Gawo loyamba la gangrene la malekezero a shuga

Matenda a shuga ndi matenda omwe ali ndi endocrine chifukwa ndipo amayamba chifukwa cha kuchepa kwa insulin. Pathology imapereka zovuta zazikulu zomwe zingawononge moyo wamunthu. Chimodzi mwa izo ndi gangore.

Matenda a shuga

Monga tanena kale, gangrene ndi necrosis yamatupi amthupi, chifukwa chomwe minofu yamoyo komanso magazi amatenga kachilomboka chifukwa cha zomwe zimapangitsa kuti ziwonongeke kwambiri ziwalo zamkati mwa munthu - impso, mtima, chiwindi, mapapu ndi zina. Ngati simukuchitira izi, ndiye kuti zotsatira zake ndi chimodzi - zotsatira zakupha.

Kufikiratu kwa dotolo, kulandira chithandizo mosayenera, kunyalanyaza matendawa - zonsezi zimadzetsa kuti mankhwala sangathenso kuthana ndi vutoli, muyeso wokhazikika, monga kudula mwendo kapena phazi, kungakuthandizeni.

Monga lamulo, ndi matenda ashuga, matenda am'mimba am'munsi amayamba - amatha kukhudza chala kapena mapazi angapo, koma pazinthu zapamwamba kwambiri, popanda chithandizo, muyenera kudula mwendo mpaka bondo, ndipo nthawi zina kumtunda.

Gangrene amayamba kufalikira mthupi lonse, ndipo kuti apulumutse moyo wa munthu, ayenera kusintha njira monga kudulira. Muzochita zachipatala, pali zinthu zomwe zimatha kuyambitsa miyendo (monga chithunzi):

• Njira ya ischemic ya gangrene imayamba chifukwa cha kusintha kwa ma atherosselotic m'thupi la munthu, chifukwa chomwe mitsempha yamagazi imatsekedwa, chifukwa chake, magazi athunthu amasokonekera. Zotsatira za njirayi: kuchepa kwa magazi ndi magazi omwe akubwera, omwe amachititsa kuti minofu yakhudza.
• Matenda a shuga (monga chithunzi). Gawo loyambirira la chitukuko limadziwika ndi zilonda zam'mapazi kapena mwendo wotsika. Mchitidwe wa kusinthika kwa minofu umayamba pang'onopang'ono, mabala amayamba kutenga kachilomboka, ndipo matenda opatsirana amayambika.
• Polyneuropathy imayamba chifukwa cholephera kuchuluka kwa shuga m'thupi la munthu, zomwe zimachitika m'maselo onse am'magazi amanjenje.
• Kugonjetsedwa kwa ziwiya zazikulu chifukwa cha atherosulinosis, thrombosis imadziwika chifukwa chake, ndipo gangrene yam'munsi imayamba mwa munthu.

Zomwe zimayambitsa gangore zimaphatikizapo kufooka kwa chitetezo chathupi. Mwambiri, zochitika zachipatala za wodwalayo zimawonetsa kuti palibe chifukwa chimodzi, koma zifukwa zingapo zimayambitsa izi. Nthawi yomweyo, kuuka, zinthu zimathandizira kukoka kwa wina ndi mnzake, zomwe zimatsogolera gawo lovuta la matenda.

Mavuto omwe ali ndi miyendo amatha kukhudza munthu aliyense yemwe ali ndi matenda ashuga amtundu uliwonse. Wodwala amakhala ndi mabala ndi kuvulala pamapazi ake, koma popeza chopondera chimachepetsedwa kwambiri, wodwalayo sawaganizira, samangomva kuwawa.

Zizindikiro za gangrene mu shuga

Zizindikiro zoyambira za m'munsi zam'munsi ndizovuta kuzikhazikitsa, popeza miyendo idasiya kumva.

Komabe, ziwonetsero zina za thupi zimatha kusiyanitsidwa, zomwe ziyenera kuyang'aniridwa mwapadera. Kupatula apo, amathandizira kuzindikira kukula kwa matendawa, komanso nthawi yopewa kukula kwa minofu necrosis (monga chithunzi).

Zizindikiro zoyambirira ndi izi: kumva kupsinjika m'miyendo, kutopa kwamiyendo, kupendekera pang'ono sikumatha, komanso kumverera kwa miyendo, kupweteka kwa minofu ndi minyewa, phazi likhoza kukhala lopunduka.

Chizindikiro chowoneka kwambiri cha kuyambika kwa njira ya pathological ndikusintha kwa mtundu wa nthambi yam'munsi, kutentha kwake. Zizindikiro zoterezi zimatha kuwonetsedwa ndi red of the limb, kapena phazi limakhala lotuwa kwambiri komanso lamtambo. Kumakhala kuzizira kukhudza, kukoka kwake kumachitika, tirigu amawoneka.

Ngati simumayamba chithandizo kumayambiriro kuti muchepetse zovuta zoyipa ndikusintha njirayo, chithunzi chachipatala chotsatirachi chikuwululidwa:

1. Ziwalo zomwe zakhudzidwa ndimiyendo zimapweteka nthawi zonse, ululu sutha, pomwe ukukulira.
2. Khungu la phazi m'malo ena limakhala lofiirira kapena lakuda
3. Matenda amawonjezeredwa ku minofu necrosis, nthawi zambiri izi zimawonedwa ndimanyowa.
4. Amisili a purulent atulutsidwa m'deralo, pomwe ambiri.

