Kudulidwa mwendo mu shuga > Matenda a shuga

Zotsatira zoyipa zazitali za kuchuluka kwa glycemia pamitsempha yamagazi mthupi zitha kuwonongeka. Ntchito yofunikira ya munthu wodwala matenda ashuga ndikusunga shuga mumitundu 6.7-8.0 mmol / l.

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwabwinobwino kwa aliyense.Kukwanira kumwa makapu awiri tsiku lililonse musanadye ... Zambiri >>

Chiyembekezo chokwanira kwa odwala endocrinological ndichakuti kudulidwa mwendo pang'ono mu shuga sikumakhudza chiyembekezo cha moyo mwanjira iliyonse. Zomwe zimayambitsa ndikupewa zovuta zomwe zimachedwa?

Chinsinsi cha kuthana ndi mavuto a shuga

Miyendo ya wodwala yemwe ali ndi matenda ashuga atha kusintha mitundu iwiri. Mapazi amakhudzidwa, mavuto awo amathandizidwa ndi podiatrist. Mkhalidwe wazombo zam'munsi zam'munsi ndi gawo la angiologist. Mankhwala omwe satulutsa zotsatira zenizeni angafunike opaleshoni. Kudula nthambi miyendo nthawi zina kumakhala ntchito yofunikira, mwinanso kupha magazi kumachitika ndipo wodwalayo angamwalire.

Momwe zovuta zomwe zimatchedwa kuchepa kwamatenda a endocrinological zimakhalira zimadalira:

mtundu wa matenda ashuga (1, 2),
kutalika kwa matenda
zaka wodwala
kukana kwa thupi.

About ischemia ndi gangore

Maziko othandizira opaleshoni yayikulu ndikubwera kwa matenda opita patsogolo omwe wadutsa chotchingira chitetezo cha mthupi. Dera lamalire loterolo limatchedwa kuti ischemia yovuta. Ndi iyo, minofu necrosis imapangidwa, foci - trophic zilonda.

Zifukwa zingapo zimayambitsa gangore:

aakulu osachiritsa microtrauma (abrasion, zikande, kudula),
kutentha ndi chisanu,
ingilown toenail kapena corpus callosum,
matenda a fungal.

Chimanga ndi madera okhala ndi chimanga ndizowopsa chifukwa chilonda chokutidwa ndi khungu chimatha kubisala pansi pawo. Nthawi zambiri izi zimachitika kumbali ya mwendo pomwe amakangana pafupipafupi kapena kulemera kwenikweni kwa thupi kwa wodwalayo kumagwa. Akapangidwa, chilonda cha trophic chimakhudza minofu yakuya, mpaka mafupa ndi minyewa.

Nthawi yomweyo, odwala matenda ashuga amakumana ndi vuto lowawa, lomwe limakulirakulira. Ischemia yokha siyingadutse. Amakhulupirira kuti ngati palibe kusintha komwe kumachitika mchaka chimodzi, ndiye kuti kudula mwendo pang'ono kapena pang'ono.

Magawo a ischemia amakula chifukwa cha kuchuluka kwa nthawi yayitali matenda ashuga. Zizindikiro zimawonedwa payokha komanso kuphatikiza:

kutaya mtima
dzanzi (nthawi zina mwadzidzidzi komanso mwamphamvu, makamaka usiku),
kumva kuzizira, kuyaka m'miyendo.

Mitsempha ya m'miyendo yoluka, mabala ndi zikanga pakhungu sizichiritsa. Ndikofunikira kudziwa kuti ngakhale mutalimbitsa, mawonekedwe amdima osafota amakhalabe. Pamene mafinya (maselo oyera oyera) afa, fungo la fetid limamveka.

Kulemera pokonzekera opareshoni

Mawonekedwe pamapazi amtundu uliwonse ayenera kuyang'aniridwa mosamala. Pewani kukwawa, mwachitsanzo, kulumidwa ndi tizilombo. Microtrauma yaying'ono kwambiri ikuwopseza kuti isinthe.

Trophic circulatory matenda ndi minofu matenda amabweretsa zotsatirazi:

necrosis (kufa kwa cell),
Kusintha kwa khungu m'miyendo (kuchokera pachimvekere chowawa, mpaka utoto),
mawonekedwe a puffuff pamapazi.

Akatswiri amakambirana za mwayi wothandizidwa ndi vuto la kuchepa kwa mtima chifukwa cha vuto la mtima, sepsis - kutenganso matenda, mawonekedwe a subcutaneous hematomas).

Gulu la madokotala munthawi ya opareshoni amawunika:

kuchuluka kwa miyendo,
zinthu zoyenera kuchitapo opaleshoni,
kuthekera kwa ma prosthetics.

Pali mitundu ingapo yamavuto owopsa: yonyowa, kapena yonyowa, yowuma. Ndi mtundu wotsiriza, opareshoni amakonzedwa m'njira yoyenera, ina iliyonse - mwachangu (mwadzidzidzi). Matendawa amagwiritsa ntchito magazi kuchokera pansi pamtima, impso komanso chiwindi.

Magawo olimbitsa ndi kukakamiza zolimbitsa thupi

Kuchita opareshoni kumachitidwa pansi pa opaleshoni yotupa (anesthesia). M'masiku ambiri opaleshoni, ndikofunikira kuti muwone kapangidwe kake ka chitsa kuti muonjezere zina za mwendo. Pambuyo pake, kuchipatala komanso kunyumba, chilonda cha tsiku ndi tsiku ndikuwongolera komanso nkhondo yolimbana ndi kutupa imachitika.

Pali magawo akuchotsa ziwalo zam'munsi:

kudula kwamphazi kwa phazi (zala, metatarsus),
kudula mwendo pamwamba ndikofunikira kupatula mafupa a mwendo wotsika,
cholumikizira bondo ndi ntchafu ndizosungika kwathunthu,
gawo lachiwongola dzanja la ntchafu pamwamba pa bondo,
m'chiuno molumikizana
m'chiuno kwathunthu, zidutswa za mafupa amchifuwa.

Kuyambira sabata yachiwiri ya nthawi yogwira ntchito, adokotala amafotokoza momwe magwiridwe antchito othandizira olimbitsa thupi amathandizira, kutikita minofu kuti ibwezeretse magazi mozungulira komanso kutuluka kwa magazi. Kusunthika kwa massage (kumenya, kupukusa kuwala) koyamba kuchitidwa pamwamba pa chitsa chomwe chikutuluka, kenako chokha.

Ndi njira yochitira masewera olimbitsa thupi (zovuta zolimbitsa thupi) mawonekedwe akhale olimba, wodwalayo ayenera kugona pamimba pake. Kuti muchepetse kutupa m'miyendo, gawo lathanzi la mwendo limakwezedwa ndikukhazikika pabedi la wodwalayo. Chiwalo chathanzi chimachitanso masewera olimbitsa thupi komanso kutikita minofu. Mu sabata lachitatu, wodwalayo amaloledwa kudzuka ndikuyimirira pafupi ndi kama. Pogwira chinthu chokhazikika, amatha kuchita masewera olimbitsa thupi kumbuyo.

Mu postoperative nthawi yochira, vuto lofunika kwambiri ndi chakudya chapadera komanso kukonza mosamala kwa othandizira a hypoglycemic. Mungafunike kuletsa insulin yayitali. Mulingo wa tsiku ndi tsiku wa mahomoni amagawidwa pawiri.

