Kev kho mob ntawm trophic mob rau sab hauv qis dua - siv tshuaj rau tus kabmob

Cov tsos ntawm trophic mob rau ntawm txhais ceg yog cuam tshuam nrog lwm yam kab mob. Xws li qhov tsis xws luag tuaj yeem ua rau mob lymphedema, mob ntshav qab zib mellitus, atherosclerosis. Kev raug mob, kub hnyiab thiab frostbite kuj feem ntau ua rau muaj qhov mob trophic. Lawv tsis kho rau 6 lub lis piam lossis ntau dua. Ib txoj hauv kev ntawm lawv txoj kev kho yog noj tshuaj.

Cov hauv paus ntsiab lus ntawm kev kho mob ntawm qhov mob txhab

Vim tias lub caij nyoog tsis muaj ntshav txaus, sab hauv thiab khoom noj khoom haus ntawm daim tawv nqaij thiab nws cov nqaij hauv qab, foci ntawm necrosis tsim, uas tom qab ntawd ua rau tsis lees txais cov nqaij mos detritus (tuag organic teeb meem). Yog li trophic rwj yog tsim. Lawv tshwm sim hauv qhov distal (deb) ntawm ntu qis qis. Raws li qhov ua, trophic mob rwj ntawm qis qis tau muab faib rau cov hom hauv qab no:

Tawg siab. Lawv yog tsim vim tas li tshwm sim siab surges.
Arterial (ischemic). Lawv cuam tshuam nrog kev ua kom tsis zoo hauv cov ntshav khiav hauv qhov qis qis vim yog mob ntawm cov leeg lossis mob atherosclerosis, uas cov lumen ntawm cov hlab ntsha nqaim.
Venous (varicose). Lawv tsim vim stagnation ntshav ntawm keeb kwm ntawm post-thrombophlebitis kab mob los yog mob ntev ntawm cov leeg.
Tom qab kev poob siab. Lawv tsim vim yog kev raug mob ntawm daim tawv nqaij thiab qhov nqaij hauv qab. Cov laj thawj yuav yog rab phom raug mob, tom, tsis tuaj yeem kho ntawm sutures thiab nti tom qab kev phais mob, raug mob ntawm qhov chaw txhaj tshuaj ntawm cov neeg quav yeeb quav tshuaj.
Ntshav qab zib Tsim rau keeb kwm ntawm ntshav qab zib.
Kis tau (pyogenic). Lawv tshwm sim thaum ntau yam mob txuas nrog, feem ntau yog cov kab mob.
Neurotrophic. Lawv tshwm sim vim yog qhov kev ua txhaum ntawm kev zais ntawm sab hauv ntawm cov ntaub so ntswg thiab ua haujlwm ntawm cov hlab xa khoom rau lawv.

Txij li thaum mob txhab nqaij hauv qhov qis qis tuaj yeem muaj ntau tus neeg sib txawv, txoj kev kho mob yog txiav txim siab nyob ntawm vim li cas. Tsuas yog los ntawm kev tshem tawm nws, koj tuaj yeem tiv nrog foci ntawm daim ntaub necrosis. Kev kho yog nqa los ntawm ob lub ntsiab:

Txom Txwm Pov. Nws koom nrog kev kho mob ntawm cov kab mob keeb kwm yav dhau los nrog cov ntsiav tshuaj thiab kev txhaj tshuaj, txo qis kub, tiv thaiv qhov mob thiab ua kom lub cev muaj zog. Txuas ntxiv suav nrog kev siv nyiaj hauv zos ncaj qha rau kev kho mob, ntxuav, ntxuav thiab tua kab mob ntawm cov necrotic pawg.
Kev phais mob Cov kev kho mob zoo li no yog txhawm rau tshem tawm cov ntshav kev cuam tshuam, kev phais mob ntawm lub qhov txhab lossis kev tshem tawm ntawm kev ua kom pom tseeb ntawm necrosis. Txoj kev tsuas yog siv sab nraum theem ntawm exacerbation. Tom qab phais, kev kho mob txuas ntxiv nyob rau hauv kev saib xyuas lub sijhawm.

Yog hais tias cov qhov txhab ntawm sab tsis ncaj, tom qab ntawv kho tuaj yeem nqa tawm ntawm qhov chaw sab nrauv, yog tias tob tob - hauv chaw kho mob. Kev Kho Mob muaj cov nram qab no:

kev txhim kho ntawm cov hlab ntsha tawm ntawm qhov qis qis,
kho qhov txhab kho zoo
txhim kho khoom noj khoom haus ntawm cov ntaub so ntswg puas,
Nyem qhov mob
kev tsuj ntawm tus txheej txheem inflammatory,
kev ua kom huv ntawm thaj chaw necrotic los ntawm kev ua kom huv.

Kev txuag tshwj xeeb

Hom kev khomob no suav nrog kev noj tshuaj sab hauv lossis siv cov tshuaj hauv zos. Cov tshuaj noj ntawm qee pawg pharmacological tau raug tshuaj coj mus rau hauv tus account lub hauv paus rau kev txhim kho ntawm trophic mob rau ntawm qis qis:

Phlebotonics (cov hlab ntsha muaj zog). Lawv siv los kho cov leeg ntshav muaj ntshav, mob pob txha hlwb, mob hlab pas, mob thiab txhawm rau muaj tus mob tom qab. Npaj cov pab pawg no ua kom cov hlab ntsha ntxiv thiab nce qhov elasticity ntawm lawv cov phab ntsa.
Cov tshuaj Anticoagulants. Lawv qhov haujlwm tseem ceeb yog ntshav ntshav. Ib qho kev nce hauv nws cov coagulability tseem yog qhov qhia txog kev kho mob nrog anticoagulants.
Antispasmodics.Muab rau daws qhov mob thiab mob hauv qhov qis hauv qhov mob tshwm sim los ntawm qhov mob qog.
Cov tshuaj nonsteroidal anti-inflammatory. Siv los daws cov leeg hauv cov hlab.
Antiplatelet tus neeg sawv cev. Cov no yog cov ntshav txhaws tshuaj uas ua los ntawm inhibiting platelet aggregation (gluing).
Cov kab mob tua kab mob. Siv ob sab hauv thiab hauv qhov chaw. Lawv raug kho thaum kab mob kis nrog, uas feem ntau tau sau tseg txog qhov mob ntawm qhov mob trophic ntawm qhov qis qis. Ntawm cov tshuaj tua kab mob, cephalosporins thiab fluoroquinolones feem ntau siv.
Kho cov roj pleev. Lawv pab tshem cov ntaub so ntswg tuag ntawm qhov txhab, nres qhov mob, txhim kho kev noj zaub mov ntawm cov ntaub so ntswg muaj sia nyob thiab ua rau lawv rov zoo dua.

Yuav ntxiv dag zog rau cov hlab ntsha

Lub luag haujlwm tseem ceeb ntawm kev kho mob phlebotonic: txo cov qaug dab peg, mob hnyav thiab mob hauv qis qis, ntxiv dag zog rau cov hlab ntsha, txhim kho capillary ntshav txaus. Kev npaj ntawm cov pab pawg no muaj ob qho tib si hauv daim ntawv ntawm cov ntsiav tshuaj, thiab hauv daim ntawv ntawm tshuaj pleev thiab gels. Cov ntawv hauv zos ntawm phlebotonics tuaj yeem siv los kho cov qhov txhab trophic tsuas yog nyob rau theem ntawm kev kho lossis qhov caws pliav ntawm cov cheeb tsam ntawm qhov qis qis. Cov nyiaj no tsis thov los qhib qhov txhab. Piv txwv ntawm phlebotonics:

Troxevasin. Raws li troxerutin. Txo lub zog ntawm cov kabmob trophic, cuam tshuam rau cov phab ntsa ntawm cov hlab ntsha, muaj mob hnyav thiab mob qis qis. Cov txheej txheem ntawm kev thov yog nyob ntawm daim ntawv tso tawm: tsiav tshuaj (360 r.) - 300 mg 3 zaug hauv ib hnub, gel (350 r.) - Siv rau thaj chaw muaj mob thaum sawv ntxov thiab yav tsaus ntuj, yooj yim txhuam kom txog thaum nqus tau.
Phlebodia. Cov tshuaj muaj sia yog diosmin. Cov tshuaj no txo cov kev ua kom ntev ntawm cov leeg ntshav, lub suab vascular phab ntsa, tshem tawm pob txha mos stasis. Cov tshuaj yog nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Qhov nruab nrab txhua hnub ntau npaum li cas yog 1 pc. Tus nqi ntawm 60 ntsiav tshuaj yog 1,500 p.
Venus. Muaj cov diosmin thiab hesperidin. Cov tshuaj txhim kho cov qog ua kua, ua kom cov hlab ntsha tsis tshua, ua kom lub suab nrov thiab txo cov hlab qhov mus txuas. Thawj lub lim tiam, noj 2 lub tshuaj, muab faib rau 2 koob. Yav tom ntej, koj tuaj yeem haus tam sim 2 pcs. Tus nqi ntawm 30 ntsiav tshuaj yog 570 p.

Txo cov viscosity ntawm cov hlab ntsha

Anticoagulants yog siv los tiv thaiv thiab kho tus mob thrombosis. Cov tshuaj hauv pawg no txo cov ntshav viscosity, yog li tiv thaiv kev tsim cov ntshav txhaws. Cov tshuaj hauv qab no muaj cov cuab yeej no:

Dicumarin. Npe rau tib qho sib xyaw hauv qhov muaj pes tsawg leeg. Dicumarin inhibits qhov tsim ntawm prothrombin thiab thaiv cov proconvertin ntawm daim siab, uas ua rau muaj kev nce siab hauv lub sijhawm ntshav txhaws. Cov tshuaj yog siv 0.05-0.1 g hauv thawj 2-3 hnub, thiab tom qab ntawd 0.15-0,2 g ib hnub. Nqe - 1000 r.
Heparin. Lub hauv paus ntawm cov tshuaj yog heparin sodium. Cov tshuaj rau trophic mob rau ob txhais ceg yog muaj nyob rau hauv daim ntawv ntawm cov dej rau siv sab nraud thiab kev daws teeb meem rau kev txhaj tshuaj. Hauv thawj kis, heparin siv rau thaj tsam cuam tshuam 1-3 zaug hauv ib hnub. Kev tiv thaiv kev txhaj tshuaj ntawm heparin txhaj yog 5 txhiab IU / hnub. Tus gel nqi 250-300 r., Ampoules nrog tov - 350-550 r.
Tshuaj aspirin Cov tshuaj phiv tshuaj yog acetylsalicylic acid. Nws relieves mob, inhibits platelet aggregation, li no txo ntshav viscosity. Nws muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj uas tau noj nyob rau hauv 300 mg nrog nruab nrab ntawm 4-8 teev. Tus nqi ntawm tshuaj aspirin yog los ntawm 80 txog 250 r. nyob ntawm cov khw.
Urokinase. Nws muaj cov tshuaj qub qub, uas muaj peev xwm yaj cov ntshav khov uas twb muaj lawm thiab tiv thaiv qhov pom ntawm cov tshiab. Urokinase yog muaj li lyophilisate rau kev npaj ntawm kev daws rau kev lis ntshav nrog ntau qhov sib txawv ntawm cov nquag tivthaiv: 500 txhiab IU, 10 txhiab IU, 100 txhiab IU, 50 txhiab IU. Cov tshuaj yog txhaj rau hauv cov hlab ntsha nrog lossis qhov dej txhaws. Cov koob tshuaj yog xaiv tau ib tus zuj zus. Tus nqi ntawm 1 lub raj mis ntawm 500 txhiab IU yog 5500-6700 p.

Txhawm rau txo spasm

Lub hom phiaj ntawm kev siv cov tshuaj antispasmodics yog daws cov mob spasms thiab tshuaj loog, vim yog vasodilation.Nws yog tsim nyog sau cia tias cov tshuaj no nrog trophic mob rau sab hauv tsis tshua muaj siv, ntau zaus nrog pulmonary embolism. Cov neeg mob feem ntau siv cov tshuaj antispasmodics sab nraum tsev kho mob kom daws tau qhov mob, uas tuaj yeem ua rau lawv cov xwm txheej hnyav. Qhov laj thawj yog tias cov tshuaj no tuaj yeem ua rau txoj kev txhim kho "nyiag" ntawm tus cuam tshuam rau txoj haujlwm, vim tias cov ntshav nres mus rau nws. Cov tshuaj antispasmodics yuav tsum yog kws kho mob nkaus xwb. Piv txwv ntawm cov tshuaj no:

Spazmalgon. Muaj cov tshuaj pitophenone, metamizole sodium, fenpiverinium bromide. Lawv muaj antipyretic, tiv thaiv mob thiab analgesic zoo. Spazmalgon ntsiav tshuaj noj 1-2 pcs. tom qab noj mov 2-3 zaug ib hnub. Kev hno cov tshuaj no tau ua peb zaug hauv ib hnub nyob hauv qhov ntau npaum li 5 ml. Lub sijhawm tiv thaiv kev txhaj tshuaj yog 5 hnub. Tus nqi ntawm 10 ampoules ntawm 2 ml - 280 p., 20 ntsiav tshuaj - 220 p.
Tsis-shpa. Cov tshuaj phiv yog drotaverine, uas yog myotropic antispasmodic. Qhov kev tivthaiv no txo cov suab nrov thiab lub cev muaj zog ua haujlwm ntawm cov nqaij ntshiv ntawm cov kabmob sab hauv, ntxiv txuas ntxiv rau lub nkoj. Tsis pub-shpa ntsiav tshuaj tuaj yeem noj nyob rau hauv ib koob ntawm 120-240 mg ib hnub twg. Qhov ntau npaum li cas ntawm kev txhaj tshuaj yog 40-240 mg. Tus nqi ntawm 25 ampoules yog 440 p., 100 ntsiav tshuaj - 220 p.
Papaverine. Muaj cov papaverine hydrochloride. Cov tshuaj no yog cov tshuaj opium alkaloid uas so cov nqaij ntshiv uas yooj yim, thiaj li tshem tau lawv lub suab. Papaverine ntsiav tshuaj noj 3-4 zaug hauv ib hnub hauv koob tshuaj 0.04-, 08 g, tswm ciab tau siv nyob rau hauv qhov ntau npaum li cas ntawm 0.02 g (nws tau maj mam tuaj rau 0.04 g). Lub sijhawm txhaj tshuaj nyob ntawm lub hnub nyoog ntawm tus neeg mob. Tus nqi ntawm 10 ntsiav tshuaj yog 18 p., 10 tswm ciab - 55 p., 10 ampoules - 100 p.

Tshuaj pab pawg

Cov nqaij mob rau hauv qis qis tshwm sim vim qhov ua txhaum ntawm trophism, uas yog, khoom noj nqaij. Cov kws kho mob kos cov xim ntawm cov neeg mob rau qhov tseeb tias nws yog qhov tsim nyog los tsim lub laj thawj uas kev noj zaub mov ntawm cov ntaub so ntswg raug cuam tshuam, thiab tsuas yog tom qab ntawd pib ua cov kev ua haujlwm los tshem tawm qhov tsis xws luag.

Hauv kev tshem tawm ntawm cov mob txhab rau ntawm txhais ceg, ntau pawg tshuaj tau siv. Yeej, cov tshuaj yog tsim rau cov teebmeem ntawm lub cev, tab sis qee cov tshuaj siv los ua qhov tsis xws nyob hauv zos.

Phlebotonics

Phlebotonics, uas tseem paub txog hauv kev kho mob raws li venotonics lossis phleboprotectors, yog cov pab pawg sib txuam nrog cov tshuaj kho mob uas tau siv rau cov mob txhab. Cov no suav nrog:

Phlebotonics yog cov tshuaj tsim los txhim kho kev mob ntawm cov leeg ntshav ntawm lub cev. Ua tsaug rau cov tshuaj no, nws muaj peev xwm nce cov yas ntawm cov hlab ntsha, txhim kho lawv cov elasticity, thiab muaj cov txiaj ntsig zoo ntawm cov ntshav txaus. Tsis tas li ntawd, muaj kev ua kom muaj zog ntawm cov phab ntsa ntawm cov hlab ntsha.

