Zing'ambika shuga ndi zotupa pakhungu la thupi ndi miyendo

Tikukupatsani kuti muwerenge nkhaniyi pamutuwu: "totupa ndi matenda ashuga, chotupa pakhungu la thupi ndi miyendo" ndi ndemanga zochokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Thumba totupa ndi shuga: chithunzi cha urticaria ndi pemphigus

Kanema (dinani kusewera).

Maonekedwe a khungu lodwala matenda ashuga, zithunzi zomwe zimatha kuwoneka pa intaneti, ndi chizindikiro chodziwika bwino. Komabe, ndikuwoneka ngati totupa mwa munthu, sizingatheke kuyankhula za matenda, chifukwa zizindikiro zazikulu za matendawa zimayenera kupezeka nthawi zonse - kukodza pafupipafupi komanso kumva ludzu.

Ndikofunikira kwambiri kuwunika momwe khungu lanu limayendera, kuti mupeze mawanga kapena zotupa zokayikitsa, muyenera kulumikizana ndi dokotala. Kupatula apo, matenda ashuga ndi matenda opatsirana kwambiri, omwe ali ndi zizindikiro zambiri.

Chotupa cha khungu chimatha kuwoneka pachiyambi cha chitukuko cha matenda, komanso ndi kupitirira kwake. Zimatengera mikhalidwe ya munthu.

Kanema (dinani kusewera).

Mu matenda ashuga, khungu la munthu limakhala louma komanso loyipa, nthawi zina limapunduka. Mwa odwala ena, imakutidwa ndi mawanga ofiira, ziphuphu zimapezeka pamenepo. Atsikana ndi amayi amawonongeka tsitsi, pomwe amakhala osakhwima komanso opepuka. Izi zimachitika chifukwa chakuwonjezeka kwa kuzindikira kwa tsitsi la tsitsi pamavuto a metabolic.

Ngati wodwala wayambitsa matenda a alopecia, zikutanthauza kuti chithandizo cha matenda ashuga sichothandiza kapena mavuto ayamba kukulira. Gawo loyambirira la matendawa limadziwika osati ndi totupa pakhungu, komanso ndi kuyabwa, kuwotcha, kuchiritsa kwa nthawi yayitali mabala, matenda oyamba ndi bakiteriya.

Zotupa za pakhungu ndi shuga zimayambitsidwa pazifukwa zosiyanasiyana. Zinthu zikuluzikulu ndi izi:

Macro ndi microangiopathy. Ndi chitukuko cha matenda a m'matumbo ndikuwonjezeka kwa shuga m'magazi, ma capillaries samalandira mphamvu yofunikira, gwero lake la glucose. Chifukwa chake, khungu limakhala louma ndikuyamba kuyatsidwa. Kenako mawanga ndi ziphuphu zimatuluka.
Kuwonongeka kwa mamolekyulu a shuga. Ndi chifukwa chosowa kwambiri cha chizindikiro ichi. Pali kuthekera kwa shuga kulowa m'magazi ena a khungu, komwe kumayambitsa kukwiya mkati ndi microdamage.
Matenda opatsirana. Ndi matenda a shuga, chitetezo chamthupi chimafooka, motero wodwala amadwala kwambiri ndi chimfine pafupipafupi. Kuphatikiza apo, chifukwa cha kuphatikiza zotupa pakhungu, mabala amapezeka pomwe matenda osiyanasiyana amagwera, natulutsa zopangidwa ndi poizoni zomwe zimagwira pamenepo.

Kuphatikiza apo, zomwe zimayambitsa mafinya zimatha kukhala zolephera zingapo. Ndi kukula kwa matenda amtunduwu, chiwindi chimadwala.

Zotsatira zake, totupa zosiyanasiyana zimatha kuwoneka pa thupi, zomwe zikuwonetsa kuwonjezeka kwa shuga m'magazi.

Atazindikira zomwe zimayambitsa zotupa pakhungu, mtundu wawo uyenera kutsimikizika, womwe ungathenso kunena za gawo la matendawa komanso zovuta zilizonse. Ndipo, izi, zotupa za pakhungu ndizosiyanitsidwa:

Poyamba Zimachitika chifukwa cha kuchuluka kwa nthawi yayitali m'magazi a shuga. Mukachulukitsa kuchuluka kwa shuga m'magazi, ndiye kuti matendawa amayamba.
Sekondale Chifukwa cha kuphatikiza totupa, mabala amapezeka momwe mabakiteriya amakhazikika. Komabe, samachiritsa kwa nthawi yayitali. Chifukwa chake, ndikofunikira kumwa mankhwala omwe amachotsa mabakiteriya, ndipo zitatha izi ndizotheka kuthana ndi vuto la zotupa pakhungu.
Tertiary. Zimachitika chifukwa chogwiritsa ntchito mankhwala.

Kuphatikiza apo, zizindikiro zowonjezera zomwe zimatsatana ndi totupa thupi zimatha kukhala:

Kuwotcha ndi kuyabwa m'dera la zotupa.
Kusintha kwa khungu, zotupa zimasanduka zofiirira, zofiirira, zamtambo.
Choyambirira chitha kupezeka thupi lonse, choyambirira, chimawoneka pamunsi. Izi ndichifukwa choti miyendo ili kutali ndi mtima ndipo koposa zonse imasowa michere ndi mphamvu.

