Zilonda zam'mimba zokhala ndi matenda am'mimba m'miyendo

Kodi ndichifukwa chiyani matenda ashuga nthawi zambiri amaphatikizidwa ndikapangidwa zilonda zam'mimba, ndipo chifukwa chiyani zimakhala zovuta kwambiri kuzichotsa? Ponena za kapangidwe ka zilonda m'matenda a shuga, pali mafunso ambiri omwe mankhwala amatha kufotokoza.

Matenda a shuga ndi matenda ovuta omwe amadziwonetsa mumachulukidwe ambiri a shuga. Ntchito yamankhwala ambiri imalephera, khungu limafupika. Tsoka ilo, njirayi ndiyovuta kuchiza, ndipo imatha kuchitika kachiwiri.

Epidemiology

Zilonda zam'mimba ndizovuta kwambiri. Pafupifupi gawo limodzi mwa magawo atatu a zipatala za odwala omwe ali ndi matenda ashuga amaphatikizidwa.

Zilonda zapakati pa mphindi iliyonse zimayambitsa kuduladuka kwa dzanja kapena miyendo.

Malinga ndi ziwerengero, zilonda zam'mimba zowonongeka zimalembedwa mu 80% ya anthu odwala matenda ashuga omwe ali ndi zaka 15-20 zodwala. Nthawi yomweyo, odwala awiri mwa atatu amafa chifukwa chazovuta kwambiri.

Pafupifupi 40% ya odwala atachitidwa opaleshoni amasiya kuyenda, kapena amakhala ochepa mphamvu. Pafupifupi 60% ya milandu, zotsatira zabwino za purcin necrotic zimachitika mbali inayo, motero odwala oterowo ayenera kudula mwendo wina.

Zilonda zam'mimba zopezeka m'matenda a shuga ndizowonjezereka maulendo 40 kuposa anthu opanda shuga. 85% ya odwala, chilonda cha kumapazi chimadulidwa.

Choyambitsa chitukuko cha zilonda zam'mimba mu shuga m'magulu anayi mwa asanu ndi kuwonongeka kwakina kwamakina.

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Zomwe Zimayambitsa Matenda A shuga

Mwa anthu omwe ali ndi matenda ashuga, vuto lalikulu limawonedwa ngati kusokonezeka kwa kagayidwe kazachilengedwe - onse m'maselo a m'magazi ndi m'magazi a ziwalo zonse. Nthawi zina, kuphwanya koteroko sikuwonekera mwanjira iliyonse mpaka pakhale zizindikiro za matenda a shuga kapena matenda ena owopsa (omwe ambiri sagwirizana ndi matenda ashuga). Njira yachiwiri imeneyi imatha kukhala kugunda, kugunda kwamtima kwambiri, kuwonongeka koopsa pakuwona ntchito, kukulitsa kulephera kwa impso. Zilonda zam'mimba zimapezeka kwambiri kwa odwala omwe ali ndi matenda amtundu wa 2 - makamaka chifukwa chakuti matenda amtunduwu amatha kuchitika kwa nthawi yayitali popanda chizindikiro, munthawi yomwe njira za metabolic mu minofu zimakhala zovuta.

Madokotala amatchulanso chifukwa china chofunikira chopangira zilonda zam'mimba - ichi ndi chosasamala cha wodwalayo ndikunyalanyaza malangizo a madokotala pakusintha zakudya ndi moyo wawo. Tsoka ilo, odwala ambiri akupitilizabe kusuta fodya komanso kumwa mowa, ngakhale dokotala atamupempha kuti athetse zizolowezi zoipa m'miyoyo yawo.

Zovuta zopezeka poyambira zimathandizanso kwambiri.

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Zowopsa

Makina ovulala pakhungu (ma scuffs, ming'alu, kuwotcha, ndi zina).
Mitsempha ya Varicose, matenda ena amitsempha.
Valani nsapato zazing'ono kapena zowoneka bwino.
Minyewa ya Lymphatic m'miyendo.
Kusintha kwa atherosulinotic m'mitsempha yamagazi, matenda oopsa.
Zilonda zamatenda, kuvala kwa nthawi yayitali, kuphatikizapo pulasitala.
Kuledzera kwa nthawi yayitali, ketoacidosis, chiwindi ndi matenda a impso.
Kulephera kutsatira malangizo a dokotala pazakudya za shuga, kupezeka kwa zizolowezi zoipa.

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Makhalidwe a pathogenetic a zilonda zam'mimba ndi osiyanasiyana. Mfundo yofunika kuikumbukira ndi iyi: matenda a shuga ndi njira yovuta ya metabolic, yomwe imayendera limodzi ndi kulephera kwa kupangika kwa insulin. Matenda a shuga amtundu woyamba amapezeka ndi kupangika kwa insulin. Kwa matenda a shuga a 2, chizindikiro ichi sichikhalidwe, koma insulin chiwopsezo sichikupezeka, zomwe zimapangitsa kuti thupi lizigwiritsa ntchito molakwika.

Insulin ndi puloteni yofunikira kwambiri ya protein yomwe imakhudzidwa mwachindunji mu mayamwidwe ndi kusintha kwa glucose. Ngati minofu sazindikira insulin molondola, zovuta zingapo zidzayamba - makamaka, kuchuluka kwa glucose m'magazi kukwera. Izi, zimaphatikizanso kukula kwa kusintha kwa mitsempha.

Madokotala amafotokoza kusintha komwe kunenedwa m'njira zosiyanasiyana. Chifukwa chake, kuwonongeka kwa ma neuron mu shuga kumatchedwa "diabetesic neuropathy", komanso ndikusintha mu ziwiya zazing'ono zomwe amalankhula za diabetic angiopathy. Onse oyambilira ndi achiwiri ma pathologies ndi chotsatira cha kulephera kwadongosolo kwa kagayidwe kazinthu.

Choyamba, matendawa amakhudzana ndi makoma a mtima, omwe amakhala oonda komanso osakhazikika. Ma capillaries amatsekeka, ndipo zotengera zazikuluzikulu zimakhudzidwa ndi atherosclerosis. Komabe, zilonda zam'mimba za shuga sizimawoneka mwa odwala onse, koma choyambirira, iwo omwe amanyalanyaza chithandizo, samamvera malangizo azachipatala ndipo samawongolera zizindikiro zamagazi. Chowonadi ndi chakuti zilonda sizimakhala "kunja kwa buluu": mawonekedwe awo ayenera kutsatiridwa ndi kuchuluka kwa shuga komanso mkhalidwe wa ketoacidosis.

Kupangidwe kwa zilonda nthawi zambiri kumaphatikizidwa ndikuwoneka kwa eczema kapena dermatitis. Mukapanda kulandira chithandizo, ndiye kuti zotupa zam'mimba zimakula, ndipo zimatha kukhala zowonda.

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Zizindikiro za matenda a shuga a shuga

Zilonda zam'mimba ndi imodzi mwazomwe zimayambitsa matenda ashuga, omwe amapezeka patapita kanthawi atadwala. Mwachitsanzo, ndi matenda ashuga owola, zilonda zimatha kupanga pachaka.

Akatswiri azachipatala adatsimikiza kuwonekera kwa maonekedwe a zilonda - awa ndi gawo la matendawo, omwe amadziwika ndi magulu osiyanasiyana:

Gawo loyamba la zilonda zam'mimba, momwe mapangidwe azilonda amayamba kale, koma kwa wodwala izi sizimawonekanso. Zizindikiro zoyambira zoyamba zitha kukhala motere:

kuchepa kwa chidwi cholandirira (kupweteka, kupweteka, kutentha)
kuwoneka kwa ululu wobisika m'chiwuno, komanso kumva kutentha pang'ono kapena / kapena kuyabwa,
kuwoneka kakhalidwe kakang'ono pachifuwa,
Kutupa kwa malekezero (mpaka magulu osiyanasiyana),
kusintha kwa khungu, kuchuluka kwa khungu, kufiira kapena mawonekedwe, mawonekedwe a mtima.

Gawo la chipatala choyambirira - pakadali pano wodwalayo alipira kale zisonyezo zoyambirira, koma sizowona zonsezo kuti akuwona kuti ndikofunikira kukaonana ndi dokotala. Ngakhale ndi nthawi imeneyi kuti chithandizo chitha kubweretsa chidziwitso chabwino kwambiri. Zizindikiro zoyambira gawo lachiwiri ndi izi:

maonekedwe a khungu lochepa, kukokoloka,
mapangidwe a zilonda zomwe zimavuta kuchiritsa.

Gawo la zodziwikiratu zazamankhwala:

kuwonongeka kwa zigawo zikuluzikulu za pakhungu, mapangidwe a zironda pam zilonda,
mawonekedwe amisempha yamagazi, ndiye - oyera,
kuchuluka kwa ulcerative foci,
maonekedwe a zina zofunika, zosiyana kukula kwake ndi kuzama kwa zotupa.

Zinthu Zotsogola:

kusintha kwa zilonda zazing'ono zam'madzi kukhala chotupa cha matenda opatsirana,
mawonekedwe a kuledzera (kutentha thupi, kutentha thupi, mutu, kufooka),
kuchuluka kwa zowawa m'miyendo,
kuwonongeka kwa zimakhala zazikulu (mpaka fupa).

Gangrenous siteji - limodzi ndi kukula kwa chonyowa gangrene mbali ya mbali ya dzanja.

Monga kuwonongeka kulikonse, zilonda zam'mimba zimayendera limodzi ndi zowawa, koma kumayambiriro ululuwu umatha kukhala wofatsa, ngakhale wosawoneka. Ndi kukulira kwa njirayi, zizindikirazi zimadziwonetsa makamaka usiku: kumakhala kukuwuma, kukokana, miyendo, ngati, "kutsanulira".

Kodi zilonda zimawoneka bwanji mu shuga?

Poyamba, mabala ang'ono, mikwingwirima, ndi abrasions zimatha kuonekera pakhungu - pakuchitika kuti kupangika kwa zilonda m'mimba ya shuga kumayambitsidwa ndi kuwonongeka kwa makina. Kenako mabala amayamba kutuluka magazi ndikuwonjezeka kukula kwa nthawi. Vutoli likakhala ndi kachilomboka, matenda oyambalala ndi otupa amayamba: kumaliseche kumakhala koyipa, ndipo minyewa yozungulira yozungulira imatupa ndi kuwonongeka.

