Chithandizo cha matenda a shuga angiopathy a m'munsi malekezero

Tikukupemphani kuti muwerenge nkhaniyi pamutuwu: "chithandizo cha matenda ashuga am'madera am'munsi" ndi ndemanga za akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Akatswiri athu a endoprinologist adzakuyankhirani.

Matenda a shuga Angiopathy a M'munsi Otsika: Kubwereza Kwathunthu

Kuchokera munkhaniyi muphunzira: ndiziti zomwe zimayambitsa matenda ashuga a m'munsi komanso chithandizo cha matenda. Zizindikiro wamba, njira zodziwira ndi kupewa.

A shuga angiopathy am'munsi malekezero ndi zovuta za shuga mellitus, momwe mumakhala zowonongeka m'mitsempha yamagazi, mitsempha ndi vuto la miyendo.

N`zosatheka kuchiza matenda opanga matenda a shuga. Koma ndikotheka kuonetsetsa kuti ndikukhazikika ndikupewa zovuta zake: gangrene (necrosis), kuduladula miyendo.

Zotsatira zamankhwala zimatsimikiziridwa makamaka ndi gawo la njira ya pathological, kulangizidwa kwa odwala, nthawi yayitali yofunafuna chithandizo chamankhwala.

Madokotala osiyanasiyana apadera amatenga nawo mbali munthawi yomweyo chithandizo cha matenda a magazi omwe amapezeka m'miyendo ndi matenda a shuga: a endocrinologist, a neurologist, opaleshoni yama mtima onse, komanso a mtima. Njira yophatikizidwa yodziwira matendawa ndikuwathandiza matendawa imathandizira kuti odwala omwe ali ndi matenda ashuga azikhala athanzi.

Pali mitundu iwiri ya angiopathy ya matenda ashuga:

Microangiopathy - momwe ma microvasculature ndi capillaries amawonongeka.
Macroangiopathy - zovuta zimatulutsidwa m'mitsempha ndi mitsempha.

Glucose owonjezera, omwe amapezeka m'magazi mu shuga mellitus, amalowa khoma la chotengera. Izi zimakwiyitsa kuwonongeka kwa endothelium (mkati mwa makoma a chotengera), chomwe chimakhala chovomerezeka kwa shuga. Mu endothelium, shuga amaphulika ku sorbitol ndi fructose, omwe, akaphatikizana, amakopa madzi. Kutupa ndi kukula kwa khoma kumayamba.

Kuphwanya umphumphu wa mtima khoma kumayambitsa kumasulidwa kwa zinthu za magazi kuphatikizika kwa dongosolo (mapangidwe a microtrombi). Komanso, endothelium yowonongeka simupanga mpumulo wa endothelial, womwe umapereka kufalikira kwa kuwunikira kwa chotengera.

Kuphwanya khoma lamitsempha, kutsegula kwa magazi ndi kuchepa kwa magazi - Virchow triad ndi chizindikiro chapadera cha angiopathy.

Izi zimabweretsa kufa ndi njala kwa maselo ndi minyewa, atrophy, kutupa ndi kutsegula kwa ma fibroblasts. Amapangira minofu yolumikizira, kupangitsa matenda a sclerosis (gluing) amitsempha yamagazi.

Pazombo zazikulu, mapangidwe a atherosselotic zolembera amaphatikizira izi.

Udindo waukulu pakubwera vutoli umaseweredwa ndi polyneuropathy - kuwonongeka kwa minyewa ya m'miyendo. Ndi matenda a shuga, pali kusiyana pakumwedwa kwa glucose m'magazi. Mukachepa (hypoglycemia), maselo amitsempha amamva njala. Ndi shuga wambiri, ma radicals aulere amapangidwa, omwe amayambitsa makutidwe ndi okosijeni a maselo ndikupangitsa mpweya kugwedezeka. Zowonjezera za sorbitol ndi fructose zimatsogolera ku edema ya ulusi wamitsempha.

Ngati matenda oopsa (kuthamanga kwa magazi) amawonjezeredwa ndi izi, ndiye kuti pali kuphipha kwa ma capillaries omwe amadyetsa thunthu la mitsempha.

Kuphatikizidwa kwa zinthu izi kumathandizira kukulira kwa njala ya okosijeni ndi kufa kwa mitsempha. Amasiya kufalitsa zamkati mwamphamvu.

Izi olowa ntchito minofu ya m'munsi malekezero a pansi pa limagwirira a matenda a matenda ashuga.

Amayambitsa matenda ashuga angiopathy a m'munsi malekezero

Kukula kwa matenda ashuga angiopathy kumachitika motsutsana ndi maziko a matenda osokoneza bongo a mtundu woyamba kapena wachiwiri chifukwa cha kuchuluka kwa shuga m'magazi komanso lakuthwa, kosalamulika m'magawo a shuga. Mtundu wa 1 wa matenda ashuga, pamene insulin ya amkati sikhala yopangidwa konse, ndizosavuta kuyang'anira mawonekedwe a glucose okhazikika. Ndi mtundu wachiwiri, pamene kupanga insulini mu kapamba ndikosungidwa, koma sikokwanira, maperekedwe oterewa ndiwosapeweka, ngakhale motsatira kwambiri malangizo a chithandizo cha endocrinologist.

