthawi zambiri amakhala ndi kuwonda kwambiri, komwe nthawi zina kumadzetsa vuto la kugona. Kuphatikiza pa izi, kudya nthawi zambiri kumatha ndi mseru komanso kusanza.

Zowonetsa kuti zizindikiro zoyambirira za matenda sizimawoneka nthawi yomweyo zafotokozedwa pamwambapa. Chifukwa chake, timapitiriza kufotokoza:

• Patadutsa masiku 7 mpaka 12 mutatha kudwala, mutha kuwona chizindikiro choyamba - chotupa chomwe chimatha kuphimba thupi lonse. Zizindikiro zoyambirira za kachilombo ka HIV mwa abambo monga zotupa, onani pansipa.
• wodwala akumva kuwonjezeka kwa mitsempha ya m'mimba m'mitsempha ndi khosi,
• pakapita nthawi, kutopa ndi kusowa kwa chakudya, kugona komanso kusafuna kugwira nawo ntchito.

Zizindikiro zoyambirira za HIV mwa amuna mu mawonekedwe a zidzolo

Komabe, chizindikiro chilichonse chomwe chatchulidwa sichiyenera kuonedwa kuti chili ndi kachilombo ka HIV. Kuti mutsimikizire mantha, ndikofunikira kupatsira mayeso ena. Komanso musaiwale za chitetezo chomwe mungapewe mantha ngati amenewa.

Momwe mungazindikire kachiromboka mwachangu

Exanthema ndi chizindikiro cha HIV mwa abambo ndi amai. Koma chizindikiro choterocho chikuonetsa kukula kwamatenda osiyanasiyana momwe thupi limakhazikika. Mutha kukayikira kuti mwazindikira ngati mwatsatirapo:

1. Yenderani khungu. Mwa anthu omwe ali ndi kachilombo ka HIV, zotupa mwa anthu zimakhala zofiirira kapena zofiirira. Pakhungu lakuda, ziphuphu zimawoneka zowonekera kwambiri, chifukwa zimakhala zakuda.
2. Dziwani za zotulutsira thukuta. Nthawi zambiri ndi kachilombo ka HIV, totupa yaying'ono imawoneka pa torso, mikono, chifuwa, khosi.
3. Dziyang'anireni nokha. Zizindikiro zina zopezeka ndi kachiromboka: kufooka, kufooka, kupweteka mafupa, kuchepa kudya, zilonda zam'mimba, kutsegula m'mimba, kusanza, nseru, kutupa.

Chizindikiro chodziwika bwino cha matenda a Edzi ndi kufalikira kwamwadzidzidzi m'thupi lathu. Kwa sabata, mutha kuphimbidwa kwathunthu ndi mawanga ofiira. Zotupa zotupa zimafalikira m'malo akuluakulu, nthawi zambiri palibe ochepa. Zizindikiro zikusonyeza kukula kwa chimfine. Ndipo kuti muzindikire matendawa kumayambiriro, muyenera kuyesedwa ndikuyang'ana kwa dokotala.

Kuzindikira za HIV

Poyerekeza ndi za matenda ashuga, matenda ena amatha kuoneka. Chifukwa chake, zotupa pakhungu sizimangotanthauza kutuluka kwa "matenda okoma."

Masiku ano, pali njira zingapo zosinthira zodziwikitsa za HIV.

Njira ya atypical yamatenda amkhungu ndiye maziko otengera wodwala kukayezetsa HIV.

Laboratory diagnostic ikuchitika m'magawo atatu:

• Choyamba, mfundo ya matenda imakhazikika,
• Kenako, gawo la ndondomekoyi limatsimikiziridwa, ndikuzindikira matenda oyambitsidwa ndi kachilombo ka HIV apezeka.
• Gawo lomaliza la mayeso ndikuwunikira pafupipafupi njira zamatenda komanso momwe amathandizira.

Nthawi zina, anthu amapita kwa dokotala ngati pali mtundu wina wa matenda amkati, ndipo chifukwa cha kupezeka kwa matendawa, kupezeka kwa matenda a shuga kumakhazikitsidwa. Choyamba, munthu amatumizidwa kukayezetsa magazi kuti adziwe kuchuluka kwa shuga. Kupanda kutero, kuwunika kwa matenda a khungu kumachitika chimodzimodzi monga momwe zimakhalira ndi anthu wamba.

Malinga ndi kuyesa kwakunja ndi njira zodziwitsira matenda, dermatologist ndi amene amatsimikiza mtundu wa dermatosis. Kuti muzindikire mawonekedwe a zotupa zapakhungu, kuyesa kwa bacteria kumayikidwa. Pokhapokha malinga ndi zotsatira za maphunziro, chithandizo chimayikidwa.

Odwala omwe amatanthauza dermatologist yemwe ali ndi matenda osiyanasiyana a pakhungu nthawi zambiri amatumizidwa kukayesedwa, kuphatikizapo mayeso a shuga. Nthawi zambiri, zimachitika atalumikizana ndi dermatologist wokhudzana ndi dermatosis mwa odwala omwe ali ndi matenda a shuga.

Mwanjira ina, kuwunika kwa dermatoses mu shuga kumachitika chimodzimodzi monga matenda amtundu uliwonse. Kuyesedwa kwakunja, zothandizira zothandizira ndi zasayansi zimachitika.Kuti mudziwe mtundu wa dermatoses yachiwiri, kuyesa kwa mabakiteriya kumachitika kuti mupeze othandizira odwala.

Masiku ano, pali njira zingapo zosinthira zodziwikitsa za HIV.

Popeza palibe chizindikiro chimodzi chomwe chingakhale chofunikira pakuwonetsa kachilombo ka HIV, ndizosatheka kupanga matenda ozindikira madandaulo a wodwala.

Kuzindikira koteroko ndikofunikira chifukwa chakuti anthu amawatenga matenda a HIV ngati matenda omwe alibe chithandizo ndipo amatsogolera pakufa.

Mpaka pano, pali njira imodzi yokha yomwe imalola kudziwa kukhalapo kwa matenda moyenera momwe angathere - iyi ndi puloti yolumikizana ndi enunemoror. Pogwiritsa ntchito kusanthula uku, ndikotheka kudziwa kukhalapo kwa ma antibodies a matenda. Zomwe zimayenera kusungidwa ndi magazi, otengedwa kuchokera mu mtsempha.