Zilonda zam'mimba zimakula, koma poyamba wodwalayo samamva kupweteka - izi ndi zotsatira za kuphwanyidwa kwa mkati mwa zimakhala.

Zilonda zam'mimba za shuga sizilabadira chithandizo chamankhwala, chomwe chimasonyezanso kuti ndi matenda.

Zilonda zamitundu yosiyanasiyana zam'mimba zimayambira m'njira zosiyanasiyana. Zachidziwikire, zilonda zamtundu uliwonse wa shuga zimachitika chifukwa chakuwonongeka kwa ma capillary network ndi minyewa yamitsempha, koma mtundu uliwonse wamunthu umakhala ndi chikhalidwe chake ndi zomwe dokotala amaganizira akamazindikira njira zamankhwala. Chifukwa chake, zilonda zam'munsi zimagawika mitundu:

Zilonda zapakhosi za m'matumbo a shuga zimayamba chifukwa cha kuwonongeka kwa ma network. Matenda amtunduwu amapezeka nthawi zambiri.
Zilonda zam'mimba za mwendo mu matenda a shuga zimayambitsidwa chifukwa cha kusokonezeka kwa dongosolo la venous. Monga lamulo, zilonda zam'mimba zimapezeka mwa odwala omwe sanafune thandizo la kuchipatala kwa nthawi yayitali ndipo sanachiritse matenda a shuga, kapena adatero molakwika. Zikakhala zotere, zilondazo sizimawoneka pamapazi kapena chala, koma zimakhudza gawo la mwendo wapansi, kapena zimayamba chifukwa cha kuchuluka kwa njira ya necrotic.
Zilonda zam'mbali pamiyendo mu mawonekedwe a shuga mellitus pamene ma lumen ochepa amangotsekedwa, zomwe zimachitika nthawi zambiri pakakhala kuphwanya magazi kuundana ndi atherosulinosis. Kuphwanya kotereku kumayambitsa mwachangu ma necrosis a minofu yokhazikitsidwa pansipa kuchokera pagawo la mtsempha.
Zilonda zam'mimba m'matenda a shuga zimachitika chifukwa cha kuwonongeka kwakanthawi kochepa kwa mabala ang'onoang'ono ndi kukanda pakhungu.

Mitundu ina ya zilonda zam'mimba za shuga imapezeka nthawi zambiri, pomwe ina imakhala yochepa. Mwachitsanzo, zilonda zam'mapazi ndi m'munsi zimapezeka kwambiri.

Zilonda za matenda ashuga zimapezekanso, ndipo nthawi zambiri zimakhala ndimakola, chimanga, kapena kuboola chidendene ndi chinthu cholimba komanso chakuthwa. Nthawi zina wodwala matenda ashuga amatha kukhala ndi zilonda ngakhale atatha kupindika nthawi zonse.

Zilonda zokhala ndi matenda ashuga pachala zimachitika ndikamavala nsapato zosavutikira, maonekedwe a scuffs, matuza, etc. zotupa zotere ndizovuta kuchiza, ndipo nthawi zambiri zimatha ndi opaleshoni yochotsa zala chimodzi kapena zingapo.

Zilonda zam'mimba m'matenda a shuga sizili m'gulu la zotupa zomwe zimayambira matenda. M'malo mwake, ndi njira yokhazikika. Zilonda za trophic zokhala ndi mawonekedwe amishuga kumalo omwe ali ndi kuwonongeka kosatha - nthawi zambiri pamigawo yotsika. Komabe, kukhalapo kwa zilonda zam'mimbazi pamaso pa shuga kumafunikira chithandizo chovuta kwambiri komanso chakudya choyenera.

Zilonda zam'manja zokhala ndi shuga, komanso thupi kapena mutu, ndizosowa kwambiri. Ndi padera pokhapokha ngati mawonekedwe a zilonda atawonongeka kwambiri - mwachitsanzo, kuwonongeka, kupindika, kuwonongeka, etc. Chifukwa cha zochita zathupi, zotumphukira zam'munsi zimatha kuthana ndi kusintha kwachilengedwe kuposa ziwiya zamanja. Chifukwa chake, miyendo imakhudzidwa kaye. Koma - pali kusiyanasiyana, ndipo izi ziyenera kukumbukiridwa mukazindikira zilonda.

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Mavuto ndi zotsatirapo zake

Zilonda mwa iwo okha ndizovuta za matenda ashuga, koma mabala amkhungu amathanso kukhala ovuta - izi zimachitika kawirikawiri matenda opatsirana akafika.

Zotsatira za chilonda cha shuga zimaphatikizanso zovuta izi:

erysipelas - erysipelas - kachilombo kakang'ono ka khungu, komwe kamayendera limodzi ndi kuledzera kwambiri (kuwonongeka kwa minofu ya streptococcal),
yachiwiri yotupa mkati mwa ma lymph node, zotupa za m'mimba - zimawonetsa kufalikira kwa matenda,
sepsis (kuledzera kwathunthu motsutsana ndi maziko a kukula kwa gangore).

Kukula kwamavuto kumatengera momwe maziko amomwe amapezera matenda, pa mankhwala ndi kuya kwa chidziwitso cha trophic, pa mtundu wa matenda a trophic. Odwala ambiri ayenera kudula mbali ya dzanja kapena miyendo yonse - izi zimachitika pamene njira yopweteka ikuyenda.

Zotsatira za kudzichitira nokha mankhwala, kapena kuchitira zilonda zam'mimba m'matenda a shuga, mavuto ena nthawi zambiri amabuka:

matenda a pakhungu monga chikanga kapena dermatitis,
kuwonongeka kwa chotengera ndi magazi ena,
kukula kwa matenda a anaerobic, kafumbata,
kuwonongeka kolumikizana
miaz ndimatenda a parasitic.

Zilonda za matenda ashuga zimafuna kukhala ndi malingaliro oopsa. Wodwala aliyense ayenera kudziwa kuti kunyalanyaza malangizo a dokotala kumatha kubweretsa mavuto, kulumala, ngakhale kufa.

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Kuzindikira za zilonda zam'mimba

Choyamba, adotolo amayang'anira madandaulo a wodwala. Ngati pali kusiyana ndi matenda ashuga, munthu nthawi zina amakhala ndi dzanzi miyendo, kutopa kwambiri, kutupa, kufooka, ndiye kuti ena atha kudziwa zina za matendawo.

Onetsetsani kuti mwayesa wodwalayo kunja. Kuphatikiza pa machitidwe a zilonda pakokha, munthu amatha kuwona kuwonongeka kwa phazi, chidendene, ndi neuroosteoarthropathy. Kugwiritsa ntchito mayeso, mtundu wa kutentha, tactile, propriocepts, ululu, kugwedezeka mwamphamvu kumatsimikizika. Tendon Reflexes amayendera.

Mukamayesedwa, samalani ndi khungu, kutupa, kupezeka kwa mitundu yolumikizana. Chidwi choperekedwa chimaperekedwa makamaka kukula ndi komwe zilonda zake zilili, mawonekedwe amkati, kuwongola konsekonse, komanso mkhalidwe wa khungu labwino.

Mayeso otsatirawa ndizovomerezeka:

kusanthula kwapadera ndi kuphatikiza kwamwazi m'mwazi (zikuwonetsa kukhalapo kwa kutupa, kukulolani kuti muwunikenso mtundu wa ntchito yogwirizana ndi magazi)
urinalysis (ikuwonetsa kusintha kwa impso),
kuyesa kwa shuga m'magazi.

Chidziwitso cha zida zamagetsi chimaphatikizapo radiopaque arteriography, kuphunzira kwa Doppler pakuzungulira kwa magazi, magazi a capillaroscopy.

Nthawi zambiri mu pulogalamu yodziwitsa za odwala imakhala ndi reolymphovasography, njira yofufuzira yoyerekeza, impedancemetry.

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Kusiyanitsa mitundu

Kusiyanitsa kosiyanaku kumachitika ndi collagenoses, matenda amwazi, kuledzera mwaukadaulo. Payokha, kusiyanitsa kumachitika ndi matenda otere:

atherosulinosis obliterans,
zilonda zam'mimba,
zilonda zam'mimba (zotsatira za kuwonongeka kwa mtima wamagetsi),
zilonda zam'mimba, zilonda zam'mimba, zilonda zam'mimba, zilonda zam'misewu.

Kaŵirikaŵiri, zotchedwa zilonda zam'mimba kapena zopeka zimapezeka mwa odwala. Wodwala wawo amagwiritsa ntchito pawokha, kuti athe kuyerekeza - monga lamulo, zilonda zam'mimba zotere zimasonyezera kusakhazikika kwa malingaliro kwa wodwalayo.

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Chifukwa chiyani zilonda zam'mimba zili m'miyendo ndimatenda a shuga?

Zomwe zimayambitsa zilceration ndizosiyanasiyana.

Mitu ikuluikulu ndi:

Pathology yamitsempha yamagazi (ischemic phazi mu shuga).
Zowonongeka ndi ma microdamages pakhungu la miyendo.
Kuphwanya kagayidwe kachakudya mthupi.
Kuperewera kwa oxygen m'miyendo.
Zotsatira zoyipa za poizoni zomwe zimapezeka chifukwa cha kagayidwe kachakudya kosayenera.
Matenda a shuga. Kuchepa kwa dongosolo la ziwonetsero zamagetsi.
Zonsezonse pazomwe zili pamwambapa.

Zomwe zimakulitsa mawonekedwe a zilonda m'miyendo ndizovala nsapato zolimba, miyendo yolumbira, kuyima nthawi yayitali, moyo wosakonda, komanso kusamalira bwino miyendo.

Zomwe Zilonda

Zimayambitsa zomwe zimayambitsa ma zilonda zam'mimba:

Mavuto a Neuroischemic - kuphwanya kwamkati mwa kayendedwe ka magazi ndi kutuluka kwa zamitsempha. Pachifukwa ichi, khungu pakukhudzidwa limataya mphamvu yake pakuchoka pakukhulupirika kwake. Izi zimabweretsa necrosis ya maselo ndi maonekedwe a zilonda zam'mimba. Zikakhala zotere, kufalikira kwa malo owonongeka kumachitika mosavuta.
Kusakwanira kwa venous kumayambira zilonda zam'mimba, zomwe nthawi zambiri zimapezeka kumtunda wotsika.
Mu matenda a shuga, maonekedwe a zilonda zam'mimba komanso popanda zovuta zamagazi. Mtundu wa zotupa zamtunduwu zam'mimba zimatchedwa neuropathic. Amayamba chifukwa cha matenda amanjenje.

