Mawonekedwe amtundu wa shuga, kuyabwa ndi khungu louma

Tikukupemphani kuti muwerenge nkhani pamutuwu: "mawonekedwe a khungu mu shuga mellitus, kuyabwa ndi khungu louma" ndi ndemanga za akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Kanema (dinani kusewera).

Khungu loyenda ndi matenda ashuga: Zizindikiro ndi mankhwala othandizira

Kukhazikika kwa khungu ndi matenda ashuga ndiko kusasangalatsa kwambiri kwa matendawa, komwe kumachitika chifukwa chophwanya dongosolo la metabolic m'thupi la munthu. Izi ndizovuta kwambiri kuchiza, kuphatikiza apo, zofanana zimapatsa odwala matenda ashuga kwambiri.

Mu shuga mellitus, kuyabwa kwa miyendo pansi pa mawondo kapena kudera lamapazi, m'manja, mwa amuna ndi akazi, kuyabwa kwamtundu wa shuga, kuwotcha kwa anus ndi mucous membrane. Vuto lalikulu kwambiri ndi neurodermatitis, momwe magwiridwe antchito amanjenje amasokonezedwa.

Kanema (dinani kusewera).

Matenda a shuga komanso kupukutira kwa khungu kumachitika nthawi imodzi. Ngati kuchuluka kwa glucose m'magazi kukwera, munthuyo amakhala ndi vuto la metabolic, lomwe limayambitsa kuyabwa ndi kumva kutentha.

Kuyamwa kuchokera ku matenda osokoneza bongo padziko lonse lapansi ndikuwotcha kumawoneka ngati chinthu chosazindikirika, zofanana ndi zomwe zikuwoneka pachithunzichi nthawi zambiri zimayenderana ndi matendawa. Ndi shuga wowonjezereka, shuga amakhala m'mitsempha yaying'ono yamagazi, chifukwa chake, kukula kwa microangiopathy kumatha kuonedwa mu anthu odwala matenda ashuga. Pambuyo pake, ntchito ya impso imalephera ndipo mavuto amawonongeka.

Khungu limakumana ndi zovuta zomwe zimachitika m'magazi a wodwalayo, khungu limataya msanga ndikuwuma, limayamba kutuluka mwachangu, chifukwa chophwanya ntchito zachilengedwe zotchingira, shuga wambiri amadzetsa kuyamwa pakhungu la shuga.

Nthawi zambiri, ndimatenda a shuga a 2, kukoka kwa manja, kuyabwa kumapezeka kumapeto kwenikweni, maliseche, khosi, khutu. Kuyabwa ndi kuwotcha kumatha kuwoneka pa mucous membranes, dandruff nthawi zambiri amakula mwa amuna ndi akazi omwe ali ndi matenda osokoneza bongo, chifukwa chomwe mutu umayamba kuyabwa.

Ndi matenda a shuga, wodwala matenda ashuga nthawi zambiri amamva ngati matenda a shuga monga kuwotcha, kusasangalala, komanso kupindika. Musanachiritse kuyamwa ndi matenda ashuga, ndikofunikira kudziwa chomwe chimayambitsa matendawa ndikuchotsa.

Timafunikanso kusintha kuchuluka kwa shuga m'magazi a wodwala.

Anthu odwala matenda ashuga nthawi zambiri amakhala ndi matenda osiyanasiyana apakhungu. Kuti muchotse kuyabwa kwamtundu wa shuga wachiwiri, pakulimbikitsidwa ndi dokotala, chithandizo chomwe chimayesedwa kale chimasinthidwa kuti chisinthe shuga m'magazi a munthu.

Ngati chithandizo cha matenda ashuga sichinayambike munthawi yake, zizindikiro za matendawa zimakulirakulira, kuchuluka kwa glucose kumayambitsa mapangidwe a vesicles ndi zilonda zambiri mthupi lonse. Matenda a shuga amamva ku inguinal dera, m'chigawo cha m'munsi, ndipo maso ndi kuyamwa.

Ma pathologies onse pakhungu amapangidwa chifukwa cha zoyambira zoyambirira kapena zachiwiri. Choyambitsa chachikulu ndikuphwanya njira yochotsa zinthu zoipa ndi poizoni m'thupi la munthu wodwala matenda ashuga, chifukwa chake angiopathy amawonedwa. Zinthu zachiwiri zimayendera limodzi ndi mawonekedwe a kutupa ndi mawonekedwe a purulent pamabala opaka. Monga mukudziwa, ndi shuga wokwezeka, njira yothetsera thukuta imasokonezeka, chifukwa chomwe chilengedwe chimawoneka chomwe chiri chabwino kwambiri pakupanga mabakiteriya.

Kuphatikiza pruritus mu shuga kungachitike mutamwa mankhwala aliwonse.Chifukwa cha urticaria kapena thupi siligwirizana, odwala matenda ashuga ali ndi kuyabwa, amuna amakhala ndi zidzolo m'golo, kuyabwa m'makutu ndi kumunsi kwina kumawonedwa.

Kukhazikika kwa khungu ndi matenda ashuga, monga chisonyezo chachikulu cha kusokonekera kwa metabolic, kungakhale limodzi ndi izi:

Ndi matenda a metabolic komanso kuphwanya njira ya mafuta kagayidwe m'thupi, kukula kwa matenda a shuga a xanthoma kumachitika. Mutha kuchiritsa matenda oterewa mwa kusintha misempha ya magazi, ndipo adotolo amakupatsaninso mankhwala oyenera omwe amapangitsa kuti mafuta azikhala mwamphamvu.
Mwa matenda amkhungu amphongo omwe ali ndi matenda ashuga, erythema ya matenda ashuga imasiyanitsidwa, matenda omwewo amawonekera mwa odwala omwe ali ndi zaka zopitilira 40.
Kuyabwa kwa miyendo mu matenda a shuga amayamba kukhala matuza a matenda ashuga. Mapazi am'munsi amathandizidwanso. Pali madzi amtundu wa pinki m'matumba, kukula kwake komwe kumatengera kukula kwa mawonekedwe ake pakhungu.
Ngati wodwala ali ndi matenda amtundu wa 2, nthawi zambiri samangokhala thupi, koma khungu limakulitsidwa. Therapy imakhala yochepetsa kuchuluka kwa shuga m'magazi, mafuta opaka kuyamwa kwa matenda ashuga komanso zonunkhira zapamiyendo, omwe angagulidwe ku pharmacy iliyonse, amalembedwanso.
Ndi mtundu woyamba wa matenda, khungu limatha kusintha, matenda awa amatchedwa vitiligo. Kusintha kumawonedwa pankhope, chibwano, makutu. Kusintha kuchoka pakulakwira kotere, wodwalayo amapatsidwa mankhwala a mahomoni.

Anthu ambiri odwala matenda ashuga amakayikira ngati thupi lingayambe kudwala matenda ashuga ngati insulini siipangidwa moyenera. Pankhani ya kuchuluka kwa shuga m'magazi, kuyabwa kumachitika m'makutu, ndimatenda a shuga, mutu, mikono ndi miyendo, zilonda zimatuluka.

Musanachotse kuyamwa, muyenera kupimidwa ndi dokotala yemwe amapita, yemwe amayesa mayeso ofunikira, amamufufuza wodwalayo, kum'patsa mankhwala ndi mapiritsi, komanso kusankha chithandizo ngati pakufunika kuthandizidwa ndi wowerengeka.

Nthawi zambiri, ngati thupi limayamwa ndi matenda ashuga kapena kuyabwa m'makutu kumaonedwa, matendawa amathandizidwa ndikukhazikitsa shuga m'magazi, kuphatikiza zonona zomwe zimagwirizana ndi mankhwala.

Mankhwalawa amachitika m'magawo angapo, kutengera mawonekedwe a matendawa.

Mankhwala apadera angathandize kuteteza matenda a metabolism ndi mafuta. Chithandizo chikuchitika kwa milungu iwiri kapena itatu.
Pamaso pa matenda oyamba ndi fungus, antifungal agent imagwiritsidwa ntchito. Kuletsa manja ndi miyendo kuti isakande, pomwe zilonda zimachira mwachangu, mafuta othandizira, mafuta odzola ndi ma gels alipo.
Ngati kuyabwa ndi matenda a shuga a mtundu wachiwiri kumachitika pambuyo poti wodwala matenda ashuga atenga mankhwala amtundu wina kapena mankhwalawo, mankhwalawo amaloledwa ndi wina omwe amawathandiza ndipo samayambitsa mavuto.
Nthawi zambiri makolo amafunsa ngati thupi la mwana limayamwa ndikatha kudya mankhwala komanso momwe angachotsere. Zizindikiro zotere zikawoneka chifukwa cha mankhwala osakwanira bwino kapena odwala, dokotala amakupatsani zakudya zochizira.

Nthawi zina kuyabwa mu groin mwa amuna kumachitika mukamagwiritsa ntchito mtundu watsopano wa insulini, ngati mtundu uwu wa mahomoni suyenera kwa wodwala. Pankhaniyi, muyenera kufunsa dokotala kuti akasankhe mtundu woyenera wa mankhwala ndikusankha mtundu wina watsopano wa mankhwala.

Chifukwa chake, ngati thupi limayamwa ndi matenda ashuga, chilichonse chiyenera kuchitidwa kuti matenda a shuga asakhale otakataka, kuphatikiza kusinthira kwa chakudya choyenera.

Ndi kuyanika kwakanthawi komanso kosalekeza kwa khungu kumalo komwe kumachokera maliseche, mapazi, matako, matumbo amkazi, dokotala amatha kuzindikira matenda a angiopathy, omwe amaphatikizidwa ndi kuwonongeka kwa mitsempha yaying'ono ya magazi - ma arterioles ndi capillaries.

Matenda otere amasokoneza magazi mu mucous nembanemba, amatchinga kuyenda kwa zinthu zofunika mkati.Ngati matendawa apita, mkaziyu amakhala ndi khungu loyuma komanso louma, ma microcracks amapezeka pakhungu ndi mucous nembanemba.

Ntchito zogwiritsira ntchito chitetezo mthupi komanso zoteteza kumaloko zimachepetsedwa, khungu limakhala ngati asidi wambiri. Ma Microcracks amawonekera pazimba zowuma komanso zowonda, chifukwa chomwe kuyabwa ndi kuyaka kumakulirakulira. Tizilombo ta bowa ndi purulent timalowa m'mabala, zomwe zimapangitsa kuti pakhale kutupa.

Nthawi zambiri, azimayi omwe ali ndi matenda ashuga amakumana ndi vuto la perineum, pubis, misempha komanso nyini. Kuphatikiza ndi matendawa, kuyabwa m'makutu, pakhungu lakumapeto, pansi pa chifuwa, mbali ya ntchafu yamkati, m'mphepete mwa mafuta ndimathukuta ochulukirapo, mikwingwirima, mozungulira masamba ndi m'munsi.
Thupi limayamba kuyabwa chifukwa chophwanya malamulo a mitsempha yaying'ono. Microangiopathy imayambitsa vuto mu impso, zomwe zimapangitsa nephropathy. Pakapita kanthawi, masomphenya a munthu amatha kusokonezeka ndipo retinopathy imayamba.
Monga lamulo, khungu limayamba kutengera kusintha kumeneku m'thupi pamaso pa wina aliyense. Imayamba kuuma, kupukusa, kuyimitsidwa, sizili zotheka kuteteza minofu yaying'ono pazovuta za tizilombo tating'onoting'ono.

Kumva kuyabwa kwambiri ndikuwotcha, mayiyo amaphatikiza khungu lisanapangidwe mabala, chifukwa, thovu ndi kuphulika kwamadzimadzi ndikumva kuwawa kosapweteka. Pambuyo pake, tinsalu tatsopano timakhazikika pakhungu, lomwe limawuma ndikuphimbidwa ndi kutumphuka. Ziphuphu zoterezi ndizabwino koma simungathe kuzisokoneza nokha. Kupanda kutero, bala latsopano limakhala loyambitsa matenda ndikumukhumudwitsa.

Ndi matenda a shuga, ndikofunikira kudziwa njira zamatenda amtundu wa khungu kuti muthandizire odwala matenda ashuga. Kupanda kutero, kutulutsa kwa purulent, bowa ndi ma virus kumayambitsa zovuta zazikulu zomwe ndizovuta kwambiri kuchitira mankhwala.

Kuphatikiza pa kuphatikiza shuga m'magazi, mkazi amayeneranso kuyesedwa kuti awonetsetse kuti sipangakhale zovuta zilizonse pakudya ndi mankhwala omwe amagwiritsidwa ntchito.

Vitiligo amathandizidwa ndikugwiritsa ntchito mankhwala a mahomoni, ndipo mkazi amalembedwa kuti azikhala mumthunzi, kutali ndi kuwala kwa dzuwa, kuti khungu losasinthika lisawonedwe ndi radiation ya ultraviolet. Kulumikizana ndi khungu lowonongeka kungayambitse mkwiyo.

Pankhani yokhala ndi matenda a shuga a mtundu wachiwiri, mankhwalawa amapezeka potsatira njira yochizira. Ngati kuwotcha ndi kuyabwa kumaliseche kwa mkazi kumachitika chifukwa chogwiritsa ntchito mankhwala othandizira a hypoglycemic, mankhwala omwewo sayenera kusankhidwa omwe sayambitsa kuyanjana.
Amayi amatenga msanga malo okhala ngati atenga mapiritsi a ukazi, omwe amaphatikizira chinthu chovomerezeka cha fem. Mutha kuchotsa mkwiyo pamtundu wa maliseche mothandizidwa ndi Fluomizin, mankhwalawa ndiwachiwiri komanso wothandiza kwambiri.
Ngati kupsinjika ndi kutupa pakhungu pakubwera, mankhwala odziwika bwino wowerengeka amtundu wa decoctions, lotions ndi kukodola kwamiseche ndikulimbikitsidwa. Athandizira kuthetsa kuyimitsidwa kwa matenda ashuga mwa akazi.

Kwa chisamaliro pakhungu, chamomile, calendula, khungwa la oak, celandine, yankho lofooka la potaziyamu permanganate, furatsilin ndi yoyenera kwambiri.

Pofuna kupewa kukula kwa matenda apakhungu kapena kuchotsa ziphuphu poyambirira pazokayikitsa, ndikofunikira kutsatira malamulo ena. Kuchepetsa shuga wamagazi ndikusintha momwe wodwalayo alili, amamwa madzi a ku Yerusalemu artichoke.

Kuphatikiza apo, ndikofunikira kukonza zovuta zosinthana-endocrine. Chilichonse chikuyenera kuchitika kuti chiwonjezeke chitetezo chokwanira komanso kukhala ndi thanzi labwino. Izi ziteteza thupi ku zinthu zaziphuphu.

Physiotherapy, sedative komanso zothandiza zimathandizanso kuti munthu akhale ndi matenda ashuga. Mankhwalawa ali ndi ufulu wolembedwa kwa odwala matenda ashuga onse. Njira yothandiza ndi mafuta omwe amayatsidwa pakuluma pamiyendo ndi matenda ashuga, omwe amaphatikiza corticosteroids. Mankhwala omwewo amawayeretsa makutu, manja ndi madera ena ovuta.

Ndi kuwuma kwambiri komanso pafupipafupi, antimycotic, antiviral and antibacterial therapy amachitika m'malo akhudzidwa ndi khungu. Izi zimathandiza kupewa kufala kwa matenda komanso zimachepetsa mkhalidwe wa wodwalayo.

