Unyawo lwesifo sikashukela - izimpawu

Unyawo lwesifo sikashukela (isifo sikashukela samasondo) yisifo esiyinkimbinkimbi yesifo sikashukela, esenzeka eminyakeni engu-15 ukuya kweyamashumi amabili emva kokuqala kwesifo. Ezimweni eziningi le syndrome iqala iziguli ezine-type 2 sikashukela. Unyawo lwesifo sikashukela yisifo se-ulcerative-necrotic yesikhumba, izicubu ezithambile, kanye ne-osteoarticular foot tissue (ezimweni ezimbi).

Izimbangela zesifo sikashukela samasondo

Phakathi kwezici eziyinhloko yizinto ezilandelayo:

1. Unyawo luyingxenye yomzimba ophethe umthwalo ophezulu futhi uvame ukulimala, ikakhulukazi ngesifo sikashukela, ngoba isikhumba ngenxa yesifo isikhumba sibe somile kakhulu, ama- hyperkeratoses ngokuvamile avela ezinyaweni.
2. Ushukela ophezulu wegazi kanye nokujula okubukhali kwezinga lakhe kubhubhisa izishukela nemithambo yegazi, okuholela ekuphazanyeni kokungasindiswa, ukuhlinzeka ngegazi kanye nezicubu ze-trophic ezinyaweni.
3. Ngenxa yokungahambi kahle kwegazi nokungahambi kahle kwegazi, isiguli asiqapheli ngokushesha ukulimala okuncane (ukusika, ukulimaza, ukuchoboza), ngaphandle kokusebenza okuvikelayo kwamathishu futhi kunciphisa. Ngenxa yalokhu, ngisho nokulimala okuncane kungabangela izilonda zesikhathi eside okungezona ukuphulukisa, okungenzeka uma kwenzeka ukutheleleka kube izilonda.

Amafomu kanye nezimpawu zesifo sikashukela samasondo

Kunezinhlobo eziningana zezinyawo zesifo sikashukela, ezibonakala ngezibonakaliso ezahlukene.

Ifomu ye-Ischemic

Isibonakaliso sokuqala sokuthuthukiswa kwezinyawo zesifo sikashukela kulokhu kuwubuhlungu emilenzeni, ebonakala kuqala lapho uhamba, kodwa kamuva ukuphazamisa ngisho nasesimo sokuphumula. Ukubuhlungu nokuhlukumeza izinguquko kushintshe ukuqina nobuciko uma ushintsha isikhundla semilenze yakho, uphazamise ukulala nokuphumula. Izinyawo ziba ziphaphathekile, zibandayo kumathinti, zingathola umthunzi we-cyanotic, futhi futhi ukuphawula kwabo kungabonakala.

Lapho kuqala izilonda, ubuhlungu buyaqina, kuyilapho emaphethelweni okukhubazeka kwesikhumba kubonakala ukungalingani. Isibonakaliso sesimpawu se-ischemic ye-diabetes foot syndrome ubuye buthakathaka noma ukunyamalala kwemifucumfucu emithanjeni yezinyawo, kodwa ukuzwela kugcinwa ngokugcwele, futhi ukukhubazeka akuthuthuki. Leli fomu le-syndrome livame ukuhambisana nokuthuthukiswa kwe-dyslipidemia nomfutho wegazi ophezulu.

Ifomu le-neuropathic

Lokhu kunenkinga yesifo sikashukela kuhlotshaniswa nomonakalo ezakhiweni zesimiso sezinzwa. Okokuqala, ezinyaweni ezindaweni ezicindezeleke kakhulu, isikhumba sikhula. Emva kwalokhu, izilonda zingabonakala, kanye nezinguquko ekujuleni kwezinyawo. Isici esibonisa uhlobo lwe-neuropathic yesifo sesifo sikashukela kuyisizwa sokunganaki, ukushisa, ukubukeka kwe "goose bumps" emilenzeni, nokubomvu kwesikhumba sezinyawo.

Uma kungekho ukwelashwa, izindawo ezonakele zonyawo zilahlekelwa ukuzwela. Kukhona ukwanda emzimbeni wobunzima, ngenxa yalokho iziguli azizwa zilimale. Ezinyaweni kuvame ukuvela izingcingo, kanye nezilonda ezinemiphetho. Kulesi simo, ukushaywa kwe-arter of the feet of the foot does not change.

Ifomu elixubile

Lolu hlobo lwesifo sikashukela soshukela luvele luvame kakhulu. Ifomu elixubile libhekene nezimpawu ezivela ezinhlokweni ezimbili zangaphambili zesifo sikashukela.

Ukuxilongwa kwesifo sikashukela

Izinyathelo zokuthola izifo zokuthola isifo sikashukela zifaka lokhu okulandelayo:

1. Ukuqoqa anamnesis, ukuhlola ngokomzimba - isazi sibuza isiguli, senza isilinganiso sokushisa komzimba, ukushaywa komzimba, ukucindezeleka kwegazi, izinga lokuphefumula. Futhi, ukuhlolisisa kahle izindawo ezithintekile, ukuhlola isilonda ukuze kutholakale ukujula kwayo, njll.
2. Ukuvivinya i-Laboratory: ukuhlolwa kwegazi, ukuhlolwa komsebenzi we-renal kanye nama-enzyme yesibindi, njll.
3. I-X-ray yemilenze - ukubona ukuthi kungenzeka yini umonakalo emathanjeni amathambo, ukuba khona kwemizimba yangaphandle kanye negesi ezinamathisini alula.
4. I-ultrasonic dopplerography - ukuthola ukuphulwa kwegazi ukugeleza ezitsheni zentanyeni, ikhanda, amehlo, ezansi kanye nezingaphezulu.
5. I-Angiography yindlela yokucwaninga evumela ukuthi kunqunywe isimo semikhumbi kanye nezinqubo zezinkinga ezingxenyeni ezihlobene nezinguquko egazini negazi lomsakazo.
6. Ukubonisana nabachwepheshe abancanyana.