Kodi matenda a shuga

Vuto la khungu, lomwe limakhala dermopathy, nthawi zambiri limapezeka mu odwala matenda ashuga, chifukwa amakhala ndi khungu louma, makamaka magazi a shuga akakhala okwera. Khungu lopanda madzi amayamba kusweka, kuyimitsidwa kumawonekera, ndipo matenda ena owonjezereka amatha kuyambitsidwa.

Dermopathy ya matenda ashuga imaphatikizapo zotupa zambiri za pakhungu zomwe zimapezeka nthawi zambiri m'munsi mwendo. Ichi ndi chimodzi mwazovuta za matenda ashuga - amawonedwa pafupifupi 50% ya odwala matenda a shuga.

Kodi diabetesic lipoid necrobiosis ndi chiyani?

Diabetesic lipoid necrobiosis imakonda kutchulidwa kwambiri kunsi kwa phazi lakumbuyo, ngakhale imatha kukhala m'malo ena. Poyambirira, mapepala a erythematous amawonekera popanda zizindikiritso zapadera, zomwe zimasandulika kukhala zotupa zamkaso zofiirira zachikasu zokhala ndi zotengera zowoneka bwino komanso ma epermosis atrophy.

Kuphatikiza apo, malo ophatikizika a mtima, maselo am'madzi am'magazi ndi kuchuluka kwamafuta osagwirizana kumapezeka. Tizilombo toyambitsa matenda tosadziwikiratu sizidziwika, koma vasculitis yomwe imagwirizanitsidwa ndi mawonekedwe a chitetezo cha mthupi komanso kuphwanya kwa kuphatikiza kwa maselo ambiri kumayesedwa ngati chifukwa.

Kodi pali mgwirizano wanji pakati pa odwala matenda ashuga lipoid necrobiosis ndi matenda ashuga?

Pakati pagulu lalikulu la odwala a lipoid necrobiosis, 62% anali ndi matenda a shuga, ndipo pafupifupi theka la odwala popanda matenda a shuga anali atalepheretsa shuga kapena matenda osokoneza bongo m'mbiri ya mabanja. Komabe, mwa odwala omwe ali ndi matenda ashuga, lipoid necrobiosis imawoneka pokhapokha mu 0.3% ya milandu.

Diabetesic lipoid necrobiosis pakalibe matenda ashuga amangotchedwa lipoid necrobiosis. Komabe, kuyandikana kwa matendawa ndi matenda ashuga kumafuna nthawi zonse kuwunika kwa kagayidwe kazakudya. Ngati zotsatira za kuyesedwa kwa glucose sizabwino, kuphunzira mobwerezabwereza ndikofunikira.

Nthawi zina lipoid necrobiosis amachoka popanda chithandizo. Chithandizo cha matenda oopsa a shuga kapena kuongoletsa mwamphamvu glycemic ndi matenda omwe alipo kale sichikuwoneka kuti chikuwakhudza mankhwalawa akuti lipoid necrobiosis. Poyambirira, ma corticosteroids omwe amagwiritsidwa ntchito pamatumbo kapena kuwayambitsidwa akhoza kuthandiza.

Milandu yowonjezereka, stanazolol, nicotinamide, pentoxifylline, mycophenolic acid kapena cyclosporine ndi mankhwala. Zilonda zolimbana ndi matenda, kuphatikiza khungu kungafunike.

Kuwonetsera kwa matenda a shuga

Madokotala a ntchito zosiyanasiyana, kuphatikizapo ma endocrinologists, kusintha kwa khungu la nkhope. Zilonda za pakhungu zimatha kupeza mwangozi kapena zodandaula za wodwala. Zosavulaza poyang'ana koyamba, kusintha kwa khungu kungakhale chizindikiro chokhacho cha matenda akulu.

Khungu ndiye chinthu chofikirika kwambiri pakufufuzira ndipo nthawi yomweyo ndiye gwero lazidziwitso zofunika kwambiri. Chotupa chikhoza kufotokozera za matendawa m'matenda ambiri amkati, kuphatikiza matenda a shuga a mellitus (DM). Kusintha kwa khungu ku shuga. Kusokonezeka kwakukulu kwa metabolism komwe kumayambitsa matenda a shuga kumabweretsa kusintha pafupifupi ziwalo zonse ndi minyewa, kuphatikizapo khungu.

Zizindikiro zina zokhudzana ndi matenda a shuga zimachitika chifukwa chakusintha kwa metabolic, monga hyperglycemia ndi hyperlipidemia. Kuwonongeka kwapang'onopang'ono kwa minyewa, minyewa kapena chitetezo chamthupi kumathandizanso kwambiri kukulitsa mawonekedwe owonekera a khungu.Malangizo a zotupa zina zokhudzana ndi matenda a shuga amakhalabe osadziwika 7, 20.

Hyperinsulinemia imathandizanso pakusintha khungu, monga momwe timawonera poyambira matenda a shuga a 2.

Kuphatikiza ndi arteriosulinosis ya zombo zazikulu, izi zamavuto am'mimba zimathandizira kupanga zilonda zam'mimba. Kuphatikiza apo, ndi matenda ashuga, kutayika kwa khungu kosatha kumayamba, komwe kumayambitsa matenda ndi kuwonongeka. Monga lamulo, zotupa za khungu la anthu odwala shuga zimakhala ndi njira yayitali komanso yolimbikira komanso yowonjezera pafupipafupi ndipo ndizovuta kuchiza.

Pali magawo angapo a zotupa za pakhungu m'matenda a shuga, zimatengera mawonekedwe azachipatala ndi zina mwazinthu za pathogenesis pakusintha khungu. Malinga ndi gulu la Khlebnikova A.N., Marycheva N.V. (2011) malinga matenda a pakhungu la shuga amagawika m'magulu asanu:

1. dermatoses yogwirizana ndi matenda a shuga,
2. matenda a pakhungu ogwirizana ndi matenda ashuga komanso insulin,
3. khungu matenda ogwirizana ndi angiopathy,
4. zotupa zoyipa,
5. bacteria ndi fungal matenda.

M'magulu omwe anafotokozedwa ndi Andrea A. Kalus, Andy J. Chien, John E. Olerud (2012), magulu otsatirawa a zotupa zokhudzana ndi matenda a shuga amadziwika:

1. kuwonetsa khungu matenda ashuga ogwirizana ndi metabolic, mtima, minyewa kapena matenda okhudzana ndi matenda a shuga.
2. Matenda omwe amaphatikizidwa ndi matenda ashuga, omwe ali ndi pathogenesis osadziwika (lipoid necrobiosis, grularulan granuloma, chikhodzodzo cha matenda ashuga, matenda a shuga).

Zogawikazo sizosiyana ndipo zimangothandizana wina ndi mnzake.

Ku dermatoses yomwe imakhudzana ndi shuga imaphatikizapo matenda a shuga. Scleredema imakhala yodziwika bwino ndi matenda a shuga a nthawi yayitali kuphatikiza kunenepa kwambiri ndipo amawonetsedwa ndi kusintha kwa khungu kumaoneka ngati kusintha kwa khungu m'khosi komanso kumtunda kwachitatu chakumbuyo ngati peel ya lalanje. Malinga ndi olemba osiyanasiyana, pafupipafupi momwe zimachitikira odwala omwe ali ndi matenda ashuga ndi 2,5,5% 28, 25, 50.

Odwala omwe ali ndi matenda a diabetes a sclerodema amatha kuona kuchepa kwa ululu komanso kumva kupepuka m'dera la khungu lomwe lakhudzidwa, komanso kudandaula chifukwa chovuta kusuntha miyendo ndi khosi. Mwazowopsa, matendawa angayambitse kuchepa kwathunthu kwa kuyenda kosagwirizana, komabe, kukhalapo kwa scleredema sikugwirizana ndi retinopathy, nephropathy, neuropathy, kapena kuwonongeka kwa ziwiya zazikulu.

Kulumikizana ndi insulin kukhudzana ndi kunenepa kwambiri kumatha kuwoneka wakuda acanthosis (acantosis nigricans), yomwe imawonetsedwa m'malo opatsirana khungu pakhungu ndi kukula kwa papillomatous m'khosi ndi m'mizere yayikulu. Ntchito yayikulu pakukula kwa acanthosis imaseweredwa ndi insulin.

M'mikhalidwe yotsutsana ndi insulin komanso hyperinsulinemia, acanthosis imatha kukhazikika chifukwa chomangirira kwambiri insulin ku ma IGF-1 receptors pa keratinocyte ndi fibroblasts. Umboni wokomera gawo la kukula kwa zinthu zosiyanasiyana mu pathogenesis yakuda acanthosis ukupitilizidwa.

Matenda osazindikira a shuga komanso matenda oopsa amatha kupangitsa kuti khungu lipezekenso pakhungu. Amakhala ndi mapapo ofiira achikasu 1-4 mm kukula kwake., Ali pamalo ndi miyendo ndi manja owonjezera a miyendo.

Zinthu za m'matumbo zimawoneka ngati mbewu ndipo pakapita nthawi zimatha kuphatikizika ndikupanga zolembera. Poyamba, triglycerides imakhala yayikulu pakhungu, koma chifukwa amaphatikizana mosavuta ndi cholesterol, ndi kuwola kwawo, kolesterol yambiri imadziunjikira pakhungu.

Insulin ndiwowongolera wofunikira pazinthu za LDL.Mlingo wa kuchepa kwa enzyme komanso kuyeretsa pambuyo pake kwa seramu triglycerides kumagwirizana ndi zomwe zikuwonetsa kuchepa kwa insulin ndi hyperglycemia. Kuwonekera kwa plopma lipoproteins kumadalira kuchuluka kwa insulin.

Mu matenda osalephera a shuga, kulephera kotero kuti mumapangidwe amtundu wa chylomicrons ndi lipoproteins yotsika kwambiri kungayambitse kuchuluka kwa plasma triglycerides mpaka zikwi zingapo. Matenda osavomerezeka a shuga ndi omwe amachititsa kwambiri matenda oopsa a hypertriglyceridemia.

Kuchepetsa kumeneku kumagwirizana mwachindunji ndi kuopsa kwa matenda ashuga. Matenda opatsirana komanso otupa amayambira pakhungu la m'munsi malekezero a angio ndi neuropathies. Zomwe zimayambitsa nthawi zambiri zimakhala matenda a polymicrobial: Staphylococcus aureus, magulu a Streptococcus A ndi B, bacteria wa aerobic gram-negative ndi anaerobes ambiri.

Pyoderma imayimiridwa makamaka ndi folliculitis, ecthyma, erysipelas ndipo imatha kupanikizika ndi eczematization. Kuphatikiza apo, kukulitsa kwa furunculosis, carbuncle, paronychia, matenda ofewa a minofu ndikotheka.

Mu shuga mellitus, ma cellcirculation m'matumbo am'munsi amawonedwa pafupipafupi ka 20 kuposa mwa anthu omwe alibe endocrine matenda, omwe amathandizira kukulitsa matenda a fungal a mapazi ndi onychomycosis. Omwe amachititsa matenda oyamba ndi fungus ndi dermatophytes ndi Candida albicans.

