Dangane da kididdigar duniya, rabin duk yankan suna cikin marasa lafiya da masu ciwon sukari. Cutar cutar sankara ta haifar da wannan mummunan sakamako, wanda ba tare da isasshen iko akan yanayin kafafu ya taso daga ƙananan raunuka zuwa gangrene.
Tare da nau'in ciwon sukari na 1, wannan rikitarwa yana tasowa bayan shekaru 10 bayan farawa, tare da nau'in ciwon sukari na 2, ana iya lura da raunukan fata na fata riga a farkon ziyarar likita. Za'a iya hana canje-canje masu ciwon sukari a cikin kafafu ta hanyar kiyaye ka'idoji masu sauƙi na rigakafin. Matakan farko suna da kyau ga magani, idan aka ba da cewa an daidaita sukari na jini.
Menene ƙafafun ciwon sukari
Tsarin jikin mu yana shiga ta hanyar hanyar jini, sanye take da jijiyoyin jijiyoyi. Godiya ga wannan tsari, abinci mai gina jiki na yau da kullun, canja wurin bayanai masu mahimmanci, da ikon sarrafa tsoka yana yiwuwa.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Footafarin ciwon sukari - wani hadadden canje-canje a cikin ƙananan ƙarshen, wanda ya haɗa da angiopathy da neuropathy, wato, jiragen ruwa da jijiyoyi suna wahala nan da nan. A tsawon lokaci, ana ƙara lalata lalacewar ƙashi ga waɗannan rikice-rikice, waɗanda a ƙarƙashin irin wannan yanayi ba za a iya sabunta su ta hanyar da ta dace ba kuma a hankali ya rushe.
An sanya cutar a cikin lambar bisa ga ICD-10 - E10.5; E11.5.
Me yasa kafafu suka lalace idan akwai ciwon sukari?
- Jirgin jini a cikinsu suna nesa daga zuciya, don haka yawan zubar da jini yana raguwa da sauri tare da rage manyan tasoshin.
- Fiburorin jijiya a cikin kafafu sune mafi tsawo, wanda ke nufin cewa yiwuwar lalacewar su a wasu yanki ya fi girma.
- Rikicin ya tsananta da babban kaya a ƙafafun yayin rana, musamman a cikin mutanen da ke kiba, wanda yawanci ke haɗuwa da ciwon sukari.
- Kafafu suna da rauni sau da yawa fiye da sauran sassan jikin mutum - lokacin da suke sanye da kyawawan launuka, amma ba takalmi mai kwalliya ba, yayin shinge, wasanni, a cikin ƙasa da lokacin ziyartar rairayin bakin teku.
Sanadin ciwon sukari:
| Zalunci | Siffar | Sanadin ciwon sukari | Tasiri a ƙafafun ciwon sukari |
| Neuropathy | Canje-canje a cikin jijiyoyin gefe. | Take hakkin carbohydrate metabolism, yunwa na jijiya Kwayoyin, dauki sunadarai na jijiya membranes tare da glucose. | Rashin hankali mai yawa a cikin manyan yankuna, karuwar haɗarin kumburi da kumburi. |
| Macroangiopathy | Yanayi na cholesterol da filaye masu kiba a cikin jijiyoyin jini, rage karfin ganuwar. | Rushewar metabolism na mai mai, glycation na sunadarai waɗanda ke haɗe bangon ciki na jirgin ruwa. | Vasoconstriction, wadataccen jini ga mai taushi kyallen kafafu. |
| Microangiopathy | Rushewar capillaries, maye gurbin nama. | Asedara yawan jini, haɓaka tasoshin jini. | Take hakkin zubar da jini a wasu yankuna, matsanancin kyallen takarda, rashin iya cire gubobi. |
| Osteoarthropathy | Lalacewa ga kasusuwa, kasusuwa mai narkewa, yawan karaya. | Rashin daidaitaccen nauyin kaya saboda rikicewar cikin hankali. | Ricuntatawa motsi har zuwa nakasa, ƙari na lalacewar nama, tsawan raɗaɗi. |
Iri da matakai na DS
Dangane da rikicewar cuta, an yarda da rarrabe ƙafafun ciwon sukari da nau'in:
- Neuropathic - Raunin yana bayyana ta hanyar lalacewa mafi mahimmanci a cikin jijiyoyi, gano a cikin 65% na lokuta. Yana da amfani a karanta game da cututtukan ciwon sukari na ƙananan ƙarshen.
