Yuav ua li cas xaiv cov khau haum rau ntshav qab zib > Cov khoom lag luam rau cov ntshav qab zib

Lub ntsiab lus ntawm "nkawm khau" hauv ntshav qab zib yog qhov tseem ceeb tshaj plaws hauv kev tiv thaiv kev mob hnyav xws li mob ntshav qab zib ko taw mob. Ib txoj haujlwm tseem ceeb yog ua si tsis yog los ntawm kev xaiv qhov yog ntawm khau, tab sis kuj los ntawm kev saib xyuas txoj cai hnav lawv rau ntshav qab zib.

Yog li yuav ua li cas xaiv cov khau rau ntshav qab zib txoj cai? Peb yuav sim mus rau ntsiab ob peb yam ntxwv zoo:

1. Muab qhov nyiam ua rau cov khoom siv zoo nkauj (piv txwv li tawv nqaij, hnov zoo li).

2. Tsis txhob ua kom lub siab xav yuav cov pob qhib qhib lossis cov swb, khaws cov khoom los ntawm cov khoom siv, tab sis kaw, thiab nco ntsoov muaj “rov qab”.

3. Cov nqaws yuav tsum nyob sab nraum khoom.

4. Rau cov khau kaw, qhov tso ntawm cov khoom siv ntuj.

5. Xaiv cov khau tsuas los ntawm qhov loj me, txawm tias cov khau nrov heev, tsis txhob nqa ib qho me me los sis me dua li koj.

6. Nws yog ib qho tseem ceeb kom them rau qhov dav ntawm cov khoom - khau yuav tsum tsis txhob nyem ko taw.

7. Cov khau siab ua ntej nrog lacing, Velcro lossis nrawm nrog lub peev xwm los kho qhov ntim sab hauv (piv txwv, thaum puffiness).

8. Lub xib taws yuav tsum nruj, tab sis ywj, muaj khoov, thiab nws yog qhov xav tau ntawm cov ntiv taw nce siab me ntsis.

Yog tias koj tau mob lub qhov txhab tsis zoo thiab / lossis twb muaj qhov deformities ntawm ko taw, tom qab ntawd koj tsis tuaj yeem ua yam tsis tau kuaj ib tus neeg orthopedist thiab ua ib tus neeg orthopedic khau, uas yuav ua rau nws tus kheej tus yam ntxwv ntawm koj ob txhais taw. Nov yog tib txoj kev los tiv thaiv qhov ua tau zoo ntawm cov mob ntshav qab zib mob ko taw.

Tsis txhob hnov qab ua raws li ib qho kev cai tseem ceeb rau kev saib xyuas ko taw hauv ntshav qab zib - kuaj xyuas khau txhua lub sijhawm rau cov khoom txawv teb chaws thiab / lossis kev ncaj ncees ntawm daim ntaub sab hauv (piv txwv, ntxaws lossis qhov tsis zoo ntawm qhov chaw) thiab tshawb xyuas ko taw txhua hnub.

Cov ntaub ntawv tshaj tawm hauv cov ntaub ntawv tsis yog kev sib tham kho mob thiab tsis tuaj yeem hloov pauv mus ntsib kws kho mob.

Yuav ua li cas txoj hlua khau thiaj li tiv thaiv cov teeb meem?

Mob ntshav qab zib yog ib yam kab mob insidious. Ntxiv rau qhov tseeb tias nws yog nrog tus lej ntawm cov tsos mob tsis zoo (lub qhov ncauj qhuav, nqhis dej tsis txaus, nce phaus, thiab lwm yam), nws tseem cuam tshuam rau lub xeev ntawm cov hlab ntsha cov ntshav thiab cov ntshav nyob hauv qis kawg.

Raws li kev ua tiav, cov neeg mob lub siab hloov qis thiab mob rau ntawm nws ob txhais ceg zoo ntau npaum li cas qeeb dua. Yog li, txhua yam kev puas tsuaj rau ntawm daim tawv nqaij tuaj yeem ua rau trophic mob rau sab hauv thiab kev txhim kho txuas ntxiv ntawm kev ua qog ntshav.

Nws yuav tsum raug sau tseg tias qhov mob txhab tsis tuaj yeem tshwm sim tsis yog rau ntawm daim tawv nqaij xwb, tab sis kuj tseem nkaum hauv qab keratinized epithelium. Thiab vim tias cov neeg mob ntshav qab zib muaj qhov pib txo qhov mob, lawv tsis tau pom tias lawv qhov tsos tshwm ntev.

Thiab feem ntau feem ntau, qhov txhab ntawm lub qhov txhab ua rau muaj kev cuam tshuam ncaj qha rau ntawm taw, uas muaj qhov hnyav tshaj vim yog qhov hnyav ntawm ib tus neeg. Yog li, teeb meem nyob rau hauv daim ntawv ntawm diabetic ko taw pib tsim, uas feem ntau ua rau kev xav tau txiav tawm. Txij li thaum nkag mus rau ntawm lub qhov txhab lossis hlais ntawm qhov mob, tsis yog tsuas yog cov ntaub so ntswg mos ntawm taw, tab sis kuj yog cov leeg nrog rau tus pob txha qauv tuaj yeem cuam tshuam.

