Cov cim thiab tsos mob ntawm tus mob ko taw
Mob taw yog qhov ua rau txo qis ntshav tes taw hauv ntshav qab zib. Li ntawm 8-10% ntawm cov neeg mob ntsib tus mob, thaum li 40-50% muaj nyob hauv pab pawg uas muaj kev pheej hmoo. Nws yuav tsum tau yug hauv siab tias kwv yees li 10 npaug ntau zaus ntau dua ntawm cov mob ntshav qab zib ko taw nce hauv cov neeg mob uas muaj hom mob ntshav qab zib thib ob. Muab qhov txaus ntshai ntawm tus mob, koj yuav tsum kawm paub txhua tus mob, kev ua kom muaj kev txhim kho thiab cov yam ntxwv ntawm kev kho mob.
Cov tsos mob thiab cov tsos mob ntawm tus mob ko taw
Cov tsos mob ntawm tus mob ko taw muaj ntau haiv neeg. Qhov no yog vim muaj ntau yam ntawm cov mob no, cov yam ntxwv ntawm lub cev ntawm txhua tus neeg. Feem ntau, nrog tus kab mob xws li mob ntshav qab zib taw, cov tsos mob tuaj yeem faib rau tus mob thiab pib tom qab. Kev hais lus ntawm thawj zaug, cov kws txawj tau mob siab rau liab ntawm daim tawv nqaij thiab o ntawm ob txhais ceg. Ib qho ntxiv, nws tsis tsim nyog yuav tsis quav ntsej txog cov cim zoo li no:
- nce hauv ntsuas qhov ntsuas kub ntawm daim tawv nqaij. Qhov no qhia tau tias muaj mob, kev kis mob,
- ceg tawv thiab taug kev nyuaj yuav tuaj yeem tsis yog lub cim ntawm tus kabmob nkaus xwb, tabsis tseem qhia tau tias cov khau tau xaiv tsis raug,
- daim tawv liab liab ze ntawm lub qhov txhab qhia tias muaj kev kis mob ntxiv, pib theem ntawm cov nqaij hloov,
- loog hauv ob txhais ceg, uas qhia hais tias lub cev tsis muaj zog.
Thawj qhov tsos mob ntawm tus mob ntshav qab zib kuj tseem tuaj yeem pom qhov tseeb tias cov plaub hau nres zuj zus hauv pob taws. Lub cev qhuav dej ntawm daim tawv nqaij, zoo li coarsening, qhia kev cuam tshuam hauv cov ntshav ncig. Tsis tas li ntawd, cov tsos mob ntawm tus mob yuav tsum tau txiav txim siab ingrown toenails, curvature ntawm cov ntiv tes (zoo li hammer), hlwv thiab ntau cov kab mob fungal, ob qho tib si ntawm daim tawv nqaij thiab cov ntsia hlau. Cov kws tshaj lij pom zoo tias cov neeg mob ntshav qab zib tsis quav ntsej cov tsos mob no, thiab yog tias muaj ob lossis ntau cov tsos mob tshwm sim, pib kho tam sim ntawd.
Cov ua kom muaj tus mob
Ntshav qab zib taw yog tsim nyob rau hauv feem ntau cov neeg mob uas muaj mob ntshav qab zib hom 1 txog 7-10 xyoo txij li qhov pib ntawm tus kab mob. Hauv cov neeg mob uas muaj hom mob thib ob, tus mob yuav tshwm sim thaum pib ntawm pathology. Kev ceeb toom rau cov laj thawj uas ua rau muaj kev cuam tshuam ntawm cov kab mob qab zib no, xyuam xim rau:
- nquag nce siab hauv qab zib, uas ua rau cov ntshav puas tsuaj mus thoob plaws lub cev,
- cov ntshav tsis txaus cuam tshuam rau cov hlab qhov kawg, uas kuj raug rhuav tshem, ua rau ntau yam kev puas tsuaj rau daim tawv nqaij ntawm ob txhais ceg,
- vim qhov no, cov metabolism hauv cov ntaub so ntswg yog ntxhov, los ntawm cov ceg uas feem ntau txom nyem. Qhov tshwm sim yog qhov tsis zoo kho cov qhov txhab,
- qhuav ntawm daim tawv nqaij thiab tuab hauv taw, uas yuav luag zoo tagnrho rau kev tsim cov tawv nqaij mob ntawm lub qhov txhab, khaus qhuav. Yog tias txawm tias tus kab mob tsawg tshaj plaws koom, ib txoj kev ua mob nquag tsim.
