Loaʻa nā ʻōiwi nānā ʻike maikaʻi i ka 50% o nā maʻi maʻi, i hoʻopau ʻia i nā loli a hiki ke ʻike ʻia nā hōʻailona ma aneane o nā maʻi āpau. E pili ana ka dermopathy Diabetic i nā wai mua o ka ʻeha i hōʻeha i ka maʻi maʻi. ʻO ke kumu o kēia mau pilikia i like me nā hoʻopiʻi ʻē aʻe - ʻoi loa ka nui o ka glucose i loko o ke koko a me ka hōʻiliʻili ʻana o nā huahana o nā pathological metabolism i loko o nā kiko. Ma muli o ka hopena maikaʻi ʻole i ka dermis, epidermis, nā follicle a me nā kelinona, ko lākou ʻano a me ka loli o ka kala. Hoʻohana pinepine ʻia nā maʻi ʻeha i loko o ka maʻi ʻaʻai inā ʻaʻole lākou i paʻakikī i kahi maʻi maʻi maʻi a maʻemaʻe paha.
He aha ka dermopathy
ʻO nā dermopathy Diabetic ke nānā aku i nā pōpoki o ke ʻili o ka ʻōpala o ka atrophied o ke kala ʻulaʻula. Ua manaʻo ʻia kēia maʻi maʻamau ke hōʻike ʻana o ka maʻi maʻamau o ka maʻi maʻi. ʻO ka hapa pinepine, ʻike ʻia nā wahi i ka symmetrically ma ka mua o ka wāwae o ka wāwae haʻahaʻa a me ka ʻaoʻao o waho o ka wāwae, akā, ʻo kekahi ʻāpana o ke kino e pili pū kekahi.
I ka wā e ʻike ʻia ai nā kiʻi, he liʻiliʻi lākou, pili i 1 cm, hōʻike a ʻulaʻula, ʻulaʻula a ʻulaʻula paha. Hiki ke loli ke ʻano o ka hōʻoluʻolu a me ka hoʻonaninani o ke kino, akā hiki ke loaʻa hoʻi nā nodules e kūweʻe iki aʻe ma luna o ka ʻili. ʻO ka pinepine, ʻo ka dermopathy maʻi maʻi i ka hoʻomaka mua ʻana i kuhi ʻia no ka lā sunburn a i ʻole ka pili makahiki. Ke piʻi mālie nei ka nui o nā ʻōpū, hiki iā lākou ke hoʻohui me kekahi a uhi i ka ʻōpū haʻahaʻa a pau. ʻIli ʻia ka ʻili a nā ʻili. I ka hapa nui, he deryoptomatic ka dermopathy.
ʻO ka maʻi maʻi a me nā hoʻohaʻahaʻa manaʻo e hana ia i ka wā ma mua
- Ka hana maʻamau o ke kō -95%
- Hoʻokuʻuina o ka pua thrombosis - 70%
- Hoʻopau i kahi puʻuwai ikaika -90%
- Hoʻopau i ke kiʻekiʻe o ke koko - 92%
- ʻO ka hoʻonuiʻana i ka ikehu i ka wā, hoʻomaikaʻi i ka hiamoe i ka pō -97%
Nā hiʻohiʻona o ka maʻi:
- Hōʻike wale ia i ka maʻi diabetes, no laila, he hōʻailona maopopo ka dermopathy i ke kō kiʻekiʻe.
- Hoʻomaopopo pinepine ʻia i nā kāne me ka maʻi mellitus lōʻihi.
- Me ka polyneuropathy concomitant i nā wahi i hoʻopili ʻia, hiki ke manaʻo.
- Holo nā Spots ma kā lākou iho ma hope o 2 mau makahiki, ʻoiai ʻaʻole i hoʻokele ʻia ke ʻano o nā mea hou.
No ka hōʻoia i ka hōʻikeʻana o dermopathy, kahi hōʻike pilikino a me ka ʻikepili ma ka glycemia koko o ka nui. No ka maʻi maʻamau, i nā hihia kānalua, ke kāʻili ʻia ka ʻili o kāna ʻano hoʻokolohua hou, ʻike ʻia me kahi kukui lāʻau.
ʻO nā kumu o ka pilikia maʻi maʻi
Ke hoʻohana nei i nā haʻawina histological a me nā mikroscopic o ka ʻili, ua hōʻike ʻia i ka nui o ka maʻi mellitus e hoʻololi nui i ke ʻano o ka ʻili, ʻo "ka ʻelemakule". I loko o ia mea, ua hoʻemi ʻia ka nui o nā fib elastin, e piʻi ka nui o nā mea hoʻohui, e hoʻemi ana ka syntast elastin, a me ka hoʻololi ʻana o nā loli collagen. Ma ka hoʻolālāʻana, kokoke ke kino o kahi mea maʻi maʻi 40 mau makahiki i ka māka o ke ʻano o ke kanaka he 60 ona mau makahiki me ka ʻole o ka pilikia me ka metabolism a me nā hormone. E hōʻemi ʻia ka maʻi ʻokoʻa, ʻoi aku ka maikaʻi o ka ʻili.
