Mwendo umapweteka ndi matenda ashuga: choti achite

Matenda a shuga ndi matenda oopsa omwe amakhudzana ndi matenda amtundu wa endocrine. Chizindikiro chachikulu cha matenda a m'matumbo ndi kuchuluka kwa shuga m'magazi. Komanso, odwala ali ndi vuto la kagayidwe kachakudya, pali matenda ambiri ophatikizika ndi zovuta, mawonekedwe omwe amakhumudwitsa matenda a shuga.

Pafupifupi 30% ya odwala matenda ashuga amakhala ndi mavuto ndi miyendo yawo, mwayi wokhudzana ndi zovuta zotere umawonjezeka ndi msinkhu wa wodwalayo. Ndizomvetsa chisoni kuvomereza, koma palibe mankhwala amodzi ochiritsira kupweteka kwa mwendo ndi matenda a shuga. Chachikulu ndichakuti musachedwetse vutoli, koma kuti mulankhule ndi achipatala kuti akuthandizeni akatswiri.

Zoyambitsa Mavuto

Chifukwa chiyani matenda ashuga amadzetsa ululu? Madokotala masiku ano amatchula zifukwa zitatu zazikulu zomwe zimayambitsa matenda ashuga:

1. Neuropathy. Uku ndi kuwonongeka kwa mitsempha komwe kumachitika ndendende pamaso pa matenda ashuga. Kuthamanga kwa magazi m'magazi kumakhudza mitsempha yam'mitsempha, yomwe imapangitsa kuti mapazi asamveke. Odwala ambiri amasiya kumva kupweteka komanso kusintha kwa kutentha, kupanikizika kumapazi. Koma ululu ndi chinthu chofunikira kwambiri popewa matenda. Ngati munthu samva kupweteka, ndiye kuti sangazindikire mawonekedwe ndi zilonda zake, motero, ndachedwa kukaonana ndi dokotala.
2. Angiopathy. Matenda amtunduwu amagwirizanitsidwa ndi kuwonongeka kwa mtima. Mwazi wambiri umakhudza mitsempha yonse ya thupi, kuphatikiza zing'onozing'ono kwambiri. Chifukwa chakuti ziwiya zamiyendo ndizakutali kwambiri ndi minofu yamtima, kupanikizika kawiri kumayikidwa kwa iwo. Zotsatira zake, sikuti khungu louma lokha kumapeto lomwe limawonekera, lomwe limakhala losatheka kupirira, komanso ma microcracks. Bacteria amalowa m'ming'alu iyi, ndipo mabala amawoneka omwe ndiovuta kwambiri kuchiritsa.
3. Arthropathy. Vutoli limalumikizidwa ndi mafupa. Chifukwa chakuti matenda ashuga amasokoneza kusinthana kwa glucose ndi mapuloteni, kusintha kwa minyewa ya cartilage kumachitika, chomwe ndi chifukwa cha hyperostosis. Pazifukwa izi, ndi matenda ashuga, mapazi amapweteka, amatupa. Mu mawonekedwe osakhazikika, kuwonongeka kwa zala kumachitika, nthawi zambiri pamakhala ma dislocations, fractures. Phazi lokha limakhala lalifupi komanso lalifupi.

Matenda a matenda ashuga

Poyerekeza ndi maziko a neuropathy, matenda am'mimba a shuga amatha. Nthawi zambiri izi zimachitika pambuyo povunduka ndi kutalikirana. Zizindikiro zazikulu za matendawa ndi monga:

• kutaya chidwi chomva kutentha ndi kuzizira,
• kutayika kwa kukakamizidwa ndi kukhudza,
• kupweteka kosalekeza.

Kuopsa kwa matendawa ndikuwonetsa kuti odwala ambiri samatsata zomwe dokotala akuwonetsa, osatsata mabala omwe amawoneka, chifukwa chake - kubereka mwachangu kwa tizilombo tating'onoting'ono tokhala m'mimba, matendawa komanso kuduladula.

Zizindikiro zodziwika kwambiri za zovuta

Ngati ali ndi miyendo yodwala matenda a shuga, muyenera kulabadira zina:

• khungu limayamba kuzimiririka,
• Kutupa ndi mawu am'munsi,
• kufooka kwamitsempha yamagazi,
• mawonekedwe a khungu m'malo ena a pakhungu.
• khungu loyera,
• mapazi ozizira kuti agwire.

Mwachilengedwe, izi sizizindikiro zokhazo zomwe zingatsatire kukula kwa matenda ashuga. Chifukwa chake, odwala onse omwe akudwala matendawa amalangizidwa kuti ayang'ane miyendo yawo tsiku ndi tsiku, makamaka ukalamba.

