Kuyang'ana kwamakono pakuchiza kuwonongeka kwa phazi mu shuga

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

Choyambitsa cha erysipelas (erysipelas) ndi mabakiteriya: hemolytic streptococcus. Nthawi zambiri, awa ndi gulu A streptococci, ndipo nthawi zina gulu B, C, kapena G. Amalowa kudzera m'matumbo ang'onoang'ono amkati mwa khungu ndi mucous membrane.

Zizindikiro ndi zizindikiro za erysipelas zimayamba mwadzidzidzi ndipo nthawi zambiri zimayenda ndi kuzizira, kutentha thupi komanso mutu. Kachigawo kakang'ono kofiyira kamawoneka pakhungu. Pakupita maola ochepa, ikukula kwambiri. Matendawa amafalikira pakhungu ngati funde, kupanga malire pakati pa dera lomwe ali ndi kachilomboka ndi khungu labwino.

Tizilombo tating'ono tomwe timakhala pansi pakhungu (minofu yamafuta) timatha kutenga kachilomboka. Pamaso, chotupa chowala chimakonda kufalikira m'masaya, mozungulira maso ndi makutu. Posachedwa, erysipelas, makamaka imakhudza khungu lakumapeto. Erysipelas pa mwendo imatha kupezeka mwa anthu omwe ali ndi chiyembekezo cham'mitsempha ya varicose ndi kuchulukana kwa lymph.

Kodi zimachitika bwanji ndipo chifukwa chiyani kupweteka kwamiyendo kumachitika pakhungu la matenda ashuga?

Matendawa matenda a shuga amapezeka mu 70 peresenti ya matenda omwe apezeka, pomwe osayang'anira shuga bwino amapezeka kwambiri. Nanga bwanji kupweteka kwam'mimba kumachitika mu shuga?

The pathogenesis ya kukula kwa ululu wa m'miyendo mu shuga yamtundu uliwonse imalumikizidwa ndi angiopathy, neuropathy. Chifukwa cha kukula kwa dyslipidemia, chiwopsezo cha atherosulinosis ndi kutseguka kwa peroxidation, kusokonezeka kwa magazi (ischemia) kumachitika osati m'matumba akuluakulu ndi zazing'onoting'ono, zomwe zimawonetsedwa ndi macro- ndi microangiopathy, motsatana. Kugonjetsedwa kwa ngakhale ziwiya zazing'ono kwambiri - vasa amanorum, zomwe zimakhudzidwa ndi zakudya zamatumbo amanjenje, zomwe zimapangitsanso chiwonetsero cha zowawa, ndizodziwika. Izi zimatilora kufotokoza momwe miyendo yanga imapwetekera ndi matenda a shuga.

Kupweteka kwam'mimba mu shuga sikungokhala chifukwa chokhala ndi zovuta za angiopathic ndi neuropathic. Kutseguka kwa tizilombo tokhala komweko kumathandizira kwambiri pakupanga ubale woyipa wa "miyendo ndi shuga". Miyendo mu matenda a shuga ndi makamaka omwe amatha kupezeka ndi matenda opatsirana, chifukwa chake mavuto a bakiteriya a miyendo yokhala ndi matenda a shuga a 2 amakula, chithandizo chomwe chimafuna kugwiritsa ntchito maantibayotiki.

Miyendo imapweteka mu shuga, ngakhale mutachita zolimbitsa thupi. Kupweteka kwamatenda, kumakoka mwachilengedwe, makamaka miyendo yopweteka m'dera la phazi (zala). Ululu umatha kufalikira kwa ng'ombe, mpaka matako. Kutenga ma pinkiller kuchokera ku gulu la NSAID poyamba kumabweretsa mpumulo, koma ndiye osagwira. Ngati mapazi akupweteka kwambiri ndi matenda ashuga, muyenera kufunafuna thandizo nthawi yomweyo.

Background wa erysipelas

Khungu ndi chotchinga chofunikira kupewa tizilombo toyambitsa matenda. Kuti erysipelas ichitike, mabakiteriya amafunikira zotupa kapena malo owonekera pakhungu (kukokoloka, mwachitsanzo chifukwa chamkaka, ming'alu) momwe amatha kulowa. Zowonongeka zotere zimachitika ngati:

• kachilombo koyambitsa matenda pakati pa zala - imodzi mwazofala matenda opatsirana, komanso "yolowera" yofala kwambiri ya streptococci
• matenda ena apakhungu komanso osakhazikika a pakhungu omwe amatsatana ndi kukokoloka pang'ono, kuwonongeka, kuboola ndolo kapena kuboola, chikanga
• magazi osakwanira pakhungu, magazi osayenda bwino.

Streptococci imatha kunyamulidwa pansi pa misomali, ndiye, kudzera pamakanda, ikani pansi pa khungu.

Zizindikiro za matenda am'miyendo mu matenda a shuga

Ndi matenda ati komanso mawonetsedwe omwe akuyenera kuwonetseredwa ndi kuwonetsa kwa matenda amiyendo mu matenda a shuga mellitus amawonekera m'ndandanda pansipa.

• Mitundu yosiyanasiyana ya neuropathy.
• Edema syndrome (mdera lamapazi, kumapazi, zala).
• Matenda a shuga.
• Matenda a trophic (zilonda zam'mimba).
• Diabetesic phazi lesion syndrome (SDS) - kuwonongeka kwa phazi mu mtundu 2 shuga, chithandizo chimafunikira opaleshoni.

