Momwe mungachiritsire mabala oyera a shuga
Matenda a shuga ndi awa: ludzu lalikulu, kulakalaka kudya, kusintha kwadzidzidzi kwamkodzo, mkodzo umachotsedwanso pafupipafupi kuposa momwe zimakhalira, kuyabwa pakhungu kumayamba.
Kuchira pang'onopang'ono komanso kuwonjezera mabala m'matenda a shuga ndi gawo lodziwika bwino la matendawa. Chomwe chimapangitsa izi ndi kusokonezeka kwa magazi komanso kuperewera kwa chakudya cham'mimba, kuchepa kwa chitetezo cha m'thupi.
Zimayambitsa supplement mabala mu shuga
Microangiopathies komanso kuchuluka kwa magazi m'magazi kumbuyo kwa intracellular acidosis, kuphatikizika kwa electrolyte ndi kuchuluka kwa lipoproteins kumabweretsa kuchepa kwa chitetezo chokwanira cha cellular, komanso kuphwanya njira yodzitetezera mwamanyazi.
Mu gawo lachiwiri (kusinthika), ulusi wa collagen komanso kusinthika kwa minofu ya granulation zimapangika pang'onopang'ono, ndipo pakuyamba kuwonongeka kwa pafupifupi milungu iwiri, minyewa yatsopano yolumikizana. Chilondacho chilibe magazi ndipo chimadziwika ndi zotumphukira edema
Ngati mapangidwe a bala loyipa la matenda a shuga lipezeka motsutsana ndi maziko a matenda a shuga, ndiye kuti machiritso ake amalepheretsa izi pazifukwa zotsatirazi:
- Kuchekacheka kwama cellcircular ndi kuchepa kwa magazi kudzera m'mapilaries ndikuwonjezera kutuluka kwa magazi m'mitsempha.
- Kutupa kwambiri kwa minofu.
- Kuchepetsa chidwi.
- Kugawa kwamakina kukakamiza kwa phazi.
Kuwonetsedwa kwamatenda oyipa a shuga
Kuwoneka ngati mabala othandizira odwala matenda ashuga nthawi zambiri amakhudzana ndi matenda a zilonda pambuyo pa ntchito, zilonda zam'mimba za matenda am'mimba, zotupa pambuyo pobayidwa, zithupsa ndi mafuta am'mimba.
Zimatsimikiziridwa kuti 1 ml ya zotulutsa puroses inactivates magawo 15 a insulin. Nthawi yomweyo, zizindikiro zoterezi zimakula:
- Kuphwanya njira za kagayidwe kachakudya kowonjezera thupi.
- Kulimbikitsa mapangidwe a matupi a ketone, kufikira ketoacidotic coma.
- Kufalikira kwa kachilombo kakang'ono kufikira chitukuko cha sepsis.
- Kujowina emeomycosis.
Ngati chithandizo cha mankhwala opha maantibayotiki ndi insulin pazifukwa zina sichingachitike, kuchuluka kwa omwe amayamba chifukwa cha mabala oyeretsa m'magazi a shuga ukufika 48%.
Kodi kuchitira mabala oyera a shuga?
Mu gawo loyambirira la bala, muyenera kuyeretsa bala la mabakiteriya ndi mafinya. Chifukwa cha izi, mafuta amafuta sangathe kugwiritsidwa ntchito, chifukwa samapereka kuchokera ku bala. Chifukwa chake, kukonzekera kumawonetsedwa pokhapokha ngati madzi sungunuka ndikutha kukopa zomwe zilipo.
Mankhwala osokoneza bongo amaphatikizidwa ndi ma enzyme (chymotrypsin) kuti afulumizitse kuyeretsa. Zovala za mabala oyeretsa okhala ndi mankhwala a antibacterial zimachitika kamodzi kamodzi patsiku.
Mankhwala ena otsatirawa amagwiritsidwa ntchito potupa:
- Mafuta okhala ndi chloramphenicol: Levomekol, Levosin.
- Mafuta opangira mafuta a Nitazole: Nitatsid, Streptonitol.
- Mafenide Acetate Mafuta.
- Furagel.
- Dioxol.
- Mafuta a Iodopyron.
Komanso, zotsatira zabwino zomwe zimakhala ndi trophic ulcers zinawonetsa mankhwala omwe amapezeka ndi ayodini - Povidone-iodine ndi Betadine. Chithandizo cha zovuta.
Mankhwala othandizira odwala matenda ashuga komanso kulowererapo kwa ultraviolet mabala, laser ndi maginito amagwiritsidwanso ntchito.
Gawo lachitatu liyenera kutha ndi kupangika kwa bala. Mu shuga mellitus, osakaniza a insulin okhala ndi mavitamini ndi shuga amagwiritsidwa ntchito povala, ndipo kugwiritsa ntchito curiosin kumapitilizidwa.
Mankhwala othandizira opaleshoni mabala a shuga
Kwa nthawi yayitali, odwala adalimbikitsidwa kuti azisamalira mabala a purulent ku shuga mellitus. Kafukufuku waposachedwa akuwonetsa kuti pakuchita opareshoni, nthawi yakuchiritsa mabala imachepetsedwa, ndipo pafupipafupi zovuta zimachepa.
Kuti muchite izi, kwa masiku 3-5 motsutsana ndi maziko a kupezeka kwa antibayotiki mankhwala, opaleshoni yathunthu ya bala ndi kugwiritsa ntchito zilonda zazikulu komanso kukoka kwa bala limachitidwa.
Ndi njira yamankhwala iyi, kutentha kwa thupi komwe kumasulidwa ku chilonda kumachepetsedwa. Pambuyo pake, chilondacho chimatsukidwa ndimadzimadzi amadzimadzi a Chlorhexidine kapena Rivanol kwa masiku 3-4. Zovuta zimachotsedwa pa tsiku la 12th.
Kupewa kuperekera mabala mu shuga
Pofuna kupewa chithandizo chambiri, njira zodzitetezera ziyenera kuchitidwa popewa kuvulala pakhungu. Izi zimagwira makamaka pamapazi, omwe ali pachiwopsezo chachikulu cha matenda ashuga.
Kuti muchepetse chiwopsezo cha mabala ndi mabala, nsapato ziyenera kuvala zotsekedwa, ndizoletsedwa kuyenda osavala nsapato, makamaka kunjaku. Musanaveke, muyenera kuyang'ana nsapato kuti zikhalepo pazinthu zazing'ono zakunja - mchenga, miyala, etc.
Chitsogozo chofunikira popewa kukula kwa zovuta zamatenda a shuga ndikuwunika kuchuluka kwa shuga m'magazi ndikupeza chithandizo chamankhwala panthawi yake. Kuti tichite izi, tikulimbikitsidwa:
Ngati pali zizindikiro za matenda a shuga mellitus, ndikofunikira kuchita chithandizo chamankhwala pochezera ndi endocrinologist. Simungathe kuchitira pakudziyendetsa pakhungu kapena zotupa pakhungu, popeza kupita kukaonana ndi dokotala kumathandizira kuti matenda afalikire komanso njira yoopsa kwambiri yotsukidwa.
Kanemayo m'nkhaniyi akuwonetsa mankhwalawa a zilonda zam'mimbazi ndi laser.
Chifukwa chiyani mabala amapangika?
Matenda a shuga amadziwika ndi kukula kwa zovuta zomwe zimakhudza mitsempha yam'magazi komanso minyewa ya mitsempha, zomwe zimapangitsa mabala ndi zilonda zam'miyendo ndi matenda a shuga.
China chomwe chimapangitsa kupangika kwa mabala amawonedwa kuti ndi matenda a shuga. Izi zovuta za matendawa zimadziwika ndi kuwonongeka kwa minyewa yamanjenje chifukwa cha shuga wambiri. Mitsempha yam'mimba yomwe imayendetsa ntchito ya pakhungu limafa. Khungu limakhala louma ndipo limakonda kusweka. M'malo mwa ming'alu, zilonda zimapangika pang'onopang'ono. Poterepa, chidwi cha khungu chimachepa kwambiri. Wodwalayo mwina sazindikira kuti wavulala. Chifukwa odwala matenda ashuga amalangizidwa kupenda manja ndi miyendo pafupipafupi.
Zizindikiro zina
Zilonda za matenda ashuga pazala, mikono ndi miyendo zimatsatiridwa ndi zizindikiro izi:
- malungo
- kutupa kwa miyendo
- kuchepa mphamvu kwa miyendo, makamaka m'mawa,
- kuchepa kwa khungu
- redness pakhungu,
- mapangidwe a foci a zowola.
Zithupsa ndi mabala a shuga
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Odwala omwe ali ndi matenda ashuga nthawi zambiri amakhala ndi mavuto ndi miyendo yawo. Mabala aliwonse omwe ali ndi matenda a shuga samachira komanso amatha kuduladula. Maonekedwe a mabala ndi mikwingwirima siziwopseza thanzi lokha, komanso moyo wa odwala matenda ashuga. Kuti mupewe zovuta, muyenera kutsatira malamulo aukhondo, pewani kuvulala, ndipo ngati zingachitike, muthandizidwe ndi dokotala. Kuyesera pawokha kuti athetse vutoli kumakulitsa vutoli.