Zomwe zimathandizira kukulitsa kwamisempha yamavuto am'magazi a shuga ndi:

insulin kukaniza - minyewa insulitivity insulin,
dyslipidemia - kuchuluka kwa ma atherogenic a lipoproteins,
kunenepa - makamaka visceral, mtundu wamwamuna, ndi mawonekedwe a adipose minofu pamimba ndi ziwalo zamkati,
ochepa matenda oopsa
kuchuluka magazi
zokhudza zonse kutupa
kusuta
kumangokhala
zoopsa pantchito
chibadwire
zaka - zopitilira 45 kwa amuna, 55 - azimayi.

Kugonjetsedwa kwa ziwiya zazikulu ndi zazing'ono kumatha kukula patatha zaka zitatu itatha shuga. Ngakhale zimakonda kuchitika pambuyo pake, pambuyo pa zaka 10-15. Chifukwa chake, atazindikira kuti matenda ashuga akhazikitsidwa, ndikofunikira kuthana ndi kupewa matenda ashuga a shuga.

Zizindikiro za magazi operewera kumiyendo zimayamba pang'onopang'ono. Poyamba, wodwalayo sangamve kusintha kulikonse.

Dinani pa chithunzi kuti mukulitse

Zizindikiro zoyambirira zomwe muyenera kulabadira kuti muphatikizepo:

dzanzi
mapazi ozizira
kukokana
kuchepa kapena kuchepa kwa chidwi,
kupweteka kwa minofu
m'mawa kuuma
"Kuyambira" ululu
Kutupa kwa mafupa, kutupa kwamiyendo ndi kupanikizika kwa nthawi yayitali,
Kuuma ndi kusenda kwa khungu,
kuchepera tsitsi
kumverera koyaka
kusintha ndi kukula kwa misomali yazala.

Ndi kupitirira kwa matenda a m'mitsempha, kutsutsana pang'ono, kuphwanya umphumphu wa khungu, maonekedwe a zilonda zam'mimba. Panthawi imeneyi, simungazengereze komanso kuchedwetsa kubwerera kwa katswiri wazachipatala. Njira zadzidzidzi zimafunikira kupewa atrophy ndi gangrene.

Muzochitika zapamwamba za matenda a shuga mellitus, zovuta za matenda am'mimba zimapangidwa - phazi la matenda ashuga, lomwe limapangidwa ndi mapangidwe osintha a mafupa posintha minofu yofewa.

Phazi la matenda ashuga okhala ndi zilonda zam'mimba

Ndi phazi la matenda ashuga, mabala owonda amakula, amalowa m'matumbo ndi mafupa. Pali kuthekera kwa kusunthika, komanso kuthekera kwakukulu kwa mafupa a phazi, miyendo ndi yopunduka.

Nthawi yomweyo, zotengera za miyendo zimanyozedwa ndikusungidwa - Menkeberg syndrome.

Kupimidwa koyenera kumayesa momwe khungu limakhalira, misomali, kupenda bwino mapazi, malo amtundu wina ndi ofunika. Dokotala amafufuza zamitsempha yamagazi, amayeza kukakamiza pamitsempha ya popliteal and femal, ndikufanizira kufanana kwa zizindikirazo. Imayang'ana kutentha, tactile komanso kugwedeza mwamphamvu kwamiyendo.

Mothandizidwa ndi mayeso a labotale, kupatuka kwamomwe amadziwika.

Njira zazikulu zothandizira kuzindikira ndi kudziwa kuchuluka kwa zowonongeka:

angiography - kuwunika kwa x-ray kwamitsempha yamagazi pogwiritsa ntchito njira yosiyanitsira,
Kujambula kwa mtundu wa Doppler ultrasound - kusanthula kwakunja kwa magazi,
kompyuta kanema capillaroscopy,
ozungulira computer tomography,
magonedwe amatsenga,
fundus kusanthula - mawonekedwe kayendedwe ka magazi kama wodwala.

Kuti mumalize chithunzi chachipatala, funsani a endocrinologist, neurologist, Optometrist, Opaleshoni ya Mtima ndi Opaleshoni Yaonse.

Chofunika kwambiri pa matenda a shuga angiopathy a m'munsi malekezedwe ndi matenda a kagayidwe kachakudya. Popanda kudya, kusankha mokwanira mankhwala ochepetsa shuga komanso kuwongolera mwamphamvu ma glucose, njira zina zonse ndizopanda ntchito ndipo sizingatsogolera zotsatira zomwe mukufuna.

kusiya kusuta
sinthanso thupi
kuthana ndi magazi.

Chithandizo cha Conservative chimagwiritsidwa ntchito kugwiritsa ntchito mankhwala omwe cholinga chake ndi kuthamanga kwa magazi ake komanso magawo ake am'magazi, kagayidwe kazomwe zimakhala.

Pachifukwa ichi, mankhwala a magulu otsatirawa amalembedwa:

Statin - kutsitsa cholesterol ndikumenya dyslipidemia.
Kutanthauza kuthana ndi kuthamanga kwa magazi.
Ma antioxidants - amakhudza bwino magazi.
Oonda magazi.
Angioprotectors.
Zamatsenga.
Zopatsa mphamvu za Biogenic.
Mankhwala osokoneza bongo.
Zodzikongoletsera
Zingwe kukonzanso mphamvu.

