Loog ntawm cov ntiv taw thiab taw hauv ntshav qab zib

Ntshav qab zib mellitus yog ib qho mob hnyav uas tshwm sim nrog ntau pathologies ntawm cov plab hnyuv siab raum thiab lub nruab nrog. Mob ntshav qab zib ua rau muaj kev hloov pauv tsis tau hauv cov plab hnyuv siab raum ntawm lub zeem muag, hauv lub siab thiab cov hlab ntshav, nyob rau hauv nruab nrab thiab ntu hlab ntsha tsis zoo.

Yog li, cov neeg mob ntshav qab zib feem ntau yws yws ntawm cov mob hnyav uas yuav pib tshwm sim yuav luag pib txij li thawj hnub pib ntawm tus mob. Ib qhov kev tsis txaus siab uas nquag muaj ntawm tus neeg mob ntshav qab zib yog txuam nrog kev tsis muaj zog ntawm cov ntiv taw, uas dhau sij hawm poob lawv qhov rhiab thiab txias mus rau qhov kov.

Cov tsos mob zoo li no qhia qhov kev txhim kho ntawm cov kev mob tshwm sim tshaj plaws ntawm cov ntshav qab zib mellitus - angiopathy thiab neuropathy, uas yog tus cwj pwm los ntawm kev puas tsuaj loj rau cov hlab ntsha loj thiab me me thiab cov leeg xaus. Sij hawm dhau mus, lawv tuaj yeem ua rau lub txim tsis zoo, txog qhov raug tshem tawm ntawm nqua.

Yog li, nws tseem ceeb rau txhua tus neeg mob ntshav qab zib kom paub vim li cas nws cov ntiv taw txhaws thiab yuav ua li cas thiaj li kho tau tus mob ntshav qab zib ntshav qab zib no.

Qhov laj thawj tseem ceeb yog vim li cas thiaj li loog ntawm cov ntiv taw nrog ntshav qab zib raug pom tias yog kev ua txhaum ntawm cov ntshav ncig thiab cov hlab ntsha ntawm tus taw. Cov tsos mob no tau tshwm sim muaj tshwm sim ua ntu zus los ntawm cov ntshav qab zib, uas ua rau cov phab ntsa ntawm cov hlab ntshav thiab cuam tshuam tsis zoo rau hemostasis.

Qhov no cuam tshuam loj dua qhov microcirculation ntawm cov ntshav hauv qis qis, uas cuam tshuam rau cov txheej txheem hauv cov metabolism hauv cov ntaub so ntswg. Raws li qhov tshwm sim ntawm qhov no, cov neeg mob ntshav qab zib feem ntau muaj loog ntiv tes thiab qee zaum txhua txhais taw. Tsis tas li ntawd xwb, vim tsis muaj ntshav txaus txaus, ob txhais ceg hauv cov ntshav qab zib muaj peev xwm khov txawm tias huab cua sov.

Cov khoom noj tsis zoo ntawm lub cev tseem ua rau kev tuag qeeb zuj zus ntawm cov hlab ntsha ntawm qhov qis qis, uas cuam tshuam nrog kev coj ua tsis zoo ntawm cov hlab ntsha cuam tshuam rau lub hlwb.

Qhov xwm txheej no dhau sijhawm ua rau qee qhov kev ua tiav lossis tsis hnov ​​zoo hauv cov ceg thiab ua rau muaj kev pheej hmoo ntawm kev raug mob ntawm ko taw, yog li kev saib xyuas ko taw rau ntshav qab zib yog qhov tsim nyog.

Loog ntawm ob txhais ceg muaj ntshav qab zib tsis yog tib lub cim ntawm kev mob mus ncig rau hauv ko taw xwb. Lub xub ntiag ntawm cov tsos mob hauv qab no tseem qhia qhov kev cuam tshuam no:

  1. Lub teeb thiab qee zaum khaus tingling hauv ceg,
  2. Xav tias zoo li goosebumps khiav ntawm taw
  3. Mob thiab hlawv rau sab hauv qab
  4. Mob heev ntawm ob txhais ceg,
  5. Hnov txias los yog txhais ceg sov
  6. Kev txhim kho ntawm cov hlab ntsha sib txawv ntawm cov taw, uas tau pom nyob hauv kev ua kom muaj zog ntawm cov leeg ntshav.

Ntiv taw cuam tshuam ntau dhau los ntawm cov ntshav ncig tsis txaus, cov hlab ntsha ntawm thaj chaw yog qhov feem ntau cuam tshuam rau kev puas tsuaj ntawm cov ntshav qab zib. Thaum pib, tus mob no tshwm sim nws tus kheej tsuas yog tom qab lub cev hnyav dhau los, piv txwv li, ua kis las lossis taug kev ntev.

Lub sijhawm no, tus neeg mob ceeb toom tias nws cov ntiv taw txhaws heev, plam lawv qhov kev xav rhiab thiab tsis txias.

Cov tib neeg tuaj yeem pom thaum lub sijhawm muaj kev sib raug zoo los yog huab cua txias, tshwj xeeb tshaj yog tias tus neeg mob hnav lub teeb khau tawm ntawm lub caij. Tsis tas li, ស្ព loog ntawm cov ntiv tes tuaj yeem tshwm sim thaum da dej txias lossis dej kub dhau.

Txhawm rau nrog cov tsis xis tsis tshua meej, cov neeg mob, raws li txoj cai, pib nquag rub cov ntiv taw nrog lawv txhais tes. Qhov no pab ua kom ib ce muaj zog ib ntus hauv ob txhais ceg thiab txhim kho cov ntshav ncig, tab sis nws tsis daws teeb meem nws tus kheej.

Yog tias tam sim no tus neeg mob tsis nrhiav kev pab ntawm neuropathologist, ces qhov kev cuam tshuam no yuav loj hlob sai, cuam tshuam rau ib qho loj ntawm ko taw. Ntawm cov tom kawg, pob taws yuav raug cuam tshuam, uas yuav ua rau nws muaj peev xwm ua rau mob ncauj plab heev, qhov kev kho mob ntawm qhov ncauj thiav hauv ntshav qab zib mellitus tuaj yeem tshwm sim nrog cov kev phom sij txaus ntshai.

