Chithandizo cha kupweteka kwamiyendo mu shuga

Matenda a shuga ndi njira yayikulu yomwe imabweretsa mavuto osiyanasiyana nthawi zambiri. Pafupifupi 30% ya odwala, miyendo yam'munsi imakhudzidwa. Pali ululu, dzanzi, zilonda pakhungu la mapazi zimatha kukhazikika. Ndili ndi zaka komanso njira yayitali ya matenda ashuga, chiopsezo chokhala ndi matenda ammiyendo chikukula. Odwala ena amanyalanyaza zopweteka zambiri. Koma choopsa ichi ndikuti popanda chithandizo chachikulu mavuto amakula, mpaka kutayika kwa zala kapena phazi lonse. Chifukwa chake, ngati miyendo yanu imapweteka ndi matenda a shuga, ndikofunikira kufunsa dokotala posachedwa kuti musankhe njira yoyenera yamankhwala.

Makhalidwe wamba

Matenda a shuga ndi matenda opatsirana omwe amadziwika ndi kuwonjezeka kwa shuga m'magazi. Izi zimachitika nthawi zambiri chifukwa chakuchepa kwa kuchuluka kwa insulin ya mahomoni, yomwe imayang'anira kukonzanso kwake. Nthawi zina minyewa imalephera kuyamwa. Izi zimasokoneza kugwira ntchito kwa machitidwe ndi ziwalo zonse za wodwala. Pali mitundu iwiri ya matenda. Mtundu woyamba wa matenda ashuga, kapamba wa wodwalayo asiya kupanga insulini. Ndi chithandizo choyenera, mawonekedwe amtunduwu samayambitsa zovuta.

Koma mtundu wachiwiri wa matenda a shuga umayamba mwa anthu opitirira zaka 40, omwe ali onenepa kwambiri kapena mavuto ena azaumoyo. Ndi matenda amtunduwu, maselo amthupi amalephera kutulutsa shuga. Amadziunjikira m'magazi ndipo imayambitsa zovuta zosiyanasiyana mu thanzi. Mtundu uwu wa matenda a shuga ndiwovuta kulipirapo, muyenera kutsatira zakudya ndikuwona shuga yanu nthawi zonse. Komabe, ndi mtundu uwu wa matenda ashuga, mavuto osiyanasiyana amakula nthawi zambiri. Kwambiri, miyendo yakumunsi imavutika. Nthawi zambiri, zinthu ngati izi zimachitika patatha zaka 2-3 atazindikira kuti ali ndi matenda ashuga.

Kupweteka kwam'mimba mu shuga kumawonekera nthawi zambiri chifukwa cha kusokonezeka kwa magazi. Zotsatira zake, mapazi amalandira magazi ochepa komanso kusowa kwa michere. Mkulu wama glucose amasokonezanso magwiridwe antchito amanjenje. Kuopsa kwa izi ndikuti chifukwa chakuwonongeka kwa minyewa yam'mitsempha, wodwalayo amasiya kumva kupweteka akamavulaza minofu yofewa. Koma, ngakhale izi, miyendo imapwetekabe, makamaka poyenda.

Wodwala mwiniyo sangathe kuzindikira vuto lakelo panthawi, chifukwa chovuta chomwe chimayamba. Chifukwa chake, ndi mtundu wachiwiri wa matenda ashuga, makamaka mawonekedwe ake okhudzana ndi insulin, tikulimbikitsidwa kupenda bwino mapazi anu tsiku lililonse.

Pali zizindikiro zingapo zomwe zingathandize kudziwa zizindikiro zoyambirira za minyewa ya minyewa pa nthawi:

Khungu limakhala louma, limayamba kusweka.
Imamveka dzanzi, kuyabwa.
Tsitsi limasanduka imvi ndipo limatuluka.
Mtundu wa khungu umasintha, amatha kukhala wotumbululuka, wamanjenje kapena amitundu.
Mapazi amatha kukhala ozizira kwambiri kapena osakhazikika kwachilengedwe kuti akhudze.
Zilonda zazikulu, zilonda zam'mimba zimawoneka pakhungu la kumapazi.

Kuphatikiza pazizindikiro zakunja, miyendo imayamba kupweteka. Kusakhumudwa kumamveka makamaka poyenda. Mwa odwala ena, zimachitika pambuyo poyenda pang'ono. Pamene matenda akupita patsogolo, ululuwo umatha kukhala osapirira. Palinso zotupa, zopindika, zala ndi mafupa zimatha kusokonekera. Nthawi zambiri, zoterezi zimachitika m'mapazi, koma nthawi zina miyendo imatha kukhudzidwa.

Matenda a shuga nthawi zambiri amapweteka miyendo. Nthawi zina wodwala samathanso kuyenda bwino. Amawoneka pang'onopang'ono. Pakusuntha, wodwalayo amayenera kuima pafupipafupi, kudikirira mpaka ululu utachepa. Njirayi pankhaniyi ikusintha, munthu sangathe kuyenda mwachangu.Nthawi zambiri zopweteka zimatuluka ngakhale pakupuma, zimamulepheretsa kupuma.

Pali zifukwa ziwiri zazikulu zoyambitsa matenda a phazi mu odwala matenda ashuga. Uku ndikuphwanya kayendedwe ka magazi chifukwa chakuchepa kwa lumen ya mitsempha yamagazi, komanso kuwonongeka kwa minyewa yamitsempha. Vuto lalikulu limayamba pamene zinthu ziwiri izi zimakhudza miyendo nthawi imodzi, zomwe zimachitika nthawi yayitali ndi matenda ashuga kapena kulipira koyenera.

Mwa odwala matenda ashuga, kuchuluka kwa glucose m'magazi nthawi zambiri kumachulukitsidwa. Izi zimabweretsa kuwonongeka kwa ulusi wamanjenje. Matendawa amatchedwa matenda a shuga. Poterepa, njira zoyendetsera zilimbikitso zamitsempha zimasokonekera. Makamaka izi zimakhudza mkhalidwe wamiyendo, chifukwa ulusi wautali kwambiri umadutsa pamenepo. Odwala amamva dzanzi, kumva kulira, nthawi zina kuwotcha kapena kumverera kwa zokwawa.

M'mapazi, kupindika kumasokonekera, osati khungu, komanso mafupa, mafupa, minofu yofewa. Wodwala samamva kuzizira, kuvulala pang'ono. Ndipo popeza matenda ashuga nthawi zambiri amawonedwa onenepa kwambiri komanso kuwonongeka kwa miyendo, kugawa katundu mosayenera limodzi ndi kutayika kwa chidziwitso kumayambitsa kuwonongeka kwa minofu yofewa, kukula kwa njira yotupa. Nthawi zovuta kwambiri, wodwalayo samva kupweteka ngakhale atakomoka.

Matenda a shuga nthawi zambiri amabweretsa chitukuko cha atherosulinosis kapena thrombosis. Kuchepetsa lumen ya m'mitsempha yamagazi kumatha kukhala chifukwa cha kuchuluka kwa mchere kapena chifukwa cha kuchuluka kwa shuga m'magazi. Izi zimawonekera makamaka mumkhalidwe wa zotumphukira zomwe zimadyetsa miyendo. Pang'onopang'ono, minyewa yamapazi imayamba kumva kufa ndi mpweya. Ischemia wawo amakula, awonongedwa, zilonda zimawoneka pamapazi.

Zoyipa

Mtundu woyamba 1 ndi mtundu wa 2 matenda a shuga ndi matenda amtundu wa endocrine omwe amayenda limodzi ndi kuwonongeka kwa ziwalo za thupi. Mitsempha yamagazi ndiyo yoyamba kuvutika. Kutali kuchokera mumtima komwe ma capillaries ndi mitsempha amapezeka, mwachangu njira zamatsenga zimapitilira mwa iwo.

Chifukwa chachikulu chomwe miyendo imatha kupweteka ndi matenda ashuga, madokotala amatcha hyperglycemia. Kuwonjezeka kwa shuga m'magazi othandizira kumayenderana ndi kuphwanya magazi, kusungidwa kwa ziwalo zamiyendo.

Njira za patathogenetic za kupititsa patsogolo ululu:

Kutupa kwa mtima kwa microvasculature mu zotumphukira ziwalo za thupi. Zotsatira zake ndikuwonongeka pakukwaniritsidwa kwa minofu ndi magazi, zomwe zimapangitsa kuti mpweya wabwino wa maselo usakwanitse kugwira ntchito zawo zofunika. Pakati pa kusintha kotere, kupweteka kumachitika.
Kugonjetsedwa kwa ulusi wamanjenje. Kutulutsa kufalikira kuchokera ku kufalikira kupita ku ubongo kumatha. Sensitivity disorder ikupita. Pali zolingalira zazotsatira zamagetsi zomwe zimatumiza mauthenga ku ubongo pazowawa popanda chifukwa.

Kukula kwa matendawa kumayendera limodzi ndi kufalikira kwa mbali ziwirizi. Kuphatikizika kwa njira za pathological kumabweretsa kuwonongeka kovuta kwa thupi ndikuwoneka ngati kupweteka kwambiri m'miyendo ndi matenda a shuga.

Kuti muchepetse kulimba kwa chizindikirocho ndikuwongolera mkhalidwe wa wodwalayo, muyenera kufunsa dokotala kuti musankhe pulogalamu yamankhwala.

Zizindikiro zophatikiza

Kumvetsetsa chifukwa chomwe miyendo imapweteka ndi matenda a shuga kumathandiza kusankha njira yabwino kwambiri yothandizira. Chizindikiro chake ndi chimodzi mwazizindikiro za matendawa. Kuwonetsera kumeneku kwa hyperglycemia kumachitika pambuyo pakupita kwamavuto ndi kuwonongeka kwa mitsempha ndi mitsempha.

Kufooka poyenda kapena mutatha kuyenda. Cholinga chake ndi njira zomwe zimapangidwira pang'onopang'ono mu zida za minofu, limodzi ndi kukanika.
Ukadaulo ndi kutupa. Zizindikirozi zimapezeka kwambiri kwa odwala omwe ali ndi mtundu wachiwiri wa matenda. Cholinga chake ndikukusunthika kwa magazi ndi madzimadzi mu minofu chifukwa chakuchulukana kwa kuchuluka kwa khoma la mtima.
Khungu loyera.Matenda am miyendo ndi mawonetseredwe ake m'magazi a shuga amaphatikizidwa ndi kutulutsidwa kwa zinthu zam'magazi m'dera lomwe lakhudzidwa, zomwe zimayambitsa kugwirizanitsa.
Trophic chisokonezo pakhungu ndi zofewa zimakhala zamiyendo. Chophimba cha thupi chimacheperachepera komanso kuvulala mosavuta, zilonda zimachitika. Kusintha kwa mavutowo ndi phazi la matenda ashuga. Popanda chisamaliro kapena kufalikira kwamphamvu kwa matenda, kuyezetsa magazi m'thupi lomwe lakhudzidwa ndikofunikira.
Kusintha khungu. Zala, miyendo, miyendo zimakopeka ndikuchita. Chomwe chimayambitsa chizindikirochi ndi kusintha kwamatenda mu minofu, zomwe zimayambitsa vuto la trophic. Chizindikiro ichi chimadziwika ndi kuwonongeka kwa phazi mu mtundu 2 matenda ashuga.

The munthawi yomweyo kutembenuka kwa minofu, khungu ndi zina kapangidwe kazinthu zimapangitsa kukula kwa kupweteka kwa matenda ashuga. Kuti akhazikitse vutoli, wodwalayo amafuna thandizo kuchokera kwa dokotala.

Kukula kwa chizindikirocho pakudwala kumadalira malangizo a dokotala, kuwongolera glycemia komanso kumwa mankhwala apadera.

Mawonetseredwe amatsenga

Matenda a shuga amapezeka nthawi zonse ndi kuwonongeka kwa mitsempha, kuchuluka kwa momwe matendawa amathandizira zimadalira momwe thupi la wodwalayo lilili. Zizindikiro zamitsempha motsutsana ndi maziko a chisangalalo m'miyendo ndi chizindikiro cha kufunika kwa kukonza mankhwala.

Zowonetsera ngati chapakati mantha amawonongeka pakumva kupweteka:

Kufooka kapena kuwonongeka kwathunthu kwamalingaliro mu zala ndi phazi lonse. Poyerekeza ndi kuwonongeka kwa ulusi wamitsempha, kusintha kosasintha kudzachitika.
Kutumiza kwa "goosebumps" kumapazi kumapazi kapena m'miyendo mwendo wotsika. Pali kuphwanya kwa kufalitsa zikhumbo kuchokera kufupi kupita kuubongo ndikudutsa kwa chizindikirocho.
Kulemera m'miyendo. Minofu imawoneka kuti imadzaza ndi lead, ndipo nthawi zambiri izi zimatsatana ndi zowawa.

Odwala samvetsetsa chifukwa chake zovuta zomwe zimafanana zimabuka komanso zomwe angachite nawo. Kupweteka kwa shuga ndi vuto lomwe silinganyalanyazidwe. Chithandizo chokwanira chimathandiza kukhazikika pathupi laumunthu.

Zowopsa zomwe zingachitike

Kodi nchifukwa ninji pali kuwonongeka kowopsa pamunthu? Zotsatira zakukula kwa zizindikiro za matenda ashuga kumadera otsika sikumayankha funso loti kuthamanga kwa njirayi kumatengera chindapusa cha hyperglycemia.

Kuopsa kwa kupweteka kwa mwendo ndikovuta kuzidyetsa kwambiri. Zotsatira zoyipa:

Zilonda zamkhungu ndi kuphatikiza kwachiwiri kwa matenda, zomwe zimayambitsa magazi poyizoni ndikupanga mawonekedwe a poizoni.
Maso a zala kapena phazi lonse. Ndizotheka kuchiritsa matenda pokhapokha pochita opaleshoni ndikuchotsa m'dera lomwe lakhudzidwa. Kuchita opaleshoni ndikofunikira, apo ayi wodwalayo adzafa chifukwa cha kuledzera.
Kuwonongeka kwathunthu kwa chidwi. Wodwala matenda ashuga samva kuwawa. Ndikumenyedwa mwamphamvu, komwe kunayambitsa kupasuka, mwendo ukhoza kusadwalanso. Cholinga chake ndikusintha kwa njira.

