Zovuta zamiyendo (matenda) kuchokera ku matenda ashuga - zimayambitsa ndi chithandizo

Matenda a shuga osokonezeka kwambiri komanso kuchepa kwa insulin kwa odwala amachititsa zovuta zambiri. Matenda a miyendo ndi matenda a shuga amakula nthawi zambiri. Ntchito ya dokotala ndi wodwala ndikuchepetsa chiopsezo cha ma pathologies, chifukwa munthu wamkuluyo, ndizowopsa zake zowonongeka kumadera akumunsi.

Chifukwa chiyani Mtundu 1 ndi Matenda Awiri Awa Matenda A shuga Amakhala Ndi Mavuto A Mwendo

Popeza matenda ashuga amapereka zovuta kumiyendo, kuchiritsa ndikofunikira, apo ayi zotsatira zake zimakhala zovulala kwambiri (mpaka ndikadulidwa). Shuga wambiri ndi wowopsa kwa thupi. Glucose mu ndende yokhazikika imapereka mphamvu ndikuwongolera ntchito zofunika za ziwalo ndi machitidwe, koma mu shuga, m'malo mwake, pamafunika mphamvu, ndikuwononga mitsempha yamanjenje ndi yamanjenje.

Miyendo ili kutali kwambiri ndi mtima, motero amadwala kwambiri chifukwa cha zovuta za matenda ashuga amtundu wa 2. Chifukwa cha kusayenda bwino kwa magazi komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku, njira za pathological zimachitika kumapazi. Ndi kuchuluka kowonjezereka kwa zinthu za glycosylating, chithokomiro cha myelin cha ulusi wa mitsempha chimawonongeka pang'onopang'ono, pomwe kuchuluka kwa mitsempha kumachepetsedwa kwambiri.

Vuto linanso losasangalatsa la miyendo ndi kupendekera kwamitsempha yamagazi. Kutsika kwa ma capillaries kumayambitsa zotsatira zoyipa: kufalikira kwa magazi mu minofu kumakulirakumwa, zotengera zimatha, zimalemala, kuchepa ndikufalikira. Zakudya za minofu zimatha, maselo awo amafa pang'onopang'ono, omwe amadzaza ndi khungu.

Zomwe zimayambitsa kupsinjika kwamiyendo m'magazi a shuga ndi monga:

minyewa yotupa yomwe imatsogolera minofu hypoxia,
neuropathy, yodziwika ndi kuchepa kwa chidwi cham'maso ndi miyendo,
kunenepa kwambiri, komwe kumapangitsa katundu wambiri m'mafupa ndi minofu,
kusuta fodya komanso kuchita masewera olimbitsa thupi.

Zilonda zamtundu wanji zomwe zimakhudzidwa ndi miyendo ya odwala matenda ashuga

Nthawi zambiri, odwala omwe ali ndi vuto la mwendo mu matenda a shuga amayamba ndi:

bowa wa misomali ndi miyendo,
gonarthrosis
gangore (necrosis),
matenda ashuga
ming'alu yayikulu yochiritsa
matenda ashuga polyneuropathy.

Matenda onsewa amafunikira chithandizo chamanthawi yomweyo. Mu gawo lotsogola, zimakhala zovuta kwambiri kuti muwatulitse, makamaka kupirira zovuta zawo.

Matenda a shuga

80% ya 2 odwala matenda ashuga amadziwa bwino matendawa. Kusintha kwathanzi kumakhudza mafupa, manjenjenje, kayendedwe ka miyendo. Matendawa amatha kubweretsa zilonda zam'mimba, zomwe nthawi zambiri zimayamba kulowa m'magazi.

Matenda a matenda ashuga amayamba ndi:

matenda ashuga a m'mimba
kuwonongeka kwamitsempha yamagazi,
matenda, nthawi zambiri limodzi ndi zinthu ziwiri zoyambirira.

Mwa zomwe zafotokozedwa kale za matenda, pali:

kuwonda kwamapazi kwamiyendo chifukwa cha kupindika kwa phazi,
Khungu layamba kuzungulira chilonda,
kutupa kwa miyendo, kuwonetsa kutupa,
kusowa kwa tsitsi kumiyendo ndi kumapazi,
khungu ndi kuuma kwa khungu,
dzanzi la miyendo
msomali
zophuka zam'mera (kapena ma warts),
bowa wa msomali.

Zilonda za fungal

Akatswiri adatsimikizira ubale womwe ulipo pakati pa shuga wamagazi ambiri ndi bowa wapansi. Mu shuga, odwala ayenera kusamala makamaka momwe khungu limakhalira.

Zomwe zimayambitsa kukula kwa matendawa ndi monga:

Muyenera kufunafuna chithandizo chamankhwala ngati kuwonongeka kumawonedwa mu nthawi yachilimwe-nthawi yachilimwe. Nthawi yomweyo, pali kusintha kwa mtundu ndi kapangidwe ka misomali pazala zazing'ono ndi zala. Mtsogolomo, mafangayi akachulukana ndikuyamba kuukira madera omwe kukhazikika, khungu la phazi liyamba kuomberanso, kusiya, ndipo ming'aluyo imawoneka pakati pa zala, kumayang'anitsitsa osachira.

Matenda a shuga a polyneuropathy

Matendawa amapezeka kwa odwala zaka 5 mpaka 10 kuchokera kutha kwa matenda a shuga 2. Uku ndikugonjetsedwa kwamanjenje, yomwe imayesedwa ndi zovuta zowopsa mu shuga zamtundu uliwonse. Njira ya pathological imayamba chifukwa cha njala ya m'maselo am'mitsempha, yomwe imayang'anira chakudya chochepa kwambiri, chomwe chimakonda kuwonongeka.

Pali magawo angapo a matendawa:

Zachilendo, zomwe wozunzidwayo sangazindikire poyamba. Ndi katswiri wamitsempha pambuyo pakupenda bwino komwe kumapangitsa kuzindikira ngati akuwonetsa kuchepa kwa chidwi cha kutentha, kupweteka, kugwedezeka.
Gawo lazachipatala, lomwe limadziwika ndi kupweteka kwakanthawi m'miyendo, dzanzi lamapeto, kusokonekera kwamphamvu. Ndi mawonekedwe amyotrophic, wodwalayo amadandaula za kufooka kwa minofu ndi zovuta kuyenda.
Gawo lachitatu, lalikulu, limodzi ndi maonekedwe a zilonda pakhungu la kumapazi. Mu 15% mwa odwala, madera omwe akukhudzidwawo amadulidwa kuti athane ndi zovuta.