Kuphatikiza apo, mwa anthu wamba, zotupa zapakhungu zoyambitsidwa ndi C. albicans sizidutsa 20%, pomwe odwala omwe ali ndi zilembo zambiri akuwonetsa mpaka 80 - 90%. Tiyenera kudziwa kuti 80% ya kulembetsa kwa khungu candidiasis imapezeka mwa odwala matenda ashuga.

Matenda omwe amakhalapo chifukwa cha matenda ashuga komanso kukhala ndi pathogenesis yosadziwika bwino amaphatikiza lipoid necrobiosis, granuloma ya annular, chikhodzodzo cha matenda ashuga komanso matenda a shuga.

Lipoid necrobiosis (matenda a Oppenheim-Urbach) ndi matenda osinthika osasintha a mtima, omwe ndi cholidosis chodziwika bwino cha lipid m'magawo a dermis komwe kuli kusokonekera kapena necrobiosis ya collagen.

Zizindikiro zoyambirira za dermatosis nthawi zambiri zimachitika mgulu la zaka 20 mpaka 60. Muubwana, matenda a Oppenheim-Urbach ndi osowa. Chiwopsezo cha lipoid necrobiosis pakati pa odwala matenda a shuga ndi 0,3%.

Chithunzi cha chipatala cha matenda a Oppenheim-Urbach ndichosiyana kwambiri. Mchitidwewo ungakhudzidwe ndi madera osiyanasiyana a pakhungu, koma makamaka khungu lakumaso kwa miyendo. Izi zikhoza kufotokozedwa ndikuti mu shuga, kusintha kwa matenda kumachitika m'matumbo ang'onoang'ono am'munsi.

Nthawi zambiri, lipoid necrobiosis imawoneka ngati malo amodzi otanthauzira bwino achikaso. Zida zimakhala ndi m'mphepete mwachikuda zomwe zimatha kukwera pamwamba pa khungu kapena kumawirira.

Popita nthawi, zinthu zomwe zimagwirizana komanso dera lapakati achikasu kapena lalanje zimakhala atrophic; telangiectasias nthawi zambiri imatha kuwoneka, zomwe zimapangitsa madera omwe akukhudzidwawo kuti awaluke. M'dera lamapepala, kuchepa kwa chidwi kumachitika.

Mbiri yodziwika bwino ya granuloma ya annular imakhudzana ndi mapepala amodzi kapena zingapo zomwe zimakula pamphepete ndikuwongolera nthawi imodzi pakatikati. Mtunduwu umatha kusunga mtundu wamtundu wa khungu kapena kukhala erythematous kapena wofiirira. Makulidwe amtundu wanthawi zonse kuchokera ku 1 mpaka 5 cm. Granuloma yoboola ngati mphete, monga lamulo, ndi asymptomatic, kuyabwa pang'ono pakhungu ndi kotheka, foci yopweteka ndizosowa.

Diabetesic bullosis - subepidermal bullous dermatosis yopezeka mwa odwala matenda ashuga

Kwa nthawi yoyamba, chikhodzodzo ngati imodzi mwazosiyanasiyana zotupa za pakhungu la shuga zidawonedwa ndi D. Kramer mu 1930. A. Cantwell ndi W. Martz adafotokoza izi ngati matenda a shuga.

Ma Bubble okhala ndi kukula kuyambira mamilimita ochepa mpaka masentimita angapo (nthawi zambiri pakhungu la malekezero ena) amawoneka pakhungu losasinthika. Mitundu iwiri ya zotupa ndi yodziwika: mabala omwe ali mkati mwa mapangidwe omwe amawonongeka popanda kupangika, ndi matuza a subepidermal, pambuyo pake zipsera zopanda kanthu zimatsalira. Zowombera zimapangidwa makamaka pamapazi ndi miyendo, koma zimatha kuchitika m'manja ndi m'manja. Mabulosi amangozithetsa pakatha masabata 2-5, kuyambiranso nkotheka.

Zilonda zapakhungu za atrophic zokhala m'munsi, kapena "mwendo wotsika," zidafotokozedwa koyamba ndikulemba chizindikiro cha matenda ashuga mu 1964. Posakhalitsa, Binkley adalemba mawu akuti "dermopathy" kuti agwirizane ndi kusintha kwa matenda am'mimba ndi a retinopathy, nephropathy, ndi neuropathy.

Dermopathy ya shuga imakhala yofala kwambiri kwa odwala omwe ali ndi nthawi yayitali ya matenda a shuga ndipo amapezeka kwambiri pakati pa amuna. Mwachizolowezi, ndi malo aang'ono kwambiri osachepera 1 cm kuchokera ku pinki kupita pamtundu wakuda ndikufanana ndi minyewa yokhala m'malo otetezedwa.

Zinthuzi zimakhala ndi njira ya asymptomatic ndipo zimatha pambuyo pa zaka 1-2, zikusiyira kuwongolera pang'ono. Kutuluka kwazinthu zatsopano kukusonyeza kuti pigment ndi atrophy ndizopitilira.

Nthawi zambiri, kuwonongeka kwa mucous nembanemba wamkamwa ndi ndulu ya poliyo kumalumikizidwa ndi matenda ashuga komanso matenda oopsa (Potekaev-Grinshpan syndrome), ndipo totupa pa mucous membrane, monga lamulo, limakhala losokonekera komanso lacousative m'chilengedwe.

Pakufufuza kwakukulu kuti athe kudziwa mgwirizano womwe ulipo pakati pa psoriasis ndi thanzi labwino, zidapezeka kuti azimayi omwe ali ndi psoriasis ali ndi mwayi wambiri wodwala matenda a shuga, poyerekeza ndi odwala omwe alibe dermatosis. Poyerekeza ndi shuga, Psoriasis imakhala yolimba, monga mitundu ya psoriasis, psoriatic polyarthritis, psoriasis yamafupa akuluakulu imawonedwa.

Chifukwa chake, kusintha kwa khungu kungagwirizanenso ndi kayendedwe ka matenda omwe amachititsa matenda ashuga. Chithunzi cha matenda ndi pathomorphological cha dermatoses ndi dermopathies, chisanafike kapena kukulitsa motsutsana ndi maziko a matenda ashuga, chimadalira kagayidwe kachakudya ka minyewa, minyewa, mitsempha komanso chitetezo cha m'thupi.

Matenda a shuga

Matenda a shuga amatha kuyambitsa mitsempha chifukwa chotuluka m'mitsempha yamagazi yomwe imadyetsa mitsempha. Izi zimatha kuyambitsa chidwi, kugona, komanso kumva tulo tatifupi.
Komanso, mwa odwalawa, kupwetekedwa mtima kumatha kuchepa kapena kutha kwathunthu ndipo zilonda ndi zilonda pakhungu la malekezero am'munsi zimatha kupezeka chifukwa chovulala mosasamala mapazi.

Matenda a pakhungu

Odwala odwala matenda a shuga amakonda kwambiri matenda opatsirana khungu. Zitsanzo zapadera za matenda opatsirana ndi matenda a balere, furunculosis ndi fungus. Matenda ena amatha kudwala kwambiri ndipo amafunika kuthandizidwa mwachangu, monga ma carbuncle, omwe ali ndi vuto lalikulu la bakiteriya ku follicle (abscess), ndi cellulite, yomwe ndi nthenda yakuya khungu.

Cellulite nthawi zambiri imakhala yofiyira, yotentha kukhudza, kutupa kwa miyendo. Necrotizing fasciitis ndi matenda oopsa komanso opweteka pakhungu omwe amatha kufalikira mkati mwa minofu ndikufunika opaleshoni yomweyo. Matendawa amayimiriridwa ndi zotupa zopweteka, zotupa za hemorrhagic kapena matuza pakhungu.

Lipoid necrobiosis

Uku ndikusowa kwa shuga, komwe kumakhudzanso kuwonongeka kwa mitsempha ya pakhungu laling'ono. Zilonda zapakhungu zimakonda kupezeka kumbuyo. Khungu lomwe lakhudzidwa limakhala ndi m'mphepete ofiira ndipo lili ndi chikasu chachikasu.

Nthawi zina kuyambika kwa matenda apakhunguwa kumayambitsidwa ndi mawonetseredwe ndi zizindikiro za matenda am'mimba, chifukwa chake, odwala omwe ali ndi matenda apakhungu ayenera kutumizidwa kukayezetsa kuti adziwe matenda a shuga.

Acanthosis negroid (Acanthosis nigricans)

Matendawa ndi chiwonetsero cha khungu. Kuphatikiza apo, khungu limayimira matenda ena amkati, kuphatikizapo matenda ena obadwa nawo ndi khansa.
Nthawi zambiri zimawonedwa mwa omwe ali onenepa kwambiri.

Kusintha kwa khungu kumakhala kodziwika ndi makulidwe akuda, amaso amtundu wakuda m'mbali mwa khungu, mwachitsanzo, m'mikono, kumbuyo kwenikweni, khosi ndi poyambira.

Xanthomas ndi Xanthelasma

Odwala odwala matenda a shuga nthawi zambiri amadwala lipids (cholesterol and triglycerides) m'magazi. Izi zimabweretsa kuti mafuta amayikidwa pakhungu, omwe ndi xanthomas kapena xanthelasms.

Ma Xanthelasms ndi chizindikiro cha cholesterol yapamwamba m'magazi ndipo amawoneka ngati mawanga achikaso pazikope. Mankhwalawa amayesedwa kuti azisinthasintha milingo ya lipid, kutsatira zakudya zovuta, kupewa mafuta okhazikika, ndipo ngati kuli koyenera, kuthandizira kuchepetsa mankhwala a lipid.

Granuloma annular

Matenda amtunduwu amapezeka kawirikawiri mwa ana ndi achinyamata. Nthawi zina zimagwirizanitsidwa ndi matenda a shuga. Zizindikiro za matendawa pakhungu zimadziwika m'magawo oyamba ndi mawanga ofiira, omwe kenako amakula pang'onopang'ono mawonekedwe a mphete. Monga lamulo, khungu la manja limakhudzidwa, makamaka zala ndi zopindika.

Ngati granuloma wa annular ali ponseponse, izi zitha kukhala chifukwa cha matenda ashuga. Zilonda zamkhungu zimatha kudutsidwa ndi zizindikiritso ndi zizindikiro za matenda ashuga. Odwala omwe ali ndi granuloma yotsogola yapamwamba amafunikira kukayezetsa matenda ashuga.

Zoyenera kuchita ngati mukudwala matenda apakhungu ogwirizana ndi matenda ashuga?

Ngati muli ndi zovuta zazikulu, monga matenda obwera ndi khungu, khungu, kukaonana ndi dokotala nthawi yomweyo. Onani dokotala wanu koyambirira kwa matendawa. Mungafunike kuchipatala. Ngati sizichitika moyenera, zovuta izi zitha kukhala zowopsa m'moyo. Zilonda zopatsirana zimayenera kuthandizidwa ndi maantibayotiki.

Kodi zovuta zotere zamatenda apakhungu zomwe zimayenderana ndi matenda a shuga zimalephereka?

Inde Ngati matenda a shuga amawongoleredwa bwino, ambiri mwa mavuto akhungu atha kupewedwa. Ndikofunika kutsatira mosamalitsa zakudya za anthu odwala matenda ashuga, kumwa mankhwala, ndikofunikira kumayesedwa nthawi zonse.

