Zizindikiro ndi chithandizo cha matenda ashuga, phazi kusamalira matenda ashuga

Matenda a shuga amatchedwa matenda oopsa a endocrine system, okhala ndi shuga wambiri m'magazi komanso matenda a metabolic. Endocrine mtundu 1 matenda amapezeka chifukwa chosowa kaphatikizidwe ka insulin. Mtundu wamatendawa umadziwika ndi unyamata ndipo umabadwa ndi makolo. Mtundu wachiwiri wa matenda ashuga, kuchuluka kwa insulin kumakhala mkati mwa malire, komabe, kuchepa kwa chidwi cha maselo kupita ku mahomoni chifukwa cha kuperewera kwa zakudya kapena kuchuluka kwa thupi kwa wodwala kumayamba.

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwense kwa aliyense. Ndikokwanira kumwa makapisozi awiri tsiku lililonse musanadye ... Zambiri >>

Kutalika kwa matendawa kumayendera limodzi ndi kupezeka kwa zovuta zina. Chitsanzo ndikuwonongeka kumadera otsika. Chithandizo chamiyendo ya matenda ashuga ndi njira yovuta yolipirira matenda oyambitsawa ndikuchotsa mavuto am'deralo. Nkhaniyi ikufotokozera zoyenera kuchita ndikupanga matenda a zamatenda komanso ngati zingatheke kuthana ndi vutoli kunyumba.

Zowonongeka pamapazi

Pali njira ziwiri zazikulu zopangitsira zovuta za phazi mu matenda ashuga:

• Hyperglycemia yovuta imakhudza ulusi wamitsempha. Nawonso amalephera kuchita ndi mitsempha, chifukwa cha matenda a shuga amayamba. Kuganiza kotereku kumayendetsedwa ndi dzanzi, kusintha kwa kumva.
• Kutseka kwa lumen kwa mitsempha yamagazi ndi ma atherosselotic plaques, chifukwa cha minofu hypoxia komanso necrosis ina.

Kuwonongeka kwa zotumphukira zamagetsi kumayendetsedwa ndi kupweteka kwamiyendo mu shuga mellitus, kumverera kwa kukakamizidwa, kuchepa kwa chidwi, kusintha kwa kuchitapo kutentha kapena kuzizira. Potengera izi, zotupa za m'munsi ndi phazi zimatha kukulira, zomwe zimachira kwa nthawi yayitali.

Zizindikiro zowonongeka pamitsempha yam'munsi yam'munsi:

• Khungu limakhala louma komanso lowonda
• kusapeza bwino
• maonekedwe a kudzikuza,
• maonekedwe a mabala azaka kapena, madera ena,
• kutaya tsitsi
• khungu
• kusowa kapena kufooka mphamvu mu zotumphukira mitsempha.

Kuwongolera kwa Edema

Musanagule mankhwala a edema ya mwendo ndi matenda ashuga, muyenera kudziwa mitundu yawo komanso zomwe zimachititsa. Edema imatha kuwonekera motsutsana ndi kuwonongeka kwa mtima, zotumphukira zamitsempha, mafupa am'munsi am'munsi kapena impso.

Wodwala ayenera kusankha nsapato zoyenera, chifukwa akamavala zovala zosavomerezeka m'malo ena, madzimadzi amatha kudziunjikira, zomwe zimapangitsa kukulitsa kutupa. Mutha kuthetsa chizindikirocho polipiritsa matenda a shuga. Ndiye glycemia yayikulu yomwe imayambitsa kukula kwa zovuta zingapo.

Ndikofunikira kutsatira upangiri wa katswiri wazakudya, kukonza zakudya. Onetsetsani kuti mwachepetsa kuchuluka kwamadzi ndi mchere. Muyeneranso kuchepetsa kugwiritsa ntchito ma digestible saccharides ndi lipids zachilengedwe.

Kuwonongeka kwa edema m'miyendo ndi shuga kumachitika molingana ndi chiwembu chotsatira. Katswiriyu amakuwuzani ntchito za mankhwala a vasodilator ndi antihypertensive:

• phosphodiesterase zoletsa - papaverine,
• ma prostaglandins ndi leukotrienes - Alprostadil,
• calcium tubule blockers - Nifedipine,
• ACE zoletsa - lisinopril, enalapril.

