Izilonda zokucindezela ziyinkinga engathandeki yezifo ezahlukahlukene lapho ukondleka kuphazamiseka noma ukucindezelwa kwezicubu kususwe. Ngaphezu kwalokho, izilonda ezinjalo azakhiwa kuphela kwiziguli ezilele embhedeni.
Imvamisa, izilonda zokucindezela zenziwa ku-mellitus yesifo sikashukela, enomthelela ezingeni elikhuphuka njalo likashukela egazini. Le nkinga ibizwa ngokuthi yi-diabetesic neuropathy.
Ukunakekela umuntu onesifo sikashukela onenkinga ye-trophic kudinga isikhathi nomzamo othile. Ngakho-ke, kubalulekile ukwazi ukuthi ungamsiza kanjani umuntu onesifo sikashukela esimweni esinjalo.
Izimbangela nezigaba ze-bedores
Ezigulini ezingabandakanyeki emsebenzini wezimoto, imithambo yegazi nesikhumba kuyacindezelwa.
Lokhu kuholela ezinqubweni ezishubile kanye ne-izic necrosis endaweni yokuxhumana komzimba ngenhlabathi eqinile.
Izilonda zakha ngokuya ngesimo somzimba:
- ilele esiswini - izihlathi, i-pubis;
- ohlangothini - ama-ankle, ithanga, amadolo;
- emuva kukhona i-nape, i-sacrum, ama-emahlombe ehlombe, ishubhu yesayensi, izithende.
Ukuthuthukiswa kwenqubo ye-trophic kuholela ku-hydration eqinile noma ukomisa isikhumba. Uma izembozo zingatholi umswakama, khona-ke ungqimba lwazo oluvikelwayo selucishiwe, futhi amanzi amaningi anele ukubola. Konke lokhu kuhlanganiswa nokuntuleka kokugeleza kwegazi ukuya endaweni yokucindezelwa.
Izilonda zokucindezelwa zivela ngokushesha okukhulu, kepha ukwelashwa kwabo yinde impela futhi akuphumeleli ngaso sonke isikhathi. Kaningi bakha kushukela asebekhulile.
Kunama-degree ama-4 esikhumba afayo. Esigabeni sokuqala, indawo ethintekile iyavuvukala, iphenduka ibomvu, kuguguleka bese kuqhekeka imifantu emincane kuyo. Akukho manxeba abonakalayo, futhi indawo yokucasulwa kwesinye isikhathi iphenduka ibomvu, njengesilonda esidlulayo noma ukuluma kwesinambuzane.
Esigabeni sesibili, kuvela amanxeba ebusweni - indesheni eno-rimb obomvu ovuvukala. Ngaso leso sikhathi, isilonda esimanzi silimaza futhi sibangele ukungakhululeki okuningi.
Isigaba sesithathu sivezwa ngokwakhiwa kwesilonda esijulile. Futhi kwesine ngokusebenzisa isilonda kunezinhlobo zamathambo, izicubu zomsipha ne-tendon.
Kuyaqapheleka ukuthi uma unengcindezi yezilonda ezinesifo sikashukela, ukwelashwa kufanele kwenziwe ngokushesha okukhulu.
Ngemuva kwakho konke, izigaba zokuqala zokuphazamiseka kwe-trophic zisuswa ngokushesha okukhulu futhi zilula kunokwakheka okude nokujula.
Ukwelashwa
Uma umuntu onesifo sikashukela eba nezilonda, esigabeni sokuqala, ukwelashwa kwabo kuncishiswa ekusebenziseni i-potanganum permanganate kanye nokuhlaza okukhanyayo ezindaweni ezithintekile. I-Quartzing ngeke ibe yinto engasho lutho, futhi uma kwenzeka ngamabhamu, isilonda siphathwa ngokuhlaza okugqamile futhi kuvalwe ngengubo eyomile.
Ezimweni ezisezingeni eliphakeme, inqubo yokuhlinzwa ingenziwa. Ngesikhathi sokuhlinzwa, udokotela ukhombisa izicubu ezifile futhi athulule isikhumba.
Esigabeni sesibili, ukuvikela ukwakheka kwamanxeba avulekile, yenza ukwelashwa okuyinkimbinkimbi, kufaka phakathi:
- ukuhlanza nokugeza izindawo ezithintekile ngosawoti, i-camphor alcohol ne-hydrogen peroxide;
- ukwelashwa ngezidakamizwa ezithuthukisa ukuhamba kwegazi kwezicubu;
- ukomiswa kwe-powder neBetulin, i-Xeroform;
- ukubekwa kwama-hydrocloid noma ukugqoka kwamafilimu kusetshenziswa iCosmopore, Tegaderm, Blisterfilm noma iHydrofilm;
- ukuguqulwa kokugqoka kwe-hydrogel, isiponji, i-polyurethane, i-semi-permeable ne-hydro-polymer;
- ukusetshenziswa kwezilonda ezibambelela izilonda (Komfil Plus, Multiferma).
Ezinqubweni zokuvuvukala futhi lapho kungekho khona ukwelashwa okusebenzayo, ukwelashwa ngemithi elwa namagciwane kungenziwa. Kodwa-ke, ukukhetha kwezidakamizwa kufanele kuhambisane ne-endocrinologist, ngoba ama-antibiotic amaningi awakwazi ukusetshenziselwa isifo sikashukela.
Ngokuphathelene namafutha okugcoba, ama-ejenti amahle kakhulu aqukethe ama-ion esiliva yi-Argosulfan, Dermazin ne-Sulfargin. Babekelwe izimpawu zokuqala zokuphazamiseka kwe-trophic, njengoba zivimbela ukutheleleka, lithuthukisa izicubu ze-trophic futhi lisuse izimpawu ezibuhlungu.
Imvamisa ukwakheka kwe-trophic kuphathwa nge-zinc ointment, enomphumela wokumisa ne-antiseptic. Ngaphezu kwalokho, iqeda izinhlungu futhi inciphise ukuvuvukala.
Ukhilimu usetshenziselwa ungqimba omncane kuze kube izikhathi eziyisithupha ngosuku. Amanxeba kufanele aphathwe ngale ndlela okungenani izinsuku ezingama-60.
Isithambisi se-Stellanin sivame ukusetshenziselwa ukudambisa ukuvuvukala endaweni ethintekile. Ithuluzi lisetshenziswa ezigabeni 3 no-4 ze-bedores.
Umuthi usetshenziswa esikhunjeni 3 p. ngosuku. Ingasatshalaliswa emaphepheni noma kwambatho yokugqoka.
Ngaphezu kokugcotshwa okuchazwe ngenhla, kunenqwaba yama-okhilimu athile asetshenziswa ezigabeni ezahlukahlukene zezilonda zokucindezela:
- Owokuqala yi-Irkusol, Actovegin, Levosin, Solcoseryl, Vulnuzan, Algofin.
- Eyesibili iThorotriazolin, Methyluracil, Betadine.
- Owesithathu - u-Iruksol, uLevosin, u-Alantan Plus, u-Algofin, uMefenat, uSolcoseryl.
Esigabeni sesine, ukwelashwa ngamafutha okugcoba akusebenzi, ngenxa yalokho, ukungenelela kokuhlinzwa kwenziwa. Futhi, ungakhohlwa nge-immunostimulating therapy. Ngale njongo, abanesifo sikashukela banganikezwa ama-ejenti akhulisa ukungasebenzi. Izinhlobo zama-Vitamin ezinjenge-Doppelherz, i-Alphabet Diabetes nezinye zingasetshenziswa.
Uma, kungakapheli amasonto ama-2 ukwelashwa okulondoloziwe, ubukhulu besifo sokucindezela sincishiswe ngo-30%, khona-ke udokotela kufanele aguqule irejimeni yokwelashwa.
Futhi lapho inqubo ebanzi imiswa, kungenzeka ukwenza izinqubo zokuhlinzwa.
Amakhambi esintu
Ngaphezu kwamafutha okugcoba, onesifo sikashukela, ama-bedores angalashwa ngezindlela ezahlukahlukene ezinikezwa ngomuthi wendabuko. Ngakho-ke, kunconywa ukusula amabala abuhlungu ngoshukela, uthathe izingxenye ezi-2.
Ukomisa nokubulala igciwane isisindo se-trophic, kusetshenziswa i-calendula. Lokhu, 2 tsp. izimbali ezomisiwe zithululelwa ngamanzi abilayo (350 ml) bese zishiywe imizuzu eyi-15. Ngemuva kwalokho ukumfaka kuhlungiwe futhi kugezwe ngamanxeba.
