Malamulo osamalira matenda ashuga (memo)

Matenda a shuga ndi njira yokhazikika yomwe pakapita nthawi imakhala ndi zotsutsana ndi thupi lonse. Anthu omwe ali ndi matenda ashuga, omwe moyo wawo umakhala wovuta kuwonetsetsa kuchuluka kwa shuga m'magazi, amakhala ndi mantha akuyembekezera kudikira zovuta zamtundu wama mtima, impso, komanso masomphenya.

Zilonda zapakhungu zoyambira matenda osokoneza bongo zimapangitsa kuti pakhale chisamaliro komanso chisamaliro chapadera, popeza ndizomwe zimayambitsa matenda akulu a metabolic ndi Diabetesic Foot Syndrome.

The etiology ya zotupa pakhungu matenda ashuga - kuphwanya carbohydrate-lipid kagayidwe

Zambiri, zithunzi ndi makanema zomwe zili munkhaniyi zithandiza anthu omwe angopezeka ndi matenda a shuga a Type 2 Diabetes kumvetsetsa zomwe zimawonetsa pakhungu chifukwa cha matendawa komanso momwe angazisamalire kuti apewe kukulitsa vutoli.

Khungu lowuma

Asanayambitse zovuta zenizeni, khungu la odwala matenda ashuga limasinthidwa mikhalidwe:

• kuchepa khungu turgor - elasticity ndi kulimba,
• madera ambiri okhala ndi chikasu chachikasu nthawi zambiri amapangidwa,
• ikakhudzidwa, pamakhala zosasangalatsa - "khungu limakhala loyipa, ngati njovu",
• Ming'alu yake yoboola ndi maonekedwe owoneka bwino imapangidwa, makamaka pakhungu.
• zing'onozing'ono zazing'ono zimatha kuwoneka pamapazi ndi m'manja.

Izi ndichifukwa choti shuga yayikulu magazi imapangitsa kuti thupi lizitulutsa mkodzo wambiri, zomwe zimayambitsa kuperewera kwa khungu ndikusokoneza thukuta komanso timabowo timene timagwira.

Folk yothetsera khungu louma - mafuta a azitona, azithandiza odwala matenda ashuga

Chifukwa chake, odwala matenda ashuga ayenera tsiku lililonse, m'mawa ndi madzulo, kusamba kwaukhondo, osagwiritsa ntchito zokhazokha kapena wowerengeka azitsamba.

Ndikofunika kuyamba kutsatira malamulo apadera ndikugwiritsa ntchito zida zapadera:

• sopo kapena gel osambira ayenera kukhala osalowerera pH kapena acidic,
• musanayambe kusamba, nkhope ndi malo opanda kanthu ziyenera kutsukidwa ndi madzi (osati mowa!) odzola kapena mkaka wa zodzikongoletsera zofewa,
• kotero, ngati msuzi wosambira uli ndi urea pang'ono (mpaka 5%), mwachitsanzo, monga NumisMed,
• Zosankha za shampoo za shuga, mtengo wawo "kuluma", koma amapewetsa kusokoneza tsitsi - Selenzin, MinoX 2, Parusan,
• Pambuyo pa kayendetsedwe ka madzi, ndikofunikira kugwiritsa ntchito zonunkhiritsa-zonunkhira, gel kapena kutsitsi (kwa thupi, kumaso), tikupangira Greenleaf ndi aloe vera,
• pakati pa zala, mutanyowa madzi, gwiritsani ntchito kirimu wina, mwachitsanzo, Visaderm +,
• pamaso pa khungu loyaka ndi zilonda zam'mimba, zilonda kapena zithupsa, kwa masiku 3-5, mutha kusintha mochenjera - gwiritsani kuyimitsidwa kwa Vilprafen, koma osati mkati, koma kunja.

Zofunika! Anthu odwala matenda ashuga sayenera kusamba, makamaka ndi chithovu, komanso kugwiritsa ntchito shafa lotentha. Amaziumitsa khungu koposa. Pambuyo pa njira zamadzi, mwachizolowezi, simungathe kupukuta ndi thaulo. Kusunthika kwa malo ofunikira kuyenera kugwiritsidwa ntchito.

Hyperkeratosis ya miyendo ndi misomali

Kuphwanya njira za trophic kumtunda kwa khungu kumabweretsa kuti njira yopangidwira nyanga yake imayenda mwachangu kapena imathandizira, ndipo kutulutsa maselo akufa kumatsika kwambiri. Keratinization wapakhunguyu amatchedwa hyperkeratosis of the mapazi. Ikuwoneka pa chidendene, kumapeto, mbali zam'mapewa.

