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

Zotsatira zoyipa zazitali za kuchuluka kwa glycemia pamitsempha yamagazi mthupi zitha kuwonongeka. Ntchito yofunikira ya munthu wodwala matenda ashuga ndikusunga shuga mumitundu 6.7-8.0 mmol / l. Chiyembekezo chokwanira kwa odwala endocrinological ndichakuti kudulidwa mwendo pang'ono mu shuga sikumakhudza chiyembekezo cha moyo mwanjira iliyonse. Zomwe zimayambitsa ndikupewa zovuta zomwe zimachedwa?

Chinsinsi cha kuthana ndi mavuto a shuga

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

Momwe zovuta zomwe zimatchedwa kuchepa kwamatenda a endocrinological zimakhalira zimadalira:

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

About ischemia ndi gangore

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

Zifukwa zingapo zimayambitsa gangore:

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

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

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

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

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

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

Kulemera pokonzekera opareshoni

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

Trophic circulatory matenda ndi minofu matenda amabweretsa zotsatirazi:

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

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

Gulu la madokotala munthawi ya opareshoni amawunika:

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

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

Magawo olimbitsa ndi kukakamiza zolimbitsa thupi

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

Pali magawo akuchotsa ziwalo zam'munsi:

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

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

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

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

Mavuto a postoperative, ma prosthetics

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

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

Mavuto atadulidwa amatha kuphatikizidwanso ndi izi:

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

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

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

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

Kuzindikira kwakanthawi mozizira

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

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

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

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

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

Mosavuta kuteteza ngozi!

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

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

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

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

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

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

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

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

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

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

Kodi nchifukwa ninji malekezero otsika amawadula shuga?

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

Chifukwa cha kuwonekera kotere, zowopsa komanso zowopsa zimadza.

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

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

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

Zifukwa zazikulu zomwe zimadulidwa miyendo zimaphatikizapo:

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

Ndikofunika kukumbukira kuti zinthu izi zokha sizingayambitse kudula miyendo.

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

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

Zizindikiro ndi matenda am'mbuyomu

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

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

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

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

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

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

Magawo a chitukuko cha gangrene

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

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

Kupezeka kwa mochedwa gawo la gangrene kungatsimikizidwe ndi izi:

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

Kucheka kwa chala, phazi, ndi miyendo pamwamba pa bondo: kukonzekera ndi kupita patsogolo kwa opaleshoni

Mlingo wodulidwayo umatsimikiziridwa kokha ndi dokotala wazachipatala wodziwa ntchito, yemwe mosakayikira amayesa kuwonongeka konse kwa miyendo. Kuphatikiza apo, akatswiri amaganizira zinthu zonse zofunikira za ma prosthetics.

Mitengo yolipitsa itha kukhala motere:

• Kuchotsa kwa phazi lakhudzidwa. Opaleshoni yamtunduwu imakhala ndi magawo opitilira 10. Onsewa amagawidwa m'magawo ena phazi.Poyamba - kudula kwa zala zakukhudzidwayo kukafika ku metatarsal zone. Nthawi zina, kuchotsedwa kwathunthu kwa metatarsus kungafunike,
• kuduladula miyendo yakumunsi. Pa ntchito iyi, pali kulekanitsa bwino kwa tibia ndi tibia,
• kapangidwe ka bondo. Mukuchita opaleshoni iyi, dokotalayo amalekanitsa bondo ndi fupa ndikuchichotsa m'thupi. Ntchafu pa nkhaniyi yasungika kwathunthu,
• kudula kwa gawo lowonongeka la ntchafu. Mwakutero, dokotalayo amangochotsa gawo lowonongeka la fupa.
• kudulidwa kwa malo a necrotic kuchokera m'chiuno olumikizirana,
• Nthawi zina, hemipelvectomy imachitika. Pogwira ntchito iyi, kuchotsa pang'ono kapena kokwanira kotheratu kwa chikodzo kumachitika.