Kuwongolera ululu

Ngati wodwalayo akudandaula kuti miyendo yake yapweteka ndi matenda a shuga, izi zikuwonetsa kupindika kwa zotupa za m'mitsempha kapena kukula kwa imodzi mwanjira zamitsempha. Pofuna kuthana ndi chiwonetserochi, kuwonjezera pa kukonza chithandizo cha matenda omwe amayambitsidwa, magulu otsatira a mankhwalawa amagwiritsidwa ntchito:

• Amachokera ku thioctic acid. Mankhwalawa amachotsa cholesterol "yoyipa" ndikuchepetsa zovuta zakunja ndi zamkati pamitsempha yamagazi. Oyimira ogwira gululi - Berlition, Oktolipen, Tiogamm.
• Ma antidepressants - amalembedwa pokhapokha ngati miyendo ipweteka mu shuga (Amitriptyline). Chodabwitsa cha mankhwalawa ndikuti adokotala amasankha mankhwalawa otsika kwambiri a mankhwalawo, pang'onopang'ono amawonjezera kuti akwaniritse kufunika kochizira.
• Mavitamini a B-mfululizo - amathandizira kubwezeretsanso dongosolo lamanjenje, kuyambiranso kufalitsa zokopa zamitsempha.
• Ma anesthetics am'deralo - chithandizo cha kupweteka m'miyendo ndi matenda a shuga chimachitika pogwiritsa ntchito ntchito. Zotsatira zimachitika mkati mwa kotala la ola.
• Mankhwala omwe ali ndi anticonvulsant effect (carbamazepine) - letsa ululu wamankhwala opweteka, chotsani usiku kukokana mu shuga.

Zofunika! Kudzipatsa nokha sikuloledwa, popeza pamakhala chiopsezo cha mavuto. Mankhwala okhazikika ndi mtundu wa mankhwala ziyenera kuonedwa bwino.

Kuthetsa mabala ndi zopunduka za trophic

Chithandizo cha mabala pamiyendo imakhala ndi chithandizo chakomweko, kugwiritsa ntchito antibacterial ndi antiseptic mankhwala, kumasula dzanja ndi vuto. Mankhwala am'deralo amachokera pazovuta za ma necrotic ndi ma chimanga pozungulira chilondacho, kuchitira zovuta zamtunduwu ndi mankhwala ndikuvala.

Chithandizo chamderalo ndikutsuka kwa madera omwe akhudzidwa ndikuchitika ndi njira ya 3% ya peroxide, Chlorhexidine, saline ndi Miramistin. Sizoletsedwa kugwiritsa ntchito zakumwa zakumwa zoledzeretsa, potaziyamu permanganate, zinthu za utoto (ayodini, wobiriwira wanzeru). Kavalidwe kameneka kakuyenera kukhala malo otentha, komwe kumathandizira kuchiritsira kwa miyendo yomwe yakhudzidwa, komanso kupewa kuti mabakiteriya azilowa.

Mutha kuchiza zovuta za trophic ndi antimicrobial agents (Betadine), othandizira othandizira (Curiosin), ma protein enzymes (Chymotrypsin). Katswiriyu akhoza kulimbikitsa kugwiritsa ntchito Levomekol kapena Solcoseryl.

Njira zopangira opaleshoni

Pofuna kuthana ndi puffiness ndi kupweteka, komwe kunayamba chifukwa cha zotupa zam'mimba za atherosselotic, njira zochitikira opaleshoni zimagwiritsidwa ntchito kubwezeretsa magazi. Njira zothandiza ndi:

• Opaleshoni yam'mimba. Dokotala wa opaleshoniyo amasoka mapangidwewo, ndikupanga magazi m'malo mwa chotchinga. Pogwira ntchito, zombo zanu zingagwiritsidwenso ntchito.
• Balloon angioplasty. Mafuta apadera amayambitsidwa mu mtsempha womwe wakhudzidwa ndikuwonjezereka. Pali kukula kwa lumen ya chotengera. Pofuna kuti zotsatira zake zitheke, stent imayikidwa pa balloon. Chipangizochi chimalepheretsa "kupindika" kwa mtsempha wobwezeretsedwa.

Njira za anthu

Ndikosatheka kuchiritsa matenda a shuga ndi wowerengeka azitsamba, komabe, ndizotheka kukwaniritsa chipukutiro cha matendawa, kuchepetsa kuwala kwa mawonetseredwe azachipatala.

Masamba ochepa a aloe amadulidwa ndikusiyidwa pamalo ozizira. Kenako, timadziti timatulutsa pansi ndikugwirira matenda omwe akhudzidwa pamiyendo yoyamba komanso yachiwiri yamatenda.

Achire kulowetsedwa wa gangus muzu. Zinthu zosaphika zimathiridwa ndi madzi otentha (1 tbsp. Yazika muzu pagalasi lamadzi) ndikusiyidwa mumadzi osamba. Pambuyo pa kotala la ora, kulowetsedwa kumachotsedwa ndikuyika pambali kwa maola awiri. Komanso, malonda amasefa, amagwiritsidwa ntchito pochiritsa.

