Txhawb cov ntshav qabzib muaj ntau yam kev cuam tshuam ntawm txhua hom metabolism, uas ua rau kev puas tsuaj rau kev txhim kho ntawm cov kev mob hnyav. Mob ceg hauv ntshav qab zib tshwm sim hauv ib feem peb ntawm cov neeg mob. Nws yog cov qis qis hauv cov neeg mob ntshav qab zib uas raug kev txom nyem ua ntej, txij li cov ntaub so ntswg uas muaj teeb meem nrog cov hlab ntsha feem ntau yog cov neeg tsis muaj mob zoo noj. Tsis tas li ntawd xwb, ob txhais ceg raug rau muaj hnyav thauj khoom txhua hnub, raug mob ntau dua li lwm qhov ntawm lub cev.
Txhawm rau kom txo qhov mob thiab tswj kom muaj peev xwm txav mus los ntawm tus kheej, kev kho mob yuav tsum tau pib ntawm thawj lub cim ntawm kev cuam tshuam ntawm ntshav qab zib ntawm ko taw. Yog tias koj pib kis mob, kev hloov ntshav qab zib hauv qhov qis qis tuaj yeem ua rau mob qog, mob pob qij txha ntiv tes lossis taw.
Vim li cas tus neeg mob ntshav qab zib mob ob txhais ceg - Vim li cas
Kev tsis kaj siab nyob rau hauv ob txhais ceg muaj ntshav qab zib tuaj yeem tshwm sim los ntawm cov teeb meem hauv qab no ntawm tus kab mob tsis tuaj yeem:
- Mob ntsws caj dab - pathology ntawm lub vascular network. Raws li cov kev mob tshwm sim, atherosclerosis maj mam pib, cov ntshav txhaws, cov hlab ntsha loj poob lawv qhov kev ua haujlwm, cov hlab ntsha me me ua kom tiav, tawm hauv cov ntaub so ntswg thiab cov nqaij mos tsis muaj zaub mov noj thiab oxygen. Starving cov ntaub so ntswg maj atrophy, txoj kev no yog nrog los ntawm o. Muaj mob, qhov leeg tsis muaj zog txhua lub sijhawm, o tshwm sim, ceg sai sai txawm tias yuav nkees txawm li cas los xij cov khoom qub. Qhov mob thiab o yog tshaj tawm nyob rau yav tsaus ntuj, tom qab ib hnub ua haujlwm - ntxiv txog tus kabmob.
- Neuropathy sawv cev pathological kev hloov pauv ntawm cov hlab ntsha hauv ntshav qab zib mellitus. Ntawm ib sab tes, cov kab mob tawg tau pov tseg, thiab daim tawv nqaij poob nws cov rhiab. Raws li qhov tshwm sim, tawv nqaij ntawm tus taw yuav tsis hnov mob los ntawm kev raug mob me, kev kub, qhov siab dua ntawm kev raug mob rau ntawm txhais taw nce ntxiv. Ntawm qhov tod tes, cov hlab ntsha loj tau raug puas ntsoog, thiab cov txheej txheem ntawm kev xa cov ntaub ntawv mus thiab los ntawm lub hlwb raug cuam tshuam. Vim tias qhov no, kev tsis txaus ntawm cov tshuaj tiv thaiv kev paub dhau los: qhov khaus khaus, loog ntawm ko taw, kev mob caj dab tsis tu tsis tu ncua ntawm lwm qhov chaw hauv ib cheeb tsam. Nrog rau cov ntshav qab zib mob neuropathy, ob txhais ceg raug mob feem ntau thaum hmo ntuj, ua rau pw tsaug zog ntxhov siab thiab zoo nkaus li qaug zog tas li. Nrog rau kev puas tsuaj heev ntawm cov hlab ntsha, qhov mob tuaj yeem ua rau muaj zog heev, tsis muab lub neej zoo. Qee qhov xwm txheej, nws tsuas yog muab tshem tawm nrog opioid analgesics - cim thiab kho neuropathy.