Ngati miyendo imapweteka mu shuga, ndiye kuti pali kuphwanya kwa mitsempha ndi mitsempha yamagazi. Gawo loyamba lothandiza kukonza thanzi la munthu ndikukonzanso kwa hyperglycemia. Ndikosatheka kuchiritsa vutoli. Madokotala amasankha mankhwalawa kuti achepetse kupweteka komanso kusintha kagayidwe kazachilengedwe.

Zizindikiro

Matendawa amatha kuthandizidwa pansi pa kulangidwa kwa odwala, kutsatira malangizo onse a dokotala komanso kumwa mankhwala ochepetsa shuga.

Kuti mudziwe chomwe chimayambitsa kupweteka, mayeso otsatirawa ndi zotsatira zoyeserera zofunikira:

kuyesa kwa shuga m'magazi
Ultrasound yamitsempha ya m'munsi yam'munsi - kafukufuku ayenera kuchitidwa kuti asatenge mapangidwe amitsempha yamagazi m'mitsempha komanso kupewa mtima, kugunda, embolism,
kuyesedwa ndi katswiri wamitsempha poyesa mitundu yonse yazomverera.

Ngati ndi kotheka, kufunsidwa kwa akatswiri okhudzana - othandizira, neuropathologist, dokotala wa opaleshoni.

Kuti muwone momwe minofu yam'mafupa, wodwalayo amathandizira X-ray.Mndandanda wa zowunikira zowonjezera ndi kuyesedwa kumatsimikiziridwa ndi dokotala kutengera mawonekedwe a chithunzi cha chipatala.

Zochizira

Zoyenera kuchita ngati matenda a m'miyendo apweteka ndi matenda ashuga - funso la wodwala. Yankho limatengera kuuma kwa chizindikirocho komanso kupezeka kwa zizindikiro zothandizirana. Mankhwalawa cholinga chake ndikukhazikitsa glycemia ndikuchepetsa chisangalalo kumadera otsika.

kukhazikika kwa kagayidwe kazakudya,
kusintha kwa kusintha kwachulukidwe,
kukonza magwiridwe antchito a neurons ndi njira zosavomerezeka,
kukhazikika kwa momwe wodwalayo akumvera,
kuthetsa kupweteka.

Asanachiritse miyendo chifukwa cha matenda ashuga, adokotala amafufuza mozama za zomwe zimayambitsa vutoli. Piritsi limodzi kapena awiri satulutsa wodwala. Kuti athetse ululu, wodwalayo amaphatikiza mankhwala ndi zakudya komanso masewera olimbitsa thupi.

Zotsatira za hyperglycemia amathandizidwa potsatira mawonekedwe a pathogenesis yovuta. Ngati munthu ali ndi matenda a shuga amtundu woyamba, ndiye kuti mankhwala a insulin amayamba.

Odwala omwe ali ndi vuto la kuchepa kwa mahomoni ofanana amamva kupweteka kwamiyendo pambuyo pa zaka 5 mpaka 10 za "zochitika" za matendawa.

Zizindikiro zimadziwonekera mwa achikulire pafupipafupi kuposa ana. Kuti muchepetse kusasangalala, ndikofunikira kuwongolera shuga wamagazi ndikukhazikika kwa miyendo. Kuti muchite izi:

mtundu wosankhidwa wa insulin mankhwala,
zolimbitsa thupi zochepa,
The achire zakudya zotchulidwa.

Odwala kuwonjezera apo amapaka minofu ya phazi, gwiritsani ntchito ma compress ofunda, kutikita Njirazi zimathandizira kuti magazi azithamanga komanso azithamanga.

Chithandizo cha kumapazi kwa matenda amtundu wa 2 ndicholinga chothandiza kukhazikika kwa magazi m'magazi. Kuphatikiza pa mfundo zomwe zili pamwambapa, odwala amawongolera kunenepa. Kunenepa kwambiri ndi chinthu chomwe chimayambitsa kupweteka komanso kulemera m'madera akumunsi.

kumwa mankhwala a antipyretic,
kudya kukonza thupi komanso kukhazikika kwa kagayidwe kazakudya,
mapulogalamu olimbitsa. Masewera - mankhwala achilengedwe kuwonjezera chiwopsezo cha minyewa chifukwa cha insulin komanso polimbana ndi mapaundi owonjezera.
kutenga ma pinkiller.

Odwala omwe ali ndi ululu m'miyendo yokhala ndi matenda amtundu wa 2 ayenera kuthana ndi mawonetseredwe a matendawa munthawi yake - zilonda zam'mimba, vuto la chidwi ndi zina.

Kusamalidwa koyenera kwamapazi

Kupewa kupitirirabe kwa matenda ndikosavuta kuposa kuchiritsa. Ululu m'miyendo - chizindikiro chokhudza kuphwanya ziwiya ndi mitsempha ya m'munsi. Kuti khazikitse mkhalidwe waumunthu ndikuletsa kutukuka kwa zovuta, madokotala amalimbikitsa njira zosavuta zotsatirazi:

Yerekezerani kusamba pamapazi. Kuchita machitidwe oterowo pafupipafupi kumathandizira kusintha kwamphamvu kwamitsempha yamagazi ndi kuphatikiza kwa ma cellcirculation.
Chisamaliro chofatsa cha misomali. Pedicure imachitika mosamala. Kutsukidwa pafupipafupi kwa khungu la mapazi kumathandiza kupewa kuwoneka ming'alu yaying'ono ndi zipsera momwe kachilomboka kamalowa.
Kusankhidwa kwa nsapato zabwino. Nsapato ndi zothina sizimafinya minofu ndi mitsempha yamagazi kumapazi, ndikuwonjezera mwayi wa kupitirira kwa angiopathy. Madokotala amalimbikitsa kusankha nsapato zofewa kuti muchepetse mawonekedwe a chimanga ndi ma scuffs.
Masokisi, masokisi ndi ma tights amasinthidwa nthawi zonse.
Kukana chithandizo chamankhwala pokhapokha povulala kapena kuvulala chifukwa cha matenda ashuga. Panthawi imeneyi, muyenera kufunsa dokotala.

Malangizo osagwirizana ndi matenda ashuga ndi mwendo ndikumayikiridwa kwa masokosi kuti musunge kutentha komanso kukhazikika kwa miyendo.

Chifukwa cha mfundo izi, wodwalayo amachepetsa kuuma kwa chizindikiro chosasangalatsa ndikuchepetsa chiopsezo cha zovuta.

Zolemba zaukadaulo wazachipatala

Ngati matenda ashuga, monga endocrine pathology, amagwirizanitsidwa ndi kuphwanya kwa homeostasis ya mphamvu yofunika kwambiri yamkati mthupi - glucose, ndiye kuti malo osiyanasiyana a ululu m'matenda a shuga amakhalapo chifukwa chovuta chifukwa cha hyperglycemia, yomwe glucose imakhala ndi poizoni m'thupi.

Zoyambitsa Matenda A shuga

Kuchokera pakuwona kupita patsogolo kwa diabetesology, zomwe zimayambitsa kupweteka kwa matenda ashuga komanso pathogeneis zawo zimawerengedwa ndi endocrinologists monga mbali za njira zambiri zamankhwala am'magazi zomwe zimachitika pamene glucose wamagazi akukwera kwambiri mwa odwala matenda ashuga komanso amakhudza thupi lonse.

Kuchuluka kwa glucose kumapangitsa kuti glycation ya mapuloteni, i.e., yopanda ma protein a aldehyde gulu la glucose ikhale ku gulu lamapulogalamu amtundu wa amino. Pankhaniyi, chifukwa cha kuchuluka kwa maselo a zinthu zomaliza zamtunduwu (immunoreactive carbonyl complements), mapuloteni okhala ndi zipolopolo za lipoprotein a maselo ofiira am'magazi, mapuloteni a ma cell odziwika (elastin ndi khungu collagen, vascular endothelium), myelin sheath of the nerve fibers underge organised moduction. Zotsatira zake zoyipa ndikuwonongeka kwa minofu ndikuphwanya ntchito zawo.

Zomwe zimayambitsa kupweteka kwa matenda a shuga zimaphatikizidwanso ndi kukhathamiritsa kwa glucose ochulukirapo, komwe kumabweretsa njira zowoneka bwino zamtundu wa oxidative pamavuto a oxidative: kuwonjezeka kwa ma radicals aulere, kuchuluka kwa oxidized lipids, LDL, isoprostanes ndi diacylglycerol. Omaliza amayambitsa mawu a intracellular enzyme protein kinase-C, chifukwa chomwe minofu yosalala ndi yolumikizira minofu yamitsempha yama magazi imasanduka hypertonic, mapulateleti omwe amapitilira kuwonjezereka, plasma glycated albumin imapereka zinthu zofunika ku maselo ndi metabolite okhathamira ndi exogene.

Chipinda choyambira cha epithelium chingwe cha makoma a capillary chimakhala choderera (zotengera zimakhala zochepa), ndipo endothelium imakhala yokhazikika chifukwa cha malo a lipo- ndi glycoproteins. Izi zimachepetsa kuyimitsidwa kwa okosijeni ndikuwononga bwino ntchito yolepheretsa ya endothelium ndi microcirculation (magazi othandizira a capillary) - ndikupanga matenda a shuga.

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Zolinga zakugonjetsedwa

Kodi ndichifukwa chiyani limapweteka ndi matenda ashuga, miyendo yodontha? Chithandizo cholakwika, kulephera kwa wodwala kutsatira malangizo a dokotala, matenda oopsa a hyperglycemia amachititsa kuwonongeka kwamitsempha yamagazi, kuchepa kwa magazi, kuwonongeka kwa mitsempha yayikulu komanso ma capillaries ang'onoang'ono.

Kuchulukitsidwa kwotalikilapo kwa shuga m'magazi kumapangitsa kuti mitsempha yafa, kuwonongeka kwa minofu yolumikizika, mapangidwe a mafupa ofooka, mafupa a mafupa.

Zovuta zomwe zimachitika chifukwa cha zovuta za matenda ashuga zimaphatikizapo kuchuluka kwa matendawa, kuchuluka kwa matenda ashuga, amuna ndi akazi, ukalamba, komanso matenda amtundu wamkati.

Neuropathy

Uku ndi kusokonezeka kwamanjenje komwe kumachitika ngati vuto la matenda ashuga ndipo kumapangitsa kuti kuchepa kwa ntchito ndi kulumala kwambiri. Ndi polyneuropathy, zombo zazing'ono, zomata, zamagalimoto zamagetsi komanso zamagetsi zimakhudzidwa.

Njira yofala kwambiri yamatenda yomwe imagwira miyendo yonse. Pathology imapezeka mu 25-50% ya odwala, amapita zaka 5-10 atatha matenda ashuga. Ndi kuwonongeka kwamphamvu kwa hyperglycemia, zizindikiro za matendawa zitha kuonekeratu.

Mu matenda a shuga amtundu wachiwiri, neuropathy, yomwe imaphatikizidwa ndi ululu m'miyendo, nthawi zina imapezeka matenda oyamba asanakwane - izi zimawonetsa kukanika kwambiri kwa metabolic. Odwala omwe ali ndi insulin yodalira mtundu woyamba, kuuma kwa maselo a sensorimotor kumadalira mtundu wa kayendetsedwe ka glycemia.

Zizindikiro zazikulu za matendawa:

kuchepa kwa chidwi, kufooka kwa kuzizira, zakunja zakunja,
kumverera kwa zikwanje zokwawa,
kupweteka kwakakulitsa kupuma pakukhudza,
kuyaka, kugona m'miyendo,
kutsuka kwa mapazi,
kukokana
khungu, khungu la khungu,
miyendo imazizira kukhudza.

Kukula kwa mawonekedwe owopsa a polyneuropathy kumalumikizidwa ndi kugonjetsedwa kwa ma C-fibers omwe si a myelinated C, omwe amachititsa kuyendetsa kutentha ndi zovuta. Pathology imayambira motsutsana ndi maziko a kuphwanya kwa kagayidwe kazinthu, kagayidwe ka zotumphukira zamitsempha. Ndi matenda a shuga m'magazi, zizindikirizo zimatha pang'ono pang'ono.

Matenda ofooketsa polyneuropathy a shuga mellitus amapereka zovuta kwambiri kumiyendo. Mavuto a Sensomotor amathandizidwa ndi kusintha kwa ma trophic.

Khungu limakhala louma, lathothoka, tsitsi limagwa m'malo ovuta, a mawonekedwe a bulauni, omwe pambuyo pake amasandulika mabala akuya, osachiritsa. Njira zachidziwitso nthawi zambiri zimakhudza mapazi.

Matenda a shuga

Odwala omwe ali ndi matenda ashuga, matendawa amatha kuphatikizidwa ndi chotupa chachikulu cha m'mitsempha yayikulu komanso yaying'ono. Sclerosis, makoma otupa amalimba, hemostasis imasokonezeka. Chithunzi cha chipatala chimakhala chofanana ndi atherosulinosis, momwe magazi amayenda m'zigawo zopumira. Zomwe zimapangitsa kuti pakhale vuto la angiopathy ndikosayenera chithandizo cha matenda ashuga, kuchuluka kwa shuga m'magazi, kusintha kwadzidzidzi kwa glycemia masana, kulephera kwa metabolic.

Matendawa amakula pang'onopang'ono, kuyambira paresthesias, kutsekeka kwa khungu, thukuta kwambiri, komanso kumva kukomoka. Odwala amadandaula za kuwonekera kwa kukhudzika kwakanthawi pambuyo poyenda kwa nthawi yayitali, kuwotcha ndikuwuma m'miyendo. Chifukwa cha kufalikira kwa magazi, minyewa yofewa yamiyendo imakumana ndi vuto la kuchepa kwa oxygen, madera a necrosis, zilonda zam'mimba zimapangidwa.

Pa gawo lotsogola, edema imachitika, kupweteka kwambiri m'miyendo kumapitilira mosalekeza, ngakhale pakupuma. Mabala amayamba kuzizira, kufinya, kufalikira kumadera akulu, ndipo kumatha kupangitsa kukula kwa osteomyelitis, subhleaneous phlegmon, abscesses, gangore. Kuwonongeka kotere kwa anthu odwala matenda ashuga kumakhala kovuta kutero, nthawi zambiri njira yokhayo yodulira mankhwalawo ndiyodula nthambi zowonongeka. Pakakhala chithandizo chamankhwala chosayembekezereka, imfa imatha kuchitika.

