Dongosolo la kupewa matenda a shuga

Mawu akuti "phazi la matenda ashuga" amatanthauza kuphatikiza kwa kusintha kowawa m'mitsempha, mafupa, minofu ndi mitsempha yamagazi m'magazi opunduka a shuga.

Izi zitha kutsogola kukula kwa girisi la miyendo.

DS ndi imodzi mwazovuta zazikulu za matenda ashuga.

Kodi matenda ashuga a phazi amayamba liti?

Chimodzi mwamavuto a shuga ndi kuphwanya kwa magazi. Ndipo, choyambirira, izi zimagwira ntchito kumadera otsika.

Popanda chakudya chokwanira, khungu limakhala pachiwopsezo chovulala. Pankhaniyi, kuchira kumayenda pang'onopang'ono.

Kuphatikiza apo, odwala matenda ashuga samaloleza nyengo ya chisanu, ngakhale sizimayambitsa mavuto apadera kwa anthu athanzi. Kuphwanya kwa kutsekeka kwa mitsempha kumapazi kumatchedwa matenda a shuga. Munthu amasiya kumva kukhudzika pakhungu kuchokera kutentha kapena kutentha pang'ono, kuvulala pang'ono, etc.

Munthu wathanzi, akumva kuwawa, amatha kuchitapo kanthu pakapita nthawi. Odwala matenda ashuga amapatsidwa mwayi uwu. Nthawi zambiri samalabadira kukhumudwa, mabala ndi mabala ang'onoang'ono mpaka malo a khungu atakhala ndi kachilomboka ndikukula.

Vuto lina: ndi polyneuropathy, khungu limalephera kutuluka thukuta ndipo limakhala louma nthawi zonse. Kukhazikika kwa khungu pang'onopang'ono kumabweretsa zilonda. Popeza zotupa zotere siziphatikizana ndi ululu uliwonse, munthu samachita zinthu mokwanira ndikudzigwira yekha mowopseza kuti adzadulidwa.

Zinthu zotsatirazi zimathandizira mawonekedwe a phazi la matenda ashuga:

• kuwonongeka kwa impso (nephropathy). Zimatsogolera kutupira kwa miyendo. Nsapato wamba zimakhala zopsinjika, zomwe zimatha kubweretsa mabala ndi scuffs. Malo owonongeka oterowo, ngati sanatenge njira zoyenera, amakhala ndi zilonda zam'mimbamo.
• mavuto amawonedwe. Munthu wosaona sangathe kuwona kumene akupita. Nthambi yokhayokha kapena mwala utakulungidwa pansi pa mapazi anu umatha kuvulaza kwambiri.

Mfundo za kupewa phazi la matenda ashuga mu shuga

Njira zilizonse zodzitetezera ku matenda ashuga zimayamba ndi kuzindikiritsa zomwe zimayambitsa zilonda:

• matenda am'miyendo,
• matenda a shuga a m'mitsempha,
• kutupa
• Kusintha kwa mapazi.

Ngati palibe zoopsa, tanthauzo lenileni la kupewa limachepetsa kuphunzitsa wodwala pazisamaliro zam'mapazi, kusankha koyenera nsapato ndi insoles.

Nthawi yomweyo, munthu sayenera kuyiwala za kuyesa kwa ngozi zapachaka.

Pamaso pa zoopsa, kupewa kumabweretsa zotsatirazi:

• maphunziro osamalira khungu la kumapazi,
• mayeso azachipatala,
• mwina kuvala nsapato zapadera komanso zovala.

Pafupipafupi mayeso azachipatala pankhaniyi amakhala ochulukirapo kuposa momwe zimakhalira pangozi.

Mfundo zazikuluzikulu zopewera DS ndi motere:

• kulembetsa kovomerezeka kwa odwala onse omwe ali ndi endocrinologist komanso muofesi ya odwala matenda ashuga,
• munthawi yake anayamba chithandizo cha neuropathy ndi mavuto a mtima. Chofunika ndikuchotsa ming'alu ndi abrasions pakhungu,
• ngati kusokonezeka sikungathetsedwe, kuvala nsapato zamafupa,
• kukhazikitsa ntchito zochizira zolimbitsa miyendo,
• ntchito kukonza chitetezo chokwanira.

Malangizo onse sangakuthandizeni kukwaniritsa zotsatira zabwino ngati matendawo sanalipiridwe.

Kufunika kwa Kulimbana ndi Matenda Ati Awa shuga

Kubwezeretsanso shuga ndicholinga cha wodwala aliyense. Iliyonse imakhala ndi tanthauzo lake lenileni la “glucose” lomwe likufunika kuti likwaniritsidwe.

Chiwerengerochi chatsimikiziridwa ndi adotolo, poganizira zaka za wodwalayo, kuopsa kwa matenda ashuga, zomwe zimagwirizanitsidwa ndi pathologies, thanzi labwino.

Odwala, monga lamulo, amachita kuwunika kwa zizindikiro za shuga pogwiritsa ntchito glucometer.

Kutsatira zakudya zapadera komanso kumwa mankhwala ochepetsa shuga ndi zinthu zofunika kwambiri popewa matenda ashuga.

Zaukhondo

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Chodabwitsa chovulala mwendo mu matenda a shuga ndi kuti nthawi zambiri amakhala osapweteka. Nthawi yomweyo, mabala amachiritsa kwambiri. Izi zikufotokozedwa ndikuchepa kwakumverera, komanso kuphwanya magazi.

Inde, izi siziri kuonedwa mu mitundu yonse ya odwala matenda ashuga, koma ndibwino kuti musabweretse zilonda zosaletsa. Izi zili ndi zovuta zowopsa. Tiyeneranso kukumbukiranso kuti chisamaliro chapansi ndichimodzi mwazinthu zopewera kupewa "phazi la matenda ashuga".

Ndikofunikira kutsatira malamulowa:

• mukadula misomali, samalani, iduleni ndikuyenda koyenda kwa fayilo ya msomali. Simungadule ngodya za misomali. Musamagwiritse khungu loyipa la mapazi ndi mankhwala ndi zinthu zakuthwa. Ndikofunika kuti mugwiritse ntchito mwala wa pumice mukasamba kofunda pamapazi.
• Onetsetsani kuti mapazi anu ndi oyera. Sambani tsiku lililonse ndi madzi ofunda a sopo,
• khungu la miyendo liume, liwikeni mafuta (osakhudza malo ophatikizika) ndi kirimu wamafuta.
• pewani kuyenda opanda nsapato kuti mupewe kuvulala mwangozi,
• Osamagwiritsa ntchito zamagetsi, kuwotcha mapiritsi kumapazi anu, kapena kukhala pafupi ndi radiator. Gwiritsani ntchito kutentha kwazolimbitsa thupi, kutikita minofu kapena masokisi ofunda,
• Musaiwale kuti miyendo ikuyenera kuyesedwa tsiku ndi tsiku. Ngati ming'alu, zilonda kapena zisindikizo zikuwoneka, nthawi yomweyo funsani katswiri,
• pakavulala mwangozi (mikwingwirima, mabala), athandizireni mankhwala ophera tizilombo toyambitsa matenda (Dioxidin, Furacilin, hydrogen peroxide), atatha kuvala kofiyira kosalala kapena kumangirira bandeji yokhala ndi bactericidal. Pewani kugwiritsa ntchito potaziyamu permanganate, ayodini kapena wobiriwira wanzeru. Ndalama izi zimayambitsa kuyaka, kuchiritsidwa kumayamba pang'onopang'ono. Kuphatikiza apo, madalaivala a bala amalepheretsa kuwonedwa kwa njirayi. Nthawi yayitali kwambiri yochiritsira kuyambira masiku 10 mpaka 14. Ngati khungu silikuyenda bwino, ndiye kuti mukuyenera kukaonana ndi dokotala.

Mtundu Wosankha Nsapato

Malamulowa amagwira ntchito osati kwa odwala matenda ashuga okha. Munthu aliyense akhoza kuwatengera iwo ku ntchito. Mfundo zikuluzikulu zosankha ndizotsatirazi: kupeza nsapato kuti azikhala pansi ngati chovala, osavulaza khungu, osapanga ma scuffs, chimanga ndi zilonda. Mwachilengedwe, anthu omwe ali ndi matenda ashuga sayenera kulotanso za nsapato za nsapato zazitali-masentimita 12.

Makamaka, kuvala nsapato zapadera ndizofunikira kwa anthu omwe ali ndi zovuta izi:

• kutayika kwakukulu m'mapazi,
• kuwonongeka kwa ziwiya zamiyendo ndi atherosulinosis,
• Kusintha kwa mapazi,
• kukhalapo kwa zilonda zam'mimba komanso (kapena) kudulidwa.

