Matenda a shuga - zilonda za kumapazi

Ngati muli ndi matenda ashuga, muli ndi mwayi wambiri wokhala ndi zilonda za kumapazi, kapena zilonda, zotchedwanso zilonda za shuga.

Zilonda za kumapazi ndi chifukwa chofala chokhalira kuchipatala kwa anthu omwe ali ndi matenda ashuga. Zitha kutenga milungu ingapo kapena miyezi ingapo kuti zilonda za kumapazi zipole. Zilonda za shuga nthawi zambiri sizimva kuwawa (chifukwa chakuchepa kwamapazi).

Kaya muli ndi zilonda zam'mapazi kapena ayi, muyenera kuphunzira zambiri za kusamalira mapazi anu.

Matenda ashuga amatha kuwononga mitsempha ndi mitsempha yamagazi kumapazi anu. Kuwonongeka uku kumatha kuyambitsa dzanzi ndikuchepetsa kumva kumapazi anu. Zotsatira zake, mapazi anu amatha kuvulala ndipo sangachiritse bwino ngati avulala. Mukapeza chithuza, mwina simungazindikire ndipo zitha kukulira.

Ngati mwayamba chilonda, tsatirani malangizo a omwe amakuthandizani pa zaumoyo momwe mungamuthandizire chilondacho. Komanso tsatirani malangizo amomwe mungasamalire mapazi anu kuti muteteze zilonda mtsogolo. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso.

Njira imodzi yochizira chilonda ndikutaya. Mankhwalawa amachotsa khungu ndi minofu yakufa. Simuyenera kuyesa kuchita izi nokha. Wopereka chithandizo, monga wodwala mapazi, ayenera kuchita izi kuti awonetsetse kuti zochitikazo zachitika moyenera ndipo sizipangitsa kuvulaza.

• Khungu lozungulira chilondacho limatsukidwa ndikuchotsa mankhwala.
• Bala limafufuzidwa ndi chida chachitsulo kuti liwone kuzama kwake ndikuwona ngati pali chinthu china chachilendo kapena chilondacho.
• Woperekayo amadula minofu yakufa, ndikutsuka chilondacho.
• Pambuyo pake, zilondazo zingaoneke zazikulu komanso zakuya. Chilondacho chiyenera kukhala chofiira kapena pinki. Zilonda zotuwa kapena zofiirira / zakuda sizimatha kuchira.

Njira zina zomwe wothandizirayo angagwiritse ntchito kuchotsa minofu yakufa kapena yomwe ili ndi kachilombo ndi:

• Ikani phazi lanu pamalo osambira.
• Gwiritsani ntchito syringe ndi catheter (chubu) kutsuka minofu yakufa.
• Ikani zonyowa kuti muume zovalira kuderalo kuti mutulutse minofu yakufa.
• Ikani mankhwala apadera, otchedwa michere, pachilonda chanu. Izi zimasungunula minofu yakufa pachilondacho.
• Ikani mphutsi zapadera pachilondacho. Mphutsi zimangodya khungu lakufa lokha ndikupanga mankhwala omwe amathandiza chilondacho kuchira.
• Dulani mankhwala a hyperbaric oxygen (amathandizira kupulumutsa mpweya wambiri pachilondacho).

Zilonda za kumapazi zimayambitsidwa chifukwa cha kupanikizika kwambiri mbali imodzi ya phazi lanu.

Wothandizira anu akhoza kukupemphani kuti muvale nsapato zapadera, brace, kapena osewera wapadera. Muyenera kugwiritsa ntchito chikuku kapena ndodo mpaka chilondacho chitachira. Zipangizozi zimachotsa zilonda zam'mimbazi. Izi zithandizira kuchira mwachangu.

Nthawi zina kuyika zilonda zamachiritso ngakhale kwa mphindi zochepa kumatha kusintha kuchira komwe kudachitika tsiku lonse.

Onetsetsani kuti muvale nsapato zomwe sizimakakamiza mbali imodzi yokha ya phazi lanu.

• Valani nsapato zopangidwa ndi chinsalu, zikopa, kapena ma suede. Osamavala nsapato zopangidwa ndi pulasitiki kapena zinthu zina zomwe sizimalola kuti mpweya udutse ndikutuluka mu nsapatoyo.
• Valani nsapato zomwe mutha kusintha mosavuta. Ayenera kukhala ndi zingwe, Velcro, kapena zomangira.
• Valani nsapato zoyenerera bwino komanso zosathina. Mungafunike nsapato yapadera yopangira phazi lanu.
• Musamavale nsapato zokhala ndi zala zakuthwa kapena zotsegula, monga nsapato zazitali, zopindika, kapena nsapato.

