Kuchepetsa mwendo chifukwa cha matenda ashuga: kuchotsa phazi kapena chala

Vuto lalikulu monga gangrene limayamba mwa anthu omwe amapezeka ndi matenda osokoneza bongo ndipo limayenderana mwachindunji ndi matenda a shuga. Chiwopsezo cha zovuta zimachuluka ngati munthu wabala matenda a shuga kwa nthawi yayitali, kuchuluka kwa shuga m'magazi kumadutsa 12 mmol, ndipo shuga yokhazikika imadumpha.

Matenda a shuga a matenda a shuga amayesetsa kuti awononge anthu ochepa odwala matenda ashuga, matenda oterewa amatha kuchitika ngati shuga atayamba kukhudza mitsempha ya mitsempha ndi mitsempha yaying'ono ya magazi, yomwe imayambitsa kusokonezeka kwa magazi.

Malinga ndi ziwerengero, vuto lofananalo lapezeka mwa 80 peresenti ya odwala omwe akhala akuvutika ndi matenda amtundu wa 2 kapena a 2 kwa zaka zoposa 20. Ngati dotolo azindikira kuti ali ndi vuto chifukwa atatenga nthawi yayitali, kudula mwendo kumayambitsa matenda a shuga.

Ndi zovuta ziti zomwe zimabweretsa shuga

Ndi matenda ashuga, monga mukudziwa, zovuta zimatuluka ziwalo zambiri zamthupi ndi machitidwe amthupi. Izi ndichifukwa choti chifukwa champhamvu yamagazi m'magazi, njira ya metabolic imasokonekera.

Izi, zimathandizira kugwira ntchito kwamkati kwamanjenje ndi dongosolo lamagazi, zomwe zimachepetsa ndikukhala osakwanira kuti zitsimikize kuti miyendo yanu ndiyabwino.

Kwambiri ndi matenda a shuga, miyendo ya odwala imakhudzidwa, koma manja nawonso amagwa. Chifukwa chiyani miyendo imakhudzidwa kwambiri? Izi zimachitika pazifukwa zingapo:

• Miyendo imakhala ikuyenda nthawi zonse, motero amafunika magazi abwino.
• Anthu ambiri amapereka chisamaliro chokwanira pa chisamaliro chochepa cha manja.
• Chifukwa chosayenda bwino, mitsempha yamagazi imakhala yoonda (polyneuropathy), ndipo izi zimayambitsa kukula kwa phazi la matenda ashuga komanso zilonda zam'mimba. Onsewa ndi ovuta kuchiza.

Chifukwa chake, matenda ashuga ndi owopsa pamavuto ambiri azaumoyo. Mavuto a matenda ashuga ayenera kuthandizidwa, chifukwa amakhudzanso zovuta zina zomwe zimavuta kudziwa.

Mwachitsanzo, matenda ashuga a retinopathy angayambitse khungu lathunthu (pakalibe chithandizo chokwanira), zilonda zam'mimba zimapangitsa kukhazikika kwa phazi la matenda ashuga komanso kupundula miyendo. Kodi kudulidwa kumawoneka liti ndipo kumachitika bwanji?

Kudulidwa kwa miyendo kapena gawo lake

Kuchepetsa mwendo mu shuga mellitus kapena gawo limodzi lokha njira yothandizira mankhwalawa. Kuchotsa gawo la mwendo kapena chala kumafunikira chithandizo chowonjezera cha bala m'chipindacho. Chifukwa cha chithandizo chapadera, chiwopsezo cha zovuta zamtundu uliwonse chimachepetsedwa.

Ngati mukulimbana ndi mabala mulibe zopinga, mwachitsanzo, kufooka kwa bala ndi mavuto ofanana, wodwalayo amachira ndipo amatha kugwira ntchito.

Ndikothekanso kubwerera ku moyo wachizolowezi chifukwa cha zofalitsa, zomwe sizachilendo mu shuga.

Zachidziwikire, ngati mwendo udulidwira kwambiri, sukwananso kukwaniritsa ntchito zake (zomwe sizichitika chala chikadulidwa) ndipo pali zifukwa zingapo:

• Zodzaza ndi chitsa.
• Kuchepa kwa zilonda zatsopano za trophic m'malo ophatikizika kumawonjezeka.
• Mitundu yonse ya mabala ndi kuvulala pamtunduwu samachiritsa kwa nthawi yayitali, zomwe zikuwonetsa kutaya kwa magazi oyenda.

Poyerekeza ndi zomwe zachitika pambuyo pake, vutoli lingabuke: ngati magazi abwinobwino sangadabwerenso dzanja, kudzicheka pang'ono m'munsi mwendo kapena ngakhale ntchafu kungafunike.

Mitundu Yosintha

Pali magawo atatu a kudulidwa miyendo mu matenda ashuga:

1. Guillotine (mwadzidzidzi).
2. Poyamba
3. Sekondale

Kuduladula kwa Guillotine kumachitika chifukwa cha mawonekedwe ofunikira pamene sikuthekanso kukoka, ndipo sizingatheke kudziwa bwinobwino malire a minofu yakufa. Zikatero, gawo la mwendo limadulidwa pang'ono pamwamba pa zotupa zowoneka ndi maso.

Dokotala amapanga lingaliro pakucheka kwapakati pomwe sikungatheke kubwezeretsa magazi onse mu mwendo womwe wakhudzidwa. Popita nthawi, kusintha pang'onopang'ono kumachitika.

Kudulanso kwachiwiri ndikofunikira muyezo wa matenda ashuga ndipo amadziwikanso pambuyo pomanganso ziwiya zonse.

Imachitika makamaka chifukwa cha kulephera kubwezeretsa kwa minyewa yam'manja. Kodi njira zopewera ndi ziti?

Kupewa mukamadzicheka

Mosakayikira, atadulidwa, wodwala amafunika kutsatira mosamalitsa njira zopewera. Ndi njira izi zomwe zingathandize kubwezeretsa ziwalo zamthupi mwachangu momwe zingathekere.

Zofunika! Ndi matenda a shuga, simungayende opanda nsapato! Masokisi amayenera kupangidwa kokha ndi ulusi wachilengedwe, ma synthetics amaletsedwa! Masokisi ndi nsapato ziyenera kukhala zaulere kuti kusunthika sikuletsa.

Ndi matenda a shuga, wodwalayo amakulimbikitsidwa kuti azichulukitsa miyendo ndi miyendo, koma njirayi imakhala ndi zotsutsana.

• Mitsempha ya Varicose.
• Ming'alu.
• Chimanga.
• Matenda a shuga.
• Thrombophlebitis.

Nthawi zina wodwala amayenera kutenga “mozondoka”. Mapazi amayenera kukwezedwa pamalo a 20-40 °, kupumula pilo, bulangeti kapena maliseche a sofa. Kuchita ntchito imeneyi kumathandizira kuti limagwirira ntchito potulutsa magazi a venous, momwe mulibe mpweya, komanso zimapangitsa kuti minofu ya m'munsi izikhala yathanzi.

Osanyalanyaza njira yoteteza matenda a shuga, chifukwa zimatenga nthawi osapitilira mphindi 5 patsiku. Kuyenda pang'onopang'ono ndiye njira yabwino kwambiri yotsatsira matenda ashuga. Chofunikira - nsapato siziyenera kukhala zolimba.

