Matenda a shuga

Tikukupatsani kuti mudziwe bwino zomwe zalembedwera pamutuwu: "m'munsi mothandizidwa ndi matenda ashuga a shuga" ndi ndemanga zochokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Chimodzi mwazinthu zovuta kwambiri za matenda ashuga zimaganiziridwa odwala matenda ashuga phazi, zomwe zimayamba pazifukwa zosiyanasiyana. Taphunzira momwe tithana ndi matenda awa ndi ZhKIM. Chowonadi ndi chakuti glucose ndiwowopsa kwa mtima endothelium, kulowa mkati mwa maselo, amachititsa kutupika kwawo, kusintha kwa mawonekedwe ndi chiwonongeko chowonjezereka. Ndipo kuwonongeka kale kwamkati mwamitsempha ndi mitsempha kumayambitsa mapangidwe a magazi ndi kufinya ma lumens, komwe kumakhudza kwambiri kayendedwe ka magazi, kumachepetsa ndikuchepetsa kuchuluka kwa mpweya womwe umaperekedwa.

Chifukwa cha kuchuluka komweko kwa glucose, bala lililonse limayimira malo opangira mabakiteriya, omwe amalemetsa bala. Izi zimabweretsa kuchiritsidwa kwakutupa kwa zotupa ndi pafupipafupi. Kuphatikiza kwa zinthu ziwiri zomwe zalongosoledwazo kumabweretsa kuti anthu omwe ali pachiwopsezo cha moyo atasiyidwa osanyambita miyendo, chifukwa matenda osokoneza bongo osati nkhani yabodza yoitanira kuwunikira kuchuluka kwa shuga, koma chiyembekezo chenicheni chokhala ndi zotsatirapo zosasangalatsa.

Mankhwala amakono sangatonthoze kwathunthu odwala omwe ali ndi matenda ofanana. Zonse zimatsikira pakuwona ndi kuyesa kusintha pang'ono kagayidwe chifukwa cha mavitamini ndi mankhwala omwe amachepetsa shuga. Simungathenso kuwerengera machiritso enieni, omwe abwera patatha milungu ingapo kuchokera poyambira kuchira. M'mikhalidwe yotere zironda zam'manja ikhoza kutha ndi ntchito yodulira, ngati mungalonjezere lonjezo mpaka lomaliza ndikusapenya m'maso kuti tsiku lililonse limangokulira - zilonda zatsopano zimawonekera, ululu ukupita patsogolo, mwendo umakhala ngati chimango kuchokera pamafilimu owopsa.

Mu zaka zachidziwitso zaulere, munthu akhoza kupeza njira zothandizadi zomwe zimathandiza odwala omwe akukumana ndi mavuto omwewo. Tikukamba za matumizidwe amadzimadzi amadzimadzi, omwe adapangidwa ndi P.P. Garyaev, Doctor of Biological Science, pa mfundo zamitundu iwiri yamafunde ndi zinthu. Gawo lazidziwitso zamadzimadzi aliwonse lingasinthidwe chifukwa cha matekinoloje amakono a LWH.

Mfundo yachipatala ndiyosavuta - matrix amayamba ndikulimbikitsa kukonzanso, chifukwa choti minofu yowonongeka imasinthidwa ndi zida zatsopano zomwe zimapangidwa ndikuyambitsa zosungirako zamthupi. Ngakhale matenda osokoneza bongo Imasiya kukhala chiganizo chopondera malembawo. Ndi njira compress. Algorithm ndiyosavuta - ndikofunikira kuthira pamtunda ndi antiseptic, ikani chopukutira chosabala mabala omwe kale anali osungunuka pakakonzedwe kamadzimadzi kamadzimadzi amadzimadzi.

Mwina simukudziwa siteji gangore, zithunzi zidzatiuza zonse. Vutoli lalikulu kwambiri lingathe kuthana ndi vuto la kuchuluka kwa madzi, zotsatira zoyambirira zidzaonekera patangotha ​​masiku awiri okha, simuyenera kudikirira, kukhulupirira ndikuyembekeza nthawi yayitali komanso yopweteka. Kutha kwatsopano kwa ZhKIM kuthandizira thupi lanu kwambiri kuposa momwe tingaganizire.

Matenda a phazi: momwe mungapewere zovuta za matenda ashuga

Gangrene mu shuga (anton fire) ndi necrosis ya maselo ndi zimakhala za chamoyo. Imfa ya minofu imayambitsa poizoni wa thupi ndi zinthu zoopsa, kukula kwa zovuta zakupha: kuwonongeka kwa mtima, mapapu, chiwindi ndi impso. Mwa odwala matenda ashuga omwe ali ndi matenda ashuga phokoso, gangrene amakhudza mbali zam'munsi - zala kapena phazi lonse.

Madokotala amasiyanitsa magulu awiri azinthu kapena zomwe zimayambitsa gangore mu shuga mellitus.

Gulu loyamba la zifukwa zomwe zigawenga zam'munsi zimayambira matenda osokoneza bongo zimagwirizanitsidwa ndi moyo wosayenera ndi zizolowezi zoyipa:

• chisamaliro chosasamala cha matenda oyambitsidwa ndi matenda okhudzana nawo,
• kusuta, kuledzera,
• kuvala zolimba, nsapato zosasangalatsa,
• kunyalanyaza mankhwalawa, mabala, chimanga, zipsera, misomali yakunyumba,
• onenepa kwambiri, kunenepa kwambiri, chisanu.

