ʻO nā kumu o ka hānō i ka maʻi mellitus, hopena

ʻO ka ʻōpū ma ka hānai ʻana he pilikia maʻamau ka mea e hiki ai i nā hopena pōʻino. ʻO ka luhi nuiʻole o kēia hana hewa i ka manaʻo ʻole ia e ʻike koke a i ʻole he ʻano ʻē aʻe ia i kahi ʻano hana ʻole ʻia. Eia nō naʻe, ma hope aʻe o kēia ʻano hiki i ke hoʻololi i nā loli loli ma nā lalo haʻahaʻa.

He aha ka mea e hana ai inā hele wāwae nā wāwae me ka maʻi diabetes?

ʻO ke kumu

ʻO kahi mea maʻi me ka maʻi maʻi maʻi e ʻike mau ʻia e ka endocrinologist wale nō, akā nā poʻe ʻē aʻe ʻē aʻe. ʻO kekahi o lākou he neuropathologist. ʻO kēia ma muli o ka hōʻiliʻiliʻana me kēia pathology, ua ʻike pinepine ʻia ka pōʻino o ka peripheral a me nā kikowaena sentral.

Hoʻopili ka ʻili o nā manamana wāwae ma ka mellitus i loko o ke koko o ka nui o ke kō. Hoʻohāukiuki kēia i kahi hoʻololi i ke kahe o nā kīʻaha koko a me nā kinipona nerve. ʻO ka hapa nui o nā wāwae ma muli o ka loaʻa ʻana o kā lākou mau ipu nā mea o ke kahe nui o ke kaila o ke koko.

Inā pilikia ka moku'āina o nā moku, ʻike ʻia ka pōʻino liʻiliʻi, a laila puka i nā pākeke atherosclerotic, ka elasticity o nā pā a me ka wikiwiki o ka holo koko. Ke hopena, ʻike ʻia ka stagnation.

Hōʻike lākou i ke ʻano o kēlā mau loli.

• ʻO ke heleʻana o ka puffness;
• ʻO ka hōʻike ʻana a i ʻole hoʻoikaika ʻana i ka hiʻohiʻona venous;
• Ke ʻano o ka paresthesia - kaomi, tingling, nā ʻōpū.

Hoʻopilikia pinepine nā kaʻina like like i nā wāwae haʻahaʻa. ʻO ka mea mua, ua pā pono nā manamana wāwae. Hōʻike ʻia kēlā mau hanana i nā hoʻomaka mua o ka maʻi diabetes.

I ka hoʻomaka, ʻike koke ʻia nā manaʻo leʻaleʻa a ʻoi aku ka hopena o ka paʻakikī, nā hana kino a me nā ʻano wela.

A laila hele pinepine ka wāwae i ka maʻi diabetes me nā pinepine. Aia hoʻi kēia hōʻailona ma kahi kūlana mālie. E hoʻowalewale ana kēia i nā mea maʻi e hoʻoponopono a hoʻomaʻamaʻa. Eia naʻe, ʻo kēia mau mea e hāʻawi i kahi hopena pōkole, ʻoiai ka lōʻihi a me ka hōʻeha o ka momona hiki ke hoʻonui wale.

Nā kiʻi haukapila

Inā hele wāwae aku kou mau wāwae i ka maʻi maʻi, pono e hoʻomaka koke ka lāʻau lapaʻau. Pono e hana kēia ma lalo o ka nānā ʻana o kahi neurologist. Inā ʻaʻole ʻoe e launa i ka hoʻemi ʻana o ke kaomi o ke kō, ua hōʻemi nā lālā nerve i kā lākou membrane, a lilo i ka lawehala.

Ua hoʻonāukiuki kēia i kēia mau ʻōuli:

• Hoʻoikaika ka ʻike ʻole o nā ʻoi aʻe i lalo;
• ʻO ka haunaele Gait - i kekahi manawa ʻike ʻia nā hōʻailona o ka maʻi maʻi;
• Ka hana ʻana o nā peeling, nā ʻōpala trophic, cracks, gangrene maloʻo;
• Ma ka haʻaleleʻole o ka lapaʻau, amputation o ka manamana.

