Umphumela omubi wesikhathi eside wezinga eliphakeme le-glycemia emithanjeni yegazi emzimbeni kungahle kube nomphumela wokulimala kwabo okungapheli. Umsebenzi obalulekile wesifo sikashukela ukugcina amanani kashukela ebangeni le-6.7-8.0 mmol / l. Isitatimende esinethemba leziguli ze-endocrinological ukuthi ukunqunywa okuyingxenye kwesifo sikashukela akukuthinti isikhathi sokuphila nganoma iyiphi indlela. Yiziphi izimbangela kanye nokuvimbela kwezinkinga sekwephuzile?
Umnyombo wokuxazulula izinkinga sikashukela
Imilenze yesiguli enesifo sikashukela iba sengcupheni yezinhlobo ezimbili zezinguquko. Izinyawo ziyathinteka, izinkinga zabo ziphathwa ngudokotela wezinyawo. Isimo semikhumbi yemikhawulo engezansi siyingxenye ye-angiologist. Imithi engakhiqizi imiphumela ebonakalayo ingadinga ukungenelela kokuhlinzwa. Ukwephula isitho kwezinye izimo kuba ngumsebenzi obalulekile, uma kungenjalo ubuthi begazi buvela futhi isiguli singafa.
Ukuthi izingqinamba zakamuva zesifo se-endocrinological zanda ngokushesha kangakanani kuncike:
- uhlobo lwesifo sikashukela (1st, 2nd);
- isipiliyoni sesifo;
- iminyaka yesiguli;
- ukumelana nomzimba jikelele.
Mayelana ne-ischemia ne-gangrene
Isisekelo sokuhlinzwa okunamandla wukuba khona kokutheleleka okuthuthukile okudlulise umgoqo we-immune. Isimo esinjalo semngcele sibizwa ngokuthi yi-ischemia ebucayi. Ngayo, amafomu we-izicubu ze-necrosis, i-foci - izilonda zezimpawu zomzimba.
Izizathu eziningana ziholela ebulilini:
- i-microtrauma engalapheki engapheli (i-abrasion, ukukhahlela, ukusika);
- ukushisa kanye neqhwa;
- i-ingrown toenail noma i-corpus callosum;
- isifo sokukhunta.
Izimbila nezindawo ezinommbila ziyingozi ngoba isilonda esimbozwe ungqimba lwesikhumba singafihla ngaphansi kwazo. Imvamisa lokhu kwenzeka engxenyeni yomlenze lapho kunokushayisana okungapheli noma isisindo somzimba esiyisiguli siwe. Lapho sesikhulile, isilonda se-trophic sithinta izicubu ezijulile, phansi emathanjeni nasemisipheni.
Kulokhu, umuntu onesifo sikashukela uthola uphawu lobuhlungu, olukhuphuka esimweni esiphakeme. Ischemia kuphela ayinakudlula. Kukholelwa ukuthi uma kungabikho ntuthuko eyenzeka kungakapheli unyaka, khona-ke ukunqunywa okuyingxenye noma okuphelele komlenze kuyadingeka.
Izigaba ze-ischemia zenzeka ngenxa yokubola isikhathi eside sikashukela. Izimpawu zibonwa ngawodwana futhi zihlanganiswa:
- ukulahleka kwemizwa;
- ukukhubazeka (kwesinye isikhathi kungazelelwe futhi kunzima, ikakhulukazi ebusuku);
- umuzwa wokubanda, ovuthayo emilenzeni.
Ukuqina kwemisipha yomlenze, amanxeba nokuqhekeka esikhunjeni akuphili kahle. Kubalulekile ukwazi ukuthi ngisho nangemva kokuqinisa kubo, iminonjana emnyama engapheli iyasala. Lapho kuphuma (amaseli amhlophe egazi) ofile, kuvela iphunga le-fetid.
Ukuphulukiswa okuncane kwamanxeba nezilonda kukhombisa ukwehla kwekhono lokuvuselelwa kwamangqamuzana
Isisindo sokulungiselela ukuhlinzwa
Ukwakheka ezinyaweni zaluphi uhlobo kufanele kugadwe ngokucophelela. Gwema ukuklwebheka, ngokwesibonelo, ekulimeni kwezinambuzane. I-microtrauma encane kakhulu isongela ukuguquka ibe yi-gangrene.
Ukuphazamiseka kokujikeleza kwe-Trophic kanye nokutheleleka kwezicubu kuholela emiphumeleni elandelayo:
Izimpawu ze-gangrene kushukela- i-necrosis (ukufa kweseli);
- ukucwazimula kwesikhumba emilenzeni (kusuka emjondolo obuhlungu, onsundu kuze kube mnyama);
- ukubukeka kokugabha onyaweni.
Ochwepheshe baxoxa ngamathuba wezikhathi ezi-postjative postoperative (ingozi yokuhlaselwa yisifo senhliziyo, i-sepsis - ukutheleleka kabusha, ukubonakala kwe-hematomas engama-subcutaneous).