Ngati miyendo imapweteka ndi matenda a shuga, ndikofunikira kuyesa momwe ululu uliri, nthawi yomwe imachitika. Yenderani khungu - nthawi zambiri zala zakuda zimayamba, mapangidwe ake a misomali amasintha, nthawi zina amathanso kuchita khungu. Ndikofunikira kuyesa tsitsi la khungu la miyendo. Ndi neuropathy, kuchuluka kwa tsitsi kumachepa, amakhala opanda mtundu. Kugwedeza miyendo ndichinthu choyamba chomwe chimakhudza miyendo ndi matenda a shuga a 2, chithandizo cha izi sichingalole SDS kukula.

-NOTE - Zofunika! Ngati chala chakuda, simuyenera kuchedwetsa kupita kwa dokotala - SDS ngati njira yovulaza phazi mu mtundu wachiwiri wa shuga, chithandizo chikufunika munthawi yake.

Kutupa, kutupa kumatha kuchitika pamiyendo ndi matenda a shuga. Izi zimayambitsa kugona m'miyendo. Phazi limakhudzidwa koyamba, nthawi zambiri limapweteka. "Chimanga", kusakhala ndi chidwi kumalo omwe kuli katundu wambiri (yemwe amakhala ndi ischemic neuropathy) kumatha kuchitika. Kuzindikira kumachepa, nthawi yomweyo, miyendo imapweteka kwambiri (kumva kupweteka kumasungidwa). Kutentha kwamapazi kumatha kuwonjezeka kapena kuchepetsedwa.

Mitundu yambiri ya maphunziro ofunikira kuti mupeze matenda ammiyendo mu matenda a shuga:

1. General kuyezetsa magazi ndi magazi oyera, mkodzo.
2. Biochemical kuphunzira magazi seramu.
3. Mbiri ya Glycemic, glycosylated hemoglobin (kotero kuti matenda a shuga amatsimikiziridwa).
4. X-ray yamapazi.
5. Kuyesa kwa Ultrasound.
6. Kujambula kwakanema ka ziwonetsero za ziwongola zam'mimba kumatha kuwulula matenda ammiyendo mu mtundu 2 wa matenda ashuga, chithandizo chikuyamba pa nthawi.

Zinthu zomwe zimawonjezera chiopsezo cha erysipelas:

• shuga
• Matenda ozungulira a matenda ozungulira
• Matenda a venous system, venous insuffuffing
• Matenda osokonezeka a ziwiya zam'mimba, lymphostasis (lymphedema). Lymphedema ikhoza kukhalanso chifukwa cha erysipelas yosasinthika, chifukwa erysipelas imawononga ziwiya zamitsempha.
• Kusagwira ntchito mokwanira (komanso mankhwala omwe amachepetsa chitetezo cha m'thupi)

Tsoka ilo, vuto lofunika kwambiri la erysipelas ndi ukalamba: Okalamba ndi omwe amavutika kwambiri ndi erysipelas.

Chifukwa chake, tikulimbikitsidwa kuchiza matenda apakhungu msanga, samalani khungu ndikuyang'ana pafupipafupi kuti muvulaze kapena kuvulala. Izi ndizofunikira makamaka kwa matenda ashuga. Popeza matenda ashuga amatha kuchepetsa ululu - chifukwa chake, mwina simungazindikire mabala ang'ono, mwachitsanzo, pamiyendo. Matenda a shuga amakhalanso pachiwopsezo cha matenda ena amkhungu oyambitsidwa ndi staphylococci kapena mabakiteriya ena.

Chithandizo chikuyandikira

Momwe mungachiritsire miyendo chifukwa cha matenda ashuga komanso malingaliro aposachedwa pa chithandizo cha matenda a shuga a mtundu wachiwiri?

Chofunika kwambiri pazochizira komanso kupewa matenda amtundu wa 2 matenda ashuga, chithandizo cha arthropathy, ndikuwongolera shuga. Mankhwala osiyanasiyana ochepetsa shuga amagwiritsidwa ntchito. Bigunaids, sulfonylureas, thiazolidinedinones, glucose-sodium cotransporter inhibitors ndi ena amagwiritsidwa ntchito mosamala pochiza miyendo matenda a shuga a 2. Kusankhidwa kwa mankhwala kuposa kuchiza matenda a shuga mellitus kumachitika payekhapayekha, poganizira kulolera kwa wodwala mankhwala ena. Kuwonongeka kwa phazi la Neuropathic mu mtundu 2 wa shuga: chithandizo chamankhwala am'kamwa ndi chothandiza.

Chithandizo cha kumapazi kwa matenda amtundu wa 2 chitha kuphatikizira insulin. Izi zimachitika makamaka pamilandu ya kukokanso kukamwa kwamankhwala ochepetsa shuga, kukhazikitsa madera otentha, chikomokere. Kuwerengera kwa kuchuluka kwa insulini kumatengera thupi la wodwalayo. Nthawi yomweyo, chithandizo chamankhwala a matenda a shuga 2 chimayang'ana "chidziwitso" cha matendawa.

Koma chochita ngati miyendo imakhala ndi ululu wa shuga? Choyambirira kuchita ndikuchezera adokotala - othandizira kapena endocrinologist. Adzaunikiranso kukaonana ndi katswiri wofunikayo, popeza atapereka zoyambilira kuchita kafukufuku wa zasayansi ndi zothandiza. Adziwonetsa matenda ammiyendo mu mtundu 2 wa matenda ashuga: dokotala amupatseni mankhwala.

