Matenda a shuga

Tikukulimbikitsani kuti muwerenge nkhaniyi pamutuwu: "mwachangu ndi shuga" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Thumba totupa ndi shuga: chithunzi cha urticaria ndi pemphigus

Maonekedwe a khungu lodwala matenda ashuga, zithunzi zomwe zimatha kuwoneka pa intaneti, ndi chizindikiro chodziwika bwino. Komabe, ndikuwoneka ngati totupa mwa munthu, sizingatheke kuyankhula za matenda, chifukwa zizindikiro zazikulu za matendawa zimayenera kupezeka nthawi zonse - kukodza pafupipafupi komanso kumva ludzu.

Ndikofunikira kwambiri kuwunika momwe khungu lanu limayendera, kuti mupeze mawanga kapena zotupa zokayikitsa, muyenera kulumikizana ndi dokotala. Kupatula apo, matenda ashuga ndi matenda opatsirana kwambiri, omwe ali ndi zizindikiro zambiri.

Chotupa cha khungu chimatha kuwoneka pachiyambi cha chitukuko cha matenda, komanso ndi kupitirira kwake. Zimatengera mikhalidwe ya munthu.

Mu matenda ashuga, khungu la munthu limakhala louma komanso loyipa, nthawi zina limapunduka. Mwa odwala ena, imakutidwa ndi mawanga ofiira, ziphuphu zimapezeka pamenepo. Atsikana ndi amayi amawonongeka tsitsi, pomwe amakhala osakhwima komanso opepuka. Izi zimachitika chifukwa chakuwonjezeka kwa kuzindikira kwa tsitsi la tsitsi pamavuto a metabolic.

Ngati wodwala wayambitsa matenda a alopecia, zikutanthauza kuti chithandizo cha matenda ashuga sichothandiza kapena mavuto ayamba kukulira. Gawo loyambirira la matendawa limadziwika osati ndi totupa pakhungu, komanso ndi kuyabwa, kuwotcha, kuchiritsa kwa nthawi yayitali mabala, matenda oyamba ndi bakiteriya.

Zotupa za pakhungu ndi shuga zimayambitsidwa pazifukwa zosiyanasiyana. Zinthu zikuluzikulu ndi izi:

1. Macro ndi microangiopathy. Ndi chitukuko cha matenda a m'matumbo ndikuwonjezeka kwa shuga m'magazi, ma capillaries samalandira mphamvu yofunikira, gwero lake la glucose. Chifukwa chake, khungu limakhala louma ndikuyamba kuyatsidwa. Kenako mawanga ndi ziphuphu zimatuluka.
2. Kuwonongeka kwa mamolekyulu a shuga. Ndi chifukwa chosowa kwambiri cha chizindikiro ichi. Pali kuthekera kwa shuga kulowa m'magazi ena a khungu, komwe kumayambitsa kukwiya mkati ndi microdamage.
3. Matenda opatsirana. Ndi matenda a shuga, chitetezo chamthupi chimafooka, motero wodwala amadwala kwambiri ndi chimfine pafupipafupi. Kuphatikiza apo, chifukwa cha kuphatikiza zotupa pakhungu, mabala amapezeka pomwe matenda osiyanasiyana amagwera, natulutsa zopangidwa ndi poizoni zomwe zimagwira pamenepo.

Kuphatikiza apo, zomwe zimayambitsa mafinya zimatha kukhala zolephera zingapo. Ndi kukula kwa matenda amtunduwu, chiwindi chimadwala.

Zotsatira zake, totupa zosiyanasiyana zimatha kuwoneka pa thupi, zomwe zikuwonetsa kuwonjezeka kwa shuga m'magazi.

Atazindikira zomwe zimayambitsa zotupa pakhungu, mtundu wawo uyenera kutsimikizika, womwe ungathenso kunena za gawo la matendawa komanso zovuta zilizonse. Ndipo, izi, zotupa za pakhungu ndizosiyanitsidwa:

1. Poyamba Zimachitika chifukwa cha kuchuluka kwa nthawi yayitali m'magazi a shuga. Mukachulukitsa kuchuluka kwa shuga m'magazi, ndiye kuti matendawa amayamba.
2. Sekondale Chifukwa cha kuphatikiza totupa, mabala amapezeka momwe mabakiteriya amakhazikika. Komabe, samachiritsa kwa nthawi yayitali. Chifukwa chake, ndikofunikira kumwa mankhwala omwe amachotsa mabakiteriya, ndipo zitatha izi ndizotheka kuthana ndi vuto la zotupa pakhungu.
3. Tertiary. Zimachitika chifukwa chogwiritsa ntchito mankhwala.

Kuphatikiza apo, zizindikiro zowonjezera zomwe zimatsatana ndi totupa thupi zimatha kukhala:

• Kuwotcha ndi kuyabwa m'dera la zotupa.
• Kusintha kwa khungu, zotupa zimasanduka zofiirira, zofiirira, zamtambo.
• Choyambirira chitha kupezeka thupi lonse, choyambirira, chimawoneka pamunsi. Izi ndichifukwa choti miyendo ili kutali ndi mtima ndipo koposa zonse imasowa michere ndi mphamvu.

Kusintha koteroko kukapezeka pakhungu, ndikofunikira kupita ku dokotala, yemwe adzatumizire wodwalayo matenda ake amtsogolo.

Kutupa ndi kukana insulini komanso kusokonezeka kwa magazi

Pankhani yakuphwanya zamkati mwa maselo a thupi kuti mupeze insulin, nthendayo ikhoza kuchitika - acantokeratoderma. Zotsatira zake, khungu limadetsedwa, m'malo ena, makamaka m'mizere, zisindikizo zimawonekera. Ndi matendawa, khungu pakhungu lomwe lakhudzidwa limakhala lofiirira, nthawi zina kukweza kumawonekera. Nthawi zambiri, izi zimakhala zofanana ndi njerewere zomwe zimachitika m'mphepete, m'miyendo, komanso pansi pa chifuwa. Nthawi zina zizindikiro zotere zimatha kuoneka pa zala za odwala matenda ashuga.

Acanthekeratoderma ikhoza kukhala chizindikiritso cha matenda a shuga, ngati muwona zofananira, muyenera kufunsa dokotala mwachangu. Kuphatikiza apo, matenda a acromegaly ndi Itsenko-Cushing angayambitse.

Vuto lina lalikulu ndi matenda ashuga a lipodystrophy, pomwe minyewa komanso mafinya amasintha m'thupi, manja ndi miyendo zimasintha. Kutalika kwa khungu kumakhala kochepa thupi komanso kofiira. Chophimbacho chikawonongeka, mabala amachira pang'onopang'ono chifukwa chakuchuluka kwa matenda osiyanasiyana olowa mwa iwo.

Dermopathy ya matenda ashuga ndi matenda ena omwe amayamba chifukwa cha kusintha kwa mitsempha yamagazi. Zizindikiro zake zazikulu redness, khungu loonda, kuyiyamwa kosalekeza.

Odwala ambiri amatha kudwala sclerodactyly. Matendawa amadziwika ndi kukula kwa chikopa pazala zakumanja. Kuphatikiza apo, imagwirizana ndikukhala waxy. Chithandizo cha matenda amtunduwu ndicholinga chotsitsa glucose wamagazi, ndipo adotolo amatha kukupatsaninso zodzoladzola kuti uzipetse khungu.

Mnzake wa matenda atha kukhala wopupuluma. Mothandizidwa ndi insulin yayikulu, mafuta sangatulutsidwe magazi. Matendawa amawonetsedwa ndi zikwangwani za kumbuyo za manja, miyendo, manja, miyendo, matako.

Nthawi zina matenda a diabetes a pemphigus amatha, zizindikiro zomwe zimakhala zotupa pazala ndi zala zakumiyendo, miyendo ndi manja. Matendawa amakhalanso ndi odwala omwe ali ndi matenda ashuga akulu kapena okalamba.

Si matenda onse omwe amayamba ndi "matenda okoma" omwe adaperekedwa pamwambapa. Mndandandawu umalankhula za zomwe zimachitika kwambiri zomwe odwala matenda ashuga ambiri amadwala.

Poyerekeza ndi za matenda ashuga, matenda ena amatha kuoneka. Chifukwa chake, zotupa pakhungu sizimangotanthauza kutuluka kwa "matenda okoma."

Dokotala wodziwa bwino azitha kusiyanitsa zotupa pamaso pa anthu odwala matenda ashuga monga:

1. Mafinya, malungo ofiira, rubella, erysipelas. Posankha matendawa, kupezeka kapena kusapezeka kwa shuga wambiri kumatenga gawo lalikulu.
2. Matenda osiyanasiyana amwazi. Mwachitsanzo, ndi thrombocytopenic purpura, zotupa zotuwa zimachitika, zomwe ndizochulukirapo nthawi zambiri kuposa zomwe zimagwirizanitsidwa ndi matenda a shuga.
3. Kupezeka kwa vasculitis. Pakakhudzidwa ndi capillaries, totupa yaying'ono yofiyira imawoneka pakhungu. Kuzindikira matenda, dokotala ayenera kupenda wodwalayo mosamala.
4. Matenda oyamba ndi mafangasi. Kuti muzindikire molondola, muyenera kutenga zitsanzo kuti musanthule. Sikovuta kuti dokotala azindikire bowa, chifukwa chiwonetsero chazidziwitso cha kuukira chikuwonekera pakhungu.
5. Matenda a shuga. Mwachitsanzo, urticaria imawonetsedwa ndi zotupa pakhungu, monga matenda ashuga.

Ngati dokotala wakupita amakayikira chomwe chimayambitsa matenda otupa, kaya ndi matenda ashuga kapena matenda ena, amamulembera mayeso ena kuti adziwe ngati ali ndi matendawo.

Choyambirira chake pakuwoneka ngati totupa pakhungu ndi hyperglycemia - kuwonjezeka kwa shuga m'magazi. Ndi chifukwa chake muyenera kumenya nkhondo, kubweretsa zomwe zili ndi glucose kukhala zabwinobwino.

