Nrog ntshav qab zib, ob txhais ceg feem ntau raug kev txom nyem. Cov kev mob zoo sib xws hauv 30% ntawm cov neeg mob ntshav qab zib. Ntxiv mus, laus dua tus neeg mob, qhov ntau dua qhov muaj teeb meem nrog qis qis.
Feem ntau nrog tus mob ntshav qab zib hom 2, atherosclerosis ntawm cov hlab ntsha tshwm, uas ua rau txoj kev nqaim ntawm lumen ntawm cov hlab ntsha, uas ua rau cov ntshav ncig mus rau hauv ceg. Cov ntshav tsis txaus ua rau cov pa oxygen tsis txaus nyob hauv cov hlwb thiab cov nqaij. Raws li qhov tshwm sim, lub cev ua rau cov neeg kho kom haum xeeb - cov tshuaj uas ua rau mob caj dab mob ntshav qab zib.
Yog hais tias kev kho mob ntawm cov teeb meem zoo li no tsis ncav sijhawm, thiab cov ntshav ntws tsis rov qab, ces txhua yam tuaj yeem ua tiav txawm tias tshem tawm povtseg. Yog li, nws yog qhov tseem ceeb kom paub vim li cas ob txhais ceg mob nrog ntshav qab zib thiab yuav ua li cas kom tshem tau cov teeb meem no.
Ua rau muaj ntshav qab zib nyob rau hauv ceg
Yog li, dab tsi ua rau nqaj muaj feem cuam tshuam rau cov neeg mob ntshav qab zib? Cov kev coj ua hauv cov tsos ntawm kev tsis xis nyob hauv ob txhais ceg suav nrog kev mob ntshav qab zib neuropathy, mob caj dab thiab leeg ntshav atherosclerosis.
Neuralgic mob hauv ntshav qab zib hom 2 tshwm sim thaum cov hlab ntsha me me cuam tshuam, muab khoom noj khoom haus thiab ua haujlwm tsis zoo ntawm cov leeg ntawm ko taw. Thaum cov tawv nqaij ntawm cov ceg tawv ua qhov tsis hnov mob, tus neeg mob tsis hnov mob ntshav qab zib, qhov kub thiab kov.
Ntxiv mus, hauv cov neeg mob ntshav qab zib, mob rwj thiab hematomas feem ntau tsim rau ntawm txhais ceg. Thiab nrog kev puas tsuaj ntawm daim tawv nqaij, tus neeg mob feem ntau tsis pom qhov no thiab tsis coj ua kev ntsuas tsim nyog.
Cov mob rau sab hauv yuav xav tau kev kho mob ntev, thiab nyob rau hauv qhov mob hnyav, qhov mob ntawm ob txhais ceg tuaj yeem ua rau pob txha lossis pob txha lov ntawm pob txha nqaj.
Kuj, uas muaj ntshav qab zib hom 2, mob ko taw muaj ntshav qab zib feem ntau pib txhim kho. Yog li ntawd, tus kab mob ntshav qab zib neuralgia tuaj yeem ua rau ntau qhov kev cuam tshuam loj, xws li cov tsos ntawm kev kis tus kab mob thiab kev loj hlob ntawm kev sib deev.
Vim muaj cov kab mob vascular atherosclerosis, mob mob ntshav qab zib tshwm sim thaum tsis muaj oxygen, vim cov nqaij mos cov khoom noj tsis zoo. Tsis tas li ntawd, tawm tsam cov keeb kwm yav dhau los ntawm vasoconstriction, carbon dioxide accumulates hauv lub cev, uas ua rau muaj zog mob ntawm cov ceg tawv.
Thaum cov teeb meem saum toj no ua ke, kev pheej hmoo ntawm laib ntau zuj zus tuaj, uas yuav ua rau txiav caj dab. Tom qab tag nrho, tus neeg mob tsis hnov mob tsis xis txawm tias qhov kev rhuav tshem cov ntaub so ntswg.
Ib qho ntxiv, txhais ceg mob ntshav qab zib tshwm sim tiv thaiv keeb kwm ntawm arthropathy. Qhov kev tsis txaus ntseeg no muaj qhov pib vim qhov ua tsis zoo rau cov piam thaj protein metabolism thiab pob txha mos pob txha mos. Xws li cov txheej txheem ua rau pom qhov tsos ntawm kev mob, uas ua rau lub zog txav thaum lub zog.
