Mavuto a shuga

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pathology ndi owopsa ndikutulutsa zakumwa za cadaveric m'magazi: izi zimapangitsa kuti pakhale zovuta zochokera ku ziwalo zofunika za mtima, chiwindi, impso ndi mapapu. Gangrene ndi njira yodziwika bwino ya matenda ashuga: nthawi zambiri pamavuto, izi zimawonekera mu mawonekedwe a phazi la matenda ashuga - minofu necrosis ya m'munsi malekezero.

Gangrene mu shuga - zambiri

Matenda a shuga amatanthauza zomwe zimayambitsa matenda osiyanasiyana komanso matenda opatsirana. Kuwonongeka kwa zamankhwala kosokoneza kumawonetsa kuti wodwala aliyense wachiwiri omwe amapita kukaonana ndi endocrinologist wa matenda ashuga kale ali ndi mbiri yovuta yamatenda ambiri.

Matenda a shuga monga njira ya kagayidwe kachakudya kamakhudza ziwalo zonse ndi minyewa: kawirikawiri madokotala amayenera kugwiritsa ntchito njira zochizira kuti awonjezere kapena kupulumutsa moyo wa wodwalayo.

Mu matenda a shuga, mitsempha yamagazi imachepa pang'ono kugwira ntchito, imakhala yochepa, imatha kuchepa, ndipo imasiya kukwaniritsa ntchito yopereka minofu ndi mpweya ndi michere. Matendawa amatchedwa atherosclerosis.

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Mitundu ya Diabetesic Gangrene

Dry gangrene mu shuga amapangidwa ngati pang'onopang'ono kuwonongeka kwa patency kwa capillaries ndi mitsempha yayikulu yamagazi. Nthawi zambiri njirayi imatenga zaka zingapo. Munthawi imeneyi, thupi la odwala matenda ashuga amatha kusintha pang'ono matendawa ndikuyamba kukhala ngati njira zoteteza. Nthawi zambiri, zouma zouma zimakhudza zala, pomwe minofu yakufa singatenge.

Palibe chizindikiro cha kuledzera. Kuopsa kwa moyo wa wodwala wokhala ndi khungu louma kumakhala kodetsa nkhawa: kumasulidwa kwa zakumwa zoopsa m'magazi zimachedwa kapena kulibe. Kudula kungathe kulembedwera pazifukwa zodzikongoletsa kapena ngati prophylaxis, popeza nthawi zina khungu louma limasanduka lonyowa.

Wete gangrene ndi wowopsa kwambiri. Chilonda chimakhala chofalikira pafupipafupi ndi ma virus a anaerobic omwe amachulukana mwachangu, zomwe zimapangitsa kuti chiwopsezo chikhale chambiri m'dera la minofu yowonongeka. Kunja, gangrene akuwoneka ngati chigamba cha minofu yakuda kapena yakuda: pomwe matendawa amapitilira, ndikokulirapo mbali yamtundu wamitundu yosinthika. Nthawi zina, phazi lonse, mwendo wotsika ndi ntchafu kapena dzanja zimakhudzidwa ndi njirayo (ngati gangrene akukulira kumtunda).

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Zizindikiro za gangrene mu shuga

Monga lamulo, odwala matenda ashuga ali ndi njira yochepetsera ululu, ndipo mwina sangazindikire mawonekedwe a zilonda ndi mabala m'thupi, ming'alu, chimanga. Pakadali pano, njira za pathological zimachitika m'dera lomwe lakhudzidwa - kachilombo ka tizilombo toyambitsa matenda ndi bowa, matenda, kulanda kwa gawo lalikulupo la minofu yamoyo.

Kuwonongeka kwachilengedwe kumachitika chifukwa cha kuchuluka kwambiri kwa shuga, komwe kumayambitsa poizoni m'thupi komanso kufa kwa mitsempha yotsiriza yomwe imapereka ma sign a ululu ndikuwongolera chidwi.

