Unyawo lukashukela: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Ngubani osengozini enkulu yonyawo lukashukela
• Unyawo lukashukela luhlukaniswa kanjani
• 1. Ukuhlukaniswa kukaWagner
• 2. Texas ngezigaba
• Yelashwa kanjani
• Izinyathelo zokuqapha ezi-5 zokugwema izinkinga ezinkulu
• 1. Gcina i-glucose yegazi lakho ilawulwa
• 2. Bukela izinyawo zakho nsuku zonke
• 3. Gcina izinyawo zakho zihlanzekile futhi zinamanzi amaningi
• 4. Sika izinzipho zakho kabili ngenyanga futhi ungazisusi izingcingo
• 5. Gqoka izicathulo ezivaliwe nezithambile
• Izinkinga ezingenzeka ezinyaweni zikashukela

Unyawo lukashukela lungenye yezinkinga eziyinhloko zesifo sikashukela, okwenzeka lapho umuntu esevele enesifo sikashukela se-neuropathy futhi, ngakho-ke, akakuzwa ukuvela kwamanxeba, izilonda nokunye ukulimala ezinyaweni. Ngenxa yesifo sikashukela, lezi zilonda zithatha isikhathi eside ukuphola kunokujwayelekile futhi, ngakho-ke, zingadala ukutheleleka okuphindaphindayo, kwandise ubungozi bokuthi unqunywe unyawo.

Lolu hlobo lwenkinga luvame kakhulu lapho amazinga kashukela egazi engalawulwa kakhulu, ngakho-ke, enye yezindlela ezingcono kakhulu zokuvimbela ukuqala kwawo ngokuthatha ukwelashwa okufanele kwesifo sikashukela. Bheka izinkinga eziyisithupha eziphambili zesifo sikashukela.

Ngaphezu kwalokho, ukugwema ukubonakala konyawo wesifo sikashukela kunconywa ukuthi wenze ukuhlola izinyawo ezijwayelekile, ezingenziwa nsuku zonke ekhaya, kepha futhi kufanele zenziwe ngudokotela osehhovisi. Ezimweni lapho unyawo lukashukela seluvele lukhona, kubaluleke kakhulu ukwenza okokugqoka esikhungweni sezempilo noma esibhedlela, kanye nokugqoka izicathulo ezikahle nokugcina inhlanzeko efanelekile yonyawo.

Izimpawu eziyinhloko

Uphawu olukhulu lonyawo lukashukela ukuvela kwamanxeba angalimazi futhi athatha isikhathi ukuphola. Noma kunjalo, ezinye izimpawu nezimpawu zingafaka:

• Ubuhlungu obuqhubekayo noma ukuhayiza;
• Ukulahlekelwa umuzwa onyaweni;
• Ukuvuvukala konyawo;
• Iphunga elibi onyaweni;
• Isikhumba esijiyile onyaweni;
• Ukuphuma kobomvu ngamanxeba;
• Izinguquko ekushiseni kwesikhumba sonyawo.

Lapho kukhona noma yiziphi zalezi zimpawu, kubaluleke kakhulu ukuxhumana nodokotela ukuze enze ukuhlolwa okuningiliziwe kwesikhumba futhi abone ubungozi bonyawo lwesifo sikashukela, aqale ukwelashwa okufanele.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa konyawo wesifo sikashukela kwenziwa ngudokotela ojwayelekile noma i-endocrinologist noma udokotela ohlinzayo wemithambo futhi kusekelwe kwizimpawu nezimpawu ezethulwe emlenzeni ongezansi. Kodwa-ke, udokotela futhi angasebenzisa izinsimbi zomtholampilo kanye / noma uku-oda ezinye izivivinyo ukuqinisekisa ukuxilongwa, njengemfoloko yokuhlela iRydel-Seiffer, esetshenziselwa ukukhiqiza ukudlidliza umuntu okufanele akwazi ukukuzwa ngonyawo. Okunye ukuhlolwa okuvame kakhulu yi-Eco-doppler, lapho kusetshenziswa khona i-ultrasound ukuhlola ukuhamba kwegazi emithanjeni emikhulu nasemithanjeni yezingalo nemilenze.

Ngubani osengozini enkulu yonyawo lukashukela

Ukuvela konyawo wesifo sikashukela kuvame kakhulu kubantu abane:

• Ukuxilongwa kwesifo sikashukela iminyaka engaphezu kwengu-10;
• I-neuropathy yesifo sikashukela;
• Umlando wezilonda noma ukunqunywa izitho ezingezansi;
• Izinguquko kuzinzipho.