- Ischemic - Lalacewa sakamakon karancin jini, suna yin kusan kashi 7%.
- Neuroischemic - cakuda nau'in ciwon sukari, yana haifar da kusan 30% na ulcers a cikin ciwon sukari.
Yawan lalacewa yana haifar da ciwo zuwa kashi 5:
- Ana gano madaidaicin ƙafafun mai ciwon sukari - raguwar jijiyar fata, corns, lokacin farin ciki mai zurfi a kan fata na soles, fashe sheqa, da lalata yatsunsu. Babu rauni.
- Cutar mahaifa a farfajiyar fata, kyallen takarda mai zurfi ba ta wahala (yawan zubar jini; rashin wadatar jini) - game da cututtukan trophic.
- Ciwon ciki tare da lalacewar fata, kitse mai ƙyalƙyali da tsokoki. Kasusuwa da jijiyoyin jiki a wannan matakin ƙafafun ciwon sukari ba su da tasiri (isasshen jini; ischemia na wurin tare da mai rauni).
- Yada canje-canje na ulcerative tare da lalacewar kasusuwa (ba tare da kamuwa da cuta ba; tare da kasancewar rikicewar kwayar cuta).
- Inflamararrawar ƙwayar cuta mai ƙonewa mai yaduwar ƙwayoyin cuta a cikin yatsun mutum ko sassan ƙafa. Mahimmancin macroangiopathy.
Alamar cuta da alamun ciwon sukari
Yawan nau'in ƙafafun masu ciwon sukari galibi ana iya tantance su ta hanyar bayyanar raunuka.
| Cutar Ciwon Ciwon | Neuropathic DS | Ischemic DS |
| Launin fata | Al'ada, tare da wuraren yin ja saboda cututtukan ƙwayar cuta da suka yi yawa. | Kodadde saboda raguwar kwararawar jini zuwa farfajiya, katuwar cyanotic ko yatsan yatsa. |
| Fata na fata | Kafar ta yi ɗumi | Footafar mafi yawanci sanyi ne, wurare masu ɗumi ne kawai a wuraren kumburi. |
| Cikewar jijiyoyin jiki | Ripple a cikin arteries yana da sauƙin ƙaddara. | Kashin bugun ya yi rauni ko ba zai yiwu ba kwata-kwata. |
| Soreness | Sakamakon lalacewar jijiyar jijiya, ƙonewa ba sa haifar da ciwo ko da a lokacin sarrafa su. | An ayyana, kai tsaye gwargwadon girman lalacewa. |
| Wurin ciki | Wuraren da ke tattare da mafi girman tasirin injiniyan - soles, sheqa a wuraren yin takaddama tare da takalma. | Yankunan da ke da mummunar zubar jini - yatsunsu, gibba tsakanin su, idon kafa. |
| Bayyanar raunuka | Raunin ulcer yana da laushi, tare da gefuna masu laushi, fatar da ke kewayen ta keratinized. | Sites busassun necrosis, gefuna, ragwaye. Fatar ta yi bakin ciki, ba ta da matsala. |
| Halittar jini | Rage ƙarancin kasusuwa, canji a siffar ƙafafun, guduma-kamar ko yatsun da aka tanƙwara. | Rasa ko rauni aka bayyana. |
Matakin farko na ƙafafun ciwon sukari yana da alamomi masu zuwa:
- Goosebumps, tingling a kan fata ko wasu sabon abu abin mamaki.
- Jin bugun tsohuwa.
- Raunin raunuka ya fi wanda aka saba gani.
- An kunna naman gwari akan fata ko ƙusoshi.
- Kira yana bayyana a kan babban yatsa.
- Kafafun za su fara jin zafin zazzabi, taɓawa. Za'a iya gano canje-canje na farko a cikin ofishin ƙwararren masanin ilimin jijiyoyin cuta ta hanyar auna jijiyar yanayin girgiza.
