Ma ka maʻi mellitus, ma lalo o ke kumu o nā loli o ka pathological i loko o ke kaʻina metabolic, hoʻopiʻi ka nui o nā hoʻopiʻi e hoʻopilikia i nā hana o nā ʻōnaehana kūloko o ke kino.
Aneane pinepine ʻia nā kino āpau, me ka ʻili.
ʻO nā ʻeha, nā ʻōpala, nā wahi āpau o ka ʻili i kahi hōʻike pinepine o ka maʻi i ka maʻi maʻi maʻi.
Nā kumu wai o nā ʻili
Hewa ka pākia o nā lolo, ka hana ʻokoʻa o ka mellitus o ka maʻi mellitus, no ka ulu ʻana o ka nui o nā maʻi o ka insulin i loko o ke kino a i ʻole, me ka loaʻa ʻole o ka hormone, ke ʻano nui o ke kō i loko o ke koko. ʻO ka nui o ka insulin a me ka glucose paha e alakaʻi i ka pōʻino o ka kiko dermis a me nā loli hou i nā hoʻololi ʻana i nā cell epithelial. ʻO ka hōʻiliʻili o nā huahana dabegration metabolika i loko o nā kinipona hoʻonāukiuki i ka follicle lauoho.
Hoʻopilikia ka ʻike kōpono kiʻekiʻe i ke kaila o ke koko a me ka hana o nā hopena nerve i loaʻa i ka ʻili. Ke alakaʻi nei kēia i kahi hōʻemi o ka mālamaʻana i nā wāwae, kahi hoʻonui i ka manaʻo e hōʻino i nā wāwae. Eia kekahi, ma muli o ka maʻi, nā nāwaliwali o ke kino e nawaliwali ana i ka hana a ke kau hou ʻana o ka mānoanoa a me ka hopena.
Ma muli o kēia hopena, ʻaʻole ʻike koke ke ahulau i nā hōʻeha i kū mai i ke kino, no ka wikiwiki o ka hoʻihoʻi ʻana i nā cell, ʻaʻole nā mea hōʻeha i ka manawa lōʻihi, a ma muli o ka palupalu nāwaliwali, nā maʻi maʻi a me nā maʻi pili i ka kiʻi nui.
No laila, ʻo nā kumu o ke ʻano o ka ʻili o ka ʻili i ka maʻi diabetes:
- koko kiʻekiʻe;
- kiʻekiʻe kiʻekiʻe o ka insulin (kū'ē o insulin);
- kuʻe o ke kahe koko i loko o nā wāwae;
- ho'ēmi i ka pale ʻole;
- poino ka ʻōnaehana hoʻonāukiuki (neuropathy);
- kahi maʻi kūlohelohe i ka insulin a me ka hoʻohaʻahaʻa i nā lāʻau lapaʻau;
- fungal a me nā maʻi maʻi bacterial.
Aia kekahi mau kumu e hiki ai ke hoʻonāukiuki i ka hoʻomohala ʻana o ka ʻatikala:
- Nā ʻilima Hōʻeu nā poʻe makemake i kahi paʻakikī i ka ʻike kino. Eia kekahi, ma nā mea maʻi e hōʻeuʻeu a ʻoi aku ka nui o nā ʻili kino, e alakaʻi ana i ke ʻano o kahi oʻe, scuffs, calluses a me ka hoʻoikaika i ka komo ʻana o ka maʻi.
- He mikikine a me ka hoʻohui lāʻau. Hoʻonui ka hoʻomaʻamaʻa maikaʻi ʻole i ka dehydration o ka ʻili a hāʻawi i ka vasoconstriction, ka mea e hoʻonani ai i ke kahe o ke koko.
- E kāʻei i nā kāmaʻa paʻa a me keʻole. Ke alakaʻi nei kēia i nā hiʻohiʻona o nā calluses a me nā ʻono.
