Zilonda zam'mimba mu chithandizo cha chithunzi cha matenda ashuga

Anthu omwe ali ndi matenda a shuga amadziwa kuti ndikofunika kusamalira thanzi lawo mosamala. Matendawa ndi owopsa pakupanga zovuta. Nthawi zambiri miyendo yam'munsi imavutika, matenda am'mimba am'mimba amayamba ndi zilonda zam'mimba. Wodwala aliyense ayenera kudziwa njira yabwino yothandizira zilonda zam'mimbayo pamiyendo ndi momwe angapewere mapangidwe awo a shuga.

Zomwe Zilonda

Odwala omwe ali ndi matenda ashuga, pamakhala kuphwanya njira zonse za metabolic mthupi. Zotsatira zake, zovuta zamavuto am'mimba ndi zotupa zimayamba: kuphwanya kayendedwe ka okosijeni ka maselo, kuwonongeka kwa mitsempha yamagazi, kuwonongeka kwa mitsempha ya mafupa amitsempha.

Chifukwa cha kusamva bwino kwa magazi komanso kuthamanga kwa magazi, bala lililonse kapena khungu lakelo silionedwa.

Chifukwa chakuchepa kwa kayendedwe ka metabolic mthupi, zotupa sizichiritsa, ndipo popeza wodwalayo samazindikira bala nthawi yonse, limasanduka chilonda. Zomwe zilonda zake zikuwoneka.

Zilonda za trophic pamiyendo ndi zamitundu iwiri: neuropathic m'chilengedwe komanso ischemic m'chilengedwe. Mabala a neuropathic amapangidwa chifukwa cha kuwonongeka kwa mitolo yamafupa amitsempha. Matendawa amatchedwa matenda a shuga a polyneuropathy. Monga lamulo, chidwi cham'mbali cham'munsi chimatayika.

Zilonda zam'mimba za Ischemic zimapangidwa motsutsana ndi maziko a matenda a mtima, omwe amachititsa kuphwanya kwamitsempha yamagazi ndi kukoka kwa magazi.

Zilonda zam'mimba sizimapezeka mwa odwala omwe ali ndi shuga. Izi zikutanthauza kuti ngati wodwalayo ayang'anitsitsa thanzi lake ndikutsatira malangizo onse a dokotala, sayenera kuchita mantha ndi zovuta. Nthawi yomweyo, ngati kuchuluka kwa shuga m'magazi kumachulukirachulukira, wodwalayo amanyalanyaza chithandizo chamankhwala ndikuphwanya malamulo otenga mankhwala ochepetsa shuga, chiopsezo cha zilonda zam'mimba zimachulukana nthawi zambiri.

Zizindikiro za matendawa

Zilonda za trophic ndi amodzi mwa mawonetseredwe amachitidwe a pathological monga phazi la matenda ashuga. Zilonda zilizonse ndi zotupa za pakhungu la shuga zimafuna chithandizo choyenera. Ndi matendawa, kusinthika kwa minofu kumavulala, motero simungayembekezere kuti bala limadzichiritsa yokha. Zosawonongeka zofunikira zochepa zimayamba kukhala zilonda zamkati. Zizindikiro zakukula kwa zilonda zam'mimba za trophic mu shuga:

kulemera ndi kukoka ululu m'munsi m'miyendo, ngakhale katundu,
Kusintha kwa khungu kuzungulira bala.
kutupa kwamapazi,
khungu lozungulira chilondacho ndilotentha.

Zizindikirozi zimawonekera koyambirira, ndipo zimatanthawuza matenda. Ngati njira zochizira sizinatenge nthawi, chilondacho chimasintha kukhala chilonda chozama cha mawonekedwe ozungulira. Zomwe zilonda pamiyendo ya anthu odwala matenda a shuga zitha kuwonekera pazithunzi zambiri pa intaneti. Zilonda zotere mu shuga mellitus, monga zimawonekera, kuyang'ana chithunzicho, palokha sichichiritsidwa, chifukwa chake amafunika chithandizo chapamwamba komanso chofunikira panthawi yake.

Kumbukirani kuti mabala ndi zilonda zilizonse, ngati simukuyamba chithandizo, m'kupita kwanthawi zimayamba kukhala pandonda.

Zilonda zam'mimba zokhala ndi matenda ashuga zimatha kuthandizidwa kunyumba ndi mankhwalawa omwe dokotala angalimbikitse pakuwunika.

Chithandizo cha chilonda

Zilonda zam'miyendo pamiyendo ndi matenda a shuga zimadzetsa ngozi yayikulu, chifukwa chake chithandizo chimafunikira kuthandizidwa.

Chithandizo cha trophic zilonda zam'mphepete ndi shuga zimachitika m'magawo angapo:

kutsatira kupumula pabedi kuti muchotse katundu pa dzanja lakhudzidwa,
Chithandizo chokhazikika cha zilonda zam'mimba,
kuvala mabala ndi mavalidwe osayanjana ndi bala, kuwonetsetsa kuti mpweya ulowa pansi pa garter,
kuyeretsa chilonda m'misempha yakufa,
kumwa mankhwala opha maantibayotiki omwe amalembedwa atatha kuphunzira za chikhalidwe cha bakiteriya kuchokera pachilonda,
kumwa Vitamini mineral kukonzekera ndi ma immunomodulators,
kulipira shuga.

Bwino kuchitira zilonda zam'mimbayo pamiyendo mwa odwala omwe ali ndi matenda a shuga, dokotala amawonetsa, komabe, chithandizo chitha kuchitidwa onse kuchipatala komanso kunyumba.

Zilonda za anthu odwala matenda ashuga amawoneka bwanji pamiyendo. Zilonda za odwala omwe ali ndi matenda osokoneza bongo amatha kutulutsa magazi kapena kuukira mafinya, pomwe mankhwalawo amachitika pogwiritsa ntchito mankhwala opha maantibayotiki, komanso momwe mungagwiritsire kuvala nokha muzipezeka pa chithunzi ndi kanema pa intaneti.

Ngati zilonda za matenda ashuga zikupezeka mwa odwala m'miyendo, muyenera kufunsa dokotala yemwe amupimeni ndikupereka mankhwala. Kupanda kutero, chilonda chokhazikika chimanga chimakula ndikukula kenako mwendo umadulidwa.

Njira zingapo zochizira chilonda sizingayende popanda kulipiritsa matenda ashuga. Chifukwa chake, mankhwalawa amaphatikiza mankhwala othandizira kudya komanso kukhazikitsa mankhwala ochepetsa shuga.

Kodi mungapewe bwanji kupanga mabala?

Zowonongeka zilizonse, kuphatikiza chimanga wamba chifukwa cha nsapato zosamasuka, zitha kubweretsa kupangika kwa bala. Kuti mupewe izi, muyenera kutsatira malamulo otsatirawa.

Ukhondo wa tsiku ndi tsiku wa ashuga umachitika pogwiritsa ntchito njira za antiseptic. Pachifukwa ichi, madokotala amalimbikitsa kugwiritsa ntchito yankho la chlorhexidine kapena mafuta a tiyi, omwe ali antiseptic yabwino.
Ndikofunika kuonetsetsa kuti khungu la miyendo silikuuma. Popewa, mafuta opatsa mafuta opangira mafuta ndi mafuta apadera otengera lanolin ndi mafuta a masamba amagwiritsidwa ntchito.
Musamayike miyendo yanu poyenda maulendo ataliatali. Ndikofunikanso kupewa hypothermia kapena kuchepa khungu la miyendo. Muyenera kumavala molingana ndi nyengo ndipo musatenge sopo wotentha (kutentha kwa madzi okwanira kulibe kuposa 33 ° C).
Nsapato zosavomerezeka zimakhala pachiwopsezo chachikulu kwa odwala omwe ali ndi matenda ashuga. Nsapato zimayenera kukhala zapamwamba kwambiri, zomasuka komanso zogwirizana ndi nyengo. Njira yabwino kwambiri ndi nsapato zopangidwa ndi orthopedic. Kusankhidwa ndi kuyenera kwa nsapato zatsopano ziyenera kuchitika madzulo. Pakadali pano patsiku, miyendo imatupa, nsapato zomwe zasankhidwa sizidzakolola ndipo zimayambitsa kusayenda bwino. Sitikulimbikitsidwa kuyitanitsa nsapato ndi chithunzi m'misika yapaintaneti.

Mapazi amayenera kuyang'aniridwa tsiku ndi tsiku. Ngati khungu lawonongeka pakapezeka, ndikofunikira kukaonana ndi dokotala.

Shuga mellitus ndiye mtsogoleri pa kuchuluka kwa zovuta zomwe zimachitika nthawi yamatendawa.

Chifukwa cha kuchuluka kwa glucose ochulukirapo, mawonekedwe a wodwalayo amachepa, mitsempha yamagazi ndi minofu yamtima zimataya mphamvu, ndipo impso ndi ma adrenal glands zimawonongeka pantchito yawo.

Osati malo omaliza pamndandanda uwu omwe amakhala ndi zilonda zam'mimba zomwe zimawoneka pamwamba pa mwendo ndi phazi chifukwa chosayenda bwino. Kuphonya koteroko sikumangokhala kovuta kuthandizira, komanso kumapatsa wodwala zovuta zambiri.

Chifukwa chake, ndikofunikira kwambiri kuti odwala matenda ashuga azipewa kuchitika motere. Ndipo zilonda zam'mimba zikaonekanso, ayenera kuchitapo kanthu mwachangu kuchitira zovuta. Kuti mumve zambiri zamomwe mungathane ndi zilonda za matenda ashuga, werengani pansipa.

Mfundo za mankhwalawa trophic zilonda zam'mimba ndi shuga

Chithandizo cha zilonda zam'mimba zimakhazikika pakukonzanso kosalekeza kwa shuga wamagazi komanso kupitiriza kwa chithandizo chachikulu cha matenda ashuga.

Ndikofunikanso kulumikizana ndi akatswiri nthawi yake kuti mupeze thandizo loyenerera: kuyendera kwapita kwa adotolo, ndizotheka kuti kuthetsedwerako kuli konse.

Kuti mukwaniritse kuchira, mwendo womwe wakhudzidwa umamasulidwa ku katundu kupita pazambiri.. Mu magawo oyamba, kuchira kumatheka chifukwa cha kusamba kwa chilonda nthawi zonse ndi mankhwala okhala ndi antibacterial komanso kusintha kavalidwe ka nthawi zonse.

Pazinthu zotsogola kwambiri, kungakhale kofunikira kumwa mankhwala opangidwa ndi adokotala. M'malo ovuta kwambiri, kuyeretsa zilonda kapena mankhwalawa kumachitika. Ngati opaleshoni sapereka momwe akufunira, kudulidwaku ndikotheka.

Chithandizo chapafupi

Chithandizo cham'deralo ndichokwanira ndipo chimaphatikizapo zinthu zotsatirazi:

kuchapa kwa mabala ndi njira zamankhwala. Bungwe loyenerera lamankhwala am'deralo limaphatikizapo kusamba pafupipafupi kwa omwe akukhudzidwayo ndi njira ya 3% ya peroxide ndi antimicrobial othandizira (Miramistin, njira ya Chlorhexidine kapena mankhwala a Acerbin), komanso kugwiritsa ntchito kavalidwe kosalala komwe kali ndi machiritso. Kutengera mtundu wa bala, chithandizo chovala chotsatira chitha kuchitika kamodzi pakapita masiku awiri ndi awiri kapena tsiku lililonse. Kuchita izi kumachepetsa kuchuluka kwa tizilombo toyambitsa matenda,
kugwiritsa ntchito kavalidwe. Kuti muchepetse machiritso, tikulimbikitsidwa kuti musagwiritse ntchito mabandeji wamba kapena kudula, koma mavalidwe opangidwa ndi zida zamakono omwe samamatira pachilonda. Mtundu wazovala zomwe amapangira ziyenera kusankhidwa ndi adotolo,
necrectomy ndi kukometsa kwa chimanga. Minofu yakufa ndi chimanga nthawi zambiri zimatsagana ndi mawonekedwe a zilonda zam'mimba. Khungu lakufa ndi malo abwino osungira mabakiteriya. Chifukwa chake, kuwonjezera pa chithandizo chakunyumba, ndikofunikira kuchita chithandiziro chakuchiritsa chilonda ndikuchotsa kufanana kwa minofu yakufa ndi dokotala kapena namwino pakadutsa masiku atatu ndi atatu.

Kugwiritsa ntchito zelenok kapena ayodini mu shuga kumaletsedwa.