Matenda a matenda ashuga

Matendawa amakula motsutsana ndi zomwe zimachitika chifukwa cha matenda ashuga, monga neuropathy, angiopathy ndi osteoarthropathy. Matenda amawonjezera chiopsezo cha zotupa-zotupa, zoopsa m'matumbo a phazi, kufooka kwa mafupa. Munthu samadzimva kuti wavulaza mwendo wake chifukwa cha paresthesia, ndipo samayamba kuchiritsa bala nthawi, yomwe imayambitsa matenda ndikupanga chilonda chosachiritsa. Zomwe zimayambitsa kuvulazidwa zimatha kukhala misomali yolowera, kupukusira mafinya, ma warts, bursitis, nyamakazi yolumikizira miyendo, ming'alu chidendene, mafangasi a pakhungu kapena mafinya.

Anthu odwala matenda ashuga phazi nthawi zambiri amapezeka ndi mtundu wachiwiri wa matenda ashuga, omwe amakhala ndi mawonekedwe a insulini, zizindikiro za matendawa zimadziwika ndi anthu azaka zapakati pa 7 mpaka 10 matenda atangoyamba kumene.

Pachiwopsezo ndi anthu omwe alibe chikondwerero cham'mapazi, ali ndi mbiri yakuduladula kwaposachedwa, chifuwa chachikulu, komanso kupezeka kwa mabala amchere.

Zilonda zam'miyendo ndi kutupa kwa shuga

Zilonda za trophic nthawi zambiri zimakhazikika pamiyendo, zala zakumiyendo kapena zidendene, nthawi zambiri m'malo otsika mwendo. Pali mitundu iwiri ya zilonda zam'mimba: ischemic ndi neuropathic. Poyambirira, matenda amapanga ndi mpweya wofunidwa ndi minofu, kuphwanya magazi m'miyendo, ndipo chachiwiri - chifukwa cha kuwonongeka kwamakina ndi kutupa kwina ndi kupitilira.

Dongosolo la mapangidwe a zilonda za neuroischemic trophic:

Kuchekera, kukwiya kwambiri, kukwiya.
Maonekedwe a bulauni.
Mapangidwe a bala laling'ono.
Kuwoneka ngati zilonda zakuya zopindika.
Pansi pa chilondacho chimasanduka chakuda, chophimbidwa ndi zokutira imvi.

Tizilombo toyambitsa matenda tikalumikizana, minyewa yozungulira zilonda zam'mimba, imayatsidwa, imakhala yotentha kukhudza. Ma protein a purulent amadziunjikira mumtunduwo, womwe umatha kufalikira pansi pa khungu, m'minyewa (phlegmon, abscess). Poyerekeza ndi momwe mankhwalawo amachitikira, kumakhala kovuta kuti munthu ayime pamapazi ake, thanzi lake limakulirakulirakulira, Zizindikiro za kuledzera kwa thupi kujowina: nseru, hyperthermia, kupweteka kwa mutu, komanso kusokonezeka kwa thupi.

Ngati mapazi ali owawa komanso otupa ndi shuga, chifukwa chake ndi angiopathy ndi nephrotic syndrome. Matenda akuluakulu (pambuyo pa zaka 15 - 20) amayambitsa kusokonezeka kwa impso, kumabweretsa kuwonongeka mu kuthekera kwa kusefera kwawo, komanso kulephera kwamkodzo. Zotsatira zake, kuchotsa kwamadzi ochulukirapo kumachedwetsedwa, kumadzunjikana mumisempha yodutsa.

Nephropathy kumapeto kwenikweni imadziwika ndi kuwonjezereka kwa kuthamanga kwa magazi, matenda a dyspeptic syndrome, kutupa miyendo, thupi. Wodwala amawonetsa kuledzera kwamthupi (uremia), kuwonongeka kwakanthawi kwa ziwalo zina zamkati kumachitika. Woopsa milandu, kukomoka kumachitika, kumwalira.

Transcutaneous Oximetry

Njira yodziwikirayi imagwiritsidwa ntchito poyesa momwe magazi am'deralo amathandizira odwala omwe ali ndi ischemia yovuta kwambiri. Kuwunikira kumachitika pogwiritsa ntchito Clark electrode, yomwe imayikidwa pakhungu ndikuwotha. Sensor imakhazikika m'malo ophatikizika kuchokera kumbuyo kwa phazi kapena pamlingo wokhazikitsidwa, muyeso umachitika pogona ndikukhalapo. Ndi kugonjetsedwa kwa mitsempha yayikulu, mpweya wa transcutaneous wa okosijeni umachepa (pansi pa 30 mm Hg) m'mizimba yamiyendo.

X-ray kusiyanitsa angiography

Njira yofufuzira iyi ndiyofunikira kuti muphunzire magwiridwe amitsempha yamagazi, kudziwa madera osokonezeka, thrombosis, stenosis. Catheter imayikidwa kudzera pakubaya mu mtsempha ndipo chosemphana ndi injirayo, dokotala amawona zotsatira pa kompyuta.

Miyendo imavulala kwambiri ndi matenda ashuga - ndichite chiyani? Zizindikiro zoyipa zikayamba kuwonekera, muyenera kufunsa dokotala: magwiridwe antchito ena amavuta kuchiza ndikuwonjezera mwayi wolumala.

Njira yayikulu yothandizira ndikuwongolera kuchuluka kwa glycemia, kusintha mlingo wa mankhwala omwe amachepetsa shuga, insulin. Odwala azitsatira zakudya zama carb zotsika, osapatula zakudya zamagulu ochepa komanso zakudya zokhala ndi index ya glycemic yayikulu kuchokera muzakudya.

Zochizira za neuropathy, mankhwala a neurotropic amagwiritsidwa ntchito omwe amathandizira kubwezeretsa ma sheels a minelin owonongeka, ndikukonzanso kwa kayendedwe ka zoperewera. Anthu odwala matenda ashuga amadziwika kuti ndi Milgamma, mavitamini a gulu B. Ndi kupweteka kwambiri, anticonvulsants ndi mankhwala, Heparin amagwiritsidwa ntchito kupukutira magazi.

Chithandizo cha zilonda zotupa zimachitika ndi maantibayotiki, ma antioxidants, glucocorticoids (Prednisolone). Diuretics (Furosemide, Lasix) amathandizira kuchepetsa kutupa, zombo zimalimbitsa Pentoxifylline, Rutozide. Pa magawo oyambirira a chithandizo, kusapeza bwino kumatha kulimba, izi zikuwonetsa kubwezeretsanso kwa minyewa yamitsempha ndi kufalikira kwa magazi. Ululuwo umatha pambuyo pa miyezi yochepa.

Kupulumutsidwa kwa zowawa

Ndikotheka kuti muchepetse kupweteka kwa mwendo mu shuga ndi matenda osokoneza bongo omwe amaletsa kutupa, mankhwalawa amachitidwa ndi Diclofenac, Indomethacin, Nurofen. Amaloledwa kugwiritsa ntchito mankhwala oletsa ululu ngati mafuta onunkhira: gelusi la Ketoprofen, kirimu la Veratis ndi lidocaine.

Ndi ululu waukulu, odwala amalembedwa antidepressants ndi anticonvulsants, koma panthawi ya chithandizo amawunikira bwino kuchuluka kwa glycemia, chifukwa mankhwalawa amachititsa kuchuluka kwa shuga m'magazi.

Chithandizo cha anthu

Kuphatikiza pa chithandizo chachikulu cha zovuta za matenda ashuga, mankhwala wowerengeka azitsamba azitsamba zachilengedwe angagwiritsidwe ntchito. A decoction of blueberries amathandizira kusintha shuga. Kupanga mankhwala, mbewuyo imakwilitsidwa ndi madzi otentha, kunena ndi kumwa chikho 1/3 katatu pa tsiku kwa masabata awiri.

Chitani ndi matenda ashuga polyneuropathy ndi compress ndi mafuta a clove. Chidutswa cha gauze chimayilidwa m'mafuta ndikugwiritsa ntchito malo owonongeka. Pamwambapa pamakhala yokutidwa ndi kanema wamafuta, nsalu za thonje ndikusiyidwa usiku. Kuchita njirayi kumaloledwa tsiku lililonse. Contraindication ndi kukhalapo kwa mabala, zilonda zam'mimba, makamaka zotsekemera!

Mavuto

Ululu mu miyendo imodzi kapena iwiri yoyambitsidwa ndi kukula kwa neuropathy, angiopathy, arthropathy, kungayambitse zotsatirazi:

mapangidwe a phlegmon, masamu owonda,
Kusintha kwa mapazi,
ziwalo zam'munsi,
sepsis
chonyowa kapena chouma.

Pofuna kupewa kupezeka kwamavuto akulu, muyenera kuyang'anira kuchuluka kwa shuga m'magazi, kutsatira malangizo a dokotala, kuchitira matenda munthawi yake.

Kusamalira Mapazi A shuga

Anthu odwala matenda ashuga ayenera kuwunika momwe malekezero am'munsi, kupewa kuvulala. Nsapato zotsekemera zopangidwa ndi zinthu zofewa ziyenera kuvalidwa - izi zikuthandizira kuthetsa kutikita ndi mawonekedwe a chimanga. Madzulo aliwonse, miyendo imayenera kusunthidwa mosamalitsa, kutchera khutu makamaka kuzungulira kwake, malo okhala pakati. Malamulo a chisamaliro chaukhondo sayenera kunyalanyazidwa, ndi chisamaliro chapadera ndikofunikira kudula misomali.

Ngati mapazi akumazizira mosalekeza, ndizoletsedwa kupanga malo osambira, chifukwa chocheperako, mutha kuwotchedwa. Zikatero, ndibwino kuvala masokosi ofunda. Mapazi okwiririka khungu limasweka mosavuta, pofuna kupewa, tikulimbikitsidwa kugwiritsa ntchito mwana kirimu kapena mafuta opatsa thanzi usiku musanagone.

Ululu wam'mimba mu matenda a shuga umawoneka motsutsana ndi maziko a zovuta zamatenda. Neuropathy, angiopathy amachititsa kuchepa kwa chidwi cha minofu, zimawonjezera chiopsezo cha zilonda zam'maso, zilonda zam'mimba. Ndi chithandizo mwadzidzidzi cha matenda a pathologies, zotsatira zoyipa zimayamba, zomwe zimafuna kuti chiwalo chake chiwonongeke.

Zowawa zam'miyendo mu shuga - njira zamankhwala

Zikakhala zoterezi, thupi la munthu silingathe kuyamwa glucose, chifukwa chomwe chimachitika mofulumira. Izi zingayambitse matenda a shuga.

Kuchuluka kwa zinthuzi kumabweretsa kuphwanya kwamachitidwe a mtima, mantha ndi zina. Ndikuphwanya kufalikira kwa magazi komwe kumabweretsa mabvuto azakudya zam'munsi.

Kupezeka kwa matenda ashuga a mitundu yonseyi kumawerengedwa ngati mkangano wofunikira popereka miyendo ndi chisamaliro chowonjezeka. M'malo mwake, akhoza kukhala ndi mavuto ambiri. Ndiye ndimomwe mungachiritsire kupweteka kwamiyendo mu shuga?

Kodi matenda amiyendo ndi miyendo mumitundu 1 ndi mtundu wa 2 odwala matenda ashuga?

Monga mudamvetsetsa kale, shuga imabweretsa zovuta kumadera otsika. Mavuto akulu nawo nthawi yonseyi amakhala ndi anthu onse omwe ali ndi vuto la chakudya.

Mukamakula, wodwalayo amatha kukhala ndi mavuto ambiri. Izi zimatha kuyambitsa mavuto ambiri osati kwa wodwala yekha, komanso kwa endocrinologist wake.

Pamaso pa matenda omwe amafunsidwa, kuthekera kwa matenda am'magazi a shuga kumakhala kwakukulu. Amadziwika ndi kuwonongeka kwa mitsempha mathero. Izi zimachitika chifukwa cha kuchuluka kwa shuga m'magazi. Matendawa amatchedwa matenda a shuga.

Ili ndiye vuto linalake lomwe limachitika chifukwa cha zovuta zomwe zimachitika mu kapamba. Zitha kuchititsa kuti wodwalayo asathenso kumvetsetsa zam'munsi. Mapazi musamve kukhudza, kupweteka, kupanikizika, kutentha kapena kuzizira kwambiri.

Ngati wodwalayo akuwononga mwangozi khungu la mwendo, ndiye kuti samamvanso kalikonse.

Chiwerengero chopatsa chidwi cha anthu odwala matenda ashuga ali ndi zilonda m'malo awo ochepera. Zitha kuwonekeranso kumapazi kumapazi.

Tiyenera kudziwa kuti zotupa za pakhungu zimachiritsa nthawi yayitali komanso yovuta. Ngati mphamvu ya miyendo imangokhala yofooka, ndiye kuti mabala ndi zilonda zam'mimba sizimabweretsa ululu wosasangalatsa.

Zingachitike mwadzidzidzi kuti wodwalayo achotsa mwendo wake, kapena ataduka mafupa a kumapazi, ndiye kuti kuvulala koopsa komanso koopsa kumakhala kopweteka kwambiri. Matendawa amatchedwa matenda a shuga.

Popeza anthu samva kuwawa kulikonse, ambiri a iwo ndi aulesi kwambiri kutsatira malingaliro a katswiri. Mabala otseguka, mabakiteriya amatha kuchulukana kwambiri, ndipo chifukwa cha gangrene, mwendo umatha kuduliratu.

Ngati patency yamitsempha yamagazi ikugwa mwachangu, ndiye kuti minyewa yam'munsi yakumapeto imatha kumva njala yayikulu.

Zotsatira zake, amayamba kutumiza mauthenga owawa. Zomalizirazi zimatha kuonekera ngakhale munthu atapuma.

Koma, komabe, titha kunena kuti ndibwino kuti munthu azimva kusasangalala pang'ono ndi matenda ashuga kuposa kutaya kwathunthu chidwi cha miyendo. Kupweteka kotereku kumatha kudziwika poyenda kapena kuthamanga. Ndizosasangalatsa zam'miyendo zomwe zimapangitsa munthu kupita kwa dokotala.

