Isifo sikashukela i-mellitus kanye nobuhlungu bomlenze kuhlale kuhamba ndawonye, ​​ngoba lesi sifo uqobo sithinta imisebenzi yomzimba wonke. Ubuhlungu emaphethelweni aphansi bungabhekwa njengophawu lokuqala kokuqala kwesifo.

Ngeshwa, izimpawu zokuqala zivame ukunganakwa yiziguli, ukubonakala kobuhlungu kubonwa njengokukhathala noma ukulimala, kepha hhayi ngendlela yesibonakaliso sokuqala kwesifo sikashukela.

Ubunzima bukhona lokuthi cishe isigamu seziguli ezinesifo sikashukela ngephutha zikholelwa ukuthi azesabi izifo zenhliziyo nemithambo yegazi, ukwehluleka ekusebenzeni kwezinso.

Kodwa-ke, isifo sikashukela i-mellitus kwesinye isikhathi siziphatha singalindele, futhi sibonga kuphela ukuxilongwa okuphelele, ukulawula elabhorethri nokuzilawula, kutholakala izinkinga ezifika ngesikhathi, okuthi, maqondana nobuhlungu emilenzeni, zingafaka ukuthuthukiswa konyawo lwesifo sikashukela.

Uma ukwelashwa okufika ngesikhathi kwesifo sikashukela kungenziwa ngokwemithetho, khona-ke ukunqunywa komlenze kungenzeka, ngakho-ke ukubakhona kobuhlungu kufanele kuphathwe ngokucophelela.

Kungani kubuhlungu emlenzeni kwenzeka kwisifo sikashukela?

Isici esiyinhloko sokuvela kwezinhlungu emikhawulweni ephansi yesifo sikashukela ushukela ophezulu wegazi, okuholela ekunikezelweni kwegazi okungesihle emilenzeni.

Ubudala buthinta futhi ukuqhubeka kwale nkinga. Kubantu asebekhulile, ubungozi bezifo zemilenze buphakeme, obuqinisa kakhulu impilo yabo, njengoba imikhawulo engezansi kwesinye isikhathi ilimaza kakhulu, futhi uma kungenziwa lutho, lokhu kuholela emiphumeleni emibi kakhulu.

Kufanele kubhekwe: le nkinga esesimweni sobuhlungu ayiphathwa ngosizo lwemithi yendabuko, futhi nobuhlungu, uma buyekela ngandlela thize, lokhu ngeke kusho ukuthi uyiqede inkinga, izinhlungu ziyomane zinciphe.

I-atherossteosis yenzeka ngenxa yesifo sikashukela i-mellitus, lapho kunokuncipha kwemithambo yegazi, ngenxa yalokho, ukuhamba kwegazi emilenzeni kunzima. Izinyawo azikutholi ukondleka nomoya-mpilo, ziqala ukulimaza kakhulu, okudala izinkinga eziningi esigulini esinesifo sikashukela.

Ngokuhlinzwa okufika ngesikhathi ukuze kugijimise ukugeleza kwegazi, ukuthuthuka okulandelayo kokuwohloka kwesifo sikashukela kungavinjelwa.

Isifo sikashukela, ubuhlungu bomlenze buvela ngenxa yezizathu ezimbili:

• inani le-glucose egazini lihlala lisezingeni eliphakeme, iziphetho zezinzwa zemilenze zithintekile, ukuthinteka emilenzeni akutholakali. Le nqubo ibizwa ngokuthi yi-neuropathy yesifo sikashukela;
• i-atherossteosis ekugcineni iholela ekuqhekekeni kwemithambo yegazi, ukuvela kwegazi kwenzeka, kuvela ischemia (ukuntuleka kwe-oksijini). Ngenxa yalokho, umuntu uzwa izinhlungu emaphethelweni aphansi.

Esimweni sokuqala, ngokulahleka kokuxineka, isiguli asizwa ubuhlungu, isithwathwa noma ukushisa. Naye akaboni ukulimala emilenzeni yakhe, ngoba akezwa lutho. Ukuqolwa okuncane kungadala isilonda esingapholi isikhathi eside, lapho inqubo yokunciphisela ingabamba ingxenye enkulu yomlenze futhi iholele ekuthuthukisweni kwe-gangrene.

Ukuvuvukala kwamaphethelo aphansi ezigulini ezinesifo sikashukela

I-Edema yemilenze ezigulini ezinesifo sikashukela i-mellitus ingavela ngenxa ye-nephrotic pathology, ngenxa yokuthi ikhula ngamandla. Ngaphezu kwalokho, ukuba khona kwe-atherossteosis nakho kungakhuculula i-edema emilenzeni, ngayo kunokuqhuma kwemithambo yegazi, futhi ukuphakelwa kwegazi kuyaphazamiseka, nemilenze ilimele, njengoba sabhala ngenhla.

