Mob ceg o hauv ntshav qab zib: dab tsi yog kev kho mob

Nws yog ib qho tsim nyog cais cais ua kom muaj mob txhawm rau txhawm rau ntshav qab zib mellitus ntawm hom thawj thiab thib ob, vim tias lawv muaj lub cev sib txawv:

• Yam 1 yog qhov tseeb, o tshwm sim tawm tsam keeb kwm ntawm lub cev tiv thaiv kab mob rau insulin, uas ua rau kev ua haujlwm ntawm kev tswj hwm theem ntawm cov piam thaj hauv cov ntshav kom ploj. Lub cev pib tuav cov kua dej ntau dua kom txo cov piam thaj hauv qab, vim qhov no, lub nra ntawm lub raum nce ntxiv, cov leeg ntshav pib loj zuj zus, thiab cov kabmob no tsis tuaj yeem ua lawv lub luag haujlwm zoo. Ntxiv rau qhov ua kom lub siab rau hauv qhov ua haujlwm rau ntshav tawm, cov ntshav qab zib tsis zoo cuam tshuam rau cov hlab plawv cov hlab ntshav, cov phab ntsa ntawm cov hlab ntsha tau tawg ntau dua, qhov muaj peev xwm ntawm atherosclerosis ntau zuj zus tuaj, thiab cov dej ntws mus rau hauv qhov ntau zuj zus.
• Hauv hom 2 mob ntshav qab zib mellitus, lwm qhov kev txhim kho rau kev txhim kho ceg o yog qhov pom: tus neeg mob tau txhim kho cov tshuaj tiv thaiv kab mob ua yeeb yam vasopressin, thaum lub sij hawm rhiab rau insulin yog ib txwm. Vim tias qhov no, tus neeg tau nce diuresis, qhov nqhis dej ib txwm tshwm sim, thiab cov ntaub so ntswg sim tuav dej kom thiaj li zam lub cev qhuav dej. Qhov ntau kawg mas hnyav tshaj plaws hauv cov ntshav qab zib hom 2, vim tias lawv tsis tshua muaj ntshav tawm mus tsawg thiab cov ntshav tawm vim cov yam ntxwv muaj sia.

Symptomatology

Qee qhov tsos mob tshwj xeeb yuav pab kom paub txog cov mob ntshav qab zib ceg:

• ob txhais ceg o tas li, feem ntau pom tau tias qhov no yog qhov tom qab sawv ntxov thiab yav tsaus ntuj. Diuretics tshem tawm edema, tab sis nws rov qab los tom qab lub ntsiav tshuaj tas sij hawm,
• txhais ko taw thiab ceg yog feem ntau o,
• thaum nias nrog cov ntiv tes rau ntawm daim tawv nqaij, nws tsis tuaj mus rau hauv lub suab ntev, qhov fossa ntawm hue dawb tseem nyob ntawm nws,
• qhov kev xav txias txias ntawm taw thiab txhais ceg, vim tsis muaj dab tsi ntxiv,
• loog loog ntawm qhov sib txawv ntawm ob txhais ceg, tingling,
• vim yog o, txhais ceg sai sai nkees thaum taug kev, tawg tuaj yeem tshwm sim,
• cov plaub hau hauv zos poob ntawm cov ceg, ua rau pom ntawm cov qhov txhab me me, qhov ncauj tawm uas kho tau ntev,
• hyperemia - liab ntawm ob txhais ceg lossis tus neeg thaj chaw, cov cim tas mus li ntawm cov khau ntawm daim tawv nqaij.

Yog tias koj pom cov tsos mob zoo li no, koj yuav tsum sab laj nrog tus kws kho mob, vim tias qhov ceg txhaws ntawm koj tus kheej tsis ploj mus nrog ntshav qab zib. Txoj kev kho yuav tsum kho kom raws sijhawm thiab ua ntu zus kom tsis txhob muaj teeb meem.

Kev kuaj mob

Txhawm rau kom paub yog vim li cas tus neeg mob tau mob ceg o, tshwj xeeb tshaj yog tias nws tsis paub txog qhov muaj ntshav qab zib mellitus, nws yuav tsum tau sab laj nrog tus kws kho mob thiab yauv mus kuaj mob txawv - teeb tsa cov txheej txheem, cov txiaj ntsig uas tso cai rau koj "qaij mus" cov kev kuaj mob nrog cov tsos mob zoo sib xws.

Kev kuaj mob suav nrog:

• Kev kuaj ntshav biochemical rau cov tshuaj hormones thiab qabzib,
• urinalysis
• Ultrasound ntawm ob lub raum, yog tias tsim nyog,
• kev soj ntsuam ntawm ob txhais ceg los ntawm tus kws kho plaub hau kom txiav txim siab qhov foci ntawm kev kis tus kab mob, uas yav tom ntej tuaj yeem ua rau pom kev ua kom mob ntsws, mob caj pas thiab nqaij tawv, vim tias txoj haujlwm tiv thaiv tau txo qis hauv cov aav.

Tus kws kho mob twg kho pob txha o hauv ntshav qab zib?

Nws yog qhov tsim nyog los kho pob txha caj qaum hauv ntshav qab zib mellitus nyob rau hauv kev saib xyuas ntawm tus kws kho mob, qee kis nws yuav koom nrog kev kho nrog endocrinologist. Yog tias qhov mob edema ntev dhau los ua rau pom qhov tshwm sim ntawm qhov txhab, mob txhab thiab lwm yam tawv nqaij pathologies, ces tus kws kho tawv nqaij yuav sau ntawv kho ntxiv.

