Chotupa cha shuga mu chithunzi cha achikulire

Kusintha kulikonse pakhungu la munthu kumawonetsa mavuto amkati mthupi. Madokotala azowoneka ndi khungu chifukwa cha ma genermis nthawi zambiri amayambitsa matenda ndikutumiza wodwala kwa katswiri wina.

Matenda a shuga amakhalanso ndi mtundu wowonetsera kwakunja, womwe uyenera kukhala chizindikiro cholumikizana ndi othandizira kapena dotolo wa khungu. Zomwe zimayambitsa matenda a shuga m'thupi la munthu nthawi yayitali asanazindikire za matendawa kapena zomwe zikuthandizira kudwala, aliyense wophunzira ayenera kudziwa.

Gulu la mavuto amkhungu ozindikira matenda ashuga

Kutengera kuti shuga wambiri amakhala m'mitsempha yamagazi, mitsempha ndi ma capillaries atha kusintha pa malo oyamba. Njira ya kagayidwe kazakudya imasokonekera, zomwe zimayambitsa zolephera pakaperekedwe ka chakudya kuma cell cell. Khungu limataya kuchepa kwake, limakhala louma, kusenda.

Kusintha kotereku sikungachitike panthawi zosiyanasiyana za chitukuko cha matenda ashuga, chifukwa kulibe mtundu umodzi wamatendawa. Nthawi zina munthu sadziwa ngakhale vuto lakumakomoka, ndipo zotupa pakhungu zimapereka chizindikiro.

Ma pathologies onse okhala ndi khungu omwe amawonetsa kuti shuga akhoza kugawidwa m'magulu angapo:

1. Ma harbinger a matendawa ndi kuyabwa kwa khungu m'malo osiyanasiyana a thupi, kulimbitsa khungu pakapazi, kuwoneka ming'alu, chikasu, kusintha kwa msomali wazala. Anthu ambiri amati mavutowa akuwonekera ndipo samathanso kuyamba kulandira chithandizo kapena akudzipangira okha. Dermatologist amatha kukayikira mtundu wachiwiri wa matenda ashuga, makamaka ngati wodwala ali ndi zizindikiro za kunenepa kwambiri. Matenda a fungus nthawi zambiri amakhala chizindikiro chachiwiri cha matenda ashuga, amayamba chifukwa chosinthika khungu.
2. Mavuto omwe amayamba chifukwa cha matenda a shuga 1 ndi mtundu wa 2 akamachira sichigwiritsidwa ntchito moyenera. Amatchedwa pulayimale, chifukwa adayamba chifukwa cha kusintha kwa matenda ashuga m'mitsempha yamagazi ndi kusokonekera kwa metabolic m'thupi.
3. Thupi lawo siligwirizana - zotupa kapena redness zimachitika chifukwa cha mankhwala omwe akupitilira. Mankhwala ambiri ochepetsa glucose ali ndi zotsatirapo zake. Mlingo wolakwika wa insulin amathanso kuyambitsa ziwengo.

Khungu lowuma

Choyamba, shuga wambiri m'magazi am'magazi amathandizira impso ndi madzi. Mu odwala matenda ashuga, kukodza pafupipafupi kumawonedwa, thupi limayesa kuchotsa glucose owonjezera ngati sanatengeredwe ndi maselo.

Kutulutsa mkodzo kwambiri kumachepetsa milingo yamadzi. Kuthetsa madzi kumakwiyitsa khungu, khungu la sebaceous ndi thukuta limasokonekera. Kuuma kumayambitsa kuyabwa, komwe kungayambitse kuvutika kwa khungu. Khungu kuchokera pakhungu limalowa mosavuta mkati, momwe ma virus amayambira machitidwe a moyo wawo.

Makamaka chisamaliro chikuyenera kuperekedwa kuukhondo wa chapamwamba komanso cham'munsi, kuti matenda asalowe pansi pakhungu.

Khungu lowuma la shuga limatha kuchepetsedwa ndikuwonjezera chinyezi. Muyenera kumamwa madzi oyera nthawi zonse ndikuwongolera kuchuluka kwa shuga ndi zakudya kapena mankhwala.

Kutentha kwamapazi

Akatswiri azakhungu amatcha vutoli "hyperkeratosis." Chimanga chambiri chimapezeka kumapazi, komwe pakapita nthawi chimatha kukhala zilonda zotseguka ndikuthandizanso kumatenda a miyendo.

Kukula kwa chimanga kumathandizidwa ndi kuvala nsapato zosasangalatsa, zolimba. Chimanga chimakanikizira ku khungu ndipo chimayambitsa zotupa m'mimba. Mtsogolomo, zilonda zimayamba, khungu limayamba kunyowa kapena kumatulutsa chidindo cholimba.

Ming'alu mawonekedwe pazidendene zomwe ndizovuta kuzimata. Ndipo kusweka kulikonse ndi malo omwe mabakiteriya amatupa, kutupa, kuwonjezera.

Vuto la ma calluses ndilovuta kuyenda, chifukwa kulowa mu phazi kumatha kupweteka ngakhale m'masokisi ofewa.

Zilonda zam'mimba za anthu odwala matenda ashuga ndizotsatira zosasamala phazi. Kwa odwala matenda ashuga, amatha kuwopseza kukula kwa sepsis, gangrene ndi kuduladula miyendo.

Matendawa

Kutanthauza mawonekedwe oyamba a khungu. Kutsogolo kwa miyendo ya wodwalayo kumaonekera mapepala ofanana ofiira, ofika pamtunda kuchokera 5 mpaka 12 mamilimita.

Mutha kupita ku gawo la mawanga aatrophic. Amawonedwa makamaka mwa amuna omwe ali ndi matenda ashuga omwe akudziwa. Kuwoneka kwa mawanga chifukwa cha kuwonongeka kwa mitsempha yamagazi mumtundu wa matenda ashuga.

Matenda a kuyamwa

Kuyabwa kumatha kuoneka mosayembekezereka ndikupangitsa kuti pakhale redness. Kukwiya kwambiri kumachitika mu inguinal zone, m'makhola am'mimba, pakati pa matako, m'mapewa, mwa azimayi omwe ali m'mizere pansi pa chifuwa.

Chitha kukhala chizindikiro choyamba cha kuyambika kwa matenda ashuga, omwe munthuyo sakudziwa nkomwe. Kukula kwa matendawa sikukhudza kukula kwa kuyamwa.

Zimadziwika kuti chikhumbo chachikulu chofuna kukanda malo awa chimachitika ndi mtundu wofatsa kapena wamtundu wa matenda ashuga. Mukazindikira matenda ndi kuyamba kulandira chithandizo, kuyabwa ndi khungu pakhungu kumatha kutha zokha.

Zilonda zakale komanso zopatsirana

Mavuto oyamba a pakhungu la anthu odwala matenda ashuga amayenera kuwoneka ngati totupa yachiwiri. Amadzuka chifukwa cha kusasamala kwa wodwalayo kwa iyemwini. Kulephera kutsatira ukhondo ndi khungu la kuyamwa kapena mapangidwe osindikiza, ming'alu, kuyanika kumayambitsa kuchulukitsa kwa bowa kapena kulowa kwa ma virus m'malo omwe akhudzidwa.

