Kev ko taw mob taw yog hais txog kev puas tsuaj rau ntawm daim tawv nqaij, cov hlab ntsha loj thiab cov me me, cov leeg xaus ntawm lub cev, cov pob txha pob txha, thiab cov leeg leeg. Yog vim li cas rau qhov kev tshwm sim pathological no cuam tshuam nrog kev cuam tshuam nrog cov co toxins thaum muaj kev nce siab ntxiv cov ntshav qab zib hauv cov ntshav, ib qho kev nce ntxiv uas tshwm sim vim qhov kev ua txhaum ntawm nws cov kev cai los ntawm cov tshuaj insulin uas tsim nyob rau hauv lub txiav.
Vim li cas tus mob thiaj txhim kho?
Kev mob ntshav qab zib yog ib qho kev mob uas ua rau cov ntshav qab zib mellitus, thaum lub sijhawm nce ntxiv ntawm cov ntshav qabzib feem ntau cuam tshuam rau cov hlab ntsha loj thiab cov hlab ntsha me me, cov hlab ntsha hauv plab, pob txha thiab cov leeg.
Raws li qhov tshwm sim, nrog tus kab mob zoo li no, kev puas tsuaj rau ntau yam kabmob thiab cov kab ke. Tsis tas li ntawd, muaj kev tsis zoo hauv cov ntshav rau cov ceg, tshwj xeeb tshaj yog cov qij taws thiab taw, vim tias lawv nyob deb ntawm lub siab.
Thaum lub sijhawm ntev dhau los ntawm cov piam thaj ntau ntxiv ntawm cov leeg ntshav ntawm ob txhais ceg, cov ntshav qab zib hom mob neuropathy tau txhim kho, uas ua rau txo qis mob hauv qhov mob, thaum mob tawv nqaij me me ntawm ko taw tsis hnov mob los ntawm cov neeg mob thiab tsis zoo. Tsis tas li ntawd, txhais taw tau nyhav heev thaum taug kev, uas tiv thaiv kom rov qab nrawm dua, thiab tus kab mob ntshav qab zib taw tseem ua haujlwm ntxiv.
Hom Mob
Cov ntawv uas mob ko taw:
- Neuropathic - kev puas tsuaj rau cov hlab ntaws.
- Ischemic - ntshav ntws tau ntxhov.
- Sib xyaw - cov paib ntawm ob daim neuropathic thiab ischemic yog ua kom pom.
Mob taw ntawm tus mob ko taw ua rau mob hauv taw, thaum so ntawm qhov mob yuav muaj zog, thiab thaum tsiv nws yog qaug zog. Lwm qhov kev qhia ntawm qhov txawv txav ntawm cov nqaij mos ntawm cov hlab ntaws kuj tau pom - qhov hnov hnov mob, loog loog, caj dab ntawm ko taw.
Nrog cov nqaij mos sib sib zog nqus uas tshwm sim vim kev ncig tsis zoo, mob rau sab hauv tshwm sim, lawv kho tsis zoo, thiab ntxiv rau cov mob sib kis, mob tob tob.
Cov cim qhia ntawm tus mob
Mob ko taw mob ko taw, uas ua rau muaj kev pheej hmoo ntawm kev hloov loj, tseem hu ua "teeb meem ko taw me me". Txawm hais tias qhov tseeb tias lawv tsis koom nrog kev ua txhaum loj, txawm li ntawd los, lawv yuav tsum tsis txhob raug kho nyob rau hauv ib qho xwm txheej twg, vim tias lawv tuaj yeem ua rau mob hnyav, uas suav nrog:
Tus ntsia thawv xim tsaus nti vim hemorrhage hauv qab tus ntsia hlau vim nias nruj khau, zoo li hauv duab. Qhov no tuaj yeem ua rau cov txheej txheem purulent yog cov hemorrhage tsis daws nws tus kheej. Tom qab ntawd koj yuav tsum tsis txhob hnav cov khau uas ua rau hemorrhage. Yog tias suppuration tau tshwm sim, ces tus kws kho mob yuav tsum tau mus ntsib.
Fungi ntawm cov ntsia hlau - cov ntsia hlau tuab, hloov xim, dhau los ua opaque. Xws li tus ntsia hlau tuaj yeem tsim kev kub siab rau tus ntiv tes uas nyob hauv thaj chaw ze, lossis, vim lub siab ntawm cov khau, txheej txheem purulent yuav tshwm sim nyob hauv qab tus ntsia hlau thiab tus mob ko taw yuav pib tsim. Nws yog ib qho tsim nyog kom mus ntsib kws kho mob tawv nqaij, uas hauv chav kuaj mob siv tshuaj txhuam yuav kuaj thiab txiav txim siab kev kho mob.
