Yini ebangela ubuhlungu bomlenze kushukela?

Kuyo yonke impilo, umuntu uhamba ibanga lamakhilomitha ayizinkulungwane eziyi-160, acishe afane uma uhamba uzungeza umhlaba amahlandla amane. Wake wazibuza ukuthi ungayihamba kanjani le ndlela ngomlenze owodwa noma ngesihlalo esinamasondo? Futhi lokhu kungcono kakhulu, ngoba ama-90% abantu abanesifo sikashukela ngemuva kokunqunywa umlenze phakathi neminyaka emibili yokuqala ngemuva kokuhlinzwa.

Ngabe i-gangrene ingagwenywa ngonyawo lwesifo sikashukela? Odokotela bathi noma yiluphi uhlobo lobuhlungu bomlenze kwisifo sikashukela yisizathu esihle sokuhlolwa okwengeziwe. Uma uqala ukwelashwa ngesikhathi futhi ulandela zonke izincomo, ukunqunywa kungagwenywa.

Siyazqonda izizathu

Kungani imilenze yami ibuhlungu ngesifo sikashukela? Enye yezidingo eziphambili ngonyawo lwesifo sikashukela - ubunzima bokuphazamiseka kwengqondo okwenzeka emaphethelweni ezinzwa, emithanjeni nasemithanjeni yesifo sikashukela. Lesi sifo senzeka ku-90% yabanesifo sikashukela abaphuthelwe ukuqala kwenqubo yokuvuvukala.

I-neuropathy yesifo sikashukela

Imvamisa, isisusa sezinzwa sidlula ekuphethweni okuphathelene nezinzwa kuya ezithweni ezisebenzayo. Ngesifo sikashukela, ulwelwesi lwezinzwa lonakalisiwe, ukuvuvukala kwalo okungapheli kuyakheka. Lokhu kuholela eqinisweni lokuthi ukuthatheka kuza kwenye indawo noma kusebenza ngokungalungile esitho esikhethiwe. I-Neuropathy ithinta ukuphela kwezinzwa hhayi imilenze kuphela, kodwa futhi nengqondo nezinye izitho. Uma i-pathology ikhula esiswini, isiguli sikhononda ngokugoba, i-hiccups, ukushisa kwenhliziyo, uma isiphetho sezinzwa enhliziyweni noma emithanjeni sithintekile, ukusabela kwe-orthostatic kwenzeka lapho indiza ivele emehlweni emehlweni ngoshintsho olukhulu esimweni somzimba. Ngomonakalo wezinzwa zesinye, kukhona izikhalazo zokungahambi kahle komchamo; ngomonakalo emehlweni, onesifo sikashukela asihambelani kahle lapho usuka ebumnyameni uye egumbini elikhanyayo. Ngama-neuropathy wemikhawulo engezansi, izinzwa zilimele, ezifaka ngaphakathi izinhlaka zemilenze.

Ngabe imilenze ilimala kanjani kushukela? Ubuhlungu bungokwemvelo ehlukile - ukutsha, ukuqaqamba, nokuqaqamba. Imilenze yami iyaqina, kunemizwa yama-goosebumps ezinwabuzelayo.

Uma isifo sikashukela sibolile, i-allodynia iba khona lapho onesifo sikashukela engakwazi ukuphendula ngokujwayelekile kunoma yikuphi ukucasulwa. Ukuthinta ingubo, isibonelo, kungadala ubuhlungu obukhulu.

Okunye ukubonakaliswa kwe-neuropathy ukulahlekelwa umuzwa. Isiguli asizwa sithintwa emilenzeni, asihlukanisi phakathi kokushisa nokubanda, asiphenduli ebuhlungwini. Lokhu kuyingozi enkulu, ngoba isiguli singangena esigxotsheni sengilazi, sihambe naye isikhathi esingaphezu kosuku olulodwa futhi singalufuni usizo lwezokwelapha kuze kube yilapho inkinga isiluleki.

Okunye ukubonakaliswa kwe-neuropathy kungukulimazeka kwemoto. Ukulimala kwezinzwa ezifaka izicubu zomzimba. Isiguli sikhononda ukuthi uma sihamba sikhubeka ngaphandle kokuluhlaza okwesibhakabhaka. Lokhu kungenxa yokuthi iziphetho zezinzwa ezithintekile zenza umfutho ngokungalungile, ngakho-ke izicubu zonyawo lwe-extensor azisebenzi.

Okunye ukubonakaliswa kwalesi sifo yi-dry foot syndrome. Ukuphela kwamathambo kuthumela ngokungalungile izithambiso ezithweni ze-sebaceous, nerve kanye nesithukuthuku, ezilawula ukugeleza kwezinyawo. Iyomile, kuvela ama-microcracks, ukutheleleka kwawo kungadala izinkinga ezinkulu.