Phlebotonics yog qhov zoo tshaj plaws siv nyob rau theem epithelialization, thaum lub rwj yog npog nrog ib txheej txheej ntawm cov ntaub so ntswg sib txuas nrog kev tsim kom muaj caws pliav. Nyob rau lub sijhawm no, cov tshuaj phlebotonizing yuav muab kev tiv thaiv thiab ua kom kho kom sai.

Cov tshuaj tiv thaiv ncaj qha

Cov tshuaj muab kev tswj hwm niam txiv. Lawv feem ntau sawv cev los ntawm kev hloov pauv ntawm heparin (ib yam khoom uas muaj nyob rau hauv lub cev thiab yog qhov qub, ua kom muaj kev ruaj khov ntawm cov khoom hauv ntshav) thiab cov tshuaj ua kom thrombin inhibitors.

Cov tshuaj tiv thaiv ncaj qha suav nrog:

Tsis tshua muaj molecular hnyav heparin.
Tsis-fractional heparin.
Tseem Ntshaw.
Arikstra.

Los ntawm cov ntshav txhaws

Yog tias cov ntshav txhaws los ua qhov tsim ntawm trophic mob rau cov qis qis, tom qab ntawd siv tshuaj yaj yeeb los ntawm cov pab pawg antiplatelet yog siv. Lub hom phiaj tseem ceeb ntawm lawv txoj kev siv yog kev tshem tawm cov ntshav txhaws los kho cov ntshav khiav mus los. Ntau dua li cov tshuaj no siv rau varicose leeg. Cov kab mob hauv qab no yog nrov:

Trental. Muaj cov pentoxifylline - cov tshuaj uas ua kom cov ntshav khov kho, txhim kho microcirculation, muab cov platelet tsis sib cais, txo cov ntshav viscosity. Trental ntsiav tshuaj noj ntawm qhov ncauj thaum lub sijhawm lossis tom qab noj mov ntawm 100 mg. Tom qab ntawd qhov koob tshuaj yog maj mam nce mus rau 200 mg.Tshaj tawm ntawm kev pub nkag - 3 zaug hauv ib hnub. Trental infusions yog tsim thaum sawv ntxov thiab yav tsaus ntuj thaum koob tshuaj 200-300 mg. Tus nqi ntawm 60 ntsiav tshuaj yog 460 p., 5 ampoules ntawm 5 ml txhua - 160 p.
Nyaj. Muaj cov tshuaj dipyridamole - cov tshuaj uas thaiv cov platelet aggregation. Tsis tas li ntawd, cov tshuaj no kho cov hlab ntsha, txhim kho microcirculation. Curantyl muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj nrog txawv koob dipyridamole: 25 mg, 75 mg - thiab nyob rau hauv daim ntawv ntawm dragees (25 mg). Txog kev tiv thaiv cov mob thrombosis, nws raug nquahu kom noj 3-6 ntsiav tshuaj ib hnub, 75 mg txhua. raug nqi - 40 pcs. - 700 p.
Nicotinic acid Qhov no yog vitamin PP, uas koom nrog ntau ntawm cov tshuaj tiv thaiv oxidative uas tshwm sim hauv cov kab mob hauv lub neej. Nicotinic acid txhim kho lub xeev ntawm cov nqaij metabolism hauv lub cev, normalizes permeability ntawm cov hlab ntsha phab ntsa, txo kev o, thiab widens lumen ntawm cov hlab ntsha. Cov ntau npaum li cas ntawm cov tshuaj tiv thaiv yog xaiv tau ib tus zuj zus. Cov tshuaj ntsiav pom zoo kom noj rau hauv koob tshuaj 12,5-25 mg ib hnub twg. Tus nqi ntawm 10 ampoules yog 33 p., 50 ntsiav tshuaj - 36 p.

Cov tshuaj nonsteroidal anti-inflammatory

Lub txiaj ntsig tseem ceeb ntawm cov tshuaj tsis muaj tshuaj steroidal (NSAIDs) yog qhov txo qis ntawm kev siv ntawm cov mob hauv zos. Cov tshuaj no tau siv niaj hnub no los ua lwm txoj kev kho mob, tshwj xeeb tshaj yog nyob rau tom qab lub sijhawm ua haujlwm tas. Ib qho ntxiv, NSAIDs tuaj yeem tiv thaiv qhov tsis haum ntawm qee cov qe ntshav. Hauv kev kho cov mob thiav thiav ntawm qhov qis qis, qhov no txo txoj kev pheej hmoo ntawm cov ntshav txhaws. Ntawm NSAIDs feem ntau siv:

Ibuprofen. Npe rau tib yam khoom hauv qhov muaj pes tsawg leeg. Nws muaj antipyretic, analgesic thiab anti-inflammatory los. Txuas ntxiv inhibits platelet kev sib sau, txo cov ntshav coagulation. Cov koob tshuaj txhua hnub yog 3-4 pcs. 200 mg rau txhua qhov, cov tshuaj tiv thaiv - 5-10 mg / kg 3-4 zaug, gel - txog 4 zaug nrog 4 teev sib nrug nruab nrab ntawm cov ntawv thov.Qhov nqi ntawm ib ntsiav tshuaj ntawm Ibuprofen yog 15-20 p. Cov nqi gel muag 90-100 p., Tswm ciab - 70-90 p.
Diclofenac. Muaj cov tib yam tshuaj. Kev siv tshuaj txhua hnub nyob ntawm daim ntawv tso tawm: hno - 25-50 mg 2-3 zaug, gel - 3-4 zaug 2-4 g (siv rau thaj chaw muaj kev cuam tshuam), ntsiav tshuaj - 50-150 mg hauv 2-3 koob, thaj tshuaj - 50-150 mg raws li qhov ntsuas. Txhua tus ntawm lawv muaj tshuaj los tiv thaiv, antipyretic thiab analgesic zoo. Tus nqi ntawm 10 lub tswm ciab - 90 p., Gel - 80 p., Cov ntsiav tshuaj - 40 p., Txhaj tshuaj - 50 p.
Ambene. Xws li sodium hydroxide, dexamethasone, lidocaine, cyanocobalamin, phenylbutazone. Cov tshuaj yeeb dej caw pom cov nyhuv tawm tsam. Ambene muaj nyob hauv tus qauv ntawm kev daws rau kev txhaj tshuaj. Qhov tshuaj nruab nrab yog 1 txhaj tshuaj ib hnub. Lawv tau ua txhua hnub los yog nrog tus luv ntawm 1 hnub, tab sis tsis ntau tshaj 3 zaug hauv ib lub lis piam. Ib qho ampoule nqi 600-800 p.
Lornoxicam. Nws suav nrog tib yam khoom muaj sia, uas muaj analgesic, anti-inflammatory thiab anti-rheumatic zoo. Cov ntsiav tshuaj tau noj ntawm qhov ncauj ntawm 4 mg txog 2-3 zaug hauv ib hnub. Cov hno tshuaj tau sau rau hauv thawj zaug ntawm 8-16 mg, tom qab ntawd nws, yog tias tsim nyog, nce ntxiv txog 16-24 mg. Tus nqi ntawm 10 ntsiav tshuaj yog 150 r. Tus nqi ntawm ampoules sib txawv ntawm 700 txog 900 r.

Hom mob txhab thiab lawv etiology

Cov nqaij mob muaj feem cuam tshuam rau ntawm daim tawv nqaij. Tus kab mob sib kis feem ntau ua rau kom pom tseeb. Los ntawm hom, mob rwj yog txawv:

trophictawm tsam keeb kwm ntawm varicose leeg lossis thrombophlebitis nrog kev tsim ntawm purulent-necrotic thaj chaw ntawm ob txhais ceg,
ischemic raws li ib qho kev cuam tshuam ntawm cov kab mob ntawm cov hlab ntshav,
ntshav qab zib nrog kev vam meej ntawm cov ntshav qab zib mellitus, ua ntej hauv daim ntawv ntawm cov leeg me me nrog lub chaw ntawm lub qhov ntiv taw loj nrog maj mam nthuav dav ua rau poob ntawm txoj kev hnov, nqaij necrosis, kev txhim kho kev mob caj dab lossis mob ntsws,
neurotrophic mob rwj nrog localization ntawm pob taws los ntawm sab nraud nyob rau hauv daim ntawv ntawm qhov sib sib zog nqus thiab qhov dej tawm ntawm cov txheej txheem ntshiab. Cov laj thawj rau qhov no lymphadenitisKev ua kom tawv nqaij ntawm lub taub hau lossis tus txha nraub qaum, uas ua rau poob ntawm cov nqaij mos rhiab, kis tus mob thiab txhab ntawm cov kua paug hauv qhov txhab,
venous trophic nrog whitish lossis burgundy-purple plaque li nonhealing fistulas, cov laj thawj uas ua rau cov leeg tsis muaj qhov txhab lossis leeg ntshav nrog cov ntsej muag ntawm foci me nyob rau sab hauv puab ntawm ob txhais ceg nrog maj mam loj hlob mus rau hauv ib qho loj loj,
hypertonic mob rwj vim qhov tshwm sim ntawm jumps hauv cov ntshav siab nrog cov tsos ntawm cov xim liab-xiav xiav ntawm qhov ntau thiab tsawg hauv txhais ceg, ko taw,
pyogenic tawm tsam keeb kwm ntawm txo kev tiv thaiv thiab muaj teeb meem ntawm cov kab mob: furunculosis, eczema, vasculitis, rheumatoid kev mob caj dab, lupus erythematosus, scleroderma, Reina syndrome.

Muaj peev xwm ua ntej cov tsos ntawm mob rau ntawm ob txhais taw, luj taws, phalange ntawm tus ntiv taw loj cov kab mob sib kisthaum cov qhov txhab tsis zoo nrog cov npoo tsis xwm yeem tshwm thiab yog vim li cas rau qhov no yog qhov hnav tas li ntawm cov khau caws, lub caij ntev nyob ntawm taw. Muaj peev xwm tsa tau cov tsos ntawm mob tawg lossis raug tshuaj lom neeg, txias los yog txias txhais ko taw thaum raug rau txias txias.

Kev kho mob ointment suav nrog qhov nyuaj ntawm cov hau kev txhawm rau txhawm rau ua tiav cov txheej txheem, ntxuav thaj chaw necrotic ntawm purulent ntau, txhim kho cov ntaub so ntswg trophic, ua kom nrawm nrawm.

Niaj hnub no, cov khw muag tshuaj muag tshuaj pleev cov tshuaj muaj ntau txoj haujlwm. Qhov loj tshaj plaws yog xaiv cov tshuaj pleev zoo los ntawm cov tawv ncauj mob thiag rau ntawm txhais ceg, yog li ua kom nrawm nrawm rau txoj kev kho kom zoo.

Cov ntaub ntawv dav dav

Lo lus tias "mob rwj" yog dav dav hauv kev kho mob hauv chaw kho mob thiab yog ib txwm muaj. Wikipedia muab cov ntsiab lus txhais nram qab no: “qhov no yog ib yam kab mob uas nyuaj rau kho qhov tsis zoo ntawm cov nqaij mos.

Kev mob peptic tuaj yeem ua tau ntev, sib sib zog nqus thiab feem ntau nrog cov txheej txheem ua mob. Kev mob raum ua paug ntawm cov qis hauv plab yog qhov tshwm sim ntawm ntau yam kabmob uas hemodynamics ntawm cov hlab ntsha, ntshav hlab ntaws lossis lymphatic tsis zoo sib xws. Ntau cov kab mob ntawm daim tawv yog paub tias, nrog lub caij nyoog ntev, kuj ua rau kev txhim kho ntawm cov kab mob hnyav heev thiab qhov tshwm sim ntawm qhov mob ntawm qhov mob siab. Qhov ua rau ntawm qhov mob qog ua rau tseem mob rau cov nqaij mos, tawv nqaij thiab mob leeg. Cov txheej txheem ntawm cov mob thiav thiav raws li MKB-10 L98.4.2.

Tag nrho cov khoom noj khoom haus trophic feem ntau tshwm sim hauv cov neeg mob uas muaj mob txhaws tsis muaj zog. Ntxiv mus, nyob rau hauv cov neeg mob uas muaj mob ua ntshav nrog, mob txhab rau pob tsis tuaj yeem tsawg dua li cov neeg mob niaj txoj hlab ntshav tobCov. Hauv cov neeg mob no, cov mob txhab tawm pom hauv 15-30% ntawm cov neeg mob. Nrog rau kev ncua sijhawm ntawm tus kabmob thiab hnub nyoog, txoj kev pheej hmoo ntawm kev tsim muaj cov txhab ua haujlwm.

Tom qab lub hnub nyoog ntawm 65 xyoo, qhov ntau zaus ntawm qhov mob qog nqaij hlav nrog mob tsis muaj qhov txhab ntxiv tau nce peb zaug. Nrog rau tus kab mob, ob txhais ceg thiab ko taw cuam tshuam, qhov nqaij tsis zoo tshwm sim thiab ulcerative tsis xws luag vim kev ua haujlwm tsis txaus rau cov ntshav ncig yog qhov nyuaj rau epithelize - rau ntau yam kab mob, qhov no tuaj yeem siv ntau lub hlis. Thawj theem pib ntawm qhov ncauj plab yog lub sij hawm uas txhua qhov kev ntsuas yuav tsum tau ua los tiv thaiv ntxiv kev kho mob ntawm lub rwj txhab.

Nrog ntev venous tsis txaus tsim leeg ntshav siab thiab venous stasis, uas yog lub hauv paus ntawm kev tsis sib haum xeeb ntawm daim tawv nqaij thiab kev txhim kho ntawm qhov mob txhab. Nrog cov ntshav txha hniav laus, ntau cov txheej txheem ntawm pathological nthuav dav nyob rau txhua theem: cellular (ua kom rov ua haujlwm ntshav dawb thiab lysosomal enzymes raug tsim), ntaub so ntswg (tshwm sim hypoxia) thiab qib microcirculatory. Hauv theem ntawm microcirculatory, cov qe ntshav ua ke ua "kab", txhim kho microtromboses, tso cov protein tawm ntawm cov hlab ntshav mus rau thaj chaw puag ncig, nthuav cov fibrin, ua rau fibrin cuffs nyob ib ncig ntawm capillaries, thiab qhov no ua rau lub zog metabolic tsis txaus, uas ua rau muaj kev cuam tshuam ntawm epidermal necrosis.Kev hloov pauv mauj kev tshwm sim uas ua rau muaj ntshav nce ntxiv.

Raws li qhov hloov pauv ntawm daim tawv nqaij, nws txoj haujlwm qias neeg yog qhov tsis taus. Kev puas tsuaj rau nws txheej ua rau mob thiab necrosis ntawm cov nqaij mos nrog lub cev loj heev cav txog (effusion hauv qhov txhab). Tom qab, tus kab mob kis tau sai heev, uas nyob rau hauv cov neeg mob tsis muaj zog qee zaum kis tus yam ntxwv dav dav thiab qhov mob viav vias loj heev.

Thaum twg thov

Kev kho mob ointment yog siv rau txhua theem ntawm tus kab mob. Thaum xaiv cov tshuaj thiab cov txheej txheem kho mob kws kho mob coj mus rau hauv tus account lub hauv paus kev txhim kho ntawm tus kabmob, muaj peev xwm ua rau muaj qhov cuam tshuam.

Tshuaj pleev (daim ntawv thov chav kawm):

qee zaum zam kev phais mob
khoom noj cov ntaub so ntswg thiab kev sib xyaw ntawm daim tawv nqaij,
txhim kho kev sib tw,
normalize metabolism hauv, cov ntshav tawm thiab cov ntshav ncig,
txhawb kev loj hlob ntawm cov hlwb tshiab noj qab haus huv,
saturate hlwb nrog collagen thiab cov as-ham,
ntxuav qhov txhab ntawm necrosis, txhawb kev kho kom zoo.

Pab! Qhov txiaj ntsig loj tshaj plaws yog pom ntawm thawj theem. Hauv kev kis mob siab tshaj, tau kawg, kev kho mob nrog tshuaj pleev ib leeg ua tsis txaus.

Kev faib tawm

Rau qhov hu ua vim li cas:

Mob hnyuv tws rau lub cev (mob tiv thaiv keeb kwm yav dhau los ntawm tus kab mob txha caj qaum tsis txaus).
Mob leeg ntshav txhav ntawm tus leeg ntshav (tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev mob ntshav tsis txaus nrog atherosclerosis obliterans).
Ntshav qab zib mob.

