Hoʻohālikelike ʻia ka maʻi diabetes mellitus e ka hōʻino ʻana i nā moku koko mai ke kiʻi a liʻiliʻi. Hōʻikeʻike nā macro- a me microangiopathies i ke kiʻekiʻe o ka nui o ke kaila koko, ke holomua nei lākou me ka ulu ʻana o ka maʻi diabetes.
Hiki ke ʻike ʻia nā neʻe koko a me ka ʻike ma nā ʻaoʻao o lalo. I nā maʻi maʻi, hiki ke hoʻololi i nā kui, ka waihoʻoluʻu. He paʻakikī ka hoʻohemo ʻana o ke kahe koko i ka hoʻoili ʻana o nā kihi i loko o ka kiko kokoke i ke kui, ua hui pinepine ʻia nā maʻi ʻoi.
ʻO ka mumū o nā palu palupalu a nā manamana ma ka maʻi diabetes e alakaʻi i ka hoʻokumu ʻana o ka pus a puni ka pā, a me nā kūlana i loaʻa ʻole ke koko a me ka holo lymphatic, hoʻemi ʻia i loko, ʻike ʻia nā hopuna ʻole e hoʻolaha i ka wāwae a i ʻole ka lima.
Hoʻopouliuli i ka pā o ke kaʻi me ka maʻi maʻi diabetes
Inā loaʻa nā wahiʻeleʻele o nā maʻi maʻi ma nā kui, a laila ʻo ia ke hōʻailona mua o ka hoʻomohala ʻana i ka polyneuropathy. Me kēia hoʻopiʻi ʻana, aia ka hala ʻole o ka loaʻa o ke koko a me ka nāwaliwali o ka hohonu o ka hopena o nā haʻahaʻa haʻahaʻa.
ʻOi ka paia o ka pā maʻi i ka maʻi diabetes, no laila, me ka hōʻemi iki ʻana, hoʻomohala ʻia nā ʻōpū i loko o nā pā palupalu. I ke ʻano o ka hoʻemi ʻana o ka hoʻowalewale i ka ʻeha, hele pinepine nā ʻili o ka ʻili, a me ka hoʻohui ʻana i nā maʻi ke alakaʻi i ka manaʻo hematomas. Lawe ʻia ka hoʻomaʻamaʻa ʻana ma ke ʻano wale nō.
Hiki i ke kala o ke kui ke hoʻohemo ʻia e ka lōʻihi o ka wā i ka wā e hoʻokomo ai i nā kāmaʻa maikaʻi ʻole a i kahi pupuhi paha i hele ʻole ʻia. No laila, no nā mea maʻi me ka maʻi maʻi, kahi mākaʻikaʻi o kēlā me kēia lā i nā wāwae e hōʻike i ka microtraumas e paʻakikī ai i ka hoʻopili ʻana o nā maʻi ulcerative a i ʻole nā hanana maʻi.
ʻO kahi hōʻailona hou o ka haunaele microcirculation kahi nail ingrown. Hiki i nā kuku ke ulu i mua o nā mea penei:
- Nā hiʻohiʻona o ka palapala.
- Ka lawehala kuhihewa (ʻoi aku ka pōkole o ka nail).
- ʻO ka loli ʻana o ka pā kui ma hope o nā hōʻeha.
- Nā maʻi maʻi o nā kui.
- Nā wāwae wāwae.
- Ke kāhea nei nā kāmaʻa.
Hōʻike ʻia kahi kui ingrown e ka hoe ʻana o nā pulu palu kokoke i ke kui, ʻulaʻula a me ka ʻeha, e hoʻoikaika me ke kaumaha. Inā ua hōʻino ʻia ka manamana, e paʻakikī ana ka kau ʻana i nā kāmaʻa paʻa. I ka wā e hiki mai ana, ua hana ʻia nā kui palu i kahi hōʻeha i mea e kū ai ka mikrobes, nā pipi.
Uhiʻi ʻia ka pohō i wehe ʻia me ka ʻōwili hāliʻiliʻi, e kū mālie ka ʻōpala. Akā me ka maʻi diabetes, e noʻonoʻo paha kēia hoʻomehana, ʻoiai ka hoʻomaka ʻana o ke kaʻina a lilo ʻo ia i maʻi.
No laila, ʻo ka ʻimi ʻana i ke kōkua loea e pono i ka poʻe maʻi me ka maʻi maʻi i ka wā e ʻike ʻia ai nā hōʻailona mua o ka maʻi ke pale i ka suppuration. Hoʻokuʻu ʻia ka nail ingrown e ka mea lapaʻau wale nō.
