Ntshav Qab Zib mellitus yog ib qho kab mob polysymptomatic, tshwm sim los ntawm ntau tus xeeb ceem. Nyob rau hauv tus txheej txheem ntawm tus kab mob txhim kho, cov nqaij noj zaub mov tsis zoo, thiab o ntawm cov kab mob feem ntau tshwm sim.
Txawm tias muaj ntshav qab zib, vim yog kev ua tsis zoo ntawm cov txheej txheem hauv cov zaub mov hauv lub cev, cov hlab ntsha, capillaries thiab cov hlab ntsha tau txhaws. Raws li qhov tshwm sim, qhov no ua rau pom kev tsis pom kev, lub raum thiab lub plawv tsis ua haujlwm. Cov ua rau muaj ceg txhawm rau mob ntshav qab zib yog cov ntshav tsis txaus thiab cov kev cai tshee tsis txaus.
Yog li hais tias qhov teeb meem zoo li no tsis thab tus mob ntshav qab zib lossis raug daws teeb meem hauv lub sijhawm, koj yuav tsum nrhiav kom paub ntau yam ntxiv uas ua rau mob caj dab. Nws kuj tseem ceeb tsis tas yuav paub txog cov tsos mob ntawm tus mob no hauv lub sijhawm kom tsis txhob muaj teeb meem yav tom ntej.
Etiology thiab soj ntsuam kev nthuav qhia
Txhawm rau kom nkag siab tias yog vim li cas ceg o muaj ntshav qab zib, koj yuav tsum xub nrhiav seb yog dab tsi o. Nrog rau cov xwm txheej no, cov kua dej ntau dhau hauv cov nqaij mos ntawm lub cev.
Nws tseem tsim nyog kom paub tias mob caj dab hauv ntshav qab zib tuaj yeem yog hauv zos thiab dav dav. Nyob rau hauv rooj plaub tom kawg, kua ntau yuav nyob hauv txhua cov ntaub so ntswg thiab plab hnyuv siab raum, uas nrog los ntawm kev tsis zoo nyob rau hauv tag nrho lub cev. Tib lub sijhawm, nws yog qhov nyuaj rau tus neeg txav mus los, thiab nws muaj kev nyuaj siab nyob hauv nqaj.
Cov laj thawj ua kom o o mob ntshav qab zib muaj ntau yam. Qhov no tej zaum yuav muaj ntshav qab zib mob hlwb, uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm tus mob hyperglycemia, uas ua rau txoj kev tuag ntawm txoj hlab ntshav xaus.
Cov teeb meem zoo li no tuaj yeem tshwm sim nrog kev puas tsuaj ntawm cov hlab ntshav. Feem ntau thaum muaj teeb meem angiopathy, vascular system ntawm nqua muaj kev txom nyem.
Lwm cov nqaij mos o ua kom tus mob ntshav qab zib:
- ua txhaum ntawm cov dej-ntsev rau cov metabolism;
- tsis ua raws kev noj haus;
- mob raum
- lub plawv tsis ua hauj lwm;
- cev xeeb tub
- varicose leeg;
- hnav khau nruj.
Txhawm rau tiv thaiv qhov kev loj hlob ntawm tus kab mob lub xeev, cov neeg mob ntshav qab zib yuav tsum kawm kom paub txog cov kev qhia ua ntu zus uas qhia txog kev ua txhaum ntawm cov ntshav ncig hauv ob txhais ceg. Yog li, nrog cov tsos ntawm qhov khaus khaus, qhov muaj zog nti, nws yog qhov yuav tsum tau ua tam sim ntawd ntsuas, vim cov no yog cov pib ntawm kev cuam tshuam uas tuaj yeem kho tau yooj yim.
Lwm cov tsos mob ntawm tus qog ua mob qis dua suav nrog qhov mob, liab ntawm daim tawv nqaij, plaub hau ploj, thiab ua rau cov nqaij mob qeeb. Txhua yam no tuaj yeem nrog kev hloov pauv ntawm tus ntiv tes, txo qhov rhiab, loog, luv thiab nthuav dav ntawm taw.
Raws li koj tuaj yeem pom, los txiav txim siab puffiness los ntawm cov tsos mob yog qhov yooj yim heev. Kuj tseem muaj qhov kev ntsuam xyuas yooj yim: koj yuav tsum tso tus ntiv tes ntawm ko taw, thiab tom qab ntawd tso nws thiab pom tias "qhov" tsim los hauv thaj chaw siab.
