Diabetes - ulcer wawae

Inā loaʻa ʻoe i ka maʻi diabetes, loaʻa iā ʻoe ka manawa nui e hoʻomohala ai i nā ʻūhā wāwae, a i ʻole nā ​​maʻi palapū, i kapa ʻia hoʻi nā maʻi maʻi diabetic.

ʻO ka ulcer wāwae ka kumu maʻamau o ka noho ʻana o ka haukapila no ka poʻe me ka maʻi kō. Malia paha he mau pule a he mau mahina paha ka lōʻihi e hoʻōla ai ka maʻi puʻupuʻu wāwae. ʻO nā maʻi maʻi diabetic pinepine ʻole ka maʻi (no ka mea ua emi ka manaʻo i nā wāwae).

Inā paha he ulcer wāwae kou ʻaʻole paha, pono ʻoe e aʻo hou e pili ana i ka mālama ʻana i kou mau wāwae.

Hiki i ka diabetes ke hōʻino i nā aʻa a me nā kīʻaha koko i kou mau wāwae. Hiki i kēia hōʻino ke kumu i ka helu a hoʻemi i ka manaʻo i kou mau wāwae. A ʻo kahi hopena, e hōʻeha paha kou mau wāwae a ʻaʻole hoʻi e hoʻōla maikaʻi inā ʻeha lākou. Inā loaʻa ʻoe i ka pehu, ʻaʻole paha ʻoe e nānā a ʻeha paha ia.

Inā ua hoʻomohala ʻoe i kahi maʻi puʻupuʻu, e hāhai i nā ʻōkuhi o ka mea mālama ola e pili ana i ka mālama ʻana i ka maʻi maʻi. E hāhai pū i nā ʻōkuhi pehea e mālama ai i kou mau wāwae e pale ai i ka ulcer i ka wā e hiki mai ana. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

ʻO kekahi ala e mālama ai i kahi ulcer ka debridement. Lawe kēia hana i ka ʻili make a me kaʻiʻo. ʻAʻole ʻoe e hoʻāʻo e hana i kēia iho. Pono kahi mea hoʻolako, e like me ka podiatrist, e hana i kēia e hōʻoia i ka hana pololei ʻana o ka debridement a ʻaʻole ia e hōʻeha loa i ka ʻeha.

• Hoʻomaʻemaʻe ʻia ka ʻili e hoʻopuni ana i ka ʻeha.
• ʻImi ʻia ka ʻeha me kahi mea kani e ʻike i kona hohonu a ʻike inā aia kekahi mea haole a mea paha i ka ulcer.
• Hoʻokiʻoki ka mea hāʻawi i nā mea make, a laila holoi i ka maʻi maʻi.
• Ma hope, ʻoi aku ka nui o ka ʻeha a hohonu paha. E ʻulaʻula a poni paha ka ulcer. ʻO nā pepeʻi ʻulaʻula a ʻulaʻula / ʻeleʻele ka liʻiliʻi e hoʻōla.

Nā ʻano hana ʻē aʻe a ka mea hāʻawi e hoʻohana ai e wehe i nā mea make a i ʻole maʻi maʻi paha:

• E hoʻokomo i kou wāwae i kahi wai ʻauʻau.
• E hoʻohana i kahi syringe a me ka catheter (Tube) e holoi i nā mea make.
• Pili i nā kapa mākū i nā wahi maloʻo i kahi e huki ai i nā mea make.
• E kau i nā kemikū kūikawā, i kapa ʻia nā enzymes, ma kāu ulcer. Hoʻopau kēia mau mea make mai ka ʻeha.
• Kau i nā mākua kūikawā ma ka ulcer. ʻAi wale nā ​​pulu i ka ʻili make a hana i nā kemika e kōkua i ka ulcer e hoʻōla.
• Kauoha hyperbaric oxygen therapy (kōkua i ka hāʻawi ʻana aku i ka oxygen i ka ʻeha).

Hoʻokumu hapa ʻia nā ulcer wawae e ka nui o ke kaomi ma kahi ʻāpana o kou wāwae.

E noi paha kāu mea lawelawe iā ʻoe e komo i nā kāmaʻa kūikawā, i nā mea paʻa, a i nā mea hana kūikawā. Pono paha ʻoe e hoʻohana i kahi noho huila a i ʻole nā ​​koʻokoʻo a hiki i ke ola ʻana o ka maʻi ulcer. E lawe kēia mau mea i ke kaomi o ka wahi ulcer. E kōkua kēia i ka wikiwiki o ka hoʻōla.

I kekahi manawa kau kaomi i ka ulcer hoʻōla no kekahi mau minuke hiki ke hoʻohuli i ka hoʻōla i hana ʻia i ke koena holoʻokoʻa o ka lā.

Pono e komo i nā kāmaʻa ʻaʻole e hoʻokau i kaomi wale ma kahi o kou wāwae.

• E komo i nā kāmaʻa i hana ʻia i ka canvas, ʻili, a i ʻole suede. Mai komo i nā kāmaʻa i hana ʻia i ka plastic a i ʻole nā ​​mea ʻē aʻe e ʻae ʻole ai i ka ea e hele i loko a i waho o ka kāmaʻa.
• E komo i nā kāmaʻa hiki iā ʻoe ke hoʻoponopono maʻalahi. Loaʻa iā lākou nā lace, Velcro, a i ʻole nā ​​buckles.
• E komo i nā kāmaʻa e kūpono kūpono a ʻaʻole paʻa paʻa. Pono paha ʻoe i kahi kāmaʻa kūikawā i hana ʻia e kūpono i kou wāwae.
• Mai komo i nā kāmaʻa me nā manamana wāwae hāmama a wehe paha, e like me nā kuʻekuʻe wāwae kiʻekiʻe, nā pālule, a me nā kāmaʻa kāmaʻa.

