Mfundo za mankhwala a zilonda zam'mimba za trophic mu shuga m'magawo osiyanasiyana a matenda
Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.
Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.
Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowo amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.
Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.
Catization imagwiritsidwa ntchito pochiza zilonda zam'mimba, zotupa za venous zomwe sizichiritsa kwa nthawi yayitali.
Kuduladula Virtual ndi njira yomwe ikufunika kwambiri pochiza zilonda zam'mimba mu matenda a shuga. Njira imakhazikitsidwa ndi resection ya metatarsophalangeal olowa ndi fupa.
Nthawi yomweyo, umphumphu wa anatomiki sukusokonezeka phazi, kutsata kwa matenda amfupa komanso mavuto opsinjika kwambiri amachotsedwa.
Kuyatsidwa kwamphamvu kwa venistial fistulas. Njira imeneyi imagwiritsidwa ntchito pochiza zilonda zam'mimba (Martorell syndrome). Opaleshoniyo amachitidwa kuti asiyanitse fistulas m'mbali mwa chilondacho.
Chithandizo choperekera mankhwala chimaphatikizira chithandizo chilichonse chamankhwala. Chithandizo cha mankhwala osokoneza bongo chitha kukhalanso njira yodziyimira payokha, makamaka pamitundu ina ya zilonda zam'mimba, yofatsa pang'ono.
Kutengera mtundu wa matendawa, matendawa amagawidwa m'magawo osiyanasiyana.
Pa gawo loyambirira la zilonda zokulira, mankhwala otsatirawa akuphatikizidwa ndi chithandizo:
- mankhwala oletsa kukalamba (suprastin, tavegil, etc.),
- yotakata mankhwala
- antiplatelet othandizira jakisoni wamkati (reopoliglyukin, pentoxifylline),
- mankhwala odana ndi yotupa (non-steroidal) (diclofenac, ketoprofen).
Chithandizo chamderalo pachigawo choyambirira chimalinga ndikuchotsa maselo akufa ndi mabakiteriya pachilonda. Zimatengera:
- kutsuka zilonda ndi mayankho antiseptic zochokera furatsilina, potaziyamu permanganate, chamomile, celandine, chlorhexidine kapena mndandanda,
- Kugwiritsa ntchito kwa compress ndi mafuta othandizira (streptolaven, levomikol, dioxicol), komanso kuvala kwapadera kwa sorption (corbonet).
Nthawi zina, dokotalayo amatha kupereka mankhwala a hemosorption, njira yoyeretsera magazi.
Pakadali pano mankhwalawa, pomwe gawo la machiritso ndi mapangidwe amayamba, mafuta odzola (ebermin, solcoseryl, actevigin) ndi antioxidants (tocopherone) amagwiritsidwa ntchito pochiza zilonda zam'mimba.
Chikhalidwe cha chithandizo chakudziko chikusintha. Pa gawo lachiwiri, kuvala kwamabala kumayikidwa:
Komanso, zilonda zam'mimba m'magazi a shuga zimathandizidwa ndi curiosin.
M'magawo omaliza a mankhwala osokoneza bongo, matenda omwe amayambitsa kuwoneka kwa zilonda zam'mimba amachotsedwa.
Kuti muwonjezere mphamvu ya machitidwe a physiotherapy, imodzi mwazinthu zamagetsi zimayikidwa pa siteji ya machiritso:
Kodi zilonda zovuta za zilonda zam'mimba zimathandizidwa bwanji?
Zimachitika kuti zilonda zimakhazikitsidwa m'malo ambiri, kotero chithandizo sichimabweretsa zotsatira zoyenera. Zilondazo sizichiritsa ndipo izi zimabweretsa wodwala kuzunzidwa kosatha. Nthawi zambiri izi zimadziwika kuti ndizochulukirapo.
Ndi mawonekedwe oopsa a zilonda zam'mimba, kupatsirana khungu kumachitika. Chikopa chofunikira chimatengedwa kuchokera ntchafu kapena matako.
Pambuyo kuziyika tinthu tating'onoting'ono ta epithelium timazika mizu ndikukhalanso zolimbikitsa za kubadwanso khungu kuzungulira chilonda.
Kuchiritsa zilonda zam'mimba ndi njira yowononga nthawi yambiri. Mabala oterowo ndi ovuta kuchotsa mafinya, ndipo izi zimasokoneza kuchira ndi kuchira. Pa nthawi ya machiritso, wowerengeka azachipatala amathandiza bwino kugwiritsa ntchito mankhwalawa.
