Imvamisa, umuntu onesifo sikashukela, esigabeni esithile sokuthuthuka kwezifo, uba nezinkinga ezivamile njengonyawo lwesifo sikashukela.
Lapho embula izimpawu zokuqala zale nkinga, isiguli sinombuzo ofanele wokuthi yimuphi udokotela ophatha unyawo lwesifo sikashukela nokuthi yiziphi izindlela ezisetshenziselwa ukwelapha ubunzima. Imvamisa, uchwepheshe ekwelapheni lokhu kugula ngu-endocrinologist osephumelele isifundo esikhethekile ukwelapha lesi sifo.
Umsebenzi wochwepheshe ekwelapheni unyawo lwesifo sikashukela ukuhlolwa kwesiguli bese ukhetha irejimeni yokwelashwa kwalesi sifo. Ngaphezu kwalokho, imisebenzi yochwepheshe onjalo ifaka phakathi:
- Ukuhlolwa kweziguli ezinesifo sikashukela i-mellitus ukuhlola ubungozi bokuthola isifo sikashukela esigulini.
- Ukuqashwa njalo kweziguli ezisengozini yokutholwa kwesikhashana kwezinguquko esikhumbeni futhi, uma kunesidingo, ukwelashwa nokumisa ukuthuthukiswa kwezilonda esiteji sokuqala.
- Ukwenza izindlela zokuvimbela okuhloswe ngazo ukuvimba ukuthuthukiswa kwezinkinga ezigulini ezisengozini.
- Ukuhleleka kokuxhumana, uma kunesidingo, phakathi kukadokotela we-endocrinologist, udokotela ohlinzayo ngamathambo, udokotela wamathambo nesiguli esinesifo sikashukela i-mellitus nesifo sikashukela sikashukela
- Ukwenza imihlangano yokuhlose ukufundisa iziguli kanye nabathandekayo babo ekunakekelweni okuyikho kwezitho ezisezingeni eliphansi ukuvikela izilonda nokunakekela izilonda ezakhiwe.
Ngesikhathi sokuhlolwa, uchwepheshe onyaweni lwesifo sikashukela uhlola izinga lomonakalo ohlelweni lwe-vascular, akhombe izimbangela eziba nomthelela ekwandeni kwezinkinga, futhi wakhe uhlelo lwezindlela zokwelapha.
Izimbangela ze-Diabetesic Foot Syndrome
Lapho kukhona isifo sikashukela i-mellitus, kunokuntuleka kwe-insulin emzimbeni, okuholela ekwandeni kwamazinga kashukela egazini. Ukuba khona njalo kwe-glucose ephakanyisiwe kuholela emuva kwesikhathi ekubukekeni kokuphazamiseka emgodini wegazi ngemithambo kanye nomonakalo wemicu yezinzwa.
Ukunikezwa kwegazi okunganele kuholela ku-ischemia, okuholela ekuphulukisweni kwamanxeba avelayo isikhathi eside. Ukwehlulwa kwemicu yezinzwa kuholela ekutheni umuntu akhule noma anyamalale umuzwa we-tactile.
Ukuphazamiseka okudala kudala ukwakheka kwezilonda eziyizidudla esikhunjeni, futhi kuyizilonda zesifo sikashukela, eziqhubeka ngokuhamba kwesikhathi zibe yi-gangrene. Ukulimala ohlelweni lwe-vascular kanye nokulahleka kokuzwela okubucayi kuholela eqinisweni lokuthi noma yikuphi ukulimala esikhunjeni somlenze ophansi kuphenduke isilonda esivulekile. Uma isiguli sinezindawo zommbila noma izindawo ezi-keratinized kwesikhumba, khona-ke ukwakheka kwezilonda ezifihliwe ngaphansi kwendawo keratinized kungenzeka kakhulu.
Imvamisa, ukulimala konyawo kwenzeka kulezo zindawo zesikhumba, ezikhiqiza umsebenzi omkhulu womzimba. Ku-mellitus yesifo sikashukela, lezi zindawo zesikhumba zilahlekelwa umuzwa wazo, futhi yilezi zindawo lapho ukuhamba kwegazi kuphazamiseka khona okokuqala. Ukulahlekelwa ukuzwela akuvumeli ukutholwa okufika ngesikhathi kwama-microcracks nama-microtrauma wesikhumba.
Ukulimala okunjalo kuba yizindawo lapho ama-reagents athelelekayo angena kalula emzimbeni. I-microtrauma engapholi iyindawo ekahle yokuthuthukiswa kwe-puroses pathologies.
Izizathu ezibalulekile zokwakhiwa kwesifo sikashukela sikashukela esigulini esinesifo sikashukela yilezi ezilandelayo:
- Ukuphazamiseka kokujikeleza emikhunjini yempi kanye nohlelo lwesikhumba.
- Ukwehla okukhulu kokuzwela kokuphela kwezinzwa kwemikhawulo ephansi noma ukulahleka okuphelele kokuzwela okunjalo.
- Ukuvela kokulimala kwezinyawo esigulini esinesifo sikashukela mellitus.
- Ukubonakala kokuqina kwesikhumba.
Ukulahlekelwa ukuzwela kokuphela kwezinzwa kusifo sikashukela kwenzeka ngenxa yokuvezwa njalo kwemicu yezinzwa emgudwini okhuphuka weglucose egazini le-plasma.
Izimpawu eziphambili zokuthuthukiswa konyawo lwesifo sikashukela
Ubuhlungu obuqhubekayo bungakhombisa ubukhona be-sprains kanye nokulimala konyawo. Ngaphezu kwalokho, izinhlungu zingakhombisa ukwenzeka kokulimala, ukugcwala ngokweqile nokugqoka izicathulo ezingafanele abantu. Ubuhlungu bungakhombisa nokwanda kwenqubo yokutheleleka.
Ubomvu besikhumba onyaweni kukhombisa ukuthuthukiswa kokutheleleka. Ikakhulu uma lesi sibonakaliso senzeka ezungeze isilonda esibangelwa. Ukugqoka izicathulo noma amasokisi okungakhululeki kungalimaza isikhumba.
Ukudumba kwezinyawo kungakhombisa inqubo yokuvuvukala kwizicubu zonyawo. Ngaphezu kwalokho, uphawu olunjalo lungakhombisa ukuba khona kwezinkinga ohlelweni lwezinhliziyo, okungahle kube ukuhluleka kwenhliziyo nokulimazeka kokujikeleza kwegazi emithanjeni yezicubu zezinyawo.
Ukwanda kwendawo yokushisa kwesikhumba kwendawo kubonisa ukuthi kukhona inqubo eqhubekayo yokutheleleka, umzimba ofuna ukuyicindezela futhi uyenze yenzeke ekhaya. Ukwanda kwamazinga okushisa endawo kuwuphawu lokuthi umzimba ulwa nokutheleleka ngosizo lwamasosha omzimba, okuwukukhula okungenamandla kwesifo sikashukela.
Noma yimuphi umonakalo esikhunjeni ungagxila ekuthuthukisweni kwenqubo yokutheleleka.
Ukuvela kwammbila kukhombisa ukuthi umuntu ugqoke izicathulo ezikhethwe ngendlela engafanele. Uma ugqoke izicathulo ezinjalo, ukusabalalisa okungalungile komthwalo onyaweni kwenzeka.
Ukutholwa kobomvu esilondeni kukhombisa ukuqhubeka kwenqubo yokutheleleka.
Uma ezinye zalezi zimpawu zikhonjwe, kufanele uthinte ochwepheshe ukuthi benze inhlolovo futhi uthole nezeluleko. Ngemuva kokuhlolwa, udokotela ozokutshela uzokutshela ukuthi yiziphi izindlela okufanele zithathwe ukuvimbela ukuqhubeka kwezinkinga.
