Mayeso a Mapazi Ashuga
Zamkati
- Kodi mayeso a phazi la ashuga ndi chiyani?
- Amagwiritsidwa ntchito yanji?
- Chifukwa chiyani ndikufunika kuyezetsa phazi la matenda ashuga?
- Kodi chimachitika ndi chiyani poyesa phazi la matenda ashuga?
- Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
- Kodi pali zoopsa zilizonse pamayeso?
- Kodi zotsatirazi zikutanthauza chiyani?
- Kodi pali china chilichonse chomwe ndikufunika kudziwa pokhudzana ndi mayeso a matenda ashuga?
- Zolemba
Kodi mayeso a phazi la ashuga ndi chiyani?
Anthu omwe ali ndi matenda ashuga ali pachiwopsezo chachikulu cha zovuta zamapazi osiyanasiyana. Kuyezetsa phazi la matenda ashuga kumayang'ana anthu omwe ali ndi matenda ashuga pamavuto awa, omwe amaphatikizapo matenda, kuvulala, ndi mafupa olakwika. Kuwonongeka kwa mitsempha, komwe kumatchedwa neuropathy, komanso kusayenda bwino kwa magazi (magazi) ndizomwe zimayambitsa mavuto am'mapazi ashuga.
Matenda a m'mitsempha amatha kupangitsa kuti mapazi anu azimva kufota kapena kumva kuwawa. Zingathenso kuyambitsa vuto lakumva pamapazi anu. Chifukwa chake ngati muvulala phazi, monga callus kapena blister, kapena ngakhale zilonda zakuya zotchedwa chilonda, mwina simukudziwa.
Kusayenda bwino kwa phazi kumatha kukupangitsani kukhala kovuta kuti mulimbane ndi matenda am'mapazi ndikuchira kuvulala. Ngati muli ndi matenda ashuga ndikupeza zilonda zam'mapazi kapena kuvulala kwina, thupi lanu silimatha kuchira mwachangu. Izi zitha kubweretsa matenda, omwe atha kukhala owopsa. Ngati matenda a phazi sakuchiritsidwa nthawi yomweyo, amatha kukhala owopsa kotero kuti phazi lanu lingafunike kudulidwa kuti mupulumutse moyo wanu.
Mwamwayi, mayeso oyenda nthawi zonse ashuga, komanso chisamaliro chanyumba, zitha kuthandiza kupewa zovuta zamatenda.
Mayina ena: kuyesa kwathunthu kwa phazi
Amagwiritsidwa ntchito yanji?
Kuyezetsa phazi la ashuga kumagwiritsidwa ntchito kuwunika mavuto azaumoyo kwa omwe ali ndi matenda ashuga. Zilonda kapena mavuto am'mapazi akapezeka ndikuchiritsidwa msanga, zimatha kupewa zovuta zazikulu.
Chifukwa chiyani ndikufunika kuyezetsa phazi la matenda ashuga?
Anthu omwe ali ndi matenda ashuga ayenera kukayezetsa phazi lawo ashuga kamodzi pachaka. Mungafunike kuyesedwa pafupipafupi ngati mapazi anu ali ndi izi:
- Kujambula
- Kunjenjemera
- Ululu
- Kutentha
- Kutupa
- Zowawa komanso zovuta poyenda
Muyenera kuyimbira foni nthawi yomweyo ngati muli ndi zizindikiro izi, zomwe ndi zizindikilo za matenda akulu:
- Blister, kudula, kapena kuvulala kwina kwa phazi komwe sikuyamba kuchira patatha masiku ochepa
- Kuvulala kwa phazi komwe kumamva kutentha mukakhudza
- Kufiira mozungulira phazi
- Ma callus okhala ndi magazi owuma mkati mwake
- Kuvulala kofiyira ndikununkhiza. Ichi ndi chizindikiro cha chilonda, kufa kwa minyewa ya thupi. Ngati sanalandire chithandizo mwachangu, chilonda chimatha kudula phazi, kapena kufa.
Kodi chimachitika ndi chiyani poyesa phazi la matenda ashuga?
