Madokotala aku Moscow adasungabe mwendo wodwala wodulidwa

Njira zamakono zodziwitsira komanso kuchitira opaleshoni yamitsempha yathandizira akatswiri aku Moscow kuchipatala cha Veresaevskaya kupulumutsa moyo ndi mwendo wa wodwala wokhala ndi zigawenga zomwe zimayamba mwa iye chifukwa cha phazi lake la matenda ashuga. Mkazi sanachite kudulidwa.

Matendawa odwala matenda ashuga ndiowonongeka kwambiri kwa minyewa yomwe imayamba chifukwa cha zovuta za metabolic mwa anthu omwe ali ndi matenda ashuga. Munthu amakumana ndi zowawa zomwe zimayamba pang'onopang'ono, ming'alu, mabala, komanso kupunduka kwapakati. Popita nthawi, zilonda zambiri zimawoneka pamiyendo, zomwe zimatsogolera ku necrosis - popanda chithandizo chamankhwala odwala matenda ashuga, gangrene amatha.

Wodwalayo adayamba kupita kwa madotolo aku Moscow omwe ali ndi gawo loyopsa la matenda ashuga. Koma madotolo, pogwiritsa ntchito ma-ultrasound angioscanning, adatha kubwezeretsa ziwiya zowonongeka komanso kusadula mwendo wa wodwalayo, Vesti.ru inati. Gulu la akatswiri asayansi moyang'aniridwa ndi dotolo wa MGMSU iwo. A.I. Evdokimov Rasul Gadzhimuradov adakwaniritsa kuyambanso kwa magazi kudzera m'mitsempha.

Akupanga angioscanning amakupatsani mwayi woyesa momwe ziwiya zimayambira - kukula kwake, kukula kwa lumen, komanso kupeza data pakutuluka kwa magazi. Njirayi imachokera pa kugwiritsa ntchito Doppler momwe angazindikire zovuta mu ntchito ya mtima.

M'mbuyomu, ntchito zoterezi zinkachitika m'njira yochitidwa opaleshoni, zomwe zimawonjezera chiwopsezo cha matenda a shuga. Tsopano magazi amabwezeretsedwa pogwiritsa ntchito stents, ndipo mabala amathandizidwa ndi ultrasound cavitation.

M'mbuyomu, MedicForum idalemba zodabwitsa za opaleshoni yodabwitsa kupatula ana amapasa a Siamese ochitidwa ndi madokotala opanga maopaleshoni a Chelyabinsk.

Opaleshoni ya X-ray ya ku chipatala cha City Clinical. V.V. Veresaeva (Moscow) anachitapo opaleshoniyo popanda chovuta chilichonse ndipo anapulumutsa mkaziyo kuti asadulidwe mwendo. Izi zidanenedwa kuti medrussia.org mu chipatalacho.

Monga momwe zimadziwikira, wodwala wazaka makumi atatu ndi zisanu ndi zitatu adalowetsedwa kuchipatala ndi madandaulo a kupweteka kwambiri m'mendo wake wamanja.

"Zala ziwiri zam phazi lakumanja zinavomerezedwa ndi chilonda chowuma atangolowa kuchipatalako, ndipo panali chilonda chosasindikizika cham'manja chala chakumaso. Kwa zaka 20 zapitazi, mayi anadwala matenda a shuga, motero mavuto adayambika, kuphatikizapo matenda a shuga. Mzimayiyu adati kuwonongeka kwa thanzi kudachitika atasinthira mwadala mbale yotsekera pa mwendo wake ndikuwotcha. Choyamba, zala zake zidasanduka zofiira, kenako chilonda chosachiritsa chidawonekera, "oimira achipatala adatero.

