Chifukwa chiyani minofu imakhala yovuta ndi matenda ashuga?

Matenda a shuga a mellitus (DM), pokhala matenda achilengedwe, amakhudza ziwalo zonse ndi minyewa. Zilonda zam'mimba nthawi zambiri m'magazi a shuga, izi zimachitika chifukwa cha kusintha kwina komwe kumachitika chifukwa cha shuga wambiri. Mkhalidwe wa minofu minofu imakulirakulira ndi zaka. Pang'onopang'ono wodwalayo amakhala ndi kukhumudwa, kufooka komanso minyewa. Izi zitha kupewedwa ndikuwongolera shuga komanso kukhala ndi moyo wathanzi.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Chifukwa chiyani minofu imatha kupweteka ndi matenda ashuga?

Choyambitsa chachikulu cha kupweteka kwa minofu mu shuga ndi kuwonongeka kwa mitsempha yamagazi ndi shuga.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Ndi matenda a shuga, kupweteka kwa minofu kumachitika kawirikawiri. Nthawi zambiri ululu ndi kukokana zimawoneka m'misempha ya miyendo. Izi, komanso zovuta zonse za matenda ashuga, zimatengera kuchuluka kwa shuga m'magazi. Mafuta ochulukirapo amakwiyitsa kuchuluka kwa lipoproteins pamakoma a chotengera, zomwe zimapangitsa kuwonongedwa kwa capillaries ndi zombo zazikulu. Pankhaniyi, maselo osalala a minofu amalimbitsa mitsempha ndi mitsempha, kayendedwe ka magazi kamasokonezeka. Kuphipha kwamitsempha kumatsitsa magazi ambiri. Poyerekeza ndi zakusintha zomwe zachitika, thanzi la minofu limasokonekera, zomwe zimabweretsa zowawa ndikumverera koyaka.

Pamodzi ndi izi, chifukwa chophatikizidwa ndi sorbitol (cholowa m'malo mwa shuga), kayendedwe ka magazi mkati mwa misempha imasokonekera. Mitsempha yam'mimba imakhala ndi vuto la mpweya nthawi zonse. Chifukwa cha izi, kapangidwe kake kasintha, ndipo magwiridwe antchito akuipiraipira. Kuwonongeka kwa minofu yamanjenje kumayambitsa kusalinganika mu ntchito ya mitsempha yosangalatsa komanso yopumula. Zotsatira zake, minofu yamatumbo imakhala ndi kukokana.

Kodi chikuchitika ndi chiani?

Poyerekeza ndi kuwonongeka kwa mitsempha yamagazi ndi mitsempha, zosintha zingapo zimachitika zomwe zimabweretsa zosasangalatsa m'misempha:

• Kukalamba. Ndi zaka, mitsempha yamagazi imataya mphamvu, imawonongeka chifukwa cha kuchuluka kwa shuga. Kutulutsa kwamasamba kumachitika ndi cholesterol. Zotsatira zake, kufalikira kwa magazi kumasokonezeka, kupweteka kwa minofu kumachitika.
• Kuchuluka kwa shuga. Kwambiri shuga msika, ndi amphamvu zizindikiro za kuwonongeka kwa mtima ndi minofu.
• Kusunthika kwa magazi. Ngati wodwala amakhala pansi, moyo wosakhazikika m'magawo omwe akukhudzidwa. Wodwalayo amakhala ndi kutupa komwe kumayambitsa kupsinjika kwa mitsempha ndikumupweteka.
• Kukula kwa ma conccomant pathologies. Nthawi zambiri, matenda ashuga amaphatikizidwa ndi matenda oopsa komanso matenda oopsa. Izi matendawa achulukitsa mkhalidwe wamagazi, chifukwa zimayambitsa zizindikiro zosasangalatsa.
• Kulemera. Kunenepa kwambiri kumaonekera mwa odwala ambiri omwe ali ndi matenda ashuga a 2. Mapaundi owonjezera amapereka katundu owonjezereka pamafupa, mitsempha, mitsempha yamagazi. Zotsatira zake zimakhala kupweteka komanso kuphipha kwa minofu.

Zizindikiro zina

Kuwonongeka kwa minofu minofu mu shuga kumayendera limodzi ndi zizindikiro zowonjezera zomwe zimasiyana malinga ndi mapangidwe a chitukuko cha matenda - ischemic kapena neuropathic:

• Neuropathic:
  • kupweteka ululu, kusagwirizana ndi zolimbitsa thupi,
  • khungu red
  • kupangidwa kwa zilonda zochepera bwino m'malo omwe khungu limagwira nsapato;
  • kuchepa kwa khungu.
• Ischemic:
  • kumangika m'matumbo, kutentha m'miyendo ndi kumapazi,
  • kusapeza bwino pambuyo polimbitsa thupi,
  • khungu, khungu lamtambo,
  • kukula kwa zilonda zomwe zilibe malire.
  • kusowa kwa tsitsi m'dera la magazi
  • kutsika kwa kutentha kwa dzanja.

Chithandizo cha matenda a mtima

Kuti muchepetse kupweteka m'misempha yomwe imayambitsidwa ndi matenda ashuga, chithandizo chokwanira chimagwiritsidwa ntchito, chomwe chimaphatikizapo kulipira matenda a shuga, opaleshoni ya magazi ndi kubwezeretsa mitsempha yamagazi ndi mitsempha. Milingo ya shuga ya tsiku ndi tsiku imayang'aniridwa. Wodwalayo ayenera kutsatira zakudya zosasinthika, zomwe zimatanthawuza kukanidwa kwa zinthu kuchokera ku ufa wa tirigu, sucrose, mowa ndikuletsa kugwiritsa ntchito mafuta a nyama ndi nyama.

Magnetotherapy ndi njira imodzi yochiritsira kupweteka kwa minofu.

Chowonadi cha matenda ashuga ndichakuti ma analgesia omwe ali ndi ma analgesics komanso mankhwala osagwiritsa ntchito mankhwala a anti-yotupa samapereka zotsatira. Pofuna kuthetsa kupweteka kwa minofu, njira zotsatirazi za physiotherapy zimagwiritsidwa ntchito:

• maginotherapy
• mankhwala a laser
• galvanization.

Pamodzi ndi izi, antidepressants, anesthetics wamba, anticonvulsants ndi mankhwala. Monga gawo lobwezeretsa mitsempha yamagazi ndi minyewa yamanjenje, magulu angapo a mankhwala amagwiritsidwa ntchito, makamaka mapuloteni kinase inhibitors, kukonzekera kwa thioctic acid, ndi mavitamini. Kuchiza kumatenga miyezi ingapo ndipo kumafuna moyo wokangalika ndi kukana kwathunthu zoyipa.

The zimachitika matenda ashuga ululu kapena minofu kukokana zikuwonetsa kuwonongeka kwa magazi ndi minyewa minyewa ndipo amafuna chithandizo yomweyo. Kunyalanyaza zamatenda kumadzetsa zovuta zazikulu, mpaka kutayika kwa dzanja.

Kupewa

Pofuna kupewa kupweteka ndi kukokana, ndikokwanira kutsatira izi:

• Yang'anirani shuga wanu wamagazi, osapatuka panjira yokhazikitsidwa ndi zakudya.
• Valani nsapato zabwino; pewani kuvulaza mapazi anu.
• Lamulirani kulemera kwanu, chotsani mapaundi owonjezera.
• Osanyalanyaza chithandizo cha matenda oyanjana. Matenda a mtima ndi kwamikodzo dongosolo zimayambitsa mapangidwe a edema, kukulitsa mkhalidwe wamitsempha yamagazi ndi minofu.
• Khalani ndi moyo wokangalika. Kuonetsetsa kuti magazi ali bwino, ndikokwanira kuyenda 3 km tsiku lililonse.

Ndikulimbikitsidwa kusamba mosiyana tsiku ndi tsiku ndikusamba mapazi. Ndikofunikira kusinthasintha masokosi ndi masitonkeni, kuyang'ana miyendo kuti iwonongeke. Ngati mukukumana ndi zilizonse zomwe zikuwonetsa kuwonongeka m'matumbo ndi mitsempha, simungayesere kukonza nokha. Chithandizo chimasankhidwa ndi dokotala payekha, poganizira mtundu wa matenda ashuga komanso machitidwe a matendawa.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa shuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>

Zizindikiro zoyambirira za kuwonongeka kwa minofu

Zizindikiro zikuwoneka koyambirira:

• kupweteka kwa molumikizana
• kulemera poyenda,
• kuchepa kusinthasintha
• minofu contractions.

Zilonda zam'mimba mu shuga zimawonekera chifukwa chakuyenda bwino m'thupi. Mafuta a glucose amayambitsa mavuto pamitsempha yamagazi. Nthawi zambiri kupweteka kwa minofu mu shuga kumayendera limodzi ndi kukokana. Mkulu shuga wambiri akakhala wowopsa, zovuta zake zimakhala zovuta kwambiri, motero ndikofunikira kuwunika momwe shuga ikuyendera.Osangokhala mitsempha yamagazi yokha yowonongeka, komanso mavuto ndi kufalikira kwa magazi. Matenda ngati amenewa amadzetsa ululu wam'minyewa.

Njala ya okosijeni ya minyewa yam'mitsempha imapangitsa kusintha kwa kapangidwe kake ndikugwira ntchito. Izi zimayambitsa mavuto mu mitsempha ya mitsempha, yomwe imayambitsa mavuto komanso kupuma. Kusavomerezeka kumeneku kumadzetsa minofu kukokana.

1. kujambula ululu. Nthawi zambiri zimachitika ngati kulibe zolimbitsa thupi, zomwe zimakupatsani bata la magazi,
2. Maonekedwe ofiira pakhungu,
3. kupezeka kwa zilonda zazing'onoting'ono pamiyendo. Makamaka m'malo omwe nsapato zimakumana ndi khungu,
4. kumva kwambiri khungu,
5. zomverera zosasangalatsa m'mapazi: kuwawa kuwawa kapena kumva kugunda,
6. kusasangalala pambuyo nkhawa iliyonse thupi ndi minofu.
7. khungu loyera, mikwingwirima ndi mawonekedwe otopa,
8. kusowa kwa tsitsi m'malo omwe akukhudzidwa.

Ndi matenda otere, chithandizo chovuta chokha ndi chomwe chingathandize. Mlingo umodzi wa mankhwalawa sungakhale wothandiza, koma kokha kwakanthawi zizindikilo zomwe zimawonekeranso ndi nyonga zatsopano.

Ndikofunikira kubwezeretsa magwiridwe antchito amitsempha yamagazi ndi minyewa yamitsempha. Ndikofunika kupenda shuga yanu nthawi zonse ndikudya zakudya zina. Kumwa mowa ndikoletsedwa. Ndikulimbikitsidwa kuchepetsa kudya nyama. Pankhani ya kupweteka kwa minofu ya ng'ombe ndi matenda a shuga kapena madera ena, njira zapadera zothandizira ziyenera kuchitidwa.