Pa nthawi yoyembekezera, kusanthula koteroko kumakhala kofunikira.

Zotsogola ndi kupewa

Momwe matendawa amatengera matendawa chifukwa cha matendawa. Kukhazikitsidwa koyambirira kwa ma antiretroviral ndi symptomatic mankhwala kungakulitse nthawi yayitali ya moyo ndikuwongolera bwino.

Kupewa kufala kwa kachiromboka kumatanthauza kudziwa komanso kugwiritsa ntchito malamulo a kugonana kotetezeka, pakukana kugwiritsa ntchito mankhwala osokoneza bongo. Pochita njira zosiyanasiyana zachipatala, muyenera kugwiritsa ntchito zida zokhazo zokhazo kapena zosawilitsidwa. Kupatula kufalitsa kachilombo kuchokera kwa mayi wodwala kupita kwa mwana, kuyamwitsa kuli koletsedwa.

Kuthamanga ndi kachilombo ka HIV kumaoneka ngati chimodzi mwazizindikiro zamatenda omwe amapezeka koyambirira. Inde, kupanga chidziwitso chomaliza pamaziko a chizindikirochi sikutheka, koma mawonekedwe a zotupa zenizeni amakhala chifukwa chopita kwa dokotala.

Musanayambe mankhwala a pathologies a khungu, ndikofunikira kusintha matenda a shuga ndikubwezeretsa njira zonse za metabolic m'thupi.

Ndipo kupewa, odwala matenda ashuga ayenera kutsatira zotsatirazi:

• gwiritsani ntchito zinthu zaukhondo ndi digiri yofunikira ya Ph kuti muchepetse kuyanika pakhungu ndipo osayambitsa chifuwa ndi mkwiyo.
• khungu pamiyendo limafuna chisamaliro chapadera, madera pakati pa zala amafunika kuti azikhala wothira nthawi zonse ndi mafuta apadera ndi mafuta,
• mafuta opaka keratin kokhazikika ndi mafuta apadera odzola,
• yang'anirani zaukhondo wam'deralo,
• ndikofunikira kuvala zovala zopangidwa ndi ulusi wachilengedwe wokha womwe suufa kapena kufinya kulikonse,
• zilonda kapena mabala zikapangidwa, matenda ogwiritsira ntchito mankhwalawa amayenera kuchitika ndikusiyidwa lotseguka,
• Osadzilimbitsa, ndipo ngati zilonda zazikulu zakhungu zikupezeka, funsani akatswiri.

Kuzindikira koyenera kumadalira momwe chithandizo chanthawi yake chinayambira komanso momwe zimakwanitsira kubwezeretsa njira za metabolic m'thupi. Chofunikira kwambiri pakuwongolera bwino ndikutsatira malangizo a dokotala komanso kusamalira khungu bwino.

Kukula kwa dermatoses komwe kumayambitsidwa ndi matenda a shuga kumatengera momwe zingathekere kusintha mkhalidwe wa wodwalayo ndikubwezeretsa kagayidwe.

Kupewa kwamatenda a khungu ndi kugwiritsa ntchito khungu mwapadera. Ndikofunikira kugwiritsira ntchito zofinyira zofewa kwambiri, makamaka popanda zonunkhira, gwiritsani ntchito moisturizer. Kwa khungu lowala kumapazi, gwiritsani ntchito ma pumice kapena mafayilo apadera. Simuyenera kudula chimanga chokha kapena kugwiritsa ntchito mankhwala azikhalidwe kuti muziwotche.

Ndikofunikira kusankha zovala zokha kuchokera ku nsalu zachilengedwe, nsalu zosintha, masokisi kapena masokosi tsiku ndi tsiku. Zovala ziyenera kusankhidwa pamlingo kuti pasapezeke chilichonse ndipo chimafinya khungu.

Ndikupanga mabala ang'onoang'ono, muyenera kuteteza khungu lanu pakhungu, koma osamamatira mabalawo ndi chithandizo chothandizira. Ngati zotupa za pakhungu zilizonse zikuwoneka, pitani kuchipatala.

Matenda ena apakhungu omwe amayambitsidwa ndi matenda a shuga

Chimodzi mwamavuto apakhungu omwe ali ndi matenda ashuga ndikuloweka khungu pafupipafupi. Zimachitika makamaka pamene shuga m'magazi si achilendo. Khungu loyenda ndi matenda ashuga nthawi zambiri limakhala chizindikiro cha hyperglycemia - shuga wamagazi ambiri.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, matenda a shuga angayambike - matenda omwe khungu limakhuthala kumbuyo kwa khosi komanso kumbuyo. Ndi scleroderma, ndikofunikira kuti shuga yanu ikhale pansi ndikugwiritsa ntchito moisturizer ndi mafuta ambiri omwe amachepetsa khungu.

Vitiligo ndi matenda apakhungu omwe amapezeka kwambiri mwa anthu odwala matenda ashuga a mtundu woyamba. Vitiligo imasokoneza pigmentation ya khungu chifukwa cha kutha kwa pigment melanin m'malo ena ake. Mavuto nthawi zambiri amapezeka pachifuwa ndi pamimba, komanso amatha kukhala pankhope, kuzungulira pakamwa, pamphuno ndi m'maso. Chithandizo chamakono cha vitiligo chimaphatikizapo ma antioxidants, ma immunomodulators, ma steroid, ndi micropigmentation - ma tattoo apadera kuti abwezeretse khungu. Ngati muli ndi vitiligo, muyenera kugwiritsa ntchito mawonekedwe a dzuwa okhala ndi SPF ya 30 ndi pamwambapa kuti muchepetse kuyatsidwa ndi dzuwa m'malo a khungu.

Kodi khungu limasintha bwanji?

