1
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
5 Pocket Jean - 30 / Indigo
30
30
32
34
Indigo
Indigo
-
+
$ 404.6 $ 304.6
5 Pocket Jean - 30 / Indigo
30
30
32
34
Indigo
Indigo
-
+
$ 404.6 $ 304.6
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
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28)","#pibtn-icon-font-size":"16px","#continue-text":"Jatka ostoksia","#continue-display":"inline-block","#continue-width":"100px","#continue-height":"42px","#continue-effect-hover":"raise","#continue-font-size":"13px","#continue-font-weight":"400","#continue-font-style":"normal","#continue-text-decoration":"none solid rgb(255, 255, 255)","#continue-color":"rgb(255, 255, 255)","#continue-color-hover":"rgb(255, 255, 255)","#continue-background-color":"rgb(128, 83, 157)","#continue-background-color-hover":"rgb(240, 128, 80)","#continue-border-width":"0px","#continue-border-color":"rgb(0, 0, 0)","#continue-border-color-hover":"rgb(0, 0, 0)","#continue-border-radius":"5px","#checkout-text":"Kassa","#checkout-display":"block","#checkout-width":"100px","#checkout-height":"42px","#checkout-effect-hover":"raise","#checkout-font-size":"13px","#checkout-font-weight":"400","#checkout-font-style":"normal","#checkout-text-decoration":"none solid rgb(255, 255, 255)","#checkout-color":"rgb(255, 255, 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{"#popup-showup-effect":"bounceDownIn","#popup-width":"850px","#popup-font-family":"News_Cycle","#popup-padding":"30px","#popup-background-color":"rgb(255, 255, 255)","#popup-border-width":"0px","#popup-border-color":"rgb(255, 255, 255)","#popup-border-radius":"5px","#product-title-display":"inline","#product-title-font-size":"16px","#product-title-font-weight":"700","#product-title-font-style":"normal","#product-title-text-decoration":"none solid rgb(0, 0, 0)","#product-title-text-align":"left","#product-title-color":"rgb(0, 0, 0)","#success-alert-text":"Product successfully added to your shopping cart","#success-alert-display":"block","#success-alert-font-size":"18px","#success-alert-font-weight":"700","#success-alert-font-style":"normal","#success-alert-text-decoration":"none solid rgb(40, 167, 69)","#success-alert-text-align":"left","#success-alert-color":"rgb(40, 167, 69)","#additional-quantity-text":"Quantity","#additional-subtotal-text":"Subtotal","#additional-total-text":" Total ","#additional-display":"block","#additional-font-size":"14px","#additional-font-weight":"400","#additional-font-style":"normal","#additional-text-decoration":"none solid rgb(0, 0, 0)","#additional-text-align":"left","#additional-color":"rgb(0, 0, 0)","#item-count-text-text":"There are {number} tems in your cart.","#item-count-text-display":"block","#item-count-text-font-size":"18px","#item-count-text-font-weight":"700","#item-count-text-font-style":"normal","#item-count-text-text-decoration":"none solid rgb(0, 0, 0)","#item-count-text-text-align":"left","#item-count-text-color":"rgb(0, 0, 0)","#cart-note-text":"Add a note for admin","#cart-note-display":"block","#cart-note-font-size":"14px","#cart-note-font-weight":"700","#cart-note-font-style":"normal","#cart-note-text-decoration":"none solid rgb(0, 0, 0)","#cart-note-text-align":"left","#cart-note-color":"rgb(0, 0, 0)","#continue-text":"CONTINUE SHOPPING","#continue-display":"inline-flex","#continue-width":"170px","#continue-height":"43px","#continue-font-size":"12px","#continue-font-weight":"400","#continue-font-style":"normal","#continue-text-decoration":"none solid rgb(255, 255, 255)","#continue-color":"rgb(255, 255, 255)","#continue-color-hover":"rgb(228, 228, 228)","#continue-background-color":"rgb(0, 0, 0)","#continue-background-color-hover":"rgb(0, 0, 0)","#continue-border-width":"0px","#continue-border-color":"rgb(0, 0, 0)","#continue-border-color-hover":"rgb(0, 0, 0)","#continue-border-radius":"0px","#checkout-text":"PROCEED TO CHECKOUT","#checkout-display":"inline-flex","#checkout-width":"169px","#checkout-height":"43px","#checkout-font-size":"12px","#checkout-font-weight":"400","#checkout-font-style":"normal","#checkout-text-decoration":"none