Hamba ngale ndlela: Ukunyamekela iinyawo kubantu abanesifo seswekile
Imfundo yezeMpiloUkulawula isifo seswekile kunokuba lucelomngeni. Kukho amanyathelo amaninzi-ukusuka ukubeka esweni amanqanaba eswekile yegazi kwaye ukubala iikhabhohbhayithi ukulandela inkqubo yomthambo. Yintoni umntu oqhelekileyo anokungayilindeli? Isicwangciso sokusebenza seswekile sikwabandakanya ukhathalelo lweenyawo zesifo seswekile mihla le ukuthintela iingxaki ezinzulu ezivela kwimeko.
Kutheni le nto ukhathalelo lweenyawo lubaluleke kangaka kubantu abanesifo seswekile?
Phantse i-50% yabantu abanesifo seswekile banomonakalo wemithambo-luvo, ngokuka Amaziko e-U.S. OLawulo noKuthintela izifo (I-CDC). Ebizwa ngokuba sisifo seswekile (i-peripheral neuropathy), inokwenzeka naphi na emzimbeni, kodwa ixhaphake kakhulu ezandleni nasezinyaweni. Inokubangela ukuba ndindisholo okanye ukurhawuzelela, kodwa ikwanciphise amandla akho okuva iintlungu. Ngelixa oko kunokubonakala kuyinto entle, ekuboneni kuqala, iintlungu ziyinxalenye yenkqubo yonxibelelwano yomzimba wakho. Ikuvumela ukuba wazi xa kukho into engalunganga.
Abantu abanesifo seswekile basemngciphekweni owandayo wokuphuhliswa kweenyawo ezinjengokwenzakala okanye usulelo, Ngokwe-American Orthopedic Foot kunye ne-Ankle Society . Xa umbandela omncinci, njengokusikwa okanye iblister, unganakwa, unokukhawuleza ube yingxaki enkulu. Iindaba ezimnandi zezolawulo lwesifo seswekile oludibeneyo kunye nokhathalelo olungagungqiyo kunye neemviwo ezinokuthintela ukwenzakala kweenyawo ezincinci ekubangeleni iingxaki zonyango.
Uluvavanya njani iinyawo zakho
Abantu abanesifo seswekile kufuneka bagcine iimviwo zeenyawo zabo rhoqo. Qala uviwo ngalunye ngokuhlola iinyawo zakho kwaye uqhubeke nokujonga iinzwane zakho (kubandakanya phakathi kweenzwane zakho) kunye neenyawo zakho, utshilo uSusan Besser, MD, umboneleli ophambili kwiziko lezonyango iMercy eBaltimore, eMaryland.
UFrancisco J. Oliva, i-DPM, umnini we UOliva Podiatry eCoral Gables, eFlorida, ukhuthaza abaguli bakhe ukuba basebenzise isipili ngesandla ukujonga ngononophelo iinyawo zangaphantsi.
Ziintoni iimpawu zeenyawo ezineswekile?
Ngexesha lovavanyo lwakho lwemihla ngemihla, jonga:
- Ukusika
- Ulusu oluqhekekileyo
- Izilonda
- Ukuthuthuzela
- Umbala wolusu
- Iifowuni
- Utshintsho lwesipikili
- Utshintsho kwindlela iinyawo eziva ngayo xa uzichukumisa
Zonke ezi kunokuba ziimpawu zengxaki, ngokukaGqr. UBesser kunye no-Oliva.
Eyona nto ixhalabisayo zizilonda ezinyaweni zeswekile ezinokuthi zenze ezantsi kweenyawo zakho. Umbutho weAmerican Podiatric Medical Association (APMA) uthi ezi zilonda zenzeka malunga ne-15% yezigulana ezinesifo seswekile, rhoqo ngenxa yokungahambi kakuhle kwegazi (esinye isifo seswekile). Kwezi zigulana ezenza isilonda seenyawo, iipesenti ezi-6 ziya kulaliswa esibhedlele ngenxa yosulelo okanye iingxaki ezinxulumene nesilonda kunye ne-14% ukuya kwi-24% yezigulana ezinesifo seswekile ezinesilonda esingalunganga kunyango, ziya kufuna ukunqunyulwa ukuthintela usulelo lusasazeka.
