Gangrene (necrosis) ya miyendo mu shuga - Zizindikiro ndi chithandizo

Matenda a matenda ashuga ndi necrosis ya zimakhala zomwe zimayamba chifukwa cha shuga wambiri. Nthawi zambiri, miyendo yakumunsi imakhudzidwa, izi zimachitika chifukwa cha kuzungulira kwa magazi. Popita nthawi, amayamba kukhala amdima chifukwa chodzikuta ndi chitsulo ndi chitsulo chamchere. Zinthu izi zimayikidwa m'magazi chifukwa cha kupindika. Necrosis ya miyendo imachitika chifukwa kuchepa kwa mpweya kwa ma capillaries. Mwa anthu omwe ali ndi matenda ashuga omwe ali ndi zaka zopitilira 20, chiopsezo chotenga matendawa chimakwera mpaka 80%.

Choyambitsa chachikulu cha gangrene cha m'munsi kwambiri m'matenda a shuga chimagwirizanitsidwa ndi kuwoneka kwa zovuta za trophic. Zina mwa izo ndi:

Gangrene ndi chotupa choopsa cha m'munsi kwambiri chokhudzana ndi kufa kwa minofu. Zimabweretsa zowawa kwambiri, chifukwa pomwe munthu amataya mwayi wokhala ndi moyo wokhazikika. Masiku ano, akatswiri amasiyanitsa mitundu iwiri ya gangrene: yowuma komanso yonyowa.

Youma gangrene

Dry gangrene ndi chotupa cha khungu, chomwe chimayambitsa kuphwanya magazi. Nthawi zambiri, mtundu wamtunduwu wa matenda umapezeka mwa odwala matenda a shuga omwe ali ndi kufooka kapena kuchepa mphamvu kwa thupi. Chotupacho chimakula pang'onopang'ono, chimadziwika ndi kuyanika kunja kwa minofu. Popita nthawi, khungu pamiyendo limayamba kugundana ndikulimba, kukhala ndi bulauni kapena mtundu wakuda. Munthu sangakhale moyo wabwinobwino, amakhala wolumala. Matenda owuma amatha kuzindikiridwa ndi:

• Zowawa zam'madera akum'munsi,
• Kuchepetsa kapena kusazindikira
• Khungu lozizira lamiyendo,
• Zomverera mosalekeza
• Kuchepa kwa miyendo, kapena chifukwa chosowa,
• Kuchuluka kwamiyendo
• Kukongola kwa khungu.

Zowonda kwambiri

Wet gangrene amatha kuzindikiridwa ndi mawonetseredwe ofanana ndi ofunda owuma. Nthawi zambiri, zotupa zotere zimapezeka mwa odwala omwe ali ndi shuga wambiri. Nthawi zambiri, odwala otere nthawi zambiri amakhala ndi edema komanso kukokana kwa madera akumunsi. Zilonda zokha ndizonyowa, zilibe nthawi kuti ziume. Chophimba choterocho chimatha kupezeka mosavuta ndi matenda opatsirana komanso a bacteria, komanso chitha kuledzera kwambiri. Wet gangrene amatha kupha. Izi zitha kuzindikirika ndi zizindikiro izi:

• Zowawa m'miyendo yam'munsi,
• Muli wolumala nthawi zonse,
• Kuwonjezeka kwa kutentha kwa thupi,
• Fungo la zowola kuchokera kunsi,
• Kapangidwe ka mawanga ofiira pakhungu,
• Kutupa kwa miyendo,
• Kuwona malekezero akumunsi, amapeza mtundu wabuluu kapena wofiirira,
• Mawonekedwe a misempha m'miyendo.

Njira zochizira

Chithandizo cha gangore ndi matenda a shuga amafunika njira yolumikizira. Ndikofunikira kutsatira malangizo onse a adotolo, chifukwa kunyalanyaza malangizowo kungayambitse zovuta zazikulu.

