Mob raum tsis zoo qabzib thiab insulin cov tshuaj hormones tsis txaus rau cov neeg mob ua rau muaj ntau yam teeb meem. Kab mob ntawm ob txhais ceg nrog ntshav qab zib muaj mob ntau zaus. Lub luag haujlwm ntawm tus kws kho mob thiab tus neeg mob yog los txo qis kev pheej hmoo ntawm cov kab mob pathologies, vim tias tus neeg laus dua, muaj ntau qhov kev puas tsuaj rau cov qis qis.
Vim li cas Hom 1 thiab Hom 2 Ntshav Qab Zib muaj cov teeb meem ceg
Txij li thaum ntshav qab zib muab cov nyom rau cov ceg, kev kho mob yog qhov tsim nyog, txwv tsis pub lub txim yuav yog qhov kev mob siab tshaj plaws (txog kev txiav tawm). Mob ntshav qab zib yog txaus ntshai heev rau lub cev. Cov kua nplaum nyob rau hauv ib txwm mloog muab lub zog thiab txhim kho cov haujlwm tseem ceeb ntawm cov plab hnyuv siab raum thiab lub cev, tab sis nyob rau hauv cov ntshav qab zib, nws, ntawm qhov tsis sib xws, siv lub zog, rhuav tshem cov vascular thiab cov hlab ntsha.
Ob txhais ceg nyob deb ntawm lub siab, yog li lawv feem ntau cuam tshuam los ntawm kev txhim kho ntawm cov teeb meem ntawm cov ntshav qab zib hom 2. Vim yog cov ntshav khiav tsis zoo thiab lub cev niaj hnub txav mus los, cov txheej txheem pathological tshwm sim hauv tus taw. Nrog kev nce qib ntawm cov tshuaj glycosylating, cov myelin sheath ntawm cov hlab ntaws yog maj maj pov tseg, thaum cov xov tooj ntawm cov hlab ntaws txo qis heev.
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%
Lwm qhov kev tsis txaus siab ntxiv ntawm ob txhais ceg yog ib qho ntawm cov hlab ntsha nqaim. Kev txhaws ntawm cov hlab ntaws ua rau muaj kev rau txim loj: cov ntshav ncig hauv cov ntaub so ntswg ua kom tsis zoo, cov hlab ntsha hnav, rhuav tshem, nyias nyias thiab tawg. Cov nqaij mos ua kom tsis muaj mob, lawv lub hlwb maj mam tuag, uas yog nrog txoj kev ua laib.
Cov laj thawj tseem ceeb uas ua rau muaj ntshav tsawg ntawm cov ntshav qab zib muaj xws li:
- vascular pathologies ua rau cov nqaij mos hypoxia;
- neuropathy, tus cwj pwm los ntawm qhov txo qis hauv qhov rhiab thiab loog ntawm ob txhais ceg;
- kev rog, uas tsim kev thauj mus dhau ntawm cov pob txha thiab cov leeg;
- haus luam yeeb thiab lub cev tsis ua haujlwm.
Tseem Ceeb! >> Vim li cas cov neeg mob ntshav qab zib tau pib ua mob rau lawv ob txhais ceg thiab yuav ua li cas tiv thaiv kev mob - peb tau qhia ntawm no
Dab tsi ntawm qhov chaw mob muaj kev cuam tshuam los ntawm ob txhais ceg ntawm cov ntshav qab zib
Feem ntau, cov neeg mob ua mob rau cov ntshav qab zib mellitus yog txuam nrog:
- fungus ntawm ntsia hlau phaj thiab taw;
- gonarthrosis;
- kev ua laib (necrosis);
- mob taw;
- sib sib zog nqus uas tsis kho kom zoo;
- mob ntshav qab zib polyneuropathy.
Tag nrho cov kev mob nkeeg no yuav tsum tau siv tshuaj thiab kho sai sai. Hauv kev ua tiav theem, nws nyuaj heev kom tshem lawv, tshwj xeeb tshaj yog kom tiv nrog lawv cov kev mob tshwm sim.
Mob ko taw
80% ntawm ntshav qab zib hom 2 yog paub tus mob no. Cov kab mob hloov pauv cuam tshuam rau cov pob txha pob txha, poob siab, mob ntshav ntawm lub taw. Tus kab mob no tuaj yeem ua rau qhov tsim muaj cov nqaij ua mob ua ke, feem ntau ua rau lub cev tsis haum.
