Mob ntshav qab zib yog ib yam kab mob uas cuam tshuam nrog kev cuam tshuam ntawm endocrine system. Cov tsos mob tseem ceeb ntawm pathology yog ntshav qab zib siab. Tsis tas li ntawd, cov neeg mob muaj cov kab mob metabolic, muaj ntau cov kab mob sib kis thiab cov teeb meem, cov tsos mob uas ua rau mob ntshav qab zib mellitus.
Kwv yees li 30% ntawm cov neeg mob ntshav qab zib tsim teeb meem ko taw, thiab qhov tshwm sim ntawm cov teeb meem zoo li no nce nrog hnub nyoog. Nws yog qhov txaus siab lees paub, tab sis tsis muaj ib daim ntawv qhia rau kev kho mob ntawm ob txhais ceg nrog ntshav qab zib. Qhov tseem ceeb yog tsis ncua qhov teeb meem, tab sis ceev nrooj hu rau lub tsev kho mob kom tau txais kev pab.
Kev nyuaj siab
Vim li cas kuv ob txhais ceg mob ntshav qab zib? Cov kws kho mob niaj hnub no txheeb xyuas peb qhov laj thawj tseem ceeb vim li cas ntshav qab zib ua rau muaj teeb meem zoo li no:
- Neuropathy. Qhov no yog ib qho kev puas tsuaj ntawm cov hlab ntsha uas tshwm sim ncaj qha rau keeb kwm ntawm ntshav qab zib. Cov piam thaj ntau hauv cov ntshav ua rau muaj kev cuam tshuam rau cov paj hlwb, uas ua rau tsis hnov tsw ntawm ko taw. Ntau tus neeg mob tsis hnov mob thiab qhov kub thiab txias hloov, lub siab tawm ntawm ko taw. Tab sis qhov mob yog qhov txiav txim siab hauv kev tiv thaiv kab mob. Yog hais tias ib tug neeg tsis hnov mob, ces nws yuav tsis pom qhov tshwm sim ntawm qhov txhab thiab qhov txhab, raws li, nws lig dhau mus ntsib kws kho mob.
- Angiopathy. Hom kab mob no cuam tshuam nrog vascular puas tsuaj. Cov ntshav qab zib siab tsis zoo cuam tshuam rau tag nrho cov hlab ntsha ntawm lub cev, suav nrog cov capillaries tsawg tshaj plaws. Vim lub fact tias cov hlab ntsha ntawm ob txhais ceg nyob deb txaus ntawm lub plawv cov leeg, lawv raug rau ob lub siab. Yog li ntawd, tsis tsuas yog dryness ntawm daim tawv nqaij nyob rau hauv qis extremities tshwm, uas yog yuav luag tsis yooj yim sua kom tiv nrog, tab sis kuj microcracks. Cov kab mob nkag mus rau cov kab nrib pleb no, tsim cov qhov txhab uas nyuaj heev rau kho.
- mob plawv Cov kab mob no muaj feem xyuam nrog cov pob qij txha. Vim muaj qhov tseeb tias hauv ntshav qab zib mellitus metabolism hauv qabzib thiab cov protein raug cuam tshuam, kev hloov pauv tshwm sim hauv cov pob txha mos, uas yog qhov ua rau kev loj hlob ntawm hyperostosis. Vim li no, nrog ntshav qab zib, ko taw mob, o. Nyob rau hauv daim ntawv ntev, deformation ntawm cov ntiv tes tshwm sim, feem ntau muaj dislocations, pob txha. Cov ko taw nws tus kheej ua luv luv thiab dav.
diabetic foot syndrome
Mob ntshav qab zib ko taw tuaj yeem tsim tawm tsam keeb kwm ntawm neuropathy. Feem ntau qhov no tshwm sim tom qabtawg thiab dislocations. Cov tsos mob tseem ceeb ntawm kev loj hlob ntawm tus kab mob muaj xws li:
- poob rhiab rau qhov kub thiab txias;
- poob rhiab rau lub siab thiab kov;
- mob tas li.
