Alamu, bayyanar cututtuka da kuma lura da ƙafar ciwon sukari

Ciwon sukari mellitus yana ɗayan cututtukan cututtukan fata, tare da rikice-rikice iri-iri. Mafi haɗari shine cututtukan ƙafafun sukari, wanda ke shafar jijiyoyin jijiyoyin jini, gidajen abinci, da kuma haɗar fata.

Hadarin abin da ya faru yana ƙaruwa tare da tsawaita cutar sikila tare da ƙwarewar cutar a cikin shekaru 5. Bayyanar cututtuka da wuri zai iya dakatar da haɓaka rikice-rikice, kuma in babu matakan warkewa na lokaci, da alama yiwuwar shiga cikin tiyata ya ƙaru.

Sanadin cutar

Cutar ciwon sukari tana da lambar ICD na 10 - E10.5 ko E11.5, wanda ke tsara nau'in 1 ko nau'in ciwon sukari 2, bi da bi.

Licationarshe yana nufin canje-canje da ke shafar tsarin jijiyoyi da na jijiyoyin jiki.

A sakamakon irin wannan keta haddi, ayyukan nece na jijiyoyin jiki na iya samin tsari a jikin mutum da kuma cutar ta gangrene.

Bayyanai:

• rauni na trophic - faruwa a cikin 85% na lokuta;
• phlegmon;
• bazuwar;
• tenosynovitis;
• osteomyelitis;
• masu ciwon sukari
• cututtukan cututtukan cututtukan zuciya.

Abun da ke tattare da rikicewar rikicewar shine kasa samar da insulin da ake buƙata don rushewar glucose.

Sakamakon haka, matakin glycemia ya tashi, mummunar tasirin jini da jijiyoyin ƙwayoyin jijiya. Hoton yana nuna yadda rikitarwa ke kama da matakan ci gaba.

Siffofin ilimin halittu:

1. Neuropathic - tsarin jijiya yana aiki. Ana nuna wannan nau'in ta hanyar haifar da ciwo, haɗin gwiwa na Charcot ko bayyanar puffiness.
2. Ischemic - yana faruwa ne sakamakon atherosclerosis, wanda ke shafar jijiyoyin kafafu kuma yana lalata yadda jini yake gudana a cikinsu.
3. Cakuda - yana haɗar da lalacewar jijiyoyin jijiyoyi da jijiyoyin jini.

Dalilan bayyanar:

• rashi ko raguwa na rashin jin daɗi a cikin ƙarshen sakamakon neuropathy tare da ciwon sukari;
• rikicewar wurare dabam dabam wanda ke shafar jijiyoyin jiki da jijiyoyin wuya (angiopathy);
• atherosclerosis - wata cuta sau da yawa yakan faru ne da asalin ƙara yawan cholesterol a cikin jini;
• nakasar ƙafa;
• bushe fata fata;
• saka takalmi mai tsauri, da kowane irin matsin lambar da ke haifar da lalacewar fata;
• cututtukan fungal;
• rashin kula da likita yayin cirewar tiyata.

An yi bayanin hadarin rikice-rikice ta hanyar cewa marasa lafiya na dogon lokaci basu lura da kasancewar corns, fasa, abrasions a ƙafafun fata ba, wanda daga baya ya juya ya zama buɗe ko rufe raunuka.

Alamomi da alamomin cutar

Cutar yayin ci gaba tana tafiya matakai 5 na ci gabanta:

1. Wani ciwon mara na sama ya bayyana halin da raunuka na babba yadudduka na fata.
2. Akwai babban ciwo, amma ba tare da lalacewar kashi ba.
3. Mai rauni mai zurfi ya bayyana, tare da raunin kashi, da kuma kyallen takarda da ke kusa da ita.
4. An kafa "ƙafafun Charcot", saboda bayyanar gangrene a wasu yankuna (alal misali, yatsa).
5. An samar da mafi kyawun 'yan ta'adda, wanda hakan kan iya haifar da mummunan sakamako da kuma buƙatar yanke hanzarin reshen da abin ya shafa.

