Kutupa mwendo mu matenda ashuga: mankhwalawa ndi otani

Ndikofunikira kupatula mosiyana zomwe zimayambitsa edema ya mwendo mu shuga mellitus woyamba komanso wachiwiri, popeza ali ndi mitundu yosiyanasiyana yokhudza thupi:

• Mtundu woyamba ndi wowona, kutupa kumachitika motsutsana ndi maziko a chitetezo chokwanira cha thupi kupita ku insulin, komwe kumapangitsa kuti ntchito ya kayendedwe ka glucose m'magazi ionongeke. Thupi limayamba kusunga madzi ambiri kuti muchepetse kuchuluka kwa shuga, chifukwa cha izi, katundu pazimpso zimachuluka, nephrotic syndrome imayamba pang'onopang'ono, ndipo ziwalozi zimatha kugwira ntchito zawo moyenera. Kuphatikiza pa kupanikizika pa dongosolo la excretory, matenda osokoneza bongo amakhudzanso mtima wamtima, makoma amitsempha yamagazi amakhala osalimba, mwayi wa atherosulinosis ukuwonjezeka, komanso kufalikira kwa madzi kumadera akumatha.
• Mtundu wachiwiri wa matenda ashuga, njira ina yothandizira kutupa kwamiyendo imawonedwa: wodwalayo wasokoneza mapangidwe a antiidiuretic timadzi vasopressin, pomwe chidwi cha insulini sichachilendo. Chifukwa cha izi, munthu wawonjezera diuresis, ludzu losatha limawonekera, ndipo minofu yake imayesetsa kusunga madzi kuti asawononge thupi. Matendawa amafalikira kwambiri mu mtundu 2 wa matenda ashuga, chifukwa amachepetsa kwambiri magazi komanso amatuluka chifukwa cha zolimbitsa thupi.

Zizindikiro

Zizindikiro zina zingathandize kuzindikira matenda am'miyendo ya matenda ashuga:

• miyendo imatupa mosalekeza, zodziwika bwino kuti izi zimachitika kutangoyamba m'mawa komanso madzulo. Ma diuretics amachotsa edema, koma imabwelera atatha mapiritsi,
• Mapazi ndi miyendo yatupa kwambiri,
• ikakanikizidwa ndi chala pakhungu, sichimveka kwa nthawi yayitali, fossa yoyang'ana yoyera imakhalabe pa iye.
• kumverera kozizira kumiyendo ndi miyendo, mapupa opanda pake,
• dzanzi mbali zosiyanasiyana za miyendo, kulira,
• chifukwa chotupa, miyendo imatopa msanga poyenda, kupweteka kwaphulikapo kumawonekera,
• kuchepa tsitsi kwanuko pamiyendo, kuwoneka ngati mabala ang'ono, zilonda zamachiritso kwanthawi yayitali,
• hyperemia - red miyendo kapena madera ena, chizindikiro chokhazikika kuchokera ku nsapato pakhungu.

Ngati mungapeze zizindikiro zoterezi, muyenera kufunsa dokotala, chifukwa edema ya mwendo nokha simupita ndi matenda a shuga. Chithandizo chake chiyenera kukhala chanthawi komanso chanthawi zonse popewa zovuta.

Zizindikiro

Kuti mudziwe chifukwa chake wodwalayo adayamba kutupa mwendo, makamaka ngati sakudziwa za kukhalapo kwa matenda osokoneza bongo, amafunika kufunsa othandizira ndikuwunika njira zosiyanasiyana - zotsatira zake zomwe zimakupatsani mwayi wosankha matenda omwe ali ndi zizindikiro zofananira.

Njira zozindikirira zikuphatikiza:

• kuyesa kwa magazi kwamankhwala am'magazi ndi ma glucose,
• urinalysis
• Ultrasound ya impso, ngati pangafunike,
• kuwunika miyendo ndi dermatologist kuti athe kuzindikira kukhalapo kwa matenda, omwe mtsogolomo angayambitse kuwoneka kwa zilonda zam'mimba, gangrene ndi minyewa ya dystrophy, popeza ntchito yoteteza imachepa kwambiri m'malo.

Kodi ndi dotolo uti yemwe amadwala matenda amiyendo mu shuga?

Ndikofunikira kuchiza edema ya mwendo mu shuga mellitus moyang'aniridwa ndi dokotala, nthawi zina angagwiritse ntchito mankhwala othandizira ndi endocrinologist. Ngati edema yotalikirapo imakwiyitsa maonekedwe a mabala, zilonda zam'mimba ndi zotupa zina za khungu, ndiye kuti dermatologist adzalembera chithandizo chowonjezera.

