Loaʻa iā ʻoe ka maʻi diabetes? A laila ua ʻike paha ʻoe he pono ʻoe e mālama i kou pae kō koko a me nā mea ʻē aʻe he nui. Akā ua ʻike anei ʻoe he mea nui like ka mālama ʻana i kou mau wāwae? I kekahi manawa ʻaʻole mākou e noʻonoʻo nui e pili ana i ia mea, akā hiki i ka maʻi diabetes ke hoʻoulu i nā pilikia koʻikoʻi me ko mākou mau wāwae. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia.
No ke aha i ʻoi aku ai ka nui o nā pilikia wāwae o ka poʻe me ka maʻi diabetes?
Ua like ia me ke kaulahao o nā hanana e pili ana kekahi i kekahi. I ka ʻōlelo maʻalahi, hoʻomaka ka pilikia ma nā wahi ʻelua. ʻO kekahi ka hōʻino ʻana o ke aʻalolo (Neuropathy) . ʻO kekahi ka emi ʻana o ke kahe koko i nā wāwae.
E noʻonoʻo i kahi ʻiliʻili liʻiliʻi e paʻa ana i loko o kou kāmaʻa. ʻOiai ʻo kekahi kanaka me ka ʻole o ka maʻi diabetes e ʻike koke iā ia, inā he neuropathy kou, ʻaʻole paha ʻoe e ʻike. He aha ka mea e hana ai inā ʻoe e ʻaʻahu i kēlā kāmaʻa i ka lā a pau? E hōʻeha ka ʻiliʻili i kou wāwae.
I kēia manawa, hiki mai ka lua o ka pilikia. No ka mea, ʻaʻole maikaʻi ke kahe koko o kou mau wāwae, ʻo ia hoʻi, ʻaʻole e holo pono ke koko, ʻaʻole e ola maʻalahi ka ʻeha. Eia kekahi, ke loaʻa iā ʻoe ka maʻi diabetes, ua nāwaliwali iki ka ʻōnaehana pale o kou kino, no laila hiki i nā germs ke komo maʻalahi i loko o ka ʻeha.
Ua ʻike anei ʻoe i ka hanana?
1. ʻAʻole ʻike nui ka wāwae, no laila ʻaʻole hiki iā ʻoe ke manaʻo i kahi ʻeha.
2. Komo nā huakino i loko o ka ʻeha a hoʻoulu i kahi maʻi .
3. Ma muli o ke kahe koko maikaʻi ʻole, ʻaʻole e ola ka maʻi a e lilo wale i mea ʻino.
4. Inā hoʻowahāwahā ʻia kēia, hiki i ka maʻi ke laha i nā iwi, a hiki paha ke alakaʻi i ke ʻoki ʻana o ka manamana lima a i ʻole ka wāwae .
ʻO ia ke kumu a mākou e ʻōlelo nei he pono i ka mea me ka maʻi diabetes ke mālama pono i ko lākou mau wāwae.
He aha nā pilikia wāwae maʻamau i hoʻokumu ʻia e ka maʻi diabetes?
No kekahi kanaka me ka maʻi diabetes, ʻoiai nā mea liʻiliʻi loa hiki ke lilo i pilikia nui. ʻO kekahi o kēia mau mea:
- ʻO nā ʻoki ʻaʻole e ho'ōla, nā pehu, a me nā palapū.
- ʻIli maloʻo a māwae.
- ʻO ke kūkulu ʻia ʻana o nā kiko ʻeleʻele a ʻāʻī (nā kulina).
- ʻO nā maʻi fungal, no ka laʻana ka wāwae o ka mea pāʻani a me nā maʻi fungal o nā kui.
- Nā kui wāwae i ulu i loko.
- Nā manamana wāwae hāmare a me nā bunions.
I waena o kēia mau mea , ʻo nā ʻeha wāwae ka maʻi maʻamau a koʻikoʻi hoʻi. Hoʻomohala pinepine lākou ma nā wahi paʻa a ʻūlū ʻia e nā kāmaʻa. Inā ʻaʻole mālama koke ʻia, hiki iā lākou ke alakaʻi i nā maʻi koʻikoʻi.
He aha nā hōʻailona e pono ai ʻoe e hopohopo?
