ʻO ka maʻi diabetes mellitus kahi maʻi e ʻeha nei ka poʻe he nui ma ko kākou ʻāina i kēia manawa. Ma kēia, ke nānā nui nei mākou i ka kaohi ʻana i nā pae kō koko. Akā hoʻokahi mea a ka poʻe he nui e poina ai, a he mea nui hoʻi ia, ʻo ia ka mālama ʻana i ko kākou mau wāwae. Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e mālama nui i kou mau wāwae ma mua o nā poʻe ʻē aʻe. No ka mea, ʻoiai ka mālama ʻole iki ʻana hiki ke alakaʻi i kahi pilikia nui ma hope. No laila, e kamaʻilio kākou i kēia lā, pehea e mālama ai i kēia mau wāwae.
No ke aha ʻoe e pono ai e noʻonoʻo nui e pili ana i kou mau wāwae ke loaʻa iā ʻoe ka maʻi diabetes?
I ka ʻōlelo maʻalahi, ʻelua mau kumu.
1. Ka Pōʻino o ke Aʻalolo: Ke hoʻomalu ʻole ʻia ka maʻi diabetes no ka manawa lōʻihi, hoʻomaka nā aʻalolo o ko mākou kino e hōʻino ʻia. ʻOi loa aku nā aʻalolo o ko mākou mau wāwae. Kāhea mākou i kēia '(Peripheral Neuropathy)'. E noʻonoʻo e pili ana i ia mea, ua like ko mākou mau aʻalolo me nā uea uila. He aha ka mea e hana ai ke hōʻino ʻia kēia mau uea? Hoʻemi ʻia ka manaʻo, ʻo ia hoʻi, ka manaʻo. ʻO nā mea e like me ka wela, ke anu, a me ka ʻeha e lilo i mea ʻike ʻole ʻia. No laila, inā paha e paʻa kahi ʻiliʻili liʻiliʻi i kou wāwae, a inā paha e ʻoki ʻia kou kāmaʻa, ʻaʻole paha ʻoe e manaʻo.
2. Kahe Koko Maikaʻi ʻole: Hiki i ka maʻi diabetes ke hoʻoemi i ko mākou mau kīʻaha koko a mānoanoa nā paia. Hoʻemi kēia i ka nui o ke koko e hele ana i ko mākou mau wāwae. I mea e ola ai kahi ʻeha, pono ke kahe koko maikaʻi i kēlā wahi. ʻO kēia no ka mea lawe ke koko i ka oxygen a me nā meaʻai e pono ai e ho'ōla i nā ʻeha. No laila, ke emi ka nui o ke koko e hele ana i nā wāwae, ʻoiai he ʻeha liʻiliʻi ka lōʻihi o ka ho'ōla ʻana. Hoʻonui pū ia i ka pilikia o ka maʻi.
Ke hui pū kēia mau mea ʻelua, hiki i kahi ʻeha liʻiliʻi i waiho ʻole ʻia ke lilo i maʻi a, i ka hala ʻana o ka manawa, e lilo i maʻi koʻikoʻi loa (e.g., Diabetic Foot Ulcers). I kekahi mau hihia, pono paha e wehe i ka wāwae. ʻO ia ke kumu e pono ai mākou e makaʻala loa i kēia.
ʻO ke ʻano o ka nānā ʻana i kou mau wāwae i kēlā me kēia lā
ʻO kēia ka mea nui loa. E like me ka palaki ʻana i kou mau niho, e hoʻomaʻamaʻa i ka nānā ʻana i kou mau wāwae i ka manawa like i kēlā me kēia lā , no ka laʻana ma mua o ka hiamoe ʻana i ka pō. E hana i kēia i ka wā e noho ana ma kahi i hoʻomālamalama maikaʻi ʻia. E hoʻohana i ke aniani e nānā i nā kapuaʻi o kou mau wāwae, a i ʻole e noi i kekahi ma ka home no ke kōkua.