Gulu lachiwiri pazifukwa zomwe odwala matenda ashuga am'magawo otsika amapezekera:

• kuchepa kwa lumen kwamitsempha yamagazi chifukwa cha ischemia kapena atherosulinosis,
• kuphwanya njira zosinthika,
• kuchepa chitetezo chokwanira,
• polyneuropathy - matenda osokoneza bongo omwe ziwiya zamanjenje zimakhudzidwa, zomwe zimayambitsa kukalamba mwachangu,
• kuphwanya mapangidwe minofu mafupa, zikubweretsa mafupa.

Gangrene mu matenda a shuga amawerengedwa monga mtundu ndi zomwe zimayambitsa zilondazo:

M'mawonekedwe, matuwa owuma ndi kunyowa a matenda amasiyanitsidwa.

Pazifukwa zokhazikika, pali:

• neuropathic (yogwirizana ndi kuwonongeka kwa mitsempha),
• angiopathic (kuwonongeka kwamitsempha),
• mafupa a mafupa (kuwonongeka kwa mafupa).

Zizindikiro zoyambirira za matenda opatsirana a shuga zimayamba ndi kutha kwa kuwononga ma atherosulinosis, kuchepa kwa mitsempha yamagazi, mapangidwe a cholesterol plaques. Mapilogalamu amasokoneza kuyenda kwa magazi kudzera m'mitsempha, zomwe zimapangitsa kuti mpweya komanso michere yoperewera. Ngati simuchiza ischemia ndi matenda osokoneza bongo, matendawa amapita patsogolo - matenda a shuga am'munsi amayamba.

Zizindikiro zazikulu zomwe zimavutitsa wodwala kumayambiriro:

1. Chilichonse cholimbitsa. Imadziwika ndi ululu m'matumbo amiyendo pakudutsa gawo laling'ono la njirayo. Chifukwa chake, odwala oterowo nthawi zambiri amapuma akamayenda. Ululu umakhazikika mu minofu ya ng'ombe, umayambitsa kukhumudwa, kuwuma, kuponderezana.
2. Nthawi zonse kuzizira kwa miyendo, ngakhale nthawi yotentha, nthawi yachilimwe.
3. Maonekedwe a kulanda kwa miyendo.
4. Madandaulo akumva kudzidwa komanso kumva kuwonongeka kwa zala.
5. Ululu wa khungu la Wax umayamba, m'malo ena khungu limakhala lotuwa kapena la krimuotic-krimu.
6. Zilonda zowonongeka bwino, malo okhala ndi vuto, pang'onopang'ono amasintha kukhala mabala ovuta, amawoneka pakhungu.

Zizindikiro zoyambirira za zilonda zam'mimba za m'miyendo zikupezeka, muyenera kufunsa dokotala wa endocrinologist ndi dokotala wothandizira. Gawo loyambirira la matendawa limafunikira chithandizo chamankhwala kuti muchite popanda kuduladula zala, phazi kapena dzanja lonse.

Kodi zigawenga zimayamba bwanji? Matenda a shuga am'magazi amayamba ndikukula kwa matenda monga matenda ashuga. Kuvulala kochepa, zikande, chimanga, kukulitsidwa ndi kusokonezeka kwamagazi, magazi, kusayenda m'malo am'munsi, kuphatikiza kwa microflora ya pathogenic, kumayambitsa zochitika zamkati ndi zapakati. Gangrene wa phazi odwala matenda ashuga ndi zovuta zovuta kuphazi la odwala matenda ashuga. Nthawi zambiri matendawa amayamba mwa anthu atatha zaka makumi anayi komanso atakalamba, atakhala ndi vuto lakuswa kwa trophic (zakudya) zamatumbo chifukwa cha kukula kwa microangiopathy ndi neuropathy.

Wouma gangrene mu matenda a shuga amakula pang'onopang'ono, wodziwika ndi kuyabwa, kumva kuzizira, mapazi oyaka. Popita nthawi, kuchepa kwa chidwi kumachitika, kupweteka kwakanthawi kumachitika. Khungu la miyendo liuma, kusuntha, kuyamwa kwake kumawonedwa. Patsamba lowonongeka kwa khungu, chidwi cha necrotic chimawonjezeka. Palibe fungo lochokera kumanja lomwe lakhudzidwa. Mkhalidwe wamba wodwalayo samavutika kwambiri.

Zovuta zowuma nthawi zambiri zimakhudza zala. Ngakhale kuti matendawa ndi abwino, osatetemera, odwala amafunsidwanso kudulidwa kuti apewe zovuta.

Zilonda zodwala matenda ashuga zimayamba nthawi yomweyo. Chiwalo chomwe chakhudzidwa chikukula, chimakhala ndi mtundu wobiriwira kapena wamtambo. Kununkhira kwakuthwa kwamphamvu. Wet gangrene mwachangu imagwira madera atsopano a khungu, fiber, minofu ndi fupa. Madera a Necrotic adaphimbidwa ndi thovu yaying'ono, ndikumapanikizika pakhungu lomwe lakhudzidwa, kuterera kumamveka (crunching). Matenda a wodwalayo akuipiraipira, kuchuluka kwa magazi, leukocytosis imawonekera, ndipo ESR imakulanso. Kuti mupulumutse moyo, tikulimbikitsidwa kuti gawo lowonongeka la mwendo lidulidwe.

Kodi kuchitira matendawa? Ndikofunikira kuyamba kuchiza pochotsa zoyambitsa zake:

• kukonza ndi kuchiza bwino ngakhale kuvulala kocheperako, zopaka, chimanga, misomali yakunyumba,
• kupewa ndi kuchiza matenda opatsirana matenda opatsirana azachilengedwe osiyanasiyana,
• kuchotsa kwa khungu necrotic,
• kukonzanso thupi.

