Isifo sikashukela, imilenze ihlala ihlupheka. Izinkinga ezifanayo zikhula kuma-30% abantu abanesifo sikashukela. Ngaphezu kwalokho, lapho isiguli siguga, sikhulu amathuba ezinkinga ezinamaphethelo aphansi.
Imvamisa ngesifo sikashukela sohlobo 2, kuvela i-vascular atherosclerosis, esiza ekunciphiseni ukukhanyiswa kwemithambo yegazi, okubangela ukuthi ukugeleza kwegazi kuguge emilenzeni. Ukuhlinzekwa kwegazi okunganele kuholela ekushoneni komoya-mpilo kumaseli nezicubu. Ngenxa yalokho, umzimba ukhiqiza abalamuli - izinto ezikhuthaza ubuhlungu bomlenze kushukela.
Uma ukwelashwa kwezinkinga ezinjalo kungasasebenzi ngesikhathi, nokugeleza kwegazi kungaqhubeki, khona-ke konke kungaphela ngisho nokususwa kwesandla. Ngakho-ke, kubalulekile ukwazi ukuthi kungani imilenze ilimala ngesifo sikashukela nokuthi ungayiqeda kanjani le nkinga.
Izimbangela zesifo sikashukela emilenzeni
Ngakho-ke, imilenze ingathinta ini ku-diabetes? Izici eziholela ekubukekeni kokungaphatheki kahle emilenzeni kufaka phakathi isifo sikashukela se-neuropathy, i-arthropathy ne-vascular atherossteosis.
Ubuhlungu be-Neuralgic ngohlobo 2 sikashukela kwenzeka lapho imithambo yegazi emincane ithinteka, kunikeza ukondleka nokusebenza okujwayelekile kokuphela kwezinzwa konyawo. Lapho isikhumba sezitho siba bucayi, isiguli siyeka ukuzwa izinhlungu zesifo sikashukela, izinga lokushisa kanye nokuthinta okuphathekayo.
Ngaphezu kwalokho, kushukela, izilonda kanye nama-hematomas zivame ukwakheka emilenzeni. Futhi ngokulimala kwesikhumba, isiguli kwesinye isikhathi asiqapheli lokhu futhi asizithathi izinyathelo ezifanele.
Izilonda ezivelayo zidinga ukwelashwa isikhathi eside, futhi ezimweni ezinzima, izinhlungu emilenzeni zingaholela nasekuhlukaniseni konyawo noma ekuqhekekeni kwamathambo emilenzeni.
Futhi, ngesifo sikashukela sohlobo 2, isifo sikashukela sonyawo sikhula njalo. Ngakho-ke, i-neuralgia yesifo sikashukela ingaholela ezinkingeni eziningi ezinzima, njengokubonakala kwezifo ezithathelanayo kanye nokukhula kwe-gangrene.
Ngenxa ye-vasher atherossteosis, izinhlungu zesifo sikashukela zivela lapho kunokushoda komoya-mpilo, ngenxa yokuthi umsoco wezicubu uyanda. Ngaphezu kwalokho, ngokumelene nesizinda se-vasoconstriction, isikhutha sinqwabelana emzimbeni, okudala izinhlungu eziqinile emilenzeni.
Lapho ubunzima obungenhla buhlanganiswa, ubungozi be-gangrene banda kakhulu, okungaholela ekunqunyweni komlenze. Ngemuva kwakho konke, isiguli asizizwa singathandeki noma ngabe kwenzeka ukubhujiswa kwezicubu.
Ngaphezu kwalokho, izinhlungu zomlenze kushukela kwenzeka ngokumelene nesizinda se-arthropathy. Le nkinga iba ngenxa yokungasebenzi kahle kwe-glucose protein metabolism kanye ne-cartilage dystrophy. Inqubo enjalo iholela ekubukekeni kobuhlungu, obuqina phakathi nokunyakaza.
