Ukulimala okuhlanganayo kushukela kuyinto evamile. Ukubandakanyeka okunjalo kudinga ukwelashwa okuphuthumayo, okungeke kwehlise kuphela inqubo yokubhujiswa, kodwa futhi kuvunyelwe ukuthuthukisa isimo esijwayelekile sohlelo lwe-musculoskeletal.
Izimbangela eziphambili zokuphazamiseka kwesifo sikashukela sekwephuzile, okungukuthi, i-bone-articular pathologies, izinga eliphakeme likashukela ophakeme. Ngemuva kwakho konke, i-hyperglycemia engamahlalakhona inomphumela omubi kuzo zonke izitho nezinhlelo zomuntu.
Kwatholakala ukuthi i-glucose eyandayo ithinta ukuvela kwe-sorbitol eqoqwe kuma-neurons kanye namaseli we-endothelial. Kulesi simo, i-neuropathy yesifo sikashukela ihlala ikhula.
Ngaphezu kwalokho, izimbangela zobuhlungu obuhlangene kwisifo sikashukela zingabangelwa ukuthi izinguquko ezicutshini ezitholakalayo zivusa ukucindezela kwe-oxidative kanye nokwakhiwa kwama-radicals mahhala. Futhi esimweni sokushoda kwe-insulin, izinguquko ekubandakanyeni ukwakheka kwe-cartingage kanye namathambo kuyaphawulwa.
Izifo ezihlanganayo ezinesifo sikashukela
Kwi-hyperglycemia engamahlalakhona, amalunga athinteka ngendlela ehlukile. Kwezinye izimo, lesi sifo sibangelwa ukungasebenzi kahle kwe-microcirculation, ukwanda kwezicubu ezithintekayo, noma izinkinga ze-neuropathic. Futhi ama-syndromes ama-rheumatic avame ukubonwa ezigulini ngokubonakaliswa kwe-organ pathology.
Kunezinkinga eziningi ezihlangene zesifo sikashukela. Lokhu kufaka phakathi:
- phazamisa i-idiopathic skeletal hyperostosis;
- isifo sokuqaqamba kwamathambo;
- ukukhubazeka kwemisipha yesifo sikashukela.
Futhi, ngesilinganiso sikashukela esiphakeme njalo, iziguli eziningi zibonisa izimpawu zesifo sokuhamba esilinganiselwe kwezicubu ezibanzi, kufaka phakathi izilonda ezifana:
- Inkontileka kaDupuytren;
- isifo sikashukela chiroartropathy (cyst);
- i-tenosynovitis yemisipha ye-flexor (ukudonsa ngomunwe);
- i-adhesive capulitis (i-periarthritis, ukuzizwa ehlombe).
Enye inkinga evamile yesifo sikashukela yi-neuropathy. Lokhu kufaka phakathi i-amyotrophy, i-neuropathic arthritis (i-osteoarthropathy, ukuhlangana kweCharcot), i-reflex dyxophy enozwela, i-carpal valve syndrome nokuningi.
Ukuze ungayakhi le miphumela, mina nesiguli besingafaki ukufaka, kubaluleke kakhulu ukuphatha ukwelashwa okufika ngesikhathi. Futhi ukwenza amazinga e-glucose abe ngokwejwayelekile
Ngokuphikisana nesizinda sesifundo eside sesifo sikashukela (iminyaka engama-5-8), iziguli eziningi ziba nesifo sikashukela sikashukela. Izimpawu zokuqala zalesi sifo zitholakala nge-ultrasound osteometry.
Imvamisa, lesi sifo sithinta imilenze yangaphansi. Ezimweni ezingama-60%, amalunga we-tarsal-metatarsal ahilelekile kwinqubo ye-pathological, futhi amalunga e-ankle kanye ne-metatarsophalangeal abandakanyeka kancane kancane kaningi (30%).
Kwesinye isikhathi ijoyina nejoyini kuhlushwa. Njengomthetho, le nqubo ihlukaniswe yodwa.
Ukubonakaliswa kwe-osteoarthropathy kubuhlungu, ukuvuvukala kanye nokushintshwa kwamalunga. Ngenxa yokwephula uzwela, ukuqina nokuqina kokuqina kwezinyawo zezinyawo kuyavela, okuvame ukuholela ekunciphiseni nasekuguqukeni.
Futhi inkinga evamile yesifo se-hyperglycemia esingamahlalakhona isifo sikashukela sikashukela (SDS). Lesi yisifo sonyawo esiba khona lapho kuthinteka amathambo, izicubu zomzimba nezithambile, kanye nemithambo nemithambo. Njengomphumela walokhu, izinqubo ze-purulent necrotic zenzeka esigulini nasezilondeni ezisefeni lemilenze.
