Izinga le-glucose ephezulu ngenxa yokulungiswa okunganele kwesifo sikashukela i-mellitus kuholele ekulimaleni kwemithambo yegazi nasemithanjeni yezinzwa. Izilonda ze-Trophic emilenzeni iyisibonakaliso esihle kakhulu salokhu kuphazamiseka. Ukuvuvukala okungaguquki kwe-purring ezinyaweni kuholela ekukhubazekeni okujulile epithelium, izicubu, kanye nezigaba ezinzima, nezicubu zamathambo. Ngenxa yokungondleki kwamangqamuzana endaweni ethintekile, ukwelashwa kwezilonda ezinjalo kuyinkimbinkimbi futhi yinde.
Ngemuva kokululama ngenxa yokulahleka kwengxenye yezicubu, izibazi ezibanzi zihlala, ngokuphathwa ngokungafanele kwamanxeba womabili nesifo sikashukela, izilonda ezivela ezigabeni zokuqala zikhula zibe yisilonda esiyinkimbinkimbi sezicubu zemilenze, esibizwa ngodokotela ngonyawo lwesifo sikashukela. Iziguli ezinesifo sikashukela zilahlekelwa amandla okuhamba ngokuzimela, zingalahlekelwa imilenze ngenxa yokuqalwa kwe-gangrene, futhi zize zibulawe yi-sepsis. Imiphumela emibi ingavinjelwa ezigabeni zokuqala zokwephulwa, kulandela imithetho elula yokuvimbela izilonda zesifo sikashukela.
Kungani izilonda zomlenze zivela kwabanesifo sikashukela
I-Trophic iyinkimbinkimbi yokuhlinzeka ngezicubu zomzimba ngokudla okudingekayo, ngenxa yokuthi ikwazi ukusebenza ngendlela evamile futhi ilulame ngesikhathi esifanele. Izilonda ezenzeka kwisifo sikashukela zibizwa nge- trophic, ngoba zakha ngenxa yokuntuleka komoya-mpilo kanye nezakhi ezicutshini. Lesi sifo sikhula ngokuphuma okungalungile kwemikhiqizo yokungcola kweseli.
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%
Ukulimala komgogodla, ukuphazamiseka kwegazi nokujikeleza kwe-lymphatic kungabangane ababalulekile besifo sikashukela esingafakwanga ushukela. Izinga lokuthuthukiswa kwama-pathologies lincike ezimfanelweni zomzimba wesiguli. Kepha ungaqiniseka ukuthi uma ushukela wegazi uvame ukwedlula okujwayelekile, ngokushesha kuzophuma izilonda esikhunjeni.
Ngohlobo 2 lwesifo sikashukela, amathuba okuba nezilonda ezisethweni eliphakeme kakhulu, ngoba isikhathi eside asymptomatic, futhi iningi leziguli lingabantu asebekhulile abanama-tishu angondlekile ngenxa yesisindo ngokweqile kanye nenqwaba yezifo ezihambisanayo.
Izimbangela zezilonda zokuqala kwisifo sikashukela mellitus:
- Isifo sikashukela sikashukela - Ukubhujiswa kwemikhumbi emincane ngenxa kashukela omningi egazini. Ukujikeleza kwegazi kuyaphazamiseka kwezicubu zemilenze, i-edema ivele ngenxa yokubhujiswa kwemithambo yegazi, izindawo ezinokudla okungenampilo kanye nenani elikhulu lezicubu ezixhunywayo. Kulezi zindawo, isikhumba siba rough, dries, peels, itches. Ukugxila kwezicubu necrosis kwakhiwa kancane kancane.
- Ukulimala kwemishini esikhunjeniezingaphathwanga ngama-antiseptics ngesikhathi futhi azange ziphathe. Amanxeba amancane nokulimala okudlula kubantu abanempilo enesifo sikashukela kuphulukisa kakhulu. Uma kungalashwa futhi kunegciwane, kuba yizilonda ezikhuluphayo.