solid rgb(255, 255, 255)","#checkout-color":"rgb(255, 255, 255)","#checkout-color-hover":"rgb(228, 228, 228)","#checkout-background-color":"rgb(0, 0, 0)","#checkout-background-color-hover":"rgb(0, 0, 0)","#checkout-border-width":"0px","#checkout-border-color":"rgb(0, 0, 0)","#checkout-border-color-hover":"rgb(0, 0, 0)","#checkout-border-radius":"0px","#tocartbtn-text":"GO TO CART","#tocartbtn-display":"none","#tocartbtn-width":"160px","#tocartbtn-height":"41px","#tocartbtn-font-size":"12px","#tocartbtn-font-weight":"400","#tocartbtn-font-style":"normal","#tocartbtn-text-decoration":"none solid rgb(255, 255, 255)","#tocartbtn-color":"rgb(255, 255, 255)","#tocartbtn-color-hover":"rgb(224, 224, 224)","#tocartbtn-background-color":"rgb(0, 0, 0)","#tocartbtn-background-color-hover":"rgb(0, 0, 0)","#tocartbtn-border-width":"0px","#tocartbtn-border-color":"rgb(0, 0, 0)","#tocartbtn-border-color-hover":"rgb(0, 0, 0)","#tocartbtn-border-radius":"0px"}
{"#stickybar-display":"none","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(246, 247, 251)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"130px","#stickybar-buynow-height":"35px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"slide","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(37, 37, 37)","#stickybar-buynow-background-color-hover":"rgb(37, 37, 37)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(255, 255, 255)","#stickybar-buynow-border-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-border-radius":"15px"}
{"#stickybar-display":"flex","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(255, 255, 255)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"130px","#stickybar-buynow-height":"35px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"slide","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(242, 108, 79)","#stickybar-buynow-background-color-hover":"rgb(242, 108, 79)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(255, 255, 255)","#stickybar-buynow-border-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-border-radius":"2px"}
{"#stickybar-action":"goto_checkout","#stickybar-display":"flex","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(255, 255, 255)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"230px","#stickybar-buynow-height":"70px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"slide","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(17, 17, 17)","#stickybar-buynow-background-color-hover":"rgb(17, 17, 17)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(0, 0, 0)","#stickybar-buynow-border-color-hover":"rgb(0, 0, 0)","#stickybar-buynow-border-radius":"0px"}
{"#stickybar-display":"flex","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(242, 108, 79)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(255, 255, 255)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"230px","#stickybar-buynow-height":"70px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"none","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(0, 0, 0)","#stickybar-buynow-background-color-hover":"rgb(0, 0, 0)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(0, 0, 0)","#stickybar-buynow-border-color-hover":"rgb(0, 0, 0)","#stickybar-buynow-border-radius":"0px"}
{"#stickybar-display":"flex","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(255, 255, 255)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"130px","#stickybar-buynow-height":"35px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"none","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 254, 254)","#stickybar-buynow-color":"rgb(255, 254, 254)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(242, 108, 79)","#stickybar-buynow-background-color-hover":"rgb(244, 72, 35)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(255, 255, 255)","#stickybar-buynow-border-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-border-radius":"0px"}
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Alaraajaongelmat tyypin 2 diabeetikolla ja niiden ennaltaehkäisy