Qhov tob ntawm yeej:

Kuv kawm ntawv - txheej yaig saum npoo, txheej txheem yog txwv los ntawm dermis.
II degree - ulcerative lesion npog cov nqaij subcutaneous.
III degree - kev puas tsuaj rau lub fascia, leeg, leeg thiab txawm tias cov pob txha thiab kab noj hniav ntawm lub hnab ntim sib koom ua ke.

Los ntawm faib thaj chaw:

Qhov mob me me ua rau lub siab ntev txog 5 cm2.
Nruab Nrab - 5-20 cm2.
Vast - ntau dua 50 cm2.

Ua rau mob qog ua paug rau ntawm txhais ceg

Yog tias peb tawm ib qho tseem ceeb ua kom muaj tus kabmob, tom qab ntawd hloov pauv hauv cov leeg nqaij muaj li 70% ntawm tag nrho cov mob txhab. Atherosclerosis obliterans ua rau mob raum ua paug rau 8% ntawm tus neeg mob, thiab microangiopathy mob ntshav qab zib yog qhov ua kom muaj tus mob no hauv 3% ntawm tus neeg mob.

Mob rwj rau ntawm txhais ceg feem ntau yog mob los ntawm cov leeg tsis paub qab hau, uas tshwm sim ntawm cov leeg ntshav, mob ntshav thiav thiab mob ntsws tom qab. Hauv cov kab mob no, qhov tseem ceeb ntawm qhov mob ua paug yog qhov tsim cov kab mob "ntsug" thiab "kab rov tav" nyob rau hauv cov leeg ntshav ntawm cov ceg qis (qhov no tshwj xeeb tshaj yog nyob rau sab hauv npoo ntawm sab ceg qis) thiab qhov nce ntawm cov leeg ntshav siab. Qhov feem ntau hais stasis ntawm cov ntshav hauv cov leeg yog pom nrog kev nyob ntev hauv qhov chaw sawv. Phlebostasis ua rau qhov kev nce qib ntawm cov uas twb muaj lawm hemodynamic cuam tshuam hauv kev xa xov thiab cov nqaij hauv lub cev, qhov pib theem ntawm uas tau pom los ntawm kev hloov pauv hauv cov xim ntawm daim tawv nqaij ceg qis. Kev hnyav dhau, ua kom lub cev muaj zog ntev thiab lub ntiajteb txawj nqus ua rau muaj kev cuam tshuam txog kev ua yeeb yam hauv thaj chaw no. Nyob rau theem no, tsawg tus neeg mob nrhiav kev pab kho mob thiab tus mob loj zuj zus tuaj. Txawm tias pom tseeb ntawm cov tawv nqaij muaj qhov tsis txaus ntseeg tau tshwm sim, cov neeg mob lawv tus kheej sim kho, tab sis tsis muaj kev kho mob nyuaj, qhov no ua tiav. Tsuas yog 50% ntawm kev mob rau qhov mob venous etiology kho nyob rau hauv 4 lub hlis, thiab 20% yog nyob rau hauv lub xeev qhib rau 2 xyoo. Raws li kev txheeb cais, 8% ntawm cov tsis xws luag tsis kho nyob rau 5 xyoo tom ntej. Txawm tias thaum lub qhov txhab mob ze ze, lawv qhov kev rov ua haujlwm yog 6-15%. Yog lawm, qhov xwm txheej no ua rau neeg xiam oob qhab, txo lub neej zoo thiab feem ntau ua rau neeg xiam oob khab.
Mob raum ua rau sab hauv qis qis tuaj yeem tshwm sim los ntawm mob ntev leeg ntshav tsis txaus (obliterating kab mob ntawm cov hlab ntsha). Lawv raug tsim nyob rau hauv cov ceg tawv ischemia thiab muaj ib cheeb tsam hauv qhov uas tsis sib luag - ntawm ko taw (tsawg dua ntawm sab ceg qis). Cov hlab ntsha tseem ceeb tau cuam tshuam los ntawm atherosclerosis obliterans, uas tshwm sim tsis tsuas yog nyob rau cov neeg laus dua, tab sis kuj rau cov hluas. Qhov ua rau mob txhab rau hauv no pathology yog qhov tseem ceeb txo qis hauv siab hauv lub txaj arterial, kev txhim kho ntawm stasis ntawm txoj hlab ntshav thiab mob hnyav nqaij hypoxiaCov. Oxygen kev nyuaj siab (pO2) hauv cov neeg mob necrotic hloov hauv ko taw yog 20-30 mmHg. Qhov ntsuas no yog qhov tseem ceeb, yog tias nws tsis nce ntxiv thaum txo qis ntawm txhais ceg, thiab kev txhim kho tsis tshwm sim tom qab kev kho kom zoo, ces qhov no suav tias yog kev hem thawj ntawm kev txiav tawm. Lwm qhov ua rau pom tshwm sim ntawm nqaj ischemia thiab ulcerative necrotic hloov tej zaum yuav yog microembolism ntawm atheromatous masses lossis calcified plaques. Qhov tseem ceeb tshaj tawm ntawm qhov txhab ntawm atrerial keeb kwm yog qhov tshwm sim tom qab. Txawm tias muaj kev raug mob me me rau cov nqaij mos ntawm txhais ceg (doog ntshav, txiav me me, kev puas tsuaj rau daim tawv nqaij los ntawm kev ntxhib los mos ntawm cov khau) nyob rau hauv cov kev mob ntawm txoj hlab ntshav qis yuav ua rau pom qhov txawv ntawm qhov mob, uas ua kom sai sai, ua rau mob hnyav, thiab qhov no yuav tsum siv tshuaj.
Ntshav qab zib mob tshwm sim hauv cov neeg mob mob ntshav qab zib, uas yog qhov nyuaj los ntawm microangiopathy thiab mob hnyav neuropathy. Nyob rau tib lub sijhawm, nyob rau hauv qis qis kawg, qhov rhiab ntawm hom ntawm "nkawm thom khwm" yog ploj - thaj ua rau daim tawv nqaij nrog cov kev tiv thaiv zoo thiab ploj kiag li tau sau tseg. Qhov tsis muaj qhov mob nyob rau hauv lub rwj yog vim ua txhaum ntawm kev ua neeg sab hauv, thiab qhov no qhia txog kev siv tshuaj kho tus kheej ntev tom tsev thiab kev mus cuag kws kho mob tshwj xeeb kawg. Qhov hnyav tshaj plaws ntawm kev mob ntshav qab zib yog mob voos thiab kev loj hlob sai. kev lom zem ua laibuas yuav tsum tau txiav tu ncua.
Trophic mob tawm tsam mob thiab mob ntev lymphostasis.
Mob sib kho dermatitis thiab eczema.
Kab mob uas mauj (collagenoses, vasculitis, kab mob ntshav) tshwm sim nrog ulcerative tsis xws luag. Livevo-vasculitis (vasculitis thiab thrombosis ntawm cov hlab ntsha me me) yog pom los ntawm cov pob txhaws thiab mob txhab rau ntawm ob txhais ceg. Livedo - vasculitis tshwm sim hauv cov kab ke scleroderma, lupus erythematosus, antiphospholipid syndrome.
Kev mob siab rau yoov tsim nyob rau hauv cov hlab plawv pathology nrog circulatory tsis ua hauj lwm thiab edematous syndrome. Thaum kev them nyiaj rau lwm qhov mob thiab tshem tawm edema, ulcerative tsis xws luag ploj sai sai.
Purulent daim tawv nqaij kab mob nrog kev tsis saib tus kheej kev nyiam huv (ua paug).
Qhov cuam tshuam ntawm lub cev yam - kub hnyiab thiab frostbite.
Kev raug mob rau cov leeg pob tw ua rau mob cov leeg nqaij.
Cov kab mob kis tau (mob ntsws, mob ruas, Buruli rwj, naga rwj, leishmaniasis, rickettsiosis).
Daim tawv nqaij ua rau daim tawv nqaij ua rau daim tawv nqaij ua mob.
Raug cov duab hluav taws xob (mob tawm tsam).
Daim tawv nqaij ua rau mob hauv lom Lyell's necrolysis (daim ntawv ltshuaj lom toxidermia).

Cov tsos mob ntawm tus mob rwj rau ntawm txhais ceg

Qhov thib peb theem ntawm mob txha mos tsis muaj txaus rau lub cev nqaij daim tawv tsis pom tshwm, uas tsis tshwm sim tam sim ntawd thiab muaj theem. Qhov pib theem ntawm qhov txhab ntawm pob tw rau ntawm txhais ceg yog tus cwj pwm los ntawm lub xaib hyperpigmentation - hemosiderin (ib qho khoom ntawm qhov tshwm sim ntawm hemoglobin) yog tso rau hauv cov dermis. Tom qab qee lub sijhawm, cov roj ntsha subcutaneous tau muab teev cia rau hauv nruab nrab ntawm qhov chaw, thiab daim tawv nqaij kis tau lub lacquer zoo nkauj thiab zas dawb (zoo li paraffin to). Cov qib no hu ua "daim tawv dawb atrophy" thiab suav hais tias yog kev kho mob ua ntej-ulcerated.

Nws yog ib qho tseem ceeb kom pib kho thaum pib, txij li tom qab ntawd "cov kua roj vanish" ntawm thaj chaw ntawm daim tawv nqaij, cov kab mob epidermal tuag taus thiab cov dej ntws tawm yog pom. Nyob rau theem ntawm trophic cuam tshuam, cov neeg mob txhawj xeeb txog khaus thiab kub. Cov chaw tuag sai sai kis tau thiab cov txheej txheem xaus nrog qhov tsim ntawm qhov mob ua kom tsis muaj zog uas ua rau muaj kev raug mob tsawg kawg.Qhov chaw ib txwm ua rau ntawm qhov mob txhab rau sab hauv yog thaj chaw ntawm pob luj taws ntawm sab ceg qis, thiab tus lej ntawm lub qhov txhab tuaj yeem sib txawv. Kev mob caj dab yuav tshwm sim hauv qhov distal (taw, pob taws).

Kev mob raum nrog rau cov leeg ntshav tuaj yeem yog qhov loj ntawm npib los yog npog tag nrho cov ceg qis, thiab nthuav qhov tob tob rau hauv qhov fascia - qhov no feem ntau tau sau tseg nrog kev kho mob lig thiab thaum tsis muaj kev kho mob txaus. Cov mob rwj muaj qhov tsis sib thooj, exudate yog tas li tso tawm ntawm nws: cov kua ntshiab, ntshav, pus thaum cov kab mob muaj kab mob txuas, fibrin.

Nws nce zuj zus hauv qhov loj me thiab kev hloov kho ntawm cov nqaij mos sib ntxiv. Nrog rau cov kab mob tsis muaj kab mob, qhov tsis hnov tsw tsw yog los ntawm lub qhov txhab. Kev hnov mob tuaj yeem mob siab. Mob viav vias feem ntau yog sib sib zog nqus, nrog cov npoo uas txhaws hauv qab, hauv qab yog them nrog cov quav hniav thiab cov kua zais, cov tawv nqaij ib puag ncig yog xim, thiab cov nqaij mos ua kom tawv nqaij yog densified. Kev kho nyob rau theem no tau kav ntev li ntawm 1-1.5 lub hlis thiab muaj nyob rau hauv kev ntxuav cov qhov txhab ntawm cov ncauj lus.

Thaum hloov mus rau theem granulation, lub rwj yuav raug ntxuav ntawm nws cov ntsiab lus thiab cov granulations tshwm hauv qab ntawm qhov tsis xws luag, thiab qhov loj me ntawm lub rwj yuav pib poob qis. Liab thiab mob yog txo qis.

Lub sijhawm ntawm cov theem yog nyob ntawm thawj zaug qhov loj me thiab qhov mob ntawm lub kiav txhab, ntawm kev ua haujlwm ntawm kev kho mob ntawm qib dhau los. Yog tias cov ntaub so ntswg trophism zoo tuaj, ces kev tsim dua tshiab yuav tshwm sim sai dua thiab yuav xaus rau ntawm epithelization tiav. Qeb sijhawm no ntev thiab muaj qhov pheej hmoo rov huam mob, tom qab uas qhov txhab txhab yog qhov mob thib ob. Yog tias qhov kev kho mob kho tau pib tau raws sijhawm, lub rwj yuav kaw, thiab yuav muaj kev tiv thaiv (nkag mus phlebotonics, hnav compression knitwear, soj ntsuam kev tswj hwm kev ua haujlwm thiab so kom txaus, txo cov kev ua haujlwm zoo li qub) kev pheej hmoo ntawm kev rov ua dua tom qab ua tiav epithelization ntawm lub qhov txhab raug txo qis.

Hauv cov neeg mob nrog mob ntshav qab zib nce vascular permeability, deterioration ntawm microcirculation ntawm tus taw, thiab kev sib txuam nrog arteriosclerosis pab txhawb kev mob ntshav qab zib kom mob siab. Poob ntawm daim tawv nqaij rhiab heev predisposes kev puas tsuaj thiab kab mob. Mob rwj ntshav muaj qhov ntev thiab tsis tu ncua, feem ntau ua rau mob txaus ntshai. Mob raum nyob rau hauv cov kab mob no feem ntau muaj kev sib txawv hauv ib cheeb tsam - tsob ntoo nplooj ntawm tus taw thiab tus ntiv tes thawj, uas yog ib txwm muaj rau cov mob ko taw.

Txawm li cas los xij, cov mob rwj kuj tseem pom, uas yog ntawm qhov sib xyaw - vim yog txoj hlab ntsha thiab cov leeg ntshav tsis txaus. Ntshav qab zib mellitus thiab immunodeficiency ntawm nws keeb kwm cuam tshuam cuam tshuam rau txheej txheem kho.

Kev kuaj mob thiab kev kuaj mob

Hauv kev txheeb xyuas ntawm cov kab mob uas ua rau kev tsim cov mob txhab ntawm ncauj yog siv:

cov kev ntsuas hauv chav ntsuas
ntsuam xyuas ntshav qab zib,
bacteriological soj ntsuam ntawm lub qhov txhab
ultrasound duplex tso zis ntawm cov leeg ntshav, uas ua rau nws tau txais cov ntaub ntawv hais txog lub xeev ntawm cov khoom lag luam ntawm qhov sib sib zog nqus thiab saphenous leeg,
radiopaque thiab radioisotope phlebography,
phlebotonography,
plethysmography (txiav txim los ntawm tus nqi ntawm venous reflux hauv cov kab mob ntawm cov leeg),
multispiral xaj tomography - cov duab kab xev txhawm rau kawm txog kev mob ntawm txoj hlab ntshav lossis kuaj ob qho ntawm lub aorta ntawm tus mob ntawm cov leeg thiab cov leeg txha caj qaum,
Thaum mob ntshav qab zib thiab ischemic rwj, kev txiav txim siab ultrasound ntawm lub siab sib txawv ntawm cov hlab ntsha ntawm qhov qis qis thiab cov leeg ntshav ntawm caj dab yog suav nrog hauv kev kuaj xyuas.

Kev kho mob ntawm thiav taw mob rau sab hauv

Kev kho mob ntawm qhov txhab ntawm qis qis yog ib qho kev coj ua ntev, vim tias cov ntshav ncig yog qhov tsis zoo thiab cov leeg txhaws thiab cov qog ntshav tawm. Yuav kom kho thaum kawg mob peptic rwj, koj xav tau ib txoj kev nyuaj, suav txog cov laj thawj uas tau txais kev pabcuam thaum txhim kho tus kabmob. Kev mob thiav thim ntawm qhov qis qis yog qhov nyuaj los kho thiab muaj qhov rov qab xav, yog li kev kho mob ib txwm nyuaj nyuaj.

