Chifukwa chiyani zidendene zimapweteka mu shuga

Kwa zaka zambiri, osavutika ndi ululu olumikizana mafupa.

Mutu wa Bungwe: “Mudzadabwitsidwa ndi momwe kumakhalira kosavuta kuchiritsa mafupa anu pakumwa ma ruble 147 tsiku lililonse.

Kuyimitsaku kumakhala ngati kugwedeza mwamphamvu. Mukuyenda kapena kuthamanga, miyendo imapanikizika kwambiri, ndipo gawo lake lambiri limagwera chidendene. Ndipo popeza pali mathero ambiri amitsempha, mitsempha yamagazi mmenemo, ndiye kuti muli ndi matenda ena kapena kuvulala chidendene kumatha kuchitika.

Zinthu zakunja

Pochizira mafupa, owerenga athu adagwiritsa ntchito bwino Artrade. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Amayi ambiri amakumana ndi mfundo yoti akamayenda, zidendene zimakhala zowawa kwambiri. Cholinga chake ndikuti atsikana amakonda nsapato zapamwamba (mitundu yambiri ya nsapato zazitali). Katundu wambiri pamapazi amawonjezeka, chifukwa chake, poyenda nthawi yayitali, kupweteka kuwombera kumachitika. Vutoli limakhalanso ngati mutasintha nsapato zanu kukhala nsapato za ballet, flip flops ndi nsapato zina mwachangu. Koma sikuti nsapato zosankhidwa bwino zokha zimatha kukhala zoyamba kupweteka m'miyendo.

Zidendene ndizowawa kwambiri ndikuyenda kwakanthawi, osati theka lokongola la anthu, komanso amuna. Chifukwa chake, vutoli silingatchedwe lachikazi.

Zosintha zomwe zimapangitsa munthu kupweteka chidendene:

• Chezani nthawi yayitali pamapazi anu (mwachitsanzo, ntchito yoyimirira).
• Kuchulukitsa katundu pa miyendo. Mwambiri, izi zimagwira ntchito kwa anthu omwe ayamba kuthamanga. Ngati pali ululu wofewa, womwe umadutsa mwachangu chidendene, ndikofunikira kuti musiye maphunziro anu kwakanthawi kapena muchepetse nthawi yothamanga. Ngati zilonda zimachitikanso, muyenera kusintha masewerawo.
• Kuchepetsa mafuta osaneneka.

Chifukwa chofala kwambiri chidendene chikapweteka, ngakhale ndikuyenda mopepuka, kuvulala kumakhalapo m'moyo watsiku ndi tsiku, pamasewera kapena kuntchito. Zomwe muyenera kulabadira:

• Chidendene chidendene. Wodwalayo akadandaula kwa dokotala yemwe akumupweteka kuti ali ndi ululu waukulu chidendene, ndiye kuti, dokotala amakayikira chidendene. Kuzindikira kumatsimikiziridwa ndi edema ndi hematoma pamalo ophatikizika ndi minofu kuzungulira calcaneus. Kuphulika nthawi zambiri kumachitika ngati munthu atadumpha mopanda kuyenda pamapazi ake.
• Kuphulika kwa Tendon. Kuwonongeka kwa tendon kumapazi kumachitika pambuyo pakuwagunda mwachindunji ndi chinthu cholimba. Komanso, zomwe zimayambitsa zimatha kutchedwa kuti kufinya kwamiyendo ya m'miyendo. Zizindikiro zodziwikiratu ndizapweteka kwambiri, komanso kutupa m'dera lomwe Achilles tendon amapezeka. Phazi lenilenilo siligwada. Dokotala, pa palpation, amawona kuphwanya umphumphu wake.
• Kukhumudwa chidendene. Kusintha (kuyenda mbali iliyonse) ya calcaneus ndikuphwanyika. Makhalidwe ake: kutupa kwa phazi lonse, kukula kwa kupindika kwake, kukulira mozungulira chidendene, kuphulika. Palinso kusokonezeka kwa chidendene, kufinya kwa minofu, chifukwa komwe kayendedwe kamene amaphatikirako kumakhala kochepa kwambiri, ndipo cholumikizira cha subtalar sichitha kwathunthu.

Ngati dokotala amakayikira za matendawo, amapempha X-ray ya phazi. Wovulala, wodwala amatha kuponyedwa pamwendo kuti ayendetse phazi.

Ngati mukutsimikiza kuti m'masiku otsiriza mulibe kuvulala mwendo, kunalibe katundu wolemera kumapazi, koma chidendene chanu chimapweteka - mwina chifukwa cha izi chagona matendawa.Kuti mutsimikizire kapena kukaniratu ndikofunikira kuti mudziwe ngati muli ndi matenda, perekani magazi kuti awunike.

Munthu akakhala ndi ululu waukulu pachidendene poyenda, adokotala angakayikire:

• Matenda opatsirana. Ululu chidendene chimatha kukhala ndi chifuwa chachikulu cha mafupa, osteomyelitis, etc.
• Matenda achilengedwe. Gawoli limaphatikizapo ankylosing spondylitis, nyamakazi ndi gouty nyamakazi.
• Kutupa kochedwa kwa chiyambi chilichonse.
• Neoplasms.
• Neuropathy.

Kuti mudziwe chifukwa chake zidendene zimapweteka m'mawa, ndikofunikira kupereka magazi kuti awunikidwe, ngati kuli kotheka, madzimadzi a intraarticular. Dokotala amamulembera chithandizo pokhapokha atalandira zotsatira zake.

Mwa njira zogwiritsira ntchito, ma X-rays, electromyography, MRI ndi ultrasound amagwiritsidwa ntchito.

Zomwe zimayambitsa kupweteka chidendene mukamayenda

Anthu ambiri omwe amayamba kuda nkhawa ndi ululu wa chidendene akuyenda, akuyembekeza kuti vutoli lidzathetsedwa lokha. Ili ndi vuto lawo lalikulu. Chidendene, mosiyana ndi mbali zina za musculoskeletal system, chimakhala chothandiza nthawi zonse kuti katundu, munthu sangathe kupumulako. Nthawi zina ndizosatheka kuthetsa ululu wa chidendene popanda chithandizo chapadera.

Chidendene ndi ntchito yake

Monga phazi lonse, chidendene chimagwira ngati chododometsa poyenda kapena kuthamanga, chimapatsa munthu mwayi wokhala wowongoka. Chidendene cha munthu chimakhazikitsidwa ndi calcaneus, komwe ndi fupa lalikulu kwambiri kumapazi kwa phazi. Calcaneus imazunguliridwa ndi minofu yambiri yamafuta, ili ndi mawonekedwe achindunji komanso abwino pantchito zake.

Izi zimapangitsa kuthana ndi katundu wolemera chidendene. Mukamayenda kapena kuthamanga, mphamvu ya kugwedezako imakhudzidwa (zotsekedwa) ndi matupi a chidendene, omwe amateteza msana kuti usavulazidwe. Ngati umphumphu wa mawonekedwe a anatomical kapena mawonekedwe a calcaneus asintha, izi zimabweretsa kuphwanya mphamvu yake yolimba, yomwe imadzaza ndi kuwonongeka kwa mawonekedwe a msana ndi chingwe cha msana.

Calcaneus ndi gawo la spongy. Chifukwa cha kukula kwake kwakukulu, fupa ndilosalimba kuposa mafupa ena amiyendo (kapangidwe kawo ndi kakang'ono). Kuphatikiza apo, mitsempha yamagazi ndi mitsempha imatambalala minyewa yokha. Zinthu zonsezi zautomical zimapanga zofunikira kuti mugonjetse ndikukula kwa zowawa m'miyendo posenda.

Zoyipa

Pali lingaliro lolakwika pakati pa anthu kuti chidendene chimapweteka kokha pakapangidwa chidendene. Izi siziri choncho. Pakhoza kukhala zifukwa zingapo za chizindikiro ichi.

Zoyambitsa zazikulu:

• chomera chakumapazi,
• nyamakazi
• chidendene,
• tendonitis - kutukusira kwa tendons ya phazi,
• bursitis - kutukusira kwa matumba ophatikizika a phazi,
• matenda a mafupa
• kuvulala koopsa
• kuvala nsapato zosasangalatsa komanso zolakwika,
• amakhala nthawi yayitali
• Matenda a minyewa, omwe ali ndi etiology (chlamydia, chinzonono, campylobacteriosis, ndi zina).
• gout
• nyamakazi yamatsenga,
• mimbulu,
• polyneuropathy ("chidendene chowotcha"

Monga mukuwonera, pali zifukwa zambiri zopweteka chidendene mukamayenda. Chifukwa chake, ndikofunikira kufunsa katswiri wazizindikiro zotere. Zowonadi, aliyense payekhapayekha, mankhwalawo azisiyanasiyana kutengera zomwe zayambitsa. Pansipa ndizomwe zimayambitsa kupweteka chidendene.

Plantar Fasciitis

Awa ndi matenda omwe amadziwika ndi mawonekedwe kapena kukula kwa chidendene pakupweteka. Kukula kwa matenda am'mimba kumachitika chifukwa cha kutukusira kwa kutulutsa ndi kusokonekera mu fascia yokhayokha. Semela ya fasaria (aponeurosis) ndi minofu yolumikizana, yolimba kwambiri yomwe imalumikiza calcaneus ndi mafupa apazi phazi. Imakhala ndi chingwe ngati chingwe chothandizira kutsika kwa phazi, imagwira ntchito yolumikizana ndipo imatenga kupsinjika poyenda ndi kuthamanga.

Ndi kuchuluka kwambiri kwa phazi, aponeurosis siyimilira, ma microcracks ndi misozi imayamba. Thupi limayankha zoterezi mwa kuyambitsa zotupa, zomwe zimabweretsa kukula kwa chidendene poyenda.

Kuwonetsedwa kwakukulu kwa matendawa ndikumva kupweteka poyenda chidendene pakubala, makamaka mutagona.

Mfundo zachithandizo

• Kuchepetsa katundu pamapazi,
• nsapato zamadzimadzi
• kumwa mankhwala onunkhira ndi mankhwala odana ndi kutupa, kwanuko - mafuta odana ndi kutupa,
• kutikita minyewa
• zovuta zamankhwala olimbitsa thupi,
• kuvala ma orthose apadera usiku, mabatani omwe amakongoletsa phazi kumakona akudzanja.

Mphepo yamkuntho

Izi ndi zotsatira za asayansi omwe sanapatsidwe nthawi. Tizilombo ta aponeurosis yowonongeka, yomwe imachokera ku calcaneus, imawerengeka pakapita nthawi. Kukula kwapafumbi kumapangika, komwe kumatchedwa calcaneal spur.

Chizindikiro chachikulu cha chidendene cha m'mimba ndi kupweteka chidendene.

Matenda a mafupa

Matendawa ali ndi etiology yopatsirana ndipo amakwiya ndi tizilombo toyambitsa matenda monga yersinia, salmonella, shigella, campylobacter, clostridia, chlamydia, mycoplasma, etc.

Zizindikiro zake, kuwonjezera pa kupweteka chidendene, ndizizindikiro za kutupa - kutupa, kufupika, komanso kuwonjezeka kwa kutentha kwanuko.

Matendawa

Monga mukudziwa, matenda a mafupa ndi matenda achilengedwe. Ndi iyo, kuchuluka kwa mafupa onse amthupi, kuphatikiza calcaneus, kumachepa. Zotsatira zake, ululu wa chidendene umachitika. China chomwe chimapangitsa kupweteka chidendene ku mafupa am'mimba ndi katundu wambiri pamiyendo chifukwa cha kuwonongeka kwa msana, chifukwa chomwe katunduyo amagawidwa mosagwirizana.

• kumwa mankhwala omwe amachepetsa kuyambiranso mafupa komanso amalimbikitsa mafupa,
• mankhwala omwe ali ndi calcium ndi vitamini D.

Achilles tendonitis

Uku ndi kutupa kwa tendon yomwe imalumikiza minofu ya ng'ombe kupita ku calcaneus. Matendawa amatha kukayikiridwa ndi zizindikiro zotsatirazi. Zowawa zimachitika m'mphepete mwa tendon ndikufalikira chidendene, malo omwe akukhudzidwawo amasandulika ofiira ndikutupa, mutayimirira pamiyendo, makamaka masokosi, pamakhala kupweteka kokhazikika, kumachepetsa kuyenda kwa phazi.

Matenda a shuga

Kupweteka kwa chidendene cha shuga ndikotentha kapena kuwombera mwachilengedwe. Wodwalayo amasokonezeka, panthawi yolimbitsa thupi komanso panthawi yopuma. Nthawi zambiri zimayendera limodzi ndi kuzungulira kwa malekezero, kumverera kwa kugunda ndi kukwawa "zikwapu za tsekwe", khungu lowuma, khunyu, matenda am'mimba, zilonda zam'mimba.

Nthawi zambiri zimachitika kuti munthu sakudziwa kuti ali ndi matenda ashuga, koma ululu wa chidendene umatchulidwa kotero zimamupangitsa kuti afunefune kuchipatala.

Mfundo za mankhwalawa ndizobwezera anthu omwe ali ndi matenda ashuga komanso a chindoko.

Kupweteka kwa chidendene

Kwa anthu omwe ali ndi matenda ashuga, kuphwanya kayendedwe ka magazi m'magawo otsika kumakhala kakhalidwe, komwe kumapangitsa chidwi champhamvu cha matenda oyamba ndi mabakiteriya. Phazi lenilenilo limatha kupirira pamtunda waukulu poyenda ndi kuthamanga, koma ndimimba yomwe mumadutsa mitsempha yamagazi yomwe imakhala yovuta kwambiri komanso yololera kuvulala kosiyanasiyana. Kuvuta kwa mankhwalawa kumatanthauza kuti kuwonongeka kwa mitsempha kumachepetsa kumva kuwawa, osalola kuwona mabala ndi ming'alu pakhungu poyambira koyamba. Tambala titha kusokoneza usiku, khungu limakhala louma, lomwe limatsogolera kuti tipeze. Kuchepa kwakanthaŵi ndi kunenepa kwa malekezero ena amakhalanso mikhalidwe.Nthawi zambiri, mwendo wa wodwala matenda ashuga amawoneka wathanzi, koma kupweteka kwa zidendene kumavutitsa wodwalayo.

Kupweteka kwa chidendene cha odwala matenda ashuga: zimayambitsa, Zizindikiro ndi chithandizo

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a shuga ndi matenda oopsa omwe angayambitse matenda osalamulirika. Kuphatikiza apo, zovuta zambiri zimachitika popanda kuzindikiridwa, zomwe pambuyo pake zimatha ndi kulumala kapena ngakhale kufa.

Zotsatira zambiri za matenda ashuga ndizovuta pakhungu poyabwa ndi kuwuma, kutulutsa khungu, ndi zizindikiro zina. Vuto linanso lofala la matenda a glycemia ndi neuropathy, yomwe imayendera limodzi ndi kupweteka kwambiri chidendene.

Poyamba, izi sizingavutitse matenda ashuga, nthawi zina zimabweretsa chisangalalo. Koma pambuyo pake, Zizindikiro zosasangalatsa zimakhala zowonjezereka, zomwe zimapangitsa kuti wodwalayo akhale ndi moyo wabwino, zomwe zimamulepheretsa kuyenda ngakhale pang'ono.

Kapangidwe kake ka chidendene ndi zomwe zimayambitsa kupweteka

Monga phazi, chidendene chimakhala chosokoneza ndikamayendetsa ndikuyenda, chifukwa cha momwe munthu angayende molunjika. Phazi ndipamapangidwe akulu kwambiri am'mafupa - calcaneus, yomwe imazunguliridwa ndi minofu yamafuta. Fupa ili ndi mawonekedwe apadera komanso abwino omwe amalilola kuti igwire ntchito zomwe zapatsidwa.

Chifukwa chake, chidendene chimatha kupirira katundu wolemera, ndipo mphamvu yake mukamayendetsa kapena poyenda imakhudzidwa ndi minyewa yake yamafuta, potero popewa kuwonongeka kwa msana. Ngati mawonekedwe a chidendene kapena mawonekedwe a chidendene asintha, ndiye kuti ntchito zake zidzaphwanyidwa, zomwe zingapangitse kuwonongeka kwa chingwe cha msana ndi msana.

Calcaneus ili ndi mawonekedwe, ndipo kukula kwake kumapangitsa kuti ikhale yosalimba. Komanso, mitsempha ndi mitsempha yamagazi imadutsa calcaneus. Chifukwa chake, kupweteka chidendene mukamayenda kumatha kuchitika osati monga zovuta za shuga, komanso zowonongeka zazing'ono.

Zomwe zimayambitsa kusasangalala ndi chidendene ndizosiyanasiyana. Mothandizirana, amatha kugawidwa m'magulu angapo. Chifukwa chake, zinthu zomwe sizikugwirizana ndi matenda ndiz:

1. kunenepa pang'onopang'ono kapena kuchuluka kwambiri
2. kuchuluka kwa miyendo yayitali (kuvala nsapato zosavomerezeka, phazi)
3. nditaimirira
4. kuvutika kwa "pilo" yamafuta yomwe imayamba pakulimbitsa thupi kwambiri kapena chifukwa chochepetsa thupi mwadzidzidzi.

Zovuta zamiyendo zomwe zimayendetsedwa ndi kupweteka kwa chidendene zimaphatikizapo bursitis, plantar kapena plantar fasciitis, kuchepa kwa hallux valgus phazi, tendonitis ya Achilles tendon, sensory hereditary neuropathy. Zina zomwe zimaphatikizidwa ndi matendawa ndi calcaneus papysitis kapena matenda aku North, compression neuropathy ya plantar nerves kapena Morton neuralgia, tarsal canal syndrome ndi achillodynia.

Choyambitsa china cha kupweteka chidendene chili mwa kukhalapo kwa ovulala. Izi zitha kukhala kuphulika, kutambasula kapena kuphulika kwa tendon, kusweka ndi kuwonongeka kwa calcaneus.

Matenda ofala omwe amayambitsa kupweteka kwa mafupa ndi mafupa ndi awa:

• ming'alu m'miyendo,
• mimbulu,
• matenda
• Mafupa owononga m'mafupa amiyendo,
• gout
• matenda a metastatic
• chifuwa chachikulu cha mafupa
• nyamakazi
• osteomyelitis
• Ankylosing spondylitis.

Zomwe zimayambitsa kupweteka zidendene za shuga ndizosayenda bwino m'miyendo, zomwe zimapangitsa kuti pakhale chidwi komanso kukula kwa mabakiteriya komanso matenda oyamba ndi fungus.

Kuphatikiza apo, zonsezi zitha kuphatikizidwa ndi kuvulala kosiyanasiyana, chifukwa calcaneus imalowetsedwa ndimitsempha yamagazi, yathanzi komanso yovuta kwambiri.

Ululu ndi ming'alu zidendene za shuga

Mu odwala matenda ashuga, kuwonongeka kwa mitsempha kumachitika pa neuropathy, kumva kupweteka kumachepa. Chifukwa chake, ming'alu ndi mabala poyambira chitukuko zenizeni sizimabweretsa chisangalalo.

Koma usiku wodwalayo nthawi zina amasokonezedwa ndi kukokana, ndipo khungu kumiyendo limapindika ndi kuwuma. Kugundana ndi dzanzi m'm miyendo imakhalanso nthawi ndi nthawi.

Ndizofunikira kudziwa kuti mwendo umatha kukhala wathanzi mawonekedwe, koma kupweteka kowopsa m'mapazi nthawi zina kumasokoneza wodwalayo.

