Kuwotcha miyendo mu matenda ashuga: mankhwalawa a redness a zala ndi mapazi

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

Zomwe zimayambitsa ndi zizindikiro za matenda a shuga

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

● Kuphwanya kagayidwe kazomera, kamene kamayambitsa kutupa kwamanjenje,

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

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

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

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

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

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

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

Chithandizo cha Zitsamba za Neuropathy

Popeza matenda ashuga a m'magazi ndimayendedwe amodzi a matenda a shuga, ndiye kuti mankhwalawo ayenera kupezeka, matenda kagayidwe kachakudya mafuta. Pachifukwa ichi, wodwalayo ayenera kuyang'anira shuga ndikuwonetsetsa madokotala omwe amapezekapo. Zofunikanso ndikuchita ntchito zamagalimoto (kupatula kuthamangira komanso kuyenda kwakanthawi), kutsatira zakudya zomwe dokotala wamupatsa, komanso kukhalabe ndi thupi lokwanira.

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

Pofuna kuthana ndi neuropathy, chithandizo chachikulu cha mankhwala osokoneza bongo ndizofunikira onjezerani mankhwala azitsamba. Zitsamba zamankhwala zimachepetsa kuuma kwa zizindikiro za ululu, kuchepetsa kuchepa kwa matendawa ndikuthandizira ntchito ya minyewa yamitsempha. Mankhwala othandizira odwala matenda amitsempha, matenda ogwiritsidwa ntchito - okonza metabolic, komanso zitsamba zomwe zimakhala ndi neuroprotective, analgesic ndi antioxidant.

Apa Chinsinsi, amene amathandizanso kupweteka mu matenda ashuga a m'mimba komanso amathandizira kwambiri. Zimaphatikizapo mbewu za analgesic (angelica ndi wort ya St. John). Kutsutsa-kutukusira kwa chophatikizira ichi kumaphatikizidwa ndi Scutellaria baicalensis. Melilotus officinalis limakhala ngati chomera chomera. Mtsi Wamkaka zowongolera mulingo wa glycemia ndipo ginger amathandiza ntchito ya antioxidants mthupi. Selari Muli ndi mankhwala apiin, omwe amachepetsa zotsatira zoyipa za aldose reductase, enzyme yomwe imakulitsa shuga.

Kuti mukonzekere kulowetsedwa, muyenera kutenga magalamu 10 a muyezo wa angelica, clover wokoma, wort wa St. Kuchuluka kwazakumwa zobiriwira izi zimawerengeredwa tsiku limodzi la kulowa. Zosonkhanitsa ziyenera kupangidwa mu thermos ya 300 ml ya madzi otentha ndikuumirizidwa kwa theka la ola, nthawi zina kugwedezeka. The kulowetsedwa aledzera ofunda masana magawo 15 mphindi asanadye. Njira yovomerezeka ndi masiku 10.

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

Njira yatsopano yothandizira matenda ashuga a polyneuropathy ndi kulowetsedwa kwa masamba a ginkgo biloba. Mankhwala, muyenera kuthira 500 ml ya madzi otentha supuni ziwiri za masamba azomera. Pambuyo pokakamira kwa maola atatu, kulowetsaku kuyenera kuledzera magawo ofanana patsiku. Kapena tengani masamba a ginkgo kuti akupanga m'matumba a fyuluta, omwe atha kukhala osavuta kwambiri, nyamula malinga ndi malangizo ndikumwa makapu awiri a kulowetsedwa tsiku lonse. Kapenanso kumwa tincture wa ginkgo wokonzekera wa ginkgo 20-30 akutsikira katatu patsiku musanadye.

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

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

Zomera zomwe zimayendetsa bwino milingo ya glycemia komanso yothandiza mankhwalawa zikukhudzana hibiscus. Iyenera kugwiritsidwa ntchito mwa kuchuluka kosaposa 10-15 magalamu a zopuma zouma patsiku (timagwiritsa ntchito maluwa owuma). Kuti akonze kulowetsedwa, maluwa ambiri amathiridwa ndi 200 ml ya madzi otentha ndikusungidwa mu thermos kwa mphindi 15. Pambuyo pozizira komanso kupsinjika, tengani mphindi 15 musanadye katatu katatu patsiku. Njira ya mankhwalawa hibiscus ndi masiku 10 mpaka 14.

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

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

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

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

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

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

Malo akunja

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

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

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

Zomwe Mungachite Kuti Muchepetse Zizindikiro za Neuropathy

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

Zochita zolimbitsa thupi 1

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

Kuchita masewera olimbitsa thupi nambala 2

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

Zochita zolimbitsa thupi 3

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

Zochita zolimbitsa thupi 4

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

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

Stage Diabetesic Neuropathy

Miyendo yoyaka mu shuga imayambika pakatha miyezi yochepa kapena zaka. Chifukwa cha zotupa zambiri zam'mphepete zam'mphepete, kuphwanya kwamphamvu kwa zochitika zamagetsi zamagetsi kumachitika.

Ndi matenda a shuga a m'magazi, khungu kumiyendo limayuma, limayamba kubooka. Wodwala, wodwalayo amapeza zilonda zazing'ono ndi ming'alu m'miyendo. Kusazindikira kwamiyendo mwapang'onopang'ono kumakhala chifukwa chodwala, wodwalayo amakhala ndi vuto losakhazikika, ndipo mutu umakhala wopanda nkhawa.

Gawo loyambirira la matendawa limadzimva kukhala lopanda nkhawa kumadera akutali a miyendo, woyamba wodwala matenda ashuga awone:

1. goosebumps
2. kuyaka
3. kupweteka mukakanikiza zala.

