Matenda a Shuga Mapazi ndi Zilonda: Zoyambitsa ndi Chithandizo

Zamkati

• Kuzindikira Zizindikiro ndi Kuzindikira
• Zomwe zimayambitsa matenda ashuga kumapazi ndi zilonda
• Zowopsa Zilonda Zam'mapazi Za Shuga
• Kuchiza Zilonda Zam'mapazi Zamatenda
• Mankhwala
• Chithandizo Chopambana
• Njira Zopangira Opaleshoni
• Kupewa Matenda Aashuga Mapazi
• Nthawi Yomwe Muyenera Kuwonana ndi Dotolo Wanu
• Chiwonetsero
• Funso:
• Yankho:

Ashuga Mapazi Ululu ndi Zilonda

Zilonda zam'mapazi ndi vuto lodziwika bwino la matenda ashuga osayang'aniridwa bwino, omwe amapangidwa chifukwa cha minofu ya khungu yomwe imaphwanya ndikuwonetsa magawo omwe ali pansi pake. Amakhala ofala kwambiri pansi pa zala zanu zazikuluzikulu ndi mipira ya mapazi anu, ndipo amatha kukhudza mapazi anu mpaka mafupa.

Anthu onse omwe ali ndi matenda ashuga amatha kukhala ndi zilonda za kumapazi komanso kupweteka kumapazi, koma kusamalira bwino phazi kumawathandiza kupewa. Chithandizo cha zilonda zam'mapazi ashuga komanso kupweteka kwamapazi zimasiyana kutengera zomwe zimayambitsa. Kambiranani za kupweteka kwa phazi kapena kusapeza bwino ndi dokotala wanu kuti muwonetsetse kuti si vuto lalikulu, chifukwa zilonda zamatenda zimatha kudulidwa ngati anyalanyazidwa.

Kuzindikira Zizindikiro ndi Kuzindikira

Chimodzi mwazizindikiro zoyambirira za chilonda chakumapazi ndi ngalande kuchokera kuphazi lanu yomwe imatha kudetsa masokosi anu kapena kutayikira nsapato zanu. Kutupa kosazolowereka, kukwiya, kufiira, ndi zonunkhira kuchokera kuphazi limodzi kapena awiri ndizofala kwa zilonda zam'mapazi.

Chizindikiro chowonekera kwambiri cha chilonda chakumiyendo chachikulu ndi minofu yakuda (yotchedwa eschar) yozungulira chilondacho. Izi zimachitika chifukwa chakusapezeka kwa magazi koyenera kudera lozungulira chilondacho. Matenda opatsirana pang'ono kapena amphumphu, omwe amatanthauza kufa kwa minofu chifukwa cha matenda, amatha kuwonekera pachilondacho. Poterepa, kutulutsa konyansa, kupweteka, ndi dzanzi kumatha kuchitika.

Zizindikiro za zilonda za kumapazi sizowonekera nthawi zonse. Nthawi zina, sungawonetse ngakhale zilonda zam'mimba mpaka chilondacho chitagwira. Lankhulani ndi dokotala wanu ngati mutayamba kuwona khungu, makamaka minofu yomwe yasanduka yakuda, kapena mukumva kupweteka kulikonse komwe kumawoneka kovuta kapena kukwiya.

Dokotala wanu adzazindikira kukula kwa chilonda chanu pamlingo wa 0 mpaka 3 pogwiritsa ntchito izi:

0: palibe chilonda koma phazi lili pachiwopsezo

1: zilonda zilipo koma zilibe matenda

2: zilonda zakuya, kuwulula malumikizidwe ndi minyewa

3: zilonda zazikulu kapena zotupa kuchokera kumatenda

Zomwe zimayambitsa matenda ashuga kumapazi ndi zilonda

Zilonda za shuga zimayambitsidwa ndi:

• kusayenda bwino
• shuga wambiri wamagazi (hyperglycemia)
• kuwonongeka kwa mitsempha
• Mapazi okwiya kapena ovulala

Kuyenda kwamagazi koyipa ndi mtundu wa matenda am'mimba momwe magazi samathamangira kumapazi anu moyenera. Kufalikira kwa magazi koyipa kumathandizanso kuti zilonda zam'mimba zizivutika.

Kuchuluka kwa shuga kumachedwetsa kuchira kwa zilonda zam'mapazi, chifukwa kasamalidwe ka shuga m'magazi ndikofunikira. Anthu omwe ali ndi matenda ashuga amtundu wa 2 nthawi zambiri amakhala ndi nthawi yovuta yolimbana ndi matenda ochokera ku zilonda zam'mimba.