Mavuto a postoperative, ma prosthetics

Muzochita zachipatala, zimatsimikiziridwa kuti nthawi zambiri patatha masiku 3-4 atachitidwa opaleshoni, wodwalayo amatulutsa chibayo (chibayo). Anthu odwala matenda ashuga amatha kuzunzidwa ndi zowawa za phantom. Asayansi akupitiliza kufufuza zomwe zimayambitsa chizindikirochi m'malo opezeka mthupi ndi njira zowathetsera. Phantom kusautsika amalembedwa ngakhale mwa anthu omwe agwirapo ntchito yochotsa phalanx ya chala.

Odwala amathandizidwa, limodzi ndi maantibayotiki, opweteka ena, amatenga psychotropic, sedative. Kudulidwa ndi vuto lalikulu m'thupi komanso m'maganizo. Ndikofunikira kuti anthu apafupi akhale pafupi ndi wodwalayo ndikupereka chithandizo chonse.

Mavuto atadulidwa amatha kuphatikizidwanso ndi izi:

chotupa cha chitsa
Ndikulimbitsa machiritso,
mapangidwe a yotupa woyendera nthambi.

Pofuna kuthana ndi izi, kuvala zothinana kumagwiritsidwa ntchito, komwe kumachepera pang'onopang'ono kulowera chitsa kupita kuzinthu zabwino, komanso kukhetsa mafinya.

Pali kudalira mwachindunji kwa ma prosthetics pa nthawi yomwe wodwalayo angagwire ntchito. Ngati munthu ayima pa prosthesis ndikuzolowera, ndiye kuti zonse zowonetsa zimasintha katatu. Imfa yayikulu (50%) imawonedwa patatha chaka chimodzi atadulidwa kwathunthu mwendo mwa odwala okhudzana ndi zaka.

Pa siteji ya shin resection, mwayi wazotsatira zabwino za anthu odwala matenda ashuga ndi 80%, kumapazi - 93%. Kudulidwa kobwereza ndikosayenera. Nthawi zambiri, kudula ma phalanges a zala sikutanthauza ma prosthetics. Chingwe: Chala chala ndi chala chachiwiri chimawonedwa kuti ndizofunikira pakugwira ntchito yamafupa am'munsi, kuyenda koyenera.

Kuzindikira kwakanthawi mozizira

Zinadziwika kuti pakati pa ziwonetsero zoyambirira za angiopathy pamakhala kumverera kwa zowawa m'miyendo mukamayenda. Wodwala matenda ashuga amakhala ndi mwayi wapadera wotchedwa interlaumentla claudication. Pang'onopang'ono minofu ya atrophy imatha kudziwikira pawokha poyesa kuchuluka kwa miyendo ndi m'chiuno ndi sentimita yofewa.

Matenda oopsa a arterial (kuthamanga kwa magazi) ndi kusuta zimayipa gawo lalikulu pakukula kwa zizindikiro za angiopathy. Kuwonongeka kwa ziwiya zazing'onoting'ono komanso zazing'ono kumatanthauza kuphwanya ntchito ndi kapangidwe kazinthu:

minofu yama cartilage ikulowetsedwa,
mchere umayikidwa
spikes imakula
kusuntha pang'ono zala, mawondo,
kupweteka kuwoneka.

Zotheka za angiopathy zamitundu yosiyanasiyana ya shuga ndizosiyana. Njira zazikulu zothandizira kulipira shuga wambiri ndi insulin ndi zakudya. Ngati wodwala yemwe ali ndi mankhwala a insulin, samathandiza kuthana ndi hyperglycemia, ndiye kuti pamakhala vuto lalikulu. Wodwala yemwe amagwiritsa ntchito mankhwala ochepetsa shuga pogwiritsa ntchito mapiritsi amakhalabe ndi chiyembekezo chodzapatsirana mahomoni.

Pali nthawi zina pamene odwala akuwopa kuti asinthane ndi insulin m'malo mwake ndimadikirira zovuta zina mwendo. Ngati kuli kotheka kubwezera koyenera, pambuyo pa zaka 1-2 kusintha kumadera akumunsi kumachitika, kumverera kuzizira kumatha.

Mosavuta kuteteza ngozi!

Podzilimbitsa nokha pamiyendo, ndikofunikira kuti wodwalayo azigwiritsa ntchito kalilole kuwona gawo lawo lotsika. Pambuyo pakusamba, ndikofunikira kupukuta mosamala danga la khungu pakati pa zala kuti chinyontho chisakhale, ndikupanga malo kuti chitukuko cha zotumphukira chisachitike. Ndikulimbikitsidwa kuwonjezera mafuta a talcum kapena ufa wa ana.

Pofuna kupewa zovuta za anthu odwala matenda ashuga ndi m'munsi kwambiri ndizoletsedwa:

mapazi okwera
Valani nsapato zolimba zokhala ndi zidendene zazitali (pamtunda wa masentimita 3-4) kapena masokosi okhala ndi zingwe zolimba zotsekemera,
dulani chimanga, khungu
kudula misomali posachedwa, pamsonkhano.

Aliyense wodwala matenda ashuga ayenera kudziwa zomwe zingamuwopseze ngati samvera thupi lake. Yankho la funso loti ndindalama yambiri imadulidwa mwendo imakhala yosiyana - zimatengera wodwalayo, pakumvera kwake ndi malingaliro a akatswiri. Malinga ndi gawo logonja, komitiyi imavomereza gulu lolemala.

Munthu ali ndi ufulu kulandira thandizo kuchokera kuboma m'njira yolipirira ndalama, kupereka mankhwala kwaulere, phindu laumoyo. Zitsanzo zambiri zimadziwika pamene odwala atachitidwa opaleshoni miyendo, amayenda, amachita masewera olimbitsa thupi ndipo amakhala ndi moyo wakhama.

Zomwe zimadulidwa

Matenda a shuga ndi matenda oopsa komanso obisika, omwe nthawi zina amakhala ndi zovuta. Omalizawa ndi monga matenda a shuga. Chifukwa cha kuchuluka kwa shuga m'mitsempha yamagazi ndi mitsempha ya m'munsi yam'munsi imakhudzidwa.

Zizindikiro zoyambirira za kuwonongeka kwa phazi:

lakuthwa
kuchuluka kwa dzanzi
kumverera kwa "goosebumps."

Gawo lotsatira pakupanga matenda ashuga oyamba ndikusokonekera komanso kutayika kwa magawo otsika. Choopsa ndichakuti wodwalayo samva chilichonse chovulala mwendo. Mwachitsanzo, mabala, chimanga, misomali yovomerezeka. M'chipinda chokhala ndi kulemera kwambiri kwa thupi komanso phazi lopunduka, ngakhale bala laling'ono komanso lochepa limayambitsa kukhumudwa kwakukulu.

Popeza wodwalayo samva kuwawa ndipo safuna thandizo lakuchipatala, njira yotupa imayamba mofulumira. Madera akuluakulu a minofu ali ndi kachilombo. Mabala otere samachiritsa paokha.

Mitundu yothamanga yotupa nthawi zambiri imayendera limodzi ndi supplement. Ngati njira yotupa ikukhudza mitsempha, magazi ake ndi miyendo imasokonezeka. Ndi kovuta kuti wodwala ayende. Masitepe angapo amayenera kusiya kuti ululu wake uthe.

M'mitundu yapamwamba, necrosis ya zala zaumwini kapena dera lang'ombe limapezekanso.

Kukonzekera opaleshoni

Cholinga chachikulu chochotsa matenda omwe akudwala ndi matenda ashuga ndikupewa matenda kuti asalowe mthupi.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Chifukwa chakuti chidwi cha miyendo chimakhala chofooka kapena pafupifupi kutayika, odwala amapita kuchipatala ali ndi mawonekedwe othamanga. Zikatero, kuchira ndi dzanja kumachitika nthawi yomweyo. Apa, chidwi choyenera chikuyenera kuperekedwa kwa opaleshoni.

