Hoʻopilikia ka huaʻai a me nā pā o ke koko mai ka nui o ke kō koko. Hoʻokaʻa ʻia, komo i loko o lākou, e lilo i mea ʻona. Ma lalo o kā lākou mana, hoʻoemi nā loli maikaʻi i nā palupalu, hana ʻole ka hana maʻamau o nā kino. He hiʻohiʻona weliweli loa kēia me ka maʻi endocrinological pancreatic decompensated. Ma muli o ka hoʻomohala ʻana o nā hanana, ʻike ʻia nā ʻōpū ulia i ka maʻi diabetes mellitus. Pehea e pale aku ai i kahi kūlana pōʻino no ke kino? He aha nā kumu āu i hiki ʻole ai e haina i nā loli hoʻololi?
Autopsy o nā kumu o nā ʻōpū maʻi maʻi diabetes
Noho ʻia nā ʻōpū ma ke kino o ke kanaka me nā hopena o ke aʻa a me nā kīʻaha koko liʻiliʻi. ʻO ke kumu nui o ka mālama ʻana i nā ʻeha a me nā ʻōuli ʻē aʻe o ka maʻi endocrine e mālama mau i ka pae glycemic i ka palena ʻoluʻolu o nā waiwai - a hiki i ka 8.0 mmol / L.
Hoʻopilikia ʻia nā ipu o ka mea maʻi me ka maʻi maʻi e ka maʻi wale nō e ka meli, akā, ma ke kolamu nō hoʻi. Hoʻopili nā molekuhi momona momona i nā paia o ke kahawai a lohi i kā lākou neʻe ʻana. Aia ka pākuʻi vascular i ka pālua ʻelua. ʻO kahi mea puhopa he maʻi maʻi maʻi, mai ka momona o ke koko he nui - triple.
Me ka nui o ka wā, hele kūlohelohe ka maʻi vascular. ʻAʻole pono ka hana a ka mea maʻi e hoʻohui i ka hoʻōki ʻana ʻo hiki ʻole ke hoʻowalewale i ka hōʻemi ʻana mai nā puna nui, nā hāhā kolamu, nā paka.
Hoʻonui ka cholesterol i ka nui o nā makahiki 2 e pili ana i ka maʻi diabetes, ka mea ʻaʻole i hoʻohana i ka insulin therapy. Pono ka poʻe e pilikia ma ka helu ʻana i ko lākou koko i ʻelua mau makahiki i kēlā me kēia makahiki.
Me ka atherosclerosis, hoʻopili ʻia nā vascular me nā pli kolesterol
Me ka cholesterol kiʻekiʻe, pono e paʻa pono ka ʻai i ka maʻi. Hoʻokaʻawale ʻia nā momona o nā kumu holoholona mai kāna meaʻai:
- momona;
- mū;
- ʻili, ʻona cream;
- kekahi mau ʻanuʻu;
- caviar;
- huina.
Nā hōʻailona o nā hopena o ka wāwae hope
I ka maʻiʻai, pili ke kīpē a me nā kīʻaha o nā limu ma lalo o ke kino. Hoʻopilikia nā ʻōpū i nā maʻi o ka maʻi. Ma ke hopena, hiki i nā ʻeha ʻopi trophic ke hoʻokumu i nā wāwae. Ke nānā ʻole nei i nā hoʻololi e kū ana a hoʻomaikaʻi ʻole paha e alakaʻi i ka gangrene, nalowale o nā wāwae.
Kūpono nā wāwae o ka mea maʻi, ma ka lima hoʻokahi, i ka hoʻololi ʻana i ka maʻi lolo ma muli o ke koko kiʻekiʻe. Hana lākou e ka podiatrist (mākaʻikaʻi wāwae wāwae). Ma ka lima ʻē aʻe, loaʻa nā hōʻiliʻili vascular ma muli o ka kolamu ʻoi. Aia nā mea e pono ai e hoʻopili i kahi haukaʻi maʻi vascular (angiologist). Hoʻololi pinepine, ʻo ka mea maʻi i nā ʻano loli. Ua ʻike ʻia he endocrinologist maikaʻi ma ka pulle o kahi kuʻekuʻe e hoʻoholo i ke ʻano o nā moku ma nā wāwae o ka mea maʻi.
Ke mālama nei ka podiatrist i ka lāʻau lapaʻau, mālama i nā wāwae. Ke hana nei kahi kahakiʻohana i nā moku ma nā wāwae. ʻO ka hoʻopiʻi, ka mea i kapa ʻia ʻo ka "wāwae maʻi," mālama ʻia e ka podiatrist. ʻO nā kikowaena maʻi āpau, a me nā mea hou aku ma nā kūlanakauhale o Pokukala a me St. Petersburg, i loaʻa i nā poʻe lapaʻau like ʻole.
