Kodi kumizidwa kwamano ndikotheka ndi matenda a shuga a 2

Kusokonezeka komwe kumachitika m'thupi ndi matenda ashuga kumakhudza mkhalidwe wameno komanso kumabweretsa matenda osiyanasiyana. Ndi matenda a shuga, kuchuluka kwa malovu mkamwa kumachepa, zomwe zimayambitsa kusokonezeka kwa enamel, imataya mphamvu ndipo imawonongeka mwachangu kuchokera ku asidi omwe amatulutsidwa ndi mabakiteriya omwe akukula mofulumira. Kuphatikiza apo, ndikusowa kwa malovu, kuchuluka kwa tizilombo tating'onoting'ono kumasokonezedwa, kukula kwa microflora ya pathogenic kumayamba, ndipo izi zimapangitsa kukhala njira zotupa m'matumbo, kenako ndi minyewa ya periodontal.

Chifukwa chake, njira zonse za matenda a shuga zimayendera mwachangu ndipo nthawi zambiri zimayambitsa mano. Ndipo izi zimabweretsa vuto lina - kulephera kukhazikitsa zakudya zoyenera, zomwe ndizofunikira kwambiri mu shuga. Chifukwa chake, ma prosthetics a shuga ndi ntchito yofunika.

Zida za prosthetics zamatenda a shuga

Ma prosthetics amano amtundu wa 1 komanso mtundu wa 2 si ntchito yovuta. Zimafunikira ukadaulo wambiri kuchokera kwa dokotala wamano, wamano, opaleshoni yamankhwala ndi mano, komanso pamachitidwe angapo wodwala. Ndipo chinthu chachikulu kuchokera munthawi izi ndikuti shuga ayenera kulipidwa bwino, ndiye kuti, shuga amakhala pafupi ndi nthawi yonse yanthawi yamankhwala a orthopedic.

Kuphatikiza apo, odwala ayenera kusamaliratu ukhondo: kutsuka mano atatha kudya (kapena kutsuka pakamwa pawo) ndikuchotsa zinyalala za chakudya pakati pa mano omwe amakhala ndi maluwawo.

Panthawi ya mano, minofu yofewa imavulala, ndipo monga mukudziwa, ndi matenda ashuga osavomerezeka, mabala amachiritsa bwino ndipo nthawi yambiri imafunikira.

Chithandizo cha mafupa chimasankhidwa payekha, kutengera mtundu wa matendawa ndi kuchuluka kwa mano omwe akusowa.

Choyamba, adotolo ayenera kudziwa mtundu wa matenda omwe ali nawo odwala matenda ashuga, gawo lawo komanso zomwe adakumana nazo.

Ndi mitundu yanji yakuthira yomwe ingagwiritsidwe ntchito pa matenda ashuga?

Nthawi zina, pulogalamu yoyeserera ingagwiritsidwe ntchito. Masiku ano, chifukwa cha mbadwo watsopano wamatumba, iyi ndi njira yabwino kwambiri. Kuphatikizika kwa ndodo ya titaniyamu ndi fupa kumachitika popanda matayala (kumadzalako kumatsekeka ndikukutira kwa gingival, ndipo osseointegration amapezeka mkati mwa chingamu). Pambuyo pakupanga kwathunthu, ma prosthetics amachitidwa.

Matenda a shuga ndi matenda a endocrine system momwe mumakhala vuto la metabolic komanso kuchuluka kwa glucose m'magazi. Odwala amakhala ndi magazi osakwanira, amachiritsa kwa nthawi yayitali, komanso amapanganso mafupa. Matenda a shuga ndi amitundu iwiri:

1. Mtundu 1. Kukhazikitsidwa kwa matenda amtundu wa 1 shuga ndikotsutsana ndipo ndikosowa, zambiri zokhudzana ndi contraindication zimapezeka pano. Mu mtundu woyamba wa matenda a zamitsempha, pamakhala chiwopsezo chachikulu chotenga zovuta zingapo komanso kukanidwa kwazinthu.
2. Mtundu 2. Kukhazikitsidwa kwa matenda a shuga a 2 kumaloledwa, koma kumafunika kukonzekera ndi kutumiza mayeso, zambiri zomwe zimapezeka ku / nkhani / implantatsiya / kakie-analizy-neobhodimo-sdat-pered-implantaciej-zubov /.

Momwe mungakonzekerere ma prosthetics a shuga

Kuti ma prosthetics azichita bwino komanso osakhala ndi zotsatirapo zina pamavuto, muyenera kukonzekera bwino. Kuphatikiza pakulipira matenda a shuga, wodwalayo ayenera:

• yeretsani zamkati pamlomo,
• kutsatira mosamalitsa njira zonse zaukhondo kuti musawoneke ngati matenda,
• imwani maantibayotiki monga momwe dokotala wanenera.

