Varicose leeg thiab ntshav qab zib: cov tsos mob thiab kev kho mob

Kev txav ntawm cov ntshav los ntawm cov leeg ntawm cov ceg tshwm sim tawm tsam kev sib tsoo - txij hauv qab txog qis. Lub zog loj yog qhov xav tau los ua cov ntshav kov yeej kev sib tsoo. Tsis zoo li cov hlab ntsha, cov leeg ntshav tsis tuaj yeem ua haujlwm rau lawv tus kheej, thawb cov ntshav hauv txoj hauv kev. Kev tsim kho cov ntshav ncig yog tsim los kom ntshav los ntawm saphenous veins (dag sab nraud) los ntawm cov hlua ntawm cov leeg txuas mus rau hauv cov leeg ntshav tob. Tab sis cov veins tob tsis tuaj yeem nqa ntshav mus rau lub siab. Rau cov txheej txheem no, cov leeg yuav tsum muaj zog ua kom muaj zog, zaws thiab ua kom ntshav nce siab mus rau lub siab. Nrog rau cov kev ua qoj ib ce qis hauv cov leeg ntshav, ntshav stagnates. Cov ntshav ntws cuam tshuam. Txoj hlab ntsha kua muag o tuaj, sawv, ua rau cov leeg ua pob ntau. Lub hauv paus tseem ceeb rau kev txhim kho ntawm cov leeg ua pob yog los ntawm cov leeg nqaij lossis lub cev ntom nti.

Poj niam muaj kev cuam tshuam nrog tus mob no ntau dua li tus txiv neej. Ib qho me me ntawm cov leeg ua rau deformation ntawm cov leeg.

Nrog ntshav qab zib, ceg yuav o. Muaj kev hnov ​​mob hauv plab hlaub. Muaj qhov mloog zoo li hnyav nyob rau hauv qis dua, txawm tias cramps tshwm sim thaum tsaus ntuj, tshwj xeeb tshaj yog thaum pw. Cov leeg vege, nets ntawm txhais ceg yog tsim. Coob ntseeg tias kev kho mob ntawm cov leeg ntshav tau txais txiaj ntsig tsuas yog siv cov tshuaj muaj txiaj ntsig ntau.

Muaj cov teeb meem sib txawv ntawm cov ntshav sib txawv, thaum kuaj mob tseem ceeb yog ntshav qab zib. Piv txwv, cov leeg ntshav muaj peev xwm ua rau mob voos, thiab nodules yuav tshwm sim ntawm cov leeg.

Daim insidious ntshav qab zib yog ntshav qab zib tsis yog-insulin, lossis hom ntshav qab zib hom 2, thaum muaj kab mob tshwm sim nrog cov teeb meem metabolic. Cov theem ntawm cov piam thaj hauv cov ntshav nce ntxiv, kev cuam tshuam ntawm cov nqaij mos nrog cov kua dej yog cuam tshuam. Ntshav Qab Zib Hom 2 yog ib hom mob uas nyuaj heev, thiab ntau yam mob ntxiv rau cov leeg ntshav yog ib yam kab mob uas ua mob hnyav ntxiv. Tab sis varicose leeg nyob rau hauv cov ntshav qab zib yuav tsum tsis tsuas yog siv tshuaj kho mob. Txoj kev kho yuav tsum muaj kev dav dav. Muaj ib pawg ntawm yoga ce. Yog tias koj ua nws, varicose leeg yuav tsum yog qhov teeb meem daws tsis tau.

Kev tiv thaiv kev ntsuas

Muaj tus mob pom tseeb rau cov leeg ntshav, nws tsis tas yuav khiav mus rau tus kws phais mob hlwb. Nws txaus los hu rau tus kws qhia yoga.

Mob ntshav qab zib provokes varicose leeg, tab sis qhov kev kuaj mob no tsis yog qhov tseeb ntawm qhov mob ntshav qab zib. Yog li ntawv, cov kev tiv thaiv yuav pab kom koj tsis txhob muaj lwm yam teeb meem.

Cov leeg nqaij tawv sib cog lus nrog qhov nyuaj, thaum ntsib nro. Kev tawm dag zog rau cov poj niam uas tsis muaj leeg lub cev sawv cev ntawm kev tsim txom. Cov tswv ntawm cov leeg tsis muaj zog yog hloov tau yooj yim, tab sis kiag li lub cev tsis muaj qhov nyuaj nyob rau hauv cov nqe lus ntawm cov nra. Rau cov poj niam zoo li no, kev tawm dag zog ntawm kev tshuav thiab sawv postures ntawm yoga yuav ua tau zoo tshaj. Lub luag haujlwm tseem ceeb ntawm yoga nrog varicose leeg yog ua kom cov leeg ua haujlwm, kom thawb cov ntshav ntawm cov leeg, txhawb nws cov kev ncig. Cov yam ntxwv ntawm kev tawm dag zog rau qeb no ntawm kev ncaj ncees kev sib deev yuav tau tham hauv qab no.

Cov tswv ntawm cov leeg khov kho feem ntau tsis yoog, tab sis lawv lub cev muaj zog. Hauv kev tawm dag zog yoga rau lawv, kev hais ntau yog ncab cov leeg. Ob leeg txuas ntxiv thiab txuas ntxiv ntawm cov leeg yog cov khoom sib txuas ntawm tib neeg cov leeg ua haujlwm. Qee qhov kev qoj ib ce ua rau vascular constriction, thaum lwm tus - lawv ncab.

Muaj txheej txheem kev tawm dag zog uas yuav pab tau rau kev tiv thaiv ntawm cov leeg ntshav thiab nyob rau theem pib ntawm tus kab mob - nrog qhov tsos pom me me vascular asterisks. Nyob rau theem sib sib zog nqus ntawm tus kabmob, tsuas yog ib tus neeg ua haujlwm nrog tus paub qhia yoga (tus kws qhia tawm tswv yim yoga) yuav tsum.

Kev tawm dag zog yoga rau cov leeg tsis muaj zog

Cov txheej txheej ntawm lub asanas yog tsom rau ntawm kev ua sawv thiab kev ua kom zoo sib npaug. Tadasana, lossis lub teeb ntawm lub roob, yog lub asanas hauv kev sawv, ntawm qhov kev ua kom pom tseeb ntawm kev tawm dag zog. Hauv kev tawm dag zog no, nws yog qhov tseem ceeb kom tsis txhob tsa koj lub taub hau. Nws yog ib qho tsim nyog yuav tsum xyuas kom meej tias cov taw tsis sib txawv ntawm ntau qhov kev qhia. Thaum ncab cov nqaj qaum, nco ntsoov tias tsis muaj qhov deflection nyob sab nraub qaum. Vrikshasana, lossis lub teeb ntawm tsob ntoo, yog qhov txuas ntxiv ntawm yav dhau los asana. Nws yog ib qho tseem ceeb uas yuav tau soj ntsuam cov cai hauv qab no:

• txhais taw tsis yog sawv ntawm hauv av xwb - lawv yog hom "cag ntoo",
• ua pa tawm suab yuav tsum ua ntsiag to.

Nws yog ib qho tseem ceeb kom tsis txhob muaj asanas nrog lub sijhawm ntev ntawm kev kho ntawm lub cev tau thaum muaj varicose leeg ntawm ob txhais ceg. Nrog kev ua haujlwm siab thiab txhais ceg, qhov no tsis ua rau zoo.

Utthita Triconasana yuav tsum muaj kev paub kom ntxaws txog cov txheej txheem. Ua ntej pib ua nrog asana no, ib tug yuav tsum tus txheej txheem ntawm Tadasan.

Hauv kev tawm dag zog no, tsis txhob khoov koj lub hauv caug lossis tig koj lub cev mus rau hauv pem teb. Asan yog contraindicated rau cov neeg muaj ntshav qis thiab lub caj dab raug mob.

Yoga ce rau cov leeg txhav

Cov txheej txheem no muaj cov txiaj ntsig zoo ntawm cov leeg leeg, uas tsim nyog rau kev tsim ntawm elasticity ntawm cov leeg tawv.

Xav txog qhov kev tawm dag zog Virasana (ua rau ib tus phab ej) + Supta Virasana (ua rau tus phab ej pw). Ua raws li cov kev muab tua:

1. Peb zaum, txhos caug, kom lawv chwv lub pelvis. Hauv qhov no, ob txhais taw raug khuam nrog lub luj taws siab. Peb nyob ib pliag hauv txoj haujlwm no. Ua pa ntseeg nkaws.
2. Peb tig mus rau kev nqis tes ua Supta Virasana: peb tig rov qab mus tom qab, so peb lub xib teg rau hauv av. Koj txoj haujlwm yog dag rau koj sab nraum qab kom ntau li ntau tau.
3. Nyob hauv txoj haujlwm no 2-3 feeb.

Xav txog kev tawm dag zog ntawm Urdhva Prasarita Padasana (ceg txuas ntxiv) Cov txheej txheem muaj cov kauj ruam hauv qab no:

1. Pw ntawm koj sab nraum qab. Ceg yuav tsum tau tsa saib lub kaum sab xis.
2. Rub cov thom khwm rau koj. Xauv lub pose rau 2-3 feeb. Tom qab ntawv rub lub thom khwm deb ntawm koj rau tib lub sijhawm. Rov ua ob peb zaug.
3. Tsuag txhais taw los ntawm rub lawv mus rau koj rau 30-60 vib nas this.

