Knee kupweteka mu shuga > Matenda a shuga

Mitundu yonse iwiri ya matenda ashugazimatha kubweretsa mavuto ambiri ngati magazi a glucose samayendetsedwa bwino. Limodzi mwamavuto omwe limapezeka mwa odwala omwe ali ndi matenda ashuga ndi ululu wolumikizana. Zolumikizira zomwe zimakhudzidwa kwambiri ndi mafupa a bondo. Anthu odwala matenda ashuga Ayenera Kudziwa za zowawa pansi pa bondo ndi kuphatikizira kwa bondo, chifukwa izi zitha kubweretsa kuchepa kwa kuyenda ndi mavuto ena.

Matenda a shuga angayambitse kupweteka kwa bondo, ndikupangitsa kuti mitsempha iwonongeke (mitsempha) Matenda a diabetes a neuropathy amatha kukhala osiyanasiyana. Peripheral neuropathy - Izi ndizowonongeka mumitsempha yam'mapazi mumiyendo ndipo ndizofala kwambiri m'miyendo ndi m'miyendo yam'munsi. Autonomic neuropathy imakhudza minofu yaumwini ndi ziwalo za thupi. Matenda a diabetes a neuropathy nthawi zina amathanso kukhudza magawo ena a thupi, monga mafinya. Ena odwala matenda ashuga amadwala ululu. Ili ndi mtundu wina wam ululu wophatikizika chifukwa cha nyamakazi ndipo umatha kuyankha moyenera ku mankhwala othandizira kapena anticonvulsant omwe awonetsedwa kuti amagwira ntchito pochiza ululu wamitsempha kuposa mankhwala opweteka a anti-kutupa.

Matenda a shuga, kafukufuku wasonyeza, sayambitsa nyamakazi, koma pali mgwirizano pakati pa matenda awiriwa. Matenda a shuga a Type 1 amayanjana ndi nyamakazi, mwina chifukwa onsewo ndi matenda a autoimmune pomwe thupi limadzilanga lokha. Matenda a shuga amtundu woyamba amapezeka pamene chitetezo cha m'thupi chimatsutsana ndi maselo a pancreatic omwe amapanga insulin. Rheumatoid nyamakazi kumachitika chitetezo cha mthupi chitapanga ma antibodies omwe amayambitsa kutupa ndikuwonongeka kwamalungo mthupi lonse. Anthu omwe ali ndi vuto lobadwa ndi mtundu umodzi wa matenda a autoimmune atha kukhala wachiwiri. Matenda a Type 1 omwewo samayambitsa nyamakazi, koma amatha kukhala pachiwopsezo cha matenda enanso a autoimmune.

Odwala a shuga a Type 2 amakhala ndi mlingo wokwera nyamakazikuposa anthu wamba. Osteoarthritis ndi kutupa kwamalungo chifukwa cha kuvulala kwamalowedwe pakapita nthawi, komanso osati matenda a autoimmune kapena metabolic ngati gout. Pankhaniyi, matenda ashuga eni ake sayambitsa nyamakazi, koma matendawa amatha. Anthu opitilira 55 ndi onenepa kwambiri amatha kukhala ndi matenda amtundu wa 2 komanso matenda amanjenje, makamaka m'malo olumikizana ndi bondo.

Kuwonongeka kophatikizana kwa matenda ashuga kumachitika kawirikawiri. Kupsinjika kotereku kumafunikira chithandizo chamankhwala, chomwe sichingachedwetse chiwonongeko, komanso kulola kusintha kwamachitidwe a musculoskeletal.

Zomwe zimayambitsa matenda obwera chifukwa cha matenda ashuga, omwe ndi mafupa am'magazi, ndimagawo a shuga okwanira. Kupatula apo, matenda oopsa a hyperglycemia amakhudzanso ziwalo ndi machitidwe a munthu.

Zinapezeka kuti kuchuluka kwa glucose kumakhudza kapangidwe ka sorbitol kamene kamakhala ndi ma neurons ndi maselo a endothelial. Poona izi, matenda a shuga amachitidwa nthawi zambiri.

Kuphatikiza apo, zomwe zimayambitsa kupweteka kwa shuga mu shuga zimatha kukhala kuti kusintha kwamankhwala osakanikirana kumayambitsa kupsinjika kwa oxidative ndikupanga ma free radicals. Ndipo pankhani ya kuchepa kwa insulin, pamakhala kusintha komwe kapangidwe ka cartilage ndi mafupa.

Matenda ophatikizana ndi shuga

Mu hyperglycemia wodwala, mafupa amakhudzidwa mosiyanasiyana. Nthawi zina, matendawa amayamba chifukwa cha kusayenda bwino kwa ma cellcirculation, kuchuluka kwa minofu yolumikizana, kapena vuto la neuropathic. Ndipo ma rheumatic syndromes nthawi zambiri amawonedwa mwa odwala omwe ali ndi mawonekedwe a ziwalo zam'thupi.

Pali zovuta zambiri zophatikiza odwala matenda ashuga. Izi zikuphatikiza:

phatikizani mafupa am'mimba,
matenda a mafupa
matenda a shuga a shuga.

Komanso, ndi shuga wambiri wokhazikika, odwala ambiri amawonetsa zizindikiro za kuchepa kwa minyewa yodziwika bwino, kuphatikizapo zotupa monga:

Dupuytren mapangidwe ake,
matenda ashuga chiroartropathy (cyst),
tenosynovitis ya minofu yosinthika (chala cham'manja),
zomatira kapisozi (periarthritis, dzanzi).

Vuto linanso lofala la matenda ashuga ndi neuropathy. Izi zikuphatikizapo amyotrophy, neuropathic nyamakazi (mafupa a mafupa, mafupa a Charcot), amamvera ena mwatsatanetsatane, carpal valve syndrome ndi zina zambiri.

Pofuna kuti izi zisachitike, ine ndi wodwalayo sitinayikemo zofunikira, ndikofunikira kwambiri kuchitira chithandizo chanthawi yake. Ndi kusintha magawo a shuga, mankhwala opatsirana ngati Metformin ayenera kumwedwa nthawi zonse.

Poyerekeza ndi maphunziro a shuga a nthawi yayitali (zaka 5-8), odwala ambiri amadwala matenda a shuga. Zizindikiro zoyambirira za matendawa zimadziwika ndi ultrasound osteometry.

Nthawi zambiri, matendawa amakhudza mbali yakumunsi. Mu 60% ya milandu, ma tarsal-metatarsal joints amatenga nawo mbali mu pathological process, ndipo ma ankolo ndi metatarsophalangeal amalumikizidwa pang'ono nthawi zambiri (30%).

Nthawi zina m'chiuno ndi m'chiuno mumakhala mavuto. Monga lamulo, njirayi ndi mbali imodzi.

Kuwonetsedwa kwa osteoarthropathy ndikumva kupweteka, kutupa ndi kupindika kwa mafupa. Chifukwa chophwanya zamkati, kupsinjika ndi kusakhazikika kwa khwalala kwamiyendo kumawonekera, zomwe nthawi zambiri zimayambitsa kufupikitsa ndi kusinthika.

Chinanso chomwe chimapangitsa matenda osokoneza bongo a hyperglycemia ndi matenda osokoneza bongo (SDS). Ichi ndi matenda ammiyendo omwe amayamba pamene mafupa, olowa komanso minofu yofewa, komanso zotengera ndi mitsempha, zimakhudzidwa. Zotsatira zake, njira za purulent-necrotic zimachitika mwa wodwala komanso zilonda zam'miyendo.

Kwenikweni, SDS imawonekera mwa odwala okalamba motsutsana ndi maziko a maphunziro a shuga (kuyambira zaka 15). Tsoka ilo, mu 70% ya milandu, kupititsa patsogolo matendawa kumadula kudula ndipo nthawi zina phazi limafunikira.

Zizindikiro zamankhwala zamatumbo zimatupa ndi hyperthermia ya kumapazi. Poyamba, kupweteka kumawonekera pansi, komwe kumafunikira kafukufuku wosiyanitsa ndi nyamakazi yovuta kapena venous thrombophlebitis.

Pokonza nthendayi, kutsetsereka kwa phazi kumachitika. Pakapita nthawi, neuropathy yayikulu imayamba, ndipo palibe ululu.

Nthawi zambiri, pakumawonjezeka kwa shuga m'magazi, matenda ashuga okhala ndi vuto lochepa. Pochulukirapo, ndipo nthawi zina chachikulu, mafupa samatha kulumikizidwa.

Zizindikiro za OPS ndizopweteka zomwe zimachitika panthawi yolumikizana. Nthawi zambiri, ma proximal interphalangeal ndi metacarpophalangeal amalowa amakhudzidwa, nthawi zambiri - mkono, phewa, mafupa amchiuno ndi chidendene.