- ʻO ka mālama ʻili ʻana. ʻO ka hopena, maloʻo ka ʻili, ʻike ʻia nā wahi a me nā pālapa.
- Mamua. ʻO nā loli e pili ana i ka makahiki ke kumu o ka hōʻemi ʻana i ka leo o ka ʻili a me ka maloʻo ma waho o ka ʻili, ʻo ia hoʻi i nā wāwae, ka uha a me ka perineum.
ʻO ka hoʻāʻo ʻana i nā hōʻeha loiloi iho i mua o ka maʻi hānai e hāpai i ka holomua o nā maʻi ʻili a me ke ʻano o nā ʻōpiopio.
ʻO nā wahi ʻulaʻula ma ka dermatopathy diabetic
Hoʻokuʻu ʻia ka granuloma annular
E kū'ē i ke kua o ke kahe o ka glucose i loko o ke koko a me ka urination wikiwiki, hoʻohuihui ka hāʻawi ʻana i ke koko i nā ʻakano a ʻike ʻia nā hōʻailona o ka hiʻona.
Ma muli o kēia, ua loli ke kūlana o ka ʻili, lilo lākou i nāhelehe, ʻike ʻia nā wahi i paʻa ma ka wāwae, lilo ke kino a maloʻo, hōʻalo nā ʻupena i nā kuʻekuʻe. Hoʻopau ʻia ka ʻeha a me ka ʻōwili ʻana, hoʻomaka ka lauoho i hāʻule.
Hoʻololi ka ʻano i ka ʻili: pono ke nānā ʻia ka ʻili hina a i ʻole kahilima. Ma muli o nā wai kāpili dilated, e hele mai kahi ʻūhā (rubeosis maʻi maʻi) i nā ʻālina, ka ʻike pinepine ʻia i nā keiki me ka maʻi maʻi.
Hiki ke hoʻokaʻawale ʻia nā ʻōmaka ʻili i nā hui he nui:
- lāʻau lapaʻau - e kū mai ana i ke kua o ka insulin therapy a lawe aku i nā lāʻau hoʻohiolo i ke kōpuka (ka dermatosis allergic, urticaria, post-injection lipodystrophy, eczema);
- ka mua - nā maʻi i hoʻomohala ma muli o ka angiopathy a me nā hopena metabolic (xanthomatosis, lipoid necrobiosis, nā pōpoki maʻi, dermatopathy maʻi maʻi);
- kekee - maʻi kuʻi me nā huakini a i ʻole fungi kū i ke kua mua o nā maʻi endocrine.
Ka paʻakikī o ka hōʻeha ʻeha o ka ʻili o ka hōʻemi ʻana o ka hōʻemi o ka nui o ka hōʻola o nā kiko palupalu, no laila, hoʻomau mau loa ia, me nā hanana pinepine o ka hou ʻana.
I nā poʻe maʻi me ka maʻi lōʻihi, nā puka angiopathy. ʻO kahi hōʻike o ka patology o ka dermopathy maʻi maʻi (e nānā i ke kiʻi), ʻo ka mea e pili nui ai i nā kāne a me nā ʻelemakule.
ʻO ka ʻōmaʻomaʻo nui he brown brown, uhi ʻia i nā paona, ʻeha ʻole a ʻaʻole ʻeha, ka ʻike ʻia i nā wāwae ʻelua a nalo ke kūʻokoʻa a hoʻi i hope o hoʻokahi mau makahiki.
Inā ʻaʻole mau ka lolo maʻi, ʻo ka hiʻohiʻona o nā wahi burgundy poʻomanaʻo me kahi kikoʻōlelo maopopo ʻole kahi hōʻailona o ka erythema. Nui nui nā leʻa like ʻole, ʻike pinepine ʻia i ke kino a hoʻopili ʻia e kahi makaʻala liʻiliʻi. Ua pau nā maka ma hope o kekahi mau lā me ka ʻole o ka mālama ʻana.
