Ukhuphuka kweglucose kufaka ukuphazamiseka okuningi kwazo zonke izinhlobo zemetabolism, okubuye kudale ukwanda kwezinkinga ezinkulu. Ubuhlungu bomlenze kwisifo sikashukela senzeka engxenyeni eyodwa kweziguli. Kungamaphethelo aphansi kwabanesifo sikashukela abahlupheka kuqala, ngoba izicubu ezingaphethekiyo ezinezinkinga zemithambo yegazi azinawo kakhulu umsoco. Ngaphezu kwalokho, imilenze ifakwa imithwalo enzima nsuku zonke, ilimala kaningi kunezinye izingxenye zomzimba.
Ukudambisa izinhlungu futhi ulondoloze amandla okuhamba ngokuzimela, ukwelashwa kufanele kuqalwe kusibonakaliso sokuqala semiphumela yesifo sikashukela ezinyaweni. Uma uqala lesi sifo, izinguquko ezinesifo sikashukela emikhawulweni ephansi zingaphumela ezilondeni eziyinkimbinkimbi, ukunqunywa kweminwe noma izinyawo.
Kungani Isifo Sikashukela Silimaza Imilenze - Izizathu
Umuzwa ongathandeki emilenzeni unesifo sikashukela ungadalwa yizinkinga ezilandelayo zalesi sifo esingalapheki:
- I-Angiopathy - Izifo zenethiwekhi yemithambo. Njengoba izinkinga zikhula, i-atherossteosis iqala kancane kancane, ifomu lezibalo zegazi, imithambo emikhulu ilahlekelwe umsebenzi, imithambo emincane ibhujiswe ngokuphelele, ishiye izicubu zezicubu nezicubu ngaphandle komsoco ne-oxygen. Izicubu ezibulawa yindlala kancane kancane ziqala, le nqubo ihambisana nokuvuvukala. Kunobuhlungu, ubuthakathaka bemisipha obuqhubekayo, ukuvuvukala kuyavela, imilenze isheshe ikhathale noma isuka emithwalweni ejwayelekile. Ubuhlungu nokudumba kukhulunywa ngakumbi kusihlwa, ngemuva kosuku olusebenzayo - okuningi ngalesi sifo.
- I-Neuropathy imele izinguquko ze-pathological ohlelweni lwezinzwa kusifo sikashukela i-mellitus. Ngakolunye uhlangothi, ama-receptors ayabhujiswa, isikhumba siphelelwe umuzwa. Ngenxa yalokhu, isikhumba sezinyawo siyayeka ukuzwa izinhlungu kusuka ekulimaleni okuncane, izinga lokushisa eliphakeme, amathuba okulimala ezinyaweni kuyanda. Ngakolunye uhlangothi, imicu emikhulu yezinzwa ilimele, bese inqubo yokudlulisela imininingwane isuka ebuchosheni iphazamiseke. Ngenxa yalokhu, ukusabela okunganele ekuvuseleleni okwakujwayelekile ngaphambili kuphakama: ukulunywa, ukushuba konyawo, izinhlungu ezihlala zivela zokwenza kwasendaweni okuphelele. Nge-neuropathy yesifo sikashukela, imilenze ilimala kaningi ebusuku, okuholela ekuphazamisweni kokulala kanye nomuzwa wokukhathala okungapheli. Ngomonakalo omkhulu ku-nerve, izinhlungu zingaba namandla kakhulu, zinganikeli impilo ejwayelekile. Kwezinye izimo, ingasuswa kuphela nge-opioid analgesics - izibonakaliso nokwelashwa kwe-neuropathy.
- I-Arthropathy - Ukwephula ku-cartilage yemilenze. Ngenxa yokuhlanekezela komzimba wamaprotheni kanye nokulimazeka okungapheli okuhambisana ne-angiopathy, amalunga ahluleka ukunciphisa ukuhamba kwawo, ukuvuvukala, nokuqina. Ubuhlungu bomlenze nge-arthropathy bukhulu kakhulu ngesikhathi sokuhamba, ikakhulukazi ekuqaleni kokunyakaza. Izinkinga zivame ukutholakala kwabesifazane abanesifo sikashukela sohlobo 1 semncane.