Mavuto a mabala ndi zilonda zam'mimba
Wodwala wodwala matenda a shuga kuchokera kumakhalidwe ang'onoang'ono kapena ma callus amakhala ndi mabala osachiritsa, omwe amakhala owopsa pazotsatira zotsatirazi:
- Kuchiritsa kovuta. Kupangidwe kwa mabala pamiyendo kumawopseza ndi chithandizo cha nthawi yayitali. Ndikosavuta kuchiritsa mabala a wodwala omwe ali ndi matenda ashuga, chifukwa chifukwa cha mawonekedwe a matendawa, kufalikira kwa magazi ndi chidwi chake zimasokonekera, magazi amathanso kukhala okhuthala, njira yosinthira imaletseka. Zotsatira zake, mabala amakhala zilonda. Ndi zilonda zam'mimba, chithandizo chothandiza kwambiri ndi mankhwala othandizira komanso opaleshoni.
- Matenda opatsirana. Nthawi zambiri kwa nthawi yayitali, mabala osachiritsika amakhala zinthu zotupa, chifukwa cha zomwe zimachitika. Stitches pambuyo pakuchita opaleshoni ya shuga imakhalanso yowonjezera. Izi zimasokoneza wodwalayo ndipo amafunikira chithandizo chapadera.
- Gangrene Ngati chilondacho sichichiritsa kwa nthawi yayitali, chilonda kapena zilonda zimakhazikika m'malo mwake. Popanda chithandizo chofunikira, kuvunda kumagwira madera atsopano khungu, khungu limapangidwa. Chomwe chimakhala chifukwa cholirira gangore ndi chotupa cha mitundu yonse ya minyewa yomwe imavunda, ikupweteketsa thupi ndi zinthu zowola. Othandizira samakhala opanda mphamvu; kudula chala kapena dzanja kumafunikira.
Bwererani ku tebulo la zamkati
Chithandizo cha matenda a mtima
Pochiritsa mabala, njira zamankhwala zachikhalidwe ndi zachikhalidwe zimagwiritsidwa ntchito. Chithandizo chowawa chimachitika kokha moyang'aniridwa ndi adokotala. Kuyesa kulikonse pakudziyimira pawokha kumadzetsa mavuto ena ndipo nthawi zambiri kumayambitsa kudula. Kuchiritsa koopsa m'matenda a shuga sikungatheke popanda matenda a shuga. Chifukwa chake, mankhwalawa amaphatikiza chithandizo chakomweko, kudya, kumwa mankhwala.
Bwererani ku tebulo la zamkati
Mankhwala
Mavitamini amafunikira kuti chitetezo cha wodwalayo chitetezeke.
Mabala a shuga ayenera kulandira chithandizo chokwanira kwambiri moyang'aniridwa ndi dokotala. Kuchiritsa ngakhale kachikwama kakang'ono kwambiri, adokotala amapanga nthawi zingapo:
- Mavitamini Zofunika kulimbitsa chitetezo cha mthupi, kuonjezera kukana kwa thupi.
- Insulin Kutengera mtundu wamatenda, adotolo amakupangira mankhwala kapena jakisoni wa timadzi timeneti. Zotsatira zabwino zimapezeka ndi insulin yothandizira khungu lakhudzidwa.
- Maantibayotiki. Mafuta omwe ali ndi antiotic amachiritsa zilonda zake. Ndikokwanira kuchitira chala kapena malo ena okhudzidwa kangapo kuti mankhwalawo atulutse madzi owonjezera kuchokera pakukonzekera ndikuyambitsa ntchito yobwezeretsanso. Kuti muchite izi, gwiritsani ntchito "Levomekol", "Levosin."
- Otsutsa. Chithandizo cha antiseptic ndizovomerezeka popewa matenda opatsirana. Nthawi zambiri amagwiritsa ntchito yankho la manganese kapena furatsilina.
- Kuchiritsa mafuta. Imabwezeretsa khungu ndipo limakupatsani mwayi wochizira mafuta a zilonda Trofodermin.
- Kuyeretsa. Njira yodziyeretsera yomwe imayamba pachala ingakhudze kwambiri miyendo, ngati simumasula zilonda zam'mimba ndi mafinya. Kuphatikiza apo, minofu yakufa salola kuti mankhwala asokoneze amoyo. Chifukwa mabala amafunika kutsukidwa, ndipo muzoopsa, necrosis imadulidwa.
Bwererani ku tebulo la zamkati
Kuchotsa mabala ndi mankhwala azikhalidwe
Pochiza kuvulala kwa wodwala matenda ashuga, mankhwala azikhalidwe angakuthandizeni.
Pofuna kuchiritsa zilonda za pakhungu la matenda ashuga, chithandizo chovuta ndichofunika, chomwe chimaphatikizapo kugwiritsa ntchito njira zina zomwe zimagwiritsidwa ntchito limodzi ndi zosasinthika monga adokotala adalembera. Kudzichitira nokha mankhwala kuopseza kukulitsa vutolo. Zodziwika kwambiri ndi maphikidwe otsatirawa omwe aperekedwa pagome:
Bwererani ku tebulo la zamkati
Zomwe zimapanga mabala amatsukidwe
Matenda a shuga ndi matenda omwe amadziwika ndi kuchuluka kwa nthawi yayitali m'magazi ndipo amakhala ndi zotsutsana ndi zomwe zimachitika mthupi, ziwiya zazing'onoting'ono (kukulitsa kupezeka kwawo ndi chiwonongeko chotsatira). Izi zimadzetsa kuwonongeka kwa kayendedwe ka magazi, makamaka m'miyendo, ndi mavuto pakupezeka kwa michere m'maselo. Njira zofananira zimayenderana ndi zomwe zimayambitsa mawonekedwe a mawonekedwe omwe samachiritsa kwa nthawi yayitali.
Zofunika! Ngati chithandizo cha kuvulala kwa odwala matenda ashuga sichinayambike, zolinga za matenda ena akuluakulu zitha kuwoneka.
Pankhani ya mabala apulasitiki apamwamba, amatha kutsogolera kupangika kwa gangrene ndikuchotsa pambuyo pake dzanja ndi opaleshoni, komanso kutupa kwa minofu ya adipose.
Chifukwa chachikulu chomwe chimakhudzana ndi machiritso a abrasions omwe amapangidwa kumapeto pang'ono ndi matenda a shuga. Kusokonezeka ndizofala kwambiri, kumayambitsa matenda a shuga. Matenda amaonedwa pafupifupi theka la odwala.
Neuropathy imabweretsa zovuta zotsatirazi:
- kuwonongeka kwa mitsempha,
- kusintha kwa kuwonekera kwa khungu.
Mapeto a mitsempha omwe amagwira ntchito yowoneka bwino ya khungu amakhalanso amwalanso, chifukwa khungu limakhala louma ndipo silinachiritsidwe bwino. Imaphulika, zomwe zimapangitsa kuti tizilombo toyambitsa matenda tizilowa mosavuta kudzera ming'alu mthupi.
Zimachitika kuti wodwalayo saona kuvulala kwa miyendo, motero chilondacho sichichiritsidwa mwachangu (callated, kuwonongeka poyenda ndi mapazi osavala). Chomwe chagona pakusintha kwamalingaliro azowawa omwe amayambitsidwa ndi kupindika kwa mitsempha mathero.
Tcherani khutu! Ngati kusefukira sikusowa m'masiku angapo, pamakhala chiwopsezo cha zilonda zam'mimba. Kwa odwala matenda a shuga, kuyambika kwa matenda ashuga a m'mimba sikuchiritsa m'miyendo.
Popeza ma abscesses omwe ali ndi matenda a shuga amachiritsa kwa nthawi yayitali, ndiye kuti mankhwalawa a mabala amadzimadzi a matenda ashuga azikhala osiyana pang'ono poyerekeza ndi anthu athanzi.
Matenda A shuga
Wodwala aliyense yemwe ali ndi matenda ashuga ayenera kuwunika momwe khungu limapezekera ndikupita kwa katswiri ngati pali vuto lililonse, chifukwa chithandizo cha bala lomwe limayambitsa matenda ndilosavuta.
Kuti khungu la odwala matenda ashuga azitha kuchira mwachangu, muyenera kudya moyenera, kuphatikizapo kuchuluka kwamavitamini azakudya.
Tebulo la odwala matenda ashuga liyenera kuikidwanso:
Mankhwala osokoneza bongo
Ndi matendawa, chithandizo chowonjezera chikuyenera kuchitika mosamala kwambiri. Maphunziro amayenera kuphera tizilombo toyambitsa matenda.
Pofuna kudzinyenga mudzafunika:
- bandeji wosabala, ubweya wa thonje,
- antibacterial othandizira
- ma tampon
- mafuta opatsa thanzi
- mankhwala antiseptic.
Njira zazikulu zochizira mabala a purulent:
Kukonzekera | Kugwiritsa |
Furatsilin. Potaziyamu permanganate Kuchiritsidwa kwamankhwala ndi antiseptic | Kuvulala kulikonse kwa thupi la wodwala matenda ashuga kumathandizidwa makamaka ndi antiseptic. Njirayi ndiyofunika kupewa kutalikirana. |
Saline Chithandizo cha zilonda zam'mimba | Zimathandizira kuyeretsa mabala kuchokera ku mabakiteriya, ma epidermis akufa ndi matupi ena. |
Methyluracil, mafuta a solcoseryl. Kugwiritsa ntchito mafuta a zotupa za purulent | Amasintha khungu pakudya minofu. |
Levomekol. Levosin Kuchotsa kwa mawonekedwe a purulent mu gawo loyamba la bala | Ndi kuwonjezeka kwa kutentha, kutupa ndi kufupika kwa dera lomwe lakhudzidwalo, chosafunikira komanso osachiritsa bala, mafuta onunkhira omwe ali ndi maantibayotiki amawonjezeredwa ku mankhwalawa, omwe amatha kuchotsa chinyezi pamapangidwe. |
Mankhwala, adotolo amakupatsanso mankhwala a antibacterial ndi mavitamini a B. Ngati wodwala matenda ashuga amawonjezereka m'miyendo yotsika, ndizotheka kugwiritsa ntchito malo osambira.
