Ungayelapha kanjani imilenze nesifo sikashukela

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Isifo sikashukela i-mellitus sibizwa ngokuthi yisifo esinamandla sohlelo lwe-endocrine, esibonakala ngamazinga aphezulu kashukela egazini nokuphazamiseka kwe-metabolic. Thayipha i-1 endocrine pathology eba ngenxa yokuntuleka kokuqamba kwe-insulin ye-hormone. Le ndlela yalesi sifo ibonakala esemncane futhi ifa. Ngohlobo 2 sikashukela, amazinga e-insulin angaphansi kwemingcele ejwayelekile, noma kunjalo, ukuncipha kokuzwela kwamaseli kuya kwi-hormone ngenxa yokungondleki noma ukukhula ngokweqile komzimba wesiguli kukhula.

Inkambo ende yesifo ihambisana nokwakhiwa kwezinkinga ezingamahlalakhona. Isibonelo umonakalo kumaphethelo aphansi. Ukwelashwa ngezinyawo sikashukela kuyinqubo eyinkimbinkimbi okuhloswe ngayo ukunxephezela lesi sifo esingaphansi nokuqeda ukuphazamiseka kwasendaweni. Lesi sihloko sidingida ukuthi yini okufanele yenziwe ukuthuthukiswa kwezifo nokuthi kungenzeka yini ukubhekana nale nkinga ekhaya.

Izici zokulimala kwezinyawo

Kunezindlela ezimbili eziyinhloko zokuthuthukisa izinkinga zomlenze kushukela:

  • I-hyperglycemia engapheli ithinta imicu yezinzwa. Bona-ke, balahlekelwa yikhono lokuqhuba ukuthambekela kwe-nerve, ngenxa yalokho kuvela kwengqondo yesifo sikashukela. I-pathology enjalo ihambisana nokuqina, ukushintshwa kokuzwela.
  • Kukhona ukuvaleka kwe-lumen yemithambo yegazi ngama-atherosulinotic plaque, okuholela ekutheni izicubu ze-izicubu kanye necrosis eqhubekayo.

Ushukela omkhulu wegazi uyimbangela eyinhloko yokulimala kwezitho eziphansi kushukela

Ukulimala ohlelweni lwezinzwa oluyingozi kuhambisana nobuhlungu bomlenze ku-mellitus yesifo sikashukela, umuzwa wokucindezela, ukuncipha kokuzwela, ushintsho lokuphendula ukushisa noma ukubanda. Ngokuphikisana nalesi sizinda, izilonda eziyinqaba zomlenze ophansi nonyawo zingakhula, eziphola isikhathi eside.

Kubalulekile! Ngokuphazamiseka noma ukwaphuka kwamathambo, kwakheka isifo sikashukela sonyawo sikashukela. Ukunamathiselwa nokukhiqizwa kabusha kwama-microorganisms we-pathogenic kungenzeka, ukuthuthukiswa kwe-necrosis, okudinga ukunqunywa.

Izimpawu zomonakalo emithanjeni yemikhawulo engezansi:

  • isikhumba siyoma futhi sibe buthaka;
  • ukungakhululeki
  • ukubukeka kokukhohlakala;
  • ukuvela kwamabala obudala noma, ngakolunye uhlangothi, izindawo ezisuswe ezweni;
  • ukulahlekelwa izinwele
  • indlala yesikhumba;
  • ukungabikho noma ishayela elibuthakathaka emithanjeni yethambo.

Izindlela zokwelapha

Udokotela ukhetha ukuthi ungayelapha kanjani imilenze ngesifo sikashukela, kuya ngohlelo lokuthuthuka kwe-pathology kanye nezimpawu ezibonakalayo.

Ukulawulwa kwe-Edema

Ngaphambi kokukhetha ukwelashwa kokuvuvukala kwemilenze enesifo sikashukela, udinga ukunquma ukuhlukahluka kwayo kanye nembangela. I-Edema ingavela ngokumelene nesizinda sokulimala kwemithambo, i-peripheral system system, ukuhlangana kwamaphethelo aphansi noma izinso.