Mavuto a minofu amathetsedwa ndi magnetotherapy, chithandizo chofala kwambiri. Ndi matenda a shuga, ma analgesics sangathandize, motero njira zina ziwiri zamankhwala zimagwiritsidwa ntchito: laser chithandizo ndi galvanization.

Pokana kukomoka, mankhwala apadera amalembedwa, ndipo antidepressants ndi mankhwala ochita kupanga amakonzanso mankhwala. Njira yochiritsira imatenga nthawi yoposa mwezi umodzi, pomwe muyenera kusiya kumwa mowa ndi kusuta fodya. Kuperewera kwa chithandizo cha matenda a zam'mimba kumayambitsa zovuta. Gawo lomwe lanyalanyazidwa limakhala loipa kwambiri chamankhwala ndipo lingayambitse kudula dzanja.

Njira zopewera

Matenda aliwonse ndi bwino kupewa kuposa kumangomuthandiza kwa nthawi yayitali. Popewa matenda a minofu, tikulimbikitsidwa kutsatira malangizo osavuta:

• Tsatirani zakudya zina. Tsatirani zakudya zanu ndikuyang'anira kuchuluka kwa shuga.
• Nsapato zotonthoza ndichinsinsi cha miyendo yabwino. Tsatirani lamuloli ndipo pewani kuvulala pakhungu.
• Onani kuwonda kwanu - mapaundi owonjezera amakhudza thanzi la munthu.
• Ngati matendawa amayamba ndi nthenda yodwala, ndiye kuti ayikeni kwambiri. Matenda a mtima nthawi zambiri amabweretsa mavuto ndi minyewa.
• Kukhala ndi moyo wakhama kumathandizira kuti magazi azisintha. Kuyenda tsiku ndi tsiku kumathandizira kuthetsa mavuto a minofu ndikupereka kugona mokwanira.

Njira zingapo zamankhwala osiyanasiyana zimakuthandizani kuti mubwezeretsenso minofu yanu. Ndikulimbikitsidwa kutsatira malangizo omwe angakuthandizeni kulimbitsa thanzi lanu ndi matenda ashuga komanso kupewa kuyambika kwa ma pathologies. Ngati zizindikiro zomwe zikuwoneka zikuwonetsa kuwonongeka m'matumbo, ndiye kuti chithandizo sichitha kuyambika popanda kuyesedwa ndi dokotala.

Chifukwa chiyani matenda ashuga amachititsa kupweteka kwa minofu?

Mavuto opatsirana ndimagazi m'mayendedwe a shuga amaphatikizidwa ndi kuwonongeka kwa khoma lamkati lamkati, lomwe, ndi shuga wamagazi ambiri, limavulazidwa, lipoprotein yotsika pang'ono imayikidwamo, ndipo maselo osalala amafinya chotengera chifukwa cha kuchuluka.

Neuropathy nthawi zambiri imachulukitsa matenda amitsempha yama m'munsi, popeza imachepetsa ma arterioles ndi ma capillaries, pomwe magazi amayenderera kudzera mu shunts yama arteriovenous.Kusintha koteroko, kusinthana kwa zakudya ndi mafuta m'matumbo a minofu kukupitilirabe, kuphatikiza ululu, kumva kutentha m'miyendo.

Kuwonongeka kwa ulusi wamanjenje mu shuga kumalumikizidwa ndi ma deporits a sorbitol, omwe amachititsa kuchepa kwa magazi mkati mwa mitsempha ndipo amatsogolera ku njala ya okosijeni yokhala ndi vuto la ntchito komanso kapangidwe ka mafupa amitsempha.

Njira zomwe zimatsogolera pakuwonongeka kwa mitsempha mu shuga mellitus:

1. Kuwonongeka kwa membrane wa khungu ndi mapuloteni mwa kupangidwa kwa maulere oyipitsa.
2. Glycosylation wa mapuloteni omwe amapezeka m'magazi a glucose omwe amayenda m'magazi.
3. Kuwonongeka kwa ziwiya zomwe zimachepetsa misempha.
4. Mapangidwe a autoantibodies motsutsana ndi ma neurons.

Kusintha kwa Neuropathic mu minyewa yamanjenje ndi minofu kumapita patsogolo ndi kukula kwa hyperglycemia ndipo mwina kutsika ndi chiphuphu cha matenda ashuga. Myalgia imathandizanso kuti magazi azithamanga.

Pakuwopseza kwambiri kwa hypoglycemia, pali zizindikiro zomwe zimakhudzana ndi zochita za catecholamines - adrenaline ndi norepinephrine, zomwe zimapangitsa kuti mikono ndi miyendo ziyambe kusokonekera, odwala amafotokoza motere: "shuga inachepa ndipo minofu yonse imanjenjemera"

Ululu m'matumbo a miyendo ndi shuga

Kuwonetsedwa kwa kupweteka kwa minofu kumalumikizidwa ndi kuchuluka kwa shuga m'magazi, pomwe hyperglycemia imatsitsa pansi kupweteka ndikuletsa zochita za analgesics. Nthawi zambiri zizindikiro za ululu zimayamba kukula pang'onopang'ono, komanso kukula kwa zizindikiro za matenda ashuga.

Nthawi zambiri, ululu wowopsa umawoneka kwambiri ndipo umayenda ndi chisokonezo cha kugona, kukhumudwa, kutaya mtima komanso kuwonda msanga. Zachipatala choterechi chimachitika ndi matenda ashuga osadziwika kwa nthawi yayitali komanso osadziwika, komanso ngati wodwalayo akuwalandira molakwika.

Zizindikiro zitha kuoneka kumayambiriro kwa matenda ashuga, amawoneka motere:

• Ululu umakhala wofanana, wowopsa, woyaka.
• Nthawi zambiri chimayamba kuchokera kumapazi ndikukwera mpaka m'chiuno, nthawi zina kuyambira pachiyambi pomwe minyewa yamkati mwa ntchafu imapweteka.
• Kuletsa kuyendetsedwa kumalumikizidwa ndi zizindikiro zowawa ndi kufooka kwa minofu.

Zikatero, kuchuluka kwa shuga kumayenera kuchepetsedwa, komanso kukhazikika kwamisempha kumachitika pang'onopang'ono.

Ululu wam'mimba komanso kukokana kumakulirakulira usiku, kupuma, kwa odwala matenda ashuga, paresthesia imadziwikanso - kumverera kwakukwawa, tulo, miyendo imatha kugunda mosadzipereka, mosakhazikika. Nthawi zambiri, minofu ya ng'ombe imakhudzidwa, nthawi zambiri minofu ya chikazi ndi mkono.

Milandu yayikulu imayamba kupweteka thupi lonse, hypersthesia, pomwe kukhudza chinsalu kumayambitsa kupweteka komanso kuwotcha. Mukamawunika odwala otere, kuchepa kwa mawonekedwe a tendon kumawonekera, ndiye kuti pali kuchepa kwamitundu yonse yamtunduwu - wamtendere, wodalirika, wopweteka komanso wochepa. Pakadali pano, phazi la matenda ashuga limayamba.

Njira yochizira yomwe imachepetsa shuga ya magazi imatha kubweretsa zovuta monga hypoglycemia. Popeza glucose ndiye gwero labwino la chakudya chamanjenje, ikayamba kugwa, mawonetsedwe a neuroglycopenic amakula:

1. Anachepetsa chidwi chambiri, mantha, kugunda kwa mtima kwadzidzidzi.
2. Mutu ndi chizungulire.
3. Kubowola, kukwawa, kutulutsa minofu.
4. Minofu imalumikizana m'mbali zosiyanasiyana za thupi.
5. Kufooka minofu.
6. Zopweteka kwambiri zam'mimba.

Hypoglycemia lakuthwa limayendera limodzi ndi kuwonjezeka kwa kufooka kwa minofu, kuiwalako chidwi, kupweteka kwa matenda. Ngati sanachiritsidwe, wodwalayo amagwa.

Chithandizo cha kupweteka kwa minyewa ya mwendo kwa odwala matenda ashuga

Madera atatu amagwiritsidwa ntchito pochiza myalgia: chiphuphu cha matenda a shuga, mankhwala opweteka a ululu ndi mankhwala ochiritsira ulusi wamitsempha ndi magazi.

Kubwezera shuga kumachitika m'njira yamakonzedwe azakudya ndi kukhazikika kwa milingo ya shuga.Pankhaniyi, kuyang'anira kuchuluka kwa shuga tsiku lonse, komanso kuphunzira kwa hemoglobin ya glycated, ndikofunikira. Mankhwalawa amachitika m'njira zopewa kuchulukana kwadzidzidzi m'magazi a magazi.

Pazinthu izi, chakudyacho chimakhala ndi zopatsa mphamvu zochepa za mafuta ndi kupatula kwathunthu kwa sucrose ndi zinthu zapamwamba za ufa wa tirigu. Ndikulimbikitsidwanso kuchepetsa kumwa kwa nyama, makamaka mafuta amafuta ndi offal, kuti muchepetse mowa.

Kuchotsa ululu wammbuyo kumachitika ndi njira zosagwiritsa ntchito mankhwala, zomwe zimaphatikizapo:

• Mgwirizano.
• Mankhwala electrophoresis.
• Darsonvalization.
• Therapy Laser
• Opaleshoni kuwonongeka kwa mitsempha.
• Magnetotherapy.
• Kugwiritsa ntchito kukondoweza kwa magetsi mwa mafunde ophatikizidwa ndi sinusoidally.

Chimodzi mwa mankhwalawa kupweteka kwa matenda ashuga ndikuchepa kwa zovuta za ma analgesics komanso mankhwala osapweteka a antiidal. Chifukwa chake, ma anticonvulsants, antidepressants, opioid analgesics ndi mankhwala oletsa ululu amagwiritsidwa ntchito pochiza.

Ma anticonvulsants amachepetsa ululu chifukwa cha kutsekeka kwa njira za sodium ndipo amachepetsa kufalikira kwa kupweteka. Mankhwalawa amagwiritsidwa ntchito: Finlepsin, Gabapentin, Pregabalin.

Chithandizo chothandiza kwambiri chochepetsera kupweteka ndi amitriptyline. Amagwiritsidwa ntchito pamiyeso yotsika. Chifukwa cha zovuta, kusamala kuyenera kugwiritsidwa ntchito kwa odwala omwe ali ndi matenda oopsa, kulephera kwa mtima, glaucoma. Mu odwala okalamba, ma tridclic antidepressants angayambitse kusakhazikika kwa chisokonezo.

