Wāwae diabetic: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• ʻO wai ka mea i ʻoi aku ka makaʻu i ka wāwae diabetic
• Pehea e hoʻokaʻawale ʻia ai ka wāwae diabetic
• 1. Hoʻokaʻina ʻo Wagner
• 2. Hoʻonohonoho papa inoa Texas
• Pehea e hana ai i ka lāʻau
• 5 mau mea e pale aku ai i nā pilikia koʻikoʻi
• 1. E mālama i kāu glucose glucose koko i lalo o ka kaohi
• 2. E nānā i kou mau wāwae i kēlā me kēia lā
• 3. E hoʻomaʻemaʻe i kou mau wāwae a hydrated
• 4. ʻokiʻoki i kou mau kui i ʻelua mau manawa o ka mahina a mai wehe i nā kāhea
• 5. E ʻaʻahu i nā kāmaʻa paʻa, pahee
• Hiki i nā pilikia o ka wāwae diabetic

ʻO ka wāwae diabetic kekahi o nā pilikia nui o ka maʻi kō, a hiki i ka wā i loaʻa i ke kanaka ka maʻi diabetic neuropathy a, no laila, ʻaʻole ia e ʻike i ke ʻano o nā ʻeha, nā maʻi puʻupuʻu a me nā ʻeha o ka wāwae. Ma muli o ka maʻi diabetes, ʻoi aku ka lōʻihi o kēia mau ʻeha e hōʻola ai ma mua o ka maʻamau a, no laila, hiki ke hōʻeha i nā maʻi hou, e hoʻonui ana i ka makaʻu o ka wāwae.

ʻOi aku ka maʻamau o kēia ʻano komplication ke kaohi ʻole ʻia nā pae kō kō a ma laila, no laila, ʻo kekahi o nā ala maikaʻi e pale aku ai i ka hoʻomaka ʻana ma o ka mālama pono ʻana i ka maʻi kō. E nānā i nā pilikia nui he 6 o ka maʻi kō.

Eia hou, e hōʻalo i nā hiʻohiʻona o ka wāwae diabetic e koi ʻia e hana i ka hoʻo-loiloi nā wāwae maʻamau, hiki ke hana i kēlā me kēia lā ma ka home, akā pono e hana ʻia e ke kauka i ke keʻena. I nā hihia kahi o ka wāwae diabetic i kēia manawa, he mea nui loa ia e hana i nā lole ma ke keʻena olakino a i ʻole ka haukapila, a komo i nā kāmaʻa hōʻoluʻolu a mālama i ka hoʻomaʻemaʻe wāwae kūpono.

Nā hōʻailona nui

ʻO ka hōʻailona nui o ka wāwae diabetic ke ʻano o nā ʻeha i hōʻeha ʻole a lawe i ka manawa e hoʻōla ai. Eia nō naʻe, hiki i nā ʻōuli a me nā ʻōuli ʻē aʻe ke hoʻopili pū me:

• ʻEha mau a ʻūnana paha.
• Ka nalowale o ka naʻau i ka wāwae;
• Ka pehu o ka wāwae;
• ʻAla pilau ma ka wāwae;
• ʻIli mānoanoa ma ka wāwae;
• Ka puka o ka pā ma o nā ʻeha;
• Hoʻololi i ka mahana o ka ʻili o ka wāwae.

I ke alo o kekahi o kēia mau ʻōuli, he mea nui e nīnau aku i ke kauka e hana i kahi loiloi ʻili kikoʻī a hoʻomaopopo i ka pilikia o ka wāwae diabetic, e hoʻomaka ana i ka lapaʻau kūpono.

Pehea e hōʻoia ai i ke kuhi

Hoʻokumu ʻia ke kuhi o ka wāwae diabetic e ka loio maʻamau a i ʻole endocrinologist a i ʻole ke kauka vascular a hoʻokumu ʻia i nā hōʻailona a me nā ʻōuli i hōʻike ʻia ma ka lālā haʻahaʻa. Eia nō naʻe, hiki i ke kauka ke hoʻohana i nā mea pono lāʻau a / a i ʻole e kauoha i nā hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻoia, e like me ka Rydel-Seiffer tuning fork, i hoʻohana ʻia e hana i kahi haʻalulu e hiki i ke kanaka ke manaʻo i ka wāwae. ʻO kekahi hoʻāʻo pinepine pinepine ka Eco-doppler, kahi e noi ʻia ai kahi ultrasound e nānā i ke kahe o ke koko i nā aʻa nui a me nā uaua o nā lima a me nā wāwae.

ʻO wai ka mea i ʻoi aku ka makaʻu i ka wāwae diabetic

ʻO ka helehelena o ka wāwae diabetic ka mea pinepine pinepine i ka poʻe me:

• Kuhi o ka maʻi kō no 10 mau makahiki a ʻoi paha;
• ʻO ka neuropathy diabetic;
• Mōʻaukala o ka ulcer a i ʻole ka hōʻoki lālā lalo;
• Hoʻololi i nā manamana wāwae.

