Ma ka maʻi mellitus, ua hōʻike ʻia kahi nui o ka glucose i loko o ke koko. Me kahi papa lōʻihi o ka maʻi a ʻaʻole lawa ka uku, hōʻino ka glucose i nā paia o nā kīʻaha koko a me nā nerve.
ʻO ka hoʻonāukiuki o ka maʻi maʻamau ka neuropathy, ʻo kekahi o kāna mau puka i hōʻino ʻia i nā haʻahaʻa haʻahaʻa a me ke kūkulu ʻana o ka wāwae maʻi.
Puka nā ʻūhā ma nā wāwae, nā ʻānō, nā huʻalāʻau e hoʻohālikelike ʻia. Me ka mālama kūpono, hiki i ka neuropathy ke alakaʻi i ka amputation o ka wāwae.
ʻO nā kumu o ka neuropathy i ka maʻi diabetes
ʻO ke kumu nui no ka hoʻomohala ʻana o ka neuropathy (ʻo ka hōʻino i nā kinipona nerve) i ka maʻi diabetes he nui ka nui o ka glucose i loko o ke koko. Inā ʻaʻole pololei ke koho ʻana i ka mālama ʻana, a ʻaʻole i hahai pono ka mea maʻi i ka meaʻai i ʻōlelo ʻia ai, ʻekahi e lawe ana i ka insulin a i ʻole nā papa, ʻaʻole nā ke kaohi o ka glucose, a laila hoʻomohala ka hoʻopiʻi.
ʻO ka hapanui pinepine ka maʻi maʻamau i pili i nā nīnūnū a me ka uila ʻO ka hoʻololi mau ʻana i nā pae kōhi e hoʻopau i nā paia o nā kīʻaha koko, e alakaʻi ana i ka lawa o ke koko. ʻAʻohe undissourished. I ka hopena, hoʻomaka nā kaʻina hana i loko o nā kiko:
- ʻO ka pale palekana e hoʻonāukiuki i ka ʻili, nawaliwali.
- Hoemi ʻia ka paepae eha.
- Hoʻopoina ka nānā ʻana o ke ana wela.
- ʻO ka hele hewa ʻana o ka kūpaʻa o ka ʻili i ʻike ʻole ʻia.
- Hoʻopili ka paʻu, hoʻomālamalama a pākuʻi.
- Hoʻokomo ʻia nā poho ma nā wahi maloʻo o ka ʻili.
- Hoʻomaʻemi maikaʻi ka palaka ʻili a hoʻololi i nā ʻeha.
- Ma muli o ke ʻano o ka hana kīnā ʻole, ʻaʻole ʻike ka poʻe maʻi i nā mea hōʻeha a me nā hōʻemi i ka hoʻopili ʻana.
- Deformed nā pilina o ka wāwae a me ka wāwae haʻahaʻa.
Hoʻonui nui ka hoʻonui ʻana i ka neuropathy inā, ma ka hoʻohui ʻana i ke maʻi maʻi maʻi, ua maʻi nā maʻi maʻi vascular (varicose veins, angiitis, vasculitis, obliterating endarteritis), arthritis, flat feet.
ʻO nā hōʻailona mua o ka wāwae maʻi
ʻO nā hōʻailona hoʻomaka e ʻike ʻole a ʻaʻole i hopohopo i ka poʻe maʻi. Akāʻo ia me kēia mau hōʻailona he pono ke hoʻomaka i ka mālama kūikawā, no ka mea e hiki kēia mau ʻōuli.
ʻO nā hoʻololi i nā wāwae e pono ai e makaʻala:
- Nā kuku kuʻu.
- ʻO nā maʻi ʻaina o nā kui a me ka ʻili o ka wāwae.
- Ka hoʻokumu ʻana o nā lau a me ke kāhea.
- Kaʻeleʻele o ke kui.
- ʻO nā pīpī i nā kuʻekuʻe.
- ʻO Microtrauma i ka wā o ka pedicure.
- ʻO ka hoʻololi ʻana i nā paʻa o nā manamana wāwae
- Waʻai ingrown - nā kihi o nā kui, inā ʻaʻole i ʻoki hewa, ʻoki ʻia i loko o ka pūnaewele periungual, hana kēia i ka huhū, ka ʻeha a me ka ʻehā. No ka mālama ʻana, e pono ai ke wehe ʻana i nā kihi o ka ingrown.
