Cutar sankarar mellitus ana saninsa da lalacewar tasoshin jini daga babba zuwa ƙarami. Bayyanar macro- da microangiopathies suna da alaƙa da haɓaka matakan glucose na jini, suna ci gaba yayin da ciwon sukari ke haɓaka.
Za'a iya gani da kewayawar jini a cikin ƙarshen ƙananan ta canje-canje a cikin faranti ƙusa. A cikin masu ciwon sukari, kusoshi na iya canza tsari, launi. Rage raguwar yaduwar jini yana da rikitarwa ta hanyar haifar da sasanninta a cikin nama kusa da ƙusa, cututtukan fungal sau da yawa suna haɗuwa.
Lamarfin nama mai taushi na yatsunsu a cikin ciwon sukari yana haifar da haifar da farji a kusa da ƙusa, kuma a cikin yanayin zubar jini da magudanar lymphatic, rage ciki, irin waɗannan raunuka suna da wuya su yada zuwa ƙafa ko hannu.
Darkwar ƙusa da ciwon sukari na ciwo
Idan masu ciwon sukari a kan kusoshi suna da aibobi masu duhu, to, wannan na iya zama farkon alamar ci gaban polyneuropathy. Tare da wannan rikicewar, akwai take hakkin samar da jini da rauni daga ciki na ƙananan sassan.
Bango na jijiyoyin jini a cikin ciwon sukari ya zama mafi rauni, sabili da haka, tare da ƙananan matsin lamba, basur na ci gaba a cikin kyallen takarda mai laushi. A cikin yanayin rage ji na ƙwarai zuwa jin zafi, cututtukan fata sau da yawa ba a kula da su ba, kuma ƙari na kamuwa da cuta yana haifar da ƙoshin hematomas. Ana gudanar da aikin tiyata ne kawai.
Duhun ƙusa na iya lalacewa ta hanyar matsi na tsawan lokacin saka takalmin da ba shi da kyau ko busa da ba a sani ba. Sabili da haka, ga marasa lafiya da ciwon sukari, ana ba da shawarar yin amfani da kullun na ƙafafun kafa don gano microtraumas wanda zai iya rikitarwa ta hanyar haifar da lahani na ƙuraje ko hanyoyin tafiyar da cuta.
Wata alama ta rikicewar microcirculation shine ƙusa a cikin iska. Ƙusa zai iya girma a gaban irin waɗannan dalilai:
- Siffofin fasalin.
- Kuskuren pedicure (an yanke ƙusa da yawa).
- Neman farantin ƙusa bayan raunin da ya faru.
- Cutar naman gwari na kusoshi.
- Flat ƙafa.
- Matsalar takalmi.
An nuna ƙusa a cikin ƙusa ta hanyar kumbura kyallen takarda mai laushi kusa da ƙusa, ja da ciwo, wanda ke ƙaruwa da matsi. Idan babban yatsa ya lalace, saka takalmin rufewa ya zama da wahala. A mataki na gaba, ƙusa da ta fashe ta haifar da rauni wanda microbes suka shiga, siffofin kwari.
Budewar kullewar an rufe shi da nama mai narkewa, kumburi a hankali yayi rauni. Amma tare da ciwon sukari, wannan cigaba na iya zama hasashe, tunda ba da daɗewa ba tsarin ya sake farawa kuma cutar ta zama ta kullum.
Sabili da haka, neman taimako na ƙwararrun likita ya kamata ya kasance a cikin marasa lafiya da masu ciwon sukari lokacin da alamun farko na kumburi ya bayyana don hana ƙaddamarwa. Likita ne kawai zai cire ƙusa.
Damage lalata ƙusa a cikin ƙwayar cuta
Ana samun cututtukan fata na ƙafafu a cikin kusan kashi ɗaya cikin uku na marasa lafiya da ciwon sukari. Dangane da sakamakon binciken binciken kwayoyin, candidiasis da trichophytosis sune mafi yawan lokuta ana gano su. Take hakkin da kaddarorin m fata, bushe fata tare da hali to calluses da fasa kai ga ci gaban fungal flora.
Hadarin da ke tattare da cutar mycoses yana ƙaruwa a cikin yanayin rauni mai ƙarancin ƙarfi, abinci mai rauni, ƙoshin jini, jinkirin bayyanar oxygen da matsananciyar ƙwayar carbohydrate na sel. Tare da haɗarin lalacewar jijiyoyin bugun gini da ƙwaƙwalwar ƙwayar cuta, hanyoyin da ake amfani da su don sarrafa ƙwayoyin cuta suna raunana.
An kafa hanyar sadarwa tsakanin matakin glucose a cikin jini da kuma bayyanuwar cututtukan cututtukan fungal. Tare da rashi mara kyau don ciwon sukari mellitus, karuwa a cikin matakan jini na lipids da jikin ketone a kan asalin yanayin hyperglycemia yana rage ayyukan leukocytes da lymphocytes, wanda ke haifar da raguwar rigakafin salula, kuma, a sakamakon haka, zuwa haɓakar ƙwayoyin cuta marasa lalacewa.
Cutar ciwon sukari tana haifar da ci gaban rikice-rikice na kasusuwa na ƙasusuwa. Sanan raunuka fata wanda ke faruwa lokacin da aka ji masa rauni tare da ƙusa mai lalacewa, a cikin yanayin ƙarancin hankali yana haifar da yanayin masu zuwa:
- Rosarfin gado na ƙusa.
- Cutar kumburin nama kusa da ƙusa.
