Mob ntshav qab zib nyob rau hauv cov ntshav qab zib - ua rau, kho mob

Tus mob ntshav qab zib yog ib qho necrosis ntawm cov ntaub so ntswg uas tsim vim muaj cov ntshav qab zib ntau ntau. Feem ntau feem ntau, nqaj qis dua yog qhov cuam tshuam, qhov no yog vim peculiarities ntawm cov ntshav ncig. Ntev dhau los, lawv dhau los ua tsaus vim kev sib txuam ntawm cov hlau thiab hlau sulfide. Cov tshuaj no tau muab tso tawm los ntawm cov ntshav vim muaj lub hwv lawm. Necrosis ntawm ob txhais ceg tshwm sim vim yog qhov kev txiav tawm ntawm cov pa oxygen rau cov hlab ntsha. Hauv cov neeg mob ntshav qab zib uas tau ntsib ntau dua 20 xyoo, qhov kev pheej hmoo ntawm kev txhim kho tus mob no nce mus txog 80%.

Vim li cas

Qhov tseem ceeb ntawm kev ua laib ntawm qis qis hauv kev mob ntshav qab zib yog cuam tshuam nrog cov tsos ntawm trophic mob. Ntawm lawv yog:

• Polyneuropathy yog ib qho mob ntawm cov hlab ntshav ntawm cov hlab ntshav ntawm cov hlab ntaws.
• Microangiopathy yog ib yam mob cuam tshuam nrog kev ua kom lub cev puas hlwb permeability.
• Macroangiopathy yog qhov txhab ntawm cov hlab ntshav loj.
• Kev txhim kho pob txha tsis zoo yog qhov ua rau pob txha tseem ceeb. Xws li ib tug kab mob tseem tuaj yeem ua rau mob vau thrombosis.
• Kev kis mob - txo qhov elasticity ntawm cov hlab ntshav.
• Tsis muaj peev xwm tiv thaiv kab mob ntshav qab zib.
• Muaj cov cwj pwm tsis zoo: haus cawv, haus luam yeeb, rog dhau.
• Hnav nkawm khau qis.
• Kev raug mob lossis kub hnyiab mus rau qhov qis qis.

Kev faib tawm

Mob kheesxaws yog mob viav-vias qis ntawm qhov qis qis txuam nrog kev tuag ntawm cov ntaub so ntswg. Nws ua rau mob hnyav, vim tias ib tus neeg poob txoj hauv kev los ua lub neej tag nrho. Niaj hnub no, cov kws tshaj lij faib ob hom kev ua laib: qhuav thiab ntub.

Kev ua laib qhuav

Kev ua pob txha qhuav yog qhov mob rau ntawm daim tawv nqaij, qhov ua rau ua rau muaj kev ua txhaum hauv cov ntshav ncig. Feem ntau, daim ntawv no ntawm tus kabmob raug kuaj mob rau cov neeg mob ntshav qab zib mellitus nrog rau sab sab lossis qaug zog ntau dhau. Lub qhov txhab tshwm sim qeeb qeeb, ua los ntawm ziab tawm ntawm cov nqaij mos. Sij hawm dhau mus, daim tawv nqaij ntawm ob txhais ceg pib khaus thiab zawm, muab cov xim av los yog xim dub. Tus tib neeg tsis tuaj yeem coj lub neej nyob ib txwm, nws dhau los ua neeg xiam oob khab. Mob khaub thuas qhuav qhawv tuaj yeem lees paub los ntawm:

• Kev mob hnyav rau hauv qis qis ntawm qhov hnyav;
• Kev txo qis lossis tsis hnov ​​mob;
• Cov tawv nqaij txias ntawm ceg;
• Qhov paub tsis tu ncua ntawm loog;
• Cov roj ntsha tsis txaus hauv cov ceg lossis vim nws tsis tuaj;
• Ntog ntawm ob txhais ceg;
• Pallor ntawm daim tawv nqaij.

Nyob rau hauv cov ntaub ntawv ntawm lub caij nyoog tsis muaj kev kho mob, kev kis tus kab mob tuaj yeem ua rau intoxication. Paub txog kev lom neeg lub cev yog ua tau los ntawm kev nce lub cev kub, xeev siab, ntuav, qhov muag plooj plooj. Yog tias tus neeg tsis mob hnyav, tus kws kho mob maj maj xa tus neeg mob mus rau kev phais. Kev pab txhawb nqa nrog kev siv tshuaj tua kab mob, tshuaj mob plawv thiab cov tshuaj isotonic yog nqa tawm.