Nazi mfundo zazikuluzonse posankha nsapato:

• Zinthu zomwe amapangira nsapato ndi zikopa zapamwamba kwambiri. Pankhaniyi, chiwopsezo cha kumbuyo kwa phazi chimachepetsedwa. Nsapato zokhala ndi chala chopyapyala kapena cholimba kwambiri siziyenera kuvala. Izi zimatsogolera kuti kufalikira kwa kulemera pamapazi sikulakwa, zala zimapanikizika, ndipo chiwopsezo cha kuvulala pamiyendo chikuwonjezeka,
• simungagule nsapato zokhala ndi msoko wowuma komanso wolimba wamkati,
• Sankhani nsapato zokwanira mokwanira kuti pakhale malo okwanira kuyika insoles orthopedic. Zingwe zolimba ndi zoluka sizingagwiritsidwe ntchito,
• nsapato siziyenera kukhala zotayirira kwambiri pamapazi, chifukwa izi zimatha kuyambitsa ma scuffs ndi callus
• mau abwino ndi owuma. Kutalika kwenikweni kwa chidendene ndi masentimita 4. Nsapato za nsanja ndizoyenera. Osangokhala otetezeka, komanso okongola,

Valani nsapato mosamala kwambiri. Masiku atatu oyamba, valani chinthu chatsopano kunyumba. Osagwiritsa ntchito masokosi onyowa chifukwa chovala sichotetezeka pakhungu. Kupita mu nsapato zatsopano, pewani kuyenda kwakutali. Kuyenda mchinthu chatsopano tsiku lonse ndikosayenera.

Onetsetsani kuti mukavala mkati mwa nsapatozo mulibe zinthu zakunja, ndipo masokosi sisonkhana m'mizere. Ndikofunika kugwiritsa ntchito zovala zapadera zopangira matenda ashuga.

Musaiwale kuyang'anitsitsa mapazi. Maonekedwe ofiira pakhungu kumawonetsa kuti nsapato sizikukwaniani. Kuzindikira kumachepa, chifukwa chake, zilonda zimatha kuwoneka m'malo awa nthawi yayifupi. Ndinawona china chonga ichi - funsani dokotala, mu ofesi ya odwala matenda ashuga.

Dokotala mayeso

Kuti DS apezeke panthawi yake, onse odwala matenda ashuga ayenera kukayezetsa mayeso chaka chilichonse.

Pamaso pa zoopsa, pafupipafupi kamodzi pamiyezi 6 mpaka 6, pamene chisamaliro chapadera chikuyenera kulipidwa kumalo opunduka ndi malo omwe ali pachiwopsezo.

Izi zimapangitsa kuti azitha kuyendayenda mokhudzana ndi kuthekera kwa DS ngakhale kwa odwala omwe samapereka madandaulo.

Malangizo ena popewa zovuta

Chinthu chinanso chopewa kugwiritsa ntchito mankhwalawa. Ndizosavuta kunena kuti ichi ndi chithandizo, chifukwa sizokayikitsa kuti chitha kuyimitsa gangore yomwe ndi kulowetsedwa kwa zitsamba zamankhwala.

Koma kupewa kuteteza zilonda zopatsirana pogwiritsa ntchito mankhwala achilengedwe ndizotheka.

Zomera zazomera monga motsatizana, bulugasi, celandine kapena St. wort zimatha kuthana ndi madzi. Kuti muchepetse corneum ya stratum, mutha kugwiritsa ntchito mafuta achilengedwe: maolivi, cypress, mpendadzuwa kapena chamomile.

Kupititsa patsogolo kukonzanso kwa khungu kumathandiza uchi wamba.

Makanema okhudzana nawo

Opaleshoni, dokotala wa sayansi ya zamankhwala popewa matenda ashuga odwala matenda ashuga:

Matendawa odwala matenda ashuga - chowopsa kwambiri cha matendawa, omwe amadwala ndikadulidwa. Komabe, izi sizikutanthauza kuti sizingatheke. Ngati njira zonse zodzitchinjiriza zimachitidwa, chiopsezo cha gangrene chimachepetsedwa.

Chachikulu ndikufunsira kwa dokotala munthawi kuti awononge miyendo. Zovala zazovala zamakono komanso mankhwala amakulolani kuti musiye msanga njira ndikuthandizira kuchira kwa khungu. Simungadalire mapiritsi ena ozizwitsa.

Mthandizi wabwino pazachipatalachi ndi zakudya zama carb otsika, zomwe zimakupatsani mwayi wobwezeretsa shuga m'magazi, mwa anthu athanzi. Mwina iyi ndiye njira yabwino yopewera zovuta, kuphatikizira DS.

Zomwe njira zopewera zimafunikira

Oposa kotala limodzi la anthu odwala matenda ashuga amakhala ndi matenda ashuga apakati (SDS). Okalamba akamadwaladwala komanso amatha kudziwa zambiri za matendawa, nthawi zambiri pamakhala zovuta zina. Makoma a zotengera ali ndi vuto la kusowa kwa mpweya, glucose salowa m'maselo, chifukwa, kuwunikira kwa magazi kumachepa kwambiri, magazi amayenda pang'onopang'ono, mawonekedwe a magazi. Minofu minofu, mathero a mitsempha samalandira okosijeni ndi zakudya zofunika. Zilonda za trophic zimachitika, chidwi cha mapazi chimakhala chodwala, ntchito yoteteza khungu limachepa (ambiri odwala matenda ashuga amatenga matenda oyamba ndi miyendo yawo).

Mawonekedwe owonjezera a glucoseemia samalola wodwala kuti asamalire zazing'ono zowonongeka pakhungu (scuffs, mabala, ming'alu, chimanga) pa nthawi. Zofooka zofooka zimakwiyitsa kuchiritsa kwa microtraumas, matenda ophatikizika amatsogolera pakukulitsa chilonda, mapangidwe a zilonda zam'mimba. Mavuto owononga a minofu yokhala pansi kwambiri nthawi zambiri amatha ndi matenda am'mimba, kumeta dzanja, kugwiritsa ntchito nthawi yayitali mankhwala osokoneza bongo, kuledzera kwambiri kwa thupi. Milandu yomwe idakhazikitsidwa imatha kupha.

Maupangiri a Diabetesic Sy Syndrome

Mfundo za njira yothandizira, zaka zambiri zokumana ndi madokotala a podiatric kuthandiza odwala omwe ali ndi matenda ashuga, ndizo maziko a memo. Imafotokoza njira za chisamaliro cha suborthortic, kuphatikiza kutsatira malamulo osavuta omwe aliyense angathe kuwapeza. Kupewa matenda am'magazi a shuga kunyumba ndikosavuta kukhazikitsa. Kukwaniritsa mosamalitsa kwa zofunikaku kulola odwala omwe ali ndi vuto la matenda ashuga kwa nthawi yayitali kuti ateteze zotupa zamiyendo, kupewa minofu necrosis ndi gangrene.

Kusamalira miyendo

1. Popewa SDS, ukhondo waumwini ndikofunikira: kusambitsa mapazi anu ndi madzi ofunda kawiri patsiku (m'mawa ndi madzulo), kugwiritsa ntchito zofukizira zofewa ndi antibacterial, ndikuwapukuta pang'ono pang'ono.
2. Ndikulimbikitsidwa kuyang'anitsitsa khungu la mapazi tsiku lililonse kuti muvulaze zazing'ono (chimanga, ming'alu, zipsera) ndi matenda oyamba ndi fungus kuti muchepetse matenda a microtraumas munthawi. Zochizira mabala, simungagwiritse ntchito kukonzekera kwa zakumwa zoledzeretsa (iodini, wobiriwira wanzeru), ndibwino kuti m'malo mwake muzikhala yankho lamadzimadzi a chlorhexidine, miramistin, 3% hydrogen peroxide. Mukamadula misomali yanu, yesetsani kuti musasiye mbali zakuthwa kuti zisakhumudwitse kukula kwa msomali m'matumba ofewa a chala.
3. Khungu lowuma la miyendo limafuna hydrate wokhazikika ndi zakudya - gwiritsani ntchito zonona zambiri zokhala ndi mafuta achilengedwe, mankhwala azitsamba azitsamba, mankhwala othandizira. Sanjani zonona mosamala m'malo ophatikizika. Kuchepetsa chinyezi kumayambitsa nyengo yabwino pakukula kwa fungal maluwa.
4. Mafoni sangadulidwe! Ndikwabwino kugwiritsa ntchito njira zamakono modekha, kapena kufunafuna thandizo kuchokera kwa akatswiri.
5. Kanani kuvala masokosi opanga - thukuta la kumapazi, ndipo chinyezi sichichotsedwapo bwino. Perekani zokonda pazinthu zopangidwa kuchokera ku zinthu zachilengedwe popanda zomangirira zolimba zomwe zimasokoneza magazi.

