Isifo sikashukela yisifo esiyinkimbinkimbi nesibucayi okunzima ukuselapha futhi sivame ukuhambisana nezinkinga ezahlukahlukene. Okokuqala, imikhawulo engezansi ihlushwa yilokhu kugula, ngoba ngaphansi kwethonya lezinga leglucose egazini, iziphetho zezinzwa zilimele futhi ukujikeleza kwazo kuyaphazamiseka. Ngakho-ke, ukunakekelwa kwesifo sikashukela kubaluleke kakhulu futhi kufanele kwenzeke ngokwemithetho ethile.
Kungani unakekela imilenze yakho ngesifo sikashukela?
Isifo sikashukela yi-pathology ebucayi, ukuthuthukiswa kwayo okuthinta umzimba wonke. Kodwa-ke, njengoba kushiwo ngenhla, okokuqala, lesi sifo sithinta imicu emikhulu yezinzwa nemithambo yegazi, etholakala emaphethelweni aphansi. Ngenxa yalokhu, i-polyneuropathy yeswekile iqala ukukhula, ebonakala ngokuncipha kokuzwela kwesikhumba.
Ekuqaleni, isiguli singase sizwe ukudinwa ngezikhathi ezithile emilenzeni nasezindongeni. Ngemuva kwalokho uyeka ukuzwa ukuthintwa nobuhlungu, khona-ke amandla akhe okuhlukanisa phakathi kokushisa anyamalale. Lokhu, kuholela ekutheni isiguli singaboni nokuthi sishaye umlenze noma siwugawulile. Futhi noma yikuphi ukulimala kwesifo sikashukela kuyingozi, ngoba kungaholela ekukhuleni kwe-gangrene, ukwelashwa kwayo okwenziwa kuphela ngonya, ngokunqunywa kwengxenye noma ngokupheleliswa kwesitho.
IGangrene iyinkinga enkulu yesifo sikashukela. Futhi kuvela ngenxa yokuthi ngesifo sikashukela, i-metabolism iyaphazamiseka futhi izinqubo zokuvuselelwa kwendalo ziyancipha, lapho amanxeba aqhamuka emzimbeni ephola isikhathi eside kakhulu. Futhi uma ukutheleleka kungena esilondeni esivulekile (izinyawo ziba sengozini enkulu yokutheleleka, ngoba ungazithola "ngokuhamba nje ungafake zicathulwana esitezi"), kuqala ukuphuma kwezilonda ezinde endaweni yayo, ezingathinti kuphela izicubu ezithambile zamaphethelo aphansi, kodwa futhi nemicu yemisipha.
Kancane kancane, izilonda ziqala ukusabalala kuzo zonke izitho futhi zivuse ukukhula kwe-abscess ne-sepsis. Kuhlobo 2 sikashukela mellitus, izinkinga ezinjalo azivamile. Noma kunjalo, ungakhohlwa ukuthi i-T2DM ingaya kalula ku-T1DM. Futhi ukuze uvikele ukubonakala kwezinkinga ezinjalo, kubalulekile ukunakekela imilenze yakho ngokushesha ngemuva kokuxilonga.
Ukunakekelwa kahle kwesifo sikashukela kunikeza ukuvimbela okuthembekile kwezinkinga
Kubalulekile ukwazi ukuthi yiziphi ngempela izimpawu ze-neuropathy yesifo sikashukela ukuze ufune usizo ngokushesha kudokotela uma kwenzeka lwenzeka. Futhi lesi sifo siziveza kanjena:
- izinyawo eziphansi ngezikhathi ezithile ziba nzima futhi ziqine njalo;
- ekuphumuleni emilenzeni kukhona umuzwa ovuthayo, izinhlungu nokungaphatheki kahle;
- usayizi wemilenze uyancipha futhi unyawo lonakalisiwe;
- amanxeba awapholi.
Izinga lokuthuthuka kwale pathology lincike eminyakeni yesiguli kanye nenkambo yesifo. Kodwa-ke, kukholakala ukuthi enye yezimbangela eziyimbangela yalokhu kugula iphakeme kakhulu izinga likashukela wegazi. Ngakho-ke, kubaluleke kakhulu kwabanesifo sikashukela ukubheka ushukela njalo futhi balandele ngokuqinile zonke izincomo zikadokotela.