Kuti muchite izi, muyenera kuphatikiza moyo wokangalika ndi kupumula, idyani pomwe, nthawi zonse onani kuchuluka kwa shuga ndikumwa mankhwala kutengera mtundu wa matenda.

Kuphatikiza pa kuchepetsa misempha ya magazi, pakachitika zovuta zambiri, njira zotsatirazi zingagwiritsidwe ntchito:

• anti-yotupa mankhwala
• mafuta odzola a antibacterial,
• anti-allergic and antihistamines,
• kupweteka kwapakati.

Wodwala akangowona kuti thupi lake liyamba kukhazikika, ndikofunikira kukaonana ndi dokotala. Izi zitha kukhala chizindikiritso cha matenda ashuga kapena zovuta zake, komanso matenda ena owopsa omwe amafunika kuphatikizidwa. Kanemayo munkhaniyi akuwonetsa kuwopsa kwa khungu pakhungu.

Kuphatikiza pa kusintha kosawoneka ndi maso komwe kumachitika ndi ziwalo zamkati ndi mucous nembanemba mkatikati mwa thupi, pali zizindikilo zakunja za shuga pakhungu, kutengera mtundu, zaka zamatenda, zaka za wodwalayo, kupambana (kapena kupanda pake) kwa mankhwalawa, zikuwonetsa zambiri kapena zochepa.

Izi ndi zina mwanjira zovuta zowonetsera khungu (poyambirira), kapena kutsata osati kuwonongeka kwa khungu, komanso kuphatikizidwa kwa zida zakuya kwambiri (zachiwiri, zokhudzana ndi zotsatira za matenda a shuga.

Ngakhale kuti ndizovuta kuzindikira kuwunika kwa kusintha komwe kwachitika m'thupi kuchokera pazithunzi za intaneti, chenicheni chakuti "zidafalikira" (mkati ndi pakhungu) zimawonetsa kufunikira kwake - ndikufunika kwa njira yatsopano - kachitidwe kazinthu kuthana ndi matenda osachiritsika.

Kuphatikiza pa kuthetsa thupi ndi kukoka pafupipafupi mwamphamvu, kutsekemera kwa mkodzo (chifukwa cha kukhalapo kwa shuga mkati mwake), chimodzi mwazizindikiro zoyambirira za matenda ashuga ndi kusowa kwamadzi, komwe kumawonetsedwa ndi ludzu losasunthika komanso pakamwa pokhazikika, ngakhale kumwa kwambiri.

Kukhalapo kwa zizindikirozi kumachitika chifukwa cha kusokonezeka kwakukulu kwa njira zamankhwala am'mwazi, chifukwa chake madzi akuwoneka kuti "akuyenda", osalowa mkati.

Hyperglycemia (shuga wowonjezera wamagazi chifukwa cha vuto la carbohydrate metabolism) ndi omwe amachititsa izi, chifukwa chomwe kagayidwe kam'thupi mu ubongo kamasokonezedwa ndi kupezeka kwake kusokonezeka.

Kusokonezeka kwa njira zobisika za kuwongolera kwa ubongo kumayambitsa kusokonezeka pakugwira ntchito kwamanjenje ndi minyewa - chifukwa, mavuto amabwera ndi magazi komanso minyewa yamtunduwu, yomwe imayambitsa chisokonezo.

Pokhala ndi michere yoperewera, "kusefukira" ndi zinthu za poizoni zomwe sizichotsedwa m'nthawi yake, minofu imayamba kuzimiririka kenako ndikuwonongeka.

Maonekedwe a integument chifukwa cha matendawa amasintha kwambiri, ndikupereka chithunzi cha kuzimiririka chifukwa:

• kukula kwa khungu, lomwe lasiya kuchepa,
• kupindika kwambiri, makamaka pakhungu.
• maonekedwe a calluses m'manja ndi kumapeto,
• kusweka kwa khungu, kupeza mtundu wachikaso,
• kusintha kwa misomali, kusinthika kwawo ndi kukula kwa mbale chifukwa cha matenda am'mimba,
• tsitsi losalala
• maonekedwe a malo owala.

Chifukwa cha kuuma kwa zigawo zikuluzikulu za khungu ndi ziwalo za mucous, zomwe zasiya kukwaniritsa udindo wawo woteteza, kuyabwa pakhungu, zomwe zimayambitsa kuphatikiza (kuonetsetsa kuti matenda atha kutenthedwa - tizilombo toyambitsa matenda amalowa m'matumbo a minofu), odwala matenda ashuga amatenga matenda a pustular - mu achinyamata ndi achinyamata awa:

• folliculitis
• zithupsa ndi zina zakuya zamkati,
• mawonetseredwe a candidiasis.

Zithunzi zotupa wamba:

Zovuta za trophic khungu la scalp malo zimayambitsa kusokonezeka kwa thukuta ndi zotupa za sebaceous (ndi mawonekedwe a zovuta komanso zimayambitsa - yunifolomu ya mutu wonse - kutayika kwa tsitsi).

Mkhalidwe wophimba madera akumunsi umakhudzidwa makamaka - chifukwa chofunikira kwambiri pakuchita masewera olimbitsa thupi m'munsi, kutsekeka kwa mitsempha yolimba kumakhala kolimba, komanso, miyendo imangokhala yovala komanso kuvala zovala, zomwe zimapititsa patsogolo magazi.

Zonsezi zimathandizira kuoneka ngati chopanda magazi, pomwe kuwerengera ndi kuvulala pang'ono ndizovuta kuchiritsa - koma nthawi yomweyo zimayamba kuchepa.

Kusintha kwa pH pamtunda wa totg sikumangoyambitsa kukhazikitsidwa kwa kachilombo kakang'ono, komanso kuvomereza kupulumuka kwa zomera za mycotic (fungal) pa izo - candida (yisiti-monga, yomwe imayambitsa thrush) ndi ndere.

Pamodzi ndi zizindikiro zoyambirira za matenda ashuga monga kuyabwa (makamaka kumaliseche), nthawi yamachiritso yovulala pang'ono (abrasions, mabala, abrasions), keratosis-acanthosis ndikuwonekera kwa kupindika kwa matope, malo amchiberekera (okhudza mbali zamtumbo) maonekedwe a matenda enaake - matenda ashuga:

Kunena zakunja kwa machitidwe omwe amapezeka mkati mwa minyewa ndiyo njira ya matenda a shuga.

Amawonetsedwa ndikuwoneka ngati ma papules a utoto kuchokera pabuka kufupi ndi bulauni, wamtunda yaying'ono (kuchokera pa 5 mpaka 10-12 mm), wokhala ndi miyendo, nthawi zambiri pamphepete mwa miyendo.

Pambuyo pake, amasinthidwa kukhala ma atrophic hyperpigmented malo okhala ndi khungu lopindika, lomwe limatha kukhalabe ndi moyo ndikuwonekeranso patatha zaka 1-2 (chifukwa cha kusintha kwaposachedwa komanso kuchepa kwa kusasamala kwazinthu zina za microangiopathy.

Samayambitsa kusasangalala ndi maphunziro, safunikira chithandizo chapadera, nthawi zambiri, zimadziwika kuti matenda amtundu wa shuga wachiwiri kwa abambo omwe ali ndi "chidziwitso" chachikulu.

Chodabwitsachi, chomwe chimagwira ngati kupitiriza kwa njira ili pamwambapa, ndi chitukuko cha khungu la dystrophy pakhungu chifukwa chakufa kwa zinthu zake zomwe zidapangidwa ndikusinthana ndi khungu lawo.

Ndi mkhalidwe wofala kwambiri mwa akazi kuposa amuna, amadziwonetsa yekha mu 1-4% ya odwala matenda a shuga omwe amadalira insulin (mosaganizira zaka, koma nthawi zambiri mkati mwa zaka 15 mpaka 40 mpaka 40).

Palibe kufanana momveka bwino ndi momwe matenda amalembedwera (matenda atha kuthandizira onse kupezerapo kuchipatala chokwanira ndikuchitika nthawi yomweyo), zomwezi zimagwiranso ntchito pakuvuta kwa matenda ashuga.

Mosasamala malo omwe jakisoni wa insulin, foci (yokhayokha, yokhala ndi malo akulu a zotupa) amadziwika pamiyendo, kumayambiriro kwa njira yodziwika ndikupanga mawanga omwe adakwezedwa pamtunda kapena mabulangete osalala okhala ndi malo osalala osalala.

Amakhala ndi mtundu wamtambo wamtambo, wokhala ndi zozungulira kapena zotanthauzidwa ndi malire opendekeka bwino omwe amasunthira kufayilo pamene cholinga chikukula. Maonekedwe omaliza a mapangidwewa ndiwokhazikika kotero sizitengera kusiyanasiyana kuchokera kumapangidwe ofanana (anular granuloma ndi zina).

Izi zimapangidwa mwachangu kuchokera kuzinthu zozungulira, zimakhala ndi mbali yolunjika mbali ya kutalika kwa miyendo (chowongoka kapena polygonal).

Shaft yotupa yokhazikika yokhala ngati mawonekedwe a mphete (ya cyanotic pinki yotsekemera) imazungulira pakati pakumalowako (kutulutsa utoto wachikasu mpaka kutalika), ngati kuti kwawotcha, koma makamaka kukhala ndi msambo womwewo ndi khungu lozungulira.

Chithunzi cha zotupa za pakhungu ndi lipoid necrobiosis:

Kupitiliza njira za atrophic pakatikati pa maphunziro kumabweretsa mawonekedwe a:

• telangiectasias,
• Hyperpigmentation
• zilonda.

Kusintha kapangidwe ka khungu sikumapangitsa kuzindikirika, zilonda zimawoneka pokhapokha zilonda zayamba.