Matendawa amaphatikizidwa ndi kuwonongeka pang'onopang'ono, kusinthika, kupyapyala kwa cartilage ya hyaline yomwe ili pabondo. Odwala ali ndi miyendo yowawa, amapweteka komanso amavutika kuyenda. Zomwe zimayambitsa arthrosis ndi mitsempha ya mtima.

Chifukwa cha kuchuluka kwake komanso mamasukidwe akayendedwe, magazi a munthu wodwala matenda ashuga amayenda pang'onopang'ono pabedi lamankhwala osavomerezeka ndipo amapereka maselo okhala ndi michere ndi mpweya. Njira yochotsera ziphe ndi poizoni imakhalanso yovuta, zomwe zimathandizira kuti pakhale poizoni wambiri wa poizoni komanso kutupa.

Kuphatikiza apo, 85% ya anthu odwala matenda ashuga ndi onenepa kwambiri. Mtolo wowonjezera wamafupa owongoka mawondo ndi cartilage hypoxia umabweretsa gonarthrosis (arthrosis ya bondo yolowa).

Ming'alu kumapazi

Chimodzi mwazovuta zam'miyendo ya shuga ndikuwoneka ming'alu m'dera la chidendene. Izi ndizosiyana ndi chilema chodzikongoletsera chomwe chitha kuthana ndi mavuto pogwiritsa ntchito pedicure. Ming'alu yayikulu yopanda machiritso pamapazi imawopseza kulowetsedwa kwa matenda ndi mabakiteriya, omwe amadzaza ndi zovuta zazikulu.

Ndi matenda ashuga, posakhalitsa, mathero amanjenje kumapeto pang'ono amayamba kuwonongeka, omwe nthawi zambiri amakhala limodzi ndi kutentha kwamphamvu komanso khungu lowuma. Zotsatira zake, khungu limakhazikika, mabala amawoneka (kuti izi zisachitike, gwiritsani ntchito mafuta ena apadera). Ngati sanayambike kuthandizidwa panthawi, kupunduka kwa phazi, zilonda zam'mimba, ndi zilonda zam'mimba zimatha.

Kuchepa kwa metabolism kumakhudza ziwalo zonse. Malinga ndi ziwerengero zokhumudwitsa zachipatala, wachiwiri aliyense amakumana ndi zovuta zambiri zokhudzana ndi matenda a shuga. Chimodzi mwazinthu zovuta kwambiri za matenda ashuga ndi minofu ya necrosis chifukwa cha kusokonekera kwa magazi m'thupi lathu.

Mwa zizindikiro zazikulu za njira ya pathological, zitha kudziwika:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

kusintha kwa khungu (cyanosis, redness, mdima),
kutayika kwamapazi,
ululu wowonda, kufooka poyenda (wodwalayo adandaula kuti miyendo yake imalephera),
kutupa kwa dzanja lakhudzidwa,
Kutentha kochepa m'dera lamavuto,
kuwonetsedwa pafupipafupi kwa matenda oyamba ndi fungus.

Kuchepetsa miyendo

Pambuyo pakuzindikira, adotolo amafotokoza mwatsatanetsatane momwe angathandizire miyendo ndi matenda a shuga. Pamene matenda ashuga polyneuropathy amapezeka, wodwala ayenera:

kusiya zizolowezi zake (kusuta fodya komanso kumwa mowa ndi matenda ashuga sikovomerezeka),
sinthani kagayidwe kazakudya,
amatenga aldose reductase inhibitors ndi angioprotectors omwe amawongolera magazi m'magazi ndikuchepetsa mphamvu ya glucose pamafupa amitsempha,
kumwa mavitamini omwe amasintha kufalitsa kwa mitsempha.

Kuphatikiza apo, hemosorption, plasmapheresis, enterosorption, anticonvulsants, physiotherapeutic process, massage, masewera olimbitsa thupi ndi mankhwala. Ngati phazi lili lopindika, dokotalayo amatenga nsapato zapadera ndi insoles.

Ndi fungal matenda amiyendo, madokotala amalimbikitsa kugwiritsa ntchito hydrogen peroxide, chlorhexidine kapena antifungal creams mafuta, odzola. Iodini, wobiriwira wanzeru ndi potaziyamu salimbikitsa. Chithandizo cha bowa kumapazi chimatha kukhala pafupifupi chaka, kutengera kuchuluka kwa matendawa komanso kuwonongeka kwa khungu ndi misomali ya msomali.

Chithandizo cha bondo arthrosis chimachokera pa ntchito:

chondroprotectors, kubwezeretsa cartilage. Koma ngati matendawa ali pagulu lotsogola, ndipo cartilage yamaondo atawonongedwa kwathunthu, mankhwalawa sangathandize,
anti-kutupa mankhwala amachepetsa kutupa, kuchepetsa kutupa, kuchepetsa ululu,
mankhwala omwe amachepetsa magazi m'mitsempha ndikuchepetsa kuphipha kwa minofu.

M'matekinoloje opaleshoni imachitidwa. Koma ndibwino kuti musam'bweretse opaleshoni, chifukwa kusintha kwa minofu kwa odwala omwe ali ndi mtundu woyamba wa 2 ndikuwonjezera pang'onopang'ono komanso koipa kuposa anthu wamba.

Pakawoneka ming'alu yakuya kwambiri, madokotala amatenga mafuta apadera, mafuta, mafuta ophikira, mafuta osamba, compress kwa odwala:

mafuta odzolakunyowetsa, kufetsa masheya, kufewetsa khungu. Kugwiritsa ntchito izi pafupipafupi mukatha kusamba kumakupatsani mwayi wochiritsa ming'alu kumapazi,
mafuta abwino - Chida chabwino kwambiri pochiritsa mabala akuya. Kusoka kulikonse kumaphikidwa ndi iwo, ndipo thonje limayikidwa pamwamba,
compress wa parafini chitani ndi kusungunuka palafini pang'ono posamba madzi. Atazirala, zimayikidwa kumalo omwe akhudzidwa, ndipo masokosi oyera amayikidwa pamwamba.

Ndi gangrene, njira yothandizira opaleshoni imagwiritsidwa ntchito nthawi zambiri, zomwe zimapangitsa kuti asamagwire ntchito komansolemala. Chifukwa chake, pazizindikiro zoyambirira za matenda oopsa, ndikofunikira kuchita zonse zotheka kuti zithetse.

