Chilonda cha phazi mu shuga

Matenda a shuga amayamba chifukwa cha matenda a hyperglycemia omwe amakhala nthawi yayitali ndipo ndiye vuto lalikulu kwambiri lomwe limachitika munthu wodwala matenda ashuga. Pathology imadziwika ndi kufulumira kwa chithunzi cha matenda ndi necrosis yamiyendo yamiyendo. Pakuwonongeka kwa minofu, zinthu zakupha zimamasulidwa, zomwe zimapangitsa kuti wodwalayo adziwe poizoni. Pamene mwadzidzidzi chithandizo kudwala wodwala mapulogalamu amputation.

Kaperekedwe ashuga phazi chilonda

Chilonda shuga - chikhalidwe pathological za thupi zimene amakhala ndi necrosis m'dera la zimakhala, amene amalimbikitsa kuledzera syndrome chifukwa kukula kwa tizilombo toyambitsa matenda padziko bala.

Kuchuluka kwa shuga m'magazi kumabweretsa kuwonongeka kwa makoma amitsempha yamagazi. Izi zimapangitsa kuti magazi azisokonekera mu minofu, maselo amayamba kuona kuperewera kwa mpweya ndi michere, zomwe zimayambitsa kutupika komwe kumapangidwa ndi minofu ya necrosis. Monga lamulo, miyendo yakumunsi imakhala gawo lachiberekero, chifukwa zimakhala ndi katundu wamkulu kwambiri, zomwe zimachedwetsa magazi kulowa m'malo akhudzidwa ndi mwendo.

Zoyambitsa matenda

Nthawi zambiri, chilonda akufotokozera mu odwala matenda ashuga amene kwa nthawi yaitali kukhalabe makhalidwe shuga. Komanso, ngozi za chikhalidwe pathological kumawonjezera kuphwanya zakudya ndi kuchedwa oyamba a mlingo woyenerera wa mankhwala a insulin.

Zimayambitsa chachikulu cha chilonda ndi:

• Matenda a shuga. Ndi kusachiritsika kwanthawi yayitali kwa zilonda m'miyendo ndi m'miyendo, matendawa amapezeka, omwe amakwiyitsa kukhazikika kwa matenda opatsirana.
• Atherosulinosis Kulakwila mtima kumam'phunzitsa permeability kwa minofu hypoxia, umene madera akhudzidwa kufa minofu.
• Polyneuropathy. Kuphwanya mafuta a kagayidwe kachakudya kumayambitsa kusokonezeka kwa zochitika zamanjenje, zomwe zimawululidwa ndikuphwanya magazi m'magazi ndi m'mitsempha yamagazi, ndikupangitsa kufa msanga kwa mawonekedwe a khungu.
• Thrombosis. Kupanga kwa magazi kumaundana m'mitsempha yama diameter osiyanasiyana kumalepheretsa kuyenda kwa magazi, komwe kumawonetsedwa ndi hypoxia komanso kuchuluka kwa poizoni m'misempha.
• Osteoparoz. matenda akuwonetseredwa chisokonezo njira kagayidwe kachakudya mu thupi, amene amachepetsa mphamvu fupa ndi kuwatsogolera ku fractures pafupipafupi.

Zinthu zimene zimachititsa kuti chitukuko cha chilonda:

• onenepa kwambiri
• kusuta
• kumwa pafupipafupi
• miyendo hypothermia,
• utachepa chitetezo chokwanira,
• kuvala nsapato zolimba,
• pafupipafupi kuvulala.

Mitundu matenda

Mu ukalamba ndi thupi labwinobwino zikuchokera akufotokozera mtundu makamaka wouma matenda ashuga phazi. Minofu necrosis kumachitika pang'onopang'ono odwala ndazindikira pathological ndondomeko akachita kukalamba achilengedwe. Komabe shuga yaitali unhealed mabala ndi fractures ali woyamba chizindikiro isanayambike.

Youma gangrene

Maonekedwe a mtundu uwu agonjetsedwa ndi ndondomeko pathological mwakamodzi miyendo. Matendawa akufotokozera pa maziko a atherosclerosis aakulu, pamene nthambi akukumana ndi kuchepekedwa yosatha ya chakudya ndi mpweya.

Kufalikira kwa magazi m'malo ochepa kumayambitsa kutupa m'matumbo, ndiye kuti njirayo imafalikira kumankhwala ofewa, kenako kwa athanzi. m'dera Necrotic pang'onopang'ono kukodzedwa, khungu ndi minofu kutaya chinyezi ndi kufota, kukhala mummified. Zotsatira zake, masamba okufa amakanidwa okha.

Pankhani ya matenda youma chilonda ukhoza kupita mu mawonekedwe yonyowa matendawa.

Zowonda kwambiri

Odwala onenepa kwambiri omwe amatha kutupa kwambiri kwa miyendo yawo yofewa amatha kugwidwa ndi matenda amtunduwu wa matenda ashuga. m'madera Necrotic za thupi osati kufota, ngati iwo ali odzadzidwa kwambiri madzi wokutidwa ndi nkhungu wosanjikiza wa mafuta. M'madera akhudzidwa akuyamba pachimake kutupa ndi minofu necrosis matenda inalowa akufotokozera yomweyo.

Zizindikiro zoyambirira za phula

Zizindikiro za chilonda mu shuga kuonekera mu magawo oyambirira a atherosclerosis ndi polyneuropathy, pamene magazi kulephera chifukwa hyperglycemia kwa nthawi yaitali.

Kuzindikira isanayambike chilonda akhoza zifukwa zotsatirazi:

• yafupika kutentha ndi chogwirika tilinazo,
• pallor a khungu chimakwirira nthambi,
• kuchuluka kwa masamba am'deralo,
• ataxia,
• miyendo yopweteka mukamasuntha.
• kukula kwa khungu lakumaso,
• lamumo mukamayenda,
• minofu yolimba
• omangana minofu,
• kuwoneka kovuta kuchiritsa zilonda, ming'alu.

Zizindikiro zoyambirira zikaonekera, muyenera kufunsa dokotala wothandizira

Zizindikiro zoyambirira za gangrene zimawonedwa mu diabetesic phazi syndrome, pamene kuvulala pang'ono pakhungu kumakhala ndi zovuta mu mawonekedwe a necrosis.

Pa siteji koyamba za matenda akhoza amawapeza khungu, imene pali zizindikiro za chakhungu magazi.

Zizindikiro za matenda owuma:

• redness wa malekezero a zala,
• ndiye chingasinthe mtundu, kukhala wotumbululuka buluu,
• Khungu limakhala lakuda
• malire omveka m'deralo,
• zonse kuyabwa khungu,
• moto zotengeka,
• kupunduka miyendo.

Zizindikiro zakanyowa:

• khungu
• kukula kwa ma network
• kutupa kwa zimakhala zofewa,
• palibe malire pakati pa mtima ndi gawo thanzi,
• mndandanda fungo la lawola thupi,
• palpation wa khungu akhoza anamva crunch,
• kwambiri kumawonjezera kuledzera ambiri a chamoyo.

Kumapeto kwa njira ya pathological, wodwalayo amadwala kwambiri, amakhala ndi kutentha kwambiri pamthupi komanso kuchepa kwa magazi, ndipo kupweteka kwamankhwala kumatha kuyimitsidwa bwino ndi mankhwala. mayesero magazi anasonyeza inapita ESR ndi leukocytosis, chomwe ndi chizindikiro cha kutupa pachimake mu thupi. Ngati mwadulidwa mwendo ndi mwadzidzidzi, izi zimachitika.

Zizindikiro

Vutoli lili ndi chithunzi chachipatala, kotero kudziwika kuti ali ndi vutoli sikovuta.

The aligorivimu wa diagnostics:

1. Kudzifufuza ndi dokotala.
2. Kukambirana kwa endocrinologist.
3. Kuyesedwa kwa magazi pafupipafupi (kumazindikira kukula kwa kuwonongeka kwa thupi).
4. Amuzolengedwa kusanthula magazi (shuga khama immunogram).
5. Kusintha kwa magazi kuthandizira (kuzindikiritsa mtundu wa majeremusi am'magazi oyamba).
6. Bakposev chilonda zili (otanthauza wothandizila opatsirana).
7. Kuunika kwa X-ray (kumatsimikizira kuchuluka kwa kuwonongeka).
8. Angiography (kuwunika mtima chikhalidwe).
9. Doppler (mlingo magazi kudziwa chotupa).

Mfundo zachithandizo

Chithandizo cha matenda osokoneza bongo omwe amadwala matenda a shuga zimatengera kuopsa kwa chotupa ndi mtundu wa matendawa, katswiriyo atha kugwiritsa ntchito njira zonse zochizira komanso opaleshoni. Chithandizo cha matenda a kagayidwe kachakudya ncholinga chobwezeretsa maselo a minyewa komanso kusintha magazi m'thupi.

ndiwofatsa chithandizo mfundo:

• Kuthetsa kuwonongeka kwamakina pakhungu.
• Mankhwala othandizira.
• Kusankha mulingo woyenera Mlingo wa insulin.
• Chithandizo chowonjezera.
• Antiseptic zinkakhala m'madera.
• Kutenga diuretics kuti muchepetse kutupa.
• Kuwukonza zakudya.
• Mankhwala a Antispasmodic kuti athetse chizindikiro cha ululu.
• Mavitamini ndi mchere kusintha thandizo la thupi.

