Abantu abaphila nokuxilongwa okungemukeleki okufana nesifo sikashukela baba namabala emilenzeni yabo lapho bexuba lesi sifo. Lokhu akugcini ukubukeka kwesiguli kuphela, kodwa futhi kusebenza njengokubonakaliswa okuyingozi kwe-hyperglycemia ene-cell metabolism ephazamisekile. I-Endocrinologists incoma ngokuqinile ukuthi ubheke ngokucophelela isimo sesikhumba, ikakhulukazi emaphethelweni aphansi, ngoba kulapho lapho i-pathologies enesifo sikashukela sivame ukukhula khona. Kungenzeka yini ukuthi ugweme izimpawu ezingathandeki, futhi uzisuse kanjani?
Kungani amabala avela kushukela
Imivimbo ehlukahlukene namabala emikhawulweni engezansi avela ngaphansi kwethonya lezinto eziningi eziphikisayo. Imbangela ejwayelekile yezinqubo ze-pathological ukugula okungama-metabolic okwenzeka kushukela. Ama-capillaries amancane kunazo zonke ohlelweni lokujikeleza, ngenxa yokuqongelela inani elikhulu lezinto ezi-glycosylating, ayathinteka, avinjelwe, futhi aphanjaniswe. Ngenxa yalokhu, amangqamuzana nezicubu ze-epithelium azitholi izakhi ezidingekayo kanye nomoya-mpilo, okuvusa ukukhula kwe-angiopathy - ushintsho ekugqokeni kwesikhumba.
Umthombo wobubi ungabuye ulele ezithweni zokukhunta, isikhumba esidalwa ngamagciwane. Lapha, imivimbo kanye namabala avela ngenxa yokungatheleleki kokugonywa komzimba. Isidalwa esenziwe buthakathaka yisifo sikashukela ngeke sisakwazi ukumelana ne-microflora ye-pathogenic sihlasela, futhi iba yindawo yokuzalanisa amagciwane.
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%
Ukuthuthukiswa kwesikhumba
Izindawo ezibomvu emaphethelweni aphansi azihlali zibonakala kwisifo sikashukela. Okuningi kuncike eminyakeni yobudala, izinkomba zeglucose, ukubekelwa phambili kwefa. I-pathologies yesikhumba ingabonakala ngendlela yabo: ngesimo sezindawo ezinama-cyanotic, amabhulukwe, ukwakheka kwezilonda, izindawo ezimnyama ezinebala.
I-pathology lapho kwakhiwa khona amabala abomvu endaweni yemilenze ibizwa ngokuthi i-dermatosis. Ngaphansi kwaleli gama kunezinhlobo eziningana zezifo, ezinye zazo eziyingozi empilweni yomuntu onesifo sikashukela:
- I-dermopathy ingukugula okuvela ngenxa yezinqubo ze-pathological ezenzeka emikhunjini emincane. Amabala, ansundu, akhiwa emilenzeni, ambozwe ngesikali esingenamikhawulo. Ngasikhathi sinye, izisulu azizizwa zimbi kakhulu, futhi azikhonondi ngempilo yazo.
- I-Lipoid necrobiosis, okuyinto eyivelakancane. Isizathu sokukhula kwayo ku-carbohydrate metabolism. Kulokhu, imilenze engezansi iyahlupheka. Okokuqala, ubomvu buvela, khona-ke amabala aphenduka aluhlaza okwesibhakabhaka, amnyama, ambozwe ngezilonda futhi abangela inkathazo enkulu esigulini. Akunakwenzeka ukushiya lesi sifo singanakekelwa, kanye nokuzindla.
- Isifo sikashukela sikashukela, esibonakala ngokuvela kwamaqhubu angasho lutho. Iyaqhubeka, imbozwa amanxeba abuhlungu, angalapheki.
- Amaqhuqhuva esifo sikashukela ayinkinga ejwayelekile yesifo sikashukela. Izindawo ezibomvu, ezivuvukalanga ezifana nefomu lokushisa esikhunjeni.
