Teeb meem ntawm ob txhais ceg (kab mob) los ntawm ntshav qab zib - ua thiab kho

Cov kab mob ua rau ntev ntev ntawm lub ntsej muag thiab insulin cov tshuaj hormones tsis txaus rau cov neeg mob ua rau muaj ntau yam teeb meem. Cov kab mob ntawm ob txhais ceg nrog ntshav qab zib muaj mob ntau heev. Lub luag haujlwm ntawm tus kws kho mob thiab tus neeg mob yog los txo cov kev pheej hmoo ntawm cov kab mob pathologies, vim tias tus neeg laus dua, qhov ntau dua ntawm kev puas tsuaj rau qhov qis qis.

Vim li cas Hom 1 thiab Hom 2 Ntshav Qab Zib muaj cov teeb meem ceg

Txij li thaum ntshav qab zib muab cov nyom rau cov ceg, kev kho mob yog qhov tsim nyog, txwv tsis pub lub txim yuav yog qhov kev mob siab tshaj plaws (txog kev txiav tawm). Cov ntshav qab zib hauv cov ntshav yog txaus ntshai heev rau lub cev. Cov kua nplaum nyob rau hauv ib txwm mloog muab lub zog thiab txhim kho cov haujlwm tseem ceeb ntawm cov plab hnyuv siab raum thiab lub nruab nrog cev, tab sis ntawm cov ntshav qab zib, ntawm qhov tsis sib xws, nws yuav siv lub zog, rhuav tshem cov vascular thiab cov leeg.

Ob txhais ceg nyob deb ntawm lub siab, yog li lawv raug kev txom nyem feem ntau los ntawm kev txhim kho ntawm cov teeb meem mob ntshav qab zib hom 2. Vim yog cov ntshav khiav tsis zoo thiab lub cev niaj hnub txav mus los, cov txheej txheem pathological tshwm sim hauv tus taw. Nrog kev nce qib ntawm cov tshuaj glycosylating, cov myelin sheath ntawm cov hlab ntaws yog maj maj pov tseg, thaum cov xov tooj ntawm cov hlab ntaws txo qis heev.

Lwm qhov kev tsis txaus siab ntxiv ntawm ob txhais ceg yog ib qho ntawm cov hlab ntsha nqaim. Kev txhaws ntawm cov hlab ntaws ua rau muaj kev rau txim loj: cov ntshav kev nyob rau hauv cov ntaub so ntswg loj dua, cov hlab ntsha hnav tawm, deform, nyias nyias thiab tawg. Cov nqaij mos ua kom tsis muaj mob, lawv lub hlwb maj mam tuag, uas yog nrog txoj kev ua laib.

Cov laj thawj tseem ceeb uas ua rau muaj ntshav tsawg ntawm cov ntshav qab zib muaj xws li:

vascular pathologies ua rau cov ntaub so ntswg hypoxia,
neuropathy, tus cwj pwm los ntawm qhov txo qis hauv qhov tsis hnov mob thiab loog ntawm ob txhais ceg,
kev rog dhau hoom, uas ua rau muaj kev hnyav dhau ntawm cov pob txha thiab cov leeg,
haus luam yeeb thiab lub cev tsis ua haujlwm.

Dab tsi ntawm qhov chaw mob muaj kev cuam tshuam los ntawm ob txhais ceg ntawm cov ntshav qab zib

Feem ntau, cov neeg mob ua mob rau cov ntshav qab zib mellitus yog txuam nrog:

fungus ntawm ntsia hlau paib thiab taw,
gonarthrosis
kev ua laib (necrosis),
ntshav qab zib taw
sib sib zog nqus uas tsis kho kom zoo
mob ntshav qab zib polyneuropathy.

Tag nrho cov kev mob nkeeg no yuav tsum tau siv tshuaj thiab kho sai sai. Hauv kev ua tiav theem, nws nyuaj heev kom tshem lawv, tshwj xeeb tshaj yog kom tiv nrog lawv cov kev mob tshwm sim.

Mob ko taw

80% ntawm ntshav qab zib hom 2 yog paub tus mob no. Cov kab mob hloov pauv cuam tshuam rau cov pob txha pob txha, poob siab, mob ntshav ntawm lub taw. Tus kab mob no tuaj yeem ua rau qhov tsim muaj cov nqaij ua mob ua ke, feem ntau ua rau lub cev tsis haum.

Mob ko taw mob ko taw tsim nrog:

uas mob ntshav qab zib neuropathy
txog hlab ntsha puas tsuaj,
mob, feem ntau nrog thawj ob yam.

Ntawm cov tsos mob qhia ntawm pathology, muaj:

tas li mob ntawm cov ceg tshwm sim los ntawm deformation ntawm ko taw,
daim tawv liab ncig lub qhov txhab,
o ntawm ob txhais ceg, taw qhia tias muaj txheej txheem o,
tsis muaj plaub hau ntawm pob taws thiab taw,
coarsening thiab tev ntawm daim tawv nqaij,
loog ntawm nqua
ntsia hlau ingrowth,
plantar kev loj hlob (los yog cos),
ntsia thawv pwm.

Cov mob ntsws

Cov kws tshaj lij tau ua pov thawj txoj kev sib raug zoo ntawm cov ntshav siab thiab cov kab mob ko taw. Ntawm cov ntshav qab zib, cov neeg mob yuav tsum tau ceev faj tshwj xeeb txog kev mob ntawm daim tawv nqaij ntawm lawv cov taw.

Qhov tseem ceeb uas ua rau kev loj hlob ntawm tus kabmob muaj xws li:

Koj yuav tsum nrhiav kev pab kho mob yog tias qhov tsis zoo pom nyob rau lub caij nplooj ntoo hlav thiab lub caij ntuj sov. Nyob rau tib lub sijhawm, muaj kev hloov pauv ntawm cov xim thiab cov qauv ntawm cov ntsia hlau rau ntawm cov ntiv tes me me thiab ntiv tes xoo. Yav tom ntej, thaum cov pwm tawg ntau thiab pib tawm tsam rau thaj chaw uas nws tau txiav txim siab, daim tawv ntawm ko taw yuav pib liab, tev tawm, thiab cov kab nrib pleb yuav tshwm ntawm cov ntiv tes, tas li khaus thiab tsis kho.

Ntshav qab zib polyneuropathy

Tus kab mob no tshwm rau cov neeg mob 5-10 xyoo tom qab pib ntawm hom 2 mob ntshav qab zib mellitus. Nov yog swb ntawm cov leeg hlwb, uas yog vim qhov txaus ntshai tshaj plaws ntawm kev mob ntshav qab zib ntawm txhua yam. Cov txheej txheem pathological pib vim oxygen oxygen tshaib plab ntawm lub paj hlwb, uas yog lub luag haujlwm rau khoom noj khoom haus ntawm cov capillaries me me, feem ntau nws raug kev puas tsuaj.

Muaj ob peb theem ntawm tus kabmob:

Subclinical, uas tus neeg raug tsim txom nws tus kheej tsis tuaj yeem pom thaum xub thawj Tsuas yog tus kws kho neurologist tom qab kev soj ntsuam zoo ua rau kev kuaj mob yog tias nws qhia qhov txo qis hauv siab rau qhov kub thiab txias, mob, kev co.
Cov theem kho mob, ua yam ntxwv los ntawm mob ib ce hauv ob txhais ceg, loog ntawm qhov kawg, tsis hnov mob. Nrog daim foos amyotrophic, tus neeg mob yws ntawm cov leeg tsis muaj zog thiab taug kev nyuaj.
Qhov thib peb, theem hnyav, nrog cov tsos ntawm qhov mob txhab rau ntawm daim tawv nqaij ntawm ob txhais taw. Hauv 15% ntawm cov neeg mob no, cov cheeb tsam cuam tshuam tau txiav tawm kom tsis txhob muaj teeb meem.

