Haɓaka ciwon sukari na faruwa tare da rashin iya ɗaukar carbohydrates daga abinci. Dalilin haka shine rashin ɓoye insulin ko kuma rashin isar masu karɓar sel su amsa shi. Babban alamomin cutar suna da alaƙa da hawan jini.
Hankula ga masu ciwon sukari sune: ƙishirwa mai yawa, yawan ci, sauye-sauye kwatsam a nauyi, fitsari ana sakin shi sau da yawa fiye da yadda aka saba, ƙoshin fata yana da damuwa.
Saurin warkarwa da kwantar da raunuka a cikin ciwon sukari mellitus alama ce ta halayyar halayyar cutar. Dalilin wannan shine rikicewar zubar jini da matsananciyar yunwa na kyallen takarda, raguwa a cikin hanyoyin rigakafi.
Sanadin shigowa da raunuka a cikin ciwon sukari
Don fahimtar mummunan warkarwa na raunuka a cikin ciwon sukari na mellitus, ya zama dole a yi la’akari da hanyoyin da suke faruwa a cikin kyallen takarda tare da rashi insulin (dangi ko cikakke). An gano cewa tsawan lokacin warkarwa na raunukan gabobin marassa tsoka da laushin taushi ya dogara da matakin lalacewar jijiyoyin jiki.
Microangiopathies da haɓaka coagulation na jini a kan asalin ƙwayoyin intracellular acidosis, rikicewar ƙwayoyin electrolyte da rabo daga lipoproteins yana haifar da raguwa cikin rigakafin salula, kazalika da keta alfarmar kare mutuncin.
A wannan yanayin, alaƙar da ke tsakanin tsananin ƙarfin cutar da yadda tsawon farjin zai iya kasancewa tare da ciwon sukari a cikin raunin rauni an samo shi. Mataki na farko na aiwatar da rauni (kumburi) ya faru tare da fadadawar kin amincewa da mataccen nama, kumburi kuma kasancewar ana ci gaba da kasancewa microbes.
A cikin mataki na biyu (farfadowa), zargegen collagen da maturation na granulation nama suna kafawa a hankali, kuma a matakin nuna maka zane har na tsawon makwanni biyu, wani sabon tsari mai hadewa. Raunin ba shi da isasshen jini da kuma gurɓataccen edema
Idan samuwar raunin purulent a cikin ciwon sukari mellitus ya faru akan asalin ciwon sukari na ciwon sukari, to warkarwarta an hana shi saboda dalilai masu zuwa:
- Mcccuculation mai lalacewa tare da raguwa a cikin jini yana gudana ta cikin abubuwan ƙwanƙwasawa da haɓaka zubar jini zuwa cikin jijiyoyin.
- Mai tsananin kumburin nama.
- Rage hankali.
- Rarraba injina na matsin lamba a ƙafa.
Bayyanar cututtuka na purulent kamuwa da ciwon sukari
Bayyanar da raunuka a cikin ciwon sukari mellitus shine mafi yawan lokuta ana danganta shi da kamuwa da cuta na rauni bayan ayyukan, rauni a cikin ciwo na ƙafar masu ciwon sukari, ƙonewa bayan allura, tare da kumburi da carbuncles.
Duk wani ciwo na purulent yana haifar da lalata cututtukan cututtukan ƙwayar cuta, saboda wannan yana ƙaruwa bayyanuwar cututtukan hyperglycemia, fitsari yana nuna haɓakar haɓakar glucose, karuwa a cikin ketoacidosis. Yayinda kamuwa da cuta ke ci gaba, ƙwayoyin cuta da kuma enzymes da aka ɓoye ta farin ƙwayoyin farin jini suna lalata insulin.
An tabbatar da cewa 1 ml na purulent sallama inactivates 15 raka'a insulin. A lokaci guda, irin waɗannan alamun alamun suna ƙaruwa:
- Take hakkin matakai na rayuwa tare da kara yawan zafin jiki.
- Ingarfafa haɓakar jikin ketone, kai ga tasirin ketoacidotic.
- Yaduwar kamuwa da ƙwayoyin cuta har zuwa cigaban sepsis.
- Kasancewa dan takara.
Ciwon sukari mellitus, wanda ya tafi a matsayin latent ko mai laushi a gaban kamuwa da cuta, ya zama mai wahala, kuma ramawarsa ke da wuya a cimma shi. Kamuwa da cuta na cikin gida tare da rage ƙwayar cuta yana haɓaka cikin hanzari kuma yana haɗuwa da cututtukan ƙwaƙwalwar ƙwayar cuta.
Idan magani ba tare da maganin rigakafi da insulin ga kowane dalili ba a aiwatar da shi, ƙimar mace-mace da ke haifar da raunuka na purulent a cikin ciwon sukari ya kai 48%.
Ta yaya za a bi da raunuka na purulent a cikin ciwon sukari?
Ciwon sukari ya kawo cikas wajen lura da hanyoyin kamuwa da cuta tare da isasshen diyya don karuwar glucose din jini. Sabili da haka, lokacin da kuka haɗu da ƙonewa, kuna buƙatar fara kula da haƙuri tare da inganta ƙarfin metabolism. Azumin glycemia ya kamata ya kasance tsakanin 6 mmol / l, fitsari kada ya ƙunshi glucose.
