Lefu la tsoekere ke lefu le ipatang moo ho hlokahalang hore u se ke ua lekola feela tsoekere e maling le ho latela lijo, empa hape le ho nka mehato ea thibelo ho qoba mathata a fapaneng, mohlala, leoto la lefu la tsoekere, leo ho lona ho nang le liso tsa kahare.
Sena ke sa bohlokoa haholo, hobane ka lefu lena, ka lebaka la pherekano ea metabolic, mabota a likepe le pheletso ea methapo lia ameha.
Ka lebaka leo, khaello ea oksijene e hlaha liseleng, mme lihlahisoa tse nang le chefo ea metabolism ea carbohydrate lia bokellana. Lefu la lefu la tsoekere le ka lebisa ho lahleng le maoto le matsoho.
Qalong ea kholo ea lefu lena, bakuli ba lokela ho ba hlokolosi ka maoto, hobane ho tsoekere ke bona sehokelo se fokolang mme ba kotsing ea ho ba le liso tsa trophic.
Le ha ke na le likotsi tse mpe tsa letlalo, maqeba a sa foleng, i.e. ulcers tsa trophic, li ka ba teng maotong, 'me ke tsona liponahatso tse kotsi ka ho fetisisa tsa leoto la lefu la tsoekere.
Sena se bakoa ke taba ea hore nako e telele ea lefu la tsoekere, ka tsela ea leifo la lefu la tsoekere, mathata a qala:
- lefu la tsoekere - methapo e menyenyane ea mali e amehang;
- lefu la tsoekere le lefu la tsoekere - liphello tse nyane tsa methapo lia angoa.
Sena se lebisa tlhokomelong ea hore boemo ba litho tsa botona bo ts'oenyehile mme leoto la lefu la tsoekere le thehoa, leo eseng feela li-ulophic tsa lona, empa hape le gangrene li ka hlahang habonolo. Ka mokhoa o nang le bokhoni, liketsahalo tsena li ka hanyetsoa.
Mekhahlelo ea trophic ulcer development
- Mokato oa ho rala ulcer - sethaleng sena ho na le keketseho ea butle-butle ka boholo ba ulcer, ho teba ha eona le ponahalo e ka tlase ea lejoe le bosoeu kapa bosoeu. Sena sohle hangata se tsamaisana le monko o seng monate. Maoto le maoto a ka akheha mme a bata, ho na le maikutlo a bohloa bo hahabang.
- Mokhahlelo oa ho hloekisa seso - butle-butle leqhetsoana la ka mpeng le qala ho nyamela, tlase e ba e pinki e khanyang. Boholo ba ulcer le botebo ba eona bo khaotsa ho eketseha.
- Mokhahlelo oa ho folisa ulcer - hangata ho fola ho qala ho tloha mathong a sebopeho, 'me boholo ba ulcer bo qala ho fokotseha butle butle. Haeba kalafo e akaretsang e sebetsang le ea lehae e etsoa, joale libaka tsa pholiso hamorao li qala ho ba teng ka mpeng.
Mehato ena e tšoantšoa le tsela e ntle ea ho ruruha li-trophic ulc ho lefu la tsoekere. Empa sena ha se etsahale maemong ohle. Haeba ts'oaetso e kenella ts'ebetsong, joale ts'oaetso e ka fetela ho lithane tsa masapo le methapo, ts'ebetso ea ho bola ea qala, moo ho hlokahalang ts'ebetso ea bongaka e hlokahalang.
Haeba letheba la trophic le sa fetelle ho tloha mohatong oa pele ho ea ho la bobeli, empa le qala ho hatela pele le ho teba, ke hore, menyetla ea ho holofala. Hangata sena se ka ba joalo ka kalafo e fosahetseng ea lefu la tsoekere le ponahalo ea mathata a methapo ea methapo.
Lefu la tsoekere ke boemo bo behang bophelo kotsing mme, joalo ka taelo, bo lebisa ho khaoloe ha leoto. Ho ipapisitse le ts'ebetso le botebo ba ts'ebetso, ho khaoloa ho boetse ho ka ba boemong ba leoto le tlase kapa letheba, leha tsohle li qala ka leoto la lefu la tsoekere.
Ka nako e ts'oanang, sekoli sa letlalo kantle ha se boleloe khafetsa, liso li kanna tsa tiisa le mathoko, empa ts'ebetso e ntse e tsoela pele ka botebo. Ke ka lebaka leo e thibetsoeng ho ikalosa ka ho ikatisa ulpers tsa trophic ho lefu la tsoekere.
