Mitsempha ya Varicose ndi matenda ashuga: Zizindikiro ndi chithandizo

Kuyenda kwa magazi kudzera m'mitsempha ya miyendo kumachitika motsutsana ndi mphamvu yokoka - kuchokera pansi kupita m'mwamba. Pamafunika mphamvu yayikulu kuti magazi agonjetse mphamvu yokoka. Mosiyana ndi mitsempha, mitsempha singathe kudzipangira yokha, kukankha magazi m'njira yoyenera. Dongosolo lamagazi limapangidwa kotero kuti magazi ochokera m'mitsempha ya saphenous (yapamwamba) kudzera m'mavala a mitsempha yolumikizana imalowa m'mitsempha yakuya. Koma mitsempha yakuya singathe kukweza magazi pamtima. Kuti izi zitheke, mitsempha imafunikira kulimba kwa minofu, kuwapanikiza ndikutchotsa magazi mpaka pamtima. Ndi ntchito yochepa ya minofu mu mitsempha yakuya, magazi amanjenjemera. Madzi amatuluka. Mitsempha ya saphenous imatupa, imapindika, ndikupanga ma varicose. Zinthu zazikuluzikulu zomwe zimapangitsa kuti mitsempha ya varicose ipangike imakhala minofu yowoneka bwino kwambiri kapena yolimba kwambiri.

Amayi amatenga matendawa mosavuta kuposa amuna. Kuchuluka kwa minofu kumapangitsa kuti minyewa isinthike.

Ndi matenda a shuga, miyendo imatupa. Pali zowawa m'malingaliro a ng'ombe. Pali kumverera kolemetsa m'madera akumunsi, ngakhale kukondana kumachitika usiku, makamaka kugona. Mapegi bulge, maukonde pamiyendo amapangidwa. Ambiri amakhulupirira kuti mankhwalawa a mitsempha ya varicose amagwira ntchito pokhapokha ngati akugwiritsa ntchito mankhwala osiyanasiyana okwera mtengo.

Pali zovuta za mitsempha ya varicose, pomwe matenda akuluakulu ndi matenda ashuga. Mwachitsanzo, mitsempha yomwe yakhudzidwa imatha kuyambitsa matenda, ndipo timinofu tawo timatha kuwoneka m'mitsempha.

Mtundu wowoneka bwino wa matenda ashuga osadalira insulini, kapena matenda amtundu wa 2, pomwe matenda amayamba ndi vuto la metabolic. Mlingo wa glucose m'magazi umachuluka, kulumikizana kwa minyewa yam'mimba yokhala ndi insulin kumasokonekera. Matenda a shuga a Type 2 ndi matenda ovuta kwambiri, ndipo mitsempha ya varicose monga matenda ophatikizika imabweretsa zovuta zina. Koma mitsempha ya varicose mu shuga imangofunika osati mankhwala okha. Chithandizo chiyenera kukhala chokwanira. Pali gawo la masewera olimbitsa thupi a yoga. Mukazichita, mitsempha ya varicose imatha kukhala vuto losathetseka.

Njira zopewera

Popeza mwazindikira bwino mitsempha ya varicose, sikofunikira kuthamangira kwa phlebologist. Ndikokwanira kulumikizana ndi wophunzitsa yoga.

Matenda a shuga amakhumudwitsa mitsempha ya varicose, koma kuwunika kumeneku si zotsatira zenizeni za matenda ashuga. Chifukwa chake, njira zopewera zingakuthandizeni kupewa mavuto.

Minofu yofooka imagwirizana ndi zovuta, pomwe mukukumana ndi mavuto. Mphamvu zolimbitsa thupi kwa akazi omwe ali ndi minofu yofooka imayimira chizunzo. Omwe ali ndi minofu yofooka amakhala osinthika, koma mwamtheradi mwamtundu osati molimba pankhani ya katundu. Kwa azimayi oterowo, masewera olimbitsa thupi pamiyeso ndi maimidwe a yoga adzakhala othandiza kwambiri. Ntchito yayikulu ya yoga yokhala ndi mitsempha ya varicose ndikupangitsa minofu kugwira ntchito, kukankhira magazi m'mitsempha, kupititsa patsogolo kufalikira kwake. Zoyeserera zamtunduwu wa zogonana zoyenera zidzafotokozedwa pansipa.

Eni ake okhala ndi minofu yolimba nthawi zambiri samasinthasintha, koma amakhala olimba. M'masewera olimbitsa thupi a yoga, kutsindika ndikutambasula minofu. Kukula komanso kutikika kwa minofu ndi gawo limodzi la zochita za minofu ya munthu. Kuchita masewera ena a yoga kumayambitsa kupindika kwa mtima, pomwe ena - kutalikirana kwawo.

Pali masewera olimbitsa omwe angathandize kupewetsa mitsempha ya varicose komanso koyambirira kwa matendawa - mawonekedwe a asterisks ang'onoang'ono a mtima. Pakadutsa matendawa, ntchito yokhayo yokhala ndi katswiri wazolimbitsa thupi wa yoga (yoga Therapist) ndi yofunika.

Yoga masewera olimbitsa minofu yofooka

Mpata wolimbikira wa asanas umangoyang'ana mayimidwe oyipa ndi kuwongolera bwino. Tadasana, kapena malo a phirili, ndi asanas pamalo pomwepo, pomwe zovuta zolimbitsa thupi zimayambira. Pazochita izi, ndikofunikira kuti musakweze mutu wanu. Ndikofunikira kuwonetsetsa kuti mapaziwo samasunthira mbali zosiyanasiyana. Mukatambasulira msana, onetsetsani kuti m'mbuyo mulibe vuto. Vrikshasana, kapena mtengo wa mtengo, ndikupitiliza kwa asana am'mbuyomu. Ndikofunikira kutsatira malamulo awa:

• mapazi sangoyima pansi - ali ngati "okhazikika",
• mpweya wopumira uyenera kukhala wodekha.

Ndikofunika kupewa asanas ndikukhazikika kwakanthawi kokhazikika pakakhala mitsempha ya varicose ya miyendo. Ndi matenda oopsa komanso kuvulala mwendo, asana samachitidwa.

Utthita Triconasana amafuna chidziwitso chokwanira cha njirayi. Asanayambe izi asana, ayenera kudziwa luso la Tadasan.

Pochita izi, musagwade mawondo anu kapena kuyang'ana thupi lanu pansi. Asan amatsutsana ndi anthu omwe ali ndi kuthamanga kwa magazi komanso kuvulala kwa khosi.

Yoga masewera olimbitsa minofu yolimba

Kuphatikizika uku kumakhala ndi phindu pakukangana kwa minofu, komwe ndikofunikira kuti pakhale kupindika kwa minofu yolimba.

Lingalirani za Virasana (chochitika cha ngwazi) + Supta Virasana (chochitika cha ngwazi chitagona). Tsatirani njirayi yoperekedwa:

1. Timakhala pansi, ndikugwada, kuti agwire pelvis. Pankhaniyi, miyendo imakhala yolumikizidwa ndi zidendene m'mwamba. Timakhala kwakanthawi kwakanthawi. Pumirani bwino.
2. Tikutembenukira ku kukhazikitsidwa kwa Supta Virasana: timasokera kubwerera m'mbuyo, ndikupumula manja athu pansi. Ntchito yanu ndikugona kumbuyo kwanu momwe mungathere.
3. Gwirani izi kwa mphindi 2-3.

Ganizirani zochita za Urdhva Prasarita Padasana (kuwonjezera miyendo.) Njirayi ili ndi njira izi:

1. Bodza kumbuyo kwako. Miyendo iyenera kukwezedwa ndikuwona ngodya yoyenera.
2. Kokani masokosi kwa inu. Tsekani malo kwa masekondi 2-3. Kenako kokerani masokosiwo kwa inu nthawi yomweyo. Bwerezani kangapo.
3. Vomerezani mapaziwo mwakuwakokera kwa inu kwa masekondi 30-60.

