Ma kahi o nā loli i ʻike ʻole ʻia e ka maka e loaʻa ana me nā ʻōpū o loko a me nā membrane mucous i loko o ke kino, aia nā hōʻailona waho o ka maʻi maʻi ma ka ʻili, ma muli o ke ʻano, ka makahiki o ka maʻi, ka makahiki o ka mea maʻi, ka kūleʻa (a i ʻole uluhewa) o ka hoʻomaʻamaʻa, i hōʻike ʻia a i ʻole ka nui.
ʻO kēia kekahi o nā hoʻopiʻi i ke ʻano o ka hōʻike kino ʻulaʻula (mua), a i ʻole ke alakaʻi ʻana ʻaʻole wale i ka hōʻino o ka ʻili, akā pū kekahi i ke komo ʻana o nā hana hohonu hohonu (kekona, pili i nā hopena o ka maʻi mellitus).
ʻOiai ka paʻakikī o ka hoʻokolokolo ʻana i ka hohonu o nā loli i ulu ʻia i loko o ke kino mai nā kiʻi mai ka Pūnaewele, ʻo ka mea maoli nō lākou "i kihiki ʻia" (a ma lalo o ka ʻili) e hōʻike ana i ko lākou mea nui - a me ka pono no kahi hoʻolālā hou - kahi ʻōnaehana o nā hana e hoʻopaʻa i kahi maʻi o waho.
Ke hoʻololi nei i ka ʻili me ka maʻi maʻi
I ka hoʻohui ʻana i ke kino me ka urination pinepine, ka ʻono ʻana i ka wai paʻakai (ma muli o ka hiki ʻana o ke kō i loko o ia mea), ʻo kekahi o nā hōʻailona mua o ka maʻi hānō i ka make, ka mea i hōʻike ʻia e ka makewai ʻole ʻole a me ka waha maloʻo mau, ʻoiai ka inu ʻawaʻawa.
ʻO ka hele ʻana o kēia mau ʻōnaehana no ka maʻi nui o nā kaʻina biochemical, ma muli o ke kahe ʻana o ka wai e "kahe a" ʻaʻole i lohi i nā kiko.
ʻO ka Hyperglycemia (ʻoi loa ka nui o ke kō ma ka wai ma muli o kahi huehue metabolism) ʻo ia ka mea e hoʻopiʻi ai no kēia, no ka mea ke kuhi ka metabolism i loko o ka lolo i ka hanana o kāna hana.
ʻO ka hemahema o nā hana haʻahaʻa o ka hoʻokalakupua o ka lolo e alakaʻi i nā pilikia i ka hana o nā nū a me nā ʻōnaehana vascular - ma muli ka hopena, ala mai nā pilikia me ka hoʻokahe koko a me ka hoʻowalewale o ke kiko, kahi e hoʻomau ai i nā maʻi trophic.
Hāʻawi ʻia i nā ikehu palupalu, "nā wai ʻia" me nā huahana metabola huʻawaʻi ʻole i kāpae ʻia i ka manawa, hoʻomaka nā ʻaoʻao a laila e hiolo.
ʻO nā maʻi ʻeha ma ka maʻi maʻi
Hōʻike nui ka hiʻohiʻona o ka integument ma muli o ka maʻi, ka hāʻawi ʻana i ka manaʻo o ka luhi no ka:
- ka lauʻala o ka ʻili, ua nalowale i kona elasticity;
- peʻeha koʻikoʻi, koʻikoʻi i ka kui;
- ka helehelena o nā calluses ma nā palma a me nā ʻeleʻele;
- nā hōʻoki ʻana i ka ʻili, ka loaʻa ʻana o kahi ʻano melemele ʻano;
- nā hoʻololi i nā kui, ko lākou deforme a me ka hoʻopaʻi ʻana o nā papa ma muli o ka hyperkeratosis subungual;
- lauoho lauoho;
- ke ʻano o nā wahi pigmentation.
