Chirwere cheshuga Bvunzo Bvunzo

Zvemukati

• Chii chinonzi tsoka yeshuga bvunzo?
• Chii chinoshandiswa?
• Sei ndichifanira kuda chirwere cheshuga bvunzo?
• Chii chinoitika panguva yechirwere cheshuga bvunzo?
• Ndichafanira here kuita chero chinhu kugadzirira bvunzo?
• Pane here njodzi kune bvunzo?
• Zvinorevei mhedzisiro yacho?
• Pane chimwe chinhu here chandinofanira kuziva nezve chirwere cheshuga bvunzo?
• Zvinyorwa

Chii chinonzi tsoka yeshuga bvunzo?

Vanhu vane chirwere cheshuga vari panjodzi yakakwira yezvinetso zvakasiyana zvetsoka. A chirwere cheshuga bvunzo bvunzo dzinoongorora vanhu vane chirwere cheshuga kune aya matambudziko, anosanganisira hutachiona, kukuvara, uye kusagadzikana kwemapfupa. Kukuvara kwemitsipa, kunozivikanwa seuropathy, uye kutenderera kwakashata (kuyerera kweropa) ndizvo zvikonzero zvinowanzo kukonzera matambudziko etsoka yeshuga.

Neuropathy inogona kuita kuti tsoka dzako dzinzwe kupera kana kushushikana. Inogona zvakare kukonzera kurasikirwa kwekunzwa mutsoka dzako. Saka kana iwe ukava nekukuvara kwetsoka, senge callus kana blister, kana kunyangwe rakadzika ronda rinozivikanwa se ulcer, unogona kunge usingatombozviziva.

Kutenderera kwakashata mutsoka kunogona kukuomesera iwe kurwisa hutachiona hwetsoka uye kupora kubva mukukuvara. Kana iwe uine chirwere cheshuga uye ukawana ulcer yetsoka kana imwe kukuvara, muviri wako unogona kusakwanisa kuuporesa nekukasira zvakakwana. Izvi zvinogona kutungamira kuhutachiona, izvo zvinogona kukurumidza kuve zvakakomba. Kana hutachiona hwetsoka hukasarapwa ipapo ipapo, zvinogona kuve zvine njodzi zvekuti tsoka yako ingangoda kudimburwa kununura hupenyu hwako.

Neraki, kugara uchiongorora chirwere cheshuga bvunzo, pamwe nekutarisirwa kumba, zvinogona kubatsira kudzivirira zvakakomba tsoka tsoka hutano.

Mamwe mazita: yakazara tsoka bvunzo

Chii chinoshandiswa?

A chirwere cheshuga bvunzo bvunzo inoshandiswa kutarisa tsoka tsoka matambudziko kune vanhu vane chirwere cheshuga. Kana maronda kana mamwe matambudziko etsoka akawanikwa nekurapwa nekukasira, zvinogona kudzivirira kusangana kwakakomba.

Sei ndichifanira kuda chirwere cheshuga bvunzo?

Vanhu vane chirwere cheshuga vanofanirwa kuongororwa tsoka yeshuga kanokwana kamwe pagore. Iwe ungangoda bvunzo kazhinji kana tsoka dzako dziine chero cheanotevera zviratidzo:

• Kuchenjerera
• Unhu
• Kurwadziwa
• Kupisa kunzwa
• Kuzvimba
• Marwadzo uye kuoma kana uchifamba

Iwe unofanirwa kufonera mupi wako wezvehutano ipapo kana iwe uine chero anotevera zviratidzo, zvinova zviratidzo zvehutachiona hwakakomba:

• Blister, kucheka, kana imwe kukuvara kwetsoka iyo isingatange kupora mushure memazuva mashoma
• Kukuvara kwetsoka kunonzwa kudziya kana uchiibata
• Kutsvuka kwakatenderedza kukuvara kwetsoka
• Inhare ine ropa rakaomeswa mukati mayo
• Kukuvara uko kwakasviba uye kunhuwa. Ichi chiratidzo chekupora, kufa kwemuviri wenyama. Kana ikasarapwa nekukasira, gomarara rinogona kutungamira kukumurwa kwetsoka, kana kutofa.

Chii chinoitika panguva yechirwere cheshuga bvunzo?

Bvunzo yeshuga bvunzo inogona kuitwa neyako wekutanga wekutarisira uye / kana chiremba wetsoka, anozivikanwa seye podiatrist. Chiremba tsoka anonyanya kuchengetedza tsoka dzakasimba uye nekurapa zvirwere zvetsoka. Muedzo unowanzo sanganisira zvinotevera:

Kuongorora kwakawanda. Wako mupi acha:

• Bvunza mibvunzo nezve yako nhoroondo yehutano uye chero matambudziko apfuura awakambove nawo netsoka dzako.
• Tarisa bhutsu dzako kuti dzakakodzera here uye bvunza mibvunzo nezve dzimwe shangu dzako. Bhutsu dzisingakwani zvakanaka kana zvisina kugadzikana dzinogona kutungamira kune mablister, kufema, uye maronda.