Kupezeka kwa ming'alu zidendene nthawi zambiri kumayankhula za zovuta za metabolic zomwe zimachitika mu shuga. Kuphatikiza apo, wodwalayo amatha kudwala matenda am'magazi a shuga, omwe mwina amatha kudula dzanja. Komabe, zizindikiro za kupsinjika koteroko sizimapangitsa munthu kudandaula, chifukwa amapezeka ngakhale mwa anthu athanzi:

Momwe mungapewere mavuto a chidendene mu shuga

Ngati zidendene zaphwanya zidendene, "keke yochiritsa" imathandiza kwambiri. Kuti mukonzekere chimodzimodzi, muyenera kusakaniza madzi a Aloe, anyezi, ufa ndi mafuta am'madzi.

Kusakaniza komwe kumayikidwa chidendene usiku, ndipo chala chofunda chimayikidwa pamwamba pa keke. Compress ya sutra iyenera kuchotsedwa, kenako ndikupukuta zidendene ndi decoction ya khungwa la oak, ndipo ikauma, ikani zonona zopatsa thanzi kwa iwo.

Komabe, kuti matenda ashuga asakhale ndi vuto la neuropathy ndi zovuta zina, ndikofunikira kuchitira osati chithandizo chamderalo, komanso chithandizo chamankhwala wamba. Kuti izi zitheke, ndikofunikira kutsatira mfundo zamankhwala othandizira odwala matenda ashuga komanso masewera olimbitsa thupi, ndipo koposa zonse, kuyang'anira kuchuluka kwa shuga mumtsinje wamagazi, osaloleza kupitilira kuchuluka kokhazikika.

Kuphatikiza apo, kuti kupweteka kwa chidendene ndi matenda a shuga kuchepetse, ndikofunikira kuti musaiwale za malamulo aukhondo. Chifukwa chake, tsiku lililonse muyenera kusambitsanso mapazi anu ndi madzi ofunda ndi sopo wamchere ndipo kenako muume kaye ndi mapazi anu, mukuyang'anira gawo lomwe lili pakati zala.

Komanso, muyenera kuyang'anitsitsa posankha nsapato. Odwala matenda ashuga ayenera kuvala nsapato zabwino, nsapato, kapena nsapato za anthu omwe ali ndi vuto la phazi.

Kuvala zoterera popanda chidendene sikulimbikitsidwa, chifukwa chokhacho chimazungulira pamene mukuyenda, ndikupanga katundu wina chidendene.

Zotsatira zake, khungu limakulitsidwa, mawonekedwe a ming'alu, ndi matenda osiyanasiyana ampazi amatha.

Popewa kuyambika kwa matenda a DS, aliyense wodwala matenda ashuga ayenera kudziwa momwe angasamalire miyendo yake. Pazifukwa zodzitetezera, khungu la miyendo liyenera kumanyowa nthawi zonse ndi mafuta apadera, zomwe zimalepheretsa kukula kwa ming'alu.

Chidendene chimayenera kutsukidwa ndi khungu lowonjezera ndipo chimanga chowoneka chidendene chikuyenera kuchotsedwa. Koma ndikofunikira kudziwa kuti ndi matenda ashuga ndizoletsedwa kupendekera miyendo yanu kuti muchepetse khungu kapena kugwiritsa ntchito mankhwala othandizira. Ndizosatheka kusiya zotsalira za kirimu wamafuta pakhungu la miyendo, chifukwa sing'anga yonyowa komanso yopanga michere imakhala yabwino pakukula kwa bakiteriya.

Pamaso pa spurs pazidendene, topical corticosteroids ndi kutikita minofu zimasonyezedwa. Njira yothandiziridwadi ndi physiotherapy ya matenda ashuga komanso muzochitika zapamwamba, opareshoni imachitidwa.

Komabe, kuti asavutike ndi kupweteka chidendene, odwala matenda ashuga ayenera kusintha kulemera kwawo, komwe kungathetse mavuto angapo nthawi imodzi. Choyamba, imalola kuti matenda a glycemia akhale ofanana, chachiwiri - kukonza kusinthika kwa minofu, ndipo chachitatu, kuyambitsa magazi mu miyendo.

Kanemayo munkhaniyi akukamba za chisamaliro cha kumapazi a matenda ashuga.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Chifukwa chiyani mabala ndi mabala ndizowopsa pamatendawa?

Matenda a shuga amaphatikizidwa ndi kuwonjezeka kwa shuga m'magazi, chifukwa cha izi, zotengera zazing'onoting'ono zimachepa. Pakapita nthawi, amatha kugwa kwathunthu, zomwe zimapangitsa kuti magazi asayende m'magawo otsika. Pankhaniyi, mabala amachiritso a nthawi yayitali amatha.Ngati chithandizo choyenera sichinakonzedwe mu nthawi yake kapena ngati sicholakwika, matendawa amatha kuyamba, zomwe zimapangitsa kuti azidulidwa.

Matenda a shuga nthawi zambiri amayambitsa zovuta monga matenda ashuga a m'mimba. Panthawi imeneyi, kuchiritsa kwa mabala komanso kudula kwamtunda kumawonedwa. Matendawa amayambitsa kusintha kwamatenda am'mitsempha, chifukwa chomwe malekezero ochepa amakhudzidwa kwambiri. M'malo owononga mitsempha, khungu limawuma, zomwe zikutanthauza kuti bala kapena kudula komwe kumakhudza malowa kumachira. Kuphatikiza apo, matenda omwe alowa mthupi amatha kusokoneza nkhaniyi, ndipo ming'alu pakhungu youma imapangitsa kuti njirayi ikhale yosavuta. Choyipa chachikulu ndikuti munthu yemwe ali ndi vuto la magazi osayenda amasiya kumva kupweteka, mwina sangazindikire kuti adatenthedwa kapena kukanda, ndipo chifukwa chake, nthawi yatayika ndipo palibe chomwe chingachitike.

Zilonda za purulent zomwe sizichiritsa kwa nthawi yayitali zimatha kuchitika pa thupi la odwala matenda ashuga, ngakhale chifukwa chovulala pang'ono kumapazi, kuwotcha, callus kapena zikande. Ngati kachilomboka kakufika pachilonda, imeneyi imakhala vuto lalikulu kwa wodwalayo. Chifukwa chake, muyenera kuyang'anira khungu lanu nthawi zonse ndikuyang'anitsitsa miyendo ndi malo ena ngati mabala kapena callus. Ngakhale zolakwika zazing'onoting'ono kwambiri zitachitika, muyenera kufunsa dokotala mwachangu.

Kuchiza mabala ndi mabala ndi matendawa

Chilonda chilichonse chikayamba kuwoneka pa thupi, ayenera kuchira mosachedwa ndi antiseptic. Nthawi yomweyo, wodwala yemwe ali ndi matenda ashuga amatha kukhala ndi malungo, malo omwe akhudzidwa amatha kupweteka, kutupa, kuzizira komanso kufinya mafinya. Zizindikiro zotere ziyenera kumuchenjeza munthuyo ndikuwalimbikitsa kuti aphatikize mafuta oletsa antiotic ndi ena othandizira kunja omwe angatulutse chinyezi pachilonda kuti athandizidwe ndi antiseptics. Ngati ndi kotheka, dokotala atha kukupatsani mapiritsi othandizira, komanso mavitamini. Pazizindikiro zoyambirira zakusintha, chithandizo chitha kupitilizidwa ndi mankhwala ena, makamaka, adotolo angalimbikitse kumeta bala lamafuta oyeretsa ndi mafuta ambiri, omwe amasintha zakudya zama minofu.

Pofuna kupewa komanso kuchiza matenda a shuga a m'magazi komanso ma neuropathies, tikulimbikitsidwa kumwa mankhwala a antioxidant nthawi zonse. Amatha kupewa kuwonongeka m'mitsempha yamagazi, kulimbitsa ndi kukonza mkhalidwe wamitsempha.

Pofuna kuti vutoli lisachitike komanso osalandira chithandizo chamankhwala, odwala matenda ashuga ayenera kutsatira malamulowa:

1. Osamayenda pansi kapena pansi wopanda miyendo.
2. Musamavale nsapato ndi jumper pakati pa zala zanu kuchilimwe (masileti).
3. Gulani ndikuyesera nsapato zatsopano masana, pomwe miyendo yatupa pang'ono.
4. Musanaveke nsapato zanu muziyang'ana bwino nsapato zanu za zinthu zakunja, kutulutsa timapepala, tinthu totsika pansi, ndi zina zambiri.
5. Nyengo iliyonse, gulani nsapato zingapo ndikuzisintha.
6. Tsiku lililonse, yang'anirani miyendo mosamala kuti mupeze mabala, zotupa, ming'alu m'miyendo ndi kutupa pakati pa zala. Kuti mukhale mosavuta, mutha kutenga kalirole. Ngati zowonongeka zikapezeka, funsani katswiri nthawi yomweyo.
7. Sambani mapazi tsiku lililonse pogwiritsa ntchito zinthu zomwe sizimawuma khungu. Ndizosatheka kupaka mapazi ndi mafuta odzola ndi njira zina ndikuphatikiza ndi mafuta am'mimbamo, chifukwa sangathe kumizidwa pakhungu.
8. Kusiya zizolowezi zoyipa ndikusiya ndudu, chifukwa zimayendetsa magazi kwambiri, motero zimasokoneza njira yobwezeretsanso khungu komanso kuchiritsa mabala oyeretsa.
9. Odwala omwe ali ndi matenda ashuga ayenera kugwiritsa ntchito mosamala choko chotenthetsera, poyatsira moto kapena chowongolera radiyo, chifukwa mutha kuyaka mwangozi.
10. Ndikofunikira kupita kukazizira ndi chisanu kokha mu nsapato zofunda ndikungokhala mumsewu mumtunda wopitilira mphindi 20.
11. Osamagona pakusamba kwa nthawi yayitali ndipo osasamba nthawi yayitali.Madzi amalimbikitsa kutupa ndi kumasula khungu, zomwe zikutanthauza chiopsezo chowonjezereka.
12. Musazichiritse mabala ndi mafinya ndi hydrogen peroxide, salicylic acid ndi ayodini. Chithandizo choterechi ndi chowopsa pakhungu la odwala matenda ashuga.
13. Palibe, musachotse chimanga, njerewere ndi chimanga pakhungu.
14. Ndi khungu lowuma lambiri, adotolo atha kukulemberani kugwiritsa ntchito mankhwala oopsa, momwe mulibe ma beta-blockers omwe angasokoneze ntchito yapakhungu.
15. Unikani miyendo ndi misomali pafupipafupi kuti mupeze matenda oyamba ndi mafinya ndi mabala amatsukidwe.
16. Musamavale zovala zamkati zomwe zimafinya khungu ndikuzipukuta ndi zingwe za mphira ndi seams.

Mukatsatira malangizowa, mwayi wokhala ndi zilonda kapena kuvulala wosachira bwino umachepetsedwa.

Diabetesic phazi matenda: Zizindikiro, Zizindikiro ndi chithandizo

Mapazi a matenda ashuga ndimayendo ndi miyendo yomwe imachitika chifukwa cha shuga wambiri. Matenda a shuga, omwe samayendetsedwa bwino, amasokoneza kuchepa kwa mitsempha (mitsempha), komanso amachepetsa magazi mu mitsempha ya miyendo. Izi zimawonjezera chiopsezo chovulala ndi matenda. Diabetesic phazi matenda - wodwala amakula zilonda, kuwonongeka mafupa ngakhale mafupa miyendo. Mabala amachiritsa bwino, tizilombo tating'onoting'ono timachulukana mwa iwo. Muzochitika zapamwamba, izi zimayambitsa gangrene ndi kudula. Otsatirawa akufotokozera zomwe zimayambitsa, Zizindikiro, kupewa komanso kuchiza matenda ashuga. Phunzirani zamomwe mungachiritsire zilonda zam'manja kunyumba ndi kuchipatala. Matenda am'mimba, kudula ndi kulumala kwamtsogolo ndizowopsa kwa matenda ashuga. Koma mutha kuziletsa ngati mutsatira malamulo osamalira mapazi.

• Zifukwa
• Zizindikiro
• Zizindikiro
• Zizindikiro
• Mapazi a Charcot (diabetesic osteoarthropathy)
• Kupewa
• Kusamalira Mapazi: Malangizo atsatanetsatane
• Momwe mungagule nsapato
• Ukhondo wa kumapazi
• Matenda a matenda ashuga
• Momwe mungachiritsire zilonda zapazi
• Mavalidwe Konse Kulumikizana ndi Cast
• Mankhwala - Maantibiotic
• Opaleshoni, kudulidwa
• Nsapato zamatsenga
• Mapeto

Ngati mwakhala mukudwala matenda ashuga kwa zaka zingapo, ndipo makamaka, ngati mwakhala mukuulilamulira bwino nthawi yonseyi, ndiye kuti pali chiwopsezo chachikulu cha kuwonongeka kwa mwendo wanu. Monga mukudziwa, mabala ndi kuvulala kulikonse kwa odwala matenda ashuga sikuchira. Ngakhale zowonongeka zazing'ono zimatha kukula, kuyamba kukula, ndipo phazi likufunika kuduladula. Izi ndi zomwe zimachitika. Kuti mupewe izi, phunzirani ndikutsatira mosamala malamulo osamalira mapazi, omwe alembedwa pansipa. Ngati miyendo yanu yapweteka chifukwa cha mitsempha, werengani nkhani yakuti "Mapazi akumva kupweteka matenda ashuga - momwe angathandizire." Otsatirawa akufotokozera zoyenera kuchita ngati zomverera m'miyendo zili, mmalo mwake, zimatsitsidwa. Izi zimachitika pafupipafupi. Munthu wodwala matenda ashuga samva kupweteka m'miyendo, kusintha kwa kutentha, kulemera, kudula, matuza, nsapato, kugwera nsapato, zina. Munthu atha kukhala ndi vuto ili osavutikira, kenako mwadzidzidzi zimapezeka kuti mwendo wayamba kuvunda ndipo muyenera kugona pansi patebulo kupita kwa asing'anga. Tsatirani malangizo omwe ali pansipa kuti mukhale ndi mwayi woyenda nokha.

Chiwerengero cha odwala matenda a shuga omwe ali ndi vuto la miyendo chikuchulukirachulukira nthawi zonse chifukwa kuchuluka kwa matenda amtundu wa 2 kukuwonjezereka. Pa gawo la Russian Federation ndi mayiko a CIS, maofesi apadera oposa 200 ogwira ntchito ya matenda ashuga m'magawo am'deralo. Mothandizidwa ndi njira zatsopano zamakono, madokotala amatha kupewetsa kuti azidulidwa.

Endocrinology Research Center ya Unduna wa Zaumoyo ku Russian Federation, Department of Diabetesic Phazist. Dm Ulyanova, nyumba 11(495) 500 00 90 Endocrinological Dispensary, Dipatimenti "ya Diabetes"st. Prechistenka, 37(495) 246-6573 Likulu la Moscow "Phazi la shuga"st. Ivan Susanin, 3(495) 905-1666 Clinic of Endocrinology MMA dzina lake I.M. Sechenova, nduna ya matenda ashugast. Pogodinskaya, 5(495) 248-3866 Chipatala cha Central Clinical cha Medical Center cha Ofesi ya Purezidenti wa Russia, Dipatimenti Yopanga Opanga Opaleshoni yokhala ndi "Diabetesic phazi"st. Marshal Tymoshenko, 15(495) 414-0300 Center zochizira yofunika m'munsi miyendo ischemiaDera la Moscow, Odintsovo, st. Marshala Biryuzova, 1(495) 599-72-41

Matenda a shuga a matenda ashuga amathandizidwa ndi dokotala wapadera wotchedwa podiatrist. Osasokoneza ndi dokotala wa ana.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Center for Opaleshoni ya Neuro-Ischemic Fomu la matenda a shuga a Syndromeic ndi Synologic Low Limb Ischemiast. Leo Tolstoy, d. 6-8, akumanga 38 - chipatala cha opaleshoni yamakutu(812) 91-7-91-91 Chipatala cha War Veteran, Diabetesic Phiri Lapamwambast. Narodnaya 21a+7-911-225-72-65 Malo Opaka Mtima. T. Chapamwamba ku Chipatala cha Clinical No. 122Chikhalidwe Ave., 4+7 (812) 962-92-91 Likulu la mzinda lopulumutsa manja mothandizidwa ndi St. Petersburg City Public Health Institution "City Hospital No. 14 ″st. Kosinova, d.19+7 (812) 786 76 76 Center matenda a shuga №2st. Leni Golikova, d. 29-4(812) 757-30-78 Center matenda a shuga №3st. Novocherkasskaya, d. 56, nyumba 1(812) 444-14-63 Center matenda a shuga City4Chitetezo cha Ave Obukhov, 261(812) 368-44-67 Malo Otsutsa a Matenda a Sitiroko GKDC No 1st. Siqueirosa 10-D(812) 296-35-06

Kuti mupeze akatswiri omwe ali pafupi nanu, lembani pamalo osaka "odwala matenda a shuga" mzinda wanu, dera la pakati "kapena" kapitala wa matenda ashuga mzinda wanu, likulu la dera ". Pambuyo pake, mudzawona nthawi yomweyo omwe ali mabungwe azachipatala aboma komanso zipatala zapadera.

Tiyeni tiwone zomwe zimayambitsa mavuto kumapazi. Mu odwala matenda ashuga, kufalikira kwa magazi mu ziwiya zam'miyendo nthawi zambiri kumasokonezedwa. Osalandira chakudya chokwanira, khungu pamiyendo limakhala pachiwopsezo kwambiri kuwonongeka, ndipo amachira pang'onopang'ono. Frost imakhudzanso khungu la munthu yemwe ali ndi matenda ashuga, ngakhale kuti anthu athanzi amalola kuti kuzizira kuzizire popanda mavuto.

Popeza matuza, kuwotcha ndi kupsinjika kwa odwala matenda ashuga sizipweteka, sangakhale ndi chidwi ndi mavuto awo ndi miyendo yawo mpaka chigulu chayamba.

Chowonetsera china cha matenda ashuga ndi chakuti khungu lakumiyendo limataya thukuta ndipo limakhala louma nthawi zonse. Khungu louma, monga mukudziwa, nthawi zambiri limasweka. Ming'alu pakhungu la zidendene zimatha kusanduka zilonda. Popeza zilonda zamtunduwu sizimapweteka, wodwala matenda ashuga satenga njira zochizira, ndipo njirayo imayamba kulowamo. Mtundu wina wa matenda a shuga a shuga ndi omwe umalepheretsa kugwira ntchito kwa minofu kumapazi. Kusagwirizana kwa minofu kumachitika, komwe kumatsogolera kukuwonongeka kwa mafupa a phazi. Kusintha kwamtunduwu kumaphatikiza zala zakakhosi kapena zala zakumaso, komanso khonde lalitali komanso phazi lopindika.

Ngati matenda ashuga amalepheretsa kuwona, ndiye kuti vuto la phazi limayamba. Chifukwa munthu samawona bwino komwe amasuntha poyenda. Komanso, chiopsezo cha phazi la matenda ashuga chimakulitsidwa ngati miyendo ya wodwala yatupa chifukwa cha mavuto a impso. Chifukwa edema imachulukitsa kuchuluka kwa mapazi. Nsapato zimakhala zochepetsedwa, kufinya ndikuvulaza mapazi poyenda.

