Scleredema diabeticorum

ʻO Scleredema diabeticorum kahi maʻi ʻili e kū i kekahi poʻe me ka maʻi kō. Hoʻonui ia i ka ʻili e lilo i mānoanoa a paʻakikī hoʻi ma ka hope o ka ʻāʻī, nā poʻohiwi, nā lima, a me ke kua i luna.

Manaʻo ʻia ʻo Scleredema diabeticorum he maʻi kūpilikiʻi ia, akā manaʻo kekahi poʻe e ʻike pinepine ʻia ka ʻike. ʻAʻole ʻike ʻia ke kumu kūpono. Kūpono ke ʻano i nā kāne me ka maʻi diabetes maikaʻi ʻole kaohi ʻia:

• Ua momona
• E hoʻohana i ka insulin
• Loaʻa ka maikaʻi o ka kaohi kō kō
• Loaʻa i nā pilikia diabetes

Lohi mālie nā loli. Ma hope o ka manawa, e ʻike paha ʻoe:

• Mānoanoa, ʻili paʻakikī e manaʻo ana he laumania. ʻAʻole hiki iā ʻoe ke ʻoki i ka ʻili ma luna o ka ʻaoʻao i luna a ʻāʻī paha.
• ʻUla ʻula, ʻeha ʻeha ʻole.
• Hana ʻia nā leona ma nā wahi like ma nā ʻaoʻao ʻelua o ke kino (symmetrical).

I nā hihia koʻikoʻi, hiki i ka ʻili mānoanoa ke paʻakikī i ka neʻe ʻana o ke kino kiʻekiʻe. Hiki iā ia ke hana i ka hanu hohonu paʻakikī.

He mea paʻakikī kekahi poʻe e hana i ka lima lima paʻa no ka mea ʻoi loa ka ʻili ma ka hope o ka lima.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino. E nīnau ʻia ʻoe e pili ana i kāu mōʻaukala olakino a me nā ʻōuli.

E komo pū paha nā hoʻāʻo:

• ʻO ka kō kō kō
• ʻO ka hoʻāʻo ahonui Glucose
• Hōʻike A1C
• ʻ biiwi lāʻau

ʻAʻohe mālama pilikino no ka scleredema. Hiki i nā mālama ke hoʻopili:

• Hoʻonui i ka kaohi o ke kō kō (ʻaʻole hiki i kēia ke hoʻomaikaʻi i nā leona ke hoʻomohala ʻia lākou)
• Phototherapy, kahi hana e hōʻike pono ai i ka ʻili i ke kukui ultraviolet
• Nā lāʻau Glucocorticoid (kumuhana a waha paha)
• ʻO ka lāʻau uila uila (kahi ʻano radiation radiation)
  
• Nā lāʻau lapaʻau e kaomi i ka ʻōnaehana pale
• ʻO ka hoʻōla kino, inā paʻakikī ʻoe i ka neʻe ʻana i kou kino a hanu hohonu paha
  
  

ʻAʻole hiki ke hoʻōla ʻia ke ʻano. Hiki ke hoʻomaikaʻi i ka neʻe a me ka hanu ʻana.

Kāhea i kāu mea hāʻawi inā ʻoe:

• Loaʻa ka pilikia i ka kaohi ʻana i kāu kō kō
• Hoʻolaha nā ʻōuli o scleredema

Inā loaʻa iā ʻoe ka scleredema, e kāhea i kāu mea hāʻawi inā ʻoe:

• E paʻakikī e hoʻoneʻe i kou mau lima, nā poʻohiwi, a me ke kino, a i ʻole nā ​​lima
• E pilikia i ka hanu hohonu ʻana ma muli o ka ʻili paʻa

ʻO ka mālama ʻana i nā pae kō kō i loko o ka pae e kōkua i ka pale ʻana i nā maʻi kō. Eia nō naʻe, hiki i ka scleredema, ke mālama maikaʻi ʻia ke kō kō.

E kūkākūkā paha kāu mea hāʻawi i ka hoʻohui ʻana i nā lāʻau e hiki ai i ka insulin ke hana ʻoi aku ka maikaʻi i kou kino i hiki ai ke hoʻēmi i kāu mau kaha insulin.

Scleredema o Buschke; Scleredema makua; ʻIli mimiki diabetic; Scleredema; Diabetes - scleredema; Diabetic - scleredema; Dermopathy diabetic

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Flischel AE, Helms SE, Brodell RT. Scleredema. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 224.

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ʻO Rongioletti F. Mucinoses. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 46.