Mob ko taw mob ko taw tsim nrog:
- ntshav qab zib mob neuropathy;
- kev puas tsuaj rau cov hlab ntshav;
- mob, feem ntau nrog thawj ob yam.
Ntawm cov tsos mob qhia ntawm pathology, muaj:
- kev mob tas li ntawm ob txhais ceg los ntawm deformation ntawm lub taw;
- daim tawv liab ncig lub kiav txhab;
- o ntawm ob txhais ceg, qhia tias muaj txheej txheem o;
- tsis muaj plaub hau ntawm cov qij taws thiab taw;
- coarsening thiab tev ntawm daim tawv nqaij;
- loog ntawm nqua;
- ntsia hlau ingrowth;
- plantar kev loj hlob (los yog cos);
- ntsia thawv pwm.
Yuav ua li cas txhawm rau soj ntsuam cov ntshav qab zib taw hauv lub sijhawm, cov hau kev ntawm nws txoj kev kho thiab kev tiv thaiv kev tiv thaiv - nyeem kom paub meej ntawm no
Cov mob ntsws
Cov kws tshaj lij tau ua pov thawj txoj kev sib raug zoo ntawm cov ntshav siab thiab cov kab mob ko taw. Ntawm cov ntshav qab zib, cov neeg mob yuav tsum tau ceev faj tshwj xeeb txog kev mob ntawm daim tawv nqaij ntawm lawv cov taw.
Lub hauv paus ua rau pom kev loj hlob ntawm tus kab mob muaj xws li:
- kev nyuaj siab ntawm kev tiv thaiv;
- mob ntshav qab zib polyneuropathy;
- tshuaj mob ntsws.
Koj yuav tsum nrhiav kev pab kho mob yog tias qhov tsis zoo pom nyob rau lub caij nplooj ntoo hlav thiab lub caij ntuj sov. Nyob rau tib lub sijhawm, muaj kev hloov pauv ntawm cov xim thiab cov qauv ntawm cov ntsia hlau ntawm cov ntiv tes me me thiab ntiv tes xoo. Yav tom ntej, thaum cov pwm tawg ntau thiab pib tawm tsam rau thaj chaw uas nws tau txiav txim siab, daim tawv nqaij ntawm ko taw yuav pib liab, tev tawm, thiab cov kab nrib pleb yuav tshwm ntawm cov ntiv tes, tas li khaus thiab tsis kho.
Mob ntshav qab zib polyneuropathy
Tus kab mob no tshwm rau cov neeg mob 5-10 xyoo tom qab pib tso ntshav qab zib hom 2. Nov yog swb ntawm cov leeg hlwb, uas yog vim qhov txaus ntshai tshaj plaws ntawm cov ntshav qab zib ntawm txhua yam. Cov txheej txheem pathological pib vim oxygen oxygen tshaib plab ntawm lub paj hlwb, uas yog lub luag haujlwm rau khoom noj khoom haus ntawm cov capillaries me me, feem ntau nws raug kev puas tsuaj.
Muaj ob peb theem ntawm tus kabmob:
- Subclinical, uas tus neeg raug tsim txom nws tus kheej yuav tsis txawm pom thaum xub thawj. Tsuas yog tus kws kho neurologist tom qab kev soj ntsuam zoo ua rau kev kuaj mob yog tias nws qhia qhov txo qis hauv siab rau qhov kub thiab txias, mob, kev co.
- Cov theem kho mob, tus cwj pwm los ntawm kev mob ib ce rau ntawm ob txhais ceg, loog ntawm nqaj, tsis hnov mob. Nrog daim foos amyotrophic, tus neeg mob yws ntawm cov leeg tsis muaj zog thiab taug kev nyuaj.
- Qhov thib peb, theem hnyav, nrog cov tsos ntawm qhov mob txhab rau ntawm daim tawv nqaij ntawm ob txhais taw. Hauv 15% ntawm cov neeg mob no, cov cheeb tsam cuam tshuam tau txiav tawm kom tsis txhob muaj teeb meem.
Tseem Ceeb: kev mob ntshav qab zib polyneuropathy ntawm qhov qis qis - cov cim ntawm kev txhim kho ntawm cov teeb meem thiab yuav ua li cas nrog lawv.
Gonarthrosis
Txoj kev mob no nrog ntxiv los ntawm kev maj mam rhuav tshem, rhuav tshem, daim nyias nyias ntawm pob txha mos nyob hauv lub hauv caug. Cov neeg mob tau mob ob txhais ceg, lawv mob siab thiab taug kev yooj yim. Lub hauv paus tseem ceeb ua rau mob arthrosis yog mob vascular.