Zosintha zina pakhungu lomwe limadwala matenda a shuga zimaphatikizapo izi:

1. Dongosolo la matenda ashuga lipodystrophy - atrophy (mpaka kutha kwake kwathunthu) kwamtambo wamafuta othinana ndi zotsatira zake zowonda pakhungu, maonekedwe a "misempha ya kangaude" - teleangiectasias, kuwonongeka kwa khungu pakapangidwe pambuyo pake.
2. Xanthomatosis - mawonekedwe a mawonekedwe opyapyala, ozungulira, mtundu kuchokera ku chikaso chofiirira, chakumaso pamwamba pa khungu (nthawi zambiri matako, kumbuyo, kawirikawiri pankhope, miyendo).
3. Hyperkeratosis - keratinization wambiri, zomwe zimatsogolera khungu la mapazi (chifukwa cha kuwonongeka kwa mitsempha ndi mitsempha yamagazi chifukwa cha kusokonezeka kwa magazi ndi kusungika kwa malo mkati).
4. Matenda oyamba ndi mafangasi (popanga zithupsa, ma carbuncle komanso matenda akhungu kwambiri).
5. Ma granulomas ooneka ngati mphete - kuphimba mapazi ndi manja a totupa, atakhala ndi zomata.
6. A shuga pemphigus.

Kutumphukira kwa matenda ashuga (onani chithunzi) ndikutuluka kwa khungu lomwe limapangidwa pakati pake ndi madzimadzi a dermis, zomwe zimapangitsa kuti pakhale chitsime chokhala ndi seramu kapena seramu yosakanikirana ndi zinthu zamagazi - hemorrhagic. Ngakhale kuphatikiza kwa madzimadzi mu chikhodzodzo, kumakhala kosalala.

Ngakhale kupweteka kwamapangidwewo (kukhala ndi mulifupi mwake mamilimita kapena ma sentimita angapo) komwe kumachitika pankhope, m'khosi, kumanzere kapena mkono, mwadzidzidzi, popanda kufiyanso m'mbuyomu, kuyabwa kapena zizindikiro zina, kumapangitsa chidwi cha wodwalayo, ngakhale kuti chimasowa popanda zotulukapo. zosawerengeka monga zimawonekera (mkati mwa masabata 2-4).

Gawoli lili ndi:

• zotupa bakiteriya
• matenda oyamba ndi fungus.

Bacteria matenda a pakhungu ndi matenda a shuga amatha kwambiri kuposa odwala omwe alibe endocrine pathology.

Kuphatikiza zilonda zam'mimba za shuga, zomwe zimapangitsa kuti pakufunika kuduladula miyendo pamlingo wambiri komanso kufa ndikapangidwa kumapazi, palinso zosankha zingapo za streptococcal ndi staphylococcal pyoderma:

• mafuta amoto,
• zithupsa,
• phlegmon
• mapa,
• panariti,
• paronychia.

Kupezeka kwa njira zogwirizanirana ndi matenda opatsirana komanso kutupa kumapangitsa kuti wodwalayo azikhala wowonjezereka, kutalika kwa nthawi yayitali ya magawo omwe kuwonongeka kwa matendawa komanso kuwonjezereka kwa zofunika za insulin.

Mwa zovuta za pakhungu la fungal, candidiasis, zomwe nthawi zambiri zimayambitsa mitundu ya Candida albicans, ndizofunikira kwambiri.

Omwe angatengeke kwambiri ndi odwala okalamba komanso osachepera zaka zambiri, odwala omwe ali ndi thupi lolemera, komwe magawo amitundu yosiyanasiyana ya khungu amakhala malo omwe amakonda kwambiri kutengera:

• inguinal
• wachiwerewere,
• zocheperako
• pakati pamimba ndi pelvis.

Osatinso "kuchezeredwa" ndi bowa ndi ziwalo zamkati ndi kumlomo wamkati, matenda oyamba omwe amatsogolera kukukula kwa:

• vulvitis ndi vulvovaginitis,
• balanitis (balanoposthitis),
• angular cheilitis (ndi kutukuka mu ngodya mkamwa).

Candidomycosis, yomwe nthawi zambiri imakhala chizindikiro cha matenda ashuga, mosasamala kanthu komwe ikupezeka, imadziwonetsa ngati kuyimitsidwa kwakufunika komanso kosasangalatsa, komwe mawonekedwe a matendawa amalumikizana nawo.

Monga tikuwonera pachithunzichi, maceration a khungu ndi "bedi" lokonzedwa lopangidwa "kufesa" kwa bowa.

Ichi ndi chopukutira (chopangidwa chifukwa cha kuchepa kwa stratum corneum) cyanotic-wofiirira, chonyezimira ndi chinyezi kuchokera pakukhetsa thukuta kuchokera pazigawo zomwe zili pansi pa epermermis, komanso, chimabisidwa m'khola la thupi (mpweya sufunikira kwambiri kwa yisiti pathogen, koma kutentha kumathandizira kumera kwa spores ndi kukula kwa nkhungu yamtunduwu).

Dera la kukokololoka ndi ming'alu ya m'mphepete limayang'aniridwa ndi gawo la "zowonekera", zomwe zimayang'aniridwa ndi timabowo ting'onoting'ono, pakutseguka komwe kumachitika kukokololako kwachiwiri, komwe kumakhala kophatikizana ndipo (nthawi yomweyo) kumakula ndikukula kwa dera lomwe likuyang'aniridwa ndikukula kwake mu "dothi".

Popeza pali matenda oyamba (matenda ashuga), njira z ukhondo zokhazokha zosamalira khungu lopepuka komanso lopanda mphamvu sizingabweretse phindu.

Kuphatikiza kwawo kokha ndi kugwiritsa ntchito othandizira ochepetsa shuga omwe ali oyenera mtundu wa matendawa ndi omwe angapereke zotsatira zokwanira.

Koma chifukwa cha kukhalapo kwa zovuta zambiri pamatenda ambiri, komanso mwanjira iliyonse, komanso chifukwa chakufunika kwa ma labotale kuwongolera kuchuluka kwa shuga, adotolo akuyenera kutsogolera ntchito ya mankhwalawa.

Kanema wokhudza chisamaliro cha matenda ashuga:

Palibe zanzeru kugwiritsa ntchito njira za "mankhwala achikhalidwe" zomwe zitha kulowa m'malo mwa chithandizo chamankhwala choyenerera - pokhapokha kuvomerezedwa ndi dokotala wowagwiritsa ntchito angagwiritsidwe ntchito (munjira yoyeserera mosamala kwambiri kuchulukitsa kwa njira).

Ndi zovuta za pakhungu, chithandizo chotsimikiziridwa bwino chimakhalabe chofunikira:

• kuchokera pagulu la utoto wa aniline - 2 kapena 3% yankho la methylene buluu (buluu), 1% diamondi-grun (yankho la zakumwa za "zinthu zobiriwira"), yankho la Fucorcin (kapangidwe ka Castellani),
• pastes ndi mafuta okhala ndi 10% boric acid.

Pankhani ya kachilombo kakang'ono, fungal, kapena matenda osakanikirana, nyimbozo zimasankhidwa mogwirizana ndi zotsatira za mayeso a labotale - microscopic komanso pathogen yolowetsedwa pakatundu wazakudya, ndikutsatira kuzindikira chikhalidwe cha pathogen komanso chidwi chake pamagulu osiyanasiyana a mankhwala (antimicrobial or antifungal).

Chifukwa chake, kugwiritsa ntchito njira zamtundu wa "wowerengeka" sikungopitilira njira imodzi yotaya nthawi yamtengo wapatali komanso kungayambitse vuto lakhungu ndi matenda a shuga. Katswiri wa zamankhwala ayenera kuthana ndi mavuto a machiritso ake.

Osatinso kuzizira kosavuta ndi matenda ashuga: zoyambitsa ndi chithandizo

Werengani nkhaniyi

Vuto la pakhungu la odwala matenda ashuga limatha kukhala mawonetseredwe oyamba a matendawa, komanso kupatsirana komwe kumayambira pakapita nthawi yayitali matenda ashuga. Zambiri zimakhudzidwa pakuwoneka ngati totupa - metabolic (mkulu glucose, insulin kukana), mtima (kuchepa kwa mphamvu ya mitsempha yayikulu ndi yaying'ono, capillaries), chitetezo (kuchepa kwa chitetezo cha khungu).

Kusavomerezeka kwa shuga kumabweretsa kuti pafupifupi ma 3 ma virus pang'ono amapezeka pakhungu la odwala kuposa munthu wathanzi. Mwazi wamagazi ochulukirapo umapanga malo abwino operekera chitukuko chawo, ndipo zoteteza khungu pakhungu zimachepa kwambiri. Potsutsa izi, totupa ndimakonda kupezeka chifukwa cha staphylococcal, matenda a streptococcal, microflora yosakanikirana osiyanasiyana.

Mawonekedwe ndi:

• zotupa
• folliculitis (kutukusira kwa timabowo tatsitsi),
• furunculosis.

Makonda amkanda ndimalo opanga matenda a fungus, omwe nthawi zambiri amakhala candidiasis. Imagwira dera la inguinal, axillary, ndipo mwa akazi - khola lomwe limakhala pansi pa tiziwalo ta mammary, onenepa kwambiri limakhudzidwa ndi njirayi komanso dera lomwe likukula m'mimba.

Chimodzi mwa zotupa zapakhungu ndi annular granuloma. Chitha kukhala chizindikiro choyamba cha matenda ashuga a mtundu wachiwiri. Poyamba, timabowo ta m'modzi kapena angapo amawonekera pa thupi, pang'onopang'ono kukula. Mtundu wawo umakhala wapinki wopepuka, kapena wofiyira kapena utoto wofiirira. Pakati, khungu limakhala pang'onopang'ono, pomwe mphete imakulirakulira ndikufika masentimita awiri 2-5. Zizindikiro kulibe kapena pali pang'ono kumva kuwawa, kuyabwa.

Ndipo pali zambiri za melanostimulating hormone.

Mapeto am'munsi a shuga ndi omwe amatha kupezeka ndi matenda aliwonse, kuphatikizapo khungu. Izi ndichifukwa choti mtima ndi mitsempha (angiopathy ndi neuropathy) umalumikizana ndimatenda a metabolic.