Kwa anthu omwe ali ndi kunenepa kwambiri, ma candidiasis nthawi zambiri amapezeka - kachilombo koyambitsa matenda a khungu komwe kamakhala m'mbali mwa thupi. Choyamba, munthu amayamba kuyamwa kwambiri. Bakiteriya imakhala pamalo owonongeka, ming'alu ndi kukokoloka kwa nthaka zimapangidwa. Zilonda zakulitsa chinyezi, utoto wofiirira ndi mkombero woyera.

Pang'onopang'ono, zowunika mu mawonekedwe a thovu ndi ma pustule zimawonekera kuchokera ku cholinga chachikulu. Njirayi imatha kukhala yopanda malire, chifukwa akatsegulidwa, thovu limapanga kukokoloka kwatsopano. Matendawa amafunika kuwazindikira ndi kuchira msanga.

Gulu la anthu omwe amadalira insulin, kufunikira kwa thupi kwa jakisoni a mahoni kumakulanso.

Zotupa zoyipa

Anthu omwe akudwala matenda amtundu wa 2 komanso matenda amitundu iwiri amayenera kumwa mankhwala apadera m'miyoyo yawo yonse kuti athandizire shuga. Koma thupi lirilonse limayankha mosafunikira ku insulin kapena mankhwala ena. Kutupa kwa khungu kumatha kuwoneka m'malo osiyanasiyana pakhungu.

Vutoli limathetsedwa mosavuta kuposa kale. Ndikokwanira kusintha mlingo kapena kusankha mankhwala ena kuti muchepetse zotupa pakhungu ndi shuga.

Kupewera kwa zotupa za m'matumbo a shuga

Kusintha kwa khungu ku matenda a shuga ndi njira yachilengedwe yomwe thupi limagwirira ntchito kosakhazikika kwa kagayidwe kazinthu. Zowombana zimatha kukhala mwa ana komanso akulu.

Zolakwika zilizonse kapena redness ziyenera kuyesedwa ndi dermatologist kuti mankhwalawo akhale othandiza.

1. Odwala matenda ashuga ayenera kuyang'anitsitsa ukhondo wa pakhungu, makamaka kumtunda, miyendo ndi kumbuyo. Pali zinthu zapadera zosamalira khungu zomwe zimakhala ndi pH yosaloledwa.
2. Patsamba lamankhwala ogulitsa mankhwala mutha kugula zinthu zambiri zapadera, mafuta, mkaka wa zodzikongoletsera posamalira khungu lowuma la nkhope, manja ndi mapazi. Maimoni okhala ndi urea amapereka zabwino. Zaukhondo ndi kayendedwe ka hydrate ziyenera kukhala tsiku ndi tsiku.
3. Mapazi a odwala matenda ashuga ndi gawo lapadera lolalikirapo. Onetsetsani kuti mukuyendera orthopedist kuti mupeze gawo loyambirira la mapindikidwe am'munsi komanso kusankha nsapato zamtundu wa orthopedic kapena insoles. Zowonongeka zamitsempha yamagazi ndi mitsempha zimakhudza kwambiri kuperekedwa kwa chakudya kumiyendo. Ndi zaka, mavuto okhala ndi magazi m'miyendo amapezeka ngakhale mwa anthu athanzi. Anthu odwala matenda ashuga amakonda kwambiri mavuto ngati amenewa. Madokotala nthawi zonse amachenjeza odwala za chitukuko cha matenda ammimba a shuga.
4. Zilonda zopakika ndi fungal khungu zimafuna kuonedwa ndi dermatologist. Pambuyo popita kuchipatala ndikuwonetsetsa, dokotala adzalemba mafuta ndi mapiritsi, ndipo kusintha kwa insulin kudzofunikira. Maantibayotiki akhoza kutumikiridwa.
5. Kutuluka thukuta kwambiri ndikuphwanya kwa thermoregulation nthawi zambiri kumabadwa mwa anthu odwala matenda ashuga. Zotupa zosafunikira ndi mabakiteriya amatha kulowa m'makola. Kuchepetsa vutoli, talcum ufa kapena kirimu wina wapadera wokhala ndi zinc oxide amathandiza.

Dokotala wa endocrinologist kapena dermatologist angaperekenso malingaliro ena popewa zotupa ndi zotupa zina pakhungu m'matenda a shuga.

Chofunikira kuti muchepetse zovuta zilizonse motsutsana ndi shuga wamagazi ochulukirapo ndikuti mugwire ntchito kuti muchepetse chizindikiro kudzera muzakudya, mankhwala othandizira ndikudziyang'anira nokha.

Pomaliza

Maonekedwe owuma, zotupa, komanso kusintha zina pakhungu lomwe lili ndi matenda ashuga ndizachilendo ndipo kumatha kubweretsanso munthu mavuto ambiri. Osamawerengera redness kapena kuyabwa monga chinthu chosakhalitsa chomwe chidzangochitika chokha.

Ngakhale munthu wathanzi ayenera kumvetsera kuzizindikiro za thupi, zomwe zimatha kuzindikira kusintha kwakukulu kwamkati, mwachitsanzo, gawo loyambirira la matenda a shuga a 2.

Pazifukwa

Tiyenera kudziwa kuti matenda ashuga pawokha nthawi zambiri amayenderana ndi mafangasi. Ndi iwo omwe posachedwapa adzatsogolera zotupa za khungu.

Choyamba, ndikofunikira kudziwa mawonekedwe ngati candidiasis, omwe mu odwala matenda ashuga amapangidwa ngati totupa ndi totupa. Komanso, titha kulankhula za angular cheilitis, kukhuthala kwa diaper, kukokoloka kwapakati kwa blastomeset kukokoloka ndi onychomycosis (matenda a misomali ndi totupa m'derali).

Ma syndromes onse omwe amaperekedwa mu shuga amawoneka motsutsana ndi maziko a kuchuluka kwa shuga m'magazi. Pankhani imeneyi, pokonzekera kupanga ngakhale zofooka zochepa, tikulimbikitsidwa kuti mupimidwe mayeso posachedwa. Izi zipangitsa kuti azindikire komanso kudziwa gawo la matendawa, ngakhale oyambira. Zomwe muyenera kudziwa pazizindikirozo komanso ngati zingathe kusiyanasiyana ndi chithunzi.

Pankhani ya kulephera kwa kagayidwe kachakudya ndi kudzikundikira mu minyewa ya zinthu zosapangidwa kagayidwe kazinthu zosiyanasiyana ndi ziwalo, kuphatikiza ma khungu, kusintha kwa matenda kumachitika. Zotsatira zake, kugwira ntchito kwa khungu, thukuta thukuta komanso mapangidwe ake zimasokonekera.

Komanso, chitetezo chazachilengedwe chimakula kwambiri mwa odwala, chifukwa cha zomwe tizilombo toyambitsa matenda timakhudzidwa ndi dermis. Ngati matendawa ndi oopsa, ndiye kuti khungu limafooka, ndimasamba kwambiri ndikulephera kwawo.