ʻO nā ʻōuli e hiki ke hele pū i like, like me ka maʻi maʻi kū hoʻokahi a i ʻole ʻokoʻa ka hōʻike ʻana i ka pio o ka nui o nā hopena o nā nerve (polyneuropathy):
Pehea e mālama ai i nā wāwae me ka maʻi maʻi- wāwae ka wāwae;
- hele keke;
- lilo ka ʻike ʻana;
- ke kina ʻana o nā ʻōlaʻa mai ke pa ʻana;
- nā huʻu o nā uaua (ʻaʻole i ko lākou elasticity);
- ʻeha nā hōʻeha.
Hoʻomaopopo ka poʻe maʻi i ka hana ma hope o ke kau ʻana o nā wāwae i ka pō, i ka hoʻomaha. ʻO ke kāʻei ʻana i ka ʻili o nā moena a me nā kapa ma lalo o nā lole i hoʻoponopono ʻia he mea ʻole ia. ʻO nā pale a me nā ʻehaʻeha ma ke kino, ke kūpono, pono e hoʻōla i loko o 1-2 mau pule. Me ka decompensation o ka maʻi, ua lohi ka hoʻōla ʻana no nā mahina.
Ua hoʻohuli ʻia nā lehelehe ʻili i nā maʻi maʻi o ka maʻi maʻi
E alakaʻi ana ʻo Macroangiopathy i ka hōʻino i nā kahe koko nui, a ma muli o kēia, ke kau nei nā arteriosclerosis obliterans o nā hopena haʻahaʻa. ʻO ka pinepine loa e loaʻa ana i nā maʻi diabetes type 2. E maʻalahi ka maʻalahi o ka hoʻopiʻi ʻana e nā hōʻike mua - ka ʻeha i nā wāwae. Ke hele nei, neʻe ka mea maʻi me kahi ʻano gait ʻano, kahi i kapa ʻia "claudication clmittent."
Hiki i ka maʻi maʻi maʻi maʻi e ʻike pono iā ia iho. Hoʻopili ke kahuli sentimeter palupalu i ka nui o ka ʻōpū a me ka wāwae haʻahaʻa, ua hoʻopaʻa ʻia ka hopena. Me ka maikaʻi ʻole o ka mālama ʻana, ua maloʻo mau ka wāwae o ka mea maʻi, ka nole ʻana o ka puni honua i loko o ia mau mea. ʻO ke kala o ka ʻili i nā wāwae he cyanotic. Ma hope o ka ho'ōla ʻana o nā ʻōpio, ke noho mau nei nā hōʻailona uliuli. Tissue cell i hoʻopilikia ʻia e nā huahana glucose oxidation i lilo i ka hiki i ke regenerative (regenerative) ka hiki. ʻO kēia kahi hopena hopena o ka neuropathy a me ka angiopathy.
Hiki i kekahi mau kumu ke alakaʻi i ka gangrene maʻi maʻi:
- microtrauma kūlohelohe paʻa ʻole;
- nā hopena wela i ka ʻili (ka wela, ka hau);
- ʻai;
- hui kuʻu ʻana;
- hopena maʻi.
Aia ma muli o ke ʻano o ka papa o ka maʻi, hoʻokaʻawale ka ʻano aniani me kahi gangrene maloʻo. Kūpono nā wāwae i ka ʻeha hōʻeuʻeu. Ma nā kūlana holomua, ʻo ka koho wale nō ka mea e komo ai i ka lāʻau lapaʻau. Ma waho o ka hōʻemi ʻana o ka wahi i hoʻopili ʻia, e holo ka mea maʻi i ka make o ka ʻalo ʻana o ke koko.
ʻO nā paona āpau o ka hoʻolālāʻana o ka neuropathy a me ka angiopathy o nā wāwae
ʻO nā hōʻailona kuʻuna o nā hoʻopiʻi maʻi maʻi, ʻaʻole pili wale i ka pae glycemia o ka mea maʻi. ʻO kā lākou wikiwiki e kūkulu ʻia nei:
- hoʻomanawanui;
- ka ʻike a me ke ʻano o ka maʻi maʻi;
- nāwaliwali o ka pale ʻana o ke kino.
