Njira zogwira mtima zochizira chimanga cha anthu athanzi ndi maupangiri othana ndi chimanga chowuma cha matenda ashuga

Tiyenera kukana kuvala nsapato zolimba komanso zopapatiza, zomwe zimapanikiza malo enaake ndipo zingapangitse kuti pakhale chimanga, chomwe chiziika chikopa pakhungu, ndikupangitsa hematoma komanso chiwopsezo cha zilonda zam'mimba. Ndikwabwino kusankha nsapato zapadera zamankhwala.

Mfundo yachiwiri ndi kupewa khungu louma. Kupatula apo, chifukwa chake, ming'alu imatha kuwoneka yomwe ingatenge matenda. Nthawi zambiri chimanga chimawoneka chidendene ndi chimanga chokha (chimanga), kumtunda kwa chala, nthawi zina mbali ya phazi komanso pakati pa zala.

Chimanga chomwe chawonekera kale ndizoletsedwa kudula kapena kusenda m'madzi otentha - kuwonongeka kulikonse pakhungu kungakhale khomo lolowera matenda. Kugwiritsa ntchito madzimadzi a chimanga ndi ma plasters apadera sikuloledwa. Mutha kuchiza miyendo ndi pumice ndikugwiritsira ntchito mankhwala ochepetsa komanso ochepetsa a 2-3 omwe amakhala ndi kuchuluka kwakukulu (pafupifupi 10%) a urea katatu patsiku. Koma ndikofunikira kuwonetsetsa kuti zonona sizikugwera m'malo opatikirana - pofuna kupewa maceration (kutupa kwa khungu).

Zochizira mabala ang'onoang'ono, simungagwiritse ntchito njira zakumwa zoledzeretsa (ayodini, wobiriwira wanzeru). Ndikwabwino kuchiza ndi hydrogen peroxide, furacilin, chlorhexidine kapena antiseptic wina. Ngati redness kapena kutupa pakhungu, pitani kwa dokotala nthawi yomweyo.

Zifukwa zakuwonekera kwa chimanga

Ma chimanga ndi zigawo zingapo za pakhungu, ili kumapazi kwamapazi. Masango oterewa omwe maselo atha kugwira ntchito, amadzuka ndikukula chifukwa cha kuwonongeka kambiri chifukwa cha kupanikizika kwamakanidwe kapena kupanikizika pamapazi.

Kuchita kupukutira kwa nthawi yayitali kumayambitsa kusokonezeka kwa magazi kumalowa, ndikuthandizira keratinization yama cell a khungu. Mukuyenda, ma calluses owuma amadzimva ndi zowawa komanso kuyabwa.

Kwambiri Zomwe zimayambitsa ma calluses owuma ndi:

• Nsapato zazitali Nsapato zosankhidwa molakwika, kutalika kwa chidendene, ma insoles oyipa - zonsezi zimawonjezera katundu pazigawo zina phazi. Popita nthawi, kuyenda mu nsapato zotere kumayambitsa kusokonezeka kwa kayendedwe ka magazi, chifukwa chomwe madera ena pang'onopang'ono amakhala owuma.
• Mikhalidwe yovuta ndi zotupa za fungal. Chodabwitsa chopezeka mwa anthu odwala matenda ashuga, popeza kuti kunenepa kwambiri ndi katundu wolemera pamiyendo. Komanso nkhawa yamavuto. Kusokonezeka kwa kagayidwe kachakudya ndi matenda a fungal ndizinthu zina mwawonetsero wa vutoli.
• Kulephera pa ntchito ya ziwalo zamkati. Pakati pa maphunziro, kulumikizana kunachitika pakati pa masamba azomwe zimapangidwira chimanga ndi matenda a anthu.

Pankhani yotsimikizira kukhalapo kwa matenda m'thupi omwe adapangitsa kukula kwa chimanga, muyenera kufunsa thandizo kuchokera kwa dokotala.

Zifukwa zina:

1. Kuchulukitsa thukuta m'miyendo.
2. Kusintha kwa phazi (phazi lathyathyathya, kukula kwamfupa), kupindika mafupa.
3. Matenda amsempha ndi nyamakazi.

Kodi zotupa zimawoneka bwanji pachithunzichi?

Kukonza Zachangu

Pankhani ya chimanga zoyambilira ndikuchotsa zomwe zachitika. Ndikofunikanso kuvala nsapato zopepuka, zotetezeka kwambiri, ndikulimbikitsidwa kuyika mapiritsi a silicone mu nsapato, kapena njira zina zomwe zimapangitsa kuti kuyenda kumakhala kosavuta.

Mukachotsa zomwe zimayambitsa chimanga mutha kuyamba kuchotsa zochuluka zokha. Kuti muchite izi, gwiritsani ntchito:

• Zovala zapamwamba. Kukuya kwa khungu la keratinized kumachitika mutatha kugwiritsa ntchito yapadera ku chimanga.
• Njira zopangira opaleshoni laser chithandizo kapena yozizira ndi madzi asafe.Pamapeto pa njirazi, muyenera kusankha nsapato zabwino komanso kuchepetsa nthawi yoyenda komanso kuyenda.
• Kuthetsa ululu ndikumachepetsa kutupa komwe tikulimbikitsidwa compress ozizira, komanso kugwiritsa ntchito mankhwala: ibuprofen, nise, etc.

Njira zopewera

Malamulo ochepa:

1. Nsapato zotonthoza. Muyenera kusankha nsapato zabwino zomwe zikugwirizana ndi kukula ndi mawonekedwe a phazi. Mukamasankha mtundu, ndi bwino kumangoganizira nsapato zokhala ndi chala chachikulu chomwe sichimagwira zala zanu.
2. Kuvala nsapato kokha cholinga chake. Chifukwa chake, malangizowo amakhala makamaka kwa atsikana: chidendene chapamwamba chimakhala choyenera bwino pazokondwerero, osati poyenda tsiku lililonse.
3. Osamayenda nthawi yayitali mumtundu wofanana ndi nsapato -kangokhala zidendene kapena paphiri pokhapokha, zizisinthidwa.
4. Valani masokosi opangidwa ndi nsalu zachilengedwe. Izi zimathandizira kupuma kwamiyendo ndikuletsa thukuta lake, lomwe limatha kupweteka, ndikupangitsa vuto.
5. Kuchepetsa kuthamanga kwa phazi. Chingwe chofewa chomwe chayikidwa m'deralo pafupi ndi callus chingathandize kuti musapanikizike kwambiri. Chepetsa phazi. Mutha kugwiritsa ntchito zingwe, mapepala olekanitsa zala, zokutira kapena mikono yazala.
6. Ukhondo wa kumapazi. Pangani malo osambira, gwiritsani ntchito keratinized wosanjikiza ndi pumice, mafuta ndi mafuta, massage.

Malangizo pakuchotsera zophuka za shuga

Kuchiza chimanga ndi matenda ashuga ndi njira yovuta kwambiri. Zotsatira zosasangalatsa zitha kupewedwa kudzera pakukambirana ndi dokotala panthawi yake. Mafuta ndi mafuta nthawi zambiri amaperekedwa, njira zotere ziyenera kuchitidwa madzulo.

Kusamalira pafupipafupi phazi kumakuthandizani kukwaniritsa zabwino. ndipo mavuto onse adzatha.

Popewa kubwerezanso matendawa, muyenera kutsatira kadyedwe, kuyang'anira kuchuluka kwa shuga m'magazi, kusamalira ukhondo, kuvala nsapato zoyenera zokha, zomwe sizikhala zopanda msana, masokosi opangidwa ndi nsalu za thonje.

Ngati mafupa amiyendo amapunduka, ndikofunikira kukaonana ndi akatswiri a zamankhwala kuti apereke mankhwala.

Chifukwa cha mankhwala amakono, pali njira zambiri zochizira chimanga ndikuwachotsa. Kuphatikiza pazotsatira zomwe mukufuna, muyenera kufunsa dokotala kuti mudziwe zomwe zimayambitsa callus ndikuyamba kulandira chithandizo. Osanyalanyaza malangizo a dokotala, muyenera kuchita njira zopewera.

Diabetesic phazi matenda: Zizindikiro, Zizindikiro ndi chithandizo

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Mapazi a matenda ashuga ndimayendo ndi miyendo yomwe imachitika chifukwa cha shuga wambiri. Matenda a shuga, omwe samayendetsedwa bwino, amasokoneza kuchepa kwa mitsempha (mitsempha), komanso amachepetsa magazi mu mitsempha ya miyendo. Izi zimawonjezera chiopsezo chovulala ndi matenda. Diabetesic phazi matenda - wodwala amakula zilonda, kuwonongeka mafupa ngakhale mafupa miyendo. Mabala amachiritsa bwino, tizilombo tating'onoting'ono timachulukana mwa iwo. Muzochitika zapamwamba, izi zimayambitsa gangrene ndi kudula. Otsatirawa akufotokozera zomwe zimayambitsa, Zizindikiro, kupewa komanso kuchiza matenda ashuga. Phunzirani zamomwe mungachiritsire zilonda zam'manja kunyumba ndi kuchipatala. Matenda am'mimba, kudula ndi kulumala kwamtsogolo ndizowopsa kwa matenda ashuga. Koma mutha kuziletsa ngati mutsatira malamulo osamalira mapazi.

• Zifukwa
• Zizindikiro
• Zizindikiro
• Zizindikiro
• Mapazi a Charcot (diabetesic osteoarthropathy)
• Kupewa
• Kusamalira Mapazi: Malangizo atsatanetsatane
• Momwe mungagule nsapato
• Ukhondo wathanzi labwino
• Matenda a matenda ashuga
• Momwe mungachiritsire zilonda zapazi
• Mavalidwe Konse Kulumikizana ndi Cast
• Mankhwala - Maantibiotic
• Opaleshoni, kudulidwa
• Nsapato zamatumbo
• Mapeto

Ngati mwakhala mukudwala matenda ashuga kwa zaka zingapo, ndipo makamaka, ngati simunayilamulire bwino nthawi yonseyi, ndiye kuti pali chiwopsezo chachikulu cha kuwonongeka mwendo wanu. Monga mukudziwa, mabala ndi kuvulala kulikonse kwa odwala matenda ashuga sikuchira. Ngakhale zowonongeka zazing'ono zimatha kukula, kuyamba kukula, ndipo phazi likufunika kuduladula. Izi ndi zomwe zimachitika. Kuti mupewe izi, phunzirani ndikutsatira mosamala malamulo osamalira mapazi, omwe alembedwa pansipa. Ngati miyendo yanu yapweteka chifukwa cha vuto la minyewa, werengani nkhani yakuti "Mapazi akumva kupweteka ashuga - momwe mungathandizire." Otsatirawa akufotokozera zoyenera kuchita ngati chidwi chamiyendo cha miyendo chiri, m'malo mwake, chichepetsedwa. Izi zimachitika pafupipafupi. Wodwalayo samva kupweteka m'miyendo, kusintha kwa kutentha, kulemera, kudula, matuza, nsapato, kugwera nsapato, zina. Munthu atha kukhala ndi vuto ili, kenako mwadzidzidzi zimapezeka kuti mwendo wayamba kuvunda ndipo muyenera kugona pansi patebulo kupita kwa asing'anga. Tsatirani malangizo omwe ali pansipa kuti mukhale ndi mwayi woyenda nokha.

Chiwerengero cha odwala matenda a shuga omwe ali ndi vuto la miyendo chikuchulukirachulukira nthawi zonse chifukwa kuchuluka kwa matenda ashuga a 2 kukuchulukirachulukira. Pa gawo la Russian Federation ndi mayiko a CIS, maofesi apadera oposa 200 a odwala matenda ashuga m'magawo azigawo. Mothandizidwa ndi njira zatsopano zamakono, madokotala amatha kupewetsa kuti azidulidwa.

Endocrinology Research Center ya Unduna wa Zaumoyo ku Russian Federation, Department of Diabetesic Phazist. Dm Ulyanova, nyumba 11(495) 500 00 90 Endocrinological Dispensary, Dipatimenti "ya Diabetes"st. Prechistenka, 37(495) 246-6573 Likulu la Moscow "Phazi la shuga"st. Ivan Susanin, 3(495) 905-1666 Clinic of Endocrinology MMA dzina lake I.M. Sechenova, nduna ya matenda ashugast. Pogodinskaya, 5(495) 248-3866 Chipatala cha Central Clinical cha Medical Center cha Ofesi ya Purezidenti wa Russia, Dipatimenti Yopanga Opanga Opaleshoni yokhala ndi "Diabetesic phazi"st. Marshal Tymoshenko, 15(495) 414-0300 Center zochizira yofunika m'munsi miyendo ischemiaDera la Moscow, Odintsovo, st. Marshala Biryuzova, 1(495) 599-72-41

Matenda a shuga a matenda ashuga amathandizidwa ndi dokotala wapadera wotchedwa podiatrist. Osasokoneza ndi dokotala wa ana.