Kuwonongeka kwa mitsempha kumakhala ndi zotsatira za nthawi yayitali ndipo kumatha kubweretsa kusowa kwakumva pamapazi anu. Mitsempha yowonongeka imatha kumva kukhala yolira komanso yopweteka poyamba. Kuwonongeka kwa mitsempha kumachepetsa chidwi chanu pakumva kupweteka kwa phazi ndipo kumabweretsa zilonda zopanda ululu zomwe zingayambitse zilonda.

Zilonda zimatha kudziwika ndi ngalande kuchokera kumalo okhudzidwa ndipo nthawi zina chotupa chowonekera chomwe sichimva kuwawa nthawi zonse.

Khungu louma limakonda kupezeka mu matenda ashuga. Mapazi anu amatha kuwonongeka. Mafinya, chimanga, ndi zilonda zamagazi zimatha kuchitika.

Zowopsa Zilonda Zam'mapazi Za Shuga

Anthu onse omwe ali ndi matenda a shuga ali pachiwopsezo cha zilonda za kumapazi, zomwe zimatha kukhala ndi zifukwa zingapo. Zinthu zina zimatha kuonjezera ngozi ya zilonda za kumapazi, kuphatikizapo:

• nsapato zosavala bwino kapena zoyipa
• ukhondo (osasamba pafupipafupi kapena bwinobwino)
• Kukodola kosayenera kwa zikhadabo
• kumwa mowa
• matenda amaso ochokera ku matenda ashuga
• matenda amtima
• matenda a impso
• kunenepa kwambiri
• kusuta fodya (kumaletsa kuyenda kwa magazi)

Zilonda zam'mapazi ashuga ndizofala kwambiri mwa amuna achikulire.

Kuchiza Zilonda Zam'mapazi Zamatenda

Khalani kumapazi anu kuti muchepetse ululu ndi zilonda. Izi zimatchedwa kutsitsa, ndipo ndizothandiza pamitundu yonse ya zilonda zam'mapazi ashuga. Kupanikizika koyenda kumatha kukulitsa matenda ndikukula kwa zilonda. Kwa anthu onenepa kwambiri, kukakamizidwa kowonjezera kumatha kukhala komwe kumayambitsa kupweteka kwamapazi.

Dokotala wanu angakulimbikitseni kuvala zinthu zina kuti muteteze mapazi anu:

• nsapato za odwala matenda ashuga
• akuponya
• zolimbitsa phazi
• psinjika okutira
• Kuyika nsapato kuteteza chimanga ndi ma callus

Madokotala amatha kuchotsa zilonda zam'mapazi ashuga ndikuchotsa khungu, kuchotsa khungu lakufa, zinthu zakunja, kapena matenda omwe mwina adayambitsa chilondacho.

Matendawa ndi vuto lalikulu la zilonda zam'mapazi ndipo amafunikira chithandizo mwachangu. Sikuti matenda onse amathandizidwa mofanana. Minofu yozungulira chilondacho itha kutumizidwa ku labu kuti mudziwe mankhwala omwe angathandize. Ngati dokotala akukayikira kuti ali ndi kachilombo koyambitsa matendawa, akhoza kuitanitsa X-ray kuti ayang'ane zizindikiro za matenda a mafupa.

Matenda a zilonda zam'mapazi amatha kupewedwa ndi:

• malo osambira mapazi
• Kuteteza khungu kuzilonda zam'mimba
• kusunga zilondazo kukhala kouma komanso kusintha pafupipafupi
• mankhwala a enzyme
• mavalidwe okhala ndi calcium alginates olepheretsa kukula kwa bakiteriya

Mankhwala

Dokotala wanu angakupatseni maantibayotiki, ma antiplatelets, kapena mankhwala oletsa kugwilitsa ntchito kuti athetse zilonda zanu ngati matendawa apitilira ngakhale mutalandira mankhwala oletsa kuteteza kapena kupondereza. Ambiri mwa maantibayotiki amaukira Staphylococcus aureus, mabakiteriya omwe amadziwika kuti amayambitsa matenda a staph, kapena ß-haemolytic Streptococcus, yomwe nthawi zambiri imapezeka m'matumbo mwanu.

Lankhulani ndi dokotala wanu za matenda ena omwe muli nawo omwe angapangitse chiopsezo chanu chotenga kachilomboka ndi mabakiteriya owopsawa, kuphatikizapo mavuto a HIV ndi chiwindi.

