Ukuthathwa koshukela okulimala okungapheli kanye nokuntuleka kwe-insulin hormone ezigulini kubangela izinkinga eziningi ezahlukahlukene. Ukugula kwemilenze enesifo sikashukela kukhula kaningi. Umsebenzi kadokotela nesiguli ukunciphisa ubungozi be-pathologies, ngoba lapho umuntu emdala, kulapho amathuba okuba nomonakalo emikhawulweni ephansi.
Kungani Type 1 and Type 2 Diabetesics Wana Izinkinga Zomlenze
Njengoba isifo sikashukela sinikeza izinkinga emilenzeni, ukwelashwa kuyadingeka, ngaphandle kwalokho imiphumela ingaba yimbi kakhulu (kuze kube ukunqanyulwa). Ushukela ophezulu wegazi uyingozi kakhulu emzimbeni. I-glucose ekugxilweni okujwayelekile inika amandla futhi ithuthukise imisebenzi ebalulekile yezitho nezinhlelo, kepha kushukela, yona, kunalokho, ithatha amandla, ichitha amasistimu wezinzwa nezinzwa.
Imilenze ikude nenhliziyo, ngakho-ke zithinteka kakhulu ukukhula kwezinkinga zesifo sikashukela sohlobo 2. Ngenxa yokujikeleza kwegazi okungekuhle nokuzivocavoca ngokomzimba nsuku zonke, izinqubo ze-pathological zenzeka ezinyaweni. Ngezinga elikhulayo lezinto ezi-glycosylating, i-myelin sheath ye-nerve fibers ibhujiswa kancane kancane, kuyilapho inani lezinzwa ze-nerve lincishiswa kakhulu.
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%
Enye inkinga engathandeki yemilenze ukushiswa kwemithambo yegazi. Ukuvalwa kwe-capillaries kubangela imiphumela emibi: ukuhamba kwegazi eziseleni kuya ngokuya kukhula, imithambo iphelelwe, ikhubazeke, ibe mncane futhi kuqhume. Ukudla kwezicubu kuyaphela, amaseli abo ayafa kancane kancane, agcwele i-gangrene.
Izimbangela eziphambili zokuphazamiseka kwezitho zomzimba eziphansi kusifo sikashukela zifaka:
- Ama-pathologies we-vascular aholela ku-tishu hypoxia;
- i-neuropathy, ebonakala ngokuncipha kokuzwela nokuqina kwemilenze;
- ukukhuluphala, okudala umthwalo ngokweqile emathanjeni nasemisiphani;
- ukubhema nokungasebenzi ngokomzimba.
Kubalulekile! >> Kungani abantu abanesifo sikashukela beqala ukulimaza imilenze yabo nokuthi babhekana kanjani nobuhlungu - sitshele lapha
Uhlobo luni lwezilonda ezithintwa yimilenze yabanesifo sikashukela
Imvamisa, iziguli ezinenkinga yomlenze ku-mellitus yesifo sikashukela zihlotshaniswa:
- ukhunta wamapuleti izinyawo nezinyawo;
- i-gonarthrosis;
- gangrene (necrosis);
- unyawo lwesifo sikashukela;
- imifantu ejulile engapholi;
- isifo sikashukela polyneuropathy.
Konke lokhu kugula kudinga ukwelashwa okusheshayo nokunele. Esigabeni esithuthukile, kunzima kakhulu ukubasusa, ikakhulukazi ukubhekana nezimpawu zabo ezibuhlungu.
Isifo sikashukela
Ama-80% ohlobo 2 lwesifo sikashukela asaziyo lesi sifo. Ukushintshwa kwezifo ezithinta umzimba kuthinta isikhumba samathambo, izinzwa, nokujikeleza kwezinyawo. Lesi sifo singasiholela ekwakhekeni kwezilonda zezicubu, zivame ukwanda zibe yi-gangrene.
Isifo sikashukela sonyawo sikhula ngo:
- isifo sikashukela se-neuropathy;
- ukulimala kwemithambo yegazi;
- ukutheleleka, okuvame ukuhambisana nezinto ezimbili zokuqala.
