Zaj lus tham txog tshuaj pleev rau kev kho mob trophic ulcers.
Thaum nws los txog rau trophic ulcers, nws yuav tsum tau hais tias qhov no tsis yog ntau yam kab mob sib cais raws li kev puas tsuaj los ntawm lub sijhawm ntev ntawm lub peev xwm rov tsim dua tshiab, uas yog tshwm sim los ntawm qhov tsis xws ntawm cov khoom ntawm daim tawv nqaij. cheeb tsam nrog cov ntshav thiab cov ntaub so ntswg tsis kam. Cov kab mob tuaj yeem tshwm sim ntawm ntau qhov chaw ntawm lub cev, nyob ntawm tus neeg mob qhov kev kuaj mob. Lawv yog tus cwj pwm los ntawm kev kho mob ntev (tshaj li 1-2 lub hlis) thiab kev ua kom tsis tu ncua. Kev tsim ntawm trophic ulcers yog qhov raug rau sab qis (tshwj xeeb tshaj yog rau pob taws), tab sis lawv tuaj yeem tshwm sim hauv lwm qhov chaw ntawm daim tawv nqaij thiab mucous daim nyias nyias. Cov tsos mob tseem ceeb tsis zoo yog qhov tsis muaj peev xwm ntawm cov ntaub so ntswg kom rov tsim dua.
Tshuaj pleev ib ce los cawm trophic ulcers.
Thaum varicose leeg tsim daim tawv nqaijcov teeb meem uas tsis kho tau ntev thiab tsim tawm tsam keeb kwm ntawm cov ntshav stasis nrog kev nthuav dav ntawm cov phab ntsa venous. Lawv yog ib qho txaus ntshai heev, txij li cov kev raug mob ntawm cov qis extremities tau pom nyob rau hauv kaum tsib feem pua ntawm cov neeg uas raug tus kab mob no. Cov tsos mob ntawm cov kab mob no yog vim muaj theem ntawm kev loj hlob ntawm varicose leeg, thaum lub li qub ntawm cov hlab ntsha sib sib zog nqus thiab saphenous leeg raug puas tsuaj tag. Koj tuaj yeem tshem tawm qhov mob mus tas li nrog lub laser. Kev kho mob ntawm cov epidermis puas yuav tsum tau ua ke nrog kev tshem tawm ntawm varicose leeg. Tshwj xeeb tsim kho tshuaj pleev thiab hnav khaub ncaws pab lub rwj ploj tsuas yog nrog varicose leeg. Nrog varicose leeg, ulcers teb zoo heev rau kev kho mob. Ib qho xwm txheej hnyav dua yog cov kab mob tom qab thrombotic, vim lawv nyuaj rau tshem tawm, tab sis tseem ua tau.
Kab lus yuav hais txog cov tshuaj pleev uas nrov tshaj plaws thiab zoo rau cov kab mob trophic, nrog rau kev kho pej xeem. Stagnation nyob rau hauv cov leeg, uas yog tsim los ntawm cov ntshav tawm mus rau hauv cov hlab ntsha ntawm cov hlab ntsha ntawm qhov tob, yog qhov laj thawj tseem ceeb rau qhov tshwm sim ntawm varicose leeg. Cov ntshav uas stagnates nyob rau hauv daim tawv nqaij thiab ua saturated nrog co toxins, ua rau discoloration, raws li zoo raws li tsim ntawm ulcers. Cov uas cuam tshuam nrog varicose leeg feem ntau nyob ntawm sab ceg thiab pob taws. Yog tias tsis muaj kev cuam tshuam kev kho mob muaj peev xwm, tom qab ntawd rov tshwm sim tuaj yeem tshwm sim, nrog rau cov kab mob ntawm cov kab mob epithelial.
Ua rau kab mob
rau qhov feem ntauCov mob, qhov chaw ntawm tus kab mob yog xws li pathologies:
- sudden venous insufficiency (nrog thrombophlebitis vim varicose leeg);
- txo qis ntawm cov hlab ntsha lumen vim ntshav qab zib, atherosclerosis, kub siab;
- lymph outflow defects;
- ua txhaum cov ntaub so ntswg innervation (nrog qee yam kab mob thiab kev raug mob);
- tawm tsam keeb kwm ntawm cov kab mob ntawm daim tawv nqaij thiab kev raug mob.
