I-Diabetesic Foot Syndrome Prevention Memo: Ukunakekelwa Kwezinyawo, Izicoco, nokuningi

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Igama elithi "unyawo lwesifo sikashukela" lisho inhlanganisela yezinguquko ezibuhlungu ezinzwa, amathambo, izicubu nemithambo yegazi kwisifo sikashukela esibolile.

Lokhu kungaholela ekukhuleni kwe-gangrene yesundu.

I-DS ingenye yezinkinga ezinkulu zesifo sikashukela.

Senzeka nini isifo sikashukela sonyawo?

Enye yezinkinga zesifo sikashukela ukwephulwa kokujikeleza kwemithambo yegazi. Futhi, okokuqala, lokhu kusebenza emaphethelweni aphansi.

Ngaphandle kokudla okwanele, isikhumba siba sengozini yokulimala ikakhulukazi. Kulokhu, ukuphulukiswa kuhamba kancane.

Ngaphezu kwalokho, abanesifo sikashukela abasibekezeleli isimo sezulu seqhwa, kepha akubangeli zinkinga ezikhethekile kubantu abaphilile. Ukwephulwa kokufakwa kwezinzwa ezinyaweni kubizwa ngokuthi yi-polyneuropathy yesifo sikashukela. Umuntu uyeka ukuzwa umphumela esikhunjeni kusuka emazingeni okushisa aphakeme noma aphansi, ukulimala okuncane, njll.

Umuntu ophilile, ezwa izinhlungu, angathatha isinyathelo ngokuhamba kwesikhathi. Abahlushwa isifo sikashukela bancishwa leli thuba. Imvamisa abayinaki imihuzuko, iminjunju kanye namanxeba amancane kuze kube yilapho indawo yesikhumba ithelelekile futhi kukhula i-gangrene.

Enye inkinga: nge-polyneuropathy, isikhumba siphelelwa amandla okujuluka futhi sihlala somile. Ukuqhekeka isikhumba kancane kancane kuholela ezilondeni. Njengoba izilonda ezinjengalezi azihlotshaniswa nanoma yibuphi ubuhlungu, umuntu akazithathi izinyathelo ezenele futhi azibambe kuphela ngokusongela kokunqunywa.

Izici ezilandelayo zinomthelela ekubonakala konyawo lwesifo sikashukela:

  • ukulimala kwezinso (nephropathy). Kuholela ekukhukhumaleni kwemilenze. Izicucu ezivamile ziyaminyaniswa, okungaholela emanxebeni nasezithungwini. Izindawo ezinjalo ezilimele, uma izinyathelo ezanele zingathathwanga, zigcwele izilonda zokulimala;
  • izinkinga zokubuka. Umuntu okhubazekile ongaboni angaqaphela ukuthi ungena kuphi. Igatsha noma i-pebble engahleliwe eboshwe ngaphansi kwezinyawo zakho ingadala ukulimala okungathi sína.

Izimiso zokuvimbela unyawo lwesifo sikashukela kushukela

Noma yiziphi izindlela zokuvimbela isifo sikashukela ziqala ngokukhonjwa kwezinto eziyingozi ezilweluseni:

  • isifo semithambo yemilenze;
  • isifo sikashukela se-neuropathy yesifo sikashukela;
  • ukuvuvukala
  • ukuguqulwa kwezinyawo.

Uma kungekho zici zobungozi, umongo wokuvimbela uyancishiswa ekufundiseni isiguli ngokunakekelwa kwezinyawo, ukukhetha okuyikho kwezicathulo nama-insoles.

Ngasikhathi sinye, umuntu akufanele akhohlwe mayelana nokuhlolwa kwengozi ngonyaka.

Lapho kunezici zobungozi, ukuvikela kwehla okulandelayo:

  • ukuqeqeshwa ekunakekeleni isikhumba sonyawo;
  • izivivinyo zezokwelashwa ngezikhathi ezithile;
  • mhlawumbe ugqoke izicathulo ezikhethekile nezindwangu zokugqoka.

Imvamisa yokuhlolwa kwezokwelapha kuleli cala ivame kakhulu ukwedlula ukuba khona kwezinto zobungozi.

Imigomo ejwayelekile yokuvimbela i-DS yile elandelayo:

  • ukubhaliswa okuphoqelekile kwazo zonke iziguli ezine-endocrinologist kanye nehhovisi lonyawo lwesifo sikashukela;
  • ukwelashwa okufika ngesikhathi kwe-neuropathy nezinkinga zemithambo yegazi. Okuphoqayo ukususwa kokuqhekeka nokuhlatshwa esikhunjeni;
  • uma ukuwohloka kungeke kuqedwe, kufakwa izicathulo zamathambo;
  • ukuqaliswa kwekhambi lokwelapha izivivinyo zemilenze
  • sebenza ekuthuthukiseni ukungatheleleki.
Onke amathiphu ngeke asize ukufeza umphumela omuhle uma lesi sifo singanxephezelwanga.