Ma analgesics a opioid amagwiritsidwa ntchito nthawi zina amakhala ndi ma syndromes opitilira komanso owawa kwambiri chifukwa cha chitukuko cha kudalira kwamaganizidwe ndi thupi. Tramadol nthawi zambiri amagwiritsidwa ntchito, omwe samakonda kwambiri. Nthawi zambiri, kugwiritsidwa ntchito kwake kumatha kuyambitsa orthostatic hypotension, chizungulire.

Chithandizo chamderalo chimachitika ndi ma plasters komanso mafuta odzola omwe ali ndi lidocaine (Versatis), Capsaicin, yomwe imatha kutsitsa okhazikitsa ululu kumapeto kwa mitsempha yopanda pake ndipo poyamba imatha kuwonjezera ululu ndi kuwotcha pamalo opangira.

Kubwezeretsa ntchito ya minyewa yowonongeka, magulu otsatira a mankhwalawa amagwiritsidwa ntchito:

1. Thioctic acid: Berlition, Espa-Lipon, Thiogamm, Dialipon.
2. Benfotiamine, Cyanocobalamin.
3. Kukula kwa mitsempha - Neurophazole.
4. Alphareductase Inhibitor - Avodart.
5. Ma protein a proteinase kinase - Nexavar, Spraycel, Tasigna.
6. Kukonzekera kwa mavitamini ovuta - Neurorubin, Milgamm.

Mankhwala omwe amakhudza ma neuromuscular conduction ndi kubwezeretsa kwa ulusi wamanjenje amagwiritsidwa ntchito osachepera mwezi umodzi, chifukwa njira zosinthira sizichedwa kuchepa, makamaka pankhani ya matenda ashuga komanso carbohydrate ndi metabolism yamafuta.

Ndikulimbikitsidwanso kupewa kuwonjezeka kwa kuwonongeka kwa minofu tsiku ndi tsiku kuti muphatikize masewera olimbitsa thupi, kusiya kusuta, komwe kumakulitsa kuphipha kwamitsempha yamagazi ndikupanga magazi m'magazi okhudzidwa. Kanemayo munkhaniyi akukamba za zizindikiro zazikulu za matenda ashuga.

Chifukwa chiyani matenda ashuga amadzetsa ululu?

Kuchuluka kwa shuga m'magazi kumawononga mitsempha yomwe imayendetsa thupi lonse, kuphatikiza miyendo. Kuzindikira kwa zotumphukira za m'mitsempha kumatanthawuza kuti mitsempha ya m'miyendo imakhudzidwa, ndipo mwina ngakhale m'manja, pamphepete, kutali ndi pakati pa thupi. Nthawi zambiri, neuropathy imayambitsa dzanzi, kuchepa kwa mphamvu. Komabe, mwa odwala ena, amadziwulula mu ululu, kuwotcha, kuwawa, ndi kupindika. Zizindikiro zimatha kuchitika osati masana, komanso usiku, kugona tulo tosokosera.

Ululu wam'mimba womwe umayambitsidwa ndi neuropathy umakulitsa mtundu wa moyo, koma iyi si chiwopsezo chake chachikulu. Pakhoza kukhala kutayika kwa chidwi cha khungu. Potere, wodwalayo amavulala miyendo yake akuyenda, osazindikira.Matenda a shuga amachititsa kuti kuvulala kwamiyendo kuchiritse pang'onopang'ono kapena kusachoka konse. Werengani zambiri pa Diabetesic Phazi. Kuchokera apa yayandikira ku gangore ndi kuduladula.

Kusagwiritsa ntchito bwino shuga kumathandizira kukula kwa atherosulinosis. Ili ndi matenda achilengedwe. Monga lamulo, zimakhudza nthawi yomweyo ziwiya zomwe zimadyetsa mtima, ubongo, impso komanso magawo otsika. Zilonda zimaphimba mitsempha, ndichifukwa chake magazi amayenda kudzera mwa iwo amachepetsedwa kapena kuyimitsidwa kwathunthu. Minofu imakumana ndi njala ya oxygen - ischemia. Ululu wam'mimbawo umatha kukulira poyenda, makamaka pamakwerero, ndikuchepera kapena kutha kwathunthu wodwalayo atakhala. Chizindikiro ichi chimatchedwa interlaintent claudication. Zowawa zomwe zimaphatikizidwa ndi kupweteka kwakanthawi. Kupumula kumathandizanso kuthetsa mavuto. Kuphatikiza pa zowawa, kuzizira kwa malekezero, mtundu wamiyendo ya miyendo, komanso kukula kwapang'onopang'ono kwa msomali kungawonedwe.

Kulankhula mosavomerezeka kumabweretsa mavuto ambiri kwa odwala. Amayesera kukhala kunyumba kwambiri kuti asasokoneze miyendo yawo komanso kupewa kuwawa. Kuphatikiza pa zowawa, kumva kupsinjika m'miyendo, thanzi loperewera limatha kusokoneza. Atherosulinosis imaletsa magazi kupita m'miyendo, ndichifukwa chake mabala samachiritsa bwino. Pali chiwopsezo cha gangrene ndi kuduladula, makamaka ngati odwala matenda ashuga alowa. Palinso chiopsezo chachikulu cha matenda a mtima komanso sitiroko chifukwa cha zovuta ndi zotengera zomwe zimadyetsa mtima ndi ubongo. Tikubwereza kuti atherosulinosis ndi matenda achilengedwe omwe amakhudza ziwiya zofunikira zambiri nthawi imodzi.

Momwe mungachotsere kupweteka kwa mwendo?

Anthu ambiri odwala matenda ashuga amapeza chithandizo chokhacho. Onerani kanema wa Dr. Bernstein ndipo phunzirani momwe mungathetsere matenda am'mimba popanda matenda owopsa komanso okwera mtengo. Kupatula apo, ndi neuropathy yomwe imayambitsa mavuto anu. Mwa anthu odwala matenda ashuga, amamva kupweteka m'miyendo, pomwe ena amachititsa dzanzi komanso amasiya kumva. Nthawi zina chizindikiro cha "kungokhala" ndi "yogwira" chimaphatikizidwa. Mulimonsemo, vutoli litha kuthetsedwa, mosiyana ndi zovuta za m'maso ndi impso.

Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti mupimidwe ndikuyang'aniridwa mwachangu. Ndikofunikira kudziwa kuchuluka kwa atherosulinosis ya ziwiya zamiyendo. Kenako yang'anani matenda a shuga. Dziwani njira ziti zomwe zimakhudzidwa ndi izi, kupatula kutalika kwa mitsempha m'miyendo. Choyamba, adotolo amayeza cholozera chakumaso. Palibe owawa kapena owopsa. Wodwala wagona pabedi. Pamalo opingasa, kuthamanga kwa magazi kwa systolic (kumtunda) m'miyendo ndi mapewa kumayezedwa kangapo. Ngati ndichedwa kutsika m'mapewa kuposa m'mapewa, ndiye kuti ziwiya zamiyendozo zimakhudzidwa ndi atherosclerosis. Pankhaniyi, muyenera kuchita mayeso oopsa - ultrasound, MRI. Pamaso pa opaleshoni yamatumbo, x-ray imatha kutumizidwa ndikumayambitsa wothandizira. Uku sikuti mayeso otetezeka kwambiri. Ndi bwino osachita ngati opareshoni sanakonzekere.

Ngati matenda a shuga a matenda a shuga amakayikira, khungu la miyendo kukhudza, kugwedezeka, kutentha kumayendera. Izi zimachitika ndi dotolo mothandizidwa ndi zida zamitsempha yamagazi, zomwe zimaphatikizapo foloko, nthenga, komanso singano yofufuzira ululu wamalingaliro. Chifukwa cha kuwonongeka kwa mitsempha, miyendo imatha kulephera kutuluka thukuta. Zikatero, khungu limakhala louma ndipo limatha kusweka. Izi zimadziwika pa nthawi yowonera. Monga atherossteosis, kuchepa kwa mitsempha ndi njira yamagulu a shuga. Zitha kuyambitsa ziwalo zamisempha zingapo. Zowonongeka zamitsempha zomwe zimayendetsa kupuma komanso kugunda kwa mtima ndizowopsa. Komabe, ndi madokotala ochepa omwe amadziwa momwe angayang'anire izi.

Chithandizo chachikulu ndikukwaniritsa ndi kukhalabe ndi shuga. Phunzirani ndikutsatira ndondomeko ya 2 yothetsera matenda a matenda ashuga kapena mtundu 1 wa pulogalamu yoletsa matenda ashuga.Neuropathy ndimavuto osinthika. Mitsempha yamagazi yabwinobwino ikafikira, mitsempha imachira pang'onopang'ono, zizindikirizo zimachepa ndikutha m'miyezi ingapo.

Komanso, chiwongolero chabwino cha matenda ashuga chimathandizira kuchepa kwa atherosulinosis. Kupweteka kwa mwendo, mosiyana ndi kutaya mtima, kumalimbikitsa odwala kuti azichitira mosamala. Ndili m'manja mwanu kuti muthane ndi zizindikiro zosasangalatsa, kupewa kudula ndikukhazikitsa moyo wabwinobwino.

Kodi ma pinkiller ndi zakudya zamagetsi zimathandiza bwanji?

Poyerekeza ndi zowawa, dokotala amatha kukupatsani mankhwala, omwe amafotokozedwa mwatsatanetsatane pansipa. Mapiritsi ofooka sathandiza, ndipo mankhwala oopsa amakhala ndi zotsatira zoyipa. Yesani kuchita popanda iwo momwe mungathere. Mwa zakudya zowonjezera zakudya, odwala nthawi zambiri amatenga alpha lipoic acid. Mtengo wake ndiwokwera, ndipo mapindu ake ndiwokayikitsa. Ngati mukufuna kuyesa chida ichi, musachigulitse ku pharmacy, koma dulani ku USA kudzera patsamba la iHerb. Mtengo udzakhala wotsika kangapo.

Vitamini B6 (pyridoxine) Mlingo waukulu kwambiri umapangitsa dzanzi ndi zala zake, zofanana ndi zomwe amapweteka pakhungu. Zotsatira zoyipa izi zitha kugwiritsidwa ntchito kuwongolera kupweteka komwe kumachitika chifukwa cha matenda ashuga a mtima. Mlingo uyenera kukhala osachepera 100 mg, ndi kwa anthu akuluakulu olimbitsa - 200 mg patsiku. Tengani mavitamini ena a B, komanso magnesium. Mwachitsanzo, mavitamini B-50. Gwiritsani ntchito ngati gawo kwakanthawi mpaka ulusi wamanjenje ukabwezeretseka chifukwa chowongolera shuga. Izi sizovomerezedwa mwalamulo, kuyesa kwa odwala pachiwopsezo chawo. Zotsatira zoyipa ndizotheka. Zowawa zomwe zimayambitsidwa ndi atherosulinosis, Chinsinsi ichi sichingathandize.

