Kulimbitsa mano kwa shuga - maloto kapena zenizeni?

Zilowezo zamano ndi ma prosthetics a matenda a shuga amachitika ndi njira zowonjezera zotetezeka.

Mwazi wokwera wamafuta womwe umakhudza ziwalo zamkati ndi machitidwe, ndipo milomo yamkamwa imakhalapo.

Mpaka posachedwa, matenda a shuga anali ophwanya njira zamano, koma chithandizo chamakono chimakupatsani mwayi wowongolera shuga komanso kuchepetsa chiopsezo cha zovuta.

Zokhudza matenda a shuga pamano

Glucose ndi chakudya chopatsa mphamvu chokhala ndi kulemera kwakukulu. Amatenga nawo mbali machitidwe a metabolic ndipo ndiye "zomangamanga" zofunikira zama cell ndi minofu.

Muchulukirachulukira, zovuta za shuga m'thupi zimachitika. Zosintha zimakhudza milomo yamkamwa, komanso ndendende - mkhalidwe wamano.

1. Hyposalivation, kapena kusowa kwa malovu pamlomo wamkamwa. Pakamwa pouma komanso ludzu losalekeza ndizo chizindikiro chachikulu cha matenda ashuga. Chifukwa chopanga malovu osakwanira, enamel ya mano imawonongeka. Mano amakhudzidwa ndi caries. Zomwe microflora ya pathogenic imapangidwa. M'malo okwera, mwachitsanzo, nthawi yayikulu ya insulin-yodalira shuga, acetone imamasulidwa, yomwe imathandizira njira za enamel demineralization.
2. Njira zotupa zimayambitsa kuwonongeka kwa mizu ya dzino, ndipo wodwalayo amataya. Kuchiritsa kwamankhwala kumatenga nthawi yayitali, njira zopatsirana nthawi zambiri zimalumikizana, purulent foci samasiyidwa.
3. Matenda oyamba ndi mafangasi. Matenda a shuga amatsogolera kubwereza pafupipafupi kwa mafangasi a fungus. Mtundu wofala kwambiri wa bowa ndi candida. Imapezeka mkodzo wa wodwala, mucous membrane wamkati, ndipo imakulanso mucous membrane wa oropharynx. Matenda oyamba ndi fungus amafalikira, ndikupatsira mano athanzi.
4. Matenda a Pyoderma ndi bakiteriya. Kuwonongeka kwameno ndi zochita za mabakiteriya. Ma Microbes amapezeka pakamwa pa munthu aliyense, koma odwala matenda ashuga amafalitsa kwambiri matenda. Kudzikundana kwa mabakiteriya kumapezeka m'miyendo ya dzino komanso m'malo mwa kukula kwake kakale.
5. Kuwonjezeka kwa shuga kumayambitsa kuphwanya njira zosinthira - mkamwa, zilonda zam'mimba, mabala ndi kachilombo koyambitsa matenda osakhalitsa kwa nthawi yayitali.

Matenda ndi zotupa zimakhala zosapweteka, zimangobweretsa kusasangalala komanso kupweteka, komanso kuchepera mano. Bacteria microflora yamkamwa imayambira pakakhala matenda.

Kukhazikika kumaloledwa

Kulowetsa mano ndi njira yokhazikitsira pini yapadera mu chingamu, ndiko kuti, kutsanzira kwa mizu. Mu matenda a shuga, kuphatikizira kumachitika mwa izi:

• kukana zosokoneza bongo ndi chizolowezi cha chikonga,
• Nthawi yonse ya mankhwala a mano odwala matenda ashuga amayendera endocrinologist ndikudutsa kuyesa kwa magazi koyenera,
• Malamulo aukhondo osamalira pakamwa ayenera kusamalidwa,
• tsiku lililonse shuga
• hypoglycemic therapy ikupitirirabe, ndipo ngati ndi kotheka, mankhwala a insulin amagwiritsidwa ntchito,
• Matenda oyamba a kuzungulira kwa magazi ndi dongosolo la mtima sayenera kuphatikizidwa,
• ndikofunikira kumwa mankhwala omwe amasintha minofu trophism ndi kubadwanso kwawo.

Kuthira kumapangitsa kuti pakhale shuga wina wodwala yemwe amadalira insulin, popeza kuwerenganso kwa glucose kumapangitsa kukanidwa kwa mano.

Ma Prosthetics a shuga

Kuphatikiza pa zitsulo, madokotala a mano amapereka ntchito ya "mano prosthetics". Njirayi siyotsika mtengo, koma ndiwopambana. Zawonetsedwa mu milandu yotsatirayi:

• ngati nkosatheka kukhazikitsa zitsulo zamano,
• Zotsatira zamachitidwe omwe sanatengere zotsatira zomwe mukufuna,
• Pakapanda mano ambiri,
• ndi kwambiri hyperglycemia.

Mano amachotsedwa ndipo osachotsa, amapangidwa makulidwe osiyanasiyana pogwiritsa ntchito nkhungu. Ntchito yoyikirayo sikhala yovutirapo, chifukwa chake imagwiritsidwa ntchito kwambiri pakati pa odwala matenda ashuga.

Kuyika komanso ma prosthetics atha kuphatikizidwa mu mtundu umodzi wa kafukufuku. Mwachitsanzo, pini imayikidwa kaye, kenako dzino nkuikidulapo, ndipo chikhodzodzo chimalowetsedwa.

Kukonzekera kwa kuzilitsidwa kapena ma prosthetics

Njira yothandizira kukhazikitsa mano kapena ma implant kwa anthu omwe ali ndi endocrine pathology kumafuna dotolo wamano wodziwa bwino komanso wodziwa zambiri wogwira ntchito ndi odwalawa. Madokotala a mano atenga lingaliro lomwe ma periodontists, orthopedists ndi madokotala othandizira opanga zamankhwala amatenga nawo mbali. Kukonzekera njirayi kumakhala ndi mitundu yofunikira ya kafukufuku komanso njira zina zowunikira.

Kuthandizira kwa mano kumachitika pokhapokha ngati shuga alowa munthawi yolekerera, kapena kuchuluka kwa glucose kwakhala kukuchitika kwa nthawi yayitali (nyengo yolipira matenda a shuga).

Kukonzekera kukhazikitsa kwa ma prostheses ndi maulalo amano kumaphatikizapo:

1. Kuyesa kwelebhu kutsimikizira kuti shuga imalipidwa.
2. Urinalization kuti muwone kusintha komwe kungatheke mu genitourinary system.
3. Kutsimikiza kwa glucose patsiku lolowera mano.

Zoyenera kuchitidwa:

• M'kamwa mwake muyenera kuyeretsa,
• mano owonongeka ndi caries ayenera kuchiritsidwa ndikudzazidwa,
• sipayenera kukhala zizindikilo za njira zopatsira kapena zotupa,
• kupezeka kwa zotupa kapena zotupa zatsopano ndizosavomerezeka
• Njira zaukhondo ziyenera kutsatiridwa: kutsuka mano anu kawiri pa tsiku, kupindika ndi njira yapadera ndikugwiritsira ntchito malaya am'mano kuchotsa chakudya,
• kusowa kwa zolembera ndi mwala pamano ndikulandiridwa,
• Zochita zonse ziyenera kugwirizanitsidwa ndi endocrinologist.

