Mob rwj rau cov ntshav qab zib yuav tsum tau kho tam sim

Ntshav qab zib mellitus yog ib hom mob uas tus tib neeg cov ntshav qabzib nce siab. Nws feem ntau tshwm sim vim kev ua haujlwm tsis zoo ntawm tus txiav. Lub cev tsis tuaj yeem tsim tawm cov insulin txaus, uas khi thiab tshem tawm cov suab thaj.

Vim tias ntev mus tsis quav ntsej tus kab mob, ib tug neeg yuav muaj kev puas tsuaj rau cov hlab plawv, nplooj siab, raum, thiab cov plab hnyuv siab raum tsis pom kev. Ib qho teeb meem txaus ntshai tshaj plaws yog mob caj dab hauv ntshav qab zib.

Mob rwj yuav tshwm sim vim yog txoj hau kev hloov pauv hloov pauv ntawm lub cev. Sij hawm dhau mus, nws dhau los ua coarser, flaky, plam nws cov turgor ntuj thiab elasticity. Sij hawm dhau mus, kev kho mob thiab kev ua txhaum pib tshwm rau ntawm cov qis qis, uas nyuaj rau kev kho. Lub sijhawm ntev tsis quav ntsej ntawm tus kabmob coj mus rau kev tuag ntawm tus ceg, uas yuav xav tau txiav kev txiav tawm ntawm tus leeg.

Mob caj dab nrog ntshav qab zib tsis tshwm sim hauv ib pliag - ua ntej ib tus neeg pom cov qhov txhab zoo ntawm nws cov tawv nqaij, lub sijhawm ntev dhau los yuav dhau mus.

Cov laj thawj rau qhov tshwm sim no tuaj yeem yog:

Nkag los cuam tshuam
Ntshav qab zib siab
Rog dhau
Kev kho nrog qee yam tshuaj
Lub cev tsis ua haujlwm,
Kev tshuaj ntsuam genetic predisposition.

Kev sib xyaw ua ke ntawm cov yam no tuaj yeem cuam tshuam txhim kho trophic mob rau daim tawv nqaij. Lawv tuaj yeem tshwm sim ob qho tib si ntawm sab sauv thiab hauv qab, tab sis feem ntau lawv tuaj yeem tsim ntawm ob txhais ceg. Cov tsos ntawm cov ntawv tsim muaj teeb meem loj rau ob tus kws kho mob thiab cov neeg mob. Cov tawv nqaij nyias nyias yuav dhau los ua mob los ntawm qhov txhab me me lossis calluses.

Cov cim ntawm trophic mob txhab los ntawm theem

Mob raum ua rau mob ntshav qab zib mellitus twb tau nyob rau hauv thawj theem pib tshwm sim nws tus kheej raws li cov tsos mob hnyav.

Cov ntawv txheeb cais tau qhia tias 50% ntawm tag nrho cov neeg mob ua ntej 12 lub hlis tom qab kev kuaj mob ntawm cov ntshav qab zib decompensated muaj cov teeb meem zoo sib xws.

Lawv tuaj yeem faib ua theem hauv qab no:

Kev kuaj mob

Tom qab qhov no, cov kev tshawb fawb hauv qab no raug txiav txim:

Kuaj ntshav thiab biochemical,
Mob Lub Hlaus
Kev soj ntsuam ntawm cov ntaub ntawv txhab
Kev xoo hluav taws xob
Sib nqus kho suab sib nqus,
Tham tomography,
Kev ntsuam xyuas Doppler
Cov kev soj ntsuam angiographic.

Kev kho mob ntawm trophic mob rau sab ceg nrog ntshav qab zib

Video (nyem mus ua si).

Kwv yees li ob lab cov neeg mob ntshav qab zib ua rau mob qog nqaij ntshiv ntawm lawv ko taw lossis ceg qis. Mob raum ua rau ntawm ob txhais ceg hauv ntshav qab zib tshwm sim los ntawm qhov tshwm sim ntawm pathological txhab ntawm qhov tob ntawm daim tawv nqaij (epithelium lossis hauv qab daus daim nyias nyias), nrog cov txheej txheem ua mob. Tus kab mob trophic ua rau kev tuag ntawm cov nqaij mos ntawm ob txhais ceg, thiab tom qab kho mob ntawm qhov mob thiab mob rau ntawm tus neeg mob daim tawv nqaij, nti nti tseem nyob tus.

Kev kho mob ntawm trophic mob rau sab ceg nrog ntshav qab zib yog cov txheej txheem ntev thiab nyuaj. Qhov no yog vim muaj qhov ua txhaum ntawm trophism (kev muab oxygen thiab cov as-ham rau cov nqaij ntawm ob txhais ceg).

Video (nyem mus ua si).

Kev mob raum nyob rau hauv cov ntshav qab zib yog kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij lossis cov qog ua kua uas tsis zoo li ob hlis lossis ntau dua, rov muaj dua. Cov qhov txhab mob rau hauv plab tsis yog qhov ywj pheej pathology. Lawv txoj kev loj hlob yog vim tias muaj lwm yam mob mus ntev. Tshaj li peb puas tus kab mob tuaj yeem tsim qhov tshwm sim ntawm qhov mob txhab qhuav ntawm ko taw.

Qhov tseeb ntawm kev ua haujlwm rau kev txhim kho trophic qhov txhab tsis paub. Feem ntau, mob txhab ntshav taw ua vim:

Ua ntshav ntws qeeb
Cov ntaub so ntswg deformation vim muaj kev cuam tshuam hauv kev xa oxygen thiab cov khoom noj muaj txiaj ntsig,
Stagnation ntawm cov ntshav thiab cov qog ntshav ntawm cov hlab ntsha ntawm qhov qis hauv qab,
Arterial blood flow ntshawv siab
Txo cov metabolism hauv,
Koom tes ua mob rau hauv kev kho mob ntawm kev raug mob thiab mob.

Feem ntau, mob rwj rau ntawm ob txhais ceg. Ntawm caj npab, cev lossis taub hau, mob nrog ntshav qab zib xyaum tsis tshwm sim.

Qhov ua rau mob qog nqaij hlav zoo ib yam li cov kab mob hauv qab - ntshav qab zib. Nov yog:

Burdened los ntawm kev muaj keeb,
Kev ntxhov siab tas mus li
Laus lub caij nyoog
Pancreatic mob
Ib txwm muaj kab mob kis - mob siab, khaub thuas, qhua maj, qhua pias,
Kev pham

Feem ntau, qhov mob trophic yog mob rau cov neeg muaj keeb kwm mob ntshav qab zib hom 2. Cov yam zoo li no tuaj yeem ua rau mob ntawm ob txhais ceg:

Qav hauv ntshav qabzib,
Poob qhov hnov ntawm qhov kawg ntawm paj,
Kev saib xyuas tsis zoo ntawm cov qhov txhab (txiav, calluses) uas tshwm sim los ntawm kev poob ntawm qhov rhiab ntawm ib leeg ntawm ko taw.

Txij li cov neeg mob ntshav qab zib tau txo qis tawv nqaij ntawm lawv ob txhais ceg, lawv ib txwm tsis mloog zoo rau qhov mob tshiab thiab microtraumas hauv lub sijhawm. Cov qhov txhab ua rau kis mob thiab tsis zoo vim tias cov pa oxygen xa mus rau cov ntshav thiab nce ntxiv hauv lub cev.

Mob raum ua rau:

Neuropathic - mob caj dab trophic nyob rau hauv cov ntshav qab zib,
Neuroischemic - tsim kho yog tias tus neeg mob tsis txaus siab tsis yog los ntawm cov ntshav qab zib, tab sis kuj los ntawm cov leeg ntshav tsis txaus lossis cov leeg ntshav.

Yog tias koj saib ntawm daim duab ntawm cov ceg mob rwj hauv ntshav qab zib, nws pom tias lawv tsim hauv qib. Qhov xim ntawm qhov txhab ua raws nyob rau theem ntawm lub qhov txhab trophic lesion:

Ntawm cov theem pib (kev tsim cov mob ua paug rau thaj tsam ntawm daim tawv nqaij), qhov mob ntawm daj (qhia tias ntub necrosis) lossis dub (pom necrosis ntawm cov nqaij mos, tsis muaj pa oxygen) pom tau
Cov mob voos liab - lub cim ntawm theem ob ntawm tus kabmob, uas qhov txhab nkag mus rau hauv txheej qis ntawm dermis, tshem nws tus kheej ntawm necrotic ntsiab thiab pib kho,
Qeb thib peb (kev puas tsuaj rau cov leeg, pob tw thiab pob txha pob txha) yog tus yam ntxwv dawb paug. Cov xim no qhia tau tias kho neeg mob thiab mob caj dab.