Poyerekeza ndi zomwe zidalembedwa, zizindikiro zina zoyipa zimawonekera, monga kuwonjezeka kwa kutentha kwa thupi, kutentha thupi, munthu akudwala, ali ndi mutu, chizungulire chilipo. Gangrene mwa anthu omwe ali ndi matenda osokoneza bongo ndi amitundu iwiri:

Matenda owuma a phazi amayamba pang'onopang'ono, nthawi zambiri amapezeka odwala okalamba. Pakupita kwa nthawi yayitali, khungu la munthu limakhala lakwinya, louma. Dry gangrene amadziwika ndi zizindikiro zotsatirazi:

1. Utoto wa malekezero apansi.
2. Kudziwonekera mwatsatanetsatane kupweteka m'miyendo.
3. Kuwonongeka kumverera m'miyendo.
4. Kutupa kwamiyendo.

Wet gangrene of phazi (monga pachithunzi) muzochitika zambiri zachipatala zimapezeka mwa anthu onenepa kwambiri komanso odwala. Njira yake imakhala yovuta kwambiri kuyerekeza ndi mtundu wouma wamatendawa. Chifukwa chakuti zofewa zofewa sizimawuma, monga ndi khungu louma, zimakhala ndimaselo ambiri am'mafuta, phazi limakutidwa ndi mawonekedwe a purulent.

Poyerekeza ndi zomwe zimachitika pakatsuka kake, zinthu zowola ndi zinthu zakupha zimatulutsidwa m'thupi la wodwalayo, zomwe zimangowonjezera zomwe zikuchitika, ndipo mwayi wokhala ndi zotsatira zabwino umachepetsedwa.

Gangrene: choti achite ndi momwe muyenera kuchitira?

Wet gangrene amatanthauza njira ziwiri zokha zochizira. Poyamba, adotolo amayesetsa kuthana ndi mankhwala kuti abwezeretse miyendo ya wodwalayo, komanso kupewa kudula.

Mlandu wachiwiri, chithandizo chimalimbikitsidwa kudzera pakuchita opareshoni. Monga momwe zamankhwala zimasonyezera, njira iyi ndiyothandiza kwambiri komanso yothandiza.

Pa gawo loyambirira la matendawa, madzi ambiri amalowetsedwa m'thupi la wodwalayo - mosadukiza, mwamitsempha ndi m'mitsempha. Nthawi zambiri, adotolo amagwiritsa ntchito shuga, isotonic solution, komanso magazi amadzimana ngati madzi. Kuchepetsa ululu, dokotalayo amatipatsa mafuta odzola ndi mafuta omwe amakhala ndi mphamvu ya analgesic.

Maselo akufa amachotsedwa pogwiritsa ntchito opaleshoni. Pambuyo pa kulowererapo, wodwalayo akulimbikitsidwa kuti amwe mankhwala ambiri othandizira.

Chithandizo cha matendawa chitha kuchitika ndi njira zotsatirazi:

• Njira ya microsuction. Mwa kulowererapo, adokotala amagwiritsa ntchito zida zomwe zimatha kulowa m'mitsempha yamagazi, makulidwe osaposa mamilimita awiri "ndikuwakankhira" pamlingo wofunikira.
• Angioplasty ndi kununkha. Pakutero, zitini zazing'ono zimayikidwa mu ziwiya, zomwe zimazikulitsa, chifukwa chomwe kufalikira kwamwazi kwathunthu kumabwezeretseka. Kuchita njirayi ndikofunikira pazovulaza, ndipo muzipatala zamakono.

Ngati gawo la matendawa layambika, ndikuphatikiza kudula, palibe njira yotuluka, dokotala amayesetsa kuchepetsa kuduladula. Ndiye kuti, mwendo wa munthu sunadulidwe kwathunthu, ndipo kwa zomwe zimatsalira, njira zonse zakumwambazi zimagwiritsidwa ntchito.

Odwala ambiri ali ndi chidwi ndi kuchuluka kwa anthu omwe amakhala ndi vutoli. Mwambiri, titha kunena kuti ndi chithandizo choyenera komanso chokwanira, komanso ndikudulidwa, mu 50% ya mikhalidwe ndikotheka kuyimitsa minofu necrosis, ndipo munthu adzakhala ndi moyo kwathunthu.

Ndikofunika kudziwa kuti ngakhale pa gawo loyambirira la matendawa, simungathe kudzilimbitsa, palibe mafuta ndi ma gels omwe angabwezeretse kufalikira kokwanira, zinthu ziziipiraipira.

Kuphatikiza apo, adotolo amalimbikitsa kuti mutenge mavitamini osiyanasiyana ndi mitundu ina ya mankhwala omwe amathandizanso chitetezo cha mthupi, kuwonjezera chitetezo chake.

Kodi mankhwalawa amatenga nthawi yayitali bwanji? Palibe yankho lenileni, mankhwalawo ndi kutalika kwake zimadalira momwe wodwalayo alili, gawo la matendawo, komanso matendawa, omwe akuphatikizanso mbiri yakale yachipatala.

Kunenepa ku matenda ashuga - chochita ndi momwe mungapewerere kukula kwa matenda osokoneza bongo?

Kugunda modekha m'mphepete, dzanzi ku matenda ashuga (neuropathy) - chizindikiro cha zinthu zoopsa.

Zizindikiro zake ndi zovuta zamatenda monga phazi la matenda ashuga, malo amiyendo.

Momwe mungaletsere zoyipa, werengani mopitilira kusindikiza.

Zimayambitsa dzanzi mu mtundu 2 shuga

Monga matenda ashuga amtundu woyamba, ndi shuga yachiwiri, shuga wambiri amakhala chinthu chowononga pakutha kwa mitsempha.

Kusiyanako kumangokhala muzu woyambitsa shuga wambiri. Kwa matenda amtundu wa 2 shuga, uku kumakhala kuchepa mphamvu kwa insulin.