ʻO kēia ʻano komplication ka mea maʻa mau i nā kāne a i ka poʻe i loaʻa ʻole ka lāʻau kūpono no ka maʻi diabetes a i ʻole ʻike pinepine i ke kauka no ka loiloi.

Pehea e hoʻokaʻawale ʻia ai ka wāwae diabetic

Aia he unahi unahi e kuhikuhi i ke degere o ka ulu ana o ka diabetic wawae:

1. Hoʻokaʻina ʻo Wagner

Ke emi nei ka hoʻohana ʻana o kēia pae, ua hoʻololi ʻia e ka pālākiō Texas. I kēia hoʻohālikelike aia he 6 kekelē, e like me ke ʻano o nā loli e kū nei.

• Papa 0: wāwae wāwae kiʻekiʻe loa, akā me ka ʻole o nā ʻeha a me nā ulcer;
• Papa I: ke kūʻana o ka ulcer superficial;
• Papa II: ke kūʻana o ka maʻi ulcer hohonu, me ke komo pū ʻana o ke kahena;
• Papa III: ulcer me ka hoʻopili iwi;
• Papa IV: gangrene kūloko;
• Papa V: gangrene o ka wāwae.

2. Hoʻonohonoho papa inoa Texas

Ua hoʻomohala ʻia kēia pālākiō e ke Kulanui o Texas a hoʻokaʻawale ʻia i nā hōʻeha wawae diabetic e like me ka hohonu a me ke kū ʻana o ka maʻi a ischemia paha i ka wāwae.

He mea nui e loiloi a hoʻokaʻawale ʻia nā lehelehe āpau o ka wāwae diabetic e ke kauka, no ka mea he kōkua kēia e hoʻopili pono i ka mālama pono a me ka mālama pono.

Pehea e hana ai i ka lāʻau

Hana ʻia ka mālama ʻana i ka wāwae diabetic e like me nā ʻōuli a me nā ʻōuli i hōʻike ʻia, me ka hoʻohui ʻia o ka hōʻeha ʻana o ka wāwae diabetic, a e alakaʻi mau ʻia e ke kauka, ʻoiai ma ka ʻoki liʻiliʻi a i ʻole nā ​​ʻeha, no ka mea hiki wawe ka maikaʻi. .

Hoʻopili paha ka mālama ʻana:

• Hoʻohana i nā lāʻau ʻaloʻalo;
• Hoʻohana o nā hamo antimicrobial i ka wahi i hoʻopili ʻia;
• Hoʻololi hou i ka papaʻai a i ʻole ka hoʻohana ʻana i nā lāʻau e kāohi ai i ka maʻi diabetes;
• Lole ʻaʻano ʻeha o kēlā me kēia lā.

I nā hihia ʻoi loa, pono paha ke ʻoki ʻana e kāpae i ka wahi i pā o ka ʻili a hāpai i ka hoʻōla. Eia nō naʻe, ke ʻike ʻole ʻia ka ʻeha ma kahi pae mua a i ʻole ke mālama pono ʻole ʻana o ka mea maʻi, hiki i ka ʻāpana i hoʻopilikia ʻia ke nui loa, a pono paha e ʻokiʻoki i ka wāwae a ʻāpana paha o ka wāwae.

I kekahi mau hihia, inā hohonu loa ka ulcer a pono e mālama mau, e koi ʻia ka hoʻokipa ʻana.

5 mau mea e pale aku ai i nā pilikia koʻikoʻi

ʻO kekahi o nā akahele koʻikoʻi e pono e mālama ʻia i ka wā o ka mālama ʻana, akā kōkua ia i mea e pale ai i ka hoʻomaka ʻana o ka wāwae diabetic.

1. E mālama i kāu glucose glucose koko i lalo o ka kaohi

ʻO kēia ke ala nui e mālama a hōʻalo paha i ka wāwae diabetic, no ka mea ke lōʻihi ke kiʻekiʻe o ke kō i kahi manawa lōʻihi, ʻoi aku ka paʻakikī o ke koko i ka ʻaoʻao o ke kino, a ʻo nā wāwae ka ʻāpana e hoʻopilikia loa ʻia.

No laila, ke hele a liʻiliʻi ke koko i nā wāwae, nāwaliwali nā pūnaewele a hoʻomaka ka wāwae o ka wāwae e ʻike, e hōʻoki mālie ai i nā ʻoki a i ʻole nā ​​ʻeha a ʻike wale ʻia lākou ke hele i kahi pae holomua loa.

2. E nānā i kou mau wāwae i kēlā me kēia lā

Ma muli o ka makaʻu o ka nalo o ka naʻau, pono ka diabetics i ke ʻano o ka loiloi ʻana i ko lākou mau wāwae i kēlā me kēia lā, i ka manawa ʻauʻau a i ʻole ala ʻana, e laʻa. Inā ʻaʻole ʻae ke ʻano o ke kino a i ʻole ʻaʻole maikaʻi ka ʻike ʻana, hiki iā ʻoe ke hoʻohana i ke aniani a noi i ke kōkua mai kahi kanaka ʻē aʻe i ka nānā ʻana o nā wāwae.

