Chithandizo cha mabala amiyendo osachiritsika odwala matenda ashuga

Anthu omwe ali ndi matenda ashuga ayenera kusamala kuti asawononge khungu, makamaka pamapazi awo. Izi ndichifukwa chakuchiritsidwa kwam bala lambiri, komwe ndi khalidwe la matenda.

Mabala owonda ndiwopseza kwambiri m'matenda a shuga: njira yochiritsira ndi yayitali komanso yovuta kuchiza.

Izi ndichifukwa choti chitetezo cham'magazi chitha kuchepa, ndipo thupi silingalimbane ndi zotupa ndikupukuta pakhungu. Poyamba, chilondacho chimayamba kuchira, kenako nkupunduka, nthenda imalowa, ndipo imayamba kukula.

Njira yochira imalephereka ndikutupa kwamiyendo, pafupipafupi ndi matendawa. Kuphatikiza apo, chilonda chopezeka kwina sichitha kuyenda, koma ndi miyendo ndizovuta kwambiri.

Matenda a shuga ndi matenda omwe amadziwika ndi kuwonjezeka kwa shuga m'magazi, komwe kumakhala ndi vuto lililonse mthupi lonse, komanso zikhalidwe zazing'onoting'ono makamaka, zomwe zimapangitsa kuti ziwonjezeke.

Izi zikuchitika chifukwa cha kuwonongeka kwa kayendedwe ka magazi (makamaka m'malekezero) ndikuwoneka kwamavuto pakupezeka kwa michere pakhungu la khungu.

Ndi njirazi ndizomwe zimayambitsa kuwoneka kwa mabala omwe samachiritsa kwa nthawi yayitali. Ngati simuyamba kulandira chithandizo chanthawi yake, zimakhala zotheka kusandutsa mabala m'miyendo kukhala chikhazikitso cha kutupa kosafunikira kwakanthawi.

Zilonda zomwe zakhazikitsidwa zimatha kubweretsa gangore ndi kudula kwam'tsogolo, komanso zovuta monga osteomyelitis ndi phlegmon.

Zimayambitsa kuwonongeka kwa mathero a mitsempha, zomwe zimayambitsa kuphwanya kwamphamvu kwa khungu, makamaka pamiyendo. Mitsempha yam'mimba yomwe imagwira ntchito pakhungu limawonongeka, chifukwa imayamba kuuma ndikuchiritsa bwino. Khungu limasweka nthawi zambiri, ndikupereka matenda mosavuta kulowa mthupi kudzera muming'alu.

Munthu angavulaze mwendo wake mwangozi komanso osazindikiranso popanda kulandira chilondacho panthawi yake (mwachitsanzo, kudzipukusa chimanga kapena kudzipweteka yekha poyenda osavala nsapato). Chomwe chimapangitsa izi ndikuphwanya kukhudzika kwa kupweteka komwe kumachitika chifukwa cha kuwonongeka kwa mitsempha mathero.

Ndikupezeka kuti wodwala matenda ashuga sawona mavuto a miyendo yake, popeza samamva kusungunuka chifukwa cha kukomoka, samawona chilondacho chifukwa cha kuchepa kwa mawonekedwe ndipo sangathe kuchipima chifukwa cha kunenepa kwambiri, komwe kumakhala kofala ndi matendawa.

Ngati chilondacho sichichiritsa m'masiku ochepa, chimatha kusintha kukhala chilonda. Kwa odwala matenda ashuga, matenda ammimba a shuga amakhala ndi vuto, ndiye kuti, mabala amiyendo osachiritsa.

Kodi kuchitira?

Munthu aliyense wodwala matenda ashuga ayenera kuyang'anitsitsa momwe khungu lawo liliri ndikupita kwa dokotala ngati pali vuto lililonse, chifukwa ndizovuta kwambiri kuchiza bala lomwe lili ndi kachilomboka.

Kuchiritsa khungu mwachangu kumathandizira kuti mukhale ndi zakudya zoyenera, zomwe zimakhala ndi mavitamini okwanira.

Madokotala amalimbikitsa kuti munthawi yamankhwala othandizira mabala amaphatikizapo zinthu zotsatirazi muzakudya zamasiku onse: nsomba, nyama, chiwindi, mtedza, mazira, oatmeal, komanso zipatso ndi masamba.

Mabala aliwonse omwe ali ndi matenda ashuga ayenera kuthandizidwa ndi antiseptic.

Ngati wodwalayo ali ndi malungo, malo ovulalawo ali ndi zilonda, zotupa ndi kufiira, zilondazo zimakhala kuti sizikuchira, mafuta onunkhira omwe ali ndi ma antibayotiki amayenera kuwonjezeredwa ku mankhwalawa, omwe nthawi yomweyo amatulutsa chinyezi kuchokera mabala (Levomekol, Levosin ndi ena).

Njira yothandizira maantibayotiki ndi mavitamini nthawi zambiri imayikidwa (magulu B ndi C). Kupititsa patsogolo zakudya zama khungu pakubwezeretsa minofu, mafuta a methyluracil ndi solcoseryl amagwiritsidwa ntchito, komanso mafuta opaka mafuta (Trofodermin).

Pazida ndi epithelization (kuchuluka) kwa bala, malo oyenera ayenera kupangidwa. Zimafunikira kutsukidwa kwa tizilombo tating'onoting'ono, minofu yakufa ndi matupi akunja. Hydrogen peroxide ndi iodophors zitha kumangochiritsa.

Njira yabwino yoyeretsera ndikutsuka mabala ndi msuzi wosavuta wosabala. Kugwiritsa ntchito malo osamba okhala ndi madzi oyenda mwa iwo kungalimbikitsidwe kwa odwala ena omwe ali ndi zilonda pamiyendo.

Ngati njira zomwe zili pamwambazi sizipereka zotsatira zomwe zikuyembekezeka, kuchotsedwa kwa necrosis ndi njira yokhayo yomwe ingakhale njira yokhayo yoyeretsera mabala omwe amachiritsa kwa nthawi yayitali.

Kuchiza ndi wowerengeka azitsamba

Pochiza kuvulala kwa wodwala matenda ashuga, mankhwala azikhalidwe angakuthandizeni.

Masamba a celandine. Ndikwabwino kugwiritsa ntchito zatsopano, koma zouma ndizoyeneranso, pokhapokha ziyenera kukhala zofunikira. Masamba amafunika kumangidwa chifukwa cha bala kapena chilonda.

Mizu ya burdock ndi celandine. Muyenera kuphatikiza mizu ya celandine yoponderezedwa (magalamu 20), burdock (30 magalamu) ndi mafuta a mpendadzuwa (ma milliliters 100). Wiritsani kwa mphindi 15 pa moto wochepa ndi kupsinjika. Zilonda zamafuta omwe samachira bwino kwa sabata limodzi ndi katatu patsiku.

Mwatsopano nkhaka msuzi. Madzi a nkhaka ali ndi mphamvu yoyeserera kwambiri. Amayenera kuthira mabala a purulent, ndikupanganso ma compress kwa iwo kwa maola angapo. Vutoli likatsukidwa ndi madzi, muyenera kugwiritsa ntchito njira zomwe dokotala wakupatsani.

Kupewa

Monga prophylaxis ndi chithandizo cha matenda am'mimba a shuga ndi angiopathies, mankhwala a antioxidant, monga Glucberry, nthawi zambiri amatengedwa. Cholinga chakugwiritsa ntchito kwawo ndikupewa kuwonongeka m'mitsempha yamagazi, kukonza ndikusintha momwe misempha ilili.

Popewa kuwoneka ngati mabala ndi zilonda zosachiritsa, muyenera kutsatira malamulowo:

• Musamayende opanda nsapato ndikuyang'anirani nsapato mosamala nsapato.
• Unikani miyendo yanu tsiku ndi tsiku kuti muwone kuvulala kulikonse.
• Sambani mapazi tsiku lililonse pogwiritsa ntchito mafuta osapukuta.
• Siyani kusuta, chifukwa chikonga chimasokoneza magazi, ndipo izi zimapangitsa kuti maselo azisintha komanso kuchiritsa mabala a puroma.
• Samalani mosamala mukamagwiritsa ntchito poyatsira moto, radiator kapena potenthetsera moto kuti musadzipse moto.
• Nyengo yozizira, ndikofunikira kutentha nsapato zanu ndikukhala mumsewu osaposa mphindi 20.
• M'nyengo yotentha, musamagwiritse nsapato ndi zothina pakati pazala zam'manja.
• Valani nsapato zingapo, nizisintha.
• Osachotsa chimanga, njerewere ndi chimanga pachakhungu panu.
• Gwiritsani ntchito nsapato ndi nsalu zapamwamba zokha zomwe sizimangiriza khungu ndi msoko wosakoka ndi zingwe zotanuka.

Sikoyenera kusamba kapena kusamba kwanthawi yayitali, chifukwa mothandizidwa ndi madzi khungu limamasuka ndikutupa, zomwe zimawonjezera chiopsezo chovulala.

Simuyenera kugwiritsa ntchito Vaselini ndi zinthu zilizonse zochokera pamafuta amchere kuti muchepetse khungu, popeza sizimakola khungu.

Ngati khungu lumauma kwambiri, muyenera kufunsa dokotala yemwe akupatseni mankhwala a hypotonic popanda ma beta-blockers omwe amasokoneza ntchito yapakhungu.

Chilichonse, ngakhale mabala ang'ono kwambiri pakhungu amayenera kuthandizidwa. Njira yabwino yothetsera vutoli ndi kukaonana ndi katswiri yemwe adzayezetse bwino za momwe aliri ndikupereka chithandizo chokwanira.

Ndemanga ndi ndemanga

Mayi anga, a S.D. kuposa momwe tidamuchitira. Poyamba, tidathandizira bala ndi njira ya Dikasan, kenako mankhwala oletsa ceftriaxone adathiridwa pachilonda chokha. Ndi chinthu chokhacho chomwe chidathandizira

Mwachita bwino, sizinataye mtima. Yesani kusapukuta miyendo yanu - onetsetsani kuti mwawagulira amayi zovala zapadera, zamankhwala!

TSIKU 5: chala chake sichichiritsa .Kuwonongeka pang'ono.Dotolo adalangiza Baneocin, koma sizithandiza. Ndiuzeni choti ndichite. Ndipo zonsezi chifukwa cha matenda a shuga. Mwina wina angalembe malangizo.

Baneocin ndi antibayotiki wabwino, koma sangathe kuchiritsa. Kodi mwayesa mafuta a Eplan?

Ayi, sanayesere.

Mayi anga ali ndi mabala azala zakumapazi ake omwe sanachiritsidwe kwa mwezi umodzi, mungatani?

Ndipo bwanji za mankhwala a Berberex? Zikuwoneka kuti aku America akuchita. Anzake adanditamandira kwambiri, mwina wina adayesera?

Olga, udagula kuti mankhwala a Dikasan? Ndifunsa m'mafakitori ndipo palibe amene akudziwa tanthauzo lake.

Ndidagwiritsa ntchito Sulfargin kwa mwana kuchokera kubrasions. Malonda abwino okhala ndi fungo labwino. Zimathandiza mwachangu. Mutha kugwiritsa ntchito kuyaka, ndili ndi mlandu.

Ndikukupemphani kuti muthandizire, kuyambira mu Okutobala 2014 chilonda chokhachokha, pafupi ndi zala zakumapazi kumanja, sichiritsidwa. Kenako adamuchita opareshoni, kenako patatha miyezi iwiri chala chachikulu chakumiyayo chidadulidwa. Anakhala m'chipatala miyezi isanu ndi umodzi. Matendawa adayamba kukhazikitsidwa: mtundu wachiwiri wa matenda ashuga a 2, komanso kuwonongeka kwa matenda ashuga 3 cm. Ndipo neuropathy 4. Amawonedwa sabata lililonse kwa dotolo, atavala kunyumba ndi betodine ndi tyrosur (livomokol kale)

Amayi anga anali ndi vuto ndi phazi lakumutu kwa mwana wawo kwa theka la chaka, sitinapite kwa adotolo, timaganiza kuti zitha ndipo atafika kwa dokotala wa opaleshoni ananena kuti ayenera kutsukidwa ndi potaziyamu wamankhwala ndikumutumiza kwa a mtima, uwu ndi ulendo wathu dziwa thandizo

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Masana abwino Abambo anga ali ndi matenda ashuga kwa zaka 19, adavulaza phazi lake chaka chapitacho, chilondacho sichichiritsa, endocrinologists akukana kumuyang'ana, ali ndi shuga yayikulu, chonde ndithandizeni?

Dima, yesani mafuta alomelide komanso insulini pachilondacho.

Moni, amayi anga akudwala kwa zaka 15 kutengera mtundu wachiwiri wa insulin, amadalira phazi, chala chala sichingachiritsidwe, sitingagone kuchipatala ngakhale shuga akupezeka kuti ali ndi zaka 20, madokotala akuti chithandizireni kuchiritsa chala chonde ndithandizeni ndi upangiri wambiri

Ndidalumidwa ndi kangaude miyezi 3 yapitayo. Ndidali ndi fossa pachifuwa. Sindimachiritsidwa, ngakhale kuti sindinadwale, koma tsopano zimapweteketsa kukula. Sindimadziwa zoyenera kuchita.