Ndi gangrene, malekezero am'munsi nthawi zambiri amavutika, nthawi zambiri mbali zina za thupi - mikono kapena thunthu.

Mphezi zamagetsi zimayamba kupezekanso. Mwachizolowezi, necrosis imayambitsidwa ndi nthawi yayitali yokhala ndi zizindikiro zapang'onopang'ono zokhudzana ndi kuchepa kwa chidwi cha minofu.

Kukula kwa zilonda zapagulu pamsana wa kuchuluka kwa minofu necrosis kumayendera limodzi ndi kupweteka kwambiri, komwe sikumayima ndi ochiritsira wamba. Kupereka magazi m'dera lomwe lakhudzidwalo kulibe.

Ngati chonyansa cham'mimba chikamera, kachilomboka nthawi zonse kamajowina, komwe kumayambitsa kutulutsa kwatsopano. Kukula kwa gangrenous necrosis kumabweretsa kuledzera kwa thupi ndipo kumayendetsedwa ndi kuzizira, kutentha thupi, nseru, ndi kusanza.

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Chithandizo cha Matendawa

Njira zodzisungira sizipangitsa kuti nthawi zonse mukhale zinthu zabwino. Njira yayikulu yonyowa gangrene ndi njira yochitira opaleshoni - njira yokhayo yopewera kufa.

Mitsempha yamagazi kuchokera ku ziwiya zomwe zimakhudzidwa ndi ischemia ndi atherosulinosis amathanso kuchotsedwa. Muzipatala zamakono, opaleshoni ya microsuction bypass, stinging ndi kuyeretsa kwamitsempha pogwiritsa ntchito kafukufuku yemwe adalowetsedwa m'mitsempha ndipo athetse kwathunthu thrombus amagwiritsidwa ntchito.

Mu theka la zovuta zomwe zimachitika pakhungu lonyowa, madokotala ochita opaleshoni amayenera kudula miyendo yomwe idakhudzidwa, zomwe zimapangitsa kuti asamagwire ntchito komanso kulumala.

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Kupewa

• Anthu odwala matenda ashuga ayenera kuyang'anitsitsa momwe mapazi awo aliri,
• gwiritsani mabala munthawi yake
• Valani masokosi opangidwa ndi nsalu zachilengedwe ndi nsapato zotayirira, zomasuka,
• mafuta mafuta pakhungu.

Kusapezeka kwa zizolowezi zoipa kumachepetsa mwayi wamavuto. Mukasamba, odwala matenda ashuga amayenera kuwunika kutentha kwa madzi: sayenera kukhala apamwamba kuposa madigiri 35-36.

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Sankhani dokotala ndipo pezani nthawi:

Mavuto akulu a shuga

Padziko lapansi pali anthu opitilira 100,000 omwe akudwala matenda ashuga, ndipo ofanana ndi omwe ali mgulu la prediabetes. Matendawa amatengedwa kuti ndi amodzi mwa matenda oopsa kwambiri a endocrine, posakhalitsa amabweretsa mawonekedwe ambiri ovuta. Mavuto a shuga amakula chifukwa cha kuchuluka kwa shuga m'magazi.

Kusintha kwachidziwitso kumatha kuwona kuchokera m'maso, mitsempha yamagazi, mitsempha, impso, khungu, magazi, ndi zina zambiri. Mavuto onse okhudzana ndi matenda ashuga amatha kugawidwa m'njira yayikulu komanso yovuta. Mtundu uliwonse umakhala ndi zake zomwe zimapangitsa komanso kukula.

