Babban matakan glucose na jini sakamakon kasawar gyaran mellitus na ciwon sukari babu makawa yana haifar da lalacewar tasoshin jini da jijiyoyin jijiya. Cutar raunin ƙwayoyin cuta a kafafu sune bayyananniyar bayyanuwar waɗannan cuta. Rashin kamuwa da kullun ƙafafun kafa yana haifar da lahani mai zurfi a cikin epithelium, tsokoki, da kuma a cikin matakai masu tsauri, da ƙashin ƙashi. Saboda ƙarancin abinci mai gina jiki na sel a yankin da abin ya shafa, lura da irin wannan cututtukan mahaukata na da wahala da tsayi.
Bayan murmurewa saboda asarar wani ɓangaren kyallen takarda, asarar ya ragu, tare da kulawa mara kyau ga duka raunuka da ciwon sukari, raunin mahaifa daga farkon matakin ya fara zama mawuyacin rauni na yatsun kafafu, wanda likitoci suka kira shi da ƙafar mai ciwon sukari. Marasa lafiya masu ciwon sukari sun rasa ikon motsi da kansu, suna iya rasa ƙafafunsu saboda farawa na gangrene, har ma sun mutu daga sepsis. Ana iya hana mummunan sakamako a farkon matakan cin zarafi, bin ƙa'idodi masu sauƙi don rigakafin cututtukan ciwon sukari.
Me yasa rauni na ƙafa ya bayyana a cikin masu ciwon sukari
Trophic wani hadadden tsari ne na samar da kashin jikin mutum da abubuwan da ake buƙata na abinci, godiya ga wanda suke iya aiki a koda yaushe kuma yana murmurewa ta dace. Ulcers da ke faruwa a cikin cututtukan sukari ana kiran su trophic, saboda suna haifar saboda rashin isashshen sunadarin oxygen da abubuwan gina jiki a cikin kyallen. Cutar kwayar cutar tana ta karuwa ne sakamakon karancin kayayyakin sharar gida.
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%
Lalacewar jijiyoyi, rikicewar jijiyoyin jini da rashin lafiyar jijiyoyi sune sahabbai masu mahimmanci na cututtukan ƙwaƙwalwar ƙwayar cuta marasa ƙwaƙwalwa. Matsakaicin haɓakar ƙwayoyin cuta ya dogara da halaye na jikin mai haƙuri. Amma zaku iya tabbata cewa idan yawan sukari na jini ya fi na al'ada, ko ba jima ko ba jima ko raunikan warkaswa mai warkarwa zai bayyana akan fatar.
Tare da nau'in ciwon sukari na 2, yiwuwar cututtukan cututtukan trophic ya fi girma, tunda yana da tsawon asymptomatic, kuma mafi yawan marasa lafiya tsofaffi ne da ke fama da ƙoshin lafiya saboda wuce kima da yawa da cututtukan concomitant.
Sanadin cututtukan farko a cikin cututtukan sukari:
- Ciwon sukari microangiopathy - lalata ƙananan tasoshin saboda yawan sukari a cikin jini. Tsarin jini yana rikicewa a cikin kyallen kafafu, edema yana bayyana saboda lalata tasoshin jini, yanki tare da ƙarancin abinci mai gina jiki da kuma adadi mai yawa na haɗin kai. A wa annan wuraren, fatar jiki ta yi taushi, ta bushe, bawo, ƙaiƙayi. Foci na nama necrosis ana kafa su a hankali.
- Lalacewar najasa a fataba a kula da su da maganin antiseptics a cikin lokaci ba kuma ba su bi da su. Woundsanan raunuka da raunuka waɗanda ke shisshigi kansu cikin lafiyayyun mutane masu ciwon sukari mellitus sun warkar da mummunan cutar. Idan ba a kula da cutar ba kuma sun kamu da cutar, sai su zama cikin cututtukan trophic.
- Dogon tsoka mai lalacewa na yankin fata - yin tafiya da ƙafafu a bakin rairayin bakin tekun ko Lawn, wanda bai dace da girman sa ba, shafa takalmi tare da cutar sankara yana haifar da bayyanar blisters, sannan kuma cututtukan trophic. Tare da ciwon sukari da ke fama da cutar siga a cikin marasa lafiya, ƙwaƙwalwar fata tana da rauni, kuma ba su iya jin rashin jin daɗi da hana shafa ƙafafu.
Yadda za a gane ƙwayar trophic
Yawancin cututtukan trophic a cikin mellitus na ciwon sukari suna farawa da ƙananan yanke da sikari, ƙyallen, scuffs ko calluses. Kwayoyin cuta na Pathogenic suna shiga fata ta hanyar waɗannan raunuka, galibi staphylococci. Kumburi ya fara, an saki farji daga rauni. Ciwon kansa ya jike, ya jike, a hankali yana ƙaruwa, gefuna ya zama da wuya. Fatar da ke gefenta tana kumbura tana ja. Idan ciwon sukari yana da rikitarwa ta hanyar neuropathy, jin zafi bazai dace da matakin lalacewar nama ba ko kuma ba ya haɗuwa baki ɗaya.
