Isifo sikashukela i-mellitus sibangela ukuphazamiseka ekusebenzeni kwazo zonke izitho nezinhlelo. Ukwehliswa kwesifo isikhathi eside kuholela ekukhuleni kwezinkinga eziningi ezisongela impilo.
Ukuqunjelwa uzwane, futhi kwezinye izimo lonke lelo lingezansi, kubhekwa njengenye yazo.
Ukungenelela okunjalo kwenziwa kuphela ezimweni ezimbi kakhulu, lapho ezinye izindlela zokwelapha ezikhona zingasebenzi. Vele, ukunqunywa kungagwenywa uma zonke izincomo zezokwelapha nokulawula glycemic okujwayelekile kulandelwa.
Izimbangela zokunqunywa komlenze kushukela
I-glycemia ephezulu inethonya elibi esimisweni sohlelo lwezinzwa nemithambo yegazi, ibabhubhisa ngokuhamba kwesikhathi. Umphumela wokuvezwa okunjalo umehluko emibi nemiphumela eyingozi yempilo.
Umuntu onesifo sikashukela unokulimala kabi kwenxeba, okungaholela ebulilini. Kulesi simo, izicubu zezitho ziyafa kancane kancane, bese kuqala inqubo yokuqina.
Ezimweni lapho izindlela zokwelapha zokwelapha zingasebenzi, izingxenye ezithintekile zezitho zinqunywe. Ukungenelela okunjalo kwenza ukuthi kugwemeke izinkinga eziningi, kufaka phakathi ukudakwa, ubuthi begazi nokukhula kwendawo ethintekile.
Izizathu ezinkulu zokuthi kungani izitho zinqume kushukela:
- ukubonakala kwepikili elingaphakathi;
- izinqubo ezishubile esifundeni semithambo;
- imifantu ebusweni besikhumba;
- noma yikuphi ukulimala okwenzeka inqubo yenhlanzeko;
- i-pedicure ehlulekile;
- ukwakheka kwe-osteomyelitis ngokumelene nesizinda sokulimala ngokuphelele kwamathambo;
- ukungena kwezifo.
Izizathu ezibalwe ngenhla azihlali ziholela esilinganisweni esinamandla njengokunqunywa. Isifo sikashukela i-mellitus njengesifo akusona isizathu esiyinhloko sokukhishwa kwezandla.
Baphendukela ekungeneleleni kokuhlinzwa ngenxa yezinkinga eziba khona ngokuncipha kwako. Ezimweni lapho lesi sifo siqhubeka ngendlela emnene, ukwelashwa okudingekayo kwenziwa ngendlela yesikhathi, ukulahleka komlenze kungagwenywa.
Izinhlobo zokusebenza
Ukunqunyelwa kukuvumela:
- ukuvimbela ukudakwa kwezindawo ezinempilo zezicubu noma izitho zomzimba ngenxa yethonya le-microflora ye-pathogenic kusuka ekugxiliseni okwakhekile kwe-lesion;
- gcina indawo ephezulu kakhulu yebhalansi ye-musculoskeletal ukwenza amanye ama-prosthetics.
Amaphethelo aphansi avame ukunqunywa ngoba:
- zihamba njalo, zidinga ukunikezwa kwegazi okugcwele;
- akubona bonke abanikezwa ukunakekelwa okwanele;
- ngokushesha anciphisa izindonga zemithambo yegazi ngokumelene nesifo sikashukela.
Izinhlobo zokunqunywa:
- Eziphuthumayo. Ukuhlinzwa okunjalo kwenziwa uma kunesidingo ukuqeda ukutheleleka ngokushesha, lapho ingozi yokufa inyuka. Sekuvele akunakwenzeka ukuthola umngcele oqondile wesilonda, ngakho-ke ukunqunywa kwenziwa kancane ngaphezu komhlaba obonakalayo wesilonda. Ukuhlinzwa kwenziwa ngezigaba eziningana. Okokuqala, ilunga elithintekile lisuswa ngaphezu kwemingcele yendawo yalo, bese kwakheka isiphunzi sokwenza ezinye izitho zangasese.
- Okuyinhloko. Kwenziwa uma ukugeleza kwegazi endaweni ethintekile kungakwazi ukubuyiselwa kusetshenziswa izindlela ze-physiotherapeutic kanye ne-Conservative izindlela.