Muaj ntau qhov ua rau mob, thiab cov txiaj ntsig kev kuaj mob yuav tsum raug coj mus rau hauv tus account, txij li kev kho tom ntej nyob ntawm qhov no. Tawm tsam keeb kwm yav dhau los ntawm cov kab mob xws li varicose leeg, ntshav qab zib mellitus, lub plawv tsis ua haujlwm, rog, me me tsis xws luag hauv kev ncaj ncees ntawm daim tawv nqaij tuaj yeem ua rau trophic ulcers ntawm ceg. Kev kho mob nrog tshuaj pleev yuav tsum ua kom tiav thiab raws sijhawm.
Txhim kho tus mob trophic
Cov kab mob trophic tsis kho tau ntev, thiab qhov no ua rau tus neeg mob nkees heev. Pathology tsis tshua muaj tshwm sim tsis tau npaj txhij, feem ntau yog ua ntej los ntawm cov tsos mob xws li o, mob, hnyav, kub hnyiab ntev thiab khaus tshwm sim me ntsis tom qab, convulsions kuj tshwm sim thaum hmo ntuj. Tom qab qee lub sij hawm, daim tawv nqaij ua ntshav los yog ntshav hauv cov xim, engorgement thiab mob yog hnov ntawm palpation. Vim cov ntshav venous stasis, cov ntaub so ntswg trophism deteriorates (lub peev xwm tau txais oxygen thiab as-ham). Cov khoom lwj ua rau cov ntaub so ntswg tuag yam tsis tau noj.
Vim li cas peb thiaj li xav tau tshuaj pleev rau qhov txhab trophic?
Txoj kevkev siv tshuaj pleev
Vim tias pathology nyob rau hauv txhua rooj plaub yog qhov tshwm sim ntawm qhov tsis xws luag hauv lub cev, koj yuav tsum tau tsom mus rau kev tshem tawm cov hauv paus hauv paus. Kev kuaj tus kheej thiab kho tus kheej tsis suav nrog. Cov kab mob zoo tom qab lawv tshem tawm, ua liab thiab los ntshav ntawm palpation.
Gel hnav khaub ncaws thiab tshuaj pleev yog siv rau cov kab mob trophic. Tus naj npawb ntawm kev hnav khaub ncaws yog kwv yees li ib hnub ib hnub, thiab kev ntxhua khaub ncaws tsis tsim nyog ntxiv lawm. Txhawm rau txhim kho cov ntshav tawm, cov ceg raug mob tau tsa nees nkaum degrees thaum hmo ntuj, thiab compressions thaum nruab hnub. Nrog rau kev kho mob ntawm qhov kev kuaj mob tseem ceeb hauv cov kab mob trophic, kev kho mob hauv zos thiab cov txheej txheem kho lub cev nrog cov kab mob bactericidal thiab kev tiv thaiv kab mob tau ua tau zoo.
Sclerotherapy kuj tau siv dav, qee qhov kev phais yas ib-theem yog siv. Hauv cov xwm txheej nyuaj, kev txiav tawm pab, khaws cia tus neeg mob lub peev xwm thiab kev ua haujlwm ntawm ceg, thiab cov khoom siv tes ua tau ua tiav. Txoj kev kho zoo tshaj plaws yog cov txheej txheem kev saib xyuas ua ke nrog kev ntsuas kev phais. Tawm tsam tus kab mob thib ob, cov tshuaj pleev yuav tsum tau siv rau cov kab mob trophic ntawm ob txhais ceg, uas muaj cov tshuaj tua kab mob.
Thaum muaj?
Kev kho mob nrog tshuaj pleev yog siv rau txhua theem ntawm tus kab mob. Thaum xaiv cov tshuaj thiab sau cov chav kawm kho mob, cov kws kho mob tshwj xeeb yog ua raws li cov hauv paus hauv paus ntawm tus kab mob thiab qhov ua rau muaj qhov tshwm sim.
Daim ntawv thov tshuaj pleev pab:
- zam hauvQee qhov kev phais;
- txhim kho trophism;
- nourish daim tawv nqaij thiab cov ntaub so ntswg;
- normalize cov khoom metabolism, ntshav ncig thiab venous outflow;
- txhawb qhov pom ntawm cov hlwb tshiab;
- clear qhov txhab necrosis, txhawb kev kho sai;
- ua kom cov hlwb nrog cov as-ham thiab collagen.
