Thumba totupa ndi shuga: chithunzi cha urticaria ndi pemphigus
Zotupa za pakhungu ndi matenda a shuga ndizachilengedwe. Mavuto a pakhungu amapita patsogolo limodzi ndi kukula kwa matendawa. Endocrine matenda amadziwika ndi kagayidwe ka kagayidwe kachakudya, kuperewera kwa mahomoni, komanso msanga wamagazi okwanira. Izi zimasokoneza ntchito ya ziwalo zonse ndi machitidwe, zovuta zambiri zimayambika, kuphatikizapo zamkati mwachilengedwe.
Kukula kwa zizindikiro zimatengera umunthu wa maphunzirowa ndi magawo a shuga. Mavuto omwe ali ndi khungu (khungu), amawonetseranso zakunja, amatha kuzungulira mbali iliyonse ya thupi, limodzi ndi kuyabwa. Ndi kusokonezeka kwatsopano chifukwa cha matenda oyamba (matenda ashuga), zolakwika za pakhungu zimachira kwakanthawi, nthawi zambiri zimabwereranso, ndikukhala matenda opatsirana m'matumbo.
Zokhudza matenda a shuga pakhungu la khungu
Kusintha kowononga kwa ma genermis kumayambitsa kusokonezeka kwa njira zamankhwala am'thupi zomwe zimachitika m'thupi chifukwa cha kukula kwa matenda a shuga. Kuwonetsedwa kotsatira kwa matenda ashuga kumakhudza kukula kwa khungu matenda:
- Matenda a metabolism. Monga minofu ina ndi maselo amthupi, khungu sililandira michere yokwanira, trophism imasokonezeka (njira ya zakudya zama cell). Zotsatira zake, chitetezo chake chachilengedwe chimachepa.
- Kuphwanya kutuluka kwamadzi am'mimba. Zimakhudza kuchira kwa khungu. Ndi kusachedwa kubadwanso, ngakhale abrasions yaying'ono ndi zipsera zimayambukiridwa mosavuta. Kubwezeretsanso kwa tizilombo tating'onoting'ono timene timayambitsa kuchuluka. Njira zoyesera zimakhudza osati magawo apamwamba a dermis, komanso kulowa mkati mwa minofu yolowerera.
- Kuchepa kwa kulowererapo (kulumikizidwa ndi minyewa yapakati). Kuzindikira kwa mitsempha yolandirira kumakulirakulira. Ziphuphu zakhungu komanso redness za khungu, nthawi zambiri zimawonekera mumtsempha.
- Kuwonongeka kwa capillaries ndi zombo zazikulu. Ma ketones (zopangidwa ndi poyizoni wa glucose) komanso kukula kwa cholesterol (monga chiwonetsero cha atherosulinosis yolumikizidwa ndi matenda ashuga) amawononga endothelium (mkati mwa khoma lamasamba), ndi mkhalidwe wa minofu yosalala ndi collagen imakulirakulira. Mbale imataya mphamvu, ma capillaries amakhala omata ndi makhristalo a shuga, kuthyolana, magazi amayenda osokonezeka, angiopathy amakula. Choyamba, njirazi zimakhudza madera otsika. Mabala osachiritsika amawoneka pamiyendo, pamapeto pake amasintha kukhala zilonda zam'mimba.
- Wofooka chitetezo chokwanira komanso kusakhazikika kwa microflora. Kulephera kwa kagayidwe kachakudya kumakhudza dongosolo logaya chakudya, m'madokotala ambiri a matenda ashuga ndimawonetsero pafupipafupi. Popeza tizilombo tating'onoting'ono tokhala ndi mbali yofunika kwambiri pa microflora ya khungu, ndi dysbiosis amayamba kuchulukana mwachangu. Kufooka kwa mphamvu ya chitetezo cha m'thupi sikungathe kupirira tizilombo toyambitsa matenda. Staphylococcal, matenda a streptococcal, candidiasis (fungus ya genus Candida) amakula.
- Kuchepa kwa chiwindi. M'magawo ocheperawa komanso ophatikizika a matenda ashuga, chiwindi chimaleka kuthana ndi kusokonekera kosalekeza kwa kupanga ndi kagayidwe ka mapuloteni ndi lipids (mafuta), komanso ndi katundu wa mankhwala. Matumbo ndi zida zama impso sizitha kuchotsa poizoni wambiri mwanjira yachilengedwe, kotero ena a iwo amawoneka ngati zotupa pakhungu.
- Kupsinjika Maganizo a odwala matenda ashuga nthawi zambiri amakhala osakhazikika. Kupsinjika kwa neuropsychological kumakwiyitsa kuyimitsidwa kwamphamvu. Pophatikiza ziwalo za thupi, wodwalayo amatha kupatsirana kapena kupangitsa matenda a bakiteriya okhala ndi bakiteriya.
- Kulephera kwa mahormoni. Kuwona kwa mahomoni oyambilira kumayambitsa kuwonjezeka kwa ntchito ya sebaceous glands ya secretion yakunja, yopanga sebum (sebum). Khungu lamafuta limayatsidwa mosavuta.
Matenda apakhungu komanso matenda opatsirana omwe samagwirizanitsidwa ndi hyperglycemia (shuga wambiri) amatha kukhala chifukwa cha totupa pa khungu. Izi zikuphatikiza:
- Matenda osagwirizana ndi chakudya, mankhwala, zodzola komanso mafuta onunkhira,
- kutupa kwa ana omwe ali ndi matenda ashuga oyambitsidwa ndi chikuku, rubella, chikuku,
- mawonekedwe a herpes pamilomo, eyel (nthawi zina mbali zina za thupi),
- Matenda a Werlhof, mwinanso thrombocytopenic phenura ndi zotupa zofiira zomwe zimachitika chifukwa kuphwanya mapangidwe a magazi (kuchepa kwamapulatifomu).
Akuluakulu, vuto la khungu limatha kukhala chifukwa cha matenda opatsirana pogonana (matenda opatsirana pogonana). Ndi asymptomatic njira ya syphilis mu gawo loyamba la matenda, zotupa akuwonekera padzanja m'manja patapita nthawi, akufanana ndi erythema.
Zosankha
Kusintha kwa khungu kumatha kudziwonetsa ngati vitiligo - kusintha kwa malo a manja, mapazi, nkhope ndi khosi chifukwa chosakwanira kapangidwe ka utoto wa khungu. Malo owala asymmetric amawoneka pa thupi omwe alibe malire omveka. Chifukwa cha kuchepa kwa chinyezi nthawi zonse chifukwa chokoka pafupipafupi ndi thukuta (lotupa kwambiri), khungu limakhala louma.