Kev tsis muaj ntshav txaus rau lub cev yuav ua rau qhov yeej ntawm qhov ntau ntawm cov xov paj hauv lub paj hlwb, uas qhov kawg yuav ua rau cov teeb meem hauv qab no:

  • Ua txhaum ntawm qhov kev xav ntawm ob txhais ceg,
  • Kev ua txhaum ntawm kev ua si lub cev muaj zog ntawm ob txhais ceg, uas tuaj yeem hais tawm hauv kev hloov pauv ntawm gait thiab txawm tias tuag tes tuag taw ntawm qis qis,
  • Kev qhuav ntawm lub cev thiab tawv nqaij ntawm cov tawv nqaij ntawm ob txhais ceg, cov tsos ntawm trophic mob rau ntawm tsob ntoo cog ntawm sab taw, uas tom qab ntawd tuaj yeem tig mus rau qhov ua paug qhuav (mob ntshav qab zib ko taw),
  • Feem ntau ntawm cov mob nyhav, txhais ceg txiav ntshav qab zib hauv ntshav qab zib.

Txhawm rau zam kom tsis txhob cuam tshuam qhov cuam tshuam, nws yog ib qho tseem ceeb kom nkag siab tias loog hauv ntshav qab zib yog cov tsos mob hnyav uas qhia tau tias kev loj hlob ntawm cov teeb meem txaus ntshai.

Yog li, nws txoj kev kho mob yuav tsum tau pib thaum ntxov li sai tau, thaum tseem muaj lub sijhawm los kho cov ntshav kev rov qab los thiab kev hnov ​​mob hauv ceg.

Lub hauv paus rau kev kho mob ntawm txhua yam teeb meem ntawm ntshav qab zib yog nruj tswj hwm ntshav qab zib. Ntxiv rau, kev ua raws li kev noj haus kho mob thiab kev tawm dag zog ib txwm muaj yog qhov tseem ceeb hauv kev txhim kho tus neeg mob lub neej.

Rau cov neeg mob uas muaj ntshav qab zib hom 2, nws tseem yog ib qho tseem ceeb uas yuav tsum tau noj tshuaj pab txhawm rau txhawm rau txo cov piam thaj hauv lub cev. Qhov no yuav pab txhawm rau txhim kho txoj haujlwm ntawm lub siab thiab tag nrho cov hlab plawv, txo ntshav siab thiab nce metabolism.

Tsuas yog tom qab tus neeg mob ua tiav rau kev ua kom muaj ntshav qab zib kom nws muaj peev xwm pib kho cov ceg tawv uas zoo. Txawm li cas los xij, cov neeg mob ntshav qab zib uas xav paub tias yuav ua li cas yog tias lawv ob txhais ceg mus loog yuav tsum nkag siab tias qhov mob ntshav qab zib no tuaj yeem kho tau tsuas yog muaj cov kev cuam tshuam loj ntawm cov teeb meem.

Txoj kev kho kom zoo rau cov ceg tawv yuav tsum tau suav nrog kev noj cov tshuaj uas tsim nyog thiab hla dhau cov txheej txheem tshwj xeeb ntawm lub cev.

Ib daim ntawv qhia txog kev kho mob yog raws li nram no:

  1. Cov txheej txheem nyuaj ntawm cov vitamins ntawm pab pawg B. Tshwj xeeb thiamine (B1) thiab pyridoxine (B6), uas ua rau cov hlab ntsha ua kom rov muaj zog thiab rov qab ua kom zoo rau cov ceg,
  2. Tshuaj zoo anticonvulsant. Nws yuav tsis tsuas yog pab txo cov leeg nqaij leeg, tab sis kuj txhim kho cov ntshav ncig hauv qis qis,
  3. Txhawb txoj hlab leeg nrog cov txheej txheem ua lub cev ua haujlwm, xws li transcutaneous zaws thiab cov txheej txheem balneological, uas pab ua kom lub zog rov qab los ntawm cov leeg hauv ob txhais ceg.
  4. Qhov yuav tsum tau kho kho txawm tias lub qhov txhab me me thiab cov kab nrib pleb hauv ko taw nrog kev siv cov qhov txhab zoo thiab cov kab mob. Qhov nrov tshaj plaws ntawm lawv yog kev daws teeb meem ntawm Furacilin thiab Miramistin. Thiab rau kev kho mob ntawm bruises nws yog qhov zoo heev rau kev siv tshuaj xws li 0,5% daws ntawm Dimexide hauv novocaine. Cov tshuaj no yuav pab tiv thaiv kom tsis txhob muaj kab mob ntawm daim tawv nqaij puas, uas txhais tau tias tiv thaiv kom tsis txhob muaj kab mob ntshav qab zib.
  5. Yog tias cov tawv nqaij ntawm txhais ceg noj qab nyob zoo thiab tsis muaj kev puas tsuaj, tom qab ntawv kho mob thiab cov txheej txheem dej yuav pab tau zoo heev. Lawv yuav pab tswj ob txhais ceg noj qab haus huv.

Pej xeem sawv daws

Kev kho mob nrog tshuaj ntsuab pab tau zoo rau cov neeg mob kuaj mob ntshav qab zib mellitus, suav nrog txo nws ntawm cov teeb meem ceg. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nkag siab tias tsis yog txhua txoj kev kho mob pej xeem rau kev loog hauv ob txhais ceg tuaj yeem siv rau qhov mob hnyav no.

Nws yuav tsum raug sau tseg tias cov neeg mob ntshav qab zib tsis tau qhia kom siv cov khoom uas npaj los ntawm cov kua txob ntsim, qej thiab lwm cov nroj tsuag kub, vim tias lawv tuaj yeem ua rau tawv nqaij tsis zoo rau tus neeg mob tawv nqaij thiab ua rau mob rwj.

Rau tib qho laj thawj, koj yuav tsum tsis txhob yoj koj txhais taw hauv tshuaj ntsuab kho kom zoo nkauj lossis siv lwm yam zaub mov txawv uas muab cov teebmeem thermal ntawm lub taw. Saib los ntawm cov kev qhia ntawm pej xeem los cuam tshuam nrog kev loog hauv ob txhais ceg, nws yog qhov zoo uas yuav xaiv cov zaub mov txawv yooj yim tshaj plaws thiab nyab xeeb.

Txoj hauv kev zoo ntawm cov tshuaj ib txwm muaj:

Mis nrog zib mu thiab ntsev. Rau daim ntawv qhia no koj yuav xav tau:

  • 2 l mis nyuj
  • 1 liter dej
  • 50 gr ntuj zib ntab
  • 60 gr rooj ntsev.