"Kufufuza ziwiya za m'munsi zam'munsi zikuwonetsa kuwonongeka koopsa kwa mitsempha pa ntchafu ndi m'munsi mwendo," atero adotolo, opaleshoni yamankhwala pachipatala chotchedwa V.V. Veresaeva Kazbek Valerievich Cheldiev. - Matendawa akukhumudwitsa - ischemia yovuta kwambiri mwendo, mitsempha yamiyendo yatsekedwa. Vutoli nlachikulu, njira ya necrotic imatha kufalikira mwachangu: chifukwa cha kusokonekera kwa magazi, zimakhala sizinalandire mpweya wokwanira ndipo zimafa. Anafunika kuchitapo kanthu mwachangu. ”

Wodwalayo anali ndi matenda ambiri ofanana. Chiwopsezo cha zovuta zazikulu pambuyo pakuchita opaleshoni yam'mimba yotseguka chinali chachikulu kwambiri.

Wodwalayo adamuchita opareshoni kudzera pamatumbo mwa akazi

Gulu logwirira ntchito, lotsogozedwa ndi mkulu wa dipatimenti ya njira zodziwitsira za X-ray, a Sergei Petrovich Semitko, adachita ntchito yovuta kwambiri kuti athetse magazi. Kukonzanso kwamakina kunachitidwa, ma thrombotic misa amachotsedwa m'matumbo onse okhudzidwa, balloon angioplasty yokhala ndi stenting idachitidwa.

“Wophatikiza mwakachetechete adalowetsedwa mu thitilo kudzera mu pobowola. Zimasinthasintha. Opaleshoniyo inachitika pansi pa radiation ya x-ray, chithunzichi panthawi ya opareshoni chinawonetsedwa pa polojekiti, kotero kuti zinali zotheka kuwongolera momwe catheter imasunthira kuchiwiya chomwe chawonongeka. Chida chikafika povuta, chopapatiza, chimapukusira baluni, chomwe, m'mene chimatulutsa mothandizidwa ndi X-ray fluid, chinabwezeretsanso kuwala kwa mtsempha. Pofuna kuteteza kusokonezeka kwa pulasitiki, makina oyendetsera zitsulo adayikika m'malo ovuta - fungo lomwe lithandiza kulimbitsa mkati mwa mtsempha, "atero a Sergei Petrovich Semitko, dokotala wa x-ray.

Chifukwa cha kuwonongeka kwakatundu, ziwonetsero zamkati kwambiri zimachitidwa ndi madokotala a opaleshoni kwa pafupifupi maola anayi. Opaleshoniyo idayenda bwino - patency ya mtima idabwezeretseka. Posakhalitsa wodwalayo amayamba kumva bwino ndipo anapatsidwa chithandizo chamankhwala. Mkhalidwe wake wopitilira kumadalira momwe angagwiritsire ntchito molondola madokotala.

Monga momwe adanenera kale, madokotala a chipatala chachikulu. F. I. Inozemtsev adabwezeretsedwa kwa wodwala, yemwe adawopsezedwa kuti adzidula, kuthekera kuyenda. Werengani zambiri: Madokotala aku Moscow adaleza mtima poopseza kuti adzadulidwa

Zizindikiro za nkhawa

Matenda a shuga a matenda ashuga ndi matenda omwe amatha kuwonekera m'njira zosiyanasiyana.

Pali mitundu itatu yayikulu. Fomu ya ischemic pamene mitsempha imavutika, ndipo mu shuga imakhala, monga lamulo, zombo zazing'ono zomwe zimakhala pansi pa bondo. Ndipo mawonekedwe a neuropathic, pamene mitsempha yopota imakhudzidwa makamaka. Palinso mawonekedwe osakanikirana.

Ndi neuropathy, odwala amamva kutopa kwakutali, kumverera kwa kukwawa "goosebumps", kuchepa kwa kupweteka komanso kumva tactile. Samva kugwedezeka. Phazi silimva kuti likuthandizira. Nthawi zambiri pamakhala kuchepa kwa chidwi cha chidwi, wodwalayo, mwachitsanzo, panthawi yoyeserera samamva komwe dokotala amayendetsa kapena chala chake. Komabe, nthawi zina, kuwonjezeka kwa pathological kwachilengedwe kumatha kuwonedwa, ndikakhudza kulikonse pakhungu la mapazi, odwala amamva kupweteka kwambiri. Ngakhale dzanzi, ndi neuropathy, mapazi ndi ofunda, ofiira.

