Owopsa kwambiri pang'onopang'ono m'matenda a shuga: Zizindikiro, mankhwala ndi kupewa zovuta

Matendawa ndi vuto lalikulu la anthu odwala matenda ashuga, omwe nthawi zambiri amachititsa kuti manja ake azidulidwa. Chiwopsezo cha kupezeka kwake chikhoza kuwonjezeka ndi zina zowonjezera - moyo wopanda pake, osagwirizana ndi zakudya, kupuma, matenda a mtima komanso ena. Zomwe zimayambitsa kukula kwa gangrene, Zizindikiro zake komanso magawo a kupita patsogolo, komanso kuzindikira komanso kulandira chithandizo, werengani mopitirira mu nkhani yathu.

Werengani nkhaniyi

Kodi gangore

Chifukwa cha kuchepa kwakukulu kwa magazi, kufa kwa minofu, gangrene, kumachitika. Mtundu wakuda buluu kapena mtundu wa bulauni, wakuda umayamba chifukwa cha kuwonongeka kwa hemoglobin komanso kupanga mchere wamchere. Ndi chonyowa chonyansa, zinthu zochokera pamalo amawonongeka zimagona pakatikati pamitsempha, ndikuyambitsa poizoni.

Matendawa ndi ophatikizira matenda am'mimba opatsirana. Odwala omwe ali ndi matenda amtundu wa 2 ali pachiwopsezo chowonjezereka ngakhale atapezeka kuti ali ndi shuga wambiri. Poyerekeza ndi kukhazikitsidwa kwa insulin (ndi matenda amtundu wa 1 shuga), mwayi wokhala wolumala umachulukitsa kuyambira chaka cha 8-10th matendawa. Ndikapita mochedwa kwa dokotala, kudula phazi kapena gawo lalikulu la mwendo nthawi zambiri kumafunikira.

Ndipo nazi zambiri za mabala a shuga.

Zoyambitsa zam'munsi zowonongeka mu shuga

Choyambira chachikulu ndichotseguka chamagazi chamafuta kwambiri. Ma mamolekyulu ake amavulaza khoma lamitsempha, minyewa ya mitsempha (angiopathy, neuropathy), ndipo magazi amapeza mamvekedwe owonjezera.

Zotsatira zake, kukoka kwa arterial ndi kuchepa kwamphamvu kwa miyendo kumachepetsedwa. Kuvulala kocheperako chifukwa cha izi kumayambitsa zilonda zammbuyo zosachira. Matenda akalowa, michere ya mabakiteriya imamasula tinthu tambiri, ndikuthandizira kufalikira kwa mafinya. Amayambitsa kufa kwa cell - necrosis.

Chifukwa chachiwiri cha kukula kwa minofu necrosis ndikusintha kwa mawonekedwe othandizira. Mafupa ndi mafupa amawonongeka chifukwa chomangiriza mapuloteni ku glucose, osakwanira. Popeza kuti chidendene chimanyamula katundu wambiri mukamayenda, kukomoka kumachitika ndi kugawa nkhawa - kukakamizidwa, kupindika minofu, kuchepa kwa kayendedwe.

Chiwopsezo chokhala ndi matenda a shuga komanso matenda osokoneza bongo chikuwonjezereka pamaso pa zinthu zina zowonjezera:

kwambiri atherosulinosis, kudya kwambiri kwamafuta, matenda a lipid metabolism - zolembera za cholesterol zimatchinga magazi kudzera m'mitsempha yapakati komanso yayikulu,
ochepa matenda oopsa - kupanikizika kwambiri kumayambitsa kusokonekera, kukhazikika kwa makoma amitsempha,
uchidakwa - pali chiwonongeko champhamvu cha ulusi wamanjenje,
kusuta - yambitsa khola lamkati lamitsempha,
kuchepa chitetezo chokwanira - kumathandizira kulowa ndikufalikira kwa matenda,
venous kusowa, varicose mitsempha ya m'munsi malekezero - kutuluka kwa magazi amasokonezeka, kuchuluka kwa kagayidwe kachakudya mankhwala, edematous zimakhala kuphatikiza mitsempha,
kunenepa - kumapangitsa katundu wowonjezera kumaloko, kumapangitsa kuti chiwonetsero cha matenda a matenda a m'mimba, matenda ashuga komanso matenda oopsa,
kulephera kwa mtima - magazi osachedwa kuyenda chifukwa cha kupopa kwamphamvu kwa mtima, pali kugundana, kutupa.

Kukula kopitilira muyeso kwamphamvu kwambiri kwamabala:

kusowa kwa chithandizo
kunyalanyaza chakudya,
moyo wa asocial
kutopa
kusowa kwa vitamini
hypothermia
kuchepa magazi

Zizindikiro za chala, phazi

Khungu limakhala lofiirira poyamba, kuzizira mpaka kukhudza. Kenako mtundu wawo umasandulika kukhala ngati nsangalabwi, zamtambo ndi zofiirira. Ndi kutaya kwathunthu kwa minofu, zala zimasanduka zakuda. Kuzindikira kukhudza komanso kusintha kwa kutentha kumachepetsedwa. Odwala amatha kumva kuwawa, kuyabwa, kuyaka, kapena kumva kupweteka. Kugunda kwamiyendo yamapazi sikutsimikiza.

Ndi chilonda chowuma, chiwonongeko chimangokhala malo osowa magazi. Zingwe zimawuma, kuchuluka kwa miyendo kumachepa. Ndi mtundu wonyowa, khungu limatupa, njira yowola imachitika. Tizilombo tosokonekera tili ndi fungo la fetid, poizoni timalowa m'magazi, timayambitsa kukhudzika kwa thupi.

Zizindikiro za ginala yokhala ndi mpweya

Magawo a kupita patsogolo kwa gangrene

Kutengera ndi kuwopsa kwa kusokonezeka kwa magazi ndi kuwonongeka kwa minyewa, magawo a matendawa amasiyanitsidwa.

Amaphatikizanso chilonda chakuya kwambiri cha phazi lanu lolunjika pa necrosis. Chotupa chimaphimba khungu, subcutaneous wosanjikiza, minofu ulusi, tendon, mafupa. Pali kutupa, kusamva bwino, kupweteka kosalekeza. Pakadali pano, ndizotheka kuchitira chithandizo popanda kudulidwa. Minofu yowonongeka yowonongeka, khalani ndi mankhwala am'deralo.