Zofunika! Sizoletsedwa kugwiritsa ntchito ayodini, zelenka kuchitira zilonda zam'mimba. Ndalamazi zimakhudza khungu ndipo zimakulitsa vutoli.
Ngati chithandizo cha mabala oyeretsa m'magazi a shuga pogwiritsa ntchito njirazi sizibweretsa zotsatira zabwino, yankho lokhonza mabala osachiritsika lidzakhala chisangalalo cha necrosis.
Chithandizo chowawa
Njira yayikulu yothandizira matenda a neuropathy ndikuchepetsa glucose wamagazi ndikuwasunga bwino. Ndikofunikira kuyang'anira kuthamanga kwa magazi, chifukwa ngati kukweza, ndizotheka kuwonongeka kwa mitsempha yamagazi. Ndikofunika kusiya kusuta.
Therapy nthawi zonse zimakhala zokwanira. Cholinga chake ndi kumwa mankhwala omwe amakhudza kukula kwa matendawa, mankhwala omwe amachepetsa shuga.
Zakudya zopatsa thanzi komanso moyo wokangalika ndizofunikanso:
Kukonzekera | Kusankhidwa |
Mavitamini B | Kugwiritsa ntchito kukonza mitsempha yodzutsa mitsempha ndikuletsa zotsatira za glucose pamafupa amitsempha |
Alpha lipoic acid | Zimalepheretsa kuchuluka kwa shuga m'mitsempha yamafuta, minofu, imayendetsa ma enzyme omwe amabwezeretsa maselo amthupi. Acid amatsuka poizoni, amasintha thupi lonse. |
Aldose reductase zoletsa | Pewani kusintha kwa shuga kukhala zinthu zovulaza zomwe zingakhudze misempha. |
Actovegin | Imagwiritsa ntchito shuga, imasintha magazi m'magulu ang'onoang'ono. |
Potaziyamu, calcium | Chepetsani kuchuluka kwa miyendo, kuchepetsa kukokana |
Maantibayotiki | Chitani zilonda ndi zilonda za m'mimba |
Ophera | Kuchepetsa ululu |
Zofunika! Opaleshoni amakhala ndi zovuta za matenda ashuga, ndiye akatswiri okhawo omwe angawafotokozere.
Pokonza nthendayi chifukwa cha matenda, zilonda zamkati zimachitika zomwe zimatha kufikira ma tendon ndi mafupa. Gawo lowonjezera limachotsedwa ndikudula phazi. Ndi chithandizo chanthawi yake, ndizotheka kupewa opaleshoni mu 80% ya milandu.
Mabala owonda a kakang'ono kakang'ono, omwe amapangidwa chifukwa cha neuropathy, amachotsedwa ndi mafuta a camphor. Wothandizirayo amamuika kumalo omwe akukhudzidwawa ndipo kuvala kumapangidwa kuchokera ku bandeji yosabala.
Chithandizo cha zilonda kunyumba
Matenda a matenda ashuga
Zotsatira zoyipa kwambiri kwa odwala omwe ali ndi matenda ashuga ndi chizindikiro cha phazi la matenda ashuga, omwe nthawi zambiri amachititsa kuti manja ake awonongeke. Ndi matenda chifukwa cha kuwonongeka kwa malekezero amitsempha, ululu samamveka, palibe chochita pakuwotcha, kupundula, kusisita miyendo.
Matendawa amapezeka pazifukwa zotsatirazi:
- kupezeka kwa zilonda zam'mimba,
- Kapangidwe koopsa ka matenda amtumbo ka phazi - phhlegmon,
- matenda opatsirana komanso otupa a minofu,
- mapangidwe a necrosis kumapazi, zala,
- chilonda chachitali.
Zilonda zomwe zimawoneka ndi matendawa ndizakuya kwambiri, chifukwa chake ndizovuta kuchira kunyumba. Nthawi zambiri amafunikira thandizo kuchipatala.
Kuthandizira bala lamiyendo ya m'miyendo ndimatenda a shuga, wodwalayo ayenera kutsatira malamulo angapo:
- Chepetsani katunduyo kumapazi.
- Kuyenda nsapato zabwino.
- Mubweretsenso shuga wanu ngati wabwinobwino.
- Osamadya chakudya chopatsa mphamvu mosavuta.
- Imwani mankhwala omwe amachepetsa ma spasms omwe amalimbikitsa mamvekedwe amitsempha.
Pamaso pa matenda otere, chithandizo sayenera kuchedwetsa. Njira yochizira imayikidwa ndi dokotala ndipo imadutsa moyang'aniridwa ndi okhwima, apo ayi pamakhala chiopsezo chotenga zovuta mu mawonekedwe a gangrene.
Zilonda zam'mimba
Kuchotsa Khungu Louma
Shuga wamagazi akakwezeka, wodwala matenda ashuga amakumana ndi kukodza pafupipafupi, kutaya madzi ndi thupi. Njira yotupa madzi pakhungu limachitika, yomwe imapangitsa kuti ziume komansouma, komanso, thukuta komanso zotupa za sebaceous zimasokonezeka. Ndiye pali ming'alu, zimakhala zovuta kuti munthu ayende.
Popewa kuwonongeka pakhungu pamagwiritsidwe ntchito sopo wamba, yomwe imathandizira kuchepetsa acidity ya zimakhala. Kupukuta ndi kufewetsa khungu, tikulimbikitsidwa kugwiritsa ntchito kukonzekera ndi urea.
Chithandizo cha callus
Mu odwala matenda ashuga, zilonda zambiri zimapangika, chifukwa cha chimanga chambiri. Amawoneka atavala nsapato zolimba. Nthanga zimapanikiza pakhungu, kenako kukha magazi kumachitika pansi pake, zomwe zimayambitsa kutupira.
- Kuti muthane ndi izi, muyenera kuyenda mu nsapato zabwino zomwe sizimalepheretsa phazi lanu.
- Sizoletsedwa kudula chimanga, kuwafewetsa ndi madzi otentha, zomata zomatira zomatira pamwamba.
- Ndi bwino kuchitira chilondacho ndi emollient urea mafuta.
- Mafuta mapangidwe katatu patsiku.
- Lemberani kokha kuyeretsa khungu.
Kuchiritsa kwa mafangayi
Ndi ofooka chitetezo chokwanira mu odwala, vuto la malowedwe am'mimba a mycosis, kubala kwachangu kwa fungus kumachitika. Kufika pa mbale ya msomali, mtundu wake umasintha, misomali imayamba kuzimiririka.
Popewa zovuta, muyenera kuchepetsa kupindika kwa msomali wodwala, ndikuwachitira ndi mwala wa pumice.
Kukonda kwa mbale ya msomali ndi bowa
Mu odwala matenda ashuga, thermoregulation imasinthidwa, kotero thukuta limatulutsidwa pakati pa khola la pakhungu ndi zotupa za ma diaper zimawonekera. Mycosis imatha kupewedwa ndikuchiza madera othetsa thukuta kwambiri ndi talc ndi zinc oxide.
Matenda a Diabetesic Ulcer Therapy
Zilonda za trophic zimawonetsa kukhalapo kwa mabala omwe ali ndi kachilombo omwe samachiritsidwa munthawi yake:
- Wodwalayo adalangizidwa kuti azichita maphunziro othandizira, omwe amakhala ndi zilonda za purulent ndi antiseptics, popanda mowa.
- Kuphatikiza apo, maantibayotiki amalembedwa, madiresi amagwiritsidwa ntchito.
Ngati chala chikugwirizana ndi matenda ashuga, ichi ndi chifukwa chokhazikitsa zilonda zam'mimba. Chilondacho chimapangidwa chifukwa chakuthinima kwa mbale chifukwa cha kukakamiza pachala povala nsapato.
Ngati mukufuna thandizo la dokotala munthawi yake ndikuyamba chithandizo choyenera, matendawo a mtundu woyamba wa 1 akhale ndi zotsatira zabwino.
Mafuta karoti
Kuti akonze othandizira, muzu wa kaloti ndi kapu yamafuta muyenera. Ndikofunikira kupera masamba 500 a masamba pa grater.
Ikani poto galasi, kuwonjezera mafuta ndi malo osamba madzi. Chidacho chikazizira, pofinyira misa ndi gauze. Mafuta amatengedwa kunja.
Chithandizo cha purulent purosesa pakhungu ndi wowerengeka njira
Nkhaka msuzi
Mankhwala ali ndi antimicrobial kwambiri. Amathandizira mabala otupa, ntchito ngati mafuta odzola kwa maola awiri. Pambuyo poyeretsa zilondazo ndi madzi, mankhwalawa amathandizidwa ndi adokotala.
Chithandizo cha mabala a purulent ndi madzi a nkhaka
Kukula kwakadali bwino kwa mtundu wachiwiri wa matenda ashuga komanso kuteteza matendawa kumadalira kuti magazi amatuluka mwendo asokonezeka kapena ngati wodwalayo adatsatira chakudyacho. Dokotala amatha kuyeza kuyenderera kwa magazi atayang'aniridwa ndikutsatira mitsempha yamagazi kapena kugwiritsa ntchito angiography.
Munthu amene akudwala matenda ashuga ayenera kusamalira khungu lake mosamala, vuto lililonse ngati lingavulazidwe nthawi yomweyo pemphani thandizo kwa akatswiri.