Chithandizo cha odwala matenda a shuga

Ngati mayeso akatsimikizira kuti ziwiya zamiyendo zimakhudzidwa ndi atherosulinosis, wodwalayo amatha kupatsidwa mankhwala a cholesterol, mankhwala oopsa, komanso mapiritsi ochepa magazi. Mankhwalawa onse amachepetsa chiopsezo cha matenda a mtima, stroke, ndi pulmonary thromboembolism. Pali njira zina zochizira opaleshoni. Dokotala wokhoza amaika china chake ngati ballo mu chotchinga chotchinga, kenako ndikuchiyika ndikukula. Kusungitsa magazi kutuluka m'mitsempha, amatha kusiya chofunda mkati mwake - waya womata. Njira ina ndikutenga chotengera kuchokera mbali ina ya thupi ndikupanga magazi kuti azigwira m'malo mwa chotchinga chotchinga. Kambiranani mwatsatanetsatane ndi dokotala.

Monga lamulo, matenda ashuga ndi kupweteka kwapakati sizigwirizana, amafunika kuthandizidwa mosasamala. Ndikosatheka kuchira kamodzi, koma mutha kuthana ndi mavuto ndikuwongolera moyo wopanda nkhawa. Zotsatirazi zikuyankha mwachidule zomwe zimayambitsa kupweteka komanso mavuto ena olowa:

Rheumatoid nyamakazi ndi vuto lolumikizidwa lomwe limayambitsidwa ndi vuto la autoimmune, ngati mtundu 1 wa shuga. Zizindikiro - kupweteka, kufiyira, kutupira mafupa. Ndizachidziwikire kuti zizindikirazi sizimawonedwa pafupipafupi, koma mokwanira. Kuyesedwa kwa magazi kumatha kuwonetsa kuchuluka kwa zotupa - C-reactive protein, interleukin 6 ndi ena. Pofuna kuthana ndi vuto la wodwalayo, m'malo ovuta kwambiri, mankhwala amalembedwa mwachitsanzo, etanercept, adalimumab kapena infliximab. Amapondereza ntchito ya chitetezo chathupi. Mwina mankhwalawa amachepetsa chiwopsezo cha matenda a shuga a autoimmune ngati sichinayambe. Koma amatha kuonjezera chiwopsezo cha matenda ndikupangitsa zina.

Ndikofunika kuyesa kudya pokana kukokana ndi gluten, komanso zakudya zotsutsana ndi zotupa - curcumin ndi ena. Chonde dziwani kuti kadyedwe kotsika ka carb kotsika sikamakhalanso zopanda gluteni. Kaya mkaka wokhala ndi casein umafunika kufotokozedwa.Dziwani kuti ndi matenda amtundu wa 2 matenda ashuga, kuukira kwa chitetezo chathupi chathupi. Odwala amayenera kubaya insulin, osachepera pamiyeso yotsika. Matenda a 2 a matenda a shuga ndi matenda oopsa kwambiri.

Osteoarthritis: choyambitsa kupweteka kwapakati pa matenda a shuga a 2

Osteoarthritis ndi vuto ndi mafupa omwe amayamba chifukwa cha kuvala kwawo kokhudzana ndi zaka, komanso kulemera kwambiri kwa wodwalayo. Amalumikizana ndi mafinya, chifukwa mafupawo amayamba kukhudzana ndikukutikirana. Zizindikiro - kutupira ndi malire a kuyenda. Mavuto ambiri amakhala m'mabondo ndi m'chiuno. Chitetezo chamthupi sichitha kulumikizana ndi mafupa, ngati nyamakazi. Zizindikiro zakutupa m'magazi sizakwezedwa. Muyenera kuyesetsa kuti muchepetse kunenepa kulikonse. Izi zimachepetsa mavuto olumikizana komanso zimathandizanso kuwongolera matenda ashuga amtundu wa 2. Kambiranani ndi dokotala wanu ngati muyenera kumwa mankhwala opweteka kapena kugwiritsa ntchito mankhwala opaleshoni.

Phazi la Charcot ndilovuta kwambiri kwa matenda ashuga omwe amachititsa kuti miyendo yake iwonongeke. Poyamba, matenda a shuga amachititsa kuti miyendo izitha. Mukamayenda, michere imapindika ndikuwonongeka, koma wodwala sazindikira izi. Kupanikizika kwa mafupa kumawonjezeka. Mwendo umachedwa kwambiri komanso wopunduka kwambiri. Pambuyo pokhapokha izi zimalumikizana, zimayamba kutupa, kuwonda komanso kupweteka. Pomaliza, wodwalayo azindikira kuti ali ndi mavuto. Malo omwe akukhudzidwira amatha kutentha mpaka kukhudza. Chithandizo - opaleshoni, nsapato za mafupa. Phazi la Charcot litapezeka kale, kulumala kumatha kusintha. Zinali zofunika kusunga magazi abwinobwino kuti muchepetse neuropathy.

Mankhwala opweteka

Monga lamulo, odwala amapanga kuyesera kwawo koyamba kuti athe kuchepetsa ululu ndi mankhwala pawokha. Amagwiritsa ntchito ibuprofen kapena paracetamol, yomwe imagulitsidwa pa counter. Mankhwalawa amathandizira pazinthu zofatsa kwambiri. Kuti mugwiritse ntchito ma pinkiller amphamvu, muyenera kulandira mankhwala kuchokera kwa dokotala. Mankhwala otsatirawa amalembedwa motsutsana ndi ululu womwe umayambitsidwa ndi matenda a shuga:

• Mtundu woyamba wa shuga
• Unyamata
• Mowa
• Ukalamba
• Matenda a mtima komanso matenda am'mbuyomu
• Kusuta
• High cholesterol (onani cholesterol tloaelehileng)

  Matenda a matenda ammimba a shuga

  Pazizindikiro zoyambirira za kudwala, wodwala yemwe ali ndi matenda ashuga ayenera kufunsa katswiri ndikufotokozera mwatsatanetsatane Zizindikiro zomwe zimakhudzana ndi phazi la matenda ashuga. Zabwino, ngati mzindawu uli ndi ofesi ya Diabetesic Foot wokhala ndi podiatrist waluso. Pakalibe izi, mutha kulumikizana ndi akatswiri othandizira, opaleshoni kapena endocrinologist. Kuunikiridwa kumachitika kuti mudziwe ngati ali ndi matenda.

• General ndi zamankhwala amwazi magazi
• Urinalysis ndi kuyesa kwa impso
• X-ray ya chifuwa ndi ultrasound yamtima
• Kuyesa kwa magazi

  Kuwerenga kwamanjenje:

• Kuyang'ana chitetezo cham'mbuyo
• Kuyesa kupweteka komanso kumva tactile
• Dopplerometry
• Kuyeza kwa kupanikizika mu ziwiya za miyendo

  Kuphunzira zam'mapazi am'mapazi am'mimba:

• Kubzala microflora kuchokera chilonda motsimikiza kudziwa mphamvu ya maantibayotiki
• Kuunika kwa microscopic pamabala a zilonda

  X-ray yamapazi ndi maondo

  Matenda a shuga matenda am'mimba

  Mavuto onse a shuga amakhala owopsa ndipo amafunikira chithandizo chamankhwala. Matenda a matenda ashuga odwala matenda ashuga ayenera kukhala okwanira.

  Chithandizo cha zilonda zam'mimba zokhala ndi magazi oyenda bwino m'chiwalo:

• Chithandizo cha zilonda zathunthu
• Kwezani katundu
• Mankhwala othandizira antibacterial kupondera matenda
• Kulipira shuga
• Kukana zizolowezi zoipa
• Chithandizo cha matenda oyanjana omwe amasokoneza machiritso a zilonda.

  Chithandizo cha zilonda zam'mimba za mankhwalawa ngati magazi atayipa (neuroischemic mawonekedwe a matenda ashuga):

• Zinthu zonse pamwambapa
• Kubwezeretsa kwa magazi

  Chithandizo cha zilonda zam'mimba zam'mimba zokhala ndi minofu necrosis:

• Mankhwala othandizira
• Palibe kuchitapo kanthu - kudula

  Chithandizo cha zilonda zam'mimba

  Dokotala atamuunika ndikumufufuza amachotsa minofu yake yomwe yasiya kugwira ntchito. Zotsatira zake, kufalikira kwa matendawa kumatha. Pambuyo pakukonza pamakina, ndikofunikira kutsuka lonse la zilondazo. Palibe amene amaloledwa kuchitira ndi "zobiriwira", ayodini ndi njira zina zakumwa, zomwe zimawononga khungu kwambiri. Pakusamba, gwiritsani ntchito saline kapena antiseptics. Ngati pakuthandizidwa ndi bala, dokotalayo angadziwe kuti ali ndi vuto lotani, ndiye kuti angathe kukupatsani ziwalo kuti matenda akewo athe.

  Kwezani katundu

  Chinsinsi chothandizira bwino zilonda zam'mimba ndichachotsa katundu wathunthu pachilondacho. Izi zofunikira nthawi zambiri sizimakumana, chifukwa ululu wam'munsi umachepetsedwa, ndipo wodwalayo amatha kudalira mwendo wopweteka. Zotsatira zake, chithandizo chonse sichothandiza.

• ndi zilonda zam'miyendo, ndikofunikira kuchepetsa nthawi yogwiritsidwa ntchito molunjika
• ndi mabala kumbuyo kwa phazi, nsapato za mumsewu zimayenera kuvalidwa pafupipafupi. Amaloledwa kuvala zofewa.
• zokhala ndi zilonda pakumaso kwa phazi limodzi, zida zam'manja zimagwiritsidwa ntchito (kutulutsa chovala chovala chamtanda ndi cha kumapazi). Contraindication kuvala chida choterechi ndi matenda opweteka kwambiri kwa minofu ndi miyendo yolimba. Tisaiwale kuti nsapato zamatumbo zoyenera prophylaxis sizigwira ntchito chifukwa chotsitsa phazi.

  Kuchiritsa zilonda zam'mimba ndi zofooka zina kumatheka pokhapokha matenda atachepa. Kusambitsa bala ndi antiseptics sikokwanira, kwa nthawi yayitali odana ndi mankhwala othandizira amafunika kuchiritsa. Ndi mawonekedwe a neuropathic a SDS, antimicrobial agents amagwiritsidwa ntchito theka la odwala, ndipo ndi fomu ya ischemic, kukonzekera koteroko ndikofunikira kwa aliyense.