- Arthropathy - kev ua txhaum nyob rau hauv pob txha mos ntawm ob txhais ceg. Vim tias qhov cuam tshuam ntawm cov metabolism hauv cov protein thiab qhov mob tsis tu ncua uas ua rau mob angiopathy, cov pob qij txha ib nrab poob lawv qhov kev mus ncig, o, thiab deform. Mob caj dab nrog mob caj pas yog qhov zoo tshaj plaws thaum taug kev, tshwj xeeb tshaj yog thaum pib ntawm lub txav. Cov teeb meem feem ntau pom muaj nyob hauv cov poj niam uas muaj ntshav qab zib hom 1 ntawm lub hnub nyoog yau.
- Mob taw ntawm ko taw mob nrog rau cov ntshav qab zib, lawv tshwm sim ntau dua li ib txwm muaj thiab nyuaj rau kev kho mob, vim tias cov piam thaj ntau dhau yog qhov ua tau zoo rau lub cev ua rau cov hu ua fungi. Mycoses ua rau ntau dhau thiab ua kom tawv nqaij tawg. Hauv thaj chaw puas, kab mob tshwm sim, o thiab tshwm sim tshwm sim. Feem ntau, cov ntiv taw loj thiab thaj chaw nruab nrab ntawm cov ntiv taw raug puas tsuaj.
- Caj pas mob ntshav qab zib kuj tuaj yeem ua lub hauv paus ntawm kev mob hnyav. Lawv qhov ua rau yog tso zis nce ntxiv, cov yam ntxwv ntawm tus mob ntshav qab zib nrog cov kua nplaum tas li. Nrog zis, electrolytes, kab kawm, thiab vitamins raug tshem tawm ntawm lub cev. Feem ntau, qhov mob zoo li hauv txhais taw yog hnov thaum sawv ntxov. Tom qab cramp, nqaij leeg tseem mob ib pliag, thiab hnov loog.
Vim tias qhov laj thawj ntawm txhua qhov kev hloov pauv no zoo ib yam - cov piam thaj hauv siab, ib tus neeg mob ntshav qab zib tsis muaj kev kho mob tom qab ob peb xyoos tau txais ntau txoj kev nyuaj hauv qhov qis qis, txhua tus ua rau mob mob. Pathologies ntawm cov ceg nqaij vim mob ntshav qab zib tau txais lub npe zoo - mob ntshav qab zib mob ko taw.
Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los
- Li qub ntawm qab zib -95%
- Kev tshem tawm ntawm cov hlab ntsha thrombosis - 70%
- Ntaus tau ntawm lub plawv dhia muaj zog -90%
- Kev tshem tawm ntshav siab - 92%
- Qhov nce hauv lub zog nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj -97%
Dab tsi theem ntawm cov teeb meem tuaj yeem pom
| Cov theem | Mob ntsws caj dab | Neuropathy | Arthropathy |
| 1. Cov Subclinical. Kuj tseem tsis muaj kev yws yws, tab sis kev hloov pauv tuaj yeem lees paub hauv kev kuaj mob. | Txias ntawm daim tawv nqaij ntawm cov ntiv tes, plam taw. Qhov mob tsuas yog tshwm sim tom qab qoj ib ce. Ntawm ultrasound, atherosclerotic hloov hauv cov hlab ntsha pom. Cov mem tes nyob rau ntawm cov hlab ntsha ntawm ob txhais ceg tau zoo hnov. | Kho mob nyob hauv tus taw, loog, los sis tingling mob tej zaum yuav hnov. Tawm hws ntawm txhais ceg nce lossis qis dua. Txoj kev soj ntsuam neurological qhia txog kev txo qhov mob siab ntsws. | Cov pob txha nrawm feem ntau muaj kev txhawj xeeb, qhov mob tsis tuaj los yog mob me. Edema ua tau, feem ntau nyob ib puag ncig cov ntiv taw. Siv ultrasound osteometry, koj tuaj yeem txheeb xyuas qhov pib hloov ntawm pob qij txha. |
