Unyawo lwesifo sikashukela: izimpawu, izimbangela, izindlela zokwelashwa

Unyawo lwesifo sikashukela lwenzeka lapho ushukela wegazi isikhathi eside udlula izinga elivumelekile. Uma umuntu onesifo sikashukela engalawuli izinga le-glucose, ukuzindla kwezinzwa kuba buthuntu futhi, ngenxa yalokho, ukungasebenzi kahle kwemithambo yegazi. Amathuba okulimala ngezifo ezihambisanayo nawo ayanda.

Ukuchazwa kwezifo

Isifo sikashukela sonyawo sikashukela sivela ezinyaweni zikashukela ngesimo sesilonda, futhi kukhona ushintsho emathanjeni nasezithanjeni zamalunga. Ukuphola okubabazekayo kuhamba kancane kakhulu; Isilonda kungenzeka ukuthi siqhume kunokuba siphulukiswe. Uma ungazilandeli amanxeba, isongela ngemiphumela elimazayo - njengokuqunjelwa umlenze ngemuva kokunqunywa umlenze. Phakathi kwabantu abaphethwe yilesi sifo, le yindaba ejwayelekile.

Kwenzeka kaningi ukuthi ukuzwela kwesiguli emilenzeni kunyamalale, futhi akaboni lapho ethola ukulimala okuncane. Kungemva kokuba iqale ukucindezelwa, isiguli siqala ukukhala i-alamu, futhi ngaphandle kosizo lodokotela ohlinzayo ngeke sisakwazi ukwenza. Kepha lokhu kungagwenywa uma ulandela imithetho eyisisekelo yenhlanzeko nokuphepha.

Abantu abanesifo sikashukela kufanele balawule ngokuphelele ushukela wegazi labo ukugwema isifo sikashukela sikashukela. Uma ungakwenzi lokhu, ngokuqhubeka kwesikhathi, isivimba semvelo esivikela izinyawo siyancipha futhi, ngenxa yalokho, amathuba okulimala.

Njalo ngonyaka inani labantu abanesifo sikashukela liyakhuphuka. Lokhu ikakhulukazi kubhekisa isifo sohlobo 2. Kodwa-ke, uma ukuhlolwa ngudokotela kwenziwa ngokohlelo, khona-ke ezimweni eziningi kungenzeka ukugweme ukunqunywa kwengalo.

Izimbangela zokwenzeka

Ukuze uqonde imbangela yokubonakala konyawo lwesifo sikashukela, kufanelekile ukuqonda ukuthi ukuthuthukiswa kwalesi sifo kuhamba kanjani. Iziguli ezinesifo sikashukela zithola ushintsho emithanjeni yegazi, futhi imilenze, njengezingxenye ezikude kakhulu zomzimba kusuka enhliziyweni, ayitholi isilinganiso esifanele sokondleka. Izinguquko ezinjalo ziholela eqinisweni lokuthi isikhumba siba sengozini yokulimala kakhulu, ukuphulukisa kuhamba kancane. Ungakhohlwa ukuthi isithwathwa silimaza isikhumba esilimele.

Ngokulahlekelwa ukuzwela, isiguli kungenzeka isikhathi eside singanaki amanxeba atholakele. Ngakho-ke kungahlala kuze kube ukwakhiwa kwe-gangrene. Futhi, isikhumba emilenzeni siyayeka ukujuluka, ngenxa yalokho isikhumba sakho somile futhi simbozwe imifantu. Imvamisa, izithende emihlanjeni ziba yisisulu sezilonda. Ngenxa yokuthi izilonda azibangeli ubuhlungu, isiguli asiyiboni ngokushesha le nkinga, okuholela nasebuhlungwini.

Amacala lapho isiguli sinokuqhekeka kwezicubu zomzimba ezinyaweni akujwayelekile. Leli fomu lizibonakalisa ngesimo sezinzwane ezigogekile noma ngokunyuka okuphezulu konyawo olugobile.

Isifo sikashukela i-mellitus kungaholela ekulahlekelweni kombono, okuthinta nokulimala.

Ngesifo sezinso, i-edema ingenzeka, nayo ibangele ukungakhululeki lapho uhamba. Izicubu zinamathela onyaweni oluvuvukayo futhi zilimaza unyawo.

Ukuze ugweme yonke imiphumela emibi, kufanele ugcine izinga likashukela ngokudla okukhethekile nenani eliphansi lokudla kwe-carbohydrate. Usebenzisa le ndlela, kungenzeka ukugcina ushukela ngaphakathi kwemikhawulo evumelekile yezinhlobo ezahlukahlukene zesifo sikashukela. Ukubona yonke imibandela yokudla okufanele, ungalapha unyawo lwesifo sikashukela ngesikhathi esifushane. Uma lesi sifo sisesesigabeni esithuthukile, kuzothatha iminyaka emibili kuya kwemithathu ukusikhipha.