Njira zoyesera

Kuti mudziwe kuchuluka kwa zowonongeka pamunsi yotsika kumafunikira kupenda wodwalayo kwathunthu komanso kokwanira. Kuphatikiza pakuphatikiza anamnesis, pofuna kudziwa mtundu wa matendawa, kuwunika kwamiyendo kumachitika, kuwunika mtima wamitsempha, ndiko kuti, kutentha, kugwedezeka ndi chidwi chamtundu watsimikiza.

Kugwiritsa ntchito dopplerography ya mtima, momwe magazi amayendera amayesedwa. Ngati ndi kotheka, kuyesedwa kumatha kuthandizidwa ndi mayeso ogwira ntchito kuti adziwe momwe kamagonera ndi zina zotero. Rheovasography, angiography ndi njira zina zowerengera kayendedwe ka magazi m'magawo am'munsi zimagwiritsidwanso ntchito, zomwe zimasankhidwa kutengera kuchuluka kwa zovuta ndi zifukwa zomwe akufotokozera.

Chochita: miyendo ndiyopweteka ndi matenda ashuga?

Njira yayikulu pakuchiritsira ndikukhazikika kwa misempha yamagazi. Ngati shuga ali mkati mwa malire abwinobwino, ndiye kuti palibe zotsatira zoyipa m'mitsempha yamagazi. Kutengera mtundu wamatenda, njira zosiyanasiyana zimagwiritsidwa ntchito:

• Matenda a shuga a Mtundu woyamba amaphatikizapo kugwiritsa ntchito insulin moyo wonse,
• Matenda a 2 a shuga, kapena “matenda okoma,” amatanthauza kudya zakudya zopanda shuga.

Malamulo ena omwe adzathandizire kuthandizira kupweteka kwamiyendo mu matenda a shuga kuphatikizira:

• Kuchepetsa thupi. Munthu akayamba kulemera, ndiye kuti zotengera zake "zimadzimverera", ndipo chipiriro chimachepa.
• Nsapato zolimbikitsa ziyenera kukondedwa; osathamangitsa mafashoni. Malinga ndi ziwerengero, kuvulala kwamiyendo kambiri kumachitika ndendende chifukwa kuvala nsapato zosamasuka.
• Ndikofunikira kuphatikiza masewera. Kupititsa patsogolo kayendedwe ka magazi m'malo otsika, sikofunikira kuthamanga, ngakhale katundu kuchokera tsiku lililonse woyenda mtunda wa 3 kilomita ndi wokwanira.
• Kuyang'anira ndi kupewa pafupipafupi mawonekedwe a matenda olimba.

Onetsetsani kuti mwangofunafuna chithandizo cha mankhwala mukangoyamba kumene chizindikiro cha kuperewera kwa mtima.

Momwe mungathanirane ndi edema?

Chithandizo cha kupweteka kwamiyendo mu matenda a shuga mellitus iyenera kuyamba ndi kuchotsedwa kwa kufinya, chifukwa ndichizindikiro ichi chomwe chimakonda kuyenda ndi matenda ashuga.

Kutupa kumatha kuchitika osati kokha chifukwa cha kuwonongeka kwa mtima, komanso chifukwa cha zovuta ndi impso, zotumphukira zamanjenje ndi mafupa. Ndikofunikira kwambiri pakadali pano kuti azingokonda nsapato zomasuka kuti amadzimadzi asadziunjike m'malo ena am'munsi mwendo ndipo sizipangitsa chiwonetsero cha kutupa.

Dokotala adzakulangizani ndithu kuti mupendenso zakudya, sinthani kuchuluka kwa madzi ndi mchere womwe wadya. Ndikwabwino kupatula pa zakudya zotsekemera ndi lipids, zomwe zimatengedwa mwachangu ndi thupi. Ndipo, zachidziwikire, kusuta ndudu ndi kumwa ndizoletsedwa.

Nthawi zina, imawoneka ngati yoyenera kugwiritsa ntchito mankhwala a antihypertensive ndi vasodilator, itha kukhala:

• calcium blockers, mwachitsanzo, "Nifedipine",
• phosphodiesterase zoletsa - "Papaverine",
• ACE zoletsa ndi ma prostaglandins.

Kodi kuthetsa ululu?

