Kuchepa kwamiyendo ndi chithunzi cha matenda ashuga

Chofunikira chachikulu pakupanga mawanga m'malo am'munsi ndikuwonjezereka kwa shuga m'magazi. Muli m'magazi ambiri pomwe mavuto omwe alipo.

Kukula kwa mawanga m'miyendo ndimatenda a shuga kumachitika chifukwa cha vuto lalikulu la metabolic. Chifukwa cha izi, komanso chifukwa cha kusokonezeka kwa metabolic mu minofu, kutupa kumawonedwa ndipo kusintha kwina kumachitika. Chifukwa cha kuchepa kwa chitetezo chokwanira, pamakhala chiopsezo chachikulu cha kufalikira kwa matenda.

Zomwe zimapangidwa m'miyendo zimathandizanso kuti m'malo ano khungu limasinthira mitundu. Izi zimachitika makamaka chifukwa cha kuperewera kwa zakudya m'thupi lathu komanso kuzungulira kwa magazi. Ma capillaries ang'onoang'ono nthawi zambiri amavutika. Mu minofu yam'munsi, zinthu zowola zowonongeka nthawi zambiri zimadziunjikira, chifukwa chomwe kuledzera kumachitika. Kuyang'aniridwa kwa kutuluka kwa magazi kumayambitsa kupitirira kwa izi.

Malo amdima pakhungu la miyendo omwe ali ndi matenda osokoneza bongo nthawi zambiri amakula chifukwa cha zovuta zazikulu pakugwira ntchito kwa chitetezo chamthupi. Kuphatikiza apo, amatha kuwonetsa kuchepa kwa mavitamini. Mawanga amdima pamiyendo amatha kuwonetsa kukula kwa neuropathy.

Neuropathy imadziwonetsa yokha pakugonjetsedwa kwa mitsempha yapamwamba, komanso mitsempha yamagazi. Kuphatikiza pa kuwonekera kwa mawanga m'miyendo, wodwalayo amasokonezeka ndi "kukwawa", mawonekedwe a mapazi oyaka. Mkhalidwe uwu ndiwowopsa chifukwa, chifukwa chakuchepa kwa chidwi cha kupweteka, munthu samazindikira kupita patsogolo kwa kuwonongeka kwa khungu. Khungu la miyendo nthawi zonse limayambitsa matenda osafunikira.

Kuti mudziteteze ku zovuta zoterezi, ndikofunikira kuyang'ana miyendo yake kwakanthawi. Zowonongeka zilizonse kapena malo okhala ndi mtundu wosintha azioneka, muyenera kufunsa dokotala.

Mu matenda a shuga, makamaka mtundu woyamba, matiligo amatha. Ndi iyo, maselo omwe amayambitsa kupangira utoto amawonongeka pakhungu. Chifukwa chake kusamuka kwa khungu kumachitika, ndipo kumakutidwa ndi mawanga oyera.

Monga zotupa zamkati zamkati, matenda amkati a khungu amapangidwa chifukwa cha kutalika kwa shuga kwa magazi. Ichi sichiri chimodzi mwazizindikiro zoyambirira, komabe chikuwonekeratu kale kuposa zotupa zam'magazi. Kodi matenda ashuga amawoneka bwanji?

Chifukwa cha hyperglycemia yomwe ilipo kale, vuto lokhalitsa la metabolic limapangidwa, makamaka chakudya. Izi zimakhudza mkhalidwe wa pakhungu - kapangidwe ka khungu kamasintha, zotupa zingapo zimawonekera. Matenda a pakhungu ndi matenda a shuga amawonetsa gawo la matendawa.

Chifukwa chopezeka

Chilichonse chimachitika chifukwa cha kuchuluka kwa shuga m'magazi. Metabolism imalephera, ndipo shuga wambiri amatsitsidwa kudzera mkodzo ndi thukuta.

Amadziwika kuti thukuta limapanga malo abwino kwambiri pofalitsa tizilombo tating'onoting'ono. Zotsatira zake, njira yotupa imayambira mu minofu yokhazikika, pomwe mawanga amawoneka pamiyendo ndi matenda a shuga.

Kuphwanya njira za metabolic kumabweretsa kuti magazi amayendayenda bwino ndikusiya kudyetsa minofu m'njira yomwe mukufuna. Popita nthawi, mawonekedwe osokoneza omwe amakhudza ziwiya, ma capillaries ang'onoang'ono amavutika.

M'malo mwawo, zosintha zimayamba kupanga. M'matumbo a miyendo, zinthu zovulaza zimadziunjikira, zomwe zimayambitsa kuledzera. Chifukwa chakutuluka magazi kwambiri, njira yothamangira ndiyovuta kuyimitsa, ikupita patsogolo.

Komanso, madokotala nthawi zambiri amadzinenera zifukwa ziwiri: kuwonekera kwa zovuta pa matenda a shuga:

retinopathy ndi matenda amitsempha,
neuropathy - kuwonongeka kwa mitsempha.

Kuwonongeka kwa ziwiya zamiyendo mu shuga kumalumikizidwa ndi kuchuluka kwa shuga m'magazi, komwe sikungalowe m'maselo chifukwa cha kuchepa kwa insulin. Madzi otuluka m'matumbo amachepa, kutsekeka kwa mitsempha kumalepheretseka. M'mikhalidwe yofooka yoperewera komanso kuchepa kwa chakudya, minyewa yamatenda imakhudzika, kuchiritsidwa kwa mabala kumachepa.

Ndi matenda a shuga, kusokonezeka kwa metabolic kumachitika, zomwe zimapangitsa kuti pakhale kupezeka kwa ma pathologies angapo m'magulu ambiri ndi ziwalo. Khungu la matendawa silinali lachilendo.

Chifukwa chiyani matenda ashuga ali pachiwopsezo chambiri cha kuwononga miyendo? Chowonadi ndi chakuti odwala adanenanso zovuta ndi ziwiya zamiyendo. Shuga wokwera amasokoneza kayendedwe ka magazi mwa iwo. Zotsatira zake, khungu pakumapeto kumavutika ndi kusowa kwa michere, zomwe zimapangitsa kuti zikhale zokhudzana ndi zowonongeka zamtundu uliwonse.

Kuphatikiza apo, khungu la miyendo mwa odwala omwe ali ndi matenda ashuga sililekerera nyengo yachisanu chifukwa cha hypothermia, yomwe singadziwike chifukwa chodera pang'ono. Kwa munthu wathanzi, zikhalidwe zomwezi zimadutsa popanda mavuto.

Kuopsa kowonongeka kumadera akumunsi kumakhalapo ngati munthu ali ndi matenda ashuga kwa nthawi yayitali ndikuyambitsa matendawa osatenga njira zoyenera zochizira. Zikakhala zotere, ngakhale bala laling'ono limatha kubweretsa mavuto akulu, omwe, popanda kuchiritsidwa, amayamba kukula ndikukula pang'onopang'ono.

Pali chinthu chotchedwa sensor neuropathy - chochitika pamene mphamvu ya mitsempha imatha kumapazi.

Chifukwa cha kuchepa kwa chidwi mwa anthu ambiri odwala matenda ashuga, kusakhazikika m'miyendo, kusintha kwa kutentha, kuchepa kapena kuvulala sikungazindikire. Chifukwa cha izi, wodwalayo amasowa nthawi pozindikira vuto pamene minyewa ya mwendo yayamba kale kuvunda, ndipo opaleshoni ndiyotheka.

Chifukwa chake, anthu omwe ali ndi shuga wambiri amalangizidwa kuti ayang'anitse miyendo yawo tsiku ndi tsiku: mapazi, khungu pakati pa zala, khungu pansi pa misomali.

Chimodzi mwazizindikiro zokhudzana ndi matenda ashuga a m'mimba ndi kuwuma kwa khungu, komwe, kumakhala kulibe thukuta. Poyerekeza ndi khungu louma, ming'alu imayamba kuoneka, yomwe ikadwala, imayamba kukhala zilonda.

Pamaso pa matendawa, osati chophimba chakunja, komanso ziwalo zamkati, mafupa, akuvutika. Kugwira ntchito kwa minofu kumapazi kumatsekedwa, komwe kumapangitsa kuti minofu ipangidwe, ndipo iwonso, amadetsa mafupa a phazi.

Kunja, izi zimatha kuwoneka ndi miyendo kapena zala zosakhala zachilengedwe, komanso ngati zala zakumunthu zili ndi mawonekedwe ozungulira ngati kabowo.

Pa radiograph ya phazi la wodwala wodwala matenda ashuga, kuwerengera pang'ono kwa makoma a ziwiya zotsekemera kumawonekera

Ngati mawonekedwe a wodwalayo adayamba kuwonongeka chifukwa cha matenda ashuga, ndiye kuti chiwopsezo cha kuvulala kwamiyendo chaching'ono chimawonjezeka, chifukwa munthuyo saona zomwe akupita, komanso kumva, monga momwe tanena kale, zimachepa.

Mavuto a impso ndi njira yofunikiranso kukula kwa phazi la matenda ashuga, pamene miyendo imatupa, ndipo miyendo mwachilengedwe imakulanso kukula. Nsapato zokhala ndi chizolowezi zimayamba kufinya phazi ndikulifinya pamene likuyenda. Khungu lowuma chifukwa cha kupanikizika kosalekeza ndipo pang'onopang'ono limakutidwa ndi zilonda zopanda machiritso.

Mitundu ya Diabetesic Phazi

Malo ofiira amatha kugawidwa m'mitundu itatu:

Kusintha kwachilengedwe.
Kusintha kwachilengedwe.
Zakudya zochizira zomwe zimayambitsidwa ndimankhwala a shuga.

Mtundu woyamba umaphatikizapo zotupa za pakhungu chifukwa cha kusokonezeka kwa metabolic:

xanthomatosis mu shuga,
dermopathy
thovu.

Madzi otupa pakhungu

Mtundu wachiwiri umaphatikizapo matenda opatsirana:

matenda oyamba ndi mafangasi
matenda oyamba ndi bakiteriya.

Mtundu wachitatu ukuphatikizapo:

Dermopathy yodziwika bwino yokhudza matenda ashuga yomwe imakhudza madera ena otsika, yomwe tidzakambirana mwatsatanetsatane.

Kodi matenda a shuga amawoneka bwanji pakhungu? Choyamba, mawonekedwe a pakhungu ndi mawonekedwe ake amakwanira. Khungu limakhala louma likakhudzidwa, kubowola pang'ono kumawonekera, komwe kumafikira pakhungu.

Khungu la shuga limaphimbidwa ndi kupendekeka chifukwa cha kuyabwa kwambiri chifukwa cha hyperglycemia. Kukhazikika kumakhala kosalekeza, kutchulidwa kwambiri - chifukwa chazunzidwa pafupipafupi, khungu limakhala lakuda ndi loyipa.

Popeza insulin ilinso ndi mahomoni osungunuka mafuta, ikakhala yochepa, lipids yowonjezera imadziunjikira mu dermis. Kuchokera apa imakhala ndi mtundu wachikaso ndikuwongolera. Wen amatha kupanga - mafuta ambiri ozunguliridwa ndi kapisozi.

Tsitsi ndi misomali nazonso zimavutika - zimakhala zonenepa, zonyezimira, tsitsi limatuluka. Mikwingwirima, mawanga ndi ming'alu zimawonekera pamisomali.

Chizindikiro chotsatira ndicho kuzungulira pakhungu ndi matenda a shuga. Amatha kukhala osiyanasiyana pamtundu, pathogenis ndi zotsatira zake.

Dermopathy ya matenda ashuga imadziwika ndi mawonekedwe ang'onoang'ono amtundu wonyezimira wowoneka bwino pamiyendo yakumunsi. Amakutidwa ndi tinthu tating'onoting'ono tokhala ndi zotuluka za khungu. Mawanga a bulauni pamiyendo samayambitsa masoka osasangalatsa ndipo safuna chithandizo chamankhwala.

Mawonekedwe ofiira pamiyendo ndi matenda a shuga, okhala ndimtambo wamtambo - iyi ndi necrobiosis. Masamba ndi akulu kwambiri, ndikudwala kwamatenda omwewo akusintha mtundu wawo kukhala wachikasu, ndipo atrophy imawonekera pakati. Pamodzi ndi izi, zowawa komanso zovuta poyenda zimayamba kumva. Chimawonekera makamaka mwa akulu. Mankhwalawa amangokhala chizindikiro, chifukwa chotupa sichingasinthe.

Matendawa pamiyendo yokhala ndi matenda a shuga - ndimayendedwe a shuga a polyneuropathy. Matuza akuluakulu, osapweteka m'mbali zosiyanasiyana za thupi. Nthawi zambiri, zotupa zoterezi zimayambira zokha. Koma matuza akuluakulu kwambiri, kapena ngati alipo ambiri, amatha kutseguka ndikupanga bala, lomwe matendawa amatha kulumikizana nalo mosavuta.

Malo ofiira pakhungu la nkhope, wofanana ndi blush, amawoneka mwa odwala ena osakwanitsa zaka makumi awiri. Popita nthawi, zimatha zokha. Matendawa amatchedwa rubeosis ndipo siziwadzetsa ngozi.

Malo ofiira pamiyendo yokhala ndi matenda a shuga (chithunzi), limodzi ndi kuyabwa - iyi ndi neurodermatitis, chimodzi mwazizindikiro zoyambirira za matendawa. Kuwonetsedwa kwa poizoni wa hyperglycemia, komwe kumawononga minyewa yamitsempha.

Khungu lomwe limakhala ndi matenda a shuga (chithunzi) limatha kukhala "lakuda". M'malo mwake, awa si dongo, koma owaza kwambiri malo a khungu lakakhuthala. Izi nthawi zambiri sizimatha.

Zotupa pakhungu la shuga mu mawonekedwe amtundu wocheperako wa chikaso chowoneka bwino ndi xanthomas (malo owonda m'mankhwala a shuga mellitus). Ndi chizindikiro cha kuchuluka kwa lipid mu minofu, yomwe imatsogolera ku atherosulinosis.

Matenda a pakhungu okhala ndi matenda a shuga amatha kukhala oyera. Ziphuphu zokhala ndi matenda a shuga zimawonekera mwa akulu ndipo zimachiritsa pang'onopang'ono. Kuthamanga kwa purulent ndi matenda a shuga (chithunzi) kumatha kuyambitsa ma abscesses ndi phlegmon.

Mawonekedwe a pakhungu la shuga amatha kukhala chithandizo. Kupitiliza kosalekeza kwa insulin pamalo omwewo kumapangitsa kuti lipids lipangidwe ndikuwoneka ngati vuto lakhungu.

Zilonda za pakhungu la matenda a shuga zimatha kukhala atrophic. Ichi ndi chiwonetsero cha zovuta zaposachedwa - neuropathy. Pakutero, mawanga amawoneka pakhungu, mawanga amiyendo pamiyendo, pomwe pamayamba zilonda.

Kuwonetsera kwa shuga pakhungu ndikosatha, koma osati kosasangalatsa nthawi zonse. Chithandizo chofunikira chimangofunikira pokhapokha - zotupa za purulent, zilonda zam'mimba, zotupa zambiri.

Chinthu choyamba chomwe chithandizo cha khungu limawonekera kumayambira ndikukwaniritsa mfundo zovomerezeka za glycemia. Mukamasunga shuga uyu, zosintha zakunja zambiri zimazimiririka zokha.

Kuwonetsera kowonjezereka kuyenera kuchitira chithandizo chowonjezera cham'deralo komanso chazonse.

Zopanda zotsekemera zimafunikira kusankha kwa antibacterial mankhwala ndi mankhwala am'deralo okhala ndi mayankho antiseptic. Kuphatikiza apo, kudya yisiti wa chakudya, komwe kumatha kuyeretsa thupi la poizoni, kumathandiza.

Zilonda za trophic ziyenera kuchitidwa opareshoni, kenako kuvala zodzoladzola ndi mafuta a machiritso - Solcoseryl, Actovegin.

Matumba, ngati ochepa, safuna chithandizo. Koma ngati ndiakulu komanso otseguka ndi mapangidwe a bala - ayenera kuthandizidwa ndi yankho la antiseptic.