Kuphatikiza apo, pali zinthu zina zomwe zikuthandizira kukula kwa neuropathy, mosasamala mtundu wa shuga:

• Kuperewera kwa zinthu zofunika kufufuza. Ngati magazi a magazi aposa gawo la impso 10 m / mol, thupi limachichotsa mokwanira ndi mkodzo. Komabe, limodzi ndi shuga, zinthu zina zofunika kufufuza zimatsukidwa - potaziyamu, magnesium, zomwe ndizofunikira kwambiri pantchito yamitsempha.
• Mitundu Kafukufukuyu adatsimikizira kuti cholowa chimagwira gawo lofunikira pakukula kwa matenda a shuga. Asayansi amati gulu linalake la majini ndilo limayambitsa chidwi cha ma neuron ku glucose, omwe angayambitse matenda a neuropathy.
• Kuwonongeka kwa nembanemba wamitsempha. Kutulutsa kufalikira kuchokera kumapeto kupita ku ubongo ndi mosemphanitsa sikanthu koma chizindikiro chamagetsi. Mafuta ochulukirapo amawononga axon yolowetsa sheel, yomwe imalepheretsa kupezeka.

Zizindikiro zotsutsana mu odwala matenda ashuga

Kuchuluka kwa mikono ndi miyendo nthawi zambiri kumayendetsedwa ndi zizindikiro zina, chifukwa matendawa amakhudza matupi amitsempha a chamoyo chonse.

Mitsempha ya msana, magawo a minyewa yamanjenje yomwe imayendetsa chizindikiro kuchokera ku ubongo, imavutika.

Zizindikiro zitha kugawidwa m'magulu atatu:

Woyamba amakhala ndi zomwe zimapangitsa minofu kukhala.

Ndi kuwonongeka kwa minofu minofu, zizindikiro zotsatirazi zimawonedwa:

• Kufooka minofu, kunjenjemera. Kuchuluka kwa kufooka kumatha kusiyanasiyana ndi kutopa msanga, kulephera kukweza kulemera kwina kuti kufooketse gawo la minofu. Ndi kuwonongeka kwa minofu ya ng'ombe, ndikovuta kuyenda ndi kukwera masokosi. Nthawi zina odwala omwe ali ndi matenda ashuga, kuyenda kosavuta, ntchito yosavuta yolimbitsa thupi imakhumudwitsa minofu.
• Zingwe. Matenda a minyewa modabwitsa amachitika mwa anthu odwala matenda ashuga chifukwa cha kuperewera kwa zakudya. Khunyu ikhoza kukhala limodzi ndi paresthesia (kumva kuwawa m'misempha), kupweteka, kukhudza, kapena, mosiyana, hypersensitivity.

Matenda okhudza mtima amaphatikizapo:

• Kumvetsetsa. Khungu pang'ono, goosebumps ndi chizindikiro choyamba cha neuropathy yomwe ikubwera.
• Kuphwanya malingaliro azachilengedwe. Madera omwe akhudzidwa ndi mitsempha sangathe kufalitsa uthenga ku ubongo. Izi zimabweretsa kuwonongeka kwamphamvu ndi malekezero a boma la kutentha, kuyang'ana kwa malo. Anthu odwala matenda ashuga omwe ali ndi vuto la neuropathy nthawi zambiri amakhala ovuta kuzindikira mawonekedwe, zinthu kapena zinthu pakukhudza.
• Anachepetsa kupenyerera.

Chosankha, koma chizindikiritso pafupipafupi ndikusintha kwa khungu. Pankhaniyi, kukwiya, kutulutsa kwa khungu kungawonedwe.

Zizindikiro zoyambirira za kumva ululu, dzanzi m'zigawo zazikulu, zikaonekera, dokotala. Kuchita bwino kwa matendawa kumatengera nthawi yake.

Zoyenera kuchita

Ngati odwala matenda ashuga amasiya kumva zala kapena zala, ndiye kuti mathero amtsempha ndi mitsempha yamagazi imakhudzidwa ndi matendawa.

Kuchuluka kwa miyendo kumatha kupita patsogolo ngati malingaliro a dokotala sanatsatidwe.

Mutha kupeza chithandizo kuchokera kwa dotolo wamankhwala, komanso kwa dokotala-endocrinologist.

Mwa zina mwatsatanetsatane ndikuchepetsa shuga, zakudya zamagulu ochepa. Kuti muchepetse kuwonongeka kwa mitsempha yotumphera, mankhwala a antioxidant amalembedwa kuti achepetse kuchuluka kwa ma radicals omasuka.

Mafuta, mavitamini ndi mankhwala anticonvulsant

Kubwezeretsa patency yamitsempha, mafuta omwe amathandizira pazomwe zimachitika - Capsaicin, Finalgon, angagwiritsidwe ntchito. Musaiwale kuti mapazi komanso mafinya omwe ali ndi neuropathy amatha kukhala ngati mafunde, pazinthu izi, mafuta onunkhira opaka mankhwala opha ululu - "Ketoprofen", mafuta onunkhira ozikidwa pa diclofenac, ibuprofen, komanso "Lidocaine" adayikidwa.

Pamaso pa kukomoka kwambiri, mankhwala omwe amachepetsa kukokana kwa minofu amadziwika.

Zina mwa izo ndi:

• "Valparin" (mphamvu yofatsa yonse, kuthetseratu ma spasms),
• "Diphenin" (ali ndi anticonvulsant, minofu yopumula),
• "Panangin" (mankhwalawa amachotsa kuchepa kwa potaziyamu ndi magnesium - zinthu zofunika pakugwira bwino ntchito kwa mitsempha),
• "Venarus" (zotchulidwa mu milandu ya kukomoka kwamphamvu chifukwa cha kuthamanga kwa magazi).

