Pehea e mālama ai i nā hōʻeha i ka maʻi diabetes

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I waena o nā hōʻike o ka maʻi pancreatic endocrinological, ʻike nā mea maʻi i ka hōʻeha ʻana i ke kino, nā ʻeha o ka ʻili. ʻO kahi hiʻohiʻona maʻamau o nā hōʻailona pinepine e hōʻike nei e lohi ka hoʻōla. Nui ka hoʻoweliweli nui o ka maʻi i ka hopena e pili ana. ʻO ke kumu nui ka waiho i ka metabolism hemahema i loko o ke kino. Pehea e mālama ai i nā hōʻeha i ka maʻi diabetes? Pehea ʻoe e pale ai iā ʻoe iho i nā hopena a loaʻa ʻole.

ʻO ka helu ʻana i nā kumu a me ka hoʻopili ʻana o nā mea hōʻeha

ʻO ka manaʻo o ka hōʻeha, ʻoi aku ka pō, ke anu, nā nāwaliwali o nā ʻōpū o nā uaua, a ʻo nā hōʻailona ka hōʻailona o ka polyneuropathy diabetes (hōʻino i ka hopena o ke nerve). Hiki i ka mea maʻi ke hoʻoholo i ka nalowale o ka nānā a me ka hikiwawe ma ka kāwili ʻana i ka ʻili me ka palma ma nā kuʻekuʻe a me nā wāwae, a me kahi pīhoʻopa i ka wā holoi. Inā hoʻopā ʻoe i nā lole, ʻaina, ʻaʻole hoʻi mai ka ʻoka, ka mea i hana ai i ka mea ʻona. ʻO ka hiʻohiʻona o kahi paʻū ʻūlū e hōʻike nei i ke ʻano ka holomua o ka hoʻopiʻi ʻana o ka maʻi ma muli o ka uku ʻole o ka glucose i loko o ke koko.

E pale aku i ke kiʻi o nā honi mau no ka nui (ma luna o 8.0-8.5 mmol / L ma kahi ʻōpū ʻole a me 10-12 mmol / L 2 mau hola ma hope o ka ʻai), ka hiʻohiʻona o nā ʻeha (abrasions, scratches) i ka lāʻau maloʻo, pipiʻi i alakaʻi i nā ulia lōʻihi. ʻO 1-2 ka mahina o ka hōʻemi ʻana ma mua o 1-2 mau mahina, ma mua o 1-2 mau pule maʻamau. Me ka maʻi maʻi, ka hiki ʻana o ke regenerative (regenerative) i nā ʻāpana ke hoʻemi. ʻO ia ke kumu no ka hoʻomaʻemaʻe maikaʻi ʻana i nā hōʻeha a me ka hiʻohiʻona, a ma hope hoʻi, i ko lākou wahi o nā ʻōpala.

Ma kahi maʻi maʻi, hiki i ka hiki ke loiloi maoli a ʻike i nā hopena o nā haʻahaʻa haʻahaʻa a me ke kiʻekiʻe, ua hoʻemi ʻia ka hopena, a me nā hoʻopiʻi mai ka haukulu a i ʻole ka mea pale e hoʻopau ʻia no nā maʻi maʻi. Hoihoi nūle ka Sensitivity, a pau i ka waiho wale ʻana. ʻAʻole ʻike paha ka mea maʻi i ka microtrauma i loaʻa i ka manawa, ingenel kuku a me nā maʻi jamur. I ka hihia o ka hopena o hope - mycosis, pono ʻoe e nīnau i ka dermatologist. Hoʻopilikia pinepine ka ʻōpū i nā noo, wāwae, interdigital luna.

I ka wā o ka maʻi endocrine, hoʻomōhala i nā hana protein protein i loko o nā iwi o ka huakaʻi. ʻO kēia mau mea, holoi wikiwiki ka calcium. Me ka osteoporosis, ua palupalu nā iwi, ua pio nā wāwae. Hiki i nā kāmaʻa kahiko ke kahalulu i ka ʻili i nā wahi o ke koʻikoʻi nui. Ke loaʻa mai nei i nā ʻōpala i nā maʻi a pau i ka hakahaka o nā ʻāpana integumentary a hoʻololi i nā ʻeha hehe.