Amakhala mukutsuka chilonda ndi decoctions ndi infusions kuchokera ku mankhwala azitsamba, komanso chithandizo chotsatira ndi mafuta opangira mafuta, ndiye kuti, mankhwalawa amachititsa kuti matenda ashuga pakhomo azitha.
mwambo (15, 43681052, 3624),
Makhalidwe olimba a antiseptic amakhala ndi zotsatizana, celandine, calendula ndi chamomile. Zitsamba izi sizimachotsa mosavuta kutupa, komanso zimapanga epithelium yaying'ono. Pambuyo pakutsuka, asing'anga amalimbikitsa kugwiritsa ntchito zotsatirazi:
Zilonda za trophic - zowonongeka pakhungu ndi zopangidwe zozama mwanjira ya mabala amachiritso a nthawi yayitali. Zolakwika zotere zimachitika chifukwa chophwanya magazi mu gawo lina la thupi. Makonda okhudzidwa a trophic zilonda - zala, zidendene, m'munsi miyendo. Njira yofananira yodziwika ndi matenda a shuga, imawerengedwa ngati chiwonetsero cha matenda a shuga.
Chithandizo cha zilonda zam'mimba mu shuga imawonedwa ngati njira yayitali yomwe imaphatikiza njira zingapo. Chithandizo cha zovuta chikuyenera kuchitika modabwitsa, chifukwa ndi zolakwika zina zomwe zimayambitsa kudukiza kwa m'munsi.
Kuti chithandizo cha zilonda zam'mimba mu shuga chikhale bwino, muyenera kutsatira njira zotsatirazi:
- kusamalitsa mderalo,
- Kutula miyendo yam'munsi,
- Kupha microflora ya bakiteriya,
- kulipira chifukwa cha matenda oyambitsidwa,
- mpumulo wa kutaya mtima,
- kuzindikiritsa komanso kuchiza kwa ma concomitant pathologies omwe samalola kuchira kuti zitheke mokwanira (kuchepa kwa magazi, chiwindi, matenda a impso).
Kuphatikiza pa magawo awa, kusokonekera kwa ischemic trophic kumafunanso kusinthidwa (kubwezeretsa magazi mu nthambi yomwe yakhudzidwa), chifukwa ndiko kutsekeka kwa mipata yamatumbo yomwe imatsogolera kukula.
Ngati mabalawo ali ovuta chifukwa cha njira zazikulu za purulent, chithandizo chamankhwala opangira opaleshoni ndikutulutsa thupi la wodwalayo chimafunikira.
Chithandizo cha zilonda zam'mimba za trophic mu shuga zimaphatikizapo zochitika wamba komanso zam'deralo. Mankhwala am'deralo amatengera njira zotsatirazi:
- kuchinjidwa (kuchotsedwa kwa magawo akufa) ndi kufufuma kwa chimanga,
- kutsuka mabala ndi njira zamankhwala,
- kugwiritsa ntchito kavalidwe.
Minofu yakufa imawoneka ngati malo abwino mabakiteriya. Kuphatikiza apo, amalepheretsa kutuluka kwamadzi kuchokera pachilonda pamtunda ndikupanga minofu yatsopano kuti ichiritse. Chifukwa chake, ndikofunikira kuchotsa gawo la necrosis kuti likhale lokwanira.
Kusuntha kumatha kuchitika pogwiritsa ntchito scalpel ndi lumo, pamakina, pogwiritsa ntchito zida zapadera zomwe zimatulutsa timadzi ta madzi, pogwiritsa ntchito njira ya mankhwala, pogwiritsa ntchito ma enzymes a protein. Njira inanso - adokotala amayika zovala zonyowa, zomwe zimathandizira kuti minofu yakufa ichotsedwe.
Kuchotsa zigawo za necrosis zokhala ndi scalpel ndi lumo ndiyo njira yofala kwambiri, komabe, sigwiritsidwa ntchito ngati pansi pa chilondacho chikuyimiriridwa ndi articular kumtunda kapena ngati vuto la trophic ndi ischemic. Pochita opaleshoni, supuni ya Volkman imagwiritsidwa ntchito - chida chofanana ndi supuni yokhala ndi malo ochepa. Zimakuthandizani kuti muchotse bwino zidutswa zakufa popanda kuwononga zotengera.
Zofunika! Zilonda zam'miyendo pamiyendo ziyenera kupendedwa ndi vuto la batani, chifukwa chilema chosawoneka bwino chimatha kukhala ndi ngalande yakuya kwambiri.
Nthawi yomweyo, chimanga chomwe chimakhala m'mphepete mwa chilondacho chimachotsedwa. Izi zimakuthandizani kuti muchepetse kupanikizika pachilonda palokha ndikuwongolera kutuluka kwake. Pali nthawi zina zomwe zimafunikira kuchotsa mbale ya msomali. Izi zimachitika ngati zilonda zili pang'ono pabedi la msomali kapena pamwamba pa chala.