Kusintha koteroko kukapezeka pakhungu, ndikofunikira kupita ku dokotala, yemwe adzatumizire wodwalayo matenda ake amtsogolo.

Kutupa ndi kukana insulini komanso kusokonezeka kwa magazi

Pankhani yakuphwanya zamkati mwa maselo a thupi kuti mupeze insulin, nthendayo ikhoza kuchitika - acantokeratoderma. Zotsatira zake, khungu limadetsedwa, m'malo ena, makamaka m'mizere, zisindikizo zimawonekera. Ndi matendawa, khungu pakhungu lomwe lakhudzidwa limakhala lofiirira, nthawi zina kukweza kumawonekera. Nthawi zambiri, izi zimakhala zofanana ndi njerewere zomwe zimachitika m'mphepete, m'miyendo, komanso pansi pa chifuwa. Nthawi zina zizindikiro zotere zimatha kuoneka pa zala za odwala matenda ashuga.

Acanthekeratoderma ikhoza kukhala chizindikiritso cha matenda a shuga, ngati muwona zofananira, muyenera kufunsa dokotala mwachangu. Kuphatikiza apo, matenda a acromegaly ndi Itsenko-Cushing angayambitse.

Vuto lina lalikulu ndi matenda ashuga a lipodystrophy, pomwe minyewa komanso mafinya amasintha m'thupi, manja ndi miyendo zimasintha. Kutalika kwa khungu kumakhala kochepa thupi komanso kofiira. Chophimbacho chikawonongeka, mabala amachira pang'onopang'ono chifukwa chakuchuluka kwa matenda osiyanasiyana olowa mwa iwo.

Dermopathy ya matenda ashuga ndi matenda ena omwe amayamba chifukwa cha kusintha kwa mitsempha yamagazi. Zizindikiro zake zazikulu redness, khungu loonda, kuyiyamwa kosalekeza.

Odwala ambiri amatha kudwala sclerodactyly. Matendawa amadziwika ndi kukula kwa chikopa pazala zakumanja. Kuphatikiza apo, imagwirizana ndikukhala waxy. Chithandizo cha matenda amtunduwu ndicholinga chotsitsa glucose wamagazi, ndipo adotolo amatha kukupatsaninso zodzoladzola kuti uzipetse khungu.

Mnzake wa matenda atha kukhala wopupuluma. Mothandizidwa ndi insulin yayikulu, mafuta sangatulutsidwe magazi. Matendawa amawonetsedwa ndi zikwangwani za kumbuyo za manja, miyendo, manja, miyendo, matako.

Nthawi zina matenda a diabetes a pemphigus amatha, zizindikiro zomwe zimakhala zotupa pazala ndi zala zakumiyendo, miyendo ndi manja. Matendawa amakhalanso ndi odwala omwe ali ndi matenda ashuga akulu kapena okalamba.

Si matenda onse omwe amayamba ndi "matenda okoma" omwe adaperekedwa pamwambapa. Mndandandawu umalankhula za zomwe zimachitika kwambiri zomwe odwala matenda ashuga ambiri amadwala.

Poyerekeza ndi za matenda ashuga, matenda ena amatha kuoneka. Chifukwa chake, zotupa pakhungu sizimangotanthauza kutuluka kwa "matenda okoma."

Dokotala wodziwa bwino azitha kusiyanitsa zotupa pamaso pa anthu odwala matenda ashuga monga:

Mafinya, malungo ofiira, rubella, erysipelas. Posankha matendawa, kupezeka kapena kusapezeka kwa shuga wambiri kumatenga gawo lalikulu.
Matenda osiyanasiyana amwazi. Mwachitsanzo, ndi thrombocytopenic purpura, zotupa zotuwa zimachitika, zomwe ndizochulukirapo nthawi zambiri kuposa zomwe zimagwirizanitsidwa ndi matenda a shuga.
Kupezeka kwa vasculitis. Pakakhudzidwa ndi capillaries, totupa yaying'ono yofiyira imawoneka pakhungu. Kuzindikira matenda, dokotala ayenera kupenda wodwalayo mosamala.
Matenda oyamba ndi mafangasi. Kuti muzindikire molondola, muyenera kutenga zitsanzo kuti musanthule. Sikovuta kuti dokotala azindikire bowa, chifukwa chiwonetsero chazidziwitso cha kuukira chikuwonekera pakhungu.
Matenda a shuga. Mwachitsanzo, urticaria imawonetsedwa ndi zotupa pakhungu, monga matenda ashuga.

Ngati dokotala wakupita amakayikira chomwe chimayambitsa matenda otupa, kaya ndi matenda ashuga kapena matenda ena, amamulembera mayeso ena kuti adziwe ngati ali ndi matendawo.

Choyambirira chake pakuwoneka ngati totupa pakhungu ndi hyperglycemia - kuwonjezeka kwa shuga m'magazi. Ndi chifukwa chake muyenera kumenya nkhondo, kubweretsa zomwe zili ndi glucose kukhala zabwinobwino.