Mwa kuwonekera batani "Tumizani", mumavomereza mfundo zachinsinsi zachinsinsi ndikupereka chilolezo chanu pakugwiritsa ntchito deta yanu pazokha komanso pazolinga zomwe zafotokozedwazo.

Mitundu itatu ya matenda ammimba a shuga imasiyanitsidwa kutengera kuchuluka kwa zovuta za malo osungirako malo kapena magazi. Ndi vuto la maselo amitsempha, mawonekedwe a neuropathic amakula. Mbali yodziwika kwa iye ndi kutsimikiza kosavuta kwa kusintha kwapakati. Edema yodziwika komanso yosalekeza imawoneka pamiyendo.

Mapazi mu mawonekedwe awa ndi ofunda, khungu limakhala labwinobwino kapena pang'ono pang'onopang'ono, chilondacho chimapezeka (monga pachithunzichi) m'malo opezeka katundu - m'dera la mafupa achitsulo. Matenda a ululu amakhala ofatsa. Chilondacho ndi chonyowa, m'mphepete ndichopindika. Nthawi zambiri zimakhudza achinyamata omwe ali ndi matenda amtundu 1, kumwa mowa mwauchidakwa kungakhale chinthu chotsogola.

Kuchepa kwa miyendo yokhala ndi matenda osokoneza bongo omwe ali pachithunzichi kungakhale chizindikiro cha mtundu wa ischemic wa polyneuropathy, momwe vuto la magazi limafotokozera zizindikiro za phazi la matenda ashuga.

Ndi njira iyi, miyendo imakhala yozizira, zimachitika bwanji.

Zilonda zimapezeka m'malo omwe amapezeka magazi kwambiri - zidendene, kunsi kwa phazi, ndi chala. Khungu lozungulira chilondacho ndi loonda. Nthawi yomweyo, odwala amasokonezeka ndi kupweteka pakupuma, kukulira usiku, poyenda amakakamizidwa kuima chifukwa cha ululu waukulu.

Fomu yosakanikirayi imadziwika kwambiri kwa odwala omwe ali ndi matenda ashuga, amaphatikiza zizindikiro za ischemia ndi zovuta zamitsempha. Zowopsa zomwe zimapangitsa kuti matenda ashuga akhale ndi:

Kutalika kwa matenda ashuga kuposa zaka 10.
Zosawerengeka kapena matenda a shuga.
Kusuta.
Odwala omwe adakumana ndi vuto la mtima kapena stroke.
Mowa.
Ndi chizolowezi chopanga magazi.
Kunenepa kwambiri.
Matenda a Varicose.

Zizindikiro za phazi la matenda ashuga

Khungu la odwala omwe ali ndi matenda osokoneza bongo auma komanso owonda, nthawi zambiri amakhala ovulala, makamaka m'dera la chala. Chida choyambitsa kupangika kwa zotupa zam'mitsempha ndi zotupa zimatha kukhala matenda oyamba ndi mafangasi, kapangidwe kake koyipa kapena kuchotsa kwa msomali wolowera.

Popeza kupangidwa kwa phazi la matenda ashuga kumakhala ndi zovuta zoyipa modula mwendo kapena kufa kuchokera ku sepsis, yomwe idayamba chifukwa chakuchulukana kwakanthawi kochepa, kuzindikira zizindikiro zoyambirira za kupsinjika kwa phazi la matenda ashuga kupulumutsa moyo wa wodwala.

Chizindikiro choyamba chomwe ndi kuchepa kwa kugunda kwa chinyezi, kenako kutentha, kupweteka ndi tactile zimaphwanya pambuyo pake. Chizindikiro chowopsa chikhoza kutupa pamendo pansi pa ng'ombe, m'dera lamapazi. Ngati miyendo itentha kapena kuzizira, ndiye kuti izi zikutanthauza kuti magazi amayenda kapena matenda alumikizana.

Kuzindikira matendawa ndi kuphunzira njira zamankhwala ake

Mu matenda a shuga, zovuta zomwe zimayambitsa phazi la matenda ashuga zimawoneka nthawi imodzi pazifukwa zingapo, zomwe zimatha kukhala embolism ya miyendo ndi kusagwira bwino kwa conduction ya mitsempha.Phazi la matenda ashuga limatha kukhala mitundu itatu, ndipo asanasankhe chithandizo chilichonse chamankhwala odwala matenda ashuga, katswiri ayenera kudziwa mtundu wa mawonekedwe, apange mayeso angapo komanso mayeso.

Poyamba, miyendo ya wodwalayo imayesedwa bwino. Izi zimachitika kuti zizindikire matendawa. Kenako wodwalayo amatumizidwa ku X-ray kapena MRS yamapazi kuti akawone ngati pali zotupa m'mafupa kapena mkati.

Njira yodwala odwala matenda ashuga imaphatikizapo njira zingapo

Komanso, wodwalayo amayesedwa kuti achite momwe thupi lake limachitikira, makamaka, malekezero am'munsi kuti akhumudwitse (kugwedeza, kuchepa kofulumira kapena kuwonjezeka kwa kutentha, kukhudza). Amulola katswiriyo kumvetsetsa momwe ma neuropathy ophatikizika am'miyendo.

Nsapato za wodwala ziyenera kuyesedwa mosalephera. Izi zikuthandizani kuti muwone ngati chokhachokha chikuyimitsidwa ndi momwe chikufananira bwino kukula ndi mawonekedwe.

Ngati zilonda zayamba kusefukira pamiyendo, adotolo amatenga kachiromboka ndikutumiza zomwe zalembedwa mu labotale kuti adziwitse mabakiteriya - izi zipangitsa kuti amvetsetse kuti ndi mankhwala ati omwe angathandize komanso omwe sangakhale othandiza.

Kuphatikiza apo, kuchipinda chachipatala wodwalayo adzapatsidwa maphunziro angapo omwe amagwiritsidwa ntchito ndi ultrasound ndi zida zina zapadera. Mayendedwe kwa iwo amaperekedwa ndi dokotala aliyense payekha, kutengera zosowa zawo. Izi ndizofunikira pakuwunika magazi m'magazi amiyendo.

Kusiyana kwa X-ray ndi mtundu wina wa kafukufuku, malinga ndi madokotala, odalirika kwambiri. Koma iye ndiwowononga kwambiri.

Nthawi zina, njirayi imatha kubweretsa mayankho omwe amakhudza impso, chifukwa ndi chiwalo chofunikira kwambiri. Tanthauzo la kulowererapo ndi motere: wothandizira mosiyanitsa wa radiyo amalowetsedwa m'magazi a wodwalayo, omwe patapita kanthawi amayamba kunyezimira, ndipo amawonekera kudzera m'makoma a zotengera.

Njirayi imagwiritsidwa ntchito mosamala kwambiri, koma ngati wodwala akuyenera kuchita opareshoni kuti ayeretse mabulogu m'matumba, phunziroli limayikidwa popanda chifukwa.

Kutengera ndi kuwonongeka kwa miyendo, phazi la matenda ashuga limagawika m'magawo:

Zero. Amatchulidwanso gawo loyamba la phazi la matenda ashuga. Kukonzeratu maonekedwe a zilonda zam'mimba. Pali zizindikiro za kupunduka kwa phazi komanso kupezeka kwa matuza. Pa chithunzi cha phazi la anthu odwala matenda ashuga oyambira momwe awonetsera pansipa, mutha kuwona kuti palibe kuvulala kwambiri pamenepa, ali ndi lingaliro lakutsogolo kwa iwo, kotero chithandizo munthawi imeneyi ndichofunika kwambiri komanso chophweka.
Gawo loyamba. Kupezeka pa phazi la zilonda zam'mimba, ming'alu.
Gawo lachiwiri. Pali ovulala kwambiri omwe amafikira minofu, koma osakhala ndi nthawi yogwira mafupa.
Gawo lachitatu. Zilonda Zomwe Zimakhudza Mafupa
Gawo lachinayi. Kuwonongeka kwa zala zakumapeto kumayambiriro kwa chimbudzi.
Gawo Lachisanu. Matendawa amakhudza mbali yonse ya phazi.

Matenda a matenda ashuga a m'matumbo

Njira yodwala odwala matenda ashuga ndi njira zingapo zamankhwala:

kusanthula bwino miyendo tsiku ndi tsiku kuti adziwe kudula, chimanga, mabala ndi zina zilizonse zofunika pakupanga phazi la matenda ashuga,
kugwiritsidwa ntchito kwa phala loyenereradi "Lekani shuga", kutsatira zakudya okhwima zomwe dokotala wakupezekapo,
kudziwika ndi mavalidwe apadera omwe amathandizira kuchepetsa kukakamiza pamalo ovuta a phazi, maphunziro ogwiritsa ntchito moyenera,
kuyezetsa pafupipafupi, kuyang'anira pafupipafupi kuchipatala,
kumwa mankhwala
opaleshoni yolowerera (ntchito).

Kuchiza zilonda pamiyendo kumachitika ndi scalpel yachipatala, pomwe dokotala amadula minofu yakufa ndi scalpel, kapena mavalidwe apadera omwe amatulutsa mafinya. Amatha kukhala ngati filimu yopyapyala kapena mawonekedwe a thovu.Ngati wodwala amaloledwa kukhala kunyumba, ndiye kuti mankhwala opha tizilombo ndi kudziyeretsa komanso kuyeretsa zilonda.

M'mbuyomu tinkakhulupirira kuti mapazi owonda ayenera kusungidwa ndi mpweya wabwino, koma chakumapeto kwa zaka za zana la 21, mankhwala atapita patsogolo kwambiri, lingaliro la chithandizo lidasinthidwa. Tsopano, odwala omwe ali ndi matenda a "diabetic phazi" amalimbikitsidwa kuti azikhala ndi miyendo yake m'miyendo kuti ikhale chinyontho, komanso kuti asaberekenso mwayi wokhala ndi mabakiteriya atsopano.

Tisaiwale kuti, kuwonjezera pa manja a dokotala wa opaleshoni, mabungwe azachipatala amathandizira pochotsa mphutsi za sera ndi kupangira minofu yakufa yokhala ndi mayankho apadera. Poyamba, mphutsi zimadya nyama yakufayo, ndikubwezeretsa chinthu chomwe chitha kuchiritsa mabala akulu. Komabe, njirayi ikungoyamba kutchuka, ngakhale idagwiritsidwa ntchito pazaka za Nkhondo Yoyamba Yapadziko Lonse.

Kachiwiri, dera lomwe lakhudzidwalo limangopatsidwa ma enzymer omwe amaphwanya khungu lakufa, kenako limadzikundika.

Zizindikiro za matendawa

Kupweteka kosatha kungakhale chizindikiro cha kupindika, kupunduka kwamapazi, kuphwanya, kuchuluka kwambiri, nsapato zosayenera, kapena matenda.

Kuchepa khungu ndi chizindikiro cha matenda, makamaka ngati khungu lozungulira chilondacho lasandulika red. Komanso nsapato zosasankhidwa bwino kapena masokosi amatha kutikita khungu.

Kutupa mwendo ndi chizindikiro cha kutupa, matenda, nsapato zosankhidwa bwino, kulephera kwa mtima, kapena kufooka kwa magazi m'matumbo.

Kukula kwa kutentha pakhungu kumatanthauza matenda kapena kutupa komwe thupi limayesa kupondereza koma osatha kupirira chifukwa chitetezo cha mthupi chimafooka ndi matenda ashuga.

Zizindikiro

Mavuto amendo mu shuga angayambike chifukwa cha kuwonongeka kwa mitsempha, kutsekeka kwa mitsempha yamagazi yomwe imadyetsa miyendo, kapena onse. Izi zimatchedwa neuropathic, ischemic, kapena mawonekedwe osakanikirana a matenda ammimba a shuga. Dokotala amafufuza mtundu wa matendawa ndipo amafufuza kuti apereke mankhwala oyenera.

Zomwe adotolo amachita	Ndi cholinga chanji
Amaonetsetsa miyendo yake	Dziwani zizindikiro za phazi la matenda ashuga (onani pamwambapa)
X-ray kapena maginito oyang'ana m'magazi	Onani kuwonongeka kwamafupa
Yesani kuti mumve kutentha, kutentha, kukhudza, ndi mawonekedwe a bondo.	Kuti mudziwe momwe wodwalayo amawonera wodwala matenda ashuga
Amayendera nsapato za Wodwala	Kuti muwunikire momwe nsapatoyo ilili yoyenera komanso kukula, ngakhale ilibe matupi akunja, ngati singayime yokhayo
Imatumiza zomwe zili ndi bala kuti zitheke	Dziwani mankhwala omwe angathandize ndi omwe sangathe.

Kafukufuku wowunika magazi omwe amayenda m'mitsempha omwe amadyetsa miyendo:

Ultrasound ya ziwiya za m'munsi,
M-mode ultrasound dopplerography (USDG),
muyeso wa kalozera wamchifuwa,
transcutaneous oximetry.

Pali kafukufuku wina - radiopaque angiography. Wothandizira mosiyanitsa ndi wailesi amalowetsedwa m'magazi a wodwalayo, omwe "amawala" m'makoma a ziwiya.

Phunziroli ndilothandiza kwambiri, koma lingayambitse mavuto kuchokera ku impso. Chifukwa chake, limayikidwa mosamala.

Komabe, ngati opareshoni yakonzekera kubwezeretsa kutuluka kwa magazi m'matumbo, ndiye kuti ndizofunikira.

Gawo	Zizindikiro
0	Palibe zilonda pano, koma chiwopsezo chake ndi chachikulu - chimanga, kupunduka kwa phazi
1	Zilonda zapamwamba
2	Zilonda zakuya. Ma toni koma osati mafupa omwe angakhudzidwe.
3	Zilonda zakuya zowonongeka ndi mafupa
4	Gangrene pa zala
5	Gulu lodzaza ndi miyendo

Kukula kwake kumatengera kutalika kwa matenda ashuga, momwe wodwalayo amathandizidwira, ngakhale atalimbikitsidwa kutsatira regimen. Matenda obwera ndi ofunikanso - atherosulinosis, matenda oopsa, zovuta za matenda a shuga a impso ndi vuto la maso, matenda a senile.Chifukwa chake, pamene wodwala matenda ashuga apita kwa dokotala chifukwa cha zovuta za mwendo, kuyezetsa kumayenera kukhala kokwanira.

Ngati kutupira ndi matenda ashuga kuwoneka ngati kovuta, ndiye kuti choyambirira kuchita ndikukhazikika kwa glucose m'magazi. Izi zitha kupezeka ndi chakudya chomwe, kuphatikiza kuletsa zakudya zamafuta ochepa komanso zakudya zamafuta kuchokera ku nyama, ndikofunikira kuchepetsa kuchuluka kwa mchere ndi madzi omwe mumamwa.

Kwa odwala omwe alibe kwambiri matenda oopsa, tikulimbikitsidwa kuti tisamachulukenso 6 g ya mchere wa tebulo patsiku, ngati kuchuluka kowonjezereka kwa kuthamanga kwa magazi pamwamba pa 145/95 kumapezeka, ndiye kuti mcherewo umachepetsedwa mpaka 1-2 g patsiku kapena kuthetseratu.

Mu matenda a shuga a nephropathy, mapuloteni amtundu amachepetsedwa. Pankhaniyi, zakudya ziyenera kuphatikiza masamba okwanira, zipatso zopanda zipatso. Zochizira a impso ndi mtima edema, mankhwala otsatirawa amagwiritsidwa ntchito:

Mankhwala a diuretic: a shuga, mankhwala omwe amachepetsa kuchuluka kwa potaziyamu amagwiritsidwa ntchito - Furosemide, Trifas, Indapamide. Hypothiazide imagwiritsa ntchito zochepa chifukwa cha zotsatira zake zoyipa zama metabolism. Mankhwala osokoneza bongo sagwiritsidwanso ntchito kawiri pa sabata kawiri.
Ndi kufooka kwa minofu ya mtima, Riboxin ndi Mildronate ndi omwe amapatsidwa.
Zitsamba zokhala ndi diuretic: ma decoctions ndi infusions a bearberry, akavalo, ndi birch masamba amagwiritsidwa ntchito. Kuti musinthe khofi, chicory ndikulimbikitsidwa, yomwe, kuwonjezera pakulimbitsa mkodzo, imakhala ndi kuchepetsa shuga.

