Isifo sikashukela esibangela isifo sikashukela senza umuntu acabangele kabusha imikhuba yabo nendlela yabo yokuphila. Lesi sifo asisibi kangako kushukela wegazi, njengemiphumela emibi emzimbeni wonke. Kaningi, imikhawulo engezansi ihlushwa, ngoba inomthwalo omkhulu lapho uhamba. Ubuhlungu bemlenze kwisifo sikashukela kungaba wuphawu lwezinkinga ezinkulu, ngakho-ke akufanele zinakwe noma zibekezelelwe, silindele ukuthi zizodlula ngokwazo ngesikhathi.
Izimbangela ezingaba khona zobuhlungu bomlenze
Izinga elikhuphukile likashukela egazini liholela ekuphazanyisweni kokudluliselwa kwezinzwa zesibindi kanye nokuwohloka ekuhanjisweni kwegazi emithanjeni nasemithanjeni yemithambo. Ukuhlanganiswa kwezimpawu eziningana ze-pathological ezibonisa ukwephulwa kwe-trophism, i-innervation, nokujikeleza kwegazi kuvame ukubizwa ngokuthi "yi-diabetesic foot syndrome." Kodwa-ke, hhayi le ngxenye yomlenze kuphela engalimaza - ngokuya ngesizathu sokwenzeka, ukungakhululeki kungathinta indawo eseduze ne-ankle, ithole nomlenze ophansi.
Ukujikeleza kwasekhaya okungalungile
Ngama-microcirculation wegazi ajwayelekile emaphethelweni aphansi, izicubu zawo zithola inani elanele lezakhamzimba nomoya-mpilo. Ngenxa yezinga le-glucose ephezulu, igazi liyaqina bese liba-viscous. Lokhu kuholela ekuphulweni kwe-permeability kanye nokuqina kwemithambo yegazi, imithambo kanye nama-capillaries. Uma umuntu ngaphambili wayenakho noma nje eqala ukuthuthukisa isifo sokuqina kwemizwa, uthuthuka ngendlela emangalisayo. Lokhu kuchaza ukuthi kungani i-lumen yemikhumbi incipha kakhulu, futhi izindawo ezithile zomlenze onesifo sikashukela ziyeka ukuhlinzekwa ngokuphelele ngegazi. Le lesion ye-vascular ibizwa ngokuthi yi-angiopathy yesifo sikashukela.
Izimpawu zokuqala zalesi simo se-pathological:
- ukukhathala komlenze okwandayo;
- ubukhulu bezindawo ezithile zesikhumba;
- ukujuluka ngokweqile;
- ubuhlungu obukhulu, okokuqala ngesikhathi sokuzivocavoca komzimba, bese uphumula;
- ukubukeka kwama-lameness lapho uhamba;
- umuzwa wokubanda emilenzeni ngisho nasezingeni lokushisa eliphakeme.
Njengoba izinkinga zesifo sikashukela ziqhubeka, kungaba buhlungu kumuntu ukumane amboze imilenze yakhe ngengubo
Ngezindlela ezibucayi ze-angiopathy, konke lokhu kuboniswa kuyanda futhi kuba ngabangane bomuntu njalo. Ama-Convulsions amhlukumeza, isikhumba emilenzeni yakhe sishintsha umbala (kancane kancane uphenduka ophuzi bese kuba yi-cyanotic). Ukushisa, ukudonsa izinhlungu, ukuzindla kwasakazeka kuye onyaweni lonke. Uma kungatholakali ukwelashwa okwanele, izilonda zesithupha ziyakhula emilenzeni, okuthi ngokuhamba kwesikhathi kungaholele ebubini. Ukuze uvimbele ukunqunywa kwesitho somzimba, isiguli kudingeka sihlolwe njalo, futhi ngezimpawu ezibucayi ezingabaza ngaso leso sikhathi zibonisana nodokotela.
Umonakalo wezinzwa we-peripheral
Isistimu yezinzwa yesiguli enesifo sikashukela i-mellitus (ikakhulukazi uhlobo 2) iba nezinguquko ezinkulu, ezivame ukudala ukuthuthukiswa kwe-neuropathy. Ukwephulwa komzimba kokudla kwama-carbohydrate kuholela ku-edema yezinzwa, ukuphulwa kokusebenza kwabo kanye nokuqongelelwa kwenqwaba yama-radicals wamahhala ayingozi. Uma lezi zinqubo ezonakalisayo zingamiswa ngokuhamba kwesikhathi, i-neuropathy ingakhula futhi idale ngisho nokulahleka ngokuphelele kokuzwela.
