Kudulira zala matenda ashuga

Pofuna kudula malekezero a shuga m'matenda a shuga, zizindikiritso zina ziyenera kuzindikirika. Mukalankhula izi, mverani:

• mavuto a mtima pathologies chifukwa cha kuthekera kwa kukonzanso chithandizo. Izi zitha kukhala miyendo ischemia, thrombosis yathunthu. Kudzicheka kumaganizidwa molumikizana ndi opaleshoni ya mtima,
• kwambiri purulent pathologies omwe amaopseza moyo, mwachitsanzo, matenda a anaerobic: gasi ndi chonyowa gangrene. Nthawi zambiri, izi zimapangidwa mu odwala matenda ashuga omwe ali ndi matenda ashuga othamanga,
• kuvulala kwambiri - kupunduka kwakanthawi kapena miyendo yomwe imapachika pa kukulunga kwa zofewa.

Mu shuga, dzanja limadulidwa ngakhale pali mitundu yoyipa. Izi zikugwiranso ntchito kwa sarcoma wam'mbuyo, melanoma, ndi khansa yapakhungu.

Chizindikiro china chodulira mankhwalawa chiyenera kuonedwa ngati matenda amtundu wa m'magazi omwe amasokoneza magwiridwe antchito a chiwalo ndipo sangathe kuwongoleredwa ndi njira zam'kati.

Izi mwina, mwachitsanzo, chitsa choyipa chomwe chikufunika njira yodulidulira yachiwiri.

Matenda a shuga ndi matenda oopsa kwambiri a endocrine omwe amakhumudwitsa anthu ambiri. Chovuta kwambiri komanso chowopsa cha matenda ashuga ndi gangrene. Chowonadi ndi chakuti mu 75% ya vuto lakhanda la mwendo, sizingatheke kupulumutsa mwendo.

Gangrene mukudwala matenda a shuga ali ndi zomwe zimapangitsa chitukuko chake, ndipo chithandizo chake chimakhala chovuta kwambiri poyerekeza ndi kuwonongeka kwa minofu yofewa chifukwa chovulala kapena sepsis, yomwe imatsatana ndi necrosis. Kuti khazikitse wodwalayo komanso kuti muchepetse kugwedezeka kwa septic ndi poyizoni wa cadaveric poizoni wakufa, pakufunika kuchitapo kanthu mwachangu, kuphatikiza kuchapa ndi chiyeretso cha mbali yowonongeka ya dzanja.

Komabe, mavutowo samathera pamenepo, chifukwa ndi matenda a shuga, mabala a postoperative amachiritsa kwambiri.

Zomwe zimachitika popanga matenda a shuga

Matenda a shuga ndi matenda a shuga ndichinthu chodziwika bwino, chomwe chimayendetsedwa ndi zovuta za metabolic zomwe zimayenderana ndi matenda oyambitsidwa. Chowonadi ndi chakuti odwala omwe ali ndi matenda a shuga, mpaka digiri imodzi kapena apo, pali zizindikiro za matenda ashuga a mtima ndi angiopathy.

Izi pathological zikhalidwe mu mbiriyakale zikuwonetsa kuwonongeka kwa minyewa ya mitsempha ndi kuphwanya kwa zotanuka zamagazi. Zinthu zonsezi zimatha kuyambitsa chilonda cha matenda ashuga, kenako gangore.

Tiyenera kukumbukira kuti matenda ashuga angiopathy ndi ofunikira kwambiri pakukula kwa khungu, pomwe kuwonongeka kwa mitsempha yamitsempha yamagazi kumachitika. Kuwonongeka kwa capillaries kumachitika chifukwa hyperglycemia, ndiye kuti, kuchuluka kwa glucose, kumabweretsa kuwonongeka kwa malo awo ndi makoma amitsempha yamagazi.

Matendawa odwala matenda ashuga ndi chifukwa chazovuta m'maselo a mitsempha. Minofu yofewa yoperewera pachakudya chimayamba kufa.

Njirayi imatha kukhala munthawi yochepa kwambiri, mwachitsanzo, ngati magazi ataletseka kwathunthu.

Njira yowonongera minyewa yamitsempha yamagazi ndi mitsempha yamagazi ndiyosachedwa, chifukwa chake chiopsezo chotenga gangrene ndichipamwamba kwambiri mwa anthu omwe ali ndi matenda osokoneza bongo kwa zaka zopitilira 20. Zizindikiro zoyambira matenda a shuga mellitus ndi mawonekedwe a mabala ang'ono kumapazi, chifukwa mwendo m'derali ungagwiritsidwe ntchito ndi kuvulala kosiyanasiyana.

Kuphatikiza apo, nthawi zina, kukula kwa gangrene kumayambitsidwa ndi kupweteka kwambiri m'malo opumula ndikuchita, kumverera kovutikira, koma mtsogolomo chidwi pang'ono kapena kutha kwathunthu. Kupitilira apo, zizindikiritso zambiri zimakhalapo, kuphatikiza:

• kupunduka kwamapazi
• mapazi ozizira
• kuchepa kapena kufiyiratu kwina kwa khungu,
• kusintha mawonekedwe a misomali,
• kutupa kwambiri kwa minofu yofewa.