A cikin matakin farko na aikin rauni, kuna buƙatar tsabtace rauni na ƙwayoyin cuta da kwaro. Don yin wannan, ba za ku iya amfani da maganin shafawa a kan mai ba, tunda ba su samar da kwarara daga rauni ba. Sabili da haka, ana nuna shirye-shirye ne kawai kan ruwa mai narkewa-kuma iya iya jawo abun ciki na rauni.
Ana haɗuwa da kwayoyi masu aiki na Osmotically tare da enzymes (chymotrypsin) don haɓaka tsarkakewa. Ana yin riguna na raunuka na purulent tare da kwayoyi masu kashe ƙwayoyin cuta aƙalla sau 1 a rana.
Ana amfani da magungunan waje na gaba a cikin lokaci mai kumburi:
- Maganin shafawa tare da chloramphenicol: Levomekol, Levosin.
- Maganin shafawa na Nitazole: Nitatsid, Streptonitol.
- Maganin shafawa na Mafenide Acetate.
- Furagel.
- Dioxol.
- Maganin shafawa na Iodopyron.
Hakanan, kyakkyawan sakamako tare da rauni na trophic ya nuna kwayoyi tare da aidin - Povidone-iodine da Betadine. Jiyya don hanya mara izini tana kawo sakamako don kwanaki 3-5.
Dalilin amfani da kwayoyi a cikin kashi na biyu (farfadowa) shine samar da kayan tallafi (sabbin haɗin matasa). Don wannan, tare da amfani da maganin shafawa (Iruksol, Levosin), Vinilin, an tsara maganin 0.2% na Curiosin. Ya ƙunshi fili na hyaluronic acid tare da zinc, wanda ke da tasirin warkar da rauni.
Hakanan ana amfani da kayan aikin motsa jiki don ciwon sukari da kuma iska mai guba na raunuka, laser da maganin magnetic.
Mataki na uku ya kamata ya ƙare tare da ƙirƙirar taɓo. A cikin ciwon sukari mellitus, ana amfani da cakuda insulin tare da bitamin da glucose don riguna, kuma ana ci gaba da amfani da Curiosin.
Yin tiyata na purulent raunuka a cikin ciwon sukari
Na dogon lokaci, an ba da shawarar marasa lafiya na ra'ayin mazan jiya na raunuka na purulent a cikin ciwon sukari mellitus. Karatun da aka yi kwanan nan ya nuna cewa yayin aikin tiyata, ana rage lokacin warkar da rauni, kuma yawan rikice-rikice yana raguwa.
Don yin wannan, don kwanaki 3-5 a kan asalin maganin rigakafi na yau da kullun, ana yin cikakken aikin tiyata na rauni tare da aikace-aikacen sutures na farko da kuma raunin rauni.
Ta wannan hanyar magani, zazzage jiki da aka saki daga rauni ya ragu. Bayan haka, ana wanke rauni tare da mafita na Chlorhexidine ko Rivanol na kwanaki 3-4. Ana cire sutures a rana ta 10-12.
Yin rigakafin shigo da raunuka a cikin ciwon sukari
Don guje wa dogon jiyya, dole ne a ɗauki matakan kariya don taimakawa kan cutar da cutar da fata. Gaskiya ne gaskiya ga ƙafafu, waɗanda suka fi saurin kamuwa da cutar sankara.
Tunda an rage jijiyoyin fata, ana yaba jarraba na yau da kullun don a lura da yanke, abras, da abrasion akan lokaci. Suna buƙatar kulawa da su ta hanyar maganin warkewar cututtukan ƙwayoyin cuta, kamar Chlorhexidine, Furacilin, Miramistin. Ba a yi amfani da maganin barasa na aidin, ganye mai lu'u-lu'u don ciwon sukari ba.
Don rage haɗarin yankan da raɗaɗi, ya kamata a sa takalma a rufe, haramun ne a yi tafiya da ƙafa ba takalmi ba, musamman a waje. Kafin saka, kuna buƙatar bincika takalmin don kasancewar ƙananan ƙananan abubuwa na ƙasa - yashi, ƙanƙara, da sauransu.
Kyakkyawan jagora don hana ci gaban ci gaba da rikice-rikice a cikin ciwon sukari shine lura da matakan glucose na jini da kuma isa ga kulawar likita a kan kari. Don yin wannan, ana bada shawara:
- Samun na'urar don auna glucose na jini a gida kuma kai matakan ma'auni akai-akai.
- Sau ɗaya a kowane watanni uku, bincika glycated haemoglobin.
- Akalla kowane watanni shida, ana ba da gudummawar jini ga maɓallin lipid, fitsari don glucose da furotin.
- Kula da karfin jini bai wuce 135/85 mm Hg
- Fitar da kitsen dabbobi da kuma tataccen carbohydrates daga abinci.
- Dakatar da shan sigari da kuma shan giya.
Idan akwai alamun ɓarkewar cututtukan ƙwayar cutar sankara, ana buƙatar aiwatar da gyaran jiyya ta hanyar ziyartar endocrinologist. Ba za ku iya gudanar da magani mai zaman kansa na cututtukan fata ko aiwatar da kumburi a kansa ba, tunda ziyarar daga baya ga likitan tiyata ya ba da gudummawa ga yaduwar kamuwa da cuta da kuma mafi tsauraran matakai na purulent.
Bidiyo a cikin wannan labarin yana nuna kulawa da raunin raunuka tare da Laser.