Pamalo matako ndi kutsogolo kwa miyendo, kuphulika kwa xanthomas kumatha kupezeka. Awa ndi mabatani achikasu achikasu kapena ofiira mpaka 4 mm mulifupi. Zikuwoneka ngati mbewu zazing'ono, koma kenako kuphatikiza. Amalumikizidwa ndi kuphwanya mafuta kagayidwe, triglycerides ndi cholesterol predominate mwa iwo.

Lipoid necrobiosis wa khungu

Mwa odwala achikulire, lipoid necrobiosis imatha kuwoneka panja pa miyendo. Poyamba imawoneka ngati malo aang'ono otuwa ,akuda kapena kalozera pamwamba pa khungu. Kenako pakatikati pake pali zofunika kuzimitsa ndi ziwiya zazing'ono zomwe zimawonjezera khungu. Kuzindikira komwe kuli zinthu zotere kumachepetsedwa.

Ndi nthawi yayitali ya matendawa, mawonekedwe a matenda a shuga. Kukula kwake kumasiyanasiyana kuyambira 2 mm mpaka 1-2 cm. Amatha kukhala onse mkati pakhungu komanso pamtunda. Nthawi zambiri, kutengera kwawo ndi phazi ndi phazi lotsika. Pambuyo pa mwezi wa 0.5-1, thovu limasowa lokha. Matenda oyenda mozungulira omwe ali nawo amakhudzidwa ndikukula kwawo.

Kwambiri mwa amuna kutsogolo kwa miyendo yakumbuyo kumakhala timitseko ta minofu yaying'ono. Amatha kupezeka ndi njira yayitali ya matenda ashuga. Zowala ndizotuwa kapena zofiirira, makulidwe ake sapitirira masentimita 1. Pambuyo pakutha, mawonekedwe okhala ndi utoto wosiyanasiyana amatsalira, ndikupatsa khungu mawonekedwe.

Kusintha kotereku kumatchedwa matenda a diabetesic dermopathy. Njira yake siyimayenderana ndi kupweteka kapena kuyabwa, ndipo zinthu zake zimazimiririka zokha pambuyo pa zaka 1-1.5.

Kuwoneka kwabodza kwa mwana kumachitika pamene chizolowezi cha matenda ashuga - rubeosis - chikuwonekera pankhope. Zimayambitsidwa ndi kuchuluka kwakang'ono kwa ziwiya zazing'ono ndipo nthawi zambiri kumawonekera mwa ana ndi achinyamata omwe ali ndi matenda amtundu woyamba. Potengera maziko awa, pamatha kukhala tinthu tating'onoting'ono tomwe timatulutsa timiyendo tating'ono, tofanana ndi totupa, ndikuwonera nsidze.

Pambuyo pa zaka 40, mawanga ofiira amitundu yosiyanasiyana amawoneka pamasaya. Amakhala pakhungu osaposa masiku atatu, kenako nkuzimiririka. Kuphatikiza pa nkhope ndi khosi zili pamphumi ndi manja. Maonekedwe awo akhoza kukhala osapumira kapena akumva ngati akumva pang'ono pang'ono.

Pamaso, ndizothekanso kuwoneka kwa foci a khungu losasinthika - vitiligo. Amapezeka kwambiri kuzungulira pakamwa, maso ndi mphuno. Kukula kwawo kumachitika chifukwa cha kuwonongeka kwa maselo opanga pigment.

Nthawi zambiri, khungu loyenda limayendera limodzi ndi mitundu yomaliza ya matenda ashuga. Zimachitika zaka 0.5-5 pamaso pa chithunzi chachikulu cha matenda: ludzu, kulakalaka kudya, kuchuluka kukodza. Nthawi zambiri, kuyabwa kumachitika m'makhola - inguinal, m'mimba, zilonda. Mukalumikizana ndi neurodermatitis m'malo awa, timinofu tating'ono timawoneka, limodzi ndi kuyeserera kosalekeza. Zizindikiro zoterezi zimadziwikanso ndi candidiasis.

Chimodzi mwazifukwa zosakonzekera khungu nthawi zonse ndi kuuma kwambiri.. Izi ndizofanana makamaka ndi gawo lotsika lachitatu la mwendo ndi miyendo.. Microtrauma m'derali nthawi zambiri imakhala khomo lolowera matenda. Kufalikira kofooka ndi kusungika kosawerengeka kumatha kuyambitsa kupangika kwa zilonda zam'mimba pamalo owonongeka. Chifukwa chake, kugwiritsa ntchito pafupipafupi zakudya zopatsa thanzi komanso zopatsa thanzi kumalimbikitsidwa.

Zolemba za pakhungu la ana zimasiyana:

• kuchuluka kwazovuta
• chizolowezi chochulukitsa tizilombo ting'onoting'ono,
• kulekanitsa kosavuta kwa khungu (gawo lakunja),
• kusunya ndi kuyanika.

Mu shuga mellitus, lipoid necrobiosis mwa mwana nthawi zambiri imapezeka, ili m'manja, pachifuwa ndi pamimba, khungu la miyendo. Kudziwika kofanana ndi matenda a shuga a mtundu woyamba 1 ndi kuphipha komanso kuthamanga kwa mafupa. Mwa zotupa za fungal, candidiasis ndizofala kwambiri, kuphatikizapo mawonekedwe a ming'alu m'makona amkamwa (angular stomatitis).

Makungu, omwe amatha kuwonetsa, ayenera kusiyanitsidwa ndi zotupa za pakhungu la matenda ashuga:

• matenda a ubwana (chikuku, rubella, chikuku, malungo ofiira),
• thupi lawo siligwirizana, diathesis, chakudya, tsankho
• Kulumwa ndi tizilombo
• kutupa pamitsempha ya ubongo (meningitis),
• chofunda.

Popeza ana omwe ali ndi matenda ashuga amakonda kwambiri matenda, pofuna kupewa zovuta, zooneka ngati zotupa, muyenera kufunsa dokotala wa ana, endocrinologist.

Kwa matenda apakhungu apakhungu (dermopathy, annular granuloma, lipoid necrobiosis, chikhodzodzo cha matenda ashuga, xanthomatosis), mankhwalawa amachitika ndi kuphatikiza shuga. Kuti muchite izi, sinthani chakudya, kuchepetsa kudya zamafuta, mafuta am nyama mkati mwake.

Mankhwala a insulin akachulukitsa kuchuluka kwa mahomoni kapena pafupipafupi jakisoni. Ndi njira yowonongeka ya matenda ashuga amtundu wa 2 motsutsana ndi kuwonongeka kwa khungu kwambiri, makamaka kutengera matenda opatsirana, insulin ikhoza kuwonjezeredwa pamapiritsi.

Chotupa chokhacho, furunculosis chimafuna kuikidwa kwa mankhwala ochepetsa chitetezo, poganizira zotsatira za kufesa. Ndi matenda a fungal, ndikofunikira kugwiritsa ntchito mankhwala mkati ndikugwiritsira ntchito pakhungu (Lamisil, Nizoral, Fluconazole).

Ndi lipoid necrobiosis, othandizira a mtima (Xanthinol nicotinate, Trental), komanso kukonza mafuta kagayidwe (Essentiale, Atocor) amagwiritsidwa ntchito. Mafuta okhala ndi mahomoni, Troxevasin, mapulogalamu omwe ali ndi yankho la dimexide atha kutumikiridwa kunja.

Ndipo nazi zambiri za Rabson syndrome.

Kuthamanga kwa matenda ashuga kumayambitsidwa ndi matenda omwewo (necrobiosis, dermopathy, vesicles), komanso chifukwa cha matenda ashuga odwala matenda. Khungu loyenda limakonda kuyenda ndi zotupa, limadziwikanso ndi neurodermatitis, candidiasis. Mu mwana, ndikofunikira kusiyanitsa pakati pa zotupa za khungu la matenda ashuga ndi zizindikiro za matenda oopsa. Kulipiritsa kwa matenda ashuga komanso kugwiritsa ntchito mankhwala kunja ndi mkati ndikofunikira pakuchira.

Onerani kanema wamatenda a pakhungu matenda ashuga:

Kukayikira kwa matenda ashuga kumatha kukhalapo kwa zizindikiro zodandaula - ludzu, kutulutsa mkodzo kwambiri. Kukayikiridwa kwa shuga kwa mwana kumachitika pokhapokha ndikomoka. Kuyeserera pafupipafupi komanso kuyezetsa magazi kumakuthandizani kusankha zoyenera kuchita. Koma mulimonsemo, chakudya chimafunika.

Kuchepetsa koteroko monga matenda a shuga m'm azimayi kumatha kupezeka motsutsana ndi maziko a kupsinjika, kusokonezeka kwa mahomoni. Zizindikiro zoyambirira ndi ludzu, kukodza kwambiri, kutulutsa. Koma matenda ashuga, ngakhale atatha zaka 50, amatha kubisika. Chifukwa chake, ndikofunikira kudziwa zomwe zili m'magazi, momwe mungapewere. Ndi angati omwe amakhala ndi matenda ashuga?

Monga matenda ena, omwe amakhalanso pachiwopsezo chachikulu kwa odwala, matenda a Rabson, mwamwayi, ndi osowa. Zosavulaza. Odwala omwe ali ndi matenda a Rabson-Mendenhall samakonda kukhala wachinyamata.

Amaloledwa kudya ma currants mu shuga, ndipo amatha kukhala ndi mtundu 1 ndi 2. Red imakhala ndi vitamini C wocheperako kuposa wakuda. Komabe, mitundu yonse iwiri ithandiza kukhalabe chitetezo chokwanira, kulimbitsa makhoma amitsempha yamagazi. Tiyi ya masamba ndiyothandiza.