Tcherani khutu! Ngati pakuyenda nthawi yayitali wodwala samva bwino, kupweteka pakumalumikizana, kutsekemera, kulimbikitsidwa, kumalimbikitsidwa kuchepetsa kapena kuthetseratu mpaka zomwe zimayambitsa zovuta izi.

Ndipo, inde, chinthu chofunikira kwambiri mu shuga ndikuwongolera kuchuluka kwa shuga m'magazi. Kuyika shuga moyenera kumatha kutsimikiziridwa ndi zakudya zochepa zama carb, mankhwala osiyanasiyana, mankhwala a insulin, komanso miyezo yokhazikika ya shuga.

Pokhapokha pothandizidwa, wodwalayo amatha kuchira msanga ataduladulidwa miyendo.

Chifukwa chiyani gangrene amakula shuga

Ndi kuchuluka kwa glucose m'magazi, mitsempha ya magazi imayamba kuchepa pakapita nthawi ndikuyamba kuchepa pang'onopang'ono, zomwe zimayambitsa matenda a shuga. Zombo zazing'ono komanso zazikulu zimakhudzidwa. Mapeto a mitsempha amasinthanso zomwezi, chifukwa cha matenda ashuga amadziwika kuti ali ndi matenda ashuga.

1. Zotsatira zakuphwanya, chidwi cha khungu chimachepa, potengera izi, munthu samangomva kuti kusintha koyambirira kwayamba pa miyendo ndikupitiliza kukhala ndi moyo, osadziwa zovuta.
2. Wodwala matenda ashuga sangakhale ndi chidwi ndi kuwoneka kwa mabala ang'onoang'ono kumapazi, pomwe malo owonongeka kumapazi ndi zala sikumachiritsa kwa nthawi yayitali. Zotsatira zake, zilonda zam'mimba zimayamba kupanga, ndipo zikagwidwa, chiwopsezo chokhala ndi gangrene cha m'munsi chimakhala chambiri.
3. Zovulala zazing'ono zingapo, chimanga, misomali yovomerezeka, kuvulala kwa cuticle, kuwonongeka kwa msomali panthawi ya pedicure kumathanso kukhudza maonekedwe a gangrene.

Zizindikiro za gangore

Ischemia yovutitsa kwambiri, yomwe imakhala ikusowa magazi, imatha kukhala zovuta kwambiri. Wodwala matenda ashuga ali ndi zizindikiritso zam'mapazi m'mapazi ndi zala zakumaso, zomwe zimakulirakulira poyenda, kuzizira kwamapazi, ndikuchepetsa chidwi cham'munsi.

Pakapita kanthawi, kuphwanya pakhungu kumatha kuzindikirika pamiyendo, khungu limakhala louma, limasintha mtundu, limakutidwa ndi mafinya, puroses necrotic komanso mawonekedwe a ulcerative. Popanda chithandizo choyenera, chiwopsezo chachikulu ndikuti munthu akhoza kuyamba kudwala.

Matenda a shuga angayambike ndi matenda owuma kapena onyowa.

• Dry gangrene nthawi zambiri imayamba pang'onopang'ono, kwa miyezi ingapo kapenanso zaka. Poyamba, odwala matenda ashuga amayamba kumva kuzizira, kupweteka komanso kumva kutentha m'mapazi. Kupitilira apo, khungu lomwe lakhudzidwa limayamba kuchepa mphamvu.
• Mtundu wamtunduwu umatha kupezeka, monga lamulo, m'malo mwa zala zakumapeto. Chotupa chake ndi chotupa chaching'ono chomwe khungu limakhala ndi wotumbululuka, wamtambo kapena wamtambo.
• Pankhaniyi, khungu limakhala louma komanso lotupa. Pakapita kanthawi, minofu ya necrotic imakhala yakufa ndikumisidwa, pambuyo pake minofu ya necrotic imayamba kukanidwa.
• Matenda owuma sakhala pachiwopsezo cha moyo, koma popeza matendawa akukhumudwitsa ndipo pamakhala chiwopsezo chowonjezeka, kudula mathero kumachitika nthawi zambiri ndi matenda ashuga.

Ndi chonyowa, dera lomwe lakhudzidwalo limakhala lokongola kapena lamtambo. Kugonjetsedwa kumayendetsedwa ndi fungo lakuthwa kwambiri, mawonekedwe a mawonekedwe m'thupi la minofu yakufa, kuyezetsa magazi kumawonetsa mawonekedwe a neutrophilic leukocytosis. Kuphatikiza apo, adotolo awona kuti ndi zochuluka motani cha ESR.

Kukula kwa zonyansa m'mimba sikuchitika mwachangu, koma kumathamanga mwachangu. Mwa odwala matenda ashuga, khungu, minyewa, minyewa, ndi minyewa zimakhudzidwa.

Kuwonjezeka kwakukulu kwa kutentha kumawonedwa, mkhalidwewo umakhala wowopsa ndikuwopseza moyo kwa wodwalayo.

Chithandizo cha Matendawa

Njira yayikulu yothanirana ndi matenda am'mimba mu shuga ndi kulowererapo kwa maopa, ndiko kuti, kuduladula mwendo pamwamba pa bondo, phazi kapena phazi. Ngati dotolo azindikira kuti ali ndi chonyansa, kuyambiranso kwa gawo lomwe lakhudzidwa limachitika pokhapokha kuphwanyidwaku kwapezeka kuti zotsatira zake zisasokoneze wodwalayo. Kupanda kutero, ikhoza kupha.

Kuchita opaleshoni kumakhala ndi zotulutsa zometa zomwe zimakhala pamwamba pa malo a necrosis. Chifukwa chake, ngati munthu ali ndi matenda a shuga, kuduladuka kwa phazi lonse kumachitika ndi matenda am'manja chala chimodzi. Ngati phazi lakhudzidwa, kuchotsedwa kumachitika pamwamba, ndiye kuti, theka la mwendo wotsika limadulidwa.

Kuphatikiza pa kuti kuduladula mwendo kumachitika ndi khungu pakukalamba, thupi limabwezeretseka pambuyo kuledzera komanso matenda.

Pachifukwa ichi, ma anti-wodziwikiratu mankhwala amagwiritsidwa ntchito, magazi amawikidwa magazi, ndipo detoxification chithandizo chimachitika.

Zotsatira zake

Inde, kuduladula miyendo yam'munsi kumawonedwa ngati njira yofunika komanso yovuta, chifukwa chake pambuyo pake muyenera kugwiritsa ntchito mankhwala osiyanasiyana kuti mukhale ndi thupi. Muyenera kuyimitsa ululu wammbuyo pogwiritsa ntchito analgesics kapena mankhwala opha ululu. Zowawa zitha kuzimiririka mabala onse atachira. Madokotala nthawi zambiri amapereka mankhwala omwe si a mahomoni omwe amalimbana ndi kutupa. Amathandizira kuti muchepetse ululu pambuyo pakuchita opaleshoni.

Physiotherapy, komanso massage, angafunikire ngati zizindikiro zosasangalatsa sizitha kwa nthawi yayitali. Ndikofunikira kusamala kuti muteteze minyewa, chifukwa vutoli limawonongeka ndikadulidwa. Pankhaniyi, ndikofunikira kuchita prophylaxis munthawi kuti aletse atrophy. Ngati izi zikuyamba, ndiye kuti mwina sizingatheke kusiya, ndikuchotsanso zosinthazo zilizonse zoipa.