Mavuto Aakulu a shuga

Mavuto owopsa a shuga amawoneka kuti ndi owopsa kwambiri, chifukwa amatha kupangitsa wodwalayo kuwonongeka msanga, ndipo kufa sikumatha. Mavuto ambiri owopsa amawonedwa ndi matenda amtundu 1 wokha. Matenda owopsa kwambiri omwe amayamba chifukwa cha matenda ashuga ndi awa:

1. Hypoglycemia. Awa ndi mkhalidwe wa m'matumbo womwe umadziwika ndi kuchepa kwakukuru m'magazi a plasma. Mothandizidwa ndi izi, odwala satenga chidwi cha mwana wawo akamawala, kutuluka thukuta kwambiri, kusiya kuzindikira, komanso kukhudzika kumachitika. Ndikangokhala ndi vuto linalake, matendawa amatha. Nthawi zina, vutoli limatha kukhala osati mwa anthu omwe ali ndi matenda a shuga 1, komanso kwa iwo omwe ali ndi matenda a shuga a 2.
2. Ketoacidosis. Vutoli limadziwika ndi kuchuluka kwa zinthu zowola m'magazi, zomwe zimapangitsa kuti munthu asamadziwe, komanso kusokonezeka kwamphamvu kwa ziwalo zamkati. Matenda amtunduwu nthawi zambiri amapezeka mwa anthu omwe ali ndi matenda ashuga 1. Nthawi zina, ketoacidosis imabweretsa kudwala matenda ashuga.
3. Lactacidotic chikomokere. Vutoli limayamba chifukwa cha kuchuluka kwa lactic acid m'magazi. Pakusowa chithandizo chamankhwala choyenera komanso chapanthawi yake, odwala amayamba kuchepa mphamvu, kupuma movutikira, kukodza pokodza, kudumphadumpha mu kuthamanga kwa magazi ndi zizindikiro zina zowopsa m'moyo. Nthawi zambiri, matendawa amawonedwa mwa anthu achikulire omwe ali ndi matenda osokoneza bongo kwa zaka zopitilira 35.
4. Hyperosmolar chikomokere. Vutoli limawonedwa ngati loopsa kuposa matenda ashuga omwe adayamba chifukwa cha ketoacidosis. Kukomoka kumeneku nthawi zambiri kumawonekera mwa anthu achikulire omwe ali ndi matenda ashuga a 2. Kuwonetsedwa kwa vutoli kumawonjezeka masiku angapo. Munthu amakhala ndi zizindikiro za polydipsia, polyuria, komanso kufooka kwambiri minofu, kukokana, komanso kusazindikira. Munjira zambiri, madandaulo a odwala ali ofanana ndikuwonetsa ketoacidosis. Zotsatira zakufa chifukwa cha vutoli zili pafupifupi 30%, koma ngati wodwalayo akumana ndi zovuta zina, ngozi ya imfa imawonjezeka mpaka 70%.

Mavuto owopsa a matenda ashuga amatha kuchitika mwa ana ndi akulu, komabe amapezeka kwambiri mwa anthu achikulire. Ndi kukula kwa pathological mkhalidwe, nthawi zonse pamakhala zizindikiro zomwe zimaloleza ngakhale isanayambike gawo lovuta kudziwa kuyambika kwa gawo lazovuta.

Ngati muli ndi vuto la vuto linalake, ndikofunikira kulumikizana ndi achipatala kuti akuthandizeni.

Kudziyang'anira nokha kungakulitse vutolo. Chidziwitso ndichakuti nthawi zonse kukafika kwa dokotala pamakhala mwayi woletsa kupweteketsa mtima asanapange mphamvu.

Matenda a shuga

Matenda a shuga ndi matenda achilengedwe omwe amachepetsa thupi lonse pang'onopang'ono, kuphatikizapo kuzungulira ndi mantha. Pakapita kanthawi, odwala ambiri pamlingo wina kapena wina amayamba kuwonetsa kupweteka kwamatenda a shuga. Zilonda zotere zimafuna nthawi yayitali kuti chitukuko chikhale. Mavuto obwera chifukwa cha matenda ashuga awa ndi awa:

1. Matenda a shuga a retinopathy. Izi ndizovuta kwambiri, chifukwa zimawonedwa pamlingo wina kapena woposa 90% ya odwala matenda a shuga. Retinopathy imayamba mwa anthu omwe ali ndi matenda a shuga kwa nthawi yayitali chifukwa cha kuwonongeka kwa mitsempha yamagazi yaying'ono mu retina. Vutoli limatsogolera ku kuwonongeka kooneka kwambiri, kenako khungu. Ndikosatheka kubwezeretsa masomphenya ndi retinopathy.
2. Matenda a shuga. Vutoli limadziwika ndi kuwonongeka kwambiri kwa impso, zomwe zimakhalanso chifukwa chakuwonongeka kwa mitsempha yaying'ono ya magazi ndi minyewa ya impso chifukwa cha kuchuluka kwa glucose. Kuphatikiza apo, kuwonongeka kwa impso kumapangitsidwa ndi kuwonjezeka kwa katundu pa chiwalo cholumikizachi chifukwa kuwonjezeka kwamagazi a chakudya ndi lipids. Pafupifupi 75% ya anthu odwala matenda ashuga kwa zaka zoposa 15 ali ndi zizindikiro za matenda ashuga.
3. Matenda a shuga. Vutoli limawonekera makamaka pakuwonongeka kwa zotumphukira zamagetsi, kenako madipatimenti ena akukhudzidwa ndi njirayi. Zotsatira za matenda amtunduwu ndiz kuchepa kwa chidwi cham'miyendo ndi kumaliseche. Pambuyo pake, malowa omwe ali ndi malingaliro athunthu kapena pang'ono otayika amawonjezeka. Neuropathy ndi imodzi mwazinthu zofunikira kwambiri pakukula kwa phazi la matenda ashuga, momwe mumapangidwira purcess kapena purhlemon.
4. Matenda a shuga Vutoli limadziwika ndi kuwonongeka kwa ubongo kwapang'onopang'ono, komwe kumayamba chifukwa cha kuwonongeka kwa ntchito ya mitsempha yamagazi yaying'ono yomwe idyetsa minyewa yamitsempha. Izi zimawonetsedwa ndi kuchepa kwa chidwi, kuchepa mphamvu, kukumbukira makonda, kuchepa chidwi, nkhawa, chizungulire komanso zochitika zina zosadziwika bwino.
5. Matenda a pakhungu la matenda ashuga. Kuphulika kwa kagayidwe kazakudya komanso kuchuluka kwa zinthu zowola zimayambitsa kusintha kwa mapangidwe a khungu, thukuta la thukuta, komanso mawonekedwe a tsitsi. Chowonetsera chachikulu cha kupsinjika kwa shuga ndi kuwonongeka kwa tsitsi, maonekedwe a mibadwo ya msinkhu, kunyezimira khungu, ndi zina zambiri.
6. Ma syndromes a dzanja ndi phazi la matenda ashuga. Zovuta izi zimayimiriridwa ndikuwoneka ngati mabowo amadzimadzi otulutsa purifumbo m'miyendo ndi chala, zomwe zimachitika chifukwa cha magazi osakwanira ku minofu ndikufa kwa minyewa yamitsempha. Kuperewera kwa oxygen ndi michere kumayambitsa kufa kwamalo ambiri okhala ndi minofu yofewa ndipo kumayambitsa kukula kwa khungu.

Kupewa matenda ashuga

Tiyenera kudziwa kuti okhawo omwe amatsatira maulamuliro awo mosamala ndi omwe ali ndi mwayi wopewa zovuta zazikulu. Anthu ambiri omwe ali ndi matenda ashuga samatenga matenda awo moyenera, amaphwanya zakudya zawo, samayang'anira kuchuluka kwa shuga m'magazi awo ndipo samatsata malangizo onse a dokotala pokhudzana ndi chithandizo. Mwayi wokhala ndi zovuta zovuta za matenda osokoneza bongo a mamellitus osinthasintha osiyanasiyana akuyandikira 100%.

Pofuna kuthana ndi zovuta za matenda ashuga, odwala ayenera kutsatira mosamalitsa malangizo a madokotala, azikhala moyo wakhama ndikutsatira zakudya. Kuphatikiza apo, ndikofunikira kwambiri kuwona kuchuluka kwa glucose m'magazi ndikuchitapo kanthu kuti muchepetse.

