Matenda a shuga: mankhwala kunyumba ndi mankhwala osokoneza bongo

Matenda a shuga a matenda ashuga ndi kusinthika kwa masinthidwe amtundu wazomwe zimakhala m'miyendo. Miyendo imavutika chifukwa cha kuchuluka kwa shuga m'magazi. Chithandizo cha phazi la matenda ashuga chimatengera kulumikizana kwa zochita zamankhwala am'magazi, endocrinologist ndi madokotala ena odziwika.

Matenda a shuga ndi matenda osachiritsika omwe amakhalapo ndi zovuta zingapo. Matenda a matenda ashuga a m'munsi ndi amodzi mwa iwo. Pathology nthawi zambiri imatsogolera pakupanga njira za necrotic, gangrene ndi kudula.

Pafupifupi 85% ya milandu yokhala ndi mabakiteriya, osteomyelitis, phlegmon, nyamakazi yotsukidwa, ndi tendovaginitis. Izi zimaphatikizaponso diabetesic osteoarthropathy.

Zoyambitsa matenda a shuga

Mu matenda a shuga, kuperewera kwa mphamvu kwa insulin kumachitika. Ntchito yofunikira ya timadzi ndikubweretsa shuga m'maselo a thupi. Chifukwa chake, kupanga insulin kosakwanira ndi chifukwa chowonjezera cha shuga. Muzovuta kwambiri, kufalikira kwatsiku kumacheperachepera.

Kwa munthu wodwala matenda ashuga, mabala m'dera la phazi amachiritsidwa pang'onopang'ono. Zidendene m'matenda a shuga zimakhala zopanda chidwi. Pakapita kanthawi, izi zimapangitsa kuti pakhale zilonda zam'mimba, zomwe, ngati sizinachitike bwino kapena molakwika, zimasandulika kukhala gangore.

Ngakhale mabala ang'onoang'ono komanso abrasions zimatha kubweretsa matenda. Chifukwa cha kusakwanira kwa magazi, kumva kutayika kumatayika, kotero munthu samamva kupweteka chifukwa chovulala. Zilonda zomwe zimapezeka pamenepa sizimadziwika ndi odwala matenda ashuga kwa nthawi yayitali.

Sizotheka nthawi zonse kuchiritsa matenda, mwendo uyenera kudulidwa. Tiyenera kudziwa kuti zilonda zam'mimba zimapezeka m'malo omwe amakhala ndi katundu mukayenda. Choyambitsa chomwe chimayamba - malo abwino olowera ndi kukula kwa mabakiteriya. Chifukwa chake, mwa anthu odwala matenda ashuga, mabala amatsukidwe amawoneka omwe sangakhudze osati zikuluzikulu za khungu, komanso tendon ndi mafupa.

Chithandizo cha phazi la matenda ashuga kunyumba, komanso mothandizidwa ndi mankhwala azikhalidwe, zotere sizimabweretsa phindu. Madotolo aganiza zodula miyendo.

Zomwe zimayambitsa chitukuko cha phazi la matenda ashuga zimadziwika:

kuchepa kwa chidwi cham'munsi,
kuthamanga kwa magazi m'mitsempha yamagazi ndi ma capillaries,
kupunduka kwamapazi,
zigawo zouma khungu.

Zizindikiro za phazi la matenda ashuga

M'magawo oyamba chidendene, odwala matenda ashuga sawoneka osinthika. Koma popita nthawi, anthu amazindikira zizindikiro zina.

Ndi chosakanikira chosiyana ndi phazi la matenda ashuga, pali kuphwanya kwamphamvu magazi m'miyendo.

Nthawi zambiri anthu amakondwerera:

kusintha kwa khungu la miyendo,
kutupa kosalekeza
kutopa,
ululu poyenda.

Ndi mitundu ya neuropathic, zovuta zina zimachitika kangapo. Mu mtundu uwu wa matenda am'mitsempha, mathero a mitsempha omwe amapezeka m'mapazi amiyendo amakhudzidwa. Anthu odwala matenda ashuga amamvetsetsa kuti chidwi chamiyendo chimachepa, nthawi zina ngakhale zolimba zamiyendo sizimamveka. Flatfoot imayambanso, mafupawo amayamba kucheperachepera, omwe amakhala ndi machiritso osachedwa kuphulika.

Poyambirira, pali ming'alu zidendene, komanso malekezero ozizira. Wodwalayo nthawi ndi nthawi amawona kuti miyendo yake ikuwuma. Kenako zilonda zam'mimba zimayamba, ndipo gangrene amakula popanda chithandizo.

Kuyambira kumayambiriro kwa matenda ashuga kukhala mawonekedwe a phazi la matenda ashuga, nthawi yambiri imatha. Kuchiritsa kwa chidendene kuyenera kuchitidwa mukangozindikira. Ngati wodwala matenda ashuga satsatira zakudya komanso njira zamankhwala, zotsatira za matendawa zimatha kuwopsa m'moyo wake.

Phazi la matenda ashuga ndi vuto lomwe limakhudza anthu ambiri odwala matenda ashuga, ndiye chifukwa chachikulu chodulira miyendo popanda kuvulala kwakunja. Ming'alu ikawoneka zidendene za matenda a shuga, matendawa amatha kukhala owopsa kwambiri.

Kuyendayenda kwa Microvascular kumavulala mu shuga, zomwe zikutanthauza kulephera kwa chitetezo chokwanira cha munthu kutsutsana ndi tizilombo toyambitsa matenda.

Zilonda zimatha kupangika, ndipo ngati sizichiritsidwa, zimayambitsa kupsinjika kwamphamvu.

Mfundo zochizira matenda ashuga

Pali malo apadera azachipatala omwe amathandizira odwala matenda ashuga. Makabati amatha kugwira ntchito m'makiriniki akuluakulu. Pamenepo mutha kupeza upangiri wothana ndi matenda a matenda ashuga.

Ngati sizotheka kupita ku ofesi yapadera, muyenera kukaonana ndi endocrinologist kapena dokotala wa opaleshoni. Ndikofunika kutsatira kwathunthu malingaliro onse a adokotala. Chifukwa chake, kuchulukirachulukira kwa zinthu kungapeweke.