Gawo ili la chithandizo cha zilonda zam'mimba za m'mimba mwa shuga zimachitika kuti muchepetse kuchuluka kwa tizilombo toyambitsa matenda pamwamba pa malo okhudzidwawa. Pali zida zingapo zomwe zimagwiritsidwa ntchito pakusamba, komabe, zatsimikiziridwa kuti kugwiritsa ntchito syringe ndi singano sikuwonetsa zotsatira zoyipa.
Osagwiritsa ntchito pakusamba zolakwika:
- potaziyamu permanganate yankho,
- ayodini
- diamondi yobiriwira
- rivanol
- zakumwa zoledzera zamankhwala.
3% hydrogen peroxide solution imagwiritsidwa ntchito munthawi ya kuyeretsa bala kuchokera ku mafinya ndi magazi. Amaloledwa kutsuka zilonda zamchere ndi saline chloride, Miramistin, Chlorhexidine, Dioxidin. Kunyumba, mutha kugwiritsa ntchito utsi wa Acerbin.
Zomwe amagwiritsidwa ntchito kuvala ziyenera kukhala ndi izi:
- mowoneka,
- kuthekera kosunga malo okhala ndi chinyezi (zimatsimikiziridwa kuti muzochitika zotere machiritso azilonda zam'mapazi mumiyendo yokhala ndi matenda a shuga amathamangitsidwa),
- kuthekera kotenga zomwe zili m'mabala,
- zotchinga (poteteza mabakiteriya),
- kusowa kwa zopinga kuyenda kwa mpweya wabwino kwa zimakhala.
Maso oyenera kuvala ndi osayenera, chifukwa amatha kupukuta pachilonda ndikuphwanya umphumphu wa granulations mukachotsedwa. Itha kugwiritsidwa ntchito ngati fistulas, yokhala ndi necrosis kapena zilonda zam'mimba kwambiri.
Njira zamakono zamankhwala zimagwiritsa ntchito kuvala ma mesh, alginate, ma hydrogels, masiponji a polyurethane, ulusi wa hydrophilic, etc.
Zinthu zomwe zaperekedwa zimawonetsa kuyendera limodzi ndi zovala zamakono.
- Mankhwala ochepetsa mphamvu ya chifuwa - Argosulfan, Dermazan, Betadine.
- Zowonjezera mphamvu - Bekaplermin, Curiosin, Ebermin.
- Ma protein a Proteolytic - Iruksol, Chymotrypsin.
Mafuta amagwiritsidwa ntchito pamadzi osungunuka (Levomekol, Dioxizol) ndi mafuta (Solcoseryl, Actovegin).
Gawo lina lofunika pochotsa chilema. Mankhwala omwe agwiritsidwa ntchito, chilonda cha trophic sichichiritsa mpaka wodwala atayamba kupondana. Kutulutsa kokwanira ndi kiyi ya zotsatira zabwino za matenda.
Ngati bala lili pachilonda chakumunsi kapena kumbuyo kwa phazi, zida zina zowonjezera sizofunikira. Chokhacho ndichofunikira pakuchepa kwa chilonda ndi nsapato. Ngati zilonda zili pachidendene kapena kumbali ya phazi, zida zapadera ndizofunikira. Pakadali pano, chovala chosavomerezeka chomwe chimapangidwa ndi zinthu za polymeric chimagwiritsidwa ntchito. Amayikidwa kumapazi ndi mwendo wotsika. Amawonetsedwa ngati mawonekedwe a buti, omwe amatha kuchotsa kapena osachotsa (monga adalimbikitsa dokotala). Njirayi ndi yabwino chifukwa imakuthandizani kuti muziyenda mumsewu, kugwira ntchito, kuthetsa katundu pagawo lomwe lakhudzidwa.
Kutumiza kumachitika chifukwa cha njira zingapo:
- pafupifupi 35% ya katunduyo imasamutsidwa kuchokera kuphazi kupita kumunsi,
- kukula kwa kupanikizika kumagawidwa mofananamo,
- chilondacho chimatetezedwa kuti pakhale mkwiyo
- kutupa kwa dzanja lakhudzidwa kumachepa.
Zotsutsana pakugwiritsa ntchito boot ya polymer:
- Mtheradi - yogwira ntchito ya purulent-necrotic ndi chitukuko cha sepsis kapena gangore.
- Wachibale - kuphwanya kwakukulu magazi, magazi akuya pang'ono komanso m'mimba mwake, chinyezi chofunikira pakhungu pamalo omwe amagwiritsidwa ntchito, kuwopa kugwiritsa ntchito chipangizo cha polima.
Kugwiritsa ntchito ndodo, nsapato zamadzimadzi, njira yochepetsera kuyenda kunyumba, kukhazikitsidwa kwa "zenera" la chilonda mu insole ndi njira zosavomerezeka pochiza zilonda zam'mimba.