Nthawi zambiri, matenda osokoneza bongo omwe amayambitsidwa ndi matenda ashuga amakhudza gawo la phazi, ndipo kuwonongeka kungakhudzire zala, koma izi zimasiyana kwambiri ndi matendawa. Nthawi zina, gangrene amatha kumangidwa nthawi yomweyo ndikugwidwa kwa malo akulu, kuphatikiza ndi chidendene chonse.

Popeza kuti gangore imayamba chifukwa cha kuchepa kwa magazi m'matupi, zinthu zimavuta ndi matenda owonjezera, kuphatikizapo bowa ndi chotupa cha bakiteriya, chomwe chikukula chifukwa cha kuchepa kwa chitetezo chamthupi m'deralo.

Kodi odwala matendawa amadziwika bwanji komanso amathandizidwa ndi matenda ashuga?

Tissue ischemia, yomwe imachitika ndi matenda osokoneza bongo, ndi zovuta kuchiza. Kuzindikira zotupa kumakhala kupenda ndi kupindika mwendo, kuphatikiza anamnesis, komanso kutenga biopsy ndi smears kuti mudziwe kukhalapo kwa matenda.

Ndikofunikira kwambiri pakudziwitsa kuti mudziwe mtundu ndi gawo la gululi.

Ngati pakadalibe necrotic foci yodziwika bwino, ndiye kuti mankhwalawa amatha kukhala osasinthika, omwe amakhudzanso kubwezeretsa kwa magazi chifukwa cha vasodilators, komanso chithandizo chamankhwala chochepetsera misempha yamagazi.

Pa gawo loyamba lachitukuko cha gangrene, opaleshoni ya distal bypass ndi angioplasty angagwiritsidwe ntchito, omwe amalola kubwezeretsanso magazi ku minofu ndikupulumutsa dzanja. Pantchito yaying'ono yokhazikika yokhala ndiwofatsa imathandizidwa ndi antiseptics. Mankhwala ochepetsa mphamvu amagwiritsidwa ntchito pokhapokhauma pouma.

Ndi chonyowa gangrene, momwe muli necrosis yayikulu yomasuka ndi purulent, njira yokhayo yothandizira ndikudula chiwalo. Wamba gangrene ayenera kuchitidwa kwathunthu.

Ntchito ngati izi zimaperekedwa pazifukwa zaumoyo, chifukwa sizingatheke kubwezeretsanso minofu. Pambuyo pa chithandizo, wodwalayo kwa nthawi yayitali ayenera kuletsedwa kuti awonjezere shuga, chifukwa njira zoterezi zimathandizira kuchiritsa kwa minofu.

Kuphatikiza pa gangrene, pali zifukwa zambiri zomwe zakuda zimawonekera pazala, kumapazi ndi miyendo. Mpaka

1. Fungal matenda.

Tikukamba za matenda oyamba ndi fungus - candidiasis, ndi bowa owopsa - trichophytone. Matendawa amaphatikizidwa ndi zizindikiro monga kuderera misomali ndi malo oyandikira pakhungu, wodwalayo amadzimva kuti mapazi ake amakhala ndi shuga komanso kuyabwa kwambiri.

Trichophyton ndiwovuta kwambiri kuchiza kuposa candidiasis. Matendawa amafalikira mwachangu, chifukwa chake ngati zidutswa zakuda zikuwoneka zala, muyenera kufunsa dokotala kuti asatchule zokhazokha, komanso mafangayi.

Popewa matenda omwe ali ndi fungus, Kirimu Yotchinga imagwiritsidwa ntchito.

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

2. Mavuto ndi ziwiya za miyendo.

Chifukwa cha kuchuluka kwa glucose m'magazi, mapangidwe a thrombus adayambitsa. Mitsempha yamagazi imawoneka m'makoma amitsempha yamagazi, ikuchepetsa mawonekedwe awo ndikupangitsa kuti zisunthe.

Mbale ya msomali imadetsa mothandizidwa ndi zinthu zamkati kapena zakunja. Muyenera kuyang'anira gawo la mitundu yonyansa. Mdima nthawi zambiri umawoneka wopanda banga, koma nthawi zina umakhudza mbali yonse ya msomali.

Kodi nchifukwa chiyani chala cha chala chakuda chimakhala chala kumala kumodzi? Monga lamulo, izi zimawonetsa kuwonongeka kwamakina. Mbale ya msomali imadetsedwa pazifukwa ziwiri: kuvulala ndi nsapato zosavomerezeka. Kachiwiri, munthu sangazindikirenso kusasangalala, koma dera lomwe linali pansi pa mbale posakhalitsa liyambanso kupweteka.