He aha kā mākou e ʻike ai?
| He aha e nānā ai | Wehewehena |
|---|---|
| Nā loli ʻili | E nānā inā he ʻili maloʻo a māwae (ʻoi aku hoʻi ma nā kuʻekuʻe wāwae), ke ʻano o ka loli ʻana o ke kala o nā wāwae, a i ʻulaʻula paha ma kekahi mau wahi. |
| Nā ʻeha a me nā ʻōpala | E nānā pono no nā ʻoki liʻiliʻi, nā ʻōpala, nā pehu, a i ʻole nā palapū. Mai poina e nānā ma waena o kou mau manamana wāwae. |
| Ka pehu ʻana a me ka mehana | E nānā i ka pehu ʻē ma ka wāwae a i ʻole ka kuʻekuʻe wāwae, a inā paha he ʻoi aku ka mahana ke pā ma mua o nā wahi ʻē aʻe. |
| Nā kui | E nānā i ke kala o nā kui (melemele, ʻeleʻele), ko lākou mānoanoa, a inā he ʻeha ma muli o nā kui kuʻekuʻe wāwae i loko. |
| Nā puʻupuʻu a me nā puʻupuʻu | E nānā inā he mau bunions hou, corns, a me nā calluses ma kou mau wāwae. |
Ka mālama ʻana i nā wāwae maʻemaʻe a me ka ʻoki ʻana i nā kui
Pehea e holoi ai i nā wāwae
- E hoʻohana i ka wai mehana a me ke kopa palupalu. Mai hoʻohana i ka wai wela. Hiki i ka ʻili ke wela ma muli o ka nele o ka manaʻo. ʻOi aku ka palekana o ka hoʻohana ʻana i ke kuʻekuʻe lima o kou lima e hoʻāʻo ai i ka mahana o ka wai.
- I ka holoi ʻana i kou mau wāwae , mai hoʻomohu iā lākou i ka wai no ka lōʻihi loa . Hiki i kēia ke hoʻomaloʻo i ka ʻili.
- Ma hope o ka holoi ʻana, e holoi maikaʻi. Mai hamo ikaika, akā e pā maloʻo me kahi kāwele palupalu . E hoʻomaloʻo maikaʻi, ʻoiai ma waena o nā manamana wāwae.
- Ma hope o ka hoʻomaloʻo ʻana i kou mau wāwae, e hoʻopili i kahi kirīmi hoʻomaʻū a i ʻole kekahi mea e like me ka petroleum jelly. Akā , mai hoʻopili iā ia ma waena o kou mau manamana wāwae . Inā noho ka makū ma laila, hiki iā ʻoe ke loaʻa i nā maʻi fungal.
Pehea e ʻoki ai i nā kui
- He mea maʻalahi ke ʻoki i kou mau kui ke palupalu lākou, e like me ma hope o ka ʻauʻau ʻana.
- E ʻoki pololei i kou mau kui . Mai ʻoki iā lākou i loko mai nā kihi. ʻO ka hana ʻana pēlā e hiki ai i ke kui ke ʻeli i loko o ka ʻili.
- Ma hope o ka ʻoki ʻana, e hoʻopololei mālie i nā kihi me kahi faila kui.
- Inā paʻakikī kēia iā ʻoe e hana, e hoʻolimalima i kahi mea akamai. Inā ʻoe e hele ana i kahi salona, ʻoi aku ka palekana o ka lawe ʻana mai i kāu mau lako ponoʻī.
Ke koho ʻana i nā kāmaʻa a me nā soka - he mea nui loa kēia!
No kekahi kanaka me ka maʻi diabetes, ʻaʻole wale nā kāmaʻa he mea hoʻohui lole, he mea palekana nō hoʻi.
- Mai hele wāwae ʻole. ʻOiai i loko o ka hale, e ʻaʻahu i kahi mea e like me nā kāmaʻa paheʻe. Hiki i kahi ʻiliʻili liʻiliʻi a i ʻole kahi ʻāpana aniani ma ka honua ke hou i kou wāwae me ka ʻike ʻole ʻoe.
- E ʻaʻahu i nā kāmaʻa kūpono. ʻAʻole pono nā kāmaʻa e paʻa loa a nui loa paha. I ke kūʻai ʻana i nā kāmaʻa, e hele i ka pō. No ka mea e pehu iki kou mau wāwae ma hope o ka hele wāwae ʻana i ka lā a pau, e kūpono loa nā kāmaʻa āu e kūʻai ai i kēlā manawa.