| 2. Ntsaws kab mob. Qhov ntev tshaj plaws - los ntawm qhov pib ntawm cov tsos mob mus rau mob hnyav. | Mob caj dab, ntu tshwm sim tshwm sim, thaj chaw ntawm qhov mob o tau pom kev pom, tus taw yuav o tuaj. Nrog macroangiopathy, cov mem tes tsis muaj zog. | Hlawv, loog rau ntau qhov chaw ntawm lub cev, feem ntau hauv ob txhais ceg. Koj yuav tsum muab kev siv zog ntau dua thaum taug kev, yav dhau los sib paub thauj khoom zoo li tsis muaj kev sib zam. | Kev sib koom ua ke, pib nrog me me, kab mob me me ntawm pob txha ntawm ko taw, ntiv taw mob. Lub koov ntawm ko taw yog pluav, cov duab ntawm txhais ceg hloov. Ntawm kev xoo hluav taws xob pom qhov chaw ntawm cov pob txha thiab pob txha duab tsis zoo. |
| 3. Cov theem muaj teeb meem. Cov pauv hloov tag nrho cov ntaub. | Mob ceg tau ua mus tas li. Cov tawv nqaij me tshaj plaws ua rau qhov tsim ntawm ntev kho trophic mob rau sab hauv nrog ntau cov ntsiab lus purulent. Muaj cov cim ntawm intoxication. Yog tias tsis kho, kev mob qog ntshav tawm. Cov mem tes hauv txoj kev nqua yog tsis txiav txim siab. Kev ywj pheej ntawm tus neeg mob uas muaj ntshav qab zib yog qhov nyuaj. | ||
Kev kuaj mob ntawm tus taw hauv cov neeg mob ntshav qab zib - Kev kuaj mob qhov mob
Yog tias mob ceg tau tshwm sim, koj yuav tsum mus ntsib "tus mob ko taw mob ko taw" uas cov kws kuaj mob endocrinologist thiab cov kws phais neeg tau txais. Txheeb xyuas qhov ua rau ntawm qhov mob, yuav muaj kev tshuaj xyuas txhua yam, uas suav nrog:
- kuaj xyuas qhov mob rau cov mob txhab thiab lwm yam pauv ntshav qab zib ntawm daim tawv nqaij;
- palpation los txiav txim siab qhov muaj thiab puv ntawm cov mem tes hauv cov hlab ntsha ntawm ob txhais ceg;
- qhov kev ntsuam xyuas rhiab ntawm taw;
- kuaj xyuas qhov tseeb ntawm cov hlab hlwb;
- Ultrasound ntawm cov hlab ntsha ntawm ob txhais ceg txhawm rau ntsuas lub xeev ntawm cov ntshav khiav thiab txheeb xyuas cov hlab ntsha txhaws;
- transcutaneous oximetry - kev txiav txim siab ntawm qhov degree ntawm oxygen oxygen saturation ntawm ceg cov leeg;
- electroneuromyography txhawm rau ntsuas kev ua haujlwm ntawm lub paj hlwb peripheral;
- Xoo hluav taws xob taw ntawm taw txhawm rau txhawm rau txha pob txha.
Muaj tus mob ntshav qab zib hom 1 ntau tshaj 5 xyoos, kev mus ntsib rau cov chaw ua haujlwm no yuav tsum tau nyob rau txhua xyoo, txawm tias tsis muaj mob ntawm txhais ceg. Yog tias muaj mob hom 2, nws yog qhov yuav tsum tau mus kuaj txhua xyoo los ntawm lub sijhawm kuaj ntshav qab zib.
