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Tlhahlobo ea maoto a lefu la tsoekere ke eng?

Batho ba nang le lefu la tsoekere ba kotsing e kholo ea mathata a fapaneng a bophelo bo botle ba maoto. Tlhahlobo ea maoto a lefu la tsoekere e lekola batho ba nang le lefu la tsoekere bakeng sa mathata ana, a kenyeletsang ts'oaetso, kotsi le masapo a sa tloaelehang. Tšenyo ea methapo, e tsejoang ka hore ke neuropathy, le phallo e mpe ea mali (phallo ea mali) ke lisosa tse tloaelehileng haholo tsa mathata a maoto a lefu la tsoekere.

Neuropathy e ka etsa hore maoto a hau a felloe ke matla kapa a ferekane. E ka baka tahlehelo ea maikutlo maotong a hau. Kahoo haeba u tsoa kotsi ea leoto, joalo ka callus kapa blister, kapa esita le seso se tebileng se tsejoang e le seso, u kanna oa se tsebe.

Ho potoloha hampe leotong ho ka u thatafalletsa ho loants'a ts'oaetso ea maoto le ho fola ho tsoa likotsi. Haeba u na le lefu la tsoekere 'me u ba le leqeba la maoto kapa kotsi e' ngoe, 'mele oa hau o kanna oa se khone ho o folisa kapele. Sena se ka lebisa tšoaetsong, e ka bang mpe haholo kapele. Haeba ts'oaetso ea leoto e sa phekoloe hanghang, e ka ba kotsi hoo leoto la hau le ka hlokang ho pongoa ho pholosa bophelo ba hau.


Ka lehlohonolo, liteko tsa maoto a lefu la tsoekere khafetsa, hammoho le tlhokomelo ea lapeng, li ka thusa ho thibela mathata a tebileng a bophelo bo botle ba maoto.

Mabitso a mang: tlhahlobo e felletseng ea maoto

E sebelisetsoa eng?

Ho hlahlojoa maoto a lefu la tsoekere ho sebelisetsoa ho hlahloba mathata a bophelo bo botle ba maoto ho batho ba nang le lefu la tsoekere. Ha lisosa kapa mathata a mang a maoto a fumanoa le ho phekoloa kapele, ho ka thibela mathata a tebileng.

Hobaneng ha ke hloka tlhahlobo ea leoto la lefu la tsoekere?

Batho ba nang le lefu la tsoekere ba lokela ho etsa tlhahlobo ea maoto a lefu la tsoekere bonyane hanngoe ka selemo. U kanna oa hloka tlhatlhobo khafetsa haeba maoto a hau a na le matšoao a latelang:

  • Ho benya
  • Boikitlaetso
  • Bohloko
  • Ho chesa maikutlo
  • Ho ruruha
  • Bohloko le bothata ha o tsamaea

U lokela ho letsetsa mofani oa tlhokomelo ea bophelo hang hang haeba u na le matšoao a latelang, e leng matšoao a ts'oaetso e kholo.

  • Blister, cut, kapa leqeba le leng la leoto le sa qaleng ho fola kamora matsatsi a 'maloa
  • Kotsi ea leoto e utloang e futhumetse ha ue ama
  • Bokhubelu bo potileng leqeba la leoto
  • Callus e nang le mali a omisitsoeng kahare ho eona
  • Kotsi e ntšo ebile e nkha hampe. Sena ke sesupo sa ho ruruha, lefu la lisele tsa mmele. Haeba e sa phekoloe kapele, seso se ka baka ho pongoa leoto, kapa esita le lefu.

Ho etsahalang nakong ea tlhahlobo ea leoto la lefu la tsoekere?

Tlhahlobo ea maoto a lefu la tsoekere e ka etsoa ke mofani oa tlhokomelo ea mantlha le / kapa ngaka ea maoto, e tsejoang e le ngaka ea maoto. Ngaka ea maoto e khethehile ho boloka maoto a phetse hantle le ho phekola maloetse a maoto. Hangata tlhahlobo e kenyelletsa tse latelang:


Tekolo e akaretsang. Mofani oa hau o tla:

  • Botsa lipotso ka nalane ea hau ea bophelo bo botle le mathata afe kapa afe a fetileng ao u bileng le ona ka maoto.
  • Lekola lieta tsa hau hore na li lekana hantle ebe u botsa lipotso ka lieta tse ling tsa hau. Lieta tse sa lekanang hantle kapa tse sa phutholoheng li ka lebisa ho blisters, li-calluses le liso.