- E hoʻokomo i kou lima i loko o ke kāmaʻa a nānā i nā wahi ʻinoʻino a i ʻole nā humuhumu e puka mai ana.
- E pale i nā kāmaʻa manamana wāwae ʻoi, nā kuʻekuʻe wāwae kiʻekiʻe, a me nā flip-flops, nona nā manamana wāwae hāmama . ʻAʻole kēia mau mea e hāʻawi i ka palekana no kou mau wāwae.
- E hoʻololi i kou mau socks i kēlā me kēia lā. E koho i nā socks i hana ʻia mai nā mea kūlohelohe e like me ka pulupulu i palupalu a ʻoluʻolu hoʻi. I kēia manawa, aia nā ʻano socks kūikawā (diabetic socks) no ka poʻe maʻi diabetes. He emi ko lākou mau humuhumu a ʻaʻole hoʻi e hoʻopilikia i ke kahe koko.
I ka manawa e ʻike koke ai i ke kauka
Inā ʻike ʻoe i kekahi o kēia mau mea i kou nānā ʻana i kou wāwae i kēlā me kēia lā, e ʻike koke i kāu kauka . Mai hoʻowahāwahā iā ia.
- Inā he ʻulaʻula, pehu, a mehana paha ke pā ʻia ma kahi ʻāpana o ka wāwae (he mau hōʻailona paha kēia o kahi maʻi).
- Inā e kahe ana ka pus a i ʻole kekahi wai ʻē aʻe mai kahi ʻoki, pehu, a ʻeha paha.
- Inā ua ʻeleʻele ka ʻili o ka wāwae .
- Inā he ʻōpū maʻi kou e ho'ōla ʻole ana.
- Inā māwae ka ʻili ma waena o nā manamana wāwae a maneʻo (he maʻi fungal paha kēia e like me ka 'Athlete's foot').
- Mai ʻoki a hoʻopili paha i ka lāʻau lapaʻau i nā kulina a i ʻole nā calluses iā ʻoe iho. E ʻike i ke kauka e wehe palekana iā lākou.
- Inā piʻi aʻe ka mae ʻana, ka mumū, a i ʻole ka ʻeha ma ka wāwae.
- Inā manaʻo koke ʻoe e loli ana ke ʻano o kou wāwae, hiki paha iā ia ke hoʻomaka ʻana o kahi maʻi koʻikoʻi i kapa ʻia ʻo ka wāwae Charcot.
Inā loaʻa iā ʻoe kahi ʻeha koke a i ʻole ke kuni, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Mai poina, pono i kāu kauka maʻi diabetes ke nānā i kou mau wāwae i kēlā me kēia kipa ʻana i ke keʻena lapaʻau. Inā ʻaʻole ʻo ia e hana pēlā, e hoʻomanaʻo iā ia e nānā i kona mau wāwae iā ʻoe iho.
Leka Lawe-Home
- E mālama i kāu maʻi diabetes a me ke kō koko ma lalo o ke kaohi. ʻO kēia ka hoʻomaka o nā mea āpau.
- E nānā pono i kou mau wāwae i ka hopena o kēlā me kēia lā . E nānā i nā loli liʻiliʻi.
- Mai hele wāwae ʻole. E ʻaʻahu i nā kāmaʻa palekana, ʻoiai ma ka home.
- E ʻaʻahu i nā kāmaʻa kūpono a palekana a me nā kāmaʻa pulupulu.
- E mālama i kou mau wāwae i ka maʻemaʻe a maloʻo, ʻoiai ma waena o kou mau manamana wāwae.
- I ke ʻoki ʻana i kou mau kui, e ʻoki pololei ma ke ʻano, ʻaʻole ma ke kihi.
- Inā ʻike ʻoe i kekahi mea ʻē i kou wāwae (ʻeha, ʻulaʻula, pehu) , e ʻike koke i ke kauka.











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