Ma muli o ka maloʻo o ka papale o nā papa ma lalo o ka ʻili a me nā membula, ka mea i pau ai ka hoʻokō ʻana i kā lākou kuleana pale, ka ʻeha ʻili, ke alakaʻi ʻana i ka hoʻouka ʻana.
- folliculitis;
- nā pahuhū a me nā pyoderma hohonu ʻē aʻe;
- Hōʻikeʻike o candidiasis.
Nā kiʻi o nā rashes maʻamau me ka maʻi maʻi:
Hōʻeha nā pilikia o ka ʻeha trophic o ke kihi o ke poʻo e pili i ka holo ʻana o ka mahele a me nā kinipona sebaceous (me ke ʻano o ka aniani a ʻalahu - ka lole no ka poʻo āpau - pau ka lauoho).
Hoʻomaʻamaʻa iki ke kūlana o ka uhi o nā ʻoi loa o ke kaohi - ma muli o ke koʻikoʻi o ka hana kino ma nā haʻahaʻa haʻahaʻa, ʻoi aku ka ikaika o ka hōʻeha o nā vascular, ʻoi aku ka ikaika o nā wāwae a me ke kapa, ʻo ia ka mea e paʻakikī ai ka kaila koko.
Hāʻawi kēia mau hiʻohiʻona i ke ʻano o ke kahe a hemo, aʻo ka helu a me nā hōʻeha liʻiliʻi ka mea paʻakikī ke hoʻōla - akā aia i ka manawa like i ka ulia.
Ke hoʻololi nei i ka pH o ka maka o ka integument ʻaʻole i hoʻolaha wale i ka hoʻomaka ʻana o kahi maʻi microbial, akā ke kau nei hoʻi i ke ola ʻana o ka flot mycotic (fungal) ma luna o ia - candida (like-yeast, like me ka ʻupena) a me ka lichen.
Nā maʻi haʻahaʻa
Me nā hōʻailona mua o ka maʻi diabetes me ka hōʻeha (ʻoi aku paha ma ke ʻano wahi ʻōpū), ʻo ka lōʻihi o ka hoʻōla ʻana o nā hōʻeha liʻiliʻi (hōʻeha, hōʻeha, hōʻeha), keratosis-acanthosis me ke ʻano o ka hyperpigmentation o nā hōʻiliʻili, nā ʻāpana male (e pili ana i ka ʻōpū o nā puʻupuʻu) ke ʻano o ke ʻano o ke au maʻi - maʻi pākia:
- dermopathy;
- necrobiosis,
- paluanaluhi;
- pemphigus.
Dermopathy
ʻO ka hōʻike waho o nā hana e kū nei i loko o nā lau nā papa o ka dermopathy maʻi maʻi.
Hōʻike ʻia e ke ʻano o nā papules o ke kala mai ka ulaula a hiki i ka brown, o ke kumu liʻiliʻi (mai 5 a 10-12 mm), symmetrically i luna o ka wāwae, ka pinepine ma nāʻaoʻao mua o nā wāwae.
Ma hope iho, ua hoʻololi ʻia i loko o nā wahi i ka hyperpigmented atrophic me ke kuʻalā scaly, hiki iā ia ke ola a nalo i ka manawa like ma hope o 1-2 mau makahiki (ma muli o ka hoʻomaikaʻi ʻana i ka microcirculation no kekahi mau kumu a me ka hoʻēʻemi i ka paʻakikī o ka microangiopathy kikoʻī).
ʻAʻole lākou e hoʻonāukiuki i ka hoʻonaʻauao, ʻaʻole lākou e koi i ka lāʻau kūikawā, ʻoi pinepine loa, ʻo ka hele ʻana o ka maʻi II ʻano kīnā i nā kāne me ka "ʻike" nui.
Lipoid necrobiosis
ʻO ke ʻano, ka mea i hoʻomau ʻia me ka hoʻomau loiloi o ke kaʻina hana i luna, me ka hoʻomohala ʻana o ka dystrophy-atrophy o ka ʻili ma muli o ka make o kāna mau hana hana me kā lākou mea e pili ana i kā lākou palaka.