Pofuna kupewa mapangidwe magazi ndi magazi ndi mitsempha ya varicose ndi matenda ashuga, mafuta a heparin amagwiritsidwa ntchito, miyendo yake imapakidwa pansi pa mawondo.

Ndi kuyamwa kwa bakiteriya, ngati mankhwala ena sangathandize, maantibayotiki akhoza kukhala oyenera. Ngati wodwala matenda ashuga amawonetsa fistulas kapena mawonekedwe owopsa a chotupa, opaleshoni yodzidzimutsa imagwiritsidwa ntchito.

Zomwe zimayambitsa komanso kuchitira kuyamwa kwa khungu ku matenda a shuga zafotokozedwa muvidiyoyi.

Mawonekedwe amtundu wa khungu - matenda a shuga - kuuma, kuyabwa ndi kupendama

Khungu louma lomwe limayambitsa matenda ashuga ndi amodzi mwa zovuta zomwe ambiri odwala matenda ashuga amakumana nazo. Pankhaniyi, tinaganiza zowunikira mwatsatanetsatane chifukwa chake khungu lowuma lomwe limayambitsa matenda a shuga limawonekera komanso momwe angathanirane ndi vuto losasangalatsa ili. Ngati palibe chomwe chachitika, makwinya amayamba kuwoneka thupi kale, komanso kumakhala kowopsa ndipo zotsatira zake zimakhala zovuta kwambiri.

Khungu komanso khungu louma la mtundu wa 2 shuga kumachitika chifukwa cha kusokonekera kwamafuta kagayidwe kazakudya ndi michere, chifukwa omwe zigawo za epithelium sizilandira zinthu zofunikira. Kuthamanga kwa shuga m'magazi kumapangitsa kuchepa kwa maselo, kusakhazikika kwa zimitsempha zawo komanso kuphwanya kagayidwe kazinthu.

Potengera maziko onse a izi, kusinthika kwa khungu kwa khungu kumasokonekera ndipo filimu yamafuta imapangidwa, khungu limakhala louma, lotayika ndikuyamba kusenda. Kuphwanya kagayidwe kokhudza matenda a shuga kumapezeka pafupifupi, ndipo matenda ashuga a mitsempha komanso macroagniopathy amakula, kukulitsa khungu.

Khungu lowuma lomwe limayambitsa matenda ashuga komanso kupindika kwake kungayambitse zovuta zoopsa. Mwachitsanzo, chotchinga chotupa chakhungu ndi kufowoka kwakanthawi komwe kumayendera limodzi ndi kuwonjezeredwa kwa matenda, mawonekedwe a zilonda zosachiritsika komanso ngakhale zilonda zam'mimba makamaka milandu yapamwamba. Pachifukwa ichi, ndikofunikira kuyambitsa nkhondo yolimbana ndi khungu pakhungu la shuga munthawi yake.

Kodi ndi zinthu ziti zomwe zimasamaliridwa pakhungu la shuga

Akatswiri amalimbikitsa mwamphamvu kusiya zodzola zilizonse zomwe zimawuma khungu, komanso zinthu zomwe zimapanga kanema pamwamba pake (makamaka mafuta ndi mafuta odzola). Ndikwabwino kugwiritsa ntchito mankhwala opatsa thanzi ndi othandizira omwe akupanga zitsamba zamankhwala, zomwe zimatsimikizira kupewa matenda oyamba ming'alu yaying'ono:

Chisamaliro chapadera chiyenera kulipidwa pakhungu pa miyendo, chifukwa matenda a shuga amakhudza mathero a mitsempha ndi ziwalo zamiyendo, kusokoneza thanzi la minofu ndikuchepetsa mphamvu yake.

Ndi khungu louma mu shuga mellitus, chithandizo chikuyenera kukhala cholondola komanso chofunikira. Kugwiritsa ntchito sopo wa alkaline pH kumakulitsa vutoli mwakuwumitsa khungu kupitiririka podutsa zigawo za lipid kuti zizitetezedwa. Pachifukwa ichi, akatswiri amalimbikitsa kugwiritsa ntchito sopo wamadzimadzi, mafuta osamba owuma ndi zinthu zina zopanda pH yokhala ndi khungu louma la shuga, ndikugwiritsa ntchito zinthu zapadera zokhala ndi lactic acid pochita ukhondo.

Khungu likatsukidwa, timalimbikitsidwa kuti muchepetse mavuto anu ndi zinthu zoyenera zodzikongoletsera:

mafuta opukutira
chakudya chamafuta
mkaka.

Zodzola bwino za ana. Samalani ndi chisamaliro cha manja ndi khungu louma chifukwa cha matenda amtundu wa 2.Ayenera kukhala wothira nthawi zonse ndi kirimu mpaka kangapo patsiku. Ndikwabwino kugwiritsa ntchito zida zapadera zomwe zimapangidwa poganizira momwe khungu liliri - ziyenera kusunga mankhwalawa akhale okongola komanso athanzi.

Chifukwa cha kusokonezeka pakhungu pobwezeretsa khungu komanso kuopsa kwa matenda chifukwa chauma ndi kusenda khungu pakhungu, chithandizo cha kuwonongeka pang'ono (zikanda, microtraumas, ndi zina) chimafuna kugwiritsa ntchito osati antiseptics, komanso mafuta apadera okhala ndi zosakaniza zachilengedwe zomwe zimathandizira kuchira.

Dermal pruritus mwa akazi ndi amuna - momwe mungachotsere?

Kulephera kwa kagayidwe kachakudya chifukwa cha vuto la chithokomiro komanso kusamwa bwino kwa shuga kumayambitsa zovuta zambiri zaumoyo. Kulowa kwa khungu nthawi zambiri kumadetsa nkhawa odwala omwe ali ndi matenda ashuga. Zimayamwa mbali zonse za thupi, zomwe zimakwiyitsa kwambiri ndipo zimakhudza dongosolo lamanjenje. Momwe mungachepetse kusapeza bwino komanso pali njira zopewera?

Chifukwa chiyani odwala matenda ashuga amayambanso kuyamwa

Mthupi, ndikukula kwa matenda a shuga a mtundu uliwonse, kusokonezeka ndi mayamwidwe a glucose kumachitika chifukwa cha kusowa kwa insulin ya mahomoni. Shuga, wopitilira muyeso, amakula m'mitsempha yamagazi yaying'ono. Chifukwa cha izi, zimatsekeka, zomwe zimasokoneza kayendedwe kazinthu zamagazi ndikusokoneza ntchito ya impso, machitidwe amanjenje komanso owonera.

Woyamba kuyankha chifukwa chosowa mpweya m'matupi ake ndi khungu - gawo lofunikira kwambiri la thupi. Khungu, redness, ming'alu imawoneka. Zotsatira zake, ntchito zake zachilengedwe zimatayika: zimasiya kuteteza ulusi wamkati kuzinthu zamphamvu zachilengedwe. Kuyamba ndi kuwotcha thupi lonse kumayamba. Chizindikiro ichi chikhoza kuwonetsa kukula kwa matenda ashuga ngati wodwalayo sanapezeka.

Kuwonjezera shuga mthupi la odwala matenda ashuga kumachepetsa kwambiri ma capillaries. Kuchotsa poizoni ndi ziphe zomwe zimatulutsidwa ndi maselo munthawi ya moyo kumachepa, ndikupangitsa kuyamwa kwambiri. Popeza wataya zoteteza, khungu limakhala chandamale cha tizilombo toyambitsa matenda komanso mafangasi. Zimalowa m'malo ake momasuka, zomwe zimabweretsa zovuta zazikulu. Zikwangwani ndi zidutswa mu diabetes sizichiritsa bwino, zimawabweretsa zovuta zambiri.

Kukhazikika kwa khungu kumakulirakulira ndi kukula kwa matenda a shuga, kuchititsa kumverera kokhazikika ndi kotentha kwamphamvu mwa akazi ndi amuna. Mukamadwala kwambiri m'magazi, mumayamba kusasangalala kwambiri. Omwe akumenyedwa amayenda zala, nkhope, maso. Pambuyo pake, matuza ndi mabala osachiritsa amayamba. Tizilombo toyambitsa fungal tidzalumikizana nawo mosavuta, madera omwe akukhudzidwawa amayamba kuphuka komanso kutuluka.

Matenda osiyanasiyana ophatikizika (dermatoses), omwe amakhala pafupifupi mitundu 30, amatha kubweretsa mavuto pakhungu. Agawidwa m'magulu atatu:

Poyamba - Kukula ndi kuwonongeka kwa kayendedwe ka magazi; rubeosis, mafuta necrobiosis, xanthoma, dermatopathy, matuza a shuga, etc.
Sekondale - Kukula chifukwa cha kuwonjezera kwa bowa ndi mabakiteriya.
Mankhwala - zomwe zimachitika chifukwa chomwa mankhwala omwe wodwala matenda ashuga amayenera kutenga: mafuta osowa, chikanga, urticaria, ndi zina zambiri.

Dermopathy ya matenda ashuga amawonetsedwa ndi ma mawonekedwe a mafinya owonda pa mbawala. Nthawi zambiri zimawonedwa mwa amuna. Chithandizo pa milandu siinakhazikitsidwe. Pathology imadutsa popanda kusokonezedwa kwakunja, kusiya masamba azaka. Wodwala amafunika kuchotsa kuyabwa kwa khungu ndi mafuta odzola komanso mankhwala wowerengeka.

Matuza a matenda ashuga omwe amadzaza ndi katulutsidwe kamadzimadzi amawoneka pamiyendo ndi mikono. Samafunikira chithandizo chapadera ndipo amadutsa mwezi umodzi. Palibe chifukwa choti angakwiridwe, kufinya, kapena kubooleredwa;

Rubeosis imawonetsedwa ndi khungu red. Imapezeka makamaka mwa ana ndi achinyamata ndipo sikutanthauza kuti achire alowererepo.Matenda a shuga a xanthoma amayamba chifukwa cha kuperewera kwa lipid metabolism. Mafuta ochulukirapo amadziunjikira pakhungu ndi mawonekedwe a zisindikizo zachikaso, amkapezeka kumanja, pachifuwa, pakhosi, kumaso.

Lipoid necrobiosis mu matenda ashuga amadziwika ndi kuwonongeka kwa minofu yolumikizana. Mafupa amaoneka ngati amiyendo. Chifukwa chosayenda bwino m'magazi, zilonda zopweteka, zopanda machiritso zimawonekera pakati pawo. Izi matenda sangathe mankhwala. Mafuta osiyanasiyana otengera mahomoni, ma antiseptics, maantibayotiki amagwiritsidwa ntchito pothandiza kuziziritsa. Kuphatikiza apo, physiotherapy imaperekedwa kwa omwe akukhudzidwa.

Kukhazikika kwa chizindikiritso monga kuyabwa pakhungu m'matenda a shuga kumatanthawuza kukula kwa chimodzi mwazovuta kwambiri zamatenda - angiopathy, omwe amadziwika ndi kuwonongeka kwamitsempha yamagazi ndi mucous nembanemba.

Nthawi zambiri, amayi ndi abambo amayenda:

mafupa am'mimba,
bondo ndi maondo
m'dera pachifuwa
inguinal zone
mikondo
miyendo mkati
mapazi
masamba
mapiko.

Angiopathy ndiyowopsa chifukwa mkhalidwe wawo umakulirakulirabe chifukwa cha kuperewera kwa michere m'thupi.

Zotsatira zake ndi:

khungu lowuma
kusenda
Khungu
kuphwanya zamchere khungu,
kuponderezedwa kwa chitetezo chakwanuko.

Makamaka azimayi akuvutika ndi mawonekedwe awa. Kupatula apo, maonekedwe amatengera mkhalidwe wa khungu. Pa nthawi yomweyo, kuyabwa mu nyini sikutha, perineum, veva, ndi kuyamwa kwa dera. Zachidziwikire, moyo wa wodwala ukuchepa, popeza kuyimitsidwa kumayendetsedwa ndi kuwotcha komanso kupweteka.

Mkazi amakhala wosakwiya, wamanjenje, wosakhazikika. Amagwa mosavuta, ali ndi vuto la kugona, amataya chidwi ndi moyo.

Anthu odwala matenda a shuga amadziwa bwino chizindikiro chosasangalatsa ngati matendawa akuyenda m'miyendo. Choyamba, khungu limasuntha pamalo amodzi, ndiye kuti kukula kwake kosafunikira kumawonjezereka, kumakhala kofiira, kumakutidwa ndi tinsalu tating'onoting'ono timene timakukhazikika nthawi zonse. Zinthu zambiri zokhala ndi glycosylating m'magazi, malo omwe amakhudzidwa kwambiri amakula.

Kuyenda mwa amuna ndi akazi nthawi zambiri kumawonekera pakati pa zala, mkati mwa ntchafu, pazikhokho. Mukaphatikizana, khungu loteteza limawonongeka, chifukwa cha lomwe ming'alu ndi mabala ang'onoang'ono amayamba kuwoneka. Khungu loyenda limayendera limodzi ndi zokwawa, zowawa.

Zowonjezera pamutu wamiyendo:

Khungu loyenda siliri vuto lokhalo kwa odwala matenda ashuga. Nembanemba yamaso imagundanso. Chifukwa chakuchepa kwa katulutsidwe wamafuta, sikapukutika mokwanira, kutaya chitetezo ku njira yachilengedwe yotumiza kutentha. Zotsatira zake, diso limayang'ana, kumva kowopsa kumachitika, wodwalayo amakumana ndi zovuta, kupenya kwamaso kumachepa. Ndi mawonetseredwe owonetsedwa, a ophthalmologist ayenera kuwoneka kuti akupereka chithandizo choyenera.

Matenda a shuga a retinopathy ndi vuto linanso la anthu odwala matenda ashuga.

Kuwoneka kwa ming'alu ndi kuuma kumayambitsa kuyabwa kosalekeza m'malo oyandikira. Popewa kutenga matenda, tifunika kuyang'anira ukhondo wathunthu komanso kupewa kukakamira kwa malo ovuta.

Khungu loyenda, kupindika, kuwotcha, kufiira kwa amuna omwe ali ndi matenda osokoneza bongo m'dera la groin amafunikira chithandizo kuchipatala. Zodzichitira nokha pankhaniyi siziphatikizidwa. Dermatologist wokhazikika kapena andrologist ndi amene angatchule njira yoyenera yomwe ikugwirizana ndi zomwe wodwala akuchita.

Kuyabwa kwamitundu mwa akazi kumadzetsa shuga mu mkodzo. Komanso kuyabwa mwa akazi kumachitika chifukwa cha kusokonezeka kwa kagayidwe kachakudya, kuletsa chitetezo chamthupi, komanso ukhondo. Madontho otsalira a mkodzo kumimba amakhala malo osungira matenda opatsirana pathogenic. Mucosa ya ukazi imatembenuka ofiira, mabala ndi ma microcracks mawonekedwe, zomwe zimayambitsa kusasangalala kwambiri.

Kodi mumazunzidwa ndi kuthamanga kwa magazi? Kodi mukudziwa kuti matenda oopsa amathanso kukopeka ndi mtima ndi kumenyedwa? Sinthani nkhawa zanu. Maganizo ndi mayankho okhudza njira zomwe mwawerenga apa >>

Kuphatikiza pa zovuta za kapangidwe ka magazi ndi ukhondo, kuyabwa kwamtundu kumatha kubweretsa matenda opatsirana pogonana (chinzonono, syphilis, trichomoniasis, ndi zina).