Vuto limodzi lomwe lingakhalepo ndi hematoma. Ili pakati pa khungu, pomwe ndi dokotala wokha yemwe angateteze mawonekedwe ake. Ayenera kusiyiratu kutaya magazi panthawi ya opareshoni. Kuti musambe mabala, muyenera kukhazikitsa machubu apadera, omwe amachotsedwa pambuyo pa masiku 3-4.

Popewa kufinya kwa minofu, zida za m'mimba zimayikidwa pabondo. Kuphatikiza apo, munthu amalimbikitsidwa kuti achite masewera olimbitsa thupi omwe amalepheretsa zovuta kuti zisachitike.

Mutha kuthana ndi matenda ovutitsa mothandizidwa ndi antidepressants. Amathandizanso kusangalala komanso kupewa malingaliro osokoneza. Nthawi zambiri, malembawo amakhala otupa kwambiri, ndipo vutoli limatha kuthetsedwa mothandizidwa ndi chipangizo cha bandeji.

Inde, kudula mwendo kumatha kukhala kokulirapo kuposa bondo la shuga, ngati mutayambitsa matendawa. Opaleshoni sangapewedwe, muyenera kusamalira kuti mukupanga chithandizo moyenerera. Zimatengera ngati padzakhala zovuta pambuyo pakuchita opaleshoni, komanso momwe zitha kuchira msanga.

Kukonzanso

Mukachira, muyenera kulimbana ndi zotupa, komanso kupewa matenda. Kuphatikiza apo, zidzakhala zofunikira kukonzanso ndodo ndi zilonda tsiku lililonse kuti matenda ndi kuwonjezereka kusawonekere. Njira zosiyanasiyana zolimbitsa thupi, komanso zolimbitsa thupi, zimalimbikitsidwa.

Pakukonzanso, wodwala matenda ashuga ayenera kuchita izi:

1. Gwiritsitsani chakudya. Zakudya zama carb ochepa zimasonyezedwa, pomwe menyu uyenera kukhala ndi michere yokwanira.
2. Ingonama pamimba panu kwa milungu itatu.
3. Mwendo wowonongeka uyenera kukwera pang'ono kuposa thupi pamene munthu wagona.
4. Kutikita minofu yolimbikitsidwa kwamanja, komanso masewera olimbitsa thupi apadera, kuti muchepetse kuchitika kwa minyewa.
5. Mabala amayenera kuthandizidwa bwino kuti apewe matenda ndi kutupa.

Munthu ayenera kumvetsetsa kuti poyamba ululu wa phantom ukhoza kuwoneka, womwe ndi mkhalidwe wakudulidwa. Pankhaniyi, sizovuta kusuntha, chifukwa sizachilendo kuyenda pamanja. Poyamba, muyenera kuphunzitsa bwino pafupi ndi kama wanu, kumapitirira chakumbuyo. Nthawi zina ma prosthetics amafunikira, chifukwa ndikofunikira kuti minofu ikhale yolimba. Ngati chala chakudulidwa chokha, njirayi nthawi zambiri sichifunika.

Ngati malingaliro onse atsatiridwa, ndizotheka kuchira mwachangu. Ichi ndichifukwa chake ndikofunikira kudutsa mosamala nthawi yobwezeretsa ndikuwunikira kusintha konse. Ngati zizindikiro zina zoopsa zikuwoneka, muyenera kufunsa dokotala kuti akupatseni malangizo.

Chiyembekezo chamoyo pambuyo podulidwa

Nthawi zambiri anthu amakhala ndi chidwi ndi kuchuluka kwa momwe angakhalire moyo atadulidwa. Ngati njirayi imatsirizidwa munthawi yake, ndiye kuti palibe ngozi pamoyo wamunthu. Ndizofunikira kudziwa kuti ndi mtondo wamiyendo yayitali - kumtunda kwa dera lachikazi - anthu sangakhale moyo kwanthawi yayitali. Monga lamulo, odwala amafa chaka chimodzi chokha. Ngati munthu agwiritsa ntchito mankhwala opatsirana, azikhala ndi moyo nthawi yayitali katatu.

Pamene mwendo wotsikirapo udadulidwa, ndiye kuti pafupifupi 1.5% ya anthu amafa popanda kukonzanso. Ena amafunikanso kudulidwa chifukwa vuto silinasinthe. Ngati munthu ayima pamawu, ndiye kuti akhoza kupulumuka. Pamene chala chinadulidwa, ndikuwonetsanso phaziwenso kunachitidwa, mutha kukhala ndi moyo wautali.

Kudulira ndi njira yopweteka komanso yowopsa yomwe nthawi zambiri singagawiridwe nayo.Ngati dokotala amalimbikira pakuchita opaleshoni, ndiye kuti muyenera kuchitadi izi. Izi zichitidwa mwachangu, zabwinoko, chifukwa padzakhala mwayi wopititsa patsogolo thanzi komanso kupewa mavuto.

Zomwe zimadulidwa

Kuphulika kwa kagayidwe kachakudya kumabweretsa kusintha kwamatumbo mu mtima. Kudzikundikira kwa zinthu za ballast m'magazi, kusintha kwa autoimmune kumapangitsa kuti maselo awonongeke chifukwa chodziteteza. Pazifukwa izi kuchuluka kwa zotengera zocheperako kumachepetsedwa, ndikupereka njira yoyambira kufotokoza bwino, kenako ischemia yodziwikiratu.

Kudula mwendo chifukwa cha matenda ashuga sikungapeweke ngati:

1. Magazi a m'miyendo akupita patsogolo,
2. Kuperewera kwa oksijeni kumapangitsa khungu kutengeka mosavuta ndi matenda,
3. Kutha kukonzanso chitseko kumachepetsedwa,
4. Ndi chithunzi chachipatalachi, kuwonongeka kulikonse kwamakina kumakwiyitsa mapangidwe a zotupa, phlegmon ndi zina zotupa za purulent zomwe ndizovuta kuchiza,
5. Kuwonongeka kwathunthu kwa minofu yamafupa kumakwiyitsa maonekedwe a osteomyelitis - chiwonongeko champhamvu cha minofu yamafupa.

Ndi matenda ashuga, mitsempha imawonongeka pang'onopang'ono, magazi amayenda, komanso mphamvu ya miyendo imachepa. Zotsatira zake, wodwalayo samva kupweteka ndi zotupa za pakhungu. Kupyola chimanga ndi ming'alu, matenda amalowa. Mabala omwe ali ndi matenda "okoma" amachiritsa kwa nthawi yayitali. Pakakhala chithandizo chokwanira, zilonda zam'mimba zimayamba, kenako.

Kutengera ndi kusiyana kwa matendawa pakukula kwa matendawa, zomwe zikuwonetsa opareshoni zalembedwa. Chisamaliro makamaka chiyenera kulipidwa pakukonzanso.

Kuduladulidwa chala mu shuga

Kukhazikitsanso chala ndi chisankho chofunikira. Amatengedwa ngati minyewa singathe kubwezeretsedwanso, ndipo pali chowopsa m'moyo wa wodwalayo, chifukwa phazi la matenda ashuga, makamaka, ndilo lingaliro lakufa.

