KEV MOB NTSHAV QAB ZIB KO TAW - KEV TIV THAIV TUS MOB NTSHAV QAB ZIB MELLITUS YAM 1 THIAB 2

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Lo lus "diabetic foot" txhais tau tias ua ke ntawm kev hloov pauv hauv cov leeg mob, pob txha, leeg thiab cov hlab ntshav hauv cov ntshav qab zib kom tsis muaj ntshav qab zib.

Qhov no tuaj yeem coj mus rau kev txhim kho kev ua tub rog ntawm nqua.

DS yog ib qho mob hnyav tshaj plaws ntawm ntshav qab zib.

Thaum twg tus mob ko taw mob ko taw tshwm sim?

Ib qho ntawm cov teeb meem ntawm ntshav qab zib yog ua txhaum ntawm vascular ncig. Thiab, ua ntej ntawm tag nrho cov, qhov no siv rau cov qis qis.

Yog tias tsis muaj zaub mov txaus, daim tawv nqaij yog qhov tshwj xeeb ua rau raug mob. Hauv qhov no, txoj kev kho tau qeeb.

Tsis tas li ntawd, cov ntshav qab zib tsis zam lub caij ntuj no huab cua, txawm hais tias nws tsis ua rau muaj teeb meem tshwj xeeb rau cov neeg noj qab haus huv. Kev ua txhaum ntawm conduction ntawm qab haus huv hauv ko taw yog hu ua mob ntshav qab zib polyneuropathy. Ib tug neeg nres kom hnov cov nyhuv ntawm daim tawv nqaij los ntawm qhov kub lossis qis kub, qhov raug mob me, thiab lwm yam.

Tus neeg noj qab nyob zoo, hnov mob, tuaj yeem ua tiav sijhawm. Cov neeg muaj mob ntshav qab zib tau raug tshem tawm txoj hauv kev no. Feem ntau lawv tsis them sai sai rau qhov khawb, abrasions thiab qhov mob me me kom txog rau thaum thaj tsam ntawm daim tawv nqaij muaj tus kab mob thiab mob caj dab.

Lwm qhov teeb meem: nrog polyneuropathy, daim tawv nqaij poob lub peev xwm tawm hws thiab tas li nyob qhuav. Kev tawg ntawm daim tawv nqaij maj mam ua rau mob. Txij li thaum qhov mob txhab no tsis cuam tshuam nrog ib qho kev mob, ib tus neeg tsis ua cov kev ntsuas txaus thiab ntes nws tus kheej nkaus xwb nrog kev hem los ntawm txiav npluav tawm.

Cov ntsiab lus hauv qab no pab txhawb qhov pom ntawm ntshav qab zib taw:

raum puas (nephropathy)Cov. Ua rau o ntawm cov nqua. Cov khau uas tsis tshua yooj yim ua rau zoo nkauj, uas tuaj yeem ua rau lub qhov txhab thiab me me. Xws li cov chaw uas puas lawm, yog tias ntsuas tsis tau ua tiav, nws yog daim tawv nqaij uas mob txhab;
teeb meem tsis pom kevCov. Ib tus neeg tsis pom kev zoo yuav tsis pom tias nws tab tom mus rau qhov twg. Ib qho ceg tawv lossis peb lub pob zeb qhwv hauv qab ntawm koj txhais taw tuaj yeem ua rau raug mob hnyav.

Cov hauv paus ntsiab lus rau kev tiv thaiv tus mob ko taw hauv ntshav qab zib

Cov kev tiv thaiv kab mob ntshav qab zib pib nrog kev qhia paub txog kev pheej hmoo ua mob rau mob txhab:

vascular kab mob ntawm ob txhais ceg;
cov kab mob ntshav qab zib peripheral neuropathy;
o tuaj
deformation ntawm taw.

