Lwm yam mob ntshav qab zib

Cov kab mob ntshav qab zib lig ua tiav nrog rau cov hlab ntshav puas (mob ntshav qab zib angiopathy). Ntshav qab zib angiopathy yog qhov txhab ntshav uas dav dav uas kis tau ob qho tib si rau cov nkoj me me thiab cov nkoj ntawm nruab nrab thiab loj caliber. Nrog kev swb ntawm cov hlab ntsha me, xws li cov hlab ntsha, venules thiab cov hlab ntsha, microangiopathy muaj kev txhim kho. Nrog kev puas tsuaj rau cov hlab ntawm nruab nrab thiab loj caliber, macroangiopathy tsim. Microangiopathies ua rau kev puas tsuaj rau lub raum thiab qhov muag. Nrog macroangiopathies, cov hlab ntsha ntawm lub siab, lub hlwb thiab cov hlab ntsha loj ntawm cov qis qis yog cuam tshuam. Lub luag haujlwm tseem ceeb hauv kev txhim kho cov mob ntshav qab zib angiopathy belongs rau qhov nce hauv cov ntshav qab zib.

Mob ntshav qab zib rau cov neeg mob kom huv si

Hauv lub neej ntawm cov neeg mob ntshav qab zib, kev nyiam huv yog lub luag haujlwm tseem ceeb heev. Qhov no suav nrog tsis tsuas yog kev tu cev ntawm tus kheej, tswj kev tu cev hauv tsev, khaub ncaws, khoom noj, tab sis kuj tseem tsim cov kev ua si ntawm lub cev, kev kho lub cev, ua kom tawv, thiab tshem tawm cov kev coj ua tsis zoo. Kev ua qoj ib ce thiab cov txheej txheem tom qab siv dej (nplawm, dousing, da dej lossis da dej) kom zoo lub cev, ua kom nws tiv taus cov kab mob.

Kev saib xyuas ko taw.

Qhov phom sij ntawm kev puas tsuaj hauv ko taw ntshav qab zib yog ntau heev. Muaj txawm tias lub tswvyim ntawm tus mob ko taw mob ko taw. Nrog kev puas tsuaj rau ntawm cov hlab ntsha peripheral kawg, cov hlab ntshav, qhov rhiab thiab xa ntshav mus rau ntau qhov chaw ntawm qis qis qis dua poob qis. Hauv cov xwm txheej no, cov khau zoo tib yam tuaj yeem ua rau ko taw deformation, mob ntxiv, thiab txhim kho cov mob ntshav qab zib. Deformation ntawm ko taw ua rau kev tsim ntawm thaj chaw ntawm lub siab nce ntxiv ntawm cov ntoo cog ntoo. Qhov tshwm sim yog kev txhab mob ntawm cov nqaij mos ntawm taw nrog rau kev tsim ua tom qab. Tsis tas li ntawd, txhua qhov kev puas tsuaj rau daim tawv nqaij nrog kev nce qib ntawm glycemia thiab ntshav tsis txaus ua rau kis mob ntawm qhov txhab nrog kev sib kis ntawm cov mob mus rau ligamentous thiab osteoarticular apparatus. Kev saib xyuas ntshav qab zib yog ib qho nyuaj thiab ntev. Tab sis kab mob thiab cov nyom tuaj yeem zam dhau los ntawm kev ua ib tus tiv thaiv ib tus neeg rau kev saib xyuas ko taw.

Saib xyuas kev mob ntawm ob txhais ceg.

Txhua tus neeg mob ntshav qab zib yuav tsum ua tib zoo tshuaj xyuas nws ob txhais ceg txhua hnub kom pom kev zoo. Tshwj xeeb saib xyuas yuav tsum them rau: qhov hloov ntawm daim tawv nqaij hauv qhov chaw sib txuam. Txog kev kho mob fungal, sab laj tus kws kho mob nqaij daim tawv tam sim. Keratinized cov tawv nqaij, kab nrib pleb, xaim ntawm cov ntiv tes - txhua qhov no tuaj yeem ua rau kev txhim kho ntawm tus txheej txheem sib kis.

