ʻO kekahi o nā pilikia nui no ka poʻe he nui me ka maʻi diabetes, ʻo ia ka hiki ʻole ke ho'ōla koke ʻia nā ʻeha liʻiliʻi. ʻOi aku ka pilikia o nā ʻeha ma nā wāwae a me nā manamana wāwae. E noʻonoʻo, pehea inā ʻaʻole e ho'ōla ʻia kahi ʻōpala liʻiliʻi, a i ʻole kahi ʻeha liʻiliʻi i paʻa i loko o ke kāmaʻa no nā mahina? No ke aha lā kēia e hana ai? I kēia lā e kamaʻilio kūikawā mākou e pili ana i kēia mau ʻeha maʻi diabetes, ʻo ia hoʻi, nā ʻōpū maʻi diabetes .
He aha nā maʻi ʻōpū maʻi diabetes?
I ka ʻōlelo maʻalahi, ʻo nā ʻeha maʻi diabetes he mau ʻeha hāmama ma kou ʻili i hoʻōla ʻole ʻia ma ke ʻano maʻamau. I kekahi kanaka me ka ʻole o ka maʻi diabetes, e hoʻōla ʻia kahi ʻeha liʻiliʻi i loko o kekahi mau lā. Akā i kekahi kanaka me ka maʻi diabetes, ʻaʻole kēia e hana. ʻOi aku ka nui o kēia mau ʻeha e loaʻa ma nā wāwae a me nā wāwae . Akā hiki ke ʻike ʻia i kekahi manawa ma nā lima, a i ʻole ma nā wahi e like me nā ʻūlū o ka ʻili ma ka ʻōpū.
ʻO ia ke kumu e ʻōlelo mau ai mākou inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e nānā i kou mau wāwae i kēlā me kēia lā . E nānā i nā ʻoki, nā pehu, nā ʻeha, ka ʻulaʻula o ka ʻili, a pēlā aku. He mea nui loa hoʻi e nānā i kou mau wāwae i kēlā me kēia manawa āu e hele ai e ʻike i kāu kauka.
No ke aha e loaʻa ai i ka poʻe me ka maʻi diabetes kēia mau ʻeha?
Aia kekahi mau kumu nui no kēia.
1. Nā pae kō koko kiʻekiʻe: ʻO ka hōʻailona nui o ka maʻi diabetes, ʻo ia nā pae kō koko kiʻekiʻe i kāohi ʻole ʻia. Ke noho kiʻekiʻe nā pae kō koko no ka manawa lōʻihi, hōʻino ia i ko kākou mau aʻalolo a me nā kīʻaha koko.
2. Ka holo ʻana o ke koko maikaʻi ʻole: Ke hōʻino ʻia nā kīʻaha koko, e emi ana ke kahe ʻana o ke koko, ʻoiai hoʻi i nā lālā. I mea e ola ai kahi ʻeha, pono e hoʻolako maikaʻi ʻia me ke koko. ʻO ke koko ka mea e hāʻawi ai i ka oxygen a me nā meaʻai e pono ai no ka ʻeha e ola ai. Ke emi ka kahe ʻana o ke koko, e lohi loa ka ola ʻana o ka ʻeha.
3. Neuropathy: ʻO kēia ka mea weliweli loa. Ke hōʻino ʻia nā aʻalolo, emi iho ko mākou ʻike. ʻOi aku ka nalowale o ka ʻike ma nā wāwae. A laila, inā paʻa kahi pōhaku liʻiliʻi i kou wāwae a paʻa paha kou kāmaʻa a hōʻeha, ʻaʻole ʻoe e ʻike. Ma muli o kēia naʻaupō, hiki iā ʻoe ke noho me ka ʻike ʻole i kahi ʻeha liʻiliʻi a hiki i ka lilo ʻana i ʻōpū nui.
4. ʻO ka maʻi ʻaʻai peripheral (PAD): ʻO kēia kekahi kūlana e kū mai ana me ka maʻi diabetes. Hoʻemi pū ia i ke kahe koko i nā wāwae.
