Matenda a shuga a miyendo
Matendawa odwala matenda ashuga ndi amodzi mwa zovuta kwambiri komanso zovuta kwambiri za matenda ashuga. Amayamba chifukwa cha kukwera kwa magazi, komwe kumawononga zotumphukira ndi mathero am'mitsempha. Izi zimasokoneza kayendedwe kazikhala magazi m'miyendo ndikuzilepheretsa kuti muzimva, zomwe zimatsogolera kuoneka ngati zilonda zam'mimba.
M'mavuto ovuta kwambiri, wodwala wokhala ndi matenda ashuga amapunduka mafupa ndi mafupa, zomwe zikutanthauza kuti amasiya kugwira ntchito yonse. Kuti mupewe izi, wodwala yemwe ali ndi matenda ashuga ayenera kuyang'anitsitsa thanzi la miyendo yake, kupewa mawonekedwe azitsamba, kudula komanso kukwiya.
Nsapato zotonthoza ndizofunikira popewa phazi la odwala matenda a shuga a Charcot. Kuti ikhale yabwino komanso yotetezeka kwa odwala matenda a shuga, tikulimbikitsidwa kugwiritsa ntchito insoles yapadera yamatenda a shuga, malongosoledwe omwe adzaperekedwe munkhaniyi.
Mawonekedwe
Orsoopedic insoles ya phazi la matenda ashuga ali ndi zosiyana zambiri kuchokera ku insoles wamba zamasamba. Ali ndi katundu wofunikira.
- Kwezerani kupsinjika pamapazi.
- Popanga ma insoles a odwala matenda ashuga, ma rhinestones amagwiritsidwa ntchito popanga zinthu zosiyanasiyana madigiri.
- Izi zimathandizira kupanga mawonekedwe apadera a multilayer, omwe amachepetsa kwambiri katundu pamapazi ndikupereka cushioning yabwino, yomwe imateteza miyendo ya wodwala ku zilonda zam'mimba,
- Gawani zipsinjo. Izi zothandizira zochizira zimakhala ndi mawonekedwe apadera ndi mawonekedwe odekha.
- Kuphatikiza apo, makulidwe awo ndi osachepera 10 mm, kuphatikiza m'dera la zala. Izi zimathandizira kugawa kukakamiza paliponse pamtunda wokhawo, kuthetsa mavuto,
- Musavulaze mwendo wanu. Kupanga kwa insoles za shuga ndikotetezeka kwa wodwala, chifukwa sikumaphatikizapo zinthu zomwe zingawononge mapazi ake, monga chithandizo cha arch, rolling metatarsal ndi zigawo zolimba za pulasitiki,
Lolani khungu kupumira ndikutchinjiriza ku bacteria. Pazopangira insoles za matenda ashuga, zida zapadera zimagwiritsidwa ntchito zomwe zimaloleza khungu la miyendo kupumira komanso kupewa kuti mapazi asaluke. Kuphatikiza apo, chifukwa cha kutengeka kwawo komanso zinthu zina za bacteriostatic, zimamwa chinyezi bwino ndipo zimalepheretsa kukula kwa mabakiteriya.
Kumbukirani zopindika za phazi. Ma insoles amakono a matenda ashuga amakhala ndi "kukumbukira" zotsatira. Izi zikutanthauza kuti amatha kutengera molondola mawonekedwe a phazi, lomwe limatsimikizira kutonthoza kwambiri miyendo ya wodwala.
Zimathandizira kuchepetsa ululu. Zotulutsa zoterezi ndizoyeneranso kwa odwala omwe ali ndi matenda ashuga omwe kale ali ndi zilonda pamapazi awo omwe ali ndi phazi la matenda ashuga. Pankhaniyi, amathandizira kuchepetsa ululu akamavala nsapato, zimapangitsa moyo kukhala wosavuta kwa wodwala ndikuwonjezera mphamvu zake.
Zosavuta kupanga mankhwala. Zilonda zopangira anthu odwala matenda ashuga nthawi zonse zimakhala ndi mawonekedwe osalala. Chifukwa chake, ndizosavuta kupha tizilombo toyambitsa matenda pogwiritsa ntchito antiseptic. Izi zimathandiza kuteteza miyendo ya wodwala ku matenda oyambitsidwa ndi bakiteriya komanso kupewa kutupa.
Monga mukuwonera, ma insoles apadera a matenda ashuga ali ndi zabwino zambiri. Amathandizira kuti asapangidwe ndi zilonda zam'mimba ndikuchepetsa ululu, komanso amasunganso zofanana ndi phazi, kupewa kuwonongeka kwawo.
Ma insoles a matenda a shuga amachepetsa kukula kwa phazi la matenda ashuga, osaloleza kulowa pamalo owopsa. Izi zikutanthauza kuti kugwiritsa ntchito mankhwala ochiritsira kumathandizira wodwala matenda ashuga kukhalabe athanzi kwa nthawi yayitali komanso kupewa zovuta zoyipa za matendawa, monga kuduladula malekezero ena am'munsi.
Komabe, kuti ma insoles akhale ndi chidwi kwambiri pamapazi, chidwi chachikulu chiyenera kulipidwa posankha nsapato zoyenera. Iyenera kukhala yakuzama mokwanira kuti ngakhale ndi insoles yoyikika, osafinya kapena kufinya mwendo. Wodwala ayenera kukhala womasuka momwe angathere mu mawonekedwe a zovala, ndipo kusapeza kulikonse ndi chizindikiro chosintha nsapato.
Phazi la Charcot mu shuga ndi chiyani
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Matenda a shuga ndi matenda omwe amachititsa kuti chiwalo chilichonse cha munthu chisasalidwe popanda vuto. Pali mitundu yambiri yazizindikiro ndi ma syndromes omwe akusonyeza zovuta za matendawa. Chimodzi mwa izi ndi phazi la Charcot.
