Mob ntawm ob txhais ceg tuaj yeem tshwm sim los ntawm qhov tshwm sim los yog kis kab mob. Qhov no yog ib qho tshwm sim tsis kaj siab heev, uas yog qhov nyuaj heev los daws. Piv txwv li, raws li cov ntaub ntawv txheeb cais, tsawg kawg 2 lab tus tib neeg raug kev txom nyem los ntawm trophic ulcers. Qhov ua rau tuaj yeem ua rau lub cev tsis muaj zog lossis muaj teeb meem tshwm sim los ntawm ntshav qab zib.
Ntawm cov tsos mob ntawm trophic ulcer
Sores ntawm ob txhais ceg, uas yog trophic ulcer, yog qhov nyuaj heev kom paub txog thaum ntxov. Piv txwv li, yog hais tias ib tug neeg siv tag nrho ib hnub ntawm nws ob txhais taw, ces nws yuav siv sij hawm lub qaug zog ntawm lub sab extremities thiab rub tus mob raws li tus qauv. Pom liab, thaj tsam me me ntawm daim tawv nqaij dawb los yog o - rau kab tom los yog ua xua. Nyob rau tib lub sijhawm, qhov tseem ceeb ntawm cov pej xeem pib xav: yuav ua li cas smear qhov mob ntawm ob txhais ceg kom tshem tawm qhov tsis xws luag zoo nkauj? Zelenka, cawv, tshuaj pleev thiab ntau ntxiv yog siv, uas tsuas yog aggravates tus kab mob.
Thaum qhov txheej txheem pibKev loj hlob ntawm trophic rwj, koj yuav tsum tau mus ntsib kws kho mob sai sai. Cov no yog cov tsos mob hauv qab no:
- hnyav thiab buzzing ntawm ob txhais ceg;
- qaug zog zuj zus thaum yav tsaus ntuj;
- khaus khaus, ua rau me ntsis o ntawm daim tawv nqaij;
- o uas tshwm sim tom qab zaum ntev, haus dej ntau ntau lossis taug kev ntev;
- calf cramps uas tshwm sim thaum lub sijhawm so kom tiav (hmo ntuj los yog sawv ntxov).
Mob ntawm ob txhais ceg nrog ntshav qab zib
Cov neeg mob ntshav qab zib thaum kawg pib pom qhov mob ntawm lawv ob txhais ceg - daim tawv nqaij tawv thiab pom pom tev tawm. Cov plaub hau ua npub, cov xib teg thiab cov pob qij txha tau npog nrog cov kab nrib pleb thiab calluses, thiab daim tawv nqaij ua daj. Cov ntsia hlau kuj tuaj yeem ua deformed thiab tuab.
Ntau hom mob ntawm ob txhais ceg, nrog rau cov kab mob dermatological, qhia tias muaj ntshav qab zib ua ntej tus kws kho mob kuaj pom.
Kev puas tsuaj ntawm daim tawv nqaij tuaj yeem zam dhau los ntawm kev ua raws li cov cai ntawm kev tu cev. Kev siv cov tshuaj pleev ib ce yuav tsum tau khaws cia kom tsawg kawg nkaus, xws li, piv txwv li, kev siv cov xab npum hauv chav dej tuaj yeem ua rau txo qis acidity ntawm daim tawv nqaij thiab nws lub peev xwm tiv thaiv microbes. Txhawm rau ntxuav tes thiab taw, nrog rau kev ntxuav, nws yog ib qho tsim nyog yuav tsum siv cov xab npum pH-nruab nrab. Koj tuaj yeem siv cov kua mis kom zoo nkauj lossis tshuaj pleev dej los ntxuav koj lub ntsej muag.
Nyob ulcers
Los ntawm ceg tawvcoob leej raug kev txom nyem. Cov kab mob no zoo li qhov tsis xws luag hauv daim tawv nqaij lossis hauv qab daus thiab ua rau muaj qhov tsis zoo. Qhov ua rau ntawm qhov txhab yog qhov tsis txaus ntawm cov hlwb, uas ua rau muaj peev xwm rov zoo.
Ulcers tshwm sim:
- arterial;
- venous;
- pyogenic;
- mob ntshav qab zib;
- neurotrophic.
Ib qho mob qhib ntawm txhais ceg tsis zoo rau lub sijhawm ntev (2 hlis lossis ntau dua).
Qhov tseem ceeb ua rau mob ceg ceg
Arterial insufficiency, ntshav qab zib thiab lwm yam tuaj yeem ua rau mob.