Npaj rau kev kho mob ntawm trophic mob rau ntawm qis qis kawg

Kev kho tshuaj yog lub hauv paus thiab tag nrho cov tshuaj tuaj yeem faib ua ntau pawg:

Tshuaj tua kab mob. Cov txheej txheem tso tawm los ntawm lub qhov txhab ua kom muaj paug ntau ntau, qhov tseem ceeb o ntawm cov nqaij mos uas nyob ib puag ncig thiab txuas mus ib ntus ntawm cov kab mob muaj. Cov tshuaj tua kab mob tau qhia rau cov qhov txhab uas muaj qhov txhab ntau heev uas tshwm sim nrog cov mob perifocal thiab cov tshuaj tiv thaiv kab mob (kub, malaise), nrog rau muaj qhov tawm ntawm purulent tawm. Lub hom phiaj tseem ceeb ntawm kev siv tshuaj tua kab mob yog kev kho kom rov zoo ntawm qhov txhab los ntawm microflora pathogenic. Cov ntsiab lus ntawm kev siv tshuaj tua kab mob ua haujlwm tsis muaj txiaj ntsig. Tam sim ntawd cov tshuaj tua kab mob tau sau tseg ua ntu zus thiab feem ntau ua rau muaj ntau yam: Cefoperazone, Cefadroxil, Cefazolin, Lomefloxacin, Cefamandol, Ofloxacin, CiprofloxacinCov. Intramuscular thawj coj yog qhov zoo dua, tab sis kev tswj hwm qhov ncauj tau tso cai. Tom qab txheeb xyuas cov kab mob pathogenic thiab txiav txim siab qhov rhiab ntawm tshuaj tua kab mob, kev kho kho yog ua tiav. Ntev ntawm cov tshuaj tua kab mob nrog kho qhov txhab purulent-necrotic lesions, uas tau pom nrog daim ntawv neuro-ischemic mob ntshav qab zib mellitustuaj yeem ncav cuag 2 lub hlis. Hauv kev mob ntshav qab zib, tshuaj lom nephropathy, nrog rau lub raum puas hauv cov kab mob uas muaj kabmob, tsis kam siv cov tshuaj aminoglycosides (Neomycin, Kanamycin, Monomycin, Gentamicin, Tobramycin, Amikacin).
Antifungal tshuaj. Hauv kev ua rau mob caj dab ntev, tshwj xeeb tiv thaiv cov ntshav qab zib, mob HIV, mob qog noj, fungal flora yog sown los ntawm lub qhov txhab (ntau hom Candida) lossis kev sib xyaw ua ke ntawm cov kab mob thiab fungal flora. Yog li, cov tshuaj tua kab mob kho kom zoo dua qub nrog cov tshuaj tua kab mob.
Kev voos ntawm cov ntaub so ntswg ib ncig ntawm lub rwj thiab cov tsos mob mob hnyav txiav txim siab xav tau cov tshuaj tsis-steroidal anti-inflammatory (Diclofenac, Ketoprofen, Movalis) Koj yuav tsum tau siv tshuaj loog (Faspik, Ketanov, MIG-400, Ketorol).
Cov tshuaj uas txhim kho microcirculation thiab cov nqaij noj ntawm lub cev muaj nyob hauv trophic mob txhab ntawm txhua qhov kev mob. Siv rau lub hom phiaj no. Pentoxifylline thiab ActoveginCov. Cov tshuaj tom kawg muaj cov txiaj ntsig metabolic thiab tshwj xeeb qhia rau qhov mob rau sab nraud mob ntshav qab zib mellitus thiab atherosclerosis obliteransCov. Actovegin pib nrog kev kawm ntawm txoj kev tso ntshav ntawm 15 hnub, tom qab ntawd lawv hloov mus rau kev noj tshuaj ntsiav tshuaj (1 ntsiav tshuaj 3 zaug hauv ib hnub, 1.5 hli).
Npaj rau kev kho desensitizing (Loratadine, Ketotifen diphenhydramine, Chloropyramine-Ferein, Cetrin thiab lwm tus).
Kev Npaj prostaglandin F1 (hauv ntu ib thiab qib ob uas yog mob txhab). Kev kho mob ntawm trophic mob rau sab hauv nrog cov hlab ntshav sib kis. Lub hom phiaj tseem ceeb ntawm kev kho mob yog kev kaw qhov mob trophic mob thiab tiv thaiv nws rov huam tuaj.

Txaj chaw so.
Kev siv tshuaj tua kab mob.
Kev saib xyuas cov tshuaj (phlebotonics). Cov tshuaj no tsim lub hauv paus ntawm kev siv tshuaj kho mob rau cov leeg txhaws tsis txaus. Qhov no yog pab pawg loj ntawm cov tshuaj uas ua rau muaj qhov dej tawm ntawm qhov tawm ntawm qhov, ua kom cov leeg txhaws, txo cov leeg txhaws, txhim kho cov leeg mob tso kua mis, thiab muaj cov nyhuv capillaroprotective. Cov tshuaj uas cov pov thawj ua tau zoo yog diosmin (Phlebodia, Venolek, Diovenor, Txhawj) Nyob rau hauv qhov muaj qhov mob ntawm qhov mob trophic, kev siv cov tshuaj no yog qhov tsim nyog rau 2-6 hlis. Yam khoom muaj sia diosmin nws yog sai sai nqus thiab accumulates nyob rau hauv kiav txhab cheeb tsam thiab suppresses lub zos inflammatory cov tshuaj tiv thaiv. Thaum siv cov diosmin, kev kho mob rwj yog ua tiav hauv 61% ntawm cov neeg mob. Phlebotonic yog qhov tsim nyog yuav tsum tau thov, pib ntawm theem ob ntawm qhov txheej txheem mob thiab ntev tom qab kho ntawm lub qhov txhab.
Hauv theem ob ntawm kev ua kom zoo mob, muaj cov tshuaj tua kab mob ntxiv rau kev kho mob (Aevit, vitamin e), Actovegin lossis Solcoseryl.
Kev Tsis Txaus Siab (acetylsalicylic acid 0.1 g Pentoxifylline, nicotinic acid) Thov Pentoxifylline nyob rau hauv lub sij hawm mob ceev pab txhawb rau qhov mob sai sai ntawm peptic mob.
Siv tshuaj tiv thaiv.
Kev kho mob hauv zej zos ntawm cov mob txhab roj ua kom muaj cov tshuaj heparin. Heparin Nws muaj kev tiv thaiv kev tiv thaiv thiab ua kom loog, inactivating histamine thiab hyaluronidaseCov. Kev nkag mus ntawm cov tshuaj nquag yog qhov nyuaj hauv cov kev ua haujlwm ntawm txoj hlab ntaws ntshav. Qhov ua tau zoo ntawm heparin lom zem ntau nyob ntawm nws qhov kev mob siab. Yog li, koj yuav tsum siv tshuaj pleev (lossis tshuaj pleev) nrog heparin qhov tsawg kawg yog 1000 PIECES (Pob Tsuas Xyooj, Lyoton, Hepatrombin) Cov tom kawg muaj li ntawm 30,000 txog 50,000 IU ntawm heparin, yog li cov nyhuv yuav muaj zog dua. Cov nkauj kuj tseem muaj dexpanthenone thiab allantoinmuaj cov kev tsim dua tshiab thiab tiv thaiv kev hloov. Nws yog ib qho tseem ceeb kom siv cov tshuaj phlebotropic, txij li kev siv tshuaj hauv zos xwb tsis ua rau muaj kev nkag siab.
Ntawm dermatitis thiab eczema nws yog qhov ua tau los siv corticosteroid tshuaj pleev rau hauv zos.
Zaws cov ntaub qhwv thiab cov ntaub qhwv tawv tawv Varolast (elastic bandage nrog zinc loj) thaum kho, pib los ntawm theem ob ntawm cov txheej txheem mob. Thaum xub thawj, cov ntaub qhwv los yog ntaub nplaum siv rau 1-2 hnub, thiab tom qab ntawd siv sijhawm li 5-6 hnub. Tom qab mob rwj, kev kho nrawm nrog kev kho mob compression hosiery qhia.

Yuav kho cov mob li cas nrog cov tshuaj hauv zos?

Nrog rau qhov mob txhab thiav, kev kho mob hauv zos muaj cov txiaj ntsig, qhov tseem ceeb yog nce lub suab ntawm cov leeg ntawm qhov qis qis. Kev kho mob hauv zos nyob ntawm lub sij hawm ntawm cov txheej txheem kiav txhab: thawj theem yog exudation (6-14 hnub), theem ob yog kev nthuav tawm (tsim ntawm cov granulations, kav ntev txog 30 hnub), theem thib peb yog epithelialization (ntev txog 45 hnub).

Cov tshuaj hauv zos tau muab faib ua cov tshuaj muaj zog. Tshuaj pleev thiab tshuaj pleev raws li:

Heparina thiab cov tshuaj venoactive.
Cov tshuaj nonsteroidal anti-inflammatory - lawv siv nyob hauv zos txhawm rau tiv thaiv qhov mob venous.
Cov Proteolytic enzymes. Kev npaj raws li cov enzyme proteolytic siv los ntxuav cov nqaij mos thiab fibrin los ntawm qhov mob txhab. Thaum siv lawv, muaj kev pheej hmoo ua xua, vim tias cov enzymes yog cov protein txawv teb chaws. Hauv qhov no, kev npaj enzyme yog siv nrog kev hnav khaub ncaws thov hauv chav kawm luv luv (tsis pub dhau 3-4 hnub), thiab thaum khaus thiab kub tuaj tshwm hauv thaj chaw mob tam sim ntawd.
Cov tshuaj tua kab mob (nrog mob rau cov txhab ua paug).
Corticosteroids yog tias muaj eczema thiab dermatitis.
Cov tshuaj antihistamines nrog khaus thiab ua mob, thaum tsis tuaj yeem siv cov glucocorticoids hauv zos.
Cov tsiaj muaj protein ntau tsiaj txhu (Gel thiab ointment) Actovegin).

Hauv qib exudation, tso zis tso quav ntawm trophic rwj yog nqa tawm txhua hnub siv paj rwb sponges thiab tshuaj tua kab mob. Tus lej ntawm cov kws sau ntawv ntseeg tias tsuas yog kev tu vaj tse nrog rau lub cev ua kua qab ntsev kom txaus rau lub qhov txhab viav vias (nws raug rhaub mus rau lub cev qhov kub thaum kho qhov txhab nyob rau theem ob thiab theem peb ntawm cov txheej txheem). Zam kev siv cov tshuaj hydrogen peroxide thiab povidone iodine, uas ua rau kev puas tsuaj ntawm cov nqaij mos.

Txawm li cas los xij, hauv thawj theem ntawm cov viav vias kho kom zoo, cov tshuaj tiv thaiv kab mob nruab nrab, tshuaj tiv thaiv kab mob ntshav (proteolytic enzymes) thiab kev ua txhaum kom ua haujlwm zoo dua rau kev tshem tawm cov nqaij necrotic thiab exudate. Npaj tshuaj yog siv los ua antiseptics (Chlorhexidine, Eplan, Cov roj ntsha, Cital) thiab cov kev daws teeb meem tau npaj ntawm nws tus kheej (decoctions ntawm chamomile, yarrow, hlua, ib qho kev daws teeb meem ntawm furacilin lossis potassium permanganate). Cov khoom siv dav dav siv proteolytic: hyaluronidase, nucleotidase, trypsin, chymotrypsin, collagenase.Qhov kawg enzyme yog dej soluble.

Collagenase tsis ua kom cov nqaij mos thiab ua kom nce qib 10 zaug. Nws yog ib feem ntawm tshuaj pleev Iruxol, uas yog siv los kho cov mob txhab trophic. Yaz sobrentov hu tau Asepisorb, Diotevin thiab Laj TsawbCov. Aseptorbis muaj nyob rau hauv daim ntawv ntawm hmoov, nrog uas cov txheej nyias nyias ntawm cov hmoov siv los hmoov lub qhov txhab tom qab chav dej ntawm lub qhov txhab. Muaj ntau yam Aseptisorba - nrog rau kev ua kom loog, rau qhov txhab ua paug nrog Vov Vauvrau cov leeg nqaij necrotic nrog Diotevin. Laj Tsawb - cov tshuaj nquag yog calcium alginate. Cov tshuaj hauv cov foos qhuav yog txhaws rau hauv qhov txhab, qhov twg nws yuag thiab nqus cov kab mob thiab qhov txhab. Kev ntxuav qhov mob rau sab hauv tseem tseem siv nrog siv cov yeeb yaj kiab collagen thiab hydrogels - qhov no txo qis lub sijhawm xav tau rau kev hloov ntawm exudation mus rau granulation.

Tom qab kho cov txhab ntawm lub voos, hnav ris tsho yuav tsum tau siv nrog tshuaj pleev uas cia noo noo tawm. Siv tshuaj pleev pleev Levosin, Levomekol, Solcoserylraws li tshuaj pleev gepon lossis DioxolCov. Dioxicole tshuaj pleev yog npaj rau kev kho purulent mob txhab rau thawj theem ntawm qhov txheej txheem mob. Nws muaj dioxidine (tshuaj tua kab mob), trimecaine (tshuaj loog) thiab methyluracil (tshuaj pleev plhu).

Koj tuaj yeem siv cov tshuaj pleev xim ntxhua khaub ncaws ua kom tiav Voskosran-Ua, uas muaj Dioxol tshuaj pleev. Ib qho txiaj ntsig zoo yog pom thaum siv cov tshuaj pleev ua ke Streptolavenuas muaj miramistin (antiseptic) thiab ultralysin (enzyme). Lub hmoov kuj muaj cov nyhuv ua haujlwm. Diotevinmuaj cov tshuaj luam, cov tshuaj tiv thaiv kab mob (dioxidine) thiab cov tshuaj yeeb tshuaj (terrilithin). Ib daim ntaub ywj ywj lossis cov ntaub qhwv lub nrawm yog tsim los ntawm saum toj no. Nrog rau qhov mob txhab qhib, cov ntaub qhwv ntau multilayer yog tsim: cov paj rwb-ntaub qhwv lub ncoo, ib daim ntaub qhwv ntawm qhov tsis tuaj yeem ntev thiab ib daim ntaub qhwv ntawm nruab nrab.

Txoj kev hloov ntawm lub rwj mus rau theem ob (kev loj hlob) yog tus cwj pwm los ntawm kev ntxuav lub qhov txhab, ua kom mob voos, qhov zoo li ntawm granulations thiab qhov tseem ceeb txo ntawm kev tawm mus. Lub hom phiaj tseem ceeb yog los txhawb kev loj hlob ntawm cov nqaij mos sib txuas. Yuav kom nrawm cov ntaub so ntswg kev loj hlob, ua ntawv thov zinc hyaluronate (gel Xav paub) Hyaluronic acid yog cov txheej txheem tiv thaiv ntawm cov ntaub so ntswg sib txuas, thiab zinc yog ib qho kev ua haujlwm antiseptic. Txhawm rau nrawm nrawm kaw ntawm qhov mob, hnav ris tsho hnav ris tsho raug siv (Allevin, Algipor, Sviderm, Algimaf, Gishispon), thiab tom qab ntawd ib qho ntaub qhwv ci ci yog tsim. Nyob rau theem no, kev npaj tshuaj ntsuab (dogrose lossis dej hiav txwv buckthorn roj), kua aqueous los yog propolis-based ointments (cawv tinctures tsis suav) yuav siv tau.

Hauv qib epithelialization, cov ntawv tsis muaj caws pliav, uas yuav tsum muaj kev tiv thaiv los ntawm kev puas tsuaj sab nraud, thiab tseem txuas ntxiv txo cov ntshav txhaws los ntawm hnav lub hauv caug nyem (lub hauv caug thom khwm lossis cov thom khwm) thiab noj phlebotonics. Hauv theem ob thiab theem peb ntawm cov txheej txheem, tshuaj pleev siv los ua kom nrawm ntxiv rau kev tsim dua tshiab Ebermin thiab Actovegin (gel nyob rau theem ob, thiab tshuaj pleev nyob rau hauv peb).

Tsis ntev los no, kev hnav khaub ncaws hnav niaj hnub no tau siv dav dav, qhov kev xaiv ntawm uas tau ua rau hauv qib siab ntawm exudation thiab theem ntawm cov txheej txheem. Hauv theem ntawm kev mob tshwm sim, xws li kev hnav ris tsho yuav tsum txhawb kev tsis lees txais necrotic cov ntaub so ntswg (autolytic ntxuav ntawm lub qhov txhab), sorb toxins thiab kiav txhab exudate. Thaum kho qhov mob "zoo" mob uas tau pib zoo, nws yog qhov tseem ceeb kom tswj tau cov av noo thiab huab cua nkag, tiv thaiv kev puas tsuaj thiab rov tsim kho, thiab txhawb cov leeg kho (kho kom zoo).