Kusamalira khungu kwanthawi yoyenera ndikofunikira kwambiri:

Osamayenda wopanda nsapato. Izi zimathandiza kupewa khungu. Yang'anani miyendo yanu tsiku lililonse kuti mupeze zilonda kapena zilonda zanu. Samalani kwambiri ndi malo pakati pa zala kuti mupeze zizindikiro za kutupa ndi matenda. Valani nsapato za kukula koyenera ndi mawonekedwe osakhala olimba kwambiri kapena otayirira kuti mupewe kuvulala pakhungu. Dulani misomali yanu mosamala. Ngati pali zilonda kapena zilonda pakhungu, funsani dokotala nthawi yomweyo. Komanso, mawonekedwe ena akhungu ndi chizindikiro chakuti ziwalo zina zathupi, monga maso ndi impso, zingakhudzidwe. Dokotala wanu adzakufufuza mozama kuti adziwe zovuta zilizonse.

Mkhalidwe wa pakhungu ndi shuga

Zilonda zamitundu yosiyanasiyana zamatenda a shuga ndizofala kwambiri. Amawerengedwa ngati chizindikiro chotsimikizika komanso choyambirira cha matendawa. Chifukwa chake, ndi zilonda zapakhungu zomwe zimachitika pafupipafupi.

Mchitidwewo umatsatiridwa, monga lamulo, mwa kuyabwa kwambiri ndipo amakhala ndi chizolowezi chofalitsa, kukhathamiritsa, chithandizo chogwira ntchito pokhapokha ngati amalipira shuga. Kuphatikiza apo, zotupa zambiri zapakhungu komanso zotenga nthawi yayitali, makamaka zithupsa, carbuncle, matenda opatsirana, zimathandizira kwambiri matenda a shuga omwe, akuwonjezera kuchuluka kwa insulin tsiku ndi tsiku.

Odwala omwe ali ndi matenda ashuga, zotupa za khungu la mafangasi zimakonda kwambiri kuposa anthu opanda shuga.

Candida albicans (thrush) ndi amodzi mwa bowa omwe nthawi zambiri amayambitsa vulvovaginitis, balanitis, paronychia, omwe amachititsa "kuzunzika" kowonjezereka komanso zinthu zovuta zomwe zimayambitsa nthawi ya matenda ashuga.

Khalidwe lina la matenda obadwa nawo komanso a nthawi yayitali ndi omwe amadziwika kuti ndi "shuga", omwe amawoneka ngati lamulo, pomwe ukhondo suwonedwa. Zilonda zazing'onoting'ono kapena mafangayi zimagwira makulidwe am'mimba komanso kumaliseche kwa kunja (ma glans penis ndikulowetsa mzere mwa amuna, labia minora ndi labia, komanso vestibule ya azimayi).

Zilonda zam'manja za manja ndi mapazi mwa odwala omwe ali ndi matenda ashuga ndizofala kwambiri kuposa ambiri. Amatha kuoneka ngati paronychia (edema ndi redness) kapena kuphatikizika kwa misomali munjira ya pathological ndi kukhalapo kwa mitundu ingapo ya bowa (Trychophyton rubrum, etc.).

Mosachepera kawirikawiri (mu 0.1-0.3% ya odwala) omwe ali ndi matenda ashuga, omwe amadziwika kuti lipoid necrobiosis pakhungu limachitika.

Lipoid necrobiosis imatha kuonedwa popanda matenda a shuga, pafupifupi 75% ya anthu omwe ali ndi vutoli amakhala ndi matenda ashuga. Poyamba, pakhungu lomwe lakhudzidwa ndi khungu limawoneka lambiri, lopanda ululu, mapepala ofiira ngati koloko kapena malo okumbikapo ndi chowongolera pakati.

Pambuyo pake, amasintha kukhala obisalira, osapweteka kwambiri, owonda kwambiri komanso amtundu wamtundu wa waxy wachikasu, womwe pambuyo pake umakutidwa ndi kagulu kakang'ono ka telangiectasias, wokhala ndi njira yopupuka, nthawi zina amadzizunza ndikusiya zipsera zazing'ono pambuyo pawo.

Mwachidziwitso, mawonekedwewa ndi madera osokoneza bongo wa hyaline collagen ozunguliridwa ndi fibrosis, kuphatikiza kulowetsedwa kwa hetiocyte, ndipo nthawi zambiri kupezeka kwa maselo akuluakulu, omwe amapezekanso mu sarcoidosis.

Dermopathy ya matenda ashuga nthawi zambiri imapezeka mwa odwala matenda a shuga.

Malinga ndi N. Melin (1964) ndi M. Bauer, N. E. Levan (1970), amapezeka mu 50% ya odwala matenda ashuga. Tiyenera kukumbukira kuti khungu lomweli limapezeka mwa anthu 3% komanso pakakhala kuti palibe shuga.

Pankhaniyi, zotupa za pakhungu (malo osakhazikika) mwa odwala opanda matenda a shuga nthawi zambiri amakhala osakwatiwa (masamba a 1-2), pomwe ali ndi odwala omwe ali ndi matenda a shuga - angapo (malo a 4 kapena kuposa). Kusintha kwa khungu kwakanthawi koyamba kumawoneka ngati mapulogalamu ofiira owoneka ngati mulifupi wa 0,8-1.2 cm, pamwamba pake pomwe pamakutidwa ndi mamba ochulukirapo ndikupeza mtundu wa bulauni chifukwa cha hemosiderin mu hertiocytes kuchokera ku maselo ofiira amwazi.

Matenda a diabetesic pemphigus ndi khungu losowa kwambiri pakhungu, lomwe limapezeka makamaka mwa odwala matenda ashuga achimuna. Awa ndi matuza omwe amapezeka pakhungu la miyendo ndi manja, wokhala ndi madzi amtundu wopanda mawonekedwe, osatupa. Amawoneka popanda chifukwa chodziwika bwino ndipo amachira mu masabata angapo.

Mobwerezabwereza adanena kuti khungu limakula kwambiri odwala omwe ali ndi matenda a shuga 1, omwe amafanana ndi scleroderma kapena systemic sclerosis. Pakufufuza kwa odwala 85 omwe ali ndi matenda a shuga 1, Nappa et al. (1987) adapeza zizindikiro zakuthambo zamkhungu mu 22% ya odwala komanso 4% yokha ya gulu lotsogolera.

Mu phunziroli pogwiritsa ntchito ma elekitirodi a elekitironi, makulidwe am'mimba a capillary adadziwika. Odwala onse omwe khungu lawo limakhuthala, ma fibroblasts, ma collagen polymerization amakhala amtundu wa endoplasmic reticulum.

Kutsimikiza kwa kukula kwa ulusi wa collagen 100 kunawonetsa kukhalapo kwa ulusi wokulirapo (wopitilira 60 nm). Pali zosiyana momveka bwino pa chithunzi cha microscopic ndi ultrastructural pakhungu la odwala omwe ali ndi matenda ashuga komanso makulidwe amtundu wake komanso khungu labwinobwino, zomwe zikuwonetsa pathogenesis yosiyana ya khungu.

Matenda a shuga a shuga, omwe amadziwika ndi kukula kwambiri kwa khungu la khosi kumbuyo ndi kumbuyo, amapezeka mwa 2,5% mwa odwala omwe ali ndi matenda amtundu wa 2 omwe ali onenepa kwambiri ndipo amalipira matendawa kwa nthawi yayitali. Mbiri yakale idawululira khungu lake lomwe ndi kukhalapo kwa kuchuluka kwa collagen ndi ma cell.

Vitiligo - madera amachotsa khungu - nthawi zambiri ma symmetrical, odwala matenda a shuga, amakhala ambiri kuposa anthu omwe alibe shuga. Awa ndimatenda a autoimmune pomwe zimatha kupezeka ma autoantibodies ku melanocyte. Vitiligo nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda ashuga a mtundu woyamba, koma pamakhala malipoti mu vitiligo mwa odwala omwe ali ndi matenda a shuga a 2.

Zifukwa zachitukuko

Chifukwa chiyani kuphwanya kukuwonekera.

Poyerekeza ndi kuwonjezeka kwa glucose wamagazi, kusokonezeka kwa metabolic pakhungu kumawonekera, chifukwa chomwe njira yotupa mu thupi la munthu imayatsidwa.

Zofunika! Matenda a shuga nthawi zambiri amayambitsa matenda a dermopathy. Nthawi zambiri mawonetseredwe ake amawonekera atazindikira kuti matendawa akhazikitsidwa, komabe, kusintha koteroko kumatha kutsimikizira kukula kwa matendawa.

Dermopathy ya matenda ashuga amapanga zigawo za khungu pakusokonezeka kwa kayendedwe ka magazi m'mitsempha ndi ma capillaries.

Zizindikiro zotsatirazi zikuwonetsa kukula kwa matenda:

• kuyabwa pakhungu,
• kusenda
• kuyanika kwambiri pakhungu
• kuyaka
• zotupa ndi redness.

Kodi ndizotheka kuti muchepetse kukula kwa matenda.

Tiyenera kukumbukira kuti zotupa za pakhungu la odwala matenda ashuga ndizovuta kwambiri komanso ndizovuta kuchiza. Nthawi zakhululukidwe nthawi zambiri zimasinthidwa ndikuchulukirachulukira. Njira yothandizira achire iyenera kuyang'aniridwa ndi akatswiri awiri: dermatologist ndi endocrinologist.

Zinthu za matenda.

Vuto lalikulu pa chithandizo cha dermopathy ndikuti palibe njira zochizira zomwe zimabweretsa zotsatira zabwino. Malangizo omwe akupereka zotsatira zake mwachangu ayenera kuchitika payekhapayekha.

Yang'anani! Pali njira zina zochepetsera nthawi yochira komanso kuchepetsa mphamvu yowonetsera zizindikiro zosokoneza.

Njira zochizira nthawi zambiri zimaphatikizapo kugwiritsa ntchito mankhwala omwe amapezeka mu zida zankhondo zachikhalidwe komanso zachikhalidwe.

Dermopathy ngati chizindikiro choyamba cha matenda ashuga?

Kanema yemwe ali munkhaniyi azithandiza owerenga njira zoyambira zamankhwala.

Mankhwala

Nthawi.

Njira yochizira matenda amowa a shuga, omwe amapereka zotsatira za 100%, kulibe. Othandizira othandizira amasankhidwa payekha atapima mayeso athunthu, kuphatikiza mayeso a labotale.

Nthawi zina, mwatsatanetsatane njira zomwe zimawonekera komanso mawonekedwe a kupita patsogolo kwa thupi, kachidutswa kakang'ono ka minofu kamatengedwa kuti kamayesedwe pa microbiological.

Chiwembu cha mankhwala ochiritsira chimaphatikizapo kugwiritsa ntchito njira zotsatirazi:

• mankhwala omwe amatsimikizira kubwezeretsa njira zoperekera magazi - Radomin, Curantil,
• Mavitamini B,
• lipoic acid.

Zolimbitsa thupi zapakhomo.