Ntub dej ua laib

Kev ntub dej hiav txwv muaj peev xwm lees paub los ntawm yuav luag tib qhov kev pom zoo li qhuav cev. Feem ntau, qhov mob no tshwm rau cov neeg mob ntshav qab zib uas rog dhau. Feem ntau, cov neeg mob no yog ib txwm nquag mus rau qhov mob edema thiab cramps qis qis. Lub qhov txhab nws tus kheej yog noo, nws tsis muaj sijhawm rau kom qhuav. Xws li daim npog yog tsis tshua muaj kev sib kis ntawm cov kab mob thiab cov kab mob, thiab tseem tuaj yeem ua rau intoxication loj. Kev ntub dej nyab yog qhov ntau dua yuav ua rau neeg tuag taus. Qhov tshwm sim no tuaj yeem lees paub los ntawm cov cim hauv qab no:

• Kev mob hnyav hauv qis qis ntawm qhov qis;
• Lossi tam sim no ripple;
• Kev nce hauv qhov kub ntawm lub cev;
• Qhov tsis hnov ​​tsw yuav lwj los ntawm qis dua qhov qis;
• Qhov tsim ntawm ntau cov pob liab liab ntawm daim tawv nqaij;
• Mob tawm hauv cov ceg;
• Kev cais tawm ntawm qis qis, lawv tau txais ib qho xiav lossis xiav xuv xim;
• Txoj kev nthuav dav ntawm cov leeg hauv ob txhais ceg.

Cov hau kev kho

Kev kho tus neeg mob ntshav qab zib nrog ntshav qab zib yuav tsum muaj kev sib koom tes. Nws yog ib qho tseem ceeb kom ua raws txhua cov lus qhia ntawm tus kws kho mob koom, vim tias tsis quav ntsej cov lus pom zoo tuaj yeem ua rau muaj kev txhim kho ntawm cov kev mob nyhav heev.

Nrog kev pab ntawm cov tshuaj, kev qoj ib ce tsis tuaj yeem kov tsis yeej, tab sis lawv yuav pab ua kom ntshav ncig qis thiab txo qhov kev pheej hmoo ntawm cov teeb meem. Cov txheej txheem hauv qab no yog qhov tseem ceeb tshaj plaws hauv kev kho:

• Angioplasty thiab stenting yog cov txheej txheem uas pab ua yeej ib hom mob ntshav qab zib mob ntshav qab zib. Nrog lawv cov kev pab, nws yog ib qho ua tau kom tawm ntawm qhov ceg. Qhov tseem ceeb ntawm cov hau kev yog kev rov ua dua ntawm cov hlab ntsha uas tau tawg, uas ua kom rov qab ntshav cov ntshav. Kev cuam tshuam yog nqa tawm hauv tsev kho mob, tsis muaj tshuaj loog - los ntawm kev mob me, tus kws kho mob ua txhua qhov tsim nyog siv nrog cov cuab yeej tshwj xeeb. Thaum lub sij hawm tus txheej txheem, ib tug neeg xyaum tsis poob ntshav.
• Vascular bypass phais yog ib qho kev cuam tshuam uas tuaj yeem kho cov ntshav ncig nyob hauv qis qis, nrog rau daws cov ischemia. Qhov qauv no yog radical heev, nqa tawm hauv kev siv tshuaj loog. Lub ntsiab lus ntawm kev cuam tshuam yog los hloov cov hlab ntsha nrog cov coj tshwj xeeb uas ua haujlwm ntawm cov hlab ntsha.
• Kev zaws tawv nqaij yog txheej txheem uas tus kws kho mob tswj cov nqaij cuam tshuam thiab tuag. Hloov chaw ntawm thaj chaw cuam tshuam, cov ntaub so ntswg kev kho mob tshwj xeeb tuaj yeem raug xaws. Cov kws kho mob tuaj yeem hloov cov ntaub so ntswg los ntawm lwm qhov ntawm lub cev.
• Kev txiav tes ntawm txoj haujlwm ntawm lub povtseg yog txoj haujlwm uas tus kws kho mob ua rau qee qhov txhav ntawm nws txhais taw lossis tag nrho. Feem ntau hom no tau muab rau tsuas yog tom qab lwm cov txheej txheem tsis coj cov yam xav ua. Qhov no yog ua los txhawm rau tiv thaiv kev kis tus kab mob thiab kab mob hauv lub cev. Lub sijhawm ua haujlwm ua haujlwm nyob rau hauv kev siv tshuaj loog thiab siv lub sijhawm ua kom rov zoo. Tom qab hle ib qho povtseg, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas tus mob ntawm lwm tus, vim tias qhov kev pheej hmoo ntawm kev loj hlob ntxiv ntawm kev zes caj dab tseem loj heev.