Yog tias tsis muaj kev phom sij, lub ntsiab ntawm kev tiv thaiv yog txo rau kev qhia tus neeg mob ntawm kev saib xyuas ko taw, xaiv qhov yog ntawm khau thiab insoles.

Tib lub sijhawm, ib qho yuav tsum tsis txhob hnov qab txog kev ntsuas kev pheej hmoo txhua xyoo.

Nyob rau hauv qhov muaj kev pheej hmoo yam, kev tiv thaiv tuaj rau hauv qab no:

kev cob qhia kev tu tawv nqaij;
kuaj mob raws sijhawm;
tej zaum yuav hnav cov khau tshwj xeeb thiab pob caus ntawd.

Qhov ntau zaus ntawm kev kuaj mob nyob rau hauv cov ntaub ntawv no feem ntau ntau dua li ntawm qhov muaj kev phom sij.

Cov ntsiab cai dav dav rau kev tiv thaiv DS yog raws li nram no:

yuav tsum rau npe rau txhua tus neeg mob nrog endocrinologist thiab hauv chav ua haujlwm ntawm ko taw mob ntshav qab zib;
kev kho mob raws sij hawm ntawm cov hlab ntsha hlwb thiab leeg ntshav. Qhov yuav tsum yog qhov kev tshem tawm cov pob zeb tawg thiab puas ntawm daim tawv nqaij;
yog tias deformations tsis tuaj yeem tshem tawm, hnav cov khau orthopedic;
kev siv ntawm kev tawm dag zog tawm dag zog ua rau ceg;
ua haujlwm ntawm kev txhim kho kev tiv thaiv kab mob.

Tag nrho cov lus qhia yuav tsis pab kom ua tiav qhov txiaj ntsig zoo yog tias tus kab mob tsis tau them nyiaj rau.

Qhov tseem ceeb ntawm Ntshav Qab Zib Tswj ntshav qab zib

Nqa qab zib kom rov zoo li qub yog lub hom phiaj ntawm ntshav qab zib. Txhua tus muaj nws tus kheej, cov ntsiab lus tseem ceeb ntawm "phiaj" cov piam thaj cov ntsiab lus uas xav tau kom ua tiav.

Daim duab no yog txiav txim los ntawm tus kws kho mob, suav txog hnub nyoog ntawm tus neeg mob, mob hnyav ntshav qab zib, cuam tshuam txog kev sib deev, thiab kev noj qab nyob zoo.

Cov neeg mob, raws li txoj cai, ua tiav kev soj ntsuam ntawm cov piam thaj ntsuas siv glucometers.

Kev ua raws li kev noj zaub mov tshwj xeeb thiab noj tshuaj txo cov ntshav qab zib yog cov ntsiab lus tseem ceeb hauv kev tiv thaiv kab mob ntshav qab zib.

Kev nyiam huv

Qhov peculiarity ntawm kev raug mob ceg hauv ntshav qab zib mellitus yog tias lawv feem ntau tsis mob. Nyob rau tib lub sijhawm, qhov txhab zoo mob tsis yooj yim. Qhov no tau piav qhia los ntawm ib feem tsis muaj kev nkag siab zoo, nrog rau kev ua txhaum ntawm cov ntshav ncig.

Yog lawm, qhov no tsis tau pom nyob hauv txhua tus neeg mob ntshav qab zib, tab sis nws zoo dua tsis txhob coj cov viav vias tsis zoo. Qhov no yog fraught nrog formidable teeb meem. Nws tseem yuav tsum nco ntsoov tias kev saib xyuas ko taw tsuas yog ib feem ntawm kev tiv thaiv kev tiv thaiv txhawm rau tiv thaiv "tus mob plab taw."