Kuchepetsa edema yomwe imayambitsidwa ndi vuto la venous outflow, jersey ya compression imagwiritsidwa ntchito: bandeji zotanuka, masitonkeni, ma tights. Komanso, odwala amawonetsedwa mankhwala omwe amalimbitsa khoma la mitsempha: Detralex, Eskuzan, Normoven ndi Troxevasin.

Kupititsa patsogolo magazi m'thupi, kukonzekera magazi kungagwiritsidwe ntchito - Aspecard, Cardiomagnyl, Clopidogrel. Ma gels omwe amagwiritsidwa ntchito komweko ndi awa: Troxevasin, Hepatrombin, Aescin ndi Venitan.

Popewa edema odwala matenda ashuga, tikulimbikitsidwa:

Chepetsani nthawi yokhala malo owongoka, osapatula nthawi yayitali komanso kulimbitsa thupi.
Chepetsani kunenepa kwambiri kuti muchepetse katundu m'miyendo yam'munsi.
Ndi chizolowezi cha edema, kugwiritsa ntchito prophylactic pakukonzekera kwazitsamba ndikugwiritsa ntchito miyala yamkati ndikulimbikitsidwa. Phytotherapy ya matenda a shuga, mokomera, idzakhala yopindulitsa.
Kuvala kusanja kopindika kutsitsa venous system ndikuletsa kusayenda.
Chitani ntchito zapadera zochizira. Pazizindikiro zoyambirira za neuropathy, odwala amalimbikitsidwa kuti ayende maulendo ataliitali kuti akonzere kusintha kwam'mimba m'magawo otsika.
Ukhondo wamapazi ndi kuyendera tsiku ndi tsiku kuti mupeze komanso kuchitira zilonda zapakhungu panthawi yake.

Kanemayo munkhaniyi akuwuzani zoyenera kuchita ndi kutupa kwamiyendo pakadwala matenda ashuga.

Chithandizo cha mavuto a pakhungu makamaka ndikukonzanso kwamisempha yamagazi, komanso kukhazikitsidwa kwa njira zochiritsira yolimbana ndi matenda a shuga. Kuphatikiza apo, chithandizo cha neuropathy nthawi zambiri chimakhala chovuta chifukwa chakuti odwala samamva zizindikiro zake koyambirira.

Kuphatikizika kwa mankhwala a shuga ndi zotupa za pakhungu kumadalira makamaka pamakhalidwe a thupi la wodwalayo.

Chithandizo cha khungu la kumapazi ku matenda ashuga chitha kukhala chothandiza ngati wodwala azitsatira zakudya zama carb zotsika: "Zabwino" kapena zakudya zina sizingathandize.

Kuti adziwe kuchuluka kwa zotupa, odwala amapita kukayezetsa kokwanira: kuyezetsa magazi kwa glucose ndikuwunika kojambula zamankhwala amodzi, kutsimikiza kwa ntchito yaimpso, x-ray ndi maphunziro a angiographic. The neuropathologist amayendera chitetezo chamakutu ndikuwonetsetsa kupweteka, kukhudza, kugwedeza ndi kutentha.

Kuti muwone kutuluka kwa magazi, dopplerometry imachitika, kuthinikizidwa mu ziwiya zamiyendo kumayezedwa.Pamaso pa chilonda, chikhalidwe cha microflora ndi chidwi cha antibacterial mankhwala chimatengedwa.

Chithandizo cha phazi la matenda ashuga chimayamba ndikusintha kuchuluka kwa glucose m'magazi kuti athe kugunda. Ngati wodwala adalandira mapiritsi ochepetsa shuga, ndiye kuti amasamutsidwa kwathunthu kupita ku insulin kapena kuyambitsa mankhwala a insulin ndi antidiabetic omwe amapezeka nthawi zonse.

Kuchotsa kupweteka kwa matenda ashuga polyneuropathy kumachitika ndi mankhwala otsatirawa:

Maanticonvulsants (Finlepsin, Gabalept).
Ma Painkiller (Dexalgin, Nimesulide).
Ma antidepressants (venlafaxine, clofranil).
Kirimu ndi lidocaine.

Kuchiza ndi thioctic acid kukonzekera (Thiogamma, Berlition), komanso jakisoni wa mavitamini a B (Milgamma, Neurobion) kumathandizira kubwezeretsa chidwi cha minofu ndikuthandizira kuchiritsa kwa vuto lolcerative. Dipyridamole, Actovegin, Pentoxifylline amagwiritsidwa ntchito kukonza magazi.

Kuphatikiza apo, zilonda zimaperekedwa, ndipo nthambi yomwe yakhudzidwa imatsitsidwa. Zilonda zam'miyendo yam'munsi, muyenera kuyesetsa kukhala pamalo owoneka bwino. Zipangizo zamtundu wapadera zimagwiritsidwanso ntchito kuti muchepetse katunduyo kumapazi. Polimbana ndi matendawa, physiotherapy ya matenda a shuga m'mankhwala othandizira amapatsa zotsatira zabwino.

Ngati kachilomboka kachilomboka, mankhwala opha mabakiteriya amadziwika kwa nthawi yayitali musanachiritsidwe zilonda.

Chithandizo champhamvu chimachitidwanso kuti chithandizire matenda omwe amakhalanso ovuta kupangitsa odwala: kuchepa magazi, impso ndi chiwindi.

Kodi anthu odwala matenda ashuga ayenera kudziwa chiyani chithandizo ngati mawanga akuda awoneka pamiyendo yawo?

Njira zochizira matenda amkati zimakhudzana mwachindunji ndi gulu lomwe matendawa ndi ake. Choyamba, adotolo amasankha chithandizo chofunikira kwambiri pakuchira kwa metabolic. Ndiye kuti, choyambirira, dermatologist samachita ndi zotsatira zake, koma zifukwa chifukwa chomwe zotupa za khungu zafalikira.

Dermatitis ya matenda ashuga, omwe ali m'gulu loyambira, safuna chithandizo chovuta komanso chophatikiza. Mulingo wodwala ukakhazikika, kuchuluka kwa zotupa kumachepa kwambiri.

Mankhwala othandizira komanso opambana a matenda osiyanasiyana opatsirana, njira zapadera zochizira zimagwiritsidwa ntchito, zomwe zimaphatikizapo mankhwala a antiallergenic.

Ndipo kotero kuti ma dermatoses pamunsi yotsika amatha mofulumira - mankhwalawa ayenera kukhala ndi machitidwe antifungal komanso anti-allergenic.

Njira yodwala odwala matenda ashuga ndi njira zingapo zingapo:

Kuphunzitsa wodwalayo maluso - kupenda mapazi tsiku ndi tsiku, kusintha mavalidwe ndi zina zofunika.
Kuwongolera shuga, kuthamanga kwa magazi ndi cholesterol yamagazi.
Chithandizo chowawa - kuvala, kuchotsa opaleshoni ya minofu yosagwira.
Maantibayotiki kuti athane ndi matenda.
Mavalidwe a Total Contact Cast, omwe amathandizanso madera omwe akhudzidwa ndi phazi kukakamizidwa kwambiri.
Kubwezeretsanso magazi m'miyendo, kuphatikizapo kudzera mu opaleshoni ya mtima.

Nthawi zambiri mwa odwala omwe ali ndi matenda ashuga, mphamvu ya mitsempha imasokonekera chifukwa chake miyendo sikuvulala, ngakhale zowonongeka. Nthawi yomweyo, kuchiza matenda osokoneza bongo ndi zovuta zambiri.

Chifukwa chake, odwala ena amayesedwa kuti atuluke. Zotsatira zake, adzakhala pa tebulo la opareshoni kwa dokotala wa opaleshoni.

Chifukwa ngati ma virus amafalikira momasuka mabala m'miyendo, ndiye kuti amayambitsa gangore. Kudula kungathe kupewedwa ngati chithandizo chikuyambitsidwa panthawi yake ndipo boma limalangidwa.

Momwe mungachiritsire zilonda zapazi

Zilonda zam'mapazi za odwala omwe ali ndi matenda osokoneza bongo nthawi zambiri sizimayambitsa kupweteka chifukwa cha neuropathy - kuchepa kwa mitsempha yodutsa. Koma izi sizabwino, koma vuto.

Chifukwa kusowa kwa ululu kumapangitsa odwala kuyesedwa kuti asalandire.Anthu odwala matenda ashuga oterewa amangogwira mwendo utayamba kuwola.

Yang'anirani chithandizo ndi kupewa kwa matenda ashuga kuti musadwale, kuti mutha kuyenda moyenera.

Chithandizo cha zilonda zam'munsi za shuga:

Kuwongolera shuga la magazi mosamala ndikofunikira, apo ayi sipapambana.
Pangakhale kofunikira kuchotsa minofu yosagwira. Kwa izi, sikuti ndimangopanga opaleshoni yokha, komanso njira zina (onani pansipa).
Zilondazo zimayenera kukhala zoyera ndikuziteteza ku zinthu zakunja.
Yenderani malo owonongeka tsiku ndi tsiku, sinthani bandeji, ndikutsatira malangizo ena a dokotala.
Yesetsani kuyenda pang'ono mpaka zilonda zapaziyenda.
Kuyenda osavala nsapato ndizoletsedwa.

Kuyambira 2000s, madokotala adapezeka mu zida zamitundu yambiri yovala zamankhwala othandizira odwala matenda ashuga. Kuvala kumatha kuyamwa mafinya kuchokera pachilonda ndikukhala ndi mankhwala ophera tizilombo.

Pogwiritsa ntchito kuvala, mutha kuyika ma enzyme ku zilonda zomwe zimachotsa minofu yosagwiritsidwa ntchito, mmalo mowachotsa opaleshoni. Zovala zamakono ndi chida chothandiza chomwe chimafulumira kuchiritsa.

Kusamalira Mapazi: Malangizo atsatanetsatane

Otsatirawa ndi malamulo osamalira odwala phazi la mtundu 1 ndi matenda ashuga 2. Ngati mphamvu miyendo itenthe, kutentha ndi kupsinjika kwambiri zimatayika, ndiye kuti ziyenera kuchitidwa makamaka mosamala. Iyi ndi njira yokhayo yopezeka pa tebulo la opareshoni kwa dokotala yemwe wachita kuduladula.

Nthawi yomweyo, ngati mungagwiritse ntchito pulogalamu ya 1 ya matenda a shuga kapena mtundu wachiwiri wa matenda a shuga ndikusungitsa shuga m'magazi anu komanso nthawi zonse, pakapita nthawi, mphamvu zamitsempha zimabwezeretseka. Pambuyo pake, chiwopsezo cha mavuto amiyendo amiyendo mu shuga amachepetsa mpaka zero. Kubwezeretsa chidwi chamanjenje kumatenga pafupifupi miyezi ingapo, ndipo nthawi zambiri zaka 1-2.

Siyani kusuta! Kusuta kumapangitsa magazi kulowa m'miyendo, motero, kumakulitsa mwayi womwe kudzicheka kuyenera kuchitidwa posachedwa.

Njira zamankhwala azikhalidwe

Anthu ambiri amagwiritsa ntchito kwambiri mankhwala othandizira kunyumba kutsutsana ndi dermopathy. Muzochitika zowopsa, komanso ndi chizolowezi cha matendawa, odwala amasamalira khungu mothandizidwa ndi zinthu zomwe zakonzedwa pamaziko azitsamba ndi mizu. Zosakanikirana ndi decoctions zimatengedwanso pakamwa, zomwe zimakhudza kagayidwe, shuga komanso mtima wathanzi.

Chinsinsi	Njira yovomerezeka
110 g ya udzu winawake umasakanikirana ndi ndimu, mutachotsa mbewu. Zogulitsazo zimagwera mu blender, kenako zimasungidwa kwa ola limodzi mumadzi osamba.	Tengani tsiku lililonse, osachepera zaka ziwiri, tsiku lililonse, pamimba yopanda kanthu.
Makungwa a oak opatsirana, masamba a St. Wiritsani kwa mphindi 15, ozizira, fyuluta.	Tetezani matumba oyera mu decoction, gwiritsani ntchito khungu lanu. Njira yothetsera vutoli imathandizanso kuyimitsa, imakhala ndi vuto.
Pulogalamu yamkati ndi aloe imachiritsa bwino mawanga m'miyendo: shuga imapangidwa ndi chomera chodabwitsa ichi, chomwe mungachepetse kuchuluka kwa shuga mukamamwa pakamwa.	Zopaka zoyera za aloe, popanda khungu, valani pakhungu la miyendo, sungani kwa ola limodzi. Chidacho chimathandizanso kutupa.
30 g wa masamba a birch amathiriridwa ndi kapu yamadzi, yophika kwa mphindi 10, ndiye utakhazikika ndikusefa.	Wetani chopukutira choyera mu msuzi, gwiritsani ntchito mabala.
Makungwa a oak ndi motsatizana (20 g iliyonse) amathiridwa mu 200 ml ya madzi, owiritsa kwa mphindi 5, ndiye amawalimbikitsa.	Madzi omalizidwa amawonjezeredwa kumadzi osamba mapazi. Mutha kupanga decoction pamiyeso ikulu kuti mulowetse mapazi anu mchipinda chosambira

Njira zopewera

Ndi matenda a shuga, muyenera kulabadira chisamaliro cha khungu. Kupewa matenda a khungu kumatha kuteteza wodwala ku zovuta. Mfundo zotere ziyeneranso kutsatiridwa ndi omwe adziwona okha dermatosis paokha.

Kwa wodwala yemwe ali ndi matenda ashuga, kuyezetsa mwendo nthawi zonse zaukhondo njira yofunikira popewa zovuta za neuropathy. Mabala kapena mabala onse amafunika kuthandizidwa ndi Miramistin kapena Chlorhexidine, yankho lamadzimadzi la furacilin. Osagwiritsa ntchito njira zokhala ndi zakumwa zoledzeretsa.

Zochizira zilonda zam'mimba, Solcoseryl, Actovegin, gelusi la Iruksol amagwiritsidwa ntchito. Mukamayendetsa pedicure, simungagwiritse ntchito masamba, ndi bwino kugwiritsa ntchito maluso a hardware. Mapazi azikhala ndi mafuta ophikira a ana kuti muchepetse kuwuma kapena mafuta apadera a odwala matenda ashuga: Balzamed, Alpresan.

Mukamavala nsapato, ziyenera kufufuzidwa chifukwa cha kukhulupirika kwa insoles, kusapezeka kwa timiyala, makatani olimba kapena zipsera zomwe zitha kuvulaza khungu la phazi. Nsapato zimayenera kufananizidwa ndendende kukula ndi kutalika kwa kukweza. Pankhaniyi, simungagwiritse masokosi opapatiza, kufinya zala zanu. Otsuka ndi chidendene chotseka ndi chala chake amasankhidwa kuti azivala kunyumba.

Njira zotsatirazi zopewera matenda a matenda ashuga zimalimbikitsidwanso:

Kuthetsa kwathunthu kusuta fodya ndi mowa.
Ndikosatheka kupewa hypothermia ya miyendo.
Mukasamba phazi losamba, kutentha kwawo kukhale pafupifupi madigiri 36.
Ndi maso osawona bwino, simungadule misomali yanu nokha.
Sikulimbikitsidwa kuyenda wopanda nsapato, ngakhale kunyumba.
Osamagwiritsa ntchito mapepala otenthetsera, mabatire, kapena zotenthetsa kuti musentheze mapazi anu.

Njira yayikulu yopeweretsera zovuta zonse za shuga ndikuwunika shuga. Kuti muchite izi, muyenera kugwiritsa ntchito chipangizo choyezera shuga m'magazi tsiku lililonse komanso kamodzi pa miyezi itatu iliyonse kuti mudziwe kuchuluka kwa hemoglobin ya glycated ndikuchezera endocrinologist kuti akonze chithandizo. Kufunsidwa kwa dokotala wa ana ndi neurologist kumalimbikitsidwa kamodzi pachaka.

Kanemayo munkhaniyi amatsimikizira odwala matenda ashuga.