Chithandizo cha edema ya mwendo mu mtundu woyamba wa 2 kapena matenda a shuga 2 sichingathandize kuthana ndi kusungunuka konse kwamadzi, chifukwa uku ndikuwonetsa kwa matendawa, koma kuthandizanso kupewa kutambasulira komanso kuwonongeka kwa mitsempha yamagazi ndi zamitsempha, komanso kupewa kutulutsa ziwonetsero zazikulu za dermatological.

Dokotala adzalembera mankhwala a diuretic (Veroshpiron, Cyclomethaside, Monitol, Indapamide) kwa wodwalayo, omwe angafunike kuledzera m'maphunziro aposachedwa. Kumbukirani kuti ma diuretics sangathe kusankha okha, chifukwa amapezeka mosiyanasiyana, ndipo adokotala amasankha mankhwalawa kutengera mtundu wa wodwalayo.

A diuretic odziwika - Furosemide sangatengedwe ndi matenda ashuga, chifukwa nthawi zina imayambitsa kuchuluka kwa shuga m'magazi.

Pakati pa maphunziro okodzetsa, mutha kumwa mtengo wogulitsa mahatchi, womwe umathandizanso kutuluka kwamadzi.

Ngati, chifukwa cha kutupa m'miyendo, mabala ang'ono samachiritsa ndikusintha zilonda zam'mimba ndi zina za matenda, ndiye kuti wodwalayo ayenera kulandira chithandizo chakunja. Choyamba, malo omwe ali ndi mavuto azitsamba amayenera kutsukidwa nthawi zonse ndi sopo, ngati izi sizingatheke, mutha kutsuka malowa ndi Chlorhexidine. Kachiwiri, kangapo patsiku, mafuta odzola (Miramistin, Bepanten, Betadin) amayenera kuyikidwa mabala.

Kupewa

Kusunga malamulo ena osavuta tsiku lililonse kumakhala kupewa kupewa kutupa:

• muyenera kusankha nsapato zabwino kuchokera ku zida zapamwamba - izi zimachepetsa kuvulala kwapakhungu ndikuchepetsa chiopsezo cha matenda,
• m'mawa muyenera kusamba kosiyanako, chifukwa izi zimalimbitsa mitsempha yamagazi ndikufulumizitsa kutuluka kwa m'mimba,
• madzulowo, mapazi ayenera kutsukidwa bwino mu sopo ndi madzi, kutentha kwake kuyenera kukhala 30-32 ºC kupumula miyendo,
• kamodzi patsiku, ndikofunikira kupukusa miyendo ndi miyendo yotsika ndikugwiritsa ntchito mafuta ophera tizilombo, mwachitsanzo, mtengo wa tiyi - izi zimapatsa kukoka kwa mitsempha ya m'mimba ndikuchepetsa mwayi wokhala ndi matenda oyamba ndi matenda,
• Pazakudya muyenera kuchepetsa mchere, nyama zotsekemera, maswiti,
• Maola 1-2 asanagone, ndibwino kuti musadye kapena kumwa madzi, kuti m'mawa musadzutse kwambiri,
• muyenera kumadula misomali yanu pafupipafupi, ndibwino kuti mupite kokayenda ku ukhondo (chifukwa cha malamulo oyipa opha majeremusi, omwe anthu ambiri samanyalanyaza kunyumba), chifukwa misomali yakunyumba imawononga khungu, ndikupanga chipata cholandirira matenda,
• pamafunika ndalama zambiri kuti magazi aziyenda bwino, kuti ayime pang'ono, chifukwa izi zimakulitsa katundu m'miyendo,
• ndikofunikira kusiya kusuta kwathunthu, chifukwa chikonga chimapangitsa mitsempha ya magazi kukhala yosalimba.

Kutupa kwa miyendo ndi matenda a shuga a mtundu woyamba kapena wachiwiri ndi zotsatira zachilengedwe chifukwa cha matendawa, amayenda ndi wodwalayo pafupipafupi, sizingatheke kuzichotsa kwathunthu. Atazindikira zifukwa zake ndikufufuzira, dokotalayo amatha kupereka chithandizo chodwala kwa wodwala, chifukwa chake mkhalidwe wake udzakhala wolimba. Kukhazikitsa mobwerezabwereza malamulo opewera edema kumachepetsa kuchepa kwamadzi ndi kulepheretsa kukula kwa matenda a dermatological.