Dokotala ayenera kuthandizidwa dokotala akangoyamba phazi likayamba kusokonekera kapena kusintha kwina kulikonse. Zochizira phazi la anthu odwala matenda ashuga, mankhwalawa omwe ali ndi vuto lochita kupewetsa mankhwala osagwiritsidwa ntchito masiku ano amagwiritsidwa ntchito. Choyamba, ndi:

Chlorhexidine
Dioxidine ndi ena.

Mukafunsidwa ngati ayodini kapena mowa ungagwiritsidwe ntchito ngati mankhwala, yankho limakhala losavomerezeka. Zogulitsa izi zimachedwetsa kuchiritsa chifukwa zimakhala ndi zofukiza. Kugwiritsa ntchito kwovala kwamakono komwe sikumamatira pachilonda, mosiyana ndi bandeji kapena gauze, ndikuwonetsedwa.

Mabala amayenera kuthandizidwa pafupipafupi ndipo minyewa yosagwiritsa ntchito bwino imachotsedwa. Njirazi ziyenera kuchitika ndi dokotala kapena namwino wokhazikika nthawi 1 m'masiku 2-15. Muyeneranso kuteteza zilonda zam'mimba mukamayenda. Pazifukwa izi, zida zosiyanasiyana zimagwiritsidwa ntchito:

nsapato
kutsitsa boot ndi ena.

Ngati kusokonezeka kwa magazi kumayambitsa zolakwika kapena zilonda, ndiye kuti chithandizo cham'deralo chimakhala chochepa kwambiri ngati magazi sayambitsidwa. Pankhaniyi, simungathe kuchita popanda opaleshoni yamitsempha yamiyendo:

balloon angioplasty,
opaleshoni yodutsa.

Kuchepetsa kumagwiritsidwa ntchito pafupifupi 15-20% ya milandu yodwala matenda ashuga. Koma, nthawi zambiri, opaleshoni iyi imatha kupewa ngati chithandizo choyenera chayamba. Ndikofunika kuchitapo kanthu kupewa popewa zilonda zam'mimba. Zowonongeka zikachitika, ndiye kuti chithandizo chamankhwala chiyenera kuyamba msanga.

Muyenera kudziwa pasadakhale kuchokera kwa endocrinologist za ntchito yaofesi yapadera ya phazi la odwala matenda ashuga ndikufunsira ku bungwe ili. Chiwopsezo chachikulu cha kudulidwa kumatha kuchitika:

Nthawi yomwe osteomyelitis imayamba matenda a shuga - kuwonjezera mafupa,
chilonda kumbuyo kwa miyendo ischemia - kutchulidwa kuphwanya magazi kupita kuphazi.

Ndi osteomyelitis, chithandizo cha phazi la matenda ashuga chimatha kuchitika popanda kudulidwa. Imayenera kumwa maantibayotiki mu Mlingo waukulu kwa miyezi iwiri, komanso kuphatikiza kwa mankhwala osiyanasiyana. Pankhani ya ischemia yovuta, zotsatira zake zidzachokera ku njira yaying'ono yochita opaleshoni - balloon angioplasty. Opaleshoni yam'mimbayo ingatchulidwenso.

Mankhwala olimbana ndi matenda ashuga amawonetsedwa kwa onse odwala matenda ashuga omwe ali ndi mabala akumiyendo. Dokotala azindikira:

Kutalika kwavomerezedwa
mtundu wa antiotic
njira ndi mlingo wa makonzedwe.

Monga lamulo, mankhwala opha maantibayotiki omwe ali ndi matenda osokoneza bongo amaphatikizapo kugwiritsa ntchito mankhwala okhala ndi mawonekedwe ambiri. Musanapereke mankhwala, muyenera kudziwa momwe mankhwalawa amathandizira kupha tizinthu tina tating'onoting'ono.

Nthawi zambiri, odwala matenda ashuga amakonda kugwiritsa ntchito mafuta odzola. Izi ndi zolakwika, chifukwa mafuta onunkhira, ngati mafuta, amatha kupanga malo abwino owonjezera kuchuluka kwa mabakiteriya ndikulepheretsa kutuluka kwa magazi kuchokera pachilonda. Mafuta ochokera kumapazi a matenda ashuga sindiwo njira yabwino yothandizira kuti munthu aswe matenda a shuga.

Zotsatira zabwino kwambiri zimaperekedwa ndi zovala zaposachedwa za mibadwo, awa ndi opukutira omwe ali ndi kuyamwa kwakukulu komanso ntchito zoyipa. Masiponji a Collagen amagwiritsidwanso ntchito kudzaza mabala.

Chithandizo chamankhwala, komanso njira zina zochiritsira, nthawi zonse zimasankhidwa ndi adokotala ataphunzira za matenda.

Chithandizo chapafupi

Ngati palibe zopweteka phazi la matenda ashuga, muyenera kufunsa dokotala. Kupambana kwamankhwala kumadalira kukhazikitsidwa koyenera kwa malingaliro a podologist.

khalani oyera nthawi zonse
lepheretsani madzi kulowa m'dera lomwe lakhudzidwalo,
kusintha mavalidwe tsiku ndi tsiku
gwiritsani ntchito ma pinkiller ndi mankhwala ena omwe dokotala amakupatsani
Osamayenda opanda nsapato
gwiritsani masokosi a odwala matenda ashuga,
kuchepetsa zolimbitsa thupi.

Chithandizo cha zilonda zamderalo zimaphatikizapo:

kuyeretsa bala
kuchapa ndi antiseptics
bandeji ntchito.

Ndikofunika kuyeretsa bala ndi scalpel. Njira yoyeretsera opaleshoni imasonyezedwa kupatula kwa mafinya ndi kachilombo ka bakiteriya pachilonda. Kuti mugwiritse ntchito bwino kuyeretsa kwamakina, chilondacho chimayenera kukhala ndi minofu yathanzi.

Mutha kuyeretsa zilonda zamchere ndi mchere. Chidacho chimasinthidwanso bwino ndi yankho lamchere la 0,9%. Madokotala amalangizira kuti azisamba ndi 3% hydrogen peroxide kuti muchotse mafinya ndi mabakiteriya a anaerobic. Miramistin siyimayambitsa kubwereranso pakubadwanso, mosiyana ndi hydrogen peroxide ndi ayodini. Ndalama zomwe zatchulidwa ziyenera kugwiritsidwa ntchito mosiyanasiyana.