• Angioplasty ndi stinging ndi njira zomwe zimathandizira kuthana ndi vuto lalikulu la matenda ashuga. Ndi thandizo lawo, ndizotheka kusiya miyendo. Chinsinsi cha njirazi ndi kuyambiranso kwa ziwiya zowonongeka, zomwe zimabwezeretsa magazi. Zowunikira zimachitika kuchipatala, popanda opaleshoni - kudzera pamatenda ang'onoang'ono, adokotala amachita zojambula zonse zofunikira ndi chida chapadera. Pakusintha, munthu samataya magazi.
• Kuchita opaleshoni ya mtima ndi njira yolowerera yomwe ingapangitse magazi kuzungulira m'munsi, komanso kuthana ndi ischemia. Njirayi ndiyosinthika, ikuchitika pansi pa opaleshoni yotupa. Chofunika cha kulowererapo ndikuchotsa zombo zomwe zikukhudzidwa ndi ma conductor apadera omwe amagwira ntchito ya mitsempha.
• Kuphatikiza khungu ndi kachitidwe kamomwe dokotala amayang'anira madera akhungu ndi omwe akhudzidwa kale. M'malo mwa zigamba zomwe zakhudzidwa, timisempha tapadera ta mankhwala titha kusoka. Madokotala amathanso kuulutsa ziwalo zina za thupi.

Njira zina

Akatswiri ena amati kusala kudya kwamankhwala othandizira kungathandize kuyimitsa kukula kwa matenda osokoneza bongo. Iyi ndi njira yachidziwikire yowunikira iyenera kuyang'aniridwa ndi dokotala pafupipafupi. Ndikofunika kuchita izi kuchipatala chapadera. Pa magawo oyamba a magulu ovuta, kufa ndi njala kumatha kuletsa njira za pathogenic. Komanso, katundu tsiku ndi tsiku pamiyendo amathandizira kukhazikitsa magazi.

Kupewa

Matenda a shuga ndi vuto lalikulu la endocrine lomwe limayambitsa matenda ambiri. Shuga wokwezeka wamagazi amasokoneza thanzi la mitsempha yamagazi, yomwe imatha kuwononga minofu. Pankhani ya kunyalanyazidwa kwanthawi yayitali, matenda a shuga amabweretsa zovuta zovuta zomwe nthawi zambiri zimakhudza madera otsika.

Kuti muchepetse chiopsezo chotenga matenda otere, ndikofunikira kutsatira njira zotsatirazi:

• Kanani zikhalidwe zonse zoyipa zomwe zimawononga magazi: Kusuta, kumwa mowa,
• Bwezerani thupi lanu, zomwe zimakulitsa kuthamanga kwa magazi,
• Sankhani nsapato zanu mosamala: ziyenera kukhala zapamwamba komanso zabwino,
• Penyani zakudya zanu, pakhale kuti palibe shuga.
• Valani masokosi nthawi zonse - ziyenera kupangidwa ndi nsalu zachilengedwe,
• Khalani ndi nsapato zingapo - awiri omwewo sangathe kuvalidwa masiku opitilira 2,
• Yenderani miyendo yanu yam'munsi tsiku lililonse
• Ngati mabala aliwonse akuwonekera pamwamba pa malekezero ena, achiteni nthawi yomweyo.
• Osamavala masokosi a holey, chifukwa amatha kuwononga khungu,
• Ngati chimanga kapena chimanga chikawoneka, kukulunga mwendo ndi bandeji - chida chothandizira chimatha kuvulaza kumtunda kwa khungu,
• Lekani kusamba kutentha komwe kumathandizira magazi,
• Usiku, ikani mafuta achilengedwe pakhungu lomwe limathandizira kulimbikitsa ndikubwezeretsa khungu.

Kuchita njira zosavuta zopewera kungakuthandizeni kupewa kapena kusiya kukula kwa zigawo zatsika. Mukazindikira zizindikilo zoyambirira mwa inu nokha, funsani dokotala.

Kodi gangore

Matenda a shuga ndi matenda ovuta a mahomoni omwe amadziwika ndi shuga yayikulu magazi. Cholinga chake ndikulephera kwa maselo kupanga insulin kapena kulekerera kwa iwo. Popanda insulini, shuga simalowa m'maselo, amadziunjikira m'magazi ndipo amachititsa hyperglycemia (kuchuluka kwa glucose).