Kuchepetsa magazi kapena osasankha bwino kungayambitse kupweteka, komwe kumawononga thanzi la munthu wogwira ntchito. Kupweteka kosagonjetseka kumatha kusinthanso kwambiri njira yothandizira kukonzanso.

Pakukonzekera, opaleshoni wamba kapena yam'deralo imagwiritsidwa ntchito. Zimatengera momwe wodwalayo alili.

Opaleshoni isanachitike, wodwalayo amayesedwa kuti ayesedwe, ndipo ma ultrasound ndi x-ray amachitika. Pafupifupi maola 10 musanachitike mankhwalawa, wodwala amaponderezedwa ndi chakudya, kuti asayambitse zovuta.

Kudulidwa chala

Zotsatira zofatsa kwambiri phazi la matenda ashuga ndikuduladula chala, ndiye kuti ntchito zazikulu za phazi sizikhala zolimba. Ngati kusiya sikuchitika pa nthawi, gangore imakhudza minofu yoyandikana nayo. Kenako zala zingapo zimachotsedwa nthawi yomweyo.

Ntchito yayikulu ya madotolo pakuwonetsa izi ndikupulumutsa madera ambiri zala zoyambirira ndi zachiwiri. Mlingo wogwira ntchito phazi zimatengera izi.

Pali mitundu itatu yolumikizira zala zala:

Chisankho chimadalira kuopsa kwa matendawa.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kuchotsa Guillotine

Ili ndiye mtundu wachilendo kwambiri wothandizira opaleshoni. Zimachitika pomwe mkhalidwe wa wodwala uli pachiwopsezo. Kuphatikiza pa minofu yomwe ili ndi kachilombo, dokotalayo amachotsa gawo la athanzi.

Ndikulila necrosis, opaleshoni imachitidwa mwachangu, popeza ndi njira yamatendawa, kutupa kumachitika mofulumira.

Kudula mwendo pamwamba pa bondo

Kukodwa m'chiuno chifukwa cha matenda a shuga kukuwoneka m'malo ovuta kwambiri. Nthawi zambiri, njira yovutirapo ngati imeneyi imachitidwa chifukwa chazovuta kwambiri. Necrosis nthawi yomweyo imakhudza minofu yathanzi. Poizoni wamagazi amachitika. Popanda kuchitapo kanthu opaleshoni ya panthawi yake, imfa.

Munthu wodwala matenda ashuga akangopeza chithandizo chamankhwala, amakhala ndi mwayi wopewa kuduladula m'chiuno.

Zizindikiro za magazi operewera:

khungu lamtambo
womvera
kukokana usiku.

Popanda chithandizo cha panthawi yake, minofu imamwalira.

Kuchotsa kumasonyezedwa ndi izi:

khungu loyera
fungo loipa
khungu lakuda
kusazindikira.

Ngati muli ndi chimodzi mwazizindikiro zomwe tatchulazi, muyenera kupita kuchipatala msanga.

Kuchotsa m'chiuno kumachitika pansi pa opaleshoni wamba. Wodwalayo akagona, madokotala amatulutsa khungu pakhungu. Ndiye kudula, subcutaneous zigawo, minofu. Dulani ziwiya ndi kudula fupa. Pambuyo pa izi, kutuluka kwa magazi kumabwezeretsedwa, khungu limayikidwa pachilondacho ndipo ngalowazo limakhazikitsidwa.

Mavuto

Kudula miyendo ndi njira yovuta kwambiri yochitira opaleshoni, yomwe nthawi zambiri imakhala ndi zovuta zingapo.

magazi poyizoni
sepsis
magazi,
vuto la mtima.

Kusamalidwa moyenerera ndikadulidwa ndiko njira yabwino yopewa mavuto.

Achibale komanso achibale a wodwala amene ali ndi ziwalo zadulidwa amayenera kusamala makamaka ndi kusamala. Nthawi zambiri odwala oterewa amakhala ndi nkhawa, safuna kukhala ndi moyo. Zikatero, muyenera kufunafuna thandizo kuchokera kwa akatswiri.

Chisamaliro chantchito

M'mbuyomu, kuchotsa mwendo mu matenda ashuga kumawerengedwa kuti ndi mlandu. Wodwalayo adayamba kulephera komanso kudalira chithandizo chakunja.Chifukwa cha njira zamakono zopangira ma prosthetics, munthu amene wapulumuka ndikudula sangathe kungoyenda payekha, komanso kusewera masewera. Pamaso pa ma prostion kuti aikidwe, ayenera kumadzichotsanso pambuyo poti adule.

Muli magawo angapo:

Chofunikira kwambiri kwa wodwala amene wagwidwa ndi chiwalo chophunzirira ndi kuphunzira kusamalira bwino chitsa. Kusamalidwa moyenera kumapewetsa kachilombo koyambira komanso kugwiranso ntchito. Mabala a postoperative ayenera kuthandizidwa panthawi yake. Kupunthwa kwa chitsa ndi njira yabwino kwambiri yopewera edema.
Pambuyo pa opaleshoni, odwala nthawi zambiri amavutika ndi ululu wa phantom. Pofuna kupewa ndi kuwachitira, ma analgesics amaperekedwa kwa wodwala. Maantibayotiki amaikidwa kuti ateteze matenda. Kudya mankhwalawa pafupipafupi kungakuthandizeni kuti mubwerenso mwachangu.
Makamaka chidwi chikuyenera kulipira pakuchita zolimbitsa thupi. Popewa kuwonongeka kwa minofu ya ntchafu, masewera olimbitsa thupi opangidwa mwaluso ayenera kuchitidwa tsiku lililonse, apo ayi ma prosthetics sangabweretse zotsatira.

Zingakhale bwino kwa wodwalayo ngati njira zodzikonzanso zitha mofulumira.

Nthawi zina, mungafunike kukaonana ndi akatswiri amisala, maphunziro a magulu othandizira. Sayenera kusiyidwa yekha ndi zowawa zake.

Chiyembekezo chamoyo

Ngati kuchitapo kanthu opaleshoniyo kunachitika munthawi yake, ndiye kuti moyo wa wodwalayo siwopsa.

Milandu yomwe dzanja lam'munsi limachotsedwa pa bondo, nthawi yomwe amakhala nayo imakhala yochepa kwambiri. Ambiri mwa odwala amwalira chaka chisanathe. Ngati wodwalayo adatha kuyimirira pa prosthesis, ndiye kuti nthawi yamoyo imakhala yofanana ndi katatu.

Kutalika kumakhudzidwa ndikukonzanso koyenera, chisamaliro chokhazikika cha chitsa.

Kudulidwa kwa chala chilichonse sikungasinthe moyo wa anthu odwala matenda ashuga ndipo sikumapangitsa kufupikirako.

Gulu lamavuto

Chitsa chake ndi chinthu chatsopano, motero wodwalayo amafunika nthawi yoti chizolowere, kuti aphunzire kusamalira bwino.

Wodwala akavutika kuyenda ndi ndodo, sangathe kuthana ndi mtunda wa 10 metres, Commission imamupatsa magulu awiri opuwala.

Gulu 2 limaperekedwanso ngati wodwala atachotsa chiwalo, wodwalayo wayamba zovuta zomwe sizingamulole kugwiritsa ntchito mankhwalawa m'miyezi isanu ndi umodzi yotsatira.