Kev coj orthopedic nkawm khau tuaj yeem tshwm sim nrog qee qhov xwm txheej lossis ib txwm muaj nyob ntawm cov lus qhia xws li:

osteomyelitis
osteortropathy nrog deformity ntawm ko taw thiab nrog nws me ntsis qhov,
trophic rwj
ntog ntshav khiav hauv cov ntiv taw,
ntshav qab zib polyneuropathy,
mob ntshav qab zib angiopathy,
txiav tes txiav taws.

Lub ntsiab yuam kev thaum xaiv cov khau

Nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom kawm qhov tseeb ib qho yooj yim - cov khau siab zoo thiab tsis zoo yuav tsis pheej yig. Thiab tuaj rau tom khw, koj yuav tsum tsis txhob txuag, vim kev noj qab haus huv ntxiv nyob ntawm nws. Nws yog qhov zoo dua yog tias tus mob ntshav qab zib tau tsuas yog ob peb khub ntawm khau hauv nws lub khaub ncaws, tab sis nws yuav xis nyob thiab ua cov ntaub ntawv zoo.

Ntxiv rau, vim tias qhov tseeb tias cov neeg mob ntshav qab zib muaj qhov tsis hnov qab txog qhov qis qis, lawv feem ntau yuav khau 1-2 qhov ntau thiab tsawg rau lawv tus kheej. Tib lub sijhawm, lawv ntseeg tias nws tau "zaum ntawm nws tus kheej ko taw", tab sis qhov no yuav tsum tsis txhob ua. Cov khau me me nyem txhais taw, ua rau muaj kev txhaum ntau dua ntawm lawv cov ntshav ncig thiab kev puas tsuaj rau cov hlab ntsha kawg.

Tab sis nkawm khau xoob, uas yog 1-2 qhov loj dua, kuj tsis pom zoo kom yuav. Firstly, hnav nws ua rau tsis xis nyob rau tus neeg mob, thiab qhov thib ob, txhim kho kev sib txhuam ntawm ob txhais taw thiab ua rau pom kev zoo li cov hlwv thiab hu.

Lub xub ntiag ntawm sab hauv sutures nce qhov kev pheej hmoo ntawm kev raug mob rau ko taw thiab cov tsos ntawm trophic mob. Tab sis qhov dav ntawm cov khoom lag luam hauv cov teeb meem no tsis txaus ntseeg. Qhov loj tshaj plaws yog tias nws haum zoo kawg nkaus hauv qhov loj me.

Khoom Xaiv Nta

Thaum xaiv cov khau rau cov ntshav qab zib, nws yog qhov tsim nyog los xav txog qhov tsis muaj txhav ntiv taw. Rau cov khoom pheej yig, cov thom khwm yog qhov ua tau zoo, tab sis ntau tus neeg tsim khoom hais tias nws yog lub xub ntiag ntawm lub qhov ntswg uas muab kev tiv thaiv zoo rau cov ceg. Tab sis tsis yog hais txog cov mob ntshav qab zib.

Kev saib xyuas lub ntsiab tseem yuav tsum them rau qhov degree ntawm kev kaw lub khoom. Yuav tsum npog cov npoo av thiab tiv thaiv nws ntawm hmoov av thiab plua plav, nws tiv thaiv kev nkag mus ntawm cov av thiab hmoov av rau hauv cov qhov txhab thiab txiav, thiaj li tiv thaiv lawv tus mob. Yog li, kev hnav khau khiab, khau khiab thiab lwm hom kev qhib khau yog tsis muaj qhov tsim nyog rau cov neeg mob ntshav qab zib.

Ib qho tseem ceeb sib txig sib luag yog qhov degree ntawm kev nruj ntawm cov tus. Cov khau ntshav qab zib yuav tsum tau pom qhov txawv ntawm qhov nyuaj ntawm qhov hnyav thiab qhov no yuav tsum yog vim qhov tseeb tias nrog kev txhim kho ntshav qab zib, lub nra hnyav poob rau ntawm lub ntsej muag, yog li cov khoom pheej yig uas muaj qhov nruab nrab ntawm txhav lossis ib leeg muag hnav tawm sai thiab ua rau tus neeg mob ntau qhov tsis xis thaum hnav, suav nrog suav nrog kev mob.

Hauv lwm lo lus, txiv neej thiab poj niam cov khau rau cov neeg mob ntshav qab zib yuav tsum tsis txhob muaj cov mos muag muag, txij li kev pheej hmoo ntawm kev raug mob thiab kev txhim kho txuas ntxiv ntawm cov teeb meem thaum hnav lawv nce ntau zaus.

Thiab hais txog kev xaiv ntawm nkawm khau rau cov neeg mob ntshav qab zib, cov yam ntxwv hauv qab no yuav tsum raug sau tseg:

cov khoom yuav tsum muaj qib siab rigidity,
tus khoov ntawm ib tus tib neeg yuav tsum tau muab,
ntiv taw yuav tsum tsa me ntsis kom txo tau cov ntsaws ntawm lub forefoot.

