Kev Tiv Thaiv Kab Mob Ntshav Qab Zib Kev Tiv Thaiv Memo: Kev Saib Xyuas Ko Taw, Nkawm Khau, thiab Lwm Yam

Lo lus "diabetic foot" txhais tau tias ua ke ntawm kev hloov pauv hauv cov leeg mob, pob txha, leeg thiab cov hlab ntshav hauv cov ntshav qab zib kom tsis muaj ntshav qab zib.

Qhov no tuaj yeem coj mus rau kev txhim kho kev ua tub rog ntawm ceg tawv.

DS yog ib qho mob hnyav tshaj plaws ntawm ntshav qab zib.

Thaum twg tus mob ko taw mob ko taw tshwm sim?

Ib qho ntawm cov teeb meem ntawm ntshav qab zib yog ua txhaum ntawm lub vascular ncig. Thiab, ua ntej ntawm tag nrho cov, qhov no siv rau cov qis qis.

Yog tias tsis muaj zaub mov txaus, daim tawv nqaij yog qhov tshwj xeeb ua rau raug mob. Hauv qhov no, txoj kev kho kom maj mam tuaj.

Tsis tas li ntawd, cov ntshav qab zib tsis zam lub caij ntuj no huab cua, txawm hais tias nws tsis ua rau muaj teeb meem tshwj xeeb rau tib neeg noj qab haus huv. Ua txhaum ntawm conduction ntawm qab haus huv nyob rau hauv ko taw yog hu ua mob ntshav qab zib polyneuropathy. Tus tib neeg nres kom hnov cov nyhuv ntawm daim tawv nqaij los ntawm qhov kub lossis qis kub, qhov raug mob me, thiab lwm yam.

Tus neeg noj qab nyob zoo, hnov mob, tuaj yeem ua tiav sijhawm. Cov neeg muaj mob ntshav qab zib tau raug tshem tawm txoj hauv kev no. Feem ntau lawv tsis them sai sai rau qhov khawb, abrasions thiab qhov mob me me kom txog rau thaum thaj tsam ntawm daim tawv nqaij muaj tus kab mob thiab mob caj dab.

Lwm qhov teeb meem: nrog polyneuropathy, daim tawv nqaij poob nws lub peev xwm hws thiab tas li nyob qhuav. Kev tawg ntawm daim tawv nqaij maj mam ua rau mob. Txij li thaum qhov mob txhab no tsis cuam tshuam nrog ib qho kev mob, ib tus neeg tsis ntsuas nws txoj kev ua kom txaus thiab ua rau nws tus kheej tsuas yog nrog qhov kev hem thawj ntawm kev txiav tawm.

Cov ntsiab lus hauv qab no pab txhawb qhov pom ntawm ntshav qab zib taw:

raum puas (nephropathy)Cov. Ua rau o ntawm cov nqua. Cov khau uas tsis tshua yooj yim ua rau zoo nkauj, uas tuaj yeem ua rau lub qhov txhab thiab me me. Xws li cov chaw uas puas lawm, yog tias ntsuas tsis tau ua tiav, nws yog qhov ncauj mob ua mob,
teeb meem tsis pom kevCov. Ib tus neeg tsis pom kev zoo yuav tsis pom tias nws tab tom mus rau qhov twg. Ib qho ceg tawv lossis peb lub pob zeb qhwv hauv qab ntawm koj txhais taw tuaj yeem ua rau raug mob hnyav.

Cov hauv paus ntsiab lus rau kev tiv thaiv tus mob ko taw hauv ntshav qab zib

Cov kev tiv thaiv kab mob ntshav qab zib pib nrog kev qhia paub txog kev pheej hmoo ua mob rau mob txhab:

vascular kab mob ntawm ob txhais ceg,
mob ntshav qab zib peripheral neuropathy,
o tuaj
deformation ntawm taw.

Yog tias tsis muaj kev phom sij, lub ntsiab ntawm kev tiv thaiv yog txo rau kev qhia tus neeg mob ntawm kev saib xyuas ko taw, xaiv qhov tseeb ntawm nkawm khau thiab insoles.

Tib lub sijhawm, ib qho yuav tsum tsis txhob hnov qab txog kev ntsuas kev pheej hmoo txhua xyoo.

Nyob rau hauv qhov muaj kev pheej hmoo yam, kev tiv thaiv tuaj rau hauv qab no:

kev kawm txog kev tu tawv nqaij,
soj ntsuam mob raws caij nyoog,
tej zaum hnav cov khau tshwj xeeb thiab cov khoom xaws.

Qhov ntau zaus ntawm kev kuaj mob nyob rau hauv cov ntaub ntawv no feem ntau ntau dua li ntawm qhov muaj kev phom sij.

Cov ntsiab cai dav dav rau kev tiv thaiv DS yog raws li nram no:

yuav tsum rau npe rau txhua tus neeg mob nrog endocrinologist thiab hauv chav ua hauj lwm ntawm ko taw mob ntshav qab zib,
pib kho raws sijhawm ntawm cov leeg mob hlwb thiab leeg ntshav. Yuav tsum yog qhov kev tshem tawm cov pob zeb thiab tawg ntawm daim tawv nqaij,
yog tias deformations tsis tuaj yeem raug tshem tawm, hnav cov khau orthopedic kom zoo,
yuav ua raws li kev tawm dag zog tawm dag zog ua rau ceg,
ua haujlwm ntawm kev txhim kho kev tiv thaiv kab mob.

Tag nrho cov lus qhia yuav tsis pab kom ua tiav qhov txiaj ntsig zoo yog tias tus kab mob tsis tau them nyiaj rau.

Qhov tseem ceeb ntawm Ntshav Qab Zib Tswj ntshav qab zib

Nqa qab zib kom rov zoo li qub yog lub hom phiaj ntawm ntshav qab zib. Txhua tus muaj nws tus kheej, cov ntsiab lus tseem ceeb ntawm "phiaj" cov piam thaj cov ntsiab lus uas xav tau kom ua tiav.

Daim duab no yog txiav txim los ntawm tus kws kho mob, suav txog hnub nyoog ntawm tus neeg mob, mob hnyav ntshav qab zib, cuam tshuam cov kab mob pathologies, kev noj qab nyob zoo.

Cov neeg mob, raws li txoj cai, ua tiav kev soj ntsuam ntawm cov piam thaj ntsuas qhov ntsuas uas siv glucometers.

Kev ua raws li kev noj haus tshwj xeeb thiab noj tshuaj txo cov ntshav qab zib yog cov ntsiab lus tseem ceeb hauv kev tiv thaiv kab mob ntshav qab zib.

Kev nyiam huv

Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!

Koj tsuas yog xav tau thov ...

Qhov peculiarity ntawm kev raug mob ceg hauv ntshav qab zib mellitus yog tias lawv feem ntau tsis mob. Nyob rau tib lub sijhawm, qhov txhab zoo mob tsis yooj yim. Qhov no tau piav qhia los ntawm ib feem tsis muaj kev nkag siab zoo, nrog rau kev ua txhaum ntawm cov ntshav ncig.

Yog lawm, qhov no tsis tau pom nyob hauv txhua tus neeg mob ntshav qab zib, tab sis nws zoo dua tsis txhob coj cov viav vias tsis zoo. Qhov no yog fraught nrog formidable teeb meem. Nws tseem yuav tsum nco ntsoov tias kev saib xyuas ko taw tsuas yog ib feem ntawm kev tiv thaiv kab mob txhawm rau tiv thaiv "ko taw mob ntshav qab zib".

Nws yog ib qho tsim nyog kom ua raws li cov cai no:

thaum txiav cov ntsia hlau, ceev faj, txiav lawv nrog cov kab rov tav ntawm cov ntsia hlau ua ntaub ntawv. Koj tsis tuaj yeem txiav cov fab ntawm cov ntsia hlau. Tsis txhob kho cov tawv nqaij ntawm tus taw nrog tshuaj lom neeg thiab cov khoom ntse. Nws raug nquahu kom siv cov pob zeb pumice tom qab da dej sov so,
Nco ntsoov tias koj ntxuav koj txhais taw kom huv. Ntxuav lawv txhua hnub nrog dej sov xab npus,
yog tias daim tawv nqaij ntawm ob txhais ceg qhuav, ntub nws (tsis txhob kov qhov sib txuam) nrog roj qab zib,
caiv tsis txhob taug kev liab qab kom tsis txhob raug mob yuam kev,
Tsis txhob siv cov cuab yeej hluav taws xob, cua kub cua sov rau koj ob txhais ko taw, lossis zaum ze ntawm lub tshuab hluav taws xob. Siv cov nyhuv ua kom sov ntawm kev tawm dag zog lub cev, zaws lub teeb lossis plaub thom khwm sov,
Tsis txhob hnov qab tias ob txhais ceg yuav tsum tau kuaj xyuas txhua hnub. Yog tias kab nrib pleb, mob rwj lossis ntsaws ruaj ruaj tshwm sim, hu rau tus kws tshaj lij, tam sim ntawd.
thaum raug mob (raug mob, nqaij to), kho lawv nrog cov tshuaj tua kab mob (Dioxidin, Furacilin, hydrogen peroxide), tom qab uas daim ntaub qhwv cov ntaub nplaum lossis cov nplaum qhwv nrog cov nyhuv tshuaj yuav tsum tau ua ntawv thov. Tsis txhob siv cov tshuaj potassium permanganate, iodine lossis lub ci ntsuab. Cov nyiaj no tuaj yeem ua rau kub hnyiab, kho kom zoo dua yuav qeeb qeeb. Tsis tas li, staining ntawm qhov txhab tiv thaiv kev saib xyuas ntawm tus txheej txheem. Kev kho mob siab tshaj plaws yog los ntawm 10 txog 14 hnub. Yog tias cov tawv nqaij tsis mob li qub, qhov no yog lub teeb liab kom sab laj nrog kws kho mob.