Ntxuav koj txhais taw thaum sawv ntxov thiab yav tsaus ntuj siv dej sov nrog qhov kub txog 37–38 ° С.

Siv daim txhuam cev muag thiab tshuaj ntxuav tes kom ntxuav taw.

Ntev ntawm da dej ko taw tsis tshaj 5 feeb.

Tom qab ntxuav tas, so koj ob txhais taw kom huv si, tshwj xeeb tshaj yog qhov chaw txuam nrog, phuam muag muag.

Thaum ua cov taw, tsis txhob siv cov khoom ntse (hniav, txiab txaij, chais), pob kws plasters, tshuaj pleev. Muab tev tawm ntawm cov tawv nqaij tuag nrog lub pob zeb pumice.

Los txiav cov ntsia hlau, siv txiab nrog cov kab sib npaug thiab txiav cov ntsia hlau nkaus xwb.

Kev xaiv ntawm nkawm khau.

Yog tias koj xaiv cov khau yog thiab kev tiv thaiv, koj tuaj yeem zam qhov kev txhim kho ntawm tus mob "mob ntshav taw".

Nquag, nkawm khau yuav tsum muab kev ruaj khov (khau nrog laces kho tau zoo rau cov pob qij txha ntawm ko taw), dav, luj taws qis yog qhov kev txhawb nqa zoo rau txhais ceg.

Cov khau yuav tsum muaj qhov loj me: qhov dav ntawm lub khau yuav tsum sib haum nrog qhov dav ntawm ko taw (ntawm theem ntawm thawj kev sib koom tes ntawm tus ntiv tes xoo).

Sab saum toj ntawm lub khau yuav tsum yog cov khoom siv hauv ntuj.

Yuav tsum nqa khau thaum tav su. Cov ceg tau o tuaj ntawm lub sijhawm no ua ntej muab khau, xyuas nws sab hauv nrog koj txhais tes kom tsis suav ua pob (pob leeg, nqaj leeg).

Deformation lossis curvature ntawm nkawm khau yog lub cim ntawm kev tsis zoo gait. Hauv qhov no, nws zoo dua rau sab laj nrog kws kho mob.

Yog tias koj mob koj sab ceg, ces koj yuav tsum ua cov hauv qab no:

tsau tshuaj rau lub qhov txhab nrog cov tshuaj tua kab mob antiseptic (zam kev siv cov xim daws teeb meem: iodine, ci ntsa iab ntsuab, vim lawv zais thaj tsam ntawm qhov mob),

Koj yuav tsum tsis txhob siv cov tshuaj pleev lossis cov kab mob bactericidal tsis tau kev pom zoo los ntawm kws kho mob,

Siv cov nplawm qhuav, huv huv thiab hnav khaub ncaws mus rau qhov txhab.

Hauv lub neej txhua hnub, nws zoo dua los siv cov thom khwm yooj yim (cov thom khwm), koj qhov loj me lossis ib tus lej loj dua thiab nrog kev suav me me ntawm cov khoom siv hluavtaws. Cov thom khwm los yog cov tshuag yuav tsum hloov txhua hnub. Txawm nyob hauv tsev, koj yuav tsum tsis txhob taug kev liab qab, nws kuj yog qhov tsis tsim nyog yuav tau khau nrog qhib ntiv taw.

Tswj kev ua kom sib luag hauv lub neej txhua hnub yog qhov tseem ceeb ua kom muaj kev noj qab haus huv. Ua ntej tshaj plaws, peb tab tom tham txog kev ua haujlwm ntawm kev ua haujlwm thiab chaw so, tsaug zog thiab pw tsaug zog. Ntawm txhua hom kev ua si, qhov tseem ceeb tshaj plaws ntawm lub cev yog pw. Nws cov kev cuam tshuam ua rau nws tsis muaj zog txaus los kho cov ntshav qab zib. Yuav kom ntseeg tau tias lub sijhawm pw tsaug zog sai thiab kev pw tsaug zog, nws raug pom zoo:

• Noj cov zaub mov kawg tsis pub tsawg tshaj 2 teev ua ntej yuav mus pw (zam rau qhov tsuas yog rau cov neeg mob uas siv tshuaj insulin ntev thiab muaj feem yuav ua rau mob ntshav qab zib tsawg - nws raug nquahu kom cov neeg mob noj hmo ntxiv hmo li 30–40 feeb ua ntej yuav mus pw - txiv hmab txiv ntoo, kefir ),

• Ib nrab teev taug kev hauv huab cua ntshiab,

• pw rau hauv ib qho chaw muaj pa uas muaj cua,

• hauv txaj yuav tsum zaum zoo nyob dua, xis dua, so kom txaus.