Pa gawo lapamwamba, kudulidwa kwa chala sikulungamitsidwa, sikukhudza kwambiri magwiridwe antchito a miyendo. Ngati simuyimitsa zolaula za chala, awa sathera vuto.

Pali ntchito zala za pulayimale, sekondale ndi guillotine:

1. Kudula koyambirira kumachitika ndi matenda apamwamba kwambiri, pomwe njira zina sizikugwiranso ntchito.
2. Kuchita opaleshoni yachiwiri kumasonyezedwa pambuyo pobwezeretsa kayendedwe ka magazi kapena ndi chithandizo chosagwira bwino, pakadali nthawi yoti mudziwe kuti ndi gawo liti lamatenda lomwe limwalira.
3. Resection wa Guillotine amagwiritsidwa ntchito pamavuto ovuta kwambiri kuwopseza moyo wa wodwalayo. Madera onse okhudzidwa ndi gawo lathupi lathanzi amachotsedwa.

Wet gangrene amafuna opaleshoni yodzidzimutsa, chifukwa kuchuluka kwa zowonongeka kwa minofu ndikokwanira. Ndi khungu louma, necrosis imawonetsedwa ndi mafelemu omveka bwino m'dera lomwe magazi ake amathamanga. Ikani ntchito yomwe mwakonzekera. Munthawi zapamwamba, ndikumauma pang'onopang'ono, chala chimatha kudzipangitsanso.

Zomwe zimadulidwa miyendo mu shuga

Pa gawo lokonzekera, kuyezetsa kumayesedwa (ultrasound, X-ray, kuyezetsa magazi ndi mkodzo, kufufuza kwa mitsempha) kuti muwone kukula kwa vutoli.

Madzulo atachotsedwa, wodwalayo amasintha kuchuluka kwa mankhwalawa omwe amachepetsa magazi, dokotalayo amapereka malangizo okonzekereratu momwe angachiritsire pambuyo pochita opaleshoni. Kupewa zotsatira zoyipa kuchokera ku mankhwala oletsa kupweteka, ndizoletsedwa kudya ndi madzi tsiku lotsatira la opareshoni.

Pa nthawi ya opareshoni, khungu limatsukidwa ndi ma antiseptics omwe amateteza ku matenda. Chifukwa chaichi, maantibayotiki amatumizidwanso. Pambuyo pa mankhwala ochita opaleshoni (anesthesia yam'derayo imagwiritsidwa ntchito pa chala, nthawi zina, mankhwala ochititsa dzanzi) amachitika mozungulira.

Sulani fupa, chotsani minofu yowonongeka, limbitsani chilondacho ndi khungu labwinobwino komanso suture. Pofuna kuchotsa madzi ambiri. Kutalika kwa ntchito kumatengera zovuta: kuyambira mphindi 15 mpaka maola angapo.

Sabata yoyamba nyengo yochira

Ndi gangrene, malo omwe angadulidwe amatsimikizidwa ndi kusintha kwa matenda. Pambuyo pa opaleshoni, mphamvu ya madokotala imakhala yofuna kupondereza kutupa, kupangitsa zovuta. Zilondazo sizimangamangidwa tsiku ndi tsiku, koma maulalo onse a postoperative amathandizidwanso.

Nthawi yogwira ntchito ndi yowopsa chifukwa mwayi wa matenda a bala ndiwambiri. Chifukwa chake, kuphatikiza pakusamba pafupipafupi suture, wodwalayo amawonetsedwa kudya komanso kupukutira kwapadera. Kubwezeretsa kutuluka kwa magazi, gunditsani miyendo yonse.

Masabata awiri otsatira

Sabata yotsatira, wodwalayo samadwalanso kupweteka kwambiri m'chiwalo. Msoko pang'onopang'ono umachiritsa, zimatenga nthawi kuti matenthedwe asinthe, ngakhale pang'ono.

Anthu odwala matenda ashuga ayenera kuganizira zina:

• Ngati mwendo udadulidwa m'dera lomwe lili pamwamba pa bondo, ndiye kuti nthawi yobwezeretsa pamalopo imapangitsa kuti pakhale zina zomwe zimalepheretsa kuyenda m'chiuno.
• Ndi opaleshoni ya shin, bondo lopanda chitukuko chapadera limavutika kwambiri.
• Njira yochira imaphatikizaponso: kusunthika kambiri, malo ogona - pakama yolimba kwambiri komanso pamimba pathupi.
• Mobwerezabwereza kwa tsiku lomwe muyenera kuchita masewera olimbitsa thupi.
• Njira zonsezi zithandiza kulimbitsa minofu ndikukonzekeretsa thupi kuti libwezeretse ntchito zamagalimoto.

Ndi ntchito zoterezi, ndikofunikira kutsatira njira zonse zowasungira, makamaka, kuyamba kuphunzitsa zida zapadera pafupi ndi kama. Kupanga mikono ndi msana, muyenera kugwirira pakama. Kulimbitsa minofu kumathandiza kwambiri pakukonza chitsa cha ziwonetsero ndi kubwezeretsa magwiridwe antchito.

Zovuta pambuyo pa opaleshoni

Pambuyo pochotsa mbali ya mwendo kapena chala, pali zovuta zingapo - kuchokera pazomwe sizichiritsa kwa nthawi yayitali kuti kutupa ndi kutupa. Pofuna kupewa zotsatira zosafunikira, ndikofunikira kuvala bandeji yokhazikika yomwe imakhazikika pakuyenda kwa magazi ndi kutuluka kwa magazi. Ayenera kukhala olimba, ovulala kwambiri m'munsi mwa chitsa, mavutowo amachepa kumka kumtunda.

Kutikita pafupipafupi kwa chitsa ndi minofu yoyandikana - kugwada, kupukusa, kuwomba - ndikofunikira, chifukwa zimakupatsani kubwezeretsa minofu ya atrophied.

Ndikofunikira kudziwa kuti:

1. Odwala onse amadwala ululu wamphantom. Pankhaniyi, katswiri wama psychologist ndi analgesics athandizira kuyanjananso ndi kutayika.
2. Chithandizo cha mankhwalawa chimagwiritsidwa ntchito onse mwamankhwala (pachimake) komanso physiotherapeutic.
3. Mphamvu zowoneka bwino zimawonedwa ndi masewera olimbitsa thupi komanso mitundu yonse ya kutikita minofu, kuphatikizapo kudzithandiza. Mukachiritsa, mutha kusamba osamba.

Ndi chisamaliro chosauka, kubwezeretsanso minofu necrosis ndi matenda a bala ndikotheka. Kuchita mobwerezabwereza, pakufunika ntchito yayikulu.

Kuneneratu - omwe odwala matenda ashuga angayembekezere

Ngati mwendo wadulidwa m'chiuno, theka la odwala matenda ashuga okha ndi omwe amapulumuka chaka chatha atachitidwa opereshoni. Ziwerengero zofananira zimawonedwa mu ukalamba, pamene shuga imayendera limodzi ndi zovuta zina. Mwa odwala omwe anakwanitsa kuphunzira ma prostheses, kupulumuka kumakhala katatu kwambiri.