Kupambana kwa mankhwalawa ku dermatoses mu shuga mellitus mwachindunji kumadalira kukonza kwa thanzi la wodwalayo komanso kusintha kwa zochita za metabolic zomwe zikuchitika mthupi lake.

Malo ofiira omwe amakhala ndi miyendo ndi ovuta kuchiritsa. Kuti muchite izi, muyenera kuyang'aniridwa kwathunthu khungu.

Zofunika! Pamaso pa mitundu yamafupa, gwiritsani ntchito mankhwala osamalira khungu omwe alibe mafuta onunkhira. Kugwiritsa ntchito mafuta opukutira ndi zinthu zokhala ndi chithunzi zotsatira kumalimbikitsidwanso.

Kuti muchepetse mawonekedwe owirira a kumapazi, ndibwino kugwiritsa ntchito mafinya kapena mafayilo apadera. Nthawi yomweyo, simuyenera kuchotsa palokha chimanga chogwiritsidwa ntchito ndikugwiritsanso ntchito mankhwala azitsamba kuti muchotse chimanga.

Zofunika! Wodwala wokhala ndi mawanga ofiira kumapeto kwenikweni ayenera kuvala zovala zopangidwa kuchokera ku nsalu zachilengedwe, zapamwamba kwambiri. Muyenera kusinthanso zovala za tsiku ndi tsiku, zovala, magalofu kapena masokosi.

Kuphatikiza apo, ndikofunikira kuti zovala zisankhidwe mosamalitsa. Vutoli ndilofunikira kwambiri kuti khungu lipumule momasuka, kuti lisapunikidwe kapena kuzisenda. Ndi mawonekedwe a kufooka kwazing'ono ndi zazing'ono, dermis iyenera kuti itulutsidwe mankhwala posachedwa.

Kuphatikiza apo, chilondacho sichingakhaulidwe ndi pulasitala. Pankhani yopanga ma dermatoses osiyanasiyana mu shuga, ndikofunikira kukaonana ndi dermatologist posachedwa, kenako kukaonana ndi endocrinologist.

Kupewa ndikukhazikitsa mosamala malamulo oyang'anira miyendo komanso kuyang'ana miyendo tsiku ndi tsiku. Malangizo posamalira phazi amaperekedwa pansipa.

Tsopano tikambirana za momwe mungayang'anire mapazi a wodwala yemwe ali ndi matenda ashuga, zomwe muyenera kuyang'ana. Mapazi amayenera kuwunikidwa tsiku lililonse, kuyambira kumwamba, kenako kuchokera kumbali ya yekhayo.

Onani khungu pakati pa zala zanu mosamala. Mungafunike kalilore wa izi.

Ndikofunika kuti wina achite nawo mayeso kumapazi, osati odwala matenda ashuga okha.

Ntchito yoyeserera siyiyenera kuphonya ngati chimanga chatsopano, kutupa, kufinya, malo opweteka, zotupa za pakhungu, kapena kusintha kwina kulikonse. Maonekedwe, mtundu wake ndi kutentha kwa phazi kumatha kusintha.

Kuzindikira kukhudza - kufooketsa kapena kukhazikika. Ngati mukuwona kuti zosinthazo zikuyipiratu - m'mawa wotsatira, funsani dokotala, osakoka.

Pakhoza kukhala mafupa ang'onoang'ono ndi mafinya a mafupa, chifukwa chomwe phazi limatupa, mawonekedwe ake amasintha. Izi zimafunikira chisamaliro chofunikira kuchokera kwa dokotala.

Ngakhale zowonongeka zazing'ono zimatha kusintha kukhala zilonda zam'mimba, zomwe zimakhala zazitali komanso zovuta kuchiritsa. Pankhani ya matenda obwera ndi mabakiteriya pachilonda, khungu limakula, ndipo mwina kungodulidwa kumene kungapulumutse wodwalayo kuimfa.

Khungu la miyendo likakhala lakuda kapena mosinthasintha, tsitsi limasowa - izi zikutanthauza kuti magazi m'miyendo akuchepa. Choyipa chachikulu ndikupereka kwa okosijeni ndi zakudya m'maselo, ndizowonjezera kuwonongeka kwa khungu.

Onani ngati khungu lakukhudza kukhudza likukula. Kuti muchite izi, mutha kugwiritsa, mwachitsanzo, nthenga.

Onetsetsani kuti wodwala matenda ashuga amatha kumva kusiyana pakati pa madzi ofunda ndi ozizira atatsitsa phazi lawo m'madzi. Musanasambe, muyenera kuwona kutentha kwa madzi ndi dzanja.

Mulimonsemo, thermometer yosamba iyenera kukhala ndikuigwiritsa ntchito.

Matenda a matenda ashuga a phokoso nthawi zambiri amakula chifukwa wodwala wavulala mwendo, koma samva. Cholinga cha kuyesedwa kwa tsiku ndi tsiku ndikuwonetsa kusintha komwe odwala matenda ashuga sanawone panthawi yomwe adachitika.

Madokotala tsopano ali ndi zovala zamakono zopaka bwino. Izi ndi zida zomwe zimathandizira kuchiritsa mabala m'miyendo, kupewa matenda, zilonda zam'mimba komanso kudula.

Komabe, muyenera kumuwona dokotala nthawi. Pamene gangrene yayamba kale, palibe njira ina kuposa kudulira.

Tsatirani malamulo osamalira phazi, yang'anirani phazi tsiku ndi tsiku ndikuyang'ana dokotala mukangoona kuti china chake chikukusokonekera. Njira zazikulu zopewera ndi kuchiza matenda ashuga ndikuchepetsa magazi kukhala abwinobwino, ndikuwasunga mokhazikika, monga mwa anthu athanzi.

Izi zitha kuchitika ndi matenda a shuga amtundu wa 1 ndi mtundu wa 2 omwe amakhala ndi zakudya zotsika kwambiri za carb. Lamulirani kagayidwe kanu - ndipo ambiri mwa zizindikiro za matenda ashuga adzatha nthawi.

Makamaka, chidwi cha miyendo chimabwezeretsedwa. Komanso kuwonongeka pakhungu pamiyendo kuchira.

Koma, mwatsoka, ngati mitsempha ya magazi yatsekedwa, ndiye kuti mawonekedwe awo sangathe kubwezeretsedwanso. Komanso, ngati mutaduka kapena kufalikira mafupa amiyendo, ndiye kuti izi sizingathe.

Zomwe zimayambitsa matenda a shuga

Zilonda zazing'onoting'ono pakhungu mu ming'alu, mabala kapena mabala amadzisandutsa zolakwika zotupa, ndipo zilonda zobisika zimapangidwa pansi pa keratinized epithelium. Zonsezi sizingawonedwe ndi odwala, chifukwa sizimayambitsa kusamva bwino. Nthawi zambiri, zilonda zimapangika m'malo ovuta omwe amapezeka poyenda.

Zowonongeka zoterezi zimatha kukulitsidwa chifukwa chovala nsapato zolimba, khungu lowuma komanso kukula kwa corneum yovunda, ngati kuvulazidwa pa pedicure kapena kuyenda osavala nsapato.

Kupukwa kwa mtsempha wamagazi kumalumikizidwa ndi kuyika kwa cholesterol ndi calcium, ndikupanga cholembera cha atherosselotic. Kusintha kotere kwa matenda ashuga kumakhala ndi zochitika zingapo zamankhwala:

Kugonjetsedwa kumachitika m'madera akumunsi - kumapazi ndi kumapazi.
Miyendo yonse iwiri imavutika m'malo angapo.
Kuyambira ndili ndi zaka zambiri kuposa odwala omwe alibe shuga.
Limodzi ndi imfa ya zimakhala
Zilonda zimatha kuchitika popanda kuvulala komanso kupanikizika kwa makina.

Zizindikiro za kuwonongeka kwamiyendo mu shuga

Popeza kupangidwa kwa phazi la matenda ashuga kumakhala ndi zovuta zoyipa modula mwendo kapena kufa kuchokera ku sepsis, yomwe idayamba chifukwa chakuchulukana kwakanthawi kochepa, kuzindikira zizindikiro zoyambirira za kupsinjika kwa phazi la matenda ashuga kupulumutsa moyo wa wodwala.

Chifukwa chofunsira kwa dokotala wa opaleshoni kapena podiatrist zingakhale zosintha izi:

Kutopa pakuyenda kumakulitsidwa.
Pali zowawa m'miyendo yamphamvu zosiyanasiyana poyenda kapena usiku.
Kuona, moto wowotcha udawonekera m'mapazi, ndipo kutsekeka kudakulirakulira.
Mtundu wa khungu pamiyendo ndi wofiira kapena cyanotic.
Mtambo wamatsitsi kumapazi unachepa.
Misomali idayamba kunenepa, yopunduka, chikasu.
Kubala kunabuka pansi pa msomali.
Chala chake mwadzidzidzi chidasanduka chofiira kapena chotupa.

Odwala azindikiranso kuti mabala kapena ma callus amachira pakatha mwezi umodzi kapena iwiri m'malo mwa sabata. Pambuyo pokhwimitsa mabala, chizindikiro chakuda chimatsalira.

Zilonda zimatha kuchitika pamapazi, nthawi zina zakuya kwambiri.

Kuzindikira ndi kuchiza matenda a shuga

Kuti muwone kutuluka kwa magazi, dopplerometry imachitika, kuthinikizidwa mu ziwiya zamiyendo kumayezedwa. Pamaso pa chilonda, chikhalidwe cha microflora ndi chidwi cha antibacterial mankhwala chimatengedwa.

Kuchotsa kupweteka kwa matenda ashuga polyneuropathy kumachitika ndi mankhwala otsatirawa:

Maanticonvulsants (Finlepsin, Gabalept).
Ma Painkiller (Dexalgin, Nimesulide).
Ma antidepressants (venlafaxine, clofranil).
Kirimu ndi lidocaine.

Kuchiza ndi thioctic acid kukonzekera (Thiogamma, Berlition), komanso jakisoni wa mavitamini a B (Milgamma, Neurobion) kumathandizira kubwezeretsa chidwi cha minofu ndikuthandizira kuchiritsa kwa vuto lolcerative. Dipyridamole, Actovegin, Pentoxifylline amagwiritsidwa ntchito kukonza magazi.

Ngati kachilomboka kachilomboka, mankhwala opha mabakiteriya amadziwika kwa nthawi yayitali musanachiritsidwe zilonda.

Chithandizo champhamvu chimachitidwanso kuti chithandizire matenda omwe amakhalanso ovuta kupangitsa odwala: kuchepa magazi, impso ndi chiwindi.

Kupewa kwa polyneuropathy

Kwa wodwala yemwe ali ndi matenda ashuga, kuyezetsa mwendo nthawi zonse zaukhondo njira yofunikira popewa zovuta za neuropathy. Mabala kapena mabala onse amafunika kuthandizidwa ndi Miramistin kapena Chlorhexidine, yankho lamadzimadzi la furacilin. Osagwiritsa ntchito njira zokhala ndi zakumwa zoledzeretsa.

Njira zotsatirazi zopewera matenda a matenda ashuga zimalimbikitsidwanso:

Kuthetsa kwathunthu kusuta fodya ndi mowa.
Ndikosatheka kupewa hypothermia ya miyendo.
Mukasamba phazi losamba, kutentha kwawo kukhale pafupifupi madigiri 36.
Ndi maso osawona bwino, simungadule misomali yanu nokha.
Sikulimbikitsidwa kuyenda wopanda nsapato, ngakhale kunyumba.
Osamagwiritsa ntchito mapepala otenthetsera, mabatire, kapena zotenthetsa kuti musentheze mapazi anu.

Kanemayo munkhaniyi amatsimikizira odwala matenda ashuga.

Matenda a shuga

Kodi chiwopsezo chotani cha kupezeka kwa zisonyezo zovuta za shuga kwa wodwala m'madera akumunsi?

Chifukwa cha matenda ashuga polyneuropathy amapezeka:

khungu la miyendo, mpaka bulauni,
redness la phazi kapena chala chachikulu,
Kusintha kwa mapazi,
kuwoneka kwa calluses ndi chimanga, zomwe zimakhala zowopsa pakuwonekera kwa zilonda za Pressor (zimatha kutenga kachilomboka ndikuwonjezera),
kukula kwa phlegmon (purulent kutupa kwa zofewa minofu), purulent necrotic njira kumapazi, mpaka kukula kwa gangrene (necrosis ya nthambi lanyumba).

16-18% ya anthu odwala matenda ashuga ali ndi zilonda zam'miyendo m'miyendo, chifukwa chake ndikofunikira kuchita mitundu yambiri yolakwika mu 28% ya odwala. Malinga ndi ziwerengero zapadziko lonse lapansi, 70-75% yazodulidwa zimachitika chifukwa cha matenda ashuga.

Neuropathic

Cholinga chake ndikusagwira bwino kwa ma cell a mitsempha. Mbali yodziwika bwino ya mawonekedwewa ndi kusungidwa kwa magazi ochepa, kotero kuphipha kwamitsempha yamafupa kumapazi. Mtundu ndi kutentha kwa khungu sikusintha pang'ono, komabe, mawonekedwe a edema ndiye chizindikiro choyamba cha matenda. Pambuyo pake, mawonekedwe awa amawonetsedwa ndi kuchepa kwa chidwi ndi kutentha komanso kupatsirana kwa ululu, kumverera kwa dzanzi kapena kuzungulira mwendo, kuphatikiza, kupweteketsa usiku kumatha kuwoneka, komwe kumalepheretsa munthu kugona komanso kupuma.

Zilonda zam'mimba za neuropathic zimawoneka, monga lamulo, m'magawo omwe ali ndi phokoso kwambiri kapena nthawi zambiri amavulala ndi nsapato zolimba.

Amakhala ndi mawonekedwe ozungulira kapena owongoka okhala ndi mbali zowoneka bwino, zokutidwa ndi zigamba za khungu lonenepa lomwe limatuluka chifukwa cha chimanga chowonongeka. Zilonda zotere nthawi zambiri zimakhala zopanda ululu.

Ischemic

Zimachitika chifukwa cha kusakwanira kwa magazi ku ziwalo za phazi ndi m'munsi mwendo.Kudya michere yokwanira m'maselo ndikutulutsa pamodzi pamiyendo kumayambitsa kuchepa kwa matenda osafunikira a zimakhala.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Chizindikiro cha mawonekedwe awa ndikusintha kwamtundu wa khungu kuchoka pakhungu kupita ku cyanotic, nthawi zambiri kumatha kukhala ndi pinki-crimson hue. Ripple m'dera la phazi, mafupa am'mimba komanso achikazi samatupa kapena kufooka. Chifukwa chosayenda bwino m'magazi, mapazi ozizira amadziwika.

Zilonda zamtundu wa ischemic zimawoneka ngati necrosis youma yomwe ili pamapalanges a zala kapena m'dera la zidendene. Zilonda zoterezi zimakhala ndi mabala amachiritso a nthawi yayitali, nthawi zambiri pamafelemu a kumapazi. Mosiyana ndi mawonekedwe oyamba, amakhala opweteka, koma osati nthawi zonse, chifukwa kumbuyo kwa neuropathy kumachepetsa kumvetsetsa kwapweteka.

Kupewa ndi malingaliro

Kwa thanzi la miyendo, zotsatirazi ziyenera kutsatiridwa:

gwiritsani ntchito shuga kamodzi pamwezi uliwonse pakapita miyezi iwiri,
Nthawi zambiri amafufuzidwa ndi akatswiri kuti azindikire zovuta (mwachitsanzo: kudziwa kusintha kwa ululu, kugwedezeka, kutentha komanso kutentha kwa malekezero apansi),
gwiritsitsani malamulo a chisamaliro cha kumapazi,
pitani kuchipatala munthawi yake kuti muthane ndi zovuta zomwe zimapezeka.

Njira zosavuta komanso zotsika mtengo zosamalira phazi zikulimbikitsidwa:

ndikwabwino kugwiritsa ntchito sopo wofatsa, kutsuka ndi madzi ofunda,
Pambuyo pakusamba, mapazi ayenera kupukuta, kuphatikiza kunyowetsa chinyezi pakati pa zala. Palibenso chifukwa chobera khungu lanu
Kuti muchepetse khungu lanu komanso kuti muchepetse kusweka, gwiritsani ntchito zonona kapena zotupa m'mapazi. Osa kupaka zodzikongoletsera pakati pa zala zakumaso,
Nthawi ndi nthawi muziyang'ana miyendo ndi miyendo.