Kukonzanso nthawi

Mu nthawi ya postoperative, ndikofunikira kupewetsa njira zotupa, kupatula kukhazikitsidwa kwa ma pathologies owopsa, komanso kuphatikiza chithandizo cha tsiku ndi tsiku cha mabala ndi mabala. Kuphatikiza apo, wodwalayo ayenera kuchita masewera olimbitsa thupi, omwe amaphatikizidwa pamndandanda wazolimbitsa thupi.

Kukonzanso kwapamwamba kumakhala magawo angapo:

• kutikita minofu kuti mupewe kupindika kwa minofu,
• kusamalitsa mabala mosamala, komwe kumathandiza kupewa matenda ndikutupa,
• kudya
• atagona kumbuyo kwake, ndikofunikira kuyika phazi lowonda kuphiri laling'ono kuti muchepetse kutupa.

Zotsatira ndi zovuta

Nthawi zina, munthu amene waduladula mbali yakumapazi amatha kukumana ndi zovuta zina:

• mkhalidwe wowopsa wa thupi, womwe uli ndi vuto la mtima,
• thromboembolism
• phantom ululu
• kukonzanso kwa mabala omwe angayambitse sepsis,
• subcutaneous hematomas yomwe imachitika chifukwa cha kuyimitsidwa kosayenera kwa magazi,
• Patatha masiku atatu atachitidwa opaleshoni, chibayo chimatha kuchitika.

Ndi angati amakhala atachotsedwa miyendo?

Kuchepetsa matenda ashuga kumayesedwa ngati kofala, chifukwa chomwe wodwalayo angapulumutsidwe.

Nthawi zonse muyenera kukumbukira kuti kutayika kwa mwendo sikukhudza nthawi yomwe munthu angakhale moyo, zonsezi zimatengera munthu mwini.

Powona malingaliro onse a madotolo, komanso kuwongolera kuchuluka kwa shuga, kubwereranso kwam'mimba ndi kuchepa kwa shuga kungapeweke. Prostate wapamwamba kwambiri komanso wosankhidwa bwino amakulolani kuti mukhale ndi moyo womwewo popanda zoletsa.

Nthawi zambiri zimachitika kuti ndi zovuta zomwe zimapangitsa kuti anthu azimenyera nkhondo, kusewera masewera komanso kuyenda .ads-mob-1

Kupeza gulu la olumala

Gulu la olumala limaperekedwa malinga ndi gawo la matendawa. Chowonadi cha thanzi la wodwala chimatengedwa.

Kuzindikira koyenera kumafuna ntchito yapadera. Wodwala amayenera kupita ku chipatala cha maso kuti akane kapena kutsimikizira kukhalapo kwa khungu.

Kufunsira kwa Neurologist ndikofunikanso, chifukwa matenda a shuga amatha kupanga kusintha kosagwirizana ndi kachitidwe ka mantha.

Payokha, ndikofunikira kulingalira kuti ena olumala atadulidwa mwendo kutengera mkhalidwe wa chitsa, mphamvu ya ma prosthetics, mwendo wachiwiri ndi dongosolo lonse la musculoskeletal .ads-mob-2

Magulu opuwala 2 amapatsidwa milandu zotsatirazi:

• ngati miyendo yonse pamwamba pa bondo idadulidwa,
• Madokotala ochita opaleshoni adachotsa mwendo umodzi pamwamba pa bondo, koma pali zotupa zam'magazi pamphuno yachiwiri.

Gulu loyamba la olumala limaperekedwa pokhapokha ngati miyendo yonse idadulidwa pamtunda wa gawo lachitatu la ntchafu. Ndizofunikanso kudziwa kuti atachotsa mbali ya kumapazi, gulu la olumala la 3 lingapatsidwe gawo la ma prosthetics litatha ndipo wodwalayo akudziwa kuti wadwala.

Pakadali pano, chiphuphu chimapezedwa pakuyenda ndi kuyimirira.