Zowonongeka zamakina zimasonyezedwanso ndi msomali wakuda kapena wamtambo. Pamene hematoma imayamba, khungu limayamba. Nthawi yomweyo, mbale ya msomali imadzichotsa pabedi, kenako ndikazimiririka. Palibe cholakwika ndi njirayi. Msomali suyenera kuthandizidwa, koma ndikofunikira kuti muzichiza nthawi zonse ndi yankho la antiseptic. Ndipo ndikofunikira kumvetsetsa kuti mbaleyo idzagwera.

Zifukwa zina zakunja zomwe msomali ungadetse:

• kugwiritsa ntchito varnish wapamwamba kwambiri,
• kukhudzana kwanthawi yayitali ndi mankhwala (makamaka a m'nyumba) pamatumbo a msomali,
• onychomycosis.

Ndizoyenera kufotokozera kuti onychomycosis imatanthauzira zonse zakunja ndi zamkati. Maonekedwe a bowa amakhudzidwa ndi kupatuka kosiyanasiyana: kugwa kwa chitetezo chamthupi, kusokonezeka kwa miyendo m'miyendo. Koma tizilombo tating'onoting'ono tokha timakhudzanso misomali ndi khungu (ndi mycosis). Mafangayi amatha kuonekera pamanja, koma pamiyendo imawoneka kangapo.

Mchitidwe wamanjenje umakhudzidwa kwambiri ndi kugwira ntchito kwa mitsempha ndi mitsempha yamagazi m'magazi oyenda, zonsezi zimawonongedwa pakapita nthawi. Zotsatira zonsezi zimabweretsa zotsatira zowopsa komanso zosasangalatsa zotulukapo zaumoyo.

Ngati munthu akudwala nthendayi, ndiye kuti mabala ake amachiritsa bwino, motero nthawi zambiri gangrene imayamba. Ngati zoterezi zapezeka mwa munthu, ndiye kuti mwendo wakewo umatha kuduladwanso.

Nkhope zamilandu izi sizimafa nthawi yomweyo, koma pang'onopang'ono, chifukwa cha njira yodziyeretsa iyamba. Kucheka mwendo ndi matenda a shuga nthawi zambiri kumabweretsa zotsatirapo zoyipa kwambiri, koma zimadalira nthawi yodziwika ndi kupezeka kwake.

Njira zochizira zosagwiritsa ntchito zimawonetsa kuwongolera kwakutali kwambiri kuposa nthawi iliyonse. Ngati othandizira achire otere sagwira ntchito, ndiye pokhapokha ngati mbali zina zolumikizidwa.

Ngati izi sizichitika mu nthawi, ndiye kuti zoyipa ziyamba - kutukusira kwa kutupa. Kudulidwa kwa chala chilichonse m'masititala ya shuga ndikovuta, koma kumatha kuvomerezedwa moyenera.

Zomwe zimayambitsa khungu

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

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

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

Matenda a shuga chifukwa cha shuga wamagazi amavuta chifukwa cha matenda amitsempha yamagazi komanso minyewa yamanjenje. Chifukwa cha njira zomwe zayamba, matenda ashuga a mtima ndi minyewa amayamba, zomwe zimapangitsa kuti pakhale ming'alu pakhungu, mabala ndi zilonda zam'mimba.

Vutoli ndilowopsa chifukwa cha kuchepa kwa chidwi cha khungu, chifukwa pomwe wodwalayo saona nthawi yomweyo zovuta. Chiyambireni cha gangrene chingakhale kuvulala kulikonse, mwachitsanzo, chikwangwani, msomali wopingidwa, wosadulidwa mosapambana panthawi ya pedicle pedicure.

Kuchiritsidwa kwa zilonda zam'mimba ndikazitali, mwayi wokhala ndi zilonda zam'mimba ndizambiri. Ndi chotupa chopanda matenda, gangrene amakula.

Ngati mankhwala osokoneza bongo sakugwira, dzanja limadulidwa.

Wodwala ali ndi izi:

• kupweteka m'miyendo, makamaka kumapazi ndi zala, kukulirakulira panthawi yonyamula katundu,
• kuchepa kwa khungu, kutsekeka kwa miyendo,
• mapangidwe a ming'alu, mabala am'mimba oyera ndi zilonda zam'mimba, makamaka phazi,
• Kusintha kwa khungu
• mapangidwe gangore popanda mankhwala.

Kuwonetsedwa kwa gangrene kumadalira mtundu wake:

• Youma gangrene. Imakhala ndi chitukuko chachitali, mpaka zaka zingapo ndipo sichiwopseza moyo. Khungu lomwe limakhudzidwa limasinthidwa kukhala lamtambo kapena lofiira, limasuluka kwambiri. Kusungunuka kwa malo omwe akhudzidwa kumachitika, pambuyo pake minofu yakufa imakanidwa.
• Zowonda kwambiri. Zilonda zomwe zilipo sizichiritsa, zomwe zimabweretsa zotsatira zoyipa. Khungu lomwe lidakhudzidwa limatembenuka kukhala lamtambo kapena labiliwira, pamakhala fungo la zowola ndi zotupa pakhungu. Matendawa amakhudza mitundu yonse ya minyewa yomwe imavunda. Zotsatira zake, mwendo kapena chala chimadulidwa.