Chithandizo chimaphatikizanso kuyang'anira kuchuluka kwa shuga m'magazi.

Wodwala adzapindulapo zolimbitsa thupi:

• kuyendera dziwe losambira
• kuthamanga
• masewera akunja osafunikira kulimbitsa thupi mwapadera,
• Kuyenda kwa Nordic.

Njira izi zolimbitsa thupi zimathandizira kwambiri kukonza kuchira.

Njira zamankhwala olimbitsa thupi, zomwe zimapangidwa kuti zitsimikizire njira yoperekera magazi, imatsimikiziridwa payekhapayekha. Ma antifungal ndi antibacterial nthawi zambiri amagwiritsidwa ntchito pochiza matenda opatsirana.

Wodwala ayenera kutsatira malamulo onse aukhondo.

Odwala ayenera kukumbukira kuti kuyendera katswiri sikuyenera kuchedwetsa ngati chizindikiro cha dermatosis chiwonetseredwa. Mtengo wozengereza ndiwokwera kwambiri, matenda amkati amakhala ndi chidwi chopita patsogolo.

Njira zina zochizira

Thandizo lachilengedwe.

Momwe mungachiritsire matenda a shuga a shuga amauza anthu wowerengeka.

Mndandanda wazida zodziwika zomwe kuyesedwa kwake kwachitika motere:

1. Kusintha khungu lanu, muyenera kusamba ofunda kawiri pa sabata ndi mankhwala azitsamba omwe ali ndi antiseptic katundu: khungwa la oak, calendula kapena motsatizana (chithunzi). Musanagwiritse ntchito zitsamba, muyenera kuchita zoyipa.
2. A decoction okonzedwa pamaziko a birch masamba amathandizanso kuti kuyimitsa ndikusungunuka. Kukonzekera kapangidwe kake, muyenera magalamu 50 a zinthu zopangira ndi 500 ml ya madzi otentha.
3. Aloe nthawi zambiri amagwiritsidwa ntchito pochiza dermopathy. Muyenera kugwiritsa ntchito tsamba lamasamba okhwima, lomwe liyenera kuyikidwa kaye mufiriji kuti liwonjezere mankhwala. Kuyambira tsamba muyenera kuchotsa minga ndikudula. Madzi amchere amapaka mafuta m'malo omwe akukhudzidwa.
4. Zinthu za njuchi zimagwiritsidwanso ntchito pochiza matenda a m'mimba. Madera omwe akhudzidwa akuyenera kuthiriridwa ndi uchi, uchi wachilengedwe. Chogwiritsidwacho chimasungidwa kwa maola awiri, kenako chimatsukidwa ndi madzi ofunda. Kuti zitheke, madera omwe akhudzidwa mutatha kugwiritsa ntchito mankhwalawo amatha kuwakutidwa ndi nsalu zachilengedwe, bandeji ingagwiritsidwe ntchito kukonza. Malangizo ogwiritsira ntchito njirayi amachenjezanso wodwala ku chiopsezo chotenga ziwopsezo. Njira ndi yoletsedwa kugwiritsidwa ntchito pamaso pa ziwengo.

Ngakhale magwiridwe antchito ndi chitetezo, njira zina zochiritsira siziyenera kugwiritsidwa ntchito ngati njira yayikulu yothandizira. Dongosolo la chithandizo liyenera kutsimikiziridwa ndi dermatologist.

Makungwa a Oak Zitsamba zamafuta: calendula. Kutsatirana ndikutsutsana. Aloe angagwiritsidwe ntchito pochiza madera omwe akhudzidwa. Birch masamba. Chithandizo cha uchi.

Kupewa

Ngati mukukayikira koyamba, muyenera kulumikizana ndi dermatologist.

Kuwonetsedwa kwa zotupa za pakhungu kumayenderana mwachindunji ndi zomwe wodwala wina ali nazo komanso zomwe zimachitika ndi matenda ashuga.

M'moyo watsiku ndi tsiku, wodwala matenda ashuga ayenera kutsatira malamulo awa:

• ukhondo
• chisamaliro chokwanira cha misomali
• kugwiritsa ntchito mankhwala osamalira zachilengedwe,
• kuletsa kulumikizana ndi mankhwala apakhomo,
• kugwiritsa ntchito zinthu zopangidwa ndi nsalu zachilengedwe, kuvala zovala zamkati,
• kugwiritsa ntchito zonunkhira zabwino za enollient ndi mafuta odzola.

Ma maphikidwe osasangalatsa omwe amapereka chithandizo chamtundu wapamwamba ndikukwaniritsa zotsatira zokhazikika sizinafotokozedwe. Izi ndichifukwa choti njira yopangira matenda a diabetesic dermopathy pakali pano sizimamveka bwino.

Funso kwa adotolo

Marina Alexandrova, wazaka 27, Novokuybyshevsk

Masana abwino Chaka chatha, ndinapezeka kuti ndine matenda ashuga. Tsopano ndimamwa mapiritsi, ndiuzeni, matipi angati omwe ndingathe kumwa mapiritsi, ndipo ndidafunsiranji kuti ndipange jakisoni?

Moni. Pankhaniyi, zotsatira zazikulu, komanso zotsatira za matenda a shuga mellitus makamaka, zimatengera momwe mumaonera matendawa. Marina, muli ndi ntchito yovuta patsogolo panu, yomwe makamaka imakhala kudziletsa.

Malangizo a Dokotala amayenera kutsatiridwa mosasamala. Kutengera malamulo onse, kuphatikiza zakudya, zochita za tsiku ndi tsiku komanso zolimbitsa thupi, matenda ashuga amapita patsogolo pang'onopang'ono, zimatenga zaka makumi.

Svetlana, wazaka 19, Norilsk

Masana abwino Ndili ndi matenda ashuga a 2. Amayi ali ndi thanzi labwino, mosiyana ndi bambo anga ondibereka. Adadwala matenda ashuga, ndikuuzeni, kodi ndidadwala chifukwa cha chibadwa chamunthu? Kodi ndingakhale ndi matenda bwanji tsopano? Kodi ndizitha kukhala ndi ana athanzi.

Masana abwino, Svetlana. Palibe chifukwa chotsutsira abambo anu obadwala matenda ashuga. Kafukufuku waposachedwa awonetsa kuti chiopsezo chokhala ndi matenda ashuga mwa ana omwe makolo awo akudwala matendawa sichidutsa 10%.

Nthawi yomweyo, ziyenera kudziwika kuchuluka kwa ziwonetsero pakubadwa kwa makolo athanzi, ana a odwala matenda ashuga. Pomaliza, mfundo yoti cholowa chimakhala chofunikira ndi yolakwika.

Mutha kukhala ndi matenda ashuga nthawi yayitali komanso popanda zovuta zokhazokha, bola mutatha kuwongolera matendawa. Matenda a shuga sikuti akuphwanya mimba, chifukwa muli ndi mwayi wobala mwana wathanzi. Kuopsa kofalitsa matendawa kulipo, koma ndi kochepa - osapitilira 3%.

Kodi matendawo ndi chiyani?

Tikuyankhula zakusintha kwamapangidwe amitsempha yamagazi ang'ono, omwe akufotokozedwa mwanjira ya mapapu (poyambira koyamba), ndipo pambuyo pake m'mavuto owopsa. Malo ofiira kapena mapapu amapangika pakhungu la munthu, m'mimba mwake womwe umachokera kutalika kufika pa 10 mm.

Tiyenera kudziwa kuti chikhodzodzo chimadziwika pachikhalidwe cham'mphepete, koma zochitika momwe zimakhazikitsidwa ndi mbali zotsala za thupi (m'manja, thunthu) sizachilendo. Ambiri amazitenga ngati zaka zazaka zomwe zimawoneka ndi zaka. Nthawi zambiri, kuphwanya khungu kotere kumachitika mwa amuna omwe akhala akulimbana ndi matendawa kwa nthawi yayitali.

Mitundu ya matenda a diabetes a dermopathy ndi zizindikiro zawo

Dziwani mitundu ya matenda amtundu wa shuga, omwe amadziwika ndi mitundu yambiri yazachipatala. Mwachitsanzo, lipodystrophy imadziwika ndi kufupika ndi kuwonda kwa khungu, kupezeka kwa zilonda zam'mimba, komanso malire omveka pakati pa yachilendo komanso vuto la khungu. Ngati tikulankhula za zotumphukira xanthomatosis, ndiye kuti zimatsatiridwa ndi okhazikika achikasu a mandala kapena zolembera ngati za pea, nthawi zambiri zimakhala ndi halo ya mtundu wofiira.

Matuza a shuga amakhalanso ndi chizindikiro ichi, monga mawonekedwe a matuza odwala matenda ashuga.

Acanthokeratoderma ndi mitundu yapadera kwambiri, yowonetsedwa ndi kupsinjika ndi kuyipitsa chivundikiro, kukwera kumene kumawoneka ngati njere.

Zizindikiro za mawonekedwe apamwamba a dermopathy ndi kukhalapo kwa papules ndi kupatulira kwa zigawo zapamwamba za epermermis.Zinthu zikamapitilira, zopweteka zimatha kulowa, koma sizachilendo.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Matenda a Pathology

Asanayambe maphunziro a kuchira, kuyezetsa thupi kumachitika. Ndikofunikira kuyang'ana dera lomwe lakhudzidwalo, kuyesa siteji, kukula kwa zizindikirazo. Zindikirani zolephera za metabolic, pangani maphunziro a magazi ndi zitsanzo za mkodzo mu labotale. Dziwani izi:

1. ngati matenda akudziwikitsani kuti ali ndi vuto, magazi ndi omwe amafunika kuwunika.
2. pamavuto kwambiri, kupukusa microscopy ya zinthu zachilengedwe kumatsimikiziridwa, pambuyo pake muyesowo amawunikira.
3. zomwe zapezedwa ndizomwe zimayambitsa kuzungulira kwotsatira,
4. gwiritsani ntchito kuchuluka kwa shuga m'magazi.

Ndikofunika kuti akamaliza kuzindikiritsa matendawo abwerezanso - izi zimatsimikizira kupambana kwa mankhwalawo, mwayi wobwereza komanso thanzi lonse.

Dermopathy mankhwala a shuga

Kulimbana ndi matendawa kumatengera zakudya zoyenera, kukhazikitsidwa kwa physiotherapy ndi njira zina zothandiza. Iyenera kukhala yolinganizidwa bwino - ndikulimbikitsidwa osapitilira kasanu mpaka kasanu ndi kamodzi patsiku, nthawi yomweyo, m'magawo apakati. Ndikofunika kusiya kugwiritsa ntchito mchere wamchere ndi zonunkhira, wokazinga ndi wosuta, komanso zinthu zam'chitini ndi zakumwa zoledzeretsa. Kutengera ndi zomwe zimachitika mthupi, menyu amatha kusintha, motero amakambirana ndi wazakudya pasadakhale.

Dermopathy imatha kuthandizidwa pogwiritsa ntchito njira zomwe zimapangitsa kuti shuga ikhale yofanana ndikusintha khungu. Kukhazikitsidwa kwa electrophoresis, magnetotherapy (m'deralo la pancreas), inductothermy (munda wokhala ndi ma frequency ochuluka) akuyenera.

