Baadhitaanka Cagta ee Sonkorowga
Qanacsan
- Waa maxay baaritaanka cagaha ee sonkorowga?
- Maxaa loo adeegsadaa?
- Maxaan ugu baahanahay baaritaanka cagaha sonkorowga?
- Maxaa dhacaya inta lagu guda jiro baaritaanka cagaha ee sonkorowga?
- Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
- Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
- Maxay natiijooyinka ka dhigan yihiin?
- Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka cagaha sonkorowga?
- Tixraacyo
Waa maxay baaritaanka cagaha ee sonkorowga?
Dadka qaba cudurka macaanka waxay halis sare ugu jiraan dhibaatooyin caafimaad oo kala duwan. Baadhitaanka cagaha ee sonkorowga ayaa laga hubiyaa dadka qaba sonkorow dhibaatooyinkan, oo ay ka mid yihiin infekshin, dhaawac, iyo cilladaha lafaha. Dhaawaca neerfaha, oo loo yaqaan 'neuropathy', iyo wareegga dhiigga oo yaraada (qulqulka dhiigga) ayaa ah sababaha ugu badan ee dhibaatooyinka cagaha sonkorowga.
Cudurka neerfaha wuxuu ka dhigi karaa cagahaaga inay dareemaan kabuubyo ama xanaaq. Waxay kaloo sababi kartaa lumitaanka dareenka cagahaaga. Sidaa darteed haddii aad dhaawac cagta ka gaarto, sida callus ama fin, ama xitaa nabar qoto dheer oo loo yaqaan boogo, xitaa ma ogaan kartid.
Wareeg xumo ku timaadda cagta ayaa kugu adkeyneysa inaad la dagaallanto infekshinka cagta oo aad ka bogsato dhaawacyada. Haddii aad sonkorow qabto oo aad yeelatid boogo cag ah ama dhaawac kale, jirkaaga waxaa laga yaabaa inuusan awoodin inuu si dhakhso leh u bogsiiyo. Tani waxay u horseedi kartaa infakshan, oo si dhakhso leh u noqon kara mid halis ah. Haddii infekshinka cagaha isla markiiba aan la daweyn, waxay noqon kartaa mid aad u khatar ah oo cagtaadu u baahan karto in la jaro si loo badbaadiyo noloshaada.
Nasiib wanaagse, baaritaannada cagaarshowga ee joogtada ah, iyo sidoo kale daryeelka guriga, ayaa kaa caawin kara kahortagga dhibaatooyinka caafimaad ee cagaha oo daran.
Magacyada kale: baaritaanka cagaha oo dhameystiran
Maxaa loo adeegsadaa?
Baaritaanka cagaha ee sonkorowga waxaa loo isticmaalaa in lagu hubiyo dhibaatooyinka caafimaad ee cagta ee dadka qaba sonkorowga. Marka boogaha ama dhibaatooyinka kale ee cagaha la helo oo goor hore la daweeyo, waxay ka hortagi kartaa dhibaatooyinka daran.
Maxaan ugu baahanahay baaritaanka cagaha sonkorowga?
Dadka qaba sonkorowga waa inay maraan baaritaanka cagta ee sonkorowga ugu yaraan hal mar sanadkii. Waxaad u baahan kartaa baaritaan badanaa haddii cagahaagu ay leeyihiin mid ka mid ah astaamaha soo socda:
- Jirdhis
- Kabuubyo
- Xanuun
- Dareen gubasho
- Barar
- Xanuun iyo dhib markaad socoto
Waa inaad wacdaa dhakhtarkaaga isla markiiba haddii aad leedahay mid ka mid ah astaamaha soo socda, kuwaas oo ah astaamaha infekshin daran:
- Nabar, googoyn, ama dhaawac kale oo cagta ah oo aan bilaabin inuu bogsado dhawr maalmood ka dib
- Dhaawac cagta ah oo dareemaya diiran markaad taabato
- Guduudasho agagaarka dhaawac cagta ah
- Callus dhiig qalalan ku dhex jiro
- Dhaawac madow iyo ur leh. Tani waa calaamad muujinaysa gangrene, dhimashada unugyada jirka. Haddii aan dhakhso loo daweyn, gangrene waxay u horseedi kartaa in cagta laga jaro, ama xitaa dhimasho.
Maxaa dhacaya inta lagu guda jiro baaritaanka cagaha ee sonkorowga?
Baaritaanka cagaha ee sonkorowga waxaa sameyn kara bixiyahaaga daryeelka koowaad iyo / ama dhaqtarka cagaha, oo loo yaqaan 'podiatrist'. Dhaqtarka cagaha ayaa ku takhasusay ilaalinta cagaha caafimaadkiisa iyo daaweynta cudurada cagaha. Imtixaanka sida caadiga ah waxaa ka mid ah kuwan soo socda:
Qiimaynta guud. Bixiyahaagu wuxuu:
- Weydii su'aalo ku saabsan taariikhdaada caafimaad iyo wixii dhibaatooyin ah ee hore ee aad kala kulantay cagahaaga.
