Isifo sikashukela sonyawo sikashukela: izimpawu, izibonakaliso nokwelashwa

Izinyawo zikashukela ziyinkinga nemilenze eyenzeka ngenxa kashukela wegazi ophakeme. Isifo sikashukela, esingalawulwa kahle, siphazamisa ukuzwela kwezinzwa (i-neuropathy), futhi siphazamisa ukuhamba kwegazi emithanjeni yemilenze. Lokhu kwandisa ubungozi bokulimala nokutheleleka. Isifo sikashukela sonyawo sikashukela - isiguli siba nezilonda, ukulimala kwamalunga ngisho namathambo emilenzeni. Amanxeba awapholi kahle, amagciwane angama-pathogenic anda kuwo. Ezimweni ezisezingeni eliphakeme, lokhu kuba yimbangela ye-gangrene nokunqunywa. Lokhu okulandelayo kuchaza izimbangela, izimpawu, ukuvimbela kanye nokwelashwa konyawo lwesifo sikashukela. Funda ukuthi ungazelapha kanjani izilonda zomlenze ekhaya nasendaweni yokunakekelwa kwempilo. I-Gangrene, ukunqunywa, nokukhubazeka okwalandela kungusongo lwangempela kwisifo sikashukela. Kepha ungakuvimbela uma ulandela imithetho yokunakekelwa kwezinyawo.

Isifo sikashukela sonyawo sikashukela siyimbangela ejwayelekile yokuqunjelwa kwezitho eziphansi

Uma ngabe unesifo sikashukela iminyaka eminingana, futhi nangaphezulu, uma ubelawula kabi ngaso sonke isikhathi lesi, khona-ke kukhona ingozi enkulu yomonakalo emlenzeni wakho. Njengoba wazi, noma yimaphi amanxeba nokulimala kweziguli ezinesifo sikashukela akuphulukisi kahle. Noma umonakalo omncane ungaqhakaza, uthuthukise ubuthi, futhi unyawo luzodinga ukunqunywa. Lesi simo esijwayelekile. Ukuze uyigweme, itadishe bese ulandela ngokucophelela imithetho yokunakekelwa kwezinyawo, ebhalwe ngezansi. Uma imilenze yakho ibuhlungu ngenxa ye-neuropathy, funda isihloko esithi "Izinyawo Ziyahlaselwa Ushukela - Izokwelashwa kanjani." Lokhu okulandelayo kuchaza okufanele ukwenze uma uzwela emilenzeni, ngapha, luyehliswa. Lokhu kwenzeka kaningi. Isifo sikashukela asibuzwa ubuhlungu emilenzeni, ushintsho ekushiseni, ekucindezelekeni, emisukeni, emaphepheni, ezintanjeni eziwela ezicathulweni, njll. Ungaphila nale nkinga yokunganakekeli, bese kuthi ngokuzumayo kuvela ukuthi umlenze uqalile ukubola futhi udinga ukulala phansi etafuleni ukuze kudokotela ohlinzayo. Landela izincomo ezingezansi ukuze ulondoloze amandla okuhamba "uwedwa."

Isibalo seziguli ezinesifo sikashukela esinezinkinga zomlenze siyakhula ngaso sonke isikhathi ngoba ukwanda kwesifo sikashukela sohlobo 2 kuyanda. Ensimini yeRussian Federation kanye namazwe e-CIS, amahhovisi akhethekile angaphezu kuka-200 omsebenzi wesifo sikashukela ezikhungweni zezifunda. Ngosizo lwezindlela ezintsha zesimanje, odokotela baya ngokuya bakwazi ukuvimbela ukunqunywa.

Isifo sikashukela sonyawo sikashukela selashwa ngudokotela okhethekile obizwa nge-podiatrist. Ungayihlanganisi nodokotela wezingane.

Ukuthola ongoti abaseduze kwakho, thayipha injini yokusesha maphakathi nonyawo lwesifo sikashukela [idolobha lakho, isikhungo sesifunda] noma ikhabethe yonyawo sikashukela [idolobha lakho, isikhungo sesifunda]. Ngemuva kwalokho, uzobona masinyane ukuthi yiziphi izikhungo zikahulumeni zezokwelapha nemitholampilo yangasese.

Izizathu

Ake sibheke ukuthi yini ebangela izinkinga ezinyaweni kushukela. Ku-diabetes, ukuhamba kwegazi emithanjeni eyondla imilenze kuvame ukuphazamiseka. Ukungatholi ukondleka okwanele, isikhumba emilenzeni siba sengozini enkulu yomonakalo, futhi siphola kancane. IFrost nayo ithinta kabi isikhumba somuntu onesifo sikashukela, yize abantu abaphilile bebekezelela ukubanda kubusika ngaphandle kwezinkinga.

Ngenxa kashukela wegazi ophakeme ngokungapheli, i-nerve conduction ezinyaweni ikhubazekile. Lokhu kubizwa ngokuthi yi-sensory neuropathy. Izimpawu zayo - umuntu onesifo sikashukela akazizwa kahle noma aze ayeke ukuzwa izinhlungu, ingcindezi, ukushisa, ukubanda kanye nanoma imiphi imiphumela esikhumbeni emilenzeni. Le mizwa isiza abantu abaphilile ngokushesha bathathe izinyathelo zokuzivikela ekulimaleni komlenze. Futhi iziguli ezinesifo sikashukela zilimele ngaphansi kwezimo ezifanayo.

Njengoba ukuqhuma, ukuvutha kanye nokuhlukumezeka kwabanesifo sikashukela kungubuhlungu, kungenzeka banganaki izinkinga zabo ngemilenze yabo kuze kube yilapho i-gangren iqala.

Okunye ukubonakaliswa kwe-neuropathy yesifo sikashukela ukuthi isikhumba emilenzeni silahlekelwa amandla okujuluka futhi sihlala somile ngaso sonke isikhathi. Isikhumba esomile, njengoba wazi, sivame ukuqhekeka. Ukuqhekeka esikhunjeni sezithende kungaphenduka izilonda. Njengoba lezi zilonda zingalimazi, onesifo sikashukela akazithathi izindlela zokwelapha, futhi inqubo iya ku-gangrene. Enye indlela yesifo sikashukela yesifo sikashukela ngenye evimba ukusebenza kwezicubu ezinyaweni. Ukungalingani kwemisipha kwenzeka, okuholela ekuguqukeni kwamathambo ezinyawo. Lolu hlobo lwe-deformation luhlanganisa izinzwani ezigogekile noma izinzwani ezicijile, kanye negoqo eliphakeme kanye nonyawo olugobile.

Uma isifo sikashukela singenawo umbono omuhle, khona-ke ukukhula kwezinkinga zonyawohlo kusenokwenzeka. Ngoba umuntu akaboni kahle ukuthi ungena kuphi lapho ehamba. Futhi, ubungozi bonyawo lwesifo sikashukela luyanda uma imilenze yesiguli igcwala ngenxa yezinkinga zezinso. Ngoba i-edema inyusa umthamo wezinyawo. Izicucu ziba nezingcindezi, zithambe futhi zilimaze izinyawo lapho uhamba.

Okufanele ukwenze Ikhambi elikhulu ukubuyisa ushukela wegazi ubuye ngokujwayelekile ngokudla okunama-carbohydrate aphansi. Leli ithuluzi elibalulekile lokulawula isifo sikashukela sohlobo 1 nohlobo 2. Jwayela ushukela wakho - futhi ukubonakaliswa kwe-neuropathy yesifo sikashukela kuzodlula. Uzobakhipha ezinyangeni ezimbalwa, ezimweni ezinzima - eminyakeni engu-2-3. Funda futhi ulandele uhlelo lokwelapha isifo sikashukela sohlobo 2 (bheka ngezansi) noma thayipha ukwelashwa sikashukela oku-1.

Izimpawu

Ubuhlungu obuqhubekayo bungaba wuphawu lwe-sprains, ukulimala konyawo, ukulimala, ukulayisha ngokweqile, izicathulo ezingafanele, noma ukutheleleka.

