Isifo sikashukela siholela ezinkingeni ngenkambo ende yesifo noma isinxephezelo esanele. I-neuropathy evame kakhulu yamaphethelo aphansi.
Indlela eholayo yokwakhiwa kwesifo sikashukela sikashukela ukulimala odongeni lwe-vascular ngu-glucose ophakeme wegazi. Ukunikezwa kwegazi okungasebenzi kahle kanye nokwenza buthaka kwe-conducction ye-nerve fibers kuholele ekwakhekeni konyawo lwesifo sikashukela.
Enye yezimpawu ze-neuropathy ukuvuvukala kwamaphethelo aphansi. I-Pathology yohlelo lwezinzwa akusona ukuphela kwesizathu esenza iziguli zikhononde ngokuthi imilenze yazo ephansi ivuvukala nesifo sikashukela.
Izimbangela zokuvuvukala komlenze kushukela
I-Edema emilenzeni yenzeka lapho amangqamuzana nendawo yokuhlangana kugcwele uketshezi. Imilenze, njengezingxenye eziphansi kakhulu zomzimba, ithola umthwalo omkhulu kakhulu endaweni elungile.
Ukuvuvukala kwemilenze nezinyawo kuxhomeke ekuqongeleleni ngokweqile kwe-fluid emzimbeni, nasekuvumeleni kwezindonga ze-vascular, umsebenzi wezinqubo ze-venous and lymphatic.
Ukuvuvukala emlenzeni kushukela kungaba namazinga athile obunzima:
- Izinyawo ezinamathiselwe kanye nengxenye engezansi yomlenze ophansi: lapho ucindezela esikhunjeni esingaphambili somlenze ophansi, kusala umkhondo omncane, kanye nokusuka ku-elastic kumasokisi.
- Ukuvuvukala kwasendaweni kungaba yicala elilodwa noma emilenzeni yomibili esifundeni se-ankle ,joyinti.
- Ukuvuvukala komlenze ophansi kuya ezingeni ledolo. Uma icindezelwa isikhathi eside, i-dent ejulile ihlala. I-Edema ingaba emilenzeni yomibili noma kowodwa.
- Ukuphazamiseka kwemvelo kwesikhumba ngokumelene nesizinda se-edema. Izinsimbi ezikhulayo zimbozwa ngemifantu, eziba ngamanxeba nezilonda ezingapholiyo.
Ngokuhlala isikhathi eside esimeni sokuma, ngokuqina komzimba okwandayo, i-edema engxenyeni engezansi yomlenze ophansi ingavela kusihlwa, kuhlotshaniswe nokukhula kwengcindezi ye-hydrostatic emikhunjini kanye ne-microcirculation eyonakalisiwe. I-edema enjalo idlula ngokuzimela ngaphandle kokwelashwa.
Izinyawo ziyagcwala ezigulini ezinesifo sikashukela ngokusebenza kokuphazamiseka kohlelo lwezinhliziyo, ukulimala kwezinso, imithambo ye-venous ne-lymphatic, kanye nokubonakaliswa kwe-arthropathy noma izinqubo zokuhlanza ezivuvukala ezicutshini.
I-innervation ephazamisekile kanye ne-pathology yodonga lwama-vascular ihambisana nesifo sikashukela se-polyneuropathy syndrome. Ukuvuvukala kuvame ukubizwa ngokwengeziwe ngokuthuthukiswa kokuhluka kwe-ischemic kwale nkimbinkimbi.
Inqubo iqhubeka ngomonakalo odongeni lwemithambo yegazi lapho kufakwa khona amanoni ne-calcium odongeni, ama-cholesterol plaques akha i-lumen yemithambo yegazi. Ukugeleza kwegazi kwe-arterial okwehlile, ukuqina emithanjeni kufaka isandla ekushayweni kwesikhumba esikhunjeni nasekwakheni i-edema.
Nge-neuropathy, kungahle kube nokuvuvukala, kuphinyiselwe ngaphezulu emlenzeni owodwa. Isikhumba sibanda futhi somile. Iziguli zikhononda ngobuhlungu lapho zihamba, ukuzindla, ukuncipha kokuzwela, ukoma ukoma nokuqina kwesikhumba, ukuvela kokuqhekeka ezithendeni.
Uma kwenzeka ukuthuthuka, izilonda zakha ezinyaweni noma emilenzeni, ezingalaphi isikhathi eside
I-edema yenhliziyo enokwehluleka kokujikeleza inezici ezinjalo ezihlukile:
- Imvamisa kuvela emilenzeni yomibili.
- I-Edema ezigabeni zokuqala imnene, ngokubola okunzima - obukhulu, isabalalela emadolweni.
- Ukuvuvukala ekuseni kuyancipha futhi kukhule kusihlwa.
I-Symmetric edema ekuseni ingaba ngenye yezimpawu zesifo sikashukela se-nephropathy. Ngokwengeziwe emilenzeni, izandla kanye nezinkophe zangaphansi zingavuvukala. Kulesi simo, ukuvuvukala kobuso kuphinyiselwa ngaphezu koshizi. Ukulimala kwezinso ku-mellitus yesifo sikashukela kuvame ukuqubuka ngemuva kwesizinda somfutho wegazi ophezulu.