Kuti muchite izi, muyenera kuphatikiza moyo wokangalika ndi kupumula, idyani pomwe, nthawi zonse onani kuchuluka kwa shuga ndikumwa mankhwala kutengera mtundu wa matenda.

Kuphatikiza pa kuchepetsa misempha ya magazi, pakabuka zovuta zingapo, njira zotsatirazi zochiritsira zingagwiritsidwe ntchito:

anti-yotupa mankhwala
mafuta odzola a antibacterial,
anti-allergic and antihistamines,
kupweteka kwapakati.

Wodwala akangowona kuti thupi lake liyamba kukhazikika, ndikofunikira kukaonana ndi dokotala. Izi zitha kukhala chizindikiritso cha matenda ashuga kapena zovuta zake, komanso matenda ena owopsa omwe amafunika kuphatikizidwa. Kanemayo munkhaniyi akuwonetsa kuwopsa kwa khungu pakhungu.

Kuphatikiza pa kusintha kosawoneka ndi maso komwe kumachitika ndi ziwalo zamkati ndi mucous nembanemba mkatikati mwa thupi, pali zizindikilo zakunja za shuga pakhungu, kutengera mtundu, zaka zamatenda, zaka za wodwalayo, kupambana (kapena kupanda pake) kwa mankhwalawa, zikuwonetsa zambiri kapena zochepa.

Izi ndi zina mwanjira zovuta zowonetsera khungu (poyambirira), kapena kutsata osati kuwonongeka kwa khungu, komanso kuphatikizidwa kwa zida zakuya kwambiri (zachiwiri, zokhudzana ndi zovuta za matenda a shuga).

Ngakhale kuti ndizovuta kuzindikira kuwunika kwa kusintha komwe kwachitika m'thupi kuchokera pazithunzi za intaneti, chenicheni chakuti "zidafalikira" (mkati ndi pakhungu) zimawonetsa kufunikira kwake - ndikufunika kwa njira yatsopano - kachitidwe kazinthu kuthana ndi matenda osachiritsika.

Kuphatikiza pa kuthetsa thupi ndi kukoka pafupipafupi mwamphamvu, kutsekemera kwa mkodzo (chifukwa cha kukhalapo kwa shuga mkati mwake), chimodzi mwazizindikiro zoyambirira za matenda ashuga ndi kusowa kwamadzi, komwe kumawonetsedwa ndi ludzu losasunthika komanso pakamwa pokhazikika, ngakhale kumwa kwambiri.

Kukhalapo kwa zizindikirozi kumachitika chifukwa cha kusokonezeka kwakukulu kwa njira zamankhwala am'mwazi, chifukwa chake madzi akuwoneka kuti "akuyenda", osalowa mkati.

Hyperglycemia (shuga wowonjezera wamagazi chifukwa cha vuto la carbohydrate metabolism) ndi omwe amachititsa izi, chifukwa chomwe kagayidwe kam'thupi mu ubongo kamasokonezedwa ndi kupezeka kwake kusokonezeka.

Kusokonezeka kwa njira zobisika za kuwongolera kwa ubongo kumayambitsa kusokonezeka pakugwira ntchito kwamanjenje ndi minyewa - chifukwa, mavuto amabwera ndi magazi komanso minyewa yamtunduwu, yomwe imayambitsa chisokonezo.

Pokhala ndi michere yoperewera, "kusefukira" ndi zinthu za poizoni zomwe sizichotsedwa m'nthawi yake, minofu imayamba kuzimiririka kenako ndikuwonongeka.

Maonekedwe a integument chifukwa cha matendawa amasintha kwambiri, ndikupereka chithunzi cha kuzimiririka chifukwa:

kukula kwa khungu, lomwe lasiya kuchepa,
kupindika kwambiri, makamaka pakhungu.
maonekedwe a calluses m'manja ndi kumapeto,
kusweka kwa khungu, kupeza mtundu wachikaso,
kusintha kwa misomali, kusinthika kwawo ndi kukula kwa mbale chifukwa cha matenda am'mimba,
tsitsi losalala
maonekedwe a malo owala.

Chifukwa cha kuuma kwa zigawo zikuluzikulu za khungu ndi ziwalo za mucous, zomwe zasiya kukwaniritsa udindo wawo woteteza, kuyabwa pakhungu, zomwe zimayambitsa kuphatikiza (kuonetsetsa kuti matenda atha kutenthedwa - tizilombo toyambitsa matenda amalowa m'matumbo a minofu), odwala matenda ashuga amatenga matenda a pustular - mu achinyamata ndi achinyamata awa:

folliculitis
zithupsa ndi zina zakuya zamkati,
mawonetseredwe a candidiasis.

Zithunzi zotupa wamba:

Zovuta za trophic khungu la scalp malo zimayambitsa kusokonezeka kwa thukuta ndi zotupa za sebaceous (ndi mawonekedwe a zovuta komanso zimayambitsa - yunifolomu ya mutu wonse - kutayika kwa tsitsi).