Ubomvu besikhumba kuwuphawu lokutheleleka, ikakhulukazi uma isikhumba esizungeze isilonda siphenduka sibomvu. Futhi, izicathulo noma amasokisi akhethwe kabi angakhuhla isikhumba.

Ukuvuvukala emlenzeni kuwuphawu lokuvuvukala, ukutheleleka, izicathulo ezikhethwe ngokungafanele, ukuhluleka kwenhliziyo, noma ukuhamba kwegazi okungahambi kahle emithanjeni.

Ukwanda kwezinga lokushisa ebusweni besikhumba kusho ukutheleleka noma ukuvuvukala umzimba uzama ukukucindezela kepha awukwazi ukubhekana nakho ngoba amasosha omzimba ancipha yisifo sikashukela.

Noma yimuphi umonakalo esikhunjeni mkhulu ngoba ukutheleleka kungangena kuwo.

Amakhiwane asho ukuthi izicathulo zikhethwe ngokungafanele, futhi lapho uhamba umthwalo onyaweni awusatshalaliswa kahle.

Izifo zokukhuphuka kwezipikili nesikhumba sezinyawo, izipikili ezifakiwe - kungaholela ezifweni ezinzima.

Ubomvu buqhamuka esilondeni - uphawu lwesifo esithathelwanayo.

Noma yiziphi izinkomba ezisohlwini lwalesi sigaba zisho ukuthi udinga ukubonana nodokotela ngokushesha. Ukuhlehlisa kungaholela ekunqunyweni komlenze noma ekufeni. Kungakuhle ukuthi uhlolwe nguchwepheshe, hhayi udokotela osemsebenzini. I-athikili engenhla ichaza ukuthi ungasithola kanjani isikhungo sonyawo sikashukela esiseduzane nendawo ohlala kuyo.

Ukulimala noma ubunzima bokuhamba kungakhombisa izinkinga ezihlangene, ukutheleleka okunzima, noma ukuthi izicathulo zikhethwe ngokungafanele.

Umkhuhlane noma ukubanda okuhlanganiswe nesilonda emlenzeni kuwuphawu lokutheleleka okungathi sína okusongela ukufa noma ukunqunywa kwelungu

Ubomvu besikhumba busakazeka isilonda - okusho ukuthi ukutheleleka kuyakhula, umzimba awukwazi ukubhekana nakho, futhi udinga usizo.

Ukuba yisisindo emilenzeni kuwuphawu lokuphazamiseka kwengqondo i-nerve conduction (isifo sikashukela se-neuropathy).

Ubuhlungu bomlenze buwuphawu lonyawo lwesifo sikashukela, kepha luphathwa ngokwahlukile. Funda i-athikili ethi "Umlenze uphethwe yisifo sikashukela: ukwelashwa" ukuthola imininingwane.

Izimpawu ezengeziwe zokuphazamiseka kokujikeleza kwegazi (ukuhlangana ngokuthile)

• Ubuhlungu emilenzeni, okuqina lapho uhamba futhi uncipha ukuphumula;
• izinwele ziyeka ukukhula ezinqwaneni nasezinyaweni;
• isikhumba emilenzeni siyaqina bese somile.

Izimpawu

• amabele;
• amanxeba;
• i-ingingth yesipikili;
• isithupha bursitis;
• warts warts;
• isando sokugoba seminwe;
• isikhumba esomile nesiqhekekile;
• isifo sokukhunta kwesikhumba sezinyawo (i-epidermophytosis yonyawo);
• isikhunta sezipikili.

Kuqhamuka amatshe lapho ingxenye ethile yonyawo icindezelwa ngokweqile noma ihlikihla okuthile. Njengomthetho, isizathu izicathulo ezingakhethi kahle. Kunconywe ngokusemthethweni ukuthi amabele asuswe ngokucophelela ngetshe le-pumice ngemuva kokugeza. UDkt Bernstein izinto: Ungawasusi amabombo! Ungenzi lokhu ngokwakho futhi ungavumeli muntu, kubandakanya nodokotela. Ngoba isilonda sihlala endaweni yokususa ummbila, ongaphenduka isilonda.

Umuntu onesifo sikashukela ususwe i-callus yakhe. Kwakunenxeba elalizopholisa isikhathi eside, futhi ngokunokwenzeka lingahlaselwa yisifo.

UDkt Bernstein uveza ukuthi ukususa amabele kuyimbangela eyinhloko yezilonda, okutheleleka ngaleli gciwane. Okulandelayo - i-gangrene nokunqunywa ... Esikhundleni sokususa amabele, uku-oda nokugqoka izicathulo ezinhle zamathambo. Ngemuva kwalokhu, umthwalo onyaweni lapho uhamba uzosatshalaliswa kahle, futhi amabele kancane kancane azodlula ngokwawo.

Amabhulokhi yizindawo zesikhumba ezikhulayo ezigcwele uketshezi. Ukuqhuma kwakheka ngenxa yokuthi izicathulo zithinta indawo efanayo ngaso sonke isikhathi onyaweni. Ukuqhuma kungabonakala futhi uma ugqoka izicathulo ngaphandle kwamasokisi. Ukugwema amabhulokhi, izicathulo kufanele zisebenze kahle futhi zingahambi ngaphandle kwamasokisi. Uma kukhona ukuqubuka emlenzeni, isiguli sikashukela kufanele sibone uchwepheshe. Udokotela uzofaka i-bandage kahle. Uma ukutheleleka kuqala, udokotela uzosusa ubomvu ku-blister futhi anikeze nemithi elwa namagciwane.

Izipikili zikhula uma umuntu engazigawuli kahle noma egqoka izicathulo eziqinile kakhulu. Musa ukusika izinzipho ezizungeze imiphetho. Kungcono ukuthi ungazinqume ngesikhafu, kodwa uzicubungule ngefayela lezipikili. Isiguli esinesifo sikashukela akufanele sishiywe ngaphandle kwezipikili ezingenayo, kufanele sibone udokotela. Mhlawumbe udokotela uthatha isinqumo sokukhipha ingxenye yezipikili ukuvimbela ukungena ngaphakathi. Lokhu kubi okuncane kakhulu kunesilonda esinegciwane, ukuqothuka nokuqunjelwa. Uma ukutheleleka sekuvele kuzinzwane, udokotela uzonikeza imithi elwa namagciwane.

I-Bursitis iyinhlamvu emaphethelweni angaphandle enzwane. Ngokuhamba kwesikhathi, ingagcwalisa izicubu zamathambo kanye noketshezi. I-Bursitis yakhiwa uma isithupha siphambuka siye eceleni kweminye iminwe. Lokhu kungaba yinkinga yefa. Izithende eziphakeme nezicathulo zezinzwane eziphakeme futhi zikhulisa ubungozi bakho. Ukuvimbela i-bursitis ukuthi ingakhuli, udokotela angaphakamisa ukuthi kusetshenziswe ama-insoles athambile ezicathulweni. Ubuhlungu nokuvuvukala kudedelwa ngemithi. Uma i-bursitis ibangela ukugcwala okukhulu kobuhlungu obukhulu, khona-ke ikhishwa ngokuhlinzwa. Ukuvimbela, gqoka izicathulo ezilingana nosayizi wakho kahle.

I-bursitis yenzwane enkulu lapho kwavela khona isilonda. Kuyabonakala ukuthi inxeba selithelelekile.

Ama-warts warts ayizinhlayiya ezincane ezinemibala yenyama. Kwesinye isikhathi anamachashazi amnyama amnyama. Ama-warar warts abangela i-papillomavirus yomuntu. Leli gciwane lingena ngezilonda ezincane esikhunjeni semilenzeni. Ama-warts angaba buhlungu futhi aphazamise ukuhamba. Ukuze unciphise ukusakazeka kwabo, geza izandla zakho isikhathi ngasinye ngemuva kokuthinta izinyawo zakho. Izinyawo kufanele zihlanzeke futhi zome. Musa ukuhamba ngezinyawo ezindaweni zomphakathi. Udokotela wakho angaphakamisa ukuthi kususwe ama-warar e-plantar nge-laser, i-nitrogen eyi-liquid, noma ngokuhlinzwa ngokuhlinzwa ngaphansi kwendawo yokubulala izinzwa.