Mawonetsedwe azachipatala ndi magawo

Zilonda zam'mimba za shuga zimasiyana ndi zina zilizonse pakutha kwake kwakhudza kwambiri zimakhala kapena zigawo zapansi, pomwe ntchito yonseyi imayendetsedwa ndi kutupa. Ngakhale atachiritsa kotsiriza, chilonda kapena bala limatsalira pakhungu la mwendo.

Pathology imakwiyitsa kufa kwa minyewa ya mitsempha, yomwe imapangitsa kuti miyendo itayike. Zilonda zam'mimba zam'mimba zimayambira m'magawo angapo:

Pa gawo loyamba, kuchepa kwa chidwi cha khungu kumachitika. Kupsinjika kwa mwendo ndi kutentha kumasintha. Nthawi zina, kusapeza bwino kumachitika, monga kupweteka, kumva kulira, kapena kumva kutentha. Kutupa kwa mwendo wapansi ndi phazi kumachitika, ndipo zimayamba kuvuta chidendene.
Gawo lachiwiri limatsatiridwa ndikupanga mabala osachiritsika kwa nthawi yayitali. Kuphatikiza apo, matendawa akamakula, kukula kwake kumakhala kukula kwa zilonda zam'mimba.
Gawo lachitatu. Zilonda za shuga pamwendo pakadali pano zimatsimikizika mosavuta chifukwa cha zizindikiro zowoneka bwino. Mabala omwe amayamba chifukwa cha magazi, mafinya amatha kuwoneka. Pankhaniyi, kupweteka kwambiri nthawi zambiri sikuwonedwa.
Gawo lachinayi la matendawa limayamba, monga lamulo, mwachangu. Odwala amakhala ndi ululu wowopsa, malungo ndi mafinya m'mabala.
Pa gawo lachisanu, gangrene amakula.

Ngakhale chitukuko chonse cha mankhwala, chithandizo cha zilonda zam'mimba ndi njira yovuta. Izi ndichifukwa chakuti matendawa amayambitsa kusokonezeka kwa kayendedwe ka zakudya m'thupi. Kuphatikiza apo, chitetezo chamthupi chimachepetsedwa, pang'ono ndikulephera kwake kuchira.

Zizindikiro zoyambira

Zilonda sizimawoneka mwadzidzidzi, njirayi imachitika pang'onopang'ono. Zilonda za matenda ashuga zimatha kupanga motere:

Khungu pafupi ndi phazi limayamba kuonda ndipo limakhala louma.
Pali kusokonezeka ndi mtundu wa nzeru,
Mawonekedwe a bulauni amawonekera
Vuto laling'ono (zilonda), lomwe pang'onopang'ono limayamba kuchuluka,
M'mphepete mwa zilonda zam'mimba mumakhala zoyipa
Mkati mwa chilondacho mutha kutuluka magazi ndikuphimbidwa ndi phula loyera.

Zonsezi ndizopweteka kwambiri. Kukhazikika kwa matupi achilendo ndi matenda kulowa pachilonda, kumangokulitsa zinthu.

Mtsogolomo, chifukwa cha bala, zimakhala zovuta kusankha nsapato. Kupweteka kwakanthawi sikulola kupumula, ndipo njira za tsiku ndi tsiku sizimabweretsa mpumulo komanso zotsatira zomwe mukufuna. Chifukwa chake, ngati muwona zizindikiro zilizonse za mawonekedwe a zilonda zam'mimba, muyenera kufunsa dokotala posachedwa.

Ntchito yayikulu yofufuza ndikukhazikitsa chomwe chimayambitsa matendawa. Choyamba, adotolo amawunikira kunja ndikuwonetsa kuti atenge mayeso. Nthawi zina, kukula kwa chilonda cha trophic kumathandizira kudziwa mtundu wachiwiri wa matenda a shuga. Kuphatikiza apo, munthu sangakayikire ngakhale kupezeka kwa matenda ngati amenewo.

Kuti mumvetse bwino zomwe zimayambitsa matendawa, chithunzithunzi cha ziwiya zam'munsi zimachitika pogwiritsa ntchito ultrasound ndi dopplerography. Mungafunenso radiopaque phlebography, michere ya helikopita yolumikizira mitundu yambiri ndi muyeso wa oxygen kudzera pakhungu. Atazindikira chomwe chimayambitsa matendawa ndikuwonetsetsa, wodwalayo adamulamula kuti alandire chithandizo.

Mu shuga mellitus, zala zakumiyendo ndi m'munsi mwendo zimakhudzidwa kwambiri. Yambitsani vuto lowonongeka:

Pa gawo loyamba, zizindikiro zimawonekera:

kulemera kwamiyendo
kutupa kwa madera omwe akhudzidwa,
khungu limamva kutentha
Nthawi zina kumverera kwadzidzidzi kumamveka pena paliponse pa zomwe zakhudzidwa,
kukokana
kuyabwa m'deralo,
kusintha kwa pakhungu pakhungu lomwe lakhudzidwa:
- khungu lowala
- Khungu lawonda ndipo siligwira ntchito,
- m'malovu otulutsa chinyezi amawonekera pamtunda, zomwe zimatha kutenga gawo loyipa akalowa mu matenda.
matenda amitsempha ya minyewa amachepetsa kukhudzidwa m'dera lomwe lakhudzidwa.

Zilonda za trophic mu shuga mellitus (chithunzi)

Zilonda zopweteka sizimawoneka choncho. Ma Microdamages a khungu amatsogolera pakapangidwe kake: zikanga, mabala, zilonda, ma chimanga, ndi zina zotere.

Cholinga chake ndikuphwanya kwa kusinthika kwa zinthu mu minofu ya khungu ndi minofu. Chilondacho, mmalo mochiritsa, chimatenga matenda ndikuyatsidwa, ndikupanga zilonda zokulirapo. Ichi ndichifukwa chake ndi zotupa zapakhungu zopepuka ndikofunikira kugwiritsa ntchito kirimu yapadera yochiritsa.

Pankhaniyi, zonunkhira zowonjezera kuchokera ku DiaDerm mndandanda zithandizira bwino, zomwe zimateteza chilondacho kuti chisatenge matenda ndikuwonjezera njira zosinthira mu minofu.

Zizindikiro zoyambirira zam'matumbo am'mimba zimaphatikizira:

kupweteka m'dera lamapazi ndi miyendo yotsika, ngakhale zimapweteka kukhudza miyendo,
mawonekedwe a pakhungu, kusintha pakhungu lanu.
Khungu la miyendo lidatentha, loyipa mpaka kukhudza.

Zizindikirozi zimawonekera koyambirira ndipo ngati chithandizo chayambika pano, zilonda zitha kupewedwa. Chithandizo chimakhala ndi chisamaliro chokwanira cha phazi komanso kugwiritsa ntchito mafuta odana ndi kutupa.

Vuto lalikulu ndilakuti si aliyense wonyamula shuga yemwe angayankhe funso kuti kodi zilonda zam'mimbamu ndi kuti zimawoneka bwanji. ndichifukwa chake anthu samalabadira zomwe miyendo yawo ili kufikira gawo lopweteka limadutsa. Koma ndendende nthawi yoyamba iyi kuti matendawa amatha kupewedwa ndikuchiritsidwa popanda kuwononga thanzi.

Kuzindikira matendawa

Kuzindikira kwakanthawi ndi chithandizo cha zilonda zam'mimba m'miyendo ndimatenda a shuga kumapewetsa kudzicheka chala ndikuchepetsa chiopsezo chobwereranso.

Ntchito yayikulu yodziwitsa zilonda zam'mimba ndikuyambitsa kuchuluka kwa kusokonezeka kwa magazi mu minofu ndikuchepa kwa chidwi.

Kuzindikira trophic zotupa pa miyendo ndi motere:

Mbiri yazachipatala
Kugonjera kwa UAC (kuyesa magazi pafupipafupi), maphunziro a sayansi ya zamankhwala, kuchuluka kwa shuga m'magazi, coagulograms (magazi
Kukhazikika kwa malo okhudzidwa ndi miyendo, kupezeka kwamkati,
Kutsimikiza mtima - kutentha, ululu ndi kukhudza,
Kuphika kwa purulent mabala okhutira ndi kutsimikiza kwa zovuta za matenda obwera chifukwa cha mankhwala opatsirana,
Kuunika kwa mwendo wa X-ray.

Njira zama Hardware zimakupatsani mwayi kuti mudziwe:

Mulingo wakanikizidwa mu mwendo wokhudzidwa,
Kusintha kwa matenda pogwiritsa ntchito sikani,
Kukhathamira - kuperekera kwa oksijeni ku minofu,
Kukula ndi kuchuluka kwa zombo pogwiritsa ntchito X-ray,
Kusintha kwa minyewa ya m'matumbo - CT ndi MRI,
Kuzama kwa chilondacho, mkhalidwe wa minofu yoyandikana ndi kupweteka kwa bala.

Njira zochizira

Kodi kuchitira zilonda zam'mimba mu shuga? Njira yonse ya chithandizo imasankhidwa kwa wodwala aliyense payekhapayekha. Kuchita izi kumachitika chifukwa chakuti zinthu zosiyanasiyana zimatha kuyambitsa bala losapola.

Kuti mupeze izi zoyipa, musanayambe chithandizo cha zilonda zam'mimba, cytological, bacteriological and histological maphunziro a m'deralo. Pambuyo pa mayeso onse ofunikira ndikuwonetsetsa kuti wapezeka, endocrinologist amasankha njira yochizira. Itha kukhala:

mankhwala
opaleshoni kuchitapo kanthu
zovuta za achire miyeso.

Osati gawo lomaliza la chithandizo cha zilonda zam'miyendo mu shuga limaseweredwa ndi physiotherapy ndi mankhwala achikhalidwe.

Koma kumbukirani, njira zina zitha kugwiritsidwa ntchito ngati chida chowonjezera komanso pokhapokha ngati chilolezo chilipo.

