A cikin ciwon sukari mellitus, an lura da ƙara yawan abubuwan glucose a cikin jini. Tare da tsawan lokaci na cutar da isasshen diyya, glucose tana lalata ganuwar tasoshin jini da jijiyoyin jijiya.
Wani rikitarwa na ciwon sukari shine cututtukan zuciya, ɗayan nau'ikansa shine lalacewar ƙananan ƙarshen da samuwar ƙafar mai ciwon sukari.
Ulcers ya bayyana akan kafafu, wanda aka kazanta, gidajen abinci suna nakasa. Tare da jiyya mara kyau, neuropathy na iya haifar da yanke ƙafa.
Sanadin neuropathy a cikin ciwon sukari
Babban dalilin ci gaban neuropathy (lalacewar ƙwayoyin jijiya) a cikin ciwon sukari shine ƙara haɓakar glucose a cikin jini. Idan an zaɓi magani ba daidai ba, ko mara lafiya ba ya biye da abincin da aka tsara, ƙyalli ya ɗauki insulin ko allunan, baya sarrafa matakin glucose, to rikice-rikice na haɓaka.
Mafi sau da yawa, ciwon sukari yana shafar tsarin jijiyoyi da jijiyoyin jini, kamar yadda suka fi kula da rashin abinci mai gina jiki. Canje-canje na yau da kullun a cikin matakan sukari suna rushe bangon jijiyoyin jini, wanda ke haifar da isasshen wadatar jini. Tissues basu da abinci mai gina jiki. Sakamakon haka, hanyoyin da ke gaba suna farawa cikin kyallen:
- Ayyukan kariya ga lalacewar fata yana rauni,
- Reducedwanƙarar bakin ciki ya ragu.
- Zazzabi hankalinsa ya fadi.
- Bai kula da amincin fata ba.
- Fatar tana bushewa, mai kauri da kauri.
- Fasa a kan bushe wuraren fata.
- Raunukan fata na warkar da talauci kuma sun zama ulcers.
- Sakamakon raunin hankali, marasa lafiya ba sa lura da sprains da dislocations a cikin gidajen abinci.
- Hanyoyin haɗin gwiwa na kafa da na kasa sun lalace.
Yiwuwar haɓakar neuropathy yana ƙaruwa sosai idan, ban da ciwon sukari, marasa lafiya suna da cututtukan jijiyoyin bugun gini (varicose veins, angiitis, vasculitis, soke cutar endarteritis), amosanin gabbai, ƙafafun lebur.
Alamun farko na kafa mai ciwon sukari
Alamar farko tana iya zama ba tabbatacce kuma ba sa haifar da damuwa a cikin marasa lafiya. Amma daidai yake da waɗannan alamun cewa ya zama dole a fara kulawa ta musamman, tunda waɗannan alamun cututtukan suna juyawa.
Canje-canje a cikin ƙafafun da ya kamata faɗakarwa:
- Gyaran yatsan lerown.
- Cutar fitsari na ƙusoshin fata da fata na ƙafa.
- Samuwar corns da calluses.
- Duhun ƙusa.
- Fasa a kan diddige.
- Microtrauma yayin aikin farji.
- Rushewa daga cikin yatsun kafa
- Ingrown kusoshi - kusurwar kusoshi, idan an yanke shi ba daidai ba, a yanka a cikin jijiyar nama, wannan yana haifar da kumburi, zafi da ƙoshinta. Don neman magani, ana buƙatar cire cirewar tiyata.
- Raunuka na ƙusoshin ƙusoshin suna fitowa da kauri, wanda a bayyane yake a hoto. Ƙusa na iya yin duhu ko juya rawaya, rasa bayyana da crumble. Sandan ƙusa mai kauri yana matse yatsa na gaba, matsanancin takalmin akan ƙusa na iya haifar da ƙirƙirar ƙira a ƙarƙashin ƙusa.
A kan fata na ƙafafun tare da haɓaka fungi, fatar ta bushe sosai, ƙyallen, redness da fasa sun bayyana akan sa. A cikin yanayin lalacewar wurare dabam dabam na jini, fasa jiki sukan zama raunukan masu ciwon suga. Ana buƙatar binciken microbiological na scraping don ganewar asali. An wajabta jiyya ta hanyar likitan fata.
An kafa masara da cons a wurare mafi yawan hulɗa da ƙafa tare da takalma. Tare da ciwon sukari, suna da raunin jini da ƙoshin jini kamar yadda a cikin hoto a labarin. Ba za a iya yanke masara ba, kafafu bai kamata a kiyaye shi a cikin ruwan zafi don hurawa ba, ana ba da izinin aiki tare da pumice. Ana nuna suturar orthopedic insoles.