Hyperbaric oxygenation imagwiranso ntchito, monga kugwiritsa ntchito ma cocktails a oksijeni, acupuncture, njira za ozoni ndi hydrotherapy.

Pankhaniyi, kuchita masewera olimbitsa thupi ndi ntchito yovuta ya thupi, mwachitsanzo, kuyenda. Ndikulimbikitsidwa kuti ndiyambire pamakilomita atatu mpaka anayi, pang'onopang'ono ndikubweretsa mtunda wa 10-13 km.

Zotsatira zowoneka bwino zimapezeka mukamagwiritsa ntchito skis, skating, rolling skating. Ndikulimbikitsidwa kwambiri kuyendera dziwe, kuthamanga mopepuka ndi masewera monga tennis, volleyball.

Zotsatira zopindulitsa zimatha kudzitamandira yoga, masewera olimbitsa thupi. Kuti mupeze mphamvu ya 100%, ndikofunikira kuti mupange masewera olimbitsa thupi molumikizana ndi adokotala.

Mankhwala

Kugwiritsa ntchito mankhwala osokoneza bongo ndi gawo lofunikira. Nthawi zambiri, palibe dzina limodzi lomwe limasankhidwa, koma angapo omwe amagwiritsidwa ntchito pophatikiza. Mankhwala ogwira mtima: Caviton, Vinpocetine, Bravinton. Nthawi zambiri mankhwalawa amakhala ndi mankhwala a metabolic.

Simungathe kuchita popanda mavitamini apadera, pazomwe zigawo za gulu B zimagwira. Ndikofunikira kupitilirabe mankhwala a hypo- kapena hyperglycemic mokwanira, kuti musatenge zovuta.

Zithandizo za anthu

Chithandizo choterechi ndi chothandiza, cholinga chake ndi kukonza thupi. Mankhwala sayenera kutengedwa ngati njira yayikulu ndipo mwanjira iliyonse asokoneze njira zazikulu. Kugwiritsa ntchito kwaphikidwe kulikonse komwe kudzaperekedwa pambuyo pake kumalimbikitsidwa kuti kuvomerezeredwe ndi katswiri.

Chamomile imagwiritsidwa ntchito molingana ndi algorithm iyi: luso limodzi. l Maluwa owuma amathira 200 ml ya madzi ndikulolera kuti amwe. Kenako mu kulowetsedwa onjezani tsp imodzi. uchi wachilengedwe ndikuyika bandeji. Ndondomeko imatenga pafupifupi mphindi 30, mutha kuchita tsiku lililonse kapena katatu pa sabata.

Makina othandizira machiritso amakhala othandiza. Kuti mukonzekere muyenera:

• sakanizani wort wa St. John, khungwa la oak ndi masamba a timbewu tating'ono tofanana,
• kutsanulira madzi otentha okwanira 600 ml pazomera ndikuyika pachitofu kuti kuwira,
• msuzi utatha, umasefedwa, umasungunuka ndi ubweya wa thonje mkati mwake ndikuyika kumadera ovuta.

Chinsinsi china chowoneka bwino cha anthu chimatchedwa chisakanizo cha mandimu ndi mizu ya udzu winawake. Kuphika kumachitika motere: citrus chimaphwanyidwa, ngati mbewu (kuchuluka kwa 100 g.). Zosakaniza ndi zosakanikirana bwino ndikuziyika mumadzi osamba osaposa mphindi 60. Mankhwalawa amagwiritsidwa ntchito pamimba yopanda kanthu, tikulimbikitsidwa kugwiritsa ntchito supuni imodzi m'mawa uliwonse. l Ngati makomedwewo ndi osasangalatsa kapena zotsatira zoyipa zimadziwika, mutha kukambirana ndi dokotala wanu kusintha kwachimodzi mwazinthu ziwiri zomwe zilipo.

Zingakuthandizeninso kusamba osasamba otentha ndi khungwa la oak kapena motsatizana, kupukuta madera mavutowa ndi decoction yapadera (kutengera masamba a birch). Ndi chovomerezeka kugwiritsa ntchito msuzi watsopano wa aloe ngati zotupa kapena njira zina zotupa zimadziwika.

Njira zopewera

Njira zowonjezera komanso zofunika kwambiri zowonekera zimatchedwa, mwachitsanzo, kugwiritsa ntchito zinthu zaukhondo popanda mafuta onunkhira komanso mulingo woyenera kwambiri wa Ph. Sayenera kuyanika chivundikirocho kapena kuyambitsa mkwiyo.

1. muchotse khungu loyipa kumapeto ena pogwiritsa ntchito mitundu yapadera,
2. osapatula nokha mankhwala a chimanga, ming'alu ndi zovuta zofananira,
3. kutsatira malamulo a ukhondo nthawi zonse,
4. makamaka muzivala zinthu zopangidwa ndi nsalu zachilengedwe kuti zisataye kapena kufikisa.

Ngati mabala ang'onoang'ono komanso osaya pang'ono aonekera, ayenera kutetezedwa nthawi yomweyo. Nthawi yomweyo, ndikulimbikitsidwa kukana kugwiritsa ntchito chigamba chachipatala. Kuzindikira kwa zotupa kapena mavuto ena apakhungu ndiye chifukwa chakuchezera koyamba kwa dokotala.

Matenda a shuga omwe amauzidwa ndi DIABETOLOGIST ndi odziwa Aleksey Grigorievich Korotkevich! ". werengani zambiri >>>

Zomwe zimayambitsa matenda

Nthawi zambiri, zotupa zimachitika mwa odwala matenda a shuga, makamaka okhala ndi kunenepa kwambiri. Mitundu yosiyanasiyana ya matenda a shuga imatha kuwapatsa mkwiyo: retinopathy, neuropathy komanso matenda ofanana. Pali nthawi zina pamene miyendo yonse siyikukhudzidwa, koma imodzi yokha. Zimachitika pomwe ziwalo zina zathupi zimawona.

Dermatopathy ndi mawonekedwe ake imagawidwa m'magulu atatu:

• Matenda omwe adayamba chifukwa cha ntchito yoteteza khungu (khungu), ma carbuncle, ndi ena).
• Matendawa chifukwa cha matenda a metabolic (kuyabwa, scleroderma).
• Matenda oyambitsidwa ndi kusintha m'matumbo (diabetesic rubeosis).

Nthawi zambiri, zimachitika mwa amuna. Anapezeka kuti ali ndi matenda ashuga zaka zambiri zapitazo.

Kukanda khungu pakumakhala ndi chizindikiro cha zotupa kumayambitsa microangiopathy. Dermopathy imadziwika ndi kuchuluka kwa maselo a endothelial.

Ngakhale dotolo waluso sangathe kudziwa nthawi yomweyo kuti ali ndi matenda. Kupatula apo, matendawa amatha kuyambitsidwa ndi zinthu zina zachiwiri, monga kupsinjika mtima.

Mawonekedwe

Ngati zotupa zachitika, ziyenera kulumikizidwa pazinthu izi:

1. Kuperewera kwa zidziwitso nthawi zambiri.
2. Kapangidwe ka zotulutsa mowonjezereka, kuwuma ndi kuwotcha ziwalo za thupi komwe zotupa zimachitika.
3. Kutha kwa zizindikiro patatha zaka 2 kuchokera kuonekera kwa zotupa zoyambirira.
4. Kapangidwe kokhala ndi khungu lowoneka ndi khungu mosiyanasiyana m'derali ndi mawanga.

Malo amdima amakhudza khungu la miyendo nthawi zambiri mokwanira pamene chitetezo chamthupi cha wodwalayo sichitha. Angathenso kuwonetsa neuropathy.

Malo ofiira (zolembera) akuwonetsa kuti thupi laumunthu likuvutika ndi matenda omwe samatulutsa. Malo omwe insulin idalowetsedwa iyenera kuyang'aniridwa nthawi zonse. Kutalika kwa nthawi yayitali kwa jakisoni pamodzi ndi zotupa za pakhungu kungayambitse matenda, omwe amakhala ndi zotsatirapo zosasangalatsa.

Kuti mudziwe zoyenera kudziwa, biopsy imachitika kuchokera komwe akhudzidwa ndi khungu. Malinga ndi akatswiri ambiri, dermopathy imachitika chifukwa chovulala mwendo. Koma pogwira malekezero a wodwala wodwala matenda a shuga ndi nyundo, zizindikiro za zotupa sizimawonekera.

Therapy ngati mwayi wochotsa matenda

Vuto lalikulu pakuchiza matendawa ndi kusowa kwa mtundu wina wake, kugwira ntchito kwake komwe kumadziwika mbali iliyonse.

Koma chifukwa cha njira zina zofala, kuchira kumatha kupititsa patsogolo pochotsa zizolowezi zonse zoyipa zomwe dermopathy imayambitsa.

Kuti muchepetse kuwonongeka, madokotala amalimbikitsa kuyang'ana shuga wanu wamagazi. Muyeso uyenera kumwedwa musanadye komanso mutamaliza kudya.

Muyenera kuchitanso kuyang'anira kuwunika kwa kagayidwe kazinthu, kuyeza hemoglobin wa glycated. Njira izi zithandizira chithandizo.

Ndipo pokhapokha ngati vutoli latsimikizika bwino, dokotalayo amamulembera mankhwala othandizira mitsempha ya magazi. Lipoic acid yokhala ndi vitamini B yofunikira ngakhale shuga atafika pamlingo wamba.

Mphamvu yofunikira ikhoza kupezeka nthawi yamankhwala mothandizidwa ndi maphikidwe a mankhwala azikhalidwe.

Dermopathy nthawi zambiri imatchulidwa ngati complication ya matenda ashuga.

Kodi mankhwalawa amapereka chiyani?

Njira zina zimagwiritsidwa ntchito pochiza dermopathy pokhapokha ngati wodwalayo adakambirana ndi katswiri. Izi zipereka chidaliro 100% pakuchita bwino kwawo. Zimathetsanso maonekedwe a zovuta ndi zotsatira za chikhalidwe chovuta.

Njira imodzi yabwino ndikusonkha ndi wort wa St. John, masamba a mbewa, makungwa a oak. Yakonzedwa motere:

• Chiyerekezo chofanana cha zinthu zosakanikirana ndi kusakaniza ndi kuthira ndi 600 ml ya madzi.
• Kubweretsa ku chithupsa, kutsatiridwa ndi kuziziritsa ndi kusefa.
• Kuyika chopukutira choviikidwa msuzi kuti mupeze mawanga.

Ndi chida ichi, chidwi cha kuyimitsidwa chimatha.

Dermopathy ya shuga imachotsedwa bwino mothandizidwa ndi masamba a aloe. Peel imachotsedwa ndipo zamkati zimayikidwa m'malo opaka khungu.

Chithandizo chothandiza pa ichi ndi decoction ndi masamba a birch. Kuti athetse kuyabwa ndi kupsinjika, zopukutira zimaphatikizidwa mu msuzi wokonzedwera ndikugwiritsa ntchito pazowawa.

Kusamba kochokera ku khungwa la chingwe ndi khungwa la thundu kumabwezeretsa bwino ziwalo za miyendo.