Ungalungisa nesilinganiso esineomphumela oyinkimbinkimbi osuselwa ku:
- amagxolo ama-oki;
- i-black elderberry;
- i-birch emhlophe.
Izakhi ezichotshoziwe nezomisiwe zixutshwe ngenani elifanayo ukuze uthole i-2 tbsp. nezinkezo. Ngemuva kwalokho bathululela ku-250 ml wamanzi abilayo futhi bagcizelele amahora ama-4.
Ngemuva kokuthi umhluzi uhlungwe, engeza amanzi kuwo bese ushiya konke amahora ayi-6. Ngokwesisekelo sezimali ezitholwayo yenza ama-lotions.
Ngama-bedores kuma-diabetes, ukugcoba kwamafutha kusuka ezingxenyeni zezitshalo kuvame ukusetshenziswa. Ukuyilungiselela, ilitha eli-0,5 kawoyela wemifino (elingakhanyisiwe) lithululelwa esitsheni esingenalutho futhi konke kulethwe ngamathumba. Lapho-ke i-beewax (i-100 g) nesibabule esimbanjana se-spruce sithululelwa epanini.
Umkhiqizo ubilisiwe ihora elilodwa, bese unqunywa ama-bottoms anyanisi ayi-10 anama-husks kufakwa kancane kancane lapho. Ingxube iphekwe eminye imizuzu engama-60, ihlungiwe nge-cheesecloth, ipholile bese isishiyelwa isikhathi esithe xaxa.
Lapho ukugcotshwa kwamafutha kujika kuphuzi futhi kuqina kungasetjenziswa. Kepha okokuqala udinga ukulungisa isikhumba ngokusesula ngesisombululo se-potanganum permanganate.
Ithuluzi lisebenza kubhede izikhathi ezingama-3-4 ngosuku.
Ukuvimbela
Kunemithetho eminingana okufanele ilandelwe yibo bonke abantu abanesifo sikashukela abanomsebenzi omncane wezimoto, nalabo asebevele benamanxeba. Ngakho-ke, udinga ukwenza isiqiniseko sokuthi umbhede uthambile ngokwanele. Kulokhu, ilineni kufanele libe lemvelo ngaso sonke isikhathi, lome, lihlanzekile, ngaphandle kwemibimbi.
Uma kunesidingo, ngaphansi kwesisekelo ubeke izindandatho zenjoloba. Ngalo lonke usuku, isiguli kufanele siguqulwe sibuyele emuva sibheke eceleni, simshiye kulesi sikhundla amahora amaningi.
Izindawo ezingaphansi kwengcindezi enkulu kufanele ziguquzwe. Lokhu kuzohlakaza igazi elimile.
Ukushisa komoya nezingubo kufanele kukhethwe ukuze isiguli singafungi futhi singabandi. Futhi, nsuku zonke isikhumba kufanele sisulwe ngesisombululo se-antiseptic. Ukuze wenze lokhu, ithawula lithambile kuviniga oxutshwe nalutho (1 tbsp. Ngamanye ama-250 amanzi), i-camphor alcohol, i-cologne noma i-vodka.
Nge-diopic neuropathy noma i-dermopathy yesifo sikashukela, izindawo ezithintekile kufanele zigezwe ngamanzi abilayo kanye nensipho. Ngemuva kokuthi isikhumba sisulwe futhi sisulwe ngomkhiqizo oqukethe utshwala.
Amafutha e-Clove azosiza ukuqeda izinhlungu nokuvuvukala. Kusetshenziswa endaweni lapho izicubu zifakwe kawoyela bese zifakwa endaweni ethintekile, noma ngomlomo (amaconsi ama-5-7).
Ukusheshisa inqubo yokuvuselela kabusha, kulungiselelwe amalungiselelo akhethekile wamafutha. Ukuze wenze lokhu, hlanganisa i-bhotela namafutha wezinsini (1 tbsp. L.). Ingxube ephumayo ayigqokwa kusici se-3 p. ngosuku.
Futhi, kusetshenziswa ama-lotions oju namazambane aluhlaza agciniwe ezindaweni ezilusizi (1: 1). Ayisebenzi kangako i-compress yamafutha enhlanzi, engagqokwa ku-napkin oyinyumba futhi esetshenziselwa ukwakheka kwe-trophic ubusuku bonke. Ividiyo ekulesi sihloko izachaza ukuthi yini ebangela isifo sikashukela.