Ekuqaleni kwesifo, unyawo lungavuvukala kancane bese lubomvu. Kodwa-ke, ngokuqhubeka kwe-pathology, iminwe ikhubazekile, nomlenze uvuvukala nangaphezulu. Ukwazi okufanele ukwenze uma imilenze yakho ilimala ngesifo sikashukela, udinga ukujwayela izimpawu nezimpawu zezinkinga.
Ngale ndlela, ungayibona inkinga ngesikhathi esifanele futhi ufune usizo lodokotela ngokushesha.
Isifo sikashukela sonyawo sikashukela
Le nkinga iyinkinga evamile ehambisana nesifo sikashukela. Ngakho-ke, ngokuqhubeka kwalesi sifo, lesi sifo sivela ku-90% weziguli. Indlela yokusebenza kwe-SDS iyinkimbinkimbi impela, ifaka izinqubo eziningi ezahlukahlukene ezenzeka kuwo wonke umzimba.
Esigabeni sokuqala, ama-capillaries amancane ayabhujiswa, futhi ngokuhamba kwesikhathi, imithambo nemithambo yonakele, ukondleka kwezicubu kuyaphazamiseka, khona-ke ukuphela kwezinzwa kuya kuvela nezilonda ze-trophic. Ngasikhathi sinye, ngenxa yokuzalwa kabusha kancane, ukutheleleka kufinyelela ngokushesha futhi izinqubo ze-purulent zikhula.
Izimpawu ezihambisana nonyawo lwesifo sikashukela zincike ohlotsheni lwesifo. Ngakho-ke ngefomu le-polyneuropathic, iziphetho zezinzwa zifa ngokushesha, ukuzwela okungaxutshiwe nokushisa kuyalahleka. Ngasikhathi sinye, isikhumba sonyawo siyakhula, amabanga nezithelo zomndeni kukodwa, futhi ukuma kwesigaxa kuguquka kancane.
Imvamisa, kulesi sigaba, umlenze awulimazi, futhi umbala nokushisa kwesikhumba akushintshi. Kepha ezinye iziguli ezimweni ezithuthukile ziba manzi amancane onyawo.
Indlela ye-ischemic yonyawo lwesifo sikashukela ibonakala ngu:
- blanching nokuvuvukala isikhumba;
- izinga lokushisa nokuzwela kobuhlungu kuyaqhubeka;
- ukuphela kuhlala kungashintshiwe;
- kwizicubu zamathole kukhona ukungaphatheki kahle okukhulu, okuvela ukuthi kukhulunywa ngokugobeka ngezikhathi ezithile;
- ekuphumuleni, izinhlungu zingavela emlenzeni, zimbi kakhulu ebusuku;
- isikhumba sonyawo siba sibanda kakhulu futhi sibomvu, ngenxa yalokho amaphuzu amaningi okuphuma kuwo kubonakala kuso;
- i-dystrophy yezicubu ezi-subcutaneous iholela ekwehleni konyawo ngosayizi;
- ngokumelene nesizinda se-ischemia, izinqubo ze-necrotic ziyakhula, okuholela ku-gangrene eyomile yonyawo lwe-distal.
Kukhona futhi indlela yesithathu yesifo sikashukela sikashukela, ehlanganisa nezimpawu zezinhlobo ezimbili ezedlule. Le nkinga iba kaningi kushukela.
Izilonda zomlenze nokuvuvukala kushukela
Uma kunesifo sikashukela, imilenze ilimale, hhayi kuphela ngenxa yonyawo lwesifo sikashukela. Imvamisa, i-hyperglycemia engapheli ihambisana nokwakheka kwezilonda. Izimbangela ezilandelayo zokubukeka kwazo ziyahlukaniswa: ukwephulwa kwezicubu ze-trophic, i-vascular ne-neuropathic pathologies.