He mea weliweli kēia mau ʻeha no ka mea ʻoi aku ka nui o ka maʻi inā ʻaʻole lākou e ho'ōla pono. Inā ʻoi aku ka ʻino o ka maʻi, hiki ke make nā ʻiʻo, i kapa ʻia ʻo gangrene . I kekahi mau hihia koʻikoʻi, inā ʻaʻole hiki ke kaohi ʻia ka maʻi, pono paha e wehe ʻia ka wahi ma ke ʻoki ʻana, i kapa ʻia ʻo amputation.Pono paha ʻoe e hana. Akā, mai hopohopo, hiki ke pale loa ʻia kēia mau mea inā ʻike mua ʻia a mālama pono ʻia.
He aha nā kūlana o kēia mau ʻeha?
Hoʻokaʻawale nā kauka i kēia mau ʻeha maʻi diabetes e like me ko lākou koʻikoʻi. ʻO kekahi ʻano hana i hoʻohana ʻia no kēia ʻo ia ka hoʻokaʻawale ʻana o Wagner. E nānā kākou pehea e hana ai kēlā.
| Papa | Wehewehena |
|---|---|
| Pae 0 | ʻAʻohe ʻeha a haki paha i ka ʻili. Eia nō naʻe, aia kahi pilikia o ka hoʻokumu ʻia ʻana o nā ʻeha (e.g., nā calluses). |
| Pae 1 | He ʻeha pāpaʻu ma luna o ka ʻili. |
| Pae 2 | Ua komo hohonu ka ʻeha i loko o ke aʻalolo a i ʻole ke capsule hono ma lalo o ka ʻili. |
| Pae 3 | Ua hohonu loa ka ʻeha a ʻike ʻia kahi iwi a i ʻole ke ami. |
| Pae 4 | Aia ka make ʻana o nā ʻiʻo (gangrene) ma ke alo o ka wāwae a i ʻole ke kuʻekuʻe wāwae. |
| Pae 5 | Ua pālahalaha ka gangrene i ka wāwae holoʻokoʻa. |
Pehea e ʻike ai i nā hōʻailona o kahi ʻeha ma ka maʻi diabetes?
Aia kekahi mau hōʻailona e ʻike ʻia i ka wā e hoʻomaka ai ka ʻeha e ulu. ʻO ka ʻike mua ʻana i kēia mau mea hiki ke kōkua i ka pale ʻana iā ia mai ka lilo ʻana i pilikia nui aʻe.
Ke hoʻomaka ka ulu ʻana o kahi ʻeha ...
- ʻIli māwae a maloʻo paha
- ʻUlaʻula ma kahi hoʻokahi
- Ka ʻili ʻana o ka ʻili
- Nā ʻōhūhū
- Manaʻo wela a anuanu paha ma mua o ka maʻamau
Ke koʻikoʻi ka ʻeha ...
- Mānoanoa o ka ʻili a puni ka ʻeha (Calloused)
- Ke kahe ʻana o ka wai e like me ka pus mai ka ʻeha (he hōʻailona maopopo kēia o ka maʻi)
- Ka loli ʻana o ke kala o ka ʻili a puni ka ʻeha (e ʻeleʻele a uliuli paha)
- He ʻala ʻino e puka mai ana mai ka ʻeha
- I kekahi manawa ʻike ʻia ka iwi mai loko mai o ka ʻeha.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka .
Pehea e mālama ʻia ai kēia mau ʻeha?
Inā he ʻeha kou, he mea nui e mālama koke ʻia. ʻO ka lōʻihi o ka hoʻōla ʻana o ka ʻeha, ʻo ka nui o ka maʻi. Hiki i kāu kauka ke ʻōlelo aku i kēia mau lāʻau lapaʻau.
- Ke kāohi ʻana i nā pae kō koko: ʻO kēia ka helu ʻekahi. Inā wale nō e kāohi maikaʻi ʻia nā pae kō koko hiki i ke kino ke ho'ōla i nā ʻeha.
- Ka mālama ʻana i ka ʻeha maʻemaʻe a me ke kāhiko ʻana: E holoi i ka ʻeha me ke kopa a me ka wai i kēlā me kēia lā e like me ka ʻōlelo a kāu kauka. Mai hoʻohana i kekahi mea e like me ka hydrogen peroxide. Eia kekahi, mai hoʻomohu i ka ʻeha i loko o ka wai. E uhi mau i ka ʻeha me kahi kāʻei maʻemaʻe. He hewa ka manaʻo e "hōʻike" ʻoe i ka ʻeha i ka lewa.