Makanema okhudzana nawo

Chifukwa chiyani kudulidwa kosadukiza kwa matenda ashuga? Yankho mu kanema:

Pomaliza, titha kunena kuti ndi njira yabwino yodulira matumbo yomwe imathandiza odwala ambiri kupeza bwino, kuchira pantchito yawo yoyamba kapena kuyamba kutsata njira zatsopano, zosazolowereka.

Prote yosankhidwa bwino imalola wodwalayo kukhala ndi chizolowezi. Chachikulu ndichakuti musakhale wokhumudwa ndi kuyesetsa kupeza malo okwera.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Zotsatira zakudulidwa mwendo mu shuga

Matenda a shuga amatenga zovuta zambiri. Izi zikuphatikiza kuwononga miyendo yonse. Zotsatira zake zitha kukhala kuti kwathunthu kudulidwa kapena mwendo. Nthawi zina chala, phazi kapena gawo la mwendo, ndipo nthawi zina mwendo wonsewo, umadulidwa.

Kwa wina aliyense wodwala matenda ashuga, ndikofunikira kupewetsa mavuto, chifukwa izi zimasunga kusunthika kwa munthuyo, ndikumupanga kukhala wodziyimira pawokha kuchokera kwa ena. Ngati kudulidwa sikungapewedwe, ndikofunikira kuganizira zina ndikutsatira mfundo zoyambira zomwe zingakulitse chiyembekezo cha moyo pambuyo pakudulidwa mwendo mu shuga.

Kodi nchifukwa ninji malekezero otsika amawadula shuga? Chifukwa cha kusokonezeka kwa kagayidwe kachakudya m'thupi la anthu odwala matenda ashuga, kusowa kwa dongosolo mu mtima kumachitika, komwe kumayambitsa chitukuko cha matenda a ischemic. Kudulidwa mwendo mu shuga kumafunikiranso chifukwa chakuti:

1. Mapeto amtsempha mwendo ali m'malo owonongeka kotero kuti amasiya kugwira ntchito.
2. Pali kuwonongeka kwakukulu kwa mtima wamiyendo ya mwendo.
3. Kupezeka kwa njira za necrotic zomwe zingapangitse kuti pakhale zochitika zapagulu.

Zokha, izi sizingatheke kukhala lingaliro la odwala matenda ashuga komanso kuwalimbikitsa kuti athetse mwendo kapena gawo lake. Chifukwa chachikulu chomwe chiri chotsatira cha zonse pamwambapa ndicho kuphatikiza kwa matenda ndi kulephera kwa chitetezo chathupi mthupi kulimbana nacho.

Chifukwa cha necrosis yamisempha yopanga ndi gangrene, zotulukapo zake zimadzetsa chiwopsezo chachikulu kwa odwala matenda ashuga. Kudziletsa kwa poizoni yemwe amayamba chifukwa cha kusweka kwa minyewa kumapangitsa kuti wodwala yemwe ali ndi matenda osokoneza bongo apangidwe.

Mavutowa akuphatikizapo:

• kukhalapo kwa zoopsa,
• kuletsa zimachitikira,
• kukomoka mtima,
• kuchepetsedwa kwa mavuto
• kuthamanga kwamphamvu kutentha
• kusintha kwa maonekedwe a khungu pakhungu,
• kusowa kwa chakudya.

Ngati wodwalayo sanalandire thandizo, ali ndi mwayi wokhala ndi matenda oyambitsidwa ndi magazi. Kutalika kwa moyo wotsatira kumatha kukhala maola angapo.

Njira zochizira pamlanduwu zimachepetsedwa kuti wodwalayo ayambitsenso. Chifukwa chake, kuduladula miyendo ndikuwachotsera nthawi ndikofunikira kwambiri pakupulumutsa wodwala matenda ashuga. Kuchotsa nthawi zina kumawonetsedwa pazowonetsera zina.