Mndandanda wa mankhwala othandizira pathogenetic, kuphatikizapo chithandizo cha miyendo ya matenda ashuga, umaphatikizapo kukonzekera kwa mtima. Izi zikuphatikiza Actovegin ndi Sulodexide (Wessel Duet f). Mankhwalawa amachepetsa mapangidwe a thrombus, amalimbitsa ziwiya zamiyendo mu matenda a shuga, amakhala osagwirizana komanso antihypoxic. Kafukufuku wambiri watsimikizira kugwira bwino kwawo mu matenda atrosselotic phazi (okhala ndi matenda ashuga).

Actovegin ikupezeka mu ma ampoules a 2000 mg ndi mawonekedwe a piritsi (piritsi limodzi la 200 mg la yogwira ntchito). Njira zochizira kwambiri zimakondedwa kwambiri: kusintha pang'onopang'ono kuchokera ku mtsempha wamkati wa actovegin kupita pakamwa. Mankhwalawa amathandizidwa kamodzi kamodzi patsiku kwa masabata awiri, ndiye kuti aledzera patsiku la 1200 mg kwa milungu isanu ndi umodzi (ndiye kuti, mapiritsi atatu ayenera kumwedwa katatu patsiku ndi madzi ambiri mukatha kudya). Sulodexide imagwiritsidwa ntchito pakuwonongeka kwa phazi mu mtundu wa 2 shuga, chithandizo monga momwe zimakhalira, pang'onopang'ono m'malo mwa mapiritsi a piritsi mumapangidwa pang'onopang'ono.

Mtundu wachiwiri wa matenda a shuga, mankhwalawa amtundu uliwonse wa neuropathy amaphatikizapo kukonzekera thioctic acid - neuro lipone, thioctacide, thiogamm ndi analogues. Mankhwalawa amapezekanso mu njira yankho la kugwiritsidwa ntchito mwamphamvu ndi mapiritsi. Mlingo - 600 mg. Chithandizo chimachitika m'magawo awiri:

1. Thioctacid imayendetsedwa kudzera m'mitseko kwa masiku khumi kamodzi.
2. Masiku makumi asanu, mankhwalawa amatengedwa pakamwa, kamodzi patsiku. Ngati miyendo yokhala ndi matenda osokoneza bongo imapweteka kwambiri, nthawi yogwiritsira ntchito imawonjezeka.

Kugwiritsa ntchito NSAIDs kumathandizira kuchepetsa ululu wam'mimba mu matenda ashuga a m'mimba, monga momwe amachitira ndi mitundu ina ya neuropathy (pewani kugwiritsa ntchito pafupipafupi chifukwa cha nephrotoxicity yayikulu). Kusokoneza kosambira nthawi zambiri kumathandiza. Physiotherapeutic effect imagwiritsidwa ntchito kwambiri. Ndi matenda a shuga a mtundu wachiwiri, mankhwalawo ndi ovuta. Iyenera kuphatikiza njira zama psychotherapeutic, kutikita minofu. Makamaka kuwonongeka kwa phazi mu mtundu 2 wa matenda ashuga: chithandizo ndicholinga chobwezeretsanso zizindikiro, kubwezeretsa ntchito zomwe zidatayika.

Gulu la odwala matenda ashuga

Matenda a shuga angiopathy amawonetsedwa m'njira ziwiri - yaying'ono komanso zazikulu. Poyamba, ma capillaries amakhudzidwa, chachiwiri - mitsempha yayikulu ya magazi - mitsempha ndi mitsempha.

Microangiopathy imabweretsa kuwonongeka kwa minofu, kumachepetsa kuchotsedwa kwa zinthu zovulaza m'miyendo. Kulimbitsa minofu kumabweretsa hypoxia.

Macroangiopathy amawopseza mavuto a mtima. Izi matenda akupanga ischemic matenda osiyanasiyana, amaopseza myocardial infarction ndi zovuta zotsatirazi.

Zomwe zimachitika

Kukula kwa zamatenda kumadalira pa zinthu za matenda ashuga - kuthamanga kwambiri komanso kuchuluka kosayembekezeka mu shuga wa plasma.

Mtundu wa shuga wa I, mwayi wa matenda am'munsi umachepa, chifukwa wodwalayo amatha kuwongolera pamlingo wa glucose kudzera insulini.

Anthu odwala matenda ashuga amtundu wachiwiri ali pachiwopsezo - kukhalapo kwa zinthu zomwe zimapangitsa insulini kusokonekera m'thupi kumabweretsa kudumphadumpha kosalephera.

Mwa zina zomwe zimayambitsa kupezeka kwa angiopathy a ziwiya zamagawo akumunsi, ziyenera kukumbukiridwa:

• Kulingalira kwamapangidwe amtundu kuti apange insulin,
• Dyslipidemia - kuphwanya kagayidwe ka mafuta ndi mapuloteni,
• Moyo wonenepa kwambiri, wokhazikika. Kukula kwakukulu, kunenepa kwambiri kwama visceral kumakhudza kuchuluka kwa mafuta m'mimba m'mimba - m'mimba,
• Matenda oopsa a magazi, kuchuluka kwa maselo amwazi,
• Kusuta ndi kuvulaza komwe kumachitika chifukwa cha malo omwe wodwala amakhala kapena ntchito,
• Heredity komanso m'badwo. Pangozi ndi anthu odwala matenda ashuga kuposa zaka 50.

Njira zopititsira patsogolo ndi zizindikiro

Mafuta owonjezera m'thupi la odwala matenda ashuga amatha kulowa m'mitsempha yamagazi, kuyambira njira yowonongeka.

Minofu imaphwanya shuga m'magulu ang'onoang'ono omwe amakonda kukopa zakumwa. Zotsatira zake, ziwiya zotupa zimayambitsa kutupa.

