Hōʻike Wāwae Diabetic

Anter

• He aha ka hōʻike diabetic wāwae wāwae?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i ka hōʻoia diabetic wāwae?
• He aha ka hana i ka wā o ka hoʻokolohua wāwae diabetic?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hōʻike diabetic wāwae wāwae?
• Nā kūmole

He aha ka hōʻike diabetic wāwae wāwae?

ʻOi aku ka makaʻu o ka poʻe me ka maʻi kō no nā ʻano pilikia like ʻole o ka wāwae. ʻO kahi hoʻokolohua wāwae diabetic e hōʻoia i ka poʻe me ka maʻi diabetes no kēia mau pilikia, e pili ana i ka maʻi, ʻeha, a me nā iwi ʻano ʻole. ʻO ka hōʻino ʻia o ke aʻalolo, ʻike ʻia ʻo neuropathy, a me ka maikaʻi ʻole o ke kahe ʻana (ke kahe o ke koko) nā kumu maʻamau o nā pilikia wāwae diabetic.

Hiki i ka Neuropathy ke hana i kou mau wāwae i ka numb a me ke kani. Hiki iā ia ke kumu i ka nalowale o ka manaʻo i kou mau wāwae. No laila inā ʻeha ʻoe i ka wāwae, e like me ka callus a i ʻole blister, a i ʻole kahi ʻeha hohonu i ʻike ʻia he ulcer, ʻaʻole paha ʻoe e ʻike.

Hiki i ka maikaʻi o ka hele wāwae i ka wāwae ke hana iāʻoe i mea paʻakikī i ka hakakāʻana i nā maʻi o ka wāwae a ho'ōla mai nāʻeha. Inā loaʻa ʻoe i ka maʻi diabetes a loaʻa i ka ulcer wāwae a i ʻole nā ​​ʻeha ʻē aʻe, ʻaʻole hiki i kou kino ke hoʻōla wikiwiki iā ia. Hiki i kēia ke alakaʻi i kahi maʻi, a hiki ke lilo i koʻikoʻi. Inā ʻaʻole mālama koke ʻia kahi maʻi maʻi o ka wāwae, hiki iā ia ke lilo i mea weliweli loa e pono ai e ʻoki ʻia kou wāwae e mālama i kou ola.

ʻO ka mea pōmaikaʻi, ʻo nā hoʻokolohua wāwae diabetic maʻamau, a me ka mālama ʻana i ka home, hiki ke kōkua i ka pale ʻana i nā pilikia olakino wāwae wāwae koʻikoʻi.

Nā inoa ʻē aʻe: hoʻāʻo hoʻokolohua wāwae

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi hoʻokolohua wāwae diabetic e nānā ai no nā pilikia olakino o ka wāwae i ka poʻe me ka maʻi kō. Ke loaʻa a mālama ʻia nā ulcer a i ʻole nā ​​pilikia o ka wāwae i ka wanaʻao, hiki iā ia ke pale i nā pilikia koʻikoʻi.

No ke aha wau e pono ai i ka hōʻoia diabetic wāwae?

Pono nā kānaka me ka maʻi hē e hōʻoia i ka wāwae diabetic exam ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Pono paha ʻoe i kahi hoʻokolokolo pinepine aʻe inā loaʻa i kou mau wāwae kekahi o nā hōʻailona aʻe.

• ʻŪlili
• Pōpō
• ʻEha
• Manaʻo wela
• ʻŌhū
• Ka ʻeha a me ka paʻakikī ke hele wāwae

E kāhea koke aku ʻoe i kāu kauka lawelawe inā loaʻa iā ʻoe kekahi o nā ʻōuli ma lalo, ʻo ia nā hōʻailona o ka maʻi nui.