Ngati matendawa ndi oopsa, pakufunika opaleshoni. Zikatero, chilondacho chimaphimbidwa nthawi zonse ndi bandeji chomwe sichimayambitsa kuvulala ndikusintha, ndipo chimalola mpweya kudutsa.

Mpaka pano, zovala zabwino kwambiri zamavalidwe ndizovomerezeka zovomerezeka zomwe zimasonyezedwa zilonda zam'mimba za shuga. Sizingagwiritsidwe ntchito kwa nthawi yayitali. Masiponji onyansa amathanso kugwiritsidwa ntchito nthawi yamachiritso ngati gawo laling'ono la exudate latulutsidwa.

Nthawi zambiri amaika ma hydrogel, omwe amakhala ndi zotsatira zabwino pa zilonda zowuma za necrotic ndikuwonetsa zotsatira za kuyeretsa bala. Chidacho chimalimbikitsa machiritso popanda kupanga zipsera.

Posachedwa, zokutira za hydrocolloid zikuyamba kutchuka. Ndalama zotere sizifunikira kubwezeredwa pafupipafupi ndipo zimasiyanitsidwa ndi chiwongola dzanja chabwino. Alginates amachiritsa zilonda zosiyanasiyana ndi kuchuluka kwakukulu. Pambuyo pophika, ndibwino kusamba bala ndi saline.

Kuchiza kwanuko ndi wowerengeka azitsamba kumakhudzana ndi kuvala kwamafuta:

Musanagwiritse ntchito bandeji, muyenera kuyeretsa bala ndi mafuta:

Muli ma enzymes a proteinase ndi collagenase. Zilonda zikagwidwa chifukwa cha poizoni, mankhwalawa ayenera kuikidwa mosamala, chifukwa zimakhudzanso minofu yathanzi.

Zilonda zam'mimba za purulent, zomwe zimayendera limodzi ndi edema yovuta, mankhwala omwe ali ndi ayodini ndi polyethylene oxide. Kuphatikiza apo, adotolo atha kukupatsirani antiseptics monga:

Kugwiritsa ntchito ndalama zotere kumiyendo kumafunikira kupenda mabala tsiku ndi tsiku chifukwa chakuwopsezedwa kwambiri kwa bala pakupola. Bepanten ndi mankhwala amakono omwe amagwiritsidwa ntchito poletsa zovuta.

Chithandizo cha anthu odwala matenda amishuga angagwiritsidwenso ntchito. Kugwiritsa ntchito masamba a mabulosi. Masamba asanu ndi limodzi amafunika kutsanulidwa ndi kapu yamadzi otentha ndikuthiridwa kwa maola awiri. Tengani 100 ml m'mawa ndi madzulo.

Phazi limatha kumetedwa kwambiri ndi uchi ndipo burdock watsopano amayikidwa pamwamba. Asanagwiritse ntchito, mmera umathiridwa ndi madzi otentha. Dera lomwe lakhudzidwalo limathandizidwa ndi njira yofooka ya furatsilina.

Chithandizo cha matenda ashuga kunyumba chitha kuchitidwa pogwiritsa ntchito mapira a bulugamu. Pa supuni yayikulu ya tincture wopanda pake muyenera kutenga uchi wofanana. Chovala chowoneka bwino choviikidwa mu msanganikowo ndikuthira kumalo omwe akhudzidwa. Komanso, kapangidwe kameneka kitha kugwiritsidwa ntchito kusamba kwamapazi. Amakulolani kuti muchepetse chidendene spurs, ngati mumasamba pafupipafupi.

Mutha kunyowetsa chidutswa cha yogati kapena kefir ndikugwirizana ndi zomwe zakhudzidwa. Compressyo imasinthidwa ikangoma. Yopakidwa ndi juniper kapena singano za spruce zimatha kuwonjezeredwa kuzinthu zamkaka zomwe zimapsa. Kanemayo munkhaniyi akuwuzani chochita ndi phazi la matenda ashuga.

Kusiyanitsa mitundu

Chithandizo cha phazi la matenda ashuga chimatengera mtundu wake ndi makina otukuka. Mawonekedwe a mawonekedwe a neuropathic ndi awa:

Khungu la miyendo ndi lofiira,
Kusintha kwamiyendo (zala zimayamba kuluka, mitu yamapfupa imatulutsa, "Phazi la Charcot" limawonekera),
kutupa kwapawiri kumachitika, komwe kumatha kukhala chisonyezo cha matenda a mtima ndi impso,
kapangidwe ndi khungu la msomali limasintha, makamaka ndi matenda oyamba ndi fungus,
m'malo opanikizika kwambiri, ma hyperkeratoses (kukula kwa khungu lomwe limakonda kusenda),
Zilonda zimapezeka patali
kusintha kwaposachedwa kwasungidwa
Khungu lidawuma ndikuwonda.

Njira ya ischemic ya pathology imadziwika ndi mawonetsero otsatirawa:

Khungu limapangika pakhungu,
palibe kuwonongeka kwa miyendo,
kunyansidwa ndikosavomerezeka, kumawoneka ngati kachilombo koyambanso kudachitika,
kapangidwe ndi mawonekedwe amatsenga a misomali,
kutchulidwa kukula mozungulira zolakwika m'malo oponderezedwa kwambiri,
kupezeka kwa zigawo za necrosis,
zam'mimba zimachepa kwambiri, ndipo pamalo ovuta kulibe,
mapazi ali ozizira kukhudza.

Njira zoyendetsera odwala

Akatswiri angapo omwe akhudzidwa ndi mankhwalawa amathandizira odwala matenda ashuga: psychapist, endocrinologist, angiosurgeon, podologist. Wochiritsira (kapena dokotala wabanja) akuchita ntchito yayikulu yodwala matenda ashuga, kudziwa njira zoyendetsera wodwala, ndikupereka malangizo kwa akatswiri otalikira. The endocrinologist ili ndi ntchito zofanana. Kuphatikiza apo, dotoloyu amalimbana ndi matenda oyamba.

Mkulu angiosurgeon amagwiritsa ntchito mtima wamitsempha, amagwiritsa ntchito njira zobwezeretsanso magazi, ndipo pamavuto amakhudzidwa kwambiri. Dokotala wa podologist ndi dokotala yemwe ntchito yake imaphatikizapo kusamalira phazi, kuchiza phazi la matenda ashuga, kuchiza misomali yakunyumba, ndi zina zambiri.