Yankunan da ke da babban yiwuwar samuwar ƙwayar trophic za a iya gane su ta halayyar su: fatar a waɗannan wurare bushe da bakin ciki, miƙa, sau da yawa tare da digo na shekaru. Mafi sau da yawa, cututtukan cututtukan cututtukan cututtukan fata an karkatar dasu a ƙafa, amma tare da matsanancin cutar angiopathy, ƙafafu kuma zasu iya tasiri.
Matakan raunuka da kuma halayyar su
A cikin rabin marasa lafiya da ke fama da cututtukan sukari, alamun farko na rikicewar fata a kan fata na ƙafafu suna bayyana shekara guda bayan farkon cutar. A cikin mawuyacin hali, ci gaban rikice-rikice daga matakin farko zuwa gangrene yana ɗaukar watanni da yawa.
Matakan canje-canje na trophic a cikin ciwon sukari da bayyanar halayen su:
| Matsayi | Canje-canje na Tissue | Bayyanar | Alama bayyanar cututtuka | |
| № | Siffar | |||
| 0 | Canje-canje na baya | Take hakkin abinci mai gina jiki da kyawun jikinsu. | Bugun ƙafafun, fitar da fata: fenti, jan launi ko haske. | Rage sha'awar fata. Kara jin zafi mai tsawo a cikin kafafu da marayu, yawanci da daddare, cramps. |
| 1 | Mataki na farko | Bayyanar da rauni na warkar da raunuka akan fuskar fata. | Raunin yana da tsabta, kyallen da ke kewayen suna da rai, a farkon jiyya, yanayin da za a ɗaure shi ake gani da sauri, wanda ya rabu da ciwon mara na jini. | Raɗaɗi ba ya nan ko kuma rashin ma'amala ko da za a kula da rauni. |
| 2 | Matsayi na Bayyanar Bayyanai | Haɓaka girman da girman ulcer, kitse mai ƙyalli da tsokoki an haɗa su cikin aikin. | Stupa ya bayyana - busasshen ɓawon burodi daga nama mai ɗaci, ɗigar ta zama mai purulent. Sabbin wuraren cututtukan cututtukan fata suna bayyana nan kusa. | Ba a jin raɗaɗin raɗaɗin raɗaɗin |
| 3 | Ci gaban ulcerative canje-canje | Kumburi yana shafar nama. | Ularancin raunuka masu yawa tare da faci na necrosis, kumburi purulent. Rage fitowar kwari, wari mara dadi daga raunuka. | Bayyanar cututtuka na maye - tashin zuciya, rauni, jin sanyi. Painara jin zafi. |
| 4 | Wet gangrene | Cikakken asarar aikin nama, mutuwa. | Wakar shuɗi ko baƙar fata na yatsun hannu ko ɓangarorin ƙafafun, blister tare da abubuwan da ke cikin purulent. | Mai raɗaɗi mai raɗaɗi, raunin ƙarfi, zazzabi mai zafi. |
Jiyya na trophic (mai ciwon sukari) ulcers
Hadadden magance cututtukan trophic a cikin ciwon sukari mellitus ya ta'allaka ne da cewa saboda raunin jini da ya lalace, kyallen takarda bashi da ikon warkarwa. Bugu da kari, ciwon sukari yana rage karfin mai haƙuri kuma yana kara rauni yanayin jiki ga kwayoyin cuta da fungi.
Babban taimako a cikin maganin cututtukan ulce shine zai zama daidaituwa da sukari na jini da kuma cimma nasarar cutar haemoglobin - ba fiye da 6% na yawanta ba. Don wannan, ya wajaba don kafa abinci mai dacewa da kuma dacewar lokacin magunguna. A cikin mawuyacin hali, ana tura mai haƙuri zuwa shirye-shiryen insulin ko kuma gyaran ƙwayar da aka bayar a baya.
An fara jinyar farko, yayin da ake fatan samun hangen nesa. Zai fi dacewa don fara magani a matakin farko na rikicewar trophic.
Amfani da magunguna
Zaɓin magunguna don maganin cututtukan ƙwayar cuta ana gudanar da su ne daban-daban, yin la'akari da abubuwan da suka faru.
Mafi yawan amfani:
- ƙwayoyin rigakafi na ƙwaƙwalwar ƙwayar cuta ko yin la'akari da bayanai na shuka ƙwayar ɗigar daga cikin ƙwayar cuta;
- maganin antifungal;
- NSAIDs don rage kumburi da sauƙaƙa ciwo;
- antihistamines don sauƙaƙa itching;
- wakilan antiplatelet wadanda ke rage dankowar jini;
- maganin rigakafi da magungunan kashe kuɗaɗe don tsawan jinya na cututtukan fata da damuwa na bacci;
- kwayoyi don rage karfin jini;
- kudade don tallafawa aikin ƙwayoyin jijiya: alpha lipoic acid, bitamin B;
- mutum-mutumi don gyara jijiyar metabolism.