Kuti mupeze bwino komanso kupewa matenda ammiyendo, makamaka kwa anthu odwala matenda a shuga, tikulimbikitsidwa:

Yang'anani miyendo ndi miyendo kuchokera kumbali zonse. Ngati pali zovuta poyendera, pezani thandizo kwa abale,
onani mawonekedwe owuma, owonda kapena osweka khungu,
chotsani ngozi yotupa, zikande, kudula, kapena zilonda.

Ngati chithupsa kapena zilonda zapezeka kumapazi, osadziyambitsa malo owonongeka, ndibwino kugwiritsa ntchito chigamba.

pokhudza malo aliwonse phazi, yang'anani momwe uliri wamkati kapena tsimikizirani kutengera kwawoko komwe kumayang'ana kutentha kwambiri,
kumbukirani kuwonongeka kwa miyendo chifukwa cha misomali yovunda kapena mawonekedwe a chimanga.

Samalani mukamachita masewera olimbitsa thupi - ziyenera kuchitidwa mu nsapato zomasuka, kuletsa kapena kusintha masewera olimbitsa thupi, ngati pali mabala otseguka kumapazi, osavala nsapato.
Kuti muteteze mapazi anu, gwiritsani ntchito nsapato zoyenera ndi zitsulo zolimba, chifukwa mutha kuphonya kuwonongeka kwa khungu chifukwa cha nsapato zolimba chifukwa cha kuwonongeka kwanu. Kuvala nsapato ngati nsapato kumawonjezera mwayi wovulala kapena kachilombo ka zala kapena chidendene - pewani zitsanzo monga nsapato zazitali.
Ndikulimbikitsidwa kugwiritsa ntchito masokosi opangidwa kuchokera ku ulusi wachilengedwe (mwachitsanzo: thonje, ubweya).

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Matenda a shuga

Nthawi zambiri, miyendo imapweteka ndi shuga pazifukwa zotsatirazi:

Chulukani m'gawo lachifundo. Chifukwa ichi nthawi zambiri chimabweretsa kuti wodwalayo akavulala. Chifukwa cha kuchepa kwa chidwi, samawazindikira. Vutoli limatha kudzetsa kutentha kapena kukhathamiritsa kwa miyendo.Pali nthawi zina pomwe wodwalayo amadandaula za kupweteka m'miyendo, ndipo tikulankhula za kupsinjika kwanthawi zonse.
Zowonongeka zamitsempha yamagazi. Chifukwa cha matenda ashuga, kuphulika kwa ziwiya zomwe zimapereka miyendo yam'munsi ndizotheka. Zotsatira zake, kufalikira kwa magazi kumasokonezeka, kupweteka kumalumikizidwa ndi kusowa kwa mpweya. Mothandizidwa ndi izi, wodwalayo akuwoneka kuti watsitsa, mawanga amawoneka ndi asteris, kutulutsa mitsempha, utoto wofiirira pakhungu.
Kuchepetsa mphamvu ya minofu. Chifukwa cha kupweteka kwa wodwala, ntchito zamagalimoto ndizochepa. Nthawi zambiri amakhala nthawi yayitali pogona kapena kukhala pampando. Zotsatira zake zomwe minyewa imachitika, kumva kupweteka kumawonjezeka. Zachidziwikire, izi sizitanthauza kuti ngati miyendo yanu imapweteka ndi matenda a shuga, ndiye kuti muyenera kupitiliza moyo wokangalika. Koma pambuyo chithandizo palibe chifukwa chochepetsa. Dokotala akuti odwala matenda ashuga amavala ma insoles apadera omwe amatsitsa katundu m'miyendo yawo.
Chimanga. Zomwe zimabweretsa kupweteka mukamayenda nthawi zambiri zimakhala mafinya, zilonda, matenda oyamba ndi mafangasi. Pankhaniyi, ndikofunikira kuchita mankhwala omwe amachepetsa matenda opatsirana.
Kulemera kwambiri, komwe kumakulitsa zomwe zimayambitsa matendawa. Nthawi zambiri, anthu odwala matenda ashuga amayamba kunenepa kwambiri. Zikuwoneka kuti anthu onenepa kwambiri ali ndi zotupa m'mendo chifukwa cha kunenepa kwambiri, kusintha kwa minyewa, mafupa.

Zomwe zimapangitsa kupweteka kwa mwendo, komwe kumagwira ntchito yofunika kwambiri ya pathogenesis ya ululu

Zowonongeka zoterezi zimatha kukulitsidwa chifukwa chovala nsapato zolimba, khungu lowuma komanso kukula kwa corneum yovunda, ngati kuvulazidwa pa pedicure kapena kuyenda osavala nsapato.

Kugonjetsedwa kumachitika m'munsi mwa malekezero am'munsi - kumapazi ndi kumbuyo.
Miyendo yonse iwiri imavutika m'malo angapo.
Kuyambira ndili ndi zaka zambiri kuposa odwala omwe alibe shuga.
Limodzi ndi imfa ya zimakhala
Zilonda zimatha kuchitika popanda kuvulala komanso kupanikizika kwa makina.

Chizindikiro choyamba chomwe ndi kuchepa kwa kugunda kwa chinyezi, kenako kutentha, kupweteka ndi tactile zimaphwanya pambuyo pake. Chizindikiro chowopsa chikhoza kutupa pamendo pansi pa ng'ombe, m'dera lamapazi.

Chifukwa chofunsira kwa dokotala wa opaleshoni kapena podiatrist zingakhale zosintha izi:

Kutopa pakuyenda kumakulitsidwa.
Pali zowawa m'miyendo yamphamvu zosiyanasiyana poyenda kapena usiku.
Kuona, moto wowotcha udawonekera m'mapazi, ndipo kutsekeka kudakulirakulira.
Mtundu wa khungu pamiyendo ndi wofiira kapena cyanotic.
Mtambo wamatsitsi kumapazi unachepa.
Misomali idayamba kunenepa, yopunduka, chikasu.
Kubala kunabuka pansi pa msomali.
Chala chake mwadzidzidzi chidasanduka chofiira kapena chotupa.

Odwala azindikiranso kuti mabala kapena ma callus amachira pakatha mwezi umodzi kapena iwiri m'malo mwa sabata. Pambuyo pokhwimitsa mabala, chizindikiro chakuda chimatsalira.

Odwala omwe ali ndi matenda ashuga amakumana ndi kusokonezeka kwamiyendo mu miyendo, komwe nthawi zambiri kumabweretsa zovuta - zovuta zamiyendo.

Zowonongeka za minofu ya necrotic pachigawo choyambirira sizimadziwika. Chithandizo chomwe sichimayambika munthawi yake chimathandizira kukulira kwa necrosis, ndipo chifukwa chake, wodwalayo amakhala pachiwopsezo chotaya dzanja komanso ngakhale moyo.

Choyambitsa chachikulu cha gangrene ndi shuga wamagazi owonjezereka, omwe amakhudza moyenera zomwe zimayambitsa mitsempha komanso mkhalidwe wamitsempha yamagazi.

Kuchuluka kwa mpweya womwe umalowa m'miyendo yomwe ikukhudzidwa kumakhala kosakwanira, khungu limataya mphamvu ndipo minofu imayamba kufa.

Zilonda ndi zilonda zam'mimba zimatuluka pamtunda, pomwe matenda amalowa m'thupi lofooka.

Zomwe zimayambitsa gangore:

polyneuropathy
utachepa wamtima wam'mimba chifukwa cha mapangidwe a atherosulinotic malo,
kuchepa chitetezo chokwanira. Thupi limalephera kulimbana ndi matenda,
kutsika kwapang'onopang'ono kwa kusintha kobwerekanso mu minofu,
kachilombo ka bacteria
kuphwanya zam'magazi ku ubongo, mtima ndi mapapu,
thrombophlebitis.

Zoyambitsa monga:

kusuta - chikonga chimapanga mitsempha yamagazi ndikuthandizira kuti ma magazi awonekere,
kunenepa
kuchepa magazi chifukwa chovulala mwendo,
kuledzera ndi zinthu zapoizoni
kuwonongeka kwamafuta m'thupi lathu,
nsapato zomwe zimakwiyitsa magazi m'mapazi.

Mu shuga mellitus, odwala oposa theka amawona zizindikiro zakupendekera kwa phazi la matenda ashuga, pomwe njira ya necrotization imayamba ndipo chithandizo cha mankhwala sichikugwira ntchito kale.

Mitundu ya matenda

Pali mitundu iwiri ya phazi la matenda ashuga - lowuma komanso lonyowa.

Matenda owuma (onani chithunzi) nthawi zambiri amapezeka nthawi yomweyo miyendo iwiri chifukwa chosowa bwino m'thupi. Necrosis yamtunduwu imayamba kwa nthawi yayitali, kwa zaka zingapo, ndipo imakhala yofanana kwa odwala omwe ali ndi vuto labwinobwino kapena onenepa.

Kuchepetsa kuchuluka kwa magazi kumapangitsa kuti minyewa iume, yomwe imapititsanso necrosis, imapangitsa khungu ndikuphwanya zala zakumaso ndikudula kwayekha.

Matenda owuma sakhala ndi poizoni m'thupi la wodwalayo ndipo sakhala pachiwopsezo chamoyo.

Wet gangrene (onani chithunzi) ikupita patsogolo mwachangu, nthawi zina maola angapo amakhala okwanira kuti chitukuke. Choyambitsa matendawa chimakhala matenda am'mimba omwe amakhudzidwa ndi mbali yakumaso ya okosijeni yakufa ndi njala.

Kachilombo komwe kamayambitsa kungayambitse kukula kwa khungu lonyowa kukhala chonyowa necrosis. Izi zimachitika mwa anthu onenepa kwambiri omwe amakonda edema.

Kutupa msanga kumayendera limodzi ndi kupweteka kwambiri ndipo kumayambitsa kutupa ndi kuyipa kwamiyendo. Kuwonongeka kwa miyendo kumayambira, komwe kumatha kuyambitsa magazi poyizoni.

Wet gangrene ndimavuto owopsa omwe amafunikira chithandizo cham'tsogolo chifukwa chokhoza kutsogolera kuimfa.

Palinso kusiyana m'mitundu yomwe munayambira njira ya necrotic:

osteopathic - kuwonongeka kwa minofu ndi mafupa am'mimba amachitika,
neuropathic - zotsatira za kusokonezeka kwa maselo amitsempha,
angiopathic - akuwoneka motsutsana ndi maziko amasinthidwe owopsa m'mitsempha yamagazi,
chosakanikirana - chimaphatikiza mitundu yosiyanasiyana yamavuto.

Pofuna kuti musaphonye kukula kwa gangren, ndikofunikira kulabadira mawonetsedwe ake monga:

kutayika kwa miyendo
dzanzi kapena kugunda kwa chidwi
miyendo nthawi zambiri chimazizira chifukwa cha kusokonezeka kwa magazi,
khungu lotuwa pamapazi, pambuyo pake mwendo umasanduka wofiira kapena wabuluu,
miyendo nthawi zambiri imatopa
mtundu ndi kapangidwe ka misomali, kusokonekera kwawo ndikuwonekera kwa matenda oyamba ndi fungus kumawonjezeka,
chilonda chosakhazikika chikuwoneka ndi kuwonda kwakukulu,
malungo ndi mseru zingachitike.

Popeza mwapeza zizindikilo zotere, ndikofunika, osachedwa, kukayezetsa ndikuyamba kulandira chithandizo.

Mwa kusintha khungu la miyendo, mutha kuwona momwe kuwonongeka kwa minofu ya malekezero kumayambira.

Ndi necrosis youma, zosintha zotsatirazi zimachitika:

redness ya zala imawonedwa,
redness yafupika ndipo khungu limasandulika
kuoneka wonyezimira
zala zakufa zisandulika zakuda
malire osiyana akuwoneka pakati pa odwala komanso athanzi.

Matenda opita patsogolo sangathenso kuonekera.

Zizindikiro za kufa zayamba kulengezedwa:

motsutsana ndi kumbuyo kwa ululu wabwinobwino m'miyendo,
miyendo imanyalanyaza mphamvu zakunja,
kusiyanitsa bwino pakati pa kufa ndi minofu yathanzi,
zamkati mwendo mwazimiririka
Kusintha kwa phazi kumachitika ndi kuyanika kwake.

Wet gangrene amadziwoneka yekha mwanjira yosiyana pang'ono:

ma network amawonekera pakhungu lotumbululuka,
miyendo yatupa
poyambira, palibe kusiyana pakati pa odwala ndi malo olimba.

Wothamanga chonyansa akuwonekera ndi zodziwikiratu zoonekera:

kupweteka kwambiri, osagwiritsidwa ntchito ndi kupweteka,
Khungu limayamba kuda ndipo limakutidwa ndi masamba otupa,
fungo losasangalatsa limawoneka kuchokera zilonda ndi zilonda,
kutentha kwakukulu ndi kutsika pang'ono kumawonedwa, tachycardia imakulirakulira,
pali kusanza, kunjenjemera miyendo, kugunda kwamisempha.

Njira zochizira

Chithandizo cha zovuta zimatengera mtundu wa gangore komanso kuchuluka kwa kunyalanyaza kwa necrosis. Wouma gangrene koyambirira kumakhala kosavuta kuchitira mankhwala. Cholinga chachikulu cha chithandizo chosasamala ndikutsitsa shuga wamagazi ndikubwezeretsa magazi m'miyendo.

Wet gangrene ikhoza kuyambitsa poizoni wa magazi ndi kufa, motero, ndi chisonyezo choduladula chiwalo kuti apulumutse moyo wa wodwalayo.

Kuchiritsa ululu wam'mimba mu shuga, ndikofunikira kulabadira zotsatirazi ndikuyang'ana kwa dokotala:

kuyanika kwambiri pakhungu,
kuyabwa ndi kubowola
kumva zomverera
Khungu loyera kumapazi,
Madera achimuna
misomali yopunduka
kutupa kwa miyendo
khungu loyera,
matenda oyamba ndi misomali,
dzanzi
kupweteka m'matumbo
kuchepa kwa chidwi
khungu lamtambo.

Zomwe shuga imawoneka: zithunzi ndi zizindikiro

Zizindikiro za shuga ndizosiyanasiyana, mmodzi mwa makumi awiri ali ndi vutoli. Anthu ambiri ali ndi matenda ashuga kapena mtundu wawo. Chifukwa chake, ndikofunikira kufotokoza bwino matendawa kuti mufunsire dokotala munthawi yothandizira.

Chithunzi cha matenda a shuga: zizindikiro ndi zizindikiro

Chizindikiro choyambirira cha matendawa chimatha kukhala chowonjezera pakuchira kwa mabala ochepa kwambiri. Zithupsa komanso ziphuphu zakumaso (chithunzi 2) ndilimodzi mwazizindikiro zoyambirira zavuto ndi kapamba.

Khungu loyenda ndi shuga limawonedwa mu 80% ya milandu.
Matendawa amasonyezedwanso ndikuwonjezeranso khungu m'makutu ndikuwoneka zazingwe zazing'ono pafupi nawo (acanthosis).

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

Amabala pamiyendo ndi chithunzi cha matenda ashuga

Dermatoses - mawanga pamiyendo yokhala ndi shuga mellitus (chithunzi 3) - amapezeka kawiri pamwendo, koma pali malo ena omwe amakonda. Masamba oyera ozunguliridwa - vitiligo - amagwiritsa ntchito ngati chizindikirochi pakukula kwamatendawa.Zisindikizo zachikasu - xanthomatosis - zikuwonetsa kuchuluka kwa shuga m'magazi.

Kukula kwa matenda ashuga mellitus (chithunzi muzipinda zamalonda) amathanso kukhala ngati mawanga ofiira owoneka bwino osakhwima, omwe amawonjezereka. Zizindikiro zotere za matenda ashuga mwa akazi ndizofala kwambiri kuposa amuna. Awa ndi otchedwa lipoid necrobiosis.