Ntchito yosokonezeka yamitsempha yamagazi yam'munsi yotsika imayambitsa kutulutsa kwa zinthu zopanga, chifukwa cha zomwe microscopic thrombi imapangidwa.

Kuchuluka kwa zinthu kumadzetsa njala ndi ntchito ya oxygen ma fibroblasts - zinthu zomwe zimapangitsa kuti pakhale kulumikizana kwa minofu. M'mitsempha, njira yopangira ma atherosulinotic plaques omwe amachepetsa kutuluka kwa magazi amathanso kuyamba.

The zimachitika angiopathy chifukwa cha kuwonongeka kwa zimakhala zopatsa mphamvu n`zotheka limodzi kuwonetseredwa njira ziwiri: mitsempha njala mu matenda ashuga ndi matenda oopsa. Kusagwira ntchito kwa okosijeni kumabweretsa kufa kwa mitsempha yomwe imakhudza minyewa ya miyendo. Poyamba, zosintha mthupi zimakhala zazing'ono, koma zimatha kupezeka.

Mwa zina mwa matenda a shuga angiopathy a m'munsi malekezero:

• Kuchulukana mosasinthika kwakanthawi komanso / kapena kuchepa kwa kutentha kwa phazi,
• Kuchepetsa chidwi
• Kupweteka kwa minofu ndi / kapena kupindika,
• Minofu yolimba mumaola oyambilira mutadzuka,
• Kutupa kwa zimakhala zingapo, khungu louma,
• Miyezo yamadazi
• Kusenda, kuyaka khungu la phazi,
• Kusintha kwa zala.

Kupitilizitsanso matendawa kumabweretsa kuwonda, kusintha pakhungu, ndi mawonekedwe a zilonda. Mochulukirapo, minyewa yamatenda imayamba ndikupanga phazi la matenda ashuga - njira yomwe mafupa a mwendo amasokonekera, zilonda zam'mimba za purcin.

Kukhazikika kwa zizindikiro za matenda ashuga a matenda ashuga kumaphatikizapo kukaonana ndi dotolo kuti mukawone ndi kupangana chithandizo. Chithandizo choyambirira chimatsogolera pakusungidwa kwa miyendo yakumunsi.

Zizindikiro

Kufufuza kwathunthu kwa kukhalapo kwa angiopathy kumaphatikizapo kuyesa khungu la mapazi, misomali, kuyang'ana kukhalapo kwa zimachitika mu ziwiya, kuyeza kuthamanga kwa mitsempha ya miyendo ndikufanizira zowerengera.

Katswiri akuwunikiranso momwe miyendo imasinthasintha.

Mayeso omwe aperekedwa adzakuthandizira kuzindikira zopatuka mu ndege yamagetsi.

Mwa njira zakufufuzira zomwe agwiritsa ntchito:

• Angiography - x-ray yamitsempha yamagazi ndi kuyambitsa kusiyanitsa,
• Doppler color ultrasound,
• Computer capillaroscopy ya miyendo,
• Sciral CT scan
• MRI

Kufufuza kwathunthu kwa angiopathy kwam'munsi kotsika kumachitika pakafunsidwa ndi akatswiri osiyanasiyana:

• Endocrinologist
• Neurologist
• Opaleshoni
• Cardiologist
• Optometrist.

Mankhwala osokoneza bongo amitsempha yamagazi

Ndi odwala matenda ashuga, odwala amapatsidwa mankhwala oyeretsa komanso olimbitsa omwe ali ndi mankhwala osokoneza bongo. Mankhwala otsatirawa ndi othandiza kwambiri:

1. Ma Anticoagulants. Amathandizira kuchepetsa kuphwanya magazi, kupewa magazi.
2. Mankhwala a antihypertensive. Cholinga chake ndikuchepetsa kuthamanga kwa magazi, chifukwa chomwe kuphipha ndi kutsinikiza kwa makhoma a ziwiya zathupi lonse kumachepetsedwa.
3. Nootropics.Ndi "mavitamini a muubongo," omwe amakhudza bwino ubongo. Chofunika kwambiri ndi kulandira kwawo kwa anthu omwe ali ndi vuto la ziwiya zaubongo.
4. Neuroprotectors. Amathandizira kupewa kuwonongeka kwa mitsempha yaubongo atawululidwa pazinthu zovuta.
5. Madera Gulu la mankhwala omwe amasintha kuchuluka kwa cholesterol m'magazi. Fotokozerani mankhwala amphamvu.

Mitsempha yama mtsempha yamagazi imakhala ndi zotsatira zabwino. Ndi thandizo lawo amathetsa izi:

• bwino kagayidwe mu minofu ndi ma microcirculation,
• kufalikira kwawoko kubwezeretsedwa,
• Zizindikiro za vegetovascular dystonia zimachoka,
• mamasukidwe amwazi amachepa.

Nthawi zambiri, oponyera pamimba amapatsidwa njira zosachepera 10 njira. Ndikofunika kukumbukira kuti ndi dokotala yekha yemwe amapereka mankhwala. Magulu onse omwe atchulidwa pamwambapa samangokhala ndi zotsatira zabwino pamitsempha yamagazi, komanso ambiri mavuto. Chifukwa chake, mlingo umasankhidwa mosiyanasiyana payekhapayekha, nthawi ndi nthawi momwe chithandizo chimachitikira.

