Me ka maʻi maʻi, e eha pinepine nā wāwae. Hoʻokumu nā hopena like i 30% o nā maʻi maʻi. Eia kekahi, ʻoi aku ka nui o ka mea maʻi, ʻoi aku ka kiʻekiʻe o nā pilikia me nā pae haʻahaʻa.
ʻO ka pinepine me ka maʻi diabetes type 2, ʻike ʻia ka vach atherosclerosis, e kōkua ana e wāwahi i ka lumen o nā kīhaka, e hōʻeha i ka neʻe ʻana o ke koko i nā wāwae. ʻAʻole lawa ka hoʻouka koko i ka hemahema o ka oxygen i nā pūpū a me nā ʻili. I ka hopena, hana ke kino i nā mea hoʻoponopono - nā mea i hoʻonāukiuki i nā ʻeha ʻeha i ka maʻi maʻi.
Inā ʻaʻole kūpono ka mālama ʻana o ia mau hoʻopiʻi, a ʻaʻole hoʻomau ka kahe o ke koko, a laila hiki i nā mea āpau e hoʻopau a me ka wehe ʻana o ka wāwae. No laila, he mea nui e ʻike i ke kumu e hōʻeha ai nā wāwae i ka maʻi diabetes a pehea e wehe ai i kēia pilikia.
ʻO nā kumu o ka maʻi maʻi ma nā wāwae
No laila, he aha ka mea e hoʻopilikia ai ka wāwae i nā maʻi maʻa? ʻO nā mea koʻikoʻi i ka hōʻike ʻana o ka hōʻeha ʻana i nā wāwae me ka neuropathy maʻi, ka arthropathy a me ka atherosclerosis vascular.
Hoʻopilikia ka hōʻeha o ka neuralgic i ke ʻano type diabetes 2 i ka wā e hoʻopili ai nā kīʻaha koko liʻiliʻi, e hāʻawi ana i kaʻai a me ka hana maʻamau i nā hopena nerve o ka wāwae. Ke lilo ka ʻili o ka wāwae o kaʻeha i hōʻehaʻeha ʻole, pau ka mea i hōʻeha i ke ʻano maʻi maʻi maʻi maʻi, ke kāʻei a me ka hoʻopā ʻana.
Eia kekahi, ma nā maʻi maʻi maʻi, ʻehā a me nā hematomas pinepine i nā wāwae. A me ka pohō i ka ʻili, ʻaʻole ʻike ka mea maʻi i kēia a ʻaʻole lawe i nā kūpono kūpono.
ʻO nā ʻōpio e hele mai nei e pono ke mālama lōʻihi, a ma nā hihia koʻikoʻi, hiki ke hōʻeha ke ʻeha i nā wāwae i ka hoʻoheʻeʻe ʻana i nā wāwae a i ʻole haki paha i nā iwi o nā iwi.
Eia kekahi, me ka maʻi maʻamau maʻi 2, hoʻomohala pinepine ka maʻi diabetes. No laila, hiki i nā neuralgia diabetes maʻi ke alakaʻi i kahi nui o nā hoʻopiʻi koʻikoʻi, e like me ke ʻano o nā maʻi ʻohi a me ka hoʻomohala ʻana i ka gangrene.
Ma muli o ka vive atherosclerosis, hele mai ka ʻeha i ka maʻi diabetes i ka wā i loaʻa ʻole ka oxygen, ma muli o ka nui o ke kīpī o ka ʻiʻo. Eia kekahi, e kū pono ana i ke kua o ke vasoconstriction, hōʻiliʻili nā carbon carbon i loko o ke kino, e hōʻeha ai i ka eha ikaika o nā manamana.
Ke hoʻohui pū ʻia nā hoʻopiʻi luna i luna, a piʻi nui ka pae o ka gangrene, a laila e loaʻa paha i ka amputation o ka wāwae. Ma hope o kēlā mea, ʻaʻole hopohopo ka mea maʻi i ka wā e hōʻeha ʻia ai ka ʻōpala.
Eia kekahi, ʻehaʻeha kaʻeha wāwae i ka maʻi hānai e kū'ē i kahi kiʻi o nā arthropathy. Hoʻoulu kēia hoʻopiʻi ma muli o ka hana hewa ʻole i ka protein protein metabolism a me ka dystrophy cartilage. ʻO kēlā kaʻina hana e alakaʻi i ke ʻano o ke ʻeha, e hoʻoikaika ana i ka wā o ka neʻe.
