Ntshav qab zib mellitus yog ib hom kab mob insidious uas koj xav tau tsis yog tsuas yog soj qab saib xyuas cov qib ntawm cov piam thaj hauv cov ntshav thiab ua raws li kev noj zaub mov noj, tab sis kuj tseem siv cov kev tiv thaiv kom tsis txhob muaj ntau yam teeb meem, piv txwv li, ko taw mob ntshav qab zib, nyob rau hauv uas mob raum ua paug.
Qhov no yog qhov tseem ceeb heev, vim hais tias nrog tus kab mob no, vim qhov kev cuam tshuam ntawm metabolic cuam tshuam, cov phab ntsa ntawm cov hlab ntsha thiab cov leeg xaus tau cuam tshuam.
Raws li qhov tshwm sim, cov pa oxygen tshwm sim hauv cov ntaub so ntswg, thiab cov khoom lag luam lom ntawm cov khoom noj khoom haus carbohydrate ntau zuj zus. Mob ko taw mob ntshav qab zib muaj peev xwm ua rau poob tes taw.
Thaum pib ntawm txoj kev loj hlob ntawm tus kab mob, cov neeg mob yuav tsum tau ceev faj ntawm lawv ko taw, txij li thaum nyob rau hauv cov ntshav qab zib lawv yog qhov tsis muaj zog txuas thiab muaj kev pheej hmoo ntawm trophic mob.
Txawm hais tias muaj kev raug mob ntawm daim tawv nqaij me, tsis tshua kho qhov mob, i.e. trophic mob rau sab nraud, tuaj yeem tsim rau ntawm ko taw, thiab lawv yog qhov txaus ntshai tshaj plaws ntawm kev mob ntshav qab zib.
Qhov no yog vim qhov tseeb hais tias nrog lub sijhawm ntev ntawm ntshav qab zib mellitus, nyob rau hauv daim ntawv ntawm lub diabetic ko taw, teeb meem pib:
- mob ntshav qab zib angiopathy - cov hlab ntsha me yog cuam tshuam;
- mob neuropathy mob ntshav qab zib - txoj hlab ntshav me me cuam tshuam.
Qhov no ua rau muaj qhov tseeb tias qhov xwm txheej ntawm cov ntaub so ntswg yog cuam tshuam thiab qhov mob ntshav qab zib yog tsim, uas tsis tsuas yog mob raphic mob, tab sis kuj mob caj dab tuaj yeem yooj yim tshwm sim. Nrog cov txheej txheem muaj peev xwm, cov xwm txheej no tuaj yeem tiv thaiv.
Qhov theem ntawm trophic mob rwj
- Qib sij hawm ntawm qhov tsim muaj qhov txhab - nyob rau theem no muaj qhov maj mam nce zuj zus ntxiv ntawm qhov mob txhab, nws lub ntsej muag tob dua thiab cov ntsej muag nyob hauv qab ntawm daim tawv nqaij txha hniav daj lossis tawv dawb. Tag nrho cov no feem ntau yog los ntawm qhov tsis hnov tsw tsw. Ko taw thiab ob txhais ceg tuaj yeem loog thiab tau khaub thuas, muaj qhov zoo siab ntawm kev nkag mus ntawm goosebumps.
- Qhov theem ntawm kev ntxuav lub voos - maj mam tso cov quav hauv qhov txhab pib ploj, hauv qab ua liab dawb. Qhov loj me ntawm qhov mob rwj thiab nws qhov tob tsis ntau ntxiv.
- Ntu ntawm qhov txhab kho kom zoo - feem ntau kho tau pib los ntawm cov npoo ntawm qhov tsim, thiab qhov loj me ntawm lub rwj yuav pib maj mam ploj zuj zus. Yog tias qhov kev kho tau zoo dav dav thiab hauv zos yog nqa tawm, tom qab ntawd kho kho islets tom qab pib tshwm sim hauv qhov txhab nws tus kheej.