Qhov kev tawm dag zog zoo tom ntej no hu ua Pashchimottottanaana (khoov rau ob txhais ceg thaum zaum). Cov txheej txheem yog raws li nram no:

1. Zaum ntawm koj lub pob tw, ncaj koj ob sab ceg. Cov thom khwm raug taw qhia lawv tus kheej.
2. Muab koj ob txhais tes rub koj lub hauv caug. Ceevfaj tsis txhob khoov koj sab nraub qaum.
3. Pab koj tus kheej nrog koj txhais tes, maj mam ncab koj nraub qaum.
4. So koj lub nraub qaum, muab nws txo qis dua ceg. Ua kev tawm dag zog li 30-60 feeb.
5. Nqa koj sab nraub qaum, tsa koj lub taub hau. Khoov rau hauv siab thiab sab nraub qaum, xa rov qab rau tom qab mus rau txoj hauj lwm ntsug vertebrae tom qab caj qaum.

Muaj cov contraindications rau cov neeg muaj mob caj dab, radiculitis thiab nrog kev xa tawm ntawm cov pob txha caj qaum. Cov poj niam cev xeeb tub thiab mob hawb pob kuj sib deev ua haujlwm ntawm cov tshuaj asanas.

Yoga yog hom kev ua tau zoo ntawm kev ua kom cov leeg mob ntawm ob txhais ceg. Tab sis nws tsim nyog them sai sai rau qhov tseeb tias yoga tsuas ua lub luag haujlwm ntawm kev tiv thaiv varicose leeg lossis pab ua kom qeeb txheej txheem ntawm tus mob. Tab sis yoga tsis yog kev kho mob tseem ceeb rau varicose leeg. Thaum kis tau tus kab mob siab heev, sab laj tus kws qhia yoga. Nco ntsoov tias txawm tias txoj kev zoo tshaj plaws muaj nws cov contraindications thiab yuav tsum ua tib zoo saib rau daim ntawv thov.

Txog hlab ntsha ntshav qab zib

Yog tias tus neeg mob ntshav qab zib muaj kev xoom xaim txog kev txhim kho cov txheej txheem pathological hauv ob txhais ceg, koj yuav tsum hu rau tus kws kho qhov muag endocrinologist tam sim uas yuav coj koj mus tshuaj xyuas ntxiv.
Yog tias qee qhov laj thawj tsis muaj txoj hauv kev teem sijhawm nrog tus kws kho qhov muag endocrinologist, thiab feem ntau ntawm kev sib txuas lus yog nrog tus kws kho mob dav dav, hais kom nws xa koj rau kev kuaj mob tsis yog rau tus kws kho mob hlwb, tab sis kuj mus rau kws phais vascular. Cov xwm txheej zoo li no heev thaum muaj teeb meem suav txij ib sab mus. 80% ntawm cov ntshav qab zib txiav tau yuav zam tau yog tias tus kws phais mob vascular tau koom nrog kev sib tham txog kev kho mob tsim nyog rau tus neeg mob kom ncav sijhawm.

Nco ntsoov tias tus mob ko taw mob ko taw yog qhov hloov pauv ntawm cov leeg ntshav ntawm leeg THIAB / LOSSIS lub cev pw. Cov teeb meem tuaj yeem tshwm sim tiv thaiv keeb kwm ntawm cov teeb meem xws li neuropathy, micro- thiab macroangiopathies, osteoarthropathies.

Varicose leeg cov kab mob tau sawv hauv peb qib: nyiaj them, subcompensation thiab decompensation.

Nyob rau thawj theem, varicose veins yuav luag pom. Muaj qhov qaug zog me ntsis. Cov teeb liab tseem ceeb "hnub qub" lossis cov nets kuj tshwm sim. Tab sis feem ntau, tsis muaj cov tsos mob tiag tiag.
Thaum lub sijhawm ob theem - subcompensation - muaj kev kuaj mob. Cov no yog cov tsos mob tshwm sim: txhais ceg txhawm, mob plab, o, thiab ntau dua. Txoj leeg tuaj yeem pom qhov nrov lossis ntsej muag me me. Kev tshwm sim tshwj xeeb tshaj yog pom tom qab zaum ntev lossis taug kev hauv luj taws.
Cov theem ntawm decompensation yog txuam nrog cov tsos ntawm cov teeb meem xws li thrombophlebitis (mob rau cov hlab ntsha phab ntsa nrog kev tsim kom muaj tus mob thrombus), mob rau qhov ncauj (ntev ntev, nyuaj rau kho qhov txhab) thiab los ntshav. Nce kev pheej hmoo ntawm cov ntshav txhaws khiav tawm los ntawm hauv qab txag mus rau cov leeg ntshav leeg.

Kev phais mob

Nrog rau ntawm cov leeg ntshav, mob rau thaj tsam thiab mob rau hauv plab, phlebectomy tuaj yeem kho tau. Nws pab ua kom cov ntshav khiav tau hauv txoj hlab ntshav tob. Muaj ntau tus lej contraindications: lig theem varicose leeg, kab mob hauv lub plawv, mob hnyav kis, qhov thib ob ib nrab ntawm cev xeeb tub. Feem ntau kev ua haujlwm tsis tiav hauv cov laus.

Phlebectomy tuaj yeem ua ntau qhov sib txawv - classic, laser, radiofrequency ablation, sclerobliteration. Lub ntsiab lus ntawm txhua qhov kev ntxias yog tib yam - kev tshem tawm lub cev lossis rhuav tshem ntawm ib feem ntawm cov ntaub so ntswg. Ib feem ntawm cov hlab ntsha raug tshem tawm lossis nplaum rau ntawm phab ntsa, tom qab ntawd los ntawm resorption.

Tshuaj kho mob nkeeg

Raws li kev siv tshuaj uas ua rau cov leeg ntshav nce ntxiv, ntxiv dag zog rau phab ntsa, daws qhov mob o thiab txhim kho rheological cov ntshav (piv txwv, viscosity thiab fluidity).
Lub hauv paus tseem ceeb hauv txoj kev ntsuas nyuaj, yog tias kev phais mob tsis siv, yog kev siv elastic elastic. Rau qhov no, pob zeb xaws khaub ncaws kho mob raug kho (tsis txhob yuam kev nrog kev tiv thaiv). Tus neeg mob hnav li compression hosiery tas li los nres qhov muaj mob ntawm cov kab mob thiab tiv thaiv kom txhob muaj kev nyuaj ntxiv.

Nco ntsoov tias cov kev xaiv ntawm kev kho mob yog thaj chaw kws kho mob. Tsis txhob sim lossis ua koj tus kheej prophylaxis kom txog thaum tus mob meej. Kev noj tshuaj rau tus kheej nrog cov ntshav ua kom ntshav nyias yuav ua rau ntshav los ntshav. Tsis txhob siv tshuaj los kho koj tus kheej!
Thaum kho kho cov leeg mob ntshav qab zib nrog cov ntshav qab zib mellitus, tus nqi them tam sim no thiab kev txhim kho ntawm kev muaj teeb meem yuav tsum raug coj los txiav txim.
Cov neeg mob yuav tsis meej pem qee qhov pib tshwm ntawm varicose leeg nrog polyneuropathy. Yog tias koj muaj kev ua xyem xyav los yog muaj cov tsos mob ntsig txog varicose leeg, pom tus kws kho mob tam sim ntawd! Yog tias tus kws kho keeb (endocrinologist) tau xaiv tus kws kho paj hlwb, hais kom xa mus rau ib qho kev kuaj ntxiv rau tus kws phais vascular.

Cov nyhuv ntawm ntshav qab zib ntawm varicose leeg thiab chav kawm ntawm tus kab mob

Kab mob ntshav qab zib tuaj yeem cuam tshuam txog cov hlab ntsha ntawm txoj hnyuv, cov chaw mos, tab sis cov qis qis feem ntau mob. Txhua tus neeg mob thib plaub tau raug mob los ntawm tus kab mob no, qhov feem pua ​​loj dua ntawm lawv yog poj niam.

Mob ntshav qab zib mellitus yog ib qho kev mob ntsig txog tus kabmob endocrine, muaj kev tsis txaus ntseeg (tsim tawm los ntawm cov txiav) cov kua dej, cov haujlwm uas yog "siv" qabzib los ntawm cov ntshav, thiab cov cell thiab cov leeg nyob hauv cov hlab ntsha raug kev txom nyem los ntawm nws. Nrog lub sijhawm ntawm tus mob no, cov txheej txheem tsis ua haujlwm tshwm sim uas tuaj yeem ua rau kom txiav ntawm tes taw.

Nrog rau ntshav qab zib, tus kab mob no nthuav dav rau qee qhov:

• thawjuas raug txheeb ze 80% ntawm hom mob ntshav qab zib hom 2,
• tab kaum cov ntshav (ntshav qab zib loj heev- lossis microangiopathy),
• hyperglycemia hloov ntshav txaus, nce ntshav plasma viscosity, nce ntawm fibrogen (cov protein uas ua rau fibrin - lub hauv paus ntawm cov ntshav txhaws),
• ib qho ntawm lub ntsiab tseem ceeb nyob rau hauv kev txhim kho ntawm varicose leeg - leeg khov kho los yog nkeesnyob rau hauv uas cov ntshav ncig tau cuam tshuam, cov leeg ntawm lawv tus kheej tsis cog lus, yog li kev hloov ntawm cov leeg nqaij ua rau lub cev tsis tuaj yeem ua haujlwm.

Varicose leeg tshwm sim vim kev ncab ntawm phab ntsa venous. Feem ntau feem ntau (nrog ntshav qab zib) cov leeg thaj tsam cuam tshuam, tab sis muaj cov xwm txheej thaum cov leeg nyob ze ntawm lub cev pob txha (tob) cuam tshuam.

