Mob ntshav qab zib kev saib xyuas yuav ua li cas tiv thaiv kev txiav tes taw

Sau los ntawm Alla rau Lub Ib Hlis 14, 2019. Tshaj tawm hauv Cov Lus Qhia Uas Siv Tau

Ntshav qab zib mob ko taw yog ib qho kev mob uas nquag muaj thiab hnyav ntxiv rau ntshav qab zib. Txo qhov kev pheej hmoo ntawm nws tshwm sim, niaj hnub, kev tshuaj xyuas tas li thiab mob ntshav qab zib mob ko tawCov. Tsis ua raws li kev saib xyuas ko taw kom zoo, qhov tshwm sim ntawm qhov mob thiab mob rau ntawm daim tawv nqaij rau lub sijhawm luv luv ua rau muaj kev tsis taus, thiab tom qab ntawd txiav tes taw yog qhov tsim nyog los cawm tus neeg mob lub neej.

Ntshav Qab Zib Txhais Ko Taw Cov Lus Txhais

Ntshav qab zib mob ko taw yog ib qho mob hnyav tshaj plaws ntawm ntshav qab zib hom 1, ntshav qab zib hom 2 thiab lwm yam ntshav qab zib. Lo lus diabetic foot yog hais txog qhov mob pathological ntawm ko taw, uas yog ib qho kev cuam tshuam los ntawm ntshav qab zib.

Cov yam ntxwv hloov pathological xws li:

  • kis tau tus mob
  • tuab ntawm lub stratum mob ntsws (corium),
  • mob rwj
  • neurogenic arthropathy (Cov pob qij txha pob txha),
  • rhuav pov cov ntaub so ntswg sib sib zog nqus ntawm lub cev neurogenic los yog lub hauv paus ntawm kab mob vascular.

Mob ntshav qab zib saib xyuas yog vim li cas koj xav tau

Cov cim ntawm ntshav qab zib ko taw nyob rau hauv cov ntshav qab zib

Mob pathological uas txiav txim xyuas tus mob taw:

Kab mobQhov no yog lub xeev ntawm kev nkag mus ntawm cov kab mob me me mus rau hauv tib neeg lub cev. Thaum muaj mob ko taw, qhov no to taub tias yog kis los ntawm qhov mob ntawm ko taw, uas yuav tsum tau paub tseeb los ntawm kev kuaj cov kab mob (kab lis kev cai ntawm cov kab mob sau los ntawm lub qhov txhab yog kuaj) lossis lwm yam kev kuaj mob.
Callus hloov tshwm sim nyob rau hauv cov chaw ntawm qhov siab tshaj ntawm lub tawFeem ntau feem ntau, tib qho ntawm ko taw lossis qhov chaw ncaj qha ntawm ko taw nrog khau.

  • Qhov kev hloov pauv no yog daim zuj zus ntawm cov epidermis, daj xim nrog cov ciam teb tsis pom zoo nrog cov nqaij zoo.
  • Cov kev hloov no tuaj yeem tshwm sim hauv cov neeg uas tsis muaj ntshav qab zib, tab sis ntawm cov mob ntshav qab zib callus tshwm sim feem ntau, yuav tsum tau saib xyuas mob ko taw yuav tsum tau muaj ntshav qab zib

Ulcer - (mob txhab rawv)Daim tawv nqaij ua rau muaj kev puas tsuaj los ntawm sab saum toj mus rau cov khaubncaws sab nraud povtseg tob.

  • Nws tshwm sim los ntawm thawj qhov kev puas tsuaj, uas yog qhov nyuaj los ntawm cov tshuaj mob lossis txheej txheem necrotic.
  • Ib yam ua rau muaj kev txhim kho ntawm cov kev cuam tshuam no yog lub qhov txhab kho mob ntev ntev uas yog tus yam ntxwv ntawm cov neeg muaj ntshav qab zib.

Neurogenic arthropathy (Pob qij txha pob)Txoj kev ywj pheej cuam tshuam ntawm ko taw, nrog rau kev hloov pauv xws li cov ntiv taw, subluxation ntawm pob taws ua ke.