M'mikhalidwe yovuta, ma painkiller kwambiri amalembedwa - Tramadol, Flupirtine.

Kuti athandize magwiridwe antchito, minyewa, komanso kusintha magazi ake, madokotala amafunsira kudya mavitamini ambiri. Chofunika kwambiri pochiza mavitamini a gulu B, A, D. Alpha-lipolic acid, vitamini C amachepetsa kuwonongeka kwa mitsempha. Mavitamini a gulu B nthawi zambiri amawayikidwa ngati jakisoni pakapita masiku 10 mpaka mwezi.

Kuchuluka kwa zipatso zomwe zimadwala odwala matenda ashuga ndizochepa, siziyenera kutsutsana ndi chakudya chokhazikika cha carb.

Physiotherapy

Pochiza matenda a limbopathy, miyendo imagwiritsidwa ntchito kwambiri. Cholinga chachikulu ndikupititsa patsogolo magazi, kupereka maselo ndi mpweya, ndikuthandizira mathero amitsempha.

Lowetsani:

• electrophoresis
• maginotherapy
• Ultratonotherapy
• darsonvalization
• phonophoresis,
• magawo osambira.

Ndondomeko zimathandizira kubweretsanso kamvekedwe ka minofu, mantha. Kutalika kwa chithandizo kumatchulidwa ndi adokotala.

Kupunthwa kwamapazi ndi manja

Mutha kuchiza matenda a neuropathy. Kutikita minofu ndi manja m'deralo kumagwiritsidwa ntchito koyamba kwa matendawa. Kutikita kwakanthawi kumawonetsedwa, kumaloledwa kugwiritsa ntchito njira zake zonse. Chidwi chachikulu chimaperekedwa ku dera lumbosacral, lomwe limayang'anira kulumikizana ndi miyendo.

Achire phazi kutikita minofu

Kutikita minofu kumathandizanso. Chifukwa chakuyenda bwino kwa magazi, zala, makamaka chala chaching'ono, malo omwe amamangika ndi minofu ya minofu, dera la periarticular limayendetsedwa payokha.

Kuchiza ndi wowerengeka azitsamba

Chithandizo cha makolo chimalimbikitsa kugwiritsa ntchito mankhwala osokoneza bongo a laurel, fenugreek, ma cloves, omwe amathandiza kuthana ndi hyperglycemia, kuchepetsa zizindikiro.

Kuti ayambe magazi, magaziwo amapangika ndi mafuta a rosemary, hypericum, ginger.

Njira zina zodziwika bwino zomwe anthu amachita ndi kusamba kwa saline.

Zotheka

Zala zakumaso, poyang'ana pang'ono, zitha kuwoneka ngati vuto laling'ono. Komabe, neuropathy imadziwika ndi kupita patsogolo mwachangu.

Zotsatira zoyipa kwambiri ndizakukula kwa miyendo, kugona kwathunthu.

Mapeto amitsempha omwe akhudzidwa sangathe kufalitsa zomwe zimapangitsa kupweteka, chilondacho chimatha kutupa komanso kusefukira, ndipo wodwala matenda ashuga sangathe kuzindikira izi.

Kupewa kutalika kwa miyendo

• kuwongolera shuga
• Valani nsapato zofewa zomwe sizipinikiza miyendo yanu,
• pewani kuwononga miyendo, yang'anirani zaukhondo wawo.

Kaya ndi gawo liti la dzanzi, musataye mtima, chifukwa mankhwala amakono amadziwa njira zambiri komanso masauzande ambiri a zitsanzo zachipatala zothandiza.

Zifukwa zachitukuko

Matenda a shuga a m'munsi malekezero - necrosis ya zimakhala ndi maselo chifukwa cha kagayidwe kachakudya. Chiwopsezo chotenga matenda chikuwonjezereka ngati kuchuluka kwa shuga m'magazi kwawonedwa kwa nthawi yayitali.

Matenda a shuga amayamba chifukwa cha zinthu zotsatirazi:

• osagwirizana ndi mankhwala
• zizolowezi zoipa
• kuvala nsapato zopapatiza komanso zosavutikira,
• Kunyalanyaza pambuyo kuwonongeka pang'ono kwa khungu chifukwa cha matenda,
• kunenepa
• kusintha kwa kutentha,
• ischemia, atherosulinosis - ndi matenda otere, kufwamphuka kapena kuchepera kwa ziwiya zazing'ono kumachitika, komwe kumayambitsa kufa ndi njala,
• kusintha kosintha,
• kuchepa chitetezo chathupi,
• polyneuropathy.

Mitundu ya matenda

Gangrene nthawi zambiri amagawidwa ndi izi:

• kuwonongeka kwa mitsempha ya mitsempha (neuropathic),
• kusintha kwa mtima (angiopathic),
• kuwonongeka kwa minofu yam'mafupa (osteopathic).

Palinso mitundu iwiri yamatenda - onani pansipa.

Youma gangrene

Kuwonongeka kwadongosolo kumayamba pang'onopang'ono ndikumverera kuyabwa kapena kutentha m'dera la zala ndipo kumatha kukhala zaka zingapo. Popita nthawi, khungu limachepa, kupindika kwa minyewa yolimba kumachitika, kupweteka kwambiri kumawonekera, nthawi zina kumangochitika pakokha.

Kusiyana pakati pakuwoneka matendawa ndikuwoneka bwino: malo a zotupa akutsikira, njira yowotcherera imawonedwa. Fungo losasangalatsa silimamveka.

Matenda a wodwalayo nthawi zambiri samakula, popeza matendawo amadutsa popanda kutenga matenda. Nthawi zambiri matenda ashuga, chilonda chowuma chimakhudza zala.