Ngokuyisisekelo, i-SDS ivela ezigulini esezikhulile ngokumelene nesizinda senkambo yesifo sikashukela esisekude (kusuka eminyakeni eyi-15). Ngeshwa, ezimweni ezingama-70%, ukuqubuka kwalesi sifo kudinga ukunqunywa kwesinye isikhathi futhi kuye kufakwe unyawo.
Izimpawu zomtholampilo ze-pathology ziyavuvukala kanye ne-hyperthermia yezinyawo. Ekuqaleni, izinhlungu zivela engxenyeni engezansi, edinga isifundo sokuxilonga esingafani ne-arute asematheni noma i-venous thrombophlebitis.
Ngenkathi yokuthuthukisa lesi sifo, ukuthopha unyawo kwenzeka. Esikhathini esisekupheleni, i-neuropathy enamandla iba, futhi abukho buhlungu.
Imvamisa, ngokwanda okungapheli koshukela wegazi, kuvela isifo sikashukela sokuhamba okulinganiselwe okuhlanganisiwe. Kakhulu amalunga amancane futhi kwesinye isikhathi awahlanganisiwe.
Izimpawu ze-OPS kubuhlungu obenzeka ngesikhathi sokuhlangana okuhlanganayo. Imvamisa, amalunga we-proximal interphalangeal kanye ne-metacarpophalangeal ayathinteka, akuvamisile - ukuqina, ithanga, amalunga esihlakaleni namaqakala.
Imvamisa, lesi sifo sitholakala lapho isiguli singakwazi ukugoqa izandla zethu komunye nomunye. Imvamisa, inkinga yokuthi "izandla zithandaza" ziya ngokuvela ngemuva kwezinye izinguquko ezixakile. Ngaphezu kwalokho, ukutholakala kwe-OPS kuncike esikhathini sesikhathi sesifo sikashukela nokunxeshezelwa kwaso.
Enye inkinga evamile ye-hyperglycemia yi-periarthritis yehlombe. Le pathology ihlala ihlanganiswa ne-OPS syndrome, futhi kwesinye isikhathi, ne-tenosynovitis yezintende. Ukuze uvimbele ukuthuthukiswa kwezifo ezinje, kubalulekile ukubheka izinkomba ze-glucose, futhi ngenxa yokwejwayelekile kwazo, iziguli ezingathembekile nge-insulin zidinga ukuthatha njalo iMetformin.
Imvamisa, inkambo ende yesifo ebangela i-hyperglycemia inegalelo ekuguqukeni kokuvuselelwa kwamathambo. Ngokuntuleka kwe-insulin, lokhu okwenzekayo kuwuthinta kabi umsebenzi we-osteoblastic.
Ezimweni zamacala, i-osteopenia ne-osteoporosis ziyaqhuma. Ngaphezu kwalokho, inkambo yalezi zi-pathologies ayihambisani namathuba wokuqhekeka. Izizathu ezingasiza ekuthuthukiseni i-osteopenic syndrome:
- ukubola isikhathi eside kwe-carbohydrate metabolism;
- ukubonakaliswa kwesifo sikashukela ezigulini ezingaphansi kweminyaka engama-20;
- isifo sikashukela iminyaka engaphezu kwe-10.
Isifo samathambo futhi siyinkinga evamile yesifo sikashukela, ikakhulukazi ezigulini esezikhulile. Lesi sifo sibonisa ngokubonakala kobuhlungu obukhali ejoyineni, ukwephulwa kokuhamba kwayo kanye nokulimala kwendawo ethintekile.
Kepha uma kunesifo sikashukela, ukudla kuyawasanganisa wonke amalunga kanye nemilenze yokuqina, ukuthi wenzeni nokuthi ungaziphatha kanjani lezo zimo?
Izindlela zokwelapha
Isimo esiyinhloko sokuvimbela ukuqhubekela phambili kwezifo ezihlangene ukugcina inkomba ye-glucose ephakathi (kuze kufike ku-10 mmol / l) usuku lonke. Ngaphandle kwalokho, ukwelashwa kokulimala kwezinyawo nezinye izinkinga zesifo sikashukela ngeke kusebenze. Ngakho-ke, kubalulekile ukuthatha amaphilisi we-antidiabetesic nsuku zonke, njengeMetformin noma iSiofor.