Chithandizo cha phazi la matenda ashuga chimakhazikika pa mfundo zinayi:

Kukwaniritsa chindapusa cha shuga.
Kusamalira bwino miyendo kuti mupewe zovuta.
Mankhwala.
Njira zopanda mankhwala.

Malipiro a matenda oyambitsidwa ndi matenda

Hyperglycemia ndiye amene amayambitsa kukula kwa zovuta zonse zodziwika bwino za matenda ashuga. Kusungabe kuchuluka kwa shuga m'magazi ovomerezeka kumalepheretsa kuwonongeka kwa mitsempha ndi mitsempha, komwe kukhazikitsidwa kwa phazi la matenda ashuga kumakhazikitsidwa.

Kutengera ndi zotsatira za njira zakufufuzira matenda, endocrinologist imazindikira kuyenera kwa mankhwala a insulin kapena makonzedwe a mankhwala ochepetsa shuga (kutengera mtundu wamatenda omwe akudwala). Ngati ndi kotheka, kuwongolera kumachitika, njira imodzi imasinthidwa ndi ina kapena mankhwala ena amawonjezeredwa.

Zofunika! Ndikofunikira kukwaniritsa kuchuluka kwa shuga m'magazi osaposa 6 mmol / l, ndi glycosylated hemoglobin (HbA1c) - osapitirira 6.5%.

Kusamalira miyendo

Onse odwala matenda ashuga ayenera kutsata malamulo osamalira mapazi kuti aletse zovuta kapena kuchepetsa kufalikira. Kuopsa kwa kukhazikikako kumatengera momwe zakhudzira chidwi cha wodwalayo. Mwachitsanzo, wodwala yemwe ali ndi vuto lomatha amatha kudulira zala zawo ndi lumo, ndipo ndi zong'aluka, amangokhoza.

Upangiri wa akatswiri azaumoyo ndi motere:

Kusankha nsapato zoyenera.Mitundu yamatsenga kapena yomwe imapangidwa molingana ndi magawo a wodwala angagwiritsidwe ntchito. Mwina kugwiritsidwa ntchito kwa owongolera zala za coracoid, bursoprotectors kuteteza malo ophatikizika, orsopedic insoles.
Kuchotsa kwa chimanga panthawi yake. Sikulimbikitsidwa kuti mutsegule nokha matuza nokha, ndikofunika kuperekera kwa dotolo ndondomeko iyi.
Kuthetsa makulidwe a misomali. Ngati vutoli limayambitsidwa ndi bowa, ndikofunika kuchita mankhwala a antimycotic. Zina zoyambitsa zimafunikira kuduladula nsonga ya msomali.
Kuchotsa khungu lowuma ndi ming'alu. Kirimu wa emollient kapena antifungal ntchito umagwiritsidwa ntchito (kutengera chinthu cha etiological).

Mankhwala

Miyezo yogwiritsiridwa ntchito kwa mankhwalawa pochiza matenda amtundu wa matenda ashuga imakhala ndi malangizo awiri omwe angagwiritsidwe ntchito palimodzi. Izi zimaphatikizapo ndalama zothandizira kukonza kagayidwe kachakudya mu minyewa yamanjenje ndi kugwiritsa ntchito mankhwala kuti athetse zizindikiro mu mawonekedwe a ululu komanso kusokonezeka kwa chidwi.

Mankhwala Olimbana ndi Matenda a Metabolism

Magulu omwe amagwiritsidwa ntchito moyenera amachokera ku alpha-lipoic acid ndi mavitamini a B-mfululizo. Mankhwala ena adagwiritsidwapo ntchito kale, koma palibe omwe adagwira. Mankhwala "a Metabolic" amatha kuchepetsa kukula kwa mitsempha ya neuropathic ya pathology ndikuchepetsa kuwunika kwa zizindikiro.

Alpha-lipoic acid (Berlition, Thiogamm, Espa-Lipon) ali ndi izi:

kumanga ndikuchotsa zopitilira muyeso,
Amasintha magazi kudzera m'mitsempha yam'mimba (yomwe imapatsa mphamvu mitsempha),
kubwezeretsanso kuchepa kwa puloteni ya cell,
imathandizira kuthamanga kwa kufalikira kwa chisangalalo motsatira ulusi wamanjenje.

Kuchuluka kwa mavitamini a B angapo m'magazi omwe ali ndi matenda ashuga kumachepetsedwa kwambiri. Izi ndichifukwa cha kutulutsa kwakaka mkodzo. Zachulukidwe zomwe zimapangidwa ndi Vitamini ambiri zimakhala madzi osungunuka komanso kulowa bwino mu zotchinga magazi. Kuti athane ndi nkhaniyi, Neuromultivit, Milgamm, Benfotiamine adapangidwa.

Chithandizo cha Zizindikiro

Mankhwalawa sagwiritsidwa ntchito kwa odwala onse, chifukwa gawo loyambalo soreness pambuyo pake limasinthidwa ndi kusakhalapo kwathunthu kwa ululu komanso kuchepa kwakukali kwamitundu yonse yamtundu wamalingaliro.

Odwala omwe amawonetsa bwino a pathology amathandizidwa ndi antidepressants (Amitriptyline, Imipramine) ndi anticonvulsants (Carbamazepine, Tegretol, Phenytoin). Magulu onse awiriwa sagwiritsidwa ntchito ngati wodwala ali ndi glaucoma, popeza amatha kuthana ndi kukakamira kwa mitsempha.

Pakadali pano, gwiritsani ntchito anthu ambiri:

Gabapentin ndi mankhwala oletsa kupweteka omwe amachepetsa kupweteka kwa mitsempha. Zotsatira zoyipa zimakhala pafupifupi zopanda pake. Chizungulire, mseru wofatsa, komanso kugona.
Pregabalin - nawonso ali m'gulu la anticonvulsants, ili ndi kachitidwe kofanana ndi Gabapentin.
Duloxetine ndi mankhwala ochepetsa nkhawa omwe ali ndi vuto lapakati. Chenjezo liyenera kuperekedwa kwa omwe ali ndi matenda ashuga omwe ali ndi glaucoma ndi malingaliro ofuna kudzipha motsutsana ndi maziko a matenda amanjenje.