Pofuna kuti musayambitse squin ya mwendo ndi matenda ashuga, ndikofunikira kuteteza miyendo, ngati zingatheke, kuvala nsapato zapadera, zofewa zam'mphepete, masokosi ofewa a thonje. Simungathe kutentha, kuyenda miyendo yanu, kuyenda opanda nsapato mumsewu kapena m'malo ena, osavala nsapato za wina.

Chithandizo cha gangrene chikuchitika ndi endocrinologists mogwirizana ndi madokotala a mtima. Ndi malo owuma, madokotala am'mimba amachitapo kanthu kuti abwezeretsere kuchuluka kwa mitsempha ya magazi popanga magazi (kupanga ma cellaround) m'magazi, kupuma (kubwezeretsa patency). Kudula mwendo ndi gangrene muukalamba kapena ndi mawonekedwe onyowa, ngakhale phazi likangowonongeka, nthawi zambiri limachitika mu zipatala pamlingo wam'munsi kapena ntchafu.

Mu magawo oyamba amakula matendawa, ndizotheka kuchiza matenda osokoneza bongo omwe ali ndi matenda ashuga: masks ofiira ofiira, mafuta ambiri ochokera ku yogurt yachilengedwe, mafuta a clove. Ochiritsa azikhalidwe ndi madotolo amalimbikitsa kuti azithira chiwindi cha nyama yaiwisi kumapazi omwe akhudzidwa. Kunyumba, mutha kugwiritsa ntchito mafuta opweteka a matenda a shuga. Zomwe zimapangidwira mafuta osiyanasiyana zimaphatikizapo zowonjezera za peppermint, blackcurrant, collagen, mafuta ofunikira a sage ndi tiyi, zigawo za antifungal. Chisankho chimatengera gawo la matendawa, cholinga chogwiritsa ntchito. Nthawi yoikidwiratu ikuchitika ndi adokotala.

Njira zina zamankhwala zimapereka njira yochotsera moto wa Anton. Njira iyi ndi kusala kwachithandizo. Koma ziyenera kuchitika pokhapokha kuyang'aniridwa ndi madokotala. Odwala amalangizidwanso kuti azichita zolimbitsa thupi tsiku ndi tsiku. Ngati mankhwalawa a gangore mu matenda a shuga ophatikizana ndi wowerengeka azitsamba samapereka zotsatira, muyenera kuonana ndi dokotala kuti akupatseni mankhwala.

Kodi kuchitira gangore popanda kudula? Azipatala otsogola ku Russia ndi Israel apanga njira yapadera yochotsera malo a atherosulinotic ndi mpeni wapadera. Mpeni wamalonda umayikidwa pachikumbutso chaching'ono pa ntchafu, womwe umadula mwapang'onopang'ono malo a atherosselotic, kumasula lumen m'mitsempha yamagazi. Kuchita uku kumakupatsani mwayi wobwezeretsa magazi m'mitsempha ya miyendo, yomwe imapangitsa kuti dzanja lizidulidwa. Matenda a matenda ashuga amadutsa pasanathe mwezi umodzi.

Vuto logaya matenda ashuga ndilovuta kwambiri. Ngati ngakhale zizindikiro zazing'onoting'ono zazowonongekeratu zikuwoneka, ndikofunikira kuyesa matenda a mitsempha, funsani dokotala wamankhwala oyenerera kuti mudziwe njira zoyendetsera bwino mankhwala. Kukhazikitsa kuonana ndi dokotala kumathandizira kuti matendawo achulukane, kumawonjezera mwayi wokhala ndi matenda.

Njira zodzitetezera, munthawi yake, chithandizo chamankhwala chodalirika, chithandizo chazovuta zokhala ndi vuto ndi wowerengeka ndi chitsimikizo chokhala ndi thanzi komanso moyo wautali.

Miyendo ndi chimodzi mwazofunikira za matenda. Matendawa ndi imfa ya tinthu tamoyo tomwe timakhala timdima ndipo titha kusanduka khungu. Mu shuga mellitus, matenda oterewa nthawi zambiri amakhala ovuta kwambiri, amawopsa ndikudulidwa komanso kufa.

Shuga m'matumbo akulu amawononga mitsempha yamagazi. Kuthamanga kwa magazi kumalepheretsedwa, ndipo ma cell amapatsidwa njala ya oxygen. Pakakhala kusowa kwa zakudya, kutupa, kuchepa mphamvu, komanso kufa minofu kumachitika. Nthawi zambiri, mitsempha ndi mitsempha ya ziwalo zakutali kwambiri - miyendo, yomwe imapanikizika kwambiri - imavutika. Malinga ndi ziwerengero, odwala matenda am'mimba omwe amapezeka ndi matenda ashuga oposa 50% odwala. Wodwala wachiwiri aliyense ndi amene amatha kupulumutsa mwendo.

Gangrene mu matenda a shuga ndiwowoneka bwino chifukwa munthu kwa zaka zambiri sakudziwa za kukula kwa necrosis (necrosis) m'munsi, popeza khungu limachepa. Zizindikiro za phazi la matenda ashuga zikayamba kuoneka, nthawi yothandizira odwala imatha. Wodwala matenda a shuga ali pachiwopsezo chodulidwa mwendo ngakhale kufa.