Pōʻino kino ka honu i ka maʻi maʻi maʻi
Loaʻa nā maʻi honu o nā wāwae i kahi hapakolu o nā poʻe maʻi me ka maʻi maʻi. E like me nā hopena o nā haʻawina ʻo ka microbiological, ʻike pinepine ʻia ka candidiasis a me trichophytosis. ʻO ka hōʻino ʻana i nā waiwai palekana o ka ʻili, ka maloʻo maloʻo me ka makemake e kāhea ʻia a me nā hōʻawe i alakaʻi i nā pua fungal.
Ka nui o ka hoʻomohala ʻana i ka mycoses e hoʻonui i nā kūlana o ka lēʻōlaʻi o ka pahuhopu, ka mea i hoʻopihapiha i nā pono kiko, ke kahe koko ʻana, nā hōʻike o ka oxygen a me ka pololi o ka pololi o nā nui. Me ka hui pū ʻana o ka pōʻinoʻino a me ka neuropathy, nā mālo kūlohelohe no ka pale ʻana i nā mikrobona e nāwaliwali.
Ua hoʻokumu ʻia kahi pilina ma waena o ka pae o ka glucose i ke koko a me nā hōʻike ʻana o nā loina fungal. Me ka uku hoʻēmi no ka mellitus maʻi diabetes, he piʻi nui o ke koko o nā lipids a me nā kino ketone e kū'ē i ka hope o ka hyperglycemia e hoʻoneʻe ana i ka hana o nā leukocytes a me nā lymphocytes, ka mea e hōʻemi ai i ka hoʻoliʻiliʻi o ka lāliʻi, a, ma ia mea, i ka ulu ʻole ʻana o ka ulu ʻana o ka mikrobes.
Hoʻopuka ke kuʻekuʻe wāwae maʻi hakahaka i ka hoʻomohala ʻana o nā hoʻopiʻi ʻana o nā hopena fungal o nā iwi. ʻO nā leʻaleʻa liʻiliʻi e hōʻeha ʻia i ka wā i hōʻeha ʻia me kahi kui i wāwahi ʻia, ma nā kūlana kīnā hemahema e alakaʻi i nā kūlana i lalo:
- Holo o ka moena kuku.
- Ka mumū o ka kiko kokoke i ka pā.
- Ka Humu ʻana o kahi ulia peptic.
- ʻO ka hui ʻana o ka osteomyelitis.
- Hōʻike systemic o ka maʻi fungal.
Me ka ʻano o ka neuropathic o ka wāwae maʻi, e hoʻopilikia pinepine ʻia nā puhē, a me ka wāwae ischemic a me nā kui.
Eia nō hoʻi kahi hōʻailona o ka loina fungal ʻo ka ʻulaʻula, ka ʻeha poha i waena o nā manamana lima, aʻo ka manamana lima liʻiliʻi a me ka manamana lima lele paha ka wahi maʻamau no ka hoʻomohala ʻana i nā dermatitis fungal.
Lapaʻau Nail no ka maʻi maʻi
No ka mālama home e hoʻohana ana i nā ʻaila, kaʻaila, nā kūmole a me nā wai puna. Ua kuhikuhi ʻia ʻo Lamisil, Mikospor, Clotrimazole a me Ecodax. No ka mālamaʻana i ka mycoses interdigital, hoʻohana ʻia kahi hopena a i ʻole ka peʻe. E hoʻoikaika i nā papa o ka nail, varnish Loceril a i Dafnegin, hoʻohana ʻia ʻo Batrafen.
Inā hele pū ka pōʻino o ka kuku me nā hoʻopiʻi, a laila e kuhikuhi ʻia nā hoʻomākaukau antifungal o ka hopena ʻōnaehana. Hiki iā lākou ke hooki i ka hana hou o nā pulupulu ma muli o ka hana i ka hana ʻana o kahi mea (ergosterol), e hoʻonui ai i ka ulu ʻana o nā cell o kēia mau microorganism.
Ke koho ʻana i ka mālama ʻana me ka lāʻau lapaʻau ʻōnaehana i ka poʻe maʻi me ka maʻi mellitus, ka pakanā o kāna hana a me ka hana ʻana me nā lāʻau hoʻohiolo i ke kō, a me nā hopena ʻē aʻe i ke akeʻa a me nā pōpoki, ua manaʻo ʻia ʻo ia.
ʻO nā hui nui o nā lāʻau lapaʻau no ka mālama ʻana i mycosis i ka maʻi diabetes:
- Terbinafine: Lamisil, Terbinox, Thermicon. Hōʻike ʻia ka hopena kiʻekiʻe e pili ana i ka dermatitis, ua hana ʻia ka hana anti-inflammatory.
