Yuav kho cov ceg mob ntshav qab zib kom ntshav qab zib
Peb xav kom koj nyeem cov ntawv ntawm cov ncauj lus: "yuav ua li cas kho pob txha mob ntshav qab zib" nrog cov lus los ntawm cov kws tshaj lij. Yog tias koj xav nug ib lo lus nug lossis sau cov lus pom, koj tuaj yeem ua qhov yooj yim li hauv qab no, tom qab kab lus. Peb tus kws tshaj lij endoprinologist yuav teb rau koj.
O o Mob ntshav qab zib nrog ntshav qab zib: yuav ua li cas, ua rau o
Mob ntshav qab zib mellitus ua rau muaj teeb meem nrog lub caij nyoog ntev ntawm tus kab mob los yog them nyiaj tsis txaus. Feem ntau cov neuropathy ntawm qis qis dua.
Video (nyem mus ua si). |
Cov txheej txheem kev coj ua rau kev txhim kho mob ntshav qab zib polyneuropathy yog qhov raug mob rau lub ntsa vascular los ntawm kev nce ntshav hauv cov ntshav siab. Kev ua haujlwm tsis zoo ntawm cov ntshav thiab ua kom tsis muaj zog ntawm kev ua haujlwm ntawm cov hlab ntsha cov hlab ntsha ua rau kev tsim cov mob ntshav qab zib.
Ib qho ntawm cov tsos mob ntawm neuropathy yog o ntawm qis qis. Pathology ntawm lub paj hlwb tsis yog tib qho laj thawj vim li cas muaj kev tsis txaus siab ntawm cov neeg mob tias ceg qis dua o ntshav qab zib.
Kev o tuaj ntawm ob txhais ceg tshwm sim thaum lub hlwb thiab qhov chaw sib cais uas muaj kua puv. Ob txhais ceg, zoo li qhov qis tshaj ntawm lub cev, ntsib qhov hnyav tshaj plaws rau hauv txoj haujlwm ncaj.
Kev o ntawm ob txhais ceg thiab ob txhais taw nyob ntawm ob qho tib si ntau dhau ntawm kev tso dej tawm hauv lub cev, thiab ntawm cov permeability ntawm lub vascular phab ntsa, kev ua haujlwm ntawm venous thiab lymphatic systems.
Video (nyem mus ua si). |
Cov ceg o hauv ntshav qab zib tuaj yeem muaj ntau qib kev ua txhaum:
- Pastous taw thiab qhov qis ntawm txhais ceg qis: thaum nias ntawm daim tawv nqaij ntawm sab pem hauv ntej ntawm sab ceg qis, ib qhov me ntsis tseem tshuav, ntxiv rau ntawm qhov ywj ntawm sab thom khwm.
- Kev o tuaj hauv zos tuaj yeem yog ib-ob tog lossis ob sab ceg ntawm thaj tsam ntawm pob taws, pob qij txha.
- Kev nrawm ntawm sab ceg qis dua qib ntawm lub hauv caug. Thaum nias kom ntev, cov hniav sib sib zog nqus tseem nyob. Kev o tuaj yeem yog ob sab ceg lossis tsuas yog ntawm ib qho xwb.
- Trophic mob ntawm daim tawv nqaij tawm tsam keeb kwm ntawm edema. Overthown kev sib xyaw ua ke tuaj yeem them nrog cov kab nrib pleb, uas tsim mus rau hauv cov qhov txhab tsis zoo thiab kho mob.
Nrog rau kev nyob ntev hauv qhov chaw sawv ntsug, nrog kev ua kom lub cev muaj zog ntau ntxiv, edema hauv qis dua ntawm sab ceg qis tuaj yeem tshwm sim thaum yav tsaus ntuj, cuam tshuam nrog kev nce hydrostatic rau ntawm cov hlab ntsha thiab cov microcirculation tsis zoo. Xws li pob xoos tau dhau los ntawm nws tus kheej yam tsis muaj kev kho mob.
Taw kev o nyob rau hauv cov neeg mob ntshav qab zib nrog kev ua tsis tau zoo ntawm cov hlab plawv cov ntshav, lub raum puas tsuaj, cov hlab ntsha thiab cov hlab ntsha lymphatic, nrog rau qhov pom ntawm cov leeg ntshav lossis nrog cov txheej txheem purulent hauv cov ntaub so ntswg.
Kev ntxhov siab sab hauv thiab kev ua haujlwm ntawm lub ntsa ntsa mus nrog cov ntshav qab zib mob polyneuropathy mob siab. Kev o yog feem ntau hnov ntau nrog kev txhim kho ntawm ischemic variant ntawm qhov kev cuam tshuam no.
Cov txheej txheem tau nyaij nrog kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha hauv cov rog thiab calcium uas tau muab tso rau ntawm cov phab ntsa, cov plahaum rog plaques ua rau hauv qhov lumen ntawm cov hlab ntsha. Txo cov ntshav tawm hauv lub cev, stasis nyob rau hauv cov leeg pab ua rau cov ntshav hauv daim tawv nqaij thiab qhov tsim ntawm edema.
Nrog mob neuropathy, tej zaum yuav muaj o, ntau tshaj ntawm ib sab ceg. Cov tawv nqaij yuav txias thiab qhuav. Cov neeg mob yws yws ntawm qhov mob thaum taug kev, loog, tsis hnov rhiab, muaj zog ntawm daim tawv nqaij thiab ua rau tawv nqaij, ua rau tawv nqaij tawg.
Yog tias mob zuj zus ntxiv, mob txhab rau ntawm txhais taw lossis txhais ceg, uas tsis zoo rau ntev
Mob raum nrog lub plawv khiav tsis zoo muaj cov yam ntxwv sib txawv li no:
- Lawv feem ntau tshwm sim ntawm ob txhais ceg.
- Edema nyob rau hauv thawj theem yog mob me, nrog hnyav decompensation - ntom, kis mus rau hauv caug.
- Kev pauv mus pauv thaum sawv ntxov yuav nce zuj zus thiab ntau ntxiv thaum yav tsaus ntuj.
Txoj kev mob ntsws qhuav thaum sawv ntxov tuaj yeem yog ib qho ntawm cov tsos mob ntawm tus mob ntshav qab zib nephropathy. Ntxiv nrog rau txhais ceg, txhais tes thiab tawv muag qis dua yuav o tuaj. Nyob rau tib lub sijhawm, ntsej muag o tuaj yeem tshwm sim ntau dua li yog tawv. Kev puas tsuaj rau lub raum hauv ntshav qab zib mellitus feem ntau tau nyaij tawm tsam keeb kwm ntawm cov ntshav siab.
Cov ceg muaj ntshav qab zib muaj peev xwm o nrog cov leeg ntshav mob - muaj ntshav muaj ntshav thiab mob ntshav thiav nrog rau. Edema tsis muaj qhov tsis to taub lossis tshaj tawm ntawm ib qho ntawm ob txhais ceg, pheej tawv, tuab. Ntxiv dag zog tom qab lub sijhawm ntev sawv. Feem ntau o qij taws. Tom qab noj txoj hauj lwm tav toj txo.
Nrog rau cov kab mob ntawm cov lymphatic system, lub txim ntawm erysipelas, ib qho ntom thiab tsis tu ncua ntau dhau los yog tsim, uas tsis cuam tshuam los ntawm lub sijhawm nruab hnub lossis hloov pauv hauv lub cev. Kev tsim ntawm "tog hauv ncoo" nyob rau nraum qab ntawm taw yog tus yam ntxwv.