Alaraajaongelmat tyypin 2 diabeetikolla ja niiden ennaltaehkäisy

Alaraajojen terveys vaikuttaa olennaisesti kykyymme sekä haluumme liikkua ja on sitä kautta tärkeä osa kokonaishyvinvointia. Hermoston, verisuonten, nivelten, luuston ja lihasten terveys ja toiminta vaikuttaa koko kehoon, alhaalta ylös. Voi ajatella, että kehomme on kuin palikkatorni: jos joku palikoista on vinossa tai hauras, vaikuttaa tämä yksi palikka koko muun tornin tukevuuteen. Jaloilla, erityisesti jalkaterillä, onkin tärkeä roolinsa tämän niveltyvän tornin perustana.

Alaraajaongelmat ovat yleisiä diabeetikoilla

Jalkasairauksista 2/3 aiheutuu jostakin pitkäaikaissairaudesta, kuten diabeteksesta. Juuri alaraajaongelmat ovat yleisimpiä 2-tyypin diabetekseen liittyviä tuki-ja liikuntaelinvaivoja, joiden taustalla vaikuttavat muun muassa kudosten sokeroitumisen vuoksi tapahtuva hermojen vaurioituminen, verenkiertohäiriöt sekä erilaiset tulehtumaan päässeet haavaumat ja haavat. Diabeetikon kohdalla jalkaterveyden merkitystä ei voi liikaa korostaa, sillä diabeetikon alaraajaongelmiin liittyy aina kohonnut amputaatioriski: kaiken kaikkiaan puolet ei-tapaturmaisista amputaatioista tehdään diabeetikoille. Diabetesta sairastavien miesten riski joutua amputaatioon on jopa yhdeksän- ja naisilla kuusinkertainen verrattuna terveisiin suomalaisiin.

Verkkaiset askeleet ja vasaravarpaat

Jalkaterä on monimutkainen rakenne, jossa on lukuisia pieniä lihaksia, useita niveltyviä kohtia sekä kireyteen taipuvaisia lihaskalvorakenteita. Jalkaterän tehtävänä on kannatella painoa, toimia joustavana iskunvaimentimena ja mahdollistaa liikkeelle tukeva ponnistusalusta. Näiden tehtävien lisäksi jalkaterällä on yhdessä nilkan kanssa tärkeä rooli asentoa ja liikettä aistivana tasapainoon vaikuttavana rakenteena. Hermovaurion oireet alkavat tyypillisesti juuri jalkateristä, ja nousevat vaurion edetessä ylemmäs alaraajaan: sääriin ja reisiin. Muutokset hermoston toiminnassa vaikuttavat alaraajan lihasten toimintaan ja aiheuttavat jalan alueella tuntomuutoksia. Diabeetikolla tämä aiheuttaa jalkaterän pienten asentoa ylläpitävien lihasten surkastumisen, mikä voi vaikuttaa alaraajan asentoon ja muuttaa sen toiminnallisia ominaisuuksia. Lihasten surkastuminen romahduttaa jalkaterälle tukea ja joustoa antavan, päkiän alueella sijaitsevan poikittaisen kaaren, minkä seurauksena jalkaterän jänteet kiristyvät ja varpaat alkavat koukistua ns. vasaravarpaiksi. Isovarvas tyypillisesti kääntyy kohti muita varpaita. Tilaa kutsutaan vaivaisenluuksi.

Jalkaterän asennon muuttuminen lisää painetta erityisesti päkiän nivelten alla ja aiheuttaa päkiän alla sijaitsevan rasvapatjan kovettumisen. Nämä muutokset altistavat jalkapohjan kovettumille ja känsille sekä jäykistävät nivelen liikettä ja heikentävät jalkaterän iskunvaimennusta, minkä seurauksena jalkaterän joustavuus heikentyy. Tämä voi tehdä liikkumisesta, kuten portaiden noususta ja kävelystä, hidasta ja epävarmaa. Hermoston vaurioituminen heikentää myös nivelten asentotuntoa, jolloin vaikeutuu kyky havaita, missä asennossa jalat alustalla ovat. Asentotunnon heikentyminen huonontaa tasapainoa ja altistaa sitä kautta kaatumisilla ja tapaturmille.