Ke ulu nei nā pilikia koko, e lilo ana kahi kanaka i ka naʻau a keu loa. E pili ana kēia i ka hoʻoweliweli nui o nā hōʻeha traumatic. ʻOiai ka hoʻomau ʻana o ka uluʻana, hiki i nā mea maʻi me kēia maʻi ke hōʻole i nā hōʻeha liʻiliʻi a me nā ʻeha.

Nā Palapala Diagnostic

Inā lilo kou mau wāwae i ka maʻi maʻi, he mea nui loa ia e nīnau koke i ke kauka. E hoʻoholo ka mea loea i ka pae o ka pōʻino i ka lalo haʻahaʻa, hana i ka hoʻoponopono ʻana i ka mālama ʻana i ka maʻi diabetes a koho i ka mālama kūikawā no ka neuropathy.

Hoʻopilikia ʻia nā maʻi kuʻuna o nā kulekele penei:

• ʻO ka nānā ʻana a me ka nānā ʻana i ka pulse ma nā wāwae;
• Nānā ʻike;
• ʻO ka nānāʻana i ka ultrasound o nā moku o nā manamana;
• ʻO ka loiloi o nā reflexes neurological;
• Electroneuromyography.

Nā lāʻau lapaʻau

ʻO ka ʻōpū o ka hōʻike mua o nā maʻi hōʻeha. No laila, he mea koʻikoʻi loa e hoʻokau i ka hōʻola paʻakikī i nā maʻi i lalo.

Ke hana nei nā hana a nā kauka i ka mālama ʻana i ka maʻi diabetes a me ka hoʻihoʻi ʻana i nā kinipona pili i hoʻopilikia ʻia. No ka hana ʻana i kēia, e kau i kēia pae aʻe:

1. Ka hoʻonohonoho o ka pae glucose;
2. ʻO ka wehe ʻana i nā mea hōʻeha mai ke kino - ʻo ia ka lōʻihi o ke ʻano o ka ʻoihana;
3. E mālama i ka ʻai.

Pono nā Therapy i ka hoʻopuka ʻana o nā huaora B, i ʻole a i ʻole ʻāpana anesthesia o nā wahi i hoʻopili ʻia, ka hoʻohana ʻana i nā lāʻau ant antiovulsant a me nā lāʻau antidepressant. Aia paha kekahi pono no ka hoʻoulu ʻana i nā aʻa nerve. No kēia, ua noi ʻia kahi kaʻina kūikawā - hoʻoulu uila transcutaneous.

Nā hiʻohiʻona mālama

E hoʻomaʻamaʻa i ke ʻano o nā hana i lalo, ʻo nā poʻe me kēia maʻi maʻi e hāʻawi iā lākou me ka mālama pono.

1. E nānā i nā wāwae i kēlā me kēia lā, e nānā pono ai i nā wāwae, nā wahi ma waena o nā manamana wāwae. I ka wā o ka nānā ʻana, ʻoi aku ka hemahema o ka ʻili o ka ʻili - nā laha, nā poʻi, nā ʻokiʻoki.
2. E holoi i nā wāwae i kēlā me kēia lā me kahi kāʻei hoʻokaʻawale. ʻO ka nānā pono e uku ʻia i ka ʻili ma waena o nā manamana lima. E holoi i nā wāwae me kahi kāwele palupalu.
3. Ke hele nei nā hōʻailona o nā maʻi maʻi - plakena keʻokeʻo, ʻeha, ʻulaʻula - hoʻokaʻaʻike i kahi dermatologist. E kuhikuhi ana i ka loea i kahi ʻano antifungal cream.