Ntshav qab zib mellitus yog ib qho ntawm cov tseem ceeb ntawm varicose leeg, thaum ib tug xov tooj ntawm ntau yam cuam tshuam qhov pib thiab chav kawm ntawm tus kab mob. Cov no suav nrog cov hauv qab no:

• yug los ua neeg ruam
• cev xeeb tub thiab lawm,
• cawv, haus luam yeeb,
• hnyav thauj khoom, hnyav dhau ntawm cov ceg,
• nce ntshav coagulation (yug los yog nrhiav),
• zaub mov tsis zoo, tsis muaj vitamins ntawm pawg P, C thiab E,
• cov khau rau siab siab, yog tias hnav txhua lub sijhawm,
• kab mob ntawm lub raum, hlab plawv system,
• bluse ntshav poob.

Varicose leeg kev kho mob

Kev kho mob ntawm cov leeg ntshav qab zib hauv ntshav qab zib yuav tsum pib nrog kev kuaj mob thiab kev sib tham ntawm cov kws kho mob, phlebologist thiab endocrinologist. Nws yog tus kws kho mob phlebologist uas txiav txim siab txog theem thiab kev siv ntawm tus kab mob loj hlob, tshaj tawm kev noj tshuaj, thiab tus kws kho mob endocrinologist tau lees tias tau teem sijhawm, vim tias mob ntshav qab zib mellitus tsis yog txhua daim npe tshuaj tuaj yeem siv. Nws tseem yuav tsum tau coj mus rau hauv tus account tias kev kho mob yuav tsum tau muaj txhij txhua.

Rau kev kho mob ntawm varicose leeg nrog ntshav qab zib, thov:

1. Kev siv tshuaj pleev. Feem ntau, cov kws kho mob muab tshuaj rau cov tshuaj nram qab no: Troxevasin (txo cov txheej txheem ua paug, ntxiv cov hlab ntsha elasticity, txhawb kev o), Detralex (nqaim ntawm cov leeg ntshav, pab txhawm rau txhawm rau lymph, kov nrog congestion), Rutin (ib qho tshuaj vitamin lossis lwm yam bioflavonoid uas yog ib feem ntawm P ua rau cov leeg ntsa relieves tau o, o, cramps, tiv thaiv qhov tsim ntawm qhov txhab), thiab lwm yam.
2. Noj tshuaj ntsiav: Venarus, Anavelon, Aescusan, Venoruton 300, thiab lwm yam. Cov tshuaj no txhim kho cov nyhuv ntawm cov tshuaj pleev.
3. Nws yog ib qho tsim nyog yuav tsum tau hnav cov ris tsho kho mob tshwj xeeb tsis tu ncua thiab thom khwm rau cov ntshav qab zib. Qhov kev hloov pauv tsis tu ncua ua kom tiav qhov kev ua haujlwm kom zoo ntawm lub plab hlaub cov leeg, txhim kho cov kab mob ntawm cov leeg, thiab tiv thaiv kev txhim kho txuas ntxiv ntawm cov leeg ntshav. Kev kho mob knitwear tuaj yeem yuav luag tag nrho tshem tawm stagnation los ntawm tus neeg mob.
4. Kev phais mob - Txoj kev tshaj dhau kev los daws cov leeg ntshav qab. Nws suav nrog ntau hom phlebectomies: laser lossis radiofrequency ablation, sclerobliteration, thiab lwm yam zoo li venoextraction, nyob rau hauv uas cuam tshuam thaj chaw ntawm cov leeg ntshav tau muab tshem tawm tag nrho.

Teeb meem

Teeb meem leeg ntshav ntu tshwm sim hauv 35% ntawm cov neeg mob ntshav qab zib. Qhov ntau dua ntawm kev txhim kho tus kab mob mas nyob ntawm lub hnub nyoog thiab poj niam txiv neej tus neeg mob; cov laus thiab cov poj niam muaj feem ntau dua. Qhov no yog qhov teeb meem uas yuav tsum daws los ntawm cov tub txawg, cov tshuaj ib txwm muaj hauv qhov no tsis muaj txiaj ntsig, txawm tias tuaj yeem ua rau muaj kev rau txim loj.

Cov teeb meem feem ntau ntawm cov ntshav sib txawv muaj raws li hauv qab no:

• mob venous tsis txaus,
• varicose dermatitis,
• phlebitis thiab thrombophlebitis,
• mob ntsws vwm
• pulmonary embolism, pulmonary embolism yog ib qho ua rau muaj mob ntxov ntxov, kev tuag sai sai ntawm tus neeg mob,
• pathological kev hloov pauv ntawm leeg, los ntshav,
• lymphedema lossis lymphostasis, ua rau muaj kev cuam tshuam ntau ntawm ob txhais ceg, nce ntxiv yuav luag ob npaug ntawm lawv qhov loj.

Qhov yeeb yaj kiab hauv qab no yuav ua rau koj paub txog cov kev phem txaus ntshai uas yuav tshwm sim rau qhov tsis muaj kev kho mob rau cov mob ntshav qab zib uas muaj mob ntshav qab zib mellitus:

Kev tiv thaiv ntawm varicose leeg rau cov neeg mob ntshav qab zib mellitus

Yog tias koj muaj thawj cov cim ntawm varicose leeg, nws yog qhov tseem ceeb heev los tiv thaiv kev loj hlob ntawm tus kab mob.Txhua tus tuaj yeem daws tau yooj yim nrog txoj haujlwm no, ua raws li cov cai yooj yim ntawm kev tiv thaiv:

• muab kev tawm ntawm cov ntshav los ntawm cov ceg thaum lub sijhawm pw, thaum tso pw, tso koj ob txhais ceg saum lub cev,
• siv cov thom khwm ywj pheej uas yuav pab txhawb cov leeg thiab leeg,
• nrog kev ua kom loog - ua (ib zaug ib teev) sov tuaj, zaws koj ob txhais ceg, thiab nrog sawv kev ua haujlwm - so,
• txav mus nquag, tsis txhob nyob hauv ib qho chaw ntev,
• tsis hnav zoo ris-tsho hauv qab,
• nyob rau hauv qhov chaw zaum tsis txhob tso ib txhais ko taw rau ntawm lwm qhov, tsis txhob hla lawv,
• tshem tawm cov cawv los ntawm kev noj haus, noj zaub mov ntau uas muaj cov tshuaj fiber,
• tawm dag zog ib hnub ob zaug. Cov kev tawm dag zog uas ua tau rau cov leeg ntshav: thaum pw, tsa koj ob txhais ceg thiab tuav lawv nyob hauv txoj haujlwm ntawd. Kev ua kom cov leeg ua kom muaj zog yog ib qho tseem pab tau.

Kab mob varicosis nyob rau hauv cov ntshav qab zib mellitus tsis yog qhov tshwm sim tsawg, tab sis nws tsis yog kab lus txhua. Cov kev kho mob niaj hnub tuaj yeem daws cov teeb meem no, thiab kev tiv thaiv yooj yim yuav tiv thaiv kev txhim kho ntawm tus kab mob. Tab sis tsis txhob tso tawm ntawm cov leeg ntshav, vim hais tias tus kab mob no loj heev, uas ua rau muaj kev phom sij heev, yuav ua rau cov ceg ploj thiab txawm tuag.

Kev kho mob ko taw rau mob ntshav qab zib: siv cov tshuaj twg?

Kev kho mob ko taw rau tus mob ntshav qab zib yog qhov teeb meem tseem ceeb rau ob tus neeg mob ntshav qab zib thiab kws kho mob. Puas muaj cov teeb meem mus rau kev kho mob ntshav taw ko taw? Yog tias muaj, yuav ua li cas rau cov kev siv ntawm cov tshuaj xav kom siv?

Yuav ua li cas thiab vim li cas thiaj li mob qhov ncauj tshwm sim nyob rau hauv qhov chaw mob ntshav qab zib?

Kab mob ntshav qab zib muaj tshwm sim hauv 70 feem pua ​​ntawm cov neeg tau kuaj pom tus kab mob, hos kev tswj tsis tau qab zib kom cov feem pua ​​tau ntau. Yog li vim li cas thiaj li mob ceg mob tshwm sim hauv ntshav qab zib thiab cov tsos mob twg yog qhov koj yuav tsum ua tib zoo mloog xav tias tsam muaj mob ntshav qab zib ko taw?

Lub pathogenesis ntawm kev txhim kho ceg mob hauv ntshav qab zib ntawm ib yam twg yog cuam tshuam nrog kev tsis pom tshwm sim angiopathy, neuropathy.

Vim txoj kev loj hlob ntawm dyslipidemia, muaj kev pheej hmoo ntawm atherosclerosis thiab kev ua kom lub zog peroxidation, kev cuam tshuam kev mob ntshav (ischemia) tshwm sim tsis tsuas yog hauv cov hlab ntsha loj thiab cov hlab ntsha me, uas tau pom los ntawm macro- thiab microangiopathy, feem.

Kev swb ntawm txawm tias cov hlab ntsha me tshaj plaws - vasa nervorum, uas koom nrog kev noj zaub mov ntawm cov paj ntoo ntawm lub cev, uas ntxiv txhim kho qhov kev ua kom pom kev mob, yog yam ntxwv. Cov ntsiab lus no tau tso cai rau peb kom piav qhia txog kuv cov ceg ua mob ntshav qab zib li cas.

Mob hauv ceg hauv ntshav qab zib tsis yog tsuas yog vim muaj tus mob angiopathic thiab neuropathic xwb.