Ndikudula mwendo wapansi, ngati palibe kukonzanso zokwanira, 20% ya ozunzidwayo amafa. Enanso 20 peresenti ya opulumuka amafunikanso kudula miyendo - tsopano. Mwa odwala omwe adadwala kale, kufa kwa chaka sikupitirira 7% (pamaso pa matenda achilendo).

Ndi njira yaying'ono yochita opaleshoni (kusanjikanso phazi, kuchotsa chala), chiyembekezo cha moyo chimakhalabe pamlingo wazaka zake.

Kuti mubwezeretse ndikukhalanso wogwira ntchito kwa dzanja lomwe lakhudzidwa panthawi yakusinthika, ndikofunikira kutsatira zonse zomwe dokotala wakulemberani.

Njira zamakono zodziwitsira zala za matenda ashuga - muvidiyoyi

Kupewa Kwa Matendawa

Ngati munthu wodwala matenda ashuga apita patsogolo, pomwe nthawi yayitali yatha zaka 20, zonse ziyenera kuchitidwa kuti mavuto asamachitike.

Kuti izi zitheke, muyenera kuyang'anira shuga wamagazi nthawi zonse ndi glucometer. Kamodzi miyezi itatu iliyonse, wodwalayo amayesedwa magazi a glycated hemoglobin.

Ndikofunikanso kutsatira zakudya zapadera, kumwa mankhwala osokoneza bongo kapena insulin. Zilonda zazing'onoting'ono zikaonekera pakhungu, ayenera kulandira chithandizo nthawi yomweyo.

Kupewa kwakukulu kwa zovuta ndi kusamalidwa kwaukhondo kwa momwe phazi limayendera, kayendedwe ka madzi, ndikatsuka. Kusokoneza. Ndikofunikira kuvala nsapato zapamwamba zokha zomwe sizikakamiza zolowera m'munsi. Anthu odwala matenda ashuga ayenera kupanga lamulo kuti azichita mayeso a tsiku ndi tsiku a miyendo ndi miyendo kuti apeze nthawi yowonongeka pakhungu. Ma insoles apadera a matenda a shuga ndiabwino.

Madokotala amalimbikitsanso kuchita masewera olimbitsa thupi a m'munsi.

• Wodwalayo amakhala pamphasa, ndikudzikokera masokosi, kenako ndikuchotsa kwa iye.
• Mapazi amapindika ndipo amachepetsa.
• Phazi lililonse limazungulira mozungulira.
• Wodwala matenda ashuga amafinya zala zake momwe angathere ndikuwazindikira.

Chilichonse cholimbitsa thupi chimachitidwa pafupifupi nthawi khumi, pambuyo pake mulimbikitsidwe kutikita minofu yoyera. Kuti muchite izi, phazi lakumanja limayikidwa pabondo la phazi lamanzere, mwendo umamangidwa bwino pang'ono kuchokera kumapazi mpaka ntchafu. Kenako miyendo imasinthidwa ndipo njirayi imabwerezedwanso ndi mwendo wamanzere.

Kuti achepetse kupsinjika, munthu amagona pansi, akukweza miyendo yake ndikuigwedeza pang'ono. Izi zithandiza magazi kuyenda mpaka kumapazi. Kusisita kumachitika tsiku lililonse kawiri pa tsiku. Kanemayo m'nkhaniyi akuwonetsa ngati achifwamba angachiritsidwe popanda kudulidwa.

Kodi njira zoyenera kudulidwira ndi ziti?

Kuwonongeka kwachilengedwe kwa kayendedwe ka magazi kumapangidwa chifukwa cha zolephera zina mu kagayidwe kazinthu. Kuphatikiza apo, mapangidwe ofunikira a ziwalo za ballast (kuzungulira m'magazi) ndi mapangidwe a autoimmunization (mkhalidwe momwe chitetezo chaumunthu chimawonongera maselo a thupi lanu) zimapereka mphamvu. Mwakutero, chiŵerengero cha zombo zogwira ntchito pang'onopang'ono chidzachepa. Zotsatira zake, poyamba sizinatchulidwe, kenaka - ischemia yovuta imapangidwa. Tiyenera kudziwa kuti kudulidwa mwendo mu matenda a shuga ndikofunikira, makamaka chifukwa:

Nthawi zina, kutengera mawonekedwe a thupilo, zisonyezo zakuduladula zingakhale zosiyanasiyana. Ndikulimbikitsidwa kuti musamalitse mtundu wa kukonzanso komwe muyenera kukhala mutagwira ntchito pamapazi anu.

Sabata yoyamba ndikadulidwa

Kudulidwa kwa miyendo pakakulirakulira kwa khungu kumaphatikizanso kuphatikizika kwa gawo lotere la mwendo lomwe lakhudzidwa ndi pathological algorithm. Pambuyo pochotsa zoterezi zachitika, m'masiku ochepa oyambira zonse zoyesayesa zidzayang'aniridwa mosamala pakumachotsa njira zotupa, komanso kuthetsa kuthana kwamatendawo. Chitsa cha phazi tsiku lililonse chizikhala chovala, komanso mankhwalawa.

Kuchekera chala mwina ndiwofunika kwambiri pakuchita opaleshoni kumene sikufuna ma prosthetics. Komabe, ngakhale atakumana ndi izi, wodwala matenda ashuga amatha kukumana ndi zovuta za phantom ndikumakumana ndi kusatsika pakuyenda m'masiku ochepa. Pambuyo ndikudula kwadwala kwambiri m'matenda a shuga, kuyenera kukhala pamalo enaake, chifukwa chifukwa chazovuta zamatumbo ndi mafupa am'mitsempha, kutupira kwina kumapangika.

Tikulankhula za kudula kwamiyendo mu matenda a shuga, tiyenera kukumbukira kuti izi ndizowopsa nthawi ikatha chifukwa opaleshoni yotupa yayamba kuchuluka.

Popeza izi, kuwonjezera pa chithandizo chokwanira cha ma suture, kudya mokhazikika komanso kutikita minofu tsiku ndi tsiku kumalimbikitsidwa kwambiri kwa odwala matenda ashuga.

Imasungidwa pamwamba pa chitsa kuti pakhale bwino zotupa zam'magazi ndikuyenda bwino kwa ntchito yamagazi.

Masabata achiwiri ndi achitatu

Sabata yachiwiri ndi gawo lochira, pomwe wodwalayo samakumana ndi kupweteka kwambiri mwendo. Nthawi yomweyo, msoko umayamba kuchira, ndikukonzanso thanzi labwino, zimatenga nthawi - zonse ziwiri kuphazi ndi mwendo. Ndikulimbikitsidwa kuti:

Popeza izi, ndikufuna ndikuwuzeni kuti ngati dzanja lidula, ndiye kuti ndiyofunikira kuyambitsa maphunziro olimbitsa thupi pafupi ndi kama. Pankhaniyi, muyenera kugwirira kumbuyo, makamaka pochita masewera olimbitsa thupi ndi kumbuyo. Kuti muwonjezere ma prosthetics ndikuyenda bwino kwambiri pamiyendo, ndikofunikira kwambiri kukhala ndi mphamvu yayikulu ya minofu komanso kupirira. Inde, monga mukudziwa, kudula kumapangitsa kuti thupi lizikhala mwachilengedwe, motero ndikofunikira kuzolowera moyo watsopano.