Nws yog ib qho tsim nyog kom ua raws li cov cai no:

thaum txiav cov ntsia hlau, ceev faj los txiav lawv nrog cov kab rov tav ntawm cov ntsia hlau ua ntaub ntawv. Koj tsis tuaj yeem txiav cov fab ntawm cov ntsia hlau. Tsis txhob kho cov tawv nqaij ntawm txhais ceg nrog cov tshuaj lom neeg thiab cov khoom ntse. Nws raug nquahu kom siv pumice tom qab da dej sov so;
Nco ntsoov tias koj ntxuav koj txhais taw kom huv. Ntxuav lawv txhua hnub nrog dej sov xab npus;
yog tias daim tawv nqaij ntawm ob txhais ceg qhuav, ntub nws (tsis muaj qhov cuam tshuam rau qhov chaw nruab nrab) nrog roj qab zib;
caiv tsis txhob taug kev liab qab kom tsis txhob raug mob los ntawm kev raug mob;
Tsis txhob siv cov cuab yeej hluav taws xob, cua kub cua sov rau koj ob txhais ko taw, lossis zaum ze ntawm lub tshuab hluav taws xob. Siv cov nyhuv ua kom sov ntawm kev tawm dag zog lub cev, zaws lub teeb lossis plaub thom khwm sov;
Tsis txhob hnov qab tias ob txhais ceg yuav tsum tau kuaj xyuas txhua hnub. Yog tias kab nrib pleb, mob rwj lossis ntsaws ruaj ruaj tuaj, sab laj rau tus kws kho mob tshwj xeeb;
thaum raug mob (raug khawb, txiav), kho lawv nrog cov tshuaj tua kab mob (Dioxidin, Furacilin, hydrogen peroxide), tom qab uas daim ntaub qhwv cov ntaub nplaum lossis cov nplaum qhwv nrog cov nyhuv tshuaj yuav tsum tau siv. Tsis txhob siv cov tshuaj potassium permanganate, iodine lossis lub ci ntsuab. Cov nyiaj no tuaj yeem ua rau kub hnyiab, kho neeg mob yuav qeeb qeeb. Tsis tas li, staining ntawm qhov txhab tiv thaiv kev saib xyuas ntawm tus txheej txheem. Kev kho mob siab tshaj plaws yog los ntawm 10 txog 14 hnub. Yog tias cov tawv nqaij tsis mob li qub, qhov no yog lub teeb liab kom sab laj nrog kws kho mob.

Nkawm khau Xaiv Memo

Cov cai no tsis yog siv rau cov mob ntshav qab zib nkaus xwb. Txhua tus neeg tuaj yeem coj lawv mus ua haujlwm. Lub ntsiab cai dav dav ntawm kev xaiv yog raws li hauv qab no: yuav cov khau kom lawv zaum ntawm lawv ko taw zoo li lub hnab looj tes, tsis muaj kev raug mob ntawm daim tawv nqaij, tsis muaj qhov ua rau txiab, mob caj dab thiab mob txhab. Lawm, cov neeg mob ntshav qab zib tsis tas yuav tsum ua npau suav txog kev ua haujlwm ntawm cov khau zam ntawm 12-centimeter luj.

Orthopedic nkawm khau

Tshwj xeeb, kev hnav cov khau tshwj xeeb yog cuam tshuam rau cov neeg uas muaj cov mob ntshav qab zib no:

qhov tseem ceeb poob ntawm qhov xav hauv qhov taw;
kev puas tsuaj rau cov hlab ntawm ob txhais ceg nrog atherosclerosis;
deformation ntawm taw;
muaj qhov txhab txhab txhab thiab (lossis) txiav taws.