Nthawi zambiri, matendawa amapezeka pomwe wodwalayo sangathe kugwirana manja ndi manja awo. Nthawi zambiri, vuto la "manja opemphera" limayamba motsutsana ndi zomwe zasintha zina. Kuphatikiza apo, kupezeka kwa OPS kumadalira nthawi yayitali ya matenda ashuga komanso chimaliziro chake.

Vuto linanso lofala la hyperglycemia ndi periarthritis yamapewa. Izi matenda nthawi zambiri amaphatikizidwa ndi OPS syndrome, ndipo nthawi zina, ndi tenosynovitis ya manja. Kuti tipewe kukula kwa matenda oterewa, ndikofunikira kuwongolera chizindikiro cha glucose, ndipo kwa mawonekedwe awo, odwala osadalira insulin amafunika kutenga Metformin nthawi zonse.

Nthawi zambiri, kuphunzira kwa nthawi yayitali komwe kumayambitsa matenda a hyperglycemia kumapangitsa kuti mafupa asinthidwe. Ndi kuchepa kwa insulin, izi zimapangitsa ntchito ya osteoblastic.

Mu theka la milandu, mafupa a mafupa ndi mafupa akutulutsa. Kuphatikiza apo, mapangidwe ake a mapangidwe amtunduwu amathandizira kuti asokonekere. Zifukwa zomwe zingathandizire kukulitsa mafupa am'mimba:

kuwonongeka kwa nthawi yayitali kwa chakudya
chiwonetsero cha matenda ashuga odwala osakwana zaka 20,
shuga kwa zaka zopitilira 10.

Rheumatoid nyamakazi imakhalanso vuto la shuga, makamaka kwa okalamba. Matendawa amadziwika ndi kuwoneka ngati kupweteka kwakuthwa molumikizana, kuphwanya kayendedwe kake ndikutupa kwa malo omwe akhudzidwa.

Koma ngati pali matenda ashuga, chakudyacho chimapweteka mafupa onse ndi miyendo yodontha, chochita ndi momwe mungachitire ndi zinthu zotere?

Njira zochizira

Sonyezani shuga lanu kapena sankhani jenda kuti mulimbikitsidwe

Chofunikira kwambiri popewa kupitirira kwa matenda olowa ndikusunga index ya glucose (mpaka 10 mmol / l) tsiku lonse. Kupanda kutero, chithandizo cha kupunduka kwa phazi ndi zovuta zina za matenda a shuga sizingathandize. Chifukwa chake, ndikofunikira kumwa mapiritsi a antiidiabetes tsiku lililonse, monga Metformin kapena Siofor.

Ndipo ndikuwonongeka kwakukulu kwa mafupa, kuphatikizapo nyamakazi, mankhwala osokoneza bongo ndi mankhwala omwe amakonzanso minofu ya cartilage imayikidwa. Muzochitika zapamwamba, jakisoni amapangidwa, koma pokhapokha malo osungira atasungidwa.

Komanso, mankhwala othandizira odwala omwe ali ndi vuto la matenda ashuga nthawi zambiri amatsitsidwa kuti atenge pyrazolone derivatives ndi vitamini B 12. Corticosteroids sakonda kugwiritsidwa ntchito ngati atropathy, chifukwa zimakhudzanso shuga. Koma ngati ndi kotheka, intra- ndi periarticular makonzedwe osachepera 37 mg wa hydrocortisone nthawi zina amasonyezedwa.

Kuti mankhwala azachipatala azigwira ntchito bwino, wodwalayo ayenera kumwa mankhwalawo pamaphunziro komanso kwa nthawi yayitali. Nthawi yomweyo amafunika kuyesedwa mwadongosolo, zomwe zingathandize kuti adokotala azilamulira machitidwe ake.

Ngati vuto la phazi likuwonongeka, zilonda zam'mimbazo zimaperekedwa ndipo maantibayotiki adayikidwa. Ndikofunikanso kusiya zizolowezi zoyipa, kupereka zodula miyendo ndikuchiritsa matenda omwe amalepheretsa kubwezeretsanso kwa kupanga zilonda zam'mimba.

Ndi nyamakazi kapena arthrosis mu shuga mellitus, njira zomwe siziri zachikhalidwe zingagwiritsidwe ntchito. Njira imodzi yodziwika bwino ndi chithandizo cha maginito, pomwe mafupa amamuwotcha pakuya masentimita khumi ndi awiri.

Ubwino wa kukhudzana ndi maginito:

Kuchotsa zotupa,
kuthetsa kupweteka
kusintha kwa mkhalidwe wamkatikati mwa musculoskeletal,
njira zitha kuchitika pafupifupi zaka zilizonse.

Njira ya mankhwala kumatenga pafupifupi masiku 30. Komabe, kukhudzana ndi maginito kumathandiza pokhapokha pakukula kwa matenda olowa. Komanso, njirayi imapangidwa chifukwa cha mavuto a mtima, khansa, chifuwa, magazi osagwirizana komanso nthawi yapakati.

Ngati wodwala matenda ashuga ali ndi mafupa, nthawi zambiri amapatsidwa mankhwala a laser. Njira zofananazi zimachitika maphunziro - 20 magawo tsiku lililonse. Koma amagwira ntchito mwa mitundu yochepa ya matendawa.

Kuphatikiza pakutenga mankhwala a antihyperglycemic monga Metformin, mavitamini, ma pinkiller ndi mankhwala othana ndi kutupa, kwa odwala matenda ashuga omwe ali ndi mavuto olowa, ndikofunikira kutsatira malamulo onse osamalira mapazi, kulabadira makamaka mapazi. Ndikofunikanso kuchita masewera olimbitsa thupi ngati polojekiti yaikidwa, makamaka ngati chinthu choyikiracho chayikidwa posachedwa.

Kuphatikiza apo, ndi zovuta zolumikizana, kutikita minofu ndikuwonetsedwa. Chifukwa chake, ngati muchita zomwezi osachepera mphindi 10 patsiku, mutha kuchepetsa kupweteka kwambiri ndikuwonjezera chidwi cha mafupa. Komabe, chithandizo choterechi chimaphatikizidwa mu matenda oopsa, kutentha thupi, magazi ndi khungu.

Kuletsa kupezeka kwa zovuta za articular mu shuga kumakhala ndi kayendetsedwe ka glycemic mosamala, kuti musathe kungochotsa vutoli, komanso kupewa kupezeka kwake mtsogolo. Pachifukwa ichi, ndikofunikira kutsatira zakudya, kuchita masewera olimbitsa thupi, kupewa nkhawa, kumwa mankhwala a Metformin, Metglib ndi mankhwala ena a antiidiabetes.

Momwe matenda a shuga amakhudzira mafupa amauza katswiri muvidiyoyi.

Sonyezani shuga lanu kapena sankhani jenda kuti mulimbikitsidwe

Kupweteka kwa matenda ashuga: phunzirani kuthana nawo. Tsambali likufotokoza momwe angayang'anire mitundu yosiyanasiyana ya ululu. Cholinga chake ndikuwonetsa kupweteka kwamiyendo yomwe matenda ashuga amachititsa. Zoyambitsa zingapo ndi njira zochizira zovuta zimaganiziridwa. Amapereka chidziwitso pazovuta za matenda a shuga zomwe zimatha kupweteka m'mimba ndi zina zomwe zimakhumudwitsa m'mimba. Werengani momwe mungapewere kupweteka pamutu ndimapiritsi ndi mankhwala achilengedwe.

Zowawa za shuga: Nkhani Yatsatanetsatane

Dziwani zambiri za anthu odwala matenda a shuga. Awa ndi ma anticonvulsants, antidepressants, opioid analgesics, komanso mankhwala oletsa ululu pakhungu monga zonona, mafuta, mafuta odzola kapena aerosol. Chithandizo chachikulu ndikuchepetsa magazi ndikuwakhazikika bwino. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga. Kukwaniritsa mulingo wabwinobwino wa glucose ndizowona, ngati si ulesi. Popanda kukwaniritsa izi, ngakhale mapiritsi amphamvu kwambiri komanso okwera mtengo sangathandize kwambiri kuchokera ku zowawa ndi zovuta zina za matenda ashuga.

Ululu m'miyendo

Kupweteka kwam'mimba mu shuga kungayambike chifukwa chimodzi mwazinthu ziwiri:

Peripheral neuropathy ndi kusokonekera kwa kuphwanya shuga kagayidwe.
Kuphulika kwamasamba ndi malo opangira ma atherosselotic.

Mosasamala kanthu za chifukwa, chithandizo chachikulu ndikubwezeretsa shuga kuti ikhale yachilendo. Popanda izi, palibe mapiritsi, kutikita minofu, mankhwala olimbitsa thupi ndi wowerengeka azithandiza. Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti muthe kudzisamalira komanso kudzisamalira. Kuti muthane ndi mavuto, muyenera kudziwa chomwe chimayambitsa mavutowo. Izi zipangitsa kuti zithe kusankha njira zoyenera zoyenera kulandira. Ganizirani choyamba cha neuropathy, kenako kuwonongeka kwa mitsempha ya mitsempha.