Kunzima kakhulu ukuqeda isikhunta sonyawo, ikakhulukazi kubantu abanesifo sikashukela, ngoba kubhekwa izinhlobo eziningi zezidakamizwa kubo. Futhi ukuze ugweme ukuthuthukiswa kwayo, kuyadingeka futhi ukulandela imithetho yokunakekelwa kwezinyawo.
Imithetho eyisisekelo yokunakekelwa kwezinyawo
Ukugwema ukuthuthukiswa kwezinkinga ngenxa yesifo sikashukela, iziguli akudingeki ukuthi ziqaphe njalo ushukela wegazi wazo, kodwa futhi zinakekele izinyawo zazo njalo. Nsuku zonke, abanesifo sikashukela bayelulekwa ukuba bahlole izinyawo nezikhala zezindawo zokuhlangana kwabo imifantu namanxeba. Uma kwenzeka ukuthi kube nzima ukuthi umuntu onesifo sikashukela azihlole ngokuzimele izitho zomzimba ngenxa yokuhamba okulinganiselwe, isibuko esingaphansi singasetshenziswa ekuhlolweni nsuku zonke.
Ukuhlolwa konyawo ngesibuko
Ngaphezu kokuhlolwa kwezinyawo kwansuku zonke, kuyadingeka ukulandela eminye imithetho, okubandakanya isikhumbuzo sabashukela:
Ingabe abanesifo sikashukela bangayenza i-hydromassage yomlenze- Akunjalo, uma ungahambi ngezicucu noma ekhaya, noma echibini, noma olwandle. Yonke indawo lapho udinga ukuhamba ngezicucu ezivaliwe (uma kusekhaya, bese kuba ngama-slipper). Lokhu kuzovikela ukulimala ngephutha ezinyaweni.
- Esimweni lapho isifo sikashukela sihlala siqinisa imilenze yaso, kufanele sigqoke amasokisi afudumele. Kepha lapho ukhetha kubo, kufanele unake izinsini. Akufanele kube kunqwabelana kakhulu futhi kunciphise imilenze, ngoba lokhu kuzoholela ekuphazamisweni okukhulu kakhulu kokujikeleza kwegazi kubo. Uma ungakwazi ukukhetha amasokisi anjalo, ungaphuma kalula kulesi simo ngokwenza nje ukusikeka okuthe xaxa kwebhande lokuqina le-sock ngayinye. Ngasikhathi sinye, khumbula ukuthi akunakuzenzela ukuthi ungasebenzisa amaphilisi wokushisa ukufudumeza imilenze yakho. Njengoba ukuzwela kwezitho kuncishisiwe, ungashisa ngokungabonakali.
- Geza izinyawo zakho nsuku zonke ngamanzi afudumele (kungabi ngaphezu kwama-35 degrees). Kulokhu, udinga ukusebenzisa insipho ye-antibacterial. Ngemuva kwenqubo, izingalo kufanele zisulwe ngethawula elomile, zinake ngokukhethekile isikhumba esiphakathi kweminwe.
- Izinyawo zansuku zonke zidinga ukwelashwa ngama-okhilimu, ahlanganisa urea. Inikeza ukugeleza okujulile kwesikhumba futhi inomthelela ekuthuthukisweni kwezinqubo zokuvuselelwa kabusha. Lapho usebenzisa ukhilimu, qiniseka ukuthi awangeni ezikhaleni ezihlukanisayo. Uma kwenzeka ukuthi ukhilimu usangena esikhumbeni phakathi kweminwe, kufanele ukhishwe ngendwangu eyomile.
- Uma ukujuluka ngokweqile kwamaphethelo aphansi kuphawulwa, ngemuva kokugeza izinyawo, izinyawo kufanele ziphathwe nge-talcum powder noma i-baby powder.
- Musa ukuncipha izinzipho zakho ngesikere noma nge-forcep. Ukusetshenziswa kwezinto ezibukhali kungadala i-microtraumas, okubuye kudale ukuvela kwezinkinga ezinkulu. Ngokuxazulula izipikili, kungcono ukusebenzisa amafayela wezipikili zengilazi. Kulokhu, ukunakwa okukhethekile kufanele kukhokhwe emakhoneni, ukuwahlanganisa. Lokhu kuzogwema ukungena kwezipikili esikhunjeni kanye nokulimala kwaso.