Qhov mob no muaj nrog maj mam rhuav tshem, rhuav tshem, pob txha mos ntawm lub pob txha mos nyob hauv lub hauv caug. Cov neeg mob tau mob ob txhais ceg, lawv mob thiab taug kev nyuaj. Lub hauv paus chiv keeb ua rau mob arthrosis yog cov teeb meem vascular.

Vim nws qhov ntom ntom nti thiab viscosity, cov ntshav ntawm cov ntshav qab zib maj mam ntws dhau ntawm lub txaj vascular thiab cov chaw ua haujlwm tsis zoo rau lub cev muaj cov as-ham thiab oxygen. Cov txheej txheem ntawm kev tshem tawm cov tshuaj lom thiab toxins kuj nyuaj, uas ua rau kev tsim cov tshuaj lom neeg hauv plab thiab mob.

Ntxiv rau, 85% ntawm cov neeg mob ntshav qab zib yog rog dhau los. Ib qho ntxiv rau kev ua haujlwm ntawm lub hauv caug thawb pob txha mos thiab pob txha mos hypoxia ua rau gonarthrosis (arthrosis ntawm lub hauv caug sib koom tes).

Tawg ntawm ko taw

Ib qho ntawm cov teeb meem daws teeb meem hauv ntshav qab zib yog qhov zoo li tawg ntawm pob taws. Qhov no yog deb ntawm kev kho kom zoo nkauj hauv lub cev uas tuaj yeem kho tau yooj yim nrog kev siv tus pedicure. Kev sib tsoo uas tsis zoo ua rau ntawm ko taw hem rau kev nkag ntawm kev sib kis thiab cov kab mob, uas yog fraught nrog cov kev mob hnyav.

Muaj ntshav qab zib, ntxov lossis tom qab, cov hlab hauv qhov qis qis pib txhawm rau, uas yuav luag txhua zaus los ntawm kev nce thiab ua kom tawv nqaij qhuav. Raws li qhov tshwm sim, daim tawv nqaij ua rau tawg, mob tawm tuaj (tiv thaiv qhov no los ntawm qhov tshwm sim, siv cov tshuaj pleev tshwj xeeb). Yog tias lawv tsis tau pib kho raws sijhawm, kev puas tsuaj ntawm ko taw, mob caj pas, thiab mob rwj yuav pib mob.

Kev txhim kho cov metabolism ua tsis zoo cuam tshuam rau txhua yam kabmob. Raws li cov ntaub ntawv kho mob tsis txaus ntseeg, txhua tus neeg raug tsim txom thib ob tau ntsib kev nyuaj los ntawm kab mob ntsig txog ntshav qab zib. Ib qho mob hnyav tshaj plaws ntawm ntshav qab zib yog cov nqaij mos necrosis vim yog cov ntshav khiav tsis zoo hauv cov nqaij (nqaij hlav).

Ntawm cov tsos mob tseem ceeb ntawm cov txheej txheem pathological, nws tuaj yeem sau tseg:

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva

Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.

Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib kom meej. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

daim tawv hloov xim (cyanosis, liab liab, tsaus nti),
poob ntawm qhov xav ntawm txhais taw,
ntse mob, tsis muaj zog thaum taug kev (tus neeg mob yws tias nws txhais ceg ntog poob),
o ntawm cov ceg cuam tshuam,
tsis kub nyob hauv thaj chaw teeb meem,
nquag tshwm sim ntawm fungal kab mob.

Caj npab qis kev kho mob ntshav qab zib

Tom qab kev kuaj mob, tus kws kho mob qhia hauv kev nthuav dav yuav ua li cas kho ob txhais ceg mob ntshav qab zib. Thaum mob ntshav qab zib polyneuropathy tshwm sim, tus neeg mob yuav tsum:

tso kev muaj yees (haus luam yeeb thiab haus cawv muaj ntshav qab zib yog tsis tsim nyog),
tswj cov metabolism hauv carbohydrate,
noj aldose reductase inhibitors thiab angioprotectors uas kho cov ntshav microcirculation thiab txo cov nyhuv ntawm cov piam thaj ntawm cov leeg hlwb,
haus cov vitamins uas txhawm rau txhim kho kev sib kis ntawm cov hlab ntsha impulses.

Ib qho ntxiv, hemosorption, plasmapheresis, enterosorption, anticonvulsants, cov txheej txheem ua haujlwm ntawm lub cev, ua kom lub cev, kev tawm dag zog tawm yog kho. Yog tias ko taw deformed, lub orthopedist khaws cov khau tshwj xeeb thiab kab.

Nrog ua mob fungal ntawm ob txhais ceg, cov kws kho mob pom zoo kom siv cov tshuaj hydrogen peroxide, chlorhexidine los yog tshuaj pleev cov tshuaj pleev pleev pleev, pleev. Iodine, ci ntsa iab ntsuab thiab potassium permanganate tsis pom zoo. Kev kho cov kab mob ko taw tuaj yeem ntev txog li ib xyoos, nyob ntawm seb qhov mob ntau npaum li cas thiab qhov puas tsuaj ntawm daim tawv nqaij thiab cov ntsia hlau.

Kev kho mob ntawm lub hauv caug arthrosis yog raws li kev siv:

chondroprotectors, rov qab pob txha mos. Tab sis yog hais tias tus kab mob yog nyob rau hauv ib qho tseem ceeb rau theem, thiab lub hauv caug pob txha mos yog kom meej pov tseg, cov tshuaj no yuav tsis pab,
anti-inflammatory tshuaj uas txo qhov o, txo kev o, txo mob,
tshuaj uas txo cov ntshav viscosity thiab nplij cov leeg mob.

Hauv cov xwm txheej siab, ib qho kev ua haujlwm raug ua tiav. Tab sis nws zoo dua yog tsis coj nws mus rau kev phais, vim tias kev tsim dua ntaub so ntswg hauv cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib yog tsawg dua thiab qeeb dua li cov neeg zoo.

Thaum sib sib zog nqus uas tsis tau kho kom zoo, cov kws kho mob tau tshaj tawm cov tshuaj pleev tshwj xeeb, tshuaj pleev, pleev tshuaj pleev, tshuaj pleev, da dej, lim rau cov neeg mob:

roj av jellymoisturizing, disinfecting, muag ntawm daim tawv nqaij. Kev siv cov khoom no tsis tu ncua tom qab da dej ua kom sov tso cai rau koj kom sai sai kho cov kab nrib pleb ntawm tus taw,
fir balm - Ib qho cuab yeej zoo rau kev kho mob sib sib zog nqus. Txhua qhov tawg yog plentifully lubricated nrog lawv, thiab lub paj rwb pas rwb mus tso rau saum,
paraffin compress ua los ntawm melting me ntsis paraffin nyob rau hauv ib cov dej da dej. Txhawm rau kom txias, nws siv rau thaj chaw cuam tshuam, thiab cov thom khwm huv huv tau muab tso rau saum toj.

Nrog kev mob caj dab, txoj kev phais mob feem ntau siv, ua rau muaj peev xwm ua haujlwm tsis taus thiab ua tsis taus. Yog li, ntawm thawj cov tsos mob ntawm tus kab mob txaus ntshai, nws yog ib qho tsim nyog yuav tsum ua txhua yam ua tau kom tshem tawm nws.