Pakapita kanthawi, neuropathy imadutsa miyendo yakumtunda, zimayamba kuvuta kuti munthu angavale nsapato, kuyenda pang'ono ndi manja ake.

Kugonjetsedwa kwa mitsempha mathero kumabweretsa zowawa mu mawonekedwe a miyendo yoyaka, komanso zomverera zina zosasangalatsa, mwachitsanzo, kuchepa kwamphamvu kwa chidwi ndi madzi otentha, ming'alu, mabala.

Kuzindikira matenda a shuga

Mukazindikira matenda a diabetes a neuropathy, dokotala amayenera kuganizira kutalika kwa nthawi ya matenda ashuga, madandaulo a wodwalayo pakusintha kwa thanzi. Chotsatirachi ndikuwunika kofotokozera ena za matendawo.

Kuzindikira kwa Tactile kumatsimikizika pakukhudza khungu, mawonekedwe a tendon amawunikidwa ndi nyundo yamanjenje pogwiritsa ntchito njira yolimira. Kuwulura mtundu wa conduction wa mitsempha kukoka kwa minyewa kumachitika chifukwa cha njira ya elekitirodi.

Ngati mapazi ayaka ndi matenda ashuga:

• Dokotala amawunika momwe miyendo imagwedera, pogwiritsa ntchito foloko yomwe imagwira miyendo,
• kudziwa kukula kwa kupweteka, tibia imayalidwa ndi mbali yakunja ya singano yachipatala,
• kutentha kumakhazikitsidwa ndikugwiritsa ntchito njira zina zotentha ndi kuzizira.

Kuphatikiza apo, kafukufuku wazomwe zimachitika pakudya m'mimba, mtima dongosolo, ziwalo zoberekera. Chifukwa chaichi, radiology, kuyeza kuthamanga kwa magazi tsiku ndi tsiku, ECG, ultrasound imachitidwa.

Ndikofunikanso kuyesa kuchuluka kwa mapuloteni m'magazi, urea, creatinine ndi kuchuluka kwa kusefera.

Njira zopewera

Cholinga chopewa matenda a diabetesic neuropathy ndikuwunikira kosalekeza kwa hypoglycemia. Wodwalayo ayenera kumvetsetsa kuopsa kwa vutolo ndi kukhalabe wathanzi ndi insulin ndi mankhwala ena omwe adamupatsa.

Popewa kuwotcha mapazi a matenda a shuga, amafunika kangapo pachaka kuti azindikire matenda a endocrinologist, kutsatira malangizo ake.

Njira yodzitetezera yoyaka m'miyeso chizikhala chizolowezi chovala masokosi opangidwa kuchokera ku zinthu zachilengedwe zokha zomwe sizisokoneza magazi. Pofuna kuti musavulaze khungu la mapazi, ndi bwino kupewa kuyenda popanda masokosi ndi nsapato, kapena kugwiritsa ntchito insoles ya shuga.

Kutengera kuyendetsa magazi:

• kuphipha kwapakhosi kumachepetsedwa,
• amathetsa njala yakufa kwa minofu ya miyendo.

Pakawonongeka khungu la mapazi, kuyezetsa ming'alu tsiku ndi tsiku, kuphwanya, matuza ndi mabala kumachitika. Mwendo wowonongeka umasamaliridwa bwino ndi madzi ofunda, wopukutidwa ndi thaulo lofewa, ndikuumitsa khungu pakati pa zala.

Ngati munthu akuvutika ndi kutentha m'miyendo, ndikofunikira kuti azivala nsapato zapamwamba, zomwe phazi silimaphika. Pakakhala kusintha kwamiyendo, amavala nsapato zamtundu wakapangidwe.

Wodwala aliyense ayenera kukumbukira kuti ndibwino thanzi kukhala ndi moyo wakhama, kuti muchepetse kunenepa. Ndi kunenepa kwambiri, kulemera kwa thupi kumakhudzira mathero a mitsempha, chitetezo cha mthupi, chifukwa chake metabolism imasokonezeka.

Khungu likadzikwirira, moisturizer amasonyezedwa:

Ndikofunikanso kusiya zizolowezi zoyipa, chifukwa mowa ndi chikonga zimawononga kwambiri mathero a mitsempha, potero zimawonjezera chiopsezo choduladula miyendo.

Pokayikira kochepa kokhala ndi matenda a shuga ndi neuropathy, muyenera kufunsa chithandizo chamankhwala dokotala. Kusankha kudzisankhira nokha kumabweretsa zotsatirapo zoyipa kwambiri.

Elena Malysheva mu kanema munkhaniyi ayankhula za matenda ashuga a m'mimba ndi njira zamankhwala.

Zomwe zimapangitsa kumva kupsa kwamoto mu shuga

Kuwotcha kwambiri mapazi - ichi ndi chizindikiro cha kusintha kwina kwa thupi komwe kwachitika m'thupi. Itha kukhala:

• matenda a mtima
• kagayidwe kachakudya
• matenda a mafupa kapena minofu
• zotupa za pakhungu,
• matenda ashuga.

Matenda omaliza pamndandanda ndi imodzi mwazomwe zimayambitsa mawonekedwe. Mmodzi yekha mwa anthu 10 odwala matenda ashuga amene angapewe kutentha kwa miyendo. Pali zifukwa ziwiri zoyambitsa mapazi ashuga ku matenda ashuga:

• mawonekedwe ndi magwiridwe antchito mu ma capillaries, zimapereka magazi kupita ku mitsempha yamitsempha,
• zovuta zosagwira mu metabolic njira.

Zizindikiro zina zokhudzana ndi matenda a shuga

Gawo loyamba limadziwika ndi:

• kumva zamkati
• kupweteka pakufinya zala,
• mapazi akupsa.