Nkawm khau Xaiv Memo

Cov cai no tsis yog siv rau cov mob ntshav qab zib nkaus xwb. Txhua tus neeg tuaj yeem coj lawv mus ua haujlwm. Lub ntsiab cai dav dav ntawm kev xaiv yog raws li hauv qab no: kom tau khau thiaj li ua rau lawv zaum ntawm lawv ko taw zoo li lub hnab looj tes, tsis muaj kev raug mob ntawm daim tawv nqaij, tsis muaj qhov ua txiab, xeb thiab mob rau. Lawm, cov neeg mob ntshav qab zib tsis tas yuav tsum ua npau suav txog kev ua haujlwm ntawm cov khau zam ntawm 12-centimeter luj.

Tshwj xeeb, kev hnav khau tshwj xeeb yog cuam tshuam rau cov neeg uas muaj cov mob ntshav qab zib no:

qhov tseem ceeb poob ntawm qhov xav hauv qhov taw,
kev puas tsuaj rau cov hlab ntsha ntawm ob txhais ceg nrog atherosclerosis,
deformation ntawm taw,
muaj qhov txhab txhab txhab thiab (lossis) txiav taws.

Nov yog cov ntsiab cai dav dav rau kev xaiv khau:

Cov khoom siv rau kev tsim cov khoom khau yog cov tawv mos zoo. Hauv qhov no, qhov kev pheej hmoo ntawm nraub qaum yog qhov tsawg kawg nkaus. Nkawm khau nrog lub nqaim lossis hnyav dhau ntawm tus ntiv taw yuav tsum tsis txhob hnav. Qhov no ua rau muaj qhov tseeb tias kev faib khoom ntawm qhov nyhav ntawm ko taw tsis yog, cov ntiv tes nias, thiab qhov kev pheej hmoo ntawm kev raug mob rau cov ceg nce siab,
koj tsis tuaj yeem yuav cov khau nrog cov ntxhib thiab txhav puab sab hauv,
Xaiv cov khau kom txaus txaus kom muaj chaw dav txaus rau kev pleev qhov orthopedic. Siv tsis tau cov hnab looj tawv thiab zaws tsis tau,
nkawm khau yuav tsum tsis txhob dhau ntawm tus ko taw, vim tias qhov no tuaj yeem ua rau scuffs thiab calluses
lub outsole zoo tshaj yog txhav. Qhov siab zoo ntawm pob taws siab yog 4 cm. Platform khau yog ib qho zoo haum. Lawv tsis tsuas yog muaj kev nyab xeeb, tab sis kuj saib zoo nkauj,

Hnav khau kom zoo zoo. Thawj 2-3 hnub, hnav tej yam tshiab nyob hauv tsev. Tsis txhob siv cov thom khwm ntub dej rau hnav, vim qhov no tsis zoo rau daim tawv nqaij. Tawm mus hauv cov khau tshiab, zam kev taug kev ntev. Taug kev hauv yam tshiab txhua hnub kuj yog qhov tsis txaus siab.

Nco ntsoov tias thaum muab tso rau sab hauv ntawm nkawm khau tsis muaj cov khoom txawv teb chaws, thiab cov thom khwm tsis sib sau ua ke. Nws raug nquahu kom siv cov xaws zoo rau cov neeg mob ntshav qab zib.

Tsis txhob hnov qab ua tib zoo tshuaj xyuas lub taw. Cov tsos ntawm kev liab ntawm daim tawv nqaij qhia tias nkawm khau tsis haum koj. Cov kev nkag siab raug txo kom tsawg, yog li ntawd, mob rau sab hauv tuaj yeem tshwm sim hauv cov chaw no hauv lub sijhawm luv. Pom qee yam zoo li no - tam sim ntawd sab laj nrog kws kho mob, hauv chav ua haujlwm ntawm cov ntshav qab zib taw.

Kuaj kws kho mob

Txog kev kuaj xyuas raws sij hawm ntawm DS, txhua tus neeg mob ntshav qab zib yuav tsum tau tiv thaiv kev kuaj mob ib xyoos ib zaug.

Hauv kev pheej hmoo ntawm cov teeb meem pheej hmoo, lawv cov zaus yog ib zaug txhua 1-6 lub hlis, thaum tshwj xeeb yuav tsum them rau qhov chaw ntawm deformations thiab thaj chaw pheej hmoo.

Qhov no ua rau nws muaj peev xwm taug kev nrog txoj kev nyiam ntawm DS, txawm tias cov neeg mob uas tsis muaj kev tsis txaus siab.

Lwm cov lus pom zoo rau kev tiv thaiv ntawm cov teeb meem

Lwm qhov kev tiv thaiv yog kev siv tshuaj ntsuab. Nws yog qhov nyuaj hu qhov kev kho no, vim tias nws tsis zoo li nws yuav muaj peev xwm kom nres qhov kev ua si neeg laus nrog rau kev kho mob ntawm cov tshuaj ntsuab.

Tab sis los tiv thaiv cov tsos ntawm tus mob rwj siv cov tshuaj ntuj yog qhov ua tau.

Kev cog ntoo ntawm cov nroj tsuag xws li succession, eucalyptus, celandine lossis St. John lub wort muaj cov nyhuv ntawm dejCov. Yuav ua kom mos stratum corneum, koj tuaj yeem siv cov roj ntuj: txiv ntseej, cypress, paj noob hlis lossis chamomile.

Txhawm rau txhim kho kev tsim dua tshiab ntawm daim tawv nqaij pab cov zib ntab zoo tib yam.

Vim li cas thiaj li yuav tsum muaj cov kev tiv thaiv

Ntau tshaj li ib lub hlis ntawm cov neeg mob ntshav qab zib mob ntshav qab zib mob ko taw (SDS). Cov neeg laus dua thiab cov kev mob tshwm sim ntev dua, qhov tshwm sim ntau dua muaj qhov tshwm sim zoo li no. Cov phab ntsa ntawm cov hlab ntsha cuam tshuam los ntawm kev tsis muaj oxygen, cov piam thaj tsis nkag mus rau hauv cov hlwb, vim li ntawd, lub lumen ntawm cov hlab ntshav nqaim qis, ntshav ntws qeeb, ntshav tawm mus. Cov leeg nqaij, qhov kawg ntawm cov leeg tsis tau txais oxygen thiab cov khoom noj tsim nyog. Kev mob thiav tshwm sim, qhov mob rhiab ntawm ko taw tsis muaj peev xwm, tiv thaiv kev ua haujlwm ntawm daim tawv nqaij yog txo qis (ntau cov neeg mob ntshav qab zib ua mob fungal ntawm lawv ob txhais ceg).

Cov ntaub ntawv tsis zoo ntawm cov piam thaj tsis tso cai rau tus neeg mob kom mob siab rau cov tawv nqaij me me (scuffs, txiav, ua kom tawg, pob txha) rau lub sijhawm. Kev tiv thaiv tsis muaj zog provokes tsis zoo kho ntawm microtraumas, qhov sib kis tau tus kab mob coj mus rau qhov tsim nyog ntawm lub qhov txhab, qhov tsim ntawm cov qhov txhab uas txhab ntev. Kev tsim kev puas tsuaj rau cov nqaij mos sib sib zog nqus feem ntau xaus nrog kev lim hiam, txiav tes taw, ncua ntev ntawm kev siv ntau ntawm cov tshuaj tua kab mob, ua rau lub cev nyhav. Si laim mob muaj cuab kav yuav ua tau neeg tuag taus.

Kev Qhia Txog Tus Kab Mob Ntshav Qab Zib Cov Kab Mob Uas Tiv Thaiv

Cov txheej txheem ntawm cov txheej txheem siv tau, ntau xyoo ntawm kev paub ntawm cov kws kho mob hauv chaw pab cov neeg mob ntshav qab zib, ua lub hauv paus ntawm memo. Nws qhia txog cov hau kev ntawm kev saib xyuas suborthortic, suav nrog cov cai yooj yim uas muaj rau txhua tus neeg tuaj yeem nkag mus tau. Kev tiv thaiv kab mob ntshav qab zib hauv tsev yog ib qho yooj yim los siv. Kev nco qab ua tiav ntawm cov tseev kom ua no yuav ua rau cov neeg mob uas muaj kev mob ntshav qab zib ntev los tiv thaiv kev mob sib kis ntawm ob txhais ceg, kom tsis txhob muaj cov nqaij mos thiab mob caj dab.

Kev saib xyuas ko taw

Txog kev tiv thaiv ntawm SDS, kev nyiam huv yog qhov tseem ceeb: ntxuav koj txhais taw nrog dej sov ib hnub ob zaug (sawv ntxov thiab yav tsaus ntuj), siv cov xab npum me me nrog cov tshuaj tua kab mob, thiab maj mam so lawv nrog phuam mos.
Nws raug nquahu kom kuaj xyuas daim tawv nqaij ntawm ko taw txhua hnub rau kev raug mob me me (corns, kab nrib pleb, khawb) thiab cov kab mob fungal nyob rau hauv kev txiav txim siab kom tsis txhob mob microtraumas kom ncav sijhawm. Rau kev kho mob ntawm qhov txhab, koj tsis tuaj yeem siv dej cawv npaj (iodine, ci ntsa iab ntsuab), nws zoo dua los hloov lawv nrog kev daws teeb meem ntawm chlorhexidine, miramistin, 3% hydrogen peroxide. Thaum txiav koj cov rau tes, sim tsis txhob tawm ntawm cov npoo ntse kom tsis txhob ua rau kev loj hlob ntawm cov ntsia hlau phaj mus rau cov nqaij mos ntawm cov ntiv tes.
Cov tawv nqaij qhuav ntawm ob txhais ceg yuav tsum muaj dej tsis huv thiab kev noj haus - siv cov roj nplua nuj uas muaj cov roj ntuj, kev rho tawm ntawm cov tshuaj ntsuab, tshuaj tua kab mob. Ua tib zoo thov cov lee cream nyob rau hauv cov chaw sib nrug. Ntau noo noo tsim tsim cov xwm txheej zoo rau kev loj hlob ntawm fungal flora.
Yuav txiav tsis tau txoj hau kev! Nws yog qhov zoo dua los siv cov txhais tau tias niaj hnub nrog cov txiaj ntsig me, lossis nrhiav kev pab ntawm cov kws tshaj lij.
Tsis kam hnav cov thom khwm hluavtaws - taw tawm hws, thiab noo noo tsis zoo tawm. Muab qhov xav tau rau cov khoom tsim los ntawm cov ntaub ntawv ntuj tsis muaj hlua khi loj uas cuam tshuam nrog cov ntshav.