Kupewa ndi malingaliro

Popewa kuchitidwa opaleshoni, ndikofunikira kuti wodwala matenda ashuwere awonetsetse kuchuluka kwa shuga m'magazi. Kuyesetsa kwakukulu kuyenera kuchitidwa kuti muchepetse. Tsiku lililonse muyenera kuyang'ana miyendo: ngati chidwi chachepa, kapena khungu lanu lasintha.

Ngati mabala ang'onoang'ono amawoneka m'miyendo, muchiritseni munthawi yake. Ndikofunikira kuchita ukhondo masiku onse m'madzi ofunda, ndiye kuti pakani magazi anu ndi thaulo lotentha. Osadula msomali wotsika kwambiri ndikupanga madongosolo ake ozungulira. Pamaso pa malo opaka khungu, ndikofunikira kugwiritsa ntchito zonunkhira zamafuta.

Pewani kuvala zovala zapamwamba komanso zotakata. Chofunika kwambiri ndikusankhidwa bwino kwa nsapato. Iyenera kukhala yofewa, yabwino. Pewani mitundu yopapatiza kapena yopangidwa ndi zikopa zolimba. Mumakonda zinthu zachilengedwe, monga suede zofewa.

Pitani kuchipatala pafupipafupi. Kuphatikiza pa kudzipenda kwamiyendo, kuyang'anira bwino kumafunikanso. Nthawi zambiri, zipatala zakunja zimapanga masukulu ophunzitsa odwala matenda ashuga kapena zipinda za matenda ashuga odwala matenda ashuga. Amanenanso mwatsatanetsatane ndikuwonetsa momwe angayendetsedwe koyenda, kutikita minofu. Chidwi chachikulu chimaperekedwa kwa olimbitsa thupi azachipatala ndi maphunziro akuthupi, kuphatikizapo kwa odwala omwe adulapo.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Zomwe Zimayambitsa

Cholinga chake ndikukula kwa kuphatikizika kwa matendawa - matenda a shuga. Ichi ndichifukwa cha kuwonongeka kwa shuga ku capillaries, mitsempha ndi khungu (diabetesic microangiopathy, diabetesic neuropathy ndi matenda a shuga).

Kuchepetsa chidwi kumathandizira kuvulala kwamiyendo. Munthu sangamve kuti nsapato zake ndizochepetsetsa kapena kuzitikita. Zotsatira zake, chimanga, ming'alu ndi mabala zimachitika. Amakhala ovuta kuchira chifukwa chakuyenda bwino ndipo nthawi zambiri amatenga kachilomboka ndikudutsa chilonda.

Matenda a matenda ashuga odwala matenda ashuga amakhudza 8-10% odwala omwe ali ndi matenda ashuga. Mwa anthu okhala ndi mtundu wachiwiri, izi zimachitika kangapo konse.

Cholinga chachikulu pochiza matenda ashuga odwala matenda ammimba ndikuletsa kuti asadulidwe. Ndi chifukwa chakuti opareshoniyo imakulitsa kudalirika kwa matenda ashuga ndikuchulukitsa kufa kwa anthu 2.

Koma kukhalapo kwa phazi la matenda ashuga komanso mabala osachiritsika sichizindikirobe pakuchita opareshoni.

Tekinoloji yamakono yochizira matenda ashuga a m'mitsempha ya m'mitsempha yachepetsa chiwerengero cha anthu omwe amadulidwa ndi 43% pogwiritsa ntchito nthawi.

Izi zikuphatikiza:

Kupambana kwakukulu pakuchita opaleshoni ya mtima. Amapangitsa kuti pakhale kubwezeretsanso magazi m'miyendo. Izi ndizotheka ngati kuwonongeka kwa minofu kumakhalabe kosinthika.
Adapanga maantibayotiki amakono.
Njira zamakono zamankhwala am'deralo mabala apangidwa.

Komabe, anthu ambiri amafunafuna thandizo mochedwa, pamene mankhwala osokoneza bongo sakugwira ntchito ndikubwezeretsanso magazi m'magazi ndikosatheka. Muzochitika izi, kudula ndikofunikira. Izi ndizofunikira kupulumutsa moyo wa wodwala.

Pakadulidwa ndikofunikira komanso momwe mulingo ungakonzekere

Kuduladula miyendo yakumapazi ndi ntchito yochotsa mbali yake yophatikizika pakatipa.

Matenda a shuga ndi matenda achiwiri pamndandanda wazifukwa zomwe amafunikira kuchotsa chala, phazi kapena gawo la mwendo (22.4%).

Ngati pali zizindikiro zotsatirazi, kudula kungafunike.

Kupweteka kwambiri kwa mwendo chifukwa cha ischemia yovuta, yomwe singagwiritsidwe ntchito pakukonzekera mankhwalawa komanso ngati vasasinthidwe wa mtima ndi kosatheka.
Kuwonongeka kwathunthu kwa chidwi.
Chikopa chakuda kapena chakuda.
Kuperewera kwamphamvu pa chotupa cha popliteal.
Kunachepa kutentha kwa khungu, khungu lozizira.
Zilonda zazikulu za Purulent, fungo la fetid.
Madzi am'munsi oyenda phazi lomwe amafalikira mpaka kumapazi.

Lingaliro lakudulidwa kwamiyendo imapatsa dotolo udindo waukulu.

Kudulira ndi ntchito yolumala yomwe imasokoneza kwambiri moyo wa wodwala. Ndipo amatembenukiranso pamene njira zina zonse zochizira matenda ashuga zimatha.

Pochita opareshoni, mgwirizano wa wodwalayo kapena abale ake uyenera kupezeka. Ndikofunikira kuti wodwalayo amvetsetse kuti palibe dokotala yemwe amachotsa gawo la mwendo kapena chala ngati palibe chisonyezo.

Zowonda kwambiri

Zolinga ziti zomwe zikufunika kukwaniritsidwa ndikudula:

Pofuna kupewa kufalikira kwa matenda, kakulidwe ka sepsis ndipo potero kupulumutsa moyo wa wodwala.
Pangani chitsa chogwira ntchito chothandiza ma prosthetics.

Milingo yochepetsera idatsimikiziridwa payekhapayekha. Titha kuganiza kuti kudulira kulikonse m'mankhwala amakono ndi kwapadera. Palibe template yeniyeni. Madokotala amadzichepetsera motsika momwe angathere kuti ma prosthetics opambana azichita bwino.

Mitundu ndi mawonekedwe a kucheka kwa shuga

Njira yodulira matendawa m'magazi a shuga imasiyana ndi kucheka kwa matumbo enanso:

Kudulidwa kumakhala kotsika (chala, phazi, kapena mwendo wotsika) chifukwa kuwonongeka kwa mtsempha wamagololo kumakhala kosowa.
Phwando lokhala ndi chisangalalo nthawi zambiri silimagwiritsidwa ntchito, chifukwa izi zimapangitsa kuti ischemia ikute.
Phazi, kudulira kumachitika nthawi zambiri osachita. Cholinga chachikulu cha dotolo ndikusunga minofu yambiri momwe mungathere. Chifukwa chake, zala za 1 ndi 5 zitha kutsalira, ndipo 2,3,4 zidzachotsedwa.
Zilonda za postoperative sizimakodzedwa zolimba.
Matendawa amakhudzidwa amakhala osakonzeka, chifukwa njira yothandizira imafalikira panjira yawo yonse.

Mitundu ya kuduladula pamwamba pa bondo pogwiritsa ntchito njira yogawa minofu yofewa:

Fupa limawombedwa pakuwonekera kwa minofu yofewa. Ntchito ngati izi zimachitika mwachangu pomwe moyo wa wodwalayo uli pachiwopsezo.