Mkhalidwe wophimba madera akumunsi umakhudzidwa makamaka - chifukwa chofunikira kwambiri pakuchita masewera olimbitsa thupi m'munsi, kutsekeka kwa mitsempha yolimba kumakhala kolimba, komanso, miyendo imangokhala yovala komanso kuvala zovala, zomwe zimapititsa patsogolo magazi.

Zonsezi zimathandizira kuoneka ngati chopanda magazi, pomwe kuwerengera ndi kuvulala pang'ono ndizovuta kuchiritsa - koma nthawi yomweyo zimayamba kuchepa.

Kusintha kwa pH pamtunda wa totg sikumangoyambitsa kukhazikitsidwa kwa kachilombo kakang'ono, komanso kuvomereza kupulumuka kwa zomera za mycotic (fungal) pa izo - candida (yisiti-monga, yomwe imayambitsa thrush) ndi ndere.

Pamodzi ndi zizindikiro zoyambirira za matenda ashuga monga kuyabwa (makamaka kumaliseche), nthawi yamachiritso yovulala pang'ono (abrasions, mabala, abrasions), keratosis-acanthosis ndikuwonekera kwa kupindika kwa matope, malo amchiberekera (okhudza mbali zamtumbo) maonekedwe a matenda enaake - matenda ashuga:

Kunena zakunja kwa machitidwe omwe amapezeka mkati mwa minyewa ndiyo njira ya matenda a shuga.

Zimawonetsedwa ndikuwoneka ngati ma papules a utoto kuchokera pabuka kufupi ndi bulauni, wamtunda yaying'ono (kuchokera pa 5 mpaka 10-12 mm), wokhala ndi miyendo, nthawi zambiri pamphepete mwa miyendo.

Pambuyo pake, amasinthidwa kukhala ma atrophic hyperpigmented malo okhala ndi khungu lopindika, lomwe limatha kukhalabe ndi moyo ndikuwonekeranso patatha zaka 1-2 (chifukwa cha kusintha kwaposachedwa komanso kuchepa kwa kusasamala kwazinthu zina za microangiopathy.

Samayambitsa kusasangalala ndi maphunziro, safunikira chithandizo chapadera, nthawi zambiri, zimadziwika kuti matenda amtundu wa shuga wachiwiri kwa abambo omwe ali ndi "chidziwitso" chachikulu.

Chodabwitsachi, chomwe chimagwira ngati kupitiriza kwamachitidwe omwe ali pamwambapa, ndikupanga kwa dystrophy-atrophy ya khungu chifukwa chakufa kwa zinthu zake zomwe zidapangidwa ndikusinthidwa ndi minyewa.

Ndi mkhalidwe wofala kwambiri mwa akazi kuposa amuna, amadziwonetsa yekha mu 1-4% ya odwala matenda a shuga omwe amadalira insulin (mosaganizira zaka, koma nthawi zambiri mkati mwa zaka 15 mpaka 40 mpaka 40).

Palibe kufanana momveka bwino ndi matenda omwe matendawa amatulutsa (matenda angapangitse matenda kuonjezereka komanso kuchitika nthawi yomweyo), zomwezi zimagwiranso ntchito pakuvuta kwa matenda ashuga.

Mosasamala malo omwe jakisoni wa insulin, foci (yokhayokha, yokhala ndi malo akulu a zotupa) amadziwika pamiyendo, kumayambiriro kwa njira yodziwika ndikupanga mawanga omwe adakwezedwa pamtunda kapena mabulangete osalala okhala ndi malo osalala.

Amakhala ndi mtundu wamtambo wamtambo, wokhala ndi zozungulira kapena zotanthauzidwa ndi malire opendekeka bwino omwe amasunthira kufayilo pamene cholinga chikukula. Maonekedwe omaliza a mapangidwewa ndiwokhazikika kotero sizitengera kusiyanasiyana kuchokera kumapangidwe ofanana (anular granuloma ndi zina).

Izi zimapangidwa mwachangu kuchokera kuzinthu zozungulira, zimakhala ndi mbali yolunjika mbali ya kutalika kwa miyendo (chowongoka kapena polygonal).

Shaft yotupa yokhazikika yokhala ngati mawonekedwe a mphete (ya cyanotic pinki yotsekemera) imazungulira pakati pakumalowako (kutulutsa utoto wachikasu mpaka kutalika), ngati kuti kwawotcha, koma makamaka kukhala ndi msambo womwewo ndi khungu lozungulira.

Chithunzi cha zotupa za pakhungu ndi lipoid necrobiosis:

Kupitiliza njira za atrophic pakatikati pa maphunziro kumabweretsa mawonekedwe a:

telangiectasias,
Hyperpigmentation
zilonda.

Kusintha kapangidwe kake ka khungu sikuyambitsa kuwonekera, kuwonda kumawonekera pokhapokha ndi kuyambika kwa zilonda.