Center for Opaleshoni ya Neuro-Ischemic Fomu la matenda a shuga a Syndromeic ndi Synologic Low Limb Ischemiast. Leo Tolstoy, d. 6-8, akumanga 38 - chipatala cha opaleshoni yamakutu(812) 91-7-91-91 Chipatala cha War Veteran, Diabetesic Phiri Lapamwambast. Narodnaya 21a+7-911-225-72-65 Maselo a Vasulin otchedwa T. Chapamwamba ku Chipatala cha Clinical No. 122Chikhalidwe Ave., 4+7 (812) 962-92-91 Likulu la mzinda lopulumutsa manja mothandizidwa ndi St. Petersburg City Public Health Institution "City Hospital No. 14 ″st. Kosinova, d.19+7 (812) 786 76 76 Center matenda a shuga №2st. Leni Golikova, d. 29-4(812) 757-30-78 Center matenda a shuga №3st. Novocherkasskaya, d. 56, nyumba 1(812) 444-14-63 Center matenda a shuga City4Chitetezo cha Ave Obukhov, 261(812) 368-44-67 Malo Otsutsa a Matenda a Sitiroko GKDC No 1st. Siqueirosa 10-D(812) 296-35-06

Kuti mupeze akatswiri omwe ali pafupi nanu, lembani pamalo osaka "odwala matenda a shuga" mzinda wanu, dera la pakati "kapena" kapitala wa matenda ashuga mzinda wanu, likulu lachigawo ". Pambuyo pake, mudzawona nthawi yomweyo omwe ali mabungwe azachipatala aboma komanso zipatala zapadera.

Tiyeni tiwone zomwe zimayambitsa mavuto kumapazi. Mu odwala matenda ashuga, kufalikira kwa magazi mu ziwiya zam'miyendo nthawi zambiri kumasokonezedwa. Osalandira chakudya chokwanira, khungu pamiyendo limakhala pachiwopsezo kwambiri kuwonongeka, ndipo amachira pang'onopang'ono. Frost imakhudzanso khungu la munthu yemwe ali ndi matenda ashuga, ngakhale kuti anthu athanzi amalola kuti kuzizira kuzizire popanda mavuto.

Popeza matuza, kuwotcha ndi kupsinjika kwa odwala matenda ashuga sizipweteka, sangakhale ndi chidwi ndi mavuto awo ndi miyendo yawo mpaka chigulu chayamba.

Chowonetsera china cha matenda ashuga ndi chakuti khungu lakumiyendo limataya thukuta ndipo limakhala louma nthawi zonse.Khungu louma, monga mukudziwa, nthawi zambiri limasweka. Ming'alu pakhungu la zidendene zimatha kusanduka zilonda. Popeza zilonda zamtunduwu sizimapweteka, wodwala matenda ashuga satenga njira zochizira, ndipo njirayo imayamba kulowamo. Mtundu wina wa matenda a shuga a shuga ndi omwe umalepheretsa kugwira ntchito kwa minofu kumapazi. Kusagwirizana kwa minofu kumachitika, komwe kumatsogolera kukuwonongeka kwa mafupa a phazi. Kusintha kwamtunduwu kumaphatikiza zala zakakhosi kapena zala zakumaso, komanso khonde lalitali komanso phazi lopindika.

Ngati matenda ashuga amalepheretsa kuwona, ndiye kuti vuto la phazi limayamba. Chifukwa munthu samawona bwino komwe amasuntha poyenda. Komanso, chiopsezo cha phazi la matenda ashuga chimakulitsidwa ngati miyendo ya wodwala yatupa chifukwa cha mavuto a impso. Chifukwa edema imachulukitsa kuchuluka kwa mapazi. Nsapato zimakhala zochepetsedwa, kufinya ndikuvulaza mapazi poyenda.

Zoyenera kuchita Njira yayikulu yothetsera ndikubwezeretsa shuga m'magazi ndi zakudya zamagulu ochepa. Ichi ndi chida chofunikira pothana ndi matenda amtundu wa 2 komanso matenda amitundu iwiri. Sinthani shuga lanu - mawonetseredwe a matenda ashuga adzatha. Mudzawachotsa pakatha miyezi yochepa, pazovuta kwambiri - zaka 2-3. Werengani ndikutsatira njira yachiwiri yothandizira anthu odwala matenda ashuga (onani apa) kapena lembani chithandizo cha matenda ashuga 1.

• Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
• Mankhwala 2 a shuga: nkhani yatsatanetsatane
• Mapiritsi a Siofor ndi Glucofage
• Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

Kupweteka kosatha kungakhale chizindikiro cha kupindika, kupunduka kwamapazi, kuphwanya, kuchuluka kwambiri, nsapato zosayenera, kapena matenda.

Kuchepa kwa khungu ndi chizindikiro cha matenda, makamaka ngati khungu lozungulira chilondacho lasanduka lofiira. Komanso nsapato zosasankhidwa bwino kapena masokosi amatha kutikita khungu.

Kutupa mwendo ndi chizindikiro cha kutupa, matenda, nsapato zosankhidwa bwino, kulephera kwa mtima, kapena kufooka kwa magazi m'matumbo.

Kukula kwa kutentha pakhungu kumatanthauza matenda kapena kutupa komwe thupi limayesa kupondereza koma osatha kupirira chifukwa chitetezo cha mthupi chimafooka ndi matenda ashuga.

Kuwonongeka kulikonse pakhungu ndi kwakukulu chifukwa kachilomboka kitha kulowa.

Chimanga chimatanthawuza kuti nsapato sizisankhidwa moyenera, ndipo poyenda katundu pamapazi sikugawidwa bwino.

Matenda oyamba ndi misomali ndi khungu la mapazi, misomali yolowera - imatha kutsogolera matenda.

Mafinya amatuluka chilonda - chizindikiro cha matenda opatsirana.

Kuyenda movutikira kapena kuvuta kumatha kuwonetsa mavuto, kuphatikiza matenda, kapena kuvala nsapato.

Thupi kapena kuzizira kophatikizana ndi chilonda pamiyendo ndi chizindikiro cha matenda oopsa omwe amaopseza imfa kapena kudula dzanja

Kuchepa kwa khungu kumafalikira kuzungulira chilondacho - zomwe zikutanthauza kuti matendawa amalowa, thupi silingathe kulimbana nalo, ndipo likufunika kuthandizidwa.

Kuchuluka kwa miyendo ndi chizindikiro cha kuperewera kwa mitsempha ya mitsempha (diabetesic neuropathy).

Ululu wamendo ndi chizindikiro cha phazi la matenda ashuga, koma amathandizidwa mosiyana. Werengani nkhani "Zilonda zam'mimba zokhala ndi matenda ashuga: momwe mungachiritsire."

Zizindikiro zowonjezera zamavuto am'magazi:

• kupweteka m'miyendo, komwe kumakulirakulira poyenda ndikumapumula,
• Tsitsi limasiya kukula m'miyendo ndi kumapazi,
• Khungu la miyendo limayamba ndipo likhala louma.

• calluses
• matuza
• msomali
• chida bursitis
• mitengo yanthaka,
• kupindika kwa zala,
• Khungu louma ndi lodzaza
• matenda oyamba ndi khungu la kumapazi (epidermophytosis ya phazi),
• bowa wa msomali.

Chimanga chimatuluka pamene gawo lina la phazi likuponderezedwa kwambiri kapena kupukutira kena kake. Monga lamulo, chifukwa chake ndi nsapato zosankhidwa bwino. Ndikulimbikitsidwa kuti chimanga chizichotsa mwala ndi mwala wa pumice mukasamba. Dr. Bernstein zinthu: Osachotsa konse chimanga! Osazichita nokha ndipo musalole aliyense, kuphatikizakwa adotolo. Chifukwa chilondacho sichikhala pomwepo ndikuchotsa chimanga, chomwe chimasintha kukhala chilonda.

Dr. Bernstein akuti kuchotsa chimanga ndichomwe chimayambitsa zilonda, zomwe zimayambitsa matenda. Chotsatira - gangrene ndi kuduladula ... M'malo mochotsa chimanga, konzani ndikuvala nsapato zabwino zamankhwala amphongo. Pambuyo pake, katundu pamapazi poyenda adzagawidwa molondola, ndipo chimanga chitha pang'onopang'ono.

Zilonda zikumenyetsa malo akhungu lodzaza ndi madzi. Chotupacho chimapangidwa chifukwa chakuti nsapato zimapaka malo omwewo phazi limodzi. Chotumphukira chimatha kuonekanso ngati muvala nsapato zopanda masokisi. Popewa matuza, nsapato ziyenera kukhala zazingwe, ndipo musapite popanda masokosi. Ngati pali chotupa pamwendo, wodwala matenda ashuga ayenera kuwona katswiri. Dokotala adzaika bandeji moyenera. Ngati matenda ayamba, dokotala amachotsa mafinya ku chithuza ndikuwapatsa mankhwala othandizira.

Misomali imakula ngati munthu sawadula bwino kapena kuvala nsapato zolimba kwambiri. Osamadula misomali mozungulira m'mphepete. Ndikofunika kuti musadule ndi lumo, koma muziwasanja ndi fayilo ya msomali. Wodwala matenda ashuga sangasiyidwe popanda msomali wovomerezeka; ayenera kukaonana ndi dokotala. Mwina adotolo akuganiza zochotsa mbali ina ya msomali kuti asathenso kulowa. Ichi ndi choyipa chocheperapo kuposa bala lomwe lidayambukiridwa, gangore ndi kuduladula. Ngati kachilombo kaoneka kale pachala, adokotala amupatseni mankhwala othandizira.

Bursitis ndi bulge pamphepete wakunja kwa chala chachikulu. Popita nthawi, imatha kudzaza ndi minofu ya mafupa komanso madzimadzi. Bursitis imapangidwa ngati chala chimasokera kumbali ya zala zina. Ili likhoza kukhala vuto lobadwa nalo. Zidendene zapamwamba komanso nsapato zazala zazitali zimakulanso chiopsezo chanu. Popewa bursitis kukula, dokotala angapangitse kugwiritsa ntchito nsapato zofewa. Ululu ndi kutupa zimatsitsidwa ndi mankhwala. Ngati bursitis imayambitsa kupweteka kwambiri pafupipafupi, ndiye kuti imachotsedwa modabwitsa. Popewa, Valani nsapato zomwe zikugwirizana ndi kukula kwanu.

Mitengo ya Plantar ndi zophukira zazing'ono za utoto. Nthawi zina amakhala ndi madontho akuda akuda. Mitengo yokhala ndi nthochi imayambitsa papillomavirus yaumunthu. Kachilomboka kamalowa kudzera pazilonda zochepa pakhungu la miyendo. Warts imatha kukhala yopweteka komanso kusokoneza kuyenda. Kuti muchepetse kufalikira, sambani m'manja nthawi iliyonse mukakhudza nsapato zanu. Mapazi ayenera kukhala oyera ndi owuma. Osayenda nsapato m'malo a anthu. Dokotala atha kukuwuzani kuti muchotse mankhwalawa ngati laser, nitrogen yamadzi, kapena opaleshoni yamankhwala opaleshoni yam'deralo.

Makina ngati khosi lolowera zala limachitika chifukwa chakuti kulumikizana kumodzi kumiyendo yayikulu kapena ziwiri zazingwe zosakhazikika. Izi ndichifukwa choti minyewa yakumapazi imafooka chifukwa cha matenda ashuga. Ngati pali vuto la kupindika kwa zala, ndiye kuti mawonekedwe a mapaziwo amasintha. Pangakhale zovuta kuyenda. Sizovuta kupeza nsapato zoyenera. Choopsa chachikulu - mabala ndi zilonda zam'mimba zomwe zimatengedwa ndi matenda zimatha kuchitika. Chithandizo - mankhwala a orthopedic insoles mu nsapato, komanso mankhwala a ululu ndi kutupa. Woopsa, opareshoni.

Khungu lowuma ndi losweka ndilakhungu ndi kusweka. Mtundu wa pakhungu amasintha, umatha kuyaka. Pali zifukwa zingapo zoyambitsa vutoli - shuga wamagazi ambiri, kuwonongeka kwa mitsempha, komanso magazi osayenda bwino kupita m'miyendo. Ming'alu pakhungu ndi owopsa chifukwa kachilomboka kamakhala mwa iwo. Sungani chinyezi komanso khungu lanu la kumapazi. Mafuta owirikiza nthawi zonse ndi mafuta monga tafotokozera pansipa mu gawo la "Kusamalira Mapazi: Tsatanetsatane Watsatanetsatane". Ngati simungathe kupirira ndipo khungu likulipira, pitani kuchipatala. Mutha kupatsidwa mankhwala oti mumupangiri mafuta ambiri. Lankhulani ndi dokotala wanu za mavitamini A ndi mavitamini a zinc.Osangomvera ndalamazi! Inde, chinthu chachikulu ndikuchepetsa shuga m'magazi ndikuwasunga bwino.

Matenda oyamba ndi khungu la kumapazi amawonetsedwa ndi zizindikiro - kuyabwa, kuyaka, redness, ming'alu pakhungu. Mafangayi amachulukana pamiyendo komanso pakati pa zala. Kuti mupewe, sungani mapazi anu owuma momwe mungathere. Osamavala nsapato zomwezo nthawi zonse. Khalani ndi nsapato zingapo kuti musinthe. Mukuvala imodzi, ina imalira. Usiku, nsapato zilibe nthawi kuti ziume. M'malo apagulu musamayende opanda nsapato, valani osalala. Masokisi amayenera kupangidwa ndi zinthu zachilengedwe - thonje kapena ubweya. Mankhwala amagulitsa mafuta ndipo amapopera polimbana ndi bowa pamiyendo. Ngati ndi kotheka, dotolo adzalembera kalata yamapiritsi amphamvu.