Momwe mungachitire kuphipha kwamitsempha yamagazi

Wodwala akangopezeka ndi zotupa zam'miyendo ndimatenda a shuga, mankhwalawa amayamba posachedwa. Choyamba, muyenera kulumikizana ndi podiatrist - katswiri yemwe amathandizira ma phazi a pathologies. Mu matenda a shuga, chotupa chimakhudza mitsempha ya m'magazi, pambuyo pake imafalikira kwa minofu yofewa, cartilage ndi mafupa. Wadwala kwambiri, wodwalayo amayamba zilonda zam'miyendo yake zosachiritsa pamiyendo yake, chifukwa nthawi zambiri chimakhala chofunikira kudula dzanja.

Mavuto am'mitsempha akapezeka kumayambiriro, ndikokwanira kuti wodwalayo azisamala, azitenga magazi ochepa, mankhwalawa. Ngati chithandizo chamankhwala chosasangalatsa sichingabweretse zotsatira zake, ndipo mkhalidwe wa wodwalayo umakulirakulira, ndiye kuti kuchitapo kanthu pakufunika opaleshoni yofunika. Pali njira zingapo zomwe amayeretsera ziwiya zija ndi kuteteza zina kuti zisatsekenso:

1. Therapy Laser Zombo zowonongeka zimawotchedwa ndi laser. Mankhwalawa amagwira ntchito ndi matenda ochepa.
2. Angioplasty. Catheter yapadera yokhala ndi baluni imalowetsedwa mu ziwiya kudzera mu gawo la akazi, lomwe limatengedwa kupita kumalo owonongeka. Kenako imapumidwa ndi mpweya, pochotsa kumatira kwa chotengera. Panthawi yopusitsa, mayendedwe onse amatsatiridwa pogwiritsa ntchito kompyuta.
3. Ndikuluma. Ndizowonjezera pa njira yapita. Wopanda waya wapadera umayikidwa mu chotengera m'malo mwa catheter ndi baluni. Chojambulachi chimapangidwa kuti chovala zazitali.
4. Opaleshoni yam'mimba. Gawo lina la chiwiya chowonongeka chimachotsedwa, gawo limodzi lamkamwa mwake kapena chubu chokumbira amaikiratu m'malo mwake.
5. Endartectomy. Kutsuka kwa minyewa pamene malo awo owonongeka adulidwa ndikutsukidwa kuchokera ku malo kuti athe kukulitsa lumen.

Mankhwala onse amachitika mu chipatala, kuthamanga kuchira pambuyo pawo kumadalira kuopsa kwa zotupa zam'matumbo, m'badwo wa wodwalayo. Ndondomeko zomwe zili pamwambazi zimakhudza kwambiri mkhalidwe wamtima wamtima, chifukwa ndi chithandizo chawo ndizotheka kupewa osati kukula kwa gangrene, komanso stroko kapena thrombosis.

Njira zina zochizira

Kuwonongeka kwa mtima komwe kumachitika ndi shuga kumachepetsedwa pogwiritsa ntchito mankhwala achikhalidwe. Zothandiza kwambiri ndizotsatirazi:

1. 250 ml ya madzi otentha tengani supuni 1 ya masamba a mabulosi. Zonsezi ndi zosakanikirana, ndikuloledwa kupatsa kwa mphindi 10. Imwani zakumwa katatu patsiku.
2. Ndibwino kuti odwala matenda ashuga azitha kudya mafuta ochepa. Amagwiritsidwa ntchito zonse mu zobiriwira komanso zosakanizidwa, mwachitsanzo, pakukonzekera ma compotes, zakumwa za zipatso, zakudya kapena zakudya.
3. Ndikofunika kugwiritsa ntchito kulowetsedwa kwa flaxseed. Chifukwa cha izi, zinthu zosaphika ndizopaka dothi lamtundu, zimayikidwa mu thermos ndikudzaza ndi kapu yamadzi otentha. Imwani chakumwa musanadye.
4. Masamba ndi maluwa azomera monga linden, chamomile, calendula amawonjezeredwa ku saladi ndikugwiritsidwa ntchito muzakudya za tsiku ndi tsiku. Amathandizira kukonza ziwiya zam'mbali zam'munsi.
5. Pulogalamu yotsuka minyewa pogwiritsa ntchito matumba a walnut ndi yothandiza kwambiri. Amaphwanyidwa ndikukhala phula, kenako supuni 1 kamodzi patsiku musanadye. Mankhwala ayenera kutsukidwa ndi madzi. Kutalika kwa mankhwala ndi miyezi iwiri, pambuyo pake muyenera kupuma.

Ndikofunika kukumbukira kuti musanatsuke ziwiya zamatenda a shuga mothandizidwa ndi mankhwala achikhalidwe, muyenera kufunsa dokotala. Zomera zambiri zimakhala ndi allergen, ndipo mtedza umakhala ndi zopatsa mphamvu zambiri, zomwe zimapangitsa kuti wodwalayo azidwaladwala.

Vascular lesion prophylaxis

Kuti achepetse kuwonongeka kwa chotengera chamagazi, odwala matenda ashuga ayenera kutsatira izi:

1. Tsatirani malangizo onse a dotolo ndipo musamveke. Pankhani yosasangalatsa m'm miyendo, kuwonongeka kwaumoyo, ndikofunikira kudziwitsa dokotala munthawi yake. Izi zikuthandizira pakapita nthawi kuzindikira vutoli ndikuyamba chithandizo chake.
2. Tsatirani zakudya zapadera, osakhumudwitsa shuga. Chifukwa cha izi, zakudya zonse zotsekemera, komanso zakudya zama carb zotsika, siziperekedwa muzakudya. Zokonda zimaperekedwa kwa mitundu ina ya masamba ndi zipatso, zitsamba, nyama yopendekera.
3. Khalani ndi moyo wathanzi. Ndikofunika kusiya zizolowezi zoyipa, momwe mungathere kukhala mu mpweya watsopano kuti muchepetse zochitika zamtunduwu. Pambuyo pofunsana ndi dokotala, mutha kuchita masewera osalemera omwe cholinga chake ndi kukhala wathanzi. Izi zitha kukhala ma yoga kapena ma Pilates, kuyenda momasuka, kusambira.
4. Ngati ziwiyazo zawonongeka, chithandizo chimayambitsidwa mwachangu kuti muchepetse njira zowonongeka ndikuwasunga bwino.
5. Ndikofunikira kupenda mosamalitsa malekezero ake tsiku ndi tsiku, kuti musaphonye kuwonekera kwa zilonda zam'mimba. Ngati khungu layamba kuuma, limapatsidwa mankhwala ofewa komanso opepuka.