Dokotala wodziwa bwino yekha ndi yemwe angakuuzeni momwe mungachotsere kuyabwa. Choyamba, adzapita kukayesedwa, ndipo malinga ndi zotsatira zake adzalembera mankhwala. Ndikovuta kwambiri kuthana ndi vutoli, koma wodwala aliyense amatha kukhala ndi glucose yokhazikika. Ndikofunika kutsatira zakudya zomwe zimachepetsa kudya zamafuta ndi shuga.

ngati vutoli limayambitsidwa ndi ziwopsezo, ndiye kuti chithandizo cha pruritus cha mtundu wa 2 odwala matenda ashuga chimakhazikitsidwa pakugwiritsa ntchito antihistamines (Tavegil, Suprastin, Cetrizin, Fexadine, Fenistil),
Ngati mankhwala ochepetsa shuga adayambitsa vutoli, ndiye kuti mlingo wake umawunikiranso,
Ndikulimbikitsidwa kusamalira khungu pafupipafupi, kulipaka mafuta ndi mafuta, mafuta, mafuta opaka, opangidwa makamaka kwa odwala matenda ashuga.
kukonzekera kwa fungicidal ndi wowerengeka azitsamba (koloko, potaziyamu permanganate, decoction of oak bark) amagwiritsidwa ntchito popewa matenda a fungus,
mabala omwe ali ndi kachilombo omwe amayambitsa kuyabwa kwambiri amathandizidwa ndi mafuta omwe amakhala ndi mankhwala omwe ali ndi anti-yotupa ndi antiseptic zotsatira.
Ngati pakhungu pakupitirirabe, mafuta onunkhira amagwiritsidwa ntchito,
zoyambitsa zimayendetsedwa kuti zithetse mitsempha,
odwala matenda ashuga ayenera kupewa kuyatsidwa ndi radiation ya ultraviolet m'malo ovuta.

M'pofunika kuthana ndi kuyabwa kwa shuga mellitus kwathunthu. Dokotala atha kukupatsirani mankhwala omwe amasintha momwe amapangira ma capillaries.

Poyeretsa ndi kuwotchera m'malo a akazi, ndikulimbikitsidwa:

tengani antihistamines
pamaso pa matenda a fungal, gwiritsani ntchito mafuta apadera, mafuta, ma suppositories, mapiritsi,
Chotsani mkwiyo wa mucosa ndi mankhwala a zitsamba.

Kutengera mtundu wa matenda, dokotalayo amapereka mankhwala oyenera.

Zophikira zonse zomwe odwala matenda ashuga asankha kugwiritsa ntchito ayenera kukambirana ndi dokotala. Mutha kuchotsa kuyanika pakhungu ndi kusamba pogwiritsa ntchito mankhwala azitsamba, ma compress, ma tinctures:

Chotengera cha antipruritic cha zitsamba chimakonzedwa motere: chamomile, marigold, chingwe, tchire amasakanikirana chimodzimodzi. 1 chikho cha phytobox chomwe chimatsanuliridwa chimatsanulidwa mu 500 ml ya madzi otentha ndikuloledwa kuyimirira kwa theka la ola. Pambuyo pang'onopang'ono, onjezerani madzi osamba. Njira ya chithandizo ndi masiku 10 tsiku lililonse,
supuni yayikulu ya wowuma chimanga sitimadzipereka mu 0,5 makapu a madzi owiritsa. Potsatira njira yothetsera vutoli, minofuyo imanyowa ndikuigwiritsa ntchito kumalo osokonekera. Pulogalamuyo imakhazikika ndi bandeji ndikuchotsedwa pambuyo maola 8-10,
masamba osankhidwa ndi mabuluni. 1 spoonful wamkulu wa phyto-zosaphika amatsanulira ndi kapu ya madzi otentha. Kuumirira ola limodzi ndi kumwa katatu patsiku,
kutsanulira supuni yayikulu ya maluwa a linden 200 ml ya madzi otentha ndikumatenga theka chikho tsiku lililonse kwa masabata atatu,
supuni yayikulu ya mandimu imalemedwa mu 400 ml ya madzi otentha. Kuumirira theka la ola, zosefera ndi kutenga kanayi pa tsiku kwa ½ chikho 3-4 milungu.

Chithandizo cha anthu sichichiritsa matendawa, koma tithandizirani kuchotsa ziwonetsero zake.

Pofuna kupewa kuyimitsidwa kwa thupi, odwala amalimbikitsidwa kuchita njira zingapo zodzitetezera:

kumwa Jerusalem artichoke madzi, matenda a glycosylating zinthu m'magazi - Yerusalemu atitchoku ndi matenda a shuga,
Pewani kulumikizana ndi zinthu zaukhondo. Amayi azigwiritsa ntchito zodzikongoletsera za hypoallergenic, sopo, shampoos,
lekani kusinthana-endocrine kusakondera,
yang'anirani kuyera ndi kuwuma kwa thupi, zovala zamkati, nsapato.

Ngati kuyanika kwakanthawi kukuwonekera, wovutayo ayenera kufunsa chithandizo kuchipatala. Katswiri wodziwa bwino adzayambitsa zomwe zimayambitsa vutoli ndikupereka njira yokwanira yothandizira.Mu shuga mellitus, mankhwala omwe mumadzipaka nokha amadzaza ndimavuto akulu, chifukwa ngakhale zitsamba zosavulaza kwambiri zikagwiritsidwa pakamwa zimatha kusokoneza kapangidwe ka magazi.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti mapiritsi ndi insulin ndi njira yokhayo yoyeserera shuga kuwongolera? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Matenda a matenda ashuga: bwanji kuyamwa kumachitika ndi matenda ashuga komanso momwe mungapewere?

Khungu loyenda ndi zotupa limawonedwa nthawi ndi nthawi mwa anthu ambiri, makamaka iwo omwe amakonda chifuwa, omwe ali ndi mbiri yodwala matenda am'mimba.

Ndi anthu ochepa omwe amaganiza kuti kusapeza bwino kumatha kukhala chizindikiro cha matenda oopsa - matenda ashuga.

Amatchulidwa makamaka usiku. Ndikofunikira kuzindikira koyambirira, kuyabwa kumachitika mu matenda ashuga kapena matenda ena, popeza kupambana kwa chithandizo kumatengera izi.

Kuphwanya kagayidwe kazakudya ndi kuwonjezeka kwaminyewa ya m'magazi kumapangitsa kuti pang'onopang'ono kuchotsa zinthu zapoizoni m'thupi. Angiopathy amayamba, ziwiya zazing'ono ndi zazing'ono zimatsekeka. Khungu limakhudzana ndi izi ndikuwonongeka kwa chinyezi, zomwe zimapangitsa kutsekeka kwa khungu ndi kuyamwa.

Odwala omwe amadalira insulin, kuwonjezeka kwa shuga m'magazi, matuza olira ndi zotupa pakhungu, zomwe zimayambitsa kusokonezeka kwakukulu.

Amayamwa, odwala amaphatikiza.

Pankhaniyi, matenda a mabala amapezeka, omwe ndi matenda amtundu wachiwiri samachira. Zomwe zikuchitika pamenepa zimafunika njira zokhazokha zothetsera shuga wama plasma. Ads-mob-1

Matenda a matenda a mano amapezeka m'boma la prediabetes.

Khungu lowuma, kukakala ndi chizindikiro cha matenda omwe amabweretsa, omwe ambiri amatenga kuti ndi wamba. Odwala amazindikira kuti matenda akhungu ndilovuta kuchiza. Anthu ena amazindikira kuti tsitsi limakhala lophwanyika, misomali imalumikizidwa.

Odwala amakonda seborrhea. Ndizolowera tsitsi ndi misomali zomwe zimafunikira michere kuti zikule, ndipo zimadumphira m'magazi a magazi ndikusokoneza njirayi. Odwala amatha kuwona mbali pang'ono.

Ubwenzi wamabala amkhungu ndi shuga wamagazi ambiri

Mwa zina mwa matenda ofala kwambiri pakhungu omwe amadziwika ndi odwala omwe ali ndi matenda ashuga, neurodermatitis amadziwika. Zizindikiro zake zazikulu ndikulowerera kosalekeza komanso mavuto pakugwira ntchito kwa dongosolo lamanjenje.

Shuga wambiri ndi zovuta zomwe zimakhudzana ndi izi zimakhudza zigawo zonse za khungu: thukuta thukuta, khungu, dermis. Mu shuga, kuthamanga kwa magazi m'matumbo kumasokonezeka, chitetezo chamthupi chimafooka. Zonsezi zimaphwanya khungu, ndipo kuyimitsa kosaloledwa kumabweretsa mawonekedwe a zilonda, mabala oyera.

Zopweteka pakhungu la shuga zimagawika m'mitundu:

choyambirira. Zotsatira za angiopathy. Izi zimaphatikizapo matuza a matenda ashuga ndi xanthomatosis, dermopathy,
sekondale. Amawoneka chifukwa cha kupezeka kwa chotupa mu chiwonetsero cha lesion (pyoderma) kapena kuwonjezeranso matenda oyamba ndi fungus (candidiasis).

Kulakalaka kwa matenda ashuga kumatha kuchitika m'malo osiyanasiyana. Mwa zina, zimasanjidwa m'dera limodzi, pomwe zina zimachitika thupi lonse.

Miyendo ndi kufooka kwa matenda ashuga. Khungu pa iwo nthawi zambiri limayamwa ndi peels.

Zodabwitsazi zimadutsa zala zakumiyendo, inguinal zone ndi mawondo. Makupuni amawonekera kumapazi ndi m'manja. Pathology imayamba kupindika bondo, kumbuyo.

Khungu pamiyendo limatembenuka, kufiyira. Zizindikiro zake zimakhala kwambiri usiku. Odwala amakhala osakwiya pamene akuvutika ndi kusowa tulo.ads-mob-2

Odwala ambiri amafotokoza kuyabwa kwambiri kumaliseche. Amayi amadandaula zauma pakuuma, amuna - kusenda.

Mukaphatikiza, zotupa zimayamba, kutupa, kutupa. Odwala amamva kupweteka kwambiri m'dera loyandikira.

Ngati simukusamalira ukhondo wa kumaliseche, candidiasis imachitika. Amayi amakhala ndi fungo losakanikirana ndi kumaliseche.Ngati papillomas mawonekedwe, herpes alowa nawo matendawo.

Kuwona koyaka m'maso kumachitika chifukwa chakuti thupi limasowa chinyezi chachilengedwe.

Kusamala kwamadzi kumasokonekera. Zonsezi zimasokoneza ntchito ya thupi. Odwala amadandaula za kuchepa kowoneka bwino. Kulephera kwa katulutsidwe wamafuta kumabweretsa kuchepa kwa ntchito yoteteza maso kuti asachoke.

Ndi matenda ashuga, odwala ena amakumana ndi kuyabwa kwambiri ngati nkhanambo, ngati kuti tizirombo timakwawa pansi pakhungu.

Nthawi yomweyo, amaphatikiza dermis, imasweka.

Staphylococci ndi streptococci zimalowa m'malo owonongeka, purulent foci amawonekera.

Ngati munthu wapezeka ndi matenda a matenda ashuga, choyambirira chokhala ndi vuto la khungu ndikutanthauza kusintha kagayidwe kake ka metabolism.ads-mob-1

Chithandizo chachikulu chiyenera kukhala chotsitsa shuga m'magazi. Kuti muchepetse kuwonetsa kosasangalatsa, dokotalayo amapereka mankhwala othandizira, maantibayotiki momwe amapangira mafuta ndi ma gels.

Chithandizo chimatengera malo omwe kuyimitsidwa ndi zomwe zikuwoneka:

mafuta ozikidwa pa prednisolone amathandizira kupewa kuphatikizana kwa perineum ndi genitalia: Laticort, Lokoid,
Mycoseptin, Lamisil, Pimafucin (mu perineum), Clotrimazole, apirira mavuto a fungus,
pus ikawoneka, mankhwala opha maantibayotiki ndi mafuta okhala ndi antihistamine amagwiritsidwa ntchito: Gistan (m'malo oyandikira), Epidel, Triderm, Skin-cap.

Zakudya zozikidwa pa corticosteroids zimalepheretsa kuphatikiza ndi neurodermatitis, eczema.

Njira zopewera zovuta za pakhungu ndi monga:

kugwiritsa ntchito magetsi
kuvala zovala zopangidwa ndi nsalu zachilengedwe,
zakudya zabwino
chithandizo cha panthawi yake kuti muchepetse shuga,
Pewani kuwala kwa dzuwa.

Kuphatikiza zakudya ndi njira yofunika kwambiri pothandizira matenda a pakhungu.

Kuyambira zakudya ayenera kuchotsedwa kwathunthu zakudya zamafuta ambiri komanso chakudya.

Kutsatira malamulowa kudzasintha kwambiri khungu la odwala matenda ashuga.

Zosankha zake zikuphatikiza udzu winawake, sorelo ndi zipatso zosiyanasiyana: gooseberries, aronia, cranberries. Ndikofunikira kudziwa mawonekedwe a thupi komanso kupatula zinthu zomwe zimathandizira kulimbikitsa allergies.ads-mob-2

Maphikidwe otsatirawa angagwiritsidwe ntchito ngati chithandizo chothandiza:

mafuta ambiri okhala ndi msuzi, chamomile,
kulowetsedwa,
decoction kuchokera kumizu ya elcampane,
kulowetsedwa kwa mbewu za rye.

Ma compress amathandizanso chidwi; ma infusions angagwiritsidwe ntchito kupukuta maliseche. Komanso, timadzi tokhathamira tatsopano tomwe timayamwa ndi apulo ndi mbatata timagwiritsa ntchito izi. Musanagone, mutha kusamba ndi kulowetsedwa kwa nettle.

Zokhudza khungu loyipa lomwe limayambitsa matenda a shuga mu kanema:

Zomwe zimayambitsa zovuta zamkati ndi kuwonjezeka kwa shuga wamagazi ndizotseka kwamitsempha yamagazi ndikuvuta kuthetsa poizoni m'thupi. Khungu loyenda bwino lomwe limayambitsa matenda ashuga limayambitsa mabala omwe ali ndi kachilombo omwe ndizovuta kuchiza. Odwala amaphatikiza dermis usiku, kudzipweteka.

Dokotala, kutengera nthawi yamatendawa, azikupangirani mankhwala opaka mankhwalawa, kapena mankhwala okhala ndi mankhwala opha antibayotiki. Njira izi zimapereka zotsatira zabwino mukamatsata zakudya zamafuta ochepa ndikukhalanso ndi shuga wa plasma.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Potemkin, V.V. Zadzidzidzi muchipatala cha endocrine matenda / V.V. Potemkin. - M: Mankhwala, 1984. - 160 p.
Pervushina, E.V. Matenda a shuga ndi kupewa kwake. Endocrine system / E.V. Pervushina. - M: Amphora, 2013 .-- 913 p.
Briscoe Paul Matenda A shuga. Mafunso ndi mayankho (kumasulira kuchokera ku Chingerezi). Moscow, Kron-Press Publishing House, 1997, masamba 201, kufalitsidwa kwa makope 10,000.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito.Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Matenda a pakhungu la matenda ashuga

Kusamalira khungu ndikofunikira kwambiri kwa anthu odwala matenda ashuga. Khungu la matenda ashuga nthawi zambiri limakhala ndi matenda ophatikizana omwe amadwala kwambiri odwala matenda ashuga. Popeza matenda ashuga amakhudza kuthamanga kwa magazi komanso amachepetsa kumva kwamitsempha, izi zimapangitsa kuti zikhale zovuta kudziwa zovuta zomwe zikupezeka pakhungu.

Dongosolo la matenda ashuga limatanthawuza kuti zotupa pakhungu la shuga sizinafotokozeredwe kapena sizikhala pamalo pomwe zingayambitse matenda.

