ʻO ka osteoarthropathy Diabetic: nā kumu, nā hōʻailona, ​​nā loiloi

Hiki i ka maʻi maʻi ke hana i kahi mauʻu o nā hoʻopiʻi like ʻole.

ʻO kekahi o nā hopena koʻikoʻi a ʻike weliweli o kēia hopena endocrine, ʻo ka maʻi maʻi maʻi maʻi o Charcot (diabetes osteoarthropathy, hui pū o Charcot).

E kūkākūkā hou aku mākou no ke aha e ulu ʻia ai, pehea e mālama ai iā ia, a ʻo ka mea nui loa, pehea e pale ai i kona hiki ʻana.

Nā kumu kumu o ke kuʻuna

Hoʻokahi wale nō o hoʻokahi haneli maʻi maʻi maʻi i kahi maʻi e like me ka wāwae maʻi maʻi o Charcot. Ke hana nei nā ʻepekema ʻepekema e hoʻokūkū i nā mea kumu e hoʻohālikelike ai i kēia kaʻina hana.

I kēia lā, ua hōʻike ʻia ka mana o kekahi mau kumu nui i ka ʻepekema:

1. decompensated ʻano o ka maʻi diabetes a me ka neuropathy e ulu kūʻē mai ana i kona kūlana. I kēia kūlana, ke haki nei ka ʻike o nā wāwae, ʻo ia hoʻi, inā ʻoe e kaomi i ka wāwae, a kuʻi iā ia, a ʻū pū paha, ʻaʻole hoʻomaʻamaʻa ke kanaka iā ia. ʻO ka mea maʻi me ka maʻi diabetes ua hana ʻole i ka waiho ʻana i ka wāwae Insensitive i ka wā e hele ai, 'ahe ʻole ka wāwae "ʻaʻole i manaʻo" i ke koʻokoʻo o nā kāmaʻa a me nā mea ʻē aʻe i waho maikaʻi ʻole - hiki kēia i ka deformations koʻikoʻi;
2. i ka ulaula a me ka inu rama. ʻOiai i ke kanaka olakino, hiki i nā hana ʻino ke hōʻemi i ka lumen o nā kīʻaha koko, kahi emi o ke kahe koko, ka make o nā capillaries a me nā hopena maikaʻi ʻole ʻē aʻe. I nā maʻi maʻi, e ʻoi aku ka wikiwiki o kēia kaʻina, no laila ke ʻike nei ka wāwae i kahi pōkole o nā meaʻai a me ka oxygen;
3. nā kāmaʻa koho pono ʻole;
4. maʻi maʻi vascular peripheral, ʻo ka mea maʻamau ka mea nui o ka atherosclerosis;
5. aia nā pilikia i loko o ke kaila helehelena o ke koko i ke kino. Loaʻa ka hapa oxygen i nā hui ʻē aʻe i ka nele i ka pono o ka pono, ka hōʻiliʻili ʻana o nā huahana decay, necrosis kiko (make).

Nā hōʻailona weliweli

No laila, ke kākau inoa nei mākou i nā hōʻailona nui:

• paʻakikī e hele, ʻeha;
• ka popilikia nui o nā ʻoi aʻe o lalo;
• nā hōʻeha kino i nā wāwae: nā hōʻemi, nā puʻu, pōpilikia;
• nā kīliʻi mau loa, nā hōʻuluʻulu, ka ʻili maloʻo;
• ʻulaʻula o nā wāwae;
• hiki ke ulu a hyperthermia i ka wahi i paʻi ʻia;
• ka pili o nā manamana lima;
• lakui;
• ʻeha hōʻeha nui i kēlā lā i nā wāwae;
• uluhua wā ʻole e ola ai, nā hōʻeha. Huli pinepine lākou i nā ʻeha purulent me ke kuhi hewa ʻole;
• e puka mai ana i nā lewa;
• pōʻino kino e nā fungi;
• ingrown toenail.