Ua kom muaj cov kab mob nyob hauv lub cev ua rau muaj kev tshwj xeeb rau kev tsim kev sib raug zoo ntawm “txhais ceg thiab ntshav qab zib”.

Cov ceg hauv cov ntshav qab zib mellitus tshwj xeeb muaj kev cuam tshuam rau cov mob hnyav, yog li cov kab mob ntawm cov ceg hauv ntshav qab zib hom 2 feem ntau txhim kho, kev kho mob uas yuav tsum tau siv tshuaj tua kab mob.

Ob txhais ceg mob hauv ntshav qab zib, tsis hais txog kev ua haujlwm hauv lub cev. Mob rwj, pulsating nyob rau hauv qhov, tshwj xeeb tshaj yog ob txhais ceg mob nyob rau hauv ko taw cheeb tsam (ntiv taw).

Qhov mob tuaj yeem sib kis tau rau tus thav nyuj, mus rau lub pob tw. Kev noj tshuaj tawm lub cev los ntawm NSAID pab pawg pib ua kom muaj txiaj ntsig, tab sis tom qab ntawd lawv tsis muaj txiaj ntsig.

Yog tias cov txhais taw mob mob ntshav qab zib, koj yuav tsum nrhiav kev pab tam sim ntawd.

Cov tsos mob ntawm tus kab mob ceg hauv qhov chaw mob ntshav qab zib

Yuav ua li cas cov kab mob thiab tshwm sim yuav tsum tau ntaus nqi rau qhov tshwm sim ntawm tus kab mob pob txha hauv ntshav qab zib mellitus tuaj yeem pom hauv cov npe hauv qab no.

• Ntau yam qauv ntawm neuropathy.
• Cov tsos mob Edema (thaj chaw ntawm pob taws, ko taw, ntiv taw).
• Ntshav qab zib mob pob txha.
• Mob raum (mob).
• Mob ko taw mob ntshav qab zib mob (SDS) - mob ko taw puas hauv ntshav qab zib hom 2, kev kho yuav tsum tau mus ntsib kws phais mob.

Yog tias cov ceg mob ntshav qab zib muaj ntshav qab zib, nws yog qhov yuav tsum tau ntsuas qhov ua rau mob, lub sijhawm nws tshwm sim. Tshawb xyuas cov tawv nqaij - ntau zaus cov ntiv taw dub, cov qauv ntawm cov ntsia hlau hloov, lawv kuj qee zaum dub.

Nws yog ib qho tseem ceeb kom soj ntsuam cov plaub hau ntawm daim tawv nqaij ntawm ob txhais ceg. Nrog neuropathy, cov plaub hau tsawg dua, lawv sai sai tsis muaj xim.

Kev qoj ib ce hauv ob txhais ceg yog thawj qhov uas cuam tshuam ob txhais ceg nrog tus mob ntshav qab zib hom 2, kev kho mob ntawm qhov xwm txheej no yuav tsis cia SDS tsim.

—NOTE - Tseem Ceeb! Yog tias cov ntiv taw tau dub, koj yuav tsum tsis txhob ncua kev mus ntsib tus kws kho mob uas koom nrog - SDS ua tus qauv ntawm ko taw puas nyob hauv ntshav qab zib hom 2, kev kho yuav tsum ua kom raws sijhawm.

Kev o, tuaj yeem tshwm sim ntawm ob txhais ceg nrog ntshav qab zib. Qhov no ua rau tingling hauv ob txhais ceg. Ko taw cuam tshuam ua ntej, nws feem ntau mob.

"Corns", hu rau hauv qhov chaw ntawm lub siab tshaj plaws (uas yog tshwj xeeb ntawm cov yam ntxwv ntawm ischemic neuropathy) kuj yuav tshwm sim.

Kev hnov ​​mob tsawg dua, tib lub sijhawm, txhais ceg mob heev (qhov mob hnov ​​tau raug tshwj tseg). Qhov kub ntawm ko taw tuaj yeem yog nce ntxiv los yog tsawg dua.

Cov ntau ntawm cov kev tshawb fawb xav tau los txhawm rau paub txog kab mob ko taw hauv ntshav qab zib mellitus:

1. Kev ntsuam xyuas dav dav ntawm cov ntshav dawb thiab liab, tso zis.
2. Kev kawm biochemical ntawm ntshav dej.
3. Glycemic profile, glycosylated hemoglobin cov ntsiab lus (yog li ntshav qab zib mellitus tau txheeb xyuas qhov tseeb).
4. Xoo hluav taws xob taw.
5. Ultrasound nres.
6. Ultrasound duplex scanning ntawm nqaj hlab ntsha feem ntau yuav qhia txoj kev ko taw hauv ntshav qab zib hom 2, kev kho yuav pib thaum lub sijhawm.

Cov hau kev kho mob

Yuav kho cov ceg mob ntshav qab zib li cas thiab yog li cas tam sim no saib rau kev kho mob ntshav qab zib hom 2?

Qhov muaj feem thib ob hauv kev kho thiab tiv thaiv tus kab mob ko taw nyob hauv ntshav qab zib hom 2, kev kho mob ntawm pob txha, yog tswj ntshav qab zib. Ntau yam tshuaj muaj suab thaj txo qis tau siv.

Bigunaids, sulfonylureas, thiazolidinedinones, qabzib-sodium cotransporter inhibitors thiab lwm tus tau siv coj los kho mob ceg txhawm rau hom ntshav qab zib hom 2.

Cov kev xaiv ntawm cov tshuaj ntau dua li kho cov tsos mob ntawm tus mob ntshav qab zib mellitus tshwm sim zuj zus, suav txog tus neeg mob lub siab ntev rau qee yam tshuaj. Neuropathic txhais ko taw puas nyob hauv ntshav qab zib hom 2: kev kho mob nrog qhov ncauj yog qhov ua tau zoo.

Kev kho mob ko taw rau hom ntshav qab zib hom 2 tuaj yeem suav kev kho tshuaj insulin. Qhov no yog qhov tseeb tshwj xeeb ntawm cov xwm txheej ntawm refractoriness rau kev tswj hwm qhov ncauj ntawm cov tshuaj uas muaj suab thaj txo qis, kev txhim kho ntawm lub xeev tsis muaj zog, tsis nco qab. Kev xam ntawm cov koob tshuaj insulin yog nce nyob ntawm tus neeg mob lub cev qhov hnyav. Tib lub sijhawm, kev kho ko taw rau tus mob ntshav qab zib hom 2 xav txog "kev paub" ntawm tus kab mob.

Tab sis yuav ua li cas thaum ob txhais ceg mob mob ntshav qab zib? Thawj qhov yuav tsum tau ua yog mus ntsib kws kho mob - kws kho mob lossis kws kuaj mob endocrinologist. Nws yuav qhia rau kev sab laj rau tus kws tshaj lij, uas tau muab cov kev sim ua sim ua ntej thiab ntsuas cov twj. Lawv yuav qhia cov kab mob ko taw hauv ntshav qab zib hom 2: tus kws kho mob yuav tshaj tawm txoj kev kho.

Daim ntawv teev cov tshuaj rau kev kho mob pathogenetic, suav nrog kev kho mob ceg rau ntshav qab zib, suav nrog kev npaj vascular. Cov no suav nrog Actovegin thiab Sulodexide (Wessel Duet f).

Cov tshuaj no txo ​​cov ntshav txhaws, ntxiv dag zog rau cov hlab ntsha ntawm ob txhais ceg hauv cov ntshav qab zib mellitus, muaj qhov tsis sib luag thiab tiv thaiv kev ua haujlwm.

Ntau cov kev tshawb fawb tau pov thawj lawv qhov kev ua tau zoo hauv cov kab mob ko taw atherosclerotic (mob ntshav qab zib).

Actovegin muaj nyob rau hauv ampoules ntawm 2000 mg thiab hauv ntsiav tshuaj daim ntawv (hauv ib ntsiav tshuaj 200 mg ntawm tus neeg sawv cev nquag). Txoj kev kho cov kauj ruam yog qhov zoo tshaj plaws: cov kev hloov pauv maj mam los ntawm kev tswj hwm ntawm actovegin rau kev tswj hwm qhov ncauj.

Cov tshuaj no tau tso tshuaj rau ib hnub ib zaug rau ob lub lis piam, tom qab ntawd rau rau lub lis piam nws yuav qaug cawv hauv kev noj tshuaj txhua hnub ntawm 1200 mg (uas yog, 3 ntsiav tshuaj yuav tsum tau noj 2 zaug ib hnub nrog dej ntau tom qab noj mov).

Sulodexide yog siv rau kev puas tsuaj rau ko taw hauv ntshav qab zib hom 2, kho raws li cov qauv qub, maj mam hloov kev siv niam txiv nrog kev tswj hwm ntawm qhov ncauj ntawm cov ntsiav tshuaj daim ntawv.

Hauv hom 2 mob ntshav qab zib mellitus, kev kho mob rau ib qho twg ntawm neuropathy suav nrog kev noj thioctic acid npaj - neuro lipone, thioctacide, thiogamma thiab lawv cov analogues. Cov tshuaj tseem muaj nyob rau hauv daim ntawv ntawm kev daws rau kev siv tshuaj thiab hauv cov ntsiav tshuaj. Koob tshuaj - 600 mg. Kev kho mob tshwm sim hauv ob theem:

1. Thioctacid muab tshuaj rau leeg ib leeg kaum hnub ib zaug.
2. Tsib caug hnub, cov tshuaj yuav tau noj ntawm qhov ncauj, ib hnub ib zaug. Yog tias cov ceg nrog ntshav qab zib mellitus mob siab heev, lub sijhawm siv ntau ntxiv.