Thaum pib mob, ko taw yuav o loj tuaj thiab liab. Txawm li cas los xij, nrog kev muaj mob ntawm cov kab mob pathology, cov ntiv tes yog deformed, thiab txhais ceg swells ntau dua. Txhawm rau paub tias yuav ua li cas yog tias koj ob txhais ceg mob ntshav qab zib, koj yuav tsum paub zoo dua nrog cov tsos mob thiab cov yam ntxwv ntawm cov teeb meem.
Hauv txoj kev no, koj tuaj yeem paub qhov teeb meem kom raws sijhawm thiab nrhiav kev pab kho mob sai.
Ntshav qab zib mob ko taw
Qhov teeb meem no yog ib qho teeb meem uas keev ua nrog ntshav qab zib. Yog li, nrog kev nce qib ntawm tus kab mob, qhov mob tshwm sim hauv 90% ntawm cov neeg mob. Tus txheej txheem rau kev txhim kho ntawm SDS yog qhov nyuaj heev, nws suav nrog ntau cov txheej txheem sib txawv uas tau tshwm sim thoob plaws lub cev.
Thaum pib theem, cov hlab ntsha me me raug rhuav tshem, thiab sijhawm dhau los, cov hlab ntsha thiab cov hlab ntsha cuam tshuam, cov nqaij mos tau raug cuam tshuam, tom qab ntawd cov leeg xaim tuag thiab mob rau sab hauv. Nyob rau tib lub sijhawm, vim hloov qeeb qeeb, tus kab mob sai sai txuas thiab cov txheej txheem purulent tshwm sim.
Cov tsos mob uas nrog tus kab mob ntshav qab zib nyob ntawm tus mob yam. Yog li nrog daim ntawv polyneuropathic, txoj hlab ntaws tuag sai sai, kev tawm tsam thiab qhov kub tsis zoo yuav ploj mus. Nyob rau tib lub sijhawm, daim tawv nqaij ntawm txhais ko taw tuab, txoj cai thiab caj dab ua rau ntawm ib leeg, thiab cov duab ntawm lub cev yuav hloov zuj zus.
Feem ntau, nyob rau theem no, txhais ceg tsis raug mob, thiab xim thiab kub ntawm daim tawv nqaij tsis hloov. Tab sis qee tus neeg mob hauv cov neeg mob siab tshaj plaws yuav pib ntub dej txhawm ntawm ko taw.
Daim ischemic rau ntawm tus mob ko taw yog yam ntxwv ntawm:
- blanching thiab o ntawm daim tawv nqaij;
- qhov kub thiab qhov mob rhiab tseem mob;
- tib leeg tseem tsis hloov;
- nyob rau hauv cov nqaij ntshiv plab muaj qhov tsis xis nyob heev, vim qhov kev cuam tshuam twg claudication;
- thaum so, kev mob yuav tshwm sim hauv ceg, zuj zus thaum hmo ntuj;
- daim tawv nqaij ntawm ko taw yuav txias dua thiab liab dua, vim qhov kev tshwm sim ntawm ntau kis taw tes pom ntawm nws;
- dystrophy ntawm cov nqaij mos subcutaneous ua rau txo qis hauv txhais ko taw;
- tawm tsam keeb kwm ntawm ischemia, cov txheej txheem necrotic txhim kho, ua rau qhuav caj dab ntawm lub ntsej muag distal.
Kuj tseem muaj daim ntawv thib peb ntawm tus mob ko taw mob ko taw, sib txuas nrog cov tsos mob ntawm ob hom dhau los. Qhov kev mob tshwm sim no tshwm sim feem ntau hauv cov neeg mob ntshav qab zib.
Mob rwj thiab o hauv ntshav qab zib
Yog tias muaj ntshav qab zib, ob txhais ceg raug mob, tsis yog tsuas yog vim muaj txhaws taw nyob hauv qab xwb. Feem ntau, mob ntev hyperglycemia yog nrog los ntawm ulcerative formations. Cov laj thawj hauv qab no ntawm lawv cov ntsej muag yog qhov txawv: kev ua txhaum ntawm trophic ntaub so ntswg, vascular thiab neuropathic pathologies.
