Zizindikiro zake phazi la matenda ashuga

Matendawa odwala matenda ashuga ndiomwe amachititsa kuti azidula miyendo. Pafupifupi 8-10% odwala amakumana ndi matendawa, pomwe 40-50% imaphatikizidwa ndi gulu lowopsa. Tiyenera kukumbukira kuti nthawi zopitilira 10 phazi la odwala matenda ashuga limayamba kudwala omwe ali ndi mtundu wachiwiri wa matenda osokoneza bongo. Popeza kuopsa kwa vutoli, muyenera kuphunzira zonse za zisonyezo, zomwe zimapangitsa kukula ndi mawonekedwe a chithandizo.

Zizindikiro ndi chizindikiro cha phazi la matenda ashuga

Zizindikiro za phazi la matenda ashuga ndizosiyanasiyana. Ichi ndichifukwa cha kukhalapo kwa mitundu ingapo yamikhalidwe iyi, zomwe zimachitika mthupi la munthu aliyense. Mwambiri, ndi matenda monga phazi la matenda ashuga, zizindikirazo zimatha kugawidwa poyambira komanso pambuyo pake. Ponena za oyamba, akatswiri amalabadira za khungu ndi kutupa kwa miyendo. Kuphatikiza apo, ndikosayenera kunyalanyaza zizindikiro monga:

• kuchuluka kwazowonetsa kutentha pakhungu. Izi zikuwonetsa matenda, chotupa,
• kuyenda ndi kuyenda movutikira sikungakhale chizindikiro cha matendawo, komanso chisonyezo chakuti nsapatozo zidasankhidwa molakwika,
• Kuchepa kwa khungu pafupi ndi chilondacho kukuwonetsa kuwonjezeka kwa matenda, gawo loyambirira la minofu limasintha,
• dzanzi m'miyendo, zomwe zikuwonetsa kuti kulowetsedwa kwamitsempha.

Zizindikiro zoyambirira za phazi la matenda ashuga zitha kuonekanso kuti tsitsi limasiya kukula m'dera la ankolo. Kutha kwamadzi kwakhungu, monga kupindika, kumawonetsa kusokonezeka kwa kayendedwe ka magazi. Kuphatikiza apo, zizindikiro za matendawa ziyenera kuonedwa ngati zala zamkati, kupindika kwa zala (nyundo), matuza ndi zotupa zosiyanasiyana zamkhungu, khungu komanso misomali ya msomali. Akatswiri amalimbikitsa kuti odwala matenda ashuga asanyalanyaze chilichonse mwazizindikirozi, ndipo ngati zizindikiro ziwiri kapena zingapo zikuwoneka, nthawi yomweyo amayamba kulandira chithandizo.

Zoyambitsa matenda

Matendawa odwala matenda ashuga amapangika mwa odwala ambiri omwe ali ndi matenda ashuga 1 ndi zaka 7 - 10 kuyambira kumayambiriro kwa matendawa. Odwala omwe ali ndi mtundu wachiwiri wa matendawa, matendawa amatha kuonekanso kumayambiriro kwa matenda. Poona zifukwa zomwe zikuyambitsa matenda ashuga, samalani:

• kuchuluka kwa shuga mu shuga, komwe kumapangitsa kuti mitsempha yamagazi iwonongeke pang'onopang'ono,
• kusakwanira kwa magazi kumakhudza mitsempha yamitsempha, yomwe imawonongekanso, ndikuwononga khungu la miyendo.
• chifukwa cha izi, kagayidwe kam'matumbo kamasokonezedwa, komwe miyendo imayamba kuvutika. Zotsatira zake ndi mabala ochiritsa bwino,
• khungu lowuma ndikulimbitsa kumapazi, komwe kuli koyenera kwambiri kuti apangidwe ndi zotupa za fungal, chimanga chouma. Ngakhale kachilombo kakang'ono kamodzi kamajowina, njira yotupa yomwe imayamba.