• Pākuʻi, ʻokiʻoki, a i ʻole nā ​​hōʻeha wāwae wāwae i hoʻomaka ʻole e hōʻola ma hope o kekahi mau lā
• ʻO kahi ʻeha o ka wāwae e wela ai ke ʻano ke pā ʻoe
• ʻUlaʻula a puni kahi wāwae ʻeha
• He callus me ke koko maloʻo i loko o ia mea
• ʻO kahi ʻeha ʻeleʻele a pilau hoʻi. He hōʻailona kēia o ka gangrene, ka make ʻana o nā kino o ke kino. Inā mālama ʻole koke ʻia, hiki i ka gangrene ke alakaʻi i ka ʻoki ʻana o ka wāwae, a i ka make paha.

He aha ka hana i ka wā o ka hoʻokolohua wāwae diabetic?

Hiki ke hana i kahi hoʻokolohua wāwae diabetic e kāu kahu mālama mua a me / a i ʻole ke kauka wāwae, i ʻike ʻia he podiatrist. Hoʻomaʻamaʻa kahi kauka wāwae i ka mālama ʻana i nā wāwae i ke olakino a me ka mālama ʻana i nā maʻi o nā wāwae. Loaʻa i ka hōʻike ka mea aʻe:

Loiloi laulā. E hāʻawi kāu mea hoʻolako:

• E nīnau i nā nīnau e pili ana i kou moʻaukala olakino a me nā pilikia ma mua i loaʻa iā ʻoe me kou mau wāwae.
• E nānā i kou mau kāmaʻa no ke kūpono kūpono a nīnau i nā nīnau e pili ana i kāu kāmaʻa ʻē aʻe. ʻO nā kāmaʻa ʻaʻole kūpono kūpono a i ʻole ʻoluʻolu ʻole e hiki ai ke alakaʻi i nā palapū, nā callus, a me nā ulcer.

Loiloi Dermatological. E hāʻawi kāu mea hoʻolako:

• Nānā i nā pilikia ʻili like ʻole, e like me ka hoʻomoʻo ʻana, māwae, callus, pāhū, a me nā ulcer.
• E hōʻoia i nā manamana wāwae no nā māwae a maʻi maʻi fungal paha.
• E hōʻoia ma waena o nā manamana wāwae no nā hōʻailona o ka maʻi fungus.

Nā loiloi Neurologic. ʻO kēia kahi o nā hoʻokolohua i hoʻopili ʻia:

• Hōʻike monofilament. E palaki kāu mea lawelawe i kahi fiber nylon palupalu i kapa ʻia he monofilament ma luna o kou wāwae a me nā manamana wāwae e hoʻāʻo ai i ka ʻike o kou wāwae e hoʻopā.
• ʻO nā fork Tuning a me nā hōʻike ʻike ʻike (VPT). E kau ana kāu mea hāʻawi i kahi oʻa a i ʻole mea hana ʻē aʻe i kou wāwae a me nā manamana wāwae e ʻike inā hiki iā ʻoe ke ʻike i ka haʻalulu e hana ai.
• Hōʻike Pinprick. E kuʻi mālie kāu mea hāʻawi i ka lalo o kou wāwae me kahi pine liʻiliʻi e ʻike ai inā hiki iā ʻoe ke haha.
• Nā hoʻololi kuʻekuʻe wāwae. E nānā kāu mea hāʻawi i kou reflexes kuʻekuʻe wāwae ma ke kāomi ʻana i kou wāwae me kahi mallet liʻiliʻi. Ua like kēia me kahi hoʻāʻo āu e loaʻa ai i ke kino makahiki, kahi e lawelawe ai kāu mea lawelawe ma lalo pono o kou kuli e nānā i kāu reflexes.

Loiloi Musculoskeletal. E hāʻawi kāu mea hoʻolako:

• E nānā i nā mea kūpono ʻole i ke ʻano a me ke ʻano o kou wāwae.

