Kev kis mob hnyav tau tshwm sim ntau rau cov neeg muaj ntshav qab zib. Nws yog ib qho tsim nyog yuav tsum tau koom rau hauv kev siv tshuaj tua kab mob thaum lub sijhawm kom kho sai sai ntawm txoj kev mob siab. Coob leej ntau tus txaus siab txog yam tshuaj tua kab mob tau qhia rau siv rau cov ntshav qab zib.
Nws yuav tsum tau hais meej meej tias kev siv pawg tshuaj no yuav tsum nyob hauv kev saib xyuas ntawm kws kho mob thiab nrog kev tso cai. Kev nce ntshav qab zib ua rau cov ntshav pauv tsis hloov pauv. Hauv ntau qhov xwm txheej, cov tshuaj tua kab mob siv ntshav qab zib ua rau pom lub cev tsis xav txog.
Kev siv cov tshuaj tua kab mob tuaj yeem ua rau cov kev mob tshwm sim tsis zoo. Yog li, nws yog ib qho tseem ceeb kom paub txog cov tshuaj tua kab mob twg yuav tsum tau noj nrog tus kab mob no, kom tsis txhob nce qib ntshav qab zib.
Cov Hom Ntshav Qab Zib
Muaj ob peb hom mob ntshav qab zib. Thawj hom kab mob yog cuam tshuam nrog cov tshuaj insulin, qhov tsis txaus tsim tawm. Ntshav Qab Zib 1 yog sau npe hauv 10-15% ntawm cov neeg mob.
Qhov txiav ua nrog tus kab mob no tsis tuaj yeem tiv thaiv nws txoj haujlwm, qhov ntau ntawm cov tshuaj synthesized tsis ua tiav cov txiaj ntsig ntawm cov piam thaj, thiab cov ntshav qab zib nce ntxiv. Hom ntshav qab zib no xav tau kev kho mob insulin.
Muaj ntshav qab zib hom 2, muaj cov insulin txaus tsim tawm hauv lub cev, qee zaum tseem muaj ntau tshaj qhov tsis txaus ntseeg. Txawm li cas los xij, qhov kev tawm tsam yuav luag tsis muaj txiaj ntsig, vim hais tias lub cev cov ntaub so ntswg poob lawv qhov kev nkag siab rau nws.
Yog tias muaj hom mob thib ob, tom qab ntawd cov tshuaj insulin yog siv hauv qhov tsis tshua muaj, tsuas yog nrog cov chav kawm nyuaj nrog qhov tsis muaj txiaj ntsig ntawm lwm yam tshuaj.
Tsis tas li ntawd, muaj "mob ntshav qab zib" uas ploj lawm, uas tsuas yog txiav txim siab siv lub tsom tshwj xeeb. Qhov no tshwm sim thaum:
- rog dhau
- tsis zoo muaj keeb
- rog dhau thaum yug los (los ntawm 4 kg lossis ntau dua).
Kev cuam tshuam ntawm cov tshuaj tua kab mob nrog lub cev ntawm cov ntshav qab zib
Mob ntshav qab zib thiab tshuaj tua kab mob tuaj yeem ua haujlwm zoo, tab sis ua ntej siv cov tshuaj, koj yuav tsum kawm tag nrho cov kev pheej hmoo uas tshwm sim hauv cov mob no.
Kev siv tshuaj tua kab mob tsis raug pom zoo rau:
- decompensated chav kawm ntawm tus kab mob,
- laus lawm
- tsim cov kev mob tshwm sim lig,
- micro thiab macroangiopathies, nephro- thiab neuropathies, as Well as retinopathy,
- lub sijhawm tiv thaiv ntawm tus kabmob yog ntau tshaj 10 xyoo,
- kev hloov pauv hauv kev ua haujlwm ntawm qee qhov kev tiv thaiv ntawm lub cev tsis muaj zog thiab lub cev, piv txwv li, txo qis rau kev ua ntawm neutrophils, chemotaxis thiab phagocytosis.
Thaum tus kws kho mob xav txog rau tag nrho cov nuances, nws tau teev cov tshuaj uas tsis ua rau muaj piam thaj hauv cov ntshav, uas tiv thaiv ntau yam phiv tsis zoo.
Ib qho ntxiv, nws tseem ceeb uas yuav tsum nco ntsoov cov ntsiab lus no:
Ntau yam tshuaj tua kab mob rau ntshav qab zib tsis sib txig muaj txiaj ntsig ntawm cov tshuaj hypoglycemic. Ntawd yog, tshuaj tua kab mob tuaj yeem hloov qhov tshwm sim los ntawm ntsiav tshuaj thiab kev txhaj tshuaj uas txo cov ntshav qabzib.
Macrolides thiab sulfonamides inhibit cov enzymes uas ua lub luag haujlwm rau tawg ntawm cov tshuaj yeeb dej caw. Raws li qhov tshwm sim, ntau tus neeg sawv cev nquag nkag mus rau cov ntshav, thiab lub sijhawm thiab cov nyhuv nce ntxiv. Rifampicin, piv txwv, txo cov kev cuam tshuam ntawm cov tshuaj hypoglycemic.