- Hōʻike ʻia nā leʻa manuahi o nā kui e ka mānoanoa, ʻike ʻia ma ke kiʻi. E keleʻele paha a hoʻohuli paha i ke kui, nalowale ke aniani a hāneʻe. Hoʻopili i kahi manamana pōkole mānoanoa me ka manamana lima, hiki i ke kaomi o ke kāmaʻa ma luna o ke kui ke alakaʻi i ke ʻano o ka supuration ma lalo o ka pā.
Ma ka ʻili o nā wāwae me ka hoʻomohala ʻana o nā fungi, ua nui ka lau o ka ʻili, hoʻomoʻa, ʻulaʻula a me nā palaki ma luna o ia. I nā kūlana o ke kahe koko, ua huli nā nahiki i nā ʻeha maʻi maʻi. Hana ʻia kahi hoʻokolohua microbiological o ka ʻōpala ʻana. Hoʻomaʻamaʻa ʻia ka mālama ʻia e kahi dermatologist.
Hoʻokumu ʻia nā ʻōpala a me nā palaoa i nā wahi o ka hoʻopili nui ʻana i ka wāwae me nā kāmaʻa. Me ka maʻi diabetes, ʻike lākou i ka hemorrhage a me ka suppuration e like me ke kiʻi ma ka ʻatikala. ʻAʻole hiki ke ʻoki ʻia nā lau, ʻaʻole mālama ʻia nā wāwae i loko o ka wai wela no ka ʻaihue, ʻae ʻia ka hoʻōla ʻana me nā pumice wale nō. Hōʻike ʻia nā ʻaole orthopedic i hōʻike ʻia.
Hiki i nāʻeleʻele o ke kui ke hoʻohemo ʻia e nā kīʻaha koko ke kāʻili ʻia me nā kāmaʻa paʻa. Inā ʻaʻole i hoʻoholo ka hemorrhage, hiki paha i ka fester. I ka wā e hana ʻia ai ka paila, koi ʻia ka hana.
ʻO nā kāmaʻa me kahi kuʻekuʻe hāmama ma luna o ke kua o ka ʻili maloʻo a i ʻole ke hele wāwae me nā wāwae hema e huki ana i nā kuʻekuʻe, hiki ke lilo i maʻi a me ka manaʻo. Ma kahi o nā ʻoki leo ulia. No laila, no ka pale ʻana, pono ʻoe e hoʻohana i nā kāmole me urea - Prednikarb, Balzamed, Diakrem. Pono nā kāmaʻa me kahi pani paʻa. Pehea e hoʻomaʻamaʻa ai i nā cracks e hoʻōla maikaʻi ʻole, hiki iā ia ke ʻōlelo i ka podologist.
I ka wā e hoʻoulu ai i nā kui, ʻike ʻia nā ʻoki. I nā kūlana o ka hōʻemi ʻana i ka ʻeha ʻana o ka ʻeha, ke hoʻomau nei lākou me ka mālama ʻole, a laila hiki ke ulia ka ʻili o ka ʻili i kahi ʻeha liʻiliʻi. I kēlā mau kūlana, pono e mālama ʻia ka hōʻeha me kahi lole antiseptic a noi ʻia kahi lole pale.
Hiki i nā manamana wāwae ke kūlohelohe i nā pihi mua i ka wā e paʻa ai i nā kāmaʻa paʻa; ma ka manamana lima, hoʻonui i ka maka ma hope e pili ana i nā metatarsal. Kuhi ʻia kēia mau wahi i ka ʻohi ʻana a me ke kūkulu ʻana o nā māla a me nā pōpō.
I ia kūlana, pono e koho i nā kāmaʻa orthopedic a hoʻohana i nā mea insoles e hāpai i ke paia o ka wāwae, nā pale silicone i nā kāmaʻa a me nā mea kūikawā kūikawā no ke kōkua maʻi maʻi e pale aku i nā hōʻeha.
Nā hōʻailona o kahi wāwae maʻi
Me ka hoʻomohala ʻana o nā pilikia i ka moku, ka hoʻopili ʻana o nā loli o ka atherosclerotic i loko o lākou a me ka hoʻomohala ʻana o ka hōʻohi ʻana i nā fibers nerve, ʻekolu ʻano o nā leʻaleʻa wāwae wāwae i hoʻomohala ʻia i ka maʻi mellitus: neuropathic, ischemic a hui pū ʻia.
Me ka neuropathic syndrome, ka hopena o ka ʻike. ʻO ka hōʻeha ʻana i ka ʻili ke hōʻeha nui a ma ka manawa like, ʻike ʻia ka humuhū i nā wāwae. Hiki paha ke loaʻa nā ʻeha ʻē aʻe, tingling.