Wahi a ka hoʻomaʻamaʻa ʻana o nā endocrinologists, me nā manawa o ke kaila koko kiʻekiʻe nui, ka ulu ʻana o ka neuropathy a me ka angiopathy i loko o hoʻokahi makahiki. Me nā hōʻailona maʻalahi o ke kō, ʻo ka manawa o ka ʻike ʻana i nā hoʻopiʻi hope loa - e piʻi i ka 10 mau makahiki. Inā hoʻomaikaʻi maikaʻi ʻia ka maʻi diabetes, a laila kū lākou i nā makahiki he nui, ma muli o ka hopena, ʻo ka mea mua ma mua o nā loli. Hypertension arterial (kiʻekiʻe koko) hoʻonui i ko lākou ulu ʻana.
Hoʻopilikia ke Angiopathy i nā hōʻino hui
Hoʻomaka ka hoʻoulu koko ʻana i ka hoʻomaka ʻana o nā kaʻina maikaʻi i ka ʻōnaehana musculoskeletal. Hoʻopili ʻia ka pepa cartilaginous e uhi ana i nā ʻili. Hoʻonohonoho ʻia ka paʻakai ma kahi o lākou, ulu nā mea hea ʻia. Paʻi ʻia ka maʻi maʻi e hoʻopaʻa i ka neʻe ʻana ma muli o ke ʻeha o nā ʻeha o nā wāwae (ʻūlū, nā kuli, ka hope). Hoʻomaopopo ka poʻe maʻi i nā hōʻeha ʻeha o nā ʻokoʻa ikaika o nā poʻohiwi a i hope hoʻi i hope. Ua kau ʻia lākou, ma ke ʻano lula, nā vasodilators a me nā mea hōʻeha.
Hoʻolau ka hoʻolaʻa i nā kiko i pā ʻia, therapy therapy:
- nā lāʻau vasodilator (Trental, Solcoseryl);
- hui B hua komite paʻakikī (Milgamma, loaʻa ia mau puka B1, B6), ka acid nikotinic;
- nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol (Zokor, Leskol, Mevacor, Lipantin).
Loaʻa ka Expo-lipon i ka waika alpha-lipoic, i hiki ke hoʻihoʻi i ke ʻano o nā pili o nā nerve. Ma ka hoʻohālike, lawe lākou i kahi papa o ka mālama ʻana me Omeprazole e mālama i ka hana maʻamau o ka gastosa mucosa.
Me ka hoʻomau ʻana o nā puna, hiki i ka hana hou o ka nalo hope ʻana a me nā capillaries. Hoʻopau wikiwiki a maloʻo, ʻā nā hōʻeha a me nā hōʻino. He lohi ke kaʻina hana, akā naʻe. Hāʻawi kēia i kahi manawa e hoʻomaikaʻi ai i ka maikaʻi o ke ola o kahi maʻi maʻi maʻi maʻi.
Wāwae - wāwae hema i ka maʻi diabetes
ʻO ka wāwae ʻākau kahi wahi pilikia pilikia no nā maʻi maʻi maʻi. Pono ia i kahi kaʻawale mai nā loea lapaʻau e pili ana i kahi kuhikuhi olakino liʻiliʻi. Hōʻike nā hōʻike i nā wāwae o ka maʻi maʻi ma mua o nā līlī, nā kuli, a me nā ihu.
ʻO kēia no ka hopena o ka loaʻa o ke koko i ka ʻinoʻino loa, aia ma ka ke kino o ke kino. ʻO ka wāwae kahi wahi i hiki ʻole ke paʻi ʻia aku. Me ka neuropathy, nalowale ka nānāʻana. ʻO ka mea maʻi ka liʻiliʻi liʻiliʻi i ka lalo o ka wāwae, ʻoi aku ka paʻakikī o ka hōʻeha ʻana a me nā maʻi hōʻeha. Hoʻopilikia pinepine nā maʻi ʻoi i nā kui a me nā laha interdigital.
Kūleʻa ka māla i ka hopena o:
- ke kāʻei nei i nā kāmaʻa paʻa ʻole a paʻa;
- wāwae wāwae;
- nā ʻāpana ʻokoʻa loa o nā wāwae;
- keratinization o nā kuʻekuʻe.
ʻO ka ʻoi loa ma ka mōʻī he mau ʻāpana na ke ʻano o ka hele ʻana. Hoʻopili ʻia ka ʻili ma luna o lākou me kahi papikala insensitive palupalu (e like me ka palaoa). Hiki i nā ʻōmole ma loko. I ka hihia o nā maʻi, ʻike ʻia nā mea pono no ka hoʻokumu ʻana o kahi ulula purulent. Hoʻopili i ke ʻano hohonu i ka wāwae, i nā tendons a me nā iwi.
Pehea e pale ai i nā wāwae a me nā wāwae mai nā ulia maʻi maʻi.