Chifukwa chiyani matenda ashuga amadzetsa ululu?

Kuchuluka kwa shuga m'magazi kumawononga mitsempha yomwe imayendetsa thupi lonse, kuphatikiza miyendo. Kuzindikira kwa "zotumphukira m'mitsempha" kumatanthawuza kuti mitsempha yamiyendo imakhudzidwa, ndipo mwina ngakhale m'manja - pamphepete, kutali ndi pakati pa thupi. Nthawi zambiri, neuropathy imayambitsa dzanzi, kuchepa kwa mphamvu. Komabe, mwa odwala ena, amadziwulula mu ululu, kuwotcha, kuwawa, ndi kupindika. Zizindikiro zimatha kuchitika osati masana, komanso usiku, kugona tulo tosokosera.

Ululu wam'mimba womwe umayambitsidwa ndi neuropathy umakulitsa mtundu wa moyo, koma izi sizowopsa zake. Pakhoza kukhala kutayika kwa chidwi cha khungu. Potere, wodwalayo amavulala miyendo yake akuyenda, osazindikira. Matenda a shuga amachititsa kuti kuvulala kwamiyendo kuchiritse pang'onopang'ono kapena kusachoka konse. Werengani zambiri pa Diabetesic Phazi. Kuchokera apa yayandikira ku gangore ndi kuduladula.

Kusagwiritsa ntchito bwino shuga kumathandizira kukula kwa atherosulinosis. Ili ndi matenda achilengedwe. Monga lamulo, zimakhudza nthawi yomweyo ziwiya zomwe zimadyetsa mtima, ubongo, impso komanso magawo otsika. Zilonda zimaphimba mitsempha, ndichifukwa chake magazi amayenda kudzera mwa iwo amachepetsedwa kapena kuyimitsidwa kwathunthu. Minofu imakumana ndi njala ya oxygen - ischemia.Ululu wam'mimbawo umatha kukulira poyenda, makamaka pamakwerero, ndikuchepera kapena kutha kwathunthu wodwalayo atakhala. Chizindikiro ichi chimatchedwa interlaintent claudication. Zowawa zomwe zimaphatikizidwa ndi kupweteka kwakanthawi. Kupumula kumathandizanso kuthetsa mavuto. Kuphatikiza pa zowawa, kuzizira kwa malekezero, mtundu wamiyendo ya miyendo, komanso kukula kwapang'onopang'ono kwa msomali kungawonedwe.

Kulankhula mosavomerezeka kumabweretsa mavuto ambiri kwa odwala. Amayesera kukhala kunyumba kwambiri kuti asasokoneze miyendo yawo komanso kupewa kuwawa. Kuphatikiza pa zowawa, kumva kupsinjika m'miyendo, thanzi loperewera limatha kusokoneza. Atherosulinosis imaletsa magazi kupita m'miyendo, ndichifukwa chake mabala samachiritsa bwino. Pali chiwopsezo cha gangrene ndi kuduladula, makamaka ngati odwala matenda ashuga alowa. Palinso chiopsezo chachikulu cha matenda a mtima komanso sitiroko chifukwa cha zovuta ndi zotengera zomwe zimadyetsa mtima ndi ubongo. Tikubwereza kuti atherosulinosis ndi matenda achilengedwe omwe amakhudza ziwiya zofunikira zambiri nthawi imodzi.

Momwe mungachotsere kupweteka kwa mwendo?

Anthu ambiri odwala matenda ashuga amapeza chithandizo chokhacho. Onerani kanema wa Dr. Bernstein ndipo phunzirani momwe mungathetsere matenda am'mimba popanda matenda owopsa komanso okwera mtengo. Kupatula apo, ndi neuropathy yomwe imayambitsa mavuto anu. Mwa anthu odwala matenda ashuga, amamva kupweteka m'miyendo, pomwe ena amachititsa dzanzi komanso amasiya kumva. Nthawi zina chizindikiro cha "kungokhala" ndi "yogwira" chimaphatikizidwa. Mulimonsemo, vutoli litha kuthetsedwa, mosiyana ndi zovuta za m'maso ndi impso.

Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti mupimidwe ndikuyang'aniridwa mwachangu. Ndikofunikira kudziwa kuchuluka kwa atherosulinosis ya ziwiya zamiyendo. Kenako yang'anani matenda a shuga. Dziwani njira ziti zomwe zimakhudzidwa ndi izi, kupatula kutalika kwa mitsempha m'miyendo. Choyamba, adotolo amayeza cholozera chakumaso. Palibe owawa kapena owopsa. Wodwala wagona pabedi. Pamalo opingasa, kuthamanga kwa magazi kwa systolic (kumtunda) m'miyendo ndi mapewa kumayezedwa kangapo. Ngati ndichedwa kutsika m'mapewa kuposa m'mapewa, ndiye kuti ziwiya zamiyendozo zimakhudzidwa ndi atherosclerosis. Pankhaniyi, muyenera kuchita mayeso oopsa - ultrasound, MRI. Pamaso pa opaleshoni yamatumbo, x-ray imatha kutumizidwa ndikumayambitsa wothandizira. Uku sikuti mayeso otetezeka kwambiri. Ndi bwino osachita ngati opareshoni sanakonzekere.

Ngati matenda a shuga a matenda a shuga amakayikira, khungu la miyendo kukhudza, kugwedezeka, kutentha kumayendera. Izi zimachitidwa ndi dotolo mothandizidwa ndi zida zamitsempha, zomwe zimaphatikizapo foloko, nthenga, komanso singano yofufuzira momwe ululu akumvera ululu. Chifukwa cha kuwonongeka kwa mitsempha, miyendo imatha kulephera kutuluka thukuta. Zikatero, khungu limakhala louma ndipo limatha kusweka. Izi zimadziwika pa nthawi yowonera. Monga atherossteosis, kuchepa kwa mitsempha ndi njira yamagulu a anthu odwala matenda ashuga. Zitha kuyambitsa ziwalo zamisempha zingapo. Zowonongeka zamitsempha zomwe zimayendetsa kupuma komanso kugunda kwa mtima ndizowopsa. Komabe, ndi madokotala ochepa omwe amadziwa momwe angayang'anire izi.

Palibe mapiritsi a zozizwitsa ndi mankhwala wowerengeka a anthu odwala matenda ashuga

Chithandizo chachikulu ndikukwaniritsa ndi kukhalabe ndi shuga. Phunzirani ndikutsatira ndondomeko ya 2 yothetsera matenda a matenda ashuga kapena mtundu 1 wa njira yothetsera matenda a shuga. Neuropathy ndimavuto osinthika. Mitsempha yamagazi yabwinobwino ikafikira, mitsempha imachira pang'onopang'ono, zizindikirizo zimachepa ndikutha m'miyezi ingapo.

Komanso, chiwongolero chabwino cha matenda ashuga chimathandizira kuchepa kwa atherosulinosis. Kupweteka kwa mwendo, mosiyana ndi kutaya mtima, kumalimbikitsa odwala kuti azichitira mosamala. Ndili m'manja mwanu kuti muthane ndi zizindikiro zosasangalatsa, kupewa kudula ndikukhazikitsa moyo wabwinobwino.

Kodi ma pinkiller ndi zakudya zamagetsi zimathandiza bwanji?

Poyerekeza ndi zowawa, dokotala amatha kukupatsani mankhwala, omwe amafotokozedwa mwatsatanetsatane pansipa. Mapiritsi ofooka sathandiza, ndipo mankhwala oopsa amakhala ndi zotsatira zoyipa. Yesani kuchita popanda iwo momwe mungathere. Mwa zakudya zowonjezera zakudya, odwala nthawi zambiri amatenga alpha lipoic acid. Mtengo wake ndiwokwera, ndipo mapindu ake ndiwokayikitsa. Ngati mukufuna kuyesa chida ichi, musachigulitse ku pharmacy, koma dulani ku USA kudzera patsamba la iHerb. Mtengo udzakhala wotsika kangapo.

Vitamini B6 (pyridoxine) Mlingo waukulu kwambiri umapangitsa dzala ndi zala zazikulu, zofanana ndi zomwe amapangira pakhungu. Zotsatira zoyipa izi zitha kugwiritsidwa ntchito kuwongolera kupweteka komwe kumachitika chifukwa cha matenda ashuga a mtima. Mlingo uyenera kukhala osachepera 100 mg, ndi kwa anthu akuluakulu olimbitsa - 200 mg patsiku. Tengani mavitamini ena a B, komanso magnesium. Mwachitsanzo, mavitamini B-50. Gwiritsani ntchito ngati gawo kwakanthawi mpaka ulusi wamanjenje ukabwezeretseka chifukwa chowongolera shuga. Izi sizovomerezedwa mwalamulo, kuyesa kwa odwala pachiwopsezo chawo. Zotsatira zoyipa ndizotheka. Zowawa zomwe zimayambitsidwa ndi atherosulinosis, Chinsinsi ichi sichingathandize.