Ncuav mis nyuj thiab dej rau hauv ib lub lauj kaub enameled. Ntxiv zib ntab thiab ntsev rau lawv thiab sib tov zoo kom txog thaum uas yaj tag. Rhaub qhov sib tov ntawm cov hluav taws kub kom sov, zoo rau daim tawv nqaij. Tsaus cov taw rau hauv kev daws thiab coj ua xws li ko taw da dej rau 10 feeb. Qhov txheej txheem no zoo tshaj plaws nyob rau yav tsaus ntuj ua ntej yuav mus pw.

Cov ua taub liab paum. Ua li no, nws yog ib qho tsim nyog yuav tsum qhib thiab zuaj lub taub dag los yog zom nws rau hauv rab rau hauv lub xeev mushy. Tso cov taub ua tiav lawm tseem sov rau hauv ib lub tais me me thiab txo ob txhais ceg rau nws, uas yog loog. Tuav kom txog thaum lub slurry tau txias. Cov khoom siv raw ntxiv tsis tuaj yeem muab pov tseg, tab sis rov qab siv rau lwm txheej txheem, preheating me ntsis. Cov vis dis aus hauv tsab xov xwm no txuas ntxiv cov ncauj lus ntawm kev saib xyuas ko taw.

Ua rau kom loog thiab tingling ntawm ob txhais ceg

Hauv cov neeg mob uas kuaj pom tus kab mob ntshav qab zib, loog ntawm cov ntiv tes pom. Thiab yog tias tus neeg mob muaj qhov tsis txaus siab, nws yog qhov tsim nyog los pib kho, uas yuav tsum tau ua ntej los ntawm kev kuaj mob.

Tus mob no tuaj yeem tshwm sim vim yog lub nkoj muaj nyob ntawm kev thauj khoom ntau. Lawv cov pa oxygen suffers. Maj mam, kev tuag ntawm cov leeg ua tiav, vim qhov twg cov hlab ntsha tsis ua kom dhau. Raws li qhov tshwm sim, txo qis hauv rhiab heev tshwm sim. Thawj qhov cim ntawm tus mob no yuav yog tus neeg mob cov lus tsis txaus siab ntawm loog thiab mob ntawm ob txhais ceg. Ntau zaus, cov tsos mob pib mloog zoo li hauv taw thiab maj mam txav siab dua.

Qhov laj thawj thib ob rau tus mob no hauv ntshav qab zib tau suav hais tias yog kev cuam tshuam ntawm cov metabolism hauv zuj zus. Hauv qhov kawg, qhov tsim thiab txuam nrog ntawm cov tshuaj lom neeg lom neeg uas rhuav tshem cov ntaub so ntswg tshwm sim. Qhov no yog nrog los ntawm tingling thiab twisting ncus.

Tus mob yuav loj zuj zus yog tias muaj ntau yam xws li:

  • ntev ntev yam tsis muaj kev txav
  • tawm hws ntau dhau
  • tas li kev xav ntawm chilliness ntawm ob txhais ceg,
  • kab mob ntawm cov pob qij txha thiab pob txha ntawm ob txhais ceg,
  • kev ua haujlwm ntawm cov hlab ntsha tsis txaus,
  • kev puas tsuaj rau cov tawv nqaij ntawm ob txhais ceg, mob rwj thiab raug mob,
  • Nkawm khau tsis xis
  • ko taw deformities.

Yog li, nws raug nquahu kom txhua tus neeg ua tib zoo saib xyuas lawv kev noj qab haus huv thiab, yog tias pom muaj pauv hloov hauv lub cev, sab laj nrog tus kws kho mob.

Mob ntshav qab zib Hom 2

Hom ntshav qab zib no muaj qhov tshwj xeeb, uas nquag muaj dua ntxiv - loog ntawm ob txhais ceg. Ntau zaus nws pib tshwm sim nws tus kheej hauv daim ntawv ntawm tus neeg lub siab xav, tab sis lub zog muaj tus kab mob nws tus kheej, lub zog cov tsos mob pib tshwm.

Kev tsim kho hauv ntshav qab zib - tsuas yog haus txhua txhua hnub.

Qhov laj thawj rau qhov kev hnov ​​zoo li no yog neuropathy - qhov xwm txheej uas cov hlab ntshav hauv qhov qis qis tau pib txom nyem vim qhov mob tsis txaus siab. Cov txheej txheem txuas ntxiv mus, qhov ntau dua li qhov kev qhia tawm sab nraud nce:

  • ceg qis muaj qhov kub qis dua qhov seem ntawm lub cev,
  • daim tawv nqaij xiav
  • tsis hnov, pib nrog cov ntiv taw thiab sab saud,
  • Thaum kawg, neuropathy tuaj yeem ua rau ua tiav qhov tsis txaus ntseeg thiab muaj peev xwm taug kev ntawm nws tus kheej.

Thaum saib qhov tsos mob no tus neeg mob yuav tsum tau hu rau lub tsev kho mob kom tau txais kev pab kho mob.

Loog tuaj yeem qhia tias muaj kev cuam tshuam loj heev hauv ntshav qab zib. Yog li, nyob rau hauv muaj cov lus tsis txaus siab, nws yog ib qhov tsim nyog los kho tus mob pib. Tus kws kho mob yuav pom zoo:

  • normalize cov piam thaj ntau ntau,
  • tshem tawm cov khoom tsis zoo tawm hauv lub cev,
  • Txhim kho koj cov zaub mov noj.

Yog tias cov lus qhia no raug ua raws, tus neeg mob yuav hnov ​​zoo hloov hauv nws lub cev.

Nyob rau hauv muaj cov ntshav qab zib mellitus, kev kho mob nyuaj tau pom zoo, uas yuav tsum tau ua nyob thoob plaws hauv tus neeg mob lub neej. Tsuas yog txoj hauv kev no tus kab mob yuav tau them nyiaj thiab nws yuav muaj peev xwm tswj tau kev mob ntshav qab zib, uas yog qhov ua kom loog. Rau qhov no, cov tshuaj feem ntau yog kws kho, qhov kev taw qhia kom txo qis qab zib.

Txhawm rau kom muaj ntshav khiav hauv cov ceg, tus kws kho mob tuaj yeem sau tshuaj anticonvulsants. Ntxiv rau, kev kho mob nyuaj yuav tsum muaj cov vitamins B. Feem ntau lawv tau muab tshuaj los ntawm qhov ncauj lossis ua ib qho kev txhaj tshuaj.