ʻO nā ʻōnaehana like ʻole ma nā wāwae, o kekahi ʻano mea, pono ke kiaʻi pono ʻia. Ke puka nei kahi hōʻeha ma ka ʻili, ʻoiai me nā hōʻailona me ke hoʻopili ʻana, e wikiwiki ʻo ia e nīnau aku i ke kauka, maikaʻi loa he podiatrist. Hoʻomaʻamaʻa ʻia nā leile fungal e kahi dermatologist.
Pono e mālama ʻia nā wāwae, e ʻalo i ka ʻakaʻā, ʻo ka hopena o ka:
- manuahi pepeke (wasp, mosquito);
- ulia pōpilikia;
- mai na welau mai ka hāʻule.
Pono ka mea maʻi e noʻonoʻo pono i ka piko o kona mau wāwae, a manaʻo i ka lalo. Inā ʻike ʻia kahi ʻoki a iʻa paha, a laila hiki iā ʻoe ke nānā ma ke kī ʻana i ke aniani ma lalo o kou mau wāwae. Kauka nā kauka i nā mea maʻi e hele i ka hana e hana i kahi hoʻokolokolo i kēlā me kēia lā. ʻO ke koena, ʻo ka manawa pinepine ka hale a me ka hoʻohana ʻana i nā ʻāpana, 2-3 mau manawa i ka hebedoma.
Inā ʻike ʻia kahi ʻoki a abrasion paha, hōʻino ʻia ka hōʻino i ka ʻili me kahi antiseptic (hydrogen peroxide, chlorhexidine). Hiki iā ʻoe ke hoʻohana i nā kūmole o ka iwi (infusion of chamomile, calendula, sage). Hoʻohui ʻia kahi kapa maloʻo maikaʻi ma luna.
I ka wā e hiki mai ana, ʻike ka mea maʻi i ka hoʻōla ʻana. ʻAʻole kūpono nā antiseptics (iodine, ʻulaʻula piha) no ka mālama ʻana o nā ʻūhā wāwae i ka maʻi maʻi. ʻAʻole hiki iā lākou ke hāʻawi i ka hoʻonāukiuki i ke ʻano o ka hana i hoʻopihapiha ʻia.
Ma hope o ka holoi ʻana, holoi ʻia nā wāwae. Hoʻohana nā huapapa. Hoʻopili ʻia ka ʻiʻo maloʻo me ka pēpē pēpē. Ma waena o nā manamana lima ʻoi aku ka maikaʻi o ka lawelawe ʻana i ka pauka talcum e pale i ka hoʻomālamalama diaper. Ua ʻokiʻoki ʻia nā kui a ʻaʻole i pōkole, ʻike i ka hiʻona, nā kihi, me kahi faile.
Hoʻopili hoʻomaʻemaʻe ʻia ka ʻili keratinized ma nā kuʻekuʻe me nā pumice, ma hope o ka hoʻopaʻa ʻana i nā wāwae i ka mahana (ʻaʻohe wai wela!)
Manaʻo nā loea i nā kāmaʻa ākea ākea a me nā kāmaʻa he nui, ʻaʻole nā wāwae heʻe, ʻoi loa he 4 cm. E koi mau ana ka nānā ʻana i nā kāmaʻa a me nā lole no ka hele ʻana i nā pahu liʻiliʻi.
Hiki i nā pilikia me nā wāwae ke like i nā maʻi maʻi like ʻole 1 a me ke ʻano 2, akā ʻokoʻa nā mea kūpono no ka hoʻolālā ʻana o nā hanana. Pono ka mea maʻi e hoʻohana ana i ka maʻi insulin a me ka meaʻai e hoʻokō pono ʻana i ka uku ʻoluʻolu. ʻAʻohe āna ʻano ʻē aʻe e kāohi ana a pale aku i nā ʻōpū wāwae. Nā maʻi maʻi maʻi 2 e hiki ʻole ke hoʻokō i ka hopena o nā lāʻau hypoglycemic i manaʻolana no ka insulin. ʻO ka mea ʻoi loa ka paʻakikī o ka puʻu hāwā.
He lāʻau lapaʻau kūikawā nā lāʻau o kēia wā hou i ka mālama ʻana i nā maʻi maʻi o ka maʻi maʻi. Loaʻa ka mea maʻi i nā manawa a pau e ola ai i nā makahiki holomua, e hoʻohana ana i nā lāʻau lapaʻau hoʻokaʻa koko, ka mālama koko glucose, ka nānā ʻana i kahi papa ʻai, hana a hoʻomaha, a haʻalele i ka ulaula.
