Ubuhlungu bomlenze: ukuvuvukala nezilonda. Ukwelashwa kwesilonda esiseduze nesifo sikashukela

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Enye yezinkinga zesifo sikashukela ukungasebenzi kahle kwegazi emilenzeni. Ngesikhathi esifanayo, izinhlungu zomlenze, ukuvuvukala, ukuvuvukala kuvame ukwakhiwa, amanxeba angalapheki, ukuxhaswa kuvela. Esigabeni esithuthukile, kwakhiwa iqembu lezigilamkhuba ezinamaphethelo.
Ngabe lezimpawu zingavinjelwa? Iziphi izindlela zokuvimbela ezisiza ukugcina imilenze yakho inesifo sikashukela?

Ubuhlungu bomlenze kushukela: izimbangela nokuthi ungamelana kanjani nazo?

Isifo sikashukela i-mellitus siguqula ukwakheka kwegazi.
Igazi lomuntu onesifo sikashukela liba i-viscous, linamathele, ligqinsi, ngenxa yalesi sizathu ijubane lokugeleza kwegazi liyancipha. Emithanjeni emikhulu nasemithanjeni, ukwehla kokugeleza kwegazi akunalutho. Ezingxenyeni ezincane eziphelele (ezikude nenhliziyo) nemithanjana, kuye kwenzeke ukuqina kwegazi. Kungani kubi lokhu?

Njalo amaseli womzimba womuntu athola umoya-mpilo umzuzwana futhi anikeze imikhiqizo yomsebenzi wawo obalulekile (isikhutha, i-asidi, i-urea, i-ammonia, amanzi). Uma igazi lijikeleza kancane, kususwa ubuthi obunganele emangqamuzaneni. Ukuqongelelwa kobuthi kwakha ukwakheka kwe-purulent.

Uma ukulethwa kwegazi engxenyeni yelungu kuvinjiwe ngokuphelele, kwenzeka i-gangrene eyomile (i-necrosis ecekeceke ngokuqhuma kancane kwemithambo yegazi, kuyilapho iphunga elingajabulisi lihlala likhona, kube mnyama futhi kuqumbise ilunga).

Ijubane nosayizi wezinqubo ze-pathological ezinyaweni kuxhomeke ezingeni likashukela egazini.
Uma umuntu onesifo sikashukela ebuka ukudla kanye nohlobo lokuzivocavoca, ushukela lwehliselwa ezingeni lezinto ezijwayelekile, izingqinamba nobuhlungu emikhawulweni eyakheke kancane. Uma ushukela uvame ukugoqa ngaphezulu, ukunikezwa kwegazi kunciphisa, ukuqongelelwa kobuthi kwizicubu nokwenziwa kwe-edema.

Lapho ushukela uvama ukuvuswa, kusungulwa izinqubo ezisheshayo. Ubuhlungu obuhlala buba khona emilenzeni buvela bumhlukumeza umuntu, bobabili besesimweni futhi bezolile.

Ukuze ulwe ngempumelelo nobuhlungu, umuntu onesifo sikashukela udinga ukuqapha izondlamzimba futhi anikeze amazinga adingekayo omzimba. Cabanga ngemininingwane eminingi ukuthi izindlela ezilula zisiza kanjani ukuvikela izinkinga zesifo sikashukela emilenzeni.

Ungabuyisela kanjani ukugeleza kwegazi?

Iningi lokuvuvukala emzimbeni womuntu kwakhiwa ngokunikezwa kwegazi okunganele. Ukubuyisela ukuhamba kwegazi kudala izimo zokwenziwa kabusha kwamaseli nezicubu.
 
Yini esiza ukubuyisela ukuhamba kwegazi emilenzeni?

  • Umsebenzi womzimba. Ukwenza izivivinyo zomzimba, ukuhamba, ukuhamba kancane okungenzeka, ukubhukuda kusebenze ukuhamba kwegazi emzimbeni wonke. Ukuze wandise ukuhamba kwegazi emithanjeni yangaphandle yemilenze, kwenziwa imithambo ekhethekile yokuzivocavoca, lapho kukhethwa khona izivivinyo ukulayisha izicubu zonyawo, ama-ankle, amathole nezinzwane. Ukuzivocavoca okunjalo kuyadingeka kubo bonke abanesifo sikashukela ukuvimbela izinkinga ngendlela yonyawo lwesifo sikashukela noma izilonda ezikhulu.
  • Ukudla okuqinile nokubalwa kwamayunithi wesinkwa. Lesi silinganiso sikuvumela ukuthi ulawule ushukela wegazi kanye nokubonakala kwegazi. Ngakho-ke, ukuphathwa kokudla kwe-carbohydrate kuyisisekelo sokuphila kwesiguli esinesifo sikashukela, isihluthulelo sekhwalithi yempilo. Umuntu onesifo sikashukela angahamba isikhathi eside kangakanani ngokuzimela akuxhomekile ezingeni likashukela wegazi, hhayi ukuthola imizwa yobuhlungu hhayi emilenzeni kuphela, kepha nakwezinye izingxenye zomzimba.