I ka hoʻomaka ʻana o ka maʻi, ua pā iki paha ka wāwae a ʻiliʻili hou. Akā, me ka hoʻomohala ʻana o ka pathology, ua hoʻohālikelike nā manamana lima, a ʻoi aku ka nui o ka wāwae. I mea e ʻike ai i nā mea e hana inā he ʻeha a me kou mau wāwae i ka maʻi maʻi, pono ʻoe e ʻike pono i nā hōʻailona a me nā hiʻohiʻona o nā pane.
Ma kēia ala, hiki iā ʻoe ke hoʻomaopopo i ka pilikia a ʻimi koke i ke kōkua olakino.
ʻO ka maʻi wāwae maʻi maʻi
ʻO kēia pilikia ka pilikia maʻamau e hele pū ana i ka maʻi diabetes. No laila, me ka hoʻomohala o ka maʻi, ua ʻike ʻia kēia maʻi ma 90% o nā maʻi. Nui ka paʻakikī o ka hoʻoulu ʻana o SDS, i loko o ia ʻano he nui o nā kaʻina hana e kū nei i loko o ke kino.
I ka hoʻomaka mua, ua luku ʻia nā capillaries liʻiliʻi, a ma luna o ka manawa, ua ʻinoʻino nā ʻalā a me nā veins, ua hoʻopau ʻia ke kīnā ʻana, a laila ua make nā hopena nerve a nānā mai nā ulia trophic. I ka manawa like, ma muli o ka lohi hou ʻana, ke hoʻokokoke koke nei ka maʻi a me nā hanana purulent.
ʻO nā ʻōmaʻomaʻi e hele nei me ka wāwae maʻi ma muli o ke ʻano o nā maʻi. No laila me kahi ʻano polyneuropathic, make koke ka huhua, pau ka tactile a me ka mahana. I ka manawa like, kūlike ka ʻili o ka wāwae, ke kō a me ka mauʻu ma ke kīʻaha, a e loli lohi ʻia ke ʻano o ka umauma.
ʻO ka manawa pinepine, ma kēia laʻana, ʻaʻole i hōʻeha ka wāwae, a ʻaʻole hoʻi e loli ka ʻili a me ke ana o ka ʻili. Akā ʻo kekahi mau mea maʻi i nā hana holomua e hoʻomohala i ka gangrene base o ka wāwae.
Hoʻohālikelike ʻia ka ʻano ischemic o ka wāwae diabetes.
- ka ʻala ʻana a me ka ʻā ʻana o ka ʻili;
- hoʻomau ka naʻau a me ke kaumaha;
- aole wale ke loli;
- i nā ʻōpū bipi ua loaʻa kahi pōʻino koʻikoʻi, ma muli o ka claudication intermittent e ulu nei;
- ma ka hoʻomaha ʻana, hiki mai paha ka ʻeha i ka wāwae, ʻoi aku ka pō ma ka pō;
- lilo ka ʻūhā a ʻula ʻia ka ʻili o ka wāwae, ma muli o nā ʻano he nui o ka hemorrhages e ʻike ʻia ma luna ona;
- ka dystrophy o ka subcutaneous tissue e alakaʻi i kahi hōʻemi i ka wāwae i ka nui;
- e kū'ē ana i ke kua o ischemia, ulu nā hana necrotic, e alakaʻi ana i nā gangrene maloʻo o ka wāwae mamao.
Aia kekahi ala ʻekolu e hōʻike i nā maʻi maʻi maʻi maʻi, e hoʻohui ʻana i nā hōʻailona o nā ʻano ʻelua ʻelua. Hoʻokumu pinepine kēia hoʻonāukiuki i ka maʻi maʻamau.
ʻO nā ʻeha ʻeha a huehuʻi i ka maʻi diabetes
Inā aia i ka maʻi maʻi, ʻeha nā wāwae, ʻaʻole wale no ka wāwae maʻi. ʻO ka pinepine, ua hele pū ka maʻi hyperglycemia me nā kumu ulcerative. Hoʻokaʻawale ʻia nā kumu kumu o ko lākou helehelena: ka hōʻino ʻana o nā kiko trophic, vascular a me neuropathic pathologies.