Nail fungus - njira zofananira zofananira ndi matenda oyamba ndi khungu la mapazi. Mafangayi amapangitsa kuti misomali ikhale yolimba, zimakhala zovuta kuzidula. Mtundu wa msomali ukusintha. Nthawi zina misomali yomwe imakhudzidwa ndi bowa imagwera. Dokotala atha kukulemberani mapiritsi, kuchotsera msomali kapena mwamankhwala. Fangasi ya msomali imathandizidwanso ndi laser, koma pamakhala kutsutsana pakati pa akatswiri pazomwe njirayi imathandizira bwino.

Zizindikiro

Mavuto amendo mu shuga angayambike chifukwa cha kuwonongeka kwa mitsempha, kutsekeka kwa mitsempha yamagazi yomwe imadyetsa miyendo, kapena onse. Izi zimatchedwa neuropathic, ischemic, kapena mawonekedwe osakanikirana a matenda ammimba a shuga. Dokotala amafufuza mtundu wa matendawa ndipo amafufuza kuti apereke mankhwala oyenera.

Zomwe adotolo amachita

Amaonetsetsa miyendo yakeDziwani zizindikiro za phazi la matenda ashuga (onani pamwambapa)X-ray kapena maginito oyang'ana m'magaziOnani kuwonongeka kwamafupaYesani kuti mumve kutentha, kutentha, kukhudza, ndi mawonekedwe a bondo.Kuti mudziwe momwe wodwalayo amawonera wodwala matenda ashugaAmayendera nsapato za WodwalaKuti muwunikire momwe nsapatoyo ilili yoyenera komanso kukula, ngakhale mutakhala mitembo yakunja, ngati siyokhayo siyimitsidwaImatumiza zomwe zili ndi bala kuti zithekeDziwani mankhwala omwe angathandize ndi omwe sangathe.

• Ultrasound ya ziwiya za m'munsi,
• M-mode ultrasound dopplerography (USDG),
• muyeso wa kalozera wamchifuwa,
• transcutaneous oximetry.

Pali kafukufuku wina - radiopaque angiography. Wothandizira mosiyanitsa ndi wailesi amalowetsedwa m'magazi a wodwalayo, omwe "amawala" m'makoma a ziwiya. Phunziroli ndilothandiza kwambiri, koma lingayambitse mavuto kuchokera ku impso. Chifukwa chake, limayikidwa mosamala. Komabe, ngati opareshoni yakonzekera kubwezeretsa kutuluka kwa magazi m'matumbo, ndiye kuti ndizofunikira.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

0Palibe zilonda pano, koma chiwopsezo chake ndi chachikulu - chimanga, kupunduka kwa phazi 1Zilonda zapamwamba 2Zilonda zakuya. Ma toni koma osati mafupa omwe angakhudzidwe. 3Zilonda zakuya zowonongeka ndi mafupa 4Gangrene pa zala 5Gulu lodzaza ndi miyendo yonse

Kukula kwake kumatengera kutalika kwa matenda ashuga, momwe wodwalayo amathandizidwira, ngakhale atalimbikitsidwa kutsatira regimen. Matenda obwera ndi ofunikanso - atherosulinosis, matenda oopsa, zovuta za matenda a shuga mu impso ndi vuto la kuchepa kwa thupi. Chifukwa chake, pamene wodwala matenda ashuga apita kwa dokotala chifukwa cha zovuta za mwendo, kuyezetsa kumayenera kukhala kokwanira.

• Kuyesedwa kwa Matenda a shuga - Mndandanda Watsatanetsatane
• Miyezo ya shuga yamagazi - zomwe muyenera kulimbana nazo

Mapazi a Charcot (diabetesic osteoarthropathy)

Mapazi a Charcot (diabetesic osteoarthropathy) ndi vuto la matenda ashuga, chifukwa chomwe kulumikizana ndi mafinya ndi minofu yofewa ya phazi, mawonekedwe ake amasintha. Kumayambiriro, kulumikizana kumakhala kowuma ndikutupa. Pambuyo pake, minofu imafooka ndikusiya kulimbana ndi katunduyo.Chifukwa cha izi, pali mavuto ndi mafupa, phazi limakhala lopindika. Zonsezi zimachitika mwachangu.

Chomwe chimapangitsa kuti phazi la Charcot likhale ndi matenda ashuga a shuga. Mitsempha yowonongeka singathe kufalitsa chizindikiro kuchokera ku mwendo kupita ku ubongo. Chifukwa chake, munthu molakwika amaponda phazi lake poyenda. Kuwonongeka kwa mafupa ndi mafupa kumabweretsa kupweteka, koma odwala matenda ashuga samamva. Akupitilizabe kupondaponda mpaka phazi lake limaoneka bwino.

• Khungu la phazi limasanduka lofiira, kutentha pamutu pake kumatuluka,
• mwendo umatupa
• kupweteka kumamveka, koma nthawi zambiri kulibe chifukwa cha neuropathy.

Chithandizo cha matenda a shuga a shuga - mwendo umayikidwa mu bandeji yapadera yopangidwa ndi ma polymer. Izi zimapangitsa kuti zitheke kumasula madera omwe akhudzidwa ndi phazi. Zotheka kuti dokotala amuuze wodwalayo kuti ayende ndi ndodo kapena ngakhale akhale pa wheelchair. Nthawi zina mafupa opindika amawabwezeretsa ngati opareshoni.

Kupewa

Kupewa ndikukhazikitsa malamulo osamalira bwino miyendo ndikuyang'ana miyendo tsiku ndi tsiku. Malangizo posamalira phazi amaperekedwa pansipa. Tsopano tikambirana za momwe mungayang'anire mapazi a wodwala yemwe ali ndi matenda ashuga, zomwe muyenera kuyang'ana. Mapazi amayenera kuwunikidwa tsiku lililonse, kuyambira kumwamba, kenako kuchokera kumbali ya yekhayo. Onani khungu pakati pa zala zanu mosamala. Mungafunike kalilore wa izi. Ndikofunika kuti wina achite nawo mayeso kumapazi, osati odwala matenda ashuga okha.

Ntchito yoyeserera siyiyenera kuphonya ngati chimanga chatsopano, kutupa, kufinya, malo opweteka, zotupa za pakhungu, kapena kusintha kwina kulikonse. Maonekedwe, mtundu wake ndi kutentha kwa phazi kumatha kusintha. Kuzindikira kukhudza - kufooketsa kapena kukhazikika. Ngati mukuwona kuti zosinthazo zikuyipiratu - m'mawa wotsatira, funsani dokotala, osakoka. Pakhoza kukhala mafupa ang'onoang'ono ndi mafinya a mafupa, chifukwa chomwe phazi limatupa, mawonekedwe ake amasintha. Izi zimafunikira chisamaliro chofunikira kuchokera kwa dokotala.

Ngakhale zowonongeka zazing'ono zimatha kusintha kukhala zilonda zam'mimba, zomwe zimakhala zazitali komanso zovuta kuchiritsa. Pankhani ya matenda obwera ndi mabakiteriya pachilonda, khungu limakula, ndipo mwina kungodulidwa kumene kungapulumutse wodwalayo kuimfa.

Khungu la miyendo likakhala lakuda kapena mosinthasintha, tsitsi limasowa - izi zikutanthauza kuti magazi m'miyendo akuchepa. Choyipa chachikulu ndikupereka kwa okosijeni ndi zakudya m'maselo, ndizowonjezera kuwonongeka kwa khungu. Onani ngati khungu lakukhudza kukhudza likukula. Kuti muchite izi, mutha kugwiritsa, mwachitsanzo, nthenga. Onetsetsani kuti wodwala matenda ashuga amatha kumva kusiyana pakati pa madzi ofunda ndi ozizira atatsitsa phazi lawo m'madzi. Musanasambe, muyenera kuwona kutentha kwa madzi ndi dzanja. Mulimonsemo, thermometer yosamba iyenera kukhala ndikuigwiritsa ntchito.

Matenda a matenda ashuga a phokoso nthawi zambiri amakula chifukwa wodwala wavulala mwendo, koma samva. Cholinga cha kuyesedwa kwa tsiku ndi tsiku ndikuwonetsa kusintha komwe odwala matenda ashuga sanawone panthawi yomwe adachitika. Madokotala tsopano ali ndi zovala zamakono zopaka bwino. Izi ndi zida zomwe zimathandizira kuchiritsa mabala m'miyendo, kupewa matenda, zilonda zam'mimba komanso kudula. Komabe, muyenera kumuwona dokotala nthawi. Pamene gangrene yayamba kale, palibe njira ina kuposa kudulira.

Tsatirani malamulo osamalira phazi, yang'anirani phazi tsiku ndi tsiku ndikuyang'ana dokotala mukangoona kuti china chake chikukusokonekera. Njira zazikulu zopewera ndi kuchiza matenda ashuga ndikuchepetsa magazi kukhala abwinobwino, ndikuwasunga mokhazikika, monga mwa anthu athanzi. Izi zitha kuchitika ndi matenda a shuga amtundu wa 1 ndi mtundu wa 2 omwe amakhala ndi zakudya zotsika kwambiri za carb. Lamulirani kagayidwe kanu - ndipo ambiri mwa zizindikiro za matenda ashuga adzatha nthawi. Makamaka, chidwi cha miyendo chimabwezeretsedwa.Komanso kuwonongeka pakhungu pamiyendo kuchira. Koma, mwatsoka, ngati mitsempha ya magazi yatsekedwa, ndiye kuti mawonekedwe awo sangathe kubwezeretsedwanso. Komanso, ngati mutaduka kapena kufalikira mafupa amiyendo, ndiye kuti izi sizingathe.

Kusamalira Mapazi: Malangizo atsatanetsatane

Otsatirawa ndi malamulo osamalira odwala phazi la mtundu 1 ndi matenda ashuga 2. Ngati mphamvu miyendo itenthe, kutentha ndi kupsinjika kwambiri zimatayika, ndiye kuti ziyenera kuchitidwa makamaka mosamala. Iyi ndi njira yokhayo yopezeka pa tebulo la opareshoni kwa dokotala yemwe wachita kuduladula.

Nthawi yomweyo, ngati mungagwiritse ntchito pulogalamu ya 1 ya matenda a shuga kapena mtundu wachiwiri wa matenda a shuga ndikusungitsa shuga m'magazi anu komanso nthawi zonse, pakapita nthawi, mphamvu zamitsempha zimabwezeretseka. Pambuyo pake, chiwopsezo cha mavuto amiyendo amiyendo mu shuga amachepetsa mpaka zero. Kubwezeretsa chidwi chamanjenje kumatenga pafupifupi miyezi ingapo, ndipo nthawi zambiri zaka 1-2.

Siyani kusuta! Kusuta kumapangitsa magazi kulowa m'miyendo, motero, kumakulitsa mwayi womwe kudzicheka kuyenera kuchitidwa posachedwa.

Kuopsa kowotcha miyendo yanu ndikokwera, chifukwa chidwi chamapazi ndi kutentha sichitha. Sungani miyendo yanu kutali ndi malo otentha momwe mungathere. Izi sizitanthauza kuti ndizoyatsira moto, zotenthetsa, mabotolo amadzi otentha kapena bulangeti lamagetsi. Kusamba kapena kusamba, madzi amayenera kukhala ozizira, osatenthedwanso.

Nthawi yozizira, valani masokosi akuda kwambiri ndi nsapato zazitali m'lifupi kuti isakuikirani miyendo yanu masokosi. Ngakhale kufalikira kwa magazi m'mitsempha ya miyendo kungayang'anitsidwe ndi dotolo mothandizidwa ndi "transcutaneous oximetry" yopweteka. Ngati zaphwanyika - musakhale ozizira kwa nthawi yopitilira mphindi 20 motsatana. Osamayenda wopanda nsapato, ngakhale mumsewu, ngakhale m'nyumba.

Ngati mumasambitsa mapazi anu ndi mankhwala aliwonse, ndiye kuti muzingochita monga mwauzidwa ndi dokotala. Zinthu zambiri zomwe zimagulitsidwa pa mankhwala ogulitsa mankhwala ndizowopsa pakhungu la miyendo ya wodwala matenda ashuga. Mwachitsanzo, ayodini, hydrogen peroxide ndi salicylic acid. Osagwiritsa ntchito ayodini kapena hydrogen peroxide kuti muchepetse mabala amiyendo, ngakhale dokotala atakulangizani. Gulani ayodini wapadera mu mankhwala omwe samawotcha khungu, ndikuwasunga.

Ngati muli ndi khungu louma pamapazi anu, ndiye kuti mufunse wopanga zamtima kapena wamankhwala kuti asakupatseni beta-blockers okhathamira magazi kapena mavuto amtima. Chifukwa kumwa mankhwala kuchokera pagulu la beta-blocker kudzakulitsa kusintha kwa khungu la miyendo yanu. Momwe mungachiritsire matenda a mtima popanda mapiritsi a "mankhwala" owopsa, werengani apa - awa ndi malo ochiritsira matenda oopsa, monga a Diabetes-Med.Com.