ʻO nā pilikia nui e kealulu, maloʻo, ka ʻōpū o ke paʻa ʻana, i ka ʻūʻī o ka lauoho. ʻO lākou a pau ka hopena o ka mālama kino maikaʻi ma muli o ka microangiopathy. Ua hoʻokumu ʻia ma nā wahi me ka dermopathy maʻi maʻi i ʻike ʻia nā hōʻailona āpau o ka angiopathy: ua luku ʻia nā capillaries, nā pākuʻi o nā pā o ka arterioles a me nā venules.
ʻO nā kumu no kēia mau loli ke kiʻekiʻe o ke kō kōa wai. Na ke alakaʻi:
- nāwaliwali o nā paia o nā kīʻaha koko ma muli o ke glycation o nā protein i loko o lākou;
- i ka hōʻiliʻili ʻana i nā kōpili o nā huahana o kahi metabolism wehe - sorbitol a me glycosaminoglycan. Hoʻonui lākou i ka hōʻino o ka vascular, pili pono i ka hopena o ke nerve;
- i ka ulu ʻana o ka endothelium, ka komo ʻana o nā mea make i loko o ka lumen o nā moku.
Pēlā, ʻo ke kumu o nā pig pigses ka hoʻopiha piha ʻana i ke koko i ka ʻili o ka ʻili. Manaʻo ia ʻo nā hōʻeha liʻiliʻi o nā papa liʻiliʻi a me nā ʻakoe e hoʻonāukiuki i ka luku vascular.
ʻO Dermopathy kahi hōʻailona mālamalama e hōʻike ana i nā pilikia me nā moku. Pono ke ʻano o nā wahi i hoʻopaʻa ʻia ʻole i kahi maʻi me kahi mau hoʻopili o ka maʻi maʻi. I ka manawa like e like me dermopathy, retinopathy, nephropathy, arthropathy, ulu ka neuropathy.
He ʻano ʻano ʻano dermopathy
ʻO nā maʻi ʻili kino ka maʻi maʻamau i ka diabetes mellitus he dermopathy i ka wāwae haʻahaʻa, rubeosis o ka ʻili, acrochordones a me ka hemorrhagic vasculitis. Hoʻohana iki ka lipoid necrobiosis, pemphigus, xanthomatosis.
| Nā maʻi maʻi | Kāleka | Nā Hoʻomaka | O ke kumu |
| Dermopathy | Loaʻa nā mea ma ka ʻili, i ka wā palupalu palupalu, a e aniani. | ʻAʻohe, paʻakikī - nānā wale a me ka ihu. | ʻO ka hōʻemi ʻana o nā kīʻaha koko e hoʻolako ana i ka ʻili ma muli o ka uku ʻemi o ka maʻi maʻi. |
| Rubeosis | ʻO ka hoʻoluʻu ʻili o ka ʻili, ʻo ka mea mua ma nā ʻālā a me ka ʻula, hiki ke uhi liʻiliʻi i ka maka holoʻokoʻa. | Nele. | ʻO ka ulu o nā capillaries ma ke ʻano he hopena i ko lākou hōʻeha i ka maʻi maʻi maʻi |
| Nā Acrochordons | Hoʻopau ma luna o ka ili o ka ʻili, ʻōwili a i ʻole ma ka wāwae. ʻO ka hapanui pinepine nā beige, akā hiki ke loaʻa i nā brown. | Inā loaʻa i nā wahi o ka palaʻai, hiki ke ʻeha, a hōʻeha, hoʻonā ʻia. | ʻO ka ʻōpala hele mua. I ke ʻano ʻelemakule he loli maʻamau i ka ʻili. |
| ʻO ka vasculitis hemorrhagic | ʻO nā wahi me nā wahi ʻulaʻula, nā hōʻiliʻu liʻiliʻi me nā kiko koko ma nā wāwae ʻelua a i ʻole nā poho. Ma hope o kekahi mau lā, eʻaka ʻohi nā wahi a huli lohi. | ʻAʻohe mau. Pono ka kele, ka pupuhi o nā wāwae a i ʻole nā lima ma ka wahi i hoʻopili ʻia. I nā hihia pinepine, ʻike ʻia ka ʻeha o nā ʻōpū, ʻike ʻia nā ulia. | ʻO ka hoʻonāukiukiʻana o nā moku o ka ʻili ma muli o ko lākou hōʻino a hōʻemi i ke kaʻe ʻana i ka mea maʻi me ka maʻi maʻi. ʻO ka pinepine pinepine me ka nephropathy diabetic. |
| Lipoid necrobiosis | Hoʻokomo i nā pua, ʻulaʻula a puni ka perimeter a me ka melemele, me nā ʻili o nā atrophy o ke kino i loko o ka wāwae. | ʻAʻohe a hiki i ka ʻili o ka ʻili. Hōʻike ʻia nā ʻeha a hiki mai nā ʻeha ma nā wahi o ka necrosis. | Hoʻololi i nā kaola kālai a me ka lipid metabolism i loko o ka pā, ka nele o ke kahe koko i kekahi mau wahi. |
