Hoʻopilikia ʻia ka ʻili i loko o ka maʻi mellitus ma muli o ka hilahila nui o ka metabola e kū mai ana i ka wā i nele ka hoʻonāʻana o ka insulin, a i ʻole he mālama ʻia ka naʻau o nā mea i loko o nā kō.
ʻO nā hoʻololi hou i ka epithelium paila, nā ʻikipiki a me nā kinipona me ka ʻili ponoʻī e pili pū me ka hōʻiliʻili ʻana o nā huahana metabolic, hoʻōla i ke koko, a hoʻohaʻahaʻa i ka pale ʻole. Hōʻike kēia mau mea āpau i ka hope o ka hōʻino o nā paia o nā kīʻaha koko a me nā koina.
E like me ka noʻonoʻo ʻana o nā kaʻina metabolic i hoʻohālikelike ʻia, nā ʻano rashes, ulcerations a me nā hopena maha i ʻike ʻia i ka ʻili. ʻO kahi hiʻohiʻona o nā wahi ʻulaʻula ma nā wāwae i ka maʻi hānai he hōʻailona maʻamau o kēia maʻi.
ʻO nā wahi ʻulaʻula ma ka dermatopathy diabetic
ʻO nā loli i ka ʻili i ka mellitus maʻi mili i pili me ka dehydration maʻamau a me ka hōʻino ʻole o nā aʻai. Inā hoʻonui pinepine ʻia ka nui o ka glucose i loko o ke koko, a laila palupalu ka ʻili, ulu ke kani ana, kupu mai ka maʻi ʻili, ʻoi aku hoʻi ma ka poʻo. E lilo nā lauoho, e hāʻule.
Ma ka ʻili o nā wāwae, hōʻike ʻia nā hiʻohiʻona o ka ʻili maloʻo i ka nui o ka keratinization, ke ʻano o ke kao a me nā meaʻole. Hoʻololi ka ʻili o ka ʻili, hoʻololi i ke aniani a lawe ʻia ma ke kua hina. ʻO ka ʻeha a me ka maloʻo o ka ʻili e ʻike ʻia i waena o nā hōʻailona mua, a, me ke ʻano o ka ʻāʻī a me ka candidiasis, hiki ke lilo i hōʻailona no ka hemahema o ka insulin.
I nā keiki me ka maʻi maʻi labile, puka mai kahi ʻano palupalu maʻamau, i kapa ʻia ʻo ka maʻi maʻi maʻi maʻi. Aia ke ʻano o kēlā ʻulaʻula like o ka ʻili e pili ana me nā capillaries i līlū ʻia, ka mea e hana ai i ka manaʻo hewa ʻole ke ola kino ke keiki.
ʻO nā maʻi ʻili e hui pū ʻia me ka mellitus maʻi diabetes a i ʻole nā mea mua o kēia mea i hoʻokaʻawale ʻia i loko o nā pūʻulu:
- Hōʻikeʻike i nā maʻi o ka metabola a me nā angiopathies: lipoid necrobiosis, dermatopathy maʻi, xanthomatosis, nā pōpō maʻi.
- Nā hawanʻi mai ka hoʻohana ʻana o nā ʻaina a i ʻole nā papa antidiabetic: lipodystrophy post-injection, urticaria, eczema, dermatosis allergic.
- Hoʻopau i nā maʻi huakaʻi a i ʻole nā maʻi bacterial.
Hoʻopau ka maʻi maʻi i ka mālama ʻana i nā maʻi o ka ʻili, loaʻa iā lākou kahiʻano paʻakikī a lōʻihi hoʻi, pinepine ka hoʻi ʻana.
ʻO ke hiʻohiʻona o nā ʻulaʻula i nā wāwae me ke kiʻi o ka maʻi maʻi i hāʻawi ʻia i loko o ka ʻatikala kahi hōʻailona maʻamau o ka dermatopathy maʻi maʻi. I ka hapanui pinepine, kū like nā mea like ma ka ʻaoʻao mua o ka wāwae haʻahaʻa i ka manawa like ma nā wāwae ʻelua. I ka mua, puka paha nā papules ʻulaʻula, ka mea e hoʻololi lohi i nā wahi atrophic.
ʻO ka pinepine, ʻo ka dermatopathy maʻi maʻi e hoʻopilikia i nā kāne me kahi papa lōʻihi o ka maʻi diabetes a he hōʻike hoʻi o ka microangiopathy. ʻAʻole hōʻeha ka maʻi ma ka ʻili i ka hōʻeha, ke ʻano paʻa o ka ʻili. Hiki iā lākou ke noho mau i luna o kā lākou mau wāwae i ʻelua mau makahiki, a laila nalo loa ma luna o lākou iho. ʻAʻole pono ia ke kūkulu ʻana no Dermatopathy.