Qhov kev tshwm sim tseem ceeb hauv kev kho mob nyuaj yog tshem tawm ntawm cov tawv nqaij siv cov neeg sawv cev uas muaj qhov txhab zoo thiab cov tshuaj tua kab mob, piv txwv li, kev siv Miramistin lossis Dimexidine. Tsuas yog tias cov qhov txhab tau kho tau tuaj yeem kho hydroprocedures lossis ua cov zaws kho.

Cov tshuaj kho neeg mob

Tawm tsam kev loog, nws kuj raug nquahu kom siv qee yam kev qhia ntawm lwm yam tshuaj. Piv txwv li, koj tuaj yeem tshiav cov roj sib tov ntawm cov kua txob, uas ua rau cov ntshav ncig. Xws li qhov sib tov tuaj yeem npaj tau raws li hauv qab no: 0.5 l ntawm cov roj zaub yog tov nrog 50 g ntawm kua txob kub. Lub txiaj ntsig loj tuaj yeem rubbed rau hauv daim tawv nqaij thiab sab laug rau 30 feeb. Tab sis qhov no tuaj yeem ua tiav yog tias tsis muaj qhov txhab thiab kho cov tawv nqaij.

Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!

Lwm daim ntawv qhia yog siv cov taum taub. Nws yog thov sov, thiab npog nrog ntaub yas los yog daim ntawv ua haujlwm nyob rau sab saum toj, thiab qhwv nrog ib daim ntaub saum toj uas yuav tuav kom sov.

Lwm daim ntawv qhia rau kev ua kom ntshav kev yog cov cawv tincture ntawm kev sib xyaw ntawm nettle thiab wormwood. Txhawm rau npaj cov tincture, 2 g ntawm txhua qhov tshuaj ntsuab yuav tsum, uas yog nchuav nrog 1 feem ntawm dej cawv. Cov dej sib xyaw yog infused rau 20 hnub nyob rau hauv qhov chaw tsaus, thiab tom qab ntawd nws tuaj yeem siv rau cov plaub hau.

Kev suav nrog "tus neeg hais lus" tseem pom zoo. Daim ntawv qhia no yooj yim heev, thiab txhua yam khoom xyaw tuaj yeem yuav hauv tsev kho mob:

  • 5 ampoules ntawm lidocaine,
  • 150 ml ntawm dej qab ntsev,
  • 2 ampoules ntawm hydrocortisone,
  • 50 ml ntawm dimexide.

Nyob rau hauv txoj kev daws teeb meem, soak daim ntaub nyias nyias thiab siv rau ntawm ob txhais ceg.

Thaum kho cov ntshav qab zib, nws yog qhov nyuaj tshaj plaws los nrog nws cov teeb meem. Lub hom phiaj tseem ceeb ntawm kev kho mob feem ntau suav nrog ntau cov tshuaj uas yuav tsum tau siv nyob rau hauv ib puag ncig. Cov kev kho mob nyuaj no tuaj yeem ua rau qee qhov kev mob tshwm sim, piv txwv li, polypharmacy thiab kev fab tshuaj tsis haum. Vim li no, nws yog qhov yuav tsum tau xaiv lwm txoj hauv kev ntawm txoj kev kho, tsis yog-pharmacological, uas feem ntau yog lub cev thiab ua kom lub cev ua ntej yuav tsum muaj.

Ntxiv nrog rau cov tshuaj uas txo cov suab thaj, nws yog ib qho tsim nyog yuav tsum tau ua kev kho mob raws li cov tsos mob. Yog li ntawd, nrog kev loog ntawm nqua, cov txheej txheem ntawm lub cev kev kho mob raug pom zoo, vim tias cov hlab qhov kawg yuav ua kom loj. Cov no suav nrog kev ua pa.

Hauv kev qhia tshwj xeeb, kev kho mob sanatorium-resort yog qhia, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib retinopathy ntawm qib 1-2 nrog peripheral ntshav ncig cov leeg hauv ob txhais ceg, yog tias tsis muaj qhov txhab trophic thiab tshwm sim ntawm kev mob caj dab. Kev kho mob tuaj yeem nqa tawm hauv cov tshuaj ntxuav hluav taws xob hauv zos.

Cov txheej txheem no yog contraindicated yog hais tias nyob hauv keeb kwm ntawm tus neeg mob ntshav qab zib muaj ib qho kev nyiam ntawm lub qog ntshav qab zib, thaum tus neeg mob sai sai los yog tus kab mob nyob hauv theem ntawm decompensation.

Nov yog ib txoj hauv kev los mus ua kom ntshav rov qab los ntawm cov ceg tawv. Nws yuav tsum tau nqa tawm raws li cov txheej txheem hauv qab no: ua ntej qhov chaw ntawm cov ceg qis dua los ntawm pob taws yog massaged nce, qhov zaws yog thawj ua nrog stroking taw, thiab tom qab ntawd ncig.

Tom qab qhov no, koj tuaj yeem pib mus zaws lub plab hlaub tsis muaj cuam tshuam rau popliteal fossa. Tom qab ntawd cov taw yuav tsum "nyem", nws yog qhov yuav tsum tau nyem lub leeg.

Tom qab qhov no, koj tuaj yeem pib mus zaws lub hauv caug, txhais tes yuav tsum ua kev voj voog hauv cov lus qhia sib txawv. Thiab tom qab ntawd koj tuaj yeem nce mus, zaws lub duav los ntawm lub hauv caug mus rau puab tais, yam tsis muaj kev cuam tshuam sab hauv thiab sab nraud ntawm tus ncej.

Teeb meem

Yog tias loog tsuas nyuam qhuav pib nthuav tawm, tom qab ntawd tus mob no tsis thab tus neeg mob ntau ntau, yog li feem ntau ib tug neeg tsis quav ntsej txog cov tsos mob zoo li no.

Tab sis, vam meej, cov tsos mob no tuaj yeem ua rau mob hnyav:

  • maj mam kho cov txheej txheem kho mob, lawv qhov ua tau mob thiab suppuration,
  • ntshav qab zib taw
  • poj laib.

Kev kho cov kab mob no ntau nyuab dua.

Kev tiv thaiv thiab cov lus pom zoo

Txhawm rau txhim kho kev mob ntawm ob txhais ceg, yuav tsum ua tib zoo saib xyuas.