Kev tiv thaiv tus kab mob ntshav qab zib ko taw

Txhawm rau tiv thaiv kev raug mob ceg txhawm rau txhim kho nrog hom 2 mob ntshav qab zib mellitus, cov kev tiv thaiv hauv qab no yuav tsum raug pom:

ua txhua yam kom them nyiaj rau qhov mob tsis muaj qab hau (ntshav qab zib mellitus),
tswj ntshav siab
hnav zoo khau ntuj, loj dua yuav haum
txhua hnub ntxuav koj txhais ko taw thiab soj ntsuam ko taw rau kev ncaj ncees ntawm daim tawv nqaij,
zam kev rog dhau los, uas cuam tshuam loj heev rau tus neeg mob thiab txhawb txoj kev loj hlob ntawm cov kev mob nyhav uas cuam tshuam nrog cov ceg,
tsis txhob taug kev liab qab hauv qhov chaw pej xeem (chav dej, da dej, pas dej, puam),
tom qab ntsia ntsia hlau, muab koj cov ntiv tes thiab ko taw nrog cawv,
tsis tu ncua noj tshuaj ntau ntxiv ntawm multivitamins thiab chondropojectors kom tiv thaiv kev sib koom tes arthrosis.

Mob ntshav qab zib, koj yuav tsum nkag siab tias nws yooj yim dua los tiv thaiv kev txhim kho ntawm cov teeb meem dua li los kho lawv tom qab. Mus nrhiav kev pab kho mob kom raws sij hawm, nrog rau kev siv cov lus pom zoo thiab kev tiv thaiv yuav zam dhau lub txim hnyav thiab ncua sijhawm qhov teeb meem cuam tshuam nrog cov qis qis.

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>

Mob ceg hauv ntshav qab zib: ua rau thiab cov tsos mob tshwm sim

Hauv tus neeg mob uas mob ntshav qab zib hauv lub cev, cov txheej txheem tsim dua tshiab. Qhov no yog vim ntshav khiav tsis zoo, uas yog vim li cas cov ntshav txaus tsis nkag mus rau nqua.

Yog li, vim li cas thiaj mob ceg mob ntshav qab zib? Muaj piam thaj ntau hauv cov kua roj ntsha yog qhov lom tau rau txhua yam hauv nruab nrog cev thiab kab ke. Thaum qhov tsis ua haujlwm tshwm sim hauv cov khoom noj ntawm cov carbohydrate, cov piam thaj tsis hloov mus rau hauv lub zog, tab sis ua tshuaj lom rau lub cev.

Cov nyhuv ntawm hyperglycemia ntawm lub cev yog qhov loj-teev. Qhov ntev nws tuav, ntau pathologies tshwm sim (cov qauv ntawm cov hlab ntsha, cov hlab ntsha hloov pauv, lub siab ua haujlwm).

Kab mob hauv cov ntshav qab zib txhim kho, nrog kev nce ntxiv rau lawv thiab ua haujlwm tsis zoo hauv cov ntshav ncig. Cov piam thaj muaj cov kev cuam tshuam cuam tshuam ntawm myelin sheath ntawm cov hlab ntsha hauv qhov nqua, txo cov naj npawb ntawm impulses.

Txoj kev nqaim ntawm cov hlab ntawm ob txhais ceg nrog ntshav qab zib ua rau cov hlab ntsha tsis yooj yim, ua rau mob siab rau qhov mob. Mob atherosclerosis ua rau ischemia thiab ntshav txhaws.

Yog tias muaj mob ko taw hauv ntshav qab zib, nws cov tsos mob tuaj yeem sib txawv. Tus neeg mob yuav hnov mob qa taw, loog hauv ob txhais ceg, cramps thiab mob hauv ob txhais ceg uas tshwm sim thaum tus neeg pib taug kev. Kab mob ntawm ob txhais ceg nrog ntshav qab zib yog nrog tus lej ntawm lwm cov cim:

daim tawv nqaij ntawm ob txhais ceg tev tawm, tig daj ntseg, dries thiab kab nrib pleb thiab corns rau nws,
cov duab ntawm cov ntsia hlau hloov, feem ntau vim muaj kab mob fungal,
txo qis hauv qhov kub thiab rhiab ntawm taw,
o tuaj
kev tsim ntawm lub rwj uas kho qhov tsis zoo thiab ntev,
leeg tsis muaj zog thiab atrophy,
curvature ntawm cov ntiv tes ntawm qhov kawg thiab kev hloov ntawm cov duab ntawm tus taw.

Feem ntau cov neeg mob ntshav qab zib tau hais tias tom qab taug kev los yog thaum tsaus ntuj, lawv pom kev mob siab ntev ntev li 2-3 feeb mus rau 5 feeb.

Thaum qhov kev tsis zoo no tshwm sim nyob rau hauv hom 2 mob ntshav qab zib mellitus, qhov laj thawj nyob hauv qhov tsis muaj peev xwm ntawm cov hauv paus ua nrog rau zis, thiab tsis muaj lub zog hauv cov leeg.

Cov Hom Phiaj

Kev puas tsuaj rau tus taw hauv ntshav qab zib muaj ntau yam ntaub ntawv. Qhov no yog tus mob ntshav qab zib angiopathy, tus cwj pwm los ntawm kev ua tsis zoo ntawm cov hlab ntsha ntawm nqua, qhov kev ua txhaum ntawm permeability ntawm capillaries thiab txuas ntxiv tom qab ntawm kev xa khoom noj rau cov nqaij mos.

Qhov ob hom mob ntshav qab zib yog neuropathy. Kev mob ntshav qab zib neuropathic tshwm sim nrog kev puas tsuaj rau tus leeg ntawm tus ceg. Muaj qhov kub tsis txaus, qhov mob thiab qhov khaus ntawm qhov chaw hauv ob txhais ceg, vim tias tus neeg mob tsis hnov qhov mob thiab qhov txhab ntawm ob txhais ceg, uas thaum kawg nws tuaj yeem ua kev lom zem.

Tab sis kuj tseem muaj daim ntawv sib xyaw, thaum tus neeg mob ntshav qab zib mellitus cuam tshuam txog cov ntshav ncig thiab cov leeg hlwb. Tom qab ntawd tus neeg mob nthuav dav cov yam ntxwv ntawm ob hom kev mob uas piav qhia saum toj no.

Lwm hom mob ko taw nyob rau hauv ntev hyperglycemia yog arthropathy, nyob rau hauv cov pob qij txha ntawm nqua yog puas lawm. Qhov no yog vim cov ntshav tsis txaus thiab ua haujlwm tsis zoo hauv cov txheej txheem hauv metabolic. Tus mob ntshav qab zib tau piav qhia tus mob no raws li hauv qab no: thaum pib ntawm tus kabmob Kuv tau hnov mob hauv cov pob qij txha thaum kuv taug kev, tom qab ntawd kuv txhais ko taw liab liab, o, hloov pauv, thiab kuv cov ntiv tes deformed.

Yuav muaj teeb meem dab tsi tshwm sim ceg rau cov neeg mob ntshav qab zib? Mob ceg hauv ntshav qab zib tsim muaj mob ntshav qab zib ko taw mob, soj ntsuam hauv 10% ntawm cov neeg mob. Tab sis qhov kev pheej hmoo yog 50% ntawm cov neeg muaj tus mob hyperglycemia.

Mob taw tshwm sim rau ntau qhov:

metabolic ntshawv siab
leeg kev puas tsuaj vascular
circulatory tsis ua hauj lwm
kev tuag ntawm qab haus huv
daim tawv puas.

Thaum cov pwm no kis tau, tus mob ntshav qab zib yuav pib ua "tus kis las ko taw", uas pom pob khaus, liab thiab ziab ntawm daim tawv nqaij.Yog hais tias kev kho mob ntawm ob txhais ceg nrog ntshav qab zib tsis ncav sijhawm thiab muaj peev xwm, tus kab mob yuav nkag mus rau hauv qhov tawg lossis pib cuam tshuam rau cov ntsia thawv phaj.