Zilonda zam'miyendo ndi chithunzi cha shuga

Pang'onopang'ono, pamiyendo yotsika, khungu limakhala loonda, loyipa komanso louma. Ndi kuwonjezeka kwa njira za dystrophic, zilonda zam'miyendo zimapezeka m'matumbo a shuga (chithunzi 4). Njirayi imathandiziridwa ndi kuchepa kwa chidwi - zotupa zazing'ono ndi zilonda zam'miyendo sizimawopseza munthu.

Zomwe zimayambitsa zilonda zam'mimba za m'mimba ndizovuta zam'mimba, chimanga ndi microtraumas. Koma zinthu zenizeni zomwe zimayambitsa zilonda zam'miyendo, zachidziwikire, zimakhala zakuya kwambiri kuphwanya magazi ndi kusungidwa kwina m'munsi. Zilonda zimayambukiridwa ndikufalikira pamwamba pa mwendo.

Matenda a shuga

Thumba totupa ndi matenda a shuga (chithunzi 5) amatenga mawonekedwe osiyanasiyana. Chifukwa cha zovuta za metabolic, mawonekedwe oyenderera, osapweteka, ofiira ofika 5-5 mm m'mimba mwake amawoneka pakhungu la mwendo wapansi.

Ziphuphu mu shuga mellitus zimachitika chifukwa chofunitsitsa thupi kuti lichotse glucose owonjezera kudzera mu thukuta la pakhungu. Kuchepetsa chitetezo chokwanira kumalimbikitsa kuphatikiza kwa maluwa - mabacteria mawonekedwe. Kutupa kwa matenda ashuga kumachitika mu 30-35% ya odwala.

Kuchepa kwa mwendo ndi matenda ashuga

Nthawi zambiri shuga imapereka zovuta kumiyendo. Kuthamanga kwa magazi kumasokonekera mwa iwo, izi zimabweretsa zotsatira zoyipa. Miyendo ya matenda ashuga (pachithunzi 5) pang'onopang'ono amasiya kumva kutentha, kuwawa ndi zopweteka.

Phazi la matenda ashuga limadwala chifukwa cha kupindika mu venous system, nthawi zambiri limatumiza zizindikiro zowawa mukamayenda, ndipo nthawi zina popumira. Koma mkhalidwe wina umakhala wowopsa - pamene nthambi ndi miyendo itayika chifukwa cha kuwonongeka kwa malekezero a mitsempha ndi zilonda zam'mimba zimayamba. Kuchepa kwamiyendo mwa mawanga kumawonetsa kukula kwa phazi la matenda ashuga. Uwu ndi gawo lomaliza la matendawa.

Misomali ya matenda ashuga

Zizindikiro za matendawa zimawonekera mu mawonekedwe a kupindika kwa zala ndi misomali. Zala zokhala ndi matenda a shuga zimakhuthala, zopunduka, mawanga ofiira kapena amasakanizika.

Khalani ndi mawonekedwe misomali ya matenda ashuga (pachithunzi 6): amadzuka, amakhala exfoliate, nthawi zambiri amakula kukhala ngodya za khungu. Nthawi zambiri izi zimachitika chifukwa cholowa fungal matenda. Kuchepa kwa ma capillaries, makamaka ndi nsapato zolimba, kumabweretsa kutaya magazi pansi pa mbale ya msomali, ndipo misomali imakhala yakuda.

Matenda a shuga

Kuwerenga funso la matenda a shuga Mabala amiyendo osachiritsa amatha zaka zingapo. Zotsatira zake ndizonyowa kapena zowuma za m'munsi. Mu matenda a shuga, izi zimachitika, tsoka, nthawi zambiri zimakhala ndi nthawi yayitali. Gangrene amafunika kuchitapo kanthu opaleshoni.

Popeza tazindikira mwatsatanetsatane momwe matenda a shuga amawonekera (chithunzi mu gal) pamagawo onse, ndizosavuta kuyang'ana kuwopsa kwa chizindikiro chake. Popeza mwazindikira zizindikiro za matenda ashuga, muyenera kulankhulana ndi katswiri kuti akuthandizeni. Izi zipangitsa kuti athe kupewa zovuta zazikulu.

Zithunzi za shuga

Ululu wam'mimba mu shuga

Hafu ya anthu omwe amapezeka ndi matenda ashuga ali ndi phazi la matenda ashuga. Izi zimatha kuchitika ngakhale mwa mwana. Zimaphatikizidwa ndi kuwonongeka kwa mwendo, limodzi ndi kusapeza bwino komanso kupweteka kwambiri.Ngati simuyamba kulandira chithandizo cha panthawi yake, ndiye kuti pakapita nthawi wodwala amatha kusuntha. Nkhani yathu ikufotokozerani chifukwa chomwe miyendo imapweteka ndi matenda ashuga, zomwe zotsatira zake zingakhale zovuta, zomwe mungachite kuti muchepetse zochitika ngati izi.

Nthawi zambiri, miyendo imapweteka ndi shuga pazifukwa zotsatirazi:

Chulukani m'gawo lachifundo. Chifukwa ichi nthawi zambiri chimabweretsa kuti wodwalayo akavulala. Chifukwa cha kuchepa kwa chidwi, samawazindikira. Vutoli limatha kudzetsa kutentha kapena kukhathamiritsa kwa miyendo. Pali nthawi zina pomwe wodwalayo amadandaula za kupweteka m'miyendo, ndipo tikulankhula za kupsinjika kwanthawi zonse.
Zowonongeka zamitsempha yamagazi. Chifukwa cha matenda ashuga, kuphulika kwa ziwiya zomwe zimapereka miyendo yam'munsi ndizotheka. Zotsatira zake, kufalikira kwa magazi kumasokonezeka, kupweteka kumalumikizidwa ndi kusowa kwa mpweya. Mothandizidwa ndi izi, wodwalayo akuwoneka kuti watsitsa, mawanga amawoneka ndi asteris, kutulutsa mitsempha, utoto wofiirira pakhungu.
Kuchepetsa mphamvu ya minofu. Chifukwa cha kupweteka kwa wodwala, ntchito zamagalimoto ndizochepa. Nthawi zambiri amakhala nthawi yayitali pogona kapena kukhala pampando. Zotsatira zake zomwe minyewa imachitika, kumva kupweteka kumawonjezeka. Zachidziwikire, izi sizitanthauza kuti ngati miyendo yanu imapweteka ndi matenda a shuga, ndiye kuti muyenera kupitiliza moyo wokangalika. Koma pambuyo chithandizo palibe chifukwa chochepetsa. Dokotala akuti odwala matenda ashuga amavala ma insoles apadera omwe amatsitsa katundu m'miyendo yawo.
Chimanga. Zomwe zimabweretsa kupweteka mukamayenda nthawi zambiri zimakhala mafinya, zilonda, matenda oyamba ndi mafangasi. Pankhaniyi, ndikofunikira kuchita mankhwala omwe amachepetsa matenda opatsirana.
Kulemera kwambiri, komwe kumakulitsa zomwe zimayambitsa matendawa. Nthawi zambiri, anthu odwala matenda ashuga amayamba kunenepa kwambiri. Zikuwoneka kuti anthu onenepa kwambiri ali ndi zotupa m'mendo chifukwa cha kunenepa kwambiri, kusintha kwa minyewa, mafupa.

Kuchiritsa ululu wam'mimba mu shuga, ndikofunikira kulabadira zotsatirazi ndikuyang'ana kwa dokotala:

kuyanika kwambiri pakhungu,
kuyabwa ndi kubowola
kumva zomverera
Khungu loyera kumapazi,
Madera achimuna
misomali yopunduka
kutupa kwa miyendo
khungu loyera,
matenda oyamba ndi misomali,
dzanzi
kupweteka m'matumbo
kuchepa kwa chidwi
khungu lamtambo.

Zilonda zam'mimba

Nthawi zambiri ndi matenda ashuga, miyendo imapweteka chifukwa cha zilonda zam'mimba. Odwala omwe ali ndi matenda ashuga ayenera kuyang'anira kwambiri kuwunika kwamisempha yamagazi, kuwunika momwe khungu limayambira. Kupezeka kwa zilonda panthawi yake ndi komwe kumawalola kuimitsidwa posachedwa komanso kupewa zomwe zingachitike momwe zilonda zam'mimba zikupitirirabe.

Zomwe zimawoneka ngati zotupa zam'mimba zimaphatikizapo minyewa, kusokonezeka kwa mitsempha, kusokonezeka kwa mtima, komanso kuphatikiza pazinthu zingapo. Nthawi zambiri zilonda za trophic zimawonekera chifukwa cha zotupa za atherosulinotic, pathologies ya circulatory system, komanso dongosolo lamanjenje losokonezeka. Zomwe zimayambitsa chilondacho cham'mimba ndizowoneka ngati zikanda, kuwonongeka kulikonse, kugonjetsedwa kwa kupsa kwa nyumba, chimanga, kuvulala, zikwapu zazing'ono.

Chithandizo cha chilonda

Ngati pali zifukwa zina zomwe zingapezeke kuti muthe kupanga zilonda zam'mimba, muyenera kufunsa dokotala yemwe akupatseni mankhwala pazotsatira izi:

kuwongolera mwamphamvu kuchuluka kwa hemoglobin ndi glucose m'magazi. Nthawi zambiri, kuchuluka kwa shuga musanadye kuyenera kuchokera pa 6 mpaka 10 mmol pa lita imodzi, mutatha kudya - kuyambira 9 mpaka 10 mmol pa lita imodzi,
Chithandizo ndi kupewa kuthamanga kwa magazi, thrombophlebitis,
kugwiritsa ntchito ma pinkiller,
kumasula miyendo
kugwiritsa ntchito mankhwala kuthandiza kuti magwiridwe antchito amanjenje,
magazi
kukhazikika kwa njira za lipid,
kugwiritsa ntchito mankhwala am'mitsempha yamagazi,
fungal matenda othandizira.

Ngati chithandizo cha Conservative sichikupereka zotsatira zomwe zikuyembekezeka, chithandizo cham'miyendo cha matenda a shuga chimachitika pochita opaleshoni. Kukonza zotupa zam'mimba za trophic ndi hydrogen peroxide, kuvala. Kusiyana kwa zilonda kungafunike, momwe mafinya amachotsedwa, ngati kuli kotheka, minofu imasungidwa. Ngati ndi kotheka, opareshoni imachitika kuti abwezeretse mtima wam'mimba. Ngati chithandizo sichikupereka zotsatira zomwe zikuyembekezeredwa, ndiye kuti kudula miyendo ndikotheka.

Matenda a matenda ashuga

Matenda a shuga a matenda ashuga ndi matenda ovuta omwe amakhudza odwala 2 a shuga. Chifukwa chosinthasintha mosalekeza mu kuchuluka kwa shuga m'magazi, mitsempha yamagazi imawonongeka pang'onopang'ono, kutha kwa mitsempha kumatha, njira za metabolic zimasokonekera, khungu limawonongeka. Zakudya zam'magazi zimakhala ndi zizindikiro zosiyanasiyana zomwe zimatengera kuchuluka kwa matenda ashuga.

Ndi digiri ya neuropathic, dongosolo lamanjenje limakhudzidwa kwambiri, pali kuphwanya kwadzidzidzi, kupweteka kumawonjezereka, mawonekedwe a phazi amasintha, khungu limadzuka. Ndi digiri ya ischemic, mitsempha yamagazi imakhudzidwa, khungu limasandulika, kupweteka, kutupa, ndi redness zimawonekera. Mlingo uwu suzindikiridwa ndi kusintha kwa mawonekedwe a mapazi, mawonekedwe a chimanga. Ndi digiri yosakanikirana, mawonekedwe amitundu iwiri yoyamba amapezeka. Amapezeka kwambiri mwa akazi.

Mpaka pano, pali njira ziwiri zochizira matenda amishuga. Mtundu wokakamira ndi:

kusintha magazi magazi
yotakata yotakata mankhwala othandizira,
ma pinkiller
mankhwala antiseptic
pa mankhwala omwe cholinga chake ndi kuyenda kwa magazi.

Ngati chithandizo cha mankhwala sichinapereke zotsatira zomwe mukufunazo, ndiye kuti mwayi wa opaleshoni ingachitike. Pomwe:

tsamba la minofu ya necrotic imachotsedwa,
ntchito ya zombo zomwe zawonongeka ntchito zawo zimaperekedwa,
Zombo zomwe sizingabwezeretsedwe zimachotsedwa,
kukonza magwiridwe amtsempha amwazi, ndi kuwapaka ndi maukonde,
ndi odwala matenda ashuga, malo owonongeka amachotsedwa,
pamaso pa mitundu yolemetsa, nthambi imachotsedwa.

Popewa mavuto, kudya chakudya chofunikira ndikofunikira. Zakudya za anthu odwala matenda ashuga zimakhazikitsidwa m'mawa. Chakudya chomaliza sichikhala mochedwa kuposa maola atatu musanagone. Anthu omwe akudwala matenda a shuga amatha kudya nyama zopanda mafuta, msuzi, mazira, mkaka, zipatso, ndiwo zamasamba, timadziti, madzi amchere, komanso zakumwa zakumwa. Zakudya zomwe zalembedwera zimaloledwa kwa odwala matenda ashuga, koma tikulimbikitsidwa kuti muzitsatira muyeso.

Zakudya zoletsedwa ndizophatikiza:

zokoma zambiri
kuphika
nyama yamafuta ndi nsomba,
ankasuta nyama
mayonesi
nyama zamafuta
chakudya zamzitini
zipatso zotsekemera
kaboni wokoma madzi
menyu sayenera kuphatikiza chimanga, makamaka semolina,
pasitala
mowa

Zomwe zimayambitsa mawanga mu shuga

Mu matenda a shuga a mellitus, motsogozedwa ndi kusintha kwa ma pathological mu kagayidwe kazinthu, zovuta zingapo zimachitika zomwe zimakhudza ntchito yamkati mwa thupi.

Pafupifupi ziwalo zonse zimakhudzidwa, kuphatikizapo khungu.

Madontho, zilonda zam'malo, malo owuma a khungu ndizowonetsera pafupipafupi kwa odwala matenda ashuga.

Zomwe zimayambitsa zotupa pakhungu

Kusokonezeka kwa kagayidwe kazakudya, mawonekedwe a matenda osokoneza bongo, kumayambitsa kupangika kwa insulin mthupi kapena, chifukwa cha kuchepa kwa timadzi tambiri, kuchuluka kwa shuga m'magazi.Kuchuluka kwa insulin kapena glucose kumayambitsa vuto la kuperewera kwa minofu ya dermis komanso kusintha kwamapangidwe am'maselo a epithelial. Kudzikundikira kwa maselo amisempha yonyansa ya metabolic kumadzetsa kuwonongeka kwa mawonekedwe a tsitsi.

Zambiri zomwe zili ndi shuga zimakhudza kayendedwe ka magazi ndi magwiridwe amkati a khungu. Izi zimapangitsa kuchepa kwamphamvu kwa miyendo, kuwonjezeka kwa chizolowezi chowononga miyendo. Kuphatikiza apo, chifukwa cha matendawa, chitetezo cha mthupi chimakhala chofooka ndipo ntchito yothandizira minofu yofewa imasokonekera.

Zotsatira zake, odwala matenda ashuga sazindikira msanga kuvulala komwe kumawonekera mthupi, chifukwa chothamanga kwambiri ndikuchira kwam'maselo, mabala samachiritsa kwa nthawi yayitali, komanso chifukwa chofooka chifukwa chosafooka, mabakiteriya kapena matenda oyamba ndi fungus amalumikizana ndi chithunzi chachikulu.

Chifukwa chake, zomwe zimayambitsa kuperewera pakhungu la shuga zitha kunenedwa kuti:

shuga wamagazi ambiri
kuchuluka kwa insulin (insulin kukana),
kuphwanya magazi m'miyendo,
kuchepa chitetezo chokwanira,
kuwonongeka kwa dongosolo lamanjenje (neuropathy),
Matupi a insulin komanso mankhwala ochepetsa shuga;
fungal ndi bacteria bacteria.