ʻOi aku kahi kūlana maʻamau i nā wahine ma mua o nā kāne, ka mea i hōʻike ʻo ia iā ia iho ma 1-4% o nā maʻi maʻi kūlike o ka insulin (me ke ʻano o ke ʻano he makahiki, akā ʻo ka manawa pinepine loa i loko o 15-40 mau makahiki).
ʻAʻohe mea hoʻohālikelike me ka papa o ke ʻano o ka maʻi (hiki i ka pathology ke hele mua i kahi kikowaena hoʻonui o ka maʻi a hana pū pū me ia), e pili ana i ka ʻōpū o ka maʻi maʻi.
ʻAʻole pili nā pūnaewele o nā inikini no ka insulin, foci (hoʻokahi, me kahi wahi lesi nui) i kuhi ʻia i nā wāwae, i ka hoʻomaka ʻana o ke kaʻina i hōʻike ʻia e nā kiko o nā wahi i hāpai ʻia ma luna o ka papale a i nā ʻāpana poʻo paha me ka papa ʻāina me ka pālahalaha.
Loaʻa iā lākou kahi polū polū uliuli, nā ʻaoʻao poʻomanaʻo a i wehewehe ʻia paha e ka hakakā hewa o ka palena i wehewehe ʻia e neʻe nei i ka periphery kahi e ulu ai ka manaʻo. ʻO ka helehelena hope loa o nā puka ʻano maʻamau ka mea ʻole ia e koi i kahi kūʻokoʻa mai nā ʻano like (like anular granuloma a me nā mea like).
ʻO kēia ka poʻe i ʻike pololei ʻia mai nā ʻili e puni ana, he ʻano like (ka oval a i ʻole polygonal) i kū ʻia i ke kuhikuhi o ka lōʻihi o ka wāwae.
ʻO ka pulupulu i kūpaʻa a kūloko o ke kūpaʻa o ke kaila (cyanotic pink me nā peeling e ʻike ʻia) a puni ke kihi waena (ʻoniʻoni mai ka melemele a hiki i ke melemele-brownish), me he mea lā e lūlū ʻia, akā i ka manaʻo like me ka pae like me ka ʻili e puni ana.
ʻO ke kiʻi o nā mumū ʻili me nā lipoid necrobiosis:
Ke hoʻomau nei nā kaʻina atrophic ma ke kikowaena o ke hoʻonaʻauao i ke ʻano o:
- telangiectasias;
- pāpili moho;
- uliaia.
ʻAʻole ka hoʻololi ʻana o ke ʻano o ka ʻula i ka ʻike maka ʻana, ʻike ʻia wale ka maʻi i ka manawa i hoʻomaka ai ka ulia.
ʻO nā loli ʻē aʻe i ka ʻili me ka maʻi gula i loaʻa ka penei:
- Lipodystrophy Diabetic - atrophy (a hiki i kona nalowale piha ʻana) o kahi papa o ka momona subcutaneous me ka hopena o ka hoʻomaʻemaʻe ʻana i ka ʻili, ke ʻano o nā "spider veins" - teleangiectasias, ʻeha kino me ka hoʻokumu ʻana o nā ʻōpala.
- ʻO Xanthomatosis - ke ʻano o nā hana pākī palalike, nā kikoʻī pōkole, ka laulā mai ka melemele a hiki i ke keʻokeʻo, ʻohi ʻia ma luna o ka ʻili o ka ʻili (ʻoi aku ma luna o nā ʻūhā, ke kua, ʻemi pinepine i ka maka, nā wāwae).
- ʻO Hyperkeratosis - hana pinepine ka keratinization, ke alakaʻi nei i ka hoʻonaninani ʻana i ka ʻili o nā wāwae (ma muli o ka hōʻino ʻana i nā neʻe peripheral a me nā kīʻaha koko ma muli o ke kaʻe o ka puni a me ka hoʻāla ʻana).