Ngati chithandizo cha mankhwala sichikubweretsa zotsatira zomwe mukufuna kapena kuchuluka kwa kuwonongeka kwa malo akhungu ndikokulira, muyenera kutengera njira yopangira opaleshoni.

opaleshoni chithandizo mfundo:

• Kusangalala kwa chifukwa mtima.
• Anyalanyaza m'dera akhudzidwa kudzera mwa kumezetsanitsa.
• Kukhazikitsidwa kwa stent pofuna restenosis ya mitsempha ya.
• Kuchotsa zinkakhala m'dera kudzera mwa amputation.

Kuchotsa zotupa ndi ablation amapezeka mu nkhani ya chilonda yonyowa, youma chilonda mankhwala zachokera ku mfundo za mankhwala ndiwofatsa.

Njira ina

Chithandizo cha mankhwala chilonda wowerengeka zitha kugwiritsidwa ntchito molumikizana ndi mankhwala, chifukwa odwala ndi matenda. The mankhwala a matenda chikuphatikizapo ntchito zitsamba ndi zomera, zomwe zili mbali ya njira ntchito kunja kunyumba.

Maphikidwe othandiza kwambiri azitsamba za wowerengeka wogwiritsa ntchito kunja:

• Multicomponent mafuta. Sakanizani magalamu 50 aliyense zikuluzikulu za uchi, sopo wopambana, ayendetse, mafuta mpendadzuwa. Ikani chimangacho pamoto ndikubweretsa. Pambuyo yozizira, kuwonjezera 50 g wa wophwanyidwa aloe, anyezi ndi adyo. Sakanizani zigawo zake. Musanagwiritse ntchito Tenthetsaninso wothandizila, kugwiritsidwa pa matenda m'dera kayendedwe wofatsa.
• Dongo lofiira. Clay kuphatikiza ndi anyezi osankhidwa bwino muyezo wa 1: 1. Kwa osakaniza onjezerani 1 tbsp. l viniga, chipwirikiti. Unyinji chifukwa umagwiritsidwa monga compress, ndiyeno kukulunga film, ndondomeko akubwerezedwa pambuyo kuyanika wathunthu.
• Mankhwala azitsamba. Pogaya 1 tbsp. l calendula, 1 tbsp. l mistletoe 1 tbsp. l wofiira clover. Sakanizani zosakaniza ndi kutsanulira madzi otentha, kusiya kwa mphindi 10-15. Kupanikizana musanagwiritse ntchito. Nyowani chidutswa cha gauze ndi kulowetsedwa ndikugwiritsa ntchito malo owawa 2 pa tsiku.

Njira zopewera

Kupewa matenda chikuphatikizapo zoyezera zotsatirazi:

• Kukhazikika kwa magazi abwinobwino a shuga.
• Abale ndi katswiri wa kuyendera chizolowezi.
• Ukhondo kusamalira wa miyendo.
• zolimbitsa thupi kwa normalization wa m'thupi.
• Kuthetsa kutopa kuchita kutikita tsiku.
• Tengani udindo anakwezedwa bwino magazi.
• Pewani kuvala nsapato zothina.
• Dyetsani khungu lanu pafupipafupi ndimafuta ndi mafuta osiyanasiyana.

Choncho, chilonda ndi vuto choopsa cha matenda ashuga phazi, amene akufotokozera shuga. Poyamba chizindikiro cha zotupa atherosclerotic ya m'munsi malekezero m'pofunika kuchipatala. Choncho, mochedwa Vuto kumam'phunzitsa munthu kupitirira za ndondomeko pathological.

Kodi odwala matenda ashuga a miyendo amachitika bwanji?

ashuga chilonda syndrome ndi chifukwa cha zovuta ziti:

angiopathy - kusintha kwa mitsempha yamagazi chifukwa cha hyperglycemia yomwe ikugwira ntchito yayitali (kuchuluka kwa shuga), ikuwonetsedwa pakuchepa kwa kuthamanga kwa mitsempha yamagazi ndi patency yolakwika, komanso kukwera kwamitsempha yamagazi.

neuropathy - samasintha mu misempha zotumphukira, zikubweretsa matenda mantha, kusowa minofu tilinazo,

Kuperewera - kukhazikitsa kwa microflora ya pathogenic mu mabala ndi zilonda zamkhungu zam'mphepete (clostridia, staphylococcus, streptococcus, colibacterium).

Chifukwa kuyan'anila za kagayidwe mapuloteni yafupika olowa zoyendayenda, olumala mafupa a malekezero m'munsi. kusintha kukhala ndi katundu chodziwa wapansi. Chifukwa chakuti chitetezo achilengedwe a chamoyo mu mawonekedwe a chitetezo chokwanira m'dera yafupika kapena kwina, microtraumas iliyonse (contusion, kumva kuwawa, avale ming'alu, mabala) kutsogolera ndi maonekedwe a zilonda sanali kuchiritsa. Kulumikizana matenda kumathandiza kuti minofu necrosis, kuchuluka ndondomeko m'minofu, mafupa, Mitsemphayi, subcutaneous mafuta.

Zinthu zomwe zimawonjezera chiopsezo cha gangore mwa odwala omwe ali ndi matenda a shuga:

BP, matenda a mitima, mbiriyakale ya atherosclerosis,

Kumwa mowa, kusuta fodya

Minofu kuwonongeka mapazi - misomali ingrown, phazi bowa ndi msomali, calluses, zidendene losweka,

Kulephera kutsatira ukhondo woyambira wosamalira mapazi,

Nsapato zolakwika

Occlusive matenda, zomwe zimabweretsa magazi kuundana,

Zilonda zamavuto zomwe zimachitika mwa odwala ogona.

Kuchepetsa chitetezo chokwanira chonse, kunenepa kumawonjezera mwayi wa zosayembekezereka ya ashuga chilonda iye.

Kupanga za chilonda wa miyendo ndi zizindikiro zawo

Pa gawo loyambirira la pathological process, ndizovuta kwambiri kudziwa kukula kwa gangore. Kusiyanitsa ischemic, matenda neuropathic ndi mawonekedwe wosanganiza, omwe ali ndi zizindikiro zake. Pa chiyambi cha matenda palibe zilonda, koma pali mitundu ya khungu mu mawonekedwe a chimanga, keratosis ndiponso kuwonongeka ena.

Magawo chitukuko cha chilonda:

Zikuoneka pa zilonda khungu pamwamba.

Zilonda zozama sizigwira khungu kokha, komanso minofu, tendon, minofu yolumikizira, osafikira mafupa.

zilonda zozama adani mafupa.

Gangrene amakhala m'malo ochepa.

Gangrene amakhala m'dera lalikulu.

Pa mtima wa chilonda ischemic ndi imfa Mitsempha, kuchititsa makope osauka. mawonekedwe Neuropathic kumachitika chifukwa kuwononga dongosolo mantha.

Zizindikiro za mitundu inatsekeratu matendawa:

Ululu miyendo pa kuyenda (pa chiyambi cha matenda a mtima zingadutse ululu 1 Km, chinthu chachiwiri - mpaka 200 m, pa sitepe 3 - zosakwana 200 m, kapena zina, pa siteji 4 necrosis amapezeka zala)

Kutumphuka kwamiyendo kosalekeza,

Kuperewera kwa zotupa m'mitsempha,

Khungu la mwendo womwe wakhudzidwa ndi wotumbululuka komanso wozizira, pali malo ena oopsa.

Patsamba lowonongeka, zilonda zamtundu wakuda zimatuluka.

Popeza mawonekedwe ischemic limapezeka necrosis youma, exudate akumasulidwa. M'tsogolo, malo akhudzidwa youma, "mummified" Mwina zokha kugwa.

Ngati kugwirizana matenda, kutupa akufotokozera mofulumira, zikubweretsa kutupa, ululu. Pakati gangrenous ndi gawo thanzi si appreciable pafupifupi palibe malire. Vuto mwachangu kuyambitsa septicemia ndipo, nthawi zambiri, imfa.

Zizindikiro za neuropathic mawonekedwe a gangrene mu shuga mellitus:

Kuwotcha kumapazi, kumverera kogwira "ma" goosebumps ", ululu wofatsa usiku m'miyendo, wokhala ndi gawo loyambirira la matenda,

Khungu ndi ofunda ndi owuma, ndi mapulogalamu mawanga mdima,

Thermal, tactile, kumva kupweteka kumachepa,

M'mbali mwa zilonda anaonekera kutupa ndi bloodshot,

Iwo amasonkhana pansi pa khungu interstitial madzimadzi,

Ripple pa mitsempha anasunga,

Zala zakumaso zokhala ngati mbedza, mitu ya mafupa awo imatuluka.