Kodi ndi njira yanji kuchitira zilonda zam'miyendo m'miyendo ndimatenda a shuga, atero dokotala atazindikira. Njira zochizira ndi mankhwala am'deralo ndi makonzedwe amaperekedwa kwa wodwala aliyense payekhapayekha, potengera mawonekedwe a matendawa, kupezeka kwa matenda osachiritsika, chifuwa.

Chithandizo cha zilonda zam'mimba zimachitika m'njira zingapo:

Mankhwala
Opaleshoni
Zokwanira, kuphatikiza njira yoyeretsera mabala kuchokera ku ma supplement ndi ma necrotic tinthu, komanso kugwiritsa ntchito mafuta ndi mafuta akumaloko.

Chofunika ndikuchiza zilonda zam'miyendo pamiyendo yankho la antiseptic komanso mafuta kuti mubwezeretse khungu lowonongeka komanso malo owonongeka. Kuphatikiza apo, kunyumba, amaloledwa kugwiritsa ntchito maphikidwe kwa ochiritsa.

Mankhwala othandizira

Opaleshoni imaphatikizapo kuchotsedwa kwa malo a necrotic minofu ndikuchotsa cholinga cha kutupa. Mitundu yotsatirayi ikuchitika:

Curettage
Kutulutsa
Chithandizo cha VAC pogwiritsa ntchito vacuum.

Vutsum imagwiritsidwa ntchito popanga zovuta zotsika (mpaka -125 mmHg). Njirayi imaphatikizapo kugwiritsa ntchito zovala za polyurethane. Kuchoka kumakupatsani mwayi:

Chotsani mafinya ku zilonda zam'miyendo,
Cheretsani kudzikuza, chepetsani mabala ambiri,
Limbikitsani magazi kulowa m'chiwendo chowonongeka,
Zimayambitsa njira ya granulation,
Imachepetsa kuchepa kwamatumbo a zilonda zam'mimba,
Amakhala malo otentha pachilondacho omwe amalepheretsa matenda ndi ma virus ndi mabakiteriya.

Catization ndi njira yochizira mabala a ischemic ndi venous pamiyendo omwe samachira bwino.

Kudulidwira Virtual ndi njira yotchuka yothandizira zotupa za neurotrophic zomwe zimayamba mwa odwala matenda a shuga. Njirayi imaphatikizanso kuphatikizika kwa mafupa ndi metatarsophalangeal olowa popanda kuphwanya umphumphu wa anatomical. Kudulidwa kwenikweni kumakupatsani mwayi wochotsa matenda ndikuchepetsa kupsinjika.

Kukhomera venous aristial fistulas kudzera pakhungu kumasonyezedwa pamaso pa chilonda cha ischemic (hypertensive), chotchedwa Martorell's syndrome. Kulowererapo cholinga chake ndicho kulekanitsa fistulas yomwe ili m'mphepete mwa chilondacho.

Mankhwala

Chithandizo cha mankhwala osokoneza bongo chitha kukhala njira yokhayo yochizira matenda oyamba ndi apakati a trophic zilonda mwa odwala matenda ashuga. Mochulukirapo, mankhwalawa amathandizidwa ngati othandizira asanachitidwe opereshoni komanso atatha.

Chithandizo cha mankhwala osokoneza bongo pamiyeso yosiyanasiyana ya zotupa zamiyendo ndizosiyana. Pa gawo loyamba akuwonetsedwa:

Ma Antihistamines - Tavegil, Loratodin, Suprastin,
Maantibayotiki
Ma antiplatelet othandizira (jekeseni wamkati) - Reopoliglukin, Pentoxifylline,
NSAIDs (Mankhwala osagwirizana ndi yotupa) - Ketoprofen, Imet, Diclofenac.

Kugwiritsa ntchito mankhwalawa cholinga chake ndikuyeretsa zilonda kuchokera ku ma cell a necrotic ndi mabakiteriya. Kuti muchite izi, mabala amatsukidwa ndi yankho la furatsilina, chlorhexidine kapena potaziyamu permanganate. Ndipo amapanga compress ndi Levomikol, Streptolaven kapena Dioxicol.

Kuchiza kwa gawo lachiwiri la zilonda zam'mimba za m'magazi a shuga kumapangidwira kulimbikitsa kuchiritsa kwa zilonda, kusinthika komanso kuperewera kwa khungu. Phazi lakumaso limachiritsidwa ndi Curiosin. Kuti mupewe matenda kuti musalumikizane, gwiritsani ntchito Algipor, Allevin, Geshispon.

Gawo lachitatu la chithandizo cha mabala osaneneka pamiyendo ndikulimbana ndi matenda omwe adatsitsa mapangidwe awo. Pakadali pano, chithandizo cha zilonda zam'mimba zokhala ndi insulin zimachitika.

Physiotherapy

Mankhwala othandizira olimbitsa thupi amaloledwa pokhapokha pochiritsa zilonda. Nthawi zambiri, dokotala amakupangira:

Ndi zotupa za atherosulinotic - kugwiritsa ntchito chipinda chopanikizika cha Kravchenko, chomwe chimayambitsa mavuto am'deralo,
Cavitation ndi otsika pafupipafupi ultrasound. Chithandizo choterechi chimawonjezera chithandizo cha mankhwala a antibacterial ndi antiseptic,
Mankhwala othandizira pamagalasi amatha kuchepetsa kuwawa, kuchepetsa mitsempha ya magazi, kuchepetsa kutupa,
Laser chithandizo chimachotsa cholinga cha kutupa, kuthetsa kupweteka, kumalimbikitsa kusinthanso minofu,
Ultraviolet imakulitsa chitetezo chazinthu,
Kugwiritsa ntchito nayitrogeni ndi ozoni kumathandiza kudzaza minofu ndi mpweya komanso kusinthika kwawo,
Chithandizo cha matope chimalola wodwalayo kuchira msanga atadwala.

Njira zina

Kugwiritsa ntchito maphikidwe a ochiritsa achikhalidwe kumaloledwa pokhapokha pochiritsa zilonda zam'mimba mutatha kufunsa dokotala. Njira zina zothandizira zilonda zam'mimba zimaphatikizapo kuchiritsa mabala, kuyeretsa zomwe zimaphatikizidwa ndi purulent ndi minofu yakufa. Zitsamba zamafuta zimachepetsa kutupa ndikuthandizira kubwezeretsa epithelium.

Kutengera zomwe zimayambitsa mapangidwe a mabala, njira yokhazikika yochizira kapena opareshoni imatha kulembedwa. Dokotala amasankha ndendende momwe angathandizire chilondacho atatenga deta yonse. Chithandizo chitha kuchitika kunyumba kapena kuchipatala. Apanso, zonse zimatengera kuchuluka kwa kunyalanyaza komanso zovuta za kukula kwa matendawa.

M'magawo onse awiri, mankhwalawa adzaphatikizapo chithandizo chakomweko, chithandizo chachindunji cha bala. Izi zimachitika tsiku ndi tsiku, nthawi zina, kuvala kumafunikira kusinthidwa tsiku lililonse la 2-4. Pochiza mabala, ndikofunika kugwiritsa ntchito zinthu zosawoneka bwino zamakono zomwe sizimatira ndipo sizisiya villi.

Zovala zonse zomwe zilipo zimagawidwa m'magulu angapo:

Ma alginates ndi zinthu zowoneka bwino zochokera ku algae ya bulauni. Zovala zokhala ndi zokutira zotere zimakhala ndi zotupa, zoteteza, kuyeretsa komanso kuchiritsa mabala.
Maukonde a Atraumatic samangothandiza kuteteza chilondacho ku matupi akunja, komanso kuyeretsa, popeza kuvala uku kumakhala ndi zowawa komanso zotupa.
Ulusi wa hydrophilic umalepheretsa mabala kuti asanyowe, amatenga chinyezi bwino komanso amateteza zilonda ku bacteria wakunja.
Bandeji yokhala ndi thovu la polyurethane imathandizira kuti magazi asatuluke, ili ndi katundu wa bactericidal komanso anti-kutupa.

Zomwe mungagwiritse ntchito ndi zomwe adokotala amafunsa. Pakusamba zilonda zam'mimba, ma antimicrobials amagwiritsidwa ntchito omwe sangakhudze kukula kwa minofu ndipo samasokoneza machiritso a mabala. Itha kukhala chlorhexidine kapena miramistin. Kugwiritsa ntchito mankhwala monga green wobiriwira, ayodini, yankho la potaziyamu ndi mowa sikuletsedwa. Pakapita masiku atatu ndi atatu, minofu yakufa ndi mafoni amachotsedwa pachilonda.

Ndikofunikira kuti muthe kuchepetsa matenda a shuga. Kuti muchite izi, funsani kwa endocrinologist.

Ngati ndi kotheka, mankhwala ogwiritsidwa ntchito amasinthidwa ndi mankhwala ena "amphamvu". Komanso sinthani kuchuluka kwake komanso mtundu wa chakudya chomwe mumadya.

Titaunika kuyamwa kwa zinthu zomwe zimatengedwa pachilonda, maantibayotiki atha kupatsidwa mankhwala omwe angathandize kupha mabakiteriya komanso matenda. Mankhwala oterewa amafunikira mu 40-60% ya milandu kuchokera ku chiwerengero chonse cha odwala.

Zilonda zam'mimba za m'matumbo a shuga sizitha kuchiritsidwa ngati katundu wazilonda zam'mimba sizichotsedwa. Ngakhale magawo ochepa patsiku amatha kudula njira yonse yothandizira.

Kuti muchite izi, mutha kugwiritsa ntchito zida zosiyanasiyana, kuyambira ndodo mpaka nsapato zapadera. Ku Russia pakadali pano, kuwunika kwabwino kwambiri kumatha kumveka bwino za boot yonyamula zinthu zopangidwa ndi polymer.

Zilonda za trophic zomwe zimakhudzana ndi kuchepa kwa magazi m'magawo am'munsi ndizongowonjezera mphamvu 20-30% yokhazikika pazomwe zimagwiritsidwa ntchito chifukwa chake.

Kugwiritsa ntchito moyenera kumatheka pokhapokha ngati pakuchitika opareshoni. Pachifukwa ichi, opaleshoni yamatumbo imachitika, pomwe mitsempha imachepera kapena njira zina zosunthira magazi zimapezeka.