Mavuto akulu ndi mitsempha, mitsempha, ndi ma capillaries omwe amadyetsa miyendo amatchedwa matenda otumphukira. Ngati matendawa amachitika nthawi yomweyo ndi matenda a shuga, ndiye kuti ululuwo umakhala wofatsa kapenanso kuti palibe.

Ngati matenda a shuga a mellitus apweteka komanso miyendo italephera, ndichitenji?

Tsiku lililonse, wodwalayo ayenera kupenda miyendo yake.

Makamaka chidwi chake chikuyenera kulipira kumapazi, kumapeto ndi malo pakati pa zala. Osanyalanyaza ngakhale zowonongeka zazing'ono mwanjira yokanda.

Mabala onse, matuza, ming'alu ndi zolakwika zina zomwe zimaphwanya umphumphu wa khungu, imatha kukhala njira yolowera matenda. Wodwala matenda a shuga amafunika kutsuka miyendo yake tsiku lililonse ndi madzi ofunda ndi sopo wosalowerera.

Kuyang'aniridwa kwakukulu kuyenera kulipidwa makamaka pazikhala pakati pa zala. Pukutani mosamala kwambiri ndi kusintha kwa matawulo kofewa.

Mankhwala otani?

Monga lamulo, kutengera ndi kudwala, madotolo amatumiza mafuta ena ndi mafuta, popanda zomwe sizingatheke kupirira zovuta.

Chochita chawo chachikulu ndikuchepetsa ululu. Komanso, ndi thandizo lawo, mutha kupukuta khungu louma.

Zokonda ziyenera kuperekedwa kokha kwa iwo omwe ali ndi zosakaniza zachilengedwe.. Ayenera kukhala ndi mavitamini ndi zina zofunikira zofufuza.

Achire olimbitsa thupi ndi olimbitsa thupi

Mothandizidwa ndi masewera ndi masewera olimbitsa thupi, kufalikira kwa magazi kumadera akumunsi kumabwezeretseka. Kuphatikiza apo, mankhwala oyenera angagwiritsidwe ntchito pazolinga izi.

Njira zolimbitsa thupi zitha kuchitidwa mothandizidwa ndi zida zowonjezera, kapena popanda izo.

Iwo ndi gawo lothandiza pa matenda azovuta za zovuta za carbohydrate metabolism. Chifukwa cha iwo, mutha kuchepetsa mlingo woyambirira wa mankhwala ena.

Monga lamulo, physiotherapy ya matenda a shuga a mtundu woyamba ndi wachiwiri ndi cholinga chothetsa mavuto oyambira:

Mwa zina, kuchita bwino kwa physiotherapy kuli chifukwa chakuti amatha kusintha kayendedwe ka magazi ndi kamvekedwe ka mitsempha yamagazi. Amakondanso mkhalidwe wamanjenje ndi kupumula kwamadzulo.

Poterepa, tikulankhula za angiopathy ndi neuropathy.

Ponena za zochizira zodwala matenda a shuga, ziyenera kuphatikizidwa ndi zakudya zoyenera zamatumbo ochepa. Musanayambe kusewera masewera, muyenera kufunsa akatswiri.

Ngati atavomereza ndipo akutsimikizira kuti simunapondereze zolimbitsa thupi, ndiye kuti mutha kusaina mwamasewera olimbitsa thupi.

Kuchiza ndi wowerengeka azitsamba

Ndikofunika kudziwa kuti kwenikweni maphikidwe ambiri oletsa kupewetsa shuga amathandizira kukhazikika kwa shuga.

Zimakonzedwa molingana ndi mfundo imodzi: supuni zazikulu ziwiri za chigawochi zimathiridwa ndi kapu imodzi yamadzi ndikuwumiriza kwa maola awiri. Ndikofunikira kuchiza matenda a carbohydrate metabolism mwa kutenga mitundu yofanana mpaka kangapo patsiku supuni yayikulu.

Malinga ndi kafukufuku wa asayansi aku Israel, kugwiritsa ntchito Whey pamaso pa chakudya kumapangitsanso kupangika kwa mahomoni a pancreatic komanso kumachepetsa mwayi wokhala ndi spikes mwadzidzidzi m'magazi.

Kwa odwala matenda amtundu wa 2, madokotala amalimbikitsa kugwiritsa ntchito njere za fulakesi m'njira yopanga mankhwala. Pokonza msuzi, muyenera kutenga supuni zisanu za mbewu ndikuwathira ndi lita imodzi yamadzi.

Pambuyo pa izi, osakaniza amayenera kuyikiridwa pamoto wotsika. Pakadutsa mphindi khumi, amayenera kuchotsedwa pachitofu. Msuzi umakhazikika, umasefa ndi kutengedwa katatu patsiku. Njira yochizira ndi mwezi umodzi.

Pa magawo oyamba a matenda a endocrine, ndikofunikira kutenga Kalanchoe kuchotsa ndi kulowetsedwa mkati.

Kulandila kuyenera kuchitidwa molingana ndi zofunikira za katswiri waumwini. Kukula kwa mlingo kuyenera kupewedwa.

Mulingo wovomerezeka wa mankhwalawa ndi supuni imodzi ya madzi patsiku. Zachidziwikire, ngati thupi la wodwala limalekerera chomera ichi.

Ndi mtundu umodzi wovuta kwambiri wa matenda ashuga, muyenera chithandizo chomwe chidzachitike pogwiritsa ntchito mitundu yonse ya machiritso komanso chomera chothandiza.

Nettle iyenera kuyang'aniridwa mwapadera. Amawerengedwa kuti ndi gawo limodzi lothandiza la insulin. Zotsatira zake ndikuchepetsa shuga m'magazi.

Kupewa kwa Matenda A shuga

Kuphatikizika kwa njira zodzitetezera kumaphatikiza masewera olimbitsa thupi kuti ayambe kupangika, kutikita minofu kwa thupilo, komanso kukonza zakudya.

Zoyenera kuchita ngati miyendo yanu ipweteka ndi matenda ashuga:

Kupweteka kwam'mimba m'matenda a shuga ndi chinthu chosasinthika chomwe posachedwa munthu akudwala matendawa amakumana. Kuti mupewe izi, ndikofunikira kutsogola moyo wokangalika, idyani moyenera, kusiya zizolowezi zoyipa ndikusewera masewera.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali

Zimabwezeretsa kupanga kwa insulin

Matenda a shuga

Matenda a shuga ndi matenda oopsa kwambiri, a polysymptomatic, omwe ndi osatheka kuneneratu m'mbali zonsezi. Mavuto amatha kukhala osiyanasiyana, koma miyendo yake imavutika. Ndipo izi ziyenera kuthandizidwa kwambiri, chifukwa popanda kulandira chithandizo komanso kupewa kuyenera kukhala ndi chiopsezo chodulira zala kapena phazi lonse.

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Chifukwa chiyani pali zowawa?

Kupweteka kwa mwendo mu shuga kumachitika chifukwa cha hyperglycemia. Nthawi zambiri, kukula kotereku kumachitika m'njira ziwiri zazikulu:

Mitsempha yaying'ono ya m'magazi imatsekedwa ndikuwonongeka, zimakhala ndi zotumphukira m'mimba zomwe zimafa ndi njala yokhazikika, yomwe imatsogolera ku kufa ndi kuwonongeka kwa maselo. Mukuchita izi, ma prostaglandin ndi histamine amasulidwa, omwe amatchedwa obwebweta omwe amakhala ndi vuto, amachititsa kuti mitsempha izitha. Zotsatira zake ndi zowawa.

Chifukwa chosakwanira kudya, ma neurocytes ali m'miyendo amafa, chifukwa chake, njira za trophic m'munsi zam'munsi zimasokonezeka. Izi zimabweretsa dzanzi komanso kuchepa kwa chidwi: kupweteka, tactile, kutentha. Nthawi zambiri motsutsana ndi maziko a kupsinjika kotere, zilonda zam'mimba kapena matenda a bakiteriya amawonekera. Koma mochedwa, munthuyo amamva kuwawa.

Yoyamba mwa njira zothetsera mavuto amatchedwa ischemic, ndipo chachiwiri - neuropathic (diabetesic phokoso). Zizindikiro muzochitika zonse ziwiri ndizosiyana. Ndipo chithandizo nthawi zambiri chimafunikira kuchitira opareshoni ndi kukhazikitsidwa kwa njira zonse zothetsera hyperglycemia. Kuphatikiza apo, zinthu monga:

M'badwo wa wodwalayo, chifukwa m'zaka zapitazi mkhalidwe wa zotengera umasinthiratu, kuphuka ndi kuwonongeka kumachitika mwachangu,

kuchuluka kwa shuga

kusowa kochita zolimbitsa thupi, chifukwa ngati anthu samakonda kuyenda, magazi amayenda m'miyendo, zomwe zimayambitsa kutupa komwe kumakanikizira kumapeto kwa mitsempha ndikupangitsa kupweteka,

matenda ophatikizika: atherosulinosis ndi ochepa matenda oopsa,

kukhalapo kwa kulemera kwambiri, ndipo popeza sizachilendo ndi matenda amtundu wa 2, katundu wowonjezera pamiyendo amawoneka, yemwe amangokulitsa ululu wamankhwala.

Tiyenera kukumbukira kuti kupweteka kwa mwendo mu shuga mellitus ndi chizindikiro choopsa komanso chovuta. Palibe chifukwa muyenera kuchitira izi ndi wowerengeka azitsamba!

Choyambirira, pokayikira pang'ono kuti matenda a shuga ayambitsa kupsinjika m'miyendo, ndikofunikira kudziwitsa dokotala yemwe adzapange mayeso. Izi zikuyenera kuchitika kuti mudziwe njira yomwe matendawa amayambira ndipo, mwanjira yomwe muyenera kutsatira. Ndipo ngati ndi mtundu wa ischemic wa chitukuko, kupweteka kumapangitsa kuti kumayambiriro kumvetsetsa kuti china chake sichili bwino ndi miyendo, ndiye kuti ndi neuropathic imodzi zonse ndizovuta kwambiri. Dokotalayo ayang'anitsitsa miyendo kuti adziwe ngati matendawa ayamba kudwala:

khungu lowuma ndi msambo (pamenepa, miyendo ya wodwalayo pansi pamaondo nthawi zambiri imaluma),

kuchepa tsitsi pamiyendo, mawonekedwe a khungu,

kuzizira kwadzidzidzi ndi kuzizira kwa khungu, mawonekedwe a pang'onopang'ono.

Kuphatikiza apo, dokotala yemwe amagwiritsa ntchito zida zapadera amayang'ana kuti zimachitika bwanji mu mitsempha yomwe imadyetsa miyendo, kudziwa index ya buluzi. Wotsirizayo amatha kuwonetsa kukhalapo kwa atherosulinosis. Mwambiri, transcutaneous oximetry ichitidwa - iyi ndi njira yopweteka yopweteka yomwe imawonetsa kuchuluka kwa minofu ya mpweya, komanso ultrasound yamitsempha ya miyendo ndi radiopaque angiography. Atalandira zotsatira za mayeso, adotolo adzalembera chithandizo chofunikira, chomwe sichingotengera mtundu wa matenda ashuga okha, komanso kuti ndi njira ziti zomwe zinayambira zovuta.

Momwe muyenera kuchitira, kusamalira mapazi anu ndi matenda ashuga?

Neuropathy ndimatenda omwe amadziwika ndi kuwonongeka kwa mitsempha. Popita nthawi, mothandizidwa ndi milingo yama glucose okwera, mathero a mitsempha amawonongeka. Izi zimatsogolera ku mfundo yoti mapazi amaphonya. Ndiye kuti, munthu wodwala matendawa samva kutentha, kukakamizidwa komanso kupweteka. Kwa munthu, kukhoza kumva kupweteka ndikofunikira, chifukwa ichi ndi chenjezo la ngozi.Ngati kutayika uku kutayika, munthu samazindikira mabala kapena zilonda kumapazi.

Angiopathy ndimatenda omwe amadziwika ndi kuwonongeka kwa mtima. Ndi shuga wowonjezereka m'thupi la munthu, kugwira ntchito kwa mitsempha yamagazi kumachepa. Angiopathy imadziwika ndi kuwonongeka kwa ziwiya zazing'onoting'ono (zotumphukira), zomwe, zimayambitsa hypoxia yamaselo chifukwa cha kufooka kwapang'onopang'ono.

Chifukwa chake, odwala matenda ashuga, khungu la miyendo ndilosakhazikika komanso louma. Chifukwa cha kuthekera kochiritsa matenda ndiwothira, matendawa amalowa muming'alu yongopangika kumene. Kutalika kwa chithandizo ndikuchiritsa mabala kumayenda pang'onopang'ono chifukwa chosakwanira.

Arthropathy ndi matenda omwe amadziwika ndi kuwonongeka kwa molumikizana. Chifukwa chake, odwala matenda ashuga nthawi zambiri amadandaula za kupweteka pakulumikizana miyendo, makamaka poyenda. Matendawa amayamba ndi red phazi komanso kutupa kwambiri. Zala zimasokonekera pazaka zambiri, ndipo kutupa kumawonekera nthawi zambiri. Ndipo chifukwa cha kupundana ndi kutuluka, mapazi a wodwalayo amakhala owukulira komanso amafupika.

Kuvulala kwamapazi konse m'matenda a shuga m'mankhwala amakono amatchedwa "mapazi a shuga."

Mawonetsero azizindikiro

Zizindikiro za zotupa za m'munsi zokhala ndi matenda ashuga ndizambiri. Wodwala matenda ashuga sangathe kunena kuti ali ndi matenda ashuga, ndipo nthawi zina amangozindikira. Chifukwa chake, aliyense yemwe ali ndi matenda ashuga ayenera kudziwa kuwonetsa kuwonongeka kwa phazi kuti ayambe kulandira chithandizo munthawi yake. Zizindikiro zake ndi izi:

khungu lowuma lomwe silinganyowe ndi zonona,

Khungu ndi miyendo yake,

kuchulukitsa ndi khungu la mwendo,

Hyperkeratosis (mawonekedwe ochulukirapo a corpus callosum)

kuchepera tsitsi kwamphongo

kusintha ndi kukula kwa mbale ya msomali,

kutupa m'miyendo,

Khungu la miyendoyo limakhala lotumbululuka komanso lozizira (kawirikawiri lomwe limakhala losalala komanso lotentha),

zotupa zamatsenga ndi khungu lamiyendo,

dzanzi la miyendo

kupweteka

kuphwanya zamkati mwendo (miyendo, matenthedwe, ndi zina).