Silicone insoles
Polankhula za matenda a shuga, ndikofunikira makamaka kuzindikira zamakono zamakono za silicone zomwe ndizoyenera pafupifupi nsapato iliyonse ndikupangitsa kuti ikhale yabwino komanso yovomerezeka. Silicone ndi chida chokhala ndi zotanuka kwambiri komanso kulimba, chifukwa chake ma silicone insoles amapereka phazi ndi chithandizo chofewa, koma chodalirika kwambiri poyenda. Onaninso:
Silicone imalepheretsa kutikita kulikonse kwa khungu la phazi, potero limateteza ku chimanga, chimanga ndi kuvulala kwina.
Ma insoles amenewa amathandizanso kuchepetsa kupsinjika m'dera la chidendene, chomwe nthawi zambiri chimakhala ndi matenda ashuga.
Ma insoles opangidwa ndi silicone amakhala ndi minofu yofewa m'munsi mwa mapazi, omwe amathandizira kuwonjezera magazi mu miyendo ndikuwongolera zakudya zama minofu.
Izi zimathandizira kupewa necrosis yamitsempha yamagazi ndi mapeto amitsempha kumapazi, komanso kupewa kuwonongeka kwa minofu ya minofu.
Zovala zoterezi zimakhala zabwino kwambiri poyenda kapena kuyimilira kwa nthawi yayitali, chifukwa zimapatsana mapazi ndikulimba.
Amagawa bwino katunduyo pankhope yonse ya phazi ndikuteteza miyendo kuti isavulale.
Aliyense payekha
Kuti mupereke chitetezo chokwanira komanso chisamaliro cha mapazi anu, wodwala matenda ashuga ayenera kulabadira zopweteka zomwe dokotala angavomereze. Amapangidwa kuti azilingalira mawonekedwe onse a miyendo ya wodwalayo ndikubwereza ndendende kupendekera kwamapazi okha.
Mukamapanga ma insoles a payekha, mkhalidwe wa wodwala ndi zofuna zake zapadera zimaganiziridwa. Chifukwa chake, ngati pakufunika kutero, amatha kukhala ndi gawo lokwezeka kapena kapangidwe kapadera kamene kamagwira lingaliro la phazi.
Komabe, zinthu ngati izi zitha kukhala zopanda chitetezo kwa munthu wodwala matenda ashuga. Chifukwa chake, zitha kugwiritsidwa ntchito povomerezedwa ndi adokotala. Kanemayo munkhaniyi aperekanso chidziwitso pa insole ya matenda ashuga.
Zovuta zamatenda
Charcot's syndrome ndi chotupa cha minyewa yonse yamiyendo. Izi zimachitika motsutsana ndi kukula kwa shuga kwa nthawi yayitali m'magazi a magazi (hyperglycemia). Nawonso, hyperglycemia imatha kubweretsa kusintha kotere.
- Minofu yamitsempha imakhudzidwa
Odwala omwe ali ndi matenda ashuga akhala akuwulamulira kwa nthawi yayitali, ali pachiwopsezo chamavuto am'munsi. Ndi minyewa yowonongeka yamiyendo, wodwalayo sangamve miyendo yawo. Munthu sangathe kudziwa malo omwe ali m'munsi ndi zala zakumaso pa nthawi yoyenda. Munthu akakhala ndi chilichonse mwadongosolo ndi misempha yake, amamva kuti akamasuntha amapukusa nsapato kapena phazi limodzi phazi lakukhumudwa.
Wodwala matenda a shuga sangathe kumva kuvulala kwamapazi pang'ono - kudula, zipsera, matuza. Komanso, zizindikiro za kuvala kwamwano phazi - chimanga, chimanga.
- Mitsempha ya miyendo imakhudzidwa, kotero magazi amayenda.
Kulephera kusamalira matenda a shuga nthawi zambiri kumabweretsa zovuta m'mitsempha, matenda a atherosulinosis.
Kuvulala kumiyendo kumatha kuchulukitsa chiopsezo chovuta kwambiri kuphazi. Vuto limodzi ndi chilonda chosachiritsa. Amatha kuputa mawonekedwe:
- kuvulala kwachiwiri, kupanikizika kumtunda,
- kubaya kapena kuvulaza mwendo,
- chinthu chakunja chomwe chinagwidwa mu nsapato chomwe chitha kuwononga khungu la phazi.
- Matendawa akuwonekera.
Kuwonongeka pakhungu la miyendo kapena misomali yokhala ndi kachilombo ka fungus kungayambitse matenda owonjezereka. Ayenera kuwunika nthawi yomweyo. Ngati msomali wakula, uyenera kuthandizidwa nthawi yomweyo kuchipatala.
Kutengera chifukwa chomwe matenda ammiyendo adayambira, mitundu yotereyi imagawidwa.
Neuropathic
Mawonekedwe ambiri. Izi ndichifukwa choti minyewa yamitsempha imakonda kwambiri zinthu zosiyanasiyana zomwe zimawononga. Chifukwa chake, amadwala kwambiri. Pali kuphwanya kwa kusungidwa kwa minyewa yonse ya miyendo, yomwe imathandizira kuwongolera kwawo, kusintha kwa magwiridwe ake ndi kapangidwe kake.
Zilonda za matenda ashuga nthawi zambiri zimatha kuwoneka patsinde pa phazi, pakati pa zala. M'malo awa, mwendo umakumana ndi zovuta kwambiri. Palinso kuphwanya zida zamafupa.
Mawonekedwe a neuropathy mu shuga ndi amitundu iwiri:
- zopweteka
- wopanda ululu.