Khungu ndi shuga limatha kuwoneka pachithunzichi. Ndizowuma kwambiri komanso youma nthawi ya palpation, pali kuchepa kwa turgor, pali mawanga pamenepo, pakhoza kukhala ziphuphu. Kuchepetsa komanso kusowa tsitsi kumachitika kawirikawiri kuposa momwe munthu amakhalira wathanzi. Ichi ndi chifukwa cha chidwi champhamvu cha tsitsi la munthu kuti asagwiritse ntchito njira ya metabolic. Ngati munthu ali ndi vuto la kupindika alopecia, titha kunena kuti matenda a shuga sawongolera bwino, kapena zovuta zimayamba. Mu matenda a shuga, kuphatikiza khungu lake, mwachitsanzo, kuuma, kuyabwa, kuyambiranso matenda omwe amabwera ndi bowa ndi mabakiteriya, titha kulankhula za matenda omwe akupanga.

Mitundu itatu yamatenda a pakhungu la odwala matenda ashuga:

• Ngati munthu ali ndi zotupa zoyambira, chifukwa chachikulu ndikutsutsana. Zowonongeka zamitsempha yamagazi ndi mitsempha yamagazi yokhala ndi zovuta za metabolic njira zimawonedwanso. Izi zimaphatikizapo matenda a shuga, matenda a pemphigus, lipoid necrobiosis, zidzolo, xanthomatosis ndi ma pathologies ena.
• Zomwe zimayambitsa zotupa zachiwiri ndi matenda apakhungu omwe amabwera chifukwa cha matenda omwe amabwera chifukwa cha mabakiteriya ndi mafangayi.
• mtundu wachitatu umawonetsedwa ndi ma dermatoses a mankhwala omwe amayamba chifukwa cha mankhwala pa matenda a matenda amisempha. Izi zimaphatikizapo toxemia, urticaria, ndi lipodystrophy yoyambira jakisoni.

Zowonetsera zambiri pakhungu lomwe lakhudzidwa zimatha kuwonedwa kwa nthawi yayitali, zimakonda kutulutsa pafupipafupi, chithandizo chake ndizofunikira. Zilonda zonse za pakhungu la shuga zimawonetsedwa mwatsatanetsatane.

Matuza a matenda ashuga

Ndi matenda a shuga a polyneuropathy a matenda ashuga, matuza akuluakulu ambiri okhala ndi madzi owoneka bwino pakhungu, omwe ali ofanana ndikuwonetsa mawotchi.

Dongosolo lawo limatha kutalika kuchokera mamilimita angapo mpaka masentimita angapo. Samatsatiridwa ndi zowawa ndipo amatha kukhala pamwamba pa zala, manja kapena miyendo.

Mwazi wamagazi utakhazikika, matuza amadzilimbitsa okha ndipo nthawi zambiri sasiyira mabala.

Matenda a shuga a Xanthomatosis

Matendawa amayambitsidwa chifukwa chosakonza bwino shuga komanso kuchuluka kwa magazi m'magazi. Wodwalayo amatulutsa zikwangwani zooneka ngati buluu zamtundu wachikaso ndi ulusi wofiirira.

Nthawi zambiri zimakhala pamaso ndi matako kapena pamphepete mwa malekezero apamwamba komanso otsika. Zinthuzi zimayakika ndipo zimatha masabata angapo.

Pofuna kuthana ndi vuto la matenda ashuga awa, kuchuluka kwa shuga m'magazi ndi kuchuluka kwamafuta ndikofunikira.

Matenda a atherosermosis

Zilonda zamkhunguzi zimapezeka pafupifupi pafupifupi gawo limodzi mwa magawo atatu a odwala omwe ali ndi matenda amtundu woyamba 1 ndipo amayamba chifukwa cha zotupa za mitsempha ya mitsempha ya magazi yomwe imapereka khungu.

Kuchepa kwawo kumabweretsa kuperewera kwa mpweya ndi michere yokwanira. Zotsatira zake, khungu limayamba kuzizira kukhudza ndi kucheperako, tsitsi limayamba kutuluka, misomaliyo imasungunuka ndikukula.

Kuphatikiza apo, madera amakhudzidwa ndi khungu amachira pang'onopang'ono ndikuyamba kutenga matenda.

Matenda a matenda ashuga

Matendawa ndi osowa kwambiri ndipo amapezeka mwa anthu omwe ali ndi matenda ashuga a 2. Imadziwoneka yokha ngati mawonekedwe a khungu la kumbuyo kwa khosi ndi kumbuyo kumtunda.

Ndi mtundu 1 wa matenda a shuga, malo opatsirana - vitiligo - nthawi zambiri amawonekera pakhungu.

Matendawa amatchulidwa kwambiri mwa anthu omwe ali ndi matenda ashuga 1.

Chifukwa cha kuwonongeka kwa maselo opanga utoto, madera ena khungu limakhala lopanda mawonekedwe ndikuwoneka ngati malo owala. Nthawi zambiri, masamba opezeka ndi Hypopigmentation amakhala pamimba ndi chifuwa.

Nthawi zina zimakhala pamaso kuzungulira maso, mphuno ndi milomo.

Acanthkeratoderma

Kuwonongeka pakhungu kumakhala patsogolo pa mtundu wa 2 matenda a shuga komanso mitundu ina ya endocrine. Acanthokeratoderma ndi chizindikiro chapadera cha matenda ashuga komanso khungu limawonetsa kukana insulin. Nthawi zambiri kusintha kumeneku pakhungu kumaonekera mwa anthu onenepa kwambiri.

M'madera ena khungu, nthawi zambiri m'malo a khungu lanu, wodwalayo amatulutsa zisindikizo. Khungu limawoneka ngati lamata kapena lonyansa, limasunthika ndipo mawonekedwe ake amafanana ndi nsalu monga velveteen. Nthawi zambiri, madera akuda amakhala pambali kapena kumbuyo kwa khosi kapena m'mphepete, koma nthawi zina amakhala alipo pamapewa ndi mawondo.

