ʻO ka maʻi diabetic Foot Pain a me nā ulcer: Nā kumu a me ka mālama ʻana
Anter
- ʻIke ʻia nā ʻōuli a me nā kuhi
- Kumu o ka Diabetic Foot Pain a me nā Ulcer
- Nā Kūlana Pilikino no nā Ulcer Foot Foot Diabetes
- ʻO ka mālama ʻana i nā maʻi maʻi wawae diabetic
- Nā Lapaʻau
- Nā Hana Hana Over-the-Counter
- Nā Kaʻina Hana
- Kāohi ʻana i nā pilikia o ka wāwae diabetic
- I ka manawa e ʻike ai i kāu kauka
- Outlook
- Q:
- A:
ʻO ka maʻi diabetic Foot Pain a me nā ulcer
ʻO ka ulcer wawae kahi pilikia maʻamau o ka maʻi diabetic maikaʻi ʻole, e hana ana ma muli o ka ʻoki ʻana o ka ʻili i ka maʻi a hōʻike i nā papa ma lalo. ʻO ka mea maʻamau lākou ma lalo o kou manamana wāwae nui a me nā pōpō o kou mau wāwae, a hiki iā lākou ke hoʻopili i kou mau wāwae i lalo i nā iwi.
Hiki i nā kānaka āpau me ka maʻi diabetes ke hoʻomohala i nā ulcer wāwae a me ka ʻeha o ka wāwae, akā hiki i ka mālama ʻana i ka wāwae maikaʻi ke pale iā lākou. Hoʻololi ka hoʻomaʻamaʻa ʻana no ka maʻi maʻi wīwī a me ka ʻeha o ka wāwae ma muli o nā kumu. Kūkākūkā i nā ʻeha o ka wāwae a hōʻoluʻolu ʻole paha me kāu kauka e hōʻoia ʻaʻole ia he pilikia koʻikoʻi, ʻoiai ʻo nā maʻi maʻi maʻi hiki ke hopena i ka ʻoki ʻana inā mālama ʻole ʻia.
ʻIke ʻia nā ʻōuli a me nā kuhi
'O kekahi o nā hōʻailona mua loa o ka ulcer wāwae he kahe kahe mai kou wāwae i hiki ke hoʻopaʻa i kou mau kākini aʻaʻole kahe i waho i kou kāmaʻa. ʻO ka pehu pinepine ʻole, ka huhū, ʻulaʻula, a me nā pilau mai hoʻokahi a ʻelua paha mau wāwae he mau hōʻailona mua ia o ka ulcer wāwae.
ʻO ka hōʻailona ʻike ʻia loa o ka ulcer wawae koʻikoʻi he kiko ʻeleʻele (i kapa ʻia ʻo eschar) e hoʻopuni ana i ka ulcer. Hana kēia ma muli o ka loaʻa ʻole o ke kahe o ke koko olakino i nā wahi a puni ka ulcer. Mahele a piha paha ka gangrene, e pili ana i ka make ʻana o ke kino ma muli o nā maʻi, hiki ke ʻike ʻia a puni ka ulcer. I kēia hihia, hiki ke hoʻokuʻu i ka pilau, ʻeha, a me ka helu.
ʻAʻole maopopo mau nā ʻōuli o ka ulcer wāwae. I kekahi manawa, ʻaʻole ʻoe e hōʻike i nā hōʻailona o ka maʻi ulcer a hiki i ka maʻi ulcer i lilo i maʻi. E kamaʻilio me kāu kauka inā hoʻomaka ʻoe e ʻike i kahi discoloration o ka ʻili, ʻoi aku ka ʻeleʻele i lilo i ʻeleʻele, a i ʻole ʻehaʻeha paha ma kahi o kahi e ʻike ʻia a kāhea ʻia paha.
