Thaum kuaj mob ntshav qab zib mellitus, cov neeg mob ntsib teeb meem loj heev ntawm daim tawv nqaij, vim tias nrog hyperglycemia qhov kev xav ntawm cov leeg xaus yog qhov txo qis, ntshav ncig yog pom tias mob hnyav. Tsis tas li, cov neeg mob ntshav qab zib tau mob los ntawm cov kua dej tsis ua haujlwm, lawv yws ntawm cov tawv nqaij qhuav ntawm ob txhais ceg, lauj tshib, ob txhais taw thiab lwm qhov ntawm lub cev.
Cov tawv nqaij qhuav yog qhov tawg, cov kab mob pathogenic uas tuaj yeem ua rau kev txhim kho ntawm cov kab mob kis tau sai tuaj yeem nkag mus rau thaj chaw muaj kev puas tsuaj. Yog li, cov kws kho mob tau pom zoo kom saib xyuas cov tawv nqaij, qhov no tuaj yeem hu ua txoj haujlwm tseem ceeb tshaj plaws rau cov ntshav qab zib.
Kev txhaum me me ntawm txoj cai ntawm kev saib xyuas rau qhov tseem ceeb yooj yim tig mus rau qhov mob hnyav ntawm qhov mob hauv qab.Tsis tsis tsuas yog lub teeb meem ntawm lub cev rau cov neeg mob ntshav qab zib mellitus, feem ntau cov neeg mob muaj qee cov tsos mob tshwj xeeb, ib qho yog kev txhim kho ntawm doog ntawm daim tawv nqaij.
Lipoid necrobiosis mob ntshav qab zib
Yog tias tus neeg mob ntshav qab zib muaj cov tawv nqaij daj lossis xim daj rau ntawm daim tawv nqaij, tus kws kho mob yuav xav tias nws yuav muaj mob lipoid necrobiosis. Cov teeb meem no nthuav dav zuj zus, siv tsis tau rau ib tug neeg.
Bruises feem ntau tshwm sim rau ntawm txhais ceg, daim tawv nqaij tej zaum yuav muaj ulcerated thiab heev nyias. Thaum pom tau tus mob kho tsis tau, nti nti yuav nyob thaj chaw doog ntshav. Vim li cas thiaj ntseeg siab txog qhov kev ua txhaum no tsis paub, tab sis nws tshwm sim ntau dua rau cov neeg mob ntshav qab zib nrog thawj hom mob.
Necrobiosis muaj tsawg; tsis yog txhua tus neeg mob ntshav qab zib muaj nws. Tus kab mob kis tau nws tus kheej thaum muaj hnub nyoog li cas, tab sis feem ntau nws yog tus yam ntxwv ntawm cov poj niam los ntawm 30 txog 40 xyoo. Tus txiv neej tau mob tsuas yog hauv 25% ntawm tus neeg mob.
Nws tsis yog qhov nyuaj rau kev kuaj ntshav kuaj ntshav qab zib, vim tias qhov tsos mob ntawm kev cuam tshuam yog qhov tshwj xeeb:
- nws yog qhov tsim nyog heev rau tus kws kho mob kuaj qhov muag pom tau;
- qee zaum nws tsim nyog coj ncaj qha rau tus neeg mob rau qhov nqaij mus kuaj.
Nrog rau kev muaj txoj sia, koj yuav tsum tso ntshav pub ntshav kom txiav txim siab txog qib ntshav qab zib hauv cov ntshav. Nws yog tsis yooj yim sua kom paub txog kev kawm ntawm pathology; nyob rau ntau qhov xwm txheej, atrophic nti tshwm sim nquag. Lawv feem ntau nyob ntev, mob tshwm sim.
Txog rau hnub no, txoj kev kho tshuaj ntawm tus kab mob tsis muaj nyob. Txhawm rau tshem tawm los yog muab ncua tseg cov mob ntshav qab zib, tshuaj tsis tau txhim kho. Kev txhaj tshuaj steroid tuaj yeem ua rau qeeb ntawm kev hloov kho, tab sis kev muaj peev xwm ntawm kev nce ntxiv hauv cov tsos mob ntawm tus kab mob tsis suav nrog. Nyob rau hauv tshwj xeeb tshaj yog mob hnyav, nws raug pom zoo kom yauv mus kawm ib lim tiam ntawm corticosteroid tshuaj.