Hyperkeratosis imayamba - kukula kwambiri kwa khungu kumapazi ndikuphwanya desquamation (kuchotsedwa kwa zikopa zakufa). Chofunikira ndikuwonetsetsa matenda a dermatological. Ndi etiology yosamveka, wodwalayo amapatsidwa mayeso angapo a labotale komanso kuyesedwa kwa mbiri yakale pakhungu.
Mitundu ya zotupa pakhungu
Mitundu ya totupa yomwe ikukula motsutsana ndi maziko a matenda osokoneza bongo imayikidwa pakachitika nthawi:
- Poyamba (gwero). Amapangidwa chifukwa cha matenda ashuga a ziwalo zamkati komanso khola la hyperglycemia.
- Sekondale (pyodermic). Amayamba chifukwa cha kuphatikiza kwa kachilombo komwe kamayambitsa matenda omwe adalowa m'matumbo a khungu, kapena obwera chifukwa cha mabala osenda bwino.
Gulu lodzipatula ndilo matenda am'matumbo, omwe amakwiya chifukwa chogwiritsa ntchito mankhwala kwa nthawi yayitali kapena molakwika. Zambiri ndizowonongeka kwa minyewa yodutsa chifukwa cha jakisoni wolakwika wa insulin (post-jakisoni lipodystrophy), nettle rash (urticaria), komanso totupa poizoni.
Kusintha kwakunja kumayendera kumverera kwa kuyabwa ndi moto m'dera lomwe lawonongeka, chisokonezo (chisokonezo cha kugona), kukwiya kosagwiritsidwa ntchito, kutsekeka, kuuma kwambiri komanso tsitsi lophweka (gawo la alopecia limayamba). Mwanthawi yachiwiri, matenda oopsa (hyperthermia (fever) amatha kuchitika.
Mndandanda wa Matenda a Dermatological
Mavuto akulu a shuga, omwe akuwonetsa pakusintha khungu, akuphatikizapo:
- diabetes pemphigus,
- dermatopathy
- diabetesic lipoid necrobiosis,
- monular (anular) granuloma,
- seborrheic dermatitis,
- scleroderma,
- xanthomatosis (aka xanthoma),
- bacterial and fungal pyoderma (streptococcal ndi staphylococcal matenda, furunculosis, phlegmon, etc.).
Mwa azimayi, matenda oyamba ndi fungus nthawi zambiri amayamba chifukwa cha bowa wa candida ndipo amadziwika kutundu lakunja ndi ziwalo zoberekera. Mavuto ndi kutukusira kwa urethra (urethritis), makoma a chikhodzodzo (cystitis), nyini ndi mitsempha (vulvovaginitis).
Kwa odwala matenda ashuga amtundu wa 2, kusintha kosintha ndikumachita khungu ndikulimbitsa khungu lanu la khola la axillary, pansi pa bere. Chochititsa chidwi ndi kufanana kwa zotupa za khungu. Matendawa amatchedwa acantokeratoderma, kapena wakuda acanthosis, ndipo amachitika chifukwa cha kukana insulini (insulin kukana ndi maselo amthupi).
Mawonetseredwe akunja amitundu ina ya khungu amaperekedwa mu chithunzi.
Osamadzidziwitsa. Ndi dokotala yekhayo amene angadziwe matendawa molondola komanso zomwe zimayambitsa, komanso kupereka mankhwala oyenera.
Matendawa
Kuwala kumawonekera chifukwa cha kuvulala kwamitsempha komwe kumayenderana ndi matenda ashuga. Dera logawika ndi miyendo yakumapeto, makamaka, miyendo yakumunsi. Pachigawo choyambirira cha matendawa, mawanga amodzi (mpaka 1 cm) ndi amodzi. Ndi kupita patsogolo kwa njirayi, amaphatikizana malo amodzi osapweteka. Dermatopathy imayamba kusinthika kukhala lipoid diabetesic necrobiosis.
Rash xanthomatosis
Imasanjidwa kumaso, kumbuyo, matako, zala. Zili m'gulu la matenda a metabolic dermatological omwe amakhudzana ndi kuyamwa kwa mafuta m'thupi. Kuphatikizidwa ndi conheritant atherosulinosis. Chizindikiro chizindikiridwe ndikuphatikizika kwa lipids (cholesterol ndi cholestanol) mu mawonekedwe amtundu wachikasu (xanthomas) m'maselo a khungu.
Annular granuloma
Upathology sikhala ndi njira yokhala ngati mafunde. Nthawi zowonongeka zimatsatiridwa ndi kubwereranso, chifukwa kuphwanya zakudya kapena mantha amanjenje. Zotupa zokhazokha sizimalembedwa kawirikawiri, nthawi zambiri, zotupa zimafalikira m'malo osiyanasiyana a thupi (mapewa, manja, nkhope, ndi zina). Kunja, zimawoneka ngati timinongono tating'ono, tokhala ngati timiyala tating'ono tokhala ngati mphete, mpaka kukula kwa masentimita 5-6.
Matenda a khungu la matenda ashuga
Izi zimachitika chifukwa chophwanya kutuluka kwa timadzi timene timatulutsa minofu. Matenda a shuga amakhalanso ndi odwala omwe amadalira insulin. Khungu lowuma, lopendekera m'manja limakukoka pamodzi, ndikusokoneza ntchito ya zala. Mu 1/6 ya odwala, njirayi imafikira m'manja, m'mapewa, ndi pachifuwa.
Zoyambitsa Chikopa
Mu matenda ashuga, khungu la munthu limakhala louma komanso loyipa, nthawi zina limapunduka. Mwa odwala ena, imakutidwa ndi mawanga ofiira, ziphuphu zimapezeka pamenepo. Atsikana ndi amayi amawonongeka tsitsi, pomwe amakhala osakhwima komanso opepuka. Izi zimachitika chifukwa chakuwonjezeka kwa kuzindikira kwa tsitsi la tsitsi pamavuto a metabolic.
Ngati wodwala wayambitsa matenda a alopecia, zikutanthauza kuti chithandizo cha matenda ashuga sichothandiza kapena mavuto ayamba kukulira. Gawo loyambirira la matendawa limadziwika osati ndi totupa pakhungu, komanso ndi kuyabwa, kuwotcha, kuchiritsa kwa nthawi yayitali mabala, matenda oyamba ndi bakiteriya.
Zotupa za pakhungu ndi shuga zimayambitsidwa pazifukwa zosiyanasiyana. Mfundo zazikuluzikulu ndi izi:
- Macro ndi microangiopathy. Ndi chitukuko cha matenda a m'matumbo ndikuwonjezeka kwa shuga m'magazi, ma capillaries samalandira mphamvu yofunikira, gwero lake la glucose. Chifukwa chake, khungu limakhala louma ndikuyamba kuyatsidwa. Kenako mawanga ndi ziphuphu zimatuluka.