Ana amfani da wakilan cikin gida don aiki don maganin cututtukan trophic. Da farko, ana yin maganin rauni a kullun, sannan a rage yawan suttura zuwa 2 a mako. Da farko, an wanke rauni tare da wakilai na rigakafi waɗanda ba su cutar da ƙirƙirar sababbin kyallen takarda, yawanci chlorhexidine ko miramistin.
An haramta yin amfani da barasa, kore mai haske, aidin da sauran magungunan gargajiya don maganin raunuka an haramta su sosai.
Bayan tsabtacewa, raunin da ke warkar da jijiyoyin (Pronosal, Iruksol, Solcoseryl) an sanya su a cikin ulcers. Yin amfani da bandeji na al'ada ba a so, tun da suke manne wa farjin rauni kuma, lokacin da aka cire shi, zai ƙara lalata lalacewa. An ba da fifiko ga murfin rauni na musamman, wanda za'a iya cire shi cikin sauƙi kuma kar a bar villi a cikin rauni.
Tsarin motsa jiki
Maganin kula da cututtukan cututtukan mahaifa yana da nufin dawo da wadatar jini a yankin da abun ya shafa, da hanzarta farfado da nama, da kuma cire kumburi.
Hanyoyin da aka yi amfani da su:
- Magnetolaser far. Ana amfani da jan jigilar haske, a gaban scabs - infrared. Duk yanayin farji na cutar kansa na cikin jijiyoyin bugun zuciya yayin kama wuraren da suke makwabta.
- Ammar don inganta shigar azzakari cikin farji da kwayoyi, mafi yawan lokuta masu hana ƙwayoyin cuta. Don hanzarta tsarkake rauni daga nama mai mutuwa, ana iya amfani da enzymes na kariya, kuma ana iya amfani da bitamin da zinc don warkarwa.
- Oxygen therapy - kulawar oxygen a cikin ɗakuna na musamman, yana taimakawa sassauƙa kumburi, rage adadin radicals a cikin yankin lalacewa.
Turewa
Ana amfani da magani na tiyata don ci gaban canje-canje na cututtukan fata duk da farɗan ra'ayin mazan jiya. Ya ƙunshi cire ƙwayar tsohuwar nama da shigarwa na catheters a cikin rauni mai warkarwa. Za'a iya amfani da maganin cutar huhu - tsaftacewa daga farce ba tare da fadada rauni ba, yayin da zagayawa cikin jini da kewayen mahaifa yana inganta kuma yana sauƙaƙa kumburi.
Ana amfani da hanyoyin tiyata na filastik don magance cututtukan cututtukan trophic mai rauni: an rufe farfajiyar rauni tare da fatar fata da aka karɓa daga mai haƙuri daga wurin lafiya. Tare da haɓakar gangrene ko babban ƙarfinsa, ana amfani da hanyoyin tsattsauran ra'ayi - yankan yatsun kafa ko duka ƙafa.
Magungunan magani don warkar da cututtukan ƙafafun ƙafa
Sau da yawa, jin raɗaɗi a cikin cututtukan cututtukan cututtukan ƙwayar cuta yana haifar da ƙarshen hulɗa tare da likitoci. Duk wannan lokacin, raunuka sunyi ƙoƙari na warkewa ta hanyar hanyoyin mutane har sai cutar ta shiga matakai masu tsauri.
Kulawa da cututtukan cututtukan mahaifa tare da ganye za a iya barata a matakin canje-canje na farko, a duk sauran halaye kuma wani mataki ne kan hanyar zuwa yanke kafa. Magungunan hukuma a cikin lura da raunuka sun fi tasiri fiye da na mutane.
Don inganta warkar da rauni, ana amfani da kayan ado na tsirrai tare da tasirin ƙwayar cuta: chamomile kantin, tatarnik, marigold, string, celandine. Za'a iya amfani da ruwan 'ya'yan Aloe a matsayin wakili na reno. Barasa infusions da kayan ado ba za a iya amfani da zafi ba. Idan rauni bai warke ba a cikin mako guda, ya kamata a ci gaba da ba da magani a cikin asibiti.
Yin rigakafin
Don kula da lafiyar ƙafafu a cikin ciwon sukari, dole ne:
- Ta hanyar tsarin abinci da magani, cimma daidaitaccen matakan sukari na jini cikin iyaka.
- Guji yawan wuce gona da iri.
- Yi amfani da daskararru kowace rana.
- Cire karancin kafafu ke takawa.
- Ka tuna da yiwuwar kamuwa da cutar neuropathy a cikin ciwon sukari, wanda ke haifar da raunin hankali: bincika takalma lokacin sayen don shafa wurare, girgiza takalma kowane lokaci kafin kyauta, bincika kafafu a kai a kai don lalacewa.
Karanta a cikin ƙarshe: Mafi yawan rikicewar ƙafafun kafaɗar fata a cikin ciwon sukari