- Ukucasuka okwenziwa isikhathi eside kwendawo yesikhumba - ukuhamba ungafake zicathulo ebhishi eliwugqinsi noma notshani, olungafanelekile ngosayizi, ukuhudula izicathulo ngesifo sikashukela kuholela ekubonakaleni kwamaqhubu, bese kuba nezilonda ezilinganiselwe. Nge-neuropathy yesifo sikashukela ezigulini, umuzwa wesikhumba ukhubazekile, futhi abakwazi ukuzizwa ungakhululekile futhi uvimbele ukuxubha imilenze.
Ungasibona kanjani isilonda se-trophic
Izilonda eziningi ze-trophic ku-mellitus yesifo sikashukela ziqala ngokusikeka okuncane nokukhahlela, imihuzuko, ama-scuffs noma ama-calluse. Amagciwane we-pathogenic angena esikhunjeni ngalezi zilonda, imvamisa kakhulu i-staphylococci. Ukuvuvukala kuqala, ukhunta ukhishwa esilondeni. Ukuqhuma kwezilonda, kuba manzi, kukhule kancane kancane, imiphetho yaso iba nzima. Isikhumba esiseduze naso siyashwabana bese siphenduka sibomvu. Uma isifo sikashukela siyinkimbinkimbi nge-neuropathy, izinhlungu zingahambelani nesigaba sokulimala kwezicubu noma zingabikho nhlobo.
Izindawo ezinamathuba aphezulu wokuqalwa kwesilonda se-trophic zingabonakala ngokubukeka kwazo kwesikhumba: isikhumba kulezi zindawo somile futhi sinwebekile, seluliwe, sivame ukuba namabala wobudala. Imvamisa, izilonda zesifo sikashukela zitholakala endaweni ngezinyawo, kepha uma kune-angiopathy enamandla, imilenze nayo ingathinteka.
Izigaba zezilonda nezimpawu zazo
Engxenyeni yeziguli ezinesifo sikashukela esiwohlokile, izimpawu zokuqala zokuphazamiseka kwephrophic esikhunjeni semilenzeni zivela unyaka ngemuva kokuqala kwalesi sifo. Ezimweni ezimbi kakhulu, ukuqhubekela phambili kokuphazamiseka kusuka esigabeni sokuqala kuya ku-gangrene kuthatha izinyanga ezimbalwa.
Izigaba zoshintsho olungelutho ku-mellitus yesifo sikashukela nokubonakaliswa kwesimo sazo:
| Isiteji | Izinguquko Zamatende | Ukubukeka | Izimpawu ezihambisana nazo | |
| № | Isici | |||
| 0 | Izinguquko ezedlule | Ukwephulwa kokudla kwezicubu nokwabiwa kwazo. | Ukuvuvukala kwezinyawo, ukucwazimula kwesikhumba: i-pigmentation, ubomvu noma ukugquma. | Kwehliswe ukuzwela kwesikhumba. Ubuhlungu obuhlala isikhathi eside ezinyaweni namathole, imvamisa ebusuku. |
| 1 | Isigaba sokuqala | Ukuvela kwamanxeba okuphulukisa kabi ebusweni besikhumba. | Isilonda sihlanzekile, izicubu ezizungezile zinempilo, ekuqaleni kokwelashwa, ukuthambekela kokuqina kubonakala ngokushesha, okuhlukaniswe nesilonda esinegazi. | Ubuhlungu abukho noma abubalulekile ngisho nalapho belapha isilonda. |
| 2 | Isigaba sokuboniswa okwandisiwe | Ukukhula kosayizi nokujula kwesilonda, amanoni nama-izicubu angaphansi kufakwa kwinqubo. | Kuvela isiqu - uqweqwe olomile olusuka kwizicubu ezifile, ukonakala kuba yi-purulent. Izindawo ezintsha ze-ulceration ziyavela eduzane. | Ubuhlungu obumenyeziwe abukho. |
| 3 | Inqubekela phambili yezinguquko zesilonda | Ukuvuvukala kuthinta izicubu zamathambo. | Izilonda eziningi ezibanzi ezinama-necrosis, ukuvuvukala okuhlanzekile. Ukukhuphuka kwepus, iphunga elingathandeki elivela emanxebeni. | Izimpawu zokudakwa - isicanucanu, ubuthakathaka, ukubanda. Ukwanda kobuhlungu. |
| 4 | I-Wet gangrene | Ukulahleka okuphelele kokusebenza kwezicubu, ukufa. | Umbala oluhlaza okwesibhakabhaka noma omnyama wezinzwane noma izingxenye zonyawo, amabhulashi anokuqukethwe kwe-purulent. | Ubuhlungu obukhulu, ingcindezi eyehlile, umkhuhlane ophakeme. |
Ukwelashwa kwezilonda ezikhuluphele (isifo sikashukela)
Ubunkimbinkimbi bokwelapha izilonda ezi-trophic ku-mellitus yesifo sikashukela kulele ekutheni ngenxa yokuphazamiseka kwegazi eligelezayo, izicubu cishe zingenawo amandla okuzelapha. Ngaphezu kwalokho, isifo sikashukela sinciphisa ukungatheleleki kweziguli futhi kwandisa ubungozi bomzimba kuma-bacterium we-pathogenic kanye nesikhunta.