Chatsopano pochiza matenda am'mimba a shuga, Eberprot-P ndi mankhwala a ku Cuba omwe amachititsanso khungu kukula. Mankhwala apaderawa adapangidwa kuti apangidwe mobwerezabwereza kwambiri mu khungu la zilonda zam'mimba, jekeseni mwachindunji m'mphepete mwa bala, ndikusintha singano mutangomaliza kubaya.

Madokotala aku Cuba akuti mankhwalawa amachepetsa chiwerengero chofunikira chokwanira, amachepetsa chiopsezo chodulidwa, komanso amathandizira kuchiritsa zilonda zam'mimba. Ku Cuba, Eberprot-P amapita kwa odwala kwaulere. M'mayiko ena, mtengo wake umakwera mpaka madola masauzande angapo.

Kubwezeretsa magazi

Zimaphatikizapo kuwongolera kosalekeza kwa kulemera kwa thupi, kuchepa kwake ndi kuchuluka, kukana zizolowezi zoyipa, kuthandizira kuthamanga kwa magazi. Pochiza matenda oopsa, a AIN inhibitors (Lisinopril, Captopril) ndi othandizira calcium (Verapamil, Nifedipine) amagwiritsidwa ntchito chifukwa cha kusowa kwawo pakusokoneza momwe amapangira kagayidwe kachakudya. Kugwiritsa ntchito thiazide diuretics (hydrochlorothiazide) kunawonetseranso zabwino.

Gawo lotsatira ndi kusintha kwa mawonekedwe a lipid. Monga momwe kafukufuku wasonyezera, zakudya zodziyimira pawokha sizingakhudze kuchuluka kwa cholesterol yamagazi mwa odwala matenda ashuga mwanjira yoyenera. Mankhwala amatchulidwa limodzi ndi zakudya. Chifukwa chaichi, ma statins amagwiritsidwa ntchito (Simvastatin, Lovastatin).

Ma antiplatelet

Mlingo wocheperapo wa acetylsalicylic acid ungachepetse chiopsezo cha odwala matenda a shuga. Ngati pali zotsutsana ndi phwando lake, sankhani Clopidogrel, Zilt.

Milandu yomwe imabweretsa chiopsezo cha mtima ndi ma pathologies a mtima komanso pambuyo pa kulowerera kwam'magazi, kugwiritsa ntchito mankhwala oopsa a antithrombotic (Aspirin + Clopidogrel).

Mankhwala osokoneza bongo

Gulu la mankhwalawa limatha kusintha kuchuluka kwa magazi m'malo a ischemia chifukwa cha mphamvu yake yamagazi ndi magazi. Izi zikuphatikiza:

Pentoxifylline (Wasonite, Trental),
Sulodexide
Ginkgo biloba Tingafinye.

Kuchita bwino kwa mankhwalawa kumatsimikiziridwa ndi kuthekera kochulukitsa mtunda woyenda kwa wodwala yemwe ali ndi vuto lofanana ndi claudication syndrome kangapo. Komabe, kugwiritsa ntchito kwawo ndikofunikira mu magawo awiri oyamba a matenda. Ndi ischemia yoopsa kwambiri, ma prostaglandins amapatsidwa mankhwala (Vazaprostan, Alprostan).

Opaleshoni

Poyerekeza ndi matenda am'mimba a shuga, opaleshoni ya opaleshoni imatha kukhala ndi zolinga zingapo: kubwezeretsa magazi kumalo ena, kuchotsedwa kwadzidzidzi kwa dzanja lanu lakumanzere ndi zofunikira za puritis-necrotic njira, komanso kukonza kwa mafupa.

Njira zazikulu za ntchito yomanganso:

Opaleshoni ya Bypass (aortic-femoral, iliac-femal, femal-femal-popliteal) ndi njira yomwe imagwiritsidwa ntchito nthawi zambiri yomwe imakupatsani mwayi wopanga magazi.
Balloon angioplasty - "kufalikira" kwamakina kwa dera lomwe lakhudzidwa ndi mtsempha, kubwezeretsa magazi. Itha kuchitika ngati ntchito yokhayo kapena kuphatikiza ndi kuyika stent (chipangizo chomwe chimasunga malo obwezerezedwawo kuti chisaphatikizidwe mobwerezabwereza).
Sympatectomy ndi kulowererapo komwe ma lumbar ganglia ambiri omwe amachititsa kuti kamvekedwe ka mtima kamachotsedwa.

Kucheka - kuchotsa kwa minofu yosagwira pamodzi ndi mafupa a articular-bone. Kutalika kwa kulowererako kumatsimikiziridwa ndi angiosurgeon. Kuwongolera kwa mafupa kumayimiriridwa ndi ankolo ogwirizana arthrodesis, Achilles tendon pulasitiki.

Chithandizo cha zilonda zam'mimba ndi purulent-necrotic

Zochita zakomweko zimaphatikizira kuchotsa necrosis, kusinthanitsa ndi zilonda zam'mimba, kuyika chimanga m'mbali, kutsuka mabala ndi kuvala. Zilonda "zakufa" zimafuna kuchotsedwa, chifukwa zimawerengedwa kuti ndi mulingo woyenera kwambiri wowonjezera matenda. Mchitidwewo ukhoza kuchitika ndi scalpel, lumo, supuni ya Volkman, mavalidwe ndi mapuloteni a ma protein kapena ma hydrogels. Onetsetsani kuti mwayang'ana mabala anu pogwiritsa ntchito batani, chifukwa ngakhale chilema chaching'ono chimatha kukhala fistula.

Kusamba bala kumatha kuchepetsa kuchuluka kwa microflora ya pathogenic pamalo ake. Kuchita bwino kunawonetsedwa ndikuwongolera yankho ndi syringe ndi singano. Amadziwika kuti zelenka, ayodini, yankho la potaziyamu permanganate ndi Rivanol amatsutsana pochiza zolakwika zam'mimba. Hydrogen peroxide ikhoza kugwiritsidwa ntchito pokhapokha pakuyeretsa, pomwe zinthu za purulent ndi zigawo za magazi zilipo.

Zilonda zotsuka zitha kuchitidwa:

mchere njira
Miramistin
Chlorhexidine
Dioxidine.