Zimayambitsa zithupsa mu shuga
Matenda a shuga amayambitsa kuchepa kwa chitetezo cha mthupi komanso kuwonjezeka kwa tizilombo tating'onoting'ono. Pamene staphylococcus kapena streptococcus adayambitsa, kutupa kwa sebaceous tiziwalo timene timatulutsa, timabowo tatsitsi ndi minye yolumikizana nayo imachitika. Njira yotupa imadziwika ndi mawonekedwe a zithupsa zambiri za purulent - zithupsa. Zomwe zimayambitsa mapangidwe a matenda a shuga mu shuga ndi monga:
- kusokonekera kwa magazi m'matumba ang'onoang'ono, kusowa kwa michere ndi okosijeni m'matumbo a khungu, kusinthika kwa khungu komwe kumapangitsa kuti gawo la staphylococcus lipangidwe ndi tsitsi, kusatsatira chisamaliro chaukhondo pakhungu, thukuta kwambiri, mabala, zipsera, michere pakhungu.
Ndi kufooka kwamphamvu kwa chitetezo chathupi, chotupa cha pakhungu chimadzakhala mawonekedwe osatha - furunculosis. Ovuta matendawa amakhala ndi mawonekedwe a zilonda zingapo ndi magawo osiyanasiyana akusasitsa.
Zizindikiro ndi maphunzirowa
Gawo loyamba la mapangidwe a zithupsa limadziwika ndi zizindikiro zotsatirazi:
- pamakhala zotupa za dera lomwe lakhudzidwalo, khungu limasandulika ofiira, kupweteka kapena kupindika kumamveka mukamadina m'dera lowaliralo.
Mpaka pano, matendawa - matenda a shuga ndi ofala kwambiri, anthu azaka zonse amadwala matendawa.
Gawo lachiwiri la matendawa limachitika patatha masiku 3-4 kuchokera poyambira zizindikiritso zoyambirira. Mulinso magawo otsatirawa amakula matendawa:
Pamalo omwe akhudzidwa, fungo lamadzi ndi ndodo yolimba ya mafinya yokhala ndi pustule pamwamba. Mlingo wa abscess umafikira masentimita 2-4. Kupweteka kumakulira, kutentha kwa thupi kumakwera, zizindikiro za kuledzera zimawonekera. Potsegula pamwamba pa pustule, mafinya omwe amaphatikizana ndi magazi amawonekera. Pulagi wobiriwira wachikasu amatuluka. Kutupa ndi kupweteka kumatha. Zotupazo ndizovunda m'masiku awiri okha ndipo zimakhala zoyera, zosaoneka.
Kupezeka kwa zithupsa mu shuga kumakhala ndi zinthu zingapo:
Matendawa amakwiya ndi tizilombo tating'onoting'ono tomwe timathandizira kutukusira ndikukulitsa njira yake. Wothandizila wa causative wa matendawa amalowa mu epidermis kuphwanya umphumphu wake ndikuchepetsa mphamvu zoteteza khungu. Furunculosis mu shuga imayamba ndikutupa kwa malo omwe akhudzidwa ndi khungu ndikupanga mawonekedwe owuma pakhungu.
Zotsatira za zithupsa
Pakapanda chithandizo chamankhwala chapanthawi yake, zithupsa zimayamba kukhala zowonjezera khungu, zomwe zimakhala ndi malo akulu pakhungu. Zotsatira zoyipa za matendawa ndi monga:
- kulimbikira osachiritsa purulent abscesses kapena zithupsa m'malo onse khungu, subcutaneous abscesses, abscesses mkati, ziwalo zamkati, chitukuko cha sepsis, erysipelas, glomerulonephritis, lymphadenitis.
Chithandizo cha zithupsa mu shuga
Chithandizo cha zilonda zamatenda a shuga zimafuna njira imodzi yophatikizira. Zolinga zazikulu zochizira:
- muchepetse shuga m'magazi, muchepetse zomwe zimayambitsa ndi zizindikiritso zamkhungu zapakhungu, pewani chiwopsezo cha zovuta komanso kufalikira kwa zilonda.
Mankhwala othandiza kuthana ndi zithupsa mu shuga amaperekedwa pagome:
Bangi ya msomali ndi zithupsa za shuga zimathandizidwa ndi dokotala
Anthu odwala matenda ashuga kuposa anthu ena amakhala ndi matenda amtundu wa khungu chifukwa chofooka m'thupi komanso shuga wosakhazikika m'magazi.
Matenda opatsirana, edema, zidzolo ndi kuyabwa kwa khungu ndi matenda ashuga ndi chimodzi mwazizindikiro za matenda amenewa.
Mu matenda a shuga, zotsatirazi zimakonda kuchitika:
- Barele pamaso. Zilonda ndi furunculosis. Kutupa kwa tsitsi tsitsi - folliculitis. Carbuncle. Matenda a msomali.
Matenda amtundu wa bakiteriya amapezeka mwa anthu odwala matenda ashuga pamene staphylococcal ndi matenda ena alowa m'thupi lawo.
Ndi matenda a shuga, zithupsa zimatha kuwonekera chifukwa cha kumeza kwa Staphylococcus aureus kudzera mabala ndi zotupa za pakhungu. Mawonekedwe a chithupsa ndi pimple-pustule yayikulu chikasu pakatikati.
Furunculosis imatchedwa zotupa pa malo amodzi a khungu. Njira yamatendawa ndiyodwala komanso yovuta kwambiri.
Nthawi zambiri, furunculosis imapezeka m'malo omwe kutuluka thukuta kumachulukana kapena kumangokhalira kusokonekera (khosi, maondo, matako, nkhope).
Kodi staph ndi ndani?
Staphylococcus ndi microorganism yomwe imakhalapo nthawi zonse pakhungu pakhungu, ndipo, nthawi yomweyo, imatha kuyambitsa mitundu yambiri ya purulent
kuyambira pa chithupsa ndikutha ndi matenda owopsa a magazi -
Kodi zingatheke bwanji kuti bacterium imodzi yomweyo ikhale yopanda vuto (komanso nthawi zina yopindulitsa) komanso yoopsa?
Chowonadi ndi chakuti pali zovuta zosiyanasiyana za staphylococci. Vuto ndi gulu mkati mwa mitundu, monga mtundu wa agalu.
Zovuta zina ndizovulaza kwathunthu kwa anthu. Ena ali pathogenic, kutanthauza kuti, angayambitse matenda pokhapokha kuchepa kwa chitetezo chathupi komanso zochitika zina zapadera. Enanso nthawi zonse amayambitsa matenda ngati alowa m'thupi.
Nthawi zambiri, 90% ya staphylococci omwe amakhala pakhungu la munthu amakhala amtundu wamavuto osavulaza. 10% ndiyopanda matenda, koma ndi ochepa kwambiri kotero kuti sangathe kuyambitsa purosesa. Zithupsa ndi furunculosis zimayamba pang'onopang'ono pomwe izi zimasiyana kwambiri.
Zinthu wamba zimathandizira kuti matendawa apangidwe.
Chifukwa cha mawonekedwe a thupi, matendawa amafala kwambiri mwa ana kuposa akulu.
Mfundo zamankhwala ndi mitundu yamavuto
Njira yayikulu yochiritsira pakuwonetsa zizindikiro za furunculosis mu shuga mellitus ndi mtundu wa carbohydrate bwino m'magazi, womwe umakonza mwachindunji zomwe zimayambitsa matenda, ndikuwongolera kupanga insulin.
Chifukwa chake, chithandizo chikuchitika ndi dokotala wa opaleshoni
ndi kutenga nawo mbali kwa katswiri wa endocrine. Njira zotsatirazi zikuphatikizidwa muzinthu zochizira:
.
ntchito antimicrobial wothandizila, ndi kuyan'anila kwa labotale yodziwikiratu kuti chiwopsezo cha pathogen ndi mankhwala,
kukondoweza kwa magawo a chitetezo chathupi,
ndi hypertrophy yakumalo a kutupa, opaleshoni imachitidwa pogwiritsa ntchito njira yotsitsimutsa yotsatirapo, yotsatiridwa ndikugawa pansi ndi kukoka kwa patsekeke kuti kutuluka kwa mafinya,
Chithandizo cha kunja ndi mankhwala opha tizilombo toyambitsa matenda osokoneza bongo kapena njira zamafuta.
Njira yopaka zotupa za khungu lopakika limafuna chithandizo chanthawi yake komanso chokwanira ndi dokotala, opanga mawonekedwe apamwamba komanso otukuka popanda kugwiritsa ntchito ndalama kuti athetse vutoli, zitha kutsogola kukula kwa zovuta zotsatirazi, monga chotupa cham'deralo cha pathogen:
Chithandizo cha foci aakulu matenda
Malo omwe amakhala pafupipafupi kwambiri a Staphylococcus aureus ndi pharynx ndi nasopharynx. Tizilombo toyambitsa matenda timene timadziwika chifukwa cha nasopharynx.
Kugwiritsa ntchito kwanuko 1. Maankho a antiseptic amagwiritsidwa ntchito.
, yomwe imaloledwa kugwiritsidwa ntchito panthawi yoyembekezera, komanso kupewa ndi kubereka kwa Staphylococcus aureus.
Chlorophyllipt yatsimikizira bwino:
- Mowa umagwiritsidwa ntchito pang'onopang'ono. Musanagwiritse ntchito, amadzidulira motere: supuni imodzi ya 200 ml ya madzi ofunda.
- Pharynx, khoma lanyumba lam'mbuyomu, ma toni amathandizidwa ndi yankho la mafuta ndipo m'mitsempha yamkono mumayikidwa.