E ʻike paha kāu kauka i ke koʻikoʻi o kāu ulcer ma kahi pālākiō o 0 a 3 me ka hoʻohana ʻana i nā ana aʻe:
0: ʻaʻohe ulcer akā wāwae ma ka makaʻu
1: ka maʻi ulcer i kēia manawa akā ʻaʻohe maʻi
2: ulcer hohonu, e hōʻike ana i nā hono a me nā uaua
3: ulcer ākea a i ʻole abscesses mai ka maʻi maʻi
Kumu o ka Diabetic Foot Pain a me nā Ulcer
Hoʻokumu pinepine ʻia nā maʻi maʻi diabetic e:
- maikaʻi ka holo ʻana
- kiʻekiʻe kō kō (hyperglycemia)
- pōʻino nerve
- wāwae i hoʻonāukiuki a ʻeha paha
ʻO ke kahe maikaʻi ʻole o ke koko kahi ʻano o ka maʻi vascular kahi e kahe ʻole ai ke koko i kou mau wāwae. Hiki i ka maikaʻi ʻole o ke kaapuni ke hana i mea paʻakikī i nā maʻi maʻi maʻi e hoʻōla ai.
Hiki i nā pae glucose kiʻekiʻe ke hoʻolohi i ka hana hoʻōla o ka ulcer wāwae wīwī, no laila koʻikoʻi ka mālama kō kō. ʻO ka poʻe me ka maʻi diabetes type 2 pinepine ka paʻakikī i ka hakakā ʻana i nā maʻi mai ka maʻi ulcer.
ʻO ka hōʻino ʻia o ke aʻa he hopena lōʻihi a hiki ke alakaʻi i ka nalo ʻana o ka manaʻo i kou mau wāwae. Hiki ke ʻalalā a ʻeha nā ʻino i hōʻino ʻia i ka mua. Hoʻoemi ka hōʻino nerve i kou ʻike i ka ʻeha o ka wāwae a me nā hopena i nā ʻeha ʻeha ʻole e hiki ai ke hōʻeha i nā maʻi maʻi.
Hiki ke ʻike ʻia nā ulcer e ka hoʻokahe ʻana mai ka wahi i hoʻopilikia ʻia a i kekahi manawa he puʻupuʻu i ʻike ʻia ʻaʻole ʻeha mau.
ʻO ka ʻili maloʻo ka mea maʻamau i ka maʻi kō. Hiki paha i kou mau wāwae ke maʻalahi i ka haʻihaʻi. Hiki paha i nā callus, nā kulina, a me nā ʻeha kahe ʻana ke kū mai.
Nā Kūlana Pilikino no nā Ulcer Foot Foot Diabetes
Kūpono ka poʻe a pau me ka maʻi diabetes no ka maʻi maʻi o ka wāwae, a he nui nā kumu. Hiki i kekahi mau mea ke hoʻonui i ka makaʻu o nā ulcer wāwae, me:
- nā kāmaʻa maikaʻi ʻole a maikaʻi ʻole paha
- hoʻomaʻemaʻe maikaʻi ʻole (ʻaʻole holoi pinepine a holoi paha)
- ʻoki kūpono ʻole o nā manamana wāwae
- inu lama
- maʻi maʻi maka mai diabetes
- maʻi maʻi puʻuwai
- maʻi maʻi ʻōpū
- momona
- hoʻohana paka (keakea i ke kahe o ke koko)
ʻO ka maʻi maʻi wawae diabetic ka mea maʻa mau i nā kāne makua.
ʻO ka mālama ʻana i nā maʻi maʻi wawae diabetic
Noho i kou mau wāwae e pale i ka ʻeha a me ka ulcer. Kāhea ʻia kēia ma waho o ka hoʻouka ʻana, a he mea kōkua ia no nā ʻano ulcer wawae diabetic āpau. ʻO ke kaomi ʻana mai ka hele wāwae ʻana hiki ke hōʻeha i kahi maʻi a hoʻonui ʻia kahi ulcer. No ka poʻe i kaumaha nui, ʻo ke kaomi keu ke kumu o ka ʻeha mau o ka wāwae.