Cov khoom noj kom zoo

Txhawm rau kom txo cov piam thaj ntawm cov piam thaj rau ntawm cov plab hnyuv siab raum thiab cov hlab ntshav, nws yog qhov tsim nyog yuav tsum tswj hwm kev ua kom zoo li qub hauv qab zib. Tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib, kev noj zaub mov nrog cov ntsiab lus tsawg ntawm cov khoom noj khoom haus carbohydrates tau raug tsim - rooj kab 9. Kev noj zaub mov ntau me me ntawm cov zaub mov me me yuav pab ua kom cov piam thaj ntau ntawm 6-7 mmol / L. Cov zaub mov muaj zaub, txiv hmab txiv ntoo tsis qab thiab txiv ntoo (kua txiv qab, gooseberries, cranberries), cov nqaij ntshiv, cereals, nqaij ntshiv. Hloov chaw qab zib, piam thaj hloov (xylitol, sorbitol) yog siv. Rog, cov zaub mov kib, khoom qab zib, cov txiv qab zib (txiv hmab, txiv tsawb, txiv qab zib), dej cawv thiab cov dej cawv, chocolate tsis tau.

Kev noj qab nyob zoo ua neej

Kev muaj zog tiv thaiv hnyav pab lub cev sib ntaus cov kab mob pathogenic, rov qab sai, thiab ua kom cov neeg mob noj qab haus huv nyob rau theem siab. Muaj ntau txoj hauv kev los txhawb lub cev:

kev noj tau cov vitamins
kev ntxhov siab nyem
mus kev saum huab cua,
qoj ib ce muaj zog
ua luam dej.

Kev qoj ib ce & Kev dhia tes taw

Yuav ua kom ntshav khiav zoo li qub, nqaj qis dua qhov mob, pab kho mob, ko taw zaws thiab qoj ib ce tshwj xeeb raug pom zoo. Cov kev tawm dag zog yooj yim (hloov pauv - txuas ntxiv, nyem ntiv tes, hloov mus ncig) yog qhov yooj yim ua nyob hauv tsev. Cov mob tseem ceeb yog tias qhov kev txav mus los yuav tsum tsis txhob ntse, ua rau mob, thiab thaum lub sijhawm nws tus kheej zaws, nws yog qhov yuav tsum tau hloov qhov sib tsoo hnyav nrog lub teeb nyem.

Unloading ko taw

Kev nyhav dhau los, sawv kev ua haujlwm, nqa lub nra hnyav ua rau nce ntawm cov ceg. Sim so kom txaus, zaum ntau ntau, tsis txhob mus kev deb, siv pas pas thaum taug kev, yog tias tsim nyog. Cov thev naus laus zis tau tso cai tsim cov ntaub ntawv tshwj xeeb ntim rau cov khau. Xws li insoles pab tusyees faib lub cev qhov hnyav, muab cov taw kom yog qhov chaw ntawm lub cev, thiab zam ntawm lawv cov deformations.

Nkawm khau zoo

Kev xaiv ntawm nkawm khau yuav tsum tau kho feem ntau yam. Thov nco ntsoov seb koj txoj kev yuav khoom puas txais tau hauv:

mos tej ntaub ntawv
tsis muaj ntxhib nqaws,
Zoo kawg nkaus qhov loj me
txhim khu kev qha fixation ntawm ko taw,
muaj cov lacing, Velcro lossis lwm yam fasteners,
ntom corrugated tib.

Kws Kho Mob Kev Kuaj Mob

Cov kev ntsuam xyuas mob tsis tu ncua pab tswj cov piam thaj hauv ntshav, tswj kev noj tshuaj insulin cov tshuaj tiv thaiv kab mob, tshuaj xyuas cov kev mob tshwm sim hauv lub sijhawm, thiab kev kho mob kom zoo. Hauv cov chaw kho mob, tus kws tshaj lij hauv kev ua haujlwm los ntawm lub cev hauv lub cev yog lub hlwb endocrinologist. Nws tsom kwm tus neeg mob, yog tias tsim nyog ua cov kev kuaj mob ntau dua, xaiv kev sab laj ntawm cov kws tshaj lij - kws kho mob neuropathologist, kws phais mob, ophthalmologist. Cov neeg mob yuav tsum ua raws nraim li txhua daim ntawv sau tshuaj thiab cov lus qhia uas tus kws kho mob tau sau tseg, mus kawm rau lub tsev kawm noj qab haus huv. Ua raws li txhua txoj kev tiv thaiv muab tus neeg mob nrog lub neej tag nrho, tiv thaiv kev txhim kho ntawm SDS, lwm yam kev cuam tshuam nyob rau txhua ntu ntawm ntshav qab zib.

Kev tiv thaiv tus mob ko taw rau hauv ntshav qab zib

Video (nyem mus ua si).

Ntshav qab zib mellitus muaj kev txhim kho thaum muaj kev cuam tshuam loj heev nyob rau hauv endocrine system, uas ua rau muaj kev phom sij pathological hauv lub cev. Qhov no ua rau kev tsim ntau yam teeb meem hauv tus neeg mob, qhov hnyav tshaj plaws uas yog mob ntshav qab zib.

Mob ntshav qab zib mob ko taw nyob rau hauv cov ntshav qab zib yog tus yam ntxwv ua rau cov leeg ntshav ntawm lub cev, uas feem ntau yuav ua rau txiav tes txiav taw. Kev mob ntshav qab zib yog qhov nyuaj rau kev kho mob, tshwj xeeb tshaj yog nyob rau theem tom ntej, thaum tus kab mob cuam tshuam tsis tsuas yog daim tawv nqaij, tab sis kuj yog cov leeg nqaij, pob txha thiab pob qij txha.

Video (nyem mus ua si).

Yog li no, rau txhua tus neeg mob ntshav qab zib, kev tiv thaiv kab mob ntshav qab zib kom zoo yog qhov tseem ceeb. Nws pab tiv thaiv tus neeg los ntawm kev xiam oob khab thiab cawm nws txoj sia, vim tias tus cider no yog ib qho ua rau muaj kev ploj tuag ntawm cov neeg mob ntshav qab zib.

Qhov laj thawj tseem ceeb ntawm kev loj hlob ntawm tus mob ko taw mob ntshav qab zib yog mob ntshav qab zib hyperglycemia, uas ua rau nws tus kheej txuas ntxiv kom cov ntshav qab zib ntau ntau. Nws yog cov nyiaj them rau cov ntshav qab zib tsis txaus uas ua rau muaj kev txhim kho rau txhua tus mob ntshav qab zib, suav nrog kev puas tsuaj rau ceg.

Kev siab ntxiv ntawm cov piam thaj hauv cov ntshav ua rau phab ntsa ntawm cov hlab ntshav, ua rau muaj kev puas tsuaj rau cov hlab plawv cov ntshav ntau heev. Tshwj xeeb tshaj yog cov neeg tuag yog qhov ua rau cov ntshav qab zib ntawm cov kab ke ntu ntshav, uas cuam tshuam cov ntshav hauv cov ntshav sab saud thiab sab qis.

Raws li qhov no, cov ntaub so ntswg ntawm ob txhais ceg pib muaj qhov tsis zoo ntawm cov pa oxygen thiab cov as-ham, uas ua rau lawv kawm tiav necrosis. Cov ntshav ncig tsis txaus kuj ua rau kev puas tsuaj ntawm cov hlab ntaws, uas ua rau cov ceg ntawm lub cev tsis zoo thiab ua rau lawv raug rau ntau yam kev raug mob, txiav, pob txha taub hau, deformations, kub hnyiab thiab frostbite.

Ua rau mob ko taw mob ko taw:

Angiopathy - kev puas tsuaj rau cov hlab ntsha ntawm lub plawv,
Neuropathy - rhuav tshem ntawm peripheral hlab ntsha xaus,
Neuroosteoarthropathy - ntau yam kab mob pob txha: txha, txha, txha, kev sib koom tes, muaj pob txha tsis muaj zog, kab mob pob txha,
Kev raug mob hnyav ntawm ko taw, provoking nws deformation,
Kis thiab kab mob ntawm daim tawv nqaij mob
Ib qho tseem ceeb tsis muaj zog hauv kev tiv thaiv kab mob, ob leeg dav dav thiab hauv ib cheeb tsam.

Ntawm qhov tshwj xeeb tseem ceeb hauv kev tiv thaiv tus mob ko taw yog txoj cai xaiv ntawm nkawm khau. Txawm tias qhov tsis yooj yim me ntsis thaum hnav yuav ua rau muaj kev phom sij rau ntshav qab zib, xws li kev tsim ntawm qhov tsis ua haujlwm rau qhov mob tsis zoo thiab ua kom lub cev tsis zoo.

Thaum xaiv cov khau, koj yuav tsum muab kev nyiam rau cov qauv xis ua los ntawm cov ntaub ntawv ntuj uas tso cai rau ko taw ua pa. Qhov no yog qhov tseem ceeb rau cov ntshav qab zib, vim tias qhov kev ua txhaum ntawm lub tshav kub hloov thiab tawm hws ntau dhau tuaj yeem ua rau kev txhim kho ntawm tus mob fungal.

Tsis tas li ntawd, rau kev tiv thaiv thiab kho tus mob ntawm ko taw tsis zoo, tus neeg mob tuaj yeem siv cov kab orthopedic uas tshwj xeeb uas muab kev nplij siab thiab kev tiv thaiv rau ceg. Cov insoles tuaj yeem ua ntau yam ntaub ntawv, suav nrog silicone thiab gel, ntxiv rau muaj cov zaws khaub ncaws thiab cim xeeb.

Yuav ua li cas xaiv cov khau haum:

Lub hauv paus rau kev tiv thaiv kab mob ntshav qab zib yog txoj kev kho mob ntshav qab zib mellitus, uas yog kev soj ntsuam cov ntshav qab zib kom tsis tu ncua. Nws yog qhov zoo tshaj plaws yog tias cov piam thaj hauv lub cev yuav ze rau qhov qub ib txwm muaj thiab tsis ntau tshaj 6.5 mmol / L.