Yesani mafuta a stellanin. Ndikulimbikitsidwa kuti machiritso achilengedwe azikhala ndi odwala ashuga komanso. Werengani za mafuta onunkhira pa intaneti. Ndinagula lero kwa mwamuna wanga (mtundu wachiwiri wa matenda ashuga) potsatira dokotala wabwino kwambiri, amuna anga adavulaza mwendo wake mdziko muno masiku angapo apitawa, tikachira. Zabwino zonse kwa inu, khalani bwino.

Ndi mabala osachiritsika osachiritsika, ndimalangiza kwambiri ma chymopsin, makamaka odwala matenda a shuga, amathandiza kwambiri, komanso mabala oyeretsa, mafuta a Stelanin Peg, ndi oyera okhaokha a Stelanin, iyi ndi njira yatsopano yothandizira, pakadali pano timagwiritsa ntchito mankhwalawa kuchiza zofunda zofunda kwambiri pabedi la wodwala , Ndikufunadi kuthandiza odwala oterowo .. Ndikulakalaka kuchira kwachangu!

Zomwe zimayambitsa kuchiritsa koyipa mu shuga

Ndi matenda a shuga, mitsempha ndi mitsempha yamagazi imakhudzidwa kwambiri. Kuzindikira khungu kumatsitsidwa kwambiri kapena kulibe. Zakudya zopanga minofu yofewa komanso kupezeka kwa mpweya ndi zovuta chifukwa chakuchepa kwa mitsempha ya magazi.

Zonsezi zimabweretsa zotsatira zosasinthika. Nthawi zambiri, ndi miyendo yomwe imakhudzidwa, ndipo mabala amachiritso a nthawi yayitali amakhala. Pali zifukwa zingapo zamanthawi yayitali osachiritsa mabala pamwendo ndi matenda ashuga:

• Zowonongeka zazing'ono pakhungu la miyendozomwe sizimamveka chifukwa cha neuropathy (kuwonongeka kwa mathero a mitsempha) ndipo amatha kukhala osadziwika kwa nthawi yayitali (maola angapo kapena masiku). Pakutero, matendawa amalowa m'malonda ndikuchulukirachulukira osafunikira thandizo ndi chithandizo,
• Kuvala nsapato zosamasuka, zosasankhidwa bwino. Potere, ma calluses amadzuka. Kuvala nsapato zotere tsiku ndi tsiku kuvulaza miyendo, kumathandizira kwambiri kuperewera kwa zakudya m'thupi,
• Anachepetsa chitetezo chamthupi. Chitetezo chokwanira ndi chitukuko cha matenda a shuga chimafooka, motero thupi limalephera kulimbana ndi matenda omwe aloza bala.
• Dongosolo la Kholo. Ngati malamulo a asepsis ndi antiseptics samatsatiridwa, kuponyedwa pakhungu ndi singano kumachiritsa ndipo sikuchiritsa kwa nthawi yayitali,
• Katundu wapazi (kuyenda nthawi yayitali, kuyenda, kuyimirira),
• Zovala zosauka (zodetsa, zoopsa za pakhungu),
• Tizilombo touluka ndi zisa.

Njira yayikulu yothandizira mabala amatsukidwe a shuga

Chithandizo cha odwala omwe ali ndi matenda ashuga ayenera kukhala okwanira. Zowunikirazi zimachitika ndi madotolo angapo: dokotala wa opareshoni ndi endocrinologist. Chithandizo cha Matenda Atsopano Muli zinthu izi:

• Kuyendera ndi kutsimikiza kwakuya kwa kuwonongeka kwa minofu yofewa. Kuyeza kwa shuga wamagazi
• Ngati shuga wa magazi achulukitsa kwambiri, kenako kukonza matenda oyamba. The endocrinologist amawerengera kuchuluka kwa insulin,
• Opaleshoni Yapakati Ponseponse amapangidwa nthawi 1 atalandira chithandizo cha wodwala. Pamwamba pa bala limatsukidwa ndi ma antiseptics kuchokera pazinthu za purulent. Ngati ndi kotheka, kuwonekera kwa minofu ya necrotic kumachitika.
• Kubwezera 2 mpaka 4 pa tsiku, zomwe zimaphatikizapo kutsuka chilondacho ndi antiseptics, kupukuta pamaso pake ndikugwiritsa ntchito antibacterial, anti-kutupa ndi mafuta okuchiritsa.
• Opaleshoni Mafuta okhala ndi analgesics amalembedwa, chifukwa cha kupweteka kwambiri, mapiritsi apiritsi ndi njira zovomerezeka zimagwiritsidwa ntchito. Woopsa, gwiritsani ntchito mankhwala osokoneza bongo,
• Kulimbitsa chitetezo chokwanira (ma immunostimulants ndi ma immunomodulators).

Mabala osaya kwambiri amatha kuthandizidwa pang'onopang'ono. Ndi supplement ndi kuwonongeka kwakukuru kwa minofu yofewa, mankhwalawa amachitika kuchipatala. Woopsa, opaleshoni imachitidwa (mwachitsanzo, kuduladula zala kapena phazi lonse, ndi zina).

Kuchiritsa mabala akumiyendo

Zilonda zamiyendo zopanda machiritso mu shuga zimadziwika ndi kutsatira zotsatirazi:

• Khungu lachita khungu kuzungulira bala, Chithunzi cha chilonda chosachiritsa ku matenda ashuga
• Kutupa kwa minofu yofewa,
• Hyperthermia wamba komanso wamba
• Kupweteka kwambiri
• Dipatimenti ya serous kapena purulent wamkati,
• Kuwonongeka kambiri
• Chilondacho sichitha kuchira. Chilondacho chimanyowa nthawi yayitali kuposa sabata.

Chithandizo cha mabala amiyendo osachiritsika odwala matenda ashuga ayenera kuyang'aniridwa ndi dokotala. Adzaunikira, awunika momwe aliri ndikuwunika pakufunika kuchipatala. Ngati chilonda cha pamendo sichichira, ndiye kuti izi ziyenera kuchitika:

• Pukusani chilonda ndi chogwirira m'mphepete mwake ndi ma antiseptics omwe alibe mowa (Hydrogen peroxide, Miramistin, Chlorhexidine ndi ena),
• Kuti muyeretse bala kuchokera ku mankhwala oyera ndi oyera,
• Gwiritsani ntchito antibacterial mankhwala m'mafuta onunkhira, mapiritsi ndi mayankho a makonzedwe a makolo,
• Ikani zilonda zochiritsa pamene mawonekedwe owonongeka awuma.

Kutalika kwa mankhwalawa kwa mabala osachiritsika pamiyendo ndikumodzi ndipo kumayambira masiku 30 mpaka 60.

Matenda a Neuropathic

Neuropathy ndikuphwanya kwamphamvu kwa minyewa chifukwa cha kufa kwa mitsempha mathero. Odwala, matendawa amapezeka nthawi zambiri. Zinthu zomwe zimakonzeratu:

• Mafuta ochulukirapo a magazi
• Kuthamanga kwa magazi
• Kupezeka kwa zizolowezi zoipa,
• Kukhalapo kwa matenda amodzimodzi omwe amachepetsa chitetezo cha mthupi.

Mabala omwe amachitika motsutsana ndi maziko a neuropathy amakhala ndi:

• Khungu losweka
• Zilonda m'deralo,
• Minofu ya kumapazi imakhudzidwa
• Kuzama kwa chilondacho kumafikira minofu ndi mafupa,
• Kupanda ululu waukulu chifukwa chakuchepa kwa chidwi.

Kuchuluka kwa mankhwalawa kumatengera kuwonongeka kwa minofu yofewa:

• Kwa ming'alu yosaya ndi zilonda popanda kusefukira, mafuta a camphor amagwiritsidwa ntchito pochiza. Amamuyika pachilonda pansi pa bandeji.
• Ndi mabala akuya komanso / kapena othandizira kumbuyo kwa neuropathy, antibacterial ndi anti-kutupa.
• Wozunzika kwambiri amakumana, zomwe zimafunikira opaleshoni yodzidzimutsa. Pankhaniyi, kudula phazi ndikofunikira. Ngati chithandizo sichikuchitika, ndiye kuti squiral imakulitsa mwendo. Zotsatira zake, kudula kwapamwamba kukufunika.

Zolemba za phazi la matenda ashuga

Mu matenda a shuga, ndikofunikira kuwunika mosamala momwe phazi limayambira komanso malekezero ambiri. Zizindikiro zoyambira za matenda ammimba am'mimba: khungu la kumapazi, kuwotcha ndi kumva kulira. Zizindikiro zomveka za phazi la matenda ashuga:

• Zilonda zam'mapazi, zomwe zimatha kukhala chimodzi kapena zingapo. Sachira kwa nthawi yayitali,
• Katemera wa bala,
• Ming'alu pakhungu la dera lonyamula,
• Khungu loyera
• Kusintha kwa mawonekedwe a phazi, lomwe ndilo kupindika kwa zala, mawonekedwe a ma cones,
• Pafupipafupi matenda oyamba ndi miyendo,
• Kusintha kwa misomali,
• Sinthani mu maula a msomali (kukula kwawo, kupindika), kukula kwawo kukhala minofu yofewa.

Ndi phazi la matenda ashuga, minofu yofewa imamwalira, pomwe gutuli limayamba. Kuchiza kumachitika ndi maantibayotiki amitundu yosiyanasiyana, odana ndi kutupa ndi ma antifungal agents.

Minofu ya Necrotic yotuluka. Woopsa milandu, kudula mwendo kumachitika pa malo osiyanasiyana. Ndiye chifukwa chake sikoyenera kuchedwetsa kupempha opereshoni.

Momwe mungachiritsire mabala a shuga

Njira zochizira mabala m'matumbo a shuga zimakhala ndi zovuta:

• Kuthetsa kutupa,
• Kuyanika bala,
• Kuthetsa matenda a bakiteriya,
• Kupititsa patsogolo kwa kagayidwe kachakudya kagayidwe kazinthu zowonongeka,
• Kukonzanso
• Kuthetsa ululu.

Zopangira zochiritsa mabala m'matumbo a shuga:

Kuti muchepetse kuchira, wodwalayo ayenera kuyang'anitsitsa chakudyacho ndikupeza mavitamini ovomerezeka ndi dokotala.

Kugwiritsa ntchito mankhwala achikhalidwe

Mankhwala achikhalidwe, komanso achikhalidwe, amapereka njira zosiyanasiyana zochizira mabala osachiritsika odwala matenda ashuga.Komabe, njira zakuchiritsira zotere ziyenera kugwiritsidwa ntchito mosamala komanso pokhapokha ngati zikugwirizana ndi chithandizo chachikulu cha mankhwala.

Chithandizo cha mabala osachiritsa pamiyendo ndi mankhwala wowerengeka:

• Celandine. Chomerachi chili ndi zotsatira zabwino zoyambitsa matenda. Pochiza mabala omwe samachiritsa, msuzi wa mbewu kapena udzu wouma umagwiritsidwa ntchito. Celandine msuzi ayenera kugwiritsidwa ntchito pa bala. Ndondomeko ikuchitika kangapo patsiku. Kuchokera pachomera chouma, mutha kukonzekera decoction yemwe amagwiritsidwa ntchito pochiritsa mabala.
• Masamba atsopano a burdock. Ayenera kutsukidwa bwino ndikuphwanyidwa. Zotsatira zosakanikirazi zimagwiritsidwa ntchito pa bala, pomwe zimayiyika wosalala kapena bandeji. Mutha kugwiritsa ntchito chida ichi mpaka katatu pa tsiku.
• Chotsani zizindikiro kutupa ndikotheka ndi yogati. Afunika kunyamula bandeji losabala ndikupaka mafuta. Mutha kugwiritsa ntchito yogati mpaka 4 pa tsiku.
• Ziphuphu ndi decoction wa calendula amathandizira kuthetsa kutupa ndi tizilombo toyambitsa matenda.

Zomera zamankhwala zimathandizanso kuchepetsa magazi. Mbewu za fulakesi zimagwiritsidwa ntchito ngati masamba ndi masamba a sitiroberi amathanso kuzimiririka ndi madzi otentha. Amakhala tiyi ya zitsamba, yomwe imatha kuledzera mpaka 2 pa tsiku.

Zakudya zoyenera

Mu shuga mellitus, ndikofunikira kuti azitha kuyang'anira zakudya zopatsa thanzi. Zakudya zoyenera zimathandiza kutsika shuga wamagazi komanso kupewa kutulutsa zovuta zingapo. Mfundo zachakudya zabwino za matenda ashuga:

• Zakudya 6 patsiku, kupumula pakati komwe sikuyenera kupitirira maola atatu. Zigawo ziyenera kukhala zazing'ono. Kuzunza sikupatula,
• Thanzi liyenera kukhala loyenera, ndiye kuti kuchuluka kwa mapuloteni, mafuta ndi chakudya zimafanana ndi zosowa zathupi.
• Tsatirani kumwa mankhwala. Kumwa madzi oyera akumwa tsiku lonse
• Kanani kumwa kwambiri mchere ndi shuga ndi maswiti (ndikwabwino kuzisiyiratu),
• Ayenera kuwerengedwa "Makapu amkate" muzinthu zilizonse zomwe zimadyedwa. Gome ndi kuwerengetsa kwa "buledi mkate" kumapereka wopezeka wa endocrinologist,
• Pewani zakudya zamafuta, zophika komanso zopatsa mphamvu kwambiri.

Kusamalira khungu kwa ana omwe ali ndi matenda ashuga

Ndi matenda a shuga kwa ana, khungu limasowa madzi. Imakhala yowuma komanso yosasunthika pakuwonongeka kwa micro. Kusamalira khungu ndikutsatira malamulo otsatirawa:

• Kumwa madzi ambiri. Mwanayo azimwa madzi oyera, osati msuzi ndi koloko.
• Tsiku lililonse mpaka katatu pa tsiku, makamaka pambuyo njira zamadzi ntchito moisturizing ana mafuta. Ayenera kulemekezedwa ndi mavitamini A, E, gulu B. Popeza ana amawona zonunkhira zosiyanasiyana ndi utoto, zonunkhira ziyenera kukhala zopanda pake, zoyera pamtundu,
• Pakukhazikika kwadzuwa, ndikofunikira kugwiritsa ntchito ma sunscreens (zopopera ndi mafuta ena),
• Yang'anirani khungu la mwana mosamala mabala ndi mabala aliwonse. Iyenera kuwonedwa makamaka kumiyendo yam'munsi,
• Posamba kugwiritsa ntchito madzi, Hypoallergenic ndi sofa yonyowa,
• Chitani ukhondo tsiku ndi tsiku, muzisambitsa mapazi anu bwino ndi kusamala misomali ya mwana.

Kugwiritsa ntchito penicillin pochiza

Penicillin ndi mankhwala ochepetsa mphamvu ya bakiteriya omwe ambiri amadziwa. Imagwira pakulimbana ndi mabakiteriya ambiri ochulukitsa. Mabala pankhaniyi nthawi zambiri amachiritsidwa ndikuchira kwa nthawi yayitali. Chifukwa chake, kugwiritsa ntchito maantibayotiki kukuwonetsedwa. Musanayambe chithandizo ndi antibacterial othandizira, ndikofunikira kutenga kachilomboka pakhungu pa microflora ndi kudziwa maantibayotiki.

Penicillin mu mawonekedwe a ufa amatha kuyikidwira pachilonda pomwe purulent exudate amamasulidwa. Penicillin amasakanikirana ndi mankhwala a sulfonamide ndikuwazidwa nawo pachilondacho. Ngati bala lake ndi latsopano komanso loyera, ndiye kuti Penicillin angagwiritsidwe ntchito ngati jakisoni. Mwakutero, ndi chida ichi mutha kupanga mafuta odzola.

Kodi lawi la miyendo limatha bwanji?

Zilonda zam'mawa komanso zakuya kwa odwala omwe ali ndi matenda osokoneza bongo amachiritsa kwa nthawi yayitali. Nthawi zina, chithandizo chimatha miyezi itatu kapena kupitilira. Kutalika kwa machiritso kumatengera zinthu zotsatirazi.:

• Zaka za wodwala. Mwa ana ndi achinyamata, kukonzanso khungu kumachitika mwachangu kuposa okalamba,
• Mwazi wamagazi. Ngati wodwala samayang'anira kuchuluka kwa shuga, ndiye kuti chiwopsezo chowonjezeka kwambiri. Mukakhala ndi chizindikiro ichi, amachepetsa mabala. Imakhala nyengo zabwino za moyo komanso kubereka kwa microflora ya pathogenic,
• Mkhalidwe wamthupi wodwala. Munthu ayenera kutsatira malingaliro onse a adotolo, chifukwa chifukwa cha matenda ashuga, chitetezo chamthupi chimakhala chopsinjika kwambiri. Ngati pali chimfine ndi matenda ena otupa, ndiye kuti izi zimachepetsa chitetezo cha mthupi.

Mukaonana ndi dokotala

Tiyenera kudziwa kuti dokotala amayenera kufunsidwa ngati pali funso lililonse lokhudza mabala. Ngakhale chilonda chili choyera, koma zizindikiro za kutupa zikupitilira kwa nthawi yayitali, ndiye kuti ndi bwino kukaonana ndi dokotala.

Bwino kudandaula kamodzinso kuposa kuchiritsa bala lomwe likuvuta pambuyo pake. Kuthandizidwa ndi dokotala ndikofunikira pazotsatirazi:

• Zowonongeka zazitali m'munsi. Nthawi zambiri amadziwika ndi cholowera chaching'ono komanso kubaya kwanthawi yayitali. Mu bala lotere, tizilombo tating'onoting'ono tating'onoting'ono ndi bowa mwachangu ndikuchulukitsa,
• Bala lalikulu
• Zilonda zazitali zosachiritsa. Zilonda zopanda machiritso zimadzetsa vuto linalake, pomwe matupi ake amadzimadzi amayamba kutuluka,
• Kutulutsa
• Minofu yofewa,
• Chilonda chilichonse ngati munthu sadziwa kuthana nacho.

Zovuta zotheka

Ngati chilondacho sichichiritsa kwa nthawi yayitali, chithandizo chosayenera chimachitika, kapena kulibe kwathunthu, ndiye Mavuto otsatirawa akhoza kuchitika:

• Kusintha kwa purroc necrotic minofu yofewa. Pankhaniyi, dera la necrosis limakulirakulira, bala limakhala lakuya, mafinya amatulutsidwa. Poterepa, kuwonekera kwa minofu ya necrotic ndikofunikira,
• Gangrene - Ichi ndi vuto lalikulu la mabala omwe sanachiritse. Timalimbana kwambiri ndi kufalikira kwam'magazi, komwe kumapangitsa magazi kulowa m'magazi. Pankhaniyi, opaleshoni yamankhwala imagwiritsidwa ntchito, muzovuta kwambiri, dzanja limadulidwa,
• Sepsis - poizoni wamagazi ambiri. Chitetezo cha wodwalayo chimafooka, ndipo thupi limalephera kuthana ndi matendawa payekha. Chifukwa chake, amayamba kufalikira ndi kuthamanga kwa magazi mthupi lonse. Izi zimatsogolera kumatenda angapo a ziwalo zamkati, kulephera kwa ziwalo zambiri. Nthawi zambiri pamakhala zotsatira zoyipa.

Njira zopewera

Pewani chilonda chosachiritsa kutsatira malamulo osavuta kupewa:

• Sankhani nsapato zoyenera. Iyenera kukhala yayikulu, osachepera komanso osatinso. Zipangizo zomwe nsapato zimapangidwira zimayenera kukhala zofewa, seams sayenera kuzitikita,
• Pewani zizolowezi zoipa (kusuta, kumwa mowa), chifukwa zimasokoneza kwambiri magazi m'magawo otsika,
• Yenderani miyendo tsiku ndi tsiku kuti muwononge,
• Gwiritsani ntchito zofinya
• Zaukhondo tsiku ndi tsiku ndikusambitsanso mapazi anu,
• Abandon pedicure wodulidwa,
• Valani masokosi opangidwa ndi nsalu zachilengedwe,
• Osayenda nsapato
• Gwiritsani ntchito mankhwala osokoneza bongo omwe mumamwa mabala,
• Pakachitika zovulala zingapo, pezani dokotala ndipo mufunse malangizo,
• Osawuma khungu,
• Gwiritsani ntchito dzuwa padzuwa panja kunja kwadzuwa.
• Musakhale m'madzi kwa nthawi yayitali, popeza khungu limacheperachepera mabala.

Victor Sistemov - katswiri pa 1Travmpunkt

Chithandizo cha Matenda Atsopano

Matenda a shuga ndi matenda osachiritsika omwe amakhudza thupi lonse lathunthu, amakumananso ndi zovuta zambiri, monga matenda ashuga gastroparesis, matenda ashuga, kuponderezedwa kwa chifuwa cha shuga ndi zina zambiri zosasangalatsa.

Zotsatira zoyipa za matendawa zilinso pakhungu. Khungu la odwala matenda ashuga limakhala loyipa komanso louma, ming'alu ikhoza kuwoneka. Khungu la miyendo ndi manja limakhudzidwa kwambiri.

Ngakhale chilonda chaching'ono kwambiri cha anthu odwala matenda ashuga kwa nthawi yayitali, chimatha kusefukira, chimayambitsa mavuto komanso kusasangalala.

Ngati munthu samachiritsa mabala m'miyendo yake kwa nthawi yayitali, ndiye ichi ndi chifukwa chachikulu chopita kwa dokotala. Mabala osachiritsika ali m'gulu la zizindikiro zazikulu za matenda ashuga.

Mavuto azikopa awonetsedwa m'mavuto otsatirawa:

hyperactosis - kuchuluka kwa chimanga ndi ming'alu kumapazi, matenda a mabala, zilonda zam'mimba zomwe zimachitika chifukwa chosagwirizana ndi mabala omwe ali ndi kachilomboka, mafangasi a pakhungu ndi misomali mwa anthu odwala matenda ashuga amapezeka kawiri konse monga mwa anthu athanzi. Zilonda za trophic zimachitika chifukwa cha kufa kwa maselo, nthawi zina pomwe ziwiya zazing'ono pamiyendo zimakhudzidwa. Cholinga cha izi ndi kusayenda bwino kwamagazi.

Zilonda za trophic mu shuga zimakhala ndi zina:

kunja, zilonda ndizochepa, ndizochepa, zilonda sizimatha zokha, chithandizo chapadera chimafunika ngati njira zoyenera sizitengedwa, chilonda cha trophic chimatha kukhala chilonda. Mabala a matenda a shuga amachira nthawi yayitali, motero, ndipo chithandizo cha mabala omwe amapezeka m'matumbo a shuga ndizosiyana mosiyana ndi anthu athanzi.

Zomwe zimayambitsa zovuta pakhungu kwa odwala matenda ashuga

Chifukwa cha kuchuluka kwa shuga m'magazi, magaziwo amakhala okhuthala, pamakhala zovuta ponyamula michere ku ziwalo ndi minyewa.

Izi ndi zomwe zimachititsa kuti mabala azikhala ndi nthawi yayitali. Nthawi yomweyo, pamakhala chiopsezo chachikulu kuti chilondacho chimasintha kukhala zilonda.

Vuto linanso lalikulu lomwe limabweretsa mavuto ndi kuchiritsidwa kwa mabala ndi matenda ashuga a m'mimba. Vutoli limayambitsa kuchepa kwamphamvu kwa khungu. Pazifukwa izi, wodwala yemwe ali ndi matenda osokoneza bongo sangangomva kapena kuzindikira kuti bala lawavulala pamalo alionse.

Matenda a diabetes angiopathy amadziwika ndi kuwonongeka kwa mitsempha yamagazi ndi ma capillaries, chifukwa cha kutsika kwa minofu ya magazi. Miyendo imayamba kuzizira ndipo imasanduka buluu. Ndipo izi zimalepheretsanso ochiritsira mabala ndi microtraumas.

Zoyenera kuchita mukamenya bala

Choyambitsa kupezeka m'thupi, choyamba, ayenera kuchizidwa ndi antiseptic. Izi zimachitika pofuna kupewa. Furacilin kapena potaziyamu permanganate amathandiza kwambiri pankhaniyi.

Ndizoletsedwa kuti odwala matenda ashuga agwiritse ntchito ayodini, wobiriwira wanzeru, hydrogen peroxide kuchitira zomwe zakhudzidwa. Mankhwalawa amatha kuwononga khungu ndikupangitsa kuti vutolo likule.

Ndi kukonza kwakanthawi, palibe zovuta zomwe zingachitike. Ngati khungu lozungulira chilondacho lasanduka lofiira, kutupa kumadziwika, ndiye kuti mankhwalawo ndi mafuta othandizira amafunikira. Zilonda zoterezi zimayenera kuwonetsedwa kwa adokotala kuti apewe zovuta.

Pa nthawi yochiritsa mabala, mafuta omwe amakhala ndi mafuta amagwiritsidwa ntchito kulimbitsa khungu. Nthawi yomweyo, muyenera kutenga mavitamini ovuta kuti mulimbikitse thupi ndi chitetezo chake.

Chithandizo cha mabala mwa odwala matenda ashuga

Ndi matenda a shuga, chithandizo chikuyenera kuchitika mosamala kwambiri. Zilonda ziyenera kutetezedwa. Pazantchito, gwiritsani ntchito:

bandeji wosabala, mafuta odzola a antibacterial, ma tampon kuti anyowetse chilondacho, zonona zamafuta opatsa thanzi, antiseptics, ubweya wa thonje wosabala.

Ngati chilonda chikuwonekera pa mwendo, katundu pa mwendo uyenera kuchepetsedwa. Ndikofunikira kuonetsetsa kuti dothi sililowa m'mabala omwe adapangidwa kale. Ngati kuwonongeka kuli kochepa, mutha kuthana ndi chithandizo chake.

Zochizira mabala am'mimba, thandizo la katswiri lidzafunika. Chithandizo chachikulu cha matenda a shuga chimachitika pogwiritsa ntchito zotsatirazi othandizira othandizira ndi njira:

antibacterial tiba, mavitamini B, C, E, zakudya zomwe zimakhala ndi mapuloteni ambiri, mankhwala azitsamba, njira zopangira opaleshoni, njira zolimbitsa thupi: laser, maginito, ultrasound, kuwonjezera chitetezo chokwanira.

Chithandizo cha mabala a neuropathic

Neuropathy imatsogolera ku necrosis yamitsempha yama mitsempha, yomwe imayambitsa kuchepa kwamphamvu. Wodwala samva microtraumas yolandila, chifukwa chake, amasemphana ndi nthawi yabwino yowalandira.