Malangizo a Kusamalira Matenda a shuga

Upangiri waluso wothandizawu uthandizira kuchepetsa mwayi wamavuto apakhungu ndi matenda ashuga:

1. Sambani khungu ndi sopo wofatsa ndi owuma bwino ndi thaulo (makamaka kumapanga kwachilengedwe).
2. Gwiritsani ntchito mafuta opaka ndi mafuta.
3. Imwani madzi okwanira tsiku lonse.
4. Sankhani nsalu zokulirapo komanso kuchokera ku nsalu zachilengedwe.
5. Valani nsapato zapamwamba zomwe zimapangidwa kuchokera ku zida zokhala ndi mpweya wabwino.
6. Ngati zizindikiro zilizonse za kuwonongeka kwa khungu (mawanga, kusenda, zipsera, zotupa zosachiritsika zazitali), tenganani ndi dokotala.

Dokotala uti kuti mulumikizane

Ngati zotupa, zisindikizo, kusenda, redness, kuphwanya kwa khungu kutulutsa khungu, kuyabwa ndi zinthu zina zosasangalatsa kumachitika, kukaonana ndi dermatologist. Pambuyo popanga matenda, dokotala amalimbikitsa chithandizo cha matenda ndikuwonana ndi endocrinologist.

Dermopathy ya matenda ashuga komanso zotupa zina pakhungu limayamba chifukwa cha kuchuluka kwa shuga ndi zinthu zina za poizoni zomwe zimapangitsa kuti khungu lizipezeka pakhungu komanso kukula kwa polyneuropathy ndi microangiopathy.

Mavuto apakhungu awa makamaka chifukwa cha mtundu wa kukonza shuga.

Nthawi zina, mawonetseredwe a khungu awa safuna kuti alandire chithandizo ndipo angopereka okha, ndikuchotsa ena, chithandizo chapadera chofunikira.

Kuyeza :( - 2, 5,00 pa 5)
Tikutsegula ...

Zilonda zamkhungu matenda ashuga: momwe muyenera kuchitira?

Kuchepa kwa shuga kagayidwe kachakudya kwa odwala omwe ali ndi shuga kumayambitsa kuwoneka kwa kusintha kwa matenda onse, kupatula, ziwalo za thupi.

Zomwe zimayambitsa matenda a khungu ku matenda ashuga ndizochulukirapo cha shuga ndi kuchuluka kwa zinthu zopangidwa ndi poizoni zophatikizika.

Izi zimabweretsa kusintha kwamapangidwe osati kokha mu dermis ndi epidermis, komanso mu sebaceous, thukuta la thukuta ndi mawonekedwe a tsitsi.

Komanso, odwala matenda ashuga ali ndi matenda a shuga a polyneuropathy ndi microangiopathy, omwe amathandizanso khungu. Zinthu zonsezi, komanso kuchepa kwa chitetezo chokwanira komanso chakumalo, kumayambitsa mabala, zilonda zam'mimba, komanso njira za purulent-septic.

Kusintha khungu

Khungu la odwala matenda ashuga chifukwa cha matendawa limakhala louma kwambiri mpaka kukhudza, turgor yake imachepa.

Tsitsi limayamba kuzimiririka ndipo limagwa nthawi zambiri kuposa masiku onse, chifukwa mawonekedwe amatsitsi amamva kwambiri zovuta za metabolic. Koma kuphatikiza dazi kumawonetsa matenda osokoneza bongo omwe amayendetsedwa bwino kapena kukula kwa zovuta.

Mwachitsanzo, kuchepa kwa tsitsi kumiyendo yakumapeto kwa abambo kumatha kuwonetsa kuchepa kwa miyendo.

Zitsulo ndi kanjedza zimakutidwa ndi ming'alu ndi calluses. Nthawi zambiri khungu limakhala losasinthika chikasu. Misomali imakhuthala, yopunduka, komanso yamphamvu kwambiri.

Gulu la zotupa khungu

Mankhwala amakono, ma dermatoses pafupifupi 30 amafotokozedwa, omwe amapezeka motsutsana ndi matendawo chifukwa cha matendawa.

Matenda onse a pakhungu la odwala matenda ashuga amatha kugawidwa m'magulu akulu atatu:

• Poyamba - zotupa za pakhungu zomwe zimayamba chifukwa cha zovuta za matenda ashuga. Ndiye kuti, matenda a shuga a neuro- ndi angiopathy ndi matenda a metabolic. Njira zoyambira zimaphatikizira matenda ashuga xanthomatosis, dermatopathy, matenda a lepid necrobiosis, matuza a shuga, etc.,
• Matenda achiwiri ndi matenda apakhungu omwe amayamba chifukwa cha bakiteriya komanso matenda oyamba ndi fungus, omwe amabwerera pafupipafupi chifukwa cha matenda a shuga,
• Zakudya zochizira zomwe zimagwiritsidwa ntchito pochiza matenda a shuga. Izi zikuphatikiza jekeseni wa lipodystrophy, toxidermia, urticaria, eczematous reaction.

Zilonda pakhungu la matenda ashuga, monga lamulo, zimatenga nthawi yayitali, amadziwika ndi kukokoloka pafupipafupi. Amangobwereketsa ndalama kuti athandizidwe.

Kenako, tikambirana za dermatoses ofala kwambiri a shuga. Kuzindikira ndi kuchiza kwa gululi chifukwa cha matenda osokoneza bongo amachitika ndi madotolo apadera - endocrinologist ndi dermatologist.

Matenda a shuga

Chotupa chofala kwambiri pakhungu ndi shuga. Angiopathy imayamba, ndiye kuti, kusintha kwamphamvu m'mitsempha yamagazi komwe kumadyetsa khungu ndi magazi.

Dermopathy imawonekera ndikuwoneka ngati ma papules ofiira ofika (5-12 mm m'mimba mwake) kumtunda kwa miyendo. Popita nthawi, amaphatikizira malo ozungulira kapena owongoka, kenako kutsekeka kwa khungu. Chotupa chamtunduwu chimadziwika nthawi zambiri mwa amuna omwe ali ndi matenda ashuga.

Zizindikiro, monga lamulo, kulibe, palibe ululu, koma nthawi zina m'malo a zilonda, odwala amamva kuyabwa kapena kuwotcha. Palibe njira zochizira matenda amkaka; zimatha mchaka chimodzi kapena ziwiri zokha.