Nws yog tsim nyog sau cia tias nrog hom 2 mob ntshav qab zib mellitus, tsis yog tsuas yog qis qis qis rau mob txhaws, tab sis lwm qhov ntawm lub cev. Piv txwv, hauv cov poj niam, lub plab, tes, lossis lub ntsej muag yuav o tuaj.
Dab tsi yog txhais ceg txaus ntshai?
Kev txuam nrog cov kua dej hauv cov nqaij mos tsis yog ib txwm ua rau tus neeg muaj qhov tsis yooj yim, yog li cov neeg mob ntshav qab zib tsis txuas vim yog qhov tseem ceeb rau cov tsos mob no. Tab sis, yog tias koj tsis kho edema mob ntshav qab zib, mob hnyav ntxiv yuav tshwm sim.
Yog li, sijhawm dhau mus, tus neeg pib hnov mob thiab kub hnyiab hauv thaj chaw o tuaj. Nyob rau tib lub sijhawm, daim tawv nqaij yuag yuag dua thiab yooj yim dua, uas yog qhov txaus ntshai heev rau cov neeg mob ntshav qab zib, vim lawv cov tawv nqaij twb dhau los muaj qhov tsis taus thiab xav tsis zoo. Yog li, o tuaj yeem nce ntau ntawm kev pheej hmoo ntawm kev tsim kab mob ntawm daim tawv nqaij.
Tab sis qhov kev phom sij txaus ntshai tshaj plaws yog txoj hlab ntsha leeg mob, nrog ua ke tsis xwm yeem ntawm nqaj, mob, liab thiab tsis xis nyob uas tau tshwm sim thaum sawv. Nws yog tsim nyog sau cia tias nrog ib tus kab mob zoo li no nws yog txwv tsis pub zaws, txwv tsis pub pulmonary leeg mob thromboembolism yuav tshwm sim, uas feem ntau xaus rau kev tuag.
Yog li, yog tias muaj o ntawm txhais ceg muaj ntshav qab zib, yuav ua li cas thiab yuav kho li cas?
Kev Kho Mob
Nws yog qhov tseem ceeb tshaj plaws rau kev ua kom tsis tu ncua kev kho mob ntawm tus ceg txhawm rau txhawm rau mob ntshav qab zib mellitus kom tiv thaiv tau qhov txuas ntxiv ntawm qhov tsis kho kom zoo thiab qhov pom ntawm tus mob ntshav qab zib. Feem ntau, txoj kev kho kom raug xaiv yog xaiv raws li qhov ua rau kev txuam nrog cov kua hauv cov nqaij mos.
Yog tias cov laj thawj nyob hauv nephropathy, tom qab ntawd nws yog qhov yuav tsum tau ua rau glycemia li qub thiab ua raws li cov ntsiab lus ntawm kev noj zaub mov noj ntshav qab zib, uas cuam tshuam rau kev tsis lees paub cov khoom noj sai sai, muaj roj thiab qab ntsev. Nws kuj tseem ceeb kom tsis txhob haus luam yeeb, vim tias vasospasm ua rau stagnation ntawm cov kua dej hauv cov leeg.
Thaum lub plawv nres, txoj kev kho yog coj tshwj xeeb tshuaj. Muaj ntau ntau yam ntawm cov cuab yeej zoo li no, tab sis cov cuab yeej siv tau zoo muaj xws li:
- Angiotensin-hloov ua enzyme blockers - txo cov ntshav siab (Valsartan).
- ACE inhibitors - muaj kev kho mob zoo sib xws, tiv thaiv qhov pib ntawm kev mob raum (Captopril).
- Diuretics - noj tshuaj diuretic pab tshem dej ntawm tag nrho cov ntaub so ntswg lub cev los ntawm kev tso zis ntau ntxiv (Furosemide, Veroshpiron).
Nrog rau qhov kev tsis txaus tshuaj hormonal uas tau tshwm sim tawm tsam ntawm keeb kwm hom mob ntshav qab zib thib ob, tus neeg mob tau kho txoj kev kho mob. Rau lub hom phiaj no, kev nqus ntawm cov vitamins thiab ntxhia ntau ntau thiab kev noj haus tau qhia tau.
Txhawm rau tshem tawm qhov mob ntawm ko taw los ntawm kev mob neuropathy, kev ua kom loog tuaj yeem kho tau. Cov no suav nrog Ketorol, Ketorolac thiab lwm yam tshuaj.