Ngati chimanga chawoneka m'miyendo yanu, ndiye musayese kuzichotsa! Osagwiritsa ntchito misomali, scalpel, kapena zinthu zina. Osadzichotsa nokha chimanga ndipo musalole aliyense kuti achite izi, kuphatikizaponso wa podiatrist. Khungu loyipa pama calluses ndikuteteza kwamiyendo kumapazi kuwonongeka chifukwa cha nsapato zosasankhidwa bwino. Mukachotsa chimanga, ndiye kuti chitetezo chimatha.

Kuchotsa chimanga mwa odwala matenda ashuga ndizomwe zimayambitsa zilonda zam'mimba, zomwe zimapangitsa kuti azidulidwa phazi. Ngati ma calluses ali ndi miyendo, muyenera kusinthira ku nsapato za orthopedic. Ngati nsapatozo zidasankhidwa molondola, ndiye kuti sipadzakhala zochulukitsa pamiyendo ya kumapazi, ndipo nthawi ikakwana, chimanga chidzazimiririka.

Ngati wodwala wodwala matenda ashuga ali ndi zala zoonda, ndiye muyenera kudziwa ngati bowa ndi amene amayambitsa izi. Zitapezeka kuti iyi ndi matenda oyamba ndi fungus, ndiye kuti dokotala adzafotokozereni chithandizo chomwe chikufunika kuthandizidwa ku misomali yomwe yakhudzidwa kawiri pa tsiku. Tsoka ilo, bowa nthawi zambiri amayenera kulandira chithandizo kwa miyezi 12 kapena kupitilira apo. Osati chithandizo chakuchipatala chokha chofunikira, komanso kumwa mapiritsi odana ndi fungus.

Ndikofunika kusindikiza pa chosindikizira malamulo osamalira phazi, omwe amaperekedwa pamwambapa, komanso gawo "Momwe mungasungire ukhondo wamapazi." Werengani werengani nkhaniyi nthawi ndi nthawi ndikuwonetsa am'banja lanu odwala matenda ashuga nawo. Ngati mumatsatira bwino mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa matenda ashuga, mutha kusunga shuga wanu wamagazi kukhala wokhazikika. Pakupita miyezi yochepa, chidwi cha mitsempha mumiyendo chimayamba kuchira pang'onopang'ono. Osati mochedwa zaka 2-3, adzachira kwathunthu. Chiwopsezo cha matenda ammagazi a shuga kapena matenda osokoneza bongo adzachepa pafupifupi zero.

Momwe mungagule nsapato

Gulani kapena kuyitanitsa nsapato zonse m'mawa osati masana, koma madzulo, chifukwa nthawi yamadzulo kukula kwakukulu kumapazi. Nsapato ziyenera kukhala zabwino mukamayesera kwa iwo koyamba. Siyenera kukhala yofunikira kuvala nsapato zatsopano. Nsapato zokhala ndi zala zakaloledwa siziyenera kuvalira. Mumafunikira nsapato zokhala ndi malo akulu komanso ofanana kumanja. Nsapato zam'mimba ndizosankha bwino. Sizowoneka zokongola kwambiri, koma ndizabwino komanso zimawonjezera mwayi kuti mutha kupulumutsa miyendo yanu osawonongeka.

Osamavala nsapato ndi chingwe pakati pazala zanu. Chifukwa choti zingwe zimatha kukola khungu lanu. Zotupa zimatuluka, zomwe zimasanduka chilonda. Osamavala nsapato zomwezo masiku angapo motsatana. Khalani ndi nsapato zingapo zabwino kusinthana tsiku lililonse. Nthawi iliyonse, musanavale nsapato, muziyang'ana kuchokera mkati. Sipayenera kukhala zinthu za gulu lachitatu - miyala ya kanjedza, etc.

Musamavale masokisi kapena masokosi okhala ndi zotanuka zolimba zomwe zimapondera miyendo ndikuchepetsa kuyenderera kwa magazi mu ziwiya. Osamavala masokosi okhala ndi mabowo kapena okongoletsedwa. Musamavale masokosi owonda kwambiri kapena zokhala ndi zingwe zolimba. Masokosi ovuta amatha kuwononga khungu la miyendo, kuyambitsa chithuza choyamba, kenako zilonda kenako mpaka kumavulala. Kusungika pa nsalu kumatha kutayikitsa kwambiri chifukwa cha kulumala.

Ukhondo wathanzi labwino

Tsiku lililonse muyenera kupenda mapazi a wodwala yemwe ali ndi matenda ashuga, ngati panali zovulala kapena zizindikilo zatsopano kuti nsapato sizinali bwino. Onetsetsani kuti palibe matuza, chimanga, ming'alu, zovuta za bowa kapena zowonongeka zina pakhungu la miyendo. Onaninso khungu pakati pa zala zanu. Yenderani zidendene ndi galasi. Ngati wodwala matenda ashuga sangathe kuchita izi payekha, ndiye kuti ayenera thandizo la munthu wina. Ngati mukuwona kuwonongeka kwa miyendo yanu, funsani dokotala wanu nthawi yomweyo.

Musayang'ane kutentha kwa madzi osamba ndi phazi lanu, koma ndi dzanja lanu lokha, bwino - gulani ndikugwiritsa ntchito thermometer yosamba. Kutentha kwamadzi mu bafa sikuyenera kupitilira kutentha kwa 33 digiri Celsius. Chifukwa ngakhale kutentha kwamadzi kwa madigiri 34 Celsius kumatha kuyambitsa kutentha ngati magazi m'mitsempha asokonekera.

Osamiza madzi m'madzi kwa nthawi yayitali kuposa mphindi 3-4. Kupanda kutero, khungu kumapazi limanyowa, ndipo pakhungu lowira, chiopsezo chowonongeka chikuwonjezeka. Kutsatira lamuloli, musakhale nthawi yayitali kwambiri m'bafa kapena shawa. Sambani mwachangu ndi kutuluka. Yesani kuti musanyowe. Ngati paliopseza kukulitsa phazi la matenda ashuga, ndiye kuti nyengo yamvula ndiyowopsa. Nsapato zazitali ndi mapazi - osavomerezeka.

Ngati mukufuna kusambira mu dziwe, ndiye musanakwere m'madzi, ikani mafuta amchere (petroleum jelly) pakhungu lanu kuti muteteze madzi. Mukamaliza kusambira, chotsani mafuta odzola m'miyendo yanu ndi thaulo.

Ngati khungu lanu lakhazikika pamiyendo yanu, liwikeni mafuta kamodzi pachaka, pafupipafupi. Izi zimachepetsa chiopsezo cha kusweka. Mafuta azonunkhira komanso mafuta abwino ndi oyenera.

Nthawi yozizira, muzivala masokosi ofunda opangidwa ndi zinthu zachilengedwe komanso nsapato zabwino zautali woyenera. Musamavale masokosi ndi zotanuka zolimba zomwe zimakakamiza mitsempha yamagazi ndikutsitsa magazi.Ngati mukuyenda mozungulira m'miyendo yanu, osangokhala ozizira kwa nthawi yopitilira mphindi 20 motsatana.

Dulani zoseweretsa pokhapokha ngati mukuwona bwino zomwe mukuchita. Ngati sichoncho, pemphani thandizo kunja kwa izi. Ngati mukukayikira kuti zala zanu zakhudzidwa ndi bowa, musonyezeni adokotala ndipo akupatseni mankhwala. Mapazi anu ayenera kukhala owuma komanso ofunda nthawi zonse, osawuma, osatupa kwambiri, komanso osathukuta.

Matenda a matenda ashuga

Njira yodwala odwala matenda ashuga ndi njira zingapo zingapo:

1. Kuphunzitsa wodwalayo maluso - kupenda mapazi tsiku ndi tsiku, kusintha mavalidwe ndi zina zofunika.
2. Kuwongolera shuga, kuthamanga kwa magazi ndi cholesterol yamagazi.
3. Chithandizo chowawa - kuvala, kuchotsa opaleshoni ya minofu yosagwira.
4. Maantibayotiki kuti athane ndi matenda.
5. Mavalidwe a Total Contact Cast, omwe amathandizanso madera omwe akhudzidwa ndi phazi kukakamizidwa kwambiri.
6. Kubwezeretsanso magazi m'miyendo, kuphatikizapo kudzera mu opaleshoni ya mtima.

Nthawi zambiri mwa odwala omwe ali ndi matenda ashuga, mphamvu ya mitsempha imasokonekera chifukwa chake miyendo sikuvulala, ngakhale zowonongeka. Nthawi yomweyo, kuchiza matenda osokoneza bongo ndi zovuta zambiri. Chifukwa chake, odwala ena amayesedwa kuti atuluke. Zotsatira zake, adzakhala pa tebulo la opareshoni kwa dokotala wa opaleshoni. Chifukwa ngati ma virus amafalikira momasuka mabala m'miyendo, ndiye kuti amayambitsa gangore. Kudula kungathe kupewedwa pokhapokha ngati chithandizo chayamba nthawi yake ndipo boma limalangidwa.

Momwe mungachiritsire zilonda zapazi

Zilonda zam'mapazi za odwala omwe ali ndi matenda a shuga nthawi zambiri sizimayambitsa kupweteka chifukwa cha neuropathy - kuchepa kwa mitsempha. Koma izi sizabwino, koma vuto. Chifukwa kusowa kwa ululu kumapangitsa odwala kuyesedwa kuti asalandire. Anthu odwala matenda ashuga oterewa amangogwira mwendo utayamba kuwola. Yang'anirani chithandizo ndi kupewa kwa matenda ashuga kuti musadwale, kuti mutha kuyenda moyenera.

1. Kuwongolera shuga la magazi mosamala ndikofunikira, apo ayi sipapambana.
2. Pangakhale kofunikira kuchotsa minofu yosagwira. Kwa izi, sikuti ndimangopanga opaleshoni yokha, komanso njira zina (onani pansipa).
3. Zilondazo zimayenera kukhala zoyera ndikuziteteza ku zinthu zakunja.
4. Yenderani malo owonongeka tsiku ndi tsiku, sinthani bandeji, ndikutsatira malangizo ena a dokotala.
5. Yesetsani kuyenda pang'ono mpaka zilonda zapaziyenda.
6. Kuyenda osavala nsapato ndizoletsedwa.

Kuyambira mu 2000s, madotolo awoneka mu zida zamitundumitundu yosiyanasiyana yochizira mabala am'miyendo odwala matenda ashuga. Kuvala kumatha kuyamwa mafinya kuchokera pachilonda ndikukhala ndi mankhwala ophera tizilombo. Pogwiritsa ntchito kuvala, mutha kuyika ma enzyme ku zilonda zam'mimba zomwe zimachotsa zovuta zomwe sizingatheke, m'malo mozichotsa. Zovala zamakono ndi chida chothandiza chomwe chimafulumira kuchiritsa.

Amakhala kuti mabala amasiyidwa otseguka chifukwa mpweya umawathandiza kuchira. Madokotala tsopano akudziwa kuti mabala amachira msanga, ndipo chiopsezo chotenga kachilomboka ndichoperewera ngati mungawasungunuka ndikuwaphimba mabandeji. Kuyambira koyambirira kwa 2000s, chithandizo cha zilonda zam'miyendo chakhala bwino kwambiri. Palinso mabandeji amtundu wa chitho kapena filimu yowonekera, mmalo mwa mabandeji akale. Kusankha mwanjira inayake yamankhwala kumachitika ndi adokotala. Komabe, kufunikira kwa kayendetsedwe kabwino ka shuga m'magazi sikunathetsedwe.

Ngati wodwala sanalandiridwe kuchipatala, koma atumizidwa kunyumba kuti akalandire, ndiye, kuwonjezera pazovala, maantibayotiki amatha kuperekedwa. Ayenera kutengedwa chimodzimodzi ndi momwe dokotala amafotokozera. Simungachepetse mankhwalawo kapena kuonjezera mwanjira iliyonse. Asanapereke mankhwala othandizira, dokotala amatha kutumiza zitsanzo za minofu kuti ziziunike kuti mudziwe kuti ndi majeremusi ati omwe amayambitsa matenda. Muyenera kupita kwa dokotala masiku onse ochepa kuti mukamayesedwe.

Zilonda pamapazi nthawi zambiri zimawonekera chifukwa chakuti katundu sawagawika bwino poyenda. Kuchiritsa wodwala kuchokera pachilonda, pangafunikire kuchepetsa kukakamiza kwa mbali ya phazi. Kuti muchite izi, gwiritsani mavalidwe a Total Contact Cast, omwe akufotokozedwa mwatsatanetsatane pansipa. Kuphatikiza pa bandeji, wodwalayo afunika kuyitanitsa nsapato zamatumbo. Mwina adokotala angakulimbikitseni kuti muzivala ndodo kwakanthawi kapena kuti musunthane pa wheelchair. Ngati izi zikuthandizira kupewa kudula, musakane.