Odwala okalamba omwe nthawi zambiri amakhala ndi matenda osokoneza bongo. Njira ya minofu necrosis imatha kuchitika pang'onopang'ono komanso pafupifupi imperceptibly. Anthu odwala matenda ashuga amawona zizindikiro zoyambirira zowonongeka ngati gawo lina losatha la zaka zawo. Komabe, ming'alu yayitali yosasindikizidwa, mabala, komanso zilonda zam'miyendo zomwe zimachitika m'matumbo a shuga ndizizindikiro zowopsa!

Matenda owuma ndi chotsatira cha matenda osasintha a magazi. Popanda kulandira chakudya, minyewa yakumapeto imachepa ndipo pang'onopang'ono "imasungunuka". Nthawi zambiri khungu lowuma limawonedwa nthawi yomweyo pamiyendo yonse. Pakupita kwa zaka, malo omwe akukhudzidwawa, nthawi zambiri zala, amazuma kwambiri mpaka kumakumba. Ndi necrosis yathunthu, amatha kuzimiririka.

Youma gangrene vuto la matenda likanyowa. Kupsinjika kwamtunduwu wa matenda ashuga nthawi zambiri kumayamba kukhala mwa anthu omwe ali ndi zambiri, ozolowera kuti miyendo nthawi zambiri imatupa. Chifukwa cha kuchuluka kwa madzi ndi mafuta, maselo akufa sangathe kuzima. Njira yofulumira yopatsirana, kuwola, imayamba.

Matendawa amadziwika ndi nthawi yayitali. Zouma zouma zokhala m'munsi zimayamba ndi ischemia (kuletsa magazi) komanso kutupa kwamitsempha. Kenako minofu yofewa, yomwe magazi sakulowa, amakhudzidwa. Malire owoneka bwino pakati pa malo owonongeka ndi athanzi. Pang'onopang'ono, dera la necrosis limakula. Minofu, kutaya madzimadzi, kupukuta, kufota ndi kupukutira. Mapeto a njirayi ndi kudzidula, kukana ziwalo zakufa ndi thupi.

Choyambitsa chamtunduwu ndichoperewera kwamwadzidzidzi magazi mu miyendo. Minofu necrosis imakula mwachangu. Kulowa kwa matenda kumayambitsa kutupa kwamphamvu. Mwendo umatupa, umade, ndikupweteka kwambiri. Popeza palibe cholepheretsa pakati pa minofu yathanzi komanso yowola, matendawa amafalikira mwachangu mthupi. Zotsatira zake, pamakhala ngozi ya sepsis (poyizoni wamagazi).

Pali zinthu zambiri zomwe zimatha kupangitsa kuti chachikulu cha minofu necrosis - kuchepa kwa magazi m'miyendo. Izi ndi:

• kuvulala kwamiyendo ndi magazi akulu,
• kutentha, chisanu chamiyendo,
• poyizoni wowopsa wa bowa, ergot, mankhwala oopsa,
• kachilombo ka bacteria
• Kuwonongeka kwa endarteritis, komwe kumapangitsa magazi kuwonongeka kumadzetsa ngozi,
• myocardial infaration, ubongo, mapapo,
• atherosulinosis
• thrombophlebitis
• pachimake khomo lachiberekero,
• zilonda zamphamvu, etc.

Matendawa amadziwika ndi kugonjetsedwa kwa mitsempha yambiri nthawi imodzi.Neuropathy mu shuga ndi zovuta zomwe zimayambitsidwa ndi kuchepa kwa liwiro lamagetsi amagetsi, omwe amawongolera kayendedwe kazinthu zoyenda mozungulira. Izi ndi zotsatira za kuchuluka kwamphamvu kwa glucose komwe kumapitilira m'thupi kwa nthawi yayitali. Chifukwa chake, ngati munthu ali ndi matenda osokoneza bongo pafupifupi zaka 5, polyneuropathy imapezeka mwa 15% ya odwala, ndipo ngati ali ndi zaka 25-30 - mu 70-75% ya odwala.

Poyamba, kupsinjika kumayambitsa dzanzi miyendo, miyendo yoyaka, "tsekwe", kupweteka kwam'mawa kumapazi, miyendo. M'tsogolo:

• mphamvu miyendo kuti kusinthasintha kwa kutentha kumafooka,
• Khungu limakhala lofiira, lokutidwa ndi mawanga amdima,
• onenepa
• minofu ya zala imafooka
• kupweteka kwa mwendo
• m'lifupi phazi limawonjezeka
• phazi lathyathyathya limawonekera
• cholumikizira chakolo sichikhala chopindika.

Mitsempha yaying'ono ya m'miyendo imawonongeka makamaka ndi glucose owonjezera. Sikuti maselo amangokhala ndi vuto la oxygen. Mkhalidwe wa arterioles, capillaries umakulitsidwa ndi atherosclerosis. Zotengerazi zimatsekeka ndi cholesterol plaque, kukulira, ndikulephera kutuluka kwa magazi. Pachifukwa ichi, kupweteka m'miyendo kumawonjezeka ndi kulimbika. Kuyenda mwachangu, kukwera masitepe kumakhala vuto. Khungu la miyendo limatha, kusenda ndi kuyabwa.