Nws yog ib qho tsim nyog los kho ntshav qab zib thiab doog ntshav tib lub sijhawm, lawv pib nrog txoj kev txwv kom ntau ntxiv ntawm kev nkag mus ntawm cov khoom noj khoom haus yooj yim carbohydrates. Yuav kom ib txwm muaj zoo nyob, kom tshem tawm cov tsos mob ntshav qab zib, tshuaj siv nquag:
- kom txo qab zib;
- rau vasodilation;
- cov vitamins.
Tsis tas li ntawd, kev tawm dag zog yuav tsum suav nrog kev kho mob: electrophoresis, phonophoresis.
Hauv thaj chaw ntawm thaj chaw ntawm kev puas tsuaj rau daim tawv nqaij muaj qhov taw qhia rau kev phais mob txhawm rau hloov tawv nqaij los ntawm lwm qhov chaw ntawm lub cev.
Lipohypertrophy, dub acanthosis
Rau cov ntshav qab zib, lwm qhov kev cuam tshuam ntawm hom 1 mob ntshav qab zib mellitus tuaj yeem ua rau mob hematoma - lipohypertrophy. Xws li cov teeb meem ntawm daim tawv nqaij tuaj yeem ua qhov txawv txav ntawm cov yam ntxwv ntawm ntau cov ntsaws ruaj ruaj ntawm daim tawv nqaij, lawv tshwm sim yog tias tus neeg mob txhaj tshuaj insulin nyob hauv tib qho chaw ntau zaus ua ke.
Koj yuav tsum paub tias bruises tuaj yeem tiv thaiv tau los ntawm kev hloov chaw txhaj tshuaj tas li, siv cov txheej txheem ntawm lub cev, thiab zaws.
Acanthosis dub kuj tseem yog xim tsaus nti ntawm daim tawv nqaij hauv qee thaj chaw ntawm lub cev, qhov sib xyaw ua ke yog deformed hauv puab tais, ntawm cov pob qij txha ntawm sab sauv thiab hauv qab, caj dab thiab qhov tso. Cov neeg mob nco ntsoov tias hauv thaj chaw muaj kev cuam tshuam cov tawv nqaij yuav zoo, hnyav dua thiab nrog tsw ntxhiab tsw.
Acanthosis dub yog qhov pom tseeb ntawm tus neeg mob tsis kam tiv thaiv cov tshuaj insulin.
Ntshav qab zib saib xyuas cov tawv nqaij cov lus qhia
Cov lus qhia dav dav rau kev saib xyuas tus kheej rau ntshav qab zib tsis yog qhov txawv ntawm cov lus qhia rau cov neeg tsis muaj teeb meem nrog hyperglycemia. Txawm li cas los xij, muaj qee txoj cai rau kev saib xyuas tus kheej, lawv cov kev saib xyuas ua rau muaj kev tiv thaiv cov tawv nqaij noj qab haus huv.
Nws pom tau tias siv xab npum me me xwb, tom qab cov txheej txheem dej nws yog ib qho tseem ceeb uas lub cev tau qhuav zoo. Nws yog ib qho tsim nyog yuav tsum tau ua tib zoo ua cov txheej txheem sib xyaw ntawm cov ntiv taw, hauv qab ntawm caj npab thiab hauv lwm qhov chaw uas tej zaum tseem muaj dej ntws.
Cov kws kho mob qhia tas li thov cov tshuaj pleev kom ntub, lawv yuav pab ua kom tawv nqaij zoo tag nrho, ua kom lub ntsej muag. Xws li cov tshuaj pleev ib ce muaj thiab ua rau muab cov txiaj ntsig zoo rau ntshav qab zib.
Ua kom koj cov tawv nqaij noj qab haus huv yuav pab:
- kev siv cov dej huv txhua hnub;
- kev siv ntawm thom khwm rau cov ntshav qab zib;
- siv cov ntaub so tshwj xeeb ua los ntawm cov paj rwb ntshiab (rau qhov cua zoo ntawm daim tawv nqaij).
Nws kuj yog qhov tsim nyog yuav tsum tau hnav cov khau orthopedic, cov kis las zoo tshwj xeeb, qhov no yog qhov tshwj xeeb tshaj yog nyob ntawm qhov muaj mob neuropathy. Koj yuav tsum them sai sai rau qhov pom ntawm liab, qhuav me ntsis ntawm daim tawv nqaij. Yog tias koj tus mob zoo dua, nws yog ib qho tseem ceeb ntxiv rau kev kuaj ntshav.
Cov ntshav qab zib mob ntshav qab zib ua dab tsi nyob hauv cov yeeb yaj kiab hauv tshooj no?