Kugwiritsa ntchito antibacterial mankhwala

Zamoyo zoyipa zomwe zimachulukitsa gawo la maulonda a trophic ndizoletsa zovuta za mankhwala. Chifukwa chake, kuti awonongeke amafunika njira yabwino, yomwe ingaperekedwe ndi adokotala.

Dokotalayo amapereka mankhwala othandizira odwala kutengera ndi zovuta za wodwalayo komanso thanzi la wodwalayo. Kutengera ndi kuopsa kwa vutoli, mankhwala opha maantibayotiki amatha kuyikidwa mu mawonekedwe a mapiritsi kapena jakisoni wa intramus, womwe umathandizira thupi.

Kutalika kwa mphamvu ya chithandizo ndikutsimikizika ndi dokotala. Monga lamulo, atazindikira zilonda zam'mimba mwa odwala matenda ashuga, maantibayotiki omwe ali ndi zotsatirapo zosiyanasiyana amalembedwa: Amoxicillin, Doxycycline, Heliomycin ndi ena.

Sizoletsedwa kumwa mankhwala ngati muli ndi ulcerative foci, komanso kugwiritsa ntchito mafuta othandizira. Chifukwa chake, mutha kuvulaza thanzi lanu.

Momwe muyenera kuchitira kunyumba?

Kuchiritsa zilonda zam'mimba zomwe zimapezeka m'magazi a shuga kunyumba sizothandiza kwenikweni kuposa chithandizo chololedwa ndi dokotala.

Komabe, m'magawo oyamba, ndizotheka kuchotsa kwathunthu zovuta zomwe zidayamba. Kuti muchite izi, gwiritsani ntchito maphikidwe a anthu wowerengeka ndi zithandizo.

Kuti mankhwala apanyumba apereke momwe angafunikire, ndikofunikira kutsitsa phazi lowonongeka, komanso kusintha mtundu wa glucose m'magazi mwazotheka monga momwe zingathekere kuti muzindikire “wathanzi”. Kupanda kutero, mankhwalawo sangakhale othandiza.

Mankhwala opangira opaleshoni

Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi imatha kudzetsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa!

Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Nthawi zina pamene mankhwalawo sanapereke chithandizo, wodwala amatha kupatsidwa opaleshoni yomwe ingachotse chidwi chake ndi minofu yakufa.

Kuthandizira opaleshoni kutha kuchitika mwanjira zotsatirazi:

vacuum mankhwala
kudula kwenikweni
machikalic.

Kuchotsa zidutswa zoyaka ndikothandiza kwambiri, chifukwa pamenepa zovuta zili pafupi ndi zero. Pa nthawi ya opareshoni, mafinya amachotsedwa, komanso kuchepa kwa kuya ndi mainchesi a bala.

Ngati chilonda sichikuchira, njira zoyenera komanso zopatsirana zimaperekedwa kwa wodwala. Kudulidwa kwenikweni kumaphatikizapo kuchitidwa opaleshoni m'mphepete mwa chilondacho. Zikatero, kuyambiranso kumachitika popanda kuphwanya matupi a khungu ndi khungu.

Chithandizo cha akupanga chimaperekanso zotsatira zabwino. Pambuyo pa njirayi, kuthira magazi kumabwezeretsedwa ndikuwonetsanso kuwonongeka kwa minofu kuyimitsidwa, komanso kusaloledwa kwa njira zowononga.

Kuchiritsa mafuta

1 tbsp kutsanulira mafuta osaphika am'madzi mu chidebe cha enamel ndi kuwira m'madzi osamba kwa mphindi 20.

Onjezani 1 tbsp pachidebe mafuta am'madzi ndi kuwira kwa mphindi 20 osamba madzi. Pukutani mapiritsi 25 a streptocide kudzera mu sume ndikuthira mu zosakaniza zomwe zilipo.

Wiritsani zikuchokera kwa theka lina la ola, ozizira komanso malo mufiriji. The chifukwa zikuchokera umagwiritsidwa ntchito pa zilonda ndi bandeji. Monga lamulo, zotsatira zake zimawonekera patatha milungu iwiri (zilonda zam'mimba zimachiritsa ndikuchiritsa).

Kuchiritsa ufa kuchokera ku masamba a tatarnik

Masamba achiTatar ali pansi ngati fumbi ndipo amazunguliridwa kudzera mu suna, kenako amaikidwa mumtsuko ndikusiyidwa m'chipinda chamdima.

Asanagone, malo owaziridwawo amakhala ndi mafuta a Rivanol (mankhwalawo atha kugulitsidwa ku pharmacy) ndikuwazidwa pang'ono ndi ufa wa tartar, pambuyo pake chilondacho chimangidwa.

Pambuyo podzuka, chilonda sichitsukidwa, koma chimakutidwa ndi ufa wa tatar ndikumangirizidwanso.

Pakapita kanthawi, chilondacho chimapola pang'ono ndi pang'ono.

Mapuloteni ndi uchi

Sakanizani uchi ndi mapuloteni muyezo wa 1: 1 ndikugwiritsa ntchito chilondacho, kenako ndikuphimba malowo ndi masamba atatu a masamba a burdock, kuphimba ndi cellophane ndi bandeji.

Ndondomeko ikuchitika za nthawi 6-8. Mukamatsatira malangizo onse ofunikira, mukamaliza maphunzirowo, zilonda zimakutidwa ndi kutumphuka kwa khungu.

Makanema okhudzana nawo

Zokhudza chithandizo cha zilonda zam'mimba m'miyendo ndi matenda a shuga mu kanema:

Zilonda zam'mimba zomwe zimawoneka mu shuga, ngakhale ndizovuta, komabe ndizotheka kuchiritsa. Koma pofuna kupewa mavuto osafunikira, maonekedwe a mabala am'mimba a shuga amathandizika bwino powonera ukhondo komanso kuwunikira pafupipafupi shuga.

Oposa mamiliyoni awiri padziko lonse lapansi ali ndi zilonda zam'mimba zomwe zimawoneka pamapazi ndi miyendo yawo. Zilonda za trophic ndi matenda omwe amafooka kwambiri mu epithelium kapena chapansi chamkati, ndipo njira zotupa zimawonedwa.

Matendawa amachititsa kuchepa kwa minofu m'miyendo, ndipo pambuyo pochiritsa zilonda pakhungu, zipsera zimatsalira.

Chithandizo cha mabala a trophic pamiyendo, ngakhale kuti masiku ano mankhwala amapangika kwambiri, ndi njira imodzi yovuta kwambiri. Ndi matenda m'maselo, kuphwanya njira zopatsa thanzi kumachitika - trophic.

Komanso, ntchito zoteteza thupi zimachepetsedwa kwambiri, kotero mphamvu yakuchira imatayika pang'ono. Mtundu wovuta kwambiri wa zilonda zam'mimba ndi matenda a shuga.

Zilonda za matenda ashuga

Ndi matenda monga matenda ashuga, zovuta zambiri zimabuka, imodzi mwanjira imeneyi ndi chilonda cha matenda ashuga.Matendawa ndi owopsa chifukwa amagwidwa ndi matenda osiyanasiyana, omwe ngati sanachiritsidwe, angayambitse zilonda zam'miyendo ndi kuduladula mwendo.

Kumayambiriro kwa matendawa, miyendo yam'munsi imakhala yochepa kwambiri chifukwa cha kufa kwa maselo amitsempha. Izi zimatha kumveka ngati mugwira dzanja lanu mwendo, lomwe likhala lozizira kufikira.

Komanso, wodwalayo amakhudzidwa ndi zowawa za usiku. Zizindikiro zake ndizofanana ndi chilonda cha mwendo. Komabe, pali kusiyana kwakukulu:

palibe pang'onopang'ono claudication syndrome,
chilondacho chikuzama
chilonda ndi chachikulu.

Zilonda za matenda ashuga nthawi zambiri zimakhala pamazala. Nthawi zambiri chomwe chimapangitsa kuti izi zichitike ndi kuvutikira chimanga chokha. Chochititsa china chodziwika bwino cha zilonda zam'mimba ndi angiopathy am'magazi a shuga.

Chithandizo cha matenda ashuga

Kuti muchotse zilonda za trophic pamadera akumunsi mu shuga mellitus, wodwalayo amasankha chithandizo cha wodwala aliyense. Njira imeneyi ndiyofunikira chifukwa pali zifukwa zambiri zoyambitsa zilonda zam'mimba.

Kuti muzindikire izi, musanayambe mankhwala othandizira odwala matenda a shuga, ma bacteriological, cytological ndi histological analysis. Zida zowunikira zida zimagwiritsidwa ntchito.

Pambuyo pakupanga maphunziro osiyanasiyana ndikukhazikitsa njira yoyenera yodziwira, dokotalayo amapereka mankhwala oyenera.

Therapy ikhoza kukhala opareshoni,
mankhwala
chithandizo chakumaloko chidzalumikizanso zovuta zochizira, pomwe zilonda zimatsukidwa ndi mafinya ndi minofu yakufa.

Kuti muchite izi, bala la mwendo mu matenda a shuga limathandizidwa ndimayankho amtundu wa antiseptic ndi mafuta omwe amalimbikitsa kukonzanso khungu komanso kupweteka kwa mabala. Kuphatikiza apo, physiotherapy ndi njira zina zochiritsira zosafunikira zili ndi gawo lofunikira pakuchiritsa.

Mankhwala osokoneza bongo a zilonda zam'mimba

Chithandizo choperekera mankhwala chimaphatikizira chithandizo chilichonse chamankhwala. Chithandizo cha mankhwala osokoneza bongo chitha kukhalanso njira yodziyimira payokha, makamaka pamitundu ina ya zilonda zam'mimba, yofatsa pang'ono.

Kutengera mtundu wa matendawa, matendawa amagawidwa m'magawo osiyanasiyana.

Gawo loyamba

Pa gawo loyambirira la zilonda zokulira, mankhwala otsatirawa akuphatikizidwa ndi chithandizo:

mankhwala oletsa kukalamba (suprastin, tavegil, etc.),
yotakata mankhwala
antiplatelet othandizira jakisoni wamkati (reopoliglyukin, pentoxifylline),
mankhwala odana ndi yotupa (non-steroidal) (diclofenac, ketoprofen).

Chithandizo chamderalo pachigawo choyambirira chimalinga ndikuchotsa maselo akufa ndi mabakiteriya pachilonda. Zimatengera:

kutsuka zilonda ndi mayankho antiseptic zochokera furatsilina, potaziyamu permanganate, chamomile, celandine, chlorhexidine kapena mndandanda,
Kugwiritsa ntchito kwa compress ndi mafuta othandizira (streptolaven, levomikol, dioxicol), komanso kuvala kwapadera kwa sorption (corbonet).

Nthawi zina, dokotalayo amatha kupereka mankhwala a hemosorption, njira yoyeretsera magazi.

Gawo lachiwiri

Pakadali pano mankhwalawa, pomwe gawo la machiritso ndi mapangidwe amayamba, mafuta odzola (ebermin, solcoseryl, actevigin) ndi antioxidants (tocopherone) amagwiritsidwa ntchito pochiza zilonda zam'mimba.

Chikhalidwe cha chithandizo chakudziko chikusintha. Pa gawo lachiwiri, kuvala kwamabala kumayikidwa:

Komanso, zilonda zam'mimba m'magazi a shuga zimathandizidwa ndi curiosin.

Mankhwala othandizira zilonda zam'mimba

Kuti muwonjezere mphamvu ya machitidwe a physiotherapy, imodzi mwazinthu zamagetsi zimayikidwa pa siteji ya machiritso:

Chithandizo cha mavuto a m'deralo mu chipinda cha Kravchenko. Njira imeneyi imagwiritsidwa ntchito ku zilonda za atherosulinotic.
Akupanga otsika-pafupipafupi cavitation. Chithandizo cha mankhwalawa chimakulitsa mphamvu ya maantibayotiki ndi ma antiseptics pama virus mkati mwa zilonda.
Magnetic mankhwala.Amasankhidwa ngati vasodilator, sedative, analgesic ndi decongestant kwenikweni.
Therapy Laser Amagwiritsidwa ntchito pochepetsa ululu, kuchotsa kutupa ndikutsatira minyewa yam'manja.
Chiwonetsero cha UV. Njirayi imayikidwa kuti izithandiza kukaniza thupi kukaniza matenda osiyanasiyana.
Zochizira ndi nayitrogeni ndi ozoni. Amasintha kuyamwa kwa mpweya ndi maselo amkhungu ndikuyambitsa kukula kwa minofu yolumikizika.
Mankhwala othandizira matope ndi balneotherapy. Chithandizo chotere chimaperekedwa kuti achire kwathunthu.