Malo A diabetesic Gangrene

Youma komanso chonyowa gangrene mu shuga

Ngati zonyansa zam'mbali zodyetsa phazi ndizosatheka pang'ono, ndiye kuti kuwuma kokhazikika kungachitike. Tiziwazo zimakhala zopanda madzi komanso zowuma, zopangidwa. Ndi chonyowa khungu, magazi amatsekeka kwathunthu, pali kuwonongeka, kuwola, kudzikundikira kwa mafinya ndi mipweya.

Poyamba, kupweteka kwambiri kumamveka pansipa yotsekedwa. Mwendo umakhala wozizira, wodwalayo samva kukhudza, phazi limazungulira ndikusunthika. Pamwamba pa tsamba la zotchinga, zotupa zimatupa, kusefukira ndi magazi. Dera ili pakati pa maselo athanzi ndi akufa limakhala malire - malire. Chifukwa chakuti ili ndi kutupa, odwala amakhala ndi vuto lopweteketsa mtima kwa nthawi yayitali.

Khungu lakuda limamveka kumtunda, kenako nkumaima. Gawo lakufa limapangidwa ndipo limawuma (kusungidwa), mwina ngakhale kukanidwa kokha. Mitundu yochepetsetsa yam'mimba m'deralo, kotero poizoni simalowa m'magazi. Nthawi zambiri odwala amakhala okhutira.

Potengera maziko a khungu lotuwa komanso lozizira, thovu ndi mawonekedwe. Mendo watupa, mitsempha ndiyotupa. Ndizosatheka kudziwa malire a zotupa, chiwonongeko chikupitilirabe, njirayo imayang'ana kunsi kwa mwendo wotsika. Zovalazi ndizowoneka bwino, mukadzimva kuti zikuliluma chifukwa cha kuchuluka kwa mpweya. Kuzungulira kumayendera limodzi ndi fungo labwino.

Popeza palibe malo ochepetsa malire a zinthu, zotayira zonse za mabakiteriya ndi ma sumu a zimakhala zowonongeka zimakhazikika m'magazi. Kutentha kwa thupi kumadzuka, mutu umawoneka, kusanza, kuzindikira.

Zizindikiro

Zizindikiro za matenda a shuga

kuchepa kwa chidwi kapena kutayika kwathunthu,
kufooka kwa phazi, mapazi, kuyenda kochepa,
kutupa kapena kuchepa mphamvu kwamiyendo, kutengera mtundu wa gangore,
Pamaso pa chilonda - chizindikiro cha matenda, kumaliseche kwa mafinya,
kuzindikira kwa tendon Reflex,
shuga wamagazi amawonjezeka (kuyambira 7.5 mmol / l musanadye), glycated hemoglobin (kuyambira 6.5%), lipoproteins wotsika, cholesterol ndi triglycerides,
mkodzo umazindikira shuga, matupi a ketone,
kufesa chilonda chodzilekanitsidwa - zimazindikira maluwa, zimazindikira chidwi cha mankhwala,
Doppler ultrasound - yafupika magazi, kusokonezeka patency, cholesterol malo, ochepa owoneka makoma ndi otsika kuyenda, kuchuluka kwa calcium, thrombosis,
angiography - zotupa zambiri zamadzi,
radiography ya phazi - kuwonongeka kwa nkhope ya nkhope, minofu yam'mafupa, kuchepa kwa mchere osachepera, osteomyelitis (kutupa kwa fupa, marowu).

Onani vidiyo yonena za ultrasound yamitsempha yam'munsi.

Mankhwala othandizira

Onse omwe ali ndi matenda ashuga amasinthidwa pafupipafupi jakisoni wa insulin yayifupi. Mlingo umasankhidwa kuti ulipirire shuga wambiri. Gawani mawu oyambira:

zozungulira zozungulira - Alprostan, Trental, Curantil, Reopoliglyukin,
anticoagulants - Heparin, Fraxiparin (kuchepetsa magazi),
othandizira antibacterial - Rocefin, Ciprinol, Cefodar, Metrogil. Kusintha kwa maantibayotiki ndikofunikira mukazindikira kuzindikira kwa mabakiteriya,
zolimbikitsa chitetezo chokwanira - T-activin, Timalin,
mavitamini - Milgamma, Neurobion,
antioxidants - vitamini E, Berlition (kusintha njira za metabolic, ntchito za minyewa yamitsempha),
antihypertensives - Enap, Ebrantil (kuletsa kukakamizidwa).

Mankhwala angapo amatha kutumikiridwa kudzera m'mitsempha. Pachifukwa ichi, mtsempha wamagazini umasungidwa, kudzera mwa iye Heparin, insulin, maantibayotiki, Trental, Niacin, Reopoliglukin amalowa m'magazi. Izi zimakuthandizani kuti mupange kuchuluka kwa mankhwalawa.

Kuthira magazi posinthanitsa kumagwiritsidwa ntchito, plasma imasinthidwa ndi Albumin, wopereka plasma, plasmapheresis ndi hemosorption ndi mankhwala. Kuchepetsa katundu pamapazi, kugwiritsa ntchito ndodo, ma stroller akuwonetsedwa.

Kucheka kwa phazi, chala

Ngati gangrene ziuma, ndiye kuti mankhwala amapatsidwa mankhwala. Pambuyo pakupanga kwathunthu kwa shaft yozungulira, minofu yakufa imachotsedwa. Kenako ikani zovala ndi mankhwala am'deralo pochiritsa ndi kuyeretsa bala.

Amayesa kusamutsa chimbudzi chonyowa ndi mankhwala kuti ziume. Kenako zindikirani kukula kwa ntchitoyo. Wodwala amatha kupatsidwa mankhwala a necrotomy. Tiziwalo tosagwira ntchito timadulidwa kuti tifotokozere malire a necrosis, mawonekedwe a njira yotulutsira mafinya ndi poizoni. Ndi chiwonongeko chochepa, khungu lakufa yekha ndi chosanjikiza chokhacho chimachotsedwa. M'tsogolomu, pulasitiki imayikidwa kuti izitseka chilema.

Kucheka ndikofunikira ndi necrosis yayikulu ndikuwopseza njirayi kufalikira kwa dzanja. Pabwino kwambiri, ndikotheka kuyendetsa bwino ndikuchotsa chala, gawo kapena phazi lonse. Ndi chithandizo cha mochedwa cha wodwalayo kapena kuwononga mwachangu ziwopsezo, kudula miyendo yayitali ndikofunikira.