Hoʻopilikia ka pilikia o ka ulia me ka pōʻino o ka peripheral NS, atherosclerosis, a me nā maʻi vascular koʻikoʻi. Eia kekahi, hōʻeha pinepine nā kāne i kēlā mau papa. Hoʻokomo ʻia ka hiʻohiʻona o nā hoʻopiʻi e nā ʻōpala, ke kuni, nā abrasions a me nā kīkoki, nā pōpoki a me nā microtraumas.
Hoʻololi ka maʻi maʻi maʻi maʻi peptic i ka maʻi maʻamau, ʻo ia ka hopena o nā loli like ʻole e hōʻeha i ke kino no kekahi manawa lōʻihi. Hoʻokaʻawale ʻia nā ʻano trophic āpau i kahi ʻano o ka hoʻolālā ʻana:
- Hoʻopuka. Hoʻohālikelike ia me ka loaʻa ʻole o ka naʻauao, ka ihu, ke kaumaha ʻeha, ke puhi ʻana, ka hana ʻole, ka ʻeleʻele a ʻulaʻula paha, i kekahi manawa cyanosis o ka ʻili ma ka ʻūhā o lalo a me ka hopu.
- Nā hōʻike hōʻikeʻike. Ma kēia ʻina, ʻike ʻia kahi ʻano scab a me nā hemahema o ka luku ʻana i ka ʻili. Ua kī ʻia nā ʻōpū, ke alakaʻi ʻana i ka maʻi a me ka manaʻo o nā hōʻeha.
- Ke holomua. Hōʻike ʻia ʻo ia e ke ʻano o nā ulia maʻi purulent i hōʻeha ʻia, ʻeha nui, neʻe ka nekrosis i nā papa hohonu o nā umauma, nā hōʻailona o ka ʻalā (chills, nāwaliwali, maʻi ʻole).
Ka huki ʻana o nā haʻahaʻa haʻahaʻa ma ke ʻano o ka maʻi maʻi e kū kū'ē i ka mua o ka maʻi nephrotic.
Eia kekahi, ʻo ka atherosclerosis, e alakaʻi ai i ka pani ʻana i nā paia vascular a ke hoʻololi nei i ka kaila koko maoli, hiki i kēia mau hōʻuluʻulu.
Hoʻomaʻamaʻa a me ka pale ʻana i nā maʻi ʻeha ma ka maʻi maʻi
Me ka maʻi o ka maʻi, hōʻeha nā wāwae i ka mea e hana ai? ʻO ka mea mua, pono ia e uku i ka maʻi. No ka hana ʻana i kēia, hoʻohaʻahaʻa i ka pae o ka glycemia, pili i ka meaʻai kūikawā, pale aku i ke kaumaha, kāpae i ka ulaula a inu i ka inu ʻawa.
Inā mākou e kamaʻilio e pili ana i ka mālama ʻana i ka maʻi diabetes maʻi, a i kēia lā i hoʻohana ʻia nā ʻano ʻelua i mea e pale aku ai i kēia pilikia - ka mālama a me ka maʻi. I ka hihia mua, ua kuhikuhi ʻia ka mea maʻi i nā lāʻau antibacterial a me ka analgesic lāʻau.
No ka hoʻomaʻamaʻa kūloko, hoʻohana ʻia nā antiseptics a me nā antibiotics. Eia kekahi, inā ua hōʻeha nā wāwae i ka maʻi diabetes, ua kuhikuhi ʻia nā lāʻau lapaʻau e hoʻomaikaʻi i ke kahe koko i loko o nā moku.
Eia kekahi, ua ʻai ʻē lākou i nā manamana ʻeha me ka maʻi maʻi, a laila e hōʻike ʻia ana ka mea maʻi, i ka wā e hiki ai ke hana ʻia nā hana lapaʻau e hiki mai ana:
- ka lawe ʻana i ka palena o necrosis;
- angioplasty (ka hana hou o ka hana vascular);
- endarterectomy (lawe i nā moku i hiki ke hoʻihoʻi ʻia);
- ka hoʻokele o nā pahu (hoʻopili o nā ʻupena e kākoʻo ana i nā moku);
- ka huhū gangrene (neʻe ʻana i kahi ʻāpana necrotic ma kahi manamana lima a i ʻole wāwae);
- inā pono, nā hana 'āpau o nā' ano āpau o ka wāwae e hana.