Ntshav qab zib mob taub hau tshwm sim nrog kev o ntawm pob taws los yog pob qij txha. Hauv qhov no, lub zos edema, tsuas yog nyob hauv thaj tsam ntawm qhov sib txuam nrog, nrog cov kev ua kom tsis muaj zog thiab mob thaum txav.
Vim li cas ceg o muaj ntshav qab zib thiab yuav ua li cas?
Edema yog kev txuam nrog cov qog ntshav hauv cov leeg nqaij vim qhov txheej txheem pathological cuam tshuam nrog kev ua txhaum ntawm cov dej-ntsev sib npaug. Hauv cov neeg mob ntshav qab zib, cov kua qog ntshav yuav nyob hauv lub cev feem ntau, ua rau muaj qhov tshwm sim ntawm o o.
Edema nce txoj kev pheej hmoo ntawm kev tsim mob ko taw mob ntshav qab zib, txo qhov muaj lub neej zoo thiab ua rau tsis xis nyob. Cov teeb meem tsis tu ncua yuav tsum muaj kev kho thiab kev tiv thaiv kom txaus.
Ua ntej pib kev kho mob, nws yog ib qho tsim nyog yuav tsum paub yog vim li cas ob txhais ceg tau o ntshav qab zib, thiab kom tshem tawm qhov ua rau muaj qhov xwm txheej no.
Cov mob edema hauv ntshav qab zib feem ntau yog:
- neuropathy, tus cwj pwm los ntawm pathology ntawm lub hauv paus paj,
- kev tsis txaus ntshav hauv txhais ceg vim tias lub plawv tsis ua haujlwm, mob plawv, vasospasm,
- varicose leeg uas cuam tshuam nrog cov txheej txheem ib txwm ntawm cov lymph txaus,
- hnav khau nruj, nyem cov ntaub so ntswg thiab cov hlab ntawm taw,
- kev hloov nyiaj tshuav hormonal, incl. thaum cev xeeb tub
- angiopathy, muaj qhov tshwj xeeb hauv theem siab ntawm kev puas tsuaj rau cov hlab ntsha ntawm nqaj,
- cov khoom noj khoom haus tsis raug thiab tsis txaus, kev siv cov khoom noj khoom haus ntxiv, ntsev thiab ua kua rau hauv cov ntau,
- cuam tshuam txog teeb meem ntawm metabolic, dej-ntsev tsis txaus,
- raum thiab excretory system kab mob
- kev ua rog dhau los, kev ntxhov siab, tsis muaj kev pw tsaug zog, qis kev qoj ib ce, thiab lwm yam.
Feem ntau, txhais ceg txhawm rau mob ntshav qab zib mellitus tau sib xyaw ua ke, piv txwv li, thaum muaj kev cuam tshuam los ntawm hormonal koom nrog cov kab mob plawv, thiab lwm yam. Vim li ntawd cov tshuaj niaj hnub suav hais tias puffiness tsis yog kab mob cais, tab sis raws li cov tsos mob tshwm sim ntawm ntau cov kab mob.
Ntxiv mus, nyob rau hauv 40% ntawm cov neeg mob, edema hauv cov neeg mob ntshav qab zib tshwm sim thaum muaj kev ua txhaum ntawm cov ntshav txaus hauv qhov qis qis, hauv 20% - vim yog txoj kev txhim kho ntawm neuropathy. Hauv qhov no, cov khoom noj tsis zoo, cov khau nruj, tsis muaj cov vitamins yuav ua rau tus neeg mob lub cev hnyav. Hauv qhov no, nws yog qhov tseem ceeb heev kom thim ko taw siv cov insoles tshwj xeeb.
Nyem ntawm daim duab hauv qab no kom paub ntau ntxiv txog kab mob ntshav qab zib thiab xaj kom lawv xa khoom hauv tsev lossis xa ntawv tuaj.
Vim li cas neuropathic ceg edema txaus ntshai nyob rau hauv cov ntshav qab zib?
Qee qhov xwm txheej, edema tsis ua rau mob hnyav rau tus neeg mob ntshav qab zib thiab ib tus neeg suav tias yog ntuj rau lawv txoj kev kuaj mob.
Lub tswv yim no yog erroneous, vim tias nyob rau lub sijhawm, ntau dhau ntawm kev ua rau lub siab tuaj yeem ua rau muaj qhov tshwm sim loj:
- ntshav ncig yog cuam tshuam vim kev nyem los ntawm cov hlab ntshav los ntawm cov kua,
- daim tawv nqaij ntawm nqua yog thinning,
- ua rau muaj kev pheej hmoo ntawm txoj hlab ntshav siab heev,
- purulent o tshwm rau ntawm txhais ceg,
- kev kho mob ntshav qab zib taw tsis nqa cov txiaj ntsig tau zoo,
- qhov txhab, khawb, mob thiab mob txhab rau ntawm cov ntiv taw zoo mob ntshav qab zib ntev.
Edema nyob rau hauv ntau qhov xwm txheej yog qhov ua rau muaj kev nce hauv qab taw taw. Kev txuam nrog cov kua dej tsis tu ncua hauv cov nqaij ntawm cov ceg ntawm lub cev ua rau kev loj hlob ntawm cov kab mob txaus ntshai, uas thaum kawg kis mus rau theem ntawm kev sib deev.
Pob txha o nrog ntshav qab zib: yuav ua li cas thaum pom thawj yam mob?
Thaum kho edema, nws yog qhov tseem ceeb kom tsis txhob nco thawj cov cim ntawm tus kab mob, uas yog qhov qhia tau teeb meem nrog cov dej ntws tawm.
Cov phiajcim no suav nrog:
- kev tsis xis nyob ntawm taw thaum sawv ntawm taw,
- tingling, tingling, pulsations ntawm so,
- “Mob ceg nyob tsis tswm”
- liab ntawm pob taws thiab taw,
- txo qis hauv cov plaub hau ntawm cov ceg,
- cov tsos ntawm watery blisters thiab corns.
Yog tias koj cov ntiv taw txhaws nrog ntshav qab zib thiab cov khau txhua hnub pib rub thiab ua rau tsis xis nyob, ces qhov no tseem yog thawj qhov tsos mob ntawm o. Ob txhais ceg o o nrog cov ntshav qab zib, yuav ua li cas ua ntej?
Yog tias qhov o xav tias qhov hnoos qeev, kev kho mob thiab kev tiv thaiv yuav tsum tau pib sai sai kom tiv thaiv kev txhim kho ntawm tus kab mob.
Kev mus ntsib tus kws endocrinologist yog qhov tsim nyog kom pom qhov ua rau stagnation kua thiab lymph hauv ob txhais ceg thiab sau ntawv kho mob kom txaus.
Tom qab nrhiav pom qhov ua rau muaj mob o, tus kws kho mob yuav sau ntawv rau kev kho mob kom haum.
Yuav luag txhua txhua kis, o ntawm ob txhais ceg mob ntshav qab zib mellitus kho yog qhov nyuaj thiab tau ua hauv cov chaw hauv qab no:
- Kev txhim kho cov ntshav qab zib.
- Kho mob los yog tso zis tsis ua hauj lwm.
- Txhim kho cov kab mob plawv.
- Kev noj zaub mov zoo, ua si lub cev.