Popeza kuti kudula sikutsimikizira kubwezeretsedwanso kwa magazi m'gawo latsalira la mwendo, ndipo mabala amachira kwa nthawi yayitali, njira zoyenera zokonzanso pakapita nthawi yayitali zimavomerezeka. Anthu odwala matenda ashuga amalembedwa:

kununkha - kukulitsa kwa mtsempha wamagazi ndi baluni kumapeto kwa catheter, kukhazikitsa fungo,
zachisoni - kuchotsedwa kwa masanjidwe amanjenje kuti asangalale mwamitsempha yamagazi,
manjenje - Kuyika malo ozungulira pogwiritsa ntchito mtsempha wa wodwalayo.

Ndikuluma

General prognosis ya kuchuluka kwa odwala omwe ali ndi gangrene akukhala

Ngakhale kuthekera kwa chithandizo chamakono, pafupifupi 1% ya anthu odwala matenda ashuga amataya. Maopaleshoni masauzande mazana ambiri padziko lonse lapansi amachitidwa chaka chilichonse, theka laiwo ali m'chiuno m'chiuno. Kukula ndi chiyembekezo cha moyo kumatsimikiziridwa ndi gawo la nthendayo yomwe idapezeka, kuchuluka kwa matenda ndi kupezeka kwa poyizoni wamagazi.

Ndi matenda owuma, pali mwayi uliwonse wopulumuka, koma kutengera ndi kuchuluka kwa omwe akudwala odwala matenda ashuga, kusunthika kumalephera, thandizo kuchokera kwa akunja limafunikira pamoyo watsiku ndi tsiku.

Kupewa kwa chitukuko cha zovuta za matenda ashuga

Popewa gangore ndi kuwoneka kwa omwe adalipo kale, matenda ammimba a shuga, ndizotheka pokhapokha ngati shuga ikulipiridwa. Kuyang'anira zotsatirazi kumathandizira kupewa neuropathy ndi mtima.

chotsani zakudya zonse zopatsa mphamvu zamafuta (shuga ndi ufa), kuchepetsa kwambiri kudya mafuta a nyama,
kutsatira kwambiri malamulo ndi malamulo ogwiritsira ntchito mankhwala ochepetsa shuga,
Kuwongolera shuga
kuwunika shuga tsiku lililonse ndi glucometer, kupereka magazi kuchokera m'mitsempha kupita ku labotale osachepera 1 pamwezi, kudziwa glycated hemoglobin, cholesterol miyezi itatu iliyonse, ndikuwunika kugunda kwa magazi pogwiritsa ntchito coagulogram,
Pazizindikiro zoyambirira za vuto lozungulira (mapazi ozizira nthawi zonse, kuchepa mphamvu kwa khungu, funsani dokotala wamankhwala opaleshoni kuti mupeze zowonjezera komanso kulandira chithandizo,
lekani kusuta ndi kumwa mowa,
Kuyenda tsiku ndi tsiku, kuchita masewera olimbitsa thupi,
Yenderani mapazi usiku uliwonse,
Tetezani mapazi anu ku kuzizira ndi kuvulala,
tenga nsapato za orthopedic.

Ndipo pali zambiri zokhudza matenda a shuga a m'matumbo a m'munsi.

Gangrene mu matenda ashuga ndi zotsatira za kupita patsogolo kwa matenda ashuga odwala matenda ashuga. Pomwe mawonekedwe owuma a minofu akakwinyika, shaft yogawanitsa imapangidwa. Ndi chonyowa gangrene popanda chithandizo, kuvunda ndi kufalikira kwa zotupa kumachitika. Kuti mupeze matenda am'mitsempha yamagazi, ndikofunikira kuchita ma scan a ultrasound, angiography.

Mankhwalawa amachitika kuchipatala. Lemberani mankhwala kuti mubwezeretse magazi, kuwonjezera magazi, maantibayotiki. Pakuuma, minofu yakufa imadulidwa, ndikanyowa, ndikudula kumachitika malinga ndi kuchuluka kwa zotupa.

Zizindikiro zoyambirira za phazi la matenda ashuga zitha kuoneka msanga chifukwa cha kuchepa mphamvu kwa miyendo. Pa gawo loyambirira, pazizindikiro zoyambirira za matenda, ndikofunikira kuyamba kupewetsa, mwa magawo apamwamba, kudula mwendo kumatha kukhala chithandizo.

Ngati phazi la matenda ashuga limakula, ayenera kuyamba kulandira chithandizo mwachangu. Pa gawo loyamba, mafuta odzola, mankhwala achilengedwe ndi laser amagwiritsidwa ntchito kukonza magazi, gawo lamitsempha yamagazi. Chithandizo cha opaleshoni ndi mankhwala ena amakono ndi oyenera zilonda zam'mimba.

Chifukwa cha kusinthasintha kwa misempha ya shuga komanso kuwonekera kwa khoma la insulin, mabala a shuga amawoneka kuti sachira. Izi ndi zifukwa zazikulu zomwe zimapangitsa khungu kusweka ndikuchiritsidwa bwino. Mabala ndi oyera, osachiritsika, akulira. Pali zida zapadera zochizira ndi kulandira chithandizo, nthawi zina thandizo la dokotala limafunikira.

Pali matenda a shuga a m'munsi am'munsi chifukwa cha kuchuluka kwa shuga m'magazi. Zizindikiro zikuluzikulu ndi kusilira, miyendo, kupweteka. Chithandizo chimaphatikizapo mitundu ingapo ya mankhwala. Mutha kusokoneza, ndipo olimbitsa ndi njira zina amalimbikitsidwanso.

Ngati wodwala ali ndi cholecystitis ndi matenda a shuga nthawi imodzi, ndiye kuti ayenera kuyambiranso kudya, ngati matenda oyambawo atakula. Zomwe zimachitika zimagona mu insulin yowonjezera, uchidakwa komanso ena. Ngati pachimake kuwerengetsa kwambiri cholecystitis kwayamba ndi matenda a shuga, kungafunike opaleshoni.