Zochizira za polyneuropathy, mankhwala a neurotropic, mavitamini a B, antidepressants amagwiritsidwa ntchito.

Kusankhidwa kwa mankhwala kumachitika payekhapayekha, poganizira zopatuka zomwe zidadziwika.

Opaleshoni imaphatikizapo zolinga ziwiri zazikulu: kubwezeretsa magazi kumadera akumunsi komanso kumasulira malo okufa.

Maselo obwezeretsa minyewa omwe amagwiritsidwa ntchito mu matenda a shuga:

njira yolowerera - yophulika kwa zotengera zazikulu,
kulowererapo kwa mtima - ndi zotupa zosiyanasiyana
kusungunuka - ndi kufalikira kwa nthawi yayitali kupanga njira yopangira ma magazi kuti idutse ziwiya za stenotic.

Ntchito ngati izi zimabwezeretsa magazi m'miyendo ndikulimbikitsa zilonda zam'mimba zosaya.

Lumbar sympathectomy - kudula - kumaphatikizapo kulowerera kwa mitengo ikuluikulu yachisoni m'dera lumbar. Kuchita maopaleshoni oterowo kumachotsa mitsempha ndipo kumapangitsa magazi kulowa m'miyendo.

Mankhwala othandizira opaleshoni - makabudula - amatchulidwa ngati njira yowonjezereka pamene kusintha kosasintha kwachitika, minofu necrosis, kapena gangrene yachitika. Kuchulukitsa voliyumu imatsimikiziridwa kutengera ndi dera lomwe lakhudzidwalo: zala, gawo la phazi, mwendo.

Physiotherapeutic zotsatira ndi njira yothandizira ndipo ili ndi mawonekedwe osakhazikika. Komabe, mophatikiza, zimathandizira wodwalayo.

Physiotherapist atha kulembetsa:

maginotherapy
chithandizo chamatope
kutikita minofu
kusamba kwa phazi.

Zitsamba zamankhwala odwala matenda ashuga angiopathy am'malo am'munsi amatengedwa pakamwa (teti, infusions) ndikugwiritsidwa ntchito kunja (kusamba, compress).

Kumbukirani: mankhwala azitsamba sangabwezeretse mankhwala, koma amangothandizanso ngati adjunct.

Ma infusions azitsamba amalimbikitsa kupanga insulin, kulimbitsa mitsempha ndi chitetezo chokwanira, kusintha ndikukhazikika kwa kagayidwe kachakudya mthupi.

Tiyi ndi khofi zimasinthidwa bwino ndi tiyi wama chicory ndi azitsamba: chamomile, linden, blueberry, kuchokera ku sage, lilac.
Dandelion ili ndi chinthu chofanana ndi insulin. Kuphika: tengani 2 tbsp. l mizu yatsopano kapena yowuma ya dandelion, kutsanulira 800 ml ya madzi otentha, kusiya usiku. Tengani mphindi 10-15 musanadye.

Kusamba ndi clover, Yerusalemu artichoke, kuchokera ku mizu ya khomo lachiberekero loyera pakhungu, kuchepetsa mwayi wokhala ndi zovuta za matenda ashuga angiopathy komanso phazi la matenda ashuga.

Matenda odyetsa amatha kuthandizidwa pogwiritsa ntchito ma compress mu mawonekedwe amafuta azitsamba ndi ma compress amafuta. Zovala zimapangidwa kuchokera: masamba atsopano a calendula, masamba ndi masamba a linden, masamba owonda a nettle. Mafuta opangidwa ndi mafuta samangochiritsa zilonda zokha, komanso amfewetse khungu.

Kukonzekera: 400 g ya mpendadzuwa kapena mafuta a maolivi pang'onopang'ono kumabweretsa chithupsa mu mbale yachitetezo. Onjezani 50 g a njuchi, 100 g wa spruce kapena pine utomoni. Kuphika izi kwa mphindi 5-10, kupewa kuwira. Tenthetsani ndikusunga mafuta omalizidwa m'chipindacho kuti dzuwa lisayende mwachindunji. Ikani chofufumitsa chovilitsidwa ndi kulowetsedwa kwa mafuta kwa bala kwa mphindi 20-30 tsiku lililonse.

10-15% ya odwala amafa chifukwa cha zovuta za matenda ashuga angiopathy, necrosis ndi poyizoni wamagazi (sepsis).

Kutsata njira zodzitetezera kumapulumutsa miyoyo. Kubwezeretsanso magazi m'miyendo ndikotheka ngati zovuta zosasinthika zam'mimba sizinachitike.

Chithandizo cha matenda ashuga a shuga a m'munsi yotsika sikugwira ntchito nthawi zonse, makamaka m'magulu apamwamba. Komabe, izi zitha kupewedwa.

Njira zoyeserera popewa zovuta za matenda ashuga:

shuga
kulemera masanjidwewo
zotheka zolimbitsa thupi,
ukhondo wa kumapazi
pedicure wamankhwala
nsapato zapamwamba
kusiya zizolowezi zoipa.

Kuthana ndi izi zosavuta ndizofunikira kawiri kawiri ndi kawiri kuposa njira zamankhwala zamankhwala opangidwa ndi matenda.