Mafuta ambiri a clove ofunikira. Wothandizirayo amamugwiritsa ntchito pazofooka za trophic ndikukhazikika pamwamba ndi zopukutira. Komanso, mankhwalawa amatengedwa pakamwa pamimba yopanda kanthu (4-5 madontho). Mafuta a Clove amatha kuwonjezeredwa ndi madzi pamankhwala othandizira odwala matenda ashuga (mwachitsanzo, hydromassage ya phazi).

Ndikofunika kukumbukira kuti chithandizo chilichonse chikuyenera kuchitika moyang'aniridwa ndi katswiri. Pokhapokha ngati izi zitheka ndizomwe zingatheke.

Zomwe zimayambitsa matenda a diabetesic phokoso

Mu matenda a shuga, kupangika kwa mahomoni - insulin, ntchito yomwe ikuthandizira shuga (shuga) kufikira maselo amthupi kuchokera m'magazi, kotero ikakhala yochepa, glucose amatuluka m'magazi, pamapeto pake akusokoneza kuyenda kwa magazi m'matumbo, zomwe zimakhudza ulusi wamitsempha. Ischemia (kusowa kwa magazi) kumabweretsa kuchiritsa kwamabala, ndipo kuwonongeka kwa mitsempha kumayambitsa kuchepa kwamphamvu.

Matendawa amathandizira kukulitsa zilonda zam'mimba, zomwe zimayamba kukhala pang'onopang'ono. Ming'alu iliyonse, abrasions imasanduka zilonda zotseguka, komanso zokhala ndi zilonda zobisika pansi pa mafinya ndi zigawo za keratinized.

Chomwe chimayamba mochedwa kuchiza ndikuduladula malekezero ndikuti wodwalayo kwanthawi yayitali sazindikira kusintha komwe kumachitika, chifukwa nthawi zambiri samayang'anira mapazi ake. Chifukwa cha kusowa kwa magazi m'miyendo ngakhale kuti kuchepa kwa chidwi, kupweteka kumadukiza komanso kuchekeka sikumamveka kwa wodwala ndipo ngakhale chilonda chitha kupezeka kwa nthawi yayitali.

Nthawi zambiri, phazi limawonongeka m'malo momwe katundu onse amafunikira poyenda, ming'alu imakhazikika pansi pa khungu, momwe matendawa amalowera, ndikupanga mawonekedwe abwino owoneka ngati bala loyera. Zilonda zoterezi zimatha kukhudza miyendo mpaka mafupa, tendon. Chifukwa chake, pamapeto pake, pakufunika kufunika kwa kudulidwa.

Mdziko lapansi, 70% ya zinthu zonse zomwe zimadulidwa zimayenderana ndi matenda ashuga, ndipo ndi chithandizo chanthawi ndi nthawi, pafupifupi 85% ikhoza kupewedwa. Masiku ano, pamene maofesi a Diabetesic Foot akugwira ntchito, kuchuluka kwa zomwe zadulidwa, chiwerengero chaimfa chatsika, ndipo chithandizo chothandizira ndi 65%. Komabe, chiwerengero chenicheni cha odwala omwe ali ndi matenda a shuga chimakhala chambiri kuposa katatu poyerekeza ndi ziwerengero, chifukwa ambiri sakayikira kuti akudwala.

Chifukwa chake, zomwe zimayambitsa kukula kwa matenda a diabetesic syndrome ndi:

• kuchepa kwamphamvu kwa miyendo (matenda ashuga a m'mimba)
• kuzungulira kwa matenda am'mitsempha komanso ma capillaries ang'onoang'ono (diabetesic micro- and macroangiopathy)
• kufooka kwa phazi (chifukwa cha motor neuropathy)
• khungu lowuma

Kuchepa kwa Mphamvu - Matenda a shuga a shuga a shuga

Choyambitsa chachikulu cha kuwonongeka kwa mitsempha ndizovuta zomwe zimachitika m'magazi a mitsempha yayikulu. Matenda oterewa pakokha samayambitsa necrosis ya minofu. Zilonda zimachitika pazifukwa zina, zosadziwika:

Zilonda zopangidwa pambuyo pa mikrossadin, mabala ndi mafinya, zimachiritsa kwambiri, kukhala ndi vuto. Kuvala nsapato zosasangalatsa komanso zolimba kumakulitsa kuwonongeka pakhungu. Zilonda zam'mimba, zomwe zimakula ndikukula, zimadutsa minofu ndi mafupa. Malinga ndi kafukufuku, kukula kwa zilonda za neuropathic mu 13% ya milandu kumabweretsa kukula kwambiri kwa stratum corneum ya epermermis (hyperkeratosis), mu 33% - kugwiritsa ntchito nsapato zosakwanira, 16% - chithandizo cha phazi ndi zinthu zakuthwa.

Kutaya kwa magazi - matenda ashuga macroangiopathy

Kuwonongeka kwa magazi m'mitsempha yamiyendo kumalumikizidwa ndi ma atherosulinotic plaque (onani momwe mungachepetse cholesterol popanda mankhwala). Atherossteosis, yomwe imapangitsa kuwonongeka kwa ziwiya zazikulu, zokhala ndi shuga ndizovuta ndipo zimakhala ndi zinthu zingapo.