Duhun ƙusa na iya lalacewa ta hanyar katsewar jijiyoyin jini lokacin da aka matse tare da takalmin m. Idan zubar jinin bai warware ba, zai iya warke. Lokacin da aka kafa far, ana buƙatar tiyata.
Takalma tare da diddige a kwance a kan fata bushe ko yin tafiya da ƙafafu ba ƙwallo yana haifar da fashewa a kan diddige, wanda zai iya zama hayaki da daidaituwa. A wurin fasa rauni. Saboda haka, don rigakafin, kuna buƙatar amfani da mayuka tare da urea - Prednikarb, Balzamed, Diakrem. Ana buƙatar takalma tare da rufaffiyar baya. Yadda za a bi da fatalwa waɗanda ba su warke sosai, na iya ba da shawarar podologist.
Lokacin aiwatar da kusoshi, yanke zai iya bayyana. A cikin yanayin rage zafin ji na jijiyoyin jiki, ba za a sa musu ido ba, sannan zaren fata na iya kasancewa a maimakon karamin rauni. A irin waɗannan yanayi, dole ne a kula da rauni tare da maganin rigakafi kuma an saka suturar bakararre.
Yatsun yatsan na iya lanƙwasa a farkon gidajen abinci lokacin da suke sanye da takalmi mai tsayi; a kan yatsa, saman madogara cikin haɗin gwiwa yana ƙaruwa. Wadannan wurare suna batun shafawa da samuwar ɗamara da blister.
A cikin irin waɗannan halayen, ya zama dole a zaɓi takalman orthopedic ko amfani da insoles don ɗaga ƙafar ƙafa, safa na silicone a cikin takalma da insoles na musamman don ƙafar mai ciwon sukari ya taimaka don guje wa raunin da ya faru.
Bayyanar cututtuka na ƙafa mai ciwon sukari
Tare da ci gaba da rikice-rikice a cikin tasoshin, abin da aka makala na canje-canje na atherosclerotic a cikinsu da lalata lalacewa a cikin ƙwayoyin jijiya, nau'ikan rauni guda uku na ƙafa sun haɓaka a cikin ciwon sukari na mellitus: neuropathic, ischemic da haɗe (hade).
Tare da ciwo na neuropathic, tsinkaye zafi yana da rauni. Ta taɓa fatar jiki na iya zama mai raɗaɗi kuma a lokaci guda, ana jin ƙarancin ƙafa a cikin ƙafa. Za'a iya samun raɗaɗin zafi mai kaifi, tingling.
Lamarin ƙyallen jijiyoyi a cikin ƙwayoyin tsoka na cinya, ƙananan kafa da ƙafa suna haifar da raunirsu, matsayin kafa yana canzawa lokacin tafiya da jijiyoyi da ƙyalli a cikin gidajen abinci da ke faruwa, kuma kumburi na iya farawa a wuraren saduwa da takalmin.
A cikin fata na kafafu, gumi da sebum zai canza. Dryara bushewa yana haifar da bushewa da fashe a cikin fata. Ofarin ƙwayar fungal ko ƙwayar ƙwayar cuta na haɓaka hanyoyin haɓaka.
A waje, ƙafa, kamar yadda yake a hoto, yana da ruwan hoda, an yi ƙwanƙolin cikin kasusuwa cikin kasusuwa metatarsal - sashi mafi girma. Raunin yana da laushi da gefuna masu kauri. Lokacin yanke shawarar bugun jini, yana sauƙaƙe palpated, ƙafar tana da zafi.
Ciwon Ischemic yana faruwa tare da lalacewar manyan jijiyoyin jini da ƙananan tasoshin ruwa, a cikinsu, tare da ƙara yawan sukari, matakan da ke gaba suna farawa:
- Yanayi mai da alli a jikin bango.
- Samuwar plaques a cikin lumen jirgin ruwa.
- Bango na jijiyoyin jiki ya zama kauri, da karfi.
- Flowara yawan jini ya kwarara cikin jijiyoyi.
- A cikin yanayin yanayin ɓarna da rage hauhawar jini ta cikin jijiya, hura ciki da basir na fata suna haɓaka.
- Fata ya zama na bakin ciki, ulcers form.
Marasa lafiya tare da ischemic neuropathy sun damu da ciwo yayin tafiya. Akwai cikakkiyar bayani. Yayin ƙoƙarin jiki, jin zafi yana faruwa, ana tilasta mai haƙuri ya tsaya akai-akai don zafin ya ragu.
Tare da cakuda cutar neuropathic, canje-canje a cikin gidajen abinci da tsokoki na kafafu suna haifar da rage gawar, kafafu ba su mike yayin tafiya zuwa ƙarshen. Kwayoyin sunadarai masu tarin yawa ana ajiye su a saman bangarorin articular. Hadin gwiwa kan haifar da taurin kai, kumburi, rarrabuwa. An kafa ƙafafun Charcot na hali, kamar yadda yake a cikin hoto.