Ndi ischemia, mapazi ake ndi ozizira, amtambo obiriwira, odwala amadandaula kuti kuzizira kumiyendo. Nthawi yoyeserera, dokotala aliyense amawonetsa kuchepa kapena kusapezeka kwa pulsation pamapazi. Izi zimatsimikizira ma ultrasound a ziwiya.

Odwala omwe ali ndi vuto la matenda ashuga a mtundu 2 ali, monga lamulo, odwala okalamba ndipo akuwonetsa kale zizindikiro za atherosulinosis yamitsempha yam'munsi, chifukwa cha zaka. Chifukwa chake, ngati kusunthika kwa ultrasound kwawonetsa atherosulinosis, sikuti ndi matenda a shuga. Kutuluka kwa magazi nthawi zambiri kumalipidwa ndi kukula kwa mitsempha yowonjezera, makamaka mwa azimayi. Amatha kukhala opanda thupilo kotheratu m'chigawo cha inguinal ndi popliteal, ndipo mapazi amakhala ofunda, pinki, opanda zizindikiro za ischemia. Izi ziyenera kukumbukiridwa.

Mtundu wosakanizika wa matenda ammiyendo ya matenda ashuga, motero, umawonetsera mawonekedwe aliwonse azomwe akutchulidwa.

Dzipulumutseni nokha

Chimodzi mwazinthu zofunikira kwambiri kwa odwala omwe ali ndi matenda osokoneza bongo ndi SDS, ngakhale atakhala mawonekedwe, ndi kudzipenda komanso kudzisamalira. Kutsatira njira zosavuta zothetsera kuthamanga kwa glycemia ndi chisamaliro chapamapazi, malinga ndi ziwerengero zapadziko lonse lapansi, zitha kuchepetsa kuchulukitsidwa ndi 2 times.

Muyenera kuyang'anitsitsa miyendo yanu, kumbuyo ndi malo oyimitsa tsiku ndi tsiku. Kaya panali mawanga amtundu wabuluu, zigamba zoyera (zopanda magazi), mawonekedwe owoneka bwino, zilonda. Pokayikira pang'ono, ndikofunikira kulankhulana ndi dokotala.

Mapazi ayenera kutsukidwa tsiku lililonse m'madzi ofunda, osakwera! Pambuyo pake, kukhetsa miyendo, osati kusisita, koma akuwuluka. Pambuyo mafuta ophikira ndi kirimu wapadera kwa odwala matenda ashuga, pali zambiri zotere mumafakitala.

Simungayende opanda nsapato, ngakhale kunyumba, kuti musawononge khungu mwangozi. Kuvulala kulikonse kwa odwala matenda ashuga kumatha chifukwa cha zilondazo.

Muyenera kuyang'anira kusankha nsapato, ndibwino kugula nsapato madzulo, miyendo ikatupa. Odwala okwanira odwala matenda ashuga, nsapato zoyenera kwambiri ndizovala, makamaka zikopa, zopumira.

Odwala ayenera kuyang'aniridwa ndi madokotala a mafayilo osiyanasiyana, chifukwa matenda a shuga sangakhudze mapazi okha, komanso impso, maso, ndi ziwalo zina. Chifukwa chake, ndikofunikira kufunsa osachepera 1 pachaka ndi akatswiri osiyanasiyana: endocrinologist, opaleshoni ya mtima, ophthalmologist, dokotala wa opaleshoni ya podologist (katswiri wamatenda ammapazi), ndi katswiri wamitsempha.

Vuto lalikulu la odwala omwe ali mu SDS ndikuti samayang'anira momwe alili, glycemia level (shuga ya magazi), ndi mendo. Izi zimatha kubweretsa kukulira kwa necrosis, gangore komanso kumadula.

Kupewa komanso chithandizo

Odwala omwe ali ndi matenda ashuga ayenera kuwerenga mabuku ndi mabuku apadera, magazini, mawebusayiti a odwala, olembedwa, monga lamulo, mchilankhulo chomveka.