Hyperglycemia yomwe imakhalapo kwa nthawi yayitali, imapweteketsa thupi kwambiri, pang'onopang'ono imawononga mitsempha ya magazi, mathero amitsempha. Matenda a shuga ndi matenda osokoneza bongo.

Gangrene ndi njira ya m'magazi yomwe imatsogolera ku kuwonekera kwa necrosis (necrosis) ya zimakhala. Maselo amayamba kufa chifukwa cha zowawa, kuperewera kwa zakudya m'thupi, matenda.

Pali zifukwa zingapo zomwe zimayambitsa izi:

• kusokonezeka kwa magazi,
• matenda
• zathupi, mankhwala.

Matenda am'munsi kwambiri m'matenda a shuga ndi omwe amachititsa kuti azikhala ndi moyo wocheperako, amalephera kugwira ntchito, komanso azikhala wolumala.

Chiwopsezo cha gangrene mwa odwala matenda a shuga poyerekeza ndi anthu athanzi chiwonjezereka: mwa amuna ka 50, mwa akazi ka 70.

Gulu

Gangrene mu shuga samachitika ngati matenda odziyimira pawokha. Zimakhazikitsidwa ndi chitukuko cha matenda amisempha chifukwa cha matenda ashuga.

Mitundu yotsatirayi yamatenda imasiyanitsidwa:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• Ischemic - kuphwanya patency magazi m'mitsempha chifukwa kupendekera, mapangidwe magazi. Zizindikiro: khungu limakhala lozizira, lopaka mawonekedwe ndi madera ena oopsa, kupweteka poyenda, kusowa kwamatumbo m'mitsempha mwamphamvu.
• Neuropathic - kuchepa kwa chidwi chamankhwala chifukwa cha kuwonongeka kwa ulusi wamapeto amitsempha. Zizindikiro: khungu limakhala lotentha, malo amdima, kupweteka usiku, kuchepa mphamvu ndikumverera kosungika pamitsempha,
• Wosakanikirana (neuro-ischemic) - kuperewera kwa magazi ndi kuchepa kwa chidwi.

Ndi chikhalidwe cha kutuluka, mitundu iwiri ya gangrene imasiyanitsidwa.

• Youma gangrene mu shuga. Zimachitika odwala osowa madzi, owonda chifukwa chosayenda bwino wamagazi. Amadziwika ndi kukula pang'onopang'ono. Minofu imayamba kuuma, kukhala khwinya, nkhungu. Pang'onopang'ono, malo owonongeka amakhala bulauni kapena wakuda wokhala ndi mtundu wamtambo. Ndizodziwika kuti necrosis yowuma sichidutsa kupitilira gawo lomwe lakhudzidwalo. Tizilombo toyambitsa matenda tating'onoting'ono timakhala tating'onoting'ono tambiri, choncho palibe kuledzera kwa thupi. Komabe, ngati muli ndi matenda, ndikotheka kusintha kwa fomu yonyowa.
• Wambiri gangrene matenda ashuga. Cholinga chachikulu ndichakuti magazi amapezeka osokonezeka kwambiri chifukwa cha thrombosis. Zilonda zimafa msanga, matendawo amatuluka kumadera oyandikana nawo. Chiwalo chomwe chakhudzidwa chimasandulika kukhala mtundu wamtambo wa buluu, mukakanikiza khungu, kumveka phokoso lamkokomo, fungo lakuola limawonekera. Matenda a wodwalayo ali pafupi kwambiri ndi zovuta chifukwa cha kuledzera. Popanda chisamaliro chachipatala, paliopseza sepsis ndi kufa.

Simungathe kuthana ndi chithandizo cha matenda a mtima nokha, ndikulimbikitsidwa kuti mukaonana ndi dokotala nthawi yomweyo.

Zomwe zimachitika

Hypoglycemia imavulaza osati mitsempha yamagazi ndi mitsempha yokha. Zimaphwanya kagayidwe m'thupi, zimafooketsa chitetezo cha mthupi, ndikupangitsa odwala kukhala pachiwopsezo cha matenda. Shuga wapamwamba amapanga malo abwino pakupanga tizilombo. Ndi matenda a mtima, kuvulala pang'ono, kuphwanya khungu ndi matenda kumabweretsa zilonda zammbuyo zosachiritsika.