Hoʻokumu ka poʻe maʻi āpau i kahi maʻi hoʻopiʻi e like me ka acanthosis ʻeleʻele (e nānā i ke kiʻi). ʻIke ʻia nā kiʻi brown i nā pale lima a me nā ʻāʻī.
Ma ka wahi e kolohe ʻia ana, ʻoi aku ka maikaʻi o ke kino i ka pā, me ke ʻano maʻalahi o ke kino.
Ma hope aku, he puka ʻeleʻele mai kahi. ʻO ka maʻi ka maʻi pinepine loa a lele a lele nā hihele i kahi manawa, akā pili pū kekahi ʻano hoʻohālike.
Hiki i ka hulu kala ke kū i nā ʻāpana o nā manamana lima. Hoʻolā nā ʻōiwi like ʻole ma muli o ka he nui o ka insulin i ke kino, ka mea e kū ana me ka pale o ka insulin.
Hōʻike hōʻailona o ka lipoid necrobiosis
Lipoid necrobiosis - he aha ia? He ala kēia o ka ʻili o ka ʻili ma nā wāwae, kū mai ka nele o ka insulin. Hoʻomaopopo pinepine ʻia ka maʻi i nā wahine e loaʻa ana i ka maʻi mellitus type 1.
ʻO ka mea mua, ʻike ʻia nā wahi ʻulaʻula ma nā wāwae (ʻike i ke kiʻi), hoʻāla ma luna o ka ʻili, a laila ulu lākou a huli i nā plakena atrophic formeless.
Hoʻokomo ʻia kahi ʻāpana polū i loko o ke kikowaena, ma ka pūnaewele kahi i ulia ʻeha ai i ka lōʻihi o ka manawa.
ʻO ka hōʻiliʻili maʻi o ka maʻi ʻili i loko o nā koho e like me kēia:
- nā lāʻau lapaʻau no ka hoʻihoʻi hou ʻana i ke koko (Aevit, Curantil, Trental);
- hana maʻi me ka Fluorocort, Dimexide, Troxevasin;
- insulin hana no ka ʻeha a me nā inikini heparin;
- nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka lipid metabolism (Lipostabil, Clofibrate);
- hoʻōla lāʻau;
- nā phonophoresis me ka hydrocortisone.
I nā pilikia paʻakikī, hoʻohana ʻia ka ʻaila palu.
ʻO kaʻili manika
ʻO kekahi ʻano ʻē aʻe o ka hōʻino o ka dermatological i ke kōkō o ka hiʻohiʻona o ka ʻeha i loko o nā lālā o ka ʻili. ʻO ka maʻamau, ʻo ka pathology e hana i loko oʻelima mau makahiki ma hope o ka hoʻomohala ʻana i ka maʻi diabetes a he maʻamau i nā wahine.
Ma nā kuʻekuʻe, ka ʻōpū, a i ʻole paha, i ʻike ʻia a ikaika paha ke ʻano. Hoʻohui nā wahi i ka lōʻihi o ka manawa, ua maloʻo ka ʻāpana o ka ʻili a haki ʻia. I ka pō, piʻi nui ka manaʻo.
Ma ka wāwae a i ʻole nā manamana lima o ke kiʻekiʻe a me lalo, hiki i nā ʻōpū maʻi maʻi kāki, hiki i ka nui o nā kenimika.
ʻAʻole ka loli o ka kala o ka dermis ma ka pūnaewele o ka hōʻino, hiki ke hele pū ʻia ka rashes me ka ʻūʻī ʻana a i ʻole tingling, a ʻaʻole paha e hoʻonāukiuki i ka ʻeha. Loaʻa i nā puka kō kahi wai koko a maʻemaʻe paha ʻaʻole i ka microflora pathogenic. Ma hope o ʻekolu a ʻehā pule, nalowale nā pulu me ka ʻole e waiho ana i nā ʻā.