Thaum cov rau tes raug puas los ntawm fungus, lawv ua brittle, tuab thiab tau txais ib lub zas daj daj. Kev hnav cov khau kaw tau pab txhawb kev muaj kabmob, vim nws txoj kev nyiam nyiam kev noo thiab kev sov siab. Yog tias koj pib kis mob, yuav tsum muaj kev phais mob - tshem tawm tus ntsia thawv muaj tus kab mob.

Mob hauv ceg hauv ntshav qab zib kuj tseem ua rau mob vim yog mob rau hauv lub plab, vim muaj cov kab mob vascular, cov tsis zoo ntawm cov nqaij thiab tsis ua haujlwm zoo nyob rau sab hauv. Tsis tas li, qhov pom ntawm tawv nqaij tsis zoo yog yooj yim los ntawm:

kev poob plig
atherosclerosis
calluses
leeg vauv pathologies
hlawv
kev puas tsuaj rau lub paj hlwb
cov qhov txhab thiab tawg.

Yog tias muaj mob ntshav qab zib, mob ceg hauv qhov zoo ntawm qhov mob tshwm sim tom qab lub hlis thiab txawm xyoo. Lawv pib maj mam dhau los tiv thaiv keeb kwm yav dhau los ntawm cov kab mob pathological hauv lub cev tshwm sim los ntawm cov ntshav qab zib ntau ntau ntxiv.

Cov txheej txheem ntawm qhov tshwm sim ntawm qhov txhab mob txhab dawb tau muab faib ua theem. Cov plaub hau ntawm lawv cov tsos yog cov tsos mob xws li o, cramps, tsis muaj rhiab, hloov xim tawv nqaij (thaj chaw redden lossis tig xiav). Cov ceg qis qis hauv av ntawd, nws khaus thiab mob.

Ntawm thawj theem, cov tsos mob hais tawm. Hloov maj mam rau ntawm daim tawv nqaij tau pom tau zoo, ua ib lub kiav txhab tshwm rau lawv. Cov kua ntshav tawm hauv lub qhov txhab, thiab yog tias muaj mob nkag rau hauv lawv, lawv loj hlob thiab fester.

Thaum tus kab mob zuj zus, yav dhau los cov teeb meem me me tig mus rau hauv cov kab mob purulent mob ntawm ob txhais ceg, cov duab uas tau muab tso rau hauv qab no. Cov qauv tsim yog unbearably mob, thiab necrosis yog sai sai kis, cuam tshuam rau lub tob txheej ntawm cov ntaub so ntswg. Tus neeg mob muaj cov tsos mob ntawm intoxication - malaise, kub taub hau, ua daus no.

Ntawm ob txhais ceg nrog ntshav qab zib mellitus feem ntau ua rau corns (thickening lossis kev loj hlob ntawm ib leeg ko taw). Lawv tshwm sim nrog kev tso tawm qhov hnyav, hnav cov khau tsis xis thiab mob tawv nqaij, uas ua rau mob hnyav thiab mob thaum taug kev.

Ceg ceg thiab ntshav qab zib hom 2 tuaj yeem mob yog tias muaj hlwv. Cov no yog cov npuas ntawm daim tawv nqaij, muaj kua, los ntawm kev txhuam. Thaum muaj kev sib tsoo lossis kev sib tsoo tshwj xeeb, cov kua dej ntws tawm, thiab tus kab mob nkag mus rau lub qhov uas tshwm, uas tuaj yeem ua rau mob tsis zoo uas kho tau ntawm ob txhais ceg nrog ntshav qab zib mellitus.

Corns yog lwm qhov teeb meem uas muaj ntshav qab zib. Feem ntau lawv nyob ib sab ntawm bony protrusions lossis nruab nrab ntawm cov ntiv tes. Cov qauv tsim ua rau kev sib txhuam thiab lub siab.

Txawm hais tias muaj ntshav qab zib, ceg mob rau cov laj thawj hauv qab no:

Lub cev pob txha ntoo (ua rau tuab ntawm ib leeg nrog lub qhov hws dub me me lossis cov dots). Cov tsos mob ntawm cov tsis xws mob yog los ntawm tus kab mob.
Ingrown toenail. Yog tias qhov teeb meem tseem daws tsis tau, kev kis mob ntawm thaj chaw cuam tshuam yuav tshwm sim.
Qhuav ntawm daim tawv nqaij. Cov kab mob tuaj yeem nkag mus rau hauv lub cev los ntawm thaj chaw tawg.

Nyob rau hauv muaj cov ntshav qab zib, valgus deformity ntawm tus ntiv taw loj feem ntau tshwm sim. Qhov ua tau mob tshwm sim los ntawm qhov pom muaj xim liab, qhov mob siab callus nyob ntawm sab xub ntiag ntawm cov ntiv tes sib koom tes.

Ntawm ntshav qab zib, tus ntiv taw loj tuaj yeem cuam tshuam ntawm ob txhais ceg. Qhov tshwm sim ntawm qhov tshwm sim zoo li no feem ntau ntawm cov muaj keeb, tab sis nws cov tsos yuav yoog tau los ntawm kev hnav lub luj taws nqaim lossis tsis txaus.

Ntxiv thiab, cov ntiv taw tuaj yeem deformed "rauj zoo li". Qhov no yog vim cov leeg ua kom tsis muaj zog, vim cov caj dab ua kom luv, thiab cov ntiv tes khoov tuaj.

Pathology tau txais txiaj ntsig, tab sis lwm qhov tsis yooj yim yog qhov hnav ntawm cov khau tsis xis.

Rauj-zoo li deformity ua rau taug kev nyuaj thiab ua rau pom qhov zoo li cov hlwv, mob thiab caj dab.

Kev kuaj mob

Yog tias ceg mob ntshav qab zib ua dab tsi? Txhawm rau tiv thaiv kev txhim kho ntawm cov kab mob txaus ntshai, tus kab mob ntshav qab zib yuav tsum kuaj nws cov nqua txhua hnub, suav nrog ko taw. Qhov no yuav tso cai nws kuaj xyuas nws ob txhais ceg thiab ua raws sijhawm kom paub qhov ua txhaum cai txhawm rau tshem tawm lawv sai thiab tsis mob.

Yog tias koj pom cov tsos mob txawv uas tau piav qhia saum toj no, koj yuav tsum sab laj nrog tus kws kho mob thiab ua kev ntsuas kev kuaj mob ntawm lub tsev kho mob. Tus kws kho mob uas paub zoo tuaj yeem kuaj pom cov mem tes hauv cov hlab ntsha ntawm ob txhais ceg los ntawm kov.

Nrog txoj kev loj hlob ntawm cov teeb meem, kev tso zis rau hauv cov leeg mob loj tuaj lossis nres. Tab sis qhov kev ua txhaum cai tuaj yeem txheeb xyuas tau thaum tus kab mob nyob hauv daim ntawv tsis saib xyuas, uas ua rau muaj kev cuam tshuam tsis tau.

Nws zoo dua yog siv cov txuj ci kuaj tseeb. Lawv ua raws li kev siv cov cuab yeej siv kho mob, uas suav qhov sib piv ntawm systolic lub siab hauv cov leeg ntawm sab ceg qis thiab ceg ntshav ceg, uas yog hu ua pob taws-brachial complex. Thaum LPI tsis yog ntau dua 1.2, tom qab ntawd cov ntshav ntws mus rau hauv qhov kis tau yog li qub.

