Yu gɛt smɔl wund ɔ skrap na yu leg we nɔ de wɛl ɛn stil de? Maybe na oozing fluid? Ɔ di skin na yu leg de chenj in kɔlɔ ɛn i de smɛl bad? Dis nɔto nɔmal wund dɛn. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dɛn ɔlsa ya. Ɛspɛshali if yu gɛt dayabitis, yu fɔ tink tumɔs bɔt dis. Bikɔs if dɛn nɔ tek kia ɔf dis sik fayn, i gɛt bɔku chans fɔ bi siriɔs. So, mek wi tok abaut am ol tide.
Fɔ tɔk am simpul wan, wetin na fut ɔlsa?
Fut ɔlsa na jɔs wan opin sos na yu skin, mɔ na yu fut ɔ yu fut finga dɛn, we nɔ de wɛl, we nɔ de kɔntinyu, ɔ we nɔ de kam bak.
Bɔrku tɛm dis sik kin gɛt fɔ du wit dayabitis. Nyuropathy, we na wan prɔblɛm we kin kam wit dayabitis, kin mek yu nɔ gɛt sɛns na yu fut. Dɔn, yu nɔ go ivin notis smɔl skrap ɔ kɔt na yu fut. Pan ɔl we yu nɔ go fil am, na dis smɔl wund de gro smɔl smɔl ɛn dip ɛn bi ɔlsa.
Dɛn ɔlsa ya kin rili izi fɔ gɛt infɛkshɔn. Sɔntɛnde, dɛn infekshɔn ya kin so bad dat i kin nid fɔ kɔt wan pat pan di fut ɔ fut.
Tink bɔt dis: Na lɛk 15% pan di pipul dɛm wae gɛt shuga go gɛt ɔlsa na dɛn fut insay dɛn layf. Ɛn, i sɔri fɔ no se, bitwin 14% ɛn 24% pan di wan dɛn we gɛt wan go gɛt fɔ pul pat pan dɛn fut. So dis nɔto sɔntin we wi fɔ tek am layt.
Udat go mɔs gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt ɔlsa na in fut, sɔm pipul dɛn kin gɛt mɔ risk. E fayn fɔ de wach pasmak if yu gɛt ɛni wan pan dɛn tin ya:
- Dayabitis: Dis na di men tin we kin mek pɔsin gɛt dis sik.
- Prɔblɛm fɔ di blɔd we de kɔmɔt na di blɔd: If blɔd nɔ de flɔ na di leg fayn, di wund dɛn kin tek lɔng tɛm fɔ wɛl.
- At sik: At sik kin afɛkt di we aw blɔd de go bak.
- Fat: As di bɔdi de wet de go ɔp, di prɛshɔn we de pan di fut dɛn de go ɔp bak.
- Kidni Sik we pɔsin kin gɛt.
- di fut dεm we de fכm: fכ egzampl, kכndyushכn lεk bunion כ hammertoe.
- Yu fɔ smok ɛn drink rɔm: Dɛn abit ya kin mek yu gɛt prɔblɛm bak.
Aw dis ɔlsa tan ɛn wetin na in stej dɛm?
Fut ɔlsa kin gɛt bɔku shep ɛn kɔlɔ. Bɔku tɛm, dɛn kin gɛt dip tin we tan lɛk krata.
Aw di ɔlsa tan ɛn di kɔlɔ we i gɛt
Dɛn lɛsin ya kin bi yɔlɔ, pink, rɛd, grey, ɔ blak.if yu wund blak, i min se di tisu sεl dεm na da εria de dכn day (Nεkrכsis כ Gangrene). Dis na wan sik we rili siriɔs.