Mob rwj yog tsim maj mam ua. Yog li, cov tsos mob ntawm tus kabmob yog nyob ntawm nws lub sijhawm:

Pob txha nrawm, qhov kev xav zoo li hnyav,
Hmo cramps
Khaus thiab hlawv ntawm ko taw,
Lub manifestation ntawm venous mesh thiab xiav me ntsis,
Thaj tsam ntawm cov tawv nqaij muaj xim zawm thiab ua kom zoo nkauj,
Noo noo tshwm rau thaj chaw muaj mob - to qog,
Nyob nruab nrab ntawm qhov chaw, keratinized thaj chaw ntawm cov tawv nqaij dawb yog tsim,
Daim tawv nqaij hauv thaj chaw cuam tshuam exfoliates, qhov mob tshwm sim,
Lub qhov txhab ua tob tob thiab dav dua, cuam tshuam rau cov leeg, ligaments thiab periosteum,
Muaj qhov mob ntawm qhov chaw ntawm trophic lesion,
Los ntawm qhov txhab ntws tawm ua pa lossis paug, muaj qhov tsis hnov tsw tsw,
Yog tias tus mob no kis tau, cov tawv nqaij ncig nws hloov xim liab thiab o tuaj.

Mob rwj hauv cov ntshav qab zib yog puag ncig thiab ncav cuag txoj kab uas hla ntawm 2 txog 10 cm. Feem ntau, cov qhov txhab tshwm rau sab xub ntiag lossis sab ntawm tus nyuj. Lub rwj muaj lub laim ntoom ntug thiab cov ntsiab lus purulent.

Cov kev hloov zuj zus ntawm tus kab mob coj mus rau deformation ntawm taw thiab tsis pom kev tsis zoo. Qhov kev txo qis hauv rhiab kuj tseem ua rau taw tsis yog thaum mus taug kev.

Kev kuaj mob raws sij hawm thiab kev kho mob ntawm thiav mob rau hauv txhais ceg uas mob ntshav qab zib mellitus zam kev txiav ntiv tes thiab txo txoj kev pheej hmoo mob huam tuaj.

Lub luag haujlwm tseem ceeb ntawm kev kuaj mob ntawm tus mob kiav txhab yog tsim kom muaj qhov tsis txaus siab ntawm cov ntshav cuam tshuam hauv cov ntaub so ntswg thiab tsis hnov mob.

Kev kuaj mob ntawm cov qhov txhab txhab rau ntawm txhais ceg yog raws li nram no:

Keeb kwm kho mob
Kev xa tawm ntawm UAC (kev kuaj ntshav dav dav), kev tshawb nrhiav biochemistry, cov ntshav qabzib cov ntshav, coagulograms (ntshav coagulation),
Palpation ntawm thaj chaw cuam tshuam ntawm ob txhais ceg, nrhiav kom paub txog qee qhov,
Kev txiav txim siab rhiab - kev xav tiv thaiv cua sov, qhov mob thiab kov,
Bakseeding purulent lub qhov txhab cov ntsiab lus nrog qhov txiav txim siab ntawm qhov rhiab ntawm cov kab mob kis tau mus rau cov tshuaj tua kab mob,
Xoo hluav taws xob xoo ntawm txhais ceg.

Cov kev kho vajtse tso cai rau koj los txiav txim siab:

Siab theem hauv tus ceg cuam tshuam,
Localization ntawm pathology siv scanner,
Oximetry - cov pa oxygen rau cov ntaub so ntswg,
Tus vaub kib thiab patency ntawm cov hlab siv sib piv X-ray,
Cov ntaub so ntswg uas pauv hloov - CT thiab MRI,
Qhov tob ntawm lub rwj, qhov xwm txheej ntawm cov nqaij mos uas nyob ib puag ncig yog kuaj me ntawm qhov txhab ntawm qhov txhab.

Dab tsi thiab yuav ua li cas kho cov mob txhab rau hauv ob txhais ceg mob ntshav qab zib, hais tias kws kho mob tom qab kuaj pom. Txoj kev kho mob nrog rau cov tshuaj hauv zos thiab cov quab yuam tau muab rau txhua tus neeg mob ib leeg zuj zus, coj mus rau hauv tus account yam ntxwv ntawm tus kab mob, qhov muaj mob ua kom mob, ua xua.

Kev kho mob ntawm thiav tsis huv yog nqa los ntawm ntau txoj kev:

Cov tshuaj noj
Kev phais mob
Muaj kev sib koom ua ke, suav nrog cov txheej txheem los ntxuav cov qhov txhab los ntawm cov khoom ua kom zoo thiab necrotic, nrog rau cov ntawv thov hauv cheeb tsam pleev tshuaj pleev thiab cream.

Qhov yuav tsum tau ua yog kho cov kab mob thiav rau ntawm ob txhais ceg nrog cov tshuaj tua kab mob thiab pleev tshuaj los kho cov tawv nqaij uas tawv nqaij thiab qhov txhab ntawm qhov chaw puas. Tsis tas li ntawd, thaum kho cov mob rau sab hauv tsev, nws raug tso cai siv tshuaj ntsuab los kho.

Kev phais mob cuam tshuam nrog kev tshem tawm ntawm cov nqaij mos necrotic thiab tshem tawm ntawm qhov ua kom pom tseeb ntawm o. Cov haujlwm hauv qab no yog nqa tawm:

Kev Kho Mob
Kev Tawm Tsev
Kev kho VAC siv lub tshuab nqus tsev.

Lub tshuab nqus tsev yog siv los tsim qhov kev poob qis tsis zoo (txog -125 mmHg). Txoj kev no cuam tshuam nrog kev siv ntawm cov tshuab ua plaub hau polyurethane. Kev tshem tawm koj tuaj yeem:

Tshem tawm cov kua paug ntawm txhais ceg mob,
Tiv thaiv puffiness, txo qhov tob ntawm qhov mob,
Ua kom ntshav kev nyob rau hauv qhov chaw tsis zoo,
Tsim kho cov txheej txheem granulation,
Minimizes qhov ntxim nyiam ntawm trophic mob rau sab hauv,
Nws ua rau thaj chaw noo nyob rau hauv qhov txhab uas tiv thaiv kev kis kab mob thiab kab mob.

Caterization yog ib txoj hauv kev los kho ischemic thiab mob rau ntawm ob txhais ceg uas tsis zoo.

Virtual txiav tu yog ib txoj kev kho mob nrov rau cov mob nqaij hlav ntshav qab zib uas tshwm sim hauv cov neeg mob ntshav qab zib. Cov txheej txheem cuam tshuam nrog rov qab ntawm cov pob txha thiab metatarsophalangeal sib koom tes yam tsis tau ua txhaum lub cev ntawm lub cev. Kev txiav npluav siab tso cai rau koj kom tau txais kev ua kom pom tseeb ntawm kev sib kis thiab txo kev mob siab.

Stitching venous arterial fistulas los ntawm daim tawv nqaij yog qhia nyob rau hauv qhov muaj qhov to ntawm ischemic (hypertensive) mob, hu ua Martorell's syndrome. Kev cuam tshuam yog tsom rau kev sib cais ntawm cov fistulas uas nyob raws ntug ntawm lub qhov txhab.

Kev kho tshuaj yeeb yaj kiab tuaj yeem yog txoj kev ywj pheej ntawm kev kho mob thaum pib thiab theem nrab ntawm mob ncauj plab hauv cov neeg mob ntshav qab zib. Hauv kev muaj ntau dua, cov tshuaj tau sau tseg ua kev txhawb nqa ua ntej thiab tom qab phais.

Txoj kev kho nrog tshuaj nyob rau theem sib txawv ntawm qhov mob txhab ntawm ob txhais ceg yog qhov sib txawv. Nyob rau theem pib tau qhia:

Antihistamines - Tavegil, Loratodin, Suprastin,
Tshuaj tua kab mob
Cov tshuaj tiv thaiv kab mob (rau kev txhaj tshuaj rau leeg) - Reopoliglukin, Pentoxifylline,
NSAIDs (cov tshuaj uas tsis yog tshuaj steroidal) - Ketoprofen, Imet, Diclofenac,
Cov Kws Kho Mob (hauv cov ntsiav tshuaj) - Nise, Ibuprofen, Indomethacin.

Kev siv cov tshuaj no yog tsom rau kev ntxuav qhov txhab los ntawm cov nplais thiab cov kab mob. Ua li no, cov kiav txhab tau ntxuav nrog kev daws furatsilina, chlorhexidine lossis potassium permanganate. Thiab tom qab ntawd lawv ua kom muaj qhov txaus nrog Levomikol, Streptolaven lossis Dioxicol.

Kev kho mob thib ob ntawm kev mob qog mob ntshav qab zib hauv ntshav qab zib yog txhawm rau kho lub qhov txhab kom zoo, ua kom rov zoo thiab ua mob ntawm daim tawv nqaij. Lub qhov txhab saum npoo yog kho nrog Curiosin. Txhawm rau tiv thaiv tus kab mob mus koom, siv Algipor, Allevin, Geshispon.

Qhov thib peb theem nyob rau hauv kev kho mob ntawm trophic qhov txhab ntawm ob txhais ceg yog kev tawm tsam los ntawm tus kabmob uas ua rau lawv tsim. Nyob rau theem no, kev kho mob ntawm qhov mob txhab thiav nrog tshuaj insulin yog nqa tawm.