Koj yuav tsum paub tias qhov ua tau zoo tshaj plaws tau sau tseg nyob rau theem pib. Hauv cov xwm txheej zoo, kev kho mob tsuas yog siv tshuaj pleev rau trophic ulcers ntawm ob txhais ceg yuav tsis txaus rau kev rov zoo.
Cov kab mob trophic nrog cov leeg varicose yog qhov txawv ntawm cov theem hauv qab no: qhov tsos, kev vam meej ntxiv, purification, granulation nyob rau hauv cov tub ntxhais ntawm lub rwj thiab peripheral caws pliav, granulation thiab tom qab caws pliav ntawm pathology.
Cia peb saib xyuas kev siv tshuaj pleev rau ntau theem ntawm tus kab mob.
1 theem
Sib txawv los ntawm qhov pom ntawm "lacquered" ntawm daim tawv nqaij thiab liab ntawm tus neeg mob, txiav txim siab los ntawm qhov mob hnyav. Tom qab ntawd, kua pib tshwm nyob rau hauv tee, daj me ntsis daim ntawv, uas yog, tuag epidermis. Yog hais tias daim tawv nqaij tsis kho nyob rau theem no, scabs tsim nyob rau hauv cov pob, uas tob zuj zus thiab tsim rwj. Cov theem tuaj yeem kav ntev li ob peb teev mus rau ob peb lub lis piam, uas yog txiav txim los ntawm theem ntawm varicose expansion, tiv thaiv thiab kho. Tej yam tshwm sim ntawm thawj theem: nyuaj rau kev txav, mob, kub siab. Disinfectants, tshuaj ntxuav thiabkhoom noj khoom haus-txhim kho tshuaj pleev nyob rau hauv kev kho mob ntawm trophic ulcers ntawm ceg.
Cov khoom pom zoo xws li "Actovegin" thiab "Solcoseryl" hauv ntau hom: ua ntej, 20% gel yog siv (1-4 hnub), tom qab ntawd 5% cream (4-11th hnub), tshuaj pleev 5%. Tsis tshua muaj txiaj ntsig yog Algofin ointment, uas muaj cov tshuaj tua kab mob ntawm cov kab mob dav dav - chlorophyll derivatives. Levomekol thiab Levosin muaj kev kho mob thiab tshuaj tua kab mob.
theem ob
Nyob rau theem no, raws li qhov kawg ntawm thawj zaug, qhov zais cia thiab qhov tsos ntawm qhov txhab yog txiav txim siab los ntawm kev ua tau zoo ntawm kev kho mob thiab kev sib ntxiv ntawm cov kab mob. Ib tug raug trophic rwj muaj cov npoo npoo, fibrinous, ntshav, purulent thiab mucous tawm. Qhov tseem ceeb ntawm qhov tseem ceeb yog kev tu lub qhov txhab (txog li ib thiab ib nrab lub hlis). Hauv theem thib ob, tom qab qhov pib ntawm granulations, Ethonia, Thiotriazoline, Methyluracil-D, Wundehill thiab Betadine yog siv. Lub tom kawg, vim iodine nyob rau hauv muaj pes tsawg leeg, ua ib tug zoo heev txoj hauj lwm nrog cov kab mob thiab fungi, thiab kuj txhawb granulation. Cov tshuaj pleev rau trophic ulcers ntawm qis extremities "Vundehil" restores cov ntaub so ntswg, tshem tawm purulent formations thiab necrosis, "Ethonia", ntxiv rau, anesthetizes.
txhais tau tias muaj txiaj ntsig nyob rau theem thib peb
Hais txog theem peb, nws yuav tsum tau hais tias nws lub sijhawm yog txiav txim siab los ntawm qhov loj ntawm qhov txhab, kev kho mob dav dav thiab cov txheej txheem ua tau zoo. Yog tsis muaj kev kho mob, caws pliav yuav tsis ua tiav, txhua yam yuav pib dua. Nyob rau theem no, epithelialization yog tsim, uas yog, ib tug "tshiab" epidermis tshwm. Hauv theem peb, cov tshuaj pleev yog siv los khotrophic rwj thiab tus cwj pwm los ntawm kev muaj peev xwm ua kom rov zoo - "Alantan Plus", "Mefenat", "Kuriozin", "Bepanten". Cov tshuaj pleev zaum kawg muaj panthenol, uas tseem siv tau rau ntau yam mob ntawm daim tawv nqaij thiab daim tawv nqaij.