- Kafafu sun gaji da sauri lokacin tafiya; bayan aiki, shins rauni.
Yadda za a kula da ƙafar mai ciwon sukari
Kula da rikice-rikice masu ciwon sukari a cikin ƙafa sun haɗa da gyaran cututtukan cututtukan cututtukan ƙwayar cutar sankara don daidaita ƙididdigar jini, raguwa matsa lamba, ƙaddamar da ƙafar ƙafa, zaɓi na takalmin da ya dace, maganin lalacewar gida, da maganin rigakafi idan akwai kamuwa da cuta. A mataki na ƙarshe, cirewar tiyata da aka canza daga ƙwayar jijiya necrotic.
Koyi: Dalilai don Ciwon Kafa da Raunin Kafa
Amfani da magunguna da maganin shafawa
Kafar ciwon sukari. Hoto
Ciwon sukari mellitus yana rage karfin jiki wajen tsayayya da kamuwa da cuta. Rashin daidaituwa na jijiyoyin jiki da azanci, yanayin haɓakar ƙafar mai ciwon sukari, wannan yanayin ya tsananta sau da yawa. A sakamakon haka, kamuwa da cuta da yawa yana haɗuwa da kowane raunuka na fata waɗanda suke da wuyar magani. Mafi sau da yawa, ƙwayoyin cuta na pyogenic - staphylococci da streptococci - ana samun su a cikin cututtukan cututtukan cututtukan cututtukan zuciya. Suna tsoratar da kumburi na cikin gida, wanda zai iya haifar da sepsis lokacin da kwayoyin cuta suka shiga cikin jini.
Ana amfani da maganin rigakafi don magance cututtuka. An fi son shirye-shiryen watsa shirye-shirye. Idan basu da inganci, suna yin zubar da jini daga cikin mahaifa kuma suna zaɓin magani tare da ayyukan da suka fi gaba akan ƙwayoyin cuta da aka gano.
Don kawar da cututtukan ƙafafu masu laushi, an tsara amoxicillin (Amoxiclav ko Augmentin shirye-shirye), clindamycin (Dalacin), cephalexin (Keflex, Solexin). Idan cutar ta fitar da warin ƙoshin koda, fitowar daga jikinsu tana da asali, launin toka-kore ko launin ruwan kasa, levofloxacin (Tavanik, Levolet) an haɗa shi da tsarin kulawa. Idan kun yi zargin Staphylococcus aureus, an wajabta vancomycin ko linezolid.
Don lura da raunuka ta amfani da hydrogen peroxide ko chlorhexidine. Maganin maganin manganese, aidin, zelenka ya bushe bushewar al'aura kuma ya lalata nama, wanda baya bada damar kula da tsarin aikin jiyya.
Don hanzarta farfadowar ƙwayar nama, zaku iya amfani da Pronosan gel, maganin shafawa da gel na Actovegin, jelly da Solcoseryl maganin shafawa, maganin Betadine a cikin nau'ikan damfara, maganin shafawar Iruxol.
Maganin shafawa da kirim mai warkarwa ga ƙafar mai ciwon sukari bai kamata ya ƙunshi jelly na man fetir ba. Yana ƙirƙirar fim akan farfajiya wanda baya barin oxygen ya ratsa, wanda ke kawo jinkirin warkar da raunuka, kuma akwai haɗarin haɓaka kamuwa da cuta mai ƙima ta anaerobic.
Mun zaɓi madaidaicin takalma da insoles don cututtukan DS
Ciwon ƙafar ƙafafun ciwon sukari yana yin buƙatu na musamman akan takalma. Ya kamata ya zama mai daɗi kamar yadda zai yiwu, yana kawar da yiwuwar rauni. Ya kamata a ba da fifiko ga ƙirar da za a iya sawa a safa na auduga, tare da diddige har zuwa 4 cm tare da hanci mai zagaye, ƙwallon ƙafa da yatsunsu. Har ila yau, maƙallan gida ma kyawawa ne masu laushi kuma an rufe su gaba ɗaya. Abun yadudduka na fata, hanci mai kunkuntar, diddige mai tsayi, da tafin kafaɗ an hana shi cikin takalma.