Ndibwino kuti dokotala asankhe mavitamini azomwe zimayambira mu mzere wa mayi malinga ndi anamnesis ndikuwunika. Onsewa amapangidwa mwaluso kwambiri kuti athe kuchira, ndipo amasankhidwa payekhapayekha kuti azisinthasintha momwe timadzi tawonongera timadzi tambiri tokha timene timakhala ndi amayi.

1. 
   Astamirova H., Akhmanov M. Encyclopedia yayikulu ya odwala matenda ashuga, Eksmo - M., 2013 .-- 416 p.
2. 
   Nikolaychuk L.V. Chithandizo cha matenda ashuga ndi zomera. Minsk, nyumba yosindikiza "Mawu Amakono", 1998, masamba 255, kufalitsa makope 11,000.
3. 
   Romanova, E.A. Matenda a shuga. Buku lothandizira / E.A. Romanova, O.I. Chapova. - M.: Eksmo, 2005 .-- 448 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito.Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kusintha khungu

Khungu la odwala matenda ashuga chifukwa cha matendawa limakhala louma kwambiri mpaka kukhudza, turgor yake imachepa. Tsitsi limayamba kuzimiririka ndipo limagwa nthawi zambiri kuposa masiku onse, chifukwa mawonekedwe amatsitsi amamva kwambiri zovuta za metabolic. Koma kuphatikiza dazi kumawonetsa matenda osokoneza bongo omwe amayendetsedwa bwino kapena kukula kwa zovuta. Mwachitsanzo, kuchepa kwa tsitsi kumiyendo yakumapeto kwa abambo kumatha kuwonetsa kuchepa kwa miyendo.

Zitsulo ndi kanjedza zimakutidwa ndi ming'alu ndi calluses. Nthawi zambiri khungu limakhala losasinthika chikasu. Misomali imakhuthala, yopunduka, komanso yamphamvu kwambiri.

Nthawi zambiri, zizindikiro zamkati, monga kuuma ndi kuyamwa kwa pakhungu ndi mucous nembanemba, mafangasi obisika a pakhungu ndi matenda a bakiteriya, amakhala ngati chisonyezo cha matenda a shuga.

Gulu la zotupa khungu

Mankhwala amakono, ma dermatoses pafupifupi 30 amafotokozedwa, omwe amapezeka motsutsana ndi matendawo chifukwa cha matendawa.

Matenda onse a pakhungu la odwala matenda ashuga amatha kugawidwa m'magulu akulu atatu:

• Poyamba - zotupa za pakhungu zomwe zimayamba chifukwa cha zovuta za matenda ashuga. Ndiye kuti, matenda a shuga a neuro- ndi angiopathy ndi matenda a metabolic. Njira zoyambira zimaphatikizira matenda ashuga a xanthomatosis, dermatopathy, matenda a lepid necrobiosis, matuza a shuga, etc.,
• Matenda achiwiri ndi matenda apakhungu omwe amayamba chifukwa cha bakiteriya komanso matenda am'mimba, zomwe zimachitika pafupipafupi chifukwa cha matenda a shuga,
• Zakudya zochizira zomwe zimagwiritsidwa ntchito pochiza matenda a shuga. Izi zikuphatikiza jekeseni wa lipodystrophy, toxidermia, urticaria, eczematous reaction.

Zilonda pakhungu la matenda ashuga, monga lamulo, zimatenga nthawi yayitali, amadziwika ndi kukokoloka pafupipafupi. Amangobwereketsa ndalama kuti athandizidwe.

Kenako, tikambirana za dermatoses ofala kwambiri a shuga. Kuzindikira ndi kuchiza kwa gululi chifukwa cha matenda osokoneza bongo kumachitika ndi madotolo apadera - endocrinologist ndi dermatologist.

Matenda a shuga

Chotupa chofala kwambiri pakhungu ndi shuga. Angiopathy imayamba, ndiye kuti, kusintha kwamphamvu m'mitsempha yamagazi komwe kumadyetsa khungu ndi magazi.

Dermopathy imawonekera ndikuwoneka ngati mapale ofiira (5-12 mm m'mimba mwake) pamtunda wakunja wa miyendo. Popita nthawi, amaphatikizira malo ozungulira kapena owongoka, kenako kutsekeka kwa khungu. Chotupa chamtunduwu chimadziwika nthawi zambiri mwa amuna omwe ali ndi matenda ashuga.

Zizindikiro, monga lamulo, kulibe, palibe ululu, koma nthawi zina m'malo a zilonda, odwala amamva kuyabwa kapena kuwotcha. Palibe njira zochizira dermopathy; zimatha kudzipatula pakatha chaka chimodzi kapena ziwiri.

Lipoid necrobiosis

Dermatosis yayitali, yomwe imadziwika ndi kuchepa kwamafuta ndi kusakanikirana kwa collagen. Zomwe zimayambitsa matendawa ndimatenda a shuga a shuga. Nthawi zambiri azimayi kuyambira azaka 15 mpaka 40 amadwala, koma lipoid necrobiosis amatha kukhala ndi matenda ashuga aliwonse. Palibe kulumikizana kwachindunji pakati pa kuwonongeka kwa matenda akuwonekera kwa matenda amtunduwu komanso kuopsa kwa matenda ashuga.

Zomwe zimayambitsa zotupa za pakhungu la matenda ashuga ndi michereopathy ndi kusintha kwachiwiri kwa necrobiotic. Ngati alipo, necrosis ya zotanuka ulusi zimawonedwa, kutupa ndi kusuntha kwa yotupa wothandizira kuti angafike necrosis. Udindo wofunikira wa pathogenesis ya necrobiosis imaseweredwa ndi kuwonjezereka kwa kuphatikizana kwa maselo, komwe, limodzi ndi kuchuluka kwa endothelium, kumabweretsa thrombosis ya ziwiya zing'onozing'ono.

Lipoid necrobiosis imayamba ndi kuwonekera pakhungu la m'munsi mwendo waung'ono wamanjenje yapinki wa chyanotic kapena mawonekedwe osalala. Zinthu izi zimakonda kumera m'mbali mwa kuphatikizika kwa mapangidwe apamwamba, opendekeka bwino bwino a polycyclic kapena zozungulira zozungulira-atrophic. Gawo lofiirira lamkati, lomwe limatentha pang'ono, ndipo mbali yotsika ya kridiotic limakwezedwa. Pamwamba pa malembawo panali chosalala, chosawuma patali.

Popita nthawi, malo apakati pa malo opangira ma atrophies, mtima asterisks (telangiectasias), kufatsa kofatsa, komanso m'malo ena zilonda zam'mimba, zimawonekera. Nthawi zambiri, palibe zomvera. Mukamawoneka zilonda zam'mimba, kupweteka kumachitika.

Chithunzi cha zotupa za pakhungu ndi lipoid necrobiosis ndizodziwika bwino kotero kuti palibe chifukwa chowonjezera chowonjezera. Kuzindikira kusiyanasiyana kumachitika kokha ndi mitundu ya atypical ndi sarcoidosis, annular granuloma, xanthomatosis.

Asayansi akukhulupirira kuti mu 1/5 ya anthu odwala matenda ashuga, lipoid necrobiosis imatha kuonekera zaka 1-10 zisanayambike zizindikiro zapadera za matenda ashuga.

Lipoid necrobiosis mankhwala

Palibe chithandizo chokwanira cha lipoid necrobiosis. Mankhwala olimbikitsidwa omwe amateteza kagayidwe ka lipid ndikusintha microcirculation. Mavitamini ndi mawonekedwe a multivitamin amalembanso. Ikani bwino jekeseni wa heparin, insulin, corticosteroids.

• ntchito ndi yankho la dimexide (25-30%),
• Troxevasin, mafuta a heparin,
• mabandeji ndi mafuta a corticosteroid.

Physiotherapy. Phono - kapena electrophoresis yokhala ndi hydrocortisone, aevit, trental. Mankhwala a laser, omwe samachitika kawirikawiri amachiritsidwa.

Matenda a Itchy

Izi matenda amatchedwanso neurodermatitis, amasonyezedwa ndi kuyabwa kwa khungu. Nthawi zambiri, neurodermatitis imakhala chizindikiro choyamba cha matenda ashuga. Chitukuko makamaka makola am'mimba, miyendo, dera.

Palibe kulumikizana kwachindunji pakati pa kuyamwa kwa kuyamwa ndi kuopsa kwa matenda ashuga. Komabe, zadziwika: kuyabwa kosalekeza komanso kowawa kwambiri kumawonedwa ndi "chete" (obisika) ndi matenda abwinobwino a shuga. Neurodermatitis imatha kukhazikikanso chifukwa cha kusakwanira koteteza shuga ndimagazi omwe ali ndi matenda ashuga okhazikika.

Matenda a khungu la fungus mu odwala matenda ashuga

Nthawi zambiri, candidiasis amakula, wopangika wa Candida albicans. Recudi candidiasis ndi chimodzi mwazizindikiro zoyambirira za matenda ashuga.

Zimachitika makamaka mwa okalamba komanso odwala. Amasanjikizidwa makamaka pachiwalo komanso makulidwe akulu a khungu, komanso pakhungu la mucous, m'makhola a interdigital. Ndi chidziwitso chilichonse cha candidiasis, chizindikiro chake choyamba ndi chamwano komanso kuyabwa kwambiri, ndiye kuti pali zifukwa zina zomwe matendawa aliri.

Poyamba, mzere wozungulira wa macerated epidermis umayamba kuzama kwa khola, ndipo kukokoloka kwa nthaka ndi ming'alu mawonekedwe. Kukokoloka kumakhala ndi chonyezimira komanso chonyowa, chilema chokha chimakhala chofiyira ndipo chimakhala ndi mkombero woyera. Cholinga chachikulu cha candidiasis chimazunguliridwa ndi ma pustule ocheperako komanso ma vesicles, omwe amawunika kwake. Zinthuzi zotumphukira zotseguka ndikuyamba kukokoloka, motero, malo okhuthala akukulira. Kuzindikira kumatsimikiziridwa mosavuta ndi chikhalidwe ndi kuyesa kwakukulu.