Hoʻokomo ʻia nā leʻaleʻa maʻi
ʻO nā wahi i ʻike ʻia ma nā maʻi maʻi maʻi ma ka palaleka, ma waena o nā manamana lima, i nā lipu o ka ʻili a me ka perineum hiki i nā hōʻailona o ka candidomycosis.
Hoʻololi ka ʻili, nā pupu ʻili a me ka hiʻona ma luna me kahi contour māmā a me ka ʻulaʻula bluish-red.
Hiki i nā uhi ʻili o ka ʻili ke uhi ʻia me nā poho liʻiliʻi. Hoʻokomo pū ʻia kēia mau mea me ka minamina nui loa.
No ka hōʻoia i ka maʻi maʻi, ka hana ʻana i ka loiloi microbiological o ka ʻohi ʻana i lawe ʻia mai ka papa o ka hopena.
Hoʻokomo ʻia ka Therapy i ka physiotherapy a lawe i ka fluconazole a i ʻole itraconazole. No ka hoʻohana ʻana i waho, ua kuhikuhi ʻia ʻo Clotrimazole, Exoderil a i Lamisil paha.
Hoʻohui i nā candidiasis e kū'ē i ka maʻi maʻi, e hōʻike pinepine ʻia nā leʻaleʻa maʻi ma lalo nei:
- hulu manu;
- panaritium;
- erysipelas;
- maʻi hūnā maʻi;
- lihalaha.
Hoʻohana ʻia nā lāʻau lapaʻau e mālama ai i nā maʻi, akā paʻakikī nā ʻōnaehana ʻili a koi aku i ka lāʻau lōʻihi. He paʻakikī nā maʻi ʻili a hoʻomaʻamaʻa iā ia i ka hoʻoponopono ʻana i ka nui o nā glucose kiʻekiʻe.
I nā wahi i hōʻino ʻia, hoʻomaka ka waiwai i ke synthesized e hana ana i ka insulin, me ka luku ʻana i ka hormone. Eia kekahi, ʻimi ke kino i ke ʻano o ka maʻi a me ka hoʻowalewale a me ka komo ʻana i ka ʻoihana pale, ka mea e alakaʻi ai i ka nui o ka pale ʻana.
No laila, e hoʻolōʻihi i ka hopena, hoʻonui ka maʻi hānai i ka nui o ka insulin, e hoʻonoho i nā lāʻau lapaʻau e hoʻoikaika i ka pale ʻana o ke kino, a ma nā pilikia paʻakikī e hoʻokō nei.
ʻO ka hoʻokō me nā hana pale e kōkua i ka pale ʻana i ka maʻi a hōʻoluʻolu i ke ala o ka maʻi.
- pale i ka ʻili mai ka puhi ʻana, nā hōʻeha, nā ʻeha a me nā ʻeha;
- e nānā pinepine i ka ʻili a, inā ua poino ʻia, e hana i kahi ʻano antiseptic;
- e koho i nā kāmaʻa kūpono, e pale i ke ʻano o ka ʻōpala;
- Ke lawe nei i ka mālama o ka ʻili, mai hoʻohana i nā mea huehue, nā lole keʻokeʻo, ʻaʻole hoʻohana i ka palau;
- E lawe ʻia nā kaʻina hana hoʻomaʻemaʻe ma ke ʻano me ka hoʻohana ʻana i nā huila no ka maʻi palupalu, hana ʻole;
- hoʻohana i nā paʻahana emollient a moisturizing no ka mālama kino.
Nā ʻatikala wikiō e pili ana i nā maʻi ʻili i ka maʻi diabetes:
Inā ʻike ʻoe i kahi ʻōpala a i ʻole hōʻeha a i kahi nui nui, mai hoʻāʻo e mālama i ka pōʻino iā ʻoe iho. I kēia hihia, pono ʻoe e kipa aku i ke kauka a pale i ka hōʻino.