Samalirani chilonda chanu monga mwakulangizira ndi omwe amakupatsani. Malangizo ena atha kukhala:

• Onetsetsani kuti shuga wanu wamagazi akuyang'aniridwa bwino. Izi zimakuthandizani kuchira mwachangu komanso kumathandiza thupi lanu kulimbana ndi matenda.
• Sungani zilondazo ndi zoyera komanso zomangiriza.
• Sambani chilondacho tsiku ndi tsiku, pogwiritsa ntchito chomangira kapena bala.
• Yesetsani kuchepetsa kupanikizika kwa chilonda cha machiritso.
• Musayende opanda nsapato pokhapokha wothandizira anu atakuuzani kuti zili bwino.
• Kuchepetsa kuthamanga kwa magazi, kuchepetsa cholesterol, komanso kusiya kusuta ndizofunikanso.

Omwe akukuthandizani amatha kugwiritsa ntchito mavalidwe osiyanasiyana kuchiza zilonda zanu.

Mavalidwe onyowa nthawi zambiri amagwiritsidwa ntchito koyamba. Izi zimaphatikizapo kupaka chovala chonyowa pachilonda chanu. Pamene kavalidwe kouma, kamatenga zinthu za mabala. Kuvala kukachotsedwa, ena mwa minyewa imatuluka nayo.

• Wothandizira anu azikuwuzani kuti muyenera kusintha kangati mavalidwe.
• Mutha kusintha mavalidwe anu, kapena abale anu atha kukuthandizani.
• Namwino woyendera alendo angakuthandizeninso.

Mitundu ina ya mavalidwe ndi awa:

• Kuvala komwe kuli mankhwala
• Olowa m'malo mwa khungu

Sungani zovala zanu ndi khungu pozungulira kuti liume. Yesetsani kuti musakhale ndi mnofu wathanzi kuzungulira chilonda chanu chonyowa kwambiri kuchokera pamavalidwe anu. Izi zitha kufewetsa minofu yabwinobwino ndikupangitsa mavuto ena amiyendo.

Kuyezetsa magazi pafupipafupi ndi omwe amakuthandizani ndi njira yabwino yodziwira ngati muli pachiwopsezo chachikulu cha zilonda za kumapazi chifukwa cha matenda anu ashuga. Wothandizira anu ayenera kuyang'ana kukhudzidwa kwanu ndi chida chotchedwa monofilament. Mapazi anu amapimanso.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro izi:

• Kufiira, kutentha kwambiri, kapena kutupa mozungulira bala
• Owonjezera ngalande
• Ubweya
• Fungo
• Malungo kapena kuzizira
• Kuchuluka ululu
• Kulimba kolimba mozungulira chilondacho

Imbani foni ngati chilonda cham'mapazi ndi choyera kwambiri, chamtambo, kapena chakuda.

Ashuga phazi chilonda; Chilonda - phazi

Bungwe la American Diabetes Association. 11. Mavuto a Microvascular ndi chisamaliro cha phazi: miyezo ya chithandizo chamankhwala a shuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S135-S151. PMID: 31862754 pubed.ncbi.nlm.nih.gov/31862754/.

A Brownlee M, Aiello LP, Sun JK, et al. Zovuta za matenda ashuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 37.

National Institute of Diabetes ndi tsamba la Digestive and Kidney Disease. Matenda a shuga ndi phazi. www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems. Idasinthidwa mu Januware 2017. Idapezeka pa June 29, 2020.

• Matenda a shuga
• Matenda a shuga ndi mitsempha
• Kudulidwa mwendo kapena phazi
• Type 1 shuga
• Type 2 matenda ashuga

• Matenda a shuga ndi masewera olimbitsa thupi
• Matenda a shuga - kugwira ntchito
• Matenda ashuga - kupewa matenda amtima komanso kupwetekedwa mtima
• Matenda a shuga - kusamalira mapazi anu
• Kuyesedwa kwa matenda ashuga ndikuwunika
• Matenda a shuga - mukamadwala
• Kudulidwa kwamapazi - kutulutsa
• Kudulidwa mwendo - kutulutsa
• Kudulidwa mwendo kapena phazi - kusintha kosintha
• Shuga wamagazi ochepa - kudzisamalira
• Kusamalira shuga wanu wamagazi
• Phantom kupweteka kwamiyendo
• Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu
• Kusintha kouma-kouma kumasintha

• Ashuga Phazi