Dotolo wamanoyo, amapeza zovuta za matenda ashuga komanso mtundu wa matenda (wodalira insulin kapena osadalira insulini). Masiku angapo asanachitike, adotolo amafotokozera mankhwala a antibacterial, poganizira momwe amapangira insulin komanso kutulutsa shuga. Mankhwala othandizira antibiotic ndi ofunikira kwambiri.

Kuchita bwino kwa opaleshoniyo kudzachepetsedwa kwambiri ngati malangizo azachipatala ndi malingaliro asatsatiridwa ndi wodwalayo. Chiwopsezo chokana kukhudzidwa chikuchulukirachulukira, chilonda chidzafika pamalo omwe adzalowetsedwenso, ndipo chifukwa chophwanya njira zosinthira, njira yochiritsira idzakhala yayitali.

Pambuyo pakuchita opaleshoni, kuthekera kwokana kukakamira kapena kuchiritsidwa koyipa sikumachotsedwa. Chomwe chimapangitsa ndi matenda a shuga, makamaka nthawi zambiri mukalandira mankhwala ambiri a insulin.

Zolemba Zoyikitsidwa

Zomwe zimayikidwa pakamwa:

• kupenda wodwalayo,
• kukonza kapangidwe kake,
• zikhomo zakhazikitsidwa m'fupa,
• Pa chithandizo chonse, wodwala amatenga mankhwala a hypoglycemic.

Ubwino wokulamulira uli motere:

• ogwira ntchito
• kubwezeretsa ntchito yogaya chakudya,
• moyo wautali ntchito.

Kuphatikiza pa zabwino zake, pali zovuta pamachitidwe ake. Mwachitsanzo, kumadzilimbitsa sikuchitika mwa anthu omwe ali ndi mtundu wa matenda a shuga omwe amadalira inshuwaransi, kukhazikitsa kumafikira miyezi ingapo, chiwopsezo cha zovuta ndi kukanidwa kwa mano ophatikizidwa kumakulitsidwa.

Zambiri za ma prosthetics

Mano ndi amitundu iwiri: yokhazikika komanso yochotsa. Njira yokhazikitsa ma prostheses ili ndi mawonekedwe mosasamala mtundu wa momwe angaikidwire.

• mtengo wololera
• chiopsezo chochepa cha zovuta
• ngozi yakukanidwa imachepetsedwa, ndipo pakukhazikitsa chikhazikitso chowerengedwa, samachotsedwa:
• ma prosthes amayikidwa mosasamala mtundu wa matenda.

Mano amatenga nthawi yochepa ndipo amafunika chisamaliro chapadera. Nthawi zina odwala matenda ashuga amadandaula za kusintha kwamphamvu kwa minyewa ya mano pamalo omwe enamel imakumana ndi kapangidwe ka prosthesis. Koma, ngakhale izi - mwayi umaperekedwa kwa ma prosthetics.

Kusamalira ndi kusamalira

Makangidwe a mafupa (ma prostheses ndi ma implants) amafunikira chisamaliro chapadera.

1. Zoyikika - makonzedwe okhazikika. Kusamalira kwawo kuli motere: kutsuka mano tsiku lililonse kawiri patsiku, kutsuka pakamwa pa chakudya chilichonse, pogwiritsa ntchito burashi yamagetsi ndi mano. Kukacheza kwa dotolo wamano ndikulimbikitsidwa miyezi isanu ndi umodzi iliyonse.
2. Kusamalira ma prosthes okhazikika sikusiyana kwambiri ndi zomanga zomwe zimapangika. Musamawashe mano anu ndi phala lotsekemera kwambiri.
3. Mukamasamalira mano okuchotsa, munthu asayiwale zaukhondo. Mitsuko imatsukidwa kawiri patsiku, ndipo mukatha kudya, gwiritsani ntchito zatsuka. Kupaka mano kumatsukidwa pansi pamadzi, kumachotsa tinthu tating'onoting'ono, kuyanika, ndikubwezeretsanso.

Ndi chisamaliro choyenera, moyo wa alumali wazinthu zamatsenga umachulukitsidwa kwambiri.

Kukhazikitsidwa kwa chikhodzodzo ndi mahule a mtundu woyamba wa 2 ndi matenda osokoneza bongo ndi njira yovuta, chifukwa nthawi zambiri zodzikirira sizimakhala mizu kwa nthawi yayitali, ndipo mukamagwiritsira ntchito ma prostheses, njira zowonjezera mphamvu zimakulirakulira. Mano sichitsimikizo kuti mupewe kusintha kwa minyewa yamano.

Pathology komanso zoopsa zake

Matenda a shuga ndi gulu lonse la matenda amtundu wa endocrine, omwe amafotokozedwa chifukwa cha kuperewera kwa shuga wa glucose, omwe amayamba chifukwa cha kuchepa kwa mapangidwe a insulin. Chizindikiro chachikulu cha matendawa ndi kuwonjezereka kwamuyaya m'magazi a shuga.

Odwala onse omwe ali ndi matenda a shuga amadziwika ndi kutopa kwakuchulukirapo, kuwonjezereka kwa kupweteka komanso kuchepa kwathunthu kwa chitetezo chamthupi. Izi zimasiyanitsa kwambiri ma opaleshoni aliwonse, kuphatikizira kupatsidwa mano.

Ngati titayang'anitsitsa zovuta za matenda ashuga pakamwa, ndiye kuti mavuto 6 angathe kusiyanitsidwa:

• matenda a chingamu (kutulutsa magazi ndi kupweteka kwa mano m'nthawi zambiri kumachitika motsutsana ndi maziko a kudumphadumpha kwa shuga),
• kamwa yowumaludzu losatha lomwe limapangidwa chifukwa cha kupanga malovu ochepa,
• ambiri oyang'ana m'makhola chifukwa cha shuga wambiri m'matumba,
• kutaya mtima kumankhwala amakomedwe
• mitundu yonse ya matenda amkamwaMwachitsanzo, matenda a fematitis amayamba kwambiri
• machiritso autali a mabala ndi zironda.

Kuti mupewe mayanjano osangalatsa a shuga awa, ndikofunikira kuyang'anitsitsa ukhondo wamlomo, kuyendera dotolo wamano panthawi yake ndikukulitsa zinthuzo ndi zizolowezi zoipa, makamaka kusuta.

Matenda a shuga amabweretsa vuto la metabolic ndi mahomoni, limapangitsa kupweteka kwa mabala komanso minofu ya mafupa - uku ndi vuto lalikulu pamavuto ena.

Kukhazikika kwa mano mu matendawa kungayambitse kukanidwa kwa kulowetsedwa. Chifukwa chake, opareshoniyo sichichitika ngati akudwala matenda a shuga a insulin komanso mu gawo lomwe lingayambitse matenda.

Matenda a shuga amakhalanso cholakwika chokwanira komanso chosatsimikizira njira yopangira opaleshoniyo, ngati pali zochitika zina zowonjezera:

• matenda a mtima ndi kuzungulira kwa dongosolo,
• matenda oncological
• matenda amisala
• nyamakazi, nyamakazi,
• chifuwa chachikulu
• kuchepa kowonekera pakulimbana ndi chitetezo chamthupi motsutsana ndi maziko a chitetezo chamthupi.

Njira zamakono

Mlingo wamano masiku ano umatilola kuthana ndi mavuto osiyanasiyana, ngakhale pazovuta kwambiri. Ngati zaka 10 zapitazo palibe amene waloleza odwala omwe ali ndi matenda ashuga kuti ayikidwe, ndiye kuti izi zachitika kale.