Zisonyezero zakudula mwendo mu shuga

Matenda a shuga amayambitsa chisokonezo pakugwira ntchito kwa ziwalo zonse ndi machitidwe. Kuwonongeka kwakanthawi kwamatenda kumabweretsa kukula kwa zovuta zambiri zowopsa m'moyo.

Kudulidwa kwa chala chakumutu, ndipo nthawi zina miyendo yonse yam'munsi, imawerengedwa kuti ndi imodzi mwazo.

Kulowerera koteroko kumachitika pokhapokha ngati njira zina zochiritsira zomwe zilipo sizikuyenda bwino. Zachidziwikire, kudula matupi kumatha kupewedwa ngati malangizo onse azachipatala ndikuwongolera pafupipafupi amatsatiridwa.

Zomwe zimadulidwa mwendo mu shuga

Glycemia yayikulu imasokoneza mkhalidwe wamanjenje ndimitsempha yamagazi, ndikuwononga pakapita nthawi. Zotsatira zakudziwikirazi ndizosiyanasiyana komanso zosasangalatsa komanso zowopsa pamaumoyo.

Munthu wodwala matenda ashuga amachiritsidwa mabala, zomwe zimatha kubweretsa gangore. Munthawi imeneyi, zimakhala ndi miyendo zimafa pang'onopang'ono, ndipo njira yoyeretsa imayamba.

Milandu yomwe njira zosasinthika zamankhwala sizithandiza, ziwalo zomwe zimagwira ndi miyendo zimadulidwa. Kuchita opaleshoni yotere kumapangitsa kuti pasakhale zovuta zambiri, kuphatikizapo kuledzera, poyizoni wamagazi komanso kukula kwa dera lomwe lakhudzidwa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Zifukwa zazikulu zomwe miyendo imadula matenda ashuga:

• Maonekedwe a msomali wosakhazikika,
• njira zoyenda m'thambo,
• ming'alu pakhungu,
• vuto lililonse lomwe limachitika chifukwa cha mankhwalawa.
• pedicure yolephera
• mapangidwe a osteomyelitis kumbuyo kwa kuwonongeka kwathunthu kwa mafupa,
• kulowetsa matenda.

Zifukwa zomwe zatchulidwa pamwambapa sizititsogolera pakuchepetsa kumene. Matenda a shuga monga matenda sindiwo chifukwa chachikulu chothandizira kuti manja ake amuchotse.

Opaleshoni imasinthidwa chifukwa cha zovuta zomwe zimachitika pakubala kwake. Milandu yomwe matendawa amatenga mofatsa, chithandizo chofunikira chimachitika munthawi yake, kutayika kwa mwendo kungapeweke.

Mitundu yogwirapo

Kudulidwa kumakupatsani mwayi:

• kuteteza kuledzera kwamasamba oyenera kapena ziwalo chifukwa cha mphamvu ya michere ya pathogenic
• khalani okwanira m'dera la musculoskeletal bwino kuti muchite ma prosthetics ena.

Madera akumunsi nthawi zambiri amadulidwa chifukwa:

• amayenda mosalekeza, amafunikira magazi athunthu,
• sikuti aliyense amapatsidwa chisamaliro chokwanira,
• mwachangu amachepetsa makoma amitsempha yamagazi yolimbana ndi matenda a shuga.

1. Zadzidzidzi. Opaleshoni yotere imachitidwa ngati kuli kofunika kuti muchotse matendawa mwachangu, pamene chiopsezo cha imfa chiwonjezereka. Ndizosatheka kudziwa malire enieni a chotupa, chifukwa kudulidwa kumachitika pang'ono pamwamba pa mawonekedwe a chotupa. Opereshoni imachitika m'magawo angapo. Choyamba, nthambi yomwe idakhudzidwayo imachotsedwa pamwamba pamalire a malo ake, kenako chitsa chimapangidwanso kuti ziwonjezeke.
2. Poyamba Amachitika ngati magazi m'dera lomwe lakhudzidwalo sangathe kubwezeretsedwanso pogwiritsa ntchito njira zolumikizira thupi.
3. Sekondale Kudulidwira kwamtunduwu kumachitika pambuyo poyesera kuti ayambirenso kutaya magazi m'chiwalo. Kuchita opareshoni kumachitika motsika, kukhudza madera am'munsi mwendo, phalanx ya zala ndi phazi.