- Hubi kabahaaga si aad uhesho oo waydii su'aalaha ku saabsan kabaha kale. Kabaha aan si fiican u habboonayn ama haddii kale aan raaxo lahayn waxay u horseedi karaan finan, wicitaano, iyo nabarro.
Qiimaynta maqaarka. Bixiyahaagu wuxuu:
- Raadi dhibaatooyinka maqaarka ee kaladuwan, oo ay kujiraan qallal, dillaac, wicitaanno, finno, iyo boogaha.
- Hubi cidiyaha suulasha dildilaaca ama infekshanka fungal.
- Hubi inta u dhexeysa suulasha calaamadaha astaamaha fangaska.
Qiimeynta neerfaha. Kuwani waa tijaabooyin taxane ah oo ay ka mid yihiin:
- Imtixaanka Monofilament. Bixiyahaagu wuxuu cadayan doonaa fiber nylon jilicsan oo loo yaqaan 'monofilament' cagtaada iyo suulasha si loo tijaabiyo xasaasiga cagahaaga inuu taabto.
- Tijaabooyinka fargeeto iyo aragtida muuqaalka (VPT). Bixiyahaagu wuxuu fargeeto ama qalab kale ku dhejin doonaa cagta iyo suulasha si uu u arko haddii aad dareemi karto gariirka ay soo saareyso.
- Tijaabada Pinprick. Bixiyahaaga ayaa si tartiib tartiib ah biin yar ugu dhajin doona sagxadda cagtaada si aad u aragto inaad dareemi karto iyo in kale.
- Fal-celinta anqawga. Bixiyahaagu wuxuu ku eegi doonaa jawaab celinta canqowgaaga adoo cagtaada ku garaacaya mallet yar. Kani wuxuu la mid yahay baaritaanka laga yaabo inaad ka hesho jimicsi sanadle ah, kaas oo bixiyahaagu qasabadaha ka hooseeyo jilibkaaga si loo hubiyo dareen-celintaada.
Qiimaynta muruqyada. Bixiyahaagu wuxuu:
- Ka raadi waxyaabo aan caadi ahayn qaabka iyo qaab dhismeedka cagtaada.
Qiimaynta Vascular. Haddii aad isku aragto astaamo wareega wareega oo xumaada, adeeg bixiyahaagu waxaa laga yaabaa inuu:
- Adeegso nooc ka mid ah tikniyoolajiyadda sawir qaadista ee loo yaqaan 'Doppler ultrasound' si aad u aragto sida wanaagsan ee dhiiggu ugu qulqulayo cagtaada.
Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka cagta ee sonkorowga.
Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
Ma jiraan wax qatar ah oo la ogyahay in la qaado baaritaanka cagaha ee sonkorowga.
Maxay natiijooyinka ka dhigan yihiin?
Haddii dhibaato la helo, dhakhtarka cagahaaga ama bixiye kale ayaa laga yaabaa inay kugula taliyaan baaritaan joogto ah. Daaweynta kale waxaa ka mid noqon kara:
- Antibiyootigyada lagu daaweeyo infekshinka cagaha
- Qalliin lagu caawinayo cilladaha lafaha
Ma jiro wax daaweyn ah oo loogu talagalay dhaawaca dareemaha cagaha, laakiin waxaa jira daaweyn yareyn kara xanuunka isla markaana hagaajin kara shaqada. Kuwaas waxaa ka mid ah:
- Daawo
- Kareemka maqaarka
- Daaweynta jirka oo kaa caawinaysa isku dheelitirka iyo xoogga
Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.
Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka cagaha sonkorowga?
Dhibaatooyinka cagaha ayaa halis weyn ku ah dadka qaba cudurka macaanka. Laakiin waad ka caawin kartaa cagahaaga caafimaad ahaan haddii aad:
- Iska ilaali sonkorowgaaga La shaqee daryeel caafimaad bixiyahaaga si aad u ilaaliso sonkorta dhiiggaaga heer caafimaad leh.
- Qaado baaritaanno cagaarshow oo joogto ah. Waa inaad cagahaaga iska hubisaa ugu yaraan hal mar sanadkii, iyo badiyaa haddii adiga ama daryeel bixiyahaagu aad dhibaato la kulanto.
- Hubi cagahaaga maalin kasta. Tani waxay kaa caawin kartaa inaad goor hore wax ka qabato oo aad wax ka qabato intaanay ka sii darin. Raadi nabarro, boogaha, dillaacyada cidiyaha, iyo isbeddelada kale ee cagahaaga.
- Cagahaaga dhaq maalin kasta. Isticmaal biyo diirran iyo saabuun fudud. Si fiican u qalaji.