Cov theem no yog tus xeeb ceem ntawm qhov muaj txiaj ntsig zoo ntawm cov mob rau qhov ncauj mob ntshav qab zib. Tab sis qhov no tsis tshwm sim rau txhua kis. Yog hais tias ib qho kev kis mob koom nrog tus txheej txheem, tom qab ntawd qhov mob tuaj yeem kis rau cov pob txha pob txha thiab cov leeg pob txha, cov txheej txheem ntawm cov hniav lwj pib, uas kev phais mob yog tsim nyog.
Yog hais tias qhov mob qog thiav tsis dhau los ntawm thawj theem mus rau theem ob, tab sis pib txhim kho thiab tob zuj zus, qhov ntawd yog, qhov tseeb ntawm kev txhim kho kev mob caj dab. Qhov no feem ntau tuaj yeem nrog kev kho mob ntshav qab zib tsis raug thiab qhov tsos mob ntawm cov mob neurovascular.
Tus mob zawv plab yog qhov xwm txheej uas tsim kev hem thawj rau lub neej thiab, raws li txoj cai, ua rau txiav tes txiav taw. Ua raws li cov txheej txheem nthuav dav thiab kev sib sib zog nqus, kev txiav tawm kuj tseem tuaj yeem nyob rau theem ntawm ob txhais ceg qis los yog ncej puab, txawm hais tias nws txhua tus pib nrog ntshav qab zib ko taw.
Tib lub sijhawm, daim tawv nqaij ntawm sab nraud tsis yog ib txwm hais tshaj plaws, qhov mob txhab yuav txawm zawm ntawm lub npoo, tab sis cov txheej txheem yuav txuas ntxiv mus tob. Tias yog vim li cas nws yog txwv tsis pub rau tus kheej noj tshuaj trophic mob rau hauv ntshav qab zib mellitus.
Kev kho qhov ncauj plab
Kev kho kab mob ntshav qab zib ntawm lub ntsej muag yuav tsum tau nqa tawm tsuas yog kev saib xyuas kev kho mob thiab nco ntsoov xav txog qhov theem ntawm cov txheej txheem mob. Cov neeg mob yuav tsum:
- soj ntsuam so txaj (qee zaum ib nrab txaj),
- noj haus zoo
- haus cov protein txaus
- cov zaub mov thiab cov vitamins
- yeej ib txwm saib xyuas qib ntawm cov piam thaj hauv cov ntshav nyob rau hauv kev saib xyuas ntawm tus neeg endocrinologist.
Yog tias tus neeg mob tsis kam ua lub luag haujlwm raws li cov lus pom zoo lossis qib qab zib tsis tuaj yeem raug kho nyob rau sab nrauv, ces qhov no tuaj yeem ua rau hauv tsev kho mob endocrinological.
Ntawm cov ntshav qab zib mellitus, txhua qhov kev puas tsuaj rau txhais taw yuav tsum tau kho nyob rau hauv cov chaw haujlwm tshwj xeeb ntawm cov ntshav qab zib ko taw lossis chav ua podology tshwj xeeb uas tsim los rau cov neeg mob ntshav qab zib. Nws yog nruj me ntsis txwv tsis pub tua koj tus kheej.
Kev kho mob ntawm trophic mob rau thaum pib
Thaum pib theem, rau kev kho mob ntawm qhov mob, nws yog qhov yuav tsum tau ua rau tus mob ntshav qab zib taw kom ua tib zoo saib xyuas qib ntawm cov piam thaj hauv cov ntshav, kho nws yog tias tsim nyog, thiab kev kho mob dav dav. B
Kev kho dav dav yuav tsum muaj cov chav kawm ntawm kev txhaj tshuaj nrog kev npaj vascular thiab kev siv tshuaj los txhim kho trophism (khoom noj khoom haus) ntawm cov leeg nqaij cuam tshuam. Nyob rau theem no, lub hom phiaj tseem ceeb ntawm kev kho tus mob rwj yog txhawm rau tiv thaiv nws cov ntshav.
Kev kho mob hauv zos muaj nyob rau hauv kev kho cov qhov txhab ua haujlwm nrog cov tshuaj tiv thaiv kev haus cawv (ci ntsa iab ntsuab, iodine, 70% cawv).