- Kev tshem tawm ntawm lwm yam tsis zoo uas ua rau muaj kev npau taws (haus luam yeeb, hnav khau tsis raug, kev mus ncig qis, thiab lwm yam)
Tus kws kho mob endocrinologist tau sau ntawv tawm tshuaj uas kho cov ntshav qab zib thiab ntshav siab, nrog rau cov tshuaj kho ntshav qab zib - tshuaj kho ntshav kom lub cev tawm ntau.
Nrog rau kev tsis txaus tshuaj hormonal, kev kho tshwj xeeb hloov tshuaj yog ua, thiab cov tshuaj loog raws li analgesic yog kho kom txo cov tsos mob mob.
Txhawm rau txo qhov o, koj tuaj yeem siv cov tshuaj pleev qhov tshwj xeeb uas muaj ntxhiab tsw lossis mint. Cov tshuaj pleev yog rubbed rau hauv daim tawv nqaij ntawm txhais ceg 1-2 zaug ib hnub.
Nyem ntawm daim duab hauv qab no txhawm rau paub ntau ntxiv txog kab mob ntshav qab zib thiab kho lawv kom xa hauv tsev lossis xa ntawv.
Tom qab hle cov kev mob nrawm, cov kws kho mob feem ntau kho cov txheej txheem ntawm kev kho lub cev, lub hom phiaj uas txhawm rau txhim kho cov ntshav ncig hauv cov ceg tawv. Cov txheej txheem no suav nrog kev kho cov khoom siv hluav taws xob, electrophoresis, UHF dej tam sim thiab dej tso kua dej.
Saib xyuas! Yog tias koj muaj ntshav qab zib, tes taw thiab o tshwm sim, tom qab ntawv ko taw zaws ntshav qab zib tsuas yog ua los tiv thaiv kev ntsuas tus mob. Zaws thaum lub sij hawm mob hnyav o tuaj yeem ua rau cov leeg ntshav muaj txoj sia - ib qho mob uas muaj kev pheej hmoo siab tuag.
O ntawm cov ceg mob ntshav qab zib: kho mob nrog lwm txoj kev
Hauv ntau qhov xwm txheej, tshuaj ntsuab tshuaj rau mob ntshav qab zib taw pab kom tshem tau ntawm puffiness. Txhawm rau kom cov dej-ntsev ua kom lub cev tsis zoo thiab ua kom nrawm nrawm ntawm cov dej hauv lub cev yuav pab kom da dej los ntawm St. John lub wort, burdock, hydrastis, thiab ntxiv rau cov nroj tsuag coniferous.
Los npaj da dej koj yuav tsum tau noj 5-6 tbsp. dia tshuaj ntsuab thiab ncuav 2 liv ntawm dej npau. Txoj kev lis ntshav lub sijhawm yog 20-40 feeb. Tom qab qhov no, koj yuav tsum ua tib zoo txo koj ob txhais ceg mus rau hauv lub phiab uas muaj tshuaj kho thiab cia lawv nyob ntawd tsawg kawg li ib nrab ib teev.
Tom qab cov txheej txheem, ob txhais ceg yuav tsum tau muab phuam kom qhuav nrog tsis phuam thiab coj txoj hauj lwm tav toj.
Haus los ntawm cov tshuaj ntsuab tshuaj ntsuab nrog cov nyhuv ua kom lub ntsej muag zoo nkauj kuj pab tau. Txhawm rau npaj nws, koj yuav tsum nqa ginseng paus, oats lossis primrose nplooj thiab brew, raws li qhia hauv pob. Nqa cov khoom noj tsis tu ncua 2-5 zaug hauv ib hnub.
Lwm qhov zoo tshaj plaws rau pej xeem tshuaj tawm tsam edema: xaws hnab ntawm qhov loj me ntawm ob txhais ceg los ntawm paj rwb ntaub thiab ncuav qhuav lossis tshiab birch nplooj rau hauv lawv. Cov txheej ntawm nplooj yuav tsum nruj kom haum rau ko taw thiab qis ntawm ib sab ceg.
Nyob rau hauv kev cuam tshuam ntawm nplooj, ob txhais ceg pib hws, tso tawm cov kua ntau ntau. Cov kev qhia no raug pom zoo kom rov ua dua txhua hnub nyob rau 5-7 hnub. Thov nco ntsoov tias hom no muaj contraindications: ib tug nyiam rau thrombosis, mob rau sab thiab mob rau ntawm ob txhais ceg.
Nug cov lus nug txog yuav ua li cas thiaj li tshem tau cov ceg mob ntshav qab zib sai sai, ntau tus neeg tuaj hla cov lus qhia tsis zoo uas pom zoo siv cov tshuaj diuretics.
Vim li cas qhov no tsis tsim nyog? Qhov tseeb yog tias qhov tsis tuaj yeem tswj hwm ntawm cov tshuaj diuretics muab rau lub ntsej muag luv luv xwb: tom qab noj cov tshuaj, qhov o yuav mob zuj zus, tab sis tom qab ob peb teev nws yuav rov qab los ua ib daim ntawv tseem loj dua.
Qhov no yog vim qhov tseeb tias cov kua raug tshem tawm ntawm lub cev "yuam" thiab qhov kev cais tawm tsis ua hauj lwm zoo. Kev siv cov tshuaj diuretics tas li ua rau qhov tseeb tias lawv tsum tsis ua thiab ua rau muaj kev cuam tshuam tsis zoo rau lub raum thiab mob siab.
Nrog rau ntshav qab zib, txhais ceg o, kuv yuav ua li cas txhawm rau kom tsis txhob o?
Kev tiv thaiv tus mob edema hauv cov ntshav qab zib yog raws li nram no:
- Hnav cov thom khwm compression lossis tights, kev siv ntawm daim ntaub qhwv tsis zoo (yog tias tsis muaj qhov tsis muaj qhov txuas).
- Kev tu txhua hnub kom mob ntshav qab zib hauv tsev, kev siv cov cuab yeej tshwj xeeb rau cov neeg mob ntshav qab zib.
- Ua raws li kev noj haus, uas yog qhov tsawg kawg nkaus kom tsawg ntsev thiab carbohydrates yooj yim.
- Ua raws li cov txheej txheem haus: haus 1-1.5 liv dej huv thaum nruab hnub, tsis txhob haus dej thaum hmo ntuj.
- Kev dhia paj paws thiab tswj kev ua lub siab ntev.
- Txav deb ntawm ko taw thiab overcooling ntawm lub taw.
- Tau them ntshav qab zib kom kho thiab kho cov kab mob sib kis.
- Siv khau xis nyob rau hauv qhov loj me thiab ntshav qab zib insoles.
Nyeem ntxiv txog leg prophylaxis rau cov ntshav qab zib hauv cov kab lus no.
Txhawm rau kom tsis txhob nrawm ntawm txhais ceg nrog ntshav qab zib mellitus, yuav tsum tau them nyiaj tshwj xeeb rau hom kev qoj ib ce. Txawm hais tias kev ua si lub cev me me kom txo qis kev pheej hmoo ntawm kev txhim kho edema 2 zaug.
Thaum taug kev, koj yuav tsum tso tag nrho cov taw, siv cov insoles tshwj xeeb. Los ntawm ua raws li cov lus pom zoo rau kev tiv thaiv thiab siv txhua yam khoom rau cov mob ko taw, koj tuaj yeem txo qhov o ntawm qhov kawg thiab tiv thaiv nws cov tsos.