Kugwiritsa ntchito antiseptics kwawoko kuwononga tizilombo toyambitsa matenda sikunatsimikizire kugwira kwake, zomwe zikutanthauza kuti njira yokhayo ndikugwiritsa ntchito mankhwala antibacterial. Ndalamazi zimawonetsedwa osati pokhapokha chilema chikugwiritsidwa kale, komanso ngati pali chiwopsezo chokukula kwa bakiteriya (necrosis ya ischemic minofu, kukula kwakukulu kwa zilonda, bala lalitali lomwe lakhala likuchitika).
Ambiri causative othandizira matenda bala:
- khalimotz,
- streptococci,
- Proteus
- E. coli
- enterobacteria
- Klebsiella
- pseudomonad.
Kukhazikitsidwa kwa maantibayotiki kumachitika pambuyo poti bakiteriya apange zamkati mwa chilonda ndi kutsimikiza kwa chidwi cha pathogen. Zothandiza kwambiri ndi penicillins, fluoroquinolones, cephalosporins, lincosamides, carbapenems.
Mitundu ikuluikulu ya matenda amafunika kukhazikika kwa maantibayotiki pakakhazikika. Mofananamo, opaleshoni yotupa ya bala, detoxification, ndi kukonza matenda a shuga amachitika. Njira ya mankhwala ndi milungu iwiri. Magawo ochepera a matendawa amalola kuti mankhwalawa amwe mankhwala pakamwa. Maphunzirowa ali mpaka masiku 30.
Gawo lina lofunikira, lomwe popanda iwo madokotala sangathe kuchiritsa zilonda zam'mimba. Endocrinologist ikugwira ntchito yokonza chithandizo cha matenda oyambitsidwa. Ndikofunika kusungitsa kuchuluka kwa shuga m'magazi osati kupitirira 6 mmol / L. Kunyumba, kuwongolera kuzisonyezo kumachitika mothandizidwa ndi glucometer. Ndi matenda amtundu wa 1, zotsatira zake zimalembedwa maola atatu aliwonse, ndi mtundu 2 - 1-2 kawiri pa tsiku.
Kuti mukwaniritse chipukutira, mankhwala a insulin kapena mankhwala ochepetsa shuga amagwiritsidwa ntchito. Ma insulin amafupika - kuti muchepetse msanga shuga komanso mankhwala a nthawi yayitali (kutumikiridwa 1-2 pa tsiku, kusungitsa nthawi zonse tsiku lonse).
Pali njira zamankhwala komanso za opaleshoni zomwe cholinga chake ndikukonzanso magazi ku malo omwe akhudzidwa. Mankhwala onse omwe amagwiritsidwa ntchito amagawika m'magulu awiri:
Mfundo za mankhwalawa trophic zilonda zam'mimba ndi shuga
Chithandizo cha zilonda zam'mimba zimakhazikika pakukonzanso kosalekeza kwa shuga wamagazi komanso kupitiriza kwa chithandizo chachikulu cha matenda ashuga.
Ndikofunikanso kulumikizana ndi akatswiri nthawi yake kuti mupeze thandizo loyenerera: kuyendera kwapita kwa adotolo, ndizotheka kuti kuthetsedwerako kuli konse.
Kuti mukwaniritse kuchira, mwendo womwe wakhudzidwa umamasulidwa ku katundu kupita pazambiri.. Mu magawo oyamba, kuchira kumatheka chifukwa cha kusamba kwa chilonda nthawi zonse ndi mankhwala okhala ndi antibacterial komanso kusintha kavalidwe ka nthawi zonse.
Pazinthu zotsogola kwambiri, kungakhale kofunikira kumwa mankhwala opangidwa ndi adokotala. M'malo ovuta kwambiri, kuyeretsa zilonda kapena mankhwalawa kumachitika. Ngati opaleshoni sapereka momwe akufunira, kudulidwaku ndikotheka.
