Alamu da alamun cutar ƙwallon ƙafa
Footafarin ciwon sukari shine babban dalilin rage ƙananan reshe a cikin ciwon sukari. Game da 8-10% na marasa lafiya suna fuskantar ciwo, yayin da kusan 40-50% an haɗa su a cikin ƙungiyar haɗari. Ya kamata a ɗauka a cikin zuciya cewa kusan sau 10 sau da yawa sau da ƙafa ƙafa na ciwon sukari yana haɓaka cikin marasa lafiya tare da nau'in na biyu na ciwon sukari mellitus. Bayar da haɗarin yanayin, kuna buƙatar koya duk game da alamomin, abubuwan da ke haifar da haɓaka da sifofin magani.
Bayyanar cututtuka da alamun ƙafar mai ciwon sukari
Bayyanar cututtuka na ƙafar mai ciwon sukari sun bambanta. Wannan ya faru ne saboda kasancewar ire-iren yanayin wannan yanayin, halayen jikin kowane mutum. Gabaɗaya, tare da wata cuta kamar ƙafar mai ciwon sukari, alamomin za'a iya rarrabasu cikin yanayin zuwa farko da kuma daga baya. Da yake magana na farko, masana sun kula da jan fata da kumburi kafafu. Bugu da kari, ba a so a yi watsi da irin wadannan alamomin kamar:
- karuwa a cikin alamun zazzabi a saman fata. Wannan yana nuna kamuwa da cuta, amsawar kumburi,
- yi ɗingishi da wahalar tafiya na iya zama alama ce kawai ta cutar, amma kuma alama ce da aka zaɓi takalman ba daidai ba,
- jan fata a kusa da rauni yana nuna karuwar kamuwa da cuta, matakin farko na canzawar nama,
- numbashi a cikin kafafu, wanda ke nuna cewa raunin jijiya mai rauni.
Alamun farko na ƙafafun ciwon sukari kuma zasu iya bayyana a gaskiyar cewa gashi ya daina yin girma a cikin idon ƙafa. Wannan rashin ruwa na fata, kamar matse jiki, yana nuna damuwa cikin yaduwar jini. Bugu da kari, alamun cututtukan yakamata a yi la'akari dasu a cikin yatsan yatsun, ƙyallen yatsu (kamar guduma), ƙyallen fata da raunuka iri-iri, duka na fata da ƙusa faranti. Masana sun ba da shawarar cewa masu ciwon sukari su yi watsi da ɗayan waɗannan alamun, kuma idan alamun biyu ko fiye suka bayyana, nan da nan za a fara magani.
Sanadin cutar
An kafa ƙafafun ciwon sukari a cikin mafi yawan marasa lafiya da ke dauke da ciwon sukari na 1 har zuwa shekaru 7-10 daga farkon cutar. A cikin marasa lafiya da nau'in cutar ta biyu, cutar na iya bayyana a farkon farkon cutar. Sanar da dalilan tsokana wannan rikitawar cutar sukari, kula da:
- akai akai a cikin sukari, wanda kan kai shi ga lalacewa a hankali sanadiyyar tasoshin jini a jiki baki daya.
- karancin isashshen jini yana shafar jijiyoyin jijiyoyi, wadanda su ma suke lalata, suna haifar da illa iri iri ga fata na kafafu,
- saboda wannan, metabolism a cikin kyallen takarda yana rikicewa, daga abin da kafafu ke wahala da farko. Sakamakon rauni yana warkar da raunuka,
- bushe fata da danshi a ƙafafu, waɗanda kusan sun fi dacewa don samuwar cututtukan fungal, busassun corns. Idan ko da ƙananan kamuwa da cuta suka hadu, aiki mai kumburi yana aiki.
Mataki na gaba na wannan tsari ya kamata a yi la'akari da mutuwar nama, necrosis, wanda ke haifar da ciwo na ƙafafun sukari. Istswararrun masana sun bambanta ƙungiyoyin haɗari guda uku. Na farkon ana nuna shi ta hanyar kiyaye fargaba a kowane tsaka da kyakkyawar jijiyoyin a cikin jijiyoyin ƙafa. A wannan yanayin, ana bada shawarar yin gwaji a kowace shekara.
Waɗanda ke cikin rukunin haɗari na biyu suna fuskantar matsanancin ƙwarewar hankali, raunin ƙwayar bugun zuciya da kasancewar nakasa. Ya kamata a gudanar da gwaje-gwaje a wannan yanayin sau ɗaya a kowane watanni shida. Theungiyoyin haɗari na uku ana kasancewa da bayyanar su a cikin tarihin likitan raunuka, shari'ar yanke hannu a ƙafa. Kada ku manta game da mahimmancin neuropathy. Bincike wajibi ne a kowane wata uku.
Matsalolin ƙafafun sukari
Cutar sankarar mahaifa tana hade da wasu matakai, daga cikinsu akwai guda biyar. A wannan yanayin, sifili shine rukuni mai haɗari. Babu wata rauni mai rauni, kodayake, kafafuwan sun lalace, sun fara jujjuya sanyi kuma sanyi ya fara yi. Duk wannan yana nuna wata cutar ƙafafun ciwon sukari.