- Kuwonongeka kwa mamolekyulu a shuga. Ndi chifukwa chosowa kwambiri cha chizindikiro ichi. Pali kuthekera kwa shuga kulowa m'magazi ena a khungu, komwe kumayambitsa kukwiya mkati ndi microdamage.
- Matenda opatsirana. Ndi matenda a shuga, chitetezo chamthupi chimafooka, motero wodwala amadwala kwambiri ndi chimfine pafupipafupi. Kuphatikiza apo, chifukwa cha kuphatikiza zotupa pakhungu, mabala amapezeka pomwe matenda osiyanasiyana amagwera, natulutsa zopangidwa ndi poizoni zomwe zimagwira pamenepo.
Kuphatikiza apo, zomwe zimayambitsa mafinya zimatha kukhala zolephera zingapo. Ndi kukula kwa matenda amtunduwu, chiwindi chimadwala.
Zotsatira zake, totupa zosiyanasiyana zimatha kuwoneka pa thupi, zomwe zikuwonetsa kuwonjezeka kwa shuga m'magazi.
Mitundu ya totupa pamthupi la wodwalayo
Atazindikira zomwe zimayambitsa zotupa pakhungu, mtundu wawo uyenera kutsimikizika, womwe ungathenso kunena za gawo la matendawa komanso zovuta zilizonse. Ndipo, izi, zotupa za pakhungu ndizosiyanitsidwa:
- Poyamba Zimachitika chifukwa cha kuchuluka kwa nthawi yayitali m'magazi a shuga. Mukachulukitsa kuchuluka kwa shuga m'magazi, ndiye kuti matendawa amayamba.
- Sekondale Chifukwa cha kuphatikiza totupa, mabala amapezeka momwe mabakiteriya amakhazikika. Komabe, samachiritsa kwa nthawi yayitali. Chifukwa chake, ndikofunikira kumwa mankhwala omwe amachotsa mabakiteriya, ndipo zitatha izi ndizotheka kuthana ndi vuto la zotupa pakhungu.
- Tertiary. Zimachitika chifukwa chogwiritsa ntchito mankhwala.
Kuphatikiza apo, zizindikiro zowonjezera zomwe zimatsatana ndi totupa thupi zimatha kukhala:
- Kuwotcha ndi kuyabwa m'dera la zotupa.
- Kusintha kwa khungu, zotupa zimasanduka zofiirira, zofiirira, zamtambo.
- Choyambirira chitha kupezeka thupi lonse, choyambirira, chimawoneka pamunsi. Izi ndichifukwa choti miyendo ili kutali ndi mtima ndipo koposa zonse imasowa michere ndi mphamvu.
Kusintha koteroko kukapezeka pakhungu, ndikofunikira kupita ku dokotala, yemwe adzatumizire wodwalayo matenda ake amtsogolo.
Kutupa ndi kukana insulini komanso kusokonezeka kwa magazi
Pankhani yakuphwanya zamkati mwa maselo a thupi kuti mupeze insulin, nthendayo ikhoza kuchitika - acantokeratoderma. Zotsatira zake, khungu limadetsedwa, m'malo ena, makamaka m'mizere, zisindikizo zimawonekera. Ndi matendawa, khungu pakhungu lomwe lakhudzidwa limakhala lofiirira, nthawi zina kukweza kumawonekera. Nthawi zambiri, izi zimakhala zofanana ndi njerewere zomwe zimachitika m'mphepete, m'miyendo, komanso pansi pa chifuwa. Nthawi zina zizindikiro zotere zimatha kuoneka pa zala za odwala matenda ashuga.
Acanthekeratoderma ikhoza kukhala chizindikiritso cha matenda a shuga, ngati muwona zofananira, muyenera kufunsa dokotala mwachangu. Kuphatikiza apo, matenda a acromegaly ndi Itsenko-Cushing angayambitse.
Vuto lina lalikulu ndi matenda ashuga a lipodystrophy, pomwe minyewa komanso mafinya amasintha m'thupi, manja ndi miyendo zimasintha. Kutalika kwa khungu kumakhala kochepa thupi komanso kofiira. Chophimbacho chikawonongeka, mabala amachira pang'onopang'ono chifukwa chakuchuluka kwa matenda osiyanasiyana olowa mwa iwo.
Dermopathy ya matenda ashuga ndi matenda ena omwe amayamba chifukwa cha kusintha kwa mitsempha yamagazi. Zizindikiro zake zazikulu redness, khungu loonda, kuyiyamwa kosalekeza.
Odwala ambiri amatha kudwala sclerodactyly. Matendawa amadziwika ndi kukula kwa chikopa pazala zakumanja. Kuphatikiza apo, imagwirizana ndikukhala waxy. Chithandizo cha matenda amtunduwu ndicholinga chotsitsa glucose wamagazi, ndipo adotolo amatha kukupatsaninso zodzoladzola kuti uzipetse khungu.
Mnzake wa matenda atha kukhala wopupuluma. Mothandizidwa ndi insulin yayikulu, mafuta sangatulutsidwe magazi. Matendawa amawonetsedwa ndi zikwangwani za kumbuyo za manja, miyendo, manja, miyendo, matako.
Nthawi zina matenda a diabetes a pemphigus amatha, zizindikiro zomwe zimakhala zotupa pazala ndi zala zakumiyendo, miyendo ndi manja. Matendawa amakhalanso ndi odwala omwe ali ndi matenda ashuga akulu kapena okalamba.
Si matenda onse omwe amayamba ndi "matenda okoma" omwe adaperekedwa pamwambapa. Mndandandawu umalankhula za zomwe zimachitika kwambiri zomwe odwala matenda ashuga ambiri amadwala.
Kusiyanitsa mitundu
Poyerekeza ndi za matenda ashuga, matenda ena amatha kuoneka. Chifukwa chake, zotupa pakhungu sizimangotanthauza kutuluka kwa "matenda okoma."
Dokotala wodziwa bwino azitha kusiyanitsa zotupa pamaso pa anthu odwala matenda ashuga monga:
- Mafinya, malungo ofiira, rubella, erysipelas. Posankha matendawa, kupezeka kapena kusapezeka kwa shuga wambiri kumatenga gawo lalikulu.
- Matenda osiyanasiyana amwazi. Mwachitsanzo, ndi thrombocytopenic purpura, zotupa zotuwa zimachitika, zomwe ndizochulukirapo nthawi zambiri kuposa zomwe zimagwirizanitsidwa ndi matenda a shuga.
