Umbhali: Marcus Baldwin
Umhla Wokudalwa: 18 Isilimela 2021
Hlaziya Umhla: 16 Eyenkanga 2024
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Umxholo

Luthini uvavanyo lweenyawo zeswekile?

Abantu abanesifo seswekile basemngciphekweni omkhulu weengxaki zempilo yeenyawo. Uvavanyo lonyawo lweswekile lujonga abantu abanesifo seswekile kwezi ngxaki, ezibandakanya usulelo, ukonzakala, kunye nokungaqhelekanga kwethambo. Umonakalo wemithambo, owaziwa ngokuba yi-neuropathy, kunye nokuhamba gwenxa (ukuhamba kwegazi) zezona zinto zibangela iingxaki ezinyaweni zeswekile.

I-Neuropathy inokwenza iinyawo zakho ziziva zindindisholo okanye zingcangcazele. Inokubangela ukulahleka kwemvakalelo ezinyaweni zakho. Ke ukuba wenzakele unyawo, njenge-callus okanye iblister, okanye nokuba sisilonda esinzulu esaziwa ngokuba sisilonda, usenokungakwazi oko.

Ukujikeleza okungalunganga unyawo kunokwenza ukuba kube nzima kuwe ukulwa nosulelo lweenyawo kwaye uphilise ekulimaleni. Ukuba unesifo seswekile kwaye ufumana isilonda seenyawo okanye omnye umonzakalo, umzimba wakho usenokungakwazi ukuwunyanga ngokukhawuleza ngokwaneleyo. Oku kunokukhokelela kusulelo, olunokuthi ngokukhawuleza lube lubi. Ukuba usulelo lwenyawo alunyangwa ngoko nangoko, kunokuba yingozi kangangokuba unyawo lwakho kungafuneka unqunyulwe ukusindisa ubomi bakho.


Ngethamsanqa, uvavanyo lweenyawo ezineswekile rhoqo, kunye nokhathalelo lwasekhaya, lunokunceda ukuthintela iingxaki ezinzulu zempilo yeenyawo.

Amanye amagama: uvavanyo olubanzi lweenyawo

Isetyenziselwa ntoni?

Uvavanyo lweenyawo zeswekile lusetyenziselwa ukukhangela iingxaki zempilo yeenyawo kubantu abanesifo seswekile. Xa izilonda okanye ezinye iingxaki ezinyaweni zifunyenwe kwaye zinyangwa kwangethuba, zinokuthintela iingxaki ezinzulu.

Kutheni ndifuna uvavanyo lweenyawo zeswekile?

Abantu abanesifo seswekile kufuneka bafumane uvavanyo lweenyawo zeswekile ubuncinci kube kanye ngonyaka. Unokufuna uvavanyo rhoqo ukuba iinyawo zakho zinezimpawu zilandelayo:

  • Ukulinganisa
  • Ubumdaka
  • Intlungu
  • Imvakalelo yokutsha
  • Ukudumba
  • Intlungu kunye nobunzima xa uhamba

Kuya kufuneka ubize umnikezeli wakho wezempilo kwangoko ukuba unayo nayiphi na le miqondiso, eyimpawu yosulelo olubi:

  • I-blister, ukusika, okanye enye ingozi yonyawo engaqali ukuphola emva kweentsuku ezimbalwa
  • Ukonzakala kweenyawo okuziva kushushu xa uyichukumisayo
  • Ubomvu bujikeleze ukwenzakala kweenyawo
  • I-callus enegazi elomileyo ngaphakathi kuyo
  • Ukwenzakala okumnyama nokunukayo. Olu luphawu lokulimala, ukufa kwezicubu zomzimba. Ukuba ayinyangwa ngokukhawuleza, ukubola kungakhokelela ekunqunyulweni unyawo, okanye nasekufeni.

Kwenzeka ntoni ngexesha lovavanyo lweenyawo zeswekile?

Uvavanyo lonyawo lweswekile lunokwenziwa ngumboneleli wakho wokuqala kunye / okanye ugqirha wonyawo, owaziwa ngokuba ngugqirha wezifo zenyawo. Ugqirha weenyawo ugxile ekugcineni iinyawo ezisempilweni kunye nokunyanga izifo zeenyawo. Uviwo luhlala lubandakanya oku kulandelayo:


Uvavanyo ngokubanzi. Umboneleli wakho uya:

  • Buza imibuzo malunga nembali yakho yezempilo kunye naziphi na iingxaki zangaphambili okhe waba nazo ngeenyawo zakho.
  • Jonga izihlangu zakho ukuba zilungile kwaye ubuze imibuzo malunga nezinye izihlangu. Izicathulo ezingalingani kakuhle okanye ezingathandekiyo zinokukhokelela kwi-blisters, i-calluses, kunye nezilonda.