Lipoid necrobiosis mankhwala

Palibe chithandizo chokwanira cha lipoid necrobiosis. Mankhwala olimbikitsidwa omwe amateteza kagayidwe ka lipid ndikusintha microcirculation. Mavitamini ndi mawonekedwe a multivitamin amalembanso. Ikani bwino jekeseni wa heparin, insulin, corticosteroids.

• ntchito ndi yankho la dimexide (25-30%),
• Troxevasin, mafuta a heparin,
• mabandeji ndi mafuta a corticosteroid.

Physiotherapy. Phono - kapena electrophoresis yokhala ndi hydrocortisone, aevit, trental. Mankhwala a laser, omwe samachitika kawirikawiri amachiritsidwa.

Matenda a khungu la fungus mu odwala matenda ashuga

Nthawi zambiri, candidiasis amakula, wothandizira wa Candida albicans. Recudi candidiasis ndi chimodzi mwazizindikiro zoyambirira za matenda ashuga.

Zimachitika makamaka mwa okalamba komanso odwala. Amasanjidwa makamaka kumadera komwe kumakhala magawo akuluakulu khungu, komanso pakhungu la mucous, m'mizere yolowanirana.Ndi chidziwitso chilichonse cha candidiasis, chizindikiro chake choyamba ndi chamwano komanso kuyabwa kwambiri, ndiye kuti pali zifukwa zina zomwe matendawa aliri.

Poyamba, mzere wozungulira wa macerated epidermis umawonekera kuzama kwa khola, ndipo kukokoloka kwa mawonekedwe ndi ming'alu. Kukokoloka kumakhala ndi chonyezimira komanso chonyowa, chilema chokha chimakhala chofiyira ndipo chimakhala ndi mkombero woyera.

Cholinga chachikulu cha candidiasis chimazunguliridwa ndi ma pustule ocheperako komanso ma vesicles, omwe amawunika kwake. Zinthuzi zotumphukira zotseguka ndikuyamba kukokoloka, motero, malo okhuthala akukulira.

Kuzindikira kumatsimikiziridwa mosavuta ndi chikhalidwe ndi kuyesa kwakukulu.

Chithandizo cha matenda a shuga a candidiasis

Therapy iyenera kukhala yokwanira komanso yophatikizira:

• mafuta odzola antimycotic kapena mafuta ena omwe amafunikira kuyamwa asanatayike, kenaka masiku ena 7,
• Mitundu ya utoto wa aniline, imatha kukhala yoledzera kapena yamadzimadzi (yokhala ndi malo owonongeka). Izi zikuphatikiza - 1% yankho la wobiriwira wanzeru, 2-3% yankho la methylene yamtambo. Komanso, mankhwalawa, mafuta a Castellani ndi 10% ya boric acid mafuta amagwiritsidwa ntchito,
• zokhudza antifungal wothandizirana fluconazole, ketoconazole, itraconazole. Lingaliro lodziwika popereka mankhwalawa ndikuti ndi othandiza, ndi okwera mtengo, ndipo chifukwa cha iwo mutha kuthana ndi zizindikiro za candidiasis.

Matenda amtundu wakhungu matenda ashuga

Anthu odwala matenda ashuga ali ndi mwayi wambiri kuposa anthu ena onse omwe ali ndi zithupsa, carbuncle, pyoderma, phlegmon, erysipelas, paronychia ndi panaritium. Monga lamulo, amayamba chifukwa cha streptococci ndi staphylococci. Kupezeka kwa matenda opatsirana a pakhungu lotupa ndi otupa kumayambitsa kukhathamira kwa shuga ndipo kumafuna kuikidwa kapena kuwonjezeka kwa mlingo wa insulin.

Chithandizo cha matendawa chikuyenera kukhazikika pazotsatira za kafukufuku wamtundu wa pathogen komanso chidwi chake cha maantibayotiki. Wodwala amatchulidwa mitundu ya piritsi yodziwika bwino. Ngati ndi kotheka, opaleshoni imachitidwa, mwachitsanzo, kutsegula chithupsa, kukhetsa kwa chimbudzi, ndi zina zambiri.

Matenda a shuga monga matenda ashuga, rubeosis, acantokeratoderma, matenda ashuga scleroderma, matenda ashuga xanthoma, omwenso amagwiritsidwa ntchito pa granuloma osowa kwambiri.

Zilonda za pakhungu la odwala matenda ashuga ndizofala masiku ano. Chithandizo cha zinthu izi chimaphatikizapo zovuta zina. Iyenera kuyamba ndi kuyendetsa bwino magazi pandende yamagazi ndikusankhidwa kwa mankhwala okwanira a shuga. Popanda kukonzanso kagayidwe kazakudya m'gululi, njira zonse zamankhwala sizothandiza.

Type 2 matenda ashuga ndi khungu: mafotokozedwe ndi njira zamankhwala

Matenda a pakhungu amatha kuchitika pamene kuchuluka kwa shuga m'magazi kuli kwambiri, ndipo ndi chizindikiro choyamba cha matenda a shuga.

Munthu mmodzi mwa anthu atatu aliwonse omwe ali ndi matenda ashuga ali ndi matenda amtundu wa shuga.

Njira zamankhwala zilipo, koma kufalikira shuga m'magazi ndi njira yothandiza kwambiri yopewera komanso kuchizira.

Kodi matenda amtundu wa 2 amakhudza bwanji thanzi la khungu?

Miyezi ya shuga m'magazi ikakwera kwambiri kwanthawi yayitali, pamakhala zosintha zina zingapo mthupi zomwe zimakhudza thanzi la khungu:

Mwazi wamwazi umatuluka kudzera mkodzo. Mwazi wambiri umawonjezera kukangana, komwe kumayambitsa kuperewera kwamadzi ndi khungu louma.

Zimayambitsa chotupa, chomwe nthawi yambiri chimachepetsa kapena, mozungulira, chimapangitsa chitetezo cha mthupi.

Zimayambitsa kuwonongeka kwa mitsempha ndi mitsempha yamagazi, kuchepetsa magazi. Madzi osayenda bwino amasintha kapangidwe ka khungu, makamaka collagen. Popanda ma collagen athanzi, khungu limakhala louma, ndipo nthawi zina limakhala lachifundo kwambiri.Collagen ndiwofunikanso kuti machiritso oyenera a bala.