Kodi zilonda zovuta za zilonda zam'mimba zimathandizidwa bwanji?

Zimachitika kuti zilonda zimakhazikitsidwa m'malo ambiri, kotero chithandizo sichimabweretsa zotsatira zoyenera. Zilondazo sizichiritsa ndipo izi zimabweretsa wodwala kuzunzidwa kosatha. Nthawi zambiri izi zimadziwika kuti ndizochulukirapo.

Ndi mawonekedwe oopsa a zilonda zam'mimba, kupatsirana khungu kumachitika. Chikopa chofunikira chimatengedwa kuchokera ntchafu kapena matako.

Pambuyo kuziyika tinthu tating'onoting'ono ta epithelium mizu ndikukhala zolimbikitsa za kubwezeretsanso khungu kuzungulira chilonda.

Folk azitsamba zochizira zilonda zam'mimba

Kuchiritsa zilonda zam'mimba ndi njira yowononga nthawi yambiri. Mabala oterowo ndi ovuta kuchotsa mafinya, ndipo izi zimasokoneza kuchira ndi kuchira. Pa nthawi ya machiritso, wowerengeka azachipatala amathandiza bwino kugwiritsa ntchito mankhwalawa.

Amakhala mukutsuka chilonda ndi decoctions ndi infusions kuchokera ku zitsamba zamankhwala, komanso chithandizo chotsatira ndi mafuta opangira mafuta, ndiye kuti, chithandizo cha matenda a matenda ashuga pakhomo ndizotheka.

Makhalidwe olimba a antiseptic amakhala ndi zotsatizana, celandine, calendula ndi chamomile. Zitsamba izi sizimachotsa mosavuta kutupa, komanso zimapanga epithelium yaying'ono. Pambuyo pakutsuka, asing'anga amalimbikitsa kugwiritsa ntchito zotsatirazi:

Zilonda zoyera ziyenera kuwotchedwa ndi vodka kapena phula tincture. Pambuyo pake, zonona za ichthyol kapena mafuta a Vishnevsky, omwe ali ndi phula la birch, amawaika pamalo owawa.

Ngati zilonda zanu sizichiritsa kwa nthawi yayitali, ndiye kuti gwiritsani ntchito matumba a thonje omwe amadzaza ndi phula. Zotsatira zoponderezedwa zimayikidwa pachilondacho kwa masiku atatu, pambuyo pake ziyenera kusinthidwa ndi zatsopano. Njirayi imabwerezedwanso mpaka zilonda zitazimiririka.

Chida chabwino kwambiri popewa zilonda zam'mimba ndi ufa womwe umapangidwa ndi masamba owoneka bwino a tatar. Asanayambe chithandizo, zilonda ziyenera kutsukidwa ndi yankho la rivanol. Kenako amayenera kuwaza ndi ufa wokonzekera ochiritsa ndi bandeji. Njirayi iyenera kubwerezedwa mwadongosolo, mobwerezabwereza kupukuta komwe kwakhudzidwa ndi khungu ndi ufa, koma chilondacho sichitsukidwa kale. Chifukwa cha ufa kuchokera ku tatarnik, chilonda cha matenda ashuga achira posachedwapa.

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Momwe mungadziwire matenda amkhungu omwe amawoneka pamiyendo?

M'masiku amasabata, gawo lalikulu la katundu limagwera, chifukwa muyenera kuyenda, kuyimirira, ndipo nthawi zina mumathamanga kwambiri. Ndizosadabwitsa kuti zinthu zonsezi sizimawonjezera thanzi m'miyendo yathu komanso zimapangitsa kuti pakhale matenda osiyanasiyana, mwachitsanzo, matenda a pakhungu pamiyendo siachilendo. Amawonetsedwa ndi kuyabwa kosasangalatsa, mawanga okayikitsa, kutsekeka kwa khungu. Kutembenuka ndi maso athu kuzizindikiro izi kumatanthauza kukonzekera mwadala zotsatira zoyipa. Matendawa amayenera kudziwidwa posachedwa, kukhazikitsa chidziwitso choyenera ndikuyamba kulandira chithandizo. Chifukwa chake, ndi mitundu yanji yamatenda amkanda yomwe miyendo imakakumana ndi anthu nthawi zambiri?

Matenda a mziwalo

Kukula kwa khungu la khungu ndi zovuta kudziwa.Imadziwoneka ngati malo owuma kwambiri, otupa komanso otuwa pakhungu, nthawi zina matuza ang'onoang'ono amawoneka, odzaza ndi madzi oyera. Nthawi zambiri izi zimachitika pakhungu pakhungu linalake. Choyamba, ndikofunikira kukumbukira ngati simunakhalepo posachedwa ndi formaldehyde, latex, N-phenylenediamines. Zinthu zomalizazi zimapezeka mu jeans kapena utoto wa ubweya, ndipo formaldehyde imatha kupezeka mu zovala zopangidwa.

Ndikofunikira kuzindikira allergen ndikuyithetsa, ndipo, mwina, dermatitis ya alfagen imatha yokha pakatha masiku angapo. Ngakhale kuti kuyabwa ndi dermatitis ndikulimba, muyenera kupewa kukwapula mwamphamvu kuti musawononge matendawa. Kutenga antihistamines kungathandize kuti muchepetse.

Eczema pamiyendo imatha kukula mwa munthu aliyense, ngakhale atakhala wamkulu komanso wamoyo. Wodwalayo amawona kutentha kwamphamvu, kuyabwa kwambiri, ziphuphu zamadzi, mapangidwe ake osokonekera. Madzi akayamba kuphulika, khungu limakutidwa ndi kutumphuka kowuma. Pambuyo pake, imasweka ndikupereka zovuta zambiri. Kupezeka kwake kumalimbikitsidwa ndi chinyezi chowonjezereka cha chilengedwe, popeza mabakiteriya a pathogenic amakula mwachangu mmenemo. Nthawi zina eczema imachitika chifukwa choti thupi siligwirizana, koma mwazomwe zimayambitsa kukula kwake ndikusokonekera kwa mahomoni m'thupi, kufooka chitetezo chokwanira, kupanikizika pafupipafupi komanso kupsinjika kwakukulu, matenda opatsirana m'matumbo, matenda a metabolic. Ndikovuta kwambiri kuchiza matenda a eczema nokha, muyenera kufunsa dermatologist.

Mankhwalawa a eczema, zakudya zoyenera zimagwira ntchito yofunika kwambiri, chifukwa chake yesani kuchepetsa kudya zamafuta ndi nyama yokazinga.

Mawonekedwe a psoriasis pakhungu

Ndi psoriasis, zolembera zotchedwa mawonekedwe a psoriatic pamiyendo. Dzinalo lina ndi mapapu. Nthawi yovuta yamatendawa imasinthidwa ndikhululukidwa. Poyamba, mapepala ndi osakwatiwa, amawoneka ngati zisindikizo zapadera zomwe zimatuluka pang'ono pamwamba pa khungu ndipo zimakhala ndi mtundu wofiyira. Pamwamba pawo mutha kuwona sikelo zoyera-bwino zomwe zitha kupukutidwa ndi chala. Popita nthawi, mapalewa amakula ndikuphatikizana. Umu ndi momwe ma psoriatic mapepala amapangira. Pakukhululukidwa, mkombero wa Voronov umawoneka mozungulira zigawo, yomwe ndi mtundu wazoyera.

Psoriasis, monga matenda ena amkhungu amiyendo, imapatsa wodwalayo zovuta zambiri zosasangalatsa, kuphatikiza apo, odwala amatha kukumana ndi mavuto amisala, popeza malembedwe amisala amawoneka osagwira ntchito. Zomwe zimapangidwira kukula kwa psoriasis sizinadziwikebe, koma zochitika zodetsa nkhawa, kupangidwira kwamtundu, kuvulala kwamakina, kusokonezeka kwa mahomoni ndi zosokoneza pakugwira ntchito kwa chitetezo chathupi cha thupi zimasiyanitsidwa pakati pazomwe zimapangitsa.

Misomali yongokhala

Bangi ya msomali (mycosis)

Matenda a fungus ndiofala kwambiri. Mwayi wogwira fungus ukugona pakudikirira mu dziwe, sauna, bafa komanso, mwatsoka, kuphwando ngati mutavala zoterera za munthu amene ali ndi kachilombo. Thupi laumunthu ndi malo oyenera kuchitira bowa, makamaka ngati munthu akuvutika ndi thukuta kwambiri, komanso ngati chitetezo chake chikuchepa komanso ukhondo wake umakhala wotsika. Mafangayi amakhudza minofu ya msomali komanso khungu loyandikana nayo. Zizindikiro zake zimaphatikizanso kusintha kwa ma penti amisomali kuti akhale chikasu chodwala, makulidwe awo,, kuterera, kumva, kuyabwa kuzungulira misomali, kununkhira kosasangalatsa, ming'alu yaying'ono m'makhola pakati pa zala. Komanso, misomali ikhoza kuyamba kusweka ndi kutha, imangokhala yovuta kuzikulitsa. Popeza mwazindikira zizomwe zili pamwambapa, muyenera kufunsa katswiri. Chithandizo cha bowa ndichachitali komanso chopweteka, ndipo matendawa atayamba kulimba, zimakhala zovuta kuchiza.Kuti mankhwalawa akhale othandiza kwambiri, ndikofunikira kukhazikitsa mtundu wa bowa.

Munthu aliyense adakumana ndi mayankho. Zifukwa zazikulu mawonekedwe awo zimawoneka ngati nsapato zosayenera, katundu wambiri pamiyendo, thukuta kwambiri. Zimakhala zowawa kwambiri ndipo nthawi zambiri zimapangitsa kuyenda kukhala kovuta kapena ngakhale kosatheka. Chimanga chitha kukhala chouma kapena chonyowa. Chimanga chamadzi chimakula mwachangu, mkati mwa tsiku limodzi, ndipo chimanga chowuma chimatha kupanga kwa nthawi yayitali. Ma forma owuma nthawi zambiri amakhala osapweteka.

Popewa mawonekedwe a chimanga, ndikofunikira kusamalira khungu la mapazi ndikugwiritsa ntchito ma emollients nthawi zonse. Koma ngati chimanga chidapangidwabe, ndikofunikira kuti chisindikize ndi bandi-chothandizira ndikupereka miyendo mwamtendere wonse. Kuti muchotse ma callus owuma komanso a kernel, muyenera kulumikizana ndi katswiri, chifukwa ndizovuta kwambiri kuchita izi kunyumba. Ma callus amatha kutha ndi laser, cryotherapy kapena njira zamaware.

Palibe chifukwa muyenera kuyesa kubowola chonyowa chonyowa. Madzi omwe ali mkati mwake amateteza minofu ku matenda. Popita nthawi, imadzisinthira yokha.

Kupewa matenda a khungu miyendo

Nthawi zambiri timakumana ndi matenda apakhungu chifukwa sitikhala ndi zida zodziwa momwe tingapewerere chitukuko chawo. Chifukwa chachiwiri ndi chaulesi kwambiri kusamalira mapazi anu. Koma kupewa matendawa nthawi zonse ndikosavuta kuposa chithandizo chake, choncho muyenera kukumbukira malamulo angapo osavuta.

Kusankha nsapato zapamwamba. Nsapato sizinthu zopulumutsa. Zida zopangira, chifukwa chomwe miyendo imatulutsa thukuta kwambiri, nsapato zoyipa, chidendene chosasangalatsa chimayambitsa kuvulala kwakukulu. Chifukwa chake, nsapatozo ndizoyenera komanso zosavuta, ndipo phazi lomwe m'mutu mwake liyenera "kupuma". Mpweya wabwino ndizofunikira kwambiri poletsa kufalikira kwa tizilombo toyambitsa matenda.
Ndikofunikira kuti musamangosankha nsapato zabwino, komanso kuti muziwasamalira mosamala. Pukutsani pakapita nthawi, sambani, chotsani mchenga ndi tinthu ting'onoting'ono tomwe timalowa mkati.
Osamayenda wopanda nsapato m'malo ngati dziwe, sauna, bafa. Izi zimachepetsa chiopsezo chotenga mafangayi. Ndi bwinonso kusayenda wopanda nsapato pagombe, koma izi zimagwirizanitsidwa ndi chiopsezo chovulala mwamagetsi chifukwa cha galasi losweka kapena zinyalala zina.
Pambuyo pa kayendetsedwe ka madzi, ndikofunikira kupukuta mapazi mosamala, makamaka malo pakati pa zala.
Ngati miyendo yanu yatuluka kwambiri, muyenera kuchitapo kanthu. Malo osambira apadera, ma deodorants, mafuta othandizira - zonsezi zimathandiza kuthana ndi vutoli.