Chifukwa cha kukula kwachipatala msanga, njira zothandiza zowongolera ndi kusunganso shuga wotetezeka m'magazi zakhala zikuwoneka, zomwe zimachepetsa chiopsezo cha njira zotupa munthawi yakuphatikiza.

Wodwala yemwe wapezeka ndi matenda a shuga angayembekezere kuchitidwa opaleshoni ngati ayang'anitsitsa thanzi lake, amawonedwa pafupipafupi ndi endocrinologist ndipo salola kuti matendawa akhale mu mawonekedwe owopsa.

Pankhani ya mano, njira zapadera zawonekeranso zomwe zimachepetsa kuwonongeka kwa maopaleshoni ndikuthandizira kwambiri nthawi yobwezeretsa. Kubzala ma laser ndi munthawi yomweyo kukukulira.

Komabe, pazochitika zonsezi, dokotala wophunzirayo amayenera kuganizira zabwino ndi zoipazo, kusankha njira yodziyikira. Matenda a shuga amabweretsa nthawi yayitali ya osseointegration kutsegula msana wa nsagwada nthawi zambiri kumakhala kosayenera.

Posankha zochita, munthu ayenera kukhala okonzekera zoopsa zomwe zingachitike, chifukwa chake ndikofunikira kusankha chipatala cha mano ndi dokotala wofunika kwambiri. Ndiponso kutsatira mosamalitsa malangizo onse a dotolo, pakukonzekera komanso pambuyo pothandizira.

Kodi kukhazikitsidwa kwa mano kwa gawo limodzi ndi kotani, ndipo kugwiritsa ntchito njirayi ndi chifukwa chiti.

Werengani apa pazinthu zomwe moyo wamadzala wamano umatengera.

Kutsatira malamulowo

Kulowetsa mano ndikotheka pochita izi:

1. KuzindikirikaIImtundu wa matenda ashuga mu nthawi yakupereka ndalama. Ndikofunikira kwambiri kuti njira zama pathological mu minofu ya mafupa zisawonedwe, kagayidwe kake kazikhala koyenera.
2. Makhalidwe a shuga akhazikika adakhazikitsidwa ndikusamalidwa. Ziwerengero zabwino za shuga zamagazi kuyambira 7 mpaka 9 mmol / L zimawerengedwa kuti ndizabwino kwambiri pakuchita opareshoni ndikwaniritsa bwino gawo la machiritso.
3. Nthawi zonse kumayang'aniridwa ndi endocrinologist. Nthawi ya osseointegration nthawi zina imafika miyezi isanu ndi itatu - nthawi yonseyi kukhala tcheru kofunikira.
4. Kuyendera pafupipafupi kwa mano kutsatira kuchuluka kwa minofu kusinthika ndi kuthetsa mavuto okhudzana ndi mkamwa.
5. Madokotala onse omwe amapereka mankhwala amatsatira (dotolo wamano, endocrinologist, Therapist). Pamaso pa opareshoni ndi nthawi yonse yokhazikitsidwa, ndikofunikira kwambiri kuwunika bwino moyo wanu.

Mavuto aliwonse azaumoyo, ngakhale chimfine wamba, amathanso kuwononga chitetezo cha mthupi ndipo zitha kukana ndodo. Komanso, kuchulukitsa kwa matenda opatsirana sikuyenera kuloledwa.

Kufunsira ntchito ngati imeneyi, ndikofunikira kuwerenga zowunikira za chipatala ndi adotolo, kuti muphunzire satifiketi yonse ya zida ndi zida zomwe zimagwiritsidwa ntchito.

Kukhazikitsidwa kwa matenda ashuga ndi njira yovuta, chifukwa chake, mutha kusamutsa thanzi lanu m'manja mwa akatswiri apamwamba omwe akudziwa zambiri mu mbiri imeneyi.

Zofunikira pa kachitidwe

Kwa odwala a gululi, kusankha zida ndizofunikira kwambiri. Siyenera kuyambitsa mavuto, kupangitsa kusintha kwa mapangidwe ndi malovu ndi magazi, kudzutsa shuga.

Izi zimakwaniritsidwa bwino ndi ndodo za cobalt-chromium kapena nickel-chromium ndi nduwira zachifumu za ceramic.

Zomwe amadzipangira okha ziyenera kusankhidwa pazifukwa zakukwaniritsa kugawana kwamtundu umodzi mu dentoalveolar system.

Kuphatikiza apo, dokotala wodziwa bwino ayenera kukumbukira kuti nsagwada yapamwamba ili ndi mwayi wotsika wopanga bwino kuposa wotsika.

Malinga ndi kafukufuku waposachedwa ndi anzeru akunja, maulalo apakatikati (10-13 mm) atsimikizira kukhala abwino kwambiri. Ali ndi ziwonetsero zopambana kwambiri.

Zomwe zimachitika ndi matenda ashuga ndizopadera., chifukwa chake, kulakalaka kwandalama kumatha kukhala ndi zotsatira zoyipa osati pa bajeti, zokongoletsera zamkamwa, komanso pa moyo wa wodwalayo.

Pankhaniyi, muyenera kusankha zida zapamwamba kwambiri zokha, opanga odziwika, omwe akhala ali pamsika, ali ndi ndemanga zabwino zokha.

Kukonzekera

Udindo wofunikira pakukhazikitsa kwanzeru chikhazikitso umaseweredwa ndi gawo lokonzekera kwathunthu. Mulinso:

Kukambirana koyambirira ndi madokotala. Mbiri yonse yazachipatala iyenera kulembedwera odwala, kuwonetsa mavuto onse azaumoyo.

The endocrinologist akuyenera kutsimikizira mtundu wa matenda ashuga, othandizira samatengera matenda ophatikizika, ndipo dotolo wamano adziwe mzere wamavuto omwe ali mkatikati mwa kamlomo komwe kuli kofunikira kuti kuthetsere.

Mitundu yonse ya mayeso ofunikira ikhoza kulembedwa ndi dokotala, mutaganizira momwe thanzi la wodwalayo lilili. Nthawi zambiri, mayeso a labotale asanakhazikitsidwe amaphatikizapo:

• kusanthula kwa magazi ndi mkodzo,
• kuchuluka kwamwazi wamagazi, kuwonetsa kuchuluka kwa shuga, bilirubin, zilembo za chiwindi (AaAT, AST), albin, creatinine, cholesterol, ndi zina zambiri,
• kuyezetsa magazi kwa HIV, hepatitis, syphilis,
• mayeso a thupi lawo kuti azindikire kusalolera komwe kumagwiritsidwa ntchito pakuchita opareshoni, mankhwala osokoneza bongo.

Wodwala ayenera kukhala wokonzekera kwathunthu kuzilimbitsa. Ndikofunikira kupewa kupewetsa thupi komanso kutengeka, kutsatira zakudya, kudya makonzedwe a calcium, kuwongolera kuchuluka kwa shuga.

Mawonekedwe

Kuthandizira opaleshoni ndikukhazikitsa ndodo kwa odwala omwe ali ndi matenda osokoneza bongo sikusiyana kwenikweni ndi zochitika wamba. Kusiyanaku kumangokhala pakuwonetsetsa kwakukulu

Dotolo ayenera kukhala wodziwa kuchitapo kanthu kuti athandizire kukhazikitsa mosamalitsa mosamala komanso modandaula.