Txhawm rau ua qhov no, nws raug nquahu kom ua raws li cov lus pom hauv qab no:

  • Kev soj ntsuam txhua hnub ntawm ob txhais ceg, tshwj xeeb tshaj yog taw thiab qhov chaw ntawm cov ntiv taw. Nws yog ib qho tsim nyog yuav tsum them sai sai rau qhov mob thiab qhov ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij.
  • Txhua hnub ntxuav ko taw, thaum so koj yuav tsum siv phuam mos.
  • Ua kom raws sij hawm kho cov kab mob fungal nrog kev sab laj kho mob ntawm tus kws kho mob tawv nqaij.
  • Kev xaiv ntawm nkawm khau xis uas yuav tsis nyem thiab raug mob rau koj ob txhais ceg, tiv thaiv qhov pom ntawm caj dab thiab scuffs.
  • Hnav thom khwm sov thiab khau, zam kev ua kom lub cev txias. Tib lub sijhawm, cov ntaub qhwv ua kom sov thiab dej sov so tsis pom zoo, vim tias muaj ntshav qab zib, qhov mob rhiab ntawm daim tawv nqaij poob qis, uas txhais tau hais tias ib tus neeg tuaj yeem mob tau hlawv.
  • Thaum ua cov tawv nqaij, nws tsis pom zoo kom siv cov tshuaj daws teeb meem cawv, nws zoo dua yog siv cov tshuaj pleev tshwj xeeb.
  • Siv cov khoom noj zoo nkauj ua kom tawv nqaij muag muag.

Ntog ntawm cov ntiv taw hauv ntshav qab zib yog qhov tseem ceeb tshaj plaws uas tau lees tias kev hloov zuj zus ntawm tus kab mob. Yog li, xws li lub cim tsis tuaj yeem raug tshem tawm.

Mob ntshav qab zib ib txwm ua rau neeg tuag taus. Noj ntshav qab zib ntau heev yog qhov txaus ntshai heev.

Aronova S.M. muab cov lus qhia txog kev kho mob ntshav qab zib. Nyeem tag nrho

Etiology ntawm kev txhim kho kev loog

Coob tus neeg mob ntshav qab zib feem ntau yws yws tias lawv muaj loog? Tab sis vim li cas qhov no tshwm sim? Qhov tseeb yog tias nyob rau hauv cov neeg mob ntshav qab zib, kev ua haujlwm ntawm cov hlab ntsha tsis muaj peev xwm, thiab lawv tsis tuaj yeem tiv thaiv lawv cov haujlwm.

Hauv qhov no, tag nrho cov plab hnyuv siab raum, nrog rau tib neeg daim tawv nqaij, tsis txaus nkag nrog ntshav thiab oxygen. Tsis tas li ntawd, kev puas tsuaj rau cov hlab ntsha cov hauv paus yog feem ntau pom, vim tias cov hlab ntsha txoj hlab ntshav sim.

Raws li qhov tshwm sim, txhua qhov no ua rau qhov tseeb tias qhov rhiab ntawm qis qis hauv ploj mus. Thiab kev ntxim nyiam yuav txo qis ib zaug ntawm ob txhais taw lossis ib txhais ko taw, lossis qee yam tshwj xeeb ntawm ceg.

Muaj ntau kis xwm txheej uas tuaj yeem ua rau qhov tseeb tias loog ntawm ob txhais ceg nthuav dav nyob rau hauv cov ntshav qab zib mellitus:

  • Tus neeg mob hnav dhau nqaim lossis tsis yooj yim khau rau nws txhais ceg, qhov txiaj ntsig ntawm qhov kev ncig puv yog qhov tsis taus, vim li ntawd, loog hauv ob txhais ceg.
  • Kev siv dag zog ntau dhau lossis ua rau lub neej tsis muaj zog ua rau muaj kev cuam tshuam ntawm cov ntshav ncig tag nrho. Nws yog los ntawm no tias kev loog ntawm nqua tshwm sim. Ntxiv rau qhov ntawd, lawv pheej nyob ua kom txias rau tus kov.
  • Ntsuas ntawm txhais taw tej zaum yog vim pathologies ntawm cov hlab ntshav. Piv txwv li, kev hloov atherosclerotic hauv lub cev cuam tshuam tag nrho cov ntshav khiav, cov hlab ntshav tau nqaim, uas ua rau lub xeev tsis xis nyob.
  • Cov kab mob hauv lub hlwb tuaj yeem ua rau tsis tsuas yog lub cev ntawm tes, tab sis kuj ntawm txhua qhov qis dua. Tawm tsam ntawm cov keeb kwm yav dhau los no, qhov mob siab tshwm sim hauv cov ceg, kev raug mob uas tsis zoo rau lub sij hawm ntev lub sijhawm tshwm.

Raws li rau kis kawg, yog hais tias tus neeg mob muaj ntshav qab zib, tom qab ntawd nws ob txhais ceg tsis tshua muaj kev cuam tshuam, yog li nws yuav tsis pom nyob ntev ntev uas qhov mob tau ua rau ntawm nws txhais ceg.

Mob ntshav qab zib mellitus tuaj yeem ua rau qhov tseeb tias yog tias tsis muaj dab tsi ua rau lub qhov txhab thiab tsis kho, nws zoo li loj hlob, uas yog qhov hloov pauv rau hauv qhov txhab trophic.

Qhov tsis zoo tshaj plaws uas tuaj yeem tshwm sim tom qab yog kev loj hlob ntawm kev ua qias neeg, thiab muaj, kev txiav caj dab ntawm txhais caj npab tsis raug cais.

Kev txuag tshwj tseg

Thaum tus neeg mob tau mob ntshav qab zib mob hauv lub cev neuropathy, yam ntxwv ua tsis muaj loog ntawm qis qis, tom qab ntawv kho yuav pab tau zoo yog tias nws pib thaum pib theem ntawm kev txhim kho ntawm qhov tshwm sim.

Tus kws kho ntshav qab zib uas ua tib zoo saib xyuas nws txoj kev noj qab haus huv, ceeb toom rau cov tsos mob tsis zoo, tuaj yeem tiv thaiv kev mob nyhav, thiab nws muaj feem ntau los cawm lub hauv nruab nrab lub paj hlwb thiab cov hauv paus hniav.