Phekolo ea ulophic ulcer
Phekolo ea ulcers ea maoto a lefu la tsoekere e lokela ho etsoa feela ka tlasa tlhokomelo ea bongaka mme o be le bonnete ba hore o ela hloko karolo ea ts'ebetso ea leqeba. Bakuli ba lokela ho:
- hlokomela ho phomola betheng (ka linako tse ling ke bethe),
- ja hantle
- jang liprotheine tse lekaneng
- liminerale le livithamini
- kamehla a lekole boemo ba tsoekere maling maling a tlas'a tlhokomelo ea setsebi sa endocrinologist.
Haeba mokuli a sa ikarabelle haholo ka ho latela litlhahiso kapa boemo ba tsoekere bo ke ke ba lokisoa motheong, joale sena se ka etsoa sepetlele sa endocrinological.
Ho tsoekere ea lefu la tsoekere, tšenyo efe kapa efe ea maoto e lokela ho phekoloa mafapheng a ikhethang a maoto a lefu la tsoekere kapa likamore tsa podology tse etselitsoeng batho ba lefu la tsoekere haholo. Ho thibetsoe ka thata ho iphekola.
Phekolo ea ulcers tsa trophic qalong
Boemong ba pele, bakeng sa kalafo ea ulcers, ho hlokahala hore leoto la tsoekere le hlahlobe ka hloko boemo ba tsoekere maling, bo bo fetole haeba ho hlokahala, le ho tsamaisa kalafo e akaretsang. B
Phekolo ka kakaretso e lokela ho kenyelletsa lithuto tsa ente ka ho lokisoa ha methapo le tšebeliso ea lithethefatsi ho ntlafatsa trophism (phepo e nepahetseng) ea lisele tse amehang tsa leoto. Mothating ona, sepheo sa mantlha sa ho phekola ulcer ke ho thibela tsoelo-pele ea eona.
Phekolo ea lehae e na le ho phekola metshelo ea leqeba ka tharollo ea joala ea antiseptic (botala bo botala, iodine, 70% joala).
Leqeba ka bolona le lokela ho hlatsuoa hantle ka litharollo tse metsi tsa furatsilina, potasiamo permanganate (ka mahloriso a fokolang), hydrogen peroxide.
Kamora kalafo, ho sebelisoa moriana sebakeng sa lefu la tsoekere le trophic, le potlakisang pholiso ea ulcer le ho fepa litho. Pholiso e etsahala ka bobeli ka lebaka la ts'ebetso ea syntla ea collagen, le ka lebaka la ho potlakisa tlhahiso ea lisele. Ho hlophisoa ho tlameha ho ba le sebopeho sa gel e le hore filimi e tsoang moeeng e se ke ea theha.
Liaparo li lokela ho etsoa habeli ka letsatsi, 'me tšoaetso ea seso e lokela ho thibeloa (matsoho a lokela ho alafshoa, lisebelisoa tse sa hloekang le li-dressings li lokela ho sebelisoa).
Phekolo ea liso tsa trophic karolong ea tlhoekiso
Mothating ona, ho hlokahala hore o tsoelepele kalafo e akaretsang (vascular le trophic) le ho laola tsoekere maling.
Tlhokomelo e khethehileng e lokela ho lefuoa ho hloekisa li-trophic ulcers. Bakeng sa sena, mathala a leqeba a lokela ho phekoloa ka tharollo ea joala ea antiseptic. Ha u le lapeng, u ka sebelisa tincture ea joala ea calendula le joala ba salacelic. Kamora sena, leqeba le hlatsuoa hantle ka tharollo ea 3% ea hydrogen peroxide.
Ho tla ba molemo haholo ho etsa libate tsa maoto tsa letsatsi le letsatsi ka mocheso oa kamore ka tharollo e fokolang ea potasiamo permanganate. Nako ea kalafo ke metsotso e 20. Liaparo tsa Helium li sebelisetsoa ho hloekisa liso tsa kahare ho lesela, le ntlafatsang lisele tsa trophic.
Li fapantsoe le mealo e apesitsoeng ka har'a ntho e u lumellang ho hloekisa sebaka sa ulcer. Liaparo li kenngoa habeli ka letsatsi ho fihlela leqeba le hloekisitsoe ka botlalo. Haeba letlalo le potileng leqeba le fetoha le khubelu, joale sena se bontša nts'etsopele ea ts'ebetso ea ho ruruha. Ka nako e ts'oanang, mocheso oa 'mele oa phahama, bofokoli bo hlaha, bohloko maotong.