Njira ya matenda yopweteka yopweteka ya wodwalayo sikuwonekera. Samva nsapato zolimba, mawonekedwe a zilonda, kuwonongeka kwa miyendo yake. Nthawi zambiri mumatha kumva madandaulo a munthu wodwala matenda ashuga pa kuzizira kwa malekezero akumunsi. Fomu la ululu limayimiriridwa ndi kupezeka kwa zizindikirozi:
- kulira kumalekezero,
- kuphika mapazi
- zopumira
- pakupuma, miyendo imapweteka.
Neuropathy ikachitika, kugunda kwa malekezero kumakhala kopindika.
Ischemic
Kukula kwa mawonekedwe a phazi la Charcot kumachitika pa zotupa za atherosulinotic zam'mitsempha ya miyendo. Fomuyo ndi yodziwika, ndipo ali ndi zizindikiro zotere:
- Khungu la miyendoyo ndi lozizira, losakanika ndi loyera.
- ndi kutakasika kotakata ma capillaries, khungu la pinki limatheka,
- Zilonda pafupi ndi zala zanu, m'mbali mwa zidendene ndizowawa kwambiri.
- ndizosatheka kumva phokoso kumapazi,
- ndi matenda ashuga, munthu amatha kudumphadumpha, ngati kuyenda kumawonetsedwa ndi kupweteka kwambiri m'munsi mwendo, sitepe imayamba pang'onopang'ono.
Fomuyi imaphatikizapo mawonekedwe a neuropathic ndi ischemic. Matendawa amakhudza pafupifupi 15% ya odwala matenda a shuga.
Kodi matendawa amawonekera bwanji?
Phazi la Charcot limadziwika ndi kuwonongeka kwa miyendo, ma dislocation angapo, kuvulala. Phazi limatchedwa chikwama cha mafupa chifukwa chogwiritsidwa ntchito kotheratu ndikuthandizira.
Phazi la Charcot likuyimiridwa ndi zizindikiro zotsatirazi.
- Kupweteka kwatsiku ndi tsiku m'matenda a shuga kumawonetsa ma sprains, kuchepa kwa mapazi, kupindika, magazi madontho, kukula kwa matenda, nsapato zimasankhidwa molakwika.
- Mutha kuwona kufupika kwa khungu, lomwe limatsimikizira kupezeka kwa kachilomboka. Izi zimadziwika ndi redness, yomwe ili mdera la bala. Khungu limachotsedwa ndi nsapato zopapatiza kapena zosasangalatsa.
- Miyendo Yotupa - nsapato zosamasuka.
- Matendawa akutuluka amathandizira kutentha kwapakhungu.
- Mapazi ali ndi katundu kwambiri, mafoni amawonekera mukavala nsapato zosavomerezeka.
- Zolemba za purulent zimawonekera, chifukwa cha bala - chifukwa cha matenda omwe akutuluka.
- Wodwalayo akupunduka, zimamuvuta kuyenda. Izi zimabweretsa zowonongeka zazikulu.
- Ndi matendawa, mbale ya msomali imakula, fungus imawoneka.
- Pamaso pa mabala pamiyendo, akuyenda kuzizira ndi kutentha, titha kulankhula za zovuta komanso zowopsa. Zimatsogolera kuimfa kapena kudulidwa.
- Kupweteka kwambiri pamiyendo ndi chizindikiro cha Charcot.
- Miyendo imayamba kuzimiririka.
Mavuto wamba mwendo akuphatikiza ndi izi:
- chimanga, matuza
- msomali umakula pansi pa khungu.
- Pakhomo pali phazi,
- zithupsa zimakhala ndi bursitis
- matenda a fungal pamisomali,
- matambala muming'alu,
- khungu lowuma
- zala zikugwada.
Magawo a matenda
Pali magawo anayi a chitukuko cha matenda ashuga.
Gawo 1 - mafupa akuwonongeka (lakuthwa, lambiri mafupa owundana, kuwonongeka kwa mafupa, ma dislocations). Pakadali pano, phazi limatupa, khungu limafupika, kutentha kumakwera. Wodwala pakadali pano samva ululu uliwonse.
Gawo 2 - phazi limakhala lopindika, ndipo zipilala zimakhala zonenepa.
Gawo 3 - Kusintha kwa mafupa ndikuwonekera kwambiri. Masinthidwe akuwonekera bwino. Zosokoneza, zobwera mozungulira ndizotheka. Zala zazingwe. Ntchito ya kumapazi imasokonekera.
Gawo 4 - mapangidwe a mabala. Zimayambitsa matenda.
Momwe mungapangire phazi
Ndikofunikira kuti odwala matenda ashuga azindikire kwakanthawi kochepa kuti athandizidwe kwambiri. Njira yayikulu yodziwitsira matenda ndikuwongolera njira yothandizirana ndi kukhudzika kwa maginito ndi kupangika kwa mafupa.
Kuchiritsa mapazi kwathunthu chifukwa cha gawo la matendawa. Muyenera kudziwa momwe matendawa amakulira, ngati mafupa awonongedwa, zilonda zam'mimba.
Dokotala koyambirira kwamankhwala amakhala osamala momwe angathere. Popeza pangafunike kupatula predominance ya dislocation yotheka ndikuwonongeka kwapang'onopang'ono. Chifukwa chake, choyamba, zindikirani matendawa, kenako ndi mankhwala omwe amakhazikitsidwa.
Wodwala aliyense wodwala matenda ashuga ayenera kuphunzitsidwa chisamaliro cha miyendo, ndi mawonekedwe a zizindikiro zoyambirira za neuropathy. Kuyeserera kumayenera kukhala kochitika nthawi zonse. Wodwala ayenera kuphunzira kusanthula mapazi ake nthawi zonse. Ngati zosintha zikapezeka, pitani kuchipatala nthawi yomweyo.