Txoj kev pheej hmoo ntawm kev txhab ua rau ntau ntxiv nrog kev puas tsuaj rau peripheral NS, atherosclerosis, thiab mob voos heev. Ib qho ntxiv, txiv neej feem ntau raug kev txom nyem los ntawm cov kev ntseeg tshiab ntawd. Cov tsos ntawm cov teeb meem no yog nce siab los ntawm corns, kub hnyiab, abrasions thiab tawg, bruises thiab microtraumas.
Peptic rwj kab mob hauv ntshav qab zib pib maj mam tshwm sim, nws yog qhov txiaj ntsig ntawm ntau yam kev hloov tsis zoo uas tshwm sim hauv lub cev tau ntev. Txhua qhov kev tsim los ntawm trophic tau muab faib ua ntau theem ntawm txoj kev loj hlob:
- Ua ntej. Nws yog tus cwj pwm los ntawm tsis muaj qhov rhiab, o, mob me, kub hnyiab, khaus, tsaus nti lossis liab, qee zaum cyanosis ntawm daim tawv nqaij ntawm sab ceg qis thiab qaug dab peg.
- Tso neeg ua haujlwm. Nyob rau qib no, daim ntawv ua haujlwm scab thiab pom qhov tsis xws ntawm daim tawv nqaij tshwm sim. Qhov txhab ntshav tawm, ua rau kis mob thiab muaj qhov txhab txhab ntxiv.
- Kev vam meej. Nws yog tus cwj pwm los ntawm kev tsim cov kab mob purulent mob, mob hnyav, necrosis kis mus rau cov khaubncaws sab nraud povtseg tob, cov tsos mob ntawm intoxication (ua daus no, qaug zog, ua npaws).
Kev o ntawm cov qis qis hauv ntshav qab zib tshwm sim tawm tsam keeb kwm ntawm tus mob nephrotic.
Tsis tas li ntawd, atherosclerosis, uas ua rau txhaws ntawm cov hlab ntsa thiab cuam tshuam nrog kev ntshav hauv lub cev, tuaj yeem pab ua rau qhov tshwm sim no.
Kho thiab tiv thaiv kab mob ceg rau cov neeg mob ntshav qab zib
Nrog ntshav qab zib, ceg mob yuav ua dab tsi? Ua ntej tshaj plaws, nws yog qhov yuav tsum tau them ntxiv rau tus kabmob. Ua li no, normalize qib ntawm glycemia, ua raws li kev noj haus tshwj xeeb, zam kev ntxhov siab, txiav kev haus luam yeeb thiab haus cawv.
Yog tias peb tham txog yuav ua li cas kho tus mob ko taw mob ko taw, ces hnub no ob txoj hauv kev yog siv los kho cov teeb meem no - kev txuag thiab phais mob. Hauv thawj kis, tus neeg mob tau noj tshuaj tiv thaiv kab mob hauv qhov ncauj thiab tshuaj loog.
Rau kev kho mob hauv zos, tshuaj tua kab mob thiab tshuaj tua kab mob yog siv. Tsis tas li, yog tias cov ceg mob ntshav qab zib hauv cov ntshav qab zib, cov tshuaj tau hais tias txhim kho cov ntshav hauv cov hlab ntsha.
Tsis tas li, lawv twb tau noj cov ntiv taw hnyav nrog ntshav qab zib, tom qab ntawd tus neeg mob tau pom tias muaj kev phais mob, thaum lub sijhawm kev phais mob hauv qab no tuaj yeem ua:
- tshem tawm thaj chaw thaj chaw mob;
- angioplasty (rov ua dua ntawm vascular muaj nuj nqi);
- endarterectomy (tshem cov hlab uas tsis tuaj yeem thim rov qab);
- stenting ntawm cov hlab ntsha (teeb tsa cov nets txhawb nqa cov hlab);
- kev rov qab deev (tshem tawm thaj chaw ntawm necrotic ntawm tus ntiv tes lossis ko taw);
- yog tias tsim nyog, txiav tawm ntawm ntau seem ntawm txhais ceg tau ua.
Hauv 80% ntawm cov neeg mob, mob txhab uas tsim nyob rau hauv cov ntshav qab zib mellitus xav tau kev kho mob hnyav, uas tuaj yeem ua qhov qub thiab phais.