Subungual hyperkeratosis ndi chotsatira cha kuwonongeka kwa mbale ya msomali ndi bowa wowononga. Misomali imakhala yolimba, yolimba kapena yotayirira, yopunduka ndi kutuluka.

Dokotala-podolog amachita pa matenda a hyperkeratosis a mapazi ndi misomali

Kusamalira matenda a shuga kuyenera kukhala kokwanira:

• Sizoletsedwa kuti muziba miyendo m'mabala osambira,
• sikovomerezeka kuchotsa keratinized wosanjikiza pakhungu, kuphatikiza pazoyitanitsa, pumice wachilengedwe, zolemba zokumba, lumo kapena kugwiritsa ntchito makina apadera a boron,
• simungathe kuchita ndi masikelo,
• keratinized thickenings ayenera kuthandizidwa ndi kupanga mafuta, njira ya retinol kapena mafuta okongoletsera apadera omwe ali ndi urea wopitilira 10%,
• misomali iyenera kujambulidwa ndi mafayilo amisomali, ndipo osatero “mwa chowulungika”, koma mozungulira,
• Kuti muthandizire misomali yovuta, mutha kuyikira zonona za Uroderm kapena mawonekedwe ake, ndipo panjira zovuta, mukakumana ndi njira yapadera ya laser.

Ndikofunikira. Odwala omwe ali ndi matenda ashuga ayenera kuyang'anira chisamaliro cha nsapato. Iyenera kukhala yamatsenga ndikukhala mwendo mwendo. Ndi thukuta kwambiri pamiyendo, muyenera kugwiritsa ntchito mafuta apadera kapena mafuta odzola okhala ndi zinc oxide, sinthani masokosi katatu pa tsiku.

Chifukwa chiyani kusamalidwa koyenera kwa phazi la matenda ashuga ndikofunikira?

Kufunika kwa kupewa komanso kusamalira miyendo ndi matenda ashuga nkovuta. Ngati malamulowa satsatiridwa, matendawa amakula mwachangu ndipo gangore iyamba.

Malinga ndi WHO, 95% yoduladula miyendo imalumikizidwa ndi matenda am'mimba.

Gangrene ndi gawo lomaliza la SDS, lomwe limatsatiridwa ndi zizindikiro zotsatirazi:

• kupweteka kwa mwendo mukamayenda, komanso kupanikizika
• kusokonezeka kwa magazi (miyendo yozizira, mitsempha yotupa, kugunda kwa thukuta, dzanzi, ndi zina).
• kuwonongeka kwa minofu kamvekedwe ka miyendo,
• maonekedwe operewera mapazi,
• chimanga chouma ndi chonyowa, zilonda,
• zilonda zakuya, matenda oyamba ndi phazi.

Palibe zovuta kuti tipewe kudwala matenda opha ziwalo ndi kudzidulira kwina, ndikokwanira kusamalira bwino phazi la matenda ashuga kunyumba ndikumakumana ndi dokotala munthawi yake ndikusokonekera pang'ono.

Zilonda zapadera za khungu

Nayi mndandanda wa zotupa za pakhungu zomwe zimatheka ndi matenda ashuga:

Chithunzi ndi mutu	Kufotokozera kwapfupi
Matenda a shuga	Vuto loyambira khungu lotere nthawi zambiri limapezeka mwa odwala matenda ashuga omwe amakhala ndi vuto la matenda. Kuwonetsedwa ndi mapapu, okhala ndi kukula kwa 5 mpaka 12 mm, mtundu wofiirira, wokhala ndi mawonekedwe kutsogolo kwa miyendo. Akazimiririka, ndipo izi zimatha kupitilira kwa zaka ziwiri, mawanga atrophic amakhalabe pakhungu. Palibe chithandizo chamankhwala. Chithandizo chokha cha zviratidzo chimachitika.
Matenda a diabetes	Mwa amuna opitilira zaka 40 komanso odziwa kudwala matenda ashuga, malo akulu, ofiira, otuwa, kumaso, kukhosi kapena kumbuyo kwa dzanja nthawi zambiri amapanga. Samayambitsa kusasangalala, koma nthawi zina amakhala limodzi ndi malingaliro akumva kulira pang'ono. Ngakhale kuti ali ndi zovuta, mawebusayiti oterewa amatha kudutsa mwa masiku awiri kapena atatu.
Matenda a shuga Xanthoma	Amathamangitsa okalamba odwala matenda ashuga a mtundu wa 2, amuna ndi akazi, omwe matupi awo a triglyceride amawonjezeka magazi. Chikasu, nthawi zina chokhala ndi "kuwala" kwapinki, zolembera zimapezeka m'dera la elolo, pansi pa mawondo, komanso m'mapewa ndi kumbuyo kwa khosi. Pathology imazimiririka pang'onopang'ono pambuyo popenda chakudya m'njira yochepetsera mafuta.
Black Actanosis	Pathology imayamba chifukwa chopanga insulin mu T2DM. "Malo onyansa", monga chithunzichi, amapangidwa khosi, m'malo a axillary, pansi pa mawondo ndi m'mphepete mwa inguinal. Malangizo akulu othandizira kulandira chithandizo chamankhwala ndi masewera ochepa, ndipo amathandiza kuti muchepetse kunenepa kwambiri ndikuwonjezera chidwi cha minofu kuti mupange insulin.
Vitiligo	Mawanga oyera mmanja, miyendo, nkhope ndi msana sizimabweretsa chisangalalo, koma chilema chosasangalatsa kwambiri. Odwala matenda a shuga omwe ali ndi vitiligo amalangizidwa kuti adziteteze ku dzuwa lowongolera, kugwiritsa ntchito ma dzuwa apadera, kukonzekera phyto (Solhinol, Ricinol base) ndi mafuta a glucocorticoid.