Ngemuva kwalokho isiguli sinqunywe ukudla okuqinile, ukuzivocavoca ngokomzimba okunqunywe ngudokotela ukusiza ukubuyisa isimo somzimba esimweni esijwayelekile, futhi nokwelashwa nakho kubekiwe, inhloso yalokho ukusindisa isiguli ekuguleni okuvimbe ukuvuvukala - nephrotic syndrome noma isifo sokuqina kwemithambo yegazi.

Ukubonakala kwezilonda zomlenze ezigulini ezinesifo sikashukela

Izici zezilonda zomlenze ezigulini ezinesifo sikashukela:

• ngesisekelo sokwephulwa kwezicubu zemilenze (trophic);
• ngenxa yokwephulwa kwamangqamuzana ezinzwa ezinzwa (i-neuropathy);
• ngenxa yokuthuthukiswa kwezifo ze-vascular (rheology);
• inhlanganisela yezizathu eziningana.

Imvamisa, ukwenzeka kwezilonda ezindexekile ngenxa yesifo sikashukela kuhambisana nezizathu ezinjalo:

• isifo se-atherossteosis (emadodeni, izilonda ezinjalo zenzeka kaningi);
• izilonda zemithambo yegazi;
• ukuphazamiseka kohlelo lwezinzwa oluyingozi.

Ukuqala kwesilonda kwesinye isikhathi kwandulelwa ngu:

1. ukulimaza nokukhafula emilenzeni;
2. ukushiswa kwemizi ehlukahlukene;
3. ukubukeka kwamabele;
4. ukulimala okuncane nokulimala.

Kungani izilonda zivela futhi zikhula kanjani?

Ngesifo sikashukela, kufanele unake ngokukhethekile izinga le-glucose esegazini, futhi udinga ukuqapha umzimba wonke, isimo sesikhumba. Njengoba kushiwo ngaphambili - izifo ezitholakala ngesikhathi zingamiswa futhi ukuthuthukiswa kwezinkinga kumiswe, kuyilapho imilenze ilimele, nezilonda ziqhubeka nokukhula.

Esigulini esinesifo sikashukela, izilonda ziqhamuka njengesizathu sokukhula isikhathi eside kwezinkinga, ezingacekisa umzimba wesiguli nokugula komzimba iminyaka.

Imigomo eyisisekelo yokwelashwa kwezilonda zomlenze ezigulini ezinesifo sikashukela mellitus:

• Ukuqapha amazinga eglucose ne-hemoglobin. Inani elijwayelekile likashukela ngu-6-10 mmol / L ngaphambi kokudla no-9-10 mmol / L ngemuva kokudla.
• Izindlela zokwelapha kanye ne-prophylactic yezindlela ezihambisana nezinkinga (umfutho wegazi ophakeme, i-thrombophlebitis).
• Yehlise i-pain pain.
• Sebenzisa ukulayisha imilenze.
• Ukusetshenziswa kwemithi esisiza ukwenziwa kube lula ukusebenza kohlelo lwezinzwa olungemuva.
• I-Normalization yokuhlangana kwegazi ngosizo lwamadivayisi wezokwelapha.
• Ukuqiniswa kwe-lipid metabolism.
• Ukusetshenziswa kwezidakamizwa ezisebenzayo zemithambo yegazi.
• Ukuqaliswa ukwelashwa ngokumelene isikhunta namagciwane.

Ukwelashwa kokuhlinzwa kwezilonda ezigulini ezinesifo sikashukela mellitus:

1. Izilonda ziphathwa ngezindlela ezikhethekile (i-hydrogen peroxide), kufakwa amabhandishi.
2. I-Autopsy yenziwa, ubandlululo luyasuswa, kuyilapho izicubu zigcinwa uma kungenzeka.
3. Ukuhlinzwa kokubuyiselwa kwemithambo kuyenziwa (uma kunesidingo).
4. Esimweni lapho phakathi nokwelashwa kungatholakali umphumela oyifunayo, khona-ke umthamo wokuhlinzwa uyakhuphuka, ukunqunywa kwemilenze kungenzeka.

Ukushiswa kokukhula kwezilonda kushukela:

Noma yiziphi izifo ezivela kwisifo sikashukela zingadala izinkinga:

• ukubonakala kokuvuvukala ngesimo se-erysipelas;
• izinqubo zokuvuvukala ezitsheni kanye nama-lymph node;
• ukwenzeka kwesimo septic.