Kodi miyendo imapweteka bwanji ndi matenda ashuga? Ngati, kuphatikiza pa zowawa, kukokana kwa usiku kumazunzidwa, ma anticonvulsants, mwachitsanzo, "Carbamazepine," akhoza kutumikiridwa. Kuti muchotse cholesterol "yoyipa", mankhwala omwe amapezeka ndi thioctic acid ndi omwe amapatsidwa. Amatha kuchepetsa poizoni wa cholesterol. Mankhwalawa ndi monga: "Thiogamma", "Berlition" ndi ena.

Odwala ena amaikidwa mankhwala ochepetsa nkhawa, omwe nthawi yomweyo amamwa mankhwala ocheperako, pang'onopang'ono amawonjezera. Nthawi zambiri amagwiritsa ntchito "Amitriptyline".

Kuti muyambirenso kufalitsa zikhumbo za mitsempha, gwiritsani ntchito mavitamini a B, omwe amathandizira kubwezeretsa dongosolo lamanjenje lonse. Mwa njira, ena mwa ndemanga zabwino ndi njira yankhalayi.

Ngati chithandizo chakomweko, mapulogalamu omwe amagwiritsidwa ntchito ngati opaleshoni amagwiritsidwa ntchito.

Koma muyenera kukumbukira nthawi zonse kuti simungathe kudzipatsa mankhwala okonzekera mankhwala, chifukwa onsewa ali ndi zotsatira zoyipa.

Kodi kuchitira zilonda zam'mimba ndi mabala?

Miyendo imapweteka ndi matenda ashuga, momwe mungachitire ngati mabala awoneka kale? Chithandizo cha mankhwalawa chimaphatikizapo kale chithandizo chakanthawi ndi antiseptics ndi antibacterial. Muzochitika zokwanira bwino, kuwonekera kwa ma chimanga, zilonda zam'mimba ndi malo amodzi amatha. M'tsogolomu, mabala amathandizidwa nthawi zonse ndi mankhwala osokoneza bongo.

Kufufuza ndikusamba kumachitika pogwiritsa ntchito Miramistin, Chlorhexidine kapena saline. Palibe chifukwa chomwe chimalola kugwiritsa ntchito ayodini, manganese kapena mowa. Othandizira antimicrobial amapereka zotsatira zabwino pochiza mabala: "Curiosin", "Betadine", "Levomekol".

Chithandizo cha kupweteka kwamiyendo mu matenda a shuga mellitus atha kuphatikizira opaleshoni. Nthawi zambiri, opareshoni imachitika ngati pakufunika kubwezeretsa magazi kuzungulira maziko a zotupa za atherosulinotic.

Makamaka, njira yolambalala ingalimbikitsidwe. Kuchita opareshoni kumaphatikizapo kusisita tinthu tinatake tomwe timapangidwa komwe kumachokera mitsempha yotseka. Balloon angioplasty nthawi zambiri amachitidwa. Mwanjira imeneyi, balloon yapadera imayambitsidwa mu chotengera chowonongeka, chomwe chimatsitsidwa ndimadzi, motero, lumen imawoneka.

Mwazinthu zotsogola kwambiri, opareshoni imachitidwa kuti amalumitse dzanja miyendo itayamba kale.

Njira zina zochizira

Kodi ndizotheka kuchiritsa ululu m'miyendo, mapazi ndi matenda ashuga kunyumba? Inde, ndizotheka, zitsamba zina zamafuta ndikusakaniza kwathunthu zimayimitsa kupweteka.

Mbewu za fulakesi (supuni ziwiri) zimathiridwa ndi theka la lita imodzi ya madzi otentha ndikuwotcha pamoto wochepa kwa mphindi 15. Pambuyo msuzi, muyenera kupatsa kwa maola 2, mavuto ndi kumwa 2 pa tsiku, kotala chikho. Njira ya chithandizo ndi masiku 5.

Ndemanga zabwino za comfrey tincture. Muzu wophwanyidwa (supuni 1) umathiridwa ndi 1 lita imodzi ya vodika ndikuumirizidwa kwa masiku 21. Pambuyo pa izi, tincture umadyedwa katatu tsiku lonse, supuni 1 iliyonse (mutatha kudya chakudya).

Chithandizo cha kunyumba

Choyamba, kusamba kosiyanako kwa malekezero kumalimbikitsidwa. Ndikofunikira kwa mphindi 10 kuti musunge phazi pansi pa madzi otentha ndi mphindi 3 pansi pa kuzizira. Njira zosavuta zoterezi zimathandizira magazi kumaderanso komanso kuchepetsa ululu. Mutha kugwiritsa ntchito massager apadera am'madzi, omwe amagulitsidwa m'masitolo ogulitsa mankhwala apadera.