Zizindikiro zoyambirira zam'magawo otsika

Gangrene mu matenda ashuga, ngakhale koyambirira, nthawi zonse amakhudzana ndi zizindikiro zina. Choyamba, tikulankhula za kutopa kwambiri kwamiyendo, ngakhale kuyenda pang'ono. Zizindikiro zimatha kuonekanso m'magulu olimba mwadzidzidzi. Kuphatikiza apo, Zizindikiro za gangren mu shuga mellitus ndikuzizira kwa malekezero, mosasamala nthawi ya chaka.

Chizindikiro china cha matenda a m'mitsempha chiyenera kuwonedwa ngati kuchuluka kwa zala ndi kuwonongedwa mwatsatanetsatane kwa kuchuluka kwamalingaliro. Mgodi wokhala ndi vuto la shuga mellitus akhoza kugwirizanitsidwa ndikuwoneka ndi mphamvu ya khungu la sera, momwe chivundikiro chimakhala chosalala ndi galasi.

Kuphatikiza apo, zilonda zosachiritsa pakapita nthawi zimakhala pakhungu. Pang'onopang'ono, amayamba kuchita zachiwawa. Poganizira izi, tikulimbikitsidwa kuti muthane ndi miyendo yake komanso munthawi yake, chithandizo chawo komanso kupewa.

Zomwe zimayambitsa zilonda zapagulu

Gulu loyamba la zinthu zomwe zimapangitsa gangore yokhala m'munsi yokhala ndi matenda osokoneza bongo imagwirizanitsidwa ndi moyo wosalondola. Samalani:

kusakhalapo kapena chithandizo chokwanira cha matenda oyambitsidwa ndi matenda okhudzana ndi matendawa,
chikonga komanso uchidakwa.
kuvala nsapato zosasangalatsa kapena zolimba,
kunyalanyaza mankhwalawa mabala, chimanga, chimanga ndi kuvulala kwina.

Kuphatikiza apo, gangrene imayamba, nthawi zina chifukwa cha kunenepa kwambiri, kunenepa kwambiri kapena frostbite. Gawo lachiwiri la zinthu limaphatikizapo kuchepa kwa lumen m'dera lamitsempha yamagazi chifukwa cha atherosulinosis kapena kuchepa kwa magazi m'thupi. Gangrene mu shuga amatha kukhala mchikakamizo cha kusokonekera kosinthika njira, kukulitsa chitetezo chokwanira. Polyneuropathy, komanso zovuta kupanga mapangidwe amtundu wamafupa, amathanso kukopa zomwe zaperekedwa. Pambuyo pake, izi zimatsogolera ku mafupa am'mimba komanso ngakhale necrosis.

Mitundu ya matenda

Pali njira zingapo zopangira matenda: kutengera mtundu wa minofu yomwe ikufa, malingana ndi makina omwe amapanga chitukuko cha matenda, zomwe zimayambitsa vutoli. Poyambirira tikukamba zauma kapena chonyowa, chachiwiri - gasi, chipatala komanso fulinant (mawonekedwe owopsa kwambiri, pali kuthekera kwakukulu kwa kuwonongeka kwa miyendo). Kuphatikiza apo, odwala matenda ashuga am'madera akumunsi, monga tawonera kale, amatha kukhala oopsa, opatsirana kapena sayanjana.

Malinga ndi akatswiri, kukula kwa khungu louma kumadziwika nthawi zambiri. Mosasamala mtundu wake, ndikofunikira kuyamba mankhwalawa mwachangu ndikuwonetsetsa chithandizo chamankhwala choyenera komanso cholondola.

Njira zoyesera

Kuunika ndi kuyang'ana madandaulo a munthu wodwala matenda ashuga nthawi zambiri kumakhala kokwanira kuti adziwe matenda ake. Pofuna kumveketsa bwino za gawo la matenda komanso kudziwa kuchuluka kwa mabakiteriya okhala ndi mankhwala opha maantibayotiki, maphunziro ena a labotale amatchulidwa:

kuyezetsa magazi konsekonse - kuchepa kwa kuchuluka kwa leukocytes kuyenera kuonedwa ngati chizindikiro cha kufooka kwa chitetezo chathupi,
kuyezetsa magazi kwa zamankhwala am'mwazi - kumakupatsani mwayi woyambira womwe unayamba kulephera kwa impso,
kusanthula kwamkodzo kwamkati - ndi mapangidwe a anaerobic gangrene mu mkodzo, mwina mapuloteni kapena shuga.
chikhalidwe cha bakiteriya kuchokera kudera lamavuto - chikuchitika mkati mwa sabata limodzi.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Kuyesa kwa Bethe kutha kuchitika kuti zitsimikizire matenda a phazi la phazi. Zimagwiritsidwa ntchito pofufuza mtundu wa gangore. Pachifukwa ichi, chotsani chidutswa cha minofu m'dera lomwe lingakhudzidwe ndikuyika njira ya 4-6% sodium chloride. Ngati zitsanzozi zitatulukira, izi ziyenera kuonedwa ngati chizindikiro cha anaerobic gangrene.

Momwemonso, akatswiri amatanthauzira zomwe zapezeka pazotsatira za x-ray ya dzanja lamavuto. Ngati pali thovu m'moto pachithunzichi, ndiye kuti ndi anaerobic gangrene. Ngakhale matenda atakhala pachiwopsezo cha matenda a shuga, chithandizo chake chikuyenera kuyamba mwachangu.

Chithandizo cha Matendawa ndi Matenda a shuga

Pofuna kuthana ndi gangore, njira zosiyanasiyana zingagwiritsidwe ntchito. Chithandizo chopanda kudulira chimachitika, akatswiri amatembenukira ku opaleshoni. Nthawi zina, titha kukambirana za maphikidwe a wowerengeka.

Kuti njira iyi kapena njirayi ikhale yogwira mtima momwe zingathere, ndikofunikira kwambiri kugwirizanitsa chithandizo chamankhwala ndi katswiri osati kuti musadziyese nokha.

Kuchira kopanda chithandizo

Kuchiritsa kopanda chithandizo ndi njira yothandizira mankhwala. Njira yovomerezeka ya glucose yovomerezeka, kuphatikiza kwachilengedwe, ingagwiritsidwe ntchito plasma kapenanso kulowa m'malo mwa magazi. Zokhudza kubwezeretsa, ma jakisoni othandizira amatha kupatsidwa. Matendawa amatha kuthandizidwa pogwiritsa ntchito mitundu ingapo ya mtima.