Zizindikiro za matenda ashuga mwa akazi ali ndi malingaliro awoawo. Zowonetsera zazikulu zikuphatikiza:

1. Kununkhira kwa acetone kuchokera mkamwa,
2. kuwonda kwambiri
3. matenda a pakhungu.

Pambuyo pa zaka 40, matenda a shuga amatha kuwoneka ngati kuphwanya msambo, kuwonongeka kwa tsitsi ndi misomali, chizungulire komanso kufooka kosalekeza. Zizindikiro za matendawa azimayi pa 50 sizowoneka bwino.

Zizindikiro za shuga mwa abambo ndi ludzu, kukodza pafupipafupi, komanso mavuto a potency.

Kupanga kwa ziphuphu zakumaso kumayenderana kwambiri ndi kuchuluka kwa shuga m'magazi. Izi ndichifukwa choti thupi likuyesa kuchotsa glucose owonjezera, pomwe mukugwiritsa ntchito kwambiri zinthu zonse zomwe zimapezeka chinyezi.

Zotsatira za katundu wotere ziyenera kuonedwa ngati kuchepa kwa madzi m'thupi, komwe sikungaletse ngakhale ma apricots owuma. Pankhaniyi, tikulankhula za thupi lonse, komanso mwachindunji pakhungu.

Chifukwa chake, ziphuphu zakumaso zomwe zimayambitsa matenda a shuga ziyenera kuonedwa ngati chisonyezo cha mavuto osati endocrine gland m'thupi. Kubwezeretsanso kwa epidermis kuyenera kuchitika movomerezeka, kuphatikiza njira zingapo zowonekera, kupatula zotayidwa ndi zinthu zina zovulaza.

Kuphatikiza apo, ziyenera kuchitika kuchokera pamalo ochitapo kanthu momwe kutenga nawo mbali mofananamo kupatsidwa:

• endocrinologist
• gastroenterologist
• kwa dermatologist.

Mwambiri, milandu yosiyanasiyana pakhungu imatha kuthana ndi vuto ngati matendawo apezeka kale.

Kuphatikiza apo, pulogalamu yothandizira pakanthawi kake komanso kupewa iyenera kukhazikitsidwa, yomwe ingathandize kumvetsetsa bwino pazifukwa zonse zomwe zidapangitsa kukula kwa ziphuphu.

Mu matenda ashuga, khungu la munthu limakhala louma komanso loyipa, nthawi zina limapunduka. Mwa odwala ena, imakutidwa ndi mawanga ofiira, ziphuphu zimapezeka pamenepo. Atsikana ndi amayi amawonongeka tsitsi, pomwe amakhala osakhwima komanso opepuka. Izi zimachitika chifukwa chakuwonjezeka kwa kuzindikira kwa tsitsi la tsitsi pamavuto a metabolic.

Ngati wodwala wayambitsa alopecia, ndiye kuti chithandizo cha matenda osokoneza bongo sichitha kapena zovuta zimayamba. Gawo loyambirira la matendawa limadziwika osati ndi totupa pakhungu, komanso ndi kuyabwa, kuwotcha, kuchiritsa kwa nthawi yayitali mabala, matenda oyamba ndi bakiteriya.

Matenda a shuga amakhudza machitidwe ambiri amthupi, motero kulephera pantchito yake sikubwera. Chifukwa chake, zomwe zimayambitsa mavuto a khungu zitha kugawidwa m'magulu atatu:

• kuwonongeka kwa magazi pakhungu,
• zovuta za endocrine,
• zotupa ndi zotupa zopatsirana.

Mawu akuti "atherosulinosis" amagwiritsidwa ntchito poika ziwiya zapamtima. Koma ngakhale ma capillaries ang'onoang'ono omwe amapezeka mwachindunji pansi pa khungu amatha kudwala matendawa. Makoma awo amakhala wowonda kwambiri komanso owuma, magaziwo amachepa. Chifukwa cha izi, maselo am'mimba amakhala alibe mpweya komanso michere. Zonsezi zimabweretsa kuphwanya ntchito.

Kusokonezeka kwa mahormoni kungayambitse kuchuluka kwa zotupa za sebaceous komanso mavuto okhala ndi kagayidwe kazachilengedwe. Zochita za metabolism zosayenera zimadziunjikira zimakhala zazikhungu, zomwe zimayambitsa zosokoneza m'magawo ake onse.

Kusavomerezeka kwa munthu wodwala matenda a shuga nthawi zambiri kumafooka. Pamaso pa khungu la anthu odwala matenda ashuga pali mabakiteriya 1/5 ochulukirapo kuposa pakhungu la munthu wathanzi. Pankhaniyi, ntchito zoteteza khungu zimafooka. Chifukwa chake, mwayi wokhala ndi mitundu yosiyanasiyana ya bowa umachuluka, ndipo mabala aliwonse amachiritsidwa kwakanthawi yayitali ndipo amatha kupaka bwino.

Mitundu ya Matenda A shuga

Chimodzi mwazizindikiro zomwe zikuwonetsa kuchuluka kwa shuga m'magazi ndi khungu lanu. Chifukwa chake, wodwalayo nthawi zambiri amakhala ndi matenda a fungal ndi furunculosis. Mwa akazi, matenda am'mimba amaphatikizidwa ndi kukwiya kwa perineum.

Ngati munthu ali ndi matenda amtundu wa 2 kapena mtundu wa 2, zotupa za pakhungu zotchedwa diabetic pemphigus zimatha kuwonekera pakhungu la akulu ndi ana.

Mavuto omwewo pakhungu limayamba pamene wodwala matenda ashuga ali ndi mawonekedwe amtundu wamatenda a shuga.

Makamaka, mitundu yotsatirayi ya zotupa za khungu imawululidwa mwa odwala:

• Kukutira kumaso kumaso kwa munthu aliyense wamatenda a shuga, Zizindikiro zikuwoneka m'chithunzichi,
• Pali gawo lowonjezerapo,
• Zala zake zimakulitsidwa kapena kumangika,
• Misomali ndi khungu limasanduka chikaso
• Mukakhudzidwa ndi bowa kapena mabakiteriya, zithupsa, folliculitis, mabala ndi ming'alu, candidiasis amawoneka.

Nthawi zambiri mawonekedwe a mawonekedwe otere, adotolo amawunika matenda a shuga, chifukwa chake, ndi zoyipa zoyambirira pakhungu, muyenera kufunsa dokotala.

Matenda a shuga pakhungu mwa ana ndi akulu akhoza kukhala amitundu ingapo:

1. Maonekedwe a khungu,
2. Dermatosis yoyamba, yomwe imawoneka ngati totupa,
3. Matenda oyamba ndi mabakiteriya,
4. Dermatosis yoyambitsidwa ndi kugwiritsa ntchito mankhwalawa kwa mtundu 1 komanso matenda a shuga.

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.

Zotupa za pakhungu zimatha kusiyana maonekedwe, kapangidwe kake komanso kutengera kwanyumba. Kutengera izi, mutha kudziwa zomwe zimayambitsa chilondacho: nthawi zina pazokha, koma nthawi zambiri mothandizidwa ndi dokotala.