Lokacin zabar takalmi don ƙafar mai ciwon sukari, bai kamata mutum ya bishe shi kawai ta hanyar firgici ba, tunda ana iya rage girman su saboda ƙwaƙwalwar ƙwaƙwalwa. Kafin zuwa shagon, ana zagaya ƙafa a kan takardar kwali (da yamma, a tsaye) kuma a yanka tare da kwane-kwane. An saka samfurin da aka haifar a cikin takalmin don bincika ko zai latsa. A ciki, ana saɗa takalmin a hankali don keɓe keɓaɓɓun fata, rufewar fata, yaɗuwa.
Don haɓaka ta'aziyya, ana amfani da insoles masu ciwon sukari na musamman, ana siyar da su cikin shagunan kayan aikin likita. Wadannan insoles suna da santsi sosai a ciki, basu da kayan tallafi, suna iya dacewa da sifar ƙafa, suna da abubuwan shakatawa, kuma ana iya yanke su cikin saukin takalmin.
Don nau'ikan mummunan ciwo na ƙafafun sukari, akwai na musamman da na'urar - ana saukar da takalmin rabin. A ciki, an canja nauyin ƙafafun zuwa diddige, ta hakan yana ba da damar warkar da yatsun. Zai yuwu a samar gwargwadon ƙwaƙwalwar mutum na orthopedic insoles, waɗanda ke yin la’akari da duk wani lahani na kafafu har zuwa yatsun da aka cire.
Ban sha'awa: Shin kuna sane game da safa na musamman don masu ciwon sukari - //diabetiya.ru/uhod/noski-dlya-diabetikov.html
Jiyya na masu ciwon sukari kafar mutane magunguna
Jiyya a gida yana yiwuwa har zuwa mataki na 2, harda, lokacin da raunukan ƙafa ba su da mahimmanci. Baya ga magunguna, za a iya amfani da ganyayyaki na magani waɗanda suke da farfadowa, ƙwayar cuta, sakamako mai hana kumburi. Abubuwan albarkatun kasa na dabi'a bazai zama tushen kamuwa da cuta ba, saboda haka, ana amfani da infusions da kayan ado nan da nan bayan shiri, kuma an tsabtace tsabtace tsire-tsire kuma an shafe su da maganin antiseptics.
- Aloe Recipe
Aloe ya ƙunshi abubuwan ƙarfafa rayuwa wanda ke haɓaka sakewar nama, inganta haɓaka metabolism a cikinsu. Don lura da ƙafar mai ciwon sukari, ana amfani da ruwan 'ya'yan itace na shuka a cikin nau'i na lotions ko ɓangaren ganye tare da yanke saman Layer ana amfani dashi. Kowane sa'o'i 3, ana canza samfurin zuwa sabo.
- Karatun Calendula
Furannin Calendula suna taimakawa kumburi ku kashe kwayoyin cuta, kuyi amfani dasu a matsayin jiko don wanke raunuka - 3 g na kayan masarufi da rabin gilashin ruwan zãfi.
- Marigold Recipe
Ana amfani da furanni Marigold azaman maganin rigakafi. An sanya su a cikin thermos kuma suna zuba ruwan zãfi. 10 g busassun calendula zasu buƙaci gilashin ruwa. Ana iya yin damfara don raunin da ya faru daga marigolds. Ana ajiye su na rabin sa'a, a baya an tsabtace raunukan.
- Cowberry Recipe
Ganyayyaki na Lingonberry suna da tasirin anti-mai kumburi. An shirya kayan ado daga gare su - 6 g na ganye an sanya shi a cikin wani miya, an ƙara gilashin ruwa, an saka a cikin wanka na ruwa na rabin sa'a, nan da nan ana tace. Kafin amfani, broth ɗin yana girgiza kuma swabs ya jika a ciki don magance cututtukan fata.
Bukatar daidaita abinci mai gina jiki
Abinda ake buƙata don magance ƙafar mai ciwon sukari abinci ne mai ƙarancin carb. Tare da nau'in cuta ta 2, ƙuntatawa na sukari a cikin abincin kai tsaye yana rinjayar sakamakon cutar da haɓaka duk rikitarwa. Ciwon insulin da ke dogaro da insulin zai zama da sauki a sarrafa idan baku ci abinci mai sauri ba.
