ʻEha nā maʻi o ka maʻi maʻi: nā kumu a pehea e kū ai iā lākou?
Loaʻa i kēlā me kēia kelepona o ke kino ka oxygen i kēlā me kēia kekona a hāʻawi i nā huahana o kāna hana nui (carbon dioxide, acid, urea, ammonia, wai). Inā neʻe ka lohi o ke koko, lawa ʻole ka hoʻopau ʻana o nā toxins mai nā pūleka. Ka akomi ʻana o nā pau i nā mea make.
Inā hōʻiliʻili ke kahe koko i ka ʻāpana o ka wāwae, kū mai ka gangrene maloʻo (ka necrosis kiko me ka hoʻokuʻu ʻana o nā kolo i ke koko, ʻoiai ʻo ka mea ʻono maikaʻi ʻole e lilo, ʻeleʻele a me ka mommification o ka limahana).
Hoʻoulu pinepine ʻia ke kō, ʻoi aku ka wikiwiki o nā ʻōnaehana pili. ʻO nā hōʻeha mau i nā wāwae e hūlū ai ke kanaka, ma ke ʻano ikaika a mau hoʻi.
Pehea e hoʻihoʻi ai i ke kahe koko?
- Hoʻohana pilikino. Ke hana nei i nā hoʻomaʻamaʻa kino, hele, kūpono hoʻi ka holo wikiwiki, ka ʻauʻau kahe ʻana o ke kahe koko ma loko o ke kino holoʻokoʻa. I mea e hoʻonui ai i ke kahe i nā moku peripheral o nā wāwae, hana lākou i nā hana kūikawā i mea e koho ʻia ai nā mea hana e hoʻouka ai i nā māhina o nā wāwae, nā ʻūlima, nā keiki bipi a me nā manamana wāwae. Kuhi pono kēlā ʻano ʻoihana no nā maʻi āpau āpau e pale ai i nā hoʻopiʻi ma ke ʻano o ka wāwae maʻi a i ʻole nā ʻīlio trophic.
- Hoʻopiʻi kaʻai ʻana a me ka helu ʻana o nā ʻāpana ʻai. Hāʻawi kēia hana iā ʻoe e kaohi i ke kō koko a me ke kahe koko. No laila, ʻo ka laweʻana i nā meaʻai o nā kaūlea ke kumu o ke ola o ka mea maʻi me ka maʻi maʻi, ka mea nui i ka maikaʻi o ke ola. Pehea ka lōʻihi o ka maʻi maʻi maʻi neʻe e kūʻokoʻa ʻole, ʻaʻole ia e hilinaʻi i ke kōpaʻa koko, ʻaʻole ia e ʻike i ka hōʻeha ʻana i nā ʻeha i nā wāwae wale nō, akā ma nā ʻāpana ʻē aʻe o ke kino.
ʻEha ʻeha: ʻaʻole hiki iā lākou?
- ʻO ka maloʻo, ʻalo a me ka ʻāʻī o ka ʻili, i kekahi manawa ke ʻano wela.
- ʻO ka hiʻohiʻona o nā pūnaewele pigmentation.
- Nā uhi i waho, nā wāwae, nā manamana lima, nā keiki bipi i ka ʻō anuanu.
- Pale a ʻulaʻula ʻulaʻula paha i nā wāwae, nā ʻōpū, nā wāwae.
- ʻO ka lauoho lauoho ma ka wāwae haʻahaʻa.
- Ka ʻike ʻana i ka ʻōpū o nā kuʻekuʻe a me nā wāwae haʻahaʻa, nā ʻūpū o ka naʻau, ka ʻehaʻeha.
ʻO ka hele ʻana o kēia mau hōʻailona e hōʻike ai i ka lawa o ke koko me ka liʻiliʻi. Hoʻokumu ʻia nā kūlana no ka hoʻokumu ʻana i nā maʻi a me nā ʻōpio trophic. ʻO ka paʻakikī o nā luʻi o ka lalo o ka lalo o ka maʻi maʻi i kapa ʻia ʻo ka wāwae maʻi. He aha ka manaʻo o kēia kauka lapaʻau?
ʻO ka wāwae Diabetic, nā ʻōpala trophic, hana a me nā edema
Hiki i ka ʻeha ke hiki ke hōʻeha inā paʻakikī ka hoʻoponopono ʻana. Hoʻopili ia, i kahi maʻi maʻi maʻi maʻi, i ka hoʻōla ʻana o nā hopena he palupalu, nā hōʻeha maʻamau e hōʻeha pinepine ʻia, nāwaliwali o ka kiko. ʻO ka hui pū ʻana o nā hōʻailona o ka hoʻohaʻahaʻa haʻahaʻa a me ka hōʻeha ʻana i nā hōʻeha maikaʻi ua kapa ʻia ka wāwae maʻi maʻi.