Peb lub khw online muaj cov kev kho mob zoo tshaj plaws thiab niaj hnub kho mob ntshav qab zib. Peb xa thoob plaws tebchaws Russia los ntawm courier rau koj lub tsev, mus rau cov ntsiab lus ntawm kev xa khoom xaj thiab xa ntawv. Nyem rau ntawm daim duab hauv qab no thiab nrhiav paub ntxiv.
Tshooj lus yuav piav qhia txog yuav ua li cas kho pob txha o nyob rau hauv ntshav qab zib. Tus kab mob no suav tias yog ib qho xwm txheej txaus ntshai tshwm sim los ntawm qhov tsis muaj cov tshuaj insulin uas tsim los ntawm cov txiav tsis ua rog. Hormonal insulin tuaj yeem ua rau lub cev tsis zoo hauv kev noj qab haus huv: lub cev ntawm tib neeg thiab cov kab ke.
Kev ua rau lub cev tsis ua rau cov pluas plob tsis txaus ua rau cov ntshav qab zib nce tuaj, thiab cov ntaub qhwv lub cev tsis tuaj yeem tiv thaiv teeb meem piam thaj tau. Qhov no ua rau muaj kev cuam tshuam ntawm kev sib pauv dej, ntsev, protein thiab cov rog hauv lub cev. Ib qho nyuaj ntawm cov tshuaj hormones thiab metabolic hloov tau pom zoo kom ua nrog ib qho uas tsis tsim nyog ntawm txoj kev kho mob. Teeb meem hnyav tshwm sim yam tsis tau kho:
- pre-stroke mob
- myocardial infarction thiab lub plawv tsis ua haujlwm,
- kev puas tsuaj hnyav rau cov ntshav ntawm lub qhov muag,
- excretory system kab mob.
Nrog rau cov ntshav qab zib, lub plawv thiab lub vascular system, hlab ntsha hlab ntsha thiab cov hlab ntsha muaj kev cuam tshuam, tab tom txhaws vim yog qhov ua kom tsis muaj zog ntawm cov suab thaj los ntawm lub cev. Kev txhaws ntawm cov hlab ntshav nyob ib ncig ntawm lub qhov muag ua rau dig muag. Clogging ntawm cov hlab ntsha txoj hlab ntaws ua rau lub raum tsis ua haujlwm. Yog tias kev mob ntshav ntawm lub plawv thiab cov hlab ntsha ntawm lub paj hlwb txhaws, mob plawv nres, ua rau muaj mob ua ntej.
Ntshav Qab Zib mellitus muab cov kev mob nyuaj siab rau hauv qab qis;Edema ntawm txhais ceg yog suav tias yog thawj qhov tsos mob uas qhia tias muaj kev ua txhaum nyob rau hauv kev txav ntawm cov ntshav thiab kev ua haujlwm li qub ntawm cov leeg xaus rau qis qis ntawm tus neeg mob ntshav qab zib.
Muaj cov laj thawj rau qhov yeej ntawm qhov qis qis thiab o ntawm cov ceg hauv cov neeg muaj ntshav qab zib:
- arthropathy, ua rau lub pob ntseg ntawm ceg txhaws tawm tsam ntshav qab zib,
- angiopathy, cuam tshuam cov hlab ntshav ntawm lub cev,
- neuropathy, ua rau kev puas tsuaj rau cov hlab ntshav hauv ntshav qab zib.
Lub hauv paus tseem ceeb ntawm kev mob siab yog mob ko taw thiab liab. Caj pas o mob ntshav qab zib muaj ntau yam mob, nrog rau cov kab mob ntawm cov hlab plawv thiab hlab ntshav cuam tshuam nrog ntshav qab zib. Yog tias tsis kho kho, muaj kab mob ntshav tawm ntawm txhais ceg nrog ntshav qab zib ua rau:
- cov kev hloov hauv tus qauv ntawm cov ntiv tes,
- subluxation.
Kab mob vim yog ntshav qab zib yog hu ua “tus mob ntshav qab zib” hauv cov tshuaj tam sim no. Txhua tus uas kuaj mob ntshav qab zib yuav tsum tau soj ntsuam qhov xwm txheej nrog ob txhais ceg tas li. Taug qab cov teev syndromes:
- mob hauv cov nqua,
- o ntawm ib qho ceg,
- loog ntawm nqua
- tsis tshua muaj kev cuam tshuam ntawm ob txhais ceg,
- roughness, stratification ntawm daim tawv nqaij ntawm ko taw,
- nquag calluses
- ib qho kev hloov pauv ntawm cov ntsia hlau thiab tus qauv ntawm ko taw.
Yog li cov ntshav qab zib tuaj yeem txiav txim siab o ntawm txhais ceg, nws txaus los thov siab nrog lub ncoo ntiv tes mus rau thaj chaw tawv. Nrog edema ntawm qis qis dua, tab sis tsis o, ib qhov dimple tshwm hauv thaj chaw. Nws yuav tsum ploj mus tom qab nees nkaum lossis peb caug feeb. Txhawm rau kho pob txha caj qaum hauv ntshav qab zib, koj yuav tsum teem sijhawm nrog kws kho mob.
Txoj kev kho rau pob txha o, zoo li ntshav qab zib, xav tau ib txoj hauv kev uas suav nrog:
- kaw kev koom tes ntawm tus neeg mob nrog tus kws kho mob,
- tshuaj kho
- kev noj haus thiab kev noj haus,
- tswj lub cev kom muaj kev noj qab nyob zoo thiab muaj txiaj ntsig zoo.
Thaum kuaj pom tias yuav txhais ceg o, koj yuav tsum tau teem caij nrog tus kws kho mob siab thiab tus kws endocrinologist sai. Cov kws kho mob yuav kuaj xyuas lub cev, txiav txim siab seb puas tsuaj ntawm lub cev, qhia txog qhov tsim nyog noj tshuaj thiab kho mob. Tus neeg mob yuav tau txais cov lus pom zoo uas pab saib xyuas cov ceg qis, yog tias tsim nyog, cov neeg ua haujlwm kho mob yuav ua haujlwm tu ob txhais ceg nrog kev siv tshuaj tua kab mob, siv ntau yam tshuaj pleev pleev lossis txiav caj dab.
Hauv cov ntshav qab zib thiab mob tawv nqaij, nws raug nquahu kom cov kws kho mob rov ua tus txheej txheem los kuaj mob txhais ceg tsawg kawg ib xyoos ib zaug. Tus txheej txheem kev txais tos thiab kev kho mob muaj:
- kev kuaj lub cev thiab tshuaj xyuas,
- mloog cov mem tes hauv ob txhais ceg
- kev kuaj mob ntawm cov hlab ntsha ntawm txhua ceg qis,
- kuaj reflex ntawm lub paj hlwb ntawm lub hauv caug pob qij txha,
- tswj hwm ntawm ntau hom sib txawv,
- ENMG (hluav taws xob neural myography).