Mukadulidwa, dzanja lonse kapena gawo lina la nthambi limachotsedwa:

1. Zala. Kuchita opareshoni kumachitika chifukwa cha necrosis, yomwe imapangika mbali iyi ya nthambi chifukwa cha kusayenda bwino kwa magazi kapena kupangika kowoneka bwino. Kucheka kumachitika pokhapokha ngati magazi abwinobwino amapita kumapazi. Pa opaleshoni, zala zakufa zimadulidwa.
2. Imani. Kuyambiranso m'mbali mwendowu kumaphatikizanso nthawi yayitali yochira. Ndi zotsatira zopambana za opaleshoni, ntchito yothandizira dzanja imakhalabe. Pambuyo ndikudula, ndikulimbikitsidwa kuvala nsapato zapadera kuti muchepetse kupanga kwa arthrosis.
3. Drumstick. Mankhwala opangira opaleshoni amachitika molingana ndi njira ya Pirogov. Zimakhazikitsidwa ndikuchotsa mwendo wotsika ndikutsatira kwina kwa mwendo. Njira iyi yochotsera imagwiritsidwa ntchito ndi mitundu yapamwamba yamapazi am'mapazi. Kuchita opaleshoni yopambana kumakupatsani mwayi wosunthira momasuka pogwiritsa ntchito prosthesis komanso popanda ndodo yothandizira kale miyezi ingapo.
4. Thu. Kudulira kwamtunduwu kumagwiritsidwa ntchito pomwe sizingatheke kuchotsa mwendo umodzi wokha.

Kanema pazomwe muyenera kuyang'ana mukadula:

Kukonzanso komanso ma prosthetics

Kulowererapo kulikonse kumafunikira njira zowonjezera zochira. Kudulidwa kwa dzanja pakati pa zovuta za shuga kumadziwika kuti kumachitika pafupipafupi. Kuchotsa miyendo, ndipo nthawi zina zonse, kumakulolani kupulumutsa moyo wa munthu, koma kumabweretsa kufunika koti muphunzire kukhalapo popanda miyendo.

Nthawi yokonzanso ikufuna kupondereza njira yotupa, kupewa kupezeka kwa matenda, komanso monga chithandizo cha zilonda zamasiku onse. Kuphatikiza apo, wodwalayo amapatsidwa njira zingapo zochitira masewera olimbitsa thupi komanso masewera ena olimbitsa thupi omwe ali m'gulu la masewera achire.

Kukonzanso kumafuna wodwala:

• kutsatira zakudya
• tumikirani minofu, zolimbitsa thupi kuti muchepetse ululu wa minyewa,
• gonani pamimba panu kwa milungu iwiri ndi itatu,
• pamalo apamwamba, sungani mwendo wovulala papulogalamu yokweza kuti musatupe,
• mosamala mabala kuti mupewe matenda ndi kutupa.

Zovuta zomwe zingachitike mutadula:

• kutenga matenda, kuphatikiza sepsis yayikulu,
• necrosis ya minofu, yomwe imadziwika kwambiri ndi odwala matenda a shuga,
• mawonekedwe a preinfarction
• kugwiritsa ntchito molakwika antiseptics ndi antibacterial,
• magazi akhungu m'mitsempha,
• thromboembolism
• chibayo chomwe chinachitika mkati mwa masiku atatu kuyambira tsiku la opaleshoni,
• subcutaneous hematoma, yopangidwa kuzungulira maziko a kuyimitsidwa kolakwika kwa magazi,
• matenda am'mimba dongosolo
• phantom ululu.