Chithandizo cha matenda a shuga a candidiasis

Therapy iyenera kukhala yokwanira komanso yophatikizira:

• mafuta odzola antimycotic kapena mafuta ena omwe amafunikira kuyamwa asanatayike, kenaka masiku ena 7,
• Mitundu ya utoto wa aniline, imatha kukhala yoledzera kapena yamadzimadzi (yokhala ndi malo owonongeka). Izi zikuphatikiza - 1% yankho la wobiriwira wanzeru, 2-3% yankho la methylene yamtambo. Komanso, mankhwalawa, mafuta a Castellani ndi 10% ya boric acid mafuta amagwiritsidwa ntchito,
• zokhudza antifungal wothandizirana fluconazole, ketoconazole, itraconazole. Lingaliro lodziwika popereka mankhwalawa ndikuti ndi othandiza, ndi okwera mtengo, ndipo chifukwa cha iwo mutha kuthana ndi zizindikiro za candidiasis.

Matenda amtundu wakhungu matenda ashuga

Matenda ofala kwambiri pakhungu. Chovuta ndikuti amavutika kuchitira ndikubweretsa zovuta zomwe zimabweretsa moyo, monga sepsis kapena gangrene. Zilonda zopezeka kuphazi la matenda ashuga zimatha kudula mwendo kapena kufa ngati chithandizo chachedwa.

Anthu odwala matenda ashuga ali ndi mwayi wambiri kuposa anthu ena onse omwe ali ndi zithupsa, carbuncle, pyoderma, phlegmon, erysipelas, paronychia ndi panaritium. Monga lamulo, amayamba chifukwa cha streptococci ndi staphylococci. Kupezeka kwa matenda opatsirana a pakhungu lotupa komanso otupa kumayambitsa matenda ashuga ochulukirapo ndipo amafunikira kuikidwa kapena kuwonjezeka kwa mlingo wa insulin.

Chithandizo cha matendawa chikuyenera kukhazikika pazotsatira za kafukufuku wamtundu wa pathogen komanso chidwi chake cha maantibayotiki. Wodwala amatchulidwa mitundu ya piritsi yodziwika bwino. Ngati ndi kotheka, opaleshoni imachitidwa, mwachitsanzo, kutsegula chithupsa, kukhetsa kwa chimbudzi, ndi zina zambiri.

Matenda a shuga monga matenda ashuga, rubeosis, acantokeratoderma, matenda ashuga scleroderma, matenda ashuga xanthoma, omwenso amagwiritsidwa ntchito pa granuloma osowa kwambiri.

Zilonda za pakhungu la odwala matenda ashuga ndizofala masiku ano. Chithandizo cha zinthu izi chimaphatikizapo zovuta zina. Iyenera kuyamba ndi kuyendetsa bwino magazi pandende yamagazi ndikusankhidwa kwa mankhwala okwanira a shuga. Popanda kukonzanso kagayidwe kazakudya m'gululi, njira zonse zamankhwala sizothandiza.

Malinga ndi kafukufuku wofufuza, osati zotupa zokha, komanso zotupa zina za pakhungu zimapezeka mwa 35-50% ya anthu odwala matenda a shuga. Mavuto ochepa kwambiri ndi khungu, mwachitsanzo, kutumphuka komwe kumakhalako nsomba zazinkhanira. Mwachitsanzo, kuwonongeka kwathunthu kapena pang'ono kwa minyewa yapakhungu yolimba, kusintha kapangidwe ka mitsempha yamagazi ndi misomali. Uwu si mndandanda wathunthu wa zotupa, kuchuluka kwa pafupipafupi komwe odwala matenda ashuga ali 100%.

Pali zotupa pakhungu lomwe limadziwika makamaka ndi matenda osokoneza bongo komanso chifuwa choti squid. Wotupa woterewu amatha kukhala wodwala matenda ashuga, omwe amatchedwa pemphigus, omwe amapanga matenda oopsa. Izi zimakhala choncho makamaka ngati matenda amayamba ndi matenda a shuga.

Pemphigus, kapena totupa inayake, imapangidwa chifukwa chakuti kusokonezeka kwapangidwe kumachitika:

• mu zolumikizana za kumtunda kwa dermis, pomwe pamagawo oyamba amathandizira udzu winawake,
• m'munsi - epidermis.

Pakapita nthawi matenda a shuga kapena pakakhala chithandizo chokwanira, monga momwe chithunzi, mawonekedwe ake ndi matuza ndipo nthawi zina amakhala oyera, ngati tchizi. maphunziro. Amapezeka m'madera akumunsi.

Mitundu ina yovuta kwambiri pakhungu, mwachitsanzo, necrobiosis ya mtundu wa lipoid, imagwirizananso kwambiri ndi kusinthasintha kwa kuchuluka kwa shuga m'magazi. Chifukwa chake, zotupa zimayamba kupanga matenda ashuga, ndizowonjezera, zomwe zimayambitsa mawonekedwe ake?

Pazifukwa

Tiyenera kudziwa kuti matenda ashuga pawokha nthawi zambiri amayenderana ndi mafangasi. Ndi iwo omwe posachedwapa adzatsogolera zotupa za khungu. Choyamba, ndikofunikira kudziwa mawonekedwe ngati candidiasis, omwe mu odwala matenda ashuga amapangidwa ngati totupa ndi totupa. Komanso, titha kulankhula za angular cheilitis, kukhuthala kwa diaper, kukokoloka kwapakati kwa blastomeset kukokoloka ndi onychomycosis (matenda a misomali ndi totupa m'derali).

Ma syndromes onse omwe amaperekedwa mu shuga amawoneka motsutsana ndi maziko a kuchuluka kwa shuga m'magazi. Pankhani imeneyi, pokonzekera kupanga ngakhale zofooka zochepa, tikulimbikitsidwa kuti mupimidwe mayeso posachedwa. Izi zipangitsa kuti azindikire komanso kudziwa gawo la matendawa, ngakhale oyambira. Zomwe muyenera kudziwa pazizindikirozo komanso ngati zingathe kusiyanasiyana ndi chithunzi.

Pazizindikiro

Zizindikiro zoyambirira sizingawonetse kuti pali zovuta zina ndi khungu. Uku ndi kusazindikira kwamatenda. Chifukwa chake, wodwala matenda ashuga angadandaule za:

1. kutopa,
2. pafupipafupi kugona
3. kuchuluka kwa kutentha.

Nthawi zambiri ndi matenda a shuga, zizindikiro zomwe zimaperekedwa sizimamveredwa mwachangu, chifukwa chake, chithandizo cha zotupa chimachedwa.

Izi ndizoyipa kwambiri, chifukwa posachedwa kuyambika njira yochizira, posachedwa amatha kuthana ndi vutoli kwathunthu.

Zizindikiro za lachiwiri lachiwiri zimaphatikizanso kukwiya kochepa kumadera akumunsi, komwe kumachitika mwachangu kwambiri. Amayamba kukhudza madera akulu mthupi la munthu: kuchokera m'manja ndi miyendo kufalikira thupi lonse. Chizindikiro ichi sichitha kuphonya chifukwa chimagwirizanitsidwa ndi kuyabwa nthawi zonse ndi kupendekera. Kufikira gawo lotsiriza, totupa imadziwika ndi kukulitsa, kufiyira komanso kupindika.

Chifukwa chake, Zizindikiro zakuthwa kwa matenda a shuga. Aonereni mwachidwi nthawi yoyambira kuyamba kulandira chithandizo msanga.

Polankhula za momwe mungachitire zotupa, ziyenera kudziwitsidwa kuti pali njira zingapo: kuchokera pa mankhwala osokoneza bongo mpaka kugwiritsa ntchito sopo kapena sulufu yapadera. Kuphatikiza apo, njira yobwezeretsanso thupi iyenera kuphatikizidwa, chifukwa ndikofunikira kuthana osati ndi vuto la totupa, komanso matenda a shuga. Mutha kuwerenga za machiritso a matenda a rotavirus patsambalo //infectium.ru.

Chifukwa chake, odwala matenda ashuga ayenera kuthandizidwa mosamala, osadziletsa. Choyamba, akatswiri amalimbikitsa kusankha maantibayotiki kapena zitsamba zomwe akuyembekezeka kukhala zothandiza kwambiri. Monga gawo la chithandizo cha zotupa, njira zina zimadziwonetsa bwino, motero zimagwiritsidwa ntchito ndikulimbikitsidwa ndi madokotala a matenda a shuga.

Chifukwa chake, pankhaniyi, chamomile, lavenda kapena zitsamba zina zithandiza pa upangiri wa katswiri. Sangathe kugwiritsidwa ntchito mkati, komanso kugwiritsa ntchito ngati compress kumalo opweteka kwambiri. Nthawi yomweyo amamwa mankhwala omwe:

• sinitsa mkwiyo
• kamvetsani ndikubwezeretsa khungu,
• lipira kuchuluka kwa shuga m'magazi.

Kuphatikiza apo, zidzakhala zofunikira kuti musinthe kugwiritsa ntchito ma gels apadera ndi njira zina zomwe zitha kupangidwa molingana ndi mankhwala omwe munthu wagulidwa kapena wogulidwa ku pharmacy.

Chodziwika kwambiri ndi tar tar, yomwe ikuwonetsedwa chithunzichi, chomwe chimathandiza kuthana ndi mavuto ambiri apakhungu.

About Kuteteza

Matenda omwe afotokozedwawo, monga mukudziwa, ali ndi zovuta zambiri zathanzi, pazomwe zimafunikira kuti muzitsatira njira zina, m'malo molimbikira kwambiri. Makamaka, zimakhudza zaukhondo ndi kugwiritsa ntchito ma compress osiyanasiyana. Izi zithandiza kuti khungu lizikhala bwino, ndipo ngati pali zotupa zilizonse, zimapangitsa kuti ayambe kulandira chithandizo posachedwa.