Ukugoba okufana nesando kweminwe kwenzeka ngenxa yokuthi amalunga amabili noma amabili ezinzwane ezincane agobeka ngendlela engafanele. Lokhu kungenxa yokuthi izicubu ezinyaweni ziba buthakathaka ngenxa yesifo sikashukela se-neuropathy. Uma kunenkinga yokugoba iminwe, khona-ke ukuma kwezinyawo kuyashintsha. Kungenzeka kube nobunzima bokuhamba. Kunzima ukuthola izicathulo ezilungile. Ingozi enkulu - amanxeba nezilonda ezithambekele ekuthelelekeni kungenzeka. Ukwelashwa - ama-insoles we-orthopedic ezicathulweni, kanye nemithi yezinhlungu nokulimala. Ezimweni ezimbi kakhulu, ukuhlinzwa okuhlinzwa.

Isikhumba esomile nesidabukile siyisihluku futhi siyabola. Ukushintsha kombala wesikhumba, kungasha. Le nkinga idalwa yizizathu ezahlukahlukene - ushukela wegazi ophakeme, ukulimala kwezinzwa nokugeleza kwegazi okungesihle emilenzeni. Imifantu esikhunjeni iyingozi ngoba ukutheleleka kuhlala kuyo. Gcina umswakama nobunzima besikhumba sezinyawo zakho. Yigcobise njalo ngamafutha, njengoba kuchazwe ngezansi esigabeni se- “Foot Care: Imininingwane Enemininingwane”. Uma ungakwazi ukubekezelela futhi isimo sesikhumba siba sibi kakhulu, bheka udokotela. Unganikezwa umuthi wokugcotshwa kwamafutha anamandla. Khuluma nodokotela wakho ngezithako ze-Vitamin A ne-zinc. Ungathathi ngokunganqikazi ukuthatha lezi zimali! Vele, into esemqoka ukwehlisa ushukela wegazi futhi uligcine livamile.

Iqubu noma ummbila otheleleke ngesilonda. Ungabona futhi ummbila ovela ngezansi ngaphansi kwesithupha.

Izifo ze-fungus zesikhumba sezinyawo zibonakaliswa yizimpawu - ukulunywa, ukuvutha, ubomvu, imifantu esikhunjeni. I-fungus iphindaphindeka ezintanjeni naphakathi kwezinzwane. Ukuyivimbela, gcina izinyawo zakho zomile ngangokunokwenzeka. Musa ukugqoka izicathulo ezifanayo ngaso sonke isikhathi. Iba nezimbhangqwana ezimbalwa zezicathulo ukuze uzishintshe. Ngenkathi ugqoke eyodwa, enye iyoma. Ebusuku, izicathulo azinaso isikhathi sokoma. Ezindaweni zomphakathi musa ukuhamba ngezinyawo zinyawo, gqoka izigqila. Amasokisi kufanele enziwe ngezinto zemvelo - ukotini noma uvolo. Ikhemisi lithengisa okhilimu bese lifafaza ngokumelene ukhunta emilenzeni. Uma kunesidingo, udokotela uzonikeza umuthi wamaphilisi anamandla.

I-Nail fungus - izindlela ezifanayo zokuvimbela njengezifo zokukhunta zesikhumba sezinyawo. Ukhunta wenza izinzipho ziqine, kuba nzima ukuzisika. Umbala wezipikili uyashintsha. Kwesinye isikhathi izipikili ezithintwe isikhunta ziyawa. Udokotela angakunikeza amaphilisi, asuse i-nail ngokuhlinzwa noma ngamakhemikhali. I-fungus ye-nail nayo iphathwa nge-laser, kepha kusenempikiswano phakathi kochwepheshe mayelana nokuthi le ndlela isiza kanjani.

Ukuxilonga

Izinkinga zomlenze kwisifo sikashukela zingabangelwa ukuvuvukala kwemizwa yezinzwa, ukuvaleka kwemithambo yegazi ephakela imilenze, noma zombili. Lokhu kubizwa ngokuthi yi-neuropathic, ischemic, noma indlela exubekile yesifo sikashukela sikashukela.Udokotela unquma uhlobo lwalesi sifo futhi enze ukuxilongwa ukuze anikeze ukwelashwa okufanele.

• I-Ultrasound yemikhumbi yemikhawulo ephansi;
• I-M-mode ultrasound dopplerography (USDG);
• ukukalwa kwenkomba ye-ankle-brachial;
• transpaneane oximetry.

Ukuhlolwa kokuzwela kokudlidliza konyawo ukuhlolwa kobunzima be-neuropathy yesifo sikashukela

Kunolunye ucwaningo - i-radiopaque angiography. Umenzeli ohlukanisa umsakazo ufakwa egazini lesiguli, "elikhanya" ezindongeni zemikhumbi. Lolu cwaningo lufundisa kakhulu, kepha lungadala imiphumela emibi ezinso. Ngakho-ke, kunqunywa ngokuqapha. Kodwa-ke, uma ukuhlinzwa kuhlongozwa ukubuyisela ukuhamba kwegazi emithanjeni, kuyaphoqeka.

I-prognosis incike kubude besifo sikashukela, ukuthi isiguli siphathwa kahle kangakanani, kungakhathalekile ukuthi siyayilandela irejimeni. Izifo ezenzeka nazo zibalulekile - isifo sokuqina kwemithambo yegazi, umfutho wegazi ophakeme, izinkinga zesifo sikashukela ezinso nasebukweni lamehlo, isifo sokuwohloka komqondo okuyi-senile Ngakho-ke, lapho umuntu onesifo sikashukela eya kudokotela ngenxa yezinkinga zomlenze, ukuhlolwa kufanele kube okuphelele.

Unyawo lukaCharcot (isifo sikashukela se-osteoarthropathy)

Unyawo lukaCharcot (i-diabetesic osteoarthropathy) luyinkimbinkimbi yesifo sikashukela, ngenxa yalokho amalunga kanye nezicubu ezithambile zonyawo kubhujiswa, ukwakheka kwaso kuyashintsha. Esikhathini sokuqala, amalunga aba lukhuni futhi avuvukale. Kamuva, izicubu ziba buthaka bese ziyeka ukubekezelela umthwalo. Ngenxa yalokhu, kunezinkinga ngamathambo, unyawo lubolile. Konke lokhu kuvame ukwenzeka ngokushesha.

Unyawo lukaCharcot (isifo sikashukela se-osteoarthropathy), kanye nesilonda emswaneni. Naphezu komonakalo obalulekile, umuntu akazizwa ebuhlungu.

Isizathu sokuthuthuka konyawo lukaCharcot yi-neuropathy yesifo sikashukela. Izinzwa ezilimele azikwazi ukudlulisa izibonakaliso zisuka emlenzeni ziye ebuchosheni. Ngakho-ke, umuntu ubeka unyawo ngokungafanele lapho ehamba. Ukubhujiswa kwamalunga namathambo kubangela ubuhlungu, kepha onesifo sikashukela akakuzwa. Uqhubeka nokufaka ingcindezi onyaweni oluthintekayo kuze kube yilapho kuguba ukubukeka komlenze.

Izimpawu zokuqala:

• isikhumba sonyawo siphenduka sibomvu, izinga lokushisa ebusweni balo liyenyuka;
• umlenze uyavuvukala;
• Ubuhlungu buzwakala, kepha imvamisa abukho ngenxa ye-neuropathy.

Ukwelashwa kwe-osteoarthropathy yesifo sikashukela - umlenze ubekwe ngebhandeji elikhethekile elenziwe ngezinto ze-polymer. Lokhu kwenza ukuthi sikwazi ukudambisa izindawo ezithintekile zonyawo. Kungenzeka ukuthi udokotela anqume isiguli ukuthi sihambe ngezinduku noma sishintshe nezihlalo ngesihlalo esinamasondo. Kwesinye isikhathi ukwakheka kwamathambo kubuyiselwe kokujwayelekile ngokuhlinzwa.