Matenda a shuga amakhalapo nthawi zambiri amakhala limodzi ndi matenda monga neuropathy. Kuti muchepetse kuvulaza, muyenera:

lawani shuga m'mitsempha chifukwa ulusi wamitsempha suchira komanso ndi shuga wambiri.

Kuwonongeka kwa phazi ndi neuropathy kumachitika m'malo omwe, poyenda, amawonekera kwambiri kupsinjika. Zilonda zoterezi ndi ming'alu momwe matendawa amalowerera mosavuta. Pokonzekera zovuta, zilonda zozama kwambiri; zimatha kufikira matendawa ngakhale mafupa.

Kudula kwa phazi mudzafunika kuchiza kwambiri matenda. Ndi chithandizo chanthawi yake, kuthandizira opaleshoni kungathe kupewedwa mwa 80% ya milandu.

Zilonda zazing'ono zomwe zimapangidwa chifukwa cha neuropathy zitha kuthandizidwa ndi mafuta a camphor. Mankhwala amapakidwa kumalo omwe akhudzidwa, kenako malowa amangidwa.

Matenda a shuga

Matendawa odwala matenda ashuga ndi vuto la zilonda zosapsa, momwe mumakhala chiwonongeko chamitsempha yamagazi ndipo, chifukwa chake, zotupa za khungu la necrotic. Zilonda zokhala ndi phazi la matenda ashuga ndizovuta kwambiri, ndizovuta kuziziritsa kunyumba. Chifukwa chake, nthawi zambiri mumayenera kufunafuna thandizo kuchokera kwa dokotala wa opaleshoni.

Kuti mankhwalawa akhale othandiza kwambiri, wodwala Malamulo ena ayenera kuwonedwa:

sinthani katundu pamapazi, valani nsapato zotakasuka, sinthani shuga, muchepetse chakudya, mutenge mankhwala a antispasmodic.

Ngati pali matenda ngati odwala matenda ashuga, chithandizo sayenera kuchedwetsa. Njira ya mankhwala imayikidwa ndi dokotala, chithandizo chiyenera kukhala pansi pake. Kupanda kutero, pali mwayi wambiri wodwala matenda osokoneza bongo monga gangrene.

Mavuto Ochiritsa Odwala

Ngati bala lolandilidwa kapena kudula sikuchiritsa kwa nthawi yayitali - iyi ndi nthawi yolankhula ndi dokotala. Pakakhala njira zoyenera zomwe sizitsatiridwa panthawi, pamakhala ngozi. Zombo zamatenda a shuga zimakhudzidwa, chitetezo chamthupi chimafooka. Izi ndi zinthu zina zimasokoneza njira yochira.

Zilonda zotsatirazi zingathe kuyambitsa mavuto:

mabala, punctures, burns, chimanga.

Ngati muli ndi microtraumas iyi, muyenera kuchitapo kanthu mwachangu ndi kukaonana ndi endocrinologist.

Kodi angagwiritsidwe ntchito bwanji pochiza mabala omwe ali ndi matenda ashuga?

Kodi kuchitira mabala a shuga? Funsoli limadetsa nkhawa anthu ambiri, chifukwa amachiritsa odwala kwambiri. Choopsa chachikulu ndi zotupa za khungu. Njira zochizira mabala owoneka bwino ndizovuta komanso zazitali. Chomwe chimapangitsa izi ndizoti chitetezo chamthupi cha wodwala matenda ashuga sichichita ndi ntchito yake.

Zilonda pamiyendo kapena ma ankolo zimawerengedwa kuti ndi zowopsa. Nthawi zina, madokotala amayenera kusintha njira, mwachitsanzo, kudula mbali imodzi kapena ziwiri.

Kodi matenda ashuga ndi chiani?

Matenda a shuga ndi matenda omwe amayamba chifukwa cha kuchepa kwa insulin mthupi. Hormone imeneyi imalamulira kuchuluka kwa shuga m'magazi. Zikondazo zikasiya kutulutsa insulin, shuga ya magazi imakwera kwambiri.

Ndi matendawa, kuphwanya kwa kagayidwe kazachilengedwe kumachitika. Matenda a shuga oterewa amatchulidwa kuti amadalira insulin, kapena matenda a shuga a mtundu wa I. Ngati kapamba amapanga insulini, koma thupi sililabadira moyenera, ndiye kuti izi zikutanthauza kuti munthuyo apanga matenda a shuga a II, kapena a shuga osadalira insulini.

Matenda a shuga a Type I amafuna jakisoni wopitilira insulin. Imayendetsedwa nthawi yomweyo ndikudya. Ma insulin omwe mapiritsi omwe ali ndi mtundu uwu wa shuga samapereka tanthauzo, chifukwa amawonongeka m'mimba. Chifukwa chake, wodwalayo amapanga jakisoni, pambuyo pake muyenera kudya nthawi yomweyo.

Ndi matenda a shuga a Type I, muyenera kutsatira kadyedwe kokhazikika kupatulapo maswiti, zakudya zamafuta ndi mafuta. Matenda a shuga a Type II amakula mosadukiza, chifukwa insulin imapezeka m'thupi ndipo imagwira ntchito yake pang'ono pakulamula shuga.

Zizindikiro sizimawonekera mwa njira yotchulidwa, nthawi zambiri mtundu wamtunduwu wa shuga umapezeka mwamwayi, pakuwunikira chifukwa cha madandaulo ena. Mapiritsi a insulin safunika nthawi zonse.

Choyamba, wodwalayo amapatsidwa zakudya kuti muchepetse kunenepa ndikuchotsa kuchuluka kwa michere mthupi. Ngati izi sizokwanira, ndiye kuti dokotala ndi amene ayenera kumwa mankhwalawa.

Kodi mabala ashuga amachiritsidwa bwanji?

Chifukwa cha kuchuluka kwa shuga, magazi amathanso kukhala okhuthala ndipo sangatulutse mpweya ndi michere monga momwe amafunira. Zotsatira zake, ziwalo zonse ndi minofu zimavutika. Ndi matendawa, njira za metabolic zimasokonezeka, dongosolo lamagazi limakhudzidwa. Zombo zazing'ono zimataya kunenepa. Zonsezi zimabweretsa zovuta zamagazi.

Zonsezi zimakhudza kuchiritsa kwa mabala. Mapazi amakhudzidwa makamaka. Poyerekeza ndi kuzungulira bwino kwa magazi, magazi amanjenje amasokonezeka. Wodwalayo sangamve kupweteka kwambiri chifukwa chodulidwa kapena kuvulala mwendo. Mavuto ambiri a shuga ndi awa:

matenda a shuga, matenda ashuga angiopathy, ganglia.

Matenda a diabetes a neuropathy amadziwika ndi kuwonongeka kwa mitsempha mathero. Chifukwa cha izi, khungu limataya kuchepa kwake komanso kumva. Chifukwa cha khungu louma, mabala kapena mabala akumata kwa nthawi yayitali. Khungu pamapazi limasweka, ndikutsegulira njira matenda osiyanasiyana.

Ngakhale chifukwa wodwalayo amapaka chimanga ndi nsapato zosavutikira, chilonda chitha kupangika, chomwe chidzafunika kuchizidwa kwakanthawi. Munthu amatha kuzindikira vuto pokhapokha ngati chilonda chake chayamba kale kufooka chifukwa cha kuchepa kwa chidwi.

Matenda a shuga angiopathy ndimitsempha yamagazi, makamaka ma capillaries. M'makoma amitsempha yamagazi, njira ya maselo odyera imasokonekera. Izi matenda amachititsa kupweteka kwa odwala matenda ashuga akamayenda. Kulephera kusintha kwa minyewa, khungu limayamba kuoneka bwino.

Chifukwa cha magazi osayenda bwino, miyendo imakhalabe yozizira, ndipo mabala omwe amayamba sangathe kuchira. Popita nthawi, mafupa ndi cartilage amawonongeka. Matendawa amatha kuchitika chifukwa cha:

mabala, kuwotcha, chisanu, matenda a mafangasi, misomali yoyenda, chimanga.

Pathology imayendera limodzi ndi kupweteka kwambiri ndipo ngati munthu watukuka kumafuna kudula miyendo. Chifukwa chake, odwala matenda ashuga amalangizidwa kuti azichitira abrasions yomweyo, kupewa kufalikira kwa matenda.

Chithandizo cha odwala matenda ashuga

Chithandizo chachikulu cha matenda ashuga chimafunikira mwachangu komanso molondola. Chikwangwani chaching'ono chikawoneka, muyenera kuchiza mankhwala ndi antiseptic.

Ngati wodwalayo akuwonjezera kutentha, ndipo kutupa kapena kufupika kwakhazikika kuzungulira chilondacho, ndiye kuti njira zowonjezera zimafunikira. Pus ikawoneka, maantibayotiki ndi mavitamini ndi omwe amapatsidwa. Ndikofunikira kugwiritsa ntchito zida zomwe zingathandize kupukuta bala.

Kuthandizira mabala, muyenera:

bandeji wosabala, mafuta opha ma antibayotiki, ma tampon ofafafaniza mabala, antiseptic agents (furatsilin, potaziyamu permanganate, miramistin, dioxidine 1%), ubweya wa pamba wosabala.

Pambuyo pazilala zowuma, mafuta othandizira ochiritsa mafuta angagwiritsidwe ntchito. Mabala owonda nthawi zina amathandizidwa ndi kutsegula kwa opaleshoni. Koma kuchita izi kungaphatikizenso matenda obwera ndi sepsis.

Ngati mwendo wawonongeka, katundu pa iye ayenera kuchepetsedwa. Izi zikuthandizira kuchepetsa kutetemera ndikutchingira kulowetsa fumbi ndi uve mu ming'alu. Kuphatikiza pa mankhwala, kuchiza mabala mwa anthu odwala matenda ashuga kungachitike m'njira zina.

Ndi zitsamba ziti zomwe zimagwiritsidwa ntchito pa matenda ashuga?

Mabala a matenda ashuga amatha kuthandizidwa ndi zitsamba. Celandine amagwira ntchito bwino. Ngati ndi kotheka, sonkhanitsani m'nthawi yamaluwa ndi youma. Kutunga zitsamba zouma ziyenera kuthiridwa ndi madzi otentha ndikulola kuti zipere. Mu kulowetsedwa kozizira, chotsani dzanja ndi kudwala kwa mphindi 20. Kusamba kwazitsamba koteroko kumayenera kuchitika katatu patsiku. Kuchiza kuyenera kumatenga masiku 14.

Mphamvu yotsutsa-yotupa ndi chamomile, calendula. Sakanizani zitsamba zofanana ndizofanana. Msuzi ukazizira, muzitsuka ndi ziwalo zomwe zakhudzidwa. Kuphatikiza pa zitsamba, ndizovomerezeka kugwiritsa ntchito chindapusa chomwe chimachepetsa shuga komanso kusintha magazi.

Kugwiritsa ntchito zitsamba ngati izi kungathandize kwambiri odwala matenda ashuga ndikuthandizira kuchiritsa kapena mabala. Shuga wotsika:

masamba a sitiroberi wamtchire, mahatchi, St. wort wa St., mbewu za fulakesi, maluwa a linden, knotweed, mama.

Kulimbitsa shuga m'magazi kudzachepetsa kwambiri mabala. Zitsamba zomwe zimathandizira kusintha kayendedwe ka magazi zimaphatikizapo hawthorn, buluu chimanga, masamba a tiyi a impso, masamba a nettle, ndi masamba a lingonberry.

Kodi mungapewe bwanji mabala?

Mabala omwe sanachiritse nthawi yayitali samangoyambitsa chisangalalo kwa wodwala yemwe ali ndi matenda ashuga, komanso amakhala owopsa. Chifukwa chake, madokotala amalimbikitsa kuti anthu odwala matendawa azisamalira chitetezo. Osamavala nsapato zolimba. Osayenda nsapato, makamaka m'mphepete mwa nyanja. Kuvala mafoloko sikulimbikitsidwa.

Odwala matenda ashuga ayenera kupenda miyendo tsiku ndi tsiku. Mikwingwirima yaying'ono, abrasions ikufunika kuthandizidwa. Osasamba nthawi yayitali. Kukhazikika kwa nthawi yayitali kumapangitsa kuti khungu lizitupa komanso kuwonongeka pang'ono.

Anthu odwala matenda ashuga ayenera kusiya zizolowezi zoyipa. Ngakhale matenda ashuga angayambitse mavuto ambiri, wodwalayo amatha kuchepetsa matendawa pogwiritsa ntchito njira zoyenera.

Mankhwala ochiritsa mabala a shuga

Ndi vuto la kuchiritsa mabala m'matenda a shuga, ambiri amvapo, nthawi zambiri ngakhale zopindika zazing'ono zimachira kwakanthawi yayitali, zimathandizira, zimayambitsa zovuta zambiri. Ndipo aliyense amva za kupezeka pafupipafupi kwa zilonda, zomwe zimatha kuduladula.

Kuchiritsa kwamabala osavomerezeka mu shuga mellitus kumachitika chifukwa chophwanya magazi, komwe kumachepetsa thanzi la minofu ya miyendo ndikuchepetsa njira ya kusinthika kwawo. Vutoli limapweteka kwambiri chifukwa cha kuvulala kwa madera ena otsika.

Tsopano, vutoli layithetsa ndi asayansi aku Israeli omwe adapanga mankhwala ochiritsira zilonda makamaka kwa odwala matenda ashuga. Mankhwalawa amachokera ku nanoparticles, opangidwa pochiza mabala, mabala, zilonda zam'mimba.