Kev kho mob ntawm tus ceg txhav nyob rau hauv hom 1 lossis hom 2 ntshav qab zib yuav tsis pab mus tas li kom tshem tawm cov kua dej tsis xwm yeem, vim tias qhov no yog qhov qhia tau ntawm lub cev, tab sis nws yuav pab cheem ntxiv kev ncab thiab kev puas tsuaj rau cov ntshav thiab cov hlab ntsha, thiab tseem tuaj yeem tiv thaiv kev txhim kho ntawm cov kab mob dermatological loj.

Tus kws kho mob yuav tshaj tawm cov tshuaj diuretics (Veroshpiron, Cyclomethaside, Obsol, Indapamide) rau tus neeg mob, uas yuav xav tau qaug cawv ntawm cov kev kawm luv. Nco ntsoov tias cov tshuaj diuretics tsis tuaj yeem xaiv lawv tus kheej, vim lawv muaj ntau hom, thiab tus kws kho mob xaiv cov tshuaj nyob ntawm tus neeg mob lub xeev.

Cov tshuaj diuretic nrov - Furosemide tsis tuaj yeem noj nrog ntshav qab zib, vim hais tias qee zaum nws ua rau nce siab hauv cov ntshav qab zib.

Hauv nruab nrab ntawm cov chav kawm ntawm diuretics, koj tuaj yeem haus ib qho dej qab ntawm horsetail, uas tseem txhim kho cov dej ntws tawm.

Yog tias, vim yog mob caj dab o, cov qhov txhab me me tsis kho thiab txhim kho mus rau hauv lub qhov txhab trophic thiab lwm yam foci ntawm kev kis tus kab mob, ces tus neeg mob yuav tsum tau kho sab nraud. Ua ntej, cov chaw muaj teeb meem dermatological yuav tsum tau ntxuav nrog xab npum tsis tu ncua, yog tias tsis tuaj yeem ua tau, koj tuaj yeem ntxuav cov chaw no nrog Chlorhexidine. Thib ob, ob peb zaug hauv ib hnub, kho cov tshuaj pleev (Miramistin, Bepanten, Betadin) yuav tsum pleev rau qhov txhab.

Kev Tiv Thaiv

Kev saib xyuas txhua hnub ntawm qee qhov kev cai yooj yim yuav yog ib qho kev tiv thaiv zoo ntawm cov ceg o:

• koj yuav tsum xaiv cov khau zoo los ntawm cov ntaub ntawv zoo - qhov no yuav txo qhov kev raug mob ntawm daim tawv nqaij thiab txo kev pheej hmoo ntawm kev kis mob,
• Thaum sawv ntxov koj yuav tsum ua kom da dej sib piv, vim qhov no txhawb cov leeg ntshav thiab nce qib lymph txaus,
• Nyob rau yav tsaus ntuj, taw yuav tsum tau muab ntxuav kom huv hauv xab npum thiab dej, nws qhov kub yuav tsum yog 30-32 ºC txhawm rau so ob txhais ceg,
• tsawg kawg ib zaug ib hnub, nws yog ib qho tsim nyog yuav tsum zaws lub hauv qab taw thiab sab ceg qis nrog kev siv cov roj uas tsis huv, piv txwv li, tshuaj yej tsob ntoo - qhov no yuav muab cov kua dej tso tawm thiab txo qhov kev pheej hmoo ntawm kev tsim foci ntawm tus kab mob,
• hauv cov khoom noj nws yog qhov tsim nyog kom txo cov ntsiab lus ntawm ntsev, haus cov nqaij, khoom qab zib,
• 1-2 teev ua ntej yuav mus pw, nws zoo dua tsis txhob haus dej lossis haus dej, yog li thaum sawv ntxov nws tsis muaj qhov nrawm nrawm
• koj yuav tsum tau txiav koj tus ntsia thawv tsis tu ncua, nws zoo dua yog mus rau txoj kev ntxuav tu ko taw rau tom chav kho kom zoo nkauj (vim yog tus tswv txoj cai kev tua kab mob, uas muaj coob tus neeg tsis saib xyuas hauv tsev), ua cov rau tes ua rau cov tawv nqaij puas tsuaj, tsim lub rooj vag rau kev kis kab mob,
• nws raug nqi ntau dua rau taug kev los tswj kev ncig, kom sawv tseem tseem tsawg dua, vim tias qhov no nce ntxiv txoj kev thauj khoom ntawm cov hlab ntsha ntawm ceg,
• nws yog ib qho tsim nyog yuav tsum txiav kev haus luam yeeb tag, vim tias nicotine ua rau cov hlab ntsha tawg.

Kev hloov mus ntawm ob txhais ceg nrog ntshav qab zib mellitus ntawm thawj lossis thib ob yog qhov tshwm sim ntuj muaj txiaj ntsig ntawm qhov tsis sib haum, lawv tuaj nrog tus neeg mob tas li, nws tsis tuaj yeem tshem tawm tag nrho. Tau xam cov laj thawj thiab ua kev kuaj mob, tus kws kho mob tuaj yeem sau ntawv pab kho mob rau tus neeg mob, ua tsaug uas nws tus mob yuav nyob ruaj khov. Kev siv cov kev cai niaj zaus rau kev tiv thaiv ntawm edema yuav txo cov kua dej kom tsawg thiab tiv thaiv kev txhim kho ntawm cov kab mob dermatological.