Txhua txheej txheej qhwv tau yooj yim siv, siv sijhawm siv sijhawm thiab tuaj yeem thov tus neeg mob nyob hauv tsev. Hauv thawj theem ntawm cov kev kho kom zoo ua, kev hnav ris tsho nrog sorbents (ua kom cov pa roj carbon), proteolytic enzymes, antiseptics (piv txwv, nyiaj), alginates, thiab super absorbers yog thov pleev.

Hauv lub xub ntiag ntawm necrosis hauv qhov txhab, hydrogel hnav ris tsho yog siv (Gidrosorb, Nkaws, Opragel)Lub ntsiab cuam tshuam ntawm hydrogels yog qhov txhab ntxuav thiab autolysis ntawm cov nqaij mos necrotic. Nrog nce fibrin tsim, exudation thiab kis tau tus mob, hnav ris tsho nrog alginates thiab nyiaj yog siv (Laj Tsawb nrog calcium alginate, Nkaws nrog nyiaj Nugina Kalgitrol Ag) Askina Kalgitrol Ag - tus hnav khaub ncaws ntau nrog cov nyiaj alginate, uas khaws cov kev ua haujlwm tiv thaiv kab mob mus txog 7 hnub.

Cov khoom siv nplaws ntsaws feem ntau siv rau kev tawm tsam hnyav, txij li lawv nqus noo los ntawm lub qhov txhab zoo. Tab sis tus txhuam cev Meturacol Nws muaj cov methyluracil thiab cov collagen qhuav, yog li ntawd, ntxiv rau nws lub peev xwm siab, nws muaj kev ua kom zoo thiab rov ua dua. Daim txhuam cev Meturakol siv nyob rau qib 2 thiab 3 theem ntawm cov txheej txheem. Nws yog cov phaj tsis huv uas tawm hauv dej kub. Ib daim txhuam cev yog tso rau ntawm lub qhov txhab, ntes 1.5 cm dhau mus, thiab tsau. Yog tias muaj purulent tawm, koj tuaj yeem moisten daim txhuam cev nrog tov Cov roj ntshaCov. Kev hnav khaub ncaws tuaj yeem hloov pauv txhua 3 hnub - nyob rau lub sijhawm no daim txhuam cev kom yaj. Yog tias nws tsis yaj thiab tsis tas yuav hnav khaub ncaws, nws tsis raug tshem tawm.

Atraumatic hnav ris tsho nrog alginates thiab hydrocolloids (Duoderm, Hydrocall) Nrog cov "ntxuav" mob, txheej txheej collagen thiab cov qhov txhab kho qhov txhab pleev tau siv. Ointment Mesh Hnav khaub ncaws Branolind N hais txog kev hnav khaub ncaws atraumatic. Muaj Peruvian balm (muaj cov nyhuv ua antiseptic), roj av jelly, cetomacragol, glycerin, hydrogenated rog, roj linseed. Nws tsis lo rau lub qhov txhab, tsis cuam tshuam rau sab hauv thiab tiv thaiv lub qhov txhab los ntawm kev kho tshuab thiab ua kom qhuav. Nws yog siv rau kev granulation thiab epithelization. Qhov nrov plig plawg yog thov rau qhov txhab, tsau nrog cov ntaub qhwv thiab ib daim ntaub qhwv zoo.

Hauv theem peb, kev loj hlob ntawm phaum mob (Ebermin), hydrogels, biodegradable txheej nrog collagen, chitosan, chondroitin sulfuric acid thiab hyaluronic acid (Bol-ntaus, Collachite). Hnav khaub ncaws ntaub Voskosran thiab Parapran siv nyob rau hauv II - III theem, txij li lawv txhawb qhov kev txhim kho ntawm cov khoom tawg thiab nrawm epithelization.

Cov ntaub so kuj tseem muaj kev txaus siab. Nquaguas muaj cov textile puag coated nrog ntau cov tshuaj thiab cov gelling polymer. Napkins ntawm txhua pawg neeg muaj cov nyhuv antimicrobial. Lawv muaj nyob nrog ntau yam, thiab raws li, muaj cov cim qhia sib txawv. Piv txwv li, ntawv so tes Activetex FL muaj cov tshuaj furagin (tshuaj tiv thaiv tshuaj tua kab mob) thiab lidocaine (tshuaj loog hauv zos). Hauv qhov no, nws raug nquahu kom siv lawv nyob rau hauv kev kho mob rau sab hauv thiab muaj qhov mob hnyav. Chlorhexidine thiab furagin yog ob qho tshuaj antimicrobial hauv HF cov ntaub so.

Activex FHF suav nrog furagin thiab chlorophyllipt, Activex HFL - chlorhexidine, furagin thiab lidocaine, thiab HVIT cov ntaub so - chlorhexidine nrog cov vitamins (rutin, ascorbic acid). Activex FOM muaj cov roj av roj thiab lub hiav txwv buckthorn roj - qhov kev txiav txim yog tshem tawm qhov mob thiab txhawb kev tsim dua tshiab. Lawv tuaj yeem siv rau hauv theem kho kom zoo.

Kev kho mob ntawm qhov mob txhab uas siv cov ntaub so yog ua tiav hauv theem. Ua ntej, siv cov ntaub so nrog ib qho tshuaj tua kab mob thiab ua kom loog: HF (chlorhexidine + furagin), PCF (furagin + chlorophyllipt) lossis HFL (chlorhexidine + furagin + lidocaine). Lawv siv yuav pab tshem tawm qhov mob thiab mob. Cov kauj ruam tom ntej yog siv HVIT cov ntaub so nrog cov vitamins uas txhawb kev ncig ntshav hauv zos thiab txhawb kev kho kom zoo, ntxiv rau lub hiav txwv buckthorn cov ntaub so. Cov ntaub ntub dej tuaj yeem siv tsis tau hloov pauv mus txog 3 hnub, txawm li cas los xij, qhov no nyob ntawm qhov kev ntsuas ntawm qhov txhab exudation. Ib qho tseem ceeb rau kev siv cov ntaub so tes yog tswj lawv qhov dej noo tas mus li, vim tias thaum lawv qhuav, lawv txwv qhov txhab thiab mob tshwm tuaj. Koj tuaj yeem tsau qhov ntswg nrog saline los yog dej npau npau.

Liaj Tshuaj Mob Ntshav Qab Zib

Lub hauv paus ntsiab lus ntawm kev kho mob yog qhov kev saib xyuas, yog tias ua tau, ntawm lub txaj so lossis tshem tawm cov kev thauj ntawm ob txhais ceg, uas muaj trophic cuam tshuam. Qhov xwm txheej thib ob tseem ceeb yog tswj hwm kev noj qab haus huv los ntawm kev noj tshuaj muaj suab thaj. Feem ntau, cov neeg mob uas ua rau muaj mob ntshav qab zib yuav tau pw hauv tsev kho mob hauv chav phais neeg, vim tias cov neeg mob no sai sai ua rau mob nqaij ntshiv trophic thiab muaj qhov pheej hmoo ua kom mob txhab. Qhov no yuav tsum muaj kev kho mob hauv zos ntau ntawm peptic rwj.

Cov yam ntxwv ntawm kev kho mob ntawm cov neeg mob uas mob rwj:

Nco ntsoov mus txuas rau kev npaj ntawm cov khoom cua prostaglandin (Vazaprostan, Vasostenone, Arteris Vero), uas txhim kho microcirculation hauv cheeb tsam ischemic, pab ua kom muaj qhov tsis zoo ntawm lub qhov txhab thiab nws zoo, thiab qhov no zam kev txiav tawm.
Hauv kev kho nyuaj, alpha-lipoic acid npaj thiab B vitamins yog siv.
Antiplatelet agents thiab anticoagulants tau sau tseg, uas nws tsim nyog qhia Sulodexide.
Thov Gepona tso cai rau kev kho mob rau hauv kev mob ntshav qab zib angiopathy, vim tias cov tshuaj no txhawb kev loj hlob ntawm kev ua kom muaj kev loj hlob. Lub qhov txhab ntxuav nrog cov tshuaj Gepon (0.002 g ib 10 ml ntawm qab ntsev) thiab pleev tshuaj pleev, uas suav nrog Gepon.
Qhov thib ob tshuaj zoo rau kev kho cov mob ntshav qab zib yog gel Xav paub.
Hloov dua li ntawm cov ntaub qhwv ywj pheej, cov cuab yeej siv ib ntus “cov khau ib nrab” yog siv.

Yuav kho qhov mob txhab rau qhov txhab ntshav:

Kev kho mob nrog tshuaj ntsuab tshuaj

Cov tshuaj kho rau pej xeem kuj tseem siv rau hauv kev kho mob. Nws tuaj yeem yog kua txiv Kalanchoe lossis kua txiv Aloe. Koj tuaj yeem kho lub rwj nyob ntawm ceg nrog chamomile - npaj ib lub decoction ntawm tus nqi ntawm 1 tablespoon ib 200 ml ntawm dej npau. Lub khob yog lim, kos rau hauv lub phwj tshuaj thiab lub qhov txhab tsis huv yog ntxuav. Cov txheej txheem hauv zos tseem tau ua nrog kev ua kom zoo nkauj ntawm horsetail, plantain, yarrow thiab trefoil.

Tom qab ntxuav lub qhov txhab, tshuaj pleev npaj rau ntawm lub hauv paus ntawm beeswax tuaj yeem siv los ua kom nrawm nws zoo. Nws cov qauv suav nrog:

ib nrab khob khob ntawm paj noob hlis,
beeswax 2-30 g,
qaib qe.

Hard-boiled qe thiab siv tsuas yog yolk rau ointment. Sov cov roj nyob rau hauv ib lub tais enamel, ncuav tawm lub crushed beeswax, sov qhov sib tov kom txog thaum cov quav ciab yog yaj kiag li. Qhia cov nqaij npuas txau thiab sib tov. Hauv lub xeev sov, lim los ntawm txheej txheej ntawm daim ntaub nyias nyias lossis ntaub ntaub nylon. Khaws cov tshuaj pleev rau hauv lub tub yees rau hauv lub khob ntim (nws thickens). Cov tshuaj pleev txias yuav tsum tsis txhob siv rau lub qhov txhab, yog li ntawd, qhov tsim nyog rau cov txheej txheem yuav tsum tau muab rhaub hauv cov dej da dej kom sov txog 38-400.

Raws li lwm daim ntawv qhia rau tshuaj pleev, koj yuav tsum noj 100 g:

Tshav kub, nplawm, hauv dej da dej kom txog thaum siv quav ciab thiab tag nrho cov khoom xyaw ua ke. Khaws cov tshuaj pleev rau hauv lub tub yees, sov me ntsis ua ntej siv. Thov kev pab kom ntxuav cov qhov txhab.

Nqa 10 g ntawm mummy (lumpy lossis hauv cov ntsiav tshuaj), yaj nws nyob rau hauv ib qho me me ntawm cov dej sov sov thiab sib tov nrog 100 g ntawm kua zib ntab. Thaum hnav khaub ncaws, daim ntaub npog nyias nyias thaj yog impregnated nrog kev sau, siv rau cov qhov txhab thiab txhim kho. Cov ris tsho hloov pauv txhua hnub.

Ntau zaus muaj kev txheeb xyuas txog kev kho mob ntawm qhov mob txhab rau ntawm txhais ceg thiab qhov no yog vim muaj qhov tseeb tias cov teeb meem no muaj thiab ntau tus neeg nyiam. Cov neeg mob qhia lawv cov kev kho mob thiab nws cov txiaj ntsig. Ua tau zoo nyob rau hauv lub tswv yim ntawm ntau cov neeg mob, ib txoj kev daws rau kev kho mob Dioxisole (tshuaj tiv thaiv + ua kom loog), tshuaj pleev Iruxol, Solcoseryl, Ebermin (epidermal kev loj hlob yam) Stellanin (triiod, povidone, dimexide, roj av jelly), tshuaj tsuag Berberex thiab Vitargol (Kev npaj nyiaj), gel Prontosanlee Dermazine thiab Argosulfan (muaj cov nyiaj sulfate).

Kev txhim kho kom pom tseeb tau sau tseg tom qab thov cov ris tsho hnav ris tsho Voskosran (nrog levomecol lossis methyluracil), Collahit-FA (collagen-chitosan complex nrog suav nrog ntawm antiseptic furagin thiab cov tshuaj loog loog) Collahit-Sh (collagen-chitosan txoj nrog cog antiseptic shikonin).

Qee qhov kev txheeb xyuas cuam tshuam nrog kev siv Unna khau raj. Unna Cov Khaub Ncaws - Qhov no yog hnav khaub ncaws zinc-gelatin, uas suav nrog zinc oxide, glycerin, gelatin thiab dej. Nws nqus cov txiaj ntsig zais tsis zoo, thiab ua kom tawg ntau thiab epithelization. Tsis tas li ntawd, cov ntaub qhwv muaj cov txiaj ntsig ntawm elastic knitwear, yog li ntawd, txhim kho venous tawm. Qhov kev kho mob no qee zaum siv rau qhov txhab mob txhab ntau ntxiv. Kev hnav khaub ncaws yuav tsum tau ua tib zoo saib ntawm cov txheej txheem thov, txwv tsis pub cov tsim khawm quav thiab rub daim tawv ntawm ko taw.

Cov ntaub qhwv ua kom sov nrog muab tshuaj txhuam ua kom sov ua ntawv thov rau lub qhov txhab kom cov nkaws tsis tawv. Daim ntaub qhwv lub ceg nruj nreem (ib txheej ntawm cov ntaub qhwv) los ntawm lub hauv paus ntiv taw mus rau hauv caug. Hauv qhov no, yuav tsum tsis txhob muaj lub qhov quav, thiab cov ntiv taw thiab pob taws qhib sab laug. Siv tus txhuam hniav dav, muab tshuaj txhuam qhov muab tshuaj txhuam thiab txhuam nws, thov dua zaum ob ntawm cov ntaub qhwv thiab rov thov dua. Yog li, rov ua dua 3-4 zaug. Thaum kawg, lub "khau raj" yog them nrog ntau txheej ntawm daim ntaub qhwv. Tom qab txias cov tshuaj txhuam, cov hnav khaub ncaws hnyav heev thiab tus neeg mob tuaj yeem taug kev yam tsis muaj kev ntshai ntawm kev nce ntaiv ntawm nws txhais ceg. Thaum tsis muaj qhov mob hnyav hauv lub qhov txhab thiab luam tawm ntawm lub qhov txhab, cov khaub ncaws hnav tuaj yeem hnav li 3-4 lub lis piam. Tom qab ntawd nws hloov mus rau ib qho tshiab. Yog tias mob, qhov "khau raj" raug hloov pauv txhua 7-10 hnub. Tus neeg mob yuav tsum hnav daim ntaub qhwv tom qab lub qhov txhab kho zoo lawm. Nws tau siv rau xyoo, hloov pauv nrog hnav compression hosiery.

Kev siv ntawm kev hnav khaub ncaws no yog txuam nrog qee qhov kev nyuaj thiab tsis yooj yim:

tsev muag tshuaj tsis npaj tshuaj rau nws,
tus qauv muab tshuaj yog txawv nyob ntawm lub sijhawm ntawm lub xyoo (lub caij ntuj no thiab lub caij ntuj sov),
daim ntaub qhwv tsis yooj yim rau kev thov, nws yuav tsum thov los ntawm tus kws tshaj lij, txwv tsis pub, yog tias nws tsis thov kom raug, ntxiv teeb meem tshwm sim,
siv raws li kev taw qhia (mob ncauj plab ntau nrog lymphedema thiab mob post-thrombophlebitis syndrome),
kev coj ua kev kho kom zoo, uas tuaj yeem siv rau qhov tsis muaj lwm qhov kev kho neeg mob.

Indirect anticoagulants

Sawv cev tsuas yog los ntawm coumarin derivatives. Lub tshuab ntawm lawv cov kev ua yog los thaiv kev ua haujlwm ntawm qee qhov coagulation yam, uas tiv thaiv nws cov tuab nrog kev tsim cov ntshav txhaws tom qab.