Tsopano mankhwalawo adakwanitsa kuyesa nyama. Poyeserera ndi mbewa ndi matenda ashuga, mankhwalawa adawonetsa zotsatira zabwino - kusinthika kwa minofu, ndipo chifukwa chake machiritso a bala, adachitika mwachangu kawiri katatu katatu kuposa popanda kumwa mankhwalawa.

Posachedwa, mankhwalawo amayenera kukumana ndi mayesero azachipatala ndikulowa mumsika wamankhwala.

Zomwe Zimayambitsa Matenda A Ashuga

Matenda a shuga ndi matenda omwe amadziwika ndi kuwonjezeka kwa shuga m'magazi, komwe kumakhala ndi vuto lililonse mthupi lonse, komanso zikhalidwe zazing'onoting'ono makamaka, zomwe zimapangitsa kuti ziwonjezeke.

Izi zikuchitika chifukwa cha kuwonongeka kwa kayendedwe ka magazi (makamaka m'malekezero) ndikuwoneka kwamavuto pakupezeka kwa michere pakhungu la khungu. Matenda a shuga amachititsa zilonda zam'mimba mu 3% ya milandu. Zilonda za matenda ashuga zimachitika chifukwa cha kuwonongeka kwa kama wogona, komanso mwina chifukwa cha kuwonongeka kwa mitsempha ya matenda ashuga - polyneuropathy.

Nthawi zambiri mumawululira kuwonongeka kwa fungus ku misomali ndi khungu la phazi. Mu matenda a shuga, chimanga chachilendo (chimanga) chokhacho chimapangidwa, kuwonongeka komwe kumayambitsa mapangidwe a zilonda zam'mimba.

Kubera kwawo ndi kusakhazikika kwa mawonekedwe amderalo (zilonda zam'mimba zimatha kukula zazikulu ndi kuya) kwa zovuta za ululu wamankhwala (chifukwa cha zovuta zokhudzana ndi matenda ashuga a polyneuropathy, atha kukhala palibe).

Ngati chilondacho sichichiritsa m'masiku ochepa, chimatha kusintha kukhala chilonda. Kwa odwala matenda ashuga, matenda ammimba a shuga amakhala ndi vuto, ndiye kuti, mabala amiyendo osachiritsa.

Matenda a matenda ashuga

Matenda a shuga ndi necrosis kapena kuwonjezeranso minofu yofewa ya phazi ndi zala motsutsana ndi zotupa zam'mimba komanso zamanjenje zomwe zimakhudzana ndi matenda a shuga. Matenda a shuga amayambitsa kuwonongeka kwenikweni kwa mitsempha ndi mitsempha yotupa. Kuphatikiza apo, motsutsana ndi maziko a matenda ashuga, kukulira kwa kutha kwa matenda a atherosclerosis nthawi zambiri kumathandizira.

Ndi kuchuluka kwambiri kwa shuga m'magazi, odwala matenda ashuga amayamba kukodza mopitirira muyeso, madzi amawonongeka m'thupi. Khungu limayamba kuchepa thupi, ndipo pakapita nthawi limakhala louma komanso lonyowa.

Tizilombo touluka komanso sebaceous timasokonekeranso. Ndipo pali kumverera kokuyaka, ming'alu yotsogolera kumatenda. Kuyenda ndi ming'alu kumapangitsa wodwala kukhala wosamasuka, makamaka zidendene.

Odwala omwe ali ndi matenda ashuga ayenera kuvala nsapato zabwino komanso zofewa kuti muchepetse chimanga ndi chimanga. Ndi chimanga chopangidwacho, saloledwa kuduladula ndikuwotcha m'madzi otentha, komanso kuyika chigamba. Ndi bwino kugwiritsa ntchito mafuta okufewetsa ndi urea katatu pa tsiku. Choyenereracho chiyenera kuyikidwa pamalo oyera.

Ndi chitetezo chofooka m'thupi, mu odwala matenda ashuga, mafangasi amachulukirachulukira ngati pathogen mycosis ipezeka. Mwa anthu athanzi, matendawa ndi ochepa kwambiri kuposa omwe ali ndi matenda ashuga. Pamene mycosis imagwera pambale ya msomali, mtundu wake umayamba kusintha, misomali imakhala yolimba komanso yopanga.

Panthawi yovala nsapato, chifukwa cha kukula kwa mbale, zilonda zam'mimba zitha kuwoneka chifukwa cha kupsinjika kowonjezera pa chala. Pofuna kupewa zovuta, wodwalayo ayenera kupanga pafupipafupi kuyeza kwa msomali womwe wakhudzidwa. Mbale ya msomali iyenera kuthandizidwa ndi pumice kapena fayilo.

Zilonda za trophic ndi mabala omwe ali ndi kachilomboka omwe sanachiritsidwe panthawi. Ngati chilonda chikuchitika, wodwalayo amapeza njira yochizira muofesi ya wodwala matenda ashuga. Kuchiza kumakhala ndi kuchiza mabala omwe ali ndi antibacterial osamwa mowa, komanso kugwiritsa ntchito maantibayotiki ndi mavalidwe amakono.

Mwa anthu odwala matenda ashuga, chotupa chachikulu kwambiri ndi SDS (diabetesic foot syndrome), zomwe zimatha kudula gawo lam'mbuyo. Wodwala akakhudzidwa ndi mathero a mitsempha, munthu samamva kupweteka. Amatha kudziwotcha yekha, kuponda chinthu china chakuthwa, kupukusa mwendo wake, koma samva.

Mabala a purulent sayenera kuthandizidwa ndi ayodini, hydrogen peroxide kapena salicylic acid, chifukwa izi ndizowopsa pakhungu la anthu odwala matenda ashuga.Ngati khungu likhala louma kwambiri, muyenera kugwiritsa ntchito ma hypotonic othandizira popanda ma beta-blockers omwe amasokoneza ntchito yapakhungu.

Chilichonse, ngakhale mabala ang'ono kwambiri pakhungu amayenera kuthandizidwa. Ngati wodwalayo ali ndi malungo, malo ovulalawo ali ndi zilonda, zotupa ndi kufiira, zilondazo zimakhala kuti sizikuchira, mafuta onunkhira omwe ali ndi ma antibayotiki amayenera kuwonjezeredwa ku mankhwalawa, omwe nthawi yomweyo amatulutsa chinyezi kuchokera mabala (Levomekol, Levosin ndi ena).

Pazida ndi epithelization (kuchuluka) kwa bala, malo oyenera ayenera kupangidwa. Zimafunikira kutsukidwa kwa tizilombo tating'onoting'ono, minofu yakufa ndi matupi akunja. Hydrogen peroxide ndi iodophors zitha kumangochiritsa. Njira yabwino yoyeretsera ndikutsuka mabala ndi msuzi wosavuta wosabala.

Kugwiritsa ntchito malo osamba okhala ndi madzi oyenda mwa iwo kungalimbikitsidwe kwa odwala ena omwe ali ndi zilonda pamiyendo.

Matenda A shuga Aakulu

Kuchiritsa khungu mwachangu kumathandizira kuti mukhale ndi zakudya zoyenera, zomwe zimakhala ndi mavitamini okwanira. Ndikulimbikitsidwa kuti zakudya zotsatirazi ziziphatikizidwa muzakudya za tsiku ndi tsiku pamankhwala othandizira: nsomba, nyama, chiwindi, mtedza, mazira, oatmeal, komanso zipatso ndi masamba.

Kuphatikiza pa mankhwala othandizira, mankhwalawa amathandizira pochiritsa wowerengeka:

Chithandizo chachikulu cha matenda a shuga ndi mpendadzuwa. Chinsinsi chake ndichothandiza ndipo chikugwiritsidwa ntchito kwambiri masiku ano. Pakati pa mpendadzuwa wotumphukira, muyenera kukumba mizu yake mosamala. Kenako padzakhalanso tsitsi lochulukirapo kuchokera pamizu.

Kukulani mtsuko ndikusiya kwa mphindi 40 kuti mukalimbikire. Kuchiza mabala mu shuga, kulowetsedwa uku kuyenera kuledzera kosawerengeka masana m'malo mwa madzi, tiyi, compote, ndi zina zambiri. Tsiku lotsatira, konzekerani kulowetsedwa kwatsopano. Mpendadzuwa sunakhale woopsa, koma popeza umachepetsa shuga m'magazi, kuwunika kumayenera kuchitika sabata iliyonse.

Pakatha mwezi umodzi zotsatira. Mabala amayamba kuchira chifukwa magawo a shuga amachepa. Ndi shuga wambiri muyenera kukhala woleza mtima. Muyenera kuti mulandire chithandizo kwa miyezi isanu ndi umodzi. Omwe adzamwa kulowetsedwa ndi mpendadzuwa muubwana wawo ayenera kubwereza mankhwalawa atakalamba.

Mwatsopano nkhaka msuzi. Ndi mabala a purulent, madzi a nkhaka amathandiza. Ili ndi katundu wothandizira antimicrobial. Mothandizidwa ndi msuzi, malo owawa amapaka mafuta kapena compress amapangidwa, ndiye kuti malo omwe akukhudzidwawo ayenera kuthandizidwa ndi mankhwala omwe adokotala adauza.

Masamba a celandine. Celandine angagwiritsidwe ntchito pachilonda kapena bala - masamba ndi zimayambira, kenako bandeji mwendo.

Mizu ya burdock ndi celandine. Kwa mabala ochiritsa bwino amapanga decoction wa mizu ya celandine ndi burdock. Kuti muchite izi, muyenera kupera 30 g ya burdock, 20 g ya celandine, kuwonjezera 100 ml ya mafuta a mpendadzuwa. Ndikofunikira kuwira kusakaniza pamoto wochepa kwa mphindi 15, kusefa. Zilonda zimayenera kutsukidwa katatu patsiku kwa sabata.

Kuchiritsa konsekonse ndi matenda ashuga

Malinga ndi WHO, kuchuluka kwa odwala matenda ashuga ndi 3-5% ya anthu padziko lonse lapansi, ndipo sekondi iliyonse imakhala wodwala ku dipatimenti yopanga opaleshoni. Chifukwa chake, odwala matenda a shuga amapanga 6 mpaka 20% kuchipatala chilichonse ku United States.

Zosokoneza zazikulu zamatumbo a carbohydrate mu 80% ya odwala omwe ali ndi matenda osokoneza bongo zimayambitsa kukulira kwa angiopathies a matenda ashuga omwe ali ndi kutulutsidwa kwapadera kumadera otsika ndikupanga zilonda zam'mimba zomwe zimapangitsa pang'onopang'ono.

Pambuyo pakupezeka kwa insulin, zotsatira za chithandizo cha matenda opatsirana mwa odwala omwe ali ndi matenda osokoneza bongo zimayenda bwino kwambiri. Komabe, kuchuluka kwa mabvuto a postoperative mabala m'gulu lino la odwala akadali 6 mpaka 40%.

Amakhulupilira kuti mwa odwala omwe ali ndi matenda ashuga pali kuphwanya njira yothandizira mabala, ngakhale mpaka pano zinthu zonse za shuga zomwe zimayambitsa matendawa sizinaphunzire konse.

Kuperewera kwachidziwikire kumachitika chifukwa cha kusiyana kwa njira mu kafukufuku zomwe zimakhudza kutanthauzira kwa zotsatira ndikupangitsa kuti zikhale zovuta kufananizira zomwe zalembedwa.

Olembapo angapo amadziika pa kafukufuku wokhudza kuchiritsa mabala kwa odwala omwe ali ndi mtundu umodzi wokha wa matenda a shuga, pomwe ena amaphatikiza m'maphunziro a odwala omwe ali ndi matenda amtundu wa I ndi II (kuperewera kwa insulin, kukana insulini).

Kuunika kwa zotsatira zakufufuza kumakhala kovuta chifukwa cha kugwiritsa ntchito mankhwala osiyanasiyana pochiza matenda ashuga (insulin, mankhwala a hypoglycemic, zakudya).

Zowopsa sizimakumbukiridwa nthawi zonse - zaka, kunenepa kwambiri kwa odwala, matenda othandizira, etc. Njira zosiyanasiyana zimagwiritsidwa ntchito kudziwa kuchuluka kwa shuga m'magazi, zomwe zimakhudza kulondola kwa zotsatira.

Matenda a shuga a Type I amakula ali aang'ono, amakhala ndi chitukuko chofulumira ndipo amagwirizana ndi insulin. Matendawa amatengera autoimmune, ma virus ndi zina. Mu shuga, mankhwala othandizira omwe amapezeka mu insulin amatha kupanga.

Pankhaniyi, insulin imapangidwa kochepa kuposa momwe amafunikira, chifukwa cha zomwe kagayidwe kakang'ono ka shuga kamasokonekera ndipo hyperglycemia imayamba. Odwala omwe ali ndi matenda a shuga a mtundu woyamba, maselo amakhala ndi zochulukirapo kuposa momwe zimakhalira ndi insulin receptors, yomwe ndi njira yothandizira, koma sikokwanira kupewa hyperglycemia.

Chifukwa cha hyperglycemia, glucosuria, polyuria, ketosis, kuchepa mphamvu kwa thupi ndi kuchepa thupi - matenda a shuga a achinyamata. Odwala omwe ali ndi matenda amtundu wa shuga angafunike insulin.