- Utsiwo umamwetsa mkamwa, pakhosi ndi mphuno.
Njira zonse zimachitika katatu patsiku. Njira ya chithandizo ndi masiku 7-10.
2. Ntchito staphylococcal bacteriophage
yotetezeka kwa mwana wosabadwa:
- Kuthirira kwa nasopharynx kumachitika: maipi awiri kapena atatu a yankho amayambitsidwa gawo lililonse la mphuno. Zomwe zimalowa kummero zimameza.
- Kenako, ubweya wa thonje wothira mu bacteriophage uyenera kutsalira m'mphuno iliyonse pamphuno kwa mphindi 5-7.
Kufufuza kumachitika pakati pa chakudya - kuyambira kamodzi mpaka katatu patsiku. Kutalika kwa chithandizo ndi masiku 7-10.
Komanso, onse mankhwalawa alinso abwino chifukwa
Kodi zizindikiro za matenda a furunculosis ndi ziti?
Kuwonetsedwa kwa furunculosis kumadalira gawo la ndondomekoyi, malo owira, malo omwe chitetezo chamthupi chimagwira.
Nthawi zambiri, matendawa amatuluka mobwerezabwereza - pomwe, patatha kanthawi kochepa kuyerekeza (zikhululukiro), zizindikiro za matendawo zimayambiranso.
Kodi ndiyenera kuwona liti dokotala kuti anditsegule chithupsa?
Nthawi zambiri, zithupsa zosavuta sizifunikira opaleshoni. Njira zozizira zimagwiritsidwa ntchito.
Mafuta a Ichthyol ndi mafuta omwe amakonzedwa pamaziko a gawo la ichthyol. Imakhala ndi zotsutsa-kutupa, antiseptic ndi analgesic zotsatira. Mafuta a Ichthyol amagwiritsidwa ntchito kwambiri pochiza zithupsa.
Mphamvu za antibacterial za mafuta amafuta a ichthyol zimagwiritsidwa ntchito pazigawo zonse za streptococci ndi staphylococci.
Mafuta otchulidwa a analgesic komanso odana ndi kutupa a mafuta amafuta a ichthyol amawonekera patatha maola angapo atayikidwa pamwamba pa chithupsa.
Njira yogwiritsira ntchito mafuta a ichthyol a furunculosis
(dzina lathunthu - balsamic liniment malinga ndi Vishnevsky) - mankhwala ophatikiza omwe ali ndi zovuta kupanga komanso zinthu zingapo zogwira ntchito.
Ntchitoyi ndi yovuta kwambiri, chifukwa zinthu zambiri zimayambitsa kukula kwake. Chifukwa chake, njira yophatikiza ndiyofunikira.
Mfundo zoyambira
Chithandizo chamderalo ndi chochitika chimachitika molingana ndi gawo lachitukuko cha chithupsa ndi zovuta
Pa siteji ya compaction - mankhwala akumudzi ndi antiseptics, Ural federal district, ntchito ndi antibacterial mafuta.Pa nthawi yopanga ndodo, ngati kuli kotheka, zithupsa zimatsegulidwa, kukhetsa, chithandizo chamankhwala antiseptic, mavalidwe okhala ndi mafuta odana ndi bakiteriya. Akawonetsedwa, maantibayotiki amayikidwa poganizira kuzindikira kwa michereyo.
2. Zokhudza matenda
Imachitika nthawi iliyonse ya chitukuko cha furunculosis: chithandizo cha matenda oyambitsidwa ndi matenda am'mimba, matenda ammimba, matenda a endocrine (mwachitsanzo, shuga mellitus) ndi ena. Mankhwalawa amachitidwa ndi akatswiri odziwa ntchito: dokotala wa ENT, endocrinologist, gastroenterologist ndi ena.
3. Kusintha kogwira ntchito ya chitetezo chathupi
Dokotala wofufuza mankhwala amapereka mankhwala kutengera mtundu wa chitetezo chamthupi chazovuta komanso gawo la matendawo. Ndi chithandizo cha panthawi yake, matenda a furunculosis amachiritsidwa mu 80% ya milandu mkati mwa miyezi 1-2 ya chithandizo.
Momwe mungakulitsire chitetezo chokwanira ndi furunculosis?
monga gawo la chithandizo chokwanira.
Panthawi yowonjezera
Mankhwala | Njira yamachitidwe | Njira yakugwiritsira ntchito ndi nthawi yayitali |
Polyoxidonium |
| Intramuscularly, 6-12 mg kamodzi patsiku. Mapiritsi a resorption pansi pa lilime katatu patsiku kwa theka la ola musanadye. Mlingo wa achinyamata ndi 12 mg, kwa akulu 12-24 mg. Maphunzirowa ndi masiku 6-12, ndipo nthawi zina motalika. |
Galavit |
| Tsiku lililonse kwa akulu ndi ana opitilira zaka 12 - 100 mg, kwa ana ochepera zaka 12 - 50 mg. Mankhwalawa akhoza kumwedwa mu majakisoni, suppositories kapena mapiritsi. Maphunzirowa ndi masiku 15. |
Myelopid |
| 3-6 mg intramuscularly tsiku lililonse kapena tsiku lililonse. Maphunzirowa ndi jakisoni 3-5. |
Kukonzekera kwa immunoglobulin kwa Class G: Octagam, Gabriglobin, Intraglobin (imagwiritsidwa ntchito pa kusakhazikika kwa Galavit) | Bwezeretsani kuchepa kwa kalasi G immunoglobulins (IgG), yomwe imapereka chitetezo chokwanira kwa nthawi yayitali motsutsana ndi zomwe zimayambitsa matenda ambiri. Kuphatikiza apo, pa microbe iliyonse kapena kachilombo mthupi mwake IgG yake imapangidwa. | Mankhwala amaperekedwa kudzera mu chipatala kokha. Mlingo ndi nthawi yayitali ya chithandizo kumatengera mankhwala omwe amagwiritsidwa ntchito komanso nthawi ya matendawa. |
Pa chikhululukiro
- pa nthawi yomwe palibe zizindikiro za matendawa
Mankhwala | Zizindikiro | Mlingo ndi makonzedwe |
Polyoxidonium | Adanenanso pamwambapa | Adanenanso pamwambapa |
Galavit | Adanenanso pamwambapa | Adanenanso pamwambapa |
Lalopid |
| Sungunulani pansi pa lilime theka la ola musanadye. Mlingo umatengera kuuma kwa matendawa komanso zaka zake. Kutalika kwa chithandizo kuli pafupifupi masiku 10. Ngati ndi kotheka - motalikirapo. |
Neogen ndi Seramil
Mankhwala sagwiritsidwa ntchito kwenikweni. Komabe, malinga ndi kafukufuku waposachedwa, kugwiritsa ntchito kwawo kwakhazikitsa kusintha kosadalirika pakugwira ntchito kwa chitetezo chathupi.
Mukamagwiritsa ntchito Neogene
1. Kuchulukitsa ndi kuchuluka kwa T ndi B lymphocyte ndizofanana.
2. Zimawonjezera zochitika za phagocytes mogwirizana ndi Staphylococcus aureus.
3. Mulingo wa maselo a CD4 ndi wofanana.
tsiku makonzedwe a 1 ml ya 0,01% yankho intramuscularly. Maphunzirowa ndi jakisoni 10.
Mukamagwiritsa ntchito Seramil
1. Mlingo wa B-lymphocyte ndi wofanana.
2. Zomwe zili mu CD8-lymphocyte - ma cell a chitetezo cha mthupi, chomwe nthawi zambiri chimamaliza kuyankha kwamthupi pamene "mlendo" awonongedwa kale, amachepetsa. Komabe, pogwiritsa ntchito ma CD a lymphocyte ochulukirapo, chitetezo cha mthupi chimamaliza ntchito yake kale kwambiri, chisanafike pothandizidwa ndi tizilombo toyambitsa matenda. Chifukwa chake, sichikwaniritsa ntchito yake yayikulu - yoteteza.
mu mnofu jekeseni wa 5 mg ya mankhwala. Maphunzirowa ndi jakisoni 5.
Potsatira mfundo zazikuluzikulu: chithandizo chakwanuko, kuyikidwa kwa ma immunostimulants, mavitamini ndi mankhwala ena.
Komabe, ndi matenda ashuga, kutsimikizika kwakukulu ndikofunikira pa kagayidwe kazinthu ndipo
: Mankhwala othandizira kudya (omwe takambirana m'gawo lili pansipa) ndi mankhwala.
Type II matenda a shuga a mellitus (osadalira insulini)
Odwala omwe ali ndi matenda ashuga, chithandizo cha chithupsa chimachitika aliyense payekhapayekha. Mkhalidwe wofunikira kwambiri womwe muyenera kutsatira ndikuti uyenera kukhala wokwanira.
Musanayambe chithandizo chanokha, muyenera kufunsa dokotala ndikuyezetsani. Zochita zokha ndizoletsedwa kwathunthu, chifukwa thupi la odwala matenda ashuga angayankhe molakwika mankhwala enaake, omwe amakhala ndi zotsatirapo zoopsa.
Palibe gawo lofunika kwambiri lomwe limaseweredwa mwa njira zodzitetezera. Pofuna kupewa kuwonekera kwa furunculosis mu matenda a shuga, muyenera kukhala ndi moyo wathanzi komanso kumachita pafupipafupi mothandizidwa ndi dokotala.
Mphamvu ya ichthyol mafuta pochotsa furunculosis
Ndi furunculosis, mafuta odzola okhala ndi mankhwala a antibacterial amagwiritsidwa ntchito makamaka.