Mutha kukonzekera tincture wa Kalanchoe. Monga momwe odwala matenda ashuga amathandizira, njira yoteroyo imachepetsa ululu. Kuti akonze tincture, tsamba limodzi la mbewu limadulidwa bwino ndikuyika theka la vodika (mowa). Osakaniza amakakamizidwa kwa masiku 14. Pambuyo panthawiyi, kupukuta kumachitika kapena kuti lotions zimapangidwa.

Ngati zala zanu zili ndi matenda ashuga, ndiye kuti mutha kugwiritsa ntchito mafuta osakaniza ndi msuzi wa aloe. Dongosolo la Aloe limapezeka ku pharmacy. Kuchokera pamafuta omwe muyenera kutenga: menthol, eucalyptus, cloves. Zonsezi zimaphatikizidwa ndikusisita zala ndi mapazi ndi zotsalazo.

Matenda kumapazi, zizindikiro zazikulu

Matenda amendo mwa anthu omwe ali ndi matenda a shuga amawoneka ndi zizindikiro zosiyanasiyana ndipo amawoneka chifukwa cha zifukwa zina. Chofala kwambiri ndi matenda am'mimba a shuga (diabetesic neuropathy).

1. Matenda a diabetesic neuropathy ndi pamene zotumphukira zamitsempha zimasiya kufalitsa misempha chifukwa cha kuchuluka kwa glucose, maselo amafa, ndipo munthuyo amasiya kumva chilichonse. Chifukwa cha matendawa, zilonda zam'mimba zimatha kuwoneka pamiyendo, kuchiritsidwa kwa nthawi yayitali. Ndi matenda otere, wodwalayo amasiya kwathunthu kumva kupweteka kulikonse.
   Ndikofunika kwambiri kufunsa dokotala, chifukwa mabala omwe amawoneka kuti sangachiritse, mabakiteriya ayamba kukulira, chifukwa amatha kumudula miyendo.
2. Mavuto omwe amapezeka m'mitsempha yamitsempha, yomwe imawonetseredwa kuti patency yamitsempha yamagazi imachepa, minyewa yamiyendo imasiya kulandira mpweya, womwe umapangitsa kupweteka kwa wodwala.
   Kufa kwa minyewa yam'munsi yotsika kungayambenso kudula, chifukwa chake, pakumva ululu kapena kupsinjika, muyenera kufunsa dokotala.
3. Kutupa kwa m'munsi. Kuwoneka chifukwa cha nephrotic syndrome kapena atherosulinosis. Kuchepetsa edema, wodwalayo ayenera kusamala zakudya, kuyang'anira zochitika zolimbitsa thupi.
4. Zilonda zam'miyendo. Kuwoneka ndi minofu ya trophic, chifukwa cha neuropathy kapena mtima wamitsempha. Zilonda zimapangika chifukwa cha chimanga, kuwotcha, ming'alu, mikwingwirima. Ngati pali lingaliro locheperako pang'ono la mapangidwe a zilonda, muyenera kufunsa dokotala kuti musawoneke mafinya.

Pali magawo atatu a mapangidwe azilonda:

• Preceding (kutentha, kutupa, ululu m'munsi mwendo, dzino limawoneka).
• Kuchulukitsidwa (zolakwika za pakhungu zimawonekera, mawanga amamasulidwa, kuchuluka kwa mabala kumawonjezeka).
• Kupita patsogolo (zilonda zam'mimbazi zimawoneka, kufooka kwa thupi, kutentha, kupweteka kumawonjezeka).

Miyendo yanu ikapweteka, muyenera kuchitapo kanthu nthawi yomweyo, chifukwa zovuta zomwe zimawonekera zimalepheretsa kwathunthu kuyenda pang'ono. Zomwe zimayambitsa matendawa zafotokozedwa kale - kufalikira kwamitsempha yamagazi, kuperewera kwa mpweya wa minofu ya minofu.

Kuphatikiza apo, kulemera kwa munthu kumakhudza momwe miyendo ikuyendera. Ngati ndichulukirachulukira, ndiye kuti katundu wambiri amatumizidwa kumiyendo, chifukwa cha izi, nthawi zonse amapanga kunyinyirika, kutupira kumawonekera.

Matenda oopsa kwambiri komanso oopsa ndi matenda ashuga a m'mimba, omwe malingaliro amtundu amatha. Zikuwoneka ngati chifukwa cha kuchuluka kwa shuga m'magazi, zomwe zimapangitsa kuwonongeka kwa maselo am'mitsempha ndi kufa kwawo.

Kusuntha kwa magazi m'thupi ndi matenda a shuga kumayipa, njira zochiritsira zimachepa, ndipo ndi neuropathy pamakhala chiwopsezo cha kukulitsa zilonda zam'mimba zomwe zimapanga njira zoyipa.