Chithandizo cha odwala matenda a shuga

Ngati mayeso akatsimikizira kuti ziwiya zamiyendo zimakhudzidwa ndi atherosulinosis, wodwalayo atengedwa kuti atenge ma protein a cholesterol, mankhwala a matenda oopsa, komanso mwina mapiritsi ochepera magazi. Mankhwalawa onse amachepetsa chiopsezo cha matenda a mtima, stroke, ndi pulmonary thromboembolism. Pali njira zina zochizira opaleshoni. Dokotala wokhoza amaika china chake ngati ballo mu chotchinga chotchinga, kenako ndikuchiyika ndikukula. Kusungitsa magazi kutuluka m'mitsempha, amatha kusiya fungo mkati mwake - waya womata. Njira ina ndikutenga chotengera kuchokera mbali ina ya thupi ndikupanga magazi kuti azigwira m'malo mwa chotchinga chotchinga. Kambiranani mwatsatanetsatane ndi dokotala.

Zopweteka

Monga lamulo, matenda ashuga ndi kupweteka kwapakati sizigwirizana, amafunika kuthandizidwa mosasamala. Ndikosatheka kuchira kamodzi, koma mutha kuthana ndi mavuto ndikuwongolera moyo wopanda nkhawa. Zotsatirazi zikuyankha mwachidule zomwe zimayambitsa kupweteka komanso mavuto ena olowa:

nyamakazi
nyamakazi
Charcot phazi.

Rheumatoid nyamakazi ndi vuto lolumikizidwa lomwe limayambitsidwa ndi vuto la autoimmune, ngati mtundu 1 wa shuga. Zizindikiro - kupweteka, kufiyira, kutupira mafupa. Ndizachidziwikire kuti zizindikirazi sizimawonedwa pafupipafupi, koma mokwanira. Kuyesedwa kwa magazi kumatha kuwonetsa kuchuluka kwa zotupa - C-reactive protein, interleukin 6 ndi ena. Pofuna kuthana ndi vuto la wodwalayo, m'malo ovuta kwambiri, mankhwala amalembedwa mwachitsanzo, etanercept, adalimumab kapena infliximab. Amapondereza ntchito ya chitetezo chathupi. Mwina mankhwalawa amachepetsa chiwopsezo cha matenda a shuga a autoimmune ngati sichinayambe. Koma amatha kuonjezera chiwopsezo cha matenda ndikupangitsa zina.

Ndikofunika kuyesa kudya pokana kukokana ndi gluten, komanso zakudya zotsutsana ndi zotupa - curcumin ndi ena. Chonde dziwani kuti kadyedwe kotsika ka carb kotsika sikamakhalanso zopanda gluteni. Kaya mkaka wokhala ndi casein umafunika kufotokozedwa. Dziwani kuti ndi matenda amtundu wa 2 matenda ashuga, kuukira kwa chitetezo chathupi chathupi. Odwala amayenera kubaya insulin, osachepera pamiyeso yotsika. Matenda a 2 a matenda a shuga ndi matenda oopsa kwambiri.

Osteoarthritis: choyambitsa kupweteka kwapakati pa matenda a shuga a 2

Osteoarthritis ndi vuto ndi mafupa omwe amayamba chifukwa cha kuvala kwawo komwe kumayenderana ndi zaka, komanso kulemera kwambiri kwa wodwalayo. Amalumikizana ndi mafinya, chifukwa mafupawo amayamba kukhudzana ndikukutikirana. Zizindikiro - kutupira ndi malire a kuyenda. Mavuto ambiri amakhala m'mabondo ndi m'chiuno. Chitetezo chamthupi sichitha kulumikizana ndi mafupa, ngati nyamakazi. Zizindikiro zakutupa m'magazi sizakwezedwa. Muyenera kuyesetsa kuti muchepetse kunenepa kulikonse. Izi zimachepetsa mavuto olumikizana komanso zimathandizanso kuwongolera matenda ashuga amtundu wa 2. Kambiranani ndi dokotala wanu ngati muyenera kumwa mankhwala opweteka kapena kugwiritsa ntchito mankhwala opaleshoni.

Phazi la Charcot ndilovuta kwambiri matenda ashuga omwe amachititsa kuti miyendo yake iwonongeke. Poyamba, matenda a shuga amachititsa kuti miyendo ikhale ndi mphamvu. Mukamayenda, michere imapindika ndikuwonongeka, koma wodwala sazindikira izi. Kupanikizika kwa mafupa kumawonjezeka. Phazi limathamanga kwambiri komanso lopuwala kwambiri. Pambuyo pokhapokha izi zimalumikizana, zimayamba kutupa, kuwonda komanso kupweteka. Pomaliza, wodwalayo azindikira kuti ali ndi mavuto. Malo omwe akukhudzidwira amatha kutentha mpaka kukhudza. Chithandizo - opaleshoni, nsapato za mafupa. Phazi la Charcot litapezeka kale, kulumala kumatha kusintha. Zinali zofunika kusunga magazi abwinobwino kuti muchepetse neuropathy.

Mankhwala opweteka

Monga lamulo, odwala amapanga kuyesera kwawo koyamba kuti athe kuchepetsa ululu ndi mankhwala pawokha. Amagwiritsa ntchito ibuprofen kapena paracetamol, yomwe imagulitsidwa pa counter. Mankhwalawa amathandizira pazinthu zofatsa kwambiri. Kuti mugwiritse ntchito ma pinkiller amphamvu, muyenera kulandira mankhwala kuchokera kwa dokotala. Mankhwala otsatirawa amalembedwa motsutsana ndi ululu womwe umayambitsidwa ndi matenda a shuga:

anticonvulsants - pregabalin, gabapentin,
tridclic antidepressants - imipramine, nortriptyline, amitriptyline,
kusankha serotonin akubwezera zoletsa - duloxetine, milnacipran,
opioid analgesics.

Mapiritsi onsewa nthawi zambiri amayambitsa mavuto akulu. Sangogulitsidwe pachabe pokhapokha ngati mwalandira mankhwala. Yesani kuchita popanda iwo. Yambani ndi mankhwala ofooka. Sinthani kwa olimba pokhapokha ngati pakufunika kutero.

Mankhwala opatsirana

Pregabalin, gabapentin ndi mankhwala ena ofanana amagwiritsidwa ntchito ngati njira yothandizira khunyu. Mankhwalawa amatchedwa anticonvulsants. Kuphatikiza pa kuchiza khunyu, amathandizanso kupsa mtima, kusoka komanso kuwawa. Chifukwa chake, amathandizidwa ndi matenda a shuga omwe amachititsa kupweteka, ngati mankhwala oyambira. Amachepetsa kufalikira kwa mitsempha yomwe imakhala ndi zomverera zosasangalatsa.

Mavuto Oletsa Kupweteka

Mankhwala ochepetsa nkhawa komanso kupweteka kwa odwala matenda ashuga amasankha serotonin reuptake inhibitors (duloxetine, milnacipran). Ma Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) sagwiritsidwa ntchito kwenikweni. Chifukwa pa Mlingo ofunikira kuthetsa ululu, nthawi zambiri amayambitsa zovuta. Ma anticonvulsants komanso antidepressants amawonjezera magazi. Muziyerekeza nthawi zambiri mukamamwa mankhwalawa. Ngati ndi kotheka, onjezani kuchuluka kwa insulin.

Tramadol ndi ena opioid analgesics samathandiza kwambiri kuchokera ku zowawa zomwe zimayambitsidwa ndi matenda a shuga. Amathanso kukhala osokoneza bongo.

Kuphatikiza pa mapiritsi, mutha kuyesa zonona, mafuta kapena chigamba chomwe chili ndi capsaicin. Izi ndi zinthu zomwe zimatengedwa kuchokera ku tsabola wotentha. Zimakwiyitsa mitsempha ndipo zimapangitsa kuti thupi lisayang'anire chidwi chawo pakapita nthawi. Poyamba, matendawa amakula, koma patatha masiku 7-10, mpumulo ungabwere. Kuti mupeze izi, muyenera kugwiritsa ntchito capsaicin tsiku lililonse, osasokoneza. Odwala ambiri amakhulupirira kuti pali zovuta zambiri kuposa maubwino. Komabe, mankhwalawa samayambitsa zovuta zoyipa monga ma pinkiller. Chida chodziwika kwambiri kuposa capsaicin ndi lidocaine wa pakhungu pakhungu, mafuta, utsi, kapena ma eerosol. Lankhulani ndi dokotala wanu za mitundu yanji yamagwiritsidwe. Mwachitsanzo, maola 12 aliwonse.

Zoyenera kuchita ngati mimba yako ipweteka

Kupweteka kwam'mimba komanso zovuta zina zam'mimba mu shuga siziyenera kuloledwa, koma kuchitidwa mwachangu, kuyesera kuti zitheke. Pezani gastroenterologist wabwino, kum'fufuza ndikufunsana naye. Onetsetsani kuti mulibe zilonda zam'mimba, matenda a Crohn, vuto la ndulu, kapena zilonda zam'mimba kapena zam'mimba. Dziwani zambiri za yisiti yokhala ndi matenda a masamba a candida albicans m'matumbo anu. Ngati ndi kotheka, tengani zowonjezera zakudya zomwe zimapondera fungus, zomwe zimakhala ndi caposterone acid, mafuta a oregano ndi zina. Dziwani ngati muli ndi tsankho la gluten (celiac matenda).