Zosintha zina pakhungu lomwe limadwala matenda a shuga zimaphatikizapo izi:

Dongosolo la matenda ashuga lipodystrophy - atrophy (mpaka kutha kwake kwathunthu) kwamtambo wamafuta ochulukirapo ndi zotsatira zake zowonda pakhungu, mawonekedwe a "misempha ya kangaude" - teleangiectasias, kuwonongeka kwa khungu pakapangidwe pambuyo pake.
Xanthomatosis - mawonekedwe a zolengedwa zopyapyala, zozungulira zowoneka bwino, zachikaso zachikasu mpaka zofiirira, zotukuka pamwamba pa khungu (nthawi zambiri matako, kumbuyo, kawirikawiri pankhope, miyendo).
Hyperkeratosis - keratinization wambiri, zomwe zimatsogolera khungu la mapazi (chifukwa cha kuwonongeka kwa mitsempha ndi mitsempha yamagazi chifukwa cha kusokonezeka kwa magazi ndi kusungika kwa malo mkati).
Matenda oyamba ndi mafangasi (popanga zithupsa, ma carbuncle komanso matenda akhungu kwambiri).
Ma granulomas ooneka ngati mphete - kuphimba mapazi ndi manja a totupa, atakhala ndi zomata.
A shuga pemphigus.

Kutumphukira kwa matenda ashuga (onani chithunzi) ndikutuluka kwa khungu lomwe limapangidwa pakati pake ndi madzimadzi a dermis, zomwe zimapangitsa kuti pakhale chitsime chokhala ndi seramu kapena seramu yosakanikirana ndi zinthu zamagazi - hemorrhagic. Ngakhale kuphatikiza kwa madzimadzi mu chikhodzodzo, kumakhala kosalala.

Ngakhale kupweteka kwamapangidwewo (kukhala ndi mulifupi mwake mamilimita kapena ma sentimita angapo) komwe kumachitika pankhope, m'khosi, kumanzere kapena mkono, mwadzidzidzi, popanda kufiyanso m'mbuyomu, kuyabwa kapena zizindikiro zina, kumapangitsa chidwi cha wodwalayo, ngakhale kuti chimasowa popanda zotulukapo. zosawerengeka monga zimawonekera (mkati mwa masabata 2-4).

Gawoli lili ndi:

zotupa bakiteriya
matenda oyamba ndi fungus.

Bacteria matenda a pakhungu ndi matenda a shuga amatha kwambiri kuposa odwala omwe alibe endocrine pathology.

Kuphatikiza zilonda zam'mimba za shuga, zomwe, zikapangidwa kumapazi, zimapangitsa kuti muchepetse dzanja pamlingo wambiri komanso wowopsa, palinso zosankha zingapo za streptococcal ndi staphylococcal pyoderma:

mafuta amoto,
zithupsa,
phlegmon
mapa,
panaritium,
paronychia.

Kupezeka kwa komwe kumatenga matenda opatsirana ndikutupa kumapangitsa kuti wodwalayo awonjezeke, kutalika kwa nthawi yayitali ya magawo omwe kuwonongeka kwa matendawa, komanso kukulitsa kuchuluka kwa insulin.

Mwa zovuta za pakhungu la fungal, candidiasis, zomwe nthawi zambiri zimayambitsa mitundu ya Candida albicans, ndizofunikira kwambiri.

Omwe angatengeke kwambiri ndi odwala okalamba komanso osachepera zaka zambiri, odwala omwe ali ndi thupi lolemera, komwe magawo amitundu yosiyanasiyana ya khungu amakhala malo omwe amakonda kwambiri kutengera:

inguinal
wachiwerewere,
zocheperako
pakati pamimba ndi pelvis.

Osatinso "kuchezeredwa" ndi bowa ndi ziwalo zamkati ndi kumlomo wamkati, matenda oyamba omwe amatsogolera kukukula kwa:

vulvitis ndi vulvovaginitis,
balanitis (balanoposthitis),
angular cheilitis (ndi kutukuka mu ngodya mkamwa).

Candidomycosis, yomwe nthawi zambiri imakhala chizindikiro cha matenda ashuga, mosasamala kanthu komwe akukhalako, imadziwonetsa ngati kuyimitsidwa kwakufunika komanso kosasangalatsa, komwe mawonekedwe a matendawa amalumikizana nawo.

Monga tikuwonera pachithunzichi, maceration a khungu ndi "bedi" lokonzedwa kuti "kubzala" bowa.

Ichi ndi chopukutira (chopangidwa chifukwa cha kuchepa kwa stratum corneum) cyanotic-wofiirira, chonyezimira ndi chinyezi kuchokera pakukhetsa thukuta kuchokera pazigawo zomwe zili pansi pa epermermis, komanso, chimabisidwa m'khola la thupi (mpweya sufunikira kwambiri kwa yisiti pathogen, koma kutentha kumathandizira kumera kwa spores ndi kukula kwa nkhungu yamtunduwu).

Dera la kukokololoka ndi ming'alu ya m'mphepete limayang'aniridwa ndi gawo la "zowonekera", zomwe zimayang'aniridwa ndi timabowo ting'onoting'ono, pakutseguka komwe kumachitika kukokololako kwachiwiri, komwe kumakhala kophatikizana ndipo (nthawi yomweyo) kumakula ndikukula kwa dera lomwe likuyang'anitsitsa ndikukula kwake mu "dothi".

Popeza pali matenda oyamba (matenda ashuga), njira z ukhondo zokhazokha zosamalira khungu lopepuka komanso lopanda mphamvu sizingabweretse phindu.