Loiloi Vascular. Inā loaʻa iā ʻoe nā ʻōuli o ka holo maikaʻi ʻole, hiki i kāu mea hāʻawi ke:

• E hoʻohana i kahi ʻano ʻenehana kiʻi i kapa ʻia ʻo Doppler ultrasound e ʻike i ke kahe ʻana o ke koko i kou wāwae.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka hoʻokolohua wāwae diabetic.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe hopohopo i ʻike ʻia i ka loaʻa ʻana o ka hōʻike diabetic wāwae wāwae.

He aha ke ʻano o nā hopena?

Inā loaʻa kahi pilikia, e paipai paha kāu kauka wāwae a mea lawelawe ʻē aʻe paha i ka hoʻāʻo pinepine ʻana. Hiki i nā mālama ʻē aʻe ke:

• Nā Antibiotics e mālama i nā maʻi o ka wāwae
• ʻO ke ʻoki kino e kōkua me nā deformities iwi

ʻAʻohe lāʻau lapaʻau no ka hōʻeha o ke aʻalolo i ka wāwae, akā aia kekahi mau hōʻailona e hiki ke hōʻoluʻolu i ka ʻeha a hoʻomaikaʻi i ka hana. Pākuʻi ʻia kēia mau mea:

• Lapaʻau
• Pālolo ʻili
• Hoʻomaʻamaʻa kino e kōkua me ke kaulike a me ka ikaika

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hōʻike diabetic wāwae wāwae?

He pilikia nui ka pilikia o ka wāwae i ka poʻe me ka maʻi kō. Akā hiki iā ʻoe ke kōkua i ka mālama ʻana i kou mau wāwae inā ʻoe:

• Mālama i kou mimikō Hana pū me kāu mea mālama ola e mālama i kāu kō kō i kahi pae olakino.
• E kiʻi i nā hoʻokolohua wāwae diabetic maʻamau. Pono ʻoe e nānā i kou mau wāwae ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki, a ʻoi aku ka pinepine inā ʻoe a ʻo kāu mea lawelawe paha e loaʻa kahi pilikia.
• E hōʻoia i kou mau wāwae i kēlā me kēia lā. Hiki i kēia ke kōkua iā ʻoe e ʻike a hoʻoponopono i nā pilikia ma mua o ka ʻino. E nānā i nā ʻeha, nā maʻi ʻeha, nā māwae toenail, a me nā hoʻololi ʻē aʻe i kou mau wāwae.
• E holoi i kou mau wāwae i kēlā me kēia lā. E hoʻohana i ka wai mehana a me ke kopa maʻalahi. Maloʻo loa.
• E komo i nā kāmaʻa a me nā kākini i nā manawa āpau. E hōʻoia i kaʻoluʻolu o kou kāmaʻa a kūpono maikaʻi.
• E ʻoki mau i kou manamana wāwae. E ʻoki pololei ma ʻō o ke kui a ʻoluʻolu mālie nā kihi me kahi faile.
• Palekana i kou mau wāwae mai ka wela a me ke anuanu nui. E komo i nā kāmaʻa ma nā ʻāpana wela. Mai hoʻohana i nā pale pumehana a i nā hue wela i kou mau wāwae. Ma mua o ke kau ʻana i kou mau wāwae i ka wai wela, e hoʻāʻo i ka mahana me kou mau lima. Ma muli o ka hoʻohaʻahaʻa o ka sensation, hiki iā ʻoe ke puhi i kou mau wāwae me ka ʻike ʻole iā ia. I mea e pale aku ai i kou mau wāwae mai ke anuanu, mai hele wāwae ʻole, e komo i nā kākini i ka moena, a i ka hoʻoilo, e hoʻokomo i nā kāmaʻa paʻa, nā kāmaʻa wai.
• E hoʻomau i ke kahe o ke koko i kou mau wāwae. E kau i kou mau wāwae i ka wā e noho ana. E hoʻoweliweli i kou manamana wāwae no kekahi mau minuke ʻelua a ʻekolu paha manawa o ka lā. Noho mau, akā koho i nā hana maʻalahi i nā wāwae, e like me ka ʻauʻau ʻana a holo kaʻa paha. E kamaʻilio i kāu mea hāʻawi ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino.
• Mai puhi. Hoʻoemi ka puhi ʻana i ke kahe o ke koko i nā wāwae a hiki ke hoʻōla mālie i nā ʻeha. Nui nā poʻe diabetes e puhi ana i ka puhihihi e pono ai nā ʻoki.