Mawonekedwe a kuchepa kwa chidwi:

• kutentha kwa madzi sikumamveka pakamiza madzi odwala,
• ming'alu yaying'ono ndi mabala pakhungu sizibweretsanso chisangalalo chotere, kotero kuti odwala matenda ashuga sawalabadira.

Zoyenera kuchita mukaphika miyendo ya kumapazi?

• Sinthani magazi shuga,
• bwezerani mathero amitsempha,
• kuthetsa ululu.

Kuwotcha miyendo mu matenda ashuga: mankhwalawa a redness a zala ndi mapazi

Vuto la neuropathy posachedwapa lakhala imodzi mwazomwe zili zofunikira kwambiri mndandanda wazovuta za matenda ashuga. Malinga ndi zomwe zaposachedwa, pafupifupi 90% ya anthu onse odwala matenda ashuga amavutika nayo. Chifukwa chiyani kuphika mapazi ndi shuga? Cholinga chachikulu ndikusintha kwapangidwe ndi kagwiridwe kake ka ma capillaries, omwe amachititsa magazi kulowa m'mitsempha ya mitsempha.

Zowawa zimakulirakulira, miyendo imasokonezeka ngakhale ikapuma, imakhala yotumbululuka, ndipo zala zimayamba kukhazikika. Matenda osiyidwa a shuga amakhumudwitsa zala, zilonda zam'miyendo.

Phazi la Charcot mu shuga: momwe mungazindikirire ndikuchiza matenda

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Odwala omwe ali ndi matenda ashuga, zovuta zamagazi ndi kuwonongeka kwa mitsempha (neuropathy) ndizofala chifukwa cha izi, phazi la Charcot ndi vuto lomwe lingakhalepo. Uku ndi kusuntha kwapang'onopang'ono komwe kumafooketsa mafupa, kuwapangitsa kuti azitha kugwa mosavuta.

• Zolemba za matendawa
• Zomwe zimayambitsa ndi zomwe zimapangitsa kukula kwa matenda a zam'tsogolo
• Zizindikiro zamatendawa
• Kuzindikira ndi mawonekedwe ake
• Magawo a matenda
• Njira zochizira
• Mavuto
• Kupewa matenda

Matenda a shuga ndi matenda a shuga

Ili ndi dzina la kusokonezeka kwa mitsempha yokhudzana ndi kuwonongeka kwa mitsempha yaying'ono ya magazi. Amapezeka ndi matenda amtundu 1 komanso matenda ashuga 2. Njira ya pathological imakhudza ulusi wamitsempha yonse: sensory, motor and autonomic.

Kuwonongeka kwa mtima wa endothelium kumabweretsa kulowetsa kwaulere kwa mapuloteni a plasma kupitirira kama wamitseko, kuphatikizapo fibrinogen. Fibrinogen limayenda mu fibrin, ndikupanga cuff kuzungulira chotengera chomwe sichingawononge mpweya ndi michere. Popita nthawi, tsambali limakumana ndi necrosis ndikumwalira, ndikupanga zilonda.

Choyambitsa chachikulu cha matendawa chimawerengedwa ngati kuwonjezeka kwa shuga m'magazi. Zomwe zimayambitsa ngozi zazikulu ndi zachimuna komanso zaka. Zinthu zosiyanasiyana - hypercholesterolemia, ochepa matenda oopsa.

Zimawoneka bwanji

Matenda a shuga a shuga, omwe amatchedwanso peripheral neuropathy, amabweretsa zizindikilo zosiyanasiyana. Mtundu wodziwika bwino wamatenda ndi polyneuropathy, amadziwika ndi mawonekedwe:

• kuwotcha kwam'mbali ndi manja ndi miyendo (m'malo mwa chidziwitso cholondola chokhudza kukhudza, kapena kupweteka - mitsempha yovundikiratu yowonongeka imayamba kutumiza zosalakwika mu mawonekedwe a manja ndi mapazi oyaka),
• minofu kukokana ndi kupweteka
• Hypersensitivity kukhudza,
• kufooketsa chidwi chofuna kutentha (kuchepetsa mphamvu ya kutentha ndi kuzizira).

Mitsempha yofalikira yomwe imayendetsa chidziwitso ku ubongo wonena za kayendedwe kazinthu ndi kayendedwe imakhala pamapazi ndi manja, ndipo imakhala tcheru kwambiri kuwonongeka.

Chochititsa chidwi, neuropathy sichingokhala zovuta za shuga. Munthu akamakhala wamtali komanso nkhawa yake imakhala yayitali - zimakhala zosavuta kuwonongeka. Chifukwa chake, chimodzi mwazowopsa zomwe zimapangitsa kuti mavuto azikhala zovuta ndi kukula kwambiri kwa munthu.

Zomwe Zimayambitsa Mwendo

Matenda a shuga ndi matenda akuluakulu a shuga. Mavuto a mitsempha yomwe imayambitsa kusokonezeka kwa magwiridwe antchito komanso ma functional ma capillaries omwe amayambitsa kuthamanga kwa magazi kupita kumapeto kwa mitsempha ndi kulephera kwa kayendedwe ka metabolic kumabweretsa izi. Kuphatikiza pa miyendo yoyaka, zizindikiro zina zimawonekeranso:

• akumwetulira miyendo
• khungu lowuma
• kutopa,
• zovuta kuchiritsa mabala
• dzanzi komanso kusokonezeka kwa miyendo.

Mafuta ambiri m'magazi amachititsa kuti pakhale kupangidwa kwa zomwe zimatchedwa mathero a glycation, zomwe zimapangitsa kusintha mu mitsempha - atrophy of the membrane am'mitsempha kapena nyukiliya ya minyewa yamitsempha (demyelination).