Zoyenera kuchita Njira yayikulu yothetsera ndikubwezeretsa shuga m'magazi ndi zakudya zamagulu ochepa. Ichi ndi chida chofunikira pothana ndi matenda amtundu wa 2 komanso matenda amitundu iwiri. Sinthani shuga lanu - mawonetseredwe a matenda ashuga adzatha. Mudzawachotsa pakatha miyezi yochepa, pazovuta kwambiri - zaka 2-3. Werengani ndikutsatira njira yachiwiri yothandizira anthu odwala matenda ashuga (onani apa) kapena lembani chithandizo cha matenda ashuga 1.

• Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
• Mankhwala 2 a shuga: nkhani yatsatanetsatane
• Mapiritsi a Siofor ndi Glucofage
• Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

Kupweteka kosatha kungakhale chizindikiro cha kupindika, kupunduka kwamapazi, kuphwanya, kuchuluka kwambiri, nsapato zosayenera, kapena matenda.

Kuchepa kwa khungu ndi chizindikiro cha matenda, makamaka ngati khungu lozungulira chilondacho lasanduka lofiira. Komanso nsapato zosasankhidwa bwino kapena masokosi amatha kutikita khungu.

Kutupa mwendo ndi chizindikiro cha kutupa, matenda, nsapato zosankhidwa bwino, kulephera kwa mtima, kapena kufooka kwa magazi m'matumbo.

Kukula kwa kutentha pakhungu kumatanthauza matenda kapena kutupa komwe thupi limayesa kupondereza koma osatha kupirira chifukwa chitetezo cha mthupi chimafooka ndi matenda ashuga.

Kuwonongeka kulikonse pakhungu ndi kwakukulu chifukwa kachilomboka kitha kulowa.

Chimanga chimatanthawuza kuti nsapato sizisankhidwa moyenera, ndipo poyenda katundu pamapazi sikugawidwa bwino.

Matenda oyamba ndi misomali ndi khungu la mapazi, misomali yolowera - imatha kutsogolera matenda.

Mafinya amatuluka chilonda - chizindikiro cha matenda opatsirana.

Kuyenda movutikira kapena kuvuta kumatha kuwonetsa mavuto, kuphatikiza matenda, kapena kuvala nsapato.

Thupi kapena kuzizira kophatikizana ndi chilonda pamiyendo ndi chizindikiro cha matenda oopsa omwe amaopseza imfa kapena kudula dzanja

Kuchepa kwa khungu kumafalikira kuzungulira chilondacho - zomwe zikutanthauza kuti matendawa amalowa, thupi silingathe kulimbana nalo, ndipo likufunika kuthandizidwa.

Kuchuluka kwa miyendo ndi chizindikiro cha kuperewera kwa mitsempha ya mitsempha (diabetesic neuropathy).

Ululu wamendo ndi chizindikiro cha phazi la matenda ashuga, koma amathandizidwa mosiyana. Werengani nkhani "Zilonda zam'mimba zokhala ndi matenda ashuga: momwe mungachiritsire."

Zizindikiro zowonjezera zamavuto am'magazi:

• kupweteka m'miyendo, komwe kumakulirakulira poyenda ndikumapumula,
• Tsitsi limasiya kukula m'miyendo ndi kumapazi,
• Khungu la miyendo limayamba ndipo likhala louma.

• calluses
• matuza
• msomali
• chida bursitis
• mitengo yanthaka,
• kupindika kwa zala,
• Khungu louma ndi lodzaza
• matenda oyamba ndi khungu la kumapazi (epidermophytosis ya phazi),
• bowa wa msomali.

Chimanga chimatuluka pamene gawo lina la phazi likuponderezedwa kwambiri kapena kupukutira kena kake. Monga lamulo, chifukwa chake ndi nsapato zosankhidwa bwino. Ndikulimbikitsidwa kuti chimanga chizichotsa mwala ndi mwala wa pumice mukasamba. Dr. Bernstein zinthu: Osachotsa konse chimanga! Osamachita izi nokha ndipo musalole aliyense, kuphatikizapo dokotala. Chifukwa chilondacho sichikhala pomwepo ndikuchotsa chimanga, chomwe chimasintha kukhala chilonda.

Dr. Bernstein akuti kuchotsa chimanga ndichomwe chimayambitsa zilonda, zomwe zimayambitsa matenda. Chotsatira - gangrene ndi kuduladula ... M'malo mochotsa chimanga, konzani ndikuvala nsapato zabwino zamankhwala amphongo. Pambuyo pake, katundu pamapazi poyenda adzagawidwa molondola, ndipo chimanga chitha pang'onopang'ono.

Zilonda zikumenyetsa malo akhungu lodzaza ndi madzi. Chotupacho chimapangidwa chifukwa chakuti nsapato zimapaka malo omwewo phazi limodzi. Chotumphukira chimatha kuonekanso ngati muvala nsapato zopanda masokisi. Popewa matuza, nsapato ziyenera kukhala zazingwe, ndipo musapite popanda masokosi. Ngati pali chotupa pamwendo, wodwala matenda ashuga ayenera kuwona katswiri. Dokotala adzaika bandeji moyenera. Ngati matenda ayamba, dokotala amachotsa mafinya ku chithuza ndikuwapatsa mankhwala othandizira.

Misomali imakula ngati munthu sawadula bwino kapena kuvala nsapato zolimba kwambiri. Osamadula misomali mozungulira m'mphepete. Ndikofunika kuti musadule ndi lumo, koma muziwasanja ndi fayilo ya msomali. Wodwala matenda ashuga sangasiyidwe popanda msomali wovomerezeka; ayenera kukaonana ndi dokotala. Mwina adotolo akuganiza zochotsa mbali ina ya msomali kuti asathenso kulowa. Ichi ndi choyipa chocheperapo kuposa bala lomwe lidayambukiridwa, gangore ndi kuduladula. Ngati kachilombo kaoneka kale pachala, adokotala amupatseni mankhwala othandizira.

Bursitis ndi bulge pamphepete wakunja kwa chala chachikulu. Popita nthawi, imatha kudzaza ndi minofu ya mafupa komanso madzimadzi. Bursitis imapangidwa ngati chala chimasokera kumbali ya zala zina. Ili likhoza kukhala vuto lobadwa nalo.Zidendene zapamwamba komanso nsapato zazala zazitali zimakulanso chiopsezo chanu. Popewa bursitis kukula, dokotala angapangitse kugwiritsa ntchito nsapato zofewa. Ululu ndi kutupa zimatsitsidwa ndi mankhwala. Ngati bursitis imayambitsa kupweteka kwambiri pafupipafupi, ndiye kuti imachotsedwa modabwitsa. Popewa, Valani nsapato zomwe zikugwirizana ndi kukula kwanu.

Mitengo ya Plantar ndi zophukira zazing'ono za utoto. Nthawi zina amakhala ndi madontho akuda akuda. Mitengo yokhala ndi nthochi imayambitsa papillomavirus yaumunthu. Kachilomboka kamalowa kudzera pazilonda zochepa pakhungu la miyendo. Warts imatha kukhala yopweteka komanso kusokoneza kuyenda. Kuti muchepetse kufalikira, sambani m'manja nthawi iliyonse mukakhudza nsapato zanu. Mapazi ayenera kukhala oyera ndi owuma. Osayenda nsapato m'malo a anthu. Dokotala atha kukuwuzani kuti muchotse mankhwalawa ngati laser, nitrogen yamadzi, kapena opaleshoni yamankhwala opaleshoni yam'deralo.

Makina ngati khosi lolowera zala limachitika chifukwa chakuti kulumikizana kumodzi kumiyendo yayikulu kapena ziwiri zazingwe zosakhazikika. Izi ndichifukwa choti minyewa yakumapazi imafooka chifukwa cha matenda ashuga. Ngati pali vuto lakukutikirani zala, ndiye kuti mawonekedwe a mapaziwo amasintha. Pangakhale zovuta kuyenda. Sizovuta kupeza nsapato zoyenera. Choopsa chachikulu - mabala ndi zilonda zam'mimba zomwe zimatengedwa ndi matenda zimatha kuchitika. Chithandizo - mankhwala a orthopedic insoles mu nsapato, komanso mankhwala a ululu ndi kutupa. Woopsa, opareshoni.

Khungu lowuma ndi losweka ndilakhungu ndi kusweka. Mtundu wa pakhungu amasintha, umatha kuyaka. Pali zifukwa zingapo zoyambitsa vutoli - shuga wamagazi ambiri, kuwonongeka kwa mitsempha, komanso magazi osayenda bwino kupita m'miyendo. Ming'alu pakhungu ndi owopsa chifukwa kachilomboka kamakhala mwa iwo. Sungani chinyezi komanso khungu lanu. Mafuta owirikiza nthawi zonse ndi mafuta monga tafotokozera pansipa mu gawo la "Kusamalira Mapazi: Tsatanetsatane" Ngati simungathe kupirira ndipo khungu likulipira, pitani kuchipatala. Mutha kupatsidwa mankhwala oti mumupangiri mafuta ambiri. Lankhulani ndi dokotala wanu za mavitamini A ndi mavitamini a zinc. Osangomvera ndalamazi! Inde, chinthu chachikulu ndikuchepetsa shuga m'magazi ndikuwasunga bwino.

Matenda oyamba ndi khungu la kumapazi amawonetsedwa ndi zizindikiro - kuyabwa, kuyaka, redness, ming'alu pakhungu. Mafangayi amachulukana pamiyendo komanso pakati pa zala. Kuti mupewe, sungani mapazi anu owuma momwe mungathere. Osamavala nsapato zomwezo nthawi zonse. Khalani ndi nsapato zingapo kuti musinthe. Mukuvala imodzi, ina imalira. Usiku, nsapato zilibe nthawi kuti ziume. M'malo apagulu musamayende opanda nsapato, valani osalala. Masokisi amayenera kupangidwa ndi zinthu zachilengedwe - thonje kapena ubweya. Mankhwala amagulitsa mafuta ndipo amapopera polimbana ndi bowa pamiyendo. Ngati ndi kotheka, dotolo adzalembera kalata yamapiritsi amphamvu.

Nail fungus - njira zofananira zofananira ndi matenda oyamba ndi khungu la mapazi. Mafangayi amapangitsa kuti misomali ikhale yolimba, zimakhala zovuta kuzidula. Mtundu wa msomali ukusintha. Nthawi zina misomali yomwe imakhudzidwa ndi bowa imagwera. Dokotala atha kukulemberani mapiritsi, kuchotsera msomali kapena mwamankhwala. Fangasi ya msomali imathandizidwanso ndi laser, koma pamakhala kutsutsana pakati pa akatswiri pazomwe njirayi imathandizira bwino.

Zizindikiro

Mavuto amendo mu shuga angayambike chifukwa cha kuwonongeka kwa mitsempha, kutsekeka kwa mitsempha yamagazi yomwe imadyetsa miyendo, kapena onse. Izi zimatchedwa neuropathic, ischemic, kapena mawonekedwe osakanikirana a matenda ammimba a shuga. Dokotala amafufuza mtundu wa matendawa ndipo amafufuza kuti apereke mankhwala oyenera.

Zomwe adotolo amachita

Amaonetsetsa miyendo yakeDziwani zizindikiro za phazi la matenda ashuga (onani pamwambapa)X-ray kapena maginito oyang'aniranso a mapaziOnani kuwonongeka kwamafupaYesani kuti mumve kutentha, kutentha, kukhudza, ndi mawonekedwe a bondo.Kuti mudziwe momwe wodwalayo amawonera wodwala matenda ashugaAmayendera nsapato za WodwalaKuti muwunikire momwe nsapatoyo ilili yoyenera komanso kukula, ngakhale mutakhala mitembo yakunja, ngati siyokhayo siyimitsidwaImatumiza zomwe zili bala kuti ziwonetsedweDziwani mankhwala omwe angathandize ndi omwe sangathe.

• Ultrasound ya ziwiya za m'munsi,
• M-mode ultrasound dopplerography (USDG),
• muyeso wa kalozera wamchifuwa,
• transcutaneous oximetry.

Pali kafukufuku wina - radiopaque angiography. Wothandizira mosiyanitsa ndi wailesi amalowetsedwa m'magazi a wodwalayo, omwe "amawala" m'makoma a ziwiya. Phunziroli ndilothandiza kwambiri, koma lingayambitse mavuto kuchokera ku impso. Chifukwa chake, limayikidwa mosamala. Komabe, ngati opareshoni yakonzekera kubwezeretsa kutuluka kwa magazi m'matumbo, ndiye kuti ndizofunikira.

0Palibe zilonda pano, koma chiwopsezo chake ndi chachikulu - chimanga, kupunduka kwa phazi 1Zilonda zapamwamba 2Zilonda zakuya. Ma toni koma osati mafupa omwe angakhudzidwe. 3Zilonda zakuya zowonongeka ndi mafupa 4Gangrene pa zala 5Gulu lodzaza ndi miyendo

Kukula kwake kumatengera kutalika kwa matenda ashuga, momwe wodwalayo amathandizidwira, ngakhale atalimbikitsidwa kutsatira regimen. Matenda obwera ndi ofunikanso - atherosulinosis, matenda oopsa, zovuta za matenda a shuga mu impso ndi vuto la kuchepa kwa thupi. Chifukwa chake, pamene wodwala matenda ashuga apita kwa dokotala chifukwa cha zovuta za mwendo, kuyezetsa kumayenera kukhala kokwanira.

• Kuyesedwa kwa Matenda a shuga - Mndandanda Watsatanetsatane
• Miyezo ya shuga yamagazi - zomwe muyenera kulimbana nazo

Mapazi a Charcot (diabetesic osteoarthropathy)

Mapazi a Charcot (diabetesic osteoarthropathy) ndi vuto la matenda ashuga, chifukwa chomwe kulumikizana ndi mafinya ndi minofu yofewa ya phazi, mawonekedwe ake amasintha. Kumayambiriro, kulumikizana kumakhala kowuma ndikutupa. Pambuyo pake, minofu imafooka ndikusiya kulimbana ndi katunduyo. Chifukwa cha izi, pali mavuto ndi mafupa, phazi limakhala lopindika. Zonsezi zimachitika mwachangu.

Chomwe chimapangitsa kuti phazi la Charcot likhale ndi matenda ashuga a shuga. Mitsempha yowonongeka singathe kufalitsa chizindikiro kuchokera ku mwendo kupita ku ubongo. Chifukwa chake, munthu molakwika amaponda phazi lake poyenda. Kuwonongeka kwa mafupa ndi mafupa kumabweretsa kupweteka, koma odwala matenda ashuga samamva. Akupitilizabe kupondaponda mpaka phazi lake limaoneka bwino.

• Khungu la phazi limasanduka lofiira, kutentha pamutu pake kumatuluka,
• mwendo umatupa
• kupweteka kumamveka, koma nthawi zambiri kulibe chifukwa cha neuropathy.

Chithandizo cha matenda a shuga a shuga - mwendo umayikidwa mu bandeji yapadera yopangidwa ndi ma polymer. Izi zimapangitsa kuti zitheke kumasula madera omwe akhudzidwa ndi phazi. Zotheka kuti dokotala amuuze wodwalayo kuti ayende ndi ndodo kapena ngakhale akhale pa wheelchair. Nthawi zina mafupa opindika amawabwezeretsa ngati opareshoni.

Matenda A Kumpoto

Dzina lachiwiri ndi epiphysitis. Matendawa amapezeka makamaka mwa ana azaka 9 mpaka 14 (makamaka nthawi zambiri othamanga), chifukwa calcaneus sanatheretu.

Kuzindikira koteroko kumapangidwa ngati pali kusiyana pakati pa thupi la calcaneus ndi apophysis. Zizindikiro

• Zidendene zimapweteka poyenda, kuthamanga.
• Zimapweteka mwana kukwera zala zake.
• Pamalo opatukana, zotupa zimatha kuzindikira.
• Kusuntha kochepa mu minofu ya ng'ombe.
• Nthawi zina kutentha kumakwera.

Kupewa

Kupewa ndikukhazikitsa mosamala malamulo oyang'anira miyendo komanso kuyang'ana miyendo tsiku ndi tsiku. Malangizo posamalira phazi amaperekedwa pansipa. Tsopano tikambirana za momwe mungayang'anire mapazi a wodwala yemwe ali ndi matenda ashuga, zomwe muyenera kuyang'ana. Mapazi amayenera kuwunikidwa tsiku lililonse, kuyambira kumwamba, kenako kuchokera kumbali ya yekhayo. Onani khungu pakati pa zala zanu mosamala. Mungafunike kalilore wa izi. Ndikofunika kuti wina achite nawo mayeso kumapazi, osati odwala matenda ashuga okha.

Ntchito yoyeserera siyiyenera kuphonya ngati chimanga chatsopano, kutupa, kufinya, malo opweteka, zotupa za pakhungu, kapena kusintha kwina kulikonse. Maonekedwe, mtundu wake ndi kutentha kwa phazi kumatha kusintha. Kuzindikira kukhudza - kufooketsa kapena kukhazikika. Ngati mukuwona kuti zosinthazo zikuyipiratu - m'mawa wotsatira, funsani dokotala, osakoka. Pakhoza kukhala mafupa ang'onoang'ono ndi mafinya a mafupa, chifukwa chomwe phazi limatupa, mawonekedwe ake amasintha. Izi zimafunikira chisamaliro chofunikira kuchokera kwa dokotala.

Ngakhale zowonongeka zazing'ono zimatha kusintha kukhala zilonda zam'mimba, zomwe zimakhala zazitali komanso zovuta kuchiritsa. Pankhani ya matenda obwera ndi mabakiteriya pachilonda, khungu limakula, ndipo mwina kungodulidwa kumene kungapulumutse wodwalayo kuimfa.

Khungu la miyendo likakhala lakuda kapena mosinthasintha, tsitsi limasowa - izi zikutanthauza kuti magazi m'miyendo akuchepa. Choyipa chachikulu ndikupereka kwa okosijeni ndi zakudya m'maselo, ndizowonjezera kuwonongeka kwa khungu. Onani ngati khungu lakukhudza kukhudza likukula. Kuti muchite izi, mutha kugwiritsa, mwachitsanzo, nthenga. Onetsetsani kuti wodwala matenda ashuga amatha kumva kusiyana pakati pa madzi ofunda ndi ozizira atatsitsa phazi lawo m'madzi. Musanasambe, muyenera kuwona kutentha kwa madzi ndi dzanja. Mulimonsemo, thermometer yosamba iyenera kukhala ndikuigwiritsa ntchito.

Matenda a matenda ashuga a phokoso nthawi zambiri amakula chifukwa wodwala wavulala mwendo, koma samva. Cholinga cha kuyesedwa kwa tsiku ndi tsiku ndikuwonetsa kusintha komwe odwala matenda ashuga sanawone panthawi yomwe adachitika. Madokotala tsopano ali ndi zovala zamakono zopaka bwino. Izi ndi zida zomwe zimathandizira kuchiritsa mabala m'miyendo, kupewa matenda, zilonda zam'mimba komanso kudula. Komabe, muyenera kumuwona dokotala nthawi. Pamene gangrene yayamba kale, palibe njira ina kuposa kudulira.