• txhawm rau so cov leeg nqaij kom zoo, koj tuaj yeem tso tshuaj rau tus kheej-qhov ua kom mob siab.

Cov lus nug ntawm qhov yuav tsum tau siv tshuaj tsaug zog thiab tshuaj tua kab mob yog txiav txim siab ntawm tus kws kho mob.

Kev Kho Mob Lub Siab

Mob ntshav qab zib mellitus - Tus kab mob uas nrog tus neeg mus tas nws lub neej. Cov xwm txheej zoo li no hauv ntau cov neeg mob feem ntau ua rau muaj kev nyuaj siab, tsis txaus siab rau lub ntiaj teb sab nraud. Tus kws endocrinologist yuav tsum niaj hnub tham txog kev kho mob hlwb nrog cov neeg mob thiab cov neeg hauv nws tsev neeg, hais txog nrog txoj cai tswjfwm kev kho mob thiab kev kho mob, tus neeg mob tuaj yeem coj tus cwj pwm kev ua neej, ua tiav nws cov haujlwm thiab tsis xav tias qis dua. Nws yog qhov tseem ceeb tshaj plaws los tsim qhov teeb meem kev xav zoo rau tus neeg mob ntawm chaw ua haujlwm, hauv tsev neeg, kom nyob ib puag ncig nrog kev nkag siab, saib xyuas.

Kev ua raws li kev coj ua yog tshwj xeeb tshaj yog rau cov neeg ntawm kev kho mob insulin. Nws yuav tsum hais txog ntawm no tias lub sijhawm sijhawm ntawm kev siv tshuaj insulin hauv kev sib piv nrog kev noj zaub mov yog qhov sib txawv. Cov tshuaj insulin tuaj yeem siv tam sim ua ntej noj mov, 10-15 feeb ua ntej noj mov, thiab lwm yam. Lub sijhawm nruab nrab ntawm kev txhaj tshuaj insulin thiab kev noj zaub mov yuav tsum tsis pub dhau ib teev. Lub sijhawm ntawm cov thawj coj ntawm insulin hauv kev sib txuas nrog ib pluas noj yog qhov ncaj qha rau cov tib neeg. Qhov no yog txiav txim los ntawm kws kho mob. Tsis yog txhua tus hauv tsev, chaw ua haujlwm tswj hwm los tsim qhov kwv yees txhua hnub nyob ze, ze rau chav tsau dej. Dua li ntawm qhov no, cov neeg mob ntshav qab zib yuav tsum ua raws li cov kev ua txhua hnub, raws li qhov ua tau. Cov xwm txheej ntawm tus neeg mob ntshav qab zib mellitus, kev noj qab haus huv zoo, kev muaj peev xwm ua haujlwm yog ntau heev nyob ntawm kev ua raws li kev coj ua, uas tsis tas yuav zoo li tus tsis paub meej.

Mus rau kev kho mob spa, qee cov neeg mob ntshav qab zib xav tias yuav muaj txiaj ntsig zoo qee lub sijhawm ua ntej taug kev thiab ntawm txoj kev nres mus saib xyuas cov tshuaj noj, uas tsis zoo rau kev noj qab haus huv. Txhawm rau tshem tawm qhov tshwm sim, koj yuav tsum siv sijhawm ntxiv nyob ntawm qhov chaw so kom rov qab tus neeg mob mus rau qhov qub thiab pib kho txhua tus. Tib yam yuav tsum tau hais txog rau cov neeg mob ua tiav ib chav kho mob spa, thaum lawv tso cai rau lawv tus kheej kom tawg cov kev cai thaum kawg ntawm lawv nyob, thiab qee zaum ntawm txoj kev hauv tsev.