Ntchito yotsatira imatchedwa Paschimottanasana (atatsamira miyendo atakhala). Njira ndi motere:

1. Khalani pampando wanu, kuwongola miyendo yanu. Masokisi amadziwunjikira okha.
2. Gwirani maondo anu ndi manja anu. Musamale kuti musapinde msana wanu.
3. Kudzithandiza nokha ndi manja anu, pang'onopang'ono tengani msana wanu.
4. Tambasulirani nsana wanu, ndikuchepetsa mpaka miyendo. Chitani zolimbitsa thupi kwa masekondi 30-60.
5. Tengani nsana wanu wam'mbuyo, kwezani mutu. Pinde pachifuwa ndi kumbuyo, ndikubwezeretsanso kumbuyo kwa malo ofukula kumbuyo kwa vertebrae.

Pali contraindication kwa anthu omwe ali ndi nyamakazi, radiculitis komanso kusamutsidwa kwa ma vertebral disc. Odwala omwe ali ndi pakati komanso asthmatic amakhalanso ophatikizana pochita asanas.

Yoga ndi njira yothandiza kukulitsira kamvekedwe ka minofu. Koma ndikofunikira kulabadira kuti yoga imangogwira ntchito yoletsa mitsempha ya varicose kapena imathandizira kuchepetsa kuchepa kwa matenda. Koma yoga sindicho chithandizo chachikulu cha mitsempha ya varicose. Ngati muli ndi mitundu yapamwamba ya matendawa, funsani wophunzitsa yoga. Kumbukirani kuti ngakhale njira yabwino kwambiri ili ndi zotsutsana ndipo imafunikira chisamaliro pakugwiritsa ntchito.

Pazotengera zamatenda a shuga

Ngati wodwala yemwe ali ndi matenda a shuga akukayikira za momwe njira zakukula zam'magazi zimakhalira m'miyendo, muyenera kulumikizana ndi endocrinologist yemwe angakulangizeni kuti mukayese mayeso ena.
Ngati pazifukwa zina palibe njira yopangana ndi endocrinologist, ndipo kulumikizana kwakukulu kuli ndi dokotala wamkulu, mufunseni kuti akutumizireni kuti mukakuyezeni osati kokha kwa opereshoni yamitsempha, komanso kwa dokotala wa opaleshoni ya mtima. Zomwe zimachitika ndizofala kwambiri pomwe vuto limangoyang'ana mbali imodzi. 80% yakuchotsa matenda a shuga kukanapeweka ngati dokotala wa opaleshoni yemweyo atalowa nawo pazokambirana zofunikira za wodwala panthawi yake.

Kumbukirani kuti matenda ammimba am'mimba amachititsa kuti masinthidwe am'magazi am'mimba a NKHANI / AU. Mavuto amatha kuchitika chifukwa cha zovuta monga neuropathy, micro- ndi macroangiopathies, osteoarthropathies.

Matenda a Varicose amapezeka m'magawo atatu: kubwezeretsa, kulipira ndi kubwezeretsa.

Pa gawo loyamba, mitsempha ya varicose ndiyosawoneka. Pali kutopa pang'ono. "Nyenyezi" zazikulu kapena maukonde zimatha kuchitika. Koma pazonse, palibe zizindikiro zowoneka bwino.
Mu gawo lachiwiri - gawo lochulukirapo - pali mawonetseredwe azachipatala. Izi ndi zizindikiro zowoneka bwino: kutopa kwa mwendo, kukokana, kutupa, ndi zina zambiri. Mphesa zimatha kukulitsidwa kapena kuwonekera. Mawonekedwe amawonekera makamaka atakhala pansi kwakanthawi kapena poyenda zidendene.
Gawo la kuwonongeka limalumikizidwa ndi kuwoneka kwa zovuta monga thrombophlebitis (kutupa kwa khoma lamitsempha ndikupanga thrombus), zilonda zam'mimba za m'mimba (zotalika, zovuta kuchiritsa mabala) komanso magazi. Chiwopsezo chowonjezeka cha magazi kuchokera kumadera am'munsi kupita ku chotupa cha m'mapapo.

Opaleshoni

Ndi mitsempha ya varicose, trophic ulcers ndi thrombophlebitis, phlebectomy ikhoza kutumikiridwa. Zimathandizira kutulutsa magazi m'mitsempha yambiri. Pali zingapo zotsutsana: mitsempha yovomerezeka ya varicose, matenda a mtima, matenda opatsirana, theka lachiwiri la pakati. Nthawi zambiri opaleshoni sikuchitika ukalamba.

Phlebectomy ikhoza kuchitidwa m'njira zosiyanasiyana - tingachipeze powerenga, laser, radiofrequency ablation, sclerobliteration. Tanthauzo la manipulopo onse ndi ofanana - kuchotsa kwa thupi kapena chiwonongeko cha gawo la minofu. Gawo lamitsempha limachotsedwa kapena kupakidwa mafuta kumakoma, ndikutsatira.

Mankhwala

Kutengera kugwiritsa ntchito mankhwala omwe amalimbikitsa kamvekedwe ka minyewa, kulimbitsa makhoma, kuthetsa kutupika ndi kukonza mphamvu yamagazi a magazi (mwachitsanzo, mamasukidwe akamasisitimu ndi madzi).
Chofunikira pazinthu zovuta, ngati chithandizo cha opaleshoni sichikugwiritsidwa ntchito, ndikugwiritsa ntchito kupanikizana kopanikizika. Chifukwa cha izi, zovala zamankhwala ndizomwe zimapangidwira (musasokoneze ndi kupewa). Wodwalayo amavala zongobisalira mosalekeza kuti ateteze kupitirira kwa matendawa komanso kupewa zovuta.

Kumbukirani kuti kusankha kwa mankhwala ndi madokotala. Osayesa kapena kuyesa nokha prophylaxis mpaka zinthu zitamveka bwino. Kudzipatsa nokha mankhwala ochepetsa magazi kumayambitsa magazi. Osadzipatsa mankhwala!
Pochiza mitsempha ya varicose odwala matenda a shuga, njira zolipirira zam'mbuyo komanso kukula kwa zovuta ziyenera kukumbukiridwa.
Odwala amatha kusokoneza zina mwa mawonekedwe oyamba a mitsempha ya varicose ndi polyneuropathy. Ngati mukukayikira kapena muli ndi zizindikiro zowoneka bwino zamitsempha ya varicose, pitani kuchipatala mwachangu! Ngati endocrinologist ataika katswiri wa zamitsempha, pemphani munthu wina kuti amupangireni kuti akakuwonjezereni.

Zotsatira za matenda a shuga m'mitsempha ya varicose komanso njira ya matendawa

Matenda a shuga a Varicose amatha kusokoneza dongosolo lam'mimba lam'mimba, ziwalo zam'mimba, koma malekezero ochepa omwe nthawi zambiri amavutika. Wodwala aliyense wachinayi amadwala matendawa, ambiri mwaiwo ndi azimayi.

Matenda a shuga ndi matenda osakhazikika ogwirizana ndi endocrine system, kuchepa kwachilengedwe (komwe kumapangidwa ndi kapamba) insulin, ntchito yake yomwe "imagwiritsa ntchito" glucose m'magazi, ndipo maselo ndi ziwalo zamkati zamatumbo zimadwala. Pakutalika kwa vuto lakelo, njira zosasintha sizingachitike zomwe zingayambitse kudula miyendo.

Ndi matenda a shuga, matendawa amakula pazifukwa zingapo:

• onenepa kwambiriomwe amadwala pafupi 80% ya 2 matenda ashuga,
• kusokonezeka kwa magazi (diabetesic macro- kapena microangiopathy),
• hyperglycemia kusintha magazi, kuchuluka plasma mamasukidwe, kumawonjezera kuchuluka kwa fibrogen (mapuloteni omwe amapanga fibrin - pamaziko a magazi a magazi),
• Chimodzi mwazinthu zazikulu pakupanga mitsempha ya varicose - kuuma kwa minofu kapena ulesiMomwe magazi amasokonezeka, mitsempha yokha singagonane, kotero kusintha kwa minofu kumayambitsa kuwonongeka kwamitsempha.

Mitsempha ya Varicose imachitika chifukwa chotambasulira khoma la venous. Nthawi zambiri (ndi matenda ashuga) mitsempha yopanda tanthauzo imakhudzidwa, koma pamakhala zochitika pamene mitsempha yomwe ili pafupi ndi mafupa amakhudzidwa.