Lolu hlobo lwenkinga lubuye luvame kakhulu emadodeni nakubantu abangenayo imishanguzo efanelekile yesifo sikashukela noma abangaboni kudokotela njalo ukuyohlolwa.

Unyawo lukashukela luhlukaniswa kanjani

Kunezikali ezimbili zokukhomba izinga lokukhula konyawo wesifo sikashukela:

1. Ukuhlukaniswa kukaWagner

Ukusetshenziswa kwalesi sikali kuye kwancipha, kuthathelwe indawo yisikali saseTexas. Kulesi sigaba kuneziqu ezingama-6, ngokuya ngohlobo lwezinguquko ezikhona:

• Ibanga 0: izinyawo ezinobungozi obukhulu, kodwa ngaphandle kwamanxeba noma izilonda;
• Ibanga I: ukutholakala kwesilonda esingaphezulu;
• IBanga II: ukutholakala kwesilonda esijulile, ngokubandakanyeka kwethenda;
• Ibanga lesithathu: isilonda ngokubandakanyeka kwamathambo;
• IBanga IV: ukulimala kwendawo
• IBanga V: ukubola konyawo.

2. Texas ngezigaba

Lesi sikali sakhiwa yiYunivesithi yaseTexas futhi sihlukanisa ukulimala kwezinyawo sikashukela ngokusho nokujula nobukhona besifo noma ischemia onyaweni:

Kubalulekile ukuthi zonke izilonda zonyawo lukashukela zihlolwe futhi zihlukaniswe ngudokotela, ngoba lokhu kuzosiza ukuhlenga ukwelashwa nokunakekelwa okudingekayo.

Yelashwa kanjani

Ukwelashwa konyawo wesifo sikashukela kwenziwa ngokwezimpawu nezimpawu eziveziwe, ngaphezu kokwehlukaniswa kokulimala kwezinyawo zikashukela, futhi kufanele njalo kuqondiswe ngudokotela, noma kwenzeka ukusikeka okuncane noma amanxeba, ngoba angakhula ngokushesha .

Ukwelashwa kungafaka:

• Ukusetshenziswa kwama-antibiotic;
• Ukusetshenziswa kwamafutha okulwa namagciwane endaweni ethintekile;
• Izinguquko ezintsha ekudleni noma ekusetshenzisweni kwemithi yokulawula isifo sikashukela;
• Ukugqoka izilonda nsuku zonke.

Ezimweni ezinzima kakhulu, kungadingeka ukuthi uhlinzwe ukuze ususe indawo ethintekile yesikhumba futhi ukhuthaze ukwelashwa. Kodwa-ke, lapho inxeba lingatholakali kusenesikhathi noma lapho isiguli singelashwa kahle, indawo ethintekile ingaba nkulu kakhulu, futhi kungadingeka ukunqunywa unyawo noma ingxenye yonyawo.

Kwezinye izimo, lapho isilonda sijule kakhulu futhi sidinga ukunakekelwa okungapheli, kunganconywa ukulaliswa esibhedlela.

Izinyathelo zokuqapha ezi-5 zokugwema izinkinga ezinkulu

Ezinye izixwayiso eziyisisekelo okufanele zigcinwe ngesikhathi sokwelashwa, kepha ezisiza futhi ukuvimbela ukuqala konyawo lwesifo sikashukela yilezi:

1. Gcina i-glucose yegazi lakho ilawulwa

Lesi yisinyathelo esibaluleke kunazo zonke ukwelapha noma ukugwema unyawo lukashukela, ngoba lapho amazinga kashukela ehlala ephezulu isikhathi eside, igazi linobunzima obukhulu ukufinyelela emaphethelweni omzimba, futhi izinyawo yisifunda esithinteka kakhulu ukusakazeka kahle komzimba.

Ngakho-ke, lapho kunegazi elincane elifinyelela ezinyaweni, amangqamuzana aba buthakathaka futhi unyawo luqala ukulahlekelwa ukuzwela, kubangele ukusikeka noma amanxeba ukuthi aphole kancane kakhulu futhi aqashelwe kuphela lapho esevele esesigabeni esithuthuke kakhulu.