- Halittar da peptic miki.
- Haɗa osteomyelitis.
- Bayyanar fasalin bayyanar cututtuka na fungal.
Tare da nau'in neuropathic na ƙafar mai ciwon sukari, kawai kusoshi ne sau da yawa ana shafawa, kuma tare da ƙafar ischemic da ƙusoshin.
Hakanan wata alama ce ta halayyar cututtukan fungal shine jan launi, ƙoshin fata tsakanin yatsunsu, yayin da fingeran yatsa da yatsa mai ƙaƙa su ne wuraren da aka fi dacewa don haɓaka ƙwayar cuta ta fungal.
Ƙusa ƙwanƙwasa jiyya don ciwon sukari
Don magani na gida ta amfani da maganin shafawa, cream, mafita da sprays. An tsara Lamisil, Mikospor, Clotrimazole da Ecodax. Don maganin mycoses na interdigital, ana amfani da mafita ko feshin ruwa. Don aiwatar da farantin ƙusa, varnish Loceril ko Dafnegin, ana amfani da Batrafen.
Idan lalacewar ƙusa yana haɗuwa da rikitarwa, to, an tsara shirye-shiryen antifungal na tasirin tsari. Suna da ikon dakatar da ƙirƙirar fungi saboda aikin a kan samar da wani abu (ergosterol), wanda ke haɓaka haɓakar sel na waɗannan ƙwayoyin cuta.
Lokacin da aka tsara magani tare da kwayoyi na ƙira ga marasa lafiya da masu ciwon sukari mellitus, yanayin aikinsa da kuma jituwa tare da magunguna masu rage sukari, ka'idodin sakamako akan hanta da kodan, ana yin la'akari.
Babban rukunin magunguna don maganin mycosis a cikin ciwon sukari:
- Terbinafine: Lamisil, Terbinox, Thermicon. Matsakaicin sakamako yana bayyana dangane da cututtukan ƙwayar cuta, suna da aiki mai lalacewa.
- Itraconazole: Orungal, Irunin. Ana haɗuwa da kwayoyi tare da maganin antidiabetic therapy, kar ku tsokane ƙwayar koda, yi aiki akan cututtukan fata, candida, fungi. Suna shiga sosai cikin kusoshi.
- Fluconazole: Diflucan, Mikomax, Flucostat. Lokacin da aka wajabta shi tare da maganin sulfonylureas, haɗarin hypoglycemia yana ƙaruwa.
A cikin lura da cututtukan fungal, ya wajaba don daidaita matakin glucose a cikin jini a matakin darajar dabi'un mutum. Idan ba a kawar da glycemia tare da nau'in ciwon sukari na 2 na maganin cututtukan ƙwayar cuta ba tare da maganin antidiabetic na baka kuma mai haƙuri yana da alamun mycosis na tsari, to, ana nuna canjin zuwa insulin far.
Yin rigakafin lalacewar ƙafa a cikin ciwon sukari
Don hana mummunan sakamako na raunin da ya faru da cututtukan fungal, bincika ƙafafun kowace rana ya zama dole. Wannan yana da mahimmanci musamman tare da alamun cututtuka na jijiyoyin jini a cikin ƙananan ƙarshen kuma tare da doguwar cutar sankara.
A hadarin mafi girma na kamuwa da cututtukan fungal tsofaffi ne da marasa lafiyar marassa lafiya, bayan tsawan tsawan cututtukan cututtuka da kuma amfani da maganin rigakafi, da kuma darajar sukarin jini.
A cikin irin waɗannan marassa lafiya, koda sauyawa ko ƙarancin fata bai kamata a yi watsi da su ba. Tattaunawa kan lokaci tare da ƙwararren masanin ilimin halittar mahaifa da likitan fata. Bugu da kari, glycated haemoglobin da lipid metabolism an ƙaddara aƙalla sau ɗaya a kowane watanni uku, kuma idan an nuna, ana yin cikakken bincike na rigakafi.
Don hana lalacewar fata da ƙusoshin, dole ne a bi waɗannan shawarwarin:
- Ba za ku iya tafiya a ƙafafuna ba, ko da a ɗaka.
- Yakamata a sa takalmi don kada ya haifar da rushewa ko shafawa.
- Kafin sanyawa, kuna buƙatar bincika takalmin don hana ƙyallen, lalacewar insoles, wrinkling ko scarring.
- Tsabtace kullun da bushewar fata na ƙafa.
- Kada ku yi amfani da takalman wasu mutane.
- Don gudanar da aikin fida, kuna buƙatar amfani da kayan karko mai ƙyalli, zai fi dacewa fasahohin kayan aiki.
Hakanan yana da mahimmanci a yi amfani da takalma kawai da aka yi daga kayan halitta, safa don canzawa, safa, kullun, bayan ziyartar dakin motsa jiki, wurin wanka ko wanka, tabbatar da kula da ƙafafunku da fesawar antifungal ko cream. Hakanan zaka iya amfani da man itacen itace shayi da aka haɗa da kirim ɗin ƙafa na yau da kullun.
Bayan lura da naman gwari da ciwon sukari ya ƙare, zai zama dole a kula da takalmin tare da formalin don hana sake kamuwa da cuta. Don yin wannan, ana lubricated a ciki tare da swab auduga kuma an bar shi cikin jakar filastik mai rufewa tsawon rana. Kayan kwalliya da safa bayan wanke tafasa.
A cikin bidiyon a cikin wannan labarin, ana ci gaba da batun ƙusa naman gwari a cikin ciwon sukari.