Matenda a shuga ndi imodzi mwazomwe zimayambitsa mitsempha ya varicose, pomwe zinthu zingapo zimakhudza kuyambika ndi njira ya matendawa. Izi zikuphatikiza ndi izi:

• kubadwa kwamtsogolo
• kutenga pakati ndi kusamba,
• uchidakwa, kusuta,
• katundu wolemera, miyendo yambiri,
• kuchuluka magazi kuundana (kobadwa nako kapena kutengedwa),
• kudya kwambiri, kusowa kwa mavitamini a magulu P, C ndi E,
• nsapato zazitali, ngati muzivala nthawi zonse,
• matenda a impso, mtima
• kunena kukayika kwa magazi.

Varicose mitsempha chithandizo

Chithandizo cha mitsempha ya varicose mu matenda ashuga iyenera kuyamba ndi kuwonekera kwa madokotala, phlebologist ndi endocrinologist. Ndiye phlebologist yemwe amasankha magawo komanso kukula kwa matendawa, kupereka mankhwala, ndipo endocrinologist amatsimikizira kuikidwa kwawo, chifukwa ndi matenda a shuga, si onse mndandanda wa mankhwala omwe angagwiritsidwe ntchito. Tiyeneranso kukumbukiranso kuti chithandizo chikuyenera kukhala chokwanira.

Zochizira varicose mitsempha ndi shuga, ntchito:

1. Zodzola mafuta. Nthawi zambiri, madokotala amalembera mankhwala otsatirawa: Troxevasin (amathandizanso kutupa, amawonjezera zotupa, amachepetsa kutupa), Detralex (amachepetsa mitsempha, amathandizira kuwonjezera kutuluka kwa mitsempha, kuthana ndi kupindika, Rutin (Vitamini kapena bioflavonoid yomwe ndi gawo la P imalimbitsa makoma a venous imathandizira kutupa, kutupa, kukokana, kuletsa mapangidwe a zilonda zam'mimba, etc.
2. Kutenga mapiritsi: Venarus, Anavelon, Aescusan, Venoruton 300, etc. Mankhwalawa amathandizira kuti mafuta azitha.
3. Ndikofunikira kuvala zovala zapadera zamankhwala pafupipafupi ndi masokosi a odwala matenda ashuga. Kupindika kofewa kumatsimikizira kugwira ntchito kwa minofu ya ng'ombe, kumapangitsa kuti mitsempha ikhale yofananira, ndikulepheretsanso kupitanso kwa mitsempha ya varicose. Zovala zamankhwala zamankhwala zimatha kuchotsa kwathunthu kusayenda kwa wodwala.
4. Mankhwala othandizira - Njira yokhazikika kwambiri yolimbana ndi mitsempha ya varicose. Mulinso mitundu yosiyanasiyana ya ma phlebectomies: laser kapena radiofrequency ablation, sclerobliteration, etc. komanso venoextraction, komwe gawo lamtsempha limachotsedwa kwathunthu.

Mavuto

Mavuto amitsempha yam'mimba amapezeka 35% ya odwala matenda ashuga. Kuopsa kopezeka ndi matendawa kumatengera msinkhu komanso jini la wodwalayo; okalamba ndi akazi ali pachiwopsezo chachikulu. Ili ndi vuto lomwe liyenera kuthetsedwa ndi akatswiri, mankhwala achikhalidwe pankhaniyi ndi osathandiza, ngakhale atha kubweretsa zovuta.

Mavuto ambiri a mitsempha ya varicose ndi awa:

• aakulu venous kusowa,
• dermatitis wa varicose,
• phlebitis ndi thrombophlebitis,
• thrombosis
• pulmonary embolism, pulmonary embolism ndizomwe zimachitika msanga, kufa mwadzidzidzi kwa wodwala,
• kusintha kwamitsempha, mitsempha,
• lymphedema kapena lymphostasis, zimabweretsa kupunduka kwamiyendo, kuwonjezeka kwa pafupifupi kawiri unyinji wawo.

Kanema wotsatira adzakuzolowani za zoyipa zomwe zingachitike pokhapokha ngati palibe chithandizo choyenera cha mitsempha ya varicose yovuta ndi matenda a shuga:

Kupewa kwa mitsempha ya varicose kwa odwala omwe ali ndi matenda osokoneza bongo

Ngati muli ndi zizindikiro zoyambirira za mitsempha ya varicose, ndikofunikira kwambiri kuti muchepetse kukula kwa matendawa.Aliyense angathe kuthana ndi ntchitoyi mosavuta, kutsatira malamulo osavuta kupewa:

• perekani magazi kuchokera kumiyendo, pakugona, ikani miyendo yanu pamwamba pa thupi,
• gwiritsani masokosi otanuka nthawi zonse omwe angathandize mitsempha ndi minofu,
• ndi ntchito yokhala panokha - chitani (kamodzi pa ola limodzi), konzekerani miyendo yanu, komanso ndikuyimilira ntchito - pumulani.
• Yendani mwachangu, musakhale m'malo amodzi nthawi yayitali,
• osavala zovala zamkati zolimba,
• pokhalapo osayika phazi limodzi pamwendo, osawoloka.
• osapatula mowa zakudya, idyani zakudya zambiri zokhala ndi fiber,
• zolimbitsa thupi kawiri pa tsiku. Zochita zolimbitsa thupi zothandiza kwambiri m'mitsempha ya varicose: mutagona pansi, kwezani miyendo yanu ndikuigwira. Kuchita zolimbitsa thupi kumathandizanso.

Varicosis mu shuga mellitus sichinthu chachilendo, koma si chiganizo konse. Njira zamakono zamankhwala zimatha kuthetsa vutoli, ndipo kupewa mophweka kumalepheretsa chitukuko cha matendawa. Koma musathamangitse mitsempha ya varicose, chifukwa matendawa ndi oopsa, omwe amawopseza ndi zovuta zazikulu, mpaka kuwonongeka kwa miyendo ngakhale kufa.

Chithandizo cha kumapazi kwa matenda ashuga: Mankhwala otani?

Kuchiza phazi kwa matenda ashuga ndi vuto lofunikira kwa onse odwala matenda ashuga komanso madokotala. Kodi pali njira zofananira zochizira matenda ashuga oyamba? Ngati ndi choncho, mungayende bwanji ngati mukufuna kugwiritsa ntchito mitundu ingapo ya mankhwala?

Kodi zimachitika bwanji ndipo chifukwa chiyani kupweteka kwamiyendo kumachitika mu matenda a shuga?

Nthenda ya shuga ya shuga imapezeka mu 70 peresenti ya anthu omwe apezeka ndi matendawa, pomwe osayang'anira shuga bwino amapezekanso. Nanga bwanji kupweteka kwam'mimba kumachitika m'matenda a shuga ndipo ndi zizindikiro ziti zomwe muyenera kulabadira mosakayikira kukayikira kukula kwa phazi la matenda ashuga?

The pathogenesis ya kukula kwa kupweteka kwamiyendo mu shuga yamtundu uliwonse imalumikizidwa ndi angiopathy, neuropathy.

Chifukwa cha kukula kwa dyslipidemia, chiwopsezo cha atherosulinosis ndi kutseguka kwa peroxidation, kusokonezeka kwa magazi (ischemia) kumachitika osati m'matumba akuluakulu ndi zing'onozing'ono, zomwe zimawonetsedwa ndi macro- ndi microangiopathy, motsatana.

Kugonjetsedwa kwa ngakhale ziwiya zazing'ono kwambiri - vasa amanorum, zomwe zimakhudzidwa ndi zakudya zamatumbo amanjenje, zomwe zimapangitsanso chiwonetsero cha zowawa, ndizodziwika. Izi zimatilora kufotokoza momwe miyendo yanga imapwetekera ndi matenda a shuga.

Kupweteka kwam'mimba mu shuga sikungokhala chifukwa chokhala ndi zovuta za angiopathic ndi neuropathic.