Ma ke kino, hiki i nā ʻū me nā maʻi maʻi maʻi no nā lā 2-3, e nalowale ʻole me ka mālama ʻana. ʻO nā wahi ākea ākea nui me nā alanaka ākea ka ʻike ʻia ma nā ʻaoʻao hakahaka o ke kino, ʻoi aku ka nui o nā kāne ma hope o ke 40 me ka manawa pōkole o ka maʻi. The Soreness and subjective sensations in diabetic erythema may a absent a i ʻole kekahi lai makaingly sensation.
ʻO nā kī heʻe i loko o nā ʻāʻī o ke ʻāʻī a i loko o ka paʻa lima hiki ke hōʻike i ke ʻano acanthosis ʻeleʻele. Hoʻonui ka pigmentation, a ʻeleʻele ka ʻili - ʻulaʻula, he palupalu. Hōʻike maopopo ʻia ke kumu o nā laina ʻula, hiki ke pā le ʻili i ka pā.
Hiki i nā wahi pōkole like ke kau ma nā wahi i pīhoihoi o nā manamana o nā manamana lima. E kūlike i ke kua o nāʻeleʻele, i hoʻokumu ʻia i nā papules liʻiliʻi. Ma ka puʻuwai o ka maʻi i hoʻonui ai i ka synthesis o ka ate o nā mea ulu e like me ka insulin.
ʻO ia mau ʻano hōʻike i ka poʻe i ka momona a loaʻa paha ma mua o ka ʻike ʻana i ka maʻi maʻi.
Hōʻikeʻike o ka maʻa lipoid necrobiosis
ʻO nā wahiʻeleʻele ma nā wāwae he mau hōʻailona i ka lipoid necrobiosis a lōʻihi i mua o ka ulu ʻana o ka maʻi diabetes. ʻO ka pinepine loa, ʻike ʻia ka diabetes mellitus o nā ʻano mua, i ka hapalua o nā mea maʻi, nā hemahema o ka insulin i mua o dermatosis. ʻAʻole pili pili mai nā hōʻailona a me ko lākou koʻikoʻi.
ʻO nā ʻano maʻamau o ka lipoid necrobiosis e hōʻike ʻia e nā ʻōpū nui e hoʻonui i ka ʻaoʻao o ka wāwae o lalo. Hoʻomaka ka maʻi ʻana me ke ʻano o kahi wahi cyanotic, point a piko nodule wale nō.
A laila e hoʻonui nui ʻia kēia mau mea i ka nui o ka planophophic o nā mana oval. ʻO ka mea kikowaena ma mua he melemele a ʻulaʻula paha, lālū, a laila nā atrophies, ʻike ʻia nā ipu wai hoʻoneʻe. I kekahi manawa e hele ʻo ia i ka ʻeleʻele a me nā puka ulia e hōʻeha ai i ke ʻeha. ʻUlaʻula ka lihi o nā wahi, e piʻi aʻe ana ma luna o ka pae o ka ʻili.
Hoʻopau ʻia ka mālama ʻia o ka necrobiosis me nā lāʻau lapaʻau:
- ʻO ka hoʻoponopono maʻamau i nā momona momona: clofibrate a lipostabil paha.
- Hoʻoulu i ka kahe koko: Curantil, Trental, Nicotinamide, Aevit.
- Kū i waho: i loko o nā wahi o ka maʻi o ka heparin a me insulin, corticosteroids, nā noi o ka dimexide, lubrication me Troxevasin, Fluorocort.
No ka hana lapaʻau kino, ka phonophoresis o kahi pani o ka hydrocortisone, e hoʻohana ʻia ana ka lāʻau laser. No ka mālama ʻana i ka ʻūhā peptic, ka hoʻokuʻi a me ka palaka kiri i kekahi mau manawa.
Hoʻopili ia i ka rashes me ka maʻi diabetes
ʻO ka ʻeha i ka diabetes mellitus ka manaʻo i ka latent a me nā ʻano maʻalahi o ka maʻi a hiki ke hōʻike ʻia mai ʻelua malama a ʻelima mau makahiki ma mua o ka maʻi ʻana. ʻO ka ʻōpū pinepine ka ʻeha i loko o ka ʻōpū, ka puʻupuʻu, ke kāʻei. ʻO nā mea mua o ka neurodermatitis hiki i nā paila ʻulaʻula. Hoʻomaopopo nā kauka i ka ʻeha me ka maʻi diabetes i nā manawa he nui i ka manawa o nā wāhine ma mua o nā kāne.