Isifo sikashukela Angiopathy

Ngomonakalo emithanjeni yemilenze, ukugcwala kwama-lipid egazini kuyakhuphuka, okuyiyo ebhekene nokuvela kwama-plaque amasha nokukhula kwalawo akhona. Ngo-sikashukela obolile, amanani aphezulu kashukela alimaza i-lining yangaphakathi yemithambo yegazi. Ukuqina kokusebenza kwe-Endothelial kuyaqala, kufaka isandla ekubukekeni kwezindawo ezintsha.

Ngabe i-angiopathy ibonakala kanjani emtholampilo? Uma i-plaque incane futhi ingaphazamisi ukuhamba kwegazi ikakhulukazi, isiguli sikhononda ngobuhlungu bomlenze kushukela, ikakhulukazi izicubu zamathole, kanye nomuzwa wokukhathala lapho ukhuphuka izitebhisi noma lapho uhamba amabanga amade.

Uma umuntu onesifo sikashukela engathathi zinyathelo, i-plaque iyanda ngosayizi bese evala ukhanyikhanyo wemithambo yegazi, ukuphuma kwegazi kuphazamiseka kakhulu. Ubuhlungu bomlenze buba khona lapho uhamba futhi uhamba amabanga amafushane, ukukhuphuka izitebhisi kukwenza uphumule esitezi ngasinye.

Lapho i-plaque isisonga isikejana ngokuphelele, kwenzeka i-gangrene yomlenze - isimo esibucayi esidinga ukuhlinzwa okuphuthumayo ukuze unqume umlenze.

Uma i-plaque ingawuvimbi ngokuphelele umkhumbi, kungenzeka ukuthi uqhume ube izinhlayiya ezincane. Bahlakazeka ngemithambo emincane yonyawo, okwenza ukuba iqulu lonyawo lodwa, ingxenye yalo, umunwe owodwa noma iminwe eminingana.

Isifo Sikashukela Osteoarthropathy

Imvamisa, amathambo abantu avuselelwa njalo. Kunamaseli akhethekile - ama-osteoclasts asusa izicubu ezindala zamathambo, futhi kukhona ama-osteoblasts aqamba izicubu ezintsha zamathambo. Emzimbeni ophilile, le nqubo ilinganiselwe. Esikhathini sikashukela, njengase-osteoporosis, ithambo libhujiswa kakhulu kunokubuyiselwa, ngakho-ke kancane kancane liyalahlekelwa yimisebenzi yalo. Amathambo abuthakathaka futhi acwebile anesifo sokuqaqamba kwamathambo kuholela ekuqhekekeni kwe-vertebrae, kuthi ngonyawo lwesifo sikashukela kuphume izicucu zamathambo amancane onyawo. Ngenxa yalokhu, alonakalisiwe futhi luthatha indlela ebizwa ngokuthi yisihlalo esikhulu esinyakazayo. Lokhu kuyingozi ngoba ingcindezi iyanda futhi nezimpawu zezilonda eziyizidudla endaweni yamathambo.

Ku-traumatologist noma udokotela womndeni, isiguli sikhononda ngokugcwala konyawo nobuhlungu ngokuhlangana. Isikhumba sibomvu, sishisa, ukunyakaza kukhubazekile. Ngokuxilongwa okuyiphutha, isifo sikashukela singalashwa izinyanga ngumuntu ongasebenzi ngokwelashwa ngaphandle kokuthola ukwelashwa okwanele. Lokhu kumholela ekukhubazekeni. Usizo lwangempela esigabeni esinjalo seziguli lunikezwa udokotela wezengqondo ehhovisi lonyawo lwesifo sikashukela.

Ikhabethe lenyawo likashukela

Iziguli zivame ukukhala ngokuthi imilenze yazo ibuhlungu ngesifo sikashukela, ukuthi yini okufanele yenziwe, zihlala zikutshela ehhovisi lonyawo lwesifo sikashukela. Udokotela wale phrofayili uhlanganisa izimfanelo zochwepheshe abaningana. Isazi sezinzwa sibheka i-neuropathy. Ukuhlola ukuzwela kokudlidliza, izinga lokushisa nokuthinta, kuye kwasungulwa izindlela ezikhethekile, ngokususelwa ekuhlolweni, udokotela uthola isimo sesiguli namathuba akhe okuwela eqenjini eliyingozi. Amathuluzi asetshenziselwa ukuhlola ukuzwela kwezitho:

• I-Monofilament enesisindo esingu-10 g - ihlola ukusabela okubuthakathaka;
• Imfoloko yokuhlunga ethweswe iziqu - ihlaziya ukuzwela kokudlidliza;
• I-Tip-term - isilinda eyenziwe ngezinto ezi-2 ezinomehluko wokushisa njalo, ihlola imizwa yokushisa.