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Zowopsa

Vutoli limakhudza anthu omwe akudwala matenda amtundu woyamba wa II komanso a II. Zina mwazinthu zazikulu zomwe zimawonjezera mwayi wokhala ndi matenda ashuga a polyneuropathy ndi:

• kusuta
• matenda oopsa
• kunenepa
• ukalamba
• amuna
• kumwa kwambiri mowa,
• zamtundu
• kuchuluka kwa cholesterol m'magazi - hypercholesterolemia.

Zotsatira zake, kuphwanya kogwira mtima kwa minyewa yam'mitsempha kumachitika, komwe kumayambitsa kutsekeka kwazomwe zimachitika. Kuyang'anira shuga wamagazi kumathandizira kupewa kapena kuzindikira zovuta za matenda ashuga.

Zindikirani! Kuphatikiza pa diabetesic neuropathy, chomwe chimayambitsa "miyendo yoyaka" kwambiri ndikusuta, kuledzera, komanso kuchepa kwa vitamini B12 (kusowa kwa vitamini B12 kumathandizanso kuti mugwiritse ntchito Metformin kwa nthawi yayitali.

Chifukwa cha mankhwala

Monga mankhwala a causative, mankhwala othandizira pa makolo amagwiritsidwa ntchito, kuphatikizapo omwe ali ndi antioxidant zotsatira:

• alpha lipoic acid (antioxidant wa amkati omwe amathandiza kuwonjezera glycogen mu chiwindi ndi kuthana ndi insulin kukana),
• odana ndi aldose reductase zoletsa
• zopatsa biogenic - Actovegin, Solcoseryl.

Chithandizo cha Syndrome

Zizindikiro chithandizo cha matenda a shuga a m'matumbo zimatengera chithunzi cha matenda. Ndi kupweteka kwamitundu mitundu ya neuropathy, ntchito:

Timapereka kuchotsera kwa owerenga tsamba lathu!

• antidepressants
• antiarrhythmic and antiserotonergic mankhwala,
• anticonvulsants
• narcotic analgesics.

Mankhwala omwe adawonetsedwa omwe amathandizira ntchito ya ziwalo zamkati - kutengera zomwe munthu wodwala akuonetsa.

Kupewa ndi malingaliro

Kuyambira kukula kwa matenda ashuga a m'mimba, imakhala bwino kwambiri ndipo imateteza matenda a shuga m'magazi komanso kukonzanso kosakwanitsa. Udindo wofunikira umachitidwanso poletsa kusuta ndudu komanso kukhazikika kwa kuchuluka kwa lipids (cholesterol, triglycerides) m'magazi.

Neuropathy kumlingo wotengera njira ya insulin. Kafukufuku akuwonetsa kuti mwa anthu omwe ali ndi matenda a shuga 1, njira yogwiritsira ntchito kwambiri mankhwala a insulin ndi othandiza kwambiri ngati akuwona kuchokera pakulimbana ndi vuto la neuropathy.

Mtundu wachiwiri wa matenda ashuga (wokhala ndi kukana insulin), zatsimikiziridwa kuti insulin yowonjezera mthupi imakhudza minyewa yamitsempha. Gulu la odwala - ndikofunikira kuthana ndi insulin yowonjezera m'magazi.

Chiwopsezo chachikulu chokhala ndi matenda am'mimba chimayang'aniridwa ndi anthu omwe amamwa mowa kwambiri ndi ndudu. Chinthu chachikulu popewa komanso kuchiza matenda a neuropathy ndi mulingo wabwinobwino wama glucose.

Kafukufuku wa nthawi yayitali akuwonetsa kuti ndi chithandizo cha insulini chambiri, pafupipafupi zizindikiro za neuropathy zidachepa - pambuyo pa zaka 5 ndi 50%. Chifukwa chake, kudziwitsidwa koyambirira kwa matenda ashuga komanso chithandizo chake choyenera ndikofunikira.

Ngakhale kupita patsogolo kwa matenda ashuga, matenda ashuga a m'mimba ndi mavuto ena amakhalanso vuto lazachipatala zomwe sizinathetsedwe, zikukulitsa moyo wawo ndikupangitsa kulumala kwa odwala.

Popeza chiwopsezo cha matenda a shuga chikuwonjezeka pamlingo wowopsa, zochitika za neuropathy zikuchulukirachulukira. Kudziwa ndi kumvetsetsa vutoli ndichinthu chofunikira kwambiri pakuwazindikira matenda anu komanso kuthandizira.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Zolemba za matendawa

Zinthu zikamapitirira, mafupa amayamba kugundana ndipo mwendo umayamba kukhazikika. Chifukwa cha neuropathy, matendawa amayambitsa kuchepa kwamphamvu kwa phazi kuti lisakwiye komanso kusokoneza minyewa yomwe imawongolera kuyenda.

Nthawi zambiri pamakhala kupweteka, choncho munthu amapitilizabe kuyenda ndi mapazi ake, kukulitsa vutolo. Ngati mulibe chidwi ndi matendawa, ndiye kuti ma ligamu, cartilage ndi mafupa zimawonongeka pang'onopang'ono.

Phazi la Charcot ndi mtundu wosakanizika wa phazi la matenda ashuga, matenda oopsa kwambiri omwe angayambitse kupunduka kwa miyendo, kulumala, kapena kudulidwa miyendo.

Matendawa nthawi zambiri amakhudza mwendo umodzi wokha, koma odwala 20% amakhala m'miyendo iwiri nthawi imodzi. Matenda nthawi zambiri amayamba pambuyo pa zaka 50 pakati pa odwala omwe akhala ndi matenda a shuga kwa zaka khumi ndi zisanu kapena kuposa apo.