Pali zinthu zambiri zomwe zimapangitsa kuti chala chake chide. Onsewa amagawika m'magulu awiri: mkati ndi kunja.

Zam'nyumba

Mdima ungayambidwe ndi matenda a msomali womwewo.

1. Matenda oyamba ndi mafangasi. Mutha kutenga kachilomboka pagulu lililonse kapena kuvala nsapato za munthu wina. Kuti mumvetsetse kuti msomali wakuda chifukwa chakuwoneka ndi fungus ndikosavuta: kuzimitsa sikusowa pambuyo pokula kwa msomali, koma kumapitilirabe kufalikira kuchokera kumunsi kuzungulira mbali yake yonse, kutsogoza kuwonongeka kwake.
2. Melanonychia ndi mkhalidwe womwe msomali pamthunzi udachita khungu kapena mawanga (mikwingwirima). Chifukwa chachikulu cha chitukuko chake ndi kudzikundikira kwa melanin pansi pa mbale ya msomali. Mkhalidwe wofananawo ungachitike ndi "chidziwitso chautali" cha kusuta, ma pathologies a ziwalo zamkati, kugwiritsa ntchito mankhwala osamalira otsika kwambiri.
3. Benign neoplasm. Amayamba ndi kuwonjezeka kwa capillaries pansi pa msomali.

Chofunikira! Kukondera sikumvulaza zomwe zili ponseponse, koma kumatha kupweteka.

Kusintha kwa khungu kumayendetsedwa ndi matenda a ziwalo zamkati ndi machitidwe awo:

• wamanjenje
• zamtima
• genitourinal,
• m'mimba
• kusokonezeka kwa mahomoni
• matenda ashuga
• zowonjezera zina za zinthu (kawirikawiri).

Ndikofunikira! Sizotheka kupereka chithandizo pazifukwa izi. Zimangokulitsa vutoli.

Chala chimakhala chakuda mchikakamizo cha zochitika zingapo zakunja. Choyambirira komanso chofala kwambiri ndimatumbo owonjezera pansi pa msomali chifukwa cha kuwonongeka kwa makina. Izi zimatha kukhala kuvulala kwambiri, kuvulala kapena kuvala nsapato zazifupi. Kuti muwone kuti kuwonongeka komwe kudapangitsa kusintha kwa mtundu kunayamba chifukwa chophweka: palibe ululu ndi kusasangalala, banga la hematoma limapangidwa patali ndipo limakhala m'mphepete.

Koma ngati pazifukwa zomwe zatchulidwa pamwambapa zonse zili bwino kapena zowonekera bwino, ndiye bwanji ngati simunapume paliponse, nsapato zanu zimakhala bwino phazi lanu, ndipo panthawi "yabwino" mukapeza chida chakuda? Milandu yotereyi siachilendo, ndipo chifukwa chake pamafunika kuzifufuza mkati mwanu.

Zovala zazikulu zakumaso zimatha kukhala zakuda pazifukwa zazikulu ziwiri: zakunja ndi zamkati.

Zina zakunja ndi izi:

• kuphulika kwa chala - pambuyo pa microtrauma, zotengera zidang'ambika pansi pa msomali, zomwe zimapangitsa kukwiya pang'ono.
• Rubromycosis kapena rubrophytia,
• kuvala nsapato zopyapyala komanso zolimba - nsapato zosavutikira kapena nsapato zazitali zimapanikiza zala, izi zimawononga mitsempha yamagazi ndikuwapangitsa kuti pakhale mawanga pazala zazikulu.
• utoto wakunja wa msomali - nsapato zopanda pake kapena zovala zoyipa zingapangitse kuti msomali ukhale wakuda
• kukhudzana ndi mankhwala amkwiyo pa msomali,
• Interdigital genermophytosis,
• mawanga amtambo pamisomali amawoneka ngati chifukwa cha frostbite.

Ngati chala cham'maso chikuda chifukwa cha zinthu zakunja, ndiye kuti milandu iyi siowopsa komanso yotetezeka kwa moyo. Sizivulaza thupi.

Zomwe zimayambitsa mkati zimanena kuti kuderako kumachitika chifukwa cha matenda osiyanasiyana. Kutsitsa misomali ndi chizindikiro cha kulephera mthupi ndipo muyenera kufunsa dokotala.Zinthu zamkati zimaphatikizapo izi:

• chotupa chachikulu cha chala chachikulu, chomwe chili chachilengedwe - mitsempha yamagazi imayamba kukula pansi pa msomali, chifukwa cha momwe khungu lakuda limapangidwira. Chotupacho chiyenera kuthandizidwa, mwina adokotala amachichotsa. Minofu ikamakula, munthu amamva kusasangalala kwambiri komwe kumasandulika kupweteka,
• matenda a fungal a misomali - muzochitika izi, pali zizindikiro zowonjezera. Msomali umagwa ndipo umachoka, amakhala wopanda phokoso. Khungu lozungulira msomali limakhala lofiirira, limayatsidwa nthawi zonse, nthawi zina ming'alu yopweteka ndi mabala imawoneka. Matenda oyamba ndi fungus amadziwika ndi kuwonongeka kwa misomali ingapo, osati kungokhala chala. Mofananamo, zikhadabo zimavutika,
• Matenda a mtima kapena endocrine system. Nthawi zambiri, toenail imayamba ndi matenda ashuga.