Gawo lotsatira la njirayi liyenera kuonedwa kuti ndi minofu yafupi, necrosis, yomwe imatsogolera ku matenda a matenda a shuga. Akatswiri amasiyanitsa magulu atatu omwe ali pachiwopsezo. Yoyamba imadziwika ndi kusungidwa kwa zomverera paliponse komanso pulsation yabwino m'mitsempha yama phazi. Pankhaniyi, mayeso amalimbikitsidwa chaka chilichonse.

Iwo omwe ali m'gulu lachiwopsezo lachiwiri amakumana ndi kuchepa kwamphamvu, kusowa kwa kugunda kwa distal ndi kukhalapo kwa zofooka. Mayeso pamenepa ayenera kuchitika kamodzi miyezi isanu ndi umodzi. Gulu lachitatu lachiwopsezo limadziwika ndi kupezeka kwa mbiri yachipatala ya zilonda, milandu yakudulidwa kumapazi. Musaiwale za neuropathy yofunikira. Kafukufuku amayenera miyezi itatu iliyonse.

Matenda a matenda ashuga

Phazi la matenda ashuga limalumikizidwa ndi magawo ena, omwe ali asanu. Pankhaniyi, zero ndi gulu lowopsa. Palibe zilonda zam'mimbazi, komabe, phazi lidang'ambika, linayamba kutembenuka ndi kuzizira, ndipo kusakhazikika kumayamba. Zonsezi zikuwonetsa matenda amishuga odwala matenda ashuga.

Pachigawo choyamba, zilonda zimapangidwa pamtunda, zomwe sizimakhudza zigawo zozama za epidermis. Mu gawo lachiwiri, chilonda chimayamba kukhazikika pansi mpaka kumapazi, zimakhudza khungu, minofu, tendon ndi fiber. Gawo lachitatu limadziwika ndi kukulitsa boma, kukwaniritsidwa kwa mafupa. Ngati mankhwalawa ayambika pakadali pano, ndizotheka kulimbitsa miyendo, kupewa kudula.

Polankhula za gawo lachinayi, amalipira chidwi kuti mawonekedwe amtundu wakuda (gangrene) amapezeka kumapazi a matenda ashuga. Malire ogonjetsedwa mwanjira imeneyi amawerengedwa bwino bwino. Gawo lachisanu lomaliza, kuwonjezereka m'dera laimfa kumachitika, zizindikiritso ndi chithandizo ziyenera kugwirizanitsidwa ndi katswiri. Lion yonyansa imakwera m'mwamba, ndikuyamba kugwira malo atsopano. Kuperewera kwa mankhwala pamwambapa kumapangitsa kuti miyendo yake ithe kapena ngakhale kudwala.

Mitundu ina ya phazi la matenda ashuga imadziwikanso. Mukalankhula izi, tcherani khutu mndandanda wotsatirawu:

• ischemic, yolumikizana ndi chotupa chachikulu cha mitsempha yamagazi. Khungu limayamba kusinthika, limachulukirachulukira, kuwonekera kwake kumawonekera. Mawonekedwe a phazi sasinthidwa nthawi zonse, sipangakhale chimanga, komabe, mukamadina m'mitsempha yamagazi, ripple siyimachitika kapena kuyesedwa ngati yofooka,
• neuropathic, chifukwa cha kufa kwa minyewa ya mitsempha. Nthawi yomweyo, kupweteka kwapachigawo choyamba kumayesedwa ngati kumachepetsa, kotero kuti ululu sukumveka, monga kuvulala kosiyanasiyana. Kusintha kwa phazi kumadziwika, chimanga chimapangidwa, ndipo zilonda zokhala ndi mawonekedwe osalala zimawonekera pamalo ovulalawo.
• mawonekedwe a neuroischemic phazi la matenda ashuga ndiofala kwambiri. Amadziwika ndi zizindikiro zamitundu iliyonse yomwe yaperekedwa kale. Pankhaniyi, pafunso la momwe mawonekedwewo amawonekera, ndikulimbikitsidwa kuti mulumikizane ndi katswiri.