Txij li nyob rau hauv cov khw muag khoom dog dig nws yog qhov nyuaj heev kom nrhiav tau cov khau zoo li no, feem ntau cov neeg mob kom nws hauv khw hauv khw. Tab sis ua qhov no tsis pom zoo, txij li ua ntej yuav ib tus neeg yuav tsum ntsuas ntsuas cov khoom thiab ntsuas nws qhov kev nyab xeeb. Yog li no, cov kws kho mob tau qhia txog kev yuav cov khau orthopedic, uas tau ua rau tus kheej, nyob ntawm seb qhov ntsuas ntawm ko taw thiab qhov kev loj hlob ntawm cov teeb meem.

Dab tsi yuav tsum yog khau rau cov neeg mob ntshav qab zib?

Hais txog dab tsi nkawm khau yuav tsum yog rau cov neeg mob ntshav qab zib, nws tseem yuav tsum tau sau cia ntau lub ntsiab lus tseem ceeb hauv nws xaiv. Kev txiav txim siab ntau yuav tsum tau them rau ntim sab hauv ntawm qhov khoom. Cov khau ua orthopedic tsim nyog yuav tsum muaj insoles, qhov kev xaiv ntawm uas yog nyob ntawm ntau yam - qhov hnyav ntawm tus neeg mob, muaj cov kab mob trophic, qhov puas ntawm kev puas tsuaj ntawm ko taw, thiab lwm yam.

Nyob rau hauv txhua rooj plaub, koj yuav tsum tau them nyiaj tshwj xeeb rau cov insoles, thiab lawv yuav tsum raug xaiv ib tus zuj zus los ntawm tus kws kho mob. Tab sis kis lawv, koj yuav tsum coj mus rau hauv tus account qhov siab ntawm nkawm khau. Yog li, piv txwv li, yog tias cov khau qis los yog khau nruj rau hauv ob txhais taw thiab tsis muaj chaw rau orthopedic insoles hauv lawv. Yog li ntawd, cov neeg mob ntshav qab zib tau qhia kom yuav cov khau siab siab, uas qhov siab ntawm ib leeg thiab sab saud ntawm cov khoom tso cai koj tso cov insole rau hauv nws.

Cov txheej txheem tom ntej los ntawm kev xaiv rau khau yog cov khoom siv. Nws yuav tsum yog qhov zoo thiab tsis ua rau tsis xis nyob thaum hnav. Yog li ntawd, thaum xaiv cov khau siab zoo thiab khau zoo, yuav tsum txiav txim hauv qab no:

cov khoom siv hluavtaws, txawm hais tias lawv tus nqi qis, tsis haum rau cov neeg mob ntshav qab zib, lawv yuav tsum them sai sai rau cov khau ua los ntawm cov tawv mos mos, uas yuav tsis txhuam thiab ua rau mob thaum hnav,
sab hauv, cov khoom yuav tsum yog ua los ntawm cov khoom siv uas tiv thaiv kom tsis txhob cia cov khoom noo thiab tshwm sim ntawm cov pob khaus ntawm ob txhais ceg.

Thiab hais lus luv luv txog cov yam ntxwv ntawm kev xaiv khau orthopedic, ob peb yam tseem ceeb yuav tsum tau sau tseg:

muaj qhov ntim ntxiv hauv cov ntiv taw ntawm cov khoom lag luam,
siab elasticity ntawm cov ntaub ntawv los ntawm uas nws yog ua,
tau muaj peev xwm hloov pob zeb insoles uas ua tiav rov qab khoov ntawm ob txhais taw,
lub peev xwm los kho lub ntim sab hauv ntawm cov khau (laces, fasteners, Velcro, thiab lwm yam).

Raws li rau lub caij ntuj no khau, nws kuj tseem ceeb heev kom yuav cov khoom tshwj xeeb uas tiv thaiv, sab hauv uas tsis muaj nqaws ntim. Qhov kev xaiv ua tau zoo tshaj plaws hauv qhov no yog cov qauv ua los ntawm neoprene, nruab nrog Velcro rau kev tswj hwm sab hauv lub ntim.

Nws ntseeg tau tias cov khau siab orthopedic zoo tshaj plaws yog tsim hauv lub teb chaws Yelemees. Tab sis, qhov no tsis yog li. Thiab hauv peb lub teb chaws muaj cov tuam ntxhab uas ua txoj haujlwm zoo ntawm txoj haujlwm no. Qhov loj tshaj plaws, yog tias cov khoom tsim tau xaj, yog los muab cov tsis muaj tseeb.

Nws yuav tsum nkag siab tias cov khau orthopedic zoo tsis tuaj yeem pheej yig, thiab khaws nws li tsis yooj yim. Tab sis ib zaug koj xaiv qhov yog, koj yuav paub tias nws tsim nyog. Nyob rau tib lub sijhawm, nws yuav tsum tau hais tias txawm tias koj tau tswj yuav cov khau orthopedic zoo, koj tseem yuav tsum tau ua qee qhov kev tiv thaiv uas yuav tiv thaiv kev txhim kho ntxiv mus ntawm tus mob ko taw.

Kev Tiv Thaiv

Txawm hais tias koj hnav cov khau orthopedic txhua hnub, nws yog qhov tseem ceeb heev uas yuav tsum nquag saib cov qis qis rau kev puas tsuaj, suav nrog cov kab nrib pleb me. Tsis tas li ntawd, nws yog qhov yuav tsum tau ntxuav huv taw kom huv si thaum sawv ntxov thiab thaum yav tsaus ntuj, tom qab ntawd lawv yuav tsum tau kho nrog cov tshuaj tua kab mob, tshuaj pleev lossis lub ntsej muag, uas kws kho mob tau sau tseg.