Mtundu wa kuphatikizika ungakhale wosiyana ndipo umatsimikiziridwa mosasamala payekhapayekha. Njira yomwe imapangidwa pompopompo imakhala yofatsa, chifukwa sizifunikira kuwonongeka kwa chingamu, koma chifukwa cha nthawi yayitali komanso yovuta ya osseointegration, nthawi zina njira yokhayo yakale yomwe yachedwetsedwa ndiyoyenera.

Kulowetsedwa mwachikhalidwe kumaphatikizapo:

• opaleshoni
• kuchotsedwa kwa mano,
• kutseguka kwa minofu yam'mafupa, mabowo obowoleza shaft,
• kulowetsedwa
• kukhazikitsa korona.

Magawo akhoza kuchitika mu gawo limodzi kapena magawo angapo, kutengera luso lomwe mwasankha.

Kwa odwala matenda ashuga, chisamaliro chapadera komanso zowonongeka zazing'ono zam'mimba ndizofunikira - iyi ndiye njira yayikulu pakusankha njira yobweretsera.

M'malo omwe ma prosthetics amathandizira amadzala a mini, ndi mawonekedwe ake.

Munkhaniyi, tidzafotokozera cholinga chomwe ntchito yokweza sinus imachitika.

Apa http://zubovv.ru/implantatsiya/metodiki/bazalnaya/otzyivyi.html timapereka kuyesa zabwino ndi mavuto a kukhazikitsidwa pansi kwa mano.

Kukonzanso nthawi

Njira yakuchira pambuyo pakuchita opaleshoni ndiyitali. Nthawi yovuta kwambiri ndi masabata awiri oyamba:

• pali zomveka zowawa,
• kutupa ndi kutukusira kwa minofu yofewa,
• mwina ngakhale kuwonjezeka kwa kutentha kwa thupi kuzinthu zotsika.

Vutoli limatsitsimula potenga ma pinkiller. Ngati zizindikiro zoyipa sizichoka pakatha masiku 5, muyenera kufunsa dokotala wamano - ichi ndi chizindikiro cha kutupa.

Kwa odwala matenda ashuga, ndikofunikira kuyang'anira kuchuluka kwa shuga, makamaka masiku oyamba, popeza kulowererapo kwa opaleshoni kumapangitsa kudumpha kwake.

Mankhwala a antibiotic amafunikiranso. Kukonzekera ndi kumwa zimasankhidwa payekha, kutengedwa pafupifupi 12 masiku.

Pamaso pa matenda a shuga, mitundu yonse yovomerezeka iyenera kutsatiridwa mwachangu komanso bwino kwambiri:

1. Zochita pakamwa zambiri - choyambirira.
2. Kuthetsa kwathunthu kusuta fodya ndi mowa - sizinakambidwe.
3. Zakudya Zosamalidwa Zakudya sayenera kungoyang'anira kuchuluka kwa shuga, komanso kuti asawononge kuyikiridwa - chakudya cholimba sichimayikidwa.

Poyamba, odwala matenda ashuga ayenera kuwonetsedwa kwa dotolo wamankhwala masiku onse atatu aliwonse kuti aziwonetsetsa momwe machira amathandizira.

Kuwopsa ndi Mavuto

Tsoka ilo, chithandizo chilichonse cha opaleshoni chimakhala chiopsezo. Pankhani ya kuphatikizidwa kwa mano, zolakwa zotsatirazi ndizotheka, zomwe zimabweretsa zovuta zazikulu:

• kusankha kopanda tanthauzo kwa njira ndi zida,
• mayendedwe osavomerezeka a opareshoni pawokha (zolakwitsa pakumanga minofu yamafupa, kuvulala kwamitsempha yama nkhope, kukhazikitsa kumadzalo mbali zolakwika),
• kusankha mankhwala osagwirizana.

Pankhani ya matenda ashuga, zolakwa zotere zimakhala zakufa. Chifukwa chake, ndikofunikira kuti musankhe dokotala wamtsogolo mosamala.

Poyambilira kwa ntchito, zotsatirazi zikuwonekera:

• zilonda, kutupa, kuphwanya ndi kuphwanya - zochitika zodziwika bwino m'masiku ochepa, ngati ndizowonjezerapo - ichi ndi chifukwa chachikulu chofunsa dokotala,
• dzanzi kwa maola opitilira 5 kuchokera pa opaleshoni - chizindikiro cha kuwonongeka kwa mitsempha, chimafunikanso kuyang'aniridwa ndi achipatala,
• kutentha kuwonjezeka mpaka 37, 5 - zabwinobwino, zamtengo wapatali komanso zazitali kuposa masiku atatu - kupita kukaonana ndi mano ndikofunikira.

Otsatirawa atachitidwa opaleshoni miyezi 4-8, mwina:

• kukulira kwa kutupa, komwe kumachitika nthawi zambiri chifukwa chosagwirizana ndi ukhondo wofunidwa,
• kukana kulowetsedwa chifukwa cha kulephera kwa minofu yolumikizira mafupa kuphatikiza kapena chifukwa chakulakwitsa kwachipatala koyambirira (ngati shaft siinayikidwe molondola, motsogozedwa ndi katundu wochita kusunthika, posakhalitsa imayamba kugwedezeka).

Mfundo zilizonse zotsutsa kapena kukayikira kwa njira yolakwika ya nthawi yochira ziyenera kuthetsedwa limodzi ndi adokotala. Matenda a shuga samavomereza malingaliro olumikizana ndi thanzi - kudzipereka nokha koletsedwa!

Kusamalidwa koyenera

Kuti mupewe zotsatirapo zomvetsa chisoni, ngakhale atachitidwa opaleshoni yopambana kwambiri, wodwalayo amayang'anizana ndi kufunika kosunga ukhondo komanso thanzi lamkamwa mwake.

Tinthu tating'onoting'ono ndi chakudya siziyenera kudziunjikira mano - awa ndi mbande za ma virus. Pazitsulo ziyenera kutetezedwa ku magazi ndi kutupa. Kupukuta mano kapena ngakhale kusambitsa pakamwa panu kumalimbikitsidwa mukatha kudya!

1. Ndikofunikira kusankha burashi wameno woyenera. Ndi njira zonse zosankhidwa zofewa kuti mupewe mavuto omwe amabwera chifukwa cha kuvulala kwa minofu yofewa.
2. Kuthira mano kumayenera kusankhidwa ndi zosakaniza zotupa kuti mukulitse chitetezo cha chingamu.
3. Mitundu yonse yakutsuka mkamwa yokhala ndi mawonekedwe a antiseptic, kuphatikizapo omwe amatengera zochokera zachilengedwe zamtundu uliwonse wazitsamba, zimafunikanso.
4. Ndikofunikira kuyang'anira ukhondo wa malo opindulira, ndikugwiritsira ntchito floss yam mano kapena othirira.

Malingaliro onse azisamaliro amkamwa akuyenera kuwunikiridwa ndi oyang'anira mano pakukonzekera ntchito. Amalimbikitsa ma pastes, ma rinses ndi maburashi.

Anthu omwe ali ndi matenda ashuga samangomwetulira. Mano amakono amawapatsa njira zambiri.

Chachikulu ndikuyandikira momwe mungakwaniritsire zovuta zanu ndikukwaniritsa malingaliro onse, onse a endocrinologist ndi dokotala wamano.

Ndipo mutha kusankha pakukula kwamano. Mutha kusiya mayankho anu mu ndemanga ino.