Chifukwa chiyani matenda ashuga amakonda kwambiri khungu?

Anthu omwe ali ndi matenda ashuga nthawi zambiri amawonongeka ndi madzi am'magazi chifukwa cha kuchuluka kwa magazi m'magazi, omwe amatha kupweteka khungu pamiyendo, m'mbali, kumapazi, ndi mbali zina za thupi.

Khungu lowuma limatha kusweka, ndipo ma virus omwe angayambitse matenda amatha kulowa m'malo omwe akukhudzidwa, zomwe zikutanthauza kuti kusamalira khungu la odwala matenda ashuga ndi vuto lalikulu.

Mavuto ang'onoang'ono osamalira khungu amatha kusokonezeka kwambiri ndi matenda ashuga, monga zilonda zam'mimba za shuga, zomwe zimatha kuduladula. Khungu la anthu odwala matenda ashuga liyenera kusamalidwa bwino ndipo liyenera kukhala lofunika kwambiri kupewa anthu omwe ali ndi matenda ashuga.

Lipoid necrobiosis

Lipoid necrobiosis amakhudza mwendo wapansi ndipo amapezeka ndi matenda a shuga pang'onopang'ono. Awa ndi malo okhazikika omwe amatha kusiyanasiyana ndi chikaso mpaka utoto.

Khungu la matenda ashuga m'derali limatha kuwonda komanso kupweteka. Necrobiosis ikachiritsidwa, matendawa amatha kusiya bala la bulauni. Zomwe zimayambitsa lipoid necrobiosis sizikudziwika, koma zimakhudza anthu ambiri omwe ali ndi matenda ashuga 1.

Monga tanena kale, lipoid necrobiosis nthawi zambiri imawoneka pamiyendo, kawiri konse, koma imawonekeranso m'manja, mikono, ndi thunthu la wodwala matenda ashuga.

Zomwe zimayambitsa lipoid necrobiosis sizikudziwika ndipo, ngakhale kuti matendawa amatha kupezeka motsutsana ndi kumbuyo kwa kuvulala pang'ono, kupweteka kapena kupweteka, mu shuga mellitus imatha kuoneka popanda chifukwa.

Pafupifupi theka la anthu onse omwe akhudzidwa ndi lipoid necrobiosis ndi matenda amtundu 1, ngakhale kuchuluka kwa anthu omwe akhudzidwa ndi khungu ali ocheperako 1%.

Njira yabwino yopeweretsera lepid necrobiosis ndikusamalira khungu lanu moyenerera. Khungu la matenda ashuga liyenera kuthandizidwa ndi moisturizer, gwiritsani ntchito sopo wosalowerera ndikuwuma bwino khungu mutatsuka.

Ngati mwapeza kale lipoid necrobiosis, chinthu chabwino kuchita ndikufunsidwa ndi dokotala. Tetezani dera lomwe lakhudzidwalo, khonzani khungu lanu, laukhondo komanso labwino - izi zingathandize kuchepetsa cholid necrobiosis mu shuga.

Nthawi zina, mutha kugwiritsa ntchito zodzoladzola kubisala ngati mukumva manyazi, koma zodzikongoletsera zimatha kuyambitsa lipoid necrobiosis. Ndikofunika kukambirana ndi dokotala musanayambe kuchita chiwembu.

Lipohypertrophy

Lipohypertrophy ndi matenda apakhungu omwe amakhudza odwala matenda ashuga omwe amadalira insulin. Amadziwika ndi mndandanda wamafuta angapo pakhungu omwe amawoneka ngati ma jakisoni angapo a insulin aperekedwa pakadali pano. Lipohypertrophy imasokoneza kuyamwa kwa insulin

Lipohypertrophy mu shuga imatha kupewedwa mosavuta ndikusintha pafupipafupi kwa malo a jakisoni, kutikita minofu ndi physiotherapy.

Black acanthosis

Vutoli limakhala lodziwika bwino ndipo limadziwonetsera ngati khungu lakuda m'malo ena a khungu komwe khungu limasokonekera. Iyi nthawi zambiri imakhala khosi, nkondo, mafinya ndi mafupa a manja ndi miyendo. Khungu limatha kukulira komanso kukulira.

Black acanthosis mu shuga amakhulupirira kuti ndi mawonekedwe owonetsera kukana insulin.

Malangizo a Kusamalira Matenda a shuga

Kusamalira khungu kwa anthu odwala matenda ashuga sikosiyana kwenikweni ndi zomwe zimafunikira kwa anthu omwe alibe shuga. Komabe, maupangiri owonjezera osamalira khungu angathandize kuonetsetsa ndikusunga khungu labwino la matenda ashuga. Gwiritsani ntchito sopo wofatsa, wosatenga mbali ndikuwonetsetsa kuti mwayamba kusamba. Ntchito yofuna kupukuta ingaphatikizepo kukonzanso khungu pakatikati pa zala, pansi pazingwe, ndi kwina komwe madzi obisika angabisike. Gwiritsani ntchito mafuta odzola omwe amathandiza kuti khungu lanu lizikhala lofewa komanso lonyowa. Mtundu wa zonona umapezeka kwambiri ndipo ndizofunikira kwambiri pakusamalira khungu. Limbitsani thupi lanu pakumwa madzi ambiri - izi zitha kuthandiza khungu lanu kukhala lonyowa komanso lathanzi. Valani zovala zamkati zofewa zochokera ku thonje la 100% - izi zimakupatsani mwayi kuti mpweya wanu uzikhala ndi mpweya. Yesani kuvala masokosi apadera ndi nsapato, makamaka ngati muli ndi neuropathy ndipo mukuda nkhawa ndi chisamaliro cha khungu la kumapazi. Samalani malo alionse owuma kapena ofiira pakhungu lomwe lili ndi matenda ashuga, ndipo pitani kwa dokotala, chifukwa kuzengereza kungakutayireni ndalama zambiri.

Mukanyalanyaza khungu louma, losakhazikika la matenda ashuga ngakhale kwakanthawi kochepa, kumatha kubweretsa matenda omwe atha kusintha kwambiri kukhala zovuta.

Khungu limafunikira kudyetsedwa

Khungu, komanso mkhalidwe wa ziwalo zonse, zimakhudzidwa kwambiri ndi zomwe mumadya. Palibe zodzoladzola zomwe zingakhudze khungu lanu monga zakudya. Mavitamini A ndi C ndiothandiza kwambiri pakhungu. Vitamini A amathandizira chitetezo cha mthupi, amathandizanso kuchiritsa mabala komanso amalepheretsa kukalamba msanga.

Chifukwa chake, Vitamini C imatha kupewa kukalamba msanga pakhungu, ndikofunikira pa thanzi lake komanso imakhala ndi antibacterial. Zinc mineral ndi yabwino kwa khungu: imalimbikitsa machiritso ndikuwonjezera kukana kwa matenda.

Thupi lathu limatulutsa mafuta achilengedwe, sebum, amene amasintha khungu lake ndikupanga cholepheretsa kupewa majeremusi akunja owopsa. Pambuyo pa zaka 30, sebum imapangidwa mocheperako, zomwe zimapangitsa khungu lathu kukhala lofooka komanso kuwonda kwa zoteteza kumachitika.

Ngakhale kuti khungu limayamba kusokonekera ndi zaka, limatha kuuma pazaka zilizonse. Kafukufuku waposachedwa awonetsa kuti pafupifupi 39% ya anthu ku UK amadandaula za khungu louma, pomwe 22% yawo amakhala ndi eczema kapena chifuwa. Koma kusamalidwa koyenera ndi hydration kumathandizira kuchiritsa khungu.

Khungu lowuma

Anthu omwe ali ndi matenda ashuga amakonda kwambiri zovuta za pakhungu. Chifukwa chachikulu ndikusinthasintha kwa shuga m'magazi. Ndi njira yabwino yotsatsira shuga wamagazi, anthu omwe ali ndi matenda ashuga amakhala ndi mavuto ochepa pakhungu. Ndi shuga wambiri, thupi limataya madzimadzi ambiri, zomwe zikutanthauza kuti khungu limakhalanso ndi madzi, ndikupangitsa khungu lanu kukhala louma.

Ndipo ngati muli ndi shuga wambiri, ndiye kuti thupi lanu limatha kuthana ndi matenda chifukwa chake machiritso amayamba pang'onopang'ono. Izi zitha kuwonjezera ngozi ya khungu, zithupsa ndi ziphuphu zitha kuoneka pakhungu, kuchiritsa kwake komwe kumatenga nthawi yayitali.

Anthu omwe ali ndi matenda a shuga omwe ali ndi zotumphukira zotupa amakhala ndi thukuta lakuchepa, makamaka lam'munsi, pomwe nkhope, khosi ndi thupi lakumaso limatulutsa kwambiri.

Kutupa kwa chala

Zala zanu zimatha kutentha chifukwa chakuti mukayeza shuga, mumawabaya, makamaka ngati muboola chala. Yesani kuboola zala zanu kuchokera kumbali, pang'onopang'ono kuzisintha.

Muli ndi khumi mwa iwo - agwiritse ntchito.Ngati zala zanu zikuyatsidwa, muyenera kuwunika kuti muwone ngati singano ikuboola chala chanu kwambiri. Ngati manja anu ndi zala zanu ziuma ndipo peeled, moisturing ingakuthandizeni.

Vutoli limayenderana ndi matenda ashuga, necrobiosis imachitika chifukwa cha kusintha kwa maselo amkhungu omwe amakhudzana ndi kudutsa kwa magazi kudzera ma capillaries. Mawonekedwe a necrobiosis ndi kutupa, ziphuphu (mawanga). Zonsezi zimatha kupweteka komanso kuyabwa. Ndi zizindikiro zotere, muyenera kufunsa dokotala nthawi yomweyo.

Matenda a shuga amatha kuyambitsa magazi osayenda bwino. Kusuta kumathandizira kugonjetsedwa ndikuphwanya kuchuluka kwa ma capillaries ndikuthandizira kukulira kwa zisokonezo m'magazi awo, chifukwa chomwe kudula ndi kutupa kumachiritsa pang'onopang'ono, komanso kusuta kumalepheretsa kuphatikizika kwa oxygen ndi michere m'magazi.

Ngakhale popanda matenda a shuga, kusuta kokha kumayambitsa mavuto a khungu, monga khungu louma lomwe limakhudza khungu kuzungulira maso. Ngati simungathe kusiya kusuta, yesetsani kuchepetsa kuchuluka kwa ndudu zomwe mumasuta.

Ngati mukufuna kusintha khungu lanu, ndiye kuti chinthu chabwino kwambiri ndicho kusiya kusuta.

Zotsatira za insulin

Chiwopsezo cha insulin ndi chosowa kwambiri. Ngati zikuwoneka kuti mtundu wina wa insulini umayambitsa mavuto ambiri mwa inu, ndiye kuti izi ndizotheka kwambiri chifukwa cha zowonjezera zomwe opanga amapanga kuposa momwe amapangira insulin yomwe. Chifukwa chake musachite mantha.

Kubetcha kwanu kwabwino ndikusintha mtundu wanu wa insulin mutakambirana ndi endocrinologist wanu woyamba. Onaninso momwe mukuchitira jakisoni, ngati singano singalowe pansi pakhungu, izi zitha kuyambitsa mkwiyo, ndipo kulowa mkati mwakuya kwambiri kumatha kusiya vuto.

Anthu odwala matenda a shuga amadziwa bwino kuti mapazi awo amafunikira chisamaliro. Mwazi wamagazi ambiri umapangitsa kuwonongeka kwamitsempha ndi miyendo. Ngati mathero anu a mitsempha awonongeka, ndiye kuti pamalo omwe awonongeka samva kupweteka, kutentha, kuzizira.

Zonsezi ndi zizindikiro za matenda a shuga. Mwazi wambiri umasokoneza kayendedwe ka magazi, kupewa magazi kupita m'miyendo ndi kumapazi. Zotsatira zake, kutupa ndi mabala kumachiritsa kwa nthawi yayitali. Miyendo yanu imafunikira chisamaliro mosamala, ngakhale ngati kuvulala kwamiyendo pang'ono mu shuga kungayambitse kudulidwa.

Zilonda zimatha kuwuka ngakhale kuvala nsapato zosamasuka. Ngati kuwonongeka kwa mitsempha kulipo kale, ndiye kuti mwina simungamve kuoneka ngati chilonda, ndiye kuti chiopsezo cha matenda chikuwonjezerekanso. Kuchepetsa magazi m'thupi kumathandizanso kuti chitetezo cha m'thupi chizitha kulimbana ndi matenda. Ngati muli ndi zilonda, ndiye kuti muyenera kupita kwa dokotala nthawi yomweyo, chifukwa zilonda zake zimatha kukula msanga.

Komanso, chilonda chimatha kupangika pansi pa khungu lakufa, motero muyenera kupita kukaonana ndi dokotala pafupipafupi (m'maofesi a Diabetesic Foot), yemwe amayang'anitsitsa momwe miyendo yanu imachotsera ndikutulutsa zigawo za khungu lakufa.

Mabala ndi mabala

M'malo mwake, simuyenera kukhulupirira kuti ngati muli ndi matenda ashuga komanso mumadzidula, ndiye kuti bala lanu limachira kwanthawi yayitali. Ngati mumayendetsa shuga m'magazi anu, ndiye kuti mabala anu ndi zipsera sizichira nthawi yayitali kuposa anthu opanda shuga. Komabe, chilondacho chikuyenera kuchiritsidwa nthawi yomweyo.

Sambani kudula ndi madzi ndi sopo, yometsani mosamala ndikutsuka. Ngati bala lanu likukuvutitsani, pitani kuchipatala.

yang'anirani kuchuluka kwa shuga m'magazi anu (4-7 mmol / l, kuchuluka mpaka 10 kwakanthawi mutatha kudya) kumwa madzi ambiri kuti muthe kunyowetsa khungu lanu kuchokera mkati. kusamba ndikusamba m'madzi ofunda, monga madzi otentha ayaka khungu. Komanso musayese kusamba kofinya ndipo musapukute khungu ndi sopo kwambiri, chifukwa izi zimathandizanso kuti mafuta azitayika ndi zigawo zikuluzikulu za khungu, zomwe zimabweretsa kutsekeka kwa khungu.pukuta mokwanira mukasamba kapena kusamba ndikuwona ngati muli ndi khungu locheperako kapena kufinya pakhungu lanu, chifukwa amafunikira mwachangu. kuvala zovala zamkati za thonje, chifukwa, mosiyana ndi zopangidwa, zimalola mpweya kuti udutse. onani dokotala ngati mukukhudzidwa ndi khungu lanu

Mukasambitsa mapazi anu, onetsetsani kuti madziwo satentha kwambiri, ndikupukuta bwino pakati pakati zala zanu. Yang'anirani phazi lanu tsiku ndi tsiku chifukwa cha kutupa, kufiyira, matuza, mafinya, ndi zina zambiri. ngati mapazi anu ali ndi khungu louma, gwiritsani ntchito mitundu yosiyanasiyana yolaza kapena kirimu wowonda, koma osawapaka pakati pazala zanu, chifukwa chinyezi chambiri chimatha kubweretsanso matenda. Palibe vuto musayese kuthana ndi mafupa ndi mafayilo wamba, muwonetseni kwa dokotala. ngati muli ndi matenda ashuga, yang'anirani miyendo yanu mosamala momwe mumayang'anira shuga wanu wamagazi.