Cov theem tom ntej ntawm cov txheej txheem no yuav tsum raug txiav txim siab tuag cov ntaub so ntswg, necrosis, uas ua rau cov tsos mob ntawm tus mob ko taw mob ko taw. Cov kws tshwj xeeb cais peb pab pawg muaj kev pheej hmoo. Thawj zaug yog tus cwj pwm los ntawm kev tiv thaiv kev hnov ntawm txhua lub ntsiab lus thiab zoo pulsation hauv cov hlab ntsha ntawm ko taw. Hauv qhov no, kev kuaj xyuas pom zoo ib xyoos ib zaug.
Cov neeg uas nyob hauv kev pheej hmoo thib ob tau ntsib nrog kev txo qis ntawm qhov kev hnov tau, qhov tsis muaj lub ntsej muag txawv txav thiab muaj qhov deformities. Kev kuaj mob nyob rau hauv cov ntaub ntawv no yuav tsum tau nqa tawm ib zaug txhua rau lub hlis. Cov pab pawg muaj kev pheej hmoo thib peb yog pom los ntawm qhov muaj keeb kwm kho mob ntawm mob txhab, mob ntawm kev txiav tawm ntawm ko taw. Tsis txhob hnov qab txog qhov tseem ceeb neuropathy. Cov ntawv soj ntsuam yog yuav tsum ua txhua txhua peb lub hlis.
Mob taw ruam ntshav qab zib
Mob taw vwm yog cuam tshuam nrog qee yam ntawm theem, uas muaj tsib. Hauv qhov no, xoom yog cov pab pawg muaj kev pheej hmoo. Tsis muaj qhov txhab mob ulcerative, txawm li cas los xij, ob txhais taw muaj qhov tsis zoo, pib tig daj ntseg thiab txias dua, thiab hu ua kev txhim kho. Txhua yam no qhia hais tias tus mob ko taw mob ko taw.
Nyob rau thawj theem, mob rwj ua rau thaj chaw, uas tsis cuam tshuam rau qhov sib sib zog nqus ntawm daim epidermis. Hauv qib thib ob, lub rwj yuav pib pib tob rau hauv ko taw, cuam tshuam rau ntawm daim tawv nqaij, leeg, cov leeg thiab cov nqaij. Qeb thib peb yog tus cwj pwm los ntawm kev ua kom lub xeev txuas ntxiv, ua tiav cov pob txha txhim kho. Yog hais tias kev kho mob ntawm tus mob ntshav qab zib taw tau pib nyob rau theem no, nws yuav muaj peev xwm los tswj cov nqua, kom tsis txhob txiav tes taw.
Kev hais lus ntawm theem plaub, lawv them sai sai rau qhov tseeb tias qee qhov tshwj xeeb dub (mob qog) ua rau ntawm tus mob ntshav qab zib ko taw. Cov ciaj ciam ntawm xws li ib qho kev swb yeej ib txwm raug txiav txim siab. Ntawm qib tsib kawg, qhov nce ntawm thaj chaw ntawm txoj kev tuag tshwm sim, cov tsos mob thiab kev kho yuav tsum tau koom tes tshwj xeeb nrog ib tus kws kho mob tshwj xeeb. Kev mob txhab txiag tsaws tsag ua rau siab dua, pib ntes thaj chaw tshiab. Kev tsis kho nyob rau hauv cov ntaub ntawv no ua rau poob ntawm tes lossis txawm tias tus neeg mob tuag.
Qee hom mob ntshav qab zib taw kuj tseem txawv. Hais txog qhov no, them nyiaj rau cov npe hauv qab no:
- ischemic, cuam tshuam nrog kev ua kom mob siab rau ntawm cov hlab ntshav tawm. Cov tawv nqaij pib tig daj ntseg, ua ntau dua thiab txias dua, puffiness yog manifested. Daim duab ntawm lub ko taw tsis hloov tas li, tej zaum yuav tsis muaj kev sib nkag siab, txawm li cas los xij, thaum koj nyem rau ntawm cov hlab ntsha, qhov ripple tsis tshwm sim los yog raug ntsuas raws li qhov tsis muaj zog,
- neuropathic, ua los ntawm kev tuag ntawm cov hlab ntaws. Nyob rau tib lub sijhawm, qhov mob pib nyob hauv theem pib raug ntsuas raws li txo qis, yog li qhov mob tsis hnov, zoo li ntau yam kev raug mob. Kev deformation ntawm lub taw yog paub, corns yog tsim, thiab mob rau sab nraud nrog cov npoo yooj yim tshwm ntawm qhov chaw ntawm kev raug mob,
- cov neuroischemic daim ntawv ntawm mob ntshav qab zib taw yog qhov ntau tshaj. Nws yog tus cwj pwm los ntawm cov tsos mob ntawm txhua daim ntawv dhau los. Hauv qhov no, ntawm nqe lus nug ntawm seb daim ntawv zoo li cas, nws raug nquahu kom hu rau tus kws tshaj lij.