• Zokhudza m'munsi mwendo (m'miyendo yam'munsi)
• kuwonongeka kwamitsempha ya miyendo yonse iwiri komanso m'malo angapo nthawi imodzi
• amayamba m'mbuyomu kuposa odwala omwe alibe matenda ashuga

Atherosulinosis wodwala yemwe ali ndi matenda osokoneza bongo angayambitse kufa kwa minofu ndi kupangika kwa zilonda zam'mimba zokha, popanda kupsinjika ndi makina. Okosijeni wosakwanira amalowa pakhungu ndi mbali zina za phazi (chifukwa kuphwanya kowopsa kwa magazi), chifukwa chake, khungu limamwalira. Ngati wodwalayo samatsata njira zopewera ngozi ndikuwonjezera khungu, ndiye kuti malo owonongeka akufalikira.

Zizindikiro zamankhwala ndizopweteka kumapazi kapena zilonda zam'mimba, kuuma ndi kuwonda kwa khungu, komwe kumagwiritsidwa ntchito kwambiri ndi microtrauma, makamaka zala. Malinga ndi kafukufuku, zida zoyambitsa zotupa za neuroischemic zili mu 39% ya zotupa zam'mapazi kumapazi, 14% chithandizo cha miyendo ndi zinthu zakuthwa, mu 14% - kuchotsa mosasamala kwa misomali yovomerezeka ndi dokotala.

Zotsatira zochititsa chidwi kwambiri za SDS ndikudula kwa dzanja (laling'ono - mkati mwa phazi ndi kukwera - pamlingo wam'munsi ndi ntchafu), komanso imfa ya wodwalayo chifukwa cha zovuta za purulent-necrotic process (mwachitsanzo, kuchokera ku sepsis). Chifukwa chake, aliyense yemwe ali ndi matenda ashuga ayenera kudziwa zizindikiro zoyambirira za phazi la matenda ashuga.

Zizindikiro zakuwonongeka kwa phazi la matenda ashuga

• Chizindikiro choyamba cha zovuta ndi kuchepa kwa chidwi:
  • kumanjenjemera poyamba
  • ndiye kutentha
  • ndiye zopweteka
  • komanso wamanyazi
• Komanso, maonekedwe a kutupa kwamiyendo ayenera kukhala atcheru (zoyambitsa)
• Kutsika kapena kuwonjezeka kwa kutentha kwa phazi, i.e. ozizira kwambiri kapena phazi lotentha, ndiye chizindikiro cha kusokonezeka kwa magazi kapena matenda
• Kuchulukitsa mwendo kutopa mukamayenda
• Ululu wamkamwa - popuma, usiku, kapena poyenda mtunda wina
• Kubowola, kuzizira, kuwotcha kumapazi ndi zina zomveka zachilendo
• Sinthani khungu la miyendo - mataso akhungu, ofiira kapena ofiira
• Kuchepetsa tsitsi
• Sinthani mawonekedwe ndi mtundu wa misomali, mikwingwirima pansi pa misomali - zizindikiro za matenda oyamba ndi fungus kapena kuvulala kwa msomali komwe kungayambitse necrosis
• Kuchiritsa kwakatalika kwa mabala, mabala, chimanga - m'malo mwa masabata 1-2 miyezi itatu, atachira mabala pali mawonekedwe amdima osasowa
• Zilonda pamapazi - osachiritsidwa kwa nthawi yayitali, atazunguliridwa ndi khungu lowonda, lowuma, nthawi zambiri lakuya

Sabata lililonse, mumayenera kuyang'ana miyendo, mutakhala pa mpando pakalilore pansi kuchokera pansi - zala ndi gawo lakumapazi limatha kuyang'aniridwa, kulabadira malo omwe ali pakati, kumva ndikumayang'ana zidendene komanso kokha ndi galasi. Ngati kusintha kwasintha, ming'alu, mabala, zilonda zam'mimba zopanda mafupa zikapezeka, muyenera kulumikizana ndi podiatrist (katswiri wamapazi).

Odwala omwe ali ndi matenda ashuga amayenera kupita kwa akatswiri osachepera kamodzi pachaka ndikuwunika madera awo otsika. Ngati masinthidwe apezeka, wothandizira poloat amakhazikitsa mankhwala othandizira pamapazi, angiologist amagwira ntchito pamatumbo amiyendo, ngati ma insoles apadera amafunikira, ndiye kuti angiosurgeon amafunikira, ndipo nsapato zapadera - orthopedist.

Kutengera kufalikira kwa chifukwa chimodzi kapena zingapo, matendawa amagawidwa m'mitundu ya neuropathic ndi neuroischemic.