Izimpawu ezethusayo ukuthi isiguli sikashukela kufanele sinake ngokukhethekile:
- ukudinwa nokuqina kwemilenze;
- ukudubula nobuhlungu obuhlungu ematholeni nasezinyaweni;
- ukwehla kwezwela ukuthonya kwamazinga okushisa aphakeme nalawo aphansi;
- ukuncishiswa (noma okuphambene nalokho, nokuzwela kakhulu) umuzwa wezinhlungu ngokulimala kwemishini;
- ngokungagxili.
Ukwehla kokuzwela kobuhlungu kukhombisa amandla amabi we-neuropathy
Ukulimala kwesikhumba esinegciwane
Izici ezilandelayo zinomthelela ekuthuthukisweni kwe-microflora ye-pathogenic yakwelinye izwe:
- ukulimala okwenziwa njalo esikhunjeni;
- ukugqoka izicathulo eziqinile ezenziwe ngezinto zokwenziwa;
- ukunganakwa kwenhlanzeko yomuntu siqu.
Ngokutheleleka ngefungal noma ngegciwane, imilenze ilimala ngenxa yokuqhuma kokuvuvukala, ukuvuvukala kanye nokusebenza kahle kwezicubu. Ezimweni ezisezingeni eliphakeme, lokhu kungaholela ekunciphisweni nasekwakheni i-abscess, okubangela ubuhlungu obukhulu kanye nokuwohloka esimweni esejwayelekile somzimba. Ngokuphikisana nesizinda sokutheleleka okuvilaphayo, izilonda eziyinqaba zingakheka ngaphezulu kwemilenze, eziphilise kahle futhi okuholele ebubini. Kungcono ukwelapha lezi zimo ze-pathological esigabeni sokuqala sokukhula, lapho izilonda zesikhumba zisezincane futhi zihambisana nokukhishwa komoya, ukuvuvukala okunamandla kanye necrosis yezicubu.
Ukuvuvukala okuhlangene
Esikhathini sikashukela, amalunga amakhulu nemincane emilenzeni angashiswa futhi kudaleke ukungaphatheki kahle komuntu ekunyakazeni okuncane. Lesi sifo siqala ngokungenamkhawulo ngesimo samathambo noma sikhule kancane, sithuthuke ngokuhamba kwesikhathi. Ngesimo esisheshayo salesi sifo, isikhumba esizungeze ukuhlangana siphenduka saba bomvu, okokuqala kwasendaweni bese kuthi ukushisa komzimba okujwayelekile kuphakame, ngokushesha kubuhlungu. Uma ukuvuvukala kukhula ngokungamahlalakhona (njenge-arthropathy), khona-ke izimpawu zivame ukwanda ngokuhamba kwesikhathi, kepha Ubuhlungu lapho kuhamba njalo.
Inqubo imvamisa iqhubeka ohlangothini olulodwa futhi ithinte amalunga amancanyana onyawo, kepha ukubandakanyeka kwamalunga edolweni kanye ne-ankle kungafakwanga.
Ngenxa yokuthi umzimba uncishisiwe futhi buthakathaka yisifo sikashukela, ngisho nefomu elivila le-arthrosis lithuthuka ngokushesha futhi libi izinga lempilo yabantu nsuku zonke. Uma lesi sifo sishiywa inhlanhla, kungaholela ekujuleni kwenhlanganisela kwamalunga nokuhluleka ukuhambisa ngokuzimela.
Amabele omile
Ukuvela kwe-keratinization kanye nama-calluses anzima ezinyaweni kuhlale kuhlotshaniswa nemizwa engathandeki yethayela lapho uhamba futhi uthinta le ndawo. Isifo sikashukela, isikhumba some kakhulu futhi sithambekele ekuhlanzeni, ngakho-ke lezi zinhlobo ziletha ukungakhululeki nobuhlungu obukhulu. Kuyinto efiselekayo ukususa izinto ezikhulayo ezigabeni zokuqala zokubukeka, ngoba zinekhono lokukhula ngokujulile esikhunjeni futhi zibangele ukuphuma lapho. Ukukhuphula umfutho ngaphezulu konyawo, ngokuhamba kwesikhathi, amabele anganikela futhi kuholele elceration. Esikhathini sikashukela, ungasebenzisi amakhemikhali asetshenziswa ngamakhemikhali asetshenziswa ngezinyawo, ngoba asomisa kakhulu isikhumba esibucayi futhi angadala ukucasuka.
Izici zokubonakaliswa kobuhlungu kwabesifazane nasezinganeni
Kwabesifazane, ubuhlungu bomlenze kusifo sikashukela sivame ukwenzeka ngenxa yezimo ezinjalo zokugula:
- i-arthropathy ngemuva kwezinguquko ze-hormonal emzimbeni (ngokwesibonelo, ngesikhathi sokuya esikhathini);
- kuvame ukuvela amabele nezinsimbi zokungena ngenxa yokugqoka izicathulo ezingakhululekile, ezinezithende eziphakeme;
- i-thrombophlebitis noma ukwanda kwegazi ukubona (kungenzeka ngenxa yokukhulelwa, inzalo yomlomo wesibeletho noma ukuphazamiseka kwe-metabolic).
Ebuntwaneni, isifo sikashukela singadala ubuhlungu emilenzeni ngemuva kokuzivocavoca ngokomzimba noma ngesikhathi sokushintsha okungazelelwe kwamazinga kashukela egazini. Umuzwa ongathandeki emaphethelweni aphansi wengane nawo uvame ukwenzeka ngenxa ye-neuropathy. Ngakho-ke, ngaphezu kokuqapha njalo ngudokotela oyi-endocrinologist, ukuhlolwa ngezikhathi ezithile nodokotela ohlinza ngemizwa kubaluleke kakhulu ezinganeni. Ukuhlolwa kokuxilonga okufika ngesikhathi kungavimba izinkinga zomlenze ngaphambi kokuvela kwezimpawu zokuqala.
Udinga ukulandelela ukuguquguquka kweshukela ezinganeni kaningi kakhulu kunabantu abadala, ngoba izici ezihlobene nobudala bezinkinga zikashukela, zingakhula ngokushesha okukhulu
Ukubaluleka kokuhlolwa kokudla nokudla
Ukuvimbela ama-pathologies onyawo kushukela kulula kakhulu kunokulapha. Ukuhlolwa njalo (yize kungekho zimpawu ezingemnandi) kusiza ukugcina impilo yomuntu, futhi kwesinye isikhathi impilo. Iziguli ezinesifo sikashukela zingathola izifundo ezinjalo ngezikhathi ezithile:
- ukuqapha okunamandla kwamazinga kashukela;
- dopplerography yemikhumbi yemikhawulo engezansi;
- ukuhlolwa okubonakalayo ngokuzimisela kwe-ishayela emikhunjini eyinhloko yemilenze;
- ukubonisana nodokotela oyi-neurologist ngokuqinisekisa ukukhishwa okuthile;
- i-radiology ehlanganyelwe
- i-angiography nomenzeli ohlukile;
- electroneuromyography.
I-Electroneuromyography iyindlela ephumelelayo nephephile yocwaningo, ngisho nasezinganeni
Isimo esivamile sesiguli (kufaka phakathi impilo yomlenze) sincike ekudleni. Ukwenqatshwa kwamaswidi kanye nokuhambisana nokudla okunconyelwayo ngonyango olunqunyelwe kukuvumela ukugcina ushukela ngokwezinga elijwayelekile. Amapharamitha we-rheological wegazi ajwayelekile, ngakho-ke, ingozi yokuhlakulela i-angiopathy nokuphazamiseka kohlelo lwezinzwa kuyaqedwa.
Ungakuvimbela kanjani ukubonakala kobuhlungu?
Njengoba imilenze inesifo sikashukela okuyiyona ekhomba ekulimaleni, kubaluleke kakhulu ukubheka isimo sayo. Ukuvimbela ukuthuthukiswa kwezinkinga, iziguli zinconywa ukuba zinamathele kule mithetho elandelayo:
- qaphela njalo amazinga kashukela egazi;
- ukwelashwa okujwayelekile nezidakamizwa ukwenza ngcono ukusebenza kwemithambo yegazi kanye nohlelo lwezinzwa;
- qapha impilo yesikhumba semilenze, uyiqhakamise bese ihlola ukuba khona kokulimala okuncane, imihuzuko, imifantu;
- njalo ekuseni ukwenza imithambo yokuzivocavoca ukufudumeza izinyawo nokuzicwilisa ukuze kusebenze ukujikeleza kwegazi.
Yonke le migomo isebenza uma isiguli sinamathela ekudleni okulinganiselayo. Vele, uma kunokudla okuningi okumnandi nokunamafutha, azikho izindlela zokuvimbela ezokwenza umqondo. Isihluthulelo sikashukela ojwayelekile ukuqapha njalo ushukela nokudla okuthile. Ungavimba ukubonakala kobuhlungu emilenzeni. Ukuze wenze lokhu, kwanele ukulandela izincomo zikadokotela olalelayo futhi ulalele umzimba wakho.