Ubungozi bokulimazeka bukhuphuka ngomonakalo kuma-peripheral NS, atherosclerosis, kanye nezilonda ezinzima zamathambo. Ngaphezu kwalokho, amadoda avame ukuhlushwa yi-pathologies enjalo. Ukubonakala kwalezi zinkinga kukhuthaza ummbila, ukushiswa, ukuhlukunyezwa kanye nemifantu, izilonda nama-microtraumas.
Isifo se-peptic ulcer isifo sikashukela sikhula kancane, singumphumela wezinguquko eziningi ezingezinhle ezenzeka emzimbeni isikhathi eside. Zonke izindlela trophic zihlukaniswe izigaba ezahlukahlukene zokukhula:
- I-Preceding. Kubonakaliswa ukuntuleka kokuzwela, ukuvuvukala, izinhlungu ezincane, ukuvutha, ukulunywa, ukumnyama noma ubomvu, kwesinye isikhathi i-cyanosis yesikhumba emlenzeni ophansi kanye nokuquleka.
- Ukubonakaliswa okusetshenzisiwe. Kulesi sigaba, kufakwa izinhlobo zesibazi nokukhubazeka okubonakalayo kokubhujiswa kwesikhumba. Izilonda zopha, okuholela ekuthelelekeni nasekuvuselelekeni kwamanxeba.
- Kuyaqhubeka. Ubonakaliswa ukwakheka kwezilonda ezihlanzekile zesifo se-purulent, ubuhlungu obukhulu, i-necrosis isakazeka izingqimba ezijulile zezicubu, izimpawu zokuphuza (ukubanda, ubuthakathaka, umkhuhlane).
Ukuvuvukala kwamaphethelo aphansi kushukela kwenzeka ngokumelene nesizinda se-nephrotic syndrome.
Ngaphezu kwalokho, i-atherossteosis, okuholela ekuqhekekeni kwezindonga zemithambo futhi iphazamise nokujikeleza kwegazi ngokwemvelo, ingaba nomthelela kulokhu.
Ukwelashwa nokuvimbela izifo zomlenze ku-diabetesics
Ngoshukela, imilenze ilimele ukuthi yenzeni? Okokuqala, kubalulekile ukunxephezela lesi sifo. Ukuze wenze lokhu, yenza ngokwejwayelekile izinga le-glycemia, bambelela ekudleni okukhethekile, gwema ukucindezela, uyeke ukubhema nokuphuza utshwala.
Uma sikhuluma ngendlela yokwelapha isifo sikashukela se-diabetes, khona-ke namuhla izindlela ezimbili zisetshenziselwa ukuqeda le nkinga - ngokulondolozayo nokuhlinzwa. Esimweni sokuqala, isiguli sinqunywe izidakamizwa zomlomo ze-antibacterial kanye ne-analgesic.
Ezokwelashwa zasendaweni, ama-antiseptics kanye nama-antibhayabhithi asetshenzisiwe Futhi, uma imilenze ilimaza ushukela, kudalwa izidakamizwa ezithuthukisa ukuhamba kwegazi emithanjeni.
Ngaphezu kwalokho, sebevele badla izinzwane ezinobunzima besifo sikashukela, bese isiguli sikhonjiswa ukuhlinzwa, lapho izinqubo ezilandelayo zokuhlinzwa zingenziwa:
- ukususwa kwendawo ye-necrosis;
- i-angioplasty (ukuqalisa kabusha kokusebenza kwemithambo);
- i-endarterectomy (ukususwa kwemikhumbi engakwazi ukubuyiselwa);
- stenting of artery (ukufakwa kwamanethi asekelwa ngemikhumbi);
- i-gangrene resection (ukususwa kwendawo eyi-necrotic emunweni noma ezinyaweni);
- uma kunesidingo, ukunqunywa kwezingxenye ezahlukahlukene zomlenze kuyenziwa.
Ezimweni ezingama-80%, izilonda ezakheka ku-mellitus yesifo sikashukela zidinga ukwelashwa okuqinile, okungaba yindabuko futhi kuhlinzwe.