Ngati simulabadira izi posachedwa, ndiye kuti zotsatira zake zimakhala zovuta. Mwakutero:

mabala osachiritsika ndi zilonda

njira zotupa ndi edema (phlegmon ndi abscess),

arthropathy

purulent mafupa ndondomeko (osteomyelitis),

zigawenga.

Matenda a matenda ashuga

Zizindikiro zomwe zili pamwambapa, monga ululu, kutupa, kukokana, ndi zina zotere, zimatha kuchitika osati mwa matenda ashuga okha. Chifukwa chake, mwachitsanzo, kufananizika kwa mapangidwe a mtima kungayambitse kutupika kwa m'munsi. Edema yomweyo imadziwika ndi mitsempha ya venous varicose. Ndi matenda a impso a shuga, kutupa m'miyendo kumachitika m'mawa.

Kuti mupeze matenda oyenera a matenda opatsirana ndi kusankha kwa mankhwala oyenera, tikulimbikitsidwa kuyesedwa kwathunthu. Wodwala akapezeka ndi matenda a shuga, kuphatikiza pochiza miyendo yake, tikulimbikitsidwa kumayesedwa pafupipafupi. Kafukufukuyu akuphatikizapo:

kupenda malekezero ndi cheke chovomerezeka,

kuwunika kwamitsempha

kugwiritsa ntchito ma ultrasound a ziwiya za m'munsi,

zofufuza zamtundu wamtundu (wodalirika, wotentha, kutentha ndi kupweteka),

kufufuza kwa electroneuromyographic.

Ngakhale kusintha pang'ono pamiyendo ya miyendo kuyang'aniridwa (mawonekedwe a kupweteka, kutupa, edema, ndi zina) - iyi ndi nthawi yolankhula ndi dokotala wokhazikika kuti apereke mankhwala oyenera masana.

Kusamalira matenda ashuga ndi awa:

Ngati miyendo imapweteka ndi matenda a shuga, osagwiritsa ntchito mankhwalawo komanso mbali yayikulu ya chithandizo ndikutsatira chikhalidwe cha shuga.

Chifukwa chiyani Mtundu 1 ndi Matenda Awiri Awa Matenda A shuga Amakhala Ndi Mavuto A Mwendo

Popeza matenda ashuga amapereka zovuta kumiyendo, kuchiritsa ndikofunikira, apo ayi zotsatira zake zimakhala zovulala kwambiri (mpaka ndikadulidwa).Shuga wambiri ndi wowopsa kwa thupi. Glucose munthawi yokhazikika imapereka mphamvu ndikuwongolera zofunikira zamagulu ndi machitidwe, koma mu shuga, izi, m'malo mwake, zimatenga mphamvu, ndikuwononga mitsempha yamanjenje ndi yamanjenje.

Miyendo ili kutali kwambiri ndi mtima, motero amadwala kwambiri chifukwa cha zovuta za matenda ashuga amtundu wa 2. Chifukwa cha kusayenda bwino kwa magazi komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku, njira za pathological zimachitika kumapazi. Ndi kuchuluka kowonjezereka kwa zinthu za glycosylating, chithokomiro cha myelin cha mafupa amitsempha chimawonongeka pang'onopang'ono, pomwe kuchuluka kwa mitsempha kumachepetsedwa kwambiri.

Vuto linanso losasangalatsa la miyendo ndi kupendekera kwamitsempha yamagazi. Kutseka ma capillaries kumayambitsa zotsatira zoyipa: kufalikira kwa magazi mu minofu kumakulirakulira, zotengera zimatha, zimalemala, kuchepa thupi ndikuphulika. Zakudya za minofu zimatha, maselo awo amafa pang'onopang'ono, omwe amadzaza ndi khungu.

Zomwe zimayambitsa kupsinjika kwamiyendo m'magazi a shuga ndi monga:

minyewa yotupa yomwe imatsogolera minofu hypoxia,

neuropathy, yodziwika ndi kuchepa kwa chidwi cham'maso ndi miyendo,

kunenepa kwambiri, komwe kumapangitsa katundu wambiri m'mafupa ndi minofu,

kusuta fodya komanso kuchita masewera olimbitsa thupi.

Zofunika! >> Chifukwa chiyani odwala matenda ashuga amayamba kupweteka miyendo yawo komanso momwe angathanirane ndi ululu - tauza apa

Zilonda zamtundu wanji zomwe zimakhudzidwa ndi miyendo ya odwala matenda ashuga

Nthawi zambiri, odwala omwe ali ndi vuto la mwendo mu matenda a shuga amayamba ndi:

Matenda onsewa amafunikira chithandizo chamanthawi yomweyo. Mu gawo lotsogola, zimakhala zovuta kwambiri kuti muwatulitse, makamaka kupirira zovuta zawo.

80% ya 2 odwala matenda ashuga amadziwa bwino matendawa. Kusintha kwathanzi kumakhudza mafupa, manjenjenje, kayendedwe ka miyendo. Matendawa amatha kubweretsa zilonda zam'mimba, zomwe nthawi zambiri zimayamba kulowa m'magazi.

Matenda a matenda ashuga amayamba ndi:

matenda ashuga a m'mimba

kuwonongeka kwamitsempha yamagazi,

matenda, nthawi zambiri limodzi ndi zinthu ziwiri zoyambirira.

Mwa zomwe zafotokozedwa kale za matenda, pali:

kuwonda kwamapazi kwamiyendo chifukwa cha kupindika kwa phazi,

Khungu layamba kuzungulira chilonda,

kutupa kwa miyendo, kuwonetsa kutupa,

kusowa kwa tsitsi kumiyendo ndi kumapazi,

khungu ndi kuuma kwa khungu,

dzanzi la miyendo

msomali

zophuka zam'mera (kapena ma warts),

bowa wa msomali.

Momwe mungadziwire phazi la matenda ashuga mu nthawi, njira zamankhwala ndi njira zodzitetezera - werengani mwatsatanetsatane apa

Akatswiri adatsimikizira ubale womwe ulipo pakati pa shuga wamagazi ambiri ndi bowa wapansi. Mu shuga, odwala ayenera kusamala makamaka momwe khungu limakhalira.

Zomwe zimayambitsa kukula kwa matendawa ndi monga:

Muyenera kufunafuna chithandizo chamankhwala ngati kuwonongeka kumawonedwa mu nthawi yachilimwe-nthawi yachilimwe. Nthawi yomweyo, kusintha kwamitundu ndi kapangidwe ka misomali pazala ndi zala zazing'ono zimadziwika. Mtsogolomo, mafangayi akachulukana ndikuyamba kuukira madera omwe kukhazikika, khungu la phazi liyamba kuomberanso, kusiya, ndipo ming'aluyo imawoneka pakati pa zala, kumayang'anitsitsa osachira.

Matenda a shuga a polyneuropathy

Matendawa amapezeka kwa odwala zaka 5 mpaka 10 kuchokera kutha kwa matenda a shuga 2. Uku ndikugonjetsedwa kwamanjenje, yomwe imayesedwa ndi zovuta zowopsa mu shuga zamtundu uliwonse. Njira ya pathological imayamba chifukwa cha njala ya m'maselo am'mitsempha, yomwe ma capillaries ochepa, omwe amawakonda kuwonongedwa, ali ndi vuto lathanzi.

Pali magawo angapo a matendawa:

Zachilendo, zomwe wozunzidwayo sangazindikire poyamba. Ndi katswiri wamitsempha pambuyo pakupenda bwino komwe kumapangitsa kuzindikira ngati akuwonetsa kuchepa kwa chidwi cha kutentha, kupweteka, kugwedezeka.
Gawo lazachipatala, lomwe limadziwika ndi kupweteka kwakanthawi m'miyendo, dzanzi lamapeto, kusokonekera kwamphamvu. Ndi mawonekedwe amyotrophic, wodwalayo amadandaula za kufooka kwa minofu ndi zovuta kuyenda.
Gawo lachitatu, lalikulu, limodzi ndi maonekedwe a zilonda pakhungu la kumapazi. Mu 15% mwa odwala, madera omwe akukhudzidwawo amadulidwa kuti athane ndi zovuta.

Matendawa amaphatikizidwa ndi kuwonongeka pang'onopang'ono, kusinthika, kupyapyala kwa cartilage ya hyaline yomwe ili pabondo. Odwala ali ndi miyendo yowawa, amapweteka komanso amavutika kuyenda. Zomwe zimayambitsa arthrosis ndi mitsempha ya mtima.

Chifukwa cha kuchuluka kwake komanso mamasukidwe akayendedwe, magazi a munthu wodwala matenda ashuga amayenda pang'onopang'ono pabedi lamankhwala osavomerezeka ndipo amapereka maselo opanda zakudya ndi mpweya. Njira yochotsera ziphe ndi poizoni imakhalanso yovuta, zomwe zimathandizira kuti pakhale poizoni wambiri wa poizoni komanso kutupa.

Kuphatikiza apo, 85% ya anthu odwala matenda ashuga ndi onenepa kwambiri. Katundu wowonjezera wamafupa owongoka mawondo ndi cartilage hypoxia kumabweretsa gonarthrosis (arthrosis ya bondo yolowa).

Chimodzi mwazovuta zam'miyendo ya shuga ndikuwoneka ming'alu m'dera la chidendene. Izi ndizosiyana ndi chilema chodzikongoletsera chomwe chitha kuthana ndi mavuto pogwiritsa ntchito pedicure. Ming'alu yayikulu yopanda machiritso pamapazi imawopseza kulowetsedwa kwa matenda ndi mabakiteriya, omwe amadzaza ndi zovuta zazikulu.

Ndi matenda ashuga, posakhalitsa, mathero amanjenje kumapeto pang'ono amayamba kuwonongeka, omwe nthawi zambiri amakhala limodzi ndi kutentha kwamphamvu komanso khungu lowuma. Zotsatira zake, khungu limasweka, mabala amawoneka. Ngati sanayambike kuthandizidwa panthawi, kupunduka kwa phazi, zilonda zam'mimba, ndi zilonda zam'mimba zimatha.

Ndipo mukudziwa kuti pofuna kuteteza miyendo ya anthu odwala matenda ashuga pamavuto osafunikira, tikulimbikitsidwa kuvala masokosi apadera a matenda ashuga.

Kuchepa kwa metabolism kumakhudza ziwalo zonse. Malinga ndi ziwerengero zokhumudwitsa zachipatala, wachiwiri aliyense amakumana ndi zovuta zambiri zokhudzana ndi matenda a shuga. Chimodzi mwazinthu zovuta kwambiri za matenda ashuga ndi minofu ya necrosis chifukwa cha kusokonekera kwa magazi m'thupi lathu.

Mwa zizindikiro zazikulu za njira ya pathological, zitha kudziwika:

kusintha kwa khungu (cyanosis, redness, mdima),

kutayika kwamapazi,

ululu wowonda, kufooka poyenda (wodwalayo adandaula kuti miyendo yake imalephera),

kutupa kwa dzanja lakhudzidwa,

Kutentha kochepa m'dera lamavuto,

kuwonetsedwa pafupipafupi kwa matenda oyamba ndi fungus.

Kuchepetsa miyendo

Pambuyo pakuzindikira, adotolo amafotokoza mwatsatanetsatane momwe angathandizire miyendo ndi matenda a shuga. Pamene matenda ashuga polyneuropathy amapezeka, wodwala ayenera:

kusiya zizolowezi zake (kusuta fodya komanso kumwa mowa ndi matenda ashuga sikovomerezeka),

sinthani kagayidwe kazakudya,

amatenga aldose reductase inhibitors ndi angioprotectors omwe amawongolera magazi m'magazi ndikuchepetsa mphamvu ya glucose pamafupa amitsempha,

kumwa mavitamini omwe amasinthitsa kufalitsa kwa mitsempha.

Kuphatikiza apo, hemosorption, plasmapheresis, enterosorption, anticonvulsants, physiotherapeutic process, massage, masewera olimbitsa thupi ndi mankhwala. Ngati phazi lili lopindika, dokotalayo amatenga nsapato zapadera ndi insoles.

Ndi fungal matenda amiyendo, madokotala amalimbikitsa kugwiritsa ntchito hydrogen peroxide, chlorhexidine kapena antifungal creams mafuta, odzola. Iodini, wobiriwira wanzeru ndi potaziyamu salimbikitsa. Chithandizo cha bowa kumapazi chimatha kukhala pafupifupi chaka, kutengera kuchuluka kwa matendawa komanso kuwonongeka kwa khungu ndi misomali ya msomali.

Chithandizo cha bondo arthrosis chimachokera pa ntchito:

chondroprotectors, kubwezeretsa cartilage.Koma ngati matendawa ali pagulu lotsogola, ndipo cartilage yamaondo atawonongedwa kwathunthu, mankhwalawa sangathandize,

anti-kutupa mankhwala amachepetsa kutupa, kuchepetsa kutupa, kusiya kupweteka,

mankhwala omwe amachepetsa magazi m'mitsempha ndikuchepetsa kuphipha kwa minofu.

M'matimu otsogola, opareshoni imachitika. Koma ndibwino kuti musamuchititse opaleshoni, popeza kusintha kwa minofu kwa odwala omwe ali ndi mtundu woyamba wa 2 ndi matenda amtundu wa 2 kumayamba pang'onopang'ono komanso koipa kuposa anthu wamba.

Pakakhala ming'alu yayikulu yopanda machiritso, madokotala amatenga mafuta apadera, mafuta, mafuta odzola, mafuta osambira, compress kwa odwala:

mafuta odzolakunyowetsa, kufetsa masheya, kufewetsa khungu. Kugwiritsa ntchito izi pafupipafupi mukatha kusamba kumakupatsani mwayi wochiritsa ming'alu kumapazi,

mafuta abwino - Chida chabwino kwambiri pochiritsa mabala akuya. Kusoka kulikonse kumaphikidwa ndi iwo, ndipo thonje limayikidwa pamwamba,

compress wa parafini chitani ndi kusungunuka palafini pang'ono posamba madzi. Atazirala, zimayikidwa kumalo omwe akhudzidwa, ndipo masokosi oyera amayikidwa pamwamba.