Tlhahlobo ea letlalo. Mofani oa hau o tla:

  • Batla mathata a fapaneng a letlalo, ho kenyelletsa ho omella, ho petsoha, li-callus, machachetsi le liso.
  • Lekola menoana ea maoto bakeng sa mapetso kapa tšoaetso ea fungal.
  • Lekola pakeng tsa menoana ea maoto ho bona matšoao a tšoaetso ea fungal.

Litlhahlobo tsa Neurologic. Tsena ke letoto la liteko tse kenyeletsang:

  • Teko ea Monofilament. Mofani oa hau o tla hlatsoa fiber ea nylon e bonolo e bitsoang monofilament leotong la hao le menoaneng ea maoto ho leka ho utloahala ha leoto la hau ho ama.
  • Liteko tsa fereko le pono ea pono (VPT). Mofani oa hau o tla beha fereko ea ho lokisa kapa sesebelisoa se seng khahlanong le leoto le menoana ea hau ho bona hore na o ka utloa ho sisinyeha hoo e ho hlahisang.
  • Teko ea Pinprick. Mofani oa hau o tla phunya botlaaseng ba leoto la hao ka phini e nyane ho bona hore na oa e utloa.
  • Maikutlo a ankle. Mofani oa hau o tla lekola likhahla tsa hao tsa maqaqailana ka ho tlanya leotong la hao ka nyatso e nyane. Sena se ts'oana le teko eo u ka e fumanang 'meleng oa hau oa selemo le selemo, moo mofani oa hau a kenang tlasa lengole la hau ho lekola maikutlo a hau.

Tlhahlobo ea mesifa. Mofani oa hau o tla:


  • Batla ho sa tloaelehang sebopehong le sebopehong sa leoto la hau.

Tlhahlobo ea vascular. Haeba u na le matšoao a ho se tsamaee hantle, mofani oa hau a ka:

  • Sebelisa mofuta oa theknoloji ea ho nka litšoantšo e bitsoang Doppler ultrasound ho bona hore na mali a phalla hantle hakae leotong la hao.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea leoto la lefu la tsoekere.

Na ho na le likotsi tsa tlhahlobo?

Ha ho na likotsi tse tsebahalang tsa ho ba le tlhatlhobo ea maoto a lefu la tsoekere.

Liphetho li bolelang?

Haeba bothata bo fumanoa, ngaka ea hau ea maoto kapa mofani e mong o kanna a khothaletsa liteko tse ngata khafetsa. Mefuta e meng ea kalafo e ka kenyelletsa:

  • Lithibela-mafu ho phekola tšoaetso ea maoto
  • Ho buoa ho thusa ka ho holofala ha masapo

Ha ho na kalafo bakeng sa tšenyo ea methapo leoto, empa ho na le liphekolo tse ka kokobetsang bohloko le ho ntlafatsa tšebetso. Tsena li kenyelletsa:

  • Moriana
  • Litlolo tsa letlalo
  • Phekolo ea 'mele ho thusa ka teka-tekano le matla

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Na ho na le ho hong hape hoo ke hlokang ho ho tseba ka tlhatlhobo ea maoto a lefu la tsoekere?

Mathata a maoto a kotsi haholo ho batho ba nang le lefu la tsoekere. Empa o ka thusa ho boloka maoto a hau a phetse hantle haeba o:

  • Hlokomela lefu la tsoekere Sebetsa le mofani oa tlhokomelo ea bophelo ho boloka tsoekere ea mali e le maemong a phetseng hantle.
  • Fumana liteko tsa maoto a lefu la tsoekere khafetsa. U lokela ho hlahlojoa maoto bonyane hanngoe ka selemo, mme khafetsa haeba uena kapa mofani oa hau a fumana bothata.
  • Lekola maoto a hau letsatsi le letsatsi. Sena se ka u thusa ho fumana le ho rarolla mathata kapele pele a ka mpefala. Batla liso, liso, mapetso a menoana, le liphetoho tse ling maotong a hau.
  • Hlatsoa maoto letsatsi le letsatsi. Sebelisa metsi a futhumetseng le sesepa se bonolo. Omella hantle.
  • Apara lieta le likausi ka linako tsohle. Etsa bonnete ba hore lieta tsa hau li phutholohile ebile li lekana hantle.
  • Fokotsa menoana ea hau ea menoana khafetsa. Khaola ka kotloloho ho pholletsa le lenala 'me ka bonolo u be boreleli ka faele ea lenala.
  • Sireletsa maoto a hau mochesong le serameng se feteletseng. Roala lieta libakeng tse chesang. Se ke oa sebelisa mekotla ea ho futhumatsa kapa libotlolo tse chesang maotong a hau. Pele o kenya maoto a hau metsing a chesang, leka mocheso ka matsoho. Ka lebaka la maikutlo a fokotsehileng, o ka chesa maoto a hau u sa tsebe. Ho itšireletsa maoto serameng, u se ke ua tsamaea u sa roala lieta, u roale likausi betheng, 'me mariha u roale lirifi tse harelaneng.
  • Etsa hore mali a phalle maotong a hao. Phahamisa maoto ha u lutse. Sisinya menoana ea hao ea maoto ka metsotso e seng mekae habeli kapa hararo ka letsatsi. Lula u le mafolofolo, empa khetha lintho tse bonolo maotong, joalo ka ho sesa kapa ho palama baesekele. Bua le mofani oa hau pele u qala lenaneo la boikoetliso.
  • Se ke oa tsuba. Ho tsuba ho fokotsa phallo ea mali maotong mme ho ka etsa hore maqeba a fole butle. Batho ba bangata ba nang le lefu la tsoekere ba tsubang ba hloka ho khaoloa.