ʻO nā leʻalohi o nā hopena o ke aʻa ma nā io o nā ʻōpū o nā puʻupuʻu, nā wāwae haʻahaʻa a me nā wāwae e alakaʻi i ko lākou nāwaliwali, loli ka ke kūlana o ka wāwae i ka wā e hele ana a me nā puʻupuʻu a me nā subluxations i nā pākuʻi, a hoʻomaka ka huhū ma nā wahi e hoʻopili ai i nā kāmaʻa.
Ma ka ʻili o nā wāwae, e loli ke kihuhihi a me ke ʻano huna sebum. Hoʻonui ka hoʻonui ʻana i ka maloʻo a me nā ʻapae i ka ʻili. ʻO ka hoʻohuiʻana i kahi maʻi fungal a maʻi bacterial paha e hoʻomaikaʻi i nā kaʻina maʻi.
ʻO waho, ʻo ka wāwae, e like me ke nānā ʻana i ke kiʻi, he ʻulaʻula, ua ʻōlio ʻia ka ulia ma nā iwi metatarsal - ʻo ke kumu o ka ukana nui loa. ʻAno ka ʻōpala me nā kihi nā mānoanoa. I ka hoʻoholoʻana i ka puliki, ua maʻalahi palpated, ua mahana ka wāwae.
Hoʻopilikia ʻia ka maʻi Ischemic me nā mea ʻino o nā arela nui a me nā moku liʻiliʻi, i loko o lākou, me kahi nui o ke kō, e hoʻomaka ana nā kaʻina hana:
- ʻO ka hana o ka momona a me ka calcium ma nā paia.
- Ka hoʻokumu ʻana o nā pāla i ka lumen o ka moku.
- Hoʻopili hou ka pā o ke vascular.
- Ke hoʻonui nei ke kahe koko i loko o nā veins.
- I loko o nā kūlana o ka stagnation venous a me kahi hoʻohaʻahaʻa i ke kahe o ke kahe ma o ka ʻehā, nā edema a me nā hemorrhages i loko o ka ʻili.
- Ua lilo ka ʻili, ʻōwili.
ʻO ka maʻi me nā neuropathy ischemic e hopohopo e pili ana i ka ʻeha aʻo ka hele ʻana. Aia i kahi keiko intermittent. I ka wā o ka hoʻāliʻi kino, hele ʻia ka ʻeha, hoʻoweliweli ka mea maʻi i ka neʻe ʻana ma kahi o ka ʻeha.
Me kahi ʻāpana neuropathic i kāwili ʻia, nā loli i nā ʻōpū a me nā ʻuhane o nā wāwae e alakaʻi ai i kahi pōkole o nā tendons, ʻaʻole pololei nā wāwae i ka wā e hele ai i ka hopena. Hoʻokomo ʻia nā ʻōmole Glycated ma luna o ka papaha artical. Hoʻoulu ʻo Ioints i ka ʻāʻā ʻana, ka huhū, ke kau ʻana. Kūkulu ʻia kahi wāwae Charcot maʻamau, e like me ke kiʻi.
Ke anuanu nā wāwae, me kahi nāwaliwali nāwaliwali, hāʻule ka lauoho ma ka wāwae haʻahaʻa, ʻulaʻulaʻula nā ʻulaʻula, nā ʻūhā e kau ana i nā kuʻekuʻe a me nā kuʻekuʻe (ma nā wahi o ke kahe koko nāwaliwali). Ua maloʻo ka palaka, ʻeha loa.
I ka hoʻomohalaʻana o ka wāwae maʻi, he mau ʻokoʻa o nā holomua o ka holomua:
ʻAi ʻolua: ʻaʻole i ʻaki ka ʻili, hoʻowalelu ka wāwae, hoʻemi ʻia ka ʻili.
ʻO ke kumu mua: loaʻa ka ʻili i ka ulia pōkole, ʻaʻohe hōʻailona o ka maʻi maʻi.
ʻElua hele ʻana: pili ka ulia i nā palupalu palupalu.
ʻO ke kolu o ke kolu: ua kaʻi ʻia ke ulula, ʻāʻī ka ʻili, ʻūhā, wela i ka pā.
ʻEhā pae: gangrene, nele i ke kahe koko, maʻi o ka ʻeha.
He hoʻomaʻemaʻe a me ke pale aku
I mea e pōmaikaʻi pono ai kahi wāwae maʻi maʻi, pono ʻoe e hoʻohaʻahaʻa i kāu kōʻai koko. No ka mea ʻo ke kumu olakino koʻikoʻi ka uku o ka maʻi diabetes: ka hoʻokaʻina o ke koko, ke koko a me nā hōʻailona o ka metabolism momona.