Matenda a shuga a Type II amapezeka kawirikawiri m'mankhwala onenepa kwambiri ndipo amadziwika pang'onopang'ono, nthawi zambiri atakwanitsa zaka 40. Sizikudziwika chomwe chimayambitsa chitukuko cha matendawa, komabe, ndi mtundu uwu wa matenda ashuga, insulin kukana kumayamba ndikuwonjezereka kwa mawonekedwe a mafuta kumawonedwa.

Maselo omwe akuyembekezeredwa amakhala ndi kuchuluka kwa insulin receptors komanso kuchepa kwa metabolic. Odwala omwe ali ndi matenda amtundu wa II, kuchepa kwa mayankho a kapamba pambuyo podziwika ndi shuga. Chifukwa chake, palibe yankho la insulin lokwanira kukhazikitsa shuga.

Kugwiritsa ntchito zakudya komanso ntchito zomwe zimalimbikitsa kuchepa thupi kumatha kukulitsa chidwi cha insulin. Kugwiritsira ntchito mankhwala a hypoglycemic othandizira pakamwa (OGA) mu 80-90% ya odwala omwe ali ndi matenda amtundu wa II akhoza kukhala othandiza, ndipo kuperekera kwa insulin komwe sikumafunikira nthawi zonse.

Hyperglycemia ndi glucosuria sikuti ndi zizindikiro za matenda ashuga. Amatha kukhala amawu poyankha pamavuto. Cha m'ma 1892, E. Smith ndi T. Durham adazindikira odwalawa m'magulu awo a matenda ashuga. Pakadali pano, odwala oterewa akuchulukirachulukira.

Odwala ambiri opaleshoni amakhala ndi tsankho la glucose loyambitsidwa ndi opaleshoni ndi kupanikizika. Pansi pa kupsinjika (kuvutika maganizo, opaleshoni, opaleshoni) m'thupi kumakulitsa kuchuluka kwa "nkhawa" yamafuta - adrenaline, glucagon, cortisol ndi mahomoni okula.

Ma hormone awa amatsutsana ndi zovuta za insulin, ndikuthandizira kuchuluka kwa shuga m'magazi. Zotsatira zake, odwala amafunanso insulin yambiri. Pankhaniyi, odwala matenda amtundu wa II, omwe amakhala bwino akungodya kapena kulandira OGA, pakanthawi kochepa amafunika kukhazikitsidwa kwa insulin yakunja kukonza hyperglycemia.

Zinthu ngati izi zitha kuthandiza kuti odwala ena azindikire kuti adwala matenda asanakwane.

Zovuta zina mwa odwala omwe ali ndi mitundu iwiriyi ya shuga zimaphatikizira matenda a mtima ndi minyewa. Mavuto a macrovascular amagwirizanitsidwa ndi kukula kwa atherosulinosis komanso kuwonjezereka kwa kuwononga zotumphukira, kuchepa kwamitsempha, ndi kusokonekera kwa mitsempha.

M'zaka zaposachedwa, chithandizo chamankhwala opangira odwala omwe ali ndi matenda a shuga chakhala chikukulirakulira, ndipo pakadali pano kuchuluka kwawo kwa chiwopsezo chikufanana ndi kwa odwala opanda matenda a shuga. Gawo loyamba pankhani iyi linali kuyambitsidwa kwa chakudya chamagulu, pomwe mu 1914 F.M. Allen adayamba kutulutsa njala.

Kuchuluka kwa chakudya chamagulu ochulukitsa asanachitike opaleshoni kumafanana ndi kuchuluka kwa glucosuria komwe kunasowa kwa wodwalayo. Njira yokonzekeretsa odwala mu nthawi ya opangidwayo idayamba kutchuka.

Kupezeka kwa insulin mu 1922 kunasinthira chithandizo cha matenda ashuga ndikukulitsa chisamaliro cha opaleshoni kwa odwala, kuphatikiza iwo omwe matendawa sakanatha kuwongolera kokha ndi zakudya. Zolemba pazaka 10 zotsatira zikuwonetsa kuyambitsa kwa insulin mankhwala mwachangu.

Pofika 1940, J.A. Green et al. lipoti la odwala 324 omwe ali ndi matenda ashuga, zotsatira zake za chithandizo zomwe zinali zofanana ndi za odwala omwe alibe matendawa. Dziwani kuti nthawi imeneyo maantibayotiki sanagwiritsidwe ntchito ndipo ntchito yomanganso yamitsempha yamagazi ikuyenda motsika m'munsi sizinachitike.

Komabe, ngakhale atakwanitsa kuchita zambiri, odwala matenda ashuga ndipo tsopano nthawi zina amakhala ndi zovuta zambiri za mabala. P.J.E. Cruse ndi R. Foord, pofufuza zotsatira za chithandizo cha odwala 23649, adapeza kuti ndi matenda ashuga, chiopsezo chotenga matenda opatsirana pambuyo pa ntchito "zoyera" ndiokwera kwambiri kuposa 5 kwa odwala omwe alibe matenda a shuga.

Amakhulupirira kuti odwala matenda a shuga omwe ali ndi chithandizo chokwanira komanso hyperglycemia yochita kukonzedwa nawonso ali ndi vuto lofanananso ndi zovuta za mabala a postoperative ngati odwala wamba.

Kafukufuku woyeserera wa njira yochizira mabala mu shuga nthawi zambiri amachitidwa pa mtundu wa shuga womwe umapezeka kuchokera ku ziweto zobereketsa pogwiritsa ntchito alloxan kapena streptozotocin.

Mukamawerengera machiritso a zilonda zam'mimba (mbewa, hamsters, makoswe) okhala ndi matenda a shuga a I, kuchepa kwa chiwerengero cha polymorphonuclear leukocytes (PNL), kuchuluka kwa edema, kuchepa kwa chiwerengero cha fibroblasts, collagen synthesis, bala lamphamvu, ndi kuchepa kwa mapangidwe a minofu ya granulation.

Mu nyama zomwe zimaperekedwa ndi insulin, zizindikiro zonse zinali bwino. Komanso, ndikuwongolera insulin panthawi yoyamba ya 8 mawola atagwira ntchito, bala lamankhwala linayamba kusintha (kuchuluka kwa ma PMN, ma fibroblasts komanso mapangidwe a collagen mu bala akuwonjezeka) ngakhale atakhala kuti matendawa alibe kuchuluka kwa shuga m'magazi.

Nthawi yomweyo, pophunzira mphamvu ya mabala masabata 8 pambuyo povulala, zidapezeka kuti kubwezeretsa kaphatikizidwe ka collagen mu nyama zokhala ndi hyperglycemia kumafunika pafupi ndi kuchuluka kwa shuga wamagazi.

S. Rosenthal et al., A. Prakash et al. adanenanso kuchepa kwa mphamvu ya mabala m'zinyama zopanda insulin. W.H. Goodson ndi T.K. Hunt adapeza kuchepa kwa zomwe zili mu collagen m'mabala omwe ali ndi zilonda zokhala ndi matenda ashuga, momwe ma cylinders adayikidwa.

W.H. Goodson ndi T.K. Hunt awonetsa kuti mu nyama zomwe zili ndi matenda ashuga, kuyambitsa insulini ndikofunikira kwambiri koyambirira kwamankhwala othandizira. Ngati insulini idaperekedwa nthawi yomweyo pambuyo pakugwiritsa ntchito chilondacho, kuchuluka kwa minofu ya m'miyendo yomwe idapangidwa m'm zilondazo kunali kofala, ngakhale kuti insulini idasokonezedwa masiku 11 mpaka 21.

Komanso, ngati insulini idalembedwa patadutsa masiku 10 chilonda chikagwiritsidwa ntchito, izi sizinapangitse kuchuluka kwa minofu ya granulation. Gawo lamachiritso oyambira, lomwe makonzedwe a insulin amafunikira, ndi nthawi yoyankha.

Kuzindikira zovuta mu gawo ili mu nyama yokhala ndi matenda a shuga omwe amaphatikizidwa ndi chidziwitso chokwanira pakhungu la leukocytes mwa odwala matenda ashuga. Pankhaniyi, pali kuchepa kwa kuphedwa kwa chemotaxis, phagocytosis ndi intracellular.

Chifukwa chake, kuchiritsa koperewera kwa odwala omwe ali ndi matenda ashuga kumatha kuphatikizidwa ndi chilema poyankha. Zakuti kuchepa kwa insulin kumakhala ndi gawo lalikulu mu gawo la kutupa ndikusakhudza kaphatikizidwe kakang'ono ka collagen kumatsimikiziridwa ndi zotsatira za kafukufuku pazikhalidwe za minofu yam'maselo.

Insulin imathandizira kaphatikizidwe ka RNA kaphatikizidwe kamapulogalamu ena osachita collagen kochita kupukusa minyewa, kamakhudza pang'ono kapangidwe ka collagen ndi DNA. D.B. Villie ndi M.L. Powers adawonetsa kuti kapangidwe ka collagen ndi fibroblasts mu chikhalidwe cha minofu ndikofanana ndi kukhalapo kwa glucose mu gawo lapansi la minofu ndikuti kukhalapo kwa insulin sikukhudza njirayi.

Kuphatikiza kwa Collagen kumawonjezeka ndi kuwonjezeka kwa ndende ya glucose kuchokera 1 mpaka 7%. Pali malipoti azachipatala a machiritso olimbitsa mofulumira. Komabe, kusowa kwachidziwikire kwa insulin pa kaphatikizidwe ka collagen kumapangitsa kukayika pazotsatira za kafukufukuyu.

Chifukwa chake, ndikusowa kwa insulin, kuphwanya njira yochiritsa bala mu nyama kumawonedwa. Insulin imathandizira kubwezeretsa bala, koma pokhapokha atayambitsa gawo lotupa lisanayambike.

Mu mbewa zapakati pa milungu isanu ndi itatu ndi matenda a shuga a akulu ndi kunenepa kwambiri, kuphwanya kwamachiritso kunapezekanso. Makamaka, collagen yocheperako idapangidwa. Komanso, kukhazikitsa insulin muyezo wokwanira wa hyperglycemia sizinathandize kuti mabala achiritsidwe.

Izi ndizofunikira kwambiri pakukonzekera njira zoperekera chithandizo chokwanira cha odwala omwe ali ndi matenda ashuga pambuyo pake. Simuyenera kungoyang'anira hyperglycemia, komanso kudziwa ngati wodwala ali ndi vuto la insulin kapena insulin.

Malipoti okhudza chizolowezi cha odwala matenda ashuga kukhala ndi nthendayi ayambitsa maphunziro pa maphunziro a machiritso a zilonda zam'mimbazi.

Gawo loyamba la mabala amachiritsa mabala (kutupa) limadziwika ndi ma mtima ndi ma cellular omwe amathandizira kuthetsa dera lavulalalo ndikuteteza chilondacho kuti chisatenge matenda. Pazotsatira zofunikira za gawoli, maplateri omwe amagwira ntchito moyenera, ma PNL ndi ma monocytes ndi ofunika.

Gawo lachiwiri la kuchiritsa mabala (kusinthanso) limadziwika ndi kukula kwa capillaries omwe angopangidwa kumene, ma cell a epithelial ndikupanga ma collagen fibrils. Mchigawo chino, kuchulukana kokwanira kwa ma fibroblasts kumafunikira pakuphatikizika kwa collagen.

Popeza ma PNL amapereka mzere woyamba wodziteteza ku matenda a bala, anati kuwonjezereka kwa pafupipafupi kwamatenda a mabala kwa odwala matenda ashuga kumayenderana ndi zolakwika pakugwira ntchito kwa ma PNL.

Zomwe zimadziwika ndi ma PNL zimaphunziridwa, kuphatikiza kudziphatika kwa mtima endothelium, chemotaxis, phagocytosis, ndi kupha mabakiteriya a intracellular.

Pakuphunzira gawo loyambirira la machiritso a bala, njira ziwiri zazikulu nditha kuzitsatira. M'modzi mwa iwo, ntchito ya PNLs yokhayokha kwa odwala matenda a shuga ndi odwala omwe ali mgulu loyang'anira imaphunziridwa mu vitro.

PNPs idayikidwa pansi pazinthu zosiyanasiyana - mu mabakiteriya omwe amayimitsidwa (kuti aphunzire phagocytosis), seramu yokhala ndi zinthu zosiyanasiyana (pophunzira chemotaxis) ndi ma capillaries okhala ndi ulusi wa nylon (pophunzira kudzipatula).

Ngakhale panali kafukufuku wambiri pa ntchito ya PNL, ambiri a iwo amadzipereka ku phagocytosis ndi kupha kwapakati pamakutu.

Nthawi zambiri, olemba ntchito zawo amaphatikiza odwala omwe ali ndi matenda amtundu wa II komanso mtundu II. Zotsatira zakufufuza zambiri zikuwonetsa kuti ndi hyperglycemia pali kuphwanya kuthekera kwa ma PNL kuchitira phagocytosis yogwira mtima komanso kupha mwachidwi.

Nthawi yomweyo, zidapezeka kuti zotsatira za phagocytic ndi ma micobicidal amatha kuthandizira pokonza kuchuluka kwa glucose m'magazi mukamagwiritsa ntchito insulin ya insulin, komanso mukamagwiritsa ntchito OGA.

Ndizotheka kuti kuchepa kwa mapangidwe a intracellular opanga macroergic, kuwonongeka kwa mabakiteriya opsonization, ndikuchepa kaphatikizidwe ka lecithin, kofunikira kuti kubwezeretsanso kwamitsempha yama cell panthawi ya phagocytosis, ndizomwe zimayambitsa kusokonezeka kwa ntchito ya PNL.