- Kupezeka kwa vasculitis. Pakakhudzidwa ndi capillaries, totupa yaying'ono yofiyira imawoneka pakhungu. Kuzindikira matenda, dokotala ayenera kupenda wodwalayo mosamala.
- Matenda oyamba ndi mafangasi. Kuti muzindikire molondola, muyenera kutenga zitsanzo kuti musanthule. Sikovuta kuti dokotala azindikire bowa, chifukwa chiwonetsero chazidziwitso cha kuukira chikuwonekera pakhungu.
- Matenda a shuga. Mwachitsanzo, urticaria imawonetsedwa ndi zotupa pakhungu, monga matenda ashuga.
Ngati dokotala wakupita amakayikira chomwe chimayambitsa matenda otupa, kaya ndi matenda ashuga kapena matenda ena, amamulembera mayeso ena kuti adziwe ngati ali ndi matendawo.
Chithandizo cha Matenda a Magazi
Choyambirira chake pakuwoneka ngati totupa pakhungu ndi hyperglycemia - kuwonjezeka kwa shuga m'magazi. Ndi chifukwa chake muyenera kumenya nkhondo, kubweretsa zomwe zili ndi glucose kukhala zabwinobwino.
Kuti muchite izi, muyenera kuphatikiza moyo wokangalika ndi kupumula, idyani pomwe, nthawi zonse onani kuchuluka kwa shuga ndikumwa mankhwala kutengera mtundu wa matenda.
Kuphatikiza pa kuchepetsa misempha ya magazi, pakachitika zovuta zambiri, njira zotsatirazi zingagwiritsidwe ntchito:
- anti-yotupa mankhwala
- mafuta odzola a antibacterial,
- anti-allergic and antihistamines,
- kupweteka kwapakati.
Wodwala akangowona kuti thupi lake liyamba kukhazikika, ndikofunikira kukaonana ndi dokotala. Izi zitha kukhala chizindikiritso cha matenda ashuga kapena zovuta zake, komanso matenda ena owopsa omwe amafunika kuphatikizidwa. Kanemayo munkhaniyi akuwonetsa kuwopsa kwa khungu pakhungu.
Kodi ndimatenda amtundu uti amtundu wa odwala matenda ashuga?
Ndi matenda ashuga, khungu limasintha. Zimakhala zosasangalatsa komanso zowuma, zomwe zimatha kutsimikizika mosavuta ndi palpation. Pali kuchepa kwa elasticity ndi turgor, mukayang'aniridwa, mutha kuwona mawonekedwe a ziphuphu zakumaso, zakuda ndi mawanga.
Komanso, nthendayi yomwe imayambitsa matenda imakhumudwitsa kawirikawiri mafangayi a pakhungu komanso kuphatikizana ndi matenda a bacteria. Pali mitundu ingapo ya kusintha kwa matenda ashuga pakhungu:
- Matenda a pakhungu omwe adatulukira kudwala lokha. Njira zotere zimawonedwa chifukwa chakuwonongeka kwa gawo limodzi lamanjenje, mitsempha yamagazi, komanso kusintha kwa kagayidwe kachakudya. Gululi limaphatikizapo matenda ashuga a m'mimba, pemphigus, kukula kwa xentomatosis, lipoid necrobiosis, komanso mitundu yosiyanasiyana ya totupa.
- Ma pathologies a pakhungu omwe amatuluka chifukwa chophatikizidwa ndi kachilombo koyambitsa bakiteriya ndi fungus motsutsana ndi maziko a "matenda okoma".
- Maonekedwe a dermatoses ya mankhwala opezeka ndimankhwala osokoneza bongo pochiza matenda. Izi zimaphatikizira kukula kwa urticaria, toxidermia.
Mawonekedwe a kuzizira mu shuga mellitus ndi chikhalidwe chake zitha kuwerengeka kuchokera pa chithunzichi.
Zoyambitsa zotupa
Mkhalidwe wamatumbo umakula pazifukwa zingapo. Yoyamba ndikuwonongeka kwa mtima kwa mic- ndi macroscopic. Poyerekeza ndi hyperglycemia wosasintha, kusintha kwa ma scellotic mu capillaries ndi arterioles a thupi la wodwalayo kumawonekera. Khungu komanso minofu yolowerera, monga madera ena amthupi, imasiya kulandira chakudya chokwanira, kayendedwe ka magazi kamasintha. Choyamba, khungu limakhala louma, kuyabwa ndi kubowola kumachitika, kenako mawanga ndi zotupa zimatuluka.
Chifukwa chachiwiri ndi kachilombo kakang'ono. Mphamvu zoteteza thupi la munthu wodwala matenda ashuga zimafooka kwambiri, zomwe zimakwiyitsa anthu ambiri pakhungu ndi tizilombo tambiri. Bacteria ndi bowa amatha kupanga zinthu zapoizoni zomwe zimagwira kwanuko ndikupangitsa kusintha kwa khungu.
Chifukwa chachitatu ndi kusagwira bwino ntchito kwamkati. Mothandizidwa ndi mtima, mitsempha yamagazi, impso ndi ubongo, chiwindi chimavutika. Ili ndiye thupi lomwe limasintha thupi. Kuphwanya ntchito zake, totupa ndi madera ena oopsa zimawonekera pathupi.
Diabetesic lipoid necrobiosis
Ichi ndi chimodzi mwazovuta za matenda ashuga, pomwe azimayi amavutika kwambiri (pafupifupi katatu). Monga lamulo, matenda am'mimba amayamba kukula m'zaka khumi. Zimadziwika ndi chakuti pamiyendo, mikono, thunthu, maliseche, madera ofiira kwambiri amawonekera. Amatha kukhala ochepa (mwa mawonekedwe a zidzolo) kapena akulu (ofanana ndi mabala otupa, zilonda).
Pambuyo pake, khungu pakhungu la pathology limakhala louma, kusintha mtundu wake. Gawo lapakati m'dera lomwe lakhudzidwalo limakhala lachikasu, ndikuzungulira madera ofiira. Ngati vutoli lanyalanyazidwa kwa nthawi yayitali, palibe chithandizo chokwanira, matenda oyambitsidwa ndi bakiteriya angachitike. Pambuyo pochiritsa, mawanga amdima ndi zipsera amakhalabe.
Furunculosis
Chithupsa amatchedwa madera a kutupa kwa tsitsi komanso tsitsi la sebaceous, mawonekedwe ake amayamba chifukwa cha staphylococci. Zithupsa zimakhala ndi izi:
- mawonekedwe ofanana
- mkati muli ndodo yoyenga,
- ozunguliridwa ndi madera a hyperemia ndi kutupa,
- atatha masiku 4-8 atsegulidwa, ndikuwonetsa zomwe zidapangidwira kunja.