Wayne, A.M. Hypersomnic Syndrome / A.M. Wayne. - M.: Mankhwala, 2016 .-- 236 p.
Strelnikova, Natalia Chakudya chomwe chimachiritsa matenda ashuga / Natalya Strelnikova. - M.: Vedas, 2009 .-- 256 p.
Gurvich Mikhail Mankhwala othandizira odwala matenda ashuga, Terra - M., 2013. - 288 p.

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.

Gulu

Zimatengera zomwe zimatengera matupi ndi ma capillaries omwe matendawa amakhudza.

Matenda ashuga nephropathy (kuwonongeka kwa impso),
Matenda a shuga a retinopathy (vuto lomwe limakhudza maso limadziwika ndi kuwonongeka kwa ziwiya za retina),
Matenda a mtima,
A shuga angiopathy a m'munsi malekezero,
Vascular dementia (kuchepa kwa luso la kulingalira lomwe limayamba chifukwa cha kuchepa kwa magazi kupita ku ubongo).

Magulu owopsa

Matenda a shuga amayambitsa matenda a metabolic ndi mahomoni, omwe amayambitsa kukula kwa matenda ashuga angiopathy. Matendawa amatengera majini ndi mikhalidwe ya munthu. Odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 amadwala mosiyanasiyana. Anthu omwe ali ndi vuto lalikulu kwambiri la mankhwala osokoneza bongo omwe amamwa kwambiri mowa, komanso osuta fodya komanso anthu omwe amagwira ntchito m'mafakitale oyipa, amakonda kuonekera kwa matenda ashuga angiopathy. 20% ya odwala matenda ashuga amapita kuchipatala chifukwa cha zovuta zam'munsi, nthawi zambiri ndimatenda. 50-70% yazosintha zonse zokhala m'munsi zimapezeka mwa odwala matenda ashuga. Zilonda zam'munsi kwambiri (zilonda zam'mimba, matenda oyamba ndi fungus kapena paronychia) zitha kukhala chizindikiro choyamba cha matenda ashuga.

Angiopathy wopezeka mu matenda ashuga 15 * nthawi zambirikuposa odwala opanda matenda a shuga. Matenda a shuga a shuga osagwira matenda osokoneza bongo ndi osowa kwambiri kwa odwala omwe ali ndi atherosulinosis.

* malinga ndi AmericanDiabetesAssociation (American Diabetes Association)

Matenda a shuga-angiopathy

Matenda a diabetes angiopathy amagawidwa m'magulu awiri: micro- and macro-angiopathy:

Macro-angiopathy amakhudza zotengera zam'munsi kwambiri komanso mtima. Ma lipids ndi ma magazi amawunjikana m'mitsempha yamagazi, kutsatira makhoma awo, kutsekereza magazi,
Micro-angiopathy imawononga maso ndi impso. Makoma a mitsempha yaying'ono ya magazi amayamba kufooka, kutuluka magazi, komanso kutulutsa kwamapuloteni.

Zizindikiro

Pakufufuza koyambirira, katswiriyo amasanthula mawonetseredwe azachipatala a angiopathy, omwe amaphatikizapo zizindikiro 6:

Ululu (kupumula, ululu wausiku ndi kuwonda),
Kupanda kugunda (zikhumbo za phazi sizikupezeka, zokopa za popliteal zimakhala zolimba komanso zowoneka)
Poikilothermy (kulephera kulipirira kusintha kwamkati mwa kutentha, kuchepa kwamoto kutentha),
Miyendo yopaka,
Paresthesia
Kufa ziwalo.

Komanso, adotolo adzalembera mayeso otsatirawa:

Kugwiritsa ntchito kafukufuku wa Doppler (Kusintha kwa utoto wa Doppler) - kuyesa kosasokoneza kuyesa kuyeserera kwa magazi ndi kutsika kwa magazi kuchokera /
Photoplethysmography - diagnostics zochokera pakusintha kuwunikira kowonekera kuchokera pakhungu, - amalemba kuphwanya kwa magazi a venous,
Zojambula malekezero apansi amafunikira kwa odwala omwe amayendetsedwa ndi opaleshoni yomanganso ya mtima. Arteriography imachitidwa motsutsana ndi mawonekedwe a zilonda zam'miyendo ndi zolakwika zomwe zikusowa phazi,
X-ray (komanso angiography kugwiritsa ntchito kusiyanasiyana) kuyesa mkhalidwe wamitsempha yamagazi,
Magnetic resonance angiography zoyeserera pogwiritsa ntchito angiopathy, zili ndi mwayi wowonekera chifukwa cha kusoweka kwakufunika kosiyanitsa,
Makompyuta capillaroscopy - pa matenda am'magazi,
Radionuclide scan kugwiritsa ntchito pyrophosphate kungagwiritsidwe ntchito kuwonjezera pa radiology, kuchuluka kwa mayeso kumathandizira kuzindikira osteomyelitis koyambirira.

Kuphatikiza pa mayeso onse omwe ali pamwambawa, wodwalayo ayenera kudutsa:

Kuyesa kwa magazi (maselo athunthu okhala ndi masiyanidwe, ESR),
Urinalysis
Mkodzo, kuyesa kwa magazi,
Mlingo wosefera madzi,
Kuyesa kwa magazi a beta 2 microglobulin (kuwunika kuwonongeka kwa impso),
Mbiri ya lipid (cholesterol, triglycerides, LDL, HDL).