Popeza wodwalayo sangathe kudziwa kuwonjezeka kwa vutoli chifukwa chowonetsa mobwerezabwereza, amachepetsa zomwe zikuchitika.
Kusanthula kwa zilonda kumachitika ndikutsimikiza kuya kwake. Ngati mabala ndi apamwamba, chithandizo chawo chimachitika pogwiritsa ntchito insoles ya orthopedic. Kupanikizika kumachepa.
Zilonda zikafalikira kwambiri, muyenera kuchita opaleshoni. Ndi chilonda chopatsirana, maantibayotiki amafotokozera. Zilonda zam'mapazi zikafalikira kumafupa, zimachotsedwa mokwanira.
Odwala omwe ali ndi matenda ashuga amatha kuchepa kwa mafupa amiyendo. Mukasamutsira wodwala chithandizo choyambirira kunyumba, izi zimatha kuwonongeka kokha. Kuvulala kwake ndikochepa ndipo sikuwonetsa, ndipo ululu ulipo.
Mankhwalawa amachokera pakutsitsa, kufooketsa mafupa. Cholinga ndikupulumutsa phazi la ntchito yake.
Makhalidwe a nsapato zamatumbo a anthu odwala matenda ashuga
Matenda a shuga pamafunika wodwalayo kuti azitha kuyang'anira momwe amakhalira, zakudya.
Kusamalidwa pafupipafupi ndikofunikiranso kumiyendo, chifukwa zovuta za matendawa nthawi zambiri zimayambitsa kupunduka kwamitsempha, ma cell pathologies, matenda, ndi kuvulala.
Matenda a matenda ashuga
Zomwe zimayambitsa zovuta m'miyendo ndi:
- Matenda a metabolism mu minofu, kufotokozera kwa cholesterol plaque mu ziwiya - kukula kwa atherosulinosis, varicose mitsempha.
- Kuchuluka kwa shuga wamagazi - hyperglycemia - kumabweretsa kusintha kwamatenda am'mapeto a mitsempha, kukulitsa kwa neuropathy. Kutsika kwa kapangidwe kake kumayambitsa kukhumudwa kwam'munsi, kumavulala kwambiri.
Kwa odwala omwe ali ndi matenda ashuga, ma pathologies a zotumphukira zamagetsi amadziwika.
Zizindikiro za kuwonongeka kwa mwendo ndi:
- chepetsa kutentha, kuzizira,
- kuchuluka kwa khungu,
- kusintha kwamitundu
- kulemera kosalekeza, kumva kupsinjika,
- kusazindikira ululu, kukakamiza,
- kutupa
- kutaya tsitsi.
Kuchepa kwa magazi kumayambitsa mabala ambiri, kulumikizana ndi matenda. Kuchokera kuvulala kochepa kwambiri, kutupa kwamadzimadzi kumayamba, komwe kumatha nthawi yayitali. Khungu limakonda kupola zilonda, zomwe zingayambitse gangore.
Kusamva bwino kwakanthawi nthawi zambiri kumayambitsa mafupa ang'onoang'ono phazi, odwala amapitilizabe kuyenda osazindikira. Phazi limakhala lopindika, limakhala chosasinthika. Matenda a miyendo imeneyi amatchedwa phazi la matenda ashuga.
Pofuna kupewa matenda osokoneza bongo komanso kuduladula, wodwala matenda ashuga amayenera kupita ku maphunziro othandizira, olimbitsa thupi, ndikuwongolera shuga. Kuwongolera momwe miyendo imathandizira nsapato zosankhika zamkati.
Makhalidwe a nsapato zapadera
Ma endocrinologists, chifukwa chazaka zambiri zowonera, anali otsimikiza kuti kuvala nsapato zapadera sikuti kumangothandiza odwala kuyenda mosavuta. Amachepetsa kuvulala, zilonda zam'mimba ndi kuchuluka kwa kulumala.
Kuti mukwaniritse zofunikira zotetezeka komanso zopepuka, nsapato za zilonda zowawa ziyenera kukhala ndi izi:
- Osakhala ndi chala cholimba. M'malo poteteza zala ku mabala, mphuno yolimba imapanga mwayi wowonjezera, kufinya, komanso kupewa magazi. Ntchito yayikulu ya mphuno yolimba mu nsapato kwenikweni ndikukulitsa moyo wautumiki, osati kuteteza phazi. Anthu odwala matenda ashuga sayenera kuvala nsapato zotseguka, ndipo chala chofewa chimapereka chitetezo chokwanira.
- Musakhale ndi zotchingira zamkati zomwe zingavulaze khungu.
- Ngati kuli kofunikira kugwiritsa ntchito insoles, nsapato zazikulu ndi nsapato ndizofunikira. Izi ziyenera kuganiziridwa pogula.
- Yokha yolimba ndi gawo lofunikira la nsapato yoyenera. Ndiye amene adzateteza ku misewu yamavuto, miyala. Mtundu wofewa wokhawokha sukusankha wodwala matenda ashuga. Kuti muteteze, malo okhazikika ayenera kusankhidwa. Kugwiritsa ntchito bwino mukamayenda kumakhala ndi ma bend.
- Kusankha kukula koyenera - kupatuka mbali zonse (kukula kocheperako kapena kokulirapo) sikovomerezeka.
- Zida zabwino ndiye zikopa zenizeni. Ndimalola kuti pakhale mpweya wabwino, kuti muchepetse zotumphukira ndi matenda.
- Sinthani voliyumu masana ndi kuvala kwakutali. Imafikiridwa ndi ma clamp apafupi.
- Dongosolo lolondola la chidendene (chingwe cha m'mphepete mwa kutsogolo) kapena cholimba chokhazikika ndi kukwera pang'ono kumathandiza kupewa kugwa komanso kupewa kupindika.