Kev siv dag zog hauv lub cev tsuas yog kho rau theem ntawm kev kho mob ntawm qhov mob. Feem ntau, tus kws kho mob sau ntawv rau:

Nrog atherosclerotic qhov chaw mob - kev siv Kravchenko siab chamber, uas tsim cov lus tsis zoo hauv zos,
Cavitation los ntawm tsawg zaus ultrasound. Cov kev kho mob zoo tshaj plaws kho qhov ua tau zoo ntawm cov tshuaj tua kab mob thiab tshuaj tua kab mob,
Kev kho mob hlau nplaum tuaj yeem txo qhov mob, ntxiv ntshav cov hlab ntshav, txo qhov o,
Laser kho tshem tawm ua kom pom tseeb ntawm qhov mob, cuam tshuam qhov mob, txhawb kev tsim cov ntaub so ntswg,
Ultraviolet txhawb kev tiv thaiv hauv zos,
Kev siv cov Nitrogen thiab ozone pab ua kom cov nqaij mos nrog cov pa oxygen thiab lawv cov kev tsim dua tshiab,
Kev kho cov av nkos ua rau tus neeg mob rov qab sai dua tom qab mob.

Kev siv cov zaub mov txawv ntawm cov neeg kho mob ib txwm tso cai tsuas yog nyob rau theem ntawm kev kho mob ntawm thiav tsis huv thiab tom qab sab laj nrog kws kho mob. Lwm txoj kev kho mob suav nrog kev kho qhov mob, ntxuav lawv ntawm cov ntsiab lus purulent thiab cov ntaub so ntswg tuag. Cov tshuaj ntsuab pab txo kev mob tshwm sim thiab pab txhawb kom rov kho dua ntawm epithelium.

Kho qhov mob nrog cawv lossis vodka. Siv tshuaj pleev Vishnevsky,
Siv cov ntaub so nrog ntaub plaub, siv rau cov qhov txhab li 2-3 hnub. Ua mus kom txog thaum kawg nkaus
Qaug tog tatarnik tawm mus zom ua hmoov. Txau cov qhov txhab thiab txhim kho nws nrog cov ntaub qhwv nyias. Rov ua 2-3 zaug ib hnub kom txog thaum mob nqaij to.

Trophic mob rau ntawm txhais ceg yog ib qho kab mob los ntawm ntshav qab zib. Kev kuaj mob kom raws sijhawm thiab kho cov kab mob txaus tso cai rau koj tso tseg qhov teeb meem thiab tsis txhob rov huam mob ntxiv. Tab sis cov txheej txheem kev kho yog ib qho nyuaj thiab kom tus neeg mob ua raws li tus kws kho mob cov lus pom zoo.

Mob leeg ceg mob hauv cov neeg mob ntshav qab zib mellitus

Nws paub tias cov kab mob pathology no cuam tshuam tsis tsuas rau cov neeg mob ntshav qab zib - tawm ntawm 33 tus neeg mob, tsuas yog 1 tus neeg mob tau kuaj pom tias muaj kev ua txhaum ntawm cov metabolism hauv cov metabolism. Dua li ntawm qhov no, hauv cov neeg zoo li tus kabmob no tau sojntsuam tshwjxeeb nrog rau kev nyuaj, nrog rau kev nyuaj ua rau kev kho kom zoo.

Mob raum ua mob ntshav qab zib tshwm sim rau ntau qhov laj thawj. Lub hauv paus ntsiab lus yog kev ua txhaum ntawm trophism ntawm cov nqaij mos thiab tawv nqaij vim yog hyperglycemia, vim tias cov tawv nqaij ua rau tawv nqaij, qhuav, ntxim rau tev thiab tawg. Kev sib ntxiv ntawm cov khoom noj khoom haus carbohydrate cov txiaj ntsig ua rau muaj kev hloov tsis zoo hauv cov hlab ntshav.

Nrog kev vam meej ntawm tus kab mob hauv qab, angiopathy thiab ntshav tsis txaus rau cov tawv nqaij ntawm ob txhais ceg (feem ntau txhais ko taw thiab pob taws) ua rau kev tsim ntawm foci ntawm necrosis uas zoo li mob rau sab hauv. Nrog rau mob ntshav qab zib ntev mellitus, tshwj xeeb tshaj yog nrog kev ua mob hyperglycemia thiab kev ua txhaum ntawm kev noj zaub mov, yooj yim txhua yam kev puas tsuaj rau daim tawv nqaij ntawm ob txhais ceg, tsis raug rau kev ua kom tiav, yooj yim tig mus rau mob.

Lwm lub tshuab rau kev tsim cov mob txhab yog voos ntawm daim tawv nqaij nrog cov khoom txawv teb chaws. Hauv cov neeg mob hyperglycemia, neuropathy feem ntau pom - kev ua txhaum ntawm kev nkag siab ntawm daim tawv nqaij. Hauv qhov no, ib tus neeg ce tsis hnov mob los ntawm kev ua viav vias nrog cov khoom txawv teb chaws, piv txwv li, cov xuab zeb tawv los yog khau tawv. Kev txhuam ntev heev ua rau kev puas tsuaj ntawm daim tawv nqaij uas tsis muaj zog thiab tsim cov nqaij.

Muaj ntau yam kev txhawb uas ntxiv uas ua rau cov tawv nqaij tsis muaj zog ua ntej kev raug mob. Cov no suav nrog:

Kab mob ntawm cov hlab ntsha loj - vasculitis, obliteration.
Atherosclerosis
Pathology ntawm peripheral calving ntawm lub paj hlwb (autonomic neuropathy).
Lub yeej ntawm cov hlab ntsha me, veins thiab capillaries.

Cov xwm txheej hauv qab no ua rau muaj kev puas tsuaj rau ntawm daim tawv nqaij ntawm ceg:

Kev xaiv tsis yog ntawm nkawm khau.
Kev saib xyuas ko taw tsis txaus.
Kev kawm ntawm tus taw thiab gait.
Cuam tshuam rhiab rau ntau yam stimuli, piv txwv li, kub.
Ua haujlwm tsis txaus.
Txwv tsis pub txav ntawm pob qij txha.

Mob rwj nrog ntshav qab zib tsis tsim tam sim ntawd. Feem ntau, lawv tau ua ntej los ntawm lwm daim tawv nqaij tsis xws luag:

Nrib pleb.
Khawb.
Lub Corns.
Lub Corns.
Hlawv.
Nqaij ntuag.
Lwm yam kev raug mob hauv tsev neeg - lub qhov txhab thaum taug kev ko taw liab qab, scuffs los ntawm khau, khawb, qhov txhab tom qab ntsia hlau ntsia hlau.

Cov tawv nqaij ua mob rau cov ntshav qab zib tsis tshwm sim sai, tab sis tom qab lub sijhawm ntev los ntawm qhov pib ntawm tus kab mob. Kev txhim kho ntawm mob rau sab hauv yog raug muab faib rau ntau theem:

Lub sijhawm ua ntej tshwm sim ntawm daim tawv nqaij tsis xws luag. Nws yog qhov txawv ntawm cov tsos mob ntawm qee cov tsos mob: tsis tshua rhiab, hnov mob ntawm ob txhais ceg, hlawv, khaus, cramps, o, pigmentation lossis blueness ntawm taw.
Cov theem ntawm thawj qhov kev tshwm sim. Cov kab nrib pleb, cov tawv nqaij thiab tawv nqaij zoo li tshwm sim rau ntawm qhov chaw ntawm tawv nqaij, uas tsis zoo rau ntev thiab zoo li nws loj tuaj.
Cov theem ntawm cov tsos mob ntxaws. Cov tawv nqaij ua tsis xws li dhau los ua qhov dav ntxiv, nws cov khaubncaws sab nraud povtseg tau rhuav tshem nrog tsim ntawm pob zeb. Ntshav tawm tshwm, uas tom qab kis tau hloov mus rau hauv purulent. Txawm hais tias muaj qhov sab nraud sab nraud ntawm qhov teeb meem, qhov txhab tsis ua rau mob hnyav rau tus neeg mob, muaj kev xyaum tsis muaj mob. Tej zaum qhov kev txhim kho ntawm ntau lub qhov txhab ntawm ib ceg.
Lub sij hawm ntawm kev loj hlob ntawm pathology. Cov qhov txhab ua dav dav, cov tsos mob ntawm intoxication tau sau tseg - tsis muaj zog, ua daus no, ua npaws. Qhov mob hnyav ntxiv, necrosis kis mob rau cov leeg thiab pob txha.
Tsim ntawm ntub dej lim hiam gangrene.

Ntxiv nrog rau qhov mob txhab rau mob ntshav qab zib hauv ntshav qab zib, nws muaj ob peb hom mob ntawm qhov txhab:

Mob viav vias rau qhov ncauj rog - yog tsim tawm tsam keeb kwm ntawm mob ntev venous tsis txaus.
Mob raum tom qab postthrombotic mob- tshwm sim ntawm lub fota ntawm thromboembolism ntawm cov hlab ntshav.
Txoj leeg mob leeg - kev tsim muaj cov kev ua txhaum ntev ntawm txoj hlab ntshav hauv cov nqua.

Kev kho mob ntawm trophic lesions ntawm qhov mob siab tshaj plaws hauv ntshav qab zib yog nqa tawm los ntawm tus kws phais neeg ua ke nrog tus kws kho mob endocrinologist.