Iziguli ezinokuphazamiseka kwemizwa azizizwa zithinta ithemu emazingeni athile ahambisana okungenani namaphoyinti amane esikalini esikhethekile se-neuropathic index. Ukuvela kwezimpawu ezinjalo kuthintwa yiziguli ezinokulawulwa kabi kwe-glycemic, ukulandela ukudla, ukungatholi ukwelashwa okwanele, ukulandela indlela enempilo.

Amadoda asengozini ephezulu awela eqenjini eliyingozi lalesi sifo esibuqili.

Ukwelashwa kwezifo zonyawo kushukela

Uma lesi sifo singaqaliwe, kusetshenziswa izindlela zokulondolozwa zokwelapha imilenze yesifo sikashukela:

1. Shintsha izinkomba ze-glycemia;
2. Nikeza ama-antibiotic (ukukhetha kuya ngohlobo lomonakalo);
3. Nikeza imithi yezinhlungu;
4. Ngosizo lwezinqubo zomzimba kanye nemithi ithuthukise ukuhamba kwegazi;
5. Ama-antiseptics asetshenziswa ngawodwana.

Uma izindlela zokubambisa umzimba zingasebenzi futhi isikhathi sesilahleka, kusetshenziswa ukwelashwa okuhlinzwa:

1. Susa i-necrosis ngomonakalo wendawo endaweni yonyawo;
2. Yenza i-angioplasty (ukubuyiselwa kwesimo semithambo yegazi);
3. Susa imikhumbi engenakukwazi ukululama (i-endarterectomy);
4. Setha igridi ukuze ubasekele (ama-stent artery);
5. Ukuphinda kubhekwe kwezindawo ezonakele onyaweni kuyenziwa (i-gangrene isuswe).

Zonke izindlela zokwelashwa azisebenzi uma isiguli singabandakanywa ekubuyiselweni kwempilo. Odokotela bamemezela ngazwi linye ukuthi: uma inkinga ibikhonjwa ngesikhathi, bangenza "ngegazi elincane."

Esikhathini sikashukela, zonke izinhlobo zezinkinga zibonakala ngokwinkimbinkimbi. Inkinga ihlanganiswa ne-neuropathy, ehlisa ukuzwela kobuhlungu. Kulezi zinqumulo ezine, ezintathu ziwumphumela womonakalo omncane - imifantu, amanxeba asikiwe, imihuzuko, izihlakala.

Ungakugwema kanjani imiphumela ebuhlungu yesifo "esimnandi"

Ukulawulwa kweshukela egazini

Okokuqala, umuntu onesifo sikashukela kufanele njalo aqaphele izinga lakhe likashukela egazini. Abantu abaningi ngephutha bagxila "kushukela olambile", ohlolwa ngemitha kashukela kusisu esingenalutho. Okuwukuphela kwenkomba yenhloso yesinxephezelo esetshenziswa emhlabeni wonke izinga le-glycosylated hemoglobin, okumele ihlolwe njalo ezinyangeni ezintathu.

Ukudla okufanele

Kudinga ukubambelela ngokuqondile ezimisweni zokudla okuphansi kwe-carb noma ukulawula isisindo sakho, ukubalwa kwekhalori, inkomba ye-glycemic, umthamo we-insulin ekudleni kwendabuko yesifo sikashukela ephansi emafutheni ezilwane.

Ukunakekelwa kwezinyawo

Bonke abanesifo sikashukela kufanele bahlole imilenze yabo okungenani kanye ngeviki ukusikeka, amanxeba avulekile, ukuvuvukala, amabhulashi, izipikili ezifakiwe ngesibuko noma ukuheha abasizi. Uma isiguli sigqoka, siphefumula amasokisi ngaphandle kwamabhande okuqina futhi siwahlola njalo kusihlwa, lokhu kumvumela ukuthi alawule ukulimala okuncane kwezinyawo ukuze kuziphathe ngesikhathi futhi kuvikele ukuvuvukala okuholela ekuqunjweni. Kubalulekile ukukhetha izicathulo ezifanele ukuze zingagcobhozi ngonyawo noma kuphi. Udinga ukuyilanda esitolo ntambama, ngoba imilenze yabanesifo sikashukela ihlala igcwala. Awukwazi ukugqoka izicathulo eziqinile, ngaphandle kwama-insoles, ezinzwane ezincanyana. Ngaphambi kokugqoka izicathulo hlola ngokucophelela ingaphakathi. Geza izinyawo zakho bese uzomile ngokuphelele, ikakhulukazi phakathi kwezinzwane zakho, nsuku zonke, awukwazi ukusebenzisa amanzi ashisayo - lokhu kuyingozi emithanjeni yegazi. Izipikili kufanele zinqunywe ngesikhathi nangendlela efanele (hhayi emfushane kakhulu, zishiya amakhona wezipikili) ukugwema izinkinga ezipikili ezingenayo.