Magulu a pachiwopsezo chotukula SDS

• Odwala odwala matenda ashuga kwa zaka zopitilira 10
• Odwala omwe ali ndi chiphuphu chosasunthika kapena kuwonongeka kwa chakudya cha metabolism (kusinthasintha kosalekeza m'magazi a shuga)
• Osuta
• Anthu omwe ali ndi zidakwa
• Odwala matenda a stroko
• Matenda a mtima
• Mbiri yakale ya thrombosis
• Odwala Opeza Mokulira

Matenda a matenda ammimba a shuga

Pazizindikiro zoyambirira za kudwala, wodwala yemwe ali ndi matenda ashuga ayenera kufunsa katswiri ndikufotokozera mwatsatanetsatane Zizindikiro zomwe zimakhudzana ndi phazi la matenda ashuga. Zabwino, ngati mzindawu uli ndi ofesi ya Diabetesic Foot wokhala ndi podiatrist waluso. Pakalibe izi, mutha kulumikizana ndi akatswiri othandizira, opaleshoni kapena endocrinologist. Kuunikiridwa kumachitika kuti mudziwe ngati ali ndi matenda.

Matenda a shuga matenda am'mimba

Mavuto onse a shuga amakhala owopsa ndipo amafunikira chithandizo chamankhwala. Matenda a matenda ashuga odwala matenda ashuga ayenera kukhala okwanira.

Chithandizo cha zilonda zam'mimba zokhala ndi magazi oyenda bwino m'chiwalo:

• Chithandizo cha zilonda zathunthu
• Kunyamula katundu
• Mankhwala othandizira antibacterial kupondera matenda
• Kulipira shuga
• Kukana zizolowezi zoipa
• Chithandizo cha matenda oyanjana omwe amasokoneza machiritso a zilonda.

Chithandizo cha zilonda zam'mimba za mankhwalawa ngati magazi atayipa (neuroischemic mawonekedwe a matenda ashuga):

• Zinthu zonse pamwambapa
• Kubwezeretsa kwa magazi

Chithandizo cha zilonda zam'mimba zam'mimba zokhala ndi minofu necrosis:

• Mankhwala othandizira
• Palibe kuchitapo kanthu - kudula

Chithandizo cha zilonda zam'mimba

Dokotala atamuunika ndikumufufuza amachotsa minofu yake yomwe yasiya kugwira ntchito. Zotsatira zake, kufalikira kwa matendawa kumatha. Pambuyo pakukonza pamakina, ndikofunikira kutsuka lonse la zilondazo. Palibe amene amaloledwa kuchitira ndi "zobiriwira", ayodini ndi njira zina zakumwa, zomwe zimawononga khungu kwambiri. Pakusamba, gwiritsani ntchito saline kapena antiseptics. Ngati pakuthandizidwa ndi bala, dokotalayo angadziwe kuti ali ndi vuto lotani, ndiye kuti angathe kukupatsani ziwalo kuti matenda akewo athe.

Kunyamula katundu

Chinsinsi chothandizira bwino zilonda zam'mimba ndichachotsa katundu wathunthu pachilondacho. Izi zofunikira nthawi zambiri sizimakumana, chifukwa ululu wam'munsi umachepetsedwa, ndipo wodwalayo amatha kudalira mwendo wopweteka. Zotsatira zake, chithandizo chonse sichothandiza.

• ndi zilonda zam'miyendo, ndikofunikira kuchepetsa nthawi yogwiritsidwa ntchito molunjika
• ndi mabala kumbuyo kwa phazi, nsapato za mumsewu zimayenera kuvalidwa pafupipafupi. Amaloledwa kuvala zofewa.
• zokhala ndi zilonda pakumaso kwa phazi limodzi, zida zam'manja zimagwiritsidwa ntchito (kutulutsa chovala chovala chamtanda ndi cha kumapazi). Contraindication kuvala chida choterechi ndi matenda opweteka kwambiri kwa minofu ndi miyendo yolimba. Tisaiwale kuti nsapato zamatumbo zoyenera prophylaxis sizigwira ntchito chifukwa chotsitsa phazi.

Kuponderezedwa kuponderezana

Kuchiritsa zilonda zam'mimba ndi zofooka zina kumatheka pokhapokha matenda atachepa. Kusambitsa bala ndi antiseptics sikokwanira, kwa nthawi yayitali odana ndi mankhwala othandizira amafunika kuchiritsa. Ndi mawonekedwe a neuropathic a SDS, antimicrobial agents amagwiritsidwa ntchito theka la odwala, ndipo ndi fomu ya ischemic, kukonzekera koteroko ndikofunikira kwa aliyense.