Ngati mwapeza cholakwika, chonde sankhani gawo ndikusindikiza Ctrl + Lowani.

Kodi ndi zinthu ziti zomwe zingayambitse kukhazikika kwa odwala matenda ashuga?

Matenda a shuga amayamba chifukwa cha kusayenda bwino kwa dongosolo la endocrine. Kutengera izi, insulini yocheperako imapangidwa m'thupi kuposa momwe amafunikira kuti shuga azikhala chakudya. Izi zimakhudza njira zoyipa za metabolic, zimayambitsa kuphwanyidwa kwa magazi, chifukwa chomwe kusinthika kwa minofu kumakulirakulira.

Zilonda zilizonse mu odwala matenda ashuga ndizovuta kuzikonza komanso motalika. Mukamadzilowetsa:

• thupi lawo siligwirizana
• Zovuta ndi kukana zomwe zimadzidwa,
• nthawi yolembera ikukwera.

Ngakhale izi, matenda ashuga sindiwo chilango cholowetsedwa. Masiku ano, mapuloteni obwezeretsa akhazikitsidwa ndipo amagwiritsidwa ntchito moyenera kuchiza gulu ili la odwala. Ndikothekanso kubwezeretsa mano amodzi kapena nsagwada yonse molingana ndi luso la All-in-4.

Ndani amene samalimbikitsidwa kuti azilimbitsa shuga?

Njirayi siyabwino ngati pali zovuta ndi chitetezo chamthupi. Poyerekeza ndi matenda ashuga, chitetezo cha mthupi chimachepa kwambiri, ndipo kumangika kumatenga nthawi yayitali komanso zovuta zambiri.

Ndikofunikira kuchitapo kanthu moyenera pakukhazikitsidwa kwa anthu omwe ali ndi matenda a shuga a 2 omwe akulandira chithandizo chamankhwala omwe angagwiritsidwe ntchito ngati ali ndi insulin yodwala.

Mulimonsemo, kukhalapo kwa kutsutsana kwachidziwitso kumatha kudziwika ndi dokotala wamano pothandizana ndi endocrinologist. Pitani kuchipatala chathu kuti mumve zambiri.

Ndani amalola kulowetsa shuga?

Ma prosthetics amakono ophatikizika amapezeka kwa anthu odwala matenda a shuga nthawi zina:

1. Thanzi lawo lonse liyenera kukhala labwino.
2. Sipangakhale zotsutsana ndi njirayi komanso matenda ena amthupi ena (zamtima, zozungulira).
3. Mkulu wama glucose pamankhwala omwe alandiridwa ayenera kukhala abwinobwino (mpaka 7 mmol / l).
4. Ndikofunikira kupeza chilolezo kuchokera kwa akatswiri ndi endocrinologist kuti adalitsidwe.
5. Kukonzanso kwa teni sikuyenera kusokonekera. Mabala ang'onoang'ono a mucosa komanso wodwalayo amachira.
6. Pasakhale kudalira chikonga. Kusuta kumayambitsa kuchepa kwa mitsempha yamagazi yowonongeka ndi matenda a shuga, ndipo kupatsanso magazi ku fupa sikokwanira kuti kukonzenso.

Popeza zowopsa, anthu odwala matenda ashuga ayenera kulumikizana ndi akatswiri odziwa bwino ntchito ndi gulu ili la odwala. Malinga ndi Association of Dentists, iyi ndi imodzi mwazinthu zazikulu zothandizira kukhazikika kwa odwala matenda ashuga.

Kodi ndizofunika chiyani kuti ziziwalika shuga?

Kuti zithandizirazo zizike mizu munthawi yake ndikukhazikika, ndikofunikira kuti pakhale zochitika zingapo:

1. Onetsetsani kuti mulingo wa glucose pamankhwala omwe alandilidwa ndi wautali komanso wokhazikika pazachilendo (mpaka 7 mmol / l).
2. Perekani chindapusa cha matenda ashuga nthawi yonse ya mankhwalawa.
3. Pewani zakudya ndi masewera olimbitsa thupi (pewani kupsinjika, idyani pafupipafupi, magawo ang'onoang'ono, kutsatira zakudya zopatsa mavitamini komanso ochepa mafuta.
4. Pewani kupsinjika, komwe kumawononga boma lamanjenje, ndikuvulaza odwala matenda ashuga.
5. Nthawi yonse yochira pambuyo podzilimbitsa iyenera kuwonedwa pafupipafupi ndi implantologist ndi endocrinologist.
6. Ndikofunikira kusamalira mosamala pamkamwa tsiku lililonse - kutsatira njira zaukhondo zomwe dokotala wamano amapereka.

Ndi ziti zomwe zimagwiritsidwa ntchito pa matenda ashuga?

Thupi la munthu yemwe ali ndi matenda ashuga limakhudzidwa kwambiri ndi zinthu zakunja, chifukwa chake zosirikizira ndi zodandaula za munthu wodwala matenda ashuga ayenera kukhala bio-inert. Zilowedwe za titanium zotsimikiziridwa bwino popanda zosayipitsidwa ndi korona zopanda zitsulo zirconium zatsimikizira bwino. Mukamasankha ma prosthes, zida zopepuka zimakondedwa ndipo kapangidwe kake kamalingaliridwa bwino kuti akwaniritse kugawa katunduyo kutafuna.

Mtundu wa zovekera, mahule ndi komwe zimakonzedwa pamakonzedwe okonzekereranso. Kutengera ndi zotsatira za CT, pangani zitsanzo zitatu za nsagwada za wodwala. Kenako, pogwiritsa ntchito mapulogalamu apadera, amaika chizindikiro pa zomwe zimayikidwazo ndi momwe zidzayilidwira.

Pambuyo povomereza dongosolo la opareshoni, template yapadera ya 3D imapangidwa kuchokera pachidachi. Nthawi yamapangidwewo, imayikidwa pa nsagwada, ndipo imayikiridwa pazinthu zodziwika bwino.

Ndi mitundu yanji yakuthira yomwe ingagwiritsidwe ntchito pa matenda ashuga?

Kuti muchepetse kulemetsa thupi, ndikofunikira kugwiritsa ntchito mitundu ina:

• Kuzindikiritsa mwachangu ndi kulongedza mwachangu. Mwanjira imeneyi, amadzalowetsedwa pachitsime cha dzino lomwe langochotsedwa. Pankhaniyi, sikofunikira kuwonjezera pakubowola minofu, ndikuchiritsa kumachitika mwakuthupi, monga momwe dzenje limakulira pang'onopang'ono m'malo mwazu wochotsedwa. Mahule osakhalitsa akukhazikitsa pomwepo amaikidwa nthawi yomweyo, osatha - atatha kulumikizidwa kwathunthu.
• Ikani kuphatikizira ndi kulongedza mwachangu. Njirayi imasankhidwa kuti izilowetsa chibwano pachisa chopanda pomwe dzino lidalipo kale. Ngati kuchotsedwa kwaposachedwa, chitsime chikuyenera kuchira. Chida chopyapyala (m'mimba mwake cha 1-2 mm) chimagundidwa. Chofukizira chomwe chimakhala ndi ulusi wapadera chimasungidwa mkati. Samathandizira kuwononga mafupa ndipo nthawi yomweyo imatsimikizira kukhazikika kwabwino. Zovala zazakanthawi zokhala ndi njirayi amathanso kuvala nthawi yomweyo.