Ndikofunikira kutsatira miyambo yonse yomwe ili pamwambapa, ndiye kuti chiopsezo chogwiritsa ntchito mtima ndi kuchepetsedwa.

Matenda a shuga ndi matenda oopsa omwe amakhudza mitsempha yoyamba, mwakutero amayambitsa kugwirira ntchito kwa ziwalo zonse zamkati. Kuti mupewe zovuta, muyenera kuyang'anitsitsa thanzi lanu ndikutsatira mosamala malangizo onse a dokotala.

Zambiri

Matenda a shuga - matenda omwe amapezeka chifukwa cha kuperewera kwathunthu kapena kwa abale insulin.

Anthu omwe ali ndi matenda a shuga amakhala ndi vuto la mtima nthawi yayitali zisanachitike zizindikiro zoyambirira za matenda ashuga. Anthu omwe ali ndi matenda ashuga, makamaka mtundu wachiwiri, ali pachiwopsezo chachikulu chokhala ndi matenda amtima.

Zimayambitsa matenda ashuga

Amawonetsedwa ngati atatsimikizira kuti munthu akakhala ndi matenda ashuga kwambiri, amakhala ndi chiopsezo chowonongeka m'mitsempha. Chiwopsezo chowonjezeka cha matenda a mtima m'matenda a shuga chimakhudzana mwachindunji ndi kuthamanga kuthamanga kwa magaziosagwirizana ndi okhwima Zakudya, kusuta, kusowa mokwanira machitidwe olimbitsa thupi. Ndi matenda a shuga, nthawi zambiri zimachitika atherosulinosis chifukwa chodzikundikira m'makoma amitsempha yamagazi cholesterol. Popita nthawi, maphunziro cholesterol zolemberazomwe zimalepheretsa mayendedwe aulere mpweya kwa minofu ya mtima. Ngati pali kulekanitsidwa kwa cholesterol plaque, ndiye kuti pamapeto ake akhoza kuwonekera magazi, yomwe pambuyo pake imakhala chifukwa cha matenda akulu - sitiroko, wandewuchifukwa chosayenda mokwanira m'miyendo.

Zizindikiro za matenda am'mimba a shuga

Mwa anthu omwe amadwala matenda ashuga, Ngati pali zovuta m'matumbo, zizindikiro zosiyanasiyana zimatha kuonedwa. Kuvulala kwa mitsempha yamagazi m'matumbo a shuga kumatha kufotokozedwa ndi mavuto ndi masomphenya: munthu amawona chilichonse chosamveka bwino, nthawi zina chikuwala cha "ntchentche" pamaso pake. Nthawi zambiri, wodwalayo amakhala ndi zotupa zakumaso ndi nkhope, zilonda zam'mimba zimawonekera, ndipo miyendo ndi miyendo imatayika. Nthawi zina kuyenda kumawoneka kulankhulirana pang'onopang'ono ndi zowawa m'miyendo. Kuphatikiza apo, mwa wodwala wokhala ndi zotupa zam'mimba, kuthina ndikuthamanga kwamkodzo kumatha kuchitika, kuthamanga kwa magazi kumawonetsedwa, kupweteka pachifuwa nthawi ndi nthawi.

Matenda a shuga

Matenda a shuga Ndi matenda a shuga kuwonongeka, kumene otchedwa capillaropathy. Izi matenda amtundu wa shuga mellitus. Mu thupi laumunthu, pamlingo wa capillaries, zinthu zofunika zimatengedwa kupita nazo ku minofu, komanso kubweretsanso zotengera zonyamula ma cell kuchokera ku zimakhala. Ngati capillaries yowonongeka, njirayi imachepetsa, zomwe zimakhudza thupi lonse.

Odwala omwe ali ndi matenda a shuga, atherosulinosis imawonekera koyambirira kuposa anthu ena. Matendawa ndi ovuta kwambiri odwala matenda ashuga kuposa odwala ena. Atherosulinosis mu matenda ashuga imatha kukhala mwa amuna ndi akazi onse komanso zaka zilizonse, pomwe imakonda kuphatikizidwa microangiopathy. Atherosulinosis imakhudza mitsempha ya mtima, mitsempha ya muubongo, mitsempha yam'mwamba komanso yotsika.

Matenda a diabetes angiopathy amakula mwa wodwala chifukwa chotsatira chithandizo chamankhwala osokoneza bongo. Izi zimaphatikizapo kuphwanya mafuta ndi mapuloteni kagayidweKusintha kwamphamvu komanso pafupipafupi pazambiri shuga m'magazi, kufalikira kwamphamvu kwa mahomoni. Zotsatira zake, mitsempha yamagazi imavutika: kuperekera kwa oksijeni ku minofu kumayamba kugwira ntchito, ndipo magazi amayenda m'mitsempha yaying'ono amasokonezeka.