Amalemba ndikuphunzitsa odwala matenda ashuga momwe angasamalire mapazi awo ndi momwe angadziwire zizindikiro zoyambirira zowonongeka. Popeza matenda a shuga ndi omwe amayambitsa SDS, muyenera kuyang'aniridwa pafupipafupi ndi endocrinologist kapena katswiri wazamankhwala. Kupatula matenda ashuga odwala matenda am'mimba komanso zovuta zina za matenda a shuga, kufunsira kwa dokotala wa opaleshoni ya opaleshoni, opaleshoni ya mtima, ndi dokotala wofufuza m'mimba ndikofunikira.

Matenda a shuga amathandizidwanso chimodzimodzi padziko lonse lapansi, pali kuwonjezeka kwa shuga - mankhwala ochepetsa shuga amadziwika. Ndiyenera kunena, kumayiko akunja, njira yophunzitsira yolimbikitsira odwala, yomwe imapereka zotsatira zabwino kwambiri. Dongosolo loyendetsa ma ambulansi limapangidwa mwadongosolo kwambiri ndipo odwalawa amayang'aniridwa ndi gulu la madokotala osiyanasiyana. Ponena za njira zapamwamba zamankhwala zolimbitsa thupi, mwachitsanzo, pakachitika vasoconstriction, angiosurgeons amachita opaleshoni yodutsa mosadukiza. Gawo ili la ntchito ku Russia nthawi zambiri limakhazikitsidwa m'malo opezeka osiyanasiyana. Zichepetsedwa zimachepetsedwa pomwe zimagwira nawo mwachangu.

Mafunso 3 Okhudza Diabetesic Foot Syndrome

Ndakhala ndikudwala matenda ashuga kwa zaka 15, ndikumva kutundana chidendene kumwendo kwanga kumanzere. Kodi ichi ndi chizindikiro cha phazi la matenda ashuga?

Ichi ndi chimodzi mwazizindikiro za zotupa za neuropathic zomwe zimapezeka kwambiri mu shuga. Matenda a diabetes a neuropathy amayenera kuthandizidwa, akatswiri a mitsempha ndi ma endocrinologists amapatsa mankhwala, kawirikawiri mavitamini tata amagwiritsidwa ntchito. Ngati pali zizindikiro za kutukusira kwa khungu, hyperkeratosis, zilonda kapena kuwonongeka kwa phazi ndi zala, ndikofunikira kuti dokotala wa opaleshoni ya podologist awonekere.

Komanso za kutaya chidwi. Kumbukirani kuti pamenepa, chiopsezo cha kuwonongeka (mabala) chimawonjezeka, ndipo zotupa za khungu zilizonse zokhala ndi matenda ashuga zimatha kukhala purosesa.

Ndili ndi zaka 68, zaka 2 za matenda ashuga kale ali ndi zaka 10. Ndili ndi zilonda kumodzi ndi zala zakumaso, kutumphuka kale kwapangika, kumalepheretsa kuyenda. Momwe mungawachiritsire. Ndakhala ndi vutoli zaka ziwiri, adandipatsa ndikudulira zala, koma ndidakana (glucose level 10), sinditha kugona popanda masokosi, zala zanga ndizopunduka pang'ono, sizikuwongoka kwathunthu?

Mwambiri, tikulankhulanso za neuro-ischemic mawonekedwe a SDS.

Muyenera kuyang'anira kuchuluka kwa shuga nthawi zonse. Yang'anani kusintha kwamphamvu kwa zilonda. Ngati palibe njira yoyeretsa, ntchito yanu yayikulu ndikuwonetsetsa kuti kutupa sikuchitika. Kuti muchite izi, gwiritsani ntchito mankhwala antiseptics omwe amagulitsidwa m'mafakisoni (chlorhexidine, miramistin), ntchito yanu sikuti kuti chilowetse zilondazo ndi mafuta, koma kupukuta.