Kuongorora kwedermatological. Wako mupi acha:

• Tarisa matambudziko akasiyana eganda, anosanganisira kuoma, kupaza, kufema, mablister, uye maronda.
• Tarisa zvigunwe zvekutsemuka kana hutachiona hutachiona.
• Tarisa pakati pezvigunwe zvezviratidzo zvehutachiona hutachiona.

Ongororo yeNeurologic. Aya ndiwo akateedzana ebvunzo ayo anosanganisira:

• Monofilament bvunzo. Wako mupi achakwesha nyoro nylon faibha inonzi monofilament pamusoro petsoka dzako nezvigunwe kuyedza tsoka yako kunzwisisika kubata.
• Kugadzira forogo uye inoonekwa yekuona bvunzo (VPT). Wako mupi anoisa foriki yekugadzirisa kana chimwe chinhu chakanangana netsoka dzako nezvigunwe kuti uone kana uchigona kunzwa kudedera kwainogadzira.
• Pinprick bvunzo. Wako mupi achabaya zvinyoro pasi petsoka yako nepini diki kuti uone kana uchikwanisa kuinzwa.
• Ankle mafungiro. Wako mupi anoongorora ako emumaoko reflexes nekutepa petsoka yako neine mallet diki. Izvi zvakafanana nemuyedzo waunowana pagore renyama, mauri mupi wako anorova pazasi pemabvi ako kuti utarise zvaunofunga.

Musculoskeletal kuongorora. Wako mupi acha:

• Tarisa zvisina kujairika muchimiro uye chimiro chetsoka yako.

Kuongorora kweVascular. Kana iwe uine zviratidzo zvekushomeka kwekupararira, wako mupi anogona:

• Shandisa rudzi rwekufungidzira tekinoroji inonzi Doppler ultrasound kuti uone kuti ropa riri kuyerera zvakadii mutsoka dzako.

Ndichafanira here kuita chero chinhu kugadzirira bvunzo?

Iwe haudi chero yakakosha gadziriro yechirwere cheshuga bvunzo.

Pane here njodzi kune bvunzo?

Iko hakuna njodzi dzinozivikanwa pakuve neyeshuga bvunzo bvunzo.

Zvinorevei mhedzisiro yacho?

Kana dambudziko rikawanikwa, tsoka yako chiremba kana mumwe mupi angangokurudzira kuraira kwakawanda. Mimwe mishonga inogona kusanganisira:

• Mishonga inorwisa mabhakitiriya ekurapa hutachiona
• Kuvhiya kubatsira neakaremara mapfupa

Iko hakuna kurapwa kwekukuvara kwetsinga kutsoka, asi kune mishonga inogona kudzikamisa marwadzo nekuvandudza mashandiro. Izvi zvinosanganisira:

• Mushonga
• Makanda emakanda
• Kurapa kwepanyama kubatsira nehuremu uye simba

Kana iwe uine mibvunzo nezve mhedzisiro yako, taura nemupi wako wezvehutano.

Pane chimwe chinhu here chandinofanira kuziva nezve chirwere cheshuga bvunzo?

Matambudziko etsoka njodzi yakanyanya kune vanhu vane chirwere cheshuga. Asi iwe unogona kubatsira kuchengeta tsoka dzako dzakagwinya kana iwe:

• Chengetedza chirwere cheshuga Shanda pamwe nemupi wako wezvehutano kuchengetedza shuga yako yeropa padanho rine hutano.
• Wana bvunzo dzechirwere cheshuga nguva dzose. Iwe unofanirwa kuita kuti tsoka dzako dziongororwe kamwe chete pagore, uye kazhinji kazhinji kana iwe kana mupi wako awana dambudziko.
• Tarisa tsoka dzako mazuva ese. Izvi zvinogona kukubatsira iwe kutsvaga nekugadzirisa matambudziko nguva pfupi vasati vatowedzera. Tarisa maronda, maronda, nzwara kutsemuka, uye zvimwe shanduko mutsoka dzako.
• Shamba tsoka dzako mazuva ese. Shandisa inodziya mvura uye yakapfava sipo. Nyatsooma.
• Pfeka shangu nemasokisi nguva dzose. Ita shuwa kuti shangu dzako dzakasununguka uye dzinokwana zvakanaka.
• Chengetedza zvigunwe zvako nguva dzose. Cheka wakanangana nembambo uye zvinyoro nyoro kumipendero ine mbambo faira.
• Dzivirira tsoka dzako kubva pakupisa zvakanyanya uye kutonhora. Pfeka shangu panzvimbo dzinopisa. Usashandise pads yekupisa kana mabhodhoro anopisa patsoka dzako. Usati waisa tsoka dzako mumvura inopisa, edza tembiricha nemaoko ako. Nekuda kwekunzwa kunzwa, unogona kupisa tsoka dzako usingazvizive. Kuchengetedza tsoka dzako kubva kunotonhora, usafamba usina shangu, pfeka masokisi pamubhedha, uye munguva yechando, pfeka mutsetse, shangu dzisina mvura.
• Ramba uchiyerera ropa kutsoka dzako. Isa tsoka dzako kumusoro kana wakagara. Fambisa zvigunwe zvako kwemaminetsi mashoma maviri kana katatu pazuva. Ramba uchishanda, asi sarudza zviitiko zviri nyore patsoka, zvakadai kushambira kana kuchovha bhasikoro. Taura nemupi wako usati watanga chirongwa chekurovedza muviri.
• Usapute. Kusvuta kunoderedza kuyerera kweropa kutsoka uye kunogona kuita kuti maronda apore zvishoma. Vazhinji vane chirwere cheshuga vanosvuta vanoda kudimburwa maoko.