Matendawa matenda a shuga

Popewa kuvulala kwamiyendo kuti isayamba ndi mtundu wachiwiri wa matenda ashuga, njira zotsatirazi ziyenera kuonedwa:

yesetsani kulipira matenda omwe amayambitsa matenda ashuga (shuga mellitus),
kuthana ndi magazi
Valani nsapato zapamwamba zapamwamba, zoyenera kuti mukwane
Sambani mapazi anu tsiku ndi tsiku ndi kupenda mapazi athu kuti khungu lanu ndi loyera,
Pewani kunenepa kwambiri, komwe kumakulitsa mkhalidwe wa wodwalayo komanso kumayambitsa kukhwimika kwa zovuta zovuta zogwirizana ndi miyendo,
musayende opanda nsapato pagulu (bath bath, shawa, dziwe, gombe),
mutadula misomali, pukuta zala zanu ndi mapazi anu ndi mowa,
Nthawi zonse imwani Mlingo wa multivitamini ndi chondropojector kuti mupewe kuphatikiza kwa arthrosis.

Ndi matenda ashuga, muyenera kumvetsetsa kuti ndikosavuta kupewa kuteteza zovuta kuposa kuzichiritsa pambuyo pake. Kufunafuna nthawi yachipatala moyenera, komanso kukhazikitsidwa kwa malingaliro ndi njira zodzitetezera kupewa kupewa kwambiri ndikuwachedwetsa mavuto omwe amabwera chifukwa chochepa kwambiri.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Kuwonongeka kwa miyendo m'matenda a shuga: zomwe zimayambitsa komanso zizindikilo zambiri

Wodwala yemwe ali ndi matenda ashuga m'thupi, machitidwe obwezeretsanso amakhala akuipiraipira. Izi zimachitika chifukwa choyenda bwino magazi, ndichifukwa chake magazi okwanira samalowa m'miyendo.

Chifukwa chake, ndichifukwa chiyani kupweteka kwa mwendo kumayambitsa matenda ashuga? Mafuta ochulukirapo amadzimadzi a poizoni amatha poizoni ku ziwalo zonse ndi machitidwe. Pakakhala kulephera pakumapezeka kagayidwe kazakudya, glucose sasinthidwa mphamvu, koma amakhala poyizoni wa thupi.

Zotsatira za hyperglycemia m'thupi ndizochulukirapo. Kutalika kwake, njira zambiri zimabuka (kapangidwe ka mitsempha yamagazi, mitsempha imasinthika, mtima umavutika.

Matenda am miyendo mu matenda a shuga amakula, ndi kuwonjezereka kwa iwo ndi kusayenda bwino kwa magazi. Glucose imatha kuwononga pachimake cha myelin m'miyendo, kuchepetsa kuchuluka kwa zomwe zimakhudzidwa.

Kuchepetsa ziwiya zamiyendo ndi matenda ashuga kumapangitsa kuti ma capillaries akhale osalimba, zomwe zikukulirakulira. Progressive atherosulinosis imatsogolera ku ischemia ndi magazi.

Ngati pali matenda amtondo mu shuga, zizindikilo zake zimatha kukhala zosiyanasiyana. Wodwalayo amayamba kumva kulira, kugona m'miyendo, kukokana komanso kuwawa m'miyendo yomwe imachitika munthu akayamba kuyenda. Matenda a miyendo ndi matenda a shuga amaphatikizidwa ndi zizindikiro zina zingapo:

Khungu la miyendoyo latuluka, limasandulika, limawuma ndipo ming'alu ndi mawonekedwe a chimanga.
Mawonekedwe a misomali amasintha, nthawi zambiri chifukwa cha matenda oyamba ndi fungus,
kutsika kutentha ndi chidwi kwamapazi,
kutupa
kapangidwe kazilonda kamene kamachiritsa bwino komanso kwanthawi yayitali,
kufooka kwa minofu ndi ululu,
kupindika kwa zala zakumapeto ndikusintha kowoneka ngati phazi.

Anthu ambiri odwala matenda ashuga amati akamayenda kapena usiku, amakumana ndi zowawa zazitali kuyambira masekondi 2-3 mpaka mphindi 5.

Zosatheka zoterezi zikawoneka mu mtundu wachiwiri wa matenda ashuga, chifukwa chake ndi kuperewera kwa zinthu zomwe zimatuluka limodzi ndi mkodzo, komanso kuperewera kwa mphamvu mu minofu.

Mitundu yamavuto

Zowonongeka pamapazi a shuga zimakhala ndi mitundu yosiyanasiyana. Ichi ndi matenda a shuga a shuga, omwe amadziwika ndi vuto la ziwiya zamiyendo, kuphwanya kwa ziphuphu zakumaso ndikusokonekera kwa kuperekera kwa michere m'thupi.

Mtundu wachiwiri wa zovuta za matenda ashuga ndi neuropathy. Matendawa phazi la matenda ashuga limayamba ndi kuwonongeka kwa mitsempha ya mwendo. Pali kuchepa kwa kutentha, kupweteka ndi kumva kwamtondo m'miyendo, chifukwa chomwe wodwalayo sazindikira zilonda ndi mabala m'miyendo, zomwe pamapeto pake zingayambitse gangore.

Koma palinso mawonekedwe osakanikirana, pamene wodwala yemwe ali ndi matenda osokoneza bongo amakhudza magazi ndi mitsempha yamagazi. Kenako wodwalayo amakhala ndi mitundu iwiri ya zovuta zomwe tafotokozazi.

Mtundu wina wamatenda opatsika mu hyperglycemia ndi arthropathy, pomwe mafupa a miyendo amawonongeka. Izi zimachitika chifukwa chosakhudzana ndi magazi komanso kusayenda bwino kwa ma metabolic. Wodwala matenda ashuga amafotokozera izi motere: kumayambiriro kwa matendawa ndimamva kupweteka m'miyendo ndikamayenda, ndiye kuti mapazi anga amakhala ofiira, otupa, mawonekedwe osintha, ndipo zala zanga zimapindika.

Kodi ndi zovuta ziti za miyendo zomwe zimachitika kawirikawiri kwa odwala matenda ashuga? Ululu wam'mimba mu matenda a shuga umayamba ndi matenda am'mbuyomu, omwe amapezeka mu 10% ya odwala. Koma omwe ali pachiwopsezo ndi 50% ya anthu omwe ali ndi matenda oopsa a hyperglycemia.

Matendawa odwala matenda ashuga amapezeka pazifukwa zingapo:

kagayidwe kachakudya matenda
kuwonongeka kwa mtima
kulephera kwazungulira
imfa ya mitsempha
kuwonongeka kwa khungu.

Ngati bowa watenga kachilombo, wodwala matenda ashuga amatha kukhala ndi "phazi la othamanga", lomwe limawonetsedwa ndi kuyabwa, redness ndi kuyanika pakhungu.Ngati chithandizo cha miyendo ndi matenda ashuga sichikhala nthawi yake komanso luso, matendawa amalowa m'ming'alu kapena ayambe kukhudza msomali.