Zovuta za pambuyo pa ntchito

Odwala ena amakumana ndi zovuta zina atadula miyendo. Amatha kuwonetsedwa, mwachitsanzo, pakuchulukitsidwa kwazitali kwa sutures, mapangidwe a malo okhala ndi chofukizira ndi kutupa kwa chitsa. Pofuna kupatula zovuta zoterezi, ndikulimbikitsidwa kugwiritsa ntchito kuvala kwapadera. Chowonadi ndi chakuti amathandizira kukhazikika kwa kayendedwe ka magazi komanso kayendedwe ka mitsempha m'dera la ziwiya zowonongeka atachotsa.

Tiyenera kukumbukira kuti kuvala kwaphokoso kumayendetsedwa molunjika kudera lam'munsi la chitsa, kufooketsa mwadongosolo kumka kumtunda.

Chofunika ndi kutikita minofu ndi kudzilimbitsa nokha ndi chitsa, komanso khungu lozungulira, kumenyetsa pang'ono ndikung'amba.

Izi zipangitsa kuti matenthedwe amasokere mwachangu kwambiri. Tiyeneranso kukumbukira kuti:

• pafupifupi wodwala aliyense ali ndi ululu wa phantom atadulidwa,
• Chithandizo cha mankhwalawa chizikhala mankhwala, makamaka zimagwira pa nthawi yovuta kwambiri,
• Zotsatira zabwino zikuwonetsedwa ndikuyenda pafupipafupi ndipo, monga tawonera kale, kupereka kutikita minofu, ngakhale ngati kudulidwapo mwendo pamwamba pa bondo.

Kudulidwa kwa chala cham'munsi

Kudulidwa kwa matendawa ku matenda a shuga kumachitika pakakhala chiwopsezo pamoyo wa anthu odwala matenda ashuga ndipo palibe mwayi wochiritsa minyewa yomwe yakhudzidwa ndi njirazi. Kukhalapo kwa phazi la odwala matenda ashuga nthawi zambiri kumakhala chifukwa chomwe chimapangitsa kuti wodwalayo amwalire, ndipo kudulidwa kumapangitsa kuti matendawa athetse ndikupulumutsa moyo wa wodwalayo.

Ntchito yamtunduwu ndiosavulaza kwambiri, chifukwa kusowa kwa chala sikungathe kuchititsa phazi lathunthu. Koma, ngati opareshoni yotere siyikuchitika pa nthawi yake, minofu necrosis komanso kuledzera kwa thupi kumatha kufalikira kumapangidwe amtundu wapafupi, ndipo malo omwe akukhudzidwawo achuluka kwambiri. Kuwonongeka kwa chala chachikulu mu shuga ndizovuta zambiri, koma sikungodziyika kumodzi kokha.

Pakudula, madokotala amayesa kukhala ndi gawo la chala. Makamaka, munthu amafunika chala ndi chala chachiwiri. Ndi kuchotsedwa kwawo kwathunthu, zosokoneza pakugwira ntchito kwa phazi lonse zimachitika.

Kutemwa kwa zala kumatha kukhala kwamitundu itatu:

1. Yaikulu - yochitika mu gawo la chitukuko cha matenda,
2. Sekondale ikuchitika pambuyo kukhazikitsidwa kwa magazi kapena chifukwa chosagwira bwino mankhwalawa.
3. Guillotine.Amatembenukiranso pamene wodwala ali mu vuto lalikulu kwambiri. Pankhaniyi, minyewa yonse yomwe yakhudzidwa ndikugwidwa kwa minofu yathanzi imayenera kuchotsedwa.

Pamaso pa kulira kwa gangrene, opaleshoni yofunikira imachitidwa, ndi youma - yokonzekera.

Pambuyo ndikudula kwa chala chakumapeto kwambiri mu shuga, matenda am'mimba nthawi zambiri amakhala abwino. Poterepa, vuto lalikulu ndi kutha kwa ntchito ndikutsatira njira yoyenera yokonzanso. Kupanda kutero, wodwalayo akhoza kukhala pachiwopsezo chobweretsanso matendawa.

Gangrene ndi mitundu yake

"Matenda a shuga" amakhumudwitsa minofu necrosis. Izi, zimatha kudula miyendo.

Imfa ya minofu mthupi mu matenda a shuga imatha kuuma kapena kunyowa. Zowuma zowuma zimachitika pang'onopang'ono, pang'onopang'ono, pomwe kuchuluka kwa mitsempha ya magazi kumachepa. Nthawi zina njirayi imatha kutenga zaka zingapo. Panthawi imeneyi, thupi limatha kugwira ntchito yoteteza. Zovuta zowuma nthawi zambiri zimakhudza zala. Koma minofu yakufa siyikhudzidwa ndi matendawa. Ndipo zala sizimataya chidwi. Kuti mutha kulingalira bwino izi, yerekezerani thupi lopukutidwa. M'mawonekedwe, zala zakumaso zimakhala ndi mawonekedwe opukutidwa, ndipo palibe fungo lochokera kunzake zakufa. Mkhalidwe wamba wodwalayo amakhalabe wokhazikika, chifukwa poizoni amawamwa m'magazi pang'ono.

Mtundu wa zigawengazi si ngozi yayikulu pamoyo. Miyendo imatha kudulwedwa kuti popewa matenda komanso gulu lachiberekero kuti lisatuluke pouma likhale lonyowa.

Mitundu yonyowa ya gangrene kwenikweni ndi yosiyana ndi mawonekedwe owuma. Ma Microbes mabala amachulukana mwachangu, chifukwa chomwe minofu yofewa imakhala ndi mtundu wamtambo wa violet ndikuwonjezeka kwambiri. Zingwe za malekezero am'munsi zimayamba kufanana ndi mawonekedwe a cadaveric. Komanso, kugonjetsedwa kwa miyendo kumachitika mwachangu kwambiri, kufalikira kwambiri, ndikukweza fungo losasangalatsa. Chifukwa cha kuledzera kwambiri, mkhalidwe wa wodwalayo ungatchulidwe kuti wolimba.

Momwe mungapewere kudula

Odwala omwe ali ndi matenda ashuga ayenera kuyang'anitsitsa momwe miyendo yawo ilili. Pangani lamulo kuti muunike malekezero otsika usiku uliwonse chifukwa cha zotupa, matuza, mitsempha, mafinya, mabala ndi mabala. Valani nsapato zamatumbo. Izi zimachepetsa katundu pamiyendo ndikuwoneka kwa chimanga ndi mabala.

Ngati kusintha kulikonse m'munsi mwamunsi mwapezeka, kaonana ndi dokotala. Koma musalole aliyense (ngakhale dotolo) kuti athetse chimacho pamapazi awo. Izi zimatha kubweretsa mabala omwe amayamba kuwola ndikupanga gangore.

Pakakhala mtundu wouma wamatenda, opaleshoni yamiyendo yamiyendo ndiyosatheka. Musaope izi. Njirayi imakhala ndi phindu pa patency yamitsempha, magazi azungulira mozungulira, kudyetsa minofu yomwe ikukhudzidwa. Izi zitha kupewa kudula miyendo.

Matendawa am'mimba sitha kuthandizidwa ndipo amayenera kudulidwa. Potere, mwendo umadulidwa kwambiri kuposa zimakhala zomwe zimakhudzidwa. Kukana kudulidwa kumatha kubweretsa zotsatirapo zosasangalatsa.