Ntxiv rau, cov thom khwm thiab cov khau khiab yuav tsum ua tib zoo xaiv. Cov khoom lag luam no tseem yuav tsum ua los ntawm cov ntaub npuag ntuj, tsis txhob nyem ko taw thiab tsis ua rau tsis xis nyob. Txawm hais tias kev txhim kho ntshav qab zib mellitus thiab mob ntshav taw, nws yog ib qho tseem ceeb uas yuav tsum tau ua ntau multivitamin ntau, uas pab ua kom muaj zog tiv thaiv kab mob thiab txhim kho cov tawv nqaij.

Ntau tus neeg mob ntshav qab zib ua si kis las kom tshem tawm cov kev pheej hmoo ntawm cov teeb meem. Thiab qhov no yog qhov tseeb, txawm li cas los xij, hauv qhov no ib yam nkaus, ib tug yuav tsum ua tib zoo nrhiav txoj kev xaiv ntawm nkawm khau thiab saib xyuas lawv. Txog kev ua si, qhov kev xaiv zoo tshaj plaws yog khau ntaub ua los ntawm tawv tawv tiag tiag. Ntxiv mus, lawv:

yuav tsum yog lub teeb thiab xis los hnav tau
tsis muaj sab hauv nqaws
yuav tsum muaj cov insoles uas tshem tau yog li nws tau ua tau los hloov lawv nrog orthopedic sawv daws yuav,
yuav tsum tau muaj qhov tshwj xeeb cua tshaj tawm uas muab qhov cua.

Tom qab cov chav kawm, nws yog qhov yuav tsum tau nqa tawm txoj kev saib xyuas kom zoo ntawm cov khau kis las. Nws yuav tsum tau qhuav kom zoo, zoo li ntub nrog cov roj tshwj xeeb kom lawv tsis txhob tawg lossis tawg. Yog tias cov khau ua los ntawm cov ntaub mos muag, tom qab ntawd lawv tuaj yeem ntxuav, tab sis nws yog ib qho tseem ceeb uas tsis pub lawv ua kom qhuav.

Thiab qhov tseem ceeb tshaj, cov khau kis las, xws li txhais ceg, yuav tsum tau kho nrog cov tshuaj tua kab mob ua ntu zus los tiv thaiv qhov tsim kom muaj tus ntxhiab tsw tsis haum lossis kev txhim kho cov kab mob fungal. Koj tuaj yeem yuav lawv ntawm txhua lub khw khau.

Thiab suav lub ntsiab lus, nws yuav tsum raug sau tseg tias nrog kev txhim kho ntawm tus mob ko taw, nws yog qhov tseem ceeb tsis yog xaiv txoj cai khau xwb, tabsis tseem yuav tsum saib xyuas nws kom zoo, nrog rau kev coj ua kev tiv thaiv, uas yuav tsum tau piav qhia ntxiv los ntawm tus kws kho mob koom nrog.

Nkawm khau rau cov neeg mob ntshav qab zib: dab tsi xav tau, cov yam ntxwv ntawm kev xaiv

Video (nyem mus ua si).

Nrog rau kev txhim kho ntshav qab zib, cov neeg mob yuav tsum tau mloog zoo rau lawv kev noj qab haus huv. Thiab qhov teeb meem cuam tshuam tsis tsuas yog kev ntsuas tas mus li thiab tswj cov ntshav qab zib, nrog rau kev tswj kev noj zaub mov, tab sis kuj hnav cov khau uas yog. Nkawm khau rau cov neeg mob ntshav qab zib yuav tsum tau xaiv nyob rau hauv txoj kev uas lawv nyiam thiab xis hnav thaum tiv thaiv kev cuam tshuam xws li mob ntshav qab zib ko taw.

Cov yam ntxwv ntawm orthopedic nkawm khau rau cov neeg mob ntshav qab zib

Mob ntshav qab zib mellitus

yuav tsum tau kom tus neeg mob saib xyuas tas li kev ua neej, kev noj zaub mov.

Kev tu tsis tu ncua kuj tseem ceeb rau ob txhais ceg, vim tias txoj kev nyuaj ntawm tus kab mob feem ntau ua rau ko taw deformities, vascular pathologies, kis tau tus mob, thiab raug mob.

Cov teeb meem ua rau txhais ceg yog:

Kev mob plab zom mov hauv cov ntaub so ntswg, tshem tawm ntawm cov roj hauv plaques hauv cov hlab ntsha - kev txhim kho ntawm atherosclerosis, varicose leeg.
Ntxiv cov ntshav qab zib - hyperglycemia - ua rau kev hloov pauv pathological hauv txoj hlab siab, txoj kev loj hlob ntawm neuropathy. Kev poob qis ntawm kev coj ua ua rau poob ntawm qhov rhiab nyob hauv qis tshaj, ua rau raug mob ntxiv.

Rau cov neeg mob ntshav qab zib, pathologies ntawm peripheral lub paj hlwb yog tus yam ntxwv.

Cov tsos mob ntawm kev raug mob txhais ceg yog:

txo qhov hnov ntawm tshav kub, txias,
nce dryness, tev ntawm daim tawv nqaij,
kev hloov xim,
qhov hnyav, qhov kev xav ntawm kev tawm tsam,
insensitivity rau mob, siab,
o tuaj
plaub hau poob.