Kafar ta yi sanyi, tare da rauni mai rauni, gashi ya fado a kan kafafun kafa, fata yana da launin ja-ja, raunuka suna kan diddige, gwiwoyi (a wuraren da ke da rauni na zubar da jini). Raunin ya bushe, mai raɗaɗi.
A cikin ci gaban ƙafafun ciwon sukari, an rarrabe matakai da yawa na ci gaba:
Tsarin Zero: fatar ba ta karye ba, ƙafafun ya lalace, ƙage ya ragu.
Mataki na farko: fatar tana da cututtukan fata, babu alamun kamuwa da cuta.
Mataki na biyu: tsoka tana shafar kyallen takarda
Mataki na uku: ƙwayar cuta ta kamu, fata ta sake jan ciki, ta kumbura, tayi zafi ga taɓawa.
Mataki na hudu: 'yan ta'adda, rashin kwararar jini, kamuwa da cuta a cikin mahaifa.
Jiyya da rigakafin
Don samun nasarar bi da ƙafar mai ciwon sukari, kuna buƙatar rage ƙananan sukarinku na jini. Domin mafi mahimmancin aikin likita shine diyya na ciwon sukari: glucose jini, hawan jini da alamomi na metabolism na mai.
Bugu da kari, gwargwadon alamu, ana iya tsara magungunan rigakafi, masu shan injin, da kuma bitamin. Suna amfani da kwayoyi don inganta wurare dabam dabam na jini: Pentoxifylline, Cardiomagnyl, Normoven.
Don haɓaka tafiyar matakai na rayuwa, ana bada shawarar yin amfani da shirye-shiryen alpha-lipoic acid don cututtukan type 2 (Berlition, Thiogamma). Tare da wani nau'in ischemic na neuropathy, Midokalm yana da sakamako mai amfani.
Ana amfani da jiyya ta amfani da sabbin dabaru musamman a asibitocin kasashen waje. Ana samun kyakkyawan sakamako daga amfanin:
- Ci gaban hormone jiyya.
- Kara cell far.
- Hanyar jirgi na Plasma.
- Karin yanayin motsawar motsa jiki na karin motsa jiki.
Matakan rigakafin na iya dakatar da aiwatar da lalata lalata nama a cikin ƙananan ƙarshen a matakin farko. Wannan zai taimaka wajen kawar da mummunan sakamako kamar su masu ciwon sukari da gudawa:
- Kulawa da glucose, glycated haemoglobin, da kuma cholesterol a cikin jini.
- Kula da matakan karfin jini bai wuce 135/85 mm RT. Art.
- Abun lura na yau da kullun ta hanyar likitancin endocrinologist, tattaunawa tare da ƙwararren masanin ilimin mahaifa da podologist.
- Barin shan taba da shan giya.
- Sanya takalman da aka sassaka daga kayan halitta.
- Rashin amsa safa.
- Yin tafiya na yau da kullun da motsa jiki na ƙafafun ƙafa.
- Tattaunawa tare da likitan fata game da cututtukan cututtukan fata da ake zargi.
- Binciken yau da kullun don kada ku rasa farkon ci gaban ulcer.
- Tsabtace ƙafafu ta amfani da ruwan dumi da sabulu.
- Bushewa fata bayan an yi wanka.
- Tsanaki mai ɗaukar hankali.
- Karyawa tafiya ba takalmi, musamman a wajen gida.
- Ba za ku iya amfani da warmers na ƙafa ba, yi wanka mai zafi.
- Ba za ku iya yanke corns ku yi amfani da facin masara ba.
- Kada a sa takalmi a ƙafafun kafaɗa ko kuma ba tare da insoles ba.
- Ba a ba da shawarar ci gaba da ulcer a ƙafa ba a kula da shi da kansa.
Kulawa da cututtukan fata a cikin ciwon sukari na mellitus ana bada shawarar ta hydrogen peroxide, maganin furacilin, Chlorhexidine, Miramistin, Decamethoxin. Bayan jiyya, ya kamata a saka kayan da za a iya shafawa. An haramta amfani da aidin, kore mai haske, ƙwayar potassium, maganin shafawa.
Don warkarwa mai rauni, zaku iya amfani da maɓallin Actovegin ko Solcoseryl. Don rage fata mai bushe, ana amfani da kirim mai tsami, man shafawa da kuma itacen buckthorn na teku. Bidiyo a cikin wannan labarin yana bayyana abubuwan da ke haifar da ƙafafun ciwon sukari.