Odwala matenda ashuga ayenera kuyang'anitsitsa thanzi lawo, kutsatira zakudya zapadera, kutsatira malangizo a dokotala, kuteteza matupi awo. Poterepa, apewe matenda a "matenda ashuga" ndikudula miyendo.

Kodi kudula zala kumawonetsedwa liti?

Njirayi ndiyosinthika, amangoigwiritsa ntchito pokhapokha ngati akufunikira kupulumutsa wodwalayo. Pokhudzana ndi kufalikira kwathunthu kwa mitsempha yamagazi, kutuluka kwa magazi kumayimitsidwa ndipo zimakhala zolimba m'miyendo yamunthu zimaperekedwa ndi iyo, zomwe zingalole kuti zife.

Zinthu zapoizoni, tizilombo toyambitsa matenda komanso michere imachuluka m'thupi, poyizoni wamagazi, sepsis imachitika, chifukwa choti wodwalayo angafe.

Kudzicheka kwa chala kumatha kuletsa imfa ya wodwalayo, chifukwa amachotsa minofu ya necrotic. Zizindikiro Podula, mwina pali izi:

• neoplasms yoyipa,
• kachilombo ka anaerobic,
• Phazi kapena miyendo
• Kuyimitsidwa kwathunthu kwa kuzungulira.

Ndikofunikira kuyang'anira thanzi lanu ndikuwona matendawa munthawi yake, chifukwa chake ngati munthu yemwe wayimirira kwakanthawi amamva kuti wakomoka, kusapeza bwino komanso ululu wolumikizana ayenera kupita kuchipatala mwachangu.

Mavuto omwe angakhalepo komanso zotsatirapo zake

Ngati opaleshoni yochotsa mankhwalawo kuti muchotse chala chakecho idapangidwa munthawi yake komanso molondola, ndiye kuti matchulidwe ake amakhala ambiri. Ngati munthu akuzengereza kupita kuchipatala, ndiye kuti ndi matenda owuma, kudzidulira chala. Pakanyowa, zimakhala zoyandikana nazo zimayambitsa matenda, ndikuchotsa phazi ndi miyendo yonse.

Werengani zambiri za gangrene zam'munsi - werengani apa.

Pambuyo pakuchita opaleshoni, ndikofunikira kutsatira malingaliro onse a akatswiri omwe amapezekapo, chiritsani chilondacho, onetsetsani kuti sichikutuluka ndipo sichifuna kudulanso kwachiwiri.

Kodi mungatani osadulidwa?

Kodi ndizotheka kuchita popanda kuchitidwa opaleshoni, ndi dokotala wokha wodwala yemwe angasankhe. Dokotala amapanga chisankho chokhudza opaleshoniyo kapena kupitiliza kwa mankhwala osokoneza bongo potengera zotsatira za kusanthula kwa wodwalayo komanso malipoti azachipatala pazokhudza thanzi la wodwala kuchokera kwa akatswiri ena. Nthawi zambiri, odwala matenda ashuga amathandizidwa ndi endocrinologists, ophthalmologists, madokotala a opaleshoni ndi a nephrologists.

Kuti muwonetsetse ngati wodwala akufunika opaleshoni, mawonekedwe a miyendo yake, kuyesedwa kwa magazi ndi ziwonetsero za urinalasis.

Ntchito ikuyenda bwanji?

Pochita opaleshoni, izi kapena gawo limodzi la thupi limadulidwapo, poganizira kuti ma prosthesis amatha kugwiritsidwanso ntchito. Komanso pakuchita opareshoni, dokotalayo amayesa kutsatira zotsatirazi mfundo:

1. Kuteteza kwakukulu kwa minofu yathanzi.
2. Kusunga ma anatomical ndi magwiridwe antchito a gawo lomwe lakhazikitsidwa.
3. Kupangidwe kwa chitsa cholondola.
4. Kupewa kupweteka kwa phantom.

Opaleshoni palokha imachitika atatu siteji:

1. Choyamba, minofu yofewa imatulutsa.
2. Ndiye kuti kudula fupa, periosteum imakonzedwa mokakamizidwa.
3. Pamapeto omaliza, mitsempha yamagazi imakhala ndi minyewa, mitengo ya mitsempha imakonzedwa, chitsa chimapangidwa.

Prosthetics ndi chisamaliro choyenera pambuyo pochita opaleshoni zimathandiza anthu omwe achotsa chala kapena mbali ya mwendo ndi matenda a "shuga" kuti abwerere tsiku ndi tsiku.

Kudzicheka kwa phazi

Nthawi zina, necrosis imafalikira mpaka kumapazi konse, osati zala zakumiyendo, ndiye kuti zimachotsedwa. Ndi phazi la matenda ashuga, chithandizo chokhacho ndikuchidula.

Munthu amafunikira opaleshoni imeneyi kuti ipangitse kuti pakhale phula, lomwe litha kukhala louma kapena lonyowa. Mwa mitundu yoyamba, wodwalayo ali ndi zizindikiro zotsatirazi:

• kulibe tsitsi,
• phazi limazizidwa
• Khungu la phazi lakuda,
• munthu amayamba kupindika
• Zilonda zimawoneka pamapazi.

Ndi zizindikiro zomwe tafotokozazi, mutha kudutsa ziwiya zam'madzi ndikusunga phazi kuti musadulidwe, koma ngati khungu lanu litayamba, ndiye kuti izi sizingachitike.

Mu mitundu yachiwiri yamakalonda, zizindikiro zotsatirazi zimawonekera:

• Khungu la phazi lotentha,
• mtundu wake ndi wamba
• Zilonda zochepa zowoneka bwino pamapazi,
• Wodwala amakhala ndi ululu wowawa ngakhale akupuma,
• kuchepa kwa zomverera kumachitika.

Pankhaniyi, kuchotsedwa kwa phazi kumachitika ngati cholumikizira chotupa cha ziwalo zake zonse.

Kudulidwa mwendo mu shuga

Njirayi ndiyofunika pa endocrine matenda kuti munthu apulumutsidwe. Njira yokhayo yokhayo yomwe imagwira ntchito ngati wodwalayo ayamba kudwala matenda ashuga.

Kuthandizira opaleshoni kumachitika chifukwa mkati mwake minyewa ndi mafupa zimakonda necrosis ndipo izi zimathandiza kupulumutsa wodwala ku sepsis, yomwe imatha kupha.

Zizindikiro Milandu yotsatirayi ndiyothekanso kuchotsa gawo la mwendo:

1. Kuwonongeka kwamitsempha.
2. Kuphwanya kapangidwe ka kayendedwe ka magazi.
3. Minofu ya Necrotic imasintha.

Zonsezi pamwambapa zikuwonetsa kuti zofunikira zazikulu za opaleshoni ndi minofu necrosis komanso kusowa kwa magazi kuchokera ku mtima, komwe kungayambitse imfa ya wodwalayo.

Munthu ayenera kumvetsetsa kuti opaleshoni iyi ndi yovuta kwambiri ndipo kuchira kwake kumatenga nthawi yayitali komanso yayikulu.

Kutchepetsa kudalira

Anthu ambiri sadziwa momwe angakhalire atatha kuchita opaleshoni yovuta ngati iyi ndikuyamba kuvutika mtima kwambiri. Koma moyo ukatha, ndipo ntchito yayikulu ya abale a wodwalayo ndikuwathandiza wodwala ndikuwathandiza.