Cov no suav nrog:

Cov ntsiab lus npaj

Nrog lub sijhawm ntev tsis muaj ntshav txaus, cov khoom noj khoom haus thiab sab hauv daim tawv nqaij thiab cov nqaij hauv qab, lawv cov foos necrosis kev txhim kho, tom qab ntawd tsis lees txais cov nqaij mos detritus. Mob rwj yog tsim. Nws tshwm sim hauv qhov distal ntawm sab hauv qab: qis ceg, pob taws, thiab ntiv tes. Nws tuaj yeem ua raws qhov loj los ntawm tsib lub xees nyiaj npib rau qhov kiav txhab loj loj uas ncig npog tag nrho daim ntaub.

Cov tshuaj Fibrinolytics

Mob raum ua rau muaj kev kho mob siv fibrinolytics los yog, raws li lawv kuj hu ua, cov tshuaj thrombolytic. Muaj tseeb, ib qho yeeb tshuaj hauv pawg no tau tso cai siv rau hauv cov tsev kho mob xwb, lawv tsis siv rau hauv cov chaw kho mob sab nraud vim tsis muaj kev cuam tshuam ntawm cov teebmeem.

Fibrinolytics ua rau lawv ua rau kev txiav ntshav tawm ntawm cov ntshav khov. Ntawd yog, kev noj cov tshuaj no ua rau pom zoo tsuas yog tias qhov muaj ntshav khov tau tsim los thiab ua rau cov ntshav khiav tsis zoo lossis tag txoj hlab ntsha tawg. Txwv tsis pub, kev siv cov fibrinolytics tsis txaus.

Hnub no siv hauv kev xyaum:

Ntaub so ntswg plasminogen activator.
Streptokinase.
Urokinase.

Antispasmodics

Antispasmodics yog cov tshuaj uas tsis muaj lub suab ntawm cov kab mob pathophysiological hauv kev kho mob rau hauv plab peptic. Ntxiv mus, lawv tuaj yeem tsim kev puas tsuaj rau tus neeg mob, raws li qhov tsos mob ntawm "nyiag" ntawm cov caj ceg cuam tshuam.

Txawm li cas los xij, txawm tias qhov no, antispasmodics yog siv los kho cov mob txhab trophic.Qhov no tau piav qhia los ntawm qhov tseeb tias lawv muaj peev xwm daws cov leeg nqaij, thiab yog li tshem tawm qhov mob. Cov neeg mob feem ntau siv lawv ua cov tshuaj pleev xim rau sab nraum lub tsev kho mob, uas tsuas yog ua rau muaj kev tsis zoo rau lawv tus mob thiab hnyav dua cov kab mob hloov pauv hauv qhov cuam tshuam rau ntawm txhais tes.

Cov pab pawg ntawm antispasmodics ntawm cov kev ua haujlwm muaj xws li:

Cov tshuaj nonsteroidal anti-inflammatory

Nonsteroidal anti-inflammatory tshuaj los yog NSAIDs yog cov pab pawg ntau yam ntawm cov tshuaj uas nws cov nyhuv yog txo qis qhov sib zog ntawm kev sib kis hauv zos. Niaj hnub no, NSAIDs kuj tseem tau siv los ua cov tshuaj tiv thaiv kev mob kom zoo nyob rau lub sijhawm tom qab los so.

NSAIDs tsis yog tsuas yog cov tshuaj tua kab mob, tab sis kuj yog cov tshuaj uas tiv thaiv qhov ua kom tsis haum ntawm ntau tus qe ntshav. Ntawd yog, nrog kev mob voos ntawm caj npab, nws muaj peev xwm los txo qis txoj kev pheej hmoo ntawm kev txhim kho thrombosis siv NSAIDs.

NSAIDs suav nrog:

Rog metabolism hauv kev txhim kho

Nrog trophic mob rau sab hauv, kev siv ntawm cov pawg ntawm cov tshuaj uas txhais tau tias txhim kho lipid metabolism lossis cov rog rog tsis txaus. Pawg no suav nrog ntau pawg neeg me me. Tus kws kho mob xaiv cov tshuaj uas haum tshaj plaws raws li nws tus kheej qhov yam ntxwv ntawm tus neeg mob.

Cov tshuaj yog txhawm rau tshem tawm cov tshuaj phiv los ntawm lub cev, nrog rau kev ua kom lub cev rog. Qhov no yog qhov tsim nyog los tiv thaiv qhov ua kom tso ntshav ntawm lipid tso rau ntawm phab ntsa ntawm cov hlab ntsha, uas dhau sijhawm tuaj yeem tig mus ua kom tiav cov ntshav txhaws.

Cov pab pawg muaj:

FISHant-S (enterosorbent).
Liprimar.
Lipostat.
Simlo li al.

System enzymes

Ib tug neeg mob nrog mob raum ua rau sab hauv qis dua tuaj yeem kho cov tshuaj noj los ntawm pab pawg ntawm cov qe ntshav los ntawm cov kws kho mob tau koom nrog. Lawv qhov kev txiav txim siab tau txiav txim siab ua qhov nyuaj: lawv tsis tsuas yog muab cov kev hloov kho ntawm cov tshuaj tiv thaiv hauv zos, tab sis kuj ua ib qho kev ua kom loog, pab tiv thaiv platelet sib sau ua ke, thiab txo qhov mob hnyav o.

Cov qe ntshav hauv lub cev txuas ntxiv txhim kho cov metabolism hauv txhua yam, uas muaj cov txiaj ntsig zoo rau cov xwm txheej ntawm cov hlab ntsha cuam tshuam los ntawm tus kab mob.

Cov pab pawg muaj:

Cov ntsiab lus npaj

Rau kev kho mob ntawm trophic mob rau ntawm txhais ceg, ib txoj kev kho kom zoo hauv zos ua txoj haujlwm tseem ceeb. Ua tsaug rau kev siv cov tshuaj uas tsis ua rau txoj kev ua haujlwm, tab sis nyob rau thaj tsam hauv thaj chaw muaj kev puas tsuaj, nws muaj peev xwm ua tiav qhov kev kho kom zoo dua, kom tiv thaiv kev sib txuas ntawm cov kab mob microflora.

Cov kev kho mob hauv zos tuaj yeem tau raws li kev siv ntau pawg ntawm cov tshuaj. Lawv tsuas yog sawv cev los ntawm ntau yam tshuaj pleev, cream thiab gels, uas yooj yim rau cov neeg mob siv.

Cov tshuaj tua kab mob

Cov kab mob tua cov kab mob yog tsom rau kev tiv thaiv kab mob microflora los ntawm kev tawm tsam ntawm lub qhov txhab. Ua tsaug rau lawv siv, nws feem ntau ua tau kom tsis txhob kis tus kab mob pathological. Nws yog qhov zoo tshaj plaws los siv cov tshuaj tua kab mob tua kab mob hauv thawj theem ntawm kev txhim kho tus kab mob, thaum lub qhov txhab tseem tseem tsawg heev.

Cov tshuaj tua kab mob tsis tsuas yog pab tshem tawm cov kab mob microflora, tab sis kuj tseem pab tiv thaiv kev txhim kho ntawm kev kis mob thib ob.

Cov pab pawg muaj:

Nws txaus siab tias niaj hnub no ntau cov tshuaj pleev thiab tshuaj pleev rau kev kho mob ntawm qhov ncauj thiav sai sai muaj cov tshuaj tua kab mob tiv thaiv kom tsis txhob siv cov tshuaj pleev ob zaug ib zaug thiab pab txhawb rau tus neeg mob lub siab rau kev kho.

Kev Kho Mob Hauv Tsev

Cov ntsiav tshuaj thiab lwm tus neeg sawv cev rau kev kho mob ntawm qhov mob txhab hauv qhov qis qis tuaj yeem faib ua pawg raws li lawv lub hom phiaj:

Tshuaj tua kab mob.
Antibacterial thiab antiseptic.
Kom qhuav.
Cov tshuaj antihistamines.
Txog kev ntxuav thiab kho mob.
Sau.
Pob Taum Pleev.

Tsis tas li ntawd, muaj cov ntsiav tshuaj thrombolytic, tshuaj antispasmodics, vitamins, cov khoom siv compression rau lub cev qis.

Tus neeg mob yuav tsum siv cov nyiaj rau kev kho mob hauv zos ua ntu zus - los ntawm kev ntxuav qhov ncauj, kev siv tshuaj tua kab mob thiab xaus nrog kev siv tshuaj pleev. Tsis tas li, ntxiv rau kev kho mob rau qhov mob ncaj qha, tus neeg mob yuav tsum siv tshuaj uas pab ua kom cov hlab ntshav muaj zog, pab txo qhov mob ntawm ceg tawv, ntxiv dag zog rau kev tiv thaiv, thiab tiv thaiv kev ua kom tawv nqaij ntawm cov tawv nqaij trophic.

Qib mob txhab

Mob raum ua rau ntawm txhais ceg muaj 4 theem:

Theem 1 ua rau kev puas tsuaj rau txheej sab sauv txheej sab nrauv,
Theem 2 yog fraught nrog kev puas tsuaj rau nruab nrab txheej ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous,
Theem 3 pab txhawb kev ua txhaum ntawm tus qauv ntawm cov ntaub so ntswg muag,
Theem 4 tuaj yeem ua rau cov nqaij mob necrosis, mob sib sib zog nqus los ntawm cov nqaij mob tawv nqaij nrog rau qhov tawm sab nraud.

Txawm hais tias koj tswj kom kho qhov mob, tom qab ntawd nti nti tseem nyob ntawm thaj chaw muaj cuam tshuam.

Cov tshuaj pleev rau kev kho mob ntawm trophic mob rau sab hauv qis dua qhov siab yog kho noj rau hauv tus account theem ntawm atrophy ceg qis dua.

Txhua yam tshuaj sib txawv hauv cov muaj pes tsawg leeg thiab cov ua haujlwm, yog li ntawd tsis txhob tshuaj nws tus kheejtsis quav ntsej cov lus qhia thiab tswv yim ntawm koj tus kws kho mob. Kev npaj hauv ib cheeb tsam yuav tsum tsom rau:

tshem tawm ntawm qhov mob
qhib rua ntawm kev kho,
kev txhim kho trophic,
ntaub so ntswg microcirculation,
ntxuav kev kis tus mob ntawm purulent, ntshiab cov ntsiab lus.

Pom zoo ointments

Daim ntawv teev cov tshuaj pleev pom zoo rau cov mob txhab rau mob thiav thiav, suav mus rau theem ntawm tus kabmob thiab muaj cov tsos mob:

Tshuaj pleev Ichthyol ua kom mob o, mob, ntxiv ntshav hauv qhov chaw txhab. Nws tuaj yeem siv rau theem 1 ntawm tus kabmob.
Vishnevsky tshuaj pleev rau kev tsim kho ntawm thaj chaw uas puas lawm, ua kom huv los ntawm kev ua kom huv.
Solcoseryl raws li cov tshuaj pleev zoo rau cov mob txhab hauv ob txhais ceg ntawm ntu 2 ntawm tus kab mob txhawm rau txhim kho trophism thiab lub xeev ntawm cov hlab ntsha hauv ob txhais ceg, saturate thiab muab cov pa oxygen, rov ua kom cov nqaij mos, kho cov qhov txhab thiab kho cov nqaij mob, nrog rau txhawb cov txheej txheem metabolic thiab ua kom cov nqaij mos ua kom rov ua haujlwm nrog cov nyhuv ntawm 1 theem.
Actovegin nrog rau kev siv cov qhov txhab ntawm thiav thom khwm ntawm qib 1-2 txawm tias ua ntej cov tsos ntawm granulations los ntxuav cov qhov txhab, tshem tawm kev kis tus kab mob, txhawb cov nqaij mos, txhim kho trophism thiab cov ntshav txaus, rov qab rau thaj chaw muaj kev cuam tshuam, ntxiv rau kev nce qib ntawm lub cev thiab lub zog.
Algofin nyob rau hauv muaj pes tsawg leeg nrog antimicrobial Cheebtsam nws pab hauv qib 1 thiab 2 ntawm tus kabmob, ua rau kev tsim cov txheej txheem kev kho dua tshiab hauv cov ntaub so ntswg, tshem tawm kev mob, thiab kev tsuj tawm ntawm cov paj ntoo microbial.
Argosulfan nyob rau hauv muaj pes tsawg leeg nrog cov nyiaj rho tawm, pib ua haujlwm ntawm qib 1-2 txhawm rau tshem tawm cov kab mob me me, ua kom nrawm nrawm.
Levomekol nrog kev mob txhab ntawm qhov txhab uas siv thaum pib ntawm tus kab mob txhawm rau muab qhov mob zoo, ua kom mob ntshav liab, ua kom muaj mob nkees.
Betadine nrog rau kev siv ntawm qib 2 ntawm tus kabmob thaum granulations tshwm rau qhov txhab, ua kom tsis muaj kab mob thiab kis mob.
Vundehil raws li kev siv tshuaj tiv thaiv zoo tshaj plaws nrog kev siv rau qib 3 ntawm tus kabmob txhawm rau tshem tawm cov kabmob necrotic thiab purulent, daws qhov mob, kho qhov txhab.
Bepanten nyob rau hauv cov muaj pes tsawg leeg nrog panthenol nquag thiab ua tau zoo nyob rau hauv qib 1-2.
Comfrey Ointment nrog doog ntshav thiab mob thiav rau ntawm txhais ceg kom kho zoo, rov qab ua kom tawv nqaij, kho mob tawv nqaij.
Hiav txwv buckthorn roj thiab nrog kev tshwm sim nyob rau theem pib ntawm kev txhim kho qhov txhab txhawm rau txhawm rau kho kom zoo ntawm cov nqaij mos uas puas lawm, txo qhov mob.
Stellanin tshuaj pleev kom rov qab muaj ntshav txaus hauv cov hlab ntsha, ua kom txoj kev loj hlob ntawm vascular, txhawb kev tsim kho thiab ua kom tawv nqaij rov qab, ntxuav tawm qhov txhab ntawm purulent ntau.
Linis Aloe ua cov khoom siv roj ntsha los txhawb cov metabolism, normalize trophism. Nws yog siv rau hauv kev sib xyaw nrog lwm cov tshuaj nyob rau theem pib ntawm tus kab mob.
Diclofenac los ntawm NSAID pawg pab daws qhov mob, tshem tawm cov mob huam nrog qhov tsis txaus ntseeg ntawm cov leeg ntshav tsis txaus. Pib nyob rau txhua theem ntawm tus kabmob.
Fluorocort nrog rau kev teem caij ntawm cov kev mob ntawm cov leeg mob voos, trophic mob.
Dermazine nyob rau hauv muaj pes tsawg leeg nrog ionized nyiaj los daws qhov mob, txhawb nqa thiab ntxuav cov qhov txhab ntawm ob txhais ceg.
Iruxol nrog rau kev teem sijhawm ntawm txhua theem ntawm cov ntshav qab zib rau kev kho ntawm qhov txhab, kev tsuj ntawm cov teeb meem purulent microflora.

Cov tshuaj pleev qhov rau theem twg

Cov tshuaj pleev yog tsim los tshem tawm kev sib kis ntawm cov qhov txhab, kho cov kab mob ntawm ko taw. Qhov ua tau zoo tshaj plaws, suav nrog cov theem ntawm kev nthuav dav, yog:

antifungal, tsis-tshuaj steroidal, antihistamines nyob rau theem ntawm exudation nrog cov lus faib tawm ntawm purulent exudate tiv thaiv keeb kwm ntawm cov txheej txheem inflammatory,
tshuaj tua kab mob thaum muab cov kab mob tua kab mob, txhawm rau txhawm rau txhaws thiab kis kab mob, ntxuav qhov txhab los ntawm exudate,
tshuaj tiv thaiv kab mobvenotonics li qhov txhab kho cov tshuaj pleev rau lub qhov txhab ua rau mob rau qhov muaj pes tsawg leeg nrog hyaluronic acid nyob rau theem ntawm kev kho lossis ntuag ntawm thaj chaw muaj kev cuam tshuam, thaum cov txheej txheem mob twb nyob ntawm qhov poob qis thiab granulation hauv qhov txhab yog pom tau.