Mob raum twb kuaj pom yooj yim heev - rau qhov no nws txaus los ua kev soj ntsuam thiab ua kom paub txog tus neeg mob li keeb kwm mob ntshav qab zib. Txheeb xyuas qhov ntsuas kev puas tsuaj ntawm cov hlab ntshav, tus kws kho mob tuaj yeem xa mus rau tus neeg mob mus rau ultrasound dopplerography ntawm leeg leeg, txoj kev tshawb no duplex. Txheeb xyuas qhov zoo ntawm microcirculation, rheovasography ntawm ob txhais ceg yuav pab.

Kev kho mob ntawm lub qog ua rau mob ntshav qab zib mellitus yeej ib txwm ua, thaum nws nyuaj heev kom tau txais cov txiaj ntsig zoo vim tias tsis muaj kev cuam tshuam ntawm trophic. Ntawm cov ntshav qab zib, kev kho mob ntawm lub qhov txhab tau muab faib ua kev saib xyuas thiab phais mob.

Raws li kev txuag kev ntsuas nqa tawm:

Kev siv dag zog rau kev kho cov mob ntshav qab zib suav nrog electrophoresis nrog cov tshuaj tua kab mob thiab enzymes, kev kho mob ultrasound, UHF, UFO. Kuj tsis paub meej pneumocompression pab ua kom ntshav khiav mus tau zoo thiab txo cov ntshav kom ntshav qis. Ntawm cov theem ua kom zoo, kev kho laser, darsonvalization, infrared hluav taws xob tau ua.

Kev phais mob suav nrog:

Ntawm cov mob txhab, lawv tau qhib, ntxig thiab tshem tawm, khaws cov ntaub so ntswg ntau li ntau tau.
Nyob rau hauv qhov xwm txheej loj, rov tsim txoj haujlwm ntawm cov nkoj tau ua tiav los txhawm rau txhawm rau txhawm rau txha nqaj.
Qhov kev kho loj kawg rau kev txhim kho tus neeg caj ceg tsis zoo yog txiav tes taw.

Cov kev kho mob ib txwm tuaj yeem ua ke nrog cov kev kho mob pej xeem. Cov tshuaj ntsuab muaj ntau yam zaub mov txawv. Piv txwv li:

Ib qho kev daws ntawm alum burnt - ib tug pinch ntawm alum yog yaj nyob rau hauv 1 khob ntawm cov dej npau. Lub txiaj ntsig tau ntxuav lub qhov txhab.
Birch tshauv - 1 kilogram ntawm cov hmoov tshauv yog sifted thiab nchuav nrog cov dej npau hauv lub ntim ntawm 10 liv. Ua qhov txias, txias, thiab tso cov leeg mob rau hauv cov khoom ua tiav.

Kev mob ua kom yuag mob tuaj yeem cuam tshuam los ntawm kev ua mob rau cov hlab ntsha ntawm cov hlab ntsha, necrosis ntawm cov nqaij mos thiab pob txha, ntub dej txhaws caj pas, kev txhim kho ntawm sepsis.

Txhawm rau tiv thaiv kev txhim kho ntawm cov mob txhab, tus neeg mob ntshav qab zib yuav tsum ua tib zoo saib xyuas kev tu cev ko taw thiab kho lub qhov txhab ntawm cov ceg tawv. Nws yog ib qho tseem ceeb los tiv thaiv tus taw ntawm cov kab mob fungal, xaiv cov khau kom raug, ua raws li kev noj zaub mov noj.

Kev mob raphic hauv cov neeg mob ntshav qab zib mellitus yog qhov teeb meem loj heev uas yuav tsum tau kho ntau lub luag haujlwm. Qhov kwv yees ntawm tus kab mob nyob ntawm theem ntawm nws txoj kev loj hlob, qhov muaj cov kab mob concomitant thiab qhov hnyav ntawm cov tsos mob.

Siv cov vis dis aus siv uas yuav kho cov mob raum ua ntshav qab zib li cas

Ib qho ntawm cov kev mob tshwm sim tshaj plaws uas cov neeg muaj ntshav qab zib lub ntsej muag yog qhov tshwm sim ntawm qhov mob rau ntawm nqua. Yog tias qhov kev tsis txaus siab no tsis kho, lossis yog tias nws tsis pom thaum lub sijhawm nws, tus mob yuav haj yam tsis zoo, uas tuaj yeem ua rau txiav tu ncua. Txhawm rau zam qhov no, nws yog qhov tseem ceeb kom paub tias dab tsi trophic ceg mob yuav zoo li mob ntshav qab zib, thiab koj tuaj yeem ua dab tsi txog nws.

Ntawm cov ntshav qab zib mellitus, tsis tsuas yog cov kab mob hlwb raug mob, uas cov kua nplaum tsis ua haujlwm ntws mus ib txwm, tab sis kev hloov pauv kuj tshwm sim ntawm qib neurovascular. Qhov no txhais li cas? Tus mob ntshav qab zib raug kev txom nyem los ntawm cov metabolism tsis zoo, uas cuam tshuam rau cov phab ntsa ntawm cov hlab ntsha, uas:

hnav
ua rhiab
uas muaj cov khoom lom.

Lub cev tsis muaj sijhawm los kom rov zoo, thiab yog tias koj ntxiv ntshav qab zib (uas yog hom mob ntshav qab zib hom 2) rau qhov no, mob kiav txhab trophic tuaj yeem tshwm sim:

Txawm tias qhov kiav txhab me me, yog tias tsis quav ntsej, tuaj yeem ua rau cov nqaij mos necrosis. Tag nrho cov no yog vim qhov tseeb tias cov hlab ntsha thiab cov ntshav tsuas tuaj yeem tiv tsis taus nrog lub nra, tsis tuaj yeem kho thiab rov zoo.

Corns, abrasions, ntau dhau kev thauj ntawm lub ceg - tag nrho cov no tuaj yeem ua rau kev txhim kho ntawm cov mob txhab. Yog li no, cov kws kho mob feem ntau tsom rau kev saib xyuas lawv ko taw yog tias lawv muaj ntshav qab zib.

Cov laj thawj tseem ceeb vim li cas thiaj li muaj mob rau cov ntshav qab zib mob ntshav qab zib yog mob angiopathy (kev puas tsuaj rau cov hlab ntsha me me) thiab cov hlab ntsha puas hlwb (puas rau cov hlab leeg). Lwm yam uas ua rau ua rau cov lus tsis zoo no suav nrog:

tsis ua raws li kev nyiam huv ko taw,
hnav tsis yog khau
tsis ua raws li kev noj haus tshwj xeeb rau cov neeg mob ntshav qab zib,
kev raug mob thiab microtraumas.

Nws yog cov pathologies uas ua rau tus txheej txheem uas cov qhov txhab me me dhau los ua qhov tsis mob.

Qhov chaw nyiam tshaj plaws ntawm qhov mob txhab yog ntsia hlau ntswj ntawm cov ntiv taw, thiab qhov thib ob, qhov chaw tsis tshua pom yog qhov luj taws. Nws muaj peev xwm paub txog tias qhov no yog qhov mob trophic (txhua ntu ntawm kev loj hlob) hauv cov ntshav qab zib mellitus los ntawm cov cim hauv qab no:

Yog tias qhov mob txhab me me (koj tuaj yeem ua rau nws nrog pob kws), ces nws yuav mob heev, tshwj xeeb tshaj yog thaum tsaus ntuj. Tab sis nrog rau qhov tsos mob no ntawm ceg mob rwj nrog ntshav qab zib, muaj qhov sib luag - qhov no yog qhov ua tiav qhov tsis hnov mob, txawm hais tias qhov loj npaum li cas ntawm qhov mob txhab. Ob txoj kev xaiv yuav tsum yog qhov tsis txaus ntseeg.
Cov qhov ncauj tawm, nqaij doog thiab hlais tsis kho kom ntev, qhov loj dua, pib mob.
Tsis muaj tus cwj pwm pom ntawm kev raug mob, tab sis kev taug kev tuaj yeem nyuaj, mob tshwm sim, uas tshwj xeeb tshaj yog pib thab thaum lub cev hnyav dhau los thiab thaum tsaus ntuj.

Nws yog ib qho tseem ceeb kom nco ntsoov tias kev mob raum yuav tshwm sim nrog cov ntshav qab zib tsis tau kuaj pom. Qee zaum lawv cov ntsej muag tau dhau los ua qhov laj thawj loj rau sab laj nrog tus kws kho mob thiab kuaj pom tus kab mob. Yog li, yog tias pom muaj cov tsos mob ntawm pob qij txha tawm, ces koj yuav tsum kuaj ntshav qab zib, tso zis, thiab kuaj cov hlab ntsha.

Muaj tsib theem ntawm kev txhim kho ntawm qhov mob trophic, ntawm txhua qhov ntawm qee yam cim xeeb ntxwv tshwm sim.