  Kubwezerera kwa Glucose

  Kuwonjezeka kwakukulu kwa shuga m'magazi kumayambitsa kuwoneka kwa zilonda zam'mimba zatsopano ndikupanga kuchiritsidwa kwa omwe alipo chifukwa cha kuwonongeka kwa mitsempha. Kugwiritsa ntchito mankhwala oyenera ochepetsa shuga, mapampu a insulini, kapena Mlingo wa insulini amatha kuthana ndi matenda a shuga, kuchepetsa mwayi wokhala ndi matenda ashuga osachepera.

  Kukana zizolowezi zoipa

  Kusuta kumawonjezera chiopsezo cha matenda a m'matumbo am'munsi, kuchepetsa mwayi wopulumutsidwa kwa miyendo. Kuledzeretsa kumayambitsa chidakwa cha neuropathy, chomwe pamodzi ndi kuwonongeka kwa mitsempha ya diabetes kumabweretsa zilonda zam'mimba. Kuphatikiza apo, kumwa mowa kumatha kubwezeretsa okhazikika kwa kagayidwe kazakudya, chifukwa, kuchuluka kwa glucose kwa odwala omwe akumamwa kumakulitsidwa nthawi zonse.

  Chithandizo cha matenda oyanjana

  Matenda ndi mikhalidwe yambiri, yosasangalatsa mwa iyo yokha, yomwe imayambitsa matenda ashuga imakhala yowopsa. Amachedwetsa kuchiritsidwa kwa zilonda zam'mimba, kumachulukitsa chiopsezo cha kumeta ndi kuduladula phazi. Omwe ali osavomerezeka kwambiri a shuga ndi awa:

  • kuchepa magazi
  • kusasamala komanso kudwala
  • aakulu aimpso kulephera
  • matenda a chiwindi
  • neoplasms yoyipa
  • mahomoni ndi cytostatic mankhwala
  • mkhalidwe wopsinjika

  Pazomwe zili pamwambapa, chithandizo cha matenda ashuga a m'mimba chiyenera kukhala chokwanira kwambiri.

  Kuyenda kwamwazi kumabweza m'munsi

  Ndi mawonekedwe a neuroischemic a matenda ashuga apakati, magazi amayenda kwambiri kotero kuti kuchiritsa kwa zilonda zazing'ono kwambiri kumakhala kosatheka. Zotsatira za njirayi posachedwa ndikudula. Chifukwa chake, njira yokhayo yosamalirira dzanja ndikubwezeretsa patency yam'mimba. Kubwezeretsa kwachipatala kwa magazi m'miyendo nthawi zambiri sikuthandiza, chifukwa chake, chifukwa cha kusowa kwa mphamvu, njira zopangira opaleshoni nthawi zambiri zimagwiritsidwa ntchito: opaleshoni yam'mimba ndi opaleshoni yamkati.

  Malamulo oyambira osamalira mapazi

  Kuletsa kukula kwa matenda ashuga a m'mimba ndikosavuta kuposa kuchiritsa. Matenda a shuga ndi matenda osachiritsika, choncho kusamalitsa kwamapazi osamalitsa kuyenera kukhala chizolowezi chatsiku ndi tsiku. Pali malamulo angapo osavuta, kutsatira omwe amachepetsa kwambiri zilonda zam'mimba.

  Vuto lalikulu la wodwala matenda ashuga ndi kusankha nsapato. Chifukwa cha kuchepa kwa chidwi chazovuta, odwala amavala nsapato zolimba, zosavutikira kwa zaka, ndikupangitsa kuti khungu lisawonongeke. Pali njira zomveka zomwe wodwala matenda ashuga ayenera kusankha nsapato.

  Pali malamulo ena ofunikira chisamaliro cha matenda ashuga:

• Mabala aliwonse, abrasion, kuwotcha komanso kuwonongeka kochepa kwambiri pakhungu la miyendo - iyi ndi nthawi yolumikizana ndi katswiri.
• Kuyang'anitsitsa miyendo tsiku ndi tsiku, kuphatikiza madera ovuta kufikirako, kudzalola kupezeka ndi zilonda zatsopano.
• Kusambitsa ndendende ndi kuwumitsa miyendo ndichofunikira tsiku lililonse.
• Poyambitsa kuphwanya kwamiyendo m'miyendo, muyenera kuyang'anira mosamala kutentha kwa madzi mukasamba. Pewani kusamba madzi otentha, kugwiritsa ntchito mapiritsi otenthetsera kuti musayake.
• Subcooling imawonongekanso khungu la miyendo. M'miyezi yozizira, hypothermia sayenera kuloledwa.
• Tsiku lililonse liyenera kuyamba ndikuwunika nsapato. Ziphuphu, mapepala, ndi zinthu zina zakunja zimatha kuyambitsa zilonda zam'mimbayo zikaonekera nthawi yayitali. Musanaveke nsapato, muyenera kuonetsetsa kuti palibe mchenga, miyala, etc.
• Masokisi ndi masheya azisinthidwa kawiri pa tsiku. Ndikwabwino kugula masokosi opangidwa ndi zinthu zachilengedwe, popanda zotanuka zolimba, simungathe kugwiritsa ntchito masokosi pambuyo pa darn.
• Chifukwa cha kuchepa kwa chidwi ndi phazi, anthu omwe ali ndi matenda ashuga salimbikitsidwa kuyenda opanda nsapato pagombe, m'nkhalango, kapenanso kunyumba, chifukwa mwina simungazindikire mabala omwe amawoneka kumapazi.
• Chithandizo cha mabala ku shuga ali ndi mawonekedwe ake.
  • Zilonda pamapazi sizingathe kuthandizidwa ndimankhwala osokoneza bongo (Iodine, Zelenka), komanso potaziyamu permanganate, othandizira okhalitsa ndi mafuta opaka pofinya ndipo osalola mpweya (Vishnevsky mafuta).
  • Ma abrasions amatha kuthandizidwa ngati ali oyera ndi yankho la Furacilinum, hydrogen peroxide - ngati chilondacho ndichoperewera kapena chodetsedwa. Njira zothandizira odwala matenda ashuga ndi Miramistin ndi Chlorhexidine.
• Chimanga chomwe chimawoneka mu shuga mellitus sichitha, sichitha kuchotsedwa ndimaso owongoka, kuchepa kwa chidwi ndi matenda a shuga kungachititse kuti khungu lizidulidwa komanso mabala. Chithandizo cha msomali chikuyenera kuchitika molunjika, popanda zingwe zowongoka. Njira yothetsera vuto la misomali yovomerezeka imatha kudalirika ndi dokotala.
• Ndizosavomerezeka kugwiritsa ntchito chifuwa chofewetsa, salola kuti mpweya udutse, ndipo popanda mabakiteriya a oxygen anaerobic amatha kuchulukitsa pamalo omwe akhudzidwa, omwe amamva bwino m'malo opanda mpweya komanso amathandizira kukulitsa anaoreobic gangrene.
• Kuuma kwambiri pakhungu kumachotsedwa mothandizidwa ndi mafuta kapena mafuta onunkhira. Izi ndi zonona za mwana komanso zonona zomwe zimakhala ndi mafuta a sea buckthorn. Madera ophatikizana sangathe kuchiritsidwa ndi zonona.

  Hyperkeratosis (keratinization ya pakhungu) m'malo opsinjika kwambiri ndi njira yowonjezera yomwe imabweretsa zilonda zam'mimba. Chifukwa chake, kupewa kwake kukula kumaphatikizaponso chithandizo cha madera ovuta kumapazi, kuchotsedwa kwa matenda opatsirana, kugwiritsa ntchito mafuta opatsa thanzi ndi otenthetsa miyendo. Madera a keratinized amachotsedwa pamakina ndi sikelo kapena scalpel popanda kuvulaza khungu lokha ndi dokotala.

• Ma creams omwe amatha kugwiritsidwa ntchito ngati matenda ashuga ali ndi urea mumakina osiyanasiyana - Balzamed (ma ruble a 230-250), Alpresan (1400-1500 rubles). Amathandizira kuchiritsa kwa khungu, kupewa kutsekeka, kuthetsa khungu lowuma, kuchepetsa ululu ndikumayimitsa maonekedwe a ming'alu pamapazi ndi matendawa m'matumbo a shuga.Kupatula urea, balsamide ilinso ndi mavitamini ndi mafuta a masamba.
• Pali umboni kuti popewa kukalamba, matenda amkati, matenda am'mitsempha, mtima, komanso phazi la matenda ashuga, mutha kugwiritsa ntchito? -Lipoic (thioctic) acid ndi mavitamini a B (Turboslim, Solgar Alpha-lipoic acid, etc.) .

  Ngakhale zaka khumi ndi zisanu zapitazo, zilonda zilizonse zapansi pa wodwala yemwe ali ndi matenda osokoneza bongo posachedwa zimayambitsa kudula dzanja. Kuchepa kwa ntchito chifukwa cha opaleshoni yodwala kumabweretsa zovuta zingapo, chiyembekezo chamoyo chatsika kwambiri. Pakadali pano, madokotala akuchita zonse zomwe angathe kuti apulumutse mwendo ndikubwezeretsa wodwalayo ku moyo wawo. Ndi kutenga nawo mbali pothana ndi wodwalayo matenda ake, izi zitha kukhala zovuta kwambiri.

  Zizindikiro

  Pali mawonetsero ambiri owonongeka phazi la matenda ashuga. Ena mwa iwo, wodwalayo sangatchulidwe chifukwa cha zovuta za matenda ashuga, kapenanso osazindikira. Poona izi, aliyense wodwala matenda ashuga ayenera kudziwa zomwe zimayambitsa matenda a miyendo.

• khungu lowuma lomwe silingagonje ndi zonona.
• kusenda ndi kuyabwa kwa khungu la miyendo,
• kupindika ndi khungu la mwendo,
• mapangidwe a chimanga kwambiri (hyperkeratosis),
• Kuchepa tsitsi kwa amuna,
• kusintha mawonekedwe ndi kukula kwa misomali,
• kutupa kwamapewa,
• Khungu la miyendo limapindika komanso kuzizira kukhudza (kawirikawiri, motsutsana, cyanotic ndi kutentha),
• matenda oyamba ndi khungu la kumapazi ndi misomali,
• dzanzi lam'munsi,
• kupweteka kwa miyendo
• kuphwanya matenthedwe, ma tactile ndi mitundu ina ya zomvera.

  Ngati mulibe chidwi ndi zomwe tafotokozazi munthawi yake, ndiye kuti zotsatira zoyipa za zovuta za matenda ashuga zimachitika.

• Zilonda zopweteka komanso zopweteka,
• machira, phlegmon,
• arthropathy
• osteomyelitis (kuchuluka kwamafupa),
• gengren.