Kutseguka kwa tizilombo tokhala komweko kumathandizira kwambiri pakupanga ubale woyipa wa "miyendo ndi shuga".

Miyendo mu matenda a shuga amayamba kupezeka mosavuta chifukwa cha zovuta zomwe zimayambitsa matenda, chifukwa chake mabakiteriya amakani miyendo yamtundu wa 2 shuga amakhala nawo, chithandizo chomwe chimafuna kugwiritsa ntchito maantibayotiki.

Miyendo imapweteka mu shuga, ngakhale mutachita zolimbitsa thupi. Kupweteka kwamatenda, kumakoka mwachilengedwe, makamaka miyendo yopweteka m'dera la phazi (zala).

Ululu umatha kufalikira kwa ng'ombe, mpaka matako. Kutenga ma pinkiller kuchokera ku gulu la NSAID poyamba kumabweretsa mpumulo, koma ndiye osagwira.

Ngati mapazi akupweteka kwambiri ndi matenda ashuga, muyenera kufunafuna thandizo nthawi yomweyo.

Zizindikiro za matenda am'miyendo mu matenda a shuga

Ndi matenda ati komanso mawonetsedwe omwe akuyenera kuwonetseredwa ndi kuwonetsa kwa matenda amiyendo mu matenda a shuga mellitus amawonekera m'ndandanda pansipa.

• Mitundu yosiyanasiyana ya neuropathy.
• Edema syndrome (mdera lamapazi, kumapazi, zala).
• Matenda a shuga.
• Matenda a trophic (zilonda zam'mimba).
• Diabetesic phazi lesion syndrome (SDS) - kuwonongeka kwa phazi mu mtundu 2 shuga, chithandizo chimafunikira opaleshoni.

Ngati miyendo imapweteka ndi matenda a shuga, ndikofunikira kuyesa momwe ululu uliri, nthawi yomwe zinachitika. Yenderani khungu - nthawi zambiri zala zakuda zimayamba, mapangidwe ake a misomali amasintha, nthawi zina amathanso kuchita khungu.

Ndikofunikira kuyesa tsitsi la khungu la miyendo. Ndi neuropathy, kuchuluka kwa tsitsi kumachepa, amakhala opanda mtundu.

Kugwedeza miyendo ndichinthu choyamba chomwe chimakhudza miyendo ndi matenda a shuga a 2, chithandizo cha izi sichingalole SDS kukula.

-NOTE - Zofunika! Ngati chala chakuda chakuda, simuyenera kuchedwetsa kupita kwa dokotala - SDS ngati njira yovulaza phazi mu mtundu wachiwiri wa shuga, chithandizo chikufunika munthawi yake.

Kutupa, kutupa kumatha kuchitika pamiyendo ndi matenda a shuga. Izi zimayambitsa kugona m'miyendo. Phazi limakhudzidwa koyamba, nthawi zambiri limapweteka.

"Chimanga", kusakhala ndi chidwi kumalo omwe kuli katundu wambiri (yemwe amakhala ndi ischemic neuropathy) kumatha kuchitika.

Kuzindikira kumachepa, nthawi yomweyo, miyendo imapweteka kwambiri (kumva kupweteka kumasungidwa). Kutentha kwamapazi kumatha kuwonjezeka kapena kuchepetsedwa.

Mitundu yambiri ya maphunziro ofunikira kuti mupeze matenda ammiyendo mu matenda a shuga:

1. General kuyezetsa magazi ndi magazi oyera, mkodzo.
2. Biochemical kuphunzira magazi seramu.
3. Mbiri ya Glycemic, glycosylated hemoglobin (kotero kuti matenda a shuga amatsimikiziridwa).
4. X-ray yamapazi.
5. Kuyesa kwa Ultrasound.
6. Kujambula kwakanema ka ziwonetsero za ziwongola zam'mimbamo kumatha kuwulula matenda ammiyendo mu mtundu 2 wa matenda ashuga, chithandizo chikuyamba pa nthawi.

Chithandizo chikuyandikira

Momwe mungachiritsire miyendo chifukwa cha matenda ashuga komanso malingaliro aposachedwa pa chithandizo cha matenda a shuga a mtundu 2?

Chofunika kwambiri pazochizira komanso kupewa matenda amtundu wa 2 matenda ashuga, chithandizo cha arthropathy, ndikuwongolera shuga. Mankhwala osiyanasiyana ochepetsa shuga amagwiritsidwa ntchito.

Bigunaids, sulfonylureas, thiazolidinedinones, glucose-sodium cotransporter inhibitors ndi ena amagwiritsidwa ntchito mosamala pochiza miyendo matenda a shuga a 2.

Kusankhidwa kwa mankhwala kuposa kuchiza matenda a shuga mellitus kumachitika payekhapayekha, poganizira kulolera kwa wodwala mankhwala ena. Kuwonongeka kwa phazi la Neuropathic mu mtundu 2 wa matenda ashuga: chithandizo chamankhwala amkamwa ndichothandiza.

Chithandizo cha kumapazi kwa matenda amtundu wa 2 chitha kuphatikizira insulin. Izi zimachitika makamaka pamilandu ya kukokanso kukamwa kwamankhwala ochepetsa shuga, kukhazikitsa madera otentha, chikomokere. Kuwerengera kwa kuchuluka kwa insulini kumatengera thupi la wodwalayo. Nthawi yomweyo, chithandizo chamankhwala a matenda a shuga 2 chimayang'ana "chidziwitso" cha matendawa.

Koma chochita ngati miyendo imakhala ndi ululu wa shuga? Choyambirira kuchita ndikuchezera adokotala - othandizira kapena endocrinologist. Adzaunikiranso kukaonana ndi katswiri wofunikayo, popeza atapereka zoyambilira kuchita kafukufuku wa zasayansi ndi zothandiza. Adziwonetsa matenda ammiyendo mu mtundu 2 wa matenda ashuga: dokotala amupatseni mankhwala.

Mndandanda wa mankhwala othandizira pathogenetic, kuphatikizapo chithandizo cha miyendo ya matenda ashuga, umaphatikizapo kukonzekera kwa mtima. Izi zikuphatikiza Actovegin ndi Sulodexide (Wessel Duet f).

Mankhwalawa amachepetsa magazi, amalimbitsa ziwiya zam'miyendo mu matenda a shuga, amakhala osagwirizana komanso antihypoxic.

Kafukufuku wambiri watsimikizira kugwira bwino kwawo mu matenda atrosselotic phazi (okhala ndi matenda ashuga).

Actovegin ikupezeka mu ma ampoules a 2000 mg ndi mawonekedwe a piritsi (piritsi limodzi la 200 mg la yogwira ntchito). Mankhwala othandizira ndi gawo amakonda kwambiri: kusintha pang'onopang'ono kuchokera ku mtsempha wamkati wa actovegin kupita pakamwa.

Mankhwalawa amathandizidwa kamodzi kamodzi patsiku kwa masabata awiri, ndiye kuti aledzera patsiku la 1200 mg kwa milungu isanu ndi umodzi (ndiye kuti, mapiritsi atatu ayenera kumwedwa katatu patsiku ndi madzi ambiri mukatha kudya).

Sulodexide imagwiritsidwa ntchito pakuwonongeka kwa phazi mu mtundu wa 2 shuga, chithandizo monga momwe zimakhalira, pang'onopang'ono m'malo mwa mapiritsi a piritsi mumapangidwa pang'onopang'ono.

Mtundu wachiwiri wa matenda a shuga, mankhwalawa amtundu uliwonse wa neuropathy amaphatikiza kumwa mankhwala a thioctic acid - neuro lipone, thioctacide, thiogamm ndi analogues. Mankhwalawa amapezekanso mu njira yankho la kugwiritsidwa ntchito mwamphamvu ndi mapiritsi. Mlingo - 600 mg. Chithandizo chimachitika m'magawo awiri:

1. Thioctacid imayendetsedwa kudzera m'mitseko kwa masiku khumi kamodzi.
2. Masiku makumi asanu, mankhwalawa amatengedwa pakamwa, kamodzi patsiku. Ngati miyendo yokhala ndi matenda osokoneza bongo imapweteka kwambiri, nthawi yogwiritsira ntchito imawonjezeka.