Mavalidwe Konse Kulumikizana ndi Cast

Kuwonetsetsa kutsitsa kwa phazi lomwe lakhudzidwalo kuti lisapanikizike kwambiri ndi gawo lofunika kwambiri kuti machiritso amala athe. Ndipo makamaka, zochizira matenda ashuga neuroosteoarthropathy (mapazi a Charcot). Kafukufuku watsimikizira motsimikiza kuti chida chothandiza ndikugwiritsa ntchito kuvala kwamtundu wa Total Contact Cast.

Bandejiyi imachepetsa kuyenda kwa phazi ndi mwendo. Lero, ndi chida choyamba chambiri kuchepetsa zovuta: zilonda zamkati, kupunduka komanso kuwononga mafupa, komanso matenda am'mimba, omwe amachititsa kuti azidulidwa. Njira yonse yolumikizirana imatha kuyikidwa ndi endocrinologist kapena dokotala wa opaleshoni, kuchipatala kapena kuchipatala.

Total Contact Cast ndi bandeji yokhazikika pamtondo ndi phazi, yomwe imapangidwa ndi zida zamakono za polima. Mukamagwiritsa ntchito, gawo lomwe lakhudzidwa ndi matenda ashuga limatsitsidwa, chifukwa cha njira zotsatirazi:

1. Mpaka 30% ya katunduyo amawasamutsa kuchokera kumapazi kupita kumapazi.
2. Dera lamapazi othandizira limakulirakulira ndi 15-24%. Pankhaniyi, katundu pazigawo zosiyanasiyana amagawidwa mofanananira. Chifukwa chake, katundu wambiri pamitu yayikuluyo amatsitsidwa ndi 40-80%.
3. Kavalidwe kamateteza mabala kuti asasokonekera.
4. Kutupa kwamiyendo kumachepetsedwa.
5. Pambuyo povala kuti muthe kutetezedwa ndikuwonjezereka kwa wodwala, Total Contact Cast Ikani Mtambo Wopepuka, nsanja yokhala ndi ma clasps.

Poyenda mumsewu payokha nsapato zopangidwa ndi mafupa amagwiritsidwa ntchito. Potere, wodwalayo amalangizidwa kuti asamayende mtunda wautali 30% ya mtunda wake.

Zisonyezero pakugwiritsa ntchito polima polase:

• pachimake gawo la odwala matenda ashuga,
• nthawi yayitali ya osteoarthropathy, yomwe inali yovuta ndi kukula kwa chilonda cha kumapazi,
• kudzipereka kwapakati (pamiyendo yonse) ya osteoarthropathy ndi / kapena zilonda zam'mapazi.

Kutsutsana kotheratu pakugwiritsira ntchito Total Contact Cast ndi njira yolowerera yopatsirana mkati mwa minofu yaku phazi, komanso gangrene kapena sepsis.

kwambiri ischemia (kuzungulira kwa chisokonezo) cha malekezero, ngati chidendene cha brachial index mankhwala - maantibayotiki

Ngati bala lili ndi kachilomboka kapena ngati pali chiopsezo chotenga kachilombo ka matenda ashuga, mankhwala opatsirana othandizira amapatsidwa mankhwala. Kuchita bwino kwake sikumangotengera kusankha koyenera kwa maantibayotiki ndi njira yoyendetsera, komanso chithandizo cha opaleshoni ya bala. Mankhwalawa amayenera kukhala a panthawi yake komanso okwanira, makamaka ngati matendawa ndi oopsa komanso akuya kwambiri. Mankhwala othandizira phazi sayenera kuchedwetsa, koma ayenera kuchitika nthawi yomweyo pamene mankhwala a antibayotiki atchulidwa. Ziyenera kukhala zowoneka bwino, i.e., zimakhudza minofu yonse yovuta komanso yosagwira.

Ngati wodwala ali ndi zizindikirazi, ndiye kuti zikuwoneka kuti akuyenera kuthandizidwa ndi maantibayotiki, komanso mu Mlingo wokwanira, ndikuyamba mwachangu. Koma mu shuga mellitus, makamaka odwala okalamba, chitetezo cha mthupi chimasandulika kukhala hyporeactive, i.e., imayankha mofooka kumatenda. Zikatero, zizindikiro zomwe zatchulidwazi sizikuwoneka, ndipo adotolo amayenera kukupatsani mankhwala opha maantibayotiki, ndikuwonetsetsa momwe matendawo awonekera.

Mabala owopsa komanso osakhazikika, zizindikiro za matenda ndizosiyana. Poyamba, ndi chotupa, kutupa, kupweteka, kutentha thupi, mafinya amasulidwa ku bala.Mabala osatha, Zizindikiro zopatsirana ndikuwoneka ngati ululu m'zilonda ndi minyewa yoyandikana nayo, fungo losasangalatsa, kuchuluka kwa kukula kwa bala, kusintha kwa mtundu wa "kutumphuka", ndi kumasulidwa kwa mafinya kapena magazi kuchokera bala.

Mankhwalawa amathandizira odwala matenda a shuga kumapazi, kapena wodwala atha kupita nawo kunyumba mapiritsi. Njira yoyamba ndiyofunikira ngati matendawa ali oopsa, ndipo akuwopseza moyo wa wodwalayo kapena chitetezo cha dzanja. Ngati wodwala yemwe ali ndi matenda ashuga apezeka ndi phlegmon, ma abscesses wozama, chonyowa kapena kapena sepsis, ndiye kuti mankhwalawa amachitidwa kudzera m'mitsempha. Amaphatikizidwanso ndi opaleshoni yamadzimadzi a purulent foci, detoxization ndi miyeso yokhala ndi shuga m'magazi. Zonsezi zimachitika m'chipatala.

Ngati purulent foci sinali yakuya ndipo pakangokhala zisonyezo zakuthambo chabe zamatenda, ndiye kuti wodwalayo amatha kumwa maantibayotiki ngati mapiritsi osapita kuchipatala. Ndikofunika kudziwa kuti chifukwa cha autonomic neuropathy, kuyamwa kwa michere ndi mankhwala osokoneza bongo m'matumbo kumatha kusokoneza. Poterepa, ndikofunikira kusinthira ku kukonzekera kwa maantibayotiki.

(kutha kwa 2011)
Yang'anani! Chidziwitsochi ndi "chinyengo cha pepala" kwa madokotala okha! Odwala - musamamwe mankhwalawa. Funsani dokotala woyenera!

Pakamlomo (mapiritsi, pakamwa)MothandizidwaStaphylococci (Staphylococcus aureus)

• Clindamycin 300 mg katatu patsiku
• Rifampicin 300 mg katatu patsiku
• Flucloxacillin 500 mg 4 pa tsiku

• Clindamycin 150-600 mg 4 pa tsiku
• Flucloxacillin 500 mg 4 pa tsiku

Methicillin wosagwira Staphylococcus aureus (MRSA)

• Trimethoprim 200 mg kawiri pa tsiku
• Rifampicin 300 mg katatu patsiku
• Doxycycline 100 mg / tsiku
• Linezolid 600 mg 2 kawiri pa tsiku

• Vancomycin 1 g 2 pa tsiku
• Linezolid 600 mg 2 kawiri pa tsiku
• Daptomycin 300-600 mg 1 nthawi patsiku

Streptococcus

• Amoxicillin 500 mg katatu patsiku
• Clindamycin 300 mg katatu patsiku
• Flucloxacillin 500 mg 4 pa tsiku
• Erythromycin 500 mg katatu patsiku

• Amoxicillin 500 mg katatu patsiku
• Clindamycin 150-600 mg 4 pa tsiku

Enterococci

• Amoxicillin 500 mg katatu patsiku

• Amoxicillin 500 mg katatu patsiku

Anaerobes

• Metronidazole 250 mg 4 pa tsiku
• Clindamycin 300 mg katatu patsiku

• Metronidazole 500 mg katatu patsiku
• Clindamycin 150-600 mg 4 pa tsiku

Coliform (E. coli, Proteus, Klebsiella, Enterobacter)

• Ciprofloxacin 500 mg 2 kawiri pa tsiku
• Cefadroxil 1 g 2 pa tsiku
• Trimethoprim 200 mg kawiri pa tsiku

• Ciprofloxacin 200 mg kawiri pa tsiku
• Ceftazidime 1-2 g katatu pa tsiku
• Ceftriaxone 1-2 g / tsiku
• Tazobactam 4,5 ga katatu patsiku
• Trimethoprim 200 mg kawiri pa tsiku
• Meropenem 500 mg-1 g katatu patsiku
• Ertapenem 500 mg-1 g patsiku
• Ticarcillin clavulanate 3.2 g katatu pa tsiku

Genus Pseudomonas (P. aeruginosa)

• Ciprofloxacin 500 mg 2 kawiri pa tsiku

• Ceftazidime 1-2 g katatu pa tsiku
• Meropenem 500 mg-1 g katatu patsiku
• Ticarcillin clavulanate 3.2 g katatu pa tsiku

Nthawi zambiri, odwala matenda ashuga a m'mimba amaphatikizidwa ndi vuto laimpso. Zikatero, ngati mankhwala opha maantibayotiki kapena mankhwala ena ataperekedwa mu mulingo woyenera wowerengeka, kuvulaza kwakukulu kungachitike ku thanzi la wodwalayo. Chifukwa chiyani pali ngozi:

• ntchito ya impso itachepa, ndiye kuti mankhwalawo ndi ma metabolites ake akhoza kukhala ndi vuto lakukula mthupi.
• Odwala omwe ali ndi vuto laimpso, kulolera mavuto ambiri amachepetsa,
• maantibayotiki ena samawonetsa kwathunthu ngati mawonekedwe a impso afooka.

Popeza izi, ngati wodwala ali ndi zovuta za miyendo yake ndi matenda a nephropathy, ndiye kuti dokotalayo ayenera kusintha payekhapayekha kusankha mankhwala ndi mankhwala ake

Opaleshoni, kudulidwa

Kuchita opaleshoni pachilonda ndikuchotsa khungu lakufa ndi mafinya. Ziyenera kuchitidwa kuti minofu yomwe yatha sikhala malo operekera mabakiteriya ovulala.

Kodi zimachitika bwanji:

1. Khungu limatsukidwa ndikuthira mankhwala.
2. Zimadziwika kuti vutoli lakuya bwanji komanso ngati pali chinthu china chachilendo chomwe chinagwera.
3. Dokotalayo amachotsa minofu yakufa ndi scalpel ndi lumo ndikuchita opaleshoni kenako ndikuyambitsa bala.

Pamapeto pa opaleshoniyo, chilondacho chimatha kuwoneka chachikulu komanso chakuya kuposa kale. Ikhale yapinki kapena yofiyira, yowoneka ngati nyama yatsopano.

Kuphatikiza pa opaleshoni, palinso njira zina zochizira chilonda:

• Ma Enzymes amatha kuyamwa omwe amasungunula minofu yosagwira.
• Ngakhale mphutsi zapadera zamtunduwu zimagwiritsidwa ntchito, zomwe zimangodya maselo akufa okha. Nthawi yomweyo, amabisala zinthu zomwe zimathandizira kuchiritsa zilonda.

Njira yokhala ndi mphutsi yadziwika kuyambira Nkhondo Yoyamba Yapadziko Lonse. Kuyambira 2000s, chidwi mwa iye chabwereranso.

Chithandizo chowawa sichimawonetsedwa ngati opareshoni. Opaleshoni yeniyeni imayamba kugwira ntchito ngati njira zina zonse zalephera. Kulongosola kwa zovuta za kudulidwa sikungathe kufotokozeredwa ndi nkhaniyi. Kuchiritsa pambuyo pakuchita opaleshoni kumatha kutenga milungu ingapo kapena miyezi, kutengera momwe wodwalayo amalamulirira bwino matenda ake a shuga.

Nsapato zamatumbo

Nsapato zamatumbo ndiye njira yofunika kwambiri yopewera matenda amishuga odwala matenda ashuga. Ngati wodwala wavala nsapato zamatumbo zoyenera kwa iye, ndiye kuti izi zimachepetsa kukula kwa zilonda zapazi ndi katatu.

Chovala chachala ndi chidutswa cha zinthu zolimba zomwe zimalimbitsa masokosi a nsapato. Mukuvala nsapato zamankhwala pakakhala kuti palibe chovala chala cholimba. Pamwamba pa nsapatoyo muyenera kukhala ofewa, omasuka komanso otetezeka kwa zala zakumwa za matenda ashuga. Pasakhale zotchingira mkatikati mwa nsapato zamadzimadzi kuti pasakhale zopindika.

Yokhayo iyenera kukhala yolimba, i.e. yolimba, osati zotanuka. Chifukwa chake, kupanikizika komwe kumakhala kutsogolo kwa phazi lakutsogolo kumatsitsidwa, ndipo katundu pazigawo za phazi umagawidwa mofanananira. Zovala zamadzimadzi ziyenera kukhala zabwino komanso zomasuka kuchokera koyenera koyambirira.