Chithandizo chiyenera Chotsani chizindikiro cha matendawa ndipo imawuma kuti isungitse kuchuluka kwa glucose m'magazi, kukonza magazi ndi kutsika kwa capillary, kutsitsa cholesterol.

Mankhwala

Chithandizo chimasiyana malinga ndi kuopsa kwa nthendayi komanso kupezeka kwa matenda oopsa, monga sepsis, myonecrosis, gangrene ndi osteomyelitis. Nthawi zambiri amagwiritsidwa ntchito:

Maantibayotiki (polimbana ndi zilonda zopatsirana),
Madera (pakuchepetsa cholesterol - atorvastatitis, lovastatin),
Zamatsenga kukonzekera (kukonza mphamvu yamafuta, minofu, trimetazidine),
Kukonzekera kofikira magazi (Asipirin)
Angioprotectors (kuchepetsa mtima edema, sinthani kagayidwe, dicinone, anginin)
Mankhwala osokoneza bongo (okodzetsa - furosemide)
Ma antioxidants ndi mavitamini Gulu B.

Mankhwala omwe amagwiritsidwa ntchito kwambiri:

Dzina lamankhwala	Zomwe zimakhudza	Contraindication	Momwe angatenge	Mtengo (umasiyana malinga ndi dera, tengani mtengo wapakati)
Venoruton	Zimathandizira kusintha kufalikira kwa magazi, kumachepetsa ululu ndi kutupa. Monga chithandizo mzere woyamba wa odwala atherosulinosis ndi matenda oopsa	1 trimester ya mimba	1 kapisozi katatu patsiku kwa miyezi iwiri	Pafupifupi 700 ma ruble 50 ma PC. 300 mg
Trental	Ntchito zilonda zam'mimba, zovuta zamagazi, zotupa za mtima	Hypersensitivity kwa zigawo zikuluzikulu, mimba, zaka mpaka 18	1 piritsi 100 mg katatu pa tsiku	400 ma ruble 100 mg 60 ma PC.
Pentoxifylline	Imathandizira microcirculation, imachepetsa mtima edema	Hypersensitivity, kutenga pakati, myocardial infaration	1 piritsi 2-3 katatu patsiku, njira ya mankhwala - masabata 2-4	160-180 rubles 60 ma PC. 100 mg
Lipoic acid	Amasintha kukula kwa mtima	Mimba, yoyamwitsa	Piritsi limodzi patsiku	35-50 ma ruble 12 mg 50 ma PC.
Cardiomagnyl	Wopyola magazi	Magazi, magazi, mphumu, kulephera kwa impso	Piritsi limodzi kamodzi patsiku	120-290 rubles mapiritsi 30 ma PC. 150 mg

Mfundo za matenda a shuga angiopathy a kumtunda ndi m'munsi malekezero

Mu International Classifier of Diseases, vutoli limapatsidwa nambala 10.5 (ya mtundu 1 wa matenda ashuga) ndi code 11.5 (mtundu 2 wa matenda ashuga). Malangizo othandizira ndi cholinga chochepetsa mtima wa ischemia komanso kukonza kayendedwe ka magazi konse.

Ngati izi sizingatheke, ndipo ma abscesses ndi necrotic malo alipo, chithandizo chimachitika m'madipatimenti opanga opaleshoni ya purulent.

Chithandizo cha matenda ashuga amtundu wa matenda ashuga (omwe pano amatchedwa DAC) cholinga chake ndi kusiya zizindikiritso za matenda oyambitsa matenda: shuga mellitus. Wodwalayo amasintha momwe amakhalira moyo: amakana zizolowezi zoyipa, amayesa kuchepa thupi ndikuwongolera zomwe adadya kale, amagwira ntchito yoletsa miyendo yodwala.

Asanayambe chithandizo chamankhwala ambiri, matenda amawonekera, kuphatikizapo:

Ultrasound yamayiko a zombo,
angiography. Phunziroli limathandiza kumvetsetsa momwe mphamvu ya mtima ilili.

Mwa njira zamakono zochiritsira, ndikofunikira kuwunikira:

lymphomodulation, yomwe imathandizira kusintha kwa magazi a lymph. Njira iyi yosalumikizana imathandizira kuchotsa kutupira kwa minofu,
mankhwala
machiritso olimbitsa thupi
opaleshoni kuchitapo kanthu pamene mankhwala ndi physiotherapy sanapereke kufunika.

Ndikofunika kumvetsetsa kuti DAK samachiritsidwa mwachangu. Komabe, njira zamakono zimapereka zotsatira zabwino ngakhale mu magawo amtsogolo a matendawa.

Kudzicheka kumagwiritsidwa ntchito pokhapokha pazovuta kwambiri (ndi gangrenous lesion of limb limb).

Ndi magulu ati omwe amathandizira odwala matenda ashuga?