Kev siv cov NSAIDs yuav pab txo cov kev mob ntsws mob ntshav qab zib hauv neuropathy, zoo ib yam li lwm cov tshuaj ntawm neuropathy (zam kom tsis txhob siv ntau vim yog nephrotoxicity). Kev cuam tshuam da dej feem ntau pab.

Kev siv dag zog hauv lub cev yog dav siv. Nrog ntshav qab zib hom 2, kev kho yog txoj. Nws yuav tsum muaj cov kev xav hauv nruab siab, zaws.

Tshwj xeeb tshaj yog kev puas tsuaj hauv ko taw ntshav qab zib hom 2: kev kho mob yog tswj xyuas cov tsos mob kom rov zoo li qub, ua kom rov muaj zog ploj.

Varicosis hauv ntshav qab zib: nta

Kev txav ntawm cov ntshav los ntawm cov leeg ntawm cov ceg tshwm sim tawm tsam kev sib tsoo - txij hauv qab txog qis. Lub zog loj yog qhov xav tau los ua cov ntshav kov yeej kev sib tsoo. Tsis zoo li cov hlab ntsha, cov leeg ntshav tsis tuaj yeem ua haujlwm rau lawv tus kheej, thawb cov ntshav hauv txoj hauv kev.

Kev tsim kho cov ntshav ncig yog tsim los kom ntshav los ntawm saphenous veins (dag sab nraud) los ntawm cov hlua ntawm cov leeg txuas mus rau hauv cov leeg ntshav tob. Tab sis cov veins tob tsis tuaj yeem nqa ntshav mus rau lub siab.

Rau cov txheej txheem no, cov leeg yuav tsum muaj zog ua kom muaj zog, zaws thiab ua kom ntshav nce siab mus rau lub siab. Nrog rau cov kev ua qoj ib ce qis hauv cov leeg ntshav, ntshav stagnates. Cov ntshav ntws cuam tshuam. Lub saphenous cov hlab ntsha o tuaj, twists, sib sau ua cov ntshav sib kis.

Varicose leeg hlav. Lub hauv paus tseem ceeb rau kev txhim kho ntawm cov leeg ua pob yog los ntawm cov leeg nqaij lossis lub cev ntom nti.

Poj niam muaj kev cuam tshuam nrog tus mob no ntau dua li tus txiv neej. Ib qho me me ntawm cov leeg ua rau deformation ntawm cov leeg.

Nrog ntshav qab zib, ceg yuav o. Muaj kev hnov ​​mob hauv plab hlaub. Muaj qhov mloog zoo li hnyav nyob rau hauv qis dua, txawm tias cramps tshwm sim thaum tsaus ntuj, tshwj xeeb tshaj yog thaum pw. Cov leeg vege, nets ntawm txhais ceg yog tsim. Coob ntseeg tias kev kho mob ntawm cov leeg ntshav tau txais txiaj ntsig tsuas yog siv cov tshuaj muaj txiaj ntsig ntau.

Muaj cov teeb meem sib txawv ntawm cov ntshav sib txawv, thaum kuaj mob tseem ceeb yog ntshav qab zib. Piv txwv, cov leeg ntshav muaj peev xwm ua rau mob voos, thiab nodules yuav tshwm sim ntawm cov leeg.

Daim insidious ntshav qab zib yog ntshav qab zib tsis yog-insulin, lossis hom ntshav qab zib hom 2, thaum muaj kab mob tshwm sim nrog cov teeb meem metabolic. Cov theem ntawm cov piam thaj hauv cov ntshav nce ntxiv, kev cuam tshuam ntawm cov nqaij mos nrog cov kua dej yog cuam tshuam.

Ntshav Qab Zib Hom 2 yog ib hom mob uas nyuaj heev, thiab ntau yam mob ntxiv rau cov leeg ntshav yog ib yam kab mob uas ua mob hnyav ntxiv. Tab sis varicose leeg nyob rau hauv cov ntshav qab zib yuav tsum tsis tsuas yog siv tshuaj kho mob. Txoj kev kho yuav tsum muaj kev dav dav. Muaj ib pawg ntawm yoga ce.

Yog tias koj ua nws, varicose leeg yuav tsum yog qhov teeb meem daws tsis tau.

Mob ntshav qab zib thiab thrombophlebitis

Mob ntshav qab zib mellitus yog ib qho kab mob ntawm cov endocrine system ntawm kev mob ntev, tshwm sim los ntawm cov ntsiab lus siab ntawm cov piam thaj hauv cov ntshav vim qhov kev ua txhaum ntawm nws txoj kev siv vim tsis muaj cov tshuaj insulin (ib yam tshuaj uas tsim los ntawm cov txiav).

Txhawb cov ntshav qab zib ua rau lub luag haujlwm ntawm yuav luag txhua qhov chaw haujlwm. Nws muaj kev cuam tshuam loj dua rau cov hlwb nrog cov tsis muaj tshuaj insulin-glucose tuaj. Cov no yog cov cell ntawm lub puab sab hauv ntawm cov hlab ntshav thiab cov qe ntshav.

Tus mob no ua rau muaj qhov tshwm sim sai sai uas cuam tshuam tsis tau.

Qhov tseem ceeb rau kev tsim cov hlab ntuag ntshav qab zib hauv cov ntshav qab zib

Thrombophlebitis yog ib qho kev kho mob hauv cov phab ntsa ntawm cov leeg ntshav, nrog rau cov ntshav khov hauv cov chaw no. Rau kev txhim kho kabmob, kev sib txuas ntawm peb yam yog qhov tsim nyog:

• Kev ua txhaum ntawm kev ncaj ncees ntawm phab ntsa. Kev hloov pauv lossis raug mob ua rau sab hauv ntawm lub nkoj. Nyob hauv cov chaw no cov qe ntshav kom yooj yim khom, ua rau cov ntshav txhaws.
• Ntxiv ntshav viscosity. Cov ntshav khov ntau ntxiv ua cov ntshav txhaws sai dua cov ntshav "ua kua". Cov ntshav viscosity tuaj yeem nce ntxiv vim muaj ntau yam: los ntawm kev haus dej haus cawv mus rau cov kab mob endocrine.
• Ua ntshav ntws qeeb. Cov ntshav ntws qeeb hauv qhov chaw ntawm nqaim lossis vasodilation (piv txwv, cov leeg ntshav).

Txhua yam cuam tshuam no qhia meej meej hauv cov ntshav qab zib. Qhov tsim nyog ua ntej rau txoj kev loj hlob ntawm thrombophlebitis yog cov nyiam ntawm tus mob ntshav qab zib mus rau varicose leeg. Li ntawm 80% ntawm cov neeg mob uas muaj ntshav qab zib hom 2 yog rog, nrog peb zaug ntau dua qhov kev pheej hmoo ntawm kev mob varicose leeg.

Cov txheej txheem ntshav qab zib muaj ntau cov kev cuam tshuam loj heev rau cov hlab ntshav ntawm lub cev thiab ntawm cov ntshav ncig. Muaj lwm lub tswvyim sib txawv ntawm qhov tshwm sim no: micro-mob ntshav qab zib- thiab macroangiopathy.

Qhov no yog cov txheej txheem ntawm kev puas tsuaj rau cov hlab ntsha ntawm cov diameters sib txawv (los ntawm me me, zoo li lub nkoj ntawm cov leeg ntawm retina, mus rau qhov loj, zoo li cov leeg pob tw ntawm txhais ceg lossis txhais tes).

Cov phab ntsa ntawm cov hlab ntsha ua tsis taus, yooj yim puas tsuaj, nquag los ntshav thiab ntshav los tsim, qhov ntxim nyiam ntawm cov ntshav txhaws ntxiv, cov plahaum roj av yog qhov yooj yim tso. Feem ntau, mob ntshav qab zib angiopathy ua rau nws qhov pib ntawm cov hlab ntsha me me (cov hlab ntsha thiab leeg ntawm cov leeg, ntiv taw).

Kev nce ntxiv ntawm cov piam thaj muaj qhov tsis zoo rau ntshav khiav. Vim tias hyperglycemia, cov khoom ntawm cov kab mob erythrocyte membrane pauv: lawv cov deformability tsawg dua, thiab qhov nyiam los lo ua ke nce.

Tsis tas li ntawd, viscosity ntawm cov ntshav ntshav nws tus kheej nce ntxiv thiab, vim li ntawd, cov ntsiab lus ntawm cov fibrinogen (cov protein ua lub luag haujlwm rau kev tsim lub thrombus puag - fibrin) nce. Tag nrho cov no ua rau cov ntshav tuab ntawm cov ntshav, ua rau qeeb qeeb nws tam sim no thiab tsim muaj cov tshuaj thrombotic.

Cov qe ntshav liab ntawm cov neeg mob ntshav qab zib muaj qhov siab ntawm cov ntshav sib xyaw nrog cov npoo sab hauv, nce qhov kev pheej hmoo ntawm cov ntshav txhaws thiab atherosclerotic plaques.

Thaum cov ntshav qab zib, qhov sib npaug ntawm qhov tsim ntawm cov ntshav txhaws thiab lawv cov resorption tau cuam tshuam. Ntau dhau qhov kev txwv tsis pub rau fibrinolysis ua rau kom cov ntshav txhaws tsis ua hauj lwm thiab muaj mob heev. Tsis tas li, mob ntshav qab zib yog tus cwj pwm los ntawm kev ua nrawm ntawm cov platelet adhesion ntawm lawv tus kheej.

