Lapho kutholakala ukuthi unesifo sikashukela i-mellitus, iziguli zihlangabezana nezinkinga ezinzima ngesikhumba, ngoba nge-hyperglycemia ukuzwela kweziphetho zezinzwa kuncishiswa kakhulu, ukusakazeka kwegazi kuyabonakala ngokubi. Futhi, abanesifo sikashukela bahlushwa ukulahlekelwa uketshezi, bakhala ngesikhumba esomile semilenze, izindololowane, izinyawo nezinye izingxenye zomzimba.
Isikhumba esomile siyaqhekeka, ama-pathogenic microorganisms angavusa ukuthuthukiswa kwezifo ezinzima ezithathelanayo angangena ezindaweni ezithintekile. Ngakho-ke, odokotela batusa kakhulu ukunakekela isikhumba, lokhu kungabizwa nangokuthi umsebenzi obaluleke kakhulu wesifo sikashukela.
Ukwephulwa okuncane kwemithetho yokunakekelwa kwe-integument kuphenduka kalula kube yizinkinga ezinkulu zesifo esingaphansi .. Ukungagcini ukoma kuphela okuyinkinga kwiziguli ezinesifo sikashukela, ngokuvamile iziguli zinezimpawu ezithile ezithile, esinye sazo ukuthuthukiswa kokulimala esikhunjeni.
I-Lipoid necrobiosis kushukela
Uma isiguli esinesifo sikashukela sinezilonda zembala onsomi noma ophuzi esikhunjeni, udokotela uzosola ukuthi uzokwakha i-lipoid necrobiosis. Le nkinga iba kancane kancane, ingabonakali umuntu.
Izithelo zivame ukuvela emilenzeni, isikhumba singabonakala izilonda futhi sibe mncane kakhulu. Lapho i-necrobiosis iselapha, amabala ansundu angahlala esikhundleni sokulimala. Izizathu ezinokwethenjelwa zalokhu kwephulwa azaziwa, kepha kwenzeka ngokwengeziwe kwabanesifo sikashukela ngohlobo lwesifo sokuqala.
I-Necrobiosis iyivelakancane; hhayi bonke abanesifo sikashukela abanayo. Lesi sifo sizibonakalisa ngasiphi iminyaka, kepha kuvame kakhulu kubantu besifazane kusuka eminyakeni engama-30 kuye kwengama-40. Abesilisa bagula kuphela ngamaphesenti angama-25.
Akunzima ukuthola i-necrobiosis yesifo sikashukela, ngoba i-Symbomatology of the disorder icacile:
- kwanele ukuthi udokotela enze ukuhlolwa okubonakalayo;
- kwesinye isikhathi kuyadingeka ukuqondisa isiguli i-biopsy.
Nge-necrobiosis, uzodinga ukunikela ngegazi ukunquma izinga likashukela egazini. Akunakwenzeka ukubikezela inkambo ye-pathology; ngobuningi bamacala, izibazi ze-atrophic zivele zisebenza. Imvamisa kuhlala kungalapheki, kuphinda kubuye.
Kuze kube manje, ukwelashwa ngezidakamizwa kwalesi sifo akukho. Ukuqeda noma ukumisa okwesikhashana isifo sikashukela, izidakamizwa azikakhiwa. Imijovo ye-Steroid inganciphisa ukuqhubekela phambili kwe-pathology, kodwa kungenzeka ukuthi ukwanda kwezimpawu zesifo kungafakwa eceleni. Ezimweni ezinzima kakhulu, kunconyelwa ukwenza isifundo seviki yezidakamizwa ze-corticosteroid.
Kuyadingeka ukwelapha isifo sikashukela kanye nokulimala ngasikhathi sinye, ziqala ngokukhawulwa okubukhali kokudla kwama-carbohydrate angagaya kalula. Ukulungisa inhlala-kahle, lahla izimpawu zesifo sikashukela, izidakamizwa zisetshenziswa ngenkuthalo:
- ukunciphisa ushukela;
- i-vasodilation;
- amavithamini.
Ngaphezu kwalokho, i-physiotherapy kufanele ifakwe enkambweni yokwelashwa: i-electrophoresis, i-phonophoresis.
Lapho kukhona izindawo ezinkudlwana zomonakalo esikhumbeni kukhona izinkomba zokungenelela kokuhlinzwa kokufakelwa kwesikhumba kusuka kwezinye izingxenye zomzimba.
I-Lipohypertrophy, i-acanthosis emnyama
Kumuntu onesifo sikashukela, enye inkinga yohlobo lwe-1 yesifo sikashukela engaholela ku-hematoma - lipohypertrophy. Izinkinga ezinjalo zesikhumba zingahlukaniswa yizimpawu eziningi ezikhona esikhunjeni, ziyavela uma isiguli senza imijovo ye-insulin endaweni efanayo kaningi zilandelana.
Udinga ukwazi ukuthi ukulimala kungavinjelwa ngokushintsha amasayithi womjovo njalo, ngokusebenzisa izindlela zomzimba, kanye nokuhlunga.
I-Black acanthosis ibuye ibe mnyama isikhumba ezindaweni ezithile zomzimba, i-integument ichithekile ku-groin, emalungeni emikhawulo engenhla nangaphansi, entanyeni nasezinqeni. Iziguli ziqaphele ukuthi ezindaweni ezithintekile isikhumba singaba sibhulu, sibe mkhulu futhi sibe nephunga elingathandeki.
I-Black acanthosis iyisibonakaliso esicacile sokumelana kwesiguli ne-insulin ye-hormone.
Izeluleko Zesifo Sikashukela Sikashukela
Izincomo ezijwayelekile zokunakekelwa komuntu onesifo sikashukela azihlukile kakhulu kumathiphu wabantu abangenazinkinga nge-hyperglycemia. Noma kunjalo, kunemithetho ethile yokunakekelwa komuntu siqu, ukugcinwa kwabo kunomthelela ekugcineni kwesikhumba esinempilo.
Kuboniswa ukusebenzisa izinhlobo ezithambile zesepha yemvelo, ngemuva kwezinqubo zamanzi kubalulekile ukuthi umzimba womile kahle. Kuyadingeka ukucubungula ngokucophelela i-integument phakathi kwezinzwane, ngaphansi kwezingalo nakwezinye izindawo lapho kusengaba khona amaconsi amanzi.
Odokotela beluleka njalo ukusebenzisa i-moisturizing lotions, bazosiza ukugcina isikhumba sinamanzi kahle, sithambile. Izimonyo ezinjalo ziyatholakala futhi empeleni zinikeza umphumela omuhle kushukela.
Ukugcina isikhumba sakho siphilile kuyasiza:
- ukusetshenziswa nsuku zonke kwenqwaba yamanzi ahlanzekile;
- ukusetshenziswa kwamasokisi kwabanesifo sikashukela;
- ukusetshenziswa kwelineni ekhethekile eyenziwe ngokotini omsulwa (ukuthola umoya omncane kwesikhumba).
Kuyadingeka futhi ukugqoka izicathulo zamathambo, amasokisi aphezulu akhethekile, lokhu kubaluleke kakhulu lapho ukhona we-neuropathy. Kufanele unake ukubukeka kwamabala abomvu, awomile esikhunjeni. Uma uzizwa kabi, kubalulekile ukwengeza ukuhlolwa kwegazi.
Iziphi izinkinga zesikhumba abanesifo sikashukela abanazo kule vidiyo kulesi sihloko?