Kev kuaj mob ntawm tus kabmob
Kev kuaj mob ntawm tus mob syndrome xws li mob ntshav qab zib taw yuav tsum tau nqa tawm hauv kev mob siab. Tus nab npawb ntawm cov kev tshawb fawb tau nqa tawm (glycemic profile, glycosylated hemoglobin qib, ntshav lipids: cov roj cholesterol, LDL, triglycerides, HDL). Cov kauj ruam uas yuav tsum tau ua, yog tias muaj cov cim taw qhia ntawm ko taw mob ntshav qab zib, yuav tsum raug kuaj qhov muag pom ntawm tus ceg txhav uas puas lawm.
Txhawm rau kom meej meej rau kev kuaj mob thiab daim ntawv tshwj xeeb ntawm tus kabmob, ib qho kev soj ntsuam ntawm lub paj hlwb tau ua tiav, ultrasound ntawm cov hlab ntsha, duab hluav taws xob ntawm ko taw, thiab tseem angiography raug kuaj. Ua kom tiav cov ntshav suav, kab lis kev cai bacteriological tau noj, kua dej tawm ntawm lub qhov txhab yog kuaj xyuas. Ib qho kev sib koom ua ke yog qhov tseem ceeb, uas yog qhov txiaj ntsig yuav pab coj los kho ib qho kev kho mob zoo rau cov mob ntshav qab zib ko taw.
Yuav kho tus mob ko taw li cas?
Kev kho mob ntawm tus mob ko taw tuaj yeem yog kev txuag, kev ua haujlwm, thiab tuaj yeem nqa tawm tom tsev. Nws yog ib qho tseem ceeb heev uas tus kab mob pathology raug saib xyuas los ntawm kev saib xyuas ntawm tus kws tshaj lij. Hauv qhov no, qhov mob ntawm tus mob ko taw mob ko taw yuav tsis cuam tshuam nrog kev mob nyhav, thiab kev kho mob hauv tsev yuav ua tiav 100%, nrog rau kev tiv thaiv tom ntej.
Tshuaj kho mob nkeeg
Kev kho mob ntawm ko taw mob ntshav qab zib nrog kev siv cov tshuaj yog nqa tawm nyob rau hauv ntau qhov kev qhia. Qhov no feem ntau tshwm sim hauv tsev.
Txhawm rau txo cov ntshav qabzib, insulin lossis tshuaj uas txo cov ntshav qab zib kom raug siv.
Nws raug nquahu tias:
- kom tshem tawm cov kev tawm tsam nrog cov mob ntshav qab zib ko taw, cov tshuaj tua kab mob sab ntau,
- qhov mob tuaj yeem cuam tshuam cov tshuaj mob: Ibuprofen, Analgin,
- Normoven lossis Pentoxifylline tau sau tseg los txhawm rau txhawm rau txhawm rau ntshav kev ntshav,
- tshuaj pleev, tshuaj tua kab mob npe raug muab rau txhua tus. Nws nyob ntawm daim foos thiab qhov tshwm sim muaj tus kab mob sai npaum li cas.
Orthopedic insoles rau cov ntshav qab zib taw yuav tsum tau txais kev tshwj xeeb, uas tuaj yeem txhim kho qhov mob ntawm txhais ceg thiab lawv cov tawv nqaij. Txawm li cas los xij, lawv tsis yog tib txoj kev los kho tus mob no. Yog li, nws yog qhov tseem ceeb heev uas txoj kev kho yuav tsum yog thiab nyob twj ywm.
Yees duab zoo heev! Peb saib txhua yam!
Luv luv hais txog kev phais mob
Yog tias muaj kev ua haujlwm tiav, kev kho yuav nyob rau hauv kev tshem tawm thaj chaw me me ntawm cov ntaub so ntswg nrog cov npoo ncaj (necrectomy). Nws muaj peev xwm ua tiav tag nrho lossis ib nrab ntawm kev tshem tawm tus ntiv tes cuam tshuam los ntawm kev sib tw (rov qab), 100% tshem tawm ko taw lossis qee qhov ntawm ceg, piv txwv li, mus rau ciam teb ntawm cov nqaij mos (txiav tawm).
Tsis tas li ntawd, nyob rau qee qhov xwm txheej, kev kho kom rov qab ntawm cov hlab ntsha patency (angioplasty) yuav tsum muaj. Tsis tas li, qee qhov xwm txheej, tsis txaws rov qab cov hlab ntsha raug tshem tawm, cov ntshav tawm mus los hla lawv (endarterectomy). Kev tsim cov ntxiv ntawm kev bypass circulatory pathways (autogenous bypass grafting) lossis kev tsim cov phiaj xwm txhawb rau cov hlab ntsha (stenting) yog siv.