Ezinxulumene: Izibalo zeswekile
Unyango lwezilonda ezinyaweni
Iindaba ezimnandi zezokuba izilonda ezinyaweni zinokuthintelwa kwaye iimvavanyo zokuzihlola imihla ngemihla zinokuzichonga kwangethuba xa zinokunyangwa ngokufanelekileyo. Ukuba uyasikhulisa isilonda seenyawo, uGqirha uOliva uthi kubalulekile ukuba ufune ukhathalelo lwempilo yobungcali.
Ungadinga amayeza okubulala iintsholongwane okanye uncede ukubulala iintsholongwane kwindawo leyo. Nje ukuba isilonda seenyawo senziwe, olona nyango lusemgangathweni luvela kwingcali yokhathalelo lwenxeba, utshilo uGqirha Oliva. Akufanelekanga ukuzinyamekela kwesilonda.
Iingcebiso ezili-11 zokhathalelo lweenyawo zeswekile
Ngokujonga kunye neendlela zemihla ngemihla, unokuthintela imiba emininzi, njengezilonda-usebenzisa la manyathelo ukunyamekela iinyawo zakho.
1. Jonga iinyawo yonke imihla.
Ukunakekelwa kweenyawo mihla le kubalulekile kubantu abanesifo seswekile ukuze kuthintelwe iingxaki zonyango.
2. Hlamba iinyawo yonke imihla.
Ndicebisa izigulana zam ukuba zihlambe iinyawo zazo yonke imihla ngesepha efudumeleyo kunye namanzi kwaye zibambe ngokucocekileyo, ngakumbi phakathi kweenzwane, utshilo uGqirha Besser. Sukusebenzisa amanzi ashushu. Ukuncipha kwemvakalelo kunokukwenza ukuba ube semngciphekweni wokutsha ngengozi.
Kuba ulusu lunokuba rhabaxa kwaye lome nesifo seswekile, kulungile ukusebenzisa into yokuthambisa enamanzi kunye nesikhumba esigudileyo, ucacisa uGqirha Besser. Musa nje ukusebenzisa amafutha okuthambisa phakathi kweenzwane zakho njengoko ukufuma kakhulu kunokubangela usulelo, ngokuka Umbutho weSwekile yaseMelika .
Ezinxulumene: Ngaba lulusu nje olomileyo? Okanye ngaba yi-eczema? Okanye i-psoriasis?
3. Soloko unxiba izihlangu.
Abo banesifo seswekile akufuneki bahambe benganxibanga zihlangu kuba ngokwenza njalo kungonyusa umngcipheko wokonzakala kweenyawo, ngokukaGqirha Besser.
4. Khetha izihlangu ezichanekileyo.
Ukunxiba izihlangu ezintle kunye neekawusi ezomileyo kunokunceda ukuthintela iingxaki kwabo banesifo seswekile. Izifundo zibonisa ukuba iikawusi zomqhaphu nezoboya ziyafunxa ngakumbi, zigcina iinyawo zifudumele kwaye zomile, zikhusela iinyawo kukosuleleka kokungunda (njengonyawo lwembaleki) kunye neebhaktiriya.
Iikawusi eziphothiweyo ziyafumaneka kwezorhwebo ngaphandle kommiselo, kodwa azikho kwi-inshurensi, utshilo uGqirha Oliva. Izihlangu ezinzulu zeswekile enezinto ezothusayo zizihlangu eziyilelwe ngokukodwa ezinokunceda ukunciphisa umngcipheko wokonakala kolusu kwabo banesifo seswekile.
5. Qiniseka ukuba unelungelo elifanelekileyo.
Ngaphambi kokuthenga izihlangu ezintsha, yenza unyawo lwakho ulinganise ukuqinisekisa ukuba ukhetha isihlangu esichanekileyo. Izihlangu ezingalunganga ezingalunganga zinokubangela ukuba i-blisters ifom.
6. Gcina igazi lakho lihamba.
Izihlangu eziyilelwe ngokukodwa zikhusela iinyawo zeswekile kwaye zinokukhuthaza ukujikeleza okunempilo, ucacisa uGqirha Besser. Izihlangu zeswekile zihlala zigutyungelwa Icandelo leMedare B kunye nezinye iinkqubo zeinshurensi yezempilo xa zichazwe ngugqirha wezifo zenyawo.