Dotolo wazachipatala ayenera kudziwa zoyenera ndi kupereka mankhwala. Nthawi zambiri, chithandizo chamankhwala akunja chimagwiritsidwa ntchito, ndiye kuti, mafuta osiyanasiyana, ma gels kapena polisha ya msomali (amagwiritsidwa ntchito pochiza bowa).

Kuti muchepetse zizindikiro zosasangalatsa, mutha kuyambanso kulandira chithandizo chamankhwala a wowerengeka, mwachitsanzo, kusambitsirani phazi m'madzi ozizira ndi kuwonjezera kwa koloko ndi mchere kapena kupukuta madera akhungu ndi mandimu.

Chofunikira ndichakuti disinawon kwa zinthu polumikizana ndi miyendo: nsapato, nsapato, masokisi, masokosi, matayala. Popewa kuyambiranso, ndikofunikira kuyeretsa bafa m'nthawi yake.

Matenda akhungu pamiyendo

Maonekedwe a kutupa pakhungu pakhungu nthawi zambiri amapezeka pamankhwala. Matendawa amakhudza mbali zosiyanasiyana za thupi. Ndikofunika kuti musachedwe kulandira chithandizo ndikuwonana ndi dokotala mwachangu, mtundu uliwonse wa matenda a khungu umakhala ndi zomwe umayambitsa ndi mawonekedwe a makina a chitukuko. Munkhaniyi, tivumbulutsa vuto la matenda apakhungu pamiyendo ndi zithunzi, kufotokoza mwatsatanetsatane mitundu ndi njira zamankhwala.

Kodi ndimatenda ati pakhungu pamiyendo?

Matenda otsatira khungu omwe amatha kuwonekera pamiyendo amatha kusiyanitsidwa:

matenda - zithupsa, abscesses, majini - psoriasis, neurotic (kupsinjika), zotupa - timadontho-timadontho, melanomas, autoimmune, matupi awo, parasitic.

Psoriasis imatha kuchiritsidwa ndi aliyense kunyumba. Muyiwala za matendawa, kukhululuka kokhazikika kwa zaka zambiri! Pali zonona zomwe zimatha kusintha khungu ndikuchiritsa ku psoriasis .... »

Zakunja ndi zamkati zimayambitsa matendawa

Chifukwa cha matenda a pakhungu, amagawika m'magulu awiri:

Zowononga chilengedwe: kutentha pang'ono ndi kwambiri, kutentha kwa radiyo, kuvulala - mabala, mabala, matenda - ma virus, mabakiteriya, mafinya, ukhondo, kusokonezeka kwamanjenje , nsapato zoyenera pamapazi opanda kanthu, salon ya pedicure, oterera a ena.

kuphwanya ntchito za ziwalo zamkati: impso, chiwindi, matumbo, kuchepa kwa chitetezo chamthupi, zotupa zam'mimba, zamkati zamatenda am'mimba, kuchepa kwa mabakiteriya am'matumbo, kuchepa kwa mavitamini - kuchepa kwa mavitamini ndi mchere.

Mitundu yamatenda amkhungu pamiyendo, kumapazi, zala

Chotsatira, tidzaulula mwatsatanetsatane mtundu uliwonse wa matenda mosiyana.

Matenda ofala kwambiri mpaka pano. Amapezeka mwa akulu ndi ana a akazi onse. Matenda osachiritsika, amafunika chithandizo cha nthawi yayitali komanso kuwunika. Chowoneka ndi mawonekedwe osasinthika a zotupa ndi redness m'malo osiyanasiyana khungu: shin, dera la mafupa olumikizana ndi mawondo, mapazi, ndi misomali yamatumbo.

Kukula kwake ndi kosiyana: Mayanjano ophatikizidwa ndi zoyeretsa zoyera kapena zotuwa amatha kutha, malire a zoyang'anirazi akuwonetsedwa bwino. Matendawa amatenga aliyense payekhapayekha: ena, mumawonekedwe owopsa, koma mwachangu, kwachiwiri, kwa zaka zambiri, akuwonekera posonyeza kuimilira. Kunja, psoriasis pamapazi ndi ofanana ndi eczema ndi mycosis. Kuti mumvetse bwino za matendawa, ndikofunikira kuti mudziwe bwino.

edema, kuyabwa, nyamakazi, zidzolo pakati pa zotuluka, kuphwanya misomali.

Mu chithunzi chomwe chaperekedwa, zotupa za miyendo ndi psoriasis zimawoneka:

Mankhwalawa, mankhwala osokoneza bongo amagwiritsidwa ntchito pakuwonetsa kunja ndi mkati. Therapy imasankhidwa poganizira kukula kwa matendawo.

pang'onopang'ono, kugwiritsa ntchito mafuta tsiku lililonse kumayikidwa - salicylic 2%, fluorocord, flucinar, mafuta a corticosteroid, nyengo yothandizira - mafuta omwe amakhala ndi zinthu zochepetsera zomwe zimakhala ndi kuchuluka: sulfure, naphthalan, phula ndi ena, cryotherapy, Phototherapy.

Nthawi iliyonse, malo osambira osaposa 38 digiri Celsius okhala ndi mchere wopanda nyanja popanda katatu pa sabata, poultices paraffin, ndikuwotcha kwa ultraviolet ndikulimbikitsidwa. Mphamvu zowoneka bwino zimadziwika pambuyo pa chithandizo cha spa.

Mkati (mosamalitsa monga adokotala amafotokozera):

sedative, kukonzekera kokhala ndi calcium, zovuta kuthandizira ndi mavitamini, photochemotherapy mukamatenga photosensitizer.

Neurodermatitis

Mtunduwu ndi wa gulu lamatenda omwe ali ndi mawonekedwe obadwa nawo. Udindo wofunikira mu nthawi ya matendawa umaseweredwa ndi mkhalidwe wamanjenje. Kutalika kwa matendawa amawerengedwa zaka makumi angapo.

Pali mitundu iwiri ya neurodermatitis:

Zochepa. Chitukuko pamiyendo - popliteal dimples, inguinal - femoral folds. Zovuta. Matendawa amakhudza dera lililonse la khungu. Zilonda zimadziwika ndi scaly kumtunda, mafupa amwazi, ming'alu.

Kwa mitundu iyi, totupa mu mawonekedwe a timiyendo timadziwika, timene timayikidwa limodzi, ndikupanga kutumphuka kosalekeza, kuyabwa kowawa kwambiri komwe kumasiya zipsera zikaphatikizana.

kuyabwa kwambiri, malo ena achitukuko, zotsekemera zachilendo, matupi oopsa, kufalikira kwa foci pophatikiza.

Chithunzichi chikuwonetsa mbali zomwe zakhudzidwa miyendo ya mwana:

nyengo yofunda: ma sanatoriums akum'mwera, kapena malo osambira otentha, onetsetsani njira zamasiku onse, pewani zovuta, kupumula, mankhwala othandizira - osapatula zinthu zomwe zimagwiritsidwa ntchito ndi allergen, zithandizirani matenda okhudzana - matenda. antihistamines: Vitamini mankhwala: physiotherapy: njira zopumira. phula ndi mafuta a corticosteroid.

Kwa odwala, ndikofunikira kuti mupewe vaccinations, katemera, kusankhidwa mosamala kwa zinthu zamagazi mukathiridwa magazi, mankhwala, kupatula ziwengo zonse.

Mycosis - Matenda ofala a fungus omwe amapweteka pakhungu lakumaso, zala zakumapeto, pakati pa zala. The causative wothandizira secrete bowa wa mtundu Trichophyton ndi Candida. Pofika pa khungu, amayamba kuchulukirachulukira.

Kuphatikiza zilonda kapena kuvulala pang'ono kwa khungu lomwe lakhudzidwalo, fangayi imalowetsedwa m'matumbo a dermis. Chifukwa chake, matendawa amafalikira ndikusuntha kwa magazi mthupi lonse la munthu. Mwa ana ndi okalamba, matenda oyamba ndi khungu ku miyendo amawonetsedwa pang'onopang'ono, zimakhala zovuta kwambiri kuchitira. Izi ndichifukwa cha chitetezo chamthupi chofooka.

Zizindikiro za matendawa zimatengera mtundu wake:

Fomu lothetsa. Gawo loyambirira la matenda. Kufufuza wodwalayo, kupendekera pang'ono pakati pa zala, ming'alu yaying'ono yokhudzana ndi kumtunda kwa epentermis imawululidwa. Zizindikiro izi za mycosis sizivutitsa wodwala. Fomu yovuta. Tizilombo tosiyanasiyana tating'onoting'ono timene timayambira ndi zala zoterera, pambuyo pake timatupa pakhungu, kuyabwa pang'ono kumawonjezeredwa. Palibe chizindikiro cha kutupa. Hyperkeratotic mawonekedwe. Mapepala ndi ma plaque osalala, cyanotic - mtundu wofiirira. Tsambalo lavulaza makamaka limakhazikika kumapazi. Pamwamba pamapangidwewo pali zodzaza ndi mamba a khungu loyera. Ma contour ali omveka bwino, ndikutukuka pang'ono koyimiriridwa ndikulekanitsa tinthu tating'onoting'ono pakhungu, pamakhala mapangidwe a vesicles payokha. Chotupa cha pathological chimatha kuphatikiza m'magulu, ndikupanga timagulu tambiri tambiri. Popita nthawi, kumbuyo konse, kumbuyo ndi kumapazi kumbali yokutidwa kwathunthu. Mitundu ya ma hyperkeratotic formations (chimanga) imagwirizana ndi mawonekedwe awa. Amapakidwa chikasu, nthaka yonse imawonongeka ndi ming'alu. Khungu limakhala louma, kupweteka pang'ono komanso kuyabwa kumasokoneza. Mawonekedwe olimba. Kutupa kumakhala kofanana ndi zotumphukira wamba. Chotupa chachikulu kwambiri chimakwirira makatani pakati pazala. Khungu limakhala mthunzi wofiyira. Popita nthawi, zilonda ndi kunyowa zimalumikizana ndi zizindikirazo. Ndi chithandizo chachedwa, ming'alu yopweteka ndi yakuzama imatuluka. Kuphatikiza apo, kuwawa kwa malo omwe akhudzidwa, kuyabwa ndi kuwotcha kwambiri kumadziwika. Fomu la Dyshidrotic. Kupangidwe kwa thovu lalikulu lokutidwa ndi matayala akuda. Malo a zotupa ndi zipilala zamiyendo. Zingwe zimakonda kufalikira, choncho chithandizo chanthawi yake ndichofunika kwambiri. Mwanjira yonyalanyazidwa, amasunthira pansi phazi lonse, kuphatikizanso dera la zala. Timavalo ting'onoting'ono pang'onopang'ono timayamba kuphatikizana, timadzakhala timabampu tambiri tosiyanasiyana, tomwe timadutsa. M'malo mwawo kukachitika zotha (mtundu wofiirira). Ndi kupweteketsa kwa njira yotupa, magawo atatu amapangika m'malo omwe amatanthauzira koyamba komwe kukuchitika kwakukulu: pakati - khungu lofiirira-lofiirira lofiirira pang'ono, pakati - kukokoloka kuli komwe, komwe madzi amadzimadzi amatulutsidwa kunja kwa zotupa ndi hyperemia, zotumphukira - matuza amitundu yambiri apezeka, kuyabwa kumasokonezeka m'malo awa a khungu. Fomu yovuta. Kuwonekera kwa chidwi chachikulu ndi bowa wa pathogen. Mycosis ikupita patsogolo mwachangu. Pamaso pa miyendo ndi miyendo yakumunsi kumakhala kovunda kwambiri komanso kolimba kwambiri, ma vesicles ochulukirapo komanso matuza okhala ndi mawonekedwe a serous-purulent.Kutseguka kwawo kumabweretsa kukokoloka kwakukulu, zilonda kuchokera m'mizere pakati pa zala zimadutsa. Kufotokozedwa pawokha.

Milandu yazizindikiro ndizosiyana: mwa ena amatchulidwa, ena mwa obisika. Mukamakonza zizindikiro zoyambirira za matenda, ndikofunikira kupita kwa dokotala kuti akuuze kapena akane matenda ake.