Pathology sikuvulaza magwiridwe antchito amkati mwa munthu, koma njira imodzi yochiritsira ndikudulidwa kwa gawo la phazi.

Zowonda kwambiri

Mtundu wowopsa wamavuto omwe umawopseza moyo wa odwala matenda ashuga. Matendawa amakhala ndi poyambira lakuthwa komanso ali ndi zizindikiro zowopsa.

Chiwalo chomwe chikukhudzidwa chikukula kukula, kutupa, kupeza mtundu wobiriwira kapena wofiirira, khungu limakutidwa ndi matuza ang'onoang'ono. Tsamba la necrosis limakula mwachangu, kukoka mafupa ndi minofu minofu kuti ikuchitikire. Fungo loipa losasangalatsa limachokera m'miyendo.

Pa palpation ya malo omwe akhudzidwa, crepitus imamveka chifukwa chodzazidwa ndi tinthu tinatake tosakanikirana ndi hydrogen sulfide. Matenda a wodwalayo amachepa kwambiri, ndipo zizindikiro za kuledzera zimayenderana.

Mtundu wonyowa wa matenda am'miyendo mu shuga. Umafunika kudula mwendo mwachangu kuti apulumutse moyo wa wodwalayo.

Zizindikiro poyambira

Kusintha koyamba pakhungu ndi kosawoneka bwino ndipo kumakhala ndi njira yobisika popanda kuwonetsera.

Zizindikiro za gangore ndi:

• kumangika pang'ono komanso kumva kutayika kwamiyendo,
• paresthesia
• kulankhulirana
• kuzizira kosalekeza ndikulanda miyendo,
• kutopa msanga ndi masewera olimbitsa thupi kapena kuyenda,
• kusintha mawonekedwe a mapazi.

Pankhani yamavuto am'magazi, ischemia imatha kuchitika, yomwe imayendera limodzi ndi mawonekedwe a zilonda zam'mimba ndi foci ya necrosis ndi kuwonjezera kwa matenda.

Zizindikiro zakuchedwa

Magazi stasis ndi mapangidwe magazi kumabweretsa kukula kwa odwala matenda ashuga phazi.

Chiwopsezo chachikulu chimakhalabe mwa anthu achikulire omwe ali ndi kuphwanya kwamisempha.

Zizindikiro zakutha kwa matenda:

• Kusintha kwa khungu ndi kutentha kwa khungu pamalo a zotupa (zala zamtambo),
• ululu wam'miyendo mwendo, kuwawa kwambiri,
• matenda a chidwala - kufooka, malaise, malungo
• kutulutsa kwatsuka
• fungo loipa la kuwola.

Zizindikiro

Kuzindikira njira ya pathological imakhala ndi magawo angapo:

• kuyang'ana pakhungu la miyendo ya odwala matenda ashuga, khosi la phazi, malo okhudzidwa,
• bacteriological chikhalidwe kuchokera pamalo owonda,
• kusanthula pamlingo wa shuga, zamankhwala am'madzi, OAC yokhala ndi formula. Katswiri wa magazi urea, creatine, ESR,
• Ultrasound ya ziwiya za m'munsi malekezero, kuyeza kayendedwe ka magazi,
• mayeso amitsempha,
• MRI ndi radiology molingana ndi mawonekedwe.

Popanda kudulira

Njira zimapangidwa kuti muchepetse shuga m'magazi, kumwa maantibayotiki omwe ali ndi zotsatira zingapo, kugwiritsa ntchito mavitamini.

Pa nthawi yamankhwala, ndikofunikira kuti muchepetse katundu pamiyendo (mpaka pogona pakama), kuyang'anira zaukhondo komanso musayendetse mapazi.

Ndikofunika kugwiritsa ntchito njira zolimbitsa thupi zochotsa minofu yakufa ndikuwonjezera njira zobwezeretsanso.

Ochita masewera olimbitsa thupi amathandizira pakukonzanso kubwezeretsa magazi moyenera mwendo, kuti ateteze minyewa.

Njira yopangira opaleshoni

Opaleshoni imafotokozedwa pofalitsa mwachangu za matenda a ubongo komanso kuledzera kwambiri kwa thupi.

Zochita zochizira zimaphatikizapo:

• kudula miyendo,
• mankhwalawa
• kumanga malo okhudzidwa,

Opaleshoni kuti achulukitse magazi:

• Prosthetics - yodziwika ndi kubwezeretsa kwa magazi mothandizidwa ndi ma protein, omwe amaikidwa mchombo. Chakudya cham'mimba chimakhala chokhazikika, chomwe chimatsogolera kuchiritsidwa kwa zilonda ndikuchotsa kupezekanso kwa gangrene.
• Opaleshoni yam'mimba. Njirayi ikufuna kuonetsetsa kuti magazi atha kulowa mu minyewa yapadera kudzera m'misempha yina.
• Njira yotsimikiza. Opaleshoniyo imakhala yoyambitsa catheter yokhala ndi baluni yomwe imayendayenda mchombo ndikukulitsa. Pulogalamu imayikidwa kuti isabwerenso.

Cholinga chachikulu cha mankhwalawa ndikusamutsa chimbudzi kuti chume, chomwe chimapewa kudulidwa kwamiyendo mwendo.

Chithandizo chofananira

Nthawi zina gulu la zigawenga limatha kuyimitsidwa ndikusala kudya. Izi zichitike mosamalitsa woyang'anira ndipo zimakhala ndi zotsutsana zingapo.

Njira ya oxygenation imathandizanso kuyimitsa miyendo. Kukonzekera kwa minofu yokhala ndi mpweya wabwino kumathandizira kuchiritsa kwa zilonda zam'mimba.