Kugwiritsa ntchito kwa novocaine blockades kumayenera kuyang'aniridwa mwapadera, komwe kumalola kuthetsa vasospasm. Polankhula za chithandizo popanda opaleshoni, samalani:

kugwiritsa ntchito mavitamini, anticoagulants ndi mayina amitsempha,
kugwiritsa ntchito mankhwala okhala ndi mphamvu zambiri
kuchita masewera olimbitsa thupi malinga ndi zomwe zikuwonetsedwa monga kuthiridwa magazi.

Popeza kuti chilonda chamafulu chimagwirizanitsidwa ndi kupweteka kwambiri, mankhwala a ululu amaperekedwa pamodzi ndi chithandizo cha detoxification.

Chovala chosalimba chimagwiritsidwa ntchito kwanuko m'malo owonongeka a minofu yakunja. Ndikofunikira kuti zizikhala ndi mankhwala opangira antiseptic, mwachitsanzo, mafuta odzola. Ndizofunikira chifukwa zimathandizira kuyimitsa kufalikira kwa zoperewera. Komabe, mafuta omwe amapangidwa pamaziko a maantibayotiki omwe aperekedwako sangakhale ndi mphamvu yochiritsa. Mu matenda a shuga, mankhwala a insulini wowunikira amayenera kuganiziridwa kuti ndi gawo lofunikira la machitidwe ochiritsira omwe sanachite opaleshoni.

Njira zopangira opaleshoni

Njira zochizira opaleshoni zitha kugwiritsidwa ntchito, mwachitsanzo, kufafaniza mzere wam'magazi. Potere, kuyeretsa kwaderalo kumaperekedwa, komwe kumachotsa matenda omwe amadza pambuyo pake ndi kuwonongeka kwa minofu. Njira zopangira opaleshoni zimaphatikizapo balloon angioplasty, komanso kukomoka kwa mitsempha yam'munsi.

Kuphatikiza apo, nthawi zina, akatswiri amalimbikitsa endarterectomy (resection of atherosulinotic plaques from lumen of the chombo), bypass surge. M'malo ovuta kwambiri, njira zina zamtundu wa chithandizo ndizosatheka, kudula gawo lamiyendo mwendo kumagwiritsidwa ntchito.

Chithandizo cha anthu

Monga tanena kale, chithandizo cha odwala omwe ali ndi vuto lothandizanso wowerengeka chingathe kuperekedwanso. Mafuta okhala ndi zinthu zambiri angagwiritsidwe ntchito. Kuti mukonze, phatikizani 50 g. rosin, mafuta anyama, uchi, komanso sopo ochapira ndi mafuta oyendera mpendadzuwa. Kenako, misa imawiritsa, ndipo pambuyo pozizira, adyo wosankhidwa bwino, aloe ndi anyezi amayamba (nawonso 50 gr.). Dziwani izi:

zikuyenera kusakanikirana bwino,
Musanagwiritse ntchito, tikulimbikitsidwa kutentha m'madzi osamba,
gwiritsani ntchito kumadera ovuta ndikulimbikitsa kutentha kokha.

Chisamaliro chapadera chimayenera kukhala ndi rye mkate. M'pofunika kugwiritsa ntchito mkate watsopano wa rye, womwe umafuna. Compress imapangidwa kuchokera ku misa, yomwe imagwiritsidwa ntchito pazowawa. Ndikofunika kulingalira kuti popera kupera zigawo zina mwanjira ina, sipadzakhalanso kubwezeretsanso. Izi zimachitika chifukwa chakuti mkate umakhudzana ndi malovu, kotero kuti zowonongeka zimachiritsa mwachangu kwambiri.

Zotsatira zabwino zimawonetsedwa ndi tincture wapadera wa coniferous. Kuti mukonzekere, muyenera kupera singano zazing'ono za chomera chilichonse chokhala ndi mafuta (siziyenera kupitirira sentimita imodzi). Mutha kuziwuma ndi kuzisunga m'thumba, kapena mutha kuzigwiritsa ntchito zatsopano. Pokamba za algorithm yokonzekera, samalani:

pafupifupi asanu tbsp. l singano zimanyowa mu lita imodzi yamadzi,
kuwonjezera gwiritsani anyezi mankhusu ndi m'chiuno chonyansa (supuni imodzi iliyonse),
malonda amabweretsedwa ndi chithupsa ndikuwotchedwa kwa mphindi zisanu ndi chimodzi,
ndikofunikira kuti kapangidwe kake kamaphatikizidwa kwa maola eyiti.

Ndikulimbikitsidwa kuti muziisefa ndi kuyika m'malo mwa madzi kwa maola 24. Ndi chololedwa kugwiritsa ntchito zosaposa 600 ml tsiku limodzi. Chisamaliro chapadera chimayenera njira zodzitetezera.

Kupewa matenda

Ndikofunikira kusamalira kupewa kupewa matenda oyambitsidwa ndi matenda, kaya ndi matenda a shuga kapena, mwachitsanzo, atherosulinosis. Izi ndichifukwa choti nthawi zambiri zinthu izi zimayambitsa kuphwanya kwa ntchito yoyendayenda komanso kukulitsa matenda osokoneza bongo. Kuyankhula makamaka za njira zopewera, samalani ndi kadyedwe koyenera, kuphatikizidwa ndi chizolowezi cha chikonga. Chofunikanso kwambiri ndicholimbitsa thupi nthawi zonse.

Mabala onse ayenera kuthandizidwa ndi mankhwala a antiseptic (mwachitsanzo hydrogen peroxide). Izi zimachepetsa mwayi wa anaerobic ndi ma virus ena aliwonse omwe amalowa mu bala.

Polankhula mwachindunji za matenda ashuga, amatchera khutu kuti zofunikira kuchepetsa mwayi wovulala miyendo. Mukalandira chovulaza chotere (kutentha, kudula, frostbite, ndi zina), ndikofunikira kuwayang'anira mwachidwi ndikuyamba kulandira chithandizo chanthawi. Kuphatikiza apo, kukonza tsiku ndi tsiku mosamala bwino zaukhondo sizikhala zosafunikira kwenikweni, ndikofunikira kuwonetsetsa kuyera kwa malekezero akumtunda ndi otsika, gwiritsani ntchito njira zovomerezeka pa izi.

Kuzindikira kwa odwala matenda ashuga

Kukula kwa chithandizo cha odwala omwe ali ndi matenda ashuga makamaka kumatengera gawo lodziwira matenda.