Yuav kho cov mob ko taw li cas
Thaum cov neeg mob ntshav qab zib muaj mob mob nyob rau ntawm lawv txhais ceg, chav kawm ntawm kev kho mob tsawg kawg yog rau lub hlis. Ntawd yog yam uas lub cev xav tau txhawm rau kom qhov mob o tag nrho, lub network ntawm cov hlab ntsha thiab cov hlab ntsha rov qab los. Txhua lub sijhawm no, glycemia yuav tsum yog qhov ib txwm muaj, txwv tsis pub kev kho yuav tsis muab ib qho tshwm sim.
Tshuaj kho mob nkeeg
Cov lus qhia ntawm kev kho mob:
- Them rau ntshav qab zib - tshem tawm qhov ua rau mob. Cov tshuaj uas tsis muaj piam thaj yog xaiv rau cov neeg mob uas muaj ntshav qab zib hom 2, cov nyiaj uas tau los ntawm carbohydrates yog xam. Rau hom mob 1, kev noj cov tshuaj ntawm basal insulin hloov pauv. Hauv txhua kis, yuav tsum kawm ntawv txog ntshav qab zib.
- Replenishment qhov tsis muaj vitamins. Tshwj xeeb cov vitamins-ntxhia complexes rau cov neeg mob ntshav qab zib lossis cov vitamins B hauv kev siv tshuaj kho yog kho.
- Txo hauv cov ntshav coagulability thiab nws cov ntom ntaws - ascorbic acid, warfarin sodium, sodium heparin.
- Kev kho cov roj hauv cov ntshav - statins: atorvastatin, cerivastatin, rosuvastatin.
- Ntaus tawm tsam dawb radicals - tshuaj tua kab mob: ascorbic lossis thioctic acid.
- Kev tshem tawm ntawm qhov mob - cov kev kho mob hauv zos nrog capsaicin, analgesics.
- Kev kho mob ntawm daim tawv nqaij - tshuaj tua kab mob, tshuaj tua kab mob.
- Tshem tawm o - tshuaj tiv thaiv. Lawv kuj pab tau los ntawm txhua hom mob, tshwj tsis yog neuropathic.
Tsuas yog tus kws kho mob tuaj yeem xaiv txoj kev kho kom yog tom qab kev soj ntsuam tag nrho, suav nrog qhov txheeb xyuas qhov ua rau mob.
Kev dhia paj paws thiab kev tawm dag zog
Yog tias koj ob txhais ceg raug mob vim muaj kev puas tsuaj rau vascular, kev tawm dag zog yooj yim yuav muaj txiaj ntsig zoo rau kev txhim kho cov ntshav ncig mus rau cov neeg mob ntshav qab zib. Txhua yam kev tawm dag zog tau ua txhua hnub, txhua 10 zaug.
- Pib txoj haujlwm - zaum saum lub rooj zaum. Khoov, tom qab ntawd ncaj ntiv taw.
- Peb tsa tawm hauv pem teb hauv lem, ces pob taws, tom qab ntawd cov ntiv taw.
- So rau hauv pem teb nrog tus ntiv taw, piav qhia qhov ncig ntawm pob taws. Thiab sab nraud - pob taws rau hauv av, ntiv tes kos lub voj voog.
- Rub tus taw rau koj kom ua kom nruj plab hlaub, tom qab ntawv tig.
- Tso cov ntawv xov xwm rau hauv av. Crumple nws ob txhais taw, yob rau hauv ib pob. Tom qab ntawd ncaj, sim rhuav kom sib nrug.
- I.P. sawv. Txav ob txhais tes rau ntawm phab ntsa, yob los ntawm pob taws mus ntiv taw thiab hloov ua lwm yam.
- Tsa ntawm thom khwm.
- I.P. dag rau koj nraub qaum. Tsa ceg ncaj ncaj, piav cov voj voog nrog ko taw.