Ndikofunika kukumbukira kuti pochiza matenda onsewa, maziko amodzi ndi kuchuluka kwa shuga mwa zakudya ndi insulin. Osanyalanyaza njira izi, pogwiritsa ntchito chithandizo chamankhwala. Kuwongolera adokotala amafunikira.

Annular granuloma

Zomwe zimayambitsa matendawa zimatha kukhala zopanda ntchito pamlingo wamafuta. Ili ndi maonekedwe a timiyala tating'ono ta collagen, mtundu wake womwe ungakhale wofiyira, wofiirira kapena thupi. Nthawi zambiri, mawonekedwe omata amapita m'miyeso yosiyanasiyana. Amatha kupezeka m'manja, pamapazi, nthawi zambiri pamiyendo, nthawi zambiri pamimba kapena kumbuyo.

Nthawi zina imatha kukhala ndi fomu yobalalika - ndiye kuti zotupa zotere zimafalikira thupi lonse, monga mauna.

Pofuna kuthana ndi chiwonetsero cha matendawa, mankhwala "Tocopherol" (tocopherol acetate) amagwiritsidwa ntchito. Zimakhudza njira zoyendetsera kagayidwe kachakudya, zimakonza zakudya zam'maselo, zimachepetsa kukalamba ndi kusokonezeka kwawo. Pogwiritsa ntchito Chlorethyl yakunja, ndizotheka kuti muchepetse kutupa ndi kuyabwa. Phindu lalikulu lidzakhala kuchuluka kwa mavitamini a gulu B, vitamini C

Nthawi zina dokotala amatha kulimbikitsa zotupa za cauterizing ndimadzi a nayitrogeni kapena mankhwala a PUVA, omwe amathandiza kuyeretsa khungu.

Dermatitis ya seborrheic

Chotupa chamtunduwu chikuwonekera chifukwa cha kusagwira bwino ntchito kwa ziwalo za sebaceous: magwiridwe ake amawonjezereka, ndipo kapangidwe kazinthu zimasinthika. Mavuto oterewa amachitika chifukwa cha kusintha kwa ma hormone.

Chifukwa chake kuli malo abwino achitetezo cha bowa, omwe amakwiya amawonetsa matendawa. Matendawa nthawi zambiri amakhala pamutu pawo, amawoneka ngati timinofu tachikasu tomwe timalumikizana.

Mulingo wambiri umawoneka kuti umatha khungu. Khungu ndi tsitsi zimakhala mafuta, mafupa ophatikizika amaphatikizidwa ndi utoto wachikasu.

Dermatitis ya seborrheic imathanso kukhudza khungu la manja, mapazi, kapena nkhope yanu.

Mankhwala ogwiritsa ntchito antifungal mankhwala a ketoconazole - amatha kukhala shampoos kapena mafuta. Mankhwala, amagwiritsidwa ntchito kawiri pa sabata, pambuyo pake - kupewa, malinga ndi malangizo. Kuphatikiza apo, kugwiritsa ntchito anti-kutupa ndi exfoliating othandizira ndikofunikira.

Matenda a matenda ashuga

Mu matenda a autoimmune, mawanga amawoneka pakhungu la mapesi ndi pakati pawo. M'madera omwe akhudzidwa, khungu limakhala louma kwambiri, loyipa, mwina losasinthika. Pa gawo loyamba, mawanga ndi ofiirira, kenako amayamba kutembenukira chikaso kuchokera pakati kupita m'mbali. Izi ndizotsatira zakepi lomwe limapanga protein yambiri ya collagen mopitirira muyeso.

Palibe chithandizo chamankhwala, koma mutha kusintha mkhalidwewo mothandizidwa ndi othandizira omwe amachepetsa mitsempha yamagazi. Omenyera nkhondo amabweretsa mpumulo. Madokotala amalimbikitsa physiotherapy.

Dermopathy

Zotupa izi ndi zotupa, pomwe mawamba ozungulira amakula, m'mimba mwake amatha kufikira 10 mm. Pakapita nthawi, mawanga aphatikizika. Khungu m'dera lomwe lakhudzidwalo likucheperachepera, ndikupeza utoto wofiirira. Chotupa chake nthawi zambiri chimakhala pamiyendo. Dermopathy yowuma sikhala yopweteka, koma nthawi zina imatha kuyakuma, pomwe khungu limalekanitsidwa.

Matendawa amawoneka motsutsana ndi maziko azovuta za matenda ashuga. Kupangitsa kukhala ndi thanzi labwino, madokotala amatha kupangira mankhwala kuti azitha kusintha kayendedwe ka magazi mu capillaries, kukonzekera kwa acid ndi mavitamini. Mankhwala achikhalidwe amalimbikitsa kusamba ndi khungwa la oak ndi thyme, osakanikirana magawo ofanana. Werengani zambiri za dermopathy ndi chithandizo chake pano.

Lipoid necrobiosis

Kuphwanya magazi komwe kumabweretsa pakhungu kumayambitsa mapangidwe ofiira a pinki. Amakhala owawa komanso amakula msanga.

Pamaso pakhungu limanyezimira: limakhala lochepa thupi komanso limasuluka - kudzera mwa ilo nthawi zina mumatha kuwona ngakhale mitsempha ya magazi. Zilonda zimatha kupangika pamtunda wa totupa.

Tizilombo tating'ono tazunguliridwa ndi mphete zofiira ndi ma nifodi, ndipo pakati ndi pansipa ndipo pansi pake pamakhala khungu. Ndizotsatira za kusokonekera kwa kagayidwe kazinthu kena kam'mimba, lipid ndi carbohydrate.

Zilonda zamtunduwu ndizochulukirapo, nthawi zambiri zimawoneka ngati ziwalo.

Izi matenda amafunikira chithandizo chanthawi zonse. Koma ndi kukula kwa mulingo wa shuga, mawanga ena amachepa kapena kutha kwathunthu, koma osati mokwanira kwathunthu. Zochizira kwanuko, mafuta ogwiritsa ntchito m'magazi amagwiritsidwa ntchito.

Rash xanthomatosis

Zakuti maselo a shuga samayankha machitidwe a insulin amalepheretsa kuchotsa lipids (mafuta) m'magazi. Izi zimakhudza kapamba. Zotsatira zake, ma tubercles oyaka ndi maimidwe amtundu wapinki kapena wachikasu ozunguliridwa ndi malire ofiira amawoneka pakhungu. Mkati mwa zotumphukira zoterezi ndi mafuta osalowerera ndale.

Zotupa zotere nthawi zambiri zimawoneka matako, mikono, maondo, mawondo. Mankhwala, mankhwala omwe amawongolera mafuta m'magazi amatha kutumikiridwa.

A shuga pemphigus

Malingaliro amtunduwu amafanana ndi matuza kuchokera pakuwotcha. Zodabwitsazi ndizosowa kwambiri, nthawi zambiri zimakhala ndi matenda osokoneza bongo okalamba.