Tsoka ilo, ndizosatheka kuchiza matenda osokoneza bongo odwala matenda ashuga kunyumba popanda kuyang'aniridwa ndi madokotala. Ntchito yanu ndikuzindikira zoyamba za kupsinjikaku. Chifukwa chake, mutazindikira kuti edema, redness ya chala ichi, ndikofunikira kupita kukakumana ndi dokotala wa opaleshoni kapena purulent kapena mtima. Izi ndi zizindikiro zosokoneza, ziyenera kulamulidwa.

Palibe chomwe mungang'ambirepo kutumphuka pachilonda, kumakhala ngati kuvala kwachilengedwe.

Pankhani yakudulidwa kwa chala chomwe madotolo amakupangirani, sindinganyalanyaze zonena zawo. Chowonadi ndi chakuti ngati njirayi ikupita patsogolo - dera la ischemia (kutumphuka) limakulirakulira, limatha kupita kuphazi kapena m'munsi mwendo kenako mumatha kutaya osati chala chanu, komanso mwendo wanu. Pofuna kuti musataye nthawi, muyenera kuwoneka ngati dokotala wa opaleshoni yam'mimba kuchipatala cha zigawo.

Kodi munganenenji pankhani yothandizira phazi la matenda ashuga powayimbira foni? Chipangizocho chimaperekedwa pa intaneti, ndikoyenera kuyesa?

Akupanga ndi maukadaulo osiyanasiyana olimbitsa thupi ogwiritsira ntchito njira zosiyanasiyana kuti akwaniritse kusintha kwamitsempha yamagazi ndi magazi. Sipangakhale vuto lililonse kuchokera ku izi, pokhapokha ngati palibe njira yowonongeka. Choyamba, amasintha kayendedwe ka magazi kakang'ono kwambiri, "ma" kugona "amalumikizidwa. Ndipo popanda kuchiritsa kwa magazi kumatheka. Ndikofunika kufunsa dokotala wa opaleshoni ya podologist.

Mitundu ndi mawonekedwe a kucheka kwa shuga

Njira yodulira matendawa m'magazi a shuga imasiyana ndi kucheka kwa matumbo enanso:

1. Kudulidwa kumakhala kotsika (chala, phazi, kapena mwendo wotsika) chifukwa kuwonongeka kwa mtsempha wamagololo kumakhala kosowa.
2. Phwando lokhala ndi chisangalalo nthawi zambiri silimagwiritsidwa ntchito, chifukwa izi zimapangitsa kuti ischemia ikute.
3. Phazi, kudulira kumachitika nthawi zambiri osachita. Cholinga chachikulu cha dotolo ndikusunga minofu yamoyo kwambiri. Chifukwa chake, zala za 1 ndi 5 zitha kutsalira, ndipo 2,3,4 zidzachotsedwa.
4. Zilonda za postoperative sizimakodzedwa zolimba.
5. Matendawa amakhudzidwa amakhala osakonzeka, chifukwa njira yothandizira imafalikira panjira yawo yonse.

Fupa limawombedwa pakuwonekera kwa minofu yofewa. Ntchito ngati izi zimachitika mwachangu pomwe moyo wa wodwalayo uli pachiwopsezo.

Kudulidwapo mozungulira

Choipa chachikulu chakudulidwa koyendayenda ndikuti mafomu ooneka ngati chopondapo. Sikoyenera ma prosthetics, chifukwa chake, ntchito ina imafunikira kuti ipange chitsa cholondola.

Opaleshoni imatenga nthawi yayitali, koma dokotala amapanga chitsa cholondola.

Mitundu ya kudulidwa malingana ndi zisonyezo:

• Pulayimale (nthawi zambiri imachitika mwachangu pamene zimakhala mu minofu njira zosasinthika zowonongeka m'mitsempha yamagazi ndi mitsempha ndi njira zina sizikugwira ntchito).
• Sekondale (opaleshoni nthawi zambiri imachitika tsiku la 5-7, ngati chithandizo chokhazikika komanso kubwezeretsa magazi sichinapeze zotsatira, ndipo palibe machitidwe owopsa).
• Mobwerezabwereza (amagwiritsidwa ntchito popanga chitsa cholondola, nthawi zambiri atadulidwa mozungulira).