Saib xyuas! Nws yog ib qho tseem ceeb kom nkag siab tias mob rwj ntawm ob txhais ceg yuav tsis pib kho lawv tus kheej, lawv tsuas tuaj yeem ua rau muaj kev nyuaj siab thiab ua rau kev txhim kho kev mob caj dab, malignant neoplasms.

Thaum xaiv cov tshuaj, nws yog ib qho tsim nyog yuav tsum tau ntsuam xyuas kom zoo txog kev mob ntawm qhov mob txhab, theem thiab qib ntawm kev loj hlob ntawm tus kabmob, muaj cov tsos mob kom tau txais cov txiaj ntsig zoo tshaj plaws.

Los tsis muaj li koj tsis tuaj yeem sim kho kom zoo rau nws tus kheej thiab coj mus rau cov neeg txawv ntawm txoj kev. Kev teem sijhawm ntawm kev kho mob yuav tsum tsuas yog ua los ntawm tus kws kho mob koom nrog txhawm rau kom tsis txhob muaj qhov teeb meem ntxiv, txhim kho kev txhim kho ntawm chav kawm kis.

Cov Yuav Tsum Muaj

Yuav luag txhua yam tshuaj pleev rau qhov kho tus mob txhab trophic tuaj yeem ua kev phom sij tsis muaj txiaj ntsig, vim tias muaj nws cov contraindications. Thaum xaiv, nco ntsoov nyeem cov lus qhia, tab sis nws yog qhov zoo tshaj plaws los sab laj nrog koj tus kws kho mob ua ntej.

Cov tshuaj xws li:

Levosin, Levomekol tau muaj zog rhiab,
Chloramphenicol, Solcoseryl tsis siv tau rau ntau granulation hauv qhov txhab thiab mob siab rau qhov sib xyaw,
Ofloxacin yog contraindicated rau cov poj niam thaum cev xeeb tub, txij li pov thawj ntawm kev siv nyab xeeb kev siv tshuaj thiab cov nyhuv ntawm cov menyuam hauv plab tsis tau muab,
Mefenate tsis pom zoo rau cov poj niam thaum pub niam mis, nws tau raug cai rau kev kho mob nkaus xwb. Raws li kev phiv, nws tuaj yeem ua xua,
Cov tshuaj Streptotinol tsis raug siv rau kev muaj zog tawm ntawm cov ntsiab lus purulent los ntawm cov qhov txhab, ntau qhov rhiab heev rau cov tshuaj yeeb dej caw.

Sab sij huam

Kev pleev tshuaj rau cov mob txhab rau feem ntau ua rau muaj kev phiv xws li ua xua ntawm qhov chaw thov, piv txwv:

Solcoseryl, Streptonitol, Levomekol tuaj yeem ua rau liab, hlawv, khaus,
Methyluracil, erythromycin tshuaj pleev - ua rau mob nyob rau ntawm thaj chaw thov.

Yog tias cov kev mob tshwm sim tsis zoo tshwm sim, kev siv tshuaj pleev yuav tsum tau txiav txuas ntxiv thiab kev xaiv ntawm lwm cov tshuaj pleev ib ce yuav tsum tham nrog tus kws kho mob uas koom nrog.

Nws yog qhov nyuaj rau xav txog tiv thaiv keeb kwm ntawm dab tsi kab mob trophic mob rau ntawm txhais ceg yuav tshwm sim. Feem ntau yog vim li cas yog nyob rau hauv kev sib kis li ib txwm muaj nrog microbes thiab kab mob, kev taw qhia ntawm cov kab mob microflora hauv qab daim tawv nqaijuas tuaj yeem ua rau kev txhim kho ntawm cov txheej txheem inflammatory.

Tab sis nws tshwm sim tias mob raum ua rau muaj kev cuam tshuam ntawm cov kab mob hnyav: varicose leeg, tawg, mob ntshav qab zibthaum degenerative kev nyob rau hauv hematopoietic system pib tshwm sim.

Mob raum ua rau mob nyuaj thiab kho ntev. Cov ntaub ntub tau ntub, kho tsis zoo, thiab tuaj yeem ua rau tsis tus mob rau ntau xyoo. Kuj tseem cuam tshuam lub hnub nyoog, qib ntawm tsis saib xyuas ntawm tus mob pib.

Rau prophylaxis

Tshuaj pleev yuav tsum ua rau kom kev ua haujlwm ntawm cov ntshav ncig thiab ua rau kev txhawm rau ua haujlwm. Tsis li, mob caj dab, txha nqaj qaum yuav pib mob.

Raws li kev tiv thaiv, nws tsim nyog qhia:

los tiv thaiv cov tsos ntawm purulent lus los ntawm cov qhov txhab,
raws sij hawm kho cov chaw thiab qhov tawg ntawm daim tawv nqaij nrog antiseptics,
hnav khau yooj yim thiab loj qhov me,
tiv thaiv hypothermia ntawm qis qis,
tiv thaiv daim tawv nqaij los ntawm kev raug mob thiab txiav, kis kab mob, ultraviolet hluav taws xob.

Tshuaj tua kab mob

Cov tshuaj tua kab mob rau kev kho mob ntawm qhov mob thiav thim ntawm qhov qis qis yog siv nyob rau hauv qhov muaj cov qhov txhab mob siab thiab cov dej ntws tawm ntawm thaj chaw muaj mob. Lub hom phiaj ntawm lawv daim ntawv thov yog tso tseg qhov kev kis mob thiab tiv thaiv kom tsawg li tsawg ntawm cov kab mob pathogenic ntawm qhov ua kom pom tseeb. Cov pawg tseem ceeb ntawm cov tshuaj tua kab mob siv:

penicillins - Ampicillin, Amoxicillin,
fluoroquinolones - Ofloxacin, Ciprofloxacin,
cephalosporins - Sulperazone, Ceftazadim,
Lincosamides - Clindamycin, Linkomycin,
carbapenems - Tienam, Meropenem.

Tshuaj tua kab mob raug pom zoo kom siv rau thawj theem theem ntawm kev kho mob, thaum lub qhov txhab mob tsawg heev. Lawv pab tiv thaiv nrog erysipelas thiab phlegmon. Nrog trophic mob rau sab hauv qis qis, hauv qab no tuaj yeem siv:

Ofloxacin. Nws suav nrog cov kev ua haujlwm tseem ceeb ntawm tib lub npe, uas cuam tshuam DNA synthesis thiab cell faib, yog li ua rau kev tuag ntawm cov kab mob. Kev noj tshuaj txhua hnub yog 200-600 mg, muab faib ua 2 koob tshuaj. Tus nqi ntawm cov tshuaj yog 120-150 p.
Clindamycin. Cov tshuaj zoo ib yam hauv cov tshuaj muaj pes tsawg leeg inhibits protein synthesis hauv cov kab mob, ua rau lawv tuag. Clindamycin ntsiav tshuaj rau cov kab mob trophic ntawm qhov mob qis qis dua 1 tshuaj ntsiav rau 4 zaug ib hnub. Tso ntshav nrog cev thiab intramuscularly, cov tshuaj tau muab tshuaj 300 mg 2 zaug ib hnub. Hauv kev kis mob hnyav, qhov koob tshuaj tau nce ntxiv txog 1.2-1.7 g, muab faib ua 3-4 koob. Tus nqi ntawm 10 ampoules yog 560 p., 16 ntsiav tshuaj - 180 p.
Ceftazidime. Tsis tas li ntawd lub npe rau cov khoom tseem ceeb hauv qhov muaj pes tsawg leeg. Ceftazidime cuam tshuam kev ua ke ntawm cov qauv ntawm cov xoos ntawm tes, ua rau muaj kev tuag ntawm cov kab mob. Qhov ntau npaum li cas rau kev txhaj tshuaj rau ntshav lossis txhaj tshuaj yog ib zaug 1000 mg txhua 8-12 teev Qhov nqi ntawm 1 lub raj mis yog 70-110 r.

Tshuaj tua kab mob tua kab mob

Cov tshuaj tua kab mob kho rau kev mob thiav thim ntawm qhov qis qis tuaj yeem nqa nrog kev pab ntawm cov tshuaj hauv zos. Cov haujlwm ntawm lawv daim ntawv thov: kev txwv tsis pub rov ua dua ntawm cov kab mob tshwm sim hauv qhov txhab, tiv thaiv kev sib txuas ntawm lwm qhov kev kis mob, tshem tawm cov voos. Lub ntsiab tseem ceeb rau cov tshuaj tua kab mob rau hauv kev kho mob ntawm thiav mob hauv ob txhais ceg:

Heliomycin. Muaj cov tshuaj heliomycin - ib yam khoom uas ua rau muaj cov kab mob tiv thaiv cov kab mob zoo rau hauv lub cev. Txog kev mob hnyav, nws pom zoo kom siv cov ntaub qhwv uas tau da dej hauv cov tshuaj pleev no. Lwm qhov xwm txheej, cov khoom lag luam raug thov rau ntawm lub qhov txhab tsis tau nquag rub 1-2 zaug ib hnub. Tus nqi ntawm cov tshuaj pleev yog 50-70 p.
Tetracycline. Qhov nquag ua haujlwm ntawm cov tshuaj pleev no yog tetracycline. Nws cuam tshuam cov kab mob gram-zoo thiab gram-tsis zoo los ntawm kev thaiv cov protein synthesis hauv lawv. Peb feem pua tshuaj pleev kuj tseem siv los ua qhov txhab zoo. Nrog trophic mob rau sab nraud ntawm qhov qis qis, tus neeg sawv cev yog thov 1-2 zaug hauv ib hnub. Koj tuaj yeem siv tshuaj pleev rau ntev li 2-3 lub lis piam. Nqe - 20-30 p.
Levosin. Muaj cov tshuaj methyluracil, chloramphenicol, trimecaine, sulfadimethoxin. Vim tias cov tshuaj no, cov tshuaj pleev ua rau kom pom kev ua kom tsis haum, ua kom loog, rov ua kom lub cev muaj zog thiab ua kom tsis muaj zog. Nrog trophic mob rau sab hauv qis dua, Levosin tau thov rau daim ntaub so dej, uas tom qab ntawd siv rau cov qhov txhab ua haujlwm. Tus nqi ntawm cov tshuaj pleev yog 80 p.
Argosulfan. Muaj cov nyiaj sulfathiazole. Qhov tshuaj no muaj cov tshuaj tua kab mob ua kom zoo thiab pab txhawb qhov mob ntawm thiav mob, mob kub hnyiab, txhab dawb huv.Cov tshuaj pleev yog thov rau foci ntawm o nrog ib txheej nyias (2-3 hli) 2-3 zaug ib hnub. Koj tuaj yeem siv tsis tshaj 25 g ntawm Argosulfan ib hnub. Hauv kev pom ntawm exudate, nws yog qhov pom ua ntej kom ntxuav qhov txhab nrog chlorhexidine lossis boric acid. Tus nqi ntawm Argosulfan yog 320 p.

Kev ntxuav thiab ziab kom qhuav

Thawj theem, uas yog tsim nyog los kho tus neeg mob, kom tshem nws ntawm kev hloov pauv hauv daim tawv nqaij ntawm qhov qis qis, yog kev ntxuav ntawm lub qhov txhab los ntawm cov ntaub so ntswg thiab pus. Qhov no yuav pab tiv thaiv kev loj hlob ntawm cov kab mob, ntxiv kev puas tsuaj rau cov leeg thiab pob txha ntawm ceg. Cov txheej txheem kev kho mob yuav tsum tau ua kom cov cheeb tsam uas raug mob tau yaug kom huv. Ua li no, siv cov tshuaj xws li ib qho kev daws ntawm furatsilina, chlorhexidine lossis potassium permanganate, decoctions ntawm tshuaj ntsuab. Kev ntxuav tseem tuaj yeem tso tseg kev hloov pauv hauv pliag ib pliag, daws qhov mob ntawm ceg.

Cov txheej txheem kev kho mob yuav tsum tau ua kom cov cheeb tsam uas raug mob tau yaug kom huv.

Txhawm rau kho trophic abscesses ntawm ceg sai sai, lawv tuaj yeem qhuav nrog hydrogen peroxide. Cov tshuaj tiv thaiv kab mob xws li iodopiron tseem siv rau qhov no. Txaij dhau mus thov Yodopiron rau ob txhais ceg, nws tau txhuam rau hauv qhov chaw ntawm daim tawv nqaij ntawm nqua uas qhov mob tau tsim.

Ntxuav qhov mob txhab nrog tshuaj ntsuab ib txwm tsis ib txwm ua tau 100% qhov tshwm sim hauv kev tshem tawm cov ntaub so ntswg tuag. Txoj hauv kev zoo tshaj los kho cov kiav txhab txhais tau tias yog koj nquag ntxuav lawv ntawm cov kuab tshuaj necrotic nrog kev enzymatic npaj. Hauv cov neeg mob no, cov tshuaj pab, lub ntsiab lus tseem ceeb ntawm uas yog collagenase (tshuaj veterinary).

Collagenase yog protein uas tau los ntawm cov txiav ntshav ntawm tsiaj nyeg. Nws txhawb kom muaj kev ua kom huv thiab kho cov qhov txhab ntawm qhov qis ntawm lub cev, kev tsim cov ntaub so ntswg, muaj cov khoom ua haujlwm antimicrobial thiab txo qhov mob ntawm qhov qis qis. Cov tshuaj nrov tshaj plaws raws li cov tshuaj yeeb tshuaj no, uas tau khwv qhuas, yog Iruxol tshuaj pleev.

Nws muaj chloramphinecol, tshuaj tiv thaiv. Yog li Iruxol yog tshuaj pleev rau ob leeg. Nws ua rau kev kho mob ua tau zoo zuj zus - nws txhawb qhov kev tawm tsam ntawm cov txheej txheem uas mob trophic thiab nruab nrab microflora kab mob ntawm qhov txhab ntawm qhov qis ntawm lub cev. Thaum lub sij hawm siv Iruxol, nws tsis pom zoo kom siv lwm cov tshuaj hauv zos, vim lawv inhibit qhov kev ua ntawm enzymes.

Kho cov roj pleev

Cov neeg ua haujlwm rov qab yog siv twb tau nyob rau theem ntawm txheej txheem thaum daim nyias nyias ntawm cov ntaub so ntswg epithelial tau tsim rau ntawm lub qhov txhab, i.e., tom qab cov txheej txheem pleev tau tshem tawm. Txij ntawm no mus, kev kis mob ntawm tus mob voos los ntawm pathogenic microflora yuav tsum tau muab cais tawm. Nyob rau qib no, cov txheej txheem tsim dua tshiab pib, uas yog ua kom nrawm nrog kev pab ntawm qhov txhab kho cov pleev pleev. Nws yog tsim nyog sau cia tias qee cov tshuaj ntxiv ntxiv nrog cov tshuaj uas muaj cov tshuaj tiv thaiv kab mob, tiv thaiv kab mob thiab mob ua kom loog. Piv txwv ntawm cov tshuaj pleev xws li:

Solcoseryl. Nws muaj cov ntshav tawm ntawm cov mis nyuj uas muaj kev noj qab haus huv, ntxuav tawm los ntawm cov protein. Cov tshuaj no ua rau cov txheej txheem ntawm cov metabolism hauv cov nqaij mos, txhim kho trophism, txhawb kev kho cov ntaub so ntswg thiab tsim dua tshiab. Cov tshuaj pleev yuav thov ncaj qha rau lub qhov txhab 1-2 zaug hauv ib hnub. Kev kho mob ntawm kev quaj ntawm trophic mob rau ntawm ob txhais ceg kuj tuaj yeem nqa tawm ntawm Solcoseryl. Tus nqi ntawm cov tshuaj pleev yog 220 r.
Levomekol. Muaj cov khoom siv roj carbonomethyltetrahydropyridimine thiab chloramphenicol. Cov tshuaj kawg yog cov tshuaj tua kab mob. Vim tias qhov muaj pes tsawg leeg no, Levomekol daws qhov mob, txhawb txoj kev kho qis dua ntawm sab hauv, thiab tiv thaiv kab mob kev loj hlob. Lub antimicrobial nyhuv ntawm ointment mob tsawv txawm tias nyob rau hauv muaj necrotic loj thiab purulent tawm. Levomekol tau thov kom qhib cov qhov txhab nrog lub phuam so lossis lub paj rwb, uas yog kho nrog thaj lossis daim ntaub qhwv. Tsis txhob siv cov tshuaj pleev rau ntev dua 5-7 hnub. Tus nqi ntawm cov tshuaj pleev yog 100-120 p.
Bepanten.Xws li dexpanthenol - ib yam khoom uas txhawb lub zog ntawm daim tawv nqaij. Tsis tas li ntawd muaj cov nyhuv moisturizing. Bepanten muaj nyob rau hauv daim ntawv ntawm tshuaj pleev, cream, pleev qhov. Lawv raug siv rau thaj chaw muaj nrog ib txheej nyias nyias ntau zaug ib hnub. Tus nqi ntawm cov tshuaj yog li 280-340 p.