Kukhazikitsa kwa mano okhazikika ndi otulutsa

Ngati kuwonongeka kwa denti kuli kofunika, mano ogwiritsidwapo ntchito amagwiritsidwa ntchito. Pakakhala kuti palibe mano amodzi, mawonekedwe a mlatho amawonetsedwa.

Njira zamankhwala zamankhwala za odwala omwe ali ndi matenda a shuga zimakhala ndi zina:

• Chifukwa cha kutopa kochulukirapo, nthawi yayitali imakhala yolumikizidwa kwa odwala matenda ashuga. Kupera kwa mano, kupindika, koyenera komanso koyenera kwa ma prostheses kumachitika m'njira zingapo komanso mwachangu.
• Kukonzekera (kubowola kwa minofu yolimba ya mano omwe amasokoneza kudzazidwa kwa mano ndi ma prosthetics) kumayambitsa kupweteka kwambiri kwa odwala matenda ashuga chifukwa cha kuchuluka kwa ululu, motero, amachitidwa mosamala komanso pansi pa opaleshoni yakumaloko, osankhidwa poganizira matenda omwe alipo.
• Chifukwa chochepetsedwa pakudzitchinjiriza kwa chitetezo chamthupi povala matende, zilonda zam'mimba zimatha chifukwa chovulaza kwa mucous nembanemba.
• Zitsulo zimatha kuvulaza microflora yamkamwa ndikupanga kukula kwa bowa kapena staphylococci. Chifukwa chake, odwala matenda ashuga amayesa kukhazikitsa ma prostheses osakhala achitsulo.

Zilowetso zamano za shuga

Posachedwa, zofunikira zamano zapangidwa mwa anthu omwe ali ndi matenda ashuga. Masiku ano, njira imeneyi ingagwiritsidwe ntchito ngati zotsatirazi zikwaniritsidwa:

• Matenda a shuga amalipiriridwa, palibe vuto la metabolic m'mafupa.
• Wodwalayo amatsatira malamulo a chisamaliro cha pakamwa.
• Munthawi yonse ya kukhazikitsidwa kwa mano, mano amayang'aniridwa ndi endocrinologist.
• Wodwala sasuta.
• Pamaso pa opareshoni komanso nthawi yakulowetsedwa, kuchuluka kwa shuga m'magazi a wodwalayo sikuyenera kukhala kwakukulu kuposa 8 mmol pa lita.
• Palibe matenda omwe amaloledwa kupanga mano. Izi zikuphatikizapo matenda a chithokomiro England ndi magazi kupanga ziwalo, lymphogranulomatosis, matenda oopsa a mantha dongosolo.

Mukakhazikitsa mano ndi shuga, pamakhala zovuta zina. Kuphatikiza apo, odwala matenda ashuga amatopa msanga ndipo chitetezo chawo chimachepa, ndi mtundu wa ma prosthetics m'gulu ili la odwala nthawi zambiri umadziwika kuti:

• Kukanitsidwa kolowera patapita nthawi atachitidwa opaleshoni.
• Kupulumuka kwakanthawi kwa ma prostheses mu mtundu woyamba wa matenda ashuga, komanso kuchepa kwa insulin kwa odwala omwe ali ndi matenda a shuga a 2.

Ngati matenda a shuga sawalipiridwa, mwayi wowachiritsa kapena kuwonongeka kwawoku ndiwambiri kuposa momwe umakhalira wathanzi. Monga tanena kale, kuchuluka kwa shuga m'magazi omwe akuyenera kugwira ntchito sikuyenera kupitirira 8 mmol pa lita. Ndi matenda ashuga osakwanira, chikhomacho chimatenga nthawi yayitali 1.5 kuposa momwe chimaperekedwera. Mwa anthu athanzi, njirayi imatha pafupifupi miyezi 4 pamsana wamkamwa komanso mpaka 6 pamwambapa.