- I-Xanthomatosis - ibonakala ngokuvela kwama-rashes aphuzi. Imvamisa lokhu kuqubuka emzimbeni kukhula nge-cholesterol ephezulu.
- I-Dystrophy yesikhumba, ebonakala ngokubonakala kwamabala ansundu. Kwenzeka ezigulini ezikhuluphele. Ngokunyuka kwesisindo somzimba, amabala nawo ayakhuphuka.
- I-Neurodermatitis, okuyisibonakaliso sokuthuthuka kwesifo sikashukela, siqhubeka ngendlela esezingeni eliphezulu.
Isikhunta
Ngokuyisisekelo, ukugoqa emilenzeni onesifo sikashukela kwenzeka uma imithetho yokuqala yenhlanzeko nesimo sokunganaki kwesiguli emzimbeni wakhe singabhekwa. Ngokulunywa, uphawu, ama-microcracks, amanxeba amancane, isikhumba esomile, ukuntuleka kokunakekelwa kwezinyawo kunomthelela ekusakazweni kwezifo zokukhunta nokungena kwamagciwane egciwane ezindaweni ezithintekile.
Ngokukhuluphala, iziguli zivame ukukhulisa i-candidiasis emphethweni we-epidermis. Okokuqala, isiguli sizwa ukulunywa okungenakunqotshwa - bheka i-athikili yokulunywa kwesikhumba kwabanesifo sikashukela. Amagciwane abangela ukubonakala kwama-microcracks nokuguguleka zihlala ezindaweni zesikhumba ezilimele kusuka ekuqaleni. Zihlala zimanzi, zimbozwe ukuqhuma okumhlophe namabhungane. Inqubo ye-pathological uma ingekho yokwelashwa okunekhono ingahudula isikhathi eside, njengoba amabhuthi aqhuma futhi akha amanxeba amasha okuguguleka.
Kubalulekile! Ukutheleleka kwe-Streptococcal ne-staphylococcal kuyingozi ikakhulukazi. Izilonda ze-peptic, amathumba, i-pyoderma, nezinye izindlela zokuvuvukala ku-mellitus yesifo sikashukela zenzeka ngendlela eyinkimbinkimbi, futhi zidinga ukuqiniswa kwezinto ze-glycosylating egazini. Ezigulini ezethembele ku-insulin, kunesidingo somthamo owengeziwe we-hormone.
Ukuhlolwa nokuthi ngubani ongaxhumana naye
Ngezilonda zesikhumba ezithathelanayo nezikhunta, umuntu onesifo sikashukela kufanele avele kudokotela wesikhumba. Ngemuva kokuhlolwa kokuqala kokubonakalayo, uzodlulisela isiguli ekuhlolweni kwegazi ukuthola ukunqwabelana kwe-glucose, futhi nangendlela yokuxilonga eyingqayizivele izonquma uhlobo lwesifo sesikhumba.
Uma isiguli sinama-pustule, ukuqina esikhumbeni, sikhononda ngokulunywa, ukoma nokukhonkotha kwezindawo ezithintekile zomzimba, kuthi ukuqubuka kugcwale okuqukethwe okusobala, khona-ke lokhu kungukutheleleka kwesikhunta. Uchwepheshe ezimweni ezinje angayiqondisa ukuthi ishaxaze ingxenye ethintekile yesikhumba.
Ungayiphatha kanjani imichilo yesikhumba onesifo sikashukela
Udokotela ukhetha ukwelashwa ngakunye kwesiguli ngasinye, kuya ngohlobo lwenqubo ye-pathological kanye nobunzima.
Imvamisa nge-dermatitis, protocol yokwelashwa ifaka:
- i-normalization ye-glucose yegazi;
- ukudla;
- ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, ukugcotshwa kwama-antibacterial, ama-analgesic gels, ama-anti-allergic nama-antihistamines.
