Matenda a shuga

Matenda a shuga ndi matenda am'magazi. Malinga ndi WHO, anthu opitilira 300 miliyoni padziko lonse lapansi akhudzidwa masiku ano. Ichi sichili chiwonetsero chomaliza, popeza kuchuluka kwa odwala kukuchulukirachulukira. Poyambirira, matenda ashuga amakula kwathunthu. Matendawa, omwe amapezeka m'magawo apambuyo, amakhudza ntchito yamtima, ma genitourinary ndi mantha. Kuperewera kwa chithandizo chamankhwala kapena kusakhazikika kwake kumatha kubweretsa zovuta monga kugunda kwa mtima, stroke, thrombosis, matenda a ziwalo zam'maso, matenda oopsa, komanso matenda osokoneza bongo am'munsi.

Mitundu ya Gangrene

Gangrene ndi chotupa chosasinthika chomwe chimatha kufalikira kumasamba okhala ndi thanzi labwino. Ndipo zoopsa zomwe zimatengedwa ndimagazi zimatha kupatsira ziwalo zamkati. Pathology imapezeka m'mitundu iwiri:

1. Matenda owuma amakhudza miyendo yam'munsi. Itha kuyamba ndi matenda a shuga a mitundu 1 ndi 2. Zimatenga nthawi yayitali kupanga, pomwe thupi limayamba kuteteza ndikusiyanitsa minofu ya necrotic kwa athanzi. Pa gawo loyambirira, zala ndi miyendo zimakhudzidwa, zomwe pambuyo pake zimachepetsa voliyumu, kutukutira, palibe fungo lovuta. Kusintha kwa minofu ya Necrotic kumakhala ndi mtundu wakuda, izi zimachitika chifukwa cha kukhalapo kwa sulfide yachitsulo yomwe imapezeka chifukwa cha zochita za hydrogen sulfide ndi chitsulo m'magazi. Vutoli silikhala loopsa ku moyo, kuledzera thupi sikuchitika.
2. Matenda am'mimba amayamba msanga chifukwa chovulala, kuwotcha kapena chisanu mukamayamwa. Tiziwalo timene timakhudzidwa timachulukana, timakhala ndi utoto wofiirira kapena wobiriwira ndipo timakhala ndi fungo loipa. Pankhaniyi, kuledzera kwa thupi kumachitika, wodwalayo ali wamkulu. Matenda amtunduwu amatha kukhudza ziwalo zamkati.

Gangrene ndi zovuta za matenda ashuga, momwe mitundu yonse ya ma metabolic imalephera:

• lipid
• chakudya
• mchere wamchere
• mapuloteni
• mchere.

Matendawa amachititsa kuti magazi azikhala amitsempha komanso kuti magazi asinthe, zomwe zimayamba kukhala zowoneka bwino. Kuthamanga kwa magazi kumachepa, zomwe zimapangitsa kuti magazi asamayende bwino.

Minofu yamitsempha imakumana kwambiri ndi kuperewera kwa oxygen ndi michere. Izi zimabweretsa kuwonongeka kwa mitsempha yotsika komanso kufalikira kwa zovuta. Matenda a diabetes a neuropathy amapangidwa, amadziwika ndi kuchepa kwa chidwi cha m'munsi malekezero, omwe amatsogolera pakupanga matenda am'mimba a matenda ashuga. Ndi matenda awa, wodwalayo amatha kuvulala mwendo kwathunthu, mwachitsanzo, akavala nsapato zosasangalatsa kapena zolimba.

Kuphwanya njira za metabolic kumabweretsa khungu louma, mawonekedwe a ming'alu ndi matenda amkati. Mabala aliwonse omwe ali ndi matenda a shuga amachiritsa pang'onopang'ono, kuchuluka kwa minofu kusinthika kumachepetsedwa. Kuphatikiza apo, magazi omwe ali ndi shuga wambiri amapanga zinthu zabwino kwambiri pamoyo wa tizilombo tating'onoting'ono, kotero kuwonongeka kulikonse kumatha kuyambitsa zilonda zam'mimba, zomwe pamapeto pake zimasanduka gangren.

Malinga ndi ziwerengero, gangrene amakhudza miyendo ya wodwala aliyense wachiwiri yemwe akudwala matenda ashuga. Popewa kukula kwamavuto, ndikofunikira kukaonana ndi adokotala pazoyambitsa.

Pa gawo loyamba lachitukuko, zizindikilo zonse ziwiri ndizofanana:

1. Kuchepetsa mphamvu ya miyendo.
2. Kukongola kwa khungu.
3. Kuona, dzanzi, kapena kumva kutentha.
4. Kuphwanya kwa thermoregulation, kuzizira. Mapazi azizizira kukhudza.
5. Kutupa ndi vuto la phazi.
6. Kuchepa komanso kusinthasintha kwa mbale za msomali.

Popita nthawi, kumakhala kupweteka m'miyendo, khungu limakhala lotuwa kapena lakuda.