Kev muab cov ntshav tsis zoo ua rau lub qhov txhab ntev ntev, koom nrog kab mob. Los ntawm cov kev raug mob me me, cov kab mob purulent muaj kev txhim kho, uas tsis ploj mus ntev ntev. Daim tawv nqaij feem ntau ulcerates, uas tuaj yeem ua rau menyuam yaus.

Lub cev tsis tshua zoo siab feem ntau ua rau pob txha tawg ntawm cov pob txha me ntawm ko taw, cov neeg mob taug kev mus ntxiv yam tsis muaj kev ceeb toom lawv. Ko taw yog deformed, kis tau ib yam tsis txaus ntseeg. Qhov kab mob no yog hu ua dawm taw.

Txhawm rau tiv thaiv kev ua laib thiab txiav tawm, tus neeg mob ntshav qab zib yuav tsum tau muaj kev qhia txog kev kho mob, kho lub cev, thiab tswj cov suab thaj. Txhawm rau pab txoj kev mob ntawm txhais ceg pab tshwj xeeb xaiv cov khau orthopedic.

Cov kws kuaj mob endocrinologist, tau tshawb pom ntau xyoo, tau ntseeg tias kev hnav cov khau tshwj xeeb tsis tsuas yog pab cov neeg mob txav tau yooj yim dua. Nws txo tus naj npawb ntawm kev raug mob, mob rau sab hauv trophic thiab qhov feem pua ntawm lub cev tsis taus.

Yuav kom ua tau raws li cov cai ntawm kev nyab xeeb thiab yooj yim, nkawm khau rau mob taw yuav tsum muaj cov khoom hauv qab no:

Kev coj cov khau txheem, ua tsis yog los ntawm tus qauv, yog qhia rau cov neeg mob uas tsis muaj qhov tsis nco qab thiab lub cev tsis muaj qhov txhab. Nws tuaj yeem nrhiav tau los ntawm tus neeg mob nrog lub cev loj dua, tag nrho yam tsis muaj teeb meem tseem ceeb.

Yog tias tsim nyog, cov yam ntxwv ntawm ob txhais ceg tuaj yeem hloov kho ib tus zuj zus ua insoles. Thaum muas, koj yuav tsum xav txog qhov ntim ntxiv rau lawv.

Cov khau rau cov ntshav qab zib taw (Charcot) tau ua los ntawm cov qauv tshwj xeeb thiab ua tib zoo suav nrog txhua yam kev ua tsis haum, tshwj xeeb tshaj yog cov nqua. Hauv qhov no, hnav cov qauv kev cai tsis yooj yim sua thiab phom sij, yog li koj yuav tau txiav txim siab nyias nkawm khau.

Txhawm rau kom tsis txhob ua txhaum thaum xaiv, koj yuav tsum ua raws li txoj cai hauv qab no:

Nws yog qhov zoo dua rau kev yuav khoom thaum yav lig, thaum taw yog o tuaj yeem ua tau.
Koj yuav tsum ntsuas thaum sawv, zaum, koj yuav tsum taug kev ib ncig kom pom qhov yooj yim.
Ua ntej yuav mus rau tom lub khw, kos voj voog ko taw thiab coj cov txiav tawm nrog koj. Nkag mus rau hauv nkawm khau, yog tias cov ntawv no tau khoov, tus qauv yuav nias thiab txhuam tus taw.
Yog tias muaj insoles, koj yuav tsum ntsuas ntsuas khau nrog lawv.

Yog tias cov khau tseem me, koj tsis tuaj yeem hnav lawv, koj tsuas yog yuav tsum tau hloov lawv xwb. Koj yuav tsum tsis txhob mus ntev ntev hauv cov khau tshiab, 2-3 teev yog qhov txaus los xyuas qhov yooj yim.

Video los ntawm cov kws tshaj lij:

Cov neeg tsim khoom lag luam tsim ntau cov khoom lag luam uas pab cov neeg mob ntshav qab zib mellitus pab txhawb kev muaj peev xwm txav thiab tiv thaiv lawv cov ceg los ntawm kev puas tsuaj.

Hauv txoj kab ntawm cov qauv ntawm ntau lub tuam txhab muaj xws li hom khau:

chaw ua haujlwm:
kev ua kis las
cov menyuam
caij ntuj - caij ntuj sov, lub caij ntuj no, demi-lub caij,
ntawv nqa los ua hauv tsev.

Ntau tus qauv tsim nyob rau hauv hom unisex, uas yog, haum rau txiv neej thiab poj niam.

Cov kws kho mob qhia kom hnav cov khau orthopedic hauv tsev, ntau tus neeg mob siv sijhawm hnub ntawd thiab ua rau cov khau khiab tsis xis.

Kev xaiv ntawm cov qauv tsim nyog yog tau ua raws li qhov kev hloov ntawm ko taw kev hloov.