Gentamicin | Kufotokozera: Mafuta m'machubu, kuyambira 15 mpaka 80. Gentamicin ndi mankhwala opha tizilombo m'matenda ambiri, kuphatikizapo staphylococcal. |
Momwe mungagwiritsire ntchito: Ikani zochokera kumalo a zilonda 2 - 3 pa tsiku. Nthawi zambiri, njira ya mankhwala kumatenga masiku 7-14.
Njira yakugwiritsira ntchito 1. Ikani mafuta pang'ono m'malo mwake
komwe zilonda 2 mpaka katatu patsiku.
Njira yakugwiritsira ntchito 2. Pangani zovala zanu ndi mafuta a tetracycline. Sinthani maola onse 12 mpaka 24.
Momwe mungagwiritsire ntchito: Pangani mavalidwe anu ndi zovala za chloramphenicol, musinthe kamodzi patsiku.
- chloramphenicol - antibacterial wothandizila mu matenda amchere
- methyluracil - mankhwala amene amachititsa minofu kusinthika
Kufotokozera Levomekol sikutiangotchulanso antibacterial katundu, komanso amathandizanso kubwezeretsa kwa minofu. Chifukwa chake, amagwiritsidwa ntchito ngati zithupsa zazikulu zotsegula kuti ayeretse mwachangu komanso kuchiritsa.
Njira yolera: Thirani chopukutira chopopera ndi mafuta ndikuchigwiritsa ntchito pachilondacho. Ikani lamba. Chitani mavalidwe tsiku lililonse.
Njira yogwiritsira ntchito. Ikani lingaliro m'dera la chithupsa. Ikani bandeji pamwamba. Pangani zovala zanu tsiku ndi tsiku.
Njira yogwiritsira ntchito: Dime Didexide yokhala ndi chosabala. Gwirizanitsani chithupsa pamalopo, ikani bandeji. Chitani zovala tsiku lililonse.
Momwe muyenera kuchitira balere
Malinga ndi ziwerengero, pafupifupi 85% ya achikulire kamodzi kamodzi m'miyoyo mwawo adakumana ndi izi. Koma kudzipereka nokha kapena kunyalanyaza kwathunthu zizindikiro zowopsa ndizowopsa. Pakakhala chithandizo chokwanira, chosafunikira chimatha kutsegulidwa ndikutulutsa chikasu cha chikasu ndikupanga chilonda pakhungu kapena chilema pamzera wokula wa eyelash.
Barele yakunja, monga lamulo, imadutsa pambuyo pakupereka chithandizo, komanso mkati ingafunike opaleshoni yolowerera. Ndalama zonse ziyenera kutumizidwa ndi ophthalmologist! Kuperekera kwa mankhwala am'deralo momwe akutsikira ndi njira zothetsera nthawi zambiri kumafunikira. Chifukwa chake, Albucid, yankho la mankhwala amtundu wa penicillin, erythromycin kapena glamicin akhoza kukhazikitsidwa.
Othandizira a antibacterial a m'badwo wotsiriza amakhala ndi matenda osakanikirana a matendawa ndipo nthawi zambiri amapereka mwachangu. Tobrex, Ciprolet yemwe adayikidwa m'manda ophatikizika, amathandizira kuthetsa kutupa ndikuyambitsa msanga njira. Mitsitsi yodziwika ndi chloramphenicol imatchulidwanso kuti achire.
Zodzola mafuta ndi ma gels sizikhala zovuta nthawi zonse kugwiritsa ntchito mankhwalawa, chifukwa amachoka mwachangu m'deralo. Koma nthawi zina, adotolo amatha kutumiza tetracycline, hydrocortisone, erythromycin.
Chithandizo kuchipatala chitha kukhala chofunikira ndikuwonetsa kawiri kawiri komanso chithandizo chofunikira cha opaleshoni.
Matenda a shuga: kusiyana kwa kubereka
Matenda a shuga a mtundu wachiwiri wa maphunzirowa ali ndi dzina lina - lotengedwa, lokhala ndi insulin. Njira yamatendawa siyikuphatikiza jakisoni wa mahomoni okumba. Odwala ena angafunikirebe insulini yowonjezera, koma izi ndizotengera njira yayikulu yothandizira.
Odwala matenda ashuga, monga lamulo, amakula ukalamba. Zomwe zimayambitsa ndikuphwanya kwa kagayidwe kazakudya ndikuchulukirachulukira kwa matenda a kapamba. Komabe, mpaka pano, madotolo awona chizolowezi chowononga zaka za odwala matenda ashuga.
Kupezeka kwa mtundu wachiwiri wa matendawa mu ana ndi achinyamata kumaonekera kwambiri. Izi zitha kufotokozedwa mosavuta osati kuwonongeka kachilengedwe kokhako, komanso ndi mtundu wotsika wa chakudya wokhala ndi mafuta abwino komanso kusowa kwamaphunziro apamasewera athupi achinyamata. Izi ndi zifukwa zomwe zimapangitsa kuti matendawa akhale achichepere chaka chilichonse.
Aliyense ayenera kudziwa zizindikiro zazikulu za matenda ashuga. Izi zikuthandizani kuti muzindikire matenda a pancreatic komanso kuti muchepetse zovuta za matenda ashuga.
Ndiye kapamba amene amakhala m'mimba kuti achite ntchito ziwiri nthawi imodzi:
- kupanga juwisi wa kapamba, womwe umakhudzidwa ndimatumbo,
- katulutsidwe wa insulin ya mahomoni, yomwe imayang'anira kupatsa shuga ku cell.
Zofunikira pakukula kwa matenda ashuga a 2
Pali zifukwa zingapo zomwe zimayambitsa matendawa kukula kwawo ndipo ali ofanana ndendende chifukwa cha matenda oyamba. Kusiyana kwakukulu ndi vuto la metabolic ndi kusowa kwa kupanga kwa insulin.
Chifukwa chake, kuyambika kwa matendawa kumathandizidwa ndi:
- kupanga insulin yokwanira,
- kukana kwa maselo amthupi ku zotsatira za mahomoni (makamaka mu minofu yamafuta, chiwindi ndi minofu),
- onenepa kwambiri.
Magawo oyamba a shuga omwe amapezeka amadziwika ndi kupezeka kwa insulin yayikulu, chifukwa thupi limatha kubisala. Popita nthawi, kupangika kwa mahomoni kumachepa pang'onopang'ono ndikupita ku zero.
Kulemera kwambiri kumatha kutchedwa chinthu chofunikira kwambiri pakukula kwa mtundu wachiwiri wa matenda ashuga. Kuphatikiza apo, mafuta owopsa kwambiri amakhala m'mimba (mawonekedwe a kunenepa kwambiri), omwe amachititsa kuti azingokhala mwamtendere komanso aziluma mofulumira popita.
Zakudya zopanda pake ndi kudya kwambiri mafuta osakanikirana ndi kuchepetsedwa kwakukulu kwa ulusi wopaka ndi mafini amathanso kutchedwa chofunikira pamavuto a insulin.
Kodi tiyenera kudziwa chiyani ngati kukana?
Kukaniza (kukana) ndiko kukaniza kwa thupi la munthu pazotsatira za insulin. Njira yodabwisa iyi imabweretsa mavuto ambiri:
- kuchuluka kwa kuthamanga kwa magazi
- shuga wamagazi ambiri
- yogwira kukula kwa mtima matenda ndi mtima atherosulinosis.
Maselo a Beta omwe amapanga insulin amagwidwa ndi chitetezo cha wodwalayo (monga mtundu 1 wa shuga), koma pang'onopang'ono amalephera kupanga timadzi tambiri tokwanira.
Chifukwa cha kukondweretsedwa kosalekeza kwamphamvu kwambiri m'magazi a glucose, ma cell a pancreatic amatha, mawonekedwe awo ndikuwonjezera shuga.
Ngati mwapezeka kuti muli ndi matenda a shuga a 2, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga m'magazi anu. Ngati ndi kotheka, majekeseni owonjezera ayenera kuphunzira kuwapanga popanda thandizo.
Mtundu wachiwiri wa matenda umawonedwa nthawi zambiri kuposa woyamba. Ngati tilingalira mu kuchuluka, ndiye kuti tikulankhula za wodwala m'modzi pa anthu 90 aliwonse.
Ndiyenera kuyang'ana chiyani?
Ngati m'mabanja mmodzi mmodzi ali ndi matenda a shuga 2, ndiye kuti izi zimawonjezera mwayi wokhala ndi matenda omwewo kwa abale ake.
Kulemera kwambiri komanso kuthamanga kwa magazi ndizofunikanso kwambiri pakukula kwa matendawa, tinganene kuti insulin ndi kunenepa kwambiri ndizogwirizana mwachindunji. Pafupifupi odwala onse oterewa amadwala mapaundi owonjezera.
Mukamakulitsa kulemera, zimapangitsa kuti azikhala ndi matenda ashuga. Potengera komwe kudwala matenda obisika, coronary thrombosis kapena stroko imayamba.
Ngati munthu amagwiritsa ntchito diuretics ndi corticosteroids, ndiye kuti ayenera kudziwa kuti mankhwalawa atha kuwonjezera zovuta zowonjezera matenda ashuga a 2.
Kodi mungapewe bwanji matenda?
Madokotala amalimbikitsa njira zoteteza zomwe zingathandize kupewa matendawa. Ndikofunika kuyesa kukhala ndi moyo wathanzi ndikusiya zolaula. Ngakhale utsi wachiwiri umasokoneza thanzi.