Abubuwan da ke tattare da cututtukan sun hada da:

• m ko cikakkiyar asarar hankali, wanda aka bayyana cikin rashin amsawa game da rawar jiki, sannan zuwa canjin zafin jiki, sannan ga zafi da taɓawa;
• kumburi;
• ƙara gajiya a cikin kafafu yayin tafiya;
• raɗaɗin jin zafi a cikin ƙananan kafa, wanda ke bayyana kanta a cikin hutawa, motsi, daidai da dare;
• tingling
• ƙonawa mai ƙarfi a cikin ƙafafu;
• sanyi;
• discoloration na fata (bayyanar jan launi ko cyanotic tabarau);
• raguwa a cikin yankin gashin gashi akan kafafu;
• canji a launi ko siffar faranti ƙusa;
• dogon waraka don raunuka, corns ko ma ƙananan ƙyallen fata;
• bayyanar bruises a karkashin kusoshi, alamace ta ci gaba da kamuwa da cuta ta hanji da kuma haɗarin kamuwa da jini;
• samuwar raunuka a ƙafa.

Don gano yawancin waɗannan bayyanar cututtuka, ya kamata ku bincika kafafu lokaci-lokaci tare da taimakon madubi da aka ɗora a ƙasa. Yayin jarrabawa, yana da muhimmanci a duba sararin interdigital, tafin kafa da diddige.

Coafan Charcot (ciwon sukari osteoarthropathy)

Ayyukan lalata a ƙarshen ɗayan, ci gaba da watanni da yawa, suna taimakawa ga lalatawar ƙafa. Wannan yanayin ana kiransa haɗin Charcot. Canjin halayen Pathological na wannan rikitarwa sau da yawa ba kawai kafafu ba ne, har ma da hannaye.

A sakamakon haka, marasa lafiya masu ciwon sukari ba sa jin zafi a karaya a cikin wuraren da suka lalace, wanda hakan ke kara dagula yanayin sa. Sannu a hankali, rikicewar neuropathic yakan faru a ƙafafu, tare da samuwar ulcers.

Siffofin cutar:

• osteoporosis - yanayin haɓakar ƙashi, raguwar ƙarfin ta;
• osteolysis - yanayin da kashi yake ciki;
• hyperostosis - tare da yaduwar kashi mai kashi na kashi.

Sakamakon "Charcot hadin gwiwa" ya kamata a sami 'yanci kamar yadda yakamata daga abubuwan lodi saboda ƙashin tsoka zai iya murmurewa da sauri. A irin waɗannan halayen, an shawarci marasa lafiya su sa kawai takalman orthopedic.

Kula da ciwon sukari

Isar da lokaci na mai haƙuri zuwa cibiyoyin ƙwararrun da ke cikin jijiyoyin cututtukan cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa yana sa ya yiwu a dakatar da ci gaban bayyanar ƙafar masu ciwon sukari da inganta yanayin su.

Yin amfani da magunguna yana da tasiri kawai a farkon matakan haɓaka rikitarwa. An riga an yi aikin tiyata ta hanyar tiyata.

Yaya ake magance cututtukan fata?

Farji don rikitarwa ya zama cikakke. Hanyoyin magance cututtukan cututtukan trophic sun dogara da yanayin hauhawar jini a cikin reshe.

Harkokin jijiyoyin jini na yau da kullun sun hada da:

• kula da raunuka da raunuka;
• rage nauyin da aka yi aiki a kan reshe;
• kawar da kamuwa da cuta ta hanyar amfani da magungunan ƙwayoyin cuta.
• sarrafa glycemic da aka yi a gida;
• ban da giya, kazalika da shan sigari.
• lura da cututtukan da ke tattare da haɗari waɗanda ke kara haɗarin yanke ƙafa (cutar hanta, oncology, anemia).

Tare da zubar da jini mara kyau, ban da abubuwan da ke sama, ana ɗaukar matakan dawo da shi.

Hanyar da ke tattare da cututtukan ƙwayoyin tsohuwar ƙwayoyin tsoka da cututtukan fata sun hada da:

• hanyoyin tiyata;
• yanki idan babu wani sakamako daga ilmin.

Yana da mahimmanci a fahimci cewa yanke hannu an yi shi a matsayin wurin zama na ƙarshe kuma ana yin shi ne kawai a cikin marasa lafiya cikin mummunan yanayin.