Pambuyo pochotsa chomwe chimayambitsa matendawa, zilonda zimayamba kuchira msanga. Mankhwala awo amachitidwa chimodzimodzi ndi mankhwalawa a mabala omwe ali ndi magazi abwinobwino.

Ndi vuto la zilonda zam'mimba molondola, posachedwa, funsani endocrinologist. Inde, ndikwabwino kupatsidwa upangiri ndikuchitapo kanthu zisanachitike zilonda.

Dokotala adzalembera njira zowongolera pokhapokha atawunika. Ndizotsatira za maphunziro a cytological ndi bacteriological omwe angapangitse maziko a chithandizo choyenera.

Achire

Zilonda zam'mimba zimagwiritsidwa ntchito. Chilondacho chimathandizidwa ndi antiseptic ndi othandizira ochiritsa, ndiye - mankhwala omwe amasintha magazi.

Ngati zilonda zam'madzi za m'mimba zilibe chidwi kwenikweni ndipo matupi a necrosis ali ambiri, ndiye kuti chilondacho chimathandizidwa pogwiritsa ntchito opaleshoni, ndikuchotsa malo omwe adafa. Pambuyo poti chithandizo chakomweko chimachitika.

Kwa wodwala aliyense yemwe ali ndi mbiri yodwala matenda a shuga, miyendo, zilonda zam'mimba ndi zotupa zina, dotolo amasankha pulogalamu yothandizira odwala.

Asanayambe chithandizo, maphunziro a bacteriological ndi cytological amachitika, kuyezetsa magazi kumatengedwa.

- antibacterial am'deralo; - mafuta okhala ndi analgesic kwenikweni;

Mafuta a anthu odwala matenda ashuga ayenera kunyentchera ndikuteteza khungu ku matenda. Katunduyu ali ndi mafuta a DiaDerm, omwe amapangidwira chisamaliro cha phazi la shuga.

Dinani pa chithunzi chomwe chili pansipa kuti mudziwe zambiri zamafuta a anthu odwala matenda ashuga ndikuwalamula ndikutulutsa kwawo kapena makalata.

Pa gawo lachiwiri, chofunikira kwambiri ndikupewa kukula kwa matenda.

Kuti muchite izi, gwiritsani ntchito:

yotakata mankhwala
mafuta odzola a antibacterial,
kuchapa zilonda ndi antiseptic,
compress ndi mankhwala mankhwala.

Kupewa

Chofunikira kwambiri pakupewa zilonda zam'mimba ndikukhazikitsa malangizo a dokotala. Malingaliro otere ayenera kufotokozedwa ndi odwala onse omwe ali ndi matenda ashuga.

Zilonda zam'mimba zimatha kudwala matenda ashuga aliwonse ngati samvera chifukwa chowunikira nthawi zonse shuga. Chifukwa chake, kupewa, choyambirira, kumakhala mu kuphatikiza misinkhu ya shuga ndikuthandizira kukonza matenda a shuga.

Malangizo ena ofanananso pakupewera zilonda:

Ndikofunikira kuwona ukhondo wokwanira wa miyendo, kudula misomali mwachangu komanso molondola, komanso kupewa kuteteza matenda oyamba ndi fungus.
Nthawi zambiri, muyenera kuyeretsa, kupukuta ndi kupukusa nsapato zanu - iyi ndi yofunika kwambiri kuti miyendo ikhale ndi thanzi.
Mukamasankha nsapato ndi masokosi, chisamaliro chapadera chiyenera kulipidwa pamlingo wawo komanso kukula kwake kuti musapote, matuza, chimanga pamapazi.
Ngati ndi kotheka, kuphatikiza miyendo ndi kuziziritsa kwambiri kwamiyendo kuyenera kupewedwa, komanso osawonjezera.
Nthawi ndi nthawi - mwachitsanzo, madzulo aliwonse, ndikofunikira kuti mupendeketse miyendo, zala, bondo. Makamaka chidwi ayenera kulipidwa pamaso pa kuwonongeka kwakunja, punctures, splinping. Mu matenda a shuga, ngakhale kuvulala kocheperako kungayambitse zilonda zam'mimba.

, , , , , , , , ,

Zotsatira zina za matendawa zimadalira kuchuluka kwa momwe matenda akuluakulu - matenda a shuga - adzakulidwira, komanso momwe wodwalayo angalandire chithandizo chamankhwala. Wodwala akapezeka kuti ali ndi mtundu wina wa zilonda za neuropathic, malinga ndi chithandizo chanthawi yake komanso chokwanira, matendawa amatha kuonedwa kuti ndi abwino.

Ngati matenda a shuga ali oopsa, okhala ndi vuto la mitsempha yowonjezereka, ndiye kuti zotere sizofunika kunena za chiyembekezo chamtsogolo.

Zilonda za matenda ashuga ndizovuta kuchiza. Koma: mukangolabadira zovuta, chithandizo chamankhwala chimayankhidwa posachedwa - ndizotheka kuti wodwalayo azolowere.

, , , ,

3 ndi 4 magawo

Pa gawo la 3 ndi 4, mankhwalawa amayesedwa kuti apondereze matendawa ndikuchotsa maselo akufa. Monga gawo la mankhwala osokoneza bongo, wodwalayo amapatsidwa mankhwala othandizira odwala komanso osapweteka a antiidal. Chofunikira ndikusinthidwa kwakanthawi kwa maselo akufa ndi mafinya.

Kuti muchite izi, gwiritsani ntchito:

kuchapa ndi furatsilin, chlorhexidine,
mavalidwe apadera onunkhira
kuthawa (kuchotsa maselo akufa ndi mafinya pogwiritsa ntchito chida)
kuchiritsa - kuwonekera kwa minofu yakufa.

Pa gawo la 5, maantibayotiki othandizira odwala komanso othandizira opaleshoni amagwiritsidwa ntchito mpaka kudula chiwalo.

Mpaka gawo lomaliza, matendawa ndibwino kuti musayambe, ngati muli ndi matenda ashuga, bala la mwendo silichiritsa, ndiye muyenera kufunsa dokotala wakukuthandizani.

Chosangalatsa: lero, matekinoloje atsopano amagwiritsidwa ntchito pochiza zilonda zam'mimba zam'mimba. Chimodzi mwazo - kudulidwatu, kumakhala ndi kufanana kwa minofu ya necrotic popanda kukhudza mafupa a phazi. Nthawi yomweyo, mafupa sataya umphumphu wawo komanso magwiridwe ake.

Matenda oyamba akangobwera, mwachitsanzo, mutha kuyesa kuyimitsa matendawa pogwiritsa ntchito wowerengeka azitsamba. Mu magawo apambuyo pake, njira zina zochiritsira zimathandizira luso la mankhwala.

Chithandizo cha makolo chimalimbikitsa kuwongola mabala owoneka ndi mawonekedwe a zitsamba zamankhwala: celandine, sage, chamomile, calendula, etc. Zitsamba zimakhala ndi zotsutsa, zotupa komanso zotupa.

Kukonzekera decoction ndikosavuta: muyenera kutenga 1-5 tbsp. supuni zamasamba ndikutsanulira 1-2 malita a madzi otentha. Lolani kuti lidutse kwa mphindi 20 mpaka 40, kenako ndikutsuka zilonda.

Propolis imathandiza kwambiri pochiritsa mabala. Amagwiritsidwa ntchito ngati compress yachipatala. Natural birch tar imathanso chimodzimodzi.

Kuthandizira opaleshoni

Chithandizo cha trophic ulcer mu matenda osokoneza bongo omwe ali ndi mankhwalawa imatha kukhala njira yodziyimira payokha (yofatsa kapena yocheperako yamatenda), kapena kuphatikizana ndi opareshoni. Kutengera ndi gawo la matenda, mankhwalawa amagawidwa m'magawo otsatirawa:

Gawo loyamba. Pankhaniyi, magulu oterewa monga mankhwala opha maantiwitsi, ma antihistamines, ma antiplatelet othandizira, komanso mankhwala osagwiritsa ntchito mankhwala othandizira odwala omwe amagwiritsidwa ntchito masiku ano amagwiritsidwa ntchito pochiza zilonda zam'mimba za matenda a shuga. Kuphatikiza apo, mabala amatsukidwa ndi mayankho a antiseptic, mafuta odana ndi kutupa ndi mavalidwe apadera amathandizira kuthira madzimadzi.
Gawo lachiwiri limadziwika ndi machiritso akhazikika ndi kuwonda. Chifukwa chake, mafuta okuchiritsa amagwiritsidwa ntchito pochiritsa zilonda zam'mimbazi. Zovala zapadera za mabala zimagwiritsidwanso ntchito.
Gawo lachitatu ndicholinga chokwanira kuyimitsa chomwe chimayambitsa chilonda chomwe sichinapole.

Njira zothetsera zakumwa zitha kuphatikizidwa ndi chithandizo chamankhwala chokhacho chozungulira zilonda. Kusamba kwa chilonda palokha kumachitika ndi njira zamadzi zothetsera mavuto.

Kuchita opaleshoni kumafunikira pofuna kuchiza zilonda zam'mimba zam'munsi zam'mimba ndi matenda a shuga, omwe sangathe kuchiritsidwa kwachipatala. Chinsinsi chake ndi motere. Panthawi ya opareshoni, timinofu tating'ono tomwe timakanidwa tokha timatulutsa. Nthawi yomweyo, madokotala akuyesera kusankha njira yofatsa kwambiri kuti isakhudze minofu yathanzi.

Pomwe zilonda zam'mimba mu shuga ndizambiri, kutseka kwadera komwe kwakhudzidwa kumachitika. Mwanjira ina, amapanga khungu ndikusintha. Zotsatira za njirayi zimatengera mwachindunji kayendedwe ka magazi m'zigawo zotsika. Njirayi sichita ngati kachilomboka kachilonda kapena ngati matupi onse akufa atachotsedwa pamalo omwe akukhudzidwawo.

Khungu losemedwa limasandulika kukhala ngati chosinthira mphamvu yakubwezeretsanso michere m'dera la zilonda.