  Makhalidwe a kupweteka kwa mwendo ndi neuropathy

  Miyendo yomwe ili ndi matenda ashuga imapweteka onse poyenda komanso kupuma, makamaka kuvulaza wodwala usiku. Monga lamulo, amakhala a mphamvu zapakatikati, koma pakupita nthawi amalimbitsa ndikuletsa munthu wodwala matenda ashuga kuti asamakhale moyo wabwinoko. Kupweteka m'mapazi ndi miyendo kumakhala kwapadera, ndipo mafupa akuluakulu sakhala owawa (ndi diabetesic arthropathy). Mu matendawa, kuphatikiza kuti wodwala matenda ashuga ali ndi ululu wamiyendo, Zizindikiro zake zimayang'anidwanso: kukokana, kugunda, kumva tulo, kufooka m'miyendo, kuchepa chidwi, kutupa miyendo.

  Zomwe zimayambitsa zizindikiro zomwe zili pamwambazi zimatha kukhala zosiyana ndipo sizimachitika nthawi zonse chifukwa cha chitukuko cha matenda a shuga - ichi ndi kuphatikizika kwa matenda, kuwonongeka kwa mitsempha kapena mitsempha yamagazi, matenda amitsempha, osteochondrosis. Pofuna kudziwa zoyenera, dokotala amayenera kumuwunikira.

  Chithandizo cha kupweteka kwa mwendo ndizosiyana ndipo zimatengera matenda oyamba. Mwachitsanzo, mankhwala omwe amagwiritsidwa ntchito pochiza matenda olumikizana samathandiza kuchepetsa ululu m'miyendo ndi matenda a shuga.

  Kutupa kwamiyendo m'magazi a shuga kumakhalanso ndi zifukwa zosiyanasiyana. Nthawi zambiri, odwala matenda ashuga amakhala ndi matenda amtima wofanana, ndipo, monga mukudziwa, ndi vuto la mtima madzulo, kutupa kwa miyendo ndi miyendo kumawoneka. Edema imathanso kukhala chifukwa cha mitsempha ya varicose yam'munsi. Morning edema ya miyendo imadziwika ndi matenda ashuga a impso.

  Mayeso a phazi la shuga

  Ndikofunikira kwambiri kuti muwone dokotala panthawi yake kuti adziwe zovuta za matenda ashuga. Wodwalayo amatha kupenda molondola miyendo yakumunsi mu "Kabungwe ka odwala matenda ashuga." Komwe ophunzitsa ma endocrinologists ophunzitsidwa bwino, madokotala ochita zamankhwala ndi anamwino amagwira ntchito.

  Madokotala amazindikira kuchuluka kwa kuwonongeka kwa mwendo, Sinthani chithandizo cha matenda ashuga, ndikupereka chithandizo chamankhwala a neuro - ndi angiopathy. Anamwino muofesi imeneyi amaphunzitsa odwala chisamaliro choyenera, kusamalira miyendo yawo (kuyetsa chimanga, kugwiritsa ntchito mafuta ochiritsa, ndi zina).

  Kufufuzidwa mu "Diabetesic Foot Cabinet" pakuwunika koyamba kwa matenda a shuga, ndiye kamodzi pachaka ndi thanzi labwinobwino.

  Kafukufuku wachitika muofesi:

• kuyeserera, ndikuyang'ana kuti muonetsetse momwe malekeredwera,
• kuwunika kwa minyewa
• kupimidwa kwa mafunde a m'miyendo,
• chepetsa kupweteka, tactile, kutentha ndi kugwedeza kwamphamvu,
• electroneuromyography.

  Ngakhale kusintha pang'ono pang'onopang'ono (mawonekedwe a zizindikiro zatsopano) kapena kutupa pang'ono pakhungu la miyendo - chochitika chimatembenukira kwa dokotala kuti akuthandizeni mkati mwa tsiku limodzi.

  Kusamalira odwala matenda ashuga kumakhala kutsatira malamulo ochepa osavuta koma ofunika kwambiri:

• Tsiku lililonse, wodwala matenda ashuga ayenera kupenda miyendo yake, makamaka mapazi, matendawa, mipata pakati pa zala mothandizidwa ndi kalilore woyikiratu pansi kapena mothandizidwa ndi abale. Mukafufuza, ndikofunikira kuzindikira ngati zikanda zazing'ono, mabala, mabisiketi, ming'alu ndi zina zolakwika pakhungu zomwe zimatha kukhala khomo lakupatsirana.
• Wodwala matenda ashuga asambitsidwe mapazi ake tsiku lililonse ndi madzi ofunda ndi sopo wosaloŵerera, chisamaliro chapadera ziyenera kulipiridwa kumalo ophatikizika. Pukutani ndi matumba ofewa.
• Zizindikiro zoyambirira za matenda oyamba ndi fungus zikawoneka, makamaka pakati pa zala monga kupendama, kuyanika koyera, redness, kuyabwa. Muyenera kulumikizana ndi dermatologist, adzakulemberani mankhwala, omwe amakhala ngati zonunkhira za antifungal.
• Wodwala wodwala matenda ashuga ayenera kuyang'anitsitsa nsapato zake tsiku ndi tsiku kuti akole zinthu zakunja, akumwetulira misozi ndi zolakwika zina zomwe zimatha kupukusa kapena kuvulaza khungu la miyendo yake. Zilonda zilizonse zokhala ndi ma protrusions zimagawidwa m'magulu a shuga, chifukwa zimatha kupangika m'magazi, zilonda, zilonda zam'mimba.
• Mosamala kwambiri, sinthani zala zanu, chifukwa ndi bwino kugwiritsa ntchito fayilo ya msomali, osati lumo. Misomali yamafayilo molunjika, ndibwino kuzungulira ngodya osasiya lakuthwa konse, chifukwa zimatha kuvulaza zala zina. Ngati misomali ikakhuthala ndi fayilo, muyenera kuipera pamwambapa, kusiya masamba awiri okha mamilimita atatu. Chingwe chala kwambiri mukamayenda chimayala bedi la msomali wosakhwima ndi kuyambitsa kupweteka.
• Kuti mutenthe miyendo yanu, ndibwino kugwiritsa ntchito masokosi ofunda, koma osasamba kapena otentha. Anthu odwala matenda ashuga achepetsa kutentha, chifukwa samamva kutentha kwa madzi komwe kungayambitse kutentha. Pazifukwa zomwezo, odwala matenda ashuga sayenera kuweranso miyendo yawo .. Mukamatsuka mapazi, muzipewa kutentha pang'ono kapena kutentha kwambiri. Choyamba, yang'anani madziwo mubafa m'manja ndi pokhapokha onetsetsani kuti sikumatentha kumiza mapazi anu.
• Ngati mukuvulala, kumbukirani, chifukwa cha kusoka kwa phazi la matenda ashuga, njira zothetsera zakumwa za "zobiriwira", ayodini, komanso mowa ndi potaziyamu permanganate. Chifukwa chake, zotupa zonse zimayenera kuthandizidwa ndimafuta apadera ochiritsa, 3% yankho la hydrogen peroxide, chlorhexidine, betadine, miramistin komanso kuvala zolimba.
• Monga lamulo, odwala matenda ashuga ali ndi khungu louma kwambiri kumapazi awo. Mukatha kusamba, onetsetsani kuti ndi mafuta owiritsa komanso opatsa thanzi. Ma keloni ozikidwa ndi mafuta a masamba amakhalanso oyenera kuchita izi. Ndikofunikanso kuyika mafuta oyatsira ndi urea tsiku ndi tsiku pakhungu la miyendo.
• Pakakhala khungu la keratinized, liyenera kuchitidwa ndi pumice. Pankhaniyi, iyi ndiye njira yabwino koposa. Komabe, ma pumice amafunikira kusinthidwa nthawi zambiri, monga fungus imatha kuonekera mu iyoyokha. Osagwiritsa ntchito lumo kapena lumo pantchitoyi. Pambuyo pa mankhwala, khungu liyenera kugwiritsidwa ntchito ndi zonona zabwino.
• Osagwiritsa ntchito zigamba za salipod, callus, kapena zida zodulira kuti muchotse khungu loyipa.
• Valani nsapato zomasuka zokha.Musaiwale za kugula nsapato zomwe zimafunika kuvala. Tayani nsapato ndi chingwe pakati pa zala zanu. Mukamapundula miyendo, valani nsapato zamatumbo. Osamavala nsapato pamiyendo yopanda, masokongoleti kapena masokosi odetsedwa kapena masitokota, ndipo musamayende opanda nsapato.
• Yendani tsiku lililonse mu nsapato zabwino kwa mphindi zosachepera 30. Chitani zolimbitsa thupi ndi zolimbitsa thupi miyendo ndi miyendo. Siyani kusuta.

  Kuti muthandizidwe bwino komanso kupewa matenda ashuga, khalani ndi shuga wamagazi ndikutsatira malamulo osamalira phazi. Izi zikuthandizira kupewa zovuta zoyipa monga phlegmon ndi gangrene.

  Mlingo wa glycemia wokwera kwambiri womwe umakhudza ziwalo zonse za thupi. Mwazi wa magazi suyipa kwambiri monga zotsatira zake. Mamolekyulu owononga a glucose amachita pamitsempha yamagazi ndi mitsempha yam'mitsempha, yomwe imayambitsa zosasangalatsa.

  Mfundo zofunika zomwe zimakhudza kuwoneka kwa zowawa:

• Zaka za munthu. Zili zachisoni, koma ndi kukalamba kwa thupi lonse, kusintha kumachitika m'makutu. Zimakhala zochepa, zotsekedwa ndi slag, komanso zimawonongeka nthawi zonse ndi mankhwala a shuga. Zonsezi zimawonjezera mkhalidwe wa wodwalayo ndikupangitsa kupweteka m'miyendo,
• Mlingo wa Glycemia. Pali kuphatikiza pakati pa kuchuluka kwa shuga mu seramu ndikuwonetsedwa kwa mawonekedwe onse amtundu, komanso kusapeza bwino kumadera akumunsi.
• Moyo. Wodwalayo akapanda kusunthika, amakhumudwa kwambiri. Chifukwa cha kusayenda kwa magazi kumadera akutali kwambiri a thupi kuchokera pansi pamtima, mapangidwe a edema amawonedwa, omwe amalimbikira kwambiri kumapeto kwa mitsempha ndikupangitsa kupweteka,
• Mkhalidwe wamtima wamagazi ndi magazi. Nthawi zambiri, matenda a shuga a mellitus (DM) amayenda limodzi ndi matenda oopsa (AH) ndi zotupa za atherosranceotic zamatumbo onse. Zonsezi zimangokulitsa zizindikiro za kuchepa kwa insulin kapena kukana kwa zotumphukira pazovuta zake. M'pofunika kuchititsa chithandizo choyenera cha concomitant pathology kuti tichotse zizindikiro zomwe zili kale,
• Kulemera. Matenda a shuga a Mtundu Wachiwiri amatha kuphatikizidwa ndi kuchuluka kwa thupi kwa wodwala. Izi zimadzetsa kupsinjika kowonjezereka kumalumikizidwe ndi minofu, yomwe, kenako, imayambitsa kusasangalala. Njira yabwino ikakhala kuchepa thupi.