A matakin farko, rauni a farfajiya, wanda baya shafar zurfin yadudduka. A mataki na biyu, ulcer zai fara zama mai zurfi a cikin kafa, yana shafar fatar, tsokoki, jijiyoyi da fiber. Mataki na uku ana san shi ta hanyar zurfafawa cikin jihar, nasarar cimma tsarin kasusuwa. Idan an fara lura da ciwon sukari a wannan matakin, zai yuwu a kula da wata gabar jiki, a guji yanke hannu.
Da yake magana game da mataki na huɗu, sun mai da hankali ga gaskiyar cewa takamaiman baƙar fata (gangrene) ya samo asali a kan ƙafafun ciwon sukari. Iyakar irin wannan rashin nasara a al'adance a fili an kebe su. A mataki na biyar na ƙarshe, karuwa a fannin mutuwa yana faruwa, alamu da magani ya kamata a daidaita su musamman tare da ƙwararrun masani. Gangrenous rauni ya tashi sama, yana fara kama sabbin wurare. Rashin magani a wannan yanayin yana haifar da asarar reshe ko ma mutuwar haƙuri.
Hakanan an bambanta wasu nau'ikan ƙafafun ciwon sukari. Da yake magana game da wannan, kula da jerin masu zuwa:
- ischemic, hade da manyan cutar da jini. Fatar ta fara jujjuyawa, ta zama mafi sanyi, an bayyana ɗan kumburi. Ba koyaushe ake canza kamannin ƙafa ba, yana iya zama babu corns, kodayake, lokacin da ka danna kan hanyoyin jini, fitsari ba ya faruwa ko ana ƙididdige shi da rauni,
- neuropathic, sakamakon mutuwar jijiya nama. A lokaci guda, ana ƙididdige ƙarshen jin zafi a matakin farko kamar ragewa, saboda haka ba a jin zafi, kamar raunin daban-daban. An gano nakasar kafa, an samar da corns, kuma raunuka tare da gefuna masu laushi suna bayyana a wurin raunin,
- nau'in neuroischemic na ciwon sukari ya zama ruwan dare gama gari. An fasalta shi da alamun kowane ɗayan siffofin da aka gabatar a baya. A wannan batun, akan tambayar yadda fom din yake, yana da kyau a tuntuɓi gwani.
Bayyanar cutar
Ya kamata a gudanar da bincike game da ciwo irin su ƙafa masu ciwon sukari a cikin cikakkiyar hanya. Yawancin nazarin da ake gudanarwa (bayanin martaba, glycosylated hemoglobin matakin, lipids na jini: cholesterol, LDL, triglycerides, HDL). Mataki na wajibi, idan akwai alamun ƙafar mai ciwon sukari, ya kamata a yi la'akari da binciken gani da ido na reshe da ya lalace.
Don fayyace ganewar asali da takamaiman nau'in cutar, ana yin gwaji na ƙoshin lafiya, duban dan tayi na jirgin ruwa, aikin rediyo na ƙafa, kuma an tsara allurar angiography. An ƙidaya cikakkiyar ƙimar jini, ana ɗaukar al'adun ƙwayoyin cuta, ruwan da aka saki daga raunin ana bincika shi. Tsarin hadewa yana da mahimmanci, wanda sakamakon hakan zai taimaka wajen tsara cikakkiyar cikakkiyar magani ga ƙafafun masu ciwon sukari.
Yaya za a bi da ƙafaciyar ciwon sukari?
Jiyya na ciwon sukari na iya zama mai ra'ayin mazan jiya, mai aiki, sannan kuma za'ayi a gida. Yana da matukar muhimmanci a kula da cutar a karkashin kulawar kwararrun. A wannan yanayin, ciwo na ƙafafun ciwon sukari ba zai hade da rikitarwa ba, kuma magani a gida zai zama mai tasiri 100%, kazalika da rigakafin gaba.
Magungunan magani
Kulawa da ƙafafun sukari tare da amfani da magunguna ana aiwatar da su ta fuskoki da yawa. Wannan yakan faru ne a gida.
Don rage glucose na jini, ana amfani da insulin ko kwayoyi waɗanda ke rage sukari jini.
An bada shawarar sosai cewa:
- don ware wani mai kumburi tare da ƙafafun sukari, ana amfani da maganin rigakafi masu yawa,
- zafi zai iya magance magungunan jin zafi: Ibuprofen, Analgin,
- An tsara Normoven ko Pentoxifylline don haɓaka kewaya jini,
- maganin shafawa, ana sanya sunayen ƙwayoyin cuta daban-daban ga kowane yanayi. Ya dogara da tsari da kuma yadda hanzarin cutar ke ci gaba.