Pambuyo powerenga nkhaniyi, mwaphunzira zonse zomwe mungafune zokhudza matenda ashuga othamanga. Zithunzi zambiri zaperekedwa zomwe zingakuthandizeni kuwunika momwe zinthu ziliri - momwe miyendo yanu imakhudzidwira komanso zomwe matendawo amafala. Matendawa odwala matenda ashuga ndi vuto lalikulu la matenda ashuga omwe angayambitse kudulidwa. Komabe, si odwala onse omwe ali ndi zilema. Tsatirani malingaliro omwe aperekedwa pamwambapa - ndikuwatsimikizira kuti musunge mwayi woti musunthire nokha " Chachikulu ndikuwonana ndi dokotala panthawi mukazindikira kuti miyendo yanu yawonongeka. Madokotala tsopano amatha kuvala bwino komanso zonunkhira mu zida zawo zomwe zimalimbana ndi matenda ndikupatsanso machiritso.

Osadalira mapiritsi ochulukitsa. Osamamwa maantiyamu nokha! Chachikulu ndichakuti wodwalayo amayamba kulandira chithandizo pa nthawi yake, ngakhale miyendo yake isanayambe kupweteka. Mutha kuyesa alpha lipoic acid kuti muchepetse matenda ashuga ndi kubwezeretsa chidwi m'miyendo. Koma chinthu chabwino chomwe mungachite ndikusinthira ku chakudya chochepa chamafuta kuti musinthe shuga lanu lamagazi. Werengani zambiri za mankhwalawa a matenda a shuga a mtundu wachiwiri komanso chithandizo cha matenda ashuga a mtundu woyamba. Chakudya chamafuta ochepa sichimachepetsa shuga ndipo chimathandiza kuti chizikhala chokwanira, monga momwe zimakhalira ndi anthu athanzi. Chifukwa cha izi, matenda a shuga am'mimba amachoka. Kuzindikira m'miyendo ndikukhazikika. Iyi ndi njira yeniyeni yochira kuchokera ku phazi la matenda ashuga komanso zovuta zina.

Matenda a impso ndi matenda ashuga ndi chithandizo chawo

Choyambitsa chomwe chimayambitsa kupsinjika kwa mtima mu shuga ndi hyperglycemia. Molumikizana ndi zochitika zomwe zimapangitsa kuti matenda a impso awonjezeke, zimayambitsa matenda a impso, matenda a shuga a nephropathy.

Pathogenesis yakuwonongeka kwa impso imadziwika ndi kukula kwa makoma amitsempha yamagazi, kuchuluka kwake komanso kuchuluka kwa maselo, kupanga mapuloteni ochulukirapo ndi maselo awa, komanso kukula kwa arteriole hyalinosis.

Mphamvu ya kukakamiza mu impso glomeruli imalephera, chifukwa chake kusefa njira. Pambuyo pake, hypertrophy ya impso imasinthidwa ndi aimpso sclerosis, yomwe imawonetsedwa ndi kulephera kwambiri kwaimpso.

Matenda a shuga ndi impso ndizolumikizana kwambiri, monga zikuwonekera ndi ziwerengero: gawo limodzi mwa magawo atatu a odwala omwe ali ndi shuga omwe amadalira insulin amalephera kumasula thupi kuchokera ku zinthu zovulaza za mankhwala chifukwa cha kuwonongeka kwa impso.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri amadwala matenda a impso mu 5% ya milandu, koma kuchuluka kwake kumakhala kochulukirapo kakhumi, chifukwa chake, pakuwonekeratu, kusiyana kwa kuchuluka kwa odwala m'magulu awa sikuwonekeratu.

Mu shuga mellitus, impso zimakakamizidwa kupanga mkodzo wambiri kuti muchotse glucose owonjezera komanso metabolites. Koma kusintha kwachulukidwe ka minofu ya impso kumathandizira kuchepetsa ntchito yawo, makamaka motsutsana ndi maziko a matenda oopsa.

Ral matenda a zam'tsogolo

Chithandizo cha impso ziyenera kuyambitsidwa mwachangu momwe zingathere, sizoyenera kungochotsa zisonyezo, koma choyambirira, chitanipo kanthu pazomwe zimayambitsa komanso kulumikizana kulikonse mu pathogenesis, kukhala kokwanira.

Magawo a cholesterol ndi kuthamanga kwa magazi kuyenera kuyang'aniridwa mosamala. Zimafunikira kutsitsa glucose wamagazi kukhala wabwinobwino. Kuchepa kwa kuchuluka kwa mchere m'zakudya ndikofunikira. Mankhwala azitsamba amalimbikitsidwa - zina.

Njira zochizira matenda a impso omwe ali ndi matenda osokoneza bongo zimaphatikizapo: ACE zoletsa zomwe zimachepetsa kuchepa kwa magazi ndi michere ya microalbuminuria (enalapril, Captopril, hinapril, perindopril, ramipril, fosinopril).

Ngati pazifukwa zilizonse zotsutsana, ndiye kuti mutha kutembenukira kwa angiotensin-2 receptor antagonists (valsartan, irbesartan, losartan, condesartan, telmisatran).

Ndikofunika kuphatikiza mankhwalawa ndi sulodexide, yomwe imabwezeretsa kukhudzika kwa mawonekedwe apansi a impso glomeruli ndikuchepetsa kuwonongeka kwa mapuloteni mumkodzo.

Ngati kuchuluka kwamadzimadzi sikumasungidwe m'thupi, posakhalitsa kumabweretsa ku edema ya pulmonary kapena chithokomiro, kuchuluka kwambiri kwa matenda oopsa, arrhythmia, kudzikundikira kwa asidi, ndipo chiopsezo cha kumangidwa kopuma chikuwonjezeka. Hemodialysis imathandizira kuyeretsa magazi ndipo imapatsa odwala mwayi wokhala ndi moyo.

Njira ina ndikusinthika kwa impso kuchokera kwa wopereka, komwe kumalumikizidwa ndi mavuto azachilengedwe, zamankhwala komanso zikhalidwe zomwe zimatha kusinthika. Kuika impso monga chithandizo cha matenda a matenda ashuga apamwamba kumapereka zotsatira zabwino.

Kodi kuchitira zilonda zosachiritsa ku matenda ashuga?

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a shuga amawoneka ngati matenda osokoneza bongo, chifukwa amakhala ndi zovuta zambiri. Chimodzi mwa izo ndi machiritso a mabala osauka, omwe amasokoneza moyo wa odwala matenda ashuga. Chifukwa chake, ndikofunikira kudziwa chifukwa chake mabala samachiritsa bwino, momwe angapewere matendawa, ndipo koposa zonse, momwe mungachitire bwino.

• Zomwe mabala samachiritsa bwino ndi matenda ashuga
• Matenda A shuga Akuluakulu Chithandizo
• Chithandizo cha zilonda zopanda machiritso amiyendo m'miyendo: momwe muyenera kuchitira, chithandizo
• Neuropathic zovuta: mawonekedwe
• Phazi la matenda ashuga: mawonekedwe
• Mafuta owiritsa amtundu wa shuga
• Chithandizo cha mabala ndi mankhwala wowerengeka
• Kupewa mabala osachiritsika

Zomwe mabala samachiritsa bwino ndi matenda ashuga

Ndi matenda a shuga, malekezero am'munsi nthawi zambiri amakhudzidwa. Izi ndichifukwa choti kufalikira kwa magazi kumasokonezeka kwakukulu osati m'matumbo akulu, komanso ma capillaries ochepa. Izi zimabweretsa kuwonongeka kwa mitsempha mathero, zomwe zimapangitsa kuwonongeka kwa chidwi.

Chifukwa chake, odwala matenda ashuga samazindikira mabala pakhungu nthawi zonse. Munthu akhoza kudula mwangozi akuyenda osavala nsapato, kuyenda pamiyala kapena kungopaka chimanga.Izi zimayambitsa kuwonongeka kwa khungu ndikulimbikitsanso. Chifukwa chake, chithandizo choyenera sichimachitika ndipo chithandizo choyambirira sichimaperekedwa. Zowonongeka za matenda ndi kuwonjezereka. Kuchiritsa chilonda ndizovuta. Zotsatira zake ndikukula kwa zilonda zam'mimba, phazi la matenda ashuga ndi neuropathy.

Zomwe zimachiritsa:

• kufooketsa chitetezo chokwanira,
• zovuta zamagazi ndi kuwonongeka kwa mathero amitsempha,
• Kutupa kwa m'munsi,
• matenda
• kulephera kumeza mwendo mu nthawi yayitali,
• kusowa kwa zakudya zama cell ndi minofu yokhala ndi zinthu zofunikira,
• chithandizo chisanachitike.

Zilonda zotsogola zitha kupititsa patsogolo pang'onopang'ono, zomwe zimavuta kuzichotsa. Matendawa akupitilira mwachangu. Zotsatira zake, magawo am'munsi mwa odwala matenda ashuwere amadulidwa. Chifukwa chake, ndikofunikira kupenda miyendo tsiku ndi tsiku kuti pakhale mabala amitundu yonse, mabala, chimanga ndi chimanga.

Zoyenera kuchita kuti muchepetse kulephera kwa impso?

Matenda a impso amayenera kuyesedwa kupewa, makamaka makamaka ndi matenda ashuga. Ngakhale kuti kupewa ndikotsika mtengo, kogwira mtima komanso kosangalatsa kuposa chithandizo, zachilengedwe zimadwaladwala.

Ndi matenda a shuga, chiwopsezo cha zotupa zam'mimba za mkodzo zimawonjezeka, zomwe zimakulitsa chithunzi chovuta kale cha matenda. Kuzindikira koyenera komanso kuchotsera kwa matenda opatsirana kumateteza magawo ambiri a kulephera kwa impso.

Mitsempha yomwe imayendetsa chikhodzodzo imakhudzidwa ndi matenda ashuga. Zotsatira zake, mkhalidwe umachitika momwe ntchito yochotsa chikhodzodzo imasokonekera, ndipo kusayenda mkati mwake kumabweretsa matenda.

Chifukwa chake, matendawa amatha kuchitika osati poyamba, komanso chifukwa cha chikhodzodzo cha neurogenic, chomwe chimayambitsidwa ndi kufa kwa mitsempha mathero.

Aliyense ayenera kumvetsetsa: kusuntha m'mitundu yake yonse (masewera, masewera olimbitsa thupi, masewera olimbitsa thupi, kuvina, ndi zina) kumathandizira kuti urodynamics ichitike, ndiye kuti, imalepheretsa kukokoloka kwa mkodzo, kuchepetsa shuga m'magazi, kutsika cholesterol ndikupanga mitsempha ya magazi kukhala yoyera komanso yodontha.

Popeza ziwalo ndi ziwalo za thupi zimalumikizana kwambiri komanso zimadalirana, kuphwanya dongosolo limodzi kumayambitsa vuto lina. Chifukwa chake, shuga imakhudza impso.

Mulimonsemo, ngati zizindikiro zikuwoneka, muyenera kulumikizana ndi akatswiri oyenerera ndikusiya mankhwala othandizirani. Kuzindikira koyambirira kwa matenda a impso mu shuga ndi njira yofunika kwambiri.

Matenda A shuga Akuluakulu Chithandizo

Kuti tithandizire kukulitsa mabala, ndikofunikira kuti pakhale zotheka izi:

1. Yovomerezeka ya mabala ndi antiseptic wothandizira. Ngati kutupa ndi kufupika kumadziwika, gwiritsani ntchito mankhwala opha maantibayotiki ngati mafuta.
2. Mankhwala othandizira a Vitamini alinso othandiza, chifukwa chake ndizotheka kulimbikitsa kwambiri chitetezo cha mthupi.
3. Ndikofunikira kwambiri kuyeretsa khungu la tizilombo toyambitsa matenda, matupi achilendo ndi ma cell akufa.
4. Zilonda zimatsukidwa ndi saline yanyama.
5. Nthawi zina, amavomerezeka kuti azisamba mderalo ndi madzi osokonekera.
6. Kuchiza mabala kuyenera kukhala kokwanira komanso moyang'aniridwa ndi dokotala.

Chithandizo cha zilonda zopanda machiritso amiyendo m'miyendo: momwe muyenera kuchitira, chithandizo

Chithandizo cha mabala osachiritsika pamalire am'munsi ziyenera kuyamba ndi chithandizo cha m'deralo. Ma antiseptics omwe amachokera ku mowa amatsutsana kwambiri, chifukwa amapukuta kwambiri khungu. Chifukwa chake, aliyense wodwala matenda ashuga ayenera kukhala ndi njira yotsalira ya saline kunyumba. Itha kukhala "Chlorhexidine", "Furacilin" kapena manganese (potaziyamu permanganate).

Musanatsuke bala, valani magolovesi kuti muteteze matenda. Gwiritsani ntchito ubweya wa pamba wosabala komanso bandeji.Kuphatikiza apo, posakhalitsa, mutha kuthira mafuta ena apadera malinga ndi siliva, metronidazole ndi othandizira ena. Pakutupa, ndikofunikira kugwiritsa ntchito mafuta opangira maantiotic (Levosin, Levomekol).

Vutoli litayamba kukhazikika, kukhathamiritsa mopitirira muyeso sikuyenera kuloledwa, kotero mafuta onunkhira amagwiritsidwa ntchito. Itha kukhala "Trophodermine" kapena "Methyluracil mafuta." Mavalidwe ndi njira yothetsera vutoli ziyenera kuchitika kawiri pa tsiku.