  • Feem ntau, cov txheej txheem mob cuam tshuam rau ntawm cov pob txha arterioscleral, uas ua rau lub cev puas tsuaj ntawm lub cev taw.
  • Qhov no ua rau muaj kev tsis sib haum xeeb hauv kev tawm dag zog thiab feem ntau ua qhov teeb meem tseem ceeb ntawm kev ywj pheej.

Kab mob ntshav siab sib kis

Mob taw kev yog ib qho mob hnyav rau cov neeg muaj ntshav qab zib. Muab qhov tseeb hais tias cov neeg muaj mob ntshav qab zib, tshwj xeeb tshaj yog cov ntshav qab zib hom 2 tau nce ntawm tus nqi avalanche, tuaj yeem cia siab tias qhov xwm txheej no yuav cuam tshuam rau cov neeg mob nce ntxiv. Khwv yees tias tam sim no muaj kwv yees li ntawm 400 lab tus tib neeg mob ntshav qab zib hauv ntiaj teb.

Kev txhim kho lub ntsiab ntawm cov mob ntshav qab zib yog, ua ntej txhua yam, kev mob ntshav qab zib neuropathy. Qhov tshwm sim ntawm kev mob neuropathy nce nrog lub hnub nyoog, lub caij nyoog ntawm tus kab mob, thiab kev kho tsis zoo los ntawm cov ntshav qab zib.

Kwv yees li 20 feem pua ​​ntawm cov neeg mob tau cuam tshuam los ntawm peripheral neuropathy 20 xyoo tom qab lawv tau kuaj pom tias mob ntshav qab zib. Kev tshawb nrhiav los ntawm cov kws tshwj xeeb tau pom tias qhov muaj qhov txhab mob tsis yooj yim yog qhov tshwm sim los ntawm kev mob siab rau tus mob neuropathy, uas yog vim li cas qhov kev saib xyuas tas mus li hauv cov ntshav qab zib tseem ceeb heev.

Mob ntshav taw yog dab tsi thiab yuav ua li cas thiaj txiav txim tau

Kev puas tsuaj rau cov hlab ntshav thiab cov hlab ntsha hauv cov txheej txheem ntawm ntshav qab zib mellitus (xws li ntshav qab zib hom 1 thiab ntshav qab zib hom 2) ua rau muaj kev cuam tshuam hauv kev teeb tsa ntawm daim tawv nqaij, uas ua kom qhuav, nws yog nquag ua voos, chipping thiab tawg. Vim li no, cov neeg mob ntshav qab zib yuav tsum tau saib xyuas lawv lub cev tas li, ua tib zoo xaiv cov tshuaj pleev ib ce, them nyiaj tshwj xeeb rau sab ceg.

Tshuaj xyuas ko taw kom zoo rau ntshav qab zib

Kev tu txhua hnub yuav tsum pib ua tib zoo saib xyuas ntawm txhais ceg thiab ua kom zoo li niaj zaus ntawm callus epidermis, tab sis tsis txhob siv cov cuab yeej uas ntse dhau (xws li cov khau pob taws) txhawm rau tiv thaiv kev ua kom puas thiab txiav.

Lwm qhov tseem ceeb yog ko taw da dej nrog ntsev uas haum rau cov ntshav qab zib.

  • Nco ntsoov tias da dej ntev ntev yuav ua rau daim tawv nqaij kom qhuav.
  • Ib qho tseem ceeb ntawm kev saib xyuas ko taw rau cov neeg mob ntshav qab zib kuj yog qhov kom qhuav ntawm daim tawv nqaij (tseem nyob nruab nrab ntawm tus ntiv tes).
  • Cov tshuaj pleev rau kev saib xyuas ko taw yuav tsum muaj cov tshuaj uas yuav pab kom moisturize thiab txhuam koj ob txhais ceg, thiab tseem yuav pab ua kom cov kab keratinized epidermis.
  • Lub hauv paus ntawm ko taw pleev rau cov neeg mob ntshav qab zib yuav tsum yog, piv txwv li, cov kua roj paraffin, uas yuav tiv thaiv kom tsis txhob muaj dej ntau dhau ntawm cov epidermis.
  • Ib qho tseem ceeb tshaj plaws yog urea ntawm qhov siab ntawm 5-30 feem pua, uas tso cai rau koj kom nce qib ntawm daim tawv nqaij thiab pab kom ua rau nws hle.
  • Txhawm rau ntxiv kev saib xyuas cov tawv nqaij, cream ntxiv nrog cov vitamins A + E tuaj yeem siv.
  • Ib qho txiaj ntsig ntxiv ntxiv ntawm kev ua cov cream rau ntshav qab zib yog cov ntsiab lus nyiaj. Cov khoom xyaw no muaj cov khoom tua kab mob, pab tiv thaiv cov tawv nqaij tiv thaiv.