Zilonda zam'mimba mu shuga: mankhwalawa wowerengeka azitsamba

Monga tanena kale, chithandizo cha zilonda zam'miyendo mu shuga ndi njira yovuta kwambiri. Sizovuta kuyeretsa mafinya ku bala, lomwe limachulukitsa nthawi yakuchira kwawo. Ichi ndichifukwa chake njira zina zochiritsira zingakhale zowonjezera pazamankhwala.

Nthawi zambiri, mukasamba zilonda zam'magazi, gwiritsani ntchito mankhwala osiyanasiyana azitsamba. Katundu wolimba wa antimicrobial amakhala ndi celandine, calendula, chingwe ndi chamomile. Zitsamba zotere sizimangoletsa mphamvu yotupa, komanso zimathandizira kubwezeretsa khungu. Kuphatikiza pa mankhwala azitsamba, anthuwa amagwiritsa ntchito njira izi:

Compress kuchokera birch phulusa. Kuti mukonzekere, muyenera kutenga 50 g ya phulusa losenda ndi kutsanulira 500 ml ya madzi otentha mkati mwake. Kenako, wokutidwa bwino, osakaniza osiyidwa amasiyidwa kwa maola awiri. Mwachindunji kwa compress, muyenera kutenga yopyapyala, kuyiyika m'magawo angapo, kuyipukutira mu yankho lomwe lakonzedwa ndikugwiritsira ntchito chilonda kwa maola atatu. Njira ya mankhwala ndi milungu iwiri.
Mafuta okhathamiritsa. Ndikofunikira kutenga 50 g ya utomoni, sera ndi mafuta anyama amkati, kusakaniza, kuwira pamoto wochepa komanso wozizira. Mankhwala, kuchuluka kwa mafuta omwe amadzazidwa kumayikidwa m'dera lomwe lakhudzidwalo, kumangidwa bandeji ndikusiyidwa kwa maola 4. Pafupifupi, 6-9 chithandizo ndichokwanira kuchira.
Miyeso ingapo ya ndevu zagolide. Masamba a chomera amasambitsidwa ndi madzi, amang'amba bwino ndi kuwaza ndi pestle mpaka madzi atawonekera. Kenako kuzimiririka kumayikidwa pamalo owawa, wokutidwa ndi nsalu yoyera ndikusiyidwa kwa mphindi 30-60. Kumverera pang'ono koyaka. Ndondomeko ikuchitika tsiku lililonse.
Kulowetsedwa kwa zotupa. Pogaya muzu wa chomeracho pa chopukutira cha khofi kuti muthe 1 tbsp. l ufa, womwe umadzazidwa ndi 50 ml ya madzi owiritsa, ndikusiyira kupaka kwa maola 12. Kulowetsedwa amatengedwa musanadye katatu pa tsiku. Njira ya mankhwala ndi mwezi umodzi.

Njira zina, ngakhale ndizothandiza pochiritsa zilonda zam'mimba, koma zitha kugwiritsidwa ntchito pokhapokha ngati dokotala akupezekapo.

Kumbukirani, kudzipereka nokha kungachititse kuti mukule.

Njira zopewera

Njira yayikulu yolepheretsa zilonda zam'mimba mwa anthu odwala matenda ashuga ndi kukhazikitsa mwamphamvu malingaliro onse a dokotala.

Chodetsa nkhawa chachikulu ndi kuchuluka kwa shuga m'magazi.

Kuphatikiza apo, matenda oyanjana amayenera kuthandizidwa munthawi yake. Pali malamulo angapo osavuta, kuwonetsetsa omwe angachepetse chiopsezo cha zilonda zam'mimba za matenda ashuga. Izi zikuphatikiza:

chisamaliro choyenera komanso chothandiza, makamaka pankhani yakudula misomali,
kuyendera kwa endocrinologist osachepera kawiri pachaka,
kusiya zizolowezi zoipa,
nsapato zoyenera
kusanthula kwamiyendo tsiku ndi tsiku kwa mabala ang'ono, abrasions ndi chimanga.

Mu shuga mellitus, zonse zomwe zingatheke ziyenera kuchitidwa kuti zisaoneke zilonda zam'mimba. Izi ndichifukwa choti ndizovuta kwambiri kuthana ndi izi kuposa kuchita njira zodzitetezera.

Njira zodzitetezera zimaphatikizapo:

Kutsatira malangizo a dokotala payekha:
- analimbikitsa zakudya
- Kusunga kuchuluka kwa shuga m'magazi munthawi yokhazikika,
- kugwiritsa ntchito kuyang'anira kagayidwe kazachilengedwe,
kupewa kuvulala, mabala, zilonda pamapazi,
kutsatira malamulo a ukhondo wotsatira ndikutsatira khungu pang'ono,
kusankha nsapato zabwino,
kupewa zizolowezi zoipa,
kusamala miyendo (vuto la kutenthedwa kwawo kapena hypothermia sikuyenera kuloledwa),
tsiku lililonse kuyang'ana kwamayendedwe amiyendo ndi mbali zina momwe kuwonongeka kungatheke.

Zilonda zam'mimba za shuga

Matenda monga shuga mellitus amadziwika ndi zovuta zingapo. Zilonda zam'mimba mu shuga ndizovuta zazikulu kwambiri zomwe ndizovuta kuchiza.

Izi zimayambitsa ngozi chifukwa zimayambukiridwa ndi matenda osiyanasiyana, ndipo kunyalanyaza vutoli kumatha kubweretsa vuto lalikulu kwambiri - gangore in shuga mellitus, kenako ndikuduladula malekezero.

Chifukwa chakuti maselo amomwe mitsempha imatha kumwalira nthawi yamatendawa, malekezero am'munsi amasiya kumva kwathunthu. Ndipo ndikosavuta kumva, ngati wodwala matenda ashuga akuthyola mwendo wake, ndiye kuti kuzizira.

Zilonda zam'mimba za shuga zimachitika pazifukwa zambiri. Zomwe zimayambitsa kukonzekera kwa matenda amtunduwu ndizotsatirazi: kusintha kwamitsempha yamagazi, vuto losungika, komanso kuphatikiza zinthu ziwiri.

Zilonda za trophic pamiyendo zimatha kuchitika chifukwa cha kuwonongeka pakhungu: abrasion, chimanga, burns, microtrauma ndi zina.

Mtundu 2 wa shuga, kukula kwa zilonda zam'mimba kumachitika motere:

Pa gawo loyamba (gawo loyamba), chidwi cham'munsi chotsika chimachepa, kutentha kwawo, kukakamizidwa kumasintha. Nthawi zina pamakhala zopweteka zazing'ono m'dera la phazi ndi miyendo (kuluma, kuyabwa). Kuyenda bwino kumawonedwa kumapazi ndi mwendo wotsika, chidendene chimapweteka, ndipo nkovuta kupondapo.
Pa gawo lachiwiri, m'malo ovulaza microscopic ndi ming'alu, zolakwika za pakhungu zimapangidwa zomwe sizichiritsa kwa nthawi yayitali, ndipo dera la zotupa limayamba kuchuluka nthawi.
Gawo lachitatu limadziwika ndi kukhalapo kwa zizindikiro zazikulu. Zikuwoneka zolakwika zomwe zimawononga khungu. Zilonda zimayamba kutuluka magazi, ndikulowerera kwa matenda, masautso a purulent amawonekera. Zizindikiro zopweteka kwambiri sizimawonedwa, koma mabala amawonjezeka.
Mu gawo lachinayi, matendawa amayamba kuyenda mwachangu. Mabala amakhala oyera, kutentha kwa thupi kumadzuka, wodwalayo amanjenjemera, ululu wammbuyo umakulirakulira.
Pa gawo lomaliza, gangrene amapezeka.

Ndizofunikira kudziwa kuti chaka chatha matenda ashuga owonongedwa, zilonda zamatenda am'mimba zimawonekera mu 50% ya milandu ya pathologies.

Chithandizo cha matenda ashuga

Chithandizo cha zilonda zam'mimba m'miyendo ndi matenda a shuga chili ndi mawonekedwe ake. Choyamba, ndikofunikira kudziwa kuti kuchotsedwa kwa zizindikiro zokhazokha za matenda ndi njira yothandiza.

Mankhwala onse, omwe amathandizidwa ndi adotolo, amathandizira kuchiritsa matenda oyambira. Chifukwa chake, ndikofunikira kusunga shuga wamagazi pamlingo wofunikira kuti muchotse zilonda zamtundu wa 2 shuga.

Za chithandizo cha wowerengeka azitsamba kunyumba, sizithandiza. Njira yothandizira mankhwalawa iyenera kuchitika modabwitsa, ndipo imaphatikizanso zinthu zambiri, kuyambira mankhwala kuti mukhale shuga wamagazi pamlingo wofunikira, ndikutha ndi kukondoweza kwa njira zobwezeretsera.

Chithandizo cha zilonda zam'mimba za m'magazi a shuga zimakhala ndi izi:

Kukonza shuga m'thupi.
Sinthani njira yogaya magazi m'magawo otsika.
Mulingo wazomwe zimayambitsa matenda opatsirana.
Kukondoweza kwa kusinthika kwa minofu.

Gawo lililonse lili ndi mawonekedwe ake, ndipo pokhapokha mutapeza zomwe mukufuna panthawi imodzi, mutha kupitiriza chithandizo chotsatira.

M'pofunikanso kunena kuti mankhwala ena monga monotherapy sangathe kuthana ndi vutoli, komabe, atha kugwiritsidwa ntchito ngati chithandizo chothandizira kuti ntchito yathandizire kwambiri.

Kuthandizira opaleshoni ndi chithandizo champhamvu chomwe chimagwiritsidwanso ntchito kwambiri ngati kuli kofunikira kufotokozera minofu yakufa.

Pankhaniyi, njira zofatsa zokhazokha zomwe zimagwiritsidwa ntchito kuti zisakhudze zimakhala.

Chithandizo chaposachedwa

Kuchiritsa chilondacho kumaphatikizapo kukhazikika shuga m'magazi pamlingo wofunikira. Mwa odwala, shuga sayenera kupitirira 6 mayunitsi. Mwa izi, chakudya chokwanira chikulimbikitsidwa. Ngati sichikupereka chithandizo chofunikira, ndiye kuti chithandizo chapadera cha matenda a shuga chimachitika.