- Chira, kusiya chilonda chochepa,
- ikhoza kukhala imodzi kapena m'magulu.
Ndi matenda a shuga, amatuluka motsutsana ndi maziko ophatikizika a kufooka kwa chitetezo chokwanira komanso kulowerera kwa microflora yodutsamo mwa kudukaduka kochepa, abrasions, ming'alu. Chifukwa cha kagayidwe kachakudya kagayidwe kachakudya, wodwala matenda ashuga sangathe kupanga kuchuluka kwa mapuloteni omwe angatenge nawo mapangidwe a antibodies. Izi zikufotokozera mkhalidwe wakukhwimira.
A shuga pemphigus
Pemphigus mu matenda osokoneza bongo a shuga amapezeka motsutsana ndi maziko a matenda amtundu wa 1. Izi ndichifukwa cha autoimmune chikhalidwe cha pathological mkhalidwe. Pali mitundu ingapo ya pemphigus, zomwe zimakambidwa pansipa.
Mtundu wowopsa kwambiri womwe umafuna nthawi yayitali, nthawi zina ngakhale chithandizo cha moyo wonse. Mankhwalawa amachitika mu Mlingo waukulu wa mankhwala a mahomoni, zingakhale zofunikira kugwiritsa ntchito ma immunosuppressants, komanso mankhwala othandizira chiwindi.
Vutoli limadziwika ndi kuti timachubu tating'onoting'ono timawoneka pakhungu ndi mucous membrane ya odwala matenda ashuga omwe ali ndi zomwe zitha kuwonekera pakhungu kapena kukhala ndi zosayera zamagazi. Pakapita kanthawi, mabuluni amatsegulidwa, zamadzi zotuluka zimatuluka. Ziphuphu zimapezeka pamalo a misozi.
Kuphatikiza pa zisonyezo zakomweko, zina zimatha kuchitika:
- • Hyperthermia,
- kufooka koopsa
- kuchepa kwa magwiridwe
- mawonekedwe a zilonda zapakhosi.
Nthawi zina, kachilombo koyambitsa matenda kamalumikizidwa, zomwe zikutanthauza kuti pamafunika kugwiritsa ntchito maantibayotiki.
Seborrheic
Amadziwika ndi kuwoneka kwa thovu yaying'ono. Pamwamba iwo amaphimbidwa ndi utoto wa chikasu kapena mtundu wa bulauni, womwe amafanana ndi mamba. Nthawi zambiri zimachitika pakhungu la nkhope, khungu, chifuwa, kumbuyo ndi mapewa. Ziphuphuzo zikachotsedwa, pamatuluka pang'onopang'ono.
Yokhala ngati masamba
Mtundu wachilendo wa pemphigus, womwe umadziwika ndi thovu komanso thovu. Mafuta awa atatsegulidwa, mawonekedwe akuwoneka kuti akuwonekera pamwamba. Omaliza amaphatikizana wina ndi mnzake, ndikupanga mabala akulu kwambiri. Chithandizo cha mitundu yonse ya pemphigus mu shuga sichimangofunika kugwiritsa ntchito mankhwala, komanso hemosorption, plasmapheresis, ndipo nthawi zina ngakhale kuthiridwa magazi.
Malangizo pochiza matenda a shuga
Choyamba, ndikofunikira kulabadira zomwe zimawonetsa shuga mwa wodwalayo, chifukwa ndi kuchepetsedwa kwake komwe kumatha kubwezeretsa zomwe zimayambitsa matendawa ndikuyambika kwa zovuta za matendawo zitha kupewedwa. Kuti muchite izi, gwiritsani ntchito:
- zakudya mankhwala
- zolimbitsa thupi zokwanira
- mankhwala (jakisoni wa insulin, kumwa mapiritsi ochepetsa shuga).
Kuthamanga kwa matenda ashuga kumafunikira chithandizo pamalopo. Mafuta omwe ali ndi maantibayotiki amagwiritsidwa ntchito pofuna kuthana ndi kachilomboka, mankhwala oletsa kutupa, mankhwala oletsa ululu m'thupi. Madokotala amakhazikitsanso mankhwala a ziwengo kuti athetse kuyimitsidwa, kutentha ndi kutupa, zomwe zimatha kukhala ndi khungu.
Kuchitira pa nthawi yake ndikutsatira malangizo a akatswiri kungakuthandizeni kuyimitsa kupitilira kwamatumbo ndikuthandizira kuchiritsidwa kwa totupa ndi mabala.
Gulu la zotupa pakhungu ndi zotupa odwala matenda ashuga
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Kusintha kulikonse pakhungu la munthu kumawonetsa mavuto amkati mthupi. Madokotala azowoneka ndi khungu chifukwa cha ma genermis nthawi zambiri amayambitsa matenda ndikutumiza wodwala kwa katswiri wina.
Matenda a shuga amakhalanso ndi mtundu wowonetsera kwakunja, womwe uyenera kukhala chizindikiro cholumikizana ndi othandizira kapena dotolo wa khungu. Zomwe zimayambitsa matenda a shuga m'thupi la munthu nthawi yayitali asanazindikire za matendawa kapena zomwe zikuthandizira kudwala, aliyense wophunzira ayenera kudziwa.
Gulu la mavuto amkhungu ozindikira matenda ashuga
Kutengera kuti shuga wambiri amakhala m'mitsempha yamagazi, mitsempha ndi ma capillaries atha kusintha pa malo oyamba. Njira ya kagayidwe kazakudya imasokonekera, zomwe zimayambitsa zolephera pakaperekedwe ka chakudya kuma cell cell. Khungu limataya kuchepa kwake, limakhala louma, kusenda.
Kusintha kotereku sikungachitike panthawi zosiyanasiyana za chitukuko cha matenda ashuga, chifukwa kulibe mtundu umodzi wamatendawa. Nthawi zina munthu sadziwa ngakhale vuto lakumakomoka, ndipo zotupa pakhungu zimapereka chizindikiro.
Ma pathologies onse okhala ndi khungu omwe amawonetsa kuti shuga akhoza kugawidwa m'magulu angapo:
- Ma harbinger a matendawa ndi kuyabwa kwa khungu m'malo osiyanasiyana a thupi, kulimbitsa khungu pakapazi, kuwoneka ming'alu, chikasu, kusintha kwa msomali wazala. Anthu ambiri amati mavutowa akuwonekera ndipo samathanso kuyamba kulandira chithandizo kapena akudzipangira okha. Dermatologist amatha kukayikira mtundu wachiwiri wa matenda ashuga, makamaka ngati wodwala ali ndi zizindikiro za kunenepa kwambiri. Matenda a fungus nthawi zambiri amakhala chizindikiro chachiwiri cha matenda ashuga, amayamba chifukwa chosinthika khungu.