- Izilonda zonyawo lwe-Fungal abanesifo sikashukela, bavela kaningi kunokujwayelekile futhi kunzima kakhulu ukwelapha, ngoba ushukela owedlulele uyisakhi somzimba esihle kakhulu sesikhunta. I-Mycoses iholela ekweqiseni ngokweqile nasekuqhekekeni kwesikhumba. Ezindaweni ezilimele, kuvela igciwane lesifo, ukuvuvukala nobuhlungu kuyavela. Imvamisa, izinzwane ezinkulu kanye nezindawo phakathi kwezinzwane zonakele.
- Umlenze unyakaze kushukela futhi kungaba ngumthombo wobuhlungu obukhulu. Imbangela yabo ukwanda kokuchama, isimilo sesifo sikashukela esinoshukela ophakeme njalo. Ngomchamo, ama-electrolyte, izakhi zomkhondo, namavithamini asuswa emzimbeni. Ngokuvamile, ubuhlungu obunjalo emilenzeni buzwakala emahoreni okusa. Ngemuva kokuqina, izicubu zisaba buhlungu isikhashana, kuthi ukuzwela kube nokuzwakala.
Ngenxa yokuthi isizathu sazo zonke lezi zinguquko ziyefana - ushukela omningi, isiguli sikashukela ngaphandle kokwelashwa okujwayelekile ngemuva kweminyaka embalwa sithola ubunzima bezinkinga emaphethelweni aphansi, ngamunye abangela izinhlungu. Ama-pathologies wezicubu zomlenze ngenxa yesifo sikashukela athole igama elivamile - isifo sikashukela sonyawo.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Yiziphi izigaba zezinkinga ezibonakala
| Isiteji | I-Angiopathy | I-Neuropathy | I-Arthropathy |
| 1. Okwehlukile. Azikho izikhalazo, kepha izinguquko zingabonakala ekuxilongeni. | Isikhumba esipholile emilenzeni, ezinyaweni ezinyakazayo. Ubuhlungu buvela kuphela ngemuva kokuzivocavoca. Kwi-ultrasound, izinguquko ze-atherosulinotic emikhunjini ziyabonakala. Ukushayela emithanjeni yemilenze kuzwakala kahle. | Ukusindeka ezinyaweni, ukuzindla, noma izinhlungu ezibuthakathaka kancane zingazwakala. Ukujuluka emilenzeni kuyanda noma kunciphe. Ukuhlolwa kwemizwa kuveza ukwehla kwezwela. | Ama-sprains ajwayelekile ayakhathazeka, izinhlungu azikho noma zimnene. I-Edema kungenzeka, imvamisa ezungeze izinzwane. Usebenzisa i-icalometry ye-ultrasound, ungakhombisa ushintsho lokuqala kumalunga. |
| 2. Okwezempilo. Isikhathi eside kunazo zonke - kusukela ekuqaleni kwezimpawu kuya kobuhlungu obukhulu. | Ubuhlungu bomlenze, ukuvela kwe-periodic lameness, izindawo zokuvuvukala zinqunywa ngokubonakalayo, izinyawo ziyavuvukala. Ngama-macroangiopathy, i-ishayela libuthakathaka. | Ukushisa, ukushuba ezingxenyeni ezihlukene zomzimba, imvamisa emilenzeni. Kufanele ubeke umzamo owengeziwe lapho uhamba, imithwalo yakho ejwayelekile ngaphambili ibonakala ingabekezeleleki. | Ukubhujiswa okuhlanganayo, kuqala ngamancane, ama-micro-fractures wamathambo wonyawo, izinzwani zilimele. I-arch yonyawo ithambile, ukwakheka komlenze kuyashintsha. Ezingxenyeni ze-x-ray ezibonakalayo zezicubu zethambo kanye nokuphazamiseka kokuma kobuthambo. |
| 3. Isigaba sezinkinga. Izinguquko zimboza zonke izindwangu. | Ubuhlungu bomlenze buba yinto yaphakade. Izilonda ezincane zesikhumba ziholela ekwakhekeni kwezilonda ezinde zesifo se-trophic ezinokuqukethwe okuningi kwe-purulent. Kunezimpawu zokudakwa. Ngaphandle kokwelashwa, kwenzeka i-gangrene. Ukushayeka esiswini akunqunywa. Ukunyakaza okuzimele kweziguli ezinesifo sikashukela kunzima. | ||
Ukuxilongwa Kwezinyawo kumaDiabetes - Examinations Exain
Uma kubuhlungu umlenze, udinga ukuvakashela "i-diabetic foot cabinet" lapho ama-endocrinologists nodokotela abahlinzayo bemukela khona. Ukuthola imbangela yobuhlungu, kuzonikezwa ukuhlolwa okuphelele, okubandakanya:
- ukuhlolwa okubonakalayo kwezilonda kanye nezinye izinguquko zesifo sikashukela esikhunjeni;
- i-palpation ukuthola ukuthi kukhona nokugcwala kwethonya emithanjeni yemilenze;
- ukuhlolwa kokuzwela ezinyaweni;
- ukuqinisekiswa kokukhishwa kwemizwa;
- I-Ultrasound yemithambo yemilenze ukuhlola isimo sokuphuma kwegazi futhi sikhombe nemithambo evalekile;
- i-transcutaneous oximetry - ukunqunywa kwesilinganiso se-oxygen satellite yezicubu zomlenze;
- i-electroneuromyography yokuhlola ukusebenza kwesistimu ye-peripheral neva;
- I-X-ray yezinyawo ukuthola ukulimala kwamathambo.