Asanapezeke matendawa, amakhala ndi mwayi wochira kwathunthu ndikukhala ndi moyo wabwino kwambiri.

Ngati tizingolankhula za magawo apambuyo, amalabadira kuti ngakhale ndi kuthandizira kwakanthawi kouma komanso konyowa, matenda amatsirizika ndikudula chiwalo ndi chilema cha odwala matenda ashuga. Zotsatira zake mu 90-95% ya milandu chifukwa cha kuledzera kwakukulu ndi imfa ya wodwala.

Matenda a shuga omwe amauzidwa ndi DIABETOLOGIST ndi odziwa Aleksey Grigorievich Korotkevich! ". werengani zambiri >>>

Ndi mtundu wamagesi am'magazi, mu 30- 40% ya milandu, kufa kumachitika chifukwa cha kuwonongeka kwamkati. Kuchuluka kwa odwala matenda ashuga omwe amakhala ndi izo zimatengera m'badwo wa wodwala, momwe thupi lake lilili. Odwala matenda osachiritsika alibe gawo lochepetsera kukhala ndi moyo, panthawi imodzimodzi, zovuta zake zimatha kuwononga moyo.

Zoyambitsa Gangrene

Mosakayikira, matenda ashuga ndi matenda oopsa, omwe amakhala ndi zotsatirapo zingapo zoyipa.

Zochitika zoyipa zomwe zimatsatana ndi chitukuko cha matenda a shuga ndi matenda osiyanasiyana am'kati, matenda am'thupi ndi chitetezo cha mthupi, komanso matenda a virus ndi bakiteriya.

Mwachitsanzo, oposa theka la odwala omwe ali ndi vuto lachiberekero, amayamba nthawi zina pomwe njira zingapo zoyipa zimayamba kulowa mthupi la munthu, zomwe zimabweretsa kusintha kwina.

Kusintha koteroko mthupi kumatha kukhala:

Zosintha pakuphatikizika kwa mafupa ndi mafupa.
Opcerous mitundu.
Matenda a circulatory system, omwe, nthawi zambiri, amawonekera chifukwa cha chitukuko cha matenda monga atherosulinosis.

Wodwala aliyense akapeza kusintha kulikonse pamwambapa, ayenera kupempha thandizo kwa dokotala nthawi yomweyo. Ndikofunika kukumbukira kuti chithandizo cha gangore chikuyenera kuyambitsidwa nthawi yomweyo, apo ayi pamakhala kuthekera kwakukulu kwa mwendo wanu.

Pali mitundu ingapo ya zotupa zofewa zamtunduwu, mu nkhani iyi tikukamba za chonyansa chazirombo zovuta. Amadziwika ndi kufa kwa minofu yakumaloko, zomwe zimayambitsa matenda a minofu yamoyo, komanso magazi amunthu. Cadaveric komanso zapoizoni zimayambitsa kuwonongeka kwa ziwalo zamkati. Nthawi zambiri, izi zimakhudza:

Zachidziwikire, chovuta kwambiri ndikuti ngati simupereka chithandizo panthawi yake, wodwalayo akhoza kufa.

Zoyambitsa matenda

Pali zinthu zina zomwe zimakhudza kupezeka kwa zinthuzi.

Development atherosulinosis, chifukwa choti zombo zimakhala zotsekeka kwambiri, wodwala amatha kuyamba ischemic gangrene. Zotsatira zake, maselo a minyewa samalandira oxygen yoyenera ndikuyamba kufa.

Komanso, kuzindikira ngati phazi la matenda ashuga kumatha kukhala chifukwa. Amadziwika ndi mapangidwe azilonda mwachindunji kuphazi, komanso m'munsi mwendo. Choyipa chachikulu pamenepa ndichakuti mawonekedwe awa samachira kwa nthawi yayitali, chifukwa chomwe gangrene ayamba kukulira.

Chizindikiro china chomwe chikusonyeza kuti wodwala atha kukhala ndi mavuto ndi miyendo ndi polyneuropathy. Cholinga chake ndikuchepa kwa shuga kagayidwe.

Njirayi imayendetsedwa ndi kuwonongeka kwa ma cellvessels ndi kukalamba kwawo mwachangu kwambiri, kuchepa kwa kuchuluka kwa makhoma a capillary, osteoporosis, aseptic necrosis ndi abscess.

Mwambiri, nthambi yam'munsi ya wodwalayo imadwala matenda aliwonse oteteza kumatenda. Chifukwa chake, wodwala aliyense yemwe wapezeka ndi zomwe zili pamwambapa ayenera kusamala makamaka za thanzi lake ndikuyendera dokotala wake pafupipafupi. Kupatula apo, munthu sanganene chomwe chimayambitsa kukula kwa gangore.

Zosintha zilizonse zimatha kukhala chothandizira kukulitsa vutoli.

Koma, ngati mungapereke mayeso munthawi yake ndikudziwa za ngoziyo pasadakhale, ndiye kuti zitha kuthetsa vuto lanu komanso kuthana ndi vutoli.

Kuzindikira matenda osokoneza bongo omwe ali ndi matenda ashuga

Ndikosavuta kuzindikira vutoli kumayambiriro.

Ndi chiyambi cha matenda, chidwi cha minofu chimachepa kwambiri ndipo ndizosatheka kumvetsetsa kuti matendawa adayamba kukhazikika.

Komabe pali zizindikiro zina zomwe zingauze wodwalayo ndi dokotala kuti akufunika kuyamba kulandira chithandizo mosachedwa.

Zizindikiro zazikulu zakukula kwamavuto ndi izi:

Kumva kutopa kosalekeza komanso kulemera m'madera akumunsi.
Kuzizira kumawonekera ndipo mwendo umatha kuzimiririka.
Mumapweteka kwambiri, minyewa imatha kugoneka.
Mtundu wa khungu umasintha pang'ono, matenthedwe a thupi nawonso amatuluka.

M'mawonekedwe, mutha kuwona kuwonongeka kwina kapena mosinthanitsa ndi khungu. Nthawi zina odwala amawona cyanosis ya phazi lawo. Mwa njira, pafupifupi nthawi zonse chimanga chimapangidwa pamiyendo, kufiyira kwambiri ndikuwoneka.