Yog hais tias o rau ntawm ob txhais ceg tau tshwm sim vim lub raum tsis ua haujlwm, tom qab ntawd nyob rau hauv tus txheej txheem ntawm nws txoj kev kho, ntau txoj cai tseem ceeb tau pom. Qhov no yog antihypertensive kho, glycemic tswj hwm thiab kev tswj hwm ntawm cov kab mob metabolic uas muaj cov nyhuv vasodilating. Nrog rau daim ntawv qib siab ntawm nephropathy, thaum ob lub raum tsis ua haujlwm, hemodialysis yog qhia.
Nrog edema ntawm qis dua, tshwj xeeb tshaj yog nyob rau hauv cov neeg laus cov neeg mob, kev kho mob nrog tshuaj ntsuab tshuaj yog feem ntau nqa tawm. Cov nroj tsuag tshuaj kuj muaj cov txiaj ntsig zoo, uas suav nrog primrose, ginseng hauv paus, burdock, St. John lub wort, oats thiab hydrastis.
Qhov chaw tshwj xeeb hauv kev kho mob pej xeem belongs rau cov kua txob cayenne, uas ua rau muaj kev rov ua dua tshiab ntawm cov hlab ntsha thiab cov hlab ntsha kawg. Kuj, ntau tus neeg mob ntshav qab zib siv cov tshuaj pleev tshwj xeeb raws li zib ntab thiab eucalyptus tinctures. Qhov sib tov yog rub tawm rau hauv thaj chaw o ntawm ob txhais ceg ob peb zaug hauv ib hnub.
Ib qho qab tshuaj rau edema yog xam compote. Rau nws cov kev npaj, cov txiv hmab txiv ntoo yog txiav rau hauv cov hlais thiab hau zoo li lwm qhov compote, tab sis thaum kawg ntxiv me ntsis dej qab zib rau nws. Haus dej haus ntawm 1 tbsp. l 5 zaug ib hnub.
Kev Tiv Thaiv
Txhawm rau tiv thaiv kev o ntawm qhov kawg, nrog rau kev ua kom qeeb qeeb ntawm lwm yam kev mob ntshav qab zib ntau, kev tawm dag zog txhua hnub yog xav tau. Tom qab tag nrho, kev tawm dag zog rau kev kho mob ntshav qab zib ua rau cov hlab ntshav, pab kom tshem tawm cov dej ntau dhau ntawm lub cev, normalizes glycemia thiab ntxiv dag zog rau lub cev.
Tsis tas li, txhua txhua hnub koj yuav tsum soj ntsuam ob txhais ceg, tshwj xeeb, taw thiab thaj chaw ntawm cov ntiv tes, rau qhov muaj ntau yam tsis xws luag. Nws yog ib qho tseem ceeb uas yuav tsum ntxuav cov ceg tawv txhua hnub nrog xab npum thiab qhuav lawv nrog phuam.
Qhov kev tiv thaiv tseem ceeb yog hnav cov khau siab uas zoo thiab xis. Thiab yog tias muaj kev cuam tshuam ntawm ko taw, nws yog qhov tsim nyog hnav cov khau orthopedic tshwj xeeb.
Thaum puffiness, yuav kom tsis txhob thab tus mob, nws yog qhov txwv:
- Kho cov teeb meem ntawm daim tawv nqaij nrog iodine lossis ci ntsa iab ntsuab (Betadine, Miramistin lossis hydrogen peroxide zoo dua).
- Ua kom sov koj ob txhais taw nrog lub tshuab cua sov lossis nplooj plooj. Ntawm cov ntshav qab zib, qhov kev hnov mob kub ntau zaus qis dua, yog li tus neeg mob tsis tuaj yeem nkag siab lub sijhawm ntawm lub sijhawm hlawv.
Txhawm rau txo qhov zoo li ntawm qhov txhab, koj yuav tsum ua kom daim tawv nqaij ntawm cov ceg tawv txhua hnub los ntawm kev thov cov moisturizing thiab nourishing cream rau nws. Qhov tseeb tiag, puffiness thiab dryness ntawm daim tawv nqaij yog qhov teeb meem ob, qhov cuam tshuam cov txheej txheem kho.
Hauv cov yeeb yaj kiab hauv tsab xov xwm no, Elena Malysheva yuav tham txog cov kev kho mob pej xeem rau cov ceg o.