- Okwesibili. Lolu hlobo lokuqunjelwa lwenzeka ngemuva komzamo ongaphumelelanga wokuphinda ugeleze igazi elangeni. Ukuhlinzwa kwenziwa ngezinga eliphansi, kuthinta izindawo zomlenze ophansi, i-phalanx yeminwe nonyawo.
Ngenqubo yokunqunywa, konke noma ingxenye ethile yomlenze kuyasuswa:
- Izinzwane. Ukuhlinzwa kwenziwa ngenxa ye-necrosis, eyakhula kule ngxenye yelungu ngenxa yokuphazamiseka kwegazi lokujikeleza noma ukwakheka kokugxilwa kwe-purulent. Ukuqunjelwa kwenziwa kuphela uma ukuhamba kwegazi okujwayelekile onyaweni kuphinde kwaqalwa. Ngesikhathi senqubo yokuhlinzwa, iminwe efile iyanqunywa.
- Yima. Ukuphinda ubonwe ngale ndawo yomlenze kubandakanya isikhathi eside sokuthola kabusha. Ngomphumela ophumelelayo wokuhlinzwa, umsebenzi wokusekelwa weligi uhlala unjalo. Ngemuva kokunqunywa, kunconywa ukugqoka izicathulo ezikhethekile ukuvimbela ukwakheka kwe-arthrosis.
- I-Drumstick. Ukuzikhohlisa kwenziwa ngokulandela inqubo yePirogov. Kususelwa ekususweni komlenze ophansi, kulandele ukugcinwa kokusebenza komlenze. Le ndlela yokususa isetshenziswa ngezindlela ezithuthukile ze-foot gangrene. Ukuhlinzwa okuphumelelayo kukuvumela ukuthi uhambe ngokukhululeka ngokusebenzisa i-prosthesis futhi ngaphandle kwenduku yokusekelwa vele ngemuva kwezinyanga ezimbalwa.
- I-Thigh. Lolu hlobo lokuqunjelwa luyasetshenziswa lapho kungenakwenzeka ukususa umlenze owodwa kuphela.
Ividiyo mayelana nokuthi yini okufanele uyinake ngesikhathi sokunqunywa:
Ukuvuselela kanye ne-prosthetics
Noma yikuphi ukungenelela kokuhlinzwa kudinga izindlela ezengeziwe zokutakula. Ukunqunywa kwengalo phakathi kwesifo sikashukela esiyinkimbinkimbi kubhekwa njengokujwayelekile. Ukususa imilenze, kwezinye izimo zombili, kukuvumela ukuthi usindise impilo yomuntu, kepha kuholele kwisidingo sokufunda ukuba khona ngaphandle kwemilenze.
Isikhathi sokuvuselelwa kuhloswe ngaso ukucindezela inqubo yokuvuvukala, ukuvimbela ukwenzeka kwe-pathology, futhi kufaka nokwelashwa kwansuku zonke kwamanxeba nokuqaqanjelwa. Ngaphezu kwalokho, isiguli sinqunywa izinqubo ezahlukahlukene zokuzivocavoca umzimba kanye nokuzivocavoca okuthile okuyingxenye yokuzivocavoca ngokwelashwa.
Ukuvuselela kudinga isiguli:
- landela ukudla;
- ukwenza izicubu zomzimba, ukuvivinya umzimba ukuze uvikele izicubu zomzimba;
- lala esiswini sakho amaviki amabili no-3;
- endaweni ethambekele kuyo, gcina umlenze olimele epulatifomu ephakanyisiwe ukuvikela ukuvuvukala;
- phatha amanxeba ngokucophelela ukuze ugweme ukutheleleka kanye nentuthuko yokuvuvukala.
Izinkinga ezingaba khona ngemuva kokunqunyulwa:
- ukutheleleka kabusha, kufaka phakathi i-sepsis ebanzi;
- izicubu i-necrosis, esivamile ezigulini ezinesifo sikashukela;
- isimo sendaba;
- ukusetshenziswa okungalungile noma okunganele kwezidakamizwa ezingama-antiseptics nezidambisigciwane;
- ukuphuma kwegazi okhubazekile ebuchosheni;
- i-thromboembolism;
- inyumoniya eyenzeka kungakapheli izinsuku ezintathu kusukela ngosuku lokuhlinzwa;
- i-hematoma ye-subcutaneous, eyakhelwe ngokumelene nesizinda sokumiswa okungalungile kokuphuma kwegazi;
- izifo zokugaya ukudla;
- Ubuhlungu be-phantom.