I ka hoʻomaka mua ʻana, puka mai nā corosus callosum a i ʻole nā ​​lau

I kekahi manawa hikiʻole ke pale aku i nā hoʻopiʻi purulent, i loko o ka laka like-like o ka ʻili, inā hoʻokomo ʻia ka maʻi i loko o kona mau puʻupuʻu, paʻa ka ulia purulent paʻa. Hiki iā ia ke pili i nā kiko hohonu o ka wāwae (tendons, nā iwi). No laila, ʻo ka hōʻeha o ka mīkini i ka wā e hele ai i nā kāmaʻa paʻa a i ʻole ʻoluʻolu ʻole e alakaʻi i kahi kaʻina hana.

ʻO ka hōʻeha ʻole i nā hōʻeha o nā etiologies o nā ʻano etiology (kumu) e alakaʻi i ka hoʻomohala ʻana o ka gangrene (necrosis kiko), ke ʻano o nā hoʻopiʻi purulent me ka hoʻonui:

  • he pae kolamu nui o ke koko;
  • kahe koko (hypertension);
  • ka kaumaha kino kino.

Hoʻokumu ʻia ka hana maikaʻi ʻole i ka ulaula a ka mea maʻi.

Hoʻopilikia lāʻau no ka maʻi maʻi

ʻO ke ala wale nō e mālama ai i ka gangrene holomua i ka amputate (e hoʻoneʻe) i ka wahi i hoʻopilikia ʻia. Ma hope o ka hana, he kaʻina hana hoʻōla lōʻihi. Hoʻomaʻamaʻa ka ʻūleʻa e pale i ka make o ka mea maʻi mai ka sepsis (hōʻalo i ke koko) Ua hōʻeuʻeu ka eha gangrene.

ʻO ka hoʻomohala ʻia o nā hanana i kēlā me kēia hihia i hilinaʻi ʻia:

  • ʻano maʻi o ke ʻano maʻi;
  • ka ʻike ʻana o ka maʻi;
  • kūʻai kino kino;
  • ke kau palena.
ʻO ka mea kūlike o ka mālama ʻana i nā ʻeha o ka ʻili i ka maʻi ma ka maʻi maʻi, ka mea pono i ka mālama ʻana i ka uku hoʻāno o ka glucose koko, ua mālama ʻia ka maʻi nui me nā mea maʻi hypoglycemic, ka meaʻai kūikawā, a me ka hoʻōla kino kūpono.

Inā loaʻa kahi ʻoki a i ʻole abrasion, pono e mālama ʻia me ka antiseptic nāwaliwali (Hydrogen Peroxide, Chlorhexidine). E noi i kahi lole maʻemaʻe a maloʻo. E nānā pono pehea e hoʻōla ai ka lāʻau. Inā ʻaʻole e ʻike i ka holomua hoʻomaikaʻi, a laila e ʻimi ʻoe i ke kauka (endocrinologist, ʻoihana maʻi). Nā nīnū aloli iodine a iʻa kūleʻa paha, e like me ka antiseptics, i kūpono ʻole e mālama i nā hōʻeha. Ma muli o ke kala ikaika o ka lāʻau lapaʻau, paʻakikī ke ʻike i nā hōʻailona o ka hiki ke pālahalaha ʻia i ka ʻili o ka ʻili.

Kūkākūkā pinepine ke kauka i nā lāʻau antibacterial. I waena o lākou, ʻo ka lāʻau anti-inflammatory o Levomekol, i hoʻohana ʻia i waho. Hoʻomaʻamaʻa ʻia ka huluhulu me ka holoi ʻana o ka momona maikaʻi. Hoʻopili ʻia nā lole ʻaina i kēlā me kēia lā a hoʻomaʻemaʻe ʻia ka hōʻeha o nā maʻi ʻeha a me nā necrotic (nā ʻāpana maʻi make). Hiki ke kau i ka ʻaila hoʻomoʻi ʻia i loko o nā puʻu purulent i ke mahana o 36 degrees Celsius e hoʻohana ana i kahi syringe (ma o kahi catheter).