Zomwe zimayambitsa ndi zomwe zimapangitsa kukula kwa matenda a zam'tsogolo

Ngati mwapezeka kuti muli ndi matenda osokoneza bongo a mellitus ndi zotumphukira neuropathy, mumakhala pachiwopsezo chopanga phazi la Charcot. Neuropathy ndichimodzi mwazinthu zazikulu zomwe zimayambitsa matendawa, chifukwa zimachepetsa mwayi wodwalayo kuti azimva kupweteka, kutentha kapena kuvulala.

Chifukwa cha kuchepa kwa chidwi, wodwalayo nthawi zambiri samazindikira kuti ali ndi vuto, mwachitsanzo, kuwonongeka. Odwala a Neopopathic omwe ali ndi tendon yopapatiza Achilles amathanso kukulitsa phazi la Charcot.

Matenda a shuga ndi shuga wambiri (hyperglycemia) zimatha kuyambitsa matenda amitsempha, omwe amatsogolera kumapazi a Charcot. Momwe izi zimachitikira sizikudziwika.

Zizindikiro zamatendawa

Phazi la Charcot (kapena diabetesic osteoarthropathy) ndi matenda opita patsogolo omwe amatenga milungu ingapo kapena miyezi ingapo. Kutupa kosasunthika kumabweretsa kuwonongeka kwa phazi ndi chifuwa cholumikizira komanso zofooka zazikulu. Nthawi zina kuvulala kochepa kumatha kuyambitsa zizindikiro. Zizindikiro zake zikuphatikizira izi:

• redness
• kutupa (chizindikiro chachikulu),
• kupweteka
• ofunda mwendo
• wolimba phazi,
• kutayika kwa mwendo,
• kutulutsa
• kuwonongeka kwamitsempha
• Kusintha kwa phazi.

Kuzindikira ndi mawonekedwe ake

Kuti muthane bwino ndi phazi la Charcot, muyenera kufotokozera dokotala mwansanga zizindikiro zake. Kuzindikira za matendawa m'magawo oyambilira ndikofunikira kuti mankhwala azitha bwino, chifukwa chake muyenera kupita ku orthopedist pazizindikiro zoyambirira za matendawa.

Nthawi zina kudziwa matendawa kumakhala kovuta chifukwa matendawa amatha kufanananso ndi zina, monga vein thrombosis. Chifukwa chake, njira zachikhalidwe zopezeka koyambirira (x-ray, MRI, CT, ndi zina) sizingakhale zothandiza ngati mapangidwe a mafupa a nyukiliya.

Kujambula kwa mafupa ndikuzindikira zamankhwala a nyukiliya. Panthawi imeneyi, amagwiritsa ntchito chinthu chaching'ono, chomwe chimatchedwa chidziwitso. Tracer imalowetsedwa m'mitsempha ndikufalikira m'magazi, kudziunjikira m'mafupa. Pambuyo polowetsedwa m'thupi, zinthu za tracer zimatulutsa mafunde a gamma, omwe amadziwika ndi kamera yapadera. Kamera iyi imapanga zithunzi zosintha m'mafupa a phazi, omwe amatanthauziridwa ndi radiologists.

Kuti muzindikire moyenera, mungafune radiology, MRI, CT, ultrasound Doppler. Pambuyo popanga matenda, kuwunika pafupipafupi kuyenera kuchitika kuti athe kuwunika momwe alili. Makina olembetsera a labotale atha kupemphedwa kuphatikizidwa kuti afufuze ngati mafupa ndi ma cartilage.

Magawo a matenda

Pali magawo 4 a phazi la odwala matenda ashuga a Charcot. Zonse zimayamba ndikuwonongeka kwa mafupa, mafupa owuma kwambiri amakhala, mafupa amaphatikizidwa amatambasuka. Vutoli limakhala chifukwa chakuwoneka ngati dislocations. Kenako khungu limayamba kufooka, kutupa ndipo matendawo amaoneka.

1. Gawo loyamba limadziwika ndi kusapezeka kwa ululu. Pathology sidzazindikira ngakhale pa x-ray. Mafupa am'mimba adzatulutsa, ndipo mawonekedwewo adzakhala ochepa.
2. Mu gawo lachiwiri, njira yodulira mafupa imayamba. Pankhaniyi, khwalala lathyathyathya, phazi lake ndi lopunduka. Pakalipano, kuyesa kwa X-ray kudzakhala kothandiza.
3. Gawo lachitatu limalola adokotala kuti adziwe matendawa mukamayesedwa kunja: kusinthika kudzadziwika. Mafupa obisika pang'onopang'ono amayamba kuwoneka. Zala zawo zimayamba kugwada, katundu pamapazi amapatsidwanso. Pakuwunika kwa x-ray, kusintha kwakukulu kumaonekera.
4. Pozindikira gawo 4 palibe zovuta. Zilonda zopanda machiritso a trophic, omwe pambuyo pake amatenga kachilomboka. Phlegmon imapangidwa ndipo, monga chotulukapo chake, pakhoza kukhala zachiwerewere. Ngati thandizo siliperekedwa munthawi yake, kudula kumatsata.