Uvavanyo lwesikhumba. Umboneleli wakho uya:

  • Khangela iingxaki ezahlukeneyo zesikhumba, kubandakanywa ukoma, ukuqhekeka, iifowuni, i-blisters kunye nezilonda.
  • Khangela iinzwane iintanda okanye usulelo lomngundo.
  • Khangela phakathi kweenzwane zakho iimpawu zosulelo lokungunda.

Uvavanyo lwe-Neurologic. Olu luluhlu lweemvavanyo ezibandakanya:

  • Uvavanyo lweMonofilament. Umboneleli wakho uya kuxubha ifayibha yenylon ethambileyo ebizwa ngokuba yi-monofilament phezu kwenyawo zakho neenzwane zokuvavanya ubuntununtunu bonyawo lwakho ekuchukumiseni.
  • Ukulungisa ifolokhwe kunye novavanyo lokuqonda okubonakalayo (VPT). Umboneleli wakho uya kubeka ifolokhwe yokulungisa okanye esinye isixhobo ngokuchasene neenyawo zakho neenzwane zakho ukubona ukuba uyayiva na intshukumo eyivelisayo.
  • Uvavanyo lwepinprick. Umboneleli wakho uya kubamba ngobunono unyawo lwakho ngepini encinci ukubona ukuba uyayiva na.
  • Ingqondo yeqatha. Umboneleli wakho uya kujonga i-ankle reflexes ngokucofa elunyaweni lwakho nge-mallet encinci. Oku kufana novavanyo onokulufumana emzimbeni wonyaka, apho umboneleli wakho athabatha nje ngaphantsi kwedolo lakho ukujonga ukucinga kwakho.

Uvavanyo lweMusculoskeletal. Umboneleli wakho uya:


  • Jonga ukungaqheleki kubume kunye nolwakhiwo lonyawo lwakho.

Uvavanyo lwe-Vascular. Ukuba uneempawu zokuhamba gwenxa, umboneleli wakho unokuthi:

  • Sebenzisa uhlobo lwetekhnoloji yokucinga ebizwa ngokuba yi-Doppler ultrasound ukubona ukuba igazi lihamba kakuhle kanjani elunyaweni lwakho.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lovavanyo lweenyawo zeswekile.

Ngaba bukhona ubungozi kuvavanyo?

Akukho bungozi baziwa ngokuba novavanyo lweenyawo zeswekile.

Zithetha ntoni iziphumo?

Ukuba ingxaki ifunyenwe, ugqirha wakho wonyawo okanye omnye umboneleli unokucebisa ukuba uvavanywe rhoqo. Olunye unyango lunokubandakanya:

  • Iintsholongwane zokunyanga usulelo lwenyawo
  • Utyando lokunceda ukukhubazeka kwethambo

Akukho lonyango lokonzakala kwemithambo-luvo elunyaweni, kodwa lukhona unyango olunokuthomalalisa iintlungu kunye nokwenza ngcono ukusebenza. Oku kubandakanya:

  • Iyeza
  • Iithambisi zolusu
  • Unyango lomzimba ukunceda ngokulingana kunye namandla

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lweenyawo zeswekile?

Iingxaki zeenyawo zingumngcipheko omkhulu kubantu abanesifo seswekile. Kodwa unokunceda ukugcina iinyawo zakho zisempilweni ukuba:

  • Khathalela isifo seswekile Sebenza nomboneleli wakho wezempilo ukugcina iswekile yegazi lakho kwinqanaba elisempilweni.
  • Fumana iimviwo zenyawo zeswekile rhoqo. Kuya kufuneka iinyawo zakho zijongwe ubuncinci kanye ngonyaka, kwaye rhoqo ukuba wena okanye umboneleli wakho ufumana ingxaki.
  • Jonga iinyawo zakho yonke imihla. Oku kunokukunceda ufumane kwaye ulungise iingxaki kwangoko ngaphambi kokuba zibe mbi. Khangela izilonda, izilonda, ukuqhekeka iinzipho, kunye nolunye utshintsho ezinyaweni zakho.
  • Hlamba iinyawo zakho yonke imihla. Sebenzisa amanzi ashushu kunye nesepha ethambileyo. Yoma kakuhle.
  • Nxiba izihlangu kunye neekawusi ngalo lonke ixesha. Qiniseka ukuba izihlangu zakho zikulungele kwaye zilunge kakuhle.
  • Nciphisa iinzipho zakho rhoqo. Sika ngqo kunqumle kwaye ucofe imiphetho egudileyo ngefayile yesikhonkwane.
  • Khusela iinyawo zakho kubushushu obugqithisileyo nakubanda. Nxiba izihlangu kwiindawo ezishushu. Sukusebenzisa iiphedi zokufudumeza okanye iibhotile ezishushu ezinyaweni zakho. Ngaphambi kokubeka iinyawo zakho emanzini ashushu, vavanya iqondo lobushushu ngezandla zakho. Ngenxa yokunciphisa imvakalelo, ungazitshisa iinyawo zakho ungazi. Ukukhusela iinyawo zakho kwingqele, musa ukuhamba ngeenyawo, nxiba iikawusi ebhedini, kwaye ebusika, nxiba imigca, iibhutsi ezingangeni manzi.
  • Gcina igazi lihamba ngeenyawo zakho. Beka iinyawo zakho phezulu xa uhleli. Shukumisa iinzwane zakho okwemizuzu embalwa amaxesha amabini okanye amathathu ngosuku. Hlala usebenza, kodwa khetha izinto ezilula ezinyaweni, ezinje ngokubhukuda okanye ngebhayisikile. Thetha nomboneleli wakho ngaphambi kokuqala inkqubo yokuzilolonga.
  • Musa ukutshaya. Ukutshaya kunciphisa ukuhamba kwegazi ezinyaweni kwaye kunokwenza ukuba amanxeba apholise kancinci. Abantu abaninzi abanesifo seswekile abatshayayo bafuna ukunqunyulwa amalungu.

Izalathiso

  1. Umbutho weSwekile yaseMelika [kwi-Intanethi]. IArlington (VA): Umbutho weSwekile waseMelika; c1995–2019. Ukunyamekela iinyawo; [ihlaziyiwe ngo-2014 Oktobha 10; icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-3]. Ifumaneka kwi: http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html
  2. Umbutho weSwekile yaseMelika [kwi-Intanethi]. IArlington (VA): Umbutho weSwekile waseMelika; c1995–2019. Iingxaki zeenyawo; [ihlaziywe ngo-2018 Novemba 19; icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-3]. Ifumaneka kwi: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
  3. Ikliniki yaseBeverver Valley [i-Intanethi]. Podiatrist kufutshane nam Pittsburgh unyawo ugqirha Pittsburgh PA; c2019. Uluhlu lwamagama: Ikliniki yeenyawo zeBeverver Valley; [icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://bvfootclinic.com/glossary
  4. IBoulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Uvavanyo lweenyawo zonke kunye noVavanyo loMngcipheko. Unonophelo lweSwekile [kwi-Intanethi]. 2008 Aug [icatshulwe ngo-2019 nge-12 kaMatshi]; 31 (8): 1679-1685. Ifumaneka kwi: http://care.diabetesjournals.org/content/31/8/1679
  5. UkuKhathalelwa iinyawo kwelizwe [kwi-Intanethi]. Ukunyamekelwa kweenyawo zelizwe; 2019. Uluhlu lwamagama eMigaqo yePodiatry; [icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
  6. I-FDA: Ulawulo lwe-US lokutya kunye neziyobisi [i-Intanethi]. ISilver Spring (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; I-FDA ivumela ukuthengiswa kwesixhobo sokunyanga izilonda ezinyaweni zeswekile; 2017 Disemba 28 [icatshulwe ngowe-2020 kaJulayi 24]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
  7. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Iswekile ye-Neuropathy: Ukuchonga nokunyanga; 2018 Sep 7 [icatshulwe 2019 nge-12 kaMatshi]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
  8. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Iswekile ye-Neuropathy: Iimpawu kunye noonobangela; 2018 Sep 7 [icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580
  9. IMishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Isifo seswekile. BMJ [Intanethi]. 2017 Nov 16 [icatshulwe 2019 nge-12 kaMatshi]; 359: j5064. Ifumaneka kwi: https://www.bmj.com/content/359/bmj.j5064
  10. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Isifo seswekile kunye neengxaki zeenyawo; 2017 Jan [icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
  11. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; I-Peripheral Neuropathy; 2018 Feb [icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-6]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
  12. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Health Encyclopedia: Unonophelo lweenyawo ezikhethekileyo lweSwekile; [icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
  13. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ukunyanga iingxaki zeenyawo zeswekile: Isihloko ngokubanzi; [ihlaziyiwe ngo-2017 Dec 7; icatshulwe ngo-2019 nge-12 kaMatshi]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/special/treating-diabetic-foot-problems/uq2713.html

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.

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