Nthawi zina, zitha kugwiritsidwa ntchito ndondomeko yapamwamba. Masiku ano, chifukwa cha mbadwo watsopano wamatumba, iyi ndi njira yabwino kwambiri. Kuphatikizika kwa ndodo ya titaniyamu ndi fupa kumachitika popanda matayala (kumadzalako kumatsekeka ndikukutira kwa gingival, ndipo osseointegration amapezeka mkati mwa chingamu). Pambuyo pakupanga kwathunthu, ma prosthetics amachitidwa.

Ndi mayeso ndi mayeso ati omwe munthu wodwala matenda ashuga angafunikire asanakhazikitsidwe?

Kuzindikira matenda ashuga kumakulirakulira kuposa momwe zimakhalira. Kuphatikiza pa kuyezetsa magazi koyenera, CT kapena MRI, munthu wodwala matendawa ayenera kudutsa:

• shuga m'magazi
• mkodzo pakuwunikira
• malovu pa chikhalidwe cha bakiteriya.

Kutengera ndi zotsatira za mayeso awa komanso momwe thanzi lilili, ndikofunikira kufunsa katswiri wazamankhwala komanso endocrinologist, ndipo kuchokera kwa madokotala onsewa kuti apeze chitsimikizo kuti chifukwa cha thanzi lawo palibe zolepheretsa kuzilimbitsa.

Ma CD omwe amapezeka ndi matenda a shuga amalandiranso chidwi. Muyenera kuwonetsetsa kuti ndi matenda a wodwalayo palibe mavuto obisika okhala ndi minofu yamafupa. Pa kuyesedwa, kufupika kwa mafupa, voliyumu ndi mtundu wake zimawunikidwa.

Kodi kukonzekera kudzakhazikika komwe kuli kutsogolo kwa wodwala matenda ashuga?

Muchipatala chathu "AkademStom" machitidwe owoneka bwino am'kamwa amachitika:

• Professional ukhondo kuyeretsa ndi kuchotsedwa kwa zofewa komanso zolimba mano mano (tartar). Amadziwika kuti zolengeza ndi malo osungira mabakiteriya, kuchichotsa, mutha kupewa matenda amtundu ndi kukana kulowetsedwa.
• Nkhondo yolimbana ndi kuwola kwa mano. Diso lochititsa chidwi ndi lomwe limayang'ana matenda mthupi.
• Chithandizo cha mano. Musanaikidwe, muyenera kuwonetsetsa kuti wodwalayo alibe gingivitis ndi matenda ena ofewa a minofu.
• Kuyeretsa. Ngati palibe contraindication ndipo pakufunika, ndikofunikira kubwezeretsa mtundu wachilengedwe wa enamel mano asanayikiridwe.

Odwala omwe adachita maphunziro onse oyenera amaloledwa kulowetsa.

Kodi kumizidwa kumachitika bwanji? Nthawi yanji?

Ngati zinthu zonse zakwaniritsidwa ndipo palibe zolepheretsa, njirayi imayamba molingana ndi ndondomeko yoyenera. Dokotala amachitapo kanthu mosamala kuti achepetse zovuta za minofu.

Nthawi yofunikira njirayi imatengera kuchuluka kwa zovuta zake (kukhazikika pakona, kuphatikizidwa kwa mitundu ingapo). Nthawi zambiri amadzalowetsa mphindi 20-30. Dongosolo la kuphatikizika kwake limaganiziridwa bwino pa gawo lokonzekera. Zimangotsiriza kumanga ndi kukonza kwakanthawi.

Zoyenera kuchita pambuyo kuphatikizidwa? Kodi kuwonjezera mwayi wopambana mnjira?

Monga momwe masewera amasonyezera, odwala omwe adachita mayeso onse ndipo adaloledwa kuyikiridwa mu chipatala chathu ali ndi mwayi uliwonse wosungiramo izi ndikuyiwala za zovuta zokongoletsa ndi zovuta za chibwano cha nthawi yayitali. Chachikulu ndikutsatira malingaliro onse a adotolo:

1. Pakadutsa masiku 10-12 pambuyo pothandizidwa ndi odwala omwe ali ndi Mlingo wa prophylactic, kugwiritsa ntchito maantibayotiki tikulimbikitsidwa.
2. Ndikofunikira kusamalira ukhondo wamlomo.
3. Ndikofunikira kuyendera dokotala wamano nthawi zonse. Pakumapeto kwa masiku atatu aliwonse. Pobwezeretsanso, kufikira kulowetsedwa kumafupa, 1 nthawi pamwezi.

Ndi zoletsedwa kusuta fodya. Kukana chizolowezi ichi kumawonjezera mwayi wopambana.

Kodi ndikutsimikizira chiyani chotsimikizika polimbana ndi matenda ashuga?

Popeza kupezeka kwa matenda okhalitsa, palibe dokotala amene angatsimikizire kuwonjeza kwa 100%. Ngakhale izi, chipatala chathu chimapereka chitsimikizo cha zaka 5 pazomwe zimayikidwa ku chipatala. Kupambana kwa njirayi kumadalira chimodzimodzi paukadaulo wazachipatala, komanso kulimba mtima kwa wodwalayo - kukhalabe waukhondo, kumwa mankhwala, komanso kuchita zinthu moyenera pa thanzi lake.

Muchipatala chathu, timalola kuikidwa kwa anthu popanda contraindication, omwe amadziwa bwino ndikuvomera kutsatira malangizo azachipatala, popanda zizolowezi zoyipa kapena omwe avomera kukana nthawi yayitali. Zinthu zonsezi zimachepetsa chiopsezo chokana panthawi yovomerezeka ndi shuga.

Kwa ife, tili okonzeka kuchita chilichonse chofunikira kuphatikizira kumadzilo ndi katundu wochepa m'thupi lanu. Ngati mungavomereze kuyesetsa kwakeko, tonsefe tikwaniritsa zotsatira zomwe tikufuna!

Zofalitsa ndi matenda ashuga: chimodzi sichikugwirizana ndi chinacho?

Matenda a shuga ndi matenda omwe amayamba chifukwa chakutha kwa dongosolo la endocrine, momwe mumakhala kusowa kwa insulini. Hormoni iyi imayendetsa ma glucose: ngati kapamba satulutsa insulin yokwanira kapena ngati maselo sawazindikira bwino, pali shuga wambiri mthupi. Matenda a shuga amakhalanso m'magulu awiri, osiyana pakatikati pa matendawa komanso momwe zimachitikira.

1. Mtundu woyamba wa matenda a shuga 1 mellitus (wodalira insulin). Nthawi zambiri amapezeka adakali aang'ono chifukwa cha ma virus ndi ma genetic. Mu mtundu uwu wa matenda ashuga, kapamba amatulutsa insulin yochepa kwambiri kapena alibe insulin. Amawerengedwa kuti ndi mtundu wovuta kwambiri wa matenda ashuga: popanda chithandizo choyenera komanso mankhwala a mahomoni, wodwalayo amatha kudwala matenda ashuga ndikufa.
   
2. Lembani matenda ashuga a 2 a mellitus (osadalira insulini). Matenda omwe amapezeka omwe nthawi zambiri amakula chifukwa chakhalidwe osayenera ndi zakudya zopatsa thanzi. Maselo m'thupi amakhala osapindulitsa, zomwe zimapangitsa kuti shuga azikula. Kuchiza kumaphatikiza kukonza zakudya, komanso kumwa mankhwala ochepetsa shuga. Mitundu yayikulu, matendawa amatha kulowa mumtundu woyamba, ndipo wodwalayo amadalira insulin.