Nrog qhov mob txhab txhab, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam kom nruj txog qib ntawm cov piam thaj thiab hemoglobin hauv cov ntshav. Qhov zoo tshaj plaws yoo mov glycemia yog 6-10 mmol / L, thiab tom qab noj mov - 9-10 mmol / L.
Nws tseem yuav tsum muaj kev tiv thaiv kev txhim kho thiab lub sijhawm kho mob ntawm cov kab mob concomitant, xws li mob ntshav siab lossis mob thrombophlebitis. Hauv qhov no, tus kws kho mob tau sau ntawv yuav tshuaj uas tshem tawm cov kev mob tshwm sim thiab cov tshuaj uas txhim kho cov kev mob ntawm peripheral NS. Txawm hais tias tus neeg mob ntshav qab zib tau qhia siv kev siv tshwj xeeb hauv kev tiv thaiv kev thauj mus los tiv thaiv lub qhov txhab los ntawm kev ntxhov siab.
Tsis tas li ntawd, kev siv tshuaj tua kab mob thiab tshuaj tua kab mob thiab tshuaj tua kab mob yog kho thiab kev ntsuas coj los ua kom cov lipid metabolism. Tsis txhob hnov qab txog kev saib xyuas ko taw rau ntshav qab zib ntawm txhua yam.
Ib qho ntxiv, kev kho ntshav coagulation kev kho mob nrog kev pabcuam ntawm kev siv tshuaj thiab kev siv cov tshuaj vasoactive yog qhov tsim nyog.
Kev phais mob rau qhov uas mob ntshav qab zib yog li hauv qab no:
- kev kho mob ntawm qhov txhab nrog peroxide thiab tom qab thov kev coj khaub ncaws tsis huv;
- dissection thiab kho mob ntawm qhov mob txhab;
- yog tias tsim nyog, kev tsim kho vascular los yog txiav tu ntawm caj npab yog nqa tawm.
Thaum koj ob txhais ceg mob ntshav qab zib, koj yuav tsum hnav khau tshwj xeeb thiab tu koj txhais taw kom zoo. Txog qhov kawg no, txhua txhua hnub yuav tsum kuaj xyuas cov ceg, saib xyuas txawm tias qhov tsis xws me.
Tsis tas li, txhawm rau tiv thaiv kev txhim kho ntawm SDS thiab qhov tshwm sim ntawm qhov mob txhab, ob txhais ceg yuav tsum tau ntxuav txhua hnub siv cov tshuaj tua kab mob, thiab tom qab ntawd so lawv kom qhuav thiab roj nrog lub qab zib. Thaum thawj cov tsos mob tshwm sim ntawm fungus tshwm, koj yuav tsum tau sab laj nrog kws kho mob txog tam sim ntawd.
Cov neeg mob ntshav qab zib yuav tsum tau hnav khau uas xis zoo uas ua rau lawv txhais ko taw ua pa. Yog li no, kev nyiam ua ntej yuav tsum tau muab rau khau orthopedic, tshwj xeeb tshaj yog hais tias txheej txheem ntawm deformation ntawm ko taw twb tau pib.
Nws raug nquahu kom ua cov ntsia hlau nrog ntsia thawv, thiab tshem tawm cov tawv nqaij coarsened uas siv pumice. Tsis tas li, yog tias koj ob txhais caj npab thiab txhais ceg mob ntshav qab zib, tsis txhob hnov qab taug kev hauv huab cua ntshiab thiab cov neeg dhia tes taw tshwj xeeb, uas yuav txhim kho cov ntshav ncig hauv cov ceg thiab.
Ntxiv nrog rau kev siv tshuaj kho mob, tshuaj ntsuab rau txhua yam ntshav qab zib yuav ua kom tiav. Yog li, nrog ntshav qab zib ko taw thiab mob rwj, infusions, ointments thiab decoctions raws li burdock hauv paus, flaxseed, blueberry, zib ntab, figs, Kalanchoe, txiv qaub balm, horsetail thiab nettle pab.
Hauv cov yeeb yaj kiab hauv tsab xov xwm no, tus kws kho mob yuav tham txog kev saib xyuas ko taw rau ntshav qab zib.