Kugwiritsa ntchito NSAIDs kumathandizira kuchepetsa ululu wam'mimba mu matenda ashuga a m'mimba, monga momwe amachitira ndi mitundu ina ya neuropathy (pewani kugwiritsa ntchito pafupipafupi chifukwa cha nephrotoxicity yayikulu). Kusokoneza kosambira nthawi zambiri kumathandiza.

Physiotherapeutic effect imagwiritsidwa ntchito kwambiri. Ndi matenda a shuga a mtundu wachiwiri, mankhwalawo ndi ovuta. Iyenera kuphatikiza njira zama psychotherapeutic, kutikita minofu.

Makamaka kuwonongeka kwa phazi mu mtundu wachiwiri wa shuga: chithandizo ndicholinga chobwezeretsanso zizindikiro, kubwezeretsa ntchito zomwe zidatayika.

Varicosis mu shuga mellitus: mawonekedwe

Kuyenda kwa magazi kudzera m'mitsempha ya miyendo kumachitika motsutsana ndi mphamvu yokoka - kuchokera pansi kupita m'mwamba. Pamafunika mphamvu yayikulu kuti magazi agonjetse mphamvu yokoka. Mosiyana ndi mitsempha, mitsempha singathe kudzipangira yokha, kukankha magazi m'njira yoyenera.

Dongosolo lamagazi limapangidwa kotero kuti magazi ochokera m'mitsempha ya saphenous (yapamwamba) kudzera m'mavala a mitsempha yolumikizana imalowa m'mitsempha yakuya. Koma mitsempha yakuya singathe kukweza magazi pamtima.

Kuti izi zitheke, mitsempha imafunikira kulimba kwa minofu, kuwapanikiza ndikutchotsa magazi mpaka pamtima. Ndi ntchito yochepa ya minofu mu mitsempha yakuya, magazi amanjenjemera. Madzi amatuluka. Msempha wa saphenous umatupa, kupindika, ndikupanga varicose node.

Mitsempha ya Varicose imayamba. Zinthu zazikuluzikulu zomwe zimapangitsa kuti mitsempha ya varicose ipangike imakhala minofu yowoneka bwino kwambiri kapena yolimba kwambiri.

Amayi amatenga matendawa mosavuta kuposa amuna. Kuchuluka kwa minofu kumapangitsa kuti minyewa isinthike.

Ndi matenda a shuga, miyendo imatupa. Pali zowawa m'malingaliro a ng'ombe. Pali kumverera kolemetsa m'madera akumunsi, ngakhale kukondana kumachitika usiku, makamaka kugona. Mapegi bulge, maukonde pamiyendo amapangidwa. Ambiri amakhulupirira kuti mankhwalawa a mitsempha ya varicose amagwira ntchito pokhapokha ngati akugwiritsa ntchito mankhwala osiyanasiyana okwera mtengo.

Pali zovuta za mitsempha ya varicose, pomwe matenda akuluakulu ndi matenda ashuga. Mwachitsanzo, mitsempha yomwe yakhudzidwa imatha kuyambitsa matenda, ndipo timinofu tawo timatha kuwoneka m'mitsempha.

Mtundu wowoneka bwino wa matenda ashuga osadalira insulini, kapena matenda amtundu wa 2, pomwe matenda amayamba ndi vuto la metabolic. Mlingo wa glucose m'magazi umachuluka, kulumikizana kwa minyewa yam'mimba yokhala ndi insulin kumasokonekera.

Matenda a shuga a Type 2 ndi matenda ovuta kwambiri, ndipo mitsempha ya varicose monga matenda ophatikizika imabweretsa zovuta zina. Koma mitsempha ya varicose mu shuga imangofunika osati mankhwala okha. Chithandizo chiyenera kukhala chokwanira. Pali gawo la masewera olimbitsa thupi a yoga.

Mukazichita, mitsempha ya varicose imatha kukhala vuto losathetseka.

Matenda a shuga ndi thrombophlebitis

Matenda a shuga ndi matenda am'thupi a endocrine omwe amakhala ndi vuto losakhazikika, lomwe limawonetsedwa ndi kuchuluka kwa glucose m'magazi chifukwa chophwanya magwiridwe ake chifukwa chosowa insulin (mahomoni opangidwa ndi kapamba).

Shuga wokwera amatsogolera ku ziwopsezo za pafupifupi ziwalo zonse. Imakhudzanso maselo okhala ndi glucose yemwe samadalira insulin. Awa ndi maselo amkono wamitsempha yamagazi ndi magazi.

Izi zimapangitsa msanga kuti pakhale zovuta zina zosasintha.

Zomwe zimapangika pakukula kwa venous kuwonongeka kwa anthu ashuga

Thrombophlebitis ndi njira yotupa m'makoma a mitsempha, limodzi ndi mapangidwe amitsempha yamagazi m'malo awa. Pakukula kwa matendawa, kuphatikiza zinthu zitatu ndikofunikira:

• Kuphwanya umphumphu wa khoma la mtima. Kusintha kwa kutupa kapena kuvulaza kumapangitsa mkati mwa chotengera kuti chikhale chosasangalatsa. M'malo amenewa maselo am'magazi amakhala mosavuta, ndikupanga magazi.
• Kuchulukitsa kwamitsempha yamagazi. Magazi ochulukirapo a viscous amapanga magazi kuwaza mwachangu kuposa magazi "amadzimadzi". Maso amagetsi amatha kuchuluka chifukwa cha zinthu zambiri: kuchokera ku zovuta zakumwa kupita ku matenda a endocrine.
• Kuchepetsa magazi. Kutuluka kwa magazi kumachepa m'misika yochepetsetsa kapena vasodilation (mwachitsanzo, ma varicose node).

Zinthu zonsezi zimayimiriridwa bwino mu shuga. Zomwe zimapangidwira kuti chitukuko cha thrombophlebitis chizolowezi cha odwala matenda ashuga azikhala ndi mitsempha ya varicose. Pafupifupi 80% ya odwala omwe ali ndi matenda ashuga 2 ali onenepa kwambiri, omwe ali pachiwopsezo chachikulu chotatu chotupa cha varicose.

Njira ya odwala matenda ashuga imakhudza kwambiri mitsempha ya magazi ndi magazi oyendayenda. Pali lingaliro losiyana ndi izi: diabetesic micro- ndi macroangiopathy.

Umu ndi njira yowonongera ziwiya za ma diameter osiyana (kuyambira ochepa kwambiri, ngati ziwiya za retina, mpaka zazikulu, ngati mitengo yamiyendo yamiyendo kapena manja).

Makoma azotengera amakhala osalimba, owonongeka mosavuta, otuluka magazi nthawi zambiri komanso amakula, mwayi wamagazi amawonjezereka, zolembera za cholesterol zimayikidwa mosavuta. Nthawi zambiri, matenda a shuga amachititsa kuti matupi awo azikhala ochepa kuchokera ku ziwiya zazing'ono (mitsempha ndi mitsempha ya fundus, zala).

Kuwonjezeka kwa glucose kumakhala ndi vuto lililonse pakuyenda kwa magazi. Chifukwa cha hyperglycemia, mphamvu ya kusintha kwa khungu la erythrocyte: kufooka kwawo kumachepa, ndipo chizolowezi chomamatira palimodzi chikukula.

Kuphatikiza apo, mamasukidwe akayendedwe amwazi amawonjezeka ndipo, monga chotulukapo chake, kuchuluka kwa fibrinogen (mapuloteni omwe amachititsa mapangidwe a thrombus base - fibrin) amawonjezeka. Zonsezi zimabweretsa kukula kwa magazi, kuchepetsera zomwe zikuchitika komanso kupanga ma thrombotic misa.

Maselo ofiira am'magazi a odwala matenda a shuga amakhala ndi mgwirizano wamphamvu wamkati wamatumbo, zomwe zimawonjezera chiopsezo cha kuundana kwa magazi ndi ziphuphu za atherosclerotic.