Kuthekera ndi mawonekedwe a chithandizo cha implantological mwachindunji zimatengera mawonekedwe ndi gawo la matenda a shuga. Kukhalapo kwa matenda a shuga kumakhudzanso mkhalidwe wamkamwa wamkamwa komanso kuphatikizika kwa muzu wa titanium.

• Chifukwa cha kuchuluka kwa shuga, chiwopsezo cha kuwola kwa mano ndi matenda a chingamu chimachulukidwa nthawi zambiri.
• Kusintha kapangidwe ka malovu kumayambitsa kufalikira kwamatenda.
• Kuchepa kwakukulu kwa chitetezo chokwanira kumapangitsa opaleshoni njira.
• Matenda a shuga amasokoneza machiritso a minofu yofewa komanso kusinthika kwa mafupa chifukwa cha kusokonezeka kwa metabolic.

Zilowetso zamano za shuga

Ku funso loti ngati ndizotheka kuyika zofunikira mu shuga, yankho lenileni silingaperekedwe. Zaka khumi mpaka khumi ndi zisanu zapitazo, kuphatikizidwa ndi mtundu wina uliwonse wa matenda ashuga kunali kosatheka konse: madokotala a mano amangokana kupereka odwala opaleshoni chifukwa choopsa kwambiri. Masiku ano, matenda ashuga amaphatikizidwa m'mbali yazoletsa malire, omwe atha kukhala amtheradi kapena achibale. Izi zikutanthauza kuti nthawi zina pamatha kuchita zinthu zina, koma pali zisonyezo zina zomwe zimapangitsa kuti kusiyanitsidwa kwa muzu wochita kuperewera m'matenda a shuga.

Kodi zimaphatikizira shuga?

Kodi kumamatira kumayenda bwanji ndi matenda ashuga?

Wodwala wodwala matenda ashuga ayenera kupita ku maphunziro angapo oyambitsidwa ndi a endocrinologist ndi dokotala wamano. Ngakhale akatswiri atha kupereka "kubiriwira kobiriwira" kumira, chiwopsezo cha zovuta zimakhalabe chambiri. Kupambana komaliza kumatengera luso la dokotala, ndondomeko yoyenera ya chithandizo, zida ndi zida.

Zinthu Zofunikira Kwambiri

1. Ukhondo wopitilira muyeso nthawi yonse yokonzekera, chithandizo komanso kukonza. Mitsempha ya pakamwa iyenera kukhala yangwiro kuti ithetse matenda.
   
2. Pamaso pa matenda a shuga, njira yonse iyenera kukhala yopweteka pang'ono, popeza kuchiritsa kumakhala koyipa kwambiri. Kukhazikika kwa mano ku matenda a shuga kumawerengedwa kuti ndiwowopsa, koma pamaso pa matendawa sikuti nthawi zonse pamakhala mwayi wotumiza pomwepo. Ndi kukhazikitsidwa kwachikale cha magawo awiri, kugwiritsa ntchito laser ndi tekinoloje zina zowononga ndikofunikira.
   
3. Osteointegration imatenga nthawi yayitali (miyezi isanu ndi umodzi - isanu ndi iwiri patsaya, kuyambira pa 8 mpaka 9 - kumtunda). Kubwezeretsa mano m'nsagwada chapamwamba kumawerengedwa kuti ndi njira yowopsa komanso yosasinthika pamaso pa matenda a shuga.
   
4. Zofunikira kwambiri pazopangira ndi zomira. Mu shuga mellitus, amadzala a kutalika kotalika (10 - 12 mamilimita) a titanium yokhazikika kapena ma alloys opangidwa mwapadera nthawi zambiri amayikidwa. Zigawo za prosthesis ziyenera kukhala bioinert kwathunthu, korona - wopanda zitsulo.

Mtengo wa kuphatikizidwa kwa matenda ashuga udzakhala wokwera kwambiri poyerekeza ndi milandu yazachipatala. Matendawa amafunikira kugwiritsidwa ntchito kwa njira zapamwamba zaumisiri ndi zida zamakono kwambiri, kotero kuyesa kupulumutsa kumatha kubweretsa zotsatira zosasangalatsa. Opanga mathero ambiri amakhala ndi mzere wobisika komanso zinthu zina zokhudzana ndi odwala omwe ali ndi matenda ashuga, chifukwa chake tikukulangizani kuti muthane ndi mayankho otere.

Gwiritsani ntchito wodwalayo atamuchita opaleshoni

Pankhani ya matenda a shuga, ntchito ya nthawi yokonzanso bwino imakhala yofunikira. Thupi la odwala matenda ashuga limatenga mphamvu ya opaleshoniyo mwamphamvu, kotero nthawi yoyamba pambuyo pa opaleshoni, kupweteka, kutentha thupi, ndi kutupa m'deralo kuchitapo kanthu ndikotheka. Odwala odwala matenda ashuga ayenera kutsatira malangizo angapo a dokotala. Izi ndizofunikira kwambiri:

• kumwa mankhwala kwa masiku 10 mpaka 12 atachitidwa opaleshoni,
• kuyang'anira mosalekeza shuga
• kupita kwa dokotala wa mano masiku onse awiri kapena atatu m'milungu iwiri yoyambirira atachitidwa opaleshoni, kukambirana pafupipafupi ndi endocrinologist,
• kukana kwathunthu zizolowezi zoyipa, zovekeramo mano kwa matenda ashuga mwachisawawa zili ndi chiwopsezo chachikulu chokana, kusuta fodya ndikuledzera kumangokulitsa,
• ukhondo woyenera munthawi yonseyi,
• kudya, kukana zakudya zolimba, zotentha kwambiri komanso zonunkhira.

Kodi mankhwalawa amatha liti?

Zilowetso zamano za matenda a shuga zitha kuchitidwa ndi matenda amtundu wa 2 wa mtundu wopundidwa. Zina zomwe zimaphatikizapo:

• Kubwezera kwanthawi yayitali komanso kukhazikika.
• Glucose iyenera kukhala 7-9 mmol / L.
• Wodwalayo amayenera kuwonetsetsa kuti ali ndi thanzi labwino, kuchitira chithandizo cha panthawi yake, kutsatira zakudya zopanda chakudya.
• Kuchiza kuyenera kuchitika molumikizana ndi endocrinologist.
• Ndikofunikira kupatula zizolowezi zoyipa.
• Sungani ukhondo wambiri.
• Chisamaliro chiyenera kuthandizidwa kuchitira matenda onse amthupi.

Zomwe Zikukhudza Kupanga Opaleshoni

Kwa yemwe kudzutsidwa kwamveka

Madokotala azindikira zifukwa zingapo zomwe zimapangitsa kuti kusakanikirana kwa mitundu ya matenda ashuga a 1 ndi 2 kukhazikike. Mwachitsanzo, chimodzi mwazovuta zambiri ndikukana mano.

Matenda a shuga amadziwika ndi kuwonongeka kwa kayendedwe ka magazi m'mitsempha yaying'ono yamagazi, zomwe zimapangitsa kuti pang'onopang'ono mapangidwe amafupa. Izi zimachitika kawirikawiri ndi mtundu wodwala wa insulin.

Chinanso chomwe chimayambitsa zovuta za kuphatikizika kumakhala kugwira ntchito bwino kwa chitetezo cha m'thupi.