Nws yog tus cwj pwm los ntawm qhov tseeb tias qhov rhiab ntawm lub receptors ntawm epidermal hlwb poob qis, yog li tus neeg mob yuav raug mob thiab txawm tias tsis pom qhov no, vim nws yuav tsis hnov nws qhov kev raug mob. Cov roj ntsha ntawm daim tawv nqaij ntawm ob txhais ceg tsis tsuas yog nres kom tsis txhob cuam tshuam rau kev kho tshuab, tab sis kuj hloov mus rau qhov kub thiab txias.

Nyob rau thawj theem, tsuas yog qhov tshwm sim ntawm qhov mob me me, piv txwv li kev sib tw, khaus, hlawv, tuaj yeem sau tseg. Nws yog qhov tseem ceeb ntawm no los kuaj xyuas ko taw txhua hnub - ntawm thawj theem, cov ceg yuav tuaj yeem o, hloov xim (los ntawm liab mus rau cyanotic), cramps tshwm sim.

Nyob rau theem no, tus yam ntxwv tshaj plaws ntawm tus kabmob tshwm sim. Hauv cov chaw uas daim tawv nqaij qhov chaw puas, ua paug, cov kab nrib pleb thiab lwm yam tsis xws me pib tsim. Txhua txhua hnub, lub qhov txhab mob tau kis rau hauv ko taw, thiab cov qhov txhab tsis tshua zoo.

Cov duab hauv chav soj ntsuam tau dhau los ua qhov tseeb dua. Qhov txheej sab saud ntawm tus kabmob epidermis yog muab pov tseg tag nrho, hlwv tuaj yeem tshwm rau ntawm qhov mob (ob leeg nrog kua paug thiab ntshav). Nyob rau theem no, mob txhab rau lawv tus kheej tsuas yog pom kev, uas yog, tus neeg mob tsis hnov mob lwm yam tsos mob. Nws yog ib qho tseem ceeb kom nco ntsoov tias mob txhab yuav tsis txo qis - thaum tsis muaj kev kho thiab tu, lawv yuav nce ntxiv.

Lub yav dhau los tshwm thiab mob dhau qhov mob los ntawm qhov txhab hloov mus rau hauv rwj. Nyob rau tib lub sijhawm, lub cev kub nce, ua daus no tshwm sim, thiab qhov mob sib zog. Feem ntau, nyob rau theem no, cov neeg mob tuaj yeem taug tsis taus vim qhov mob.

Qhov no yog theem kawg nrog kev ua haujlwm tsis txaus ntseeg. Yog hais tias tus neeg mob tau mus txog theem thib tsib, tom qab ntawd ces tus poj niam caj pas tau tsim, thiab txiav tawm ntawm cov ceg ntoo yog txoj hauv kev los mus nres qhov kev kis mob ntawm cov nqaij.

Txhua theem ntawm kev txhim kho tus kabmob yog qhia hauv daim duab:

Ib txoj kev kho tag nrho suav nrog tag nrho kev ntsuas, tab sis cov txheej txheem yooj yim ntawm kev sib ntaus ntawm cov kab mob trophic yog li hauv qab no:

Siv cov tshuaj noj, qhov kev txiav txim ntawm uas tsom rau normalizing ntshav qab zib. Hauv cov theem tom qab ntawm tus kab mob (thib peb thiab plaub), cov tshuaj uas muaj cov tshuaj insulin tuaj yeem tsim tshuaj.
Kev siv cov tshuaj uas lawv ua yog tsom rau kev txhim kho lub paj hlwb peripheral. Xws li kev ntsuas tsim nyog nyob rau hauv thiaj li muaj feem xyuam rau cov mob rau sab hauv, thiab tsis yog sab nraud xwb. Qhov ntxiv cov vitamin complex nrog cov ntsiab lus ntawm cov vitamins B yog tau sau tseg ntawm no.
Cov kev tiv thaiv kev tiv thaiv los tiv thaiv lossis tshem tawm tus mob thrombophlebitis, varicose leeg thiab ntshav siab.
Thaum mob ntshav siab, tus neeg mob tau xaj tshuaj los ntawm pawg statins.
Yog hais tias tus neeg mob tseem muaj tus kab mob, tom qab ntawd nthuav cov tshuaj tua kab mob ntau ntxiv rau daim ntawv teev cov tshuaj.

Kev siv tshuaj kho yog qhov tseem ceeb ntawm txoj kev kho, tsis muaj qhov nws yuav tsis muaj peev xwm ua tiav qhov txiaj ntsig zoo, tab sis nws tseem ceeb ib yam los kho qhov mob thiab qhov nqaij tawv txhua hnub. Qhov no yog qhov tsim nyog thiaj li yuav txo cov naj npawb ntawm cov microbes nyob rau saum npoo ntawm Cuam tshuam epidermis.

Ua ntej qhia txog kev yuav ua li cas thiab yuav kho cov qhov txhab li cas, nws yog ib qho tseem ceeb kom nco ntsoov tias tsis muaj qhov xwm txheej twg tuaj yeem kho kho qhov mob txhab:

iodine
ntsuab
poov tshuaj permanganate tov,
rivanol
tej kev daws teeb meem uas muaj cawv.

Ntawm cov theem thaum lub rwj yuav pib fester thiab los ntshav, nws pom zoo kom yaug nws nrog tshuaj tov ntawm hydrogen peroxide (3%). Tsis tas li, txhua ntu ntawm kev txhim kho kabmob, cov qhov txhab raug ntxuav txhua hnub nrog sodium chloride lossis chlorhexidine.

Ntxiv nrog rau kev kho qhov mob, nws tseem yog ib qho tseem ceeb uas yuav tsum tau hnav tshwj xeeb hnav. Kev hnav ris tsho yuav tsum ua ntawm cov khoom siv, uas ua tau raws li txhua yam yuav tsum muaj hauv qab no:

tsis raug mob
tuaj yeem tswj hwm qhov chaw noo (qhov no yog qhov mob tseem ceeb uas pab ua kom qhov mob rwj sai sai)
tuaj yeem nqus tawm txhua qhov paug tawm ntawm qhov mob txhab,
cia pa hauv
tsis dhau cov kab mob thiab tiv thaiv cov tawv nqaij los ntawm kev kis mob.

Nws tsis pom zoo kom siv daim ntaub nyias nyias hnav, vim tias cov khoom siv no tuaj yeem ua rau cov ntaub so ntswg tsis zoo ntawm lub dermis thiab yog li ua txhaum txoj kev ncaj ncees ntawm cov granulation thaum tshem cov hnav khaub ncaws. Nws raug tso cai siv txoj phuam tsuas yog tias qhov mob txhab ntub lossis nrog qhuav necrosis.

Kev sib lawv liag ntawm kev nqis tes ua rau cov kev ntsuas rau kev kho mob ntawm qhov mob qog yuav muaj raws li hauv qab no:

Yaug thaj chaw muaj kab mob ntawm cov kabmob epidermis nrog lub cev mob ua ntej (koj tuaj yeem siv lwm tus neeg sawv cev uas peb tau hais saud).
Tsis tas li ntawd, lub qhov txhab tuaj yeem raug kho nrog cov tshuaj pleev ua tua kabmob (antibacterial), piv txwv li, Algofin.
Siv ib daim ntaub qhwv rau mob txhab kom tsis txhob txhaws ceg. Tsis txhob taug kev nrog bandage ntev, ntev li 4 teev. Tom qab hle cov hnav khaub ncaws, lub rwj yuav rov pleev dua.

Nws yog ib qho tseem ceeb uas txawm tias qhov me tshaj plaws thiab tawg me me tsis quav ntsej, vim tias lawv lub xub ntiag tuaj yeem ua rau txiav taws.

Kev kho mob ntawm qhov txhab txhaws yog qhov ntev thiab ntau txoj hauv kev, tab sis nws yog ib qho tseem ceeb kom coj mus rau hauv txhua qhov nuances, thiab tseem yuav tsum tsis txhob hnov qab txog kev tu cev tus kheej thiab tshuaj xyuas cov nqua txhua hnub rau kev puas tsuaj tshiab rau cov epidermis.

Kev tiv thaiv tseem ceeb tshaj plaws nyob rau hauv qhov teeb meem no (tau qhia tias tus neeg mob paub txog nws txoj kev kuaj mob ntshav qab zib mellitus) yog kev tswj hwm tus kabmob, uas yog qhov lees tias cov ntshav qab zib cov ntshav yuav tsis nce ntxiv, vim tias qhov kev cuam tshuam no ua rau kev loj hlob ntawm kev mob raum. Kev tswj ntshav qab zib txhais tau tias ua raws li kev noj haus kho mob tshwj xeeb, kev txhaj tshuaj insulin (yog tias kws kho mob tau sau tseg), nrog rau kev noj tshuaj uas ua rau cov ntshav qabzib nce siab.

Ib qho ntxiv, nws yog ib qho tseem ceeb kom ua raws li cov lus pom zoo hauv qab no rau kev tiv thaiv:

Tsuas hnav cov khau uas yuav xis. Raws li txoj cai, cov khau no yog orthopedic. Nws yog ib qho tseem ceeb uas cov khau haum rau lub caij, loj thiab tau ua los ntawm cov khoom siv ntuj.
Nws yog ib qho tseem ceeb uas yuav tsum ntxuav koj txhais taw tsis yog thaum sawv ntxov thiab yav tsaus ntuj, tab sis yog tias ua tau, ua nws tom qab txhua zaus mus ncig ntawm txoj kev.
Zam kev ua kom lub cev txias thiab kub nqua.
Txawm hais tias txiav me me, nws yog ib qho tsim nyog yuav tsum pib kho qhov mob, tab sis nws yog qhov zoo dua rau sab laj tus kws kho mob tam sim ntawd.