Mafupa a miyendo amatupa ndi kupunduka.

Pamisinkhu ina ya matenda pali amphamvu ululu aonekera pfungo la inali kuwola, malungo, kugwa magazi. ululu si adathandizapo mwa ngakhale analgesics amphamvu kwambiri, ndi zopweteka, nthambi inagwedezeka, kuona zilubwelubwe.

Njira Zochizira Matendawa

Mayendedwe akulu azamankhwala omwe amapezeka m'magawo otsika:

Kutsitsa shuga kudzudzulidwa insulin mlingo

Antiseptic chilonda ntchito mankhwala antibacterial,

Mankhwala anachititsa zokhudza zonse mankhwala,

Kumasulira mwendo womwe wakhudzidwa - kugwiritsa ntchito ndodo, chikuku, nsapato zapadera ndi ma insoles,

Kutsitsa magazi ndi okodzetsa, calcium muzikangana, zoletsa Ace, beta-blockers.

Kukonzekera kwa zonse zokhudza mankhwala:

Bwino makope - Trental, Aktovegin, Reopliglyuken, Vazaprostan,

The kuwonongeka kwa magazi kuundana - Heparin

Mpumulo wa spasms - Drotaverinum, papaverine,

Kuchuluka chitetezo chokwanira - multivitamin complexes.

Kufalikira mofulumira matenda, alibe mphamvu ya mankhwala ndiwofatsa - chifukwa opaleshoni.

Chifukwa chaichi osati amputation, mu nkhokwe ya mtima zamakono opaleshoni ambiri, pali njira zina:

Stenting ya mitsempha zotumphukira,

Arterialization mitsempha phazi,

Autodermoplasty yotseka dera lalikulu la bala,

Kukongoletsa kwa zotupa

Nthawi yomweyo, mankhwala opha maantibayotiki, mankhwalawa ndimankhwala othana ndi kutupa omwe amatengera mahomoni, komanso ma diuretics amachitika. Muyeso wokhazikika - kuchotsa zala, mapazi kapena miyendo yaying'ono - kumagwiritsidwa ntchito komaliza. Kufunika kotere kumachitika mu 12-25% ya milandu kumapeto kwa matendawo.

Momwe mungapewere chitukuko cha chilonda mu shuga?

Kuti asapanikize anthu ndi zilonda kapena zilonda kumapazi, ndikofunika mosamala kusamalira mapazi, kupewa choipa awo, nsapato avale quality, mafupa insoles. Wodwala ayenera kuonetsetsa kuti aziona misinkhu shuga, zakudya, nthawi zonse ntchito mankhwala osokoneza bongo.

Ma soseti ndi ma tonne azikhala ndi zinthu zochepa zopangidwa. Mu yotentha, nsapato zonse kutsukidwa zouma ndi kusintha. Miyendo zambiri osambitsidwa madzi ozizira kudzayendera kwa kudziwika mabvuto yaying'ono ndi ming'alu pakati pa zala.

Mukamadwala matenda a shuga, ndikofunikira kuganizira bwino zaumoyo wanu komanso kupewa njira zopewera matenda.

Maphunziro: Moscow State University of Medicine ndi Mano (1996). Mu 2003, adalandira dipuloma kuchokera ku chipatala cha zamaphunziro ndi zasayansi pakuwongolera zochitika za Purezidenti wa Russian Federation.

N'zosavuta kuchepetsa mafuta m'thupi popanda mankhwala kunyumba?

Kodi kuchita kutentha pamene aakulu?

Chilonda - ndi matenda zovuta yodziwika ndi imfa ya minofu. Zimapangitsa chilonda osiyana. minofu imfa kungakhale ndi zotsatira za azipeza osauka magazi, uka chifukwa makope osauka magazi kudzera zotengera kapena kutha kwathunthu kwa magazi, komanso zinthu zina, monga mankhwala.

Mtundu uwu wa gangrene ndimatenda a anaerobic, chifukwa amayamba chifukwa cha ma virus omwe amagwira ntchito ndikuchulukitsa popanda mpweya. Tizilombo toyambitsa matenda toyambitsa matenda timene timapanga kuchokera ku mtundu wa clostridium timalowa m'thupi lamunthu ndikuphwanya umphumphu wa khungu. Mu nthawi yochepa kwambiri, iwo anagawira mu kwambiri mtima pansi.

Minofu necrosis chifukwa kuchepa kwa magazi, osayenda limodzi ndi zinthu zopatsirana, amatchedwa youma gangrene. Chikhalidwe chake ndi kuchepa kwa chinyezi mu gawo lomwe lakhudzidwalo, kuchepa kwa chidwi chokwanira komanso mwayi wodzichiritsa nokha chifukwa chokana dera la necrotic.

Mtundu wa kusokonekera kwa minofu ya necrotic yomwe imachitika chifukwa cha kusokonezeka kwa magazi chifukwa cha kuvulala, magazi, thumbo la adipose, zidutswa za mafupa nthawi ya mafinya, komanso kusokonezeka kwa magazi mwa odwala matendawa. Mu mawonekedwe a thupi minofu chilonda kukumana inali kuwola.

Chilonda - ndi kobvuta kwambiri kudwala opaleshoni ndi zotsatira sizimadziwika. Chithandizo chake kumafuna nthawi ndi khama, koma ndi chitetezo chokwanira yafupika, ngakhale mankhwala amakono ambiri sitingakumane ndi zotsatira zabwino. Njira zina zophikira zimatha kuchepetsa zovuta za matendawa, kubweretsa kuchira, ngakhale siziyenera kutero.

Kodi matenda am'magazi odwala matenda ashuga ndi chiyani

Shuga m'matumbo akulu amawononga mitsempha yamagazi. magazi lamangika, maselo ndi likupita mpweya njala. Popeza mphamvu kumachitika kutupa, minofu kudzitsitsa ndi imfa. Amavutika kwambiri mitsempha ndi mitsempha matupi yakutali - miyendo, omwe chifukwa cha katundu waukulu. Malinga medstatistiki, chilonda cha m'munsi malekezero mu kudzadzipeza shuga pa 50% odwala. Wodwala wachiwiri aliyense ndi amene amatha kupulumutsa mwendo.

Chilonda mu shuga ndi sioneka munthu kuti kwa zaka sanadziwe za undercurrent wa necrosis (necrosis) mu malekezero m'munsi, monga khungu wotsikirapo tilinazo. Zizindikiro za phazi la matenda ashuga zikayamba kuoneka, nthawi yothandizira odwala imatha. Ashuga ndi kuopsezedwa amputation ngakhale imfa.

Gangrene mu shuga: zimayambitsa ndi kulandira chithandizo

Shuga mavuto kumachitika, zomwe nthawi zambiri imautsa zikamera matenda osiyanasiyana. Choopsa kwambiri pakati pa matenda onse ndi gangore. Uku ndiye kutsekeka kwa khungu, minofu yofewa kapena mafupa a phazi, omwe amadziwonetsa yekha ndi njira yayitali ya matenda ashuga.

Mitundu ya chilonda ndi manja m'munsi

Odwala okalamba omwe nthawi zambiri amakhala ndi matenda osokoneza bongo. minofu necrosis ndondomeko akhoza kukhala odekha ndi pafupifupi mosadziwa. Odwala matenda ashuga kuzindikira zizindikiro loyamba la kugonjetsedwa monga mbali mosalephera a m'badwo wake. Komabe, nthawi sanali kuchiritsa fractures, mabala, kenako zilonda mwendo shuga - Oipa!

Matenda owuma ndi chotsatira cha matenda osasintha a magazi. Popanda kulandira chakudya, minyewa yakumapeto imachepa ndipo pang'onopang'ono "imasungunuka". Nthawi zambiri khungu lowuma limawonedwa nthawi yomweyo pamiyendo yonse. Kwa zaka zambiri, dera lomwe linakhudzidwa, kawirikawiri zala usachite chotero kuti iwo amakhala mummified. Pa necrosis zonse akhoza kugwa.

Youma gangrene vuto la matenda likanyowa. Kupsinjika kwamtunduwu wa matenda ashuga nthawi zambiri kumayamba kukhala mwa anthu omwe ali ndi zambiri, ozolowera kuti miyendo nthawi zambiri imatupa. Chifukwa cha kuchuluka kwa madzi ndi mafuta, maselo akufa sangathe kuzima. minofu akufotokozera mofulumira opatsirana ndondomeko - kuwonongeka.

Necrosis youma

Matendawa amadziwika ndi nthawi yayitali. Youma chilonda ya m'munsi malekezero akuyamba ndi ischemia (kuletsa kotunga magazi) ndi mtima kutupa. Kenako minofu yofewa, yomwe magazi sakulowa, amakhudzidwa. Malire owoneka bwino pakati pa malo owonongeka ndi athanzi. Pang'onopang'ono, dera la necrosis limakula. Minofu, kutaya madzimadzi, kupukuta, kufota ndi kupukutira. Final izi ndondomeko - samoamputatsiya kukana akufa chamoyo ziwalo.