Kuphatikiza apo, kupewa ziphuphu ndikulipiritsa matenda a shuga. Kupatula apo, kusinthasintha m'magazi a shuga kumakhudza mkhalidwe wa khungu, lomwe limayamba kufooka komanso kukhala lofooka.Ndikulimbikitsidwa kudya mavitamini ambiri momwe mungathere, kuti musaiwale za ntchito zolimbitsa thupi komanso osagwiritsa ntchito mafuta okha kapena mchere, komanso mbale za tsabola, komanso kukumbukira kugwiritsa ntchito ma mineral complexes ndi zina zowonjezera.

Chifukwa chake, zotupa kapena zotupa pakhungu lomwe lilipo ndi matenda ashuga, ndizosasangalatsa komanso zopweteka. Koma ndikuyamba kwakanthawi kachipatala, izi zimagonjetsedwa mwachangu kwambiri.. Pachifukwa ichi, tikulimbikitsidwa kuwunika mosamalitsa kusintha kulikonse pakhungu kuti tisungidwe mokwanira.

Mitundu ya Matenda A shuga

The kupezeka kwa totupa zimatengera gawo chitukuko cha matenda ndi machitidwe a thupi.

Matenda a shuga amakhala ndi vuto la metabolic m'thupi, lomwe limayambitsa mavuto pakhungu. Kuchulukitsa kwa shuga, kulephera kwa magazi kupita pakhungu, kuledzera kumabweretsa kuwonongeka kwa khungu, mitsempha yamagazi ndi minofu yaying'ono, kukula kwa njira zotupa m'matumbo a thukuta. Nthawi zambiri, kuzimiririka ndi matenda ashuga kumawonetsa kuopsa kwa matendawa.

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Kukana insulini

Ndi kuchuluka kwa minyewa kukana ma insulin ya anthu omwe ali ndi matenda ashuga, acantokeratoderma amachitika. Chifukwa cha matenda, khungu limasintha pamagulu ena amthupi, khungu limakhala lokwera, lokwera pamwamba pa khungu limapangidwa. Nthawi zambiri, kusintha kwamtundu wamtunduwu m'matumbo a shuga kumapangidwa m'makola, mwachitsanzo, mu groin, armpits, pansi pa tiziwalo ta mammary. Nthawi zina matenda amtundu amachititsa kuti khungu lisinthe. Matendawa amatsogolera matenda ashuga ndipo amawonedwa ngati chizindikiro cha matendawa.

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Panthawi yakusokoneza magazi

Magazi a shuga omwe amatsekemera m'mitsempha yamagazi amayambitsa zotupa.

Mtundu wachiwiri wa matenda ashuga, ming'oma kapena mawanga nthawi zambiri amawonekera pakhungu. Izi zitha kuwonetsa kuti kuwonongeka kwamitsempha yamagazi kumayamba. Atherosulinosis mu shuga imachitika chifukwa chakuti capillaries imatsekeka ndi makhiristo a shuga, ndi mapepala amapangira zombo zazikulu. Zochitika zoterezi zimabweretsa kuphwanya magazi, makamaka pakhungu, ndi totupa zosiyanasiyana.

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Lipodystrophy

Kuwonongeka kwa mitsempha yamagazi kumabweretsa kusintha kwa mafuta osaneneka. Chifukwa cha izi, epidermis pamwamba pake imayamba kuwonda ndikusandulika ofiira. Nthawi zambiri, matenda amapezeka m'miyendo. Ndi matenda a malo omwe amapezeka, zilonda zam'mimba zomwe zimakhala zovuta kuchira. Madera owonongeka a khungu amafotokozedwa momveka bwino, nthawi zina amapweteka kapena kuyambitsa.

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Scleroderma

Matenda a diabetesic scleroderma amadziwika ndi kusintha kwa pakhungu, chifukwa chake mapangidwe ake a khungu, amakhala ngati phula. Kusindikiza kwa khungu kungatheke. Kusuntha kwaminwe kumakhala kovuta, chifukwa khungu pakati pa phalanges limakhala lolimba. Kuti athetse matenda, matenda a shuga amafunika. Khungu limakhala lofewa ndi moisturizer yokongoletsera.

Ndi matenda a diabetic atherosulinosis, khungu sililandira zakudya zofunika, ndichifukwa chake limachepa, kuchepa tsitsi komanso kuthinana kwa misomali.

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Rash xanthomatosis

Kusalandira chithandizo chokwanira cha matendawa kumatha kubweretsa mavuto pakhungu.

Chifukwa cha kuchepa kwa chidwi ndi minyewa kupita ku insulin komanso chithandizo chokwanira cha matenda ashuga, kuchotsedwa kwa lipids m'magazi kumawonjezereka. Ndi mafuta ochulukirapo odwala matenda ashuga, mavuto amkhungu amawonekera, ndipo limodzi ndi izi, mwayi wa kapamba kumawonjezeka. Pakhungu, makamaka miyendo, nkhope ndi matako, mawonekedwe akhungu ngati chikasu. Vutoli limaphatikizidwa ndi kuyabwa kwa malembedwe, kupatsika kwawo komanso mapangidwe ofiira a duos kuzungulira mawanga. Chithandizo chowongolera kuchuluka kwa mafuta m'thupi chimakupatsani mwayi wochotsa chiwonetsero cha xanthomatosis mkati mwa masabata awiri.

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Chinanso chomwe chingakhale chiwerewere ndi chiyani?

Ngati matenda a shuga sakulandidwa, wodwalayo amapezeka ndi matenda a shuga. Ndi matenda awa, bullae imapangidwa pazala, mikono ndi miyendo - matuza ofanana ndi amayaka. Kutupa koteroko kumadutsa palokha, mosasamala chithandizo, ndipo zimatengera kuchuluka kwa shuga m'thupi. Ngati matuza awonongeka, mankhwalawa amatha kuyamba.

Kuphatikiza apo, mphete ya granuloma imatha kuwoneka mwa odwala matenda ashuga. Pathology ikupita patsogolo msanga ndipo imawonekera mwa kupangika kwa ma arcs kapena mphete pakhungu la makutu ndi zala, kawirikawiri pamimba ndi miyendo. Odwala omwe ali ndi matenda amtundu wa 1, kukula kwa vitiligo ndikotheka - mapangidwe a mawanga obisika pakhungu. Ndikofunikira kuteteza khungu ku radiation ya ultraviolet.

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Zotupa zachiwiri

Kutupa kwa khungu nthawi zambiri kumayamwa, chifukwa cha zomwe zikanga zimayamba. Pankhaniyi, kutupa kumayamba, mabala ndi zilonda zam'mimba. Kuphwanya umphumphu wa khungu ndi kuchuluka kwa shuga m'thupi kumawonjezera chiopsezo cha matenda komanso kupezeka kwa matenda a khungu lakhungu. Mavuto oterewa amaphatikizidwa ndimatenda owonjezera a matenda ena ake.

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Kuthamanga ana

Kuthamanga kwa ana omwe ali ndi matenda ashuga sichizindikiro.

Kutupa, mawanga ndi ziphuphu kwa ana omwe ali ndi matenda osokoneza bongo sizizindikiro, zomwe zikuwonetsa kukula kwa "matenda okoma". Monga mwa akulu, njira ya shuga kwa ana imakhala yopanda mawonekedwe aliwonse a khungu. Zimatengera kuchuluka kwa shuga mthupi, kuchuluka kwa kayendetsedwe ka thanzi la mwana komanso kusiyanasiyana kwa zinthu zazing'onoting'ono. Pankhaniyi, nthawi zambiri makanda amakhala ndi furunculosis, kuyabwa kumawonekera. Ngati zochitika ngati izi zimaphatikizidwa ndi ludzu kwambiri komanso kukodza pafupipafupi, makamaka usiku, kuyezetsa magazi kuyenera kutengedwa kuti pakhale shuga.

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Kodi kuchitira?

Malingaliro, zikwangwani, zopaka pakhungu zimapangidwa m'malo omwe amakhala ndi insulin nthawi zambiri.

Choyambitsa chachikulu cha matenda otupa m'mimba mwa anthu odwala matenda ashuga ndi kuchuluka kwa shuga m'thupi. Kuti muchepetse zotupa, muyenera kusintha shuga pamtunduwu. Pachifukwa ichi, munthu ayenera kutsatira mosamalitsa malangizo a dokotala. Kuwongolera shuga ndikubwezeretsanso momwe anthu amakhalira kumathandiza:

• kugwiritsa ntchito mankhwala
• chakudya
• moyo wokangalika
• kusowa kwa nkhawa
• kusiya zizolowezi zoipa.

Zakudya zoyenera komanso moyo wathanzi kwa odwala matenda ashuga ndizofunikira.

Ndi totupa yachiwiri, zomwe zimapezeka m'm zilonda zopangidwa kapena zopindika ziyenera kutengedwa kuti ziunikidwe kuti mupeze wothandizira wa matendawa. Kuti athetse kuyimitsidwa, ma antihistamine adayikidwa. Mankhwalawa yachiwiri khungu matenda, ntchito:

• antibacterial mankhwala
• anti-yotupa mankhwala
• zotupa ndi mabala amachiritso othandizira ndi mafuta.

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Kupewa

Mutha kupewa totupa yapakhungu ndi shuga pogwiritsa ntchito shuga. Kutulutsa kwamphamvu kwa glucose kumapangitsa kuti masinthidwe angapo aphatikizidwe ndi kusintha kosiyanasiyana pakhungu. Matenda a shuga komanso kuyang'anira shuga nthawi zonse kumathandiza kupewa zovuta zingapo za shuga, kuphatikizapo zomwe zimakhudzana ndi thanzi la khungu.

Nthawi yomweyo, ndikofunikira kutsatira malamulo a ukhondo. Ndi matenda a shuga, chitetezo chokwanira chimachepetsedwa, ndipo shuga m'malo onse amthupi amathandizira kupezeka kwa matenda kapena fungus matenda. Simungagwiritse ntchito zinthu za antibacterial zaukhondo, kuti musasokoneze microflora yachilengedwe ya pakhungu. Zoyipa zilizonse komanso zodzikongoletsera ziyenera kukhala hypoallergenic.