Mfundo zazikuluzikulu zamankhwala othandizira ndizotsatirazi:

mankhwala a insulini komanso kuchepetsa magazi: Siofor, Glucofage, insulin ndi Diabeteson. Kuphatikiza chakudya
lipid-kutsitsa mankhwala. Cholinga ndikupanga metabolid lipid. Mankhwala osokoneza bongo: Simvastatin kapena Atorvastatin. Yalandilidwa pakamwa, yayitali,
mankhwala anticoagulant. Cholinga ndikuletsa magazi kuonjezera nthawi yowonjezera. Mankhwala omwe ali ndi izi - Heparin, Enoxaparin. Heparin koyamba mlingo 5000 mayunitsi. ndipo imayendetsedwa mosagwirizana kapena kudzera m'mitsempha. Enoxaparin - mpaka 40 mg / tsiku makolo,
antibacterial chithandizo. Ngati pali umboni,
antiplatelet yaitali mankhwala. Cholinga chake ndi kukonza magazi m'maso. Kumwa mankhwala pakamwa pokha (mg mg / tsiku): Clopidogrel - 300, Dipyridomol - 30-450, Aspirin - 100-300. Mlingo ndi wa payekha,
angioprotectors. Imagwiritsidwa ntchito ngati kuwonjezera pa chithandizo chofunikira kuti magazi azisintha. Xanthinol, Pentoxifylline kapena Alprostan ndi mankhwala. Yotsirizira ndi vasodilator wabwino kwambiri ndikuwongolera mamasukidwe amadzi a plasma. Ngakhale akhanda akhonza kulembetsa,
mpumulo wa chizindikiro chowawa ndi mankhwala othana ndi kutupa (omwe si mahomoni). Ngati sangathandize, ma opioid a mtundu wa Morphine amapatsidwa mlingo wamphamvu,
ukhondo wa kumapazi. Iyi ndi mfundo yofunika kwambiri pamankhwala. Wodwala amayenera kuvala nsapato zomasuka, zosasupuka, kukhala wokhoza kugwira chimanga kapena mabala, ndikuchotsa chimanga.

Mavitamini ndi Mankhwala Oletsa Kuthamanga

Mwa kukonzekera kwa Vitamini, malo a Thiogamma kapena Berlition ndi omwe amapatsidwa. Amasintha bwino magazi ndi kulimbitsa mitsempha yamagazi. Homeopathic mankhwala amatenga nthawi yayitali ndipo amafunika chithandizo chovomerezeka.Mankhwala otsatirawa angathandize kuti mugwiritse ntchito:

Sekale Kortunum. Amagwiritsidwa ntchito pa mtundu uliwonse wa matenda ashuga komanso vuto la gangrene ndi / kapena matenda ashuga (DS),
Graphitis. Chithandizo cha matenda a shuga 2. Palibe zotsutsana. Amawonetsedwa mu chithandizo cha DS,
Arsenic. Amagwiritsidwa ntchito poyerekeza ndi shuga omwe amadalira insulin ndipo amawerengedwa mogwirizana ndi mankhwala ochepetsa shuga. Maphunzirowa amatenga miyezi iwiri kapena kupitirira. Mankhwala alibe mavuto. Koma ndi mankhwala osokoneza bongo, simuyenera kumwa.

Ganizirani zodabwitsa za zochita za mankhwala ofooketsa m'mimba: zimatha kuyipa kwambiri mu masiku oyamba 10-12. Ngati palibe njira yabwino, chithandizo chowonjezereka chiyenera kukambirana ndi kusintha ndi dokotala.

Mankhwala Opangira Opaleshoni

Kuchita opaleshoni ya matenda a shuga angiopathy kumachitika monga njira yomaliza kuti abwezeretse magazi m'matope ndikuchotsa malo omwe atha.

Ngati mitsempha ya malo achikazi kapena popliteal isintha mosasintha, ndipo kuchepa kwake kumawonedwa pamalo opitilira 50%, amalembedwa:

thromboectomy. Potere, zigawo zamagazi zimachotsedwa pamalowo ndikupanga ziwiya. Njira yamakono kwambiri ndi yotsimikizira. Pankhaniyi, malo opanga ma thrombus amalembedwa ndipo pang'ono kumapangidwa m'mphepete mwake. Kenako amaika catheter yapadera, yomwe imatulutsa magazi,
manjenje. Awa ndimagulu apadera omwe amapanga kulumikizana ndi ziwiya zapafupi. Opaleshoniyo ili ndi zotsutsana zambiri,
endarterectomy. Kuchita uku kumaphatikizapo kuyeretsa phula la atherosselotic ndi dokotala wa opaleshoni kuchokera mkati mwa khoma la mtima. Zotsatira zake, kuunikira kwa mitsempha kumawonjezereka, kulola magazi kuzungulira momasuka. Nthawi zina kuphatikiza ndi opaleshoni yam'mbali,
profundoplasty. Amafotokozera kuti ischemia ya ntchafu yapamwamba ndi yovuta kwambiri, pamene mafupa amtundu wa atherosulin amachepetsa lumen ya mwendo kuti magazi asalowe. Tanthauzo la ntchitoyo ndikuwonetsetsa kuti malembawo achotsa chitseko champhamvu ndikuwonjezera mulifupi mwake ndi chigamba. Chiwopsezo ndichochepa: zosakwana 1%,
kununkha. Pogwiritsa ntchito mawaya apadera (stent), mabotolo omwe ali m'sitimayo amakulitsidwa. Chipangizocho chimawongoleredwa ndi baluni yapadera pamalo ovuta, ndipo iye, akukulitsa chiwonetserocho, amakhala pomwepo mpaka kalekale,
balloon dilatation. Cholembera chokhala ndi buluni yaying'ono kumapeto chimayikidwa pobowola pakhungu. Amaseweredwa pamalo oyenera, kutsekeka kwa zolembazo kumachitika, ndipo mawonekedwe a chotengera amayambiranso. Koma, popeza pali kuthekera kwa kubwereza kwa stenosis, opareshoni iyi imathandizidwa ndi kununkha.