Ukuvela komkhuhlane noma ukubanda okuhambisana nokuvela kwesilonda onyaweni kuwuphawu lokuthuthuka kwenqubo ethelelekile yokutheleleka engadala umphumela obulalayo noma ukunqunywa komuntu onqunyelwe.
Uma unyawo lububomvu ezindaweni ezingasemngceleni wesilonda, khona-ke lokhu kukhombisa ukuthi inqubo yokutheleleka iyaqina, futhi umzimba wesiguli awukwazi ukubhekana nenqubo yokutheleleka.
Ukubonakala kwesisindo emilenzeni kuwuphawu lwentuthuko yesifo sikashukela se-neuropathy.
Ubulukhuni besikhumba nokubukeka komile kukhombisa ukuqhubeka kwezinkinga.
Ngokuthuthukiswa konyawo lwesifo sikashukela ngenxa yokuphazamiseka kokujikeleza, ukukhula kwezinwele emaqakaleni nasezinyaweni kuyema. Ungafunda ngokuthi unyawo lwesifo sikashukela lubukeka kanjani esigabeni sokuqala kumithombo yethu.
Izimpawu eziphambili zokuthuthukiswa konyawo lwesifo sikashukela
Izimpawu eziphambili zonyawo lwesifo sikashukela ziyinkinga ejwayelekile yezitho eziphansi ezenzeka kubantu abanesifo sikashukela. Lezi zibonakaliso yilezi:
- ukwakhiwa kwamabele;
- ukuqhakaza;
- ingrowth yamapuleti ezipikili;
- ukuthuthukiswa kwe-bursitis yesithupha;
- ukwakhiwa kwama-warts warts;
- ukugoba okwenziwe ngesando sezinzwane;
- isikhumba esomile nesiqhekekile;
- ukuthuthukiswa kwezifo zokukhunta kwesikhumba sonyawo (i-epidermophytosis yonyawo);
- ukuthuthukiswa kwesikhunta sezipikili.
Ukwakheka kwamabele kwenzeka ngenxa yokuthi ukwanda ngokweqile kutholakala endaweni ehlukile yonyawo.
Ukususa ama-corns yisona sizathu esiyinhloko sokwakhiwa kwezilonda, kulandelwa ukukhula kwe-gangrene kanye nokunqunywa kwengxenye yonyawo.
Amacembe kukhona iziqaqa zesikhumba ezigcwele uketshezi. Ukwakheka kwe blister kwenzeka ngenxa yokuhlikihla ngezicucu zezingxenye ezithile zesikhumba sonyawo.
I-Nail ingrowth yenzeka ngenxa yokusika okungafanele noma ngenxa yokugqoka izicathulo eziqinile. Uma kunamathuba aphezulu okuthuthukisa unyawo lwesifo sikashukela, kufanele wenqabe ukusika izipikili emaphethelweni noma wenze le nqubo ngokucophelela.
Uma kwenzeka ukuthi i-nail ingrowth, kufanele uthintane nodokotela ukuze asuse ingxenye ethile yesipikili esiseduze. Lokhu kuzovikela ukwenzeka kwezifo nokusakazeka kwezifo. Esimweni lapho inxeba selivele lenzile futhi isifo salo senzekile, udokotela obonayo unikeza inkambo yemithi elwa namagciwane.
I-Bursitis iyinhlamvu emaphethelweni angaphandle enzwane. Ukwakheka kwe-bursitis kwenzeka uma kunokuphambuka kwesithupha kuya kweminye iminwe. I-Bursitis imvamisa iyinkinga ebangelwa ifa lesiguli elinoshukela.
Ochwepheshe bamisa inqubo yobuhlungu nokuvuvukala ngosizo lwemithi elwa nokuvuvukala ne-analgesic.
Uma i-bursitis ibangela ukugcwala kobuhlungu obujwayelekile, lapho-ke ukwelashwa kwayo kususwa ngokuhlinzwa.
Izimpawu eziphambili lapho kufanele ufune usizo lwezokwelashwa khona ngokulandelayo
- ubomvu;
- izinhlungu
- ubomvu besikhumba;
Olunye uphawu lokukhula kwalesi sifo ukwanda kokushisa kwendawo ebusweni besikhumba.
Ukuxilongwa konyawo lwesifo sikashukela
Ngemuva kokuba isiguli sithinte i-endocrinologist ngesikhalazo, udokotela uhlola isiguli futhi ahlonza lesi sifo.
Udokotela oholayo wenza ukuhlolwa okubonakalayo kwengalo yesiguli eza kuye. Inhloso yokuhlolwa ukukhomba izimpawu zokuthuthuka kwesifo sikashukela esigulini.
Ngemuva kokuhlolwa, ucwaningo lwenziwa nge-x-ray noma i-magnetic resonance scanning yezinyawo. Lezi zindlela zokuhlola zenza kube lula ukuthola ukuthi kukhona noma ukungabikho komonakalo kwezicubu zamathambo emikhawulweni ephansi.
Udokotela uhlola izinga lokuzwela kwesikhumba ngokudlidliza, izinga lokushisa, ukuthinta, kanye ne-knee Reflex kuhlolwe ngokwengeziwe. Inhloso yalokhu kuhlolwa ukukhomba ubucayi bokuthuthuka kwe-neuropathy yesifo sikashukela esigulini.
Udokotela uhlola futhi ahlole izicathulo ezivame ukugqokwa yisiguli. Udokotela uhlola izicathulo ukuthi zifanelekile yini ngosayizi, ukuphelela nokungatholakali kwezinto zakwamanye amazwe.
Udokotela uthatha amasampula wokuqukethwe kwesilonda bese ethumela ukuba kuhlaziwe amagciwane. Lolu hlobo lokutadisha luyadingeka ukuze kutholakale uhlobo lwe-antibiotic olungasetshenziswa ekwelapheni ama-antibiotic.
Izindlela zokuhlola ezilandelayo zisetshenziselwa ukuhlola ikhwalithi yokugeleza kwegazi emithanjeni ye-arterial eyondla imikhawulo engezansi:
- ukuhlolwa kwe-Ultra kwemikhumbi yamaphethelo aphansi;
- I-M-mode ultrasound dopplerography (USDG);
- ukukalwa kwenkomba ye-ankle-brachial;
- transpaneane oximetry.
Uma kunesidingo, ukuthola imininingwane eyengeziwe ngesimo sohlelo lwe-vascular, kusetshenziswa indlela efana ne-radiopaque angiography. Ngenqubo yokuhlola umzimba ngale ndlela, kungeniswa amakhemikhali akhethekile aqukethe i-radioactive emzimbeni womuntu ogulayo, ohlelweni lwakhe lomzimba, olubonakala emisebeni ye-x-ray.
Le ndlela yokuhlolwa inolwazi kakhulu, kepha ine-drawback eyodwa - ibangela imiphumela emibi ezinso. Ngalesi sizathu, le ndlela yokuhlola kufanele isetshenziswe ngezinga elithile lokuqapha. Ukuhlolwa kusetshenziswa le ndlela kuyadingeka uma ukuhlinzwa kuhlelwa, inhloso yayo ukubuyisa i-vasency patency nokugeleza kwegazi kuyo.
Ngesikhathi sokuhlolwa, udokotela uthola isigaba sokuthuthuka kwalesi sifo. Kwezokwelapha, izigaba ezi-5 zokukhula kwezinkinga ziyahlukaniswa.
Udokotela we-endocrinologist ukhetha irejimithi yokwelashwa ngemuva kokuba imiphumela yokuhlolwa icutshunguliwe. Ehlelweni lokwakha irejimeni yokwelashwa, kufanele kubhekwe ukuthi izinga lokudlanga kwezifo kanye nezimpawu zomzimba womuntu ziguliswa. Ividiyo ekulesi sihloko ikhuluma ngezimbangela zesifo sikashukela.