Kev pab cuam phais mob
Yog tias qhov txhaws ntawm cov hlab ntsha loj los ua qhov mob ntawm txhais ceg, angioplasty tau ua. Nov yog kev phais mob hauv qhov chaw uas lub stent hauv daim hlau mesh yog nruab rau sab hauv cov leeg ntawm qhov chaw nqaim. Angioplasty pab ua kom ntshav ntws rov qab thiab tswj cov leeg ntshav. Yog tias qhov chaw nqaim ntev dhau, shunting siv - tsim txoj hauv kev tshiab rau cov ntshav los ntawm cov leeg ntawm cov leeg los yog cov khoom siv hluavtaws.
Yog tias muaj kev puas tsuaj rau cov hlab ntsha thiab cov hlab ntsha hauv ntshav qab zib mellitus tau ua rau kev tsim cov qhov txhab nrog thaj chaw ntawm necrosis, kev kho mob phais yog ua ua ntej kev kho mob: tag nrho cov ntaub so ntswg thiab pus tau raug tshem tawm. Lub qhov txhab ntxuav pom zoo dua yuav kho tau thiab kho sai dua.
Yog tias qhov mob hauv ceg yog tshwm sim los ntawm kev ua haujlwm sab hauv ko taw, nws tau qhib, rinsed nrog cov tshuaj tua kab mob, thiab tso dej tawm los.
Lwm txoj kev kho mob
Ua ke nrog txoj kev ib txwm kho ntawm qhov mob, lwm txoj kev xaiv kuj tseem siv tau. Ib qho txuas ntawm cov paj noob hlis nplooj yuav pab tshem cov hlab ntsha hauv ntshav qab zib. Lawv tau sau cov tub ntxhais hluas, qhuav, hauv av rau hauv cov hmoov, thiab tom qab ntawd ntxiv rau tshuaj yej thaum nws yog brewed - ½ teaspoon ntawm hmoov ib khob haus.
Sunflower nplooj tseem yuav pab nyob rau hauv kev sib ntaus tawm tsam neuropathy. Koj tuaj yeem txo qhov mob los ntawm kev puas tsuaj nrog cov kab xaum: ib lub hnab ntim paj rwb yog ntim nrog nplooj, steamed hauv ob chav npau npau lossis hauv lub colander hla cov dej npau, txias me ntsis thiab thov rau ko taw kom txog thaum nws txias kiag li.
Txhawm rau tshem tawm qhov o, uas nyob rau hauv cov ntshav qab zib feem ntau ua ke nrog o ntawm cov nqaij ntawm ob txhais ceg, koj tuaj yeem siv lub decoction ntawm flaxseed. Ob dia ntawm noob yog muab tso rau hauv ib lub thermos, ncuav ib nrab ib liter ntawm dej npau npau thiab hais txog li 3 teev. Broth haus 100 g peb zaug ib hnub twg.
Cov lus xaus
Ntawm cov ntshav qab zib, mob ceg tuaj yeem ua rau kev puas tsuaj rau cov hlab ntsha, cov hlab ntsha thiab pob qij txha, kab mob fungal thiab kab mob, thiab tsis muaj kab tsis zoo. Txawm hais tias muaj ntau qhov kev mob tshwm sim, qhov ua rau mob yog ib qho - cov ntshav qab zib, yog li, kev kho kom zoo yog tsis tuaj yeem tsis muaj kev kho kom zoo rau cov ntshav qab zib.
Kuv yuav ua li cas yog tias kuv ob txhais ceg mob ntshav qab zib:
- Mus ntsib tus kws endocrinologist kom hloov tus mob ntshav qab zib ua ntej.
- Kuaj ib qho kev soj ntsuam hauv chaw ua haujlwm ntawm kws kho paj hlwb txhawm rau txhawm rau txheeb xyuas cov hlab ntsha.
- Sab laj vascular tus kws phais yuav ntsuam xyuas lub luag haujlwm vascular.
Tsuas yog txoj kev sib koom ua ke no yuav pab tau kom tshem tawm cov kev mob siab thiab tiv thaiv lawv qhov tshwm sim yav tom ntej.