- Pakano a me ka mikrobial ka maʻi (me ka hoʻokumu ʻana o nā ʻolima, carbuncles a me ka hoʻopalopō hohonu o ka ʻili).
- Nā lole lōlima i ka pūpū - e uhi ana i nā wāwae a me nā lima o nā lehelehe, ka hele ʻana i kahi kikoʻī.
- ʻO ka maʻi pemphigus maʻi.
Kūkulu ka maʻi maʻi (e nānā i ke kiʻi) ʻo ka exfoliation o ka epidermis i kūkulu ʻia ma waena o ia mea a me ka waioma dermis, e alakaʻi ana i kahi kaila wai e loaʻa ana i ka serum a i ʻole serum i hui pū ʻia me nā mea pili o ke koko - ka maʻi hemorrhagic. ʻOiai ke hoʻonohonohoʻana o nā kahe i loko o ka mea pale, ʻoi mau ia.
ʻOiai ʻaʻole ka ʻeha o ka hoʻokumu ʻana (ka loaʻa o ke aniani a i ʻole ke anawaena o ke aniani) i loaʻa ma ka palaualaka, kuʻi, kuʻekuʻe wāwae a me nā ʻūlū paha, ʻaʻohe lūlū mua, ʻeha a i nā hōʻailona ʻē aʻe, e mau ʻoluʻolu a hoʻoweliweli i ka mea maʻi, akā nalowale me nā hopena ʻole a pēlā aku e like me ka ʻike e like me ka mea (i loko o 2-4 mau pule).
Nā maʻi hōʻaʻi
Aia kēia ʻāpana:
- mea ʻai ʻino;
- hopena maʻi.
ʻOi aku ka maʻi maʻi o ke kino me ka maʻi o ka maʻi ʻoi aku ka maʻi ma mua o nā mea maʻi me ka pathology endocrine.
Hoʻopili i nā maʻi maʻi maʻi maʻi, ka mea, i ka wā i hana ai ma ka wāwae, pono e hoʻopili ai i ka wāwae ma kahi kiʻekiʻe a me ka momona, aia kekahi mau koho ʻē aʻe no ka streptococcal a me ka staphylococcal pyoderma:
- kaʻaila;
- ʻūlū;
- phlegmon;
- erysipelas;
- panaritiums;
- parolechia.
ʻO ka loaʻa ʻana o nā kaʻina pili a me ka maʻi a pili i ka hanana ʻana i ka nui o ke ʻano nui o ka mea maʻi, he lōʻihi ka lōʻihi o nā manawa decompensation o ka maʻi, a me ka hoʻonui ʻana i nā pono o ka insulin.
ʻO nā hoʻopili kulekele manu, candidiasis, maʻamau e hoʻowalewale ʻia e nā ʻano lāʻau Candida albicans, e mau ana i ka kūpono.
ʻO ka mea maʻalahi loa i nā poʻe maʻi a me nā makahiki senile, nā mea maʻi me ke kaumaha nui o ke kino, kahi ma nā wahi o nā ʻano ʻili like ʻole i lilo i wahi punahele o ke kaona.
- inguinal;
- interdigital;
- liilii;
- ma waena o ka ʻōpū a me nā ʻōpū.
ʻAʻole ʻoi aku ka "kipa ʻia ʻana" e ka ʻōpū, ka maʻi candidal e alakaʻi i ka hoʻomohala ʻana i nā maʻi o nā ʻōpū a me nā waha waha.
- ʻōpala a me nā vulvovaginitis;
- balanitis (balanoposthitis);
- ka cheilitis angular (me ke kikowaena o nā kihi o ka waha).
ʻO Candidomycosis, ka mea i lilo pinepine i hōʻailona no ka maʻi maʻi, i kahi ʻole o kahi e hōʻike ai, ʻo ia ke ʻano he nui a me ka hoʻoweliweli o ka maʻi, kahi i hōʻike ʻia ai ke ʻano o ka maʻi.