Kwezimpawu ezibonisiwe ze-pathology, kukhona:
- ukuqina okungapheli kwemilenze okubangelwa ukuguquguquka konyawo;
- ubomvu besikhumba elizungeze isilonda;
- ukuvuvukala kwemilenze, okubonisa inqubo yokuvuvukala;
- ukuntuleka kwezinwele okhalweni nasezinyaweni;
- ukuqina nokubhoboza isikhumba;
- ukushuba kwemilenze;
- i-ingingth yesipikili;
- ukukhula kwama-plantar (noma ama-warts);
- isikhunta sezipikili.
Ungaluthola kanjani unyawo lwesifo sikashukela ngesikhathi, izindlela zokwelashwa kwalo nezindlela zokuthibela - funda imininingwane lapha
Izilonda zesikhunta
Ochwepheshe bafakazele ubudlelwano obuphakathi noshukela wegazi ophezulu kanye nesikhunta sonyawo. Esikhathini sikashukela, iziguli kufanele ziqaphele kakhulu ngesimo sesikhumba ezinyaweni zazo.
Izici ezivusa ukukhula kwesifo zihlanganisa:
- ukudangala kokungazethezeki;
- isifo sikashukela se-polyneuropathy;
- angiopathy.
Udinga ukufuna usizo lwezokwelashwa uma ukonakala kubonwa esikhathini sentwasahlobo-sasehlobo. Ngasikhathi sinye, kukhona ushintsho kumbala kanye nokwakheka kwezikhonkwane kwiminwe emincane nezithupha. Esikhathini esizayo, lapho isikhunta siphindaphindeka futhi siqala ukuhlasela izindawo lapho kuxazululwe khona, isikhumba sonyawo sizoqala ukubomvu, sicwebe, bese imifantu ivele phakathi kweminwe, ihlale iluma futhi ingapholi.
Isifo sikashukela se-polyneuropathy
Lesi sifo sivela ezigulini ezineminyaka engama-5 ukuya kwengama-10 ngemuva kokudalwa kwesifo sikashukela sohlobo 2. Lokhu kungukuhlulwa kohlelo lwezinzwa, oluthathwa njengezinkinga eziyingozi kakhulu kushukela wanoma yiluphi uhlobo. Inqubo ye-pathological iqala ngenxa yendlala ye-oksijini yamangqamuzana ezinzwa, abhekele ukondliwa kwama-capillaries amancane, athambekele kakhulu ekubhujisweni.
Kunezigaba eziningana zalesi sifo:
- Subclinical, okungenzeka ukuthi lowo ohlukumezekile ngokwakhe angakuboni nakancane ekuqaleni. Udokotela wezinzwa kuphela ngemuva kokuxilongwa kahle wenza ukuxilongwa uma eveza ukwehla kokuzwela kokushisa, ubuhlungu, ukudlidliza.
- Isigaba somtholampilo, esibonakaliswa yibuhlungu besikhathi esithile emilenzeni, ukuqina kwamalunga, ukuzwela okungahambi kahle. Ngefomu le-amyotrophic, isiguli sikhononda ngobuthakathaka bemisipha nobunzima bokuhamba.
- Isigaba sesithathu, esinzima, esihambisana nokubonakala kwezilonda esikhunjeni sezinyawo. Ku-15% walezi ziguli, izindawo ezithintekile ziyanqunywa ukuze kugwenywe ubunzima.
Kubalulekile: Isifo sikashukela se-polyneuropathy yemikhawulo ephansi - izibonakaliso zokuthuthuka kwezinkinga nokuthi wenzeni ngazo.
I-Gonarthrosis
Lokhu kugula kuhambisana nokubhujiswa kancane kancane, ukuguquguquka, ukugcotshwa kwe-cartilage ye-hyaline etholakala edolweni. Iziguli zinemilenze ebuhlungu, kubuhlungu futhi kunzima ukuhamba. Izici eziphambili ezibangela i-arthrosis yizinkinga zemithambo yegazi.