2. Bukela izinyawo zakho nsuku zonke

Ngenxa yengozi yokulahlekelwa umuzwa, abanesifo sikashukela kufanele babe nomkhuba wokuhlola izinyawo zabo nsuku zonke, noma ngesikhathi sokugeza noma lapho bevuka, ngokwesibonelo. Uma isimo somzimba singavumeli noma uma ukubonakala kungalungile, ungasebenzisa isibuko noma ucele usizo komunye umuntu ngesikhathi kuhlolwa izinyawo.

Kufanele ubheke imifantu, ukusikeka, ukusikeka, amanxeba, izingcingo noma ushintsho kumbala, futhi kufanele ubone udokotela wakho uma ubona ubukhona bezinye zalezi zinguquko.

3. Gcina izinyawo zakho zihlanzekile futhi zinamanzi amaningi

Kufanele ugeze izinyawo zakho nsuku zonke ngamanzi afudumele nensipho engathathi hlangothi, unakekele ukuyihlanza kahle phakathi kwezinzwane nesithende. Ngemuva kwalokho, sula izinyawo zakho ngethawula elithambile, ngaphandle kokuzihlikihla isikhumba, vele umile ngokucindezela okukhanyayo okuvela kuthawula.

Ngemuva kokuwasha, kusabalulekile ukufaka umswakama ongenaphunga onyaweni lwakho lonke, uqaphele ukuthi ungashiyi ukhilimu oqoqwe phakathi kweminwe nezinzipho zakho. Kufanele ivunyelwe ukuthi yome ngokwemvelo ngaphambi kokufaka amasokisi noma izicathulo ezivaliwe.

4. Sika izinzipho zakho kabili ngenyanga futhi ungazisusi izingcingo

Kubalulekile ukugwema ukwenza izinzipho zakho kaningi, kuhle ukukwenza kabili kuphela ngenyanga, ukuze ungakhuthazi ukuvela kwamakhona wezinzipho noma izipikili ezigxilile. Ngaphezu kwalokho, i-cuticle kufanele igwenywe, ngoba kubalulekile ukuvikela isikhumba emanxebeni nasekuklwebhekeni.

Kubalulekile futhi ukusika izinzipho zakho kulayini oqondile, futhi ama-callus kufanele asuswe kuphela ngungcweti ogxile ezinyaweni futhi okwaziyo ukuba khona kwesifo sikashukela. Uma ama-callus evela kaningi, kufanele ukhulume nodokotela ukuphenya ngezimbangela bese uqala ukwelashwa.

5. Gqoka izicathulo ezivaliwe nezithambile

Isicathulo esifanelekile sikashukela kufanele sivalwe, ukugwema amanxeba nokuqhekeka, ngaphezu kokuthamba, ukhululekile futhi ngamathe aqinile, ukuhlinzeka ukuphepha ngesikhathi sokuhamba.

Abesifazane kufanele bakhethe izithende eziphansi, eziyisikwele, ezinikeza ukulinganisela okungcono komzimba. Kufanele ugweme izicathulo zepulasitiki, ezacile noma eziqinile, futhi ithiphu enhle ukuthi uhlale unezicathulo zesibili ezizoshintsha phakathi nosuku, ukuze unyawo lungatholi ingcindezi nokungakhululeki kwesihlangu esifanayo isikhathi eside isikhathi.

Izinkinga ezingenzeka ezinyaweni zikashukela

Izinkinga ezivame kakhulu ezinyaweni zikashukela ukutheleleka kwezitho eziphansi, ubuhlungu noma ukuba ndikindiki endaweni kanye ne-ischemia. Inkinga enkulu futhi ebucayi kakhulu yonyawo lwesifo sikashukela ukunqunywa komlenze ongezansi, okungukuthi, ukusika okuhlinzekwayo, kungaba unyawo noma umlenze kuphela.

Ngaphezu kwalokho, njengoba i-neuropathy yesifo sikashukela iyisigaba esithuthukile sesifo sikashukela, umuntu angaba nezinkinga zokubona, njengokungaboni, ngisho nezinkinga zezinso eziholela ekwelashweni noma ekwelashweni nge-hemodialysis ngemuva kokuhlinzwa. Ukutheleleka okuvame kakhulu konyawo lukashukela yi-osteomyelitis, okungaholela ekunqanyulweni kwesikhumba ngenxa yokulawulwa kwezifo okungekuhle. Funda kabanzi ngezimpawu nokwelashwa kwe-osteomyelitis. Ukuqonda kangcono ukuthi iyini i-neuropathy yesifo sikashukela nokuthi ungakugwema kanjani.