Polyneuropathy ya miyendo

Mtundu wa kudwala amakhala ndi kugonjetsedwa pa nthawi yomweyo ganglia angapo. Neuropathy mu shuga mellitus ndi zovuta zomwe zimayambitsidwa ndi kuchepa kwa liwiro lamagetsi amagetsi omwe amayendetsa kugwira ntchito kwa kayendetsedwe kazinthu. Izi ndi zotsatira za mkulu wa ndende shuga kusungidwa mu thupi kwa nthawi yaitali. Chifukwa chake, ngati munthu akudwala matenda a shuga kwa zaka pafupifupi zisanu, polyneuropathy imapezeka mwa 15% ya odwala, ndipo ngati ali ndi zaka 25-30 - mwa 70-75% ya odwala.

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

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

Mtima kulepheretsa atherosulinosis

Kuyambira ndi owonjezera shuga mu zotengera makamaka ang'onoang'ono kuonongeka mwendo. Osati kokha kuti maselo mukuvutika mpweya njala. Mkhalidwe wa arterioles, capillaries umakulitsidwa ndi atherosclerosis. Zotengerazi zimatsekeka ndi cholesterol plaque, kukulira, ndikulephera kutuluka kwa magazi. Pachifukwa ichi, kupweteka m'miyendo kumawonjezeka ndi kulimbika. Kuyenda mwachangu, kukwera masitepe kumakhala vuto. Khungu la miyendo limatha, kusenda ndi kuyabwa.

Onse mitundu ya kudwala poyamba zizindikiro zomwezo. Kusiyanitsa kokha ndi kutalika kwa kupitilira kwa zovuta izi. Zouma zouma zimatha kupitilira pakapita zaka, ndipo zimanyowa - kwenikweni m'maola kapena masiku angapo. Kenako, chithunzi cha matenda analandira kusiyana kwambiri. Mutha kuzindikira kuwopsa kwa gangore ndi zizindikiro izi:

• Nthawi zambiri mapazi anu kuyamba amaundana,
• mapazi khungu wotumbululuka,
• chidwi chamanja cha miyendo chimachepa
• miyendo itaduka,
• kugwirizana kayendedwe amakhala osakhazikika,
• Zikuoneka limp,
• kupweteka kambiri m'miyendo, miyendo yoyaka.

Kodi ndi chilonda ndi manja m'munsi

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

- Mapazi kapena zala zakhungu zimasanduka zofiira,

- kenako nkutembenuka, kukhala cyanotic,

- kenako ndikuda bii mpaka kuda,

- wodwalayo amakhala wochotseredwa wathanzi.

- khungu limasandulika,

- pali gululi ya mitsempha kukodzedwa,

- miyendo kwambiri kutupa,

- malire pakati pa akhudzidwa ndi wathanzi minofu si.

Gangrene wa phazi pambuyo pake magawo

Kupita patsogolo kwamatenda kumawonetsedwa ndi zizindikiro zotere:

- kusiyana pakati pa pinki ndi wakuda khungu kumatheka,

- ndithu yafupika ndi olumala,

- chidwi cha mwendo chimazimiririka,

- palibe zimachitika mu dzanja,

- ululu umakulitsa pang'onopang'ono, makamaka usiku,

- Matenda a anthu odwala matenda ashuga ndiwokhutiritsa, palibe zizindikiro za kuledzera.

- Kutumphukira kwa bulawuni, komwe kumayamba,

- zilonda zam'mimba za fetid zimapangidwa,

- matenthedwe amakwera kwambiri,

- tachycardia, kunjenjemera kwa malekezero kumachitika,

- kuboola zoŵaŵa kuchotsedwa ngakhale mankhwala amphamvu,

- boma yovuta kwa wodwala katundu omangana, kusanza, kuona zilubwelubwe.

Mawonekedwe owuma a matendawa amatha kuthandizidwa pogwiritsa ntchito njira zosasamala. Mkhalidwe wofunikira ndi kuchepa kwa ndende yamagazi. Ntchito novocaine anatseka misewu, mpweya inhalation. Reopoligljukin makope kuwongolera wothandizira, Trental, Vazaprostan, Aktovegin neri Al. Streptokinase, Heparin kulimbikitsa nchito yanyumba magazi kuundana. Maofesi a multivitamin amalimbitsa chitetezo chokwanira.

Mawonekedwe yonyowa matendawa - maziko hospitalization mwadzidzidzi mu dipatimenti opaleshoni ya chipatala. Mtundu wamtunduwu wamatenda oyamba m'magazi a shuga umafuna opaleshoni pazifukwa zaumoyo. Opaleshoni nthawi zonse amayesetsa kusunga miyendo ya wodwalayo. Kuti muchite izi, zimakhala zonse za necrotic ziyenera kuchotsedwa munthawi yomweyo. Madokotala amapereka mankhwala othandizira odwala omwe ali ndi vuto la m'munsi, ma anti-kutupa mahomoni, okodzetsa.

Mopitiriza muyezo - kuchotsa phazi kapena mwendo m'munsi. Kudula mwendo kwambiri ndi khungu pakukalamba kumabweretsa kupha wodwala aliyense wachiwiri pakatha chaka. Komabe, microsurgical kulambalala opaleshoni, stenting (kutambasuka zipangizo wapadera) ziwiya opaleshoni pulasitiki pa mitsempha - umisiri wotsogola kuti kupereka matenda ashuga ambiri nthambi kuteteza ndi kubwezeretsa kuyenda.

Zikuwoneka bwanji

Kuopsa kwa chilonda mu shuga ndi kuti minofu akufa chingachititse mwazi wa poizoni. Apa tikutengegeredwa mopitirira za chitukuko cha zotsatira zoipa za matupi osiyanasiyana. Ngati wodwala matenda a shuga phazi syndrome, ndipo sanali kulabadira zokwanira ndondomeko osauka, mu nthawi yochepa, kudwala imeneyi kungakhale chilonda.

Oposa 16% ya odwala matenda ashuga amakumana ndi vuto la matenda ashuga.

Amakhudza gangrene makamaka phazi lonse kapena zala zakumiyendo zokha. kudwala amenewa nthawi zambiri amapezeka mu odwala matenda a shuga mtundu 1 ndi 2. The chikuchititsa mavuto a necrotic njira m'munsi malekezero m'njira zambiri ofanana ndi zotupa ndi trophic.

Chilonda mu shuga angathe chifukwa cha zifukwa zotsatirazi:

Mikwingwirima yayikulu Kuwonekera kwa mankhwala Ofa ndi njala Kuwonongeka kwa ziwopsezo zazing'onoting'ono ndi zing'onozing'ono Magazi Kupangika kwa mafupa

zizindikiro zonse chilonda wodwalayo zingalimbikitse ndi azigwirizana.

Zotsatira zake, malo ovulalawo chifukwa chochepetsedwa chitetezo chokwanira amatenga kachilombo ka tizilombo toyambitsa matenda (mabakiteriya, mafangayi, ma virus). Mtsogolomo, izi zimabweretsa mapangidwe azilonda. Kuchepetsa chiopsezo amayamba zilonda ku matenda a shuga ayenera kusamala moyenera mapazi anu ndi mapazi.

Njira zochizira

Kudziwa matenda ndi chifukwa cha matenda, adokotala amachita kuunikidwa kunja kwa zinkakhala m'dera, kumene mayeso bacteriological, kuyesa kwa magazi. Komanso muyenera zotsatira za X-ray ndi ultrasound magazi.

Kutengera ndi zotsatira zake, adotolo adzazindikira ndikupereka chithandizo choyenera. Ndi matenda a shuga, gangrene amathandizidwa mu imodzi mwanjira ziwiri: chosasinthika kapena kuchitidwa opaleshoni. Gangrene amayankha bwino chithandizo atangoyamba kumene matendawa.

Njira yothanirana ndi mankhwalawa imaphatikizanso kugwiritsa ntchito maantibayotiki yotakata kuti muchepetse kufalikira kwa matenda, mavitamini ndi michere minyewa yolimbikitsira chitetezo cha mthupi komanso chitetezo cha mthupi.

Wodwalayo anali m'nsinga kutumikiridwa ndi ambiri zakumwa: isotonic njira, mankhwala mtima, mankhwala magazi, shuga ndi mtima ena ayenera kutsatira bedi zina .. Izi zimachepetsa katundu pamalo omwe akhudzidwa. Ndi chitukuko cha gangore, njira yayikulu yochizira ndiyo opareshoni. Mwa njira zamakono ya chithandizo cha chilonda kumasulidwa: microsurgery, angioplasty ndi stenting.