Di sayz ɛn dip we di ɔlsa gɛt
Dɛn tin ya kin bigin smɔl lɛk smɔl bon ɛn if dɛn nɔ trit dɛn fayn, dɛn kin gro fɔ kɔba di wan ol fut. Di dip we di wund de go ɔp bak smɔl smɔl. Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ no dis dip. fכ egzampl, 6 stej dεm de akɔdin to di Wagner klasification.
| Mak | Simpul diskripshɔn fɔ di kɔndishɔn |
|---|---|
| Stej 0. Di wan we mek | Di skin nɔ kin pwɛl, bɔt i kin gɛt prɔblɛm. |
| Stej 1. Di wan we mek | Wan shalo wund we de nכmכ na di sכfa layεr na di skin. |
| Stej 2. Di wan we mek | Di wund dip, i kin bi se i go te to di tɛndon dɛn. |
| Stej 3. Di wan we mek | Di wund dɔn go dip dip wan te to di bon, ɛn pɔsin de si di bon. |
| Stej 4. Di wan we mek | Tisu dεm we de day na di fכnt pat pan di fut (Gangrene). |
| Stej 5. Di wan we mek | Di tisu na di wan ol fut dɔn day (Gangrene). |
Wetin na di fɔs sayn dɛm we de sho se ɔlsa de fɔm?
As ɔlsa bigin fɔ kam, yu kin notis chenj dɛn na di skin na yu fut lɛk dɛn wan ya:
- Dray, krak krak skin
- Skin de tɔn lɛk kɔral
- Skin kin rɛd
- Apia we tan lɛk rash
We di injury de tranga pasmak, sɔm sayn dɛm lɛk:
- di skin we de rawnd di wund de tik (lεk kכlכs) .
- Fluid ɔ pus-layk dischaj frɔm di wund (i kin de na yu sɔk) .
- Brawn spat dɛn na di skin
- Wan strɔng, dɔti smel
Tu men kayn ɔlsa ya de na di fut:
Tu men kayn ɔlsa de we kin afɛkt yu fut. Fɔ no di difrɛns bitwin dɛn tu tin ya rili impɔtant fɔ tritmɛnt.
| Di kwaliti we pɔsin gɛt | Nyurotrofik Ɔlsa dɛn | Ɔlsa dɛn we de na di Atria |
|---|---|---|
| Men rizin | Nyuropati bikɔs ɔf dayabitis. | di bכdi fכ fכlכ bכku biכs fכ di bכdi vεsul dεm we de sכmtεm (Peripheral Arterial Disease). |
| Pen | Bɔku tɛm, no pen nɔ kin de . | Bɔrku pen kin de , mɔ na nɛt. |
| Ples | Bɔku tɛm na di fut in fut, usay di bɔdi in wet kin fɔdɔm mɔ. | Il, fut finga, bitwin fut finga, ɛn na say dɛn we sus kin pinch. |
| Aw a luk | Pink/rɛd in kɔlɔ. Di ed dɛn na di wund de ɔp. | Yɔlɔ, grey, ɔ blak. Bɔku tɛm, blɔd nɔ kin kɔmɔt. |
Aw dɛn kin trit dis?
Di men gol fɔ tritmɛnt na fɔ wɛl di wund, fɔ ridyus di pen, ɛn fɔ mek i nɔ kam bak. Di tritmɛnt plan go difrɛn difrɛn wan bay di kayn ɔlsa we yu gɛt ɛn di kɔz.
Tritmɛnt dɛn we Nɔ De Ɔspitul
Dis tritmɛnt kin bi saksesful fɔ ɔlsa na di fɔs stej.
- Topical wound care: Wund dɛn kin wɛl kwik kwik wan we dɛn kip am wet ɛn kɔba.
- Antibayɔtik: If infekshɔn de.
- Ɔf-lod: Di injuri kin pul in wet bay we i yuz spɛshal sus, kɔst, ɔ sɔntɛm wilchia.
- Fɔ kip di fut ɔp.
Di Tritmɛnt dɛn we Dɛn De Du fɔ Ɔpreshɔn
If di ɔlsa bad, mɔ if i gɛt di sik, i kin nid fɔ du ɔpreshɔn.
- Debridement: Fɔ pul di tisu we gɛt di sik ɔ we dɔn day.
- Skin graft: Dɛn kin yuz skin graf fɔ kɔba wund.
- Fɔ pul ɔ ajɔst sɔm pat dɛn na di bon dɛn if nid de.
Wetin a go du fɔ ridyus di prɔblɛm?
Dis na di pat we impɔtant pas ɔl. If yu fala dɛn abit ya, yu kin mek dɛn ɔlsa ya nɔ fɔm, ɛn ivin if dɛn fɔm, dɛn kin stɔp dɛn fɔ kam bak.