Kev tiv thaiv kev o ntawm ob txhais ceg hauv cov neeg mob ntshav qab zib
Kev soj ntsuam ob txhais ceg ntawm tus neeg muaj ntshav qab zib muaj qhov yooj yim, tab sis tus qauv tseem ceeb, ua raws li txoj cai, muaj lub sijhawm zoo los tiv thaiv kev txhim kho ntawm cov kab mob loj. Los ntawm kev tiv thaiv edema ntawm ko taw pob qij txha thiab lwm yam tsos mob ntawm tus kab mob, tib neeg zam kev ploj. Kev tiv thaiv ntawm tus ceg txhav nyob hauv txoj haujlwm no:
- Kev soj ntsuam txhua hnub ntawm txhais ceg, nyob rau hauv uas lub ntsiab yuav tsum tau muab rau ko taw, ib leeg, qhov chaw nruab nrab ntawm cov ntiv taw,
- Cov txheej txheem kev nyiam huv txhua hnub uas suav nrog kev ntxuav koj txhais taw. Kev ntxuav yog nqa nrog cov xab npum nruab nrab hauv dej txias. Tom qab ntawd nws raug nquahu kom so ob txhais ceg nrog taw du nrog phuam mos ua los ntawm cov ntaub ntuj. Cov ntaub qhwv hluavtaws rau cov ntshav qab zib yog pom zoo kom tsis suav nrog.
Qhov kev kho mob thiab kev saib xyuas ntawm qis qis kawg ntawm tus neeg muaj ntshav qab zib
Kho ntshav qab zib thiab tu ko taw:
- Tshem tawm cov cuticle ntawm cov ntsia hlau nrog cov ntsia thawv ua ntaub ntawv thiab lub ncoo. Cov txheej txheem tshem tawm qhov zoo li ntawm tau txais ntau hom microtrauma,
- Kev siv cov roj pleev pleev pleev rau qhov tsim,
- Ua cov chaw tawv nrog pumice,
- Kev soj ntsuam txhua hnub ntawm khau rau qhov muaj qhov tsis meej, ntuag ntawm qhov nkag, tsoo ntawm peb lub pob zeb thiab cov khoom txawv teb chaws tuaj yeem rub lossis tawm ntawm kev raug mob rau ntawm daim tawv nqaij ntawm ko taw.
- Hnav cov khau kom yooj yim dua
- Hu kws kho mob thaum cov tsos mob tshwm sim ntawm lub ntsej muag tshwm: tawv nqaij, liab, kub,
- Massage ntawm qis qis dua nrog kev siv cov tshuaj tseem ceeb kho,
- Kev ua ntawm kev siv dag zog thiab kev tawm dag zog,
- Tswj kev so thiab kev noj haus, tsom rau txo kev siv suab thaj thiab zaub mov uas suav nrog hom khoom noj tshwj xeeb.
Nco ntsoov, kev kho mob tshwj xeeb nrog kev pab ntawm cov tshuaj yuav tsis muab txiaj ntsig zoo dua rau tus neeg mob ntshav qab zib dua li ua cov kev kho mob nyuaj thiab thoob ntiaj teb. Kev noj zaub mov zoo thiab lub cev ua kom lub cev nrog tus tswv nyob rau lub sijhawm tsis tas yuav ncua sijhawm ntev yuav pab kom tus neeg mob tsis nco qab tias o ntawm cov ceg mob ntshav qab zib, txhim kho lub plab zom mov, txuag cov hlwb uas nyob ntawm kev tsim tawm insulin thiab kev puas tsuaj.
Edema yog kev txuam nrog cov kua hauv cov nruab nrog cev lossis hauv qhov chaw nruab nrab ntev. Cov laj thawj rau nws thiab pathology uas nws tshwm sim yuav txawv. Hauv cov ntshav qab zib mellitus, cov tsos mob no yog nyob rau hauv thib 2 tom qab SDS. Vim li cas ceg thiaj o muaj ntshav qab zib? Ntshav qab zib mellitus - yog tus cwj pwm los ntawm kev pheej hmoo hyperglycemia, thiab qhov no ib txwm ua rau muaj kev ua txhaum ntawm cov phab ntsa ntawm cov hlab ntshav. Cov piam thaj tsuas kua muag sib cais ntawm cov phab ntsa, nce qhov permeability ntawm cov hlab ntshav thiab txo lawv lub suab.
Plasma kua hauv cov ntshav qis yog tshuav tsis muaj dab tsi los xau ntawm cov hlab ntsha mus rau hauv qhov chaw nruab nrab. Cov ntshav tawm ntawm no thiab khaws cov kua dej nws tus kheej. Raws li kev cai lij choj ntawm lub cev, cov kua tau tawm hauv cov hlab ntsha uas nyob deb ntawm lub siab - cov no yog cov hlab ntsha ntawm ob txhais ceg. Tawm tsam ntawm cov keeb kwm yav dhau los no, cov khoom noj khoom haus thiab cov pa oxygen rau cov hlwb ntawm cov nqaij thiab cov plab hnyuv siab raum zuj zus thiab cov tsos mob ntxiv tshwm sim. Tag nrho cov no loj hlob zoo li daus snow. Edema ib txwm yuav tsum tau mus cuag kws kho mob thiab nrhiav cov laj thawj rau nws. Kev sib cais ntawm edema - rau hauv zos thiab dav dav. Edema nyob rau hauv cov ntshav qab zib mellitus yog li feem ntau hauv zos hauv zos. Hauv cov ntshav qab zib, cov hlab ntsha ntawm txhua qhov calibers raug mob, nrog ntshav qab zib hom 1, ntau cov hlab ntsha muaj feem cuam tshuam thiab microangiopathies txhim kho. Nrog tus mob ntshav qab zib hom 2, cov hlab ntsha loj thiab cov hlab ntsha cuam tshuam thiab macroangiopathy kev loj hlob.
Tab sis cov kev rau txim ntawm kev kho mob yam tsis kho tsis tau kho nws hnyav heev. Kev puas tsuaj rau cov hlab ntshav tau qhia nyob rau hauv qhov tseeb tias thaum kawg lawv lumen tau daig yooj yim. Yog tias nws txhawj txog lub qhov muag, muaj qhov txo qis ntawm qhov muag pom mus txog rau qhov muag tsis pom kev, nrog lub raum puas - lub raum tsis zoo nrog kev mob raum tom qab, kev puas tsuaj rau cov hlab ntsha ua rau MI thiab tus cwj nrag. Hauv 90% ntawm tus neeg mob, cov hlab ntsha ntawm ob txhais ceg raug cuam tshuam thiab SDS txhim kho.
Yog hais tias ob txhais ceg tau o ntshav qab zib, lub teeb liab yog ua txhaum ntawm cov ntshav ncig thiab cov cai ntawm kev noj qab haus huv. Tus ntiv tes, ko taw lossis ceg qis dua tuaj yeem o tuaj. Cov tsos mob tsis ua rau sib txawv poj niam txiv neej. Puffiness cuam tshuam qhov tsis zoo ntawm lub cev raws li ib tug lej. Tus neeg mob kuj tsis tuaj yeem tsis zoo siab tshaj plaws: nws tsis tuaj yeem taug kev ywj pheej vim yog mob, nws tsis tuaj yeem hnav khau li ib txwm, sawv ntawm nws ko taw, thiab pw ib txwm. Yog tias txhais ceg tau o, pw tsaug zog yog feem ntau cuam tshuam.
Txhawm rau tshem tawm cov khau no txawm tias tom qab ib teev ntawm taug kev lossis tom qab sawv ntawm lawv ko taw, koj tuaj yeem pom tag nrho cov kev ntaus ua tiav ntawm daim tawv nqaij ntawm taw.