4. E nānā i nā kāmaʻa no nā pale nā ​​mea e hōʻino i ka ʻili. Ua pāpā ʻia nā maʻi hakahaka e komo i nā insoles me nā ʻōpoki protruding e hiki ai ke hoʻonāukiuki i ke ʻano o nā ulia a me nā calluses.
5. E mālama pono i nā kuku. ʻOi aku ka maikaʻi e hoʻohana i kahi faila, ʻaʻole nā ​​ʻokiʻoki. Pono e ʻoki pololei i nā ʻōpū, i nā kihi a puni. Hiki i nā kihi ke hoʻonui i nā manamana lima.
6. E hoʻohana i nā kūmole mahana e hoʻomehana i kou mau wāwae. ʻO nā wai wai wela a i ʻole nā ​​ʻauʻau mahana i contraindicated. Hoʻopilikia ka maʻi maʻi maʻi i ka emi ʻana o ke ʻano, no ka mea, ʻo ka ʻike ʻana i nā mahana kiʻekiʻe e hiki ai i nā mea kuni.
7. Inā hele mai nā hōʻeha, ua pāpā ʻia no ka mālama ʻana i nā wāwae me nā hopena ʻakaʻawa. Hoʻopilikia ʻia nā pōʻino a pau me kaʻaila kūikawā. Hiki iā ʻoe ke hoʻohana i ka miramistin, chlorhexidine, hydrogen peroxide 3%.

8. Lubricate i ka ili me kahi paila hānai. E kōkua kēia i ka pale ʻana i ka maloʻo nui loa o ka dermis. He mea kūpono no ka hoʻohana 'ana i nā huahana urea i kēlā me kēia lā.
9. Koho i nā kāmaʻa ʻoluʻolu loa. ʻAʻole e hāʻawi i ka makemake i nā hiʻohiʻona e pono ke lole. ʻAʻole ia e hāʻawi i ke kapa i nā kāmaʻa me nā kaula ma waena o nā manamana wāwae. Ke hoʻohuli nei i nā wāwae, pono ke koho i nā hiʻohiʻona orthopedic.
10. Inā loaʻa nā pāpale o ka ʻili paʻakikī, pono ia e hoʻohana i ka pōhaku pumice. Akā, e hoʻololi mau ʻia e pale aku i ka maʻi me nā microorganisms fungal.
11. Hoole i ka pale salipod no ka ʻili paakiki. ʻAʻole ia e kuhikuhi ʻia i ka hoʻohana ʻana i ka hoʻomākaukau ʻana mai ka palaoa a hoʻohana i nā mea ʻoki.
12. E hele i ka huina o ka hapalua hola i kēlā me kēia lā. Hana i ka hoʻomaʻamaʻa a me nā hana wāwae. E hooki i ka ulaula.

Hiki paha nā hopena

I nā wā mua, ʻaʻole e hopohopo ka lilo ʻana o ka manaʻo i ka mea nui. Ma ka holomua o nā maʻi maʻi palupia, ʻike ʻia ka pohō nui.

Hoʻopilikia ʻia kēia kūlana me nā hoʻopiʻi penei:

• Ma ka wāwae Diabetic;
• ʻO ka hōʻino ʻana i ke kaʻina hoʻomaʻamaʻa, ke ʻano o nā purulent a me nā ulia palapu;
• Kuhi ka hoʻomohala o ke gangrene me ka amputation o kahi wāwae.

Kāohi

Nui nā rula, hoʻokō i ka mea e kōkua e pale i ka nānā ʻana mai o ia mau pilikia:

• ʻO ka hoʻomau mau ʻana a me ka ʻōnaehana paʻa ʻana o ke kō o ka honi;
• E kāʻei i nā kāmaʻa paʻa a me ke kūlohelohe;
• ʻO ka manawa-ka iho kūwaho o nā haʻahaʻa haʻahaʻa;
• ʻO ka hoʻopaʻa pinepine ʻana i nā wāwae;
• ʻO ka hoʻomaʻamaʻa kūloko o nā hōʻeha liʻiliʻi ma ka ʻili;
• ʻO ka papahele holoʻokoʻa
• Ke kāʻei nei i nā kūmole i hana ʻia i nā mea kūlohelohe me nā kaula elastic.

ʻO ke maʻi mellitus ka maʻi maʻamau, kahi hiki ʻole ke hoʻopau ʻia loa. Eia nō naʻe, e pili ana i nā ʻōlelo lapaʻau, hiki i ke ola ke noho me kēia maʻi. No laila, ʻo kekahi mau hōʻailona o nā hoʻopiʻi pono loa kahi manawa e hoʻopili ai i kahi loea a me ka ola pono.