ʻIke ka poʻe āpau i ka maʻi diabetes i ka kaʻe o ke kō i loko o ke koko, e hoʻonui ana i kona kiʻekiʻe. ʻO kēia no ka hoʻopili hewa ʻana o ka pancreas, nona ke kuleana no ka insulin, ka mea i komo i ka hoʻāʻo ʻana o ka glucose i ka ikehu e pono ai no ka hana piha o ke kino.
ʻO ke kumu o ka hoʻomohala ʻana i ke ʻano maʻi maʻi mua he hemahema o ka insulin, ka mea i ʻike pinepine ʻia i nā keiki i loaʻa nā ʻohana i kahi maʻi like. Ma ka maʻi o ka lua, ua hoʻonui ʻia ke kaomi o ka huehue i loko o ke kahe wai e kahi ʻāpana ʻole a i ʻole ka hemahema o ka ʻike ʻana o nā ʻoli i ka insulin, i mea e kōkua ai i ka huakaʻi, ke kaumaha, ka hoʻohui ʻana, a me ka hōʻino o ka ʻai a me ka wikiwiki me ka momona. Hoʻopili kēia i ka hana o nā kaohi kino, ka mea e hoʻopilikia i ka nū a me ka uila.
ʻO ka hyperglycemia lōʻihi a hoʻomohala e alakaʻi i ka ulu ʻana o nā hihia pōpilikia. ʻO kekahi o kēia nā maʻi o nā wāwae i ka diabetes mellitus, kahi ma nā pilikia nui e hiki ke alakaʻi i ka ʻeha o ka limu a i ʻole ka make o ka mea maʻi. No laila, he mea pono e ʻike i ke kumu o ka hōʻeha ʻana o nā wāwae i ka type 2 a i ʻole nā type 1 mellitus maʻi maʻi, pehea i hōʻike ʻia kēia mau hōʻuluʻulu iā lākou iho a me nā mea kanu a me nā hana prophylactic hiki ke hoʻohana i ka hoʻomaikaʻi ʻana i ke ʻano o nā hopena.
ʻO ka pōʻino o ka wāwae i ka maʻi diabetes: nā kumu a me nā hōʻailona maʻamau
I ka mea maʻi me ka maʻi maʻi ma ke kino, ua piʻo nā ʻōnaehana hoʻoponopono. ʻO kēia no ke kahe koko ʻole, ʻo ia ke kumu e komo ai ka nui o ke koko i ka wāwae.
No laila, no ke aha ke ʻano o ka ʻeha o ka maʻi maʻi? ʻO ka nui o ke kō i nā waiola biakona, he mea ia e nā kino āpau a me nā ʻōnaehana. Ke hele ʻole kahi hopena i loko o ka mololi ketone, ʻaʻole hoʻohuli i ka glucose i ka ikehu, akā lilo ka mea ʻala no ke kino.
ʻO ka hopena o ka hyperglycemia ma ke kino ke laulā nui. ʻOi aku ka lōʻihi o nā manawa, kū hou ke ala hou (ʻo ke ʻano o nā kīʻaha koko, nā loli a ka naʻau, ʻeha ka naʻau).
Hoʻokumu nā maʻi o nā wāwae i ka maʻi diabetes, me ka piʻi nui o luna o lākou a me kahi hala ʻole i ke kahe koko. He hōʻeha koʻikoʻi ka Glucose ma ka wahala o ka myelin nerb i loko o ka wāwae, e hōʻemi ana i ka nui o nā impulses.
ʻO ka hoʻopili ʻana i nā moku o nā wāwae me ka maʻi hakahaka i mea paʻakikī nā capillaries, e hoʻonui ana i ke ʻano maʻamau. ʻO ka neʻe atherosclerosis holomua e pili i ka ischemia a me kahi koko koko.