Biotherapy ndi njira yomwe mphutsi za ntchentche zimayikidwa m'mabala, omwe amachotsa malo omwe akhudzidwa ndikuwathandizira njira yobadwanso mwatsopano.

• wiritsani mphukira zazing'ono kwa mphindi 10 ndi kunena mu thermos. Imwani tsiku lililonse m'malo mwa tiyi
• nadzatsuka msuzi wosaya ndi msondodzi, ikani chotupa, ikani nthambi pakhungu ndikupanga bandeji usiku,
• mafuta opangira mankhwalawa amakonzedwa pogwiritsa ntchito uchi, mafuta anyama, sopo ochapira, mafuta a masamba. Sungunulani chisakanizo ndi kubweretsa chithupsa, kuwonjezera anyezi, adyo ndi aloe. Onjezerani musanagwiritse ntchito.

Ndikosatheka kuchiza mitundu yapamwamba ya matendawa pokhapokha pochita zinthu zina.

Momwe mungapewere kukula kwa gangrene

Mavuto amaletsedwa kugwiritsa ntchito njira zopewera zovuta:

• matenda a shuga
• kumachitika pafupipafupi ndi mayeso ofunikira ndikuwonana ndi katswiri pamaso pa zizindikiro zoyambira,
• Kusamalitsa mosamalitsa kwa malamulo aukhondo - gwiritsani ntchito mapazi anu ndi sopo wa antibacterial, gwiritsani ntchito moisturizer,
• achire olimbitsa thupi kuti abwezeretse magazi kulowa kumapeto,
• kutsatira zakudya ndi mankhwala,
• kuchita masewera olimbitsa thupi amadzulo mphindi 10 pambuyo pogwira ntchito mwakhama,
• Nthawi zambiri zimapatsa miyendo malo okwezeka kuti achepetse kuchepa,
• kusiya zizolowezi zoipa,
• onetsani kuti mapazi anu ali ofunda ndi kusankha nsapato zabwino,
• munthawi yake mankhwala ochepa abrasions, chimanga ndi mabala,
• kuyenda pafupipafupi mumlengalenga, kusambira.

Ndi mawonekedwe owuma am'mapazi amiyendo, matulukidwewo ndiabwino. Madera a Necrotic amakonda kuchita zodzicheka, zomwe zimathetsa kufunikira kwa opaleshoni.

Zilonda zam'mimba zotere zimayambitsa zovuta mu mtima, chiwindi, ndi impso.

Njira yodutsira m'mapapu ndi matumbo ake imakhala ndi:

• sepsis
• kuwonongeka kwa ziwalo zonse,
• hemorrhage m'mapapo
• peritonitis
• imfa.

Mgodi wozunzika umafunika kuwunika mosamalitsa kuchuluka kwa shuga. Zizindikiro zoyambirira za matendawa zikaonekera, muyenera kufunsa dokotala, kutsatira malangizo komanso kupewa.

Kuchuluka kwa mikono ndi miyendo yokhala ndi shuga

Ngati wodwala ali ndi miyendo yodwala ndi matenda a shuga, ichi chikhoza kukhala chizindikiro cha kuwonongeka kwa minyewa yamanjenje komanso mitsempha yamagazi chifukwa cha kuchuluka kwa magazi m'magazi. Nthawi zambiri, dzanzi limayendera limodzi ndi kupangika kwa zilonda ndi zilonda zam'mimba, zomwe zimakhala zovuta kuchiritsa. Ndi kuchepa kwakumverera, magwiridwe antchito a manja ndi miyendo ya wodwalayo samavutika kwa zaka zingapo, chifukwa chomwe vutoli siliperekedwe mwachidwi.

Zimayambitsa dzanzi la zala zakumanja ndi manja mu shuga

Cholinga chachikulu cha kutayika kwa mikono ndi miyendo mu matenda a shuga ndi gawo lokwera lamwazi.

Kuchuluka kwa manja ndi mapazi omwe ali ndi matenda ashuga kumachitika pamaso pa zinthu izi:

• Valani nsapato zolimba, zosayenera. Kusokonezeka kwazungu kumapangitsa kuti zala zisagwe.
• Kuchita masewera olimbitsa thupi mopambanitsa kapena kumangokhala. Chifukwa cha kufooka kwa magazi, zala zakumaso zimagwira.
• Matenda amtsempha wamagazi, monga atherosulinosis. Zotsatira zamatenda, kupendekera kwa magazi ndi kutsika kwa miyendo kumachitika.
• Matenda a zamitsempha. Pankhaniyi, kuchepa kwa chidwi cha mwendo wonse ndikukula kwa zilonda ndizotheka.

Bweretsani ku zomwe zalembedwa

Ndi shuga wambiri, kuwonongeka kwa magwiridwe amwazi kumachitika, komwe kumakhudza magazi ndikupangitsa ziwalo zonse komanso minyewa, kuphatikizapo khungu. Kuphatikiza apo, shuga wamkulu amasokoneza minyewa yamanjenje komanso kukula kwa matenda a shuga. Kuphulika kwa mitsempha kumawonedwa, chifukwa chomwe chidwi cha zala, phazi kapena mwendo wonse kapena mkono wonse. Kunenepa kwambiri ku matenda ashuga kumatha kukhudza miyendo yonse iwiri kapena umodzi. Kutha kutayika kwa zala kapena gawo lina la miyendo.

Zizindikiro zina

Kuphatikiza pa kuwonongeka kwa ziwalo zomwe zakhudzidwa ndi miyendo, wodwalayo amawona kung'ung'udza, kupweteka, ndikuwotcha. Zala kapena zala zakumwa ndizazizira kwambiri kapena, mosiyana, zimakhala zotentha. Pang'onopang'ono, kubowola, ming'alu, zilonda zowuma kapena zilonda zam'mimba zimatuluka pakhungu. Kuwonongeka kwa chidwi kumakhudza magwiridwe antchito a miyendo. Wodwalayo ali ndi vuto losokoneza, kupuwala kwathunthu ndikotheka.