Ubuhlungu bomlenze: abakwazi yini?

Akukhona njalo ukungabikho kobuhlungu emilenzeni kubonisa ukungabikho kwezinqubo ze-pathological.
Imvamisa ngesifo sikashukela, kuba nokulahleka kokuzwela, ngenxa yokungondleki okwanele kwemicu yezinzwa. Le nkinga ibizwa ngokuthi yi-diabetesic neuropathy.

Ngenxa yokulahlekelwa ukuzwela kwezicubu, isiguli sesifo sikashukela singase singabuzwa ubuhlungu lapho silimaza imilenze, i-dislocations, noma alimale ama-ligaments. Ngenxa yalokhu, isiguli sigcina umbono oyiphutha wokuthi yonke into ihamba kahle nemilenze. Lapho izinkinga zibonakala (izilonda eziyizidududu, ifomu le-edema), inqubo isivele isebenza, ukwelashwa kwayo kuyinkimbinkimbi.
Yiziphi izimpawu zangaphandle umuntu angahlulela ukwephulwa kokugeleza kwegazi emilenzeni?

  • Ukomiswa, ukukhonkotha kanye nokulunywa kwesikhumba, kwesinye isikhathi umuzwa ovuthayo.
  • Ukubonakala kwezindawo zokufaka imibala.
  • Izembozo ezingaphandle ezibandayo, izinyawo, iminwe, amathole kumakhaza wokuthinta.
  • Umbala wesikhumba ophuzi noma onsundu ezinyaweni, emaqakaleni, emilenzeni.
  • Ukulahlekelwa izinwele embondeni nasemlenzeni ophansi.
  • Ukuvuvukala okubonakalayo kwama-ankle nasemlenzeni ophansi, ukuqina kwemisipha, umuzwa wesisindo.

Ukuba khona kwalezi zimpawu kukhombisa ukungeneli kwegazi okwanele emilenzeni. Izimo zokwakheka kwezilonda zokuvuvukala nezomthungo ziyenziwa. Ubunzima bezilonda zamaphethelo aphansi kushukela kubizwa ngokuthi unyawo lwesifo sikashukela. Kusho ukuthini leli gama lezokwelapha?

Unyawo lwesifo sikashukela, izilonda ezinamahlwili, ukuvuvukala ne-edema

Umuntu onesifo sikashukela uvame ukungazizwa izimpawu zobuhlungu lapho alimala izinyawo zakhe.
Umuntu ophilile uzwa ukukhathala nobuhlungu emilenzeni ngokweqile ngokweqile. Isiguli esinesifo sikashukela sivame ukungazizwa izimpawu zobuhlungu lapho silimaza izinyawo zakhe. Ngakho-ke, ngokuxilongwa kwesifo sikashukela, akunconywa ukuhamba ngezinyawo ezingenazo izicathulo noma izicathulo ezivulekile. Futhi, ungathathi uhambo olude ngokungadingekile, nikeza ubunzima obukhulu emilenzeni (zibandakanyeka kwezemidlalo ezisebenzayo, ugijime amabanga amade).

Ubuhlungu bungenzeka sekwedlule isikhathi lapho ukulungiswa kwezicubu kunzima. Ngaphezu kwalokho, kwisifo sikashukela, noma yikuphi ukuphulukiswa kweziqongo kubampofu, amanxeba ajwayelekile avame ukubola, ukuvuselelwa kwezicubu kubuthaka. Ukuhlanganiswa kwezimpawu zokuzwela okuphansi nokuphulukiswa kwesilonda esibi kubizwa ngokuthi unyawo lwesifo sikashukela.

Izilonda ze-Trophic zakha lapho amaseli engondlekile.
Ukudla kweseli ku-terminology yezokwelapha ibizwa nge- "trophic." Ukuze kwelashwe amanxeba, kwakhiwa amaseli amasha e-epithelial cell (izicubu zangaphandle) namaseli wezicubu zangaphakathi kuyadingeka. Ngokudla okunganele kwezakhi zomzimba, amangqamuzana amasha awakheki, futhi amangqamuzana amadala ayafa.

Isikhathi sokuphila kweseli elilodwa le-epithelial lesikhumba yizinsuku eziyi-14. Ekupheleni kwesikhathi esibekiwe, isitokisi kufanele sishintshwe esisha. Ngakho-ke emzimbeni womuntu kuvuselelwa njalo amangqamuzana.
Ukwephulwa kwezinqubo zokuvuselela kwakha ukwakheka kwezilonda nezilonda ezihamba ngamathambo (amanxeba abangelwa ubomvu, amancane ngosayizi, onemiphetho ephuzi ephuzi nephunga elingathandeki).

Izilonda kuqala zithinta izicubu zomzimba (isikhumba), bese zithambile (izicubu) bese zifinyelela ku-periosteum. Kunezilonda ezisesiswini kanye nezasemuva zesifo sikashukela.