Kuvala nsapato zokhazikika, zopangidwa osati ndi anthu, zimawonetsedwa kwa odwala omwe alibe zofooka komanso zilonda zam'mimba. Itha kupezedwa ndi wodwala wokhala ndi kukula kwabwino kwa phazi, chidzalo popanda zovuta zazikulu.
Ngati ndi kotheka, mawonekedwe a miyendo amatha kusinthidwa payokha ndikupanga insoles. Pogula, muyenera kuganizira voliyumu yowonjezera kwa iwo.
Nsapato za phazi la matenda ashuga (Charcot) zimachitidwa ndi miyezo yapadera ndipo zimaganiziratu zoperewera zonse, makamaka miyendo. Pankhaniyi, kuvala zovomerezeka ndizosatheka komanso zowopsa, ndiye muyenera kulamula nsapato payokha.
Malamulo osankhidwa
Pofuna kuti musalakwitsa posankha, muyenera kutsatira malamulo otsatirawa:
- Ndikwabwino kuti mugule chakumapeto, phazi likatupa momwe mungathere.
- Muyenera kuyeza poyimirira, mutakhala, mukuyeneranso kuyendayenda kuti mumvetse kuthokoza.
- Musanapite ku malo ogulitsira, zungulirani phazi ndikukhala ndi chidule. Ikani izi mu nsapato, ngati pepalalo limakutidwa, chosindikizacho chimakanikizira ndikusisita mapazi.
- Ngati pali insoles, muyenera kuyeza nsapatozo nawo.
Ngati nsapatozo zinali zazing'ono, simungathe kuzivala, muyenera kungosintha. Simuyenera kupita nthawi yayitali mu nsapato zatsopano, maola 2-3 ndi okwanira kuti ayang'anire mawonekedwe ake.
Kanema kuchokera kwa katswiri:
Zosiyanasiyana
Opanga amapanga zinthu zingapo zomwe zimathandiza odwala omwe ali ndi matenda osokoneza bongo kuti azitha kuyendetsa ndi kuteteza miyendo yawo ku zowawa.
Mu mzere wa mitundu yamakampani ambiri pali mitundu iyi ya nsapato:
- ofesi:
- masewera
- ndi ana
- nyengo - chilimwe, chisanu, nyengo ya demi,
- homuweki.
Mitundu yambiri imapangidwa mu kalembedwe ka unisex, ndiko kuti, koyenera amuna ndi akazi.
Madokotala amalangiza kuvala nsapato zamankhwala kunyumba, odwala ambiri amakhala nthawi yayitali tsiku limenelo ndipo amavulala pamafinya.
Kusankhidwa kwa mtundu wofunikira kumapangidwa malinga ndi kuchuluka kwa kusintha kwa phazi.
Odwala agawidwa m'magulu awa:
- Gawo loyamba limaphatikizapo pafupifupi theka la odwala omwe amangofunika nsapato zapamwamba zopangidwa ndi zinthu zabwino, zokhala ndi mafupa, popanda zofuna za munthu, zokhala ndi insole yodziwika bwino.
- Lachiwiri - pafupifupi gawo limodzi mwa magawo asanu a odwala omwe ali ndi vuto lofooka, phazi lathyathyathya komanso wolumikizira payekha, koma woyenera.
- Gulu lachitatu la odwala (10%) ali ndi zovuta zazikulu za phazi la matenda ashuga, zilonda, kudulidwa kwa chala. Amapangidwa ndi dongosolo lapadera.
- Gawo ili la odwala limafunikira zida zapadera zoyendetsera munthu, zomwe, atatha kusintha momwe phazi limasinthidwira ndi nsapato za gulu lachitatu.
Kumasulira nsapato zopangidwa malinga ndi zofunikira zonse za orthopedists:
- gawani katunduyu pamapazi,
- Tetezani kuzisonkhezero zakunja,
- Osatupa khungu
- Ndikotheka kuvula ndikuvala.
Nsapato zabwino za odwala matenda ashuga amapangidwa ndi Comfortable (Germany), Sursil Orto (Russia), Orthotitan (Germany) ndi ena. Makampaniwa amapanganso zinthu zokhudzana - insoles, orthoses, masokosi, mafuta.
Ndikofunikanso kusamalira nsapato, kutsuka, kuuma. Muyenera kuchitira pafupipafupi ma antiseptic agents kuti muchepetse matenda a pakhungu ndi misomali yokhala ndi bowa. Mycosis nthawi zambiri amakula mwa odwala matenda ashuga.
Mitundu yamakono yokongola yamakono imapangidwa ndi opanga ambiri. Osanyalanyaza njira yodalirika yophunzitsira kuyenda. Izi ndizokwera mtengo, koma zithandiza kukhala ndi miyendo yathanzi ndikukonza moyo wabwino.
Kodi ma insoles a orthopedic amagwira ntchito bwanji mu shuga?
Ma insoles osankhidwa bwino omwe ali ndi matenda ashuga ali ndi zotsatirazi:
- gawana katundu wopangidwa ndi kulemera kwa thupi poyenda,
- tsegulani malo ovuta kwambiri phazi,
- chepetsa kudandaula kwa metatarsus ndi chidendene,
- perekani kukhumudwa
- lembani mawonekedwe a chimanga,
- Tchinjani mapazi anu kuti asavulale,
- letsa kukula kwa mabakiteriya ndi fungo losasangalatsa.
Kodi mungasankhe bwanji insoles kwa phazi la matenda ashuga?
Mitundu ya silicone insoles ya shuga iyenera kukwaniritsa izi:
- Osakhala ndi thandizo la arch, protrusions yolimba.
- Zopangidwa kuchokera ku zinthu zabwino.
- Khalani ndi makulidwe abwino mulingo wa 2-10 mm.
- Khalani ndi "kupuma" komwe kumalepheretsa thukuta la miyendo ndikuwoneka ngati totupa.