Stenting nthawi zambiri kupewa amputation ndi umeshaet kusalekerera opaleshoniyo. Njira izi kubwezeretsa yachilendo ochepa lumen. Ndi mankhwala oyambirira dokotala, izo kumachititsa wa ziwayendere bwino ntchito.

Zikavuta, kuti magawowa wodwala matenda kupweteka ntchito mankhwala othetsa ululu ndi udulidwe nthambi. Izi zimachitika pokhapokha ngati njira zina sizinaphule kanthu.

Pambuyo pa opaleshoni wodwala ayenera kutsatira njira zodzitetezera kuteteza zosayembekezereka wa chilonda. Pambuyo Vuto kungakhale kwambiri ndi oopsa kwa anthu.

Kupewa

Kuti mukhale ndi thanzi komanso kupewa kuthana ndi zovuta, odwala matenda ashuga ayenera kutsatira mosamalitsa zomwe adotolo ndi azitsatira malamulo otsatirawa:

Lekani fodya ndi mowa kumwa, omwe amaonjezera ngozi ya atherosclerosis. Chimanga ndi calluses pa zidendene ayenera yomweyo kuchotsedwa. Ntchito plasters ali osavomerezeka, monga pambuyo kuchotsa awo padziko khungu tingakhale bala. M'chilimwe, tikulimbikitsidwa kugula nsapato zingapo zingapo. Nsapato zachisanu zimakhala bwino komanso zotayirira. Ngati mukumva kusakhala bwino mu nsapato, ndiye kuti ziyenera m'malo. Kuyenda mu nsapato za munthu wina komanso kuvala mapazi osavala ndizoletsedwa. Ngati miyendo ndi zii ndiye konzekera iwo pafupi ndi chotenthetsera osafunika. Khungu zouma ndi kumaonjezera ngozi ya chilonda. Tsiku lililonse muyenera kuyendera mapazi anu pamaso pa aliyense kuwonongeka. Chisamaliro makamaka chiyenera kuperekedwa kwa malo omwe amakhala. Nthawi zonse muziyang'ana shuga wanu wamagazi. Ndi yosavuta kuchita zosangalatsa Zochita mapazi. Kuvutika matenda a shuga ali osavomerezeka kuyenda opanda nsapato, kuti kuuluka miyendo kapena kupanga kusamba mchere. Khungu amasiya nthawi zofunika afewetsedwa ndi mafuta. Imafewetsa khungu, amachiritsa mabala ndikuwonjezera ntchito zoteteza kunja kwa khungu.Ndikulimbikitsidwanso kupukuta mapazi ndi vodika, ndikuyika zonona za mwana. Kotero mutha kuthira mabala ang'ono ndi ming'alu m'miyendo.

Mutha kupewa kuoneka ngati wodwala mwakuwona njira zoyenera zopewera.

Gangrene - palibe chifukwa chodulira

Gangrene mu shuga mellitus ndi imfa kapena necrosis ya zimakhala mu chamoyo chokhala ndi khungu lakuda kwambiri kapena lakuda. Pali mitundu ingapo yama gangore:

youma komanso yonyowa, matupi awo, oopsa, oopsa, kuchipatala, mpweya komanso wambiri, chifukwa cha matenda osiyanasiyana (stroke, matenda a shuga ndi ena).

Shuga - matenda aakulu kwambiri zimene zimagwiritsa ntchito kagayidwe kachakudya. Mu shuga mellitus, kusintha kwa kagayidwe kachakudya kumachitika chifukwa cha insulin yokwanira kapena kusakwanira kwa insulin (pancreatic hormone).

Phazi la matenda ashuga limachitika chifukwa cha kusokonezeka kwa patency ndi kufupika ndi mitsempha yamagazi, chifukwa chomwe magazi amakhala "osakonzeka" komanso kuphwanya kwamphamvu kwa magazi kumawonedwa m'thupi lonse. Ambiri adaswa mzere wamagazi, womwe umayambitsa madera am'munsi.

Zilonda zam'mimba zimawonekera pamiyendo, ndikuwopseza kuti magazi azikhala m'mitsempha, zomwe zimapangitsa kuti minofu iphedwe. Mu mawonekedwe thrombi kuti patsogolo kwa chilonda. Ndi phazi la matenda ashuga, gangrene ndiye zovuta kwambiri.

Nthawi zambiri mu shuga chilonda amapezeka odwala anthu ndi zaka pakati pa zaka 40 ndi 70. Chomwe chimalimbikitsa kukonzekera kwa gangore ndikuphwanya minofu ya trophic chifukwa cha matenda ashuga a m'mimba komanso microangiopathy.

Zinthu zikuluzikulu za pathogenetic zokhudzana ndi matenda am'mimba a shuga: zotumphukira za m'mimba, matenda ashuga- komanso macroangiopathy, komanso kuphwanya minofu kagayidwe. Matenda a shuga am'mimba ndi neurotrophic, opatsirana kapena ischemic, kutengera pathogenetic factor. Zingamvekere mbali zina za thupi: nsonga ya mphuno, chapamwamba ndipo nthambi m'munsi, ndi makutu.

Zomwe zimayambitsa matendawa

Kwa odwala, kupezeka kwa matenda osokoneza bongo a shuga kumachitika pazifukwa zingapo: kusuta, matenda oopsa, kunenepa kwambiri, microtrauma, chimanga chokhala ndi matenda otentha, chisanu cham'mimba, matumbo a inrown ndi ena. Gulu: Zouma ndi Wet.

Mu shuga, chilonda youma akufotokozera pang'onopang'ono ndithu, pa miyezi ingapo kapena zaka.

Zizindikiro za matendawa: Choyamba kudzimva ozizira, mwamphamvu amphamvu ululu mapazi pali zosasangalatsa woyaka kutengeka pa gawo akhudzidwa wa thupi limataya osiyanasiyana (paresthesia), spasms zodziwitsa mu minofu ndipo pamapeto pake maonekedwe mummified, palibe chosangalatsa fungo.

Ndi khungu louma, khungu la malo omwe akukhudzidwa limawoneka lonyowoka kapena lopaka utoto wofiyira, m'malo mwake louma ndi kupindika, ulibe chidwi chochepa. Pambuyo kukonzera mitembo kuti isawonongeke amapezeka demarcation, kukana zina minofu necrotic.

Nthawi zambiri zodziwika bwino zolauma zala kumapazi. Matendawa nthawi zambiri amakhala ndi njira yabwino, osapereka chiopsezo pamoyo, koma kuduladula ziwalo zomwe zakhudzidwa kumachitidwa pofuna kupewa zovuta zazikulu.

Matuza ang'onoang'ono okhala ndi opaque exudate amawonekera m'malo mwa minofu ya necrotic. The ndondomeko ya necrosis pa liwilo likuthandiza khungu, mafuta ake, kawirikawiri minofu, mafupa, ndipo ngakhale tendons.

Kuwonjezeka kwakukulu kwa kutentha kwa thupi kumachitika, kuwonjezeka kwa ESR ndi neutrophilic leukocytosis kutsimikizika. munthu aliri ndi chilonda yonyowa pamene n'lalikulu kwambiri ndi zovuta kwambiri kuti apulumutse moyo wake. Kungodula nthawi yothandizirana ndi ziwalo zomwe zakhudzidwazo ndi komwe kumathandiza muzochitika.

Gangrene mu shuga: zimayambitsa ndi zizindikiro

Gangrene ndi necrosis wa maselo a chiwalo kapena gawo limodzi la thupi. Matenda a shuga amayamba nthawi zonse. Ichi ndiye chowopsa kwambiri cha matenda. Njirayi ikhoza kufotokozedwa ndikuti mitsempha ya magazi imaleka kugwira ntchito chifukwa cha shuga wambiri m'magazi, ndipo magazi amasiya kuyenda m'maselo. Mwatsoka, 60% ya anthu insulin amadalira zowawa chilonda.

Zoyambitsa gangore:

Mikwingwirima yayikulu. Kuwonetsedwa ndi kutentha kapena kutentha kwambiri. Zowonongeka pamagetsi. Kukhudzana ndi mankhwala. Arterial sclerosis. Magazi. Njira zotupa. Zowonongeka zazing'ono. Matenda a shuga. Mphamvu ya okosijeni ya ziwalo za thupi.

Zizindikiro za chilonda mu shuga:

Pafupipafupi edema. Kumva kuzizira m'miyendo. Kawirikawiri kupindika kumapazi. Mtundu wopanda miyendo. The mapindikidwe a misomali pa phazi: iwo akhoza kukhala wandiweyani, kapena kusintha mtundu wina, nthawi zambiri pansi matenda a mafangasi.

Pali mitundu iwiri ya mwendo gangrene mu shuga: youma ndi yonyowa.

Gangrene wa phazi kapena matenda ashuga

Mtundu wofala kwambiri wamatenda owonda ndi matenda ashuga. Mu 85% ya odwala omwe ali ndi matenda am'miyendo omwe ali ndi matenda ashuga, zala zimavulala, chifukwa ndiye khungu lomwe limakonda kuzunzika.