Mankhwala otsatirawa a shuga angayambitse kupweteka kwam'mimba, nseru, kusanza, ndi zotupa zina:

Metformin - Glucophage, Siofor ndi analogues
glucagon-ngati peptide-1 receptor agonists - Viktoza, Baeta, Lixumia, Trulicity.

Mankhwala onsewa amatha kukhala opindulitsa kwambiri. Matenda am'mimba sikuti ndi chifukwa chokana kuvomera. Komabe, mlingo umayenera kuchepetsedwa kwakanthawi kuti thupi lizolowere. Victoza, Baeta ndi mankhwala ena omwe amapangidwira kuti aletse odwala omwe ali ndi matenda ashuga a 2 kuti adye kwambiri. Pakudya kwambiri, amatha kupweteketsa m'mimba, kusanza, komanso kusanza. Izi ndizabwinobwino, nthawi zambiri sizowopsa. Ingodyani pang'ono. Mapiritsi a Metformin amachepetsa chilakolako chofuna kudya, angayambitse kudana kwambiri.

Matenda a diabetes a neuropathy nthawi zambiri amakhudza mitsempha, yomwe imayendetsa kayendedwe ka chakudya kudzera m'mimba ndipo ngakhale kupanga hydrochloric acid m'mimba. Mukatha kudya, pamatha kukhala kutha kwa chakudya m'mimba kwa maola ambiri. Zikatero, wodwalayo amatha kusanza, kumva kuti m'mimba mumadzaza, amalumpha m'magazi a shuga. Vutoli limatchedwa diabetesic gastroparesis. Werengani apa momwe mungamayang'anire.

Ketoacidosis ndi zovuta, zowopsa za matenda ashuga omwe amayamba ndi shuga wambiri magazi, osachepera 13 mmol / L. Mwa zina mwazovuta, zimatha kupweteketsa m'mimba, nseru, komanso kusanza. Wodwala amafunikira chithandizo chamankhwala chodzidzimutsa. Ndizomveka kuyeza ma ketoni m'magazi ndi mkodzo pokhapokha ngati shuga atapezeka 13 mmol / l. Ndi ma shuga a m'munsi ochepetsa nkhawa musadandaule za ma ketones, musawope maonekedwe a acetone mkodzo.

Matenda a shuga

Mutu umakhala woyamba komanso wachiwiri. Choyamba - ndi pamene chifukwa chomwe mutu umayambira palokha, mwachitsanzo, kusagwira bwino kwamitsempha yamagazi, mitsempha kapena kuphipha kwa minofu. Zomwe zimayambitsa sikusintha kwina kwa mpweya, chimfine, mphuno, vuto la khutu. Kapena mavuto akulu - kukangana, sitiroko, chotupa. Mu matenda a shuga, mutu umayamba chifukwa cha kuthamanga ndi shuga m'magazi, komanso kusakhazikika kwake, kumadumphira mmbuyo ndi mtsogolo.

Mkulu shuga - shuga m'magazi a 10 mmol / L kapena kuposa. Mutu umayamba kupindika pang'onopang'ono, ndipo shugayo umakulirakulira. Chitha kukhala chizindikiro chokhacho chakuti matenda ashuga satha. Shuga wochepa - shuga m'magazi ochepera 3.9 mmol / L, ngakhale kuti chidutsocho ndi cha munthu aliyense wodwala matenda ashuga. Ndi zovuta izi, mutu umayamba mwadzidzidzi, pamodzi ndi zizindikiro zina - njala, mantha, manja akunjenjemera. Popewa ndi kulandira mankhwalawa, werengani nkhani yolembedwa kuti "Low Blood sukari (Hypoglycemia)".

Mutu umatha kuchitika pakakhala kulumpha mu shuga. Zimachitika poyankha kusintha kwakukulu pamlingo wamahomoni - adrenaline, norepinephrine ndipo mwina, ena. Kuyeza shuga ndi glucometer kungawonetse kuti mulingo wake ndi wabwinobwino. Ngati wodwala matenda ashuga sagwiritsa ntchito njira yowunikira ya shuga, ndiye kuti kulumpha kwaposachedwa kumatha kuwunikira pokhapokha pobwera, yomwe imakhala mutu.

Kodi mapiritsi ammutu abwino ndi otani?

Kuthandizira ndimutu ndimapiritsi, komanso mankhwala achilengedwe. Mankhwala ogulitsa ena ndi abwino kwa anthu ena. Odziwika kwambiri a iwo ndi paracetamol, aspirin, ibuprofen. Mankhwalawa sikuti alibe vuto lililonse. Phunzirani mosamala zotsatira zake zoyipa musanatenge. Ngati mankhwala ochulukirapo akufunika, mudzalandira mankhwala kuchokera kwa dokotala.

Kuchokera pazithandizo zachilengedwe kuti muchepetse pafupipafupi komanso kuuka kwa mavuto am'mutu, choyambirira, yesetsani kutenga magnesium pa 400-800 mg patsiku. Mutha kupaka thyme, rosemary kapena peppermint mafuta mu whiskey ndi pamphumi. Imwani tiyi ndi chamomile kapena ginger, komanso mitundu ina yamadzimadzi, kotero kuti palibe kutaya madzi. Kuti muchepetse kupsinjika, yesani kusinkhasinkha, yoga, kapena kutikita minofu. Zakudya ndi zakudya zotsatirazi zimatha kupweteketsa mutu: vinyo wofiira, chokoleti, tchizi cha buluu, zipatso za zipatso, mapeyala, tiyi kapena khofi. Yesetsani kuzitaya kwa milungu ingapo ndikutsata zotsatirazo.

Nthawi zambiri pamakhala zochitika pamene mafupa amadwala matenda ashuga. Vutoli limadzetsa mavuto ambiri kwa odwala, chifukwa chifukwa chophwanya dongosolo lawo komanso momwe amagwirira ntchito, moyo wa anthu umachepetsedwa kwambiri.

Madokotala amatcha olumikizana kapena dera kuti kulumikizana komwe mafupa awiri kapena kuposerapo amayenda limodzi. Izi zimachitika ndi michere yomwe imalumikizana ndi mafupa, ndi ma tendon omwe amakhala ngati zomata za minofu. Pansi pamafupa pali ma cartilage omwe amathandizira kuyenda kosalala kwa mafupa, popewa kukangana ndi kuwonongeka kwa nyumba zolimba.

Cartilage imatha kuwonongeka pazifukwa zosiyanasiyana, mwachitsanzo, zowopsa, kapena kuyambitsa kuwonongeka kwake chifukwa cha ukalamba. Matenda monga matenda a shuga amatsogolera kupititsa patsogolo njirazi chifukwa chakuti matendawa amasokoneza kagayidwe kake ka ziwalo zonse zamkati.

Kuwonongeka kwa kayendedwe ka magazi chifukwa chakuchepetsa kwamitsempha yamagazi ndikuphwanya kwawo kusawerengeka. Izi zimabweretsa kusakwanira kwa michere ya mitsempha, yomwe pambuyo pake imayambitsa kuphwanya kaperekedwe kazinthu zofunika minofu, mafupa ndi cartilage. Chimodzi mwazinthu zazikulu zogwirizira zimalumikizana - kukonza minofu ndi mafupa m'malo ena.

China chomwe chikufunika ndi kudzikundikira kwa shuga wambiri pamphepete mwachidwi. Kusinthasintha kumachepa, kuyenda koyenera kumakhala kolemala kapena kovuta, mapangidwe a collagen, omwe amapanga tendons, amakhala opuwala. Komanso, kunenepa kwambiri kumawerengedwa kuti ndi chinthu chofunikira, chomwe chimakhudza mafupa onse amiyendo, makamaka odwala matenda ashuga omwe amadziwa bwino kupweteka kwa mawondo ndi maondo. Nthawi zina, pamakhala kupweteka m'miyendo yakumtunda, koma ndizochepa.

Joint pathologies mu shuga

Odwala omwe ali ndi matenda ashuga nthawi zambiri amatha kukhala ndi thanzi labwino kuposa omwe ali ndi thanzi labwino omwe akudwala matendawa. Pafupifupi 80% ya odwala amafotokoza chizindikiro cha ululu adakali aang'ono. Matenda monga arthrosis, nyamakazi imayamba kupezeka kuyambira pomwe mawonekedwe a hyperglycemia aakulu.