Pono ʻoe e nānā i nā māwae, nā ʻūlū, nā ʻoki, nā ʻeha, nā callus a i ʻole nā ​​loli i ke kala, a pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i ke alo o kekahi o kēia mau loli.

3. E hoʻomaʻemaʻe i kou mau wāwae a hydrated

Pono ʻoe e holoi i kou mau wāwae i kēlā me kēia lā me ka wai mehana a me ke kopa kūlike ʻole, e mālama pono e hoʻomaʻemaʻe maikaʻi ma waena o nā manamana wāwae a me ka kuʻekuʻe wāwae. A laila, hoʻomaloʻo i kou mau wāwae me kahi kāwele palupalu, me ka ʻānai ʻole ʻana i ka ʻili, hoʻomaloʻo wale nō me ke kaomi māmā mai ke kāwele.

Ma hope o ka holoi ʻana, he mea nui ia e hoʻopili i kahi moisturizer ʻaʻala ʻaʻohe ma kou wāwae a pau, e akahele ʻaʻole e waiho i kekahi kalima i hōʻiliʻili ʻia ma waena o kou mau manamana lima a me nā kui. E ʻae ʻia e hoʻomaloʻo kūlohelohe ma mua o ke kau ʻana i nā kākini pani a kāmaʻa paha.

4. ʻokiʻoki i kou mau kui i ʻelua mau manawa o ka mahina a mai wehe i nā kāhea

He mea nui e hōʻole i ka hana pinepine ʻana i kou mau kui, kūpono i ka hana ʻana iā ia i ʻelua wale nō mahina i kēlā me kēia mahina, i mea e hōʻoluʻolu ʻole ai i nā hiʻohiʻona o nā kihi kui a i ʻole nā ​​kui i loko. Eia hou, pono e hōʻalo i ka cuticle, no ka mea, he mea nui ka pale ʻana i ka ʻili mai nā ʻeha a me nā ʻeha.

He mea nui nō hoʻi e ʻokiʻoki i kou mau kui i kahi laina pololei, a he pono wale nō e hemo i nā kāhea e kahi loea e loea i nā wāwae a e ʻike i ka hiki ʻana o ka maʻi kō. Inā ʻike pinepine ʻia nā kāhea, pono ʻoe e ʻōlelo i ke kauka e nānā i nā kumu a hoʻomaka i ka lāʻau.

5. E ʻaʻahu i nā kāmaʻa paʻa, pahee

Pono e pani ka kāmaʻa kūpono no ka diabetic, i mea e hōʻalo ai i nā ʻeha a me nā māwae, me ka palupalu, ʻoluʻolu a me nā kapua ʻoʻoleʻa, e hāʻawi i ka palekana i ka wā o ka hele wāwae.

Pono nā wahine e makemake i nā kuʻekuʻe wāwae haʻahaʻa, a hāʻawi i kahi kaulike maikaʻi no ka kino. Pono ʻoe e hōʻalo i nā kāmaʻa laka, lahilahi a paʻa paha, a ʻo kahi kihi maikaʻi e loaʻa mau i nā kāmaʻa lua e loli i ka waena o ka lā, i ʻole e ʻeha ka wāwae i ke kaomi a me ka hōʻoluʻolu ʻole o ka kāmaʻa like no ka lōʻihi. manawa.

Hiki i nā pilikia o ka wāwae diabetic

ʻO nā pilikia pinepine o ka wāwae diabetic ka maʻi o ka lālā haʻahaʻa, ka ʻeha a me ka helu ʻana i ka wahi a me ka ischemia. ʻO ka pilikia nui a koʻikoʻi loa hoʻi o ka wāwae diabetic ka ʻoki ʻana o ka lālā lalo, ʻo ia hoʻi, ka ʻokiʻoki, ʻo ka wāwae a ʻo ka wāwae paha.

Eia hou, ʻoiai ʻo ka neuropathy diabetic kahi pae holomua o ka maʻi kō, hiki paha i kekahi kanaka ke loaʻa nā pilikia ʻike, e like me ka makapō, a me nā pilikia pūpū e alakaʻi ai i ka dialysis a i ʻole ka hemodialysis lapaʻau ma hope o ka ʻoki ʻana. ʻO ka maʻi maʻamau o ka wāwae diabetic ka osteomyelitis, i hiki ke alakaʻi i ka ʻoki ʻana o ka ʻili ma muli o ke kaohi maikaʻi ʻole o ka maʻi. E aʻo hou aʻe e pili ana i nā osteomyelitis a me ka lāʻau. Hoʻomaopopo maikaʻi i ke ʻano o ke neuropathy diabetic a pehea e hōʻalo ai iā ia.