Kudulidwa kwa chala cham'munsi

Kudulidwa kwa matendawa ku matenda a shuga kumachitika pakakhala chiwopsezo pamoyo wa anthu odwala matenda ashuga ndipo palibe mwayi wochiritsa minyewa yomwe yakhudzidwa ndi njirazi. Kukhalapo kwa phazi la odwala matenda ashuga nthawi zambiri kumakhala chifukwa chomwe chimapangitsa kuti wodwalayo amwalire, ndipo kudulidwa kumapangitsa kuti matendawa athetse ndikupulumutsa moyo wa wodwalayo.

Ntchito yamtunduwu ndiosavulaza kwambiri, chifukwa kusowa kwa chala sikungathe kuchititsa phazi lathunthu. Koma, ngati opareshoni yotere siyikuchitika pa nthawi yake, minofu necrosis komanso kuledzera kwa thupi kumatha kufalikira kumapangidwe amtundu wapafupi, ndipo malo omwe akukhudzidwawo achuluka kwambiri. Kuwonongeka kwa chala chachikulu mu shuga ndizovuta zambiri, koma sikungodziyika kumodzi kokha.

Pakudula, madokotala amayesa kukhala ndi gawo la chala. Makamaka, munthu amafunika chala ndi chala chachiwiri. Ndi kuchotsedwa kwawo kwathunthu, zosokoneza pakugwira ntchito kwa phazi lonse zimachitika.

Kutemwa kwa zala kumatha kukhala kwamitundu itatu:

1. Yaikulu - yochitika mu gawo la chitukuko cha matenda,
2. Sekondale ikuchitika pambuyo kukhazikitsidwa kwa magazi kapena chifukwa chosagwira bwino mankhwalawa.
3. Guillotine. Amatembenukiranso pamene wodwala ali mu vuto lalikulu kwambiri. Pankhaniyi, minyewa yonse yomwe yakhudzidwa ndikugwidwa kwa minofu yathanzi imayenera kuchotsedwa.

Pamaso pa kulira kwa gangrene, opaleshoni yofunikira imachitidwa, ndi youma - yokonzekera.

Pambuyo ndikudula kwa chala chakumapeto kwambiri mu shuga, matenda am'mimba nthawi zambiri amakhala abwino. Poterepa, vuto lalikulu ndi kutha kwa ntchito ndikutsatira njira yoyenera yokonzanso. Kupanda kutero, wodwalayo akhoza kukhala pachiwopsezo chobweretsanso matendawa.

Kukonzanso

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

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

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

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

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

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

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

Kubwezeretsa kwa postoperative kumaphatikizapo:

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

Chiyembekezo chamoyo pambuyo podulidwa

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

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

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

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

Chifukwa chiyani kudulidwa?

Kudulidwa mwendo mu shuga ndi njira yomaliza yochizira matenda osokoneza bongo ndipo sikuyenera kuchita kwa aliyense wodwala matenda ashuga.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Kuchuluka kwa shuga m'magazi kumawononga boma la mitsempha yamagazi ndi mitsempha, kusokoneza ntchito yawo ndikuwononga pang'onopang'ono. Zotsatira zake, zovuta zowopsa zimayamba. Zilonda zam'mimba zimayamba kukhazikika, ndipo mabala aliwonse omwe ali ndi matenda ashuga samachira, omwe nthawi zambiri amayambitsa gangore. Anthu odwala matenda a shuga nthawi zambiri amapezeka kuti ali ndi chala chakumaso. Mosasamala kanthu za chotupa, minofu ya miyendo imamwalira, ndondomeko ya purong imayamba. Ngati njira zochizira sizingathetse vutoli, kuduladula chala kapena chiwalo chonse. Izi ndizofunikira popewa zovuta monga kuledzera chifukwa cha kulowetsedwa kwa zinthu zowonongeka m'magazi, poyizoni wamagazi, komanso kuwonjezeka kwa malo owonongeka.