Kev vam meej ntawm kev kho mob spa, zoo li lwm yam kev kho mob, tuaj yeem ua rau cov neeg mob ntshav qab zib tsis tu ncua tsuas yog thaum cov tshuaj kho mob nruj me ntsis pom. Hauv cov txheej txheem kws kho mob, tag nrho nws cov ntsiab lus tseem ceeb yog qhov tseem ceeb (khoom noj khoom haus, insulin, hloov chaw ntawm kev ua haujlwm nrog kev so, ua raws li cov cai tswj kev nyiam huv, kev dhia ua si, kis las, thiab lwm yam), tsuas yog qhov no pab tswj kev noj qab haus huv.

Memo rau tus neeg mob

Txhawm rau kom muaj kev noj qab haus huv zoo, tswj hwm kev ua haujlwm siab thiab tiv thaiv kom tsis txhob muaj teeb meem, tus neeg mob ntshav qab zib yuav tsum soj ntsuam ib qho kev kho mob tshwj xeeb thiab kev tiv thaiv kab mob hauv lub neej txhua hnub. Nws lub ntsiab raws li hauv qab no:

1. Lub hauv paus rau kev kho mob ntawm txhua hom mob ntshav qab zib yog kev noj haus. Qab zib, confectionery, semolina, rog hnyuv ntxwm, cawv, npias, txiv quav ntswv nyoos, kua txiv hmab txiv ntoo ntawm cov qab zib yuav tsum tsis pub cais tawm cov khoom noj txhua hnub. Txwv txiav cov khoom noj kom tsawg nrog cov khoom noj tau yooj yim carbohydrates (cov khoom ci, qos yaj ywm thiab zaub mov noj, txiv ua ntau yam txiv ntoo). Kev noj haus yuav tsum muaj zaub, txiv hmab txiv ntoo, mis nyuj, tsev cheese. Noj thaum lub sij hawm nruj me ntsis raws li kev tswj hwm ntawm insulin yog qhov tseem ceeb tshaj.

2. Yuav tsum muaj cov kev ua ub ua no txhua hnub xav tau. Sawv ntxov, kev tawm dag zog (kev kawm), kev siv tshuaj insulin, kev noj zaub mov thiab tshuaj noj, kev so kom txaus, kev mus pw yuav tsum ua ntawm lub sijhawm. Zam kev ua haujlwm ntawm lub hlwb thiab lub cev. Hnub Sunday yuav tsum tau siv tag nrho rau kev ua si sab nraum zoov.

3. Ua raws li kev nyiam huv thiab kev nyiam huv ntawm tsev. Kev tawm dag zog lub cev, kev ua kis las (tsis yog hom zog) muaj cov txiaj ntsig zoo ntawm cov metabolism, txhim kho kev txhim kho cov piam thaj, txo qis qhov xav tau ntawm insulin, ua kom yooj yim rau cov kab mob, thiab nce kev ua haujlwm.

4. Cov tshuaj kho mob yuav tsum tau noj nyob rau lub sijhawm teem nruj me ntsis. Hloov cov tshuaj, hloov cov koob tshuaj thiab tshwj xeeb tshaj yog lawv tshem tawm txoj kev tuaj yeem tsis tuaj yeem lees paub yog tsis muaj kev paub ntawm tus kws kho mob.

5. Tswj kev ua kom huv thiab ua kom tsis muaj menyuam yaus thaum muab cov tshuaj insulin. Qhov chaw txhaj tshuaj yuav tsum tau hloov pauv kom rov qab txhaj tshuaj hauv tib thaj chaw tsis ntau tshaj 1-2 zaug hauv ib hlis.