Microangiopathy ua rau muaj sclerosis ntawm cov hlab ntsha me. Qhov no txhais tau tias koj yuav tsum pib siv tshuaj tua kab mob nrog kev siv tshuaj kom haum, thiab tsis tas nrog cov leeg, li niaj zaus. Tsuas yog thaum lub cev tau txaus nrog txoj cai tshuaj koj tuaj yeem hloov mus rau cov tshuaj noj hauv qhov ncauj.
Kev kis kab mob yog ib qho teeb meem uas keev muaj rau cov neeg muaj ntshav qab zib.
Thaum sau tshuaj rau cov tshuaj tua kab mob kev kho mob ntawm cov neeg mob ntshav qab zib mellitus, kev sib cuam tshuam ntawm cov tshuaj no nrog rau cov tshuaj txo cov ntshav qab zib yuav tsum raug txiav txim siab.
Cov kab mob me muaj peev xwm kis tau rau txhua qhov ntawm lub cev. Raws li koj paub, feem ntau raug kev txom nyem:
- tawv nqaij
- cov kab mob zis
- qis cov pa ua pa.
Mob txeeb zig
Xws li tus kab mob tau piav qhia los ntawm kev tsim ntawm nephropathy. Lub raum tsis tuaj yeem tiv thaiv lawv lub luag haujlwm thiab cov kab mob sai sai tua tag nrho cov kev teeb tsa ntawm cov kab ke no.
Piv txwv ntawm UTI tuaj yeem muab tau:
- Pyelonephritis,
- Tshaj tawm ntawm cov ntaub so ntswg perinephric adipose,
- Cystitis
- Papillary necrosis.
Tshuaj tua kab mob rau ntshav qab zib hauv cov ntaub ntawv no tau sau tseg raws qee cov ntsiab cai. Yog li, qhov cuab yeej yuav tsum tsis txhob muaj kev pom dav dav ntawm kev ua rau kev kho mob thaum xub thawj. Thaum tus neeg sawv cev yog vim li cas tsis tau paub tseeb, fluoroquinolones thiab cephalosporins siv.
Hauv tshwj xeeb, Augmentin yog siv los kho cov hlab ntsws, mob ntsws, mob rau daim tawv thiab tso zis. Augmentin yog hais txog cov tshuaj tua kab mob penicillin nrog rau kev sib xyaw ua ke ntawm amoxicillin thiab potassium clavulanate.
Augmentin muaj kev tiv thaiv zoo thiab muaj qhov tsis tshua muaj tshuaj lom ntau rau txhua tus penicillins. Yog tias koj haus cov tshuaj no ntev, koj yuav tsum tau ntsuas xyuas lub xeev cov ntshav tau tsim, lub raum thiab mob siab.
Cov tshuaj muaj peev xwm ua rau ua rau muaj kev tsis haum tshuaj, uas tsis tshua muaj siab rau cov neeg mob ntshav qab zib. Yog li, tus kws kho mob, ua ntej sau ntawv yuav cov tshuaj, yuav tsum tau ntsuas kev siv dav hauv qhov xwm txheej tshwj xeeb no.
Lub sijhawm tiv thaiv ntawm kev kho mob ntau yam ntawm UTI yog li ob zaug ntev li ib txwm. Cystitis yog kho tau li 8 hnub, pyelonephritis - peb lub lis piam. Yog tias ib tus neeg tab tom mob siab rau cov kev mob nephropathy, koj yuav tsum tau saib xyuas tas li ntawm lub raum kev ua haujlwm. Rau cov laj thawj no, nws yog qhov tsim nyog los ntsuas tus creatinine tshem tawm, nrog rau tus nqi glomerular pom.
Yog tias cov nyhuv ntawm cov tshuaj tua kab mob tsis pom, nws yuav tsum tau hloov.
Kev kis mob ntawm daim tawv nqaij thiab cov nqaij mos
Cov txhab ntawm cov xwm no feem ntau tshwm sim nyob rau hauv daim ntawv ntawm:
- txhaus qees
- carbuncle
- mob ntsws,
- mob ntshav qab zib mob ko taw.
Ua ntej tshaj plaws, kom tshem tawm cov tsos mob, koj yuav tsum normalize glycemia. Yog tias qhov ntsuas ntshav qab zib tsis txaus siab, tom qab ntawd qhov no ua rau kev txhim kho ntawm tus kabmob thiab qeeb cov txheej txheem ntawm kev tsim dua tshiab ntawm cov nqaij mos.
Cov neeg mob ntshav qab zib tuaj yeem tsim kev hnoos qeev, uas yog suav tias yog kev kis mob fungal. Cov tsos ntawm kev kis tus kab mob, raws li txoj cai, tshwm sim hauv lub qhov ntswg kab noj hniav, tab sis tom qab ntawd kis mus rau lub hlwb thiab qhov muag.
Kev kho rau cov kab mob fungal feem ntau suav nrog kev siv tshuaj tua kab mob.
