Tasirin magani yana dogara ne akan ayyukan haɗin gwiwar endocrinologist, likitan fata, podologist, therapist, likita na jijiyoyin jijiyoyin bugun gini da na purulent, likitan dabbobi.
Kula da ra'ayin mazan jiya
A cikin lura da ciwon sukari tare da magani, diyya na ciwon sukari mellitus da warkar da cututtukan cututtukan trophic na da mahimmanci.
- magungunan rage sukari, idan ya cancanta - insulin don daidaita matakan sukari na jini;
- antibacterial, antifungal, magungunan anti-mai kumburi tare da ƙari da ƙwayar cuta, kamuwa da cuta ta fungal;
- painkillers - ibuprofen, diclofenac;
- shirye-shiryen maganin rigakafi na farko a cikin hanyar maganin shafawa, cream, mafita.
Dukkanin marasa lafiya, ba tare da la'akari da irin ciwon sukari ba, suna karɓar insulin intramuscularly a ƙarƙashin ikon matakan sukari yayin rana. Don inganta yanayin gaba ɗaya na jiki, magungunan anti-mai kumburi ba magunguna ba, ana amfani da maganin tricyclic antidepressants don rage jin zafi.
Kwayar cutar ciwon sukari
Magunguna na zabi shine sabon ƙarni na cephalosporins, fluoroquinolones. Mafi sau da yawa ana ba da umarnin Zefter, Tsifran ST, Aveloks, Tsiprolet A, Heinemoks, Invanz.
Ana amfani da haɗakar magungunan rigakafi - clindamycin-netilmicin, clindamycin-aztreonam, clindamycin-ciprofloxacin. Haɗin karshe na maganin rigakafi yana da inganci ko da tare da cututtukan ƙafar ƙafafun ischemic.
Cikakkun magungunan kwayoyi
- Don inganta yanayin rauni, an tsara magunguna a cikin capsules Sulodexide da Lomoporan. Yana nufin kasancewa cikin aji na heparinoids, suna da tasirin antithrombotic, ana amfani dasu a ciki da cikin capsules.
- Tare da raunuka masu tasowa wanda lalacewa ta hanyar lalata tasoshin jini, Prostavazinum, an wajabta Alprostadil. Kwayoyi suna lalata jijiyoyin jini, rage danko jini, faranti. Ana ba da sakamako mai kyau ta hanyar magance alamun ƙafafun ciwon sukari tare da Trental 400, wanda ke inganta microcirculation a cikin kyallen al'aura.
- Musamman don lura da cututtukan ulcers a cikin ciwon sukari mellitus, shirye-shiryen Vulnostimulin, Delaskin, Fusicutan an yi niyya. Take hakkin jijiyin ƙafar da lalacewa ta lalacewar jijiyoyi an bi dashi tare da jami'ai waɗanda ke ɗauke da sinadarin thioctic acid - Tiolepta, Thioctacid, Berlition.
Jiyya na gida
Rashin alamar ciwo a cikin cututtukan ƙafafun kafaɗar mahaifa ya kamata ya zama dalilin tuntuɓar likita nan da nan don taimako. Nasarar magani ya dogara da aiwatar da hankali na yau da kullun na duk umarnin likitocin podologist. An bada shawarar mai haƙuri:
- koyaushe tsaftace ulcer, tsaftace ruwa;
- canza suturar kullun ta amfani da magunguna kawai wanda likitanku ya umarta;
- kada ku tafi da ƙafafuna;
- rage aikin jiki.
- Raunin tsabtatawa. Kula da cututtukan gida na gida sun hada da tsaftar rauni, rinsing tare da maganin antiseptik, sutura. Hanya mafi kyau don tsabtace shine don tsabtace rauni da fatar. Hanyar tiyata na wanke rauni an fi son cutarwa ta ƙwayar cuta daga ƙwayar ciki, sakin ƙwayar fata. Don yin amfani da tsabtace tsabtace na inji, lafiyayyen nama ya kamata ya kasance a cikin rauni.
- Fitar raunuka. Hanyar amintacciyar hanyar da za ta iya kawar da cutar da ba ta da illa a jiki ita ce wanka da ruwan gishiri. Ana iya maye gurbin shi da 0.9% sodium chloride bayani. Wankewa tare da bayani na 3% hydrogen peroxide shine shawarar cire far, akan kwayoyin anaerobic. Tare da wanke akai na rauni tare da peroxide, mafita ya kamata a diluted sau 2 kuma a haɗe tare da ban ruwa na rauni tare da ruwan gishiri. Ana daukar Miramistin ingantaccen magani don maganin raunuka. Amfani da wannan kayan aiki ba ya haifar da jinkirin warkarwa, zurfafa rauni, ya bambanta da maganin hydrogen peroxide, potassiumgangan, kore mai haske, bayani na aidin. An ba da shawarar cewa tare da yawan amfani da shi ana bada shawara don tsarma shi sau 2-3, madadin, kada kuyi amfani da kullun. A farkon matakan ulcer, ana amfani da fitsarin chlorhexidine. Wannan magani ba shi da illa mai illa, amma yana asarar kadarorin antiseptik a gaban farji.