Ngenxa yobukhulu bayo nokubonakala kwayo, igazi lesifo sikashukela lihamba kancane embhedeni we-vascular futhi linikeze kahle amaseli anezakhi kanye ne-oxygen. Inqubo yokususa ubuthi nobuthi nayo iyinkimbinkimbi, enomthelela ekwakhekeni kobuthi obuyingozi kanye nokuvuvukala.
Ngaphezu kwalokho, 85% yeziguli ezinesifo sikashukela zikhuluphele. Umthwalo owengeziwe ekuhlanganeni kwamadolo owenziwe ngethambo kanye ne-cartilage hypoxia kuholela kwi-gonarthrosis (arthrosis of the knee joint).
Imifantu ezinyaweni
Enye yezinkinga ezijwayelekile emlenzeni kushukela ukubukeka kwemifantu endaweni yesithende. Lokhu kukude nesiphazamiso sokugcoba esingaphathwa kalula ngokusebenzisa i-pedicure. Ukuqhekeka okujulile okungapholi ezinyaweni kusongela ukungena kwezifo namagciwane, okugcwele ngenxa yezinkinga ezinkulu.
Ngesifo sikashukela, kungekudala, iziphetho zezinzwa emaphethelweni aphansi ziqala ukubhidlika, cishe njalo ezihambisana nokwanda kwesikhumba esomile kanye nesikhumba esomile. Ngenxa yalokhu, ukuqhekeka kwesikhumba, kuvela amanxeba. Uma kungaqalwa ukwelashwa ngesikhathi, kungenzeka kukhubazeke unyawo, i-gangrene kanye ne-ulcer.
Futhi uyazi ukuthi ukuze uvikele imilenze yesifo sikashukela kusuka ezinkingeni ezingadingekile, kunconywa ukugqoka amasokisi akhethekile anesifo sikashukela.
IGangrene
Ukulimala komzimba okwenzekile kuthinta kabi zonke izitho zomzimba. Ngokwezibalo zezokwelapha ezidumazayo, zonke izisulu zesibili zibhekene nenqwaba yama-pathologies ahambisana nesifo sikashukela. Enye yezinkinga ezinkulu zesifo sikashukela yi-tisc necrosis ngenxa yokuphazamiseka kwegazi emzimbeni wezicubu (i-gangrene).
Kwezimpawu eziphambili zenqubo ye-pathological, kungaphawulwa:
- ukucwazimula kwesikhumba (i-cyanosis, ubomvu, mnyama);
- ukulahleka kokuzwa kwezinyawo;
- izinhlungu ezibukhali, ubuthakathaka lapho uhamba (isiguli sikhononda ukuthi imilenze yakhe yehluleka ngokweqiniso);
- ukudumba kwesitho esithintekile;
- izinga lokushisa eliphansi endaweni yenkinga;
- ukubonakaliswa njalo kwezifo zokukhunta.
Ukwelashwa izitho eziphansi kwesifo sikashukela
Ngemuva kokuxilongwa, udokotela utshela ngokuningiliziwe ukuthi ungazelapha kanjani imilenze ngesifo sikashukela. Lapho isifo sikashukela se-polyneuropathy senzeka, isiguli kufanele:
- shiya imilutha (ukubhema nokuphuza utshwala onesifo sikashukela akwamukeleki);
- lawula i-carbohydrate metabolism;
- thatha i-aldose reductase inhibitors nama-angioprotectors alungisa i-microcirculation yegazi futhi anciphise umphumela we-glucose kwimicu yezinzwa;
- phuza amavithamini athuthukisa ukudluliswa kwezifiso ze-nerve.
Ngaphezu kwalokho, i-hemosorption, i-plasmapheresis, i-enterosorption, i-anticonvulsants, inqubo yokuzivocavoca umzimba, imassage, ukwelashwa kokuzivocavoca kunqunyelwe. Uma unyawo lonakele, i-orthopedist ithatha izicathulo ezikhethekile nama-insoles.
Ngokutheleleka kwamafungal emilenzeni, odokotela batusa ukusetshenziswa kwe-hydrogen peroxide, chlorhexidine noma i-antifungal creams ointments, i-lotion. I-iodine, oluhlaza okhanyayo ne-potassium permanganate ayinconywa. Ukwelashwa kwesikhunta sonyawo kungahlala isikhathi esingangonyaka, kuye ngezinga lesifo kanye nobungako bomonakalo owenziwe esikhunjeni nasesipikili sepikili.