Mawonekedwe owuma amatha kupezeka kwa nthawi yayitali kwambiri: kuyambira miyezi ingapo mpaka zaka zingapo, pomwe mawonekedwe onyowa amadziwika ndi kukula msanga:

• Madera omwe akhudzidwa amakula, amakulirakidwa ndimatumba okhala ndi zotulutsa za purulent. Fungo losasangalatsa limakulirakulira.
• Zizindikiro za kuledzera zimawonekera - nseru, kusanza, chizungulire, malungo.

Chithandizo cha gangore wapezeka koyambirira kungakhale mankhwala:

1. Mu matenda a shuga a mitundu 1 ndi mtundu 2, chithandizo cha insulini ndikutsatira kokhazikika kwa zakudya ndizofunikira.
2. Maantibiotic ndi antiseptics amaletsa njira yotupa.
3. Mankhwala ochiritsa odwala amapititsa patsogolo kukonzanso.
4. Kulandila kwa okodzetsa kumathandiza kuchotsa kutupa.
5. Mavitamini amalimbitsa chitetezo chathupi.
6. Kuti muchotse katundu wambiri mwendo, ndikofunikira kuti mulembetse.

Kuphatikiza apo, ndikofunikira kumwa mankhwala kuti mubwezeretse kufalikira kwa magazi ndikuchotsa kuwunda kwa magazi. Pulogalamu zingapo za mpweya wa oxygen komanso kuikidwa magazi zingafunenso.

Kumapeto kwa chitukuko cha vuto lanyini, kuchitapo kanthu kwa opaleshoni kumapeweka kuti musafe, pomwe minofu yonse yomwe yakhudzidwa imadulidwa. Chifukwa chake kuti muchepetse magazi poyizoni komanso kufalikira kwa zilonda zam'mimba zathanzi, mwendo umatha kuduliratu.

Kupewa

Pazolinga zopewera, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi, kutsatira zakudya ndi kukhala ndi moyo wathanzi. Kuti magazi azisinthasintha, kuchita zolimbitsa thupi ndi kutikita minofu ndikofunikira. Ndikulimbikitsidwanso kuti muziyang'anitsitsa phazi lanu ngati ming'alu, mabala, chimanga, kudula komanso kuvala nsapato zabwino.

Kodi makina opanga ziwalo zopanga matenda am'magazi ndi ati?

Matenda a shuga ndi matenda omwe shuga ambiri amadziwika nawo. Izi zimachitika pazifukwa ziwiri zazikulu:

• Kusowa kapena kuchepa kwa insulini, komwe kumasintha shuga kuchoka pagazi kukhala minofu. Umu ndi mtundu wa 1 matenda a shuga.
• Matupi osazindikira insulin. Umu ndi mtundu wa 2 shuga.

Chifukwa cha kuchuluka kwa shuga, zovuta zamagulu amitsempha yamagazi ndi mitsempha yamagazi zimayamba. M'magawo oyamba a matendawa, anthu amakhala ndi nkhawa chifukwa cha dzanzi, kudzimbidwa zala zamiyendo, mtsogolomo, munthu amasiya kumva kupweteka. Chifukwa cha izi, odwala matenda ashuga sawona abrasions, kukhumudwa ndi kuwonongeka kumapazi.

Hyperglycemia imathandizanso kuwonongeka m'matumbo a miyendo. Kutumphukira ndi kukha mwazi kumayamba. Kuphatikiza apo, magazi "okoma" ndi malo abwino kubereka mabakiteriya, kotero kuti matenda aliwonse opatsirana mwa omwe ali ndi matenda ashuga ndi ovuta kwambiri, ndipo mabala amachiritsidwa kwa nthawi yayitali.

Chifukwa cha zifukwa zonsezi, zilonda zam'mimba zimamera pamapazi, zomwe zimakhala zovuta kwambiri kuchiza. Komabe, ngati siyisachiritsidwe, matendawa amafalikira thupi lonse.

Zomwe gangrene zimachitika m'matenda a shuga

Gangrene mu matenda a shuga nthawi zambiri amakula pazifukwa zotsatirazi:

• Kuperewera kwa mankhwala a insulin kapena mankhwala a hypoglycemic omwe amakupatsani mwayi wokhala ndi shuga panthawi yochepa komanso choletsa kukula kwa zovuta.
• Kuphwanya zakudya, kudya zakudya zopatsa mphamvu.
• Makhalidwe olowera mkhalidwe wamiyendo yawo, kunyalanyaza kuvulala, kukhumudwa, kuphwanya, kuvala nsapato zosavomerezeka, komanso kusatsatira miyezo yaukhondo.
• Matenda opatsirana kapena kugwiritsa ntchito mankhwala osokoneza chitetezo cha mthupi.

Zowonetsera zazikulu za gangren mu shuga

Matenda a shuga ndi amitundu iwiri yayikulu:

• youma
• kunyowa.

• Kusintha kwa nthambi yomwe yakhudzidwa, maonekedwe a heterogeneity (utoto ungakhale wakuda kapena wakuda),
• kukhalapo kwa puritive exudate, yemwe amayambira kuchokera pakhungu lomwe lakhudzidwa ndi khungu, ndi chizindikiro cha khungu lonyowa (khungu lowuma ndi ladzala ndi chizindikiro cha khungu louma),
• kusowa kwa ululu kapena kusayenda bwino kwa mwendo,
• malungo
• Zizindikiro za kuledzera kwakukulu.