Corns, pob kws - hemorrhage, nrog rau cov txheej txheem purulent, tuaj yeem tshwm sim feem ntau ntawm no. Cov pob kws yuav tsum tau muab tshem tawm nrog pumice, tab sis tsis txhob txhom nws hauv dej kub, tsis txhob siv cov plasters thiab tsis muag. Cov khau yuav tsum tau hloov, orthopedist pab hauv kev xaiv orthopedic insoles, qhov no yog li cas cov mob ntshav qab zib taw manifests nws tus kheej.
Kev puas tsuaj rau daim tawv nqaij thaum ntsia thawv txiav - tshwm sim vim qhov txo qis qhov mob, qhov mob ko taw txo qis qhov kev xav, thiab nws qee zaum nyuaj rau tus neeg rog dhau los lossis pom kev rau nws cov rau tes. Kev mob rwj hauv thaj tsam ntawm kev puas tsuaj. Qhov kev txiav yuav tsum tau kho nrog cov tshuaj tua kab mob ua kom haum thiab mob nrog cov ntaub qhwv tsis huv. Koj yuav tsum sim txiav koj cov rau tes kom yog - tsis txhob txiav lawv mus rau lub hauv paus heev, tawm mus 1 hli. Yog tias koj qhov muag pom kev tsis zoo, nws yog qhov zoo dua rau kev pabcuam ntawm cov neeg hlub.
Tawg rau ntawm pob taws - tshwm sim thaum taug kev liab qab lossis hauv khau, qhov twg pob taws qhib, nrog daim tawv qhuav. Mob taw taw ua rau muaj kev txhawb nqa sai ntawm cov kab nrib pleb, lawv tuaj yeem dhau los ua kab mob ntshav qab zib. Cov tawv nqaij qhuav rau ntawm pob taws yog kho nrog tshuaj pleev thiab cov tshuaj pleev uas muaj urea (Callusan, Diacrem, Balzamed, Heel-cream, thiab lwm yam). Tsis tas li, pumice yuav tsum siv rau cov luj taws; nws raug nquahu kom coj khau nrog lub pob taws kaw. Nyob rau hauv qhov xwm txheej uas cov kab nrib pleb sib sib zog nqus, pib los ntshav - nws yog qhov yuav tsum tau siv cov kev pabcuam ntawm nruab nrab ntawm tus mob ntshav qab zib ko taw.
Cov pwm nyob ntawm ko taw - dhau los ua qhov txhim kho ntawm cov theem ntawm kev puas ntsoog ib txhij nrog tev thiab dryness ntawm daim tawv nqaij ntawm ko taw. D taw kev mob ntshav qab zib ua rau kev tsim cov kab nrib pleb uas tig mus ua kab mob ntshav qab zib. Ib yam li ntsia thawv pwm, yuav tsum tau kev sab laj txog tus kws kho mob nqaij daim tawv.
Deformation ntawm ko taw - nce pob txha ntawm tus ntiv tes xoo (thaum tus ntiv tes khoov rau thaj tsam ntawm kev sib koom ua ke thawj zaug) - ua rau muaj qhov pom ntawm caj dab ntawm ntu uas tiv thaiv. Tom qab ntawd koj yuav tsum tau tuaj tos thiab hnav cov khau orthopedic, insoles kom tshem tawm qhov siab ntawm thaj chaw raug mob ntawm ko taw, yog li theem no tsis loj tuaj.
Mob tob tob ntawm taw ntawm cov ntshav qab zib yog qhov tshwm sim ntau tshaj plaws ntawm daim ntawv ntawm tus mob. Nws tshwm sim yog tias tus mob anaerobic tau tshwm sim hauv cov kev mob hauv lub plab thiab txhais ceg qis. Cov txheej txheem no nrawm heev thiab feem ntau tuaj yeem ua rau muaj kev rau txim loj, txawm tias muaj kev tuag. Niaj hnub no, txiav tes taw yog ib txoj hauv kev tseem ceeb ntawm kev kho mob rau theem ua laib. Ib qho ntxiv, cov tshuaj tua kab mob thiab pov tseg rau kev qaug cawv yog siv. Vim li no, nws yog ib qho tseem ceeb heev kom pib kho tus mob rau lub sijhawm.
Yuav tu cov mob taw li cas?
Nws yog qhov yuav tsum tau mus ntsib kws tshaj lij ntawm lub pob txha me. Ib qho kev ua mob me tuaj yeem ua rau mob hnyav, thiab kev kho mob ntawm tus mob ko taw yuav nyuaj.
Kev ntxuav ko taw yog nqa tawm txhua hnub hauv tsev, maj mam muab so tsis tas txhuam. Nco ntsoov qhov khoob ntawm cov ntiv tes - lawv kuj yuav tsum tau ntxhua kom huv thiab ziab, qhov no yuav pab kom tsis txhob ua teeb meem xws li mob ntshav qab zib polyneuropathy ntawm qhov qis qis ...