Cov neeg mob tau txais tshuaj insulin tuaj yeem txhim kho cov kev mob hypoglycemic. Thawj qhov mob yog qhov tsis muaj zog, tshee hnyo rau tes, tawm hws, loog ntawm daim di ncauj, tus nplaig, kev tshaib plab, tsis meej pem, mus txog rau lub xeev tsis nco qab lawm (lub ntsej muag tsis ua pa lawm). Qhov no tau ua kom yooj yim los ntawm kev tsis txaus los yog tsis txaus noj zaub mov, kev qhia ntawm kev siv tshuaj ntau dhau, kev siv lub cev ntau dhau, thiab haus cawv ntau (tshwj xeeb yog haus cawv ntau). Txhawm rau tshem tawm cov ntshav qab zib tsawg, koj yuav tsum noj 20 g suab thaj, 200 ml ntawm cov dej qab zib, qab zib 4-5 khob suab thaj, qab zib, uas koj yuav tsum nqa nrog koj cov ntawv hla ntshav qab zib. Ntxiv nrog rau kev saib xyuas tus kheej txhua hnub, yog koj xav tias nyob tsis zoo, ntau ntsuas ntsuas ntshav qab zib thiab zis, kuaj zis rau cov tshuaj acetone, txuas ntxiv kev kho mob nrog cov tshuaj insulin lossis cov ntshav qab zib, nrhiav kev pab kho mob.

6. Mob kis tus kab mob, siv sijhawm tsis txaus thiab ua haujlwm tsis txaus ntawm cov tshuaj insulin, lub hlwb thiab lub cev qaug zog, tag nrho cov kev ua txhaum ntawm kev noj zaub mov txhua hnub thiab kev noj zaub mov, thiab lwm cov laj thawj tuaj yeem ua rau decompensation ntshav qab zib thiab kev loj hlob ntawm coma.

7. Thaum xaiv txoj haujlwm thiab kev ua haujlwm rau tus neeg mob ntshav qab zib, kev txwv vim muaj cov yam ntxwv ntawm tus kab mob thiab qhov xav kom tiv thaiv nws cov teeb meem yuav tsum tau siv rau hauv. Cov txheeb ze thiab cov phooj ywg yuav tsum paub txoj cai rau pab txo ntshav qab zib.

8. Kev mob ntshav qab zib kho tsis tuaj yeem yog ib qho kev cuam tshuam rau kev sib yuav thiab tsev neeg ib txwm muaj. Txhawm rau kom paub ntxov thiab tiv thaiv kev txhim kho mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau ua ntu zus (1-2 zaug hauv ib xyoos) tshuaj xyuas lawv cov menyuam.

9. Txhawm rau tiv thaiv cov kev mob tshwm sim, ntawm cov qhov txhab feem ntau ntawm lub qhov muag, ob lub raum, siab, ceg, kab mob ntawm cov hlab ntsha, cov pos hniav, tus neeg mob ntshav qab zib mellitus yuav tsum nyob hauv kev saib xyuas tas li, tau sau npe hauv lub tsev kawm ntawv sib faib.

Cov ntsuas mob ntshav qab zib muaj xws li: kev noj qab nyob zoo, muaj kev xiam oob khab, tsis muaj nqhis dej, lub qhov ncauj qhuav, tsis muaj cov cim ntawm kev puas tsuaj rau lub qhov muag, raum, mob siab, lub paj hlwb, txhais ceg, lub qhov ncauj tawm, tshem tawm ntawm 1.5-2 liv zis ib hnub thiab qhov qhaj lossis ib co kua nplaum ntawm cov piam thaj hauv nws, ntshav qab zib mus txog 7.8-8 mmol / l yam tsis muaj kev hloov pauv nyob hauv nws cov kev xav thaum nruab hnub.

Tus neeg mob uas muaj ntshav qab zib yuav tsum nrog nws nyob tas li thiab nyob hauv qhov chaw mus cuag tau “Daim npav ntawm tus neeg mob ntshav qab zib”, uas yog tsim nyog rau kev kho mob sai raws sijhawm yog thaum nws rov qab tsaug zog (tsis nco qab lawm) lub xeev.

Yog koj xav tias cov ntaub ntawv tsim nyog lossis kev khomob tshwj xeeb tsis muaj kev tswj hwm tus mob ntshav qab zib tau zoo, tiv tauj koj lub koom haum ntshav qab zib hauv zej zog.