Eia kekahi, e like me nā hōʻike, hiki ke hoʻohālikelike ʻia ka lāʻau, ʻokiʻoki, a me nā huaora. Hoʻohana lākou i nā lāʻau lapaʻau e hoʻomaikaʻi i ke kahe koko: Pentoxifylline, Cardiomagnyl, Normoven.
No ka hoʻomaikaʻi ʻana i nā kaʻina metabolic, ua ʻōlelo ʻia ka hoʻohana ʻana o ka mākaukau alpha-lipoic acid no ka maʻi type o ka lā 2 (Berlition, Thiogamma). Me kahi ʻano ischemic o neuropathy, loaʻa i ka Midokalm ka hopena maikaʻi.
Hoʻohana nui ʻia ka hoʻohana ʻana i nā ʻenehana hou i nā hauka ʻē aʻe. Loaʻa ʻia nā hopena maikaʻi mai ka hoʻohana ʻia ʻana o:
- Hoʻolāʻau maʻi holomua.
- Hoʻopau i nā cell cell.
- Ke ʻano kumu uila Plasma.
- ʻO ka haʻalulu haʻalulu Extracorporeal.
Hiki i nā hana kūpono ke pale i ke kaʻina o ka luku ʻana i nā kaʻe ma ka palena o lalo i ke kumu mua. E kōkua kēia i ka pale ʻana i nā hopena koʻikoʻi e like me ka gangrene diabetes a me ka ʻuhukū.
- Ka nānāʻana i ka glucose, glycated hemoglobin, a me ka kolamu ma ke koko.
- Ke hoʻomau nei i nā pae koko koko i ʻole ka kiʻekiʻe ma mua o 135/85 mm RT. ʻAniā.
- ʻO ka nānā pinepine ʻana e kahi endocrinologist, kūkākūkā me kahi neurologist a me podologist.
- ʻAno i ka inu a me ka inu ʻawa.
- Ke komo nei i nā kāmaʻa kūleʻa i hana ʻia mai nā mea kūlohelohe.
- Ka hōʻole ʻia o nā kāleka synthetic.
- ʻO ka hele wāwae ʻana a me nā hoʻomaʻamaʻa haʻahaʻa no nā wāwae.
- Kūkākūkā me kahi dermatologist no nā maʻi maʻi i hopohopo ʻia.
- ʻO ka nānā ʻana i kēlā me kēia lā i ʻole e pau i ka hoʻomaka ʻana no ka hoʻomohokoke ʻana.
- Ka hoʻomaʻemaʻe ʻana o nā wāwae e hoʻohana ana i ka wai mahana a me ka umauma pēpē.
- Hoʻopili i ka ʻili ma hope o ka holoi ʻana.
- ʻĀpō hoʻomaʻemaʻe.
- Ke hōʻole nei e hele wāwae ʻole, ʻaʻole ma waho o ka home.
- ʻAʻole hiki iā ʻoe ke hoʻohana i nā wela wela, e hana i nā ʻauʻau wela.
- ʻAʻole hiki iā ʻoe ke ʻoki i nā ʻōpala a hoʻohana i kahi pāpale palaoa.
- ʻAʻole pono e holo pono nā kāmaʻa ma luna o nā wāwae hema a i ʻole nā mea ʻōpiopio.
- ʻAʻole hoʻomaka ke kaʻina hana i kahi ulia ma ka wāwae.
Hana ʻia ka hōʻeha ʻana o nā maʻi ʻeha ma ka maʻi mellitus e ka hydrogen peroxide, ka momona furacilin, Chlorhexidine, Miramistin, Decamethoxin. Ma hope o ka hoʻōla ʻana, pono e hoʻopili ʻia kahi lole hoʻohuihui maikaʻi. Lā ʻia ka hoʻohana ʻana i ka iodine, ʻōmaʻomaʻo maikaʻi, pālehu permanganate, ʻaila ʻaila.
No ka ho'ōla hōʻeha, hiki iā ʻoe ke hoʻohana i nā hāmeʻa Actovegin a i ʻole Solcoseryl gels. No ka hōʻemi i ka ʻili maloʻo, hoʻohana ʻia kahi pēpē pēpē, aila poni a me ka ʻaila buckthorn kai. Ke hōʻike nei ke wikiō ma kēia ʻatikala i nā kumu o ka wāwae maʻi maʻi.