Mankhwala osapangira opaleshoni

Nthawi yochira imatha kuyambira milungu isanu ndi itatu kapena kupitilira apo. Zosankha zopanda chithandizo

• Immobilization (immobilization) koyambirira mpaka kuphunzira kwathunthu kwa wodwalayo komanso kutha kwa hyperemia ndi edema. Amakhala ndi mphamvu kuti atulutse katunduyo m'miyendo kuti zidutswa zazing'onoting'ono zisadule. Pamafunika kugona kaye pogona.
• Mitundu ya Orthoses ndi orthopedic imayikidwa payekha ikadutsa gawo la mankhwalawa.
  Orthoses ndi zida zapadera zopangira payekha. Amakonza ndi kutsitsa phazi, pomwe minofu ya mwendo wotsika ikupitilizabe kugwira ntchito.
  Orthoses imayikidwa mpaka mafupa ataphatikizidwa kwathunthu (pafupi miyezi isanu ndi umodzi), kenako wodwalayo amasinthana ndi nsapato za orthopedic. Amapangidwanso payekhapayekha ndikubwereza mawonekedwe apangidwe kotheratu ndi phazi, amakongoletsa phazi molondola.
• Kugwiritsa ntchito ndodo ndi mipando yamagudumu kumagwiritsidwanso ntchito kuchepetsa nkhawa pamiyendo pa nthawi ya chithandizo chamapazi cha a Charcot.
• Mankhwala amathandizidwa ndi dokotala pazizindikiro zoyambirira za matendawa. Nthawi zambiri, awa ndi mankhwala monga:

1. Maantibiotic mankhwala (clindamycin, rifampicin, doxycycline, erythromycin, fluloxacillin, etc.).
2. Ma Painkiller (Askofen, Baralgin, Analgin, Ibuprofen, Voltaren, Ortofen, Indomethacin).
3. Ma antiseptics (furatsilin, chlorhexidine, etc.).
4. Mankhwala a Bactericidal (ampicillin, bactroban, chemomycin) ndi ena ambiri omwe amagwiritsidwa ntchito pochiritsa.

• Kuchita masewera olimbitsa thupi kumachitidwa kuti abwezeretse kayendedwe ka magazi wamba m'magawo am'munsi, ndipo amaikidwa payekhapayekha.
• Zakudya ndizofunikira kuti matenda a shuga azikhazikika, kutengera mtundu wa shuga. Onani zambiri pankhani yazakudya za shuga.
• Kuchiza ndi mankhwala wowerengeka kuyenera kuchepetsedwa, chifukwa chithandizo chokha popanda kupita kwa dokotala chimatha kukhala nthawi yotayika, ndipo matendawa amatha kukhala ndi zotsatira zoyipa. Gwiritsani ntchito zithandizo zapanyumba mutatha kufunsa dokotala.
  Izi zitha kukhala zokongoletsa pakugwedeza miyendo, mwachitsanzo, chamomile kapena khungwa la oak. Kuti muchite izi, brew 4 tbsp. l maluwa a chamomile kapena khungwa la thundu mu malita 2 a madzi otentha, ndiye kuti msuzi umathiridwa kwa maola 0.5-1, umasefedwa ndikugwiritsidwa ntchito pakusamba kwa phazi. Palibe chifukwa choti madzi azikhala otentha, njirayi iyenera kutenga mphindi zingapo.
  Mkati, mumatha kudya buliberries, yomwe imachepetsa shuga ya magazi.

Kuchita bwino kwa maopareshoni osagwira ntchito

Odwala ambiri amatha kuthandizidwa bwinobwino. Kupindula kwathunthu kwa njira zogwiritsira ntchito antiresorptive pamankhwala sikumadziwika, ndipo maubwino a anabolic mankhwala omwe ali ndi mahomoni a parathyroid sanakhazikitsidwe pakanthawi kovulaza kwamapazi a Charcot.

Mankhwala othandizira opaleshoni

Chithandizo cha opaleshoni chimasonyezedwa chifukwa cha zilonda zapakati, kupunduka, kupunduka, kapena matenda. Dokotala amafufuza njira yoyenera yochitira opaleshoni:

• Ostectomy (kuchotsedwa kwa ziwalo). Matenda a mafupa ndi njira yodziwika bwino yomwe imagwiritsidwa ntchito pochiza phazi la matenda ashuga. Kuchita opareshoni kumakhala ndi kudula kumapeto kwa phazi kuti muchotse mafupa osakanikirana ndi mafupa ndi mafupa.
• Arterodeis (kupanga cholumikizira chokhazikika). Njira inanso yakuchita opareshoni ndi arterodeis phazi. Pa arthrodesis, kukula kwa mafupa kumachotsedwa, ndipo chopondapo chopondapo phazi chimabwezeretseka. Imachitika ndi kudula mwendo ndikuyika shunts ndi ma mbale kukhazikika molumikizana mafupa ndi mafupa. Pambuyo pa opaleshoniyo, kupumula kwa bedi lalitali ndikofunikira, ndipo nthawi yakachira, nsapato za orthosis ndi orthopedic zimayikidwa.
• Kutalikirana ndi kutalika kwa tendon ya Achilles. Opaleshoniyo amachitidwa kuti achepetse kuthamanga kwa mafupa zikafika zilonda zam'mimba ndikubwezeretsa ntchito yopanda phazi lonse.
• Kudula. Kudula chiwalo cha miyendo kumachitika pokhapokha ngati opareshoniyo akulephera, chifukwa cha kusakhazikika kwa arthrodesis, zilonda zam'mimba, kapena matenda. Ngakhale chithandizo chakuchuluka kwa mabala, zilonda zam'mimba, komanso matenda omwe amapha maantibayotiki, zimakhala zovuta kuchitira pamene akula kwambiri. Pakadali pano, zoyeserera zonse zamankhwala zitha kukhala zosagwira, ndipo kudula kumakhala kosatheka.

Dokotalayo ayenera kuganizira zinthu zambiri kuti adziwe ngati njira zoyenera kudula ziyenera kutsatiridwa. Pambuyo pakuchita opaleshoni, njira yochiritsa ikamalizidwa, odwala amaloledwa kuyenda mtunda waifupi ndi nsapato za orthopedic.