Pambuyo pa njirayi, chilondacho chiyenera kuphimbidwa ndi kuvala. Ngati chida chikugwiritsidwa ntchito pazinthu izi, ziyenera kuphatikizidwa ndi mafuta kuti muchepetse kuyanika. Ndizotheka kupereka mankhwala othandizira kupha anthemicrobials (Betadine, Argosulfan), maantibayotiki (mafuta a Levomekol), othandizira kuchulukitsa (Becaplermin gel), ma proteinolytic (Chymotrypsin, mafuta a Iruxol).

Kwezani katundu

Ziribe kanthu momwe kukonzekera kwamakono kumagwira ntchito, pomwe wodwala akayamba kulondera, wina sangayembekezere kuchiritsidwa kwake. Ngati zilonda zapezeka kumtunda wapansi mwendo kapena kumbuyo, palibe chifukwa choti mutumizire zida zina. Ikakhala pamalo othandizira, bandeji yapadera yopangidwa ndi zida za polymeric kapena nsapato ya theka imagwiritsidwa ntchito. Monga lamulo, zala zimasiyidwa zotseguka.

Zofunika! Kuchiritsa kwapakati kwa zilonda zomwe zidakhalapo kwa zaka zambiri poyerekeza ndi momwe njira yotsitsira imakhalira masiku 90.

Kuyang'anira matenda

Zisonyezero zosankhidwa maantibayotiki:

chilonda ndi zizindikiro za matenda,
ischemic necrosis,
chilema chokhalitsa chachikulu cha zazikulu zazikulu zomwe zili ndi chiopsezo chachikulu cha matenda.

Kusankhidwa kwa mankhwalawa kumadalira zotsatira za kubzala mabacteria ndikutsimikiza kwa chidwi cha tizilombo. Penicillins (Amoxiclav), cephalosporins (Ceftriaxone, Cefepim), fluoroquinolones (Ofloxacin, Ciprofloxacin), aminoglycosides (Amikacin, Gentamicin) amawakonda.

Maantibayotiki amatengedwa pakamwa ndikuyang'aniridwa kholo. Kutalika kwa chithandizo kumatengera momwe wodwalayo alili. Mitundu yopepuka imafuna kusankha kwa mankhwalawa kwa masiku 10-14, ovuta - kwa mwezi kapena kupitirira.

Njira zopanda mankhwala

Njirazi siziyankha funso la momwe mungakhalire ndi phazi la matenda ashuga, koma lithandizira kuchepetsa kuwala kwa chithunzithunzi. Izi zimaphatikizapo kutikita minofu, zochizira, physiotherapy.

Musanayambe kutikita minofu, manja a akatswiri amathandizidwa ndi ufa wa talcum, ufa wa mwana kapena zonona zonona. Njirayi iteteza miyendo ya wodwalayo kuti isawonongeke komanso kuti ayambe kutsetsereka. Munjira, wodwalayo amakhala m'malo omwe amam'patsa vuto losakhalitsa (akugona kumbuyo kwake, kumbali yake, atakhala).

Kukula kwa malekezero am'munsi kumayambira ndi gawo lamiyendo yotsika ndi chopondera, kenako ndikutukuka kuchokera pabondo mpaka gawo la inguinal. Kutikita minofu palokha kumachitika komaliza. Mtundu uliwonse wa phalanx, malo ophatikizika pakati, chomera komanso kumbuyo, chidendene chimaphunziridwa.

Zofunika! Pamapeto pa njirayi, khungu limanyowa ndi kirimu wamafuta.

Zochita zolimbitsa thupi

Cholinga ndikupititsa kukhathamiritsa kwa magazi m'magawo a ischemia, koma zochitika zazikulu zolimbitsa thupi sizikuwonetsedwa, chifukwa zimatha kubweretsa zowawa zambiri komanso zovuta. Mutha kuchita masewera olimbitsa thupi:

kusinthasintha ndi kukula kwa zala,
ukukhala kuchokera ku chidendene mpaka kumapeto, ndikupuma phazi pansi,
miyendo yozungulira ikulunjika,
kusinthasintha kwa miyendo ndi cholowera mwendo,
kusuntha kozungulira pachifuwa cholumikizira.

Physiotherapy

Gwiritsani ntchito mankhwala a electrophoresis. Zink, mkuwa, potaziyamu, yomwe thupi la odwala limafunikira, imalowetsedwa kudzera pakhungu pogwiritsa ntchito zanthawi yomweyo. Kukonzekera kwa Zinc kumakhala ndi zotsatira zabwino pa boma la kapamba, mkuwa umathandizira pakupanga metabolic, kumachepetsa shuga. Zowawa za ululu zimakuthandizani kuti muimitse novocaine-iodine electrophoresis, kukhazikitsidwa kwa njira ya 5% ya sodium thiosulfate.

Njira ina yothandiza ndi magnetotherapy. Munda womwe umapangidwa nthawi ya njirayi umakhala ndi chitetezo, analgesic, immunomodulating.

Hyperbaric oxygenation imagwiritsidwanso ntchito pochiza matenda ammimba. Njira imeneyi imagwiritsidwa ntchito pochotsa hypoxia ya zovuta zosiyanasiyana. Gawoli limatha kupitilira ola limodzi. Njira zotere zimafunikira 10 mpaka 14.

Njira za anthu

Sizotheka kuchiritsa matenda am'mimba pogwiritsa ntchito wowerengeka azitsamba, koma ndizotheka kukhalabe ndi misempha yamagazi pamlingo wovomerezeka ndikuchepetsa kupitilira kwa matendawa.

Chinsinsi 1. Supuni ya zipatso zouma zothira 0,5 malita a madzi otentha. Ikani madzi osamba ndikusamba mphindi 20. Mutatha kusefa msuzi chifukwa chake, mutha kukonza zolakwika ndi zilonda.

Chinsinsi 2. 2 tbsp sungunulani uchi linden mu lita imodzi ya madzi ofunda. Sambani madzi osamba ndi njira yothetsera vutoli (mphindi 15 tsiku lililonse).

Chinsinsi chachitatu. Konzani chisakanizo cha maluwa owuma a chamomile, masamba a rosemary ndi nthangala za mpiru mu chiyerekezo cha 2: 1: 2. Thirani malita 0,5 a madzi ofunda usiku. Ndi kulowetsedwa kochokera, pangani ma compress m'malo omwe ali ndi zilonda zam'mimba.