Lwm txoj kev kho mob

Qee cov kws tshaj lij sau tseg tias kev kho mob yoo mov yuav pab kom tsis txhob muaj kab mob ntshav qab zib ntau dua. Nov yog ib txoj kev siv ntawm cov tib neeg kws tshuaj yuav tsum tau saib xyuas tas li. Nws yog qhov zoo tshaj plaws los ua qhov no hauv tsev kho mob tshwj xeeb. Ntawm cov theem pib ntawm kev tsim cov qog ua cev, kev tshaib plab muaj peev xwm tso tseg kiag cov kab mob tshwm sim. Tsis tas li ntawd, kev thauj mus los txhua hnub ntawm ob txhais ceg yuav pab tsim kom muaj ntshav kev khiav haujlwm.

Kev Tiv Thaiv

Ntshav qab zib mellitus yog ib qho kev ua rau endocrine mob hnyav uas ua rau muaj ntau yam kabmob phem. Txhawb cov ntshav qab zib kom cuam tshuam tsis zoo rau kev noj qab haus huv ntawm cov hlab ntshav, uas tuaj yeem ua rau cov ntaub so ntswg puas. Nyob rau hauv rooj plaub ntawm lub sijhawm ntev kev saib xyuas, cov ntshav qab zib ua rau muaj kev mob hnyav uas feem ntau cuam tshuam rau cov qis qis.

Txo qhov kev pheej hmoo ntawm kev tsim cov kab mob no, nws yog ib qho tsim nyog yuav tsum ua raws li cov kev tiv thaiv kev tiv thaiv txuas ntxiv no:

• Tsis kam lees los ntawm txhua qhov kev coj ua tsis zoo uas cuam tshuam rau cov ntshav ncig: haus luam yeeb, haus dej haus cawv;
• Nqa rov qab qhov hnyav ntawm koj lub cev, vim los ntawm kev nce ntshav siab;
• Xaiv koj cov khau kom zoo: nws yuav tsum yog qhov zoo thiab xis;
• Saib xyuas koj cov kev noj haus, nws yuav tsum tsis txhob muaj piam thaj;
• Txhua zaus yuav hnav thom khwm - lawv yuav tsum tau ua los ntawm cov ntaub npuag ntuj;
• Muaj ntau nkawm khau - ib khub tsis tuaj yeem hnav ntev dua 2 hnub;
• Kuaj koj cov ceg qis dua txhua hnub;
• Yog tias muaj qhov txhab pom tshwm saum npoo qis qis, kho lawv tam sim ntawd;
• Tsis txhob hnav cov khau khiab holey, vim tias lawv tuaj yeem ua puas tawv nqaij;
• Thaum pom mob caj dab los yog caj dab, qhwv ob txhais ceg nrog daim ntaub qhwv - ntaub qhwv caj dab tuaj yeem cuam tshuam rau txheej sab saud ntawm daim tawv nqaij;
• Tsis kam da dej da dej kub uas kom ntshav kev khiav ceev dua;
• Thaum tsaus ntuj, pleev cov roj rau cov tawv nqaij uas pab ua kom muaj zog thiab rov qab ua kom cov epidermis.

Ua cov kev tiv thaiv yooj yim yuav pab kom koj tiv thaiv los yog nres qhov kev ua laib ntawm qhov qis qis. Yog tias koj pom cov cim qhia thawj hauv koj tus kheej, sab laj nrog kws kho mob.