Hoʻokumu ka hoʻomohala ʻana i ka maʻi diabetes me ka hiki ʻole ke hoʻomakei i nā palaka mai ka meaʻai. ʻO ke kumu no ka nele o ka huna ʻana o ka insulin a i ʻole ka hiki ʻole o nā mea hoʻonaʻauao pane e pane iā ia. ʻO nā hōʻailona nui o ka maʻi e hoʻopili me nā glucose koko kiʻekiʻe.
ʻO ka maʻamau no ka maʻi maʻi ʻoiaʻiʻo: ka make wai nui, nui ka momona, ke loli koke ʻana o ke kaumaha, hoʻokuʻu ʻia ka urine i kahi pinepine a ʻoi aku hoʻi ma mua o ka maʻamau, ua hopohopo ka ʻeha o ka ʻili.
ʻO ka ho'ōla lohi a me ka hoʻomau ʻana i nā hōʻeha ma ka maʻi mellitus no ke ʻano o ka maʻi. ʻO ke kumu o kēia hiki ke hoʻopau ʻia i ke koko a me ka wīwī i ka maʻi kino o nā ʻōpala, kahi kaila o nā hana kūlohelohe.
ʻO nā kumu o ka mālama ʻana i nā hōʻeha ma ka maʻi maʻi
No ka hoʻomaopopo i ka hōʻeha nui o nā hōʻeha i ka diabetes mellitus, pono ia e noʻonoʻo i nā kaʻina e hiki mai ana i nā wahī me ka hapa o ka insulin (pili a kū ʻole paha). Ua ʻike ʻia ka hoʻolōʻihi ʻia ʻana o ka manawa hoʻōla o nā hōʻeha o nā ʻōpū huelo a me nā palu palupalu e hilinaʻi nei i ke ʻano o ka hōʻino kino vascular.
ʻO Microangiopathies a hoʻonui i ka coagulation koko ma ke kua o ka intracellular acidosis, ka hoʻopihapiha pūʻana o ka electrolyte impaired a me ka pālahalaha o nā lipoproteins e alakaʻi i ka emi ʻana o ka pale o ke kanikani, a me ka hōʻino hoʻi i ka hoʻonaninani kūloko.
Ma kēia hihia, ka ʻike ʻia o ka pilina ma waena o ka nui o ka papa o ka maʻi a me ka lōʻihi o ka pus hiki ke hiki me ka maʻi maʻi i ka mahele ʻeha. ʻO ka hana mua o ka hana ʻeha (ka hōʻeha) e hana me kahi hoʻonui hou o ka hōʻole ʻia o ka mea make, ke kamaʻilio nei a me ka loaʻa ʻana o nā mikrob ka paʻa mau.
I ka lua o ka hana (hana hou), hōʻiliʻili nā collagen fibers a me ka hoʻoluhilohi ʻana o ka kiko granule, a ma ke ʻano o ka ʻehiku i nā pule he ʻelua mau pule hou, kahi puka formative tissue hou. ʻO ka hōʻeha ʻia he hapa o ke koko a hōʻailona ʻia ma ka edema peripheral
Inā ka ulu ʻana o kahi ʻāpana purulent i ka mellitus maʻi diabetes ma ke ʻano o ke ahulau o ka maʻi neuropathy maʻi, a laila hoʻōla ʻia ka hoʻōla ʻana no nā kumu penei:
- ʻO ka microcirculation hoʻolimalima me ka hoʻohaʻahaʻa ʻana i ke kahe koko ma o nā capillaries a hoʻonui i ke kahe o ke koko i loko o nā veins.
- ʻO ka ʻōpū nui o nā kiko.
- Hoʻemi ʻia ka mālamalama.
- Ka hoʻihoʻi ʻana o ka mīkini loea i ka wāwae.
Hōʻikeʻike o ka maʻi purulent i ka maʻi diabetes
ʻO ke ʻano o ka ʻeha ʻeha i ka maʻi diabetes mellitus i pili pinepine ʻia i ka hoʻopili ʻana o ka ʻeha ma hope o nā hana, ʻeha ma ka maʻi maʻi o ka wāwae maʻi, abscesses ma hope o ke kūpaʻa ʻana, me nā ʻalaʻu a me nā carbuncles.
ʻO kekahi lesion purulent e hoʻoulu i ka decompensation o ka mellitus o ka maʻi mellitus, no ka mea e hoʻonui ai i ka hōʻike o hyperglycemia, urine e hōʻike ana i ka hoʻonui i ka hoʻōla glucose, hoʻonui i ka ketoacidosis. Ke hele nei ka maʻi aʻai, nā toxins mikrobial a me nā enzyme e huna ʻia e nā puna koko keʻokeʻo e luku ai i ka insulin.