Palibe zoyeserera zomwe zidachitika kuti zifanane ndi anthu opanda shuga. Maphunziro onse owerengeka amangokhala ndi kuwunika kwa odwala matenda ashuga panthawi ndi pambuyo pa opareshoni. Mwa izi, izi zidakhazikitsidwa:

• Ndi chipukuta chosakwanira, njira yodzilowetsera mnofu wa mafupa amayamba pang'ono pang'onopang'ono kuposa kulipidwa kwabwino.
• Kusungabe shuga wambiri kumapangitsa kuti mupeze opaleshoni komanso kumachepetsa zovuta.
• Ngati ntchito yodziwikirayo idayenda bwino ndipo Protein idayamba kuzika, ndiye kuti pakatha chaka sipangakhale kusiyana pakati pa wodwala matenda ashuga komanso popanda izi malinga ndi zovuta zomwe zingachitike komanso kuvomerezedwa kwa matendawa.
• Zoyikika patsinde la kumtunda, monga lamulo, zimazika mizu kwambiri kuposa pamunsi.
• Pfupifupi (zosakwana 1 cm) kapena, motsutsana, mano atali (kupitirira 1.3 cm) amamera kwambiri.
• Chiwopsezo cha kutukusira kwa tiziwalo tomwe timayikidwa m'zaka zoyambirira atachitidwa opaleshoni ndizochepa kwa odwala matenda ashuga, koma m'tsogolomu zovuta zovuta ndizokwanira kwa odwala omwe alibe shuga.
• Monga kupewa kutupa, ndizomveka kupereka mankhwala opha tizilombo.
• Ndikofunikira kuyang'anira momwe amadzalawo amakhalabe ndi moyo kuti ateteze korona isanakwane.

Kuzizira koyambira

Njira ina yamakono yomwe ingagwiritsidwe ntchito kupangira matenda a shuga ndi kukhazikika kwa basal. Ndi mankhwalawa amtundu wa orthopedic, amadzilowetsa amaikidwa mu basal wosanjikiza ndi mbale ya cortical, osakhudza gawo la alveolar. Njirayi imakuthandizani kuti mukhazikitse malo owongolera mafupa.

Monga njira zina, kukhazikika kwa basal kumafunikira kufunsana ndi endocrinologist, ndipo kulipiritsa shuga kumakhala chofunikira kuti pakhale opaleshoni yabwino.

Ndi mayeso ndi mayeso ati omwe munthu wodwala matenda ashuga angafunikire asanakhazikitsidwe?

Kutengera zotsatira za mayesowa komanso kuchuluka kwa thanzi, ndikofunikira kufunsa katswiri wazamankhwala komanso endocrinologist, ndipo kuchokera kwa madokotala onsewa kuti apeze chitsimikizo kuti chifukwa cha thanzi lawo palibe zolepheretsa kuzilimbitsa.

Ma CD omwe amapezeka ndi matenda a shuga amalandiranso chidwi. Muyenera kuwonetsetsa kuti ndi matenda a wodwalayo palibe mavuto obisika okhala ndi minofu yamafupa. Mukamayesedwa, kufupika kwa mafupa, kuchuluka kwake ndi mtundu wake zimawunikidwa.

Kodi mankhwalawa amatha liti?

Zilowetso zamano za matenda a shuga zitha kuchitidwa ndi matenda amtundu wa 2 wa mtundu wopundidwa. Zina zomwe zimaphatikizapo:

• Kubwezera kwanthawi yayitali komanso kukhazikika.
• Glucose iyenera kukhala 7-9 mmol / L.
• Wodwalayo amayenera kuwonetsetsa kuti ali ndi thanzi labwino, kuchitira chithandizo cha panthawi yake, kutsatira zakudya zopanda chakudya.
• Kuchiza kuyenera kuchitika molumikizana ndi endocrinologist.
• Ndikofunikira kupatula zizolowezi zoyipa.
• Sungani ukhondo wambiri.
• Chisamaliro chiyenera kuthandizidwa kuchitira matenda onse amthupi.

Zomwe Zimakhudza Opaleshoni ya Matenda A shuga

Ndikofunikira kutulutsa gulu lonse la zinthu zomwe zimapangitsa kumizidwa. Choyamba, tikulankhula zakukonzekera koyenera isanachitike opareshoni yomwe.

Izi ndichifukwa choti kukhazikika kwa mano mwa anthu odwala matenda ashuga kumayenda bwino kwambiri ngati kukonzekera ukhondo kumachitika kale, komanso kuyeretsa pakamwa. Poterepa, kuthekera kwa mapangidwe osiyanasiyana opatsirana komanso ena osayenera mkamwa kumachepetsedwa kwambiri.

Komanso, ndikulimbikitsidwa kuti mutchere chidwi kuti:

• Kupambana kwawonetsedwa kumadalira kugwiritsa ntchito mankhwala opha majeremusi nthawi yomweyo asanayambe kulowererapo,
• kutalika kwa matenda ashuga, momwemonso, kumachepetsa mwayi wamavuto aliwonse ndi chithandizo chotere kwa odwala,
• kusowa kwa matenda ena ophatikizika (mwachitsanzo, periodontitis, caries, mtima pathologies) kungakhudze kwambiri kupambana kwa kulowa kwa mano mwa odwala matenda ashuga.