Kuzindikira matendawa

Kuzindikira matenda monga matenda ashuga ayenera kuchitika moyenera. Maphunziro angapo akuchitika (glycemic mbiri, glycosylated hemoglobin level, lipids yamagazi: cholesterol, LDL, triglycerides, HDL). Gawo lokakamiza, ngati pali zizindikiro za phazi la matenda ashuga, liyenera kuonedwa ngati kupimidwa dzanja.

Pofuna kumveketsa bwino za matendawa ndi mtundu wake wa matendawa, kuyezetsa kwamitsempha kumachitika, ma ultrasound a ziwiya, radiograph ya phazi, komanso angiography amalembedwa. Kuwerengera kwathunthu kwamwazi, chikhalidwe cha bakiteriya amatengedwa, madzimadzi otulutsidwa kuchokera pachilonda amayesedwa. Njira yophatikizika ndiyofunikira, chifukwa chake imathandizira kupatsa chithandizo chokwanira cha matenda ashuga.

Kodi kuchitira odwala matenda ashuga?

Chithandizo cha matenda ashuga chimatha kukhala chosasangalatsa, chogwira ntchito, komanso chitha kuchitikanso kunyumba. Ndikofunikira kwambiri kuti zamankhwala azitsamba ziziyang'aniridwa ndi katswiri. Pankhaniyi, matenda am'mimba opatsirana a shuga sangaphatikizidwe ndi zovuta, ndipo chithandizo chokwanira kunyumba chitha kukhala chothandiza 100%, komanso kupewa.

Mankhwala

Chithandizo cha matenda ashuga phazi ndi kugwiritsa ntchito mankhwala amachitika m'njira zingapo. Izi zimachitika kawirikawiri kunyumba.

Pofuna kuchepetsa shuga wamagazi, mwina insulini kapena mankhwala omwe shuga ya m'magazi imagwiritsidwa ntchito.

Ndikulimbikitsidwa kuti:

• kupatula chotupa chochitika ndi phazi la matenda ashuga, mankhwala ogwiritsa ntchito kwambiri
• kupweteka kungalepheretse mankhwala opweteka: Ibuprofen, Analgin,
• Normoven kapena Pentoxifylline amalembera kukhathamiritsa magazi,
• mafuta onunkhira, ma antibacterial amaikidwa payokha pachilichonse. Zimatengera mtundu wake komanso momwe matendawa amayambira mofulumira.

Orsopedic insoles ya phazi la matenda ashuga amayenera kuyang'aniridwa mwapadera, omwe amatha kusintha mkhalidwe wa miyendo ndi khungu lawo. Komabe, si njira yokhayo yochizira matendawa. Chifukwa chake, ndikofunikira kuti chithandizo chamankhwala chikhale chokwanira.

Kanema wabwino! Timayang'ana chilichonse!

Mwachidule za kuchitapo kanthu pochita opareshoni

Zikachitika kuti opareshoni yakonzedwa, mankhwalawo amayenera kuchotsedwa ngati malo okhala ndi minofu yakufa yokhala ndi mbali yosalala. Ndiwotheka kuchotsedwa kwathunthu kapena pang'ono pang'ono chala chokhudzidwa ndi gangrene (resection), kuchotsa kwa 100% phazi kapena gawo lina la mwendo, mwachitsanzo, mpaka kumalire amtundu wabwinobwino (kuduladula).

Kuphatikiza apo, nthawi zina, kubwezeretsa patency yamitsempha yamagazi kumafunika. Komanso, nthawi zina, osati ziwiya zobwezeretsedwa zomwe zimachotsedwa, magazi amawazungulira kuti awadutse (endarterectomy). Kapangidwe ka njira zowuzungulira zodutsa (zozungulira pang'onopang'ono) kapena kupanga magawo othandizira omwe amapanga mitsempha yamagazi (stenting) amagwiritsidwa ntchito.