Uma umbono ungakuvumeli ukuba unakekele izinyawo zakho ngokwakho, ungasebenzisa izinsizakalo ze-pedicure salon noma ngosizo lwezihlobo. Awukwazi ukuklebhula imifantu ngensimbi, njengokuhamba nje ngezicoci zomgwaqo. Kwabanesifo sikashukela, osokhemisi bathengisa okhilimu abakhethekile onyaweni abasebenza nge-urea othambisa izinhlamvu zomzimba futhi baphilise imifantu. Zisetshenziswa kubo bonke ubuso bezinyawo, ngaphandle kwezikhala ezihlukanisayo. Esikhundleni kotshwala (ama-deodorants, iodine, aluhlaza okotshani) awukwazi ukusetshenziswa.

Umsebenzi womzimba

Ngokwezincomo ze-International Diabetes Association, umuntu onesifo sikashukela kufanele achithe okungenani imizuzu eyi-150 ngeviki ukulayisha imithambo noma imizuzu engama-20 ngosuku. Okungcono bekuzoba ukubhukuda echibini, hhayi ukulayisha imilenze kakhulu noma ukuhamba kalula ngezicoci ezintofontofo, ngaphandle kwezikhwama, kanye nezinhlelo ezikhethekile zokuqina ezakhiwa ku-salons zalesi sigaba samakhasimende.

Vakashela ngesikhathi ikhabinet yonyawo sikashukela

Nganoma yiziphi izimpawu zokulimala komlenze, noma kungabikho zinhlungu ngokuphelele, ukuvimbela ukuthuthukiswa kwezinqubo zokuvuvukala, kuyadingeka ukunikeza usizo lokuqala kwisifo sikashukela nokuhlolwa okuphuthumayo okwenziwa uchwepheshe ongakwazi ukubona i-neuropathy, aqonde kahle imiphumela ye-ultrasound yamaphethelo aphansi. I-apparatus ekhethekile izokala ingcindezi emikhunjini esehlombe nakumaqakaleni ukubala inkomba ekhethekile. Lesi yisinkomba esibaluleke kakhulu ocwaningweni lwamathambo, sivumela udokotela ohlinzayo, udokotela wobuchopho, udokotela womndeni ukuthi anqume ukuthi kungenzeka yini ukuxazulula inkinga yonyawo lwesifo sikashukela ngezindlela zokubambelela noma ukunqanyulwa akunakugwenywa.

Udokotela wekhabethe lezinyawo zesifo sikashukela ubuye abe yi-traumatologist okwazi ukuxilonga kahle ngokusekelwe kwizikhalazo zesiguli kanye nokuhlolwa komlenze ngaphandle kokudida ushukela wezifo zesifo sikashukela nge-banal arthritis, ngoba lezi zifo zidinga indlela ehluke ngokuphelele. Ngeshwa, abaningi bafuna usizo sekwedlule isikhathi, ngakho-ke udokotela onjalo kufanele abe udokotela ohlinzayo omuhle, oqondiswe ezindleleni zanamuhla zokuphatha iziguli ezinjalo. Ngokwamazinga aphesheya, isiguli esingenazinkinga kusukela onyaweni sikashukela kufanele sivakashele ihhovisi lonyawo lwesifo sikashukela okungenani kabili ngonyaka ukuxilongwa. Uma inkinga isivele ibonakalisile, imvamisa yokuvakasha kanye nohlobo lokwelashwa kunqunywa ngudokotela. Noma yikuphi ukuphathwa kokulimala kwesiguli esinesifo sikashukela kuhluke kakhulu ekuphathweni kwenxeba kweziguli ngaphandle kwezinkinga "ezinoshukela", ngakho-ke kubaluleke kakhulu ukuthola "udokotela" wakho futhi, mhlawumbe udokotela ohlinzayo.

Ngaphezu kwezingozi, isibalo esiphezulu sokuqunjelwa kwemilenze senzeka kubantu abanesifo sikashukela. Iningi labanesifo sikashukela liqinisekile ukuthi zonke lezi zinkinga ngemikhumbi nezinso ngeke zibathinte. Kepha isifo sikashukela siyisifo esingalindeleki, futhi ukuzihlola kuphela nokuhlolwa kwesikhashana elabhoratri kuyosiza ukuqaphela ushintsho ngesikhathi ukuvimbela ukunqunywa.