Kusintha kuzakudya zopatsa thanzi ndi upangiri wabwino. Izi zikuthandizira kukhala ndi mitsempha yathanzi ndi mitsempha, komanso kusunga cholesterol m'malo ovomerezeka.
Ndi chakudya chopatsa thanzi chokhala ndi fiber, ochepa shuga komanso michere yosavuta yomwe ingathandize kuchepetsa kunenepa komanso kuchepetsa matenda a shuga a 2.
Anthu omwe ali pachiwopsezo cha matenda ashuga kapena akumana ndi mavuto akuwunika momwe adyera komanso monga zakudya zawo:
- kaloti
- nyemba zobiriwira
- Zipatso za malalanje
- kabichi
- radishi
- belu tsabola.
Muyenera kusamala ndi kusintha kulikonse paumoyo wanu, zizindikilo za kuchuluka kapena shuga wamagazi ochepa. Musaiwale za kupitilira mayeso okonzekereratu ndipo nthawi zonse funani thandizo kuchipatala ngati mukumva bwino. Izi zithandiza kupewa zovuta zambiri za matenda ashuga.
Zizindikiro za abscesses, matenda ndi njira zazikulu zochizira
Thumba lamalonda ndi malo achinyengo komanso mafinya m'ziwalo kapena minyewa. Omwe amathandizira nawo amachititsa matenda. Chithandizo chowoneka - kokha mwa opareshoni - chithupsa chimatsegulidwa ndipo umtsi wake umatsitsidwa.
Kodi chotupa ndi chiyani
Ma Abscesses kapena abscess, umu ndi momwe timadzi timadzi tambiri tomwe timapangidwira mu ziwalo zamafuta ndi ziwalo zosiyanasiyana zimadziwika. Ndikofunikira kusiyanitsa zotupa ndi phlegmon (kuphatikiza kutupa kwa mafinya), kuchokera ku kupuma (mafinya amadzaza mu minofu yam'mimba, kapena ziwalo). Nthawi zambiri zotupa zimayamba chifukwa cha matenda opatsirana, omwe amakwiya ndi Proteus ndi Staphylococcus aureus, E. coli, etc., omwe amalowa thupi kuchokera kunja.Matendawa amatchedwa exo native. Komanso, matenda amkati amayamba pafupipafupi, omwe amapezeka pakufalikira kwa ziwalo zina:
- abscesses odontogenic, subphrenic ndi paratonsillar.
- metastatic abscess yam'mapapo, mtima, impso ndi ziwalo zina.
Mapangidwe a abscess amatha kulimbikitsidwa ndi aseptic minofu necrosis, pambuyo pokhazikitsidwa kwaukhazikika kwa mankhwala (25% yankho la magnesium sulfate) mwa iwo.
Zomwe zimapangidwazi zimaphatikizapo kukhalapo kwa membrane wa pyogenic. Ili ndiye dzina la khoma lamkati lamkati patus, lomwe limapangidwa ndi minofu yozungulira malo achitetezo. Uku ndi kuchita kwathunthu kuteteza thupi. Nembanemba yotere imakhala ndi minofu ya granulation, yomwe imakhala malire a purulent-necrotic process, ndikupanga exudate.
Malo omwe pali ma abscesses amadziwika ndi izi, mawonetsedwe apamwamba: kutupa ndi kufupika, kupweteka komanso kuphwanya ntchito, kutentha thupi pamalo owonongeka. Nthawi zina, pamakhala kusinthasintha. Pankhani ya chifuwa chachikulu cha chifuwa chachikulu, mafinya amatha kufalikira pang'onopang'ono pakati pa tinthu tating'ono kwambiri kuchokera pamalo pomwe pali cholinga chachikulu. Izi zitha kukhala zodabwiza pamwamba pa ntchafu ndi mapangidwe a nytechnik kapena zilonda zam'mimba.
Zizindikiro zazikuluzikulu za chikopa
Chithunzi chachipatala cha ma abscesses chimakhala chofanana ndi njira iliyonse ya purulent-yotupa, kaya ali kuti:
- Kutentha kumawonjezeka, makamaka m'malo ovuta kwambiri, mpaka 41 ° C,
- kufooka ndi malaise zimadziwika,
- kupweteka mutu komanso kusowa kudya.
Kuyesedwa kwa magazi kumawonetsa leukocytosis ndi neurophylosis, ndi formula ya leukocyte yosinthidwa kumanzere. Kuchuluka kwa ESR. Mlingo wa kusintha umatengera kuuma kwa njira yonseyo. Chithunzicho chimatha kusiyanasiyana kutengera gawo lomwe lakhudzidwa. Zotsatira zomveka za chosemphana zimatha kukhala mwayi woti mutangotsegula pakatha izi:
- kunja - minofu yamkati, paraproctitis, mastitis, etc.,
- mkatikati - m'matumba otsekedwa - m'mimba, m'mitsempha, mosiyanasiyana, ndi zina zambiri,
- mu lumen pakati pa ziwalo zomwe zimalumikizana ndi chilengedwe chakunja - m'mimba ndi chikhodzodzo, bronchi ndi matumbo.
Ndi njira yabwino, mutatsikira, patsekeke limachepetsedwa ndikuwonongeka. Kutulutsa kosakwanira komanso kukhetsa kwake kosakwanira kumatha kumasulira njirayi kukhala yopanda gawo, ndikupanga fistulas. Pankhani yakuphulika kwa mafinya mu chitseko chotsekedwa, njira zowoneka bwino zitha kupezeka, maonekedwe a pleurisy, peritonitis, nyamakazi, meningitis, etc.
Kuzindikira ndi kuchiza kwa abscess
Kuzindikira kwathunthu kumatha kupangidwa ndi hematomas, cysts, ndi chotupa chomwe chimasweka. Udindo waukulu umachitika pobzala matenda, mothandizidwa ndi maphunziro a bacteriological. Zimakhala zotheka kudzilekanitsa tizilomboti ndikuwonetsetsa momwe timagwirira ntchito maantibayotiki.
Kuzindikira chikopa kumayambitsa opareshoni, ntchito yayikulu yomwe, mosasamala malo omwe ikuwunikirayo, ndikutsegulira zamkati ndi mafinya, ndikuchotsa ndi kukhetsa kwake kwathunthu. Ngati kathumba kakang'onoko ndipo kakang'ono pansi pakhungu, ndiye kuti chithandizo chake chimachitika. Opaleshoni imachitidwa pansi pa opaleshoni yakumalo, kulowetsedwa, ndi njira zotsatirazi - lidocaine, novocaine, kapena opaleshoni yamitsempha.
Milandu ina, kuphatikizapo omwe akukayikira kuti ali ndi zilonda zamkati mwa ziwalo zamkati, amatanthauza kuti kuchipatala kuli kofunika kuchipatala. Ngati mapapo kapena chiwindi zakhudzidwa, kupuma kumatha kutumikiridwa ndi chidwi cha mafinya komanso kuyambitsa mankhwala opangira maantibayotiki ndi kukonzekera kwa enzyme. Kuyambiranso ziwalo (mwachitsanzo, mapapu) pamodzi ndi chimbudzi kumawerengedwa kuti ndi njira yokhayo, zimagwiritsidwa ntchito pokhapokha ngati pali matenda. Ngati kathumba katumba muubongo ndipo mwatsekeka mu kapisolo, ndiye kuti mutha kuchotsedwa.
Zotupa zotseguka zimathandizanso mabala amatsukidwe. Odwala amalandila chakudya chamagulu komanso chopatsa thanzi, amapatsidwa magazi owonjezera kapena othandizira magazi, maantibayotiki, atapatsidwa chidwi ndi microflora. Ikani mwachindunji mankhwala - enieni a gamma globulin, staphylococcal toxoid. Pankhani ya chitukuko cha abscesses pamaso pa matenda a shuga, kusintha kwa kagayidwe kamene kamayambitsa matenda kuyenera kuchitika.
Ngati mankhwala ayamba munthawi yake ndipo ma abscesses amapezeka mwapadera, m'malo omwe angathe kuchitidwa opaleshoni, ndiye kuti matendawo, monga lamulo, ndiabwino. Ngati opaleshoniyo "yachedwa" kapena ngalowayo ikukwanira, chotupacho chimatha kulowa m'magazi, ndikumakhala kachilombo ka nthawi zonse.
Kodi kulumikizana kwa matenda kuli kuti?
Mankhwala, matenda a shuga amatanthauza kuphwanya thupi la munthu posinthanitsa ndi chakudya ndi madzi, zomwe zimayambitsa kuphwanya kwakukulu kwa kapamba. Anthu odwala matenda ashuga amakhudzidwa kwambiri ndi matenda apakhungu, chifukwa ndi matenda ashuga, chitetezo cha m'thupi chimafooka kwambiri, ndipo misempha ya magazi imadumphadumpha. Zizindikiro zikuluzikulu zomwe zikuwonetsa matenda a shuga ndi matenda opatsirana, kuyabwa, totupa, ndi kutupa kwa khungu. Nthawi zambiri pamakhala matendawa omwe amakhala ndi shuga m'magazi:
- chimbudzi
- matenda a msomali,
- balere m'maso
- pachimake purulent-necrotic kutupa kwa dermis,
- folliculitis.
Chifukwa chiyani furunculosis imakonda kuyenda ndi matenda ashuga?