Malo omwe ali pa misomali amatha kukhala osiyanasiyana mosyanasiyana.

1. Mtundu wobiriwira umaonetsa mavuto am'mimba.
2. Malo a bulauni pansi pa toenail amawonetsa kusagwira bwino ntchito kwamkati wamanjenje, kusintha kwakukulu kumachitika mu ubongo.
3. Mithunzi ya buluu imawoneka chifukwa chakuti magazi abwinobwino kupita ku msomali wa msomali amasokonezeka.

Ngati misomali yachita khungu chifukwa cha bowa

Nthawi zambiri, zomwe zimayambitsa khungu zimagwirizanitsidwa ndi matenda a fungal pamisomali. Tizilombo toyambitsa matenda a Candida amtunduwu timatchulidwa pamisomali.

Mapulawo amasintha mtundu, kukhala wakuda, wakuda kapena bulauni pansi pa misomali. Komabe, misomali imagwa mosavuta.

Khungu la zala limakhalanso ndi tizilombo tating'onoting'ono. Imasanduka yofiyira, yokutidwa ndi ming'alu yotulutsa magazi.

Muzochitika izi, muyenera kulumikizana ndi dermatologist.

Zoyenera kuchita ngati wavulala

Chimodzi mwazomwe zimayambitsa madontho pazovala zam'manja ndizovuta. Ngati mwaphonya chala chanu mwangozi kapena mwaponya chinthu china cholemera phazi lanu, thandizo loyamba liyenera kuperekedwa. Izi zikuthandizira kupewa kutaya magazi pansi pa msomali.

Choyamba, muyenera kuyika kuzizira pachala chophwanyika. Itha kukhala paketi ya ayezi, chinthu chilichonse cha ayezi. Ngati mulibe ayezi, bisani phazi lanu m'madzi ozizira kapena ikani chala chanu pansi pa mtsinje.

Ngati magazi atuluka pansi pa msomali, chotsani mosamala. Koma musaiwale za njira za antiseptic. Katundu aliyense ayenera kuthandizidwa ndi yankho la mowa. Ngati tizilombo toyambitsa matenda akunja alowa, matendawa amangokulirakulira. Pang'onopang'ono, mbaleyo imaphukira, mawanga akuda pazovala zam'maso zimatha akamakula.

Mitundu Yosintha

Kudula miyendo kumatha kufotokozedwa molingana ndi njira zingapo. Yoyamba mwa iyo ndi nthawi ya njirayi: yoyamba (koyambirira komanso mochedwa), yachiwiri (chifukwa cha zovuta) ndikubwereza (kubwerezanso). Kugawika kwa kudula mwendo mu shuga kumachitika pokhudzana ndi njira yochepetsera minofu yofewa: yozungulira, ellipsoidal ndi patchwork.

Onjezerani malingaliro periosteum, omwe amatha kukhala ocheperako, aperiostal ndi periosteal (ogwiritsidwa ntchito pochiza ana). Mosasamala kanthu kuti ndi chifukwa chani chomwe adadula miyendo, machitidwe malinga ndi njira yotseka utuchi wamafupa ndiosiyanitsidwa.

Imatha kukhala osteoplastic, periostoplastic, tenoplastic ndi mitundu ina. Kuphatikiza apo, kuduladula chala chakumaso kwa shuga kapena phazi kungachitike.

Osowa kwenikweni, akatswiri amachitapo kanthu kuposa bondo la shuga.

Kudulidwa kumakupatsani mwayi:

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

Madera akumunsi nthawi zambiri amadulidwa chifukwa:

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

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

Mukadulidwa, dzanja lonse kapena gawo lina la nthambi limachotsedwa:

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

Matenda a shuga: miyendo yakuda, ululu ndi zizindikiro zina

Matanga akuda pamiyendo yokhala ndi matenda osokoneza bongo samapezeka mwadzidzidzi.

Monga lamulo, khungu la khungu limayikidwa ndi izi:

• kusintha kwa kama wamabedi azala
• pang'onopang'ono kukula kwakuthwa,
• kutsika kwa khungu kapena mosemphanitsa khungu
• kuwonongeka kwa thanzi lonse (kufooka, kutentha thupi pang'ono),
• redness, peeling, keratinization wa khungu,
• mawonekedwe a kutuphuka kwa miyendo,
• miyendo imakhala yotentha kapena mosinthanitsa kwambiri.

