Ntshav qab zib mellitus muaj kev txhim kho vim muaj kev cuam tshuam loj heev nyob rau hauv endocrine system, uas ua rau muaj kev phom sij pathological hauv lub cev. Qhov no ua rau kev tsim ntau yam teeb meem hauv tus neeg mob, qhov hnyav tshaj plaws uas yog mob ntshav qab zib.
Mob ntshav qab zib mob ko taw nyob rau hauv cov ntshav qab zib yog tus yam ntxwv ua rau cov leeg ntshav ntawm lub cev, uas feem ntau yuav ua rau txiav tes txiav taw. Kev mob ntshav qab zib yog qhov nyuaj rau kev kho mob, tshwj xeeb tshaj yog nyob rau theem tom ntej, thaum tus kab mob cuam tshuam tsis tsuas yog daim tawv nqaij, tab sis kuj yog cov leeg nqaij, pob txha thiab pob qij txha.
Yog li no, rau txhua tus neeg mob ntshav qab zib, kev tiv thaiv kab mob ntshav qab zib kom zoo yog qhov tseem ceeb. Nws pab tiv thaiv ib tus neeg los ntawm kev xiam oob qhab thiab cawm nws txoj sia, vim tias tus cider no yog ib qho ua rau muaj kev ploj tuag ntawm cov neeg mob ntshav qab zib.
Ua rau mob ntshav qab zib taw
Qhov laj thawj tseem ceeb ntawm kev loj hlob ntawm tus mob ko taw mob ntshav qab zib yog mob ntshav qab zib hyperglycemia, uas ua rau nws tus kheej muaj cov ntshav qab zib kom tsis tu ncua. Nws yog cov nyiaj them rau cov ntshav qab zib tsis txaus uas ua rau muaj kev txhim kho rau txhua tus mob ntshav qab zib, suav nrog kev puas tsuaj rau ceg.
Kev siab ntxiv ntawm cov piam thaj hauv cov ntshav ua rau phab ntsa ntawm cov hlab ntshav, ua rau muaj kev puas tsuaj rau cov hlab plawv cov ntshav ntau heev. Tshwj xeeb tshaj yog cov neeg tuag yog qhov ua rau cov ntshav qab zib ntawm cov kab ke ntu, uas cuam tshuam cov ntshav hauv cov ntshav sab saud thiab sab qis.
Raws li qhov no, cov ntaub so ntswg ntawm ob txhais ceg pib muaj qhov tsis zoo ntawm cov pa oxygen thiab cov zaub mov muaj txiaj ntsig, uas ua rau lawv qhov kev kawm tiav necrosis. Cov ntshav ncig tsis txaus kuj ua rau kev puas tsuaj ntawm cov hlab ntaws, uas ua rau cov ceg ntawm lub cev tsis ua hauj lwm zoo thiab ua rau lawv muaj kev raug mob rau ntau yam kev raug mob, txiav, pob txha taub hau, deformations, hlawv thiab frostbite.
Ua rau mob ntshav qab zib ko taw mob:
- Angiopathy - kev puas tsuaj rau cov hlab ntsha ntawm lub plawv;
- Neuropathy yog qhov kev rhuav tshem lub paj hlwb peripheral;
- Neuroosteoarthropathy - ntau yam mob pob txha: txha, txha, txha, kev sib koom tes, muaj pob txha tsis ruaj khov, kab mob puas;
- Kev raug mob ntawm ko taw uas ua rau nws deformation;
- Daim tawv nqaij kis thiab fungal kab mob;
- Ib qho tseem ceeb tsis muaj zog hauv kev tiv thaiv kab mob, ob leeg dav dav thiab hauv ib cheeb tsam.
Cov cai tswj kev xaiv khau rau mob ntshav qab zib
Ntawm qhov tseem ceeb tshwj xeeb hauv kev tiv thaiv tus mob ko taw yog tus xaiv txoj cai khau. Txawm tias qhov tsis yooj yim me ntsis thaum hnav yuav ua rau muaj kev phom sij rau ntshav qab zib, xws li kev tsim ntawm qhov tsis ua haujlwm rau qhov mob tsis zoo thiab ua kom lub cev tsis zoo.
Thaum xaiv cov khau, koj yuav tsum muab txoj kev nyiam rau cov qauv zoo nkauj ua los ntawm cov ntaub ntawv ntuj uas tso cai rau tus taw ua pa. Qhov no yog qhov tseem ceeb rau cov ntshav qab zib, vim tias qhov kev ua txhaum ntawm lub tshav kub hloov thiab tawm hws ntau dhau tuaj yeem ua rau kev txhim kho ntawm tus mob fungal.