Pa nthawi ya matenda ashuga, kusamala pakati pakupanga kwa magazi ndi kugundana kwawo kumasokonekera. Kuchulukitsa kwambiri kwa fibrinolysis kumawonjezera chiopsezo cha kufooka kwa dongosolo ndi thrombosis. Komanso, matenda ashuga amadziwika ndi kukhathamiritsa kwa kuphatikiza kwa mapulatelezi pakati pawo.

Kuphatikiza pa kuwonongeka kwa kama wovulala, matenda a shuga amakhudza mitsempha ndi mathero. Matenda a diabetesic polyneuropathy ndi omwe ali ndi kuchepa kwa kupweteka komanso kumva kutentha. Kuzindikira kumachepa m'manja ndi miyendo (chizindikiro cha "stocking" ndi "magolovu").

M'manja ndi m'miyendo mumakhala moto woyaka, amasowa tulo ndi kumva kuwawa, makamaka kumva kwamiseche usiku. Popeza gawo lopumira limazindikira kwambiri, odwala amatha kuvulala osazindikira okha.

Kuphwanya kwamanjenje kwamitsempha, ndi miyendo kwambiri, kumayambitsa kusokonezeka kwa minofu ndi minyewa yamagazi. Chifukwa cha izi, zovuta zowawa ngati za wodwalayo zimayamba ngati phazi la matenda ashuga komanso zilonda zam'mimba.

Ming'alu komanso dermatitis yayitali imayambitsa kufalikira kwa njira yotupa m'matumbo, ziwiya.

Zilonda za trophic ndi thrombophlebitis ya miyendo yokhala ndi matenda osokoneza bongo ndizovuta kwambiri. Kudwala ndi matenda ashuga zimayambitsa kuzungulira koipa.Matenda amachepetsa mphamvu ya kagayidwe kachakudya mthupi, ndipo chifukwa cha matenda ashuga, kusinthidwanso ndikubwezeretsa minofu kumachepetsa.

Pali chiopsezo chofalikira mofulumira kwa matenda opatsirana ndikukulirakulira kwa matenda ashuga. Ndi trophic ulcerations wovuta ndi purapy Inde, onse amkati ndi exo native insulin amawonongeka ndi ma enzyme.

Kusowa kwa insulini kukukula pang'onopang'ono, zomwe zimabweretsa kuwonongeka kwa matenda ashuga.

Zizindikiro za zotupa

Mawonetseredwe azachipatala a njira ya thrombophlebitis mu shuga mellitus ali ofanana ndi njira yapamwamba yamatendawa:

• Ululu wammbuyo Ululu pamalopo a chotengera chomwe chakhudzidwa, m'miyendo mwendo. Kumva chidzalo m'miyendo ndikuwonetsa kusasangalala.
• Khungu pamwamba pamalo amatsenga limakhala lofiira, lopweteka likakhudzidwa.
• Msempha wokhudzidwayo umamveka ngati mawonekedwe opindika.
• Mafuta akuthwa mwamphamvu.
• Kusuntha kwanyanja ndikovuta.
• Matumbo, dzanzi la miyendo ndizotheka.
• Ngati wodwala anali ndi varicose node, ndiye kuti amakhala wonenepa komanso wowawa, amawonjezeka.
• Kukhazikika kwa khungu ndi minyewa yamkati ikupanga msanga. Malo amdima amawoneka pakhungu pamwamba pa mitsempha ya thrombophlebitic.
• Zilonda zam'mimba zimatuluka mwachangu. Amakhala osasunthika, osinthika mwachilengedwe. Zimakhala zovuta kuchiza.
• Zizindikiro za kuledzera kwakukulu zimafotokozedwa.
• Kusintha kwakuthwa kwambiri m'magulu a glucose, zizindikiro za hyper- kapena hypoglycemia, makamaka ndi zilonda zam'mimbazi zam'mimbamo.

Mbali yodziwika bwino ya thrombophlebitis mu matenda ashuga ndiwosachiritsika. Ngati zilonda zinali zoyambirira, ndiye kuti matendawa amakhudzana ndikukula kwa njira yotupa. Nthawi zambiri zimayambitsa zilonda zapakhungu, minofu yofewa, mpaka fupa. Zinthu ngati izi zitha kubweretsa kudula dzanja.

Mitsempha yamagazi yomwe imapangika nthawi ya shuga imatha kumangirizidwa mwamphamvu kutalika kwa chotengera cham'mimba, kapena ndi matayala omasuka oyandama oyandama. Izi ziyenera kukumbukiridwa pa matenda a thrombophlebitis. Kuyandama kwamagazi kumayambitsa vuto lalikulu - pulmonary embolism. Nthawi zambiri, thromboembolism imeneyi imapha.

Kuzindikira kwa thrombophlebitis ya mitsempha m'matumbo a shuga kumakhala kuzindikiritsa, kudziwa komwe kuli mitundu yambiri ya thrombotic, kutalika kwake. Ndikofunikanso kudziwa kupezeka kwa mchira wosunthika. Izi ndizofunikira kuti mudziwe njira zomwe wodwalayo angagwiritsire ntchito: kusasamala kapena opaleshoni.

Chithandizo cha matenda a thrombophlebitis mu matenda ashuga

Chithandizo cha thrombophlebitis cha malekezero a shuga ayenera kukhala okwanira. Choyamba, muyenera kusintha moyo wanu, zakudya. Chachiwiri, koma osavomerezeka kwenikweni pakalandira chithandizo ndi matenda ashuga.

Ndikofunikira kuonetsetsa kuti glucose yokhazikika pazakudya, kukonzekera kwa insulin kapena kubwezeretsa insulini komanso kuchita zolimbitsa thupi. Kusamalira bwino phazi ndikofunikira, chisamaliro chimayenera kutengedwa kuti mupewe kuvulala. Malo osambira ofunda ndi mafuta omwe amachepetsa khungu amakhala ndi phindu.

Kutsatira malangizowa kuthandizira kuimitsa matenda a shuga ndi neuropathy.

Mankhwala othandizira munthawi ya chikhululukiro cha thrombophlebitis ndi zolinga za prophylactic amakhala ndi mankhwala omwe amasintha magazi mu ma capillaries, angioprotectors, neuroprotectors ndi mankhwala omwe amasintha kagayidwe ka metabolic. Kugwiritsa ntchito mokakamiza kuphimba zovala zamkati kapena kuwongolera kwamanja miyendo.

Ndi kuchulukitsa kwa njirayi, njira zochiritsira zomwe zimapangidwa chifukwa cha thrombophlebitis zimagwiritsidwa ntchito:

• mtima kulimbitsa kukonzekera
• antiplatelet othandizira ndi anticoagulants,
• ozungulira ozungulira,
• manga
• anti-steroidal odana ndi kutupa,
• antibacterial.

Chidwi chachikulu mu thrombophlebitis mu matenda ashuga chimaperekedwa ku mankhwala am'deralo. Mafuta, ma gels ndi mafuta ena amagwiritsidwa ntchito kusungunula ma thrombotic misa, kuthetsa kutupa, kutsutsana. Othandizira obwezeretsa ndikofunikira, amathandizira kuthana ndi njira za zilonda zam'mimba.

Kupindulitsa kwakukulu kumachitika ndi chithandizo cha physiotherapeutic. Imakonza njira zamatumbo ndi ma metabolic mu minofu, zimapangitsa magazi kukhala bwino komanso kusintha kwa ma cell.

Mankhwala a thrombophlebitis mu odwala matenda ashuga ayenera kuperekedwa chifukwa zina zovuta: matenda ashuga ophthalmopathy, matenda ashuga nephropathy. Chifukwa, mwachitsanzo, kukhazikitsidwa kwa mankhwala a vasodilator popanda kuyang'aniridwa ndi ophthalmologist kungayambitse kutaya kwamphamvu mu retina ndi vitreous body of the eye.

Nthawi zambiri mumayenera kugwiritsa ntchito njira za opaleshoni. Pokhapokha pakuchitika mankhwalawa, kugwiritsa ntchito njira zambiri zochizira zam'mapapo mwanga komanso zilonda zam'mimba za m'matumbo, osagwiritsa ntchito njira zosiyanasiyana:

• kuphatikiza kwamphamvu
• trous venous ikuwoneka,
• Kapangidwe ka Zingwe ndi ma anastomoses,
• Kukhazikitsa zosefera mumiyendo ikuluikulu ya venous,
• opaleshoni ya necenessomy ndi pulasitiki ya trophic zilonda.