Raws li cov kab mob ntawm venous insufficiency, cov tsos mob ntawm rwj tuaj yeem tshwm sim los ntawm varicose leeg, thrombosis, incompetence ntawm perforating veins. Cov kab mob no ua rau stagnation ntawm cov ntshav nyob rau hauv cov hlab ntsha, noj tsis txaus cov ntaub so ntswg thiab lawv puas.
Arterial insufficiency tuaj yeem ua rau mob plab vim thromboangiitis obliterans thiab Mönckeberg's arteriosclerosis. Tsis tas li ntawd, qhov ua rau ntawm kev loj hlob ntawm trophic ulcers yuav muab zais:
1. Hauv ntau yam kab mob:
- fungal (coccidioidomycosis, sporotrichosis, thiab lwm yam);
- kab mob (ecthyma, boils, thiab lwm yam);
- Yprotozoan (leishmaniasis).
2. Hauv cov kab mob metabolic:
- Kab mob Gaucher;
- daim tawv nqaij calcification;
- gout;
- mob ntshav qab zib;
- bullous pemphigoid, etc.
Leukemia, sarcoma, melanoma, metastases thiab lwm yamLwm qhov mob hnyav tuaj yeem ua rau mob.
Sores ntawm ko taw kuj tuaj yeem yog qhov tshwm sim ntawm calluses, kub hnyiab, kab tom, frostbite, hluav taws xob dermatitis thiab lwm yam.
Yuav ua li cas thiaj paub qhov mob ntawm ceg?
Cov txheej txheem ntawm qhov txhab yog qhov nyuaj rau nco, vim tias cov tsos mob pom tseeb heev. Txhua yam pib nrog qhov kub hnyiab, khaus thiab liab, nrog rau me ntsis roughness rau qhov kov.
Puas muaj pob ntawm koj ob txhais ceg? Tsis tas yuav tos rau daim tawv nqaij tev tawm thiab pom cov qhov txhab tsis zoo nyob rau lub sijhawm ntev, nws yog qhov zoo dua mus ntsib kws kho mob tam sim ntawd, vim tias yog tias tus kab mob no tsis tuaj yeem saib xyuas thiab pib, nws tuaj yeem "nqa" cov leeg thiab txawm tias tus kab mob. periosteum.
Tiv thaiv kab mob trophic
Ib tug neeg muaj kab mob varicose leeg lossis lwm yam mob uas ua rau muaj qhov txhab mob ceg yuav tsum ua raws li cov lus qhia hauv qab no:
- hnav compression stockings thiab elastic bandage;
- txo qis kev tawm dag zog ntev thiab lub cev tsis ua haujlwm;
- zam overheating thiab hypothermia.
Venous leg ulcers
Cov tsos mob hauv qab no qhia tias txhais ceg raug ntaus los ntawm venous ulcer:
- puffiness;
- dryness, khaus, thickening, thiab qee zaum xim xim av (yog tias muaj qhov o hnyav, daim tawv nqaij zoo li ncab thiab ci);
- nrog kev txhim kho ntawm varicose eczema, scalyness thiab me me tawg tau pom;
- mob plab tuaj yeem nrogntxhiab tsw thiab tawm ntawm cov kua daj daj-ntsuab.
Ib venous ulcer feem ntau yog nyob rau sab hauv ntawm txhais ceg saum pob taws.
yam ua rau venous ulcer
Ib venous rwj tuaj yeem ua rau hnyav lossis ua rau muaj qhov tshwm sim hauv qab no:
- kho rwj uas ua rau lub venous puas;
- tawg lossis qee qhov raug mob;
- dub vein thrombus;
- phais;
- kev ua haujlwm uas tus neeg zaum lossis sawv ntev ntev;
- deep veinitis;
- cev xeeb tub;
- overweight.
Yuav ua li cas thiaj kho tau ceg tawv?
Yuav ua li cas kho mob ntawm ob txhais ceg? Nws tag nrho yog nyob ntawm yam uas ua rau lub rwj lossis tiv thaiv nws txoj kev kho. Thaum txhua tus ntawm cov no tau tswj hwm, xws li cov ntshav qab zib, cov kab mob ntawm daim tawv nqaij yuav ploj mus ntawm lawv tus kheej.
Kev kho mob feem ntau yog ntxuav lub qhov txhab, siv tshuaj tiv thaiv kab mob, thiab siv cov khaub ncaws hnav. Yog tias koj muaj cov hlab ntsha noj qab haus huv, koj tuaj yeem siv cov ntaub qhwv lub siab.