Imilenze enesifo sikashukela ingavuvukala ngezifo zemithambo - imithambo ye-varicose ne-thrombophlebitis. I-Edema ayizwani noma ikhulunyelwa ngaphezulu komunye wemilenze, iphikelelayo, iminyene. Qinisa ngemuva kokuqina isikhathi eside. Ama-ankle amaningi athuthukile. Ngemuva kokuthatha ukwehla kwesikhundla okwehla.
Ngezifo zohlelo lwe-lymphatic, imiphumela ye-erysipelas, i-edema eminyene futhi ephikelelayo kakhulu iyakhiwa, engathinteki ngesikhathi sosuku noma ushintsho esimweni somzimba. Ukwakheka 'komcamelo' ngemuva konyawo kuwuphawu.
I-arthropathy yesifo sikashukela ivela ngokuvuvukala kwamajoyina noma emadolweni. Kulesi simo, i-edema yendawo, kuphela endaweni ye-inflamured ehlanganisiwe, ihambisana nokuhamba okungahambi kahle nobuhlungu ngesikhathi sokunyakaza.
Ukwelashwa kwe-edema yemikhawulo ephansi
Uma ukuvuvukala ngesifo sikashukela kwavela njengokuxakayo, khona-ke into yokuqala okufanele yenziwe ukuthola izinga likashukela egazini. Lokhu kungatholakala ngokudla lapho, ngaphezu kokukhawulela ama-carbohydrate alula nokudla okunamafutha emvelaphi yesilwane, kuyadingeka ukunciphisa inani likasawoti kanye noketshezi oludliwayo.
Ezigulini ezingenawo umfutho ophakeme wegazi, kunconywa ukuthi zingadli ngaphezulu kwe-6 g kasawoti wetafula ngosuku, uma ukunyuka okuqhubekayo kwengcindezi yegazi kutholakala ngaphezulu kuka-145/95, bese usawoti uncishiselwa ku-1-2 g ngosuku noma uqedwe ngokuphelele.
Kwi-nephropathy yesifo sikashukela, amaprotheni ezilwane nawo ancishisiwe. Kulokhu, ukudla okudingekayo kufanele kufake inani elanele lemifino, izithelo ezingafakiwe. Ukwelapha i-edema ne-inhliziyo edema, kusetshenziswa le mithi elandelayo:
- Izidakamizwa ze-diuretic: zesifo sikashukela, izidakamizwa ezinciphisa izinga le-potassium ziyasetshenziswa - iFurosemide, iTrifas, i-Indapamide. I-Hypothiazide inokusetshenziswa okukhawulelwe ngenxa yomthelela wayo omubi kuma-metabolism wamafutha. Izidakamizwa azisetshenziswa kaningi izikhathi ezingama-2-3 ngesonto.
- Ngobuthakathaka bemisipha yenhliziyo, uRiboxin noMildronate banqunyelwe.
- Amakhambi anomphumela we-diuretic: ama-decoctions kanye ne-infusions ka-barberry, ama-horsetail, ama-birch buds asetshenziswa. Ukushintsha ikhofi, i-chicory iyanconywa, okuthi ngaphandle kokuthuthukisa ukuphuma komchamo, kube nomphumela we-hypoglycemic.
Ukunciphisa i-edema ebangelwa ukungasebenzi kahle kwe-venous outflow, kusetshenziswa ijezi yokuxinanisa: amabhandishi ahlanganisiwe, amasokisi, amathoni. Futhi, iziguli zikhonjiswa izidakamizwa eziqinisa udonga lwethambo: iDetralex, i-Eskuzan, iNormoven neTroxevasin.
Ukwenza ngcono ukwakheka kwegazi kwegazi, amalungiselelo wokuncipha kwegazi angasetshenziswa - Aspecard, Cardiomagnyl, Clopidogrel. Ama-gels asetshenziswa endaweni yangakini yi: Troxevasin, Hepatrombin, Aescin neVenitan.
Ngokuvimbela i-edema ezigulini ezinesifo sikashukela, kunconywa:
- Khawulela ukuhlala isikhathi eside endaweni eqondile, ngaphandle kokuma okude nobunzima bomzimba.
- Yehlisa ukhuluphele ukuze wehlise umthwalo emalungeni aphansi.
- Ngokuthambekela kwe-edema, ukusetshenziswa kwe-prophylactic kwamalungiselelo amakhambi nokusetshenziswa kwendawo kwama-gels kuyanconywa. Umuthi we-herbal wesifo sikashukela, empeleni, uzoba usizo.
- Ukugqoka i-hissaery yokucindezela ukwehlisa uhlelo lwe-venous kanye nokuvimbela ukunyakaza.
- Yenza ukwelashwa okukhethekile okuyinkimbinkimbi. Ngezibonakaliso zokuqala ze-neuropathy, iziguli zinconywa ukuba zithathe uhambo olude ukuthuthukisa i-microcirculation emaphethelweni aphansi.
- Ukuhlanzeka kwezinyawo nokuhlolwa kwansuku zonke ukuthola nokwelapha izilonda zesikhumba ngesikhathi.
Ividiyo ekulesi sihloko izokutshela ukuthi wenzeni ngokuvuvukala komlenze ngesikhathi sikashukela.