Txhawm rau ua qhov no, tus neeg mob yuav tsum txhaj tshuaj insulin txhua hnub lossis noj tshuaj uas tsis muaj piam thaj. Ib qho ntxiv, txhawm rau kho cov ntshav qab zib kom ntau, tus neeg mob yuav tsum ua raws li cov zaub mov muaj roj tsawg thiab ua kom ib ce muaj zog tas li.

Qhov tseem ceeb tseem ceeb yog kev saib xyuas ko taw kom zoo, uas yuav tsum sib txawv ntawm qhov tau txais los ntawm cov neeg zoo tib yam. Nrog rau cov txheej txheem kev tu cev no, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov rhiab ntawm ko taw yog pom meej txo qis hauv cov ntshav qab zib, uas txhais tau tias lawv tsis tuaj yeem ntsuas tus mob lossis qhov kub tau.

Ib qho ntxiv, cov neeg muaj ntshav qab zib siab yuav tsum zam kom raug mob ntawm daim tawv nqaij ntawm lawv ob txhais ceg, vim tias muaj ntshav qab zib, cov qhov txhab zoo kho tsis zoo thiab kis tau yooj yim. Qhov no tuaj yeem ua rau kev tsim cov kabmob ntawm trophic mob rau cov nqaij mos thiab cov nqaij mos necrosis, thiab yav tom ntej ua rau qhov muaj povtseg.

Cov Cai Saib Xyuas Ko Taw:

Kev mus ko taw zaws rau cov ntshav qab zib pab kom ntshav khiav zoo nyob rau hauv ob txhais ceg, daws cov leeg mob thiab txhim kho kev sib koom tes, uas tiv thaiv lawv ntawm kev deformation. Zaws taw yuav ua tau ntawm nws tus kheej lossis los ntawm kev pabcuam rau tus pabcuam tshwjxeeb.

Zaws rau kev tiv thaiv kab mob ntshav qab zib yuav tsum tau ua nrog kev tshem tawm maj mam, zam kev tawv nqaij. Txhawm rau tshem tawm kev puas tsuaj rau ntawm daim tawv nqaij, thaum zaws, nws yuav tsum siv roj zaws lossis pleev.

Tom qab qhov zaws tiav tiav, koj yuav tsum ntxuav koj txhais taw nrog dej sov, so qhuav nrog phuam muag muag, roj nrog cov qab zib uas tiv thaiv kev txhim kho cov taw taw thiab muab thom khwm huv si.

Kev tawm dag zog lub cev yog tseem tuaj yeem muaj txiaj ntsig kev noj qab haus huv hauv cov ntshav qab zib. Muaj lub sijhawm them tag nrho rau cov taw, uas pab ntxiv dag zog rau cov leeg, rov qab sib koom ua ke, nce siab thiab nce ntshav ntxiv.

Ib ce ntawm lub taw:

Zaum ntawm ib lub rooj zaum, ncab koj ob txhais ceg nyob pem hauv ntej ntawm koj thiab muab tso rau ntawm koj luj taws. Tam sim no rub lub thom khwm rau koj, thiab tom qab ntawd deb ntawm koj.
Kuj tseem zaum saum lub rooj zaum, khoov koj lub hauv caug thiab tso lawv ua ntej. Tom ntej no, koj yuav tsum cais cov thom khwm, kom deb li deb tau, thiab tom qab ntawd dua los txo qis. Hauv qhov no, lub luj taws yuav tsum tau sib koom ua ke.
Tsa ob txhais ceg thiab tuav nws qhov hnyav kom ua kev voj voog ntawm ko taw, ua ntej nws thawb moos, thiab tom qab ntawd suav rov qab.
Hloov nyem thiab ntiv taw ntiv taw.

Txhawm rau kom tsis txhob muaj qhov phom sij txaus ntshai xws li mob ntshav qab zib ko taw, kev tiv thaiv ntawm uas yuav tsum tau siv zog hnyav, nws yog qhov yuav tsum tau tso pov tseg txhua qhov kev coj ua tsis zoo. Ua ntej tshaj plaws, qhov no txhawj xeeb txog kev haus luam yeeb, uas cuam tshuam rau qhov kev tsis txaus siab ntawm cov ntshav ncig.

Kev haus luam yeeb yog ib qho ntawm cov laj thawj tseem ceeb rau kev txhim kho vascular atherosclerosis thiab thrombophlebitis, uas cuam tshuam cov ntshav ncig hauv lub cev. Kev haus luam yeeb txhua hnub ntawm txawm tias me me ntawm luam yeeb, pab txhawb kev txhaws ntawm cov hlab ntshav, tshwj xeeb tshaj yog nyob rau hauv qis qis thiab pab txhawb kev tsim cov ntshav qab zib taw.

Cov dej cawv haus cawv kuj tseem cuam tshuam rau cov ntshav qab zib mellitus, vim lawv ua rau muaj ntshav qab zib kom tsawg. Namely, qhov tsis txaus ntseeg tso ntshav qab zib cov ntshav ua rau kev loj hlob ntawm txhua yam kev cuam tshuam hauv ntshav qab zib, suav nrog ko taw mob ntshav qab zib.

Tus kws tshaj lij los ntawm daim yeeb yaj kiab hauv tsab xov xwm no yuav tham txog cov hau kev ntawm kev tiv thaiv thiab qhov xwm txheej ntawm tus mob ko taw.

Vim li cas thiaj li yog tu mob rau tus mob ntshav qab zib ko taw thiaj li tseem ceeb?

Qhov tseem ceeb ntawm kev tiv thaiv thiab tu kom zoo rau taw nrog ntshav qab zib yog qhov nyuaj rau kev ua siab tuab. Yog tias tsis ua raws li cov cai no, tus kab mob yuav loj hlob sai thiab kev mob qog pib.

Raws li lub koom haum WHO, 95% ntawm kev tshem tawm haujlwm txhais lus yog txuam nrog kev kis mob rau cov nqaij mos.

Mob Qog Lom yog theem kawg ntawm SDS, uas yog ua ntej los ntawm cov tsos mob hauv qab no:

mob ceg thaum taug kev, nrog rau cov nyob ruaj ruaj
kev mob siab rau ncig (mob khaub thuas ob txhais ceg, leeg ntshav, pob tw, pob loog, thiab lwm yam),
kev ua kom tsis meej rau cov leeg nqaij ntawm cov nqua,
cov tsos ntawm deformity ntawm taw,
qhuav thiab ntub dej corns, ulcerations,
sib sib zog nqus mob, fungal mob ntawm ko taw.

Yog tias koj tsis kho cov tsos mob no thiab tsis ua raws li txoj cai ntawm kev saib xyuas ko taw rau cov ntshav qab zib, tom qab ntawd nrog qhov muaj feem ntau ntawm tus kab mob yuav mus rau qhov kev phom sij.

Nws tsis yog qhov nyuaj kom tsis txhob muaj kev sib kis nrog mob caj dab thiab tom qab txiav tawm, nws yog qhov txaus los saib xyuas tus kab mob ntshav qab zib hauv tsev thiab sab laj nrog tus kws kho mob raws sijhawm nrog kev xeb me ntsis.

2. Kev ntsuam xyuas ob txhais ceg tas li.

Kev tshuaj xyuas yuav tsum tau nqa tawm thaum sawv ntxov los yog thaum yav tsaus ntuj, tom qab ntxuav thiab qhuav ceg. Yog tias thaj tsam keratinized ntawm thaj tsam epidermis, pob txha thiab pob txha pom tias tsis muaj feem cuam tshuam nrog kev hnav cov khau tshiab lossis tsis xis nyob, nrog rau cov qhov txhab, mob rau sab hauv, tawv nqaij tawv nqaij, nws tseem pom zoo kom sab laj nrog kws kho mob thiab siv tshuaj pleev ib ce tshwj xeeb rau cov ntshav qab zib ko taw.

Cov khoom lag luam no muaj cov dej noo, ua kom tsis muaj zog, ua kom tawv muag uas ua rau rov txhim kho qhov qub ntawm daim tawv nqaij, nrog rau kev tiv thaiv ko taw los ntawm kev kis tus kab mob, muaj cov nyhuv los tiv thaiv.

3. Kev ntxuav txhua hnub thiab kev kho mob ntshav qab zib ko taw.

Lub taub hau qhuav ntawm taw yuav tsum tau kho nrog lub pob zeb pumice. Tom qab ntxuav, koj yuav tsum so koj ob txhais taw nrog phuam muag muag, tsis txhob muab tshuaj txhuam, tab sis tsuas yog soaking.

Nco ntsoov thov siv cov hmoov nplaum noj mov, uas muaj cov tshuaj pleev ib ce ntuj. Piv txwv, cov kab DiaDerm muaj kev pleev tshwj xeeb rau kev saib xyuas kab mob ntshav qab zib. Cov kab ntawv suav nrog cov tshuaj "Tiv Thaiv", "Intensive" thiab "Softening", uas yog qhov zoo rau kev siv txhua hnub.

Cov tshuaj pleev "Rov ua dua tshiab" - ib qho kev kho zoo heev rau cov neeg taw ntawm qhov muaj ntxhua, tom qab txhaj tshuaj thiab lwm yam kev raug mob. Ib qhov tshwj xeeb ntawm cov khoom lag luam DiaDerm yog qhov muaj urea thiab cov tshuaj ntsuab ntawm cov tshuaj ntsuab thiab roj muaj nyob rau hauv qhov muaj pes tsawg leeg ntawm 5-15%, uas ua kom dej noo, txhawb nqa thiab txhawb qhov txhab zoo thiab rov ua dua tshiab.

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.

4. Ua kom ntsia hlau txiav zoo.

Ntsia cov rau tes nrog ntshav qab zib feem ntau ua rau muaj kab mob thiab ua mob. Nws yog qhov tsim nyog los txiav cov rau tes maj mam ncaj hauv kab ncaj nraim tsis muaj kev sib hloov. Cov pob ntsej muag ntse yog ua nrog daim ntaub mos muag kom zoo zoo.