Ukuvimbela

Ukuvimbela ukufakwa ngokucophelela kwemithetho yokunakekelwa kwezinyawo kanye nokuhlolwa kwezinyawo nsuku zonke. Kunikezwa izincomo zokunakekelwa kwezinyawo ngezansi. Manje sizoxoxa ngokuthi ungazihlola kanjani izinyawo zesiguli esinesifo sikashukela, okufanele usibheke. Izinyawo kufanele zihlolwe nsuku zonke, okokuqala kusuka phezulu, bese zisuka ohlangothini lwodwa. Hlola isikhumba phakathi kwezinzwane zakho ngokucophelela. Ungadinga isibuko salokhu. Kungcono ukuthi omunye umuntu abambe iqhaza ekuhlolweni kwezinyawo, hhayi yena onesifo sikashukela uqobo.

Umsebenzi wokuhlolwa akufanele uphuthelwe uma kuvela izinhlamvu ezintsha, ukuvuvukala, ukulimala, izindawo ezinobuhlungu, izilonda zesikhumba, noma olunye uguquko. Ukuma, umbala kanye lokushisa lonyawo kungashintsha. Ukuzwela ukuthinta - buthaka noma okuphambene nalokho kuyanda. Uma ubona ukuthi izinguquko ziyaqhubeka ngokuba zimbi kakhulu - ngakusasa ekuseni, thinta udokotela, ungadonsi. Kungahle kube nokuqhekeka okuncane nokuqina kwamathambo, ngenxa yokuthi inyawo seludumbile, ukwakheka kwaso kuyashintsha. Lokhu kudinga ukunakwa okuphuthumayo kudokotela.

Noma ukulimala okuncane kungaphenduka isilonda sethrophic, okuzoba isikhathi eside futhi kube nzima ukusipholisa. Endabeni yokutheleleka ngegciwane enxebeni, i-gangrene iyokhula, futhi kungavela ukuthi ukuncipha kuphela okuyosindisa onesifo sikashukela ekufeni.

Uma isikhumba sezinyawo siba mnyama kakhulu noma okuphambene nalokho sikhanya, izinwele ziyanyamalala kuso - lokhu kusho ukuthi ukulethwa kwegazi emilenzeni kuyawohloka. Okubi kakhulu ukuhlinzeka komoya-mpilo kanye nokudla emangqamuzaneni, isikhathi eside ukulimala kokupholisa isikhumba. Bheka ukuthi uzwela lesikhumba ukuze uthinte luye lubi yini. Ukuze wenze lokhu, ungasebenzisa, ngokwesibonelo, izimpaphe. Qiniseka ukuthi isiguli sikashukela siyawuzwa umehluko phakathi kwamanzi afudumele nabandayo lapho sehlisela unyawo lwabo emanzini. Ngaphambi kokugeza, kudingeka uhlole izinga lokushisa kwamanzi ngesandla. Kunoma ikuphi, i-thermometer yokugezela kumele ibe nayo futhi isetshenziswe.

Isifo sikashukela sonyawo sikashukela sivame ukwenzeka ngoba umlenze wesiguli ulimele, kodwa akezwa. Inhloso yokuhlolwa kwansuku zonke ukuthola izinguquko ezingezinhle ababenesifo sikashukela ngenkathi kwenzeka. Odokotela manje banokugqoka okusebenzayo kwanamuhla kwamafutha okugcoba. Lawa ngamathuluzi asiza ukuphulukisa amanxeba emilenzeni, ukuvikela ukutheleleka, ukuqothuka nokuqunjelwa. Kodwa noma kunjalo, udinga ukubona udokotela ngesikhathi. Lapho i-gangrene isivele isiqalile, ayikho enye indlela ngaphandle kokunqunywa.

Ukhathazekile ngonyawo lwesifo sikashukela? Bonana nodokotela ngokushesha, ungadonseli!

Landela imithetho yokunakekelwa kwezinyawo, hlola izinyawo nsuku zonke bese uthintana nodokotela ngokushesha nje lapho kubonakala sengathi kukhona okusolisayo kuwe. Indlela enkulu yokuvikela nokwelapha unyawo lwesifo sikashukela ukwehlisa ushukela wegazi ube yinto evamile, bese uyigcina ijwayelekile, njengabantu abaphilile. Lokhu kungatholakala ngohlobo 1 nesifo sikashukela sohlobo 2 ngokudla okuphansi kwe-carb. Lawula imetabolism yakho - futhi iningi lezimpawu zesifo sikashukela esiseduze kuzodlula isikhathi. Ikakhulu, ukuzwela kwemilenze kuzobuyiselwa. Ukulimala kwesikhumba emilenzeni kuzophola. Kepha, ngeshwa, uma imithambo yegazi ivinjiwe, amandla abo omzimba awakwazi ukubuyiselwa. Futhi, uma ubunokuphuka noma ukuhlukaniswa kwamathambo onyawo, khona-ke lokhu akunakuphulukiswa.

Ukunakekelwa Kwezinyawo: Imiyalo enemininingwane

Le elandelayo yimithetho yokunakekelwa kwezinyawo zohlobo 1 nesifo sikashukela. Uma ukuzwela kwemilenze kuya ekushiseni, izinhlungu nokucindezela kulahleka kakhulu, khona-ke kufanele zenziwe ngokucophelela ikakhulukazi. Le ukuphela kwendlela yokuthi ungangeni etafuleni elisebenzayo kuya kudokotela ohlinzayo onqunyiwe.

Ngasikhathi sinye, uma wenza uhlelo lokwelashwa kwesifo sikashukela sohlobo 1 noma uhlelo lokulashwa kwesifo sikashukela futhi ugcine ushukela wakho wegazi uzinzile futhi uvamile, emva kwesikhathi, ukuzwela kwezinzwa kuyabuyiselwa. Ngemuva kwalokho, ubungozi bezinkinga zomlenze obulalayo kushukela sincishiswa saba yi-zero. Ukubuyiselwa kokuzwela kwezinzwa kuthatha okungenani izinyanga ezimbalwa, futhi kuvame iminyaka eyi-1-2.

Yekani ukubhema! Ukubhema kubhebhethekisa ukuhamba kwegazi emilenzeni futhi, ngenxa yalokho, kwandisa amathuba okuthi ukunqunywa kuzodingeka kwenziwe kungekudala.

Ingozi yokushiswa kwemilenze yakho iphezulu, ngoba izinyawo zakho zenziwa buthaka ngokuzwa kwabo kokushisa. Gcina izinyawo zakho kude kakhulu nemithombo yokushisa ngangokunokwenzeka. Lokhu kusho ukuthi azikho izicishamlilo, izishisi, amabhodlela amanzi ashisayo noma izingubo zikagesi. Kubhavu noma eshaweni, amanzi kufanele apholile, angashisi ngisho nokushisa.

Isimo sezulu esibandayo, gqoka amasokisi afudumele amfushane nezicathulo ezinobubanzi obanele ukuze zingafaki ingcindezi ezinyaweni zakho kumasokisi. Ukuthi ukugeleza kwegazi emithanjeni yemilenze kukhubazekile kungabhekwa lapho kuqokwa udokotela ngosizo lwe- “transcutaneous oximetry” olungenabuhlungu. Uma kuvela ukuthi iphukile - ungahlali emakhazeni isikhathi esingaphezu kwemizuzu engama-20 ngokulandelana. Ungalokothi uhambe ungafake zicathulo, noma umgwaqo, noma ngaphakathi.

Musa ukunamathela isichibi noma okunye okunamathele ezinyaweni zakho. Ngoba lapho usikhipha, kungadala ukulimala esikhunjeni, khona-ke ziyoba zinde futhi kube nzima ukuzelapha. Uma udinga ukufaka ibhandeji emlenzeni wakho, bese usebenzisa ezinye izindlela zokuwunamathisela - ngokwesibonelo, amabhendi we-elastic, uma kungenjalo kuphela isibambiso esinamathele.

Uma ugcoba izinyawo zakho nganoma yimuphi umuthi, ke ukwenze kuphela njengoba kuyalelwe udokotela. Imikhiqizo eminingi ejwayelekile ethengiswa ngaphezulu kwekhawunta ekhemisi iyingozi esikhunjeni semilenze yesiguli sikashukela. Isibonelo, iodine, i-hydrogen peroxide ne-salicylic acid. Ungasebenzisi i-iodine noma i-hydrogen peroxide ukukhipha amagciwane emlenzeni, noma ngabe udokotela wakho ekululeka. Thenga iodine ekhethekile ekhemisi engashisi isikhumba, uyigcine ilusizo.