Pali mankhwala ambiri omwe amachititsa chidwi cha maselo kupita ku mahomoni (insulin). Fotokozerani mankhwala Siofor, Glucofage. Kapena ndalama zimayikidwa zomwe zimayambitsa kupanga kwa mahomoni (mapiritsi a Maninil).

Ntchito ya gawo loyamba la mankhwala ikatha, ndiye kuti mutha kupitirira gawo lachiwiri. Kuonjezera masinthidwe obwezeretsa minofu ya m'munsi ndi phazi, chithandizo cha mtima tikulimbikitsidwa:

Algofin (mafuta) amapereka antimicrobial, imagwira ntchito pokhapokha magawo oyamba a matenda.
Acetylsalicylic acid, yomwe imakhala ndi antiplatelet.
Ma Vasodilators amalimbikitsidwa - Curantil.
Ngati chomwe chimayambitsa matendawa chinali chachikulu ischemia, ndiye kuti Clexane (otsika kachulukidwe heparin) amapatsidwa zilonda zam'mimba za shuga.

Chithandizo cha zilonda zam'mimba m'magazi a chitatu chimakhala ndikuchotsa minofu yakufa kuti muchepetse mwayi wopitilira kufalikira kwa kachilomboka komanso kakulidwe ka purifungo, komanso kuimitsa chilema.

Ngati chilonda chili ndi tating'ono pamiyendo yakumanzere kapena chala, ndiye kuti chikuyenera kuthandizidwa ndi antiseptic agents (yankho, kirimu kapena mankhwala). Panthawi imeneyi, ndizoletsedwa kugwiritsa ntchito zakumwa zoledzeretsa, zomwe zimapangitsa kukhumudwitsa bala.

Ndizololedwa kuphatikiza mayankho a mowa pothana ndi zilonda zam'mimba. Zilonda za trophic mu shuga ziyenera kutsukidwa ndi mayankho amadzimadzi a mankhwala a Chlorhexidine, Miramistin. Izi zimachitika kamodzi pa masiku awiri kapena atatu.

Ngati matenda opatsirana agwirizana, ndiye kuti mankhwala a antibacterial amadziwika. Potere, mankhwalawa omwe ali ndi zotsatira zingapo amalimbikitsidwa.

Kupititsa patsogolo kwa kusinthika kwa minofu kumakhala ndi mawonekedwe:

Ngati chilonda cha trophic mu shuga chili ndi minofu yambiri yakufa, ndiye kuti imatha kuchiritsidwa ndi ma protein enzymes (Trypsin).
Mutha kuthira mafuta odzola zilonda zam'mimba, zomwe zimatchedwa Levosin. Zovala zokhala ndi mankhwalawa zimathandizira kukanidwa kwa minofu yakufa, ndikupanga zimbudzi.
Mafuta ochiritsa Solcoseryl akulimbikitsidwa. Imalimbikitsa kagayidwe kachakudya minofu, imathandizira kuchira. Alibe zotsutsana, pali zotsatira zoyipa zochepa.

Zilonda pa chala, mwendo wotsika, kapena phazi zimatha kudwala aliyense wodwala matenda a shuga a 2. Kuwotcha kopanda machiritso, callus yovalidwa ndi nsapato zosasangalatsa, microcrack - zonsezi zimatha kuyambitsa mapangidwe osasangalatsa, komanso zilonda zowopsa.

Zilonda za trophic mu shuga

Izi zimaphatikizapo zotupa za pakhungu kapena mucous membrane wa thupi lathu zomwe sizimawonetsa kukonda kuchiritsa kwa masiku 60 kapena kuposerapo (kapena kubwerezabwereza). Zilonda za trophic sizimachitika mwa iwo okha, ngati matenda osiyana, zimachitika chifukwa cha nthendayi. Pali oposa 300 a iwo.

Mankhwala amadziwa njira yodziwika yokhayo yopezeka pachilonda, njira yodziwika yopangidwira matenda sadziwika, koma zotsatirazi ndizomwe zimayambitsa zilonda:

kuthamanga kwa magazi
kusintha kwa m'mitsempha chifukwa chakuchepa kwa mpweya ndi michere,
kusunthika kwa magazi pakamafuta am'miyendo, m'miyendo,
kuyanʻanila magazi oyenda mu ziwiya ochepa
matenda a kagayidwe kachakudya njira,
matenda a kuvulala ndi zotupa za pakhungu.

Nthawi zambiri, miyendo imakhudzidwa, zilonda zamthupi, mikono ndi mutu ndizosowa ndipo nthawi zambiri sizigwirizana ndi vuto la mtima.

Nthawi zambiri amapezeka:

venous (varicose),
ochepa
zilonda zam'mimba,
chosakanikirana, mawonekedwe ake omwe adakopeka ndi zinthu zingapo.

Chithandizo cha zilonda zam'mimba ndi njira yovuta komanso yayitali, ndichimodzi mwazinthu zowonetsa kwambiri pakuchita opaleshoni (dzina laupangiri ndi phlebology). Chofunikira kwambiri pakuthandizira mabala oterewa ndi chithandizo cha matenda oyambitsidwa.

Kodi ndichifukwa chiyani matenda a shuga a mellitus ndi matenda omwe ali amodzi mwa njira zitatu zapamwamba kwambiri zomwe nthawi zambiri zimayambitsa kusokonezeka kwa magazi ndi zilonda zam'miyendo?

Matenda a shuga amayambitsa kusintha kwakukuru mthupi la wodwalayo, komwe akuwonetsedwa:

kumangokhala ndi ludzu komanso kumva kupukutira mucous,
kuchuluka kwakukulu mu mkodzo wogawika,
kusintha kwamwadzidzidzi (kulemera kapena kuwonjezeka),
kuyanika pakhungu pafupipafupi, kuyabwa kwambiri,
kuwoneka kwa ma microcracks pakhungu ndi zilonda chifukwa cha matenda.
kufooka kosalekeza, kutopa kwambiri, thukuta,
zovuta pakuchiritsa mabala ndi zilonda zam'mimba.

Pambuyo pake, zizindikirochi zimaphatikizidwa ndi:

zotupa za m'mimba, kusokonezeka kwa magazi m'matumbo ang'onoang'ono,
kuchepa kwakukulu kwamawonedwe owoneka,
kulimbikira mutu
vuto lakusokonezeka kwa mitsempha yaying'ono ya miyendo ndi kuphwanya kwamvekedwe kwamiyendo ndi miyendo,
kusintha kwa gait chifukwa cha kusazindikira mapazi ndi mawonekedwe a zilonda zapakhungu kumapazi,
kupweteka kwa mtima
kulephera kwa chiwindi
matenda oopsa
kutupa
kuwoneka kwa zilonda zam'mimba zosachiritsika za m'matumbo a shuga.

Zomwe zimayambitsa kupezeka kwa matenda ashuga, mankhwala samadziwika motsimikiza. Magulu azowopsa ndi zomwe zimadziwika zimapangitsa kuti shuga azikhala ndi chitsimikizo chachikulu.

chibadwa
kupsinjika kwamanjenje
zaka
matenda a kapamba
zotupa zopatsirana, makamaka mavairasi (chiwindi, rubella, nthomba, chimfine),
onenepa kwambiri

Kuphatikiza kwa ma pathologies omwe matendawa amachititsa kumapangitsa kuti zilonda zam'minyewa zam'mimba zikhale zovuta kwambiri, kudalirika kwa kuchiritsa sikumakhala kotonthoza nthawi zonse (kudula kumatha ndi gawo limodzi mwa magawo atatu a matenda a matenda am'mimba). Zilonda ndizosavuta komanso zothandiza kupewetsa, chifukwa chake, kupewa kwa zilonda zapakhungu pakudwala sikungachuluke.

Mapangidwe a ulcer

Omwe amakhudzidwa kwambiri ndi odwala awo omwe akudwala mtundu wachiwiri wa matenda. Zinthu zomwe mabala a pakhungu amapanga mu shuga:

amagwa m'magazi amwazi
kuwonongeka kwa ziwiya zazing'onoting'ono komanso kumapeto kwa mitsempha,
kusowa kapena kusayenera kwa mabala, mabala, chimanga chomwe chimatuluka chifukwa cha kusazindikira kwamiyendo ndi miyendo yotsika.

Chifukwa cha kusazindikira kwa minofu, wodwalayo nthawi yomweyo amakhala ndi chidwi ndi mabala omwe akutuluka (ma microcracks omwe ali ndi kachilombo) ndi mabala. Chimodzi mwa matendawa ndicho kuchiritsa koyipa kwa mabala ndi kuvulala chifukwa chokhala ndi mpweya wambiri wamatenda, shuga owonjezera wamagazi komanso mavuto ambiri a metabolic.

Pali mitundu iwiri ya zilonda zam'mimba chifukwa cha kuphwanya:

Neuropathic, kapena phazi la matenda ashuga,
Neuroischemic, wokhala ndi mawonekedwe osakanikirana (venous insuffuffence akuwonjezeredwa).

Zilonda za matenda ashuga pamsana wakumbuyo sizimawoneka nthawi yomweyo, zimayamba m'magawo angapo. Ndi bala la neuroischemic, lomwe limadziwonetsera pamsana wodwala, izi zikuwonetsedwa motere:

Mwendo umatupa, wodwalayo amadandaula za kulemera kwa ana ang'ono ndi miyendo.
Ziphuphu zimayamba kuwoneka usiku.
Maso ndi mapazi ayamba kuyabwa, moto ukuyaka.
Mtundu wa venous umayamba kuwonekera pakhungu, pang'onopang'ono kuphatikizidwa m'malo omwe ali m'malo amtambo wofiirira.
M'malo mwa malo ankhondowo, pamawoneka malo pomwe pamakhala denser, malo okwezeka, owala kwambiri.
Popita nthawi, malo omwe akukhudzidwawo amakula, ndipo chinyezi chimatsika (kutayikira kwa lymph) zimayamba kuwonekera pamalo omwe akhudzidwa.
Zikopa zoyera zimawonekera pakati pa malopo.
Ngati sanalandire chithandizo, zilonda zimayamba kukhazikika pakhungu lomwe latsalira.
Pang'onopang'ono, chilondacho chimalimba ndikukula, mpaka kufikira wosanjikiza minofu, ndiye mafupa ndi periosteum
Pamene zotupa za khungu zimakulirakulira, kupweteka kwa zotupa kumawonjezeka.
Kuchokera pachilonda kumayenda anemone, kenako madzi amadzimadzi ndi mafinya ndikuphatikiza kwa fungo losasangalatsa.
Pambuyo kachilomboka, chilondacho chimayamba kutenga kachilomboka, chitetezo chofiyira, chofiyira chimawoneka mozungulira. Zilonda zimatha kudwala matenda oyamba ndi fungus, omwe amapangika kwambiri.