Qhov tsis muaj kev kho ua rau muaj qhov tseeb tias nrog edema sib sib zog nqus hlab ntshav thrombosis muaj kev loj hlob. Xws li lub cim tuaj yeem ua rau nws tsim: edema ua ib qho tsis sib luag thiab ib txhais ceg hnyav dua, o tuaj thaum sawv ntxov, thiab twb muaj nyob rau hauv nruab hnub, daim tawv nqaij ntawm ob txhais ceg yuav liab, ib qho kev xav tsis xis nyob hauv ob txhais ceg, thaum sawv kev mob hauv taw thiab calves. Kuj tseem muaj teeb meem ntawm edema suav nrog kev hloov pauv trophic. Qhov ua rau edema yuav tsum tau tshawb xyuas thiab coj. Tsis paub qhov laj thawj, ib tus tsis tuaj yeem zaws ob txhais ceg, piv txwv li. Yog tias nws mob thrombosis, ntshav txhaws tuaj yeem tawm thiab ua rau cov leeg ntawm cov kabmob uas tseem ceeb thiab ua rau tuag taus. Piv txwv li, TELA.
Cov tsos mob yuav tsum ceeb toom: kub hnyiab, mob qa, txhaws qa hauv ob txhais taw, kev hloov siab ntawm qhov kawg - lawv nthuav lossis luv, ntiv tes puag ncig, paresthesias tshwm nyob rau hauv daim ntawv ntawm creeping thiab loog, qhov rhiab ntawm ko taw qis, feem ntau sawv hlwv daim tawv nqaij, tawv nqaij ntawm nqaj tau nthuav thiab tsis txawv txav. Cov. Txhawm rau kuaj qhov muaj edema, tsuas yog nias tus ntiv tes rau ntawm daim tawv nqaij. Nrog edema, ib daim fossa, uas tsis ncaj ncaj rau ob peb feeb.
Ntxiv nrog rau qhov liab liab thiab mob ntawm ob txhais ceg, qhov taub ntawm qhov ko taw tshwm sim, qhov chaw muaj qhov txhab thiab cov kab nrib pleb hauv qhov taw yuav tsis zoo ntev. Nrog ntshav qab zib hom 2, lub ntsej muag, tes thiab lub plab yuav o tuaj ntxiv.
Nco ntsoov ua qhov kev soj ntsuam sab nraud ntxaws nrog palpation, kho lub sijhawm kom du fossa, tus kws kho mob ne soj ntsuam txhua hom tawv nqaij rhiab ntawm ko taw. Yuav tsum tau muab cov ntawv luam duab hluav taws xob neuromyography.
Nws yog tsim nyog kom nco ntsoov tias txhais taw o nrog mob ntshav qab zib ntawm txhua yam yuav tsis ploj nws tus kheej thiab koj tsis tas tos nws yuav ntog. Yog li, mob caj dab o hauv ntshav qab zib - yuav ua li cas, kev kho mob yuav tsum muaj txhij txhua thiab suav nrog kev noj tshuaj tsis tas rau, tab sis kuj ua raws li kev noj zaub mov kom tsawg, txwv tsis pub haus luam yeeb thiab haus, thiab lwm yam
Nrog hyperglycemia, raws li qhov tshwm sim, lub hom phiaj yog kom txo qis thiab ua kom cov ntshav qab zib. Qhov ua rau mob edema yuav tsum raug txiav txim ua ntej. Edema ntawm ob txhais ceg thiab kho ntshav qab zib kho: qab zib tuaj yeem ua haujlwm nrog hom tshuaj insulin 1, thiab nrog 2 ntsiav tshuaj nrog PSSP. Yog tias qhov laj thawj nyob hauv kev hnav khau tsis raug, koj yuav tsum hloov nws kom dav thiab xis, siv cov insoles tshwj xeeb kom txo qis rau ntawm ob txhais taw.
Thaum cev xeeb tub, tsis tuaj yeem tshem tawm thiab kev kho mob tsis tuaj yeem kho. Kev kho kom zoo tsuas tuaj yeem xaiv los ntawm tus kws tshaj lij. Qhia cov tshuaj uas txhim kho cov ntshav ncig, ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha thiab txo cov ntshav qab zib. Qhov tsim nyog ntxiv rau qhov no yog ntsev noj kom tsis qab ntsev, ua raws li cov txheej txheem dej, thiab txo lub cev ua si. Kev muaj zog hauv lub cev thiab mob hnyav o yuav tsum tau teem caij tshuaj diuretics. Tab sis lawv muaj kev mob tshwm sim: lawv tshem tawm cov txiaj ntsig me me thiab loj heev hauv lub cev. Qhov tshwm sim no tsis zoo thiab cuam tshuam tam sim ntawd rau tus neeg mob lub mob.
Yog hais tias qhov ua rau yog CCH, uas feem ntau cuam tshuam nrog cov ntshav qab zib (lub plawv mob ntshav qab zib), siv txhais tau tias yuav txhim kho cov kev ua kom mob plawv.
- ACE inhibitors (angiotensin-hloov enzyme) - lawv pab txo ntshav siab. Cov no yog Captopril, Blockordil, Amprilan, Enalopril, Lisinopril.
- Angiotensin II receptor blockers - lawv raug xaj tau yog tias ACE inhibitors tsis haum. Lawv tes haujlwm zoo ib yam. Valsartan yog qhov feem ntau kho mob. Nrog ntshav qab zib hom 2, Zentiva, Diovan kuj tseem raug kho.
- Diuretics yog cov nyiam tshaj plaws Veroshpiron thiab Furosemide. Nrog anuria, exicosis thiab sodium deficiency - nws yog ncaj qha tsis yooj yim kho nrog diuretics.
- Txhawm rau kom zoo dua qub thiab txhim kho tus mob, cov vitamins thiab cov zaub mov noj yog tau kho.
Cov tsos mob kev kho mob: rau mob neuropathic - Ketorolac, Ketorol, thiab lwm yam. Thaum pib theem ntawm kev kho mob insulin, edema yuav tshwm sim, tab sis lawv dhau los ntawm lawv tus kheej. Cov tsos mob ntawm qhov o yog qhov tsis pom kev, tawm pob ntawm lub ntsej muag, perineum, tes. Tsis txhob muab cov tshuaj diuretics rau koj tus kheej, vim tias edema yuav qis zuj zus, tab sis tom qab ntawd yuav rov qab los rau hauv daim ntawv tshaj tawm. Kev haus dej nrog kev tswj hwm tsis tau tswj yog tsim los ntawm kev quab yuam thiab lub raum tsis ua haujlwm zoo. Kev noj haus ntau dhau diuretics ua rau qhov tseeb tias lub raum tsis teb rau lawv thiab cov tshuaj diuretics puas ua rau ob lub raum thiab lub siab.
Yog tias tsis muaj contraindications, nws yog qhov tsim nyog yuav tsum tau hnav cov vuam txwv ntev lossis cov ris tsho. Kev saib xyuas ko taw yuav tsum yog kev coj noj coj ua txhua hnub uas qhov xwm txheej ntawm ko taw thiab kev kho mob ntawm ko taw nrog txoj kev tso cai raug saib xyuas.