Inā kahi maʻi wāwae i ka maʻi maʻi, hiki ke ʻano ʻē. Hiki paha i ka mea palupalu ke kahakaha, nā kīwī i nā wāwae, nā palaka a me nā ʻeha ma nā wāwae i hiki ke hele ke hele. ʻO ka maʻi o nā wāwae me ka maʻi maʻi e hele pū ʻia me ka helu o nā hōʻailona ʻē aʻe:
- ka ʻili o nā ʻili i nā wāwae, huli ka ʻū, hoʻōki a hoʻomoʻe a kau nā ʻōlapa ma nā ʻano;
- ke loli o ke ʻano o nā kui, pinepine ʻia ma kahi maʻi fungal;
- hoʻemi i ka mahana a me ka nānāʻana o nā wāwae;
- kuolo;
- ke ʻano kumu o nā ʻōpio e hoʻōla maikaʻi ana a i ʻole e lōʻihi;
- nāwaliwali a me ka atrophy;
- ka curvature o nā manamana lima o nā huli a hoʻololi i ke ʻano o ka wāwae.
ʻO ka hapanui o nā maʻi maʻi ka ʻōlelo ma hope o ko lākou hele ʻana a i ka pō paha, he mau palu paleha lākou mai ka 2-3 kekona a 5 mau minuke.
Ke kū ʻia nei nā pilikia ʻole ma ka type 2 diabetes mellitus, aia ke kumu no ka nele o nā huina o ke ʻoni i hoʻopili ʻia me ka urine, a me ka ʻole o ka ikehu i nā ʻuhane.
Nā ʻano ʻōpiopio
ʻO ka hōʻeha i ka wāwae i ka maʻi hānai he mau ʻano like ʻole. ʻO kēia ka angathyathy maʻi maʻi, i hiʻohiʻona ʻia e ka pōʻino o nā moku o ke kīpopeka, he hōʻino i ka hoʻokele o nā capillaries a me nā mea i hala aʻe i ka hoʻolako ʻia o nā mea kanu i nā kino.
ʻO ke ʻano ʻelua o nā hoʻopiʻi maʻi maʻi neuropathy. Hoʻokumu ka wāwae neuropathic Diabetic me ka hōʻino o ka nūnaehana o ka wāwae. Aia ka pohō o ka wela, hōʻeha a me ka sensile sensation i nā wāwae, no ka mea ʻaʻole e ʻike ka mea maʻi i nā ʻeha a me nā hōʻeha ma nā wāwae, a laila hiki ke hopena i nā gangrene.
Akā eia kekahi ʻano hoʻohālina, i ka manawa o ka mea maʻi me ka maʻi mellitus e pili ana i ka kaila a me ka pūnaehana hoʻonaninani. A laila e hoʻomohala ana ka mea maʻi i kahi hōʻike o nā ʻano ʻelua o nā hoʻopiʻi i hōʻike ʻia ma luna nei.
ʻO kekahi ʻano ʻē aʻe o ka maʻi o ka wāwae i ka hyperglycemia kūloko he arthropathy, kahi e hōʻino ʻia ai nā hui o ke kino. ʻO kēia ma muli o ka loaʻaʻana o ke koko a me ka malfunction i nā hana metabol. Ua wehewehe ko kahi maʻi maʻi maʻi i kēia ʻano e like me: i ka hoʻomaka ʻana o ka maʻi e loaʻa iaʻu ka ʻeha i nā kuʻekuʻe i koʻu hele ʻana, a laila huliʻe koʻu mau wāwae, ʻū nui, hoʻololi i ke ʻano, a hoʻohuli ʻia koʻu mau manamana lima.
He aha nā pilikia wāwae maʻamau loa i ka maʻi maʻi maʻi maʻi? Hoʻokumu ka ʻeha o nā wāwae i ka maʻi diabetes me ka maʻi maʻi maʻi diabetes, hōʻike ʻia ma ka 10% o nā maʻi. Akā aia ka hopena o ka 50% o ka poʻe me ka maʻi hyperglycemia.
Ke hele nei ka wāwae Diabetic no kekahi mau kumu:
- maʻi kīnā;
- make ʻana o nā kīʻaha koko;
- ʻo ke kaheʻe ʻana;
- make ana o na palapu;
- hōʻili ʻia ka ʻili.
Ke kuʻi ʻia ka maʻi o ka huaʻai, hoʻomohala i kahi maʻi maʻi 'ma ka wāwae o ke pākeke, kahi mea i hōʻike ʻia e ka minamina, ʻulaʻula a me ka maloʻo ʻana o ka ʻula. Inā ʻaʻole kūpono i ka mālama ʻana o nā wāwae me ka maʻi diabetes i ka manawa a pono i ka hoʻokūkū, e komo ka maʻi i nā popoki a hoʻomaka paha e pili i ka pā o ka nail.