Ndi gangrene, njira yothandizira opaleshoni imagwiritsidwa ntchito nthawi zambiri, zomwe zimapangitsa kuti asamagwire ntchito komansolemala. Chifukwa chake, pazizindikiro zoyambirira za matenda oopsa, ndikofunikira kuchita zonse zotheka kuti zithetse.

Matendawa matenda a shuga

Popewa kuvulala kwamiyendo kuti isayamba ndi mtundu wachiwiri wa matenda ashuga, njira zotsatirazi ziyenera kuonedwa:

yesetsani kulipira matenda omwe amayambitsa matenda ashuga (shuga mellitus),

kuthana ndi magazi

Valani nsapato zapamwamba zapamwamba, zoyenera kuti mukwane

Sambani mapazi anu tsiku ndi tsiku ndi kupenda mapazi athu kuti khungu lanu ndi loyera,

Pewani kunenepa kwambiri, komwe kumakulitsa mkhalidwe wa wodwalayo komanso kumayambitsa kukhwimika kwa zovuta zovuta zogwirizana ndi miyendo,

musayende opanda nsapato pagulu (bath bath, shawa, dziwe, gombe),

mutadula misomali, pukuta zala zanu ndi mapazi anu ndi mowa,

Nthawi zonse imwani Mlingo wa multivitamini ndi chondropojector kuti mupewe kuphatikiza kwa arthrosis.

Ndi matenda ashuga, muyenera kumvetsetsa kuti ndikosavuta kupewa kuteteza zovuta kuposa kuzichiritsa pambuyo pake. Kufunafuna nthawi yachipatala moyenera, komanso kukhazikitsidwa kwa malingaliro ndi njira zodzitetezera kupewa kupewa kwambiri ndikuwachedwetsa mavuto omwe amabwera chifukwa chochepa kwambiri.

Kutupa kwa miyendo ndi shuga

Matenda a shuga ndi matenda amtundu wa endocrine omwe amayamba chifukwa cha kuperewera kwa matenda a shuga (a 2 shuga) kapena wachibale (mtundu wa 2 matenda a shuga), komanso chifukwa cha kuphwanya kumeneku, kufupika kwa shuga m'thupi. Chimodzi mwazomwe zikuwonetsa matendawa ndi edema. Zomwe zimatulukira ziyenera kumvetsedwa. Zomwe zimayambitsa edema mu shuga mellitus zimatha kusiyanitsidwa. Matenda a shuga. Impso zimalephera kuphatikiza kuchuluka kwamadzimadzi. Zotsatira zake, edema imayamba. Kuwonongeka kwa zotumphukira zamitsempha (diabetesic polyneuropathy). Mapazi amasiya kumva kuzizira, kutentha, kupweteka. Pali mphamvu yoyaka, paresthesia, dzanzi la miyendo. Kuphwanya malamulo obisika kumabweretsa kuphwanya magazi. Kuwonongeka kwa mitsempha yamagazi (diabetesic angiopathy) kumapangitsa kuti magazi aziyenda bwino komanso kuti magazi azituluka. Kutsekeka kwa khoma la mtima kumawonjezereka, zomwe zimapangitsa kuti magazi alowe mkati mwa minofu yofewa.

Nthawi zambiri, miyendo imatupa. Aliyense ayenera kudziwa momwe angadziwire matenda am'miyendo mu shuga. Miyendo yam'munsi imakulira kukula, ndikukula. Ndi edema, nsapato zodziwika zimakhala zochepa. Mapazi a masokosi amawoneka pamiyendo. Mukakanikiza minofu yofewa ndi chala chanu, kufufuza kumatsalira - kanyumba. Kutupa kwa miyendo ndi matenda a shuga kungayambitse kuwonda pakhungu, kuchepetsa mphamvu yake.

Woopsa milandu, thrombosis ziwiya zamiyendo amatha. Ndi kukula kwa vutoli, edema m'mawa silinathe, pali khungu la miyendo, redness ikayimirira. Edema imafalikira mosiyanasiyana - mwendo umodzi umakhala wokulirapo kuposa winayo. Ndi chitukuko cha thrombosis, pamatha kuwoneka zilonda zam'mimba, mabala. Matenda a diabetesic polyneuropathy, angiopathy, ndi thrombosis angayambitse kukula kwa zizindikiro zomwe zimadziwika kuti phazi la matenda ashuga.

Kuti muchotse edema ya mwendo mu shuga mellitus, ndikofunikira kuti zitheke kuchuluka kwa shuga m'magazi. Hyperglycemia ndiye chifukwa cha nephropathy, polyneuropathy, ndi angiopathy. Potsitsa shuga m'magazi, kuchepetsedwa kwakukulu kwa zotupa kumatheka.

Njira zochepetsera hyperglycemia:

Zakudya

Ndondomeko yokwanira yoyendetsera insulin kapena makonzedwe a hypoglycemic mankhwala mapiritsi, osankhidwa ndi katswiri.

Njira zina zimakhala ndi phindu. Komabe ndikofunikira kuti muwadziwe. Kuchita masewera olimbitsa thupi moyenera kumakhala ndi phindu pa nthawi ya matenda ashuga.

Zabwino zolimbitsa thupi:

Zonsezi zimathandiza kuchepetsa kutupa kwa miyendo. Njira yotsika mtengo yolipira matenda a shuga ndikuyenda. Makilomita ochepa chabe patsiku amathandizira kupewa zovuta za matenda ashuga, komanso zimapereka mwayi wokhala ndi thanzi. Kuti muzindikire edema yaying'ono panthawi yokhala ndi matenda ashuga, odwala ayenera kudziyimilira payokha tsiku lililonse. Izi zikuthandizira kupewa kukula kwa zovuta zosafunikira.

Kusiya kusuta ndikofunikira, chifukwa vasospasm yomwe imayamba chifukwa cha chikonga imayambitsa kupindika kwa magazi. Kuvala nsapato zofewa, ndibwino kugwiritsa ntchito mankhwala apadera. Chithandizo cha matenda ophatikizika omwe amathandizira kukulitsa edema ya malekezero am'munsi (mitsempha ya varicose, matenda oopsa, kulephera kwa mtima, matenda a impso).

Chithandizo cha polyneuropathy (mavitamini B - Milgamm, Neuromultivitis, thioctic, lipoic acid kukonzekera) ndi angiopathy, momwe magazi amawongolera amalembedwa (Trental, Pentoxifylline, No-spa, nicotinic acid). Kutenga diuretics (mapiritsi, jakisoni) ndi chizindikiro cha mankhwala.

Mankhwala achilengedwe ochepetsa edema a m'munsi am'munsi: mankhwala ophatikizira amisiti othandizira (mahatchi olimbitsa, tsamba la bere, tiyi wa impso) amagwiritsidwa ntchito. Kugwiritsa ntchito njira ya Arfatezin, chopukutira nyemba za nyemba, kumathandizira kuchepetsa kuchuluka kwa shuga m'magazi. Kusamba kosiyanitsa tsiku lililonse kapena malo osambira pang'ono. Njirayi imayendetsa mitsempha yamagazi, imasintha magazi. Pambuyo pakuchita masewera am'madzi, miyendo imayenera kuthiridwa mafuta ndi zonona zilizonse zamafuta, monga khungu louma la shuga limadziwika. Kuchita minofu yofatsa ndi physiotherapy kumafunikira.

Gawo loyamba la gangrene la malekezero a shuga komanso momwe mungachitire

Matenda a shuga sikukuchuluka kwa glucose wamagazi, komanso zovuta zina zosafunika zomwe zimachitika chifukwa cha zovuta za metabolic zomwe zimayamba ndi matendawa. Mavuto ena am matendawa kumayambiriro koyambira amatha kuwongolera ndi chithandizo chamakono, koma ena, atawuka kamodzi, sangasiye popanda kuchitapo kanthu. Matenda a shuga ndi matenda oopsa otere omwe amasokoneza kwambiri moyo wa munthu, ndipo nthawi zina amafooketsa kudwala kwake. Ndiye chifukwa chake odwala matenda ashuga amaphunzitsidwa kusamalira bwino miyendo yawo, makamaka miyendo yawo, komanso kuzindikira zizindikiro zoyambirira za matenda a shuga. Zovuta zonse za matendawa, komanso chithandizo cha zovuta zoopsa, zidzafotokozedwa pansipa.

Sakani chifukwa chotsogolera

Matenda ofala kwambiri omwe amayambitsidwa ndi matenda ashuga amapezeka kumapeto kwenikweni, monga kumbali yamtunda (kutali kwambiri pakati pakatikati pa thupi) phalanges of the chala. Chitukuko chimagwirizanitsidwa ndi kuperewera kwa magazi kumadera awa. Pakhoza kukhala zifukwa zingapo zowonekera kwa matenda am'mapapo odwala matenda ashuga, ndipo sizotheka kutulutsa woyamba. Matendawa angayambitse:

Matupi ischemia. Ischemia ndikusowa kwa magazi kosagwirizana ndi dera linalake. Matani samalandira oxygen ndi michere moyenera, hypoxia ndi kufa pang'onopang'ono zimayamba. Choyambitsa cha ischemia mu matenda ashuga nthawi zambiri chimakhala chofala cha mu mtima.

Matenda a shuga. Payokha, ndi gawo lovuta la matenda ashuga, ndipo gangrene ndiwowonekera kwambiri. Phazi la matenda ashuga limayamba kudwala matenda ashuga oyimilira kumbuyo kwa macroangiopathy - kusintha kosasintha mosasintha kwa khoma la mtima. Angiopathy imayamba chifukwa cha kupangika kwa mapuloteni omwe amachititsa kuti khoma la mtima lipangidwe. Chombocho chimataya katundu wake ndipo chimasiya kugwira ntchito zoyenera. Pambuyo pake, zilonda, mabala amakula ndipo mabala amachiritsa bwino, zomwe zimayambitsa kutupa kwakanthawi, komwe kumakhala vuto.

Kuphwanya kwachilengedwe kapangidwe ka mafupa: mafupa am'mimba, aseptic necrosis, zomwe zimapangitsa kuti pakhale kutupa ndi mapangidwe a fistulas, abscesses.

Anachepetsa chitetezo chokwanira.

Zizolowezi zoyipa za munthu zimatha kutsogola kukula kwa machitidwe achifwamba. Zithandizirani pakuchitika kwa necrosis ndi kusuta, kuvala zolimba, nsapato zosasankhidwa bwino. Vutoli limakulirakulira chifukwa cha matenda amitsempha. Chifukwa cha kuwonongeka kwa ulusi wamitsempha mwa odwala ambiri, mphamvu ya miyendo imachepa: munthu samadzimva kuti wapanga chimanga, chimanga, mabala ang'onoang'ono, mpaka njirayo imayamba kukhala china chowonjezera.

Zingwe pamiyendo, zitha kuwoneka mosayembekezereka ndikukula nthawi yomweyo!

Matenda am'munsi kwambiri omwe ali ndi matenda ashuga satulutsa nthawi yomweyo. Pafupifupi, kuvuta pakakhala kuti palibe chithandizo chokwanira cha matendawa kumatha kuchitika zaka 5-15 atatha matenda. Komabe, munthu sayenera kuganiza kuti necrosis ndiyokakamiza kwa aliyense wodwala matenda ashuga. Ndi mankhwala apamwamba kwambiri ndikutsatira kwambiri, odwala matenda ashuga omwe ali ndi hyperglycemia sawopseza.

Mawonetseredwe oyambira ndi mochedwa

Zizindikiro za gangrene zitha kugawidwa koyambirira komanso mochedwa. Gangrene amayamba, monga lamulo, osati mwachindunji. Zizindikiro zoyambirira za gangrene zimatha kuphimba ngati matenda ashuga a m'mimba kapena angiopathy, komanso kuchepa kwa mtima. Munthu amakhala ndi vuto lopweteka kwambiri pakukhudzidwa kwa chala kapena phazi lakhudzidwa, kutupa, chikopa cha nsangalabwi pakhungu.

Nthawi zina, mawanga ofiira ofiira kapena ofiira owoneka pakhungu, amatikumbutsa ma erysipelas, kapena matuza.

Pakasakanikirana, ndimadzimadzi amadzimadzi omwe amaphatikizika ndi magazi amamasulidwa kuchokera kuzitupa. Kugundika pamalo opindika kumakhala kolimba kwambiri pachiwopsezo, komabe, makina amtunduwu amawonekera kudzera pakhungu bwino.

Gangrene amapita patsogolo pang'onopang'ono. Kuchuluka kwa kufalikira ndikokwera kwambiri kwa anthu okalamba komanso anthu omwe ali ndi mitundu yambiri ya ma concomitant pathologies, makamaka ndi matenda amtima. Popanda chithandizo, nthawi yoyambayo imadutsa gawo lakukulidwa la chipatala. Zizindikiro

Ululu umalimbika, nthawi zina ululu wammbuyo umakhala wosapirira. Nthawi zambiri kusowa kwa kusintha kwa mankhwala.

Mtundu wa pakhungu amasintha kukhala wakuda kapena wofiirira.

Kuchepa kwamatumba oyandikana ndi lesion malo sichikudziwika.

Zizindikiro za kuledzera kwakukulu kumawonekera: kutentha, kufooka, kupweteka mutu, kuzizira.

Matenda a shuga amatha kukhala amitundu iwiri: youma komanso yonyowa.Kuuma kumadziwika ndi kukula pang'onopang'ono. Pamene njirayi ikupita, magazi ake kupita kumalo omwe akukhudzidwawo akuipiraipira. Izi zimatha kutenga zaka zingapo. Chifukwa chosakhalakukutupa kowala ndi matenda, dziko la odwala matenda ashuga omwe ali ndi khungu loyuma silimasintha kwenikweni. Thupi laumunthu limatha kusintha mwanjira inayake kuti lizolowere kuchita. Zizindikiro zikuluzikulu zidzakhala kusintha kwa khungu kukhala lakuda, mwina nkuthothoka mbali zakufa za phazi (misomali, zala).

Pali mitundu iwiri ya gangrene mu shuga: yonyowa komanso yowuma.