Ukwelashwa kwe-arthrosis yamadolo kususelwa ekusetshenzisweni kwe:
- ama-chondroprotectors, abuyisela izicubu ze-cartilage. Kodwa uma lesi sifo sisesigabeni esithuthukile, futhi i-cartilage yamadolo ichithwa ngokuphelele, le mishanguzo ngeke isize;
- izidakamizwa ezilwa nokuvuvukala ezinciphisa ukuvuvukala, ukunciphisa ukuvuvukala, ukumisa izinhlungu;
- izidakamizwa ezinciphisa ukugeleza kwegazi futhi zidambise ukuqina kwemisipha.
Ezimweni ezisezingeni eliphakeme, kwenziwa umsebenzi. Kepha kungcono ukungakulethi ukuhlinzwa, ngoba ukuvuselelwa kwezicubu ezigulini ezinesifo sikashukela sohlobo loku-1 kuhamba kancane futhi kubi kakhulu kunakujwayelekile kubantu.
Lapho kuvela imifantu ejulile engapholi, odokotela banquma okhilimu abakhethekile, ama-balms, ama-lotion, okokugcoba, okugeza, ama-compress ezigulini:
- i-petroleum jellyukuthambisa, ukuthambisa amagciwane, ukuthambisa isikhumba. Ukusetshenziswa njalo kwalo mkhiqizo ngemuva kokugeza okufudumele kukuvumela ukuba upholise ngokushesha imifantu ezinyaweni;
- amafutha emifino - Ithuluzi elihle kakhulu lokwelapha amanxeba ajulile. Njalo ukuqhekeka kugcotshwe kubo ngokugcwele, bese kubekwa phezulu umdwebo wekotini ngaphezulu;
- cindezela uphalafini yenza ngokuncibilikisa uphalafini omncane kubhavu wamanzi. Njengoba sele ipholile, ifakwa endaweni ethintekile, bese kufakwa amasokisi ahlanzekile phezulu.
Nge-gangrene, indlela yokuhlinzwa yokwelashwa ivame ukusetshenziswa, okuholela ekulahlekelweni kwamandla okusebenza nokukhubazeka. Ngakho-ke, kuzibonakaliso zokuqala ze-pathology eziyingozi, kuyadingeka ukuthatha zonke izindlela zokuyiqeda.
Ukuvikelwa kwezifo sikashukela sikashukela
Ukuvimbela ukulimala emlenzeni ukuthi kungakhuli ngohlobo lwe-2 yesifo sikashukela, kufanele kuthathwe izinyathelo ezilandelayo zokuthintela:
- yenza yonke imizamo ukunxephezela lesi sifo esiyisisekelo (isifo sikashukela);
- ukulawula umfutho wegazi;
- gqoka izicathulo zemvelo ezisezingeni eliphakeme, ezikhethwe ngosayizi;
- geza izinyawo zakho nsuku zonke futhi uhlole izinyawo ngobuqotho besikhumba;
- gwema ukukhuluphala, okulimaza kakhulu isimo sesiguli futhi kuvuse ukuthuthukiswa kwezinkinga ezinzima ezihambisana nemilenze;
- Ungahambi ngezicucu endaweni yomphakathi (ukugeza, ukugeza, ichibi, ugu);
- ngemuva kokusikwa kwezipikili, sula iminwe nezinyawo zakho ngotshwala;
- thatha njalo umthamo owandayo wama-multivitamini nama-chondropojectors ukuvikela i-arthrosis ehlangene.
Njengoba unesifo sikashukela, kudingeka uqonde ukuthi kulula ukuvimbela ukwanda kwezinkinga kunokuzelapha ngemuva kwesikhathi. Ukucinga ngesikhathi esifanele usizo lwezokwelashwa, kanye nokuqaliswa kwezincomo nezinyathelo zokuvimbela kuzogwema imiphumela emibi futhi kubambezele ukuvela kwezinkinga ezihambisana nemikhawulo engezansi.