Malangizo. Mndandanda wamitundu yosiyanasiyana ya zotupa zapakhansa, zomwe zimayambika chifukwa cha matenda ashuga, zimaphatikizapo matenda opitilira 30. Ngati mukukumana ndi mavuto pakhungu, musamadzifufuze komanso kudzipereka. Adziwitseni kwa endocrinologist wotsogola ndikupita kukaonana ndi dermatologist.

Njira yolimbana ndi matenda a mabala, zilonda zing'onozing'ono, malo opangira singano

Zochizira mabala ang'onoang'ono, malo omwe magazi amawunikira kapena kuwunika ma jakisoni othandizira, samalimbikitsidwa kugwiritsa ntchito ayodini, wanzeru wobiriwira kapena potaziyamu permanganate solution.

Sankhani zinthu zopanda mankhwala omwe ali ndi mabakiteriya osamwa mowa:

• chlorhexidine
• hydrogen peroxide
• wamphamvu madzi yankho la furacilin.

Ndipo pomaliza nkhaniyo, onerani kanema wonena za urea, momwe mumakhala malangizo pazomwe zimapangidwira pawokha kupanga mafuta opewetsa komanso ochiritsira kuti amunike madontho owuma a khungu lomwe limayamba chifukwa cha matenda ashuga.

2. Kuyang'anitsitsa miyendo.

Kuyendera kuyenera kuchitika m'mawa kapena madzulo, mutatsuka ndikuumitsa miyendo. Ngati madera a keratinized a epidermis, chimanga ndi chimanga chimapezeka kuti sizikugwirizana ndi kuvala nsapato zatsopano kapena zosasangalatsa, komanso mabala, zilonda, madera owonda a khungu, tikulimbikitsidwanso kuti mukaonane ndi dokotala ndikugwiritsa ntchito zodzikongoletsera mwapadera pa phazi la matenda ashuga.

Zogulitsa zoterezi zimakhala ndi zopatsa mphamvu, zopatsa thanzi, zofewa zomwe zimathandizira kubwezeretsanso kwa khungu lanu, komanso kuteteza mapazi kuti asatenge matenda.

Kufunika kwa ukhondo kwa shuga

Ndi kusakwanira pa ukhondo wa thupi, zovala, nsapato komanso nyumba yonse, kufooka kwa matenda ashuga kumatheka mosavuta pazovuta zakunja, zomwe zimayambitsa zovuta zamatenda akulu.

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.

Chofunikira pakuthandizira odwala matenda ashuga ndi ukhondo wa panokha. Chifukwa cha kuperewera kwa kagayidwe kachakudya, kusakhazikika kwa matenda ashuga kumakhala kofooka, chifukwa chomwe ntchito yothandizira thupi kumayipa: mabala amachiritsa kwakanthawi yayitali, ndipo pamakhala chiwopsezo cha zilonda zam'mimba. Kuphatikiza apo, odwala nthawi zambiri amakumana ndi njira zotupa, ma virus ndi matenda opatsirana. Choyamba, zovuta zoterezi zimawonekera pamlomo wamkamwa komanso pamapazi a odwala matenda ashuga.