Zomveka zosasangalatsa mu zala ndi zala zakumiyendo, miyendo, mawondo, ndi mafupa a m'chiuno mu shuga. Okalamba akamadwala, akamadwala matenda ashuga, amatha kukhala ndi mavuto otere. Malinga ndi ziwerengero, kulumikizana kwa miyendo kumakhudzidwa nthawi zambiri kuposa ena. Izi ndichifukwa choti katundu wawonjezereka.

Osteoarthropathy

Osteoarthropathy ndi chiwonongeko chogwirizana chomwe chimayamba popanda matenda. Dzinalo lina ndi lolumikizana ndi a Charcot. Psychology yotereyi imawerengedwa ngati chisonyezo choganiza wodwala wokhala ndi gulu lolumala, popeza moyo wa odwala otere umachepetsedwa. Zolinga za kuphatikiza kwa Charcot ndi kulumikizana kwa miyendo - miyendo, mawondo, ndi mafupa a m'chiuno.

Matendawa ndi ovuta kuwazindikira koyambirira, chifukwa samayambitsa kupweteka kulikonse, ngakhale pakabuka zolakwika. Ichi ndi chifukwa cha kuchepa kwa chidwi, komwe kumayambitsa kupunduka kwa mafupa, kupindika kwa mafupa a phazi, kuchepa kwawo. Opaleshoni ya matenda am'magazi, ngati kuli kotheka, m'malo mwa mafupa omwe akhudzidwa amachitika.

Matenda a shuga

Chilema ichi chikuyimira cholepheretsa kusuntha kwa nkhope za nkhope. Uku ndikovuta kwakanthawi kwamatenda omwe amakhudza gawo limodzi mwa magawo atatu a odwala. Zimayambitsa kusuntha kwambiri kwa zala, manja, pomwe khungu lakuda limawonekera, nthawi zambiri kumbuyo kwa dzanja. Ululu sadziwika. Mankhwalawa ndi osathandiza.

Arthrosis ndi kutupa kwa periarticular sac

Palibe kulumikizana mwachindunji pakati pa arthrosis ndi matenda a shuga, koma nthawi zambiri amapezeka mu izi. Mwakutero, izi ndizosintha zokhudzana ndi msinkhu m'malumikizidwe am'mafupa, omwe amayamba chifukwa cha kuphatikizika kwa zaka. Matendawa amayamba patatha zaka 45, ndipo ndi onenepa kwambiri amawonekera kale. Mafupa olumikizana miyendo ndi omwe amakhudzidwa kwambiri. Mitundu:

khomo lachiberekero
phewa
maburashi
zala
M'chiuno
bondo
vertebral
bondo
kusakaniza.

Bursitis ndi kutupa kwa thumba la periarticular. Ndi chifukwa cha bakiteriya owukira. Kusuntha kulikonse kumayendera limodzi ndi kupweteka kwambiri. Chopweteka kwambiri ndi kufinya kwam'miyendo ya miyendo, chifukwa munthu amayenera kuyenda, ndipo katundu wolemera kwambiri amagwera m'munsi. Zomwe zimapangitsa bursitis kuvulala, kukanikizika mafupa, matenda a shuga amathandizanso kuti ntchitoyi ipite patsogolo. Chithandizo cha arthrosis ndi bursitis ndivuto lalikulu lazachipatala, chifukwa njirayi imakhala yayitali.

Kuzindikira ndi kuchiza

Ululu wophatikizana umayenda ndi pafupifupi matenda onse omwe ali pamwambapa. Chithandizo cha ambiri aiwo ndizovuta, komabe, pali njira zomwe zimachepetsa ululu. Chifukwa chake, ndibwino kufunsa thandizo la dotolo mukakumana ndi mavuto. Adzafotokozeratu njira zodziwira matendawa:

kuyendera kwaponse
mbiri yazachipatala
x-ray ya olowa
nthawi zina pamafunikira MRI, biopsy.

Pamene mafupa ayamba kupweteka ndi matenda ashuga, endocrinologist ayenera kukhala dokotala woyamba kumuyendera. Iwongolera chithandizo chachikulu cha matenda, kuthandiza kulipira kagayidwe kazakudya. Pambuyo pake, adzapereka malangizo kwa a traumatologist ponena za kasamalidwe ka wodwalayo, poganizira mtundu wa matenda, nthawi yake, komanso kukhazikika kwa mbiri ya glycemic.

Mankhwalawa amaphatikizapo mankhwala omwe amasintha magazi m'thupi. Kwa izi, angioprotectors, othandizira ma antiplatelet ndi antiplatelet agents amafunikira. Sichidzakhala chopepuka kugwiritsa ntchito njira zolimbitsa thupi - masks, electrophoresis.

Ndikofunikira kuchepetsa katundu kuti mafupa olumikizana nawo apume pantchito. Kuti athetse ululu, mankhwala osapweteka a anti-yotupa amalembedwa kuti athetse ululu. Njira zopatsirana, pakufunika mankhwala othandizira. Matenda a shuga a matenda ashuga, phazi la Charcot limafuna nsapato za mafupa. Milandu ingapo imayenera kulandira opaleshoni.

Zomwe zimatupa

Pali zifukwa zambiri zazotupa mwendo mu shuga. Nthawi zambiri, edema imachitika motsutsana ndi maziko a:

Matenda a shuga. Shuga wambiri amawononga ulusi wamanjenje, ndikuwapangitsa kuti afe, zomwe zimapangitsa kuti miyendo itupire. Chifukwa cha necrosis ya mitsempha yotsiriza, odwala amasiya kumva kupweteka, kutentha thupi, kutopa. Ndi kutaya mtima, odwala sazindikira zomwe zimachitika chifukwa cha kutupa, mapangidwe azilonda zazing'ono, zikwangwani, ming'alu, mafinya. Zotsatira zake, mabala amatenga kachilomboka, osachiritsidwa kwa nthawi yayitali.
Zowonongeka zamitsempha yamagazi (angiopathy). Odwala odwala matenda ashuga, dongosolo lonse la magazi limazunzika. Koma zomwe zimakhudzidwa kwambiri ndi zombo zomwe zimadutsa pamiyendo. Pakhungu lomwe layamba kuchepa, ming'alu ndi zilonda zam'mimba, zomwe zimakulitsa matendawa.
Madzi amchere wamchere. Kuchepa kwa metabolism kumapangitsa kutupa kwa miyendo ndi kupweteka.
Matenda a impso. Ndi kuwonongeka kwa impso, edema ndizofala zomwe zimachitika.
Kunenepa kwambiri, kunenepa kwambiri.
Kuperewera kwa zakudya m'thupi.

Zizindikiro

Mwendo wokongola umakulitsidwa. Pambuyo kukanikiza kutupa ndi chala, mano amakhalabe pakhungu. Ndi chitukuko cha edema, zizindikiro zophatikizika zimawonekera:

Mapazi anga amalephera
Tsitsi kuchokera pakhungu la miyendo limatha
matuza mawonekedwe
zomvera zimatha
zala ndi miyendo zimasokonekera (kufupikitsidwa ndikufupikitsidwa).

Mavuto

Kwa odwala ambiri, kutupa m'miyendo sikubweretsa vuto lalikulu. Koma ngati simuchita nawo mankhwalawo, mavuto amakula. Ululu ndi kuwotcha zikuwonekera m'malire. Khungu limafoola, limakhala louma, lokhalokha, limavulala mosavuta. Pang'onopang'ono mabala omwe amachiritsa amakhala ndi matenda.

Mitsempha yamagazi imakhazikika m'mitsempha yamiyendo. Thrombosis ndi vuto lalikulu, lomwe limadziwika ndi izi:

Kutupa kosiyanasiyana (miyendo imasiyana kukula),
Kutupa sikutha usiku, m'mawa mwendo umakhala wodwala.
wodwala akumva ululu atayimirira,
Khungu limasanduka lofiira
kusasangalala kumamveka m'miyendo.

Pamene thrombosis oletsedwa kutikita minofu. Chovala chamagazi chimatsogolera ku chiopsezo cha moyo. Pulmonary thromboembolism imayamba - njira yomwe imatha kupha.

Njira zochizira

Mu matenda a shuga, kutupa m'miyendo sikumangopita pakokha. Ayenera kuthandizidwa malinga ndi zomwe dokotala amakupangira. Zomwe zimayambitsa matenda a edema, kuopsa kwa matendawa, komanso kupezeka kwa zovuta kumathandizira momwe angachitire ndi miyendo chifukwa cha matenda ashuga.

Kuti athetse edema, amakhazikitsa boma la kumwa lomwe limapangitsanso kagayidwe kamchere wamadzi, komanso kupereka masewera olimbitsa thupi. Zochita zolimbitsa thupi zimathandizira kuyenderera kwa magazi, kubwezeretsa minofu yazakudya.