Abinci tare da babban abun ciki na lipoic da nicotinic acid, bitamin B6 da B12 - alayyafo, kabeji, offal, naman sa, kwayoyi, kifi, hatsi da ba'a bayyana ba, da gyada na iya rage cutar. Berries tare da babban abun ciki na antioxidants - cherries, black currants, buckthorn teku ba zai zama superfluous ba.
Kula da Rigakafin
Babban abin da ake buƙata don hana ƙafafun ciwon sukari shine rama mai kyau ga masu ciwon sukari. Sai kawai tare da sukari na al'ada, yana yiwuwa a hana lalacewar kyallen ƙafafu na kafafu, da warke ƙashin kamuwa da ƙafa a farkon matakan da hana ƙwanƙwasa nama a ƙarshen.
Shawarwarin da zasu taimaka ci gaba da kiyaye ƙafafu masu lafiya tare da ciwon sukari:
- Fitar da ƙafafunku gwargwadon abin da zai yiwu, ku bar aikin da ke buƙatar lokaci mai tsawo don tsayawa, kada ku ɗauki nauyi, rasa nauyi zuwa al'ada.
- Sauya takalma na yau da kullun tare da orthopedic mai ciwon sukari nan da nan bayan faruwar rauni mai zurfi, a cikin matsanancin yanayi, yin odar mutum guda.
- Kare ƙafafunku da takalma har ma a gida da kan rairayin bakin teku, kada kuyi tafiya da ƙafa ba a kan ciyawa ba.
- Kiyaye ƙafafunka, tsaftace sau biyu a rana da sabulu da ruwa. Yi wa fata fata da tawul, kada ku shafa.
- Dage fata a kullun tare da kowane cream da ake samu. Don sakamako mafi kyau, zaku iya amfani da Panthenol ko kowane kirim mai ciwon sukari tare da urea.
- Yi nazarin ƙafafunku akai-akai don raunuka ko canje-canje na ciwon sukari na farko.
- Kafin sanya takalminku, duba don gani ko takarda ko ƙanƙara ta sami ciki.
- Kar a yi amfani da faci a ƙafa.
- Kar a cire filaye tare da ruwa, kar ayi aikin shinge kayan masarufi. Ana amfani da pumice da kyawawan fayilolin ɓarna.
- Kar ku yi ƙafafunku, kada kuyi wanka da ruwan zafi. Karka sanya samfuran m zuwa fata na ƙafafu, kamar mustard ko lemo.
- Idan tsawon warkarwa mai warkarwa ko wasu alamomi na cutar suka bayyana, kada ku sami magani na kansa, nemi likita.
Tashin hankali da sakamako
Thearshe na ƙarshe na ƙafar masu ciwon sukari suna halin da ake ciki na samuwar phlegmon da ƙurji a cikin zurfin kyallen takarda. An buɗe su, an cire farji, an wanke su da maganin rigakafi, suna ba da kwararar ruwa, an yanke sassan necrosis. Lokacin da aka fara aiwatar da sabuntawa a cikin rauni, ana yin tiyata na filastik.
Idan kwayoyin cutar anaerobic suka yawaita cikin raunuka, gawan gasrene na iya haɓaka da sauri, wanda yawanci yakan haifar da yanke ƙafafu zuwa kyallen takarda masu lafiya. Gudun cututtukan cututtukan cututtukan cututtukan ƙwayar cuta suna barazanar lalata ƙasusuwa da gidajen abinci, lalata gaba ɗaya na ƙafa.
Ciwon ƙafar ƙafafun mahaifa yana buƙatar doguwar magani, mai tsayi. Daga mai haƙuri, cikakken yarda da duk abubuwan da likita ya bayar ya zama dole. Matsanancin matakai na ciwo yana faruwa ne a cikin marasa lafiya marasa ƙwarewar marasa lafiya waɗanda ba su iya yin tunanin rayuwar su ba kuma suna shan maganin cutar sankara. Sabili da haka, har zuwa 20% na marasa lafiya da ke da rauni mai zurfi a nan gaba sun yanke ƙafa, wasu daga cikinsu suna mutuwa daga tsananin sepsis.