Zizindikiro zonsezi zimayamba kufalikira kwa zala ndi miyendo yotsika, ndikukula pang'onopang'ono. Chonde dziwani kuti kufalikira kwamphamvu kwa gawo lililonse la miyendo kukuwonetsa minofu ya necrosis.

Pankhaniyi, ndikofunikira kufunsa dokotala wa opaleshoni kuti mudziwe zomwe zimayambitsa khungu ndikusankha mankhwala.

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.

Chithandizo cha Fungal matenda

Akadula miyendo, madokotala amayambitsa maphunziro awa:

• Ultrasound ya ziwiya za m'munsi,
• kuphunzira kwa kuzizira kwamitsempha,
• kuyeretsa minofu,
• biopsy ya minofu yowonongeka.

Kuchita bwino kwa mankhwalawa kumayesedwa ndikumayesanso kwachiwiri, komwe kumayesedwa kupezeka kwa fungus spores.

Kwa zovuta zamitsempha yamagazi, chithandizo chimalimbikitsa kubwezeretsa magazi enieni. Kuti muchite izi, lembani vasodilator ndi mankhwala ena, physiotherapy. Chithandizo cha mtima chimachitika ndi phlebologist.

Sonyezani shuga lanu kapena sankhani jenda kuti mulimbikitse

Dziwani kuti odwala onse omwe apezeka ndi matenda ashuga ayenera kukayezetsa mayeso okonzekera, ngakhale atakhala kuti palibe chizindikiro chowoneka.

Pokhapokha motere, ndikotheka kuzindikira zopatuka kwakanthawi kapena kuyamba kwa zovuta.

Kuzindikira kwa zamankhwala kuti mupeze kukhalapo kwamavuto ndi mitsempha yamagazi ndi minyewa yamitsempha kumakhala ndi magawo enaake ndi mayeso.

Chifukwa chake kuzindikira mavuto njira zotsatirazi zikugwiritsidwa ntchito:

1. Ultrasound yamitsempha yama m'munsi.
2. Kuwerenga kwa mitsempha yamatsenga.
3. Kusanthula kwamitsempha yayikulu.
4. Zojambula.
5. Kuzindikira kupsinjika kwa chala.

Kuphatikiza apo, palpation yovomerezeka ya malekezero am'munsi imachitika kuti mudziwe momwe muliri.

Chithandizo cha mankhwala osokoneza bongo ndicholinga chakukulitsa kuunikiridwa kwa ziwiya, komanso kuzindikira zomwe zidapangitsa kuti boma la ziwiya ziwonongeka komanso kuti magazi azitsekedwa.

Kuphatikiza apo, wodwalayo ayenera kuwunika momwe miyendo yake yam'munsi imagwirira ntchito komanso njira zodzitetezera. Limodzi mwa malamulo ofunika ndikuti muzivala nsapato zomasuka, zomwe sizingathandize pamiyendo, kutikita kwake kapena kupanga ma chimanga. Chifukwa chake, ndizotheka kuteteza chitukuko cha purulent abscesses.

Nthawi zina, ngati kupezeka kuti mitsempha yayikulu ikupezeka, opaleshoni ingafunike. Chimodzi mwa izo ndi opaleshoni yodutsa ndi periamaplasty.

Tiyenera kukumbukira kuti odwala omwe ali ndi matenda a shuga ayenera kukhala ndi chithandizo chotsatirachi:

• bandeji wosabala ndi swabs wapadera,
• mankhwala a antiseptic (furatsilin),
• mafuta opatsa thanzi,
• othandizira mafuta ozungulira pamankhwala othandizira.

Choyamba, ndikufuna kunena kuti adokotala okha ndi omwe angadziwitse matenda. Bowa ndi matenda opatsirana kwambiri omwe ndi ovuta kuwachotsa. Kuti muimitse chitukuko ndikupeza zotsatira zabwino kuchokera ku mankhwala, muyenera kutsatira malamulo angapo.

• Mapazi ayenera kukhala oyera nthawi zonse. Ndikofunika kuti nthawi yomweyo muzigwiritsa ntchito zaukhondo mukafika kunyumba.
• Ndikofunikanso kusintha ndikusamba zovala ndi masokosi.
• M'malo opezeka anthu ambiri (dziwe) valani nsapato zanu ndipo musayende opanda nsapato.
• Ndikofunika kwambiri kuti musalole kuti miyendo ikhale yonyowa kwa nthawi yayitali. Mukatha kusamba, muyenera kuwapukuta ndi thaulo komanso tsitsi.

Ngati toenail ili ndi khungu chifukwa chovulala kapena chifukwa cha zinthu zina zakunja, ndiye kuti chilema chake chimatha kukonzedwa mosavuta. Munthu amatha kudikirira miyezi ingapo kufikira msomali utakula.

Ngati mungafune, mutha kupempha thandizo kwa dokotala wakuchita opareshoni. Dokotala akuwonetsa kuti akupanga mankhwala a laser, kenako ndikuchotsa msomali wonse kapena kubaya kuti muchepetse kukakamiza.