Ua kev soj ntsuam ko taw txhua hnub txhawm rau txhawm rau txheeb xyuas kev raug mob, txiav, tawg, hlwv, thiab lwm yam kev raug mob uas tuaj yeem ua rau kis kab mob. Kev tshuaj xyuas lub ko taw tuaj yeem nqa tau los ntawm kev siv tsom iav. Yog tias tus neeg mob lub qhov muag tsis pom kev zoo, nws yuav tsum yog tus neeg pab nws tsev neeg xav tau kev pab.
Txhua txhua hnub koj yuav tsum tshuaj xyuas cov khau kom tsis txhob txhav thiab corns, qhov ua rau uas yuav tau txais mus rau hauv cov khau ntawm cov khoom txawv teb chaws, muaj cov kab uas nkag tau sab hauv, puas txheej.
Txhua txhua hnub koj yuav tsum tau hloov cov thom khwm, uas yuav tsum yog qhov loj me me, tsis muaj qhov nruj ywj. Nws tsis pom zoo los hnav cov thom khwm wired, txhua qhov haujlwm no tuaj yeem nqa tawm tom tsev.
Sim ua kom nkawm khau xis, xis zaum ntawm ko taw. Tsis txhob yuav cov khau uas yuav tsum tau tshaj xo. Yog tias muaj qhov loj deformation ntawm ob txhais taw, koj yuav tsum siv cov khau orthopedic tshwj xeeb. Tsis txhob rau khau khau ntawm ko taw liab qab. Tsis tas yuav tsum rau khau khiab qhov chaw ntawm txoj siv sia nyob ntawm tus ntiv taw. Nws yog txwv tsis pub taug kev tsis muaj khau rau ntawm cov xuab zeb kub, av, thiab lwm yam.
Thaum raug mob, kho kab mob ko taw tsis pom zoo siv dej cawv, iodine, ci ntsa iab ntsuab, poov tshuaj permanganate, raws li lawv muaj cov neeg ua haujlwm tanning. Nws raug nquahu los kho kev puas tsuaj nrog cov tshuaj tshwj xeeb - chlorhexidine, miramistin, dioxidine lossis hydrogen peroxide hauv kev daws 3 feem pua, daim ntaub qhwv yuav tsum siv.
Ceevfaj ntawm kev raug mob tawv nqaij. Nws yog txwv tsis pub siv cov tshuaj uas pab txo cov pob kws, koj tsis tas yuav tshem cov pob kws nrog rab chais, tawv taub hau thiab lwm yam khoom siv txiav. Nws raug nquahu kom siv pumice lossis cov ntsia hlau.
Nws yog qhov tsim nyog los txiav cov ntsia hlau rau hauv txoj kab ncaj nraim, koj tsis tuaj yeem puag ncig cov fab. Thaum muab cov ntsia hlau, koj tsis tas yuav txiav nws, tab sis theej nws. Nrog kev pom tsis zoo, tus neeg mob yuav tsum thov kev pab ntawm ib tus neeg ze.
Thaum cov tawv nqaij ntawm ob txhais ceg yog nquag kom qhuav, koj yuav tsum niaj hnub thov cov roj qab zib rau nws, uas suav nrog txiv duaj, hiav txwv buckthorn roj, zam qhov kev ncua deb ntawm tus ntiv tes. Nws raug tso cai siv cov cream uas suav nrog urea (Callusan, Balzamed, thiab lwm tus).
Nws yog ib qho tsim nyog kom txiav luam yeeb, vim tias qhov kev sib ntxiv ua rau muaj kev pheej hmoo ntawm laib los ntawm 2,5 zaug.
Dab tsi yuav tsum yog khau muaj ntshav taw?
Txog kev tiv thaiv, cov khau orthopedic xav tau rau cov neeg mob ntshav qab zib mellitus uas muaj lub cev tsis meej. Cov khau uas xaiv tau zoo tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim cov ntshav qab zib taw 3 zaug.
Qee qhov tshwj xeeb ntawm nkawm khau uas haum rau cov neeg mob ntshav qab zib:
- Nkawm khau tsis muaj nqaws los yog nrog lawv qhov tsawg tshaj plaws.
- Cov khau tsis sib nqaim yog li lawv qhov dav tsis tsawg tshaj li qhov dav ntawm ib leeg.
- Qhov ntim ntawm cov khau yog kho siv Velcro lossis lacing.
- Ib qho ntawm txoj hlua khau yuav tsum txhav txhav, muaj dov.
- Cov khoom siv ntawm cov khau, ob qho tib si sab qaum thiab hauv ob sab phlu, yoog raws.