Ngoshukela wohlobo loku-1 iminyaka engaphezu kwemi-5, ukuvakasha kuleli hhovisi kufanele kube minyaka yonke, noma ngabe kungekho buhlungu emilenzeni. Uma kwenzeka unesifo sohlobo 2, kuyadingeka ukuthi uyohlolwa njalo ngonyaka kusukela kutholwa isifo sikashukela.
Ungabelapha kanjani ubuhlungu bomlenze
Lapho iziguli ezinesifo sikashukela zinobuhlungu emilenzeni yazo, inkambo yokwelashwa ihlala okungenani izinyanga eziyisithupha. Yilokho umzimba okudingayo ukuze ukuvuvukala kuphele, inethiwekhi yemithambo yegazi nokuphela kwezinzwa iyabuyiselwa. Sonke lesi sikhathi, i-glycemia kufanele ibe yinto evamile, ngaphandle kwalokho ukwelashwa ngeke kunikeze umphumela.
Ukwelashwa ngezidakamizwa
Imikhombandlela yokwelashwa:
- Isinxephezelo sikashukela - ukuqeda imbangela yobuhlungu. Imithi ekwehlisa ushukela iyakhethelwa iziguli ezinesifo sikashukela sohlobo 2, inani elivunyelwe lama-carbohydrate libalwa. Ngokwesifo sohlobo 1, umthamo we-insal insulin uyashintshwa. Kuzo zonke izimo, imfundo yesifo sikashukela iyadingeka.
- Ukubuyiselwa kokusweleka kwamavithamini. Kunqunywe izakhi ezikhethekile ze-Vitamin-mineral zabanesifo sikashukela noma amavithamini B emthanjeni wokwelapha.
- Ukwehla ngokubumbana kwegazi nobuningi bawo - i-ascorbic acid, i-warfarin sodium, i-sodium heparin.
- Ukuhlelwa ngokweqile kwe-cholesterol yegazi - ama-statins: i-atorvastatin, i-cerivastatin, i-rosuvastatin.
- Lwa nama-radicals mahhala - ama-antioxidants: ascorbic noma i-thioctic acid.
- Ukuqeda ubuhlungu - amakhambi endawo nge-capsaicin, analgesics.
- Ukwelashwa kwezilonda zesikhumba - ama-antifungal agents, ama-antibiotics.
- Ukususa ukuvuvukala - izidakamizwa ezilwa nokuvuvukala. Baphinde basize kuzo zonke izinhlobo zobuhlungu, ngaphandle kwe-neuropathic.
Udokotela kuphela ongakhetha inkambo efanele yokwelashwa ngemuva kokuhlolwa okugcwele, ecabanga ngezimbangela ezihlonziwe zobuhlungu.
Ukuzivocavoca nokuzivocavoca
Uma imilenze yakho ilimala ngenxa yokulimala kwe-vascular, i-gymnastics elula izoba wusizo ekuthuthukiseni ukuhamba kwegazi kwiziguli ezinesifo sikashukela. Zonke izivivinyo zenziwa nsuku zonke, ngamunye izikhathi eziyi-10.
- Isikhundla sokuqala - ukuhlala esihlalweni. Bopha, bese uqondisa izinzwane.
- Siphakamisa kusuka phansi ngokulandelana, bese isithende, bese uzwane.
- Phansi phansi phansi ngozwane, chaza ukujikisa kwesithende. Futhi okuphambene nalokho - isithende phansi, iminwe idweba imibuthano.