Ngati chilondacho chili ndi mafinya ambiri ndipo sichichiritsa kwanthawi yayitali, dokotala atha kukulemberani opaleshoni. Zimaphatikizanso kukonzanso bwino ndikusintha, komanso kukhetsa kwa bala. Monga lamulo, mbola zimatha kuchotsedwa pakatha masiku 10.

Neuropathic zovuta: mawonekedwe

Ndi diabetesic neuropathy, mathero a mitsempha amakhala achisanu, zomwe zimapangitsa kuti anthu asamve bwino. Izi ndizomwe zimachitika kawirikawiri m'matenda a shuga, omwe amaphatikizidwa ndi kupangika kwa zilonda zam'mimbazi. Wodwalayo samamva konse akutenga microtrauma. Kuti mupewe izi, ndikofunikira kuyang'anitsitsa kuchuluka kwa glucose wamagazi ndikuwonetsetsa momwe magazi akuwonekera. Chifukwa zinthu izi zimathandizira kufooketsa makhoma amitsempha yamagazi ndikuwonongeka kwa ulusi wamitsempha.

Ndi neuropathy, phazi limakhudzidwa kwambiri nthawi zambiri, chifukwa ndilo lomwe limakhalitsa. Zotsatira zake, zilonda zakuya kwambiri zomwe zimafikira tendons ndi chigoba zimadziwika. Mafuta a camphor amadziwika kuti ndi chithandizo chothandiza kwambiri.

Phazi la matenda ashuga: mawonekedwe

Kupangidwe kwa zilonda zakuya kwambiri ndizomwe zimachitika ndi phazi la matenda ashuga, zomwe zimapangitsa kuwonongedwa kwathunthu kwa mitsempha yamagazi ndikuwonongeka pakhungu la chikhalidwe cha necrotic. Kupsinjika kotereku sikungatheke kuchiritsa ndi mankhwala, chifukwa chake opaleshoni imagwiritsidwa ntchito.

Ndiye phazi la matenda ashuga lomwe limatsogolera pakupanga chiwalo ndikuwadulanso miyendo. Chifukwa chake, yesetsani kuti musadzaze miyendo yanu ndikuvala nsapato zabwino kwambiri. Zizindikiro zoyambirira zitawonekera, kulumikizana ndi dokotala, chifukwa m'magawo oyamba akadali ndi mwayi wochotsa zovuta popanda opaleshoni.

Dziwani zambiri za phazi la matenda ashuga pano: http://diabetes.biz/oslozhneniya/hronicheskie/konechnosti/diabeticheskaya-stopa.html.

Mafuta owiritsa amtundu wa shuga

Mafuta owonda ochiritsa ndi lingaliro labwino, chifukwa onsewa amaphatikizidwa m'mitundu, kutengera chimayambitsa (etiology) cha kupezeka kwa bala ndi gawo la chitukuko. Mwachitsanzo, ndi kutupa kwakanthawi kovunda, ndikokwanira kugwiritsa ntchito mafuta a antiseptic, okhala ndi mabala akuya - antibacterial, komanso gawo lomaliza la chithandizo - kusinthanso.

Mafuta odzola a zilonda zam'mimba

Njira zodziwika bwino komanso zothandiza pochiza zilonda zam'mimba:

• "Fusicutan" amapangidwa pamaziko a fusidic acid, amatanthauza maantibayotiki.
• "Delaxin" imakhala yopanga tannin, imatha kuchita - imawuma, imapanganso mphamvu, imachotsa kutupa ndi kuyabwa.
• "Solcoseryl" imathandizira njira zama metabolic, amachiritsa khungu.
• "Vulnostimulin" imakhala ndi zinthu zachilengedwe.
• "Algofin" amatanthauza ma antibacterial othandizira. Zili ndi carotenoids, chlorophyll ndi zinthu zina zachilengedwe.

Mankhwala opaka mabala otseguka

Mafuta onunkhira amtunduwu amawaika pachilonda chowuma pang'ono kuti muchiritse ndikuchotsa chinyezi:

• Levomekol imabwezeretsa minofu m'nthawi yochepa.
• "Baneocin" imakhala ndi bacitracin ndi neomycin, chifukwa chake ndi mankhwala amphamvu othandizira. Itha kugwiritsidwanso ntchito poyaka.
• Mafuta a Zinc amathandiza kupukuta.
• "Dioxisol".

Kukonzekera kwa mabala amafuta oyera

• Mafuta "Ichthyol" ali ndi katundu wokwanira - amatambasula mafinya, mankhwala oletsa kupha, mankhwala ophera tizilombo. Ikani phukusi la thonje ndikulowetsa chilonda, kukonzekera ndi kavalidwe kosalala.
• Mafuta "Streptocid" amawononga mabakiteriya, amatulutsa timadzi tamatsenga.
• Mafuta "Vishnevsky" amagwiritsidwa ntchito ngati njira ya lotions ndi compress.
• Mafuta "Syntomycin" amatanthauza maantibayotiki.

Chithandizo cha mabala ndi mankhwala wowerengeka

1. Masamba odulidwa mwatsopano a celandine amayikidwa mwachindunji ku malo a lesion.
2. Mutha kupanga mafuta kuchokera pamizu ya celandine ndi burdock pazowerengera 2: 3. Onjezani mafuta pang'ono zamasamba ndikuwiritsa pamoto kwa mphindi 10-15. Mafuta amadzola katatu patsiku.
3. Madzi ochokera nkhaka zatsopano monga mawonekedwe a compress kapena odzola amagwiritsidwa ntchito ngati antiseptic.
4. Kuchotsa kutupa kumathandiza yogati. Pa izi, gauze amakwiriridwa ndi mkaka ndikuyika pachilondacho. Chitani kanayi pa tsiku.
5. Pangani madzi kuchokera pamasamba a burdock ndikugwiritsa ntchito kangapo patsiku.
6. Tengani 2 tbsp. l calendula ndi 200 ml ya madzi otentha. Kupanga malo osambira.

Maphikidwe achikhalidwe chachikhalidwe amagwiritsidwa ntchito limodzi ndi mankhwala. Musanagwiritse ntchito, ndikofunikira kufunsa ndi endocrinologist ndikutsatira mosamalitsa zonse zofunikira zake. Ndi pokhapo izi pomwe wina akhoza kuchita zabwino.

Momwe mungapewere kukula kwa matenda osokoneza bongo ndi kudulidwa (kanema)

Kuti mudziwe zambiri za njira zopewetsera matenda a matenda ashuga komanso zilonda zam'mimba, mutha kuchokera pa kanema woperekedwa kuti mumve chidwi:

Nthawi zonse funafunani upangiri wa endocrinologist ndipo musagwiritse ntchito upangiri wa abwenzi, monga momwe zingakhalire pakufunika kwa chithandizo chilichonse payekha. Kumbukirani, ndi katswiri yekha yemwe angayesere moyenera matendawa, poganizira momwe matendawo ndi thupi.

Kodi chimanga chikuwoneka bwanji?

Kuti tisunge kulemera kwa thupi lathu, kusunthira, komanso kuvutika nthawi imodzi - kangati simusilira miyendo yathu. Zovala zatsopano kapena zovuta, mpweya wouma, kupanda ungwiro kwa zinthu zodzikongoletsera - izi ndi zinthu zomwe zimavulaza miyendo yamunthu wamunthu nthawi zambiri.

Zovuta za nsapato nthawi zambiri zimayambitsa ma calluses pamiyendo. Makamaka mukamaganiza kuti sizotheka nthawi zonse kusintha nsapato zosavomerezeka kapena nsapato ndi njira yabwino. Gawo lopaka la nsapato, ndiye kuti limawononga khungu. Pang'onopang'ono m'malo ano amayamba kukhuthala kwa khungu ndipo kumawuma, keratinization.

Callus yeniyeni (youma) imalowera pakhungu, m'chigawo chachitali kwambiri imawoneka ngati phata lofanana. Kupanga koteroko kumatha kupweteketsa, kukula ndi kufafaniza miyendo, ndikupanga kukhala yoyipa.

Bweretsani ku nkhani

Matumba A shuga

Kwa odwala matenda ashuga, chimanga pamapazi awo ndi mutu wapadera.

Kodi kuwopsa kwa phazi la matenda ashupi ndi chiani? Kapena kudulidwa miyendo ngati njira yomalizira pakuwonetsera kwakanthawi. Koma zonse zimayamba ndi kuwonongeka pang'ono kwa khungu.

Chowonadi ndi chakuti ndi matenda ashuga, chidwi chonse cha minofu chimatha kuchepa ndipo magazi amayenda. Chifukwa cha izi, mabala ang'ono, zipsera, abrasions amapita osadziwika (chifukwa sizipweteka) ndikuchiritsa bwino. Chosasangalatsa kwambiri ndikutukuka kwa njira zotupa, kuchulukana kwawo ndi gangrene wotsatira. Ichi ndichifukwa chake kusamalira odwala matenda ashuga ndikofunikira monga chakudya.

Bweretsani ku nkhani

Kodi kuchitira chimanga?

Njira zosavuta ndizopangira chimanga. Mu pharmacy mungapeze angapo a iwo nthawi imodzi. Zonse zimatengera malo omwe chimanga chimapangidwira, kutsitsimuka kwake ndi kukula kwake.

Bensalitin ndi mafuta ochotsa calluses. Imakwiya, imafewetsa khungu la keratinized, limathandizira kuchotsa. Kugwiritsa ntchito nthawi yayitali kungakhale kofunikira - zonse zimatengera callus yokha. Belita-Vitex ndi njira yothetsera chimanga, koma mumtundu wa zonona.

Bweretsani ku nkhani

Njira za anthu

Anthu odwala matenda ashuga ayenera kulangizidwa bwino kuchokera kwa dokotala pa za chithandizo ndi chimanga. Sizikudziwika kuti miyendo itha kuwonongeka ndi liti komanso ngati mungathe kufunsa uphungu.Ngati njira ina yamankhwala, wowerengeka kapena njira yotsatsira ikuwoneka yosangalatsa kwa inu, komabe pewani kudzipereka nokha. Mwachitsanzo, kudula chimanga cha matenda ashuga kumakhumudwitsidwa kwambiri.

Bweretsani ku nkhani

SOSU masokosi a pedo

Amanenedwa ngati chida chofewa kwambiri, chomwe palibe kufunikira. Njira Yogwiritsira Ntchito:

• kuvala
• valani mpaka maola awiri,
• chotsani, sambani mapazi anu ndi madzi ofunda.

Pakatha masiku angapo, kulekanitsa pang'onopang'ono kwa khungu ndi makulidwe onse, mawanga ndi mikwingwirima iyenera kuyamba.

Pafupifupi dokotala aliyense anganene kuti kugwiritsa ntchito masokosi a pedicure sikuyenera kuthetsa chisamaliro cha tsiku ndi tsiku. Ndiponso, ngati mungasankhe kugwiritsa ntchito masokosi a SOSU, yesetsani kuti musagule zabodza. Mtengo wa chatsopanocho ndiwokwera kwambiri kuposa wamtundu wosavuta - izi zitha kuonedwa ngati zopanda kanthu.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Bweretsani ku nkhani

Sankhani dokotala ndipo pezani nthawi:

Amawona madontho a shuga (ofiira, abulauni, amdima)

Chimodzi mwazovuta za matenda ashuga ndi mawanga a bulauni kapena ofiira omwe amawoneka pamiyendo. Chikhalidwe cha totupa chotere sichimagwirizanitsidwa ndi psoriasis, kotero ambiri ali ndi chidwi ndi zomwe mawanga otere ali.

Mavuto amenewa amapatsa wodwalayo zovuta zambiri, zomwe zimabweretsa zovuta zosiyanasiyana. Nanga ndi mawanga amdima pamiyendo, ndikuwachotsa bwanji?

Zomwe zimachitika

Ndi matenda ashuga, kusokonezeka kwa metabolic kumachitika, zomwe zimapangitsa kuti pakhale kupezeka kwa ma pathologies angapo m'magulu ambiri ndi ziwalo. Khungu la matendawa silinali lachilendo.

M'malo mwake, zomwe zimapangitsa mawanga ofiira kupanga pamiyendo ndizodziwikiratu. Mawonekedwe awo amagona pakusokonekera kwakukulu mu minofu. Zotsatira zake, kutupa kosiyanasiyana kumachitika pamtunda wa dermis, muma follicles a tsitsi ndi pores.

Kuphatikiza apo, ntchito zoteteza thupi zimafooka mu matenda ashuga, zomwe zimapangitsa kuti matendawa agwire mabakiteriya okhala ndi tizilombo tating'onoting'ono.

Ndi gawo lomwe matenda akukulirakulira, khungu la wodwalayo limasinthika kangapo: limatulutsa, limapepukidwa ndikulephera.

Matenda oyamba ndi mafangasi

Kodi mawanga amdima pamiyendo ndi omwe amachititsa kuti mafangayi azikhala ndi shuga? Nthawi zambiri chomwe chimayambitsa matenda oyamba ndi fungus ndi bactericum Candida albicans. Kukula kumeneku kumakumbutsa yisiti, kumayambitsa kuyabwa, totupa ndi kufupika kwa khungu (monga chithunzi).