Chithandizo cha kunyumba

Matenda a matenda ashuga kunyumba atha kuperekedwanso. Koma chifukwa cha izi, zina ziyenera kukwaniritsidwa: kuwunika kwa katswiri ndikofunikira, gawo la chitukuko cha matenda siloyenera kugwirizanitsidwa ndi zovuta. Ndi chifukwa ichi kuti chithandizo cha mankhwala wowerengeka chovomerezeka ndizovomerezeka. Otsatirawa ndi mapangidwe angagwiritsidwe ntchito:

• Masamba a burdock kapena burdock (watsopano m'chilimwe, wouma nthawi yozizira) amatha kudzitama chifukwa cha mabala ochiritsa. Amamuyika pamwendo, womwe umatsukidwa kale ndi yankho la potaziyamu permanganate kapena furatsilina. Kuti muchiritse bwino, phazi limakololedwa ndi uchi wochepa, masamba a burdock amayikidwa pamwamba. Ndikulimbikitsidwa kusintha bandeji kamodzi kapena kawiri masana kapena kawiri,
• Masamba a burdock amatha kugwiritsidwa ntchito pakamwa (supuni imodzi pa 250 ml ya madzi otentha), chifukwa amadziwika ndi diuretic ndi lymphogonous zotsatira,
• mafuta a clove adzakhala m'malo mwa burdock, yomwe ili ndi analgesic, antibacterial ndi bala la machiritso. Kuti mupereke chithandizo, muyenera kungoyika pang'ono pamiyendo ya odwala matenda ashuga,
• pofuna kuthamangitsa machiritso a mabala, ndizotheka kugwiritsa ntchito kefir, ufa kuchokera singano zouma za pine kapena juniper umayikidwa pamwamba. Ndikofunika kuonetsetsa kuti palibe zomwe zingagwirizane ndi chilichonse chomwe chaperekedwa.

Palibe chifukwa choti tisaiwale kuti chithandizo cha mankhwala wowerengeka chimayenera kuyang'aniridwa ndi katswiri.

Kupewa komanso kudwala

Matendawa odwala matenda ashuga sayenera kupewedwa mokwanira, komanso chithandizo. Izi zipangitsa kuti zitheke kukhala ndi chiyembekezo chabwino, kupatula kukhazikitsa zovuta. Chifukwa chake, kupewa kwa phazi la matenda ashuga m'matenda a shuga kumatsuka tsiku ndi tsiku, kufafaniza khungu la miyendo, ndikuthana ndi zovuta za kutentha kwambiri. Ndikofunikira kuti muziyang'anitsitsa khungu la miyendo kuti muzindikire abrasions, mabala ndi kuvulala kwina.

Kupewera kwa matenda ashuga sikumaphatikizira kugwiritsa ntchito mapiritsi otenthetsera, kuyenda osavala nsapato, kugwiritsa ntchito mapira a chimanga. Tsiku lililonse muyenera kuyang'ana nsapato kuti mukhalepo pazinthu zakunja ndi kuwonongeka kwamkati komwe kungathandizire kukulitsa chimanga. Mukuyankhula momwe mungasamalire miyendo, tcherani khutu kuti:

• sikulimbikitsidwa kuvala masokosi (masokisi) ndi seams,
• osavala nsapato zopanda zovala, makamaka phazi lanu,
• ndikofunikira kusankha nsapato zoyenera - mitundu yofewa kwambiri komanso yayikulu (yotakata),
• chimanga chomwe chawonekera sichiyenera kudulidwa chokha. Zikhala zolondola kufunsa katswiri.

Kuphatikiza apo, tikulimbikitsidwa kudula zala zathu zokha zowongoka (osagwirizana ndi semicircle). Pankhani yopanga msomali wovomerezeka kapena chizindikiritso chovulala china cha phazi, ndikofunikira kufunsa katswiri posachedwa.