Ndondomeko yake ndikuti mbale ya msomali imabedwa ndi singano yofiyira yofiyira, magazi amatuluka kuchokera mkati. Pakupita mwezi umodzi, toenail amwalira, ndipo watsopano amakula m'malo mwake.

Kuboola ndi njira yopweteka komanso yotetezeka.

Kuchotsa mbale yonse ya msomali kumachitika pansi pa mankhwala oletsa ululu. Ngati msomali sunachotsedwe, ndiye kuti ungasokoneze kukula kwa mbale yatsopano, yonse. Kuphatikizana kwa misomali yonse ndikotheka, komwe kumabweretsa zovuta. Ngati ndi kotheka, dokotalayo adzalembera mankhwala omwe amachepetsa ululu ndikuthandizira kuchira. Ndikulimbikitsidwa kuti muphatikize zakudya zamagulu a calcium pazakudya.

Kuti tithane ndi bowa, tikulimbikitsidwa kugwiritsa ntchito mafuta onunkhiritsa kapena mafuta. Izi zikuphatikizapo Exoderil, Nizoral. Kuphatikiza apo, tikulimbikitsidwa kumwa mankhwala antifungal pakamwa: "Ketoconazole", "Fluconazole" "mapiritsi a Terbinafine" (makamaka mapiritsi a gulu la azole ndi omwe adalembedwa).

Mu magawo oyambilira a bowa, zoteteza misomali zodzitetezera zimathandiza: "Lotseril", "Batrafen" kapena mutha kugwiritsa ntchito "Oflomil". Koma mankhwalawa alibe mphamvu pomwe bowa wakhudza kwambiri mbale ya msomali.

Njira za anthu

Ngati misomali yazala zazikulu zakumaso yakuda chifukwa cha bowa, ndiye kuti matendawa amatha kuthandizidwa mokwanira. Koma ndikofunikira kugwiritsa ntchito maphikidwe a anthu atatha kufunsa dokotala. Ayenera kuphatikizidwa ndi mankhwala achikhalidwe, osachotsa.

1. Njira yothandiza kwambiri ndi chithandizo cha ayodini. Msomali wodwala umapaka mafuta kawiri patsiku ndi yankho la ayodini. Pakapita nthawi, ululu udutsa.
2. Makungwa a Oak.
3. Apple cider viniga
4. Mankhwalawa, kusamba kwamapazi kumathandiza. Viniga, potaziyamu permanganate kapena mafuta ofunika akhoza kuwonjezeredwa ndi madzi. Mafuta a mtengo wa tiyi amawonetsa zotsatira zabwino kwambiri.
5. Mkuwa.
6. Birch tar.
7. Mawanga akuda pamisomali ayenera kuthira mafuta ndi Kalanchoe madzi kapena buluji wa bulugamu.

Ntchito zake ndi ziti?

Kuti machiritso a suture akhale achangu, komanso zovuta zina sizikhala zogwirizana, kukonzanso kwathunthu ndikofunikira kwa odwala matenda ashuga. Chifukwa chake, m'masiku oyamba atatha kulowererapo, akatswiri amaletsa njira zotupa ndikuletsa mapangidwe a matenda m'tsogolo.

Gawo lodulidwa la thupi, ngakhale ndi mwendo, phazi kapena chala, limayang'aniridwa kuvala tsiku ndi tsiku, zolimba zimakonzedwa popanda kulephera.

Wodwala matenda a shuga amafunika kutsatira zakudya zapadera, zolimbitsa thupi tsiku ndi tsiku. Kuwonetsedwa komaliza kumatha kukhetsa ngalande zamadzi ndi kupatsira magazi kukhala chophimba cha minofu yathanzi. Tiyenera kukumbukira kuti:

• Pakati pa milungu yachiwiri ndi yachitatu, wodwala matendawa amayenera kugona pamimba yake, pokhapokha pamtunda wolimba.
• Ziwalo zathupi zolimbitsa thupi zimalimbikitsidwa kuti zigwiritse ntchito zolimbitsa thupi kuti zilimbikitse minofu. Tisaiwale za kuwonjezeka kwa kamvekedwe ka minofu ndi kukonzekera kwathunthu kwa thupi kukhazikitsa ntchito zamagalimoto,
• Kuyenera kumathandizidwa kuti muphunzitsidwe pafupi ndi kama, pomwe wodikirira akuyenera kupitilira kumbuyo. Zochita zolimbitsa minofu ya kumbuyo ndi miyendo yam'manja zimachitidwanso.

Ngati ma prosthetics adakonzedwa mtsogolomo, mamangidwe a minofu amayenera kukhalabe olimba, chifukwa opaleshoni, ma algorithm omwe amapita nthawi zonse amakhala akuphwanya.

Matenda a kuduladula kwa mwendo pamwamba pa bondo lero ndi abwino, ndikutheka kochepa kaimfa kapena zovuta zina.

Dokotalayo amatha kuyankha mwachindunji funso loti akukhala bwanji atadulidwa mwendo mu shuga, kutengera mawonekedwe a vuto lililonse.