Chithandizo chapafupi
Chithandizo cham'deralo ndichokwanira ndipo chimaphatikizaponso zinthu zotsatirazi:
kuchapa kwa mabala ndi njira zamankhwala. Bungwe loyenerera lamankhwala am'deralo limaphatikizapo kusamba pafupipafupi kwa omwe akukhudzidwayo ndi njira ya 3% ya peroxide ndi antimicrobial othandizira (Miramistin, njira ya Chlorhexidine kapena mankhwala a Acerbin), komanso kugwiritsa ntchito kavalidwe kosalala komwe kali ndi machiritso. Kutengera mtundu wa bala, chithandizo chovala chotsatira chitha kuchitika kamodzi pakapita masiku awiri ndi awiri kapena tsiku lililonse. Kuchita izi kumachepetsa kuchuluka kwa tizilombo toyambitsa matenda,- kugwiritsa ntchito kavalidwe. Kuti muchepetse machiritso, tikulimbikitsidwa kuti musagwiritse ntchito mabandeji wamba kapena kudula, koma mavalidwe opangidwa ndi zida zamakono omwe samamatira pachilonda. Mtundu wazovala zomwe amapangira ziyenera kusankhidwa ndi adotolo,
- necrectomy ndi kukometsa kwa chimanga. Minofu yakufa ndi chimanga nthawi zambiri zimatsagana ndi mawonekedwe a zilonda zam'mimba. Khungu lakufa ndi malo abwino osungira mabakiteriya. Chifukwa chake, kuwonjezera pa chithandizo chakunyumba, ndikofunikira kuchita chithandiziro chakuchiritsa chilonda ndikuchotsa kufanana kwa minofu yakufa ndi dokotala kapena namwino pakadutsa masiku atatu ndi atatu.
Kugwiritsa ntchito zelenok kapena ayodini mu shuga kumaletsedwa.
Kugwiritsa ntchito antibacterial mankhwala
Matenda a shuga amawopa mankhwalawa, ngati moto!
Muyenera kungolemba ...
Zamoyo zoyipa zomwe zimachulukitsa gawo la maulonda a trophic ndizogonjetsedwa ndi zovuta za mankhwala. Chifukwa chake, kuti awonongeke amafunika njira yabwino, yomwe ingaperekedwe ndi adokotala.
Dokotalayo amapereka mankhwala othandizira odwala kutengera ndi zovuta za wodwalayo komanso thanzi la wodwalayo. Kutengera ndi kuopsa kwa vutoli, mankhwala opha maantibayotiki amatha kuyikidwa mu mawonekedwe a mapiritsi kapena jakisoni wa intramus, womwe umathandizira thupi.
Kutalika kwa mphamvu ya chithandizo ndikutsimikizika ndi dokotala. Monga lamulo, mutazindikira zilonda zam'mimba mwa odwala matenda ashuga, maantibayotiki omwe ali ndi zotsatirapo zosiyanasiyana amalembedwa: Amoxicillin, Doxycycline, Heliomycin ndi ena.
Ndi zoletsedwa kumwa nokha mankhwala ngati muli ndi zilonda zam'mimba, komanso kugwiritsa ntchito mafuta othandizira. Chifukwa chake, mutha kuvulaza thanzi lanu.
Momwe muyenera kuchitira kunyumba?
Kuchiritsa zilonda zam'mimba zomwe zimapezeka m'magazi a shuga kunyumba sizothandiza kwenikweni kuposa chithandizo chololedwa ndi dokotala.
Komabe, m'magawo oyamba, ndizotheka kuchotsa kwathunthu zovuta zomwe zidayamba. Kuti muchite izi, gwiritsani ntchito maphikidwe a anthu wowerengeka ndi zithandizo.
Kuti mankhwala apanyumba apereke momwe angafunikire, ndikofunikira kutsitsa phazi lowonongeka, komanso kusinthitsa mtunduwo kapena kubweretsa kuchuluka kwa shuga m'magazi momwe mungathere ndi zidziwitso "zabwino". Kupanda kutero, mankhwalawo sangakhale othandiza.
Mankhwala opangira opaleshoni
Nthawi zina pamene mankhwalawo sanapereke chithandizo, wodwala amatha kupatsidwa opaleshoni yomwe ingachotse chidwi chake ndi minofu yakufa.
Kuthandizira opaleshoni kutha kuchitika mwanjira zotsatirazi:
- vacuum mankhwala
- kudula kwenikweni
- machikalic.
Kuchotsa zidutswa zoyaka ndikothandiza kwambiri, chifukwa pamenepa zovuta zili pafupi ndi zero. Pa nthawi ya opareshoni, mafinya amachotsedwa, komanso kuchepa kuzama ndi m'mimba mwake kwa chilondacho.
Ngati chilonda sichikuchira, njira zoyenera komanso zopatsirana zimaperekedwa kwa wodwala. Kudulidwa kwenikweni kumaphatikizapo kuchitidwa opaleshoni m'mphepete mwa chilondacho. Zikatero, kuyambiranso kumachitika popanda kuphwanya matupi a khungu ndi khungu.
Chithandizo cha akupanga chimaperekanso zotsatira zabwino. Pambuyo pa njirayi, kuthira magazi kumabwezeretsedwa ndikuwonetsanso kuwonongeka kwa minofu kuyimitsidwa, komanso kusaloledwa kwa njira zovulaza.
Kuchiritsa mafuta
1 tbsp kutsanulira mafuta osaphika am'madzi mu chidebe cha enamel ndi kuwira m'madzi osamba kwa mphindi 20.