Kafukufuku wocheperako adaganizira za zomatira za PNLs ndi chemotaxis, zimachitika zomwe zimatsogolera phagocytosis. Zotsatira za kuvulala, mkati mwa gawo la kutupa, maselo oyera am'magazi amatsatira msempha wa endothelium. J.D. Bagdade et al. adawonetsa kuphwanya kwamphamvu kwa kutsatira kwa PNL, komwe kumachotsedwa ndikuchepa kwa glucose m'magazi.

Izi zimatheka onse mwa odwala omwe amalandila matenda a shuga a mtundu wa I komanso odwala matenda a shuga II omwe alandila tolazamide (OGA). Kulephera kwa chemotaxis ya PNL mwa odwala matenda ashuga chifukwa cha kuchepa kwa zinthu zina za cellular ndi seramu kwanenedwapo.

Kuwonetsedwa kwa insulin ndi glucose mu vitro komanso vivo kumapangitsa chemotaxis ya PNL, komabe, izi sizotsatira. D.M. Molenaar et al. adaphunzira chemotaxis odwala omwe ali ndi matenda a shuga a mtundu woyamba ndi abale awo athanzi ndipo adapeza kuphwanya mankhwala a chemotaxis kumapeto kwake, zomwe zikusonyeza kupezeka kwa vuto lobadwa nalo la PNL mwa odwala matenda ashuga komanso abale awo.

R.H. Drachman et al. adapeza kuwonjezeka kwa kuzindikira kwa vivo kuti atchule 25 pneumococcus mu makoswe omwe ali ndi matenda a shuga a alloxan. Mu vitro, olemba adapeza kuchepa kwa ntchito ya phagocytosis ya pneumococci ndi leukocytes ochokera ku makoswe a matenda ashuga poyerekeza ndi nyama zathanzi.

Nthawi yomweyo, zidawonetsedwa kuti leukocytes ya nyama yoyesera idagwira ntchito ngati yabwinobwino ikayikidwa mu seramu yama makoswe athanzi. Pamene shuga adawonjezeredwa ndi seramu yokhazikika, chifukwa cha momwe osmolarity ake adakulirakulira, kudatsikanso kuchepa kwamphamvu kwa ntchito za legocytic zopezeka kuchokera ku makoswe oyesera komanso athanzi.

Zowopsa zomwe zimathandizira kukulitsa zovuta zamavuto kwa odwala omwe ali ndi matenda ashuga zimaphatikizapo zaka, kunenepa kwambiri, matenda a mtima komanso minyewa ya m'mitsempha. Pali mabuku ambiri onena za matenda opezeka m'matumbo am'munsi mwa odwala matenda a shuga.

Ngakhale njira zomwe zimayambitsa kupititsa patsogolo kwa chitukuko cha matenda a shuga sizikudziwika bwino, kuchuluka kwa vuto la kuperewera kwa thupi ndi kuperewera kwa thupi komwe kumayambitsa odwala omwe ali ndi matenda a shuga kumabweretsa chiopsezo chowonjezereka ndikuthandizira kukulitsa zovuta zamavuto.

Microvascular pathology (kachilombo kakang'ono matenda) owonera odwala matenda ashuga amadziwika ndi kukula kwa chapansi membrane wa capillaries, zomwe zimapangitsa kuti awonjezere kukula kwawo.

Vuto lama microcirculation lomwe limayambitsa kuphwanya machiritso a mabala ndi kuchepetsa kusuntha kwa leukocytes, kutumiza kwa michere ndi mpweya. S. Goldenberg et al. adalongosola kuchuluka kwa endothelial kuchuluka ndi kusakhazikika kosayenera mu arterioles mu 92% ya odwala omwe adayeza matenda a shuga.

Anapezanso kuphatikizika kwina kwa zigawo zam'mimba zodwala m'magazi omwe ali ndi matenda ashuga kuyerekeza ndi odwala opanda matenda a shuga, ndipo adati izi zikugwirizana ndi kusintha kwamankhwala. Madongosolo mu arterioles anali ofanana ndi madongosolo omwe amapezeka mu impso mwa odwala omwe ali ndi matenda ashuga.

Nthawi yomweyo, zidapezeka kuti ndi m'badwo, gawo loyambira la capillaries limakulirakulira mwa anthu athanzi. Kuphatikiza apo, kukula kwa chipinda chapansi pa capillaries sikuwonedwa mwa odwala onse omwe ali ndi matenda ashuga. Chifukwa chake, adapezeka mu 30% yokha ya odwala matenda a shuga.

Ndiye kuti, sizinafotokozedwebe bwino ngati matenda ashuga a shuga ndi omwe amayambitsa kapena chifukwa chophwanya machiritso a mabala.

Kafukufuku akuwonetsa kuti microvasculature mu shuga imatha kugwira ntchito moyenera. Kuwonjezeka kwa mtima kupindika kwa 131I ndi 51Cr EDTA kunawonetsedwa poyesa kuyimitsidwa kwa capillary pamphumi mwa odwala omwe ali ndi matenda ashuga.

Zovuta m'matumbo a 133Xe ophatikizidwa ndi minyewa yamkati mwa mwendo wakumbuyo inali yapamwamba mwa odwala matenda a shuga. Zotsatira zofananazo zimapezeka m'maphunziro ogwiritsa ntchito 131I ndikulemba albin.

Amaganiziridwa kuti kuwonjezeka kwa permeability kungakhale kuphwanya kwakukulu chifukwa cha kukulira kwa membrane wapansi wa capillaries, zomwe mwina ndi chifukwa chakuwonjezeka kwa plasma.

Mukamaphunzira mafuta owonjezera pakhungu pachilonda pambuyo poti jekeseni wamba wa 133Xe m'malo opezekapo ndi kumbuyo kwake kwa zotupa pakhungu lisanachitike komanso mutadulidwa pambuyo pake. Ngakhale kuchuluka kwa mafuta omwe ali ndi odwala omwe ali ndi matenda a shuga kunachepa pang'ono, kuwonjezeka kwa mafuta ena kumawonekeranso.

G. Rayman et al. anagwiritsa ntchito Doppler sensor kuti ayese kuyesa kwakanthawi mkati mwa khungu pambuyo povulaza odwala omwe ali ndi matenda a Type I omwe alibe matenda akuluakulu amitsempha, komanso mwa odwala opanda matenda a shuga.

Kuchuluka kwa kuchuluka kwa magazi kumagwirizana ndi nthawi yayitali ya matenda a shuga. Komabe, mwa odwala kunalibe kulumikizana pakati pa shuga wamagazi ndi kuthamanga kwa magazi pakhungu. Amaganiza kuti kuchepa kwa khungu la mtima mwa odwala omwe ali ndi matenda ashuga kungalumikizidwe ndi kupunduka kwa oyimira pakati opweteka.

W.H. Goodson ndi T.K. Hunt adawona kuti kuwonjezeka kwa kuvunda kwa capillary komwe kumalumikizidwa ndi microangiopathy ndikuyankha kwakuthupi koyambirira kwa gawo loyambira la machiritso a bala.

Popeza kukula kwa chipinda chapansi pa capillaries kumalumikizidwa ndi nthawi yayitali ya shuga, kulumala kumeneku sikungapezeke komwe kumapangidwa mabala a odwala omwe ali ndi matenda ashuga.

Zotheka zimatheka ngakhale ngati pali zotupa zam'mimba za retina, zomwe zimawonetsa kukhalapo kwa zotupa zofanana za glomerular. Komabe, kukhalapo kwa kusintha kwa histology mu ziwiya sikuti kumakhudzana ndi zovuta zamagulu, ndipo zovuta zamagulu zimatha kuwongoleredwa ndi makonzedwe owonjezera a insulin.

Maphunziro owonjezerawa amafunikira kuti athe kuzindikira kufunika kwa machiritso am'mimba pakuchiritsa mabala ndikuzindikira udindo wa mankhwala osokoneza bongo pakukonzanso machiritso a zilonda zam'mimba.

Izi zimathandizira kuti asasamale zowawa komanso zowonekera nthawi yayitali pomwe sanatchulidwe kwambiri. Zotsatira zake, kuwonjezereka kwa zowonongeka zomwe zilipo ndipo nthawi zambiri mapangidwe a zilonda zam'mimba pamapazi.

Pokhudzana ndi kusokonezeka kwa njira yochiritsira bala, odwala matenda a shuga amakhala ndi chizolowezi chomakulitsa matenda, komanso nthawi zambiri amakhala otsika.

Olemba ambiri amawonetsa pafupipafupi mabakiteriya a gram-negative ndi anaerobic opatulidwa ku puritive foci mwa odwalawa. Nthawi zambiri, mayanjano a gram-positive ndi gram-hasi tizilombo amawoneka, komabe, zikhalidwe zoyera za staphylococci kapena streptococcus sizipezeka konse.

Chifukwa chake, zovuta zapadera za metabolic, neuropathy, kuchepa kwa atherosulinotic kwa ziwiya zazikulu, angiopathy ya ziwiya zazing'ono, komanso chidwi chochulukirapo cha matenda kumapangitsa kuwonongeka kwa mabala odwala matenda ashuga.

Komabe, chithandizo chokwanira cha matenda oyambitsidwa ndi kufotokozeredwa kwa mawonekedwe ake enieni mwa wodwala komanso kuwongolera kwa hyperglycemia kumathandizira kukonza machiritso ndikuchepetsa kwambiri zovuta za mabala a postoperative odwala.

Mafuta ochiritsira zilonda zam'mimba

Anthu omwe ali ndi matenda osokoneza bongo ayenera kutsatira mosamala kwambiri kuti asawononge kukhulupirika kwa khungu, makamaka malekezero, chifukwa mphamvu yakuchiritsa mabala pamiyendo imasiyana kwambiri ndikuchiritsidwa kwa mabala m'ziwalo zina za thupi.

Kuwonongeka koyipa kwa malo owonongeka ndi chimodzi mwazizindikiro za matenda ashuga. Chitetezo cha mthupi mwa odwala omwe ali ndi matendawa ndi chofooka kwambiri, ndipo ndichifukwa chake thupi silitha kuthana ndi zotupa komanso khungu losafunikira.

Choopsa chachikulu ndikuvulala, komwe kumatenga matendawa, chifukwa chomwe njira yothandizira imayamba. Kutupa kwa miyendo, komwe nthawi zambiri kumakhalapo odwala matenda ashuga, kumavulazanso machiritso.

Zomwe zimayambitsa kukhulupirika kwa khungu komanso kuperewera kwama bala

Chizindikiro chachikulu cha matenda ashuga ndi shuga wamagazi ambiri. Ndi chifukwa ichi chomwe chimayambitsa kuphwanya kwa machitidwe onse a thupi la munthu, kuphatikiza minyewa. Ndi izi, zombo zazing'ono zimakulitsa kuvomerezeka, ndipo izi zimabweretsa kuwonongeka kwawo.

Izi zimakhudza kuwonongeka kwa kayendedwe ka magazi ndi kuchepa kwa michere m'maselo a pakhungu. Matendawa amatha kuzindikirika kuti ndi chifukwa chachikulu chophwanya kukhulupirika kwa khungu komanso nthawi yayitali yochiritsa mabala. Ngati zinthu sizinatenge nthawi, zinthu zitha kukhala zovuta ndi kutupa kwambiri, komwe nthawi zina kumatha ndi necrosis ya zimakhala (gangrene) ndikuduladula.

Odwala amataya khungu lawo, makamaka malekezero otsika. Chifukwa chake, odwala matenda ashuga amatha kuvulaza mwendo popanda kumva kupweteka. Ndipo kutha kwa mitsempha yakufa kumayambitsa kuyanika kwa khungu komanso kuchiritsa kwamabala.

Ngati malo ovulala samathandizidwa munthawi yake, matendawa amatha kudzera m'ming'alu yopangidwa ndi khungu louma. Maso onenepa kwambiri komanso osawona bwino, omwe ndi anzawo omwe ali ndi matenda ashuga, sikuti nthawi zonse amakulolani kuti muganizire bwino za umphumphu wa khungu lakumapeto.

Zikatero, bala laling'ono limatha kukhala zilonda zam'maso. Chifukwa chake, ndikofunikira kuyeserera tsiku ndi tsiku komanso, pang'onopang'ono, kuchitira chithandizo chakufunika m'deralo.

Zomwe zithandizo zimathandizira kuchiza

Ndi zizindikiro zochepa za vuto lakhungu, wodwala matenda ashuga ayenera kuonana ndi dokotala, chifukwa njira yochizira imatenga nthawi yayitali komanso nthawi zambiri imakhala ndi zovuta. Ndikofunikira kwambiri mu shuga kuti mukhale ndi mavitamini oyenera, izi zimathandizira kuchira msanga kwa ovulala.

Amachepetsa zizindikiro za kutupa ndikutulutsa chinyezi chambiri. Njira yabwino yovalira zachipatala ikhale mafuta "Levosin" kapena "Levomekol." Chithandizocho chikuyenera kuphatikizidwa ndi mavitamini (makamaka magulu C ndi B). Kupititsa patsogolo thanzi la khungu lovulala, odwala matenda ashuga ayenera kukhala ndi mafuta azolowetsedwa m'nyumba yawo yamankhwala kunyumba (Solcoseryl, Methyluracil, ndi Trofodermin).