Mphamvu ya opaleshoni mankhwala

Njira zatsopano zamankhwala zimatha kuchitira bwino ngakhale gawo lomaliza la opaleshoni yovuta yopondeka ya phazi la Charcot. Kwa zaka zambiri, madokotala ochita opaleshoni anena kuti kudula ndi njira yoyenera yodulira kumapeto kwa kumapazi kwa a Charcot omwe ali ndi matenda obwera nako. Pazaka 10 zapitazi, malingaliro awa asintha kwambiri. Ndikupanga njira zopangira opaleshoni ndi njira zochiritsira mabala, kuchuluka kwakanthawi kochepetsera kunachepa kwambiri ndipo kumakhala odwala 2.7%.

Nthawi zambiri, wodwalayo amatha kuyambiranso moyo wake ngati chithandizo chimaperekedwa pa nthawi yake.

Mavuto

Phazi la Charcot limatha kubweretsa zovuta zambiri, kuphatikiza:

• calluses
• Zilonda zam'mapazi, makamaka ngati mwendo uli wolumala kapena ngati gawo lakukalamba.
• mafupa amakula (atha kutenga kachilombo ngati simusamala komanso kuwasisita ndi nsapato kwanthawi yayitali),
• osteomyelitis (matenda amfupa),
• kutupa kwa ziwalo zolumikizana,
• kutayika kwa miyendo
• kutayika kwa ntchito ya mwendo.

Kupewa matenda

Odwala omwe ali ndi matenda ashuga poyamba amakhala ndi china chodetsa nkhawa, koma aliyense ayenera kuchita chilichonse kuti ateteze mawonekedwe a phazi la Charcot.

Nawa maupangiri othandizira kupewa matenda anu:

• Yang'anani shuga yanu yamagazi kuti muchepetse kupita patsogolo kwa kuwonongeka kwa mitsempha.
• Pitani kwa azachipatala anu othandizira azachipatala nthawi zonse.
• Onani miyendo yonse iwiri tsiku ndi tsiku kuti muwone ngati pali phazi la Charcot kapena mavuto ena okhudzana nawo.
• Pewani kuvulala mwendo ndikuvala nsapato zapadera za odwala matenda ashuga.

Phazi la Charcot ndilovuta chachikulu cha matenda ashuga. Matendawa amawoneka kuti ali ndi vuto ndipo amatha kufalikira msanga, mpaka kuwonongeka kwambiri kuphazi komanso phazi, komwe kumayambitsa zilonda komanso kudula. Masiku ano, matendawa samamvekanso bwino, ngakhale maphunziro aposachedwa azachipatala ndi asayansi akonzanso kupita patsogolo kwa mankhwalawa.

Chifukwa chiyani matenda ashuga ndi miyendo yopanda chidwi amatha kuzimiririka

Ndi matenda a shuga, anthu amakumana ndi mavuto ambiri. Chimodzi mwazofala kwambiri pakati pawo ndi dzanzi la gawo kapena mwendo wonse. Zowoneka pang'onopang'ono za njirayi zimadziwika kuti imatha kudziwonetsa kutali kwambiri kapena kukhala ndi chilengedwe, momwe malembawo amasungirako magwiridwe antchito a 100% kwakanthawi. Zambiri pazatsoka ndi momwe mungathetsere pansipa.

About mawonetsedwe

Wodwalayo ayamba kuwona zodabwitsa m'miyendo, monga:

• kumva kulira
• Goosebumps
• kupweteka ndi kuwotcha miyendo,
• dzanzi.

Nthawi zina, kumakhala kuzizira kumawonekera, kapena, kunena, kuphika dera la phazi, komanso mwendo wonse. Nthawi zambiri, mavuto ammiyendo omwe amaperekedwa amakhala ndi zaka zingapo, nthawi zina, vuto la mwendo lomwe limachitika mofulumira. Nthawi zambiri, zimatenga miyezi iwiri kapena itatu, pomwe dzanzi limafalikira paliponse mwendo.

Pazifukwa

Akatswiri akhala akuganiza kuti chifukwa chiyani malekezero a pansi amakhala amantha kwa nthawi yayitali, makamaka makamaka za zomwe chaga amachita pamenepa. Zotsatira za kukhazikika kwa kayendetsedwe ka magazi konse, kuwonongeka osati kumathero amanjenje, komanso kwa ulusi, komanso kuwonongeka kwa gawo la zopinga zamitsempha, kukuchepa kwa kuchuluka kwa chidwi ndi kuwonjezeka kwa kuthekanso kubwezeretsa maselo ndikuchira kwawo mu matenda a shuga.

Zotsatira zake, miyendo simalandila kuchuluka kwa magazi omwe amafunikira, chifukwa chake, mafomu osowa, omwe amadziwonetsera osati kuchuluka, komanso zovuta zina zazikulu. Tiyenera kudziwa kuti mavuto omwe amapezeka m'magazi, ndizotsatira za chochitika china, chomwe ndi kulephera kwathunthu kwa dongosolo lamanjenje (chapakati chamanjenje).

Chifukwa chake, sikuti magazi okhaokha omwe amafunikira omwe amayimitsidwa, komanso zomverera m'miyendo zimakodwa. Zotsatira zake, gawo lililonse lam'munsi sililandira kuchuluka kwa magazi, ndipo zotengeka zimachepetsedwa. Ndipo, monga mukudziwa, matenda awa, osachiritsidwa munthawi yake, amakhala othandizira pamavuto akulu kwambiri. Zotengera izi ndi izi za matenda ashuga ndipo zimangolekezera kutha kwa zala kapena mapazi?