Nā kūmole

1. ʻAhahui Diabetes ʻAmelika [Pūnaewele]. Arlington (VA): ʻAhahui Diabetes ʻAmelika; c1995–2019. Mālama Wāwae; [hōʻano 2014 2014 10; i helu ʻia ʻo 2019 Mar 12]; [ma kahi o 3 pale]. Loaʻa mai: http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html
2. ʻAhahui Diabetes ʻAmelika [Pūnaewele]. Arlington (VA): ʻAhahui Diabetes ʻAmelika; c1995–2019. Nā pilikia o ka wāwae; [hōʻano hou 2018 Nov 19; i helu ʻia ʻo 2019 Mar 12]; [ma kahi o 3 pale]. Loaʻa mai: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
3. Ke Keʻena Wae Wawae ʻo Beaver Valley [Pūnaewele]. ʻO Podiatrist kokoke iaʻu ʻO Pittsburgh Foot Doctor Kauka Pittsburgh PA; c2019. Papa Wehewehe ʻverlelo: Beaver Valley Foot Clinic; [i helu ʻia 2019 Mar 12]; [ma kahi o 3 pale]. Loaʻa mai: https://bvfootclinic.com/glossary
4. Boulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Ninaninau nui wāwae a me ka loiloi 'ana i ka pilikia. Mālama Diabetes [Pūnaewele]. 2008 Aug [helu ʻia 2019 Mar 12]; 31 (8): 1679–1685. Loaʻa mai: http://care.diabetesjournals.org/content/31/8/1679
5. Mālama Wāwae Wāwae [Pūnaewele]. Ka mālama wāwae wāwae ʻāina; 2019. Papa Wehewehe ʻ oflelo a Podiatry Terms; [i helu ʻia 2019 Mar 12]; [ma kahi o 3 pale]. Loaʻa mai: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
6. FDA: US Food and Drug Administration [Pūnaewele]. ʻO Silver Spring (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; ʻAe ʻo FDA i ke kālepa ʻana i nā pono hana e mālama i nā maʻi maʻi wawae diabetic; 2017 Dec 28 [helu ʻia 2020 Jul 24]; [ma kahi o 4 pale]. Loaʻa mai: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcer
7. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. ʻO ka Neuropathy diabetic: Diagnosis a me ka mālama ʻana; 2018 Sep 7 [helu ʻia 2019 Mar 12]; [ma kahi o 4 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
8. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. Diuric Neuropathy: Nā hōʻailona a me nā kumu; 2018 Sep 7 [helu ʻia 2019 Mar 12]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580
9. Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Wawae diabetic. BMJ [Pūnaewele]. 2017 Nov 16 [helu ʻia 2019 Mar 12]; 359: j5064. Loaʻa mai: https://www.bmj.com/content/359/bmj.j5064
10. National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; ʻO nā maʻi diabetes a me nā wāwae; 2017 Ian [helu ʻia 2019 Mar 12]; [ma kahi o 5 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
11. National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Peripheral Neuropathy; 2018 Feb [helu ʻia 2019 Mar 12]; [ma kahi o 6 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
12. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: Mālama Wāwae Kūpono no ka Diabetes; [i helu ʻia 2019 Mar 12]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
13. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Ka mālama ʻana i nā pilikia o ka wāwae Diabetic: Overview Overview; [hoʻohou 2017 Dec 7; i helu ʻia ʻo 2019 Mar 12]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/special/treating-diabetic-foot-problems/uq2713.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.