Yog tias mob hnyav ntxiv, nco ntsoov sab laj nrog kws kho mob thiab qhia txog qhov teeb meem no, vim tias qhov mob txhab lossis mob o uas tau tshwm sim tsis tuaj yeem kho nws tus kheej. Cov Lus Qhia Txog Kev Noj Vitamin Ntxiv:

Cov Lus Qhia Saib Xyuas Kom Saib Xyuas Ko Taw Kom Zoo

Txhua tus neeg mob ntshav qab zib yuav tsum nco qab qee txoj cai yooj yim uas yuav pab ua kom koj ob txhais ceg noj qab haus huv.

  • Kev ntxuav ko taw txhua hnub yog lub luag haujlwm tseem ceeb, tab sis nco ntsoov tias da dej no yuav tsum tsis pub ntev dhau thiab dej tsis tuaj yeem kub dhau.
  • Tom qab ntawd ob txhais ceg yuav tsum tau muab ziab kom huv si, tshwj xeeb nruab nrab ntawm cov ntiv taw, saib xyuas tas li rau qhov tab tom hloov.
  • Thaum kawg ntawm kev kho, thov pleev tsim nyog rau ntawm daim tawv nqaij.
  • Nws tseem yog ib qho tseem ceeb kom saib xyuas koj cov rau tes, suav nrog txiav lawv hauv txoj hauv kev zoo li tiv thaiv kom tsis txhob nqus dej.
  • Txhua txhua hnub, txhua tus neeg mob ntshav qab zib yuav tsum tau kho txhua qhov nqaij ntuag lossis raug mob. Tsis txhob saib tsis taus txawm tias me me abrasions lossis kab nrib pleb hauv pob taws.
  • Nws yog ib qho tseem ceeb kom paub tias kev taug kev zoo tsis ua rau taug kev liab qab kev taug kev (daim tawv yog kis nrog cov kab mob fungal) thiab cua sov ntawm ob txhais ceg ncaj qha rau ntawm qhov chaw ntawm tshav kub. Nws tseem tsim nyog nco ntsoov qhov kev xaiv ntawm cov khau haum - xis, nruj thiab muag muag nrog khau inserts (lossis khau orthopedic).

Kev txiav tawm cov ntiv taw hauv ntshav qab zib

Kev kho mob tsis yog ntawm tus mob ko taw mob ntshav qab zib, kev kuaj mob lig dhau los lossis tus neeg mob tsis ua raws li kws kho mob cov lus qhia tuaj yeem ua rau txiav tes taw ntawm tes taw, uas txuag txoj sia nyob rau hauv rooj plaub thaum nws tsis tuaj yeem tswj tus mob tau.

Kev txiav tawm ntawm ko taw - yog ib qho chaw kawg

Kev ntsuas pom tias ntawm 3 mus rau 15 feem pua ​​ntawm cov neeg muaj ntshav qab zib yuav tau mus hla kev txiav tes taw. Kev txiav tes yog ib qho uas ua tsis tau rau tus kws kho mob thiab tus neeg mob. Ib qho ntxiv, kev kwv yees rau cov neeg mob txiav ceg tawv yog qhov tsis zoo - txog 50 feem pua ​​tuag nyob rau hauv 3 xyoos tom qab kev phais. Yog li, kev kuaj mob thaum ntxov, ua tau feem ntau yog vim muaj kev paub ntawm cov neeg mob ntshav qab zib, nrog rau kev kho mob txhua hnub rau kev mob ntshav qab zib mellitus, ua rau nws muaj peev xwm ua kom rov zoo tuaj yam tsis tas yuav tsum tau txiav tu.

Cia Koj Saib