Werengani zambiri zakuchiritsa matenda ashuga kunyumba m'nkhaniyi.

Tsoka ilo, ndizosatheka kuchiritsa matenda amishuga odwala matenda ashuga, komabe, ndizotheka kusintha mtundu waumoyo wa wodwalayo. Izi zimafunikira kuzindikira kwakanthawi, kutsatira malingaliro a madokotala, kusamalira mapazi kosalekeza.

Zizindikiro za phazi la matenda ashuga

Pa gawo loyamba, ngozi yayikulu ndikutayika kwa miyendo. Munthu wathanzi amamva kupweteka ngakhale ndi zilonda zazing'ono za khungu ndikukumana moyenerera. Wodwala matenda ashuga sangathe kudziwa zomwe zikuchitika m'miyendo yake, chifukwa sangamve kuwawa. Mabala ang'onoang'ono kapena ming'alu yomwe yatuluka ndi nthawi, dothi limalowa mwa iwo, kutupa kumayamba, komwe kumatha kumapeto ndi gangrene, ngati njira sizinatenge nthawi. Kuphatikiza apo, njira yophatikizira kuphatikizika imayamba, katundu pa mafupa a phazi ukuwonjezeka.

Vutoli liyenera kutengedwa kwambiri ngati wodwala ali ndi:

redness pakhungu
kupweteka kosalekeza
kutupa kwamapazi,
Khungu lowuma la miyendo,
chimanga, bowa, kupindika kwa mbale ya msomali,
lameness, kuvutika kuyenda.

Yang'anani! Akatswiri amtundu samalimbikitsa kuti asachotse chimanga ku matenda ashuga. Mabala kapena mafinya pakhungu lomwe latsalira pambuyo pa njirayi limachira kwakanthawi ndikuthamanga chiopsezo chotembenuka kukhala zilonda zam'mimba. Njira yotuluka ndikusankhidwa kwa nsapato zoyenera. Ma tirigu adzadutsa okha pakapita nthawi.

Kusamalira Mapazi A shuga

Kukhazikitsa shuga m'magazi, kukhazikitsa malangizo a kuchipatala mosamala komanso kumwa mankhwala kungathandize kuti muchepetse kuwonongeka kwa miyendo, chifukwa chake kuthamangitsa mzimu wakuwala. Kubwezeretsa kumatha kutenga zaka zingapo, koma simuyenera kutaya mtima.

Kusuta kumapangitsa kuti magazi azikhala ovuta komanso azithamanga. Ngakhale chizolowezi choyipa chikakhala ndi munthu nthawi yayitali kwambiri, muyenera kumvetsetsa - kusangalala pang'ono panjira ndudu kumatha kubweretsa kulumala.
Kuzizira kumakhala ndi mitsempha yamagazi ndikuletsa magazi kuyenda. Munthu wodwala matenda ashuga sangamve ngati miyendo yozizira. Chifukwa chake, nthawi yozizira, muyenera kuonetsetsa kuti wodwalayo satalika kwambiri kuzizira, onetsetsani kuti mumavala masokosi osalala, ofunda ndikusankha nsapato zazifupi, zosafinya.
Osatengera mapazi anu pafupi ndi magwero a kutentha (malo oyatsira moto, mabatire, moto wamoto, ndi zina). Kuthekera kwakukulu kwa kutentha.
Simungayende opanda nsapato ngakhale nyengo yotentha kwambiri. Osamachita izi osati mumsewu, komanso m'nyumba. Mapazi amatha kuwundana chifukwa cha munthu kapena ming'alu yaying'ono ndipo mabala akuwoneka kuti ali pachiwopsezo kusintha kukhala zilonda.
Osamagwiritsa ntchito chigamba - mukachichotsa, mutha kuwononga khungu. Ngati mukufuna bandeji pamwendo wanu, gwiritsani ntchito bandeji.

Kuphatikiza apo, kunyumba, ukhondo wamtondo wokhazikika komanso kuwunikira pafupipafupi momwe mungagwiritsire ntchito kumakhala chitsimikizo china pokana matenda ashuga.

Yang'anani! Osagwiritsa ntchito ayodini kapena hydrogen peroxide kupopera mabala omwe awoneka. Izi zimapukuta khungu louma ndipo zimangokulitsa mavuto.

Kukonzekera mankhwalawa odwala matenda ashuga

Posachedwa, chithandizo cha phazi la anthu odwala matenda ashuga ndi kukonzekera kwa Cuba akuti Heberprot-P atchuka. Chida ichi chadziyambitsa chokha ngati chothandiza kwambiri ku matenda otere. Chipangizocho chadutsa mayeso onse azachipatala ndipo amavomerezedwa ndi madokotala odziwika bwino. Kukonzekera kwa Cuba kwa Heberprot-P kumapangitsa kuti pasapezeke kuchepa kwa phazi odwala matenda ashuga.

Ngati nthenda ya matenda ashuga odwala matenda ashuga siinathe, ndiye kuti dokotala amakupatsani mankhwala othandizira. Njira ya chithandizo ndi kumwa mankhwala ndi okhawo omwe akupita kuchipatala, osangodzilimbitsa. Mankhwala monga Ciprofloxacin, Metronidazole, Erythromycin, ndi ena otero atha kukhazikitsidwa.

Njira zochizira matenda a shuga kunyumba

Kugwiritsa ntchito mankhwala azitsamba ndi mankhwala ena ngati mukuwopseza phazi la anthu odwala matenda ashuga kumachepetsa kutupa, kutupa kumathandizira kupewa kupunduka komanso kulumikizana ndi opereshoni kuti muchotse zala kapena miyendo yonse.

Ndi khungu louma la phazi, kugwiritsa ntchito mafuta opaka mafuta ndi mafuta kumalimbikitsidwa. Odzipanga okha:

mafuta ophikira (makamaka azitona),
Mafuta a Vitamini E
nyama zamafuta
lanolin (emulsion).

Yang'anani! Vaselini ndi mafuta a mpendadzuwa amauma khungu. Sikulimbikitsidwa kuti mugwiritse ntchito kuti muchepetse mapazi.