Hiki i kāu kauka ke ʻōlelo aku e ʻaʻahu i kekahi mau mea e pale ai i kou mau wāwae:
- kāmaʻa kāmaʻa diabetic
- hoʻolei
- nā paʻa lima wāwae
- wahī hoʻoliʻiliʻi
- hoʻokomo i nā kāmaʻa e pale i nā kulina a me nā kāhea
Hiki i nā kauka ke hemo i nā maʻi maʻi wawae diabetic me kahi ʻōpala, ka hemo ʻana o ka ʻili make, nā mea haole, a i ʻole nā maʻi i loaʻa i ka maʻi maʻi.
ʻO kahi maʻi he pilikia koʻikoʻi ia o ka ulcer wāwae a koi koke i ka mālama koke. ʻAʻole mālama ʻia nā maʻi āpau i ke ala like. Hiki ke hoʻouna ʻia i nā kolo e hoʻopuni ana i ka ulcer i kahi lab e hoʻoholo ai i nā lāʻau antibiotic e kōkua. Inā kānalua kāu kauka i kahi maʻi koʻikoʻi, kauoha paha ʻo ia i kahi X-ray e nānā i nā hōʻailona o ka maʻi iwi.
Hiki ke pale ʻia ka maʻi o ka ulcer wāwae me:
- ʻauʻau ʻauʻau
- disinfecting i ka ʻili a puni kahi ulcer
- mālama i ka ulcer me ka loli pinepine o ka lole
- lāʻau hoʻomākala enzyme
- nā lole komo i loko o ka alginates calcium e kāohi i ka ulu ʻana o ke koʻohuna
Nā Lapaʻau
Hiki i kāu kauka ke kauoha i nā lāʻau antibiotic, antiplatelets, a i ʻole nā lāʻau anti-clotting e mālama i kāu ulcer inā holo ka maʻi ma hope o nā hana pale a anti-pressure. Hoʻouka ka hapa nui o kēia mau antibiotic Staphylococcus aureus, koʻohune i ʻike ʻia e hoʻokumu i nā maʻi staph, a i ʻole ß-haemolytic Streptococcus, ka mea i loaʻa ma kāu mau ʻōpū.
E kamaʻilio me kāu kauka e pili ana i nā kūlana olakino ʻē aʻe i loaʻa iā ʻoe e hoʻonui i kou makaʻu i nā maʻi e kēia mau koʻohune hoʻoweliweli, e like me ka HIV a me nā pilikia o ke ake.
Nā Hana Hana Over-the-Counter
Loaʻa nā mālama kumuhana he nui no ka ulcer wāwae, e like me:
- nā lole komo i loko o ke kālā a me ke kālā sulphadiazine holika
- polyhexamethylene biguanide (PHMB) gel a me nā haʻina
- iodine (ʻo povidone a i ʻole cadexomer)
- ka meli papa olakino i ka hamo a me ke ʻano gel
Nā Kaʻina Hana
Koi paha kāu kauka iā ʻoe e ʻimi i ke kōkua ʻoki lāʻau no kāu ulcer. Hiki i ke kaukipō ke kōkua i ke kaomi ʻana i kou kaomi e ka ʻumi ʻana i ka iwi a me ka hemo ʻana i nā deformities o ka wāwae e like me ka bunion a i ʻole nā hammertoes.
ʻAʻole paha ʻoe e pono i ke kahakaha ma kāu ulcer. Eia nō naʻe, inā ʻaʻole hiki i kahi koho lapaʻau ʻē aʻe ke kōkua i kāu ulcer e hoʻōla a holomua paha i loko o ka maʻi, hiki i ke ʻoki ke pale i kou maʻi maʻi a i ʻole ke alakaʻi ʻana i ka ʻokiʻoki.