Kodi khungu limasintha bwanji?

Khungu ndi shuga limatha kuwoneka pachithunzichi. Ndizowuma kwambiri komanso youma nthawi ya palpation, pali kuchepa kwa turgor, pali mawanga pamenepo, pakhoza kukhala ziphuphu. Kuchepetsa komanso kusowa tsitsi kumachitika kawirikawiri kuposa momwe munthu amakhalira wathanzi. Ichi ndi chifukwa cha chidwi champhamvu cha tsitsi la munthu kuti asagwiritse ntchito njira ya metabolic. Ngati munthu ali ndi vuto la kupindika alopecia, titha kunena kuti matenda a shuga sawongolera bwino, kapena zovuta zimayamba. Mu matenda a shuga, kuphatikiza khungu lake, mwachitsanzo, kuuma, kuyabwa, kubwereza matenda mwa bowa ndi mabakiteriya, titha kulankhula za matenda omwe akupanga.

Mitundu itatu yamatenda a pakhungu la odwala matenda ashuga:

• ngati munthu ali ndi zotupa zoyambira, chifukwa chachikulu ndicho zovuta zomwe matenda a shuga amawonetsa. Zowonongeka zamitsempha yamagazi ndi mitsempha yamagazi yokhala ndi zovuta za metabolic njira zimawonedwanso. Izi zimaphatikizapo matenda a shuga, matenda a shuga, pepidhi, cholid necrobiosis, zotupa za matenda ashuga, xanthomatosis ndi zina zomwe zimayambitsa matenda,
• Zomwe zimayambitsa zotupa zachiwiri ndi matenda apakhungu omwe amabwera chifukwa cha matenda omwe amabwera chifukwa cha mabakiteriya ndi mafangayi.
• mtundu wachitatu umawonetsedwa ndi ma dermatoses a mankhwala omwe amayamba chifukwa cha mankhwala pa matenda a matenda amisempha. Izi zimaphatikizapo toxemia, urticaria, ndi lipodystrophy yoyambira jakisoni.

Mawonetsero ambiri a shuga mellitus pakhungu lomwe limakhudzidwa amatha kuonedwa kwa nthawi yayitali, amakonda kukokomeza pafupipafupi, chithandizo chawo ndichofunikira. Zilonda zonse za pakhungu la shuga zimawonetsedwa mwatsatanetsatane.

Ma Dermatoses Amakonda

Chotupa chofala kwambiri pamatendawa chimadziwika kuti ndi matenda a shuga. Mavuto opanga microcirculatory amapezeka m'mitsempha yamagazi omwe amapereka khungu ndi khungu. Ku mbali yakutsogolo ya tibia, mapepala ofiira ofiira amawonedwa, ali mokhazikika, okhala ndi mulifupi mwake mpaka 5-7 mpaka 10-12 mm. Pakapita kanthawi, amatha kuphatikiza mawonekedwe amitundu yozungulira kapena yowongoka ya atrophic, okhala ndi khungu lowonda mtsogolo. Matayo samabweretsa kupweteka, koma m'malo omwe akukhudzidwa, odwala amatha kumva kuwawa ndi kuyaka. Mizu yodziwika ndi matenda a shuga, chithunzi.

Nthawi zambiri, matenda amtunduwu amadziwika ndi amuna, matenda awo amakhala nthawi yayitali. Chithandizo cha matenda a shuga a shuga sichofunikira. Chithunzi chatsatanetsatane cha dermopathy ya matenda ashuga chimatha kupereka zithunzi zomwe zalembedwa m'nkhaniyi.

Kodi zotupa zimawoneka bwanji?

Kuthamanga kwawoneka mu shuga mellitus mwa akulu ndi chikhalidwe cha matenda ashuga a pemphigus. Zowoneka bwino mu shuga, chithunzi.

Kuthamanga kungawoneke ngati wodwala ali ndi vuto lalikulu la matendawa, amapezeka motsatana ndi chitukuko cha neuropathy ndi matenda a shuga. Zowonekera pakhungu ndi shuga, chithunzi.

Mtundu wa zotupa mu shuga, mwachitsanzo, pamiyendo, imawoneka ngati mabala owopsa atatha kupsa.

Matuza awa amapezeka pama phalanges a zala zakumtunda komanso zam'munsi. Pemphigus pakhungu silimapweteka, patatha milungu itatu imatha ngati pali matenda a shuga. Malo okha ndi omwe angatsalire. Choyambirira cha matenda a shuga chikuwonetsedwa m'chithunzichi.

Mitundu yama dermatoses oyambira

Ngati wodwala ali ndi matenda ashuga scleroderma, ndiye kuti khungu lake limakhala lonenepa. Localization amapezeka cervicothoracic spine. Odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga amatha kukhudzidwa.

Ngati wodwala ali ndi vitiligo, ndiye chifukwa cha hyperglycemia, pali zovuta pamaselo a pigment omwe amapanga melanin. Zotsatira zake ndi mawanga opanda mawonekedwe amitundu yosiyanasiyana ndi mawonekedwe. Malo omwe kuli malowa ndi dera lam'mimba, pachifuwa, nthawi zina kumaso. Nthawi zambiri mawonedwe awa amawonekera mwa odwala omwe ali ndi mtundu woyamba wa matenda. Chithandizo cham'deralo, ma steroid ndi micropigmentation chimagwiritsidwa ntchito.

Ngati munthu ali ndi vuto la lipoid necrobiosis, zotupa ngati papul zina zimakhala zofiira, kapena zikuyimiridwa ndi zikwangwani zomwe zili kunja kwa mwendo wapansi, kenako zimasinthidwa kukhala mawonekedwe owombana momwe ziwiya zimaphatikizidwira pakati. Nthawi zina pamatha kukhala zilonda. Zithunzi zopezeka za shuga, chithunzi.

Wodwala akakhala ndi vuto lotha kukokoloka, zotupa ndi zamitundu yosiyanasiyana, kapena kuwonjezeranso pang'ono ndi kuyabwa kwambiri komwe kumachitika chifukwa cha hyperglycemia. Zizindikiro izi zitha kuwonetsa chiyambi cha matenda. Zotupa zotupa zimawonedwa mu shuga mellitus, chithunzi.

Teleangiectasias mu kama wa misomali ─ chopondera apa chikuyimiriridwa ndi asteris wamasamba okhala ndi ziwiya zotulutsidwa mu kama wa misomali.

Dermatoses yoyambilira imaphatikizanso zotupa pankhope, zotupa pa khungu lanu, zotupa za khungu, chikasu cha misomaso ndi khungu. Chotupa chomwe chimatha kuwoneka ndi matenda a shuga, onani chithunzi chomwe chili munkhaniyi.

Ngati munthu ali ndi mawonekedwe a khungu, kapena ma acrochordones, kapena acanthokeratoderma, khungu limakhala ndi mawonekedwe owonekera. Imapezeka nthawi zambiri mu khosi, khosi, kapena pansi pa chifuwa chamabele. Choyamba, khungu limakhala ndi "mawonekedwe velvet" wokhala ndi mawonekedwe amtundu, wofanana ndi nsalu yotchinga ndi mawonekedwe amtundu wakuda.

Ngati wodwala ali ndi makulidwe komanso zolimba zala (sclerodactyly), mapilogalamu angapo amapezeka pagulu, zimakhudza gawo lowonjezera la chala, kusokoneza mayendedwe olumikizana pakati pa phalanges. Izi zitha kupangitsa kuti zikhale zovuta kuwongola zala zamanja ngati matendawo apita patsogolo. Chithandizo chake ndicho kuchepetsa shuga m'magazi.

Wodwala akakhala ndi chiwonetsero cha xanthomatosis yam'mimba chifukwa chakuti triglycerides m'magazi ndi yapamwamba kuposa yachilendo pakukonzekera kwa metabolic, totupa zimayimiridwa ndi zipilala zachikasu zomwe zimazunguliridwa ndi corolla yofiira. Amapezeka kumaso ndi matako, pamphepete mwa miyendo, kumbuyo kwa malekezero akumwamba ndi otsika. Nthawi zambiri pamakhala kuyabwa kwambiri. Ingani pamiyendo ndi matenda ashuga, chithunzi.

Bacteria ndi bowa

Matenda omwe amakhudza khungu ndi bowa mwa odwala matenda a shuga amayamba chifukwa cha causative wothandizila wa candida albicans, wotchedwa candidiasis. Ngati matendawa abwereranso, ndiye kuti titha kulankhula za kuwonetsedwa kwa chimodzi mwazizindikiro zoyambirira za matenda ashuga. Pafupipafupi pathologies: vulvovaginitis, kuyabwa mu anus, cheilitis angular kapena "kupanikizana", kupukusa zimbudzi, matenda oyamba ndi misomali, kukokoloka kwanthawi yayitali chifukwa cha blastomycetes. Chithandizo chikuyenera kuchitika ndi ma antifungal ndi othandizira, maantibayotiki, mafuta.

Zosintha pakhungu, mwachitsanzo, miyendo yomwe ili ndi matenda ashuga, imawonetsedwa ndi kuuma, ma microcracks, osazindikira pang'ono, kapena kutayika kwathunthu. Chifukwa cha izi, bala lirilonse silingamveke konse. Ndipo mwanjira imeneyi mtundu wa mabakiteriya wa anaerobic umalowa mchilonda, mtsogolo mwa kubereka kwawo ndikuwonongeka kwa minofu yofewa. Kusintha kwina kumatha kukhala ngati zilonda zam'mimba, zilonda zam'mimba zimatha kukhazikika, ndiye kuti nthambiyo imadulidwa.

Dermatoses yamankhwala imapezeka mwa odwala omwe ali ndi matenda ashuga, omwe amakakamizidwa kumwa mankhwala omwe amachepetsa shuga, amatha kuyambitsa zovuta zosiyanasiyana, mwachitsanzo, ziphuphu zakumaso zomwe zimawonetsedwa ndi chithunzi mu nkhaniyi.