Furuncle - mafupa obowoka omwe amakhala m'malo a epidermis, pomwe chinyezi chimakulirakulira kapena khungu limasokonekera pafupipafupi, mwachitsanzo, matako, nkhope, nkhata kapena pakhosi. Furunculosis imadziwika ndi kupangidwa kwa zilonda zingapo pakhungu. Kuwoneka kwa chithupsa mu shuga kumalimbikitsidwa ndi kuchuluka kwa shuga mumadzi am'magazi, omwe amakhudza kwambiri chitetezo cha mthupi. Zotsatira zake, wodwalayo amatha kugwidwa ndimatenda osiyanasiyana a etiology oyambitsa matenda, omwe amachititsa kuti furunculosis.
Ndi matenda a shuga komanso kufooka kwa chitetezo m'thupi, chiopsezo chowonongeka ndi mabakiteriya a Staphylococcus aureus, omwe amadzaza ndi masamba a tsitsi, chifukwa chomwe amakondwerera ndi kutaya, akuwonjezeka. Ndi chitetezo chokwanira, mabakiteriya a staphylococcal omwe amalowa m'mazira amatsitsi amachepetsa, ndipo chitetezo chofooka sichitha kuthana ndi matenda oyamba ndi bakiteriya.
Ndikofunikira kuyamba kuchiza zithupsa posachedwa, apo ayi zingachitike zovuta izi:
Zithupsa zosasinthika zimatha kukhala zochulukirapo pakhungu.
- kunyowa
- furunculosis,
- phlegmon
- sepsis
- carbuncle,
- phlebitis
- zotupa zamkati,
- erysipelas.
Chifukwa chake, kuwona zizindikiro zoyambirira za mawonekedwe owuma a pakhungu pakhungu, chithandizo chiyenera kuyambika nthawi yomweyo. Zizindikiro zimatsimikizira izi:
- kutupa kwa malo okhudzidwa,
- redness
- kupweteka pakukhudzana ndi dera lomwe lakhudzidwalo.
Zilonda zam'miyendo zikukula;
Anthu omwe ali ndi matenda ashuga ayenera kusamala kuti asavulaze khungu, makamaka miyendo, ngati zingatheke. Izi ndi zofunikira, chifukwa kuwonongeka kumakhala kovuta kuchiritsa ndi matendawa.
Ndi matenda ashuga, mawonekedwe a purulent amakhala pachiwopsezo chachikulu, amachira kwa nthawi yayitali ndipo ndi ovuta kuchiza. Chitetezo cha m'thupi chimatsitsidwa, thupi limakana kukana bwino, ndipo khungu limafooka.
Poyamba, chilondacho chimayamba kuchira, koma pambuyo pake matendawa amayambiranso ndipo matendawo amawonjezereka, ndipo mankhwalawo amayenera kuyambiranso.
Osatetezeka kwambiri m'lingaliro ili ndi maondo amunthu. Kuchiritsa kwakhungu pakhungu la miyendo kumakhala ndi mphamvu zosiyaniratu poyerekeza ndi mbali zina za thupi. Ndipo ndikofunikira kuichitira, kutengera mawonekedwe ake.
Njira yakuchira, monga lamulo, imakhala yovuta ndi kutupa kosalekeza kwa miyendo yokhala ndi matendawa. Kuphatikiza apo, chilonda chomwe chili kudera lina chimatha kugwira ntchito, koma sichingachitike ndi mapazi anu.
Kodi kuchitira?
Wodwala aliyense yemwe ali ndi matenda ashuga ayenera kuyang'anitsitsa momwe khungu lake lilili komanso kukaonana ndi dokotala wazachipatala nthawi iliyonse akawoneka kuti ali ndi vuto. Monga mukudziwira, ngati izi sizichitika, chithandizo chamankhwala omwe ali ndi kachilombo ndi kovuta kwambiri.
Madokotala amalangiza kuphatikiza chithandizo ndikumayambitsa zakudya zotsatirazi mu zakudya wamba:
Kuvulala kulikonse kwa thupi la munthu wodwala matenda a shuga kuyenera kuthandizidwa ndi antiseptic.
Mafuta okhala ndi maantibayotiki amawonjezeredwa pamankhwala ngati munthu ali ndi:
- malungo
- kutupa ndi kufalikira kwa malowa,
- kuchirikiza ndi kusachiritsa bala.
Maantibayotiki amagwiritsidwa ntchito omwe amatulutsa chinyezi pachilonda, mwachitsanzo, Levomekol kapena Levosin.
Nthawi zambiri, dotolo amakupatsani mitundu ya mavitamini C ndi B komanso maantibayotiki.
Pofuna kuwonongeka ndikusintha khungu pakakonzanso minofu, zotsatirazi zimagwiritsidwa ntchito:
Mafuta a methyluracil, mafuta a solcoseryl, mafuta opangira mafuta mwachitsanzo, "Trofodermin".
Kulimbitsa khungu pamwendo ndikuthandizira pakukonzekera kwake kwa epithelialization (kukulira), ndikofunikira kuti apange chithandizo choyenera. Malowa ayenera kutsukidwa:
- tizilombo
- minofu yakufa ya purulent
- matupi achilendo.
Kuthandizira kuvulala ndi iodophors ndi hydrogen peroxide, mosiyana ndi zomwe ambiri amakhulupirira, ndizosatheka, izi zimapangitsa kuti machiritso a mabala amatsukidwe.
Ngati njira zonse pamwambazi sizipereka zomwe zikuyembekezeredwa, ndiye kuti kuchitira necrosis opaleshoni ndi njira yokhayo yothetsera vuto la mayesedwe ochiritsa.
Kuchiza ndi wowerengeka azitsamba
Pochiza munthu wodwala matenda ashuga, mankhwala achikhalidwe nthawi zambiri amathandiza. Tilembapo zina mwa izi:
- Masamba a celandine. Muyenera kugwiritsa ntchito masamba atsopano, koma ngati kulibe, owuma omwe amafunika kusinthidwa musanachitike. Masamba amamangidwa pachilonda.
- Mizu ya celandine ndi burdock. Kusakaniza kwa mizu ya mbewu yophwanyika ndi zosakaniza zina zimapangidwa:
- muzu wa celandine (magalamu 20),
- mizu ya burdock (30 magalamu)
- mafuta a mpendadzuwa (mamililita 100).
- The osakaniza kuwiritsa kwa mphindi 15-20 pa moto wochepa, ndiye osasankhidwa. Zovulala zomwe zimachiritsa pang'onopang'ono ziyenera kutsukidwa masiku 7 otsatizana, katatu patsiku.
- Mwatsopano nkhaka msuzi. Madzi awa ali ndi antimicrobial kwambiri. Mabala a purulent amapaka ndi madzi a nkhaka, ma compress amapangidwira mabala. Chilonda chikatsukidwa ndi madzi, chithandizo chamankhwala chomwe dokotala amafunikira ndi chofunikira.
Payokha, ndikofunikira kutchula njira yosangalatsa ngati hirudotherapy ya matenda ashuga, yomwe tili nayo chidwi pamalowa.
Njira zopewera
Pofuna kupewa ndi kuchiza matenda a shuga ndi ma neuropathies, madokotala nthawi zambiri amapereka mankhwala omwe ali ndi antioxidant, mwachitsanzo, "Glucberry". Chithandizo chake ndi:
- kupewa misempha
- kukonza mkhalidwe wamanjenje.
Popewa kupanga mabala osachiritsa pamiyendo, malamulo otsatirawa akuyenera kuwonedwa:
- Simungayende opanda nsapato, muyenera kuyang'ana nsapato mosamala,
- Tsiku lililonse, onani malekezero akuvulala kulikonse,
- Sambitsani mapazi tsiku lililonse, pogwiritsa ntchito zinthu zomwe sizimawuma khungu,
- Siyani kusuta. Nicotine imachepetsa kufalikira kwa magazi, komwe kumapangitsa kuti maselo azisinthika komanso kuchiritsira kuvulala kwamkati pamiyendo.
- Kwaniritsani zofunikira zachitetezo mukamagwiritsa ntchito chopukutira, radiator kapena poyatsira moto kuti musayake,
- Mu nyengo yozizira, ndikofunikira kuti muzitenthetsa nsapato zanu ndikukhala mumsewu osaposa theka la ola,
- M'chilimwe, musamavale nsapato zomwe zimakhala ndi zothina pakati pa zala,
- Gwiritsani nsapato zingapo, musinthane ndi mawonekedwe ochepa,
- Musadzichotsere nokha, chimanga ndi chimanga panokha,
- Gwiritsani ntchito nsapato zapamwamba komanso zapamwamba zokha zomwe sizimangirira khungu ndipo sizipaka mafuta ndi zingwe za mphira ndi seams.
Chonde dziwani kuti ndizowopsa kusamba kapena kusamba kwa nthawi yayitali, chifukwa madzi amamasuka ndikutupa pansi pa madzi, izi zimawonjezera mwayi wokhala ndi bala.
Simufunikanso kugwiritsa ntchito mafuta odzola ndi zinthu zina zozikidwa pa mafuta am'kati pochotsa khungu, sizimakhudzidwa ndi khungu ndipo sizibweretsa phindu.
Ndikofunika osagwiritsa ntchito mapangidwe a purulent:
- ayodini
- hydrogen peroxide
- salicylic acid.
Ngati khungu ndi louma kwambiri, muyenera kufunsa dokotala, adzakuwunikirani ngati angakutsanzireni.
Ndikofunikira kudziwa kuti ngakhale kuvulala kochepa kwambiri pamwendo kumafunikira kuthandizidwa.
Ndikofunika kufunsa wothandizirayo kuti afotokozere zambiri, kuti awunikenso moyenera momwe zinthu ziliri ndikupereka mankhwala oyenera.