Kuhlanganiswe ukwelashwa kwezinyawo kweziguli ezinesifo sikashukela i-mellitus

Ngokwezinga lesifo, kusetshenziswa izindlela ezintathu zokwelapha ezaziwa ngomuthi:

1. umthelela kwezinye izinqubo ezivusa i-atherosulinosis;
2. ukwelashwa kwezifo zesifo sikashukela sikashukela;
3. ukuhlinzwa ukubuyisela ukuphuma kwegazi ezicutshini zemilenze.

Ngaphezu kwesilonda esiseduze kakhulu esenzeka ezigulini ezinesifo sikashukela, izifo ezilandelayo ezibucayi ezitholakala kwabashukela zifaka phakathi isifo sikashukela, lapho isiguli sinama-pathologies onyaweni nemilenzeni ibuhlungu kakhulu. Ngenxa yokwelashwa okungakaqalwa, ukusikwa kwemilenze emazingeni ahlukahlukene kungenzeka.

Lokhu kwehla kubuye kubonakale emaphesenti angama-90 abantu abanesifo sikashukela, uma kwenzeka lesi sifo, i-edema, singabonwa ngesikhathi futhi iqiniso lokuthi imilenze yayibuhlungu.

Kungani isifo sikashukela sonyawo sikhula?

Isifo sikashukela sonyawo lwesifo sikashukela yisifo se-degree eyinkimbinkimbi, kuyilapho imisebenzi ehlukahlukene yomzimba ibandakanyeka ngenxa yokuthuthukiswa kwesifo sikashukela i-mellitus.

Isifo sephepha esigcina isikhathi eside sikashukela, ukuguquguquka okujwayelekile kwesilinganiso se-glucose egazini kubangela ukuthi imithambo yegazi yomzimba ihle kancane kancane.

Ekuqaleni, ama-capillaries amancane alimala, khona-ke ukubhujiswa kwemithambo yegazi kuqala, kukhona ukwephulwa kokuhlinzekwa kwegazi, iziphetho zezinzwa ziyafa, imisebenzi ye-metabolic iyaphazamiseka, isikhumba silimele.

Ngomonakalo esikhunjeni somuntu ophilile, iqala ukwelulama ngokushesha, kepha esigulini esinesifo sikashukela, ngokulimazeka okuphelele kokujikeleza kwegazi, ukuklwebeka okuncane kungaholela ezinkingeni ngendlela yonyawo lwesifo sikashukela, izilonda, kanye nokuthuthukiswa kwezinqubo ze-purulent uma kungenziwa.

Izici zesifo sikashukela sonyawo sikashukela

Izimpawu zalesi sifo zingase zehluka ngenxa yezinga lesifo elikhona:

• I-Neuropathic degree - ukulimala okukhulu ohlelweni lwezinzwa kwenzeka. Ukucasuka kwemilenze kuphazamisekile, ukuzwa kobuhlungu kuyanda, ushintsho esimweni somlenze luyabonakala, ukuqina kwesikhumba kuqala.
• I-Ischemic degree - kukhona i-lesion yemithambo yegazi. Ingaphezulu lesikhumba sonyawo liyaqina, ukuvuvukala kwenzeka; Ubuhlungu bukhona, ukwakheka konyawo akulonakalanga, amabele awanakwa.
• I degree elixubekile - kwenzeka kaningi.

I-Therapy Diabetesic Syndrome Therapy ephumelelayo

Kuze kube manje, kunezindlela ezimbili zokwelapha lesi sifo - ngokulondolozwa nokuhlinzwa.

I-Conservative therapy:

1. ukulungiswa kweshukela;
2. ukusetshenziswa kwama-anti-spectrum antibacterial (akhethwe ngamunye ngokuya ngesimo sesilonda);
3. ukusetshenziswa kwezidakamizwa zokusiza izinhlungu;
4. ukugeleza kwegazi okuthuthukile;
5. ukusetshenziswa kwezidakamizwa ezilwa namagciwane nama-antiseptics okubaluleka kwendawo (ngakunye).

Ukwelashwa okuhlinzwa kwesifo sikashukela sonyawo lwesifo sikashukela:

• indawo encane ye-necrosis iyasuswa;
• ukuqalwa kabusha kwemithambo yegazi;
• leyo mikhumbi engayitholanga kabusha imisebenzi yayo iyasuswa;
• amanetha abekwa ezitsheni ukuze aqhubeke nomsebenzi wawo;
• uma kuyi-gangrene yesifo sikashukela, lapho-ke indawo ethintekile yesigilamkhuba iyasuswa;
• ukunqunywa kwezingxenye zomlenze ophansi, uma kunesidingo.