Lub qhov txhab nws tus kheej yuav tsum tau ntxuav kom zoo nrog kev daws teeb meem ntawm furatsilina, potassium permanganate (hauv kev tsis tshua muaj siab), hydrogen peroxide.
Tom qab kho, ib qho tshuaj tau thov rau thaj chaw uas muaj kab mob ntshav qab zib trophic, uas ua rau kom zoo sai sai ntawm qhov txhab thiab txhawb lub cev nqaij. Kev kho kom zoo tshwm sim ob qho tib si vim yog kev ua kom muaj zog ntawm collagen synthesis, thiab vim yog kev nrawm ntawm kev luam tawm ntawm tes. Qhov kev npaj yuav tsum muaj qhov tsim ntawm lub ntsej muag kom cov yeeb yaj kiab tsis pom kev.
Kev hnav ris tsho yuav tsum tau ua ob zaug ib hnub, thiab kis tus mob yuav tsum tau tiv thaiv (tes yuav tsum tau kho, cov khoom siv uas tsis huv thiab kev hnav khaub ncaws yuav tsum siv).
Kev kho mob ntawm trophic mob rau hauv ntu ntxuav
Nyob rau theem no, nws yog ib qhov tsim nyog los txuas ntxiv kev kho mob (vascular thiab trophic) thiab tswj cov piam thaj hauv cov ntshav.
Kev saib xyuas tshwj xeeb yuav tsum tau them nyiaj rau kev ntxuav qhov ncauj thiav txhab. Rau qhov no, lub npoo ntawm lub qhov txhab yuav tsum xub kho nrog cov tshuaj tiv thaiv kev quav cawv. Nyob hauv tsev, koj tuaj yeem siv dej cawv tincture ntawm calendula thiab salicylic cawv. Tom qab qhov no, lub qhov txhab raug ntxuav kom huv nrog 3% hydrogen peroxide tov.
Nws yuav pab tau zoo rau kev ua txhua hnub mus da dej hauv chav tsev nrog chav daws tsis muaj zog ntawm cov poov tshuaj permanganate. Lub sijhawm kho yog 20 feeb. Helium cov ris tsho hnav tau siv los ntxuav cov mob txhab ntawm quav hniav, uas txhim kho cov ntaub so ntswg trophic.
Lawv hloov pauv nrog kev hnav khaub ncaws nyob rau hauv ib qho chaw uas tso cai rau koj kom huv si thaj chaw ntawm lub qhov txhab. Kev hnav khaub ncaws hnav tau siv ob zaug rau ib hnub kom txog thaum lub qhov txhab raug ntxuav huv. Yog tias daim tawv nqaij ncig ntawm lub qhov txhab hloov liab, tom qab ntawd qhov no qhia qhov kev txhim kho ntawm cov txheej txheem mob. Nyob rau tib lub sijhawm, lub cev kub nce, qhov tsis muaj zog tshwm sim, hnov mob hauv taw.
Thaum muaj cov tsos mob no, nws yog ib qho tsim nyog los cog ntawm qhov txhab txhawm rau txhawm rau xaiv cov tshuaj tua kab mob uas cov kab mob pathological yuav nkag siab, thiab pib kho. Kev phais mob qee zaum yuav tsum tau qhib lub qhov txhab thiab kho nws ntau.
Kev kho mob ntawm qhov txhab trophic thaum kho kom zoo
Txhawm rau kho qhov ua kom mob rau qhov txhab trophic, nws yog qhov tseem ceeb heev uas yuav tsum tau siv tshuaj pleev thiab tshuaj kua uas yuav ua kom nrawm ntxiv rau txoj kev ua no thiab tswj cov khoom noj kom tsim nyog. Siv tshuaj pleev rau cov qhov txhab ntawm qhov txhab ntawm qhov txhab huv, thiab pleev rau ntawm qhov chaw ziab thiab cov qhov txhab zoo.
Raws li kev tsim cov pob txha ua kom mob tsuas yog siv tshuaj pleev nkaus xwb. Ntawm kev kho kom zoo nkauj, kev hnav ris tsho tuaj yeem nqa tawm tsis yog ib hnub ob zaug, tab sis ib zaug. Cov kev kho mob yuav tsum tau txuas ntxiv mus kom txog thaum qhov mob kho kom zoo tag nrho.
Tsis tas li, rau kev kho mob ntawm qhov mob thiav thiav ib qib twg, cov txheej txheem tsis siv tshuaj yaj yeeb yog siv:
- kev kho mob yoj;
- dej d,Arsonval;
- laser irradiation ntawm cov ntshav;
- kev kho qhov muag - kev siv leeches;
- kev kho mob ozone;
- ultraviolet irradiation ntawm cov ntshav.
Ib qho cuab yeej siv tau zoo uas ua rau cov nqaij mos ua kom rov ua dua tshiab thiab txhim kho lawv cov khoom noj khoom haus yog Solcoseryl. Nws yog siv nyob rau txhua theem ntawm kev kho pob txha mos. Cov tshuaj muaj pes tsawg leeg suav nrog kev suav tshuaj (rho tawm) los ntawm cov ntshav nyuj, ntxuav tawm ntawm cov protein tsawg.
Solcoseryl yog tsim nyob rau hauv helium thiab tshuaj pleev cov ntawv, yog li nws tsim nyog siv rau kev kho mob ntawm qhov txhab ntawm txhua theem ntawm kev txhim kho. Cov dej gel tau siv nyob rau theem ntawm kev tsim thiab ua kom huv, thiab tshuaj pleev - nyob rau theem ntawm kev kho mob ntawm qhov txhab.
Ob daim foos txhawm rau txhim kho cov khoom ntawm cov nqaij cuam tshuam nrog cov pa thiab lawv cov khoom noj khoom haus. Raws li qhov tshwm sim ntawm no, txoj kev ua kom rov qab rau hauv qab thiab phab ntsa ntawm lub rwj yog qhib kom ua tiav.
Cov xau ua rau kev tsim cov nqaij mos thiab txo qhov ua kom tsis muaj qhov ntsej muag, thiab ointment muab kev tiv thaiv ntxiv rau cov qhov txhab kom zoo rau lub sij hawm kho tus mob, txhawb qhov txheej txheem epithelization thiab txhawb nqa qhov tsim ntawm caws pliav nqaij.
Cov kua pleev yuav tsum tau siv rau hauv txheej nyias 2-3 zaug hauv ib hnub, tshuaj pleev yuav thov ib zaug lossis ob zaug ib hnub.
Kev tiv thaiv ntawm trophic rwj tsim nyob rau hauv ntshav qab zib
Cov kev tseem ceeb rau kev tiv thaiv tus mob no yog qhov ntxov tshaj plaws pom muaj ntshav qab zib mellitus (tshwj xeeb tshaj yog hom ob), nws txoj kev kho tau zoo thiab ua tiav ntawm cov ntshav qabzib nyob rau hauv cov ntshav.
Yog tias muaj qhov xav tau, tom qab ntawd koj yuav tsum ua raws li qee yam kev noj zaub mov, siv yeeb tshuaj kom txo cov piam thaj lossis ua rau cov tshuaj insulin.
Txij li thaum muaj tus kab mob ntshav qab zib angiopathy thiab mob polyneuropathy yog ib qho kev mob uas nquag muaj rau tus mob ntshav qab zib mellitus, nws yog ib qho tseem ceeb uas yuav tau pib lawv cov kev tiv thaiv kom ntxov li ntxov tau, thaum pib ntawm kev txhim kho kab mob. Ib qho ntxiv, cov neeg muaj ntshav qab zib yuav tsum ua raws li cov lus qhia no:
- hnav tshwj xeeb orthopedic (los yog tsawg kawg tsuas yog xis) khau tsim nyog rau lub caij;
- kuaj xyuas qhov xwm txheej ntawm lawv ko taw tas li, tiv thaiv qhov tshwm sim ntawm microtrauma, kab nrib pleb thiab abrasions;
- tsis txhob taug kev mus ntev thiab thauj khoom ntxiv rau ntawm ceg;
- tsis txhob thau lossis overcooling ntawm tus taw;
- Txawm hais tias muaj qhov mob me me ntawm ko taw, pib kho sai sai hauv kev saib xyuas mob.