Hoʻokomo mua ka ʻūhā i nā kino (integumentary) kūlohelohe (ʻili), a laila nāwaliwali (nā ʻōpū) a hiki i ka periosteum. Aia nā ʻōpala a me nā maʻi maʻi maʻi.
- Nā ʻōpū ʻili puʻuwai hoʻokumu ʻia ma hope o ka hypothermia o nā wāwae a me nā wāwae, i ka wā e kau ai i nā kāmaʻa paʻa, he mau hōʻino i ka ʻili. Kahi o nā ʻōpala trophic: hoʻokahi, thumb, heel.
- ʻO nā ʻeha Venous localized ma luna - ma ka shins a ma ka ʻaoʻao kuʻekuʻe. Hoʻohui ʻia lākou e nā hoʻokolokī bipi, ke ʻano o kahi ʻoihana o nā veins, nā ʻulaʻula ulaula, ke hoʻopaʻa ʻana i ka ʻili a me ke ʻano o kahi kuhi hiʻohiʻona.
Hiki ke ʻike ʻia kahi hōʻailona o ka wāwae o ka wāwae i kahi maʻi maʻi me ka ʻole o ka hōʻeha ʻana a me nā ʻeha. Kūkulu ʻia ʻo Edema me ke kahe o ke koko, ke hoʻomohala ʻana o nā kaʻina hana o loko a me kahi hōʻailona ʻole o ka maʻi.
Ke hoʻomau nei i nā ʻōpala trophic a me ka edema
Hoʻokumu ʻia ka wai hoʻonaninani kūlohelohe (edema) ma muli o ka lawa ʻole o ka hoʻoheheʻe wai, hoʻoulu ʻia vascular (nā kāmaʻa paʻa), ʻeha ʻole ka hana ʻōpū, nā maʻi a me ka hoʻowalewale. ʻO Edema kekahi e hele pū me ka neuropathy (nalowale ʻo ke ʻano).
- ʻO nā lāʻau lapaʻau e hoʻomaikaʻi i ke kaila peripheral. ʻO ka laʻana huehae - hoʻomaikaʻi i ke kaʻina metabolic, trophism (nutritional) a me ka hoʻoponopono regeneration.
- ʻO ka waiora a me ka pāhare paʻakai. Hāʻawi i nā selela me nā huaora e hāʻawi i ka hana maʻamau o nā kaʻina metabolic. Hoʻokuʻu i ka paʻakai ka paʻakai a me ka wai.
- E pale i ka nui o nā wai e inu.
- Hoʻopiʻi i nā keiki bipi, nā wāwae a me nā wāwae.
- Ke kūlana kiʻekiʻe o nā wāwae i ka wā hiamoe a hoʻomaha.
- Disinfection kūloko (mālama me ka hydrogen peroxide, potassium permanganate, iodinol).
- ʻO nā lāʻau antimicrobial a antifungal (miramistin, hoʻomākaukau kālā kālā, dioxidine) - no ka mālamaʻana i nā hōʻeha a me nā lole.
- Hoʻomoe no ka hoʻoponopono hou ʻana i ka kiko.
- Me nā ʻōpio venous - hoʻopiʻi hoʻomālamalama o nā manamana.
Wahi a nā helu helu, 80% o nā mea maʻi e loaʻa ana i ka maʻi ma hope o ka 20 mau makahiki o ka maʻi maʻi ʻana he mau ʻeha wāwae, nā ʻaihue a me ka edema.
- I ka hoʻomaka mua o ka hoʻomohalaʻana o nā hoʻopiʻi, ua hoʻokumu ʻia ke ʻeha ma ka pō.
- Ma ke kikowaena o ka maʻi, ua hoʻokumu ʻia kahi maʻi claudication alternating. Loaʻa ka ʻona o ka ʻeha ma ka wāwae, nā manamana lima a me ka wāwae haʻahaʻa. I kekahi manawa ua lilo ke kaumaha o ka hele ʻana.
- Ma hope mai, ʻike ʻia nā ʻūlū ma nā manamana wāwae o nā manamana wāwae nui, ma nā wahi o ka ʻū a me nā huaʻai.
He mea nui ia e hoʻomaopopo i ka maʻi maʻi maʻamau, e kūlike nā hōʻeha wāwae. ʻO ka mea mua, ʻike ʻia ka puffiness, i ka loaʻa ʻole o ka mālama ʻana, ua hoʻohui ʻia nā ulia maʻi, ka mea i hala e ulu i loko o kahi gangrene.
Hiki iā ʻoe ke koho i ke kauka a hana i kahi manawa i kēia manawa: