Hoʻonui ka glucose koko nui i nā poʻe maʻi me ka maʻi diabetes i nā hōʻike o kahi hoʻopiʻi e like me ka wāwae maʻi.
Hōʻike pinepine ʻia kāna mau hōʻailona i ka hopena o ka maʻi diabetes me ka hoʻomaʻemaʻe ʻole ʻana a i ʻole ka predisposition o ka mea maʻi i nā maʻi vascular a me ka neurological.
Hoʻopilikiaʻia nā hana mālama palekana no ka mālama wāwae i nā maʻi me ka maʻi diabetes me ka hopena o ka hōʻeha a me ka hoʻokumu ʻana i nā ʻeha hōʻāʻā lōʻihi. No laila, pono i nā loiloi a me nā manicures no nā maʻi maʻi e nā haku e nona nā ʻenehana a me nā ʻenehana.
ʻO ka wāwae Diabetic: mau kumu a me nā hōʻailona
Hoʻohui ʻia ke ʻano o ka wāwae maʻi maʻi me nā hōʻike o ka neuropathy. Hoʻopilikia kēia hoʻonāukiuki e ka luku ʻia ʻana o nā paia vascular e ke kumu kiʻekiʻe o ka glucose i ke koko.
Hoʻopilikia ʻia ke koko, me ka hoʻonaninani o nā nerve, ka hoʻokumu ʻana o nā protein glycated (pili i ka glucose), ʻo ka hōʻiliʻili o ka sorbitol i nā kinipona nerve e alakaʻi ai i ka hoʻōlaʻai a me ka hoʻopilikia ʻana i nā kiko. Hoʻopaʻa loa nā wāwae i ka hapa loa, ʻoiai loaʻa iā lākou ka ukana nui loa ma ke kūlana kūpono.
ʻO ka hōʻeha o ka naʻau o ka neuropathy maʻi ma mua o ka maʻi āpau e alakaʻi i nā mea i loaʻa - ke hōʻoki, ke puhi ʻana, nā pālule, nā ʻōpū a me nā sprains i hele ʻole ʻia, a me ke ʻano o ka ʻehaʻeha o ke kino i kumu o ka pale ʻana o nā maʻi ulcerative i ka manawa. He kū mau ke ʻano o ia mau ʻōuli, a ʻilihune ʻole.
Aia ka ʻili o ka ʻili me ka neuropathy diabetic:
- Hoʻonui nāʻa maloʻo, dehydration.
- Ke hoʻoikaika nei i ka keratinization, hoʻomoʻa o ka ʻili.
- ʻO ka hiʻohiʻona maʻamau o nā hāmakani, nāʻu, nā calluses.
- Hoʻopilikia i nā maʻi fungal.
- Ke kūwaho i ka ʻeha.
- ʻO nā maloʻo ka maloʻo, palupalu a pāpaʻa, ākea i ka peʻe
- Pōuliuli o ka pā kui.
ʻEkolu mau koho no ka hoʻomohala ʻana o ka wāwae maʻi - neuropathic, ischemic a me neuroischemic (hui pū ʻia). Me ka wāwae neuropathic, hoʻemi ʻia nā ʻano o ke ʻano o ka maʻi ma muli o ka hoʻonāukiuki ʻana o ka hohonu. Haumaha nā mea maʻi e pili ana i ka puhi ʻana i nā nānā, tingling sensations a me ka holo ʻana i nā "goose bumps". Hoʻoholo maikaʻi ka pulike, mahana nā wāwae.
Hoʻohui ʻia nā ʻano neemia Ischemic me ka nāwaliwali o ke kahe ʻana o ke kahe ma loko o nā moku liʻiliʻi, ua maloʻo nā wāwae, ʻūhā, ʻekeʻeha a me ke ʻeha e hele ana ke hele, ʻaʻole i ʻike ʻia ka pulse a i ʻole ua hoʻemi ʻia. Ua hui pū ʻia ka neuropathy diabetic hoʻohui ʻia i nā hōʻailona o nā ʻano mua ʻelua.
ʻO ka hōʻeha o nā hōʻoki, nā hōʻoki a i ʻole nā hōʻino i ka ʻili o ka maʻi ʻeha, no ka mea ʻaʻole i ʻike ʻia ka ʻeha, hōʻemi ʻia ka makeʻe ʻana, ke kiʻekiʻe o ka hoʻokahe koko kiʻekiʻe ke ʻano maikaʻi i nā ulu ʻana o nā mikrobes.
Nā puka lāʻau no ka maʻi maʻi
Ke mālama nei i nā kuku o kahi mea maʻi me ka maʻi maʻi, he maniky male leliki a me ka pedikyum me kahi o ka mua o nā hana unedged (hardware). Eia nō kekahi, pono e hana ʻia nā kaʻina āpau ma lalo o nā kūlana sterile a ma ka mālamalama maikaʻi, i pale ʻia ka hiki ʻana o ka hōʻeha hōʻeha ma ka ʻili.
No ka hana ʻana i kahi pedicure, pono ke ʻauʻau wāwae hoʻomākaukau e me ka wai mahana e pili ana i ka 36 degere. Pono ka haku ʻāpana kūʻokoʻa i ka pāhana, ʻoiai e loaʻa ana i ka maʻi maʻi ka maʻi haʻahaʻa. E hoʻohana i kahi lāʻau paileka, nona kahi hōʻailona kūikawā "Hāʻawi i ka maʻi maʻi", ʻoi aku ka maikaʻi o ka lāʻau.
ʻAʻole pono nā lōʻihi o ka ʻauʻau ma mua o 5 mau minuke. Inā pono, hiki ke hoʻohui ʻia i nā lāʻau antiseptic a me nā antifungal. Ma hope o ka ʻauʻau, ua mālama ʻia nā wahi i ʻili ʻia o ka ʻili me ka pumice maikaʻi a i ʻole kahi māla pelemika hoʻoluʻu kūikawā. I kēia hihia, pono ʻoe e kāohi me kou lima lima i ʻole e wehe i ka papakū o ka epidermis.
Nā rula no ka manicure a me ka pedicure no nā poʻe maʻi me ka maʻi maʻi:
- Hoʻokiʻoki ʻia nā kuku ma kahi laina pololei.
- Pono ʻoe e faile mai ka ʻaoʻao a i ka ʻaoʻao waena.
- ʻAʻole ʻoki ʻia ka cuticle, akā pale wale ʻia.
- Ma hope o ke kaʻina hana, pono e maloʻo nui ka ʻili, ʻoi aku ka nui o nā wahi interdigital.
- Lā ʻia ka ʻānai ʻana i kou mau wāwae.
Ma hope o ke kaʻina hana, hoʻokaʻawale ʻia nā wāwae me kahi mea momona e palu i ka ʻili, pono e kau i nā mea anti-inflammatory.
Pākuʻi maʻi paʻakikī no ka maʻi maʻi
ʻO ka hoʻohana ponoʻana o ke kaʻina hana ʻoi aku e hana ai i nā wāwae e koho ai i kahi koho kūpono loa no ka mālama mālama aku. Hoʻomaʻamaʻa loa ʻia ka wāwae maʻi maʻi e ka mīkini luhi, no ka mea e ʻae ʻia e wehe i ka palaoa me ka ʻole ko ka hōʻeha i ka ʻili a puni, a ʻo kēia wale nō ke ala e wehe ai i ka palalā ʻana o ka pā kui.
No kahi pedicic mīkini wili, nā daimana maikaʻi, nā nozzles non-coamse i hoʻohana ʻia i maʻalahi ke kaila. Pale kēia i ka maʻi o ka ʻeha o ka ʻeha o nā maʻi me ka maʻi maʻi. ʻOi aku ka nui o nā pahu e pili ana i ka maʻi abrasive ma hope o ka hoʻopau ʻana i ka hiki o ka maʻi ma ke kaʻina hana.