Zakudya zoyenera

Kuti muchepetse kuwonongeka kwa shuga pamafuta ndi mitsempha yamagazi, ndikofunikira kuti shuga ikhale m'magazi. Makamaka kwa odwala matenda ashuga, zakudya zomwe zimakhala ndi zakudya zochepa zamafuta zimapangidwa - tebulo Na. 9. Zakudya zopezeka kawirikawiri m'magawo ang'onoang'ono azakudya zimathandiza kuti shuga azikhala pakati pa 6-7 mmol / L. Zosungirazo zimakhala ndi ndiwo zamasamba, zipatso zopanda zipatso ndi zipatso (maapulo wowawasa, ma jamu, kiranberi), msuzi wopendekera, chimanga, nyama yodontha. M'malo mwa shuga, m'malo mwa shuga (xylitol, sorbitol) amagwiritsidwa ntchito. Zakudya zamafuta, zophika, makeke, zipatso zotsekemera (mphesa, nthochi, mavwende), zakumwa zoledzeretsa ndi kaboni, chokoleti sichimayikidwa.

Moyo wathanzi

Chitetezo champhamvu chimathandiza thupi kumenyana ndi tizilombo tating'onoting'ono, kuchira msanga, komanso kusunga odwala ali ndi thanzi labwino. Pali njira zambiri zothandizira chitetezo chathupi:

• kudya mavitamini
• kupsinjika
• amayenda mumweya watsopano,
• zolimbitsa thupi zolimbitsa thupi
• kusambira.

Zolimbitsa Thupi & Zolimbitsa Thupi

Kuti matenda achepetse magazi, kumva kupweteka kwamiyendo, kuchepetsa ululu, kupsinjika kwamiyendo ndi masewera olimbitsa thupi apadera. Kuchita masewera olimbitsa thupi osavuta (kusinthasintha - kuwonjezera, kufinya zala, kuzungulira mozungulira) ndizosavuta kunyumba. Chofunikira ndikuti mayendedwe ake asakhale akuthwa, opweteka, komanso pakudzipaka nokha, ndikofunikira kuti m'malo mwa kupukuta mwamphamvu ndi knowing yopepuka.

Kutula miyendo

Kunenepa kwambiri, ntchito yoimirira, yonyamula katundu wolemera imakulitsa katundu pamiyendo. Yesani kupuma mokwanira, khalani pansi pafupipafupi, musayende mtunda wautali, gwiritsani ntchito ndodo poyenda, ngati pangafunike. Ukadaulo wamakono walola kuti kupangidwe kochotseredwa kwapadera kwa nsapato. Zovala zoterezi zimathandizanso kugawa thupi, zimapatsanso miyendo malo olondola, komanso kupewa kupunduka.

Nsapato zapamwamba

Kusankha nsapato kuyenera kuthandizidwa kwambiri. Chonde dziwani ngati kugula kwanu kuli kwanzeru:

• zofewa zachilengedwe
• kusowa kwa koyipa,
• Kukula mwangwiro
• phazi lodalirika,
• kukhalapo kwa malawi, Velcro kapena zomangira zina,
• onenepa okha.

Madokotala Mayeso

Kuyesedwa kwazachipatala pafupipafupi kumathandizira kuwongolera kuchuluka kwa shuga, kukhazikitsa Mlingo wa insulin wodalira, kuzindikira zovuta mu nthawi, komanso kupereka chithandizo chokwanira. Muzipatala, katswiri wamkulu mu kusowa kwa mahomoni ndi endocrinologist. Amawona wodwala, ngati pakufunika kuchita mayeso ochulukirapo, amasankha kuyankhulana kwa akatswiri okhudzana - neuropathologist, dokotala wa opaleshoni, ophthalmologist. Odwala ayenera kutsatira mosamalitsa malangizo onse omwe wodwala amapatsidwa, kupita kusukulu ya zaumoyo. Kuthana ndi njira zonse zopewera kumathandizira wodwala kukhalapo kwathunthu, kumalepheretsa kukula kwa SDS, zovuta zina zovuta nthawi iliyonse ya matenda ashuga.

Kupewa kwa phazi la anthu odwala matenda ashuga

Matenda a shuga amayamba chifukwa cha kusokonezeka kwakukulu mu dongosolo la endocrine, komwe kumayambitsa njira zowopsa zam'mthupi. Izi zimapangitsa kuti pakhale zovuta zingapo mwa wodwala, zomwe ndizovuta kwambiri phazi la odwala matenda ashuga.

Matenda osokoneza bongo a matenda ashuga odwala matenda ashuga amadziwika ndi kuwonongeka kwambiri kwa miyendo, komwe muzochitika kwambiri kwambiri kungayambitse kudula miyendo. Matendawa odwala matenda ashuga ndi ovuta kuchiza, makamaka pambuyo pake, matendawa amakhudza khungu osati minofu, mafupa ndi mafupa.

Chifukwa chake, kwa anthu onse omwe akudwala matenda ashuga, kupewa koyenera kwa phazi la matenda ashuga ndikofunikira kwambiri. Zimathandizira kuteteza munthu ku chilema ndikupulumutsa moyo wake, chifukwa cider iyi ndi imodzi mwazomwe zimayambitsa imfa pakati pa odwala matenda ashuga.

Chifukwa chachikulu chomwe chikuyambira matenda a shuga ndi matenda osachiritsika a hyperglycemia, omwe amadziwonetsa m'magazi a shuga ambiri nthawi zonse. Ndibwino kuti musalipidwe ndi shuga yomwe imayambitsa zovuta zonse za matenda ashuga, kuphatikizapo kuwonongeka kwa miyendo.

Kuzungulira kwa shuga m'magazi kumawononga makhoma amitsempha yamagazi, ndikuwonongeka kwambiri ndi mtima. Makamaka chowopsa ndichomwe chimayambitsa matenda ashuga pazotumphukira zamagetsi, zomwe zimasokoneza magazi m'magawo akumtunda komanso otsika.

Zotsatira zake, minofu ya miyendo imayamba kuwona kuperewera kwambiri kwa mpweya ndi michere, yomwe imawatsogolera pang'onopang'ono. Kusayenda bwino kwa magazi kumapangitsanso kuwonongeka kwa minyewa yam'mitsempha, yomwe imapangitsa kuti miyendo isamveke bwino ndikuwapangitsa kuti atengeke ndikuvulala kosiyanasiyana, mabala, sprains, deformations, burns and frostbite.

Choyambitsa matenda ashuga othamanga:

1. Angiopathy - kuwonongeka kwa zotumphukira za mtima,
2. Neuropathy - chiwonongeko cha zotumphukira za mitsempha,
3. Neuroosteoarthropathy - matenda osiyanasiyana a mafupa: mafupa am'mimba, mafupa am'mimba, kuwonongeka kwa mafupa, kuwonjezeka kwa mafupa, kufooka kwa mafupa,
4. Kuvulala kowopsa kwa phazi, kuyambitsa kuwonongeka kwake,
5. Matenda opatsirana komanso fungal khungu
6. Kuwonongeka kwakukulu mu chitetezo chokwanira, chonse komanso kwanuko.

Chofunikira kwambiri pakupewedwa kwa matenda ashuga ndi kusankha koyenera nsapato. Ngakhale kusokonezeka kocheperako mukavala kumatha kubweretsa zotsatira zoyipa kwa odwala matenda ashuga, monga mapangidwe a zilonda zam'mimba zosachiritsika ndi kupunduka kwa phazi.

Mukamasankha nsapato, muyenera kukonda mitundu yosalala yopangidwa ndi zinthu zachilengedwe zomwe zimapangitsa kuti phazi lipume. Izi ndizofunikira kwambiri ku matenda ashuga, chifukwa kuphwanya kutulutsa kapena kutentha thukuta kwambiri kumatha kuyambitsa kukulitsa kachilombo koyambira.

Kuphatikiza apo, popewa komanso kuchiza chifukwa cha kupunduka kwa phazi, wodwalayo amatha kugwiritsa ntchito ma insoles apadera omwe amapereka chitonthozo ndi miyendo. Zotulutsa zoterezi zimatha kupangidwa ndi zinthu zosiyanasiyana, kuphatikizapo silicone ndi gel, komanso kukhala ndi ma CD opukutira ndi kukumbukira mawonekedwe.

Momwe mungasankhire nsapato zoyenera:

Chomwe chimalepheretsa phazi la matenda ashuga ndi njira yoyenera yothandizira odwala matenda ashuga, monga kuwunika kawirikawiri shuga. Ndibwino ngati mulingo wa glucose m'thupi ukakhala woyandikira kwambiri komanso wosaposa 6.5 mmol / L.

Kuti muchite izi, wodwalayo ayenera kubaya insulin tsiku lililonse kapena kumwa mankhwala ochepetsa shuga. Kuphatikiza apo, pofuna kukonza bwino kuchuluka kwa shuga m'magazi, wodwalayo ayenera kutsatira kwambiri zakudya zama carb zochepa ndikuchita masewera olimbitsa thupi pafupipafupi.