Nthawi zambiri, chithandizo chonse chimatsikira pakuwongolera shuga. Zizindikiro zimatha kuchepetsedwa ndikugwiritsa ntchito zamkati zamasamba a aloe kumadera omwe akhudzidwa. Njira ina yomwe imaperekedwa ndi mankhwala achikhalidwe ndi decoction ya masamba a birch. Muyenera kupukuta chidacho kapena chopukutira mmenemo ndikuchigwirizanitsa ndi matuza.

Zotsatira za Allergy ndi matenda A shuga

Kuthamanga ndi matenda ashuga, omwe ndi osapikika, atha kukhala chiwonetsero cha ziwengo. Anthu odwala matenda ashuga nthawi zambiri amayenera kumwa mankhwala osiyanasiyana osiyanasiyana.

Nthawi zambiri mwa zina zoyipa za mankhwalawa zimachitikira. Thupi limakhala likulimbana ndi matendawa nthawi zonse, chifukwa chake matupi a ziwengo sizodabwitsa.

Ngati zotupa zimawonekera pokhapokha mutagwiritsa ntchito mankhwala ena, muyenera kuyang'ana analogue.

Itching, Komano, palokha ndi chiwonetsero cha shuga wambiri. Kuti musiyanitse ziwopsezo za kuyamwa ndi matenda ashuga, ndikofunikira kuyang'ana zizindikiro zina: ndi ziwengo, ming'oma, totupa kapena mawanga zimawonekera, ndikuwonjezereka kwa shuga - kukodza pafupipafupi ndi ludzu.

Kutengera zifukwa zomwe zafotokozedwera pamwambapa, zosiyana zotsatirazi zakudziwonetsa khungu la "matenda okoma" zimasiyanitsidwa:

• Poyamba. Amayambitsa makamaka hyperglycemia. Kuwonjezeka kwa ndende ya seramu glucose kumawonjezera chiwonetsero cha chizindikiro.
• Sekondale Chifukwa chowonjezera cha microflora ya bakiteriya. Maantibayotiki amabwera pamalo oyamba ochizira. Kuthana ndi vuto lomwe limapangitsa kuti ziwonongeke zimayandikira, zitheke kuti vutoli lithe.
• Tertiary. Makamaka zotsatira za kumwa mankhwala.

Kukula kwa matuza, mapepala ndi mapepala

Makanda, mawonekedwe amkati, kapena kuwonekera kambiri pakhungu kungayambike pakhungu la wodwalayo. Chomwe chimapangitsa kuti thupi lizigwirizana ndi mankhwala, chakudya, tizilombo (nthawi zambiri kukula kwa zotupa kumakwiya ndi tizilombo tina tomwe timanyamula matenda ambiri).

Mu matenda a shuga, wodwalayo ayenera kuwonetsetsa momwe khungu lake limakhalira. Izi zimagwira makamaka kumadera komwe insulin imathandizira. Ngati kusintha kwa ma pathological pakhungu kukupezeka, tikulimbikitsidwa kukaonana ndi dokotala nthawi yomweyo.

Kuthamanga ana

Kutupa, mawanga ndi ziphuphu kwa ana omwe ali ndi matenda osokoneza bongo sizizindikiro, zomwe zikuwonetsa kukula kwa "matenda okoma". Monga mwa akulu, njira ya shuga kwa ana imakhala yopanda mawonekedwe aliwonse a khungu.

Zimatengera kuchuluka kwa shuga mthupi, kuchuluka kwa kayendetsedwe ka thanzi la mwana komanso kusiyanasiyana kwa zinthu zazing'onoting'ono. Pankhaniyi, nthawi zambiri makanda amakhala ndi furunculosis, kuyabwa kumawonekera.

Ngati zochitika ngati izi zimaphatikizidwa ndi ludzu kwambiri komanso kukodza pafupipafupi, makamaka usiku, kuyezetsa magazi kuyenera kutengedwa kuti pakhale shuga.

Chithunzi cha matenda a shuga: zizindikiro ndi zizindikiro

Chizindikiro choyambirira cha matendawa chimatha kukhala chowonjezera pakuchira kwa mabala ochepa kwambiri. Zithupsa ndi ziphuphu zakumaso a shuga mellitus (chithunzi 2) ndilimodzi mwa zizindikiro zoyambirira zavuto ndi kapamba.

Kuyanika matenda a shuga mellitus kumachitika mu 80% ya nthendayi. Matendawa amasonyezedwanso ndikuwonjezeranso khungu kwa khungu komanso mawonekedwe ang'onoang'ono owazungulira (acanthosis).

Ndipo zotupa zotere zotupa zokhala ndi shuga mellitus (chithunzi mu gal), monga diabetesic pemphigus, zimasonyeza chilonda chamkati cha khungu ndipo zimafunikira opaleshoni.

Kusiyanitsa mitundu

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

Popanga zizindikiro zilizonse za khungu, ndikofunikira kukhazikitsa bwino zomwe zimayambitsa. Kusankhidwa kwa mayendedwe azachipatala komanso kupambana kwa kukhazikitsidwa kwake zimatengera izi.

Matenda ofala kwambiri omwe muyenera kusiyanitsa otupa ndi matenda akuluakulu a shuga ndi akulu ndi awa:

1. Matenda Izi ndi monga: chikuku, rubella, malungo ofiira, erysipelas ya pakhungu. Dokotala wodziwa komanso womvetsera sakhala wovuta kuwasiyanitsa. Chinthu chachikulu chomwe chithandiza ndi kupezeka kapena kusowa kwa shuga wa seramu.
2. Matenda amwazi. Thrombocytopenic purpura imadziwika ndi zotupa zingapo zazing'ono mthupi lonse, pomwe zotupa za matenda ashuga zimapitilira kukula kwake ndikuyamba ndi malekezero apansi (nthawi zambiri).
3. Vasculitis Periarteritis nodosa imawonetsedwa ndi telangiectasias. Awa ndi "akangaude" apadera omwe ali ovuta kusokoneza kanthu kena. Komabe, ndikofunikira kupenda thupi la wodwalayo mosamala kuti mudziwe zonse zomwe zingatheke.
4. Fungal khungu zotupa. Kwenikweni ndikosavuta kusiyanitsa. Kulongosoka kwa malire a momwe olowererawo akuonekera komanso kufananirako kwake kumadziwika. Kuti mumvetse bwino za matendawa, kumatengedwa chitsanzo kuti chiziunike.

Mulimonsemo, ndikofunikira kudziwa bwino mbiri ya matendawo mwa wodwalayo ndikuwonetsa mayeso owonjezera a labotale. Pokhapokha ndi pomwe zingatheke kukhazikitsa chifukwa cha matenda apakhungu.

Polankhula za momwe mungachitire zotupa, ziyenera kudziwitsidwa kuti pali njira zingapo: kuchokera pa mankhwala osokoneza bongo mpaka kugwiritsa ntchito sopo kapena sulufu yapadera. Kuphatikiza apo, njira yobwezeretsanso thupi iyenera kuphatikizidwa, chifukwa ndikofunikira kuthana osati ndi vuto la totupa, komanso matenda a shuga.