Misomali ikawonongeka ndi bowa, imadzuka, imakhala yolimba komanso imakhala yolimba kwambiri. Kuvala nsapato zotsekedwa kumathandizira kuti matendawo apitirire, chifukwa ma pathogen ake amakonda chinyezi komanso kutentha. Mukayamba matendawa, kuchitapo kanthu kwa opaleshoni ndikofunikira - kuchotsedwa kwa msomali wopatsirana.

Kupweteka kwam'miyendo ya matenda ashuga kumayambikanso chifukwa cha zilonda zam'mimba chifukwa cha kupindika kwa minyewa, kuchepa kwa minyewa, komanso kulephera kwina. Komanso, mawonekedwe a zolakwika za khungu zimathandizidwa ndi:

kuvutika
atherosulinosis
calluses
mtima pathologies
amayaka
kuwonongeka kwamanjenje
mabala ndi ming'alu.

Ngati pali matenda ashuga, kupweteka kwamiyendo mwanjira ya zilonda zam'mimba kumachitika pakatha miyezi ngakhale zaka. Amakula pang'onopang'ono motsutsana ndi maziko a njira za m'magazi zomwe zimayambitsidwa ndi shuga wambiri m'magazi.

Njira yomwe imatuluka zilonda zam'mimba zimagawika m'magawo. Ma harbinger mawonekedwe awo ndi zizindikiro monga kutupa, kukokana, kusazindikira, kusintha kwa khungu (madera ofiira kapena kutembenukira kwamtambo). Dera lakumunsi limaphika, kuyamwa ndi kupweteka.

Pa gawo loyamba, zizindikiro zimatchulidwa. Kusintha kwa khungu pakhungu kumaonekera, khungu limawoneka. Madzi amwazi amamasulidwa zilonda zam'mimba, ndipo ngati matenda atalowa mkati mwake, amakula ndikukula.

Matendawa akamakula, zolakwika zazing'onoting'ono zimasanduka zilonda zam'miyendo zoyipa pamiyendo, zithunzi zomwe zalembedwa pansipa. Mawonekedwe ake amapweteka kwambiri, ndipo necrosis ikufalikira mwachangu, ikukhudza zigawo zakuya za zimakhala. Wodwala ali ndi zizindikiro za kuledzera - malaise, kutentha thupi, kuzizira.

Pamiyendo yokhala ndi matenda osokoneza bongo nthawi zambiri amapanga ma chimanga (kukula kapena kutalika patsinde pa phazi). Amachitika pogawa thupi molakwika, kuvala nsapato zosakhazikika komanso zotupa za khungu, zomwe zimayambitsa kusasangalala kwambiri komanso kupweteka poyenda.

Miyendo ndi mtundu wa 2 shuga zimatha kupweteka ngati pali matuza. Izi ndi thovu pakhungu, lodzaza ndimadzimadzi, chifukwa cha kukangana. Pakaphulika mwangozi kapena mawonedwe apadera, madziwo amatuluka, ndipo kachilomboka kamalowa mu bowo lomwe limawoneka, lomwe lingayambitse kutupa kwamiyendo ndi matenda a shuga.

Chimanga ndi vuto linanso lofala ndi matenda ashuga. Nthawi zambiri amapezeka pafupi ndi tinthu tating'ono kapena pakati pa zala. Zipangidwe zimayambitsa mikangano ndi kupanikizika.

Ngakhale odwala matenda ashuga, miyendo imapweteka pazifukwa zotsatirazi:

Mitengo ya Plantar (kukulira paokhayo ndi pores yaying'ono yakuda kapena madontho). Kuwoneka kwa zolakwika zopweteka kumayambitsidwa ndi kachilombo.
Ingrown toenail. Ngati vuto silithetsa, matendawo omwe akhudzidwa adzachitika.
Khungu lowuma. Tizilombo toyambitsa matenda timatha kulowa m'thupi kudzera m'malo obisika.

Pamaso pa matenda a shuga, kupindika kwa chala chachikulu kumachitika kawirikawiri. Vutoli limadziwika ndi kukhalapo kwa kufiyira kofiyira, kowawa komwe kali kutsogolo kwa cholumikizira chala.

Mu matenda ashuga, zala zazikulu zakumwa zimatha kukhudzidwa miyendo yonse. Kupezeka kotereku nthawi zambiri kumakhala kwa chibadwa, koma mawonekedwe ake amatha kuthandizidwa ndi kuvala zidendene zazifupi kapena zosakwanira.

Komanso, zala zakumaso zitha kupangidwa ngati "nyundo". Izi zimachitika chifukwa cha kufooka kwa minofu, chifukwa chomwe ma tendon amafupikitsidwa, ndipo zala zimakutidwa.

Pathology imabadwa, koma chinanso chosasangalatsa ndikuvala nsapato zosavomerezeka.

Kuchepa ngati nyundo kumapangitsa kuyenda kukhala kovuta komanso kumapangitsa kuti matumba azikhala, mabala ndi chimanga.

Zizindikiro

Ngati miyendo yapweteka ndi matenda ashuga? Pofuna kupewa matenda owopsa, wodwala matenda ashuga ayenera kupenda miyendo yake tsiku lililonse, kuphatikizapo mapazi. Izi zimamupangitsa kuti awonenso miyendo yake ndikuzindikira zakuphwanya kwakanthawi kuti athe kuzichotsa mwachangu komanso mopweteka.

Ngati mukukumana ndi zizindikiro zokayikitsa zomwe zafotokozedwa pamwambapa, muyenera kufunsa dokotala ndikuthandizirani kuzindikira matenda anu kuchipatala. Dokotala wodziwa bwino amatha kudziwa kugunda kwam'miyendo ya miyendo ndi kukhudza.

Ndi kukula kwamavuto, kupsinjika m'mitsempha kumawipira kapena kuyimitsidwa. Koma kuphwanya koteroko kumatha kuonekera ngati matendawa ali osasamalidwa bwino, zomwe zimabweretsa zotsatira zosasintha.

Ndikofunika kwambiri kugwiritsa ntchito njira zenizeni zodziwira matenda. Amachokera pa kugwiritsa ntchito zida zamankhwala, zomwe zimawerengera kuchuluka kwa kupindika kwa systolic m'mitsempha ya mwendo ndi brachial artery, yomwe imatchedwa kuti ankolo-brachial tata. Pamene LPI siyoposa 1,2, ndiye kuti magazi amatuluka m'mphepete mwachilengedwe.