Pali zinthu zingapo zomwe zingayambitse kukula kwa matenda:

Kunenepa kwambiri Anthu onenepa kwambiri zimawavuta kuwona kuwonongeka kwa thupi. Kuphatikiza apo, mu thukuta la wodwalayo mumatuluka thukuta ndipo khungu limakulirakulira, zomwe zimapangitsa kuti pakhale zotupa, masokosi, mafupa amtopola komanso zimathandizira kulowa kwamatenda.
Nikotine ndi mowa. Zizolowezi zoyipa zimachulukitsa kuchepa kwa khungu ndipo zimathandizira vasoconstriction, yomwe imayendetsa magazi.
Kuvala nsapato zopapatiza komanso zosasangalatsa. Izi zimabweretsa kuwoneka kwa calluses ndi scuffs.
Kusamalira khungu kokwanira. Zotsatira zake, khungu limaphwa, malo owuma ndi ming'alu amawonekera.
Ukalamba. Kusintha kokhudzana ndi ukalamba kumapangitsa kuchepa kwa kamvekedwe ka khungu ndi kuyanika khungu, makamaka m'miyendo, groin ndi perineum.

Kuyesera kovulala modekha pakakhala matenda a shuga kumathandizira kuti matenda a khungu apitirire komanso kuwoneka kwa zovuta.

Malo owoneka ofiira a matenda a shuga

Wogawidwa annular granuloma

Poyerekeza ndi kuzika kwa glucose m'magazi ndi kukodza mwachangu, magazi omwe amapezeka m'misempha amasokonezeka ndipo zimayamba kuoneka magazi.

Zotsatira zake, momwe khungu limasinthira, limakhala yokhwima, malo otentheka amawoneka pamapazi, khungu limakhala louma komanso lotupa, ming'alu mawonekedwe chidendene. Kuyamba ndi kupendama kumachitika, tsitsi limayamba kutuluka.

Khungu limasintha khungu: kutuwa kapena imvi kumawonekera. Chifukwa cha ma capillaries odziwika, khungu (diabetesic rubeosis) limapezeka pamasaya, omwe nthawi zambiri limawonedwa mwa ana omwe ali ndi matenda ashuga.

Ma pathologies achikopa amatha kugawidwa m'magulu angapo:

mankhwala - akuwuka maziko a insulin mankhwala ndi kumwa mankhwala ochepetsa shuga (matupi a khungu, urticaria, post-jekeseni lipodystrophy, eczema),
chachikulu - matenda omwe amabwera chifukwa cha matenda a angiopathy ndi metabolic (xanthomatosis, lipoid necrobiosis, matuza a matenda ashuga, matenda a shuga),
yachiwiri - matenda ndi mabakiteriya kapena bowa motsutsana ndi maziko a zovuta za endocrine.

Chithandizo cha zotupa za pakhungu chimakakamizidwa ndi kuchepa kwa kusinthika kwa minofu yofewa, chifukwa chake, imapitiliza kwa nthawi yayitali, ndikubwereza pafupipafupi.

Odwala omwe ali ndi shuga yayitali, mitundu ya angiopathy. Kuwonetsedwa kwa matendawa ndi matenda a diabetesic dermopathy (onani chithunzi), omwe nthawi zambiri amakhudza amuna azaka zapakati komanso achikulire.

Chizindikiro chachikulu ndi mawanga a bulauni, ophimbidwa ndi mamba, osapweteka komanso osasangalatsa, akuwoneka mbali zonse ziwiri ndikuzimiririka pakatha zaka zingapo.

Ngati matenda ashuga satha nthawi yayitali, ndiye kuti mawonekedwe owoneka bwino a burgundy otsogola bwino ndi chizindikiro cha erythema. Zilonda zoterezi ndizazikulu, nthawi zambiri zimawonekera pakhungu ndipo zimayenda limodzi ndi kumva pang'ono. Madontho amatha pambuyo masiku angapo osalandira chithandizo.

Anthu onenepa matenda a shuga amakhalanso ndi vuto lakuda monga acanthosis (onani chithunzi). Amawoneka zofiirira m'mikwendo ndi khosi.

Pamalo owonongeka, khungu limakhala losalala kukhudza, ndi mawonekedwe owonekera pakhungu.

Pambuyo pake, malo akuda amapangika. Matendawa nthawi zambiri amakhala ovuta ndipo mawanga amtha posachedwa, koma njira zoyipa za matenda zimapezekanso.

Mdima womwewo ukhoza kuchitika pakulumikizana kwa zala. Zilonda zofananira khungu zimachitika chifukwa chakuchuluka kwa insulin mthupi, zomwe zimachitika ndi insulin kukana.

Mawonekedwe a lipoid necrobiosis

Lipoid necrobiosis - ndi chiyani? Ichi ndi chotupa cha pakhungu pamiyendo, chikuchitika chifukwa chosowa insulini. Matendawa nthawi zambiri amawonekera mwa amayi omwe ali ndi matenda amtundu woyamba.

Choyamba, mawanga ofiira amawoneka pamiyendo (onani chithunzi), atakweza pamwamba pakhungu, kenako amakula ndikusintha mapangidwe opanda mawonekedwe a atrophic.

Malo otuwa amakhala pakati, pamalo omwe zilonda zopweteka zimapangika pakapita nthawi.

Zovuta za matenda a pakhungu lili ndi awa:

mankhwala obwezeretsa magazi (Aevit, Curantil, Trental),
chithandizo chamabala ndi Fluorocort, Dimexide, Troxevasin,
mankhwala a insulin mkati zilonda ndi jekeseni wa heparin,
mankhwala omwe amatulutsa matenda a lipid metabolism (Lipostabil, Clofibrate),
mankhwala a laser
phonophoresis ndi hydrocortisone.

Muzovuta, opaleshoni ya pulasitiki imagwiritsidwa ntchito.

Chifukwa chiyani kufiyira pamiyendo

Kusintha pakhungu kumalumikizidwa ndi kuwonjezereka kwa shuga m'magazi. Mawonekedwe a khungu amawonekera mwa anthu omwe ali ndi matenda osokoneza bongo a zaka zosachepera zisanu. Nthawi zambiri kupita patsogolo kwa zotupa za trophic kumachitika ndi kuwonongeka kwa matendawa.

Kukula kosalekeza kwa shuga kumakhumudwitsa kagayidwe ndipo kumathandizira kuti pakhale chakudya chambiri chamafuta m'magazi. Izi zimasinthitsa kukhalapo kwa mkati ndi gawo la acidic. Ngakhale kupatuka pang'ono mu acidity kumachepetsa kumangiriza kwa ma cell receptors ku insulin. Zotsatira zake, insulin yaulere ndi glucose imadziunjikira m'magazi. Ndipo m'maselo, ntchito ya michere yam'mapapo imachepa. Kulephera kwazungulira mu minofu, kotchedwa ischemia, kumayamba.

Matenda a ischemia amabweretsa kuphwanya kwa mitsempha yodutsitsa (neuropathy), kusokonekera kwa khoma la mtima (angiopathy) komanso njira yotupa yosagwirizana. Kutupa kumayambitsa kufiyanso, kusasangalala komanso kuwotcha khungu. Mkulu wabwino wambiri ndi shuga wabwino wophatikiza ndi michere yopezeka mwama khungu.

Monga lamulo, redness imayambitsa kuyabwa kwambiri pakhungu. Wodwala amaphatikiza mosaganizira malo a pathological. M'malo abrasions, mabala, ming'alu ndi zilonda. Kutupa kumachiritsa kwa nthawi yayitali, komwe kumalumikizidwa ndi kuchuluka kwa chakudya chamagazi.

Itchy zotupa

Njira inanso yakuwonongeka kwa matenda a shuga mu mawonekedwe a shuga ndi mawonekedwe a kuyabwa pakhungu lanu. Nthawi zambiri, matendawa amapezeka patatha zaka zisanu chitachitika shuga.

Pa nsonga zam'mimba, zam'mimba kapena za groin, madontho okhazikika kapena ofiira amawoneka. Zomwe zimaphatikizana pakapita nthawi, malo omwe akhudzidwa ndi khungu amawuma ndipo amaphimbidwa ndi ming'alu. Usiku, kuyabwa kumakulirakulira.

Pa phazi kapena zala zakumapeto komanso zotsika, maukonde a matenda ashuga amatha kupanga, mpaka kukula kwa masentimita angapo.

Mtundu wa dermis pamalo owonongeka sukusintha, totupa imatha kutsagana ndi kuyabwa pang'ono kapena kuwawa, kapena mwina sikungamupweteke. Matuza amakhala ndimadzi wamagazi kapena owoneka bwino omwe mulibe microflora ya pathogenic. Pakatha milungu itatu kapena inayi, thovu limatha popanda kusiya zipsera.

Kodi phokoso la phazi limapezeka kuti?

Mankhwala amakono ali ndi zovuta pafupifupi 35 za matenda ashuga, omwe amawonetsedwa mwa mawonekedwe a dermatoses.

Madokotala amatenga mawonekedwe awa kukhala:

Poyamba. Anawonekera mukangomva kuchuluka kwa shuga m'magazi.
Sekondale Kuwuluka chifukwa cha matenda akhungu.
Tertiary. Nthawi ndi nthawi kumawonekera ngati mumamwa mankhwala komanso pamaso pazinthu zina zopsetsa mtima.

Kuzungulira pamiyendo kumatha kukhala ndi malo osiyana ndikukhalanso ndi izi:

chotupa chimatha kufalikira mpaka kumapazi kumtunda ndi ntchafu, ndipo amatha kungoyambira phazi,
chotupa chingakhudze miyendo kapena miyendo yonse,
mawanga amatha kutsatiridwa ndi kufa kwa minofu ndi kusisita zina,
kukula kwa mawanga kumatengera zaka zodwala: okalamba, zotupa zimachitika nthawi zambiri,
mavuto a pakhungu nthawi zambiri amapezeka pakalibe kuwonongeka kwa makina.

A shuga angiopathy a ziwiya am'munsi malekezero ndi retina

Matenda a shuga a matenda ashuga ndi matenda ovuta omwe amakhudza odwala 2 a shuga. Chifukwa chosinthasintha mosalekeza mu kuchuluka kwa shuga m'magazi, mitsempha yamagazi imawonongeka pang'onopang'ono, kutha kwa mitsempha kumatha, njira za metabolic zimasokonekera, khungu limawonongeka. Zakudya zam'magazi zimakhala ndi zizindikiro zosiyanasiyana zomwe zimatengera kuchuluka kwa matenda ashuga.

Mpaka pano, pali njira ziwiri zochizira matenda amishuga. Mtundu wokakamira ndi:

kusintha magazi magazi
yotakata yotakata mankhwala othandizira,
ma pinkiller
mankhwala antiseptic
pa mankhwala omwe cholinga chake ndi kuyenda kwa magazi.

Ngati chithandizo cha mankhwala sichinapereke zotsatira zomwe mukufunazo, ndiye kuti mwayi wa opaleshoni ingachitike. Pomwe:

tsamba la minofu ya necrotic imachotsedwa,
ntchito ya zombo zomwe zawonongeka ntchito zawo zimaperekedwa,
Zombo zomwe sizingabwezeretsedwe zimachotsedwa,
kukonza magwiridwe amtsempha amwazi, ndi kuwapaka ndi maukonde,
ndi odwala matenda ashuga, malo owonongeka amachotsedwa,
pamaso pa mitundu yolemetsa, nthambi imachotsedwa.

Mitundu itatu ya matenda ammimba a shuga imasiyanitsidwa kutengera kuchuluka kwa zovuta za malo osungirako malo kapena magazi. Ndi vuto la maselo amitsempha, mawonekedwe a neuropathic amakula.

Zilonda zimapezeka m'malo omwe amapezeka magazi kwambiri - zidendene, kunsi kwa phazi, ndi chala. Khungu lozungulira chilondacho ndi loonda.Nthawi yomweyo, odwala amasokonezeka ndi kupweteka pakupuma, kukulira usiku, poyenda amakakamizidwa kuima chifukwa cha ululu waukulu.

Fomu yosakanikirayi imadziwika kwambiri kwa odwala omwe ali ndi matenda ashuga, amaphatikiza zizindikiro za ischemia ndi zovuta zamitsempha. Zowopsa zomwe zimapangitsa kuti matenda ashuga akhale ndi:

Kutalika kwa matenda ashuga kuposa zaka 10.
Zosawerengeka kapena matenda a shuga.
Kusuta.
Odwala omwe adakumana ndi vuto la mtima kapena stroke.
Mowa.
Ndi chizolowezi chopanga magazi.
Kunenepa kwambiri.
Matenda a Varicose.

Ndi matenda ashuga, mavuto osiyanasiyana amatuluka, omwe amachititsa matenda ena a shuga, omwe amadziwoneka ngati kuwonongeka kwamitsempha.

Kodi mungapewe bwanji madontho a miyendo ndi shuga?

Dermatologists ndi podiatrists amati mitundu yotchuka kwambiri ya zotupa zapakhungu ndi: Matenda omwe amadziwika ndi keratinization ndi khungu lakuda m'dera la mapazi. Matenda a shuga, mawanga amdima pamiyendo amawonekera pambuyo pa kufiyira, pamenepa ndi chizindikiro chosangalatsa.

Ndikosavuta kwambiri kuti muchepetse kukhazikika kwa acantokeratoderma, ndikokwanira kugwiritsa ntchito moisturizer yomwe imasunga chinyontho mkati mwa khungu la khungu, moyenera kupaka khungu. Zogulitsa zotere zimakhala ndi moisturizer yachilengedwe - urea.

Mwachitsanzo, mawonekedwe a DiaDerm a creams amapangidwira makamaka kwa odwala matenda ashuga kupewa kupewa kuuma komanso keratinization wa khungu.

Dinani pa chithunzi chomwe chili pansipa kuti mudziwe zambiri zokhudzana ndi zitsulo za shuga za shuga ndikuzilamula kuti ziziperekedwa kunyumba kapena makalata.

2. Dermatopathy.

Zowonongeka pakhungu m'munsi ndi mwendo. Matendawa amawoneka ngati mawanga ofiira komanso ofiira pamiyendo yamiyendo yokhala ndi matenda a shuga, omwe, monga lamulo, sabweretsa zowawa kwa wodwalayo.

Pankhaniyi, ndikofunikira kuwonetsetsa kuti dermatopathy sikhala matenda oopsa. Kupewa kwamatenda ndikugwiritsa ntchito kirimu yoteteza ndi antibacterial momwe mungapewere matenda. Kirimu Woteteza ndi wabwino pa izi.

3. Xanthomosis.

Amawoneka ngati malo amiyala yoyera pamwamba pa miyendo. Mwachilengedwe, mawonekedwe a zolemba amatsogozedwa ndi mkombero wakuda. Pakapita kanthawi, zolembera zimapezeka pamalo a zilonda.

Chomwe akuwonekera ndiku kuphwanya kagayidwe ka lipid motsutsana ndi maziko a zovuta za endocrine. Kuchiza ndi kupewa xanthomosis ndikusintha kagayidwe kazakudya ndi mafuta m'thupi.

Ndi matendawa, zigawo zapamwamba za khungu zimatha. Palibe zopweteka zotchulidwa, ndipo wodwalayo amakhudzidwa kwambiri ndi mawonekedwe osawoneka bwino a phazi lomwe lakhudzidwa.

Chomwe chitukuko cha necrobiosis chimawerengedwa kuti ndizosakwanira kupezeka kwa minofu yokhala ndi mpweya. Monga chithandizo, physiotherapy imagwiritsidwa ntchito kusintha magazi.

Ndi zotupa zamtundu wamtunduwu, wodwalayo amayenera kupita pafupipafupi ndi katswiri kuti apezeke matenda osokoneza bongo omwe ali ndi vuto lodetsa nkhawa.

Chimodzi mwazovuta zokhudzana ndi matenda a shuga, omwe amawoneka mwa mawonekedwe a vesicrate m'munsi mwa phazi. Matendawa amayamba ndi zala zakumaso za wodwalayo zimasandulika zofiira ndi shuga komanso kuyabwa pang'ono usiku.

Pakapita nthawi, matuza achikasu owoneka bwino amakhala pamalo owonekeranso khungu. Palibe chifukwa muyenera kubaya thovu ndikumayesa kufinya madziwo! Izi zimatha kubweretsa matenda komanso kutupa.