Mafunso kwa adotolo

Vuto lotsatirali ndikudetsa nkhawa: pafupifupi miyezi isanu ndi umodzi yapitayo, totupa idayamba kumaso: woyamba patsaya (ndipo pazifukwa zina kumanzere), kenako pamphumi. Chithandizo cha dermatologist sichinathandize, mwina ndi vuto lachilendo, mwachitsanzo, matenda ashuga?

Zingakhale choncho. Zoonadi, ndi matenda a shuga, glucose amadziunjikira choyamba m'magazi, kenako amawonjezera kupezeka kwamitsempha ndikulowa mu minofu, kudziunjikira pamenepo ndikukumana ndi zovuta. Kusintha kumeneku kumagwira ntchito m'thupi lonse, kuphatikizapo khungu.

Chifukwa chake, muyenera kuchita kafukufuku wofulumira wama glucose am'magazi (kuchokera kumunwe kapena kuchokera mu mtsempha), komanso kafukufuku wamagazi atatha kuthamanga kwa 75 g shuga - mayeso a kulolera shuga. Kuti muchite maphunziro awa, muyenera kudya mwachizolowezi, ndiye kuti, osadya, masiku atatu.

Phunzirolo lisanachitike, lomwe limachitika m'mawa kwambiri pamimba yopanda kanthu, muyenera kusala kudya kwa maola 10 mpaka 14. Mutha kumwa madzi oyera, koma simungathe kudya kalikonse, kuphatikiza kutsuka mano anu ndi phala lomwe lili ndi shuga. Ndi zotsatira za kafukufukuyu, muyenera kulumikizana ndi endocrinologist yemwe amayesa zotsatira ndikusankha njira zina zowunikira ndi kulandira chithandizo.

Ndili ndi matenda ashuga a mtundu woyamba. Ndikudziwa kuti matendawa ndi oyipa ndipo thupi lonse limavutika. Chifukwa chake, ndimayesetsa kutsatira kadyedwe ndikutsatira malingaliro onse a dokotala. Posachedwa, ndidazindikira kuti khungu lidayuma pang'ono. Chonde ndiuzeni momwe ndingamusamalire moyenera kuti akhale wathanzi?

Ndi matenda a shuga, mitundu yonse ya kagayidwe kachakudya imavutika, makamaka chakudya. Kuphwanya malamulo kotereku sikungakhudze thanzi lakhungu - limakhala louma, lotaya, limakonda kutuluka pafupipafupi, monga furunculosis ndi matenda oyamba ndi fungus.

Kuphatikiza apo, khungu lowuma komanso loonda limavulala mosavuta, ndipo kuvulala komwe kulipo kumachiritsa pang'onopang'ono ndipo kumatenga mosavuta. Zomwe zimayambitsa kutupa ndizovuta kuchiza, zimasinthasintha kukhala mawonekedwe osakhazikika, ndipo nthawi zambiri zimakhala zovuta.

Chifukwa chake, chisamaliro cha khungu kwa odwala matenda ashuga ndizofunikira kwambiri - yesetsani kutsatira malamulo omwe ali pansipa ndikuwopseza kukulitsa zithupsa zosiyanasiyana, ma abscesses ndi zina, kuchepetsedwa kwambiri.

Chifukwa chake, yesetsani kuti musagwiritse ntchito sopo (chifukwa zimangowonjezera kuyanika) kuchimbudzi chanu chatsiku ndi tsiku (pochapa, posamba) kapena kugwiritsa ntchito zimbudzi zandale. Chochapacho chizikhala chofewa kukhudza khungu kuti chisawononge khungu.

Pazimbudzi zapamtima, sankhani zothira mafuta apadera zokhala ndi acidity yoyenera, popeza ndiwachilengedwe m'derali ndipo sakhala ndi chouma kapena chopweteka.

Mitsempha ya pakamwa imafunikanso kusamala mosamala: osalola ma microdamage kupita ku nembanemba ya mucous, kumbukirani kuti ngakhale microtrauma yopanda vuto imakhala ndi mwayi wosintha kukhala yotupa yayikulu.Kenako, sambani mano anu kawiri patsiku ndikuchezera mano anu pafupipafupi.

Yenderani khungu tsiku ndi tsiku, makamaka khungu la mapazi. Samalani zomwe zikuwoneka kuti ndi zaukhondo posamalira: musadule, musafupikitse ngodya, makamaka gwiritsani ntchito mafayilo amisomali m'malo lumo.

Mukamasankha zovala ndi nsapato, perekani zokonda pazinthu zopangidwa ndi nsalu zachilengedwe. Samalani nsapato zapadera - ziyenera kukuyenererani bwino (musakakamize, musataye).

Zachidziwikire, kuwonjezera pa chisamaliro cha khungu loyera, ndikofunikira kwambiri, ndinganene, kofunikira kwambiri ndikowongolera kwamisere yamagazi.
Pitani ku endocrinologist wanu pafupipafupi ndikutsatira malangizo ake onse okhudzana ndi mankhwala ndi zakudya. Zabwino zonse!

Moni Mawonekedwe ofiira adawoneka pamiyendo, ndikumvabe, ndipo usiku miyendo yanga imayamba kupweteka kwambiri. Dokotala, kodi mawanga awa ndi omwe mungawachite bwanji? Ndipo komabe, ndimadwala cholecystitis, gastritis ndi matenda a shuga, mwina izi ndizofunikira.

Masana abwino, Sofia! Dziwani zomwe zimayambitsa mawonekedwe a mawanga ndizotheka pokhapokha mayeso atawonekera. Ndikupangira kuti mupite posachedwa kukaonana ndi katswiri, chifukwa ndizotheka kuti mwapanga zovuta za polyneuropathy motsutsana ndi maziko a matenda osokoneza bongo.

Zomwe zimayambitsa kupezeka kwake zimaphatikizanso glycemia (kuchuluka kwa shuga m'magazi), "zochitika" za matenda ashuga, kupezeka kwa zina zomwe zimayambitsa matenda m'thupi (kunenepa kwambiri), komanso kuchitira nkhanza zizolowezi zoledzeretsa (mowa, nikotini).

Matendawa, minyewa yam'mitsempha imakhudzidwa, yomwe imawonetsedwa ndikusunthika m'mphepete, ululu, womwe nthawi zambiri umakulitsidwa usiku, dzanzi ndikusazindikira, kumva kuzizira komanso kuzizira kumapeto, kutupa kwa miyendo, komanso kusintha kwa khungu - kuuma, kupendama, kufiira kwamkamwa. Mapangidwe a m'mafupa ndi mabala otseguka.

Kuzindikira komaliza kumatha kupangidwa ndi katswiri wa mitsempha patatha njira zingapo zowonjezera zakufufuzira (mayeso osiyanasiyana amitsempha ndi mayeso ogwira ntchito kuti adziwe mitundu yonse ya zomverera - tactile, kutentha ndi kupweteka). Chifukwa chake, musazengereze kupita kwa dokotala, kumbukirani kuti mwayi wokhala ndi zotsatira zabwino ndiwofanana mwachindunji ndi nthawi yomwe mankhwalawa adayamba.

Mankhwalawa ndi amodzi ndipo amakhala ndi:

kusintha kwa matenda a shuga m'magazi, kudya ndi kuthetsa zizolowezi zoyipa (nikotini, mowa), kuchuluka kovomerezeka kwamphamvu zolimbitsa thupi, kudya alpha-lipoic acid, mavitamini ndi ma antioxidants, ngati kuli kotheka, ma pinkiller, kuchotsa kwa kugundana kwa miyendo, mankhwala a zilonda zam'mapazi. ndi chithandizo cha matenda othandizira, musaphonye kukula kwa matenda monga mafupa, prophylactically amatenga mavitamini ndi mchere, komanso onetsetsani kuti nsapato zanu sizinali zolimba o ndi omasuka.

Kumbukirani kuti mawu achikhalidwe omwe maselo amitsempha samachira, mwatsoka, ndiye zoona zenizeni, chifukwa chake khalani ndi chidwi kwambiri pakuwazindikira matendawa.

Khungu langa likuyang'ana mozungulira thupi langa lonse, ndikukayikira kuti mwina chifukwa cha matenda ashuga, tingatani kuti tipewe mavuto?

Masana abwino, Eugene! Mukudziwa zoona, matenda ashuga angachititsenso kuyabwa kwakukulu. Chowonadi ndi chakuti ndi shuga mitundu yonse ya kagayidwe imavutika, makamaka chakudya, lipid (mafuta). Izi mwachilengedwe zimakhudza mkhalidwe wa pakhungu, chifukwa chakudya chake pakadali pano chikukula kwambiri.

Khungu limakhala louma, limatayika, pali kuyabwa kowawa. Ndikuboweka uku komwe nthawi zina kumakhala chizindikiro choyambirira cha matenda ashuga.Kuphatikiza kwamtundu wamatenda amtundu wa khungu (mwachitsanzo, nthawi zambiri osawonetsedwa ndi kuyabwa kwambiri) ndi matenda ashuga (kuwonjezera kuyungunuka) ndikothekanso.

Mulimonsemo, muyenera kupita ku endocrinologist kukayezetsa - kudziwa kukula kwa glucose komanso mutatha kutenga 75 g ya shuga (mayeso a glucose kulolerana - GTT). Ndikofunikanso kukaonana ndi dermatologist kuti musaphonye imodzi yamatenda ambiri apakhungu. Pambuyo pa kufufuza, akatswiriwo adzakupatsani malingaliro onse ofunikira omwe amafanana ndi kuzindikira komwe kwakhazikitsidwa. Osazengereza kuchezera madokotala!

Ndiuzeni, chonde, komwe ndikakumana ndi adotolo uti. Chowonadi ndi chakuti ndimakhala ndi bowa ndekha, pakati pa zala ndi misomali - ndimathandizidwa, ndimayeseza, ndimakonda kusambira komweko, koma zimangothandiza kwakanthawi kochepa. Ndipo posachedwa, khungu pakhungu lonse lakhala louma ndipo limagwira zonse. Kodi mwina mafangayi afalikira kale khungu lonse? Zikomo

Masana abwino, Irina! Mkhalidwe wanu wapano umafunika kufufuza kozama ndikusanthula kwathunthu. Ndipo ndiyenera kuyamba, modabwitsa, osati ndi dermatologist, koma choyambirira muyenera kupita ku endocrinologist.

Nthawi zambiri kubwereza matenda obwera ndi mafinya, kumverera kwa khungu louma ndikusinthasintha kosatha kungakhale zizindikilo zoyambirira za matenda monga matenda a shuga. Chifukwa chake, musachedwe kuyendera kwa katswiri!

Mwambiri, mayeso otsatirawa adzalembedweratu kuti muyambe ndi: kuyesa magazi ndi mkodzo, shuga ndi magazi, kuyesa kwa shuga, kuyesa kwamatumbo, urinalysis molingana ndi Zimnitsky, komanso kafukufuku wa bacteriological wodzipukula kuchokera m'dera la fungal pakhungu.

Kenako, ngati kuzindikira kwa matenda ashuga kwatsimikiziridwa, chithandizo, choyambirira, chikhala ndi cholinga chofuna kukonza kagayidwe kazachilengedwe. Pambuyo pokhapokha dokotala atakulemberani mankhwala, malinga ndi kafukufuku wa bakiteriya, mankhwala antifungal. Mankhwala a Vitamini komanso kugwiritsa ntchito ma immunostimulants sikuti ndi apamwamba.

Ndipo komabe, yang'anirani njira zodzitetezera: onetsetsani kuti mumavala masokosi kapena matayala, osavala nsapato za wina, kuchezera kusamba, sauna kapena dziwe losambira mosalephera, valani nsapato (mphira, zotsuka).

Mwambiri, ngati mumakonda kuyendera maiwe, malo osambira, masaya, makina owonetsera anthu, ndiye pofunika kuchita njira zodzitetezera - gwiritsani ntchito kirimu antifungal kamodzi. Ndipo komabe, mwa odwala omwe adadwala matenda a mycosis m'mbuyomu, ndikofunikira kuti azichita pang'ono panjira yoletsa kukonzanso mchilimwe (maphunziro a 2-3 a masabata awiri omwe ali ndi masiku 7 pakati pawo).

Posachedwa ndakhala ndikumverera kuti ndilimbitsa khungu, ndipo lakhala louma kwambiri ndipo nthawi zina limayamwa! Sindimagwiritsa ntchito zodzikongoletsera zilizonse, sindinayatsidwa dzuwa ndipo nthawi zambiri ndimayang'anira thanzi langa. Chonde ndiuzeni, nchiyani chomwe chingapangitse khungu louma lotere?

Kapangidwe kake ka khungu louma (xerosis) ndi motere. Amadziwika kuti izi zimagwirizanitsidwa makamaka ndi zinthu ngati izi: kuchepa kwamkati mwa khungu ndikusinthika pafupipafupi kwa gawo la epithelial, lomwe limabweretsa kuphwanya chitetezo cha khungu.

Khungu lowuma siliri matenda odziyimira pawokha, koma amangokhala ngati amodzi mwa zisonyezo zina za matenda. M'malo mwake, pali zifukwa zambiri zomwe zimayambitsa khungu louma.

Nazi zina zazikulu chabe: kusowa kwa mavitamini (A ndi PP), kusokonezeka kwa mahomoni (hypothyroidism), kuledzera kosatha (mowa, mankhwala osokoneza bongo), kusokonezeka kwa metabolic, matenda osachiritsika a thupi (hepatitis, kapamba, cholecystitis, kulephera kwaimpso) matenda azakhungu.

Khungu lowuma limatha kukhala njira imodzi yothandizira achire (peeling, laser resurfacing, dermabrasion).Chifukwa chake, ndichosavuta komanso chosasangalatsa popanda kupenda bwino, sindingadziwe chomwe chimayambitsa khungu lanu.

Ndikofunikira kufunsa dermatologist, endocrinologist, allergist ndi Therapist.

Kuvomerezedwa ndi kuyesedwa kwa magazi kwachipatala, komanso kutsimikiza shuga ndi magazi mkodzo, chifukwa khungu louma komanso loyipa ndi chimodzi mwazizindikiro zoyambirira za matenda ashuga. Musachedwe kupita kwa adotolo! Zabwino zonse!

Dzina langa ndi Oksana, ndili ndi zaka 29. Ndikudwala matenda ashuga amtundu 1 kwa theka la chaka. Anandiika insulin katatu patsiku. Pakapita kanthawi, ndinayamba kumva bwino ndipo ndinayamba jakisoni tsiku lililonse tsiku lililonse kuti ndipange insulin yanga. Chilichonse ndichabwino, koma ndimapeza ziphuphu zambiri ndi zithupsa, ndingatani bwino?

Moni, Oksana! Muli ndi vuto la matenda ashuga - furunculosis, lomwe linayambira motsutsana ndi maziko a kuwonongeka kwa kagayidwe kazakudya. Ndizosavomerezeka kugwiritsa ntchito insulin tsiku lililonse, chifukwa sizithandiza kwenikweni kuti mupange insulin yanu, koma zimabweretsa kusinthasintha kwakukuru m'magazi a glucose tsiku lililonse, omwe ali ndi zovuta zambiri za matenda ashuga ndi furunculosis sikuti ndi zovuta.

Muyenera kulumikizana ndi endocrinologist kuti mupeze ndikuwongolera chithandizo cha matenda ashuga. Komanso, pofuna kupewa matenda a pustular, kumalimbikitsidwanso kumwa mavitamini kwa odwala omwe ali ndi matenda a shuga.