  • Izilonda ze-arterial kwakheka ngemuva kwe-hypothermia yemilenze nezinyawo, lapho ugqoke izicathulo eziqinile, ukwephulwa kwesikhumba. Indawo yezilonda eziyizidudla: yedwa, isithupha, isithende.
  • Izilonda zeVenous okwenziwe endaweni ngenhla - emisebeni nasendaweni ye-ankle. Zihambisana nokufikelwa yinyamazana, ukubonakala kwenethiwekhi ebonakalayo yama-veins, amabala abomvu-isikhunta, ukuqina kwesikhumba ngokwakhiwa kwesimilo sokukhanya.
Ukutheleleka kwanoma imaphi amanxeba ngokwakhiwa kobomvu kubangela ukuvuvukala futhi ukuvuvukala kwezicubu. Unyawo luyanda ngosayizi, isikhumba sibukeka kahle.

Isibonakaliso sokuvuvukala emlenzeni kwisifo sikashukela singabhekwa ngaphandle kokuba namanxeba noma izilonda. I-Edema yakhiwa nokuphazamiseka kokuhamba kwegazi, ukuthuthukiswa kwezinqubo zangaphakathi zokuvuvukala futhi kuwuphawu oluqondile lwalesi sifo.

Ukwelashwa kwezilonda eziseduze ne-edema

Amanzi aqinile emzimbeni (edema) akhiwa ngenxa yokugeleza okunganele kwamanzi, ukucindezelwa kwemisipha (izicathulo eziqinile), ukusebenza kwezinso okungekuhle, ukutheleleka nokuvuvukala. U-Edema ubuye ahambisane ne-neuropathy (ukulahleka kokuzwela).

Esigabeni sokuqala sesi sifo, imilenze ivuvukala kusihlwa (ngenxa yemithwalo ebheke phezulu emilenzeni) nasekuseni ngemuva kokulala (ngenxa yokuncipha kokuphuma kwegazi ngesikhathi sokuphumula ebusuku).
Ukwelapha i-edema, kuyadingeka ukwenza kusebenze ukugeleza kwegazi futhi wenze izondlamzimba zenziwe ngokwejwayelekile. Kulokhu, imicimbi elandelayo ibanjwa:

  • Izidakamizwa zokuthuthukisa ukujikeleza kwe-peripheral. Isibonelo actovegin - Kuthuthukisa izinqubo ze-metabolic, trophism (umsoco) nokuvuselelwa kwezicubu.
  • Ukwelashwa nge-Vitamin ne-potassium. Ukunikeza amaseli ngamavithamini kunomthelela ekujuleni kwenqubo ye-metabolic. IPotassium isusa usawoti namanzi.
  • Lawula inani lamanzi owaphuzayo.
  • Ukuhlungwa kwamathole, amaqakala nezinyawo.
  • Isikhundla esiphakeme semilenze ngesikhathi sokulala nokuphumula.
Ukwelapha izilonda ezi-trophic kuyinkimbinkimbi kakhulu kunokwelapha i-edema.
Ngezilonda eziyinqolobane, kusetshenziswa izindlela ezilandelayo zokwelapha zasendaweni:

  • Ukubulala amagciwane endawo (ukwelashwa nge-hydrogen peroxide, i-potanganum permanganate, iodinol).
  • Izidakamizwa ze-antimicrobial neze-antifungal (miramistin, amalungiselelo esiliva, i-dioxidine) - ekwelapheni amanxeba nokugqokwa.
  • Amalungiselelo wokuvuselelwa kwezicubu.
  • Ngezilonda ezi-venous - ukuqiniswa kwe-bandaging yezinyawo.

Ngokwezibalo, ama-80% eziguli ezitholakala zinesifo sikashukela ngemuva kokuqhubeka kwezifo iminyaka engama-20 zinezilonda ezinyaweni, ukuvuvukala kanye ne-edema.

  1. Esigabeni sokuqala sokuthuthukiswa kwezinkinga, ubuhlungu benziwa ikakhulu ebusuku.
  2. Esigabeni esiphakathi salesi sifo, kwakheka i-claudication syndrome eshintshashintshayo. Ukuthola indawo ngobuhlungu kwenzeka onyaweni, emilenzeni nasemlenzeni ophansi. Kwesinye isikhathi ubuhlungu bokuhamba buye bungabekezeleleki.
  3. Kamuva, izilonda ziyavela ezinzwaneni zezinzwane ezinkulu, ezindaweni zezinhlamvu zommbila nezommbila.

Kubalulekile ukuqonda ukuthi kushukela, ukulimala emlenzeni kuyavumelana. Okokuqala, ukuvelela kubonakala, uma kungekho ukwelashwa, kunezelwa izilonda ezingalapheki, kamuva ezithi ziba yi-gangrene.

Impilo yemilenze yesiguli incike ekutheni ukwelashwa kuqala futhi kufakwa ngesikhathi esifanele kangakanani. Futhi i-prophylaxis yansuku zonke edingekayo yandisa impilo yesiguli sikashukela.

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