I ka wā e hōʻino nā kui o ka hua, lilo lākou i pala, mānoʻi a loaʻa nā kālepa melemele brownish. ʻO ke komo ʻana i nā kāmaʻa paʻa e kōkua i ka holomua o ka maʻi, no ka mea, makemake kona pathogen i ka makika a me ka mahana. Inā ʻoe e hoʻomaka i ka maʻi, e pono ka ae ʻana no ka wehe ʻana.
Hoʻokumu pū ka ʻeha o ka wāwae i ka maʻi diabetes ma muli o nā ʻeha nā hopena mai nā ala vascular, ka hoʻopiʻi a me ka malfunction i loko o ka naʻau. Eia kekahi, hoʻomaʻamaʻa ʻia ke ʻano o nā pale o ka ʻili e:
- trauma
- atherosclerosis;
- ʻai;
- nā ala vascular;
- kuni ʻana;
- hana ʻino i ka ʻōnaehana nenoai;
- nā ʻeha a me nā poho.
Inā aia i ka maʻi maʻi, nā hōʻeha o nā wāwae i loko o nā ʻano o nā ulia i hala ma hope o nā mahina a i ʻole paha mau makahiki. Hoʻolālā lākou e kū'ē kū'ē i kahi o ke kaʻina o nā pathological i ke kino ma ke ʻano o ke kiʻekiʻe o ke kō.
Ua hoʻokaʻawale ʻia ke kaʻina o ke kala o nā ulia trophic i nā ʻāpana. Nā hūlū o ko lākou helehelena he mau hōʻailona e like me ke kaʻe ʻana, ke kipa, ka hemahema o ke ʻano, hoʻololi i ke kala ʻulaʻula (nā ʻulaʻula a i ʻole uliuli paha). ʻO ka ʻāpana ʻāina haʻahaʻa ka palaoa, hech a me nā ʻeha.
I ka lā mua, ua ʻōlelo ʻia nā hōʻailona. Ke loli nei ka loli ʻana ma ka ʻili o ka ʻili, ʻike ʻia kahi paku. Hoʻokuʻu ʻia nā kahe koko mai nā ʻeha, a inā i komo kahi huelo i loko o lākou, ulu lākou a ulu.
Ke holo nei ka maʻi, ua hala nā hemahema liʻiliʻi ma mua o nā maʻi ʻula purulent i nā wāwae, nā kiʻi i hōʻike ʻia i lalo. ʻAʻole hōʻeha nā mea hoʻohālikelike, a ua pālahalaha koke nā nekrosis, e hoʻopili ana i nā wahi hohonu o nā kiko. Loaʻa i ka mea maʻi ka hōʻailona o ka hoʻohālikelike - malaise, maʻi, uhaki.
Hoʻokumu pinepine nā wāwae me ka maʻi ʻaʻai i ka ʻōpala (hoʻalaʻe a ulu ʻole paha ma ka wāwae o ka wāwae). Hiki lākou me ka hoʻokaʻawale ʻana ma ke kaupaona ʻana, ʻoi aku nā kāmaʻa maikaʻi ʻole a me nā hōʻeha o ka ʻili, e hōʻeha i ka ʻeha a me ke ʻeha i ka wā e hele ana.
Hiki i nā ʻeha a me nā maʻi o ka maʻi lā 2 inā hōʻeha. ʻO kēia mau poʻoi i ka ʻili, hoʻopiha i ka wai, e hoʻopiʻi ʻia. Kahi i nāʻi kuʻi ʻole a i ʻole calculation kūikawā, holo ka wai, a hele ka maʻi i ka lua i kū ʻia, e hiki ke hoʻonāukiuki i ka hōʻeha ʻana i nā wāwae me ka maʻi mellitus.
ʻO ke cames kekahi pilikia maʻamau me ka maʻi maʻi maʻi. Loaʻa pinepine lākou ma kahi kokoke i nā protrusions bony a ma waena o nā manamana lima. Hoʻokumu nā kumu i ka hakakā a me ka hoʻokaumaha.