Peb qhia koj kom nyeem ib tsab xov xwm ntawm kev saib xyuas ko taw kom zoo rau cov ntshav qab zib, uas yuav txo tau kev pheej hmoo ntawm kev mob qog thiab lwm yam teeb meem.

Hauv cov vis dis aus tom ntej, tus kws tshaj lij yuav qhia koj tias muaj dab tsi ua kom mob ncauj plab, qhov lawv pom tshwm, thiab uas cuam tshuam nrog ntau yam kev kho mob:

Raws li txoj cai, ntau tus neeg mob tsis txawm xav tias lawv muaj cov nyom thiab tsis quav ntsej txog thaum nws pom tseeb. Tab sis kev kho kom raug yog qhov kev kho mob sijhawm, thiab vim li ntawd nws yog qhov tseem ceeb uas yuav tsum muaj peev xwm kom paub txog kev mob qog mob thaum ntxov ntawm kev txhim kho thiab tom qab. Ntawm thawj daim paib, kev kho mob yuav tsum tau pib tam sim ntawd.

M.A., Darenskaya Hom 1 mob ntshav qab zib mellitus: / M.A. Darenskaya, L.I. Kolesnikova und T.P. Bardymova. - M .: LAP Lambert Kev Kawm tshaj tawm, 2015 .-- 124 c.
Fadeeva, Anastasia Ntshav Qab Zib. Kev tiv thaiv, kho mob, khoom noj khoom haus / Anastasia Fadeeva. - M.: Phau ntawv xav tau, 2011. - 176 c.
Shabalina, Nina 100 lub tswv yim rau kev ua neej nyob nrog ntshav qab zib / Nina Shabalina. - M .: Eksmo, 2005 .-- 320 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.

Cov hau kev kho

Txhawm rau kom tshem tawm cov mob txhab ntshav hauv ntshav qab zib, koj yuav tsum nruj rau txhua tus kws kho mob cov tshuaj. Nws tuaj yeem xaiv qhov ua tau zoo tshaj rau ib tus neeg rau koj. Ua ntej ua cov tshuaj txuas ntxiv rau ib qho twg, kev kuaj mob txuas ntxiv mus.

Kev kho mob ntawm trophic mob rau hauv ntshav qab zib mellitus yuav suav nrog:

Noj tshuaj kho mob
Kev tawm dag zog lub cev
Kev phais mob.

Tshuaj kho mob nkeeg

Kev siv tshuaj kho mob yog txoj kev nyiam tshaj plaws los cuam tshuam cov mob qog ntshav qab zib hauv ntshav qab zib. Nrog rau txoj kev koom ua ke, nws normalizes ntshav ncig, thiab tseem cuam tshuam ceev txoj kev kho.

Feem ntau, cov kws kho mob tau sau ntawv rau cov tshuaj nram qab no:

Tshuaj tua kab mob - tiv thaiv kev kis kab mob.
Anti-inflammatory tshuaj - pab txo mob hnyav nyob hauv qis qis.
Tso cov tshuaj tua kab mob - txo cov nyhuv ua rau lub cev tsis zoo.
Cov tshuaj tiv thaiv kab mob ntshav - nyias cov ntshav, uas tiv thaiv tus kab mob ntawm kev nce qib.

Nws yog ib qho tseem ceeb heev kom paub meej tias kev tu tawv nqaij kom raug. Ua li no, siv cov tshuaj pleev xim uas ua kom cov plaub hau hnav thiab kho cov pleev lossis pleev pleev.

Tom qab cov qhov txhab ntub zoo li zoo lawm, kho cov ntshav rov qab kho tus kab mob. Cov no suav nrog Solcoserial, Actovegin, Tocopherol - tshuaj yuav xaiv ib tus zuj zus.

Kev tawm dag zog lub cev

Cov txheej txheem kho lub cev yog ib txoj hauv kev zoo los tawm tsam kev mob thiav los ntawm ntshav qab zib. Lawv pab txhim kho cov tawv nqaij mob, ua kom zoo sai ntawm cov kev txhab kom zoo. Cov kws kho mob sau ntawv rau cov kev ntsuas rau txhua tus neeg mob ntshav qab zib ua ntej los tiv thaiv cov teeb meem no.

Cov txheej txheem hauv qab no feem ntau yog nqa tawm:

Kev kho laser - kev tiv thaiv cov leeg ntshav nrog ntau qhov ntev. Lawv tua txhaws, vim cov ntshav ncig ua haujlwm li qub. Lub laser tseem nres tsis pom kev.
Phototherapy yog ib qho kev tshwm sim nyob rau hauv uas flashes ntawm lub teeb ua rau ntawm lub qhov txhab trophic. Lawv tua kab mob, uas nres qhov kev loj hlob ntawm cov txheej txheem pathogenic.
Ultrasound - normalizes ntshav kev nyob rau hauv cov ntaub so ntswg uas mob ntshav qab zib.
Kev sib nqus sib nqus - tshem tawm ntawm txoj kev dhuav.

Lwm txoj hauv kev ntawm kev kho mob

Ntawm cov theem pib, nws yuav muaj peev xwm kom tshem tawm cov tsos mob ntawm trophic mob rau ntawm txhais ceg siv cov tshuaj kho mob txoj kev. Nco ntsoov tias nws yog txwv tsis pub hloov cov kev kho mob uas tsim nyog nrog lawv - koj kos duab ua rau muaj teeb meem loj.

Lub hom phiaj tseem ceeb ntawm kev siv cov nyiaj no yog txhawm rau ua kom cov ntshav qabzib ntau ntxiv, nrog rau kho cov tawv nqaij puas. Nws yog qhov zoo tshaj plaws los siv cov tshuaj kho mob ua ke nrog cov tshuaj ib txwm muaj.

Cov zaub mov txawv tshaj plaws yog:

Siv 100 grams ntawm calamus hav iav thiab nchuav nws nrog ib litre ntawm cov dej npau. Cia kom sov tsawg rau 2 teev, tom qab ntawd hloov mus rau ib qho chaw ntim yooj yim. Siv ib lub decoction ntawm 50 ml 3 zaug ib hnub.
Nqa 200 grams ntawm Icelandic ntxhuab thiab hliv lawv nrog ib liv ntawm dej npau. Sau ntawv cia mus hais rau 1 hnub, tom qab ntawd muab tso rau hauv hluav taws thiab simmer rau 2 teev. Tom qab lub sijhawm no, hloov cov tshuaj, siv ua lub hauv paus rau compresses lossis lotions.
Kev sib xyaw ntawm aloe thiab calendula yuav pab kom kho qhov chaw tsis zoo. Sib tov cov feem no sib npaug hauv cov sib npaug, tom qab ntawd coj lawv hauv ib qho kev faib ua feem ntawm 1 tablespoon ib 1 liter dej. Brew xws li decoction thiab haus 200 ml thoob plaws hnub.

Kev Tiv Thaiv

Mob caj pas mob raum nyob hauv ntshav qab zib yog ib qho mob hnyav uas koj tuaj yeem tiv thaiv tau. Sim ua raws li cov kev tiv thaiv tshwj xeeb - lawv yuav pab txo qhov kev pheej hmoo ntawm kev puas tsuaj lossis txo qis lawv qhov tsis zoo.

Txhawm rau tiv thaiv cov tsos ntawm trophic mob rau ntawm txhais ceg nrog ntshav qab zib, ua raws li cov cai hauv qab no:

Qhov tseem ceeb tshaj plaws hauv kev tiv thaiv kev mob raum hauv ob txhais ceg nrog ntshav qab zib yog kev noj zaub mov zoo. Nrog nws cov kev pab, nws yog ib qho ua tau rau kev ua haujlwm ntawm cov kab mob ncig.

Zaub pob, txiv qaub ntsuab, currants, txiv ntoo, khoom noj siv mis thiab zaub roj yuav tsum muaj nyob hauv koj cov khoom noj. Muab qhov nyiam nyiam rau cov zaub mov tsis muaj calorie ntau nrog qhov glycemic index - cov suab thaj ntau dhau tsuas yuav ua kom cov txheej txheem tsis zoo ntxiv.

Vim li cas thiaj mob rau qhov ncauj thiav nrog cov ntshav qab zib thiab yuav kho lawv li cas

Txog kab mob ntshav qab zib
Hais txog cov tsos mob
Hais txog kev kho mob
Hais Txog Kev Tiv Thaiv

PEB COV NYEEM YUAV TSUM TAU TXAIS!

