He kanaka anei ʻoe i loaʻa i ka maʻi diabetes? No laila, ke manaʻo nei ʻoe i kekahi manawa i ka mae ʻole, ka ʻūlū, a i ʻole ka ʻeha o ka ʻōpū ma kou mau lima a me kou mau wāwae? ʻAʻole kēia he mau mea wale nō. ʻO ke kumu o kēia paha ka pōʻino a ka maʻi diabetes e hana ai i nā aʻalolo i loko o kou kino i ka hala ʻana o ka manawa. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo 'Diabetic Neuropathy'. Mai makaʻu ke lohe ʻoe i kēia inoa. Inā ʻike pono ʻia ʻoe e pili ana i kēia a hana i nā mea e pono ai, hiki iā ʻoe ke hoʻokele maikaʻi. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.
No ke aha kēia e hana nei? I ka ʻōlelo maʻalahi...
ʻO ke kumu nui o kēia, ʻo ia ka lōʻihi o ka manawa i kāohi ʻole ʻia ai kou pae kō koko. E like me ka ʻōpala, hoʻomaka mālie kēia kō keu e hōʻino i nā olonā palupalu o ke aʻalolo i loko o ko kākou kino. No laila, ʻo ka mea maikaʻi loa a koʻikoʻi hoʻi e pale aku ai i kēia, ʻo ia ke hana pū me kāu kauka e kāohi pono i kou pae kō koko.
Hiki ke hoʻokaʻawale ʻia kēia maʻi neurological i ʻehā (4) mau ʻano nui. ʻOkoʻa ka wahi i hoʻopilikia ʻia a me nā hōʻailona ma muli o ke ʻano. E nānā kākou i kēlā me kēia.
ʻO nā ʻano nui 4 o Neuropathy
1. Neuropathy Peripheral
ʻO kēia ke ʻano maʻi diabetes maʻamau. Hoʻopilikia nui ia i nā wāwae a me nā wāwae . He mea kākaʻikahi loa, hiki ke hoʻopilikia i nā lima, ka ʻōpū, a i ʻole ke kua.
E nānā kākou i nā hōʻailona a me nā mea hiki iā ʻoe ke hana e pili ana i ia mea ma ka papa ma lalo nei.
| Nā hōʻailona | Ka Mea Hiki iā ʻOe ke Hana |
|---|---|
| ʻO ke kani ʻana ma nā wāwae a me nā lima. |
|
| ʻO ka mae wale (hiki ke mau loa). | |
| ʻO ke ʻano wela (ʻoi aku hoʻi i ke ahiahi a me ka pō). | |
| Ke manaʻo nei i ka ʻeha nui. |
ʻO ka mea nui, inā ʻoe e kāohi i kou pae kō koko i ka wā e ʻike ʻia ai kēia mau hōʻailona mua, e hele lōʻihi kēia maʻi. A aia nā lāʻau lapaʻau maikaʻi e kāohi i kēia ʻeha a me ka ʻoluʻolu ʻole. E kamaʻilio me kāu kauka e pili ana i ia mea.
2. Neuropathy Autonomi
Hoʻopilikia kēia ʻano i nā ʻōnaehana autonomic o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana hoʻoheheʻe, nā kīʻaha koko, ka ʻōnaehana urinary, a me nā ʻōpū hānau.
Pehea e pili ai i ka ʻōnaehana hoʻoheheʻe
- Pehu ʻana
- Ka maʻi pākī
- Ka paʻa ʻana o ka ʻōpū
- ʻĀʻī puʻuwai
- Ka luaʻi a me ka luaʻi
- Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana
Inā loaʻa iā ʻoe kēia mau hōʻailona, hiki iā ʻoe ke hōʻemi i ka nui o ka meaʻai āu e ʻai ai i ka manawa hoʻokahi a hoʻonui i ka nui o nā manawa āu e ʻai ai i kēlā me kēia lā. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau e hiki ke hāʻawi ʻia no kēia.
Pehea e pili ai i nā kīʻaha koko
- Hiki mai ka ʻeleʻele ke kū koke ʻoe mai ka noho ʻana a i ʻole ka hiamoe ʻana, a me he mea lā e ʻōwili ana kou mau maka a me he mea lā e nalowale ana kou ʻike.
- Nā palpitations o ka puʻuwai.
- Pōʻaiʻī.
- Ke koko haʻahaʻa.
Inā ʻo kēia ke ʻano, e hoʻāʻo e ala mālie ma mua o ka ala koke ʻana. Hiki i kāu kauka ke ʻōlelo aku i nā kāmaʻa kūikawā a i ʻole nā lāʻau lapaʻau.