ʻOiai me ka maʻi maʻi, ka ʻeha o nā wāwae no kēia mau kumu:
- ʻO nā kolete paleka (ka palahalaha ʻana i ka pālapa me nā poli ʻeleʻele liʻiliʻi a me nā ʻōpū). Ma muli o ke ʻano o nā ʻeha hōʻeha.
- Kukuiwi ʻaina. Inā ʻaʻole e hoʻoholo ʻia ka pilikia, e kū mai ka make o nā wahi i pili.
- ʻIli maloʻo. Hiki i nā pathogens ke komo i ke kino ma o nā wahi i haki ʻia.
Ma mua o ka maʻi maʻamau, e hele pinepine ka valgus deformity o ka wāwae nui. Hoʻohālikelike ka hoʻonāukiuki me ka hele mai o kahi kelala ʻulaʻula i hōʻeha ʻia e kū pono ana ma ka mua o ka manamana lima.
I ka maʻi ʻaʻai, hiki ke pāhiʻi ʻia ke kuʻekuʻe wāwae ma nā wāwae ʻelua. ʻO ke ʻano nui o kēlā ʻano hoʻopiʻi pinepine ka ʻano maʻamau, akā ke waiho nei i nā kāmaʻa kuʻekuʻe pili a ʻaʻole paha i hiki ke kūpono i kona hanana.
Eia kekahi, hiki i nā manamana wāwae ke hoʻohālikelike i ka "hānai like". Loaʻa kēia ma muli o ka nāwaliwali o ka musika, ma muli o ia i pōkole nā tendons, a ke kū nei nā manamana lima.
He hoʻoilina nā pathology, akā he mea paʻakikī aʻe kahi e kāhea ai i nā kāmaʻa hiki ʻole.
Hoʻololi ka mea like a Hammer i kahi hele wāwae a kōkua i ke ʻano o nā blisters, nā ʻeha a me nā ʻōpala.
Naʻi hoʻolika
Inā hōʻeha nā wāwae i ka maʻi maʻi i nā mea e hana ai? I mea e pale ai i ka hoʻomohala ʻana o nā maʻi ākea, pono e nānā ka mea maʻi i kona mau wāwae i kēlā me kēia lā, me ka wāwae. ʻAe kēia e nānā iā ia i ke ʻano o kona mau wāwae a ʻike pono i ka mau ʻana i mea e hiki ai ke hoʻopau iā lākou i ka wikiwiki a me ka hōʻeha.
Inā ʻike ʻoe i nā hōʻailona hopohopo i hōʻike ʻia ma luna nei, pono ʻoe e kamaʻilio i kahi kauka a hana i nā ʻano diagnostic ma ke kikowaena maʻi. Hiki i ke kauka akamai ke paʻi i ka puliki ma nā ʻoka o nā wāwae.
Me ka hoʻomohala ʻana o nā hōʻeha, pulsation i loko o nā veins i ʻole a i ʻole. Akā hiki ke ʻike ʻia kēlā mau hōʻino i ka wā ke hoʻowahāwahā ʻia nei ka maʻi, kahi e hoʻoiho ai i nā hopena hoʻi ʻole.
Eʻoi aku ka maikaʻi o ka noi ʻana i nā loiloi diagnostic pololei. Ua hoʻokumu ʻia lākou ma ka hoʻohana ʻana i nā mea lāʻau lapaʻau, kahi e helu ai ka laha o ka systolic pressure i loko o nā pua o ka wāwae haʻahaʻa a me ka arachach brachial, ka mea i kapa ʻia ʻo ka ankle-brachial complex. ʻAʻole ʻoi aku ka nui o LPI ma mua o 1.2, a laila he maʻamau ka kahe o ke koko i nā hopena.
Akā ʻaʻole maikaʻi ka LPI me ka hōʻino vascular e Menkeberg atherosclerosis. No laila, ua nānā ʻia nā wāwae i ka maʻi maʻi i nā ʻano ʻē aʻe:
- Hoʻololiula ʻia ka pilahi transcutaneous. E wehewehe i ke kiʻekiʻe o ka saturation o nā loko me ka oxygen. Hoʻopili ʻia ke kaʻina hana i ka hāʻawi ʻana i kahi sensor i ka ʻili. ʻIke ʻia ka makewai o Oxygen inā ua emi iho nā hopena ma lalo o 30 mmHg.