Koma LPI yokhala ndi kuwonongeka kwa mtima ndi Menkeberg atherosulinosis siyothandiza. Chifukwa chake, miyendo yokhala ndi shuga imafufuzidwa m'njira zina:

Transcutaneous oximetry. Imafufuza kuchuluka kwa kuchuluka kwa mpweya m'maselo. Ndondomeko imakhala poika sensor pakhungu. Njala ya oxygen imapezeka ngati zotsatira zake ndizochepera 30 mmHg.
Ultrasound yamitsempha. Amagwiritsidwa ntchito kuwunika momwe magazi akuyendera atachitidwa opaleshoni ya mtima.
X-ray kusiyanitsa angiography. Njirayi imaphatikizanso kuyambitsa kwa mthandizi wosiyanitsa m'magazi am'munsi ndikuwonjezereka kwa ziwiya ndi x-ray. Njirayi imakhala yothandiza kwambiri, koma mwa odwala imayambitsa mavuto.

Njira zochizira ndi kupewa

Chithandizo cha kumapazi kwa matenda ashuga chimaphatikizapo kutsatira malangizo onse. Yoyamba ndikulamulira kwa glycemic, komwe kumachitika pogwiritsa ntchito mankhwala ndi insulin.

Ndikofunikira kutsatira zakudya, zomwe zimatanthawuza kukanidwa kwa chakudya chamafuta kwambiri komanso zakudya zovulaza. Zakudyazo zimatha kuphatikizidwa ndi dokotala komanso wazakudya. Kuchita zolimbitsa thupi mokhazikika komanso kuyenda tsiku ndi tsiku mu mpweya watsopano kumasonyezedwanso.

Ngati miyendo ikulephera ndi matenda ashuga, ndiye kuti pali njira yothandizira komanso yochita opaleshoni. Mu matenda a chifuwa cha matenda ashuga, maantibayotiki, ma analgesics, mankhwala opatsirana a m'deralo komanso mankhwala otseguka a mtima.

Momwe mungachiritsire miyendo ndi matenda ashuga ngati mankhwala sangakwanitse? Pamatendawo matendawa, kuchitapo kanthu kwa opaleshoni kukuwonetsedwa:

angioplasty (imabwezeretsa ntchito yam'mimba),
Kuchotsa kwa tsamba la necrosis,
dera lachiberekero kumapazi kapena chala,
endarterectomy (kuchotsa ziwiya zomwe sizingabwezeretsedwe),
kununkha kwa mitsempha (kukhazikitsa maukonde m'matumba),
ngati ndi kotheka, kudulidwa kwa mwendo wotsika, phazi kapena mwendo wonse kukuwonetsedwa.

Ngati zilonda zakhudza miyendo ndi matenda ashuga (zithunzi za mawonekedwe zimatha kuwoneka pano), ndiye njira ina yothandizira yogwiritsira ntchito mosamala imagwiritsidwa ntchito. Pofuna kupewa kupitirira kwa matendawa, ndikofunikira kuyang'anitsitsa kuchuluka kwa hemoglobin ndi glucose m'magazi.

Komanso, mu shuga mellitus, chithandizo cha zilonda zam'mimba ndicholinga chochepetsera kupweteka, kukonza magazi m'magazi mwanjira zapadera, komanso kugwiritsa ntchito mankhwala kusintha magwiridwe antchito a mtima. M'pofunikanso kuchiza ndi kupewa kukula kwa matenda a concomitant (matenda oopsa, thrombophlebitis), kugwiritsa ntchito mankhwala ochepetsa mphamvu ya antifungal. Dokotala wina amatipatsa mankhwala omwe amachititsa kuti kagayidwe ka lipid kagayidwe, komanso mankhwala osokoneza bongo omwe amagwira ntchito.

Momwe mungachiritsire zilonda zam'mimba ndi matenda ashuga ngati chithandizo chokhwima sichinathandize? Ndi mitundu yapamwamba yamatendawa, kulowererapo kwa opaleshoni kumasonyezedwa. Ikhoza kukhala yotsegula chilonda ndikuchotsa zofunikira pakhungu, kumanganso mtima wam'mbuyo ndikuduladula miyendo.

Tizilombo toyambitsa matenda a m'matumbo a shuga timathandizidwa. Komanso, mapepala apadera ndi zida zomwe zimawalekanitsa zimagwiritsidwa ntchito kugwira chala.

Kwa iwo omwe ali ndi matenda ashuga, kupweteka kwa mwendo, chithandizo chitha kuphatikizira kutsatira malingaliro onse:

kuvala nsapato zabwino za odwala matenda ashuga,
kukakamizidwa kuchiza matenda ophatikizika,
kunenepa
kutsuka tsiku ndi tsiku m'madzi ofunda ndi sopo,
tikulimbikitsidwa kuti musadule misomali, koma kuti muchotsepo pang'ono,
ziphuphu zimathandiza ndi acupressure,
kuyanika kwathunthu ndi miyendo mutatsuka (chidwi chapadera chimalipidwa m'deralo pakati pa zala).

Odwala matenda ashuga ayenera kudziwa kuti zelenka, potaziyamuanganamu, ndi ayodini amaletsedwa kugwiritsa ntchito kuwonongeka kwa phazi. Kuti bala lisaphike, amathandizidwa ndi Furacilin ndi Chlorhexidine, kenako ndikumangidwa.

Ngati khungu pamapazi ndi louma kwambiri, kugwiritsa ntchito mafuta okhala ndi urea kumasonyezedwa. Ndi matenda oyamba ndi fungus, othandizira antifungal amagwiritsidwa ntchito, ndipo ming'alu kumapazi imachiritsidwa ndi mafuta opaka ndi phula.

Monga njira yothandizira kuchiritsira kwachikhalidwe, ngati miyendo ya munthu wodwala matenda ashuga yalephera, chithandizo chamankhwala wowerengeka chingagwiritsidwe ntchito. Blueberries ndimachiritso othandizira a miyendo mu shuga. Mpaka zipatso zitatu mpaka zitatu.

Ndi zotupa za pakhungu, chisakanizo cha Aspirin, uchi ndi burdock chimathandiza. Uchi umagwiritsidwa ntchito kumalo omwe akhudzidwa, umakonkhedwa ndi ufa wa aspirin, ndipo tsamba lodziwikiralo limayikidwa pamwamba, ndikukulunga chilichonse ndi nsalu yotentha.

Zilonda ndi mabala a shuga amathandizidwa ndi mizu ya burdock. Chomera chimatsukidwa, kuphwanyidwa ndikuthiramo madziwo ndikumapulumuka, chomwe chimagwiritsidwa ntchito m'malo omwe akhudzidwa katatu patsiku.

Ngati pali matenda ashuga komanso miyendo yotupa ndi wowerengeka azitsamba zimakonda kumwa tiyi kuchokera ku mankhwala a mandimu kapena timbewu tonunkhira. Komanso, miyendo yodwala ikhoza kutikiridwa ndi tincture wa Kalonchoe. Kuti akonzekere, masamba a mbewu amasambitsidwa, kuphwanyidwa ndikudzazidwa ndi chidebe cha theka-lita, chomwe chimathiridwa ndi vodka, chimalimbikitsidwa kwa masabata awiri mumdima.

Ngakhale ndi edema ndi kupweteka kwa m'miyendo, maphikidwe a wowerengeka amalimbikitsa kugwiritsa ntchito madzi a dzungu. Muyenera kumwa zakumwa 100 zatsopano zomwedwa patsiku.

Mavuto a shuga afotokozedwera mu vidiyoyi.

Mavuto am miyendo ndi matenda a shuga

Khungu la odwala ndi louma komanso lopyapyala, nthawi zambiri limavulala, 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 kupangika 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.

Choyambirira kwambiri ndi kuchepa kwa kugunda kwa chinyezi, kenako kutentha, kupweteka ndi tactile zimaphwikiridwa pambuyo pake. Chizindikiro chowopsa chikhoza kutupa pamendo pansi pa ng'ombe, m'dera lamapazi. Ngati matendawa atentha kapena kuzizira, ndiye kuti izi zikutanthauza kuti magazi amayenda kapena matenda alumikizana.

Chifukwa chofunsira dokotala kapena dokotala wa ana zitha kukhala zosintha izi:

Kutopa pakuyenda kumakulitsidwa.
Pali ululu m'miyendo yamphamvu yosuntha kapena usiku.
Kuona, moto wowotcha udawonekera m'mapazi, ndipo kutsekeka kudakulirakulira.
Mtundu wa pakhungu unasinthika kapena mtundu.
Chingwe cha tsitsi chatsika.
Misomali idayamba kunenepa, yopunduka, chikasu.
Chala chake mwadzidzidzi chidasanduka chofiira kapena kutupa.

Odwala azindikiranso kuti mabala kapena ma callus amachira pakatha mwezi umodzi kapena iwiri m'malo mwa sabata. Pambuyo pokhazikika, kufufuza kwakuda kumatsalira. Zilonda zimatha kuchitika pansi, nthawi zina kwambiri.

Zilonda zam'mimba

Ili ndi bala lotseguka lotseguka lomwe lili kumapeto kwenikweni ndipo limapangidwa motsutsana ndi maziko azokanira minofu. Amakonda kukhalapo kwanthawi yayitali, samachiritsa kwa milungu 6 kapena kupitilira. Osangokhala epithelium yomwe imakhudzidwa ndi pathological process, komanso minofu yomwe ili pansi pake. Pambuyo pochiritsidwa, zipsera zimakhalabe pakhungu. Ngakhale atakula kwambiri mankhwala amakono, chithandizo cha zilonda mpaka pano ndi imodzi mwa ntchito zovuta kwambiri.

Zilonda zam'mimba zambiri zamiyendo ndi miyendo. Malinga ndi ziwerengero, mdziko lapansi kuchokera ku matenda awa zimakhudza anthu opitilira 2 miliyoni. Pafupifupi 70% ya milandu ya zilonda zam'mimba zimagwirizana ndi kuphwanya kachitidwe kogwiritsa ntchito venous-vascular bed. Mavuto samakhalapo zokha, amatsogozedwa ndi njira yayitali yokukula kwa ziwopsezo zazikulu za thupi. Kuzindikiritsa komanso kuchiza zilonda zam'mimba za m'mimba zimayenderana ndi nthambi yachipatala monga phlebology.

Pakupanga matendawa, magawo anayi akuluakulu ndi omwe amasiyanitsidwa, omwe gawo:

kukwiya (chiyambi cha zochita, mawonekedwe a necrotic foci),
kukonza (kuyeretsa zakumaso za necrotic, mapangidwe a granles, kuchepetsa kutupa),
epithelization (mawonekedwe a epithelium mwatsopano, kutsekeka kwovulala),
kuvulala kwa minofu (komaliza, pamene nyumba zake zimapangidwa m'malo mwa njira yomwe ilipo).

Pang'onopang'ono wa zilonda zam'mimba zitha kusintha pang'ono kutengera zomwe zidawachititsa. Zizindikirozi ndizodziwitsa za kuyambika kwa kutupa, kukonza, epithelization ndi kumeta, zilonda zonse zimadutsa m'njira yosavuta.

Kutupa kwa m'munsi

Uku ndi kusakanikirana kwamadzi mu minofu yofewa. Osamvetseka amawonetsedwa mosiyana. Mu 70% ya milandu, miyendo yam'munsi ndi yam'mimba imatupa. Mu 30% - ziwalo zamkati zimatupa. Zimapezeka kuti wodwalayo ali ndi mwendo umodzi waukulu kuposa womwewo. Kusintha kotere kwa matenda ashuga a mtundu woyamba kumakhala kwachilengedwe ndipo kumawonjezera thanzi la munthu.

Kutupa kwa miyendo iliyonse kumatha kuchitika ngati wodwala akudwala matenda a arthropathy (diabetesic). Kusintha kwamtundu kuchokera kwachilengedwe kukhala kofiyira ndiye chizindikiro choyamba cha matenda. Odwala omwe ali ndi angiopathy (kuwonongeka kwa zida), neuropathy (mitsempha) ndi matenda amtima, nawonso ndi oyamba kutupa. Chifukwa chachikulu chomwe chimayambitsa edema ya mwendo mu shuga imawerengedwa ngati magazi abwinobwino komanso kusayenda bwino kwa magazi. Mwa akazi, m'mimba, mikono ndi nkhope zimasintha.

Amatha kupangitsa matenda a impso, komanso matenda ena osachiritsika. Kutupa kwa minofu yofewa kumayambitsa:

kulephera kwa aimpso
chilichonse mwazoyesa zam'mimba,
mitsempha ya varicose,
chakudya chomwe sichitsatiridwa
nsapato zolimba
kusokoneza kwamchere amchere wamadzi,
mitsempha yachepetsedwa
kufooka ndi kuwonongeka kwa mitsempha yamagazi.

Momwe mungachiritsire zovuta za mwendo mu odwala matenda ashuga

Chithandizo cha mankhwalawa ndicholinga chochepetsera shuga wamagazi ndi kupewa kudumphadumpha kwadzidzidzi. Odwala amatchulidwa meglitinides (Nateglinide, Repaglinide) kapena zotumphukira za sulfonylurea (Glyclazide, Liquid, Glimepiride).

Chithandizo cha miyendo yokhala ndi matenda amtundu 2 chikuchitika pogwiritsa ntchito mankhwala omwe amachititsa chidwi cha minofu kuti insulin. Izi zikuphatikiza thiazolidinediones (Rosiglitazone, Ciglitazone, Troglitazone, Englitazone). Kuchepetsa kuyamwa kwa matumbo m'matumbo, alpha-glucosidase inhibitors (Acarbose, Miglitol) amagwiritsidwa ntchito.