Vim nws qhov ntom ntom nti thiab viscosity, cov ntshav ntawm cov ntshav qab zib maj mam ntws dhau ntawm lub txaj vascular thiab cov chaw ua haujlwm tsis zoo rau lub cev muaj cov as-ham thiab oxygen. Cov txheej txheem ntawm kev tshem tawm cov tshuaj lom thiab toxins kuj nyuaj, uas ua rau kev tsim cov tshuaj lom neeg hauv plab thiab mob.
Ntxiv rau, 85% ntawm cov neeg mob ntshav qab zib yog rog dhau los. Ib qho ntxiv rau kev ua haujlwm ntawm lub hauv caug thawb pob txha thiab pob txha mos hypoxia ua rau gonarthrosis (arthrosis ntawm lub hauv caug sib koom tes).
Tawg ntawm ko taw
Ib qho ntawm cov teeb meem daws teeb meem hauv ntshav qab zib yog qhov zoo li tawg ntawm pob taws. Qhov no nyob deb ntawm kev kho kom zoo nkauj hauv lub cev uas tuaj yeem yoog tau yooj yim nrog kev siv tus pedicure. Kev sib tsoo uas tsis zoo ua rau ntawm ko taw hem rau kev nkag ntawm kev sib kis thiab cov kab mob, uas yog fraught nrog cov kev mob hnyav.
Muaj ntshav qab zib, ntxov lossis tom qab, cov hlab hauv qab qis pib txhaws, uas yog yuav luag txhua zaus nrog kev yaug thiab qhuav ntawm daim tawv nqaij. Raws li qhov tshwm sim, cov tawv nqaij ua kom tawg, mob tshwm sim. Yog tias lawv tsis tau pib kho raws sij hawm, kev puas tsuaj ntawm ko taw, mob caj pas, thiab mob rwj yuav pib mob.
Thiab koj paub tias txhawm rau txhawm rau txhawm rau tiv thaiv cov ceg ntawm tus mob ntshav qab zib los ntawm qhov tsis muaj teeb meem, nws pom zoo kom hnav cov thom khwm tshwj xeeb uas muaj ntshav qab zib.
Ua Tsov
Kev txhim kho cov metabolism ua tsis zoo cuam tshuam rau txhua yam kabmob. Raws li cov ntaub ntawv raug mob tsis txaus ntseeg, txhua tus neeg raug tsim txom thib ob tau ntsib kev nyuaj los ntawm kab mob ntsig txog ntshav qab zib. Ib qho mob hnyav tshaj plaws ntawm ntshav qab zib yog cov nqaij mos necrosis vim yog cov ntshav khiav tsis zoo hauv cov nqaij (nqaij hlav).
Ntawm cov tsos mob tseem ceeb ntawm cov txheej txheem pathological, nws tuaj yeem sau tseg:
- discoloration ntawm daim tawv nqaij (cyanosis, liab, tsaus xim);
- tsis hnov qhov kev mob ntawm tus taw;
- ntse mob, tsis muaj zog thaum taug kev (tus neeg mob yws tias nws txhais ceg ntog poob);
- o ntawm cov ceg tawv nqaij cuam tshuam;
- tsis kub nyob hauv thaj chaw teeb meem;
- nquag tshwm sim ntawm fungal kab mob.
Caj npab qis kev kho mob ntshav qab zib
Tom qab kev kuaj mob, tus kws kho mob qhia hauv kev nthuav dav yuav ua li cas kho ob txhais ceg mob ntshav qab zib. Thaum mob ntshav qab zib polyneuropathy tshwm sim, tus neeg mob yuav tsum:
- tawm kev quav yeeb tshuaj (haus luam yeeb thiab haus cawv muaj ntshav qab zib yog tsis tsim nyog);
- tswj cov metabolism hauv carbohydrate;
- noj aldose reductase inhibitors thiab angioprotectors uas kho cov ntshav microcirculation thiab txo cov txiaj ntsig ntawm cov piam thaj ntawm cov hlab ntsha;
- haus cov vitamins uas txhawm rau txhim kho kev sib kis ntawm cov hlab ntsha impulses.
Ib qho ntxiv, hemosorption, plasmapheresis, enterosorption, anticonvulsants, cov txheej txheem ua haujlwm ntawm lub cev, zaws pob, ua kom tawm dag zog yog kho. Yog tias ko taw deformed, lub orthopedist khaws cov khau tshwj xeeb thiab kab.