Tsis tas li ntawd, rau kev tiv thaiv thiab kho tus mob ntawm ko taw tsis zoo, tus neeg mob tuaj yeem siv cov kab orthopedic uas tshwj xeeb uas muab kev nplij siab thiab kev tiv thaiv rau ceg. Cov insoles tuaj yeem ua ntau yam ntaub ntawv, suav nrog silicone thiab gel, ntxiv rau muaj cov zaws khaub ncaws thiab cim xeeb.
Yuav ua li cas xaiv cov khau haum:
- Nkawm khau rau cov neeg mob ntshav qab zib yuav tsum muaj qhov tsawg kawg ntawm cov stitches thiab zoo dua yog tias lawv yuav luag tsis pom. Kev xaiv kev xaiv zoo nkawm khau;
- Qhov dav ntawm nkawm khau yuav tsum me ntsis dav dua qhov dav ntawm tus taw ntawm tus neeg mob;
- Cov khau yooj yim tshaj plaws rau cov ntshav qab zib yog cov khau nrog lacing lossis Velcro, uas ua rau nws yooj yim los kho nws lub ntim;
- Nkawm khau rau cov ntshav qab zib yuav tsum tau laced tsis hla mus hla, tab sis nyob rau hauv parallel;
- Thaum xaiv cov khau rau cov ntshav qab zib, koj yuav tsum muab qhov kev nyiam ua qauv nrog cov tawv tawv nrog ib yob;
- Sab saum toj ntawm cov khau thiab nws cov plaub yuav tsum tau ua los ntawm cov khoom siv muag muag;
- Thaum nriav khau, cov neeg mob ntshav qab zib yuav tsum them sai sai rau qhov muaj cov ntim ntxiv tsim nyog rau kev txuas ntawm orthopedic insole;
- Cov khau zoo yuav tsum muaj qhov muag xis xis nyob hauv tsawg kawg 1 cm tuab;
- Mus yuav nkawm khau tshiab yuav zoo dua tom qab noj su. Nyob rau tam sim no, tus neeg mob ob txhais ceg yuav o me ntsis, thiab nws yuav muaj peev xwm xaiv qhov tseeb loj dua;
- Yog hais tias tus neeg mob muaj qhov tsis txaus siab ntawm lub taw, tom qab ntawd yuav tsum tsis txhob ntsuas khau rau ntawm ko taw rau kev ntsuas qhov ntau, tab sis nws yog qhov zoo dua los ntxig rau tus taw ntsa contour yav tas los txiav los ntawm cardboard;
- Thaum kuaj pom tias ko taw deformity hauv tus neeg mob, nws yog qhov yuav tsum tau nrhiav kev pab ntawm cov kws tshwj xeeb rau kev tsim khoom ntawm tus kheej orthopedic insoles.
Ntshav qab zib ko taw prophylaxis
Lub hauv paus rau kev tiv thaiv kab mob ntshav qab zib yog txoj kev kho mob ntshav qab zib mellitus, uas yog kev soj ntsuam cov ntshav qab zib kom tsis tu ncua. Zoo tshaj yog tias cov piam thaj hauv lub cev yuav ze rau qhov qub ib txwm muaj thiab tsis ntau tshaj 6.5 mmol / L.
Txhawm rau ua qhov no, tus neeg mob yuav tsum tau txhaj tshuaj insulin txhua hnub los yog noj tshuaj txo qis ntshav qab zib. Ib qho ntxiv, txhawm rau txhim kho cov ntshav qab zib kom ntau, tus neeg mob yuav tsum ua raws li cov zaub mov muaj roj tsawg thiab ua evxawsxais tsis tu ncua.
Qhov tseem ceeb tseem ceeb yog kev saib xyuas ko taw kom zoo, uas yuav tsum sib txawv ntawm qhov tau txais los ntawm cov neeg zoo tib yam. Nrog rau cov txheej txheem kev tu cev no, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov rhiab ntawm ko taw hauv cov neeg mob ntshav qab zib tau raug txo qis, uas txhais tau tias lawv tsis tuaj yeem ntsuas tus mob lossis qhov ntsuas kub tau zoo.