Ntxiv rau kev puas tsuaj rau lub txaj vascular, ntshav qab zib cuam tshuam cov leeg ntawm cov pob txha thiab tom kawg. Mob ntshav qab zib polyneuropathy yog ib qho mob uas ua rau txo qis mob thiab qhov kub thiab txias. Kev hnov ​​mob nkag ntawm caj npab thiab txhais ceg (cov tsos mob ntawm "thom khwm" thiab "hnab looj tes").

Nyob rau hauv tes thiab taw muaj qhov hnov ​​mob hlawv, lawv yog loog thiab tingling, tshwj xeeb tshaj yog qhov kev xav thab no thaum tsaus ntuj. Txij li qhov kev nkag siab pib xav tau yog qhov tseem ceeb tsis txaus ntseeg, cov neeg mob tuaj yeem raug mob yog tias tsis pom lawv tus kheej.

Kev ua txhaum ntawm lub hauv paus poob siab ntawm tus taw, thiab nyob rau hauv loj heev ntawm ob txhais ceg, ua rau malfunctions nyob rau hauv kev noj haus ntawm cov nqaij thiab cov hlab ntshav. Vim tias qhov no, cov kev mob hnyav rau tus neeg mob pib ua mob ntshav qab zib thiab mob rwj.

Kev nrib pleb thiab mob dermatitis ua rau mob sib kis ntawm cov txheej txheem hauv cov nqaij hauv qab, hlab ntsha.

Mob raum ua rau mob ntsws mob txhaws hau nrog ntshav qab zib mellitus yuav mob heev dua. Kev kis mob ntshav qab zib thiab ntshav qab zib tsim lub voj voog ua tsis huv.Kev kis kab mob cuam tshuam cov txheej txheem hauv lub cev hauv lub cev, thiab vim muaj ntshav qab zib, kev tsim dua tshiab thiab kho cov ntaub so ntswg qeeb qeeb.

Muaj kev pheej hmoo ntawm kev kis mob nrawm thiab mob ntshav qab zib ntau zuj zus. Nrog trophic ulcerations nyuaj los ntawm chav kawm purulent, ob qho tib si endogenous thiab exogenous insulin raug rhuav tshem los ntawm cov enzymes.

Cov tshuaj insulin hloov maj mam nce zuj zus, uas ua rau cov ntshav qab zib ploj mus.

Cov tsos mob ntawm qhov txhab

Cov kab mob kev soj ntsuam ntawm tus txheej txheem thrombophlebitis nyob rau hauv cov ntshav qab zib mellitus zoo ib yam li cov chav kawm hom qub:

• Mob taub hau Mob ntawm thaj tsam ntawm lub nkoj cuam tshuam, hauv cov leeg nqaij ntawm ceg. Zoo nkaus li muaj puv ntoob ntawm ob txhais ceg thiab tshaj tawm tsis xis nyob.
• Cov tawv nqaij saum thaj chaw occlusion yog xim liab, hnov ​​mob thaum kov.
• Txoj hlab ntsha muaj kev xav rau hauv daim ntawv ntawm nruj ncig.
• Kev mob hnyav ntawm cov leeg.
• Kev nqhis tawv yog qhov nyuaj.
• Cramps, loog ntawm lub nqua yog tau.
• Yog hais tias tus neeg mob tau mob tawm tsam, ces lawv dhau los ua ntom thiab mob, nce ntxiv.
• Atrophy ntawm daim tawv nqaij thiab cov nqaij hauv qab yog loj hlob sai sai. Tsaus nti tshwm sim rau ntawm daim tawv nqaij saum cov hlab ntsha thrombophlebitic.
• Mob raum ua rau tshwm sim sai. Lawv yog cov uas pheej, tshwm sim hauv qhov. Nws yog qhov nyuaj rau kev kho.
• Cov tsos mob ntawm kev qaug dej qaug cawv feem ntau yog qhia.
• Kev hloov pauv ntsej muag nyob hauv cov piam thaj, cov tsos mob ntawm hyper- lossis hypoglycemia, tshwj xeeb tshaj yog nrog purulent trophic mob.

Qhov txawv txav ntawm thrombophlebitis hauv cov neeg mob ntshav qab zib yog qhov ntev tsis kho kom zoo rau cov mob trophic. Yog hais tias qhov txhab mob tau pib aseptic, tom qab ntawd tom qab kis tau tus mob thiab kev txhim kho ntawm cov txheej txheem purulent-inflammatory. Feem ntau nws ua rau kev txhab ntxiv ntawm daim tawv nqaij, cov nqaij mos, ua rau pob txha. Xws li cov zwj ceeb yuav ua rau txiav mus ua povtseg.

Cov ntshav txhaws uas tsim los thaum mob ntshav qab zib tuaj yeem sib txuas tau ntev dhau ntawm cov hlab ntsha ntev, lossis nrog rau qhov xau dawb-kawg kawg (ntab). Qhov no yuav tsum nco ntsoov hauv kev kuaj mob ntawm tus mob thrombophlebitis. Floating ntshav txhaws tuaj yeem ua rau muaj kev cuam tshuam loj heev - pulmonary embolism. Feem ntau, xws li thromboembolism yog neeg tuag taus.

Kev kuaj mob ntawm thrombophlebitis ntawm cov leeg nyob rau hauv cov ntshav qab zib mellitus muaj nyob rau hauv kev txheeb xyuas nws, txiav txim qhov chaw ntawm cov neeg mob thrombotic, lawv qhov ntev. Nws tseem yog qhov yuav tsum tau txiav txim siab ntawm lub xub ntiag ntawm lub rooj noj mov txav. Qhov no yog qhov tseem ceeb rau kev txiav txim siab ntawm tus neeg mob txoj kev kho: kev txuag kho lossis phais.

Kev kho mob ntawm thrombophlebitis pathology hauv cov neeg mob ntshav qab zib

Kev kho mob ntawm thrombophlebitis ntawm qhov mob siab tshaj plaws nrog rau ntshav qab zib yuav tsum muaj txhij txhua. Ua ntej, koj yuav tsum hloov koj txoj kev ua neej, khoom noj khoom haus. Qhov thib ob, tab sis tsis muaj tsawg dua qhov tseem ceeb ntawm kev kho mob yog ua tiav kev them nyiaj rau cov txheej txheem ntshav qab zib.

Nws yog ib qho tseem ceeb kom paub meej tias cov ntshav qabzib nyob ruaj khov los ntawm kev noj zaub mov noj, npaj tshuaj insulin lossis tshuaj insulin-hloov thiab ua haujlwm lub cev. Kev ua tib zoo saib xyuas ko taw yog qhov yuav tsum tau ua, yuav tsum tau saib xyuas kom tsis txhob raug mob. Kev da dej sov so thiab dej qab zib uas ntxuav muag tawv nqaij muaj cov txiaj ntsig zoo.

Ua raws li cov lus pom no yuav pab ua kom mob ntshav qab zib angiopathy thiab mob hlwb.

Kev kho tshuaj thaum lub sijhawm kho dua ntawm thrombophlebitis thiab rau cov hom phiaj prophylactic muaj nyob rau hauv kev teem caij cov tshuaj uas txhim kho cov ntshav txaus hauv cov hlab ntsha, capioprotectors, neuroprotectors thiab tshuaj uas txhim kho cov txheej txheem hauv metabolic. Yuav tsum tau siv cov ris tsho hauv qab lossis txaij dhau ntawm cov nqaj.

Nrog rau kev zam dhau los ntawm cov txheej txheem, txoj hauv kev ntawm kev kho mob tshwj xeeb rau thrombophlebitis yog siv:

• vascular phab ntsa ntxiv dag zog npaj
• cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob,
• circulatory correctors,
• thrombolytics
• non-steroidal anti-inflammatory,
• Tshuaj tua kab mob.

Kev saib xyuas tshwj xeeb hauv thrombophlebitis hauv cov neeg mob ntshav qab zib tau muab rau kev kho mob hauv zos. Cov tshuaj pleev, tshuaj pleev thiab pleev pleev yog siv rau yaj cov thom khwm pawg, ua rau mob, ua kom tsis hnov ​​tsw. Cov neeg sawv cev rov qab yog qhov tseem ceeb, pab kom kov yeej cov txheej txheem ulphrative.

Ib qhov txiaj ntsig zoo tseem ceeb dhau los ua kev kho mob rau lub cev. Nws pab txhim kho cov txheej txheem trophic thiab kev zom zaub mov hauv cov ntaub so ntswg, txoj hlab ntshav thiab txhim kho microcirculation.

Kev siv tshuaj kho mob rau thrombophlebitis hauv cov neeg mob ntshav qab zib yuav tsum yog kws kho mob coj mus rau hauv lwm tus lwm qhov kev mob tshwm sim: tus mob ntshav qab zib ophthalmopathy, ntshav qab zib nephropathy. Yog li, piv txwv li, kev teem sij hawm ntawm vasodilator tshuaj tsis muaj kev saib xyuas ntawm tus kws kho mob ophthalmologist tuaj yeem ua rau cov ntshav tawm hauv lub qhov muag retina thiab vitreous lub cev.

Feem ntau koj yuav tsum tau mus rau txoj kev phais mob ntawm kev kho. Thaum tsis muaj qhov tshwm sim ntawm kev siv tshuaj kho mob, nrog kev pheej hmoo siab ntawm kev mob ntsws thiab tsis tuaj yeem kho cov hlab ntaws, ntau yam kev phais mob siv:

• thrombus rov qab,
• venous pob tw flashing,
• kev tsim ntawm shunts thiab anastomoses,
• kev teeb tsa cov ntxaij lim dej hauv cov ceg ntoo loj,
• necrectomy thiab yas phais ntawm trophic mob rau.

