Mob ntshav qab zib ua rau muaj teeb meem nrog lub caij nyoog ntev ntawm tus kab mob lossis nyiaj them tsis txaus. Feem ntau cov neuropathy ntawm qis qis dua.
Cov txheej txheem kev coj ua rau kev txhim kho mob ntshav qab zib polyneuropathy yog qhov raug mob rau phab ntsa vascular los ntawm kev nce ntshav hauv cov ntshav siab. Kev ua haujlwm tsis zoo ntawm cov ntshav thiab ua kom tsis muaj zog ntawm kev ua haujlwm ntawm cov hlab ntsha cov hlab ntsha ua rau kev tsim cov mob ntshav qab zib.
Ib qho ntawm cov tsos mob ntawm neuropathy yog o ntawm qis qis. Pathology ntawm lub paj hlwb tsis yog tib qho laj thawj vim li cas cov neeg mob yws yws tias lawv sab ceg qis tau mob ntshav qab zib.
Ua rau muaj ceg o hauv ntshav qab zib
Edema ntawm txhais ceg tshwm sim thaum lub hlwb thiab qhov chaw sib cais uas muaj kua. Ob txhais ceg, zoo li qhov qis tshaj ntawm lub cev, ntsib qhov hnyav tshaj plaws rau hauv txoj haujlwm ncaj.
Kev o ntawm ob txhais ceg thiab ob txhais taw nyob ntawm ob qho tib si ntau dhau ntawm kev tso dej tawm hauv lub cev, thiab ntawm cov permeability ntawm lub vascular phab ntsa, kev ua haujlwm ntawm cov hlab ntsha thiab lymphatic.
Cov ceg o ntshav qab zib tuaj yeem muaj ntau qib kev ua txhaum:
- Pastous taw thiab qhov qis ntawm txhais ceg qis: thaum nias ntawm daim tawv nqaij ntawm sab pem hauv ntej ntawm sab ceg qis, ib qhov me ntsis tseem tshuav, ntxiv rau ntawm qhov ywj ntawm sab thom khwm.
- Kev o tuaj hauv zos tuaj yeem yog ib leeg lossis ob sab ceg ntawm thaj tsam ntawm pob taws, pob qij txha.
- Kev nrawm ntawm sab ceg qis dua qib ntawm lub hauv caug. Thaum nias kom ntev, cov hniav sib sib zog nqus tseem nyob. Edema tuaj yeem ua tau rau ntawm ob txhais ceg lossis tsuas yog ntawm ib qho xwb.
- Trophic mob ntawm daim tawv nqaij tawm tsam keeb kwm ntawm edema. Overthown kev sib xyaw ua ke tuaj yeem npog nrog cov kab nrib pleb, uas tsim mus rau hauv cov qhov tsis ua kom zoo thiab mob rwj.
Nrog lub sijhawm nyob ntev hauv txoj hauj lwm ncaj ncaj, nrog lub cev txav ntawm lub cev, edema nyob rau hauv qis dua ntawm sab ceg qis tuaj yeem tshwm sim thaum yav tsaus ntuj, cuam tshuam nrog kev nce hydrostatic siab rau cov hlab ntsha thiab qhov tsis txaus microcirculation. Xws li pob xoos tau dhau los ntawm nws tus kheej yam tsis muaj kev kho mob.
Taw kev o nyob rau hauv cov neeg mob ntshav qab zib nrog kev ua haujlwm tsis zoo ntawm cov hlab plawv cov ntshav, lub raum puas tsuaj, cov hlab ntsha thiab cov hlab ntsha lymphatic, nrog rau qhov ua kom pom cov leeg ntshav lossis nrog cov txheej txheem purulent hauv cov ntaub so ntswg.
Kev ntxhov siab sab hauv thiab kev ua haujlwm ntawm lub ntsa ntsa mus nrog cov ntshav qab zib mob polyneuropathy mob siab. Kev o yog feem ntau hnov ntau nrog kev txhim kho ntawm ischemic variant ntawm qhov kev cuam tshuam no.
Cov txheej txheem tau nyaij nrog kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha hauv cov rog thiab calcium uas tau muab tso rau ntawm cov phab ntsa, cov plahaum roj (plaques) uas ua rau cov lumen ntawm cov hlab ntsha. Kev txo qis ntshav ntawm cov ntshav tawm, stagnation hauv cov leeg ua rau hemorrhages hauv daim tawv nqaij thiab qhov tsim ntawm edema.
Nrog mob neuropathy, tej zaum yuav muaj o, ntau tshaj ntawm ib sab ceg. Cov tawv nqaij yuav txias thiab qhuav. Cov neeg mob yws yws ntawm qhov mob thaum taug kev, loog, tsis hnov rhiab, muaj zog ntawm daim tawv nqaij thiab ua rau tawv nqaij, ua rau tawv nqaij tawg.
Yog tias mob zuj zus ntxiv, mob txhab rau ntawm txhais taw lossis txhais ceg, uas tsis zoo rau ntev
Mob raum nrog lub plawv khiav tsis zoo muaj cov yam ntxwv sib txawv li no:
- Lawv feem ntau tshwm sim ntawm ob txhais ceg.
- Edema nyob rau hauv thawj theem yog mob me, nrog hnyav decompensation - ntom, kis mus rau hauv caug.
- Pob sawv ntxov hloov zuj zus thaum sawv ntxov.
Txoj kev mob ntsws qhuav thaum sawv ntxov tuaj yeem yog ib qho ntawm cov tsos mob ntawm tus mob ntshav qab zib nephropathy. Ntxiv nrog rau txhais ceg, txhais tes thiab tawv muag qis dua yuav o tuaj. Hauv qhov no, o ntawm lub ntsej muag yog ntau tshaj li shins. Kev puas tsuaj rau lub raum hauv ntshav qab zib mellitus feem ntau tau nyaij tawm tsam keeb kwm ntawm ntshav siab.