Chofunikanso chisamaliro choyenera chamapazi, chomwe chiyenera kusiyanasiyana ndi zomwe zimavomerezeka mwa anthu wamba. Ndi njirazi zaukhondo, ndikofunikira kukumbukira kuti kutentha kwa miyendo kumachepetsedwa moyenera odwala matenda ashuga, zomwe zikutanthauza kuti sangathe kuwunika bwino ululu kapena kutentha.

Kuphatikiza apo, anthu omwe ali ndi shuga ambiri ayenera kupewa ngakhale kuvulala pang'ono kwa khungu la miyendo yawo, chifukwa ndi matenda ashuga, mabala amachiritsa moipa kwambiri ndipo amatenga kachilomboka mosavuta. Izi zimapangitsa kuti pakhale zilonda zam'mimba ndi minofu necrosis, komanso mtsogolo kutayika kwa miyendo.

Malamulo Akusamalira Makazi:

Kutikita minofu pafupipafupi kwa matenda ashuga kumathandizira kusintha magazi m'miyendo, kuthetsa kupsinjika kwa minofu ndikuwongolera kuyenda kozungulira, komwe kumawateteza ku kusokonezeka. Kusisita pamapazi kumatha kuchitika palokha kapena posinthira ntchito za katswiri.

Kusisita popewa phazi la matenda ashuga liyenera kuchitika modekha, kupewa kutikita khungu. Kupatula kuwonongeka pakhungu, panthawi ya kutikita minofu, ndikofunikira kugwiritsa ntchito mafuta a massage kapena zonona.

Mukamaliza kumalizira, muyenera kusambitsa mapazi anu ndi madzi ofunda, kupukuta ndi chopukutira zofewa, mafuta ndi zonona zomwe zimalepheretsa phazi la matenda ashuga ndikuvala masokosi oyera.

Kuchita masewera olimbitsa thupi pafupipafupi kungapindulitsenso matenda a mwendo mu shuga. Pali gawo lonse la kulipiritsa kwa miyendo, komwe kumathandizira kulimbitsa minofu, kubwezeretsa zilonda zolumikizana, kuwonjezera chidwi komanso kuwonjezera magazi.

Masewera olimbitsa thupi kumapazi:

• Khalani pampando, tambasulani miyendo yanu patsogolo panu ndikuyiyika zidendene. Tsopano kokerani masokosi kwa inu, kenako nkutalikirani.
• Komanso ndikukhala pampando, gwadani maondo anu ndikuyika pamaso panu. Chotsatira, muyenera kupatula masokosi, momwe mungathere, kenako ndikuchepetsa. Pankhaniyi, zidendene zimayenera kukhala palimodzi.
• Kwezani mwendo umodzi ndi kuwuwongolera kuti uzungulire miyendo, kuzungulira koyamba, kenako ndi mawola.
• Popota Finyani ndi zala zosadziwika bwino.

Kuti tipewe zovuta zoopsa ngati phazi la matenda ashuga, kupewa komwe kumafunikira kuyesetsa kwakukulu, ndikofunikira kusiya zonse zoyipa. Choyamba, izi zimakhudzana ndi kusuta, komwe kumayambitsa kwambiri magazi.

Kusuta ndi chimodzi mwazifukwa zazikulu zomwe zimapangitsa kuti mitsempha ya mitsempha ipangike komanso thrombophlebitis, yomwe imalepheretsa magazi kulowa mthupi. Kusuta tsiku lililonse ngakhale ndudu zochepa, kumapangitsa kuti mitsempha ikhale magazi, makamaka m'munsi ndipo kumathandizira kuti pakhale matenda ashuga.

Zakumwa zoledzeretsa zimapezekanso m'matenda a shuga, chifukwa zimayambitsa shuga m'magazi. Mwachidziwitso, kusakhazikika kwa shuga m'magazi kumabweretsa chitukuko chonse cha zovuta za matenda ashuga, kuphatikizapo matenda a shuga.

Katswiri kuchokera pa kanema munkhaniyi akamba za njira zopewera komanso mtundu wa phazi la matenda ashuga.

Chifukwa chiyani kusamalidwa koyenera kwa phazi la matenda ashuga ndikofunikira?

Kufunika kwa kupewa komanso kusamalira miyendo ndi matenda ashuga nkovuta. Ngati malamulowa satsatiridwa, matendawa amakula mwachangu ndipo gangore iyamba.

Malinga ndi WHO, 95% yoduladula miyendo imalumikizidwa ndi matenda am'mimba.

Gangrene ndi gawo lomaliza la SDS, lomwe limatsatiridwa ndi zizindikiro zotsatirazi:

• kupweteka kwa mwendo mukamayenda, komanso kupanikizika
• kusokonezeka kwa magazi (miyendo yozizira, mitsempha yotupa, kugunda kwa thukuta, dzanzi, ndi zina).
• kuwonongeka kwa minofu kamvekedwe ka miyendo,
• maonekedwe operewera mapazi,
• chimanga chouma ndi chonyowa, zilonda,
• zilonda zakuya, matenda oyamba ndi phazi.

Palibe zovuta kuti tipewe kudwala matenda opha ziwalo ndi kudzidulira kwina, ndikokwanira kusamalira bwino phazi la matenda ashuga kunyumba ndikumakumana ndi dokotala munthawi yake ndikusokonekera pang'ono.

2. Kuyang'anitsitsa miyendo.

Kuyendera kuyenera kuchitika m'mawa kapena madzulo, mutatsuka ndikuumitsa miyendo. Ngati madera a keratinized a epidermis, chimanga ndi chimanga chimapezeka kuti sizikugwirizana ndi kuvala nsapato zatsopano kapena zosasangalatsa, komanso mabala, zilonda, madera owonda a khungu, tikulimbikitsidwanso kuti mukaonane ndi dokotala ndikugwiritsa ntchito zodzikongoletsera mwapadera pa phazi la matenda ashuga.

Zogulitsa zoterezi zimakhala ndi zopatsa mphamvu, zopatsa thanzi, zofewa zomwe zimathandizira kubwezeretsanso kwa khungu lanu, komanso kuteteza mapazi kuti asatenge matenda.

3. Kutsuka tsiku ndi tsiku komanso kuchiza matenda amishuga.

Chimanga chouma pamapazi chimafunika kuthandizidwa ndi mwala wa pumice. Mukatha kusamba, muyenera kupukuta mapazi anu ndi chopukutira chofewa, osati kutikita, koma kungowonda.

Onetsetsani kuti mukutsatira zonona zopatsa thanzi, zomwe zimakhala ndi zopukutira zachilengedwe. Mwachitsanzo, mzere wa DiaDerm umapereka mafuta ena apadera osamalira matenda ashuga. Mzerewu umaphatikizapo zonona "zoteteza", "Zowonjezera" ndi "Kufewetsa", zomwe ndi zabwino kugwiritsidwa ntchito tsiku ndi tsiku.

Kirimu "Kubwezeretsanso" - njira yabwino yothandizira mapazi kumapazi kwa abrasions, mabala a jekeseni wotsatira ndi kuvulala kwina. Chimodzi mwa zinthu zopangidwa ndi DiaDerm ndi kupezeka kwa urea ndi mankhwala ena azitsamba ndi mafuta omwe amapangidwa ndi 5-15%, omwe amachepetsa mphamvu, kudyetsa ndikulimbikitsa machiritso a bala ndi kubadwanso kwatsopano.

Dinani pa chithunzi chomwe chili pansipa kuti mudziwe zambiri zokhudzana ndi zitsulo zosokoneza shuga za shuga ndikulamula kuti ziziperekedwa kunyumba kapena makalata.

4. Kudula msomali koyenera.

Misomali ya Ingrown yokhala ndi matenda a shuga nthawi zambiri imayambitsa matenda komanso kutupa. Ndikofunikira kudula misomali mokoma mu mzere wowongoka popanda kuzungulira. Makona akuthwa amamangidwa ndi fayilo ya msomali yofewa bwino.

Mukakonza misomali, lumo wokhala ndi malekezero akuthwa sayenera kugwiritsidwa ntchito. Ngati chala chakumiyendo chikuvulala pakudula, ndiye kuti malowa ayenera kuthandizidwa ndi hydrogen peroxide ndikuthira mafuta opha zilonda, mwachitsanzo, furacilin kapena potengera ndi streptocide. Mu sitolo yathu yapaintaneti mupeza zinthu zabwino komanso zotsika mtengo zosamalira msomali.

5. Kupewa matenda oyamba ndi fungus.

Ndi matenda oyamba ndi fungus, zilonda, zipsera, mabala amawoneka pamapazi. Kukhalapo kwa bowa kumakulitsa kwambiri chiopsezo cha gangore. Kupewetsa kumatenda ndikutsatira malamulo aukhondo.