Osasamalidwa kwenikweni pankhaniyi ayenera kuperekedwa kwa mtundu wina wa matenda osokoneza bongo komanso gawo la kukula kwa matendawa. Ndi chindapusa choyenera cha matendawa, kuphatikizira mano kumakhala kovomerezeka.

Amadziwikanso kuti kuchita bwino kwa kulowetsedwa ndikofunikira kwambiri kwa odwala, omwe amapangitsa kuti zinthu ziziyenda bwino pokhapokha pazakudya zinazake, osagwiritsa ntchito mitundu ya hypoglycemic.

Ngati zikuvuta kuti wodwala matenda ashuga azitha kuthana ndi shuga wambiri (kapena amakakamizidwa kuti alandire gawo la mahomoni pokhudzana ndi kuzindikira kwa matenda amtundu wa 1), ndiye kuti kukhazikika kwa mano kumakhumudwitsidwa kwambiri.

Izi zikufotokozedwa ndi kuthekera kwakukulu kwambiri kopezeka pamavuto pambuyo pakuchita opareshoni.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinology Research Center ya ku Russia Academy of Medical Sayansi idachita bwino

Zothandizira mano: matenda a shuga: kodi pali ngozi?

Mu shuga mellitus, chithandizo chilichonse cha opaleshoni chimakhala ndi ngozi. Izi sizoyenera kuchitika chifukwa cha zovuta za opaleshoniyo, koma ku chiopsezo cha matenda opatsirana nthawi ya machiritso.

Chifukwa cha njira zapamwamba zomwe zikugwiritsidwa ntchito pochita opareshoni, odwala matenda ashuga akuchita bwino maopareshoni osiyanasiyana osiyanasiyana. Opaleshoni yokhazikitsa chovala mano, pamodzi ndi njira zina zamano, sizimawoneka ngati zovutirapo.

Kuti mupereke chitsanzo chosavuta: kodi odwala matenda a shuga amachotsa mano? Inde, izi sizimawonedwa ngati zowopsa, ngakhale zimafunikira chisamaliro kuchokera kwa dokotala ndi wodwala. Kudzikulitsa ndi njira yovuta kwambiri.

Asayansi asayansi

Kuti tiwonetsetse chitetezo cha kukhazikitsidwa kwa anthu odwala matenda ashuga, tidzayang'ana pazotsatira za kafukufuku yemwe adafalitsidwa mu 2002 (Malo a kuphunzira - Sweden, Vasteras, Central Hospital).

Chiwerengero cha zoyikiriridwa ndi milatho yomwe adaika

Gawo la zikhalidwe zomwe zazolowera - 1 chaka chimodzi itayikidwa

Zofunikira 136 (milatho 38) - anthu 25.

Chiwerengero cha zoyikiriridwa ndi milatho yomwe adaika

Gawo la zikhalidwe zomwe zazolowera - 1 chaka chimodzi itayikidwa

Zofunikira 136 (milatho 38) - anthu 25.

Kafukufuku wambiri omwe adachitika ku Europe ndi USA amatsimikizira izi. - Onani mndandanda wathunthu wamaphunziro.

Chidwi Masiku ano, odwala matenda a shuga amayesetsa kugwiritsa ntchito bwino mankhwalawa chithandizo cha adentia, kuphatikizapo kuphatikiza mafupa. Mwa anthu odwala matenda ashuga, kuthekera kwa kukanidwa kwa chala komwe kumayambitsa mano kuli kofanana ndendende ndi odwala wamba, pokhapokha kuchuluka kwa glucose m'magazi kumasungidwa pamlingo wamba kapena pafupi nawo.

Magawo ndi magwiritsidwe a kuphatikizidwa kwa matenda ashuga

Kuti kukhazikitsa kwa zinthu zofunika kuti matenda ashuga azichita bwino, muyenera kusintha njirayi. Izi zimakhudza nthawi yomwe idapatsidwa machiritso a zilonda, kuzilimbitsa ndikukhazikitsa chikhodzodzo chokhazikika. Wodwala matenda a 1 kapena a 2 matenda a shuga nthawi zambiri amafunika kupita ku ofesi yamano.