Magunguna

Ana iya tsara waɗannan magunguna masu zuwa ga marasa lafiya waɗanda suka saukar da alamun bayyanuwar cutar:

1. Magunguna waɗanda ke ɗauke da alpha-lipoic acid (Thiogamma, Thioctacid, Berlition) Abubuwa masu aiki na waɗannan magunguna suna taimakawa wajen kawar da tsattsauran hanyoyin da ake amfani da su, dawo da hawan jini, da kuma iyawar ƙwayar jijiya.
2. Bitamin daga rukunin B (Milgamma, Neuromultivit). Magunguna ba su da yawa ga adadin waɗannan abubuwan masu rauni daga tushen cutar.
3. Magunguna sun yi amfani da magani. Yin amfani da magungunan gargaji na al'ada ko magungunan anti-mai kumburi suna da tasiri ne kawai a farkon matakan bayyanar cutar, tunda a nan gaba, marasa lafiya suna rage hankalinsu kuma babu azaba mai zafi.
4. Magungunan Anticonvulsant, magungunan ƙwayoyin cuta. Yin amfani da su zai yuwu ne kawai in babu glaucoma a cikin marasa lafiya. In ba haka ba, farjin zai iya shafar matsa lamba na ciki.
5. Yana nufin inganta haɓaka nama a cikin yankin rauni (Eberprot-P). Yin allurar irin waɗannan kwayoyi yana ƙara saurin warkar da raunukan da suka bayyana da taimakawa mai haƙuri yin ba tare da yankan yanki ba.
6. ACE masu hanawa. Suna ba ku damar daidaita karfin jini.
7. Masu maganin kishi. Shan magunguna wajibi ne don dawo da adadin wannan kashi a jiki.
8. Thiazide diuretics an wajabta don hauhawar jini.
9. Magungunan cholesterol.
10. Magungunan rigakafi. Shirye-shiryen da ke dauke da acetylsalicylic acid na rage yiwuwar haɓakar gangrene.
11. Kwayoyin cuta na Vasoactive. Suna taimaka inganta hawan jini a cikin yankin ischemic.

Kulawa tare da jeri yana nufin rage jigilar ciwuka, yana hana bayyanar cututtuka.

Hanyoyin tiyata

Ayyukan tiyata da aka yi amfani da su a cikin marasa lafiya da ƙafafun sukari sun haɗa da hanyoyi masu zuwa:

• kewaye tiyata - an yi niyya don ƙirƙirar kewaye don jini a cikin tasoshin;
• juyayi - aiki don cire wani ɓangare na lumbar ganglia;
• balloon angioplasty - yana taimaka wajan dawo da jijiyoyin bugun jini;
• yanki - cire kyallen takarda da abubuwan kusa kashi-kashi wadanda suka lalace.

Ana amfani da hanyoyin tiyata kawai a cikin matsanancin yanayi, lokacin da maganin ƙwaƙwalwar ƙwayoyi ba ya ba da tasiri.

Yin rigakafin ilimin kansar

Yana da mahimmanci a fahimci cewa hana rikice-rikice yafi sauki fiye da ƙoƙarin magance su. Matakan rigakafin sun dogara da lura da ka'idodin kulawa da ƙafafun yau da kullun da kuma shawarwarin takalmi.

Kulawa da ƙafa ya ƙunshi bin wasu shawarwari.

Wadannan sun hada da:

• zuwa likita idan an gano wani lahani a ƙafa;
• wankewar rana;
• bincika kafafu na yau da kullun tare da madubi don gano yiwuwar lalacewar;
• ikon zafin jiki na ƙafa;
• sauya kullun safa da safa;
• guje wa raunin da ya faru na ƙafa;
• daidaito na fitsari;
• amfani da kirim don kawar da bushewar ƙafafu.

Abu na bidiyo akan yadda zaka kare kafafu a cikin ciwon sukari:

Mutanen da ke da kowane irin nau'in ciwon sukari ya kamata su ɗauki nauyin takalminsu. Babban abu shi ne cewa ya kamata ta kasance mai kwanciyar hankali, kyauta da kuma dacewa da kyau a ƙafafunta. Kasancewar nakasar ƙafa yana buƙatar saka takalman orthopedic.

Yana da mahimmanci a fahimci cewa aikin mai haƙuri a cikin kawar da alamun ƙafar mai ciwon sukari yana ƙara samun damar murmurewa cikin sauri.