Nrog ua mob fungal ntawm ob txhais ceg, cov kws kho mob pom zoo kom siv cov tshuaj hydrogen peroxide, chlorhexidine los yog tshuaj pleev cov tshuaj pleev pleev pleev, pleev. Iodine, ci ntsa iab ntsuab thiab potassium permanganate tsis pom zoo. Kev kho cov kab mob ko taw tuaj yeem ntev txog li ib xyoos, nyob ntawm seb qhov mob ntau npaum li cas thiab kev puas tsuaj ntawm daim tawv nqaij thiab cov ntsia hlau.
Kev kho mob ntawm lub hauv caug arthrosis yog raws li kev siv:
- chondroprotectors, rov qab cov pob txha mos. Tab sis yog hais tias tus kab mob muaj nyob rau hauv theem siab kawg, thiab lub hauv caug pob txha mos raug puas tsuaj tag, cov tshuaj no yuav pab tsis tau;
- anti-inflammatory tshuaj uas txo qhov mob, txo kev o, nres qhov mob;
- tshuaj uas txo cov ntshav viscosity thiab nplij cov leeg mob.
Hauv cov xwm txheej siab, ib qho kev ua haujlwm raug ua tiav. Tab sis nws zoo dua yog tsis coj nws mus rau kev phais, vim tias kev tsim dua ntaub so ntswg hauv cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib yog tsawg dua thiab qeeb dua li cov neeg zoo.
Thaum sib sib zog nqus uas tsis tau kho kom zoo, cov kws kho mob tau tshaj tawm cov tshuaj pleev tshwj xeeb, tshuaj pleev, pleev tshuaj pleev, tshuaj pleev, da dej, nias rau cov neeg mob:
- roj av jellynoo noo, ntxuav tawm, ua kom tawv nqaij. Kev siv cov khoom no tsis tu ncua tom qab da dej sov tso cai rau koj kom sai sai kho cov kab nrib pleb hauv taw;
- fir balm - Ib qho cuab yeej zoo rau kev kho mob sib sib zog nqus. Txhua qhov tawg yog plentifully lubricated nrog lawv, thiab ib qho paj rwb pas rwb mus tso rau saum;
- paraffin compress ua los ntawm melting me ntsis paraffin nyob rau hauv ib cov dej da dej. Txhawm rau kom txias, nws siv rau thaj chaw cuam tshuam, thiab cov thom khwm huv huv tau muab tso rau saum toj.
Nrog kev mob caj dab, txoj kev phais mob feem ntau siv, ua rau muaj peev xwm ua haujlwm tsis taus thiab ua tsis taus. Yog li, ntawm thawj cov tsos mob ntawm tus kab mob txaus ntshai, nws yog ib qho tsim nyog yuav tsum ua txhua yam ua tau kom tshem tawm nws.
Kev tiv thaiv tus kab mob ntshav qab zib ko taw
Txhawm rau tiv thaiv kev raug mob ceg txhawm rau txhim kho nrog hom 2 mob ntshav qab zib mellitus, kev tiv thaiv kab mob hauv qab no yuav tsum raug pom:
- ua txhua yam kom them nyiaj rau qhov mob qis qis (ntshav qab zib mellitus);
- tswj ntshav siab;
- hnav zoo khau ntuj, xaiv loj;
- txhua hnub ntxuav koj txhais ko taw thiab soj ntsuam ko taw rau qhov kev ncaj ncees ntawm daim tawv nqaij;
- zam kev rog dhau los, uas cuam tshuam tus neeg mob ntau dua thiab cuam tshuam kev txhim kho ntawm cov kev mob nyhav cuam tshuam nrog cov ceg;
- Tsis txhob taug kev liab qab hauv qhov chaw pej xeem (da dej, da dej, pas dej, puam);
- tom qab ntsia ntsia hlau, muab koj cov ntiv tes thiab ko taw nrog cawv;
- tsis tu ncua noj tshuaj ntau ntxiv ntawm multivitamins thiab chondropojectors kom tiv thaiv kev sib koom tes arthrosis.
Mob ntshav qab zib, koj yuav tsum nkag siab tias nws yooj yim dua los tiv thaiv kev txhim kho ntawm cov teeb meem dua li los kho lawv tom qab. Mus nrhiav kev pab kho mob kom raws sij hawm, nrog rau kev siv cov lus pom zoo thiab kev tiv thaiv yuav zam dhau lub txim hnyav thiab ncua sijhawm qhov teeb meem cuam tshuam nrog cov qis qis.