Mukazindikira matenda am'mimba, ziwalo zam'munsi, mwatsoka, zidzadulidwa.

Purulent foci ndi necrosis ya maselo amisempha amafunidwa kuti atulutsidwe. Ntchitozi zimaphatikizapo kutsegula gawo loyang'ana matenda opatsirana ndi kutsitsa (kuyeretsa). Chithandizo chotere sichingathetse vutoli, koma sichingolole njira yachiyeretso kufalikira.

Njira zamakono zolimbitsa thupi

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Physiotherapy imakhala ndi njira zingapo zosiyanasiyana pogwiritsa ntchito zinthu monga thupi ndi kuwala, mpweya ndi mphamvu yamagetsi, madzi ndi kutentha. Njira zamakono zikukonzedwa mosalekeza. Chitsimikizo chachikulu pakuchiza kwa angiopathy cha malekezero chimayikidwa pa electrophoresis ndi ultrasound.

Kuphatikiza apo, zotsatirazi zitha kulembedwa:

Chithandizo cha maginito ndi matope,
kusamba kwamapazi ndi kutikita minofu (zida zamakono kapena zamanja),
mafunde a sinusoidal
lymphodulation
mankhwala a decimeter: amakhudza malo a shin.

Kuti mulimbikitse ntchito ya pancreatic, electrophoresis yogwiritsira ntchito mankhwalawa imathandizanso: nikotini acid, Heparin, magnesium ndi potaziyamu kukonzekera. Ndondomeko akuwonetsa kwa odwala matenda ashuga okwanira. Kutalika - magawo 10-12 komanso mchipatala okha.

Kodi kuchitira wowerengeka azitsamba?

Njira zina zochiritsira zingagwiritsidwe ntchito ngati njira zina zochizira DAK:

camomile. Zimathandizira kubweretsanso shuga pachikhalidwe ndipo imakhala ndi antimicrobial ndi diaphoretic kwenikweni, imachepetsa matumbo. Chinsinsi: supuni 1 imodzi mankhwala chamomile (kapena matumba atatu otayika okonzedwa) kutsanulira madzi otentha (1 chikho) ndikusiya kwa mphindi 20. Chifukwa buku linagawidwa 2 Mlingo wa 100 ml asanadye. Itha kugwiritsidwa ntchito ngati compress m'malo owawa,
sage. Mtengowo umatha kusintha matenda a insulin ndikusintha chitetezo chokwanira. Chinsinsi: supuni ziwiri zonse Masamba a zopangira atha kutsanulira 400 ml ya madzi otentha ndikusiya 1 ora. Tengani tiyi: theka chikho musanadye. Malonda ake azikhala tsiku lonse,
dandelion. Kukonzekera yankho kuchokera ku mizu ya mbewu ndikulimbikitsidwa tsiku ndi tsiku. Chinsinsi: 1 tbsp. wosweka mizu 1 tbsp. madzi otentha. Mutha kumangodya masamba a dandelion atsopano. Kuti muchite izi, tsukani masamba 5, aduleni ndikuwonjezera kukoma theka la supuni ya mafuta a masamba,
calendula. Amawonetsedwa ngati matenda amtundu wa khungu ndi atherosulinosis, chifukwa ali ndi mphamvu yotsatsira matenda. Pofuna kuchiritsa khungu kapena zilonda za pakhungu, pakani madzi a mbewu. Ma compress amapangidwa kuchokera kwa iwo. Mutha kugwiritsa ntchito mafuta. Chinsinsi: kuwaza 100 ga mbewu maluwa ndi kutsanulira 2,5 tbsp. mafuta a mpendadzuwa (otentha kwambiri, koma osawiritsa). Pambuyo pa milungu iwiri yakuumirira, mafuta ali okonzeka.

Kutsiliza pa ultrasound ya ziwiya zamiyendo ndi manja

Kujambula kwa Ultrasound kumapereka chithunzi cha zombo.

Ngati mupita munjira mu chipinda cha ultrasound, zotsatira zake zimaperekedwa mwa lingaliro lolemba. Ndikosavuta kudziwa nokha.

Dokotala wanu adzafotokozeranso malongosoledwewo, adzakulangizaninso chithandizo chotsatira (ngati pakufunika). Ngati phunziroli likuchitika ndi dokotalayo iyemwini, ndiye kuti zotsatira za kusanthula ndi kufufuzako zizipangidwa nthawi yomweyo.

Momwe magazi amayendera amayesedwa ndi izi:

Kusiyana kwa kuthamanga kwa magazi komwe kumalembedwa m'khosi ndi phewa. Chowerengedwa ndi 0.9. Makhalidwe otsika akuwonetsa stenosis yomwe ilipo,
kutalika kwa magazi m'mitsempha yachikazi ndi mwendo wotsika,
mtima kukana
makulidwe a mtima,
kuchuluka kwa miyendo.

Tiyi ya Chamomile

Mu pharmacy mungathe kugula maluwa a chamomile m'matumba a 20 zidutswa. 2 sachets kutsanulira 250 ml ya madzi otentha, mulole iwo brew kwa ola limodzi, muyenera kumwa chamomile tiyi odzazidwa kamodzi patsiku. Chamomile ali ndi mphamvu yotsutsa komanso yotupa.