Mitundu yonse iwiri ya matenda poyambira imakhala ndi zofanana. Kusiyanitsa kokha ndi kutalika kwa kupitilira kwa zovuta izi. Zouma zouma zimatha kupitilira pakapita zaka, ndipo zimanyowa - kwenikweni m'maola kapena masiku angapo. Pambuyo pake, chithunzi cha matendawa chimalandira kusiyana kwakukulu. Mutha kuzindikira kuwopsa kwa gangore ndi zizindikiro izi:

• miyendo imayamba kuuma nthawi zambiri
• Khungu la miyendo limasandulika
• chidwi chamanja cha miyendo chimachepa
• miyendo itaduka,
• mgwirizano umakhala wosakhazikika
• lameness ikuwoneka
• kupweteka kambiri m'miyendo, miyendo yoyaka.

Gawo loyamba la zovuta lingadziwike ndi khungu. Wotsogola wagulu amawoneka motere:

Gawo loyamba la mwendo gangore mu shuga

Vuto lalikulu la matenda ashuga ndi matenda ashuga. Gangrene mu matenda a shuga ndi imfa ya ma cellular ndi minyewa ya thupi lachilengedwe. Kuchita kotereku kumakhala chifukwa cha kuledzera kwathunthu kwa thupi, matenda opangitsa minyewa yathanzi, kuwonongeka kwa minofu ya mtima, mapapu komanso aimpso, komanso chiwindi.

Gawo loyamba la miyendo m'magazi a shuga limayamba ndi kuwonongeka kwa zala ndipo kenako limaphimba phazi lonse. Kutuluka kwa magazi kumiyendo ndikovuta, mapangidwe amafupa, mafupa amakhudzidwa, zilonda zotseguka. Ngati zinthu sizikutsatiridwa munthawi yake, ndiye kuti kuduladula dzanja ndi chiwalo sikungapeweke, ndipo nthawi zina izi zitha kuchititsa kuti munthu afe.

Zizindikiro zazikulu za gangrene mu matenda osokoneza bongo zimayamba kuoneka pamene arteriosulinosis obliterans imachitika. Matendawa amadziwika ndi kupendekera kwamitsempha yamagetsi komanso kuwonekera kwa mapanga a lipid, omwe amasintha kwambiri chifukwa cha kuphwanya kwa magazi m'thupi. Izi zimaphatikizapo kuperewera kwa mpweya wophatikizika kwa ma cellular ndi minofu. Pokhapokha chithandizo choyenera cha matenda ophatikizika, gangrene ya m'munsi imayambira ndi matenda a shuga. Chofunikira kwa aliyense wodwala matenda ashuga ndikudziwa momwe gangrene amawonekera poyambira kukula kwake.

Zizindikiro zazikulu zoyambira kwamiyendo ya m'miyendo ndi matenda a shuga zimaphatikizapo:

1. Kukhalapo kwa kudalirana kwapang'onopang'ono, phazi ndilopunduka. Nthawi yomweyo, wodwalayo amayamba kumva kuwawa kwa minyewa yam'mimba m'dera la ng'ombe, kutopa, kulimba, ngakhale kuyenda pang'ono.
2. Ozizira ozungulira nthawi iliyonse pachaka.
3. Kupezeka kotsimikizika pamiyendo.
4. Kutalika kwa miyendo kapena miyendo yosalankhula, zala zimataya mphamvu kumva kena kake kumapazi.
5. Khungu limakhala lonyowa, madera ena khungu limakhala lofiirira kapena lotuwa, loyera.
6. Kupezeka kwa zilonda, kufa kwa madera ena pakhungu, pang'onopang'ono kumasintha kukhala mabala omwe amakhudzidwa ndi matenda.
7. Maonekedwe a purulent abscesses, kuphatikiza kuwonjezeka kwa kutentha kwa thupi, kusanza Reflex ndi zina.

Mutazindikira zizindikiritso zapakhosi pamiyendo, muyenera kupangana ndi dokotala. Chithandizo chamankhwala chikayamba bwino, ndiye kuti chithandizo cha mankhwalawa chimayamba bwino. Ngati matendawa apezeka pakadali pano, mankhwalawo amayenera kulungamitsidwa, apo ayi, popanda kuduladula chala, phazi kapena mwendo, munthu sadzapulumuka. Kodi zigawenga zimayamba bwanji?

Gawo loyambirira la kupezeka kwamavuto am miyendo monga gangrene mu shuga ndikukhazikitsa phazi la odwala matenda ashuga. Matendawa nthawi zambiri amakula mwa anthu okalamba, omwe amatha kukhala ndi vuto la kuperewera kwa zakudya m'thupi mwa minyewa chifukwa cha microangiopathy ndi neuropathy.

Gawo loyamba la matenda am'mimba mu shuga limawonetsedwa pachithunzichi:

Nthawi yomweyo, ngakhale zowawa zazing'ono, zikande, magazi osokonekera, limodzi ndi magazi osokonekera, thrombosis, kusayenda m'miyendo ndi matenda, kuphatikizika ndi necrosis komanso zochitika zapagulu.

Pali mitundu yowuma komanso yonyowa. Mtundu wouma wa odwala matenda ashuga amakula pang'ono pang'onopang'ono.

Chithunzi chowuma cha zigawo zam'munsi koyamba chikuwonetsedwa pa chithunzi:

Izi phazi layamba phazi limayambira ndi kuyabwa, kumva kuzizira m'miyendo, ndipo mapazi akumva kutentha. Ndipo pamakhala kutaya mtima, kuukira kwakanthaŵi kochepa kumachitika. Khungu limakhala louma, lonyowa, linadetsedwa. Phazi limakhala ngati lakuwuka. M'madera omwe akhudzidwa, necrosis ya khungu imachuluka. Fungo lonyansa silimawonedwa, thanzi siliphwanyidwa.