Kuphatikiza kwawo kokha ndi kugwiritsa ntchito othandizira ochepetsa shuga omwe ali oyenera mtundu wa matendawa ndi omwe angapereke zotsatira zokwanira.

Koma poganizira za kukhalapo kwa zovuta zambiri pamatenda ambiri, komanso mwanjira iliyonse, komanso chifukwa chakufunika kwa ma labotale kuwongolera kuchuluka kwa shuga, adotolo amayenera kuyang'anira machitidwe a mankhwalawa.

Kanema wokhudza chisamaliro cha matenda ashuga:

Palibe zanzeru kugwiritsa ntchito njira za "mankhwala achikhalidwe" zomwe zitha kulowa m'malo mwa chithandizo chamankhwala choyenerera - pokhapokha kuvomerezedwa ndi dotolo wowagwiritsa ntchito angagwiritse ntchito (munjira yoyeserera mosamala kuchuluka kwa njira zochulukitsira).

Ndi zovuta za pakhungu, chithandizo chotsimikiziridwa bwino chimakhalabe chofunikira:

kuchokera pagulu la utoto wa aniline - 2 kapena 3% yankho la methylene buluu (buluu), 1% diamondi-grun (yankho la zakumwa za "zinthu zobiriwira"), yankho la Fucorcin (kapangidwe ka Castellani),
pastes ndi mafuta okhala ndi 10% boric acid.

Pankhani ya kachilombo kakang'ono, fungal, kapena matenda osakanikirana, nyimbozo zimasankhidwa mogwirizana ndi zotsatira za mayeso a labotale - microscopic komanso pathogen yolowetsedwa pakatundu wazakudya, ndikutsatira kuzindikira chikhalidwe cha pathogen komanso chidwi chake pamagulu osiyanasiyana a mankhwala (antimicrobial or antifungal).

Chifukwa chake, kugwiritsa ntchito njira zamtundu wa "wowerengeka" sikungopitilira njira imodzi yotaya nthawi yamtengo wapatali komanso kungayambitse vuto lakhungu ndi matenda a shuga. Katswiri wa zamankhwala ayenera kuthana ndi mavuto a machiritso ake.

Osatinso kuzizira kosavuta ndi matenda ashuga: zoyambitsa ndi chithandizo

Werengani nkhaniyi

Vuto la pakhungu la odwala matenda ashuga limatha kukhala mawonetseredwe oyamba a matendawa, komanso kupatsirana komwe kumayambira pakapita nthawi yayitali matenda ashuga. Zambiri zimakhudzidwa pakuwoneka ngati totupa: metabolic (mkulu glucose, insulin kukana), mtima (kuchepa mphamvu ya mitsempha yayikulu ndi yaying'ono, capillaries), chitetezo (kuchepa kwa chitetezo cha khungu).

Kusavomerezeka kwa shuga kumabweretsa kuti pafupifupi ma 3 ma virus pang'ono amapezeka pakhungu la odwala kuposa munthu wathanzi. Mwazi wamagazi ochulukirapo umapanga malo abwino operekera chitukuko chawo, ndipo zoteteza khungu pakhungu zimachepa kwambiri. Potsutsa izi, totupa ndimakonda kupezeka chifukwa cha staphylococcal, matenda a streptococcal, microflora yosakanikirana osiyanasiyana.

Mawonekedwe ndi:

zotupa
folliculitis (kutukusira kwa timabowo tatsitsi),
furunculosis.

Makonda amkanda ndimalo opanga matenda a fungus, omwe nthawi zambiri amakhala candidiasis. Imagwira dera la inguinal, axillary, ndipo mwa akazi - khola lomwe limakhala pansi pa tiziwalo ta mammary, onenepa kwambiri limakhudzidwa ndi njirayi komanso dera lomwe likukula m'mimba.

Chimodzi mwa zotupa zapakhungu ndi annular granuloma. Chitha kukhala chizindikiro choyamba cha matenda ashuga a mtundu wachiwiri. Poyamba, timabowo ta m'modzi kapena angapo amawonekera pa thupi, pang'onopang'ono kukula. Mtundu wawo umakhala wapinki wopepuka, kapena wofiyira kapena utoto wofiirira. Pakati, khungu limakhala pang'onopang'ono, pomwe mphete imakulirakulira ndikufika masentimita awiri 2-5. Zizindikiro kulibe kapena pali pang'ono kumva kuwawa, kuyabwa.

Ndipo pali zambiri za melanostimulating hormone.

Mapeto am'munsi a shuga ndi omwe amatha kupezeka ndi matenda aliwonse, kuphatikizapo khungu. Izi ndichifukwa choti mtima ndi mitsempha (angiopathy ndi neuropathy) umalumikizana ndimatenda a metabolic.

Pamalo matako ndi kutsogolo kwa miyendo, kuphulika kwa xanthomas kumatha kupezeka. Awa ndi mabatani achikasu achikasu kapena ofiira mpaka 4 mm mulifupi. Zikuwoneka ngati mbewu zazing'ono, koma kenako kuphatikiza. Amalumikizidwa ndi kuphwanya mafuta kagayidwe, triglycerides ndi cholesterol predominate mwa iwo.