Cov ntsiab cai ntxiv ntawm kev kho mob yog:
- kev so thiab tshem tawm ntawm qhov raug mob povtseg (yog tias txhais ko taw tau kho),
- kev siv cov tshuaj tiv thaiv kom muaj zog. Cov khoom siv feem ntau yog tiv thaiv penicillins, carbapenems, peb-tiam cephalosporins. Cov tshuaj yog xaiv raws li kev nkag siab ntawm tus kab mob rau nws thiab tus yam ntxwv ntawm tus neeg mob. Lub sijhawm ntawm kev kho mob tsawg kawg yog ob lub lis piam,
- kev phais mob: tshem tawm cov ntaub so ntswg tuag lossis tso dej ntawm qhov chaw huv,
- kev tshuaj xyuas tas mus li ntawm cov haujlwm tseem ceeb. Nrog kev sib kis sai sai ntawm txheej txheem, nws yuav tsim nyog los txiav tawm ntawm caj npab.
Kev tshwm sim hauv zos los ntawm kev khaus ntawm daim tawv nqaij yog tus phooj ywg ntshav qab zib tas li. Cov tawv nqaij khaus tuaj yeem tshwm sim los ntawm ntau yam, piv txwv:
- ntshav khiav tsis zoo
- daim tawv nqaij qhuav
- poov xab kis tau tus mob.
Nrog cov ntshav tsis txaus, cov tawv nqaij ua pob rau ntawm ko taw thiab txhais ceg qis yuav pib.
Cov ntshav qab zib twg tuaj yeem tiv thaiv khaus tawv nqaij. Koj yuav tsum siv tshuaj pleev thiab pleev pleev kom tawv nqaij kom tawv. Ib qho ntxiv, thaum da dej, siv cov xab npus me me xwb.
Txhawm rau kom tsis txhob muaj kev pheej hmoo ntawm kev kis kab mob ntawm daim tawv nqaij, nws yog ib qho tsim nyog los ua lub neej kom zoo thiab ua raws li kev kho noj tshuaj.
Kev mob ntsws ua pa
Nrhiav kev kho mob sai sai yog tias:
- siab kub, uas suab tsis txo,
- nrog rau qhov ntsuas kub muaj lub cev ua pa thiab txog siav,
- xav tau kom haus tas li
- muaj ketoacidosis,
- txo qhov hnyav hauv lub cev
- muaj qhov tsis nco qab, mob plab,
- zawv plab los yog ntuav yog cai pom rau ntau tshaj 6 teev,
- tus tsos mob ntawm tus kab mob tsis ploj, tab sis yog tas li nce,
- qhov degree ntawm cov ntshav qab zib ntau dua 17 mmol / l.
Cov tshuaj tua kab mob rau tus mob ntshav qab zib hom 2 nrog rau mob ntsws lossis mob ntsws yog tsim raws li cov qauv txheej txheem ntawm kev koom ua ke hauv chaw saib mob. Koj yuav tsum pib nrog kev tiv thaiv penicillins, thiab tom qab ntawd tsom mus rau kev nyob zoo ntawm tus neeg mob. Nws yog ib qho tsim nyog los ua kom tiav txoj kev ntsuas xoo hluav taws xob ntawm lub ntsws. Thov kev kho cov tsos mob ntxiv.
Cov neeg mob ntshav qab zib kuj tseem tuaj yeem noj qee yam tshuaj uas txias uas tsis tas kws kho mob sau. Tab sis nws yog ib qho tseem ceeb kom nco ntsoov tias qhov muaj pes tsawg leeg tsis muaj piam thaj ntau. Siv ib qho tshuaj twg, nws yog ib qho tseem ceeb yuav tsum tau nyeem cov lus qhia ua ntej, uas qhia qhov tseeb ntawm cov piam thaj hauv cov tshuaj.
Tus neeg mob ntshav qab zib yuav tsum tsis txhob noj kua qab zib noj thiab cov tshuaj ua pa hnoos. Koj yuav tsum nco ntsoov nrhiav cov lus "tsis muaj piam thaj", txawm tias cov tshuaj tau ntxiv rau cov tshuaj tua kab mob. Muaj qee kis, tshuaj ntsuab rau mob ntshav qab zib hom 2 tuaj yeem hloov kho tau.
Nrog rau cov ntshav siab, nws yog ib qho tseem ceeb kom tsis txhob siv cov tshuaj uas muaj tshuaj lom, lawv nce ntshav siab.
Tshaj tawm cov tshuaj tua kab mob rau cov ntshav qab zib yuav tsum muaj kev saib xyuas thiab qib kws los ntawm kws kho mob. Cov kab mob microbes nquag tawm tsam cov neeg mob ntshav qab zib, yog li koj yuav tsum xav txog kev siv ntau yam tshuaj thiab probiotics tiv thaiv kev tuag ntawm microflora hauv lub cev. Txoj hauv kev no yuav txo qhov kev pheej hmoo ntawm cov kev mob tshwm sim hauv cov tshuaj kho mob feem ntau. Daim vis dis aus hauv tsab xov xwm no txuas ntxiv lub ntsiab lus ntawm kev saib xyuas ntshav qab zib.