Kuyezetsa phazi la matenda ashuga kumatha kuchitidwa ndi omwe amakupatsani chisamaliro choyambirira komanso / kapena dokotala wamiyendo, wotchedwa podiatrist. Dokotala wamapazi amakhazikika pakusunga mapazi athanzi komanso kuchiza matenda am'mapazi. Mayeso nthawi zambiri amakhala ndi izi:
Kuwunika konsekonse. Wopereka wanu adza:
- Funsani mafunso okhudzana ndi mbiri yanu yazaumoyo komanso mavuto am'mbuyomu omwe mudakhala nawo ndi mapazi anu.
- Onetsetsani nsapato zanu kuti zikuyenerere bwino ndikufunsani mafunso za nsapato zanu zina. Nsapato zomwe sizikugwirizana bwino kapena zosakhala bwino zimatha kubweretsa zotupa, zotupa, ndi zilonda.
Kuwunika kwa ziweto. Wopereka wanu adza:
- Fufuzani mavuto osiyanasiyana akhungu, kuphatikiza kuuma, kulimbana, matumbo, zotupa, ndi zilonda.
- Chongani toenails ngati ming'alu kapena matenda mafangasi.
- Yang'anani pakati pa zala zanu ngati pali zizindikiro za matenda a mafangasi.
Kuyesa kwa Neurologic. Izi ndi mayeso angapo omwe akuphatikizapo:
- Mayeso a Monofilament. Wopereka wanu amapukutira ulusi wofewa wa nayiloni wotchedwa monofilament pamapazi anu ndi zala zanu kuti muyese kukhudzidwa kwa phazi lanu kuti mugwire.
- Kuyesa mafoloko ndi zowonera zowonera (VPT). Wothandizira anu amayika foloko yolowera kapena chida china kumapazi ndi zala zanu kuti muwone ngati mukumva kugwedezeka komwe kumatulutsa.
- Kuyesa kwa Pinprick. Wothandizira anu amatha kugwedeza pansi pa phazi lanu ndi pini yaying'ono kuti muwone ngati mukumva.
- Maganizo am'miyendo. Wothandizira anu amayang'ana maubongo anu mwakumenyetsa pa phazi lanu ndi nyundo yaying'ono. Izi ndizofanana ndi mayeso omwe mungapeze pachaka chakuthupi, momwe omwe amakupatsirani amapopera pansi pa bondo lanu kuti muwone momwe mukuonera.
Kuunika kwa minofu. Wopereka wanu adza:
- Fufuzani zovuta za mawonekedwe a phazi lanu.
Kuunika kwamitsempha. Ngati muli ndi zizindikilo zosayenda bwino, woperekayo atha:
- Gwiritsani ntchito luso lamakono lotchedwa Doppler ultrasound kuti muwone momwe magazi akuyendera phazi lanu.
Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
Simukusowa kukonzekera kulikonse koyesa mayeso a phazi la ashuga.
Kodi pali zoopsa zilizonse pamayeso?
Palibe zoopsa zodziwika kuti ukapimidwe matenda ashuga.
Kodi zotsatirazi zikutanthauza chiyani?
Ngati vuto lipezeka, dokotala wanu wamapazi kapena wothandizirayo angakulimbikitseni kuyesedwa pafupipafupi. Mankhwala ena atha kukhala:
- Maantibayotiki othandizira matenda am'mapazi
- Opaleshoni yothandizira kupunduka kwa mafupa
Palibe chithandizo cha kuwonongeka kwa mitsempha kumapazi, koma pali mankhwala omwe angathetsere kupweteka ndikupangitsanso ntchito. Izi zikuphatikiza:
- Mankhwala
- Mafuta a khungu
- Thandizo lakuthupi kuti lithandizire moyenera komanso mphamvu
Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.
Kodi pali china chilichonse chomwe ndikufunika kudziwa pokhudzana ndi mayeso a matenda ashuga?