Tab sis LPI nrog cov vascular puas tsuaj los ntawm Menkeberg atherosclerosis yuav tsis zoo. Yog li ntawd, ob txhais ceg uas muaj ntshav qab zib tau tshawb xyuas lwm txoj hau kev:

Hloov chaw ntawm oximetry. Txiav txim siab qhov degree ntawm kev khov kho ntawm lub hlwb nrog oxygen. Cov txheej txheem muaj nyob rau hauv kev thov lub ntsuas qhov ntsuas rau daim tawv nqaij. Oxygen kev tshaib plab yog pom tias qhov ntsuas tau tsawg dua 30 mmHg.
Ultrasound ntawm cov hlab ntsha. Nws yog siv los saib xyuas lub xeev cov ntshav ntws tom qab kev phais plawv.
Xoo hluav taws xob xoo hluav taws xob angiography. Cov txheej txheem cuam tshuam nrog kev qhia ntawm tus neeg sawv cev sib piv rau hauv cov ntshav ntawm qhov qis qis thiab tom qab transillumination ntawm cov hlab ntsha nrog xoo hluav taws xob. Txoj kev no feem ntau yog kev paub, tab sis nyob rau hauv cov neeg mob nws ua rau tsis xis nyob.

Kev ntsuas kho mob thiab kev tiv thaiv

Kev kho ko taw rau ntshav qab zib muaj raws li cov lus qhia dav dav. Thawj yog glycemic tswj, uas tau ua tiav los ntawm kev siv tshuaj kho mob thiab tshuaj insulin.

Nws yog ib qho tsim nyog yuav tau ua raws li kev noj zaub mov noj, uas cuam tshuam rau kev tsis lees paub cov khoom noj sai thiab sai sai cov zaub mov tsis zoo. Kev noj haus yuav muab tso ua ke los ntawm tus kws kho mob koom nrog thiab kws qhia noj haus. Kev ua si ntawm lub cev ib nrab thiab taug kev txhua hnub hauv cov huab cua ntshiab tau pom.

Yog hais tias ob txhais ceg tsis ua haujlwm nrog ntshav qab zib, ces kev siv tshuaj thiab phais neeg kho kom zoo yog siv. Hauv kev muaj mob ntshav qab zib ko taw, tshuaj tua kab mob, analgesics, antimicrobials hauv zos thiab cov leeg ntshav ntws txoj kev noj tshuaj tau raug txwv.

Yuav kho cov ceg mob ntshav qab zib li cas yog tias cov tshuaj tsis ua hauj lwm zoo? Ntawm theem pib ntawm tus kabmob, kev phais mob yog qhia:

angioplasty (rov qab ua haujlwm vascular),
tshem tawm qhov chaw necrosis,
kev rov tsub ntawm thaj chaw tsis zoo nyob ntawm taw lossis ntiv tes,
endarterectomy (tshem cov hlab uas tsis tuaj yeem thim rov qab),
stenting ntawm cov hlab ntsha (teeb tsa cov nets rau ntawm cov nkoj),
yog tias tsim nyog, txiav tawm ntawm txhais ceg qis, ko taw lossis tag nrho txhais ceg yog qhia.

Yog tias mob rwj cuam tshuam rau txhais ceg nrog ntshav qab zib (cov duab ntawm cov qauv uas tuaj yeem pom ntawm no), tom qab ntawd qee txoj kev ntawm kev txhawm rau txhawm rau siv tau. Txhawm rau tiv thaiv kev loj hlob ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam kom tsis tu ncua qib ntawm hemoglobin thiab ntshav hauv cov ntshav.

Tsis tas li ntawd, nyob rau hauv cov ntshav qab zib mellitus, kev kho mob ntawm qhov txhab yog tsom rau txo tus mob, kho cov ntshav coagulation los ntawm txoj kev tshwj xeeb, thiab siv cov tshuaj los txhim kho txoj haujlwm ntawm lub vascular system. Nws yog qhov tseem ceeb rau kev kho thiab tiv thaiv kev txhim kho ntawm cov kab mob concomitant (kub siab, mob thrombophlebitis), thov siv tshuaj tua kab mob thiab tshuaj tua kab mob. Lwm tus kws kho mob tau sau tshuaj rau cov tshuaj lipid metabolism, thiab cov tshuaj uas ua rau lub cev ua haujlwm tsis zoo.

Yuav kho cov kiav txhab ceg mob ntshav qab zib li cas yog tias pom tias txoj kev kho tau ua tsis tau zoo? Nrog cov ntaub ntawv qib siab ntawm cov kabmob, kev phais mob raug qhia. Nws yuav muaj qhov qhib lub qhov txhab thiab tshem cov ntsiab lus uas huv los ntawm nws, kev tsim kho vascular thiab txiav tes taw.

Cov ntiv taw uas mob ntshav qab zib raug kho mob phais mob. Tsis tas li, cov ntaub qhwv tshwj xeeb thiab cov khoom siv cais lawv tau siv los tuav tus ntiv tes.

Rau cov neeg muaj ntshav qab zib, mob ceg, kev kho mob yuav suav nrog ua raws li cov lus pom zoo dav dav:

hnav khau zoo rau cov neeg mob ntshav qab zib,
yuav tsum kho cov kab mob concomitant,
hnyav tswj
txhua hnub ntxuav ko taw hauv dej sov nrog xab npum,
Nws raug nquahu kom tsis txhob txiav cov ntsia hlau, tab sis kom maj mam ua daim ntawv,
pob txuv pab nrog acupressure,
ua kom tiav ntawm cov ceg tawv qhuav tom qab ntxuav (kev saib xyuas tshwj xeeb yog them rau thaj tsam ntawm cov ntiv tes).

Tus kab mob ntshav qab zib yuav tsum paub tias zelenka, potassium permanganate, thiab iodine raug txwv tsis pub siv rau kev puas tsuaj rau ko taw. Yog li kom cov qhov txhab tsis ci, nws tau kho nrog Furacilin thiab Chlorhexidine, thiab tom qab ntawd qhwv.

Yog tias daim tawv nqaij ntawm ob txhais ceg tau qhuav heev, kev siv cov roj pleev uas muaj cov urea yog qhia. Nrog cov kab mob fungal, cov tshuaj tiv thaiv kab mob tau siv, thiab cov kab nrib pleev hauv ko taw raug kho nrog cream nrog propolis.

Raws li ib txoj hauv kev pabcuam hauv kev kho mob ib txwm, yog hais tias ob txhais ceg ntawm tus mob ntshav qab zib tau ua tsis tiav, kev kho mob nrog tshuaj ntsuab pej xeem tuaj yeem siv. Blueberries yog ib qho kev kho mob zoo rau txhais ceg hauv ntshav qab zib. Txog li peb khob ntawm cov kua txiv hmab txiv ntoo yuav tsum noj ib hnub ua ntej noj mov loj.

Nrog rau cov tawv nqaij mob, qhov sib xyaw ua ke ntawm cov tshuaj aspirin, zib ntab thiab burdock pab. Zib ntab yog siv rau thaj chaw muaj kab mob, nws tau txau nrog cov tshuaj aspirin, thiab ib lub hnab nplooj burdock tau muab tso rau saum, qhwv txhua yam nrog daim ntaub sov.

Mob rwj thiab mob doog ntshav qab zib yog kho nrog keeb kwm burdock. Cov nroj tsuag yog ntxuav, tawg thiab cov kua txiv muaj sia ntawm nws, uas yog siv rau thaj chaw cuam tshuam 3 zaug hauv ib hnub.

Yog tias muaj ntshav qab zib thiab txhais ceg o kho nrog tshuaj ntsuab pab kom ib txwm haus tshuaj yej los ntawm txiv qaub balm lossis mint. Tsis tas li ntawd, kabmob ob txhais ceg tuaj yeem rubbed nrog tincture ntawm Kalonchoe. Txhawm rau npaj nws, nplooj ntawm cov nroj tsuag yog ntxuav, tsoo thiab ntim nrog ib nrab-liter iav ntim, uas yog nchuav nrog vodka, insisted rau 2 lub lis piam hauv maub.

Txawm tias muaj edema thiab mob taub hau hauv ob txhais ceg, cov zaub mov txawv qhia kom siv cov kua txiv taub. Koj yuav tsum tau haus dej haus 100 ml ntawm dej haus tshiab rau ib hnub.