Cinga ngokuthatha ikhefu ukuze ubeke iinyawo zakho phezulu, kwaye wenze inqaku lokuhambisa iinzwane zakho xa uhleli ukukhuthaza ukuhamba kwegazi ezinyaweni zakho. Kulumkele ukutshaya — oko kungayinqanda imithambo yegazi yakho kwaye kungakhokelela ekusasazeni kakuhle.
7. Cwangcisa uvavanyo lwarhoqo ngugqirha wenyawo.
Ukongeza ekuzinyamekeleni yonke imihla, uGqirha uOliva ucebisa abo banesifo seswekile ukuba batyelele ugqirha wezilwanyana okungenani kanye ngonyaka ukuze bavavanywe iinyawo. I-podiatrist inokunceda ukuphuhlisa isicwangciso sokhathalelo ukunqanda iingxaki zeenyawo kunye nokugcina abaguli besempilweni kunye nokuhamba.
Ngexesha lovavanyo lwakho lonyaka lonyawo, ugqirha wakho uya kujonga ukujikeleza kwakho ukuze abone ukuba ngaba uphuhlisa i-peripheral neuropathy, eyenza kube nzima ukuziva unyawo olonzakeleyo. Akukho lunyango lwe-peripheral neuropathy, ngokwe Umbutho wezonyango waseMelika , kodwa lukhona unyango olunokunciphisa okanye ukunciphisa iimpawu, kubandakanya ibuprofen, steroids, okanye i-immunosuppressants.Ugqirha wezilwanyana uza kujonga iinzwane zesando, iibunions, umbona, iifowuni kunye nolunye utshintsho lweenyawo.
8. Qaphela xa usika iinzwane zakho.
Nxibelelana nomphathi wakho weenyawo malunga nendlela echanekileyo yokucheba iinzipho zakho. Ukuzisika zibe mfutshane kakhulu, okanye ngokwe-diagonally kungakhokelela kwinzipho ezingena ngaphakathi okanye usulelo lwesikhonkwane. Emva kokusika ngokufanelekileyo, imiphetho egudileyo kunye nebhodi ye-emery.
Ngelixa kunokuhenda ukuya entlango, kwaye bayeke bayikhathalele, jonga umboneleli wakho wezempilo kuqala.Nje ukuba isigulana sivavanywe ngugqirha wezifo zonyawo, kuya kwenziwa isigqibo sokuba ngaba bangayifumana ngokukhuselekileyo i-salon pedicure, engacetyiswayo ukuba banemicimbi yokujikeleza, okanye ukuba kufuneka babone ugqirha wezilwanyana ukuba babenze rhoqo ukunakekelwa kwenzipho, utsho uGqirha Oliva.
9. Ungazami ukususa iimbona kunye neefowuni ngokwakho.
Ugqirha wenyawo unokunyanga kwaye asuse naziphi na iifowuni okanye umbona ngaphandle kokonakalisa ulusu.
Nangona ii-callus zisenokungabonakali ngathi ziyinkxalabo enkulu, ngamanye amaxesha umaleko wolusu olusetyenzisiweyo lungahlula kwaye luzalise ulwelo, utshilo uGqirha Oliva. Xa ulwelo luye lwasulela lwasulelwa, umphumo uba sisilonda seenyawo.
10. Yiba nobubele ezinyaweni zakho.
Icandelo lokulawula isifo sakho seswekile kukugcina indlela yokuphila esebenzayo yokunyusa ukujikeleza kunye nokugcina ubunzima bokujonga. Qiniseka ukuba ukhetha umthambo ongabeki uxinzelelo olungafanelekanga kwimilenze nakwiinyawo zakho-njengokuqubha okanye ukuhamba ngebhayisikile.
11. Lazi ixesha lokufowunela umboneleli wakho wezempilo.
Impilo entle yeenyawo iqala ekhaya, kodwa kukho iimeko ezithile ezigunyazisa ukuba umnxeba ubonelele ngomboneleli wakho wezempilo. Xela i-blisters, izilonda ezivulekileyo okanye amanxeba, ukubetha, ukutshisa, kunye nokungabikho kwemvakalelo ezinyaweni zakho, kugqirha wakho kwangoko, utshilo uGqirha Oliva. Umbona, ii-calluses, kunye neenzipho ezingena ngaphakathi okanye ezishinyeneyo mazisoloko ziphathwa ngugqirha wezifo zenyawo onolwazi ngononophelo lonyawo lweswekile.