Zvinyorwa

1. American Chirwere cheshuga Association [Internet]. Arlington (VA): American Diabetes Association; c1995–2019. Kuchengeta tsoka; [yakagadziridzwa 2014 Gumiguru; yakataurwa 2019 Mar 12]; [angangoita matatu skrini. Inowanikwa kubva ku: http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html
2. American Chirwere cheshuga Association [Internet]. Arlington (VA): American Diabetes Association; c1995–2019. Zvinetso zvetsoka; [yakagadziridzwa 2018 Nov 19; yakataurwa 2019 Mar 12]; [angangoita matatu skrini. Inowanikwa kubva ku: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
3. Beaver Valley tsoka yeKiriniki [Internet]. Podiatrist Pedyo neni Pittsburgh tsoka Chiremba Pittsburgh PA; c2019. Tsanangudzo: Beaver Valley Foot Clinic; [yakataurwa 2019 Mar 12]; [angangoita matatu skrini. Inowanikwa kubva: https://bvfootclinic.com/glossary
4. Boulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Yakakwana Yekuongorora Kwetsoka uye Kuongorora Njodzi. Chirwere cheshuga [Internet]. 2008 Aug [yakataurwa 2019 Mar 12]; 31 (8): 1679-1685. Inowanikwa kubva: http://care.diabetesjournals.org/content/31/8/1679
5. Nyika Rutsoka Kuchengeta [Internet]. Kuchengetwa Kwemakumbo Enyika; 2019. Glossary yeMitemo yePodiatry; [yakataurwa 2019 Mar 12]; [angangoita matatu skrini. Inowanikwa kubva ku: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
6. FDA: US Kudya neDrug Administration [Internet]. Sirivha Chitubu (MD): Dhipatimendi reUtano reU.S. FDA inobvumidza kushambadzira kwechigadzirwa kurapa chirwere cheshuga tsoka maronda; 2017 Dec 28 [yakataurwa 2020 Jul 24]; [angangoita mana skrini. Inowanikwa kubva: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
7. Mayo Clinic [Indaneti]. Mayo Foundation Yekurapa Dzidzo uye Tsvagiridzo; c1998–2019. Chirwere cheshuga Neuropathy: Kuongorora uye kurapwa; 2018 Sep 7 [yataurwa 2019 Mar 12]; [angangoita mana skrini. Inowanikwa kubva: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
8. Mayo Clinic [Indaneti]. Mayo Foundation Yekurapa Dzidzo uye Tsvagiridzo; c1998–2019. Diabetic Neuropathy: Zviratidzo uye zvikonzero; 2018 Sep 7 [yataurwa 2019 Mar 12]; [angangoita matatu skrini. Inowanikwa kubva: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580
9. Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Chirwere cheshuga. BMJ [Indaneti]. 2017 Nov 16 [yakataurwa 2019 Mar 12]; 359: j5064. Inowanikwa kubva: https://www.bmj.com/content/359/bmj.j5064
10. National Institute of Diabetes uye Digestive uye Kidney Zvirwere [Internet]. Bethesda (MD): Dhipatimendi reUtano reU.S. Dhiabetes uye Matambudziko Emakumbo; 2017 Jan [yakataurwa 2019 Mar 12]; [angangoita mashanu skrini. Inowanikwa kubva: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
11. National Institute of Diabetes uye Digestive uye Kidney Zvirwere [Internet]. Bethesda (MD): Dhipatimendi reUtano reU.S. Peripheral Neuropathy; 2018 Feb [yakataurwa 2019 Mar 12]; [angangoita 6 skrini. Inowanika kubva: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
12. Yunivhesiti yeRochester Medical Center [Internet]. Rochester (NY): Yunivhesiti yeRochester Medical Center; c2019. Health Encyclopedia: Yakakosha Tsoka Kuchengeta chirwere cheshuga; [yakataurwa 2019 Mar 12]; [angangoita maviri skrini. Inowanika kubva: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
13. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Kurapa Dhiyabhorosi tsoka Matambudziko: Musoro Wenyaya; [yakagadziridzwa 2017 Zvita 7; yakataurwa 2019 Mar 12]; [angangoita maviri skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/special/treating-diabetic-foot-problems/uq2713.html

Ruzivo ruri pane ino saiti harufanire kushandiswa sekutsiva kwehunyanzvi kurapwa kana kurairwa. Bata mupi wehutano kana iwe uine mibvunzo nezve hutano hwako.