Matenda a 2 a khungu la shuga

Mitundu ingapo ya khungu imalumikizidwa ndi kuchuluka kapena kusasamala kwamisempha yamagazi.

Ngakhale zovuta zambiri zomwe zimakhudzana ndi matenda a shuga zilibe vuto, zizindikiro za zina zake zimatha kukhala zopweteka, zolimbikira, ndipo zimafunikira kuchipatala.

Njira yabwino kwambiri komanso yosavuta yothandizira matenda ambiri okhudzana ndi matenda a shuga ndikupangitsa shuga anu kukhala achilendo. Woopsa, mankhwala amkamwa ndi mafuta opaka amagwiritsidwa ntchito.

Nthawi zambiri khungu limagwirizanitsidwa ndi matenda a shuga a 2 amaphatikizira izi:

Mkhalidwe umakhala wodziwika ndi khungu ndi kumangitsa khungu, makamaka makulidwe a inguinal, kumbuyo kwa khosi kapena kugwirana. Zilonda zitha kukhala chizindikiro cha prediabetes.

Acanthokeratoderma amapezeka mu 74% ya anthu onse odwala matenda ashuga. Kuchepetsa thupi ndiye njira yabwino kwambiri yochepetsera chiopsezo chotenga matenda.

Anthu omwe ali ndi psoriasis amakhala ndi mawanga ofiira pakhungu lawo. Pali zosintha kapangidwe ka misomali. Nthawi zina psoriasis imakhala ndi nyamakazi ya psoriatic, yomwe imatsatana ndi kupweteka kwambiri m'malo.

1. Kukhala ndi moyo wathanzi,
2. Ma zonona ndi mafuta a cortisone,
3. Kuyendetsa magazi shuga,
4. Kunenepa
5. Mankhwala amkamwa kapena jakisoni.

Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri amatha kupezekanso ndi psoriasis.

Vutoli limadziwika ndi kukula kwa khungu nthawi zambiri kumbuyo ndi kumbuyo kwa khosi. Scleroderma ndimatenda osowa omwe nthawi zambiri amakhudza anthu onenepa kwambiri.

1. Mankhwala amkamwa monga cyclosporine,
2. Phototherapy.

Kuphatikizika kwa syndrome ndi amyloidosis

Matendawa amawonetsedwa ndi kupanga khungu lolimba, lakumanja pamanja ndi zala. Izi zimatha kuyambitsa mafupa olimba ndi kuwonongeka kwa tendon.

Kuti tipewe kukula kwa vutoli mwa anthu omwe ali ndi matenda ashuga, ndikofunikira kuti magazi azikhala bwino.

Matendawa amakhala pafupifupi chizindikiro cha matenda ashuga. Makupuni amapanga mosakhazikika pa mikono ndi miyendo yonse. Mitunduyi imakhala ndi kukula kwa masentimita 0.5 mpaka 17, yopanda ululu ndipo imachitika padera kapena mawonekedwe a masango.

Chithandizo chokhacho chokhacho ndicholondola shuga.

Pamaso popanga ng'ombe zamphongo, ndikofunikira kupewa kupewa chilonda kuti mupewe matenda. Makuni nthawi zambiri amachira osavulaza, koma mavuto atayamba, opaleshoni ingafunike - kudulidwa.

Vutoli limadziwika ndi mawanga ofiira kapena owala bulauni. Tizilombo timakonda kutuluka m'miyendo kapena mbali zina za thupi, kukhala ndi miyendo ndi mamba.

39% ya odwala matenda a shuga a 2 amakhala ndi matenda a shuga.

Choyambitsa matendawa ndi kuwonongeka kapena kusintha kwa mitsempha ndi mitsempha yamagazi.

Madontho omwe amayamba chifukwa cha matenda a shuga a shuga amakhala otetezeka, chithandizo sichofunikira.

Vuto linanso la matenda ashuga ndi zilonda zam'mimba. Zilonda za matenda ashuga zimatha kupezeka paliponse mthupi, koma nthawi zambiri zimawoneka pamiyendo.

Mu 15% ya milandu, matendawa amakula ndi phazi la matenda ashuga.

Mtundu wa mawonekedwe a chikopa. Nthawi zambiri zimawonekera pamapazi ammaso ndipo pafupi nawo, vutoli limatha kuphatikizidwa ndi kuchuluka kwa mafuta m'thupi kapena shuga wamagazi.

Chithandizo cha xanthelasma chimaphatikizapo:

1. chakudya
2. lipid kutsitsa mankhwala.

Matendawa amaphatikizidwa ndi mapangidwe amtundu kuchokera ku bulauni la bulauni kupita ku chikasu cha lalanje, nthawi zina kuyabwa.

Zowonongeka zimapezeka paliponse pa thupi, koma nthawi zambiri zimawoneka m'chiuno, matako, miyendo ndi mawondo.

Zofewa mawonekedwe a pakhungu. Amakhala ndi khungu. Ma Fibromas ndiofala kwambiri pakati pa anthu wamba. Kuchulukirapo kwa mitundu yotere kumawonetsa kuchuluka kwa shuga m'magazi.

Ma Fibroids amakonda kupanga madera monga axillary hole, khosi, pansi pa chifuwa komanso m'mphepete mwa groin.

Matendawa amayamba ndikupanga timakhanda ting'onoting'ono, zolimba zomwe zimapitilira mpaka kuzikuto zazikulu, zachikasu kapena zofiirira.

Malembawa nthawi zambiri amakhala osapweteka, ndipo khungu lomwe limazungulira limakhala lotumbululuka komanso lowala. Pambuyo pochiritsa mapalewo, zipsera zimatha.

Nthawi yogwira komanso yosasinthika kukula kwa mapepala, mwanjira zina zimadalira shuga. Ngati munthu akuwona kupita patsogolo kwa lipoid necrobiosis, ichi ndi chizindikiro kuti chithandizo cha matenda ashuga sichikugwira ntchito.

Matendawa amakhala ndi timinofu totulutsa thupi. Ili ndi mtundu wofiirira. Nthawi zambiri ma granulomas amapezeka m'manja, zala ndi m'manja. Mapangidwe amatha kukhala osakwatiwa kapena angapo.