Gawo la zovuta

Pali zovuta zitatu pamavuto am'munsi mwa shuga:

• Kusowa kwa zizindikiro ndi zizindikiro zilizonse, komabe, ochepa masinthidwe amatha kumveka.
• Zizindikiro zoyambirira ndi zizindikiro zimawonekera, koma kufa ndi mphamvu kwamankhwala m'maselo kumachitika.
• Pali chikhalidwe chovuta kwambiri chomwe maselo amakhala ndi vuto la kupuma kwa oxygen (ischemia), mkati mwa mwendo wotsika, kupsinjika kuposa 50 mmHg.

Momwe mungachiritsire miyendo ndi shuga

Ndikotheka kuchiritsa matenda ammiyendo, koma malinga ndi kuvomerezeka kuchipatala nthawi yake. Mavuto aliwonse amayamba msanga, chifukwa choti wodwalayo amakhala ndi zovuta zomwe sizingatheke. Polankhula ndi dokotala, ayenera kuwunika:

• Khungu ndiuma.
• Kupaka khungu pakhungu ndi kusowa kwa tsitsi (motero, izi zikuwonetsa kutaya kwawo).
• Khungu loyera, mawanga amtambo.
• Kukoka kwamitsempha.
• Khazikitsani cholumikizira.

Ngati wodwala anali ndi ischemia mwendo, ndiye kuti mankhwalawa onse amasankhidwa chifukwa cha kusungidwa kwina kwa glucose ndikusintha magazi. Chakudya chamwini chimasayinidwanso kwa wodwala, kuwongolera kwathunthu kuchuluka kwa shuga kumakhazikitsidwa.

Ponena za phazi la matenda ashuga, mankhwala amathandizidwa kuti athandizire shuga, kusintha magazi.Pochiza ndi njira yotsatsira, madokotala amatipatsa mankhwala opha tizilombo, ma pinkiller, antiseptics kapena antibacterial.

Ndikothekanso kuthetsa vuto la odwala matenda ashuga mothandizidwa ndi opaleshoni:

• Kuchotsa minofu ya necrotic.
• Angioplasty
• Kuchotsa ziwiya zosakonza.
• Mitsempha yamafupa.
• Gangrene resection kapena kuduladula.

Ngati zilonda zapezeka m'miyendo, ndiye kuti mankhwalawa amayenera kuyamba nthawi yomweyo, osazengereza. Komabe, ambiri amanyalanyaza izi, amabweretsa mkhalidwe wovuta, ndipo pokhapokha amabwera kwa dokotala nthawi ikachedwa kwambiri. Pali njira zochizira zilonda:

• Zodzikongoletsa.
• Cholinga chofuna kuthetsa chomwe chimayambitsa zilonda.
• Opaleshoni

Ndi njira yosamalitsa yothandizira, kuwunikira koyenera kuchuluka kwa shuga ndi hemoglobin kumachitika. Kupewa matenda omwe amayenda ndi mawonekedwe a zilonda kumachitika.

Madokotala amapereka mankhwala omwe amachepetsa ululu, kupereka mankhwala omwe amachulukitsa dongosolo lamanjenje, kukonza magazi, kugwiritsa ntchito mankhwala osokoneza bongo komanso kukonza kagayidwe ka lipid.

Ponena za opaleshoni yochizira zilonda zam'mimba, akatswiri amathandizira mabala ndi peroxide, gwiritsani ntchito mavalidwe osalala, chotsani mafinya (kuteteza minofu). Ngati zotsatira zake sizili zotonthoza ndipo mafinya akupitilizabe, ndiye kuti madokotala amatha kuyimitsa mutu kudula.

Pofuna kuchiritsa zilonda, madokotala amatha kupereka mafuta apadera omwe athandizire kubwezeretsa maselo. Nthawi zambiri amalimbikitsidwa kuti amenye mafuta a insulin, omwe samangochotsa mabala ndi mabala, komanso amathandizira kuchepetsa shuga.

Zithandizo za anthu

Mu shuga mellitus, ndizotheka kukhala ndi shuga wokwanira m'thupi mwa kudya zakudya zoyenera, regimen yogwira mosalekeza komanso kumwa mankhwala oyenera. Yemweyo amapita kuchiza matenda ammiyendo.

Ngakhale madotolo samalimbikitsa kugwiritsa ntchito mankhwala ochizira wowerengeka, komabe, kutsatira kwambiri zakudya komanso kuchita masewera olimbitsa thupi kungangokulitsa thupi.