Kodi matenda ashuga amakhudza bwanji mitsempha ya varicose: Zizindikiro ndi chithandizo

Matenda a shuga amakhalanso amathandizira kuti pakhale kusintha kwamphamvu m'mitsempha ndi m'mitsempha. Mitsempha ya Varicose ndi imodzi mwazovuta zambiri za matenda ashuga. Chifukwa chiyani matendawa amayamba, momwe tingapewere komanso chithandizo chamankhwala a varicose, ngati wodwalayo alinso ndi matenda ashuga, timvetsetse.

Kutupa kwa mitsempha ya shuga

Nthawi zambiri, mitsempha ya varicose ndi matenda amtundu wa 2 imayamba limodzi, chifukwa matenda ashuga pakapita nthawi amakhala ndi zotsatira zoyipa pakugwira ntchito kwa mtima ndi mitsempha yamagazi.

Chimodzi mwazovuta zake ndi matenda a varicose, omwe amapezeka kwambiri m'munsi, koma amathanso kukhudza m'mimba ndi kumaliseche.

Ichi ndi matenda oopsa omwe angayambitse osati zongopeka zodzikongoletsera zokha, komanso zovuta zazikulu, kulumala ndi kufa.

Zolinga ndi mitundu

Amayi omwe ali ndi matenda a shuga amakumana ndi mitsempha ya varicose nthawi zambiri kuposa amuna.

Zomwe zimayambitsa mitsempha ya varicose, zomwe sizingangopangitsa kuyambika ndi chitukuko cha matenda, komanso zimakulitsa njira ya matenda osokoneza bongo:

• ofooka kwambiri kapena mwamphamvu mawu am'munsi am'munsi, zoopsa,
• cholowa, kunenepa kwambiri, kunenepa kwambiri,
• matenda a impso, mtima, mtsempha wamagazi,
• kusokonezeka kwa mahomoni (kutha msinkhu, kutenga pakati, mankhwala, kusintha kwa thupi),
• kuvala zovala zazifupi kwambiri, zovala zamkati, nsapato zazitali,
• uchidakwa komanso kusuta fodya
• mankhwala omwe amachulukitsa magazi,
• kusowa kwamadzi, kudzimbidwa kosatha,
• kulimbitsa thupi kwambiri miyendo,
• Kutaya magazi kwambiri, kuchulukitsa kwa magazi mwachilengedwe,
• njira zamafuta, nyengo yotentha,
• chakudya chopanda malire, kusowa kwa fiber, kuchepa kwa mavitamini E, C, R.

Mitundu ya mitsempha ya varicose mu matenda a shuga kutengera kuthekera kwa matenda:

• Zapamwamba. Zimakhudza mitsempha yomwe ili pafupi ndi khungu.
• Zakuya. Zimakhudza mitsempha yomwe ili pafupi ndi mafupa.

Njira ndi magawo

The limagwirira kukula kwa varicose mitsempha mu shuga mellitus:

Kuchepa kwa ma venous valves kumapangitsa kuti magazi asungunuke kumapeto.

• kutayika kapena kuchepa kwa kutanuka kwa njira yolumikizira mkati,
• kuchuluka kwa magazi m'miyendo,
• venous valavu ikuchepera,
• kuphwanya magazi.
• Tambasula makoma a mitsempha,
• kufooka kwa minofu ya venous.

Mitsempha ya Varicose mu shuga imakhala ndi magawo atatu:

1. Kubwezera. Zolakwika zazing'ono zodzikongoletsera ndikuwonetsa zazing'ono zimachitika, zomwe nthawi zambiri sizipatsidwa kufunikira ndipo zimatchedwa kutopa.
2. Kubweza. Amadziwika ndi zizindikiro zenizeni zomwe zimayambitsa zovuta komanso kusasangalala.
3. Kubwezera. Kuphatikiza pa chithunzi chomwe chatchulidwa pachipatalachi, chimawonetsedwa ndi zovuta zazikulu zomwe zimayipitsa thanzi komanso zimathandizira kuti pakhale zovuta zambiri zokhudzana ndi matenda, zimatha kuyambitsa kulumala ndi kufa.

Kodi zikuwonetsedwa bwanji?

Chizindikiro cha mitsempha ya varicose mwa odwala omwe ali ndi matenda osokoneza bongo sichikhala chosiyana ndi anthu omwe alibe matendawa.

Zizindikiro zimatengera kuuma ndi kukula kwa matendawa, kuwonekera pafupipafupi komanso mwamphamvu. Zizindikiro zazikulu za mitsempha ya varicose zalembedwa pagome:

Matenda a shuga angayambitse mitsempha yambiri ya varicose, monga:

Matenda a shuga amatha kuphatikizidwa ndi thromboembolism.

• hemorrhage
• kuphatikiza matenda
• mapangidwe a mfundo
• magazi
• kwambiri venous kusowa
• zilonda zam'mimba zopanda machiritso,
• thrombophlebitis
• kutupa kwa makoma a mitsempha,
• minofu necrosis
• thromboembolism,
• Kuthetsa magazi konse kumapazi,
• matenda osiyanasiyana a khungu, chikanga,
• zotsatira zakupha.

Njira zakuzindikira zamitsempha zotsekemera mu shuga

Mu shuga mellitus, ndikofunikira kulabadira mawonekedwe a zisonyezo zatsopano, kuti musaphonye mawonekedwe ndi kukula kwa zovuta zamtunduwu. Ndi matenda apakati pa mitsempha ya varicose ndikutsatira njira zodzitetezera, mitsempha ya varicose imachiritsidwa kwathunthu ndipo sizimayambitsa kusasangalala. Kuti mudziwe zamatenda, muyenera kulumikizana ndi m'modzi mwa akatswiri odziwa bwino ntchito:

Kutsimikizira kuti adziwe, dokotala amachititsa maphunziro awa:

• mbiri yazachipatala
• kuyang'ana kowoneka
• kuyezetsa thupi
• phlebography
• mayeso a labotale magazi ndi mkodzo (konsekonse, zamankhwala am'mwazi),
• ma diagnostics a ultrasound.

Chithandizo cha matenda a mtima

Zotengera zodwala zimatha kuthandizidwa ndimankhwala osiyanasiyana.

Mitsempha ya Varicose mu shuga yodwala amafunika chithandizo chovuta.

Ngati ndi kotheka, ndikofunikira kugwiritsa ntchito mankhwala osokoneza bongo a shuga, kutsatira zakudya zinazake, kuchita masewera olimbitsa thupi. Mosiyana ndi matenda oyamba, mitsempha ya varicose imatha kuthetseratu.

Mwa izi, njira zosiyanasiyana zimagwiritsidwa ntchito, kusankha komwe kumadalira kuuma kwa matendawa, monga:

• mankhwala
• Njira zopangira opaleshoni
• njira zina.

Classical chithandizo

Mankhwala odziwika kwambiri ndi ntchito yakomweko, yomwe imapezeka mu mafuta, mafuta, mafuta. Kupititsa patsogolo ntchito zawo, mankhwala amkamwa amagwiritsidwa ntchito ngati mapiritsi ndi minyewa, komanso zovala zapadera zamkati. Nthawi zambiri, madokotala amatiuza izi:

Njira zosinthika

Mutha kuthana ndi vutoli ndi laser coagulation.

Woopsa kwambiri, kuti athetse mitsempha ya varicose, madokotala amapanga njira zochizira, zomwe zimaphatikizapo:

• kumakuma
• radiofrequency ablation,
• kuchotsedwa mwachangu
• laser coagulation
• kusawitsa
• scleroobliteration.

Malangizo othandiza

Anthu omwe ali ndi matenda a shuga ali pachiwopsezo chowonjezeka cha mitsempha ya varicose. Popewa kukula kwa matendawa, komanso kupewa kutalikirana kwake ngati zizindikiro zoyambirira za matenda zikuwoneka, njira za prophylactic ziyenera kugwiritsidwa ntchito. Muyenera kuvala zovala zapadera zamkati kuti musunge misempha, osavala zidendene zapamwamba, zovala zolimba ndi zovala zamkati.