Ukuze uqinise amasosha omzimba, kunqunywa izifundo zokwelashwa ngamavithamini. Ngaphezu kwalokho, udokotela wamazinyo noma i-endocrinologist angatusa ukugcotshwa kwamafutha okugcoba:
- I-Bepanten, isetshenziselwa ukomisa ngokweqile, ubomvu, imichilo, imifantu;
- I-Methyluracil, isindisa amanxeba okuphulukisa kabi nezilonda zesifo sikashukela;
- Ukuphindisela, okusetshenziselwa izilonda zesikhumba se-purulent kanye nezilonda ze-trophic;
- I-Solcoseryl, ikhambi le-gel elisiza ngamabala amanzi namafutha - ngezilonda ezomile zesikhumba emilenzeni;
- I-Ebermin umuthi owelapha ngempumelelo izilonda ze-trophic ezivame ukuvela kwisifo sikashukela i-mellitus.
Ngezifo zokukhunta, okulandelayo kuchaziwe:
- izidakamizwa ze-antimycotic, isibonelo, i-Lamisil, i-Nizoral inyanga eyodwa;
- ukwelashwa kwezindawo eziyinkinga ngesisombululo se-sodium thiosulfate;
- ukusetshenziswa kwezimpawu zemithi ye-antifungal, ngokwesibonelo, iMiconazole, inyanga;
- ukulandela ukudla okuqinile;
- ama-antihistamines adambisa umuzwa wokubekezelela ongabekezeleleki.
Ungasigcina kanjani isikhumba sakho siphilile
Ukuze ungabhekani nezinkinga zesikhumba ngesifo sikashukela, kuyanconywa:
- unakekela umzimba ngokuhlelekile futhi uhlole imilenze nsuku zonke ukubonakala kwamaphashaza namabala;
- Sebenzisa insipho engaqukethe izithasiselo zomakha;
- ungathathi okugeza okushisayo okumisa kakhulu i-epidermis;
- yomisa isikhumba ngemuva kwezinqubo zamanzi;
- gwema ukulimala esikhunjeni nama-cuticle lapho unakekela izipikili;
- Sebenzisa amasokisi emvelo nezicathulo ezisezingeni eliphakeme eziphefumula ezivumela umoya wezinyawo;
- ukunakwa okukhethekile kufanele kukhokhwe ezindaweni ezihlangene, kusetshenziswa izimonyo zokwelapha nezomswakama;
- vimbela ukubukeka kwesisindo ngokweqile;
- kwama-callus nezithelo, sebenzisa ukhilimu onokuqukethwe okuphezulu kwe-urea;
- ukomiswa kwesikhumba akufanele kuvunyelwe, okuzogwema ukubonakala kwemifantu futhi kunciphise amathuba okutheleleka nge-microran.
Lapho nje isiguli sithola izimpawu ezesabekayo zezifo ezithinta isifo sokuqaqamba kwamalunga omzimba, kufanele ufune usizo lodokotela ngokushesha ukuvimbela izinkinga.
Izinkinga
Ngokuphulwa okukhulu kokujikeleza kwegazi kwemilenze, isimo esiyingozi singakhula - isifo sikashukela esihlasela, sithinta iminwe nezithende. Izindawo ezimnyama zibonakala mnyama mnyama, zakha indawo eyi-necrotic, ihlukanisa nezindawo ezinempilo ezinomngcele obomvu okhanyayo. Uma kungekho ukwelashwa okufika ngesikhathi, kuzodingeka izindlela zokwelashwa zekhadinali - ukunqunywa komlenze ukugwema i-sepsis.
Izindawo ezibomvu zivame ukuvela ezinyaweni zabanesifo sikashukela, futhi kunezizathu eziningi zokuvela kwazo. Ukwelashwa okukhethwe kahle kuphela kanye nokuxilongwa okufika ngesikhathi kuzosiza ukugwema imiphumela emibi futhi ubuyisele ukubukeka okuhle kwemilenze.