Onjezani 1 tbsp pachidebe mafuta am'madzi ndi kuwira kwa mphindi 20 osamba madzi. Pukutani mapiritsi 25 a streptocide kudzera mu sume ndikuthira mu zosakaniza zomwe zilipo.
Wiritsani zikuchokera kwa theka lina la ola, ozizira komanso malo mufiriji. The chifukwa zikuchokera umagwiritsidwa ntchito pa zilonda ndi bandeji. Monga lamulo, zotsatira zake zimawonekera patatha milungu iwiri (zilonda zam'mimba zimachiritsa ndikuchiritsa).
Kuchiritsa ufa kuchokera ku masamba a tatarnik
Masamba achiTatar amapita pansi ngati fumbi ndipo amazunguliridwa kudzera m'mng'alu, kenako amawayika mumtsuko ndikusiyidwa m'chipinda chamdima.
Asanagone, malo owaziridwawo amakhala ndi mafuta a Rivanol (mankhwalawo atha kugulidwa ku pharmacy) ndikuwazidwa pang'ono ndi ufa wa tatar, pambuyo pake chilondacho chimamangidwa.
Pambuyo podzuka, chilondacho sichitsukidwa, koma chimakutidwa ndi ufa wa tatar ndikumangirizidwanso.
Pakapita kanthawi, chilondacho chimapola pang'ono ndi pang'ono.
Mapuloteni ndi uchi
Sakanizani uchi ndi mapuloteni muyezo wa 1: 1 ndikugwiritsa ntchito chilondacho, kenako ndikuphimba malowo ndi masamba atatu a masamba a burdock, kuphimba ndi cellophane ndi bandeji.
Ndondomeko ikuchitika za nthawi 6-8. Mukamatsatira malangizo onse ofunikira, mukamaliza maphunzirowo, zilonda zimakutidwa ndi kutumphuka kwa khungu.
Makanema okhudzana nawo
Zokhudza chithandizo cha zilonda zam'mimba m'miyendo ndi matenda a shuga mu kanema:
Zilonda zam'mimba zomwe zimawoneka mu shuga, ngakhale ndizovuta, komabe ndizotheka kuchiritsa. Koma popewa mavuto osafunikira, mawonekedwe a mabala am'mimba a shuga amathandizika bwino powonera ukhondo komanso kuyang'anira kuchuluka kwa shuga m'magazi.
Zilonda za matenda ashuga
Zilonda ndi matenda amkhungu amadziwika ndi kuperewera kwa zakudya m'thupi komanso kufalikira kwa minofu, komanso kuchepa kwa mphamvu yake. Nthawi zambiri phazi, m'munsi mwendo ndi phazi ndizowonongeka, zimakhudza zidendene ndi zala, chifukwa cha kupanikizika kwa makina. Ngati khungu lawonongeka, mabala osachiritsika omwe amakhala nthawi yayitali amawoneka. Matendawa adawerengedwa mu International Classization of Disease ICD ─10 ndikupatsidwa code L 98.4.
Zoyambitsa matendawa:
- Kuperewera kwaukhondo kwa phazi.
- Kuvala nsapato zosavomerezeka za kukula kolakwika.
- Kuwonongeka kulikonse kwa minofu mwanjira zovulaza.
- Mavuto azakudya omwe wodwala amadwala.
Izi zotsatirazi zimakhudza kukula kwa zilonda:
- Maonekedwe a bala, ngati chithandizo cha zilonda zam'mimba zimachitika pakhungu, mwachitsanzo, ming'alu, kulumidwa, kudula ndi zowonongeka zina pakhungu, sizinachitike.
- Chifukwa chosowa michere ndi chinyezi, kuuma ndi kutsekeka kumachitika.
- Odwala samva ululu panthawi yovunda akamapukutira kapena kupeza mwala mu nsapato zawo. Zilonda zosasinthika pambuyo pake zimayambitsa kutupa komwe kumayamba kulowa pachilonda pamene tizilombo toyambitsa matenda amalowa.
Mu nthawi yoyambirira, chifukwa choyenda kwakanthawi komanso kukakamiza, matendawa amadziwika ndi khunyu, kukwiya komanso kupweteka. Maonekedwe a chimanga mtsogolo amatha kusanduka bala. Kuphatikiza apo, pali zizindikiro za kutupa monga kutupa, kuchepa kwa khungu kapena kufupika, kukhazikika pakhungu, zonsezi zimayendera limodzi ndi kupindika kwambiri.
Zotsatira zakuphwanya umphumphu wa khungu, zosokoneza zingapo zimabuka mukavala nsapato zilizonse chifukwa chakwiya pakhungu pamalo owonongeka.