Tshuaj nyob rau theem plaub
Nyob rau theem plaub, qhov loj ntawm qhov txhab txo qis, nws qhov caws pliav xaus. Cov theem txuas ntxiv mus txog thaum rov ua tiav. Nyob rau lub sijhawm no, nws raug nquahu kom siv tshuaj pleev ntawm calendula, comfrey, St. John's wort (10%) thiab lwm yam txhais tau tias kom tshem tau tus kab mob. Kuj tseem muaj cov zaub mov txawv rau kev kho mob trophic ulcers. Cov tshuaj pleev twg zoo tshaj?
Tshuaj pleev ib ce
Cov tshuaj pleev no yog siv rau cov kab mob trophic hauv ntshav qab zib, thiab lwm yam kab mob.
Nws suav nrog: ib lub zaub ntug hauv paus, ib dos, ib nrab ib khob ntawm unrefined sunflower roj. Cov dos yuav tsum tau tev, txiav mus rau hauv me me cubes, grated carrots thiab ntxiv rau dos. Cov sib tov yog kib tshaj tsawg tshav kub nyob rau hauv tag nrho cov nqi ntawm cov roj. Cov sib tov kub tau txais los ntawm qhov tshwm sim yuav tsum tau nyem tawm thiab siv rau cov kab mob, xws li tshuaj pleev. Cov txheej txheem rov ua dua tsawg kawg peb zaug hauv ib hnub.
Yuav ua li cas lwm cov tshuaj pleev rau kev kho mob trophic ulcers koj ua tau koj tus kheej?
Los ntawm nws kev siv, cov kab mob ntev kuj tau kho, qhov tseem ceeb tshaj plaws yog proportions. Cov nqaij qaib tshiab tau muab tso rau hauv lub thawv, tsib feem pua ntawm cov tshuaj iodine ntxiv rau hauv qhov sib piv ntawm ib mus rau ib qho. Cov tshuaj pleev yog tov kom txog thaum tsaus daj. Nws yuav tsum tau muab cia rau ntawm chav tsev kub hauv qhov chaw tsaus. ncuav tshuaj yej rau ntawm qhov txhabdiav, xyuas kom meej tias nws tsis poob rau ntawm daim tawv nqaij noj qab haus huv. Tom qab ntawd ib daim ntaub huv si yog siv, lub qhov txhab yog qhwv. Yuav tsum hloov txhua kaum ob teev.
Tshuaj pleev rau trophic ulcers hauv ntshav qab zib mellitus
Tshuaj siv los kho qhov chaw cuam tshuam:
- Y"Streptolaven".
- Levomekol.
- Vishnevsky's ointment.
Kev siv tshuaj tom qab lub qhov txhab quaj tau zoo:
- Tocopherol tshuaj pleev.
- Curiozin.
- "Actovegin".
- Algimaf.
- Solkoseril.
Tshuaj xyuas cov tshuaj pleev rau trophic ulcers
Muaj ntau qhov kev tshuaj xyuas txog cov khoom no. Lawv feem ntau yog qhov zoo. Tab sis, qhov ua tau zoo ntawm cov tshuaj pleev ib ce nyob ntawm lub sijhawm kho, theem ntawm tus kab mob thiab lwm tus yam ntxwv ntawm tus kheej.
Tus kab mob yog qhov tsis zoo thiab qhov tshwm sim tsis zoo, uas yog qhov txaus ntshai nrog cov teeb meem. Zoo li txhua yam txheej txheem pathological, nws yog ib qho tseem ceeb heev uas yuav tsum tau kho raws sij hawm thiab ua tib zoo saib xyuas cov kab mob uas twb muaj lawm ua ntej thiab nyiam.