- Kukhala kosavuta kusunga, kukhala ndi mphamvu komanso kukhazikika.
1. Matenda a matenda ashuga
Izi zimapangidwa makamaka kwa odwala matenda ashuga. Chawo ndicho kusowa kwa zinthu zolimba zomwe zimatha kuwononga makamaka khungu lakhungu.
Ma insoles a diabetes samasiyanitsa konse mapangidwe a chimanga ndi chimanga, chomwe ndichofunika kupewa kupewa matenda ashuga.
Zogulitsazo zimathandizanso kuti katundu azigawidwa chifukwa cha zofewa za EVA zomwe zili ndi mphamvu yokumbukira.
Ma insoles apamwamba kwambiri (phazi la matenda ashuga amafunikira chisamaliro chokwanira) amateteza kupezeka kwa microtrauma, kupewa, kupanga mabala, omwe pambuyo pake amasintha kukhala zilonda zam'mimba.
Kuvala izi mkati pafupipafupi ndi nsapato wamba kumateteza mapazi anu ku zovuta zambiri za matenda ashuga.
2. Kutsitsa ma insoles a orthopedic
"Kutula" ma insoles amalungamitsa dzina lawo. Zapangidwa mwachindunji kwa iwo omwe amakhala ndi nthawi yayitali pamapazi awo.
Komanso, insoles "Kutula" ndikofunikira kwa anthu omwe ali ndi vuto lolemera komanso matenda ashuga.
Zogulitsa zimapatsa phazi malo okhala, mwanjira yachilengedwe, kupewa kupindika kwa phazi, ndikugawa katunduyo pogwiritsa ntchito mawonekedwe a Carbosan.
Ma insoles amenewa amathandizira kuti miyendo yanu ikhale yopanda thanzi ngakhale mutakhala ndi katundu wolemera. Zogulikazo zimakutidwa ndi microfiberi yofewa, yomwe imatenga chinyezi, kusiya mapazi owuma, zomwe ndizofunikira kwambiri popewa zilonda ndi chimanga cholira.
3. Makonda a kubisalira mwa orthopedic
Zogulitsa zimakhala ndi zinthu zochotsa - chopukutira chowonera ndi chisa chala, chomwe chitha kukhazikitsidwa mwanjira yoti ikhale yabwino kwa mwini wake.
Zilombazo zimathandizira kwambiri kuyimitsidwa kwa phazi komanso kumasula mafupa a metatarsus. Kukhalapo kwa oyamwa ndi chidendene kumakupatsani mwayi wogwiritsa ntchito insoles "Munthu" pamasewera ndi kuyenda kwakutali, osawopa zoyipa pamapazi.
Zinthu zofewa zakunja kwa VELUOR insoles zimalola mpweya kudutsa osatulutsa thukuta.
Ma insoles amtunduwu amalimbikitsidwa kuti azivala ndi nsapato iliyonse kwa anthu onse omwe ali ndi matenda ashuga kuti asawonongeke kumapazi.
4. Memory insoles
Zopangidwa mwapadera potengera polyurethane zachilengedwe zomwe zimakumbukira mawonekedwe a phazi lanu ndikubwereza momwe zidalili.
Ma insoles ndiofunikira kwambiri kwa odwala matenda ashuga omwe ali ndi vuto lothina ndi nsapato zatsopano kapena ali ndi chiopsezo cha kupunduka kwa phazi.
Ukadaulo wolowetsa thovu la kulowera umasinthika kumapazi kwambiri "kopatsa", kupatsa mwiniwake mwayi kumasuka poyenda.
Ma insoles apamwamba kwambiri nsapato zokhala ndi kukumbukira zimateteza phazi kuti lisavulazidwe komanso kupunduka. "In memory" odwala matenda ashuga, omwe mtengo wake umagulika aliyense, amachepetsa mwayi wokhala ndi matenda ashuga ndi 80% ndipo amathandiza kuthana ndi zovuta za matenda.
5. Zokongoletsedwa ndi silicone theka insoles
Semi-insoles zopangidwa ndi silicone kumachepetsa katundu wakugwedezeka poyenda kapena kuthamanga. Silicone onunkhira theka insoles amagawa moyenera katunduyo pamapazi ndikuthandizira lingwe.
Ubwino wa insoles izi ndikutha kuvala nsapato zazing'ono zazing'ono. Mtundu wowonekera umawapangitsa kukhala osawoneka ngakhale mu nsapato zotseguka.
Yofewa, yosangalatsa pakukhudza silicone imadzazidwa ndi zonunkhira, zomwe zimapewa mavuto ndi fungo losasangalatsa mukamasesa miyendo.
Kodi mungagule bwanji insoles za matenda ashuga?
Ndikwabwino kuyitanitsa zinthu zopewera ndi kuchiza matenda amishuga mu shopu ya pa intaneti yomwe yakhala ikugwira ntchito pamsika wa Russia kwazaka zambiri ndipo imakhala yogwira ntchito kugulitsa zinthu zamiyendo.
Mukamasankha malonda, muyenera kuwerenga mosamala zisonyezo zomwe mungagwiritse ntchito. Ndizofunikira kudziwa kuti mitundu yonse ya diabetes yomwe mungagule patsamba lathuli imapangidwa ndi zinthu zapamwamba kwambiri ndipo amalimbikitsidwa ndi akatswiri a zamankhwala ndi ma podiatrists.
Malo athu ogulitsira omwe ali pa intaneti ali ndi mankhwala othandiza kwambiri komanso amakono a matenda ashuga. Timapereka ku Russia konse ndi otumiza kunyumba kwanu, kumalo operekera malamulo ndi makalata. Dinani pa chithunzi pansipa ndikupeza zina.