Pali magawo angapo a kukula kwa njirayi:
- Gawo loyamba limadziwika ndi kuchepa kwa chidwi, chifukwa chake, ndi kuvulala kwamakina, wodwalayo samva kupweteka. Kutupa, kuyabwa kwa malekezero, ndi kulanda ndizotheka.
- Pachigawo chachiwiri cha kupangika, zopindika za pakhungu zimayamba kupanga ngati kukokoloka ndi ming'alu. Chifukwa cha kukula kwawo, kuchiritsa kwa mabala sikuchitika.
- Gawo lachitatu limadziwika ndi mapangidwe a vesicles okhala ndi purulent kapena magazi. Njirayi imatha kuonedwa.
- Gawo lachinayi, pakalibe chithandizo, chilondacho chimakulirakulira ndikukhala chopanda. Muzochitika izi, kutentha thupi komanso kunjenjemera m'thupi ndikotheka. Pali zovuta kusuntha chifukwa chowonjezera kuwawa.
- Pa gawo lachisanu, kuthamanga kumalowa mu necrosis kapena minofu kufa, ndikupeza mtundu wakuda. Kuchepetsa zolimba kumawopseza wodwalayo kuti asatenge matenda.
Yang'anani! Anthu ambiri sazindikira zovuta za matenda ashuga kufikira atakumana ndi matendawa.
Chithandizo cha matenda ashuga
Kuti muchotse chilonda, muyenera kufunsa katswiri ndikutsatira malangizo ake. Ndi chithandizo chake, njira yaumwini imasankhidwa.
Zilonda za trophic mu matenda a shuga m'miyendo - chithandizo chimakhala chogwirizana komanso kugwiritsa ntchito njira zamankhwala, opaleshoni, physiotherapeutic ndi wowerengeka.
Ndi chithandizo chopambana, ndikofunika kutsatira mfundo zikuluzikulu:
- Kuti mudziwe zomwe zimayambitsa matendawa - kukhazikika pamlingo wa shuga potenga insulin.
- Kusintha ndi kuyeretsa bala kuchokera ku tizilombo tating'onoting'ono ndi minofu yakufa mothandizidwa ndi mayankho a aseptic mankhwala ndi antibacterial othandizira.
- Kufunika kovala tsiku lililonse ndi kavalidwe kosalala.
- Patulani katunduyo kumiyendo yakumanzere chifukwa chogona pakama.
- Sinthani Edema.
- Pofuna kusintha kayendedwe ka magazi, gwiritsani ntchito mankhwala omwe amasintha magazi.
- Pankhani ya necrosis, opaleshoni ikuwonetsedwa.
Dokotalayo amachotsa khungu lowonongeka ndi antiseptic, kumanga chilonda ndi kuvala chosabala. Ndikusamalira mochedwa komanso kuthamanga, kudula sikungatheke.
Kuphatikiza pa kuchiritsa bala, kuvala kwapadera kuyenera kuyikidwa, komwe kumayenera kupuma, kuteteza khungu ku mabakiteriya ndi matenda, kuyamwa zonse zotuluka pachilondacho osavulaza.
Mitundu ina yovala ili ndi njira yothandizirana, popeza imakhala ndi zinthu zogwira ntchito, yogwiritsa ntchito mawonekedwe a gel, yokhala ndi siliva, mafuta, saline komanso kuchokera ku collagen.
Sitikulimbikitsidwa kugwiritsa ntchito chovala cha gauze, chifukwa ndizotheka kuwononga madera pakhungu ndikusokoneza njira yochiritsira.
Gawo loyamba
Gawo loyamba la matendawa limadziwika ndi masinthidwe apamwamba pakhungu lakumaso kwa khungu erm khungu ndipo limawoneka ngati mawanga ofiira pakhungu ndi gloss yosasunthika, yokhala ndi edema ya nthambi. Ngati mulibe chidwi ndi izi, ndiye chifukwa chake mawanga amakula.
Mankhwalawa adapangidwa ndi katswiri, wophatikizapo:
- Kugwiritsa ntchito bandeji zotanuka.
- Malangizo a antiseptic, mothandizidwa ndi iwo, tsitsani chilondacho, ophera tizilombo toyambitsa matenda ndikuchotsa mabakiteriya.
- Munthawi imeneyi, tikulimbikitsidwa kumeza khungu ndi mafuta a bactericidal ndi antiseptic. Zodzola zimathandizira kuthetsa kutupa, kuchotsa matenda, kukonza thanzi, kufalikira kwa minofu komanso kubwezeretsa mofulumira bala.
Gawo lachiwiri
Pa gawo lachiwiri la matendawa, minofu yakufa imalekanitsidwa ndipo dermis - mawonekedwe apakati pakhungu ndi hypodermis - minofu yamafuta am'mimba amawonongeka. Zilonda zimakhala ndi zotulutsa zomanga thupi ndi zamagazi mkati, zimapangitsa fungo loyipa ndi kuyabwa. Kutulutsa magazi kumachitika. Kuchiza pakadali pano kungatenge miyezi ingapo, kusankha:
- Anti-kutupa ndi analgesic mankhwala.