Chithunzichi chikuwonetsa mycosis pamapazi:

Kuchita bwino kwa mankhwalawa a mycosis kumadalira zifukwa zitatu izi: kuzindikira koyenera, njira zoyenera zamankhwala ndikulangira odwala. Chezani m'malo awiri: kukonzekera, kwakukulu.

Zamankhwala a mycosis:

Ndikofunikira kupewetsa kutukusira kwa chidwi. Izi zimathandizidwa ndi malo osambira okhala ndi yankho la potaziyamu permanganate ndi boric acid. Pambuyo pofunda, ndikofunikira kuyeretsa pang'onopang'ono kuyang'ana kwa scaly integument. Pomaliza, ikani mafuta oyanika - salicylic, zinc phala. Ndikutuluka thukuta kwambiri miyendo, Ndikulimbikitsidwa kuwaza mapazi ndi talcum ufa kapena ufa. Njira zotupa zikachotsedwa, mutha kuyamba kugwiritsa ntchito mafuta othandizira. Mukazindikira mtundu wa bowa mankhwala mankhwala a antifungal mkati komanso kunja - Lamisil, Nizoral, Triderm, Clotrimazole ndi ena. Cholinga chachikulu pothandizira mycosis ndikuchira ku matenda oyamba ndi fungus. Yang'anani!Chotsani papillomas pakhungu! Kuti asakuwopsyezeni, achotsedwa usiku uno ndi machiritso awa. "

Malignant melanoma

Melanoma (khansa) wa kumapazi - The otupa kwambiri ndipo pafupifupi osapatsa zotupa zoyipa. Amatha kupanga metastases. Kuti muzindikire matendawa pa nthawi yake, kuwunika pafupipafupi matupi a mbewa ndi zaka pamiyendo ndikofunikira.

Khansa yamtunduwu ndiyowopsa. Posakhalitsa, mawonekedwe atsopano amatha kufikira ziwalo zamkati. M'chaka chimodzi, matenda owopsa amakhudza ma lymph node, kudzera mwa iwo ndipo mitsempha ya magazi imalowa m'matumbo onse - mafupa, ubongo, chiwindi, mapapu.

Melanoma amatha kudzilimira pawokha, koma muzochulukirapo imabisala kumbuyo kwa zolembedwa, ndikupangitsa kuti madokotala azindikire msanga. Subungual melanoma ndizofala; nthawi zambiri, zala zazikulu zimakhudzidwa.

kuwoneka kwatsopano kwa kapangidwe katsopano, kukula ndi kapangidwe ka maselo akale pamiyendo kukulira, zotupa zakuda zidawoneka pachotupa chakuda kale, malo otambalala ozungulira m'mphepete mwa malo ovala khungu pamiyendo, kuyabwa kwambiri ndi magazi pakhungu.

Mu chithunzi chomwe aperekedwaphazi melanoma akusonyeza:

Matendawa amathandizidwa m'njira ziwiri:

Opaleshoni yoyenera magawo oyambira. Ndi matenda oyamba, kuchotsa melanoma pamapazi sikovuta. Kukula kwa millimeter osakwana chimodzi sikumawoneka ngati chotupa chovulaza, sikutanthauza kugwira ntchito mwachangu kwa malowo. Chizindikiro pamwamba 1 mm - chotupa chija. Khansa yapakhungu palokha ndi malo ochepa a khungu kuzungulira chotupa amachotsedwa. Zimapatsa 100% zotsatira. Kuphatikiza mankhwala yogwiritsidwa ntchito ndi magawo opita patsogolo kwambiri. Chotupa chimaposa 1 masentimita, m'mphepete mwa asymmetrical mulibe mitundu, chithandizo chamunthu aliyense chimasankhidwa. Choyamba, amakhala ndi chizolowezi chokhazikika, patatha chotupa chokhala ndi mbali yayikulu ya minofu yapafupi. Pambuyo pa opaleshoni yotere, pulasitiki ya malo omwe akhudzidwa ndiyofunikira. Odwala atatha kulandira chithandizo amafunika kuwunika pafupipafupi kuti asawoneke mawonekedwe owopsa a melanomas. Pambuyo pa mankhwala, immunotherapy ndi mankhwala.

Pazifukwa ziti zimawoneka zilonda zam'mimba

Choyambitsa chachikulu chomwe chikuwoneka ngati zilonda zam'mimba pa chiwendo ndi kuperewera kwa ziwalo zamiyendo.

Mutha kusiyanitsanso mitundu ingapo ya ma trophic zilonda kapangidwe:

Popeza kuti zimakhala sizilandira zinthu zofunika, khungu limayamba kusenda, liuma.Pokhudzana ndi kusokonekera kwa mitsempha yamagazi, kufalikira kwa magazi kumakhala kotetezeka, necrosis imayamba (kufa kwa minofu).

Matenda a shuga - matenda omwe amafunikira chisamaliro chapadera pamagawo am'munsi, makamaka kumapazi

Mu shuga mellitus, ngati zotupa za khungu (kuluma, kudula, kuwotcha, kusweka, ndi zina) sizichitira bwino, zilonda zimapezeka m'malo mwake. Izi ndichifukwa choti kuchuluka kwa shuga m'magazi ndikokwera kwambiri kotero kuti kumapangitsa kusintha koyipa mthupi, mwachitsanzo, kumalepheretsa kuchiritsa mabala.
Anthu omwe ali ndi matenda a shuga amadwala neuropathy, ndiye kuti, kutaya mtima. Monga njira, poyenda wodwala sangamve kutulutsa nsapato, mwala womwe wagwera pansi pa phazi, kapena zinthu zina zomwe zingawononge khungu. Zotsatira zake, chilondacho sichichiritsidwa nthawi, mabakiteriya azitha kulowa. Kutupa kumayamba, ndipo posakhalitsa chilonda chimayamba.

Magawo a chitukuko cha chilonda cha trophic, ndi zizindikiro zotsatirazi

Mukazindikira mtundu wachiwiri wa matenda ashuga, chilonda sichimapangika nthawi yomweyo. Kupangika msanga kwa zotupa zosasangalatsa zotere za khungu kumathandizidwa ndi kuchuluka kwa shuga m'magazi, mtima wofuna kuchitira ena matendawa, komanso osagwirizana ndi zakudya zomwe wapatsidwa. Zilonda zam'mimba zimapezeka pafupifupi theka la anthu omwe ali ndi matenda ashuga, ndipo zimachitika pafupifupi chaka chimodzi chitadziwika matendawa.

Malinga ndi ziwerengero, zilonda zam'mimba za matenda a shuga zimakhala 3% ya zilonda zam'mimba zonse

Zigawo za trophic ulcer development:

Mu gawo loyamba, komwe ndi zilonda zam'mbuyomu, kukoka kwa zolandilira pakhungu kumayamba. Wodwalayo samamva kupweteka kapena kusintha kwa kutentha kwa thupi, monga kale. Malo ofiira kapena obiriwira amayamba kuwoneka pakhungu. Nthawi zina zotupa zimapezeka m'munsi mwa miyendo.
Gawo lachiwiri limadziwika ndi kupezeka koyamba kwa mitundu yosiyanasiyana ya zoperewera pakhungu: ming'alu, kukokoloka, kukakala. Ndipo ngakhale, mosiyana ndi gawo loyamba, pomwe odwala amazunzidwa ndi ululu m'miyendo, pamlingo wotsatira, wodwalayo samamva bwino. Ngakhale kuti sizowopsa, poyang'ana koyamba, mabala panthawiyi amawonjezeka onse m'lifupi komanso mozama.
Gawo lachitatu ndi nthawi yowonetsera chilonda cha trophic. Chilondacho chimakhala chachikulu, chimayamba magazi, kenako chimayamba kupindika. Kuwonongeka kwa khungu kumawonjezeka kwambiri kukula kwake, kuwonekera kwa zolakwika zomwezi m'magawo ena a miyendo ndizotheka.
Mu gawo lachinayi, kupita patsogolo kwakukulu kumadziwika mu matendawa. Vutoli limakhala loyera, lopweteka, ndipo limakhudza minofu yakuya kwambiri. Wodwalayo amamva kufooka, kutentha kwake kumakwera.
Pa gawo lomaliza la chitupa chachikulu, wodwala amakumana ndi kugwa kwa minofu yomwe yakhudzidwa. Zoyala pansi pa malo omwe zikugwa zikupitilirabe kuvunda. Madotolo amatcha izi zonyowa.

Ndikofunika kukumbukira kuti zilonda zam'mimba zimatha kuwonekera kwa wodwala omwe ali ndi matenda osokoneza bongo omwe samadziwika bwino komanso mitsempha ya varicose

Epidermophytosis

Epidermophytosis pamapazi - Matenda ofala kwambiri a fungus (dermatomycosis) okhudza khungu ndi misomali ya kumapazi. Kwa chitukuko ndi chiyembekezo cha moyo wa bowa, malo achinyezi ofunda ndi abwino - khungu lomwe lili pakati pa zala.

Popanda zopinga, zimafalikira kuchokera kwa munthu wodwala kupita kwa munthu wathanzi: mukasuntha popanda nsapato, mamba owuma kuchokera pakhungu la mapazi amakhalabe pansi, ndiye kuti amagwera pakhungu la mapazi a munthu wathanzi. Ikakhala pakhungu la mwini wake, imakhala yolimba kwambiri.

Zizindikiro zakunja za nthendayi ndizobisika, chifukwa chake, woyambitsa matendawa sangadziwe vuto lakelo. Kugonjetsedwa kobwereza kumakhudzidwa makamaka ndi anthu omwe adadwala matendawo.

Zizindikiro zimatengera mtundu wa genermophytosis:

Fomu yovuta. Kuyang'ana m'mbali mwa khonde la phazi kumadziwika.Itha kugunda madera ang'onoang'ono kapena, phazi lonse. Kuyatsa kufatsa ndi khalidwe. Matendawa amatha kuchitika popanda zisonyezo, mwakuti zimakulitsa zochitika zamatenda. Pa gawo loyambirira, phazi limodzi limakhudzidwa, ndikudwala kwanthawi yayitali, matendawa amakhudza phazi lachiwiri. Mawonekedwe olimba. Amapangidwa mkati mwa mawonekedwe a squamous. Malo omwe matendawa ali pakati pa zala zinayi ndi zachisanu. Fomuyi imadziwika ndi ming'alu yomwe yazunguliridwa ndi exfoliating epermis pakati pa zala, kuyabwa ndi kupweteka m'malo a kutulutsa. Matendawa amalimbana ndi zala ndi phazi. Matendawa ndi autali, kuyambiranso kumachitika nthawi yozizira. Popanda kuwonetsetsa komanso kuthandizira mawonekedwe awa, "erysipelas" wodwala wamiyendo ndi thrombophlebitis amakula, chifukwa chakugonjetsedwa kwa matenda a streptococcal. Fomu la Dyshidrotic. Zizindikiro zamtundu ndikuwonekera kwa thovu lamitundu yayikulu. Amatha kulumikizana palimodzi, amapanga zilonda zam'mimba zam'mimba zomwe zimatuluka m'mphepete. Matendawa amatha kupita patsogolo ndi kunja kwa mapazi. Zizindikiro - zowawa ndi kuyabwa. Malo okhala ndi kachilomboka akakhala ndi kachilomboka, madzi amumisempha amasanduka mitambo, mafinya amasulidwa. Kukula kovomerezeka kwa lymphangitis ndi lymphadenitis. Matendawa amakhala ndi nthawi yayitali, pamakhala nthawi yotikhululukirana ndi kutuluka. Epidermophytosis ya misomali. M'mphepete mwa msomali chikasu cham'maso kapena mawanga amatsatiridwa. Nax ikadzuka, amasintha mtundu kukhala wachikaso. Ndi epidermophytosis ya msomali, kuphwanya kwa mbale kumadziwika, kumatha kugumuka ndikuphwanya, kupumira ndikukana. Zowonongeka pafupipafupi ndi bowa za zala zoyambirira ndi zisanu zimadziwika.

Cholinga ndikuwononga magulu a bowa ndi ma neoplasms awo.

Zida zamankhwala a genermophytosis:

Ndi mawonekedwe ofatsa, madera omwe akukhudzidwawo amathandizidwa pogwiritsa ntchito mafuta onunkhira: sulfure-tar, mycosolone, mafuta a Wilkinson, mafuta odzola ndi mavalidwe. Gawo lovuta la matendawa, limodzi ndi njira zotupa, limachiritsidwa ndikukhazikitsidwa kwa njira yotetemera yotakata.