Komanso, odwala matenda ashuga sayenera kuyenda opanda nsapato m'malo opezeka anthu ambiri, pagombe, m'nkhalango, ndi zina. Masokosi ayenera kusinthidwa tsiku ndi tsiku, kuti tipewe kuvala nsapato zonyansa, zonunkhira zoyipa komanso zonyowa.

Onetsetsani kuti mukugwiritsa ntchito zonona "Zoteteza" kuti muchepetse kukula kwa mabakiteriya komanso matenda oyamba ndi mabakiteriya, kubwezeretsa chotchinga.

6. Kutsatira mfundo zoyambirira za moyo wathanzi, kulimbitsa chitetezo chathupi.

Kuledzera, kumwa mowa mwauchidakwa, kusuta fodya, moyo wongokhala ndi zinthu zina zomwe zimakhudza mkhalidwe wamiyendo ya matenda ashuga. Kuti muchepetse kuchepa kwa matenda, ndikofunikira kusiya zizolowezi zoipa, kutsatira zakudya komanso kulimbitsa chitetezo chathupi.

Onse odwala matenda ashuga amawonetsedwa tsiku lililonse osapitilira mphindi 30. Anthu okalamba ndi onenepa kwambiri amatha kugwiritsa ntchito ndodo zapadera zoyendera poyenda.

7. Kuvala nsapato zapamwamba.

Nsapato ziyenera kupangidwa ndi zinthu zabwino, zopanda msoko wakukhuthala. Ndikofunika kuti anali ndi lows kapena Velcro kuti azitha kuyika miyendo yonse.

Yokhayo iyenera kukhala yolimba yokwanira kuteteza phazi kuti lisawonongeke. Amaloledwa kukhala ndi chidendene chotsika.

8. Kugwiritsa ntchito ma insoles apadera.

Kusamalira bwino phazi kwa matenda ashuga sikungatheke popanda kutsitsa wapamwamba kwambiri. Pachifukwa ichi, kutsitsa ma insoles komanso ma insoles amakono apangidwa kuti amagawana thupi ndikuletsa kupindika kwa zala ndi phazi, komanso kupewa mapangidwe a chimanga.

Ma insoles omwe ali ndi kukumbukira ali ndi machitidwe abwino, omwe amatengera mawonekedwe kutengera mawonekedwe a physico-anatomical a eni ake. Kugwiritsa ntchito matenda a shuga kuphatikiza ndi nsapato zoyenera kungathandize kupewa kukula kwa zizindikiro zambiri za VDS.

Dinani pa chithunzi pansipa kuti mudziwe zambiri zokhudzana ndi matenda a shuga ndikuwayitanitsa kuti atumize kunyumba kapena potumiza makalata.

Kodi phazi la matenda ashuga limatha kuchiritsidwa?

Tiyenera kumvetsetsa kuti matenda ashuga ndi zotsatira za matenda ashuga. Mankhwala amakono sangathe kuchiritsa mitundu yambiri ya matenda a shuga, zomwe zikutanthauza kuti chiopsezo chokhala ndi SDS chimakhalabe moyo wonse.

Komabe, kutsatira malamulo onse omwe ali pamwambapa ndikudziwa momwe mungagwiritsire matenda a matenda ashuga, mutha kuchepetsa kwambiri mwayi wokhala ndi matendawa.

Malo athu ogulitsira omwe ali pa intaneti ali ndi mankhwala othandiza kwambiri komanso amakono a matenda ashuga. Timapereka ku Russia konse ndi otumiza kunyumba kwanu, kumalo operekera malamulo ndi makalata. Dinani pa chithunzi pansipa ndikupeza zina.

VTS ndi chiyani?

Pali mitundu ingapo ya matenda ashuga. Matenda osavuta kwambiri osadalira insulin. Matendawa amatchedwa matenda a shuga a 2 ndipo samabadwanso. Matenda a shuga a Type 1 ndi matenda a metabolic omwe amapha maselo omwe amapanga mahomoni a insulin mu kapamba. Mu shuga osadalira insulin, kunenepa kwambiri komanso kudya kosayenera kumayambitsa insulin kukana. M'magawo onse awiri, vuto la hyperglycemia limayamba.

VDS ndi vuto lalikulu la matenda ashuga, omwe nthawi zambiri limachepa pang'onopang'ono thanzi lonse ndikuwonjezera kufa. Chifukwa chake, kupewa matendawa ndikofunikira kwambiri.

30-40% ya odwala omwe ali ndi SDS ali ndi neuropathy. Nthawi zambiri odwala samamva kupweteka m'miyendo yawo. Kuwonongeka kwa chimanga kumatha kubweretsa mabala ang'onoang'ono omwe amapatsira mabakiteriya. Chifukwa cha kuwonongeka kwa mitsempha, kupanga thukuta kumatsitsidwanso, chifukwa, zotupa za khungu zimayamba kuchepa ndipo khungu limakhala louma ndikusweka.

Polyneuropathy imatha kubweretsanso vuto la kumapazi. Vutoli limatsogolera pamitundu yosinthika yayitali komanso yosasunthika m'khosi, chifukwa cha kusungunuka kwa mafupa, njira zokonzanso, komanso kuwonongeka kwa mtima.Cholinga chake ndimafupa ang'onoting'ono osweka, omwe odwala samazindikira, chifukwa mawonekedwe akumva ululu amasokonezeka.

Matenda a shuga: Zizindikiro, mankhwala ndi kupewa

Matenda a diabetesic phazi ndi zovuta kusintha kwa ma anatomical komanso magwiridwe antchito m'miyendo ya munthu yemwe ali ndi matenda osokoneza bongo chifukwa cha michere- ndi macroangiopathies (kusintha kwa ma pathological mu ziwiya zazing'ono komanso zazikulu), komanso neuropathy (kusintha kwa ma pathological mu dongosolo lamanjenje). Uku ndiye kupanikizika kwambiri kwa matenda ashuga, omwe amapezeka mu 80% ya anthu odwala matenda ashuga omwe ali ndi matenda azaka 15 - 20 kapena kuposerapo, ndipo theka la milanduyo ikutha ndikuduladula miyendo.

Momwe mungasankhire chovala: zoyambira zoyambira kupereka kwa odwala

Malinga ndi kafukufuku yemwe asayansi aku Ireland adachita, pafupifupi azimayi anayi mwa 10 adakana kuvala zidendene zazitali chifukwa cha kupweteka kwambiri. Kugula nsapato nthawi zambiri kumadetsa nkhawa anthu omwe ali ndi matenda ashuga.

Chifukwa cha matenda ashuga, anthu ambiri amakhala ndi vuto la mitsempha kapena matenda opatsirana mwa njira yozungulira komanso m'mitsempha yamagazi. Izi zimapangitsa kudwala matenda ashuga. Chifukwa cha SDS, kuvulala pang'ono kumakhazikitsidwa pamiyendo, yomwe imachira bwino ndipo imakonda kutupa. Ngati wodwala ali ndi mitsempha yokhudzana ndi matenda a shuga kapena mitsempha yamagazi, ndibwino kufunsa dokotala musanagule nsapato. Ngati ndi kotheka, adotolo atha kuperekera nsapato zapadera zoteteza kwa odwala omwe ali ndi matenda ashuga. Izi ndi nsapato zomwe zimateteza mapazi anu ku kupsinjika ndi kuwonongeka chifukwa cha kapangidwe kake kapadera.

Zolakwika pakusankha nsapato zazimayi ndi zachimuna

Odwala omwe alibe zowononga mitsempha kapena mitsempha yamagazi safuna nsapato zapadera, malinga ndi asayansi. Nsapato siziyenera kukhala zolimba kwambiri komanso zosasangalatsa. Malo ogulitsira ambiri amakhala ndi nsapato zabwino kapena zopepuka zopangidwa ndi zinthu zofewa zopumira. Zinthu zowonongeka, monga zikopa zenizeni kapena nsalu, zimathandizira kupewa thukuta la kumapazi ndi mapangidwe a bowa.

Akatswiri azachipatala amachenjezedwa kuti kugula nsapato zomwe ndizochepa kwambiri kapena kutalika kwambiri kumatha kuvulaza odwala matenda ashuga. Ngati wodwala ali ndi miyendo yopyapyala kapena yotakata, ndikofunikira kufunsa ndi wogulitsa: pali opanga omwe amapereka nsapato zazifupi zosiyanasiyana.

Ma slipper, omwe akhala akuwonekera kwa zaka zingapo, amatha kukulitsa matendawa. Izi zimathandizira kukulitsa matenda a fungus ndi hyperhidrosis. Otsamira samatikita khungu ndipo samaletsa kutuluka kwa mpweya.