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Nrog rau ib qho mob xws li mob ntshav qab zib, tib neeg lub cev tag nrho xav tau kev saib xyuas tshwj xeeb, kev kho mob txaus yog tsis muaj qhov tsim nyog - tshwj xeeb. Qhov nqaj qis yuav tsum tau saib xyuas tshwj xeeb, txij li cov ntshav ntws mus rau lawv yuav tsis muaj zog. Raws li qhov txiaj ntsig ntawm qhov no, mob rwj nrog ntshav qab zib feem ntau tsim nyob rau hauv ob txhais ceg. Hais txog nws yog dab tsi, cov tsos mob thiab cov txheej txheem kho rau qhov kev ua kom paub tom qab ntawv.

Txog kab mob ntshav qab zib

Raws li kev tshawb fawb, cov mob txhab rau mob ntshav qab zib ntau tshaj li 3% ntawm tag nrho cov mob txhab. Nws yuav zoo li me ntsis, tab sis tib lub sijhawm, nce txog 80% ntawm cov neeg mob ntshav qab zib ntsib cov teeb meem uas tsis yog nrog cov hlab ntsha me me xwb, tab sis kuj muaj qhov kawg ntawm cov leeg. Yog li ntawd, lawv txoj kev kho yog qhov tsim nyog thiab tsis tas rau ntawm ob txhais ceg.
Qee zaum qee qhov kev raug mob me me rau ntawm daim tawv nqaij ntawm ko taw yog ntau tshaj li qhov txaus rau nws hloov mus rau qhov ua kom maj mam zoo, lossis, qhov tseeb, qhov mob trophic.
Cov laj thawj no yog dab tsi? Cov lus piav qhia rau qhov tshwm sim no yooj yim heev - nrog rau kev mob ntshav qab zib mus ntev ntev, cov teeb meem zoo li:

angiopathy (hauv qhov no tsuas yog cov nkoj me me cuam tshuam),
neuropathy, uas muaj nyob rau hauv yeej ntawm me me-qhov loj qhov me txoj kev kawg hauv cov ceg.

Tag nrho cov no dhau los ua lub hauv paus rau kev ua txhaum ntawm kev ncaj ncees thiab kev mob ntawm cov ntaub so ntswg, nrog rau kev tsim muaj ntshav qab zib taw. Qhov mob pathological no tseem ua rau kev tsim tsis tsuas yog cov kab mob trophic, tab sis kuj mob caj pas - raws li tuaj yeem pom hauv daim duab. Kho lawv thiab kho cov tawv nqaij ntawm ob txhais ceg, tsis yog qhov tsawg kawg, nws dhau los ua tsaug rau cov neeg muaj peev xwm saib xyuas, uas kho nrawm rau kho.

Hais txog cov tsos mob

Feem ntau ntawm cov mob, mob txhab rau cov ntshav qab zib mellitus raug tsim nyob rau ntawm phalanges hauv thaj tsam ntawm tus ntsia thawv thiab ntiv taw. Hauv ntau qhov teeb meem tsawg tsawg, qhov no tshwm sim hauv lub luj taws. Lawv cov kev tsim yog feem ntau yooj yim los ntawm cov kev ua kom pom tseeb xws li corns, kev raug mob me me uas tshwm sim los ntawm cov khau tsis xis.

Lawv kuj tuaj yeem tig mus ua qhov kev ua tiav ntawm qhov tsis muaj kev txhim kho ntawm ko taw, hlawv ntawm taw, tawg thiab ntau ntxiv.

Hauv cov ntsiab lus, txawm hais tias qhov kev puas tsuaj me me tsis kho rau ob peb lub lis piam. Thaum lub sijhawm dhau los, lawv dhau los ua qhov loj dua hauv qhov loj me thiab tob tob, dhau los ua twb muaj tus kab mob me me hauv ob txhais ceg, kev kho mob uas yog qhov tsim nyog thiab sai li sai tau. Cov yam ntxwv thiab qhov sib txawv ntawm qhov mob rwj nyob rau hauv cov ntaub ntawv ntawm cov ntshav qab zib mellitus yog raws li nram no:

Txawm hais tias qhov mob txhab uas tseem me me, qhov pom tshwm ntawm kev hnov mob kuj tuaj yeem pom, uas nyhav zuj zus thaum hmo ntuj. Txawm li cas los xij, ib qho kev tawm tsam kiag li tseem muaj peev xwm ua tau. Nws pom cov lus qhia hauv qab no - nrog rau mob thiav thiav nrog pom tseeb mob ntshav qab zib polyneuropathy, qhov mob siab yuav tsis yog. Qhov no tshwm sim txawm hais tias mob tseem ceeb thiab ncaj ncees ntawm lub qhov txhab. Txawm li cas los xij, ob qho tib si ntawm cov hom no muaj qhov sib txawv ntawm trophic mob rwj, kev kho mob uas tau pom zoo kom pib sai li sai tau,
tsis txhob kho nws tus kheej thiab txawm hais tias siv cov tshuaj nws yuav siv sijhawm ntev heev,
mob sib xws hauv kev mob ntshav qab zib tuaj yeem dhau los ua qhov tob tob thiab tig mus ua kev txhawm chim, uas yuav xav tau txiav tu plaub hau.

Hauv kev hais txog no, kev tiv thaiv kev tiv thaiv thiab kev kho mob ntawm qhov mob txhab rau hauv ntshav qab zib yog qhov tseem ceeb heev. Lawv yuav tsum tau nqa tawm sai li sai tau tom qab lawv pom, zoo li mob ntshav qab zib.

Mob raum nyob rau hauv cov ntshav qab zib yog yam ntxwv kho mob thiab nyob ntawm theem uas qhov chaw mob tseem pom. Tus mob ntshav qab zib tau muab lub txaj pw lossis ib nrab lub txaj, cais cov zaub mov noj nrog cov zaub mov tshwj xeeb, uas muaj cov vitamins ntau ntxiv, cov zaub mov thiab tshuaj protein. Kev tsim nyog yog kev soj ntsuam tas li ntawm cov piam thaj hauv cov ntshav. Cov kev kho mob zoo li no yuav tsum tau ua nyob ntawm kev saib xyuas tas li ntawm tus kws endocrinologist.
Yog tias nws tsis tuaj yeem ua kom zoo dua qhov sib piv ntawm cov piam thaj hauv cov ntshav hauv kev kho mob sab nrauv, tom qab ntawd yuav tsum muaj tsev kho mob. Kev kho nws tus kheej ntawm qhov mob siab rau theem ntawm nws qhov tsos muaj nyob rau hauv kev kho cov npoo ntawm qhov txhab nrog kev haus cawv uas muaj cawv, nrog rau kev ntxuav kom huv hauv kev mob ob txhais ceg nrog kev daws teeb meem ntawm cov tshuaj tua kab mob.
Nyob rau theem tom ntej, nws raug nquahu kom them nyiaj tshwj xeeb los ntxuav qhov mob rwj. Nws tseem yuav tsum tau thov cov ntaub qhwv tshwj xeeb ntxuav ob zaug ib hnub. Cov ntsiab lus tseem ceeb ntawm kev kho cov mob rwj nco, cuam tshuam nrog kev siv cov tshuaj pleev tshwj xeeb thiab cov tshuaj kua. Lawv pab txhawb rau hauv cov txheej txheem nthuav tawm thiab pab tswj cov khoom noj kom zoo ntawm daim tawv nqaij thiab cov nqaij hauv ob txhais ceg.

Gel cov ntshav qab zib yuav tsum tau siv rau qhov chaw ci ci nrog rau los ntshav, thaum lub txhab yuav tsum tau ntxuav kom huv.

Cov tshuaj pleev yuav tsim nyog siv rau cov chaw uas twb tau qhuav lawm, nrog rau qhov npoo ntawm qhov txhab. Hauv kev kho txheej txheem ntawm qhov mob txhab, ointments tsuas yog siv tshwj xeeb. Ntawm kev kho no tuaj yeem suav tias yog ua tiav thiab ua tiav nrog kev tiv thaiv.

Hais Txog Kev Tiv Thaiv

Kev kuaj mob ntshav qab zib mellitus thaum ntxov, tshwj xeeb tshaj yog nws hom thib ob, nrog rau nws txoj kev kho kom raug, uas pab ua kom tiav qhov ruaj khov ntawm cov ntshav qabzib feem ntau, yuav tsum tau txiav txim siab txoj hauv kev tseem ceeb los tiv thaiv kev tshaj tawm tsam mob ntshav qab zib mellitus thiab yav tom ntej.
Yog tias qhov xav tau tshwm sim, nws raug nquahu kom ua raws li kev noj zaub mov noj, siv cov tshuaj uas txo cov ntshav qab zib thiab txhaj tshuaj insulin. Ib qho ntxiv, peb tab tom tham txog kev ntsuas xws li:

hnav tsawg kawg cov khau siab tshaj plaws, thiab tseem zoo dua - orthopedic,
kev kho kom zoo los ntawm kev raug mob me tshaj thiab lwm yam kev raug mob,
kev zam ntawm qhov tsis tsim kev thauj khoom hnyav rau ntawm qis qis, piv txwv li, taug kev ntev,
tiv thaiv kev kub ntxhov hauv ob txhais ceg - ob qho tib si overheating thiab hypothermia,
kev thov rau tus kws tshaj lij tshwj xeeb thaum muaj teeb meem, uas yuav pab txhawb kev kho mob thiab kev tiv thaiv.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias muaj cov mob txhab trophic, uas tseem muaj lub nra hnyav los ntawm cov kab mob insidious li ntshav qab zib, tuaj yeem ua rau txaus ntshai heev. Tus mob no xav tau kev kuaj mob kom txaus thiab raws sijhawm, nrog rau kev ua tib zoo taug qab thiab tiv thaiv. Tsuas yog hauv qhov no, kev kho kom rov zoo tuaj yeem pom tau 100%.

