Ekwelapheni izifo ezingama-pancreatic ezingama-endocrinological pancreatic, izindlela zokuzihlola zibamba iqhaza elibalulekile. Izinqubo zokuhlanzeka, eziba yisisekelo sokugcina isinxephezelo se-glucose ezingeni elifanele, zinezimpawu zazo. Inhloso yokusebenzisa uwoyela wonyawo sikashukela ukuvikela ubunzima futhi kugcinwe nesilinganiso esijwayelekile sokusebenza sesiguli. Yimiphi izidakamizwa ezinconyelwe abanesifo sikashukela ukwelapha i-neuropathy? Yiziphi izici zokwakhiwa kwamafutha okugcotshwa nemithetho yokusetshenziswa kwayo?
Imilenze sikashukela engcupheni!
Izilonda zamaphethelo aphansi zibangelwa ukushaya okuphindwe kabili kusuka kumasistimu wokujikeleza nokuqina komzimba. Izinguquko ezenzeka ku-hyperglycemia (ushukela wegazi ophakeme) zithinta ukuphela kwamaseli we-neuronal (neuropathy). Amazinga weglucose ngokweqile avusa ukubukeka kwamakhemikhali e-cholesterol ezindongeni zemithambo yegazi. Ngenxa yabo, i-patency yokuncipha yamanje kanye nokunikezwa kwegazi kunzima, i-angiopathy iyakhula.
Izimpawu ezisetshenziselwa ukwanda kwengcindezi enkulu zingavela zingafani noma zihlanganisiwe. I-Feet Diabetesic:
- bayabanda;
- kuba ndikindiki, ukuzwela kuyalahleka;
- izicubu zemikhawulo engezansi ziba buthakathaka;
- izilonda nokuklwebheka kuphulukisa isikhathi eside kunokujwayelekile;
- endaweni yazo hlala ulandelana nobumnyama (okungapheli).
Umuntu uhlushwa ubuhlungu obukhulu (imvamisa ebusuku). Ukwelashwa kwezinyawo okuhambisana nokwelashwa kwezinyawo kwenziwa ngudokotela wezinyawo (uchwepheshe ezinyaweni). Ukwehlulwa kwemithambo yegazi yi-angiologist (udokotela ohlinza imithambo), amakhono akhe afaka ukuhlinzwa. Inkinga ejwayelekile yalesi sifo esiseduze ngonyawo lwesifo sikashukela. Eminyangweni ye-endocrinology kunehhovisi elikhethekile ngaphansi kwegama elifanayo lokuhlolwa nosizo ezigulini ezihluphekayo.
Izici zokusebenzisa ukhilimu ezigulini ezinesifo sikashukela
Ngenxa yokusetshenziswa kwemithi kanye nama-moisturizing okhilimu emilenzeni, isimo esijwayelekile samaphethelo aphansi siyathuthuka, ukuqina kwesikhumba kuyalondolozwa, namaseli we-epithelial izicubu ayabuyiselwa ezindaweni ezithintekile. Ngemuva kokunquma umuthi ngudokotela ophethe i-endocrinologist, uma kungenzeka, isiguli kufanele sibonane nodokotela wamazinyo, sihlole ukubekezela komuntu nalowo muthi.
Kufakwa ukhilimu omncane ngemuva kwesandla bese ugcotshwa esikhunjeni. Indawo yokusetjenziswa komuthi kufanele ibukelwe isikhathi esithile (kufika emahoreni amabili). Ukwakheka kwamakhemikhali kakhilimu kungaqukatha isakhi esidala ukubonakaliswa kokungezwani komzimba (ukulunywa, ubomvu esikhumbeni), okungaqinisa isimo ngokuelashwa kwezinkinga zesifo sikashukela.
U-ukhilimu wezinyawo kufanele usetshenziswe ungqimba oluncane endaweni ehlanzekile yesikhumba.
Ngaphambi kwenqubo yokusebenzisa umuthi, izinyawo noma ezinye izitho zomzimba zigezwa ngensipho yengane. Ngemuva kokugeza, sula ngokuphelele ngokunyakaza okucolile, ithawula elithatha kahle. Ukuze isikhumba singamanzi futhi singaholi ngenxa yomjuluko, umswakama owedlulele, amafolda nokufakelwa kuso kufafazwa nge-talc.
Ngaphambi kokushaya ukhilimu, kufanele uqinisekise futhi ubuqotho besikhumba. Ezindaweni ezingafinyeleleki kalula (ingxenye engezansi yonyawo), ungenza ukuhlolwa ngesibuko noma ukuheha abathandekayo. Uma kukhona ukulimala okubonakalayo (i-microtrauma, i-ingrown nail, i-callus, ukutheleleka ngefungus), khona-ke ukwelashwa okubonakalayo kwe-pathologies eyambuliwe kuyadingeka. Badinga amandla okuphulukisa okhilimu nezindawo zemijovo ye-insulin engapheli (isisu, ihlombe, ithanga); ukubhoboza ngeminwe okubangelwa ukuthatha igazi ukuze kuhlaziywe.