Ntshav qab zib li cas cuam tshuam rau cov leeg ntshav: cov tsos mob thiab kho mob

Mob ntshav qab zib mellitus ua rau muaj qhov tshwm sim tsis zoo hloov hauv lub xeev ntawm cov hlab ntsha thiab leeg ntshav. Varicose leeg yog ib qho ntawm cov kev mob ntshav qab zib feem ntau. Vim li cas tus kab mob no tshwm sim, yuav ua li cas kom tsis txhob muaj nws thiab yog dab tsi kho rau varicose leeg, yog tias tus neeg mob tseem mob ntshav qab zib, thov nkag siab.

Dilation ntawm cov leeg rau ntshav qab zib

Feem ntau, cov ntshav sib txawv thiab hom ntshav qab zib hom 2 huam sib luag zuj zus, vim tias cov ntshav qab zib ntev dhau mus muaj qhov tsis zoo rau kev ua haujlwm ntawm lub plawv thiab cov hlab ntshav.

Ib qho ntawm nws cov kev mob tshwm sim yog tus mob varicose, uas feem ntau nthuav dav nyob rau qis qis, tab sis tuaj yeem cuam tshuam rau txoj hnyuv thiab lub hauv plab.

Qhov no yog ib qho kab mob loj heev uas tuaj yeem ua tsis tau tsuas yog kev tsis pom kev zoo nkauj ntawm cov tshuaj pleev ib ce, tab sis kuj tseem muaj kev mob hnyav, kev xiam oob qhab thiab kev tuag.

Vim li cas thiab hom

Cov poj niam muaj ntshav qab zib ntsej muag muaj leeg ntau dua li cov txiv neej.

Cov ua rau mob rau cov leeg ntshav, uas tsis tuaj yeem tsuas yog ua rau qhov pib thiab kev loj hlob ntawm pathology, tab sis kuj tseem ua rau cov chav kawm muaj ntshav qab zib mellitus:

• qog dhau los yog lub zog tawv nqaij ntawm cov qis qis, txhawm,
• yam muaj keeb, dhau thawj, rog dhau heev lawm,
• pathology ntawm lub raum, lub plawv, cov hlab ntsha,
• kev cuam tshuam ntawm cov tshuaj hormones (puberty, cev xeeb tub, tshuaj noj, lub cev ntas),
• tsis tu ncua hnav khaub ncaws nqaim dhau, ris tsho tiv no sab hauv, cov khau siab-hauv siab,
• dej cawv thiab haus luam yeeb tsim txom
• tshuaj uas ua rau muaj ntshav txhaws,
• lub cev qhuav dej, muaj kuab plab,
• kev siv lub cev ntau dhau rau ntawm nqaj qis,
• ntshav nce siab, cov ntshav ntau los ntawm kev xwm yeem,
• cov txheej txheem cua sov, huab cua kub,
• Noj tsis txaus, tsis muaj fiber ntau, tsis muaj vitamins E, C, R.

Hom varicose leeg nyob rau hauv cov ntshav qab zib raws li kev ncig ntawm pathology:

• Dag. Nws cuam tshuam cov leeg uas ze rau hauv qab daim tawv nqaij.
• Qhov tob. Nws cuam tshuam cov leeg uas nyob ze rau lub cev pob txha.

Chav thiab theem

Tus txheej txheem ntawm kev txhim kho ntawm varicose leeg nyob rau hauv cov ntshav qab zib mellitus:

Kev poob siab ntawm cov roj ntsha ntawm cov leeg ntshav ua rau qaug ntshav ntawm cov ntshav qis.

• poob lossis txo ntawm elasticity ntawm sab hauv venous channel,
• txuam nrog ntshav hauv ob txhais ceg,
• Cov leeg tsis muaj zog valve,
• ua txhaum ntawm cov ntshav tawm,
• ncab cov leeg ntawm phab ntsa,
• weakening ntawm cov leeg nqaij.

Varicose leeg nyob rau hauv cov ntshav qab zib muaj 3 theem:

1. Nyiaj Raug Mob Tom. Cov tshuaj pleev ib ce me me thiab cov teeb meem me tshwm sim, uas feem ntau tsis muab qhov tseem ceeb thiab raug ntaus rau kev qaug zog.
2. Kev Hloov Tawm. Nws yog tsiag ntawv los ntawm cov kev mob tshwj xeeb uas ua rau muaj kev ntxhov siab thiab tsis xis nyob.
3. Kev Txiav Txim Siab. Ntxiv rau cov duab tso tawm hauv tsev kho mob, nws tau tshwm sim los ntawm cov kev mob nyhav uas ua rau muaj kev phom sij rau kev noj qab haus huv thiab pab txhawb rau ntau txoj kev mob tsis zoo, tuaj yeem ua rau muaj mob xiam oob qhab thiab tuag taus.

Yuav ua li cas yog nws manifested?

Cov tsos mob ntawm tus mob sib kis hauv cov neeg mob ntshav qab zib mellitus tsis txawv ntawm cov neeg uas tsis muaj mob no.

Cov tsos mob nyob ntawm qhov mob hnyav thiab qib ntawm kev loj hlob ntawm tus kab mob, ua rau pom nrog ntau zaus thiab siv. Cov tsos mob tseem ceeb ntawm cov ntshav sib txawv tau teev nyob rau hauv lub rooj:

Ntshav qab zib mellitus tuaj yeem ua rau ntau qhov kev nyuaj ntawm cov ntshav sib txawv, xws li:

Mob ntshav qab zib tuaj yeem ua kom nyuaj los ntawm thromboembolism.

• subcutaneous hemorrhage,
• kev mob kis
• pob caus tsim
• los ntshav
• mob leeg ntshav tsis txaus
• tsis kho-thiav tsis zoo rau qhov ncauj,
• thrombophlebitis
• o ntawm cov phab ntsa ntawm cov leeg,
• ntaub so ntswg necrosis
• thromboembolism,
• ua tiav kev tso ntshav ntawm cov ntshav hauv taw,
• ntau yam dermatitis, eczema,
• yuav ua tau kom tuag taus.

Kev kuaj mob txoj kev rau dilated leeg nyob rau hauv cov ntshav qab zib

Ntawm cov ntshav qab zib mellitus, nws yog ib qho tseem ceeb yuav tsum them sai sai rau cov tsos ntawm cov tsos mob tshiab, kom tsis txhob nco lub ntsej muag thiab kev loj hlob ntawm cov teeb meem tshwm sim. Nrog kev kuaj xyuas raws sij hawm ntawm cov leeg muaj ntshav thiab ua raws li cov kev tiv thaiv, kev sib kis ntawm cov leeg muaj kev kho tau zoo thiab tsis ua rau tsis xis nyob. Txhawm rau kev kuaj mob, koj yuav tsum hu rau ib tus ntawm cov kws paub tshwj xeeb nqaim:

Txhawm rau paub tseeb tias kev kuaj mob, tus kws kho mob ua cov kev tshawb fawb hauv qab no:

• keeb kwm kho mob
• kuaj qhov muag
• soj ntsuam lub cev
• phlebography
• kev kuaj ntshav thiab zis (dav dav, biochemical),
• kuaj mob ultrasound.

Kev kho pathology

Mob hlab ntsha tuaj yeem kho nrog ntau hom tshuaj.

Varicose leeg nyob rau hauv cov ntshav qab zib mellitus xav tau txoj kev kho.

Yog tias tsim nyog, nws yog ib qho tsim nyog yuav tsum tau nqa tawm tshuaj kho mob ntshav qab zib mellitus, ua raws li kev noj zaub mov tshwj xeeb, koom nrog kev tawm dag zog. Tsis zoo li cov kab mob sib kis, cov kab mob sib kis tau tshem tawm tag nrho.

Rau qhov no, ntau txoj kev siv, kev xaiv ntawm uas nyob ntawm qhov mob hnyav ntawm tus kab mob, xws li:

• tshuaj
• phais txoj kev
• lwm txoj hau kev.

Kev kho tshuaj lom zem

Cov tshuaj uas nrov tshaj plaws yog cov ntawv thov hauv zos, uas muaj nyob hauv daim ntawv pleev, gels, cream. Txhawm rau txhim kho lawv cov hauj lwm zoo, tshuaj noj qhov ncauj yog siv rau hauv cov qauv hauv cov ntsiav tshuaj thiab tinctures, ntxiv rau kev ntim tshwj xeeb hauv sab hauv. Feem ntau, cov kws kho mob tau sau ntawv rau txhais tau tias:

Kev tshaj dhau

Koj tuaj yeem tshem ntawm cov teeb meem nrog laser coagulation.

Tshwj xeeb tshaj yog mob hnyav, txhawm rau tshem tawm cov leeg ntshav, cov kws kho mob siv rau txoj kev phais mob, uas suav nrog:

• phlebectomy
• hluav taws xob hluav taws xob ablation,
• tshem tawm sai sai
• laser coagulation
• venoextraction
• scleroobliteration.

Cov lus pom zoo los tiv thaiv

Cov tib neeg muaj ntshav qab zib yuav muaj feem ntau ua rau cov leeg ntshav qab. Txhawm rau zam txoj kev loj hlob ntawm tus kab mob no, nrog rau kev tiv thaiv nws qhov kev txom nyem thaum thawj cov tsos mob ntawm tus kab mob pathology tshwm sim, txoj kev tshaj tawm yuav tsum tau siv. Koj yuav tsum hnav ris tsho hauv qab tshwj xeeb kom tswj hwm cov leeg, tsis txhob hnav lub siab heels, nruj ris tsho thiab ris tsho hauv qab.