Futhi ngomonakalo omkhulu wamalunga, kufaka phakathi i-arthritis, izidakamizwa ezilwa nokuvuvukala nezidakamizwa ezivuselela izicubu ze-cartilage. Ezimweni ezisezingeni eliphakeme, imijovo yenziwa, kodwa kuphela uma igebe elenzelana ligcinwa.
Futhi, ukwelashwa kokulimala okuhlanganayo kwisifo sikashukela kuvame ukwehla ekuthatheni okuphathelene ne-pyrazolone kanye ne-Vitamin B 12. Ama-corticosteroids awasetshenziselwa i-atropathy, ngoba athinta ukusatshalaliswa koshukela. Kepha uma kunesidingo, ukuphathwa kwe-intra- kanye ne-periarticular yomthamo omncane (kufika ku-37 ml we-hydrocortisone) kwesinye isikhathi kuyakhonjiswa.
Ukuze ukwelashwa kwezidakamizwa kuphumelele, isiguli kufanele siphuze umuthi ezifundweni nesikhathi eside. Ngasikhathi sinye, udinga ukuhlolwa ngokuhlelekile, okuzovumela udokotela ukuthi alawule inqubo yokwelashwa.
Uma kwenzeka ukulimala kwezinyawo, izilonda ze-trophic ziyelashwa kanti nemithi elwa namagciwane inqunywe. Kuyadingeka futhi ukuyeka imikhuba emibi, ukuhlinzeka ukulayisha imilenze kanye nokwelapha izifo eziphazamisa ukwakhiwa kabusha kwezimpawu zesilonda.
Nge-arthritis noma i-arthrosis ku-mellitus yesifo sikashukela, izindlela zokwelapha ezingezona zendabuko zingasetshenziswa. Enye yezindlela ezithandwa kakhulu ukwelashwa ngozibuthe, lapho amalunga evutha khona ngamasentimitha ayishumi nambili.
Izinzuzo zokuvezwa kazibuthe:
- ukususwa kokuvuvukala;
- ukuqedwa kobuhlungu;
- ukuphuculwa kwesimo esijwayelekile sohlelo lwe-musculoskeletal;
- inqubo ingenziwa cishe kunoma yimuphi unyaka.
Inkambo yokwelashwa ihlala cishe izinsuku ezingama-30. Kodwa-ke, ukuvezwa kwamandla kazibuthe kusiza kuphela ekuqaleni kwentuthuko yezifo ezihlangene. Ngaphezu kwalokho, le nqubo iphikiswa uma kunezinkinga zenhliziyo, umdlavuza, isifo sofuba, ukuqubuka kwegazi okungekuhle nangesikhathi sokukhulelwa.
Uma onesifo sikashukela enomonakalo ohlanganayo, uvame ukunikezwa i-laser therapy. Izinqubo ezifanayo zenziwa ezifundweni - amaseshini angama-20 nsuku zonke. Kepha zisebenza kuphela ngezindlela eziqinile zesifo.
Ngaphezu kokuthatha izidakamizwa ze-antihyperglycemic, ezinjengeMetformin, amavithamini, ama-painkiller kanye nemithi elwa nokuvuvukala, kubantu abanesifo sikashukela abanezinkinga ezihlanganyelwe, kubalulekile ukulandela yonke imithetho yokunakekelwa kwezinyawo, unake izinyawo ngokukhethekile. Kubalulekile futhi ukwenza izivivinyo ezikhethekile uma kufakwe i-prosthesis, ikakhulukazi lapho into efakiwe ibekwa muva nje.
Ngaphezu kwalokho, ngezinkinga zokuhlangana, kuboniswa ukwelashwa kwezihlinza. Ngakho-ke, uma wenza inqubo efanayo okungenani imizuzu eyi-10 ngosuku, unganciphisa ukuqina kobuhlungu futhi wandise ukuzwela kwamajoyinti. Kodwa-ke, ukwelashwa okunjalo kubhekwe ku-hypertension ye-arterial ezinzile, umkhuhlane, izifo zegazi nezesikhumba.
Ukuvinjwa kokuvela kwezinkinga ezibhekene nesifo sikashukela kuqukethe ukulawulwa ngokucophelela kwe-glycemic, ukuze ungakwazi ukuqeda inkinga kuphela, kepha futhi uvikele ukwenzeka kwayo ngokuzayo. Ukuze ufeze lokhu, kufanele ulandele ukudla, ukuzivocavoca, ukugwema ukucindezelwa, ukuphuza iMetformin, Metglib kanye nezinye izidakamizwa zesifo sikashukela.
Ukuthi isifo sikashukela sithinta kanjani amalunga sitshela uchwepheshe kuvidiyo ekulesi sihloko.