Malamulo osamalira ndi kusungira

Wodwala ayenera kuyang'anitsitsa mfundo zotsatirazi asanagule nsapato:

• Osati zolimba kwambiri: nsapato siziyenera kukhala zolimba kwambiri kotero kuti palibe malo opanikizira,
• Osakhala kwambiri: choyambirira, thovu limatha kuwoneka m'dera la chidendene ngati nsapato ndizokulirapo,
• Outole lolondola: utali wolimba wokwanira kutetezedwa ku miyala ndi ma curbs,
• Malo okwanira a insole: kuthandizira kapena kugawa bwino zopanikizika, wodwala amatha kugula ma insoles apadera.

Nsapato ziyenera kugulidwa ngati kuli kotheka madzulo, chifukwa miyendo imakhala yayitali. Nsapato zomwe zimakwaniritsa zofunika za wodwala zitha kuyitanidwa pamasamba apadera. Nsapato za matenda ashuga nthawi zambiri zimakhala zopanda seams ndipo zimakhala ndi chingwe chapadera kuti zisafike povuta. Ma silicone insoles a shuga samalimbikitsidwa kuti avale.

Nsapato zamadzimadzi zimathandizira kupewa zilonda zam'miyendo. Monga tafotokozera pamwambapa, nsapato zolakwika, zazikulu kapena zolimba zimatha kuwononga phazi. Nsapato zimalepheretsa kuchepa kwina, kusokonezeka kwa zala zakumunthu, kuchepetsa chimanga kapena malo opsinjika opweteka pamapazi. Mankhwala azitsamba amathandizanso kupewa chitukuko cha thrombosis, chomwe chimachitika chifukwa chosakhalitsa kwa thupi.

Matenda A shuga

Masokosi a matenda ashuga popanda zotanuka ndi oyenera kwa odwala matenda ashuga, chifukwa izi zimatha kuwonjezera mwayi wokhala ndi matenda opatsirana am'deralo. Timalimbikitsa kugwiritsa ntchito masokosi omwe amapangidwa ndi zinthu zopumira. Masokisi amayenera kusinthidwa pafupipafupi kuti mabala asatetezedwe ndi SDS.

Uphungu! Ndikulimbikitsidwa kusankha nsapato zapadera mutakambirana ndi dokotala woyenera. Ndikofunikira kuganizira kukula kwa phazi, monga tafotokozera pamwambapa. Kupanda kutero, wodwalayo amatha kusankha mtundu wa nsapato zapadera kutengera zomwe amakonda.

Kuvala nsapato zazitali kwanthawi yayitali kumathandizira pakatikati komanso nthawi yayitali kuti muchepetse zovuta za VDS. Zimalepheretsanso kudulidwa miyendo. Ndikofunika kumvetsetsa kuti zovala zosayenera zimatha kukulitsa vuto la odwala matenda ashuga ndikukulitsa ngozi ya kufa. Chifukwa chake, zida zamatumbo ziyenera kuperekedwa mwachidwi komanso osanyalanyaza upangiri wa akatswiri. Mtima wonyalanyazidwa ungakulitse chiwopsezo cha zovuta, komanso kuchepetsa mwayi wodwalayo kwathunthu ndikuthandizanso minofu yowonongeka. Kupwetekedwa kosaneneka kwa miyendo kumatha kudzetsa matenda.

Zimayambitsa ndi njira za chitukuko cha matenda ashuga phokoso

Matenda a matenda ashuga amayamba chifukwa chodziwikiratu, monga:

• peripheral polyneuropathy (kumabweretsa kuwonongeka kwa phazi, komwe kumalepheretsa mawonekedwe ake aumoyo poyenda ndikuyimirira, ndikuchepa kwamitundu yonse yamtundu wamtundu wamkati (kupweteka, kunjenjemera, kutentha, - chifukwa cha kusinthaku, chiwopsezo cha zotupa za purulent-necrotic zimawonjezeka),
• angiopathy (kuwonongeka kwa mtima mu matenda a shuga, komwe kwenikweni ndi njira ya atherosulin - zotsatira zake, kuthamanga kwa magazi kudzera m'matumbo kumakhala kovuta ndipo ischemia yamasamba amtundu uliwonse imachitika),
• neuroosteoarthropathy (mafupa am'mimba, mafupa am'mimba, chiwonongeko cha nkhope zowonekera, chiwonongeko cha magawo amtundu wa mafupa, mafupa a patological),
• kufalitsa matenda am'mitsempha yam'munsi,
• kuvulala ndi kuwonongeka kwa phazi,
• matenda, makamaka matenda oyamba ndi fungus,
• kuchepa kwakukulu ndi kwanuko.

Zowonetsera zamankhwala odwala matenda amishuga

Gulu logwira ntchito padziko lonse lapansi pamatenda a matenda ashuga limazindikira magulu omwe ali ndi tanthauzo lenileni la matendawa:

• magazi kumapazi
• kudziwa kwawo
• kukula kwa chilema,
• kuya kwakugonjetsedwa
• matenda opatsirana.

Kutengera ndi mawonekedwe a zodwala, magulu atatu a matenda ammimba ammwazi amadziwika:

Fomu la Neuropathic ndizotsatira za neuropathy, kukakamira kwa minofu, kusintha kwawo, matenda ndi edema. Zilonda zam'mimba zimapezeka m'malo omwe phazi limakhalapo, lomwe limapangitsa kuti pazikhala katundu wambiri. Matendawa amapezeka 70% ya anthu odwala matenda ashuga, makamaka mwa anthu ochepera 40 omwe ali ndi vuto la matenda ashuga a zaka 5 kapena kuposerapo, nthawi zambiri amamwa mowa. Monga lamulo, zilonda zimakhazikitsidwa m'malo opsinjika kwambiri, malo a hyperkeratosis, pachokhacho, malo a malo ophatikizana, m'malo ovuta kwambiri a mapazi. Malingaliro osavulaza. Odwala amadandaula za paresthesia (kulumikizana, kupanikizika, kumva kutentha m'malo omwe akukhudzidwa) komanso kupweteka kwambiri usiku. Khungu la malekezero lakhala louma, lotentha, kupindika kwa zotumphukira zamapazi kumasungidwa, kumverera kwa ululu - kupweteka, kutentha ndi kugwedezeka - kumachepetsedwa, chidendene ndi mawondo amalefuka, minofu imagwedezeka, phazi limakhala lopindika, phazi limasokonekera.

Fomu ya Ischemic ndi chifukwa cha kufalikira kwamitsempha yamagazi ndi chifukwa cha necrosis yamitsempha yamagazi yomwe sililandira magazi. Amapezeka mu 10% ya anthu omwe ali ndi zaka zopitilira 55 omwe ali ndi vuto la mtima (IHD, ochepa matenda oopsa, atherosulinosis), komanso osuta ndewu. Imadziwoneka ngati cyanosis (buluu) wa gawo la nthambi, kupweteka m'derali. Pamene njirayi ikupita, mawonekedwe akhungu la zilonda pakhungu, omwe amakula msanga m'lifupi ndi kuya ndipo limatchulidwa kwambiri kumalo komwe magazi amayenda pang'ono. Khungu limakhala lotumbululuka, lacyanotic, lonyowa, lozizira mpaka kukhudza. Kuzindikira kwasungidwa. Ripple mu zotumphukira mitsempha ya mapazi imachepetsedwa kwambiri kapena kulibe. M'magawo a nthambi ndi pomwe magazi amatuluka kulibe, minofu imafa - khungu limayamba, likufuna kuti lidulidwe mbali ina ya chiwalo.

Fomu yosakanizika yodziwika ndi kuphatikiza kwa mitundu ya neuropathic ndi mitundu ya ischemic ndipo imawonetsedwa ndi kuwonongeka kwa mitsempha ndi mitsempha yamagazi. Zizindikiro zotsogola zimatengera komwe kulumikizana kwa pathogenesis. Matendawa ndi oopsa kwambiri, chifukwa ululu wammbuyo pamenepa ndi wofooka kapena kulibe konse - odwala samangothamangira kufunafuna thandizo ("sizipweteka") ndipo amabwera kwa dokotala pokhapokha zilonda zake zitakula ndipo zilipo. zosintha zosasinthika, zopanda mankhwala.

Mwachidziwitso, pakuwonetsa izi, zitha kukhala zokwanira kupenda phazi la wodwala ndi matenda a shuga ndikuwona kusintha komwe kukufotokozedwa pamwambapa. Komabe, kuti afotokozere za matendawa, wodwalayo, monga lamulo, amapatsidwa njira zowonjezera zowunikira ndi kufunsira kwa akatswiri opapatiza.

Popanga matenda, komanso mwa kuyeserera kulikonse, wodwalayo adayikidwa:

• kutsimikiza kwa glycemic mbiri ndi glycosylated hemoglobin,
• Kutsimikiza kwa lipids yamagazi (LDL, HDL, cholesterol, triglycerides),
• muyeso wa kalozera wamchifuwa,
• kufunsa kwa endocrinologist,
• kufunsira kwa dokotala wa opaleshoni (ndikuwunika kufooka kwa mitsempha ndi muyeso wam'munsi mwa kugwedezeka kwamphamvu),
• kufunsa kwamisala,
• kufunsira ndi ophthalmologist (ndi kuyeseza koyenera kwa tsiku la maso kuti mupeze matenda a mtima).