Kuthetsa edema ndi kupweteka m'miyendo ndi matenda a shuga:

Mankhwala omwe amawongolera kuchuluka kwa shuga m'magazi.
Mankhwala otaya magazi.
Mankhwala othandizira matenda oopsa: Captopril, Enalapril ndi Lisinopril.
Mankhwala omwe amachepetsa kupitirira kwa matenda ashuga a m'mimba (B mavitamini, zovuta ndi lipoic ndi thioctic acid).
Njira zomwe zimalepheretsa kukula kwa angiopathy. Mankhwala osokoneza bongo pofuna kusintha magazi: Trental, Pentoxifylline, No-spa, Nicotinic acid. Mankhwala osokoneza bongo: Furosemide, Veroshpiron, Hypothiazide.

Dokotala amafotokozera wodwala mankhwala onse. Kudzipatsa nokha shuga

Kuchepetsa malekezero amachitika pamene phazi la matenda ashuga limachitika, pomwe cholinga chachikulu cha matenda, minyewa ya necrosis ikuwoneka pamiyendo, yomwe singathe kuvomerezeka.

Kupewa

Popewa kutupa ndi kupweteka m'miyendo mwa anthu omwe ali ndi matenda ashuga, amalangizidwa kuti azitsatira njira zodzitetezera. Odwala ayenera:

Chitani mayeso a miyendo tsiku ndi tsiku, omwe amathandiza kudziwa nthawi yomweyo mabala m'miyendo.
Sambani mapazi musanagone pogwiritsa ntchito sopo wamchere pang'ono. Wuma chinyezi pakhungu ndi thaulo loyera.
Sanjani misomali yanu mosamala popanda kuvulaza minofu yofewa. Ndi msomali wokhazikika, redness, kuyabwa ndi kusintha kwina kwa matenda, muyenera kugwiritsa ntchito thandizo lakuchipatala.
Sankhani nsapato zapamwamba za mafupa, musanaziveke, muzifufuze ngati zingawononge khungu la miyendo.
Pukutirani mapazi anu masokosi. Mu shuga, gawo lachifundo limachepetsedwa. Sikuti wodwala aliyense amamva kuwotchedwa chifukwa cha mapiritsi otenthetsera ndi ma compress owuma.
Zilonda zopopera pogwiritsa ntchito hydrogen peroxide, chlorhexidine, miramistin. Kugwiritsa ntchito ayodini komanso kubiriwira kowoneka bwino kumatsutsana. Amawuma khungu.
Kuti musungunuke, muchepetse khungu louma ndikubwezeretsa kunenepa kwake, gwiritsani ntchito mafuta opaka.
Yendani. Amathandizira kubwezeretsa magazi ndi minyewa.
Pewani chizolowezi choyipa - kusuta.

Kuti mukhale ndi thanzi la mwendo mu shuga, muyenera kuyang'anira shuga ndikutsatira mosamalitsa zakudya.

Zitsamba za diuretic

Zomera zokhala ndi diuretic zimachepetsa kutupa. Odwala akulangizidwa kuti aphatikizire zinthu za diuretic mu zakudya zawo: adyo, anyezi, udzu winawake, parsley, kefir, chivwende, dzungu.

Mankhwala:

Flaxseed. Mu 500 ml ya madzi otentha kutsanulira supuni ziwiri za mbewu, kubweretsa kwa chithupsa, kwa mphindi 15. Siyani kwa maola atatu kuti mukakamize, kusefedwa. Imwani kapu ya ½ katatu pa tsiku. Amathandizidwa masiku asanu.
Tsamba la Blueberry. Mu 250 ml ya madzi otentha, thirani supuni ya masamba. Zisiyeni ziphulikire kwa theka la ora. Imwani 75 ml katatu patsiku musanadye.
M'milingo 10 yamadzi ozizira, 1 makilogalamu amchere amathandizira. Amayala chopukutira ndi mchere, ndikuchiyika kumbuyo, ndigwiritse mphindi ziwiri. Ndondomeko imachitidwa mobwerezabwereza 10-15 mzere. Mchere wamchere umayendetsa kukodza.

Zitsamba Zoyang'anira shuga

Mu shuga, ndikofunikira kuti shuga yanu izikhala yolimba kwambiri. Kuti muchepetse shuga wamagulu 2 shuga, lembani izi:

Kulowetsedwa kwa burdock. Mu 250 ml ya madzi otentha, supuni ya tiyi ya mizu ya burdock imatheka. Imwani kawiri patsiku kwa makapu 0,5. Idyani theka la ola mutatha kumwa mankhwalawa.
Msuzi wa oat. Mphesa ndi ma gaga a mbewu zimachepetsa shuga. Thirani supuni ya mbewu mu 400 ml ya madzi, wiritsani, simmer kwa mphindi 15. Imwani 4 pa tsiku kwa ½ chikho. Tenga chakudya patatha mphindi 15 mutamwa msuzi.

Gwiritsani ntchito zitsamba zochepetsa shuga kwa matenda amtundu wa 1 sizothandiza.

Zomera Zakumadzulo

Chithandizo cham'miyendo chakomweko cha matenda a shuga chimachitika pogwiritsa ntchito mankhwala azitsamba:

Mahatchi. Udzu umathiridwa ndimadzi mu gawo la 1:15, wophika kwa mphindi 10. Msuzi umasefedwa, umagwiritsidwa ntchito popaka mafuta. Mankhwalawa ali ndi mphamvu yotsutsa, amathetsa tizilombo toyambitsa matenda, timathandizira kubwezeretsanso minofu yowonongeka, amachotsa edema..
Aloe Madzi amathandizira kuchiritsa zilonda zam'mimba. Amadzazidwa ndi mabala, yokutidwa ndi zopukutira zosasenda komanso zomangidwa ndi bandeji. Thupi la pepalalo limayikidwa pakhungu lovulala, bandeji limayikidwa kuchokera pamwamba.
Burdock. M'nyengo yotentha, masamba omwe amakweranso kumene amagwiritsidwa ntchito, ndipo nthawi yozizira, zida zouma zouma zimatentha m'madzi otentha. Uchi wochepa thupi umathira kumtunda, wowazidwa ndi ufa wa aspirin, masamba amayikidwa pamwamba pakhungu ndi mbali yamkati, ndikuyika bandeji yofunda. Kugwiritsa ntchito kumachepetsa ululu, kutupa ndi kutupa.
Madzi a Burdock. Madzi omwe afinya kumene masamba ndi mizu ya chomera amagwiritsidwa ntchito kuphera mankhwala mabala olimbitsa. Amatsuka tsamba la lesion.

Kusamalira koyenera phazi la matenda ashuga kumathandizira kupweteka, kutupira, kumalepheretsa matendawa kukula komanso kukula kwa zovuta. Anthu omwe ali ndi vuto la zovuta za pathologies, samamva bwino, amakhala ndi moyo wautali.

Lumikizani matenda ashuga komanso kupweteka

Mafupa amalumikizidwa ndi olumikizana. Kugwirizana konseku kumalumikizidwa ndi tendons, cartilage, yomwe imafewetsa mafupa. Matenda a shuga ndi mafupa amalumikizidwa. Ndi matendawa, pali mavuto ndi kupanga kwa insulin mokwanira, zomwe zimatsogolera pakukula kwa matenda a minofu, mafupa, mafupa.

Matenda a shuga amaphatikizidwa ndimatenda a metabolic, chifukwa chake matendawa amakhudza mafupa. Kusintha kwa kayendedwe ka magazi kumayambitsa kusawona bwino kwa mitsempha ya minofu ndi minyewa. Matenda a shuga amakhumudwitsa chitukuko cha atherosulinosis. Kapangidwe ka zikwangwani m'matumbo kumalepheretsa kuyenda kwamagazi kokhazikika kufikira itasiya m'mizere ina. Njala ya oxygen imapezeka m'matupi.Zotsatira zake, kulumikizana ndi matenda osokoneza bongo kumatha kupweteka poyenda kukwera masitepe, khungu lamiyendo ya khungu la miyendo limawonekera, ndipo kukula kwa misomali kumachepera.

Kuchuluka kwa glucose kumaphimba ndege ya olowa, kukhudza kayendedwe, kuchepetsa kusinthasintha. Poterepa, collagen yomwe imakhala m'misempha imawonongedwa. Kunenepa kwambiri kumachulukitsa katundu kumaloko. Nthawi zambiri, matenda ashuga amakhudza mawondo.

Matenda a shuga sayambitsa nyamakazi, koma matenda amtundu woyamba amachititsa kuti matendawa azioneka. Potere, amalankhula za nyamakazi. Pathology imadziwika ndi ululu wakuthwa, zovuta kusuntha, njira yotupa m'dera lomwe lakhudzidwa.

Kwenikweni, matendawa amakhudza mafupa:

Pali mitundu yosiyanasiyana ya arthrosis. Kuphatikiza apo, odwala matenda a shuga a mellitus amakhudzidwa ndi chikwama cha periarticular. Kutupa kumatchedwa bursitis. Zimabweretsa kupweteka mukamayenda ndikuwoneka kumapeto kwenikweni, komwe kuli katundu wambiri mukasuntha.

Kukula kwake kumakhudzidwa ndi kuvulala, kukakamira kwa fupa, ndipo matenda a shuga amafulumizitsa njira ya chitukuko.