Chithandizo Chopambana

Mankhwala ambiri apakhungu amapezeka zilonda zam'mapazi, kuphatikizapo:

• mavalidwe okhala ndi zonona zasiliva kapena zasiliva sulphadiazine
• polyhexamethylene biguanide (PHMB) gel kapena njira
• ayodini (kaya povidone kapena cadexomer)
• uchi wachikulire wamafuta kapena mawonekedwe a gel

Njira Zopangira Opaleshoni

Dokotala wanu angakulimbikitseni kuti mupeze chithandizo cha zilonda zanu zamankhwala. Dokotalayo amatha kuthandizira kuchepetsa zilonda zanu pometa fupa kapena kuchotsa zolakwika zamapazi monga bunions kapena hammertoes.

Simufunikanso kuchitidwa opaleshoni pachilonda chanu. Komabe, ngati palibe njira ina yothandizira yomwe ingathandize chilonda chanu kuchira kapena kupita patsogolo kukadwala, opareshoni imatha kuteteza zilonda zanu kuti zisakule kapena kuyambitsa kudulidwa.

Kupewa Matenda Aashuga Mapazi

Malinga ndi American Podiatric Medical Association, 14 mpaka 24% ya anthu aku America omwe ali ndi zilonda zam'mapazi ashuga amadulidwa. Kusamalira ndikofunikira. Samalirani magazi anu mosamala kwambiri, chifukwa mwayi wanu wokhudzana ndi matenda ashuga umakhala wotsika shuga mukamakhazikika. Muthanso kuthandiza kupewa mavuto amiyendo ashuga mwa:

• kutsuka mapazi ako tsiku lililonse
• khalani zikhadabo zodulidwa mokwanira, koma osati zazifupi kwambiri
• sungani mapazi anu owuma komanso onyowa
• kusintha masokosi anu pafupipafupi
• kuwona woyang'anira mapazi wa chimanga ndi kuchotsedwa kwa callus
• kuvala nsapato zokwanira

Zilonda zam'mapazi zimatha kubwerera atachiritsidwa. Zilonda zamtundu zimatha kutenga kachilomboka ngati malowo awonjezekanso, chifukwa chake dokotala angakulimbikitseni kuti muzivala nsapato za ashuga kuti zilonda zisabwerere.

Nthawi Yomwe Muyenera Kuwonana ndi Dotolo Wanu

Mukayamba kuwona thupi lakuda mozungulira dzanzi, pitani kuchipatala nthawi yomweyo kukafunafuna chithandizo cha chilonda chakumapazi. Ngati zilibe mankhwala, zilonda zam'mimba zimatha kuyambitsa zilonda ndi kufalikira kumadera ena pamapazi ndi miyendo yanu. Pakadali pano, zilonda zimatha kuchiritsidwa ndi opaleshoni, kudula, kapena kusintha khungu lotayika ndi olowa m'malo mwa khungu.

Chiwonetsero

Zikagwidwa msanga, zilonda za kumapazi zimachiritsidwa. Kaonaneni ndi dokotala nthawi yomweyo ngati muli ndi zilonda pamapazi anu, popeza mwayi wopezeka ndi matenda ukuwonjezeka mukadikirira. Matenda osachiritsika angafune kudulidwa.

Pamene zilonda zanu zikupola, khalani pamapazi anu ndikutsatira dongosolo lanu la mankhwala. Zilonda zam'mapazi ashuga zimatha kutenga milungu ingapo kuti zipole. Zilonda zimatha kutenga nthawi kuti zitheke ngati shuga wamagazi anu ali okwera komanso ngati kupsinjika kwa nthawi zonse kumagwiritsidwa ntchito pachilonda. Kutsalira pakudya mosamalitsa komanso kutsitsa kutsitsa kumapazi anu ndiyo njira yothandiza kwambiri kuti zilonda za kumapazi anu zizichira. Ngati chilonda chapola, chisamaliro chokhazikika chodzitchinjiriza chimakuthandizani kuletsa chilondacho kuti chisabwererenso.

Funso:

Kodi pali mankhwala azitsamba omwe angathandize zilonda zam'miyendo zochepa?

Yankho:

Pali mankhwala angapo ofooketsa tizilombo omwe amachiza zilonda zam'mapazi pang'ono. Uchi (monga tawonera m'maphunziro ambiri) awonetsedwa kuti amapha mabakiteriya ndikuchiritsa zilonda zam'mimba, motero amatha kuchiritsa zilonda za m'miyendo. Kuchotsa mbewu za mphesa - komwe kumakhala ndi proanthocyanidins - kungathandizenso kuchiritsa zilonda za kumapazi. Mankhwala ena azitsamba kapena naturopathic ndi monga aloe vera gel, gingko biloba, ndi calendula crème.