Cov teeb meem ntshav qab zib muaj txhij txhua nyob hauv cov yeeb yaj kiab hauv tsab xov xwm no.

Ceg muaj teeb meem ntshav qab zib

Cov tawv nqaij ntawm cov neeg mob qhuav thiab nyias, lawv feem ntau raug mob, tshwj xeeb tshaj yog thaj chaw ntawm cov ntiv tes. Tus tsim cov txheej txheem rau kev txhim kho cov leeg hlwb thiab voos txhab yuav muaj kab mob fungal, mob pob tw los yog phais mob tshem tawm ntawm tus ntsia thawv ingrown.

Txij li thaum qhov tsim tau ntawm tus mob ntshav qab zib muaj qhov tshwm sim hnyav heev nyob rau hauv daim ntawv ntawm txhais ceg txiav lossis tuag los ntawm sepsis, uas tau tsim los ntawm qhov kev ua kom dawb paug, txheeb xyuas qhov tshwm sim thawj zaug ntawm tus kab mob ntshav qab zib yuav cawm tau tus neeg mob lub neej.

Thawj heev yog qhov txo qis hauv kev vibration uas nkag siab, tom qab ntawd qhov ntsuas kub, qhov mob thiab tactile yog ua txhaum tom qab. Ib qho tshwm sim ceeb toom yuav hnov o ntawm txhais ceg hauv qab plab hlaub, hauv thaj chaw ntawm taw. Yog tias qhov tom kawg ua kub lossis txias, ces qhov no txhais tau hais tias cov ntshav ncig yog cuam tshuam lossis tus mob tau koom nrog.

Qhov laj thawj uas yuav hu rau kws phais neeg lossis kws kho mob menyuam yaus yog cov hloov pauv raws li hauv qab no:

Qaug zog thaum taug kev nce.
Muaj mob ntawm cov ceg ntawm qhov sib txawv ntawm cov lus txav lossis thaum hmo ntuj.
Tingling, qhov kev xav rhiab heev tshwm sim hauv tus taw, thiab chilliness ntau zog.
Cov tawv nqaij hloov pauv los ua ntsej muag daj.
Cov kab plaub hau tau poob qis.
Cov ntsia hlau los ua txoj kev ua kom tuab, ploj zuj zus, daj.
Tus ntiv tes hloov dheev lossis los o tuaj.

Cov neeg mob tseem tuaj yeem nco ntsoov tias cov qhov txhab lossis txhawm, hloov rau ib lub lis piam, kho kom zoo tsis pub dhau ib hlis lossis ob hlis. Tom qab zawm, ib txoj kab tsaus nti tseem nyob. Mob nqaij hlav tuaj yeem tshwm sim qis dua, qee zaum kuj sib sib zog nqus.

Mob raum

Qhov no yog qhov qhib hom txhab nyob rau ntawm qis qis thiab tsim tawm tsam keeb kwm ntawm cov ntaub so ntswg tsis lees paub. Lawv yog cov nquag nyob rau lub sijhawm ntev, tsis txhob kho rau 6 lub lis piam lossis ntau dua. Tsis yog lub epithelium koom nrog hauv cov txheej txheem pathological, tab sis kuj yog cov ntaub so ntswg nyob hauv nws. Tom qab kho zoo, nti nti nyob ntawm daim tawv nqaij. Txawm hais tias muaj theem siab ntawm kev txhim kho ntawm cov tshuaj niaj hnub, kev kho mob ntawm qhov mob tseem ceeb rau niaj hnub no tseem yog ib qho tseem ceeb tshaj plaws.

Feem ntau mob ncauj plab ntawm txhais ceg thiab taw. Raws li kev txheeb cais, nyob hauv lub ntiaj teb los ntawm cov kab mob no cuam tshuam txog li 2 lab tus tib neeg. Li ntawm 70% ntawm cov neeg mob rau mob yog ua rau muaj qee yam kev ua txhaum hauv kev ua haujlwm ntawm lub txaj venous-vascular. Cov teeb meem yeej tsis tshwm sim nthawv, lawv muaj ua ntej los ntawm tus txheej txheem ntev ntawm kev loj hlob ntawm cov kab mob tseem ceeb hauv lub cev. Txheeb xyuas thiab kho cov mob txhab ntawm ncauj muaj feem nrog nrog cov ceg tshuaj li phlebology.

Hauv kev tsim cov kab mob, plaub theem tseem ceeb tau paub qhov txawv, ntawm cov theem:

exudation (pib ntawm kev tawm tsam, qhov tshwm sim ntawm necrotic foci),
kho (ntxuav cov nplaim ntawm cov ntsiab lus necrotic, kev tsim cov granules, txo cov mob),
epithelization (qhov zoo li tshiab epithelium, qhov txhab kaw),
caws pliav ntawm cov ntaub so ntswg (qhov kawg, thaum kho cov qauv tsim nyob hauv qhov chaw ntawm cov pathology uas twb muaj lawm).

Kev ntaws ntawm qhov ncauj ntawm qhov ncauj plab me tuaj yeem sib txawv me ntsis nyob ntawm dab tsi tshwm sim los ntawm lawv. Cov phiajcim no yog tus yam ntxwv ntawm qhov pib ntawm o, kho, epithelization thiab scarring, tag nrho cov mob txhab rau hauv chav kawm tsis yooj yim.

O ntawm qhov qis qis

Nov yog qhov sib txig sib luag ntawm cov kua hauv cov nqaij mos. Lub anomaly yog manifested tsis xwm yeem. Hauv 70% ntawm cov neeg mob, ceg qis thiab qaum yuav o o. Hauv 30% - lub plab hnyuv sab hauv o tuaj. Pom tias tus neeg mob muaj ib txhais ceg tuab dua li lwm ceg. Cov kev hloov pauv hauv tus mob ntshav qab zib hom 1 yog qhov ib txwm muaj thiab ua rau muaj kev noj qab haus huv zoo rau ib tug neeg.

O rau cov nqua ntshav yuav muaj tshwm sim yog hais tias tus neeg mob txom nyem los ntawm kev mob caj dab (ntshav qab zib ua rau ob leeg puas). Kev hloov xim ntawm ntuj mus rau xim liab yog thawj lub cim ntawm tus mob. Hauv cov neeg mob uas mob angiopathy (kev puas tsuaj rau cov qauv), mob neuropathy (leeg) thiab kab mob plawv, lawv tseem yog thawj tau o. Qhov laj thawj tseem ceeb uas ua rau cov ceg txhav hauv ntshav qab zib yog suav tias yog kev tswj hwm tsis zoo thiab tsis muaj ntshav txaus. Hauv cov poj niam, lub plab, caj npab, thiab lub ntsej muag feem ntau hloov pauv.

Lawv tuaj yeem ua tus kab mob hauv lub raum, nrog rau lwm yam mob. O o cov nqaij mos o tuaj yeem ua kom:

lub raum tsis ua hauj lwm
ib qho ntawm trimesters ntawm cev xeeb tub,
varicose leeg,
khoom noj uas tsis ua raws
nruj khau
cuam tshuam nrog cov ntsev dej hauv lub cev metabolism,
txo qab haus huv
tsis muaj zog thiab kev puas tsuaj rau cov hlab ntshav.

Yuav kho cov mob ceg rau cov neeg mob ntshav qab zib li cas

Kev kho yog txhawm rau txo cov ntshav qab zib thiab tiv thaiv nws cov ntshav tawm sai. Cov neeg mob tau sau meglitinides (Nateglinide, Repaglinide) lossis sulfonylurea derivatives (Glyclazide, Kua, Glimepiride).