Popanda mankhwala, chithandizo chitha kuchitika pogwiritsa ntchito njira zotsatirazi:

• Kutsatira zakudya.
• Nthawi zonse mumamwa zipatso ndi ndiwo zamasamba.
• Maphikidwe a anthu.
• Chitani masewera olimbitsa thupi.

Popeza pali mitundu iwiri ya anthu odwala matenda ashuga, njira zowathandizira ndi zosiyanasiyana. Potengera mtundu woyamba (wowopsa), pomwe wodwala amadalira insulin kwathunthu, ndikofunikira kuti muchepetse zakudya zamafuta (osaposa 70 g pachakudya chilichonse).

Mtundu wachiwiri wa matenda, ndikofunikira kuwonetsetsa kuti kunenepa kwambiri sikuchitika. Mwanjira iyi, ndikofunikira kudya zosaposa 20 Cl pa kilogalamu ya kulemera (kwa akazi) ndi 25 Cl (kwa amuna).

Kupewa matenda

Kuti wodwala matenda ashuga apewe zovuta za mwendo, akatswiri amalimbikitsa kuti azilumikizana ndi chipatala atangoyamba kumva kuchuluka kwa khungu kapena mawonekedwe a edema. Komanso, moyo wokangalika, masewera olimbitsa thupi, masisitere oyenda kumiyendo amathandizira kuti magazi azithamanga, chifukwa chake, mwayi wowonetsera matenda omwe ali pamwambawa umachepetsedwa.

Yang'anirani momwe miyendo ikuyendera bwino. Kusamalira mosamala, kupewa kuvulala, kudula misomali, kusamba komanso kutentha komwe kumafewetsa khungu kumathandizira khungu ndi maselo amkati bwino.

Kuti athetse mwayi wokhala ndi matenda oyipa am'miyendo, odwala matenda ashuga ayenera kusiya nsapato zowuma, osayenda ndi mapazi osavala, tsiku ndi tsiku muziyang'ana khungu ngati mabala kapena mabala. Pali physiotherapy yapadera yamankhwala, yomwe imapangidwa bwino kwambiri kawiri pachaka.

Kwa odwala oterewa, pali njira yapadera yochitira masewera olimbitsa thupi yomwe imathandizira kuthana ndi mpweya wa maselo mwa kusintha magazi.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Zomwe zimayambitsa kupweteka kwa mwendo

Kuchuluka kwa glucose kumayambitsa kusokonezeka kwa kufalikira kwa mitsempha komanso kuwonongeka kwa magazi m'mitsempha ndi mitsempha ya miyendo. Kuphatikizidwa kwa zizindikiro zingapo za pathological zomwe zikuwonetsa kuphwanya kwa trophism, malo osungika, ndikuyenda kwa magazi nthawi zambiri kumatchedwa "diabetesic phazi syndrome." Komabe, sikuti mbali iyi yokha ya mwendo yomwe imapweteka - kutengera zomwe zachitika, kusasangalala kumatha kukhudza dera lomwe lili pafupi ndi chidendene, ng'ombe ndi mwendo wotsika.

Kuwonongeka kwa magazi m'deralo

Ndi kuchepa kwamagazi kambiri m'magawo otsika, minofu yawo imalandira zakudya zokwanira ndi mpweya. Chifukwa cha kuchuluka kwa glucose, magazi amadzuka ndikusintha. Izi zimabweretsa kuphwanya kwazolowera ndi kutanuka kwa mitsempha, mitsempha ndi ma capillaries. Ngati munthu anali kale kapena akungoyamba kumene kukhala ndi atherosulinosis, amapita patsogolo kwambiri. Izi zikufotokozera chifukwa chake kuwala kwa ziwiya kumachepa kwambiri, ndipo madera ena mwendo omwe ali ndi matenda ashuga amasiya kupatsidwa magazi kwathunthu. Vutoli lam'mimba limatchedwa diabetesic angiopathy.

Zizindikiro zoyambirira za matenda:

• kutopa kwa mwendo,
• dzanzi m'mbali zina za khungu,
• thukuta kwambiri
• kuwonjezeka kwa ululu, koyamba panthawi yolimbitsa thupi, kenako ndikupuma,
• mawonekedwe a maliro poyenda,
• kumva kuzizira m'miyendo ngakhale kutentha.