Qhov txaus ntshai ntawm tus mob no yog ntau tus neeg mob tsis ua raws li cov lus pom zoo ntawm tus kws kho mob, tsis txhob ua raws li cov qhov txhab uas tau tshwm sim, vim li ntawd - kev tsim tawm ntawm cov kab mob pathogenic microorganisms, gangrene thiab amputation.
Tus yam ntxwv zoo tshaj plaws ntawm cov teeb meem
Yog tias koj ob txhais ceg mob ntau yam mob ntshav qab zib, ces koj yuav tsum xyuam xim rau lwm cov tsos mob:
- pom tev ntawm daim tawv nqaij, dryness;
- o thiab pallor ntawm qis extremities;
- pulse tsis muaj zog hauv cov hlab ntsha peripheral;
- pom cov pigmentation hauv qee qhov chaw ntawm daim tawv nqaij;
- xim tawv nqaij;
- ko taw txias rau qhov kov.
Tau kawg, cov no tsis yog cov tsos mob nkaus xwb uas tuaj yeem ua rau muaj kev cuam tshuam ntawm cov ntshav qab zib. Yog li ntawd, txhua tus neeg mob uas raug mob los ntawm tus kab mob no tau qhia kom kuaj xyuas lawv cov ceg txhua hnub, tshwj xeeb tshaj yog cov laus.
ntsuas ntsuas
Txhawm rau txiav txim siab qhov kev puas tsuaj rau cov leeg qis, yuav tsum tau kuaj xyuas tus neeg mob kom paub meej thiab ua tiav. Ntxiv nrog rau kev sau cov anamnesis, txhawm rau txiav txim siab cov ntaub ntawv kho mob ntawm tus kab mob, kev tshuaj xyuas ntawm ob txhais ceg yog nqa tawm, kev ntsuam xyuas ntawm lub paj hlwb, uas yog, qhov kub thiab txias, kev vibration thiab tactile.rhiab heev.
Nrog kev pab ntawm vascular dopplerography, lub xeev ntawm cov hlab ntsha ntawm cov hlab ntsha raug ntsuas. Yog tias tsim nyog, qhov kev ntsuam xyuas tuaj yeem ntxiv nrog cov kev ntsuas kev ua haujlwm los txiav txim siab qhov xwm txheej ntawm lub txaj distal, thiab lwm yam. Rheovasography, angiography thiab lwm txoj hauv kev rau kev kawm txog cov ntshav ntws ntawm cov leeg qis kuj tau siv ntau zaus, uas yog xaiv nyob ntawm seb qhov teeb meem ntawm cov teeb meem thiab qhov kev iab liam ua rau lawv txoj kev loj hlob.
Yuav ua li cas: ob txhais ceg mob ntshav qab zib?
Lub tswv yim tseem ceeb hauv kev kho yog kev ruaj khov ntawm cov ntshav qabzib. Yog tias cov piam thaj nyob hauv qhov qub, ces tsis muaj qhov tsis zoo rau cov hlab ntsha. Nyob ntawm seb hom kab mob twg, siv ntau txoj kev:
- 1 mob ntshav qab zib hom 1 suav nrog kev siv tshuaj insulin tas mus li;
- 2 mob ntshav qab zib hom 2, lossis "mob qab zib", suav nrog kev noj zaub mov qis.
Lwm txoj cai uas yuav pab txhawb txoj kev kho mob ntawm ob txhais ceg nrog ntshav qab zib, kws kho mob suav nrog:
- Txhim lub cev hnyav. Tus neeg hnyav dua, cov hlab ntsha "xav", qhov kev ua siab ntev yuav txo qis.
- Koj yuav tsum muab qhov nyiam rau khau xis, tsis txhob caum zam. Raws li kev txheeb cais, feem ntau ntawm cov kev raug mob ntawm cov qis extremities tshwm sim vim yog hnav khau tsis xis nyob.