Kev kho mob ntawm ob txhais ceg nrog tus mob hom 2 yog nqa tawm siv cov tshuaj uas ua rau muaj kev cuam tshuam ntau dua ntawm cov ntaub so ntswg mus rau insulin. Cov no suav nrog thiazolidinediones (Rosiglitazone, Ciglitazone, Troglitazone, Englitazone). Yuav kom txo qhov nqus ntawm cov carbohydrates hauv txoj hnyuv, alpha-glucosidase inhibitors (Acarbose, Miglitol) yog siv.

Cov tshuaj tsis-steroidal anti-inflammatory (Nimesulide, Indamethacin) yog kho rau qhov mob nruab nrab. Cov tshuaj loog hauv zos tseem siv (Versatis nrog lidocaine, Ketoprofen-gel). Rau qhov mob hnyav, tricyclic cov tshuaj tiv thaiv kab mob (amitriptyline) yog siv. Txhawm rau tshem tawm cov mob ua kom tsis haum ntshav, tshuaj anticonvulsants tau sau tseg (Gabalentine, Pregabalin).

Mob ntshav qab zib noj tshuaj

Cov tshuaj Neurotropic tso cai rau kev kho mob (Milgamma, vitamins B1, B6 thiab B12).Lawv daws cov mob, pab kho cov hlab ntsha xov xwm kom zoo dua qub thiab txhim kho kom zoo.

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

Txo cov roj (cholesterol), siv simvastatin, lovastatin lossis atorvastatin. Kev nce siab ntawm cov ntshav siab yog ua tiav los ntawm kev noj Veralamil, Nifedilin, Lisinopril. Txhawm rau txhim kho cov hlab ntsha, cov kws kho mob uas tuaj koom yuav tau kho Pentoxifylline, Bilobil lossis Rutozide. Tsis tas li ntawd, cov diuretics raug qhia (Furosemide, Spironolactone). Noj Aspirin lossis Sulodexide tiv thaiv cov ntshav txhaws. Txhawm rau txhim kho cov txheej txheem hauv kev zom zaub mov, Solcoseryl lossis Trifosadenin kev txhaj tshuaj raug kho.

Qhov mob qis ntawm qhov qis qis

Cov teeb meem tshwm sim ntawm txhais taw mob yog mob thoob plaws hauv ob txhais ceg thiab raug mob yooj yim. Hauv cov ntshav qab zib, mob rwj yuav kis tus kabmob pathogens, tuaj yeem ua rau txiav tes taw.

Arteries nqa ntshav tawm ntawm lub plawv mus rau cov ntaub so ntswg lub cev. Cov ntshav muab ntau lub hlwb ntawm lub cev nrog cov pa thiab cov as-ham.

Cov leeg xa rov qab cov ntshav, uas muaj qhov "pov tseg" ntawm lub neej, rov qab mus rau lub plawv, qhov twg rov ua dua tshiab los ntawm kev mob ntsws. Txhawm rau nqa ntshav tawm tsam lub ntiajteb txawj nqus hauv plawv, cov leeg ntshav tau txais kev txhawb nqa los ntawm cov leeg nqus.

Thaum ib tug neeg tsiv, cov leeg ua voj voog (sib cog lus) thiab so kom txaus. Vim tias qhov kev hloov pauv no ntawm kev cog lus thiab kev so, cov ntshav tau los ntawm txhais ceg mus rau lub siab. Txhawm rau txhawm rau xa cov ntshav rov qab rau txhais ceg, sab hauv phab ntsa ntawm cov leeg muaj peev xwm tshwj xeeb. Raws li qhov tshwm sim, ntshav tuaj yeem tsuas ntws hauv ib txoj kev taw qhia - hauv lub siab.

Mob viav vias yog ntau txoj kev mob uas ua rau lub ntsej muag (ntau dua 90% ntawm cov neeg mob tau mob los ntawm daim ntawv no ntawm qhov tsis zoo). Cov neeg mob feem ntau muaj o ntawm txhais ceg. Cov tawv nqaij discolors xim av, ua qhuav thiab nkig. Cov kiav txhab nws tus kheej feem ntau ntub, tab sis feem ntau tsis mob. Mob caj pas feem ntau tshwm sim hauv pob taws, tshwj xeeb sab hauv ntawm txhais ceg.

Txoj hlab ntaws ntawm raum ua rau thaj tsam li 10% ntawm tag nrho cov mob rau sab ceg. Lawv feem ntau pom ntawm txhais ceg thiab luj taws. Daim ntawv ntawm kev cuam tshuam no tshwm sim vim tshwm sim ntawm atherosclerosis. Feem ntau, ceg yuav bluish thiab dhau los txias.

Cov mob rwj no ua rau mob hnyav. Feem ntau, qhov mob tshwm sim thaum so, thiab feem ntau ntawm txhua yam mob thaum hmo ntuj. Qhov mob yuav tshem tawm tau los ntawm tsa ceg ntawm txaj.

Cov teeb meem pheej hmoo rau cov mob rau txhab rau txhab:

Kev cuam tshuam ntawm cov hlab ntsha
Txhais ceg lov lossis lwm qhov raug mob
Ntshav txhaws (thrombosis) hauv txoj hlab ntshav tob ntawm ceg,
Yav dhau los phais ntawm tus ceg cuam tshuam,
Zaum los yog sawv ntsug
Mob voos paug (phlebitis),
Cev xeeb tub (kev pheej hmoo ntawm thrombosis nce thaum cev xeeb tub)
Rog dhau.

Kev pheej hmoo rau qhov tsim ntawm txoj hlab ntsha txhaws:

Haus Yeeb
Ntshav siab
Mob ntshav qab zib
Gout
Plawv nres thiab lwm yam kev mob plawv,
Arteriosclerosis ntawm ob txhais ceg.

Ntshav qab zib mob ko taw

Kev puas tsuaj rau cov hlab ntshav vim cov ntshav tawm suab yog hu ua ntshav qabzib neuropathy. Qhov mob hnyav ntawm ntshav qab zib no ua rau qhov tseeb tias tus neeg mob tsis muaj peev xwm kov nws txhais ceg, mob, siab, kub thiab txias. Tam sim no yog tias nws mob nws sab ceg, nws yuav tsis hnov nws lub siab. Cov neeg mob ntshav qab zib feem ntau hauv qhov xwm txheej no muaj mob rau ntawm txhais ceg thiab txhais taw ntawm tus taw, uas kho tau ntev thiab nyuaj.

Yog tias qhov rhiab ntawm txhais ceg tsis muaj zog, tom qab ntawd cov qhov txhab thiab mob txhab tsis ua rau mob. Txawm hais tias muaj kev puas ntsoog los yog txhuam pob txha ntawm pob txha, ces nws yuav tsis tshua mob. Qhov no yog hu ua tus mob ko taw mob ko taw. Txij li thaum cov neeg mob tsis hnov mob, ntau yam ntawm lawv tub nkeeg heev ua raws li kws kho mob pom zoo. Raws li qhov tshwm sim, cov kab mob ua rau ntau ntxiv hauv cov qhov txhab, thiab vim yog kis tau tus menyuam, txhais ceg feem ntau yuav tsum txiav tu.

Mob peripheral leeg mob ntshav qab zib

Yog tias txoj hlab ntaws ntawm cov leeg ntshav poob, ces cov nqaij ntawm ob txhais ceg pib “tshaib plab” thiab xa cov cim qhia mob. Qhov mob yuav tshwm sim thaum so lossis tsuas yog thaum taug kev. Hauv kev paub, yog tias koj ob txhais ceg mob ntshav qab zib yog qhov zoo. Vim tias qhov mob ntawm txhais ceg txhawb cov ntshav qab zib kom ntsib kws kho mob thiab kho kom zoo li nws lub zog. Hauv tsab xov xwm niaj hnub no, peb yuav xav txog qhov xwm txheej zoo li no.