Zomwe zimayambitsa kupweteka kwa phantom kuchokera ku mbali ya etiological sizinaphunziridwe molondola, kotero palibe njira zochiritsira zothandiza kuti zithetsere.

Vutoli limadziwika ndi kupezeka kwa zosasangalatsa zam'munsi mwa miyendo yolumikizidwa (kukhomoka kwa bondo, kupweteka kuphazi, kuyabwa m'dera la zidendene). Vutoli limakulitsa nthawi yokonzanso. Amachotsedwa mothandizidwa ndi mankhwala, physiotherapy, malingaliro amisala, antidepressants.

Phantom Pain Video:

Udindo wofunikira umachitika ndikumakonzekeretsa kwa wodwala kuti akhale ndi moyo. Odwala ambiri amakhala ndi nkhawa, amaganiza zodzipha chifukwa cha kupsinjika kwambiri chifukwa cha kulumala kwakuthupi. Kukwaniritsa kukhazikika m'maganizo, wodwala, monga lamulo, amathandiza banja ndikuyang'ana cholinga.

Ngati gawo lokonzanso ladutsa mosavuta, ndipo palibe zovuta, pitani ku prosthetics. Choyamba, wodwalayo amaphunzitsidwa njira yoyambira. Pochotsa dzanja lonse, munthu amayenera kuphunzira kuyendanso.

Maphunzirowa atangoyamba kumene, minofu yabwino ikhala. Ma prostate okhazikika amapangidwira payekhapayekha kwa aliyense malinga ndi magawo ake. Zofooka zomwe zadziwika kuti zimatha.

Njirayi imachitika kumapeto kwachiwiri - chiyambi cha sabata lachitatu kuyambira nthawi ya opareshoni. Kukonzanso kumachitika pambuyo pa kuvala kwazomwe zidapangidwa kale. Ngati wodwalayo adadulidwa zala, ndiye kuti safunika kuchita ma prosthesis.

1. Kusankha kapangidwe.
2. Kutenga miyezo kuchokera pa chitsa.
3. Kupanga zinthu.
4. Msonkhano wachipembedzo.
5. Kutsiliza malonda malinga ndi zofuna za wodwala.
6. Kutulutsa kwamayendedwe.
7. Maphunziro a ntchito.

Kupambana kwa nthawi yokonzanso kumadalira mtundu wa prosthesis, kukula kwake, njira yolamulira, kapangidwe, ndi zokongoletsa. Maganizo a wodwalayo amakhudzanso kuchuluka kwa kubwereranso mwakale.

Moyo pambuyo ndi kuneneratu

Kuchepetsa nthawi zambiri kumachitika mu shuga. Chifukwa cha njirayi, wodwalayo amapulumutsidwa. Kutsatira malangizo ena azachipatala omwe amawaganizira kuti azikhala ndi vuto la shuga kumapereka mpata wopewera kubwerezanso matenda, komanso kupitiriza kwa matenda ashuga.

Mitundu yomwe idakhazikitsidwa imayambitsa kudula gawo lalikulu la chiwalo, chomwe chimayambitsa kufa mu 50% ya milandu pachaka. Odwala omwe anatha kuyimirira ndi miyendo atachitapo opaleshoni yotereyi amachepetsa chiopsezo cha kufa pafupifupi katatu.

Kudulidwa kopambana kumalola anthu ambiri kukwanitsa kukhazikika kwachikhalidwe, kuchira kwathunthu pantchito zawo zam'mbuyomu kapena kuyamba kudziyang'ana okha. Kusankha prosthesis yoyenera kumapangitsa wodwala kutsogolera moyo womwewo ngati kale. Kwa anthu ambiri, kudula mwendo kumasandutsanso malingaliro, motero kumakulimbikitsani kusewera masewera kapena kuyenda mwachangu.

Anthu omwe amadulidwa ndikulandila ndalama kulandira thandizo kuchokera ku boma, akhoza kudalira gawo la zilema, komanso kulipiritsa zabwino.