A ma 80% o nā hihia, nā ulia e kūkulu ʻia i ka mellitus diika e koi ai i ka mālama ʻana loa, hiki nō iā ia ke hana maʻamau a me nā maʻa.
Me nā leʻaleʻa ulcerative, pono e nānā pono i ka pae o ka glucose a me ka hemoglobin i ke koko. ʻO ka wikiwiki glycemia wikiwiki ʻoi aku ka 6-10 mmol / L, a ma hope o ka pāʻina - 9-10 mmol / L.
Pono ia e pale i ka hoʻomohala ʻana a me ka mālama ʻana i nā manawa kūpono ʻo nā maʻi concomitant, e like me ka hypertension a i ʻole thrombophlebitis. Ma kēia hihia, kuhikuhi ke kauka i kahi lāʻau lapaʻau e hoʻopau i nā hōʻike hōʻeha a me nā lāʻau lapaʻau e hoʻomaikaʻi i ke kūlana o peripheral NS. Hōʻike ʻia nā maʻi maʻi maʻi no ka hoʻohana ʻana i nā hana loea kūikawā e pale ai i ka hōʻeha mai ka minamina ʻana.
Eia kekahi, ua hoʻākāka ʻia nā antibacterial a me antifungal a lawe ʻia nā hana e hoʻoulu ai i ka lipid metabolism. Mai poina e pili ana i ka mālama wāwae no ka maʻi maʻi o kekahi ʻano.
Eia kekahi, ʻo ke hoʻoponopono kūloko o ke koko me ke kōkua o nā lāʻau lapaʻau a me ka hoʻohana ʻana i nā lāʻau ʻo vasoactive e pono ai.
Hoʻokomo ʻia ka hoʻomaʻamaʻa ʻana o nā maʻi maʻi o ka maʻi maʻi.
- ka mālama ʻana i nā hōʻeha me nā peroxide a me nā palapala hou aʻe o ka lole pale;
- ka wehe ʻana a me ka mālama ʻana i nā ʻōpio;
- inā pono, lawe ʻia ke vascular a ʻokiʻoki i ka umauma.
Ke hōʻeha nei kou mau wāwae i ka maʻi maʻi, pono e kau i nā kāmaʻa kūikawā a mālama pono i kou mau wāwae. I kēia hopena, pono e nānā ʻia kēlā me kēia lā i nā wāwae, e mālama pono ana i nā hemahema liʻiliʻi.
Pēlā nō, e pale i ka hoʻomohala ʻana o ka SDS a me ke ʻano o nā ʻōpū, pono e holoi ʻia nā wāwae i kēlā me kēia lā e hoʻohana ana i ka disinfectant, a laila e holoi iā lākou i ka maloʻo a kālai ʻia me kahi waiū. Ke hele mai nā hōʻailona mua o kahi hāpau, pono ʻoe e nīnau koke i kahi dermatologist.
Pono nā Diabetes i nā kāmaʻa hōʻoluʻolu e ʻeha ai ko lākou mau wāwae. No laila, hāʻawi ʻia ka makemake i nā kāmaʻa orthopedic, ʻoiai inā hoʻomaka mua ke kaʻina o ka deformation o ka wāwae.
Manea ʻia e hoʻoheʻe i nā kui me ka fao kuku, a wehe i ka ʻili ʻia me ka hoʻohana ʻana i ka pumice. Eia nō hoʻi, inā e hōʻeha nā lima a me kou mau wāwae i ka maʻi maʻi, mai poina e pili ana i ka hele ʻana i ka lewa hou a me nā haʻuki kūikawā kūikawā, e hoʻomaikaʻi ana i ke kahe koko i loko o nā limahana.
Hoʻopili i nā lāʻau lapaʻau, hiki i ka lāʻau lapaʻau no kekahi ʻano maʻi o ka maʻi maʻi. No laila, me ka wāwae maʻi maʻi a me nā ʻōpala, nā infusions, nā aila a me nā decoction e pili ana i ke kumu o ka burdock, flaxseed, blueberry, ka meli, nā huaʻai, Kalanchoe, lemon balm, horsetail a me ka kōkua nettle.
I ke wikiō ma kēia ʻatikala, e kamaʻilio ke kauka e pili ana i ka mālama ʻana i ka wāwae no ka maʻi maʻi.
