Txoj hauv kev los kho mob ntshav qab zib angiopathy ntawm qis dua
Peb muab rau koj los nyeem cov lus ntawm cov ncauj lus: "kev kho mob ntshav qab zib angiopathy ntawm qis qis" 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.
Mob Ntshav Qab Zib Angiopathy ntawm Kev Ua Phem Txhawj Ntxiv: Kev Tshuaj Xyuas Tiav
Los ntawm tsab xov xwm no koj yuav kawm: dab tsi yog cov ua rau mob ntshav qab zib angiopathy ntawm qhov qis qis thiab kho tus kab mob. Cov tsos mob tshwm sim, txoj kev kuaj mob thiab kev tiv thaiv.
Kev mob ntshav qab zib angiopathy ntawm qis qis yog qhov kev tsis txaus siab ntawm ntshav qab zib mellitus, nyob rau hauv uas muaj kev puas tsuaj rau cov hlab ntshav, cov leeg ntshav khiav tsis zoo thiab kev noj haus tsis zoo ntawm cov ceg nqaij.
Nws yog tsis yooj yim sua kom kho ib tug twb tsim ntshav qab zib angiopathy. Tab sis nws yog ua tau kom paub meej lub xeev ruaj khov thiab tiv thaiv kev xiam oob qhab: gangrene (necrosis), txiav txiav ntawm ob txhais ceg.
Qhov tshwm sim ntawm kev kho mob yog kev txiav txim siab los ntawm theem ntawm tus txheej txheem pathological, kev qhuab qhia tus neeg mob, kev ncua sij hawm ntawm kev nrhiav kev pab kho mob.
Cov kws kho mob ntawm ntau yam tshwj xeeb tau koom ua ke hauv kev kho mob ntawm pathology ntawm cov ntshav mus rau ceg hauv ntshav qab zib mellitus: tus kws kho mob endocrinologist, tus kws kho paj hlwb, tus kws kho mob feem ntau thiab vascular, thiab kws kho plawv. Kev sib xyaw ua ke rau kev kuaj mob thiab kev kho tus kab mob ua kom muaj kev saib xyuas ntawm kev noj qab haus huv thiab cov muaj lub neej zoo rau cov neeg mob ntshav qab zib.
Muaj ob hom mob ntshav qab zib angiopathy:
- Microangiopathy - nyob rau hauv uas microvasculature thiab capillaries puas.
- Macroangiopathy - mob nyob hauv cov leeg thiab leeg ntshav.
Muaj cov piam thaj ntau, uas nyob hauv cov ntshav hauv ntshav qab zib mellitus, nkag mus rau hauv cov hlab ntsha. Qhov no ua rau kev puas tsuaj ntawm endothelium (sab hauv sab hauv ntawm phab ntsa ntawm lub nkoj), uas ua rau permeable rau qab zib. Hauv endothelium, qabzib zom rau sorbitol thiab fructose, uas, thaum sau tau, nyiam ua kua. Kev o thiab tuab ntawm phab ntsa nthuav dav.
Kev ua txhaum ntawm kev ncaj ncees ntawm vascular phab ntsa provokes tso tawm ntawm yam tseem ceeb ntawm cov ntshav coagulation system (tsim ntawm microtrombi). Tsis tas li ntawd, qhov puas tsuaj ntawm endothelium tsis tsim cov tshuaj endothelial relaxing, uas muab kev nthuav dav ntawm lumen ntawm lub nkoj.
Kev ua txhaum ntawm cov vascular phab ntsa, ua kom cov coagulation thiab qeeb ntawm cov ntshav ntws - Virchow triad yog cov cim classic ntawm angiopathy.
Qhov no ua rau cov pa oxygen tshaib plab ntawm cov hlwb thiab cov nqaij, atrophy, o thiab ua kom cov fibroblasts. Lawv coj los ua ke sib txuas ntawm cov nqaij mos, ua rau mob sclerosis (gluing) ntawm cov hlab ntshav.
Hauv cov hlab ntsha loj, qhov tsim ntawm atherosclerotic plaques koom nrog cov kev hloov no.
Lub luag haujlwm tseem ceeb hauv kev tshwm sim ntawm cov teeb meem tau ua si los ntawm polyneuropathy - kev puas tsuaj rau cov leeg ntawm ob txhais ceg. Ntshav qab zib, muaj qhov sib txawv ntawm cov ntsiab lus ntawm cov piam thaj hauv cov ntshav. Thaum nws txo qis (hypoglycemia), cov paj hlwb tau ua rau txoj kev tshaib plab. Nrog ntau dhau ntawm cov piam thaj, cov dawb radicals yog tsim, uas ua rau lub oxidation ntawm cov hlwb thiab ua rau cov pa poob siab. Kev txuam sorbitol thiab fructose ua rau edema ntawm cov hlab ntaws.
Yog tias kub siab (mob ntshav nce siab) ntxiv rau qhov no, tom qab ntawd muaj qhov spasm ntawm cov hlab ntsha uas pub zaub mov rau cov hlab ntsha.
Kev sib xyaw ua ke ntawm cov yam tseem ceeb tau ua rau kev txhim kho oxygen oxygen tshaib plab thiab kev tuag ntawm cov paj hlwb. Lawv tso tseg txoj kev xa txoj hlab ntshav mus rau cov ntaub so ntswg.
Cov kev sib koom tes tsis txaus noj ntawm cov nqaij mos ntawm qhov qis qis hauv qab tswj hwm qhov kev tshwm sim ntawm kev tshwm sim ntawm mob ntshav qab zib angiopathy.
Ua rau mob ntshav qab zib angiopathy ntawm qis qis
Kev txhim kho ntawm tus mob ntshav qab zib angiopathy tshwm sim tawm tsam keeb kwm ntawm ntshav qab zib mellitus ntawm thawj lossis thib ob vim muaj cov ntshav qabzib ntau thiab ntse, tsis tswj xyuas qhov tsis xws li hauv qab zib. Hauv hom 1 mob ntshav qab zib, thaum intrinsic endogenous insulin tsis ua txhua, nws yooj yim los tswj cov kua nplaum nyob ruaj khov. Nrog hom 2, thaum tsim tawm ntawm cov tshuaj insulin hauv cov txiav ua ntej, tab sis tsis muaj txhij txhua, xws li cov peaks tsis pom kev, txawm tias muaj kev ceev faj rau cov lus pom zoo ntawm kev kho tus mob endocrinologist.
Lub hauv paus ua rau muaj kev txhim kho vascular teeb meem hauv ntshav qab zib mellitus yog:
- insulin tsis kam - ntaub so ntswg insensitivity rau insulin,
- dyslipidemia - nce atherogenic feem ntawm lipoproteins,
- kev rog - tshwj xeeb tshaj yog visceral, txiv neej hom, nrog rau kev tso tawm ntawm cov ntaub so ntswg adipose hauv plab thiab plab hnyuv siab raum,
- leeg ntshav siab
- ntxiv ntshav coagulation
- mob tuaj zuj zus
- haus luam yeeb
- kev ua neej nyob sedentary
- haujlwm txaus ntshai
- muaj mob muaj keeb predisposition
- hnub nyoog - ntau dua 45 xyoos rau cov txiv neej, 55 - rau poj niam.
Kev poob ntawm cov hlab ntsha loj thiab cov nkoj me tuaj yeem txhim kho peb lub xyoos tom qab pib mob ntshav qab zib. Txawm hais tias nws feem ntau tshwm sim tom qab, tom qab 10-15 xyoo. Yog li, sai li sai tau qhov kev kuaj mob ntshav qab zib tau tsim muaj, nws yog qhov tsim nyog los nrog kev tiv thaiv ntawm kev mob ntshav qab zib ceg angiopathy.
Cov cim ntawm kev tsis taus ntshav txaus rau txhais ceg pib maj mam. Thaum pib, tus neeg mob yuav tsis xav tias muaj kev hloov dab tsi.
Nyem rau ntawm daim duab rau ntug
Cov tsos mob thaum ntxov uas koj yuav tsum them sai sai suav nrog:
- loog ntawm ko taw,
- ko taw txias
- cramps
- txo los sis poob ntawm rhiab,
- mob leeg ib ce
- thaum sawv ntxov tawv ncauj
- “Pib” Pib Mob
- o ntawm cov pob qij txha, o ntawm ob txhais ceg nrog lub caij nyoog zoo li qub kev ntxhov siab,
- dryness thiab tev ntawm daim tawv nqaij,
- plaub hau poob
- qhov hnov ntawm hlawv
- hloov thiab tuab ntawm cov ntsia hlau rau ntawm cov ntiv taw.
Nrog kev vam meej ntawm pathology, sib cav sib ceg, qhov kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij, qhov tsos ntawm trophic mob txhab koom nrog. Hauv qhov xwm txheej no, koj tsis tuaj yeem ncua thiab ncua lub sijhawm mus ntsib kws kho mob tshwj xeeb. Cov kev khomob kub ntxhov yuav tsum muaj txhawm rau tiv thaiv atrophy thiab mob caj dab.
Hauv kev kis tus kab mob ntshav qab zib mellitus, qhov nyuaj ntawm pathological cuam tshuam yog tsim - mob ntshav qab zib, uas muaj cov pob txha-articular deformation nrog kev hloov ntawm cov nqaij mos.
Mob taw nrog mob sib sib zog nqus
Nrog lub diabetic ko taw, sib sib zog nqus festering mob, nkag mus rau hauv cov leeg thiab pob txha. Muaj qhov ua tau ntawm qhov tsis zoo, thiab tseem muaj qhov tshwm sim siab ntawm qhov tawg ntawm cov pob txha ntawm ko taw, qhov taw yog deformed.
Nyob rau tib lub sijhawm, cov hlab ntsha ntawm nqaj yog txhaws thiab calcified - Menkeberg syndrome.
Kev ntsuam xyuas lub hom phiaj ntsuas qhov xwm txheej ntawm daim tawv nqaij, rau tes, kuaj xyuas kom zoo ntawm lub taw, qhov chaw sib kis yog qhov tsim nyog. Tus kws kho mob soj ntsuam cov kev hloov ntshav ntawm txoj hlab ntshav, ntsuas lub siab ntawm cov ntshav ntawm cov ntshav thiab cov poj niam txoj hlab ntsha, piv rau qhov sib piv ntawm cov ntsuas. Tshawb xyuas qhov kub, tactile thiab kev co kom hnov mob ntawm ob txhais ceg.
Nrog kev pab ntawm kev sim hauv chaw sim, cov khoom siv tshuaj lom neeg lub cev tau tshawb pom.
Lub ntsiab qhov tseem ceeb rau kev kuaj mob thiab txiav txim siab qib theem ntawm kev puas tsuaj:
- angiography - xoo hluav taws xob los soj ntsuam cov hlab ntshav siv qhov nruab nrab tsis sib thooj,
- Doppler ultrasound xim ntsuas - tsis yog qhov kev ntsuam xyuas ntawm cov ntshav txaus,
- khoos phis tawj video capillaroscopy,
- muab kauv xam tomography,
- sib nqus resonance ntsuam xyuas,
- kuaj cov nyiaj - pom kev ntawm cov ntshav ncig ntawm lub txaj microvascular.
Txhawm rau ua kom tiav cov duab hauv chaw kho mob, sab laj nrog tus kws kho qhov muag endocrinologist, tus kws kho paj hlwb, tus kws kho qhov muag, vascular thiab tus kws phais sab nrauv, kws phais plawv.
Cov mob tseem ceeb rau kev kho mob ntshav qab zib angiopathy ntawm qis dua qhov qis yog qhov ib txwm ua ntawm kev hloov cov metabolism. Yog tias tsis muaj kev yoo mov, kev xaiv cov ntshav qab zib kom tsawg los ntawm kev txiav txim siab thiab tswj nruj ntawm cov piam thaj, txhua lwm yam kev ntsuas tsis muaj txiaj ntsig thiab yuav tsis ua rau cov txiaj ntsig xav tau.
- txiav luam yeeb
- normalize lub cev hnyav
- tswj ntshav siab.
Kev txuag tshwj xeeb muaj nyob rau hauv kev siv cov tshuaj tsom rau txhim kho ntshav khiav thiab nws cov biochemical tsis, metabolism hauv cov ntaub so ntswg.
Rau lub hom phiaj no, siv yeeb siv tshuaj ntawm cov pawg hauv qab no tau sau tseg:
- Statins - kom txo qis cov roj cholesterol thiab tiv thaiv dyslipidemia.
- Txhais tau tias tiv thaiv cov ntshav siab.
- Antioxidants - favorably cuam tshuam rau cov hlab ntshav.
- Ntshav thinners.
- Angioprotectors.
- Kev Metabolics.
- Biogenic stimulants.
- Cov tshuaj vasoactive.
- Kev tshuaj ntsuab
- Ntaub so ntswg ua stimulants.
Rau kev kho mob polyneuropathy, tshuaj neurotropic, B vitamins, tshuaj tua kab mob yog siv.
Cov kev xaiv ntawm cov tshuaj yog nqa tawm ntawm tus kheej, coj mus rau hauv tus account pom qhov txawv.
Kev phais mob muaj ob lub hom phiaj sib txawv: kev kho kom rov qab muaj ntshav txaus mus rau qhov qis thiab ua rau cov chaw tuag.
Cov haujlwm vascular rov qab ua haujlwm siv hauv kev mob ntshav qab zib angiopathy:
- tus txheej txheem tsawg tshaj plaws - nrog kev thaiv ntawm cov nkoj loj,
- Cov kev tiv thaiv endovascular - nrog cov qhov txhab pom,
- shunting - nrog lub thaiv ntev heev tsim ib qho txuj ci tshiab rau cov ntshav hla mus kom dhau cov hlab ntsha tsis muaj zog.
Cov haujlwm zoo li no rov ua kom ntshav khiav mus rau ob txhais ceg thiab txhawb kev qhov txhab ntawm thiav thiav thiav txhab.
Lumbar sympathectomy - clipping - cuam tshuam ntawm kev sib tshuam ntawm kev khuv leej lub cev hauv thaj tsam lumbar. Xws li kev phais mob tshem tawm txoj kev nqaim ntawm cov hlab ntsha thiab ua rau ntshav ntws hauv cov ceg.
Kev phais mob kho mob - kev txiav tawm - raug xa mus rau qhov kev xaiv tshaj plaws thaum kev hloov pauv tsis tau tshwm sim, nqaij necrosis, lossis mob caj dab. Amputation ntim yog txiav txim siab nyob ntawm thaj tsam ntawm thaj chaw muaj mob: ntiv tes, ib feem ntawm ko taw, ceg.
Kev ua kom lub cev ua haujlwm yog ib txoj hauv kev muaj txiaj ntsig thiab muaj qhov ua kom lub cev tsis ruaj khov. Txawm li cas los xij, hauv kev sib koom ua ke, tus neeg mob tus mob yooj yim dua.
Tus kws kho mob tawm tsam yuav sau npe tau:
- kev kho hluav taws xob
- kev kho av nkos
- Zaws
- ko taw da dej.
Cov tshuaj ntsuab muaj txiaj ntsig rau cov ntshav qab zib angiopathy ntawm qhov qis qis yog coj ntawm qhov ncauj (teas, infusions) thiab siv sab nraud (da dej, compresses).
Nco ntsoov: tshuaj ntsuab tsis tuaj yeem hloov cov tshuaj nyhuv, tab sis tsuas yog ua txoj haujlwm kho.
Infusions ntawm cov tshuaj ntsuab pabcuam kev tsim tawm ntawm insulin, ntxiv dag zog rau cov hlab ntsha thiab kev tiv thaiv kab mob, txhim kho thiab ruaj khov cov txheej txheem hauv lub cev.
- Tshuaj yej thiab kas fes tau zoo tshaj plaws hloov nrog chicory thiab cov tshuaj ntsuab tshuaj ntsuab: chamomile, linden, blueberry, los ntawm sage, lilac.
- Dandelion muaj ib yam tshuaj zoo xws li cov insulin. Rau kev ua noj: coj 2 tbsp. l tshiab los yog qhuav dandelion keeb kwm, ncuav 800 ml ntawm dej npau, tawm ib hmos. Noj 10-15 feeb ua ntej noj mov.
Los npaj: 400 g ntawm paj noob hlis lossis txiv roj roj maj mam coj mus rau lub rhaub rau hauv ib lub tais ceramic. Ntxiv 50 g ntawm beeswax, 100 g ntawm spruce lossis ntoo thuv. Ua cov nqaij no sib xyaw rau 5-10 feeb, txhob npau npau. Txias thiab muab cov roj tiav rau hauv ib chav kom ncav cuag qhov ncaj qha tshav ntuj. Thov daim ntaub ntub dej ntub rau hauv cov roj Txoj kev lis ntshav rau lub qhov txhab li 20-30 feeb txhua hnub.
10-15% ntawm cov neeg mob tuag los ntawm kev mob ntshav qab zib angiopathy, necrosis thiab mob ntshav lom (sepsis).
Ua raws li kev tiv thaiv kev txuag tau txuag lub neej. Ib qho kev txum tim rov qab los ntawm cov ntshav hauv ob txhais ceg yog ua tau yog tias tsis muaj kev cuam tshuam ntawm cov ntshav sab nrauv tseem tsis tau tshwm sim.
Kev kho mob ntshav qab zib angiopathy ntawm qis dua ib txwm tsis zoo, tshwj xeeb tshaj yog nyob rau theem siab. Txawm li cas los xij, tus mob no tuaj yeem tiv thaiv tau.
Kev ntsuas txhawm rau tiv thaiv kev xiam oob qhab ntawm cov ntshav qab zib:
- piam thaj tswj
- luj lub cev tsis sib xws
- tsim nyog lub cev ua si,
- ko taw huv si
- kev kho mob pedicure
- nkawm khau orthopedic,
- muab cov cwj pwm tsis zoo tso tseg.
Ua raws li cov kev coj ua no yog 2-4 zaug kev ua tau zoo dua li kev siv tshuaj kho kab mob tsim kab mob.
Wayne, A.M. Cov Neeg Mob Hypersomnic Syndrome / A.M. Wayne. - M.: Tshuaj, 2016 .-- 236 p.
Strelnikova, Natalia Cov zaub mov uas kho tau cov ntshav qab zib / Natalya Strelnikova. - M.: Vedas, 2009 .-- 256 p.
Gurvich Mikhail Kev noj haus zoo rau ntshav qab zib, Terra - M., 2013. - 288 p.
Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 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 cov kws tshwj xeeb ib txwm tsim nyog.
Kev faib tawm
Nyob ntawm seb cov nkoj thiab cov hlab ntsha kis tus kab mob cuam tshuam.
- Ntshav qab zib nephropathy (mob raum),
- Tus mob retinopathy mob ntshav qab zib (ib qho kev cuam tshuam uas cuam tshuam rau lub qhov muag yog pom los ntawm kev puas tsuaj rau cov hlab ntsha ntawm retina),
- Coronary mob plawv,
- Mob ntshav qab zib angiopathy ntawm qis dua qhov qis,
- Vascular dementia (ib qho kev xav tsawg zuj zus hauv kev xav los ntawm kev txo qis ntshav ntws mus rau lub hlwb).
Cov pab pawg muaj kev pheej hmoo
Mob ntshav qab zib mellitus ua rau lub cev hauv lub cev thiab cov teeb meem hauv lub cev, uas yog yam ua rau mob ntshav qab zib mob txhaws ntswg. Tus kab mob feem ntau nyob ntawm caj ces khoom thiab cov xeeb ceem ntawm ib tug neeg. Cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2 yuav raug sib txawv. Cov neeg muaj ntshav siab systolic uas haus cawv ntau, nrog rau cov neeg haus luam yeeb thiab cov neeg ua haujlwm nyob rau hauv cov chaw lag luam uas muaj kev phom sij, yog qhov cuam tshuam rau cov tsos mob ntshav qab zib mob ntsws. 20% ntawm cov neeg mob ntshav qab zib tau mus rau hauv tsev kho mob vim muaj teeb meem nrog qis qis, feem ntau nws yog tus mob. 50-70% ntawm tag nrho cov kev txiav txim siab ntawm qhov qis qis tshwm sim hauv cov neeg mob ntshav qab zib. Txhab ntawm qis qis dua (mob kiav txhab, kab mob ua paug lossis paronychia) yuav yog thawj yam kabmob ntshav qab zib.
Mob ntsws caj dab pom muaj nyob hauv cov neeg mob ntshav qab zib 15 * ntau zaus duadua li hauv cov neeg mob uas tsis muaj ntshav qab zib. Tsis muaj ntshav qab zib angiopathy muaj tsawg rau cov neeg mob atherosclerosis.
* raws li AmericanDiabetesAssociation (American Diabetes Association)
Ntshav qab zib micro-angiopathy
Tus mob ntshav qab zib angiopathy tau muab faib ua ob hom: micro- thiab loj heev-angiopathy:
- Macro-angiopathy cuam tshuam rau cov hlab ntsha ntawm qhov qis qis kawg thiab lub siab. Lipids thiab cov ntshav txhaws nyob rau hauv cov hlab ntshav, khi rau lawv cov phab ntsa, thaiv cov ntshav txaus,
- Micro-angiopathy ua rau lub qhov muag thiab lub raum puas tsuaj. Cov phab ntsa ntawm cov hlab ntsha me ua tsis muaj zog, los ntshav, thiab cov paim quav protein.
Kev kuaj mob
Thaum kuaj xyuas thawj zaug, tus kws tshaj lij yuav soj ntsuam cov kab mob kev tshwm sim ntawm angiopathy, uas suav nrog 6 cov cim:
- Mob (thaum so, mob hmo ntuj thiab lameness),
- Tsis muaj mem tes (impulses ko taw tsis tuaj, popliteal impulses yog cov muaj zog thiab pom tseeb)
- Poikilothermy (tsis muaj peev xwm them nyiaj rau qhov hloov pauv ntawm qhov ntsuas kub ib puag ncig, qhov cim tau txo qis hauv ko taw kub),
- Plam ob txhais ceg,
- Paresthesia
- Tuag tes tuag taw.
Tsis tas li, tus kws kho mob yuav muab tshuaj rau hauv qab no:
- Siv Doppler kev sojntsuam (Doppler xim ntsuas) - kev ntsuam xyuas tsis yog qhov tsis zoo los soj ntsuam cov systolic siab thiab ntshav txaus rau / los ntawm cov hlab ntshav,
- Photoplethysmography - Kev kuaj mob raws li kev hloov pauv ntawm lub teeb ci ntawm daim tawv nqaij, - cov ntaub ntawv ua txhaum ntawm cov ntshav txha caj,
- Arteriography qis qis tshaj yog qhov yuav tsum tau rau cov neeg mob kom kho vascular reconstruction phais. Arteriography tau ua tiv thaiv keeb kwm yav dhau los ntawm cov tsos ntawm mob rau ntawm txhais ceg thiab ploj lawm impulses ntawm ko taw,
- Kev xoo hluav taws xob (as Well as angiography) siv sib piv) txhawm rau ntsuas lub xeev ntawm cov hlab ntsha,
- Sib nqus resonance angiography sim sim siv los ntsuas angiopathy, muaj qhov tseeb tau zoo vim tias qhov tsis muaj qhov xav tau sib piv,
- Khoos phis tawj capillaroscopy - rau kev kuaj mob ntshav tsis txaus,
- Radionuclide scan siv pyrophosphate tuaj yeem siv nrog rau hluav taws xob ntau dua, ib qho kev nqus ntxiv tau tso cai rau kuaj xyuas txha osteomyelitis thaum ntxov.
Ntxiv nrog rau tag nrho cov kev ntsuam xyuas saum toj no, tus neeg mob yuav tsum xeem dhau:
- Kuaj ntshav (tag nrho cov xov tooj suav nrog qhov sib txawv, ESR),
- Mob Lub Hlaus
- Tso zis, kuaj ntshav,
- Glomerular pom npaum li cas,
- Kev kuaj ntshav rau beta 2 microglobulin (txhawm rau txheeb xyuas lub raum puas),
- Lipid profile (cov roj cholesterol, triglycerides, LDL, HDL).
Txoj kev kho yuav tsum tshem tawm cov tsos mob ntawm tus kab mob thiab rhaub kom tswj hwm kom muaj cov ntshav qabzib zoo hauv cov ntshav, txhim kho ntshav ncig thiab capillary tsis kam, txo cov roj cholesterol.
Tshuaj kho mob nkeeg
Txoj kev kho yog txawv nyob ntawm qhov mob hnyav ntawm cov txheej txheem tus kab mob thiab muaj cov neeg ua mob rau neeg txoj sia, xws li sepsis, myonecrosis, mob caj pas thiab txha caj qaum. Feem ntau thov:
- Tshuaj tua kab mob (hauv kev ntaus tawm tsam mob rwj),
- Statins (rau kev txo qis roj - atorvastatitis, lovastatin),
- Kev zom zaub mov npaj (kev txhim kho lub zog ntawm cov ntaub so ntswg, mildronate, trimetazidine),
- Thinning npaj ntshav (tshuaj aspirin)
- Angioprotectors (txo cov leeg ntshav txhav, ua kom cov metabolism, ua kom cov metabolism, dicinone, anginin)
- Cov tshuaj los tiv thaiv o (kev kho mob - furosemide)
- Antioxidants thiab vitamins Pawg B.
Cov tshuaj uas siv feem ntau:
Lub npe tshuaj | Dab tsi cuam tshuam | Cov Yuav Tsum Muaj | Yuav noj li cas | Nqe (txawv nyob ntawm thaj av ntawd, coj tus nqi nruab nrab) |
Venoruton | Pab txhawm rau txhim kho cov ntshav kev, txo cov mob thiab o. Raws li kev kho mob thib ib rau cov neeg mob atherosclerosis thiab kub siab | 1 lub hlis ntawm cev xeeb tub | 1 tshuaj ntsiav 2-3 zaug hauv ib hnub rau 2-3 lub hlis | Kwv yees li 700 rubles rau 50 pcs. 300 mg |
Trental | Siv rau mob raum ua rau mob plab, mob ntshav tsis haum, leeg ntshav txhaws | Kev tsis haum xeeb rau cov khoom xyaw, cev xeeb tub, hnub nyoog txog 18 xyoo | 1 ntsiav tshuaj 100 mg 3 zaug ib hnub | 400 rubles 100 mg 60 pcs. |
Pentoxifylline | Ua kom ceev microcirculation, txo cov leeg ntshav txhaws | Kev ua haujlwm tsis huv, kev xeeb tub, myocardial infarction | 1 ntsiav tshuaj 2-3 zaug hauv ib hnub, chav kawm ntawm kev kho mob - 2-4 lub lis piam | 160-180 rubles 60 pcs. 100 mg |
Lipoic acid | Txhim kho vascular permeability | Cev xeeb tub, pub niam mis | 1 ntsiav tshuaj ib hnub | 35-50 rubles 12 mg 50 pcs. |
Cardiomagnyl | Ntshav thinner | Kev los ntshav feem ntau, mob hawb pob, cev xeeb tub, lub raum tsis ua haujlwm | 1 ntsiav tshuaj ib hnub ib zaug | 120-290 rubles ntsiav tshuaj 30 pcs. 150 mg |
Cov ntsiab cai ntawm kev kho mob ntshav qab zib angiopathy ntawm qaum thiab qis dua
Hauv International Classifier ntawm Cov Kab Mob, qhov kev cuam tshuam no tau muab tus lej 10.5 (rau ntshav qab zib hom 1) thiab cov lej 11.5 (hom ntshav qab zib 2). Txoj kev kho kom haum yog tsom rau txo cov ischemia vascular thiab kev txhim kho ntshav txaus.
Yog tias qhov no ua tsis tau, thiab qog thiab necrotic thaj chaw yog tam sim no, kev kho mob yog nqa tawm hauv cov chav haujlwm ntawm purulent phais.
Kev kho mob ntshav qab zib tshaj plaws angiopathy (tom qab no hu ua DAC) yog tsom rau kev tso tseg cov tsos mob ntawm tus mob provocative: ntshav qab zib mellitus. Tus neeg mob hloov txoj kev ua neej ib txwm ua: tsis kam ua qhov tsis zoo, ua kom yuag thiab ua kom yuag yav dhau los, noj cov zaub mov kev tiv thaiv ntawm cov ceg tawv.
Ua ntej pib kev kho mob dav dav, kev kuaj mob ntawm tus kab mob yog nqa tawm, suav nrog:
- Ultrasound ntawm lub xeev ntawm cov hlab ntsha,
- angiography. Txoj kev kawm no pab kom nkag siab hais tias lub peev xwm vascular zoo npaum li cas.
Ntawm cov kev kho mob niaj hnub no, nws tsim nyog hais txog:
- lymphomodulation, uas pab ua kom ntshav lymph ncig zoo. Cov txheej txheem tsis sib txuas lus no pab ua kom zoo tshem tawm cov ntaub so ntswg,
- tshuaj kho mob
- kev pab kho lub cev
- kev phais mob hauv qhov teeb meem thaum kev noj tshuaj thiab kho lub cev tsis muab cov txiaj ntsig xav tau.
Nws yog ib qho tseem ceeb kom nkag siab tias DAK tsis kho nrawm dua. Txawm li cas los xij, cov txheej txheem niaj hnub muab cov txiaj ntsig zoo txawm tias tom qab theem tom qab ntawm tus kab mob.
Amputation tsuas yog siv nyob rau hauv qhov xwm txheej loj tshaj plaws (nrog rau kev mob txhab ntawm cov leeg ntshav ntawm tes).
Yuav siv cov tshuaj twg los kho rau cov neeg mob ntshav qab zib?
Cov hauv paus ntsiab lus ntawm kev txuag kho yog muaj li hauv qab no:
- tshuaj insulin thiab ntshav qab zib cov tshuaj: Siofor, Glucofage, insulin thiab ntshav qab zib. Ntxiv rau kev noj haus
- lipid-txo txoj kev khoCov. Lub hom phiaj yog los normalize lipid metabolism. Tshuaj: Simvastatin lossis Atorvastatin. Txais yuav ntawm ncauj, ntev heev,
- anticoagulant kev kho mobCov. Lub hom phiaj yog txhawm rau tiv thaiv cov ntshav txhaws los ntawm kev ua kom lub sijhawm coagulation. Cov tshuaj uas muaj cov nyhuv no - Heparin, Enoxaparin. Heparin hauv kev muab tshuaj thawj zaug yog 5 txhiab units. thiab raug tswj ua subcutaneously lossis intravenously. Enoxaparin - txog 40 mg / hnub parenterally,
- antibacterial kev kho mobCov. Yog tias muaj pov thawj,
- antiplatelet ntev kev khoCov. Nws lub hom phiaj yog txhawm rau txhim kho ntshav viscosity. Kev noj tshuaj tsuas yog hais ntawm ncauj (hauv mg / hnub): Clopidogrel - 300, Dipyridomol - 30-450, tshuaj aspirin - 100-300. Qhov ntau npaum li cas yog tus neeg,
- angioprotectorsCov. Nws yog siv los ntxiv rau kev kho mob hauv nruab nrab txhawm rau txhawm rau txhim kho cov ntshav ncig. Xanthinol, Pentoxifylline lossis Alprostan yog cov kws kho mob. Qhov tom kawg yog vasodilator zoo heev thiab txhim kho plasma viscosity. Txawm tias cov menyuam mos yug tshiab tuaj yeem siv kho mob,
- nyem ntawm qhov mob uas tshwm sim los ntawm cov tshuaj siv tshuaj tiv thaiv (tsis yog tshuaj lom neeg).Cov. Yog tias lawv tsis pab, opioids ntawm hom Morphine yog tus kws kho mob ib txwm muaj,
- ko taw huv siCov. Qhov no yog qhov tseem ceeb heev hauv kev kho. Tus neeg mob yuav tsum hnav khaub ncaws xis, tsis khaus-khauj-khauj, tuaj yeem kov cov ko taw los yog kiav txhab, thiab tshem tawm pob txha.
Cov tshuaj muaj vitamins thiab Homeopathic
Ntawm cov vitamins npaj, Thiogamma lossis Berlition complexes yog kws kho. Lawv txhim kho cov ntshav ntws thiab ua kom cov hlab ntshav muaj zog. Kev kho mob hauv tsev siv sijhawm ntev thiab yuav tsum kho kom tsim nyog.Cov tshuaj hauv qab homeopathic tuaj yeem pom zoo rau kev siv:
- Sekale KortunumCov. Nws siv rau txhua yam ntshav qab zib thiab thaum muaj kev laib thiab / lossis taw ntshav qab zib (DS),
- Teeb duabCov. Kho mob ntshav qab zib hom 2. Tsis muaj contraindications. Nws yog qhia nyob rau hauv kev kho mob ntawm DS,
- ArsenicCov. Nws yog siv rau cov ntshav qab zib tsis muaj tshuaj tua kab mob ntshav qab zib mellitus thiab raug suav nrog kev noj tshuaj txo cov ntshav qab zib. Txoj kev kawm ntev li 2 hlis lossis ntau dua. Cov tshuaj tsis muaj qhov tshwm sim. Tab sis nrog quav cawv, koj yuav tsum tsis txhob noj.
Xav txog qhov peculiarities ntawm kev nqis tes ntawm cov tshuaj homeopathic: lawv tuaj yeem ua rau tsis zoo rau lub neej hauv thawj 10-12 hnub. Yog tias tsis muaj tus qauv zoo, kev kho ntxiv yuav tsum tau tham thiab kho nrog koj tus kws kho mob.
Kev Kho Mob Rau Mob Ntshav Qab Zib
Kev phais mob rau cov mob ntshav qab zib angiopathy ua yog qhov chaw kawg kom rov qab los ua kom cov ntshav khiav tsis zoo thiab tshem cov chaw tuag.
Yog hais tias cov hlab ntsha ntawm tus poj niam lossis thaj chaw thaj chaw muaj kev hloov pauv tsis tau, thiab lawv txoj kev nqaim pom ntawm thaj chaw ntau dua 50%, nws tau sau tseg:
- thromboectomyCov. Hauv qhov no, ntshav tawm yog zam los ntawm kev xaib ntawm kev tsim thiab raug tshem tawm ntawm cov hlab ntsha. Ib txoj kev niaj hnub ntau dua yog endovascular. Hauv qhov no, ib lub chaw tsim thrombus yog cim thiab ib qho phais me me yog tsim raws nws ntug. Tom qab ntawd ib tus catheter tshwj xeeb yog qhov ntxig, uas tawm ntawm cov ntshav txhaws,
- shuntingCov. Cov no yog cov prostheses tshwj xeeb uas tsim cov kev sib txuas nrog cov nkoj nyob ib sab. Lub lag luam muaj ntau yam contraindications,
- endarterectomyCov. Qhov kev ua haujlwm no suav nrog kev ntxuav cov atherosclerotic plaque los ntawm cov kws phais neeg los ntawm sab hauv ntawm phab ntsa vascular. Raws li qhov tshwm sim, lub lumen ntawm cov hlab ntsha nce ntxiv, ua rau ntshav ntws mus dawb. Qee zaum ua ke nrog kev txiav bypass,
- profundoplastyCov. Nws yog qhov tseem ceeb rau ischemia ntawm tus ncej puab sab sauv, thaum atherosclerotic plaques nqaim lumen ntawm cov leeg leeg heev kom cov ntshav nkag tsis tau nws. Lub ntsiab lus ntawm kev ua haujlwm yog txhawm rau tshem tawm cov quav hniav los ntawm cov leeg tob thiab ntxiv nws txoj kab uas hla nrog thaj. Txoj kev pheej hmoo yog tsawg: tsawg dua 1%,
- stentingCov. Siv kev tsim tshwj xeeb ntawm cov xov hlau (stent), lub ntsej muag nyob hauv lub nkoj tau nthuav dav. Cov cuab yeej siv ncaj nrog lub zais pa tshwj xeeb hauv qhov chaw tseem ceeb, thiab nws, nthuav kev tshem tawm, tseem nyob mus ib txhis,
- zais pa zais ciaCov. Lub raj yas me me muaj lub zais pa me me thaum kawg tso rau ntawm qhov hnoos qeev nqaij. Nws yog inflated hauv qhov chaw zoo, pluav ntawm cov quav tshwm sim, thiab patency ntawm lub nkoj rov qab. Tab sis, vim tias muaj kev ntxim siab ntawm kev mob stenosis dua, txoj haujlwm no ntxiv nrog stenting.
Thaum kuaj pom kev ua laib, qis dua nqaj, yuav ua rau tu siab.
Purulent foci thiab necrosis ntawm cov nqaij mos yuav tsum tau txiav kev txiav tawm. Cov haujlwm no suav nrog qhib kev sib kis thiab nws cov kua dej (ntxuav). Cov kev kho mob zoo li no yuav daws tsis tau qhov teeb meem, tab sis yuav tsis tso cov txheej txheem purulent kis mus ntxiv.
Cov txheej txheem kho lub cev tam sim no
Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!
Koj tsuas yog xav tau thov ...
Kev siv dag zog hauv lub cev muaj ntau cov txheej txheem sib txawv uas siv cov khoom siv lub cev xws li tam sim no thiab lub teeb, huab cua thiab sib nqus hluav taws xob, dej thiab kub. Cov tswv yim tau hloov kho tas li. Lub hauv paus tseem ceeb hauv kev kho mob angiopathy ntawm qhov kawg nkaus yog tso rau ntawm electrophoresis thiab kev kho mob ultrasound.
Ib qho ntxiv, cov hauv qab no yuav raug txiav txim:
- kev kho hluav taws xob thiab kev kho av nkos,
- ko taw da dej thiab zaws (kho vajtse lossis phau ntawv),
- sinusoidal dej tsaws ntxhee
- lymphodulation
- Kev kho qhov ntev: cuam tshuam rau thaj chaw shin.
Txhawm rau ua kom mob pancreatic, electrophoresis nrog kev siv tshuaj kuj ua tau zoo: nicotinic acid, Heparin, magnesium thiab potassium npaj. Cov txheej txheem yog qhia rau mob ntshav qab zib muaj ntsis. Ntev - 10-12 ntu thiab tsuas yog hauv tsev kho mob.
Yuav kho cov tshuaj li cas hauv pej xeem?
Lwm txoj kev kho tuaj yeem siv rau hauv daim ntawv ntawm cov kev ntsuas ntxiv rau kev kho mob ntawm DAK:
- camomileCov. Nws pab coj cov suab thaj rov qab mus rau qhov qub thiab muaj qhov ua kom zoo tshuaj tua kab mob thiab mob diaphoretic, txo cov plab hnyuv tws. Daim ntawv qhia: 1 puv tablespoon chaw muag tshuaj chamomile (los yog peb lub hnab ntim tau npaj txhij) ncuav dej npau npau (1 khob) thiab tawm rau 20 feeb. Cov txiaj ntsig ntim tau muab faib ua 2 koob tshuaj 100 ml ua ntej noj mov. Yuav siv tau ua qhov compress ntawm cov tawv nqaij mob,
- sageCov. Cov nroj tsuag muaj lub peev xwm los tiv thaiv cov tshuaj insulin kom zoo thiab txhim kho kev tiv thaiv. Daim ntawv qhia: 2 daim ntawv qhia tag nrho nplooj ntawm cov ntaub ntawv raw ncuav 400 ml dej rhaub thiab tawm rau 1 teev. Noj raws li tshuaj yej: ib nrab ib khob ua ntej noj mov. Cov khoom lag luam yuav tsum tau noj thoob plaws ib hnub,
- dandelionCov. Npaj kev daws los ntawm keeb kwm ntawm cov nroj tsuag yog pom zoo txhua hnub. Daim ntawv qhia: 1 tbsp. zuaj cov hauv paus hniav rau 1 tbsp. dej npau npau. Koj tsuas yog tuaj yeem noj dandelion nplooj tshiab. Txhawm rau ua qhov no, yaug 5 nplooj, txiav lawv thiab ntxiv rau saj ib nrab ib diav ntawm zaub roj,
- calendulaCov. Nws yog qhia rau kab mob daim tawv thiab atherosclerosis, vim nws muaj cov nyhuv antimicrobial muaj zog. Txhawm rau kho cov kab mob ntawm daim tawv nqaij lossis mob, siv cov kua txiv ntawm cov nroj tsuag. Compresses yog tsim los ntawm nws. Koj tuaj yeem siv tshuaj pleev. Daim ntawv qhia: chop 100 g ntawm cov nroj tsuag paj thiab ncuav 2.5 tbsp. sunflower roj (kub heev, tab sis tsis kub npau). Tom qab 2 lub lim piam ntawm kev thov, cov tshuaj pleev yuav npaj txhij.
Xaus ntawm ultrasound ntawm cov hlab ntsha ntawm ob txhais ceg thiab caj npab
Cov duab thaij duab thaij duab sab sab pom pom txog lub xeev ntawm cov hlab ntsha.
Yog tias koj mus rau hauv tus txheej txheem hauv chav tsev dhau los, qhov txiaj ntsig yuav tawm hauv tsab ntawv ntawm kev sau xav. Nws yog qhov nyuaj heev kom paub tseeb ntawm koj tus kheej.
Koj tus kws kho mob yuav cais tawm cov lus piav qhia, nws tseem yuav sau ntawv kho tom qab (yog tias tsim nyog). Yog tias txoj kev tshawb nrhiav yog nqa los ntawm tus kws phais neeg mob nws tus kheej, tom qab ntawd cov txiaj ntsig ntawm txoj kev ntsuas thiab kuaj yuav los sim tam sim ntawd.
Ntshav ntws los ntawm qhov ntsuas tau raug ntsuas los ntawm cov ntsuas hauv qab no:
- qhov txawv txav hauv cov ntshav teev tseg hauv pob taws thiab xub pwg. Cov neeg suav yog 0.9. Cov nqi qis dua qhia tias tus kabmob stenosis uas twb muaj lawm,
- cov ntshav siab tshaj plaws hauv lub cev pob txha leeg thiab ceg qis,
- leeg ntshav tsis kam
- leeg ntsa thickness,
- tus nqi ripple.
Chamomile Tshuaj yej
Hauv cov tsev muag tshuaj koj tuaj yeem yuav cov paj chamomile hauv hnab 20 daim. 2 sachets ncuav 250 ml dej npau, cia nws brew rau li ib teev, koj yuav tsum haus dej haus chamomile chilled ib hnub ib zaug. Chamomile muaj cov tshuaj tiv thaiv ua kom muaj zog thiab tawm tsam.
Sage tshuaj yej
Sage yog ib qho antioxidant muaj zog uas ua rau lub cev tsis muaj zog. 2 khoom noj qab zib diav ntawm sage ncuav 250 ml ntawm dej npau, cia nws brew rau ib teev, tshuaj yej nrog sage yuav tsum noj 3 zaug ib hnub.
Sage contraindicated nyob rau hauv cev xeeb tub thiab lactating poj niam, nrog rau cov neeg muaj hypotension.
Cov lus qhia muaj txiaj ntsig: nws tsis tas yuav siv cov chamomile thiab sage yog cov khoom xyaw tseem ceeb rau kev ua teas thiab infusions. Koj tuaj yeem xaiv lwm yam tshuaj ntsuab uas ua kom cov metabolism hauv ib txwm ua, piv txwv li, ginseng thiab dandelion yuav txo qhov kev cia siab ntawm kev tsis ua tshuaj hormonal, thiab elecampane yuav txhim kho cov metabolism hauv cov metabolism.
Cov neeg mob uas mob ntshav qab zib angiopathy yuav tsum tsis kam haus kas fes.
Calendula compress
Sib tov cov nplooj calendula nrog linden buds thiab nplooj nettle (1 khoom noj qab zib ib diav), yaug koj ob txhais taw nrog dej sov, ua tib zoo siv qhov sib xyaw rau cov mob txhab, qhwv ob txhais taw nrog daim ntaub (tsis nruj). Qhov ntau ntawm kev siv yog 2-3 zaug hauv ib lim tiam, lub sijhawm ntev li 20 feeb. Tom qab siv tus zaws, yaug koj ob txhais taw nrog dej sov.
Cov lus qhia muaj txiaj ntsig: rau kev zaws, koj tuaj yeem siv cov khoom xyaw xws li spruce lossis ntoo thuv (50 g) sib xyaw nrog beeswax (20 g) thiab zaub roj (200 g), txhua qhov sib xyaw yuav tsum sib xyaw thiab ua noj dhau li cua sov tsawg rau 5 feeb, tom qab ntawd qhwv lawv hauv daim ntaub qhwv tsis huv thiab siv rau qhov mob txhab rau 10 feeb.
Kho da dej
Txog kev npaj da dej, koj tuaj yeem siv cov txiv duav, nyom nyom, khaub thuas nplej, Jerusalem artichoke.
Daim ntawv qhia yog yooj yim: ncuav 50 gram ntawm ib qho tshuaj ntsuab nrog 1 liter ntawm dej npau. Insist rau ib teev. Ua ntej koj yuav tsum hu tus da dej nrog dej sov (txog 35 degrees), nchuav rau hauv lub decoction, lub sijhawm ntawm da dej yog 15 feeb. Lub chav kho mob feem ntau yog ntev li 2 lub lis piam (yog tias koj da dej txhua ob hnub).
Kev Tiv Thaiv
Xws li cov kev ntsuas hauv qab no:
- Kev ua kom ntshav qabzib tsawg thiab tswj tau,
- Cov qhov txhab kho mob
- Kev kho mob ntawm ib qho mob
- Txo kev sib txhuam thiab siab,
- Rov qab los ntawm kev tso ntshav txaus.
Coob tus neeg mob ntshav qab zib tuaj yeem zam lub qhov txhabCov. Ib qho kev sib koom ua ke tseem suav nrog kev poob phaus, kev tawm dag zog (nyob ntawm seb lub siab thev taus) thiab haus luam yeeb tsis tseg thiab haus dej cawv. Kev tu cev txhua hnub yog qhov tseem ceeb los txo qis qhov mob ntawm qhov mob. Kev nyiam tshaj tawm yuav tsum tau muab rau cov khau tiag tiag thiab cov thom khwm paj rwb, kev da dej txhua hnub yuav muaj kev cuam tshuam zoo.
Ib qho kev nthuav tawm hais txog ko taw zaws ntshav qab zib
Kev noj haus thiab kis las
Kev noj qab haus huv rau cov ntshav qab zib suav nrog ntau yam zaub mov:
- Zaub
- Tag nrho nplej
- Txiv Hmab Txiv Ntoo
- Mov, buckwheat, bulgur, quinoa,
- Khoom noj siv mis nyuj,
- Taum
- Kev noj nqaij (nqaij qaib, qaib cov txwv),
- Ntses.
Cov khoom ua rau lub cev yuav tsum raug cais tawm:
- Cov suab thaj yooj yim thiab carbohydrates,
- Kib, qab ntsev, qaub zaub mov,
- Lub caij sov lossis ntsim
- Liab nqaij.
Cov lus qhia muaj txiaj ntsig: Noj tsawg kawg 5 zaug nyob rau ib hnub hauv seem me. Tsis txhob hnov qab txog dej - tsawg kawg 1,5 litres ib hnub.
Tsis txhob quav ntsej txog kev siv lub cev. Nyiam kev ua si xws li yoga, taug kev ceev ceev, qigong, caij tsheb kauj vab. Ib ce muaj zog txhua lub sijhawm yuav ua, txawm tias taug kev nrog tus dev lossis da dej. Qhov loj tshaj plaws yog kom paub tseeb tias koj ua lawv txhua hnub.
Thaum nyuam qhuav pib mob ntshav qab zib angiopathy kho tau zooCov. Ntawm qhov kev xav me me ntawm kev mob, nws yog qhov tseem ceeb kom nrhiav kev pab kho mob. Qhov tseeb ua tiav txuas thiab kev tawm tswv yim kws txawj yuav pab tau zoo tiv thaiv tus kab mob.