Uma unesikhumba esomile emilenzeni yakho, ngakho-ke cela udokotela wezifo zenhliziyo noma wezokwelapha ukuba angakunikeze i-beta-blockers ngomfutho wegazi ophakeme noma izinkinga zenhliziyo. Ngoba ukuthatha izidakamizwa eqenjini le-beta-blocker kuzophinda futhi kukwenze kube nzima ukwanda kwesikhumba semilenze yakho. Ungaselapha kanjani isifo senhliziyo ngaphandle kwamaphilisi “amakhemikhali” ayingozi, funda lapha - lesi yindawo yokwelashwa kwe-hypertension, ngokufana neDiabetes-Med.Com.

Uma izinhlamvu zingabonakali emilenzeni yakho, ngakho-ke ungazami ukuzisusa! Musa ukusebenzisa izipikili, isikhafu, noma ezinye izinto. Ungasusi amabele ngokwakho futhi ungavumeli muntu ukuthi akwenze lokhu, kufaka phakathi nodokotela wepodiatrist. Isikhumba esibi kuma-calluses ukuvikela izinyawo zezinyawo kusuka ekulimaleni ngenxa yezicathulo ezikhethwe kahle. Uma ususa amabele, khona-ke lokhu kuvikela kuyanyamalala.

Ukususwa kwamabele ezigulini ezinesifo sikashukela kuyimbangela ejwayelekile kunazo zonke yolceration, okuyobe sekuholela ekunqunyweni konyawo. Uma kwenzeka ukubiza emilenzeni, udinga ukushintshela ezicathulweni zamathambo ezintofontofo. Uma izicathulo zikhethwe kahle, khona-ke ngeke kube nomthwalo owedlulele ezinyaweni zemilenze, futhi ngokuhamba kwesikhathi amabele azonyamalala uqobo.

Ukhunta ezipikili. Kwinzwane enkulu yonyawo lwesokunene, wayesekade abangele ukuqhekeka kwembambo.

Uma isiguli sikashukela sinamazinyo amancane, ngakho-ke kuyadingeka ukuthola ukuthi ukhunta kuyimbangela yalokhu. Uma kuvela ukuthi lokhu kungukutheleleka okuyisikhunta impela, khona-ke udokotela uzocacisa ikhambi elidinga ukusetshenziswa kwizinzipho ezithintekile kabili ngosuku. Ngeshwa, ukhunta uvame ukwelashwa izinyanga eziyi-12 noma ngaphezulu. Akudingeki amakhambi endawo kuphela angadingeka, kepha futhi futhi uthathe amaphilisi okulwa nesikhunta.

Kungcono ukuphrinta kwiphrinta imithetho yokunakekelwa kwezinyawo, enikezwe ngenhla, kanye nesigaba esithi "Ungayigcina kanjani inhlanzeko yezinyawo." Funda futhi lokhu okuqukethwe ngezikhathi ezithile bese wethula amalungu omndeni esigulini sikashukela ngakho. Uma ulandela ngenkuthalo uhlelo lohlobo lwe-1 yesifo sikashukela noma uhlobo lwe-2 yesifo sikashukela, ungagcina ushukela wakho wegazi uzinzile futhi uvamile. Ngemuva kwezinyanga ezimbalwa, izinzwa zezinzwa emilenzeni ziqala ukululama kancane kancane. Kungekudala ngemuva kweminyaka engama-2-3, uzolulama ngokuphelele. Ingozi yesifo sikashukela sonyawo noma i-gangrene izokwehla icishe ibe yi-zero.

Ungazithenga kanjani izicathulo

Thenga noma u-oda zonke izicathulo hhayi ekuseni noma ntambama, kodwa kusihlwa, ngoba kusihlwa usayizi omkhulu wezinyawo. Izicucu kufanele zikhululeke ngokushesha nje lapho uzama kuzo okokuqala. Akumele kudingeke ukugqoka izicathulo ezintsha. Izicathulo ezinezinzwane ezikhombewe akufanele zigqoke. Udinga izicathulo ezinendawo ebanzi nejulile yezinzwane. Izicucu zamathambo ziyisinqumo esihle. Akubukeki kuyinto ethandeka kakhulu, kepha ikhululekile futhi ikhulisa amathuba okuthi uzokwazi ukusindisa imilenze yakho ngaphandle kokulimala.

Ungalokothi ugqoke izimbadada ngentambo phakathi kwezinzwane zakho. Ngoba intambo ingafafaza isikhumba sakho. Kuzovela amaqhubu, okuzobe sekuphenduka isilonda. Musa ukugqoka izicathulo ezifanayo izinsuku eziningana zilandelana. Iba nezimbambo ezimbalwa zezicathulo ezintofontofo ukuzishintsha zonke ezinye izinsuku. Isikhathi ngasinye, ngaphambi kokugqoka isicucu, usihlole ngaphakathi. Akufanele kube khona izinto ezivela eceleni - amatshe amatshe, njll.

Musa ukugqoka amasokisi noma amasokisi ngama-band elastic tight acindezela imilenze futhi akhubaze ukuhamba kwegazi emithanjeni. Musa ukugqoka amasokisi ngezimbobo noma uhlotshisiwe. Musa ukugqoka amasokisi aqine kakhulu noma anemithungo eminyene. Amasokisi ayinkinga angalimaza isikhumba semilenze, abangele ukuqhuma kuqala, bese kuba isilonda bese kuba yiziqongo nokuqunjelwa. Ukulondolozwa kwilineni kungaholela ekulahlekelweni okungenakulungiswa ngenxa yokukhubazeka.

Ukuhlanzeka okuhle ezinyaweni

Nsuku zonke udinga ukuhlola izinyawo zesiguli ezinesifo sikashukela, ukuthi ngabe kukhona ukulimala okusha noma izimpawu zokuthi izicathulo bezingakhululekile. Qinisekisa ukuthi awekho amabhulashi, ummbila, imifantu, umkhondo wefungus noma okunye ukulimala esikhunjeni semilenze. Bheka futhi isikhumba phakathi kwezinzwane zakho. Hlola izisekelo ngesibuko. Uma isiguli sikashukela singakwazi ukukwenza lokhu uqobo, sidinga usizo lomunye umuntu. Uma uthola noma yimuphi umonakalo emilenzeni, thintana nodokotela wakho ngokushesha.

Ungabheki izinga lokushisa kwamanzi egumbini lokugezela ngonyawo lwakho, kepha ngesandla sakho kuphela, okungcono kakhulu - thenga futhi usebenzise i-thermometer yokugeza. Izinga lokushisa lamanzi egumbini lokugezela akufanele libe ngaphezulu kuka-33 degrees Celsius. Ngoba ngisho nokushisa kwamanzi okushisa angama-34 degrees Celsius kungadala ukushiswa uma ukuhamba kwegazi emithanjeni kuphazamiseka.

Ungalokothi ucwilise izinyawo zakho emanzini isikhathi esingaphezu kwemizuzu engu-3-4. Ngaphandle kwalokho, isikhumba emilenzeni sizoba manzi, futhi kwesikhumba esimanzi, ubungozi bomonakalo banda. Ukulandela lo mthetho, ungahlali isikhathi eside kakhulu egumbini lokugezela noma eshawini. Geza ngokushesha uphume. Zama ukungamanzi. Uma kunosongo lokuthuthukisa unyawo lwesifo sikashukela, khona-ke isimo sezulu esinethayo siyingozi. Izicucu zezinyawo nezinyawo - akusuleki.

Uma uthanda ukubhukuda echibini, khona-ke ngaphambi kokukhuphukela emanzini, faka uwoyela wamaminerali (i-petroleum jelly) esikhunjeni sezinyawo zakho ukuze uzivikele emanzini. Ngemuva kokuqeda ukubhukuda, khipha i-petroleum jelly ezinyaweni zakho ngethawula.