Kāohi ʻana i nā pilikia o ka wāwae diabetic
Wahi a ka American Podiatric Medical Association, he 14 a 24 mau pākēneka o ko ʻAmelika me nā maʻi maʻi wawae diabetic i loaʻa i ka amputations. He mea koʻikoʻi ka mālama Preventive. Mālama pono i kāu glucose koko, no ka mea, he haʻahaʻa kou mau manawa o ke kōkō ʻana o ka maʻi kō ke kūpaʻa kou kō kō. Hiki iā ʻoe ke kōkua i ka pale ʻana i nā pilikia o ka wāwae diabetic e:
- holoi i kou wāwae i kēlā me kēia lā
- mālama pono i nā manamana wāwae me ka lawa pono, akā ʻaʻole pōkole loa
- mālama i kou mau wāwae maloʻo a pulu
- ke hoʻololi pinepine nei i kāu kākini
- ke ʻike nei i kahi podiatrist no ka palaoa a me ke kāhea aku
- ke komo ʻana i nā kāmaʻa kūpono
Hiki i nā ulcer wāwae ke hoʻi ma hope o ka mālama ʻia ʻana. Hiki ke hele a maʻi ke aʻa maʻi inā hōʻino hou ia kahi, no laila hiki i kāu kauka ke ʻōlelo aku iā ʻoe e komo i nā kāmaʻa diabetic e pale ai i ka hoʻi hou ʻana o nā ulcer.
I ka manawa e ʻike ai i kāu kauka
Inā hoʻomaka ʻoe e ʻike i ka ʻiʻo ʻeleʻele a puni kahi o ka numbness, e ʻike koke i kāu kauka e ʻimi i ka lāʻau no ka ulcer wāwae wīwī. Inā mālama ʻole ʻia, hiki i nā ulcer ke hana i nā abscesses a hoʻolaha i nā wahi ʻē aʻe i kou mau wāwae a me kou mau wāwae. I kēia manawa, hiki ke mālama wale ʻia nā ulcer e ke ʻoki ʻana, ka ʻoki ʻana, a i ʻole ke kuapo ʻana o ka ʻili nalo e nā mea pani ʻili synthetic.
Outlook
Ke loaʻa i ka wanaʻao, hiki ke mālama ʻia nā ulcer wāwae. E ʻike koke i ke kauka inā hoʻomōhala ʻoe i ka ʻeha ma kou wāwae, no ka mea, hoʻonui ka likelike o ka maʻi i ka lōʻihi o kou kali ʻana. ʻO nā maʻi hiki ʻole ke koi ʻia e ʻoki ʻia.
ʻOiai e hoʻōla nei kou mau ulcer, noho i kou mau wāwae a hāhai i kāu papa hana. Hiki i nā maʻi maʻi wāwae diabetic ke hala i mau hebedoma e hoʻōla ai. Lōʻihi paha ka lōʻihi o ka hōʻola ʻana e hoʻōla inā kiʻekiʻe ke kō kō a inā pili ka kaomi mau i ka maʻi maʻi. ʻO ke koena i ka papaʻai koʻikoʻi a me ka hoʻouka hoʻouka mai kou mau wāwae ke ala kūpono loa e ʻae ai i kou maʻi ulcer wāwae e hoʻōla. I ka manawa i ola ai kahi maʻi maʻi, ʻo ka mālama pale pale mau e kōkua iā ʻoe e hōʻoki i kahi maʻi maʻi mai ka hoʻi ʻana mai.
Q:
Aia kekahi mau hana home e hiki ke kōkua i nā ulcer wawae māmā?
A:
Nui a hewahewa nā homeopathic remedies no ka mālama ʻana i nā ulcer wawae māmā. Ua hōʻike ʻia ʻo Honey (e like me ka mea i hōʻike ʻia i loko o nā noiʻi he nui e pepehi i nā koʻohune a hoʻōla i nā maʻi ulcer, a pēlā e hiki ai ke hoʻōla pono i nā maʻi maʻi wawae. Hiki ke kōkua i ka hua hua waina - aia i loko o nā proanthocyanidins - ke kōkua i ka hoʻōla ʻana i nā ulcer wāwae. ʻO nā lāʻau lapaʻau ʻē aʻe a i ʻole naturopathic e hoʻopili me ka aloe vera gel, gingko biloba, a me ka calendula crème.
ʻO Steve Kim, MDAnswers e pani i nā manaʻo o kā mākou kauka loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.