Ukhondo wamlomo

Ndi matenda amtundu wa 2 shuga, chiopsezo cha caries chimawonjezeka, ndipo kupsinjika kwa mucous nembanemba kwamlomo wamkati nthawi zambiri kumachitika. Chifukwa chake, wodwalayo ayenera kutsuka mano ake kawiri patsiku ndi phala lomwe lili ndi fluoride. Imathandizira kulimbitsa enamel ya dzino, kuteteza ku kuwola kwa mano. Kuti muchite izi, gwiritsani ntchito burashi yapadera yokhala ndi ma silicone bristles, omwe adapangidwa kuti ayeretse mkati mwake yonse. Ndondomeko ikuchitika m'mawa pamaso chakudya ndi madzulo asanagone. Kuphatikiza apo, masana, wodwalayo amayenera kutsuka pakamwa panu kawiri ndi mankhwala opaka mankhwala ophera tizilombo, ndipo ngati kuli kotheka, yeretsani malo otsegulirana ndi mano atatha kudya.

Zokhudza ukhondo wamapazi komanso chisamaliro cha khungu

Chizindikiro chimodzi cha matenda ashuga ndi khungu louma, lomwe limasokoneza khunyu, ming'alu ngakhale zilonda zam'mimba. Izi zimakhudza kwambiri khungu lakumapeto. Kupatula matenda oyamba ndi mafangasi, mapangidwe a mabala opaka kwakanthawi komanso kusasangalala m'moyo watsiku ndi tsiku, munthu ayenera kutsatira mosamalitsa malamulo aukhondo wamunthu mu shuga.

Malamulo Osamalira

• Malo osambira ofunda amakhala ndi zotsatira zabwino pakhungu la wodwala matenda ashuga, ndikofunikira kwambiri.

Kusamalira nthawi ya chimanga kapena matenda osokoneza bongo. Vutoli limakhudzana ndi kuchepa kwa chidwi cha anthu odwala matenda ashuga. Kuti muchepetse zotupa zamtunduwu pakapita nthawi, muyenera kupenda mapazi tsiku lililonse masana.

Mukamasankha nsapato, muyenera kuganizira mfundo zingapo. Iyenera kupangidwa ndi zinthu zopumira, ndi chala chachikulu ndi chidendene kifupi. Ndikofunikira kuti nsapatoyo ikhale yabwino komanso osaphwanya miyendo.

Contraindication

• Sambani mapazi anu m'madzi otentha chifukwa izi zitha kubweretsa kuyaka kapena kupsinjika pakhungu.
• Kuyenda wopanda nsapato. M'malo opezeka anthu ambiri pamakhala mwayi woti mungatenge bowa kapena kuvulala mwendo.
• Chitani zoyenda ndi maso osawona bwino. Pankhaniyi, muyenera kufunafuna thandizo kwa achibale kapena akatswiri.
• Chotsani chimanga modalira.

Kutsatira malangizo a dokotala ndikutsatira malamulo a ukhondo, wodwala amalepheretsa matenda a shuga. Popeza wayamba kukhala wathanzi komanso walola kusokonezeka kotero, wodwalayo pang'onopang'ono amadzipweteka yekha kulumikizana ndi miyendo, mapangidwe a zilonda zam'maso komanso kuduladula miyendo.

3. Kutsuka tsiku ndi tsiku komanso kuchiza matenda amishuga.

Chimanga chouma pamapazi chimafunika kuthandizidwa ndi mwala wa pumice. Mukatha kusamba, muyenera kupukuta mapazi anu ndi chopukutira chofewa, osati kutikita, koma kungowonda.

Onetsetsani kuti mukutsatira zonona zopatsa thanzi, zomwe zimakhala ndi zopukutira zachilengedwe. Mwachitsanzo, mzere wa DiaDerm umapereka mafuta ena apadera osamalira matenda ashuga. Mzerewu umaphatikizapo zonona "zoteteza", "Zowonjezera" ndi "Kufewetsa", zomwe ndi zabwino kugwiritsidwa ntchito tsiku ndi tsiku.

Kirimu "Kubwezeretsanso" - njira yabwino yothandizira mapazi kumapazi kwa abrasions, mabala a jekeseni wotsatira ndi kuvulala kwina. Chimodzi mwa zinthu zopangidwa ndi DiaDerm ndi kupezeka kwa urea ndi mankhwala ena azitsamba zamafuta ndi mafuta omwe amapangidwa ndi 5-15%, omwe amachepetsa mphamvu, kudyetsa ndikulimbikitsa machiritso a mabala komanso kubadwanso.

Dinani pa chithunzi chomwe chili pansipa kuti mudziwe zambiri zokhudzana ndi zitsulo zosokoneza shuga za shuga ndikulamula kuti ziziperekedwa kunyumba kapena potumiza makalata.