Usizo olukhulu ekwelapheni izilonda luzoba ngukukwenza ushukela egazini kanye nokufinyeleleka kwe-hemoglobin ye-glycated - hhayi ngaphezulu kwe-6% yenani layo eliphelele. Ukuze lokhu kwenzeke, kubalulekile ukuthola ukudla okwanele kanye nokudla okufika ngesikhathi kwemithi ebekiwe. Ezimweni ezimbi kakhulu, isiguli sidluliselwa kumalungiselelo e-insulin noma ukulungiswa komthamo obekiwe ngaphambili.
Ukwelashwa kwangaphambilini kuqalile, kuba nethemba ngokwengeziwe ukuvuvukala kwalo. Kusebenza kahle kakhulu ukuqala ukwelashwa esigabeni esingaphambi kokuphazamiseka kwe-trophic.
Ukusetshenziswa kwemithi
Ukukhethwa kwezidakamizwa zokwelapha izilonda kwenziwa kakhulu ngawodwana, kucatshangelwa ukwephula okukhona.
Kusetshenziswa kakhulu:
- ama-anti-spectrum ama-antibiotic noma acabangele imininingwane yokutshala kokukhipha esilondeni;
- ukwelashwa kwe-antifungal;
- Ama-NSAIDs ukudambisa ukuvuvukala kanye nokudambisa izinhlungu;
- ama-antihistamines ukwehlisa ukulunywa;
- ama-antiplatelet agents anciphisa ukuvela kwegazi;
- ama-sedatives kanye nama-antidepressants ekwelashweni isikhathi eside kwezilonda nokuphazamiseka kokulala;
- izidakamizwa zokunciphisa umfutho wegazi;
- imali yokuxhasa ukusebenza kwemicu yezinzwa: i-alpha lipoic acid, amavithamini B;
- ama-statins ukulungisa i-lipid metabolism.
Ama-ejenti asendaweni asetshenziswa ngenkuthalo ekwelapheni izilonda ezindexekile. Ukwelapha isilonda kuqala ukwenziwa nsuku zonke, khona-ke imvamisa yokugqoka iyancipha ibe ngu-2 ngeviki. Okokuqala, isilonda sigezwa ngama-antimicrobial agents angalimazi ukwakheka kwezicubu ezintsha, ngokuvamile i-chlorhexidine noma i-miramistin.
Ukusetshenziswa kotshwala, okuluhlaza okotshani, i-iodine nezinye izakhi zomdabu zokwelapha amanxeba akuvunyelwe ngokuphelele.
Ngemuva kokuhlanzwa, amanxeba okupholisa amanxeba (Pronosal, Iruksol, Solcoseryl) abekwa ngaphakathi kwezilonda. Ukusetshenziswa kwama-bandage ajwayelekile kuyinto engathandeki, ngoba anamathela ebusweni besilonda futhi, lapho sisusiwe, kulimaza kakhulu umonakalo. Okuthandwa kunikezwa imbobo ekhethekile yezinxeba, ezisuswa kalula futhi ezingashiyi i-villi esilondeni.
Ukwelashwa komzimba
Ukwelashwa komzimba wezilonda kuhloswe ngawo ukubuyisela ukunikezwa kwegazi endaweni ethintekile, ukusheshisa ukuvuselelwa kwezicubu, nokususa ukuvuvukala.