Manzere am'miyendo mu shuga mellitus amasiyana kwambiri ndi chithunzi cha chipatala kuchokera ku youma. Vutoli limawonedwa ngati lowopsa kuposa chilonda chowuma. Ndi mawonekedwe onyowa, njirayi imayenda bwino chifukwa cha matenda omwe ali ndi anaerobic (mpweya sofunikira pa moyo wawo). Zotsatira zake, nthambiyo imayenda. Njirayi imafalikira mwachangu kuzinthu zowazungulira. Choyamba, mtundu wawo umasinthika kukhala burgundy kapena ofiira owala, ndipo zilonda zitatuluka, kuvunda kumayamba.

Fungo la chimbudzi chonyowa ndilowopsa. Nthawi yomweyo, mkhalidwe wa munthu umakulirakulira, kuledzera kumakula. Ngati sanalandiridwe, thupi silitha kuthana ndi matendawa palokha. Kuchepetsa chiwalo ndi njira yokhayo yomwe ingagwiritsidwe ntchito nthawi zina, chifukwa maantibayotiki ambiri sagwira ntchito.

Kusintha kwakunja pakhungu la malekezero okhala ndi chonyansa chadzuwa ndizosiyananso ndi kowuma. Kuphatikiza pa kusintha kwamtundu, zilonda pafupifupi nthawi zambiri zimachitika chifukwa cha kusokonezeka kwa magazi m'matumba ang'onoang'ono kapena chifukwa cha embolism. Mitundu yonyowa ya gangore singakhudze miyendo yokha. Nthawi zina njirayi imafikira ziwalo zamkati: m'mimba, m'mapapu.

Mankhwala ochepetsa mphamvu komanso opaleshoni

Chithandizo cha mankhwalawa chimagawika kukhala chosasintha komanso opareshoni. Loyamba likuwonetsedwa koyambirira kwa njirayi. Malangizo a Conservative chithandizo:

Kubwezera kwa shuga wamagazi. Gawo ili ndi gawo limodzi lachipatala. Popanda kufikira zizindikiritso zovomerezeka za shuga m'magazi, ndizosatheka kuyimitsa njira ya pathological yomwe yayamba.

Kutsatira ndi magalimoto aboma. Dera lomwe lakhudzidwalo liyenera kukhala lopanda mphamvu momwe zingathere.

Kulimbana ndi matenda. Kwa izi, maantibayotiki ndi antiseptics amagwiritsidwa ntchito. Kuchiza kungaphatikizepo chithandizo chakankhwala (lotions, compress), koma kawirikawiri chithandizo chakumaloko chimachitidwa motsutsana ndi maziko a chithandizo chachikulu cha antibacteria.

Kuchuluka kwa kukana kwanuko (kukana) ndi chitetezo chambiri. Izi zimatanthauzira ku Vitamini chithandizo ndikuwonetsetsa kufunikira kwa zinthu zazing'ono komanso zazikulu mthupi, komanso zakudya zabwino.

Kuchepetsa chiopsezo cha thrombosis ndikuchiza thrombosis ndi embolism yomwe ilipo.

Mankhwala othandizira, makamaka akakhala mawonekedwe onyowa. Anthu odwala matenda ashuga amapatsidwa mankhwala ochulukitsa a kulowetsedwa.

Chithandizo cha gangore cham'munsi chambiri popanda kuduladula chimaperekedwa nthawi zambiri njira yokhayo, popeza izi zimachitika motsika kwambiri, palibe chomwe chingaopseze moyo wa munthu, ndipo pali nthawi yoti awonetsere zotsatira za chithandizo chamankhwala. Milandu yokhala ndi chonyansa, nthawi zambiri munthu akafika kuchipatala amapanga chisankho chofuna kuchiritsa matendawo, kutanthauza kuti, akumadula maliseche.

Matendawa amatha kupewedwa ngati amathandizidwa ndi dokotala ndikutsatira malamulo ofunikira!

Kuchepetsa kumachitika osati pamalo omwe necrosis ndi supplement, koma pang'ono pamwamba, ndiye kuti, ngati chala chikukhudzidwa, ndiye kuti phazi lonse lingachotsedwe ngati, malinga ndi dokotala yemwe akupezekapo, njirayo imakhala ndi kufalikira kwakukulu. Njira zina zochiritsira zochizira matenda am'magazi ndi monga:

Opaleshoni yam'mimba.Chofunikira chake ndikubwezeretsa magazi kumalo omwe akhudzidwa chifukwa cha kupangika kwa njira zowonjezera magazi - zimayipa.
Kutulutsa kwa thrombectomy, ndiye kuti kuchotsedwa kwa thrombus ku lumen ya chombo. Pakadali pano, madotolo amagwiritsa ntchito njirayi pogwiritsa ntchito mitundu yapadera yokhazikitsidwa ndi lumen ya chotengera. Kulowerera sikutanthauza kuti pakhale vuto lalikulu, lomwe ndilofunika kwambiri kwa matenda ashuga.
Ndikuluma. Kukhazikitsa kwa chida chapadera mu lumen wa chotengera - stent. Imabwezeretsa patency ya gawo lopendekeka la bedi lamitsempha yamagetsi ndikuwongolera magazi kupita kumalo omwe adatsitsidwa ndi chotengera.

M'mabuku ena, mutha kupeza upangiri wothandizira mankhwalawa mu njira za wowerengeka: madzi a aloe, nkhaka, msuzi wa karoti. Komabe, ndikofunikira kugwiritsa ntchito njira zina maphikidwe mutagwirizana ndi adokotala. Kuyesa kudzichitira nokha mawonekedwe amvula yodwala kumatha kubweretsa zotsatirapo zomvetsa chisoni komanso ngakhale kufa. Chifukwa chake, izi sizofunikira. Kufunafuna chithandizo chanthawi yake kumathandiza kuti munthu athe kuchira moyenera. Ndi chithandizo cha mochedwa, matendawa nthawi zambiri amakhala oipitsitsa.

Momwe mungachiritsire miyendo ndi shuga

Kuchepa kwa kagayidwe kazakudya kamene kamaphatikizidwa ndi kuwonjezeka kwa shuga wamagazi, vutoli limabweretsa kuwonongeka kwa kutulutsidwa kwa minofu ya malekezero am'munsi. Wodwalayo amasiya kumva komanso kumva kupweteka m'miyendo. Chifukwa chake, kuti musunge kusuntha, ndikofunikira kuyamba kuchiza miyendo ndi matenda ashuga kumayambiriro kwa matendawa.

Zizindikiro zoyambira mankhwalawa chifukwa cha kuwonongeka kwa phazi

Matenda amendo amapezeka kwambiri ndi matenda ashuga amtundu wa 2, chifukwa amakula mwa anthu akuluakulu omwe ali ndi atherosulinosis komanso kunenepa kwambiri. Odwala matenda ashuga ayenera kuyang'anitsitsa momwe miyendo ikuyendera, kuyeserera tsiku ndi tsiku kuyambira pachala mpaka kumaso, ndikulabadira madera omwe ali ndi nkhawa zambiri akamayenda. Pazizindikiro zoyambirira zosintha maonekedwe am'munsi, chithandizo chamankhwala chiyenera kuyambitsidwa, popeza kuti kuduladula miyendo ndi vuto lalikulu la kufalikira kwa magazi kwa nthawi yayitali.

Wodwala amayenera kuyang'anira zotsatirazi:

Mutha kuwerengenso: Kuthandiza odwala matenda ashuga Angiopathy

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 - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza pulogalamu yapadera yomwe imalipilira pafupifupi mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale amatha kulandira ndalama zothandizira pulogalamu yapadera ZAULERE

khungu lowuma komanso kuyabwa kwambiri,
Malo okhala ndi khungu amaonekera pakhungu.
kutaya tsitsi
khungu lokhazikika,
Zowawa m'miyendo mutatulutsa pang'ono,
kuchepa kwa chidwi
mawonekedwe a edema,
nthambi yowonongeka ili ndi khungu loyera,
machiritso a bala
dzanzi ndi kumva kuwawa.

Nthawi zambiri, odwala amazindikira madandaulo kuti miyendo yawo imasowa pambuyo poyenda, matendawa amakhala ndi ululu waukulu ndipo nthawi zambiri amatha kumapeto.

Zolinga zamankhwala othandizira odwala matenda ashuga

Momwe mungagwiritsire miyendo ndi matenda ashuga, ndikukhalabe ndi mphamvu yosuntha?

Cholinga chachikulu cha chithandizo cha matenda a shuga ndikuwonetsetsa magawo a shuga m'magazi.

Kusankhidwa kwa mankhwalawa mankhwalawa zizindikiro za zotupa zam'munsi zokhazokha ziyenera kuchitika payekhapayekha, poganizira kuyenderana kwa wodwala ndi mankhwalawa.

Njira zazikulu zamankhwala:

kupuma kapena kuthetseratu kupweteka,
kusuntha,
kubwezeretsa magazi,
kupewa atherosulinosis.

Ngati chithandizo chikuchitika kumayambiriro kwa matendawa, ndikofunikira kuti pakhale kusintha kwa moyo wanu, kukhazikitsa chakudya chokwanira, kuchepetsa thupi, komanso kuchita masewera olimbitsa thupi.

Ndi kuphwanya kwamphamvu kwa magazi, kuthamanga kwa opaleshoni kumasonyezedwa kuti kubwezeretsa kayendedwe kake kabwino.

Kuchiza mabala pamiyendo kuyenera kuganizira kuopsa kwa njira ya kuperekera kwa magazi ndi kukhalapo kwa matenda olumikizana.

Nkhani za owerenga athu

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

Pambuyo pofufuza mwatsatanetsatane pomwe akatswiri amatha kudziwa mankhwala omwe angagwirizane ndi matenda amtunduwu

Zilonda zam'miyendo zam'mimba zotsekemera zimaperekedwa ndi madzi amtundu wa antiseptic ndi njira zakumwa zoledzera m'malo opezeka mwachindunji ndi bala. Kupititsa patsogolo machiritso a zilonda zam'mimba, othandizira othandizira mabala amagwiritsidwa ntchito, omwe amathandizira pakugawika kwa magawidwe am'magazi ndikupanga maselo atsopano a khungu.

Ndikusintha kwambiri kwa dystrophic pakhungu, ndikofunikira kuti musinthe opaleshoni, pomwe madera omwe akukhudzidwa ndi zizindikiro za necrosis amachotsedwa.

Magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito pochiritsa:

Magazi achepetsa magazi (Rosiglitazone, Glycvidon, Liraglutid).

Kuchepetsa kwambiri cholesterol (Zokor, Allikor).

Vasodilators (Verapamil, Cilostazol).

Maantibayotiki omwe ali ndi kuwonjezera kwa microflora ya bakiteriya (Amoxicillin, Rifampicin, Erythromycin).

Othandizira antiseptic (ayodini, wobiriwira wanzeru, mowa wa ethyl, hydrogen peroxide).

Ma Painkiller (Ibuprofen, Voltaren, Indomethacin).

Chithandizo cha edema ya mwendo mu shuga imapangidwa kuti muchepetse kutupira kwa minofu ndikuletsa kupitirira kwa vutoli. Pazifukwa izi, mitundu yama diuretics imayikidwa, yomwe imachotsa madzi owonjezera mthupi. Ma diuretics amatchulidwa pokhapokha pakuwonongeka kwambiri impso.

Zoyenera kuchita ngati miyendo ipweteka ndi matenda ashuga?

Chithandizo cha kumapazi kwa matenda ashuga chiyenera kuyambitsidwa mwachangu. Kuyika shuga kwambiri m'magazi kumayambitsa kuphwanya mitundu yonse ya kagayidwe - chakudya, mafuta, mchere, mapuloteni komanso mchere wamchere. Kusintha kwa mahomoni kumapangitsa kuti thupi lonse lizigwira bwino ntchito ndikuyambitsa kukula kwa zovuta za matenda ashuga. Choyamba, mtima wamtima umadwala. Matendawa akamakula, thanzi la zimakhala, makamaka lachiphuphu. Chifukwa cha kuchuluka kwambiri m'munsi, machitidwe a m'matumbo amomwe amapezeka mwachangu kwambiri.

Matenda a shuga

Miyendo ya matenda ashuga imapweteka pakamabwera odwala matenda ashuga. Kupanikizika kumadziwika ndi kuwonongeka kwamanjenje. Mchitidwe wamanjenje umakhala ndi mitolo ya ulusi wamanjenje womwe umapangidwa pamodzi ndi mfuti ya minofu yolumikizana (perineurium). Mu perineuria, pali mitsempha yamagazi yomwe imadyetsa ulusi wamitsempha.

Ndi matenda ashuga, pamakhala kusinthasintha kwakukuru kwa shuga m'magazi:

Ndi mulingo wama glucose okwera, chiwerengero chachikulu cha ma radicals omasuka chimapangidwa chomwe chimayambitsa ma oxidative.

Ndikusowa kwa shuga, ulusi wamanjenje umasowa mu oxygen.

Kuchuluka kwa shuga m'magazi kumabweretsa kuchuluka kwa fructose ndi sorbitol mu minyewa yamitsempha, ndikupangitsa edema. Zotsatira zake, mitolo yamanjenje imalephera pang'ono kugwira ntchito zawo. Pamodzi ndi kusintha kwa matenda ashuga, ma myelin sheaths omwe amapatula minyewa yamitsempha amawonongeka. Chifukwa cha izi, zokopa zamanjenje zimabalalika ndipo sizimakwaniritsa cholinga chomaliza. Popita nthawi, ulusiwu umayenda ndipo umasiya kufalitsa mauthenga amitsempha. Ngati matenda a shuga akuphatikizidwa ndi kuthamanga kwa magazi, ma cell amitsempha amatha kufa chifukwa cha kuphipha kwa ma capillaries ochepa.

Kupweteka kwa mwendo mu shuga kumachitika poyankha kukhumudwa kulikonse kwapakhosi. Nthawi zina wodwala amatha kudzuka usiku kuchokera ku zowawa zomwe zimayambitsidwa ndi kukhudza kwa bulangeti. Kuwonongeka kwa ulusi wamitsempha nthawi zambiri kumachitika mozungulira pamagawo am'munsi onse. Zosangalatsa zosasangalatsa zimawonekera pakhungu pakumeta, kuwotcha, "kuphulika kwa tsekwe".