Kev noj ntsev kom tsawg thiab cov suab thaj yooj yim, tsis txhob haus dej thaum hmo ntuj, tab sis haus txog 1.5 litres ntawm cov dej huv si thaum nruab hnub, tsis txhob kub siab thiab tsis txhob ua kom lub siab, ua kom lub cev qoj ib ce yuav tsum yog txhua hnub, kev tawm dag zog thiab kev tawm dag zog kom ob txhais ceg, khau zoo thiab ntshav qab zib tshwj xeeb unloading insoles, nquag tso zis thiab ntshav. Txawm hais tias kev siv lub cev me - taug kev, caij tsheb kauj vab - txo txoj kev pheej hmoo ntawm o los ntawm ib nrab. Koj yuav tsum taug kev tsawg kawg 3 km ib hnub twg nrog cov kauj ruam taug kev li ib txwm. Kev tawm dag zog lub cev tawm dag zog ua kom cov ntshav ncig thiab cov suab nrov ntawm cov hlab ntsha me nce ntxiv. Lawv ua haujlwm ntau dua thiab tawg ntau noo noo. Nws yog ib qho tsim nyog yuav tsum tso kev haus luam yeeb, tshem tawm kev ntxhov siab, kho cov kab mob sib kis uas tsis tu ncua nyob rau lub sijhawm.
Mob ntshav qab zib mellitus muaj qhov tshwm sim los ntawm kev hloov pauv ntawm cov kab mob endocrine.
Lub txiav ua rau pib tsim cov tshuaj hormones zuj zus.
Cov tshuaj insulin tuaj yeem ua cov teeb meem qabzib.
Vim li ntawd, cov ntsiab lus ntawm cov piam thaj hauv cov ntshav nce siab. Tus mob no cuam tshuam cov hlab ntsha, cov hlab ntsha. Feem ntau cov mob lymph ntws tawm yog cuam tshuam, ceg o tshwm sim hauv ntshav qab zib mellitus. Hais txog yuav ua li cas los daws cov kev kub ntxhov los ntawm qhov qis qis dua los ntawm kev siv tshuaj thiab kev siv tshuaj ib txwm muaj, no tshooj hais.
Cov tsos ntawm edema hauv qis qis dua yog cuam tshuam los ntawm ntau yam.
Cov ua rau mob caj dab o rau cov ntshav qab zib:
Raws li koj tuaj yeem pom, nyob hauv qee qhov xwm txheej, tus neeg nws tus kheej yuav raug liam, raws li nws coj kev ua neej tsis raug.
Cov ntawv sau los ntawm peb cov nyeem
Kuv tus niam pog tau mob ntshav qab zib tau ntev ntev (hom 2), tab sis tsis ntev los no cov teeb meem tau ploj mus ntawm nws ob txhais ceg thiab nruab nrog cev.
Kuv txhob txwm nrhiav tau ib tsab xov xwm hauv Is Taws Nem uas khaws kuv lub neej. Nws yog qhov nyuaj rau kuv pom qhov tsim txom, thiab qhov tsis hnov tsw phem hauv chav tsev tau ua rau kuv vwm.
Los ntawm cov chav kawm ntawm kev kho, lub granny txawm hloov nws lub siab. Nws tau hais tias nws ob txhais ceg tsis raug mob thiab qhov mob tsis zoo zuj zus ntxiv lawm, lub lim tiam tom ntej peb yuav mus rau hauv tus kws kho mob chav ua haujlwm. Tshaj tawm qhov txuas rau kab lus
Zoo li txhua txoj kev pathologies, o ntawm qis qis muaj qee cov tsos mob.
Peb sau thawj cov cim:
- thaum ib tug neeg sawv, nws tsis xis nyob ntawm nws txhais ceg,
- muaj paum nyob hauv ib qho chaw txias, tingling, tingling,
- nyob tsis tswm ceg mob caj dab
- taw liab, pob taws,
- txhais ceg plaub hau tau txais me me
- corns, watery blisters,
- txhais ko taw tsis haum rau nkawm khau,
- kuv tus ntiv tes mus loog
- nkawm khau qub pib tshiav.
Txhawm rau txiav txim siab ua kom muaj teeb meem nrog cov kua dej tawm, koj yuav tsum mus ntsib kws kho mob thiab kev kuaj mob.
Yog tias txhais ceg tau o tuaj tsis tu ncua, tus neeg mob xav tau kev kho mob. Kev noj qab haus huv ntawm cov neeg zoo li no tuaj yeem muaj kev pheej hmoo loj. Thaum muaj dej ntau nyob hauv chaw cais, daim tawv nqaij lub zog cia ploj. Cov mob sib sib zog nqus tau tshwm sim nrog cov kev ua kom mob me. Txij li muaj ntshav qab zib txawm tias qhov txiav me me kho tau ntev, qhov ntxim nyiam ntawm kev kis thiab suppuration nce ntxiv.
Yuav ua li cas kom muaj suab thaj nyob hauv 2019
Yog tias tsis kho cov ntshav qab zib thiab cov ceg yuav o, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov hlab ntsha dhau sijhawm.
Koj tuaj yeem txiav txim siab lawv los ntawm cov qauv hauv qab no:
- cov neeg kawm ntawv ntawm o ntawm ob txhais ceg yog txawv,
- thaum sawv ntxov tus neeg hnov zoo li qub, los ze zog dua yav tsaus ntuj muaj qhov o,
- daim tawv nqaij ntawm kuv txhais ceg liab liab
- tsis xis nyob muaj kev xav
- thaum ib tug neeg sawv, nws ob txhais ceg mob,
Yog tias mob thrombosis tshwm sim, txhais tes taw yuav tsis tsim nyog. Kev ntsuas uas tsis ua rau kev tshem tawm puffiness ua rau muaj teeb meem. Thromboembolism tuaj yeem txhim kho nrog ntau yam kev mob siab rau ntawm caj npab cuam tshuam. Tus mob no yog neeg tuag taus.
Nias lub ntiv tes rau ntawm thaj chaw muaj teeb meem ntawm daim tawv nqaij. Nrog cov nyhuv no, kev poob siab me me yuav tshwm sim, uas yog tshem tawm tom qab 20-30 vib nas this. Tus mob no nws txawv li mob qog.
Kev kuaj mob yog nqa los ntawm tus kws endocrinologist thiab tus kws phais tshwj xeeb hauv cov hlab ntshav. Cov kws tshwj xeeb txiav txim siab qhov xwm ntawm qhov mob ntawm ob txhais ceg, muab tshuaj thiab cov tshuaj tswj hwm.
Peb sau ntau txoj hauv kev kuaj mob:
- lub mem tes ntawm ob txhais ceg tau hnov
- siv cov khoom siv ultrasound,
- soj ntsuam hauv cov pob qij txha hauv caug,
- qib theem ntawm kev raug ntawm cov ntaub so ntswg yog txiav txim siab,
- electroneuromyography.
Cov neeg mob tau txais ntau lub tswv yim los pab npaj kev saib xyuas kom zoo ko taw. Yog tias tsim nyog, kev tu cev nrog tshuaj tua kab mob nrog tshuaj pleev, tshuaj pleev yuav ua haujlwm. Tshem cov pob txha yog xyaum.
Tom qab kuaj pom, cov kws tshwj xeeb txiav txim siab cov txheej txheem kho tsim nyog.
Kev kho tag nrho koom nrog kev siv cov hau kev zoo li no:
Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!
- kev cai tswj ntawm cov suab thaj hauv cov ntshav,
- tshem tawm cov teeb meem nrog qhov system urinary,
- ntxiv dag zog rau cov kev pabcuam ntshav,
- kev noj haus, kev ua kis las
- tshem tawm ntawm ntau yam tsis zoo ua rau edema.
Yog tias tus neeg mob ua raws li txhua yam lus qhia ntawm tus kws kho mob, ces qhov mob ntawm qhov qis qis yuav dhau mus sai li sai tau.
Tus kws kho mob endocrinologist tau sau ntawv yuav tshuaj rau koj kho cov ntshav qab zib, ntshav siab.