Ngati chimodzi mwazina zomwe zalembedwazi zilipo, kapena zonsezo, ndiye muyenera kumvetsetsa kuti zoneneratu pankhani iyi sizosangalatsa. Zachidziwikire, ndizomveka, ngati simukufuna thandizo la kuchipatala munthawi yake, ndiye kuti sizingatheke popanda kudula mwendo mukadwala matenda a shuga ..

Ngati vutoli latha, ndiye kuti odwala apezanso zizindikilo zina za vutoli. Mwakutero:

madera amakhala pamavuto,
zotupa sizilandira kuchuluka koyenera kwa magazi,
Kutupa kwamphamvu kumayamba, komwe kumayendetsedwa ndi kachilomboka.
mumakhala ndi mseru, kuzizira kwambiri, kupweteka ndi ululu m'thupi.

Pankhaniyi, kulosera kumakhala koopsa kwambiri. Chifukwa chake, muyenera kufunsa dokotala nthawi yomweyo.

Zizindikiro zakunja za necrosis mu gawo loyambirira

Pofuna kuti musaphonye kukula kwa gangren, ndikofunikira kulabadira mawonetsedwe ake monga:

kutayika kwa miyendo
dzanzi kapena kugunda kwa chidwi
miyendo nthawi zambiri chimazizira chifukwa cha kusokonezeka kwa magazi,
khungu lotuwa pamapazi, pambuyo pake mwendo umasanduka wofiira kapena wabuluu,
miyendo nthawi zambiri imatopa
mtundu ndi kapangidwe ka misomali, kusokonekera kwawo ndikuwonekera kwa matenda oyamba ndi fungus kumawonjezereka,
chilonda chosakhazikika chikuwoneka ndi kuwonda kwakukulu,
malungo ndi mseru zingachitike.

Popeza mwapeza zizindikilo zotere, ndikofunika, osachedwa, kukayezetsa ndikuyamba kulandira chithandizo.

Mwa kusintha khungu la miyendo, mutha kuwona momwe kuwonongeka kwa minofu ya malekezero kumayambira.

Ndi necrosis youma, zosintha zotsatirazi zimachitika:

redness ya zala imawonedwa,
redness yafupika ndipo khungu limasandulika
kuoneka wonyezimira
zala zakufa zisandulika zakuda
malire osiyana akuwoneka pakati pa odwala komanso athanzi.

Matenda opita patsogolo sangathenso kuonekera.

Zizindikiro za kufa zayamba kulengezedwa:

motsutsana ndi kumbuyo kwa ululu wabwinobwino m'miyendo,
miyendo imanyalanyaza mphamvu zakunja,
kusiyanitsa bwino pakati pa kufa ndi minofu yathanzi,
zamkati mwendo mwadzidzimu
Kusintha kwa phazi kumachitika ndi kuyanika kwake.

Wet gangrene amadziwoneka yekha mwanjira yosiyana pang'ono:

intaneti yolumikizana ndi khungu ikuwonekera.
miyendo yatupa
poyambira, palibe kusiyana pakati pa odwala ndi malo olimba.

Wothamanga chonyansa akuwonekera ndi zodziwikiratu zoonekera:

kupweteka kwambiri, osagwiritsidwa ntchito ndi kupweteka,
Khungu limayamba kuda ndipo limakutidwa ndi masamba otupa,
fungo losasangalatsa limawoneka kuchokera zilonda ndi zilonda,
kutentha kwakukulu ndi kutsika pang'ono kumawonedwa, tachycardia imakulirakulira,
pali kusanza, kunjenjemera miyendo, kugunda kwamisempha.

Nkhani ya kanema yokhudza magawo a kukula kwa necrosis mu matenda a shuga:

Njira zochizira

Chithandizo cha zovuta zimatengera mtundu wa gangore komanso kuchuluka kwa kunyalanyaza kwa necrosis. Wouma gangrene koyambirira kumakhala kosavuta kuchitira mankhwala. Cholinga chachikulu cha chithandizo chosasamala ndikutsitsa shuga wamagazi ndikubwezeretsa magazi m'miyendo.

Wet gangrene ikhoza kuyambitsa poizoni wa magazi ndi kufa, motero, ndi chidziwitso chakudula kwamalo kuti apulumutse moyo wa wodwalayo.

Zodzikongoletsa

Chithandizo cha Conservative cholinga chake ndi kukwaniritsa izi:

Matendawa komanso kuwongolera shuga.
Opaleshoni Jekeseni wa novocaine, antispasmodics angagwiritsidwe ntchito.
Kubwezeretsa magazi. Actovegin, Trental amasankhidwa.
Heparin amathandizira kuthetsa magazi.
Maantibayotiki amatha kuteteza matenda.
Amachotsa zotsatira za poizoni m'thupi ndi zinthu zowola.
Kuti muchepetse katunduyo miyendo, kugona pabedi kumalemekezedwa.
Vitamini maofesi abwezeretsa chitetezo chathupi.

Mu zovuta, antiseptic chithandizo cha zilonda zimachitika, kutupa kumachotsedwa, zakudya zimasinthidwa.

Mankhwala osokoneza bongo, njira zosagwiritsidwa ntchito masiku ano pochiritsa mabala amagwiritsidwanso ntchito:

Njira yochepetsera ndikugwiritsa ntchito ntchentche kuchiritsa zilonda. Mphutsi zomwe zimayikidwa mu bala zimadya minofu yowonongeka chifukwa cha kuwola ndikuiphera mankhwala, zomwe zimayambitsa kuchira msanga.
Kugwiritsa ntchito chipinda cha okosijeni. Chiwalo chomwe chakhudzidwa chimathandizidwa ndi okosijeni mu zida zapadera, pambuyo pake mabala amachiritsidwa.

Opaleshoni

Ndi chonyowa necrosis, kulowererapo kwa opaleshoni kumasonyezedwa. Woopsa, ndikofunikira kuchotsa dzanja ndi vuto ndikulanda mbali yayikulu yathanzi. Mwachitsanzo, ndi chala chowola, phazi lonse limadulidwa. Njira zodabwitsazi sizimapatula kuthekera kochitika pambuyo pake kwakanthawi, makamaka kwa odwala okalamba.

Pomwe zingatheke, madokotala ochita opaleshoni amayesa kusunga mwendo ndikugwiritsira ntchito kuchotsera malo owonongeka okha, kuyeretsa ndikubwezeretsa zimakhala zoyandikana. Pambuyo pa opareshoni, chithandizo chotsutsa-kutupa ndi maantibayotiki ndi mahomoni chimachitika.