- Mavuto omwe amayamba chifukwa cha matenda a shuga 1 ndi mtundu wa 2 akamachira sichigwiritsidwa ntchito moyenera. Amatchedwa pulayimale, chifukwa adayamba chifukwa cha kusintha kwa matenda ashuga m'mitsempha yamagazi ndi kusokonekera kwa metabolic m'thupi.
- Thupi lawo siligwirizana - zotupa kapena redness zimachitika chifukwa cha mankhwala omwe akupitilira. Mankhwala ambiri ochepetsa glucose ali ndi zotsatirapo zake. Mlingo wolakwika wa insulin amathanso kuyambitsa ziwengo.
Khungu lowuma
Choyamba, shuga wambiri m'magazi am'magazi amathandizira impso ndi madzi. Mu odwala matenda ashuga, kukodza pafupipafupi kumawonedwa, thupi limayesa kuchotsa glucose owonjezera ngati sanatengeredwe ndi maselo.
Kutulutsa mkodzo kwambiri kumachepetsa milingo yamadzi. Kuthetsa madzi kumakwiyitsa khungu, khungu la sebaceous ndi thukuta limasokonekera. Kuuma kumayambitsa kuyabwa, komwe kungayambitse kuvutika kwa khungu. Khungu kuchokera pakhungu limalowa mosavuta mkati, momwe ma virus amayambira machitidwe a moyo wawo.
Makamaka chisamaliro chikuyenera kuperekedwa kuukhondo wa chapamwamba komanso cham'munsi, kuti matenda asalowe pansi pakhungu.
Khungu lowuma la shuga limatha kuchepetsedwa ndikuwonjezera chinyezi. Muyenera kumamwa madzi oyera nthawi zonse ndikuwongolera kuchuluka kwa shuga ndi zakudya kapena mankhwala.
Kutentha kwamapazi
Akatswiri azakhungu amatcha vutoli "hyperkeratosis." Chimanga chambiri chimapezeka kumapazi, komwe pakapita nthawi chimatha kukhala zilonda zotseguka ndikuthandizanso kumatenda a miyendo.
Kukula kwa chimanga kumathandizidwa ndi kuvala nsapato zosasangalatsa, zolimba. Chimanga chimakanikizira ku khungu ndipo chimayambitsa zotupa m'mimba. Mtsogolomo, zilonda zimayamba, khungu limayamba kunyowa kapena kumatulutsa chidindo cholimba.
Ming'alu mawonekedwe pazidendene zomwe ndizovuta kuzimata. Ndipo kusweka kulikonse ndi malo omwe mabakiteriya amatupa, kutupa, kuwonjezera.
Vuto la ma calluses ndilovuta kuyenda, chifukwa kulowa mu phazi kumatha kupweteka ngakhale m'masokisi ofewa.
Zilonda zam'mimba za anthu odwala matenda ashuga ndizotsatira zosasamala phazi. Kwa odwala matenda ashuga, amatha kuwopseza kukula kwa sepsis, gangrene ndi kuduladula miyendo.
Matenda a kuyamwa
Kuyabwa kumatha kuoneka mosayembekezereka ndikupangitsa kuti pakhale redness. Kukwiya kwambiri kumachitika mu inguinal zone, m'makhola am'mimba, pakati pa matako, m'mapewa, mwa azimayi omwe ali m'mizere pansi pa chifuwa.
Chitha kukhala chizindikiro choyamba cha kuyambika kwa matenda ashuga, omwe munthuyo sakudziwa nkomwe. Kukula kwa matendawa sikukhudza kukula kwa kuyamwa.
Zimadziwika kuti chikhumbo chachikulu chofuna kukanda malo awa chimachitika ndi mtundu wofatsa kapena wamtundu wa matenda ashuga. Mukazindikira matenda ndi kuyamba kulandira chithandizo, kuyabwa ndi khungu pakhungu kumatha kutha zokha.
Zilonda zakale komanso zopatsirana
Mavuto oyamba a pakhungu la anthu odwala matenda ashuga amayenera kuwoneka ngati totupa yachiwiri. Amadzuka chifukwa cha kusasamala kwa wodwalayo kwa iyemwini. Kulephera kutsatira ukhondo ndi khungu la kuyamwa kapena mapangidwe osindikiza, ming'alu, kuyanika kumayambitsa kuchulukitsa kwa bowa kapena kulowa kwa ma virus m'malo omwe akhudzidwa.
Kwa anthu omwe ali ndi kunenepa kwambiri, ma candidiasis nthawi zambiri amapezeka - kachilombo koyambitsa matenda a khungu komwe kamakhala m'mbali mwa thupi. Choyamba, munthu amayamba kuyamwa kwambiri. Bakiteriya imakhala pamalo owonongeka, ming'alu ndi kukokoloka kwa nthaka zimapangidwa. Zilonda zakulitsa chinyezi, utoto wofiirira ndi mkombero woyera.
Pang'onopang'ono, zowunika mu mawonekedwe a thovu ndi ma pustule zimawonekera kuchokera ku cholinga chachikulu. Njirayi imatha kukhala yopanda malire, chifukwa akatsegulidwa, thovu limapanga kukokoloka kwatsopano. Matendawa amafunika kuwazindikira ndi kuchira msanga.
Gulu la anthu omwe amadalira insulin, kufunikira kwa thupi kwa jakisoni a mahoni kumakulanso.
Zotupa zoyipa
Anthu omwe akudwala matenda amtundu wa 2 komanso matenda amitundu iwiri amayenera kumwa mankhwala apadera m'miyoyo yawo yonse kuti athandizire shuga. Koma thupi lirilonse limayankha mosafunikira ku insulin kapena mankhwala ena. Kutupa kwa khungu kumatha kuwoneka m'malo osiyanasiyana pakhungu.
Vutoli limathetsedwa mosavuta kuposa kale. Ndikokwanira kusintha mlingo kapena kusankha mankhwala ena kuti muchepetse zotupa pakhungu ndi shuga.
Kupewera kwa zotupa za m'matumbo a shuga
Kusintha kwa khungu ku matenda a shuga ndi njira yachilengedwe yomwe thupi limagwirira ntchito kosakhazikika kwa kagayidwe kazinthu. Zowombana zimatha kukhala mwa ana komanso akulu.
Zolakwika zilizonse kapena redness ziyenera kuyesedwa ndi dermatologist kuti mankhwalawo akhale othandiza.
- Odwala matenda ashuga ayenera kuyang'anitsitsa ukhondo wa pakhungu, makamaka kumtunda, miyendo ndi kumbuyo. Pali zinthu zapadera zosamalira khungu zomwe zimakhala ndi pH yosaloledwa.