Boteng ba matšoao a joalo, ho hlokahala hore u jale leqebeng e le hore u khethe litlhare tse ka u thibelang likokoana-hloko hore na likokoana-hloko tsa lefutso li ka ba bonolo, 'me ba qala kalafo. Ka linako tse ling ho ka hlokahala hore ho buuoe opereishene ho bula leqeba le ho le alafa haholo.
Phekolo ea ulcer ea trophic nakong ea karolo ea pholiso
Ho phekola leqeba la ho folisa le ntseng le folisa, ho bohlokoa haholo ho sebelisa litlolo le li-gels tse tla potlakisa ts'ebetso ena le ho boloka phepo e hlokahalang ea tiske. Li-gels li sebelisoa libakeng tsa ho tsoa mali ka seso se hloekisitsoeng, le mafura libakeng tsa ho oma le haufi le leqeba.
Ha nchafatso ea leqeba e tsoela pele ho sebelisa litlolo feela. Boemong ba pholiso, liaparo li ka etsoa eseng habeli ka letsatsi, empa hang. Phekolo e joalo e lokela ho tsoela pele ho fihlela ulcer e fola ka botlalo.
Hape, bakeng sa kalafo ea liso tsa trophic ka methati efe kapa efe, ho sebelisoa mekhoa eo e seng ea bongaka:
- shock wave therapy;
- maqhubu d,Arsonval;
- laser irradiation ea mali;
- hirudotherapy - ts'ebeliso ea li-leeches;
- kalafo ea ozone;
- ultraviolet nosetso ea mali.
Sesebelisoa se sebetsang haholo se potlakisang ho nchafatsoa ha lisele le ho ntlafatsa phepo ea tsona ke Solcoseryl. E sebelisoa maemong ohle a trophic ulcer therapy. Sebopeho sa moriana se kenyelletsa "ntšitsoeng" maling a likhomo, tse hloekisitsoeng ho tloha karolo ea protheine.
Solcoseryl e hlahisoa ka mefuta ea helium le setlolo, ka hona e loketse tšebeliso ea kalafo ea ulcers maemong ohle a nts'etsopele. Moriri o sebelisoa maemong a ho theha le ho itlhoekisoa, le setlolo - mohatong oa ho folisa leqeba.
Mefuta eo ka bobeli e ntlafatsa phepelo ea lisele tse amehang ka oksijene le phepo ea tsona. Ka lebaka la sena, lits'ebetso tsa ho hlaphoheloa ka tlase le marako a liso lia sebetsoa.
Moriri o lebisa sebopeho sa lithaelese tsa granulation le ho fokotsa secreate, 'me mafura a fana ka ts'ireletso e eketsehileng bakeng sa lehata leqebeng nakong ea pholiso ea ulcer, e hlohlelletsa ts'ebetso ea epithelization mme e khothaletsa sebopeho sa lisele tse bobebe.
Moriri o tlameha ho kenngoa ka mpeng e tšesaane makhetlo a 2-3 ka letsatsi, setlolo se sebelisoa hang kapa habeli ka letsatsi.
Thibelo ea ho etsoa ha trophic ulcer ho lefu la tsoekere
Mokhoa o ka sehloohong oa ho thibela boemo bona ke ho pepeseha lefu la tsoekere hangata (haholo-holo mofuta oa bobeli), kalafo e nang le bokhoni le phallo ea boemo bo tsitsitseng ba tsoekere maling.
Haeba ho na le tlhoko, joale o hloka ho latela lijo tse itseng, ho sebelisa lithethefatsi ho theola tsoekere kapa ho etsa ente ea insulin.
Kaha lefu la tsoekere le "lefu la tsoekere" ke "khatello ea" lefu la tsoekere hangata, ho bohlokoa ho qala thibelo ea bona kapele kamoo ho ka khonehang, qalong ea kholo ea lefu lena. Ntle le moo, batho ba nang le lefu la tsoekere ba lokela ho latela tataiso ena:
- roala lieta tse khethehileng (kapa bonyane li phutholohile) lieta tse loketseng nako ea selemo;
- ba lula ba lekola boemo ba maoto a bona, ba thibela ho hlaha ha microtrauma, mapetso le borobalolo ka nako;
- qoba ho tsamaea nako e telele le mojaro o eketsehileng maotong;
- qoba ho chesa haholo kapa ho theola maoto ka ho fetesisa;
- leha o le leoto le lenyenyane haholo, qala kalafo kapele tlasa tlhokomelo ea bongaka.