Kukula kwa angiopathy kumachitika mothandizidwa ndi njira za autoimmune. Mthupi la munthu, zochita za autoimmune zimayamba chifukwa chogwiritsa ntchito ma insulin omwe akhala akuchita kwa nthawi yayitali kuchitira mankhwalawo. Kuphatikiza apo, kugwiritsa ntchito mowa ndi kusuta fodya kwa odwala kumakhala koyipa kwambiri pakukula kwa angiopathy.

Matenda a ziwiya zamiyendo ndimatenda a shuga

Osatengera momwe matenda ashuga a mtima amadziwonekera, odwala omwe ali ndi vuto la matenda a shuga monga kupindika pang'ono, zilonda zamiyendo nthawi zambiri zimawonedwa. Pambuyo pake, matendawa amatha kubweretsa chitukuko zigawenga. Malinga ndi ziwerengero zamankhwala, odwala omwe ali ndi matenda osokoneza bongo omwe amakhala ndi matenda opatsirana amayambanso kuwonjezereka ka 50 kuposa anthu athanzi. Nthawi zambiri, achinyamata omwe ali ndi matenda ashuga amakhala.

Monga lamulo, pa gawo loyamba la kukula kwa angiopathy kwamiyendo, matchulidwe osintha ndipo zizindikiro za matendawa sizinawonedwe. Kukhalapo kwa kusintha kwina kumatha kutsimikizika phunziroli pogwiritsa ntchito njira za tachoscillography, capillaroscopy, rheography.

Pa gawo lachiwiri lachitukuko cha matenda amitsempha ya miyendo, yomwe imatchedwa kuti yothandiza, munthu nthawi zambiri amawonetsa kupweteka kumadera akumidzi. Poyamba, ululu umangovutitsa ndikuyenda kwakutali. Pambuyo pake, ululu umayamba kuonekeranso mwa apo ndi apo pakupuma, pomwe nthawi ndi nthawi wodwalayo amakhala ndi vuto la kugona, kumverera koopsa kapena kuzizira. Zitha kusokonezedwa usiku kukokana miyendo.

Pokonzekera wodwala pakadali pano, katswiriyo akuti ali ndi khungu komanso kuzirala kwamapazi. Pa palpation, kufooka kwamatumbo kumamvekedwa pamiyendo yam'mimba komanso kumbuyo.

Matendawa akamakula, ndiye kuti pang'onopang'ono amadutsa gawo lachitatu. Pakadali pano, munthu ali kale ndi vuto lochita kulumikizana, lomwe likuyenda bwino. Pakapita nthawi, ululuwo umakhala wokhazikika ndipo sutha usana kapena usiku. Komabe, ngati wodwalayo alamulidwa ndi zovuta za matenda ashuga a shuga, ndiye kuti ululuwo suyenera kutchulidwa. Chifukwa chake, chiwonetsero cha kusintha kwakukulu kwa trophic zitha kuwoneka zowoneka bwino komanso mwadzidzidzi kwa munthu.

Chikopa pamiyendo chimasinthanso mawonekedwe ake: chimakhala choperewera komanso chouma, chovulala mosavuta. Poyamba, khungu lotuwa pang'onopang'ono limakhala ndi khunyu-cyanotic hue. Pali kufooka kwa chotupa cha popliteal, komanso mitsempha ya kumbuyo. Ngati iye wakopeka, ndiye ofooka kwambiri. Nthawi zina zimawoneka zala zazikulu zakumanzere kapena zala zakumiyendo, komanso kumodzi thovulodzaza ndi serous hemorrhagic madzimadzi. Pambuyo pake, wodwalayo akuwonekera zilonda zam'mimbazomwe sizichiritsa kwa nthawi yayitali.

Nthawi yomweyo, zotupa za iliac ndi zotupa m'mimba zimawonekera nthawi zina. Matendawa ndi umboni kuti wodwalayo wapanga mawonekedwe owopsa kwambiri atherosulinosis obliterans.

Zotsatira zake, gangrene imakhala zovuta kwambiri zamatenda am'magazi, zomwe zimatha kukhala chifukwa chakutha kwa atherosulinosis, komanso chifukwa cha zovuta za matenda ashuga a shuga. Gangrene amaphatikizika ndi chikhodzodzo cha serous-hemorrhagic chikhodzodzo kapena trophic zilonda. Kukula kwa gangrene nthawi zambiri kumayamba ndi malo omwe chimanga chimangika kapena chilonda china m'mbuyomu. Kukula kwa gangrene kumatha kuchitika mosiyanasiyana. At Youma gangrene ma necrotic akuluakulu amasungidwa pang'onopang'ono ndikukana. At Zowonda kwambiri wodwalayo ali ndi zizindikiro zowopsa kwambiri, ndipo dziko lotupa likukula.

Kuvulala kwa mitsempha ya shuga m'magulu osiyanasiyana kumachitika m'njira zosiyanasiyana. Nthawi zina, njirayi imayamba pang'onopang'ono, zaka zambiri, nthawi zina makumi. Koma nthawi zina odwala omwe ali ndi matenda a shuga, njira yodwala matenda ashuga macro- ndi microangiopathy imayenda bwino kwambiri, ndipo gangrene amatha kuyamba mwanjira imeneyi nthawi yomweyo. Zomwe zimachitika pamndandandandawo zimatengera nthawi yomwe matenda a shuga amawonera wodwala.

Chithandizo cha matenda ashuga

Kuchiza kwamatenda a mtima m'magazi a shuga kumaphatikizanso kuwongolera kuthamanga kwa magazi, komanso kuthandizira pafupipafupi shuga. Kuti muchite izi, ndikofunikira kwambiri kutsatira zakudya zomwe adotolo amapatsa, komanso kumwa mankhwala oyenera nthawi zonse.