Izi zimachitika pochita opaleshoni yam'deralo. Malangizo onse a dotolo akatsatiridwa, machiritso amachitika mwachangu komanso popanda zovuta.

Palibe chilema chachikulu mutachotsa chala.

Matendawa nthawi zambiri amakhala abwino ngati kudulidwapo kuchitidwa munthawi yake komanso mabala akuchiritsa.

Ndikofunikira pambuyo pochiritsa mabala kuti musamalire kwambiri.

Ichi chizikhala choletsa kukula kwa mobwerezabwereza gangore.

• Kutsuka kwamapazi tsiku ndi tsiku ndi hydration.
• Nsapato zimayenera kukhala zamathanzi komanso omasuka, osafinya phazi. Ndikofunika kuti muike ma insoles mu nsapato zopanda nsapato, kuti musataye phazi.
• Tsiku lililonse wodwalayo amafunika kusanthula miyendo kuti apeze chimanga ndi mabala kuti awachiritse panthawi.
• Kuchita masewera olimbitsa thupi ogwira ntchito kumadera otsika. Izi zimawonjezera kuthira kwa magazi ku zimakhala ndipo zimalepheretsa kukula kwa ischemia.
• Kutikita minofu 2 kawiri pa tsiku. Kuwongolera koyenda kuyenera kuyambira kuchokera kumapazi kupita m'chiuno. Kenako gonani kumbuyo kwanu ndikukweza miyendo. Izi zimathandizira edema ndikubwezeretsa kutulutsa kwa magazi a venous.Izi zimawonjezera kutuluka kwa magazi owerengeka kupita ku zimakhala. Amapeza okosijeni wokwanira ndi michere.
• Mutha kuyenda osavala nsapato kuti musawononge zowonongeka pakhungu.
• Sungani shuga m'magazi.

Mu shuga mellitus, capillaries za distal zimakhudzidwa ndipo kuchuluka kwa mabulidwe nthawi zambiri kumakhala kotsika.

Koma mu ukalamba, matenda obwera ndi mtima atherosulinosis. Njira yake ya matenda ashuga imakhala yovuta kwambiri. Zotsatira zake, kutha kwa atherosulinosis kumayamba.

Zombo zazikulu zowonongeka, kuphatikiza mafupa achikazi wamba komanso zapamwamba kwambiri. Ndi chitukuko cha mwendo gangrene, mu ukalamba, gawo logunda nthawi zambiri limakhala lokwera (pamwamba pa bondo).

Chithandizo cha matenda osokoneza bongo chimachitika zingapo:

• shuga kagayidwe kachakudya,
• opaleshoni yamankhwala mabala,
• kumwa maantibayotiki
• kumasulira madera omwe akhudzidwa ndikuyenda,
• kuyang'anira tsiku ndi tsiku, kutsatira malamulo osamalira mapazi.

Njira zina zofunika zitha kuchitidwa kokha m'malo azachipatala, koma chithandizo chachikulu chili kunyumba. Mwachidziwikire, muyenera kuyesetsa kubweretsa kuchuluka kwa glucose pafupi kwambiri ngati kungatheke.

Werengani nkhani yakuti “Momwe Mungachepetsere Mwazi wa Magazi” mwatsatanetsatane. Pamaso pa bala lomwe lili ndi kachilombo, chithandizo cha opaleshoni nthawi zambiri chimafunikira. Simungakhale ochepa pakugwiritsira ntchito maantibayotiki popanda kutenga nawo mbali opaleshoni.

Amayenera kuchotsa tupi lonse losagwira. Odwala amaphunzitsidwa kuyesedwa tsiku ndi tsiku ndikuwasamalira bala mpaka atachira kwathunthu. Izi zimachitika ndi akatswiri omwe amagwira ntchito m'maofesi a phazi la matenda ashuga.