Qhov txiaj ntsig zoo tuaj yeem ua tiav los ntawm kev phais vascular. Kev cog qoob loo ntawm cov hlab ntsha tshiab, lossis zais pa angioplasty, yog txheej txheem uas nthuav tawm cov hlab ntsha uas nqaim thiab tshem tawm nws qhov txhaws.
qee zaum, txhawm rau zais qhov mob rwj, lawv siv rau kev phais yas - lawv hloov tawv nqaij los ntawm qee qhov txhab.
Homemadekho mob
Cov cai yooj yim rau kev kho mob trophic ulcers suav nrog:
- Kev noj zaub mov tshwj xeeb: carbohydrates yuav tsum txo qis, zaub thiab txiv hmab txiv ntoo yuav tsum tau nce ntxiv, thiab cov txuj lom thiab ntsim zaub mov yuav tsum raug tshem tawm tag nrho.
- puag so. Tau kawg, nws tsis tsim nyog pw hauv txaj txhua lub sijhawm, tab sis so yuav tsum yog txhua hnub.
- Kev tawm dag zog tshwj xeeb txhawm rau txhawm rau tshem tawm cov ntshav stasis thiab txhim kho cov metabolism: flexion thiab txuas ntxiv ntawm ob txhais ceg nyob rau hauv txoj hauj lwm yooj yim, kev sib hloov ntawm ko taw, hla ob txhais ceg txuas ntxiv mus, thiab lwm yam.
- Hnav khau tshwj xeeb orthopedic uas txo qhov kev pheej hmoo ntawm kev raug mob.
Qhov tseem ceeb! Yog tias txoj kev kho mob hauv tsev pom zoo los ntawm tus kws kho mob tsis ua rau qhov xav tau ntev, ces nws tsis zoo li koj tuaj yeem ua yam tsis muaj kev phais.
Ntau yam zaub mov txawv rau kev kho mob trophic ulcers:
- Tus Tatar tau ua pov thawj nws tus kheej zoo heev. Cov nplooj qhuav ntawm cov ntxhuav yuav tsum tau muab tso rau hauv lub xeev ntawm cov hmoov av, thiab ces sifted, muab tso rau hauv ib lub hub thiab muab tso rau hauv ib qho chaw tsaus. Tom qab kho qhov txhab nrog qee yam tshuaj (piv txwv li, "Rivanol"), koj yuav tsum tau tshuab cov hmoov rau nws thiab kho nws nrog cov ntaub qhwv. Qhov tshwm sim - lub rwj dries, thiab lub resulting crusts ploj thaum lub sij hawm.
- Means raws li curd whey. Los ntawm cov kua mis hauv tsev, koj yuav tsum xub ua cov mis nyuj khov, tom qab ntawd ncuav cov khoom ua rau hauv cov ntaub qhwv thiab dai nws. Nws raug nquahu kom siv cov tshuaj pleev xim rau cov mob, thiab tsev cheese siv rau thaj tsam cuam tshuam.
- Streptomycin. Ob peb ntsiav tshuaj tsis tuaj yeem txo qhov mob xwb, tab sis kuj kho qhov txhab sai sai.
o ntawm qhov qis qis yog dab tsi?
Edema hauv ob txhais ceg yog cov txheej txheem pathological uas ua rau cov khoom sib txuam ntawm ntau cov kua dej hauv qhov chaw intercellular. Outwardly, qhov tshwm sim zoo li o.
Tus neeg pib mob hnyav ntawm ob txhais ceg lossis txawm mob. Raws li qhov tshwm sim ntawm lub siab, ib qho fossa feem ntau pom. Qhov tshwm sim ntawm puffiness feem ntau yog nrog cov ntsiab lus hauv qab no:
- nce permeability ntawm phab ntsa hlab ntsha;
- ua txhaum ntawm cov lymphatic thiab venous outflow ntawm cov kua, uas ua rau muaj zog nyob rau hauv cov hlab ntsha;
- Cov tshuaj muaj pes tsawg leeg ntawm cov ntshav plasma thiab cov kua dej ntawm cov ntaub so ntswg yog txawv txav.
Caus of edema
Edema hauv ob txhais ceg tuaj yeem tshwm sim vim muaj kev cuam tshuam hemodynamic hauv thaj tsam ntawm kev tswj hwm osmotic. Qhov chaw ntawm cov cheeb tsam no yog lub atrium, yog li ntawd, qhov tshwm sim ntawm lawv cov tshuaj tiv thaiv rau xws li ib tug tsis ua hauj lwm yog ib tug tseem ceeb txo nyob rau hauv cov ntshav txaus nyob rau hauv lub extremities. Tom qab ntawd cov tshuaj tiv thaiv ntawm lub paj hlwb sympathetic tau pom, ua rau kom nce qib ntawm catecholamines hauv cov ntshav, uas txo cov kua dej tawm ntawm lub cev thiab ua rau peripheral vasoconstriction..