- Itraconazole: Orungal, Irunin. Hoʻohui ʻia nā lāʻau lapaʻau me ka hoʻonaninani antidiabetic, mai hoʻonāukiuki i ka aʻalopona, hana i nā dermatophytes, candida, nā mū hua. Hoʻopili maikaʻi lākou i loko o nā kui.
- Fluconazole: Diflucan, Mikomax, Flucostat. Ke hoʻohālikelike ʻia me ka sulfonylureas, hoʻonui ka nui o ka hypoglycemia.
I ka mālamaʻana i nā maʻi o ka maʻi, pono ia e hoʻomau i ka pae o ka glucose i ke koko ma ka pae o nā kuʻina o nā waiwai pākahi. Inā ʻaʻole kāpae ʻia ka glycemia me ka mellitus type 2 type me ka lāʻau antidiabetic waha a me ka mea maʻi he mau hōʻailona o ka mycosis systemic, a laila e kuhikuhi ʻia ke ka hoʻololi ʻana i ka insulin.
ʻO ka pale ʻana i nā pōʻino o ka wāwae i ka maʻi diabetes
I mea e pale ai i nā hopena koʻikoʻi o nā hōʻeha a me nā maʻi ʻeha, pono ke nānā kino ʻana i nā lā i kēlā me kēia lā. He mea koʻikoʻi loa kēia me nā hōʻailona o ka maʻi lele i ka haʻahaʻa haʻahaʻa a me kahi lōʻihi o ka maʻi maʻi.
ʻO ka ʻoi aku ka nui o ka hoʻomake ʻana i nā maʻi maʻi hānai a he ʻelemakule nā maʻi, ma hope o ka lōʻihi o nā maʻi lēʻeha a me ka hoʻohana ʻana i nā antibiotics, a me nā kumukūʻai koko nui.
I kēlā mau mea maʻi, ʻoiai me ka ʻulaʻula a me ke kaumaha ʻaʻole pono e mālama ʻia. Pono ke kūkākūkā manawa me ka neurologist a me dermatologist. Eia kekahi, ua hoʻoholo ʻia ka gogekobin glycated a me ka metabolidoma lipid ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻekolu mahina, a inā e hōʻike ʻia, e hana ʻia kahi ʻike immunological kikoʻī.
I mea e pale ai i ka hōʻeha o ka ʻili a me nā kui, pono ʻoe e hahai i kēia mau ʻōlelo ʻana:
- ʻAʻole hiki iā ʻoe ke hele wāwae, ʻaʻole hoʻi i loko.
- Pono e hoʻopaʻa ʻia nā kāmaʻa e ʻaʻole ai e pohō a ʻeha paha.
- Ma mua o ke kau ʻana, pono ʻoe e nānā i nā kāmaʻa e pale ai i nā pōpoki, hōʻino ʻia i nā mea ʻokiʻoki, ʻāwīwī a ʻili paha.
- ʻO ka maʻemaʻe a i kēlā me kēia lā a me ka hoʻopauʻana i ka pena o nā wāwae.
- Mai hoʻohana i nā kāmaʻa o ka poʻe ʻē aʻe.
- No ka hana ʻana i kahi pedikyur, pono ʻoe e hoʻohana i nā mea waiwai sterile wale nō, ʻoi aku ka nui o nā ʻoihana hana.
He mea koʻikoʻi nō ka hoʻohana ʻana i nā kāmaʻa i hana ʻia mai nā mea kūlohelohe, hoʻololi i nā kūmole, nā make ʻana i kēlā me kēia lā, ma hope o ke kipa ʻana i ka hale hana, ka wai ʻauʻau a i ka ʻauʻau paha, e mālama pono i ka mālama ʻana i kou mau wāwae me kahi wai antifungal a i kaʻaila. Hiki iā ʻoe ke hoʻohana i ka ʻaila lāʻau ʻenehana i hoʻohui ʻia i kaʻaila wāwae maʻamau.
Ma hope o ka pau ʻana o ka mālama ʻana i ka lolo me ka maʻi ʻaʻai i ka hopena, pono e mālama i nā kāmaʻa me ka formalin e pale i ka pale hou. No ka hana ʻana i kēia, e hoʻomehana ʻia i loko o ka ʻōpū me kahi ʻapo a poepoe a waiho ʻia i loko o ka ʻeke i pani ʻia i hoʻokahi lā. Nā ʻoka a me nā kaila ma hope o ka holoi ʻana.
Ma ke wikiō ma kēia ʻatikala, hoʻomau ʻia ke kumuhana o ka nail kuku i ka maʻi diabetes.