Kev saib xyuas tshwj xeeb yuav tsum tau them rau cov khoom noj khoom haus, noj txaus cov vitamins thiab minerals, fiber, thiab lwm yam tseem ceeb kab kawm.

Nws yog ib qho tseem ceeb uas yuav tsum tau ua kev dhia tes taw tshwj xeeb, ua yoga, tsis txhob nyob hauv ib qho, ua ntu zus sov, taug kev ntau dua, muab tus cwj pwm tsis zoo.

Thaum pw tsaug zog, koj yuav tsum tso koj ob txhais ceg tso rau ntawm lub toj me me, thiab ua haujlwm ntawm lub rooj noj mov, koj yuav tsum tsis txhob tso ib txhais taw nyob rau lwm qhov. Qhov no yuav pab txhim kho cov hlab ntshav khiav ceev, zam kev txhim kho lossis kev tsim txom ntawm cov leeg ntshav ntawm cov leeg ntshav.

Varicose leeg - yuav kho ntshav qab zib li cas

Varicose leeg, ib qho ntawm cov kabmob uas niaj hnub no muaj ntau. Nws tsis dhau los ntawm cov ntshav qab zib.
Feem ntau, varicose leeg ntawm qis qis yog cuam tshuam, uas yog qhov tshwj xeeb tshaj yog phom sij rau ntshav qab zib mellitus. Ob txhais ceg yog ib lub hom phiaj tseem ceeb uas cuam tshuam rau hom 2 ntshav qab zib.

Nws yog ib qho tseem ceeb rau kev kuaj xyuas cov leeg ntshav tsis ntev hauv lub sijhawm thiab nqa tawm txoj kev kho mob tsim nyog. Txhawm rau kom txo qis qhov teeb meem tshwm sim uas tshwm sim los ntawm qhov pom ntawm cov leeg ntshav, nws yog qhov yuav tsum tau ua kev tiv thaiv, uas yuav tham hauv tsab xov xwm no tom qab.

Raws li kev txheeb cais, kwv yees li 30 lab tus tib neeg raug mob los ntawm varicose leeg ntawm qis qis hauv Lavxias Federation. Yeej, tus kab mob no cuam tshuam rau poj niam. Hmoov tsis zoo, varicose leeg ntawm sab hauv qis yog "yau dua". Cov theem pib lossis cov cim ntawm tus kabmob no tau pom thaj tsam li ntawm 10% ntawm cov neeg mob hnub nyoog 10-12 xyoo.

Ua ntshav qab zib rau cov ntshav qab zib

Nrog rau cov ntshav qab zib, cov hlab ntsha thiab cov hlab ntsha ntawm cov thawj tau txais kev txom nyem, yog tias koj tsis ua raws li tsoomfwv ntawm cov nyiaj qab zib, nws yooj yim heev rau kev tsis quav ntsej lossis plam kev txhim kho tus kabmob, txawm tias thaum pib.

Varicose leeg tuaj yeem raug ntaus nqi los ntawm qeb ntawm cov kev mob ntshav qab zib mellitus, suav nrog uas tuaj yeem ua rau muaj teeb meem loj heev yog tias koj tsis kho nws raws sijhawm thiab siv kev tiv thaiv yav tom ntej.

Tau pom thawj cov tsos mob ntawm cov leeg ntshav, nws tsis pom zoo rau tus kheej-tshuaj. Nws yog ib qho tsim nyog yuav tau hu rau tus kws kho qhov muag endocrinologist thiab tus kws phlebologist - tus kws kho mob vascular. Tom qab kuaj pom thiab tshuaj xyuas, hom kev kho mob uas haum tshaj plaws rau tus neeg mob yog teem tseg.

Kev ua haujlwm ntawm cov leeg ntshav - lawv "ua haujlwm" hauv peb lub cev li cas?

Peb cov leeg ua ib txoj haujlwm tseem ceeb: ntshav los ntawm lawv los ntawm nqaj thiab ntau yam hauv peb lub cev rov qab los rau lub plawv.
Txheej sab hauv ntawm cov leeg yog txhawm rau ntawm cov ntshav khiav mus los. Qhov tshwm sim ntawm cov ntshav txhaws nyob ntawm seb nws puas yooj yim npaum li cas.

Hauv nruab nrab txheej yog cov leeg ua lub luag haujlwm rau kev hloov lub cheeb ntawm cov leeg thaum lub zog khaus. Yog tias peb ua haujlwm lossis qoj ib ce, muab ib qho peev xwm ntawm cov ceg qis, cov leeg ntawm cov leeg ua haujlwm nrawm dua, ua rau lawv cog lus ntau dua. Hauv qhov no, ntshav nce ntxiv.

Thaum so, cov leeg ntawm cov leeg nyob hauv ib lub xeev so, los ntawm qhov uas lawv tau ntim nrog ntshav thiab nthuav.

Cov neeg kho tshuab ntawm varicose leeg

Varicose leeg zoo nkaus li nrog ib tug poob ntawm elasticity ntawm sab hauv channel thiab weakening ntawm cov leeg nqaij. Cov ntshav nyob qis qis hauv lawv, thiab cov leeg yog nyob rau hauv ib qho chaw nthuav ntev ntev. Muaj kev ua txhaum ntawm cov ntshav tawm tuaj.

Cov tsos mob ntawm tus mob sib kis hauv cov ntshav qab zib muaj tshwm sim rau cov uas tsis muaj mob. Muaj hnyav nyob hauv ceg, tshwj xeeb yog thaum sawv ntxov lossis yav tav su. Ntawm qhov qis qis, o tuaj yeem pom, qhov mesh ntawm cov hlab ntsha pom tshwm. Muaj qee kis, thaum tus kabmob loj zuj zus ntxiv, kev mob plab hlaub thiab kev mob plab hmo ntuj, cov leeg ntshav sawv yog qhov pom tau.

Txhawm rau kom paub tseeb cov theem ntawm kev txhim kho ntawm cov ntshav sib txawv, cov kws phais vascular ua qhov kev kuaj xyuas qhov muag pom, kev kuaj mob ultrasound (ultrasound), phlebography yog qhov tsim nyog.

Nrog ntshav qab zib varicose leeg tuaj yeem dhau los ua qhov chaw kis kab mob. Hauv qhov no, kev kho mob, muab hais tias mob ntshav qab zib, kev tiv thaiv kab mob tsawg dua thiab muaj lub sijhawm ntxiv ntawm glycemia, lub sijhawm, kev siv zog thiab nyiaj txiag tuaj yeem siv ntau heev.

Yog tias koj tsis sab laj nrog tus kws kho mob hauv lub sijhawm, kev nce qib ntawm tus kabmob yog muaj peev xwm. Cov leeg ua thickened, winding, nodules tshwm rau lawv, tus thiaj li hu ua varixes.

Yuav kho cov leeg ntshav qab zib li cas hauv ntshav qab zib?

Hauv kev xyaum kho mob niaj hnub no, muaj ntau txoj kev kev kho mob rau cov leeg ntshav qab.
Kev phais mob rau cov leeg ntshav:

1. Venoextraction. Thaum nws nqa tawm, qhov cuam tshuam ntawm ntu ntawm txoj hlab ntsha yog raug tshem tawm tag nrho.
2. Phlebectomy. Nws kuj tseem ua rau kev phais mob tshem tawm cov chaw cuam tshuam ntawm cov leeg ntshav.

1. Sclerosing txoj kev kho.
2. Laser coagulation leeg.
3. Xov tooj cua hloov ablation.

Tiv thaiv kev ntsuas rau varicose leeg

Yog hais tias tus kab mob no tshwm sim, nws yog qhov yuav tsum tau them sai sai rau kev tiv thaiv txhawm rau txhawm rau txhawm rau tiv thaiv kev txhim kho ntawm varicose leeg. Cov lus pom zoo yog qhov yooj yim heev thiab leej twg tuaj yeem ua raws lawv.

1. Thaum pw tsaug zog, nco ntsoov tias koj ob txhais ceg yog siab me ntsis koj lub tsho tas. Yog li ntawd, thiaj yuav muaj ntshav tawm hauv nqua ntshav 2. Nws yog qhov yuav tsum tau yuav thiab siv ywj hauv caug-siab kom tswj cov leeg ntshav.

3. Yog tias koj muaj kev ua haujlwm tsaug zog, tsawg kawg ib teev ib zaug ua kev sov me ntsis, ua rau tus kheej zaws ntawm cov ceg tawv. Yog tias koj yuav tsum sawv hauv ib qho chaw ntev, sim so koj ob sab ceg cov leeg.

4. Sim txav ntau zaus, tsis txhob nyob ib leeg ntawm ib qho chaw, hauv ib qho chaw. Zam kev hnav khaub ncaws uas haum koj lub cev nyob ib ncig ntawm koj lub duav thiab pob tw. 6. Yog tias ua tau, nws raug nquahu kom ua qhov kev tawm dag zog uas yooj yim: tsa koj ob txhais ceg thaum nyob hauv qhov chaw dag lossis hauv qab. Yog li, koj yuav ua rau cov ntshav tawm ntawm qhov kawg, txhim kho ncig. ? Tsis txhob hla txhais ceg, hwj tau lub cev thaum txhais ceg ntawm lwm txhais ceg lossis hla ob txhais ceg hauv qab rooj ua kom cov leeg ntshav khiav mus tau zoo.

8. Txo lossis tshem tawm cov cawv los ntawm koj cov khoom noj.