Cov neeg mob tau faib ua cov hauv qab no:

Thawj qeb muaj xws li yuav luag ib nrab ntawm cov neeg mob uas tsuas xav tau khau yooj yim ua los ntawm cov ntaub ntawv zoo, nrog orthopedic cov yam ntxwv, tsis muaj tus neeg yuav tsum tau ua, nrog tus qauv insole.
Mus rau qhov thib ob - txog thib tsib ntawm cov neeg mob pib nrog deformity, txhais ko taw tiaj thiab tus kheej yuav tsum tau ua, tab sis tus qauv ua qauv.
Qeb peb ntawm cov neeg mob (10%) muaj teebmeem loj ntawm tus mob ko taw ko taw, mob rwj, txhaws ntiv tes. Nws yog tsim los ntawm kev xaj tshwj xeeb.
Qhov no ntawm cov neeg mob xav tau cov cuab yeej tshwj xeeb rau kev txav ntawm ib tus yam ntxwv, uas, tom qab kev txhim kho mob ntawm ko taw, tuaj yeem hloov nrog khau ntawm qeb thib peb.

Kev rho tawm khau ua raws li txhua qhov yuav tsum tau ua ntawm orthopedists pab:

yog faib faib lub nra rau ntawm ko taw,
tiv thaiv los ntawm lwm yam cawv,
Tsis txhob txhuam daim tawv
Nws yooj yim rau hle thiab muab tso rau.

Cov khau zoo rau cov neeg mob ntshav qab zib yog tsim los ntawm Kev Nyuaj Siab (Lub Tebchaws Yelemees), Sursil Orto (Russia), Orthotitan (Lub Tebchaws Yelemees) thiab lwm yam. Cov tuam txhab no tseem tsim cov khoom lag luam cuam tshuam - insoles, orthoses, thom khwm, pleev.

Nws tseem yuav tsum tau ua zoo tu khau, ntxuav, kom qhuav. Koj yuav tsum tau kho thaj chaw tas mus nrog cov tshuaj tua kab mob ua ntej kom tiv thaiv kev kis kab mob ntawm daim tawv nqaij thiab cov ntsia hlau nrog fungus. Mycosis feem ntau muaj kev loj hlob hauv cov neeg mob ntshav qab zib.

Niaj hnub nimno yooj yim qauv zoo nkauj yog tsim los ntawm ntau cov tuam ntxhab. Tsis txhob tsis quav ntsej qhov kev ntseeg siab no ntawm kev hloov kev yooj yim. Cov khoom no kim, tab sis lawv yuav khaws txoj hauv kev noj qab haus huv ntawm cov ceg thiab txhim kho lub neej kom zoo.

Nkawm khau rau cov neeg mob ntshav qab zib: txiv neej, poj niam, menyuam

Nkawm khau rau cov neeg mob ntshav qab zib yog qhov yuav tsum tau ua ua ntej txhawm rau txo kev pheej hmoo ntawm kev tsim muaj tus mob ko taw. Tus qauv khau qauv uas ua tau raws li txhua qhov kev pom zoo ntawm cov kws kho mob txo qhov ntxim nyiam tsawg dua ntawm qhov tshwm sim.

Nws tau sau tseg tias khau rau cov neeg mob ntshav qab zib txo qhov o ntawm qhov kawg, thiab taug kev los ua neeg yooj yim dua. Nkawm khau rau cov neeg muaj ntshav qab zib kuj pab nrog kev rov ua haujlwm. Nws yog ib qho tseem ceeb kom paub cov khoom tshwj xeeb cov khau tshwj xeeb rau cov ntshav qab zib tau muaj.

Raws li koj paub, mob ntshav qab zib ntawm txhua yam, muaj qhov pheej hmoo ntawm qhov tshwm sim ntawm tus mob ntshav qab zib ko taw. Koj yuav tsum yuav cov khau tshwj xeeb uas tau tsim los tiv thaiv cov ceg nqaj. Hauv cov ntshav qab zib, cov hlab ntsha ua haujlwm tsis zoo, yog li cov ntshav ntws hauv txhais ceg txhawm rau mob.

Tias yog vim li cas kev raug mob ko taw kho ntev ntev, thiab dhau los ua qhov muaj teeb meem, piv txwv li, glycosylated hemoglobin.

Teeb meem ntawm ntshav qab zib tuaj yeem tshwm sim vim:

microtrauma
kev puas tsuaj rau daim tawv nqaij,
corns,
pob khaus tawv.

Feem ntau, mob rau sab hauv thiab mob hnyav ntxiv tshwm sim, mus txog rau kev ua poj laib.

Cov neeg mob ntshav qab zib paub hais tias ib qho kev tiv thaiv tseem ceeb hauv cov mob no yog kev saib xyuas ntawm cov ceg qis.

Ua ntej tshaj plaws, koj yuav tsum yuav cov khau tshwj xeeb.

Txhawb cov ntshav qab zib nyob rau ntau lub sijhawm ua rau muaj ntau yam kabmob. Feem ntau, peb tab tom tham txog:

mob rwj
pom kev pom
plaub hau poob
tev tawv nqaij.

Tsis tas li ntawd, thaum tsis muaj kev kho mob tsim nyog, mob qog yuav hlav loj tuaj. Cov khau tshwj xeeb, nyob rau thawj qhov chaw, tsis muaj qhov nyuaj, uas feem ntau nyob hauv qab ntiv taw. Rau cov khau zoo li no, yog qhov tseem ceeb heev uas lub taw yuav xis.