E like me ka ʻike ʻia i loko o ke kiʻi, hiki i ka maceration o ke kino ka "moe" i mākaukau no ka "lūlū ʻia" o ka hāhā.
ʻO kēia haki (hoʻolālā ʻia no ka desquamation o ka stratum corneum) papala-ʻulaʻulaʻula, ʻulaʻula a me ka ʻūhū mai ka huluhulu ʻana mai nā ʻāpana o nā ʻāpana e kū ana ma lalo o ka epidermis, ʻoi aku ka hūnā ʻia i loko o ke laha o ke kino (ʻaʻole nui ka nui o ka ea no ka huehue, ka ulu ʻana o nā mea spores a me ka hoʻomohala ʻana o kēia ʻano o ka pānaʻi).
Hāpai ʻia ke ʻano o ka hika a me nā kahua pālahalaha ma kahi o ka "screenings", kahi i hui pū ʻia me nā pupu liʻiliʻi, ma ke alo o ka neʻe ʻana o ka lua, kahi e kūleʻa ai a me (i ka manawa like) e ulu pū me ka hoʻonui ʻana i ka ʻaoʻao o ka ʻaoʻao a me kona hoʻomohala ʻia i ka "lepo".
ʻO ka mālama ʻili
Hāʻawi i ke ʻano o kahi maʻi i lalo o ka maʻi (maʻa), nā hana maʻemaʻe maoli e mālama i ka ʻeha a me ka degenerated i lawe ʻole i kekahi mau pōmaikaʻi.
ʻO kā lākou hui pū ʻana me ka hoʻohana ʻana i nā mea hoʻonaʻu gula e kūpono i ke ʻano o nā maʻi e hiki ke hāʻawi i kahi hopena ʻoluʻolu.
Akā ma muli o ka loaʻa ʻana o nā nuances he nui i ka papa maʻamau o ka maʻi, me ka loaʻa mai i kēlā me kēia hihia, a me ka pono no ka mālama ʻana o nā ʻaina gula, pono e mālama ke kauka i ka kaʻina hana.
ʻO ka wikiō mālama maʻi maʻi maʻi maʻi:
ʻAʻole hiki i nā hoʻopiʻi e hoʻohana ana i nā hana o "nā kuʻuna kūlohelohe" hiki ke hoʻololi i ka mālama olakino kūlohelohe - wale nō ma hope o ke ʻae ʻia e ke kauka lapaʻau e mālama ana iā lākou hiki ke hoʻohana ʻia (ma ke ʻano ʻōlelo palani me ka mālama paʻa ʻana i ka nui o nā kaʻina).
Me nā maʻi kino ʻoluʻolu, e kūpono mau nā hopena o nā huahana:
- mai ka hui o nā aniline dyes - 2 a i ʻole 3% hopena o ka mika methylene (ʻulaʻula), 1% inten-grun (ka ʻaha ʻoka o nā mea "ʻōmaʻomaʻo"), ka hopena Fucorcin (mea hana Castellani);
- nā pastes a me nā ʻaila me kahi kiko o 10% boric acid.
Ma ke ʻano o ka mikrobial, fungal, a i ʻole like ʻole i nā maʻi like ʻole, ua koho ʻia nā hui e like me nā hopena o nā hoʻokolohua kūloko - microscopic a me ke ʻano o ka pathogen inoculated ma kahi ʻano mea kanu, e ukali ʻia e ka ʻike ʻana i ka moʻomeheu pathogen a me kona ʻano i nā hui like ʻole o ka lāʻau (antimicrobial a antifungal).
No laila, ʻo ka hoʻohana ʻana i nā kaʻina hana "pilikino" ʻaʻole ʻē aʻe ma mua o hoʻokahi ala e nalowale i ka manawa waiwai a e hoʻolōʻihi ʻia i kahi pilikia o ka ʻili me kahi maʻi hilo. Pono ke ʻano lāʻau lapaʻau e pili ana i nā pilikia o kāna ho'ōla.