Pehea e pili ai i ke olakino moekolohe
Hiki i kēia maʻi ke hoʻopilikia i nā kāne a me nā wahine. Ke loaʻa iā ʻoe kahi pilikia e like me kēia, he mea nui e kamaʻilio me ke kauka me ka hilahila ʻole a me ka mālama ʻole iā ia iho.
| No wai? | Nā hōʻailona | He aha e hana ai |
|---|---|---|
| Nā kāne | ʻAʻole hiki ke hoʻokō a mālama paha i ka hoʻāla ʻana no ka moekolohe. Ua hoʻemi ʻia a "maloʻo" paha ka ejaculation. | E ʻike i ke kauka. Aia paha nā kumu ʻē aʻe ma waho aʻe o ka maʻi diabetes. Aia ke aʻo ʻana, nā lāʻau lapaʻau, a me nā lāʻau lapaʻau ʻē aʻe. |
| Nā wahine | Ua emi a nele paha ka lubrication vaginal a me ka hoʻāla ʻana. | E ʻike i ke kauka. Aia nā lāʻau lapaʻau e like me nā lubricants, nā kirīmi, a me nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e moe me ka ʻole o ka ʻeha. |
Pehea e pili ai i ka ʻōnaehana urinary
- Ka paʻakikī i ka hoʻokuʻu loa ʻana i ka ʻōpū mimi.
- Ke hoʻopiha nei i ka ʻōpū.
- Ka hoʻōki ʻana o ka ʻōpū.
- ʻO ka pono pinepine e mimi i ka pō.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hōʻoia e haʻi i kāu kauka. Aia nā lāʻau lapaʻau i loaʻa, e like me ka lāʻau lapaʻau, ka hoʻokomo ʻana i ka catheter ponoʻī, a i ʻole ke ʻoki kino.
3. Neuropathy Proximal
Loaʻa kēia ʻano ʻeha ma ka ʻūhā, ka ʻūhā, a i ʻole ka puʻupuʻu. Hoʻopilikia pinepine ia i kekahi ʻaoʻao o ke kino. Hiki iā ia ke hoʻonāwaliwali i nā wāwae. Pono ka nui o ka poʻe me kēia maʻi i ka lāʻau lapaʻau a me ka hoʻōla kino e mālama i ka ʻeha a me ka nāwaliwali.
4. Neuropathy Focal
He kūlana kēia e hiki ke hana koke ʻia me ka manaʻo ʻole ʻia. Pili ia i ka hōʻino ʻana i kahi aʻalolo kikoʻī i ke kino. ʻO ka hapa pinepine, hoʻopilikia ʻia nā aʻalolo ma ke poʻo, ke kino, a i ʻole nā wāwae.
Nā hōʻailona:
- ʻIke pālua
- ʻEha maka
- Ka nalowale o ka ʻike ma kekahi ʻaoʻao o ka maka (Bell's palsy)
- ʻEha nui ma kahi kikoʻī, e like me ke kua i lalo a i ʻole nā wāwae.
- ʻEha umauma a ʻeha ʻōpū paha.
ʻŌlelo Aʻo: I kekahi manawa hiki ke kuhihewa ʻia kēia ʻeha umauma a ʻōpū paha no kahi maʻi koʻikoʻi, e like me ka hōʻeha puʻuwai a i ʻole ka appendicitis. No laila, inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) .
Akā ʻo ka nūhou maikaʻi, ʻoiai he ʻeha ka neuropathy focal, hoʻoholo pinepine ia iā ia iho i loko o kekahi mau pule a i ʻole mau mahina me ka ʻole o ka hōʻino lōʻihi.
Nā pilikia nerve ʻē aʻe i hiki ke hana ʻia e ka maʻi diabetes
Hiki i ka poʻe me ka maʻi diabetes ke loaʻa i nā pilikia ʻē aʻe, e like me ke kaomi ʻana o ke aʻalolo. ʻO kahi laʻana maikaʻi o kēia ka carpal tunnel syndrome . He kūlana kēia kahi e kaomi ʻia ai ke aʻalolo e holo ana ma ka pulima, e hoʻoulu ai i ka maneʻo, ka ʻūlū, a me ka ʻeha ma ka lima a me nā manamana lima.
No laila, inā kānalua ʻoe he kekahi o kēia mau ʻano maʻi neurological kāu, e ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke ʻike i ke kumu a kuhikuhi i ka lāʻau kūpono nāu.
Leka Lawe-Home
- ʻO ka neuropathy diabetic ka hōʻino ʻia o nā aʻalolo i hoʻokumu ʻia e nā pae kō koko kiʻekiʻe no ka manawa lōʻihi. ʻOiai he maʻi koʻikoʻi kēia, hiki ke mālama maikaʻi ʻia.
- ʻO ke ala maikaʻi loa e pale aku ai a mālama i kēia, ʻo ia ke hana pū me kāu kauka e kaohi i kāu pae kō koko.
- Nui nā ʻano hōʻailona like ʻole e hiki ke loaʻa, mai ka ʻeha o ka wāwae a i nā pilikia ʻōpū a me ka hana pono ʻole o ka moekolohe. Mai hoʻowahāwahā i kekahi o kēia mau hōʻailona.
- E kamaʻilio koke me kāu kauka e pili ana i kekahi mau hōʻailona hou a ʻano ʻē paha, e like me ka mae ʻana o ka ʻōpū, ka nalowale o ka ʻike, a i ʻole ka poniuniu. Hiki i ka mālama koke ke pale i ka pōʻino lōʻihi.
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