- Ukuhamba ngezinyawo kuyadingeka nsuku zonke. Basiza ekuthuthukiseni ukuhamba kwegazi emilenzeni futhi banikeze nokuvimbela i-thrombophlebitis.
- Isikhumba esilukhuni ezithendeni, amabele kanye nezikhwebu kumele kususwe nge-pumice. Awukwazi ukusebenzisa izimbambo noma ezinye izinto ezibukhali ukuzikhipha. Uma kungekho pumice, ungayifaka esikhundleni sefayela lokugcoba, kodwa hhayi ngeyensimbi. Ngaphambi kokwenza izinqubo, awukwazi ukubamba isikhumba, futhi usebenzise okhilimu abakhethekile kanye nezixazululo ukukhipha okusanhlamvu. Njengoba ukuzwela kwezitho kuncishisiwe, kunengozi enkulu yokushiswa ngamakhemikhali.
- Uma ukuzilapha ngamafayili kanye ne-pumice kungakuvumeli ukuthi uqede isikhumba esibi, ummbila nezimbila, thintana nehhovisi leDiabetesic Foot emtholampilo lapho uzothola i-pedicure yezokwelapha.
Uma ungazungezi amachole wezipikili, lokhu kungaholela ekujuleni kwepuleti lezipikili esikhumbeni, okuzovusa ukuvuvukala kwalo
Kumele kuqondwe ukuthi kuyadingeka ukubonana nodokotela hhayi kuphela uma kuvela ama-hematomas nezinqubo ze-purulent, kodwa futhi nangemfundo:
- amanxeba;
- izilonda;
- ukusha;
- ukuvutha kwesikhumba;
- ukucwilisa isikhumba;
- ukwenzeka kwe-edema.
Kufanele uthintane nodokotela noma ngabe ubona umonakalo omncane ezinyaweni. Kodwa-ke, abanesifo sikashukela ngokwabo kumele bakwazi ukuzinikela ngokuzimela usizo lokuqala ukuze bagweme izinkinga. Futhi okubandakanya, manje uzothola.
Udinga ukubona udokotela noma ngabe kukhona imifantu encane ezinyaweni!
Ukuhlinzekwa kosizo lokuqala
Wonke umuntu onesifo sikashukela ekhaya kufanele abe nekhithi yosizo lokuqala, lapho kufanele kube khona nemithi efanele ukwelashwa kwesikhumba uma kulimala. Okungukuthi:
- ukusula okungahambi kahle;
- izixazululo zokubulala amagciwane amanxeba, ngokwesibonelo, i-3% hydrogen peroxide, i-chlorhexidine, mirastin, njll;
- amabhandeshi, udaka.
Lezi zimali akumele zigcinwe kuphela ekhaya, kodwa futhi kufanele zithathwe lapho usohambweni. Uma amanxeba noma imifantu encane itholakele ngesikhathi kuhlolwa izinyawo, isikhumba kumele selashwe. Isinyathelo sokuqala ukusebenzisa isixazululo magciwane. Kufanele bancibilise indwangu eyinyumba futhi bayesule ngesikhumba. Okulandelayo, udinga ukufaka isembatho esiyinyumba, kuphela awukwazi ukubopha i-bandage, ngoba kungacindezela imilenze ephansi, kufaka isandla ekwephulweni kokujikeleza kwegazi. Kulokhu, kufanele kusetshenziswe ama-plasters ukulungisa lokho.
Ngaphambi kokufaka i-bandage ezinyaweni, isikhumba kufanele siphathwe ngesibulala magciwane!
Ngemininingwane ethe xaxa ngokuhlinzekelwa kokunakekelwa kwangaphambi kokwelashwa lapho uthola amakhambi ezinyawo kuxoxwa ngudokotela neziguli. Noma ngabe onesifo sikashukela uyazi ukuthi nokuthi yini okufanele ayicubungule izitho ukugwema izinkinga, ngemuva kokulimala, kufanele ubone uchwepheshe.
Khumbula ukuthi uma ubona noma yimuphi umonakalo onyaweni lwakho, qiniseka ukuthi wehlisa umthwalo emilenzeni yakho. Hamba kancane futhi uphumule kakhulu. Musa ukugqoka izicathulo eziqinile nezingakhululeki, ngoba lokhu kuzomane sikhulule isimo.
Yini enqatshelwe ngokuphelele ukwenza ngesifo sikashukela?