Kudulidwapo mozungulira

Choipa chachikulu chakudulidwa koyendayenda ndikuti mafomu ooneka ngati chopondapo. Sikoyenera ma prosthetics, chifukwa chake, ntchito ina imafunikira kuti ipange chitsa cholondola.

Opaleshoni imatenga nthawi yayitali, koma dokotala amapanga chitsa cholondola.

Kudulidwapo

Mitundu ya kudulidwa malingana ndi zisonyezo:

Pulayimale (nthawi zambiri imachitika mwachangu pamene zimakhala mu minofu njira zosasinthika zowonongeka m'mitsempha yamagazi ndi mitsempha ndi njira zina sizikugwira ntchito).
Sekondale (opaleshoni nthawi zambiri imachitika tsiku la 5-7, ngati chithandizo chokhazikika komanso kubwezeretsa magazi sichinapeze zotsatira, ndipo palibe machitidwe owopsa).
Mobwerezabwereza (amagwiritsidwa ntchito popanga chitsa cholondola, nthawi zambiri atadulidwa mozungulira).

Ndi angati akukhala ndi chala chamagulu osadulidwa?

Pali mitundu iwiri ya gangore:

Mu mtundu woyamba wa gangrene, ndizotsimikizika kuti zimakhala zochepa kuchokera ku minofu yathanzi ndipo sizifalikira pamlingo wake. Chachikulu ndikuti sichikhala chonyowa ndikotsatira.
Kuti muchite izi, samalani zaukhondo ndi malamulo a antiseptics. Matenda owuma pamakalamba owuma nthawi zambiri samakula ndipo zinthu zowola sizilowetsedwa m'magazi. Zowonjezera zomwe wodwalayo ali nazo sizivuta.

Pamapeto pake, pang'onopang'ono pang'onopang'ono chala chala chimatha kudzidulira. Izi zidzachitika miyezi 2-6, ndipo mwina pambuyo pake, kutengera momwe zinthu zilili.

Kutengera izi, wodwala yemwe ali ndi matenda osokoneza bongo omwe amakhala ndi matenda owuma, osasamala, sangakhale ndi moyo kwa nthawi yayitali komanso osachitidwa opaleshoni (mwachitsanzo, ngati opaleshoniyo yatsutsana), bola ngati phazi lisamaliridwa bwino.

Wet gangrene ndizovuta kwambiri. Imafalikira kudutsa mbali yakumanzere nthawi yomweyo. Sichokhudza masiku, koma pafupi maola. Ngati simuyamba kuyambitsa opaleshoni, ndiye kuti gangrene adzakhudza gawo lalikulu la miyendo.

Izi posachedwa (kutengera wodwala weniweni, masiku 3-7) zidzatsogolera ku sepsis ndi kufa kwa wodwalayo. Mankhwala atangoyamba kumene opaleshoni yam'mimba ndikuwabwezeretsanso magazi, gawo laling'ono la mwendo lidzadulidwa.

1. Kuchiritsa konse

Kuti izi zitheke mwachangu komanso bwino, muyenera kutsatira malangizowo.

Kukhalabe ndi shuga mumwazi.

Ndi milingo yayikulu yokwera, kuchiritsa kumachitika pang'onopang'ono, ndipo izi zimathandizanso kuyambitsanso bala. Wodwalayo ayenera kutsatira zakudya ndi malingaliro onse omwe dokotala angagwiritse ntchito mapiritsi a mankhwala ochepetsa shuga kapena insulin.

Kusintha kwatsiku ndi tsiku kwamankhwala amavalidwe ndi njira zophatikizira antiseptic, kugwiritsa ntchito mankhwala a antibacterial.
Kuthetsa ululu (NSAIDs amalembedwa kwakanthawi: diclofenac, ketorolac, nimesulide, etc.).

3. Zochita zolimbitsa thupi

Ndikofunikira kwambiri kukulitsa minofu ya ntchafu, kumbuyo ndi ma abs. Pali masewera olimbitsa thupi ambiri omwe amakonzekeretsa wodwalayo kuyenda pawokha komanso kuchepetsa kudalira thandizo lakunja.

Zochita zolimbitsa thupi zingapo:

- Bodza pamimba yako. Bwerani ndi miyendo yanu, kenako ndikulitsani mbali yodzicheka ndikuyigwira pamasekondi angapo.

- Bodza pamsana pako. Pumula pansi ndi phazi la mwendo wathanzi, lomwe limakhazikika pabondo. Kwezani dzanja lanu lomwe mwadulidwa kuti muligwire.

- Bodza kumbali yako. Kwezani dzanja lanu lomwe mwaduliralo pamalo a 60 ° ndikuyigwira.

4. Ma Prosthetics

Masiku ano, zovala zaukadaulo zamatenda ambiri zakhala zikukonzedwa. Ngati mugwiritsa ntchito microprocessor control bondo gawo, mayendedwe amakhala osalala. Nthawi zina zimakhala zosatheka kulingalira kuti wodwalayo ali ndi ma prosthesis.

Ndikofunikira kuyambitsa ma prosthetics a miyendo posachedwa pambuyo podzidula. Prostyle iliyonse imasankhidwa payekhapayekha mothandizidwa ndi dokotala wa mafupa, poganizira zofunikira zonse.

Kubwezeretsanso kwachuma ndi ntchito kapena moyo atadulidwa

Ndi kutayika kwa dzanja la m'munsi, wodwalayo amalandila chilema (1 kapena 2 gulu). Koma mothandizidwa ndi kukonzanso kwamakono, wodwalayo amabwereranso ku moyo watsiku ndi tsiku. Ma prosthesis osankhidwa bwino amakulolani kubwezeretsa ntchito zamagalimoto momwe mungathere.

Amatha kugwira ntchito, kudzipangira pawokha, kugwiritsa ntchito nthawi yopuma, kupeza banja ndi ana.

Anthu ena okhala ndi ma prostate amatha kufikira zochuluka pamasewera.

Thandizo lofunikira m'maganizo kwa wodwala. Kupatula apo, munthu amasokonezeka kwathunthu ndipo samamvetsa zomwe zingachitike pambuyo pake.

Ndikofunikira kuti wodwalayo adziwitse kudzidalira komanso tsogolo. Pa zitsanzo za ena, onetsani kuti ma prosthetics amakono amabwezeretsa ntchito zamagalimoto. Izi, ndizachidziwikire, ndi ntchito yambiri, chifukwa munthu amaphunzira kuyendanso. Chifukwa chake, ndikofunikira kuyesetsa kuti muchira, osataya mtima.

Pomaliza

Kuchepetsa chiwalo cha m'munsi siachilendo pakati pa odwala matenda ashuga. Izi zimabweretsa Kukula kwa zovuta - matenda ashuga phokoso.

Kuti pambuyo pake sizitsogolera kudula chakumaso, ndikofunikira kuti muthetse matenda anu. Kutsitsa shuga, kumachepetsa thupi.

Koma sikuti zonse nthawi zonse zimatengera wodwalayo, chifukwa matenda a shuga ndi osatsimikizika. Ndipo ngati kudulidwa kukufunika kupulumutsa moyo, palibe chifukwa chokhumudwa. Mankhwala amakono samayima. Matekinoloje ambiri adapangidwa kuti abwezeretse wodwalayo ku moyo wake wokhazikika wopanda tanthauzo.

Mulingo wofunikira koma wofunikira: kudulidwa mwendo mu shuga komanso zotsatira zake

Kukula msanga kwa matenda ashuga kumatha kuwononga kwambiri thanzi, kuyambitsa zovuta zina mu ntchito ya machitidwe ndi ziwalo zonse.