Ngati vuto la necrosis lili koyambirira, njira zochepa zomwe zingagwiritsidwe ntchito:

Opaleshoni yam'mimba. Zotsatira zake, chotengera chomwe chimakhudzidwa ndi zolembera kapena ma thrombus sichimasokoneza kayendedwe kabwinobwino ka magazi. Zingwe zimapeza chakudya chokwanira komanso kukula kwa gangrene amakwanitsa kusiya.
Mothandizidwa ndi Hardware, mutha kuchotsa magazi omwe amapangika pachiwiya.
Kukhazikika. Ikani makhoma, ndikukulitsa lumen yopepuka ya mtsempha.

Njirazi zimathandizira kupewa kudula ndi kusuntha miyendo.

Njira zopewera

Odwala omwe ali ndi matenda ashuga ayenera kuyang'anitsitsa momwe miyendo yawo ilili.

Kutsatira malamulo osavuta kumachepetsa kwambiri mwayi wokhala ndi vuto lalikulu:

Yang'anirani magazi anu.
Yendani pafupipafupi. Kuyenda kapena kuthamanga kumayendetsa bwino magazi. Mutha kuyerekezera kuyenda pakama.
Sambani ozizira tsiku lililonse. Pambuyo pake, pukutani ndi tawulo.
Kusamba kosangalatsa ndi mchere wamchere kapena mpiru kungakhale kothandiza.
Kugwiritsa ntchito mankhwala ochepetsa magazi nthawi zonse kumapewetsa magazi kuwundana.
Menyani mafinya ndi zilonda kumapazi mosamala, kupewa matenda kuti asalowe.
Valani nsapato zoyenera.
Pewani matenda oyamba ndi fungus a mapazi.

Zizindikiro zoyambirira za matendawa

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

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

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

Matenda oyamba

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

Chithunzi cha zodwala phazi m'matenda a shuga

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

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

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

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

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

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

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

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

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

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

Gangrene m'dera la chala

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

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

Kukula kwa gangrene mwa okalamba

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

Chithandizo cha gangrene

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

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

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

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

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

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

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

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

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

Ndi angati akukhala ndi matendawa

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

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

Kodi kuchitira zovuta?

Odwala ambiri, pazifukwa zina, ali ndi chikhulupiriro kuti kupulumutsa mwendo ndikosatheka.

Ndikufuna kutsutsa malingaliro awa ndikufotokozeranso kuti mukayamba kulandira chithandizo mosachedwa, mutha kuthetsa vutoli.

Pankhaniyi, pali njira zingapo zochizira.

Mutha kuyesa kuthana ndi matendawa pogwiritsa ntchito njira zochizira, kapena mutha kugwiritsa ntchito maopaleshoni. Njira yachiwiri ndiyothandiza kwambiri. Ndikulimbikitsidwa kuti muyambe kuthana ndi matendawa pogwiritsa ntchito njira zochizira.

Ngati tirikulankhula za njira zoyenera, ndiye kuti muyenera kuyamba ndi izi:

Bweretsani matenda a shuga ku gawo la kulipidwa.
Chepetsani kuchuluka kwa matenda ndikuyesa kuchotsa kutupa kwathunthu, chifukwa maantibayotiki apadera ndi omwe amapatsidwa.
Sinthani chitetezo chokwanira mothandizidwa ndi mavitamini apadera, komanso zinthu zina zathanzi. Mavitamini Olimzh ndi Doppelgerts ndi othandiza.

Ngati njira zonsezi sizipereka mphamvu yoyenera, ndiye kuti muyenera kugwiritsa ntchito opaleshoni. Pankhaniyi, ndikofunikira kuyeserera kwathunthu kwa wodwalayo. Dziwani zamatenda ang'onoang'ono omwe angakhale nawo, ngakhale pali zovuta zina zilizonse zomwe zingachitike.

Ndiwothandiza kwambiri kuthandizidwa kuchipatala komwe samatha komanso chithandizo chofunikira.

Kodi muyenera kukumbukira chiyani pochiza zovuta?

Chifukwa chake, potengera zonse zomwe zanenedwa pamwambapa, zikuwonekeratu kuti ngakhale patapezeka kuti zigawenga zapulumuka, kupulumutsa mwendo ndizowona. Pokhapokha pazomwe muyenera kutsatira zitsimikizidwe zonse za akatswiri ndikupereka chithandizo choyenera komanso chapanthawi yake.

Wodwala aliyense amadziwa kuti ngati ali ndi matenda ashuga ndikofunikira kuonana pafupipafupi ndi dokotala wanu ndikuwonetsetsa kusintha kwanu konse.

Ngati mudakumana ndi vuto lomwe tafotokozazi, ndikofunikira kwambiri kuchiza matendawo. Ndikofunikira kuyamba kumwa maantibayotiki apadera ndi mankhwala ena munthawi yake yomwe ingathandize kubwezeretsa thanzi ndikupulumutsa dzanja.

Koma, ngati khungu lafika kale poti ma necrosis adawonekera, muyenera kulankhulana ndi dokotala wothandizira. Zachidziwikire, pankhaniyi sizokayikitsa kuti kuduladuka kwa chiwalo kudzapewedwa, koma apa ndikofunikira kwambiri kuyimitsa matenda ena ndikuletsa imfa ya wodwalayo.

Kuphatikiza pa zonsezi, muyenera kutsatira malangizo a dokotala ena. Mwachitsanzo, wodwalayo ayenera kukhala wodekha, kudya bwino, osamwa mowa ndikutsatira malangizo ena angapo. Kanemayo munkhaniyi akukamba za zovuta zomwe shuga ingakhale nazo.

Zizindikiro zakunja za gangrene koyambirira

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

Zizindikiro zazikulu zomwe zimavutitsa wodwala kumayambiriro:

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

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

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

Ndithamangira kunena mbiri yabwino - Endocrinology Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Julayi 6 alandire mankhwala - ZAULERE!

Zizindikiro Zouma Gangrene

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

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

Ndili ndi zaka 47, anandipeza ndi matenda a shuga 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.

Zowonda kwambiri

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

Kodi kuchitira matendawa? Ndikofunikira kuyamba kuchiza pochotsa zoyambitsa zake:

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

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

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

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

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

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

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

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