E nānā pinepine i kou mau wāwae no kēia mau loli. Eia nā hōʻailona hōʻike:
| Hōʻailona | Wehewehena |
|---|---|
| Nā loli o ka ʻili a i ʻole nā kui | ʻO nā mea like ʻole e like me nā ʻoki, nā pehu, nā ʻeha, nā palapū. |
| Kahe pinepine ʻana o ke koko | Ke kahe nei ke koko mai kahi ʻeha liʻiliʻi. |
| Pus a i ʻole ka hoʻokuʻu ʻana | Ka wai melemele a keʻokeʻo paha e kahe ana mai kahi ʻeha. |
| He ʻala ʻino | He ʻala ʻino mai ka ʻeha mai. |
| ʻEha | ʻEha maʻamau ʻole ma ka wāwae a i ʻole nā manamana wāwae. |
| ʻOle ke kala ʻili | ʻUlaʻula, polū, a ʻeleʻele paha o ka ʻili. |
| Pehu ʻana | Ka pehu ʻana ma ka wāwae a i ʻole ka kuʻekuʻe wāwae. |
Inā ʻike ʻoe i kahi hōʻailona e like me kēia, mai hoʻowahāwahā iā ia. E hōʻike pono i kāu kauka.
He aha ka mea e hana ai inā lilo kēia i mea koʻikoʻi?
Inā ʻaʻole mālama ʻia no ka manawa lōʻihi, hiki i kēia maʻi ke ʻoi aku ka ʻino a alakaʻi i ʻelua mau pilikia nui.
Ke kūlana gangrene
He pilikia olakino kēia. ʻO kēia ka wā e ʻoki loa ʻia ai ke kahe o ke koko i kahi ʻāpana o ka wāwae, e lilo ai ka wahi i mea maneʻo.ʻO ia ka make ʻana o nā ʻiʻo . Inā ʻaʻole e mālama koke ʻia kēia, hiki iā ia ke hoʻoweliweli i ke ola.
Nā hōʻailona o ke ʻano o ke "Gangrene":
- Nā loli o ke kala o ka ʻili (mai ka ʻulaʻula a i ka ʻeleʻele, poni, ʻōmaʻomaʻo, a i ʻole ka ʻeleʻele).
- Ka pehu ʻana o ka ʻili.
- ʻEha nui a i ʻole ka nalowale loa o ka ʻike.
- Anuanu ka ʻili e like me ka hau ke hoʻopā ʻia.
- Ke lohe ʻana i ke kani "crackling" i ke kaomi ʻana ma ka ʻili.
- Ke kahe koko a i ʻole ka pehu pilau mai nā ʻeha.
- Anuanu, kuni, hanu wikiwiki, luaʻi.
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻokaʻulua. E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
Ke kūlana o ka wāwae Charcot
He kūlana kākaʻikahi kēia. Hoʻokumu ʻia ia e ka hōʻino ʻana o ke aʻalolo, ka mea e hoʻonāwaliwali ai i nā iwi a me nā hono o ka wāwae a hoʻolilo iā lākou i hiolo . Hiki i kēia ke hoʻololi loa i ke ʻano o ka wāwae.
ʻO nā hōʻailona mua o ka wāwae Charcot:
- ʻEha wāwae.
- ʻUlaʻula o ka ʻili.
- Pehu.
- Nā wāwae wela loa (ʻoi aku ka wela o kekahi wāwae ma mua o kekahi).
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
Pehea ʻoe e pale aku ai i kēia mau pilikia?
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale ʻana i kahi pilikia ma mua o ka hiki ʻana mai. Nui nā mea maʻalahi hiki iā ʻoe ke hana e kōkua. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou pae kō koko ma lalo o ke kaohi . Eia kekahi, e hōʻoia e hana i kēia mau mea.