Gawo 1: Kuzindikira

Pakadali pano, orthopantomogram, CT scan ya nsagwada nthawi zambiri imachitidwa, kuyezetsa magazi konse kumaperekedwa. Kwa odwala matenda ashuga, mndandanda wamayeso udzakhala wautali. Pakufunsanipo, dotolo wamano adzatenga mbiri yakale yachipatala, mbiri yonse yachipatala, mupeze momwe mungakwaniritsire kuwongolera kuchuluka kwa shuga mumagazi, ngakhale ngakhale maopareshoni ang'onoang'ono adachitapo kale komanso ndi zotsatirapo zake, momwe machiritso a bala amapita.

Chofunikira, ngakhale sichikhala chosankha, zomwe zimapangitsa kusankha kumayikidwa ndi mtundu wa matendawo komanso kutalika kwa matendawo. Zakhazikitsidwa kuti odwala omwe ali ndi matenda amtundu wa 2 komanso omwe angotenga matenda atha kulekerera momwe zimakhalira.

Gawo lachiwiri: Kukonzekera kwa kulowererapo

Mukamakonzera wodwala yemwe ali ndi matenda ashuga kuti am'chitire opareshoni, chimodzi mwazofunikira ndikukhazikika pamiyeso ya shuga m'magazi ndimankhwala, zakudya, ndi zina.

Kuphatikiza apo, kuti muchepetse chiwopsezo cha matenda musanayikidwe kapena mutangolowetsedwa, njira zithandizidwe ndikuchotsa matenda:

• Chithandizo cha ziwalo za ENT,
• Chithandizo cha matenda amkamwa, makhola, mano, ntchito zaukhondo,
• Ngati ndi kotheka, sinus kukweza, osteoplasty.

Chidziwitso: Odwala omwe ali ndi matenda ashuga adzapatsidwa prophylactic antiotic mankhwala.

Gawo 3: Kukhazikitsa

Kutengera ndi momwe zilili, dotolo wamano adayika 1 mpaka 6 zamadzalo kwa wodwalayo pakapita kamodzi. Ntchito yodzilowetsa imatha kuchitidwa nthawi imodzi ndi dzino la dzino.Pali mitundu iwiri ya protocol yomwe imayikidwa ndi gawo lakumaso kwake;

Gawo 4: Prosthetics

Pakulowetsedwa gawo limodzi, pang'onopang'ono pepala lopangidwa ndi pulasitiki limayikidwa masiku angapo pambuyo pa opareshoni. Ndi njira ya magawo awiri, ma prosthetics amapezeka pambuyo pa miyezi 3-6.

Chidziwitso: odwala matenda ashuga amafunika nthawi yochulukirapo kuti aikemo mafupa, kuchiritsa chilonda, ndikusintha korona wakanthawi. Chifukwa chake, masiku omwe ali pamwambawa amatha kuwonjezeredwa ndi dokotala kawiri.

Nthawi yogwira ntchito

Pofuna kuchepetsa zoopsa zomwe zingayambitse matenda obwera pambuyo pa ntchito, ndikofunikira kwambiri kwa odwala matenda ashuga kuti azitsatira malamulo aukhondo: kutsuka mano awo kawiri patsiku, kugwiritsa ntchito maluwa, komanso kutsuka pakamwa pawo ndi yankho la antiseptic. Tsatirani malangizo onse ochokera kwa dotolo wamano ndikugwira naye ntchito. Izi zidzakulitsa mwayi wopambana!

Mu matenda a shuga, kwa odwala omwe asowa mano kwathunthu pachiwonetsero chimodzi kapena ziwiri, kukhazikitsidwa kwa All-on-Four kumalimbikitsidwa. Iyi ndi njira yovutirapo kwambiri yodziwira, zomwe zikutanthauza kuti machiritso azikhala achangu. Kuphatikiza apo, posankha kukhazikitsidwa kwa 4, kuphatikiza mafupa nthawi zambiri sikufunikira, komwe kumachepetsa kuchuluka kwa kuchitira opaleshoni ndi nthawi yonse yomwe ikugwiritsidwa ntchito pokonzanso dentition. Zambiri.

Mtengo wa kuphatikizidwa kwa mano m'matenda a shuga ndi ofanana ndendende ndi kuyikiridwa kwakanthawi. Koma ndikofunikira kulingalira ndalama zowonjezerapo za kuyesedwa, kukonzanso kwam'kamwa, nthawi zina, kugwiritsa ntchito mankhwala osokoneza bongo.

Kuti mukambirane ngati chikhazikitso cha matenda a shuga chikuchitika mwa inu ndi momwe mungakonzekerere, pezani nthawi yocheza ndi madokotala ku chipatala cha pafupi ndi NovaDent ku Moscow.