- Zithandizo za ziwengo mu mapiritsi.
- Othandizira a venous, mu mawonekedwe a mafuta, omwe amachepetsa kupezeka kwa khoma la mtima komanso kubwezeretsa kutuluka kwa magazi.
- Ma antibacterial othandizira ─ anti-spectrum anti-virus kuti athetse chidwi cha matenda. Mankhwala omwe amagwiritsidwa ntchito ngati mapiritsi.
- Zovuta ndi mafuta am'mudzimo.
Gawo lachitatu
Pakadali pano, njirayi imafika minofu yofewa, ndipo imathanso kukhudza minofu ya mafupa. Kuchiza pamenepa. Amatsuka chilonda kuchokera pazomwe zimayambitsa purulent, amachotsa madera a necrosis ndikuwachitira ndi antiseptics.
Mankhwalawa amagwiritsa ntchito antibacterial, anti-kutupa, anti-allergic, mankhwala omwe amakulitsa makoma amitsempha yamagazi, amagwiritsa ntchito ma bandeji odana.
Zofunika! Ngati zilonda zamiyendo zapezeka, cholinga chachikulu ndikupewa kudulidwa kwa zala ndi miyendo, ndikuphunzitsanso kupewa.
Mankhwala othandizira zilonda zam'mimba
Ndi chithandizo chovuta kwambiri komanso chifukwa cha mphamvu ya zilonda pamlingo wochiritsira, njira zowonekera zimagwiritsidwa ntchito kwambiri:
- laser chithandizo - amapha pathogenic maluwa ndi kuchotsa kutupa,
- chithandizo chamatsenga chimathandizira kupweteka komanso kuchepetsa mitsempha ya magazi,
- chithandizo cha ozoni - chimalimbikitsa kukonzanso kwa maselo,
- kugwiritsa ntchito chipinda chopanikiza cha Kravchenko,
- chithandizo chamatope
- darsonvalization
- kugwiritsa ntchito ma electrophoresis,
- kugwiritsa ntchito miyala ya gels kapena dzuwa - kugwiritsa ntchito kuwala kwa dzuwa munthawi yokonzanso komanso kupewa.
Folk azitsamba zochizira zilonda zam'mimba
Kuchiza kunyumba mothandizidwa ndi wowerengeka azitsamba kumakhala kothandiza komanso kotetezeka, koma sikuchotsa matendawa kwathunthu. Kugwiritsa ntchito ndalamazi kukhoza kulangizidwa ngati chithandizo chowonjezera cha magawo oyamba a matendawa:
- Kuthira mafuta mafuta anyezi mu mafuta a azitona, kuziziritsa, kusefa ndi kutumiza kawiri pa tsiku pachilonda, kukonza ndi bandeji.
- Njira zochokera sopo ochapira ─ amatenga 100 g ya sopo yoyera yakuda, anyezi wosankhidwa, mapira, mafuta anyama, madzi oyera. Zosakaniza zimaphatikizidwa mpaka yosalala ndikuyika 2 pa tsiku pachilonda. Ndikofunikira kuti mawonekedwe anu azikhala pakhungu lowonongeka kwakanthawi, ngakhale zitakhala zosasangalatsa.
- Kutola zitsamba kuchokera ku chamomile, calendula ndi mpiru kumakwaniritsa machiritso a bala. Zitsamba zamafuta zimathiridwa ndi madzi otentha ndikuyika. Zosakaniza zomwe zidapangidwako zidasefedwa ndipo bala lidatsukidwa.
- Mafuta a Clove amawagwiritsa ntchito ngati wosabala ndipo swala imachitika.
- Kusakaniza kwa sage ndi uchi kumathandizira kuti machiritso azikhala zala ndi zidendene mwachangu. Konzani decoction wa sage, kunena kwa tsiku ndi kuwonjezera uchi.
- Kusakaniza kochokera pa mafuta a petroleum jelly ndi streptocide kumakupatsani mwayi wopeza zilonda zam'tsogolo m'masiku ochepa.
Ndikofunikira kukumbukira! Mankhwala, kupewa matenda ndikosavuta kuposa kuchiza matenda kwa nthawi yayitali.
Kupenda njira zodzitetezera kwa anthu odwala matenda ashuga kuthana ndi thanzi lawo kungathandizire kuzindikira matenda omwe ali munthawi yake, kuchitira zinthu mosagwirizana ndi matenda komanso kupewa mavuto.
Zambiri pamutuwu zitha kupezeka m'mavidiyo: