Isifo sikashukela yisifo esikhohlisa kakhulu lapho udinga ukuthi ungagcini nje ngokubheka amazinga kashukela egazini bese ulandela indlela odla ngayo, kodwa futhi uthathe nezinyathelo zokuvimbela ukugwema izinkinga ezahlukahlukene, isibonelo, unyawo lwesifo sikashukela, olukhona kuso izilonda eziyinqaba.
Lokhu kubaluleke kakhulu, ngoba ngalesi sifo, ngenxa yokuphazamiseka kwe-metabolic, izindonga zemikhumbi kanye neziphetho zezinzwa zithintekile.
Ngenxa yalokhu, ukushoda komoya-mpilo kwenzeka ezicutshini, futhi imikhiqizo enobuthi ye-carbohydrate metabolism iyanqwabelana. Isifo sikashukela sonyawo sikashukela kungaholela ekulahlekelweni yimilenze.
Ekuqaleni kokukhula kwalesi sifo, iziguli kufanele vele ziqaphele izinyawo zazo, ngoba kushukela kunesixhumanisi esibuthakathaka kunazo zonke futhi zisengozini yezilonda ezikhuluphele.
Ngisho nokulimala kwesikhumba okuncane, amanxeba angapholi, i.e. ulcophic ulcer, angakheka ezinyaweni, futhi awukubonakaliswa okuyingozi kakhulu konyawo lwesifo sikashukela.
Lokhu kungenxa yokuthi isikhathi eside sikashukela mellitus, ngendlela yonyawo lwesifo sikashukela, izinkinga ziqala:
- i-angiopathy yesifo sikashukela - imithambo yegazi emincane iyathinteka;
- i-neuropathy yesifo sikashukela - iziphetho ezincane zezinzwa zithintekile.
Lokhu kuholela eqinisweni lokuthi isimo sezicubu siyaphazamiseka futhi kwakhiwa unyawo lwesifo sikashukela, lapho kungagcini khona izilonda ezilinganiselwe kuphela, kodwa futhi ne-gangrene kungavela kalula. Ngendlela enekhono, lezi zigameko zingamelana.
Izigaba zokuthuthuka kwesilonda esiseduze
- Isigaba sokukhiqizwa kwesilonda - kulesi sigaba kunokwanda okuhamba kancane kosayizi besilonda, ukujula kwalo nokubukeka ezansi kwepulazi elimhlophe noma elimpunga. Konke lokhu kuvame ukuhambisana nephunga elingathandeki. Izinyawo nemilenze ingashona futhi ibande, kunomuzwa wezintuthwane ezinwabuzelayo.
- Isigaba sokuhlanza isilonda - kancane kancane ibala lesilonda liqala ukunyamalala, phansi kuba pinki okhanyayo. Ubukhulu besilonda nokujula kwalo kuyayeka ukwanda.
- Isigaba sokuphulukiswa kwesilonda - imvamisa ukwelashwa kuqala emaphethelweni ekwakhekeni, futhi ubukhulu besilonda buqala ukuncipha kancane kancane. Uma kwenziwa ukwelashwa okujwayelekile okukhona nokwendawo, khona-ke izithiyo zokupholisa ziqala ukwenzeka esibuyeni uqobo.
Lezi zigaba ziwuphawu lwenkambo evumayo yezilonda eziyinqaba kushukela. Kepha lokhu akwenzeki kuzo zonke izimo. Uma ukutheleleka kujoyina inqubo, khona-ke ukuvuvukala kungasakazekela ezithweni namathambo, inqubo yokubola iqala, lapho ukungenelela okuhlinza kudingekile.
Uma isilonda se-trophic singadluleli kusuka esigabeni sokuqala ukuya kwesesibili, kepha siqala ukuthuthuka futhi sijula, lokho ukuthi, amathuba okuba nesibindi sokuqina. Lokhu kuvame ukwenzeka ngokuba nokwelashwa okungafanele kwesifo sikashukela kanye nokuvela kwezinkinga ze-neurovascular.
I-gangabetes yesifo sikashukela yisimo esibeka usongo empilweni futhi, njengomthetho, siholela ekunqunyweni konyawo. Ngokuya ngokwanda kwenqubo kanye nokujula, ukunqunywa kungabakhona nasezingeni lomlenze ophansi noma ethangeni, yize konke kuqala ngonyawo lwesifo sikashukela.
Ngasikhathi sinye, isikhumba sesikhumba ngaphandle asihlali sishiwo njalo, izilonda zingaqina ngisho nasemaphethelweni, kepha inqubo izoqhubeka ngokujula. Kungakho kunqatshelwe ukuzilonda ngokwakho kokuzindla nge-trophic ulcer ku-mellitus yesifo sikashukela.