Di tin we impɔtant pas ɔl na, if yu gɛt dayabitis, mek am yu abit fɔ chɛk yu fut ɛvride.
- Chek yu fut ɛvride: Afta yu dɔn was ɛn bifo yu wɛr sus, luk gud wan na yu fut in fut, bitwin yu fut finga dɛn, ɛn rawnd yu nel dɛn. Luk fɔ blista, kɔt, krak, rɛd, ɔ swel. Yuz miro fɔ luk yu fut. If yu nɔ ebul, aks yu famili fɔ du dat.
- Manej yu dayabitis fayn fayn wan: Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Nɔ ɛva waka barefut, ivin insay di os.
- Wear sus we fit yu fayn ɛn we go mek yu fil fayn. Shuz nɔ fɔ tu tayt ɔ tu big.
- Tek tɛm we yu de kɔt yu nel: Kɔt yu nel dɛn stret we dɛn saf afta yu dɔn was.
- Nɔ smok kpatakpata.
- Kɔntrol di blɔd prɛshɔn ɛn di kɔlɔstrel lɛvɛl.
- Mek yu gɛt wɛlbɔdi wet.
- If yu notis ivin di smɔl prɔblɛm, go to yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt dayabitis, i impɔtant pas ɛni ɔda tɛm fɔ chɛk yu fut ɛvride.Fɔ tru, yu fɔ du am. Mek dis bi abit fɔ ɔl yu layf.
- If yu notis wund we nɔ de wɛl, rɛd, swɛlin, bad smel, ɔ chenj in kɔlɔ na yu leg ɔ fut , go to dɔktɔ wantɛm wantɛm .
- Nɔ waka wit yu fut, ivin na os. Ivin if yu wund smɔl na yu fut, dat kin rili bad.
- Smok kin mek dis sik wɔs bikɔs i kin ambɔg di blɔd we de go ɔlsay. So, i rili impɔtant fɔ lɛ wi nɔ smok.
- Nɔ fred dis kɔndishɔn. If dɛn no am kwik ɛn trit am fayn, dɛn kin ebul fɔ mɛn am fayn fayn wan ɛn nɔ gɛt siriɔs prɔblɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Dɛn kin yuz Isradipine (Isradipine / DynaCirc) kapsul/tablɛt fɔ us sik?
Dis na blɔd prɛshɔn pil we rili wok (Calcium Channel Blocker - CCB) we dɛn mek fɔ kɔntrol ‘High Blood Pressure’! Dis mɛrɛsin nɔ de jɔs ridyus blɔd prɛshɔn, bɔt i nɔ de afɛkt di at rit, so dɔktɔ dɛn kin yuz am as mɛrɛsin we nɔ gɛt wan prɔblɛm.
💬 Aw if wi tek dis blɔd prɛshɔn pil (Isradipine) i kin mek wi blɔd prɛshɔn go dɔŋ wantɛm wantɛm?
fכ mek blכd vesel kכntrakt/kכntrakt εn di prεshכn fכ go כp, di ‘Calcium’ patikyula dεm fכ fכ tru fכ go insay di bכdi in mכsul! as dis mεdisin go insay di bכdi, i de blכk/klos εn lכk כl di kalsiכm get dεm (L-tayp kalsiכm chεnal dεm) na dεn blכd vεsεl dεm 100%! biכs di kalsiכm nכ de go insay, di bכdi nכ de kכntrakt εn i de rili lכs (Vasodilation). Dɔn di blɔd kin flɔ izi wan lɛk riva ɛn di prɛshɔn kin go dɔŋ.
💬 Wetin na di anɔyntin sayd ɛfɛkt dɛm we pɔsin tek dis mɛrɛsin (Isradipine)?
Di big ɛn anɔynt sayd ɛfɛkt dɛm fɔ dis na dat sɔm pipul dɛn kin gɛt ‘ed pen’ ɛn ‘flɔsh’ (bikɔs ɔf di dilayshɔn na di blɔd vesel dɛm). כlso, lεk כda CCB pil dεm, risk de fכ ankכl/leg swel (pεrifεral εdima) εn hat bit kwik kwik wan (palpitεshכn) (rεflεks takikardia).
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