Kev kho mob hauv tsev
Pab saib xyuas ntshav qab zib nyob tom tsev kuj tseem muaj peev xwm muab tau. Tab sis rau qhov no, qee qhov xwm txheej yuav tsum tau ntsib: kev soj ntsuam tas li ntawm tus kws tshaj lij yog yuav tsum tau ua, theem ntawm kev txhim kho ntawm tus mob yuav tsum nyob rau hauv tsis muaj qhov cuam tshuam nrog kev cuam tshuam. Nws yog nyob rau hauv rooj plaub no tias nws yuav pom zoo tiag tiag kom tau txais kev kho nrog tshuaj ntsuab pej xeem. Cov neeg sawv cev hauv qab no thiab cov qauv siv tau:
- nplooj ntawm burdock lossis burdock (tshiab nyob rau lub caij ntuj sov, qhuav hauv lub caij ntuj no) tuaj yeem khav theeb qhov kev ua kom zoo. Lawv tau thov mus rau ceg, yav tas los ntxuav nrog kev daws ntawm poov tshuaj permanganate los yog furatsilina. Rau kev kho mob kom zoo, txhais ko taw yog smeared nrog ib txheej me me ntawm zib ntab, burdock nplooj yog thov los ntawm saum toj no. Nws raug nquahu kom hloov cov ntaub qhwv ib zaug lossis ob zaug thaum nruab hnub lossis ntau dua,
- burdock nplooj tuaj yeem siv rau qhov ncauj (ib me nyuam diav ib 250 ml ntawm cov dej npau npau), vim tias lawv tau cim los ntawm diuretic thiab lymphogonous cov teebmeem,
- clove roj yuav tig los ua ib qho kev hloov pauv rau burdock, uas muaj qhov ua kom loog, tiv thaiv thiab ua kom lub qhov txhab ua kom zoo. Txhawm rau muab kev kho mob, koj tsuas yog yuav tsum tau thov ib qho me me rau tus mob ko taw,
- txhawm rau txhawm rau kho qhov mob kom zoo, nws yuav tau siv kefir, hmoov los ntawm cov koob qhuav ntawm ntoo thuv lossis juniper yog thov rau saum. Nws yog ib qho tseem ceeb kom paub tseeb tias tsis muaj kev fab tshuaj rau ib qho ntawm cov khoom siv tau hais tawm.
Txawm li cas los xij peb yuav tsum tsis nco qab tias kev kho mob nrog tshuaj ntsuab tshuaj yuav tsum nyob hauv kev saib xyuas ntawm tus kws tshaj lij.
Kev tiv thaiv thiab kev kwv yees
Mob taw taw yuav tsum tau muaj kev tiv thaiv kom tsis muaj ib yam dab tsi ntxiv, nrog rau kev kho mob. Qhov no yuav ua rau nws ua tiav qhov ua tau zoo ntawm kev kwv yees, tsis suav nrog kev nthuav dav ntawm cov teeb meem. Yog li, kev tiv thaiv ntawm tus kab mob ntshav qab zib nyob rau hauv cov ntshav qab zib mellitus yog ntxuav txhua hnub, ntxuav cov tawv nqaij ntawm ob txhais ceg, tshem tawm cov kev cuam tshuam ntawm txhua qhov kub. Nws yog ib qho tseem ceeb ntawm kev tshuaj xyuas cov tawv nqaij tas li txhawm rau txhawm rau txhawm rau txheeb xyuas qhov kev ua kom puas, txiav thiab lwm yam kev raug mob.
Kev tiv thaiv kab mob ntshav qab zib tsis suav nrog kev siv cua sov ncoo, taug kev ko taw liab qab, kev siv pob kws plasters. Txhua hnub koj yuav tsum tshawb xyuas cov khau rau kev muaj cov khoom txawv teb chaws thiab kev puas tsuaj sab hauv uas tuaj yeem pab txhawb kev txhim kho cov pob txha. Hais txog yuav tu lub taw li cas, them sai sai rau qhov tseeb tias:
- nws tsis pom zoo hnav thom khwm (thom khwm) nrog nqaws,
- tsis txhob khau yam tsis muaj qhov qhwv, tshwj xeeb tshaj yog ntawm koj txhais ko taw liab qab,
- nws yog ib qho tseem ceeb kom xaiv cov khau haum - tsis tshua muaj muag thiab dav (qauv dav),
- corns uas tau tshwm sim yuav tsum tsis txhob txiav lawv tus kheej. Nws yuav yog qhov tseeb dua rau sab laj nrog tus kws tshaj lij.
Tsis tas li ntawd, nws raug nquahu kom txiav cov ntiv taw ncaj ncaj (tshwj xeeb hauv ib nrab ntu). Nyob rau hauv cov ntaub ntawv ntawm kev tsim ntawm ingrown ntsia hlau los yog txheeb xyuas lwm yam kev raug mob ntawm ko taw, nws yog ib qho tseem ceeb rau sab laj ib tus kws kho mob sai li sai tau.