Uma isikhumba sakho ezinyaweni soma - gcoba okungenani isikhathi esisodwa ngosuku, kaningi ngangokunokwenzeka. Lokhu kuzonciphisa ingozi yokuqhekeka. Okhilimu abangama-greasy namafutha okugcoba kufanelekile.

Isimo sezulu esibandayo, gqoka amasokisi afudumele enziwe ngezinto zemvelo nezicathulo ezintofontofo ezisayizi ofanele. Musa ukugqoka amasokisi ngensimbi eqinile evimba imithambo yegazi futhi iphazamise ukuhamba kwegazi. Uma ukujikeleza okungahambi kahle emilenzeni yakho, ungahlali emakhazeni isikhathi esingaphezu kwemizuzu engama-20 ngokulandelana.

Sika i-toenails kuphela uma ubona ngokucacile ukuthi wenzani. Uma kungenjalo, cela usizo lwangaphandle ngalokhu. Uma usola ukuthi amathiphu akho athinteka yisikhunta, bonisa udokotela futhi uzokuyalela ukwelashwa. Izinyawo zakho kufanele zome futhi zifudumale ngazo zonke izikhathi, hhayi ukuze ziqhebe, zingashisi ngokweqile, hhayi ukujuluka.

Ukwelashwa ngonyawo sikashukela

Ukwelashwa ngonyawo sikashukela kusethi lwezinyathelo ezindaweni eziningana:

1. Ukuqeqesha isiguli ngamakhono - ukuhlolwa kwezinyawo nsuku zonke, ukuguqula indlela ogqoka ngayo nezinye izinto ezidingekayo.
2. Ukulawulwa kweshukela egazini, umfutho wegazi ne-cholesterol.
3. Ukwelashwa okubabayo - ukugqoka, ukususwa kokuhlinzwa kwezicubu ezingasebenzi.
4. Ama-antibiotic ukulwa nokutheleleka.
5. Ukugqoka kwe-Total Imininingwane Cast, ekhulula izindawo ezithintekile onyaweni ekucindezelweni ngokweqile.
6. Ukubuyiselwa kokujikeleza kwegazi emilenzeni, kufaka phakathi ukuhlinzwa kwemithambo yegazi.

Imvamisa ezigulini ezinesifo sikashukela, umuzwa wezinzwa uyaphazamiseka futhi ngenxa yalokho imilenze ayilimazi, naphezu komonakalo. Ngaso leso sikhathi, ukwelashwa ngonyawo lwesifo sikashukela kuyinkinga enkulu. Ngakho-ke, ezinye iziguli zilingeka ukuba zidedele lesi sifo. Ngenxa yalokhu, bazoba etafuleni elisebenzayo kudokotela ohlinzayo. Ngoba uma amagciwane asakazeka ngokukhululeka emanxebeni emilenzeni, lapho-ke abangela i-gangrene. Ukunqunywa kungavinjelwa kuphela uma ukwelashwa kuqalwa ngesikhathi futhi umbuso uqondiswa.

Ungaziphatha kanjani izilonda onyaweni

Izilonda ezinyaweni zeziguli ezinesifo sikashukela zivame ukungabangeli buhlungu ngenxa ye-neuropathy - imizwa yokulimala kwemizwa. Kepha akuzona izindaba ezinhle lezi, kodwa kunalokho okuyinkinga. Ngoba ukuswelakala kobuhlungu kuholela iziguli esilingweni sokungalashwa. Abantu abanjalo abanesifo sikashukela abangaphenduki babamba kuphela lapho umlenze uqala ukubola. Naka ukwelashwa kanye nokuvinjwa konyawo lwesifo sikashukela ukuze uvikele ukunqunywa, ukulondoloze amandla okuhamba ngokujwayelekile.

1. Ukulawulwa ngokucophelela kashukela wegazi kuyadingeka, ngaphandle kwalokho ngeke kube nempumelelo.
2. Kungadingeka ukuthi ususe izicubu ezingasebenzi. Kulokhu, akukho kuphela i-scalpel yokuhlinzwa, kodwa futhi nezinye izindlela (bheka ngezansi).
3. Isilonda kumele sigcinwe sihlanzekile futhi sivikeleke emathonyeni angaphandle.
4. Hlola indawo elimele nsuku zonke, shintsha i-bandage, bese ulandela eminye imiyalelo kadokotela.
5. Zama ukuhamba kancane kuze kube yilapho isilonda esinyaweni sipholisa.
6. Ukuhamba ungafake zicathusi kuvinjelwe ngokuphelele.

Kusukela ngonyaka we-2000s, odokotela bavele emkhakheni wezindlela eziningi zokugqoka zokwelapha amanxeba onyawo kwabanesifo sikashukela. Lokhu kugqokwa kungamunca ukhunta esilondeni futhi kuqukethe isibulala magciwane. Usebenzisa isigqoko, ungafaka ama-enzyme esilonda asusa izicubu ezingasebenzi, esikhundleni sokuzisusa ngokuhlinzwa. Izingubo zanamuhla ziyithuluzi elisebenzayo esheshisa ukwelashwa ngokushesha.

Unyawo lwesifo sikashukela - isilonda wedwa. Isiguli sithola ukwelashwa kokuhlinzwa kwesilonda.

Kwakunjalo ukuthi amanxeba kufanele ashiywe evulekile, ngoba umoya uyawasiza ukuba aphilise. Odokotela manje bayazi ukuthi amanxeba aphola ngokushesha, futhi nengozi yokutheleleka incane uma ugcina umswakama futhi umboze ngebhandeshi. Kusukela ekuqaleni kweminyaka yo-2000, ukwelashwa kwezilonda ezinyaweni sekuthuthuke kakhulu. Kukhona ngisho namabhandeshi ngesimo segwebu noma ifilimu elisobala, esikhundleni samabhandeshi amahle amadala. Ukukhethwa kwenketho ethile yokwelashwa kwenziwa udokotela. Kodwa-ke, ukubaluleka kokulawulwa kokushukela kahle kwegazi akukakhanselwa.

Uma isiguli singangeniswa esibhedlela kepha sithunyelwa ekhaya ukuyokwelashwa, khona-ke, ngaphezu kokugqoka, ama-antibiotics asemathebuleni angabekwa. Kumele athathwe njengoba kubekwe udokotela. Awukwazi ukunciphisa umthamo noma ukwandisa ngokunqumela. Ngaphambi kokunquma imithi elwa namagciwane, udokotela angathumela amasampula wezicubu ukuze ahlaziye ukuthola ukuthi yimaphi amagciwane abangele ukutheleleka ngokuthe ngqo. Uzodinga ukuvakashela udokotela kanye njalo ngemuva kwezinsuku ezimbalwa ukuze uvivinywe njalo.

Izilonda ezinyaweni zivame ukuvela ngenxa yokuthi umthwalo awusatshalaliswa kahle lapho uhamba. Ukwelapha isiguli esibuyeni, kungadingeka ukuthi sinciphise ingcindezi engxenyeni ethintekile yonyawo. Ukuze wenze lokhu, sebenzisa okokugqoka kwe-Total Contact Cast, okuchazwe ngemininingwane engezansi. Ngaphezu kwe-bandage, isiguli sizodinga uku-oda izicathulo zamathambo. Udokotela wakho angakugcizelela ukuthi ugqoka okwesikhashana iminsimbi noma udlulele esihlalweni sabakhubazekile. Uma lokhu kusiza ukuvimbela ukunqunywa, unganqabi.

Ukugqoka Okuphelele Imininingwane Yokuxhumana

Ukuqinisekisa ukuthululwa konyawo oluthintekile kusuka ekucindezelweni ngokweqile kuyisimo esibalulekile sokuphulukiswa okuphumelelayo kwamanxeba uwedwa. Futhi ngisho nangokwengeziwe, ekwelapheni isifo sikashukela neuroosteoarthropathy (izinyawo zikaCharcot). Ucwaningo lufakazele ngokukholisayo ukuthi ithuluzi elisebenzayo ukusebenzisa ukugqokwa kwepolymer yomuntu ngamunye.