Nov yog cov ntsiab cai dav dav rau kev xaiv khau:

Cov khoom siv rau kev tsim cov khoom khau yog cov tawv mos zoo. Hauv qhov no, qhov kev pheej hmoo ntawm nraub qaum yog qhov tsawg kawg nkaus. Nkawm khau nrog lub nqaim lossis hnyav dhau ntawm tus ntiv taw yuav tsum tsis txhob hnav. Qhov no ua rau muaj qhov tseeb tias kev faib khoom ntawm qhov nyhav ntawm ko taw tsis yog, cov ntiv tes nias, thiab qhov kev pheej hmoo ntawm kev raug mob rau cov ceg nce siab;
Tsis txhob yuav cov khau nrog ntxhib thiab txhav puab sab hauv;
Xaiv cov khau kom txaus txaus kom muaj chaw dav txaus rau kev pleev qhov orthopedic. Koj tsis tuaj yeem siv cov hnab looj tawv tawv thiab zaws;
nkawm khau yuav tsum tsis txhob zaum nrawm ntawm ko taw, vim tias qhov no tuaj yeem ua rau qhov tsos ntawm txiab thiab caj dab;
outsole zoo tshaj plaws yog txhav. Qhov siab zoo ntawm pob taws siab yog 4 cm. Platform khau yog ib tus zoo haum. Lawv tsis tsuas yog muaj kev nyab xeeb, tab sis kuj saib zoo nkauj;

Hnav khau kom zoo zoo. Thawj 2-3 hnub, hnav tej yam tshiab nyob hauv tsev. Tsis txhob siv cov thom khwm ntub dej rau hnav, vim qhov no tsis zoo rau daim tawv nqaij. Tawm mus hauv cov khau tshiab, zam kev taug kev ntev. Taug kev hauv yam tshiab txhua hnub yog qhov tsis txaus siab.

Nco ntsoov tias thaum muab tso rau sab hauv ntawm nkawm khau tsis muaj cov khoom txawv teb chaws, thiab cov thom khwm tsis sib sau ua ke. Nws raug nquahu kom siv cov xaws zoo rau cov neeg mob ntshav qab zib.

Tsis txhob hnov qab ua tib zoo tshuaj xyuas lub taw. Cov tsos ntawm kev liab ntawm daim tawv nqaij qhia tias nkawm khau tsis haum koj. Cov kev nkag siab raug txo kom tsawg, yog li ntawd, mob rau sab hauv tuaj yeem tshwm sim hauv cov chaw no hauv lub sijhawm luv. Pom qee yam zoo li no - tam sim ntawd sab laj nrog kws kho mob, hauv chav ua haujlwm ntawm cov ntshav qab zib taw.

Kuaj kws kho mob

Txog kev kuaj xyuas raws sij hawm ntawm DS, txhua tus neeg mob ntshav qab zib yuav tsum tau tiv thaiv kev kuaj mob ib xyoos ib zaug.

Nyob rau ntawm qhov muaj kev pheej hmoo txaus ntshai, lawv cov zaus muaj ib zaug txhua 1-6 lub hlis, thaum muaj kev tshwj xeeb yuav tsum tau them rau qhov chaw ntawm deformations thiab thaj chaw pheej hmoo.

Qhov no ua rau nws muaj peev xwm taug kev nrog txoj kev nyiam ntawm DS, txawm tias cov neeg mob uas tsis muaj kev tsis txaus siab.

Lwm cov lus pom zoo rau kev tiv thaiv ntawm cov teeb meem

Ib qho ntxiv ntawm kev tiv thaiv yog kev siv tshuaj ntsuab. Nws yog qhov nyuaj hu qhov kev kho no, vim tias nws tsis zoo li nws yuav muaj peev xwm kom nres qhov kev ua si nrog kev ua paug nrog kev kho mob ntawm cov tshuaj ntsuab.

Tab sis los tiv thaiv cov tsos ntawm tus mob rwj siv cov tshuaj ntuj yog qhov ua tau.

Kev cog ntoo ntawm cov nroj tsuag xws li succession, eucalyptus, celandine lossis St. John lub wort muaj cov nyhuv ntawm kev ya rawsCov. Yuav ua kom mos stratum corneum, koj tuaj yeem siv cov roj ntuj: txiv ntseej, cypress, paj noob hlis lossis chamomile.

Txhawm rau txhim kho kev tsim dua tshiab ntawm daim tawv nqaij pab cov zib ntab zoo tib yam.