  Kodi chimayambitsa mavuto ndi chiyani?

  Pali njira ziwiri zoyambitsira zovuta zoterezi m'munsi zotsika:

• Ischemic. Kutseka magazi ndi kuwonongeka kwa ziwiya zazing'onoting'ono kumayambitsa kuchepa kwa magazi mu zotumphukira zake. Njala ya okosijeni yomwe imakhalapo imapangitsa kuti maselo azifa komanso kufa kwa maselo ndikumasulidwa kwa oyimira pakati otupa (histamine, prostaglandin). Amawononga mathero a mitsempha omwe amapatsira chidwi chamchiberekero ndipo munthu akumva kuwawa.
• Neuropathic. Poterepa, chifukwa chagona pakusintha kwa mitsempha. Ndi chifukwa cha kusakwanira kwa chakudya cha ma neurocytes mu kayendedwe ka miyendo. Iwo amafa ndipo njira zapafupipafupi zam'munsi zimasokonezedwa. Zotsatira zake, kuchepa kwa ululu, kutentha ndi tactile sensitivity. Munthu samangoona kuchepa kapena kuvulala kumapazi kwake. Nthawi zambiri kachilomboka kamajowina izi, zilonda zam'mimba zimachitika. Pazaka zaposachedwa pomwe ululu umapita patsogolo ndipo wodwalayo amayamba kudandaula.

  Zonsezi ziwiri zowonongeka kwa minofu ndizotsatira za hyperglycemia. Chifukwa chake, kutsimikizika kwakukulu kwa chithandizo chamankhwala kuyenera kuchitidwa ndendende pakutha kwake.

  Zizindikiro zake zitha kusiyanasiyana kutengera kapangidwe ka kusapeza bwino.

  Pankhani ya vuto losakanizika, wodwalayo angapereke madandaulo otsatirawa:

• kupweteka kwamiyendo ndi m'miyendo. Zomverera zowopsa nthawi zambiri zimawonedwa
• zovuta zimatha kupuma, koma nthawi zambiri mukamalimbitsa thupi.
• Khungu limasanduka lotuwa, nthawi zina limakhala losalala,
• Zilonda zopweteka zomwe zimakhala ndi malire owuma.
• kumeta tsitsi kumaloko kumatha kuchitika malo osayenera,
• Kutentha kwa miyendo yomwe idakhudzidwa kumatsika.

  Kukula kwa zizindikiro kumadalira kuchuluka kwa kutsekeka kwa mtima.

  Ngati kuwonongeka kukuchitika monga neuropathic, ndiye kuti wodwalayo akuti:

• zomverera zowawa zomwe sizimayenderana ndi zolimbitsa thupi,
• khungu labwinobwino, nthawi zina ngakhale limafupika,
• m'malo omwe mumalumikizirana ndi nsapato zazilonda zopweteka zomwe zimakhala ndi malire komanso omveka bwino nthawi zambiri zimawonekera
• kutentha kwa miyendo kumakhalabe kwachilendo
• kutayika kwamano.

  Chithandizo cha njira zonse ziwiri nthawi zambiri zimafunikira kuchitapo kanthu opaleshoni ngati mabala apangidwe kale.

  Cholinga chachikulu pa mankhwalawa am'miyendo mu shuga sichikhala matenda a glycemia. Ngati mungayang'anire shuga, ndiye kuti ziwiya sizidzaonekera paziyambukiro zake. Mavuto azachipatala amatha kusiyanasiyana kutengera mtundu wamatenda.

  Ndi mitundu 1 ya shuga, ndikofunikira kugwiritsa ntchito insulin moyo wonse. Chithandizo chokhacho chokhacho chomwe chitha kulepheretsa zovuta zosafunikira.

  Ndi mtundu wachiwiri wa "matenda okoma", ndikofunikira kumwa mankhwala ochepetsa shuga, chifukwa vutoli siliri mu kuchuluka kwa mahomoni apanchipisi, koma kukaniza kwa zotumphukira pazomwe zimachitika.

  Kuphatikiza apo, pali malingaliro apadera omwe amagwira ntchito pochiza matenda onse osiyanasiyana ndipo ndi othandiza ngakhale kwa anthu athanzi:

• Nsapato zotonthoza. Anthu ambiri omwe ali pa mpikisano wapa mafashoni samvera chitonthozo. Zotsatira zake, kuvutika kochepa kosalekeza kumadera akumunsi ndikutulutsa ululu.
• Kunenepa. Kuchulukanso kumakhudza mbali zonse za mafupa ndi mafupa. Katundu wowonjezerayo amatsogolera pakupirira kwapochepera komanso kuwonongeka kwa nyumba zamkati.
• Chithandizo cha concomitant matenda. Mavuto amkati ndi matenda amkati mwa mtima nthawi zambiri amachititsa kuti mapangidwe a edema, omwe amangokulitsa njira ya matenda ashuga.
• Zochita zolimbitsa thupi. Ndikokwanira kuyenda makilomita atatu patsiku kuti mukwaniritse mtundu wa microvasculature wam'munsi wam'mphepete ndikuchotsa vuto.
• Ngati zizindikiro zoyambirira za vuto la mtima zimachitika, ndiye kuti muyenera kufunafuna chithandizo chamankhwala. Kuyambitsidwa panthawi yake kumatha kupewa mavuto.

  Nzeru za anthu ndi chithandizo chakomweko

  Komanso, pakuthandizira kupweteka m'miyendo, mutha kugwiritsa ntchito kudziwa kwina.

  Njira zotsatirazi ndi maphikidwe azitsimikizira bwino:

  1 nthawi patsiku kosunthira mosamba mapazi. Mphindi 10 zamadzi otentha ndi mphindi zitatu za kuzizira. Kuchita koteroko kumalimbikitsa kufalikira kwa magazi, komwe kumachepetsa ululu.

  Kulowetsedwa kwa Comfrey. 1 tbsp. ndi spoonful ya nthaka yopanda bwino chomera ichi amathiridwa ndi madzi okwanira 1 litre. Khazikani m'malo amdima kwa milungu itatu. Nthawi ikatha, zenera ndi kusefa ndi madzi kuti mupeze 3 l yamadzi. Tengani 1 tbsp. supuni katatu patsiku mukatha kudya.

  Kutikita minofu yamadzi. Ma massager osiyanasiyana a aqua amagwira ntchito bwino. Monga chosambira chosiyanitsira, amasinthira magazi m'deralo ndipo amathandizanso kuyambiranso kumva.

  Pogwiritsa ntchito zapamwamba, chisakanizo cha madzi a aloe ndi mafuta ofunikira ndi angwiro. Kuti mukonzekere muyenera:

  Zakumwa zonsezi zimasakanikirana ndikusunthira malo opweteka a miyendo katatu patsiku. Zotsatira zimawonekera pambuyo pa tsiku la 1 logwiritsira ntchito.

  Kugwiritsa ntchito njirazi njira zochizira kuvulala kwamapazi ndikulimbikitsidwa ngati kuonana ndi dokotala kumachitika kale.

  Zoyambitsa matenda amiyendo mu shuga

  Chifukwa chachikulu chowonekera kupweteka m'miyendo ndi shuga, zomwe zimapangitsa kuti pakhale zovuta.Munthu wokalamba yemwe ali ndi matenda a shuga, amatha kukhala ndi vuto la miyendo, lomwe mtsogolo limabweretsa mavuto ambiri kwa madotolo komanso odwala omwe.

  Poyerekeza ndi matenda ashuga, matenda a atherosulinosis amakula, omwe amachepetsa mitsempha ya magazi ndipo sangathe kuperekanso magazi kumalo otsika. Zotsatira zake, zimakhala zamiyendo sizilandira kuchuluka kwa magazi ndi mpweya ndipo zimatumiza zizindikiro zopweteka zomwe zimayamba kuzunza kwambiri wodwala matenda ashuga.

  Opaleshoniyo ikachitika munthawi kuti abwezeretse magazi oyenda m'mitsempha, izi zimathandizira kuti pakhale zovuta zina.

  Ndi mphamvu za shuga, kupweteka kwamiyendo kumatha kuwonekera chifukwa cha zochitika ziwiri:

• Wodwalayo amakhala ndi shuga wokwanira m'magazi, yomwe imakhudza minyewa yam'munsi ndipo satha kuchitanso kanthu. Vutoli limatchedwa diabetesic neuropathy, lomwe limapangitsa kuti munthu asamve zambiri,
• Kupanga atherosulinosis, pang'onopang'ono kumatseka mitsempha ya magazi ndikupangitsa kuti magazi awonekere, kukula kwa ischemia (kufa ndi njala kwa mpweya wa minofu). Panthawi imeneyi, wodwalayo amamva kupweteka kwambiri m'miyendo.

  M'chochitika choyamba, pamene wodwalayo adasiya kumva komanso samatha kumva kupweteka, kutentha kapena kuzizira, ngati wavulala mwendo mwendo, samalabadira, chifukwa samva chilichonse. Chilonda chaching'ono pamapazi chimatha kuyambitsa zilonda zosachiritsa kwa nthawi yayitali.

  Kutupa kwa miyendo ndi shuga

  Kuwonekera kwa kufupika kwa m'munsi kwambiri mu shuga kungayambike chifukwa cha nephrotic syndrome, komwe edema imayamba. Atherossteosis, yomwe imatchinga makhoma amitsempha yamagazi ndikusokoneza kayendedwe ka magazi, imathanso kukhala chothandizira kwa edema ya miyendo.

  Pankhaniyi, kuyang'aniridwa mosamalitsa kwa chakudya kumalimbikitsidwa, masewera olimbitsa thupi omwe adapangidwa ndi adokotala, omwe angathandize kukhazikika pamkhalidwe ndi chithandizo chomwe chikufuna kuthana ndi wodwala yemwe wayambitsa edema - atherosulinosis kapena nephrotic syndrome.

  Zilonda zam'mimba za matenda ashuga

  Zilonda zam'mimba za shuga zimayambika pazifukwa zingapo:

• Potengera maziko a trophism (kuphwanya) minofu,
• Pankhani yakuphwanya kwa innervation (neuropathic),
• Ndi mtima matenda (rheological),
• Njira yosakanikirana.

  Nthawi zambiri, kukula kwamphamvu kwa zilonda zam'mimba zotsutsana ndi matenda a shuga kumathandizidwa ndi:

• atherosulinosis
• amuna
• zotupa zam'mimba kwambiri,
• kuwonongeka kwa zotumphukira zamanjenje.