Harmeja hankaumista

Verisuonten ahtautuminen alaraajojen alueella on diabeteksessa yleistä. Kudosten kovettumisen seurauksena myös verisuonet menettävät joustavuuttaan, eivätkä kudokset saa tarpeeksi happea ja ravinteita. Hapenpuutteesta kärsivät solut eivät puolestaan reagoi yhtä herkästi ulkoisiin ärsykkeisiin, kuten lämpötilan vaihteluun tai ihon hankautumiseen. Tämä voi yhdessä tuntopuutosten kanssa johtaa siihen, että hankaumat ja haavat alaraajassa saattavat jäädä huomaamatta. Heikentynyt verenkierto lisää tulehdusten riskiä ja hidastaa haavojen paranemista, minkä vuoksi harmittomilta vaikuttavat mustelmat ja haavaumat alaraajassa voivat olla diabeetikolle haitallisia ja aiheuttaa vaikeasti hoidettavia jalkahaavoja. Pahimmassa tapauksessa jalan haavat voivat johtaa kudosten kuolioon ja amputaatioihin.

Mitä minä voin tehdä?

Hyvästä hoitotasapainosta huolehtimisen lisäksi voit vaalia jalkaterveyttäsi säännöllisellä jalkojen omahoidolla, täsmäharjoitteilla ja säännöllisellä liikunnalla. Katse kannattaa suunnata omiin varpaisiin päivittäin ja tehdä siitä samanlainen rutiini, kuin hampaidenpesusta. On myös hyvä tutkia jalat aina, kun koet että niihin on kohdistunut poikkeuksen paljon kuormitusta tai uudenlaista rasitusta. Tällaisia tilanteita voivat olla esimerkiksi patikointi lomamatkalla tai uusien kenkien käyttöönotto.

  Huolehdi siitä, että varpaankyntesi pysyvät lyhyinä ja käytät sopivankokoisia, puhtaita sukkia ja käyttötarkoitukseesi soveltuvia kenkiä. Jalat on hyvä pestä päivittäin haalealla vedellä ja käyttää pesuun hapanta pesunestettä. Pesun jälkeen kuivaa jalat huolellisesti varpaanvälejä myöten ja rasvaa kuivumaan taipuvaiset jalkapohjat, kovettumakohdat ja sääret.

Milloin asiantuntijalle?

Säännölliset vierailut jalkojen terveyteen erikoistuneella asiantuntijalla ovat paikallaan, etenkin jos koet epävarmuutta jalkojesi kunnosta. On yleistä, että hoitoon lähtemistä viivytellään, koska liitännäisvaivat eivät ilmene heti ja muutokset, esimerkiksi jalkaterän asennossa, saattavat tuntua hyvinkin harmittomilta. Hyvissä ajoin aloitettu hoito ja vaivojen ennaltaehkäisy on kuitenkin huomattavasti helpompaa ja edullisempaa, kuin edenneiden vaivojen hoitaminen.

Hyvänä ohjenuorana voi lievemmissä tapauksissa pitää kahden viikon sääntöä. Jos pienet kovettumat eivät kahden viikon tehostetun rasvauksen ja kotihoidon jälkeen asetu tai sinulla on yli kaksi viikkoa kestävää kipua jalkaterän alueella, on hyvä hakeutua asiantuntijan tarkastukseen. Tutkimuksiin kannattaa myös hakeutua silloin, jos sinulla on päivittäistä kipua kävellessä, kipeät tai aristavat kantapäät tai muita muutoksia jalkojen alueen tuntemuksissa. Kiinnitä myös huomiota jalkaterän ja varpaiden asentoon sekä askellukseen – kääntyvätkö varpaat vasaroiksi, kuluvatko kenkäsi aina ulko- tai sisäsyrjältä? Jos jalassasi on leposärkyä, kuumotusta tai turvotusta, hakeudu lääkärin vastaanotolle.

Klikkaa kuvaa ja lataa itsellesi jalkajumppa ja -hoito-ohjelma.

Täältä voit lukea lisää siitä miksi TULE-sairaudet vaivaat tyypin 2 diabeetikoita.

Lähdeluettelo:

  • Codario, R. 2011. Type 2 Diabetes, Pre-Diabetes and the Metabolic Syndrome. Humana Press
  • Rönnemaa, T. 2015. Diabetes ja neuropatia. Kirjassa Ilanne-Parikka, P., Rönnemaa, T, Saha, M-T., Sane,T . (toim.) Diabetes. Kustannus Oy Duocecim. 
  • Saarikoski, R., Stolt, M. 2016. Jalkaterveys. Duodecim.