Kubwezerera kwa Glucose

Kuwonjezeka kwakukulu kwa shuga m'magazi kumayambitsa kuwoneka kwa zilonda zam'mimba zatsopano ndikupanga kuchiritsidwa kwa omwe alipo chifukwa cha kuwonongeka kwa mitsempha. Kugwiritsa ntchito mankhwala oyenera ochepetsa shuga, mapampu a insulini, kapena Mlingo wa insulini amatha kuthana ndi matenda a shuga, kuchepetsa mwayi wokhala ndi matenda ashuga osachepera.

Kukana zizolowezi zoipa

Kusuta kumawonjezera chiopsezo cha matenda a m'matumbo am'munsi, kuchepetsa mwayi wopulumutsidwa kwa miyendo. Kuledzeretsa kumayambitsa chidakwa cha neuropathy, chomwe pamodzi ndi kuwonongeka kwa mitsempha ya diabetes kumabweretsa zilonda zam'mimba. Kuphatikiza apo, kumwa mowa kumatha kubwezeretsa okhazikika kwa kagayidwe kazakudya, chifukwa, kuchuluka kwa glucose kwa odwala omwe akumamwa kumakulitsidwa nthawi zonse.

Chithandizo cha matenda ophatikizika

Matenda ndi mikhalidwe yambiri, yosasangalatsa mwa iyo yokha, yomwe imayambitsa matenda ashuga imakhala yowopsa. Amachedwetsa kuchiritsidwa kwa zilonda zam'mimba, kumachulukitsa chiopsezo cha kumeta ndi kuduladula phazi. Anzanu osayenera kwambiri a shuga ndi awa:

• kuchepa magazi
• kusasamala komanso kuperewera kwa zakudya m'thupi
• aakulu aimpso kulephera
• matenda a chiwindi
• neoplasms yoyipa
• mahomoni ndi cytostatic mankhwala
• mkhalidwe wopsinjika

Pazomwe zili pamwambapa, chithandizo cha matenda ashuga a m'mimba chiyenera kukhala chokwanira kwambiri.

Kuyenda kwamwazi kumabweza m'munsi

Ndi mawonekedwe a neuroischemic a matenda ashuga apakati, magazi amayenda kwambiri kotero kuti kuchiritsa kwa zilonda zazing'ono kwambiri kumakhala kosatheka. Zotsatira za njirayi posachedwa ndikudula. Chifukwa chake, njira yokhayo yosamalirira dzanja ndikubwezeretsa patency yam'mimba. Kubwezeretsa kwachipatala kwa magazi m'miyendo nthawi zambiri sikuthandiza, chifukwa chake, chifukwa cha kusowa kwa mphamvu, njira zopangira opaleshoni nthawi zambiri zimagwiritsidwa ntchito: opaleshoni yam'mimba ndi opaleshoni yamkati.

Opaleshoni mankhwala a purulent necrotic njira

• kuyeretsa ndi kukhetsa zilonda zakuya. Ndi chilonda chakuya, ngalande imayikidwa pansi pake, pomwe zotulutsa zimatuluka. Amakonzanso machiritso.
• Kuchotsa mafupa osagwira (mwachitsanzo, osteomyelitis, mwachitsanzo)
• opaleshoni ya pulasitiki chifukwa cha zolakwika zambiri za bala. M'malo mwa zopindika zowonongeka ndi khungu lochita kupanga zimagwiritsidwa ntchito kwambiri.
• kudula (kutengera mtundu wa zowonongeka, zitha kukhala zazing'ono komanso zazitali)

Kuduladula miyendo ndi njira yoopsa yomwe imagwiritsidwa ntchito ngati wodwala wakula kapena walephera m'njira zina. Mukadulidwa, chithandizo chamankhwala ndikulipirira odwala matenda a shuga ndichofunikira pakuchira chitsa.

Malamulo oyambira osamalira mapazi

Kuletsa kukula kwa matenda ashuga a m'mimba ndikosavuta kuposa kuchiritsa. Matenda a shuga ndi matenda osachiritsika, motero kusamalitsa kwamapazi mosamala kuyenera kukhala chizolowezi chatsiku ndi tsiku. Pali malamulo angapo osavuta, kutsatira omwe amachepetsa kwambiri zilonda zam'mimba.

Vuto lalikulu la wodwala matenda ashuga ndi kusankha nsapato. Chifukwa cha kuchepa kwa chidwi chazovuta, odwala amavala nsapato zolimba, zosavutikira kwa zaka, ndikupangitsa kuti khungu lisawonongeke. Pali njira zomveka zomwe wodwala matenda ashuga ayenera kusankha nsapato.