- Nws yog qhov tsim nyog tias cov khau yuav ua hluav taws xob, thiab ib qho orthopedic insole tso rau hauv nws.
- Sab xub ntiag ntawm pob taws muaj bevel.
- Tus txig yuav tsum tau muag muag thiab yam tsawg 1 cm tuab.
- Yog tias muaj lub cev tsis meej ntawm ko taw, ces nws yog qhov tsim nyog los ua insoles ntawm tus kheej txiav plaub hau, uas tuaj yeem hnav los ntawm rau lub hlis mus rau ib xyoos.
Thaum yuav khoom thiab hnav khau, yuav tsum ua raws li cov lus hauv qab no:
- Nkawm khau yuav tsum tau yuav thaum yav tav su, thaum o ntawm ceg yuav pom tau, thiab qhov loj me ntawm cov khau yog txiav txim siab nrog qhov tseeb.
- Cov khau yuav tsum muag muag, xis, dav, zaum txig ntawm taw, ua ntawm cov khoom siv ntuj, thiaj li tsis xav ua kom tsis xis nyob thaum muab tso. Nkawm khau yuav tsum tsis txhob txeem ko taw.
- Yog tias qhov mob ko taw tsawg dua, nws raug nquahu kom siv cov qauv ko taw thaum haum (koj yuav tsum tso koj txhais taw rau ntawm ib daim ntawv, khij lub ko taw thiab txiav tawm lub voj voog kos duab). Cov insole no tso rau hauv khau - yog tias nws khoov rau ntawm cov npoo, nws txhais tau hais tias cov khau yuav nias, corns thiab chafing yuav tshwm sim.
- Lub lacing yuav tsum yog - tsis hla lub laces, tab sis nkag rau hauv kab.
- Tsis rau khau los uas tsis muaj thom khwm.
Mob ntshav qab zib kho ko taw
Qhov tsim nyog tshaj plaws yog kev pab ntawm cov kws phais neeg hauv ib lub chaw tshwj xeeb rau cov neeg mob ntshav qab zib. Cov chaw no lossis cov chaw lis haujlwm muaj nyob rau ntau lub tsev kho mob loj. Yog tias koj tsis tuaj yeem mus rau hauv chaw ua haujlwm ntawm tus mob ko taw, tom qab ntawd koj yuav tsum sab laj nrog tus kws kho mob lossis kws phais mob.
Tsuas yog nyob rau lub sijhawm los ntawm tig mus rau kws kho mob rau kev pab, koj tuaj yeem zam qhov kev txhim kho ntawm cov ntaub ntawv nyuaj thiab cov kev mob hnyav ntawm ntshav qab zib mellitus, uas ua rau cov ntshav qab zib taw, kev kho mob yuav tsum tau nqa tawm tsuas yog kws kho mob, thiab tom qab ntawd angiopathy ntawm qis qis tuaj yeem ua rau qeeb.
Cov kws kho mob tshwj xeeb yuav tsum tau tiv tauj tam sim thaum kuaj thawj zaug tias muaj kev puas tsuaj rau daim tawv nqaij ntawm tus xib taws. Thaum lub sij hawm kho cov mob ntshav qab zib ko taw, cov tshuaj tiv thaiv kab mob tau siv uas tsis muaj kev ua kom tawv nqaij, xws li dioxidine, chlorhexidine thiab lwm yam.
Iodine, haus dej cawv, greenback, poov tshuaj permanganate yog txwv tsis pub, txij li lawv tuaj yeem cuam tshuam kho kom zoo ntawm ob txhais ceg vim yog lub cev tawv nqaij. Nws yog ib qho tseem ceeb kom siv cov hnav tsoos tsho tshiab uas tsis lo rau lub qhov txhab, uas paub qhov txawv ntawm cov ntaub nyias nyias.
Kev kho mob ntawm lub qhov txhab yuav tsum tau nqa tawm ntawm txoj kev ua haujlwm, tshem cov nqaij tuag. Cov txheej txheem no yuav tsum tau nqa tawm los ntawm tus kws kho mob nrog ua ntu zus li ntawm 3 txog 15 hnub. Nws yog ib qho tsim nyog los tiv thaiv lub qhov txhab los ntawm kev ntxhov siab thaum taug kev. Txhawm rau ua qhov no, siv cov khoom tshwj xeeb - tsis siv khau tiv thaiv, khau raj ib nrab.
Yog hais tias qhov ua kom mob rau qhov txhab lossis tsis xws luag yog nyob rau hauv cov ntshav ncig tsis zoo, ces txoj kev kho hauv zos yuav ua haujlwm tsis muaj zog yog tias tsis rov ua dua li qub. Rau lub hom phiaj no, kev ua haujlwm ntawm cov hlab ntsha yog ua tiav (zais pa angioplasty, bypass phais tau ua).