| Pemphigus (bullae) | ʻO nā pulu nui i piha i ka wai. ʻO ka pinepine loa ma nā pae haʻahaʻa. | ʻO ka ʻeha ma hope o ka hōʻino ʻana o ka pahi. | ʻAʻole paʻa, he maʻamau ka maʻi i ka poʻe maʻi me ka maʻi maʻamau a me ka neuropathy. |
| Xanthomatosis | ʻO nā Flat a i ʻole paha i uhi ʻia nā mea melemele o ke kala melemele, aia ma ka eyelids a i nā manamana paha o ka ʻili. | Hiki i ka Itching ma mua o ke ʻano o ka xanthoma. | ʻO ke kaohi ʻana o nā lipids ma ka ʻili ma muli o ko lākou kiʻekiʻe i ke kō. |
Pehea e mālama ʻia ai ka dermopathy maʻi maʻi
ʻO nā ʻano kūikawā e hiki ke hoʻōla pono i ka dermopathy ʻaʻole i noho. No laila, ke ho'āʻo nei nā ho'āʻo o nā kauka e hoʻokō i ka glycemia maʻamau, ka hoʻomohala o ka angiopathy a me ka neuropathy. Ua ʻike ʻia me ka holomua ʻana i ka moku o nā moku, ʻike ʻia ka hoʻohaʻahaʻa o dermopathy, ʻike hou nā wahi hou, a ʻoi aku ka wikiwiki o nā mea kahiko. Inā hoʻomaka ʻoe i ka mālama ʻana i nā hana mua, hiki iā ʻoe ke hoʻokō i ka hoʻomohala ʻana o ka dermopathy i loko o 2-3 mau mahina.
ʻO nā lāʻau lapaʻau i hoʻohana pono i ka metabolism:
- ʻO nā huaora B, ʻoi aku ka B3 - ka momona nicotinic. Ua kuhikuhi ʻia nā inikina Intramuscular a i ʻole nā papa (Neuromultivit, Milgamma compositum, Angiovit, me ka paʻakikī B B);
- thioctic (lipoic) waikawa, hoʻonohonoho intravenous a i ʻole kahi papa papaʻaila;
- statins, most rosuvastatin.
Nā ʻano hana lapaʻau e pili ana
No ka mālamaʻana i nā hōʻeha, nā lāʻau me ka nui o ka tannins e hoʻohana pinepine: nā decoction oak a me ka willow bark, St. John's wort grass, ʻopa ikaika. I ka dermopathy maʻi maʻi, hiki i kēia mau ʻaila ke alakaʻi i ka hōʻino o ka ʻili ma muli o kona maloʻo nui. No ia kumu like, ʻaʻole pāpā ʻia nā ʻila ʻawaʻawa. ʻO ke ala maikaʻi loa e hoʻoiho i ka ulu ʻana o ka ʻōpū a me ka ulu ʻana o nā capillaries hou, he aloe, kahi ʻano paipai biogen.
Pehea e mālama ai i ka dermopathy me nā aloe:
- E koho i kahi mea ola olakino, ʻoi aku ka maikaʻi o ka aloe, ma kona pau ʻole - aloe vera, waiho me ka wai ʻole o ka hebedoma.
- Kipi i nā lau i lalo, e kāʻei iā lākou i ka pepa a hoʻouna i loko o ka friji i nā lā 12.
- E holoi i nā pale 1, e kāwili iā ia i loko o ka palaʻa, hoʻopili i kahi pānaʻi a i ʻole ka lole a hoʻopili i ka wahi ʻili me ka dermopathy no 20 mau minuke.
- Hoʻopili ʻia ka hana mua ʻia ma ka lā mua. Me ka hoʻomaka ʻana o ka holomua, ua huli lākou i 2 mau hōʻemi i kēlā me kēia pule.
Kāohi
Ke hōʻoia nei e pale i ka dermopathy, i ka mea maʻi āpau kona ola a pau e mālama i kona maʻi diabetes i ka nānā: e ʻike i ke kauka hoʻonaʻauao a hoʻokō me kāna mau ʻōlelo kauoha a pau, ke pāʻani pāʻani, e nānā i kahi kauka ma ke ʻano. Pono e hoʻomaka ʻia ka mālama ʻana o ka angiopathy a me ka neuropathy i ka wā ʻike ʻia ka nui o nā hemahema mua o nā ʻenehana.
He kūlike hoʻi ka mālama ʻili. No ka hoʻomaʻemaʻe hoʻohana ʻana i nā aniani wale nō me ka pH kūlohelohe - nā lula o ka mālama ʻana i ka ʻili no kahi maʻi maʻi maʻi maʻi. I nā hōʻailona mua o ka maloʻo a me ka peeling, hoʻohana ʻia ka moisturizer me ka urea, kahi ʻoi aku ka maikaʻi no nā mea maʻi maʻi maʻi. Pono ka lole e like me ka hiki, pono e ʻoluʻolu a me nā palupalu i loko nā kāmaʻa.
Pono ʻoe e ʻike i ke kauka ma hope koke o ka nānā ʻana i ka dermopathy maʻi maʻi. Hoʻomaka ka lāʻau maʻalahi, ʻoi aku ka maikaʻi o ka prognosis.