Wowoneka wowonda m'magulu a shuga amapangidwa nthawi yomweyo. Chithunzi cha gawo loyambirira la chonyansa cham'mimba chitha kuwoneka pansipa:

Mwendo nthawi yomweyo umayamba kukula, umakhala wobiriwira kapena wofiirira. Fungo lakuthwa la fetid la zowola limayamba kumva. Matendawa amafalikira mwachangu kumadera athanzi a pakhungu, ulusi, minofu ndi mafupa. Njira ya necrosis yomwe yayamba kuputa mapangidwe amalo a khungu ndi tinsalu tating'ono. Kulimbikira pamalo owonongeka kumamveka phokoso la khrisito.

Kukhala ndi thanzi labwino kwa wodwala matenda ashuga kumayamba kuwonongeka, kuchuluka kwa magazi kumakulirakulira, zizindikiro za leukocytosis zimawonekera, kuwonjezeka kwa ESR kumawonedwa.

Kuti apulumutse moyo wa wodwalayo, kudula mwendo nthawi yomweyo ndi mbali yofunika.

Toe gangrene mu shuga amachitika chifukwa chosamvetseka bwino m'derali komanso kuphwanya kwa magazi kumiyendo. Chifukwa chakuti wodwala matenda ashuga amasiya kumva kupweteka m'miyendo, mwayi wovulazidwa ndi zala ndiwokwera, chifukwa kuwombera kulikonse kumatha kusadziwika. Zowonongeka pakhungu m'dera la chala zimayamba kupindika ndipo zimayambitsa khungu kutha, kuwononga minofu, kuwonjezereka.

Pofuna kuletsa matenda opatsirana wathanzi, chala chimadulidwa. Mfundo ina pakukula kwa zala zam'mimba ndikutayika kwa minyewa yam'manja ya zala zawo. Nthawi zambiri, abwinobwino oterewa amakula kwa nthawi yayitali. Zotsatira zakuphwayi, minofu ya zala imayamba kuuma, osasiya mabala, kotero matendawa samapangika. Pali kusintha kwamphamvu. Ndi mawonekedwe awa, zala zakumaso zitha kupulumutsidwa mothandizidwa ndi opaleshoni yamitsempha yamagazi.

Nthawi zambiri mwa anthu okalamba, omwe thupi lawo limasowa madzi m'thupi chifukwa cha kusinthana ndi ukalamba, motsogozedwa ndi matenda ashuga ndi matenda ena, gangrene yowuma imawonedwa, koma imanyowanso. Kuuma kumadziwika ndi kulimba kwambiri, ndipo nthawi zina kupweteka kosalephera, kutupa kwa miyendo. Kenako pakubwera kuwonongeka kwa zomverera. Pambuyo pake, pali njira ziwiri zakusintha kwazinthu: kuvulala kwa miyendo ndi kuwonjezera kwa matenda oyipa kapena kuyanika kwa miyendo ndikupeza mtundu wamalaala. Chithandizo cha gangore mwa okalamba chimakhala chovuta chifukwa chakuchepa kwa kayendedwe ka thupi.

Ndikofunikira kuchitira gangore ndikuchotsa mizu yomwe imachitika. Chifukwa chaichi, chithandizo ndi chithandizo cha kuvulala kulikonse, zipsera, kukoka kwa callus, msomali mbale kulowa mkati, njira zodzitetezera ndi antibacterial mankhwala opatsirana zotupa, kuchotsa mwachangu malo okhala khungu, kuchotsa poizoni m'thupi kumachitika.

Mankhwala othandizira odwala matendawa amatha kuchitika pogwiritsa ntchito njira ziwiri zazikulu: chithandizo chokhazikika komanso chodwala. Njira yoyamba imadziwika pochita bwino kwambiri, pomwe yomaliza imachita bwino kwambiri.

Mankhwala othandizira odwala matenda a shuga omwe ali ndi shuga amaphatikizanso njira zochizira matenda ashuga, kupewa matenda ndi kuledzera ndi maantibayotiki, kuchepetsa kupsinjika kwa miyendo, kukonza chitetezo chamthupi pogwiritsira ntchito vitamini ndi kufufuza zinthu. Njira zoterezi ndizoyenera kumayambiriro kwa matendawa komanso matenda owuma.

Nthawi zina, munthawi yomweyo matenda a concomitant matenda amachitika. Mulinso:

1. Kuchotsa magazi kuwunjika pamitsempha yamagazi yomwe imapezeka panthawi ya matenda a ischemic. Kuti muchite izi, gwiritsani ntchito mawu.
2. Opaleshoni yocheperako yovomerezeka.
3. Kukhazikika kwa stent.
4. Chithandizo cha ischemia yovuta, yomwe imachepetsa ululu.

Komabe, ngati pali chonyansa chamagulu, ndiye kuti pofuna kupewa kufa kwa wodwalayo, mulimonse, kuchitidwa opaleshoni ndikofunikira. Pa nthawi ya opaleshoni, zigawo zomwe zimakhudzidwa ndi minyewa zimachotsedwa, ndipo ziphuphu zoyenera kuzungulira chotupa zimatsukidwa.

Pankhaniyi, mwendo uyenera kudulidwa pamwamba pa zotupa, zomwe zimapangitsa kupewa matenda ena. Ngati chotupa chikuphimba chala chokha, ndiye kuti chopewa zovuta, phazi lonse lingachotsedwe. Ngati muli ndi vuto lodana ndi phazi lanu, mutha kukambirana ndi munthu za mwendo.