Chithandizo cha epidermophytosis ya misomali kumapazi yambani ndikuchotsa msomali, mutatha kuchiza kama wamisomali, ndipo bowa wabisala pamenepo. Mafuta antifungal, mapulogalamu okhala ndi keratolites, ndi madzi am'madzi a fungicidal amagwiritsidwa ntchito.

Chithandizo cha trophic ulcer mu shuga

Chithandizo cha matenda oterewa chikukambidwa kuti chikambidwe ndi endocrinologist. Pambuyo pofufuza kuchuluka kwa zotupa ndi momwe wodwalayo alili, azitha kupereka mtundu wa chithandizo.

Pali njira zingapo zochizira zilonda zam'mimba za matenda ashuga:

opaleshoni,
mankhwala
Physiotherapy
njira za wowerengeka (poyambira).

Njira ya opaleshoni imasonyezedwa ngati necrosis (kufa) ya minofu yapezeka. Pambuyo pochotsa malo omwe adafa, chithandizo chimapitilizidwa mdera komanso wamba, mothandizidwa ndi mankhwala.

Mankhwala ochepetsa ululu nthawi zambiri amatchulidwa ngati vuto silikuyenda kwambiri, ndipo safunikira kusintha kwakukulu. Mankhwala, monga lamulo, amadziwika mu zovuta:

maantibayotiki
anti-yotupa mankhwala
mankhwala okalamba
owonda magazi, owonda magazi,
mankhwala omwe amakongoletsa chikhalidwe chamaganizidwe odwala, antidepressants. Gawani kuti muchepetse ululu.

Chithandizo cha zilonda zam'mimba m'matenda a shuga zimachitika poganizira momwe gawo la bala limayang'aniridwa ndi dokotala yekha.

Pazithandizo zam'deralo (makamaka malo owonongeka khungu) lembani:

"Chlorhexidine" ndi "Furatsilin", "Miramistin" wa mabala ophera matenda,
mafuta onunkhira, ndi mafuta omwe amalimbikitsa kuchiritsidwa kwa zilonda, mwachitsanzo, Levomekol, Streptolaven, Argosulfan, Solcoseryl, etc.,
mavalidwe a sorbent (iwo "amatenga" sing'anga ndi ma virus komanso mabakiteriya akukumana ndi bala.

Njira zopangira thupi ndi njira zingapo zomwe zimagwiritsidwa ntchito bwino ngati mankhwala amakono.

Njira zochizira matenda a zilonda zam'mimba zimaphatikizapo:

Mycosis ndi chiyani?

Mycosis ya miyendo ndi matenda omwe amapezeka chifukwa cholowera bowa wa Trichophyton kulowa mthupi. Matendawa ali ndi mitundu iwiri - trichophiton rubrum (trichophyton red) ndi trichophiton mentagrophytes (trichophyton interdigital kapena fizi wa interdigital).

Nthawi zambiri, causative wothandizira wa mycosis wamiyendo ndi wofiira trichophyton. Tizilombo toyambitsa matenda timatha kuyambitsa kukokoloka pakhungu la miyendo, m'malo oyang'anirana. Kuphatikiza apo, bowa akuwoneka zidendene, zomwe zimayambitsa ming'alu ndi kubowola kwa khungu.

Mycosis imatha kukhudza osati khungu la mapazi, komanso kuvulaza mbale ya msomali, kuipitsa msomali wathanzi.

Musayambe mycosis wa phazi

Zimayambitsa phazi mycosis

Mycosis ya khungu ili ndi zofunikira zambiri pakukula kwake.

Kuchepa kwa magazi m'magawo am'munsi ogwirizana ndi matenda amitsempha yamagazi (thrombophlebitis, atherosulinosis, venous cell block.
Anachepetsa chitetezo chamthupi chifukwa cha matenda opatsirana otupa.
Kuchulukitsa thukuta m'miyendo.
Valani nsapato, kuvala komwe kumakwiyitsa kupanga ma chimanga ndi ma calluses, abrasions yaying'ono kapena ma microcracks.

Izi zimayambitsa matenda. Matenda amatha kulowa pakhungu posamba pamaso pa anthu, ma suna, m'madziwe.

Nsapato zazitali nthawi zambiri zimatsogolera mycosis wa phazi

Kubaya kwa bowa ndi kufalikira kwa spores pakhungu la miyendo kumachitika chifukwa chonyalanyaza malamulo aukhondo. M'malo wamba ndibwino kugwiritsa ntchito nsapato zanu zochotsa, osayenda opanda nsapato pansi ponyowa, kupukuta kokha ndi matawulo omwe amabwera ndi inu.

Mafangayi ammiyendo amatha kupezeka mwa anthu okhala ndi mapazi oyandama. Kunyalanyaza ukhondo kunyumba kumalimbikitsanso kufalikira kwa mabakiteriya.

Mitundu yamatenda ndi mawonekedwe awo

Mycosis ya miyeso imaphatikizidwa ndi gulu la matenda padziko lonse lapansi (ICD). Pofotokozera za matendawa, ma syony monga: dermatophytosis, dermatomycosis amagwiritsidwa ntchito. Matanthauzidwe oterewa amagwiritsidwa ntchito pakhungu mycosis. Ngati matendawa afalikira ku misomali, ndiye kuti tikulankhula za onychomycosis (mycosis ya misomali).

Kwa mcb mycosis wamiyendo ali ndi mitundu iyi:

fungus yapakati (matenda ofala kwambiri ndi mycosis),
Hyperkeratosis ndi njira yomwe matendawa amatuluka kwambiri ndi kukhazikika kwa khungu lanu la kumapazi omwe amakhudzidwa ndi bowa
dermatophids - matupi awo sagwirizana ndi mafangasi matenda oyanjana ndi dermatitis.

Umu ndi momwe mawonekedwe apakati a bowa kumapazi amawonekera

Momwe matendawa amawonekera mu chithunzi.

Nthawi zina mycosis ya pakhungu imasokonezedwa ndi candidiasis. Matenda ndi ofanana ndi zizindikiro zoyambirira - mawonekedwe a peeling ndi ma vesicles amadzimadzi pazinthu zokhala pakati pa zala. Zikatero, muyenera kulabadira zizindikiro zina (kuyabwa, kuwotcha, ming'alu zidendene).

Mycosis ya phazi mu magawo apambuyo

Mitundu yamatumbo mycosis

Kudwala matenda kwa nthawi yayitali kumatha kuchitika popanda pafupifupi zizindikiro. Kuchepa pakati pakati pa zala ndi m'mbali mwa phazi sikubweretsa zovuta, kotero munthu wodwala samvera mwachangu.

Kutengera ndi nthawi yakukula, mitundu ingapo ya buluzi ya kumapazi imasiyanitsidwa, iliyonse yomwe imasiyana mu mawonekedwe ake.

Fomu ya Intertriginous (interdigital). Khungu pakati pa zala ndi chokhacho limakhudzidwa. Tizilombo ta khungu timasandulika kukhala kofiyira komanso kolakwika, kuyabwa, nthawi zina kuyaka. Kumbuyo kwa phazi kumakhala kopanda vuto, palibe kutupa.
Fomu yovuta. Matendawa amaphatikizidwa ndi kupindika kwa khungu, kufupika pamasamba owonongeka kwambiri. Pakadali pano, khungu nthawi zina limatha kuyatsidwa.
Hyperkeratotic gawo la mycosis.Maonekedwe a vesicles amadzimadzi (mapepala), malembedwe akuda amtundu wamtambo kapena ofiira, omwe pamapeto pake amaphatikizika. Mafangayi amakhudza phazi ndi mbali zake zamanzere, chidendene (ming'alu chikuwoneka).
Dyshidrotic mawonekedwe a phazi mycosis (chonyowa bowa). Khungu limakutidwa ndi thovu lambiri komanso madzimadzi, omwe, kuphulika, amasiya zilonda zakuya. Gawo lapamwamba la matenda oyamba ndi fungus ndi ofanana ndi eczema kapena psoriasis, ndipo ndizovuta kudziwa.

Kusintha kwa khungu la miyendo nthawi iliyonse kumawoneka bwino.

Kuphatikiza pazidziwitso zodziwika bwino za matenda, mafangayi akhungu la miyendo sangathe kudziwonetsa kwa nthawi yayitali. Zizindikiro zing'onozing'ono zimatulutsidwa (kupendekeka pang'ono, khungu lowuma) - uwu ndi mawonekedwe ofufutika a mycosis wamiyendo. Pakadali pano, munthu yemwe ali ndi kachilomboka amati izi ndi zochitika wamba kapena chovunda, ndipo samakayikira kuti bowa akupitilirabe.

Pazovuta za mycosis, kuthandizira kuchipatala kungafunike.

Simungathe kunyalanyaza kusintha kulikonse pakhungu la mapazi komanso pakati pa zala. Ndikofunika kuwonetsa ziwonetsero zokayikitsa kwa dokotala kuti musayambitse matendawa.

Njira zochizira

Ngakhale bowa "wonyalanyazidwa" amatha kuchiritsidwa kunyumba. Osayiwala kuyimba kamodzi patsiku.

Kupimidwa mokwanira komanso mankhwala oyenera ndikofunika kuti muchiritse. Chithandizo cha matenda oyamba ndi fungus chikuyenera kukhala chokwanira. Mankhwala amatha kuphatikizidwa ndi wowerengeka azitsamba. Chachikulu ndikuyang'ana ndi dokotala musanayambe chithandizo.

Mankhwala

Mwa njira zambiri zothetsera matenda, njira yophatikizira ndiyabwino. Zimatanthawuza kugwiritsa ntchito nthawi yomweyo kwamankhwala kuti mugwiritse ntchito kunja ndi mkati.

mafuta akunja, ma aerosols, mayankho.
kukonzekera kwa mkati.

Kumayambiriro kwa mankhwalawa, adotolo amatumiza mafuta a bowa - Mycozoral. Thupi limagwiritsidwa ntchito kwambiri ku candidiasis ya minofu yofewa, dermatomycosis ya kumapazi. Mankhwalawa amakhudza mkhalidwe wa spores, amachititsa kuti pakhale moyo wopanda kachilomboka, womwe umatsogolera kuimfa yake.

Chithunzithunzi chodwala matenda a mycosis

Chida chofunikira kwambiri pothandizira mycosis ndi Naftifin. Poyerekeza ndi ndemanga, mankhwala a antifungal amatha kuphera khungu pakhungu, ndikuchotsa mafangasi amiyendo ndikuletsa kupangidwanso.

Pakati pa mapiritsi omwe amathandizira kuchiritsa mycosis, fluconazole ndi othandiza kwambiri. Momwe mungagwiritsire matenda oyamba ndi fungus ndi mankhwalawa, adokotala amawona. Kwambiri mankhwala kwa 150 mg pa tsiku kwa masiku 14-24. Malangizo a mankhwalawa amatha kusiyanasiyana kutengera ndi matendawa.

Mapiritsi amakulimbikitsidwa kuti atengedwe limodzi ndi mafuta odzola pomwe othandizira kunja alibe mphamvu pamaso pa matendawa (magawo apamwamba a matenda ndi dermatophytes).

Zithandizo za anthu a miyendo ya mycosis ya phazi

Njira yabwino yolimbana ndi fungal matenda apakhungu la khungu ndi mankhwala achikhalidwe. Musanagwiritse ntchito mankhwala, ndikofunikira kuti mukaonane ndi dokotala.

Soda kapena mchere osambira

Pa madzi okwanira 1 litre (3840 madigiri) muyenera 2-3 tsp. koloko kapena mchere (m'madzi). Tsitsani chilichonse, ndikutsitsa miyendo kwa mphindi 20-30. Pambuyo pa njirayi, yeretsani khungu monga momwe mungathere kuyambira peel ndi coarse epidermis.

Malo osambira mchere amathandizira polimbana ndi bowa

Kusamba kumalimbikitsidwa musanagone. Patulani khungu lanu ndi mankhwala akunja. Izi zikuthandizira kuchiritsa kwa malo omwe awonongeka ndi bowa.

Zonona ndi viniga

Mu 9% yankho, nyowetsani thonje kapena chokoleti, yikani kumapazi ndi malo amtundu wina, wokutira ndi polyethylene. Pambuyo pa mphindi 3-5, chotsani mafuta odzola, ndi kutsuka khungu ndi madzi ofunda, kupukuta ndi kupaka mafuta ndi mafuta a Mycozoral kapena chinthu china chamavuto. Werengani zambiri za chithandizo cha viniga.