Mob taub hau mob rwj ntshav qab zib

Mob rwj hauv ntshav qab zib mellitus yog tshwm sim rau cov neeg muaj tus mob no. Mob rwj uas tshwm sim rau ntawm txhais ceg nrog ntshav qab zib yog ib qho txheej txheem ua paug uas ua rau kev puas tsuaj rau txheej sab saud ntawm daim tawv nqaij ua rau tib neeg lub cev. Cov mob txhab ntshav txhab ntev ntxiv mus rau qhov qis hauv qab. Daim tawv nqaij ploj tshwm sim, mob rau hauv thaj chaw no, uas tawm ntawm qhov nti tom qab zoo.

Kev kho mob ntawm qhov txhab ntshav hauv ntshav qab zib yog ib qho ntawm cov txheej txheem nyuaj tshaj plaws, vim cov cell poob lawv lub cev li qub, thiab pib mob rau trophic. Lub cev ntawm cov ntshav qab zib tsis tuaj yeem kov yeej cov txheej txheem mob, yog li nws yuav tsum tau chaw rau kev kho mob tshwj xeeb.

Qhov pib ntawm qhov txhab ua mob ntshav qab zib

Cov neeg mob ntshav qab zib muaj ntau yam teeb meem, xws li mob ketoacidosis, tab sis kiav txhab trophic yeej ib txwm suav tias yog qhov txaus ntshai tshaj plaws.

Txhawm rau txiav txim siab hais tias cov txheej txheem ntawm kev tsim ntawm trophic mob txhab pib, txhua tus neeg mob tuaj yeem ywj siab:

nqaj qis dua poob lawv qhov rhiab
lawv yog ib txwm txias.

Qhov no vim tias cov leeg hlwb pib tuag. Tus kab mob ntshav qab zib raug kev txom nyem los ntawm insomnia cuam tshuam nrog hmo ntuj mob hauv ceg.

Mob raum ua paug ntshav qab zib feem ntau yog pib hauv thaj chaw ntiv tes xoo. Qhov no tshwm sim vim yog kev puas tsuaj rau cov hlab ntshav, lossis vim tshwm sim ntawm cov ntsaws ruaj ruaj ntawm tus taw (corns).

Thaum mob ntshav qab zib mellitus ua rau qhov tsim ntawm pob qij ua pob txha, tom qab 50% ntawm cov neeg mob nws yog qhov tsim nyog yuav tsum tau tshem tawm qis nqaj, txij li cov txheej txheem ua tsis tiav.

Thaum kws kho mob pom qhov ua rau muaj tiag ntawm kev tsim cov mob txhab ntawm ncauj, tom qab ntawd tsuas yog kho tau txaus tuaj yeem hloov kho. Tab sis qhov kev txiav txim tseem ceeb tseem yog ib txwm muaj suab thaj hauv cov neeg mob cov ntshav. Yog tsis muaj qhov no, txoj kev kho yuav raug rhuav tshem.

Cov txheej txheem ntawm kev kho cov kab mob trophic hauv ntshav qab zib

Txhawm rau tshawb fawb vim li cas, qee qhov kev kho mob yog ua tiav, uas yuav muaj cov kab mob bacteriological, cytological lossis keeb kwm tshuaj ntsuam. Lawv tseem tuaj yeem sau ntawv kev kawm ntawm txhua qhov nruab nrog cev uas siv cov cuab yeej siv kho mob tshwj xeeb. Kom sai li sai tau yog vim li cas qhov tseeb, qhov kev kho mob nyuaj ntawm trophic rwj yog kho.

Txoj kev phais mob kom haum rau qee tus neeg mob; rau qee yam, kho mob. Txhua tus tuaj yeem kho kho ib qho kev kho sab nraud uas tua cov tshuaj tua kab uas puas, vim nws nyob ntawm no cov kab mob tuaj.

Txhua qhov txhab uas tau tsim rau ntawm txhais ceg yuav tsum tau ntxuav nrog antiseptics, tom qab ntawd ntub nrog kho pob. Cov tshuaj pleev zoo tuaj yeem qhia koj tus kws kho mob. Yog tias yuav tsum tau muaj kev phais mob, cov txheej txheem txuas ntxiv yuav muaj nyob hauv kev tsim kom tshem cov ntaub so ntswg tuag.

Muaj ntau hom haujlwm:

Thaum ua ntawv thov kev kho lub tshuab nqus, cov neeg mob paub txog qhov ploj ntawm purulent deposits, o, qhov txhab ntawm lub ntsej muag txo qis, ntshav hauv nqaj pib nthuav tawm sai dua, qhov tshwm sim ntawm cov kev tsis sib haum yog tsawg heev.
Catheterization siv yog tias lub qhov txhab tob tob thiab tsis tuaj yeem kho tus kheej.
Txoj kev txiav tawm txoj cai txiav txoj cai txiav ua thawj cov cim ntawm tus ceg. Tsuas yog cuam tshuam cov pob txha raug tshem tawm.

Kev kho mob ntawm trophic mob rau hauv ntshav qab zib mellitus

Teem sijhawm siv cov tshuaj muaj tshwm sim nyob rau qee kis, txawm tias kev siv tshuaj phais. Coob npaum li cas thiab theem twg yuav nyob ntawm seb cov yam ntxwv ntawm chav kawm ntawm tus kab mob.

tshuaj uas pab tshem tawm kev ua xua,
tshuaj tua kab mob
tshuaj uas inhibit platelet aggregation los ntawm cov tshuaj txhaj,
tshuaj uas ua rau kom cov txheej txheem o,
antiseptics sib ntaus cov kab mob ntawm cov qhov txhab,
compresses nrog kho cov tshuaj pleev,
tsis tshua muaj - ntshav ua kev huv.

Theem lej 2 (thaum kho twb yuav pib):

kev siv ntawm qhov txhab hnav ris tsho,
kuriosin tau raug sau tseg.

Kev tshem tawm ntawm tus kab mob hauv qab, uas tau pab txhawb kev tsim cov mob rau sab hauv trophic.

Txhim kho cov txiaj ntsig ntawm kev kho yuav tshwm sim tsuas yog thaum, thaum lub sij hawm kho, ib tug kws kho mob tshwj xeeb tshaj tawm txoj kev kho vajtse:

Ultrasonic cavitation.
Hlau nplaum kho.
Kev siv tshuaj tua kab mob nrog lub laser.
UV hluav taws xob.
Kev kho tshuaj Ozone.
Cov kev kho av av.

Nrog cov qhov txhab mob tseem ceeb, txoj kev kho tsis muaj txiaj ntsig. Qhov mob tsis zoo, nws yuav ua rau tus neeg mob tsis xis nyob. Kev mob raum nyob rau hauv ntshav qab zib mellitus tsuas yog kho tau rau kev phais neeg mob xwb. Cov tawv nqaij tuag yog hloov nrog cov tawv nqaij noj qab haus huv los ntawm lwm qhov chaw ntawm lub cev.Txoj kev no yuav pab txheej txheej nyob ib sab rov qab.

Tsoos tshuaj - ib pab rau txoj kev kho mob niaj hnub

Txhawm rau npaj ib txoj kev kho mob kom zoo kom kov yeej trophic mob rau cov ntshav qab zib uas tau tshwm sim hauv cov ntshav qab zib, koj yuav tsum muaj: nplooj hleb, chamomiles, celandine thiab calendula. Qhov muaj pes tsawg leeg no yuav pab kho cov tawv nqaij uas rov tu.

Ib qho kev zaws ntawm cov tshuaj tiv thaiv tau muab tso rau cov tshuaj ntxuav. Lub sijhawm ntsuas lub sijhawm yog ob peb feeb. Tom qab ntawd lub rwj yog smeared nrog Vishnevsky tshuaj pleev.

Nrog lub sijhawm ntev thiab mob kom zoo, tar compresses yuav pab. Xws li kev hnav khaub ncaws yuav tsum nyob twj ywm ntawm qhov ceg uas puas rau ob rau peb hnub, tom qab uas tsim ib qho tshiab, thiab cov txheej txheem rov ua dua los ntawm qhov pib.

Qhov kev tswj hwm no yog ua kom txog thaum txhua qhov mob trophic mob ntshav qab zib mellitus dhau los.

Trophic mob rau cov ntshav qab zib, raws li ntau tus neeg kho, yog kho nrog prickly tatarnik. Ua ntej, lub rwj yog ntxuav nrog Rivanol, tom qab ntawd ib txheej ntawm nplooj ntawm cov nroj tsuag no tau nchuav, qhov txhab yog qhwv nrog daim ntaub qhwv tsis huv. Xws li kev pab tau rov ua dua ob peb zaug kom txog thaum cov qhov txhab ploj.