Kubwezera kwa nthawi yayitali kumatha kupangitsa kuti munthu akumane ndi zovuta zosaneneka komanso zovuta kwambiri.

Endocrinologists amati ndi odwala matenda ashuga omwe nthawi zambiri amadula zala, ndipo nthawi zina pamafunika kuchita zinthu mopitilira - kuchotsa dzanja lonse lakumunsi.

Inde, kuchitapo kanthu kotereku kumachitika pokhapokha pazoyambitsa kwambiri, pamene chithandizo cha mankhwala sichinabweretse zotsatira zomwe mukufuna. Payokha, ndikofunikira kulingalira kuti kudula matenda a shuga kungapewedwe, koma pokhazikitsidwa ndi kusamalitsa konse kwa malangizo onse azachipatala.

Kodi nchifukwa ninji malekezero otsika amawadula shuga?

Wodwala matenda ashuga asayang'ane kuchuluka kwa glycemia, njira zina zosagwirizana zimachitika m'thupi lake zomwe zimasokoneza magwiridwe antchito amanjenje komanso zofunikira, pang'onopang'ono zimawononga kapangidwe kake.

Chifukwa cha kuwonekera kotere, zowopsa komanso zowopsa zimadza.

Munthu amene ali ndi matenda ashuga, mabala ndi mabala onse amachira pang'onopang'ono, zomwe zimayambitsa gangore. Izi zimadziwika chifukwa chakuti minofu yowonongeka imafa pang'onopang'ono.

Madokotala odziwa bwino adatha kupanga njira zambiri zopangidwira kuti athane ndi matenda ashuga omwewo ndi zotsatira zake. Koma nthawi zina pamakhala mankhwala achikhalidwe komanso chikhalidwe.

Pankhaniyi, kuti apulumutse moyo wa wodwalayo, madokotala amatha kusankha kuti adzadula miyendo. Kuthandizira opaleshoni kumathandiza kupewa kuledzera, kuchuluka kwa minofu yomwe yakhudzidwa ndi poyizoni wamagazi .ads-mob-1

Zifukwa zazikulu zomwe zimadulidwa miyendo zimaphatikizapo:

Magawo a mitsempha yamagazi ambiri adasinthidwa. Ndikofunikira kudziwa kuti izi sizingogwira ntchito kokha zazikulu, komanso njira zazing'ono zazing'ono zamagazi,
machitidwe a necrotic omwe amapezeka nthawi zovuta kwambiri komanso zapamwamba,
kuwonongeka kwakukulu kwa mitsempha yomwe imakhala yopanda ntchito.

Ndikofunika kukumbukira kuti zinthu izi zokha sizingayambitse kudula miyendo.

Kachilombo kokha ndi komwe kamayambitsa kusintha kosasintha mthupi, komwe chitetezo cha thupi chimalephera. Zimangotengera munthu kuti chitetezo chake chidzakhala champhamvu bwanji komanso chosatha.

Ngati madotolo alephera kuthetsa njira yotupa pakanthawi, ndiye kuti opaleshoni yayikulu ndiye njira yokhayo yomwe ingathandizire kupulumutsa moyo wa munthu.

Zizindikiro zoyambirira za kusintha kwa ma trophic ndizosatheka kuziyang'ana ndi maliseche. Nthawi zambiri, izi sizikhala ndi zizindikiro zooneka.

Gulu lachiwerewere likayamba kutchulidwa, zitha kuyenda limodzi ndi mawonekedwe awa:

kumverera kodzisunga kapena kuwotcha,
kusilira kosasangalatsa ndi miyendo.
Mapazi amapunduka,
kutopa ndi kulemera m'miyendo ngakhale mutakhala ndi masewera olimbitsa thupi pang'ono komanso poyenda. Nthawi zambiri, wodwalayo amakumana ndi ululu waukulu m'misempha ya ng'ombe.

Payokha, ndikofunikira kulingalira kuti gangrene imayambitsidwa ndi vuto lina, lomwe pakati pa madokotala amatchedwa ischemia yovuta. Potere, zilonda zazing'ono zam'mapapo, necrosis imawonekera pakhungu la wodwala. Pakadali pano, munthu amamva kupweteka kwambiri m'malo otsika, omwe amakula m'malo opingasa .ads-mob-2

Ischemia yovuta kwambiri ndi malire amalire omwe amafunika chithandizo choyenera, chifukwa sichingadutse. Kuphatikiza apo, kumwa mapiritsi kulibe vuto.

Kuti muchepetse kusamvana komanso kupewa zotheka, pamafunika kubwezeretsa magazi mu miyendo. Kupanda kutero, wodwalayo adzafunika kudulidwa mchaka chikubwerachi.

Magawo a chitukuko cha gangrene

Wodwala matenda ashuga asayang'anira momwe alili wathanzi ndi glycemia, zizindikiro zosakhazikika zimayamba kuchuluka, ndipo gululi palokha limawoneka ndi maliseche.

Wodwalayo amawona kuti kutentha ndi khungu la miyendo yake zikusintha. Miyendo imayamba kuzizira, khungu limapweteka. Nthawi zina, chimanga ndi kutupa zimatha kupanga.

Kupezeka kwa mochedwa gawo la gangrene kungatsimikizidwe ndi izi:

mabala amachiritso aatali omwe amatulutsa fungo la fetid,
khungu limadetsa khungu,
kutulutsa kwa mafinya,
kusowa kwathunthu kapena pang'ono kwa magazi.

Kuchepa kwa shuga mellitus: miyendo, chala, phazi, chifukwa cha kuwonongeka kwa miyendo

Vuto lalikulu monga gangrene limayamba mwa anthu omwe amapezeka ndi matenda osokoneza bongo ndipo limayenderana mwachindunji ndi matenda a shuga. Chiwopsezo cha zovuta zimachuluka ngati munthu wabala matenda a shuga kwa nthawi yayitali, kuchuluka kwa shuga m'magazi kumadutsa 12 mmol, ndipo shuga yokhazikika imadumpha.

Matenda a shuga a matenda a shuga amayesetsa kuti awononge anthu ochepa odwala matenda ashuga, matenda oterewa amatha kuchitika ngati shuga atayamba kukhudza mitsempha ya mitsempha ndi mitsempha yaying'ono ya magazi, yomwe imayambitsa kusokonezeka kwa magazi.

Malinga ndi ziwerengero, vuto lofananalo lapezeka mwa 80 peresenti ya odwala omwe akhala akuvutika ndi matenda amtundu wa 2 kapena a 2 kwa zaka zoposa 20. Ngati dotolo azindikira kuti ali ndi vuto chifukwa atatenga nthawi yayitali, kudula mwendo kumayambitsa matenda a shuga.

Ndi kuchuluka kwa glucose m'magazi, mitsempha ya magazi imayamba kuchepa pakapita nthawi ndikuyamba kuchepa pang'onopang'ono, zomwe zimayambitsa matenda a shuga. Zombo zazing'ono komanso zazikulu zimakhudzidwa. Mapeto a mitsempha amasinthanso zomwezi, chifukwa cha matenda ashuga amadziwika kuti ali ndi matenda ashuga.