Kwakukulukulu, opaleshoni ikatha, odwala amatha kukhala ndi matenda a "shuga" kwazaka zambiri, koma nthawi yomweyo, kudula gawo la thupi kuyenera kuchitidwa moyenera, ndipo wodwalayo ayenera kutsatira malingaliro onse a dokotala.

Ngati munthu samvera zomwe dokotalayo amamuuza, matendawo amakhumudwitsa, popeza ndizotheka kukwaniritsa chotupa ndi miyendo yachiwiri, yomwe iyenera kudulidwanso.

Kodi kukonzanso zikuyenda bwanji?

Njira yakuchira pambuyo pakuchita opaleshoni yamtunduwu ndiyofunikira kwambiri. Muyenera kutsatira malangizo onse a dotolo, kumwa mankhwala ofunikira ndikuvala.

Poyamba, atatsata njirazi, wodwalayo amagona m'chipatala ndipo anamwino amamuyang'anira, kenako atakwanitsa kugwira ntchitozi amaperekedwera kumapeto kwa abale ake.

Anthu omwe amapereka wodwalayo chisamaliro akuyenera kuwonetsetsa kuti chivundikiracho chikuuma komanso choyera, kukondera sikuyenera kuloledwa. Chilondacho chiyenera kuthandizidwa tsiku lililonse. Mukakonza ndikosatheka kukhudza msoko. Pambuyo poti vanga lawola, ndibwino kusiya kuyimangirira kuti ikhale kunja. Ndikofunikira kwambiri kuti zitsimikizire kuti palibe dothi lomwe limalowa, ndipo palibe kufiyanso.

Munthu amatha kuyamba kutsogola moyo watsiku ndi tsiku pang'onopang'ono, muyenera kusuntha pang'onopang'ono komanso osalala. Munthu yemwe wadulidwa angayende moyo wabwinobwino, ndiko kuti, amatha kuyenda mozungulira nyumba, kuphika, kuchapa, kusamba, ndi zina zambiri.

Kuchotsa chala kapena gawo lina lake ndikulowerera koopsa, njira yokhayo yolimbana ndi matenda ashuga kumapeto kwa kukula kwake. Njira yokhayo imalepheretsa njira ya necrosis ya zimakhala zapafupi ndi poyizoni wamagazi ndikupulumutsa wodwalayo kuimfa.

Zomwe zimayambitsa matenda a diabetesic phokoso

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

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

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

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

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

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

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

Kuchepa kwa Mphamvu - Matenda a shuga a shuga a shuga

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

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

Kutaya kwa magazi - matenda ashuga macroangiopathy

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

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

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

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

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

Zizindikiro zakuwonongeka kwa phazi la matenda ashuga

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

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

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

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

Magulu a pachiwopsezo chotukula SDS

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

Matenda a matenda ammimba a shuga

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

Matenda a shuga matenda am'mimba

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

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

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

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

• Zinthu zonse pamwambapa
• Kubwezeretsa kwa magazi

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

• Mankhwala othandizira
• Palibe kuchitapo kanthu - kudula

Chithandizo cha zilonda zam'mimba

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

Kunyamula katundu

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

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

Kuponderezedwa kuponderezana

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

Kubwezerera kwa Glucose

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

Kukana zizolowezi zoipa

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

Chithandizo cha matenda ophatikizika

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

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

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

Kuyenda kwamwazi kumabweza m'munsi

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

Opaleshoni mankhwala a purulent necrotic njira

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

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

Malamulo oyambira osamalira mapazi

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

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

Pali malamulo ena ofunikira chisamaliro cha matenda ashuga:

• Mabala aliwonse, abrasion, kuwotcha ndi kuwonongeka kochepa kwambiri pakhungu la miyendo - iyi ndi nthawi yolumikizana ndi katswiri.
• Kuyang'anitsitsa miyendo tsiku ndi tsiku, kuphatikiza madera ovuta kufikirako, kudzalola kupezeka ndi zilonda zatsopano.
• Kusambitsa ndendende ndi kuwumitsa miyendo ndichofunikira tsiku lililonse.
• Ngati mwaphwanya kumverera kwamiyendo m'miyendo, muyenera kuyang'anira mosamala kutentha kwa madzi mukasambira. Pewani kusamba madzi otentha, kugwiritsa ntchito mapiritsi otenthetsera kuti musayake.
• Subcooling imawonongekanso khungu la miyendo. M'miyezi yozizira, hypothermia sayenera kuloledwa.
• Tsiku lililonse liyenera kuyamba ndikuwunika nsapato. Ziphuphu, mapepala, ndi zinthu zina zakunja zimatha kuyambitsa zilonda zam'mimbayo zikaonekera nthawi yayitali. Musanaveke nsapato, muyenera kuonetsetsa kuti palibe mchenga, miyala, etc.
• Masokisi ndi masheya azisinthidwa kawiri pa tsiku. Ndikwabwino kugula masokosi opangidwa ndi zinthu zachilengedwe, popanda zotanuka zolimba, simungathe kugwiritsa ntchito masokosi pambuyo pa darn.
• Chifukwa cha kuchepa kwa chidwi ndi phazi, anthu omwe ali ndi matenda ashuga salimbikitsidwa kuyenda opanda nsapato pagombe, m'nkhalango, kapenanso kunyumba, chifukwa mwina simungazindikire mabala omwe amawoneka kumapazi.
• Chithandizo cha mabala ku shuga ali ndi mawonekedwe ake.
  • Zilonda pamapazi sizingathe kuthandizidwa ndimankhwala osokoneza bongo (Iodine, Zelenka), komanso potaziyamu permanganate, othandizira okhalitsa ndi mafuta opaka pofinya ndipo osalola mpweya (Vishnevsky mafuta).
  • Ma abrasions amatha kuthandizidwa ngati ali oyera ndi yankho la Furacilinum, hydrogen peroxide - ngati chilondacho ndichoperewera kapena chodetsedwa. Njira zothandizira odwala matenda ashuga ndi Miramistin ndi Chlorhexidine.
• Chimanga chomwe chimawoneka mu shuga mellitus sichitha, sichitha kuchotsedwa ndimaso owongoka, kuchepa kwa chidwi ndi matenda a shuga kungachititse kuti khungu lizidulidwa komanso mabala. Chithandizo cha msomali chikuyenera kuchitika molunjika, popanda zingwe zowongoka. Njira yothetsera vuto la misomali yovomerezeka imatha kudalirika ndi dokotala.
• Ndizosavomerezeka kugwiritsa ntchito chifuwa chofewetsa, salola kuti mpweya udutse, ndipo pakalibe ma bacteria a oxygen anaerobic amatha kuchulukana pamalo omwe akukhudzidwa, omwe amamva bwino m'malo opanda mpweya komanso amathandizira kukulitsa anaoreobic gangrene.
• Kuuma kwambiri pakhungu kumachotsedwa mothandizidwa ndi mafuta kapena mafuta onunkhira. Izi ndi zonona za mwana komanso zonona zomwe zimakhala ndi mafuta a sea buckthorn. Madera ophatikizana sangathe kuchiritsidwa ndi zonona.

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

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

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