Maphikidwe a anthu

Musanaganize momwe mungagwiritsire ntchito njira yolumikizira matenda ashuga, ndikofunikira kukaonana ndi omwe amakuthandizani pazaumoyo. Mutha kugwiritsa ntchito malo osambira, ma compress. Kutalika kwa maphunzirowa ndi miyezi 1-2, yomwe imatha kubwerezedwa pambuyo pa miyezi 1-2.

Lowetsani maphikidwe osamba:

Mpweya (50 gr.) Thirani madzi okwanira 1 litre, ndipo mulekerewo tsiku limodzi. Kenako tincture wake umasungunuka ndi madzi ofunda ndi miyendo yomizidwa pachikhatho. Sungani mapazi kwa mphindi 20 mpaka madzi atazizira.
Tsamba la Bay (20 g. Zinthu zosapsa) zimathiridwa ndi madzi otentha (1 lita), onjezani 30 ml. mafuta a azitona. Kuumirira sabata 1.

Compress imatha kuyikidwa kumalo omwe akukhudzidwayo ponyowa ndi nsalu ya thonje m'matumba omwe tafotokozawa. Amasiyidwa kwa mphindi 30-50. Ndi arthrosis, amaphunzira kugwiritsa ntchito compress ndi horseradish. Kuti muchite izi, muzu wokhala ndi grated umasunthidwa mumadzi osamba (kokha kuti madzi asatenthe) umagwiritsidwa ntchito molumikizana. Kuti muchepetse ululu, gwiritsani ntchito tsamba lapa kabichi.

Ndikofunika kusamba, komwe amawonjezera nthambi ya payini ndi singano, 1 tsp. turpentine, 2 tbsp. l uchi, 1 makilogalamu amchere wamchere. Mutha kukhalamo osapitilira mphindi 20.

Kugwiritsa ntchito mankhwala wowerengeka kungathandize kuti magazi azithamanga, kuchepetsa ululu m'dera lomwe lakhudzidwa.

Mankhwala osagwiritsa ntchito mankhwala

Ndi chiwonongeko cha malo olumikizirana ndi phazi, kuvala nsapato zamafupa, othandizira opaleshoni amachitidwa.

Matenda a shuga a matenda ashuga amakhala ovuta kuchiza. Ndikofunika kupanga zilembo zotambalala zomwe zimalepheretsa komanso kuyimitsa matenda. Pofuna kuthana ndi arthrosis, electrophoresis, kutikita minofu, ndi zamkati zimagwiritsidwa ntchito.

Pa gawo loyambirira la matenda ophatikizika, maginito amachitika, pomwe malo omwe akukhudzidwawo amatenthetsedwa mpaka masentimita 12.

Njirayi ili ndi zotsatirapo zabwino:

Kuchepetsa kutupa
amachepetsa ululu
Imayenda bwino kwamankhwala oyenda.

Palibe zotsutsana ndi zamagetsi. Kupatula kwake ndi mavuto a mtima, oncology, chifuwa chachikulu, mimba, kusayenda bwino kwa magazi.

Ndikofunika kutsatira zakudya zomwe zimathandizira kukhazikitsa shuga m'magazi. Kutengera mtundu wa shuga ndi nthawi yake, dokotalayo akhoza kukupatsani malangizo ena okhudzana ndi zakudya.

Ndikwabwino kudya chakudya, kuphika, kuwotcha, kuphika. Idyani zamasamba atsopano, zitsamba. Chakudyacho chimaphwanyidwa, m'magawo ang'onoang'ono 5-6 patsiku.

Zoyambitsa mavuto

Zomwe zimayambitsa kuphatikizika kwa matenda ashuga ndizovuta kusungitsa malo ndipo zimathandizira kuti magazi azigwedezeka. Kuvulala kwapompopompo kumatha kuthandizanso, kotero ang'ono kwambiri amatha kuyambitsa osteolysis, yomwe imawononga mawonekedwe. Kuphatikiza apo, kapangidwe ka mafupa ndi cartilage minofu amasintha ndikusowa kwa insulin. Protein glycation iyenera kuonedwa ngati chinthu chofunikira kwambiri chodzetsa matenda m'mafupa ndi mitsempha yamagazi. Zotsatira zake, mafupa amapweteka m'magawo a shuga.

Magawo a matenda

Pa gawo loyamba, edema ndi hyperemia yolimbitsa thupi imapezeka. Zomverera zosasangalatsa komanso kutentha thupi sizimakhalapo, koma mafupa amadzachitika.

Pa gawo lachiwiri, kusintha kwonga kufooka kwa mafinya a pineal gland, subchondral sclerosis, kufooka kwa mafupa, komanso kuchuluka kwa minofu yolumikizidwa. Mwinanso ndi njira monga aseptic necrosis yomwe imakhudza mafupa, komanso kusintha kwa pathological mu minofu yamafupa.

Kuwonongeka kwa chidwi kumatha kupangitsa kutalika kwa zida zapamimba, chifukwa chomwe chimayamba kumasula.

Pa gawo lachitatu, mapindikidwe osiyidwa, kulekanitsa miyendo kumadziwika.

Mafupa owuma pang'onopang'ono chifukwa cholumikizana mwendo.

Matenda a matenda ashuga

Hyropathy, kapena diabetesic hand syndrome, ndikuchepetsa kwa kusunthika, komwe, makamaka, ndi kusiyanasiyana kwa osteoarthropathy.

Amadziwika mu 15-30% ya achinyamata omwe ali ndi matenda amtundu woyamba. Hyropathy imagwirizanitsidwa makamaka ndi kupangika komwe kumakhala m'manja. Muzochitika zovuta, khosi lachiberekero, komanso mbali zazikulu za miyendo ndi kapangidwe kazala zakumaso, zimagwira nawo gawo la pathological.

Ngati mafupa akuvutika ndi matenda am'mimba ndipo zovuta zomwe zili pamwambazi zimapangidwa, ndiye kuti kugwira ntchito kwa wodwalayo kumachepa. Odwala omwe azindikira kuti amatha kusunthika amatha kupezeka ndi chibayo, komanso kupangika kwa matenda ammiyendo m'tsogolo.

Njira zoyesera

Musanayambe chithandizo, ndikulimbikitsidwa kuti mupezeke ndi matenda ena aliwonse. Ndikothekanso kuwonetsa kuwonjezeredwa kwa nyamakazi ndi ma pathologies ena malinga ndi zizindikiro zoterezi chifukwa cha mayeso a labotale, monga, kuwonjezeka kwa gawo la ESR, kuchuluka kwa leukocyte (kwa matenda opatsirana ndi bakiteriya), ndikusintha kwa kuchuluka kwa ma eosinophils pakagwiritsidwa ntchito ndi matendawo. Zofunikanso kwambiri ndizowonetsa ndi uric ndi sialic acid wa gout, kupezeka kwa fibrogen panthawi yotupa komanso chinthu chodutsitsa.

Njira zodziwonera za chida zimakupatsani mwayi wofotokozera bwino za matendawa: radiology, ultrasound, CT, MRI ndi ena. Munthawi yonse ya zamankhwala, komanso mukamaliza, kufufuza zowonjezera zimaperekedwa kuti muchepetse zovuta.

Momwe mungathanirane ndimalumikizidwe a shuga

Chithandizo chimaphatikizapo njira zosasamala. Chikhazikitso cha chithandizo ndikuwunikira kosalekeza kwa zomwe zikuwonetsa shuga. Tiyeneranso kukumbukira kuti:

Ndikofunika kuti wodwalayo azichita masewera olimbitsa thupi nthawi zonse komanso kuchita magawo osatinso kutikita minofu yokha, komanso kudziwonetsa. Amatembenukira ku hardware physiotherapy, yomwe ibwezeretsa kuchuluka kwa zomverera.

Ma Chondroprotectors okhala ndi ma aligorivini osawoneka bwino sangathandize, chifukwa chake kugwiritsa ntchito kwazinthu zambiri ndizopanda tanthauzo. Maina odana ndi kutupa ndi ma analgesic amagwiritsidwa ntchito pothana ndi zowawa. Ndi chithandizo chawo, ndizotheka kuthetseratu kutaya, komanso kusintha pang'ono pang'onopang'ono.

Mayina a Corticosteroid, omwe amayamba ndi jekeseni m'dera lamavuto.

Chithandizo cha opaleshoni chovomerezeka ndikungokhala ndi mtundu wa shuga. Ngati matendawa adalipidwa, ndipo palibe zotsutsana ndi mtima ndi ziwalo zamkati, kuli bwino kuchita zina. Mapeto ake amaperekedwa ndi endocrinologist malinga ndi zotsatira za kuwunika kwathunthu. Ndi kukula kwa kuchuluka kwa shuga, njira zonse zochizira odwala omwe ali ndi matenda a endocrine zimachitika komanso mwa anthu athanzi. Komabe, kuwongolera ndikofunikira kwambiri osangogwira opareshoni, komanso pambuyo pake.