Mitundu Yosintha

Pali mitundu itatu yolumikizidwa mu shuga:

• Zadzidzidzi (guillotine). Opaleshoniyo imachitika ngati kuli kofunikira kuti muchotse gwero la matenda. Chingwe cholumikizira chimakokedwa pang'ono pamwamba pamalire a chotupa, popeza ndizosatheka kudziwa malire.
• Poyamba Imachitika ngati sizotheka kubwezeretsa magazi m'dera lomwe lakhudzidwa ndi mwendo.
• Sekondale Idasankhidwa pambuyo poyeserera yopambana yobwezeretsa magazi.

Zomwe zimayambitsa ndi chizindikiro cha gangrene

Matenda a shuga chifukwa cha shuga wamagazi amavuta chifukwa cha matenda amitsempha yamagazi komanso minyewa yamanjenje. Chifukwa cha njira zomwe zayamba, matenda ashuga a mtima ndi minyewa amayamba, zomwe zimapangitsa kuti pakhale ming'alu pakhungu, mabala ndi zilonda zam'mimba. Vutoli ndilowopsa chifukwa cha kuchepa kwa chidwi cha khungu, chifukwa pomwe wodwalayo saona nthawi yomweyo zovuta. Chiyambireni cha gangrene chingakhale kuvulala kulikonse, mwachitsanzo, chikwangwani, msomali wopingidwa, wosadulidwa mosapambana panthawi ya pedicle pedicure. Kuchiritsidwa kwa zilonda zam'mimba ndikazitali, mwayi wokhala ndi zilonda zam'mimba ndizambiri. Ndi chotupa chopanda matenda, gangrene amakula. Ngati mankhwala osokoneza bongo sakugwira, dzanja limadulidwa.

Wodwala ali ndi izi:

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

Kuwonetsedwa kwa gangrene kumadalira mtundu wake:

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

Prosthetics

Kuchiritsa mwendo pambuyo pakuchita opaleshoni kuyenera kuchitika modekha kuti popewa zovuta. Pamene bala la postoperative limachiritsidwa, wodwalayo amapatsidwa mankhwala ophunzitsira. Ngati mwendo wachotsedwa, ayenera kuphunzira kuyenda mothandizidwa ndi ma prosthesis ndipo atangoyamba kumene kuphunzitsa, zimakhala bwinoko kwa minofu ya thupi lake lonse. Mano okhazikika amapangidwa payekha. Chitsa ndi kukula zimayezedwa. Ngati mankhwalawa atha kukhala ndi chilema, ayenera kuchotsedwa.

Kupewa Kwa Matendawa

Kuti mupewe kukula kwa gangrene, muyenera:

• Pewani kuchuluka kwakukulu kwamagazi,
• miyezi itatu iliyonse imayesa mayeso a hemoglobin wa glycosylated,
• muziyang'ana miyendo yanu tsiku ndi tsiku chifukwa cha ming'alu ndi zilonda zam'mimba, ndikuwathandiza ngati atapezeka
• Valani nsapato zabwino
• sewera masewera kapena kuchita masewera olimbitsa thupi,
• kutikita minofu.

Ndi angati omwe amakhala pambuyo pa njirayi?

Kuchepetsa matenda ashuga kumachitika kawirikawiri chifukwa choti nkotheka kupulumutsa moyo wa munthu. Kuwonongeka kwa mwendo sikukhudza chiyembekezo chamoyo, zonse zimatengera munthu mwini. Potsatira malangizo ena omwe odwala matenda ashuga amafuna ndikuwongolera shuga, mutha kupewa kubwereza zamatenda komanso kuchuluka kwa matenda ashuga. Prote yosankhidwa bwino imakupatsani mwayi wokhala ndi moyo womwe mumawadziwa bwino. Nthawi zambiri kuchotsedwa kwa miyendo kumalimbikitsa anthu kuti ayambe kusewera masewera kapena kuyenda. Chifukwa chodulidwa, munthu yemwe ali ndi matenda ashuga amatha kukhala ndi moyo wautali, chinthu chachikulu sikuyenera kutaya mtima.