Leli bandage likhawulela ukuhamba konyawo nomlenze. Namuhla, yithuluzi lokuqala lokunciphisa imvamisa yezinkinga: izilonda ezingapheli, ukukhubazeka nokucekelwa phansi kwamalunga, kanye ne-gangrene, okuholela ekunqunyweni. Isamba sokuxhumana sonke singasetshenziswa ngudokotela oyi-endocrinologist noma udokotela ohlinzayo emtholampilo noma esibhedlela.

Ingqikithi Yokuxhumana Ye-Cast iyibhandeji eline-solid on the shin and onyaweni, elenziwe ngezinto zesimanje polymeric. Lapho uyisebenzisa, indawo ethintekile yonyawo lwesifo sikashukela iyalayishwa, ngenxa yezindlela ezilandelayo:

1. Kufika kuma-30% omthwalo wedluliselwa onyaweni kuya emlenzeni ongezansi.
2. Indawo engaphezulu yonyawo esekelayo inyuka ngo-15- 24%. Kulokhu, umthwalo ezigabeni ezahlukahlukene usatshalaliswa ngokulinganayo. Ngakho-ke, umthwalo wethiseli kumaphoyinti oyisethenjwa ancishiswe ngo-40-80%.
3. Ukugqoka kuvikela amanxeba ekuqhekekeni okulele phezulu.
4. Ukuvuvukala kwemilenze kuncishisiwe.
5. Ngemuva kokugqoka ukuvikelwa okwengeziwe nokuqina kwesineke, i-Total Imininingwane ye-Cast igqoka i-Cast Shoe, isiteji esinama-clasps.

Ukugqoka okulahlayo okwenziwe ngezinto ze-polymer Ingqikithi Yokuxhumana Abasebenza

Ekunyakazeni komgwaqo kwenziwa izicathulo ezenziwe ngamathambo. Kulokhu, isiguli siyalelwe ukuba sinqunyelwe ukuya ku-30% webanga lakhe elijwayelekile.

Izinkomba zokusetshenziswa kwekhanda ngalinye le-polymer dress Ingqikithi Yokuxhumana Yama-Cast:

• isiteji esibuhlungu sesifo sikashukela sikashukela;
• isigaba esingamahlalakhona se-osteoarthropathy, okwakunzima ukwakhiwa kwesilonda sonyawo;
• kwasendaweni eyodwa (kuyo yomibili imilenze) ye-osteoarthropathy kanye / noma nezilonda zonyawo.

Ukuphulwa okuphelele kokusebenzisa i-Total Imininingwane Cast kuyinqubo esebenzayo yokutheleleka ezithweni ezijulile zonyawo, kanye ne-gangrene noma i-sepsis.

Ukuphulwa okuhlobene:

• ischemia eshubile (ukuphazamiseka kokujikeleza) kwesitho, uma inkomba ye-ankle-brachial <= 0.4 noma isungulwe ngokusho kwe-transcutaneous oximetry;
• ukujula kwesilonda kudlula ububanzi baso;
• Izici zomuntu ngamunye zesikhumba sesiguli (ukwanda komswakama, ukusizeka, ukusabela komzimba ezintweni zokugqoka);
• isiguli asilandeli izincomo zokunakekelwa kwebhandeji nokuvimbela ezinye izinkinga, kanye nohlelo lokuhambela udokotela;
• ukuhlangana kwe-ankle kukhubazeke kakhulu.

1. Susa i-bandage nsuku zonke ukuze uhlole isikhumba.
2. Hambani kancane, hhayi ngaphezu kwe-30% yebanga lenu elijwayelekile.
3. Vikela ukugqoka kwakho emonakalweni.
4. Uma isikhumba noma isilonda silimele, ungasebenzisi izinto ezibukhali noma ezinzima.
5. Uma kuvela noma yiziphi izimpawu ezingajwayelekile (izinga lokushisa lomzimba selikhuphukile, ukhunta uyakhululwa enxebeni, ukugqokwa kukhubazekile, kubuhlungu noma ukungaphatheki kahle) - asuse ngokushesha ukugqoka bese uthintana nodokotela.
6. Udinga uku-oda izicathulo zamathambo kusengaphambili bese uqala ukuzigqoka ngokushesha ngemuva kokwelashwa.

Ingqikithi Yokuxhumana Abalingisi be-Cast ngeplatifomu

Ukugqoka ngakunye kwe-polymer kuvimba ukuhamba kwemilenze. Njengoba lesi akusona isimo sokuphila, kungaholela ezinkingeni:

• ukuqina kwemisipha - kukhula esontweni lokuqala lokugqoka ibhandishi;
• ukuhambisana kokuqina kuya ngokuqina;
• i-osteoporosis yesifunda;
• i-vein thrombosis ejulile yomlenze, lapho kufakwa khona ibhandeshi;
• ukulimala kwesikhumba ngaphansi kwebhandeshi.

Ucwaningo lukhombisile ukuthi imvamisa yezinkinga lapho usebenzisa i-Total Imininingwane Cast isuka ku-6 iye ku-43%. Lokhu kuncike kakhulu kulwazi lochwepheshe osebenzisa le ngubo. Futhi nokuthi isiguli siqeqeshwa kahle kangakanani nokuthi sizilandela ngokucophelela yini izincomo zokwelashwa.

Ukugqoka kwesimanjemanje kwe-Modern Total Contact Cast zisebenzisa izinto ezintsha zeSoftcast ukumiselela iScotchcast esidala. Inokuguquguquka okwengeziwe. Ngokwezinto zesizukulwane esedlule seScotchcast, kufakwa kuphela okwenziwe manje okunikeza i-bandage amandla adingekayo. Ukuguqulwa okusha kwembatho kwenza ukuthi isiguli sikwazi ukwenza izicubu ezincane zezicubu zomlenze, futhi lokhu kunciphisa ubungozi bezinkinga.

Imithi - Imithi elwa namagciwane

Uma isilonda sinegciwane noma kunengozi enkulu yokutheleleka ngonyawo lwesifo sikashukela, kunqunywa imishanguzo elwa namagciwane. Impumelelo yayo ayixhomeki kuphela ekukhetheni okulungile kwe-anti-antibiotic kanye nendlela yokuphatha, kepha futhi nasekwelashweni kwesilonda. Lokhu kwelashwa kufanele kube ngesikhathi futhi kufanele, ikakhulukazi lapho ukutheleleka kunamandla futhi kujule. Ukwelashwa kokuhlinzwa konyawo akufanele kuhlehliswe, kodwa kufanele kwenziwe ngasikhathi sinye lapho kunqunywa ukwelashwa ngama-antibiotic. Kufanele kube ngokungajwayelekile, i.e., kuthinte wonke izicubu ezithelelekile futhi ezingasebenzi.

Uma isiguli sinalezi zibonakaliso, khona-ke kusobala ukuthi udinga ukwelashwa ngemithi elwa namagciwane, kanye nemithamo eyanele, bese uqala ngokushesha. Kepha kwisifo sikashukela i-mellitus, ikakhulukazi ezigulini esezikhulile, amasosha omzimba avame ukuba yi-hyporeactive, i.e., ephendula buthaka ekuthelelekeni. Ezimweni ezinjalo, izimpawu ezishiwo ngenhla aziveli, futhi udokotela kufanele anqume ama-antibiotic, egxile ekubonakalisweni kwasendaweni kwegciwane.

Ezilondeni ezinzima nezingamahlalakhona, izimpawu zokutheleleka azifani. Esimweni sokuqala, kungukuqubuka, ukuvuvukala, izinhlungu, umkhuhlane wobuso besikhumba, ukhunta ukhishwa esilondeni. Ezilondeni ezingapheli, izimpawu zokutheleleka ukubonakala kobuhlungu enxebeni nezicubu ezizungezile, iphunga elingajabulisi, ukwanda kosayizi wesilonda, ukushintshwa kombala "wokuqhuma", kanye nokukhipha ubomvu noma igazi esilondeni.

Ama -organices wesimanje amelana nezidakamizwa eziningi. Ngakho-ke, amathuba okuphumelela lapho kunqunywa i-antibiotic “ngokungaboni” ngokuvamile akuyona ngaphezu kwama-50-60%. Ukukhetha umuthi ofanele noma inhlanganisela yama-antibiotic, kungakuhle ukuthi wenze ukuhlolwa kwe-bacteriological kwezicubu.

