Isifo sikashukela yisifo se-polysymptomatic, esibonakaliswa yizimpawu ezimbalwa zezimpawu. Ehlelweni lokuqhubeka kwezifo, ukondleka kwezicubu kuyawohloka, futhi ukuvuvukala kwamaphethelo kuvame ukwenzeka.
Noma onesifo sikashukela, ngenxa yokungasebenzi kahle kwezinqubo ze-metabolic, imithambo yegazi, ama-capillaries nemithambo yegazi kuvalwa. Ngenxa yalokhu, lokhu kuholela ekulimazeni okubonakalayo, ekulimazeni kwezinso nasekuweni kwenhliziyo. Izimbangela ze-edema yomlenze kwisifo sikashukela azanele ukusakazwa kwegazi nokungalawulwa kahle kwemizwa.
Ukuze inkinga enjalo ingakhathazi abanesifo sikashukela noma ixazululwe ngesikhathi esifanele, kufanele uthole imininingwane eminingi ukuthi yini ebangela ukuvuvukala komlenze. Akubalulekanga futhi ukuqaphela izimpawu zalokhu kucindezelwa ngesikhathi ukuze ugweme izinkinga ngokuzayo.
I-Etiology kanye nokwethulwa komtholampilo
Ukuzwisisa ukuthi kungani imilenze igcwala isifo sikashukela, okokuqala kudingeka uthole ukuthi ukuvuvukala kuyini. Ngalesi simo, uketshezi olwedlulele luqongelela izicubu ezithambile zomzimba.
Kuyafaneleka futhi ukwazi ukuthi i-edema yomlenze kwisifo sikashukela ingaba yendawo kanye nokujwayelekile. Esimweni sokugcina, inani elikhulu loketshezi ligcinwa kuzo zonke izicubu nezitho zangaphakathi, okuhambisana nokuwohloka kwenhlala-kahle. Ngasikhathi sinye, kunzima kumuntu ukuthi azulazule, futhi ezwa ubunzima obukhulu emilenzeni.
Izimbangela zokuvuvukala emlenzeni kushukela zihlukahlukene. Lokhu kungaba yi-neuropathy yesifo sikashukela, eyenzeka ngokumelene nesizinda se-hyperglycemia engapheli, okuholela ekufeni kwezimpi zezinzwa.
Izinkinga ezifanayo zingavela nomonakalo emithanjeni yegazi. Imvamisa endabeni ye-angiopathy, isimiso sezinzwa zamalungu siwohloka.
Ezinye izinto ezithambile zokuvuvukala kwezicubu sikashukela:
- ukwephulwa komzimba nosawoti wamanzi;
- ukungahambisani nokudla;
- isifo sezinso
- ukwehluleka kwenhliziyo;
- ukukhulelwa
- imithambo ye-varicose;
- egqoke izicathulo eziqinile.
Ukuvimbela ukuqhubekela phambili kwesifo sesifo, abanesifo sikashukela kufanele bafundeni ukuqaphela ngesikhathi esifanele izimpawu ezibonisa ukwephulwa kokuhamba kwegazi emilenzeni. Ngakho-ke, ngokubonakala komzwelo ovuthayo, i-pulsation eqinile, kuyadingeka ukuthatha izinyathelo ngokushesha, ngoba lezi yizimpawu zokuqala zokuxakaniseka ezingalashwa kalula.
Ezinye izimpawu zesimila esisezingeni eliphansi zifaka phakathi ubuhlungu, ubomvu besikhumba, ukulahleka kwezinwele, nokuvuselelwa kabusha kwamanxeba. Konke lokhu kungahambisana noshintsho esimweni seminwe, ukuncipha kokuzwela, ukushuba, ukufinyeza nokwelula unyawo.
Njengoba ukwazi ukubona, ukunquma ukukhohlakala ngezimpawu kulula kakhulu. Kukhona futhi isivivinyo esilula: kufanele ubeke umunwe onyaweni, bese uyikhipha bese ubona ukuthi kwakhiwa "umgodi" endaweni yengcindezi.