Mutha kuwerenga za machiritso a matenda a rotavirus ku https: // infGHum.

Chifukwa chake, odwala matenda ashuga ayenera kuthandizidwa mosamala, osadziletsa. Choyamba, akatswiri amalimbikitsa kusankha maantibayotiki kapena zitsamba zomwe akuyembekezeka kukhala zothandiza kwambiri. Monga gawo la chithandizo cha zotupa, njira zina zimadziwonetsa bwino, motero zimagwiritsidwa ntchito ndikulimbikitsidwa ndi madokotala a matenda a shuga.

Chifukwa chake, pankhaniyi, chamomile, lavenda kapena zitsamba zina zithandiza pa upangiri wa katswiri. Sangathe kugwiritsidwa ntchito mkati, komanso kugwiritsa ntchito ngati compress kumalo opweteka kwambiri. Nthawi yomweyo amamwa mankhwala omwe:

• sinitsa mkwiyo
• kamvetsani ndikubwezeretsa khungu,
• lipira kuchuluka kwa shuga m'magazi.

Kuphatikiza apo, zidzakhala zofunikira kuti musinthe kugwiritsa ntchito ma gels apadera ndi njira zina zomwe zitha kupangidwa molingana ndi mankhwala omwe munthu wagulidwa kapena wogulidwa ku pharmacy.

Chodziwika kwambiri ndi tar tar, yomwe ikuwonetsedwa chithunzichi, chomwe chimathandiza kuthana ndi mavuto ambiri apakhungu.

Kodi njira zopewera ndi ziti?

Mfundo zazikuluzikulu zothandizira khungu kusamalira matenda a shuga ziyenera kuonedwa ngati madzi osungunuka, omwe angathandize kwambiri thanzi lake.

Sankhani chida chomwe chimapereka chisamaliro chokwanira cha khungu, akatswiri amalimbikitsa ndi chisamaliro chapadera.

Nthawi yomweyo, zinthu zotere siziyenera kuphatikizidwa, momwe mowa, salicylic acid, glycerin, kununkhira ndi mitundu ina ya kununkhira kumakhala kwakukulu kwambiri.

Zilichonse zomwe zaperekedwa sizingangowuma khungu, komanso zitha kukulitsa kutentha kwake. Njira yabwino pankhaniyi iyenera kuonedwa ngati zinthu zodzikongoletsera zotengera zinthu zachilengedwe. Iwo, malinga ndi madokotala, amatha kupukutira khungu komanso kusisita. Izi sizongowonjezera mavitamini, komanso:

• seramu
• zopopera
• masks ndi zina zambiri.

Ndikofunika kulabadira, posankha, pakubwera kwa zinthu zamafuta.

Mfundo inanso, yosafunikanso kwambiri pochiza ziphuphu zakumaso kwa shuga ndi kukhala kuyeretsa khungu. Inde, kungosunga chinyezi mu genermis kumakhala kokwanira. Iyenera kutsukidwa bwino, zomwe zingapangitse kuti musamapweteke ndi ziphuphu zakumaso.

Mwa omwe akumana ndi matenda ofotokozedwawo, khungu limakhala lathanzi. Pankhaniyi, oyeretsa omwe agwiritsidwa ntchito sayenera kuphatikiza zida zamtunduwu zomwe zingathe kuwononga khungu. Kodi zidziwitso zofanana zokhudzana ndi njira zopewera ndi ziti?

Zing'onoting'ono komanso mawanga pakhungu lomwe limayambitsa matenda ashuga zimatha kupezeka mwa anthu amisinkhu iliyonse. Pofuna kupewa matenda opatsirana, muyenera kutsatira malamulo aukhondo komanso kudya moyenera.

Zakudya zopatsa thanzi ndikuchepetsa kugwiritsa ntchito zakudya zomwe zili ndi zopepuka zamafuta, zomwe zimapangitsa kuchuluka kwa shuga m'magazi. Wachikulire kapena mwana ayenera kudya masamba ndi zipatso tsiku lililonse.

Kupititsa chitetezo chokwanira m'thupi lathu ndikusintha ntchito zoteteza thupi lathu, uchi umagwiritsidwa ntchito pang'ono. Izi zimathandizanso kudzaza kusowa kwa mavitamini ndi zinthu zina zofunikira pakuchita bwino kwa ziwalo zamkati.

Kuti muwone momwe muliri, muyenera kuyezetsa magazi pafupipafupi, kukayezetsa mayeso ofunikira, kuwunika momwe khungu lilili. Ngati ming'alu, zisindikizo, chimanga, redness ,uma, kapena zotupa zina zapezeka, muyenera kufunsa dokotala kuti mudziwe zomwe zimayambitsa. Kudziwa nthawi yoyenera kuphwanya malamulo kumakupatsani mwayi wofulumira komanso wopanda mavuto.

Wodwala matenda ashuga ayenera kusamalira khungu, kusamalira njira zaukhondo nthawi zonse, kuteteza khungu ku radiation ya ultraviolet, kuvala nsapato zapamwamba, kugwiritsa ntchito zovala zapamwamba zopangidwa ndi nsalu zachilengedwe.

Pamankhwala, tikulimbikitsidwa kuti tigule mankhwala othandizira omwe amapukusa manja ndi miyendo nthawi ndi nthawi. Kuti khungu lizikhala lofewa komanso lotetezeka momwe mungathere, gwiritsani ntchito mafuta achilengedwe a emollient.

Komanso, pofuna kupewa kutengera kachilombo koyambitsa matenda a fungus, dera lomwe lili pakati pa zala zakumanja ndi manja, ma armpits amathandizidwa ndi talc yachipatala. Kanema yemwe ali munkhaniyi akuthandizani kumvetsetsa komwe kumachitika mwachangu ndi matenda ashuga.

Choyamba, ndikofunikira kulabadira zomwe zimawonetsa shuga mwa wodwalayo, chifukwa ndi kuchepetsedwa kwake komwe kungabwezeretse zomwe zimayambitsa matenda ndikupezedwa ndi zovuta za matendawo zitha kupewedwa. Kuti muchite izi, gwiritsani ntchito:

• zakudya mankhwala
• zolimbitsa thupi zokwanira
• mankhwala (jakisoni wa insulin, kumwa mapiritsi ochepetsa shuga).

Chithandizo chofunikira chithandiza endocrinologist

Kuthamanga kwa matenda ashuga kumafunikira chithandizo pamalopo. Mafuta okhala ndi maantibayotiki amagwiritsidwa ntchito pothana ndi kachilomboka, mankhwala oletsa kutupa, mankhwala oletsa ululu m'thupi.Madokotala amakhazikitsanso mankhwala a ziwengo kuti athetse kuyimitsidwa, kutentha ndi kutupa, zomwe zimatha kukhala ndi khungu.

Kuchitira pa nthawi yake ndikutsatira malangizo a akatswiri kungakuthandizeni kuyimitsa kupitilira kwamatumbo ndikuthandizira kuchiritsidwa kwa totupa ndi mabala.