Nthawi zina ululu wokhazikika wokhazikika umalowa m'miyendo. Mwa iwo kumverera kumatsika. Matendawa amatchedwa sock syndrome. Munthu amamva zinthu zomwe zakhudzidwa ndi mwendo, mosazindikira, ngati ali m'masokosi. Miyendo yake yam'munsi imakhala yotupa nthawi zonse. Chifukwa cha kuchepa kwa chidwi cha miyendo mwa wodwalayo, kulumikizana kwa kayendedwe kumakhala kolemekezeka. Miyendo yam'munsi simumumvera. Kuletsa kuyendayenda komanso kusayenda bwino kwa magazi kumayambitsa minyewa. Amataya mphamvu komanso kuchepa kukula.

Kuchepa kwa chidwi chomvera sikulola munthu kumva kupweteka m'miyendo panthawi yovulala, kuti amve chinthu chakuthwa kapena chotentha. Amatha kuzindikira zilonda zam'miyendo kwa nthawi yayitali. Izi ndi zoopsa thanzi la wodwalayo.

Matenda a shuga

Matenda a shuga amayamba motsutsana ndi maziko a mitsempha. Chifukwa cha kuchepa mphamvu kwa miyendo, munthu nthawi zambiri amavulala. Koma mikwingwirima, ma sprains, misozi yaying'ono yamitsempha yamafuta ndi mafupa am'mimba sizimadziwika nawo.

Chifukwa cha kusowa kwa chithandizo mu minofu yovulala, maziko a kutupa amachitika. Nthawi zambiri malo olumikizirana miyendo amakhudzidwa. Njira zachikhalidwe zimapangitsa kuchuluka kwa magazi mu minofu yamafupa. Zotsatira zake ndikubwera kwa mchere kumafupa. Pathology imachitikanso chifukwa cha kuwonongeka kwa michere yama cartilaginous, yomwe imachitika motsutsana ndi maziko a kuchepa kwa lumen m'mitsempha.

Matenda amendo oterewa amtundu wachiwiri wa matenda ashuga amakula pafupipafupi kuposa nthenda yoyamba. Zokhudza matendawa:

Matenda a matenda ashuga nthawi zambiri amakhudza azimayi.

Matendawa amakula osagwirizana ndi shuga wamagazi. Mukakhala ndi kuchuluka kwa shuga, masinthidwe am'mbuyomu adzawonekera.

Zotsatira za kukula kwa matendawa, njira ya pathological imatha kufalikira mpaka minofu ya mafupa (osteoarthropathy).

Kuphwanya mapuloteni kagayidwe kakang'ono kumabweretsa mawonekedwe a hyperstoses. Hyperstoses imatchedwa kuwonjezeka kwa pathological mu fupa.

Pa gawo loyambirira la matendawa, kutupira kwa malekezero kumawonekera. Khungu m'malo mwake limasanduka lofiira ndikutentha. Kupweteka kwapang'onopang'ono kumatha kuwonedwa ngati njira ya pathological sinawononge kwambiri minofu ya mitsempha. Ndi matenda a shuga a arthropathy, kufooka kwa phazi kumawonekera bwino. Wodwalayo amadwala pafupipafupi komanso amapindika mafupa amiyendo. Kusintha kwa matenda ashuga nthawi zambiri kumawoneka pamiyendo yonse komanso kusiyana kwakanthawi.

Njira zotupa zimakonda kuphatikizidwa ndi kuwonjezeranso kachilombo komwe kamayambitsa matenda omwe amakwiya ndi mafinya.

Matenda a pakhungu la miyendo ndi matenda ashuga

Kusokonezeka kwa metabolic kumakhala chifukwa cha chitukuko cha matenda a dermatological. Odwala nthawi zambiri amakhala ndi mawanga a bulauni pamiyendo yawo omwe ali ndi matenda ashuga. Ndi chizindikiro cha matenda a shuga.Zilonda zozungulira kapena zowondera zimakutidwa ndi masikelo ang'onoang'ono osagwirizana ndipo sizimapangitsa munthu kukhala wosasangalatsa. Ndi dermopathy, chithandizo sichosankhidwa.

Chifukwa chophwanya chakudya cha carbohydrate metabolism, mawanga opaka amatha kuwoneka pakhungu la miyendo, mtundu wake womwe umasiyana ndi wachikaso mpaka wofiyira kapena wamphongo. Matendawa amatchedwa lipoid necrobiosis. Khungu limakhala loonda kwambiri komanso losavuta kusokonezeka. Matendawa akamakula, zilonda zopweteka zimatha kukhalapo. Popita nthawi, amazimiririka okha. Tsamba lofiirira limakhalabe m'malo mwawo. Lipoid necrobiosis imapezeka makamaka mwa odwala matenda a shuga 1.

Khungu losakhwima pamiyendo ndi chizindikiro cha matenda a shuga. Amakutidwa ndi zowawa komanso zovuta kuchiritsa mabala. Matenda a matenda ashuga atha kupweteka m'matumbo mwendo.

Matenda a matenda ashuga ndi timitsempha tating'ono. Zili ngati kutentha wamba. Matendawa amachoka pakokha popanda mankhwala patatha milungu ingapo.

Mu shuga mellitus, mawonekedwe achikasu (zolembera) amatha kuonekera pakhungu la miyendo. Ndi chizindikiro cha xanthomatosis. Ma Xanthomas amatha kutalika kwa masentimita 2-3. Amawoneka chifukwa cha zovuta zamtundu wa lipid ndipo ndi ma lipid amana.

Khungu lakuda m'malo olumikizirana miyendo limatha kuwonetsa wakuda acanthosis. Amayamba odwala omwe ali ndi matenda a shuga 2 motsutsana kumbuyo kwa kuwonjezeka kwa insulin. M'madera omwe akhudzidwa, khungu limakulitsidwa, kuyamwa ndikutulutsa fungo losasangalatsa.

Chithandizo cha mavuto a shuga

Ngati pali zizindikiro za matenda a shuga, muyenera kuonana ndi dokotala. Amazindikira matenda ake, amawonetsetsa kuti akula ndikuuza zoyenera kuchita pankhaniyi. Ngati ndi kotheka, chithandizo chidzaperekedwa.

Chithandizo cha mankhwalawa ndicholinga chochepetsera shuga wamagazi ndi kupewa kudumphadumpha kwadzidzidzi. Odwala amatchulidwa meglitinides (Nateglinide, Repaglinide) kapena zotumphukira za sulfonylurea (Glyclazide, Liquid, Glimepiride).

Kuchiza kwa phazi kwa mtundu wachiwiri wa matenda osokoneza bongo kumachitika mothandizidwa ndi mankhwala omwe amachititsa chidwi cha minyewa kupita ku insulin. Izi zikuphatikiza thiazolidinediones (Rosiglitazone, Ciglitazone, Troglitazone, Englitazone). Kuchepetsa kuyamwa kwa matumbo m'matumbo, alpha-glucosidase inhibitors (Acarbose, Miglitol) amagwiritsidwa ntchito.

Kuti muchepetse kupweteka, mankhwala osapweteka a antiidal (Nimesulide, Indamethacin) ndi mankhwala. Ma anesthetics am'derali amagwiritsidwanso ntchito (Versatis ndi lidocaine, geloputini wa Ketoprofen). Kwa ululu waukulu, ma tridclic antidepressants (amitriptyline) amagwiritsidwa ntchito. Kuti muchepetse kukhudzidwa kwakukulu, anticonvulsants adayikidwa (Gabalentine, Pregabalin).

Mankhwala a Neurotropic (Milgamma, mavitamini B1, B6 ndi B12) amathandiza kuchitira miyendo ndi matenda ashuga. Amathandizanso kutupa, amathandizira kubwezeretsa ulusi wamitsempha ndikuwongolera kutulutsa kwa mitsempha.

Kuti muchepetse cholesterol, gwiritsani ntchito simvastatin, lovastatin kapena atorvastatin. Kutsitsa magazi kumatheka chifukwa chotenga Veralamil, Nifedilin, Lisinopril. Kulimbitsa ziwiya, dokotala yemwe amapezekapo adzalembedwera Pentoxifylline, Bilobil kapena Rutozide. Kuphatikiza apo, diuretics imawonetsedwa (Furosemide, Spironolactone). Tengani Aspirin kapena Sulodexide kuti muchepetse magazi.

Kusintha njira za metabolic, jakisoni wa Solcoseryl kapena Trifosadenin ndi mankhwala.

Nthawi zina mukalandira chithandizo, zizindikiro za matenda amendo zimatha kukula. Izi zimawonetsa kubwezeretsanso kwa ulusi wamanjenje. Kuchepetsa kupweteka komanso kusapeza bwino zimachitika pakatha miyezi iwiri.

Momwe mungasamalire mapazi owawa

Odwala omwe ali ndi matenda ashuga ayenera kuyang'ana miyendo yawo tsiku ndi tsiku, kuphatikiza zala ndi malo pakati pawo. Amayenera kutsukidwa nthawi zonse ndi madzi ofunda (osatentha kuposa 37 ° C).Pambuyo kuchimbudzi, khungu limayenera kupukuta bwino.

Saloledwa kutentha mapazi, kuyenda osavala nsapato ndikuvala nsapato popanda masokosi. Chithandizo cha chimanga ndi matenda ena amkhungu amatha kuchitika pokhapokha atakambirana ndi dokotala komanso moyang'aniridwa.

Simukuyenera kuvala nsapato zolimba zam'mphepete zolakwika, zamkati zamkati ndi zopumira. Masokisi okhala ndi seams sayenera kugwiritsidwa ntchito. Ayenera kusinthidwa tsiku ndi tsiku. Ndikofunikira kudula misomali yokhala ndi zomata zomata. Pankhaniyi, simuyenera kuzungulira ngodya za mbale ya msomali. Ngati zovuta zachilendo zimachitika, wodwalayo ayenera kuwona dokotala.

Makina owonongeka kumadera otsika

Matendawa amatengera zovuta zingapo zomwe zimakhudza molakwika mkhalidwe wam'malo am'munsi. Izi ndi njira izi:

kuyanʻanila za kufalitsa kwina kozungulira maziko a zotupa za ma atherosselotic zotupa zazikulu (macroangiopathy),

michere ya fibrinoid mu khoma lamitsempha lama mitsempha yaying'ono (microangiopathy),

kuwonongeka kwa minyewa yamanjenje, yomwe imawonetsedwa ndi polyneuropathy.

Ndizinthu izi zomwe zimatsimikizira kugonjetsedwa kwa miyendo motsutsana ndi maziko a hyperglycemia.

Zizindikiro zowonongeka kumalekezero a shuga

Chovuta kwambiri ndikupanga phazi la matenda ashuga. zomwe tikambirana pansipa. Komabe, magawo oyamba a odwala, ali ndi nkhawa:

mabala osakhalitsa osachiritsa pamiyendo yomwe idatuluka chifukwa chovulala,

kumva zomverera

kukokana mu minofu ya ng'ombe

kuchepera tsitsi

Khungu limayamba kuonda

Kutupa kwa mitsempha kumasokonekera - popliteal, tibial ndi ena, omwe amatsimikiza ndi palpation (palpation),

pali kumverera kokhala wakuyera, kumva kuthengo kwa zala, etc.

Matendawa odwala matenda ashuga - ambiri

Chipazi cha matenda ashuga ndi gawo linalake la matenda a shuga, omwe ali ndi njira zophatikizira (onani pamwambapa). Zowonetsedwa bwino ndi zinthu zazikulu zotsatirazi:

zilonda,

kukulira kwa zotupa za m'miyendo,

kusokoneza

kukula kwa zala, kusintha mawonekedwe a phazi (chifukwa mafupa amakumana motsutsana ndi maziko a matenda osokoneza bongo).

Matendawa amapezeka mwa 10% ya anthu odwala matenda ashuga, ndipo omwe amadwala matenda a shuga omwe amadalira insulin (mtundu 2 matenda ashuga) ndi omwe amatenga matenda mosavuta. Kupambana kwa mankhwalawa chifukwa cha matendawa kumachitika makamaka pakanthawi kokhala chithandizo. Chifukwa chake, mu 40-50% ya anthu omwe ali ndi phokoso la matenda ashuga, kudula miyendo kukadapewedwa ngati atafuna thandizo la kuchipatala panthawi yake.

Akatswiri a matenda ashuga amasiyanitsa mitundu itatu yakuvulala kwamapazi pamayendedwe a matendawa:

angiopathic - koyamba zotupa zam'mimba,

neuropathic - zotupa za mitsempha mathero zimayambira,

chosakanikirana - mitsempha yamitsempha ndi mitsempha imaphatikizidwa.

Matenda a shuga matenda am'mimba

Chithandizo chachikulu ndicho mulingo woyenera wa chipukutiro cha matenda a shuga, ndiko kuti, muyenera kusintha mtundu wa shuga m'magazi. Kuphatikiza apo, ndikofunikira kupereka mankhwala monga:

Kuti shuga ibwerere mwakale, mumangofunika kudya.

antiplatelet agents

anticoagulants (kuletsa kutseguka kwa zinthu zosakanikira),

metabolic mankhwala (kusintha njira ya kagayidwe kachakudya),

ma neuroprotective othandizira omwe amateteza minofu ya mitsempha kuti isawonongeke.

Matenda a shuga a matenda ashuga

Ndikofunika kwambiri kuchitapo kanthu popewa kukula kwa matendawa kwa odwala matenda ashuga. Njira zazikulu zodzitetezera ndi izi:

kusiyiratu kusuta,

kuvala nsapato zabwino (osati zolimba),

kuchuluka kwa kulemera kwa thupi (kulimbana ndi kunenepa kwambiri),

kukana kuyenda osavala nsapato pomwe ngozi yavulala yayandikira,

kutsatira malamulo a ukhondo wa kumapazi,

manicure oyera kuti mabala ndi ming'alu asakhazikike

chizindikiritso cha microtrauma kudzera pakupimidwa koyenera komanso chithandizo chamankhwala chanthawi yake kwa dokotala.

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri za zida ndipo koposa zonse tinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Chithandizo chokhacho chomwe chapereka zotsatira zabwino ndi Diawell.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Diawell adawonetsa chiwopsezo chachikulu cha matenda ashuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi

yimba ZAULERE !

Yang'anani! Nkhani zogulitsa zabodza Diawell zakhala zikuchulukirachulukira.

Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mukulandila zabwino kuchokera kwa wopanga ovomerezeka. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.