Maphikidwe a folks ndi viniga amathandizira ndi mycosis

Hydrogen Peroxide Chithandizo

Mafuta okhudza madera omwe ali ndi yankho la 3% kangapo patsiku. Kuchita bwino mukatha kusamba koloko. Njirayi imathandizira kuti bowa asamayendetse nkhawa, imachepetsa kukula kwake ndikuletsa kufalikira. Dziwani zambiri za zamankhwala a hydrogen peroxide.

Momwe mungachiritsire mycosis ya mapazi mwa mwana?

Matenda oyamba ndi fungus ali pachimake mwa ana. Mycosis ya kumapazi kwa mwana imawonetsedwa ndi maselo oyera a purulent, zikwangwani zazikulu, kuyamwa ndi kuyaka. Momwe tingachitire matendawa ana, timaganizira mwatsatanetsatane.

Ndi kugonjetsedwa kwa mapazi ndi bowa, chinthu chothandiza kwambiri ndi Terbinafine. Emulsion iyenera kugwiritsidwa ntchito m'malo omwe akukhudzidwa pang'ono asanagone. Kutalika kwa mankhwala kumatsimikiziridwa ndi adokotala.

Mafuta a Exoderil amathandiza. Imagwira modekha pakhungu la mwana, osayambitsa mavuto. Koma ana a Mycozoral ndibwino kuti asamagwiritse ntchito. Mafuta amakhudza thupi la mwana ndipo amatha kuyambitsa ziwengo.

Musanayambe mankhwala a mycosis mu mwana, funsani dokotala

Chithandizo cha mankhwala a folks polimbana ndi bowa boti mu ana chitha kugwiritsidwa ntchito pokhapokha mukaonana ndi dokotala. Kuphatikiza ndi chithandizo chachikulu, tikulimbikitsidwa kugwiritsa ntchito hydrogen peroxide, ayodini, viniga. Madera omwe akukhudzidwawa ayenera kuthandizidwa ndi zinthu zochepa izi, kuti musakwiyitse kwambiri khungu kapena kuwotcha khungu.

Zilonda zam trophic

Izi ndi zotupa pakhungu kapena mucous nembanemba zomwe sizichiritsa kwa miyezi yopitilira 2, zimapangidwanso mwatsopano.

Matendawa samachitika mwa iwo okha, ndi chizindikiro chomwe chimayambitsidwa ndi zomwe zimayambitsa matenda. Mankhwala sakanatha kudziwa mfundo yodziwika bwino ya zilonda zam'mimba, kapangidwe kake, Zizindikiro sizinaphunzire.

Zifukwa zakukhalira kwa vutoli

Zilonda za trophic mu shuga zimatulukira chifukwa chowonongeka pamakoma a capillaries. Zotsatira zoyipa izi zimachitika chifukwa chotsatira:

kagayidwe kachakudya mu thupi kamasokonekera, komwe kamakhudza ziwalo zonse ndi machitidwe onse,
pali kuchepa kwa mpweya m'magawo ena a thupi. Nthawi zambiri m'malo akumunsi (pamapazi),
Zotsatira zoyipa za zinthu zoopsa zomwe zimapezeka chifukwa chophwanya chakudya.

Chaka chimodzi chitatha matenda a shuga, mawonekedwe a zilonda zam'mimba amapezeka theka la odwala

Zilonda za trophic mu shuga zimapezeka kumapeto. Kupanga kwa chimanga, kuvulala pakhungu kumapangitsa izi kukhala zopanda pake.

Zotupa zazing'onoting'ono zomwe zimayambika nthawi yayitali, zimapangitsa kukula kwa minofu kuwonongeka kumapeto.

Vutoli limadziwika ndi zizindikiro zotsatirazi:

ngakhale ndi mabala ang'onoang'ono, ululu waukulu umawonedwa. Kusasangalala kumakulitsidwa kwambiri usiku,
ngati trophic ulcer mu shuga mellitus ndi polyneuropathic mwachilengedwe, kulibe kupweteka kwathunthu. Zilonda zopezeka pakhungu sizimayambitsa kusasangalatsa kulikonse. Munthu samadandaula za ululu womwe umayenera kupezeka nthawi zonse,
popanda kuchitapo kanthu kwakunja, kuwonongeka kwa miyendo ndi matenda a shuga sikuchira. Tsiku ndi tsiku pamakhala kuwonongeka mumunthu.

Chithandizo choyambirira

Momwe mungagwiritsire zilonda zam'mimba za m'mimba ndimatenda a shuga, ngati amangotuluka? Madokotala amachita mosamala kuchuluka kwa shuga, kupereka mankhwala kuti achepetse msanga. Chithandizo chachindunji cha matenda osokoneza bongo a m'matumbo ndi zilonda zam'mimba zimayimitsidwa kuti muchepetse kupitilira kwa matendawa ndipo akuphatikiza izi:

Maphunziro anakhazikitsidwa kuchokera ku mankhwala osokoneza bongo omwe amalimbitsa mitsempha ya magazi,
kugwiritsa ntchito ndalama zomwe zimakhudzanso thanzi la minofu yomwe yakhudzidwa,
antiseptic chithandizo cha zotupa zam'miyendo pa mwendo.Mphepete mwa bala, madera a pakhungu pafupi ndi omwe amawathandizira ndi njira zothetsera vuto la antiseptic. Nthawi zambiri amagwiritsidwa ntchito ayodini, wobiriwira wanzeru kwambiri, mowa wamankhwala. Malo omwe bala limapangidwira amakhala ochapidwa nthawi zonse ndi madzi amvula. Izi zikuphatikiza furatsilin, hydrogen peroxide ndi ena,

Wodwala wodwala matenda ashuga a 2 amatha kukhala ndi zilonda zam'mimba ngati amodzi mwa zovuta

ntchito mabala othandizira. Zodzola zilonda za trophic mu shuga mellitus zimatulutsa zabwino polimbikitsa kugawa kwa maselo, ndikufulumizitsa mapangidwe a collagen pakhungu. Ndikulimbikitsidwa kugwiritsa ntchito kukonzekera monga chinthu chokhala ngati gel, chomwe chimathandiza kupewa kupanga filimu yopanda mpweya, yomwe imakhudza molakwika njira yochiritsira. Zovala ndi kugwiritsa ntchito mafuta onunkhira ziyenera kuchitika kawiri pa tsiku ndi chisamaliro cha kusamala kuti musatenge matenda.

Chithandizo chomaliza

Momwe mungapangire zilonda zam'mimba zokhala ndi matenda ashuga, ngati ayamba kale kuchira? Pakadali pano tikulimbikitsidwa kugwiritsa ntchito:

mafuta omwe amathandizira kukonzanso kwa khungu. Mankhwala omwe amagwiritsidwa ntchito amathandizira kuti pakhale michere yokwanira, motsutsana ndi komwe kusinthika kwa khungu kumawonedwa. Zovala zodzola mafuta zimachitika kamodzi patsiku,
njira zochitira masewera olimbitsa thupi. Kugwiritsa ntchito zida zapadera zomwe zimatulutsa zovuta pazinthu zowonongeka zimathandizira nthawi yobwezeretsa. Izi zikuphatikiza njira zamagetsi, mankhwala a ozoni, kuyamwa kwa laser, ndi ena. Hirudotherapy, yomwe imatanthawuza kugwiritsa ntchito leeches, ili ndi ndemanga zambiri zabwino.
njira zopewera. Amathandizira kupewa kufalikira kwamatenda pafupipafupi.

Kuchiritsa mafuta

Zilonda za trophic mu shuga zimathetsedwa bwino motere:

Delaxin. Ndikukonzekera kutengera zopangidwa tannin - yemwe ndi mlendo. Mankhwalawa amapezeka mu mawonekedwe a kirimu kapena ufa, ali ndi antipruritic, kuyanika, ndipo kusinthika kwa minofu yowonongeka kumathandizira. Pambuyo poika Delaxin pakhungu, kutupa kumachotsedwa, microflora ya pathogenic imawonongeka,

Chithandizo chamderalo chimatsuka zilonda. Kuti muchite izi, gwiritsani ntchito mayankho a antiseptic ndi mafuta

"Fusicutan." Ili ndi kapangidwe ka fusidic acid, lomwe ndi gulu la maantibayotiki. Mankhwala amatulutsa antibacterial zotsatira. "Fusicutan" amagwiritsidwa ntchito kupatsira mabala, pamaso pa zipsera,
"Vulnostimulin." Amagwiritsidwa ntchito ngati mabala otseguka (kuphatikiza omwe ali ndi kachilombo). Muli zosakaniza zachilengedwe - mafuta a coriander ndi lavenda, ma germ a tirigu. "Vulnostimulin" imakhala ndi anti-yotupa, imathandizira machiritso a bala,
"Solcoseryl." Pambuyo ntchito pakhungu, kumapangitsa kagayidwe kachakudya, kumalimbikitsa machiritso a pakhungu,
"Algofin." Ili ndi tanthauzo la antibacterial. Ili ndi zigawo zachilengedwe - chlorophyll, mchere wamchere, carotenoids.

Mankhwala

Chinsinsi chothandizira kupweteka kwam'mimba pakhungu ndi mankhwala amkamwa komanso kupakidwa pamutu. Yambani chithandizo ndikukhazikika kwamisempha.

Ngati matenda oyambapo a shuga omwe amadalira insulin apezeka, muyezo woyenera wa insulini yoyendetsera tsiku ndi tsiku umawerengedwa, chakudya chovomerezeka chimalimbikitsidwa. Insulin imathetsa pang'ono zomwe zimayambitsa zilonda, koma sizikhudza kuchuluka kwa kubwezeretsa umphumphu wa khungu.

Chithandizo chachikulu chimachitika pang'onopang'ono ndikukhazikitsidwa kwa mankhwala osokoneza bongo ophatikizidwa:

Chithandizo cha matenda am'mbuyomu matenda a etiology,
analgesic analgesia,
kutsitsa katundu mwa kukonza bondo,
kubwezeretsa ntchito yamanjenje,
kusintha kwa magazi kayendedwe ka magazi, kuchepetsa kwa thrombophlebitis,
kuperewera kwa mabala omwe ali ndi antibacterial mankhwala poletsa kudzikundikira kwa mafinya.

Gulu lalikulu la mankhwala ochizira zilonda zam'mimba:

Delaskin - kirimu wopanda mahomoni amene amachepetsa kuyamwa. Chidacho chimapha maluwa okhala ndi pathogenic, chimakwirira khungu ndi zoteteza,
Fusicutan, Chloramphenicol - maantibayotiki othandizira apakhungu,
Vulnostimulin - antiseptic ndi kutchulidwa odana ndi kutupa kwenikweni, amachititsa epithelialization a zilonda zam'mimba,
Diclofenac - amachepetsa kutentha kwa thupi, amachepetsa kutupa, amachotsa zowawa,
Actovegin - mankhwala okwanira ochotsera minofu hypoxia.

Kuthandizira opaleshoni

Ngati njira ya mankhwalawa singathandize, opaleshoni imachitidwa. Pambuyo pofufuza zotsatira za kusanthula ndikuwona kuya kwa kuwonongeka kwa minofu, kuyikika kwa khungu lakufa, zamkati zoyera zimawonetsedwa, ndipo pamapeto omaliza a gangrene - kudulidwa kwa mafupa omwe ali ndi kachilombo.

Kuchotsa zimakhala zomwe zimakhudzidwa zimachitika motere:

catheterization. Kugwiritsira ntchito infusomat kumalola chithandizo chachigawo cha malo okhala ndi miyendo yayitali osachiritsa. Sikugwiritsidwa ntchito pakuwonetsa kuwunika kwatsoka,
kudulidwa kwenikweni. Kusankha fupa la metatarsal ndikusunga phazi,
scleroobliteration. Njira yochepetsetsa yomwe ingaphatikizitse kuyambitsa catheter wamkati ndi mabowo. Izi zimathandizira kuchotsa kuchuluka kwa purulent ndikusinthanso kwa mitsempha yowonongeka popanda opaleshoni yoyipa,
kachikachiyama. Njira yopanda zoopsa pakuchotsa mitsempha yowonongeka m'magazi akulu. Imachitidwa pansi pa mankhwala oletsa ululu pogwiritsa ntchito laser,
autodermoplasty. Uku ndikusintha kwatsopano kwa khungu lomwe limatengedwa kuchokera mbali ina ya thupi. Mothandizidwa ndi dermatome, gawo la minofu yathanzi limapangidwa, lomwe limakulungidwa ndi suture yotupa kumalo omwe akhudzidwa,
hydrosurgical system VERSAJET. Chida chamakono chimalola kuphipha kwa minofu ya necrotic. Kuchotsa kwathunthu kwa detritus molumikizana ndi maluwa a pathogenic kumathandizira kukulitsa kwathunthu kwa zilonda popanda kuyambiranso.