Zotsatira zakuphwanya, chidwi cha khungu chimachepa, potengera izi, munthu samangomva kuti kusintha koyambirira kwayamba pa miyendo ndikupitiliza kukhala ndi moyo, osadziwa zovuta.
Wodwala matenda ashuga sangakhale ndi chidwi ndi kuwoneka kwa mabala ang'onoang'ono kumapazi, pomwe malo owonongeka kumapazi ndi zala sikumachiritsa kwa nthawi yayitali. Zotsatira zake, zilonda zam'mimba zimayamba kupanga, ndipo zikagwidwa, chiwopsezo chokhala ndi gangrene cha m'munsi chimakhala chambiri.
Zovulala zazing'ono zingapo, chimanga, misomali yovomerezeka, kuvulala kwa cuticle, kuwonongeka kwa msomali panthawi ya pedicure kumathanso kukhudza maonekedwe a gangrene.

Ischemia yovutitsa kwambiri, yomwe imakhala ikusowa magazi, imatha kukhala zovuta kwambiri. Wodwala matenda ashuga ali ndi zizindikiritso zam'mapazi m'mapazi ndi zala zakumaso, zomwe zimakulirakulira poyenda, kuzizira kwamapazi, ndikuchepetsa chidwi cham'munsi.

Pakapita kanthawi, kuphwanya pakhungu kumatha kuzindikirika pamiyendo, khungu limakhala louma, limasintha mtundu, limakutidwa ndi mafinya, puroses necrotic komanso mawonekedwe a ulcerative. Popanda chithandizo choyenera, chiwopsezo chachikulu ndikuti munthu akhoza kuyamba kudwala.

Matenda a shuga angayambike ndi matenda owuma kapena onyowa.

Dry gangrene nthawi zambiri imayamba pang'onopang'ono, kwa miyezi ingapo kapenanso zaka. Poyamba, odwala matenda ashuga amayamba kumva kuzizira, kupweteka komanso kumva kutentha m'mapazi. Kupitilira apo, khungu lomwe lakhudzidwa limayamba kuchepa mphamvu.
Mtundu wamtunduwu umatha kupezeka, monga lamulo, m'malo mwa zala zakumapeto. Chotupa chake ndi chotupa chaching'ono chomwe khungu limakhala ndi wotumbululuka, wamtambo kapena wamtambo.
Pankhaniyi, khungu limakhala louma komanso lotupa. Pakapita kanthawi, minofu ya necrotic imakhala yakufa ndikumisidwa, pambuyo pake minofu ya necrotic imayamba kukanidwa.
Matenda owuma sakhala pachiwopsezo cha moyo, koma popeza matendawa akukhumudwitsa ndipo pamakhala chiwopsezo chowonjezeka, kudula mathero kumachitika nthawi zambiri ndi matenda ashuga.

Ndi chonyowa, dera lomwe lakhudzidwalo limakhala lokongola kapena lamtambo. Kugonjetsedwa kumayendetsedwa ndi fungo lakuthwa kwambiri, mawonekedwe a mawonekedwe m'thupi la minofu yakufa, kuyezetsa magazi kumawonetsa mawonekedwe a neutrophilic leukocytosis. Kuphatikiza apo, adotolo awona kuti ndi zochuluka motani cha ESR.

Kukula kwa zonyansa m'mimba sikuchitika mwachangu, koma kumathamanga mwachangu. Mwa odwala matenda ashuga, khungu, minyewa, minyewa, ndi minyewa zimakhudzidwa.

Kuwonjezeka kwakukulu kwa kutentha kumawonedwa, mkhalidwewo umakhala wowopsa ndikuwopseza moyo kwa wodwalayo.

Njira yayikulu yothanirana ndi matenda am'mimba mu shuga ndi kulowererapo kwa maopa, ndiko kuti, kuduladula mwendo pamwamba pa bondo, phazi kapena phazi. Ngati dotolo azindikira kuti ali ndi chonyansa, kuyambiranso kwa gawo lomwe lakhudzidwa limachitika pokhapokha kuphwanyidwaku kwapezeka kuti zotsatira zake zisasokoneze wodwalayo. Kupanda kutero, ikhoza kupha.

Kuchita opaleshoni kumakhala ndi zotulutsa zometa zomwe zimakhala pamwamba pa malo a necrosis. Chifukwa chake, ngati munthu ali ndi matenda a shuga, kuduladuka kwa phazi lonse kumachitika ndi matenda am'manja chala chimodzi. Ngati phazi lakhudzidwa, kuchotsedwa kumachitika pamwamba, ndiye kuti, theka la mwendo wotsika limadulidwa.

Kuphatikiza pa kuti kuduladula mwendo kumachitika ndi khungu pakukalamba, thupi limabwezeretseka pambuyo kuledzera komanso matenda.

Pachifukwa ichi, ma anti-wodziwikiratu mankhwala amagwiritsidwa ntchito, magazi amawikidwa magazi, ndipo detoxification chithandizo chimachitika.

Kuti machiritso a suture akhazikike mwachangu ndipo wodwalayo adasuntha bwino nthawi yomwe atachitidwa opaleshoni, kukonzanso kwathunthu kumafunikira.

M'masiku oyambilira atachitidwa opaleshoni, madokotala amapondereza kutupa kambiri ndikuletsa kupititsa patsogolo matendawa. Gawo lomwe linadulidwa limapindika tsiku lililonse ndipo sutures imachiritsidwa.
Ngati sikunafunikire kudula mwendo wonse, koma chala chokhacho, ma prosthetics safunika, ndipo odwala matenda ashuga amakhala ndi mwendo wathanzi. Komabe, ngakhale izi zitachitika, wodwalayo nthawi zambiri amamva kupweteka kwambiri kwa phantom ndipo sazengereza kusuntha m'masiku oyamba.
Dera lomwe lingakhudzidwe litadulidwa, dzanja lowonongeka limayikidwa pamalo okwera kuti lichepetse kutupa. Kudula mwendo ndi vuto, chifukwa nthawi yakukonzanso, ngati malamulo satsatiridwa, matenda angathe kubweretsedwa.
Wodwala matenda ashuga ayenera kutsatira njira yochizira, kupaka minofu m'munsi tsiku lililonse kukonza maselo okhala ndimitsempha ndi magazi.
Pakati pa milungu yachiwiri ndi yachitatu, wodwalayo ayenera kugona pomwepo pamimba pake. Ziwalo zathanzi za thupi ziyenera kupukutidwa ndi zolimbitsa thupi kuti zilimbikitse minofu, kuwonjezera minofu kamvekedwe ndikukonzekeretsa thupi kuyambika kwa ntchito yamagalimoto.

Masitima osamala pafupi ndi kama, wodwala amagwira kumbuyo, akuchita zolimbitsa thupi kumiyendo ndi manja. Ngati ma prosthetics angapangidwe, minofu yake imayenera kukhalabe yolimba, chifukwa pambuyo poti kudulidwapo kachitidwe kamayendedwe achilengedwe kamasokonekera.

Ngati munthu wodwala matenda ashuga apita patsogolo, pomwe nthawi yayitali yatha zaka 20, zonse ziyenera kuchitidwa kuti mavuto asamachitike.

Kuti izi zitheke, muyenera kuyang'anira shuga wamagazi nthawi zonse ndi glucometer. Kamodzi miyezi itatu iliyonse, wodwalayo amayesedwa magazi a glycated hemoglobin.

Ndikofunikanso kutsatira zakudya zapadera, kumwa mankhwala osokoneza bongo kapena insulin. Zilonda zazing'onoting'ono zikaonekera pakhungu, ayenera kulandira chithandizo nthawi yomweyo.