Mwa mitundu yayikulu ya angiopathy, mawonetseredwe onsewa amakulirakulira ndipo amakhala othandizana ndi anthu. Kusinthika kumamuvutitsa, khungu pamiyendo yake limasintha khungu (pang'onopang'ono limasanduka chikasu, kenako cyanotic). Kuwotcha, kukoka ululu, dzanzi lidafalikira mpaka kumapazi onse. Pakakhala chithandizo chokwanira, zilonda zam'mimba zimamera m'miyendo, zomwe nthawi ingayambitse matenda. Pofuna kupewa kudula miyendo, wodwalayo amafunika kukayezetsa pafupipafupi, ndipo pakukayikakayika pang'ono ayang'ane ndi dokotala.

Kuwonongeka kwa mitsempha

Mchitidwe wamanjenje wodwala wodwala matenda a shuga (makamaka mtundu 2) amasintha kwambiri, zomwe nthawi zambiri zimayambitsa kukula kwa neuropathy. Kuphwanya mphamvu mu kagayidwe kazakudya kumabweretsa ku edema ya mitsempha, kuphwanya kwawo kuyambitsa ndikupeza kuchuluka kwa zoyipa zamaulere. Ngati njira zowonongeka izi siziyimitsidwa pakapita nthawi, kuchepa kwa mitsempha kumatha kufooka mpaka kupangitsa kuti kutaya mtima kwathunthu.

Zizindikiro zowopsa kuti wodwala matenda a shuga ayenera kulabadira mwapadera:

• miyendo ikunjenjemera,
• kuwombera ndi kupweteka m'matumbo ndi m'mapazi,
• kuchepa kwa chidwi ndi kutentha ndi kutentha kwambiri,
• kutsika (kapena mosiyananso, kovuta kwambiri) kumverera kwa zowawa pa kuvulala kwamakina,
• osakhazikika.

Zowonongeka Khungu la Khungu Lapazi

Zotsatirazi zikuthandizira kukulitsa microflora yakunja:

• kawirikawiri mawotchi owonongeka pakhungu,
• kuvala nsapato zolimba zopangidwa ndi zida zokumbira,
• kunyalanyaza zaukhondo.

Ndi kachilombo ka fungus kapena bakiteriya, miyendo imapweteka chifukwa cha kutukusira kwa kutupa, kutupa ndi kufooka kwa magwiridwe antchito. Muzochitika zapamwamba, izi zimatha kupititsa patsogolo kuchepa kwa thupi ndi kupangika kwa abscess, komwe kumayambitsa kupweteka kwambiri ndikuwonongeka kwakukulu mu thupi. Poyerekeza ndi matenda omwe ali ndi ulesi, zilonda zam'mimba zimatha kukhala pamiyendo, zomwe zimachiritsa bwino ndipo zimatha kudwala. Ndikwabwino kuchitira izi pathupi kumayambiriro kwa chitukuko, pamene zotupa za pakhungu zikadali zazing'ono komanso sizikuyenda ndi kutulutsidwa kwa mafinya, kutupa kwambiri ndi necrosis ya minofu.

Kuphatikizika kwa kutupa

Mu matenda a shuga, mafupa akulu ndi miyendo ang'onoang'ono amatha kuwonongeka ndikupangitsa kuti munthu asamayende pang'ono. Matendawa amatha kuyamba mwamphamvu ngati matenda a nyamakazi kapena amakula pang'onopang'ono, ndikupita patsogolo pakapita nthawi. Ndi matendawo momwe matendawa amafalikira, khungu lozungulira zolowa limasanduka lofiyira, kutentha kwayamba kenako kutentha kwa thupi kumadzuka, ululu umatchulidwa. Ngati kutupa kumayamba kwambiri (monga arthropathy), ndiye kuti matendawa amakula nthawi yayitali, komabe, kupweteka kumayenda nthawi zonse.

Chifukwa chakuti thupi limachepera komanso kufooka ndi matenda ashuga, ngakhale mtundu waulesi wa arthrosis umakula msanga ndipo umakulitsa umunthu wamunthu tsiku lililonse. Ngati nthendayi yasiyidwa mwamwayi, imatha kubweretsa kusokonezeka kwakukulu kwamalumikizidwe ndikulephera kuyendetsa palokha.

Nthanga zouma

Kupezeka kwa keratinization ndi ma calluses olimba pamapazi nthawi zonse kumalumikizidwa ndi zosasangalatsa zamakutu akamayenda ndikamagwira malowa. Ndi matenda ashuga, khungu limakhala louma kwambiri ndipo limakonda kuchita ming'alu, motero mawonekedwe awa amabweretsa kusapeza bwino komanso kupweteka. Ndikofunikira kuchotsa zopangidwazo m'magawo oyamba kuwonekera, chifukwa amatha kukula kwambiri pakhungu ndikuyambitsa zotupa m'mimba pamenepo. Kuchulukitsa kuthamanga kwa phazi, pakapita nthawi, chimanga chimatha kuthandizira ndikupangitsa zilonda. Mu matenda ashuga, musagwiritse ntchito mankhwala omwe ali ndi acidic pamayendedwe, popeza khungu lawo limawuma kwambiri komanso limatha kuyambitsa kukwiya.