- Donsela unyawo lubheke kuwe ukuze uqinise ithole, bese ulibhekisa eceleni.
- Beka iphephandaba phansi. Khonkotha izinyawo zakhe, ginqika ekubeni yinhlama. Bese uqonde, zama ukuhlukana.
- I.P. esukuma. Ukugcina izandla odongeni, kweqa kusuka esithendeni kuya kuzwane nakokunye okuphambene nalokho.
- Kukhuphuka kumasokisi.
- I.P. ulele emhlane wakho. Phakamisa imilenze eqondile, chaza imibuthano ngezinyawo.
Insiza yokuhlinza
Uma ukuqhekeka kwemikhumbi emikhulu kwaba imbangela yobuhlungu emilenzeni, kwenziwa i-angioplasty. Lokhu kungukuhlinzwa okuhlangene lapho kufakwa khona isiqu esisesimweni se-mesh yensimbi ngaphakathi emthanjeni endaweni yokuncipha. I-Angioplasty isiza ukubuyisela ukuhamba kwegazi nokugcina ulwelwesi. Uma indawo encishisiwe yinde kakhulu, kusetshenziswa i-shunting - ukudala indlela entsha yegazi kusuka emthanjeni wethanga noma izinto zokwenziwa.
Uma ukulimala kwama-nerve kanye nama-capillaries ku-mellitus yesifo sikashukela kuholele ekwakhekeni kwezilonda ngezindawo ze-necrosis, ukwelashwa okuhlinzwa kwenziwa ngaphambi kokuqala kokwelashwa: kususwa zonke izicubu nezikhunta. Amanxeba ahlanziwe asabela kangcono ekwelashweni futhi aphilise ngokushesha.
Uma ubuhlungu bomlenze bubangelwa i-abscess ngaphakathi konyawo, luyavulwa, luvinjiswe ngama-antibacterial agents, kufakwe amanzi
Ezinye izindlela zokwelashwa
Ngokuhambisana nezindlela zendabuko zokwelapha izinhlungu, ezinye izindlela ezingasetshenziswa nazo. I-decoction yamaqabunga e-sunflower izosiza imikhumbi ecacile kushukela. Aqoqwe emincane, omisiwe, abe umhlabathi abe yimpuphu, bese enezela eteyeni lapho kwenziwa kabusha - ithisipuni le-of lempuphu endebe nganye yesiphuzo.
Amacembe we-sunflower nawo azosiza ekulweni ne-neuropathy. Unganciphisa izinhlungu kusuka kumonakalo wezinzwa ngama-poultices: isikhwama sikakotini sigcwele amaqabunga, sigxishwe ku-boiler ephindwe kabili noma ku-colander ngaphezulu kwamanzi abilayo, sipholile kancane bese sifakwa ezinyaweni kuze kupholile ngokuphelele.
Ukususa ukuvuvukala, okuvame ukuhambisana nokuvuvukala kwezicubu zemilenze, ungasebenzisa i-decoction yefilseed. Izipuni ezimbili zembewu zifakwa ku-thermos, uthele uhhafu welitha lamanzi abilayo bese ugcizelela cishe amahora amathathu. Umhluzi uphuza 100 g kathathu ngosuku.
Iziphetho
Esikhathini sikashukela, ubuhlungu bomlenze bungabangelwa ukulimala kwemithambo yegazi, izinzwa kanye nokuhlangana, izifo zokukhunta kanye namagciwane, kanye nokuntuleka kwezinto zokulandela. Ngaphandle kokubonakaliswa okuhlukahlukene okunjalo, imbangela yobuhlungu iyodwa - ushukela wegazi ophakeme, ngakho-ke, ukwelashwa okusebenzayo akunakwenzeka ngaphandle kokwelashwa okufanele kwesifo sikashukela.
Yini okufanele ngiyenze uma imilenze yami ibuhlungu ngesifo sikashukela:
- Vakashela i-endocrinologist ukuze ushintshe irejimeni yokwelashwa kwangaphambili yesifo sikashukela.
- Thatha ukuhlolwa ehhovisi lodokotela wezifo zezinzwa ukuthola umonakalo wezinzwa.
- Thinta udokotela ohlinzayo ukuze ahlole ukusebenza kwe-vascular.
Le ndlela ehlanganisiwe kuphela ezosiza ngokuphelele ukuqeda ubuhlungu bomlenze nokuvimbela ukuvela kwabo esikhathini esizayo.