Ka hoʻomāhuā ʻana o ka maʻi

ʻEhā ʻehā nā ʻāpana o ka maʻi maʻi maʻi podeoarthropathy. Hōʻike ʻia ka mea mua i ka hiki ʻana o nā umuhū a hoʻonui ʻia i nā wāwae, he hoʻonui i ke kaomi ma ka pae lesion. Inā hoʻomakaʻia ka mālamaʻana i ke kahua mua, a laila maikaʻi ka maʻi prognosis. Ma hope e hele mai ka mea maʻi i ke kauka, ʻo ka liʻiliʻi o ka kūleʻa.

ʻO ka wāwae o Charcot i ka mellitus o ka maʻi mellitus, paʻakikī

E haʻi pōkole i nā hōʻailona o ke koena o ke kau ʻana o ka maʻi.

• ma ka lua, ua hoʻohāʻule ʻia nā pale o nā wāwae, ʻike ʻia ke ʻano hoʻohuli;
• heleleʻi nā manamana lima, ʻaʻole hiki i ka wāwae ke hana hou i kāna mau hana, ʻoi aku ka nunui o ka deformation. Hele a kūlohelohe i kahi kūʻokoʻa a me nā ulu;
• ahaʻi nā maʻi purulent e ʻike ʻole he paʻakikī i ka mālama ʻia.

Hoʻomaʻamaʻa

Ke koho pono ʻana i ke ala o ka hoʻihoʻi ʻana ma ke kahua kahi i ʻike ʻia ai ka maʻi.

Hoʻohana ʻia kekahi mau kaʻina e ʻike ai i ka hōʻeha a me ke ʻano o ka maʻi o ka maʻi.

• hana lākou i x-ray a i ʻole MRI e ʻike pehea e uhai ai nā iwi, inā he puʻupuʻu, nā kuhi hewa, etc.
• hana i nā haʻawina kūikawā e ʻike ai i ka wikiwiki a me nā hiʻohiʻona o ke kahe koko, nā kūlana o nā kīʻaha koko a me nā ʻalihi ma ke kino o ka mea maʻi.
• ʻIke e ʻike i ka paʻakikī o ka neuropathy e hoʻoholo i ka nui o nā limu i nalowale.

Inā he maʻa a me nā ʻeha, a laila ʻike ʻia ka mālamalama kumu o ka maʻi i ka lactopus i kahi ākea no ka diabetes mellitus i mea e kuhikuhi ai i ka pono antibacterial e hoʻoponopono ai.

Maʻa mau ka hoʻāʻo ʻia, mālama:

1. lawe i nā lāʻau, ʻaila a me nā kāmole;
2. ke pani ʻana i ke kaʻina o ka luku ʻana i nā iwi;
3. Hoʻolaha hoʻokolohua;
4. kaiʻai. I kuhikuhi ia e ke kauka me ke ano o ka mai;
5. physiotherapy. Koho ia ia ma muli o ka paʻakikī o ke kūlana o ka mea maʻi a me ka hiki ʻana o nā maʻi concomitant.
6. ke koho ʻana i nā kāmaʻa, insoles, orthosis. Kūʻai i kēlā me kēia pae. Hoʻohana ʻia kēlā mau huahana e kahi kauka orthopedic; Hāʻawi kēia mau mea hoʻolako i ka wehe ʻana i ka ukana mai ka wāwae, kahi e pale ai i ke ʻano o nā ʻono a me nā deformations.

Hoʻomaʻamaʻa hoʻomaʻamaʻa

Ma waho o ke anamā o ka maʻi, a me ka pale ʻana i ka hiki ʻana i ka maʻi osteoarthropathy maʻi maʻi, ua kū ʻia e hana i kēia mau hana (e hana i nā manawa he 10 i kēlā me kēia):

1. kau mākou i ka kuʻekuʻe ma ka papahele, a me ko mākou mau manamana lima e hoʻāʻo mākou e hana i ka neʻe ʻana i ka neʻe. E hana hou mākou, akā, ke hoʻoponopono mua nei i nā kūmole;
2. hāpai i ke kino i nā kuʻekuʻe a me nā kāpili i ka huli;
3. hoʻopaʻa a hoʻopaʻa ʻole i nā manamana lima;
4. me kekahi wāwae pololei e hana ai mākou i nā kaʻe o ka lewa;
5. hoʻopaʻa mākou i nā wāwae a hāpai i luna, hoʻāʻo mākou e lawe i ka wāwae mai o mākou aku, a laila iā mākou iho;
6. e huki i ka ʻū i luna iho iā mākou iho, e hoʻohaʻahaʻa i nā wāwae pololei mai ka papahele.