Sage tiyi

Sage ndi antioxidant wamphamvu yemwe amalimbitsa chitetezo cha mthupi. 2 zonkitsa zophika za sage kutsanulira 250 ml ya madzi otentha, mulole brew kwa ola limodzi, tiyi ndi tchire liyenera kumwedwa katatu pa tsiku.

Sage contraindified pakati akazi onyamula, komanso anthu okhala ndi hypotension.

Malangizo othandiza: sikofunikira kugwiritsa ntchito chamomile ndi tchire monga njira zazikulu zopangira tiyi ndi infusions. Mutha kusankha zitsamba zina zomwe zimachepetsa kagayidwe, mwachitsanzo, ginseng ndi dandelion zimachepetsa mawonetseredwe a kulephera kwa mahomoni, ndipo elecampane idzasintha kagayidwe kazakudya.

Odwala omwe ali ndi matenda a shuga angiopathy ayenera kukana khofi.

Calendula compress

Sakanizani masamba a calendula ndi masamba a linden ndi masamba a nettle (supuni 1 yodyera iliyonse), nadzatsuka mapazi anu ndi madzi ofunda, gwiritsitsani osakaniza ndi zilondazo, kukulani mapazi ndi gauze (osati zolimba). Pafupipafupi kugwiritsa ntchito ndi 2-3 pa sabata, kutalika kwake ndi pafupifupi mphindi 20. Mukatha kugwiritsa ntchito compress, tsitsani mapazi anu ndi madzi ofunda.

Malangizo othandiza: pa compress, mutha kugwiritsa ntchito zosakaniza monga spruce kapena pine resin (50 g) wosakanizidwa ndi njuchi (20 g) ndi mafuta a masamba (200 g), ziwiya zonse ziyenera kusakanizika ndikuphika pamoto wochepa kwa mphindi 5, kenako kuzizinga mu wosabala yopyapyala ndi ntchito zilonda kwa mphindi 10.

Kuchiritsa osambira

Pokonzekera malo osambira, mutha kugwiritsa ntchito clover, udzu wa tirigu, wopeza, Yerusalemu artichoke.

Chinsinsi chake ndi chosavuta: kutsanulira 50 magalamu a zitsamba zilizonse ndi madzi okwanira 1 litre. Kuumirira kwa ola limodzi. Choyamba muyenera kuyimba kusamba ndi madzi ofunda (pafupifupi madigiri 35), kutsanulira mu decoction, nthawi yosamba ndi mphindi 15. Njira ya chithandizo nthawi zambiri imakhala pafupifupi milungu iwiri (ngati mumasamba masiku awiri onse).

Kupewa

Mulinso njira izi:

Kutsitsa magazi komanso kuwongolera,
Chithandizo chowawa
Chithandizo cha matenda aliwonse
Kuchepetsa mikangano ndi kukakamizidwa,
Kubwezeretsa kutulutsa magazi koyenera.

Odwala ambiri omwe ali ndi matenda ashuga amatha kupewa zilonda. Njira yophatikizidwira imaphatikizanso kuchepa thupi, kuchita masewera olimbitsa thupi (kutengera kulekerera) komanso kusuta fodya komanso kumwa mowa. Kukhala waukhondo tsiku ndi tsiku ndikofunikira kuti muchepetse chiopsezo cha zilonda. Zokonda ziyenera kuperekedwa kwa nsapato zachikopa zenizeni ndi masokosi a thonje, kusamba kotsitsimutsa tsiku lililonse kumakhala ndi zotsatira zabwino.

Mtundu wosangalatsa wokhudza kutikita minofu kwa ashuga

Zakudya ndi masewera

Zakudya zabwino za anthu odwala matenda ashuga zimaphatikizapo zakudya zosiyanasiyana:

Zamasamba
Mbewu zonse
Zipatso
Mpunga, bulwheat, bulgur, quinoa,
Skim mkaka,
Nyemba
Zakudya za nyama (nkhuku, nkhuku),
Nsomba.

Malonda a Trigger sayenera kuphatikizidwa:

Mashuga osavuta komanso chakudya,
Zakudya zophika, zamchere, zouma,
Yotentha kapena zokometsera
Nyama yofiyira.

Osanyalanyaza mavitamini. Makamaka mavitamini D ndi B mavitamini. Amagwira gawo lofunikira mu thanzi la mitsempha. Kuperewera kwa Vitamini B12 kumabweretsa kuwonongeka kwa mitsempha.

Malangizo othandiza: Idyani nthawi zosachepera 5 patsiku m'magawo ang'onoang'ono. Musaiwale za madzi - osachepera malita 1.5 patsiku.

Osanyalanyaza zolimbitsa thupi. Mumakonda masewera monga yoga, kuyenda mwachangu, qigong, kupalasa njinga. Zochita zilizonse zopepuka zitha kuchita, kaya ndikuyenda ndi galu kapena kusambira. Chachikulu ndikuwonetsetsa kuti mumawachita tsiku lililonse.

Mu magawo oyamba a matenda a shuga zotheka kuchira. Pokayikira pang'ono matenda, ndikofunikira kupita kuchipatala. Njira yolumikizidwa yolondola ndi upangiri waukadaulo zithandiza kuthana ndi matendawo.