Lipoid necrobiosis wa khungu

Mwa odwala achikulire, lipoid necrobiosis imatha kuwoneka panja pa miyendo. Poyamba imawoneka ngati malo aang'ono otuwa ,akuda kapena kalozera pamwamba pa khungu. Kenako pakatikati pake pali zofunika kuzimitsa ndi ziwiya zazing'ono zomwe zimawonjezera khungu. Kuzindikira komwe kuli zinthu zotere kumachepetsedwa.

Ndi nthawi yayitali ya matendawa, mawonekedwe a matenda a shuga. Kukula kwake kumasiyanasiyana kuyambira 2 mm mpaka 1-2 cm. Amatha kukhala onse mkati pakhungu komanso pamtunda. Nthawi zambiri, kutengera kwawo ndi phazi ndi phazi lotsika. Pambuyo pa mwezi wa 0.5-1, thovu limasowa lokha. Matenda oyenda mozungulira omwe ali nawo amakhudzidwa ndikukula kwawo.

Kwambiri mwa amuna kutsogolo kwa miyendo yakumbuyo kumakhala timitseko ta minofu yaying'ono. Amatha kupezeka ndi njira yayitali ya matenda ashuga. Zotupa ndi zapinki kapena zofiirira, makulidwe ake sapitirira masentimita 1. Pambuyo pakutha, mawonekedwe okhala ndi utoto wosiyanasiyana amatsalira, ndikupatsa khungu mawonekedwe.

Kusintha kotereku kumatchedwa matenda a diabetesic dermopathy. Njira yake siyimayenderana ndi kupweteka kapena kuyabwa, ndipo zinthu zake zimazimiririka zokha pambuyo pa zaka 1-1.5.

Kuwoneka kwabodza kwa mwana kumachitika pamene chizolowezi cha matenda ashuga - rubeosis - chikuwonekera pankhope. Zimayambitsidwa ndi kuchuluka kwakang'ono kwa ziwiya zazing'ono ndipo nthawi zambiri kumawonekera mwa ana ndi achinyamata omwe ali ndi matenda amtundu woyamba. Potengera maziko awa, pamatha kukhala tinthu tating'onoting'ono tomwe timatulutsa timiyendo tating'ono, tofanana ndi totupa, ndikuwona nsidze

Pambuyo pa zaka 40, mawanga ofiira amitundu yosiyanasiyana amawoneka pamasaya. Amakhala pakhungu osaposa masiku atatu, kenako nkuzimiririka. Kuphatikiza pa nkhope ndi khosi zili pamphumi ndi manja. Maonekedwe awo akhoza kukhala osapumira kapena akumva ngati akumva pang'ono pang'ono.

Pamaso, ndizothekanso kuwoneka kwa foci a khungu losasinthika - vitiligo. Amapezeka kwambiri kuzungulira pakamwa, maso ndi mphuno. Kukula kwawo kumachitika chifukwa cha kuwonongeka kwa maselo opanga pigment.

Nthawi zambiri, khungu loyenda limayendera limodzi ndi mitundu yomaliza ya matenda ashuga. Zimachitika zaka 0.5-5 pamaso pa chithunzi chachikulu cha matenda: ludzu, kulakalaka kudya, kuchuluka kukodza. Nthawi zambiri, kuyabwa kumachitika m'makhola - inguinal, m'mimba, zilonda. Mukalumikizana ndi neurodermatitis m'malo awa, timinofu tating'ono timawoneka, limodzi ndi kuyeserera kosalekeza. Zizindikiro zoterezi zimadziwikanso ndi candidiasis.

Chimodzi mwazifukwa zosakonzekera khungu nthawi zonse ndi kuuma kwambiri.. Izi ndizofanana makamaka ndi gawo lotsika lachitatu la mwendo ndi miyendo.. Microtrauma m'derali nthawi zambiri imakhala khomo lolowera matenda. Kufalikira kofooka ndi kusungika kosawerengeka kumatha kuyambitsa kupangika kwa zilonda zam'mimba pamalo owonongeka. Chifukwa chake, kugwiritsa ntchito pafupipafupi zakudya zopatsa thanzi komanso zopatsa thanzi kumalimbikitsidwa.

Zolemba za pakhungu la ana zimasiyana:

kuchuluka kwazovuta
chizolowezi chochulukitsa tizilombo ting'onoting'ono,
kulekanitsa kosavuta kwa khungu (gawo lakunja),
kusenda ndi kuyanika.

Mu shuga mellitus, lipoid necrobiosis mwa mwana nthawi zambiri imapezeka, ili pamphumi, chifuwa ndi pamimba, khungu la miyendo. Kudziwika kofanana ndi matenda a shuga a mtundu woyamba 1 ndi kuphipha komanso kuthamanga kwa mafupa. Mwa zotupa za fungal, candidiasis ndizofala kwambiri, kuphatikizapo mawonekedwe a ming'alu m'makona amkamwa (angular stomatitis).

Makungu, omwe amatha kuwonetsa, ayenera kusiyanitsidwa ndi zotupa za pakhungu la matenda ashuga:

matenda a ubwana (chikuku, rubella, chikuku, malungo ofiira),
thupi lawo siligwirizana, diathesis, chakudya, tsankho
Kulumwa ndi tizilombo
kutupa pamitsempha ya ubongo (meningitis),
kuwononga ma pathologies.