Kuchira kuchokera ku phazi la matenda ashuga ndikwenikweni, ngati si ulesi

Mitundu yambiri yosiyanasiyana ya mabakiteriya imatha kuyambitsa mabala ndi zilonda zam'mapazi. Choyamba, mothandizidwa ndi kusanthula, zimazindikira kuti ndi ma virus ati omwe amayambitsa mavuto, kenako maantibayotiki amaikidwa omwe amagwira ntchito molimbana nawo.

Mankhwala apadziko lonse lapansi omwe ali ndi mawonekedwe osiyanasiyana amathandizira pamilandu yopitilira 50-60%. Zambiri zokhudzana ndi maantibayotiki sizimalembedwa patsamba lino kuti mulimbikitse odwala kuti azidziyimira okha. Choyipa koposa, ngati wodwala matenda ashuga agwidwa ndi mabakiteriya omwe ayamba kukana mankhwala amakono.

Wet gangrene, phlegmon, zotupa zozama ndizovuta zazikulu zomwe zimawopseza moyo kapena chitetezo cha dzanja la wodwalayo. Mankhwala awo, mankhwalawa amayenera kuperekedwa ndi jakisoni kuchipatala.

Kuchita bwino kumatengera momwe mabala amathandizira mosamala. Zikakhala zofatsa, mapiritsi a antibayotiki amatengedwa kunyumba kuti azichiza matenda ashuga.

Ndikofunikira kuti muchepetse gawo la phazi lomwe lakhudzidwa. Muyenera kuyesa kugawa zovuta zomwe zimachitika poyenda, mowongoka. Munthu wathanzi wovulala kumapazi, akuyesera kuti asalowerere pachilondacho kuti apewe kupweteka.

Komabe, ambiri odwala matenda ashuga samva kupweteka chifukwa cha neuropathy. Amayenda pamabala akamayenda. Izi zimayambitsa kuvulala kowonjezereka ndikuletsa machiritso. Imatha kudumphira miyezi yambiri kapenanso zaka.

Kupulumutsidwa kwa mwendo womwe wakhudzidwa kumatha kuchitika pogwiritsa ntchito chovala chamtundu wapamwamba chopangidwa ndi zida za polima. Kavalidwe kameneka amatchedwa kusokoneza. Osasokoneza ndi kavalidwe kachilombo kamene kamayikidwa pachilonda.

Zambiri, kulumikizana ndi malo apadera omwe amachiza matenda a shuga. Nsapato zam'mimba ndizabwino kupewetsa, koma mankhwalawa chifukwa cha milandu yapamwamba sikokwanira. Funsani ngati kuli kotheka kupatsa wodwalayo chovala chapadera chothira.

Chithandizo chakunyumba chimakhala ndikutsatira malamulo osamalira mapazi, malingaliro othandizira kutsitsa phazi lakukhudzidwa, kukwaniritsa ndi kusunga shuga wabwinobwino. Chifukwa chokhala ndi nkhawa m'maganizo, odwala ambiri safuna kutsatira malamulowa mokhulupirika, osalabadira njira zoyenera. Achibale a odwala matenda ashuga komanso wodwalayo ayenera kuganizira njira yothetsera vutoli.

Katswiri wamapazi amatchedwa podiatrist. Sayenera kusokonezedwa ndi dokotala wa ana. Chinthu chachikulu chomwe muyenera kuphunzira: musalole kuti iye achotse chimanga! Chifukwa atachotsedwa, mabala amakhalapo omwe amasangalatsa kwambiri.

Kuchotsa chimanga nthawi zambiri kumabweretsa chiwerewere. Sizingachitike mwanjira iliyonse. Kuphatikiza pa podiatrist, kutenga nawo mbali kwa dokotala wa opaleshoni ndi zamankhwala kungakhale kofunikira. Udindo waukulu wamankhwala uyenera kuseweredwa ndi endocrinologist, yemwe amathandiza wodwalayo kusunga shuga wabwinobwino wamagazi.