Ndi kulumikizana kwanthawi yayitali ndi madzi (dziwe, nyanja), ikani zonona, mafuta kapena mafuta musanamizidwa m'madzi ndikuchotsa mosamala (kunyowa, osalimbikira) mutachoka kumadzi. Chowonadi ndi chakuti m'madzi khungu limanyowa ndikukhala osatetezeka kwambiri. Kanema wamafuta pamwamba pakhungu amapanga mawonekedwe oteteza omwe amalepheretsa kuzungulira kwamiyeso yaying'ono.

Njira zazikulu pakugwiritsira ntchito wowerengeka azitsamba zam'mapazi zotupa:

kugwiritsa ntchito mankhwala oyeretsa komanso opha tizilombo toyambitsa matenda,
vasodilating tinctures ndi decoctions ntchito zamkati,
mankhwala ndi zinthu zomwe zimakweza magazi m'magazi ndikulimbikitsa kuonda kwake,
Pamaso pa zilonda zopanda machiritso, zitsamba zokhala ndi zilonda zochiritsa zimagwiritsidwa ntchito.

Masamba a Blueberry ndi Zipatso

Ma Blueberries amachepetsa shuga m'magazi ndikuwonjezera njira ya metabolic. Ndikulimbikitsidwa kudya magalasi atatu a zipatso tsiku lililonse - katatu patsiku, osati onse nthawi imodzi. Masamba a Bilberry amapangidwa ngati tiyi, kuloledwa kupatsa maola awiri ndi kumwa theka lagalasi m'mawa, masana ndi madzulo. Njira ya mankhwalawa idapangidwa kwa mwezi umodzi. Bwerezani izi pokhapokha ngati masabata awiri.

Masamba a Burdock

Masamba a Burdock amayala bwino, masamba ake amatha kugwiritsidwa ntchito mwatsopano (m'chilimwe) ndi mawonekedwe owuma. Musanagwiritse ntchito udzu, ndibwino kuchiza phazi ndi yofooka yankho la manganese kapena furatsilina. Kuti muwonjezere mphamvu ya masamba a burdock, mutha kupaka mafuta pang'ono ndi uchi pang'ono, kuyika pepala ndikusintha ndi bandeji. Compress yotere imasinthidwa kamodzi kapena kawiri pa tsiku.

Burdock ali ndi diuretic kwambiri, mutha kugwiritsa ntchito kulowetsedwa kwa 1 tsp. masamba owuma kapu yamadzi otentha.

Uchi + Eucalyptus Masamba

Kuphatikiza pa kugwiritsidwa ntchito ngati njira yothekera ya ma compress, uchi umawonjezeredwa ku tincture wochiritsa wa eucalyptus. Chifukwa cha izi, masamba owuma a buluzi (50 g) amapangidwa ndi madzi otentha a 100 g ndikuwatsimikizira kuti azisamba kwa mphindi 20 - 25. (yosafunikanso), ndiye yosefedwa. Mankhwala atakhazikika kwathunthu, onjezani 3 tbsp. l uchi ndi kusambitsa bwino kupukusa uchi wonse.

Kuphatikizikako kumagwiritsidwa ntchito ngati mafuta odzola m'malo akhudzidwa ndi khungu kapena amagwiritsidwa ntchito ngati gawo losambitsa phazi.

Yogurt kapena kefir

Zowawa mkaka wowonda zimachepetsa mkhalidwewo ndikumachepetsa kutupa kwa miyendo. Phindu lalikulu kwambiri lidzabweretsedwa ndi zinthu zatsopano, zabwino, zakonzedwa mosadalira (sizikhala ndi mankhwala ena owonjezera ndi mankhwala osungira).

Mu mkaka wowawasa, chopukutira chopangidwa ndi nsalu zachilengedwe (thonje, nsalu) imakhala yothira ndipo imagwiritsidwa ntchito kumalo akhudzidwa ndi khungu. Kavalidwe kazisinthidwe kadzuwa.

Kuti muchepetse njirayi, mutha kuwaza chopukutira choviikidwa mu yogati ndi ufa kuchokera paini wouma kapena singano za juniper. Muli ndi machiritso mafuta ofunikira, mavitamini ndi antioxidants.

Mpiru, Chamomile ndi Rosemary

Tincture ya zitsamba iyi imakhala ndi bala labwino. Pophika, amatenga njere za mpiru (magawo awiri), maluwa a chamomile (mbali ziwiri) ndi masamba a rosemary (gawo 1). Kusakaniza kwa zitsamba kumathiridwa ndi madzi ozizira (500 ml) ndikuumiriza kwa maola 12.

Amawalitsako ndi wothira mankhono ang'onoang'ono opangidwa ndi nsalu zachilengedwe (ubweya, thonje, nsalu) ndikukhala ndi bandeji pamendo. Compress imayikidwa madzulo ndikusiya mpaka m'mawa.

Njira Zochizira Khansa

Njira yachilendoyi imagwiritsidwa ntchito pakachitika necrosis. Kukonzekeretsa bwino sizinthu zophweka - muyenera nsomba zazinkhanira zatsopano. Amaphwanyidwa (kudulidwa, kuphwanyika) kukhala misa yambiri. Ikhale china chake ngati mtanda. Keke lophimba laling'ono limayikidwa m'dera lomwe lakhudzidwa, lomwe limakutidwa ndi nsalu ndikukhazikika ndi bandeji. Sinthani keke kangapo patsiku. Pitilizani njirayi mpaka khungu liwonongeke.

Njira zina zochiritsira kunyumba ndizothandiza monga mankhwala ena achikhalidwe. Ubwino wambiri wogwiritsa ntchito zitsamba muzofatsa, zofewa. Imodzi mwa miniti - njira ya mankhwala itha kukhala yayitali kwambiri. Mpumulo ubwera pambuyo pa kugwiritsa ntchito wowerengeka azitsamba.

Yang'anani! Ngati vutoli likuipiraipira, simungadalire wowerengeka wowerengeka. Kulumikizana ndi katswiri panthawi yake kumathandiza kuti khungu lanu lizituluka nthawi yomweyo.

Matenda a shuga si sentensi. Mukamatsatira malamulo osavuta mutha kukhala ndi moyo wautali komanso wopambana. Samalirani thanzi lanu, mudzisamalire nokha ndi okondedwa anu, ndikukhala osangalala.