Mofanananso ndi opaleshoni, chithandizo chamankhwala, kuchotsa poizoni m'thupi, ndi kuthiridwa magazi operekedwa amaloledwa.

Pamodzi ndi kuchotsedwa kwa maselo akufa, njira zina zochiritsira nthawi zambiri zimachitika pofuna kuthana ndi magazi m'mitsempha ya miyendo popanga kafukufuku. Masewera a shunt amathanso kuwonetsedwa, omwe amakupatsani mwayi kuti musunge phazi, pakuwonongeka kwa chala, kapena fungo lomwe limakhudza bwino magwiridwe antchito.

Ndi odwala matenda ashuga angati omwe amakhala ndi gangrene amakhala? Mtundu wouma wamagulu osokoneza bongo sulephera kupereka mphamvu pazomwe zimachitika munthu akadwala, ndipo nthawi zina zimakhala zomwe zimapangitsa kuti wodwalayo amwalire. Wodwalayo amatha kufa kokha ndi matendawa, omwe anali chifukwa chachikulu chothandizira matenda osokoneza bongo. Koma ndi mtundu wanyowa, wodwala popanda chithandizo chofunikira amatha masiku atatu okha, nthawi zina ngakhale ocheperako. Chifukwa chake, kumayambiriro kwa chithandizo, miniti iliyonse ndiyofunikira.

Kukhazikitsa njira zodzitetezera, munthawi yake chithandizo chofunikira ndikusunga thanzi ndipo, momwe mungathere, moyo wautali wodwala matenda ashuga.

Matenda am'munsi am'magazi a shuga ndi njira yodutsira ziwiya ndi ziwalo zamiyendo zomwe zimakhudzana ndi magazi. Kodi mungapewe bwanji izi komanso ndimankhwala?

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

Matendawa ndi imfa ya matupi athupi, limodzi ndi kuwola kwawo. Gulu lake lili motere:

• kapangidwe ka minofu yakufa: yonyowa ndi youma,
• kuchokera koyambirira: zoyipa, zamkati komanso zopatsirana,
• ndi pathogenesis: gasi, mphezi, chipatala.

Ndi khungu louma, kuwonongeka kwakumapeto kumachitika, komwe kumachitika pang'onopang'ono kutsekeka kwamitsempha yamagazi. Zimatenga miyezi ingapo kufikira zaka zingapo. Chifukwa cha njirayi, minofu yathanzi yapafupi imakhala ndi mwayi wodzipatula ku matenda. Choyamba, ndi khungu louma, ziwalo zomwe zili m'mphepete zimakhudzidwa: miyendo, zala. Izi zimatsatiridwa ndi zowawa, ndiye kuti madera omwe akhudzidwa amasiya kuzimvera, kukhala zakuda. Izi sizikhudza thanzi la wodwalayo ndipo siziika pachiwopsezo moyo (pokhapokha gangore atasanduka chonyowa).

Matenda am'magazi amayambira mofulumira kwambiri, ndipo, mosiyana ndi vuto louma, matendawa amapezekanso. Dera lomwe lakhudzidwalo limapeza mtundu wamtambo wa buluu, limakulira kukula ndikufalitsa fungo losasangalatsa la purulent. Ngati sichinadulidwe, izi zili pachiwopsezo cha moyo.

Ku funso loti gangore limayamba, zifukwa zotsatirazi zimachitika:

1. Kuphwanya kwachilendo kwa magazi kutuluka kwa minofu chifukwa cha kuwonongeka kwa mitsempha yamagazi ndi mitsempha ya shuga, atherosclerosis.
2. Matenda oyambitsidwa ndi mabala owopsa kapena mfuti, komanso kuvulala pang'ono m'matenda a shuga.
3. Kuwotcha (kuphatikiza mankhwala) a digiri yachitatu ndi frostbite.

Matenda a matenda ashuga amawoneka muimfa yamatenda amthupi, omwe amalumikizidwa ndi malo akunja a ziwalo monga mapapo, pamimba, ndi khungu. Gangrene imapangidwa chifukwa cha kuperewera kwa okosijeni ku minofu. Mukayamba matenda ashuga, mwayi wakupita patsogolo kwa matenda ashuga a m'munsi amathandizika, ndipo umafotokozedwa makamaka zala zakumaso, zomwe nthawi zambiri zimavulala. Ngati magazi a shuga akwera pafupipafupi, magazi m'miyendo akusokonekera, gangrene amakula.

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto omwe amakonda kwambiri ndi awa: matenda a shuga a shuga, nephropathy, retinopathy, trophic zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga chida chomwe chimachiritsa kwathunthu matenda a shuga.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Zizindikiro za gangore mu shuga mellitus amadziwonetsera ngati kusintha kwa khungu pakhungu loyera la mtundu wa pinki, lamtambo, lamtambo wakuda.

Matenda a shuga amatha kukhala owuma komanso onyowa. Dry gangrene mu shuga amawoneka motsutsana ndi maziko a kuphwanya magazi, ndipo chifukwa cha izi, necrosis imachitika. Kwambiri, gulu lomwe lili pachiwopsezo cha matenda amenewa limaphatikizapo anthu omwe ali ndi vuto lodana ndi thupi kapena onenepa.Zizindikiro zokhala ndi matenda owuma:

• khungu loyera, lopanda moyo kapena loyera la mapazi,
• ululu wolimba kwambiri ndi m'miyendo.
• ikuyenda m'miyendo
• kumva kuzizira pakhungu la miyendo,
• kutayika kwa kupindika kwa miyendo.