Izimbangela zobuhlungu be-phantom kusuka ohlangothini lwe-etiological azifundiswanga ngokuthembekile, ngakho-ke azikho izindlela zokwelapha eziphumelelayo zokuziqeda.
Le nkinga ibonakala ngokuvela kwemizwa engemnandi etholakala emilenzeni elimele (ukukhubazeka kwedolo, izinhlungu ezinyaweni, ukulunywa endaweni yezithende). Lesi simo sikhulisa kabi isikhathi sokuvuselelwa kabusha kwezimo. Iqedwa ngosizo lwemithi, i-physiotherapy, amasu okusebenza kwengqondo, ama-antidepressants.
I-Phantom Pain Video:
Indima ebalulekile idlalwa ngokulungiswa kokuziphatha kwesiguli impilo nge-prosthesis. Iningi leziguli liyaxineka, licabangele ukuzibulala ngenxa yokuxineka kakhulu ngenxa yesiphene somzimba. Ukufinyelela ukuzinza okungokomzwelo, isiguli, njengomthetho, sisiza umndeni futhi sigxile emgomweni.
Uma isigaba sokuvuselela isidlulile kalula, futhi akukho zinkinga, qhubekela ku-prosthetics. Okokuqala, isiguli sinikezwa i-prosthesis yokuqeqesha. Lapho ususa wonke umlenze, umuntu kufanele afunde ukuhamba futhi.
Ngokushesha lapho uqeqesho seluqalisiwe, kuzoba nemisipha engcono. Amaphaphu unomphela enziwa umuntu ngamunye ngokuhambisana nemingcele yomuntu siqu. Izinkinga ezitholakele ku-prosthesis eqediwe ziyaqedwa.
Le nqubo yenziwa ngasekupheleni kwesibili - ukuqala kwesonto lesithathu kusukela ngesikhathi sokuhlinzwa. Ukufakwa kabusha kwenziwa ngemuva kokugqokwa komkhiqizo okhona. Uma isiguli sinqunywe izinzwani, khona-ke akudingeki ukuthi umuntu afundeke emzimbeni.
Izigaba ze-prosthetics:
- Ukukhethwa komklamo.
- Ukuthatha izilinganiso zesiphunzi.
- Ukukhiqiza umkhiqizo.
- Umhlangano wendlala.
- Ukuqeda umkhiqizo ngokuya ngezifiso zesiguli.
- Inkinga yesifo sokuqina.
- Ukuqeqeshwa kokusebenza.
Impumelelo yesikhathi sokuvuselela incike kakhulu kukhwalithi ye-prosthesis, ubukhulu bayo, indlela yokulawula, ukwakhiwa, kanye ne-aesthetics. Isimo sesiguli sithinta nezinga lokubuyela kokujwayelekile.
Impilo ngemuva nesibikezeli
Ukuqedwa kuvame ukwenziwa kwisifo sikashukela. Ngenxa yale nqubo, isiguli siyagcinwa. Ukuhambisana nezincomo ezithile zezokwelapha ezithathwa njengokuphoqelekile kwisifo sikashukela kunikeza ithuba lokugwema ukuphindaphindwa kwe-pathology, kanye nokuqhubeka kweshukela.
Izindlela zokunganakwa zalesi sifo ziholela ekunqunyweni kwengxenye ebalulekile yelungu, okubangela ukufa ngamaphesenti angama-50 ngonyaka phakathi nonyaka. Iziguli ezakwazi ukuma ngezinyawo zazo ngemuva kokungenelela okuhlinzayo zinciphisa ingozi yokufa cishe kathathu.
Ukunqunywa okuphumelelayo kuvumela abantu abaningi ukufezekisa ukuzinza kwezenhlalo, ukululama ngokuphelele emisebenzini yabo yangaphambilini noma ukuqala ukuzifuna ngezindlela ezintsha. Ukukhethwa kwe-prosthesis efanele kusiza isiguli ukuba sihole indlela efanayo neyangaphambili. Kubantu abaningi, ukunqunywa kwengalo kuguquka endaweni yengqondo, ngakho-ke kuyakukhuthaza ukuthi udlale ezemidlalo noma uhambe ngenkuthalo.
Abantu obekumele badabule ukunqunywa bathola uxhaso lwezezimali kuhulumeni, bangathembela ekunikezelweni kokukhubazeka kanye nokukhokhwa kwemihlomulo emihle.