Mavuto amiyendo ndiwowopsa kwa anthu omwe ali ndi matenda ashuga. Koma mutha kuthandiza kuti mapazi anu akhale athanzi ngati:
- Samalani matenda anu ashuga Gwirani ntchito ndi omwe amakuthandizani kuti mukhale ndi shuga wathanzi.
- Pezani mayeso a phazi la matenda ashuga pafupipafupi. Muyenera kuyesedwa mapazi anu kamodzi pachaka, ndipo nthawi zambiri ngati inu kapena omwe akukuthandizani mwapeza vuto.
- Yang'anani mapazi anu tsiku lililonse. Izi zitha kukuthandizani kupeza ndi kuthana ndi mavuto asanakwane. Fufuzani zilonda, zilonda, ming'alu, ndi kusintha kwina kumapazi anu.
- Sambani mapazi anu tsiku lililonse. Gwiritsani ntchito madzi ofunda ndi sopo wofatsa. Youma bwinobwino.
- Valani nsapato ndi masokosi nthawi zonse. Onetsetsani kuti nsapato zanu zimakhala zabwino komanso zokwanira.
- Chepetsani zala zanu nthawi zonse. Dulani molunjika m'mbali mwa msomali ndipo pang'onopang'ono mosalala ndi fayilo ya msomali.
- Tetezani mapazi anu kutentha kwambiri ndi kuzizira. Valani nsapato pamalo otentha. Musagwiritse ntchito mapepala otentha kapena mabotolo otentha pamapazi anu. Musanaike mapazi anu m'madzi otentha, yesani kutentha ndi manja anu. Chifukwa chakuchepa kwachisoni, mutha kuwotcha mapazi anu osadziwa. Kuti muteteze mapazi anu kuzizira, musapite opanda nsapato, valani masokosi pabedi, ndipo nthawi yozizira, valani nsapato zazitali, zopanda madzi.
- Sungani magazi akuyenda pamapazi anu. Ikani mapazi anu mutakhala pansi. Gwedezani zala zanu kwa mphindi zingapo kawiri kapena katatu patsiku. Khalani otakataka, koma sankhani zochita zosavuta, monga kusambira kapena kupalasa njinga. Lankhulani ndi omwe akukuthandizani musanayambe pulogalamu yochita masewera olimbitsa thupi.
- Osasuta. Kusuta kumachepetsa kuthamanga kwa magazi kumapazi ndipo kumatha kupangitsa kuti zilonda zizichira pang'onopang'ono. Odwala matenda ashuga ambiri amene amasuta amafunika kudulidwa.
Zolemba
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- Mgwirizano wa American Diabetes Association [Internet]. Arlington (VA): Bungwe la American Diabetes Association; c1995–2019. Zovuta Zamapazi; [zasinthidwa 2018 Nov 19; yatchulidwa 2019 Mar 12]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
- Chipatala cha Beaver Valley Foot [Internet]. Wodwala Matenda Pafupi Ndi Ine Pittsburgh Phazi Doctor Pittsburgh PA; c2019. Zakumapeto: Chipatala cha Beaver Valley Foot; [yotchulidwa 2019 Mar 12]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://bvfootclinic.com/glossary
- Boulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Kufufuza Kwapamwamba Kwambiri ndi Kuunika Kwangozi. Chisamaliro cha Matenda a shuga [Internet]. 2008 Aug [yotchulidwa 2019 Mar 12]; 31 (8): 1679-1685. Ipezeka kuchokera: http://care.diabetesjournals.org/content/31/8/1679
- Country Foot Care [Intaneti]. Kusamalira Mapazi Akumtunda; 2019. Glossary of Podiatry Terms; [yotchulidwa 2019 Mar 12]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
- FDA: US Food and Drug Administration [Intaneti]. Silver Spring (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. FDA imalola kutsatsa kwa zida zothandizira odwala zilonda zam'mapazi; 2017 Dec 28 [yatchulidwa 2020 Jul 24]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
- Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998–2019. Matenda a shuga: Kuzindikira ndi chithandizo; 2018 Sep 7 [yatchulidwa 2019 Mar 12]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.