Sizikudziwikabe kwa madokotala ngati matenda a shuga ndi omwe amayambitsa granuloma kapena ayi. Zilondazo ndizopanda vuto, ngakhale pali mankhwala ochizira matenda a granulomas okhalitsa.

Matenda a pakhungu omwe amakhudzidwa ndi matenda amtundu wa 2

Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri amatha kupatsirana matenda oyamba ndi mabakiteriya, komanso amakumana ndi pafupipafupi.

Matenda oyambitsidwa ndi mabakiteriya amawoneka ngati zilonda, zodzadza ndi mafinya, zowawa, zilonda zofiira. Nthawi zambiri, matenda amayamba chifukwa cha mabakiteriya a Staphyloccous. Kumwa maantibayotiki ndikuwunika moyenera shuga a magazi nthawi zambiri kumakhala kokwanira kuteteza kachilombo koyambitsa matenda.

Pakupita masiku angapo, chilonda cha mabakiteriya chimayamba kusanza kenako nkuyamba kuchira. Zilonda zomwe sizitha kudzipatula palokha kapena zofunika kwambiri kuti atsegule mothandizidwa ndi dokotala.

Matenda ofala omwe amapezeka mwa anthu omwe ali ndi matenda a shuga 2:

1. Furunculosis - kutupa kuyambira 2 mpaka 3 cm,
2. Barele m'maso
3. Matenda a msomali
4. Matenda opatsirana tsitsi
5. Carbuncle.

Matenda oyamba ndi mafangasi nthawi zambiri amayambitsa zotupa zofiira m'mphepete mwa khungu, ndipo nthawi zina matuza ang'onoang'ono.

Mafangayi amafunikira chinyezi kuti chitha kubereka, choncho matendawa nthawi zambiri amapezeka m'matumba ofunda, ofunda a pakhungu: pakati pa zala ndi zala zakumaso, m'miyendo, m'miyendo.

Ngati matenda abwera, chithandizo chikufunika kupewa zovuta.

Matenda ena odziwika omwe amayambitsidwa ndi matenda a shuga a 2 amayamba chifukwa cha yisiti.

Phapu ya epidermophytosis ndi mtundu wamba wa matenda oyamba ndi fungus, nthawi zambiri amawoneka ngati malo owoneka bwino pakati pa zala, ma vesicles angapo, kapena mapangidwe a ufa pamiyendo.

Epidermophytosis ya miyendo imafalikira kuchokera kwa munthu kupita kwa munthu kudzera pa nsapato wamba kapena m'malo onyowa monga mvula yamvumbi.

Ringworm ndi dzina lina la matenda oyamba ndi fungus. Chingwe sichimayambitsidwa ndi mphutsi, koma limadziwika ndi dzina kuchokera ku ling'i.

Momwe mungapewere zovuta

Njira zabwino zochepetsera chiopsezo cha matenda a khungu ndikusungitsa kuchuluka kwa shuga m'magazi anu.

Zakudya zaukhondo, ukhondo, kuchita masewera olimbitsa thupi, kuchepa thupi komanso kumwa mankhwala zingathandize kuchepetsa shuga yanu yamagazi.

Malangizo Azokhudza Chikopa:

Pewani kusamba nthawi yayitali kapena kusamba, komanso kupita ku sauna.

Pewani zodzikongoletsera zomwe zimawuma kapena zingayambitse mkwiyo pakhungu. Izi ndi sopo wonunkhira, mafuta ndi ma foams osamba.

Gwiritsani ntchito shampoos, ma processor ndi gels osambira omwe ali ndi zosakaniza zofatsa.

Sungani khungu lanu loyera komanso louma.

Lowetsani khungu lanu, pewani khungu lowuma.

Sungani zala ndi zala zakumwa kuti zisaonongeke.

Chepetsani kugwiritsa ntchito mankhwala oyeretsa.

Pewani kukwaza kapena kupukutira matenda, totupa, ndi zilonda.

Chitani matenda a pakhungu nthawi yomweyo ndikuwunika njira zomwe zikuchiritsa.

Odwala omwe ali ndi matenda ashuga ayenera kuwunika miyendo yawo tsiku ndi tsiku kuti asinthe khungu, zilonda ndi mawonekedwe ena. Nsapato zotonthoza zimathandizira kusintha magazi ndikuthanso kapena kuchepetsa zotsatira za zinthu zina zoyipa.

Thumba totupa ndi matenda ashuga: mitundu yawo, zithunzi, chithandizo

Khungu ndi limodzi mwa oyamba kuyankha kuwonjezereka kwa glucose kosalekeza m'magazi ozungulira kapena hyperglycemia. Kuchepa kwa kagayidwe kazakudya kumapangitsa kuti maonekedwe azitulutsa komanso kuti azikhala ndi zinthu zambiri zotupa.

Zosintha m'matumbo ang'onoang'ono a pakhungu, polyangiopathy, ndi kusokonezeka kwa kayendetsedwe ka mitsempha ya mtima zimaphatikizidwa mu shuga mellitus omwe ali ndi mavuto a chitetezo chamthupi, onse komanso am'deralo.

Zinthu zonsezi zimayambitsa kuwoneka kwamatenda osiyanasiyana a pakhungu, kuyabwa, kukanda komanso matenda.

Kusintha khungu

Chithunzichi chikuwonetsa mkhalidwe wa epidermis mu shuga. Khungu labwinobwino limakhala ndi turgor yapamwamba - zotanuka. Izi zimatsimikiziridwa ndi madzi abwinobwino omwe amapezeka m'maselo.

Mu anthu odwala matenda ashuga, chifukwa chakuti madzi samakhala m'thupi ndipo amachotseka ndi thukuta komanso mkodzo mwachangu, minofu ya pakhungu imataya kusakhazikika kwake, imakhala youma komanso yoyipa, ndipo izi zimamveka ikakhudzidwa.