Kwenikweni, bowa amapezeka m'malo otentha kwambiri komanso otentha kwambiri a dermis, i.e. imakhala yosangalatsa pakhungu.

Kwa odwala matenda ashuga, mavutowa ndi:

• pansi pa chifuwa mwa akazi ndi pansi pa khungu.
• mu ngodya za kamwa
• pakati pa zala ndi mkono ndi mwendo,
• pafupi ndi mbale ya msomali
• m'malo a groin
• m'makondo.

Nthawi zambiri, mawanga ofiira, oyenda m'miyendo, omwe amayang'ana m'malo ena, amakhala chizindikiro cha matenda a shuga. Ndipo nthawi zambiri, matenda oyamba ndi fungus amachititsa kuti vutoli lithe. Pafupifupi nthawi zonse, bowa amayang'ana miyendo.

Tcherani khutu! Kuti muchotse redness, dermatologists amalimbikitsa kugwiritsa ntchito mafuta achilengedwe okhala ndi antibacterial zotsatira kumadera omwe akhudzidwa.

Kodi kuzizira pamitunda yakumapeto kungakhale chifukwa cha dermatitis ndi zomwe muyenera kudziwa pazama? Mpaka pano, pali mitundu isanu ndi itatu yamitundu yosiyanasiyana yokhala ndi dermatitis.

Zofunika! Poterepa, timatanthawuza matenda amtundu wa pakhungu omwe amapita patsogolo ngati matenda ashuga kapena motsutsana ndi maziko ake ndi kukula kwa matendawa.

Pali magulu atatu a matendawa. Choyamba, matenda oyamba a khungu ayenera kudziwa.Ku gulu ili, madokotala azachipatala amaphatikiza zizindikiro zonse zomwe zimayambitsidwa ndi zovuta zingapo zomwe zimachitika mu metabolic process, ngati wodwala ali ndi matenda a shuga.

Ponena za matenda opatsirana, gululi limaphatikizapo matenda amkhungu amtundu wakubadwa chifukwa cha mabakiteriya ndi bowa.

Tcherani khutu! Matenda a pakhungu la matenda ashuga amakula chifukwa cha kuchepa kwa mphamvu ndi chitetezo chamthupi cha m'deralo.

Ku gulu lachitatu la matenda a dermatological, chifukwa chomwe mawanga ofiira amawoneka pamiyendo, dermatologists mbiri yamatenda amkhungu. Nthawi zambiri zimawonekera atatha kugwiritsa ntchito mankhwala ogwiritsidwa ntchito ndi matenda ashuga.

Njira Zodziwitsira

Zomwe muyenera kudziwa pokhudzana ndi kupezeka kwa zotupa pakhungu m'munsi m'madokotala ashuga? Odwala omwe amabwera kwa dermatologist kuti awonetse zotupa za khungu lachilendo, monga lamulo, adokotala amatumiza mayeso osiyanasiyana.

Kafukufukuyu akuphatikizanso kuwunika kosonyeza kuchuluka kwa shuga m'magazi. Nthawi zambiri, odwala omwe adayendera dermatologist yemwe ali ndi dermatitis wokayikitsa komanso kutupa komwe kumayenderana amapezeka ndi matenda a shuga.

Nthawi zina, kupezeka kwa matenda a dermatoses omwe ali ndi matenda a endocrine kumachitika chimodzimodzi ndi matenda ena a pakhungu:

1. kuyesedwa kwa labotale kumachitika,
2. adotolo amayesa kunja,
3. nthawi zina katswiri amatha kuphatikiza.

Kuti adziwe zomwe zimachitika mu dermatitis ya gulu lachiwiri, adokotala amafotokozera mayeso apadera a zikhalidwe za bacteria. Chifukwa cha maphunziro ngati awa, othandizira odwala amatha kupezeka.

Njira zochizira zotupa pakhungu la odwala matenda ashuga

Kodi anthu odwala matenda ashuga ayenera kudziwa chiyani chithandizo ngati mawanga akuda awoneka pamiyendo yawo?

Njira zochizira matenda amkati zimakhudzana mwachindunji ndi gulu lomwe matendawa ndi ake. Choyamba, adotolo amasankha chithandizo chofunikira kwambiri pakuchira kwa metabolic. Ndiye kuti, choyambirira, dermatologist samachita ndi zotsatira zake, koma zifukwa chifukwa chomwe zotupa za khungu zafalikira.

Dermatitis ya matenda ashuga, omwe ali m'gulu loyambira, safuna chithandizo chovuta komanso chophatikiza. Mulingo wodwala ukakhazikika, kuchuluka kwa zotupa kumachepa kwambiri.

Mankhwala othandizira komanso opambana a matenda osiyanasiyana opatsirana, njira zapadera zochizira zimagwiritsidwa ntchito, zomwe zimaphatikizapo mankhwala a antiallergenic.

Ndipo kotero kuti ma dermatoses pamunsi yotsika amatha mofulumira - mankhwalawa ayenera kukhala ndi machitidwe antifungal komanso anti-allergenic.

Njira zopewera

Kupambana kwa mankhwalawa ku dermatoses mu shuga mellitus mwachindunji kumadalira kukonza kwa thanzi la wodwalayo komanso kusintha kwa zochita za metabolic zomwe zikuchitika mthupi lake.

Malo ofiira omwe amakhala ndi miyendo ndi ovuta kuchiritsa. Kuti muchite izi, muyenera kuyang'aniridwa kwathunthu khungu.

Zofunika! Pamaso pa mitundu yosiyanasiyana ya dermatitis, gwiritsani ntchito mankhwala ochepetsa khungu omwe alibe mafuta onunkhira. Kugwiritsa ntchito mafuta opukutira ndi zinthu zokhala ndi chithunzi zotsatira kumalimbikitsidwanso.

Kuti muchepetse mawonekedwe owirira a kumapazi, ndibwino kugwiritsa ntchito mafinya kapena mafayilo apadera. Nthawi yomweyo, simuyenera kuchotsa palokha chimanga chogwiritsa ntchito wowerengeka azitsamba kuti muchotse chimanga.

Zofunika! Wodwala wokhala ndi mawanga ofiira kumapeto kwenikweni ayenera kuvala zovala zopangidwa kuchokera ku nsalu zachilengedwe, zapamwamba kwambiri. Muyenera kusinthanso zovala za tsiku ndi tsiku, zovala, magalofu kapena masokosi.

Kuphatikiza apo, ndikofunikira kuti zovala zisankhidwe mosamalitsa.Vutoli ndilofunikira kwambiri kuti khungu lipumule momasuka, kuti lisapunikidwe kapena kuzisenda. Ndi mawonekedwe a kufooka kwazing'ono ndi zazing'ono, dermis iyenera kuti itulutsidwe mankhwala posachedwa.

Kuphatikiza apo, chilondacho sichingakhaulidwe ndi pulasitala. Pankhani yopanga ma dermatoses osiyanasiyana mu shuga, ndikofunikira kukaonana ndi dermatologist posachedwa, kenako kukaonana ndi endocrinologist.

Mavuto

Ngakhale kuti ma dermatoses, omwe ali ovuta kwambiri ndi matenda oyambitsidwa, kuyambika kwa zovuta sikungakhalepo, komabe kumatha kuchitika. Izi zimaphatikizapo eczema komanso gangore mu shuga mellitus, ngati mng'alu kapena bala lidadwala.

Kupanga kwa erysipelas ndikothekanso. Koma vuto lalikulu lomwe mafiyira ofiira amawonekera m'munsi am'munsi limawoneka kuti limachulukitsa njira zonse zofunika.

Chifukwa chake, odwala matenda ashuga amayambanso kuyenda mwamphamvu, koma odwala ambiri samapereka chidziwitso chofunikira ku chizindikiro chachikulu ichi, pokhulupirira kuti izi ndi zotsatira za matenda ashuga. Kuchokera pazomwe tafotokozazi, titha kunena kuti dermatoses ya matenda ashuga amathanso kuyenda ndi zovuta.

Popewa izi, wodwalayo ayenera kupezeka ndi nthawi yake. Kupatula apo, matenda a shuga amakakamiza wodwalayo kuti aziona nthawi zonse thanzi lake, kupewa ngakhale pang'ono zomwe zingawathandize. Pokhapokha ngati wodwala matenda ashuga atha kusintha moyo wake kukhala wokwanira.

Zoyenera kuchita ngati kuvulala kwamapazi kumachitika

Ngati kukhumudwa pang'ono, abrasions, muyenera kufunsa dokotala kuti akupatseni mankhwala oyenera komanso a panthawi yake. Chifukwa chiyani miyendo imakhudzidwa? Ndiwo omwe ali ndi katundu wambiri, yemwe amabweretsa mawonekedwe a abrasions, callus, scuffs omwe amachiritsa, amakoka ndi zovuta kwambiri.

1. abrasion, zikande ziyenera kuthandizidwa ndi antiseptic - yankho la furatsillina kapena njira yofooka (yapinki) ya potaziyamu permanganate,
2. ngati kutentha kwanyamuka, zizindikiro zakuphatikizira zawonekera, muyenera kuthira mafuta okhala ndi maantibayotiki (ndibwino kugwiritsa ntchito Levomikol kapena Levosin).

Zilonda za chithunzi cha matenda ashuga

Pambuyo chisanachitike chithandizo cha malo ovulala a pakhungu, muyenera kupita kwa dokotala. Chithandizo cha mabala pamiyendo ndi shuga imachitika ndi endocrinologist. Pambuyo pakuwunika kuwonongeka, adokotala amatipatsa mankhwala othandizira, mavitamini, machitidwe a physiotherapeutic. Zizindikiro zakuchiritsidwa zikaoneka, mafuta a Trofodermin, Solcoseryl kapena Methyluracil angagwiritsidwe ntchito pochiza.

Irina K., wazaka 54. Ndadwala zaka zoposa 5. Nthawi zonse ndimamwa mapiritsi omwe adotolo amauza. Ndimayesetsa kuteteza mapazi anga. Muubwana wanga ndimakonda kuyenda wopanda nsapato, koma tsopano, ngakhale chilimwe, ndimavala masiponsi osalala komanso masokosi owonda thonje. Anatulutsa timabowo chifukwa anazindikira kuti pakati pa zala panali kutuphuka komanso kufiyira. Nthawi yomweyo kukonzedwa ndi yankho la potaziyamu permanganate, wopaka ndi Levomikol. Ndikhulupirira kuti zonse zichiritsa mwachangu.

Victor Konstantinovich, endocrinologist. Irina, zomwe mudachita zinali zolondola, koma onetsetsani kuti mwalumikizana ndi dokotala kuti muwonetsere bwino komanso chithandizo.

Mafuta a Trofodermin ali ndi vuto lothana ndi vutoli, amathandizira machiritso a mabala a shuga, amafewetsa khungu, ndipo amagwiritsidwa ntchito pakhungu louma, kusenda, ndi zidendene. Koma simungagwiritse ntchito mafuta kwa nthawi yayitali, chifukwa zovuta zoyipa, matupi omwe amatha.

A callus awoneka: choti achite

Ndikofunikira kuvala nsapato zapamwamba, zazifupi zomwe sizimata zala ndi zidendene. Hosiery iyenera kukhala yoyera nthawi zonse, yopanda darn, kuti chidendene kapena zala zisasweke. Ndikofunika kupaka mafuta mutatsuka ndi kirimu wa antibacterial.

Ngati mawonekedwe a callus awonekera, ikani chigamba cha mabakiteriya kapena kuvala chosalala. Mafuta ochiritsa okhala ndi ayoni a siliva (Sulfargin) amathandiza pochotsa chimanga.Ngati patadutsa sabata imodzi sizinali zotheka kuchiritsa chimanga ndi mankhwala akunyumba, thandizo la dokotala limafunikira - popanda chithandizo chapadera, chimanga chimatha kusintha kukhala chilonda.

Zilonda zinaonekera: choti uchite

1. kutaya katundu (mpaka kuyenda pa ndodo),
2. mankhwala a antiseptic a malo ovulala,
3. Chithandizo cha mankhwala, antihistamines, anti-kutupa mankhwala,
4. opaleshoni kuchitapo kanthu kuchotsa pur purya ndi akufa minofu.

Zoyambitsa Pang'onopang'ono Kuchiritsa Kuvulala

• wokhala ndi shuga wambiri m'magazi, magazi amakhala amanenepa, amayenda pang'onopang'ono, zimapangitsa kuti zikhale zovuta kupereka michere, mpweya m'maselo,
• chitetezo chochepa
• khungu limaphwanyidwa (diabetesic neuropathy), kotero wodwala samazindikira msanga vutolo.
• mitsempha ya magazi imakhala yochepa, kuwonongeka mwachangu
• Njira za kusinthika, machiritso a bala adatsekeredwa,
• maluwa pathogenic kumabweretsa kuwoneka zilonda zam'mimba, gangrene.

• laser, zamankhwala othandizira,
• ma radiation a ultraviolet
• chithandizo cha nayitrogeni ndi ozoni.