Malingaliro, zikwangwani, zopaka pakhungu zimapangidwa m'malo omwe amakhala ndi insulin nthawi zambiri.

Popeza zonse zimayamba ndi hyperglycemia mu shuga, tiyenera kulimbana nayo. Ngakhale pali zina zowonjezera, choyambirira, ndikofunikira kusintha kuchuluka kwa shuga mu seramu. Chifukwa chake, ndizotheka kuthetsa mtima wamisempha, kupitilira kwa mic- ndi macroangiopathy ndikusintha kuyabwa kwa khungu.

Njira zowonjezerapo zokopa zitha kuphatikizira:

1. Mafuta a antibacterial omwe angayambitsidwe ndi tizilombo.
2. Mankhwala osokoneza bongo.
3. Magetsi okongoletsa.
4. Ma antihistamines ndi anti-allergen mankhwala.

Onsewa amakhala ndi gawo lothandizira komanso lothandizira. Chachikulu ndikutembenukira kwa dokotala munthawi ndikutsatira malangizo ake.

Momwe mungachotsere ziphuphu zakumaso mu shuga

Ziwerengero za anthu odwala matenda ashuga zikuwonjezeka chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera.

Kuchotsa ziphuphu zakumaso mu shuga ndikosavuta mokwanira - chinthu chachikulu ndikusankha njira yoyenera yothira khungu.

• Mutha kuyesa zida zopangidwira makamaka kwa anthu omwe ali ndi khungu loonda - angathandize kwambiri odwala matenda ashuga kuthana ndi nyengo yosasangalatsa iyi ndikubwezeretsanso nkhope. Chowonadi ndi chakuti zida izi zimangokulolani kuti muchepetse khungu, komanso kupewa kutsekeka kwamitsempha yamagazi ndi ma pores, omwe amathandizira ziphuphu kuti ziwoneke. Zodzikongoletsera zotere nthawi zonse zimapangidwa kuchokera ku zosakaniza zachilengedwe, ndichifukwa chake zimathandiza kwambiri. Inde, mitengo ya mankhwala amtunduwu ndiokwera kwambiri, koma amatha kuthetsa vuto la ziphuphu zazifupi panthawi yochepa kwambiri. Pambuyo pamankhwala awa, simudzayiwala za ziphuphu, komanso za momwe mungawathandizire.
• Ndikofunikanso kuchotsa mabakiteriya pakhungu. Izi zimachitika mwina mwa kumwa maantibayotiki, kapena pochiza madera akhungu ndi antibacterial.
• Kamodzi pa sabata, yeretsani khungu ndi zopaka.
• Ndipo popewa, chinthu chimodzi chokha chomwe chingalangizidwe - samalira nkhope yako!

Ndikofunika kukumbukira kuti ndi matenda ashuga ndizosatheka kuchotsa ziphuphu m'njira yodzikongoletsa, mutha kuchepetsa kuchuluka kwawo. Kuti muwachotse kwathunthu, muyenera kusankha zakudya zanu ndi mankhwala molondola momwe mungathere.

Ngati shuga ndiwabwinobwino nthawi zambiri, ziphuphu zimayamba kudutsa. Kuphatikiza muyenera kuyezetsa matenda ena.

Mukamawapeza, mankhwalawo amatha msanga.

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.

About Kuteteza

Chinthu choyamba chomwe chithandiza kupewa kufalikira kwa zotupa pakhungu ndi matenda ashuga ndikuchezera kwa dermatologist. Simuyenera kuchita zinthu mwachangu komanso mwachangu, chifukwa kuwonjezereka kwa vutolo kumakhudza moyo wabwino, ndipo nthawi zina kudzidalira.

Ndikofunika kukumbukira ukhondo, ngakhale ndibwino kupatsa chidwi ndi sopo wosavuta wa phula. Imatsuka bwino ndikuchotsa khungu pakhungu, kuchotsa makutu a sebaceous ndipo imathandizira kutupa. Kugwiritsa ntchito kirimu ndimanja nthawi zonse kumapangitsa kuti khungu lanu lizilimbitsa, ndipo kusamba kosiyanako ndi kutikita minofu kumapangitsa magazi kutuluka.

Khungu lotupa ndi matenda ashuga limachitika kawirikawiri. Zomwe zili m'magazi zimachepa, kusayenda bwino kwa magazi komanso ulesi. Kuwongolera shuga komanso mafuta, kuphatikiza ndimankhwala am'deralo ndi physiotherapy, kuthandizira kuthana ndi nkhondo yakhungu loyera.

Popewa zotupa pakhungu la shuga, mutha kugwiritsa ntchito shuga. Kutulutsa kwamphamvu kwa glucose kumapangitsa kuti masinthidwe angapo aphatikizidwe ndi kusintha kosiyanasiyana pakhungu. Matenda a shuga komanso kuyang'anira shuga nthawi zonse kumathandiza kupewa zovuta zingapo za shuga, kuphatikizapo zomwe zimakhudzana ndi thanzi la khungu.

Nthawi yomweyo, ndikofunikira kutsatira malamulo a ukhondo. Ndi matenda a shuga, chitetezo chokwanira chimachepetsedwa, ndipo shuga m'malo onse amthupi amathandizira kupezeka kwa matenda kapena fungus matenda. Simungagwiritse ntchito zinthu za antibacterial zaukhondo, kuti musasokoneze microflora yachilengedwe ya pakhungu. Zoyipa zilizonse komanso zodzikongoletsera ziyenera kukhala hypoallergenic.

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.

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Kuyabwa kumayendera limodzi ndi matenda ena apakhungu:

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• 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.

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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.

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Ndi matenda a 1 mtundu, amadziwika kawirikawiri:

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

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

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• 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.

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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.

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Matenda a shuga

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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).

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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.

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Lipoid necrobiosis

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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.

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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.

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

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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.

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1. Matenda a matenda ashuga
2. Lipoid necrobiosis

Periungual telangiectasia

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Sonyezani ngati zotengera zofiira zowonda,

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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.

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Vitiligo

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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.

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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.

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1. Periungual telangiectasias
2. Vitiligo

Lichen planus

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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.

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Matuza a matenda ashuga (bullae)

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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.

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

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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.

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Matendawa amaphatikizidwa ndi kuwongolera koyipa kwamatendawa komanso shuga wambiri.

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1. lichen planus
2. Wachinyamata wodwala matenda ashuga

Matenda a shuga

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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.

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Pyoderma

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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.

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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.

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1. Matenda a shuga
2. Pyoderma

Matenda oyamba ndi mafangasi

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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.

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Annular granuloma

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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.

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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 kumatha kukhala mpaka 5 cm. Madandaulo nthawi zambiri sapezeka, nthawi zina kuyabwa kwapang'onopang'ono.

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1. Matenda oyamba ndi mafangasi
2. granuloma woboola pakati

Matenda a shuga a pakhungu

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

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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.

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

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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.

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Xanthomas

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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.

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1. Matenda a shuga a pakhungu
2. Xanthomas

Matenda a shuga a shuga

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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.

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Zilonda za matenda ashuga

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

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• 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.