Mālama i kou ʻeha e like me ke kauoha a kāu mea hāʻawi. E komo pū paha nā ʻōlelo ʻē aʻe i:

• E mālama i kāu pae kō kō i lalo o ka kaohi maikaʻi. Kōkua kēia iā ʻoe e hoʻōla wikiwiki a kōkua i kou kino e hakakā i nā maʻi.
• E mālama i ka ulcer a maʻemaʻe.
• E hoʻomaʻemaʻe i ka ʻeha i kēlā me kēia lā, me ka hoʻohana ʻana i kahi lole ʻeha a i ʻole ka lole.
• E hoʻāʻo e hoʻēmi i ke kaomi ma ka ulcer hoʻōla.
• Mai hele wāwae wāwae inā ʻaʻole haʻi kāu mea lawelawe iā ʻoe ua maikaʻi.
• ʻO ke kaohi kahe koko maikaʻi, ka mālama ʻana i ke kiʻekiʻe o ke kōkō, a me ka hoʻōki ʻana i ka puhipaka kekahi mea nui.

Hiki i kāu mea hoʻolako ke hoʻohana i nā ʻano lole like ʻole e mālama ai i kāu ulcer.

Hoʻohana pinepine ʻia nā lole pulu-i-maloʻo. Pili kēia hana i ka hoʻopili ʻana i kahi kapa pulu i kou ʻeha. Ke hoʻomaloʻo ʻia ke kapa komo, komo ia i nā mea ʻeha. Ke hoʻoneʻe ʻia i ka ʻaukā, hele pū kekahi me ia.

• E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa hea e pono ai e hoʻololi i ka lole.
• Hiki paha iā ʻoe ke hoʻololi i kou ʻaʻahu ponoʻī, a i ʻole hiki i nā lālā o ka ʻohana ke kōkua.
• E kōkua pū paha kahi kahu hānai iā ʻoe.

ʻO nā ʻano lole ʻē aʻe:

• ʻO ka lole komo i loko ka lāʻau
• Mea pani hakahaka

E mālama i kou ʻaʻahu ʻana a me ka ʻili a puni i maloʻo. E hoʻāʻo ʻaʻole e kiʻi i nā kikoʻī olakino a puni kou ʻeha a pulu hoʻi mai kāu mau ʻaʻahu. Hiki i kēia ke palupalu i kaʻiʻo olakino a hoʻonui i nā pilikia o ka wāwae.

ʻO nā hoʻokolohua maʻamau me kāu kauka olakino ke ala maikaʻi loa e hoʻoholo ai inā ʻoi aku ka makaʻu o nā ulcer wāwae ma muli o kou maʻi kō. Pono kāu mea hoʻolako e nānā i kou naʻau me kahi mea hana i kapa ʻia he monofilament. E nānā pū ʻia kou mau pulses wāwae.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a me nā ʻōuli o ka maʻi.

• ʻO kaʻulaʻula, hoʻonui i ka mahanahana, a i ʻole ka pehu ʻana a puni ka ʻeha
• Hoʻokahe wai keu
• Pākuʻi
• ʻAʻala
• Fiva a i ʻole haʻalulu
• Hoʻonui i ka ʻeha
• Hoʻonui i ka paʻa paʻa a puni ka ʻeha

E kāhea aku hoʻi inā he keʻokeʻo loa kou peʻa wawae, polū, a ʻeleʻele hoʻi.

Ulcer wawae diabetic; Ulcer - wāwae

ʻAhahui Diabetes ʻAmelika. 11. ʻO nā pilikia Microvascular a me ka mālama wāwae: nā kūlana o ka mālama olakino ma ka maʻi diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

Brownlee M, Aiello LP, Sun JK, et al. Nā pilikia o ka maʻi diabetes. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 37.

Pūnaewele Institute of Diabetes a me Digestive a me ka maʻi maʻi hakuʻala. ʻO ka maʻi diabetes a me nā wāwae. www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems. Hoʻohou Ianuali 2017. Loaʻa iā Iune 29, 2020.

• Diabetes
• ʻO ka maʻi diabetes a me nā nerve
• ʻO ka ʻoki wāwae a me ka wāwae paha
• ʻAno diabetes he 1
• ʻAno 2 diabetes

• Diabetes a me ka hoʻoikaika kino
• Diabetes - mālama i ka hana
• Diabetes - pale i ka hōʻeha puʻuwai a me ka hahau
• Diabetes - ke mālama nei i kou mau wāwae
• Nā hōʻoia diabetes a me nā hōʻoia
• Diabetes - ke maʻi ʻoe
• Hoʻokiʻoki wāwae - hoʻokuʻu
• Hoʻokiʻoki wāwae - hoʻokuʻu
• ʻO ka ʻoki wāwae a me ka wāwae paha - hoʻololi i ka lole
• Kiko kō haʻahaʻa - mālama pono iā ʻoe iho
• Ka mālama ʻana i kāu kō kō
• ʻEha ʻeha Phantom
• ʻAno 2 diabetes - he aha e nīnau aku ai i kāu kauka
• Hoʻololi nā lole komo pulu-i-maloʻo

• Wāwae Diabetes