Iqembu lodokotela esikhathini sokusebenza lihlola:
- degree of ukulimala kwemilenze;
- Izici zokungenelela kokuhlinzwa;
- the kungenzeka
Kunezinhlobo eziningi zezinkinga eziyingozi: ezimanzi, noma ezimanzi, ze-gangrene ezomile. Ngohlobo lwamuva, ukuhlinzwa kuhlelwe ngendlela ehlelekile, kunoma yikuphi okunye - kuphuthumayo (oluphuthumayo). I-Wet gangrene iyingozi ngezinkinga ezivela enhliziyweni, izinso nesibindi.
Ukuphazamiseka kwemithambo yesifo sikashukela kuholela ku-angiopathy (ukulimala kwemithambo kanye nama-capillaries)
Izigaba zokukhishwa kanye nokwelashwa okuphoqelekile kokuzivocavoca
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile (i-anesthesia). Ngesikhathi samahora amaningi wenqubo yokuhlinzwa, kubalulekile ukubheka ukwakheka okunembile kwesigaxa ukuze kuqhutshekwe nokuqina kwezimpawu zomlenze. Kamuva, esibhedlela nasekhaya, kutholakala ukwelashwa okulimala nsuku zonke nokuthambisa kanye nokulwa okunamandla ngenqubo yokuvuvukala.
Kunezigaba zokususwa kwezingxenye zomlenze ophansi:
- ukunqunywa kolusu lonyawo (iminwe, i-metatarsus);
- ukusika umlenze ngenhla, kuyadingeka ukuhlukanisa amathambo omlenze ophansi;
- ukuhlangana kwamadolo kanye n ethangeni kugcinwe ngokuphelele;
- ukumiswa kabusha kwengxenye eyonakalisiwe yethanga ngenhla kwedolo;
- ukuhlangana kwesihlakala;
- okhalweni ngokuphelele, izingcezwana zamathambo e-pelvic.
Kusukela kuviki lesibili lesikhathi sokusebenza, udokotela ubeka ukusebenza kwezakhi ezisebenzisekayo zokuzivocavoca okwelapha, ukuzivocavoca ukubuyisa ukujikeleza kwegazi okujwayelekile nokugeleza kwe-lymphatic. Ukuhamba kwemassage (str stroke, light tapping) kwenziwa kuqala ngenhla kwesiqu esivelayo, bese ikuso uqobo.
Ngenqubo yokuzivocavoca yokuzivocavoca (eyinkimbinkimbi yokwelapha) ingaphezulu kufanele liqinile, isiguli kufanele silele esiswini sakhe. Ukuze unciphise ukuvuvukala emilenzeni, ingxenye ephilile yomlenze iyaphakanyiswa ibekwe phezu kombhede wesiguli. Isigaxa esiphilile senza nokuzivocavoca. Esontweni lesithathu, isiguli sivunyelwe ukusukuma sime eduze kombhede. Ibambelela entweni eqinile, ikwazi ukwenza izivivinyo ezibandakanya izicubu zomhlane.
Ukunaka! Izinkinga zomlenze zingavela ngokufanayo ezinhlotsheni ezahlukahlukene zesifo sikashukela, 1st ne-2nd
Esikhathini se-postoperative ngesikhathi sokululama, isimo esisemqoka singukudla okukhethekile nokulungiswa ngokucophelela kwama-ejenti we-hypoglycemic. Ungadinga ukukhansela okwesikhashana i-insulin. Inani eliphelele lansuku zonke le-hormone lihlukaniswe imijovo eminingana ye-insulin emfushane.
Ubunzima be-postoperative, i-prosthetics
Emsebenzini wezokwelapha, kufakazelwa ukuthi kaningi izinsuku ezingama-3-4 ngemuva kokuhlinzwa, isiguli sikhula inyumoniya (pneumonia). Abantu abanesifo sikashukela bangahlushwa izinhlungu ze-phantom. Ososayensi bayaqhubeka nokucwaninga izimbangela zophawu ezingxenyeni ezingekho zomzimba nezindlela zokuluqeda. Ukungaphatheki kahle kwe-Phantom kuqoshwa ngisho nakubantu abasebenza lapho kususwa i-phalanx yomunwe.
Iziguli zinqunyelwe, kanye nama-antibiotics, ama-painkiller, ukuthatha i-psychotropic, sedative. Ukuqunjelwa kungukuhlukumezeka okukhulu ngokomzimba nangokwengqondo. Kuyadingeka ukuthi abantu abasondelene nesiguli futhi banikeze ukusekelwa okuphelele.
Ubunzima ngemuva kokunqunywa kungabuye kuhlotshaniswe nale ndaba:
- ukudumba kwesigaxa;
- ukubambezela inqubo yokwelashwa;
- ukwakhiwa kwendawo yokuvuvukala.
Ukuwaqeda, kusetshenziselwa ukugqoka okunciphisayo, okufanele kuxegise kancane ekuqondeni kusuka esiqwini kuya kwezicubu ezinempilo, futhi kukhishwe ukudonsa ukhunta.