Insoles na Orthopedic don ƙafar mai ciwon sukari ya cancanci kulawa ta musamman, wanda zai iya inganta yanayin ƙafafun da fata. Koyaya, ba su ne kawai hanyar da za a magance wannan cutar ba. Sabili da haka, yana da matukar muhimmanci cewa warkarwa ya kasance kuma ya kasance cikakke.
Babban bidiyo! Muna kallon komai!
A takaice game da ayyukan tiyata
Idan har ana shirin yin aikin tiyata, jiyya zai kunshi cire ƙananan wurare na tsohuwar nama tare da gefuna mai laushi (necrectomy). Zai yuwu duka ko cire wani yatsan da ya shafi gangrene (kama), cire 100% daga ƙafa ko wani sashi na kafa, alal misali, zuwa iyakokin ƙwayoyin al'ada (yanki).
Bugu da kari, a wasu yanayi, ana bukatar maido da tsarin jijiyar jini (angioplasty). Hakanan, a wasu halaye, ba a cire tasoshin da aka dawo dasu ba, ana kewaya jini don kewaya su (endarterectomy). Ana amfani da kirkirar ƙarin hanyoyin wurare dabam dabam ta hanyoyin jini (ko aikin motsa jiki) ko ƙirƙirar tallafawa tsarin jijiyoyin jijiyoyin jini (zamewa) ana amfani da su.
Kulawar gida
Hakanan za'a iya bada magani na ciwon sukari a gida. Amma saboda wannan, dole ne a cika wasu yanayi: lura da ƙwararrun likita na musamman, ya zama dole, yanayin haɓakar cutar ya kasance a cikin kowane hali ba zai kasance da alaƙa da rikitarwa ba. Yana cikin wannan yanayin cewa zai halatta a haɗu da magani tare da maganin jama'a. Ana iya amfani da waɗannan wakilai da abubuwan da za ayi:
- ganyen burdock ko burdock (sabo a lokacin rani, bushe a cikin hunturu) na iya yin alfahari da sakamako na warkar da rauni. An shafa su a ƙafa, a baya an wanke su da wani bayani na potassium permanganate ko furatsilina. Don cin nasara cikin nasara, an shafa ƙafafun tare da karamin Layer na zuma, ana amfani da ganyen burdock daga sama. An bada shawara don canza bandeji sau ɗaya ko sau biyu a rana ko ma sau da yawa,
- Ana iya amfani da ganyen burdock a baki (cokali ɗaya a kowace mil 250 na ruwan zãfi), saboda ana nuna su da cutarwar diuretic da cututtukan lymphogonous,
- Man zaitun zai zama mai maye gurbin burdock, wanda ke da farfadowa, cututtukan ƙwayar cuta da kuma warkarwa mai rauni. Don samar da magani, kawai kuna buƙatar amfani da ɗan adadi kaɗan ga ƙafar mai ciwon sukari,
- don hanzarta warkar da raunuka, yana yiwuwa a yi amfani da kefir, foda daga bushe bushe na abarba ko juniper a saman. Yana da mahimmanci a tabbata cewa babu wani rashin lafiyan kowane ɗayan abubuwan da aka gabatar.
Babu dalilin da yakamata mu manta cewa magani tare da magungunan gargajiya ya kamata ya kasance karkashin kulawar kwararrun.
Yin rigakafi da hangen nesa
Dole ne a yiwa ƙafafun ciwon sukari ƙarancin kariya gaba ɗaya, har da magani. Wannan zai sa ya yiwu a sami ingantaccen tsinkaya, tare da ware cigaban rikice rikice. Don haka, rigakafin ƙafafun sukari a cikin ciwon sukari mellitus shine wanka yau da kullun, yana goge fata na ƙafafu, yana kawar da tasirin kowane yanayin zafi. Yana da mahimmanci bincika fata na ƙafafun lokaci-lokaci don gano abrasion, yanke da sauran raunin da ya faru.
Yin rigakafin ƙafafun kamuwa da cutar ya hana yin amfani da murfin murhu, yin tafiya da ƙafa, da amfani da filayen masara. Kowace rana kuna buƙatar bincika takalmin don kasancewar abubuwa na ƙasashen waje da lalacewa ta ciki waɗanda zasu iya ba da gudummawa ga ci gaban corns. Da yake magana game da yadda ake kula da ƙafa, kula da gaskiyar cewa:
- ba da shawarar yin safa da safa (safa) tare da ɗamara,
- Karka sanya takalmi ba tare da daka ba, musamman a ƙafafun ka,
- yana da mahimmanci don zaɓar takalmin da ya dace - samfura masu taushi da faɗi (fadi)
- garuruwan da suka bayyana bai kamata a yanke wa kansu nasu ba. Zai zama mafi daidai don tuntuɓi ƙwararre.
Bugu da kari, an bada shawara a yanka yatsun yatsun tsaye kai tsaye (babu matsala a zazzabi). Game da samuwar ƙusa ko kuma gano wasu raunin ƙafa, yana da mahimmanci tuntuɓi kwararru da wuri-wuri.