Umlobi: Marcus Baldwin
Usuku Lokudalwa: 18 Ujuni 2021
Ukuvuselela Usuku: 19 Unovemba 2024
Anonim
Your Doctor Is Wrong About Insulin Resistance
Ividiyo: Your Doctor Is Wrong About Insulin Resistance

-Delile

Kuyini ukuhlolwa kwezinyawo zikashukela?

Abantu abanesifo sikashukela basengozini enkulu yezinkinga zezempilo ezinyaweni ezahlukahlukene. Ukuhlolwa unyawo sikashukela kuhlola abantu abanesifo sikashukela kulezi zinkinga, okubandakanya ukutheleleka, ukulimala kanye nokungajwayelekile kwethambo. Ukulimala kwemithambo, okwaziwa ngokuthi yi-neuropathy, nokusakazeka kahle kwegazi (ukugeleza kwegazi) yizimbangela ezivame kakhulu zezinkinga zonyawo lwesifo sikashukela.

I-Neuropathy ingenza izinyawo zakho zizizwe zikindiki noma zikhathazekile. Kungadala nokulahlekelwa umuzwa ezinyaweni zakho. Ngakho-ke uma uthola ukulimala ezinyaweni, njenge-callus noma i-blister, noma ngisho nesilonda esijulile esaziwa njenge-ulcer, ungahle ungazi.

Ukusakazeka okungalungile onyaweni kungenza kube nzima kuwe ukulwa nezifo ezinyaweni futhi welaphe ekulimaleni. Uma unesifo sikashukela futhi uthola isilonda sezinyawo noma okunye ukulimala, umzimba wakho kungenzeka ungakwazi ukuselapha ngokushesha ngokwanele. Lokhu kungaholela ekuthelelekeni, okungasheshe kube kubi. Uma isifo sonyawo singelashwa ngokushesha, singaba yingozi kakhulu kangangokuba kungadinga ukuthi unyawo lwakho lunqunywe ukusindisa impilo yakho.


Ngenhlanhla, izivivinyo ezinyaweni zesifo sikashukela ezijwayelekile, kanye nokunakekelwa kwasekhaya, kungasiza ekuvikeleni izinkinga zezempilo ezinyaweni ezinzima.

Amanye amagama: ukuhlolwa kwezinyawo okuphelele

Kusetshenziselwa ini?

Ukuhlolwa kwezinyawo zikashukela kusetshenziselwa ukubheka izinkinga zezempilo ezinyaweni kubantu abanesifo sikashukela. Lapho izilonda noma ezinye izinkinga zonyawo zitholakala futhi zilashwa kusenesikhathi, kungavimbela izinkinga ezinkulu.

Kungani ngidinga ukuhlolwa kwezinyawo zikashukela?

Abantu abanesifo sikashukela kufanele bahlolelwe unyawo lukashukela okungenani kanye ngonyaka. Ungadinga ukuhlolwa kaningi uma izinyawo zakho zinanoma iyiphi yalezi zimpawu ezilandelayo:

  • Ukulinganisa
  • Ubudikadika
  • Ubuhlungu
  • Ukuzwa okuvuthayo
  • Ukuvuvukala
  • Ubuhlungu nobunzima lapho uhamba

Kufanele ushayele umhlinzeki wakho wokunakekelwa kwezempilo ngokushesha uma unezinye zalezi zimpawu ezilandelayo, okuyizimpawu zesifo esibi kakhulu:

  • I-blister, ukusika, noma ukulimala konyawo okungaqali ukuphola ngemuva kwezinsuku ezimbalwa
  • Ukulimala onyaweni okuzwa kufudumele lapho uyithinta
  • Ukubomvu okuzungeze ukulimala konyawo
  • I-callus enegazi elomile ngaphakathi kuyo
  • Ukulimala okumnyama nokunukayo. Lokhu kuyisibonakaliso sokulimala, ukufa kwezicubu zomzimba. Uma ungelashwa ngokushesha, ukuvuvukala kungaholela ekunqunyweni konyawo, noma ngisho nasekufeni.

Kwenzekani ngesikhathi sokuhlolwa kwezinyawo zikashukela?

Ukuhlolwa kwezinyawo zesifo sikashukela kungenziwa ngumhlinzeki wakho wokunakekelwa okuyisisekelo kanye / noma udokotela onyawo, owaziwa njenge-podiatrist. Udokotela onyawo ugxile ekugcineni izinyawo ziphilile futhi welapha izifo zezinyawo. Ukuhlolwa kuvame ukufaka okulandelayo:


Ukuhlola okujwayelekile. Umhlinzeki wakho uzokwenza lokhu:

  • Buza imibuzo ngomlando wakho wezempilo kanye nanoma yiziphi izinkinga zangaphambilini owake waba nazo ngezinyawo zakho.
  • Bheka izicathulo zakho ukuthi zikulungele kahle yini bese ubuza imibuzo ngezinye izicathulo zakho. Izicathulo ezingalingani kahle noma ezingazithokozisi ngenye indlela zingaholela kuma-blister, calluses, kanye nezilonda.