Pamaso pa mtundu wamtunduwu, mwayi wokhala ndi matenda umachepetsedwa mpaka zero ndipo palibe chowopsa m'moyo wa anthu.

Chiwopsezo chotenga chonyansa chamagulu ndizabwino kwa odwala omwe ali onenepa kwambiri kapena omwe amakonda kudwala. Minofu yakufa ilibe nthawi yoti iwume, ndipo pali njira zothandizira matenda. Ndi chonyowa chonyansa, khungu limakhala lakuda kapena lofiirira, mawanga ofiira amawoneka pamapazi, mipira yodzazidwa ndi mafinya. Komanso, wodwalayo amakhala ndi kutentha thupi, kuwawa kwambiri, kumverera kwa kupsinjika ndi kuwonjezeka kwa mavuto.

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 66, ndinali ndikumenya insulin yanga, 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 kwambiri, 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.

Chithandizo cha gangrene cha m'munsi kwambiri matenda ashuga chiyenera kuyamba ndi kufufuza mwatsatanetsatane ndi wodwala. Pali zinthu zingapo zodziwikitsa matenda, monga:

• wodwala ali ndi atherosulinosis kapena matenda ashuga,
• kupweteka poyenda m'chiuno kapena ng'ombe, kuletsa kuyenda kwa nthawi yayitali,
• kupweteka m'miyendo kapena kumapazi usiku,
• Zala zake ndizotuwa ndipo nthawi zambiri ndizizizira,
• Zabwino zili pansi.
• kusintha kwa trophic mu mwendo wotsika, kumapazi kapena zala.

Ngati hyperthyroidism yovuta ischemia isanayambike gangore, chithandizo chotsatira chimachitika:

• lembani zotulutsa,
• kuchuluka magazi
• onjezerani mpweya wa magazi m'magazi,
• amatenga njira zothandizira popereka magazi kudzera pakuchita opaleshoni wamba.

Ngati matenda alowa mthupi chifukwa chotupa, ndiye kuti chithandizo chikuyenera kuchitidwa kuti muchotse madera omwe munafa.

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndakhala ndikuchezera kangapo kwa akatswiri azamankhwala, koma pali chinthu chimodzi chokha chomwe amati: "Imwani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Ngati ndi kotheka, musavulaze miyendo yam'munsi. Ndi zoletsedwa kwambiri kugwiritsa ntchito lezala ndi zida zina zakuthwa posamalira mapazi. Ngati odwala matenda ashuga avulala, ndizosatheka kuchitira chithandizo pochiza bala ndi mowa, ayodini, potaziyamu wambiri, wobiriwira wanzeru, komanso kugwiritsa ntchito hydrogen peroxide kumakhalanso kosafunikira (pothana ndi vuto ladzidzidzi, 3% peroxide ingagwiritsidwe ntchito). Ndikwabwino kuthandizidwa ndimankhwala monga chlorhexidine, dioxidine. Kuvala kosalala kuyenera kuyikidwa.

Chithandizo cha kupweteka kwa m'miyendo chimaphatikizapo masewera olimbitsa thupi ndi kutikita minofu, komwe kumathandiza kuchepetsa ululu ndikubwezeretsa magazi ake m'miyendo.

• Kusakaniza motsatana komanso kuswana kwamiyendo,
• kukoka masokosi,
• kupindika kwa mapazi kumanja ndi kumanzere,
• kufinya-kusazindikira zala zala.

Pali malamulo angapo osamalitsa oyenera pamaso pa phazi la matenda ashuga:

1. Sambani mapazi ndi zala zanu pafupipafupi.
2. Pukuta khungu mosamala.
3. Yang'anirani phazi lanu tsiku ndi tsiku kuti muwoneke, ming'alu, kapena mabala.
4. Osama supercool kapena kutsuka mapazi anu m'madzi otentha kwambiri.
5. Valani nsapato zabwino komanso masokosi kapena masokosi.
6. Masokisi okhala ndi zotanuka zolimba amatsutsana.
7. Gwiritsani ntchito kusamala kwambiri podula misomali.
8. Chotsani khungu louma ndi mafuta ndi mafuta.

Ndikotheka kupewa kuyambika kwa zovuta za matenda am'mimba m'matenda am'magazi ngati matenda a glucose ali m'thupi. Kamodzi pamwezi, pofuna kupewa, ndikofunikira kuti muunikenso hemoglobin wa glycated, womwe umakupatsani mwayi wambiri wamagazi m'magazi. Kuzindikiritsa munthawi yake ma matenda oyambira kumapangitsa kuti zitheke kuchira.

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri zamagulu ndipo makamaka ndinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Chithandizo chokhacho chomwe chapereka zotsatira zabwino ndi Dianormil.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Dianormil adawonetsa chidwi chachikulu magawo a shuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi
khalani ndi dianormil ZAULERE!

Yang'anani! Milandu yogulitsa Dianormil yabodza tsopano.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mudzalandira malonda kuchokera kwa wopanga wamkulu. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.

1. 
   Maphunziro a VA Oppel pa opaleshoni yamankhwala ndi endocrinology yamankhwala kwa madokotala a opaleshoni. Zolemba 1 / V.A. Tsutsani. - M: Mankhwala Othandizika, 1987. - 264 p.
2. 
   M.A., Darenskaya Mtundu woyamba wa matenda ashuga: / M.A. Darenskaya, L.I. Kolesnikova und T.P. Bardymova. - M: LAP Lambert Academic Publishing, 2015 .-- 124 c.
3. 
   Endocrinology, E-noto - M., 2013 .-- 640 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.