Zovuta zotheka

M'magawo oyamba a matenda a pathology, dzanzi silimavutitsa wodwala. Kuchulukana kumapita pang'onopang'ono, madera akuluakulu khungu limagwidwa. Mavuto a dzanzi mu shuga angakhale motere:

• Matenda a shuga. Amadziwika ndi kakulidwe ka zilonda zam'mimba zambiri ndi gangrene kumapazi, komwe nthawi zambiri kumatha ndikudula.
• Kuchiritsa kovulaza ngakhale mabala ang'onoang'ono, kukulira kwa puroses.
• Kuwonongeka kofananako ndi kufalikira kwa magazi ndi kufalitsa kwa zikhumbo zamkati, zomwe zimasokoneza ntchito yawo ndikupangitsa zovuta zambiri.

Bweretsani ku zomwe zalembedwa

Chithandizo cha matenda a mtima

Mankhwalawa adayamba kumayambiriro kwa chitukuko cha matenda am'mimba amakuthandizani kuti muthane ndi vutoli, khalani ndi thanzi lamanjenje ndikupewanso kudula miyendo.

Pochiritsa zizindikiro, ma hydroprococol amagwira ntchito bwino.

Kuchuluka kwa manja mu shuga kumatha ndi chithandizo chamankhwala. Chithandizo cha dzanzi ndi wowerengeka azitsamba, zomwe zikutanthauza kutsegulira kwa magazi kumiyendo ndi miyendo, sizipereka chifukwa, chifukwa cha matenda ashuga, matenda a zamatumbo amatengera kuchuluka kwa shuga. Malangizo a shuga m'magazi ndiye cholinga chachikulu cha zamankhwala. Kuphatikiza apo, nthawi zotsatirazi zimaperekedwa kwa wodwala:

• Mavitamini a odwala matenda ashuga. Chofunika kwambiri ndi mavitamini B1 ndi B6.
• Ma anticonvulsants omwe amateteza magazi kutuluka.
• Machiritso owawa, odana ndi kutupa ndi antiseptic othandizira zochizira hematomas, ming'alu ndi zilonda zam'mimba.
• Mavitamini A, B12, pyridoxine ndi thiamine kuti mugwiritse ntchito zakunja motsutsana ndi ming'alu ndi zilonda zam'mimba.
• Massage, hydrotherapy. Idasankhidwa pambuyo pochiritsa mabala.

Bweretsani ku zomwe zalembedwa

Chifukwa chiyani matenda ashuga ndi miyendo yopanda chidwi amatha kuzimiririka

Zomwe muyenera kudziwa za matenda ashuga komanso dzanzi m'miyendo

Ndi matenda a shuga, anthu amakumana ndi mavuto ambiri. Chimodzi mwazofala kwambiri pakati pawo ndi dzanzi la gawo kapena mwendo wonse. Zowoneka pang'onopang'ono za njirayi zimadziwika kuti imatha kudziwonetsa kutali kwambiri kapena kukhala ndi chilengedwe, momwe malembawo amasungirako magwiridwe antchito a 100% kwakanthawi. Zambiri pazatsoka ndi momwe mungathetsere pansipa.

About mawonetsedwe

Wodwalayo ayamba kuwona zodabwitsa m'miyendo, monga:

• kumva kulira
• Goosebumps
• kupweteka ndi kuwotcha miyendo,
• dzanzi.

Nthawi zina, kumakhala kuzizira kumawonekera, kapena, kunena, kuphika dera la phazi, komanso mwendo wonse. Nthawi zambiri, mavuto ammiyendo omwe amaperekedwa amakhala ndi zaka zingapo, nthawi zina, vuto la mwendo lomwe limachitika mofulumira. Nthawi zambiri, zimatenga miyezi iwiri kapena itatu, pomwe dzanzi limafalikira paliponse mwendo.

Pazifukwa

Pazifukwa zomwe malekezero ochepa amakhala atafooka, akatswiri akhala akuganiza kwanthawi yayitali, makamaka za zomwe zimachitika chaga. Zotsatira za kukhazikika kwa kayendetsedwe ka magazi konse, kuwonongeka osati kumathero amanjenje, komanso kwa ulusi, komanso kuwonongeka kwa gawo la zopinga zamitsempha, kukuchepa kwa kuchuluka kwa chidwi ndi kuwonjezeka kwa kuthekanso kubwezeretsa maselo ndikuchira kwawo mu matenda a shuga.

Kodi ndizomwe zimayambitsa dzanzi?

Zotsatira zake, miyendo simalandila kuchuluka kwa magazi omwe amafunikira, chifukwa chake, mafomu osowa, omwe amadziwonetsera osati kuchuluka, komanso zovuta zina zazikulu. Tiyenera kudziwa kuti mavuto omwe amapezeka m'magazi, ndizotsatira za chochitika china, chomwe ndi kulephera kwathunthu kwa dongosolo lamanjenje (chapakati chamanjenje).

Chifukwa chake, sikuti magazi okhaokha omwe amafunikira omwe amayimitsidwa, komanso zomverera m'miyendo zimakodwa. Zotsatira zake, gawo lililonse lam'munsi sililandira kuchuluka kwa magazi, ndipo zotengeka zimachepetsedwa. Ndipo, monga mukudziwa, matenda awa, osachiritsidwa munthawi yake, amakhala othandizira pamavuto akulu kwambiri. Zotengera izi ndi izi za matenda ashuga ndipo zimangolekezera kutha kwa zala kapena mapazi?