Mawu oyambira pamutu
Pali unyolo wamba wosavuta womwe umazolowera pafupifupi aliyense wodwala matenda ashuga: shuga mellitus - diabetesic foot syndrome - nsapato zapadera zamankhwala. Ngati mungasinthe tcheni ichi pang'ono ndikuyika chachitatu pambuyo pa chinthu choyamba, kenako chachiwiri sichingachitike: nsapato zosankhidwa bwino zimatha kangapo kangachepetse vuto la matenda ashuga - phazi la matenda ashuga.
Kodi izi ndikokokomeza? Kodi nsapato zamathambo kuti munthu asadwala matenda ashuga ndiopulumutsadi? Yankho la mafunso awa ndilosamveka: nsapato ndi nsapato zosankhidwa bwino zimateteza mapazi a anthu odwala matenda ashuga kuvulala kosiyanasiyana, kumasula miyendo yawo ndikuchepetsa ngozi za ming'alu ndi mabala kumapazi, zomwe pambuyo pake zimatha kusintha kukhala zilonda komanso kukhala ovulala.
Kuphatikiza pa nsapato zapadera m'masitolo azitsulo, mutha kupeza insoles kwa phazi la matenda ashuga komanso masokosi - iyi ndi chida chabwino kwambiri chothandizira kupewa chomwe chimapangitsa moyo kukhala wosavuta kwa aliyense wodwala matenda ashuga, kunyumba ndi kunja kwa makoma ake.
Chithandizo chamakono chathandizira kwambiri moyo wa odwala omwe ali ndi matenda ashuga popereka mndandanda wofalikira wa njira zopewera komanso zochizira zomwe zimaletsa ndikuletsa kukula kwa matenda ashuga. Gwiritsani ntchito mipata iyi ndikupangitsa moyo wanu kukhala wabwino monga momwe mungathere.
Kusankhidwa ndi nkhani
DS imadziwulula mosiyanasiyana. Gulu limodzi la odwala matenda ashuga amadandaula za kupweteka m'miyendo, pomwe ena amatha kudumpha zilonda pamapazi. Nthawi yomweyo, magulu osiyanasiyana a odwala, kumene, amafunika mapulogalamu osiyanasiyana othandizira komanso kupewa. Ndipo nsapato ziyeneranso kukhala zosiyana.
Makamaka chidwi ndi masinthidwe osankha nsapato za matenda ashuga ayenera kuperekedwa kwa wodwala yemwe ali ndi matenda ashuga a 2, chifukwa nthawi yamatendawa imachulukitsidwa ndizinthu zina zoyipa - ukalamba, kunenepa kwambiri, zizolowezi zoyipa. Koma mtundu woyamba wa anthu odwala matenda ashuga ayenera kuphunziranso kusankha nsapato zoyenera ndi nsapato - izi ndizofunikira kwambiri, chifukwa mtundu woyamba wa matenda ashuga nthawi zambiri umapezeka mwa ana ndi achinyamata, zomwe zikutanthauza kuti ndikofunikira kupereka zofunikira kwambiri pakukula komanso kukula kwa thupi ndi thupi.
- Nsapato Zokonzeka zopangidwa popanda msoko wamkati zitha kugulidwa ndi odwala omwe ali ndi mapazi opanda opunduka. Ngati phokoso lakumasowa litayika, cholembera chamtundu umodzi chokha chizigulidwa.
- Pamaso pa zopunduka zolimbitsa thupi (zokhala ngati nyundo komanso ngati milomo, phazi lathyathyathya), timalimbikitsa kugula nsapato zokhala ndi insole yopangidwa payokha. Lumikizanani ndi masitolo apadera ndikupeza zomwe mukufuna.
- Nsapato zaumwini zokhala ndi insole yopangidwira wodwala wina ndizofunikira kwa odwala matenda ashuga omwe ali ndi vuto lalikulu la phazi - tikulankhula za mbiri ya zilonda zam'mimba, zopunduka, kupindika mkati mwa phazi, ndi gawo logontha la osteoarthropathy.
- Ngati mapazi ataphimbidwa ndi zilonda panthawi ya mayeso, ngati wodwalayo ali ndi subacute kapena pachimake osteoarthropathy, nsapato zowongolera phazi la matenda ashuga zimaperekedwa kokha ndi zida zotsitsira (orthoses, "nsapato", etc.). Pambuyo pakuchiritsa kwa mabala, kusintha kwa osteoarthropathy kuchokera pachimake kupita ku matenda osatha, mutha kusintha kuchokera ku nsapato kuchokera ku mfundo yachiwiri kapena yachitatu.
Kodi ma insoles a orthopedic amagwira ntchito bwanji ndi matenda ashuga?
Fomu yapadera, chinthu chapadera, kapangidwe ka "kupuma", komanso kusowa kwa thandizo la arch ndizomwe zimapangitsa kuti pakhale odwala omwe ali ndi matenda osokoneza bongo. Ngakhale mutasankha kugula zamtundu wanji (werengani za iwo pansipa), mutha kukhala otsimikiza kuti mupeza mndandanda wazotsatira zabwino zakusankha kwanu - orsopedic insoles
- gawanitsani katunduwo pamiyendo osati wogawana, koma kuti malo ovuta kwambiri a phazi atulutsidwa,
- perekani kukhumudwa
- Tetezani miyendo kuti isavulale, pewani chiopsezo cha chimanga,
- kupewa kufalikira kwa mabakiteriya.
Matenda a shuga
Kodi ndinu odwala matenda ashuga ndipo muyenera kuwunika mosamala momwe miyendo, mapazi? Mutha kuchepetsa ntchito yanu pogula mankhwala a orthopedic insoles a phazi la matenda ashuga. Mumsika wamakono, izi zimayimiriridwa ndi chisankho chofalikira kwambiri, kotero kuti zovuta zilizonse zamatendawo zingathe kuwongoleredwa. Chofunikira ndikudziwa zomwe muyenera kulabadira - mudzalandira upangiri wofufuza kuchokera kwa orthodontist, ndipo pansipa mutha kuwona kuchuluka kwa mayankho omwe amadziwika kwambiri mbali iyi.