ʻEkolu mau lā i kahi lā, e komo koke ʻana ma hope, ala ʻia ka hana ʻana i kahi papa hana i hiki mai ai: e kau i kou mau wāwae ma kahi ʻūhā ma kahi o 30% no ʻelua mau minuke, kau ʻia ma lalo o ʻekolu mau minuke, e kau i nā manamana lima ma luna o ka lima no kekahi mau minuke ʻelima.

ʻO ka lāʻau lapaʻau

Ma muli o ke ʻano ke olakino o ka mea maʻi.ʻO nā hui nui o nā lāʻau lapaʻau:

• diuretics, non-steroidal anti-inflammatory drugs - i kuhikuhi ʻia no ka edema koʻikoʻi;
• ʻO ka hui ʻia o ka caloneonone a i ʻole ka intramuscularly, a me ka bisphosphonates, e hoʻohana pono i ka hana pono ʻana e hoʻopau ʻia ai ke kaʻina o ka iwi;
• steroids anabolic. ʻO kā lākou hana: e hoʻomaikaʻi i ka hoʻouluʻana o ka neuromuscular a me ka puʻuwai mākeke, hoʻoulu i ke kanu ʻana i ka calcium, hoʻonui i ka koikoi o nā neʻe.

I ka papa hana mua, ʻae ʻia e hoʻohana i nā ʻano ʻē aʻe. No ka laʻana, ʻauʻau a palona paha me kahi wai meli-eucalyptus. E kuke e like me kēia: wili i ka 50 o ka ʻula o ka eucalyptus (ma ke aniani o ka wai) i loko o ka wai i ka hapalua hola. Hoʻoluʻu, hoʻonaninani, hoʻohui i ʻelua mau punavai o ka meli, hui pū.

A ma kahi koho ʻē aʻe: e hoʻohui i hoʻokahi ʻāpana o ka rosemary a i ʻelua ʻaoʻao o ka pua nani a me nā pua chamomile. E ninini i ka wai i ka wai me ka hapalua lita, e hoʻopaʻa ai i kahi lā. ʻO ka lole hulu hipa, e waiho i nā wāwae i loko o lākou, e hoʻolōʻihi i hoʻokahi hola a keu paha i kēia palapala.

Nā hana kūpono

ʻO nā ʻoi aku nui e pale aku i kēlā me kēia maʻi ʻoi aku ka hopena me ka hui pū ʻana o Charcot i ka maʻi mellitus no ka maʻi ʻōpio:

1. hana piha me nā ʻōlelo koi a ke kauka hele komo;
2. ʻO ka nānā pinepine ʻana o nā wāwae. Inā hoʻololi ka ʻili i ka ʻili, a puhaka nā wāwae, ulu nā weli, nā ʻōpala, nā peʻe neʻe i hoʻomaka, a laila ʻo lākou nā makana mua i pono ʻole e hūnā ʻia;
3. ʻAʻole hiki iā ʻoe ke hoʻāʻo e mālama i ka wāwae o Charcot iā ʻoe iho;
4. He mea nui e komo i ka ho'ōla kino;
5. pono ia e kāhiko i nā kāmaʻa kūikawā, kēlā me kēia orthostalkes;
6. Mai poina e hoʻoikaika i ka ʻōnaehana pale;
7. ua nānā pinepine ʻia e ka endocrinologist;
8. ke kīnā kūpono, kiaʻi mau ʻana i ke kōhi koko, a me ke hōʻole hou ʻana i kekahi ʻano o nā ʻano hana maikaʻi ʻole he mea koʻikoʻi loa.

Nā wikiō pili

ʻO nā maʻi wāwae maʻi o Sharko:

ʻO ka wāwae maʻi maʻi o Charcot he mea hoʻopailua a hoʻopiʻi nui i ka maʻi maʻi. Hiki iā ia ke pale aku i ka hoʻopiʻi ʻana inā he mālama pono ʻia nā ʻōlelo a pau i hāʻawi ʻia ma luna.