Ukubaluleka Kokulawulwa Kokushukela Kwesifo Sikashukela

Ukubuyisa ushukela kokujwayelekile yinhloso yanoma ngubani onesifo sikashukela. Ngayinye inencazelo yayo, yokugxila kwe-glucose “okuqondisiwe” okudingeka kutholakale.

Lesi sibalo sinqunywa ngudokotela, kucatshangelwa ubudala besiguli, ubukhulu besifo sikashukela, i-pathologies ehlobene, nenhlala-kahle jikelele.

Iziguli, njengomthetho, zenza ukuqapha kwezinkomba zikashukela zisebenzisa ama-glucometer.

Ukuhambisana nokudla okuyisipesheli nokudla izidakamizwa ezinciphisa ushukela kuyizinto ezibalulekile ekuvinjelweni kwezinkinga zesifo sikashukela.

Ukuhlanzeka

Isimo esiyingqayizivele sokulimala kwemilenze ku-mellitus yesifo sikashukela ukuthi kwesinye isikhathi asibuhlungu. Ngasikhathi sinye, amanxeba apholisa kanzima kakhulu. Lokhu kuchazwa ngokulahlekelwa okuyingxenye kokuzwela, kanye nokwephulwa kokujikeleza kwegazi.

Kuyiqiniso, lokhu kude nokuqashelwa kuzo zonke izifo sikashukela, kodwa kungcono ukungalethi izilonda ezingabonakali. Lokhu kugcwele izinkinga ezinzima. Kufanele futhi kukhunjulwe ukuthi ukunakekelwa kwezinyawo kuyingxenye yezinyathelo zokuvimbela "unyawo lwesifo sikashukela."

Kuyadingeka ukulandela imithetho enjalo:

  • lapho usika izipikili, qaphela ukuzinciphisa ngokunyakaza okuvundlile kwefayela lezipikili. Awukwazi ukusika amakhona wezipikili. Musa ukuphatha isikhumba esinolaka semilenze ngamakhemikhali nangezinto ezibukhali. Kuyelulekwa ukusebenzisa i-pumice ngemuva kokugeza okufudumele konyawo;
  • Qiniseka ukugcina izinyawo zakho zihlanzekile. Zigeze nsuku zonke ngamanzi afudumele wesepha;
  • uma isikhumba semilenze somile, sigcobe (ngaphandle kokuthinta izikhala eziphakathi nendawo) ngo-ukhilimu onamafutha;
  • yenqaba ukuhamba ungafake zicathulo ukugwema ukulimala ngephutha;
  • Musa ukusebenzisa izinto zikagesi, amaphakethe okufudumeza ezinyaweni zakho, noma uhlale eduze kwe-radiator. Sebenzisa umphumela wokufudumeza wokuzivocavoca umzimba, isicubu esikhanyayo noma amasokisi afudumele woboya;
  • Ungakhohlwa ukuthi imilenze kufanele ihlolwe nsuku zonke. Uma kuvela imifantu, izilonda noma izimpawu, bonisana nochwepheshe ngokushesha;
  • uma kwenzeka ulimala ngephutha (imihuzuko, ukusikeka), zibaphathe ngezixazululo zokuqeda amagciwane (i-Dioxidin, i-Furacilin, i-hydrogen peroxide), ngemuva kwalokho kufanele kufakwe i-bandeji engagqwali noma ngebhande elibambelela elinomphumela we-bactericidal. Gwema ukusebenzisa i-potassium permanganate, iodine noma oluhlaza okotshani. Lezi zimali zingadala ukushiswa, ukuphulukiswa kuzohamba kancane. Ngaphezu kwalokho, ukufakwa kwesilonda kuvimbela ukubonwa kwenqubo. Isikhathi sokuphulukisa esiphezulu sisukela ezinsukwini eziyi-10 kuye kwezingu-14. Uma isimo sesikhumba singafani, lokhu kuyisibonakaliso sokubonana nodokotela.

Imemo yokukhetha izicathulo

Le mithetho ayisebenzi kwabanesifo sikashukela kuphela. Noma yimuphi umuntu angabafaka ekusebenzeni. Umgomo ojwayelekile wokukhethwa unjengokulandelayo: ukuthola izicathulo ukuze zihlale ngezinyawo zazo njengegilavu, ngaphandle kokulimaza isikhumba, ngaphandle kokwenza ama-scuffs, ummbila nezilonda. Ngokwemvelo, abantu abanesifo sikashukela akudingeki nokuthi baphuphe ngemisebenzi yezicathulo ezifashinini ezithendeni eziyishumi nambili.

Izicucu zamathambo

Ikakhulu, ukugqoka izicathulo ezikhethekile kufanelekile kubantu abanalezi zinkinga zesifo sikashukela:

  • ukulahleka okukhulu kwemizwa ezinyaweni;
  • ukulimala kwemithambo yemilenze nge-atherossteosis;
  • ukuguqulwa kwezinyawo;
  • ukuba khona kwezilonda ezi-ulcerative kanye (noma) nokuqunjelwa.