Ukwelashwa kwesilonda esisheshayo
Ukwelashwa kwezilonda ezinesifo sikashukela kufanele kwenziwe kuphela ngaphansi kokuqashwa ngudokotela futhi uqiniseke ukubheka isigaba senqubo yokulimala. Iziguli kufanele:
- gcina ukuphumula kombhede (kwesinye isikhathi umbhede),
- yidla kahle
- kudla amaprotheni anele
- amaminerali kanye namavithamini
- qapha njalo izinga le-glucose egazini ngaphansi kokuqashwa kwe-endocrinologist.
Uma isiguli singekho nesibopho sokulandela izincomo noma izinga likashukela kungeke kulungiswe ngesisekelo esingaphandle, khona-ke lokhu kungenziwa esibhedlela se-endocrinological.
Ku-mellitus yesifo sikashukela, noma yimuphi umonakalo ezinyaweni kufanele uphathwe eminyangweni ekhethekile yendawo enesifo sikashukela noma emagumbini we-podology enzelwe abanesifo sikashukela. Kwenqatshelwe ngokuphelele ukuzelapha.
Ukwelashwa kwezilonda eziyinqwaba ekuqaleni
Esigabeni sokuqala, ekwelapheni izilonda, kuyadingeka ukuthi unyawo lwesifo sikashukela lubheke ngokucophelela izinga le-glucose egazini, ulilungise uma kunesidingo, futhi liphathe ukwelashwa okujwayelekile. B
Ukwelashwa okujwayelekile kufanele kufake izifundo zokujova ngokulungiswa kwamasipha kanye nokusetshenziswa kwezidakamizwa ukwenza ngcono i-trophism (umsoco) wezicubu zomlenze ezithintekile. Kulesi sigaba, inhloso eyinhloko yokwelapha isilonda ukuvimbela ukuqhubeka kwayo.
Ukwelashwa kwasendaweni kuqukethe ekwelapheni imiphetho yezinxeba ngezixazululo zotshwala ze-antiseptic (okuluhlaza okotshani, iodine, i-70% utshwala).
Isilonda ngokwaso kufanele sihlanzwe kahle ngezixazululo ezinamanzi ze-furatsilina, i-potanganum permanganate (ekuhlolweni okuphansi), i-hydrogen peroxide.
Ngemuva kokwelashwa, kusetshenziswa umuthi endaweni yesilonda sesifo sikashukela, esheshisa ukuphulukiswa kwesilonda futhi sondle izicubu. Ukupholisa kwenzeka kokubili ngenxa yokuqalwa kokuhlanganiswa kwe-collagen, futhi ngenxa yokusheshisa kokuzala kweseli. Ukulungiselela kumele kube nesimo sejeli ukuze ifilimu enomoya ingabonakali.
Ukugqoka kufanele kwenziwe kabili ngosuku, futhi nokutheleleka kwesilonda kufanele kuvinjelwe (izandla kufanele zelashwe, kufanele kusetshenziswe izinsimbi ezingagqwali nokugqokwa).
Ukwelashwa kwezilonda ezi-trophic esigabeni sokuhlanza
Kulesi sigaba, kuyadingeka ukuqhubeka nokwelashwa okujwayelekile (i-vascular and trophic) nokulawula i-glucose egazini.
Ukubhekisisa ikakhulukazi kufanele kukhokhwe ekuhlanzeni izilonda ze-trophic. Kulokhu, imiphetho yesilonda kufanele iphathwe kuqala ngesisombululo sotshwala i-antiseptic. Ekhaya, ungasebenzisa i-tincture yotshwala ye-calendula notshwala be-salicylic. Ngemuva kwalokhu, inxeba ligezwa kahle nge-3% hydrogen peroxide solution.
Kuzoba wusizo olukhulu ukwenza izinyawo zansuku zonke zokugeza endaweni yokushisa yegumbi ngesisombululo esibuthakathaka se-potanganum permanganate. Isikhathi sokwelashwa yimizuzu engama-20. Izambatho ze-Helium zisetshenziselwa ukuhlanza izilonda ku-plaque, ezithuthukisa izicubu zezicubu.
Zihlotshaniswe nokugqokwa okugcotshwe emthonjeni okuvumela ukuthi uhlanze indawo yesilonda. Izambatho zisetshenziswa kabili ngosuku kuze isilonda sihlanzwe ngokuphelele. Uma isikhumba esizungeze isilonda siphenduka sibomvu, khona-ke lokhu kubonisa ukukhula kwenqubo yokuvuvukala. Ngesikhathi esifanayo, izinga lokushisa lomzimba liyakhuphuka, kuvela ubuthakathaka, izinhlungu onyaweni.
Lapho kunezimpawu ezinjalo, kubalulekile ukuhlwanyela esilondeni ukuze ukhethe ama-antibiotic ama-bacterium angama-pathological azoba nezwela, bese uqala ukwelashwa. Ukungenelela kokuhlinzwa kwesinye isikhathi kungadingeka ukuvula isilonda futhi siphathe kakhulu.
Ukwelashwa kwesilonda esiseduze nangesikhathi sokuphola
Ukwelapha isilonda esivele sikhona sokulapha, kubaluleke kakhulu ukusebenzisa izithambiso namagiya okuzosheshisa le nqubo futhi kugcinwe umsoco wezicubu obudingekayo. Ama-gel asetshenziswa ezindaweni ezopha igazi zesilonda esihlanziwe, namafutha ezindaweni zokucima ukoma nasemaphethelweni esilonda.
Njengoba ukuvuselelwa kwesilonda kuqhubeka ukusebenzisa okokugcoba kuphela. Esigabeni sokupholisa, ukugqoka kungenziwa hhayi kabili ngosuku, kodwa kanye. Ukuphathwa okunjalo kufanele kuqhubeke kuze kube yilapho isilonda siphola ngokuphelele.
Futhi, ekwelapheni izilonda eziyinqaba noma iziphi izigaba, kusetshenziswa izindlela ezingezona ezokwelapha:
- ukwelashwa kwe-shock wave;
- imisinga d,I-Arsonval;
- i-laser irradiation yegazi;
- hirudotherapy - ukusetshenziswa kwe-leeches;
- Ukwelashwa kwe-ozone;
- i-ultraviolet irradiation yegazi.
Ithuluzi elisebenza kakhulu elisheshisa ukuvuselelwa kwezicubu futhi lithuthukise umsoco wazo yiSolcoseryl. Kusetshenziswa kuzo zonke izigaba ze-trophic ulcer therapy. Ukwakheka kwalesi sidakamizwa kufaka i-akhiphe (ekhishwe) egazini lezinkomo, elihlanzwa engxenyeni yamaprotheni.
I-Solcoseryl ikhiqizwa ngama-helium namafutha okugcoba, ngakho-ke kufanelekile ukusetshenziswa ekwelapheni izilonda kuzo zonke izigaba zokukhula. Ijeli isetshenziswa ezigabeni zokwenziwa nokuhlanza, kanye namafutha - esiteji sokuphulukiswa kwesilonda.
Zombili lezi zinhlobo zithuthukisa ukulethwa kwezicubu ezithintekile ezinomoya-mpilo kanye nokudla kwazo. Ngenxa yalokhu, izinqubo zokutakula ezansi nezindonga zesilonda zenziwa zisebenze.
Ijeli iholela ekwakhekeni kwezicubu zomzimba futhi inciphise ukucasha kwe-exudate, kanti ukugcotshwa kwamafutha kunikeza isivikelo esengeziwe sendawo yesilonda esikhathini sokululama kwesilonda, kuvuselela inqubo yokuqothula futhi kugqugquzela ukwakheka kwezicubu ezinwebekile.
Ijeli kumele ifakwe engxenyeni ezondile izikhathi ezingama-2-3 ngosuku, ukugcotshwa kwamafutha kufakwa kanye noma kabili ngosuku.
Ukuvimbela ukwakhiwa kwesilonda esiseduze nesifo sikashukela
Indlela eyinhloko yokuvimbela lesi simo ukutholwa kusenesifo i-mellitus yesifo sikashukela (ikakhulukazi uhlobo lwesibili), ukwelashwa kwayo okunekhono kanye nokufinyelelwa kwezinga elijwayelekile leshukela egazini.
Uma kunesidingo, khona-ke udinga ukunamathela ekudleni okuthile, thatha izidakamizwa ukwehlisa ushukela noma wenze imijovo ye-insulin.
Njengoba i-angiopathy yesifo sikashukela ne-polyneuropathy iyinkinga evame kakhulu yesifo sikashukela, kubalulekile ukuqala ukuvimbela kwayo ngokushesha, ekuqaleni kokukhula kwesifo. Ngaphezu kwalokho, abantu abanesifo sikashukela kufanele balandele le mihlahlandlela:
- gqoka izicathulo ezikhethekile zamathambo (noma okungenani ukhululekile) izicathulo ezifanele isizini;
- qaphela njalo isimo sezinyawo zabo, ukuvimbela ngesikhathi kwenzeka i-microtrauma, imifantu kanye nokuqunjelwa;
- gwema ukuhamba isikhathi eside nomthwalo owengeziwe emilenzeni;
- Gwema ukushisa ngokweqile noma ngokweqile kwezinyawo;
- ngisho nokulimala okuncane kwezinyawo, qala ukwelashwa ngokushesha ngaphansi kokuqashwa ngudokotela.