Lwm cov khoom lag luam rau siv sab nraud

Cov tshuaj rau cov mob txhab rau qhov txhab, uas ua kom pom cov yam ntxwv sib txawv, tuaj yeem ua cais raws li pawg: qhov txhab zoo, tiv thaiv mob, mob nyhav, mob tiv thaiv kab mob, tshuaj pleev xim. Piv txwv ntawm cov cuab yeej zoo li no:

Nquag. Lawv yog cov tshuaj ntxuav tes ua los ntawm cov paj rwb npuag ua cov roj tseem ceeb, lidocaine, furagin, aminocaproic acid, vitamins C thiab E. Cov khoom lag luam muaj lub qhov txhab ua kom zoo, ua kom mob hlwb thiab antimicrobial zoo. Ua ntej siv, daim phuam so ntswg tau so hauv dej qab ntsev, thiab tom qab ntawd thov rau lub qhov txhab. Los ntawm saum toj no, txhua yam yog tsau nrog band-aid lossis bandage. Kev hnav khaub ncaws pauv pauv txhua 2-3 hnub. Nqe - 160 p. rau 10 qhov ntswg.
Branolind N. Qhov no yog qhov hnav khaub ncaws mob, impregnated nrog Peruvian balm, uas pom cov tshuaj tua kab mob thiab ua kom zoo. Nws tau thov rau qhov txhab ntawm qhov txhab trophic, tom qab ntawd nws yog npog nrog daim ntaub tsis huv thiab tsau nrog cov ntaub qhwv los yog plaster. Cov ris tsho hloov pauv txhua hnub. Nqi 30 pcs. - 1800 p.
Vitargol. Lub hauv paus ntawm cov tshuaj tsuag no yog cov kua aqueous ntawm colloidal nyiaj. Cov tshuaj no muaj cov nyhuv tua cov tawm tsam streptococcus, staphylococcus, Pseudomonas aeruginosa. Vitargol pab tiv thaiv daim tawv nqaij los ntawm kev pheej hmoo microflora. Cov tshuaj tsuag yog muab txau mus rau qhov txhab 1-3 zaug ib hnub. yog tias tsim nyog, thov hnav khaub ncaws tsis huv. Nqe - 240 p.

Ointments nrog cov khoom xyaw ntsuab

Cov tshuaj pleev, uas suav nrog cov khoom xyaw ntawm cov nroj tsuag, nrog qhov mob ntawm sab hauv qis dua pab thaum kawg daws cov txheej txheem sib kis. Yeej, ointments muaj cov nyhuv ua haujlwm, tseem pab ua kom loog rau thaj chaw muaj kev cuam tshuam thiab txo cov txheej txheem o.

Feem ntau siv cov vulvostimulin. Nws zoo tshaj yog tias nws yuav tsum tau ua nrog kev quaj hom mob.

Rov tsim cov tshuaj

Kev siv cov txheej txheem ua haujlwm ntxiv rau cov neeg mob rau tom qab yog tsim nyog yog tias daim nyias nyias ntawm cov ntaub so ntswg tau tsim rau ntawm lub qhov txhab tsis zoo. Ntawd yog, cov txheej txheem inflammatory raug tshem tawm, kev kis mob ntawm lub qhov txhab nrog microflora pathogenic tau tiv thaiv, kev tsim cov txheej txheem pib, uas tam sim no xav tau tsuas yog tsa.

Rov tsim cov tshuaj feem ntau ntxiv rau txo qhov mob thiab pab txhim kho kev zom zaub mov. Ua tsaug rau qhov no, kev kho mob tseem ceev dua.

Cov pab pawg muaj:

Cov ntsiab cai dav dav ntawm kev thov

Txij li qhov teeb meem dab tsi hauv TV qhia tau hais tias, pob tshuaj kho mob thoob ntiaj teb ua rau tsis muaj qhov txhab trophic mob, nws yog qhov yuav tsum tau soj ntsuam ntau lub hauv paus ntsiab lus thaum xaiv txoj kev kho rau tus neeg mob tshwj xeeb. Kev tsis saib xyuas ntawm cov qauv ntawm txoj kev kho tuaj yeem ua rau qhov tseeb tias kev kho mob yuav tsis tsuas yog qhov ua tsis muaj txiaj ntsig, tab sis kuj tseem muaj kev phom sij.

Muaj peb lub ntsiab cai ntawm kev kho:

Txuas ntxiv. Txoj kev kho yuav tsum txuas ntxiv los ntawm lub sijhawm ntawm pom tias muaj tus mob trophic kom txog thaum kho qhov kho tag. Tom qab pib kho, nws raug nquahu tias tiv thaiv kev tiv thaiv yuav tsum tau ua uas tau ua txhawm rau tiv thaiv kev rov huam mob.
Txheej txheem thiab cov nyom. Tus kws kho mob yuav tsum xaiv ntau yam tshuaj rau kev kho mob. Hauv qhov no, qhov kev txiav txim ntawm qee cov tshuaj yuav tsum ua kom tiav qhov kev ua ntawm lwm tus, nkag siab thiab zoo tshaj plaws cuam tshuam rau txhua feem ntawm cov txheej txheem pathological. Nyob rau hauv tib si, kev siv tshuaj kho tau pom zoo, uas yog tsom rau kev kho tus kab mob uas ua rau kev tsim ntawm ulcerative tsis xws luag.
Txuas ntxiv.Nov yog lub hauv paus ntsiab lus uas, thaum hloov tus kws kho mob, kev kho mob yuav tsum txuas ntxiv raws li cov qauv uas twb tau xaiv. Nws yog irrational vim qhov kev hloov pauv ntawm tus kws tshaj lij mus hloov tag nrho cov qauv xaiv. Tus neeg mob yuav tsum tsis txhob hais txog txhua yam ntawm nws tus mob. Nws kuj yuav tsum tau paub zoo txog qhov yuav tshwm sim vim tsis quav ntsej txog kws kho mob li tshuaj.

Antibacterial thiab antihistamines

Txuas ntxiv kev kho mob, nws yog ib qhov tsim nyog los kho thaj chaw cuam tshuam ntawm ceg nrog tshuaj uas thaiv qhov kev loj hlob ntawm cov kab mob (tshuaj tua kab mob). Argosulfan, uas inhibits qhov kev loj hlob thiab rov ua dua ntawm cov kab mob me me hauv kev mob caj dab, tau txais kev tshuaj xyuas zoo los ntawm cov neeg mob. Cov tshuaj no tseem yuav pab txo qis hauv lub cev.

Argosulfan inhibits qhov kev loj hlob thiab rov ua dua ntawm cov kab mob me me hauv cov plaub hau.

Cov tshuaj tua kab mob - tshuaj tua kab mob, muaj nyob hauv daim ntawv no:

Ntsiav tshuaj
Ampoules rau txhaj tshuaj intramuscular.
Ampoules rau kev tswj hwm (rau ib rab).
Txoj kev siv tshuaj yaj yeeb nyob rau hauv daim ntawv ntawm tshuaj tsuag yog nrov.

Tus kws kho mob, kev coj ua los ntawm kev soj ntsuam ntawm tus neeg mob cov kev ntsuam xyuas, muab tshuaj tua kab mob ntau yam - cov tub luam, Tsiprobay, Tsifran, Kefzol, Mandol, Duracef, thiab lwm yam.

Qhov muaj cov protein txawv teb chaws tuaj yeem nrog cov kev tsis haum tshuaj hauv zos hauv thaj chaw qis hauv lub cev, uas ua rau pom cov duab ntawm trophic txhab ntxiv. Cov tshuaj tua kab mob kuj tseem tuaj yeem ua xua. Nws yog qhov yuav tsum tau nqa tawm antihistamine prophylaxis siv cov tshuaj tshwj xeeb. Qhov no cuam tshuam kev kho mob nrog cov tshuaj xws li Xizal, Erius, Tavegil, Suprastin. Lawv muaj nyob rau hauv daim ntawv no - ntsiav tshuaj, tshuaj txau qhov ntswg, tee, txhaj.

Siv tshuaj tiv thaiv

Nonsteroidal anti-inflammatory tshuaj (NSAIDs) yog tsim los ua haujlwm zoo rau kev kho mob trophic mob rau sab qis qis. Lawv raug siv los tiv thaiv lossis txo qis tus nqi ntawm kev txhim kho ntawm cov nqua ntawm cov nqua. Cov pab pawg ntawm cov tshuaj no tseem muaj lub zog hloov pauv thiab cov tshuaj tiv thaiv kom muaj zog. Lawv kuj muaj qhov ua kom tshem tawm hauv qhov chaw qis ntawm lub cev.

Koj tsis tas yuav cov tshuaj uas kws kho mob xaj kom yuav cov tshuaj no, xws li Ibuprofen. Tab sis tus neeg mob yuav tsum nco ntsoov tias kev siv tshuaj tua tus kheej thiab NSAIDs tuaj yeem tsim kev phom sij, tshwj xeeb tshaj yog rau cov neeg laus. Lub chav kawm ntawm kev kho mob yuav tsum yog kws kho los ntawm cov kws paub txog ntawv pov thawj.

Kev npaj rau kev kho mob ntawm qhov mob txhab trophic, uas tsis tas yuav teem caij rau kws kho mob.

Dab Neeg Kho Kom Zoo Nkauj

Cov tshuaj kho rau cov qhov txhab trophic hauv qhov chaw qis, xws li Solcoseryl thiab Actovegin, pab ua kom zoo thiab rov ua haujlwm ntawm lub qhov txhab. Kev siv ntawm cov tshuaj Branolind tso cai rau koj los txhawb kev tsim kho tshiab, tsim ntawm epithelium ntawm ob txhais ceg, txhim kho qhov dej ntws, thiab nce kev ua haujlwm ntawm kev kho mob. Branolind tshuaj muaj nyob rau hauv cov qauv ntawm kev hnav khaub ncaws. Raws li cov tshuaj ua kom zoo, cov roj hiav txwv buckthorn, uas muaj cov txiaj ntsig zoo, tau txais kev tshuaj xyuas zoo. Nws kuj ua haujlwm rau ntxuav cov qhov txhab trophic thiab pab kho mob. Rau cov laj thawj no, roj zaub kuj tsim nyog, nyob rau hauv uas koj yuav tsum ua ntej maj mam kib lub dos.

Hydrogen peroxide tuaj yeem kho qhov mob ntawm ob txhais ceg. Koj tseem yuav xav tau ib lub ntsiav tshuaj streptocide, uas yuav tsum tau muab tsuav. Txoj kev yog qhov yooj yim heev - hlwv peroxide rau ntawm lub qhov txhab, nphoo nrog streptocide. Sab saum toj npog nrog cov ntawv sau thiab polyethylene. Qhov qhwv yog tsau nrog txoj phuam lossis lwm yam hnav khaub ncaws. Hloov pauv ntaub qhwv ntau zaus hauv ib hnub. Cov tshuaj no tau txais kev tshuaj xyuas zoo. Kev kho mob txhab ntawm qhov chaw qis ntawm lub cev tau txais tom qab 10 hnub.

Kev muab tshuaj loog

Txhawm rau txo qhov mob uas ua rau kom tsis txhob ua ntxiv rau qhov pom ntawm trophic mob rau sab nraud ntawm qhov mob siab tshaj plaws, kev siv tshuaj pleev xim rau kev coj ua. Cov tshuaj tsis tuaj yeem tiv thaiv qhov tsis xis nyob ntawm ob txhais ceg, tsuas yog qhov kev tshem tawm ntawm qhov mob txhawm rau kom ua tiav ntawm no.Muaj kev xaiv ntau ntawm cov tshuaj no - ntsiav tshuaj, tshuaj pleev, emulsions, balms, tshuaj ntsuab ua kom loog. Kev txheeb xyuas txog lawv cov txiaj ntsig yog qhov zoo, tab sis kev sau tshuaj kho koj tus kheej tsis pom zoo. Tsuas yog tus kws kho mob tshwj xeeb muaj qhov tsim nyog txaus los txiav txim siab yuav ua li cas kho thiab ua kom tsis nco qab cov qhov txhab ntawm cov ceg tawv.

Kev txhaj tshuaj tiv thaiv kab mob thiab tshuaj ntxiv

Txhawm rau kho cov mob rwj thiab txo qhov mob ntawm cov ceg tawv, nws yuav tsum noj tsis tsuas yog siv tshuaj los tawm tsam tus kab mob, tab sis tseem siv tshuaj uas txhawb lub cev. Nws tuaj yeem yog cov vitamins thiab ntsiav tshuaj los txhawb lub zog tiv thaiv kab mob. Muaj peev xwm kho tau tus kab mob thiab ntau yam ntawm cov ntxhia thiab kab kawm, cov tshuaj ntsuab, cov khoom noj muaj txiaj ntsig, cov tshuaj homeopathic. Tshuaj tua kab mob ua rau lub microflora muaj txiaj ntsig ntawm lub cev, yog li koj yuav tsum noj tshuaj los kho nws, xws li Linex. Los txiav txim siab txog hom tshuaj pab twg yuav zoo rau koj siv rau kev tiv thaiv kom tsis txhob mob caj dab, sab laj nrog koj tus kws kho mob.

Thaum kho, cov kws kho mob kuj sau ntawv qhia tshuaj vitamin thiab ntxhia ua ke kom ntxiv dag zog rau lub cev tiv thaiv kab mob.

Txhawm rau kom zoo rau kev kho mob ntawm tawv nqaij trophic, tus kws kho mob yuav twv yuav raug xaiv koj tus neeg sawv cev antiplatelet kom nyias cov ntshav. Txhawm rau kho cov mob sai sai thiab tiv thaiv qhov tshwm sim ntawm cov tshiab, phlebotonics yog siv, uas ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha ntawm nqaj. Tus kws kho mob tseem yuav pom zoo kom txhais tau tias txhais tau tias compression - daim ntaub qhwv, ib daim ntaub qhwv ywj pheej,.

Mus Kho Mob

Nws yog qhov tsim nyog los kho qhov hloov pauv trophic ntawm daim tawv nqaij ntawm qhov qis qis ntawm cov ntaub ntawv hnyav hauv tsev kho mob. Nyob ntawd, tus neeg mob tau txais kev kho mob ntau dua piv nrog kev kho mob sab nraud. Tus neeg mob yog tshuaj tua kab mob rau kev siv sab hauv, zoo li hauv daim ntawv pleev pleev rau kev kho mob ntawm qhov chaw puas ntawm cov ceg. Tus neeg mob tau txais tshuaj kho kom txo qis qhov mob hauv qab lub cev. Fibrinolytics uas pab ua kom cov ntshav txhaws txhaws tau so. Cov tshuaj yuav tsum tau noj nyob rau hauv kev saib xyuas ntawm tus kws kho mob nruj, vim tias muaj peev xwm ua tau los ntshav ntau ntxiv.

Kev kho mob ntawm trophic hloov pauv hauv qhov kawg yuav tsum ua raws li kev saib xyuas ntawm koj tus kws kho mob. Noj tshuaj uas pom zoo los ntawm kws tshaj lij. Cov tshuaj tua kab mob thiab lwm yam tshuaj noj yuav tsum tau haus cawv kom ncav sijhawm. Tsis txhob hnov qab ua qhov kev kho mob ib txwm ntawm qhov mob ntawm qhov txhab ntawm thaj tsam qis ntawm lub cev, saib xyuas lawv qhov mob.