Mawonekedwe a khungu

1. Kodi ndi kangati pamene odwala matenda ashuga amatulutsa zilonda zapakhungu?

Kafukufuku wambiri omwe adafalitsidwa akuti 30-50% ya odwala matenda a shuga amadzayamba zotupa. Komabe, ngati muphatikiza zizindikiro zomwe zafufutidwa, monga kusintha misomali ndi mitsempha yamagazi ndi zotupa za khungu lolumikizana ndi khungu, kufupika kwawo kumafika 100%.

Zilonda zamkhungu nthawi zambiri zimakhalapo kwa odwala omwe ali ndi matenda omwe amadziwika kuti ali ndi matenda a shuga, koma mawonekedwe owoneka pakhungu amathanso kukhala chizindikiro choyambirira cha matenda osadziwika bwino a shuga.

2. Kodi pali zovuta za pakhungu pathognomonic pa matenda ashuga?

Inde Pemphigus mu matenda ashuga (totupa totupa mu shuga, diabetes) bulla mwachindunji matenda ashuga. Pemphigus mu matenda a shuga amatha kupezeka ndi matenda ashuga, makamaka matenda a shuga. Mwachidziwitso, zimawonetsedwa ndi kukhalapo kwa matuza, nthawi zambiri kumapeto kwam'munsi, komwe kumawonekeranso popanda kuvulala kwam'mbuyomu.

Ma pathogenesis a chiwonetserochi sakudziwika, koma kafukufuku wa ma elekitirodi awonetsedwa kuti zimachitika chifukwa cha kusokonekera kwa mapangidwe pamphepete mwa khungu ndi dermis. Mawonekedwe otsalira a khungu amatha kupezeka pafupifupi pamlingo wina wathanzi. Matenda ena a pakhungu, monga lipoid necrobiosis mu shuga, amawonetsa kuyanjana kwambiri ndi matenda ashuga.

3. Kodi zotupa zapakhungu ndizovuta ziti?

Zilonda zapakhungu kwambiri zomwe zimakumana ndi matenda ashuga ndizakakulimbira kwa minyewa, telangiectasia ya kama wamkati, kuwonekera kumaso, zikwangwani za khungu (acrochordones), dermopathy ya shuga, khungu lachikaso, misomaso yachikasu, ndi petechial aimura kumapazi. Zomwe zimakonda kwambiri ndi zotupa za pakhungu monga matenda ashuga lipoid necrobiosis, matenda a shuga oopsa, zotupa za acanthanthane ndi scleredema adutomm.

4. Kodi zisindikizo zala ndi zani?

Zala zam'manja ndizambiri, zamtundu, zazing'ono papapa zomwe zimakonda kugunda zowonjezera zala, makamaka kuzungulira mafupa. Iwo ali asymptomatic kapena ofufutidwa kwambiri pakuwonetsa kwawo. Mbiri yakale, imakhala ndi kuchuluka kwa collagen mu dermal papillae.

5. Kodi acanthosis nigricans ndi chiyani?

Acanthosis nigricans ndi dermatosis mu mawonekedwe a papillomatous (wart-like) khungu hyperplasia. Amakhala ndi mikhalidwe yosiyanasiyana, kuphatikiza matenda a shuga, kunenepa kwambiri, kuchepa kwa magazi, matenda a Cushing, mankhwala ena, ndi zotupa zoyipa. Mgwirizano wapadera wa acanthosis nigricans omwe ali ndi insulin yolimbana ndi matenda a shuga amadziwika.

6. Kodi ma acanthosis nigricansl amawoneka bwanji

Imadziwika kwambiri m'makhoma, pansi pa mabere ndi khosi, komwe kumapezeka khungu "loyera", lomwe limawoneka ngati "lakuda". Mapapu amatha kuwoneka pafupi ndi kulumikizana kwa zala, zomwe zimawoneka ngati "amaliseche" opanda kanthu, kupatula kuti zimatuluka kwambiri.

7. Kodi matenda a shuga Kodi pathogenesis yake ndi chiani?

Dermopathy ya matenda ashuga (mawanga amkhungu) ndi chotupa cha matenda ashuga chomwe poyamba chimawoneka ngati mapiritsi a erythematous kapena ma macules osiyanasiyana osiyanasiyana, kenako nkusintha malo a atrophic cicatricial hyperpigmented kutsogolo kwa mwendo wapansi.

Sizikudziwika ngati zotupa zimayamba chifukwa cha kusintha kwamitsempha kapena chifukwa cha zinthu zina zachiwiri monga kuvulala ndi kupsinjika. Chithandizo chothandiza sichikudziwika. Zilonda zamunthu aliyense zimatha kulowa mkati mwa zaka 1-2, ngakhale zilonda zatsopano zimakonda kuwonekera.

8. Kodi odwala matenda ashuga a lepid necrobiosis ndi ati?

Diabetesic lipoid necrobiosis ndimatenda omwe nthawi zambiri amakhudzidwa kwambiri kunsi kwa mwendo wakumbuyo, ngakhale amawerengedwa kwina .Zilonda zoyambirira zimawoneka ngati mapale osakhazikika kapena zolembera zomwe zimasandulika kukhala zinthu za mphete zokhala ndi mtundu wachikasu, mitsempha yamitsempha yamagazi ndi eprostermal atrophy. . Vutoli limadziwika ndi matenda a shuga ndipo nthawi zambiri limatha kudziwika ndi mawonekedwe ake. Pafupipafupi, zilonda zimayamba.

Kuphatikizanso kwanyumbayi kumawulula ma granulomas, omwe ngati mpanda umazungulira madera akuluakulu a necrotic ndi sclerotic collagen. Zowonjezera zimaphatikizira malo otetemera a mtima, maselo a plasma, komanso kuchuluka kwamafuta osaloledwa.

Ma biopsies omwe akupanga zotupa nthawi zambiri amakhala ndi vuto lodziwitsa, ngakhale nthawi zina zimakhala zovuta kuwasiyanitsa ndi granuloma ya anular. Tizilombo toyambitsa matenda tizilombo toyambitsa matenda sitikudziwika, koma zomwe zimayambitsa zimaphatikizira zovuta za vasculitis ndi vuto la kuphatikizana kwa maselo othandiza magazi.

9. Kodi pali mgwirizano wanji pakati pa odwala matenda ashuga lipoid necrobiosis ndi matenda ashuga?

Kafukufuku wambiri wa odwala matenda ashuga lipoid necrobiosis, matenda a shuga adapezeka mu 62%. Pafupifupi theka la odwala omwe si odwala matenda ashuga anali ndi vuto lolephera kuyeserera shuga, ndipo pafupifupi theka la odwala omwe alibe matenda ashuga anali ndi mbiri yabanja yokhala ndi matenda ashuga. Komabe, diabetesic lipoid necrobiosis imawonetsedwa mu 0.3% yokha ya odwala.

Madokotala ena a dermatologist amakonda kugwiritsa ntchito mawu akuti "lipoid necrobiosis" mwa odwala omwe alibe zokhudzana ndi matenda a shuga. Koma, chifukwa cha kulumikizidwa komwe kunachitika ndi izi, odwala omwe amachiza lipoid necrobiosis ayenera kuyesedwa ngati ali ndi matenda ashuga. Odwala omwe ali ndi mayeso osayenera amayenera kuwunikanso nthawi ndi nthawi.

10. Kodi anthu odwala matenda ashuga a lepid necrobiosis amathandizidwa bwanji?

Nthawi zina lipoid necrobiosis imathetsedwa zokha. Palibe umboni kuti necrobiosis "imayankha" mankhwalawa matenda oyamba a matenda ashuga kapena amachepetsa matenda a shuga. Mawonekedwe oyambirira amatha kuthandizidwa ndi topical corticosteroids.

Milandu yowopsa kwambiri imatha kuthandizidwa ndi acetylsalicylic acid kapena dipyridamole mkati, ngakhale nthawi zina mankhwalawa samapereka mphamvu. Woopsa, odwala omwe ali ndi zilonda zazikulu amafunika kumuwonjezera khungu.

11. Kodi matenda amtundu wa khungu amakhala ofala kwambiri m'magulu a shuga kuposa magulu?

IndeKoma mwina matenda akhungu si magawo ambiri, 'monga akatswiri azachipatala ambiri amakhulupirira. Kafukufuku akuwonetsa kuti kuchulukana kwamatenda a khungu kumafanana kwambiri ndi kuchuluka kwa plasma glucose.

12. Kodi ndimatenda ati a bakiteriya omwe amaphatikizana ndi matenda a shuga?

Matenda owopsa kwambiri apakhungu omwe amakhala ndi matenda a shuga ndi "matenda a shuga" komanso zilonda zam'mimba. Zinavumbulidwa kuti zilonda zodwala pakhungu la miyendo zimawonedwa mu shuga mu 15% ya milandu poyerekeza ndi 0.5% pagulu lolamulira.

Erythrasma ndi nthenda yapamwamba kwambiri ya bakiteriya yomwe imayamba chifukwa cha Corynebacterium minutissimum, yomwe imapezeka mu 47% ya odwala matenda ashuga achikulire. Mwachizolowezi, zimawoneka ngati mtundu wofiirira kapena wowoneka ngati zotupa za ma macular okhala ndi miyeso yopyapyala m'malo a khola, nthawi zambiri m'matumbo, komabe, madera a khungu la axillary ndi makoko azala zazikulu zakumwa amathanso kukhudzidwa. Popeza tizilombo toyambitsa matenda amatulutsa porphyrin, kuzindikira kwake kungatsimikizidwe mwa kuzindikira miyala yofiira ya coral ikayatsidwa ndi nyali ya Wood.

13. Kodi ndimatenda ati a fungus omwe nthawi zambiri amayenda ndi shuga?

Matenda oyamba kwambiri ndi khungu la mucosal-khungu lomwe limayenderana ndi matenda ashuga ndi candidiasis, omwe nthawi zambiri amayamba chifukwa cha a alboni a Candida. Amayi amakonda kukhala ndi venvovaginitis. Mu kafukufuku wina, a Candida albicans amafesedwa mu 2/3 mwa onse odwala matenda ashuga.

Mwa amayi omwe ali ndi zizindikiro ndi zizindikiro za vulvitis, pafupipafupi chikhalidwe chabwino chimafikira 99%. Zotsatira zabwino zobzala ndizofala kwambiri mwa amuna ndi akazi omwe ali ndi matenda ashuga omwe amadandaula kuti kuyamwa kwa nyerere. Mitundu ina ya candidiasis ikhoza kukhala yopunthwitsa, kukomoka (angular cheilitis), kupukusira kwa diaper, kukokoloka kwapakati kwa blastomycetic, paronychia (matenda a minyewa yofewa yozungulira msomali) ndi onychomycosis (matenda a msomali).

Zomwe zimayambitsa ma syndromes awa amawonedwa ngati kuchuluka kwa glucose, komwe kumagwira ntchito ngati gawo lapansi pofalitsa mitundu ya Candida. Odwala omwe ali ndi pafupipafupi cutidious candidiasis amtundu uliwonse ayenera kuyesedwa ngati ali ndi matenda ashuga. Odwala omwe ali ndi ketoacidosis amakonda kwambiri chitukuko cha mucoromycosis (zygomycosis) chifukwa cha mitundu yosiyanasiyana ya zygomycetes, kuphatikizapo mitundu ya Mucor, Mortierella, Rhyzopus ndi Absidia.

Mwamwayi, nthendayi yofulumira komanso nthawi zambiri imapha. Ngakhale kafukufuku wakale adanenanso kuti matenda a dermatophytic amatha kuchitika kwambiri m'magulu a shuga kuposa magulu oyendetsa, zomwe zachitika posachedwa masiku ano sizikugwirizana ndi mgwirizano uno.

14. Kodi ndichifukwa chiyani odwala matenda ashuga okhala ndi ketoacidosis makamaka amakonda kukhala mucoromycosis?

Mafangayi ndi opirira, amakonda malo okhala acidic, amakula mwachangu ndi mpweya wambiri ndipo ndi amodzi mwa mitundu ingapo ya bowa yomwe imagwiritsa ntchito ma ketones ngati gawo lapansi pakukula kwawo. Chifukwa chake, ndi ketoacidosis, malo abwino amapangidwanso kuti apange bowa.

15. Kodi pali zovuta za pakhungu la matenda ashuga?

Inde Zotsatira zoyipa za jakisoni wa insulin ndizofala. Akuti kuchuluka kwawo kumasiyana kuchokera pa 10 mpaka 56%. Mwambiri, mavutowa atha kugawidwa m'magulu atatu: njira yothandizira jakisoni wosayenera (mwachitsanzo, jakisoni wa intradermal), idiosyncrasy, komanso thupi lawo siligwirizana.

Mitundu ingapo ya mavuto omwe thupi lawo siligwirizana akufotokozedwa kale, kuphatikiza urizedaria wamba komanso yodziwika bwino, kusintha kofanana ndi zomwe zidachitika ku Arthus, komanso kuchepa kwakumapeto kwa hypersensitivity. Othandizira a Hypoglycemic omwe amatengedwa pakamwa nthawi zina amatha kutulutsa khungu losafunikira, kuphatikizapo photosensitivity, urticaria, erythema multiforme ndi nodosum. Makamaka, chlorpropamide imatha kuyambitsa erythematic mukamamwa mowa.

Kuyesa kwatsopano kwa mawonekedwe owonekera pakhungu mu shuga

Matenda a shuga ndi matenda osachiritsika komanso odula omwe amayika mavuto kwa odwala komanso anthu onse. M'matsenga, ma dermatoses ena amatha kukhala okhudzana ndi matenda a shuga m'njira zosiyanasiyana. Chachikulu ndichakuti ma dermatoses ena amatha kuwerengedwa ndi chiwonetsero cha matenda a shuga, ndipo kuzindikira kwawo kuyenera kulimbikitsa ma dermatologists kuwonana ndi endocrinologist ndi akatswiri ena.

Munkhaniyi, tikambirana za matenda ena apakhungu omwe amayambitsidwa ndi matenda ashuga, werengani zamphamvu zosakanikirana izi ndikukambirana momwe matupi awonongera atachitika. Mavuto azachuma a US ku United States akuyerekeza pafupifupi $ 250 biliyoni pachaka, ndipo ndalama izi zikukulirakulirabe.

Ndikofunikira kuti dermatologist athe kuzindikira ndikumvetsetsa mawonekedwe amtundu wa shuga mellitus, ndipo m'nkhaniyi tikambirana za zotupa za khungu zokhudzana ndi matenda a shuga a mellitus, komanso ma dermatoses ena, koma osagwirizana kwambiri ndi shuga. Dermatoses yokhala ndi shuga imaphatikizira acantosis nigricans, matuza a matenda ashuga, dermopathy ya matenda ashuga, kukula kwa matenda ashuga pakhungu, lipoid necrobiosis, scleredema, ndi misomali yachikasu.

Dermatoses yolumikizana ndi matenda osokoneza bongo imaphatikizapo kukhathamiritsa kwa dermatosis, kukomoka kwa xanthomas, granuloma wa annular, lichen planus, psoriasis, vitiligo.

Matenda a shuga a pakhungu

Kuyanjana pakati pa matenda ashuga komanso matenda ashuga a pakhungu kumalongosoledwa bwino ngati mkhalidwe womwe umachepetsa kusuntha kwa manja (cheiroarthropathy) kapena ngati kukula kwa khungu. Akuyerekeza kuti 8% - 36% ya odwala omwe ali ndi matenda a shuga omwe amadalira insulin amakula ndi matenda a shuga a khungu (AAD).