- Patsamba lamankhwala ogulitsa mankhwala mutha kugula zinthu zambiri zapadera, mafuta, mkaka wa zodzikongoletsera posamalira khungu lowuma la nkhope, manja ndi mapazi. Maimoni okhala ndi urea amapereka zabwino. Njira zaukhondo ndi hydration ziyenera kukhala tsiku ndi tsiku.
- Mapazi a odwala matenda ashuga ndi gawo lapadera lolalikirapo. Onetsetsani kuti mukuyendera orthopedist kuti mupeze gawo loyambirira la mapindikidwe am'munsi komanso kusankha nsapato zamtundu wa orthopedic kapena insoles. Zowonongeka zamitsempha yamagazi ndi mitsempha zimakhudza kwambiri kuperekedwa kwa chakudya kumiyendo. Ndi zaka, mavuto okhala ndi magazi m'miyendo amapezeka ngakhale mwa anthu athanzi. Anthu odwala matenda ashuga amakonda kwambiri mavuto ngati amenewa. Madokotala nthawi zonse amachenjeza odwala za chitukuko cha matenda ammimba a shuga.
- Zilonda zopakika ndi fungal khungu zimafuna kuonedwa ndi dermatologist. Pambuyo popita kuchipatala ndikuwonetsetsa, dokotala adzalemba mafuta ndi mapiritsi, ndipo kusintha kwa insulin kudzofunikira. Maantibayotiki akhoza kutumikiridwa.
- Kutuluka thukuta kwambiri ndikuphwanya kwa thermoregulation nthawi zambiri kumabadwa mwa anthu odwala matenda ashuga. Zotupa zosafunikira ndi mabakiteriya amatha kulowa m'makola. Kuchepetsa vutoli, talcum ufa kapena kirimu wina wapadera wokhala ndi zinc oxide amathandiza.
Dokotala wa endocrinologist kapena dermatologist angaperekenso malingaliro ena popewa zotupa ndi zotupa zina pakhungu m'matenda a shuga.
Chofunikira kuti muchepetse zovuta zilizonse motsutsana ndi shuga wamagazi ochulukirapo ndikuti mugwire ntchito kuti muchepetse chizindikiro kudzera muzakudya, mankhwala othandizira ndikudziyang'anira nokha.
Pomaliza
Maonekedwe owuma, zotupa, komanso kusintha zina pakhungu lomwe lili ndi matenda ashuga ndizachilendo ndipo kumatha kubweretsanso munthu mavuto ambiri. Osamawerengera redness kapena kuyabwa monga chinthu chosakhalitsa chomwe chidzangochitika chokha.
Ngakhale munthu wathanzi ayenera kumvetsera kuzizindikiro za thupi, zomwe zimatha kuzindikira kusintha kwakukulu kwamkati, mwachitsanzo, gawo loyambirira la matenda a shuga a 2.
Kugundika kwa matenda ashuga: zotupa pakhungu la thupi ndi miyendo
Aliyense amene ali ndi matenda ashuga ayenera kudziwa kuti pali zovuta zingapo za khungu zomwe zitha kuoneka nthawi yayikulu kwambiri. Mwambiri milandu, mavuto amkhungu amatha kuthetsedwa m'nthawi yochepa, koma chifukwa chake ndikofunikira kufunafuna chithandizo chamankhwala posachedwa ngati mawanga ayamba kuwoneka pamiyendo ndi thupi.
Kodi zotupa za khungu zimayambitsidwa ndi matenda ashuga?
Mankhwala amadziwa mavuto ambiri osiyanasiyana. Choyamba, ziyenera kudziwika kuti diabetesic scleroderma.
Mkhalidwe wofananawo umakula motsutsana ndi maziko a matenda osokoneza bongo ndipo amawonekera ndikukulira khungu kumbuyo ndi khosi kumbuyo, khungu limatha kusintha mtundu, mawanga amawoneka.
Chofunika kwambiri pa mankhwalawa ndichowongolera kwambiri m'thupi la wodwalayo m'magazi a wodwala. Malinga ndi zodzikongoletsera, kugwiritsa ntchito moisturizer kapena mafuta odzola pakhungu lakhudzidwa kungathandize. Izi zimafewetsa ndikuchotsa zosasangalatsa zomverera, zimatha kuchotsa madontho, komanso zotupa.
Vitiligo ndi mnzake wa matenda ashuga. Nthawi zambiri, dongosolo lotupa la khungu limachitika ndi mtundu woyamba wa matenda ashuga. Ndi vitiligo, maselo a khungu amataya khungu lawo lachilengedwe (lomwe limayang'anira khungu), zomwe zimapangitsa kuti pakhale mawanga oyera thupi, miyendo, nkhope, monga chithunzi.
Kwambiri, vitiligo chimakhudza m'mimba, pachifuwa, komanso kumaso (mawanga oyera amawoneka kuzungulira pakamwa, m'maso, kapena pamphuno). Pakadali pano, kuchiritsa matenda a vitiligo kumatanthauza kutenga ma steroid (mahomoni) komanso kugwiritsa ntchito ma micropigmentation (ma tattoos).
Awo omwe ali ndi vuto lodzikongoletsera ili ayenera kukhala nawo mu nduna yawo yamankhwala zonona zapadera zomwe zimateteza ku dzuwa. Mulingo wake woteteza ku ma radiation a ultraviolet uyenera kukhala osachepera 15. Ndi chifukwa cha izi komwe kumayaka malo osungunuka pakhungu sikudzaperekedwa, ndipo mawanga sangaoneke.
Zofooka za khungu zimayamba chifukwa cha insulin
Acantokeratoderma akuphatikizidwa m'gulu lino. Matenda amtunduwu amachititsa kuti khungu limakhala lakuda ndikuwonda m'malo ena a integument, makamaka m'malo a crease. Khungu limakhala lofiirira komanso limatchinjika, komanso kukwera kumapangika.
Nthawi zambiri, izi zimawoneka ngati nyambo ndipo zimapezeka pamalo a armpit, m'mphepete kapena pansi pa chifuwa. Nthawi zina, zala za munthu wodwala zimathanso kusintha.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Acanthokeratoderma ndiwotsogolera matenda ashuga ndipo tinganene kuti matenda amtundu wa khungu ndiye chisonyezo chake. Mankhwala amadziwa mitundu ingapo yofananira yomwe imakhala yolimbikitsa kwa acanthosis pakhungu. Tikulankhula za matenda otere:
- Itsenko-Cushing's syndrome,
- acromegaly.
