Chirwere cheshuga (chirwere cheshuga chendonda) chirwere chechirwere cheshuga, chinoitika makore 15 kusvika ku20 mushure mokutanga kwechirwere. Muzviitiko zvakawanda izvi chirwere chinowedzera kune varwere vane chirwere cheshuga cheshuga. Chirwere cheshuga chikafu chinonzi ulcerative-necrotic lesion yeganda, zvinyoro zvinyoro, uyewo osteoarticular foot tissue (mumatambudziko akaoma).
Zvinokonzera diabetes foot syndrome
Pakati pezvinhu zvikuru ndizvo zvinotevera:
- Chitsiko chikamu chemuviri unotakura mutoro wakakura uye unowanzokuvadzwa, kunyanya nechirwere cheshuga, nokuti ganda rinokonzerwa nehosha iyo ganda rinova rakaoma, hyperkeratoses inowanzoonekwa pamakumbo.
- Huru shuga yeropa uye kuputika kwakadzika kwehuwandu hwayo zvinoparadza mitsipa nemidziyo yeropa, iyo inotungamirira mukuvhiringidzwa kwekusachengetwa, ropa uye trophic tissue yegumbo.
- Somugumisiro wekudzivirira kusachengetedzwa uye kushaya ropa kweropa, murwere haakurumidzi kuona kukuvadzwa kwechidiki (kudzvurwa, matambudziko, kuputika), kunze kwekudzivirirwa kwemashupu zvakare kunoderera. Nemhaka yeizvi, kunyange kukuvadzwa zvishoma kunogona kutungamirira kune nguva refu kwenguva refu isiri kuporesa maronda, iyo kana chirwere ichi chikava chionda.
Mafomu uye zviratidzo zvechirwere cheshuga foot syndrome
Kune mhando dzakasiyana-siyana dzechirwere cheshuga, chinoratidzwa nezviratidzo zvakasiyana.
Ischemic fomu
Chiratidzo chekutanga chekufambiswa kwetsoka cheshuga mukati mechiitiko ichi marwadzo mumakumbo, anowanzoonekwa pakutanga kana achifamba, asi gare gare anotambudza kunyange mune imwe nzvimbo yezororo. Marwadzo uye kusuruvara kunochinja kuchinja simba uye unhu paunoshandura nzvimbo yemakumbo ako, zvinopesana nehope uye zororo. Netsoka dzinodzika, dzinotonhorera kumubata, dzinogona kuwana mutsara we cyanotic, uyewo kuzvikudza kwavo kunogona kuonekwa.
Nekutanga kwezvironda, marwadzo anowedzera, asi mhedha dzeganda dzisina kukwana dzinoratidzika nekusawirirana. Chiratidzo chechimiro chechimiro chechimiro chechirwere cheshuga chirwere chekushaya chirwere chekushaya chirwere chekushaya chirwere chekushaya chirwere chekushaya chirwere chekushaya chirwere chekushaya chirwere. Ichi chimiro chechirwere chinowanzotungamirirwa nekuvandudzika kwema-dyslipidemia nehutachiona.
Neuropathic fomu
Izvi zvinokonzerwa nechirwere cheshuga zvinosanganiswa nekukuvadzwa kwezvivako zvehurongwa hwemagetsi. Chokutanga, pane netsoka munzvimbo dzakanyanya kuomeswa, ganda rinowedzera. Mushure meizvi, zvipembenene zvinogona kuonekwa, pamwe nekushandura mumamiriro etsoka. Izvo zvinoratidza zviratidzo zvehutano hwehutachiona hwehutachiwana hwehutachiona hwekunetseka, kupisa, kutaridzika kwe "mazadza" mumakumbo, uye kubwinya kweganda retsoka.
Kana pasina kurapwa, nzvimbo dzakakanganiswa dzegumbo dzinopera zvachose kunzwisisa. Iko kune kuwedzerwa mumarwadzo ekurwadziwa, sechikonzero chekuti varwere vanoremekedzwa. Pamakumbo kazhinji kunowanzoita kushevedza, pamwe chete nemaronda ane kunyange kumativi. Muchiitiko ichi, kupisa pamagetsi etsoka hakushanduki.
Mixed form
Urwu ruzhinji rwechirwere cheshuga chirwere chinowanzoitika kakawanda. Mixed form inoratidzwa nezviratidzo zvinowanikwa mumashure maviri apfuura ane chirwere cheshuga.
Kuongororwa kwetsoka reshuga
Kuongorora maitiro ekucherechedza zviratidzo zvetsoka dzechirwere cheshuga zvinosanganisira zvinotevera:
- Kuunganidza anamnesis, kuongorora mumuviri - nyanzvi inobvunzurudza murwere, inoita chiyero chekushisa kwemuviri, kupisa, ropa, kupera. Uyewo, kuongorora zvakakwana nzvimbo dzakagadziriswa, kuongorora ronda kuti uone kubwinya kwaro, nezvimwewo zvinoitwa.
- Kuongororwa kwebhizinesi: kuongororwa kweropa, kuongororwa kwechirwere chebasa uye zvirwere zvechiropa, nezvimwewo.
- X-ray yemakumbo - kuona kuti zvinogona kukuvadza kumapfupa emapfupa, kuvapo kwemamwe mimwe mitumbi uye gasi mune zvinyoro zvishoma.
- Ultrasonic dopplerography - kuona kutyora kwekuyerera kweropa mumidziyo yemutsipa, musoro, maziso, pasi uye kumusoro.
- Angiography ndiyo nzira inotsvakurudza iyo inobvumira kutsvaga mamiriro emidziyo nemagadzirirwo emitemo munhengo dzinoshandiswa nekuchinja muropa uye lymph kupararira.
- Kukurukurirana nevadzidzisi vashoma.