Ua hōʻike ʻia he 1 ml o ka hoʻoheheʻe purulent e hana i 15 mau kō o ka insulin. I ka manawa like, hoʻonui nā hōʻailona pili i kēia:
- Hōʻino i nā kaʻina metabola me ka hoʻonui ʻana i ke ʻano kino o ke kino.
- Ke hoʻoikaika nei i ka hana o nā kino ketone, hiki i ka como ketoacidotic.
- ʻO ka hoʻolaha ʻana o ka maʻi microbial a hiki i ke kūkulu ʻana i ka sepsis.
- Hoʻohui ʻana me nā candidomycosis.
ʻO ka Diabetes mellitus, e hele ana me ka mea ʻole a he akahā paha i ka hele ʻana o nā maʻi purulent, hiki i ka nui, a he paʻakikī ka uku. Hoʻonui koke ka maʻi maʻi kūloko me ka pale ʻana i ka pale a hui pū ʻia me nā maʻi septic.
Inā ʻaʻole e mālama ʻia ka mālama ʻana me nā antibiotika a me nā insulin no kekahi kumu, ua make ka nui o ka make ma muli o nā ʻōpū purulent i ka maʻi diabetes.
Pehea e mālama ai i nā hōʻeha purulent i ka maʻi diabetes?
Hoʻopilikia ka maʻi maʻi i ka mālama ʻana i nā kaʻina infectious me ka uku ʻole o ka uku no ka nui o ka glucose koko. No laila, ke kau ʻoe i ka supuration, pono ʻoe e hoʻomaka i ka mālama ʻana i ka mea maʻi me ka hoʻokūpaʻa ʻana o ka mea pale i ka ʻaila. Pono ka pipiʻi o ka glycemia i loko o 6 mmol / l, ʻaʻole pono i ka urine ka glucose.
I ka hana mua o ke kaʻina hōʻeha, pono ʻoe e hoʻomaʻemaʻe i ka hōʻeha o nā maʻi baki a me ka pana. No ka hana ʻana i kēia mea, ʻaʻole hiki iā ʻoe ke hoʻohana i ka hana aila me ka momona, ʻoiai ʻaʻole lākou e hāʻawi i ka kahe mai ka ʻeha. No laila, hōʻike ʻia nā hoʻomākaukau e pili ana i kahi papa alō i ka wai a hiki ke hoʻokipa i nā ʻike ʻeha.
Hoʻohui pū ʻia nā lāʻau lapaʻau Osmotically me nā enzymes (chymotrypsin) e wikiwiki i ka hoʻomaʻemaʻe. ʻO nā lole o nā hōʻeha purulent me nā lāʻau antibacterial e lawe ʻia ana ma kahi o 1 mau manawa i ka lā.
Ke hoʻohana nei nā lāʻau lapaʻau i waho mai ka manawa maʻi a:
- Nā leila me ka chloramphenicol: Levomekol, Levosin.
- Nā hinu aila Nitazole: Nitatsid, Streptonitol.
- Mafenide Acetate ʻOintment.
- Furagel.
- Dioxol.
- Paila Iodopyron.
Eia kekahi, hopena maikaʻi me nā ulia trophic i hōʻike i nā lāʻau me ka iodine - Povidone-iodine a me Betadine. Lawe ʻia ka hopena no ka papa uncomplicated i nā hopena no 3-5 lā.
ʻO ke kumu o ka hoʻohana ʻana i nā lāʻau lapaʻau i ka lua o ka hana (ke hoʻoponopono hou ʻana) ke hana i nā granola (hou ʻōpiopio ʻōpio hou). No kēia, me kahi o ka hoʻohana ʻana i nā aila (Iruksol, Levosin), ʻo Vinilin, kahi ʻōnaehana 0.2% o Curiosin e kuhikuhi ʻia. Aia kekahi me kahi pūnaehana o ka hyaluronic acid me ka zinc, he hopena hōʻeha koʻeha.
Hoʻohana ʻia ka photherapyotherapy no ka maʻi diabetes a me nā irradiation ultraviolet o nā hōʻeha, nā laser a me nā ʻano maʻi magnetiko.
E hoʻopau ka papa ʻolu me ka hoʻokumu ʻana i kahi ʻāpana. Ma ka maʻi mellitus, e hui ʻia ke kāwili o ka insulin me nā huaora a me ka hoʻoliʻi no ka lole, a hoʻohana mau ʻia ʻo Curiosin e hoʻohana ʻia.