Pofuna kupewa, madwala omwe ali ndi matenda amatha kuthandizidwa ndi zonona. Gwiritsani ntchito zovala zopangidwa ndi nsalu zachilengedwe zokha.

Ngati mabala adakhalapo, kufunsira kwa dermatologist kuyenera kufunikira.

Dermopathy ya shuga imawoneka ngati matenda wamba, ndipo chithandizo chake chimatengera mwachindunji momwe wodwalayo amadzidwalitsira matenda a shuga.

Zolinga za maonekedwe

Kusokonezeka kwa metabolic m'thupi komwe kumayamba chifukwa cha kuchuluka kwa magazi m'thupi kumayambitsa kusokonezeka kwa metabolic pakhungu la munthu, zomwe zimayambitsa kuchititsa kutukusira kwa thupi lonse. Chifukwa cha "kuperewera" mu kagayidwe, kayendedwe ka magazi m'migawo yaying'ono imasokonezeka. Kuphatikizika kwa zinthu zoopsa kumachitika.

Ndi "matenda a shuga" omwe akuimira chifukwa chachikulu chothandizira kukokoloka kwa khungu la khungu.

Chomwe chitukuko cha dermopathy ya matenda ashuga chimagona ndicho kuchuluka kwa shuga m'magazi.Izi zimayambitsa kusokonezeka kwa metabolic m'thupi la wodwalayo, komwe kumakhudza kukula kwa njira yotupa mu minofu ndi mawonekedwe owonekera a khungu.

Chosangalatsa kudziwa! Kumene matendawa ali chinsinsi. Akatswiri sanganene motsimikiza chomwe chinapangitsa khungu.

Chifukwa chiyani kuphwanya kukuwonekera.

Poyerekeza ndi kuwonjezeka kwa glucose wamagazi, kusokonezeka kwa metabolic pakhungu kumawonekera, chifukwa chomwe njira yotupa mu thupi la munthu imayatsidwa.

Zofunika! Matenda a shuga nthawi zambiri amayambitsa matenda a dermopathy. Nthawi zambiri mawonetseredwe ake amawonekera atazindikira kuti matendawa akhazikitsidwa, komabe, kusintha koteroko kumatha kutsimikizira kukula kwa matendawa.

Dermopathy ya matenda ashuga amapanga zigawo za khungu pakusokonezeka kwa kayendedwe ka magazi m'mitsempha ndi ma capillaries.

Zizindikiro zotsatirazi zikuwonetsa kukula kwa matenda:

• kuyabwa pakhungu,
• kusenda
• kuyanika kwambiri pakhungu
• kuyaka
• zotupa ndi redness.

Tiyenera kukumbukira kuti zotupa za pakhungu la odwala matenda ashuga ndizovuta kwambiri komanso ndizovuta kuchiza. Nthawi zakhululukidwe nthawi zambiri zimasinthidwa ndikuchulukirachulukira. Njira yothandizira achire iyenera kuyang'aniridwa ndi akatswiri awiri: dermatologist ndi endocrinologist.

Chithunzi cha matenda

Mawonetsedwe oyamba a matenda a shuga a shuga ndi zotupa zofiirira kapena zofiirira pakhungu, ofanana mawanga ozungulira. Dawo lawo limachokera ku 5 mpaka 12 mm.

Pakapita kanthawi, kuzungulira kowoneka bwino pamiyendo kumalumikizana wina ndi mzake - mawanga ozungulira owoneka pakhungu. Khungu m'derali limayamba kuwonda pang'onopang'ono.

Pambuyo pa zaka 1-2, mawanga omwe amachira amachira, khungu m'malo mwake silikutaya khungu.

Monga lamulo, chithunzi cha matenda amatenga asymptomatic. Nthawi zina, m'malo omwe akukhudzidwawa akuti:

• kuyabwa
• kumverera koyaka
• kupweteka kwa mawonekedwe.

Ndikofunikira kudziwa! Zochitika (zosakhazikika) za matenda osokoneza bongo za ana zimatha kubweretsa kukulitsa kwa khungu la khungu - chinyengo pamasaya. Izi ndizomwe zimachitika chifukwa cha kufalikira kwa zikopa zapakhungu.

Mitundu ya matenda ndi zizindikiro zomwe zimawonetsedwa pagome ndizosiyanitsidwa.

Dermopathy imayamba khungu la munthu chifukwa chophwanya magazi mu mitsempha ndi capillaries a khungu. Matendawa akuwonetsedwa ndi kuyabwa, kusenda kwa khungu, kuwotcha, kuzimiririka komanso kufiira chifukwa chakuphwanya njira zamankhwala m'maselo a thupi.

Khungu lofiirira lofiirira lofiirira limapezeka pakhungu la miyendo yotsika, lalitali pamwamba pa khungu, kuyambira kukula mpaka 1 mpaka 12 mm. Popita nthawi, zotupa zimamera, kuphatikiza kukhala mawanga ozungulira kapena ozungulira.

Khungu m'malo oterowo limacheperachepera, kuyabwa kapena kuwotcha kumawoneka. Palibe chowawa.

Vuto la chithandizo chokhudzana ndi dermopathy ndikuti palibe njira zenizeni zomwe zingaganizidwe zothandiza pankhaniyi.

Komabe, pali njira zina zomwe zingafulumizitse njira yochira ndikuchotsa zizindikiro zonse zoipa.

Maluso azikhalidwe

Kuti muchepetse zizindikiro za dermopathy, tikulimbikitsidwa kuti nthawi zonse muziyang'anira kuchuluka kwa shuga, mumayeza muyeso musanayambe kudya komanso mukamaliza kudya. Kuphatikiza apo, akatswiri amalimbikitsa, kuti tiwonetsetse chithandizo, kuwunika pafupipafupi kuchuluka kwa kagayidwe kazinthu, kuchuluka kwa glycated hemoglobin.

Pambuyo pozindikira matendawa omwe adapezeka, akatswiri amapereka mitundu yayikulu ya mankhwala a mtima (ngakhale ali ndi shuga wokwanira), lipoic acid, ndi vitamini B.

Njira zochiritsira zosagwiritsidwa ntchito masiku onse siziyenera kuthandizidwanso.

Njira zina

Musanalankhule za kugwiritsa ntchito njira zingapo za anthu wowerengeka, ndikulimbikitsidwa kuti muzisamala kuti azigwiritsidwa ntchito pokhapokha mukaonana ndi katswiri. Izi zithandiza kuti wodwala matenda ashuga asatsimikizire kuti njirayi ndiyothandiza, komanso kuti sipadzakhala zovuta komanso zovuta.

Choyamba, ndikulimbikitsidwa kuti mutchere khutu pakupangidwe kwa wort wa St. John, khungwa la oak ndi masamba a timbewu. Polankhula za algorithm yophika, akatswiri akuti:

• zigawo zonse zimaphatikizidwa mosiyanasiyana komanso zodzaza ndi 600 ml ya madzi,
• Mayo adzafunika kuyikapo pamoto wowotchera ndi kuwiritsa, kenako ndi kuzizirira ndi kuwaza bwino,
• mothandizidwa ndi decoction nyowetsani mapinawo ndi kuwagwiritsa ntchito kumalo akhungu.
• Chithandizo chomwe chaperekedwa chimasinthasintha kukokoloka, komwe matendawa amakhudzana ndi ambiri.

Zotsatira zake zimaphatikizanso zamkati mwa masamba a aloe. Kuti akonze chithandizocho, mbewuyo idzafunika kupendedwa ndikugwiritsidwa ntchito mwachindunji m'malo omwe ali ndi khungu.

Zosagwiranso ntchito kwambiri ndi decoction kutengera masamba a birch. Chipangizocho chikufunika ngati chikufunika kuchepetsa kuyabwa ndi kukwiya.

Chifukwa cha msuzi, zopukutira ndimadziwiriranso, kenako zimagwiritsidwa ntchito pamavuto.

Pazolinga zobwezeretsa, ndizovomerezeka kuti musinthanenso ndi malo osambira, pamaziko a khungwa la oak ndi chingwe.

Zosakaniza zimagwiritsidwa ntchito molingana, zomwe zitha kuchitidwa tsiku lililonse. Kuti mankhwalawa akhale othandiza monga momwe mungathere, ndikulimbikitsidwa kugwiritsa ntchito njira zina zodzitetezera.

Pakadali pano, mankhwala ovomerezeka alibe njira zochizira matenda ashuga. Madokotala azindikira kuti zosokoneza zimapangidwa pakukhazikika kwa matenda ashuga.

Kuti muchepetse kupezeka kwa khungu, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga, kutenga miyezo isanachitike komanso mutatha kudya.Kuphatikiza apo, ndikofunikira kuwongolera:

• Mulingo wa metabolic
• glycated hemoglobin ndende.

Atakhazikitsa matendawa, madokotala amalembera:

1. Mlingo waukulu wa kukonzekera kwamankhwala (ngakhale pa shuga wamba),
2. lipolic acid
3. vitamini B.

Matenda a pakhungu la munthu yemwe ali ndi matenda osokoneza bongo amakhala nthawi yayitali, komanso kuwonjezeka kwakanthawi kapena kuchepa. Matenda ngati awa amatha kuthandizidwa kwambiri. Kuzindikira ndi kuchiza matenda a m'mimba ndi chifukwa cha luso la dermatologist ndi endocrinologist.

Mankhwala

Mankhwala alibe njira yodalirika yochizira matenda a diabetes. Kuyesedwa kwathunthu kwa wodwala kumachitika ndi kafukufuku wa labotale wamagazi ndi mkodzo. Ngati ndi kotheka, kachidutswa kakang'ono ka minofu kamatengedwa kuchokera ku chiwalo china kuti kamayesedwe ndi microscopic.

Poyezetsa magazi, amawunikanso kwambiri ndi kuwunika m'njira zosiyanasiyana.

Chithandizo chonse cha mankhwalawa chimachepetsedwa kuwunikira pafupipafupi kuchuluka kwa shuga wamagazi ndi odwala omwe. Madokotala amapereka mankhwala a mtima a shuga omwe amachititsa kuti magazi aziyenda bwino (mwachitsanzo, Pentoxifylline, Curantyl, Radomin), mavitamini a B, lipoic acid, ngakhale mulingo wambiri wa shuga uli pamlingo wamba.

Kuti mukhale wathanzi labwino, muchepetse shuga, odwala matenda a shuga amalimbikitsidwa kuyenda mosalekeza komanso njira zolimbitsa thupi.

Njira zolimbitsa thupi za matenda a shuga zimakhazikitsidwa mosiyanasiyana.

Kanemayo akuwonetsedwa amafotokoza momwe njira zopangira matenda ashuga zimaperekera zotsatira zabwino, komanso momwe zimakhudzira kagayidwe kazakudya mthupi.

Amalangizidwanso kuti muwonjezere masewera olimbitsa thupi: kusewera, skating, kuchezera dziwe losambira, kuchita masewera akunja. Zonsezi ziyenera kuchitika mosamalitsa ndi malingaliro a dokotala, pa liwiro loyenera, osadzaza thupi. Ndipo kudya zakudya zoyenera za shuga kumakupatsani mwayi wambiri wamagazi m'magazi.