  Zoyambirira zam'mapazi ndi:

• ming'alu ndi mafinya pamiyendo,
• banja likuwotcha,
• calluses
• microtrauma ndi mabala.

  Zizindikiro za zilonda ndi magawo awo okulira

  Wodwala matenda a shuga ayenera kuwunika mosamala osati kuchuluka kwa shuga m'magazi, komanso mkhalidwe wa thupi lonse, khungu lakumtunda. Monga tawonera kale, mavuto omwe anazindikira munthawi yake atha kuyimitsidwa poyamba ndipo ngakhale zovuta zazikulu zitha kupewedwa.

  Ndi matenda a shuga, chilonda sichimawoneka nthawi yomweyo, koma chifukwa cha zovuta zomwe zakhala zikuchitika m'thupi, zomwe zimatha kudziwonetsa pakapita zaka zochepa.

  Munkhaniyi muphunzira zambiri zamatenda amtundu wa shuga ku matenda ashuga http://pro-diabet.com/oslozhneniya/kozha-pri-saxarnom-diabete.html

  Nazi zambiri mwatsatanetsatane za zigawo zam'munsi zodwala odwala matenda ashuga.

  Zilonda za trophic, malinga ndi gawo la kukula kwawo, zitha kugawidwa:

  1. Gawo lapitalo la mawonekedwe a zilonda:

• khungu pakumva ululu, kusintha kwa kutentha, kupsinjika kumachepa,
• kupweteka koyamba kufooka m'miyendo yam'munsi kumawonekera, kuyabwa, kutentha, kukokana,
• kutupa kumawonekera
• Khungu la khungu lakumapeto limasinthika, khungu limatuluka, khungu limamera, nthawi zina - cyanosis, khungu limayamba kuonda.
• zotupa za kuwonongeka kwa khungu zimawonekera, mawonekedwe a nkhanambo,
• chilondacho chimayamba kukhazikika m'magazi, ndipo chifukwa choloŵa pachilonda cha matenda, pamakhala kusefukira ndi kuwonjezeka kwa kuchuluka kwa zilondazo.

  3. Gawo lopita patsogolo kwa zilonda:

• Kusintha kwa trophic kumayamba kukhala zilonda zam'mimba zopweteka,
• Zizindikiro zoyambirira za kuledzera zimawonekera (kufooka, kutentha thupi, kuzizira, ndi zina).
• ululu umakulirakulira
• necrosis imatha kufalikira kwambiri mkati mwa minofu.

  Chithandizo cha zilonda zam'mimba

  Chiwerengero chapakati cha odwala matenda ashuga chikuwonetsa kuti odwala oposa 80% odwala matenda a shuga amafunafuna chithandizo mochedwa kwambiri pakafunika kuthandizira zilonda zam'mimba, zomwe sizimapereka zotsatira zoyenera.

  Njira zonse zochizira zilonda zitha kugawidwa kuti zizisungidwa, cholinga chofuna kuchotsa zomwe zimayambitsa zilonda ndi maopareshoni - njira yokhazikika yomwe imagwiritsidwa ntchito ngati yayikulu kapena yowonjezera.

  Njira yodziyimira imagwiritsidwa ntchito pokhapokha ngati dokotala akuwongolera ndipo akuwongolera mwamphamvu, zotsutsana zonse zomwe zimachitika ndi matenda a shuga zimawerengedwa.

  Pulogalamu yokhazikika yochizira zilonda zam'mimba matenda a shuga:

• Mphamvu ya shuga ndi hemoglobin. Mlingo wabwino kwambiri wa glycemia umachokera pa 6 mpaka 10 mmol / l (pamimba yopanda kanthu), kuyambira 9 mpaka 10 mmol / l mutadya,
• Chithandizo ndi kupewa matenda oyanjana (matenda a thrombophlebotic, kuthamanga kwa magazi),
• Kuchepetsa ululu
• Kugwiritsa ntchito njira zotsitsira kumadera akumunsi,
• Kugwiritsa ntchito mankhwala omwe amakongoletsa mkhalidwe wamapangidwe amanjenje;
• Kukonza kwa magazi ndimankhwala,
• Kupititsa patsogolo kagayidwe ka lipid,
• Kugwiritsa ntchito mankhwala a mtima
• Kuchita antifungal ndi antibacterial mankhwala.

  Mapulogalamu othandizira othandizira zilonda zam'mimba m'mimba:

  1. Zochizira pamankhwala mabala omwe amakhala ndi kukonzekera kwapadera (peroxide), kugwiritsa ntchito zovala zosalala,
  2. Kutseguka, kuchotsedwa kwa mafinya ndi kuthekera kwakukulu koteteza minofu,
  3. Kuchita ma opaleshoni yomanganso ya mtima (ngati pali mawonekedwe).

  Ngati pa chithandizo palibe zotsatira zomwe mukuyembekeza, kuchuluka kwa chithandizo cha opaleshoni kumachuluka, mpaka kumadulidwa miyendo.

  Mavuto a zilonda zam'mimba zotupa:

• Monga matenda ena aliwonse omwe amayamba chifukwa cha matenda ashuga, zilonda zam'mimba zimatha kuyambitsa mavuto:
• mapa,
• kutupa kwamitsempha yamagazi ndi mitsempha yamagazi,
• dziko lokwezeka limayamba.

  Chithandizo chachikulu cha phazi la shuga

  Kutengera ndi kuopsa kwa matendawa, angagwiritsidwe ntchito pochiza mbali zitatuzopangidwa ndi mankhwala amakono:

• Zotsatira pazinthu zina zomwe zimapangitsa kuti atherosulinosis,
• Matenda a shuga matenda am'mimba
• Kuthetsa nkhani ya opaleshoni kuti ibwezeretse magazi mu minyewa yam'munsi.

Pambuyo pachilonda cham'mimba chomwe chimayamba motsutsana ndi maziko a matenda a shuga, matenda oopsa omwe amapezeka m'matenda a shuga ndi phazi la odwala matenda ashuga, momwe kusintha kwamankhwala kumachitika pamapazi a wodwala. Zotsatira zakunyalanyaza komanso kusowa kwa chithandizo - kudulidwa kwamanja pa mulingo uliwonse.

Vutoli limapezeka mu 90% ya odwala matenda ashuga omwe sanazindikire zoyamba za kukula kwa matendawa - kupweteka m'miyendo, mawonekedwe a kutupa.

Zomwe zimayambitsa matenda a Diabetesic Foot Syndrome

Kukula kwa phazi la matenda ashuga ndi gawo lovuta, lomwe limaphatikizapo njira zosiyanasiyana za thupi motsutsana ndi matenda ashuga.

Kutenga shuga kwa nthawi yayitali, kulumikizidwa pafupipafupi m'magazi a shuga kumayambitsa kuwonongeka pang'onopang'ono kwa mitsempha yamagazi m'mizimba yonse ya thupi.Zonsezi zimayamba ndikuwonongeka kwa ma capillaries ang'onoang'ono, ndipo zimayambitsa kuwonongeka kwa mitsempha yapadziko lonse, kusokonezeka kwa magazi, kufa kwa mitsempha, kuperewera kwa kayendedwe ka metabolic ndi kuwonongeka kwa khungu.

Ndi kuvulala pakhungu mwa munthu wathanzi, njira yochiritsira imachitika mwachangu, koma mu shuga, pamene kayendedwe ka magazi m'matumbo atasokonezeka kwathunthu, kuvulala kofatsa kumabweretsa zotsatira zoyipa - zilonda zam'mimba, matenda a shuga

Zizindikiro za phazi la matenda ashuga

Zizindikiro za matendawa zimatha kusiyanasiyana chifukwa cha matenda omwe apezeka kale:

• Fomu ya neuropathic imayambitsa zowonongeka zazowopsa zamitsempha. Miyendo yakumapeto imatayika, kugundika kwamapazi kukwera, mawonekedwe a phazi amasintha, khungu limakulitsidwa.
• Fomu ya ischemic imadziwika ndi kuwonongeka kwa mtima. Khungu kumapazi limasunthika, kumatupa kumawoneka, ululu, phazi silikuwonongeka, palibe chimanga.
• Mtundu wosakanizika, wofala kwambiri wamatendawa.

  Matenda a matenda ashuga

  Masiku ano, pali njira ziwiri zochizira matendawa - chosasamala komanso opareshoni.

  Chithandizo cha Conservative:

• Kuchita kuchuluka kwa shuga,
• Kugwiritsa ntchito ma anti-spectrum antibayotiki (kuikidwa ndi munthu payekha, kutengera mtundu wa zilonda),
• Kupangira mankhwala opweteka,
• Kuwongolera magazi kutuluka m'matumbo
• Kugwiritsa ntchito mankhwala a antibacterial ndi antiseptic (payekhapayekha).

  Mankhwala ochizira matenda a shuga:

• Malo ochepa a necrosis amachotsedwa,
• Kubwezeretsa kwam'mimba (angioplasty),
• Kuchotsa ziwiya zomwe sizingabwezeretse momwe zimagwirira ntchito (endarterectomy),
• Kukhazikitsa pazotengera maukonde omwe amathandizira (kukomoka kwa mitsempha),
• Kuyambiranso tsamba la malo osavutikapo (kuchotsa chidutswa cha chala kapena phazi),
• Kucheka kwa phazi, miyendo, miyendo, kutengera kufunika kwake.

  Mapulogalamu onse opangidwa ndi njira zochizira ululu wamiyendo sizingathandize ngati wodwala yemwe ali ndi matenda ashuga satenga njira zoyenera kuti athetse vuto lakelo.

  Madokotala ambiri amati ngati aliyense amene ali ndi matenda ashuga azindikira kuyambika kwakanthaŵi, angapewe mavuto ambiri ndi magazi pang'ono.

  Mwachitsanzo, wodwala akayamba kumva kupendekera pang'ono m'munsi, kukhathamira kwamiyendo ndi kutupa, muyenera kulankhulana ndi dokotala ndikuthandizira mankhwala othandizira kunyumba, omwe amakhala ndi masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, komanso kuchita masewera olimbitsa thupi. Njirazi zithandizira kubwezeretsa magazi, kusintha momwe mitsempha yamagazi imathandizira kuti muchepetse ululu.

  Musanayambe masewera olimbitsa thupi olimbitsa thupi komanso kugwiritsa ntchito kutikita minofu, muyenera kufunsa dokotala yemwe angapangire pulogalamu yothandizira odwala, molingana ndi mawonekedwe a matenda a shuga ndi zomwe thupi lanu limachita.

  Ndipo ngakhale wodwala yemwe ali ndi matenda ashuga sawona zizindikiro zilizonse zosokoneza, samva kupweteka m'miyendo, musapumulidwe - tengani njira zodzitetezera popewa kukula kwa mavuto ndi miyendo.