Pali malamulo ena ofunikira chisamaliro cha matenda ashuga:

• Mabala aliwonse, abrasion, kuwotcha ndi kuwonongeka kochepa kwambiri pakhungu la miyendo - iyi ndi nthawi yolumikizana ndi katswiri.
• Kuyang'anitsitsa miyendo tsiku ndi tsiku, kuphatikiza madera ovuta kufikirako, kudzalola kupezeka ndi zilonda zatsopano.
• Kusambitsa ndendende ndi kuwumitsa miyendo ndichofunikira tsiku lililonse.
• Ngati mwaphwanya kumverera kwamiyendo m'miyendo, muyenera kuyang'anira mosamala kutentha kwa madzi mukasambira. Pewani kusamba madzi otentha, kugwiritsa ntchito mapiritsi otenthetsera kuti musayake.
• Subcooling imawonongekanso khungu la miyendo. M'miyezi yozizira, hypothermia sayenera kuloledwa.
• Tsiku lililonse liyenera kuyamba ndikuwunika nsapato. Ziphuphu, mapepala, ndi zinthu zina zakunja zimatha kuyambitsa zilonda zam'mimbayo zikaonekera nthawi yayitali. Musanaveke nsapato, muyenera kuonetsetsa kuti palibe mchenga, miyala, etc.
• Masokisi ndi masheya azisinthidwa kawiri pa tsiku. Ndikwabwino kugula masokosi opangidwa ndi zinthu zachilengedwe, popanda zotanuka zolimba, simungathe kugwiritsa ntchito masokosi pambuyo pa darn.
• Chifukwa cha kuchepa kwa chidwi ndi phazi, anthu omwe ali ndi matenda ashuga salimbikitsidwa kuyenda opanda nsapato pagombe, m'nkhalango, kapenanso kunyumba, chifukwa mwina simungazindikire mabala omwe amawoneka kumapazi.

Ndi matenda a shuga, mabala sangachiritsidwe ndi zobiriwira

Hyperkeratosis (keratinization ya pakhungu) m'malo opsinjika kwambiri ndi njira yowonjezera yomwe imabweretsa zilonda zam'mimba. Chifukwa chake, kuletsa kukula kwawo kumaphatikizanso chithandizo cha madera ovuta kumapazi, kuchotsedwa kwa matenda opatsirana, kugwiritsa ntchito mafuta opatsa thanzi ndi opaka mankhwalawa. Madera a keratinized amachotsedwa pamakina ndi sikelo kapena scalpel popanda kuvulaza khungu lokha ndi dokotala.

• Ma Kiramu omwe amatha kugwiritsidwa ntchito ngati matenda ashuga ali ndi urea mumakina osiyanasiyana - Balzamed (ma ruble a 230-250), Alpresan (1400-1500 rubles). Amathandizira kuchiritsa kwa khungu, kupewa kukokana, kuthetsa khungu louma, kuchepetsa ululu ndikuletsa mawonekedwe a ming'alu zidendene ndi chimanga mu shuga mellitus. Kupatula urea, balsamide ilinso ndi mavitamini ndi mafuta a masamba.
• Pali umboni kuti popewa kukalamba, matenda amkati, matenda am'mitsempha, mtima, komanso phazi la matenda ashuga, mutha kugwiritsa ntchito asidi wa α-lipoic (thioctic) ndi mavitamini a B (Turboslim, Solgar Alpha-lipoic acid, etc.) .

Ngakhale zaka khumi ndi zisanu zapitazo, zilonda zilizonse zapansi pa wodwala yemwe ali ndi matenda osokoneza bongo posachedwa zimayambitsa kudula dzanja. Kuchepa kwa ntchito chifukwa cha opaleshoni yodwala kumabweretsa zovuta zingapo, chiyembekezo chamoyo chatsika kwambiri. Pakadali pano, madokotala akuchita zonse zomwe angathe kuti asunge mwendo ndikubwezeretsa wodwalayo ku moyo wawo. Ndi kutenga nawo mbali pothana ndi wodwalayo matenda ake, izi zitha kukhala zovuta kwambiri.

Ndikuwopa kuduladula, kotero sindipita kwa dokotala za zilonda zingapo pamiyendo yanga, ndimathandizidwa ndi njira zina. Kodi miyendo imadula kangati pa VDS?

Kuchulukitsa kwa zinthu kukucheperachepera. Mankhwala othandizira amphamvu, kuyeretsa zilonda ndi ukhondo kumatha kuthandizira kuti pakhale miyendo yambiri. Amachitapo kanthu pokhapokha ngati wodwala akuwopsezedwa. Kulumikizana ndi akatswiri panthawi yake kumawonjezera mwayi wazabwino.

Njira zazikulu

Pofuna kupewa kutukuka kwa matendawa, kuwonjezera pa mankhwala, mankhwalawa ndi wowerengeka azitsamba zimabweretsa zotsatira zabwino:

• kudya okhwima
• kusiya kusuta
• nsapato zoyenera komanso moyo wathanzi,
• kugwiritsa ntchito zitsamba,
• mafuta a clove
• yogati
• wokondedwa
• mkate crumb.