Ib qho ntxiv, cov neeg muaj ntshav qab zib siab yuav tsum zam kom raug mob ntawm daim tawv nqaij ntawm lawv ob txhais ceg, vim tias muaj ntshav qab zib, cov qhov txhab zoo kho tsis zoo thiab kis tau yooj yim. Qhov no tuaj yeem ua rau kev tsim cov kabmob ntawm trophic mob rau cov nqaij mos thiab cov nqaij mos necrosis, thiab yav tom ntej los ua kom cov povtseg ploj.
Cov Cai Saib Xyuas Ko Taw:
- Ntxuav ko taw nrog ntshav qab zib yuav tsum yog dej sov thiab dej xum txhua hnub. Tsis txhob txhuam koj ob txhais taw nrog ib txoj phuam ntxuav muag, txwv tsis pub nws tuaj yeem ua rau raug mob;
- So cov taw nrog cov phuam huv muag muag, maj mam muab so dej. Nws yog ib qho tseem ceeb kom ua tib zoo ziab daim tawv nqaij ntawm tus ntiv tes, vim nws yog tias muaj qhov txhab mob tshwm sim feem ntau;
- Cov neeg mob ntshav qab zib tsis pom zoo kom siv da dej kub lossis txias, lossis los so taw lawv txhais taw lossis muab dej sov so nrog lub ncoo kub. Yog hais tias tus taw tau ploj mus rhiab, tom qab ntawd ua ntej koj nkag mus rau hauv da dej koj yuav tsum kuaj lub ntsuas kub ntawm dej los ntawm txhais tes;
- Hnav tsuas yog thom khwm huv si, thom khwm lossis cov ris tsho zoo nkauj txhua hnub. Hauv qhov no, koj yuav tsum yuav cov thom khwm tsis muaj nqaws thiab tsis muaj nruj ywj. Cov thom khwm yuav tsum nyob khov kho, suav nrog yam tsis muaj qhov xaws lossis darned qhov;
- Hnav thom khwm rau cov neeg mob ntshav qab zib, txawm nyob hauv tsev, lossis zoo dua, cov khau khiab muag. Cov neeg mob ntshav qab zib tsis pom zoo kom taug kev liab qab kom tsis txhob raug mob ntawm tus taw ntawm lawv ko taw. Taug kev ntawm cov txheej txheem kub, piv txwv li, ntawm cov xuab zeb kub, tshwj xeeb yog kev phom sij;
- Cov khau yuav tsum sib phim txhua lub caij. Ob txhais ceg ntawm cov ntshav qab zib yuav tsum tsis txhob pub kom khov lossis tawm hws;
- Koj yuav tsum xaiv khau kom xis nyob nrog tus tuab tuab. Txwv tsis pub hnav khau los yog rub. Kaw cov khau yuav tsum ib txwm hnav nrog thom khwm;
- Nkawm khau lossis khau khiab yog qhov zoo tshaj plaws kom tsis txhob hnav txhua. Cov phom sij tshwj xeeb tshaj yog cov khau nrog txoj hlua hla ntawm tus ntiv tes xoo thiab ntiv taw thib ob;
- Ua ntej koj rau khau, koj yuav tsum kho qhov insole tas li thiab tshem cov pob zeb thiab lwm yam khoom uas tshaj uas tuaj yeem rub koj txhais ko taw thiab ua rau muaj qhov tsim kom muaj kab mob;
- Nws yog ib qho tsim nyog los tiv thaiv daim tawv nqaij ntawm ob txhais ceg txawm tias los ntawm qhov kev raug mob me me. Thaum pom mob caj dab los yog pom tseeb, koj yuav tsum tsis txhob kho lawv tus kheej, tab sis nws zoo dua yog nrhiav kev pab ntawm kws kho mob;
- Tsis txhob kho cov qhov txhab nrog cov kab mob hnyav xws li iodine, lub ci ntsa iab ntsuab lossis dej cawv. Nws yog qhov zoo dua los ntub lawv nrog miramistin, chlorhexidine lossis dioxidine, thiab tom qab ntawd thov hnav khaub ncaws huv rau qhov chaw ntawm kev raug mob;
- Txiav koj cov rau tes kom zoo zoo. Qhov no yuav tsum tau ua ntawm txoj kab ncaj nraim, tsis txhob txiav tawm ntawm lub ces kaum ntawm cov ntsia hlau. Yog hais tias tus ntsia thawv phaj pib ua tuab, ces ua ntej txiav nws yuav tsum tau ua tiav nrog ntaub ntawv;
- Txhua hnub ntub cov taw nrog lub qab zib tshwj xeeb rau cov ntshav qab zib, uas pab txhim kho cov tawv nqaij mob, nce ntshav thiab tiv thaiv ob txhais ceg los ntawm kev kis kab mob;
- Txhua thaum yav tsaus ntuj, ua tib zoo tshuaj xyuas lub taw rau qhov puas tsuaj, xws li txhav, raug mob me thiab raug txiav.