Mankhwala osapweteka a antiidal (Nimesulide, Indamethacin) amadziwika kuti achepetse kupweteka. Ma anesthetics am'derali amagwiritsidwanso ntchito (Versatis ndi lidocaine, Ketoprofen-gel). Kwa ululu waukulu, ma tridclic antidepressants (amitriptyline) amagwiritsidwa ntchito. Kuti muchepetse kukhudzidwa kwakukulu, anticonvulsants adayikidwa (Gabalentine, Pregabalin).

Mankhwala a shuga

Mankhwala a Neurotropic amalola kulandira chithandizo (Milgamma, mavitamini B1, B6 ndi B12).Amathandizira kutukusira, amathandizira kubwezeretsa ulusi wamitsempha ndikuthandizira conduction.

Matenda a shuga omwe amauzidwa ndi DIABETOLOGIST ndi odziwa Aleksey Grigorievich Korotkevich! ". werengani zambiri >>>

Kuti muchepetse cholesterol, gwiritsani ntchito simvastatin, lovastatin kapena atorvastatin. Kuchita bwino kwa kuthamanga kwa magazi kumatheka chifukwa chotenga Veralamil, Nifedilin, Lisinopril. Kulimbitsa ziwiya, dokotala yemwe amapezekapo adzalembedwera Pentoxifylline, Bilobil kapena Rutozide. Kuphatikiza apo, diuretics imawonetsedwa (Furosemide, Spironolactone). Tengani Aspirin kapena Sulodexide kuti muchepetse magazi. Kusintha njira za metabolic, jakisoni wa Solcoseryl kapena Trifosadenin ndi mankhwala.

Zilonda zam'munsi zatsika

Zomwe zimayambitsa zilonda zam'miyendo ndizovuta kuzungulira kwa miyendo ndi kuvulala kosavuta. Mu odwala matenda ashuga, zilonda zimatha kutenga kachilombo ka tizilombo toyambitsa matenda, komwe kungayambitse kudula dzanja.

Mitsempha yamagazi imanyamula magazi kuchokera pansi pamtima kupita ku minofu ya thupi. Mwazi umapereka maselo osiyanasiyana amthupi ndi mpweya ndi michere.

Mitsempha imabweza magazi, omwe amakhala ndi "zotayidwa" za moyo, kubwerera kumtima, komwe imakonzedwanso kudzera m'mapapu. Kutenga magazi motsutsana ndi mphamvu yokoka mu mtima, mitsempha imathandizidwa ndi pampu ya minofu.

Munthu akasuntha, minofu imazungulira (mgwirizano) ndikupuma. Chifukwa cha kusinthaku pakati pa kukhazikika ndikupuma, magazi amapunthidwa kuchokera kumiyendo kupita pamtima. Popewa kubweretsanso magazi ku miyendo, khoma lamkati lamitsempha lili ndi ma valves apadera. Zotsatira zake, magazi amatha kuyenda mbali imodzi yokha - mumtima.

Zilonda zam'mimba za venous ndizomwe zimakonda kwambiri zilonda zam'mimbazi (zopitilira 90% za odwala omwe ali ndi vutoli). Odwala nthawi zambiri amakhala ndi miyendo yotupa. Khungu limasuluka lofiirira, limakhala louma komanso lotuwa. Zilonda zokha zimakonda kukhala chonyowa, koma nthawi zambiri sizipweteka. Zilonda zam'mimbazi zimakonda kupezeka m'mapewa, makamaka mkati mwa mwendo.

Zilonda zam'mimba zimapanga pafupifupi 10% ya zilonda zam'miyendo zonse. Nthawi zambiri amapezeka pamiyendo ndi zidendene. Matenda amtunduwu amapezeka chifukwa cha atherosulinosis. Nthawi zambiri, miyendo imakhala yowuluka ndipo imayamba kuzizira.

Zilonda zoterezi zimabweretsa ululu waukulu. Nthawi zambiri, ululu umachitika pakupuma, ndipo koposa zonse zimapweteka usiku. Kupweteka kumatha kuchotsedwa pakukweza miyendo pabedi.

Zomwe zimayambitsa zilonda zam'mimba:

Zovuta zamkati mwa venous system
Kuthyoka miyendo kapena kuvulala kwina
Magazi (a m'magazi) m'mitsempha yamkati,
Opaleshoni yam'mbuyo pa mwendo wokhudzidwa,
Kuchita kapena kuyimirira
Kutupa kwamkati (phlebitis),
Mimba (chiopsezo cha thrombosis chikuwonjezeka panthawi yapakati)
Kunenepa kwambiri.

Zomwe zimayambitsa kupanga zilonda zam'mimba:

Kusuta
Kuthamanga kwa magazi
Matenda a shuga
Gout
Matenda a mtima ndi matenda ena amtima.
Arteriosulinosis ya miyendo.

Matenda a matenda ashuga

Kuwonongeka kwa m'mitsempha chifukwa cha kukweza kwa magazi kwam'mimba kumatchedwa diabetesic neuropathy. Kupanikizika kwa shuga kumeneku kumabweretsa kuti wodwalayo amalephera kumva kukhudza miyendo yake, kupweteka, kupsinjika, kutentha ndi kuzizira. Tsopano ngati wavulala mwendo, sangamve. Ambiri odwala matenda ashuga omwe ali ndi vutoli amakhala ndi zilonda m'miyendo ndi m'miyendo, yomwe imachira nthawi yayitali.

Ngati chidwi cha miyendo chofooka, ndiye kuti mabala ndi zilonda zam'mimba sizimapweteka. Ngakhale kutayika kapena kufalikira kwa mafupa a phazi ndiye kuti sizikhala zopweteka. Izi zimatchedwa matenda a shuga. Popeza odwala samva kupweteka, ambiri aiwo ndi aulesi kwambiri kuti atsatire malangizo a dokotala. Zotsatira zake, mabakiteriya amachulukana m'mabala, ndipo chifukwa cha gangrene, mwendo nthawi zambiri umadulidwa.

Matenda oopsa m'mitsempha ya shuga

Patency yamitsempha yamagazi itagwa, ndiye kuti minyewa ya miyendo imayamba "kufa ndi njala" ndikutumiza ma sign a ululu. Ululu umatha kupumula kapena pokhapokha pakuyenda. Mwanjira ina, ngati miyendo yanu imapweteka ndi matenda a shuga ndilabwino kwambiri. Chifukwa kupweteka m'miyendo kumalimbikitsa wodwala matenda ashuga kuwona dokotala ndikuchira ndi mphamvu zake zonse. Munkhani ya lero, tikambirana zinthu ngati izi.