Litšupiso

  1. Mokhatlo oa American Diabetes Association [Inthaneteng]. Arlington (VA): Mokhatlo oa Amerika oa lefu la tsoekere; c1995–2019. Tlhokomelo ea maoto; [e nchafalitsoeng 2014 Oct 10; e qotsitsoeng ka la 2019 Mar 12]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html
  2. Mokhatlo oa American Diabetes Association [Inthaneteng]. Arlington (VA): Mokhatlo oa Amerika oa lefu la tsoekere; c1995–2019. Mathata a Leoto; [e ntlafalitsoeng 2018 Nov 19; e qotsitsoeng ka la 2019 Mar 12]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
  3. Tleliniki ea Beaver Valley Foot [Inthanete]. Ngaka ea maoto e haufi le nna Pittsburgh leoto la maoto Pittsburgh PA; c2019. Glossary: ​​Tleliniki ea maoto ea Beaver Valley; [e qotsitsoeng ka la 2019 Mar 12]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://bvfootclinic.com/glossary
  4. Boulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Tlhatlhobo e Felletseng ea Leoto le Tekolo ea Likotsi. Tlhokomelo ea lefu la tsoekere [Inthanete]. 2008 Aug [e qotsitsoeng ka 2019 Mar 12]; 31 (8): 1679-1685. E fumaneha ho tsoa ho: http://care.diabetesjournals.org/content/31/8/1679
  5. Tlhokomelo ea Maoto a Naha [Inthanete]. Tlhokomelo ea Maoto a Naha; 2019. Lenane la Lipehelo tsa Podiatry; [e qotsitsoeng ka la 2019 Mar 12]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
  6. FDA: Tsamaiso ea Tsamaiso ea Lijo le Lithethefatsi ea Amerika [Inthanete]. Silver Spring (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. FDA e lumella papatso ea sesebelisoa ho alafa liso tsa maoto a lefu la tsoekere; 2017 Dec 28 [e qotsitsoeng ka 2020 Phupu 24]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
  7. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2019. Lefu la tsoekere Phekolo: Tlhahlobo le kalafo; 2018 Sep 7 [e qotsitsoeng ka 2019 Mar 12]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
  8. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2019. Lefu la tsoekere Neuropathy: Matšoao le lisosa; 2018 Sep 7 [e qotsitsoeng ka 2019 Mar 12]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580
  9. Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Leoto la lefu la tsoekere. BMJ [Inthanete]. 2017 Nov 16 [e qotsitsoeng ka 2019 Mar 12]; EA-359-TL E fumaneha ho tsoa ho: https://www.bmj.com/content/359/bmj.j5064
  10. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Mathata a lefu la tsoekere le maoto; 2017 Jan [e qotsitsoeng ka 2019 Mar 12]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
  11. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Pheriferale Neuropathy; 2018 Feb [e qotsitsoeng ka 2019 Mar 12]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
  12. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2019. Health Encyclopedia: Tlhokomelo e Khethehileng ea Leoto la lefu la tsoekere; [e qotsitsoeng ka la 2019 Mar 12]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
  13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Ho phekola mathata a maoto a lefu la tsoekere: Kakaretso ea Sehlooho; [e ntlafalitsoeng 2017 Dec 7; e qotsitsoeng ka la 2019 Mar 12]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/special/treating-diabetic-foot-problems/uq2713.html

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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