Mwa munthu wathanzi, bala lililonse limadzipweteka. Mwa anthu odwala matenda ashuga, chifukwa cha kuchepa mphamvu, izi sizimachitika kawirikawiri ndipo zotupa zapakhungu zimayambitsa matenda. Matenda a shuga ndi njira yodziwika yomwe imatsogolera zilonda zam'mimba komanso zilonda zam'mimba.

Matenda a shuga a matenda ashuga ndi mndandanda wa ma pathologies omwe amapezeka m'matumbo, minofu, mafupa, ndi mafinya a phazi. Chimawonekera motsutsana ndi maziko a hyperglycemia omwe amakhala nthawi yayitali. Kusintha kwa mafupa ndi cartilage kumabweretsa kuti katundu akamayenda amagawidwa mosiyanasiyana, pali zovuta zowonjezera pamasamba amodzi. Khungu limazungulira paiwo, chimanga chimawonekera, pomwe amabangika ndi zilonda.

Chodabwitsa ndi chakuti odwala okalamba, onenepa kwambiri sangayang'ane okha phazi payokha. Izi zimabweretsa chiopsezo chotenga mabala.

Chiwopsezo cha matenda am'magazi mu shuga chikuwonjezereka pamaso pa zinthu izi:

• yaitali hyperglycemia,
• atherosulinosis
• mbiri yokhudza zilonda zam'mimba,
• mtima thrombosis,
• kusuta fodya komanso mowa
• ukhondo wosavomerezeka komanso kusamalira mapazi mokwanira.

Njira zopukusira-zotupa zimayambika 30-40% ya anthu odwala matenda ashuga moyo wonse. Nthawi yomweyo, 20-25% amagonekedwa m'chipatala chifukwa cha zovuta za phazi la matenda ashuga.

Kodi miyendo imayamba bwanji?

Gawo loyamba la matenda osokoneza bongo omwe ali ndi shuga nthawi zambiri zimakhala zovuta kudziwa. Chochititsa chachikulu cha matenda oopsa ndi kusokonezeka kwa mitsempha.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Zizindikiro zomwe zikuwonetsa zovuta:

• Lameness. Pakufunika kupumula pafupipafupi mukamayenda.
• Miyendo yozizira ngakhale chilimwe.
• Kunenepa, kutaya mtima.
• Paka, wonyezimira, makamaka pazala.
• Kugwera kumapazi, zala.

Nthawi zambiri odwala amapita kwa dokotala, ali kale ndi zizindikiro za matenda opatsirana m'matenda a shuga:

• malungo
• kupweteka kwambiri kwa mwendo
• nseru, kufooka chifukwa cha kuledzera,
• mabala otupa.

Woleza phazi, zala - malo omwe amakhala ndi zilonda zam'mimba.

Kuchepa kwa magazi, kuchepa kwa chidwi kumabweretsa chakuti mabala ang'onoang'ono amatenga kachilombo ndikukula ndikukula.

Zizindikiro

Matenda am'munsi, ophatikizidwa ndi shuga, ndi ovuta kuchiza. Ndi zaka, chiopsezo chotenga mavutowa chikukula, zimatengera nthawi yayitali komanso zovuta za matenda ashuga.

Kuzindikira ndikofunikira kuzindikira kuyambika kwa njira za pathological. Kuti muchite izi, ndikofunikira kuti mukamayesedwa pafupipafupi ndi a endocrinologist, orthopedist, podologist, ndi opaleshoni ya mtima.

Ndikofunikanso kuchita maphunziro angapo:

• zasayansi mayeso magazi ndi mkodzo wa glucose,
• ultrasound dopplerography yamitsempha yamagazi (Doppler ultrasound) - kutsimikiza kwa kuphwanya magazi m'mitsempha yamagazi,
• angiography - kuzindikira kwa kuchepetsa ndi kufalikira kwamitsempha yamagazi,
• X-ray ya phazi, kuzindikira kwa kusintha kwa mapazi mu phazi,
• densitometry, kuwonetsa kwa zizindikiro za mafupa,
• angiography, imatsimikizira momwe mitsempha yamagazi imakhalira komanso momwe magazi amayendera.