Ib tus tsis tuaj yeem tsis quav ntsej lub luag haujlwm ntawm cov kab mob endocrine hauv cov txheej txheem tswj hwm cov kua dej hauv lub cev. Yog hais tias lub hypothalamus pib tsim cov tshuaj antidiuretic, ces qhov no inevitably ua rau kom nce nyob rau hauv tag nrho cov ntshav ncig los ntawm cov hlab ntsha. Qhov kev hloov no tuaj yeem ua tauua rau muaj kev nce siab, suav nrog hydrostatic siab, uas ua rau nyuaj rau kev khiav tawm ntawm cov kua dej ntau dhau ntawm cov ntaub so ntswg. Tsis tas li ntawd, lub xub ntiag ntawm ib tug loj ntim ntawm cov ntshav stretches lub vascular phab ntsa, uas ua rau ib tug nce nyob rau hauv permeability thiab nkag mus ntawm cov protein molecules los ntawm cov ntshav yuav tsum tau mus rau hauv cov ntaub so ntswg. Qhov tshwm sim yog venous stasis, uas ua rau spasm ntawm cov hlab ntsha ntawm lymphatic system, uas ua rau nws nyuaj dua rau cov kua ntws tawm ntawm cov ntaub so ntswg.
ua pob khaus ntawm daim tawv nqaij
qhov chaw ntawm ceg khaus - yuav ua li cas? Ua ntej koj yuav tsum paub seb yog vim li cas rau nws cov tsos: los txiav txim seb hom kab mob ua rau nws. Lub luag haujlwm tseem ceeb yog hu rau tus kws tshaj lij uas tsim nyog uas yuav paub meej tias vim li cas daim tawv nqaij hloov xim thiab xaiv cov kev kho mob tsim nyog.
Hormonal tsis ua haujlwm, kab mob ntawm lub cev hauv nruab nrog cev lossis kev ua xua yog qhov ua rau pob khaus ntawm daim tawv nqaij. Txhua tus neeg ib ntus ntsib cov tsos ntawm cov pob liab liab, tab sis yog tias lawv nyob hauv lub cev thaum yug los, ces koj yuav tsum nrhiav kev pab tam sim ntawm tus kws phais mob vascular thiab phlebologist.
Koj tuaj yeem tshem cov pob ntawm lub cev los ntawm kev kho koj tus kheej noj. Kev cais tawm ntawm ntsim, haus luam yeeb thiab kib cov zaub mov tuaj yeem ua kom cov xim ntawm daim tawv nqaij thiab txhim kho nws tus mob. Qhov mob qhuav ntawm txhais ceg yuav ploj mus sai dua yog tias koj tsis txhuam nws.
Ib pob liab liab tuaj yeem tshwm sim los ntawm qhov tsis muaj cov vitamins. Hauv qhov xwm txheej no, nws raug pom zoo: haus dej kom ntau, noj zaub mov kom zoo (ntxivtxiv hmab txiv ntoo thiab zaub tshiab) thiab pw so.
Txhua yam tuaj yeem ua rau tsis xis nyob, los ntawm kev ua xua rau kev siv cov tshuaj depilatory los yog cov khoom kom zoo nkauj rau cov khau tsis xis nyob.
Qee yam muaj txiaj ntsig
Npaj ntawm ob txhais ceg tsis ploj? Ib feem ntawm lub cev raug mob yuav kho sai dua yog tias nws ua tib zoo kho tam sim tom qab tau txais qhov raug mob. Cov mob hnyav tshwj xeeb xav tau kev pab tsim nyog los ntawm cov kws kho mob uas yuav suture yog tias tsim nyog thiab pab tus neeg raug tsim txom nrog cov lus qhia muaj txiaj ntsig thiab cov lus pom zoo.
Yog tias tsis muaj tus kws tshaj lij tsim nyog nyob ze, nws raug nquahu kom siv cov tshuaj tua kab mob uas nyob ntawm tes los kho qhov chaw puas ntawm lub cev: ci ntsuab, iodine, hydrogen peroxide, thiab lwm yam. Tom qab kev kho mob, cov lub qhov txhab yuav tsum tau npog nrog ib ntus sterile bandage. Bandage puas tsuaj tsawg kawg yog 2 zaug hauv ib hnub thiab nco ntsoov tias koj yuav tsum siv cov khoom sib txawv los kho qhov txhab ntub thiab qhuav.