Ngati gangrene sanayambepo ndipo sanadulidwe, ndiye kuti, phazi la matenda ashuga limatha kuchiritsidwa kwathunthu. Komabe, izi sizovuta. Ndikofunikira kuchepetsa shuga m'magazi kuti akhale abwinobwino ndikuwasunga okhazikika 3.9-5,5 mmol / l, monga mwa anthu athanzi.

Kuti muchite izi, sinthani ku chakudya chochepa cha carb ndipo musakhale aulesi kuti mupeze insulini muyezo wowerengera kuwonjezera zakudya zoyenera. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga.

Muyenera kuphunzira momwe mungawerengere molondola kuchuluka kwa insulini ndikutsatira njira tsiku lililonse, osapatula kumapeto kwa sabata ndi tchuthi. Komabe, nthawi ndi khama lomwe mungagwiritse ntchito zimapindulira. Chifukwa mulingo wabwinobwino wamagazi m'magazi samateteza ku phazi la matenda ashuga okha, komanso ku zovuta zina zonse.

Palibe zakudya, kupatula zakudya zamafuta ochepa, zomwe zimawalola odwala matenda ashuga kukhalabe athanzi, shuga wabwinobwino popanda spikes. Palibe mapiritsi ozizwitsa, mavalidwe kapena njira zolimbitsa thupi zomwe zitha kuchiritsa odwala matenda ashuga popanda kusunthira moyo wathanzi.

Choyambitsa chachikulu cha phazi la matenda ashuga ndi neuropathy, kutayika kwa minyewa yamitsempha. Vutoli limasinthiratu. Pakatha miyezi ingapo yokhala ndi shuga wamagazi okhazikika, misempha imabwezeretseka pang'onopang'ono.

Mapangidwe a Atherosclerotic omwe amapanga m'matumba sadzaonekanso. Komabe, mutha kuchepetsa kukula kwawo ndikusintha kayendedwe ka magazi m'miyendo. Sensitivity imabwezeretsedwa ndipo zotupa za khungu zomwe zasokonezedwa kwa nthawi yayitali.

Anthu odwala matenda ashuga omwe alibe ulesi kusunga shuga wawo nthawi zonse amakhalanso wokalamba, ngati anthu athanzi. Komabe, odwala omwe amayesa wowerengeka azitsamba kuti athandizire mabala omwe ali ndi matendawa m'miyendo yawo, m'malo mofulumira kuwona dokotala, amafa msanga.

Zithandizo za anthu

Palibe mankhwala azitsamba othandizira phazi la matenda ashuga, komanso zinthu zanyama. Pa intaneti, mutha kupeza malingaliro oyenera kusamba ndi nkhuku za miyendo yomwe yakhudzidwa ndi izi:

• njere za mpiru
• mafuta a clove
• mtengo wamatumbo am'madzi,
• mbewu zina zofala komanso zosowa.

Pewani izi. Zophika zachikhalidwe za anthu odwala matenda ashuga komanso zovuta zake ndi msampha.

Wodwalayo akutaya nthawi yamtengo wapatali, amatha kuyamba kudwala. Zimatsogolera kudulidwa kapena kufa. Odwala ambiri akufuna mtundu wina wa mankhwala achilendo a ku Cuba omwe amachira mwachangu komanso mosavuta kuchokera kuphazi la matenda ashuga.

Ena odwala matenda ashuga amasamba m'manja osamba kunyumba. Komabe, koloko si njira yoyenera yophera mafuta ndi kufewetsa khungu. M'malo m kusamba, muyenera kuteteza mapazi anu kuti asalumikizane ndi madzi. Chifukwa chakuti pakakhala nthawi yayitali madzi akakhala pakhungu, amatha kusokonezeka.

Kuchokera kwa odwala matenda ashuga osathandiza kwenikweni:

• sodium thiosulfate,
• Mankhwala osokoneza bongo

Pothandizidwa ndi odwala matenda ashuga, omwe amalephera kugwiritsa ntchito mankhwala othandizira, othandizira amakwaniritsa mapulani awo. Akatswiri omwe amathandizira zovuta za matenda a shuga mu impso zawo ndi maso nawonso samakhala osagwira ntchito.