Ukwelashwa ngonyawo lwesifo sikashukela, imithi elwa namagciwane ingalashwa ngokuhlinzwa esibhedlela, noma isiguli singayithatha ekhaya ngomuthi wepilisi. Indlela yokuqala iyadingeka uma ukutheleleka kukhulu, futhi kusongela impilo yesiguli noma ukuphepha kwelungu. Uma isiguli sikashukela sitholakala sine-phlegmon, ama-abscesses ajulile, i-gangrene emanzi noma i-sepsis, khona-ke ukwelashwa okulwa namagciwane kwenziwa ngaphakathi emzimbeni. Kuhlanganiswe nokudonswa kokuhlinzwa kwe-purulent foci, ukukhipha emzimbeni kanye nezinyathelo zokunciphisa ushukela wegazi. Konke lokhu kwenziwa esibhedlela.

Uma i-purulent foci ingenzulu futhi kunezibonakaliso zendawo zokutheleleka esilondeni, isiguli singaphuza amaphilisi okulwa namagciwane bese singayi esibhedlela. Kubalulekile ukuqaphela ukuthi ngenxa ye-autonomic neuropathy, ukumuncwa kwezakhi zomzimba nezidakamizwa ezisegunjini lesisu kungaphazamiseka. Kulokhu, kuyadingeka ukushintshela ekuphathweni kwe-intravenous kwama-antibiotics.

(ukuphela kuka-2011)
Ukunaka! Lolu lwazi "ishidi lokukopela" kodokotela kuphela! Iziguli - ungaziphuthi imithi elwa namagciwane. Bonana nodokotela ofanelekayo!

Imvamisa, iziguli ezinesifo sikashukela sonyawo zihlanganiswa nomsebenzi wokuphazamiseka wezinso. Esimweni esinjalo, uma ama-antibiotic noma ezinye izidakamizwa zichazwe emgomeni ojwayelekile wokwelapha, kungalimala okukhulu empilweni yeziguli. Kungani kunobungozi obunje:

• uma umsebenzi wezinso uncishisiwe, khona-ke amathuba okuba umuthi nama-metabolites awo abe nomthelela onoshevu emzimbeni uyanda;
• ezigulini ezinomsebenzi wezinso ongasebenzi kahle, ukubekezelela imiphumela emibi yezidakamizwa kuvame ukuncishiswa;
• amanye ama-antibhiks awakhombisi ngokuphelele izakhiwo zawo uma umsebenzi wezinso uthambile.

Njengoba kunikezwe lezi zinto, uma isiguli sinenkinga yesifo sikashukela emilenzeni yakhe kuhlangene nephropathy, udokotela kufanele ngokufanele alungise ukukhetha kwe-antibiotic nomthamo wayo

Ukuhlinzwa, ukunqunywa

Ukwelashwa kwesilonda ukususwa kwesikhumba esifile nobomvu. Kufanele kwenziwe ukuze izicubu eziye zingasebenzi njengendawo yokuthola amagciwane ayingozi.

Kwenziwa kanjani lokhu:

1. Isikhumba siyahlanzwa bese sibulawa magciwane.
2. Kuyanqunywa ukuthi inxeba lijule kangakanani nokuthi ngabe ikhona yini into yakwamanye amazwe eyewele kuyo.
3. Udokotela ukhipha izicubu ezifile ngesikali kanye nesikhafu sokuhlinzwa abese ekhanyisa isilonda.

Ekupheleni kokuhlinzwa, isilonda singabonakala sikhulu futhi sijulile kunangaphambili. Kufanele kube pink noma obomvu, kubukeka njengenyama entsha.

Ungenwe yisilonda sozwane ngaphambi nangemva kokuhlinzwa

Ngaphezu kokuhlinzwa, kunezinye izindlela zokwelapha isilonda:

• Kungafakwa ama-enzymes aqeda izicubu ezingasebenzi.
• Sebenzisa izibungu ezikhethekile ezidla amaseli afile kuphela. Ngasikhathi sinye, bafihla izinto ezikhuthaza ukuphulukiswa kwezilonda.

Indlela enama-larva ibaziwa kusukela ngeMpi Yezwe Yokuqala. Kusukela ngo-2000s, isithakazelo kuye sibuyile futhi.

Ukwelashwa okulimala kubhekwa njengokuhlinzwa. Ukuhlinzwa kwangempela kuqala ukusebenza uma ngabe konke okunye ukwelashwa kwehlulekile. Incazelo yezinkinga eziyinkimbinkimbi zokunqunywa kwengqondo ingaphezu kobubanzi balesi sihloko. Ukwelapha ngemuva kokuhlinzwa kungahle kuthathe amasonto noma izinyanga ezimbalwa, kuya ngokuthi isiguli isilawula kahle kangakanani isifo sikashukela.

Izicucu zamathambo

Izicucu zamathambo ziyindlela yokuvimbela ebaluleke kakhulu yesifo sikashukela sikashukela. Uma isiguli sigqoka izicathulo zamathambo ezilungele yena, khona-ke lokhu kunciphisa amathuba wezilonda onyaweni izikhathi ezi-2-3.

Izicucu ezenziwe ngamathambo ezenziwe ngokwezifiso.

I-toe cap yigumbi lezinto eziqinile eziqinisa amasokisi wezicathulo. Ezicathulweni zamathambo kufanele kungabi khona inzipho elukhuni. Isihla esicathulweni kufanele sithambe, sithokomele futhi siphephe uzwane lwesifo sikashukela. Akufanele kube nemisipha engaphakathi kwezicathulo zamathambo ukuze kungabikho zici.

Okuwukuphela kufanele kube okuqinile, isb. Okuqinile, hhayi okuhlanganayo. Ngakho-ke, ingcindezi endaweni yendawo yangaphambili yonyawo yangaphansi iyancishiswa, kuthi umthwalo ezinsizeni zonyawo usatshalaliswa ngokulinganayo. Izicucu zamathambo kufanele zikulungele futhi zikhululeke kusukela kokufanele kuqala.

Iziphetho

Ngemuva kokufunda le ndatshana, ufunde konke okudingayo mayelana nesifo sikashukela sikashukela. Kuthunyelwa izithombe eziningi ukukusiza ukuthi uhlole isimo - ukuthi imilenze yakho ithinteka kabi kangakanani nokuthi iyini i-prognosis. Unyawo lwesifo sikashukela luyinkinga enkulu yesifo sikashukela engaholela ekutheni unqunywe. Kodwa-ke, akuzona zonke iziguli ezenzelwe ukukhubazeka. Landela izincomo ezinikezwe ngenhla - futhi uqinisekise ukusindisa ithuba lokuhamba "ngokwakho." Into esemqoka ukubona udokotela ngesikhathi lapho nje uthola noma yimuphi umonakalo emilenzeni yakho. Odokotela manje banokugqoka okusebenzayo nokugcoba emithanjeni yabo elwa nokutheleleka futhi bavuse ukuphulukiswa.

Ungabali noma yimaphi amaphilisi wesimangaliso. Ungathathi imishanguzo ngokwakho. Into esemqoka ukuthi isiguli siqala ukwelashwa ngesikhathi, noma imilenze yakhe ingakabuhlungu. Ungazama i-alpha lipoic acid ukudambisa iswekile yesifo sikashukela futhi ubuyisele umuzwa emilenzeni. Kepha into enhle ongayenza ukushintshela ekudleni okune-carbohydrate ephakeme ukwenza ushukela wakho wegazi ube ngokwejwayelekile. Funda kabanzi mayelana nokwelashwa kwesifo sikashukela sohlobo 2 nokwelashwa kwesifo sikashukela sohlobo 1. Ukudla okune-carbohydrate okwehlisa ushukela futhi kusiza ukugcina kuyinto evamile, njengabantu abanempilo. Ngenxa yalokhu, i-neuropathy yesifo sikashukela ihamba. Ukuzwela emilenzeni kubuyiselwa ngokuphelele. Le yindlela yangempela yokwelapha unyawo lwesifo sikashukela nezinye izinkinga.