Ukuthuthukiswa kokuvuvukala kungenye yezimpawu zokuxakanana kwalesi sifo "esimnandi"

Isiguli kufanele sikwazi ukukhetha izicathulo ezifanele, ngoba lapho sigqoka amamodeli angakhululeki ezindaweni ezithile, uketshezi lunganqwabelana, luqhakambise ukuthuthukiswa kokuvuvukala. Ungasusa uphawu ngokuthola isinxephezelo sikashukela. Yi-glycemia ephezulu ebangela ukuthuthukiswa kwezinkinga eziningi.

Kubalulekile ukulandela izeluleko zomondli wezempilo, ukulungisa indlela odla ngayo. Qiniseka ukuthi unciphisa inani lamanzi nosawoti. Kufanele futhi ukhawule ukusetshenziswa kwama-sacgesides wokugaya kalula kanye ne-lipids yemvelaphi yezilwane.

Kubalulekile! Kuyahle ukulahla imikhuba emibi uma ikhona, ngoba ukusetshenziswa kotshwala nogwayi kunomthelela ekuphanjukeni kwemithambo yegazi futhi, ngenxa yalokho, kwandisa ukuvuvukala kwemilenze.

Ukuqedwa kwe-edema emilenzeni enesifo sikashukela kwenzeka ngohlelo olulandelayo. Uchwepheshe unquma ukusetshenziswa kwe-vasodilator nezidakamizwa ze-antihypertensive:

  • phosphodiesterase inhibitors - papaverine;
  • ama-prostaglandins nama-leukotrienes - Alprostadil;
  • ama-calcium tubule blockers - uNifedipine;
  • Ama-inhibitors e-ACE - lisinopril, enalapril.

Ukuphathwa kobuhlungu

Uma isiguli sikhononda ukuthi imilenze yaso ibuhlungu ngesifo sikashukela, lokhu kubonisa ukuqhekeka ku-lumen kwemithambo yegazi noma ukuthuthukiswa kolunye lwezinhlobo ze-neuropathy. Ukuqeda lokhu kuvezwa, ngaphezu kokulungisa ukwelashwa kwalesi sifo esiyisisekelo, amaqembu alandelayo wezidakamizwa asetshenziswa:

  • Okususelwa ku-thioctic acid. Lezi zimali zisusa i-cholesterol "embi", zinciphise imiphumela enobuthi yezakhi zangaphandle nezangaphakathi emithanjeni yegazi. Abamele abaphumelelayo baleli qembu - I-Berlition, i-Oktolipen, iTiogamm.
  • Ama-antidepressants - anqunywa ezimweni uma imilenze ilimala kushukela (Amitriptyline). Isimo esiyingqayizivele sokwelashwa ukuthi udokotela ukhetha umthamo ophansi kakhulu womuthi, kancane kancane uwukhulisa ukuze uzuze umphumela wokwelashwa odingekayo.
  • Amavithamini e-B-chungechunge - anikela ekuvuseleleni uhlelo lwezinzwa, aqhubeke futhi nokudlulisela izintshisekelo zezinzwa.
  • Ama-anesthetics endawo - ukwelashwa kobuhlungu emilenzeni onesifo sikashukela kwenziwa ngokusebenzisa izinhlelo zokusebenza. Umphumela wenzeka kungakapheli ihora.
  • Izidakamizwa ezinomphumela we-anticonvulsant (carbamazepine) - yeka i-pain pain, susa ama-night cramps kushukela.

I-Thiogamma - ummeleli we-thioctic acid derivatives

Kubalulekile! Ukuzelapha ngokwakho akuvunyelwe, njengoba kunengozi yemiphumela emibi. Uhlobo lokwelashwa olunqunyelwe kanye nemithamo yezidakamizwa kufanele ibhekwe ngokuqinile.

Ukuqedwa kwamanxeba nokukhubazeka kwe-trophic

Izimpawu ze-Diabetesic Foot Syndrome

Ukwelashwa kwamanxeba emilenzeni kuqukethe ukwelashwa kwendawo, ukusetshenziswa kwezidakamizwa ezilwa ne-antibacterial kanye ne-antiseptic, ukuthulula imithambo efanelekile. Ukwelashwa kwasendaweni kusekelwe ekuboneni okukuwe kwe-necrotic zones nezinkozo ezizungeze isilonda, kwelapha iziphambeko zezidakamizwa kanye nokugqoka.