Nthawi zina, munthu wodwala matenda ashuga samachira.Izi zitha kukhala chifukwa cha ma concomitant pathologies: angiopathy, metabolite wodekha, mavuto mu mawonekedwe a hematopoiesis. Pofuna kupewa zovuta, ndikofunikira kuchitapo kanthu mwachangu komanso popewa kupewa.

Chithandizo choyenera cha suture kapena bala pambuyo pakuchita opareshoni pamafunika. Kwa izi, njira zoterezi zokha zomwe zidalembedwa ndi katswiri zimagwiritsidwa ntchito. Gawo lofunika la chithandizo ndikuwunikira komanso kuwongolera sutures kangapo patsiku. Dziwani izi:

• mankhwala antiseptic monga iodine, mowa, hydrogen peroxide, potaziyamuanganamu kapena chlorhexidine amathandizanso anthu odwala matenda ashuga,
• chololedwa kugwiritsa ntchito zelenka kapena cholowa m'malo mwake (Fucorcin), ndikofunika kugwirizanitsa izi ndi katswiri,
• sutures pambuyo kulowetsedwa amathandizidwa kawiri pa tsiku. M'mikhalidwe yovuta kwambiri, kuchuluka kwa njira kumatha kuchuluka,
• Muzimutsuka bwino musanayambe. Pambuyo pa chithandizo chilichonse, kuvala kosalala kumasinthidwa.

Ndikofunikira kuti mukhale osamala kwambiri pakuchotsa mavalidwe, chifukwa nthawi zambiri amatsatira bala. Izi zikachitika, ndikofunikira kuthirira msoko ndi mtsinje woonda wa hydrogen peroxide, ndikuwachitira ndi yankho la antiseptic.

Wopatsa shuga ayenera kugwiritsa ntchito mafuta apadera, mwachitsanzo, Levomekol, Solcoseryl, mafuta a Vishnevsky, Kontraktubeks ndi ena. Kugwiritsa ntchito mankhwala ochiritsira kotereku kuyenera kupitilirabe mpaka chilondacho ndi ma sutrate atachira kwathunthu ndipo bala litayamba kupepuka.

Kugwiritsira ntchito zomatira zapadera zochiritsa suture pambuyo pa opaleshoni kuyenera kuyang'aniridwa kowonjezereka. Amakhala ndi silicone yamankhwala, oponderezedwa kwambiri pakhungu ndi zipsera, zomwe zimapangitsa kuti minofu yolumikizidwa mwachangu. Silicone yamtunduwu imalola kuti mpweya udutse, zomwe ndizofunikira kwambiri pochiritsa zitsulo pambuyo pakuchita opaleshoni.

Zonsezi zimapangitsa chigamba chotere kukhala chofunikira kwambiri pakuchiza zovuta kwa mabala, makamaka ngati samachira kwanthawi yayitali. Mwayi wowonjezera uyenera kuonedwa ngati kukhazikika komanso kusatulutsa madzi, chinyezi chilichonse. Kuti bala losachiritsika silikukuyambitsa zovuta komanso zotsatirapo zake, ndi bwino kukaonana ndi dokotala.

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.

Ngati munthu wadulidwa, ndiye kuti zotsatirazi zitha kudziwika:

• poizoni wama minofu yathanzi samaloledwa, chifukwa palibe chomwe chimalepheretsa zotsatira zabwino za microflora yakunja, popeza chotupa chidapangidwa,
• Nthawi zambiri miyendo imadulidwa, chifukwa amafunika magazi ambiri,
• Makoma a mitsempha ya magazi amachepera msanga, pamene munthu ayamba kudwala matenda ashuga.

Zithandizo za anthu zimachitika ngati zala zakuda zimafoola ndi matenda ashuga

Ndi miyendo yakuda kuphatikiza ndi mankhwala amchikhalidwe, mankhwala azitsamba ndi abwino kwambiri. Momwe mungachiritsire bala la mwendo mu shuga kunyumba?

1. Tengani masamba atsopano a mandala ndikumatsuka bwinobwino. Osamauma! Chepetsani mpaka osalala. Zotsatira zosakanikirana zimayikidwa ngati mafuta odzola m'malo amdima.

Sungani mafuta odzola kwa maola asanu ndi limodzi kapena mpaka osakaniza atapuma. Bwerezani izi m'mawa ndi madzulo.

2. Tengani mbatata zachichepere ndi kudula mozungulira, popanda kuchotsa peel. Magulu awa amalumikizana ndi miyendo, pamwamba pa chopukutira ndi polyethylene ya chakudya.

Otetezedwa ndi bandeji yodera. Yendani maola 2-5. Ndondomeko akubwerezedwa tsiku lililonse munthawi yonse ya chithandizo.

Yang'anani! Kumbukirani kuti ngakhale njira zina zothandiza kwambiri sizitengera kulowa kwa dokotala ndi chithandizo chamankhwala, koma zimangowonjezera ku chithandizo chachikulu.