Zomwe zikuwonetsedwa mu zowawa mwa azimayi ndi ana

Mwa akazi, kupweteka kwa mwendo m'matenda a shuga nthawi zambiri kumachitika chifukwa cha zovuta zotere:

• arthropathy motsutsana kumbuyo kwa kusintha kwa mahomoni m'thupi (mwachitsanzo, nthawi ya kusintha kwa thupi),
• Nthawi zambiri kumawonekera chimanga ndi misomali yolowera chifukwa chovala nsapato zosasalala, zolimba kwambiri.
• thrombophlebitis kapena kuchuluka kwamitsempha yamagazi (amatha chifukwa cha mimba, kulera kwapakamwa kapena kusokonezeka kwa metabolic).

Muubwana, matenda a shuga amatha kupweteka m'miyendo mutatha kulimbitsa thupi kapena kusintha kwadzidzidzi kwamagazi a shuga. Zosasangalatsa kumadera akum'munsi a mwana nthawi zambiri zimayamba chifukwa cha neuropathy. Chifukwa chake, kuwonjezera pakuwunikira kosalekeza ndi endocrinologist, mayeso amakanthawi aanotchi ndi opaleshoni ya mtima ndiofunika kwambiri kwa ana. Kuyesedwa kwakanthawi kochepa kumatha kulepheretsa mavuto amiyendo ngakhale zizindikiro zoyambirira zisanachitike.

Kufunika kwa mayeso a chitetezo ndi zakudya

Kupewa matenda a phazi mu shuga ndikosavuta kuposa kuwachiritsa. Kulemba pafupipafupi (ngakhale pakakhala kuti palibe zizindikiro zosasangalatsa) kumathandizira kukhala wathanzi, komanso nthawi zina moyo. Odwala omwe ali ndi matenda ashuga amatha kuphunzitsidwa nthawi ngati izi:

• kuyang'anira mwamphamvu kuchuluka kwa shuga m'magazi,
• Kulemba ziwiya zamagawo am'munsi,
• kuyang'ana kowoneka ndi kutsimikiza kwa kugunda pazotengera zazikulu zamiyendo,
• kufunsira kwa katswiri wamitsempha yotsimikiza
• kuphatikiza radiology
• angiography ndi wotsutsana naye,
• electroneuromyography.

Mkhalidwe wa wodwalayo (kuphatikizapo thanzi la mwendo) zimatengera chakudyacho. Kukana maswiti ndikutsatira zakudya zomwe zalimbikitsidwa ndizomwe zimayikidwa zimakupatsani mwayi kuti shuga akhalebe mulingo woyenera. Magawo a magazi a rheological amakhala osinthika, chifukwa chake, chiwopsezo chokhala ndi angiopathy ndi kusokonezeka kwa mitsempha chimachotsedwa.

Kodi mungapewe bwanji kuwawa?

Popeza ndi miyendo yomwe ili ndi matenda ashuga yomwe ndiyovulala kwambiri, ndikofunikira kuwunika momwe aliri. Pofuna kupewa zovuta, odwala amalimbikitsidwa kutsatira malamulo otsatirawa:

• Nthawi zonse amayang'anira kuchuluka kwa shuga m'magazi,
• khalani ndi chithandizo chamankhwala kuti musinthe magwiridwe antchito amitsempha yamagazi komanso kwamanjenje,
• yang'anirani thanzi la khungu la kumapazi, mulinyowetse ndikuwunikira zowonongeka zazing'ono, zikanda, ming'alu,
• m'mawa uliwonse kuchita masewera olimbitsa thupi kuti mutenthe magazi ndi kudzilimbitsa nokha kuti magazi ayambe kuzungulira.

Mfundo zonsezi zimagwira ntchito ngati wodwala amatsatira zakudya zoyenera. Zachidziwikire, ngati pali zakudya zambiri zotsekemera komanso zamafuta, palibe njira zopewera zomwe zingamveke. Chinsinsi cha matenda abwinobwino shuga ndikuwunika shuga ndi zakudya zina. Mutha kupewa kuwoneka ngati ululu m'miyendo. Kuti muchite izi, ndikokwanira kutsatira malingaliro a dokotala komanso kumvetsera thupi lanu.