Cov kev kho mob tseem ceeb rau cov ntshav qab zib yog tswj cov qib ntawm cov piam thaj hauv lub cev, thiab nws kuj yog qhov yuav tsum tau rov qab ua haujlwm ntawm txoj hlab ntshav ntawm lub paj hlwb, thiab tag nrho kev ua haujlwm ntawm cov hlab ntsha cuam tshuam.

Raws li txoj cai, kev phais mob tsis ncav cuag, feem ntau nws txaus los cawm tib neeg lub cev los ntawm cov tshuaj lom neeg thiab tsis zoo, qhia tshuaj rau cov ntshav qab zib thiab cov zaub mov noj qab haus huv tshwj xeeb.

Kev kho yuav suav nrog cov khoom hauv qab no:

  1. Kev pom zoo npaj muaj vitamin B yog pom zoo.
  2. Kev tuav tes haujlwm yog nqa tawm, tus yam ntxwv ua haujlwm tsis haum.
  3. Cov tshuaj anticonvulsant tau sau tseg.
  4. Ntawm ntshav qab zib ntawm yam thib ob, cov txheej txheem tau ua tiav uas yog coj los txhawb qhov kawg ntawm cov hlab.

Yog tias tus neeg mob muaj lub cev lossis txhais ceg loog, tom qab ntawd txhua hnub nws yuav tsum ua cov txheej txheem ntawm lub cev. Muaj qee kis, tus kws kho mob yuav pom zoo kom muaj kev kho mob lub cev ib leeg.

Nyob rau hauv rooj plaub thaum tiv thaiv keeb kwm ntawm cov ntshav qab zib mellitus thiab loog ntawm qis qis tsis muaj kev nce ntxiv ntawm cov no, zaws kho yuav pom zoo.

Ntau tus neeg mob txaus siab, tab sis qhov kev kho yuav pab nrog txoj kev kho mob pej xeem? Raws li rau lwm txoj kev kho mob, muaj ntau yam zaub mov txawv rau loog ntawm qhov kawg, tab sis rau cov ntshav qab zib lawv yuav ua pov thawj tsis muaj txiaj ntsig, vim tias yog vim li cas cov lus qhia hauv cov ntshav qab zib siab.

Lub hauv paus rau kev kho mob kom vam meej, nrog rau ntau yam mob ntsig txog ntshav qab zib, yog qhov ib txwm ua ntawm cov piam thaj hauv lub cev.

Kev tiv thaiv kev ntsuas

Paub txog tias ib qho kev xav loog tseem ceeb txo qis rhiab, thiab cov mob ntshav qab zib kuj tsis tshua pom daim tawv nqaij puas, koj yuav tsum ua raws li lub sijhawm thiab kev tiv thaiv txhua hnub.

Nws yuav tsum tau rov qab hais tias cov ntshav qab zib mellitus hloov pauv hloov hauv tib neeg lub neej, hauv paus rau kev txo qhov feem ntau ntawm cov teeb meem yog cov zaub mov muaj piam thaj ntau, kev tawm dag zog, mus ntsib kws kho mob.

Txoj cai tseem ceeb ntawm txhua tus mob ntshav qab zib yog kuaj nws ob txhais ceg txhua hnub rau kev puas tsuaj rau daim tawv nqaij. Yog hais tias txawm tias qhov mob me me lossis khawb me me, nws yuav tsum tau kho tam sim ntawd, siv ib daim ntaub qhwv.

Thaum nws kho tsis tau ntev, koj tsis tas yuav sim kho qhov teeb meem ntawm koj tus kheej, koj yuav tsum tau kho mob sai thiab nrog kws kho mob tham.

Kev tiv thaiv kab mob ntshav qab zib muaj cov kev ua hauv qab no:

  • Saib xyuas koj cov rau tes ze, nws tsis pom zoo txiav hauv qab cov hauv paus kom tsis suav qhov ua tau rau kev raug mob ntawm daim tawv nqaij.
  • Txuas ntxiv tshuaj xyuas thaj chaw sib xyaw rau cov qhov txhab, hu ua fungi.
  • Yog tias tsis muaj qhov puffiness, tom qab ntawd koj tuaj yeem zaws lub hauv qab nqaj hauv tsev, siv zaws lossis roj tseem ceeb los txhawb kev ntshav.
  • Ntxuav cov ceg qis dua ob peb zaug hauv ib hnub. Koj tsis tuaj yeem so lawv nrog phuam, nws pom zoo tsuas yog ntub me ntsis, thiab tom qab ntawd kho nrog cov hmoov tshwj xeeb.

Cov khau yuav tsum yog qhov loj me, xis thiab xis. Cov thom khwm tsim los ntawm cov ntaub qhwv ntuj. Yog tias cov pob txha tau tshwm sim, koj tsis tas yuav siv cov ntaub nplaum tshwj xeeb. Cov khaub thuas zoo yuav pab tshem tawm cov ntxhib ntawm daim tawv nqaij.

Numbness ntawm ob txhais ceg thiab kev loj hlob ntawm lwm yam kev mob cuam tshuam nrog ntshav qab zib mellitus tuaj yeem tiv thaiv ntau dua yog tias koj tswj hwm koj cov ntshav qab zib, noj txoj cai, soj ntsuam qhov mob ntawm qhov qis qis, thiab them nyiaj tshwj xeeb rau koj nkawm khau.

Koj xav li cas txog qhov no? Koj yuav tiv thaiv koj ob txhais ceg li cas, thiab koj tuaj yeem ua li cas tiv thaiv kev nyab xeeb?

Ua rau muaj ceg tawv loog

Nrog rau cov ntshav qab zib, lub hauv nruab nrab thiab peripheral cov leeg hlwb muaj mob. Yog li no, cov neeg no tau pom zoo kom pom zoo los ntawm tus kws kho mob endocrinologist thiab tus kws kho paj hlwb. Tus txheej txheem ntawm cov tsos mob rau cov ntshav qab zib yog raws li nram no: vim muaj qhov tsis tu ncua nyob rau hauv cov ntshav ntawm cov piam thaj hauv qhov ntau dhau, me me thiab tom qab ntawd qhov tseem ceeb dua qhov txhab ntawm cov hlab ntsha thiab cov leeg paj.
Txawm li cas los xij, feem ntau ntawm cov neeg mob, kev loog ntawm ob txhais ceg nrog ntshav qab zib yog sau tseg. Tus kab mob muaj feem xyuam nrog qee yam ntxwv ntawm lub cev, uas yog qhov tseeb hais tias ib tus neeg loj thiab cov hlab ntsha me me ntawm txhais ceg sawv cev ntawm lub voj voog loj ntawm cov ntshav ncig. Cov ntiv taw mob yog qhov txaus ntshai vim qhov tseeb tias qhov muaj tshwm sim ntawm cov kab mob pathology hauv ntshav qab zib tsis yooj yim los nres:

  • kev puas tsuaj me tshwm sim, tom qab uas atherosclerotic plaques tshwm sim
  • cov neeg kawm ntawm elasticity ntawm phab ntsa txo, thiab yog li ntawd cov ntshav khiav nrawm yog aggravated thiab stagnation yog tsim,
  • Raws li qhov tshwm sim, puffiness tshwm, cov kab mob ntawm txoj hlab ntaws sib zog ntxiv, paresthesias ntxiv ntxiv tshwm sim - lawv tuaj nrog kub, loog.