Odwala omwe ali ndi vuto lalikulu kumapazi amapatsidwa x-ray kumapazi, kenako kufunsidwa kwa mafupa.

Ultrasound dopplerography ndi mtundu kubwereza mapu am'munsi miyendo ndi kufunsana kwa opaleshoni yamatumbo amachitidwa kwa odwala omwe alibe kupweteka kwamitsempha yamapazi yamapazi kapena chipatala cholumikizana mosalekeza.

Odwala okhala ndi zilonda zomwe zilipo mdera lamapazi amafesedwa ndi chilonda chowonongeka ndi kutsimikiza kwa chidwi cha chikhalidwe chofesedwa ku mankhwala othandizira, pakakhala zilonda zakuya - radiograph pamapazi.

Kuphatikizika kwa njira zochizira matendawa kumaphatikizapo zinthu izi:

• kuphunzitsa odwala pasukulu ya "Diabetesic phazi",
• kulipira matenda a shuga mellitus (kukonza mankhwala omwe wodwala amalandira - kuwonjezera kuchuluka kwa mankhwala amkamwa a hypoglycemic, kutsimikiza insulin kapena kuwonjezera kuchuluka kwake, mafotokozedwe atsatanetsatane wazakudya),
• mankhwala oletsa antibayotiki (monga lamulo, mankhwala ogwiritsa ntchito mwachisawawa amagwiritsidwa ntchito kapena omwe amagwiritsidwa ntchito ndi chikhalidwe chapadera cha bakiteriya),
• chithandizo chamankhwala (mankhwala opweteka),
• mankhwalawa kwanuko (kuchiritsa khungu kuzungulira chilema, kuthetsa edema ya miyendo ndi purulent-necrotic, kusintha kwa kutupa kwa chilonda palokha),
• kuchuluka chitetezo - onse komanso wamba.

Poyambirira, mankhwala am'deralo othandizira zilonda zam'mimba, kutsitsa komwe kwakhudzidwa ndi phazi, mankhwala othandizira (Ceftriaxone), mankhwala omwe amasintha magazi (Actovegin, Pentoxifylline, Normoven), mankhwala a alpha-lipoic acid (Berlition, Espalipon), mankhwala a laser akulimbikitsidwa.

Pambuyo pake, chithandizo chimachitika kuchipatala cha opaleshoni, pomwe necenessomy, autodermoplasty ya vuto la zilonda ndipo, monga chomaliza, kuduladula miyendo ndi dzanja kungachitike.

Pali njira zatsopano zochizira matenda amtundu wa shuga, zomwe zimatsogolera kuchira msanga kwa zolakwika zam'mimba komanso kuchepetsa kufunika kwa kudulidwa. Tsoka ilo, zina mwa njirazi sizinaphunziridwe mokwanira, ndipo zina zimangoikidwa m'makliniki osankhidwa padziko lonse lapansi, chifukwa chake sizipezeka kwa wodwala aliyense yemwe ali ndi matenda awa. Njirazi ndi monga:

• kukula chinthu mankhwala
• extracorporeal mantha wave mankhwala,
• tsinde cell mankhwala
• mankhwala a plasma,
• njira ya bio-mechanical, etc.

Popewa kuwoneka ndi zilonda za matenda ashuga, muyenera:

• sinthani magazi a shuga m'magazi,
• samalani malamulo aukhondo pakhungu lam'malo am'munsi (tsambirani kawiri patsiku ndi youma youma (osapukuta!) pakhungu, pakani madzi ofunda okha, kupewa kuyanjana ndi madzi ozizira kapena otentha),
• tsiku lililonse muziyang'anitsitsa khungu la mapazi kuti mupeze nthawi yake ngati ma scuffs, callus, ming'alu,
• Pewani kugwiritsa ntchito mapepala otenthetsera
• tsiku ndi tsiku muziyang'ana nsapato za miyala ya miyala ndi zinthu zina zakunja, komanso zowonongeka zamkati zomwe zingapangitse mawonekedwe a chimanga,
• osavala zovala zamkati ndi seams,
• Musamavale nsapato zolimba, komanso nsapato zopanda insoles kapena mapazi opanda,
• osapita opanda nsapato
• osagwiritsa ntchito zigamba
• Mbewu zikaoneka, musayese kuzichita nokha, koma pezani thandizo kwa katswiri.
• ngati pachitika zovuta zilizonse zoopsa, pitani kuchipatala.

Matendawa ndi oopsa kwambiri ku thanzi la munthu. Kutengera njira zodzitetezera ndikusunga glycemia m'malo oyenera, mwayi wokhala ndi zilonda zam'mimba ndizochepa. Ngati sanachiritsidwe, zilonda zomwe zimadza pamapeto pake zimadula dzanja.

Popewa ndi kuchiza matenda amishuga, ndikofunika kuonedwa ndi endocrinologist. Kuti adziwe momwe mitsempha yotumphukira imayendera ndi mitsempha yamagazi, dokotala adzayambitsa kuonana ndi dokotala wamankhwala ochita zamitsempha, opaleshoni ya maso, komanso opaleshoni ya mtima. Thandizo la orthopedist likufunika kusankha ma insoles a orthopedic ndi zida zina zomwe zimasintha moyo wa wodwala yemwe ali ndi matenda a shuga. Ndi chitukuko cha gangrene, opaleshoni imachitidwa.

Zizindikiro ndi chithandizo cha matenda ashuga, phazi kusamalira matenda ashuga

Matenda a shuga ndi matenda oopsa osachiritsika, omwe amakhala ndi zovuta zambiri. Zowopsa kwambiri za izo zimadziwika kuti ndi matenda ashuga othamanga (SDS). Malinga ndi World Health Organisation, matenda amtunduwu amapezeka mwa 15% ya odwala matenda a shuga a zaka 5 kapena kuposerapo.

Diabetesic phazi matenda - pathological kusintha mu mantha dongosolo, ochepa ndi capillary mabedi, zomwe zingayambitse mapangidwe a zilonda zam'mimba njira ndi gangrene.

Pafupifupi 85% ya milandu yotereyi ndi zilonda zam'mapazi za trophic, zotsalazo ndi ma abscesses, phlegmon, osteomyelitis, tendovaginitis ndi nyamakazi ya purulent. Izi zimaphatikizanso zowonongeka zopanda mafupa kwa mafupa amipweya - matenda ashuga a psychoarthropathy.

Zomwe zimayambitsa matenda a diabetesic phokoso

Mu matenda a shuga, kupangika kwa mahomoni - insulin, ntchito yomwe ikuthandizira shuga (shuga) kufikira maselo amthupi kuchokera m'magazi, kotero ikakhala yochepa, glucose amatuluka m'magazi, pamapeto pake akusokoneza kuyenda kwa magazi m'matumbo, zomwe zimakhudza ulusi wamitsempha. Ischemia (kusowa kwa magazi) kumabweretsa kuchiritsa kwamabala, ndipo kuwonongeka kwa mitsempha kumayambitsa kuchepa kwamphamvu.

Matendawa amathandizira kukulitsa zilonda zam'mimba, zomwe zimayamba kukhala pang'onopang'ono. Ming'alu iliyonse, abrasions imasanduka zilonda zotseguka, komanso zilonda zobisika zomwe zimapangidwa pansi pa calluses ndi zigawo za keratinized.

Zomwe zimapangitsa kuti chithandizo chichepetse mochedwa ndikudula kwa malekezero ndikuti wodwalayo kwanthawi yayitali sazindikira kusintha komwe kumachitika, chifukwa nthawi zambiri samayang'anira mapazi ake. Chifukwa cha kusowa kwa magazi m'miyendo pakati pa kuchepa kwa chidwi, kupweteka kumadukiza komanso kuchekeka sikumamveka kwa wodwala ndipo ngakhale chilonda chimatha kusadziwika kwa nthawi yayitali.

Nthawi zambiri, phazi limawonongeka m'malo momwe katundu onse amafunikira poyenda, ming'alu imapangika pansi pa khungu, momwe matendawa amalowera, ndikupanga mawonekedwe abwino owoneka ngati bala loyera. Zilonda zoterezi zimatha kukhudza miyendo mpaka mafupa, tendon. Chifukwa chake, pamapeto pake, pakufunika kufunika kwa kudulidwa.

Mdziko lapansi, 70% ya zinthu zonse zomwe zimadulidwa zimayenderana ndi matenda ashuga, ndipo ndi chithandizo chanthawi ndi nthawi, pafupifupi 85% ikhoza kupewedwa. Masiku ano, pamene maofesi a Diabetesic Foot akugwira ntchito, kuchuluka kwa zomwe zadulidwa, chiwerengero chaimfa chatsika, ndipo chithandizo chothandizira ndi 65%. Komabe, chiwerengero chenicheni cha odwala omwe ali ndi matenda a shuga chimakhala chambiri kuposa katatu poyerekeza ndi ziwerengero, chifukwa ambiri sakayikira kuti akudwala.