Isifo sikashukela kudingeka sikhumbule ukuthi ukunakekelwa kwezinyawo kune- “cha” yayo, okuhlala kubalulekile ukuyicabangela. Lokhu kufaka phakathi:
- ukusetshenziswa kwezisombululo eziqukethe utshwala ekwelapheni amanxeba nokuqhekeka, ngoba zomisa isikhumba futhi zinomthelela ekwakhiweni kwezinkinga;
- faka imilenze kwi-hypothermia enzima (ukugqoka amasokisi kunconywa ngisho nasehlobo);
- gqoka amasokisi ahlotshisiwe, kanye namathayi namabhulukwe anama-band aqine kakhulu;
- imilenze evuthayo;
- gqoka izicathulo ezingakhululeki nezicindezelayo (zesifo sikashukela, kuyanconywa ukugqoka izicathulo zamathambo ezenziwa ngazinye);
- sebenzisa izinto ezibukhali, ngokwesibonelo, ibanga noma isikhafu ukususa isikhumba esinolaka, amabele nezikolweni;
- susa ngokuzimela izipikili ezingenayo;
- gqoka amaslayidi afanayo usuku lonke;
- gqoka izicathulo onyaweni olungenalutho;
- sebenzisa ama-insoles kazibuthe;
- gqoka izicathulo ezisindayo njengamabhuthi noma amabhuzu ngaphezulu kwamahora ama-3 ngokulandelana;
- sebenzisa okhilimu abanamafutha ngoba bakhuthaza ukunqwabelana kwamagciwane ngaphezulu kwezinyawo.
Kubaluleke kakhulu ukulandela imithetho yokunakekelwa kwezinyawo sikashukela! Le ndlela ukuphela kwendlela yokugwema imiphumela emibi yokwanda kwalesi sifo.
Khumbula ukuthi noma yiziphi izenzo ezingalungile ekunakekelweni kwezinyawo zingadala izinkinga ngendlela ye-sepsis, ithumba noma i-gangrene. Ngakho-ke, kulolu daba kubalulekile ukucubungula wonke ama-nuances. Uma ungakwazi ukunakekela imilenze yakho ngenxa yokuhamba okungatheni noma ukungaboni kahle, kufanele ucele izihlobo zakho ukuthi zikusize noma uvakashele ihhovisi leDiabetesic Foot kaningana ngesonto, lapho uzonikezwa khona ukunakekelwa kwezinyawo okufanele nangokufanele.
Ukuvimbela Izinkinga
Ukuvimbela izinkinga kwisifo sikashukela, kubalulekile ukwenza njalo izindlela zokuvimbela ezizogwema imiphumela emibi yalokhu kugula.
Ukuvimbela kufaka:
- Ukuhambisana nenhlanzeko yomuntu siqu.
- Ukuyeka imikhuba emibi. Ukusetshenziswa kophuzo oludakayo nokubhema kuyizinto ezifusayo ekuthuthukiseni i-mellitus yesifo sikashukela, kuholele ekukhuphukeni kwayo, ngoba kukuthinta kabi ukuhamba kwegazi.
- Ukunakekela isikhumba imilenze, ungasebenzisa lawo kuphela okhilimu namagiya ayalwa ngudokotela.
- Ukuvimbela izifo fungal, ungasebenzisa okugeza nge decoction of chamomile noma calendula. Kepha khumbula ukuthi ngesikhathi bekhiqiza, amanzi akufanele adlule ama-degree angama-35 futhi akunakwenzeka ukuwaphuza imizuzu engaphezu kwe-10.
- Musa ukusebenzisa omunye umuthi ukwelapha isifo sikashukela nezilonda zomzimba. Ngeke nje banikeze imiphumela emihle, kodwa futhi yandisa inkambo yesifo.
- Hlala uvivinya njalo izingxenye ezingezansi, lokhu kuzothuthukisa ukuhamba kwegazi kuzo.
- Yenza izivivinyo zokwelapha nsuku zonke (ungafunda kabanzi ngakho kudokotela wakho).
- Bukela okudlayo futhi ulawule ushukela wegazi lakho.
Zonke lezi zinyathelo zizokusiza ukuvikela ukuthuthukiswa kwezinkinga futhi unikeze ukulawula okuthembekile kokuthuthukiswa kwesifo sikashukela.