Kuyang'aniridwa kwakukulu kuyenera kulipidwa pazakudya, kudya mavitamini ndi michere yokwanira, CHIKWANGWANI, ndi zinthu zina zofunikira zotsata.

Ndikofunikira kuchita masewera olimbitsa thupi apadera, kuchita masewera olimbitsa thupi, osakhala pamalo amodzi, nthawi ndi nthawi kutentha, kuyenda kwambiri, kusiya zizolowezi zoyipa.

Pakugona, muyenera kuyika miyendo yanu papiri laling'ono, ndipo kugwira ntchito patebulo, simuyenera kuyika phazi limodzi linalo. Izi zikuthandizira kutsika kwamitseko yamagazi, kupewa kukula kapena kuchuluka kwa mitsempha.

Mitsempha ya Varicose - momwe mungachiritsire matenda ashuga

Mitsempha ya Varicose, imodzi mwa matenda omwe amafala masiku ano. Sizimadutsa komanso odwala matenda ashuga.
Makamaka, mitsempha ya varicose yam'munsi yam'munsi imakhudzidwa, zomwe zimakhala zowopsa kwambiri kwa matenda a shuga mellitus. Miyendo ndi amodzi mwa "zolinga" zazikulu zomwe mtundu 2 umadwala.

Ndikofunikira kuzindikira mitsempha ya varicose munthawi ndikuchita chithandizo chofunikira. Kuti muchepetse zovuta zomwe zingachitike chifukwa cha mitsempha ya varicose yowonetsedwa, ndikofunikira kuchita njira zodzitetezera, zomwe tidzakambirana m'nkhaniyi pambuyo pake.

Malinga ndi ziwerengero, anthu pafupifupi 30 miliyoni ali ndi vuto la varicose mitsempha yam'munsi mu Russian Federation. Kwenikweni, matendawa amakhudza azimayi. Tsoka ilo, mitsempha ya varicose yam'munsi yambali "ikukula". Magawo oyamba kapena zizindikiro za matendawa zimawonedwa pafupifupi 10% ya odwala azaka zapakati pa 10 ndi 10.

Mitsempha ya Varicose mu shuga

Ndi matenda ashuga, ziwiya ndi mitsempha ndi zina mwa zoyambirira kuvutika, ngati simutsatira boma pobweza shuga, ndizosavuta kunyalanyaza kapena kuphonya kukula kwa matendawa, ngakhale koyambirira.

Mitsempha ya Varicose zitha kudziwidwa ndi gulu la zovuta zamatenda a shuga, kuphatikiza zomwe zimatha kukugwetsani m'mavuto akulu kwambiri ngati simupereka nthawi yake komanso njira zopewera mtsogolo.

Nditazindikira zoyamba za mitsempha ya varicose, sizikulimbikitsidwa kuti muzisinkhasintha. Ndikofunikira kulumikizana ndi endocrinologist ndi phlebologist - dokotala wa opaleshoni ya mtima. Pambuyo pozindikira komanso kuwunika, mtundu wa chithandizo chomwe ndi choyenera kwambiri kwa wodwalayo.

Kugwira ntchito kwa mitsempha - "imagwira ntchito bwanji" mthupi lathu?

Mitsempha yathu imagwira ntchito yofunika: magazi kudzera m'miyendo ndi ziwalo zosiyanasiyana zam'magazi athu zimabwerera m'mtima.
Kusanjikiza kwamkati kwa mitsempha ndi kotchinga kosalala komwe magazi amayendayenda. Kuthekera kwa kuundana kwa magazi kumadalira momwe kuliri kosalala.

Chapakati ndi minofu yomwe imapangitsa kuti mitsempha isinthe. Ngati tichita ntchito iliyonse kapena kuchita masewera olimbitsa thupi, kupereka katundu kumiyendo yakumunsi, minyewa ya mitsempha imagwira ntchito mwachangu, ndikuwapangitsa kuti azilumikizana pafupipafupi. Poterepa, kufalikira kwa magazi kumawonjezeka.

Pakupuma, minofu yamitsempha imakhala yopuma, chifukwa chomwe imadzaza ndi magazi ndikukula.

Zimango za mitsempha ya varicose

Mitsempha ya Varicose Imawoneka ndi kutayika kwa mkatikati wamkati ndikuchepetsa minofu ya venous. Amayenda ndimagazi mkati mwawo, ndipo mitsempha imakhala malo otambasuka kwa nthawi yayitali. Pali kuphwanya kutuluka kwa magazi.

Zizindikiro za mitsempha ya varicose mu shuga ndizofala kwa iwo omwe alibe matendawa. M'malo mwake mumakhala kulemera, makamaka m'mawa kapena masana. M'malire am'munsi, kutupira kumatha kuwoneka, mawonekedwe a zombo amawonekera. Nthawi zina, matendawa akapita patsogolo, kupweteka kwa ana a ng'ombe ndi kukokana kwa usiku kumawonekera, mitsempha yotulutsa mkati imadziwika.

Kuti akhazikitse molondola siteji ya chitukuko cha mitsempha ya varicose, dokotala wofufuzira wamankhwala amayeza mayeso owoneka bwino, kuyesa kwa ultrasound (ultrasound), phlebography ndi mankhwala.

Ndi matenda ashuga mitsempha ya varicose imatha kukhala gwero la matenda. Pankhaniyi, chithandizo, poganiza kuti ndi matenda ashuga, chitetezo chokwanira chimachepa ndipo pali nthawi yochulukirapo ya glycemia, zimatha nthawi yambiri, khama komanso ndalama.

Ngati simukuonana ndi dokotala munthawi, kupita patsogolo kwa matendawa ndikotheka. Mitsempha imakhala yokhazikika, ndikuwunikira, ma bingu amapezeka pa iwo, omwe amatchedwa mitundu.

Kodi kuchitira mitsempha ya varicose mu shuga?

Muzochita zamakono zamankhwala, pali njira zingapo Chithandizo cha varicose mitsempha.
Mankhwala opangira ma varicose mitsempha:

1. Venoextraction. Ikachitika, gawo lomwe limakhudzidwa ndi mtsempha limachotsedwa kwathunthu.
2. Phlebectomy. Zimaphatikizanso njira yochitira opaleshoni yochotsa madera omwe akhudzidwa ndi mitsempha.

1. Kuchepetsa mankhwalawa.
2. Kutupa kwa laser kwamitsempha.
3. Kuchepetsa ma radio pafupipafupi.

Njira zopewera mitsempha ya varicose

Matendawa akapezeka, chidwi chokwanira chikuyenera kulipidwa kuti popewa kukula kwa mitsempha ya varicose. Malangizowa ndi osavuta ndipo aliyense angawatsatire.

1. Mukamagona, onetsetsani kuti miyendo yanu ndiyokwera kuposa torso yanu. Chifukwa chake, padzatuluka magazi kuchokera kumiyendo 2. Ndikofunikira kugula ndikugwiritsa ntchito zotanuka zamaondo kuti musunge mitsempha.

3. Ngati mukugwira ntchito yolimbitsa thupi, kamodzi kokha pa ola chitani kutentha pang'ono, kudzilimbitsa. Ngati mukuyenera kuyimirira pamalo amodzi kwa nthawi yayitali, yesani kupumula minofu ya miyendo yanu.

4. Yesetsani kuyenda pafupipafupi, osangoyenda malo amodzi, malo amodzi. Pewani zovala zomwe zimakwanira mchiuno ndi matako anu. 6. Ngati ndi kotheka, ndikulimbikitsidwa kuchita masewera olimbitsa thupi osavuta: kwezani miyendo yanu mutagona kapena kugona. Chifukwa chake, mukulimbikitsani kutuluka kwa magazi kuchokera kumalekezero, kusintha magazi. ? Osadutsa miyendo, kukhazikika pomwe mwendo pa mwendo wina kapena kudutsa miyendo pansi pa tebulo kumapangitsa kuti magazi aziyenda bwino.

8. Chepetsani kapena muchepetseni mowa pazakudya zanu.