Mu masiteji koyamba kwa chilonda wambirimbiri madzi jekeseni subcutaneously, intramuscularly, kudzera m'mitsempha. Nthawi zambiri ntchito ngati chotero shuga madzi, isotonic saline, mmalo magazi. Minofu yakufa imachotsedwa. Chiwerengero chachikulu cha mankhwalawa chimaperekedwa.

Pamene akuthamanga chilonda kupweteka, kenako nthambi ali kuti udulidwe.

Pali njira zamakono zochizira

Microsurgery: Microsurgery imagwiritsidwa ntchito pochita opareshoni, yomwe imalowa mkati mwa chotengera 1-2 mm ndikukulira kukula kwake. Angioplasty ndi kununkha: mothandizidwa ndi zing'onozing'ono zama cell, ma cylinders ang'onoang'ono amaikidwa m'matumbo, omwe amakula pambuyo pa kukhazikitsa ndikupangitsa kuti magazi azithamanga. Kuchepetsa kwambiri mulingo wodulira: ngati gangrene yapita kutali kwambiri ndipo sizingatheke popanda kuduladula, dzanja silinadulidwe kwathunthu, ndipo njira zomwe tafotokozazi zikugwiritsidwa ntchito pazotsala.

Ngati muli chabe chilonda koyamba shuga, n'zotheka amachita mankhwala. Kumbukirani, simungachite kwa nthawi yayitali! Ngati inu simutero thandizo lina kapena njira ina, muyenera yomweyo kupita kwa dokotala ndipo tisawononge nthaŵi yamtengo wapatali.

Ngati muli ndi gawo loyambirira la gangrene, ndiye kuti bandeji yothira ndi yogati iyenera kuyikidwa pakhudzidwa ndi khungu. thandizo labwino kulimbana ndi matenda gauze, Pre-wothira mafuta a cloves. sitadi kuti ali wabwino antibacterial katundu. Kwambiri bwino komanso mwachangu dongo lofiira limafanana ndi mankhwalawa. chigoba ayenera kukonzekera mu kufanana okhwima: theka la dongo yofiira yofanana anyezi akanadulidwa. Viniga uyenera kuwonjezeredwa pazomwe zimachitika. Yophika kulemera umagwiritsidwa ntchito kuvala ndi kugwiritsidwa pa zinkakhala m'dera. Gwirani mpaka pouma, kenako ndikusintha ndi compress yatsopano. Bwino kwambiri, ndi poipa kwambiri njira - zikubvomerezanso wa ng'ombe atsopano chiwindi kwa chilonda. Ake kugwira ngati n'zotheka, ndiyeno wosabala singano puncture matuza. Mankhwalawa amachitika mwachangu kwambiri. Ngakhale madotolo amawona njira iyi kukhala yothandiza.

Kupewa kwamwala wam'mapazi omwe ali ndi anthu odwala matenda ashuga:

Yang'anirani kuchuluka kwa shuga m'magazi. Chitani masewera olimbitsa thupi kumapazi pafupipafupi. Mwachitsanzo: kuchepetsa wamasiyeyo ndi phazi, kukokera masokosi ndi M'malo mwake, kukopa iwo wekha, kuchita mapazi anu kuyenda zozungulira, imayamba ndi kumaliza zala zanu monga Nthawi zambiri bwinobwino kuyendera mapazi anu, misozi mapazi ake ndi mowa wamphamvu ndi kirimu ndiye mafuta, aliyense masiku 10 kuti odulidwa misomali, kuti muchepetse kukhomedwa kwa msomali wovomerezeka, Musati: tengani miyendo yanu, gwiritsani mchere kusamba, kuyenda opanda nsapato. Tsiku lililonse, onjezani mchere wa tiyi wa tiyi ku tiyi. Idyani tsamba laling'ono lofiirira tsiku lililonse. Sizongokuthandizani kupewa kapangidwe kazigololo, komanso kulimbitsa thupi lanu lonse. Musavalire nsapato za anthu ena ndi masokosi. Musagwiritse ntchito creams osiyana khungu olimbikitsa, kuti konzekera miyendo pafupi heaters kapena fireplaces. Kotero inu osati posushite khungu lanu kapena kutentha, komanso kuti chiopsezo zambiri chilonda pa mapazi anu.

Gangrene monga chifukwa cha matenda ashuga

Mmodzi wa matenda ambiri panopa shuga. Zikuoneka ngati sichifukwa cha chakudya chamagulu, kudya wokoma, kobadwa nako kutengera za ndiponso zinthu zina.

Mmodzi wa Vuto ambiri ndi owopsa ndi chilonda mu shuga kapena mawu ena necrosis a zimakhala. Kodi chimachitika chifukwa cha matenda a dongosolo zotumphukira mantha ndi blockage Mitsempha?

Zizindikiro ndi zizindikiro za matenda

Ndi gangrene, miyendo yakumunsi imavutika kwambiri kuposa ena, koma pamakhala zochitika pamene manja ndi manja akuvutika (manja ambiri). Chomwe chimapangitsa kukula kwa gangore ndikuwonongeka kwa mitsempha yam'munsi. Choopsa kwambiri ndikugonjetsedwa kwa ziwiya zazing'ono zomwe zili pamlingo wamiyendo. Ndi mavuto otere, kudula kwakukulu kumachitika.

Tsoka ilo, ziwerengerozi zimadzilankhulira zokha - 80% ya odwala amafa chifukwa cha gangore. Anthu ambiri amaganiza kuti njira yabwino kwambiri yothandizira odwala matenda ashuga ndi iti? Zidzabweretsa chiyani?

Ndithudi, kudziwa zizindikiro za chilonda mu shuga?

Zizindikiro za matenda oopsa a shuga:

Kuoneka edema. Pafupipafupi kumverera m'miyendo. Mapazi zonse ozizira. Kusintha kwa phazi, kusintha kapangidwe kake. M'madera ena, redness kapena paleness a khungu. Kusintha msomali mbale: kuoneka matenda mafangasi thickening kapena kuchepetsa kukula, kusintha mtundu.

Dry gangrene mu shuga amapezeka ndi zovuta kuzungulira. Nthawi zambiri anthu omwe amakhala ndi madzi osowa amayamba kudwala matendawa. Popeza kuwonongeka kwa minofu kumachitika pang'onopang'ono, khungu limatha kukhazikika ndikusintha mtundu wake makamaka kukhala wa bulauni kapena, nthawi zina, ngakhale lakuda. M'kupita kwa nthawi, kumakhaladi wandiweyani.

Kumayambiriro kwa matendawa, kupweteka kwambiri kumawonekera, kenako kusintha kwa utoto, pakhungu lomwe lakhudzidwa. Zitatha izi, khungu limayamba kukhala loyera ndipo posachedwa limakhala "ngati mabalala", limazizira ndipo dzanzi limayamba kumva pang'ono mwendo ndikuwona kutayika. Kawirikawiri pa chilonda minofu necrosis kumachitika pamene mayamwidwe wa poizoni mu m'magazi.

Zotsatira zake, thupi limavutika. Koma ndi chilonda wouma mayamwidwe udzachitika, koma osati kwambiri. Sizikhudza thupi.

Kodi kuchitira?

Choncho, chithandizo cha chilonda mu shuga amafuna:

Cholinga chothandizira matenda osokoneza bongo omwe ali ndi matenda ashuga ndi cholinga chothandiza ntchito za mtima ndi kuwunika komanso kuthana ndi kuledzera. Chifukwa cha izi, amadzipaka jekeseni wamkati, subcutaneally, intramuscularly, amatenga madzi okwanira okwanira mkati: maantiamu, glucose, mankhwala osokoneza bongo, m'malo mwa magazi, ndikuwayika magazi ndi madzi a m'magazi.

Chifukwa chake, tidazindikira kuti gangrene ndi vuto loopsa la matenda ashuga, ndizovuta kwambiri kuchiza, koma titha kupewa. Kuti mukhale wathanzi, muyenera kuyang'anira thanzi lanu. Koma sizotheka nthawi zonse kutsatira chilichonse, chifukwa chake nthawi zonse muyenera kuwongolera moyo wanu.

Zomwe zingakuthandizeni kukhala wathanzi nthawi zonse. Nthawi zina timaganizira za phindu la thanzi lathu mpaka tidwala ndi china chake. Koma taganizirani zomwe zingachitike ngati tinkadalira dokotala si chifukwa matenda, ndi chabe kuteteza. Tikatero tidzakhala athanzi kwakanthawi!