- Kev ua kis las yuav tsum suav nrog. Txhawm rau txhim kho cov ntshav ncig hauv qis qis, nws tsis tas yuav tsum khiav, txawm tias cov khoom thauj los ntawm kev taug kev txhua hnub hla 3 mais yuav txaus.
- Kev soj ntsuam txuas ntxiv thiab tiv thaiv kev sib kis.
Nco ntsoov nrhiav kev pab kho mob tam sim ntawd thaum pom thawj zaug ntawm cov tsos mob ntawm vascular dysfunction.
Yuav ua li cas nrog o?
Kev kho mob ntawm ob txhais ceg nrog ntshav qab zib yuav tsum pib nrog kev tshem tawm qhov o, vim tias cov tsos mob no feem ntau ua rau muaj teeb meem ntshav qab zib.
o tuaj yeem tshwm sim tsis tau tsuas yog tiv thaiv keeb kwm ntawm vascular puas tsuaj, tab sis kuj yog vim muaj teeb meem nrog raum, peripheral paj hlwb thiab pob qij txha. Nws yog ib qho tseem ceeb heev nyob rau theem no los muab kev nyiam rau cov khau xis xwb kom cov kua dej tsis sib xyaw hauv qee qhov chaw ntawm sab ceg thiab tsis ua kom qhov o.
Tus kws kho mob yuav qhia koj kom tshuaj xyuas cov zaub mov, tswj cov kua dej thiab ntsev. Nws yog qhov zoo dua kom tsis suav cov saccharides thiab lipids los ntawm kev noj zaub mov, uas yog nqus sai sai los ntawm lub cev. Thiab, tau kawg, kev haus luam yeeb thiab haus cawv yog txwv tsis pub txwv.
Qee zaum, kev siv tshuaj tiv thaiv kab mob ntshav siab thiab vasodilator yog suav tias yog qhov tseeb, cov no tuaj yeem yog:
- calcium channel blockers, xws li Nifedipine;
- phosphodiesterase inhibitors - Papaverine;
- ACE thiab prostaglandin inhibitors.
Yuav ua li cas txo qhov mob?
ob txhais ceg mob ntshav qab zib li cas? Yog hais tias, ntxiv rau qhov mob, hmo ntuj cramps feem ntau tsim txom, cesAnticonvulsants, piv txwv li, "Carbamazepine". Txhawm rau tshem tawm cov "phem" cov roj cholesterol, cov tshuaj nrog thioctic acid derivatives raug sau tseg. Lawv txo cov tshuaj lom ntawm cov cholesterol. Cov tshuaj no suav nrog: "Thiogamma", "Berlition" thiab lwm yam.
Qee tus neeg mob tau sau tshuaj tiv thaiv kev nyuaj siab, uas tau pib noj tsawg kawg nkaus, maj mam nce ntxiv. Feem ntau siv yog Amitriptyline.
Txhawm rau rov pib qhov kev xa tawm ntawm cov hlab ntsha, siv cov vitamins B, uas pab kho lub paj hlwb tag nrho. Los ntawm txoj kev, qee qhov kev tshuaj xyuas zoo tshaj plaws txog txoj kev kho mob tshwj xeeb no.
siv tshuaj loog yog siv los kho hauv zos.
Tab sis koj yuav tsum nco ntsoov tias koj tsis tuaj yeem sau tshuaj rau koj tus kheej, vim tias txhua tus ntawm lawv muaj ntau yam kev phiv.
Yuav ua li cas kho trophic ulcers thiab qhov txhab?
Ob txhais ceg mob ntshav qab zib, yuav kho li cas yog qhov txhab tau tshwm sim? Kev kho mob nyob rau hauv cov ntaub ntawv no twb muaj kev kho mob hauv zos nrog antiseptics thiab tshuaj tua kab mob. Hauv cov xwm txheej zoo, kev txiav tawm ntawm pob kws, trophic ulcers thiab thaj chaw necrotic tuaj yeem raug qhia. Nyob rau yav tom ntej, qhov txhab raug kho nrog tshuaj tsis tu ncua.