Thaum ua cov ntsia hlau, txiab nrog rau cov ntse kawg yuav tsum tsis txhob siv. Yog hais tias tus ntiv taw ntawm ko taw raug mob nyob rau hauv tus txheej txheem ntawm kev txiav, tom qab ntawd qhov chaw no yuav tsum tau kho nrog hydrogen peroxide thiab lubricated nrog lub qhov txhab kho cov tshuaj pleev, piv txwv li, furacilin lossis raws li streptocide. Hauv peb cov khw online koj yuav pom cov khoom lag luam zoo thiab pheej yig ntsia thawv khoom lag luam.

5. Kev tiv thaiv cov kab mob fungal.

Nrog tus mob fungal tau, mob rau sab hauv, kiav txhab, kiav txhab tshwm ntawm taw. Qhov pom muaj cov nceb ntau ua rau muaj kev pheej hmoo ntawm laib plab. Kev tiv thaiv kev kis kab mob yog ua raws li kev cai tu cev.

Tsis tas li, cov neeg mob ntshav qab zib yuav tsum tsis txhob taug kev liab qab hauv tej chaw pej xeem, ntawm ntug hiav txwv, nyob hauv hav zoov, thiab lwm yam Cov thom khwm yuav tsum tau hloov pauv txhua hnub, txhawm rau tiv thaiv kev hnav khaub ncaws tsis zoo, tsw phem thiab ntub khau.

Nco ntsoov siv cov qab zib "tiv thaiv" los tiv thaiv kev txhim kho ntawm cov kab mob thiab cov kab mob fungal, rov kho dua ntawm qhov kev tiv thaiv.

6. Ua raws li cov qauv tseem ceeb ntawm kev ua neej zoo, ua kom muaj zog tiv thaiv.

Kev siv dej cawv haus, kev haus luam yeeb tsis tu ncua, haus luam yeeb, ua lub neej tsis muaj zog yog yam ua rau muaj kev cuam tshuam tsis zoo ntawm tus ceg ntawm ntshav qab zib. Txhawm kom txo txoj kev pheej hmoo ntawm kev mob tshwm sim, nws yog qhov yuav tsum tso tseg cov kev coj ua tsis zoo, ua raws kev noj haus thiab ntxiv dag zog rau kev tiv thaiv.

Txhua tus neeg mob ntshav qab zib yog qhia txhua hnub taug kev ntev mus ntev li 30 feeb. Cov neeg laus dua thiab rog rog siv tau cov pas nrig tshwj xeeb rau kev taug kev.

7. Hnav cov khau kom zoo.

Cov khau yuav tsum yog ua los ntawm cov khoom siv zoo, tsis muaj tuab, muab tshuaj txhuam kev ntxhib. Nws yog qhov tsim nyog tias nws muaj lub lacing lossis Velcro los tswj hwm tag nrho ntawm ob txhais ceg.

Ib qho yuav tsum yog tuab txaus los tiv thaiv tus taw ntawm kev puas tsuaj. Nws raug tso cai kom muaj lub luj taws qis.

8. Kev siv cov insoles tshwj xeeb.

Kev tu mob ko taw kom ntshav qab zib yeej ua tsis tau yog tias tsis muaj qhov zoo txav tsis tau ntawm ko taw. Rau lub hom phiaj no, tsis siv pob txha orthopedic insoles thiab niaj hnub insoles neeg tau raug tsim los uas tusyees faib lub cev hnyav thiab tiv thaiv deformation ntawm cov ntiv tes thiab koov ntawm ko taw, thiab tseem tiv thaiv qhov tsim ntawm pob txha.

Insoles nrog lub cim xeeb ua cim muaj cov yam ntxwv zoo, uas siv daim foos nyob ntawm cov yam ntxwv ntawm lub cev ntawm lawv tus tswv. Siv cov kab mob ntshav qab zib hauv kev sib xyaw nrog cov khau sab xis tuaj yeem tiv thaiv kev txhim kho ntawm ntau cov tsos mob ntawm tus mob VDS.

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.

Tau cov mob ntshav qab zib ko taw tuaj yeem kho tau?

Nws yuav tsum to taub tias mob ko taw yog ib qho txiaj ntsig ntawm ntshav qab zib. Cov tshuaj niaj hnub tuaj yeem kho tsis tau ntau yam mob ntshav qab zib mellitus, uas txhais tau hais tias kev pheej hmoo ntawm kev tsim SDS tseem nyob tag lub neej.

Txawm li cas los xij, kev saib xyuas txhua txoj cai saum toj no thiab paub yuav ua li cas thiab yuav kho tus mob ko taw li cas, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev mob no.

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.

VTS yog dab tsi?

Muaj ob peb hom mob ntshav qab zib. Feem ntau uas tsis muaj ntshav qab zib feem ntau tsis-insulin. Hom kab mob no tseem hu ua hom 2 mob ntshav qab zib thiab tsis yog yug los ua qe. Ntshav Qab Zib 1 yog kab mob metabolic uas tua cov cell uas tsim cov tshuaj insulin hauv qab txiav Hauv cov ntshav qab zib tsis yog-insulin, rog dhau thiab kev noj zaub mov tsis zoo ua rau muaj peev xwm tiv thaiv cov tshuaj insulin. Hauv ob hom kev cuam tshuam ntawm tus kab mob no, tus mob hyperglycemia loj tuaj.

VDS yog ib qho mob hnyav heev ntawm ntshav qab zib, uas feem ntau maj mam ua kom kev noj qab haus huv tag nrho thiab ua rau muaj neeg tuag coob. Yog li, kev tiv thaiv tus kab mob no yog qhov tseem ceeb tshaj.

30-40% ntawm cov neeg mob SDS muaj cov leeg hlwb. Feem ntau cov neeg mob tsis hnov mob ntawm lawv ceg. Kev puas tsuaj rau corns tuaj yeem ua rau cov qhov mob me me uas kis tau cov kab mob. Vim yog kev puas tsuaj rau cov hlab ntshav muag, kev tawm hws kuj tseem txo qis, vim li ntawd, cov hlab ntsha cov tawv nqaij ua kom tawv nqaij thiab ua rau cov tawv nqaij ua kom qhuav thiab tawg.

Polyneuropathy tseem tuaj yeem ua rau ko taw deformities. Tus mob ua rau cov neeg mob hnyav thiab cov nyom hloov pauv ntawm pob taws vim yog pob txha ploj, ua kom rov zoo li qub, thiab pob txha lov.Qhov laj thawj yog pob txha me me tawg, uas cov neeg mob feem ntau tsis hnov, vim tias qhov hnov ntawm qhov mob tsis huv.

Kev mob ko taw: cov tsos mob, kho thiab tiv thaiv

Kev mob ntshav tes taw yog qhov nyuaj ntawm lub cev thiab lub cev hloov pauv ntawm tus taw ntawm tus neeg mob ntshav qab zib mellitus vim yog micro- thiab macroangiopathies (pathological hloov hauv cov nkoj me me thiab cov kab mob loj), nrog rau neuropathy (kev hloov pauv hauv lub paj hlwb). Qhov no yog qhov cuam tshuam rau feem ntau ntawm cov ntshav qab zib mellitus, uas tshwm sim hauv 80% ntawm cov neeg mob ntshav qab zib nrog kev paub tus kab mob ntawm 15-20 xyoo lossis ntau dua, thiab hauv ib nrab ntawm cov neeg mob xaus nrog txiav tawm ntawm tus nqua.

Yuav xaiv cov khaub ncaws no li cas: cov lus qhia pom zoo rau cov neeg mob

Raws li kev tshawb fawb los ntawm cov kws tshawb fawb Irish, kwv yees li 4 ntawm 10 tus pojniam tsis kam hnav lub siab rau cov ntshav qab zib vim muaj mob hnyav. Kev yuav khau yog feem ntau txhawj xeeb rau cov neeg muaj ntshav qab zib.

Raws li muaj ntshav qab zib, ntau tus neeg muaj tus mob neuropathy lossis hnov mob hlab ntsha thiab cov leeg ntshav hauv qis qis. Qhov no tuaj yeem ua rau tus mob ko taw mob ko taw. Raws li pom los ntawm SDS, kev raug mob me yog tsim rau ntawm ob txhais ceg, uas kho tsis zoo thiab muaj mob sai. Yog tias tus neeg mob tau mob ntshav qab zib lossis txoj hlab ntshav, nws yog qhov zoo tshaj plaws los sab laj nrog tus kws kho mob ua ntej yuav cov khau. Yog tias tsim nyog, tus kws kho mob tuaj yeem sau kho khau tshwj xeeb rau cov neeg mob ntshav qab zib. Cov no yog cov khau uas tiv thaiv koj ob txhais taw los ntawm kev kub siab thiab kev puas tsuaj vim lawv tus qauv tshwj xeeb.

Yuam kev hauv kev xaiv cov poj niam thiab txiv neej cov khau

Cov neeg mob uas tsis muaj kev puas tsuaj rau cov hlab ntshav lossis cov hlab ntsha tsis tas yuav tsum tau muaj cov khau orthopedic tshwj xeeb, raws li cov kws tshawb fawb. Cov khau yuav tsum tsis txhob zawm thiab tsis xis. Ntau lub khw muag khoom muaj qhov khau xis lossis xis nyob nrog ua los ntawm cov khoom muag breathable. Cov khoom siv ua pa, xws li tawv tiag lossis tawv, pab tiv thaiv kev tawm hws thiab fungus tsim.

Cov kws tshwj xeeb txog Orthopedic tau ceeb toom tias yuav cov khau uas nqaim dhau lossis dav heev tuaj yeem cuam tshuam rau cov ntshav qab zib tau. Yog tias tus neeg mob muaj nqaim lossis dav dav, nws yog qhov yuav tsum tau sab laj nrog tus muag: muaj cov chaw tsim khoom lag luam uas muab cov khau ntawm ntau qhov dav.

Cov khau khiab dav, uas tau nyob rau hauv kev zam rau ob peb lub xyoo, tuaj yeem ua rau chav kawm tus kabmob ploj. Qhov no pab txhawb kev txhim kho cov kab mob fungal thiab hyperhidrosis. Cov khau khiab tsis txhuam cov tawv nqaij thiab tsis txwv qhov ntws ntawm huab cua.