Kupewa kwakukulu kwa zovuta ndi kusamalidwa kwaukhondo kwa momwe phazi limayendera, kayendedwe ka madzi, ndikatsuka. Kusokoneza. Ndikofunikira kuvala nsapato zapamwamba zokha zomwe sizikakamiza zolowera m'munsi. Anthu odwala matenda ashuga ayenera kupanga lamulo kuti azichita mayeso a tsiku ndi tsiku a miyendo ndi miyendo kuti apeze nthawi yowonongeka pakhungu. Ma insoles apadera a matenda a shuga ndiabwino.

Madokotala amalimbikitsanso kuchita masewera olimbitsa thupi a m'munsi.

Wodwalayo amakhala pamphasa, ndikudzikokera masokosi, kenako ndikuchotsa kwa iye.
Mapazi amapindika ndipo amachepetsa.
Phazi lililonse limazungulira mozungulira.
Wodwala matenda ashuga amafinya zala zake momwe angathere ndikuwazindikira.

Chilichonse cholimbitsa thupi chimachitidwa pafupifupi nthawi khumi, pambuyo pake mulimbikitsidwe kutikita minofu yoyera. Kuti muchite izi, phazi lakumanja limayikidwa pabondo la phazi lamanzere, mwendo umamangidwa bwino pang'ono kuchokera kumapazi mpaka ntchafu. Kenako miyendo imasinthidwa ndipo njirayi imabwerezedwanso ndi mwendo wamanzere.

Kuti achepetse kupsinjika, munthu amagona pansi, akukweza miyendo yake ndikuigwedeza pang'ono. Izi zithandiza magazi kuyenda mpaka kumapazi. Kusisita kumachitika tsiku lililonse kawiri pa tsiku. Kanemayo m'nkhaniyi akuwonetsa ngati achifwamba angachiritsidwe popanda kudulidwa.

Onipko, V.D. Buku la odwala matenda a shuga mellitus / V.D. Onipko. - Moscow: Nyali, 2001 .-- 192 p.
Manukhin I. B., Tumilovich L. G., Gevorkyan M. A. Gocrecological endocrinology: monograph. , GEOTAR-Media - M., 2013 .-- 272 p.
Zakharov Yu.L. Mankhwala aku India. Maphikidwe agolide. Moscow, Pressverk Publishing House, masamba 2001,475, makope 5,000

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Zotsatira zake

Kudulidwa miyendo ndi njira yovuta kwambiri. Kuchita kotereku sikungatheke popanda thandizo la mankhwala owonjezera. Komanso, pochita njira zochizira pambuyo pakuchita opaleshoni, sizingatheke popanda kupweteketsa ululu mothandizidwa ndi mankhwala ochititsa dzanzi ndi ma analgesics. Ululu wammbuyo umatha pambuyo pochira bala. Pofuna kuthetseratu kupweteka kwakanthawi kochepa pantchito, makonzedwe a mankhwala omwe si a mahomoni omwe amachepetsa kutupa amayikidwa.

Ndi kupezeka kosalekeza kwa kupweteka kwapweteka kwakatalika kwa phantom m'chigawo choduladula miyendo, physiotherapy, njira zotikirira ndi zina zotero.

Chofunikira pambuyo podzidulira mwendo mu shuga ndikupewa minofu ya atrophy. Tiyenera kumvetsetsa kuti njira zilizonse zomwe zimayambira panthawiyi zimakhala ndi zotsatirapo zake, pomwe njira yomwe ikuchitika mosalekeza ndiyovuta kuyimitsa ndikusintha.

Mavuto obwezeretsera amaphatikizanso chiwonetsero cha hematoma chomwe chili pansi pa khungu. Dokotala wokha ndi amene amaletsa magaziwo nthawi yoyenera kuchitidwa opaleshoni omwe angaletse maonekedwe ake. Pofuna kugwira ntchito yochapa chilondacho, machubu amaikidwa, omwe amachotsedwa pakatha theka la sabata. Kuwonongeka kwa minyewa kumatha kuchepetsedwa kugwiritsa ntchito zida za gypsum m'dera la bondo ndikukhazikitsa koyambirira kwa masewera olimbitsa thupi.

Mutha kuchotsa kukhumudwa ndikuthandizira kusintha pambuyo pakuchita opareshoni ndi antidepressants. Kuti muchepetse kutupa m'manja, gwiritsani ntchito bandeji yapadera.

Kukonzanso

Cholinga chachikulu chakukonzanso mwendo ndikudikirira kuti musachitike zotupa m'dera la opereshoni.

Kuchokera posamala atachotsa mwendo pamwamba pa bondo zimatengera ngati matenda achifwamba apitirirabe patsogolo. Kuti izi zitheke, pamafunika kuvala mosalekeza komanso chithandizo cha antiseptic cha chitsa chotsalazo. Ngati malamulowa satsatiridwa, pali mwayi wofanana ndi kachilomboka.

Kuchulukitsa nthawi yomwe moyo ukhalapo mwendo utadulidwa, ndikofunikira kuonetsetsa kuti palibe chotupa cha miyendo, kuvulala mobwerezabwereza komanso matenda, chifukwa izi zitha kuthandiza kukulitsa zovuta zapakati pa postoperative.

Ndikulimbikitsidwa kuti muzitsatira zakudya, njira ya kutikita minofu pamwamba pa chitsa.

Ngati mwendo ungakonzedwe panthawi yake, kuphwanya mafupa ndi njira zina zamagalimoto kumachitika. Pachifukwa ichi, wodwalayo amapatsidwa masewera olimbitsa thupi, massage.

Kuyambira kuyambira nthawi yoyamba yogwira ntchito, muyenera kukonzekera njira zodzikonzanso ndikuphunzira kuyenda osathandizidwa ndi ena.

Ntchito yayikulu yokonzanso njira zobwezeretsanso mwendo wa odwala matenda ashuga atachitidwa opaleshoni ndikubwezeretsa mphamvu ya minofu. Ndikofunikira kubwereza masewera olimbitsa thupi tsiku lililonse, kutulutsa minofu kokwanira ndikofunikira kwambiri.

Kubwezeretsa kwa postoperative kumaphatikizapo:

Physiotherapy, yophatikiza njira zambiri. Izi zikuphatikiza: chithandizo cha ultraviolet, chithandizo cha okosijeni ndi barotherapy.
Zolimbitsa thupi.
Zochita kukonzekera chitsa kuti mutolole katundu.

Chiyembekezo chamoyo pambuyo podulidwa

Ambiri mwa anthu odwala matenda ashuga amafunsa owerenga funso kuti amakhala ndi ndalama zingati atadwala mwendo. Mu chochitika pamene opaleshoni ikuchitidwa panthawi yake, kudulidwaku sikuwopsa aliyense wodwala.

Pambuyo pokonza miyendo pamwamba pamtunda wachikazi, odwala matenda ashuga sangathe kukhala ndi moyo wautali. Nthawi zambiri amafa asanathe chaka chimodzi. Anthu omwewo omwe adatha kuthana nawo ndikuyamba kugwiritsa ntchito ma prosthesis amakhala katatu.

Pambuyo podulidwa mwendo wapansi popanda kukonzanso koyenera kwa nthawiyo, odwala oposa 1.5% amafa, gawo lina limafunanso kudulidwa. Anthu odwala matenda ashuga omwe amakhala pamwambo wa mankhwalawa amwalira nthawi zina. Pambuyo ndikudulidwa kwa chala ndi kufanana phazi, odwala amatha kukhala ndi moyo wautali.

Kudulidwa mwendo ndi njira yosasangalatsa komanso zotsatira zoyipa zambiri. Pofuna kupewa kukula kwa matenda ndi ma pathologies omwe amatsogolera kuti ndikadulidwe, ndikofunikira kuyang'anira mosamala chidziwitso cha mamolekyulu a shuga m'magazi.