Ua thiab ntxuav yog nqa nrog Miramistin, Chlorhexidine lossis saline. Tsis muaj teeb meem tsis pub siv iodine, manganese lossis cawv daws. Cov txiaj ntsig zoo yog muab los ntawm cov tshuaj tua kab mob hauv kev kho mob ntawm qhov txhab:Curiosin, Betadine, Levomekol.
Surgery
Kev kho mob ko taw hauv cov neeg mob ntshav qab zib yuav muaj kev phais. Feem ntau, kev ua haujlwm yog ua tiav yog tias tsim nyog los kho cov ntshav ncig tiv thaiv keeb kwm ntawm atherosclerotic vascular lesions.
Tshwj xeeb, txoj kev hla dhau yuav raug pom zoo. Kev ua haujlwm suav nrog kev xaws hauv cov khoom siv hluavtaws hauv thaj tsam ntawm kev txhaws ntawm cov hlab ntsha. Balloon angioplasty kuj tau ua ntau zaus. Hauv qhov no, lub zais pa tshwj xeeb tau muab tso rau hauv lub nkoj puas, uas tom qab ntawd inflated thiab, raws li, qhov sib txawv tshwm sim.
Nyob rau hauv cov xwm txheej zoo tshaj plaws, kev ua haujlwm tau ua los txiav cov ceg tawv thaum pib gangrene lawm.
Kev kho tsis tau zoo
Puas tuaj yeem kho mob ntawm ob txhais ceg, ko taw mob ntshav qab zib hauv tsev? Yog lawm, koj tuaj yeem ua tau, qee cov tshuaj ntsuab thiab cov tshuaj sib xyaw kom tsis txhob mob zoo heev.
Flax noob (2 tablespoons) ncuav ib nrab ib liter ntawm boiling dej thiab boil tshaj tsawg cua sov rau 15 feeb. Tom qab lub broth, nws yog ib qhov tsim nyog los infuse rau 2 teev, lim thiab haus 2 zaug ib hnub twg, ib tug peb lub hlis twg khob. Lub sijhawm kho yog 5 hnub.
Kev tshuaj xyuas zoo rau comfrey tincture. Lub hauv paus crushed (1 tablespoon) yog nchuav nrog 1 liter ntawm vodka thiab insisted rau 21 hnub. Tom qab ntawd, cov tincture yog noj peb zaug ib hnub twg, 1 tablespoon txhua (tom qab noj mov).
tshuaj kho mob hauv tsev
Ua ntej ntawm tag nrho, pom zoo da dej qhov sib piv rau qis qis. Nws yog ib qho tsim nyog yuav tsum khaws koj txhais taw hauv dej kub rau 10 feeb thiab hauv qab dej txias rau 3 feeb. Cov txheej txheem yooj yim no txhim kho cov ntshav ncig hauv zos thiab txo qhov mob. Koj tuaj yeem siv cov dej tshwj xeeb vibrating massagers, uas muag hauv khw muag tshuaj thiab khw muag khoom tshwj xeeb.
YKoj tuaj yeem ua ib lub tincture ntawm Kalanchoe. Raws li cov neeg mob ntshav qab zib teb, cov tshuaj zoo li no txo qhov mob zoo. Txhawm rau npaj cov tincture, ib nplooj ntawm cov nroj tsuag yog finely crushed thiab muab tso rau hauv ib nrab ib liter ntawm vodka (cawv). Qhov sib tov yog infused rau 14 hnub. Tom qab lub sijhawm no, muab tshuaj txhuam los yog pleev xim.
Yog tias koj cov ntiv taw mob ntshav qab zib, koj tuaj yeem siv cov roj tseem ceeb thiab kua txiv aloe. Aloe extract tuaj yeem yuav ntawm lub tsev muag tshuaj. Los ntawm cov roj koj yuav tsum noj: menthol, eucalyptus, cloves. Tag nrho cov khoom sib xyaw ua ke thiab cov txiaj ntsig sib xyaw yog rubbed ntawm cov ntiv tes thiab ko taw.