- Zaɓin murfin rauni. Hanyar kullun na cutar yana buƙatar rufe rauni tare da bandeji wanda ba ya haifar da rauni yayin juyawa wanda zai yuwu don musayar gas. Mafi kyawun kayan kayan miya sune:
- fina-finai na rabin-permeable - ana amfani da su don raunuka na cututtukan cututtukan cututtukan zuciya, ba da shawarar don tsawan amfani ba;
- Ana amfani da kumburin kumfa - ana amfani da su a matakin warkarwa tare da sakin karamin adadin exudate daga rauni;
- hydrogels - an ba da shawarar don magance cututtukan ƙwayoyin tsoffin ƙwayoyin cuta, tsabtace rauni da kyau, ƙarfafa warkarwa ba tare da samar da tabo ba;
- amorphous hydrogels - wanda aka yi amfani da shi don magance bushewar rauni, kuma don warkar da raunuka tare da sakin exudate;
- Labarun hydrocolloid - mafi shahararren nau'in rufi, baya buƙatar canje-canje akai-akai, yana da kyakkyawan farashi / ingancin rabo;
- alginates - da kyau yana warkar da raunuka mai yawa tare da babban adadin exudate, ana bada shawarar a wanke rauni sosai da ruwan gishiri bayan shafa.
Magunguna don Topical jiyya
Ana amfani da jiyya na cututtukan cututtukan ƙwayar cuta a ƙafa da ƙafar kafa tare da maganin antiseptics a hade tare da tsarkakewa na rauni, maganin antimicrobials daidai da lokaci na ci gaban ulcer. Kafin amfani da suturar tare da magani, an tsabtace rauni da irin maganin Oksol, Dioxicain-P da ke ɗauke da sinadarin collagenase da enzymes na kariya.
An tsara magunguna tare da taka tsantsan yayin kamuwa da cuta saboda rauni mai guba ba wai kawai ga ƙwayoyin cuta ba, har ma a kan ƙoshin lafiya na fata. Tare da raunuka na purulent, tare da bugu mai ƙonewa, an sanya maganin shafawa wanda ke ɗauke da sinadarin polyethylene, aidin.
Gyaran gyaran kafa
Nasarar magani ya dogara da lura da yanayin tafiya ga ƙafar, rage aiki. Mafi kyawun saukar da ƙafa shine hutu na gado. Idan ba zai yuwu a bi ta ba, to sai a koma ga takalman orthopedic na musamman, insoles da aka yi oda, a yi amfani da shara lokacin tafiya.
Hanya ingantacciya don rage nauyin jiki akan ƙafa shine gyara bandeji akan ƙafar kafa ta kayan polymer. Tufafin yana ba ku damar aiki ba tare da haushi saman rauni na ƙyallen ba.
Jiyya na tiyata
Ana amfani da aikin tiyata yadda ya kamata don sifar ischemic na ƙafafun ƙafa, wanda yake da wahala a magance shi da wasu kwayoyi. Haɓaka aikin warkar da cututtukan mahaifa yana inganta sosai ta hanyar yin gyare-gyare na tiyata ta ƙoshin zuciya ko ƙaddamar da cututtukan zuciya.
An yi tiyata ne don maido da kwararar jini a cikin jijiyoyin jijiyoyin jini da kuma na jijiyoyin kafa. Ana yin sa ne a ƙarƙashin maganin sa barci na cikin gida. Yayin aikin, ana saka catheter ta hanyar fitsarin waje a cikin jijiyar mata. Bayan haka, ana gabatar da balan-balan a cikin jijiyoyin kafa na kafa ta hanyar catheter, da fadada katakon jiragen ruwa, inganta hawan jini.
Ciwon sukari na ciwon sukari
Har zuwa 70% na duk maganganun cututtukan cututtukan trophic suna da alhakin nau'in neuropathic na ƙafar masu ciwon sukari sakamakon lalacewar jijiya. Tasirin magani na cututtukan cututtukan cututtukan zuciya yana zuwa 90%.
Mafi muni game da aschemic da cakuda siffofin kamuwa da ƙafa. Tare da mummunar lalacewar jijiyoyin jini, lura da ra'ayin mazan jiya yana taimakawa don hana ƙarar ƙafa a cikin kawai 30% na lokuta na raunuka.
Kulawa da cututtukan cututtukan cututtukan mahaifa yana da rikitarwa ta hanyar haɗarin kamuwa da cuta a cikin rauni, lalacewar injinin wanda zai iya inganta lalacewar nama, zai haifar da gangrene tare da yanke hannu na gaba.