Mwanjira imeneyi, njirayi ikufanana ndi njirayi yokhala ndi matenda ena. Ndizosangalatsa kuti ngakhale khungu labwinobwino odwala omwe ali ndi matenda a shuga amawonetsa kutseguka kwa ma fibroblasts, koma ulusi wa collagen anali wocheperako kuposa omwe amapezeka mu systemic sclerosis yomwe ikupita patsogolo.

Izi mosakayikira zimakhudza moyo wabwino, chifukwa zimachepetsa kuyenda kwa manja. Kugogomezera kufunika kosamalitsa kwambiri glycemic, adati kuti kuwongolera kwambiri shuga kumatha kubweretsa kusintha kwa matenda ashuga a khungu, komabe, kuwunika kumayambira potsatira chitsanzo chochepa cha anthu.

DUK kwambiri (misomali ya P Yellow

Kusintha kwa msomali m'matenda a shuga, kuyambira periungual telangiectasias mpaka zovuta kuchokera kumatenda monga paronychia, akufotokozedwa bwino. Komabe, kusintha kwa misomali kofala, makamaka kwa odwala okalamba omwe ali ndi matenda ashuga, ndikutulutsa misomali, ndikukhudza mpaka 40% ya odwala matenda ashuga.

Makina a chikaso cha misomali mwina ndi chifukwa cha kuchuluka kwa zinthu za kumapeto kwa glycation. Njira imodzimodziyo imatsogolera kukongoletsa khungu ndi kuwonongeka pakhungu. Msomali umachedwa kukula chifukwa cha kusakwanira kwa magazi kupita ku matrix ya msomali.

Msomali umatha kupindika pang'ono kuposa wabwinobwino, ndi mikwingwirima yayitali (onychorrhexis). Ndikofunikira, komabe, kuti musanene kuti misomali yachikasu ndi matenda a shuga popanda kuganizira zina zomwe zimapangitsa kuti misomali ikhale yachikasu, mwachitsanzo, onychomycosis, misomali yachikasu yokhudzana ndi matenda a lymphedema kapena matenda opuma (mwachitsanzo, pleurisy, bronchiectasis).

Magulu a shuga

Matuza a matenda ashuga (Bullosis Diabetesicorum) okhala ndi timiyeso tosiyanasiyana pansi pa khungu, ofanana ndi matuza a subcutaneous. Apanso, chomwe chimayambitsa vutoli pakhungu la matenda ashuga sichikudziwika.

Lipohypertrophy

Lipohypertrophy mu shuga imatha kupewedwa mosavuta ndikusintha pafupipafupi kwa malo a jakisoni, kutikita minofu ndi physiotherapy.

Black acanthosis

Black acanthosis mu shuga amakhulupirira kuti ndi mawonekedwe owonetsera kukana insulin.

Malangizo a Kusamalira Matenda a shuga

Mukanyalanyaza khungu louma, losakhazikika la matenda ashuga ngakhale kwakanthawi kochepa, kumatha kubweretsa matenda omwe atha kusintha kwambiri kukhala zovuta.

Kusamalira Thupi Lamatenda a shuga

Kodi mumadziwa kuti anthu odwala matenda ashuga nthawi zambiri amakhala ndi vuto lakhungu?

Khungu limakhudzidwa ndi zomwe timadya ndi kumwa, komanso kusuta, mowa, kutentha, dzuwa, mphepo, Kutenthetsa kwapakati, sopo womwe timagwiritsa ntchito ndikuyeretsera zinthu zomwe zimagwiritsidwa ntchito mnyumbayo.

Khungu limafunikira kudyetsedwa

Khungu lowuma

Anthu omwe ali ndi matenda a shuga omwe ali ndi zotumphukira zotupa amakhala ndi thukuta lakuchepa, makamaka lam'munsi, pomwe nkhope, khosi ndi thupi lakumaso limatulutsa kwambiri.

Kutupa kwa chala

Zala zanu zimatha kutentha chifukwa chakuti mukayeza shuga, mumawabaya, makamaka ngati muboola chala. Yesani kuboola zala zanu kuchokera kumbali, pang'onopang'ono kuzisintha.

Muli ndi khumi mwa iwo - agwiritse ntchito. Ngati zala zanu zikuyatsidwa, muyenera kuwunika kuti muwone ngati singano ikuboola chala chanu kwambiri. Ngati manja anu ndi zala zanu ziuma ndipo peeled, moisturing ingakuthandizeni.

Ngakhale popanda matenda a shuga, kusuta kokha kumayambitsa mavuto a khungu, monga khungu louma lomwe limakhudza khungu kuzungulira maso. Ngati simungathe kusiya kusuta, yesetsani kuchepetsa kuchuluka kwa ndudu zomwe mumasuta.

Ngati mukufuna kusintha khungu lanu, ndiye kuti chinthu chabwino kwambiri ndicho kusiya kusuta.

Zotsatira za insulin

Mabala ndi mabala

Sambani kudula ndi madzi ndi sopo, yometsani mosamala ndikutsuka. Ngati bala lanu likukuvutitsani, pitani kuchipatala.

yang'anirani kuchuluka kwa shuga m'magazi anu (4-7 mmol / l, kuchuluka mpaka 10 kwakanthawi mutatha kudya) kumwa madzi ambiri kuti muthe kunyowetsa khungu lanu kuchokera mkati. kusamba ndikusamba m'madzi ofunda, monga madzi otentha ayaka khungu. Komanso musayese kusamba kofinya ndipo musapukute khungu ndi sopo kwambiri, chifukwa izi zimathandizanso kuti mafuta azitayika ndi zigawo zikuluzikulu za khungu, zomwe zimabweretsa kutsekeka kwa khungu. pukuta mokwanira mukasamba kapena kusamba ndikuwona ngati muli ndi khungu locheperako kapena kufinya pakhungu lanu, chifukwa amafunikira mwachangu. kuvala zovala zamkati za thonje, chifukwa, mosiyana ndi zopangidwa, zimalola mpweya kuti udutse. onani dokotala ngati mukukhudzidwa ndi khungu lanu

Mafunso kwa adotolo

Vuto lotsatirali ndikudetsa nkhawa: pafupifupi miyezi isanu ndi umodzi yapitayo, totupa idayamba kumaso: woyamba patsaya (ndipo pazifukwa zina kumanzere), kenako pamphumi. Chithandizo cha dermatologist sichinathandize, mwina ndi vuto lachilendo, mwachitsanzo, matenda ashuga?

Ndili ndi matenda ashuga a mtundu woyamba. Ndikudziwa kuti matendawa ndi oyipa ndipo thupi lonse limavutika. Chifukwa chake, ndimayesetsa kutsatira kadyedwe ndikutsatira malingaliro onse a dokotala. Posachedwa, ndidazindikira kuti khungu lidayuma pang'ono. Chonde ndiuzeni momwe ndingamusamalire moyenera kuti akhale wathanzi?

Pazimbudzi zapamtima, sankhani zothira mafuta apadera zokhala ndi acidity yoyenera, popeza ndiwachilengedwe m'derali ndipo sakhala ndi chouma kapena chopweteka.

Mitsempha ya pakamwa imafunikanso kusamala mosamala: osalola ma microdamage kupita ku nembanemba ya mucous, kumbukirani kuti ngakhale microtrauma yopanda vuto imakhala ndi mwayi wosintha kukhala yotupa yayikulu. Kenako, sambani mano anu kawiri patsiku ndikuchezera mano anu pafupipafupi.

Mukamasankha zovala ndi nsapato, perekani zokonda pazinthu zopangidwa ndi nsalu zachilengedwe. Samalani nsapato zapadera - ziyenera kukuyenererani bwino (musakakamize, musataye).

Moni Mawonekedwe ofiira adawoneka pamiyendo, ndikumvabe, ndipo usiku miyendo yanga imayamba kupweteka kwambiri. Dokotala, kodi mawanga awa ndi omwe mungawachite bwanji? Ndipo komabe, ndimadwala cholecystitis, gastritis ndi matenda a shuga, mwina izi ndizofunikira.

Mankhwalawa ndi amodzi ndipo amakhala ndi:

Kumbukirani kuti mawu achikhalidwe omwe maselo amitsempha samachira, mwatsoka, ndiye zoona zenizeni, chifukwa chake khalani ndi chidwi kwambiri pakuwazindikira matendawa.

Khungu langa likuyang'ana mozungulira thupi langa lonse, ndikukayikira kuti mwina chifukwa cha matenda ashuga, tingatani kuti tipewe mavuto?

Khungu limakhala louma, limatayika, pali kuyabwa kowawa. Ndikuboweka uku komwe nthawi zina kumakhala chizindikiro choyambirira cha matenda ashuga. Kuphatikiza kwamtundu wamatenda amtundu wa khungu (mwachitsanzo, nthawi zambiri osawonetsedwa ndi kuyabwa kwambiri) ndi matenda ashuga (kuwonjezera kuyungunuka) ndikothekanso.

Ndiuzeni, chonde, komwe ndikakumana ndi adotolo uti. Chowonadi ndi chakuti ndimakhala ndi bowa ndekha, pakati pa zala ndi misomali - ndimathandizidwa, ndimayeseza, ndimakonda kusambira komweko, koma zimangothandiza kwakanthawi kochepa. Ndipo posachedwa, khungu pakhungu lonse lakhala louma ndipo limagwira zonse. Kodi mwina mafangayi afalikira kale khungu lonse? Zikomo

Posachedwa ndakhala ndikumverera kuti ndilimbitsa khungu, ndipo lakhala louma kwambiri ndipo nthawi zina limayamwa! Sindimagwiritsa ntchito zodzikongoletsera zilizonse, sindinayatsidwa dzuwa ndipo nthawi zambiri ndimayang'anira thanzi langa. Chonde ndiuzeni, nchiyani chomwe chingapangitse khungu louma lotere?

Kapangidwe kake ka khungu louma (xerosis) ndi motere.Amadziwika kuti izi zimagwirizanitsidwa makamaka ndi zinthu ngati izi: kuchepa kwamkati mwa khungu ndikusinthika pafupipafupi kwa gawo la epithelial, lomwe limabweretsa kuphwanya chitetezo cha khungu.

Khungu lowuma siliri matenda odziyimira pawokha, koma amangokhala ngati amodzi mwa zisonyezo zina za matenda. M'malo mwake, pali zifukwa zambiri zomwe zimayambitsa khungu louma.

Khungu lowuma limatha kukhala njira imodzi yothandizira achire (peeling, laser resurfacing, dermabrasion). Chifukwa chake, ndichosavuta komanso chosasangalatsa popanda kupenda bwino, sindingadziwe chomwe chimayambitsa khungu lanu.

Ndikofunikira kufunsa dermatologist, endocrinologist, allergist ndi Therapist.

Dzina langa ndi Oksana, ndili ndi zaka 29. Ndikudwala matenda ashuga amtundu 1 kwa theka la chaka. Anandiika insulin katatu patsiku. Pakapita kanthawi, ndinayamba kumva bwino ndipo ndinayamba jakisoni tsiku lililonse tsiku lililonse kuti ndipange insulin yanga. Chilichonse ndichabwino, koma ndimapeza ziphuphu zambiri ndi zithupsa, ndingatani bwino?

Mawonekedwe a khungu

1. Kodi ndi kangati pamene odwala matenda ashuga amatulutsa zilonda zapakhungu?

2. Kodi pali zovuta za pakhungu pathognomonic pa matenda ashuga?

3. Kodi zotupa zapakhungu ndizovuta ziti?

4. Kodi zisindikizo zala ndi zani?

5. Kodi acanthosis nigricans ndi chiyani?

6. Kodi ma acanthosis nigricansl amawoneka bwanji

7. Kodi matenda a shuga Kodi pathogenesis yake ndi chiani?

8. Kodi odwala matenda ashuga a lepid necrobiosis ndi ati?

Kuphatikizanso kwanyumbayi kumawulula ma granulomas, omwe ngati mpanda umazungulira madera akuluakulu a necrotic ndi sclerotic collagen. Zowonjezera zimaphatikizira malo otetemera a mtima, maselo a plasma, komanso kuchuluka kwamafuta osaloledwa.

9. Kodi pali mgwirizano wanji pakati pa odwala matenda ashuga lipoid necrobiosis ndi matenda ashuga?

Madokotala ena a dermatologist amakonda kugwiritsa ntchito mawu akuti "lipoid necrobiosis" mwa odwala omwe alibe zokhudzana ndi matenda a shuga.Koma, chifukwa cha kulumikizidwa komwe kunachitika ndi izi, odwala omwe amachiza lipoid necrobiosis ayenera kuyesedwa ngati ali ndi matenda ashuga. Odwala omwe ali ndi mayeso osayenera amayenera kuwunikanso nthawi ndi nthawi.

10. Kodi anthu odwala matenda ashuga a lepid necrobiosis amathandizidwa bwanji?

11. Kodi matenda amtundu wa khungu amakhala ofala kwambiri m'magulu a shuga kuposa magulu?

Inde Koma mwina matenda akhungu si magawo ambiri, 'monga akatswiri azachipatala ambiri amakhulupirira. Kafukufuku akuwonetsa kuti kuchulukana kwamatenda a khungu kumafanana kwambiri ndi kuchuluka kwa plasma glucose.

12. Kodi ndimatenda ati a bakiteriya omwe amaphatikizana ndi matenda a shuga?

13. Kodi ndimatenda ati a fungus omwe nthawi zambiri amayenda ndi shuga?

Mwa amayi omwe ali ndi zizindikiro ndi zizindikiro za vulvitis, pafupipafupi chikhalidwe chabwino chimafikira 99%. Zotsatira zabwino zobzala ndizofala kwambiri mwa amuna ndi akazi omwe ali ndi matenda ashuga omwe amadandaula kuti kuyamwa kwa nyerere. Mitundu ina ya candidiasis ikhoza kukhala yopunthwitsa, kukomoka (angular cheilitis), kupukusira kwa diaper, kukokoloka kwapakati kwa blastomycetic, paronychia (matenda a minyewa yofewa yozungulira msomali) ndi onychomycosis (matenda a msomali).

14. Kodi ndichifukwa chiyani odwala matenda ashuga okhala ndi ketoacidosis makamaka amakonda kukhala mucoromycosis?

15.Kodi pali zovuta pakhungu la matenda ashuga?

Kuyesa kwatsopano kwa mawonekedwe owonekera pakhungu mu shuga

Dermatoses yolumikizana ndi matenda osokoneza bongo imaphatikizapo kukhathamiritsa kwa dermatosis, kukomoka kwa xanthomas, granuloma wa annular, lichen planus, psoriasis, vitiligo.

Matenda a shuga a pakhungu

DUK kwambiri (misomali ya P Yellow

Makina a chikaso cha misomali mwina ndi chifukwa cha kuchuluka kwa zinthu za kumapeto kwa glycation. Njira imodzimodziyo imatsogolera kukongoletsa khungu ndi kuwonongeka pakhungu.Msomali umachedwa kukula chifukwa cha kusakwanira kwa magazi kupita ku matrix ya msomali.

Matenda a shuga

Dermopathy ya matenda ashuga mwina ndi mtundu wofala kwambiri pakhungu m'thupi la anthu odwalawa, ngakhale amatha kupezeka mwa anthu opanda matenda a shuga. Nthawi yomweyo, pigmented atrophic mawanga mawonekedwe kumtunda kwa miyendo chifukwa cha matenda ashuga.

Kafukufuku wambiri awonetsa kuphatikiza kwa matenda am'mimba a diabetes ndi retinopathy, monga ambiri pathogenesis - kuwonongeka kwamitsempha kumabweretsa izi. Chifukwa chake, kupezeka kwa mawanga pamiyendo kuyenera kukakamiza dokotala kumuwunika.