Chithandizo chimayikidwa ndi dermatologist ndipo chimagwiritsidwa ntchito popanga mafuta a antiseptic.

6. Vitiligo.

Matendawa ndi ofala kwambiri kuposa ena. Matendawa amadziwoneka okha ngati mawanga oyera akulu chifukwa cha kutayika kwa pigment, komwe amaleka kupanga mkati mwa zovuta za metabolic.

Vitiligo samachizidwa, i.e. ndikosatheka kubwezeretsa khungu lomwe lidatayika pakhungu.Chithandizo chimachepetsedwa ku matenda a metabolism kuti muchepetse kufalikira kwa mawanga oyera.

Nthawi zambiri, odwala matenda ashuga amakumana ndi bowa monga a Candida Albicans, omwe amachititsa kuti candidiasis. Matendawa amawoneka ngati madontho ofiira pamiyendo yokhala ndi matenda a shuga, osakhazikika.

Kukula kwa matenda kumathandizira kukhala nsapato zodetsedwa komanso zonyowa, kusowa kwachotetezedwa ndichilengedwe choteteza khungu. Chithandizo cha bowa chikuchitika kwanuko pogwiritsa ntchito zopopera ndi mafuta.

Kuti muteteze ku matenda, tikulimbikitsidwa kutsatira malamulo a ukhondo ndikugwiritsa ntchito zonona “zoteteza” zomwe zimapanga kanema pakhungu ndikuziteteza ku matenda.

8. Kuyabwa khungu.

Imachitika poyankha kukondoweza kapena chizindikiro choyambirira cha matenda ambiri azakhungu. Pochotsa kuyabwa, zosavuta zomwe zimalimbikitsa chisamaliro cha tsiku ndi tsiku, kudya mokwanira komanso kusankha nsapato zapadera zimathandiza.

Ngati kuyabwa ndikulimba kwambiri komwe kumapangitsa kuti zikhale zamtopola kapena kukulitsa moyo (kukupangitsani kukhala maso usiku, ndi zina), ndiye muyenera kufunsa dotolo wofufuza kuti mudziwe chomwe chimayambitsa kuyamwa komanso chithandizo chake.

Ndi mawanga ansalu ofiirira okhala ndi mainchesi osapitirira 5. Hematomas amawoneka ngati ziwiya ziwonongeka, zomwe zimachitika nthawi zambiri, chifukwa ziwiya za odwala matenda ashuga amakumana ndi kuchuluka.

Maonekedwe a hematomas pafupipafupi ndi chizindikiro chochititsa mantha, chosonyeza zovuta zamagazi m'miyendo. Chithandizo chikuyenera kuchitika moyang'aniridwa ndi phlebologist, yemwe adzakulemberani mankhwala ndi physiotherapy kuti magazi azisinthasintha.

Malo amdima pamiyendo yokhala ndi matenda osokoneza bongo ndi osowa. Kupezeka kwawo kumawoneka ngati zotupa zoyipa pakhungu kapena pakhungu. Matenda oopsa nthawi zambiri amapezeka pamabowo a jekeseni wa insulin wa nthawi yayitali.

Chithandizo chimatengera mtundu ndi malo a neoplasm. Kupewa kwa acanthosis ndi njira yolondola yothandizira jakisoni.

Iliyonse mwa matenda omwe ali pamwambawa chifukwa chosagwiritsidwa ntchito ndi chithandizo chanthawi yake kumatha kubweretsa kukulitsa matenda am'mimba, chifukwa chake redness iliyonse pamwendo ndi matenda a shuga ndi mwayi wofunsa dokotala.

Chithandizo cha dermatological zotupa za phazi mu shuga nthawi zonse chimayamba ndi matenda a shuga. Pa gawo loyambirira la matendawa komanso ndi chisamaliro choyenera, njira izi ndizokwanira, ndipo zizindikirizo zimazimiririka.

Ngati mawanga ofiira pamiyendo yokhala ndi shuga amaphatikizidwa ndi zowawa, ndiye kuti mainkinkiller (analgesics) ndi mafuta odzola okhala ndi lidocaine kapena novocaine amagwiritsidwa ntchito ngati painkiller.

Ngati pali matenda kapena fungus, chithandizo choyenera chimachitika pogwiritsa ntchito mankhwala osokoneza bongo komanso antifungal. Mabala ndi zilonda zam'mimba zimathandizidwa ndi hydrogen peroxide ndi mafuta a furacilin.

Panthawi yamankhwala, ndikofunikira kugwiritsa ntchito ndalama kuti mutsitse phazi lanu. Njira zoterezi ndi "kutsitsa" ma insoles, omwe amagawa ndikuchepetsa katundu pa miyendo.

Dinani pa chithunzi chomwe chili pansipa kuti mudziwe zambiri zokhudzana ndi matenda a shuga ndikuwayitanitsa kuti mutumizire kunyumba kapena makalata. Inde, sikuti kuphwanya zala zakumaso ndi shuga kumawonetsa kukula kwa matenda apakhungu. Nthawi zina zala ndi miyendo zimasanduka zofiira chifukwa cha kupsinjika kapena chifuwa.

Pamene redness ikachitika, tikulimbikitsidwa kugwiritsa ntchito kirimu yapadera "Kubwezeretsa", yomwe imathandizira kuthetsa mkwiyo. Ngati kufupika kwa 2-3 kumayamba kuda, kuyabwa kapena zizindikiro zina kuwoneka, ndiye muyenera kufunsa dermatologist.

Werengani werengani nkhani yokhudza chithandizo cha mankhwala osokoneza bongo odwala matenda ashuga.

Ndikotheka kupewa mawonekedwe a mawanga pamiyendo mwakuwona zotsatirazi:

Valani zovala za thonje ndi masokosi okha.
Sambani mapazi anu tsiku ndi tsiku, azichitira ndi zonona zabwino, kusintha masokosi.
Osagwiritsa ntchito zotsekemera zaukali ndi zonunkhira.
Pewani kuyenda masokisi onyowa kapena nsapato.
Pewani kutentha kwambiri ndi kuphwanya mapazi.
Valani nsapato zofunikira "kupuma" komanso masitayilo okakamira.
Gwiritsani ntchito insoles kwa odwala matenda ashuga.
Malipiro a shuga ndikuchiza ma comorbidities.

Ndi chisamaliro choyenera cha phokoso la matenda ashuga, kukhazikika kwa matenda ashuga othamanga kumatha kupewedwa. Mwa izi, ndikulimbikitsidwa kugwiritsa ntchito zinthu zapadera zomwe zidapangidwira odwala matenda ashuga.

Chilichonse chopezeka ndi matenda ashuga oyenda ndi phazi zimatha kupezeka patsamba lathu.

Malo athu ogulitsira omwe ali pa intaneti ali ndi mankhwala othandiza kwambiri komanso amakono a matenda ashuga. Timapereka ku Russia konse ndi otumiza kunyumba kwanu, kumalo operekera malamulo ndi makalata. Dinani pa chithunzi pansipa ndikupeza zina.

Zakudya zoletsedwa ndizophatikiza:

zokoma zambiri
kuphika
nyama yamafuta ndi nsomba,
ankasuta nyama
mayonesi
nyama zamafuta
chakudya zamzitini
zipatso zotsekemera
kaboni wokoma madzi
menyu sayenera kuphatikiza chimanga, makamaka semolina,
pasitala
mowa

Zilonda zopatsirana pakhungu

Madontho omwe amawoneka ngati odwala matenda ashuga okalamba m'mphepete, pakati pa zala, m'mphepete mwa khungu ndi perineum zitha kukhala zizindikiro za expressionomycosis.

Khungu limakhala lofiira, ming'alu ndi kukokoloka kumapangidwa pamenepo ndikuwala kotsalira komanso mawonekedwe owoneka ofiira.

Madera oyandikana ndi khungu amatha kuphimbidwa ndi matuza ang'onoang'ono. Zonsezi zimayendera limodzi ndi kuyabwa kwambiri.

Kuti atsimikizire matendawa, kuwunika kwakuwoneka pang'ono kwa zinthu zakale zomwe zadulidwa pamtunda kumachitika.

Mankhwalawa amakhala ndi physiotherapy komanso kutenga fluconazole kapena itraconazole. Kuti mugwiritse ntchito zakunja, Clotrimazole, Exoderil kapena Lamisil ndi mankhwala.

Kuphatikiza pa candidiasis yolimbana ndi matenda a shuga, zotupa zotsatirazi nthawi zambiri zimapezeka:

furunculosis,
felon,
mapa,
zilonda zam'mimba za matenda ashuga,
pyoderma.

Mankhwala a antibacterial amagwiritsidwa ntchito pochiza matenda, koma pathologies a khungu amakhala ovuta ndipo amafunika chithandizo cha nthawi yayitali. Matenda a pakhungu ndiovuta kuchiza ndipo zimapangitsa kuti zikhale zovuta kulipirira bwino kuchuluka kwa shuga.

M'malo owonongeka, chinthu chimayamba kupangika chomwe chimagwira insulin, ndikuwononga mahomoni. Kuphatikiza apo, thupi limayesetsa kuchotsa matenda ndi kutupa ndipo limaphatikizanso njira yoteteza, yomwe imayambitsa kufooka kwambiri kwa chitetezo chathupi.

Chifukwa chake, kuti muchepetse zotsatira zake, odwala matenda ashuga amawonjezera kuchuluka kwa insulini, mankhwala omwe amalimbitsa chitetezo cha mthupi, ndipo ovuta, amapanga opaleshoni.

Kuthana ndi njira zopewera kupewa kudzathandiza kupewa matendawa komanso kuthana ndi matendawa:

Tetezani khungu ku zilonda zamkati, mafinya, zikanda ndi mabala,
Yendetsani khungu nthawi zonse ndipo ngati lawonongeka, mugwiritse ntchito mankhwala oyambitsa matenda.
kusankha nsapato zabwino, zoyenera, kupewa mapangidwe a chimanga,
Kusamalira khungu, osagwiritsa ntchito zinthu zakuthwa, zofunda zolimba, osagwiritsa ntchito sopo,
Njira zaukhondo ziyenera kuchitika pafupipafupi ndi miyala yofewa, yosakhumudwitsa,
gwiritsani ntchito zodzikongoletsera ndi zodyetsa thupi posamalira khungu.

Vidiyo pazakhungu zamatenda a shuga:

Popeza mwapeza malo owoneka bwino kapena bala lalikulu, simuyenera kuyesetsa kuwonongeka.Pankhaniyi, muyenera kupita kwa dokotala mwachangu ndi kupewa kuwonongeka.

Matenda a shuga

Gulu lama dermatoses limaphatikizapo matenda omwe amapezeka motsutsana ndi maziko a matenda osokoneza bongo. Amawonetsedwa ndi mawanga, ma vesicles ndi zilonda zam'mimba. Matendawa ndi monga:

matenda a shuga
matuza a matenda ashuga
lipoid necrobiosis,
xanthomatosis,
papillary-pigmentary dystrophy pakhungu,
acanthosis wakuda,
matenda ashuga atherosulinosis.

Mawonekedwe a khungu ndi omwe amayamba chifukwa cha zilonda zapakhungu. Popanda chithandizo chamankhwala, kusintha kosasinthika kumachitika, komwe kumayambitsa kudula kwa phazi. Malinga ndi ziwerengero za WHO, 70% yazodulidwa zonse za phazi zimachitika mwa anthu odwala matenda ashuga. Komanso, 75% yaiwo atha kupewedwa ndikumalumikizana ndi adokotala.

Matenda a shuga

Pathology imagwirizanitsidwa ndi kuwonjezeka kwa fragility ya khoma la mtima. Maselo am magazi amalowa kuchokera ku capillaries kupita kumalo opanga ma interellular. Matendawa amadziwika ndi mawonekedwe a mawanga ozungulira bulauni pakhungu la miyendo. Khungu pamalo omwe akhudzidwa ndi owuma, owonda, osenda.

Matuza a matenda ashuga

Chizindikiro chapadera cha matendawa ndi mawonekedwe a matuza ndi mawanga pamunsi lachitatu la mwendo. Ma Bubble amatha kuphatikizana wina ndi mnzake. Khungu limafanana ndi kutentha. Popanda matenda opatsirana, matendawa sadzetsa mavuto. Imadzipatula yokha popanda chithandizo pakatha milungu 3-4.

Lipoid necrobiosis

Vuto losowa kwambiri. Amayi amavutika pafupipafupi. Matendawa amadziwika ndi mawonekedwe a mawanga akulu ofiira amiyendo m'miyendo. Matendawa akamakula, mafinya amawoneka kuti amapezeka pamwamba pa khungu. Pakatikati, malo omwe amapezeka amapeza utoto. Popita nthawi, amapweteka.

Zomwe zimawopseza kuphwanya khungu la trophic ndi shuga

Zilonda zapakhungu nthawi zambiri zimagwirizanitsidwa ndi atherosulinosis. Kuphatikizika kwa angiopathy, neuropathy ndi atherosclerosis kumabweretsa kukula kwa matenda a mtima, stroko, thromboembolism, purulent necrotic njira ndi sepsis. Mavuto oterewa amapha.

Mavuto am'mbuyo a shuga amatha kuchitika zaka zilizonse. Chidziwitso ndi gawo la matendawo ndilofunika. Gulu lamavuto omwe amapezeka ndi ma dermatoses ndi:

anthu okalamba
anthu onenepa
odwala omwe samanyalanyaza ukhondo wawo.

Ngakhale chilonda chaching'ono pakhungu la odwala matenda ashuga chimatha kukhala chowopsa.

Matenda ofiira khungu matenda a shuga

Chinthu chachikulu pamankhwala ndikuchepa kwa shuga m'magazi. Mkulu glycemia, ngakhale ndi kugwiritsa ntchito mankhwala mwadongosolo, sangakhale ndi chidwi. Kutsika kwa shuga kumachitika mwa kumwa mankhwala ochepetsa shuga kapena insulini yolembedwa ndi endocrinologist.

Ndikofunika kutsatira zakudya. Zakudya zoyenera zimachepetsa chakudya. Ndilo zakudya zomwe zimathandizira kukhazikika pazotsatira zamankhwala. Zopatsa mphamvu zama calorie a chakudya, komanso mulingo wa insulin, adokotala amafotokoza payekha. Kulimbikira kulimbana ndi matendawa kumalepheretsa zovuta zomwe zimachitika posachedwa matenda ashuga.

Komabe, ngati kusintha kwa khungu kumachitika, chithandizo chikufunika. Chithandizo cha mankhwalawa chimaperekedwa malinga ndi mawonetseredwe azachipatala a matenda. Magulu akuluakulu a mankhwalawa ndi:

antibacterial othandizira am'deralo (erythromycin kapena mafuta a tetracycline),
mankhwala antifungal (ketoconazole, itraconazole, fluconazole),
antimicrobials wamba (Metrogil gel),
antihistamines (Suprastin, Diazolin),
kukonzekera kwa mahomoni (mafuta a prednisolone).

Dongosolo lothandizira maantibayotiki limayikidwa ndi dokotala pambuyo pakupenda komanso kutsimikiza mtima kwa chidwi cha munthu payekha. Mankhwala a antihistamines ndi mahomoni amatha kuthetserekera, kukwiya, kuyabwa komanso kupweteka kwa minofu yofewa.Ma antifungal ndi antimicrobial othandizira amalimbana ndi microflora ya pathogenic yomwe imalowa mkhungu.

Koma malo akuluakulu ndi kupewa zovuta. Musaiwale za ukhondo nthawi zonse. Mukasamba, muyenera kugwiritsa ntchito sopo wokhala ndi utoto wocheperako ndi zowonjezera. Kusamba m'manja pafupipafupi tsiku lonse kumalepheretsa kufalikira. Mukasamba, ndibwino kuti muzigwiritsa ntchito mafuta opaka thupi. Amafeŵetsa khungu ndi kumanyowetsa khungu, lomwe limalepheretsa kupindika. Kugwiritsa ntchito mafuta osokoneza bongo pakhungu la kumapazi nthawi zina kumathandiza kupewa matenda oyamba ndi fungus.