ʻO ka kaohi o ka hohonu o ka ʻili o ka ʻili, pono e neʻe ka haku i kona lima me ke aahu ʻole, i ʻole e hoʻopā i nā papa hohonu. Hoʻohala mua ʻia nā ʻōpio me kahi palupalu kūikawā. Hoʻokuʻu ʻia ka pani ʻana o ka pā o nā nail e hoʻemi i ka pehi i nā pā hohonu a pale i ka hoʻokumu ʻana o nā hematomas ma lalo o ka manamana ma muli o ka hoʻomau ʻana o ka manawa lōʻihi.
ʻO ka algorithm o nā hana me ka pedicure hāmeʻa i nā mea maʻi me ka maʻi maʻi:
- ʻO ka nānā ʻana i nā wāwae, ka mālama ʻana me ka chlorhexidine a i kahi miramistin (nā hoʻonā wai).
- E neʻe i ka mea ʻokiʻoki ma ka matini carbide a hoʻoneʻe i ka ptegyrium.
- No ka hoʻokō ʻana i nā ʻōwili okolonogtevyh me kahi noʻa hālei hoʻōla ʻia.
- E wehe i ke kua o ka kui me ka nozzle keramika.
- E hoʻopili i nā mea pākuʻi i nā wahi keratinized o nā kuʻekuʻe.
- Pono ka wāwae e mālama ʻia me kahi pāpale diamona manuahi i lalo o ka mana o ka lima.
ʻO nā mālama mālama mālama wāwae
Hoʻopau ʻia nā manicures a i ʻole he kuʻi maʻi no ka maʻi diabetes ma nā ala haʻahaʻa loa. Ke mālama nei i nā wāwae a i ʻole nā lima o nā mea maʻi me ka maʻi maʻi, ʻaʻole ia e pāpā ʻia i kekahi mau mea hōʻoki ʻē aʻe ma mua o nā ʻala no ka hōʻoki ʻana i nā kui. Ke lawe wale ʻia nā ʻauʻau wāwae no ka hoʻohana ʻana i ka wai wela o ka wai me ka ʻole o ka hoʻohana ʻana i ka alkalis paʻakikī.
Ma ka maʻi mellitus, e komo pū me ka mellitus decompensated, ʻaʻole e hoʻohana ʻia nā ʻano antiseptics: nā waiʻona i inu ʻia ka waiʻona, ka iodine a me nā ʻōmaʻomaʻo maikaʻi, a me ka potassium permanganate. Hāʻawi ia e hoʻohana i ka hydrogen peroxide, kahi hopena wai o ka furatsilina.
Ke hana ʻia nei nā kaʻina hana a me nā mea waiwai maikaʻi wale nō i mālama pono i nā hana maʻemaʻe a me nā kukui māmā. ʻAʻole hiki iā ʻoe ke ʻoki i nā ʻōpala a me nā palaoa. Eia nō hoʻi, ʻaʻole ia i kuhikuhi ʻia ka hoʻohana ʻana o kahi māka palaoa no nā maʻi maʻi.
No nā mea maʻi me ka maʻi maʻi, ua kauoha ʻia nā huahana mālama wāwae kūikawā:
- ʻO Milgamma (Vervag Pharma) ka pā mālama mālama wāwae - loaʻa i ka urea, he mea kōkua i ka mālama i ka wai, hoʻoluʻu i ka stratum corneum, hoʻonui i ka elasticity kino, a e hōʻemi i ka maloʻo. Hoʻohana ka hoʻohana ʻana i ka momona i ka hoʻihoʻi hou ʻana o ka epidermis a hoʻōla i ka hoʻomaikaʻi hou i ka ʻili.
- ʻO Balmamed a me Balzamed intensive (balm) i hoʻoili ʻia e Esparm, aia kahi iʻa hinu jojoba a me ka avocado, e hoʻolako ai i nā mea pono a me nā palekana, a me ka urea no ka palalupalu a me ka moisturizing. Hoʻohana ʻia ʻo Balzamed i ka ʻili i ke kakahiaka a me ke ahiahi, ua ikaika loa ʻo Balzamed, e like me ka mānoanoa, ma mua o ka hiamoe.