- Ke wehe ʻana i ka ʻeha: ʻOi loa aku inā he ʻeha wāwae ia, ʻoi aku ka maikaʻi o ke kau ʻole ʻana i kekahi kaomi ma luna. ʻO ke ʻano kēia o ka hōʻemi ʻana i ka hele wāwae, ka hoʻohana ʻana i nā koʻokoʻo inā pono, a i ʻole ka hoʻohana ʻana i nā kāmaʻa kūikawā a i ʻole kahi mea kākoʻo i kuhikuhi ʻia e kāu kauka.
- Debridement: Pili kēia i ka wehe pono ʻana i nā ʻiʻo make a i ʻole ka maʻi mai kahi ʻeha e hōʻike i nā ʻiʻo olakino e kōkua iā ia e ho'ōla. Hana ʻia kēia e ke kauka.
- Nā lāʻau antibiotic: Inā wale nō i loaʻa ka maʻi i ka ʻeha e kuhikuhi ai ke kauka i nā lāʻau antibiotic kūpono.
Pehea e hiki ai iā ʻoe ke pale aku i nā maʻi ʻeha maʻi diabetes?
He mea maʻalahi ke pale aku ma mua o ka mālama ʻana. Inā ʻoe e hahai i kēia mau ʻanuʻu maʻalahi, hiki iā ʻoe ke hōʻemi nui i kou pilikia.
- E mālama i kou pae kō koko ma lalo o ke kaohi: ʻO kēia ka mea nui loa. Inā pilikia ʻoe i ka kaohi ʻana i kou kō koko, e kamaʻilio me kāu kauka e pili ana i ia mea.
- E nānā i kou mau wāwae i kēlā me kēia lā:E hoʻolilo iā ia i mea maʻamau. I kēlā me kēia pō ma mua o kou hiamoe ʻana, e nānā i kou mau wāwae. E nānā ma waena o kou mau manamana wāwae a ma lalo o kou mau wāwae. Inā paʻakikī ke ʻike ma lalo o kou mau wāwae, e hoʻohana i ke aniani. A i ʻole e noi i kekahi ma ka home e nānā iā lākou. E makaʻala i nā loli, e like me nā pehu, nā ʻoki, nā māwae, nā kiko ʻulaʻula, a i ʻole nā kiko keʻokeʻo.
- E pale i ka puhipaka: Hōʻino ka puhipaka i nā kīʻaha koko a hōʻemi i ke kahe ʻana o ke koko, kahi e hoʻopaneʻe hou aku ai i ka ho'ōla ʻana o ka ʻeha.
- E ʻaʻahu i nā kāmaʻa kūpono: E ʻaʻahu i nā kāmaʻa ʻoluʻolu a palupalu e uhi pono i kou mau wāwae. Mai hele wāwae ʻole , ʻoiai i loko. Hiki i kahi ʻāpana liʻiliʻi a pōhaku paha ke alakaʻi i kahi pilikia nui.
- E mālama i kou mau wāwae i ka maʻemaʻe a me ka maloʻo: E holoi i kou mau wāwae i kēlā me kēia lā, ʻoi aku hoʻi ma waena o kou mau manamana wāwae, a e hoʻomaloʻo iā lākou. Inā maloʻo kou ʻili, e hoʻopili i kahi moisturizer (akā, ʻaʻole ma waena o kou mau manamana wāwae).
Leka Lawe-Home
- Hoʻokomo ka maʻi diabetes iā ʻoe i kahi pilikia kiʻekiʻe loa o ka loaʻa ʻana o nā ʻeha e ho'ōla ʻole ʻia, ʻoiai hoʻi ma kou mau wāwae.
- E hoʻomaʻamaʻa i ka nānā ʻana i kou mau wāwae i kēlā me kēia lā e ʻike i nā loli (nā ʻoki, nā pehu, nā ʻulaʻula).
- He mea nui ka kaohi pono ʻana i kou pae kō koko e like me ke aʻo ʻana a ke kauka no ka pale ʻana a me ka ho'ōla ʻana i nā ʻeha.
- Inā ʻike ʻoe i kahi ʻeha liʻiliʻi, māwae, a i ʻole kahi wahi ʻē ma kou wāwae, mai kali a "e hoʻomaikaʻi." E ʻike koke i kāu kauka . Hiki i ka ʻike mua ʻana ke pale i nā pilikia koʻikoʻi.
- E ʻaʻahu mau i nā kāmaʻa kūpono e pale ai i kou mau wāwae. Mai hele wāwae ʻole.
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