Cov txheej txheem pathological cuam tshuam cov ntiv taw thiab nce siab dua. Txhawm rau nkag siab qhov ua rau ntawm loog, cia peb paub txog txoj kev kho mob.

Tus txheej txheem ntawm kev txhim kho pathology

Thaum cov phab ntsa raug puas ntsoog, cov hlab ntsha poob lawv cov suab nrov thiab ib txwm muaj peev xwm ntawm permeability. Raws li qhov tshwm sim ntawm qhov no, kev tiv thaiv cov ntshav mus rau qhov kawg tshwm sim. Tus txheej txheem ntawm kev txhim kho ntawm tus mob pib nrog qhov txo qis hauv daim tawv nqaij, tom qab ntawd nws ua daj ntseg, thiab tom qab ntawd xiav. Lwm qhov kev rau txim ntawm loog ntawm cov ntiv taw yuav suav tias yog kev tsis zoo hauv kev xa cov hlab ntsha hauv cov ntshav qab zib mellitus thiab kev txhim kho ntawm neuropathy.

Cov kws kho mob tau qhia txog qhov tseeb txog tus mob ntshav qab zib! Mob ntshav qab zib yuav ploj mus nyob rau hauv 10 hnub yog tias koj haus nws sawv ntxov. »Nyeem ntxiv >>>

Cov theem tom ntej ntawm loog yog ib qho kev txhaum cai tas mus li ntawm qhov kev hnov ​​mob ntawm ob txhais ceg, qhov tshwm sim ntawm kev cuam tshuam cuam tshuam nrog gait. Tsis tas li ntawd, qhov mob ntshav qab zib yuav ua rau mob ncauj plab, plhws ntawm daim tawv nqaij, ua rau tawg thiab txawm tias mob caj dab qhuav. Feem ntau, yog tias koj tsis pib txoj kev ua kom rov zoo rau hauv lub sijhawm, tsuas yog txoj kev tawm mus xwb yuav txiav tu ntawm txoj haujlwm.

Cov txheej txheem ntawm kev hloov cov piam thaj hauv cov ntshav thiab loog kuj tseem cuam tshuam nrog qhov tseeb tias:

  1. raws li cov kev ntxhov siab hauv cov ntshav ncig ua rau kev txom nyem, tus nqi ntawm qhov tsis hnov ​​yuav nce ntxiv,
  2. muaj kev pheej hmoo loj ntawm kev raug mob lossis sab nraud raug puas tsuaj,
  3. muab cov qis qis rau loog tas li, cov ntshav qab zib yuav tsis mob siab rau tej qhov txhab me lossis khawb,
  4. kev kho mob ntawm tom kawg raug nquahu kom sai, ua tib zoo saib xyuas thiab siv sijhawm.

Hauv cov ntshav qab zib mellitus, cov ntaub so ntswg cov qauv tsim kho tsis zoo (kho) tsis zoo. Yog li ntawd, txawm tias qhov kev ua txhaum me me ntawm kev ncaj ncees ntawm daim tawv nqaij sab nraud tuaj yeem degenerate mus rau lub sijhawm ntev tsis kho qhov mob txhab.

Muaj teeb meem tshwm sim

Feem ntau, loog ntawm qhov kawg ntawm cov ntshav qab zib ua rau muaj kev cuam tshuam uas tuaj yeem ua rau txawv txav ntawm cov leeg. Cov no tsis yog ib qho tseem ceeb ib txwm tshwm sim, tab sis lawv tau raug ntsuas raws qhov hnyav heev. Yog li, nrog kev tsim ntawm angiopathy thiab neuropathy, qhov kev ua txhaum hnyav ntawm tus mob yog qhia tau.
Yog tias nyob rau theem pib ntawm tus ntiv tes ntawm qhov qis qis mus rau loog, tom qab ntawd nws cuam tshuam rau txhais taw thiab txawm tias ob txhais ceg mus txog theem ntawm lub hauv caug. Nyob rau theem no, tus mob ntshav qab zib feem ntau yws yws ntawm qhov tsis xis nyob, ua rau nws hloov mus rau tus kws tshaj lij. Qhov tshwm sim txhim kho xws li mob ntshav qab zib taw, qhov kev ua kom zoo ntxiv ntawm cov txheej txheem kho kom zoo (maj mam kho ntawm txawm tias lub qhov txhab me me, nyiam ua kom suppuration thiab o). Cov npe ntawm cov teeb meem thiab cov kev rau txim loj yog ntxiv los ntawm:

  • kev sib deev lesion,
  • qhov xav tau ntawm kev tshem tawm ntawm ib qho povtseg,
  • muaj mob hnyav rau lwm yam hauv nruab nrog cev - feem ntau feem ntau vim yog cov ntshav lom.

Vim qhov mob tshwm sim ntau dua los ntawm kev loog ntawm cov ntiv taw, nws raug nquahu tias yuav tsum tau kho kom sai li sai tau.