Kukhona ukuthembela okuqondile kwama-prosthetics esimweni sokuphila kwesiguli esisebenzayo. Uma umuntu emi ku-prosthesis futhi azivumelanise nakho, khona-ke zonke izinkomba zakhe zithuthukisa amahlandla ama-3. Ukufa okuphezulu (50%) kubonwa kungakapheli unyaka ngemuva kokunqunywa ngokuphelele kwesitho esigulini esihlobene nobudala nge-pathologies emzimbeni.
Esigabeni sokushalwa kabusha kwe-shin, amathuba emphumela ophumelelayo wesifo sikashukela angama-80%, izinyawo - 93%. Ukunqunywa okuphindaphindekile kungathandeki kakhulu. Ngokuvamile, ukusika i-phalanges yeminwe akudingi i-prosthetics. Reference: isithupha nozwane lwesibili kubhekwa njengokuyisisekelo ekusebenzeni kwamathambo emikhawulweni ephansi, ukuhamba okujwayelekile.
Ukuxilongwa ngesikhathi
Kuyaphawuleka ukuthi phakathi kokuboniswa kokuqala kwe-angiopathy, kukhona umuzwa wezinhlungu emilenzeni lapho uhamba. Isifo sikashukela sakha i-gait ekhethekile ebizwa ngokuthi i-intermittent claudication. I-atrophy yemisipha ethambile kancane kancane inganqunywa ngokuzimela ngokulinganisa umthamo wemilenze okhalweni ngesentimitha ethambile.
Njengamanje, okwamanje akukwazi ukubhekana ngokuphelele nokubonakaliswa kwe-angiopathy
I-Arterial hypertension (umfutho wegazi ophakeme) nokubhema kudlala indima enkulu ekuqhubekeni kwezimpawu ze-angiopathy. Ukulimazeka emikhunjini emikhulu nemincane kufaka ukuphulwa komsebenzi nesakhiwo samalunga
- izicubu ze-cartilage ziyathunjwa;
- usawoti uyabekwa;
- izikhala zikhula;
- ukuhamba kwezinzwane, amadolo alinganiselwe;
- izinhlungu ziyavela.
Amathemba we-angiopathy ezinhlobonhlobo zesifo sikashukela ahlukile. Izindlela eziphambili zokubuyisa ushukela omningi yi-insulin nokudla. Uma isiguli eselashwa i-insulin singasizi ukubhekana ne-hyperglycemia, lokhu kuba yinhlekelele enkulu. Isiguli esisebenzisa izidakamizwa ezokwehlisa ushukela ngendlela yamaphilisi sisenethemba lokulungiswa kwehomoni.
Kunezimo lapho iziguli zesaba ukushintshela ekwelashweni esikhundleni se-insulin bese zilinda ubunzima obukhulu ngesimo se-gangore yemilenze. Uma kungenzeka ukuthola isinxephezelo esihle, ngemuva kweminyaka eyi-1-2 kunokuthuthuka emaphethelweni aphansi, umuzwa wokubanda uyanyamalala.
Lula ukuvikela ingozi!
Ngokuzicubungula ezinyaweni, kuyinto elula ukuthi isiguli sisebenzise isibuko ukubona ingxenye yaso engezansi. Ngemuva kokugeza, kuyadingeka ukusula ngokucophelela isikhala sesikhumba phakathi kweminwe ukuze umswakama ungahlali, udale indawo yokuthuthukiswa kokuqhuma kwe-diaper. Kunconywa ukwengeza ukufaka i-talcum powder noma i-baby baby.
Ukuze uvikele izinkinga zesifo sikashukela ngamaphethelo aphansi kwenqatshiwe:
- izinyawo ezikhuphukayo;
- gqoka izicathulo eziqinile ezinezithende eziphakeme (ngenhla kuka-3-4 cm) noma amasokisi ngama-band aqine kakhulu;
- ukusika ummbila, izingxenye zesikhumba;
- usike izipikili kungekudala, ngesiwombe.
Izindawo ezomile kufanele zigcotshwe ngo-ukhilimu wengane
Wonke umuntu onesifo sikashukela kufanele azi ukuthi yimiphi imiphumela emsongela kuye uma engawuthandi umzimba wakhe. Impendulo yombuzo wokuthi kungakanani okuhlala ngemuva kokuqunywa umlenze kungalingani - kuya ngesiguli uqobo, ekuthobeleni kwayo izincomo zochwepheshe. Ngokwezinga lokunqotshwa, ikhomishini ivuma iqembu lokukhubazeka.
Umuntu unelungelo lokuthola usizo kuhulumeni ngendlela yesinxephezelo semali, ukulethwa kwemithi yamahhala, izinzuzo zomphakathi. Izibonelo eziningi ziyaziwa lapho iziguli ngemuva kokuhlinzwa emalungeni zihamba, ngokomqondo zibandakanyeka kwezemidlalo futhi ngokuvamile ziphila impilo esebenzayo.