Ukuhlolwa kwesikhumba. Umhlinzeki wakho uzokwenza lokhu:

  • Bheka izinkinga zesikhumba ezahlukahlukene, kufaka ukoma, ukuqhekeka, izingcingo, amabhamuza nezilonda.
  • Hlola izinzwani zemifantu noma ukutheleleka kwefungal.
  • Bheka phakathi kwezinzwani zakho izimpawu zokutheleleka ngefungal.

Ukuhlolwa kwe-Neurologic. Lezi uchungechunge lwezivivinyo ezibandakanya:

  • Ukuhlolwa kweMonofilament. Umhlinzeki wakho uzobhulasha intambo yenayiloni ethambile ebizwa ngokuthi i-monofilament phezu konyawo nezinzwane zakho ukuhlola ubuzwe bonyawo lwakho ukuthinta.
  • Ukuhlolwa kwemfoloko ye-Tuning ne-visual perception (VPT). Umhlinzeki wakho uzobeka imfoloko yokushuna noma enye idivaysi ezinyaweni zakho nasezinzwaneni zakho ukubona ukuthi ungakuzwa yini ukudlidliza okukuvezayo.
  • Ukuhlolwa kwephini. Umhlinzeki wakho uzokhipha ngobunono phansi konyawo lwakho ngophini omncane ukubona ukuthi uyayizwa yini.
  • Ukucabanga kweqakala. Umhlinzeki wakho uzohlola ukucabanga kwakho kwamaqakala ngokuthepha onyaweni lwakho ngesigaxa esincane. Lokhu kufana nokuhlolwa ongakuthola emzimbeni wonyaka, lapho umhlinzeki wakho ethepha ngaphansi kwamadolo akho ukuze ahlole ukucabanga kwakho.

Ukuhlolwa kwemisipha. Umhlinzeki wakho uzokwenza lokhu:


  • Bheka ukungajwayelekile kokuma nokwakheka konyawo lwakho.

Ukuhlolwa kwe-Vascular. Uma unezimpawu zokusakazeka okungalungile, umhlinzeki wakho anga:

  • Sebenzisa uhlobo lobuchwepheshe bokuthwebula obubizwa nge-Doppler ultrasound ukubona ukuthi igazi ligeleza kahle kanjani onyaweni lwakho.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi amalungiselelo akhethekile wokuhlolwa konyawo wesifo sikashukela.

Ingabe zikhona izingozi esivivinyweni?

Azikho izingozi ezaziwayo zokuhlolwa unyawo lukashukela.

Isho ukuthini imiphumela?

Uma kutholakala inkinga, udokotela wakho wezinyawo noma omunye umhlinzeki cishe angancoma ukuhlolwa kaningi. Ezinye izindlela zokwelashwa zingafaka:

  • Ama-antibiotic ukwelapha izifo ezinyaweni
  • Ukuhlinzwa ukusiza ngamathambo

Akukho ukwelashwa kokulimala kwemizwa onyaweni, kepha kunezindlela zokwelapha ezinganciphisa ubuhlungu futhi zenze ngcono ukusebenza. Lokhu kufaka phakathi:

  • Umuthi
  • Okhilimu besikhumba
  • Ukwelashwa ngokomzimba ukusiza ngokulinganisela namandla

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwezinyawo zikashukela?

Izinkinga zezinyawo ziyingozi enkulu kubantu abanesifo sikashukela. Kepha ungasiza ukugcina izinyawo zakho ziphilile uma:

  • Nakekela isifo sakho sikashukela Sebenza nomhlinzeki wakho wezokunakekelwa kwempilo ukugcina ushukela wegazi lakho usezingeni eliphilile.
  • Thola izivivinyo zonyawo lukashukela ezivamile. Kufanele uhlolwe izinyawo zakho okungenani kanye ngonyaka, futhi kaningi uma wena noma umhlinzeki wakho uthola inkinga.
  • Hlola izinyawo zakho nsuku zonke. Lokhu kungakusiza ukuthi uthole futhi ubhekane nezinkinga kusenesikhathi ngaphambi kokuba zibe zimbi kakhulu. Bheka izilonda, izilonda, ukuqhekeka uzipho, nezinye izinguquko ezinyaweni zakho.
  • Geza izinyawo zakho nsuku zonke. Sebenzisa amanzi afudumele nensipho emnene. Yomisa kahle.
  • Gqoka izicathulo namasokisi ngaso sonke isikhathi. Qiniseka ukuthi izicathulo zakho zikhululekile futhi zilingana kahle.
  • Nquma izinzipho zakho njalo. Sika uqonde ngaphesheya kwesipikili bese ubamba imiphetho ebushelelezi ngefayela le-nail.
  • Vikela izinyawo zakho ekushiseni ngokweqile nasemakhazeni. Gqoka izicathulo ezindaweni ezishisayo. Ungasebenzisi amapayipi okushisa noma amabhodlela ashisayo ezinyaweni zakho. Ngaphambi kokufaka izinyawo zakho emanzini ashisayo, hlola izinga lokushisa ngezandla zakho. Ngenxa yokwehliswa kwemizwa, ungashisa izinyawo zakho ungazi. Ukuvikela izinyawo zakho emakhazeni, ungahambi ungafaké zicathulo, gqoka amasokisi embhedeni, futhi ebusika, gqoka ulayini, amabhuzu angenawo amanzi.
  • Gcina igazi ligeleza ezinyaweni zakho. Beka izinyawo zakho phezulu lapho uhleli. Nyakazisa izinzwane zakho imizuzu embalwa kabili noma kathathu ngosuku. Hlala usebenza, kodwa khetha imisebenzi elula ezinyaweni, ukubhukuda noma ukuhamba ngebhayisikili. Khuluma nomhlinzeki wakho ngaphambi kokuqala uhlelo lokuzivocavoca.
  • Ungabhemi. Ukubhema kunciphisa ukugeleza kwegazi kuye ezinyaweni futhi kungenza amanxeba aphole kancane. Abantu abaningi abanesifo sikashukela ababhemayo badinga ukunqunywa.

Izinkomba

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  2. I-American Diabetes Association [i-Inthanethi]. I-Arlington (VA): I-American Diabetes Association; c1995–2019. Izinkinga Zezinyawo; [kubuyekezwe i-2018 Nov 19; icashunwe ngo-2019 Mar 12]; [cishe izikrini ezi-3]. Kutholakala kusuka: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
  3. Umtholampilo waseBeverver Valley [i-Intanethi]. I-Podiatrist Eduze Kwami Pittsburgh Foot Doctor Pittsburgh PA; c2019. Uhlu lwamagama: Umtholampilo Wezinyawo i-Beaver Valley; [kucashunwe ngo-2019 Mashi 12]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://bvfootclinic.com/glossary
  4. UBoulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Ukuhlolwa Kwezinyawo Okuphelele Nokuhlolwa Kobungozi. Ukunakekelwa yisifo sikashukela [i-Inthanethi]. I-2008 Aug [icashunwe ngo-2019 Mar 12]; 31 (8): 1679-1685. Kutholakala kusuka: http://care.diabetesjournals.org/content/31/8/1679
  5. Country Foot Care [Inthanethi]. Ukunakekelwa Kwezinyawo Zasezweni 2019. Uhla lwamagama emigomo ye-Podiatry; [kucashunwe ngo-2019 Mashi 12]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
  6. I-FDA: Ukuphathwa Kwezokudla Nezidakamizwa e-US [i-Intanethi]. ISiliva Spring (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. I-FDA ivumela ukumakethwa kwedivayisi yokwelapha izilonda ezinyaweni zikashukela; 2017 Dec 28 [icashunwe ngo-2020 Jul 24]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
  7. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. I-Diabetic Neuropathy: Ukuxilongwa nokwelashwa; I-2018 Sep 7 [icashunwe ngo-2019 Mar 12]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
  8. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. I-Diabetic Neuropathy: Izimpawu nezimbangela; I-2018 Sep 7 [icashunwe ngo-2019 Mar 12]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580
  9. UMishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Unyawo lukashukela. BMJ [Inthanethi]. 2017 Nov 16 [icashunwe ngo-2019 Mar 12]; 359: j5064. Kutholakala kusuka: https://www.bmj.com/content/359/bmj.j5064
  10. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Izinkinga Zesifo Sikashukela Nezinyawo; 2017 Jan [icashunwe ngo-2019 Mar 12]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
  11. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. I-Peripheral Neuropathy; 2018 Feb [icashunwe ngo-2019 Mar 12]; [cishe izikrini eziyi-6]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
  12. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. I-Health Encyclopedia: Ukunakekelwa Kwezinyawo Okukhethekile Kwesifo Sikashukela; [kucashunwe ngo-2019 Mashi 12]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
  13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Ukwelapha Izinkinga Zonyawo Lwesifo Sikashukela: Uhlolojikelele lwesihloko; [kubuyekezwe ngo-2017 Dec 7; icashunwe ngo-2019 Mar 12]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/special/treating-diabetic-foot-problems/uq2713.html

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.

-Yintshisekelo

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