Ce & Massage
Kev mus ko taw zaws rau cov ntshav qab zib yuav pab ua kom cov ntshav khiav mus los hauv ob txhais ceg, daws cov leeg mob thiab txhim kho kev sib koom tes, uas tiv thaiv lawv ntawm kev deformation. Zaws taw yuav ua tau ntawm nws tus kheej lossis los ntawm kev pabcuam rau tus kws pabcuam tshwjxeeb.
Zaws rau kev tiv thaiv kab mob ntshav qab zib yuav tsum tau ua nrog kev tshem tawm maj mam, zam kev tawv nqaij. Txhawm rau tshem tawm kev puas tsuaj rau ntawm daim tawv nqaij, thaum zaws, nws yuav tsum siv roj zaws lossis pleev.
Tom qab cov zaws tiav tiav, koj yuav tsum ntxuav koj txhais taw nrog dej sov, so qhuav nrog phuam muag muag, roj nrog cov qab zib uas tiv thaiv kev txhim kho cov taw taw thiab muab thom khwm huv si.
Kev tawm dag zog lub cev yog tseem tuaj yeem muaj txiaj ntsig kev noj qab haus huv hauv cov ntshav qab zib. Muaj lub sijhawm them tag nrho rau cov taw, uas pab ntxiv dag zog rau cov leeg, rov qab sib koom ua ke, nce siab thiab nce ntshav ntxiv.
Ib ce ntawm lub taw:
- Zaum ntawm ib lub rooj zaum, ncab koj ob txhais ceg nyob pem hauv ntej ntawm koj thiab muab tso rau ntawm koj luj taws. Tam sim no rub lub thom khwm rau koj, thiab tom qab ntawd deb ntawm koj.
- Kuj tseem zaum saum lub rooj zaum, khoov koj lub hauv caug thiab tso lawv ua ntej. Tom ntej no, koj yuav tsum cais cov thom khwm, kom deb li deb tau, thiab tom qab ntawd dua los txo qis. Hauv qhov no, lub luj taws yuav tsum tau sib koom ua ke.
- Tsa ob txhais ceg thiab tuav nws qhov hnyav kom ua kev voj voog ntawm ko taw, ua ntej nws thawb moos thiab tom qab ntawv suav.
- Hloov nyem thiab ntiv taw ntiv taw.
Txhawm rau kom tsis txhob muaj qhov phom sij txaus ntshai xws li mob ntshav qab zib ko taw, kev tiv thaiv ntawm uas yuav tsum tau siv zog hnyav, nws yog qhov yuav tsum tau tso pov tseg txhua qhov kev coj ua tsis zoo. Ua ntej tshaj plaws, nws txhawj xeeb txog kev haus luam yeeb, uas cuam tshuam qhov kev tsis txaus siab ntawm cov ntshav ncig.
Kev haus luam yeeb yog ib qho ntawm cov laj thawj tseem ceeb rau kev txhim kho vascular atherosclerosis thiab thrombophlebitis, uas ua rau cov ntshav ncig tsis txaus hauv lub cev. Kev haus luam yeeb txhua hnub ntawm txawm tias me me ntawm luam yeeb, pab txhawb kev txhaws ntawm cov hlab ntshav, tshwj xeeb tshaj yog nyob rau hauv qis qis thiab pab txhawb kev tsim cov ntshav qab zib taw.
Cov dej cawv haus cawv kuj tseem cuam tshuam rau cov ntshav qab zib mellitus, vim lawv ua rau muaj ntshav qab zib kom tsawg. Namely, qhov tsis txaus ntseeg tso ntshav qab zib cov ntshav ua rau kev loj hlob ntawm txhua yam kev cuam tshuam hauv ntshav qab zib, suav nrog kev mob ntshav qab zib.
Tus kws tshaj lij los ntawm daim vis dis aus hauv tsab xov xwm no yuav tham txog cov hau kev ntawm kev tiv thaiv thiab kev ua kom ntshav qab zib ko taw.