- ʻO ka uila o nā lāʻau kani. Hoʻohana ʻia ia e nānā i ke kahe o ke koko ma hope o nā hana vascular.
- X-ray ka haunaele. Hoʻokomo ka ʻenehana i ka hoʻomaka ʻana o kahi ʻaihue kūlike i ke koko o nā haʻahaʻa haʻahaʻa a me nā transillumination e pili ana i nā moku me nā x-ray. Ma kēia ʻike ka mea e hōʻike ai, akā ma ka poʻe maʻi nā mea hoʻonāukiuki.
Hana hoʻomaʻemaʻe a me ke pale ʻana
ʻO ka mālama wāwae wāwae no ka maʻi hānai e pili ana i ka hahai ʻana i nā kulekele ākea. ʻO ka mua ka mana glycemic, ka mea i loaʻa e ka lāʻau lapaʻau a me ka hoʻomehana ʻana o ka insulin.
Pono e hahai i kahi papa e koi ai i ka hōʻole ʻana i nā polokalamu kalakona wikiwiki a me nā meaʻai maikaʻi. Hiki ke hoʻohui ʻia ka meaʻai ma ka ke kauka a me ka mea hoʻoulu. Hōʻike pū ʻia ka hana maʻalahi pilikino a me nā hele wāwae i kēlā me kēia lā i ka ea hou.
Inā ʻaʻole wāwae nā wāwae i ka maʻi maʻi maʻi, a laila e hoʻohana ʻia ka mālama conservative a me nā lāʻau lapaʻau. Ma ka maʻi maʻi maʻi diabetes, antibiotics, analgesics, antimicrobials kūloko a me ka vascular koko hoʻōla e hoʻōla i nā lāʻau.
Pehea e mālama ai i nā wāwae me ka maʻi diabetes inā he maikaʻi nā lāʻau lapaʻau? I nā pae holomua o ka maʻi, ua hōʻike ʻia ke kaila ʻana:
- angioplasty (hoʻihoʻi i ka hana vascular);
- ka hoopau ʻana i ka pae a nekrosis;
- ka hana ʻana i ka wahi gangrene ma ka wāwae a i ʻole manamana lima;
- endarterectomy (ka lawe ʻana i nā moku koko ʻaʻole hiki ke hoʻihoʻi ʻia);
- ka hoʻokele o nā pahu (nā hoʻopili o nā ʻupena ma nā moku);
- inā pono, ia e hōʻike ʻia ana i ka wāwae o ka wāwae haʻahaʻa, wāwae a i ʻole nā wāwae āpau.
Inā pili ka ʻūhā i nā wāwae me ka maʻi maʻi (hiki ke ʻike ʻia nā kiʻi o nā puka ma ʻaneʻi), a laila ke hoʻohana ʻia kekahi ʻano hana o ka hana conservative. I mea e pale ai i ka holomua o ka maʻi, pono ia e nānā pono i ka pae o ka hemoglobin a me ka glucose i loko o ke koko.
Eia kekahi, i ka diabetes mellitus, mālama ʻia ka nānā ʻana o nā ʻeha me ka hōʻemi ʻana i ka ʻeha, hoʻomaikaʻi ʻana i ka coagulation koko ma o nā ala kūikawā, a me ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻomaikaʻi ai i ka hana ʻana o ka ʻōnaehana vascular. He mea koʻikoʻi ʻo ia e mālama a pale i ka hoʻomohala ʻana o nā maʻi concomitant (hypertension, thrombophlebitis), pili i nā lāʻau antimicrobial a antifungal. Kauka pū kekahi ke kauka i nā lāʻau lapaʻau e hoʻōla ana i ka hana lipid metabolism, a me nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka hana o ke ʻano pīpī.