Faka amafutha esikhunjeni izikhathi ezingama-2-3 ngosuku ngokunyakaza okubushelelezi, ngaphandle kokuzihlikihla ngamandla. Isisho esithi "ungqimba omncane" sisho ukuthi i-0.5 - 1.0 g yomkhiqizo isatshalaliswa endaweni enobubanzi obungamasentimitha angama-3-5. I-moisturizer phakathi kwezinzwane imvamisa ayisetshenziswa. Akuvamile lapho isikhumba kulezi zindawo sinolaka futhi somile. Lapho usebenzisa i-ointment, kufanele uqaphele usuku lokuphelelwa yisikhathi okukhonjiswe ku-ishubhu lekhilimu kanye nebhokisi.
Izinto ekubunjweni kokhilimu abanesifo sikashukela nesenzo sabo
Ukusetshenziswa kwekhilimu akunakuguqula ngokuphelele ukwelashwa ngama-hypoglycemic agents. Isifo sikashukela sohlobo loku-1 asinakukwenza ngaphandle kwama-insulin ahlukile kwesenzo, imijovo ngaphansi kokudla kwe-carbohydrate yenziwa nge-insulin emfushane. Ukugcina amazinga evamile eglucose egazini (hhayi ephakeme kune-6.5 mmol / L - esiswini esingenalutho kanye no-8.5 mmol / L - amahora ama-2 ngemuva kokudla) ukuvikela okungcono kwezimo eziyinkinga nemilenze. Ukusetshenziswa kwamafutha njenge-adjuvant kuye kwafakazela ngokwakho ohlangothini oluhle. Ukhilimu uyasiza ekulweni, futhi kwezinye izimo uzisuse ngokuphelele izimpawu zokuxinana sekwephuzile.
Abadali bomkhiqizo wemithi bafuna ukwakheka kwamafutha ku-universal, bethula izakhi zokuthuthukisa i-metabolism (ama-carbohydrate, amaprotheni, amafutha), bathinteka kushukela, ibhalansi yama-electrolyte. U-ayisikhilimu osebenzisa izinyawo nge-urea yabanesifo sikashukela uqukethe into ene-nitrogenous eyenza ukuthi umzimba ube nama-carbohydrate metabolism.
Igama lomkhiqizo libonisa isenzo salo esiyisiqondiso esiyinhloko.
Amabele nezimbila ziyingozi ngoba ama-microcracks esikhumbeni esomile, esenziwe ngamanzi emilenzeni yesifo sikashukela singangenwa kalula, siphenduke izilonda. Amafutha aqukethe ama-antiseptics wemvelo (iminti, ama-currants, uwoyela we-sea sihlahla sivame ukutholakala, isosi kanye neziphuzo zesihlahla setiye), ezinemiphumela yokungezwani komzimba nokulwa nokuvuvukala. Izakhi ze-Phyto zigcizelela ama-antifungal agents afakiwe ekwakhiweni okuhlangene. Isikhunta sivame ukuthinta isikhumba sesiguli sikashukela. Isikhali se-organic e-ointment sifanekiselwa yi-hyaluronic acid, i-collagen ewuketshezi, i-allantoin, ehambisa i-lipids enganele esikhunjeni, ukudala izithiyo ezivimbela ukulahleka komswakama.
Isifo sikashukela akufanele:
- chayida izinyawo zakho emazingeni okushisa aphakeme kakhulu noma aphansi (sebenzisa amaphilisi okushisa, izinto ezishisayo, hlala eduze nomlilo noma ama-radiator);
- sebenzisa amakhemikhali, izinto (acid, alkalathi), amathuluzi okusika ukuthambisa nokususa amabele;
- unganaki ukulimala okuncane ezinyaweni (ukoma, imifantu);
- uhambe ungafake zicathulo futhi ugqoke izicathulo ngaphandle kwamasokisi;
- gunda izinzipho kafushane, ikakhulukazi amakhona epuleti lesipikili.
Ukulimala kwesikhumba okuncane kuphathwa ngezindlela ezikhethekile (miramistin, chlorhexidine), kufakwa izigqoko ezithambile ezingasetshenziswa. Abantu abanesifo sikashukela kufanele bavikele izinyawo zabo futhi bavikele ukusikeka, imihuzuko nokuqunjelwa phezu kwabo. Vikela ekulimeni kwezinambuzane (omiyane) ukuze ungabangeli ukuluma esikhunjeni. Izilwane ezifuywayo akufanele zivunyelwe ukuqala noma ukuluma. Abantu abanesifo sikashukela kufanele bahambe yonke indawo begqoke yonke indawo: olwandle esihlabathini noma amatshe amatshe - ezicathulweni zasogwini, ekhaya - emashashinini. Gqoka izicathulo ezintofontofo ukuze uqede kakhulu amathuba ezithelo zommbila nezommbila.