Ndikofunika kukumbukira kuti kugwiritsa ntchito mankhwala aliwonse, ngakhale mankhwala achikhalidwe cha matenda ashuga kumafunikira kuonana ndi dokotala. Kuchiza mosaganizira ndi mankhwala wowerengeka kungapangitse odwala kuvulaza.

Kuchiritsa zitsamba

Kumayambiriro koyambirira kwa matendawa, kuchiritsa kwabwino kumawonetsedwa ndi kulowetsedwa kwa mankhwala azitsamba omwe ali ndi bactericidal, anti-kutupa, machiritso.

Mankhwala othandizira phazi ndi mbewu zotere ndi otchuka kwambiri.

1. Zipatso za chitumbuwa cha mbalame. Zipatsozi zimapangidwa motere: supuni 1 ya mbalame chitumbuwa chilichonse chikho cha madzi otentha. Msuzi womwe wabwera chifukwa chouma, amatsuka mabala pamiyendo ndikuwatsata compress.
2. Yarrow. Mphamvu yotsutsa-yotupa, machiritso a bala, othandizira ndi hemostatic komanso bactericidal, idapangira chomera ichi kutchuka kwambiri polimbana ndi matenda ashuga.
3. Sambani zilonda zovuta komanso kulowetsedwa kwa centaury.
4. Madzi atsopano kapena decoction wa chowawa amagwiritsidwa ntchito pochiza mabala osachiritsa.
5. Masamba a nettle ali ndi zinthu zazikuluzikulu, amasinthanso kusinthika kwa minofu.
6. Kugwiritsa ntchito msuzi wa aloe kuli ponseponse. Tamponi zomwe zimaphatikizidwa ndi msuzi wa mbewu zimayikidwa pachilonda ndikusiyidwa kwakanthawi.
7. Chamomile, mpiru ndi rosemary. Sakanizo la kanjere ka mpiru ndi zitsamba limanyowa m'madzi ozizira ndikuwaphika pafupifupi tsiku limodzi. Chotsatiracho chimagwiritsidwa ntchito pazinthu zoyera za minofu yomwe imakulungidwa. Osavomerezeka kuti agwiritsidwe ntchito mwa anthu omwe ali ndi mitsempha ya varicose komanso matenda a impso.

Clove mafuta

Mafuta a Clove ndiofala pothana ndi matenda ashuga kunyumba. Itha kuchitika nonse ndipo mutha kuchigula ku pharmacy. Kuphatikiza pa mankhwala opha tizilombo komanso odana ndi kutupa, amathandizanso mabala. Mafuta akhathamiritsa amafuta amapaka pakhungu kwa mphindi 10-15. Kukonzekera kwamlomo wamankhwala kumathandizanso. Nthawi zambiri amamwa iwo 3-5 akutsikira musanadye.

Yoghur

Chithandizo cha phazi ndi izi ndichotchuka kwambiri chifukwa chotsika mtengo komanso kutsika mtengo. Matumba kapena ma chopukutira omwe amakhala ndi mkaka wothira mkaka amayikidwa pachilonda. Kuti kuwonjezera chithandizo, chithandizo chovalachi chizisinthidwa pafupipafupi.

Zopatsa chidwi. Nthawi zina, chithandizo chamiyendo cha matenda ashuga chimakhala ndi zotsatira zabwino chifukwa magazi amawonjezereka. Ndipo nthawi zina zimakhala zopanda ntchito. Yagwiritsidwa ntchito kwambiri pochiza ndi zosakaniza za uchi ndi zinthu zina.

1. Wokondedwa, aspirin, burdock. Mankhwala othandiza a edema. Chiwalo chodwala chimadzozedwa ndi uchi, owazidwa ndi aspirin wosenda pamwamba, wokutidwa ndi burdock (pansi pansi pakhungu).
2. Eucalyptus ndi uchi. Gwiritsani ntchito kusamba ndi mafuta ambiri.
3. Ndi yankho la chamomile ndi uchi, zotupa za mwendo zimatsukidwa.
4. Ndi zilonda za trophic, chisakanizo chabwino cha mafuta a nsomba, uchi, xeroform.

Mkate wopindika

Mkate watsopano wa rye yekha ndiwothandiza kuchiritsa miyendo. Chidutswa cha crumb chiyenera kukhala mchere ndi kusenda bwino, kunyowetsedwa ndi malovu. Kutsetsereka komwe kumayikidwa m'malo okhudzidwa ndi phazi ndikumangidwa kwa maola angapo.

Ngakhale kuti chithandizo chamankhwala ochizira anthu odwala matenda ashuga nthawi zambiri chimakhala ndi zotsatirapo zabwino, wodwalayo amafunika kuwunika pafupipafupi ndi adokotala ndikutsatira malangizo ake onse.