Mavuto a m'mitsempha yamagazi omwe amadyetsa miyendo amatchedwa "matenda opindika a mtsempha wamagazi". Peripheral - amatanthauza kutali ndi pakati. Ngati lumen m'matumbowo ndi ochepa, ndiye kuti nthawi zambiri mumadwala matenda ashuga, kumachitika pakapita nthawi. Izi zikutanthauza kuti chifukwa cha kupweteka kwambiri m'miyendo, wodwalayo amayenera kuyenda pang'onopang'ono kapena kuima.

Ngati matenda apakati pa mtsempha wamagazi amaphatikizidwa ndi matenda ashuga a m'mimba, ndiye kuti ululuwo umakhala wofatsa kapenanso kuti palibe. Kuphatikizika kwa kufooka kwa mtima komanso kuchepa kwa chidwi cha kupweteka kumawonjezera mwayi womwe wodwala matenda ashuga ayenera kudula miyendo imodzi kapena yonse. Chifukwa ziwalo zamiyendo zikupitilirabe kuchepa chifukwa cha "njala," ngakhale wodwalayo samva kuwawa.

Ndimayesedwe ati ngati miyendo yanu imapweteka ndi matenda a shuga

Ndikofunikira kupenda bwino miyendo yanu ndi miyendo yanu tsiku ndi tsiku, makamaka ukalamba. Ngati magazi atuluka m'matumbo asokonezeka, mutha kuzindikira zizindikilo zakunja kwa izi. Zizindikiro za gawo loyambirira la matenda otumphukira:

Khungu pamiyendo likhala louma
mwina ayamba kuboola, kuphatikizika ndi kuyabwa,
kutulutsa khungu kapena kuchotsedwa pakhungu kumatha kuwonekera pakhungu,
Kwa amuna, Tsitsi lakumunsi limasenda imvi.
Khungu limakhala lotuwa nthawi zonse kuti lizitha kugwira,
kapena mosinthanitsa, imatha kutentha ndi kupeza mtundu wa cyanotic.

Dokotala wodziwa bwino amatha kudziwa ngati wodwala ali ndi mitsempha yotani yomwe imadyetsa ziwalo zamiyendo. Imeneyi ndiye njira yosavuta kwambiri komanso yotsika mtengo kwambiri yopezera zotumphukira zamagazi. Nthawi yomweyo, kupindika pa mtsempha wamagetsi kumayimitsa kapena kuchepa kwambiri kokha ngati lumen yake imachepetsedwa ndi 90% kapena kuposa. Sachedwa kuteteza minofu "kufa".

Chifukwa chake, amagwiritsa ntchito njira zowerengera zovuta pogwiritsa ntchito zida zamakono zamankhwala. Kuwerengeka kwa kupanikizika kwa systolic ("kumtunda") kwamitsempha yam'munsi ndi chithokomiro cham'mimba kumawerengedwa. Izi zimatchedwa ankle-brachial index (LPI). Ngati ili mgawo la 0.9-1.2, ndiye kuti magazi m'miyendo amadziwika kuti ndi abwinobwino. Kupanikizika kwa minyewa yam'manja kumayesedwanso.

Chingwe cha buluzi chimapereka chidziwitso chabodza ngati zotengera zimakhudzidwa ndi atherosulinosis ya Menkeberg, ndiye kuti, zimakutidwa ndi "kukula" kochokera mkati. Mwa odwala okalamba, izi zimachitika nthawi zambiri. Chifukwa chake, njira ndizofunikira zomwe zimapereka zotsatira zolondola komanso zokhazikika. Izi ndizofunikira makamaka pakuthetsa nkhani ya opaleshoni kuti ibwezeretse patency yamitsempha kuti miyendo isapweteke.

Transcutaneous Oximetry

Transcutaneous oximetry ndi njira yopweteketsa yomwe imakupatsani mwayi wowunika momwe minofu imadzazidwira ndi mpweya. Transcutaneous amatanthauza "kudutsa pakhungu." Sensor yapadera imagwiritsidwa ntchito pakhungu, lomwe limapanga muyeso.

Kulondola kwa mayeserowa kumatengera zinthu zambiri:

mkhalidwe wam'mapapo wodwala,
kuchuluka kwa hemoglobin wamagazi ndi mtima wake,
kuchuluka kwa mpweya mumlengalenga,
makulidwe a khungu komwe sensor imagwiritsidwa ntchito,
kutupa kapena kutupa m'malo oyeza.

Ngati mtengo womwe wapezeka uli pansi pa 30 mm RT. Art., Ndiye yovuta ischemia (kufa ndi mpweya wa okosijeni) ya miyendo imapezeka. Kulondola kwa njira yosinthira ma oximetry sikokwanira. Koma imagwiritsidwabe ntchito, chifukwa imawerengedwa kuti ndi yophunzitsa ndipo siyimabweretsa mavuto kwa odwala.

Ultrasound yamitsempha yamagazi yopereka magazi ku miyendo

Kusanthula kwapadera (ultrasound) kwamitsempha yamagawo am'munsi - kumagwiritsidwa ntchito poyang'ana momwe magazi amayendera asanayambe kuchita opareshoni yamitsempha. Njira imeneyi imawonjezera mwayi kuti zitheka munthawi yake kuti mupeze chotupa cha mtsempha kapena chopindika kapena kuchepera kwa lumen m'matumbo mutachitidwa opaleshoni (restenosis).

Ultrasound yamitsempha yamagazi imakupatsani mwayi kuti muphunzire madera ovuta, ndiko kuti, zigawo zomwe "zidachotsedwa" m'magazi chifukwa chakukula kwa matendawa. Pogwiritsa ntchito njirayi, mutha kuwunika bwino momwe ziwiya ziliri ndipo konzani pasadakhale opareshoni kuti mubwezeretsere kukhalabe kwawo.

Kukumbukira kwa wodwala wodwala matenda ashuga amtundu wa 2, omwe mavuto ake ammendo adasowa pambuyo poyambira shuga wamagazi ...

X-ray kusiyanitsa angiography

X-ray kusiyanitsa angiography ndi njira yowunikira momwe wophatikizira wosemphana amaloŵetsamo mtsempha wamagazi, ndiye kuti ziwiya "zimatulutsa" ndi x-ray. Angiography imatanthawuza "kuwunika mtima". Iyi ndiye njira yophunzitsira kwambiri. Koma ndizosasangalatsa kwa wodwalayo, ndipo koposa zonse - wothandizira wosiyanayo akhoza kuwononga impso. Chifukwa chake, tikulimbikitsidwa kugwiritsa ntchito pokhapokha ngati pakufunsidwa funso la opareshoni yobwezeretsanso minyewa yam'mimba.