ʻO ka gangrene (maloʻo, maloʻo) pinepine i nā manawa ma nā wāwae (wāwae, wāwae)

Loaʻa nā ala o ka mālama a me ka pale

Pehea e mālama ai i nā hōʻeha i ka home me ka hopena o nā kānaka? Ua hōʻoia ʻia i loko o kēia kaʻina hana iho:

Hoʻolapa i ka maʻi maʻi wāwae maʻi diabetes
  • Hoʻohālikelike ʻauʻau. Mālama i nā wāwae i loko o ka wai wela a me ka maloʻo no ka mau minuke 1. E mālama i 3 hoʻololi, hoʻopau i nā kaʻina i ka wai me ke anuanu haʻahaʻa. Ma hope o ka ʻauʻau ʻana, e holoi i kou mau wāwae a kau i kahi pae o kaʻaila ma lalo o ka wāwae. E pīpī i waena o nā manamana lima me ka paukū talcum. Pono ke ʻano o ka ʻūhū palūlū ʻia e ʻōlelo aku ai no ka maʻi maʻi ("ʻO nā keiki").
  • ʻAi kaukau. Hoʻohana ʻia nā lāʻau lapaʻau (yarrow, walnut leaf, oak bark). Hoʻomaka lākou e hoʻōla ikaika ma hope o ka hoʻohana ʻana i ka hōʻiliʻili hou. Loaʻa iā ia: nā ʻula ʻukaloka - 2 mau ʻāpana a me nā hua lāʻau - 3 mau ʻāpana; wīwī pepa - 1 ʻāpana. E hōʻiliʻili ka ʻili i 3 mauʻu o ka wai i hoʻolapalapa a waiho i 2 mau hola.

Hoʻopilikia ka pilikia ma ke ʻano o nā hōʻeha like, like, i nā mea maʻi me ka maʻi type type 1 a me ke ʻano 2. ʻOi aku ka paʻakikī o ka hoʻopau ʻana i ka lesion ma ka ʻili ma mua e pale ʻia ai. Pono ka maʻi maʻi maʻi e hāʻawi a hoʻopaʻa i nā lula pale pale no ka mālama kino:

  • e nānā mau iā lākou iho, ʻoi aku ka ʻike ʻole ʻia (ʻoka haʻahaʻa o nā wāwae) me ke kōkua o nā poʻe aloha a i ʻole ka aniani;
  • E ʻoki pololei i nā kui, me ka ʻole o nā kihi, i ʻole e hōʻeha ʻia, e hoʻohana i kahi faila;
  • kāmaʻa e kāʻei ākea, me nā kuʻekuʻe kiʻekiʻe (ʻaʻole i kiʻekiʻe aʻe ma mua o 4 cm);
  • hāʻawi i nā kāʻei, nā lole hana kūwaho i hana ʻia i nā lole kūlohelohe, me ka ʻole o nā kaula elastic.
  • keratinized ka ʻili i nā kuʻekuʻe, kūlou a me nā kuʻekuʻe, holoi holoi a me kahi pumice ma hope o ka pā ʻana;
  • Mai hele i ke kapa ʻole wāwae a hana ʻole me nā pale lima pale lima no nā lima.
Pono ka maʻi maʻi maʻi e hoʻōla i nā hōʻeha i ka wā kūpono (ʻokiʻoki, abrasions)

ʻO nā maʻi hāpū o nā haʻahaʻa haʻahaʻa a ma muli o ke ʻano, he gangrene o nā wāwae, nā manamana wāwae, ma ka maʻi maʻi maʻi e loaʻa 10 mau manawa pinepine ma mua o ka poʻe ola kino. Hiki i kahi angiologist (hōʻea manuahi) ke hoʻoholo e pili ana i ke kūlana o nā wāwae o ka mea maʻi e like me ka pulse beat, palpated ma luna o kahi kuʻekuʻe. Hoʻohana pū ka poʻe endocrinologists maikaʻi i kēia ʻano mea i kā lākou lāʻau lapaʻau no ka mālama ʻana i nā maʻi maʻi maʻi. He kuleana ko kēlā me kēia maʻi e loaʻa kahi kūkākūkā nui ma ka nīnau: pehea e mālama ai i nā hōʻeha no ka maʻi maʻi, i nīnau ʻia e kāu kauka.

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