| ✔️ Nā mea e hana ai | ❌ Nā mea pono ʻole e hana |
|---|---|
| E nānā i kou mau wāwae i kēlā me kēia lā: e nānā i nā ʻoki, nā pehu, ka ʻulaʻula, a me ka pehu. E hoʻohana i ke aniani e nānā i nā kapuwaʻi o kou mau wāwae. | Mai ʻoki i ka wart iā ʻoe iho: Mai hoʻohana i nā mea hana ʻoi a i ʻole nā pāpili i loaʻa ma nā hale kūʻai lāʻau lapaʻau. E ʻimi i ka ʻōlelo aʻo a kāu kauka. |
| E mālama i kou mau wāwae i ka maʻemaʻe: E holoi iā lākou i kēlā me kēia lā me ka wai mehana. E hoʻomaloʻo maikaʻi iā lākou ma waena o nā manamana wāwae a e hoʻomaloʻo iā lākou. | E pale i ka puhipaka:Hoʻopōʻino ka puhipaka i nā kīʻaha koko a hōʻemi i ka nui o ke koko e kahe ana i nā wāwae. |
| E ʻaʻahu i nā kāmaʻa a me nā socks maikaʻi: E ʻaʻahu i nā kāmaʻa e kūpono a ʻaʻole e ʻūmiʻi i kou mau wāwae. E nānā inā he mea i loko ma mua o ke kau ʻana iā lākou. | Mai hoʻomohu i kou mau wāwae i ka wai: ʻO ka hana ʻana pēlā e hoʻomaloʻo hou aku i kou ʻili. |
| E ʻoki pono i kou mau kui: E ʻoki pololei iā lākou ma ke ʻano, a e faila pono iā lākou me kahi faila i ʻole e ʻoi nā kihi. | Mai hele wāwae ʻole: E ʻaʻahu i nā kāmaʻa paʻa, ʻoiai i loko o ka hale. E hōʻemi i ka pilikia o nā ʻeha liʻiliʻi. |
| E mālama i ke kahe koko maikaʻi: E hoʻokiʻekiʻe i kou mau wāwae i ka wā e noho ana. E wili pinepine i kou mau manamana wāwae. E hana i nā hoʻoikaika kino e like me ka hele wāwae a me ka ʻauʻau ʻana. | E hoʻopili i ka moisturizer i kou ʻili: Akā, mai hoʻopili iā ia ma waena o kou mau manamana wāwae. |
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
Inā manaʻo ʻoe a ʻike paha i kekahi mea e like me kēia, e ʻike koke i ke kauka:
- ʻO ka maneʻo, ke kuni, a i ʻole ka ʻeha ma nā wāwae.
- He ʻeha a pehu paha i hoʻōla ʻole ʻia.
- ʻIli maloʻo a māwae.
- Ka emi ʻana o ka hiki ke ʻike i ka wela a i ʻole ke anu.
- Ka loli ʻana o ke kala a i ʻole ka mahana o ka wāwae.
- Hoʻololi i ke ʻano o ka wāwae.
- Melemele a mānoanoa nā kui.
- Ka hāʻule ʻana o ka lauoho ma nā wāwae, nā manamana wāwae, a i ʻole nā kapuwaʻi.
Nui nā mea e pono ai ke mālama ʻia i ka wā e noho ana me ka maʻi diabetes. Me nā pae kō āpau, nā lāʻau lapaʻau, ka meaʻai, a me ka hoʻoikaika kino, hiki ke maʻalahi ke poina i ka noʻonoʻo ʻana i kou mau wāwae. Akā, mai poina. Na kou mau wāwae e lawe iā ʻoe i kou ola. No laila, ʻo kou kuleana ke mālama pono iā lākou.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā pono i kou mau wāwae i kēlā me kēia pō ma mua o kou hiamoe ʻana. E nānā i nā ʻeha liʻiliʻi a i ʻole ka ʻulaʻula.
- Mai hoʻowahāwahā i ke kani ʻana, ka nalowale o ka ʻike, ke kala ʻana o ke kala, a i ʻole kahi ʻeha liʻiliʻi ma kou mau wāwae.
- E mālama pono i kou pae kō koko.ʻO ia ke ala maikaʻi loa e pale ai i kou mau wāwae mai ka hiki ke hōʻino ʻia.
- Inā loaʻa iā ʻoe kekahi mau pilikia wāwae, mai ho'āʻo e mālama iā lākou ma ka home a e ʻike koke i kāu kauka. Hiki i ka mālama koke ke pale i nā maʻi koʻikoʻi.
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