- Xiro kabo iyo sharaabaadyo waqti kasta. Hubso in kabahaagu ay yihiin kuwo raaxo leh oo si fiican u habboon.
- Cidiyaha cidiyahaaga goo si joogto ah. Si toos ah uga jar ciddiyaha oo si tartiib ah simbiriirixan u la faylka ciddiyaha.
- Ka ilaali cagahaaga kuleylka iyo qabowga badan. Kabo ku xidho dusha sare. Ha u isticmaalin suufka kululaynta ama dhalooyinka kulul cagahaaga. Kahor intaadan cagahaaga gelin biyo kulul, ku tijaabi heerkulka gacmahaaga. Dareenka oo yaraaday awgeed, waad cabi kartaa cagahaaga adigoon ogayn. Si aad cagahaaga uga ilaaliso qabowga, ha aadin caga-cag, xirtaan sharaabaadyo sariirta, iyo xilliga qaboobaha, xiro kabo saf ah, oo aan biyuhu ka xirnayn.
- Dhiigga ku sii daa cagahaaga. Cagahaaga kor u taag markaad fadhido Lul lugaha lugahaaga waxoogaa daqiiqado ah laba ama saddex jeer maalintii. Firfircoonow, laakiin dooro nashaadaadyada cagaha ku fudud, sida dabbaasha ama baaskiil wadista. La hadal adeeg bixiyahaaga kahor intaadan bilaabin barnaamijka jimicsiga.
- Sigaar ha cabin. Sigaar cabiddu waxay yareysaa socodka dhiigga ee cagaha waxayna kadhigi kartaa nabarro tartiib tartiib ah. Dad badan oo qaba sonkorowga oo sigaar caba waxay u baahan yihiin in la jaro.
Tixraacyo
- Ururka Sonkorowga Mareykanka [Internet]. Arlington (VA): Ururka Sonkorowga Mareykanka; c1995–2019. Daryeelka Cagta; [la cusboonaysiiyay 2014 Oktoobar 10; daliishaday 2019 Mar 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html
- Ururka Sonkorowga Mareykanka [Internet]. Arlington (VA): Ururka Sonkorowga Mareykanka; c1995–2019. Dhibaatooyinka Cagta; [cusboonaysiiyay 2018 Nofeembar 19; daliishaday 2019 Mar 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
- Isbitaalka Beaver Valley Foot Clinic [Internet]. Podiatrist Mear Me Pittsburgh Cagta Dhakhtarka Pittsburgh PA; c2019. Qaamuus: Beaver Valley Foot Clinic; [daliishaday 2019 Mar 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://bvfootclinic.com/glossary
- Boulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Baadhitaan Cag ah oo Qiimeyn iyo Khatar ah. Daryeelka Sonkorowga [Internetka]. 2008 Ogos [daliishaday 2019 Mar 12]; 31 (8): 1679-1685. Waxaa laga heli karaa: http://care.diabetesjournals.org/content/31/8/1679
- Daryeelka Cagaha ee Dalka [Internet]. Daryeelka Cagta Dalka; 2019. Qaamuuska Erayada Cudurka Daaweynta; [daliishaday 2019 Mar 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
- FDA: Maamulka Cuntada iyo Dawooyinka ee Mareykanka [Internet]. Silver Spring (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; FDA waxay fasaxaysaa suuqgeynta aaladda si loo daaweeyo boogaha cagta ee sonkorowga; 2017 Dec 28 [daliishaday 2020 Jul 24]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
- Mayo Clinic [Internet]. Aasaaska Mayo ee Caafimaadka Caafimaadka iyo Cilmi-baarista; c1998–2019. Cudurka 'Neuropathy' ee Sonkorowga: Ciladda iyo daaweynta; 2018 Sep 7 [daliishaday 2019 Mar 12]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-treatment/drc-20371587
- Mayo Clinic [Internet]. Aasaaska Mayo ee Caafimaadka Caafimaadka iyo Cilmi-baarista; c1998–2019. Diabetic Neuropathy: Calaamadaha iyo sababaha; 2018 Sep 7 [daliishaday 2019 Mar 12]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580
- Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Cagta sonkorowga. BMJ [Internet]. 2017 Nofeembar 16 [daliishaday 2019 Mar 12]; 359: j5064. Waxaa laga heli karaa: https://www.bmj.com/content/359/bmj.j5064
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- Machadka Qaranka ee Sonkorowga iyo Cudurada Dheefshiidka iyo Kelyaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Neuropathy durugsan; 2018 Feb [daliishaday 2019 Mar 12]; [ilaa 6 shaashadood]. Waxaa laga heli karaa: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
- Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2019. Caafimaadka Encyclopedia: Daryeelka Cagta ee Gaarka ah ee Sonkorowga; [daliishaday 2019 Mar 12]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.