Zofooka za pakhungu zimakhudzana ndi magazi osokoneza
Nthawi zambiri, atherosulinosis imatha kukhala chifukwa cha totupa. Matendawa amawonetsedwa ndi kuchepa kwamitsempha yamagazi chifukwa chakuthinima ndi kukhazikika kwa makoma, zomwe zimachitika chifukwa cha kutsekeka kwa zipsera, chifukwa chake pamakhala malo ena ndi zotupa pakhungu.
Ngakhale kuyanjana mwachindunji ndi atherosulinosis ndi mitsempha ya pericardial, matendawa amathanso kukhudza ngakhale omwe ali pansi pa khungu. Nthawi zina, amatha kumachepetsa ndipo salola kuti mpweya wabwino udutsemo. Zizindikiro mu nkhaniyi:
- kuthothoka tsitsi
- kupyola khungu, kunyezimira kwake,
- chimakwirira ozizira
- kukula ndi kusungunuka kwa misomali ya m'miyendo.
Zovuta zambiri zimatha kubweretsa matenda a shuga. Amadziwika ndi kusintha kwa mafuta a collagen ndi subcutaneous pamiyendo ndi thupi. Magawo apamwamba a khungu amasanduka ofiira komanso ochepa thupi. Zowonongeka zambiri zimapezeka pamapazi apansi. Matenda akapezeka, ndiye kuti madera omwe akhudzidwa ndi zilonda, mawanga adzalowa zilonda.
Nthawi zambiri, mawanga pakhungu amakhala opanda malire. Nthawi zina, kuyabwa ndi kuwawa kumatha kuyamba. Ngati chilonda sichikuvutitsanso, ndiye kuti chithandizo china sichinaperekedwe, ngakhale zili choncho, kufunsa dokotala sikupweteke.
Chowonetseranso china cha matenda omwe amapezeka m'magazi a anthu odwala matenda ashuga ndi matenda a shuga.
Zomwezi zimachitikanso chifukwa cha kusintha kwamitsempha yamagazi yopereka khungu ndi magazi. Zilonda zam'mimba ndizotupa kapena ozungulira. Amadziwika ndi khungu loonda ndipo amatha kukhala kutsogolo kwa mwendo. Ngakhale madontho siachilengedwe, amapweteka, amayambitsa mavuto. Izi sikufunanso kuchipatala mosiyana.
Odwala ambiri omwe ali ndi matenda ashuga amatha kudwala sclerodactyly. Ndi matendawa panthawi ya matenda ashuga, khungu pazala ndi zala zimakhazikika. Kuphatikiza apo, makulidwe amtundu wa manambala amatha kuchitika, komanso kuuma pakati pa phalanges.
Dokotala atha kukulemberani mankhwala apadera othandiza kuti magazi a shuga azikhala bwino. Kuti muchepetse vutoli, zodzoladzola zingapo zomwe cholinga chake ndi kufewetsa khungu lamanja zimatha kugwiritsidwa ntchito.
Rash xanthomatosis ndiwonso mnzake wa matenda ashuga. Kulephera kotere kwa khungu kumatha kukhala ndi shuga wosalamulira m'magazi a wodwala matenda ashuga. Pokana kwambiri ndi insulin, zingakhale zovuta kuchotsa mafuta m'magazi. Ngati kuchuluka kwa mafuta kumatsika pamlingo, ndiye kuti pamenepa, chiopsezo chokhala ndi pancreatitis chimawonjezeka kangapo.
Xanthomatosis imachitika pakhungu monga mawonekedwe a chikasu cha waxy. Amatha kupezeka m'malo otere a pakhungu:
- kumbuyo kwa manja
- pamapazi anga
- miyendo ikugwada,
- nkhope
- matako.
Izi amawayang'ana, imakhala yofiyira ndipo mwina atazunguliridwa ndi halo yofiyira. Chithandizo chimaphatikizapo kuwongolera lipids yamagazi. Vutoli likakwaniritsidwa, nthenga zachikasu ndi zotupa kuchokera pakhungu zimatuluka pakatha milungu ingapo. Kuphatikiza apo, mankhwala omwe amatha kuwongolera kuchuluka kwamafuta osiyanasiyana m'magazi angagwiritsidwe ntchito. Ndikofunikira kusiyanitsa mawanga ndi omwe ali ngati phazi la matenda ashuga oyambira.
Zilonda zina za pakhungu
Gawoli liyenera kukhala:
- zotupa
- zigawo
- matuza
- granulomas
- wodwala matenda ashuga.
Mafuta pazakudya, tizilombo, komanso mankhwala amatha kuwoneka ngati zotupa pakhungu m'njira zokhala ngati malezala kapena zolembera, nthawi zambiri zimakhala zotupa kwambiri. Kuphatikiza apo, zotupa zofananira khungu zimachitika m'malo omwe insulin imakonda kuperekedwa.
Pafupifupi mokwanira, odwala matenda ashuga amatha. Amakhala ofanana ndi matuza kuchokera kuwotcha. Ma vesicles oterewa amatha kupezeka pazala ndi zala zakumaso, manja kapena miyendo. Amatha kudutsa popanda kulowererapo kuchipatala, ndipo amakhala achilengedwe mwa odwala omwe ali ndi matenda a shuga. Mankhwala onse amakhala a shuga.
Kuwonetsa kotsiriza kwa matenda a shuga pakhungu kungakhale kofalitsidwa grularulan. Amakula mwachangu ndipo amawonetsedwa ndi gawo lofotokozedwera khungu kapena khungu. Zotupa zotere zimatha kutha makutu kapena zala, ndipo nthawi zina pamimba kapena miyendo.
Chotupa chake ndi chofiyira, chofiirira, kapena chofiirira. Njira yayitali kwambiri yolowera kuchipatala ndiyo kugwiritsidwa ntchito kwa mankhwala a steroid, monga hydrocartisone.
Thumba totupa ndi shuga: chithunzi cha urticaria ndi pemphigus
Maonekedwe a khungu lodwala matenda ashuga, zithunzi zomwe zimatha kuwoneka pa intaneti, ndi chizindikiro chodziwika bwino. Komabe, ndikuwoneka ngati totupa mwa munthu, munthu sangathe kulankhula za kukula kwa matenda, popeza zizindikiro zazikulu za matendawa zimayenera kupezeka nthawi zonse - kukodza pafupipafupi komanso kumva ludzu.
Ndikofunikira kwambiri kuwunika momwe khungu lanu limayendera, kuti mupeze mawanga kapena zotupa zokayikitsa, muyenera kulumikizana ndi dokotala. Kupatula apo, matenda ashuga ndi matenda opatsirana kwambiri, omwe ali ndi zizindikiro zambiri.
Chotupa cha khungu chimatha kuwoneka pachiyambi cha chitukuko cha matenda, komanso ndi kupitirira kwake. Zimatengera mikhalidwe ya munthu.