Pehea e mālama ai i nā ʻeha ʻeha i ka maʻi maʻi inā he maikaʻi ʻole ka mālama conservative? Me nā ʻōkuhi holomua o ka maʻi, ua hōʻike ʻia ke komo ʻana o ka mea hana. Hiki iā ia ke wehe i ka hōʻeha a me ka wehe ʻana i nā maʻi purulent mai ona, vascular reconstruction a me ka amputation o ka manamana.
Hoʻomaʻamaʻa iki ka wāwae ʻana i ka maʻi diabetes. Eia kekahi, nā pā pono a me nā mea e hoʻokaʻawale iā lākou e hoʻohana ai i ka manamana lima.
No nā mea i loaʻa i ka maʻi maʻi, ka ʻeha o ka wāwae, mālama i ka mālama ʻana ma hope o nā loiloi laulā.
- lole ana i nā kāmaʻaʻoluʻolu no ka maʻi maʻi;
- hana paʻa;
- kaupaona momona;
- ka holoi ʻana i nā wāwae i ka wai mahana me ka umauma;
- ua kauoha ʻia ʻaʻole e ʻokiʻoki i nā kui, akā e hoʻolōʻihi i nā faila;
- me nā mea kūleʻa, kōkua acupressure;
- hoʻopau piha o nā wāwae ma hope o ka holoi ʻana (ka ʻauhau kūikawā ʻana i ke kahua ma waena o nā manamana lima).
Pono e ʻike i ka maʻi maʻamau e ʻae ʻia ka zelenka, potassium permanganate a me ka iodine e hoʻohana ʻia no ka hōʻino wāwae. No laila ʻaʻole kolo ka nahu, mālama ʻia me Furacilin a me Chlorhexidine, a laila hoʻōla ʻia.
Inā maloʻo loa ka ʻili ma nā wāwae, hōʻike ʻia ka hoʻohana ʻana i nā aila i loaʻa i ka urea. Me nā maʻi fungal, hoʻohana ʻia nā mea antifungal, a me nā pālolo ma nā wāwae me ka creams me ka propolis.
E like me ke ʻano he mea kōkua i loko o ka lāʻau kuʻuna, inā ua hala nā wāwae o ka maʻi maʻi, hiki ke hoʻohana ʻia ke mālama ʻana me ka moʻo ʻana o ka lāhui. ʻO ka Blueberries kahi hopena kūpono no nā wāwae i ka maʻi diabetes. ʻAi ʻia ʻekolu mau aniani o ka huaʻai e ʻai ʻia i kēlā me kēia lā ma mua o ka papa ʻaina nui.
Me nā leʻaleʻa hiʻona, kahi hui o Aspirin, ka meli a me nā mea kōkua i kōkua. Hoʻohana ʻia ka meli i ka maʻi maʻi, i kāwī ʻia me ka pauma aspirin, a waiho ʻia kahi lau burdock ma luna, e kāʻei i nā mea āpau me ka lole mahana.
Hoʻomaʻamaʻa ʻia nā ʻōpala a me nā palaʻai i ka maʻi diabetes me nā aʻa burdock. Hōʻalo ʻia ka mea kanu, hoʻopulapula a mālama ʻia ka wai mai loko mai o ia mea, i pili ʻia ma nā wahi i hoʻopili ʻia 3 mau lā i ka lā.
Inā aia mellitus ka maʻi mellitus a me nā wāwae e hoʻōla i ka hoʻōla a me ka hoʻōla o ka iwi i ka hopena maʻamau i ka inu ʻona mai ka lemon balm a i ʻole mint. Hiki nō ke hoʻokaʻawale i nā wāwae maʻi i ka tincture o Kalonchoe. No ka hoʻomākaukau ʻana, holoi ʻia nā lau o ka mea kanu, ʻupena a piha i nā pahu aniani a me ka hapalua malo, ua piha ʻia me ka vodka, i hoʻopaʻa ʻia no 2 mau wiki i ka pōʻeleʻele.
ʻOiai me ka edema a me ka ʻeha ʻeha i nā wāwae, ʻōlelo ʻia nā ʻōhua like me ka wai o ka paukena. Pono ʻoe e inu i 100 ml o ka mea inu hou i ka lā.
ʻO nā hōʻaʻi o ka maʻi maʻi maʻi kikoʻī i loko o ka wikiō ma kēia ʻatikala.