Ngezilonda ezi-ulcerative, kuyadingeka ukuqapha ngokucophelela izinga le-glucose ne-hemoglobin egazini. I-glycemia efanelekile ngu-6-10 mmol / L, nangemva kokudla - 9-10 mmol / L.
Kuyadingeka futhi ukuvikela ukuthuthukiswa nokwelashwa okufika ngesikhathi kwezifo ezihlangene, ezinjenge-hypertension noma i-thrombophlebitis. Kulokhu, udokotela ubeka umuthi osusa izibonakaliso ezibuhlungu nezidakamizwa ezithuthukisa isimo se-NS peripheral. Ngisho nabanesifo sikashukela bakhonjiswa ukusetshenziswa kwamasu akhethekile wokulayisha avikela inxeba ekuxinekeni kwemishini.
Ngaphezu kwalokho, i-antibacterial kanye ne-antifungal therapy imisiwe futhi kuthathwa izinyathelo zokusebenzisa i-lipid metabolism. Ungakhohlwa ukunakekelwa kwezinyawo ngesifo sikashukela sanoma yiluphi uhlobo.
Ngaphezu kwalokho, ukulungiswa kokuqina kwegazi ngosizo lwemithi yezenhlalo kanye nokusetshenziswa kwezidakamizwa ezi-vasoactive kuyadingeka.
Ukwelashwa kokuhlinzwa kwezilonda zesifo sikashukela kungokulandelayo:
- ukuphathwa kwamanxeba nge-peroxide kanye nokusetshenziswa okulandelayo kwengubo oyinyumba;
- ukuhlukana kanye nokwelashwa kwezilonda;
- uma kunesidingo, ukwakhiwa kabusha kwamasipha noma ukunqunywa komlenze kuyenziwa.
Lapho imilenze yakho ibuhlungu ngesifo sikashukela, udinga ukugqoka izicathulo ezikhethekile futhi unakekele izinyawo zakho kahle. Kuze kube manje, zonke izinsuku kufanele zihlolwe imilenze, unake ngisho nasezintweni ezincane.
Futhi, ukuvimbela ukukhula kwe-SDS kanye nokuvela kwezilonda, imilenze kufanele igezwe nsuku zonke usebenzisa isibulala-magciwane, bese uyisula eyomile bese igcotshwa ukhilimu onempilo. Lapho kuvela izimpawu zokuqala zokungunda, kufanele uthintane nodokotela wamazinyo ngokushesha.
Abanesifo sikashukela badinga ukugqoka izicathulo ezintofontofo ezivumela izinyawo zabo ukuba ziphefumule. Ngakho-ke, ukuthandwa kufanele kunikezwe ezicathulweni zamathambo, ikakhulukazi uma inqubo yokuguqulwa konyawo isivele isiqalile.
Kungcono ukucubungula izinzipho ngefayela lezipikili, futhi ususe isikhumba esidumbile usebenzisa i-pumice. Futhi, uma izingalo nemilenze yakho kubuhlungu ngesifo sikashukela, ungakhohlwa ukuhamba emoyeni omusha kanye nokuzivocavoca okhethekile, okuzothuthukisa ukuhamba kwegazi emilenzeni.
Ngokungeziwe ekwelashweni kwezidakamizwa, umuthi wamakhambi wanoma uluphi uhlobo lwesifo sikashukela uzosebenza. Ngakho-ke, ngonyawo lwesifo sikashukela nezilonda, ama-infusions, okokugcoba kanye nama-decoctions asuselwa ezimpandeni ze-burdock, i-flaxseed, i-blueberry, uju, amakhiwane, i-Kalanchoe, i-lemon balm, usizo lwamahhashi kanye ne-nettle.
Kule vidiyo ekulesi sihloko, udokotela uzokhuluma ngokunakekelwa kwesifo sikashukela.