Kho mob loog hauv caj npab thiab ceg

Ua ntej pib kev kho mob txhawm rau txhais ceg ntshav qab zib hauv ntshav qab zib, kev kuaj mob tag nrho yog tsim nyog. Nws muaj nyob rau hauv kev tshuaj xyuas thiab kuaj cov mem tes hauv qab ntawm qhov qis kawg, saib xyuas qhov ntsuas ntawm kev hnov ​​tau. Nws tseem yog qhov tseem ceeb uas yuav tsum tau muab ib qho ultrasound ntawm cov hlab ntsha ntawm cov ceg nqaj, kom koom nrog kev txheeb xyuas ntawm cov leeg hlab hlwb thiab electroneuromyography. Nws yog tom qab qhov no koj tuaj yeem pib kho ko taw rau ntshav qab zib.
Ntshav qab zib Hom 2 yog ua tiav tau zoo los ntawm kev siv cov npe txo cov ntshav qab zib. Nws yog ib qho tseem ceeb uas yuav tsum tau ntau npaum li cas ntawm cov tshuaj yuav tsum tau xaiv kom tsim nyog thiab txo cov ntshav qab zib kom tsawg. Tsis tas li ntawd nyob rau hauv kev kho mob ntshav qab zib pathology ua lub luag haujlwm loj hauv kev ua kom ntseeg tau muaj cov cim tseem ceeb (ntshav siab, lub plawv dhia, tus nqi ntawm metabolic).
Nws raug nquahu kom kho loog thaum pib theem vim yog kev kho tus mob. Nws muab tag nrho ntau yam ntawm kev ntsuas uas siv tau tsuas yog tom qab qhov normalization ntawm cov piam thaj hauv cov ntshav. Rau kev kho kom zoo ntawm cov kev loog ntawm sab qis qis, nws raug nquahu:

  • Siv cov qeb B npaj rau qeb B. Thiamine (B1) zoo li pyridoxine (B6) yog cov siv tshwj xeeb.
  • Thov siv cov tshuaj anticonvulsants, nrog rau cov uas ib txwm ua kom cov ntshav xa mus rau nqua.
  • Pab txoj hlab ntshav kho nrog cov kev siv lub cev. Piv txwv, kev hloov chaw kho mob, kev coj ua ntawm cov txheej txheem lub cev muaj peev xwm ua tau zoo nyob rau hauv cov phiaj xwm tshaj tawm.

Nws raug nquahu kom kho xws li loog uas ua rau lub cev tsis huv, tawv nqaij thiab tawg nrog kev pab ntawm cov tshuaj tua kab mob thiab kho qhov txhab. Hauv cov ntawv teev npe no yog kev daws teeb meem ntawm nitrofuran antimicrobial tebchaw (Furacilin).
Miramistin khav theeb cov nyhuv tshuaj tua kab mob zoo heev. Piv txwv li, ib qho 0.5% daws ntawm Dimexidum hauv novocaine tuaj yeem siv los kho qhov mob ntawm cov nqaij doog thiab mob doog ntshav, nrog rau mob doog ntshav. Tom qab kho nto, zaws thiab hydrotherapy yog qhov pom zoo.
Kev tawg nyob rau hauv daim tawv nqaij ntawm taw thiab ntiv tes tsis xav tau kev ua tib zoo saib xyuas. Txoj kev kawm kom zoo rau microcracks ntawm ntshav qab zib hom II ntawm tus taw kuj suav nrog ntau yam kev ntsuas coj los ua kom ntshav ntws txaus thiab qhov ntsuas ntshav tsis haum.

  1. siv cov kev txhaj tshuaj lossis qhov ncauj vitamin npaj rau qeb B,
  2. cov txiaj ntsig zoo heev yuav tau lees paub thaum siv cyancobalamin (vitamin B12), zoo li pyridoxine lossis thiamine,
  3. cov khoom sib xyaw nthuav tawm ntawm cov vitamins tuaj yeem ntxiv nrog kev siv sab nraud ntawm retinol (vitamin A), novocaine kuj tseem siv tau.

Loog ntawm ntshav qab zib mellitus feem ntau kho raws li cov ntsuas ib yam. Txhawm rau txo qis ntawm kev txhim kho ntawm cov teeb meem, nws raug nquahu kom koj paub koj tus kheej nrog kev tiv thaiv kev tiv thaiv kom tshem tawm loog ntawm nqaj.

Kev tiv thaiv kev ntsuas

Txog tus mob ntshav qab zib, nws yog ib qho tseem ceeb rau lwm tus yuav tsum tau saib xyuas thiab ua tib zoo saib xyuas lawv ko taw. Nws raug nquahu kom koj tswj koj cov ntshav qabzib hauv lub ntsej muag thiab zam kom txhob poob sai lossis nce rau hauv koj cov ntshav. Nws yog ib qho tseem ceeb kom sab laj tus kws kho mob neuropathologist rau thawj zaug tsos mob ntawm tus mob hnoos qeev. Qhov tseem ceeb sib luag rau cov neeg mob ntshav qab zib:

Siv sijhawm los kho qhov mob, txha nqaj thiab doog ntshav. Hnav cov khau kom yooj yim tshaj plaws, suav nrog orthopedic, yog tias tsim nyog. Nyob rau hauv lub neej yav tom ntej, qhov no yog dab tsi uas yuav ua kom tsis txhob muaj kev tsim cov chafing, maceration thiab calluses.

Ntshav qab zib mellitus pom zoo los ntawm DIABETOLOGIST nrog kev paub txog Aleksey Grigorievich Korotkevich! ". nyeem ntxiv >>>

Tshem tawm cov kev kub ntxhov thiab cov hlab ntsha overload, uas yuav muaj kev cuam tshuam zoo rau qhov xwm txheej dav dav ntawm cov qis qis.
Cov kev tiv thaiv txuas ntxiv tom ntej yuav tsum txiav txim siab tswj hwm koj tus kheej kev noj zaub mov kom zoo. Nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom txo lawv cov khoom noj uas muaj qab zib, hmoov txhuv nplej siab, thiab cov zaub mov kom sib xyaw. Koj tuaj yeem nce qhov feem ntawm cov piam thaj ib nyuag me me thiab tshwj rau tus nqi ntawm cov txiv hmab txiv ntoo.
Nws raug nquahu kom tso tseg kev siv cov khoom noj muaj roj thiab cov uas suav nrog qhov tseem ceeb ntawm cov cholesterol. Qhov no yog qhov txaus ntshai, vim hais tias yav tom ntej nws tuaj yeem ua rau atherosclerosis. Tsis tas li, cov ntshav qab zib tau pom zoo kom siv cov vitamins thiab ntxhia kom ntau ntxiv. Qhov no yuav ua kom paub tseeb tias muaj kev tiv thaiv cov vitamins tsis muaj peev xwm thiab kev ua txhaum ntawm qhov ib txwm muaj ntawm kev sib txuas ntawm cov hlab ntsha. Qhov muaj txiaj ntsig tshaj plaws hauv qhov no yog kev npaj uas muaj zinc thiab magnesium.

Cia Koj Saib