Kugwiritsa ntchito mankhwala pafupipafupi komwe kumatsitsa shuga kapena insulin ndikofunikira kwa odwala matenda ashuga. Kuchepetsa kuthamanga kwa magazi mu shuga opanga beta, angiotensin kutembenuza enzyme zoletsa, calcium blockerskomanso okodzetsa. Ndizotheka kutsitsa cholesterol yamagazi ndi ma statins.

Ngati wodwala ali pachiwopsezo cha kuundana kwa magazi, ndiye kuti mankhwala akhoza kuperekedwa kuti muchepetse kuyanjana kuchuluka kwa mapulateleti. Zitha kukhala Aspirin, Plavix.

Ngati zilonda zapezeka pakhungu la miyendo, ndiye kuti akuyenera kuthandizidwa. Pofuna kupewa kuwonekera kwa zilonda zatsopano ndi kufalikira kwa matenda, wodwalayo adayikidwa maantibayotiki. Kuperewera kwa chithandizo chokwanira kumatha kubweretsanso matenda ena, zilonda zam'mimba komanso kudula. Pochenjeza kudula anachita angioplasty, stenting, bypass opaleshoni. Njira yochizira imayikidwa payekhapayekha ndi dokotala wa opaleshoni ya mtima.

Ndi retinopathy, opaleshoni yapadera ya laser nthawi zina imachitika. Ndi chithandizo chake, kuyamwa kwa ziwiya za m'magazi kumachitika, zomwe zimapangitsa kuwonongeka kwa odwala omwe ali ndi matenda a shuga.

Zoyambitsa kusokoneza mitsempha yamagazi

Zomwe zimapangitsa kuti magazi awoneke m'mitsempha yam'mimba ndizowonjezereka kwa shuga wamagazi, zizolowezi zoyipa, kusachita masewera olimbitsa thupi, komanso matenda oopsa. Kuphatikiza apo, madokotala akhazikitsa kuti kusokonekera kwa mitsempha yamagazi kumatha chifukwa chosagwirizana ndi zakudya zomwe zaperekedwa.

Dziwani kuti kupezeka kwa matenda ashuga kale ndi komwe kumayambitsa kulephera kwakukulu mkati mwa thupi, zotsatira zake zimatha kukhala zosasintha. Koma monga momwe machitidwe amasonyezera, ndi matenda ashuga, malinga ndi kuyang'anitsitsa mosamalitsa zomwe madokotala amapereka, mitsempha yamagazi imatha kusungidwa bwino kwanthawi yayitali.

Malangizo awa akhale:

1. kupatula zakudya zopanda pake
2. matenda a mtima
3. masewera olimbitsa thupi nthawi zonse
4. kugwiritsa ntchito mankhwala azitsamba.

Chifukwa cha njira zosavuta izi, muthanso kulimbitsa chitetezo cha mthupi.

Pamaso pa matenda a shuga, wodwalayo amayenera kuwunika momwe ziwiya zake zimagwera mkati mwa chidacho, mawondo, dzanja. Muyeneranso kuyang'ana mwadongosolo ngati ndizopweteka kapena kuti musayende maulendo atali, osamalira mtundu wa khungu, kupezeka kwa pallor, zowona zowonongeka tsitsi kwambiri.

Ngati matendawa achedwa, thanzi la pakhungu limasokonekera kotero kuti zilonda zam'mimba zambiri zimayamba, zomwe zimakhala zovuta kukonzekera ndi machiritso a zilonda zamphamvu.

Matenda a shuga amakhalanso akuwoneka mosiyanasiyana, nthawi zina njira yotupa imakhala yotupa, yokhala zaka zambiri kapenanso makumi. Komabe, nthawi zambiri pamakhala kupita patsogolo kwamphamvu kwambiri kwa matenda ashuga, gangrene imatha kuwoneka ngati mphezi mwachangu. Izi zimachitika bwanji zimatengera kuopsa kwa matenda ashuga. Kwa odwala ambiri, gangrene amayamba ndendende kuchokera pomwe malo anavulapo, ndipo khungu lomwe lidayambika.

Chifukwa cha njala ya okosijeni, mathero a mitsempha amakhudzidwa, vuto lomwe limatchedwa diabetesic polyneuropathy. Gawo likakhala lofatsa, kusapeza bwino kumangokhala:

• kumverera kokweza
• dzanzi pang'ono la miyendo.

Pakapita kanthawi, ululu wosapweteketsa umayamba womwe umakupatsani usiku.

Osanyalanyaza zofufuza za madokotala, kupita ku chipatala kukayezetsa, kuchita kafukufuku wokhudza mtima, mitsempha yamagazi, ndi ziwalo zina zamkati. Ndikofunika kulabadira kudya kwakanthawi kochepa kwa mankhwala omwe amasunthidwa kuti asinthe kuchuluka kwa shuga m'magazi.

Kutsuka kwa mtima kwa matenda ashuga kuyenera kupangidwa kuti iwonjezere kugwira ntchito, kulimbitsa magwiridwe antchito.

Zoyenera kuchita ngati miyendo ikupweteka ndi matenda ashuga?

• Zizindikiro ndi mitundu ya matenda amiyendo mu odwala matenda ashuga
• Chifukwa chiyani miyendo yanga imapweteka ndi matenda ashuga?
• Njira zoyesera
• Zoyenera kuchita ngati miyendo ipweteka ndi matenda ashuga?
• Njira za anthu
• Zotheka
• Zojambula Zapamapazi