4. Kudula msomali koyenera.

Misomali ya Ingrown yokhala ndi matenda a shuga nthawi zambiri imayambitsa matenda komanso kutupa. Ndikofunikira kudula misomali mofatsa mzere wowongoka popanda kuzungulira. Makona akuthwa amamangidwa ndi fayilo ya msomali yofewa bwino.

Mukakonza misomali, lumo wokhala ndi malembedwe akuthwa sungagwiritsidwe ntchito.Ngati chala chakumiyendo chikuvulala pakudula, ndiye kuti malowa ayenera kuthandizidwa ndi hydrogen peroxide ndikuthira mafuta opha zilonda, mwachitsanzo, furacilin kapena potengera ndi streptocide. Mu sitolo yathu yapaintaneti mupeza zinthu zabwino komanso zotsika mtengo zosamalira msomali.

5. Kupewa matenda oyamba ndi fungus.

Ndi matenda oyamba ndi fungus, zilonda, zipsera, mabala amawoneka pamapazi. Kukhalapo kwa bowa kumakulitsa kwambiri chiopsezo cha gangore. Kupewetsa kumatenda ndikutsatira malamulo aukhondo.

Komanso, odwala matenda ashuga sayenera kuyenda opanda nsapato m'malo opezeka anthu ambiri, pagombe, m'nkhalango, ndi zina. Masokosi ayenera kusinthidwa tsiku ndi tsiku, kuti tipewe kuvala nsapato zonyansa, zonunkhira bwino komanso zonyowa.

Onetsetsani kuti mukugwiritsa ntchito zonona "Zoteteza" kuti muchepetse kukula kwa mabakiteriya komanso matenda oyamba ndi mabakiteriya, kubwezeretsa chotchinga.

6. Kutsatira mfundo zoyambirira za moyo wathanzi, kulimbitsa chitetezo chathupi.

Kuledzera, kumwa mowa mwauchidakwa, kusuta fodya, moyo wongokhala ndi zinthu zina zomwe zimakhudza mkhalidwe wamiyendo ya matenda ashuga. Kuti muchepetse kuchepa kwa matenda, ndikofunikira kusiya zizolowezi zoipa, kutsatira zakudya komanso kulimbitsa chitetezo chathupi.

Onse odwala matenda ashuga amawonetsedwa tsiku lililonse osapitilira mphindi 30. Anthu okalamba ndi onenepa kwambiri amatha kugwiritsa ntchito ndodo zapadera zoyendera poyenda.

7. Kuvala nsapato zapamwamba.

Nsapato ziyenera kupangidwa ndi zinthu zabwino, zopanda msoko wakukhuthala. Ndikofunika kuti anali ndi lows kapena Velcro kuti azitha kuyika miyendo yonse.

Yokhayo iyenera kukhala yolimba yokwanira kuteteza phazi kuti lisawonongeke. Amaloledwa kukhala ndi chidendene chotsika.

8. Kugwiritsa ntchito ma insoles apadera.

Kusamalira bwino phazi kwa matenda ashuga sikungatheke popanda kutsitsa wapamwamba kwambiri. Pachifukwa ichi, kutsitsa ma insoles komanso ma insoles amakono apangidwa kuti amagawana thupi ndikuletsa kupindika kwa zala ndi phazi, komanso kupewa mapangidwe a chimanga.

Ma insoles omwe ali ndi kukumbukira ali ndi machitidwe abwino, omwe amatengera mawonekedwe kutengera mawonekedwe a physico-anatomical a eni ake. Kugwiritsa ntchito matenda a shuga kuphatikiza ndi nsapato zoyenera kungathandize kupewa kukula kwa zizindikiro zambiri za VDS.

Dinani pa chithunzi pansipa kuti mudziwe zambiri zokhudzana ndi matenda a shuga ndikuwayitanitsa kuti atumize kunyumba kapena potumiza makalata.

Kodi phazi la matenda ashuga limatha kuchiritsidwa?

Tiyenera kumvetsetsa kuti matenda ashuga ndi zotsatira za matenda ashuga. Mankhwala amakono sangathe kuchiritsa mitundu yambiri ya matenda a shuga, zomwe zikutanthauza kuti chiopsezo chokhala ndi SDS chimakhalabe moyo wonse.

Komabe, kutsatira malamulo onse omwe ali pamwambapa ndikudziwa momwe mungagwiritsire matenda a matenda ashuga, mutha kuchepetsa kwambiri mwayi wokhala ndi matendawa.

Malo athu ogulitsira omwe ali pa intaneti ali ndi mankhwala othandiza kwambiri komanso amakono a matenda ashuga. Timapereka ku Russia konse ndi otumiza kunyumba kwanu, kumalo operekera malamulo ndi makalata. Dinani pa chithunzi pansipa ndikupeza zina.