Cov ceg uas muaj ntshav qab zib tuaj yeem o nrog cov kab mob ntawm cov leeg - varicose veins thiab thrombophlebitis. Edema tsis muaj qhov tsis to taub lossis tshaj tawm ntawm ib qho ntawm ob txhais ceg, pheej tawv, tuab. Ntxiv dag zog tom qab lub sijhawm ntev sawv. Feem ntau o qij taws. Tom qab noj txoj hauj lwm tav toj txo.
Nrog rau cov kab mob ntawm cov lymphatic system, lub txim ntawm erysipelas, ib qho ntom thiab tsis tu ncua ntau dhau los, uas tsis cuam tshuam los ntawm lub sijhawm nruab hnub lossis hloov hauv lub cev. Kev tsim ntawm "tog hauv ncoo" nyob rau nraum qab ntawm taw yog tus yam ntxwv.
Ntshav qab zib mob taub hau tshwm sim nrog kev o ntawm pob taws los yog pob qij txha. Hauv qhov no, lub zos edema, tsuas yog nyob hauv thaj tsam ntawm qhov sib txuam nrog, nrog cov kev ua kom tsis muaj zog thiab mob thaum txav.
Kev kho mob ntawm edema ntawm qis qis dua
Yog hais tias o nrog ntshav qab zib tshwm sim ua ib qho kev ntxhov siab, ces thawj yam ua kom ua tiav qib siab ntawm cov piam thaj hauv cov ntshav. Qhov no tuaj yeem ua tiav los ntawm kev noj zaub mov nyob rau hauv uas, ntxiv rau kev txwv tsis pub muaj carbohydrates yooj yim thiab cov zaub mov muaj roj ntawm cov tsiaj keeb kwm, nws yog qhov tsim nyog los txo cov ntsev thiab kua dej haus kom tsawg.
Rau cov neeg mob uas tsis muaj mob ntshav siab, nws raug nquahu kom tsis pub ntau tshaj 6 g ntawm lub rooj ntsev ib hnub, yog tias pom muaj ntshav nce ntxiv li 145/95, ces cov ntsev raug txo kom tsawg dua 1-2 g ib hnub lossis tshem tawm tag nrho.
Hauv cov mob ntshav qab zib nephropathy, tsiaj cov protein kuj tseem raug txo. Hauv qhov no, txoj kev noj haus yuav tsum muaj cov zaub txaus, txiv hmab txiv ntoo tsis qab zib. Rau kev kho mob raum thiab mob plawv edema, cov tshuaj hauv qab no yog siv:
- Diuretic tshuaj: rau ntshav qab zib, tshuaj uas txo qib ntawm cov poov tshuaj yog siv - Furosemide, Trifas, Indapamide. Hypothiazide siv tsawg vim tias nws muaj qhov tsis zoo ntawm cov rog metabolism. Cov tshuaj yeeb tshuaj tsis siv ntau dua 2-3 zaug hauv ib lub lis piam.
- Nrog kev ua kom tsis muaj zog ntawm cov leeg plawv, Riboxin thiab Mildronate raug kho.
- Tshuaj ntsuab nrog lub diuretic nyhuv: decoctions thiab infusions ntawm bearberry, horsetail, thiab birch buds yog siv. Txhawm rau hloov kas fes, chicory yog qhov pom zoo, uas, ntxiv rau kev txhim kho qhov tsis pom tseeb ntawm cov zis, muaj cov nyhuv hypoglycemic.
Txhawm rau txo edema tshwm sim los ntawm kev ua kom tsis taus ntawm cov hlab ntaws, cov tsho zaws yog siv: cov ntaub qhwv tawv, cov ris tsho, tsuj nruj. Tsis tas li, cov neeg mob tau pom cov tshuaj uas ntxiv dag zog rau phab ntsa ntawm cov leeg: Detralex, Eskuzan, Normoven thiab Troxevasin.
Txhawm rau txhim kho rheological zog ntawm cov ntshav, ntshav-thinning npaj yuav siv tau - Aspecard, Cardiomagnyl, Clopidogrel. Cov khoom siv hauv av siv yog: Troxevasin, Hepatrombin, Aescin thiab Venitan.
Txog kev tiv thaiv kab mob edema hauv cov neeg mob ntshav qab zib, nws pom zoo:
- Txwv txoj kev nyob ntev nyob rau hauv txoj hauj lwm ncaj ncees, tsis suav lub sijhawm ntev thiab lub cev nqaij lub cev.
- Txo cov rog dua kom yooj yim dua lub nra rau cov ceg nqaj.
- Nrog txoj kev nyiam rau edema, txoj kev tiv thaiv kev siv tshuaj ntsuab tshuaj ntsuab thiab cov ntawv thov hauv zos hauv cov ntawv gels raug pom zoo. Hauv cov tshuaj ntsuab rau ntshav qab zib, hauv txoj cai, yuav muaj txiaj ntsig zoo.
- Hnav compression hosiery kom thim txoj hlab ntsha thiab tiv thaiv kom txhob mob ceg.
- Ua kev kho mob tshwj xeeb ua kom tawm dag zog. Ntawm thawj cov tsos mob ntawm tus mob neuropathy, cov neeg mob tau pom zoo kom taug kev ntev ntev txhawm rau txhim kho microcirculation hauv qis qis.
- Kev tu cev ntawm tus taw thiab kev soj ntsuam txhua hnub kom paub txog thiab kho cov tawv nqaij kom raws sij hawm.
Daim vis dis aus hauv tsab xov xwm no yuav qhia koj tias yuav ua li cas txhawm rau txhawm chim thaum mob ntshav qab zib.