Kuti zothandizira mano zisamayende bwino matenda ashuga, ziyenera kukwaniritsidwa.

Kulowetsedwa kwina sikungatheke ngati wodwalayo walipira matenda osokoneza bongo a shuga kapena odwala matenda a insulin omwe amadana ndi kufooka kwa mafupa. Kukhazikitsidwa kwa zitsulo sikungathe kuchitidwa kwa odwala omwe, kuphatikiza pa matenda ashuga, omwe ali ndi matenda a chithokomiro, matenda oopsa amitsempha yamagazi, komanso matenda amitsempha yamagazi.

Mwina mavuto

Pokhapokha ngati njira yabwino yodziwitsira wodwala komanso kuti alowererepo pabwino, ngozi ya zovuta ndizochepa kwa wodwalayo. Zotsatira za kulowetsedwa zimatanthauzanso wodwalayo, nthawi zambiri zovuta zimawonekera chifukwa chosasamala pakamwa.

Chifukwa chosagwirizana ndi malangizo omwe amapereka kukonzekera koyenera, odwala nthawi zambiri amakumana ndi zotsatira zosatsutsika monga kukana kulowetsedwa. Nthawi zambiri zimayambitsa kukana chitsulo ndi thupi. Potere, mapangidwe ake amachotsedwa, kubwereza kokhazikika kumatha.

Mavuto owopsa kwambiri mwa mawonekedwe a sepsis ndi meningitis amawonetsedwa chifukwa chosagwirizana ndi katswiri wokhala ndi malamulo a antiseptic chithandizo cham'kamwa. Kusintha koteroko kumatha kudzetsa wodwalayo.

Ndi nthawi ziti komwe kumayika mano kumaletsedwa ndikuloledwa shuga?

Pali zifukwa zingapo zomwe kubowola mano kumakhala kovuta kukhazikitsa. Chifukwa chake, mwa ambiri mwa odwala omwewo atachita chimodzimodzi, kukana dzino latsopano kumadziwika.

Kupulumuka koyipa kumawonedwanso mu mtundu woyamba wa 2 ndi matenda ashuga a 2, omwe ali ndi vuto la insulin lokwanira, chifukwa pamenepa njira yopangidwira mafupa imasokonekera. Kuphatikiza apo, odwala matenda ashuga, chitetezo cha mthupi chimachepetsa, ndipo amatopa msanga pakukonzekera mano.

Koma ndi nthawi ziti zomwe shuga ndi mano zimathandizira? Kukhazikitsa zofunikira mu hyperglycemia, zinthu zingapo ziyenera kukwaniritsidwa:

1. Munthawi yonse ya kukhazikitsidwa, wodwala amayenera kuwonedwa ndi endocrinologist.
2. Matenda a shuga ayenera kulipidwa, ndipo sipayenera kusokonezeka mu kagayidwe ka mafupa.
3. Kukana kusuta fodya komanso mowa.
4. Kuthamanga glycemia musanachite opareshoni komanso mkati mwa kuwumbidwa sikuyenera kupitirira 7 mmol / L.
5. Wodwala matenda ashuga sayenera kukhala ndi matenda ena omwe amalepheretsa implation (zotupa za National Assembly, matenda a chithokomiro, lymphogranulomatosis, kulakwitsa kwa hematopoietic system, etc.).
6. Kutsatira malamulo onse aukhondo posamalira khomo lamkamwa ndikofunikira.

Kuti chithandiziro cha mano chikhale bwino, odwala ayenera kudziwa zomwe zimachitidwa opaleshoniyo. Chifukwa chake, kutalika kwa mankhwala opha maantibayotiki pakanthawi kogwiritsira ntchito kuyenera kukhala osachepera masiku 10. Pankhaniyi, ndikofunikira kuyang'anira glycemia nthawi zonse kuti zisonyezo zake zisaposa 7-9 mmol / l masana.

Kuphatikiza apo, pambuyo pa opaleshoni, kuyendera mano pafupipafupi ndikofunikira mpaka chiwalo chatsopano chitazika mizu. Ndikofunika kukumbukira kuti ndi matenda ashuga, nthawi ya osseointegration imawonjezeka: m'nsagwada yapamwamba - mpaka miyezi 8, otsika - mpaka miyezi isanu.

Popeza odwala matenda ashuga ali ndi vuto la metabolic, simuyenera kuthamangira mukamatsegula zinthuzo.Komanso, kulowetsedwa ndi kutsegula mwachangu sikuyenera kugwiritsidwa ntchito.

Zomwe zimakhudza kupambana kwa kukhazikika kwa mano mu shuga

Zotsatira zabwino za opaleshoniyo zimakhudzidwa ndi zomwe zimachitika komanso mtundu wa matendawa. Chifukwa chake, pamene matendawo atenga nthawi yayitali, ndiye kuti mwayi waukulu wokanidwa nawo Komabe, powunikira bwino za momwe zinthu zilili, kumizidwa kwa matenda ashuga nthawi zambiri kumatheka.

Ngati wodwala matenda ashuga amatsata zakudya zotsitsa shuga, ndiye kuti kupulumuka kwa dzino lochita kupanga kumachuluka kwambiri kuposa ndi othandizira a hypoglycemic. Ndi odwala matenda osokoneza bongo omwe amayendetsedwa bwino komanso omwe amawonetsedwa mosalekeza mankhwala a insulin, othandizira sakulimbikitsidwa. Kuphatikiza apo, ndi mtundu woyamba wa matenda, kuwonongeka kwa mano kumaloledwa kwambiri kuposa matenda amtundu wa 2, chifukwa mtundu wamatendawa nthawi zambiri umakhala wofatsa.

Kafukufuku adawonekeranso kuti kukhazikitsa zinthu zofunika kuzilimbitsa kunayenda bwino kwambiri kwa odwalawo omwe kale amaphunzitsidwa zaukhondo komanso kutsuka kwamkati pamlomo, pofuna kupondereza kulowererapo pakamwa. Pa cholinga chomwecho, antimicrobials amalimbikitsidwa kwa odwala matenda ashuga asanafike opaleshoni.

Kuchita bwino kwa mankhwala othandiza kumachepetsa ngati wodwala ali ndi:

Ndikofunikira kudziwa kuti kapangidwe kazinthuzo zimakhudza kuthekera kwake. Kufunika kwapadera kumaperekedwa kwa magawo awo, chifukwa sayenera kukhala aatali kwambiri (osaposa 13 mm) kapena apafupi (osapitirira 10 mm).

Pofuna kuti tisakhumudwitse, komanso kuti tisaphwanye mawonekedwe amisala, kuchuluka kwa odwala matenda ashuga kuyenera kupangidwa ndi cobalt kapena nickel-chromium alloys. Kuphatikiza apo, kapangidwe kake kalikonse kamayenera kukwaniritsa zonse zofunika poyesa katundu moyenera.

Ndizofunikira kudziwa kuti patsaya latsaya gawo lambiri la kupulumuka kolimbitsidwa ndilabwino kwambiri kuposa kumtunda. Chifukwa chake, izi ziyenera kukumbukiridwa ndi madokotala a zamankhwala popanga mapangidwe a mano.

Nthawi yomweyo, odwala matenda ashuga ayenera kukumbukira kuti chifukwa cha kusokonezeka kwa metabolic, osseointegration, poyerekeza ndi anthu athanzi, kumatenga nthawi yayitali (pafupifupi miyezi 6).