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1. Anthu odwala matenda ashuga
2. Zilonda za shuga

Black acanthosis

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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.

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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.

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Kodi mungapewe bwanji kuyimitsidwa mu shuga?

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

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Mukamayang'ana popanda zizindikilo zakunja, malangizo otsatirawa angathandize:

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• 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:

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• 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:

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• 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.

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Khungu limakhudza insulin

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

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• 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.

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

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Kusintha khungu ndi shuga

Kuphatikiza pa kuthetsa thupi ndi kukoka pafupipafupi mwamphamvu, kutsekemera kwa mkodzo (chifukwa cha kukhalapo kwa shuga mkati mwake), chimodzi mwazizindikiro zoyambira zamatenda a shuga ndi kusowa kwamadzi, komwe kumawonetsedwa ndi ludzu losasunthika komanso pakamwa pokhazikika, ngakhale kumwa kwambiri.

Kukhalapo kwa zizindikirozi kumachitika chifukwa cha kusokonezeka kwakukulu kwa njira zamankhwala am'mwazi, chifukwa chake madzi akuwoneka kuti "akuyenda", osalowerera m'thupi.

Hyperglycemia (shuga wowonjezera wamagazi chifukwa cha vuto la carbohydrate metabolism) ndi omwe amachititsa izi, chifukwa chomwe kagayidwe kamatenda muubongo kamasokonezedwa ndi zovuta zake.

Kusokonezeka kwa njira zobisika za kukoka kwa ubongo kumayambitsa zosokoneza pakugwira ntchito kwamanjenje ndi minyewa - chifukwa, mavuto amabwera ndi magazi komanso minyewa yamtunduwu, yomwe imayambitsa chisokonezo.

Pokhala ndi michere yoperewera, "kusefukira" ndi zinthu za poizoni zomwe sizichotsedwa m'nthawi yake, minofuyo imayamba kuzimiririka kenako ndikuwonongeka.

Matenda a pakhungu odwala matenda ashuga

Maonekedwe a integument chifukwa cha matendawa amasintha kwambiri, ndikupereka chithunzi cha kusilira chifukwa:

• kukula kwa khungu, lomwe lasiya kuchepa,
• kupindika kwambiri, makamaka pakhungu.
• maonekedwe a calluses m'manja ndi kumapeto,
• kusweka kwa khungu, kupeza mtundu wachikaso,
• kusintha kwa misomali, kusinthika kwawo ndi kukula kwa mbale chifukwa cha matenda am'mimba,
• tsitsi losalala
• maonekedwe a malo owala.

Chifukwa cha kuuma kwa zigawo zikuluzikulu za khungu ndi ziwalo za mucous, zomwe zasiya kukwaniritsa ntchito yawo yoteteza, kuyabwa pakhungu, zomwe zimayambitsa kuphatikiza (kuonetsetsa kuti matenda atha kufalikira - tizilombo toyambitsa matenda amalowa m'matumbo a minofu), odwala matenda ashuga amatenga matenda a pustular - mu achinyamata ndi achinyamata awa:

• folliculitis
• zithupsa ndi zina zakuya zamkati,
• mawonetseredwe a candidiasis.

Zithunzi zotupa wamba:

Zovuta za trophic khungu la scalp malo zimayambitsa kusokonezeka kwa thukuta ndi zotupa za sebaceous (ndi mawonekedwe a zovuta komanso zimayambitsa - yunifolomu ya mutu wonse - kutayika kwa tsitsi).

Mkhalidwe wophimba mabwalo am'munsi umakhudzidwa makamaka - chifukwa chofunikira kwambiri pakuchita zolimbitsa thupi kumadera otsika, zovuta zamafupa am'mimba ndizolimba, kuphatikiza apo, miyendo imakhala pafupi kuvala komanso kuvala, komwe kumapititsanso magazi kutsika.

Zonsezi zimathandizira kuoneka ngati chopanda pakhungu, pomwe kuwerengera ndi kuvulala pang'ono kumakhala kovuta kuchiritsa - koma nthawi imodzimodzi.

Kusintha kwa pH pamtunda wa totg sikumangoyambitsa kukhazikitsidwa kwa kachilombo kakang'ono, komanso kuvomereza kupulumuka kwa zomera za mycotic (fungal) pa icho - candida (yisiti-monga, yomwe imayambitsa kukondoweza) ndi ndere.

Matenda oyamba

Pamodzi ndi zizindikiro zoyambirira za matenda ashuga monga kuyabwa (makamaka kumaliseche), nthawi yamachiritso yovulala pang'ono (abrasions, mabala, abrasions), keratosis-acanthosis ndikuwonekera kwa kupindika kwa matope, malo amtunduwu (okhudzana ndi mawonekedwe a ntchafu) maonekedwe a matenda enaake - matenda ashuga:

Kusamalira khungu

Popeza pali matenda oyamba (matenda ashuga), njira z ukhondo zokhazokha zosamalira khungu lopepuka komanso lopanda mphamvu sizingabweretse phindu.

Kuphatikiza kwawo kokha ndi kugwiritsa ntchito othandizira ochepetsa shuga omwe ali oyenera mtundu wa matendawa ndi omwe angapereke zotsatira zokwanira.

Koma poganizira za kukhalapo kwa zovuta zambiri pamatenda ambiri, komanso mwanjira iliyonse, komanso chifukwa chakufunika kwa ma labotale kuwongolera kuchuluka kwa shuga, adotolo amayenera kuyang'anira machitidwe a mankhwalawa.

Kanema wokhudza chisamaliro cha matenda ashuga:

Palibe zanzeru kugwiritsa ntchito njira za "mankhwala achikhalidwe" zomwe zitha kulowa m'malo mwa chithandizo chamankhwala choyenerera - pokhapokha kuvomerezedwa ndi dotolo wowagwiritsa ntchito angagwiritse ntchito (munjira yoyeserera mosamala kuchuluka kwa njira zochulukitsira).

Ndi zovuta za pakhungu, chithandizo chotsimikiziridwa bwino chimakhalabe chofunikira:

• kuchokera pagulu la utoto wa aniline - 2 kapena 3% yankho la methylene buluu (buluu), 1% diamondi-grun (yankho la zakumwa za "zinthu zobiriwira"), yankho la Fucorcin (kapangidwe ka Castellani),
• pastes ndi mafuta okhala ndi 10% boric acid.

Pankhani ya kachilombo kakang'ono, fungal, kapena matenda osakanikirana, nyimbozo zimasankhidwa mogwirizana ndi zotsatira za mayeso a labotale - microscopic komanso pathogen yolowetsedwa pakatundu wazakudya, ndikutsatiridwa ndikuzindikira chikhalidwe cha pathogen komanso chidwi chake pamagulu osiyanasiyana a mankhwala (antimicrobial or antifungal).

Chifukwa chake, kugwiritsa ntchito njira zamtundu wa "wowerengeka" sikungopitilira njira imodzi yotaya nthawi yamtengo wapatali komanso kungayambitse vuto lakhungu ndi matenda a shuga. Katswiri wa zamankhwala ayenera kuthana ndi mavuto a machiritso ake.