Anthu odwala matenda ashuga ayenera kuyang'ananso miyendo yawo pakuvulala pang'ono. Ndikofunikira kuti iwo adziwe zomwe zigawo zam'munsi zimayambira komanso zizindikiro zake.

Matenda am'munsi, ophatikizidwa ndi matenda osokoneza bongo, ndi ovuta kuchiza. Matenda a metabolism, chitetezo chofooka, matenda ophatikizana amalepheretsa kuchira msanga.

Chithandizo chokwanira chikuyenera kuthana ndi zomwe zimayambitsa matendawa:

• kutsika kwa shuga m'magazi,
• Kuchepetsa kwa kutupa chifukwa cha maantibayotiki komanso kuchiza mabala.
• Kuchotsa kuledzera,
• Kuchotsa kwa zinthu zomwe zidathandizira necrosis - kuchotsedwa kwa magazi, maopaleshoni odutsa,
• kuchepetsedwa phazi katundu.

Ndi matenda owuma, wodwalayo amakhala wodekha, osawopseza kuti aphedwa. Chifukwa chake, opaleshoniyo imayimitsidwa mpaka malire atawonekera pakati pa minofu yakufa ndi yabwinobwino.

Ndi kufalikira kwachangu kwa purosesa, madokotala amapanga zotulutsa zowonongeka, ndikuthandizanso. Muzovuta kwambiri - kudula mwendo.

Malinga ndi ziwerengero, mwendowo umadulidwatu, womwe umakhala mwayi wokufa patatha zaka zochepa.

Matenda a shuga amaphatikizidwa ndi zovuta zambiri. Popita nthawi, ma pathologies a mtima dongosolo, impso zimawonekera, kagayidwe kamatupa, chitetezo chochepa chimachepa. Izi zimasokoneza ndikuchepetsa njira yothandizira ndi kuchira odwala, poyerekeza ndi anthu opanda matenda a shuga.

Pafupifupi anthu onse odwala matenda ashuga, patadutsa zaka 10 mpaka 15 kuchokera pomwe matenda amayambika. Chithandizo chanthawi yake komanso kulowererapo kwa opaleshoni zimathandiza kuthetsa izi komanso kupewa matenda opatsirana a shuga.

Zizindikiro zake zodwala matenda ashuga

Ndikofunika kukumbukira kuti malovu owuma amatha kutenga kachilombo, omwe angayambitse kukula kwa chonyowa.

Zizindikiro za chonyowa:

• kutupa kwa malo okhudzidwa,
• redness khungu, lomwe limasintha mtundu kukhala bulauni kapena lakuda,
• zilonda, mabala kapena matuza omwe mafinya amatulutsidwa,
• fungo losasangalatsa lamatumbo,
• malungo ndi kufooka wamba,
• Ndi gasi wokhala ndi phula, khungu la anthu okhudzidwa limawonedwa. Mukayang'ana pakhungu, kumveka mawu osokosera kapena kubowola,
• ndi gangrene wamkati, kupweteka kwambiri m'thupi kumawonedwa.

Ngakhale chimodzi mwazizindikirozi zingakhale chizindikiro cha matenda oyambitsidwa, chifukwa chake, ngati zichitika, muyenera kufunsa dokotala.

Zizindikiro zakupha mwamantha:

• kuthamanga kwa magazi
• kukomoka mtima,
• malungo
• chisokonezo,
• kupuma movutikira
• chizungulire.

Ndikofunikira kwambiri kuti zizindikiritso za septic zidziwike kwa abale onse a wodwala omwe ali ndi matenda ashuga komanso anthu omwe nthawi zambiri amakhala pafupi naye, mwachitsanzo, kuntchito. Pankhaniyi, adzakhala ndi nthawi yokwanira, ndikuthandizira chisamaliro chadzidzidzi, popeza wodwalayo atha kukhala osathandiza.