Tsatirani malamulo osamalira phazi, yang'anirani phazi tsiku ndi tsiku ndikuyang'ana dokotala mukangoona kuti china chake chikukusokonekera. Njira zazikulu zopewera ndi kuchiza matenda ashuga ndikuchepetsa magazi kukhala abwinobwino, ndikuwasunga mokhazikika, monga mwa anthu athanzi. Izi zitha kuchitika ndi matenda a shuga amtundu wa 1 ndi mtundu wa 2 omwe amakhala ndi zakudya zotsika kwambiri za carb. Lamulirani kagayidwe kanu - ndipo ambiri mwa zizindikiro za matenda ashuga adzatha nthawi. Makamaka, chidwi cha miyendo chimabwezeretsedwa. Komanso kuwonongeka pakhungu pamiyendo kuchira. Koma, mwatsoka, ngati mitsempha ya magazi yatsekedwa, ndiye kuti mawonekedwe awo sangathe kubwezeretsedwanso. Komanso, ngati mutaduka kapena kufalikira mafupa amiyendo, ndiye kuti izi sizingathe.

Kusamalira Mapazi: Malangizo atsatanetsatane

Otsatirawa ndi malamulo osamalira odwala phazi la mtundu 1 ndi matenda ashuga 2. Ngati mphamvu miyendo itenthe, kutentha ndi kupsinjika kwambiri zimatayika, ndiye kuti ziyenera kuchitidwa makamaka mosamala. Iyi ndi njira yokhayo yopezeka pa tebulo la opareshoni kwa dokotala yemwe wachita kuduladula.

Nthawi yomweyo, ngati mungagwiritse ntchito pulogalamu ya 1 ya matenda a shuga kapena mtundu wachiwiri wa matenda a shuga ndikusungitsa shuga m'magazi anu komanso nthawi zonse, pakapita nthawi, mphamvu zamitsempha zimabwezeretseka. Pambuyo pake, chiwopsezo cha mavuto amiyendo amiyendo mu shuga amachepetsa mpaka zero. Kubwezeretsa chidwi chamanjenje kumatenga pafupifupi miyezi ingapo, ndipo nthawi zambiri zaka 1-2.

Siyani kusuta! Kusuta kumapangitsa magazi kulowa m'miyendo, motero, kumakulitsa mwayi womwe kudzicheka kuyenera kuchitika posachedwa.

Kuopsa kowotcha miyendo yanu ndikokwera, chifukwa chidwi chamapazi ndi kutentha sichitha. Sungani miyendo yanu kutali ndi malo otentha momwe mungathere. Izi sizitanthauza kuti ndizoyatsira moto, zotenthetsa, mabotolo amadzi otentha kapena bulangeti lamagetsi. Kusamba kapena kusamba, madzi amayenera kukhala ozizira, osatenthedwa.

Nthawi yozizira, valani masokosi akuda kwambiri ndi nsapato zazitali m'lifupi kuti isakuikirani mapazi anu masokosi. Ngakhale kufalikira kwa magazi m'mitsempha ya miyendo kungayang'anitsidwe ndi dotolo mothandizidwa ndi "transcutaneous oximetry" yopweteka. Ngati zaphwanyika - musakhale ozizira kwa nthawi yopitilira mphindi 20 motsatana. Osamayenda wopanda nsapato, ngakhale mumsewu, ngakhale m'nyumba.

Ngati mumasambitsa mapazi anu ndi mankhwala aliwonse, ndiye kuti muzingochita monga mwauzidwa ndi dokotala. Zinthu zambiri zomwe zimagulitsidwa pa mankhwala ogulitsa mankhwala ndizowopsa pakhungu la miyendo ya wodwala matenda ashuga. Mwachitsanzo, ayodini, hydrogen peroxide ndi salicylic acid. Osagwiritsa ntchito ayodini kapena hydrogen peroxide kuti muchepetse mabala amiyendo, ngakhale dokotala atakulangizani. Gulani ayodini wapadera mu mankhwala omwe samawotcha khungu, ndikuwasunga.

Ngati muli ndi khungu louma pamapazi anu, ndiye kuti mufunse wopanga zamtima kapena wamankhwala kuti asakupatseni beta-blockers okhathamira magazi kapena mavuto amtima. Chifukwa kumwa mankhwala kuchokera pagulu la beta-blocker kudzakulitsa kusintha kwa khungu la miyendo yanu. Momwe mungachiritsire matenda a mtima popanda mapiritsi a "mankhwala" owopsa

Ngati chimanga chawoneka m'miyendo yanu, ndiye musayese kuzichotsa! Osagwiritsa ntchito misomali, scalpel, kapena zinthu zina. Osadzichotsa nokha chimanga ndipo musalole aliyense kuti achite izi, kuphatikizaponso wa podiatrist. Khungu loyipa pama calluses ndikuteteza kwamiyendo kumapazi kuwonongeka chifukwa cha nsapato zosasankhidwa bwino. Mukachotsa chimanga, ndiye kuti chitetezo chimatha.

Kuchotsa chimanga mwa odwala matenda ashuga ndizomwe zimayambitsa zilonda zam'mimba, zomwe zimapangitsa kuti azidulidwa phazi. Ngati ma calluses ali ndi miyendo, muyenera kusinthira ku nsapato za orthopedic. Ngati nsapatozo zidasankhidwa molondola, ndiye kuti sipadzakhala zochulukitsa pamiyendo ya kumapazi, ndipo nthawi ikakwana, chimanga chidzazimiririka.

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi zala zoonda, ndiye muyenera kudziwa ngati bowa ndi amene amayambitsa izi. Zitapezeka kuti iyi ndi matenda oyamba ndi fungus, ndiye kuti dokotala adzafotokozereni chithandizo chomwe chikufunika kuthandizidwa ku misomali yomwe yakhudzidwa kawiri pa tsiku. Tsoka ilo, bowa nthawi zambiri amayenera kulandira chithandizo kwa miyezi 12 kapena kupitilira apo. Osati chithandizo chakuchipatala chokha chofunikira, komanso kumwa mapiritsi odana ndi fungus.

Ndikofunika kusindikiza pa chosindikizira malamulo osamalira phazi, omwe alembedwa pamwambapa, komanso gawo "Momwe mungasungire ukhondo wamapazi." Werengani werengani nkhaniyi nthawi ndi nthawi ndikuwonetsa am'banja lanu odwala matenda ashuga nawo. Ngati mumatsatira bwino mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa matenda ashuga, mutha kusunga shuga wanu wamagazi kukhala wokhazikika. Pakupita miyezi yochepa, chidwi cha mitsempha mumiyendo chimayamba kuchira pang'onopang'ono. Osati mochedwa zaka 2-3, adzachira kwathunthu. Chiwopsezo cha matenda ammagazi a shuga kapena matenda osokoneza bongo adzachepa pafupifupi zero.

Momwe mungagule nsapato

Gulani kapena kuyitanitsa nsapato zonse m'mawa osati masana, koma madzulo, chifukwa nthawi yamadzulo kukula kwakukulu kumapazi. Nsapato ziyenera kukhala zabwino mukamayesera kwa iwo koyamba. Siyenera kukhala yofunikira kuvala nsapato zatsopano. Nsapato zokhala ndi zala zakaloledwa siziyenera kuvalira. Mumafunikira nsapato zokhala ndi malo akulu komanso ofanana kumanzere. Nsapato zam'mimba ndizosankha bwino. Sizowoneka zokongola kwambiri, koma ndizabwino komanso zimawonjezera mwayi kuti mutha kupulumutsa miyendo yanu osawonongeka.

Osamavala nsapato ndi chingwe pakati pazala zanu. Chifukwa choti zingwe zimatha kukola khungu lanu. Zotupa zimatuluka, zomwe kenako zimasanduka chilonda. Osamavala nsapato zomwezo masiku angapo motsatana. Khalani ndi nsapato zingapo zabwino kusinthana tsiku lililonse. Nthawi iliyonse, musanavale nsapato, muziyang'ana kuchokera mkati.Sipayenera kukhala zinthu za gulu lachitatu - miyala ya kanjedza, etc.

Musamavale masokisi kapena masokosi okhala ndi zotanuka zolimba zomwe zimapondera miyendo ndikuchepetsa kuyenderera kwa magazi mu ziwiya. Osamavala masokosi okhala ndi mabowo kapena okongoletsedwa. Musamavale masokosi owonda kwambiri kapena zokhala ndi zingwe zolimba. Masokosi ovuta amatha kuwononga khungu la miyendo, kuyambitsa chithuza choyamba, kenako zilonda kenako mpaka kumavulala. Kusungika pa nsalu kumatha kutayikitsa kwambiri chifukwa cha kulumala.

Ukhondo wa kumapazi

Tsiku lililonse muyenera kupenda mapazi a wodwala yemwe ali ndi matenda ashuga, ngati panali zovulala kapena zizindikilo zatsopano kuti nsapato sizinali bwino. Onetsetsani kuti palibe matuza, chimanga, ming'alu, kufufuza kwa bowa kapena kuwonongeka kulikonse pakhungu la miyendo. Onaninso khungu pakati pa zala zanu. Yenderani zidendene ndi galasi. Ngati wodwala matenda ashuga sangathe kuchita izi payekha, ndiye kuti ayenera thandizo la munthu wina. Ngati mukuwona kuwonongeka kwa miyendo yanu, funsani dokotala wanu nthawi yomweyo.

Musayang'ane kutentha kwa madzi osamba ndi phazi lanu, koma ndi dzanja lanu lokha, bwino - gulani ndikugwiritsa ntchito thermometer yosamba. Kutentha kwamadzi mu bafa sikuyenera kupitilira kutentha kwa 33 digiri Celsius. Chifukwa ngakhale kutentha kwamadzi kwa madigiri 34 Celsius kumatha kuyambitsa kutentha ngati magazi m'mitsempha asokonekera.

Osamiza madzi m'madzi kwa nthawi yayitali kuposa mphindi 3-4. Kupanda kutero, khungu kumapazi limanyowa, ndipo pakhungu lowira, chiopsezo chowonongeka chikuwonjezeka. Kutsatira lamuloli, musakhale nthawi yayitali kwambiri m'bafa kapena shawa. Sambani mwachangu ndi kutuluka. Yesani kuti musanyowe. Ngati paliopseza kukulitsa phazi la matenda ashuga, ndiye kuti nyengo yamvula ndiyowopsa. Nsapato zazitali ndi mapazi - osavomerezeka.

Ngati mukufuna kusambira mu dziwe, ndiye musanakwere m'madzi, ikani mafuta amchere (petroleum jelly) pakhungu lanu kuti muteteze madzi. Mukamaliza kusambira, chotsani mafuta odzola m'miyendo yanu ndi thaulo.

Ngati khungu lanu lakhazikika pamiyendo yanu, liwikeni mafuta kamodzi pachaka, pafupipafupi. Izi zimachepetsa chiopsezo cha kusweka. Mafuta azonunkhira komanso mafuta abwino ndi oyenera.

Nthawi yozizira, muzivala masokosi ofunda opangidwa ndi zinthu zachilengedwe komanso nsapato zabwino zautali woyenera. Musamavale masokosi ndi zotanuka zolimba zomwe zimakakamiza mitsempha yamagazi ndikutsitsa magazi. Ngati mukuyenda mozungulira m'miyendo yanu, osangokhala ozizira kwa nthawi yopitilira mphindi 20 motsatana.

Dulani zoseweretsa pokhapokha ngati mukuwona bwino zomwe mukuchita. Ngati sichoncho, pemphani thandizo kunja kwa izi. Ngati mukukayikira kuti zala zanu zakhudzidwa ndi bowa, musonyezeni adokotala ndipo akupatseni mankhwala. Mapazi anu ayenera kukhala owuma komanso ofunda nthawi zonse, osawuma, osatupa kwambiri, komanso osathukuta.

Matenda a matenda ashuga

Njira yodwala odwala matenda ashuga ndi njira zingapo zingapo:

1. Kuphunzitsa wodwalayo maluso - kupenda mapazi tsiku ndi tsiku, kusintha mavalidwe ndi zina zofunika.
2. Kuwongolera shuga, kuthamanga kwa magazi ndi cholesterol yamagazi.
3. Chithandizo chowawa - kuvala, kuchotsa opaleshoni ya minofu yosagwira.
4. Maantibayotiki kuti athane ndi matenda.
5. Mavalidwe a Total Contact Cast, omwe amathandizanso madera omwe akhudzidwa ndi phazi kukakamizidwa kwambiri.
6. Kubwezeretsanso magazi m'miyendo, kuphatikizapo kudzera mu opaleshoni ya mtima.

Nthawi zambiri mwa odwala omwe ali ndi matenda ashuga, mphamvu ya mitsempha imasokonekera chifukwa chake miyendo sikuvulala, ngakhale zowonongeka. Nthawi yomweyo, kuchiza matenda osokoneza bongo ndi zovuta zambiri. Chifukwa chake, odwala ena amayesedwa kuti alole kuti matenda ayambe kudwala. Zotsatira zake, adzakhala pa tebulo la opareshoni kwa dokotala wa opaleshoni. Chifukwa ngati ma virus amafalikira momasuka mabala m'miyendo, ndiye kuti amayambitsa gangore. Kudula kungathe kupewedwa pokhapokha ngati chithandizo chayamba nthawi yake ndipo boma limalangidwa.

Momwe mungachiritsire zilonda zapazi

Zilonda zam'mapazi za odwala omwe ali ndi matenda osokoneza bongo nthawi zambiri sizimayambitsa kupweteka chifukwa cha neuropathy - kuchepa kwa mitsempha yodutsa. Koma izi sizabwino, koma vuto. Chifukwa kusowa kwa ululu kumapangitsa odwala kuyesedwa kuti asalandire. Anthu odwala matenda ashuga oterewa amangogwira mwendo utayamba kuwola. Yang'anirani chithandizo ndi kupewa kwa matenda ashuga kuti musadwale, kuti mutha kuyenda moyenera.

1. Kuwongolera shuga la magazi mosamala ndikofunikira, apo ayi sipapambana.
2. Pangakhale kofunikira kuchotsa minofu yosagwira. Kwa izi, sikuti ndimangopanga opaleshoni yokha, komanso njira zina (onani pansipa).
3. Zilondazo zimayenera kukhala zoyera ndikuziteteza ku zinthu zakunja.
4. Yenderani malo owonongeka tsiku ndi tsiku, sinthani bandeji, ndikutsatira malangizo ena a dokotala.
5. Yesetsani kuyenda pang'ono mpaka zilonda zapaziyenda.
6. Kuyenda osavala nsapato ndizoletsedwa.

Kuyambira mu 2000s, madotolo awoneka mu zida zamitundumitundu yosiyanasiyana yochizira mabala am'miyendo odwala matenda ashuga. Kuvala kumatha kuyamwa mafinya kuchokera pachilonda ndikukhala ndi mankhwala ophera tizilombo. Pogwiritsa ntchito kuvala, mutha kuyika ma enzyme ku zilonda zam'mimba zomwe zimachotsa zovuta zomwe sizingatheke, m'malo mozichotsa. Zovala zamakono ndi chida chothandiza chomwe chimafulumira kuchiritsa.

Amakhala kuti mabala amasiyidwa otseguka chifukwa mpweya umawathandiza kuchira. Madokotala tsopano akudziwa kuti mabala amachira msanga, ndipo chiopsezo chotenga kachilomboka ndichoperewera ngati mungawasungunuka ndikuwaphimba mabandeji. Kuyambira koyambirira kwa 2000s, chithandizo cha zilonda zam'miyendo chakhala bwino kwambiri. Palinso mabandeji amtundu wa chitho kapena filimu yowonekera, mmalo mwa mabandeji akale. Kusankha njira yodziwika bwino yamankhwala kumachitika ndi adokotala. Komabe, kufunikira kwa kayendetsedwe kabwino ka shuga m'magazi sikunathetsedwe.

Ngati wodwala sanalandiridwe kuchipatala koma atumizidwa kunyumba kuti akalandire, ndiye, kuwonjezera pazovala, maantibayotiki amatha kuperekedwa. Ayenera kutengedwa chimodzimodzi ndi momwe dokotala amafotokozera. Simungachepetse mankhwalawo kapena kuonjezera mwanjira iliyonse. Asanapereke mankhwala othandizira, dokotala amatha kutumiza zitsanzo za minofu kuti ziziunike kuti adziwe kuti ndi ma virus omwe amayambitsa matenda. Muyenera kupita kwa dokotala masiku onse ochepa kuti mukamayesedwe.

Zilonda pamapazi nthawi zambiri zimawonekera chifukwa chakuti katundu sawagawika bwino poyenda. Kuchiritsa wodwala kuchokera pachilonda, pangafunikire kuchepetsa kukakamiza kwa mbali ya phazi. Kuti muchite izi, gwiritsani mavalidwe a Total Contact Cast, omwe akufotokozedwa mwatsatanetsatane pansipa. Kuphatikiza pa bandeji, wodwalayo afunika kuyitanitsa nsapato zamatumbo. Mwina adokotala angakulimbikitseni kuti muzivala ndodo kwakanthawi kapena kuti musunthane pa wheelchair. Ngati izi zikuthandizira kupewa kudula, musakane.

Mavalidwe Konse Kulumikizana ndi Cast

Kuwonetsetsa kutsitsa kwa phazi lomwe lakhudzidwalo kuti lisapanikizike kwambiri ndi gawo lofunika kwambiri kuti machiritso amala athe. Ndipo makamaka, zochizira matenda ashuga neuroosteoarthropathy (mapazi a Charcot). Kafukufuku watsimikizira motsimikiza kuti chida chothandiza ndikugwiritsa ntchito kuvala kwamtundu wa Total Contact Cast.

Bandejiyi imachepetsa kuyenda kwa phazi ndi mwendo. Lero, ndi chida choyamba chambiri kuchepetsa zovuta: zilonda zamkati, kupunduka komanso kuwononga mafupa, komanso matenda am'mimba, omwe amachititsa kuti azidulidwa. Njira yonse yolumikizirana imatha kuyikidwa ndi endocrinologist kapena dokotala wa opaleshoni, kuchipatala kapena kuchipatala.

Total Contact Cast ndi bandeji yokhazikika pamtondo ndi phazi, yomwe imapangidwa ndi zida zamakono za polima. Mukamagwiritsa ntchito, gawo lomwe lakhudzidwa ndi matenda ashuga limatsitsidwa, chifukwa cha njira zotsatirazi:

1. Mpaka 30% ya katunduyo amawasamutsa kuchokera kumapazi kupita kumapazi.
2. Dera lamapazi othandizira limakulirakulira ndi 15-24%.Pankhaniyi, katundu pazigawo zosiyanasiyana amagawidwa mofanananira. Chifukwa chake, katundu wambiri pamitu yayikuluyo amatsitsidwa ndi 40-80%.
3. Kavalidwe kamateteza mabala kuti asasokonekera.
4. Kutupa kwamiyendo kumachepetsedwa.
5. Pambuyo povala kuti muteteze zowonjezereka komanso kulimba mtima kwa wodwala, Total Contact Cast amavala nsapato ya Cast, nsanja yokhala ndi ma clasps.

Poyenda mumsewu payokha nsapato zopangidwa ndi mafupa amagwiritsidwa ntchito. Potere, wodwalayo amalangizidwa kuti asamayende mtunda wautali 30% ya mtunda wake.

Zisonyezero pakugwiritsa ntchito polima polase:

• pachimake gawo la odwala matenda ashuga,
• nthawi yayitali ya osteoarthropathy, yomwe inali yovuta ndi kukula kwa chilonda cha kumapazi,
• kudzipereka kwapakati (pamiyendo yonse) ya osteoarthropathy ndi / kapena zilonda zam'mapazi.

Kutsutsana kotheratu pakugwiritsira ntchito Total Contact Cast ndi njira yolowerera yopatsirana mkati mwa minofu yaku phazi, komanso gangrene kapena sepsis.

kwambiri ischemia (kuzungulira kwa chisokonezo) cha malekezero, ngati chidendene cha brachial index mankhwala - maantibayotiki

Ngati bala lili ndi kachilomboka kapena ngati pali chiopsezo chotenga kachilombo ka matenda ashuga, mankhwala opatsirana othandizira amapatsidwa mankhwala. Kuchita bwino kwake sikumangotengera kusankha koyenera kwa maantibayotiki ndi njira yoyendetsera, komanso chithandizo cha opaleshoni ya bala. Mankhwalawa amayenera kukhala a panthawi yake komanso okwanira, makamaka ngati matendawa ndi oopsa komanso akuya kwambiri. Mankhwala othandizira phazi sayenera kuchedwetsa, koma ayenera kuchitika nthawi yomweyo pamene mankhwala a antibayotiki atchulidwa. Ziyenera kukhala zowoneka bwino, i.e., zimakhudza minofu yonse yovuta komanso yosagwira.

Ngati wodwala ali ndi zizindikirazi, ndiye kuti zikuwoneka kuti akuyenera kuthandizidwa ndi maantibayotiki, komanso mu Mlingo wokwanira, ndikuyamba mwachangu. Koma mu shuga mellitus, makamaka odwala okalamba, chitetezo cha mthupi chimasandulika kukhala hyporeactive, i.e., imayankha mofooka kumatenda. Zikatero, zizindikiro zomwe zatchulidwazi sizimawoneka, ndipo adokotala amayenera kupereka mankhwala, atayang'anitsitsa mawonekedwe awomwe akutenga matendawa.

Mabala owopsa komanso osakhazikika, zizindikiro za matenda ndizosiyana. Poyamba, ndi chotupa, kutupa, kupweteka, kutentha thupi, mafinya amasulidwa ku bala. Mabala osatha, Zizindikiro zopatsirana ndikuwoneka ngati ululu m'zilonda ndi minyewa yoyandikana nayo, fungo losasangalatsa, kuchuluka kwa zilondazo, kusintha kwa mtundu wa "kutumphuka", ndi kumasulidwa kwa mafinya kapena magazi kuchokera bala.

Mankhwalawa amathandizira odwala matenda a shuga kumapazi, kapena wodwala atha kupita nawo kunyumba mapiritsi. Njira yoyamba ndiyofunikira ngati matendawa ali oopsa, ndipo akuwopseza moyo wa wodwalayo kapena chitetezo cha dzanja. Ngati wodwala matenda ashuga apezeka ndi phlegmon, zilonda zam'mimba kwambiri, chonyowa kapena kuti sepsis, ndiye kuti mankhwala opha maantibayotiki amachitika kudzera m'mitsempha. Amaphatikizidwanso ndi opaleshoni yamadzimadzi a purulent foci, detoxization ndi miyeso yokhala ndi shuga m'magazi. Zonsezi zimachitika m'chipatala.

Ngati purulent foci sinali yakuya ndipo pakangokhala zisonyezo zakuthambo chabe zamatenda, ndiye kuti wodwalayo amatha kumwa maantibayotiki ngati mapiritsi osapita kuchipatala. Ndikofunika kudziwa kuti chifukwa cha autonomic neuropathy, kuyamwa kwa michere ndi mankhwala osokoneza bongo m'matumbo kumatha kusokoneza. Poterepa, ndikofunikira kusinthira ku kukonzekera kwa maantibayotiki.

(kutha kwa 2011)
Yang'anani! Chidziwitsochi ndi "chinyengo cha pepala" kwa madokotala okha! Odwala - musamamwe mankhwalawa. Funsani dokotala woyenera!

Pakamlomo (mapiritsi, pakamwa)MothandizidwaStaphylococci (Staphylococcus aureus)

• Clindamycin 300 mg katatu patsiku
• Rifampicin 300 mg katatu patsiku
• Flucloxacillin 500 mg 4 pa tsiku

• Clindamycin 150-600 mg 4 pa tsiku
• Flucloxacillin 500 mg 4 pa tsiku

Methicillin wosagwira Staphylococcus aureus (MRSA)

• Trimethoprim 200 mg kawiri pa tsiku
• Rifampicin 300 mg katatu patsiku
• Doxycycline 100 mg / tsiku
• Linezolid 600 mg 2 kawiri pa tsiku

• Vancomycin 1 g 2 pa tsiku
• Linezolid 600 mg 2 kawiri pa tsiku
• Daptomycin 300-600 mg 1 nthawi patsiku

Streptococcus

• Amoxicillin 500 mg katatu patsiku
• Clindamycin 300 mg katatu patsiku
• Flucloxacillin 500 mg 4 pa tsiku
• Erythromycin 500 mg katatu patsiku

• Amoxicillin 500 mg katatu patsiku
• Clindamycin 150-600 mg 4 pa tsiku

Enterococci

• Amoxicillin 500 mg katatu patsiku

• Amoxicillin 500 mg katatu patsiku

Anaerobes

• Metronidazole 250 mg 4 pa tsiku
• Clindamycin 300 mg katatu patsiku

• Metronidazole 500 mg katatu patsiku
• Clindamycin 150-600 mg 4 pa tsiku

Coliform (E. coli, Proteus, Klebsiella, Enterobacter)

• Ciprofloxacin 500 mg 2 kawiri pa tsiku
• Cefadroxil 1 g 2 pa tsiku
• Trimethoprim 200 mg kawiri pa tsiku

• Ciprofloxacin 200 mg kawiri pa tsiku
• Ceftazidime 1-2 g katatu pa tsiku
• Ceftriaxone 1-2 g / tsiku
• Tazobactam 4,5 ga katatu patsiku
• Trimethoprim 200 mg kawiri pa tsiku
• Meropenem 500 mg-1 g katatu patsiku
• Ertapenem 500 mg-1 g patsiku
• Ticarcillin clavulanate 3.2 g katatu pa tsiku

Genus Pseudomonas (P. aeruginosa)

• Ciprofloxacin 500 mg 2 kawiri pa tsiku

• Ceftazidime 1-2 g katatu pa tsiku
• Meropenem 500 mg-1 g katatu patsiku
• Ticarcillin clavulanate 3.2 g katatu pa tsiku

Nthawi zambiri, odwala matenda ashuga a m'mimba amaphatikizidwa ndi vuto laimpso. Zikatero, ngati mankhwala opha maantibayotiki kapena mankhwala ena ataperekedwa mu mulingo woyenera wowerengeka, kuvulaza kwakukulu kungachitike ku thanzi la wodwalayo. Chifukwa chiyani pali ngozi:

• ntchito ya impso itachepa, ndiye kuti mankhwalawo ndi ma metabolites ake akhoza kukhala ndi vuto lakukula mthupi.
• Odwala omwe ali ndi vuto laimpso, kulolera mavuto ambiri amachepetsa,
• maantibayotiki ena samawonetsa kwathunthu ngati mawonekedwe a impso afooka.

Popeza izi, ngati wodwala ali ndi zovuta za miyendo yake kuphatikizika ndi nephropathy, ndiye kuti dokotala ayenera kusintha payekha mankhwala osokoneza bongo

Opaleshoni, kudulidwa

Kuchita opaleshoni pachilonda ndikuchotsa khungu lakufa ndi mafinya. Ziyenera kuchitidwa kuti minofu yomwe yatha sikhala malo operekera mabakiteriya ovulala.

Kodi izi zimachitika bwanji:

1. Khungu limatsukidwa ndikuthira mankhwala.
2. Zimadziwika kuti vutoli lakuya bwanji komanso ngati pali chinthu china chachilendo chomwe chinagwera.
3. Dokotalayo amachotsa minofu yakufa ndi scalpel ndi lumo ndikuchita opaleshoni kenako ndikuyambitsa bala.

Pamapeto pa opaleshoniyo, chilondacho chimatha kuwoneka chachikulu komanso chakuya kuposa kale. Ikhale yapinki kapena yofiyira, yowoneka ngati nyama yatsopano.

Kuphatikiza pa opaleshoni, palinso njira zina zochizira chilonda:

• Ma Enzymes amatha kuyamwa omwe amasungunula minofu yosagwira.
• Ngakhale mphutsi zapadera zamtunduwu zimagwiritsidwa ntchito, zomwe zimangodya maselo akufa okha. Nthawi yomweyo, amabisala zinthu zomwe zimathandizira kuchiritsa zilonda.

Njira yokhala ndi mphutsi yadziwika kuyambira Nkhondo Yoyamba Yapadziko Lonse. Kuyambira 2000s, chidwi mwa iye chabwereranso.

Chithandizo chowawa sichimawonedwa ngati opareshoni. Opaleshoni yeniyeni imayamba kugwira ntchito ngati njira zina zonse zalephera. Kulongosola kwa zovuta za kudulidwa sikungathe kufotokozeredwa ndi nkhaniyi. Kuchiritsa pambuyo pochita opaleshoni kumatha kutenga milungu ingapo kapena miyezi, kutengera momwe wodwalayo amalamulirira matenda ake a shuga.

Nsapato zamatsenga

Nsapato zamatumbo ndiye njira yofunika kwambiri yopewera matenda ashuga a m'mimba. Ngati wodwala wavala nsapato zamatumbo zoyenera kwa iye, ndiye kuti izi zimachepetsa kukula kwa zilonda zapazi ndi katatu.

Chovala chachala ndi chidutswa cha zinthu zolimba zomwe zimalimbitsa masokosi a nsapato. Mukuvala nsapato zamankhwala pakakhala kuti palibe chovala chala cholimba. Pamwamba pa nsapatoyo muyenera kukhala ofewa, omasuka komanso otetezeka kwa zala zakumwa za matenda ashuga. Pasakhale zotchingira mkatikati mwa nsapato zamadzimadzi kuti pasakhale zopindika.

Yokhayo iyenera kukhala yolimba, i.e. yolimba, osati zotanuka.Chifukwa chake, kupanikizika komwe kumakhala kutsogolo kwa phazi lakutsogolo kumatsitsidwa, ndipo katundu pazigawo za phazi umagawidwa mofanananira. Zovala zamadzimadzi ziyenera kukhala zabwino komanso zomasuka kuchokera koyenera koyambirira.

Pambuyo powerenga nkhaniyi, mwaphunzira zonse zomwe mungafune zokhudza matenda ashuga othamanga. Zithunzi zambiri zaperekedwa zomwe zingakuthandizeni kuwunika momwe zinthu ziliri - momwe miyendo yanu imakhudzidwira komanso zomwe matendawo amafala. Matendawa odwala matenda ashuga ndi vuto lalikulu la matenda ashuga omwe angayambitse kudulidwa. Komabe, si odwala onse omwe ali ndi zilema. Tsatirani malingaliro omwe aperekedwa pamwambapa - ndikuwatsimikizira kuti musunge mwayi woti musunthire nokha " Chachikulu ndikuwonana ndi dokotala panthawi mukazindikira kuti miyendo yanu yawonongeka. Madokotala tsopano amatha kuvala bwino komanso zonunkhira mu zida zawo zomwe zimalimbana ndi matenda ndikupatsanso machiritso.

Osadalira mapiritsi ochulukitsa. Osamamwa maantiyamu nokha! Chachikulu ndichakuti wodwalayo amayamba kulandira chithandizo pa nthawi yake, ngakhale miyendo yake isanayambe kupweteka. Mutha kuyesa alpha lipoic acid kuti muchepetse matenda ashuga ndi kubwezeretsa chidwi m'miyendo. Koma chinthu chabwino chomwe mungachite ndikusinthira ku chakudya chochepa chamafuta kuti musinthe shuga lanu lamagazi. Werengani zambiri za mankhwalawa a matenda a shuga a mtundu wachiwiri komanso chithandizo cha matenda ashuga a mtundu woyamba. Chakudya chamafuta ochepa sichimachepetsa shuga ndipo chimathandiza kuti chizikhala chokwanira, monga momwe zimakhalira ndi anthu athanzi. Chifukwa cha izi, matenda a shuga am'mimba amachoka. Kuzindikira m'miyendo kumabwezeretsedwa kwathunthu. Iyi ndi njira yeniyeni yochira kuchokera ku phazi la matenda ashuga komanso zovuta zina.

Ming'alu zidendene za shuga ndi chithandizo

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.

Ming'alu zidendene zimatha kuwonetsa kusokonezeka kwakukulu kwa thupi, machitidwe a matenda ashuga. Zizindikiro monga khungu louma, mafinya, khungu ndi kuyabwa kwa khungu zimatha kupezeka mwa munthu aliyense. Koma mwa anthu omwe ali ndi matenda ashuga, kuwonetsa kotereku kumatha kudzetsa matenda monga phazi la matenda ashuga, omwe nthawi zambiri amachititsa kuti azidulidwa. Chifukwa chake, chithandizo chanthawi yake kwa dokotala ndi chithandizo ndikofunikira kwambiri.

Keke yotchedwa "keke yochiritsa", yomwe imakonzedwa motere, imathandizira bwino ndi zidendene zomwe zidasokonekera mu shuga.

M'pofunika kusakaniza zofanana madzi a anyezi, Aloe, kuwonjezera mafuta omwewo ndi mafuta. Keke yokonzedwera iyenera kuthiridwa chidendene usiku, kuyika sock pamwamba pake. M'mawa, mutachotsa kusakaniza kwa machiritso, ndikofunikira kupukuta zidendene ndi decoction ya khungwa la oak, lolani kuti liume ndi mafuta ndi zonona zabwino.

Nthawi zambiri, odwala matenda a shuga omwe ali ndi zizindikiro zotere ayenera kutsatira zakudya zomwe dokotala amalimbikitsa. Ndikofunikanso kuyendetsa shuga wamagazi, kutsatira zomwe zikufunika.

Makamaka chisamaliro chikuyenera kuperekedwa ku ukhondo. Makamaka, muyenera kusamba mapazi anu tsiku ndi tsiku m'madzi ofunda ndi sopo wopanda alkali, ndipo onetsetsani kuti mupukuta mapazi anu, makamaka pakati pa zala zanu.

Kusankha nsapato kuyeneranso kufikiridwa kwathunthu: kuvala nsapato zokhazokha zomwe zimagulitsidwa m'masitolo apadera a anthu omwe ali ndi ma phazi amtundu wa phazi. Kuvala zoterera popanda kubwerera m'mbuyo sikuloledwa, ngakhale kuli kosavuta. Kungowaza komwe kumayenda pakumayenda kumakulitsa katundu pazitsendene, zomwe zimapangitsa kuti khungu likhale lolimba komanso kupangidwe kwa ming'alu ndi matenda ena amiyendo.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa sangafikire anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Zizindikiro ndi chithandizo cha matenda ashuga, phazi kusamalira matenda ashuga

Matenda a shuga ndi matenda oopsa osachiritsika, omwe amakhala ndi zovuta zambiri.Zowopsa kwambiri za izo zimadziwika kuti ndi matenda ashuga othamanga (SDS). Malinga ndi World Health Organisation, matenda amtunduwu amapezeka mwa 15% ya odwala matenda a shuga a zaka 5 kapena kuposerapo.

Diabetesic phazi matenda - pathological kusintha mu mantha dongosolo, ochepa ndi capillary mabedi, zomwe zingayambitse mapangidwe a zilonda zam'mimba njira ndi gangrene.

Pafupifupi 85% ya milandu yotereyi ndi zilonda zam'mapazi za trophic, zotsalazo ndi ma abscesses, phlegmon, osteomyelitis, tendovaginitis ndi nyamakazi ya purulent. Izi zimaphatikizanso zowonongeka zopanda mafupa kwa mafupa amipweya - matenda ashuga a psychoarthropathy.

Zomwe zimayambitsa matenda a diabetesic phokoso

Mu matenda a shuga, kupangika kwa mahomoni - insulin, ntchito yomwe ikuthandizira shuga (shuga) kufikira maselo amthupi kuchokera m'magazi, kotero ikakhala yochepa, glucose amatuluka m'magazi, pamapeto pake akusokoneza kuyenda kwa magazi m'matumbo, zomwe zimakhudza ulusi wamitsempha. Ischemia (kusowa kwa magazi) kumabweretsa kuchiritsa kwamabala, ndipo kuwonongeka kwa mitsempha kumayambitsa kuchepa kwamphamvu.

Matendawa amathandizira kukulitsa zilonda zam'mimba, zomwe zimayamba kukhala pang'onopang'ono. Ming'alu iliyonse, abrasions imasanduka zilonda zotseguka, komanso zokhala ndi zilonda zobisika pansi pa mafinya ndi zigawo za keratinized.

Chomwe chimayamba mochedwa kuchiza ndikuduladula malekezero ndikuti wodwalayo kwanthawi yayitali sazindikira kusintha komwe kumachitika, chifukwa nthawi zambiri samayang'anira mapazi ake. Chifukwa cha kusowa kwa magazi m'miyendo ngakhale kuti kuchepa kwa chidwi, kupweteka kumadukiza komanso kuchekeka sikumamveka kwa wodwala ndipo ngakhale chilonda chitha kupezeka kwa nthawi yayitali.

Nthawi zambiri, phazi limawonongeka m'malo momwe katundu onse amafunikira poyenda, ming'alu imakhazikika pansi pa khungu, momwe matendawa amalowera, ndikupanga mawonekedwe abwino owoneka ngati bala loyera. Zilonda zoterezi zimatha kukhudza miyendo mpaka mafupa, tendon. Chifukwa chake, pamapeto pake, pakufunika kufunika kwa kudulidwa.

Mdziko lapansi, 70% ya zinthu zonse zomwe zimadulidwa zimayenderana ndi matenda ashuga, ndipo ndi chithandizo chanthawi ndi nthawi, pafupifupi 85% ikhoza kupewedwa. Masiku ano, pamene maofesi a Diabetesic Foot akugwira ntchito, kuchuluka kwa zomwe zadulidwa, chiwerengero chaimfa chatsika, ndipo chithandizo chothandizira ndi 65%. Komabe, chiwerengero chenicheni cha odwala omwe ali ndi matenda a shuga chimakhala chambiri kuposa katatu poyerekeza ndi ziwerengero, chifukwa ambiri sakayikira kuti akudwala.

Chifukwa chake, zomwe zimayambitsa kukula kwa matenda a diabetesic syndrome ndi:

• kuchepa kwamphamvu kwa miyendo (matenda ashuga a m'mimba)
• kuzungulira kwa matenda am'mitsempha komanso ma capillaries ang'onoang'ono (diabetesic micro- and macroangiopathy)
• kufooka kwa phazi (chifukwa cha motor neuropathy)
• khungu lowuma

Kuchepa kwa Mphamvu - Matenda a shuga a shuga a shuga

Choyambitsa chachikulu cha kuwonongeka kwa mitsempha ndizovuta zomwe zimachitika m'magazi a mitsempha yayikulu. Matenda oterewa pakokha samayambitsa necrosis ya minofu. Zilonda zimachitika pazifukwa zina, zosadziwika:

Zilonda zopangidwa pambuyo pa mikrossadin, mabala ndi mafinya, zimachiritsa kwambiri, kukhala ndi vuto. Kuvala nsapato zosasangalatsa komanso zolimba kumakulitsa kuwonongeka pakhungu. Zilonda zam'mimba, zomwe zimakula ndikukula, zimadutsa minofu ndi mafupa. Malinga ndi kafukufuku, kukula kwa zilonda za neuropathic mu 13% ya milandu kumabweretsa kukula kwambiri kwa stratum corneum ya epermermis (hyperkeratosis), mu 33% - kugwiritsa ntchito nsapato zosakwanira, 16% - chithandizo cha phazi ndi zinthu zakuthwa.

Kutaya kwa magazi - matenda ashuga macroangiopathy

Kuwonongeka kwa magazi m'mitsempha yamiyendo kumalumikizidwa ndi ma atherosulinotic plaque (onani momwe mungachepetse cholesterol popanda mankhwala). Atherossteosis, yomwe imapangitsa kuwonongeka kwa ziwiya zazikulu, zokhala ndi shuga ndizovuta ndipo zimakhala ndi zinthu zingapo.

• Zokhudza m'munsi mwendo (m'miyendo yam'munsi)
• kuwonongeka kwamitsempha ya miyendo yonse iwiri komanso m'malo angapo nthawi imodzi
• amayamba m'mbuyomu kuposa odwala omwe alibe matenda ashuga

Atherosulinosis wodwala yemwe ali ndi matenda osokoneza bongo angayambitse kufa kwa minofu ndi kupangika kwa zilonda zam'mimba zokha, popanda kupsinjika ndi makina. Okosijeni wosakwanira amalowa pakhungu ndi mbali zina za phazi (chifukwa kuphwanya kowopsa kwa magazi), chifukwa chake, khungu limamwalira. Ngati wodwalayo samatsata njira zopewera ngozi ndikuwonjezera khungu, ndiye kuti malo owonongeka akufalikira.

Zizindikiro zamankhwala ndizopweteka kumapazi kapena zilonda zam'mimba, kuuma ndi kuwonda kwa khungu, komwe kumagwiritsidwa ntchito kwambiri ndi microtrauma, makamaka zala. Malinga ndi kafukufuku, zida zoyambitsa zotupa za neuroischemic zili mu 39% ya zotupa zam'mapazi kumapazi, 14% chithandizo cha miyendo ndi zinthu zakuthwa, mu 14% - kuchotsa mosasamala kwa misomali yovomerezeka ndi dokotala.

Zotsatira zochititsa chidwi kwambiri za SDS ndikudula kwa dzanja (laling'ono - mkati mwa phazi ndi kukwera - pamlingo wam'munsi ndi ntchafu), komanso imfa ya wodwalayo chifukwa cha zovuta za purulent-necrotic process (mwachitsanzo, kuchokera ku sepsis). Chifukwa chake, aliyense yemwe ali ndi matenda ashuga ayenera kudziwa zizindikiro zoyambirira za phazi la matenda ashuga.

Zizindikiro zakuwonongeka kwa phazi la matenda ashuga

• Chizindikiro choyamba cha zovuta ndi kuchepa kwa chidwi:
  • kumanjenjemera poyamba
  • ndiye kutentha
  • ndiye zopweteka
  • komanso wamanyazi
• Komanso, maonekedwe a kutupa kwamiyendo ayenera kukhala atcheru (zoyambitsa)
• Kutsika kapena kuwonjezeka kwa kutentha kwa phazi, i.e. ozizira kwambiri kapena phazi lotentha, ndiye chizindikiro cha kusokonezeka kwa magazi kapena matenda
• Kuchulukitsa mwendo kutopa mukamayenda
• Ululu wamkamwa - popuma, usiku, kapena poyenda mtunda wina
• Kubowola, kuzizira, kuwotcha kumapazi ndi zina zomveka zachilendo
• Sinthani khungu la miyendo - mataso akhungu, ofiira kapena ofiira
• Kuchepetsa tsitsi
• Sinthani mawonekedwe ndi mtundu wa misomali, mikwingwirima pansi pa misomali - zizindikiro za matenda oyamba ndi fungus kapena kuvulala kwa msomali komwe kungayambitse necrosis
• Kuchiritsa kwakatalika kwa mabala, mabala, chimanga - m'malo mwa masabata 1-2 miyezi itatu, atachira mabala pali mawonekedwe amdima osasowa
• Zilonda pamapazi - osachiritsidwa kwa nthawi yayitali, atazunguliridwa ndi khungu lowonda, lowuma, nthawi zambiri lakuya

Sabata lililonse, mumayenera kuyang'ana miyendo, mutakhala pa mpando pakalilore pansi kuchokera pansi - zala ndi gawo lakumapazi limatha kuyang'aniridwa, kulabadira malo omwe ali pakati, kumva ndikumayang'ana zidendene komanso kokha ndi galasi. Ngati kusintha kwasintha, ming'alu, mabala, zilonda zam'mimba zopanda mafupa zikapezeka, muyenera kulumikizana ndi podiatrist (katswiri wamapazi).

Odwala omwe ali ndi matenda ashuga amayenera kupita kwa akatswiri osachepera kamodzi pachaka ndikuwunika madera awo otsika. Ngati masinthidwe apezeka, wothandizira poloat amakhazikitsa mankhwala othandizira pamapazi, angiologist amagwira ntchito pamatumbo amiyendo, ngati ma insoles apadera amafunikira, ndiye kuti angiosurgeon amafunikira, ndipo nsapato zapadera - orthopedist.

Kutengera kufalikira kwa chifukwa chimodzi kapena zingapo, matendawa amagawidwa m'mitundu ya neuropathic ndi neuroischemic.

Ululu mkati mwa chidendene: zimayambitsa, zotsatira zake ndi malingaliro othandizira

Anthu ambiri amayesa kupewetsa ululu, akumakhulupirira kuti ndi adani oipitsitsa a thupi. M'malo mwake, ululu umawonetsa kukhalapo kwa njira yotupa. Chidendene mkati chimapweteka pachiwopsezo choyamba cha chiwonongeko chogwirizana kapena kukhalapo kwa matenda oopsa. Vutoli liyenera kuthetsedwa mwachangu.

Kodi chikuchitika ndi chiani?

Chidendene chimagwira ntchito yoyenda bwino. Amakhala ndi chidwi chowonjezeka. Izi ndichifukwa choti zili ndi kuchuluka kwamitsempha yamagazi ndi mitsempha yamagazi.Ngakhale atavulala pang'ono kapena kusokonezeka, munthu amatha kumva ululu waukulu.

Kwa anthu omwe amakhala nthawi yayitali akuyenda, vuto limakhala chovuta kwambiri. Kusasangalala kumakhala kovuta makamaka m'mawa munthu atadzuka.

Njira yoyamba yothetsera vuto ndikupeza chomwe chimayambitsa kupweteka. Pambuyo pa izi, chithandizo chiyenera kungoyambika. Itha kukhala onse mankhwala ndi njira zina.

Njira zotupa zosafunikira

Njira yotupa m'matendawa imatha kuchitika chifukwa cha zovuta za metabolic mu gout, matenda a shuga kapena nyamakazi ndi matenda ena.

Matenda omwe angayambitse kupweteka chidendene:

• Kutulutsa kwa Haglund.
• Spur
• Matenda a shuga.
• Kuvulala chidendene.
• Bursitis.
• Chifuwa chachikulu
• Osteomelitis.

Haglund Warp

Pankhaniyi, matendawa akuwoneka kukula kwa chidendene. Itha kuzindikirika ndi dokotala pakuwunika. Imapezeka pang'ono pamwamba pa Achilles tendon ndipo nthawi yosuntha, kukangana ndi kuwonongeka kwa ulusi kumachitika nthawi zonse. Zimatha kukhala zowawa pokhapokha ngati matenda atsogola.

choyambitsa chisokonezo sichinayambikebe. Nthawi zambiri, zimachitika mwa azimayi omwe amavala zidendene nthawi yayitali.

Matenda a shuga

Pamaso pa matenda ashuga, kuchuluka kwamitsempha yamagazi kumawonongeka. Mankhwala, pali kupezeka kwa matenda a shuga. Matendawa amapezeka chifukwa chophwanya kapangidwe ka insulin ndi kapamba.

Mwazi umakhala wakuda, umatseka mitsempha yamagazi. Impso, maso ndi mapazi zili pachiwopsezo china chake. Pali kuphwanya kwa mitsempha ya mitsempha ndi mitsempha yamagazi. Chifukwa cha kusokonezeka kwa magazi, kusokonezeka kwa ma trophic kumachitika ndipo zilonda zam'mimbayo zimawonekera.

Amatha kuwoneka pafupipafupi phazi.

Calcaneal apophysitis

Matenda omwe tuber mu calcaneus yadzaza amatchedwa calcaneal apophysitis. Matenda opweteka samawonekera kuchokera mkati mwake, koma kuchokera kumbuyo.

Pali zinthu ziwiri zomwe zingayambitse kutupa kwa munthu wamkulu:

• Kuvala nsapato zosamasuka.
• Kuyimilira kwa nthawi yayitali.

Mu ana a zaka 8 mpaka 14, chidendene cha apophysitis chitha kupezekanso. Chowonadi ndi chakuti mpaka apophosis itapangidwa, imakhala yothandiza kwambiri. Ana amakhala akuyenda mosalekeza, akuthamanga ndikulumpha, zomwe zimapangitsa kuti mafupawo azikula.

Ululu chidendene poyenda ndi chikhalidwe cha nyamakazi ya phazi. Njira yotupa imakhudza kulumikizana kwa phazi. Nthawi yomweyo, munthu amakhala ndi ululu wokhala chidendene (iwo amawononga m'mawa kwambiri).

Kodi kupweteka chidendene kumatha bwanji? Kutikita minofu yotsika kumathandiza. Muyenera kuchita izi kufikira ululu utachepa. Koma izi ndi zakanthawi kochepa: ululuwo umabweranso mutakhala nthawi yayitali, ndikukwera masitepe, etc.

• Zowawa, kutupa kuzungulira chidendene. Pakapita nthawi, mafupa a phazi amachepa kwambiri poyenda.
• Kufooka kwathunthu komanso kutopa msanga.
• Chilako cha munthu chitayika.

Malungo akangowoneka, ndikofunikira kufunsa dokotala. Chithandizo cha nyamakazi: balneotherapy, chithandizo chamatope, physiotherapy, NSAIDs.

Ndi nyamakazi, nthawi zambiri zimapweteka kukwera chidendene, ndipo ndikakhazikika, palibe ululu. Koma mukanyalanyaza malangizo a dokotala, ndiye kuti zopweteka zimakhazikika m'malo abata.

Chimodzi mwazifukwa zomwe chidendene chimapweteka kwambiri poyenda ndikutupa kwa matumba a mucous joints - bursitis. Kuti mupangitse matendawa sikuti kungovulaza, komanso kuvala nsapato zosasangalatsa, katundu wolemera pamiyendo.

• Mankhwala osokoneza bongo: Ketoprofen, Ketonal, Meloxicam, Nimesulide.
• Imapanikizika ndi bile bile kapena dimexide.
• Njira zolimbitsa thupi.
• Mutha kuyikanso insoles zamankhwala mu nsapato.

Chithandizo sichingathandize ngati choyambitsa matendawa sichitha. Pankhaniyi, kupweteka kumakhala kosalekeza.

Matenda a gouty nthawi zambiri amakhudza chala chachikulu chakumaso, koma amathanso kukhudza mafupa ena amiyendo. Urate (uric acid salt) umayikidwa mu kuphatikizika, kumayambitsa kupweteka, kutupa ndi kufupika kwa kuphatikizika. Ngati matendawa amakhudza phazi, ndiye kuti chidendene chimapwetekanso poyenda.

Matenda opatsirana

Matenda a mafupa. Njira yotupa yomwe imalowa m'malumikizowo imachitika patangopita nthawi yochepa matenda. Mkhalidwe wamtunduwu umalumikizidwa ndi zovuta za autoimmune. Mwambiri, itha kukhala matenda a urogenital. Amadziwika ndi kutukusira kosiyanasiyana m'malumikizidwe osiyanasiyana am'munsi.

Matenda a urogenital angayambitse kukula kwamatenda otupa ndipo, chifukwa chake, kupweteka kwa chidendene.

Chifuwa chachikulu Matendawa amapezeka chifukwa cha matenda a Koch bacillus. Imatha kugwira osati mapapo, maso, komanso mafupa. TB yamtunduwu imapezeka kwambiri mwa ana okhala ndi chitetezo chofooka.

Matenda ena

Matenda omwe ali pamwambawa ndi ena mwa zifukwa zofala kwambiri zomwe chidendene chimapweteka. Koma palinso matenda ena omwe amathanso kukhudza phazi. Chifukwa chake, dokotala wa rheumatologist amatumiza zowonjezera zowunikira ndipo atalandira zotsatira zimatsimikizira chithandizo.

Anthu onenepa kwambiri amamva kupweteka chidendene (nthawi zambiri amapezeka mwa odwala matenda ashuga). Chifukwa chake, madokotala amalimbikitsa kuti muchepetse kunenepa. Monga lamulo, zilonda m'miyendo zimachepa kwambiri akangoyenda pang'ono.

Chifukwa chiyani pamakhala kupweteka chidendene poyenda:

• Ankylosing spondylitis ndi njira yotupa mumsana.
• Matendawa
• Osteochondrosis.
• Matenda a mafupa. Zitha kukhala chifukwa cha matenda.
• Tendonitis (tendons imakhala yodziwika).
• Matenda a Gaglund-Sinz. Chifukwa cha necrosis m'mfupa wosakhazikika, kupweteka kwa chidendene kumawonekera; munthu sangathe kuimirira ndi mapazi ake.
• Osteomyelitis Mapulogalamu a purroc necrotic amapezeka mu chidendene cha mafupa, komanso m'mitundu yonse yofewa yozungulira.
• Chifuwa chachikulu

Chithandizo cha kupweteka chidendene pakuyenda chifukwa cha matendawa sichimangotengera kuchotsedwa kwa zizindikiro - muyenera kudziwa chomwe chimayambitsa. Ngati matendawa sangathe kuchiritsidwa kwathunthu (mwachitsanzo, arthrosis, nyamakazi, gout), muyenera kuyesetsa kuchotsa zinthu zakunja zomwe zimayambitsa kupsinjika kumapazi.

Ngati zomwe zimayambitsa kupweteka kumbali ya chidendene ndi matenda wamba, ndiye kuti dokotala wapadera amatenga nawo mankhwalawo. Wofunsidwa ndi traumatologist amafunsidwa pakavulala kapena kuwonongeka kwina komwe kwachitika chifukwa chakunja.

Ngati chidendene chimapweteka m'mawa

Nthawi zambiri dotolo amadandaula kuti m'mawa, akakwera miyendo, chidendene chimayamba kuvulala kuchokera kumbali. Zoyenera kuchita nazo?

Pali njira zingapo zothandiza kuti muchotse zidendene:

• Ngati kupweteka kumachitika chifukwa cha matenda otupa, ndiye kuti madokotala amalangizidwa kumwa mankhwala ochepetsa mphamvu ya kutupa komanso a analgesic.
• Itha kuthandizidwa ndimazizira. Kuti muchite izi, muyenera kuchita kutikita chidendene ndi madzi oundana kwa mphindi 7, mpaka dzanzi. Ndondomeko ikuchitika 4 pa tsiku.
• Ambiri amakonda kugwiritsa ntchito chidendene - amakulolani kugawa katunduyo chidendene chonse. Izi zimachitika chifukwa chakuti mbali yakumbuyo ya mwendo imakwera pafupifupi 6 mm, potero kuchepetsa katundu m'dera lozungulira chidendene.

Koma ngati zidendene zanu zimapweteka m'mawa uliwonse, muyenera kudziwa chifukwa chake. Mwina choyambitsa ndi matenda, kapena mwina mwapweteka phazi lanu kwinakwake.

Pochizira mafupa, owerenga athu adagwiritsa ntchito bwino Artrade. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuchita masewera olimbitsa thupi mwapadera sikuthandizira kuchepetsa ululu, komanso kupewa kupezeka kwake m'mawa. Amalangizidwanso kuti musinthe nsapato kuti mukhale omasuka, ndi chidendene chotsika.

Zoyenera kuchita ngati kuyenda kumayambitsa kupweteka kwambiri mbali ya chidendene? Anthu ambiri amakonda kugwiritsa ntchito wowerengeka azitsamba: gwiritsani ntchito ayezi pamalo owawa, perekani katundu pang'ono pamapazi (ndiye kuti, muziyenda pang'ono). Amayesetsanso kusamba kosiyanasiyana kwa phazi, malingana ndi maphikidwe akale kuti apange tincture popukuta, etc. Koma chowonadi ndichakuti ndikofunikira osati kungochotsa ululu wamankhwala, komanso kuti muthetse zomwe zimayambitsa. Chifukwa chake, kuphatikiza pa wowerengeka azitsamba, ndikofunikira kugwiritsa ntchito mankhwala.

Kodi dokotala amalembera chiyani ngati m'mamawa (komanso poyenda) zidendene:

• Kuti muchepetse kupweteka, ndikofunikira kumwa painkillers ndi mankhwala othana ndi kutupa: Ibuprofen, Paracetamol, Ketorol, etc.
• Onetsetsani kuti mwapereka mankhwala opangidwa kuchiza matenda oyambitsidwa, chizindikiro chake ndi kupweteka chidendene.
• Jakisoni wa Corticosteroid amalimbikitsidwa pokhapokha ngati mankhwala ena ndi wowerengeka azitsamba samathandizira kuchepetsa ululu. Mpakana katatu majakisoni oterewa amatha kupangidwa pachaka.

Zochizira zidendene, monga lamulo, zovuta mankhwala amakhazikitsidwa. Mulinso:

• Njira zochizira. Dokotala amalimbikitsa kuchita ultrasound, electrophoresis, shock wave therapy (magawo anayi akukwanira).
• Ndikofunikira kuchita massage, komanso kuchita masewera olimbitsa thupi.
• Mtendere udapangidwira phazi.
• Insoles zapadera zimayikidwa mu nsapato.

Kupweteka kwa chidendene kumathandizidwa. Chachikulu sikuti mudzizindikiritse nokha komanso osadziletsa. Ndi dokotala yekhayo amene angakuuzeni zomwe mankhwalawa komanso njira zina zomwe zingathe kuchitira chidendene.

Jekeseni ndi mapiritsi Meloxicam - malangizo, ntchito, ndemanga za madokotala ndi odwala

Panthawi ina, Meloxicam anali wopambana mu pharmacology, makamaka pochiza matenda amitsempha, mankhwalawa ophatikizana am'mimba, osteochondrosis ndi mitsempha ya varicose.

Mankhwalawa sikuti amagwira bwino ntchito mokomera, komanso amakhalira otsika mtengo.

Masiku ano, mitundu yotereyi ya mankhwalawa imadziwika kuti meloxicam, meloxicam-STADA, meloxicam-TEVA, meloxicam-SZ, meloxicam-PRANA, meloxicam Pfizer, meloxicam DS, meloxicam-OBL, meloxicam-Pharmaplant.

Kuphatikiza apo, mankhwalawa monga Amelotex, Liberum, Chondroxide Forte amaikidwa m'gulu lomweli. Mankhwalawa ali ndi zinthu zomwe zimagwira - meloxicam (meloxicam).

Mwa zina mwa mankhwala omwe ali ndi zinthu zingapo zophatikizika ndipo imodzi mwa izo ndi meloxicam, amatchedwa: Oksikamoks, Moviks, Movalisin, Movasin, Bi-xikam, Mirloks, Mataren, Meloksam, Arthrosan, Melox, Melbek-forte, Lem, Mesipol, M- Kam, Meloflam, Mixol-OD, Exen-Sanovel, Melofleks Romfarm, Melbek, Medsikam ndi Mataren-plus.