Cov cai rau kev saib xyuas thiab chaw cia khoom

Tus neeg mob yuav tsum them nyiaj rau cov ntsiab lus hauv qab no ua ntej koj yuav khau:

Tsis dhau nruj: khau yuav tsum tsis txhob zawm heev thiaj li tsis muaj qhov taw tes siab,
Tsis dhau qhov dav: ua ntej ntawm txhua lub npuas, yuav tshwm sim ntawm pob taws thaj yog tias cov khau loj dhau,
Kho outsole: outsole nrog lub hardness hnyav haum rau kev tiv thaiv cov pob zeb thiab ntug kev,
Qhov chaw txaus rau lub insole: txhawm rau txhawm rau kom yooj yim los yog ua kom zoo faib qhov siab, tus neeg mob tuaj yeem yuav cov xim orthopedic insoles tshwj xeeb.

Nkawm khau yuav tsum tau yuav yog tias tsim nyog thaum yav tsaus ntuj, vim tias txhais ceg feem ntau tuab dua. Cov khau uas ua tau raws li qhov yuav tsum tau ua ntawm tus neeg mob tuaj yeem xaj rau ntawm cov chaw tshwj xeeb. Cov khau uas muaj ntshav qab zib feem ntau tsis muaj seams thiab muaj txheej tshwj xeeb los tiv thaiv cov ntsiab lus siab. Silicone insoles rau cov ntshav qab zib tsis pom zoo kom hnav.

Orthopedic nkawm khau pab tiv thaiv kom tsis txhob mob caj dab. Raws li tau hais los saum no, qhov tsis raug, dav lossis nruj khau yuav ua rau lub ko taw puas. Nkawm khau tiv thaiv kev ua kom tsis zoo ntxiv, kev tsis sib haum ntawm cov ntiv taw, txo caj dab los yog mob siab ntawm taw. Cov tshuaj kho pob qij txha kuj tseem pab tiv thaiv kom tsis txhob muaj tus mob thrombosis, uas tshwm sim vim lub cev ua si ntev dhau.

Lawj Xeeb Hnab Khaub Ncaws

Cov thom khwm uas tsis muaj elastic yog qhov tsim nyog rau cov neeg mob ntshav qab zib, vim tias qhov no tuaj yeem nce qhov kev pheej hmoo ntawm kev tsim cov kab mob hauv zos. Peb pom zoo kom siv cov thom khwm uas yog ua los ntawm cov khoom ua pa. Cov thom khwm yuav tsum hloov pauv ntau zaus txhawm rau tiv thaiv qhov mob txhawm rau kis los ntawm SDS.

Tswv yim! Nws raug nquahu kom xaiv cov khau tshwj xeeb tom qab sab laj nrog tus kws kho mob tsim nyog. Nws yog ib qho tseem ceeb uas yuav tsum xav txog qhov loj me ntawm txhais ko taw, raws li tau hais los saum no. Txwv tsis pub, tus neeg mob tuaj yeem xaiv tus qauv ntawm cov khau tshwj xeeb raws li lawv tus kheej nyiam.

Kev hnav lub cev ntev ntev ntawm kev ruaj ntseg pab hauv nruab nrab thiab ntev ntev tiv thaiv kev cuam tshuam ntawm VDS. Nws kuj tseem pab tiv thaiv kom txhob txiav tes taw ntawm ib sab tes uas raug mob. Nws yog ib qho tseem ceeb kom nkag siab tias cov khaub ncaws hnav tsis zoo tuaj yeem ua rau mob ntshav qab zib thiab ua rau muaj kev phom sij. Yog li no, cov khoom siv orthopedic yuav tsum tau muab kom txaus thiab tsis saib xyuas qhov lus ntuas ntawm cov kws tshaj lij. Cwj pwm tsis zoo tuaj yeem ua rau muaj kev pheej hmoo mob ntxiv, nrog rau kev txo kom tus neeg mob rov zoo dua thiab rov tsim cov ntaub so ntswg uas puas lawm. Kev raug mob mus ib txhis rau ntawm caj npab tuaj yeem ua rau kab mob ntawm kab mob.

Qhov ua rau thiab cov txheej txheem ntawm kev txhim kho mob ntshav qab zib ko taw mob

Mob ko taw mob ko taw tshwm sim los ntawm kis rau kis tus kab mob sib xyaw ua ke, xws li:

peripheral polyneuropathy (ua rau deformation ntawm ko taw, uas tiv thaiv nws lub cev txoj haujlwm thaum taug kev thiab sawv, thiab qhov poob ntawm txhua hom kev hnov mob (mob, kev co, tawv, qhov kub thiab txias) - vim los ntawm cov kev hloov pauv no, qhov kev pheej hmoo ntawm purulent-necrotic txhab ntxiv),
angiopathy (mob ntshav hauv ntshav qab zib mellitus, uas yog qhov tseem ceeb ntawm cov txheej txheem atherosclerotic - vim li ntawd, ntshav ntws los ntawm cov hlab yuav nyuaj thiab ischemia ntawm ib tug neeg cov ntaub so ntswg tshwm sim),
neuroosteoarthropathy (mob txha, txha, txhawm rau rhuav tshem pob txha, rhuav tshem ib leeg ntawm pob txha, mob pob txha).
obliterating kab mob ntawm cov hlab ntsha ntawm cov qis qis,
kev raug mob thiab deformations ntawm ko taw,
mob, tshwj xeeb tshaj yog fungal kab mob,
kev tiv thaiv dav thiab hauv zej zog txo rau hauv kev tiv thaiv.

Cov chaw kho mob tshwm sim ntawm tus mob ko taw mob ko taw

Pab pawg neeg ua haujlwm thoob ntiaj teb txog cov teeb meem ko taw mob ntshav qab zib txheeb xyuas cov qeb uas cuam tshuam txog qhov tseem ceeb ntawm tus mob no:

cov ntshav muab rau cov nqua
lawv rhiab
mob rwj loj,
tob ntawm swb
cov txheej txheem sib kis.

Ua raws li cov yam ntxwv ntawm cov tsos mob hauv pawg kho mob, 3 pawg ntawm tus kab mob ko taw ua yam ntxwv:

Neuropathic daim ntawv yog qhov tshwm sim ntawm kev mob hlwb neuropathy, kev zaws ntawm cov ntaub so ntswg, lawv kev hloov kho, kis thiab edema. Kev mob peptic muaj tshwm sim nyob rau hauv cov chaw ntawm ko taw, uas suav tus thauj khoom siab tshaj plaws. Daim ntawv no ntawm tus kab mob no tau txheeb xyuas hauv 70% ntawm tus neeg mob ko taw, feem ntau yog cov neeg muaj hnub nyoog 40 xyoo uas tau kuaj mob ntshav qab zib tau 5 xyoos lossis ntau dua, feem ntau haus dej cawv. Raws li txoj cai, mob txhab nyiaj hauv thaj chaw ntawm qhov chaw siab, qhov chaw ntawm hyperkeratosis, ntawm ib leeg, nyob rau thaj tsam ntawm thaj chaw sib kis, hauv thaj chaw ntawm kev deformation loj ntawm cov taw. Palpations yog tsis mob. Cov neeg mob yws ntawm cov tawv nqaij txha caj qaum (tingling, pinching, hlawv cov nqaij hauv thaj chaw muaj kev cuam tshuam) thiab mob hnyav hmo. Cov tawv nqaij ntawm qhov kawg yog qhuav, sov, qhov hloov ntawm qhov tawm ntawm caj pas ntawm qhov taw ntawm lub taw yog khaws cia, qhov rhiab - qhov mob, qhov kub thiab lub cev tshee - yog txo, lub pob taws thiab lub hauv caug tsis muaj zog, cov leeg nqaij atrophied, ko taw yog deformed, osteoarthropathy yog txiav txim siab.

Ischemic daim ntawv yog qhov tshwm sim ntawm kev txhaws ntawm cov hlab ntshav thiab qhov tshwm sim necrosis ntawm cov nqaij mos hauv qab uas tsis tau txais cov ntshav. Nws tau kuaj pom hauv 10% ntawm cov neeg hauv ntau tshaj li 55 xyoos uas muaj mob hlab ntsha hlab plawv (IHD, mob ntshav nce hlwb, atherosclerosis), zoo li hauv cov neeg haus luam yeeb phem. Nws ua tawm nws tus kheej li cyanosis (xiav) ntawm ib feem ntawm nqaj, mob hauv thaj chaw no. Raws li cov txheej txheem hloov zuj zus lawm, cov txheej txheem ua tsis zoo ntawm cov tawv nqaij, uas nce nrawm thiab qhov tob thiab muaj feem ntau tshaj tawm rau thaj chaw uas ntshav txaus tsawg heev. Daim tawv nqaij yog daj, cyanotic, noo, txias rau qhov kov. Hnov ruag. Ripple nyob rau hauv peripheral hlab ntsha ntawm ob txhais taw yog sharply txo los yog tsis tuaj. Hauv qee ntu ntawm nqua ntshav qhov ntshav ntws tsis ua tiav, cov ntaub so ntswg tuag - mob qog nqaij hlav tawm, ua rau txiav tu ntawm ib feem ntawm nqua.

Daim ntawv sib xyaw tsiag ntawv los ntawm kev sib txuam ntawm cov cim ntawm neuropathic thiab ischemic cov ntawv thiab yog ua kom pom los ntawm kev puas tsuaj rau ob leeg thiab leeg ntshav. Cov tsos mob ua ntej nyob ntawm txoj kab txuas twg pathogenesis tau meej dua. Daim ntawv no ntawm tus kab mob no yog qhov txaus ntshai tshaj, vim tias qhov tsos mob mob hauv qhov no tsis muaj zog lossis tsis tuaj koom ua ke - cov neeg mob tsis maj maj mus nrhiav kev pab ("nws tsis mob") thiab mus cuag kws kho mob tsuas yog thaum lub qhov txhab tau loj thiab tau tsim hauv cov nqaij kev hloov pauv tsis tau, yam tsis muaj yeeb tshuaj.