Izindlela ezisetshenzisiwe:
- Ukwelashwa kwe-Magnetolaser. Kusetshenziswa umfutho obomvu wemisebe, lapho kukhona ama-scabs - infrared. Indawo yonke yesilonda sikashukela ivuthwe ngokubanjwa kwezindawo ezingomakhelwane.
- I-Electrophoresis ukwenza ngcono ukungena kwezidakamizwa, iningi lama-antibacterial agents. Ukusheshisa ukuhlanzwa kwesilonda kusuka kwizicubu ezifile, ama-enzymes ama-proteinolytic angasetshenziswa, futhi amavithamini ne-zinc angasetshenziswa ukukhuthaza ukuphulukiswa.
- Ukwelashwa komoya-mpilo - Ukwelashwa kwe-oksijini egumbini elikhethekile, kusiza ukudambisa ukuvuvukala, kunciphisa inani lama-radicals mahhala endaweni yomonakalo.
Ukuhlinzwa
Ukwelashwa kokuhlinzwa kusetshenziselwa ukuqhubeka kwezinguquko zezilonda zangaphakathi naphezu kokulashwa kokuqina. Kuqukethe ukususwa kwezicubu ezifile kanye nokufakwa kwama-catheter ezilondeni zokuphulukisa ezingahambi kahle. Ukwelashwa kwe-vacuum kungasetjenziswa - ukuhlanza kusuka ebuswini ngaphandle kokunwebisa isilonda, ngenkathi ukujikeleza kwegazi kuzungeze isilonda kuthuthuka futhi ukuvuvukala kuyakhululeka.
Ukungenelela kokuhlinzwa kwepulasitiki kusetshenziselwa ukwelapha ukuphulukisa izilonda ezikhulu ze-trophic: ingaphezulu lesilonda livaliwe ngentambo yesikhumba ethathwe kwisiguli endaweni enempilo. Ngokuthuthukiswa kwe-gangrene noma ukutholakala kwayo okuphezulu, kusetshenziswa izindlela ezinkulu - ukunqunywa kwezinzwane noma lonke unyawo.
Amakhambi e-Folk ekwelapheni izilonda zomlenze
Imvamisa, ukungabikho kobuhlungu kwezilonda zesifo sikashukela kuholela ekuxhumaneni sekwephuzile nodokotela. Sonke lesi sikhathi, amanxeba abezanywa ngokuhluleka ukuphulukisa ngezindlela zabantu kuze kube yilapho lesi sifo sidlulela ezigabeni ezinzima.
Ukwelashwa kwezilonda ezisesithweni ngamakhambi kungaqondiswa kuphela esigabeni sezinguquko zokuqala, kuzo zonke ezinye izimo kungenye yezinyathelo ezisendleleni yokunqanyulwa umlenze. Umuthi osemthethweni ekwelapheni amanxeba uphumelela kakhulu kunabantu.
Ukwenza ngcono ukuphulukiswa kwesilonda, kusetshenziswa ama-decoctions ezitshalo anomphumela we-bactericidal: ikhemisi le-chamomile, i-tatarnik, i-calendula, ukulandelana, i-celandine. Ijusi le-Aloe lingasetshenziswa njenge-ejenti yokuvuselela amandla. I-infusions yotshwala kanye nama-decoctions ayikwazi ukusetshenziswa hot. Uma isilonda singapholi ngeviki, ukwelashwa kufanele kuqhubeke esikhungweni sezokwelapha.
Ukuvimbela
Ukuze ulondoloze impilo yomlenze kushukela, kufanele:
- Ngokudla nangokulashwa kwezidakamizwa, finyelela ushukela ozinzile wegazi ngaphakathi kwemikhawulo ejwayelekile.
- Gwema ukukhathala ngokweqile.
- Sebenzisa i-moisturizer nsuku zonke.
- Khipha uhamba ngezinyawo ezingenazo izicathulo.
- Khumbula amathuba we-neuropathy kwisifo sikashukela, okuholela ekuzweleni okungathinteki: hlola izicathulo lapho uthenga izindawo zokuhlikihla, unikine izicathulo njalo ngaphambi kokunikela, hlola njalo imilenze ngomonakalo.
Funda ngokuphetha: Izinkinga ezivame kakhulu emlenzeni kushukela