Ndiosafunika kugwiritsa ntchito zinthu zomwe zimaphatikizira mafuta am'migodi (mwachitsanzo, mafuta odzola), chifukwa sizimakidwa ndi khungu. Kuti muyeretse bala kuchokera ku majeremusi ndikuipitsidwa, gwiritsani ntchito mchere wamba.

Ngati ndalama zomwe zalembedwazo sizibweretsa zotsatira zomwe zikufunika, ndipo chilondacho sichichiritsa kwa nthawi yayitali, ndiye kuti kuchitapo kanthu kwa opaleshoni ndikofunikira. Dotolo amachotsa minofu yakufa pomanga. Woopsa kwambiri - iyi ndi njira yokhayo yochiritsira zilonda.

Mankhwala achikhalidwe

Tonsefe timadziwa zamphamvu zodabwitsa za mankhwala othandizira ngati mankhwala achikhalidwe. Nthawi zambiri, ndimaphikidwe otchuka omwe amakhudza bwino nthawi yamachiritso a zilonda zam'mimba. Zotsatirazi ndizothandiza pagulu lino la anthu. Moyera kuyeretsa bala la majeremusi wamba nkhaka madzi.

Itha kugwiritsidwa ntchito mwanjira ya ma compress. Ngati malo ovulala amathandizidwa, muyenera kuthira mafuta omwe mumalandira ndi dokotala wanu. Masamba a Celandine ali ndi antimicrobial. Mumangofunika kulumikiza mbewuyo pamalo opaka khungu.

Mutha kukonza masamba ndi bandeji yachipatala. Mafuta opangidwa ndi munthu, omwe amaphatikizapo burdock (30 g), muzu wa celandine (20 g), mafuta a mpendadzuwa (100 ml), amathandizanso kubwezeretsa kukhulupirika kwa khungu.

Ndikofunikira kuwira osakaniza pamoto wochepa kwa mphindi 15. Ndi njira yosefera, chiritsani zilondazo katatu patsiku.

Kuchiritsa mabala a postoperative kwa odwala omwe ali ndi matenda osokoneza bongo

Pafupipafupi pakuthandizira, nthawi ndi kuchuluka kwa kusinthanso kwa postoperative aseptic ndi mabala omwe ali ndi kachilomboka anaphunziridwa mwa odwala 310 omwe ali ndi matenda osokoneza bongo.

Zochita za opaleshoni zimachitika mwadzidzidzi ndikukonzekera njira yopangira opaleshoni - matenda am'mimba, chithokomiro cham'mimba, matenda a matenda ashuga, etc.

Tawona kale kuti malinga ndi EJoslin, zaka zoyambira kwa odwala zotere zimawerengeredwa ndi zaka za kalendala kuphatikiza zaka za matenda ashuga. Chifukwa chake, chiwopsezo chawo chogwira ntchito chimakhala chokwera ngati cha anthu achikulire.

Asanalandiridwe kuchipatala, odwala 43% amapweteka pafupipafupi ndi insulin kapena amatenga mankhwala ochepetsa shuga. 28,4% ya odwala amathandizidwa nthawi ndi nthawi ndipo 1.8% sanachiritsidwe. Kwa nthawi yoyamba, odwala matenda ashuga adapezeka 26.2% ya odwala.

Matenda a shuga ofatsa anapezedwa m'mapiritsi 27,7% a odwala, okhazikika mu 52.3% komanso ovuta mu 20%. Mu matenda a chikumbumtima kapena chikomokere, 6% ya odwala amapulumutsidwa, zomwe zimafuna kukhazikitsidwa kwakanthawi kwa insulin.

Patsiku lovomerezeka, odwala omwe ali ndi matenda a shuga, shuga a magazi amachokera ku 9,9 mpaka 35 mmol / L, komanso mkodzo, kuyambira 55,5 mpaka 388,5 mmol / L.

Taphunzira za zotsatira za insulin yokwanira pamavuto othandizira odwala omwe adachitiridwa chipatala chathu komanso zipatala za zipatala zamizinda ndi zigawo. Kusiyanitsa kwakukulu kunapezeka pazotsatira zakuchiritsa kwa mabala a aseptic m'magulu onsewa.

Nthawi yomweyo, odwala omwe ali ndi matenda a shuga, omwe amagwiritsidwa ntchito mothandizidwa ndi zipatala zachigawo kapena zamizinda, kuwonjezeranso mabala kunali kofanana mokwanira pazowonjezera zonse zomwe zakonzedwa komanso mwadzidzidzi.

Pozindikira kuchuluka kwa kuchuluka kwa kuchuluka kwa mabala kwa odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi matenda oopsa otupa omwe amachitika m'chipatala chathu (13.3%), makamaka zipatala zachigawo (62,5%), akuyenera kutsindika kuti malinga ndi mabuku, kuchuluka kwa kuchuluka pambuyo opaleshoni yayikulu komanso yomwe ingayambitse odwala omwe ali ndi matenda ofanana opaleshoni, koma popanda matenda a shuga, pazaka zingapo zimachokera ku 1.8 mpaka 2.1%, komanso kuchokera ku 2.5 mpaka 4.1%.

Kuwunika kwa nthawi yochiritsa mabala a suppurative postoperative adawonetsa kuti zodulidwa zokhala m'munsi zomwe zidachiritsidwa kwakanthawi yayitali (mpaka masiku 70) chifukwa cha kusiyana pakati pakulowa pakhungu pambuyo pochotsa ma suture ndi mabala atatsegula phlegmon yozama.

Kwa nthawi yayitali (masiku 35-50), mabala amadzimadzi opaka pambuyo pofotokozedwa kwa ma abscesses ochuluka, appendectomy (mu appendicitis yowopsa), rectal extirpation, etc., ochiritsidwa.

Ngati tikufanizira nthawi yakuchiritsidwa kwa mabala oyeretsa mwa anthu ndi ana omwe ali ndi matenda ashuga omwe amathandizidwa mu zipatala zachigawo ndi matenda omwe awonetsedwa, ndiye kuti mawu oti kubwezeretsedwaku mkati mwawo anali owonjezera nthawi 2-3 (kuyambira masiku 80 mpaka 180) kuposa momwe misewu imathandizidwa chipatala chathu.

Chiwerengero cha mabakiteriya mu 1 g ya minofu yovulala chinakwera kuchoka pa 103-104 mpaka 10s-106, i.e. adafika pamlingo wovuta, womwe unkawopseza kukula kwa sepsis.

Kukula ndi kutukuka kwa microflora yolimbana ndi maantibayotiki, monga momwe amadziwika, amagwirizanitsidwa ndi kusayang'anira komanso kugwiritsa ntchito pafupipafupi. Chifukwa chake, "template" ya mankhwala othandizira odwala omwe ali ndi matenda ashuga ayenera kupewedwa.

Ndikofunikira kuganizira kuti, ngati ntchito yayitali, mankhwalawa ali ndi vutoli mosachedwa, pang'onopang'ono njira yochira.

Monga pakuyesera, njira ya kukonzanso kwa mabala a postoperative idachepetsa metabolic acidosis, yomwe idapezeka mwa odwala omwe ali ndi matenda osokoneza bongo pa 1st - 2nd tsiku atagwira ntchito.

Zotsatira zoyipa za acidosis pakuchiritsa mabala zimatsimikiziridwa osati ndi zotsatira za maphunziro athu, komanso ndi mabuku.Chifukwa chake, V.A. Alekseenko et al., Powerenga pH ya bala loyera, adapeza kuti kutulutsa kwambiri kwa acidosis (pH 5.6 ± 0.2) kwa zotupa, nthawi yayitali njira yochizira idachitika. R. Regshe et al. Adawonetsa kuti matupi a ketone (acidosis) yayitali adapezeka chifukwa cha mabala amadzimadzi a odwala omwe ali ndi matenda osokoneza bongo, minofu yapang'onopang'ono imapangika.

Kubadwanso kwatsopano mu shuga kunachedwetsedwa osati chifukwa cha kuchepa kwa insulin, acidosis komanso matenda, komanso ndi msinkhu wa odwala (opitirira zaka 50, panali pafupifupi 50% ya odwala), komanso kunenepa kwawo. Chifukwa chake, mu 23 (21.3%) ya odwala onenepa a 108 atachitidwa opaleshoni, kuwonjezerapo chilondacho kunadziwika.

Nthawi yomweyo, ndi thupi labwinobwino kapena lochepa pang'ono, izi zidawonetsedwa mu 3 (5.7%) mwa odwala 52 omwe ali ndi matenda osokoneza bongo. Pali umboni m'mabuku kuti ntchito za insulini mu kunenepa kwambiri zimachepa kwambiri, zomwe zimapangitsa kuchepa kwa mahomoni awa.

Chifukwa chake, A.S. Efimov et al., Powerenga zisonyezo za chitetezo chamthupi ndi ma cell mwa anthu omwe ali ndi matenda osokoneza bongo panthawi ya kuwonongeka kwa matendawa, adapeza kuchepa kwa wachibale komanso chiwerengero chokwanira cha T-lymphocyte - motero, mpaka 39.4 ± 0.37 (zabwinobwino 52.7 ± 6.13) ndi 759.7 ± 144.7 (zabwinobwino 1052.9 ± 169.56).

Nthawi yomweyo, kuwonjezeka kwa wachibale komanso chiwerengero chokwanira cha B-lymphocyte kunapezeka - mpaka 25,5 + 4.3 (wabwinobwino 17.0 ± 1.96) ndi 535.2 ± 13.4 (wabwinobwino 318.0 ± 61, motsatana). 47).

Mlingo wa serum euglobulin ukuwonjezeka mpaka 972.7 ± 77.1 (ndi chizolowezi cha 224.3 ± 88.65), kuphatikiza kwa seramu - mpaka 275.5 ± 35.5 mayunitsi (ndi muyezo wa 179.2 ± 12.9). Kusintha kwakukuru pakulimbana kwa chitetezo chokwanira kunawonedwa mwa odwala omwe ali ndi insulin.

Mkhalidwe wozungulira kufalikira umathandizanso kwambiri pakukonzanso mabala kwa odwala omwe ali ndi matenda osokoneza bongo.

Izi zimagwira ntchito makamaka kwa odwala omwe ali ndi chiwonetsero chazachipatala cha microangiopathy, momwe, malinga ndi ofufuza angapo, poyamba pamakhala kuchepa, kenako thrombosis ndi kuwonongeka kwa microvasculature, zomwe zimatsogolera kusintha kwa dystrophic mu minofu.

Inde, ndi shuga wowola, pali kuwonjezeka kwa ntchito ya pituitary gland - adrenal cortex. Monga matenda a shuga amalipira, mawonekedwe a 17 - CS ndi 17 - ACS amachepa. Munthawi imeneyi, kubadwanso kwatsopano kumakhala bwino. Zomwe zimayambitsa (hypovitaminosis, hypoxia, etc.) zimachepetsa machiritso a bala.

Komanso, kuyesa konse kwa dotolo pambuyo pa nthawi yothandizira kuyenera kukhala ndi cholinga chobwezeretsanso dongosolo la homeostasis ndikuwongolera momwe mabala amadzimadzi amakhudzidwira odwala omwe ali ndi matenda osokoneza bongo.

Chifukwa chakuti pafupipafupi pakuwonjezera mabala kumakulirakulira ndipo kuchuluka kwa odwala matenda a shuga kukuchulukirachulukira, funso lolosera zam'tsogolo machitidwe a bala ndilothandiza kwambiri. Amadziwika kuti njira zomwe zilipo pakuwunika njira yonse yochiritsira zilonda sizikhala zothandiza komanso zolondola.

Ndife oyamba kupempha kugwiritsidwa ntchito kwa njira yodziwira kayendedwe ka magazi am'deralo chifukwa chaichi. M'masiku ochepa asanachitike komanso pambuyo pa ntchito, magazi am'chiberekero am'mimba adatsimikizika ndi kutsimikizika kwa haidrojeni.

Zotsatira za kafukufukuyu, zidapezeka kuti magazi am'magazi amatuluka mwa anthu athanzi (anthu 15) pakhoma lamkati lakunja ndi (83.58 + 5.21) ml / min / 100 g ya minofu.

Kuti adziwe phindu la kayendedwe ka magazi am'deralo, odwala 5 omwe ali ndi mabala owoneka bwino owonekera anayeza.

Thumba lisanatseguke, magazi omwe anali m'dera la bala loyera ndi kuzungulira (pamtunda wa masentimita 5-6) adachepetsedwa pafupifupi nthawi 4 ndikufika (21.96 + 1.05) ml / min / 100 g ya minofu.

Zinakhazikitsidwa kuti mafayilo am'magazi oyenda m'magazi amatengera kuwonongeka kwa opaleshoniyo komanso momwe mankhwalawo amachitikira mu minyewa yofewa ya "khomo lakunja kwam'mimba" ndi ziwalo zam'mimbayo.

Mlingo wamagetsi ammagazi amawonedwa ngati wovuta, pansipa momwe kupweteka kwa mabala kumawonedwa nthawi zambiri.

Zotsatira zathu zimangotiloleza kuti tiziweruza nthawi yamankhwala a postoperative bala, komanso kuneneratu zomwe zayambitsa mabala pakakhala kuti palibe zowonetsa pakuwonekera kwake. Njira yofufuzira yomwe ikanenedwayi imakhala yophunzitsa komanso yopweteka kwambiri.