Popeza ana omwe ali ndi matenda ashuga amakonda kwambiri matenda, pofuna kupewa zovuta, zooneka ngati zotupa, muyenera kufunsa dokotala wa ana, endocrinologist.

Kwa matenda apakhungu apakhungu (dermopathy, annular granuloma, lipoid necrobiosis, chikhodzodzo cha matenda ashuga, xanthomatosis), mankhwalawa amachitika ndi kuphatikiza shuga. Kuti achite izi, amasinthanso zakudya, ndikuchepetsa chakudya, mafuta am nyama mkati mwake.

Mankhwala a insulin akachulukitsa kuchuluka kwa mahomoni kapena pafupipafupi jakisoni. Ndi njira yowonongeka ya matenda ashuga amtundu wa 2 motsutsana ndi kuwonongeka kwa khungu kwambiri, makamaka kutengera matenda opatsirana, insulin ikhoza kuwonjezeredwa pamapiritsi.

Chotupa chokhacho, furunculosis chimafuna kuikidwa kwa mankhwala ochepetsa chitetezo, poganizira zotsatira za kufesa. Ndi matenda a fungal, ndikofunikira kugwiritsa ntchito mankhwala mkati ndikugwiritsira ntchito pakhungu (Lamisil, Nizoral, Fluconazole).

Ndi lipoid necrobiosis, othandizira a mtima (Xanthinol nicotinate, Trental), komanso kukonza mafuta kagayidwe (Essentiale, Atocor) amagwiritsidwa ntchito. Mafuta okhala ndi mahomoni, Troxevasin, mapulogalamu omwe ali ndi yankho la dimexide atha kutumikiridwa kunja.

Ndipo nazi zambiri za Rabson syndrome.

Kuthamanga kwa matenda ashuga kumayambitsidwa ndi matenda omwewo (necrobiosis, dermopathy, vesicles), komanso chifukwa cha matenda ashuga odwala matenda. Khungu loyenda limakonda kuyenda ndi zotupa, limadziwikanso ndi neurodermatitis, candidiasis. Mu mwana, ndikofunikira kusiyanitsa pakati pa zotupa za khungu la matenda ashuga ndi zizindikiro za matenda oopsa. Kulipiritsa kwa matenda ashuga komanso kugwiritsa ntchito mankhwala kunja ndi mkati ndikofunikira pakuchira.

Onerani kanema wamatenda a pakhungu matenda ashuga:

Kukayikira kwa matenda ashuga kumatha kukhalapo kwa zizindikiro zodandaula - ludzu, kutulutsa mkodzo kwambiri. Kukayikiridwa kwa shuga kwa mwana kumachitika pokhapokha ndikomoka. Kuyeserera pafupipafupi komanso kuyezetsa magazi kumakuthandizani kusankha zoyenera kuchita. Koma mulimonsemo, chakudya chimafunika.

Matenda monga shuga mellitus mwa akazi amatha kupezeka motsutsana ndi maziko a kupsinjika, kusokonezeka kwa mahomoni. Zizindikiro zoyambirira ndi ludzu, kukodza kwambiri, kutulutsa. Koma matenda ashuga, ngakhale atatha zaka 50, amatha kubisika. Chifukwa chake, ndikofunikira kudziwa zomwe zili m'magazi, momwe mungapewere. Ndi angati omwe amakhala ndi matenda ashuga?

Monga matenda ena omwe amakhalanso pachiwopsezo chachikulu kwa odwala, matenda a Rabson, mwamwayi, ndi osowa. Zosavuta. Odwala omwe ali ndi matenda a Rabson-Mendenhall samakonda kukhala wachinyamata.

Amaloledwa kudya ma currants mu shuga, ndipo amatha kukhala ndi mtundu 1 ndi 2. Red imakhala ndi vitamini C wocheperako kuposa wakuda. Komabe, mitundu yonse iwiri ithandiza kukhalabe chitetezo chokwanira, kulimbitsa makhoma amitsempha yamagazi. Tiyi ya masamba ndiyothandiza.

Ndikwabwino kuti dokotala asankhe mavitamini azomwe zimapangitsa kuti mayi azikhala ndi mahomoni azimayi chifukwa cha anamnesis ndikuwunika. Onsewa amapangidwa mwaluso kwambiri kuti athe kuchira, ndipo amasankhidwa payekhapayekha kuti azisinthasintha momwe timadzi tawonongera timadzi tambiri timene timayambira.

Zakharov, Yu. A. Chithandizo cha matenda a shuga 1 a mellitus / Yu.A. Zakharov. - M: Phoenix, 2013 .-- 192 p.
Dedov I.I., Shestakova M.V., Milenkaya T.M. Matenda a shuga: retinopathy, nephropathy, Mankhwala -, 2001. - 176 p.
Baranov V.G. Chitsogozo cha Zamankhwala Amkati. Matenda a endocrine dongosolo ndi kagayidwe, State kufalitsa nyumba zamankhwala zamankhwala - M., 2012. - 304 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito.Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.