ʻO ka maʻi diabetic (diabetic foot syndrome) he maʻi pinepine ia i ka maʻi diabetes, a ma kahi o 15 a 20 mau makahiki ma hope o ka hoʻomakaʻana o ka maʻi. I ka hapanui o nā maʻi, loaʻa kēia maʻi i nā maʻi me ka maʻi dia 2. ʻO ka maʻiʻeha he ulupala-necrotic lepera o kaʻili, nā meaʻoluʻolu, a me nāʻano ohe osteoarticular (i nā hihia koʻikoʻi).
Nā kumu o ka maʻi diabetic foot syndrome
Ma waena o nā kumu nui:
- ʻO ka wāwae he hapa ia o ke kino e kaumaha ana i kahi kaumaha a heʻeha mau loa, i ka maʻi nui paha, no ka mea kaʻili ma muli o ka maʻi i lilo loa kaʻili maloʻo loa, hiki mau ke koko i nā wāwae.
- ʻO ke koko kiʻekiʻe o ke koko a me nāʻona maikaʻi loa o kona kiʻekiʻe, he mea ia e hōʻino ai i nā aʻa a me nā moku koko, e lilo i ka hōʻehaʻeha o ka loiloi, ke koko a me nā mea pale o ka wāwae.
- No ka hopena o ka loiloiʻana a me ke kaheʻana o ke koko,ʻaʻole hiki i ka mea maʻi ke hoʻolaha koke i nāʻeha mau liʻiliʻi (kaʻokiʻoki, nāʻeha, nā wāwae), aʻoi aku ka hana palekana o nā mea i emi iho. Ma muli o ia mea,ʻo nā hōʻeha liʻiliʻi paha e hiki ai ke alakaʻi i nā hōʻeha ho'ōlaʻole o ka wā lōʻihi, i keʻano o ka maʻi e lilo i ka maʻi maʻi.
Nāʻano a me nā hōʻailona o ka maʻi diabetic foot syndrome
Aia kekahiʻano diabetic foot, i hōʻikeʻia e nā hōʻailona likeʻole.
Heʻano Ischemic
ʻO ka hōʻailona mua o ka uluʻana o ka wāwae diabetic i kēia hihia,ʻo ia kaʻeha i ka wāwae, eʻikeʻia ma mua wale nō i ka wā e hele ai, akā ma hope o ka hoʻonāukiuki i kahi hoʻomaha. Hoʻololi ka hoʻololi a me ka hōʻoluʻolu i ka ikaika a me keʻano keʻanoʻoe i ka hoʻololi i ke kūlana o kou mau wāwae, e hihia i ka hiamoe a hoʻomaha. ʻO nā wāwae e lilo i pale, anuanu i ka paʻiʻana, hiki ke loaʻa kahi pale cyanotic, a hiki keʻikeʻia hoʻi ko lākou puffiness.
Me ka hoʻomakaʻana o ka maʻi maʻi, e hoʻonui ana kaʻeha,ʻoiai uaʻikeʻia nāʻaoʻao o ka pilaʻili i ke kīʻole. ʻO ka hōʻailonaʻike o keʻano ischemic o ka maʻi diabetic foot syndrome,ʻo ia hoʻi ka nāwaliwaliʻana a me nā nalowaleʻana o nā pulsations ma ke anakē o nā wāwae, akā, ua mālamaʻia ka noʻonoʻoʻana i ka piha, aʻaʻole e ulu aʻe nā meaʻino. ʻO kēiaʻano o ka maʻi ke ulu pinepineʻia me ka uluʻana o dyslipidemia a me ka piʻiʻana.
Nāʻano Neuropathic
ʻO kēia pilikia o ka maʻi hīkī e pili ana i ka pōʻino i nā kūkuluʻana o ka pūpū maʻi. ʻO ka mea mua, ma ka wāwae ma nā wahi iʻoi loa ke kaumaha,ʻeleʻele kaʻili. Ma hope o kēia, hiki i nā maʻiʻepa, a me nā loli i keʻano o ka wāwae. ʻO nā hiʻohiʻonaʻano o keʻano neuropathic o ka wā maʻi diabetic he manaʻo ia o ka pōpilikia, ke ahi, keʻano o "nā puʻu bulu" ma nā wāwae, a me kaʻulaʻula o kaʻili o nā wāwae.
I ka wā ma waho o ka hōʻailonaʻana, e nele loa ka naʻauao i nā wahi iʻeha o ka wāwae. Loaʻa ka piʻiʻana o ka paepae paepae, ma muli o ka hopena o nā maʻi i manaʻoʻole i nāʻeha. Ma nā wāwae eʻike pinepineʻia ka inoa, a me nā maʻiʻeha e pili ana. I kēiaʻano,ʻaʻole e loli ka pulse ma nā anakē o ka wāwae.
Hoʻohui mele
ʻO kēiaʻano diabetic foot syndrome ka manawa pinepine. Hoʻohālikelikeʻia keʻano o keʻano o nā hōʻailona maʻamau i nāʻano likeʻole o ka maʻi diabetic i mua.
Ka hōʻoiaʻana o ka wāwae diabetic
ʻO nā diagnostical measures for detecting diabetic foot signs include the following:
- ʻO ka hōʻiliʻiliʻana i ke kaomi maʻiseni, ka nānā kinoʻana - nīnau ke kauka i ka mea maʻi, alakaʻi i kahi ana o ka mahana o ka kino, ka pulse, ke koko, me ke alapine hanu. Eia kekahi, ke nānā pono i nā wahi i hoʻopiliʻia, e nānā ana i kaʻeha e hoʻoholo ai i kona hohonu, a me nā mea'ē aʻe.
- Nā ho'āʻo laboratory: nā ho'āʻo koko, ka hoʻokolohuaʻana o nā mea hana hou a me nā enzymes o nā ate, a pēlā aku.
- X-ray o nā wāwae - eʻike i ka hopena kūpono i ka iwi, ke komoʻana o nā kino'ē a me ke kino i loko o nāʻiʻo maʻemaʻe.
- Ultrasonic dopplerography - no kaʻikeʻana i nā kuʻiʻana o ke kahe o ke koko i loko o nā moku o ka'ā'ī, ke poʻo, nā maka, ke poʻo haʻahaʻa a me nā piko.
- ʻO ka Angiography kahiʻimi noiʻi e hiki ai ke hoʻoholo i ka moku moku a me nā hana pilikino i loko o nā'ōpili e pili ana i nā loli i ke koko a me ka holoʻana o ke lymp.
- Nā kūkākūkā me nā kūkā liʻiliʻi.