Pazotsatira zake

Chodabwitsa cha dzanzi, monga phazi la matenda ashuga, chimadziwika kwambiri, chomwe chimayenera kuwonedwa kuti ndi chimodzi mwazovuta kwambiri zovuta izi. Kuphatikiza apo, amadziwika ndi kusowa kwa ukhondo wokwanira, womwe mu shuga muli imodzi mwamagawo ofunikira.

Muli ndi vuto la matenda ashuga omwe aliyense, ngakhale ang'ono kwambiri, mabala amachiritsa kwambiri komanso pang'onopang'ono.

Izi zitha kufotokozedwanso mu:

1. kuphwanya kuchuluka kwa ziwalo zambiri,
2. Ndiponso, mpaka kumapazi a matenda ashuga,
3. kudzicheka (monga chimodzi mwazotsatira zoyipa kwambiri zomwe dzira limakankhira).

Popita nthawi, polyneuropathy imatha kupanga, komanso nthambi zake zazing'ono.Mu matenda a shuga, amadziwika chifukwa chakuti zomwe zimayang'ana matenda omwe amaperekedwa siangokhala ochepa, komanso amapezeka paliponse la thupi, kuphatikiza miyendo. Ndiye kuti, pakakhala kuti palibe chithandizo chamanthawi yake komanso chothandiza, nthawi zambiri chimabweretsa kuphwanya kwathunthu kapena pang'ono pakukhudzana, ndipo nthawi zina, kuyumala. Inde, chithandizo chachikulu cha matendawa ndichofunikira, chomwe chingakulitse kwambiri.

About njira zamankhwala

Popeza dzanzi ndi chizindikiro chachikulu cha mavuto akulu kwambiri, chithandizo chokwanira chikuyenera kuchitika, chomwe, nthawi yomweyo, chizikhala ndi cholinga chothana ndi chizindikiro cha zovuta zam'miyendo. Mwapadera ndi "kuyambiranso" koyambirira kwamankhwala, pali mwayi wongopulumutsa mathero amtundu wamanjenje, komanso kusunga malo ogwirira ntchito amanjenje yonse.

Zoyeserera za akatswiri cholinga chake ndikuchiza matenda omwe amayambitsa (shuga mellitus), kubwezeretsa mathero a mitsempha omwe awonongeka, ndipo sitiyenera kuiwala za kayendedwe ka mitsempha. Chifukwa chake, dzanzi limathandizidwa osati kokha ndi endocrinologist, komanso ndi neurophysiologists.

Pokonzekera zifukwa zomwe zala zakumwa zimatha chifukwa cha matenda a shuga, pali chithandizo chamankhwala chapadera, chomwe cholinga chake ndi:

• kukhazikika kwa chiŵerengero cha shuga,
• kuwonongeka kwa zinthu zonse za poizoni m'thupi la munthu (nthawi yayitali kwambiri),
• kukhathamiritsa ndi kuwongolera zakudya mokwanira malinga ndi kuphatikizidwa kwa mchere ndi vitamini, zomwe ndizofunikira kwambiri pamapazi.

Monga gawo la chithandizo cha mawonetseredwe, magulu athunthu a mavitamini B ayenera kuperekedwa, mankhwala ophatikizika kapena opereshoni oyenera kuchitidwa mu gawo la nthambi, mankhwala anticonvulsant, komanso mankhwala antidepressant ayenera kugwiritsidwa ntchito. Kuphatikiza apo, zitha kukhala zofunikira kulimbikitsa mathero amanjenje.

Njira yoperekera chithandizo imatchedwa transcutaneous magetsi kukondoweza, chidule TESN.

Zonsezi zimachiritsa dzanzi munthawi yochepa.

Pa gawo lililonse la neuropathy, kayendedwe ka thupi, kusamba kwa balneological, masewera olimbitsa thupi, kutikita minofu ndi njira zina zomwe katswiri amawona kuti amafunikira kufunsa pochiza miyendo ndizovomerezeka.

About Kuteteza

Kodi muyenera kudziwa chiyani za kupewa?

Kuchulukitsa miyendo, mokulira, kungapeweke, koma ndikofunikira kuti ikhale mosalekeza komanso yopuma. Chifukwa cha kuchepa kwa mphamvu ya kumva, wodwala matenda ashuga sangangokhala ndi chidwi ndi kuvulala kapena kuvulala, ndipo chifukwa cha kuchuluka kwa glucose m'mwazi, pafupifupi samachira palokha.

Zotsatira zake, zonsezi zimakhala zothandizira kupangika kwa mabala ndi zilonda zazikulu nthawi zina zomwe zimatuluka mabala ang'onoang'ono. Pankhaniyi, chilichonse, ngakhale ming'alu yosaoneka kwambiri iyenera kuchitidwa ndi antiseptics ofatsa. Izi zikuphatikizira mayankho a furatsilin, miramistin ndi mankhwala ena ambiri. Zonsezi zimachitika mpaka kuchiritsidwa kotheratu, mpaka dzanzi limatha.

Akatswiri amalimbikitsa kuti azisamalira mwapadera mtundu wa thanzi, kutonthoza ndi kuchuluka kwa nsapato za munthu amene ali ndi matenda ashuga. Nsapato zapadera zamatsenga ndi imodzi mwanjira zodalirika kwambiri za prophylaxis yolimbana ndi matenda am'mimba amtundu wa shuga ndi zovuta zina chimodzimodzi. Inde, sitiyenera kuiwala za ukhondo, womwe umakhalabe wovomerezeka kwa odwala matenda ashuga

Chifukwa chake, dzanzi limatha kuthandizidwa, komanso limadziwika pakati pa zisonyezo zina zonse za matenda ashuga.