Orthopedic nkawm khau rau txhua tus neeg mob ntshav qab zib ua rau txhais ko taw thiab ntiv tes tiv thaiv tau zoo. Qeb nyuaj ntawm qhov no tuaj yeem piav qhia los ntawm qhov tseeb tias khau nrog xws li ib tus tib neeg yog qhov tsim nyog rau kev hnav thiab yuav nyob ntev heev. Qhov hnyav dua rau ntawm lub forefoot, qhov ntau nruj ib tus yuav tsum tau.

Thaum tus neeg mob ntshav qab zib mellitus tau ploj qhov peev xwm nkag siab, tus qauv nrog tus muag muag ntau dhau los ua qhov tsis txaus ntseeg thiab ua rau muaj kev cuam tshuam loj heev. Yuav kom muaj kev nplij siab zoo dua nyob hauv cov khau orthopedic, ib qho khoov tshwj xeeb ntawm tus xib taws yog muab.

Thaum taug kev, ko taw qaws ib ce, qhov no tau ua tiav siv qhov xwm txheej tsis txaus ntseeg. Qhov chaw uas ze rau cov ntiv taw yuav tsum tau tsa me ntsis nrog khau orthopedic.

Nws tseem yog qhov tsim nyog tias tsis muaj cov seams uas nyob ntawm cov khau zoo tib yam nyob ntawm lub dav hlau sab hauv. Seams tsim cov pob uas tuaj yeem ua rau:

microtrauma ntawm daim tawv nqaij ntawm ko taw,
rwj tsim.

Orthopedic nkawm khau nrog ko taw mob ntshav qab zib tuaj yeem siv tau tsis hais tus yam ntxwv ntawm tus kab mob. Nrog kev pab ntawm nkawm khau, kev raug mob rau cov nqaij mos tau tiv thaiv, thiab txhais ceg raug tiv thaiv thiab rov kho dua.

Tam sim no, ob leeg txiv neej thiab orthopedic poj niam nkawm khau rau ntawm kev muag khoom. Diabetic nkawm khau ntawm yog tsim siv tib lub thev naus laus zis thiab los ntawm qee yam khoom siv nrog cov txheej txheem kev qhia hauv qab no:

Ntxiv ntim hauv cov ntiv taw ntawm cov khau,
Nce tuaj,
Tsis muaj cov ntiv taw,
Ncab sab sauv thiab ntiv taw,
Kev hloov kho ntawm cov ntim sab hauv ntawm cov khau: laces lossis Velcro fasteners.
Seamless tua
Cov ntaub ntawv uas tsis rub daim tawv
Heel nrog beveled pem hauv ntej los yog ib pob taws tsis muaj pob taws nrog zoo traction nrog kev txhawb nqa nto,
Cov txhav (txhav) ib leeg nrog ib yob,
Tight back with cushioned hauv ob sab phlu,
Raug tshem tawm lub tiaj insole yam tsis muaj kev pab txhawb nqa thiab lwm yam kev tiv thaiv tau los ntawm kev poob siab-cov khoom siv nrog rau txheej los tiv thaiv mob,
Kev ua tiav tag nrho ntawm nkawm khau nrog cov nta lub cev.
Lub peev xwm los hloov lub tiaj tiaj uas tshem tawm tau nrog kev xaiv tus kheej, raws tus kws kho mob sau,
Siab tus yam ntxwv.

Cov khau uas muaj ntshav qab zib, tshwj xeeb ntawm 9127, ua rau nws muaj peev xwm ua kom qis dua ntawm thaj chaw ntawm tsob ntoo saum npoo av, piv txwv li, ntawm cov uas qhov mob ua ntej-mob yuav tshwm sim. Xws li cov khau tiv thaiv kev sib txhuam ntawm txoj kab rov tav, nws tsis tau nyem ko taw los ntawm sab saud thiab los ntawm sab thiab tsis raug mob rau ntawm cov ntiv tes nrog lub sab saum toj nyuaj.

Orthopedic nkawm khau yog tsim los tiv thaiv tus taw ntawm kev raug mob, muab kev dim pa, xis nyob thiab yooj yim thaum hnav. Tam sim no, khau rau cov mob ntshav qab zib yog tau txais cov muaj koob meej.

Hnav cov khau tshwj xeeb yog qhia nyob rau hauv cov xwm txheej zoo li no:

Nrog rau kev mob ntshav qab zib polyneuropathy lossis mob ntsws tsis muaj qhov tsis zoo ntawm lub taw lossis nrog tsis ua haujlwm me,
Osteomyelitis mob ntshav qab zib
Txhawm rau kom them nyiaj rau deformation ntawm pob qij txha thiab pob txha ntawm ko taw,
Hauv cov xwm txheej tom qab txiav tawm nyob rau hauv kev faib tawm ntawm ko taw (tshem ntawm cov ntiv tes lossis transmetatarsal txiav tawm tom qab ua tiav ntawm kev txhab)
Osteoarthropathy ntawm nruab nrab thiab forefoot nyob rau hauv ib tug mob mob yam tsis muaj deformities ntawm taw los yog nrog lawv cov kev qhia me,
Ua txhaum ntawm cov ntshav ntws hauv cov ntiv taw nrog ntshav qab zib,
Mob taw vwm uas tsis muaj mob rau ntawm txhais taw.