Matendawa akamakula, zosinthazo zimatengera munthu wotchulidwa. Kulimbitsa khungu kosalekeza, kulimbikira, kupindika pang'onopang'ono kumawonekera. The epermermis ndi kuwonda, exfoliating ndi mbale lonse, izi zikuwonetsedwa bwino mu chithunzi. Imadziwika kwambiri pakhungu, pomwe kubowola, kuyabwa kumayendera limodzi ndi kuwonjezeka kwa tsitsi, kuwuma kwawo, kuuma.

Pa khungu lonse, mawanga amisili osiyanasiyana, mitundu, totupa imatha kuwoneka, yomwe imatha kutsagana ndi kuyabwa kwambiri. Madera omwe khungu limakangana ndi lomwe limakhazikika ndikukhathamira, khungu limakhala loyipa, limatha kukhala ndi mtundu wachikasu wopitilira. Chilonda chaching'ono chilichonse chimakhala chovuta, sichichiritsa kwa nthawi yayitali.

Kuphatikizika kwa matenda ashuga kumachepera khungu ndi munthawi yomweyo hyperkeratosis (makulidwe) ambale yamatumbo. Misomali imakhala yayikulu kangapo, imatembenuka chikasu, kusintha mawonekedwe ake - opunduka. Zikuwoneka chimodzimodzi ndi chithunzichi.

Chifukwa chake, titha kunena kuti ndi matenda ashuga, khungu limasinthidwa:

• imakhala yowuma
• zimatuluka
• kupindika misomali kumakula - kukula kwa mbale zamkati,
• zigamba za calluses zimawoneka pansi, m'manja,
• chikaso cha khungu limawonedwa.

Komabe, mavuto onsewa amakhala okhazikika pakapita nthawi. Pali mawonekedwe owoneka bwino kwambiri pakhungu omwe amatha kukayikira kapena kuwona momwe mankhwalawa amathandizira odwala matenda ashuga.

Werengani komanso Zizindikiro za metabolic syndrome mwa mwana

Matenda a Khungu la Matenda a shuga

Chizindikiro chimodzi cha matenda ashuga ndicho kuyabwa pakhungu. Imakhala ndi kulimbikira, imapatsa wodwala zovuta, zosokoneza m'moyo watsiku ndi tsiku.

Wodwalayo amawumitsa malo oyaka: kutsogolo kwa mwendo wotsika, dera la inguinal, potero limapangitsa kuwonongeka kambiri kwa khungu (onani chithunzi).

Ma microcracks oterowo, zikanda ndizovuta kuchiza, nthawi zambiri amatenga kachilombo, ndipo amatenga nthawi yayitali.

Matenda onse apakhungu omwe amawoneka ndi matenda a shuga amatha kugawidwa m'magulu akulu akulu.

1. Amalumikizidwa ndi kusintha kwamitsempha yamagazi, matenda a metabolic metabolic. Awa ndi omwe amatchedwa matenda oyamba pakhungu m'matenda a shuga.
2. Matenda a pakhungu: fungus ndi bakiteriya, zomwe zimachitika monga zovuta zachiwiri za kuwonongeka kwa khungu.
3. Matenda ena onse omwe amakhumudwitsidwa ndi mankhwala ochiritsira komanso njira zina pochizira matendawa.

Matendawa

Izi zimaphatikizapo matenda a shuga. Ndi matenda a shuga, zimachitika nthawi zambiri. Mizere imawoneka kutsogolo kwa miyendo.

Kupaka utoto wofiirira kwambiri, wosiyana kwambiri ndi khungu lonse.

Masamba ali ndi malire otanthauzira bwino, mtundu wake pakapita nthawi komanso kutalika kwa matendawa kumayamba kufooka, komanso kapangidwe ka malo kosintha kwambiri pakhungu.

Izi ndichifukwa chakusintha kwamitsempha yamagazi m'derali (yomwe ikuwoneka pachithunzi). Palibe chithandizo chapadera chomwe chimagwiritsidwa ntchito pankhaniyi. Vutoli limakonzedwa ndikuwonetsetsa kuti shuga ali paliponse paliponse.

Mavuto apakati

Kuphatikiza, kupweteka kwakanthawi pakhungu ndi kuchepa kwakanthawi kofanana ndi chitetezo chamthupi komanso kwanthawi yomweyo, posakhalitsa kumabweretsa mfundo yoti kuvulala pang'ono ndi mabala pakhungu kumayambukiridwa ndi tizilombo tating'onoting'ono tambiri. Nthawi zambiri, awa ndi causative othandizira a fungal matenda. Chowonadi ndi chakuti ndi mafangasi omwe amayambitsa mikwingwirima ikamachitika pH yapakhungu la anthu odwala matenda ashuga. Mawonekedwe abwino amawapangira:

• kuphwanya pH kwa khungu,
• Kuchulukana kwa ma epithelial mbale - peel, hyperkeratosis,
• Kutukwana tambiri kumabweretsa ku maceration - kukhumudwa ndi kupukusira kwa khungu.

Matenda oyamba ndi matenda osokoneza bongo amalimbitsa kuyabwa pakhungu, ndikovuta kuchiza, kusiya magwiridwe amtundu wolimbikira pambuyo pawo, totupa imakula ndikuphatikizana, chithunzicho chikuwonetsa candidiasis pakhungu.

Chithandizo chimaphatikizapo chithandizo chakanthawi ndi mafuta a antifungal, utoto wa aniline (wobiriwira wanzeru, Castellani). Nthawi zina, dokotalayo amatipatsa mankhwala a antimycotic omwe amayamwa pakamwa.

Matenda otupa a pakhungu la odwala matenda ashuga ndiwofala kwambiri kuposa kwa anthu omwe alibe matenda. Kuyabwa kumayambitsa matenda komanso zovuta zina. Izi zikuphatikizapo erysipelas, phlegmon, zithupsa, carbuncle, paronychia ndi panaritium.

Pomaliza

Kuchita bwino kwa matenda amtundu wa pakhungu kwa odwala omwe ali ndi matenda a shuga mellitus mwachindunji kumadalira kupambana kwa chithandizo cha matenda oyambitsidwa, kulanga kwa odwala, kutsatira malangizo a kuwongolera shuga wamagazi ndikuwunika momwe mulili. Popanda izi, chithandizo chokwanira cha zotupa pakhungu ndi matenda odwala matenda ashuga ndizovuta kwambiri.