Ukwelashwa kwasendaweni nokugeza kwezindawo ezithintekile kwenziwa ngesixazululo esingu-3% se-peroxide, i-Chlorhexidine, i-saline neMiramistin. Kwenqatshelwe ukusebenzisa izixazululo zotshwala, i-potanganum permanganate, udaba lokufaka imibala (iodine, oluhlaza okotshani). Ukugqoka kufanele kulondoloze indawo enomswakama, okudingeka ukusheshisa ukuphulukiswa kwezitho ezithintekile, kanye nokuvikela ukungena kwamagciwane esilondeni.

Ungalapha iziphambeko ze-trophic ngama-antimicrobial agents (Betadine), ama-stimulants okwelapha (i-Curiosin), ama-enzyme e-proteinolytic (Chymotrypsin). Uchwepheshe angancoma ukusetshenziswa kweLevomekol noma iSolcoseryl.


Izilonda ze-Trophic - Izinkinga zokupholisa zesikhathi eside ezidinga ukwelashwa okuyinkimbinkimbi

Izindlela Zokuhlinzwa

Ukulwa nokudumba nobuhlungu, okwavela ngenxa yezilonda ze-atherosulinotic yemithambo yegazi, ukungenelela kokuhlinzwa kusetshenziselwa ukubuyisa ukujikeleza kwegazi. Izindlela ezisebenzayo yilezi:

  • Ukuhlinzwa kweBypass. Udokotela ohlinzayo uthungela umuthi wokuxubha, wakhe isisekelo segazi endaweni yomthambo ovalekile. Ngesikhathi sokusebenza, imikhumbi yakho nayo ingasetshenziswa.
  • I-Balloon angioplasty. Ibhaluni ekhethekile ingeniswa emthanjeni othintekile futhi ikhule ngamandla. Kukhona ukunwebeka kwe-lumen yomkhumbi. Ukuze wenze umphumela wokungenelela uhlale njalo, kufakwa i-stent esizeni sebhaluni. Le divayisi ivimbela "ukushwabana" komthambo obuyiselwe.
Kubalulekile! Ukuthuthuka kwe-gangrene, okuhambisana nobuhlungu obukhulu, umuzwa wokuthi imilenze isindlekile, ukuvuvukala kanye nokudakwa komzimba wesiguli, kungahle kuhambisane nesidingo sokunqunywa komlenze ophansi. Kunezikhathi lapho le ndlela iyindlela kuphela yokusindisa impilo yesiguli.

Izindlela zabantu

Akunakwenzeka ukwelapha isifo sikashukela ngamakhambi esintu, noma kunjalo, kungenzeka ukufeza isinxephezelo salesi sifo, ukunciphisa ukugqama kwezibonakaliso zemitholampilo.

Inombolo yeresiphi

Kusikwa amaqabunga ambalwa e-aloe futhi ashiywe endaweni ebandayo. Okulandelayo, ujusi uyakhishwa kubo bese usebenzisa ukwelapha izindawo ezithintekile emilenzeni kuhlobo lwesifo sokuqala nolwesibili.


I-Aloe imele izitshalo zokwelapha ezisetshenziswa ekwelapheni izilonda zamaphethelo aphansi

Inombolo yeresiphi 2

Ukumiliselwa okwelashwa kwe-gangus izimpande. Indwangu eluhlaza ithululelwa ngamanzi abilayo (1 tbsp. L. Impande echobozekile engilazini yamanzi) futhi ishiywe kubhavu wamanzi. Ngemuva kwekota yehora, ukumnika kususwa bese kubekelwa eceleni amahora angu-2. Ngaphezu kwalokho, ithuluzi liyahlungwa, lisetshenziselwa izinhlelo zokwelapha.

Inombolo yeresiphi 3

Ama-lotion e-clove kawoyela obalulekile. I-ejenti isetshenziselwa ukukhubazeka okuyisidina futhi iqondiswe phezulu ngama-napkins. Futhi, umuthi uphuzwa ngomlomo esiswini esingenalutho (amaconsi ama-4-5). Amafutha e-Clove angangezwa emanzini ngenkathi kwenziwa izinqubo zokwelashwa kwabanesifo sikashukela (ngokwesibonelo, i-hydromassage yonyawo).

Kubalulekile ukukhumbula ukuthi noma yiziphi izindlela zokwelapha kufanele zenziwe ngaphansi kokuqondisa uchwepheshe ofanelekayo. Kulesi simo kuphela lapho umphumela oyifunayo ungazuzwa.

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