Hoʻohana ʻia i ka eha purulent i ka maʻi diabetes
No ka manawa lōʻihi, ua hāʻawi ʻia nā mea maʻi e mālama i ka mālama conservative o nā maʻi purulent i ka maʻi diabetes mellitus. Ua hōʻike ʻia nā haʻawina hou i ka wā o ka mālama ʻana i ka hōʻoki ʻana, ua hoʻemi ʻia ka manawa hoʻōla, a ʻo ka hoʻi o nā ʻōuli.
No ka hana ʻana i kēia, no 3-5 mau lā e kūlike i ke ʻano o ka mālama mau i nā lāʻau lapaʻau maʻamau, e hoʻomaʻemaʻe ʻia kahi hōʻeha holoʻokoʻa o ka ʻeha me ka noi o nā sutures a me ka hoʻoheheʻe ʻia o nā hōʻeha.
Me kēia ala lāʻau, hoʻokuʻu ʻia ke ʻano kino o ke kino mai ka hōʻeha. Ma hope iho, holoi ka hōʻoki ʻia me nā hopena wai o Chlorhexidine a i Rivanol hoʻi no 3-4 mau lā. Hoʻokuʻu ʻia nā Sutures ma ka lā 10-12.
Kāohi i ka suppuration o nā ʻeha i ka maʻi diabetes
I mea e pale ai i kahi papa lōʻihi o ka mālama ʻana, pono ke kaʻina nā mea pale e kōkua ai i ka hōʻeha ʻana i ka ʻili. He kūpono kēia no nā wāwae, ʻo ka mea āpau i ka maʻi maʻi.
Mai ka hoʻemi ʻana o ka naʻau o ka ʻili, ʻike ʻia ka ʻike ʻike maʻamau i kēlā me kēia lā i ka wā e ʻike ai i kahi hōʻoki, nā ʻokaʻami, a me nā hana abrasions ma ka manawa. Pono lākou e mālama ʻia me nā hopena kūlohelohe o nā antiseptics, e like me Chlorhexidine, Furacilin, Miramistin. ʻAʻole hoʻohana ʻia nā hopena alikaola o ka iodine, nā greens kila no ka maʻi diabetes.
No ka hōʻemi i ka hopena o kaʻoki a me nā hōʻeha, pono e paʻa nā kāmaʻa, ʻaʻole ʻia ke hele wāwae ʻole, ʻoi aku hoʻi i waho. Ma mua o ke kau ʻana, pono ʻoe e nānā i nā kāmaʻa no ke alo ʻana i nā mea ʻokoʻa ʻē aʻe - ke one, nā ʻili, a me nā mea ʻē aʻe.
ʻO kahi kuhikuhi nui i ka pale ʻana i ka hoʻomohala ʻana o nā hōʻeha hopopo i ka maʻi diabetes ka mālama ʻana i nā pae glucose koko a me ka hiki ʻana i ka mālama olakino. No ka hana ʻana i kēia, ua pono ia.
- Aia i kahi lako no ke ana ʻana i ka ʻike koko koko ma ka home a lawe mau pinepine ʻole.
- I kēlā me kēia ʻekolu mahina, e nānā i ka hemoglobin glycated.
- Ma nā liʻiliʻi he ʻeono mau mahina, hāʻawi ʻia ke koko i ka hoʻopiha le lipid, ka ihi no ka glucose a me ka protein.
- E hoʻomau i ke kahe koko ʻaʻole kiʻekiʻe ma mua o 135/85 mm Hg
- Hōʻalo i nā momona holoholona a me nā mea laikini māmā mai ka meaʻai.
- Kū i ka ulaula a inu i ka inu wai.
Inā aia nā hōʻailona o ka decompensation o ka diabetes mellitus, pono ia e hoʻokō i ka hoʻoponopono ʻana i ka lapaʻau ʻana e ka kipa ʻana i kahi endocrinologist. ʻAʻole hiki iā ʻoe ke hana i ka mālama kūʻokoʻa ʻana i nā hōʻeha o ka ʻili a me nā ʻōlaʻi ma ke ʻano, no ka mea, ua hele aʻe kahi kipa ma hope o ka hōʻeuʻeu ʻana o nā maʻi a me kahi papa ʻoi loa o nā hana maʻamau.
ʻO ke wikiō ma kēia ʻatikala e hōʻike ana i ka mālama ʻana o nā ʻāpana purulent me kahi laser.