Cov teeb meem nrog cov hlab ntshav uas pub txhais ceg yog hu ua "kab mob txha caj qaum". Peripheral - txhais tau deb ntawm qhov chaw. Yog tias cov lumen hauv cov hlab ntsha tau nqaim, tom qab ntawd feem ntau muaj ntshav qab zib, sib quas ntus claudication tshwm sim. Qhov no txhais tau hais tias vim yog mob hnyav hauv txhais ceg, tus neeg mob yuav tsum tau taug kev qeeb lossis tsum.

Yog tias tus kab mob peripheral artery muaj nrog tus mob ntshav qab zib neuropathy, tom qab ntawd qhov mob yuav mob me lossis tsis tuaj kiag li. Kev sib xyaw ua ke ntawm vascular txhaws thiab poob ntawm qhov mob rhiab ua rau muaj qhov ua tau ntau ntxiv tias tus mob ntshav qab zib yuav tau txiav ib qho lossis ob sab ceg. Vim tias cov nqaij ntawm ob txhais ceg txuas mus ntxiv vim yog "tshaib plab," txawm hais tias tus neeg mob tsis hnov mob.

Yuav ua li cas kev ntsuam xyuas yog tias koj ob txhais ceg mob ntshav qab zib

Nws yog ib qho tsim nyog yuav tsum ua tib zoo tshuaj xyuas koj ob txhais ceg thiab ko taw txhua hnub, tshwj xeeb tshaj yog thaum muaj hnub nyoog laus. Yog tias cov ntshav ntws los ntawm cov hlab ntsha tau cuam tshuam, tom qab ntawd koj tuaj yeem pom cov cim ntxov ntawm qhov no. Cov tsos mob ntawm tus pib ntawm tus kab mob peripheral leeg:

daim tawv nqaij ntawm ob txhais ceg yuav dhau los ua qhuav
tej zaum nws yuav pib tev tawm, ua ke nrog khaus,
pigmentation lossis depigmentation yuav tshwm sim rau ntawm daim tawv nqaij,
nyob rau hauv cov txiv neej, cov plaub hau ntawm sab ceg qis tig grey thiab ntog tawm,
daim tawv nqaij yuav dhau los ua daj ntseg thiab txias rau tus kov,
los yog hloov ua lwm yam, nws tuaj yeem ua kom sov sov thiab tau cov xim cyanotic.

Tus kws kho mob uas paub dhau los tuaj yeem tshawb xyuas los ntawm kov yam twg mem tes ntawm tus neeg mob muaj nyob rau ntawm cov hlab ntsha uas pub cov nqaij ntawm ob txhais ceg. Qhov no suav hais tias yog qhov yooj yim thiab pheej yig tshaj plaws rau kev kuaj xyuas cov teeb meem hauv lub cev. Nyob rau tib lub sijhawm, kev ntoj ncig ntawm cov leeg nres lossis thim rov qab tsuas yog thaum nws lumen nqaim los ntawm 90% lossis ntau dua. Nws yog lig dhau lawm los mus tiv thaiv kev tshaib plab daim ntaub.

Yog li, lawv siv cov ntaub ntawv tshawb fawb tob dua siv cov khoom siv kho mob niaj hnub no. Qhov piv ntawm systolic ("sab saud" siab) nyob rau hauv cov hlab ntsha ntawm sab ceg qis thiab ceg ntshav txha caj ceg yog suav. Qhov no yog hu ua ankle-brachial index (LPI). Yog tias nws nyob ntawm thaj tsam 0.9-1.2, tom qab ntawd cov ntshav ntws hauv ob txhais ceg yog suav tias yog ib txwm. Ntsuas ntiv tes leeg ntshav yog qhov ntsuas tau.

Lub pob taws-khiab mis taw qhia cov lus qhia tsis raug yog tias cov hlab ntsha cuam tshuam los ntawm Menkeberg's atherosclerosis, uas yog, lawv tau them nrog calcareous "nplai" los ntawm sab hauv. Hauv cov neeg laus cov neeg mob, qhov no tshwm sim ntau zaus. Yog li ntawd, cov hau kev xav tau uas muab cov txiaj ntsig tau raug dua thiab ruaj khov. Qhov no tseem ceeb tshaj plaws thaum kev daws qhov teeb meem ntawm kev phais kom rov qab vascular patency kom ob txhais ceg tsis raug mob.

Transcutaneous Oximetry

Transcutaneous oximetry yog ib txoj kev tsis muaj mob uas tso cai rau koj soj ntsuam seb cov pa oxygen oxygen zoo npaum li cas. Transcutaneous txhais tau tias “hla ntawm daim tawv nqaij.” Lub ntsuas tshwj xeeb yog siv rau daim tawv nqaij, uas ua rau ntsuas.

Qhov tseeb ntawm qhov kev xeem ntawv nyob ntawm ntau yam:

tus mob ntawm lub ntsws ntsws ntawm tus neeg mob,
ntshav hemoglobin qib thiab mob zis,
cov pa oxygen nyob rau hauv huab cua,
lub thickness ntawm daim tawv nqaij uas lub ntsuas phoo thov,
o lossis o rau thaj tsam ntsuas.

Yog tias tus nqi tau tau yog qis dua 30 hli RT. Daim duab., Tom qab ntawd qhov tseem ceeb ischemia (oxygen starvation) ntawm ob txhais ceg tau kuaj pom. Qhov tseeb ntawm cov qauv ntawm transcutaneous oximetry tsis siab. Tab sis nws tseem siv, vim tias nws suav hais tias yog xov xwm ntau thiab tsis tsim teeb meem rau cov neeg mob.

Ultrasound ntawm cov hlab ntsha muab ntshav rau ob txhais ceg

Kev kuaj ntshav khov (cov duab hluav taws xob) ntawm cov hlab ntsha ntawm cov leeg ntshav qis - siv los ntsuas lub xeev cov ntshav ua ntej thiab tom qab ua tiav kev phais ntawm cov hlab ntsha. Txoj kev no ua rau muaj kev pheej hmoo ntau ntxiv uas nws muaj peev xwm nyob rau hauv lub sijhawm los kuaj txog kev cuam tshuam ntawm cov leeg los ntawm txoj hlab pas lossis rov ua kom qis ntawm lumen hauv cov hlab ntsha tom qab kev phais mob (rov qab kho dua).

Ultrasound ntawm cov hlab ntshav tso cai rau koj los kawm txog thaj chaw muaj teeb meem, uas yog ntu uas "tau muab tua" los ntawm cov hlab ntshav vim qhov tshwm sim ntawm kev loj hlob ntawm tus kab mob. Siv cov txheej txheem no, koj tuaj yeem ua tib zoo xav txog cov xwm txheej ntawm cov hlab ntsha thiab npaj ua ntej kev ua haujlwm kom rov qab tau lawv lub luag haujlwm.

Rov qab los ntawm tus neeg mob uas muaj ntshav qab zib hom 2, nws cov teeb meem ceg ploj mus tom qab cov ntshav qab zib cov ntshav nce qib ...

Xoo hluav taws xob xoo hluav taws xob sib txawv angiography

Xoo hluav taws xob xoo hluav taws xob xoo hluav taws xob yog kev soj ntsuam uas tus neeg sawv cev sib piv txhaj rau hauv cov hlab ntshav, thiab tom qab ntawd cov hlab ntsha yog "translucent" nrog xoo hluav taws xob. Angiography txhais tau tias "kev soj ntsuam vascular". Nov yog hom kev qhia tshaj plaws. Tab sis nws tsis kaj siab rau tus neeg mob, thiab tseem ceeb tshaj - tus neeg sawv cev tsis sib xws tuaj yeem ua kom lub raum puas. Yog li, nws raug nquahu kom siv nws tsuas yog thaum cov lus nug ntawm kev ua haujlwm phais los rov qab vascular patency yog txiav txim siab.