Ukuvimbela isifo sikashukela sohlobo 2

Ubuhlungu obuzwa njalo bungabangelwa ukwelula, ukuguquguquka konyawo, ukulimala, ukulayisha ngokweqile ngenxa yezicubu ezingakhululeki, nokubomvu esikhunjeni ngenxa yokutheleleka, ngakho-ke, kubalulekile ukunakekela izicathulo ezintofontofo kuqala.

Isiguli esinesifo sikashukela sinamasosha omzimba abuthaka. Noma yikuphi ukulimala esikhunjeni kwesifo sikashukela kungaba yingozi enkulu, ngoba ukutheleleka kungena esilondeni, futhi umzimba awunawo amandla okulwa nawo. Ngenxa yalokho, izinga lokushisa lomzimba lingakhuphuka. Uma kunenxeba emlenzeni kanye nokwanda kokushisa komzimba, kufanele uthintane nodokotela ngokushesha. Izimpawu ezinjalo zikhombisa ukutheleleka okungathi sína okungaholela ekufeni noma ukunqunyulwa kwelungu elinegciwane.

Gwema izicathulo ezingakhululekile futhi usebenzise ngokweqile izicathulo

Futhi, ngokuzivikela komzimba okubuthakathaka, umzimba awunakuzivikela ezifweni zokukhunta, nazo ezingaba abathwali bokutheleleka. Ukufakwa kwe-platinamu yesipikili iba ngesinye sezimbangela zenqubo yokuvuvukala. Ngakho-ke, thintana ngokushesha nodokotela nodokotela ohlinzayo uma usola lezi zinkinga.

Ukulimala onyaweni kungenzeka kuhambisane nokukhubazeka, okubonisa ukulahleka kwemizwa kokuphela kwezinzwa, nokuxhuga, okungakhombisa ukuthi amalunga ayahlupheka.

Ukuze uveze izimpawu, onesifo sikashukela kufanele aqaphele:

• ukwanda kobuhlungu emilenzeni ngenkathi uhamba futhi uthulisa umoya ngesikhathi sokuphumula;
• ukumisa ukukhula kwezinwele emilenzeni;
• isikhumba semilenze siba rough ngokweqile futhi somile.

Izimpawu zonyawo lwesifo sikashukela

Izimpawu zokuqala zokutheleleka konyawo lwesifo sikashukela zivezwa ngokuqina, emizweni ebuhlungu. Kungabona ubomvu esikhunjeni kuhlangene nomkhuhlane. Uma izimpawu ezinjalo zonyawo lwesifo sikashukela zibhekwa, iziguli kufanele zifune usizo kudokotela ngokushesha. Izimpawu eziphambili zonyawo lwesifo sikashukela:

• Ukuvela kwama-calluses anolaka. Ngendlela, imvamisa ukutheleleka kwenzeka ngemuva kokukhishwa kwamabele esigulini esinesifo sikashukela. Esilondeni esivulekile esine-immune ebuthakathaka kanye nokwelashwa okuhlala isikhathi eside, isifo singena. Yena-ke ukhula abe yisidlakudla ngokunqunywa okulandelayo kwendawo ethintekile yomlenze;
• Ukuvela kwamaqhubu. Lezi yizimpawu zokuqala zonyawo lwesifo sikashukela. Lapho ngokuhlikihla izinyawo zakho ngezicucu, iqhuma kungenzeka. Ukuze uvikele ukuvela kwammbila wamanzi, kufanele ukhethe izicathulo ezifanele futhi uzigqoke nakanjani ngamasokisi. Kepha uma kwenzeka kwenzeka ukuthi ukuqubuka kusabonakala, kuyasiza ukubona udokotela. Uchwepheshe uzokwazi ukusebenzisa i-bandage edingekayo. Uma kwenzeka kuhlanganiswa i-blister, udokotela uzohlanza isilonda futhi akhombise ukuthi iyiphi imishanguzo okufanele isetshenziswe;
• Amapuleti we-Ingrown ezipikili. Ukungezelelwa kwepuleti lezipikili kuvela ezicathulweni ezikhethwe ngendlela engafanele noma ngezipikili ezikhethiwe ezingafanele. Musa ukusika amakhona weplatinamu yesipikili. Indlela emnene nephephe kakhudlwana yokunciphisa i-nail ekhulisiwe ukuyikhipha kunokuba uyihlukanise ngesikhafu. Uma, noma kunjalo, isipikili sinamathele emunweni, kufanele uthintane nodokotela ngokushesha. Ukuze uvimbele ukucubungula, udokotela angakhipha ingxenye yesipikili esembayo. Uma ukuvuvukala sekuvele kuqalile, inkambo yokuphuza izidakamizwa ezifanele izonqunywa;
• I-Bursitis. I-Bursitis isigaxa emlenzeniibe isithupha. Ukuqunjelwa kungaba nzima noma kuthambe. Kubangela imizwa ebuhlungu kakhulu. IBursitis ihlobene ngqo nesifo sezinso. Kwesinye isikhathi, ngisho ishidi elilele emlenzeni libangela ubuhlungu obukhulu. Ukwelapha lesi sifo, ukwelashwa kwezinso kufanele kuqale, nobuhlungu bomlenze buzoqala ukuncipha;
• Warts on the soles. Banefomu lokukhula emlenzeni. I-wart yisifo esibangelwa amagciwane. Ungaba nenani elikhulu lezimpande, kwesinye isikhathi kube mnyama. I-wart ingahlala phansi endaweni yokuthi ibuhlungu lapho uhamba. Ukugwema ukukhula kwama-warts emzimbeni, udinga ukugeza njalo izandla zakho ngemuva kokuxhumana nazo. Gcina izinyawo zakho zihlanzekile futhi zomile. Uma i-wart ibukeka ingabonakali noma ibangela ubuhlungu, ingasuswa. Kodwa hhayi wedwa, kepha emtholampilo onamadivayisi akhethekile;
• Ukunqunywa kwamazwane Lokhu kuvame ukuba ngumunwe wesibili nowesithathu. I-curvature ivela ekusatshalalisweni okungafanele kwesisindo kuwedwa. Imizwa ebuhlungu yamaphampu ezinyawo lapho uhamba inyakazisa ukwabiwa kabusha kwesisindo emilenzeni. Bona-ke, bagoba ibhalansi ethe xaxa. Ngokuhamba kwesikhathi, i-tendon deformity yenzeka, futhi iminwe ayisakwazi ukuqondisa. Emaphethelweni ezinsimbi zeminwe noma lapho kuhlanganiswa khona izinhlobo zezigaxa kwakhiwa. Abantu abanesifo sikashukela bangakhula. Iminwe enjalo ibizwa ngokuthi isando. Uma zidala ukungabekezeleleki, le nkinga ingaxazululwa ngokudabukisayo;
• Ukomiswa nokuqhekeka kwesikhumba semilenze. Ukuqina nokulimala onyaweni okubangelwa yisikhumba esomile. Kubanga ukulunywa futhi kwesinye isikhathi kube ngisho nobuhlungu, kungavela imifantu. Kunezimbangela eziningi zalokhu, futhi esinye sazo sikashukela. Kuyadingeka njalo ukuthambisa isikhumba ezinyaweni, ngoba ukuqhekeka okuphumayo kube yindawo enhle yokuphindaphindeka kwezifo. Kukhona inani elikhulu lamafutha okugcoba emilenzeni, elingathambisa futhi lithambisa isikhumba;
• Ukutheleleka ngezifo zokukhunta. Isikhunta esiyingozi kakhulu esingavela esikhunjeni ngenxa yokwehla kokungaziguli kwabashukela. Ukhunta kudala imizwa engathandeki - ukulunywa, okuhambisana nokushiswa kwesinye isikhathi nezimpawu ezibuhlungu. Kunephunga elingathandeki elihambisana cishe nazo zonke izinhlobo zezikhunta. Izifo ze-fungus emilenzeni zitholakala phakathi kwezinzwane. Ukuze uvikele isikhunta ukuthi singaphindaphindeki, imilenze kufanele igcinwe yomile. Izicathulo ozigqokayo kumele zomile ngaphakathi. I-Hosiery ikhethwa kuphela kumicu yemvelo. Umuthi wokulungisa ukhunta ungathengwa emakhemisi, kepha uma kunesidingo, udokotela unquma isenzo esinamandla;
• Ukhunta wepuleti lezinyawo. Akuniki nkathazo nenkathazo engaphansi kwesikhunta esikhunjeni. Ukuvimbela nokunakekelwa kwezipikili kufanele kucishe kufane nesimo se-fungus yesikhumba. Ngomonakalo wezipikili ukhunta, ishintsha isakhiwo sawo. Kuba nzima, hhayi ukumelana nokusikwa kakhulu. Ngokuvumelana nalokho, kuvela umbala ophansi wepuleti lezipikili. Kunezikhathi lapho inkaba ingawa ngokuphelele.

Ukuxilonga

Kunezizathu eziningi zokuthi kungani unyawo lwesifo sikashukela lungakheka. Ukwelashwa okusebenzayo, udokotela kufanele athole umsuka wesifo futhi anikeze ukwelashwa okuyikho. Ukuze uxilonge kahle, udokotela:

• yenza ukuhlolwa okubonakalayo kwezinyawo zesiguli ukuze kubonakale izimpawu zesifo;
• iqoka i-x-ray noma i-MRI (i-magnetic resonance imaging) yokumisa. Lokhu kuyadingeka ukuthola ukulimala kwezicubu zamathambo;
• lenza inqubo eveza ukuzwela ezimeni zokudlidliza, izimo zezinga lokushisa, ukuthinta okungaxutshwe nalutho lwamalunga edolo. Lokhu kuyadingeka ukuze uthole ukuthi zingakanani izinguquko ezinamaseli ezinzwa;
• yenza ukuhlolwa kwezicathulo isiguli ezihlala zizigqoka ukuze ziqonde ukuthi zimfanele kangakanani futhi zikusiphi isimo;
• kuthatha ukuklwebheka enxebeni ukukhomba amagciwane asefinyelele onyaweni. Lolu cwaningo luyadingeka ukuze ukhethe umenzeli ofanele we-antibacterial.

Izifundo ezisiza ukukhomba umsebenzi wemithambo yegazi, ukugeleza kwegazi okungelona elenza izitho ezingezansi:

• Ukuhlolwa kwesimo sohlelo lwe-vascular yemilenze yi-ultrasound;
• UZDG (Ultrasound Dopplerography) ngesikhathi sangempela.

Ukuhlolwa kufanele kube okuphelele, ngakho-ke, ngaphezu kokuhlolwa oku-tactile, udokotela kufanele enze ukuhlolwa kwengqondo nesiguli ukukhomba isimo somqondo sesiguli. Uchwepheshe uzocacisa ukuthi ukwelashwa kanye nokugcinwa koshukela kwegazi kwenziwa kanjani.

Izilinganiso zezifo

• I-0 degree - izilonda ngokwazo azikaveli, kepha ubungozi bokuvela buphakeme kakhulu. Lokhu kufaka phakathi ukwakheka kwamabele, ukuguqulwa kwezinyawo;
• I-1 degree - izilonda ezitholakala ebusweni besikhumba;
• I-2 degree - izilonda esevele zijule onyaweni, kuyilapho i-lesion yenzeka kuphela kumathoni, kodwa hhayi ezicutshini zamathambo;
• Ibanga 3 - izilonda ezingene zijule kangangokuba kwaqala ukulimala kwamathambo;
• I-4 degree - ukubukeka kwe-gangrene ezinzwaneni;
• I-5 degree - ukulimaza izicubu zalo lonke unyawo.

Ukwelashwa

Unyawo lwesifo sikashukela ludinga ukwelashwa okuyinkimbinkimbi:

• Inkambo yokuqeqeshwa kwesiguli yokuzihlola yendawo ethintekile, yokuzilungisa.
• Ukuxhaswa okuqhubekayo koshukela wegazi ngaphansi kokulawulwa.
• Ukulinganiswa kwengcindezi ejwayelekile nokulawulwa kwe-cholesterol.
• Ukwelashwa kwendawo ethintekile, ukugqoka, ukususwa kwezicubu ezifile ngudokotela ohlinzayo.
• Ukwelashwa kwe-antibacterial ukuqeda ukutheleleka.
• Ukugqoka okhethekile okusiza ukudambisa ingcindezi endaweni elimele onyaweni.
• Ukuletha imithambo yegazi emilenzeni engezansi kubuyela kokujwayelekile, noma ngabe ukungenelela kokuhlinzwa kuyadingeka.

Ukwelashwa ngonyawo sikashukela kuyinqubo eyinkimbinkimbi. Kuthatha isikhathi eside futhi kudinga ukuvuselelwa. Kepha lokhu akufanele kusabise, ngoba uma kungekho ukwelashwa, imiphumela ingaba yinhlekelele, ukunqunywa kumiselwe. IGangrene ishiya ithuba lokuvuselelwa kwezicubu. Lesi yisigaba sokugcina salesi sifo. Udinga ukuthi uqaphele futhi unake impilo yakho, uhlolwe njalo nodokotela wakho futhi, uma kwenzeka izinsolo zokuthi inqubo ethile yokuvuvukala isiya esibhedlela ngokushesha.