Chiopsezo chilonda mu shuga

Odwala ndi mtundu shuga 1 kapena 2 angaoneke mavuto akuluakulu monga matenda ashuga phazi. Khungu ndi minofu lofewa syndrome izi amakhudzidwa ndi mwendo m'munsi ndi miyendo. Pa mlingo uwu wa syndrome ndi chilonda. Mu shuga mellitus, gangrene ya m'munsi malekezero amaonedwa ngati vuto. Gangrene - necrosis, ndiko kuti, necrosis ya zimakhala zamagawo am'munsi

Zizindikiro za matendawa

Ngati wodwala ali ndi gawo loyambirira la matendawa, akhonza kukhalapo zotsatirazi:

Miyendo nthawi zambiri imakomoka, kumakhala kusefukira, kumanjenjemera m'miyendo. Mukuyenda, ngakhale mtunda waufupi, kutopa kwa mwendo kumawoneka. Mapazi amatha kupunduka. Kutentha kwa khungu la phazi kumatha kukhala kotsika poyerekeza ndi kutentha kwa madera ena m'munsi. Mawonekedwe ofiira kapena ofiira khungu.

Milandu yayikulu ikamayamba odwala matenda ashuga omwe ali ndi zotsatirazi:

Kuphwanya mphamvu yamatenda amiyendo. Kupweteka kwakanthawi m'miyendo, kumasuka bwino ndi mankhwala. Mtundu wa khungu kumadera omwe akukhudzidwa umakhala wakuda kapena wakuda. Kuzindikira kwa trophism wa zimakhala zam'munsi malekezero. Yobweretsa magazi miyendo wasweka, adzionere yekha wa ziwiya zotumphukira mwina kwina. Zilonda zam'mimba zokhala m'munsi. Purulent foci imatha kuwoneka ngati ili ndi matenda. Pankhaniyi, wodwalayo amakhala ndi malungo pafupipafupi.

Zizindikiro zoyambirira kuzikhala mbendera kuwona dotolo. nthawi yochuluka bwanji ayenera papite ku chiyambire matendawa kwa kutukula za chithunzi matenda zimadalira chikhalidwe cha thupi la wodwalayo ndipo siteji ya matenda chachikulu.

Mitundu yamatenda ndi zoyambitsa zake

Matenda a shuga ndi amitundu iwiri: youma komanso yonyowa.

Chilonda mu shuga ndi anagawa malinga ndi chiwonongeko m'munsili mu mitundu zotsatirazi:

Angiopathic chilonda, chidwi miyendo ziwiya. Neuropathic chilonda, anakantha misempha. Pamene zotupa zimakhudza mafupa, mafupa am'mimba amadziwika kuti ali. Losanganikirana.

Zomwe zimapangitsa kuti pakhale zovuta zotere:

Mu maselo mantha dongosolo la chosayenerera shuga kagayidwe, maselo mitsempha kukumana mofulumira kukalamba. Chilolezo cha zotumphukira chimafupikitsidwa, pali zoyang'ana zowonongeka m'matumbo a miyendo. Atherosclerosis mu Shuga limapezeka pa mofulumira mofulumira. M'zotengera lalikulu madipoziti kashiamu unakhazikitsidwa pa makoma chotengera atherosclerotic mipukutuyi. Chifukwa cha ichi utachepa lumen mtima, aumirira mapangidwe. Kupangidwe kwa minofu ya mafupa kumapitiriranso ndi kusintha. Njirayi imasokonezeka, nyamakazi ya mafupa, mafupa a mafupa amakhala pafupipafupi. Ndi matenda a shuga, chitetezo chokwanira chimachepa. Nthawi zambiri pamakhala matenda opatsirana. Ngati shuga alipo wodzilemekeza ndi njira yolakwika ya moyo, maonekedwe a mavuto amenewa zambiri. Kuledzera, kusuta, kunenepa kwambiri kumapangitsa zinthu. Koma kupewa matenda ndikothekanso.

Kunyumba, kupewa matenda kumakhala kofunikira:

Kukhala ndi moyo wathanzi komanso kusapezeka kwa zizolowezi zoyipa kumathandiza kukonza magazi. Njira ya atherosclerosis mu nkhani iyi ndi zambiri kupepera. Zothandiza zotheka thupi. Za katundu mukhoza kukaonana ndi dokotala. Koyenera kusinthana kwa awiriawiri angapo nsapato. Osati panopa nsapato ntchito kuti ziume ndi woyera. Masokosi zopangwidwa kuchokera ku zipangizo zachilengedwe bwino kwambiri kuti avale bwino kutayikira mpweya. Kuziziritsa kutentha madzi pa phwando kusamba, za madigiri 33.Kusamalira khungu pakaphatikizidwe ndi mafuta osiyanasiyana azamasamba, izi zimathandizira kuchiritsa kwama microdamages, kuwonjezera ntchito zoteteza khungu.

Ngati, komabe, kupewa sikuyenda bwino, ndipo zizindikiro za gangrene zikuwoneka, matendawa ayenera kuthandizidwa.

Matendawa amatha kuthandizidwa motere:

1. Ndiwofatsa njira.
2. Opaleshoni njira.

Wowerengeka mankhwala a gangore mu matenda a shuga ndi:

Achire zotsatira zimene zimachititsa chipukuta misozi cha matenda chimapangitsa kuti ndi matenda a shuga. pa zinkakhala m'dera kuchepetsa katundu analimbikitsa. Mavitamini ndi mchere kumapangitsanso chitetezo chokwanira. Mankhwala a maantibayotiki kuchepetsa cholinga cha matenda. Mafuta. Poyamba, ndalama zotere zimagwiritsidwa ntchito kupewa matenda achitetezo achiwiri, mafuta amachepetsa matendawa.

Masiku ano, njira ya opaleshoni imagwiritsidwa ntchito nthawi zambiri. Potere, kudula kwa gawo lakumapeto kumachitika. Amputation Nthawi zambiri ntchito chilonda yonyowa. Njira imeneyi ndi ntchito popewa imfa ya wodwala.

Madokotala opaleshoni nthawi ndi kuchotsa zinkakhala m'dera, ndipo zimakhala ndi ili pamwamba. Zikatero, ngati m'dera chotupa ndi chala kungafune amputation. Opaleshoniyo itachitidwa, njira zolembera zitha kuyikidwa, dokotala atha kukulemberani mafuta. Mwachitsanzo, monga mafuta ndi Iruksol amapewa kukonzanso chitukuko cha chilonda.

Pali zinanso njira zamakono zomwe madokotala amagwiritsa ntchito pochotsa izi. E Pamene ntchito amputation sizingakhale zofunika:

Kuyeretsedwa mitsempha ntchito kafukufuku amene anaikapo mu chotengera ndi kuwononga thrombus. Zotsatira chiwonongeko madokotala kuchotsedwa ndi kafukufuku chomwecho. Pankhaniyi, palibe mabala mu khungu ndi magazi zotengera. Ndi chala cham'magazi, ma microsuction opaleshoni yam'mimba imagwiritsidwa ntchito, omwe amapewa kudula. Pa ntchito imeneyi analenga workaround kwa magazi, ngati blockage chombocho. Angioplasty ndi mbola. Ma Microsurgeon amakulitsa kuwala kwa ziwiya zam'madzi pogwiritsa ntchito baluni yapadera, nthawi zina pambuyo pake amakhazikitsa chitsulo chachitsulo. Izi zimayikidwa mchombo, chomwe chimathandizira kuti zotsatira zake zizigwira bwino ntchito.

Nthawi zambiri funso n'lakuti, Kodi ndi odwala angati moyo pambuyo matenda? Ngati gangrene amathandizidwa pogwiritsa ntchito njira zamakono, chiyembekezo cha moyo chidzachuluka kwambiri. Zimadalira mtundu wa chilonda, yonyowa chilonda ndi woopsa kwambiri. Ndi mawonekedwe awa, simungagwiritse ntchito mafuta okha ngati pakufunika pakuchita opaleshoni.