Maphikidwe a anthu

Mankhwala omwe amagwiritsidwa ntchito amagwira ntchito popititsa patsogolo kagayidwe kazakudya mthupi, kuchepetsa kuyabwa ndi kuwotcha, kupukuta ndi kufewetsa khungu.

Mankhwala achikhalidwe ayenera kugwiritsidwa ntchito pokhapokha mukaonana ndi dokotala. Kudzichitira nokha mankhwala kungayambitse zovuta zina komanso zosasinthika.

Ganizirani maphikidwe ena wowerengeka omwe atha kuthana ndi vuto la khungu.

Recipe number 1. Ndikofunikira kuthira kapu yamadzi otentha ndi chisakanizo cha udzu wa chingwe, violet tricolor ndi bittersweet nightshade. Tengani supuni yowuma. Kwa ola limodzi - kunena. Sambani madera pamiyendo ndi zotupa, mumalowetsa kulowetsedwa, kuchepetsedwa kutentha kwa chipinda ndi madzi owiritsa.

Chinsinsi 2.2 supuni imodzi 1 ya celandine yonjezerani masamba ndi masamba owerengeka ofanana, onjezani supuni 1 ya chamomile wouma, mwa mulingo wa nettle ndi tsamba la birch, onjezerani kuchuluka kwa mahatchi ndi okwera mapiri.

Lolani kuti lipange kwa ola limodzi mutathira madzi otentha. Kulowetsedwa kutentha.

Chinsinsi chachitatu 3. Wiritsani moto wochepa kwa mphindi 15-20 kwa ma hand 2 a inflorescence owuma a chamomile ndi linden. Patulani msuzi kwa maola 4 kuti mugwiritse ntchito ngati mankhwala osambira. Amachepetsa kuyabwa ndi kuyaka.

Pakadali pano, mankhwala alibe chithandizo chokwanira cha matenda a shuga. Zinapezeka kuti nthawi zambiri zimakhala ndi matenda osakhazikika a shuga.

Kuti muchepetse chiopsezo chotenga dermopathy, muyenera kuyang'anitsitsa kuchuluka kwa shuga pamimba yopanda kanthu ndikatha kudya. Magawo a metabolism komanso glycated hemoglobin ayeneranso kuyang'aniridwa - onani mawonekedwe.

Mu matenda a shuga a shuga, kukonzekera kwamankhwala kumayikidwa (mitundu yayikulu ngakhale shuga wamba), lipolic acid, vitamini B.

Kodi mungapewe bwanji kuyimitsidwa mu shuga?

Lamulo loyamba ndi kukula kwa shuga m'magazi, ndiye kuti, chithandizo chokwanira cha matenda oyambitsidwa.

Mukamayang'ana popanda zizindikilo zakunja, malangizo otsatirawa angathandize:

• osasamba madzi osamba owuma khungu,
• ikani mafuta odzola pathupi lonse mutangotha ​​kuyanika pakhungu, kupatula malo okhwima,
• Pewani moisturizer yokhala ndi utoto ndi kununkhira, ndibwino kugwiritsa ntchito mankhwala opangira hypoallergenic kapena mankhwala apadera pokonzekera khungu kusamalira matenda ashuga,
• samalani zakudya zofunika, pewani kugwiritsa ntchito mafuta osavuta.

Kusamalira khungu matenda a shuga kumaphatikizanso malamulo awa:

• gwiritsani sopo wofatsa, muzimutsuka bwino ndikuwuma pang'ono khungu lanu osalipaka,
• pukutani malo a madalo awiri, pewani thukuta kwambiri mapazi,
• pewani kuvulala pakhungu, periungual roller, cuticle mukasamalira misomali,
• gwiritsani zovala zamkati ndi masokosi okha,
• ngati kuli kotheka, valani nsapato zotseguka zomwe zimathandiza kuti mapazi azikhala ndi mpweya wabwino,
• ngati banga lililonse kapena kuwonongeka kuwoneka, funsani endocrinologist.

Khungu lowuma limasweka nthawi zambiri ndipo limatha kutenga kachilomboka. M'tsogolo, izi zitha kuyambitsa zovuta zambiri. Chifukwa chake, pakaonongeka, kuonana ndi dokotala ndikofunikira. Kuphatikiza pa mankhwala omwe amasintha kayendedwe ka magazi ndi ma peripheral nerve function (mwachitsanzo, Berlition), endocrinologist amatha kukupatsani mankhwala othandizira. Nayi othandiza kwambiri pa matenda ashuga:

• Bepanten, Pantoderm, D-Panthenol: ndiuma, ming'alu, abrasions,
• Methyluracil, Stisamet: ndi mabala ochiritsa olakwika, zilonda zam'mimba,
• Kubwezera: Zilonda zam'mimba, zilonda zam'mimba,
• Solcoseryl: gel - kwa zilonda zatsopano, zonyowetsa, mafuta - a mabala owuma, ochiritsa,
• Ebermin: yankho lothandiza kwambiri la zilonda zam'mimba.

Kuchiza kuyenera kuchitika kokha moyang'aniridwa ndi dokotala. Matenda a shuga amfalikira mwachangu ndipo amakhudza zigawo za khungu lakuya. Kusokonezeka kwa magazi ndi kusungidwa kwa malo osungirako zinthu zakale kumapangitsa kuti minofu necrosis ipangidwe. Chithandizo cha matenda oterewa nthawi zambiri chimachitidwa opareshoni.

Khungu limakhudza insulin

Masiku ano, mankhwalawa sangapereke njira yabwino yochizira matenda ashuga. Komabe, mgwirizano wosasinthika pakati pa chitukuko cha matendawa komanso kusakhazikika kwa matenda ashuga kwatsimikiziridwa. Kuonetsetsa kuti chiwopsezo cha matenda amkati chikupita patsogolo, wodwala matenda ashuga amayenera kuwunika kuchuluka kwa shuga m'magazi (pamimba yopanda kanthu ndikatha kudya).

Akatswiri amatengera kukhazikika kwa mankhwalawa kwa munthu yemwe akudwala matenda a shuga. Potere, wodwalayo amayenera kumwa mankhwala waukulu, ngakhale kuti shuga mumagazi imasungidwa molimba. Wodwalayo amasonyezedwanso kuti atenge vitamini B lipolytic acid.

Physiotherapy ndi masewera olimbitsa thupi othandizira odwala

Njira zolimbitsa thupi ndi masewera olimbitsa thupi pokhudzana ndi matenda amtundu wakhungu ndicholinga chochepetsera kuchuluka kwa shuga kwa wodwala matenda ashuga.

Physiotherapy imakhudzana ndi ntchito:

• electrophoresis
• maginotherapy m'dera la kuchuluka kwa kapamba,
• inductothermy ndi mtundu wama electrotherapy womwe umagwiritsidwa ntchito kwambiri ndi maginito.
• Hyperbaric oxygenation - ingestion of oxygen cocktails,
• Katemera
• chithandizo cha ozoni
• hydrotherapy.

Kuchita masewera olimbitsa thupi a dermopathy yodwala matenda ashuga ndi gawo lovuta lambiri la thupi. Makamaka abwino kwa wodwala azikhala akuyenda. Muyenera kuyamba kuchokera ku 3-4 km, pang'onopang'ono kuwonjezera mtunda mpaka 10-13 km.

Zindikirani! Kuti mukwaniritse kuchepa kwa kuchuluka kwa shuga m'magazi ndikotheka kokha kudzera m'makalasi okhazikika. Kutalika kwa masewera olimbitsa thupi ndi mphindi 12-18.

Zotsatira zowoneka bwino zidzaperekedwa pakupita kukasewera, kuyenda pa chipale chofewa, kuyenda pamiyendo, kuyendera dziwe, kuthamanga, masewera (volleyball, tennis, etc.) Yoga, masewera olimbitsa thupi amapindulitsa thupi la wodwalayo. Kukula kwa masewera olimbitsa thupi kuyenera kuperekedwa kwa katswiri yemwe amatha kujambula chiwembu chamakalasi, poganizira mawonekedwe a matendawa.

Zakudya ndizofunikira kwambiri kuti muchira mwachangu

Zakudya za wodwala wodwala matenda a shuga ayenera kupatula:

• mchere komanso zonunkhira
• yokazinga
• kusuta
• zam'chitini
• zakumwa zoledzeretsa.

Nanga bwanji shuga? Kuchuluka kwake kuloledwa ndizochepa. Pa matenda akuluakulu a shuga, maswiti nthawi zambiri amapeweka. Mafuta omwe amadyedwa ndi chakudya amatha kukulitsa vuto la wodwala, chifukwa chake ayenera kukhala ochepa.

Ndikofunikira kudziwa! Mndandanda wonse wazinthu zoletsedwa komanso zololedwa za matenda osokoneza bongo omwe mungakumane nawo pa intaneti komanso osati upangiri wachilengedwe. Chifukwa chake, kukula kwa zakudya za wodwala kuyenera kuchitika ndi wathanzi yemwe amatha kulingalira zomwe zachitika muchipatala.

Zakudya zopatsa thanzi ziyenera kukhala zolongosoka bwino: idyani chakudya pafupipafupi 5-6 patsiku m'magawo ang'onoang'ono nthawi imodzi.

Kukula kwa matendawo kumatengera kuchuluka kwa matenda a metabolism m'thupi la wodwalayo komanso makamaka pakakhala odwala matenda ashuga. Nthawi zambiri, matendawa amapezekanso pakapita zaka 2 mpaka 3 kuchokera pamene chizindikiritso choyambirira chayamba.

Pofuna kupewa dermopathy, simuyenera kungoyang'ana kuchuluka kwa shuga m'magazi, komanso khungu.

1. gwiritsani ntchito mankhwala otetezeka a m'nyumba
2. gwiritsani ntchito mafuta othira ndi mafuta odzola,
3. samalani ndi zovala zopangidwa ndi nsalu zachilengedwe,
4. chotsani zotsalira za khungu lakufa, calluses.

Vuto lalikulu pa chithandizo cha dermopathy ndikuti palibe njira zochizira zomwe zimabweretsa zotsatira zabwino. Malangizo omwe akupereka zotsatira zake mwachangu ayenera kuchitika payekhapayekha.

Yang'anani! Pali njira zina zochepetsera nthawi yochira komanso kuchepetsa mphamvu yowonetsera zizindikiro zosokoneza.

Njira zochizira nthawi zambiri zimaphatikizapo kugwiritsa ntchito mankhwala omwe amapezeka mu zida zankhondo zachikhalidwe komanso zachikhalidwe.

Dermopathy ngati chizindikiro choyamba cha matenda ashuga?

Kanema yemwe ali munkhaniyi azithandiza owerenga njira zoyambira zamankhwala.

Njira zopewera

Kuti muchite bwino kupewa kupewa matenda amkati, kumalimbikitsidwa tsiku lililonse kuwunikira momwe khungu limayendera m'njira inayake. Pokambirana za izi, amatchera khutu kuti ndikofunikira kugwiritsa ntchito mankhwala apakhomo pofatsa, kugwiritsa ntchito mafuta apadera okhala ndi chinyezi.