Chifukwa chake, zomwe zimayambitsa kukula kwa matenda a diabetesic syndrome ndi:

• kuchepa kwamphamvu kwa miyendo (matenda ashuga a m'mimba)
• kuzungulira kwa matenda am'mitsempha komanso ma capillaries ang'onoang'ono (diabetesic micro- and macroangiopathy)
• kufooka kwa phazi (chifukwa cha motor neuropathy)
• khungu lowuma

Kuchepa kwa Mphamvu - Matenda a shuga a shuga a shuga

Choyambitsa chachikulu cha kuwonongeka kwa mitsempha ndizovuta zomwe zimachitika m'magazi a mitsempha yayikulu. Matenda oterewa pakokha samayambitsa necrosis ya minofu. Zilonda zimachitika pazifukwa zina, zosadziwika:

Zilonda zopangidwa pambuyo pa mikrossadin, mabala ndi mafinya, zimachiritsa kwambiri, kukhala ndi vuto. Kuvala nsapato zosasangalatsa komanso zolimba kumakulitsa kuwonongeka pakhungu. Zilonda zam'mimba, zomwe zimakula ndikukula, zimadutsa minofu ndi mafupa. Malinga ndi kafukufuku, kukula kwa zilonda za neuropathic mu 13% ya milandu kumabweretsa kukula kwambiri kwa stratum corneum ya epermermis (hyperkeratosis), mu 33% - kugwiritsa ntchito nsapato zosakwanira, 16% - chithandizo cha phazi ndi zinthu zakuthwa.

Kutaya kwa magazi - matenda ashuga macroangiopathy

Kuwonongeka kwa magazi m'mitsempha yamiyendo kumalumikizidwa ndi ma atherosulinotic plaque (onani momwe mungachepetse cholesterol popanda mankhwala). Atherossteosis, yomwe imapangitsa kuwonongeka kwa ziwiya zazikulu, zokhala ndi shuga ndizovuta ndipo zimakhala ndi zinthu zingapo.

• Zokhudza m'munsi mwendo (m'miyendo yam'munsi)
• kuwonongeka kwamitsempha ya miyendo yonse iwiri komanso m'malo angapo nthawi imodzi
• amayamba m'mbuyomu kuposa odwala omwe alibe matenda ashuga

Atherosulinosis wodwala yemwe ali ndi matenda osokoneza bongo angayambitse kufa kwa minofu ndikupanga zilonda zam'mimba zokha, popanda kupsinjika ndi machitidwe. Okosijeni wosakwanira amalowa pakhungu ndi mbali zina za phazi (chifukwa kuphwanya kowopsa kwa magazi), chifukwa chake, khungu limamwalira. Ngati wodwalayo samatsata njira zopewera ngozi ndikuwonjezera khungu, ndiye kuti malo owonongeka akufalikira.

Zizindikiro zamankhwala ndizopweteka kumapazi kapena zilonda zam'mimba, kuuma ndi kuwonda kwa khungu, komwe kumagwiritsidwa ntchito kwambiri ndi microtrauma, makamaka zala. Malinga ndi kafukufuku, zida zoyambitsa zotupa za neuroischemic zili mu 39% ya zotupa zam'mapazi kumapazi, 14% chithandizo cha miyendo ndi zinthu zakuthwa, mu 14% - kuchotsa mosasamala kwa misomali yovomerezeka ndi dokotala.

Zotsatira zochititsa chidwi kwambiri za SDS ndikudula kwa dzanja (laling'ono - mkati mwa phazi ndi kukwera - pamlingo wam'munsi ndi ntchafu), komanso imfa ya wodwalayo chifukwa cha zovuta za purulent-necrotic process (mwachitsanzo, kuchokera ku sepsis). Chifukwa chake, aliyense yemwe ali ndi matenda ashuga ayenera kudziwa zizindikiro zoyambirira za phazi la matenda ashuga.

• Chizindikiro choyamba cha zovuta ndi kuchepa kwa chidwi:
  • kumanjenjemera poyamba
  • ndiye kutentha
  • ndiye zopweteka
  • komanso wamanyazi
• Komanso, maonekedwe a kutupa kwamiyendo ayenera kukhala atcheru (zoyambitsa)
• Kutsika kapena kuwonjezeka kwa kutentha kwa phazi, i.e. ozizira kwambiri kapena phazi lotentha, ndiye chizindikiro cha kusokonezeka kwa magazi kapena matenda
• Kuchulukitsa mwendo kutopa mukamayenda
• Ululu wamkamwa - popuma, usiku, kapena poyenda mtunda wina
• Kubowola, kuzizira, kuwotcha kumapazi ndi zina zomveka zachilendo
• Sinthani khungu la miyendo - mataso akhungu, ofiira kapena ofiira
• Kuchepetsa tsitsi
• Sinthani mawonekedwe ndi mtundu wa misomali, mikwingwirima pansi pa misomali - zizindikiro za matenda oyamba ndi fungus kapena kuvulala kwa msomali komwe kungayambitse necrosis
• Kuchiritsa kwakatalika kwa mabala, mabala, chimanga - m'malo mwa masabata 1-2 miyezi itatu, atachira mabala pali mawonekedwe amdima osasowa
• Zilonda pamapazi - osachiritsidwa kwa nthawi yayitali, atazunguliridwa ndi khungu lowonda, lowuma, nthawi zambiri lakuya

Sabata lililonse, muyenera kuyang'ana miyendo, mutakhala pa mpando pakalilore pansi kuchokera pansi - zala ndi gawo lakumapazi limatha kuyang'aniridwa, kulabadira malo amtunduwu, kumva ndikumayang'ana zidendene komanso kokha ndi galasi. Ngati kusintha kwasintha, ming'alu, mabala, zilonda zam'mimba zopanda mafupa zikapezeka, muyenera kulumikizana ndi podiatrist (katswiri wamapazi).

Odwala omwe ali ndi matenda ashuga amayenera kupita kwa akatswiri osachepera kamodzi pachaka ndikuwunika madera awo otsika. Ngati masinthidwe apezeka, wothandizira poloat amakhazikitsa mankhwala othandizira pamapazi, angiologist amagwira ntchito pamatumbo amiyendo, ngati ma insoles apadera amafunikira, ndiye kuti angiosurgeon amafunikira, ndipo nsapato zapadera - orthopedist.

Kutengera kufalikira kwa chifukwa chimodzi kapena chimzake, matendawa amagawidwa m'mitundu ya neuropathic ndi neuroischemic.

Chizindikiro chachikulu cha matenda ashuga ndi shuga wamagazi ambiri. Shuga owonjezera amawononga mathero amitsempha ndi mitsempha yamagazi, amasokoneza chakudya, magazi ndikupereka kwa ziwalo zonse. Mapazi amakhudzidwa makamaka, amakhala kumapeto kwenikweni kwa kuzungulira kwa magazi, kutali kwambiri ndi mtima, komwe kumafotokozera kukula kwa zochitika zina. Kupewa kwa phazi la matenda ashuga ndi njira zingapo zopewera kusintha kwamiyendo.

Oposa kotala limodzi la anthu odwala matenda ashuga amakhala ndi matenda ashuga apakati (SDS). Okalamba akamadwaladwala komanso amatha kudziwa zambiri za matendawa, nthawi zambiri pamakhala zovuta zina. Makoma a zotengera ali ndi vuto la kusowa kwa mpweya, glucose salowa m'maselo, chifukwa, kuwunikira kwa magazi kumachepa kwambiri, magazi amayenda pang'onopang'ono, mawonekedwe a magazi. Minofu minofu, mathero a mitsempha samalandira okosijeni ndi zakudya zofunika. Zilonda za trophic zimachitika, chidwi cha mapazi chimakhala chodwala, ntchito yoteteza khungu limachepa (ambiri odwala matenda ashuga amatenga matenda oyamba ndi miyendo yawo).

Mawonekedwe owonjezera a glucoseemia samalola wodwala kuti asamalire zazing'ono zowonongeka pakhungu (scuffs, mabala, ming'alu, chimanga) pa nthawi. Zofooka zofooka zimakwiyitsa kuchiritsa kwa microtraumas, matenda ophatikizika amatsogolera pakukulitsa chilonda, mapangidwe a zilonda zam'mimba. Mavuto owononga a minofu yokhala pansi kwambiri nthawi zambiri amatha ndi matenda am'mimba, kumeta dzanja, kugwiritsa ntchito nthawi yayitali mankhwala osokoneza bongo, kuledzera kwambiri kwa thupi. Milandu yomwe idakhazikitsidwa imatha kupha.