Raws li kev tshuaj xyuas, tshuaj pleev yog qhov kev pab cuam zoo tshaj plaws thiab pheej yig, lub meej mom uas cov neeg mob xav txog qhov yooj yim ntawm kev siv thiab ntau yam kev xaiv. Tib lub sijhawm, nws yuav tsum nco ntsoov tias tom qab kho tiav, koj yuav tsum tau saib xyuas koj txoj kev ua neej.
YContraindications
Yuav luag txhua cov tshuaj pleev siv rau cov kab mob trophic muaj lawv tus kheej contraindications. Thaum xaiv lawv, koj yuav tsum tau nyeem cov lus qhia, tab sis txawm zoo duaTham nrog tus kws tshaj lij.
- Cov tshuaj xws li "Levomekol" thiab "Levosin" yog cov yam ntxwv ntawm cov neeg mob rhiab heev rau lawv cov muaj pes tsawg leeg.
- "Solcoseryl", "Chloramphenicol" tsis tuaj yeem siv rau qhov txhab granulation ntau dhau thiab ua rau lawv lub cev tsis zoo;.
- Ofloxacin tsis siv thaum cev xeeb tub vim tsis muaj pov thawj ntawm nws txoj kev siv nyab xeeb thiab tsis cuam tshuam rau tus menyuam hauv plab;
- Thaum pub mis niam, cov poj niam siv tsis tau Mefenat, nws tsuas yog muab rau kev kho mob. Kev tsis haum tshuaj kuj yog ib qho kev mob tshwm sim.
- "Streptotinol" tsis tuaj yeem muab tshuaj yog tias tus neeg mob muaj kev nkag siab ntau dhau rau cov khoom xyaw nquag thiab muaj zog purulent secretions.
Side effects
Nrog cov kab mob trophic, cov tshuaj pleev qee zaum ua rau muaj kev tsis haum tshuaj, piv txwv li:
- Levomekol, Streptonitol, Solcoseryl tuaj yeem ua rau khaus, hlawv thiab liab.
- Erythromycin ointment thiab "Methyluracil" - txhawm rau mob hauv thaj chaw cuam tshuam.
Yog tias muaj kev phiv tsis zoo tshwm sim, kev siv tshuaj pleev yuav tsum raug tso tseg thiab lwm yam tshuaj yuav tsum raug xaiv ua ke nrog tus kws kho mob.
Nws nyuaj rau xav txog yam kab mob twg tuaj yeem ua rau mob trophic ntawm ob txhais ceg. Feem ntau yog vim li cas nyob rau hauv cov kab mob zoo tib yam nrog cov kab mob thiab cov kab mob microbes, kev taw qhia ntawm pathogenic microflora hauv qab ntawm daim tawv nqaij, uas tuaj yeem ua rau mob.
Txawm li cas los xijNws tshwm sim tias trophic ulcers yog ib qho teeb meem ntawm cov kab mob loj xws li kub siab, varicose leeg, ntshav qab zib mellitus, uas cov txheej txheem degenerative tshwm sim hauv hematopoietic system.
Cov kab mob trophic tau kho tau ntev thiab nyuaj. Lawv tau ntub, kho tsis zoo, muaj peev xwm necrotic rau ntau xyoo. Qib ntawm tus kab mob hauv qab thiab hnub nyoog ntawm tus neeg mob kuj cuam tshuam.
Kev tiv thaiv
Nrog kev pab ntawm cov tshuaj pleev, cov txheej txheem ntshav thiab inhibition ntawm cov txheej txheem o yuav tsum qhib. Txwv tsis pub, osteomyelitis thiab gangrene pib.
Pom zoo rau kev tiv thaiv:
- zam purulent tawm ntawm qhov txhab;
- kho cov kab nrib pleb thiab cuam tshuam nrog cov tshuaj tua kab mob raws sijhawm;
- zam ko taw txias;
- hnav khau kom haum thiab xis nyob;
- tiv thaiv koj cov tawv nqaij los ntawm kev txiav thiab raug mob, kis kab mob, hluav taws xob ultraviolet.
Thaum xaiv cov tshuaj, koj yuav tsum ua tib zoo txheeb xyuas qhov mob ntawm qhov txhab, qib thiab theem ntawm tus kab mob, cov tsos mob kom ua tiav cov txiaj ntsig xav tau.
Zaj lus tham txog cov tshuaj pleev kom zoo rau kev kho cov kab mob trophic ntawm ob txhais ceg.