Hauv txoj hauv kev, rau kev ua qhov kev kuaj mob no, nws yuav txaus los soj ntsuam tus neeg mob ko taw nrog tus mob ntshav qab zib mellitus thiab kuaj xyuas cov yam ntxwv hloov uas tau piav qhia saum toj no. Txawm li cas los xij, txhawm rau qhia meej txog kev kuaj mob, tus neeg mob, raws li txoj cai, yog kom kho cov kev kuaj ntxiv thiab kev sab laj ntawm cov kws tshwj xeeb nqaim.

Thaum ua qhov kev kuaj mob, nrog rau nrog rau kev kuaj txhua zaus, tus neeg mob tau sau tseg:

kev txiav txim siab ntawm glycemic profile thiab glycosylated hemoglobin,
kev txiav txim siab ntawm cov ntshav lipids (LDL, HDL, cov roj cholesterol, triglycerides),
ntsuas ntawm pob luj-brachial Performance index,
sab laj endocrinologist,
kev sab laj ntawm cov kws phais neeg (nrog kev txheeb xyuas ntawm cov leeg puas siab puas ntsws thiab ntsuas qhov ntsuas ntawm qhov pib ntawm kev co lub siab),
kws kho mob hlwb,
sab laj nrog kws kho qhov muag (nrog rau yuav tsum kuaj lub qhov muag hnub kom paub txog kab mob vascular).

Cov neeg mob uas muaj lub cev tsis zoo ntawm lub cev tau raug xoo hluav taws xob ntawm taw, tom qab ntawd kev sab laj orthopedic.

Ultrasound dopplerography thiab xim duplex kev tsim cov qij txha qis nrog kev sib tham tom qab ntawm tus kws phais vascular ua rau cov neeg mob uas tsis muaj mem tes hauv cov hlab ntsha ntawm lub taw lossis lub tsev kho mob ntawm kev sib tham tsis sib haum.

Cov neeg mob uas muaj qhov txhab uas twb muaj lawm nyob rau thaj tsam ntawm tus taw tau sown nrog lub qhov txhab uas tshem tawm nrog kev txiav txim siab tom qab ntawm qhov kev nkag siab ntawm cov noob kab lis kev cai rau cov tshuaj tua kab mob, nyob rau hauv cov ntaub ntawv mob txhab - radiography ntawm ob txhais taw.

Cov nyuaj ntawm cov txheej txheem kho rau cov kab mob no suav nrog cov hauv qab no:

kev cob qhia cov neeg mob hauv tsev kawm "mob ko taw",
kev them nyiaj rau cov ntshav qab zib mellitus (kev kho ntawm kev kho tau txais los ntawm tus neeg mob - nce qhov koob tshuaj ntawm qhov ncauj hypoglycemic, kho tshuaj insulin lossis nce nws ntau npaum li cas, cov lus qhia ntxaws ntsig txog kev noj zaub mov),
siv tshuaj tua kab mob (raws li txoj cai, siv tshuaj tua kab mob ntau-los siv lossis cov neeg siv tshuaj tua kab mob sib kis),
mob kev kho mob (kev muab tshuaj rau qhov mob),
kev kho mob hauv zos (kho cov tawv nqaij ib ncig ntawm qhov tsis xws luag, tshem tawm ntawm qhov nqaij ntawm lub cev thiab purulent-necrotic, mob hloov ntawm qhov txhab nws tus kheej),
nce kev tiv thaiv - ob qho tib si dav thiab hauv zos.

Thaum nyuam qhuav pib, kev kho mob hauv zos rau kev kho mob ulcerative, tsis xa tawm ntawm thaj chaw muaj mob ntawm ko taw, sau tshuaj tua kab mob (Ceftriaxone), cov tshuaj uas txhim kho cov ntshav txaus (Actovegin, Pentoxifylline, Normoven), alpha-lipoic acid npaj (Berlition, Espalipon), cov tshuaj tua kab mob laser tau pom zoo.

Ntawm cov theem tom qab, kev kho mob yog nqa tawm hauv tsev kho mob phais, qhov twg necrectomy, autodermoplasty ntawm lub qhov txhab tsis zoo thiab, ua qhov kawg, kev txiav tes taw ntawm tus ceg tawv tuaj yeem ua.

Muaj ntau txoj kev tshiab los kho tus mob ko taw mob ko taw, uas ua rau kev kho sai sai ntawm qhov mob ua kom tsis zoo thiab txo qhov xav tau txiav tu. Hmoov tsis zoo, qee qhov ntawm cov qauv no tseem tsis tau muaj kev kawm txaus, thiab qee qhov tau muab coj los siv rau hauv cov chaw kho mob hauv ntiaj teb xwb, uas yog vim li cas lawv tsis nkag mus rau txhua tus neeg mob nrog tus kab mob no. Cov hau kev no suav nrog:

kev loj hlob tau muab kho
kho pob hluav taws xob,
kev kho cov kab mob ntawm tes
ntshav dav hlau kho,
bio-mechanical txoj kev, thiab lwm yam.

Txhawm rau tiv thaiv cov tsos mob ntawm tus mob ntshav qab zib, koj yuav tsum:

nruj tswj ntshav qabzib hauv cov ntshav,
saib xyuas txoj cai kev tu cev ntawm daim tawv nqaij ntawm qis qis (ntxuav 2 zaug hauv ib hnub thiab qhuav kom qhuav (tsis txhob so!) ntawm daim tawv nqaij, siv cov dej sov xwb, tsis txhob sib chwv nrog dej txias lossis dej kub),
txhua txhua hnub ua tib zoo tshuaj xyuas cov tawv nqaij ntawm tus taw kom raws sijhawm kom paub tseeb qhov pom ntawm rab txiab, calluses, kab nrib pleb,
Tsis txhob siv cov ntaub qhwv cua sov
txhua hnub xyuas cov khau rau pebbles thiab lwm yam khoom txawv teb chaws, nrog rau kev puas tsuaj sab hauv uas tuaj yeem ua rau pom kev zoo nkauj,
tsis txhob hnav cov ris tsho sab hauv nrog cov seams,
Tsis txhob rau khau khov, cov khau khov kho, thiab cov khau tsis muaj insoles lossis ntawm ko taw xwb,
tsis txhob mus ko taw
tsis txhob siv kab lis kev cai
thaum pom mob pob txha, tsis txhob sim kho lawv tus kheej, tab sis nrhiav kev pab ntawm cov kws tshaj lij,
yog tias muaj kev raug mob, kuj tuaj ntsib kws kho mob.

Tus mob no txaus ntshai heev rau tib neeg kev noj qab haus huv. Kev tiv thaiv kab mob kev tiv thaiv thiab kev tswj hwm theem ntawm glycemia hauv thaj chaw muaj peev xwm, qhov feem ntau ntawm kev txhim kho mob ntshav qab zib yog qhov tsawg heev. Yog tias tsis kho, qhov nqaij to ua rau nws yuav ua rau tus neeg ceg tawv txhav.

Txog kev tiv thaiv thiab kho tus mob ko taw, nws yog qhov yuav tsum tau ua los ntawm tus kws kho mob endocrinologist. Txheeb xyuas qhov mob ntawm cov leeg ntshav hlab ntsha thiab cov hlab ntsha, tus kws kho mob yuav xaiv cov kev sab laj ntawm kws kho paj hlwb, kws kho qhov muag, thiab kws phais vascular. Kev pab ntawm orthopedist yog xav tau los xaiv orthopedic insoles thiab lwm yam khoom siv uas txhim kho lub neej ntawm tus neeg mob uas mob ko taw mob ko taw. Nrog kev loj hlob ntawm kev mob caj dab, phais neeg ua haujlwm.

Cov tsos mob thiab kho mob ntshav qab zib ko taw, tu ko taw rau ntshav qab zib

Ntshav qab zib mellitus yog ib qho mob loj heev, uas nrog cov mob loj heev. Cov feem ntau formidable ntawm lawv tuaj yeem suav hais tias yog mob ntshav qab zib mob ko taw (SDS). Raws li Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv, cov tsos mob no tshwm sim hauv 15% ntawm cov neeg mob ntshav qab zib 5 xyoo lossis ntau dua.

Kev mob ntshav qab zib ko taw - txoj kev hloov pauv ntawm txoj hlab ntshav, txoj hlab ntshav thiab txoj hlab ntaws, uas tuaj yeem ua rau qhov tsim muaj cov txheej txheem ulcerative necrotic thiab mob caj dab.

Li ntawm 85% ntawm cov mob no yog mob kiav txhab rau ntawm qhov ncauj, qhov seem yog vias, phlegmon, osteomyelitis, tendovaginitis thiab mob txha caj qaum. Qhov no kuj suav nrog cov tsis-purulent ua kev puas tsuaj rau cov pob txha ntawm nqaj - lim ntshav osteoarthropathy.

Cov ua rau mob ntshav qab zib mob ko taw

Ntawm cov ntshav qab zib, muaj kev tsim tawm ntawm lub cev tsis txaus - insulin, txoj haujlwm yog los pab cov piam thaj (ntshav qab zib) mus txog lub cev lub cev los ntawm cov hlab ntshav, yog li thaum nws tsis muaj txaus, cov piam thaj hauv cov ntshav, thaum kawg cuam tshuam cov ntshav hauv cov hlab ntsha, cuam tshuam rau cov hlab ntsha. Ischemia (tsis muaj ntshav ncig) ua rau cov qhov txhab ua kom tsis zoo, thiab cov leeg puas tsuaj ua rau txo qis hauv rhiab.

Cov kev tsis haum xeeb no ua rau muaj kev txhim kho ntawm cov mob ncauj plab, uas yog zuj zus ntxiv mus rau kev ua laib. Txhua yam kab nrib pleb, abrasions tig mus rau hauv qhov mob txhab qhib, thiab zais qhov txhab mob hauv qab daim ntawv hu ua thiab cov khaubncaws sab nraud povtseg keratinized.

Qhov laj thawj rau kev pib kho lig thiab txiav tawm ntawm qhov kawg yog tias tus neeg mob rau ib lub sijhawm ntev tsis pom qhov kev hloov pauv uas tshwm sim, vim tias feem ntau nws tsis mloog nws ob txhais taw. Vim tias cov ntshav tsis zoo rau cov ceg thaum raug txo qis rhiab, qhov mob los ntawm kev txiav thiab txiab tsis hnov mob los ntawm tus neeg mob thiab txawm hais tias lub rwj yuav ploj mus tsis muaj hnub ntev.

Feem ntau, ko taw raug cuam tshuam nyob rau hauv qhov chaw uas txhua lub nra yog tsim nyog thaum taug kev; kab nrib pleb tsim hauv qab daim tawv nqaij, nkag rau hauv kis tau tus kab mob, tsim cov kab mob zoo rau qhov tshwm sim ntawm lub qhov txhab tsis huv. Xws li qhov mob yuav cuam tshuam rau ob txhais ceg mus txog cov pob txha, leeg. Yog li ntawd, thaum kawg, qhov kev xav tau tshwm sim rau kev txiav tu.

Hauv lub ntiaj teb, 70% ntawm tag nrho cov lus txiav yog cuam tshuam nrog ntshav qab zib, thiab nrog kev kho mob tsis tu ncua thiab tas mus li, yuav luag 85% tiv thaiv tau. Niaj hnub no, thaum Diabetic Foot cov chaw haujlwm tau ua haujlwm, tus naj npawb ntawm kev txiav tawm tau tsawg dua, cov neeg tuag tsawg dua, thiab cov kev txuag kho yog 65%. Txawm li cas los xij, tus naj npawb tiag ntawm cov neeg mob ntshav qab zib mellitus yog 3-4 zaug siab dua cov ntaub ntawv teev, vim tias ntau tus tsis ntseeg tias lawv muaj mob.

Yog li, cov laj thawj ntawm kev txhim kho mob ntshav qab zib taw yog:

nqig nqhis tas li (mob neuropathy mob ntshav qab zib)
circulatory ntshawv siab hauv cov hlab ntsha thiab cov hlab ntsha me (ntshav qab zib micro- thiab macroangiopathy)
ko taw deformity (vim yog neuropathy lub cev muaj zog)
daim tawv nqaij qhuav

Tsis Muaj Peev Xwm Tsis Zoo - Ntshav Qab Zib Distal Neuropathy

Lub hauv paus tseem ceeb ntawm cov hlab ntshav yog cov nyhuv tas li ntawm cov piam thaj siab ntawm cov paj hlwb. Xws li lub pathology hauv nws tus kheej tsis ua rau cov nqaij necrosis. Mob ncaw tshwm sim rau lwm yam, vim li cas thiaj li:

Cov nqaij mob ua tom qab mikrossadin, txiav thiab abrasions, kho tsis zoo heev, nrhiav kev ua kom ntev. Hnav tsis khab seeb thiab nruj khau ua rau puas tawv nqaij puas tsuaj. Kev mob ncauj plab, loj tuaj thiab ua rau tob tob, dhau mus rau cov leeg nqaij thiab pob txha. Raws li kev tshawb nrhiav, kev txhim kho ntawm cov leeg mob neuropathic hauv 13% ntawm cov neeg mob ua rau muaj ntau ntawm cov stratum mob ntsws ntawm qhov mob ntawm daim tawv nqaij (hyperkeratosis), hauv 33% - kev siv ntawm cov khau tsis zoo, hauv 16% - kev kho mob ntawm ko taw nrog cov khoom ntse.

Ntshav khiav tsis txaus - ntshav qab zib macroangiopathy

Qhov tsis zoo ntawm cov ntshav ntws hauv cov hlab ntsha ntawm ob txhais ceg yog cuam tshuam nrog cov atherosclerotic plaques (saib yuav ua li cas kom txo cov roj cholesterol tsis muaj tshuaj). Atherosclerosis, uas ua rau kev puas tsuaj rau cov hlab ntsha loj, uas muaj ntshav qab zib yog qhov nyuaj thiab muaj ntau tus qauv.

cuam tshuam qis seem ntawm txhais ceg (sab ceg ntawm cov leeg ntshav)
kev puas tsuaj rau cov hlab ntsha ntawm ob txhais ceg thiab hauv ntau thaj chaw ib zaug
pib thaum hnub nyoog ntxov dua li cov neeg mob uas tsis muaj ntshav qab zib

Atherosclerosis nyob rau hauv tus neeg mob ntshav qab zib mellitus tuaj yeem ua rau cov nqaij mos tuag thiab tsim kom muaj cov hlab ntaws ntawm lawv tus kheej, tsis muaj kev ntxhov siab thiab kev raug mob. Cov pa oxygen tsis txaus nkag mus rau hauv daim tawv nqaij thiab lwm qhov chaw ntawm ko taw (vim yog qhov ua txhaum cai ntawm cov ntshav txaus), vim li ntawd, daim tawv nqaij tuag. Yog tias tus neeg mob tsis ua raws li kev tiv thaiv kev nyab xeeb thiab ntxiv rau ua kom tawv nqaij, tom qab ntawd thaj chaw kev puas tsuaj nthuav dav.

Cov tsos mob tshwm sim yog qhov mob ntawm ko taw los yog mob plab, ua rau lub cev qhuav thiab daim tawv nqaij, uas yooj yim rau microtrauma, tshwj xeeb tshaj yog ntawm cov ntiv tes. Raws li kev tshawb nrhiav, qhov ua rau cov txheej txheem ntawm cov leeg mob neuroischemic yog nyob rau hauv 39% ntawm cov neeg mob fungal txhab ntawm taw, nyob rau hauv 14% kev kho mob ntawm ob txhais ceg nrog cov khoom ntse, hauv 14% - kev saib xyuas tsis tuaj ntawm ingrown tes los ntawm cov kws phais.

Cov kev mob uas tshwm sim ntau tshaj plaws ntawm SDS yog txiav tawm ntawm qhov nqaj (me - tsis pub dhau ko taw thiab siab - nyob rau theem ntawm txhais ceg qis dua thiab ncej puab), zoo li kev tuag ntawm tus neeg mob los ntawm cov teeb meem ntawm cov txheej txheem purulent-necrotic (piv txwv li, los ntawm sepsis). Yog li, txhua tus neeg mob ntshav qab zib yuav tsum paub thawj cov tsos mob ntawm tus mob ko taw.

Thawj tus cim ntawm cov teeb meem yog qhov kev txo qis hauv siab:
- vibrating ua ntej
- tom qab ntawd kub
- ces mob
- thiab tactile
Tsis tas li, qhov tsos ntawm txhais ceg yuav tsum ceeb toom (ua rau)
Qhov txo qis lossis nce siab hauv ko taw, piv txwv li, txias lossis kub taw, yog qhov cim ntawm lub qog ntshav lossis mob kis
Txhawb cov ceg qaug zog thaum taug kev
Kev mob nkees - thaum so, thaum tsaus ntuj, lossis thaum taug kev ntawm qee qhov deb
Kev qoj ib ce, ua daus no, hlawv ntawm taw thiab lwm yam kev xav txawv txawv
Hloov xim tawv nqaij ntawm txhais ceg - daj ntseg, liab pliv lossis cyanotic tones tawv nqaij
Kev txiav plaub hau plaub hau
Hloov pauv ntawm cov duab thiab xim ntawm cov ntsia hlau, doog ntshav hauv qab ntsia hlau - cov tsos mob ntawm tus mob fungal lossis ntsia thawv raug mob uas tuaj yeem ua rau necrosis
Ntev kho ntawm khawb, qhov txhab, mob caj dab - hloov ntawm 1-2 lub lis piam 1-2 lub hlis, tom qab kho ntawm cov qhov txhab muaj kab uas tsis ploj hauv kev tsaus ntuj.
Cov mob rau ntawm taw - tsis zoo rau lub sijhawm ntev, puag ncig los ntawm daim tawv nyias, qhuav, feem ntau sib sib zog nqus

Txhua lub limtiam, koj yuav tsum kuaj xyuas ob txhais ceg, zaum ntawm ib lub rooj zaum hauv daim iav uas teev txij hauv qab - ntiv tes thiab sab qaum ntawm ko taw tuaj yeem tsuas yog kuaj xyuas, them sai sai rau qhov chaw nruab nrab, xav thiab tshuaj xyuas cov luj taws thiab tib leeg nrog daim iav. Yog tias muaj kev hloov pauv, kab nrib pleb, txiav, uas tsis yog qhov kiav txhab pathologies, koj yuav tsum hu rau tus kws kho pob zeb (kws kho mob ko taw).

Cov neeg mob ntshav qab zib yuav tsum mus ntsib cov kws kho mob tshwj xeeb tsawg kawg ib xyoos ib zaug thiab kuaj xyuas qhov mob qis qis. Yog tias pom cov kev hloov pauv, tus kws kho mob tshaj lij sau tshuaj rau kev kho mob ntawm ko taw, tus kws kho qhov muag tau ua haujlwm ntawm lub nkoj ntawm ob txhais ceg, yog tias xav tau insoles tshwj xeeb, ces yuav tsum muaj angiosurgeon, thiab cov khau tshwj xeeb - orthopedist.

Ua raws li kev nthuav dav ntawm ib qho laj thawj lossis lwm qhov, tus mob tau muab faib ua cov neuropathic thiab neuroischemic.

Cov tsos mob tseem ceeb ntawm ntshav qab zib yog ntshav qabzib. Muaj piam thaj ntau dhau yuav ua rau cov hlab ntsha puas siab ntsws thiab cov hlab ntshav tawg, cuam tshuam rau khoom noj tsis txaus, muaj ntshav thiab ua rau sab hauv txhua lub cev ua haujlwm. Taw tshwj xeeb tshaj yog cuam tshuam, lawv nyob rau ntawm qhov chaw deb kawg ntawm lub voj voog loj ntawm cov ntshav ncig, khiav deb ntawm lub siab, uas piav qhia txog kev txhim kho ntawm congestive tshwm sim. Kev tiv thaiv kab mob ntshav qab zib taw yog ib qho kev ntsuas kev tiv thaiv kom tsis txhob muaj qhov cuam tshuam hloov pauv nyob rau hauv nqua.