Zogwirizana

Ine ndi mwamuna wake kugwira ntchito monga dokotala kwa nthawi ya zaka 46 zochiritsira ntchito olowa m'munda wa mankhwala nawo pa mndandanda wa katundu ndi kuphunzira mosamalitsa chifukwa zikamera matenda eni si matenda opatsirana. Monga ofufuza achinsinsi, patatha kuyang'anitsitsa ndikufufuza kwa kusanthula kwathu, zidapezeka chifukwa chimodzi chokha momwe matenda oposa 25 amawonekera, monga 1) kuthamanga kwa magazi, 2) mapangidwe a miyala mu chikhodzodzo, 3) mapangidwe amiyala mu chikhodzodzo, 4 ) magazi hemophilia, 5) zilonda zam'mimba, 6) zilonda zam'mimba, 7) matenda amtima, 8) kuwinduka kwamitsempha yamagazi, 9) pulmonary embolism, 10) stroke stroke, 11) varicose veins, 12) thrombosis, 13 ) chikanga, 14) kutupa m'malo olumikizirana mafupa, 15) matenda onse latsopano wobadwa kwa ana popanda kusiyapo, 16) rickets (khansa ya m'mapapo), 17) abrasion of the cartilaginous surface of joints, 18) pambuyo pa kubadwa kwa matenda amchiberekero mafupa, 19) saline akuika pakati pa vertebral tendon cartilaginous ligament, 20) benign tumor, 21) zilonda zam'mimba (khansa), matenda ashuga, matenda ashuga, 23) kukalamba kwam'mimba, 25) kusintha kwa majini. 26) matenda onse amaso, sitinaphunzire bwino. Izi anapeza zatsopano m'munda wa mankhwala, patsogolo kapena amene konse olembedwa ndi zofunikila ndi cholinga chifukwa ichi, ndi njira zawo za kuchotsa chifukwa ndi njira yoyamba ya mankhwala. Komwe ziphunzitso zambiri zimangotsalira, kuyambira nthawi imeneyo, zochitika zophunzitsidwa mosamalitsa ndizomwe zimayambitsa kusintha, kuwonongeka, metastase. Matenda onse a ana akhanda igwera mu malo. M'mbuyomu, madotolo adasamalira ndikuwasiya zolemba pamanja, zomwe tonse timagwiritsabe ntchito, chifukwa cha izi amagwada pansi ndikukuthokozani. Tsopano abwera, bungwe likusankha komwe kuyesedwa kwa Laborate kokha pa mbewa, makoswe, ndi agogo a baleen, ndipo malinga ndi zotsatira zawo, amapatsidwa pamenepo osadziwika momwe, kumanzere ndi kumanja. Kodi chamoyo cha makoswe, mbewa ndi agwape a baleen ndi ma labotale omwe adapangidwira mochita kupangika amakhala kuti amagwirizana? Ichi ndichifukwa chake mankhwala athu amakono ali olumala padziko lapansi pachifukwa ichi, ndipo zinthu zatsopano zomwe zapeza pankhani ya zamankhwala sizikwaniritsidwa. Pamene tinafuna kuzindikira ntchito nthawi yaitali, tinauzidwa, mudzakhala ndi Co-wolemba, tinakana. Koma tikuyang'ana kwa akatswiri mu Mbiri yathu sanapezeke. Ndili ndi zaka 70 komanso sitinapeze othandizira ena ndi zothandizira kupititsa patsogolo ntchito. Ndicho chifukwa ife ndinaganiza zopeza kwa ogwira ntchito amene amazindikira ulemu ntchito zathu zathu zomwe tapeza za olemba a zimayambitsa matenda oposa 25 zachilengedwe mkati si opatsirana, ndi njira yaikulu ya mankhwala ndi kupewa. Timaperekanso Chinsinsi cha ife ndi chopangidwa kuyambira 1972, chomwe chimagwiritsidwa ntchito ngati compress pamatenda ambiri. miyeso panthawi yake mankhwala ndi kapewedwe thandizo chifuniro kupulumutsa miyoyo yambiri.

Zomwe zimachitika

Mwa anthu omwe ali ndi matenda ashuga kwa zaka zopitilira 5, zala zakumiyendo ndi mapazi sizimakhudzidwa. Kupezeka kwa shuga m'magazi "kumapha" mathero amitsempha, pomwe mawonekedwe amitsempha yamagazi amakhala operewera. odwala matenda ashuga angayambe ischemic ndi matenda chilonda.

Ischemic gangrene mu matenda a shuga amayamba chifukwa chophwanya magazi ku ziwalo zomwe zimakhudzana ndi kuwonongeka kwa ziwiya zamitsempha. Zilonda za trophic zimapangidwa pamtundu wopanda chakudya, ndipo pali necrosis ya zala ndi mapazi. Wodwala yemwe ali ndi matenda ashuga, mitsempha yamagazi ndiyo cholinga chachikulu cha "kuukira".

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulin ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Matenda osokoneza bongo omwe amayamba chifukwa cha matenda am'mimba amayamba chifukwa cha mabakiteriya, streptococci ndi Escherichia coli omwe amalowa pachilonda. Mwa odwala matenda ashuga, ngakhale bala laling'ono limatha kudwala matenda opatsirana.

Zimayambitsa chachikulu cha chilonda mu shuga:

• Kutupa kwamitsempha chifukwa cha atherosclerosis,
• Wosakwiya ndondomeko kusinthika kwa minofu zowonongeka
• Adatchithisira chitetezo chokwanira,
• polyneuropathy,
• Kuphwanya machitidwe a mafupa minofu mapangidwe.

Pachiopsezo ndi odwala uncompensated kwa shuga nthawi yaitali amene shuga ndende kuposa 12 mmol / L ndi amaloŵamo anasintha kwambiri.

Zinthu zabwino pakukula kwa matendawa:

• Kusuta
• Kunenepa kwambiri
• Nsapato zolakwika.

Zatsimikiziridwa kuti kusuta kwa nthawi yayitali, ngakhale mwa munthu wathanzi, kumatha kuyambitsa gangore. Amadziwika kuti chikonga ali ndi kanthu vasodilating, koma mchikakamizo cha ziwiya mpweya monoxide kutaya elasticity, lumen awo ukuning'a. Chikonga amalimbikitsa mapangidwe kuundana mu mitsempha ya magazi.

Anthu onenepa zambiri kutupa. Zowonongeka zilizonse pakhungu zimayambitsa mabala osakhalitsa amvula.

nsapato zolimba, compressing Mitsempha, zimachititsa kuti magazi aziyenda mu miyendo.

Chithandizo cha chilonda mu shuga

Anatinso ashuga chilonda ankachitira m'njira ziwiri:

chithandizo ndiwofatsa ali ndi zolinga izi:

• Malipiro a shuga
• Kuti kufala kwa matenda (mankhwala mankhwala)
• Bwezeretsani chitetezo (chithandizo ndi mavitamini ndi mchere).
• Kuchepetsa katundu pa miyendo.

Opaleshoni mankhwala kawirikawiri analimbikitsa ngati wapezeka yonyowa ashuga chilonda. Anakhudzidwa ndi lawola minofu excised pafupi nsalu yoyera.

Ndikuduladula "kwambiri": ngati chala chikukhudzidwa, phazi limadulidwa, ngati phazi lakhudzidwa, mwendo umadulidwa pabondo, mwendo wotsika umakhudzidwa - mwendo umadulidwa pa ntchafu. Kawirikawiri amputation ikuchitika odwala patapita zaka 70. Amuna ndi nthawi 2 mwina kuposa akazi chokuchititsani njirayi.

Mofananamo, mankhwala opha maantibayotiki amachitika ndipo njira yothandizira kubwezeretsa imagwiritsidwa ntchito.

N'zotheka tsankho amputation, amene yekha amachotsa mbali zinkakhala za thupi, mitsempha malo ozungulira ndi kubwezeretsedwa, kusintha ikuchitika pulasitiki limba akumidzi. njira umalimbana kuteteza pazipita mphamvu za kuyenda.

Panopa chilonda mu odwala matenda ashuga sindiye kutayika kwa miyendo. Njira zamakono zakonzedwa zomwe zimaloleza kudula mu 95% pobwezeretsa kufalikira kwa magazi m'malo omwe akhudzidwa:

• Kukhazikitsa kwa shunt. Anyalanyaza ndi occluded chotengera thrombus angathe kubwezeretsa magazi ambiri m'dera. Zilonda zakufa zimakanidwa, zilonda zimapola.
• Kukhazikitsa kwawoku. Kubwezeretsa chiwiya chopapatizachi, ntchito yapadera (khoma) imagwiritsidwa ntchito. Pambuyo pa angioplasty, kukulitsa ngalawa yopapatiza, makoma omwe adayikirawa azilowa m'malo mwa makoma a mtsempha womwe wakhudzidwa. magazi wabwezeretsedwa.
• Kuchotsa magazi. Zipangizo zapadera zapangidwa kuti "zithyole" magazi ndikuchotsa zotsalira zake mumtsempha.

Njira ya Hyperbaric oxygenation imathandizira kuyimitsa kukula kwa gangrene kumapazi a matenda ashuga. Wodwalayo amaikidwa m'chipinda chapadera, ndipo mwendo wake umathandizidwa ndi mpweya wabwino. Njira imakupatsani mwayi kuti muchepetse kuchira kwa zilonda.

Chabwino aiwala akale - "biotherapy" ndi ntchentche mphutsi. Mphutsi zopangidwa mwapadera zimayikidwa mabala amachiritso olimba. Amadya "matendawa" omwe ali ndi matenda, zomwe amaphatikiza amapha mabakiteriya ndikuthandizira kuchiritsa kwa bala.

Odwala matenda ashuga ayenera nthawi zonse kuyan'ana mkhalidwe wa mapazi awo. Izi likugwira ntchito makamaka kwa odwala ndi mtundu wachiwiri wa matenda a shuga. Pa gawo loyambirira la matenda opatsirana am'mimba mu shuga mellitus, imatha kuyimitsidwa ndi magawo omwe cholinga chake ndi kuthana ndi matenda komanso kubwezeretsa magazi. Ngati njirayi yapita kutali, mwendo watembenukira ku ntchafu ndikumva kununkhira "koyipa", kudula kokha komwe kungapulumutse moyo wanu.

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

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

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

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