Orsopedic insoles a shuga: apamwamba 5
- Orsoopedic diabetesic insoles. Chizindikiro chawo chosiyana ndikusowa kwa mbali zolimba (zotsekera, ma seams) zomwe zimatha kuvulaza khungu la mapazi.
- Orseopedic inloads insoles. Njira yabwino kwambiri ngati mungagwiritse ntchito nthawi yambiri pochita masewera olimbitsa thupi kapena kuyenda. Ndikofunikanso kuyang'anitsitsa zachilengedwe za odwala matenda ashuga onenepa kwambiri. Danga la Carbosan lapadera limathandizira kugawa katundu moyenera, ndipo kuphatikiza kofewa kwamtunduwu kumatenga chinyezi mwangwiro, kuthetsa vuto monga mawonekedwe a chimanga cholira ndi mawu.
- Orsopedic payekha. Kulimbikitsidwa kwakukulu kwa odwala pankhaniyi kumatheka chifukwa chogwiritsa ntchito zinthu zochotsa. Wogwiritsa ntchito akanjenjemera chidendene chimatsegula mwayi kwa odwala matenda ashuga malinga ndi zolimbitsa thupi - mutha kuyenda maulendo ataliatali ngakhale kusewera masewera.
- Ndi mphamvu yokumbukira. Wopangidwa ndi polyurethane - zinthu zomwe zimatha kubwereza ndikukumbukira mawonekedwe a phazi. Ili ndiye njira yabwino kwambiri ngati pakuwopseza kuwonongeka kwa mapazi kapena wodwala atavutika ndi nsapato, nsapato.
- Zithunzi zokongoletsera za silicone. Ngati mumakonda nsapato zachitsanzo kapena muyenera kutuluka, samalani ndi zinthu zotere. Silicone ya insoles ndiyowonekera komanso yosawoneka ngakhale pa nsapato zotseguka, zokhala ndi zonunkhira zomwe zimapangitsa kununkhira kosasangalatsa.
Chithandizo cham'magazi chodzetsa phazi la anthu odwala matenda ashuga osatulutsa komanso kufewetsa ndi chida chabwino kwambiri chothandizira komanso chothandizira kuchira chomwe chitha kupangitsa wodwala matenda ashuga kumva bwino munthawi iliyonse.
Masokosi Ashuga: Mwachidule
Kuphatikiza pa nsapato ndi ma insoles, palinso chida chothandizira kupewa monga masokosi. Amawoneka bwanji? Chingamu chofewa sichimayika miyendo, zomwe zikutanthauza kuti sizisokoneza kayendedwe ka magazi, chidendene cholimbitsa ndi chala chimathandizira kuti magawowo agawidwe molondola, ma mesh omwe ali ndi mpweya wabwino amalola kuti khungu lipume, ndipo kusoka kwaphokoso kumathetsa chiopsezo chobwereza komanso mafinya. Mitundu yamakono imaperekanso zotsatira zina zowonjezera - kutikita minofu, kuziziritsa, kutentha, antifungal, antibacterial ndi zina zambiri.
Nsapato zamatumbo
Takambirana kale za zomwe nsapato za orthopedic zokhala ndi phazi la matenda ashuga ziyenera kukhala nazo. Mukudziwa magawo omwe muyenera kulabadira, omwe ndi nsapato ziti zomwe mungasankhe pa gawo linalake la DS. Koma kumbuyo kwa zifaniziro panali mfundo zapamwamba posankha nsapato zapamwamba kapena nsapato.
Sizofunikira kwambiri mtundu wa nsapato za diabetes zomwe timayankhula - zitha kukhala nsapato za yozizira kapena zoterera - tanthauzo limakhalabe lomwelo: zinthu zomwe zimasankhidwa potengera kusinthika kwa phazi ndi kukula kwake. Kodi mugula nsapato za abambo? Onani malo ogulitsira apadera madzulo pomwe miyendo yanu imatupa pang'ono ndikutopa - ngati nsapatozo zili bwino ngakhale zili choncho, sangakukhumudwitseni m'mawa. Ngati mumasankha nsapato zazimayi, mutha kuyang'ana mitundu yokhala ndi chidendene, koma kumbukirani kuti kutalika kwa chidendene sichitha kupitirira masentimita 3-4 Ngati, kuphatikiza pa matenda ashuga, mumadwala matenda amitsempha, sankhani nsapato ndi nsapato popanda zomangirira zolimba ndi zingwe, mwinanso Mutha kukumana ndi mavuto ndi mayendedwe a mapazi. M'magawo omaliza a VDS, nthawi zambiri ndikofunikira kutsitsa phazi la anthu odwala matenda ashuga - nsapato yotsitsa ndizomwe mukufuna.
Kupewa
Nsapato za matenda ashuga zimatha kuchita zozizwitsa zenizeni, koma izi sizowopsa. Pali mndandanda wonse wa njira zodzitetezera, kutsatira zomwe mumachotsa kapena kuchepetsa mwayi wokhala ndi matenda ashuga. Sambani mapazi anu tsiku lililonse ndipo bwinobwino (koma pang'onopang'ono) ndikupukuta, penyani bwino mayendedwe anu kuti ming'alu, mabala, zilonda, asiye zizolowezi, pangani menyu yothandiza, pulogalamu yophunzitsira. Pazizindikiro zoyambirira za CDS, lemberanani ndi dokotala - kuti mutha kuzindikira kuchuluka kwa matenda ashuga koyambirira ndipo muchotse matendawo mwachangu.