Pazotsatira zake

Chodabwitsa cha dzanzi, monga phazi la matenda ashuga, chimadziwika kwambiri, chomwe chimayenera kuwonedwa kuti ndi chimodzi mwazovuta kwambiri zovuta izi. Kuphatikiza apo, amadziwika ndi kusowa kwa ukhondo wokwanira, womwe mu shuga muli imodzi mwamagawo ofunikira.

Muli ndi vuto la matenda ashuga omwe aliyense, ngakhale ang'ono kwambiri, mabala amachiritsa kwambiri komanso pang'onopang'ono.

Izi zitha kufotokozedwanso mu:

1. kuphwanya kuchuluka kwa ziwalo zambiri,
2. Ndiponso, mpaka kumapazi a matenda ashuga,
3. kudzicheka (monga chimodzi mwazotsatira zoyipa kwambiri zomwe dzira limakankhira).

Popita nthawi, polyneuropathy imatha kupanga, komanso nthambi zake zazing'ono. Mu matenda a shuga, amadziwika chifukwa chakuti zomwe zimayang'ana matenda omwe amaperekedwa siangokhala ochepa, komanso amapezeka paliponse la thupi, kuphatikiza miyendo. Ndiye kuti, pakakhala kuti palibe chithandizo chamanthawi yake komanso chothandiza, nthawi zambiri chimabweretsa kuphwanya kwathunthu kapena pang'ono pakukhudzana, ndipo nthawi zina, kuyumala. Inde, chithandizo chachikulu cha matendawa ndichofunikira, chomwe chingakulitse kwambiri.

Popeza dzanzi ndi chizindikiro chachikulu cha mavuto akulu kwambiri, chithandizo chokwanira chikuyenera kuchitika, chomwe, nthawi yomweyo, chizikhala ndi cholinga chothana ndi chizindikiro cha zovuta zam'miyendo. Mwapadera ndi "kuyambiranso" koyambirira kwamankhwala, pali mwayi wongopulumutsa mathero amtundu wamanjenje, komanso kusunga malo ogwirira ntchito amanjenje yonse.

Zoyeserera za akatswiri cholinga chake ndikuchiza matenda omwe amayambitsa (shuga mellitus), kubwezeretsa mathero a mitsempha omwe awonongeka, ndipo sitiyenera kuiwala za kayendedwe ka mitsempha. Chifukwa chake, dzanzi limathandizidwa osati kokha ndi endocrinologist, komanso ndi neurophysiologists.

Pokonzekera zifukwa zomwe zala zakumwa zimatha chifukwa cha matenda a shuga, pali njira ina yapadera yochizira, yomwe imalimbikitsidwa:

• kukhazikika kwa chiŵerengero cha shuga,
• kuwonongeka kwa zinthu zonse za poizoni m'thupi la munthu (nthawi yayitali kwambiri),
• kukhathamiritsa ndi kuwongolera zakudya mokwanira malinga ndi kuphatikizidwa kwa mchere ndi vitamini, zomwe ndizofunikira kwambiri pamapazi.

Monga gawo la chithandizo cha mawonetseredwe, magulu athunthu a mavitamini B ayenera kuperekedwa, mankhwala ophatikizika kapena opereshoni oyenera kuchitidwa mu gawo la nthambi, mankhwala anticonvulsant ayenera kugwiritsidwa ntchito, komanso antidepressant mwachilengedwe. Kuphatikiza apo, zitha kukhala zofunikira kulimbikitsa mathero amanjenje.

Njira yoperekera chithandizo imatchedwa transcutaneous magetsi kukondoweza, chidule TESN.

Zonsezi zimachiritsa dzanzi munthawi yochepa.

Pa gawo lililonse la neuropathy, kayendedwe ka thupi, kusamba kwa balneological, masewera olimbitsa thupi, kutikita minofu ndi njira zina zomwe katswiri amawona kuti amafunikira kufunsa pochiza miyendo ndizovomerezeka.

About Kuteteza

Kuchulukitsa miyendo, mokulira, kungapeweke, koma ndikofunikira kuti ikhale mosalekeza komanso yopuma. Chifukwa cha kuchepa kwa mphamvu ya kumva, wodwala matenda ashuga sangangokhala ndi chidwi ndi kuvulala kapena kuvulala, ndipo chifukwa cha kuchuluka kwa glucose m'mwazi, pafupifupi samachira palokha.

Zotsatira zake, zonsezi zimakhala zothandizira kupangika kwa mabala ndi zilonda zazikulu nthawi zina zomwe zimatuluka mabala ang'onoang'ono. Pankhaniyi, chilichonse, ngakhale ming'alu yosaoneka kwambiri iyenera kuchitidwa ndi antiseptics ofatsa. Izi zikuphatikizira mayankho a furatsilin, miramistin ndi mankhwala ena ambiri. Zonsezi zimachitika mpaka kuchiritsidwa kotheratu, mpaka dzanzi limatha.

Akatswiri amalimbikitsa kuti azisamalira mwapadera mtundu wa thanzi, kutonthoza ndi kuchuluka kwa nsapato za munthu amene ali ndi matenda ashuga. Nsapato zapadera zamatsenga ndi imodzi mwanjira zodalirika za prophylaxis yolimbana ndi matenda am'mimba a shuga ndi zovuta zina chimodzimodzi. Inde, sitiyenera kuiwala za ukhondo, womwe umakhalabe wovomerezeka kwa odwala matenda ashuga

Chifukwa chake, dzanzi limatha kuthandizidwa, komanso limadziwika pakati pa zisonyezo zina zonse za matenda ashuga.