I ka hoʻohui ʻana o nā papules, ua hoʻokumu ʻia kahi zina infiltration, ua maloʻo ke code ma kēlā mau wahi a ua uhi ʻia me nā unahi. Hiki i nā ʻōwae ma nā wahi o nā ʻili o ka ʻili. Hoʻonui loa ka hana i ka pō. I ka wā mahana, hiki ke hoʻohaʻahaʻa ʻia nā hōʻike.
Hiki i ke kahuhopu maʻi maʻi maʻamau ke hōʻeha ma luna o ka ʻili o nā piko a i lalo paha, e ʻike pinepine i nā manamana lima a me ka wāwae. ʻAʻole i ʻaihue ka ʻili, hiki i nā ʻano ke nānā ʻana a i ʻole ka hoʻēmi ʻana paha, a me ka hoʻolālā ʻana i nā pale ʻole me nā hōʻailona hou aʻe. Kūlike nā helu mai nā wahi kiko i kekahi mau kenimika ka diameter.
Hoʻoweliweli a ʻike ʻole ia ka mea o loko o ka vesicles; ʻaʻole ʻike ʻia nā mikrobes i ka wā inoculation. I nā hihia maʻamau, aia ke kīpē ma ka ʻili o ʻelua mau pule, ʻoi aku ka lōʻihi a hiki i hoʻokahi mahina.
ʻO ko lākou hōʻola ke hana nei me ka ʻole cicatricial loli ma waena o ke ʻano lapaʻau.
ʻO nā maʻi ʻehaʻeha ma ka maʻi maʻi
Loaʻa nā wāwae wāwae i ka maʻi maʻi i nā maʻi maʻi me ka nui o ke kaumaha kino hiki ke hōʻike i ka candidiasis. ʻO ke ʻona o ka candidomycosis ka wahi o ka perineum, ka ʻōpū, ka paʻu ʻili nui, nā wahi interdigital ma nā wāwae. Hoʻomaka pinepine nā Candidiasis i nā hana hōʻeha manu.
Nā helehelena keʻokeʻo i nā pulu ʻili e kū'ē i ke kua o ke kaomi ʻula, ka huki a me nā paikeke ʻano. ʻO ka ʻāmi papaʻu i nani, cyanotic a ʻulaʻula paha me ka bulima keʻokeʻo. Hiki i nā pulupulu liʻiliʻi o nā vesicles a i nā pustule paha e kokoke ana i ka wahi i hoʻopili ʻia. Hana ʻia ke ʻano maʻi ma ke kumu o nā hōʻike olakino a me nā haʻawina hoʻokolohua.
Hoʻololi ʻia ka mālama ʻana me nā hoʻomākaukau kūloko: nā aila a i ʻole nā hopena Clotrimazole, Lamisil cream, Exoderil solution a i nā lāʻau lapaʻau like ʻē aʻe. I loko e lawe aku ai ʻo Itraconazole a i ʻole Ketoconazole, ʻO Fluconazole ma ke kauoha o ke kauka. Maʻa ʻo ke kahu maʻi no ka maʻi diabetes a me nā pilikia wāwae.
ʻOi aku ka paʻakikī o nā maʻi i nā maʻi ma mua o ka maʻi. ʻO nā maʻi ʻehā maʻamau:
- Wahine maʻi Diabetic.
- Pyoderma.
- Kāpukuhū.
- Erysipelas.
- Panaritius.
Hoʻohana ʻia ka lāʻau antibiotic no ka mālama ʻana, i ka mālama ʻana i ka palupalu o ka flora microbial. Hoʻonui ka ʻeha i nā maʻi i ka papa o ka mellitus o ka maʻi mellitus, i alakaʻi i nā hoʻopiʻi koʻikoʻi, decompensation lōʻihi.
No laila, ma ia mau mea maʻi, e hoʻonui ʻia ai ka nui a me ka pinepine o ka lawelawe ʻana i nā inikini insulin i kahi hihia e hilinaʻi ʻia ana o ka maʻi diabetes, a i neʻe ʻia nā mea maʻi mai nā papa i ka ʻimi ʻana i ka insulin. Ma ka hoʻohalike, ke hoʻoponopono ʻana i ke kūlana immunological a, inā pono, ke mālama ʻia ka lāʻau lapaʻau.
ʻO ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka ʻeha o ka maʻi i ka maʻi diabetes.