Kuphatikiza apo, ndikofunikanso kuvala zovala zopangidwa kuchokera ku nsalu zachilengedwe zokha, kuzisintha nthawi ndi nthawi. Komanso, munthu asayiwale zakuchotsa madera osokonekera komanso kuchotsa khungu lakufa ndi pumice.

Ngati zotupa kapena zilonda zapanga pakhungu, ndikulimbikitsidwa kuti mupite kukawona dermatologist posachedwa. Kukula kwake kudzatengera mwachindunji momwe kusinthaku kudzakhalire molingana ndi kagayidwe, komanso mkhalidwe wa wodwala wodwala matenda ashuga.

Popeza zonsezi, titha kunena bwinobwino kuti vuto ngati dermopathy limadziwika ndi matenda ashuga. Kutha kwa zizindikiritso ndi matendawa zimatha kuchitika kawiri konse kudzera munjira zachikhalidwe, komanso mothandizidwa ndi wowerengeka azitsamba. Tisaiwale za njira zodzitetezera.

Kuwonetsedwa kwa zotupa za pakhungu kumayenderana mwachindunji ndi zomwe wodwala wina ali nazo komanso zomwe zimachitika ndi matenda ashuga.

M'moyo watsiku ndi tsiku, wodwala matenda ashuga ayenera kutsatira malamulo awa:

• ukhondo
• chisamaliro chokwanira cha misomali
• kugwiritsa ntchito mankhwala osamalira zachilengedwe,
• kuletsa kulumikizana ndi mankhwala apakhomo,
• kugwiritsa ntchito zinthu zopangidwa ndi nsalu zachilengedwe, kuvala zovala zamkati,
• kugwiritsa ntchito zonunkhira zabwino za enollient ndi mafuta odzola.

Ma maphikidwe osasangalatsa omwe amapereka chithandizo chamtundu wapamwamba ndikukwaniritsa zotsatira zokhazikika sizinafotokozedwe. Izi ndichifukwa choti njira yopangira matenda a diabetesic dermopathy pakali pano sizimamveka bwino.

Matenda a diabetes a dermatopathy

Spotted tibia (onani chithunzi), ma neurodermatitis ndi kufanana kwa nthenda imodzi. Dermopathy, provocateur yomwe imayambitsa matenda ashuga, imachitika chifukwa cha kusintha kowawa pakapangidwe kakangotuluka ka magazi.

Mingulu, mapapu, kukulira mabala owopsa pamthupi, kusenda, kuyabwa, kukulitsidwa kwa misomali ndi kusinthika kwotsatira - zonsezi ndi chizindikiro cha matenda a shuga.

Malo omwe matendawa angakonde ndi am'munsi - dera la mwendo. Ngakhale pali zochitika zolembedwa zowononga ziwalo zina zathupi.

Pazifukwa zosadziwika, 80% ya gulu lowopsa ndi amuna pambuyo pa zaka makumi anayi - odwala matenda ashuga omwe akudziwa.

Ndikofunikira kwambiri kuzindikira matendawa kumayambiriro. Mafangayi ndi mabakiteriya amatha kupatsirana matenda osiyidwa bwino kuwonongeka kwa malo akhungu. Zonsezi palimodzi, kuwonjezera, kufooka chifukwa chofooka, kumabweretsa zovuta zamavuto ambiri, komwe “chosavuta” kwambiri ndi kupangika kwa thukuta ndi timinyewa ta sebaceous, timabowo tatsitsi.

Matenda a shuga ndi “matenda” otere omwe angayambitse dermopathy pazifukwa zilizonse. Mukamagwiritsa ntchito mawu oti "matenda", chonde musasokoneze malingaliro anu ndi matenda opatsirana, omwe matenda ashuga alibe.

Tikulankhula za zomwe zimayambitsa, ndikofunikira kuzindikira zazikulu:

1. Njira yonyalanyaza ya matenda ashuga.
2. Kuphwanya kagayidwe kachakudya njira.
3. Matenda a shuga angiopathy, minyewa yam'manja. Matendawa amapezeka ndi chotupa chachikulu cha m'misewu yayikulu komanso yaying'ono.
4. Mavuto a bakiteriya, matenda oyamba ndi fungus.
5. Kukonzekera kwa thupi ndi mankhwala a odwala matenda ashuga.
6. Anachepetsa chitetezo cha mthupi.
7. Kusamalira khungu koperewera, kuphwanya malamulo aukhondo.
8. Nsapato zolimba, nsapato zosamasuka, zovala, komanso mtundu wotsika wazinthu zomwe amapangira (zolowa m'malo zachikopa, ma synthetics osiyanasiyana, ma polima).

Zomwe zimayambitsa ndi mitundu ya mawonekedwe amtundu wa khungu mu shuga zingakhale zosiyanasiyana.

Matenda apakhungu a matenda ashuga:

Zithunzi za khungu zomwe zimawoneka mu shuga:

Chithandizo chachikhalidwe komanso wowerengeka

Mpumulo wa matenda a shuga a dermopathy ndi njira yayitali, chifukwa si matenda odziyimira pawokha, koma amawerengedwa ngati "mbadwo" wa matenda osokoneza bongo.

Chifukwa chake, kuwonjezera pa njira zomwe zimalimbana ndi matenda a shuga, chithandizo chokwanira chimagwiritsidwa ntchito. Amaphatikizidwa ndikuchepetsa matenda ochulukitsa, omwe amodzi ndi dermopathy.

Kuyambitsa kuchira ndikusankha njira zochiritsira, adotolo ayenera choyamba kuyitanitsa wodwalayo kuti azitsatira mosamalitsa zakudya zomwe odwala matenda ashuga angachite.

Palibe nzeru kutsimikiza kuti popanda kukwaniritsa vutoli, njira zina zonse zidzakhala kutaya nthawi.

Kuchokera pakudya kwa wodwala omwe ali ndi vuto la dermopathy, zotsatirazi ziyenera kusiyidwa kwathunthu:

1. Zonunkhira, zamchere zamchere.
2. Mafuta, okazinga, owuma, osuta nyama ndi nsomba, komanso zomwe amapanga: masoseji, masikono, nyama yankhumba, ma baly, ma shank.
3. Kuzifutsa, zakudya zamzitini.
4. Zakumwa zoledzeretsa zamtundu uliwonse, kuphatikizapo mowa wopanda mowa.

Sitikuwulula chinsinsi chachikulu, ngati tikugogomezera kuti ndikofunikira kukhala ndi chakudya paphwando la 5-6, lokhala ndi magawo ochepa, makamaka nthawi imodzi.

Ponena za mankhwala osokoneza bongo, apa, zoona, pali zochitika zina zabwino zomwe zimatilola kuti tikambirane za njira zochiritsira komanso kuchira kwamphamvu.

Izi zikuphatikiza:

1. Ma fomu a mankhwalawa, kubwezeretsa mitsempha yamagazi: Cavinton, Vinpocetine, Bravinton.
2. Mankhwala a metabolic omwe amasintha njira za metabolic: Lipoic acid.
3. Mavitamini: Vitamini B.

Zachidziwikire, musakane makhonsolo odziwika, omwe mawonekedwe ake ndiwothandiza kwambiri adayesedwa kwa zaka zambiri.

Malangizo othandiza kwambiri:

1. Chamomile kulowetsedwa. Tengani kapu yamadzi otentha, kutsanulira gawo lalikulu lalikulu la chamomile wouma momwemo. Yembekezani maora angapo. Thirani madzi, onjezerani supuni 1 ya uchi. Valani nsaluyo ndikuyigwiritsa ntchito komwe yakhudzidwa. Imathandizanso kupweteka, kuyabwa komanso kukwiya mwachangu kwambiri.
2. Kuchiritsa msuzi wachilengedwe. Phatikizani magawo ofanana makungwa a thundu, masamba a St. Ikani 600 ml yamadzi pamoto, onjezerani supuni ziwiri za zosakaniza pamenepo. Bweretsani kwa chithupsa, kuchepetsa kutentha, kusazizira kwa mphindi 30. Pambuyo yozizira, kupsyinjika. Akhathamira mu nsalu yotukutira kuti mukulunga mawanga. Zotsatira zopatsa chidwi zimabwera nthawi yomweyo.
3. Ndimu ndi udzu winawake. 100 g ya udzu winawake amatengedwa, ndimu imodzi, kumene mbewu zimachotsedwa. Ndimu imaphwanyidwa ndi blender, ndipo muzu umapaka pa grater. Timasakaniza zosakaniza zonse, zotentha kwa ola limodzi pakusamba kwamadzi. Kuzizira, tengani supuni imodzi m'mawa pamimba yopanda kanthu. Mankhwalawa ndiwotalikirapo (mpaka miyezi 24), koma ndiyofunika.
4. Amatsika akuvutika ndi masamba a aloe ophatikizika ndi mabala.
5. Amachotsa ululu ndi kuyamwa kwa bafa pamakungwa angapo.
6. Ma compress a decoction of birch masamba amathandizanso kupweteka, kuchiritsa khungu.

Njira zopewera

Njira zopewera kapena zopewereza ndizofunikira ku matenda aliwonse omwe angakhalepo, komanso kwa matenda ashuga, komanso zimachokera ku, dermopathy ya matenda ashuga.

Takambirana kale pankhani yazakudya ngati chinthu choyambira.

Njira zina zoyeserera ndi monga izi:

1. Samalani zaukhondo. Sikuti sopo aliyense ngakhale shampu yotsika mtengo kwambiri yomwe ingagwiritse khungu lowawa. Samalani ndi kuchuluka kwa pH. Ndiye amene amachititsa kuti chifuwa chake chiwonjezeke, amachulukitsa matendawa, ndipo awuma khungu.
2. Kusamalidwa kwambiri kuyenera kuchitika mukamatsuka khungu loyipa. Gwiritsani ntchito chida chapadera, zida za izi.Funsirani kwa dermatologist pasadakhale za izi, osati ngati mavuto anu "osadziwa".
3. Onani malo obisika pafupipafupi, makamaka pakati pa zala zanu ndi zala zakumanja. Osalola kuyanika, kusweka kwa khungu - iyi ndi njira yotseguka yolowera mabakiteriya ndi bowa.
4. Yesani kugwiritsa ntchito zachilengedwe zokha pazovala zanu. Sinthani mosamala kukula kwake, chifukwa choti cholimba chimayambitsa kukangana, kukwiya, kenako kutupa.
5. Sanjani khungu losamala. Mukamagwiritsa ntchito mankhwala, onetsetsani kuti mumvera malingaliro a dokotala. Osasindikiza mabala ndi tepi yomatira.
6. Ndi kutupa kwathanzi, musamavale nsapato zolimba, zomwe zimangokulitsa chithunzi cha chipatala.

Kanema wokhudza kusamalira khungu khungu la matenda ashuga:

Nthawi yobwezeretsa imatenga nthawi yayitali, nthawi zina mpaka zaka ziwiri. Pamafunika kuleza mtima, kutsatira mosamalitsa njira zamankhwala zochizira. Kuphatikiza apo, m'tsogolo madokotala kuti achire zimadalira kukonza kwa kagayidwe kachakudya ndi zomwe ambiri ali nazo odwala matenda ashuga. Polimbana ndi matendawa, muyenera kukhala othandizana ndi adokotala.