Cov no suav nrog:
- Kev tshuaj ntsuab.
- Kev tshuaj ntsuab
- Kev hloov kho Hormone yog ua tiav thaum qhov nyiaj ntawm qee yam tshuaj hormones hloov pauv.
- Tso tshuaj ntsuab rau siv kom tshem tawm qhov mob.
- Kev muab tshuaj pleev ib ce thiab tshuaj pleev kom pab txo qhov o. Rub cov nyiaj ib zaug los yog ob zaug ib hnub.
Tom qab kev tshem tawm ntawm cov mob taub hau, cov kws tshaj lij feem ntau nqa tawm lub cev kev siv zog ua kom lub zog tswj ntshav hauv ob txhais ceg:
- Electrophoresis
- UHF kev kho tam sim no
- lymphatic kua
- kev kho hluav taws xob.
Zaws ntshav tsuas yog ua rau kev tiv thaiv mob ntshav qab zib. Yog tias qhov o nrawm dhau, qhov mob thromboembolism tuaj yeem tshwm sim tom qab lub tshuab nqus ntev. Tus mob no ua rau kom muaj kev ploj tuag ntau dua.
Cov tshuaj kho mob ib txwm muaj yog ib feem tseem ceeb ntawm kev kho mob mob caj dab kom ntshav qab zib. Hais txog yuav ua li cas kho pob txha caj qaum hauv ntshav qab zib mellitus siv tshuaj ntsuab tshuaj, nws tau sau rau hauv tshooj no.
Txhawm rau ruaj khov ntawm cov dej-ntsev rau cov metabolism thiab txhawb kev tshem tawm ntawm cov dej, cov da dej nrog tshuaj ntsuab yog noj:
Cov lus qhia rau kev npaj xws li kev da dej:
- Nyob rau hauv ib lub taub ntim uas txhais ceg yuav tau los, ntxiv 6 dia ntawm cov khoom xyaw qhuav, ncuav 2 liv ntawm cov dej npau, nws yuav siv li 40 feeb los tsoo.
- Tom qab ntawd, koj tuaj yeem tuav koj ob txhais taw hauv dej li 30 feeb.
- Tom qab ntawd ob txhais ceg maj mam muab so. Nws yog ib qho tsim nyog yuav tsum tau pw rau 20-30 feeb.
Muaj lwm txoj kev xaiv rau kev tshem tawm cov ceg o hauv ntshav qab zib:
- Decoctions ntawm flax noob. Cov khoom xyaw ua noj rau 15 feeb dua tsawg cua sov. Tom qab ntawd cov kua yog infused rau li 3 teev, ntxuav, haus 3 zaug hauv ib hnub, 100 millilitres rau 5 hnub.
- Cov Txheej Txheem. Ntxiv 1 kg ntsev rau hauv ib thoob dej, do. Cov phuam yuav tsum tau muab so nrog dej li ntawd, tom qab ntawd nyem thiab qhwv hauv qab nraub qaum, tuav li 2 feeb. Koj yuav tsum tau ua 10-15 rov hais dua. Txoj kev no yuav pab kom tshem tawm cov kev mob siab.
- Kev noj zaub mov-ua kom lub cev muaj zog. Nws tuaj yeem yog watermelons, dos, taub dag, zaub kav, zaub txhwb, thiab lwm yam.
Nrog kev txhawm rau, koj tuaj yeem ua lub teeb taw zaws uas txhawb cov ntshav kev. Rau cov txheej txheem no, koj xav tau cov tshuaj sib tov.
- cov roj taum ntawd
- qe nyoos
- sov turpentine.
Cov dej no yog siv los txhuam cov taw. Massage yog nqa tawm rau 10-15 feeb. Tom qab ntawd, muab tso rau ntawm kev ntaus golf, paj rwb cov khoom ntim, koj yuav tsum tau pw hauv ib nrab ib teev. Cov txheej txheem pab txhim kho cov lymph ncig, tshem tawm cov kua dej ntau dhau. Nrog vascular thrombosis, ob txhais ceg tsis tuaj yeem cuam tshuam ua ke.
Txhawm rau txo pob txha o hauv ntshav qab zib, koj tuaj yeem siv tincture nrog cayenne kua txob extract. Capsaicin, uas yog ib feem ntawm xws li cov tshuaj, txhawb kev kho kom zoo, ntshav ncig. Tincture tau npaj tsis pub dhau 2 lub lis piam. Nws noj ntawm qhov ncauj rau ib lim piam, ib diav ib hnub.
Txhawm rau txhawm rau txhawm rau txhawm rau mob ntshav qab zib hom 2, qee cov lus qhia yuav tsum tau ua raws.
Cov no suav nrog:
- Soj ntsuam zoo, tswj cov tsos mob.
- Txhua txhua hnub, ntxuav koj txhais taw, tu koj daim tawv nqaij nrog lub ntsej muag ntub dej.
- Txhua hnub los kuaj xyuas txhais ceg, ko taw. Cov kab mob kis, khawb, txiav qhov yuav tau ua kom tiav raws sijhawm.
- Nws yog ib qho tsim nyog los txiav cov rau tes, uas maj mam nias rau hauv daim tawv nqaij, ua rau o.
- Tiv thaiv qhov pom ntawm fungus los ntawm kev txhais tau tias tsim nyog.
Thaum saib cov tsos mob twg, nws yog ib qho tsim nyog yuav tsum sab laj nrog kws kho mob.
Kev tiv thaiv ntawm edema yog nqa tawm nrog kev pom zoo ntawm tus kheej kev tu cev:
- Koj yuav tsum tau khau nrog ntau qhov ntau thiab tsawg. Rau cov neeg mob ntshav qab zib, cov kab xo tshwj xeeb tau ua.
- Compression vuam txwv ntev tsis pub kev o tuaj.
- Los ntawm cov khoom noj koj yuav tsum tsis suav cov zaub mov uas muaj ntau cov carbohydrates thiab ntsev.
- Koj yuav tsum haus 1.5-2 litres ib hnub. Haus kua ua ntej mus pw yuav tsis tsim nyog.
- Kev tawm dag zog me ntsis yuav pab txhim kho kev zom zaub mov.
- Tsis txhob nthuav tawm koj txhais ko taw kom txias dhau los yog cua kub dhau.
- Txoj kev kho ntau yam ntawm cov kab mob mus ntev thiab ntshav qab zib yog nqa tawm.
Tam sim no txhua tus neeg yuav paub txog yuav ua li cas kho tau o nrog ntshav qab zib kom raug.
Mob ntshav qab zib ib txwm ua rau neeg tuag taus. Noj ntshav qab zib ntau heev yog qhov txaus ntshai heev.
Alexander Myasnikov nyob rau lub Kaum Ob Hlis 2018 tau piav qhia txog kev kho mob ntshav qab zib. Nyeem tag nrho
Udovichenko, O.V. Mob ko taw. Lus qhia rau cov kws kho mob / O.V. Udovichenko. - M .: Tshuaj kho mob, 2016 - 253 p.
Kogan-Yasny V.M. Muaj mob suab thaj, Xeev kev tshaj tawm tsev kho mob cov ntawv sau txog kev kho mob - M., 2011. - 302 p.
Evsyukova I.I., Kosheleva N.G. Mob ntshav qab zib mellitus. Cev xeeb tub thiab menyuam yug menyuam, Miklosh - M., 2013 .-- 272 p.
Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog tus kws tshaj lij yog ib txwm tsim nyog.