Njira za Physiotherapeutic

Chithandizo cha zilonda zam'mimba zimakhudzana ndi kuperekedwa kwa mankhwalawa a physiotherapeutic. Zithandizo zochizira zimaperekedwa ndi:

laser antibacterial zotsatira,
maginito obwezeretsa patency yam'mimba ndikumachepetsa ululu,
ozoni mankhwala okwaniritsa maselo ndi mpweya,
matumba osamba a kubwezeretsanso kwa epithelial, kubwezeretsa kwa microcirculation.

Maonekedwe a zilonda mu shuga

mavuto ndi magazi m'magawo ena athupi,
Kusintha kwa minofu chifukwa chosowa mpweya komanso micronutrients,
kusuntha kwa magazi m'mitsempha
kuphwanya magazi m'mitsempha,
mavuto a metabolic
matenda ndi zotupa za pakhungu.

Zilonda za trophic zimawonekera nthawi zambiri pamiyendo, miyendo yam'mbuyo ndi mutu sizikhudzidwa kwambiri chifukwa cha zovuta zamitsempha yamagazi.

Nthawi zambiri, mitundu iyi imapezeka:

venous
ochepa
neurotrophic
kusakaniza.

Chithandizo cha zilonda zam'mimba zimatengera nthawi ndi kuyesetsa. Ichi ndi chizindikirochi chovuta kuchotsedwa. Njira yothandiza kwambiri yopewa kuwonongeka kwa minofu ndikumenyana ndi zomwe zimayambitsa matenda.

chibadwa
pafupipafupi zovuta
zaka za thupi,
zovuta zamatenda,
matenda, ma virus,
mavuto onenepa kwambiri.

Matenda omwe amayambitsa chizindikirochi amapangitsa kuti zikhale zovuta kuchiza zilonda zam'mimba mu matenda a shuga; Ndikosavuta kupewa kukula kwa chizindikirocho, motero tikulimbikitsidwa kuti liperekedwe makamaka popewa kupewa.

Magawo otukuka

Pazithunzi zambiri, mutha kuphunzira zilonda zam'mimba zokhala ndi matenda ashuga komanso kakulidwe kake mwanjira inayake.

Zilonda za trophic zimayamba motere:

Kutupa kumachitika koyamba, wodwalayo amadandaula kuti amva kulemera m'miyendo,
kukokana kumachitika usiku
Kuyenda kwamapazi, kugunda kwamphamvu
mitsempha, mawanga amdima pang'onopang'ono amawonekera pakhungu.
pagawo lamdima kumakhala khungu.
dera lomwe likukhudzidwa likukula pang'onopang'ono,
chinyezi chimatsika pakhungu, limatuluka thukuta,
zikopa zoyera za pakhungu lomwe lazichotsa pakati zimawonekera pakati pa malopo,
chilonda chikuwonekera.

Ngati wodwalayo sanalandiridwe m'magawo oyambawo, chilondacho chimakula pang'onopang'ono, chimakhudza minofu, minyewa, minofu ya mafupa, kukula pang'ono ndi pang'ono, magazi am'mimba, imvi, mafinya amatuluka m'matipi, fungo lonyansa limamveka, pambuyo poti matendawa aphatikizidwa, chotupa chimakhala chikukuta, kufupika kumachitika, mafangasi amakulitsa chitukuko matenda.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Zilonda za trophic pa mwendo mu shuga zimakhala ndi mawonekedwe ozungulira komanso opingasa, m'lifupi mwake 20 mpaka 100 mm, nthawi zambiri amapezeka kutsogolo kapena mbali ya mwendo wotsika, m'mphepete mulibe magawo, odzazidwa ndi mafinya.

Matenda obwera chifukwa cha matenda ashuga amatchedwa phazi la matenda ashuga. Vutoli limayamba chifukwa cha kupindika kwa bony chifukwa cha kusintha kwa miyendo, kusintha kwa miyendo, kukhumudwa, kusayenda bwino kwamiyendo, zikanda, chimanga ndi zifukwa zina.

Kuzindikira kwa dotolo

Zilonda zam'mapazi zikafika pamatenda a shuga, mankhwalawa amayesedwa kuti apewe kuduladula zala kapena dzanja lonse liwonongeke ndi zilonda zam'mimba, komanso kupewa kutulukanso. Choyamba, kuchuluka kwa kutukusira, kuchuluka kwa magazi kwa minyewa, ndikumverera kwa miyendo ndikutsimikiza.

azimvera wodwala, amatenga anamnesis,
kuyezetsa magazi: mulingo wa shuga ndi zizindikiro zina,
zala akumveka
kuyang'anira kukuchitika
zimachitika
kudziwa kutentha, zinthu zopweteka,
chikhalidwe cha kuwonongeka kwa minofu chatsimikiza,
kusanthula kwa bacteriological zamkati zamkati zotulutsa puronda,
kuzindikira kwa matenda opatsirana komanso chidwi chake cha mankhwala,
kutsekeka magazi kutsimikiza
malo opangira zilonda amaphunziridwa pazida za x-ray.

Dokotalayo amadziwa bwino madandaulo a wodwalayo mwatsatanetsatane, amayang'ana miyendo, nkhope ya phazi ,okhawo, minofu pakati pa zala, amawona kuti ndi osavomerezeka komanso opunduka.

Mothandizidwa ndi zida zamakono, zowunika zotsatirazi zimachitika:

kutikita minofu ndi kupsinjika m'mbali mwamunsi,
kusanthula kwa kayendetsedwe ka magazi m'dera lowonongeka ndi mpweya,
kukhazikitsidwa kwa sing'anga yosiyana kumathandizira kuphunzira mitsempha mwatsatanetsatane pogwiritsa ntchito zida za x-ray,
computer tomography ndi MRI kuti muwone kusintha kwamasempha,
adafufuza kuchuluka kwa magazi mokwanira,
kudziwa kukula kwa bala, mkhalidwe wamisempha yoyandikana,
chitsanzo chimatengedwa kuti chidziwike mwatsatanetsatane.

Pakufufuzidwa, katswiri adazindikira zilonda zam'mimba kapena zotupa zofananira m'mitundu ina. Pambuyo pa kufufuza, dokotalayo amasankha njira yochizira zilonda zam'mimba mwa matenda ashuga.

Maziko a chithandizo ndikuwunika pafupipafupi glucose komanso chithandizo cha nthawi yayitali. M'pofunika kutembenukira kwa madokotala kuti athandizidwe ndi nthawi kuti muwonjezere mwayi wowachira kwathunthu.

Zochita zolimbitsa thupi zimachotsedwa mwendo womwe wakhudzidwa, mu magawo oyambirira a mankhwalawa mu mawonekedwe osamba pafupipafupi mabala omwe ali ndi antibacterial agents. Pazinthu zotsogola, kugwiritsa ntchito maantibayotiki, omwe amalembedwa ndi akatswiri, amafunikira. M'malo ovuta, kuyeretsa kwa opaleshoni kumachitika, minofu yakufa imachotsedwa, ndikugwedezeka. Ngati zotsatira zomwe mukufuna sizingatheke, dzanja lomwe lakhudzidwalo liyenera kudulidwa.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Mankhwala

Tizilombo toyambitsa matenda tomwe timafalikira m'milungu yokhala ndi zilonda zam'mimba timalimbana ndi zovuta za mankhwala osiyanasiyana; kuti tiwathetse, njira yolondola ndi luso la madokotala likufunika. Dokotalayo amapereka mankhwala othandizira kuti alingalire za mthupi ndi machitidwe ake.

Amoxicillin adayikidwa pamapiritsi kapena jakisoni wa intramuscular omwe amakhudza mwachangu madera ovuta. Kutalika ndi kukula kwa maphunziro a mankhwala kumatsimikiziridwa ndi katswiri.

Pambuyo pa matenda a zilonda zam'mimba, mankhwala osakanikirana a zochita amalembedwa:

Simungagwiritse ntchito mankhwalawa nokha ndi kukula kwa ulcerative foci kapena kugwiritsa ntchito mafuta. Izi zivulaza thanzi la wodwala.

Mankhwala omwe amalangizidwa ndi madokotala a odwala matenda ashuga ngati zilonda zam'mimba zitha. Supuni imodzi ya mafuta a mpendadzuwa amawotedwa kwa mphindi 20 osamba madzi. 1 tbsp imawonjezeredwa ndi madzi. mafuta a nsomba, amathandizidwanso ndi kutentha kwa mphindi 20. Mu zotsatira zosakanikirana zimawonjezeredwa 25 mapiritsi a streptocide, opaka kudzera mu sume mu mawonekedwe a ufa. Yotsirizidwa zikuwotedwa m'madzi osamba kwa mphindi zina 30, utakhazikika, ndikuyika mufiriji. Mankhwalawa amagwiritsidwa ntchito pothira zilonda zotseguka kapena poyenda bandeti. Ndi kugwiritsa ntchito tsiku ndi tsiku, zotsatira zopindulitsa zimadziwonekera mu masabata a 2-3, mawonekedwe a zipsera, mabala otseguka amachira.

Timayika mafuta omwe madokotala amapereka:

Zodzola mafuta zimagwiritsidwa ntchito pa magawo a machiritso ndikupanga minofu yochepa pakupanga zilonda zam'mimba mwa odwala matenda ashuga.

Zokhudza chithandizo cha mawonekedwe apamwamba

Ngati zilonda sizikhala kwa nthawi yayitali, mapiritsi a thonje amagwiritsidwa ntchito, akhathamiritsidwa mu phula, ma compress awa amawagwiritsa ntchito kutupa, gwiritsani kwa masiku 2-3, m'malo mwake mwatsopano. Ndondomeko amachitidwa mpaka chotupa chimachotsedwa kwathunthu.

Chida chabwino chothandizira mankhwalawa komanso kupewa zilonda zam'mimba ndi ufa wopangidwa kuchokera ku ziwongo zouma zouma bwino. Rivanol yankho imagwiritsidwa ntchito kutsuka musanagwiritse ntchito mankhwala akuluakulu. Chilondacho chimathandizidwa ndi ufa wachipatala, womangidwa, njira zotere zimachitika nthawi zonse, kuchapa kowonjezereka sikofunikira. Chifukwa cha ufa wa tatarnik, chilonda cha matenda ashuga amachira msanga.

Kupewa ndi malingaliro

Wodwala akaphunzira kuwongolera njira ya matenda ashuga, mwayi wokhala ndi zilonda zam'mimba zimachepa.

Zomwe sizingachitike:

Simungadule misomali yokhala ndi lumo lakuthwa, ngati mutayika, mavuto amaso, ndibwino kugwiritsa ntchito fayilo ya msomali.
Sitikulimbikitsidwa kudula misomali yochepa kwambiri ndikuchotsa ngodya.
Ndizosatheka kugwiritsa ntchito owotcha, malo osambira owotcha osamva bwino, izi zimayambitsa kuwotcha. Madzi amayenera kufananizana ndi kutentha kwa thupi, njira zimachitika osapitilira mphindi 15.
Kusuntha opanda nsapato mumsewu, pagombe ndikosayenera, muyenera nsapato nthawi zonse.
Kusamala kumayesedwa ndi dzuwa lotentha, thukute lolimba limakonda kubweretsa kuyaka.
Kuchotsa chimanga, ndikosayenera kugwiritsa ntchito zodzola.
Z nsapato zokhala ndi ma soles olimba zimafinya minofu, mafinya amawonekera, kutupa.

tsiku lililonse kuyang'ana miyendo, zala, miyendo, kuwonongeka.
gwiritsani ntchito minofu yotsikira ndi mafuta amchere,
fayilo la pumice kapena pedicure limagwiritsidwa ntchito posamalira mapazi,
mutatha kusamba, chinyezi chonse chimatsukidwa ndi thaulo lofewa, khungu pakati pa zala limapukutidwa,
masokisi ofunda ofunda opanda zingwe zina zotanuka amagwiritsidwa ntchito kutenthetsa.
nsapato zimayendera pafupipafupi, miyala yaying'ono, zinthu zakunja, ma crease a insoles sayenera kugwera mu nsapato.

Pakakola kapena kupindika m'mimba, miyendo imachiritsidwa ndi Chlorhexidine kapena Miramistin, chigamba chake chimakhala chopindika. Pofuna kuthana ndi zowonongeka izi, mafuta ophikira sayenera. Ngati minofu simachiritsidwa, pakatha masiku awiri awiri amafunika kufunsa katswiri.