Nyob rau lub caij ntuj no, kev yuav khoom ntawm cov khau khiab tshwj xeeb yog qhov kev xaiv zoo rau cov neeg muaj ntshav qab zib. Cov kev xaiv sov yog tsim los ntawm neopreon ntawm daim ntawv tshaj tawm. Xws li cov khau yooj yim los tswj, lawv muaj qauv tsim. Txhawm rau paub txog cov kab hauv kev xaiv, koj yuav tsum kawm phau ntawv teev.

Koj tuaj yeem yuav khau los ntawm 36 txog 41 qhov ntau thiab tsawg, yog li lawv tuaj yeem hnav los ntawm tus txiv neej thiab tus poj niam. Cov khau khiab muaj qhov ua tiav qib siab, cov khau dav dav hauv qhov ntswg, ntxiv rau ua kom muaj cushioning.

Vim tias nws tus kheej khoov qis thiab mos yob, ua kom siab ntawm cov ntiv taw txo thiab cov ntshav ncig tau zoo tuaj. Cov khau tiv thaiv kev raug mob ntawm ko taw thiab pob txha lov hauv ntshav qab zib mellitus, thiab tseem muaj qhov siab tshaj plaws. Cov txheej txheem tso nyiaj tau yooj yim heev, uas kuj txo qis tag nrho ntawm lub nra.

Ib phau ntawv qhia kev xaiv khau rau cov neeg mob ntshav qab zib tau muab hauv video hauv tsab xov xwm no.

Radkevich V. Mob Ntshav Qab Zib mellitus. Moscow, Gregory Lub Tsev Luam Ntawv, 316 pp.
Yuav kawm li cas kom ua neej nyob muaj ntshav qab zib. - M .: Interprax, 1991 .-- 112 p.
Manukhin I. B., Tumilovich L. G., Gevorkyan M. A. Gynecological endocrinology. Cov ntaub ntawv soj ntsuam, GEOTAR-Media - M., 2014 .-- 274 p.
Qhia rau Endocrinology, Tshuaj - M., 2011. - 506 c.
Berger M., Starostina EG, Jorgens V., Dedov I. Kev coj ua ntawm kev siv tshuaj insulin, Springer, 1994.

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 xyuas 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.

Mob ko taw nrog ntshav qab zib

Mob taw ko taw yog tshwm sim vim kev tsis txaus ntshav txaus rau cov qis qis. Cov ntshav qab zib siab ntau ua rau tsis zoo rau cov hlab ntshav, cov nqaij ntawm cov leeg ntshav, cov leeg thiab pob txha. Kev puas tsuaj rau cov hlab ntsha ntshav qabzib co toxins ua rau hypalgesia - qhov txo qis hauv kev hnov mob. Cov tsos mob ntawm cov kab mob tawg, hlawv thiab khaus nrog lub cev fungal tuaj yeem tsis nco qab los ntawm tus neeg mob ntev. Thiab cov tawv nqaij puas lawm yuav yog qhov chaw kis tus mob. Ntxiv mus, kho mob ntshav qab zib yog qeeb. Kev puas tsuaj ntawm tus taw tshwm sim vim kev rog dhau los yog qhov muag pom tsis zoo - nquag ua kab mob ntshav qab zib. Kev txiav tawm ntawm cov plaub ntug uas sib dho, tus neeg tsis tuaj yeem khoov txaus lossis pom tsis zoo. Vim li ntawd, cov ntsia hlau ntsia hlau tau puas ntsoog thiab ua rau lub qhov txhab mob. Cov teeb meem tseem ceeb nrog tus taw ntawm tus mob ntshav qab zib yog:

Qab zib yog txo tam sim ntawd! Mob ntshav qab zib ntev mus ntev tuaj yeem ua rau tag nrho cov kab mob, xws li teeb meem tsis pom kev, tawv nqaij thiab plaub hau, mob rau sab hauv, mob caj pas thiab mob qog nqaij hlav! Cov neeg qhia kev iab kev xav mus li qub rau lawv qab zib. nyeem rau.

hallux valgus deformity ntawm thawj ntiv tes ntawm sab caj npab qis (nrov - "cov pob txha"),
fungal mob ntawm ko taw thiab cov rau tes,
pedicure kev raug mob ntawm daim tawv nqaij
calcaneal fissures,
ingrowth ntawm tus ntsia thawv phaj,
hemorrhage nyob rau hauv qhov chaw subungual.

Rov qab rau cov lus txheej txheem

Yuav xaiv khau dab tsi rau ntshav qab zib?

Ua ntej xaiv thiab yuav khau, koj yuav tsum sab laj nrog koj tus kws kho mob. Rau cov neeg mob ntshav qab zib mellitus, yuav tsum tau muaj kev tshwj xeeb txog cov khau orthopedic nkawm khau, nruj me ntsis xaiv rau hauv qhov teeb meem. Lub hom phiaj tseem ceeb ntawm cov khau no yog txhawm rau txhawm rau txhawm rau txuas cov pob qij txha ntawm ko taw, txo qis siab ntawm ceg ntawm taw thiab kev sib txhuam ntawm qhov tsuas yog ntawm qhov muag. Qhov tseem ceeb ntawm hom khau ntshav qab zib tau muaj nyob hauv qab rooj.