Magulu a shuga

Mitundu ya matenda ashuga kapena diabetesic pemphigus (DP) ndiyosowa, koma yolongosoledwa mosavomerezeka pamiyala ndi zala, komanso kumapazi, kwa odwala matenda a shuga. Malungu awa ayenera kusiyanitsidwa ndi ma dermatoses ena oyambira a autoimmune cystic dermatoses ndi zotupa zosavuta za mechanobullous.

DP imadziwika ndi kuyambika msanga kwa odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi vuto lochepa kapena alibe choopsa, ali ndi matuza okhala ndi madzi osalala okhala ndi vuto loipa la immunofluorescence. Kupanga kwamaluwa kumakhulupirira kuti kumalumikizidwa ndi microangiopathy, kusakwanira kwa magazi kupita khungu, zomwe zimapangitsa machitidwe a acantholosis ndi mapangidwe amtsogolo a matuza kumalire a dermis ndi epidermis.

Acanthosis osokoneza bongo

Acanthosis nigricans kapena wakuda acanthosis (ChA) amadziwika ndi malo amdima akuda makamaka khosi ndi kumbuyo. Izi ndizomwe zimapezeka kwambiri kwa odwala omwe ali ndi matenda ashuga ndipo mosakayikira amadziwa bwino madokotala. The pathophysiology yamafuta awa yaphunziridwa bwino.

ChA ndikofunikira kupeza, chifukwa Itha kuchitika mu endocrinopathies ina (mwachitsanzo, Cushing's syndrome, sodium, polycystic ovary syndrome) kapena zilonda zamkati (adenocarcinoma am'mimba thirakiti). Pofuna kukonza mawonekedwe a zotupa izi, othandizira ma keratolytic ndi ma topino retinoids amagwiritsidwa ntchito.

Scleredema

Scleredema (Scleredema olderorum) ndi malo omwe adalowetsedwa kumbuyo kwa khosi ndi kumbuyo kumtunda. Scleredema, monga lamulo, limapezeka mu mitundu itatu. Mawonekedwe omwe amawonedwa mwa odwala matenda a shuga nthawi zina amatchedwa diabetesic scleredema (scleredema diabetesicorum) (DM).

Fomu yachiwiri - kutenga kachilombo, monga lamulo, kumachitika pambuyo pa matenda a staphylococcal. Fomu lachitatu limapezeka ndi neoplasms yoyipa. Pakati odwala odwala matenda ashuga, matenda a shuga amapezeka 2,5% -14%. Zilonda nthawi zambiri zimakhala zomangika ngakhale njira zingapo zamankhwala.

Kusanthula kwa histopathological, monga lamulo, kuwulula makulidwe amkhungu ndi kuwonjezeka kwa makulidwe amkati mwa collagen ulusi ndi kuchuluka kwa maselo am'mimba. Njira zomwe zikunenedwazo zikuwonetsa kukondoweza kwa kaphatikizidwe ka collagen ndi fibroblasts ndi kuchepa kwa collagen, mwina chifukwa cha shuga wambiri.

Annular granuloma

Granuloma (KG) woboola pakati ndi wopindika, wamtundu wina, ndipo nthawi zina amakhala wamkati, ndipo nthawi zambiri amakhala kumbuyo kwa miyendo, momwe amadziwitsira mawonekedwe. Ngakhale zikwangwani zazikulu kwambiri za annular zitha kupezeka mu mawonekedwe a mawonekedwe. Mwa mbiri yakale, granulomatous kulowetsedwa ndi chikhalidwe cha CG.

Zotsatira zamtundu wa CG ndizosintha mosazungulira.Chozizwitsa chachilendo chimafotokozedwa m'mabuku, malinga ndi momwe kupukusira kwa chinthu chimodzi cha zotupa kumayambitsa kuoneka ngati zotupa zina mthupi. Komabe, mawonekedwe omwe ali ovomerezeka amatha kukhala ovuta kuchiza ndipo amafunikira njira yothandizira odwala yomwe imaphatikizapo ma topical steroids, kuwala kosavuta, ndi systemun immunomodulators.

Lichen planus

Kafukufuku waposachedwa wa anthu ku Turkey adawonetsa ubale wamphamvu pakati pa lichen planus (CPL) ndi kulolerana kwa shuga. Kufufuza kumeneku kunakhudza odwala 30 omwe anali ndi CPL, pafupifupi theka la iwo (14 mwa 30) omwe anali atadwala matenda a shuga ndipo kotala la odwala (8 mwa 30) anali ndi matenda a shuga.

Koma kafukufuku wambiri akufunika kuti amvetsetse za mgwirizanowu. Izi zisanachitike kafukufukuyu, maphunziro ena angapo adawonetsa kulumikizana pakati pa CPL wam'mlomo ndi matenda ashuga. Pafupipafupi, pamlomo wamkamwa, malembedwe oyera okhala ndi mawonekedwe apamwamba a mauna amatha kuwonekera. M'madera ena khungu, CPL nthawi zambiri imawoneka ngati loyenda, lofiirira, mapalesi osalala.

CPL ikhoza kuphatikizidwanso ndi matenda ena ambiri, makamaka ndi hepatitis C ya viral, komanso matenda a chithokomiro, matenda a chiwindi, matenda a matumbo otupa.

Vitiligo nthawi zambiri amagwirizanitsidwa ndi matenda a shuga a shuga. Kukhalapo kwa vitiligo kuyenera kukumbutsa adokotala kuti ndi matenda a autoimmune omwe amatha kuphatikizidwa ndi matenda a shuga, komanso okhudzana ndi matenda a autoimmune.

Anapeza dermatosis wabwino

Ngakhale lingaliro lapakalekonse la dermatosis (PPD) (matenda a Kirle kapena matenda a hyperkeratosis) limalumikizidwa ndi kulephera kwa impso, matenda a shuga adaphatikizidwanso kuchuluka kwa matenda ophatikizika. Achipatala onunkhiritsa dermatosis amawonedwa mu 10% ya odwala pa hemodialysis chifukwa cha kulephera kwaimpso.

Nthawi zambiri kulephera kwa aimpso ndi kufunika kwa hemodialysis kumachitika mu odwala matenda ashuga nephropathy, omwe amatha kufotokozera kufanana kwa matenda ashuga, kulephera kwa impso komanso kupeza dermatosis. Mpumulo wa chizindikiro cha steroid ungagwiritsidwe ntchito ngati mzere woyamba wa mankhwala a lesion iyi.

Xanthomas yam'madzi

Mgwirizano wapakati pa matenda ashuga ndi erostive xanthomas (EC) umawoneka ngati wocheperako, kutengera kuti odwala ambiri omwe ali ndi matenda ashuga amachititsa matenda a lipid komanso carbohydrate metabolism. Chofunikira kwambiri cha EC ndi kuwonjezeka kwa milingo ya triglycerides yomwe imatha kupezeka m'matenda a shuga.

Akuyerekeza kuti 0,5% yokha ya odwala matenda ashuga omwe amayamba kupweteka xanthomas, ndipo kufunikira kwake kwakukulu kungakhale kukakamiza dokotala kuti azichiza matenda oopsa a hypertriglyceridemia ndikuganiziranso zifukwa zina, mwachitsanzo, kapamba kapamba.

Odwala a Psoriasis atha kukhala ndi chiopsezo chowonjezereka cha matenda a shuga. Matenda a shuga pakati pa odwala a psoriasis amalembedwa nthawi zambiri kuposa anthu ambiri.

Poganizira mawonekedwe osiyanasiyana a khungu la matenda a shuga, ndikofunikira kusiyanitsa zomwe zimakhudzana mwachindunji ndi matenda a shuga kuchokera kuzomwe zimatha kuchitika ma pathologies ena. Mwachitsanzo, popima wodwala wokhala ndi acanthosis nigricans ndi misomali yachikasu, adotolo amayenera kuyesa mayeso kuti adziwe kuchuluka kwa hemoglobin 1C (glycated hemoglobin) kuti athetse shuga.

Pankhaniyi, dokotala sayenera kupatula onychomycosis ndi matenda a kupuma. Njira yotereyi pakhungu lomwe limawonetsa matenda ashuga limatha kuzindikira bwino komanso kuchiza wodwala wina.

Kusamalira Thupi la Matenda a shuga

Matenda a shuga ndi matenda osachiritsika omwe ali ndi vuto lililonse pafupi ndi ziwalo zonse ndi machitidwe ena ndipo amasokoneza kwambiri moyo wa odwala.Kufunika kwa vutoli sikubwera kokha pakuvuta kwa zovuta zomwe zingachitike, komanso kufalikira kwamatenda masiku ano.

Pafupifupi odwala 3.5 miliyoni adadziwika ndikulembetsa ku Russia. Pakati pa 5 ndi 8 miliyoni anthu sakudziwa kuti ali ndi matenda ashuga. Kupititsa patsogolo kuzindikira kuti ali ndi matenda ashuga ndi imodzi mwazinthu zazikulu ndipo amapatsa odwala mwayi kuti asachedwe ndikuyamba chithandizo.

Lero tiyesa kuona zomwe zimachitika ku chimodzi mwazinthu zikuluzikulu za munthu - khungu lake la matenda ashuga komanso chifukwa chake kusamalira kwake kwakanthawi ndikofunikira kumamuthandiza.

The pathogenesis ya zotupa za pakhungu la shuga mellitus ndi yovuta kwambiri, koma imakhazikitsidwa ndi kuperewera kwa chakudya m'thupi. Mkulu shuga amatsogolera kuchepa kwa madzi m'thupi komanso kuchepa kwa magazi, kusokonekera kwa maselo a khungu ndi kusokonekera mu mphamvu ya kagayidwe kazakhungu ka khungu, sebaceous ndi thukuta lotupa.

Zotsatira zake, kuchira kwabwinobwino kwa khungu ndi kupangika kwa filimu yamafuta oteteza kumasokonekera, komwe kumawonetsedwa ndi kuyanika kwambiri, kuchepa kwambiri kwa khungu, kupindika ndi kuchepa kwa khungu. Mavuto a metabolism a shuga mellitus ali ponseponse, ndipo kukulira matenda am'mimba a shuga, micro- ndi macroangiopathy, nawonso, amakulitsa zilonda zapakhungu.

Mavuto a pakhungu ndi matenda ashuga samangokhala osasangalatsa, komanso angayambitse kukulitsa zovuta zazikulu. Pophwanya zotchingira khungu labwino komanso kufooka kwa chitetezo cham'deralo, ngakhale zilonda zazing'onoting'ono za khungu zimangokhala ndikuwonjezeranso kachilombo ka bakiteriya ndi fungus, kapangidwe ka zilonda zosapatsa nthawi yayitali. Ichi ndichifukwa chake odwala omwe ali ndi matenda ashuga amafunika zodzikongoletsera zapadera kuti azisamalira khungu nthawi zonse.

Kusamalira khungu

Kusamalira khungu kumayamba ndi kuyeretsa kwake. Sopo wamba wamchere wa pH mwa odwala matenda ashuga angayambitse kuyanika kwambiri, kuwonongeka kwa lipid yosanjikiza ya khungu ndi kuwonongeka kwa khungu. Chifukwa chake, ndi matendawa, muyenera kugwiritsa ntchito zinthu zoyeretsera (sopo wamadzimadzi, solo yamafuta, ndi zina) ndi pH yopanda mbali, komanso zaukhondo, zinthu zapadera zomwe "zimaphatikizidwa" ndi lactic acid ndizoyenera.

Pambuyo poyeretsa, ikani mankhwala apadera a moisturizing ndi emollients (mafuta opukutira, mkaka, kirimu) makamaka m'malo owuma khungu. Tiyenera kudziwa kuti pazifukwa izi, zinthu zomwe zimapangidwa kuti zikhale zaukhondo kwa ana pafupifupi zimakhala zoyenera.

Chifukwa chophwanya kukonzanso kwa khungu komanso chiwopsezo cha matenda, vuto lowonongeka pang'ono pakhungu (zikwapu, microtrauma nthawi ya jakisoni ndi sampu zamagazi pakuyesera, ndi zina zotere) zimathetsedwa bwino osagwiritsa ntchito antiseptics wamba, komanso mafuta apadera omwe ali ndi zosakaniza zachilengedwe. kulimbikitsa machiritso ndikukhala ndi mphamvu ya antiseptic.

Tiyenera kukumbukira kuti kugwiritsa ntchito antiseptics aukali komanso oledzera sikwabwino mu shuga mellitus. Zizindikiro za kutupa zikawoneka - redness, kutupa, zilonda - wodwalayo ayenera kuwona dokotala nthawi yomweyo.

Chifukwa chake, odwala onenepa kwambiri sayenera kungoyeretsa khungu lanu lonse, komanso kuwonjezera mankhwala a talcum kapena, m'malo mwake, kugwiritsa ntchito mafuta mwapadera omwe ali ndi zinc oxide kwa iwo, omwe samangoteteza khungu ku maceration, komanso amawasamalira.

Kusamalira miyendo

Omwe ali pachiwopsezo chachikulu chotenga matenda ndi mapazi. Chifukwa cha kusokonezeka kwa mitsempha ya mitsempha (diabetesic neuropathy) mu shuga, mphamvu zowawa zam'munsi zimachepa. Wodwalayo amatha kudula chinthu chakuthwa, kuwotcha, kupukusa mwendo wake osamverera, ndipo magazi amatuluka mosiyanasiyana (Microangiopathy) amachepetsa kwambiri khungu.

Chifukwa chake, ngakhale kuwonongeka kochepa, kukhala kosadziwika kwa nthawi yayitali, kumapeto kwake kungayambitse vuto lalikulu la matenda osokoneza bongo - matenda ashuga komanso matenda amitsempha.

Kusamalira matenda ashuga ayenera kukhala mwadongosolo. Imakwanira mu njira yabwino yosavuta:

Nsapato "Zosakhazikika" zotonthoza. Kuyendera miyendo tsiku ndi tsiku. Sambani mapazi anu tsiku lililonse ndi madzi ofunda ndikuwaseseratu ndi thaulo lofewa. Chidwi choperekedwa chimaperekedwa kwa madera ophatikizana. Ngati pakhungu lowuma komanso lowuma, kugwiritsa ntchito kirimu yapadera ya emollient (makamaka m'mawa ndi madzulo). Pankhani ya hyperkeratosis ndi ming'alu, kugwiritsa ntchito kwapadera kwa ma emollient komanso zoteteza. Pamaso pa chimanga ndi chimanga, kugwiritsa ntchito kirimu wapadera kwa chisamaliro chambiri ndi kuchuluka kwa urea (osachepera 10%).

Tiyenera kudziwa kuti ndi matenda ashuga, simungathe kusenda miyendo yanu m'madzi otentha ndikudula chimanga. Sizoletsedwa kugwiritsa ntchito madzimadzi a chimanga ndi pulasitala. Chofunikira kwambiri muzochitika zotere ndi ma emollients apadera ndi moisturizer okhala ndi kuchuluka kwa urea.

Iyenera kuyikidwa pakhungu loyera katatu patsiku, makamaka mukamaliza kugwiritsa ntchito chimanga ndi chimanga chokhala ndi pumice, kuti kirimuyo isalowe m'malo ophatikizana.

Masiku ano, odwala matenda a shuga amatha kupeza m'mafakiteriya chilichonse chomwe angafune kuti apatsidwe khungu. Kusankha zokwanira zamtengo wapatali zochokera ku Russia, zothetsera komanso zotchipa ku Russia zithandizira kusamalira bwino khungu chifukwa cha matenda ashuga, kusintha moyo wa odwala komanso kupewa kukula kwa zovuta zingapo.