Kuyaqapheleka ukuthi ngohlobo 2 lwesifo sikashukela, hhayi kuphela imikhawulo ephansi, kepha nezinye izingxenye zomzimba. Isibonelo, kwabesifazane, isisu, izandla noma ubuso bungavuvukala.
Kuyini ukuvuvukala emlenzeni okuyingozi?
Ukuqongelela uketshezi kwezicubu ezithambile akuhlali kumlethela umuntu ukuphazamiseka okuningi, abantu abaningi abanesifo sikashukela abanamatisi ngokubaluleka kwalolu phawu. Kepha, uma ungalapheki i-edema nesifo sikashukela, kungaba nezinkinga ezinkulu kakhulu.
Ngakho-ke, ngokuqhubeka kwesikhathi, umuntu uqala ukuzwa izinhlungu nokutsha endaweni evuvukalayo. Ngasikhathi sinye, isikhumba siba mncanyana futhi sibe ntekenteke ngokwengeziwe, okuyingozi kakhulu kwabanesifo sikashukela, ngoba isikhumba sabo sivele sibuthakathaka kakhulu futhi sisengozini. Ngakho-ke, ukuvuvukala kuyandisa kakhulu ingozi yokuthola ukutheleleka kwesikhumba.
Kepha inkinga eyingozi kakhulu i-leg vein thrombosis, ephelezelwa ukuvuvukala okungalingani kwemilenze, izinhlungu, ubomvu nokungaphatheki kahle okwenzeka ngenkathi kumi. Kuyaqapheleka ukuthi ngesifo esinjalo kunqatshelwe ukusilaya, ngaphandle kwalokho kungaqhamuka i-pulmonary artery thromboembolism, okuvame ukuphela ekufeni.
Ngakho-ke, uma kukhona ukuvuvukala kwemilenze enesifo sikashukela, yini okufanele uyenze nokuthi ungayelapha kanjani?
Ukwelapha
Kubaluleke kakhulu ukwenza ukwelashwa okufika ngesikhathi kwe-edema yomlenze ku-mellitus yesifo sikashukela ukuvimbela ukwakheka okuqhubekayo kwezilonda ezingapholi kanye nokuvela kwesifo sikashukela sonyawo. Imvamisa, ukwelashwa kukhethiwe ngokuya ngembangela yokuqothuka koketshezi kwezicubu ezithambile.
Uma izizathu zilele ku-nephropathy, khona-ke kuyadingeka ukuthi i-glycemia ibe ngejwayelekile futhi ilandele imigomo yokwelashwa kwesifo sikashukela, okusho ukwenqatshwa kokudla okusheshayo kwe-carbohydrate, okunamafutha nokunosawoti. Kubalulekile futhi ukuthi ungabhemi, ngoba i-vasospasm iholela ekuwohlokeni kwetshezi emithanjeni yokwehla.
Uma kwenzeka ukwehluleka kwenhliziyo, iqhinga lokwelashwa ukuthatha imishanguzo ekhethekile. Kunezinhlobo eziningi zamathuluzi anjalo, kepha amathuluzi aphumelela kakhulu afaka:
- I-Angiotensin-converting enzyme blockers - umfutho wegazi ophansi (Valsartan).
- Ama-inhibitors e-ACE - abe nomphumela ofanayo wokwelapha, ukuvikela ukuqala kwesifo sezinso (Captopril).
- I-Diuretics - ukuthatha izidakamizwa ze-diuretic kusiza ukususa amanzi kuzo zonke izicubu zomzimba ngokwandisa inani lomchamo (Furosemide, Veroshpiron).
Ngokungalingani kwe-hormonal okuvelile ngemuva kwesizinda sohlobo lwesibili sikashukela, isiguli sinqunyelwe ukwelashwa kokulungiswa. Ngale njongo, ukubonwa kwama-vithamini namaminerali kanye nezithasiselo zokudla kuyakhonjiswa.
Ukususa izinhlungu ezinyaweni ezibangelwa i-neuropathy, ama-analgesics angabekwa. Lokhu kufaka phakathi iKetorol, iKetorolac kanye nezinye izidakamizwa.
Uma ukuvuvukala emilenzeni kwenzeka ngenxa yokwehluleka kwezinso, khona-ke lapho inqubo yokwelashwa kwayo, kubhekwa imithetho eminingi ebalulekile. Lokhu ukwelashwa kwe-antihypertensive, ukulawulwa kwe-glycemic kanye nokuphathwa kwama-metabolic agents anomphumela we-vasodilating. Ngefomu elithuthukile le-nephropathy, lapho izinso zihluleka, kuboniswa i-hemodialysis.
Nge-edema yamaphethelo aphansi, ikakhulukazi ezigulini esezikhulile, ukwelashwa ngemithi yesintu kuvame ukwenziwa. Izitshalo zemithi nazo zinomphumela omuhle kakhulu, okubandakanya i-primrose, izimpande ze-ginseng, i-burdock, i-wort yase-St.
Indawo ekhethekile ekwelashweni kwabantu ingokwapelepele we-cayenne, okunomthelela wokuvuselelwa kwemithambo yegazi nokuphela kwezinzwa. Futhi, abanesifo sikashukela abaningi basebenzisa ugcobe okhethekile osuselwa kulokho okuphathelene noju kanye ne-eucalyptus tinctures. Ingxube igcotshwa ezindaweni ezivuvukile zemilenze kaningana ngosuku.
Umuthi omnandi we-edema yi-compote yamakhiwane. Ukulungiselela kwayo, izithelo zisikwa zibe yizicucu bese zibilisiwe njenganoma iyiphi enye i-compote, kodwa ekugcineni engeza usawoti omncane kuyo. Phuza isiphuzo esingu-1 tbsp. l Izikhathi ezi-5 ngosuku.
Ukuvimbela
Ukuvimbela ukuvuvukala kwemikhawulo, kanye nokunciphisa ijubane ukuthuthukiswa kwezinye izinkinga zikashukela ezingathi sína, ukuvivinya umzimba ngokulinganayo nsuku zonke kuyadingeka. Ngemuva kwakho konke, ukuzivocavoca ngesifo sikashukela kuqinisa imithambo yegazi, kusiza ukukhipha amanzi ngokweqile emzimbeni, kuvumele i-glycemia futhi kuqinise amasosha omzimba.
Ngaphezu kwalokho, nsuku zonke udinga ukuhlola imilenze, ikakhulukazi, izinyawo nendawo ephakathi kweminwe, ngokuba khona kwezimpawu ezahlukahlukene. Kubalulekile ukugeza izitho nsuku zonke ngensipho nokuzisula ngethawula.
Isinyathelo esibalulekile sokuvimbela ukugqoka izicathulo ezisezingeni eliphezulu futhi ezintofontofo. Futhi uma kwenzeka ukuguqulwa konyawo, kuyadingeka ukugqoka izicathulo noma izicathulo ezikhethekile zamathambo.
Uma kwenzeka ukukhukhumala, ukuze kungandisi isimo, kuvinjelwe:
- Phatha ukonakala kwesikhumba nge-iodine noma i-brineant green (i-Betadine, Miramistin noma i-hydrogen peroxide kungcono).
- Fudumeza izinyawo zakho nge-heating pad noma i-plasters yesinaphi. Esikhathini sikashukela, ukuzwela ukushisa kuvame ukwehliswa, ngakho-ke isiguli asikwazi ukuzwa isikhathi sokushiswa ngesikhathi.
Ukuze unciphise amathuba amanxeba, udinga ukufudumeza isikhumba sezitho nsuku zonke ngokusebenzisa ukhilimu omuncu nokunempilo kuwo. Impela, ukonakala nokuqina kwesikhumba kuyinkinga ephindwe kabili, enzima kakhulu inqubo yokwelashwa.
Kule vidiyo ekulesi sihloko, u-Elena Malysheva uzokhuluma ngamakhambi esintu ngokuvuvukala komlenze.