- Hoʻokomo ʻia ka pale lole wāwae Diaderm, hana ʻia e Avanta. ʻO ia ka mea paʻakikī a me nā antifungal paʻakikī e hoʻokumu i nā aila koʻikoʻi. Hoʻohana ʻia ia i kēlā me kēia lā e pale i nā maʻi a palalupalu i ka ʻili, a me ke komo ʻana i ka hoʻōla ʻana o nā palahalaha a me nā microtraumas.
- Diaderm emollient cream (Avanta) me ka avocado, hoʻoulu ʻia, ka lau niu, ka momona, nā ʻenehana hōʻailona antibacterial, mint, ʻaina castor, calendula a me ka hinu sage concentrates. Ka hoʻoponopono i ka hana pale, hana no ka nele o ka hoʻomaʻemaʻe kino, hoʻomaikaʻi i nā hana hoʻoponopono i loko. Hoʻolālā e mālama i kahi maloʻo maloʻo loa, maʻa o nā wāwae.
Nā rula no ka mālama wāwae no ka maʻi maʻi maʻi
Pono e nānā ʻia ka ʻili o nā wāwae i kēlā me kēia lā e ʻike i nā hōʻeha liʻiliʻi: nā hōʻiliʻili, nā hōʻoki ʻana a i ʻole hōʻoki ʻia, e ʻike pono i ka ʻike ʻana i kahi o hoʻokahi a me ka interdigital. ʻAʻole kuhikuhi ʻia nā mea maʻi maʻi maʻi e hele wāwae ʻole, ʻoi aku hoʻi ma waho.
ʻAʻole pono e paʻa i nā kāmaʻa me ka ʻole o nā kūmole, a me nā mea ʻole o kahi insole. Pono ʻoe e hoʻokaʻawale i ke ahiahi, ke nui ka nui o nā wāwae, koho wale nō mai nā mea kūlohelohe, nā pāpale ākea e laulā. Ke hoʻololi nei nā kāmaʻa i kēlā me kēia 2-3 mau lā. Mai hoʻohana i nā kāmaʻa me nā ʻūhā paʻakikī a me nā kāmaʻa paha me nā membranes ma waena o nā manamana wāwae.
I ke anuanu, pono ʻoe e kāhiko i nā kāʻei kūikawā no nā maʻi maʻi a me nā hāmeʻe i hana ʻia i ka huluhulu kūlohelohe a me nā kāmaʻa ʻaʻole e kāʻili i kou mau wāwae. Ma ka hihia o ka pīhoihoi koko, ʻaʻole ia e noi ʻia i loko o ke anuanu no ka ʻoi aku o 20 mau minuke. No ka hoʻomanahana i kou mau wāwae, mai hoʻohana i nā waʻa wela, nā radiator a ke ahi paha. Hiki i ka mahana o kahi ʻauʻau wāwae 5 mau minuke ke hiki ma waena o 36 degere.
ʻAʻole ʻōlelo ʻia nā ʻauʻau kai like no ka maʻi maʻi maʻa wale nō. Ma hope o ka lawe ʻana i nā kaʻina wai a i ʻole ma hope o ka loko i ka wai, pono e holoi ʻia kou mau wāwae me kahi kāwele a i ʻole kāwele palupalu, hoʻopili i kahi antiseptic a me kahi pāʻai kūikawā.
Ke haʻalele nei i ka ulaula a me ka waiʻona, a me ka nānā pinepine ʻana a me ka kūkākūkā ʻana o ka endocrinologist, neuropathologist a me ka podologist, e kōkua i ka pale ʻana i nā wāwae mai ka hoʻomohala ʻana i nā palaka ulcerative, ischemia aʻa, a me nā hoʻopiʻi hou pū kekahi ma nā maʻi neuropathy maʻi. ʻO ka wikiō ma kēia ʻatikala e haʻi aku iā ʻoe i ka mea o ka wāwae maʻi maʻi a pehea e hoʻoponopono ai iā ia.