Zilonda zopundika zam'miyendo pamiyendo ndi matenda osokoneza bongo a neuropathic-ischemic chikhalidwe ndi chozungulira kapena chozungulira, kuyambira 20 mpaka 100 mm., Amayamba kutalika kwa gawo limodzi mwa magawo atatu a mwendo, nthawi zambiri kutsogolo kapena mbali yakumaso. Mphepete ndizosagwirizana, chilondacho chimadzaza ndi zotulutsa za purulent.

Mosiyana ndi zilonda zam'miyendo zosakanikirana, kuwonongeka kwa phazi mu matenda ashuga ndicholunjika kwambiri kotero kumatchedwa phazi la matenda ashuga.

Zilonda zimachitika pamatumbo a mafupa, ndipo zimapangidwa mogwirizana ndi kufooka kwa chiwindi ndi kusintha kwa mawonekedwe a phazi - chifukwa cha kusazindikira, wodwalayo amapaka phazi lake mosadabwitsa. Zomwe zimayambitsa zimatha kukhala microtrauma, zikanda, abrasions, hypothermia, kutentha.

Zizindikiro zakukula kwa phazi la matenda ashuga amawonetsedwa motere:

matenda ashuga amatsogolera pakupangika kwa miyendo yakutsikira,
wodwalayo amadandaula za kupweteka kwa mwendo
mawonekedwe a mabala patsambalo la mafupa otupa - nthawi zambiri awa ndi zala, zidendene, chala,
chilondacho chimayamba ndi chotupa chaching'ono ndikukula, ndikukula mozungulira mwake,
zilonda zimakonda kuchuluka ndi matenda, zimayambitsa minofu necrosis ndi gangrene.

Ndi phazi la matenda ashuga, khungu lomwe limakhala m'dera lomwe lakhudzidwa ndi lotentha, wodwalayo amadandaula chifukwa chosazindikira. Palibe zotulutsa kapena zotulutsa zotulutsa pachilonda; pansi pali pouma, lakuda kapena laimvi. Nthawi zambiri limodzi ndi matenda kapena fungal matenda.

Zilonda zam'manja zokhala ndi matenda a shuga, thupi kapena mutu sizimawoneka, chifukwa cha kuvulala koopsa (kuwotcha, frostbite, kuluma nyama) chifukwa chakuchiritsa pang'ono kuvulala.

Magawo a mapangidwe

Mukukula kwake, chilonda cha pamendo chokhala ndi chithunzi cha matenda a shuga chimadutsa pamizere ingapo. Malinga ndi chiwembu choperekedwa pochiza mabala, mabala amasiyanitsidwa ndi mitundu:

Mtundu uliwonse wa bala umatsimikizira magawo omwe machiritso amathandizira ndikuwona momwe zilonda zam'mimba ziliri:

gawo loyamba la bala (lakuda kapena lachikasu) Vala lakuda limayimira minofu ya necrosis komanso kufa ndi mpweya wa okosijeni, achikasu amawonetsa necrosis yonyowa.
Gawo lachiwirili likufanana ndi chilonda chofiira, chomwe chikuwonetsa kuyeretsedwa kwa bala kuchokera ku ma necrotic misa ndikusintha kwake kupita kumalo ochiritsira.
Gawo lachitatu ndi bala loyera, pomwe machiritso ndi mapangidwe a bala akuchitika.

Kwenikweni, chilonda chimadutsa pazigawo zitatu:

Gawo loyamba ndi chotupa chomwe chimapangidwa pakhungu.
Gawo lachiwiri - chilondacho chidalowa m'magawo onunkhira,
Gawo lachitatu - chilondacho chidalowa m'misempha, m'mitsempha ndi m'mafupa, chikuwonekera chilonda.

Mankhwala ndi mavalidwe

Momwe mungagwiritsire zilonda zam'mimba mwa mitundu yawo yoopsa, ngati kachilombo kakang'ono, kachilomboka, matenda am'mimba amawonedwa? Pachifukwa ichi, amangogwiritsa ntchito mankhwala okhawo omwe amathandizira pakutsuka mabala.

Ngati mabala ndi ochepa, ndiye kuti wodwalayo amathandizidwa kunyumba ndi mankhwala ophera tizilombo monga mapiritsi. Ndi kuwonongeka kwa m'mimba thirakiti, mankhwalawa amaperekedwa kudzera m'mitsempha.

Kutalika kwa mankhwala opha maantibayotiki kumangodalira kuchuluka kwa kusanthula kwa bakiteriya ndipo kumatha pafupifupi miyezi 3-4 (Pentoxifylline, Gentamicin, Clindamycin, Trimethoprim, Ciprofloxacin).

Ndi chilonda chowuma, chotsekedwa, mafuta apadera amagwiritsidwa ntchito. Mankhwala omwe amapezeka kwambiri ndi Miramistin, Fusidine, Fluconazole, Hexicon. Njira zochiritsa zimathandizira mwachangu ndi thandizo la Ebermin, Actovegin, Sulfargin. Chlorhexine kapena saline amagwiritsidwa ntchito pochotsa bala. Kuti athetse ululu wammbuyo, dokotala aliyense amasankha mankhwala oletsa kupweteka - Cefecon, Ibuprofen, Parmidin.

Kubwereketsa kwa zilonda zam'mimbayo kumachitidwa ndi namwino woyeneretsedwa mu chipinda chokhala ndi chovala chovala bwino. Pambuyo pakukhazikika kwa mkhalidwe wa wodwalayo, dokotalayo amachotsa minofu yakufa, mafinya, magazi, uve, kuyeretsa m'mbali mwa chilondacho pakhungu lakufa. Ngati bala lake ndi loyera komanso ndikulira, kuvala kumachitika kamodzi patsiku. Ngati pali misa yambiri ya purulent ndipo kuvala kumayipitsidwa mwachangu - momwe mungathere, koma osachepera katatu pa tsiku.

Kwa odwala matenda ashuga omwe ali pachiwopsezo chachikulu cha kupanikizana ndi zilonda zam'mimba, kuvala koyenera ndikofunikira kwambiri, komwe:

amateteza chilonda ku matenda,
Imayimitsa chitukuko cha matenda m malovalidwe,
imasunga chonyowa pachilonda, chofunikira kuchiritsidwa,
imatenga zotuluka zatsopano pachilonda, osakwiya kwambiri osavulaza,
lolani kuti bala lipume
zosavuta komanso zachangu kuchotsa.

Kusunga chinyezi pachilonda ndikofunikira kuti pakhale maziko achilengedwe ochiritsira - kotero kumatsuka mwachangu, khungu lomwe limapangika ndilochepa koma lolimba.

Povala mabala, kupukutira kwapadera kumagwiritsidwa ntchito - Activtex yokhala ndi zilembo zowonjezera F ndi HF, zomwe zikuwonetsa mtundu wa mankhwala omwe ali ndi chopukutira. Mutha kugwiritsa ntchito Coletex, Multiferm, kupukuta kwa Cetuvit, chinkhupule cha Meturakol.

Zilonda zovuta za chiyambi chosakanikirana, chithandizo cha opaleshoni chimawerengedwa ngati njira yabwino kwambiri, yomwe minyewa yonse yosagwira ntchito imachotsedwa.

Kuphatikiza apo, kuti muchepetse kuchiritsa kwa zilonda, gwiritsani ntchito:

ma radiation a ultraviolet
mpweya machulukitsi (Hyperbaric oxygenation),
laser ndi maginito othandizira,
mankhwala a ultrasound.

Zilonda zam'mimba, kugwiritsa ntchito masewera olimbitsa thupi kukuwonetsedwa, ndi phazi la matenda ashuga ndizowopsa.

Zakudya zochizira zotupa

Zodzola zimagwiritsidwa ntchito pochiritsa zilonda zam'mimba, koma sizimayikidwa pachilondacho. Pambuyo pochapa ndi mankhwala ophera majeremusi, amawaikiratu ndi chopukutira ndikutchinga nacho. Zogwiritsidwa ntchito kwambiri:

Argosulfan ndi kuphatikizira kwa ayoni a siliva,
Iruxol yokhala ndi mapuloteni a collagenase,
Ebermin, kubwezeretsa kapangidwe kake kama khungu ndi siliva,
Levomekol, yomwe ili ndi mphamvu yolimbana ndi matenda.

Mafuta omwe mungakonzekere:

Mumtsuko wopanda zitsulo, kutsanulira supuni ya mafuta a mpendadzuwa atsopano.
Kutentha mumadzi osamba kwa mphindi makumi awiri,
Thirani supuni ya mafuta a nsomba,
Kutentha kwa mphindi 20
Pogaya mu ufa wodutsa mapiritsi 25 a streptocide,
Kutsanulira mumphika ndi kutentha kwa theka la ola,
Ikani mug ndipo mufiriji
Chitani chilondacho ndi mafuta komanso bandeji tsiku ndi tsiku.
Kuchiritsa kuyenera kuyamba mwezi umodzi,

Mafuta a zilonda zapambuyo pa shuga:

Kuti mukonzekere, sakanizani magalamu 100 a sopo yofiirira yakuda, madzi ambiri akuchokera kuchitsime, anyezi wambiri wowaza, mapira atsopano, mafuta anyama akale okongola. Akuwunjikana mosasinthika, misa imayikidwa pachilondacho ndikuisunga, bola ngati amatha kulekerera. Chitani njirayi m'mawa ndi madzulo.

Mafuta ochokera ku masamba a popula amakonzedwa kuchokera ku ma spen osakaniza (supuni 5) ndi supula (6 ya supuni imodzimodzi), supuni 15 za batala wopangidwa tokha ndi supuni 4 za ufa wa rye. Ndi chisakanizo, gwiritsani ntchito chilondacho tsiku lililonse ndi compress kuchokera kusakaniza kukonzekera kwa maola angapo. Ndiye muzimutsuka ndikumanga zilonda.