Kapangidwe ka mankhwala akuphatikiza:

• meloxicam
• wowuma ndimanga
• lactose monohydrate,
• silika, wotchedwanso aerosil,
• cellcrystalline mapadi,
• sodium citrate
• magnesium wakuba.

Mitundu yambiri ya mankhwalawo imakhala ndi magawo omwewo. Kusiyana kumakhalapo mwa ena mwa awa:

• kapangidwe ka meloxicam-TEVA, meloxicam-SZ ndi meloxicam-PFIZER akuphatikizira povidone ndi crospovidone,
• Meloxicam STADA ili ndi croscarmellose sodium ndi talc.

Kuphatikiza apo, pali Meloxicam - yankho la jakisoni wamkati. Kuphatikiza pa chinthu chachikulu, chimakhala ndi glycofurol, meglumine, sodium chloride, poloxamer 188, sodium hydroxide, glycine ndi madzi a jekeseni.

Mwa opanga zinthu zakunja, makampani ndi opanga:

• TEVA Mankhwala Ogulitsa (Israel),
• Thandizo (Greece),
• Pfizer (USA),
• Aurobindo pharma (India),
• DANH mwana wogulitsa makampani azamankhwala (Vietnam),
• Zhangjiakou kaiwei mankhwala (China),
• Mekophar mankhwala-mankhwala (Vietnam).

Mu Russian Pharmacology, kupanga mtundu wamtunduwu kumachitika ndi:

• Nizhpharm
• Makiz Famu
• Magulu a CIS,
• Nyenyezi Yaku North
• Pranapharm
• Kupanga kwa Canonfarm
• Altpharm
• ALSI Pharma ZAO,
• Avexima
• Irbit KhFZ,
• Ma altivitamini,
• OZONE
• Verteks CJSC.

Zotsatira za pharmacological

Meloxicam imagwiritsidwa ntchito ngati mankhwala osokoneza bongo, amenenso amachepetsa kutentha thupi komanso amakhudza njira yotupa. Mukamamwa pakamwa, amadziwidwa kwathunthu ndi thupi ndipo atatha maola 6, kupezeka kwa mankhwalawo m'magazi kumafika pazokwanira zake.

Pambuyo popita kuchipatala kwa pafupifupi sabata limodzi, chizindikiro cha kupezeka kwa mankhwalawo chimakhazikika.

Zowonetsa zomwe zili bwino mu mankhwalawa m'magazi ndi motere: kuyambira 0,4 d 1 mg pa lita imodzi, ngati wodwalayo adatenga mapiritsi okhala ndi zomwe zimagwira ntchito 7.5 mg.

Pharmacokinetics wa mankhwala

Mankhwalawa ndi 89% omwedwa thupi. Imafalikira mosavuta m'matumbo am'mimba ndipo kudya sikumakhudza njirayi.

Mankhwalawa amakhala m'magazi. Komanso, zotsalira za mankhwalawa zimatha kuyang'anidwa m'chiwindi, koma sizowopsa m'thupi. Zinthu zonsezi zimachotsedwa pang'onopang'ono kuchokera mthupi mwachilengedwe.

Zizindikiro zogwiritsidwa ntchito

Monga kutsatira malangizo ogwiritsira ntchito, mapiritsi ndi jakisoni Meloxicam amalembedwa kuti awonetsere kupweteka kwa njira za kutupa ndi matenda ena a mafupa:

1. Nyamakazi yamitundu yonse ndi dzina lolumikizana la matenda onse olumikizana omwe ali akuluakulu komanso zotsatira za matenda ena.
2. Matenda olimbana nthawi zonse mumsana ndi paravertebral zofewa, otchedwa ankylosing spondylitis.
3. Ululu mu nyamakazi. Dzina lina - kupunduka, ndimatenda a mafupa, omwe amachititsa kuwonongeka kwa cartilage.
4. Sciatica monga mawonekedwe a zotupa za msana.

Contraindication

Zina mwazinthu zotsutsana ndi izi:

1. Kumwa mankhwalawa limodzi ndi aspirin kapena mankhwala ena alionse odana ndi kutupa popanda ma steroids kumawonjezera mwayi wokhala ndi zilonda zam'mimba ndi matenda ena am'mimba.
2. Kuwonetsedwa kulikonse kwa thupi, monga momwe mankhwala omwe ali ndi melaxicam kapena mankhwala ena odana ndi kutupa.
3. Kutulutsa kwamkati pamimba ndi / kapena matumbo.
4. Kupumira m'mimba.
5. Kutulutsa kwina kulikonse kwamkati.
6. Mavuto ndi kugwira ntchito kwa impso ndi / kapena chiwindi.
7. Matenda a mtima.
8. Mankhwala saloledwa kwa ana ochepera zaka 15.
9. Mankhwala saloledwa kwa amayi oyembekezera ndi amayi mpaka kuyamwitsa.

Njira yogwiritsira ntchito

Matenda osiyanasiyana, madokotala amatenga mankhwala osiyanasiyana:

1. Chifukwa chake, pakuthandizira matenda a nyamakazi, ndikofunikira kutenga 15 mg, ndipo mutatha kukonza, muchepetsani mlingo mpaka 7.5 mg. Pankhani ya chithandizo cha matenda a nyamakazi, zonse ndizofanana.
2. Mankhwalawa ankylosing spondylitis, Mlingo ayenera kukhala wokhazikika - 15 mg ndipo palibe vuto. Odwala omwe omwe ali ndi chizolowezi chomva mankhwalawa kuchokera ku mankhwalawa, kumwa kofunikira patsiku ndi 7,5 mg.

Njira ya mankhwala ndi Melooticam imafuna kukonzekera koyambirira, makamaka ngati munthu ali ndi matenda monga gastritis, esophagitis, zilonda zam'mimba ndi duodenum.

Mankhwala ochulukirapo komanso malangizo owonjezera

Mankhwala osokoneza bongo amawonetsedwa ndi nseru, mwina chiwonetsero cha gag, kupweteka pamimba. Ikhozanso kukoka tulo. Zizindikiro zimachoka pang'onopang'ono. Nthawi zina, magazi amatha kuyamba.

Ngati wodwalayo akuwonetsa kuthamanga kwa magazi, kufooka kwa chiwindi, kufupika, kapena kulephera kwa impso, komanso kukokana kapena kugwa, ndiye kuti kuchitapo kanthu mwachangu ndi madokotala ndikofunikira, chifukwa kumangidwa kwa mtima kumachitika kapena munthu agwa.

Zotsatira zoyipa

Mwa zina zoyipa za mankhwalawa:

• zovuta m'mimba dongosolo kapena kuchuluka kwawo chifukwa cha chithandizo chotere,
• mavuto ndi mtima
• thupi siligwirizana khungu limatha,
• mavuto amawonedwe
• mavuto ndi mitsempha
• kugwiritsa ntchito bwino ntchito yam'mapapo,
• mavuto a kwamikodzo dongosolo.

Malangizo apadera

Kuphatikiza pa zotsutsana zomwe zasonyezedwa kale, tiyenera kukumbukira kuti ndi zizindikiro zoyambirira za chifuwa, ndikofunikira kusiya mankhwalawa ndikupitanso mobwerezabwereza. akuwunikira.

Pazinthu izi pamene wodwala atenga "mankhwala athunthu", chisamaliro chofunikira kwambiri chimayenera kulipira kuti azigwirizana komanso kuchuluka kwa madzi omwe amwedwa.

Kodi zowawa za chidendene zimawoneka bwanji?

Nthawi zina ululu umapezeka mu zidendene ziwiri, chimodzi. Chifukwa chiyani izi zikuchitika? Nthawi zambiri, izi zimachitika chifukwa cha nsapato zosamasuka kapena kapangidwe ka phazi.

Zowawa m'mawa. Ngati kupweteka kwambiri kumachitika mukangodzuka, chifukwa chake chitha kukhala chosangalatsa cha yekhayo. Uwu ndi mzere wokuluka wamisempha womwe umapezeka pafupi ndi calcaneal tuber. Pazovuta zambiri, kuwonongeka kwa fiber kungachitike. Mofananamo, zizindikiro monga kupweteka kwambiri komanso kusokonezeka kwa miyendo kumayamba kuonekera. Kufatsa kumaonekanso.

Ululu mu calcaneus. Amatha kuchitika chifukwa cha kukhalapo kwa phazi lopunduka, ma warts, chimanga, komanso phazi lathyathyathya. Zomverera zowawa zimatha kukhala zazifupi komanso zazitali.

Ululu kumanzere kapena kumanzere kumanzere kumachitika chifukwa cha kuvulala kwa phazi.

Ululu mu ana aang'ono

Ululu sungakhale mwa munthu wamkulu, komanso nthawi zambiri ngakhale mwa mwana. Choyambitsa chachikulu cha matendawa chimatha kukhala matenda a Schinz. Atsikana, matendawa amapezeka ali ndi zaka 8, komanso mwa anyamata azaka 10. Chikhalidwe cha matendawa ndi zopweteka zomwe zimawoneka kumbuyo kwa chidendene.

Ngati chidendene cha mwana chimapweteka, muyenera kuwona dokotala nthawi yomweyo.

Nthawi zina ululu umatha kupezeka ndi mapazi osalala. Kuphatikiza apo, mawonekedwe a scoliotic amawonekera.

Chithandizo cha chidendene

Chifukwa chiyani chidendene chili mkati mwakuya ndipo chikufunika kuchitanji? Zonse zimatengera chifukwa cha mawonekedwe. Chofunikira kwambiri ndikuchotsa ululu. Kwa izi, Butadion, Fastum Gel ndizoyenera. Ngati mankhwalawa sapereka chithandizo chokhalitsa, ndiye kuti blockade iyenera kupangidwa.

Butadion adalembedwa kuti athetse ululu.

Cholinga chake ndi kuzungulira kwa mitsempha yotsika. Kuti muthane ndi vutoli, ndikutambasula msana ndikofunikira. Ndikofunika kutembenukira kwa chiropractor.

Amatha kulimbikitsa kugona posachedwa pamalo olimba.
Ngati zifukwa zili m'miyendo yosalala, ndiye kuti muyenera kusankha nsapato zoyenera.

Ngati ipangidwira mwendo umodzi, ndiye kuti ululu umangokhala mbali iyi.

• Ndi nyamakazi, ndikulimbikitsidwa kuti mumwe mankhwalawa: Ketoprofen, Ibuprofen.
• Chithandizo cha anthu chimathandizira kuthetsa njira zotupa.
• Mafuta ogwiritsira ntchito zakunja. Mwachitsanzo, Ketorolgel, Butadion.

Chithandizo cha zidendene zosemphana ndi shuga

Anthu omwe ali ndi shuga yayikulu amakhala ndi chiopsezo chachikulu cha matenda a khungu, misomali, kapena chimanga kuposa ena. Kuchiza zidendene zakusokonekera ndi shuga ndikofunikira kwambiri kuyambira mphindi zoyambirira, chifukwa izi zimakhala ndi zotsatirapo zoyipa. Kuchokera pamphasa laling'ono, lomwe anthu nthawi zambiri samasamala kufunikira, bala lakuya limayamba. Bacteria amalowa nalo bala.

Mavuto a CD ndi khungu

Mu matenda ashuga, odwala ali ndi mavuto osiyanasiyana akhungu, monga: kuuma, kuyabwa, kupaka khungu, ma neuropathy (kumayambitsa kupweteka chidendene, m'matayala akuluakulu kumakhala chidendene chakuda).

Pa magawo oyamba a matendawa, palibe zizindikiro zilizonse, kupatula kupweteka pang'ono, miyendo imatha kuzimiririka usiku ndikuwombera zidendene.

Koma posakhalitsa ululu umalimba, zidendene zimasweka, zimafika poti zimakhala zowawa kuyenda.

Chidendene ndimakina amanunkhira omwe amathandiza kuthamanga ndikuyenda, imakhala ndi mafupa akulu kwambiri, ozunguliridwa ndi mafuta a fiber.Phazi lathanzi limatetezanso msana, chifukwa cha ntchito yake yolimba. Ndi kuvulala chidendene, kapena matenda aliwonse, ntchito zonsezi zimaphwanyidwa, makamaka msana, ndipo ndi chingwe cha msana. Matenda ambiri amayambitsa kuyanika zidendene.

Chifukwa chiyani ming'alu imawonekera

Ming'alu imatha kuchitika osati chifukwa cha matenda ashuga okha, komanso chifukwa chosowa madzi mthupi.

Anthu omwe akudwala matenda a shuga amakhala ndi magazi osayenda bwino, makamaka m'miyendo, chifukwa chake, ming'alu imawoneka zidendene.

Komanso zovulala izi zimawoneka ndikusowa kwa vitamini A mthupi. Ndizovuta kwambiri kuchotsa zizindikirazi, chifukwa magazi a wodwalayo amakhala ndi shuga wokwanira.

Pali zifukwa zingapo zomwe zimakhudza momwe miyendo ili:

• shuga wambiri m'mitsempha yamagazi, chifukwa nthenda zosiyanasiyana zimachulukana,
• madzi ochepa mthupi,
• kuwonongeka kwa mitsempha yotsiriza, yomwe imabweretsa zidendene zowuma.

Kodi ndimankhwala ati a chidendene cholakwika omwe amafunikira shuga?

Kuti muyambe kulandira chithandizo, kufunsira mokakamiza ndi katswiri ndikofunikira. Adziyesa ndikumuyesa mayeso ofunikira kuti amtsimikizire ngati ali ndi vutoli, ndipo pambuyo pake adzalembetsa mankhwala ofunikira.

Zambiri mwa izo zimapangidwa mwachilengedwe, zomwe zimakhala zoyenera ngakhale panthawi yoyembekezera. Amawononga mtengo wamtengo wapatali kuposa masiku onse, koma moyenera.

Kuphatikiza pa chithandizo chachikulu, chithandizo chowonjezera chothandizira ndi wowerengeka komanso zakudya chingakhale chofunikira.

Kukonzekera kumaphwanya

Pali zonunkhira zambiri za ming'alu zidendene, koma "Zazhivin" amawerengedwa monga wamba.

Pali mafuta ambiri omwe amathandiza kudyetsa miyendo potengera mankhwala azitsamba (mafuta a tiyi wa tiyi, urea, coconut, ndi zina).

d.). Ali ndi katundu wa antiseptic, amachepetsa kutupa, kuyabwa, kuchepetsa kufota, kumafewetsa khungu ndipo amathandizanso kuchiritsa ming'alu (yomwe ndi yofunika kwa matenda ashuga).

Zodziwika bwino ndi izi:

Maphikidwe apanyumba

Kuti mukhale ndi zidendene zabwino tsiku lililonse, mutha kugwiritsa ntchito mankhwala osiyanasiyana kunyumba. Amathandizira chithandizo chachikulu.

"Kuchiritsa keke" kuchokera ku anyezi msuzi, mafuta a nsomba ndi msuzi wa aloe muyezo wofanana kumakhala ndi phindu pa zidendene zosweka.

Ikani keke iyi chidendene pansi pa chala, ndipo m'mawa pakani chidendene ndi decoction yama khungwa la oak ndikudzoza ndi kirimu wokhala ndi michere.

Ndikofunikanso kugwiritsa ntchito vitamini A mwachilengedwe muzakudya zanu, zimapezeka mu whey, mutha kupanga saladi ya kaloti yaiwisi yaiwisi ndi kirimu wowawasa. Kusintha kumawonekera pambuyo masiku 5 ogwiritsa ntchito.

Kapena muthanzi zonona zopondaponda. Muli ndi mafuta a mpendadzuwa (1.5 tbsp) ndi msuzi wa karoti yaiwisi (1 tbsp. L.), Kusakaniza uku kuyenera kuwiritsa m'madzi osamba kwa mphindi 15, kuzizira komanso kusenda zidendene kapena kuyika mkati mwa 1 tbsp. l

Kusamba kwa miyendo firiji yowonjezera ndi kuwonjezera kwa mchere ndi koloko kumakhudzanso zomwe zimadutsana. Mukatha kusamba, tsitsani miyendo ndikuthira mafuta ndi nkhumba mafuta, wokutani ndi filimu ndikuyika pamasokosi. Ndikofunika kuchita usiku kuti miyendo ipume. Kugwiritsa ntchito chomera cha masharubu golide kumathandizanso, msuzi wake umalimbikitsa kwambiri kuchiritsa kwa bala mu shuga mellitus.

Chidendene cha Heel

Masokisi okhala ndi chidendene cha silicone amadzaza ndi chilichonse chofunikira kuchiritsa ming'alu.

Masokosi apadera opangidwa ndi silicone amathandizanso kwambiri. Amadzazidwa ndi mafuta ofunikira apadera.

Mafuta awa amathandizira kwambiri pochiritsa ndi kupukusa mabala, amathandizanso kuchepetsa ululu. Masokosi awa azigulira ndalama zochepa kuposa mafuta onunkhira ndi mafuta, ndipo zotsatira zake ndizofanana.

Koma musanagwiritse ntchito njira iliyonse muyenera kufunsa dokotala, makamaka ngati muli ndi matenda osafunikira.

Kusamalira Mapazi Pothana Ndi Crack

Chachikulu ndichakuti musayambe ming'alu yomwe imawoneka ndikuyesera bowa nthawi yake. Zilonda zakuya kwambiri, gwiritsani ntchito kukonzekera komwe kumakhala ndi phula ndi antiotic.Ndikofunikanso kusiya kugwiritsa ntchito antiperspirant zidendene, osasambitsa mapazi anu ndi madzi otentha, chifukwa izi zimachepetsa chinyezi mthupi.

Udindo waukulu, kumene, mu shuga umaseweredwa ndi zakudya zapadera. Muyenera kuyang'anira shuga wanu wamagazi sabata iliyonse. Tsatirani kutsuka kwa phazi, kutsuka ndi madzi ozizira ndikuwuma bwino. Tengani mozama kusankha nsapato zabwino, mugule m'masitolo apadera a anthu omwe ali ndi phazi lama phazi.

Ndipo kuyambira pano ali wokhazikika ku thanzi lake.

Kuchita ndi mankhwala ena

Mankhwala Methotrexate osakanikirana ndi meloxicam amawonjezera mavuto ndi njira yoyendera magazi. Mankhwala ophunzirira amachepetsa mphamvu ya kulera.

Komanso, ndi kuphatikiza kolakwika kwa mankhwala, popanda kufunsa dokotala, izi zimatha kuyambitsa zovuta zosagwirizana ndi kagwiridwe ka ntchito ka thupi, mpaka kufa.

Pa mimba ndi mkaka wa m`mawere

Meloxicam amadutsa chotchinga malire. Komabe, palibe deta yathunthu pazotsatira za mankhwalawa kwa amayi apakati komanso oyembekezera.

Komanso, poganizira zosokoneza zonse, kuletsa kugwiritsa ntchito mankhwalawa kwa ana osaposa zaka 15, kugwiritsa ntchito mankhwalawa kwa ana akhanda ndi makanda sikofunika.

Madokotala amafufuza

Prigogine EE, rheumatologist: Chovuta chogwiritsa ntchito meloxicam ndikuti sikofunikira kuti mutenge ndikuphatikiza ndi mankhwalawa, chifukwa pokhapokha pokhapo idzachitika molingana ndi kufotokozerako.

Tsoka ilo, chisankho chogwiritsa ntchito mankhwala amodzi sichingatheke, popeza odwala ambiri ali ndi "gulu" lonse la matenda omwe amangofunika kuthandizidwa.