Nayi imigomo ejwayelekile yokukhetha izicathulo:

  • Izinto zokwenziwa kwezicucu zezinto ezisezingeni eliphakeme zisezingeni eliphakeme lesikhumba. Kulokhu, ubungozi bomhlane wonyawo buncishisiwe. Izicathulo ezinzwane oluncane noma olunzima kakhulu akumele zigqokwe. Lokhu kuholela ekutheni ukusatshalaliswa kwesisindo onyaweni akulungile, iminwe icindezelwe, futhi nengozi yokulimala emilenzeni iyanda;
  • Ungathengi izicathulo ezinomsindo wangaphakathi onzima nolukhuni;
  • Khetha izicathulo ezibanzi ngokwanele ukuze kube nesikhala esanele sokubeka ama-insoles we-orthopedic. Awungeke usebenzise ama-hard liners nama-massage;
  • izicathulo akufanele zihlale ngokukhululeka kakhulu onyaweni, ngoba lokhu kungaholela ekubukekeni kwama-scuffs namakhowe;
  • I-Outole enhle kakhulu ilukhuni. Ukuphakama kwesithende okuphelele kungamasentimitha angama-4. Izicucu zezingxenyekazi zikulungele okuhle. Aphephile nje kuphela, kepha futhi abukeka emuhle;

Gqoka izicathulo ngokucophelela. Izinsuku zokuqala ezingama-2-3, gqoka into entsha ekhaya. Musa ukusebenzisa amasokisi amanzi okugqoka, ngoba lokhu akuphephile esikhunjeni. Ukuphuma ngezicucu ezintsha, gwema ukuhamba amabanga amade. Ukuhamba entweni entsha usuku lonke nakho kuyinto engathandeki.

Qinisekisa ukuthi lapho ufaka ingaphakathi lezicucu akukho zangaphandle, futhi amasokisi awabuthani emphethweni. Kuyelulekwa ukusebenzisa i-knitwear ekhethekile yesifo sikashukela.

Ungakhohlwa ukuhlola izinyawo ngokucophelela. Ukuvela kobomvu esikhunjeni kubonisa ukuthi izicathulo bezingakufaneli. Ukuzwela kuyancipha, ngakho-ke, izilonda zingavela kulezi zindawo ngesikhathi esifushane kakhulu. Ubone into enjengale - masinyane babonane nodokotela, ehhovisi lonyawo lwesifo sikashukela.

Ukuhlolwa kwodokotela

Ukutholwa okufika ngesikhathi kwe-DS, bonke abanesifo sikashukela kufanele bahlolwe njalo ngonyaka.

Lapho kunezici zobungozi, imvamisa yazo iba njalo ezinyangeni ezi-6, kuyilapho ukunakwa okukhethekile kufanele kukhokhwe ezindaweni zokuwohloka nezindawo zobungozi.

Lokhu kwenza ukuthi sikwazi ukuzulazula maqondana nokuthola ithuba le-DS, ngisho nasezigulini ezingazivezi izikhalazo.

Ezinye izincomo zokuvimbela izinkinga

Enye into yokuvimbela ukusetshenziswa kwemithi yendabuko. Kunzima ukukubiza lokhu ngokuthi ukwelashwa, ngoba kungenzeka ukuthi kungenzeka ukuthi kumiswe iqembu eliqaliwe ngokufakwa kwamakhambi okwelapha.

Kepha ukuvimbela ukubonakala kwezilonda ezithelelekile usebenzisa amakhambi emvelo kungenzeka.

Ama-decoctions wezitshalo ezinjengokulandelana, i-eucalyptus, i-celandine noma i-wort yaseSt.. Ukuthambisa i-stratum corneum, ungasebenzisa uwoyela wemvelo: umnqumo, i-cypress, i-sunflower noma i-chamomile.

Ukuthuthukisa amandla esikhumba okuvuselela kusiza uju ojwayelekile.

Amavidiyo ahlobene

USurgeon, udokotela wesayensi yezokwelapha ukuvimbela unyawo lwesifo sikashukela ku-mellitus yesifo sikashukela:

Unyawo lwesifo sikashukela - ubunzima obungcono kakhulu besifo, obugcwele ukunqunywa. Kodwa-ke, lokhu akukhona neze ukungabambeki okubulalayo. Uma zonke izinyathelo zokuvinjwa zithathwa, ubungozi be-gangrene buyancishiswa.

Into esemqoka ukubonana nodokotela ngesikhathi esifanele nganoma yikuphi ukulimala emilenzeni. Ingubo ebanzi yokugqoka yanamuhla nemithi izokuvumela ukuthi ume ngokushesha inqubo futhi uvuse ukuphulukiswa kwesikhumba. Awukwazi ukubala amaphilisi athile ayisimangaliso.

Umsizi omuhle ekwelashweni ukudla okuphansi kwe-carb, okukuvumela ukuthi ubuyisele ushukela wegazi kokujwayelekile, ezingeni labantu abaphilile. Mhlawumbe le yindlela engcono yokugwema izinkinga, kufaka phakathi iDS.

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