Ndemanga za Odwala

1. Vera, wazaka 45. Mankhwalawa anandithandiza. Nthawi yomweyo, nthawi yamankhwala ndimamukana kangapo, makamaka kumayambiriro, zovuta zitawoneka.
2. Peter, wazaka 51. Mankhwalawa amachititsa kukhumudwa. Ndidayesera kuti ndizitenga nthawi yayitali, koma sindinathenso kupirira ndipo ndinayima. Mwachiwonekere, zoyipa zimapangitsa kuti mankhwalawo akhale abwino.

Mitundu ya kumasulidwa ndi mtengo wake

Meloxicam imapezeka m'mapiritsi a 15 ndi 7.5 mg m'matumba a blister. Pali mapiritsi 20 pachimake.

Pa mapiritsi 10 mumtambo wokutira kuchokera ku filimu ya polyvinyl chloride ndi zojambulazo zojambulidwa zotayidwa.

Mapiritsi 20 kapena 30 mumtsuko wa polymer kapena galasi lopepuka.

Solution mu ampoules wa mu mnofu jekeseni wa 1.5 ml, 5 ampoules pa bokosi.

Mitengo imachokera ku ma ruble 120 mpaka 600 pa mbale ya mapiritsi.

Kodi odwala matenda ashuga angachiritse bwanji zidendene zosweka?

Ming'alu yak chidendene ndichovuta chachikulu odwala matenda ashuga.

Matendawa amagwira ntchito osati zongolimbitsa thupi zokha, komanso amakhala ndi zotsatirapo zoyipa ngati samathandizidwa mwachangu. Ming'alu yaying'ono ikawoneka zidendene, munthu ayenera kutenga njira zoyenera zochizira matendawa, chifukwa ming'alu yakuya imatha kukhala matenda komanso mabakiteriya.

Zomwe zimayambitsa zidendene

Chifukwa chachikulu chakuonekera kwa matenda awa ndi kuchepa thupi, komwe kumawonedwa pafupifupi ndi anthu onse omwe akudwala matenda ashuga. Chifukwa cha kuchepa kwamadzi mthupi la munthu, khungu la wodwalayo limayamba kuwuma ndikuuma. Pambuyo pa izi, khungu limataya kusakhazikika, kotero ming'alu zidendene zimawoneka nthawi yomweyo.

Madotolo adazindikira kuti shuga imayambitsa mawonekedwe a ming'alu zidendene, chifukwa kuchuluka kwa shuga m'magazi kumathandizira kukulitsa matenda osiyanasiyana.

Chochititsa china chofala cha matendawa ku matenda ashuga ndi kuwonongeka kwa mitsempha kumapeto pang'ono.

Zochitika zowawa ngati izi zimatsogolera khungu lowuma.

Chithandizo cha zidendene zosweka mu odwala matenda ashuga

Zizindikiro zoyambirira za matendawa zikaonekera, munthu ayenera kufunsa katswiri munthawi yake.

Pambuyo pofufuza thupi ndikupeza matenda, wodwalayo amamulembera chithandizo malinga ndi zomwe zimachitika m'thupi la odwala matenda ashuga.

Nthawi zambiri, madokotala amatenga mafuta ndi mafuta ena apadera okhala ndiothira kwa odwala awo. Munthawi zonsezi, mafuta kapena kirimu chimasankhidwa payekhapayekha kwa wodwala aliyense.

Mothandizidwa, chithandizo cha matendawa chimatha kuchitika ndi maphikidwe ena.

• Parafini compress. Ndikofunikira kusungunula kuchuluka kwa parafini m'madzi osamba, kuziziritsa kukonzekera pang'ono ndikugwiritsira ntchito miyendo yodwala. Valani masokosi kuchokera kumwamba ndikusiyira compress usiku wonse.
• Wokondedwa uchi. Tenthetsani uchiwo pang'ono, ndikupaka mafuta zidendene ndi zotsekera m'maso, kenako ndikulungani miyendo muchikwama cha pulasitiki ndikuyika ndi sock. Sungani malondawo kwa maola osachepera.
• Kupaka mafuta. Ndi ming'alu, ma apricot, maolivi, mafuta a amondi zimakhala ndi phindu lalikulu. Ikani mafuta pang'ono kumapazi ndi kupukutira pang'ono mapazi owonda.
• Chigoba cha dzira. Pangani chisakanizo cha dzira 1 yaiwisi ndi 100 gr. mafuta a azitona. Kupaka tsitsi la odwala ndi chosakanikacho, kukulunga ndi thumba la pulasitiki, kukhomerera ndi thukuta lachifumu ndikuwasiya chigoba ichi kwa maola angapo.
• Kusamba wowuma. Tengani zidebe ziwiri, chimodzi chizikhala ndi madzi ozizira, enawo akhale madzi ofunda osakanizidwa ndi wowuma wa mbatata. Phatikizani pang'onopang'ono pamapazi owonda m'madzi ofunda ndi ozizira.
• Pothana ndi ming'alu yopweteka zidendene, masokosi apadera a pakhungu lanu amagwiritsidwa ntchito kwambiri. Amapanga masokosi Kampani yaku Japan SOSU. Kugwiritsa ntchito kwawo ndikosavuta: muyenera kuvala masokosi pamapazi kwa maola angapo patsiku, koma zotsatira zabwino zitha kuonedwa patatha masiku angapo.

Njira zopewera

Matenda aliwonse ndiosavuta kupewa kuposa kuwachiritsa.

Popewa kulimbana ndi zidendene, ndikofunikira kutsatira zingapo zoyambira:

• khalani ndiukhondo kwam'munsi, mutatsuka mapazi, gwiritsani ntchito mafuta opaka ndi mafuta onunkhira (mafuta odzola, mafuta ofunikira),
• khalani ndi kuyang'ana kwamapazi tsiku ndi tsiku kuti muwononge khungu pang'ono,
• gwiritsani nsapato zapamwamba komanso zapamwamba zokha zopangidwa ndi zinthu zachilengedwe,
• pewani chimanga ndi mafoni
• gwiritsani ntchito kuchuluka kwa madzi tsiku lililonse (kwa odwala matenda ashuga, kuchuluka kwake ndi malita a 2,5 patsiku),
• kuwunika kudya, pamodzi ndi chakudya, pazinthu zofunikira zomangika ndi mchere m'thupi la munthu.

Mu shuga mellitus, kubera zovuta pamapazi ndi zidendene ndi vuto wamba, koma titha kupewanso potsatira njira zoyenera zotetezera komanso kutsata moyo wabwino.

Sankhani ndikupangana ndi adokotala pakali pano:

(254,40 pa 5)
Tikutsegula ...

Kutentha mapazi mu shuga? Mukufunika kuyamba kulimbana ndi vuto la neuropathy!

Vuto la matenda a shuga a matenda ashuga lero ndi amodzi mwa malo oyamba mndandanda wazovuta za matenda ashuga. Malinga ndi kafukufuku, zoposa 90% ya onse odwala matenda a shuga amadwala matendawa.

Zomwe zimayambitsa ndi zizindikiro za matenda a shuga

Matendawa ndimavuto ena omwe amachititsa kuti munthu azidwala matenda ashuga. Zomwe zimayambitsa kukula kwa matenda a diabetesic neuropathy ndi Kusintha kwantchito ndi kapangidwe ka ma capillariesamene amachititsa magazi kumanjenje. Kuphatikiza pa iwo, vutoli limayambitsidwa ndi zovuta zazikulu za metabolic mthupi, monga:

● Kuphwanya kagayidwe kazomera, kamene kamayambitsa kutupa kwamanjenje,

● Kuphwanya mayendedwe a mitsempha ndi kuchepa kwa mphamvu ya kagayidwe,

● Kuchuluka kwa ma radicals aulere, omwe ali ndi poizoni m'maselo a mitsempha.

● Kachitidwe ka autoimmune maofesi.Thupi limatulutsa ma antibodies ku insulin, omwe amalepheretsa kukonza mitsempha. Izi zimatsogolera ku kuwonongeka kwa ulusi wamitsempha.

Kutalika kwa matendawo kungachitike kuyambira miyezi iwiri mpaka itatu kufika zaka zingapo. Chifukwa cha zotupa zingapo zam'mapapo, minyewa ya m'mitsempha imayambitsa kukhudzidwa kwa magalimoto ndi zochitika zamagetsi.

Gawo loyamba la neuropathy kuwonetsedwa ndi zizindikiro zowawa kumadera akutali. Choyamba, kumva kuwawa, kuwotcha, kupweteka kwa tsekwe, kupweteka mukakanikiza zala. Pambuyo pake, matendawa amagwira manja. Zimakhala zovuta kwa wodwalayo kuvala nsapato ndikuyenda pang'ono.

Chikopa ndi matenda a shuga ikuuma ndipo ayamba kupindika. Zowawa kwambiri zilonda zitha kuwoneka. Kuphwanya mphamvu ya miyendo pang'onopang'ono kumayambitsa kusokonezeka kwa kayendedwe - kusakhazikika kumayima pamalo oimirako, ndipo gait imakhala yosasunthika.

Kuwonongeka kwamitsempha ndi diabetesic neuropathy, sizimangomva zowawa mu mawonekedwe amoto, komanso zimatha kubweretsanso zovuta zina kwa munthu: kuchepa kwa chidwi cha mabala ndi ming'alu pakhungu, kutentha kwa madzi, ndi zina zambiri.

Chithandizo cha Zitsamba za Neuropathy

Popeza matenda ashuga a m'magazi ndimayendedwe amodzi a matenda a shuga, ndiye kuti mankhwalawo ayenera kupezeka, matenda kagayidwe kachakudya mafuta.

Pachifukwa ichi, wodwalayo ayenera kuyang'anira shuga ndikuwonetsetsa madokotala omwe amapezekapo.

Zofunikanso ndikuchita ntchito zamagalimoto (kupatula kuthamangira komanso kuyenda kwakanthawi), kutsatira zakudya zomwe dokotala wamupatsa, komanso kukhalabe ndi thupi lokwanira.

Tiyenera kukumbukira kuti pochiza matenda ashuga, kubwezeretsa zida zamitsempha kumachepa kwambiri. Malinga ndi Russian Academy of Medical Sayansi, ngakhale shuga atalipidwa kwathunthu, zimatenga pafupifupi zaka ziwiri kubwezeretsa magwiridwe antchito a mitsempha yolandirira komanso ulusi.

Pofuna kuthana ndi neuropathy, chithandizo chachikulu cha mankhwala osokoneza bongo ndizofunikira onjezerani mankhwala azitsamba.

Zitsamba zamankhwala zimachepetsa kuuma kwa zizindikiro za ululu, kuchepetsa kuchepa kwa matendawa ndikuthandizira ntchito ya minyewa yamitsempha.

Mankhwala othandizira odwala matenda amitsempha, matenda ogwiritsidwa ntchito - okonza metabolic, komanso zitsamba zomwe zimakhala ndi neuroprotective, analgesic ndi antioxidant.

Apa Chinsinsi, amene amathandizanso kupweteka mu matenda ashuga a m'mimba komanso amathandizira kwambiri. Zimaphatikizapo mbewu za analgesic (angelica ndi wort ya St. John). Kutsutsa-kutukusira kwa chophatikizira ichi kumaphatikizidwa ndi Scutellaria baicalensis.

Melilotus officinalis limakhala ngati chomera chomera.Mtsi Wamkaka zowongolera mulingo wa glycemia ndipo ginger amathandiza ntchito ya antioxidants mthupi.

Selari Muli ndi mankhwala apiin, omwe amachepetsa zotsatira zoyipa za aldose reductase, enzyme yomwe imakulitsa shuga.

Kuti mukonzekere kulowetsedwa, muyenera kutenga magalamu 10 a muyezo wa angelica, clover wokoma, wort wa St.

Kuchuluka kwazakumwa zobiriwira izi zimawerengeredwa tsiku limodzi la kulowa. Zosonkhanitsa ziyenera kupangidwa mu thermos ya 300 ml ya madzi otentha ndikuumirizidwa kwa theka la ola, nthawi zina kugwedezeka.

The kulowetsedwa aledzera ofunda masana magawo 15 mphindi asanadye. Njira yovomerezeka ndi masiku 10.

Onetsetsani kuti mwazolowera mawonekedwe ake komanso kufotokoza mwatsatanetsatane za mankhwala azitsamba othandizira.

Njira yatsopano yothandizira matenda ashuga a polyneuropathy ndi kulowetsedwa kwa masamba a ginkgo biloba. Mankhwala, muyenera kuthira 500 ml ya madzi otentha supuni ziwiri za masamba azomera.

Pambuyo pokakamira kwa maola atatu, kulowetsaku kuyenera kuledzera magawo ofanana patsiku.Kapena tengani masamba a ginkgo kuti akupanga m'matumba a fyuluta, omwe atha kukhala osavuta kwambiri, nyamula malinga ndi malangizo ndikumwa makapu awiri a kulowetsedwa tsiku lonse.

Kapenanso kumwa tincture wa ginkgo wokonzekera wa ginkgo 20-30 akutsikira katatu patsiku musanadye.

Chodziwika kwa aliyense anyezi peel - Njira inanso yothandizira neuropathy. Ili ndi antioxidant yofunika kwambiri - quercetin, yomwe imalepheretsa kukula kwa njira yotupa ndipo imakhala yothandiza thupi lonse.

Kukonzekera kulowetsedwa kwamachiritsi ndikosavuta. Kuti muchite izi, kutsanulira kapu yamadzi otentha supuni ziwiri za anyezi ndi kuleka kuti brew kwa mphindi 10. Kenako yambitsani ndi kumwa musanakagone.

Zomera zomwe zimayendetsa bwino milingo ya glycemia komanso yothandiza mankhwalawa zikukhudzana hibiscus.

Iyenera kugwiritsidwa ntchito mwa kuchuluka kosaposa 10-15 magalamu a zopuma zouma patsiku (timagwiritsa ntchito maluwa owuma). Kuti akonze kulowetsedwa, maluwa ambiri amathiridwa ndi 200 ml ya madzi otentha ndikusungidwa mu thermos kwa mphindi 15.

Pambuyo pozizira komanso kupsinjika, tengani mphindi 15 musanadye katatu katatu patsiku. Njira ya mankhwalawa hibiscus ndi masiku 10 mpaka 14.

Muzu wa Dandelion Komanso sayenera kuiwalika pochiza matenda ashuga a polyneuropathy. Supuni 1 yamizu youma ya mtengowu imathiridwa ndi kapu imodzi ya madzi otentha, owiritsa kwa mphindi 15 ndikuumirira mphindi 45. Tengani supuni ziwiri za msuzi katatu patsiku musanadye.

Ma cloves a zokometsera amakhala ndi antioxidant zabwino, othandiza mu matenda a shuga. Supuni ya zonunkhira izi imayenera kupangidwa ndi 600 ml ya madzi otentha ndikuthiriridwa kwa maola awiri. Tengani kulowetsedwa kwa 200 ml tsiku lonse. Njira yovomerezeka ndi milungu iwiri, ndiye kuti nthawi yopuma imatengedwa kwa masiku 10. Kutalika kokwanira kwa chithandizo cha clove ndi miyezi 4-5.

Ndipo nayi ina yofunika kuphatikiza zitsamba, zonsezi cholinga chake ndi kuthana ndi matenda ashuga komanso kuchepetsa kuopsa kwa mitsempha.

Wort wa St. John ndi knotweed - 40 magalamu iliyonse, mabulosi abulu ndi osafa - 30 magalamu iliyonse, centaury ndi tsamba la birch - 20 magalamu iliyonse, maluwa a chamomile, stevia ndi tsamba peppermint - 10 magalamu aliyense. 4 supuni za chopereka kutsanulira 1 lita imodzi ya madzi owiritsa firiji ndi kusiya kwa maola 8. Zitatha izi, wiritsani kwa mphindi 5 ndikuumirira mphindi 20. Imwani zofanana m'magawo tsiku lonse.

Mafuta amwala (brashun) sangothandiza shuga wotsika wamagazi, komanso amathandizanso kubwezeretsa kapangidwe kazinthu zamitsempha, kuletsa kukula kwa mapazi oyaka ndi zizindikiro zina zosasangalatsa. Koma kuti zitheke, zotsatira za mafuta amiyala ziyenera kumwedwa kwa miyezi isanu ndi umodzi: 3 ga mafuta amiyala osungunuka mu 2 malita a madzi ndi kumwa chikho 1 cha 3 katatu patsiku.

Werengani zambiri za momwe mafuta amafuta amathandizira matenda a shuga ndi matenda ena, komanso njira zenizeni.

Malo akunja

Ndi diabetesic neuropathy, malo osambira ofunda ndi sage, mamawort, masamba a artichoke aku Yerusalemu ndi oregano adzakhala othandiza. Kukonzekera kusamba, muyenera kutenga magalamu 100 azitsamba awa ndikuwathira ndi malita atatu a madzi otentha. Kuumirira 1 ora. Pambuyo pakuchita kusefa, miyendo yake yodwala imatsitsidwa ndikuyambitsa kulowetsedwa ndikusungidwa kwa mphindi 15.

M'nyengo yotentha, neuropathy imatha kuthandizidwa ndikugwedezeka kwatsopano. Kuti muchite izi, katatu patsiku kwa mphindi 15, muyenera kuyenda wopanda mapazi pamapazi ndi masamba ake.

Usiku, compress imatha kupakidwa kumapazi kumapazi, kuphatikizira mafuta ofunika a mandimu osakanikirana ndi ma chestnut a macnut (mafuta othimbirira a zipatso za chestnut ndi maluwa mumafuta a mphesa. Ndimu imathandizira kumverera kowotcha m'mphepete ndi kukokana, ndipo mafuta a mgoza amathandizira kusunthika kwamitsempha yamagazi ndi kuzungulira kwa capillary, komanso kufewetsa khungu lowuma.

Zomwe Mungachite Kuti Muchepetse Zizindikiro za Neuropathy

Kuphatikiza pa kugwiritsa ntchito zitsamba, ndi matenda a diabetesic neuropathy ndikofunikira zolimbitsa thupi tsiku lililonsezomwe zimapangitsa magazi kuyenda m'miyendo ndi mikono.

Zochita zolimbitsa thupi 1

Kokerani zala zanu ndi manja anu kwa inu ndikuzigwirizira otambasuka kwa masekondi 10-15. Pambuyo pake, sonkhanitsani ndi phazi lanu lamanzere ndi kumanja kwa mphindi zingapo, kenako kutikita minofu ndi nsonga zala zanu zonse.

Kuchita masewera olimbitsa thupi nambala 2

Yembekezani masekondi angapo, mutayimilira zala zanu, kenako nkuguduguza kuyambira chidendene mpaka chidendene.

Zochita zolimbitsa thupi 3

Finyani zala zanu ndikulimbana ndi dzanja limodzi kudzanja lamanzere, kenako osadziwitsa ndikufinya manja kwa mphindi ziwiri.

Zochita zolimbitsa thupi 4

Kangapo patsiku kwa mphindi ziwiri ndi mphindi zowiririka, pofani mpira wokutira m'manja.

Ndikulakalaka ndi inu thanzi labwino, ndikukhulupirira, maphikidwe anga athandizira kuthetsa zizindikiro zosasangalatsa za matenda ashuga ndi neuropathy!

wolemba nkhani Veselova M.V.
katswiri wa mankhwala azitsamba aku Russia

Mankhwala azitsamba a shuga

Yerusalemu artichoke ndi mnzake wokoma wa odwala matenda ashuga komanso aliyense amene akufuna kukhala wathanzi

40 zazikulu pathologies chifukwa shuga wambiri