Mob ntshav qab zib trophic mob - vim li cas thiaj tshwm sim thiab kho li cas?

Mob ntshav qab zib mellitus provokes ntau yam hnyav. Feem ntau, tawm tsam keeb kwm ntawm endocrine pathology, mob ntshav qab zib trophic mob, los ntawm cov ntshav ncig tsis zoo, ua rau nws qhov pib.

Lub ntsiab lus ntawm qhov kev tsis txaus siab no zoo nkaus li ib qho hauv nrog cov qhov txhab sepsis ntawm apex thiab neuropathy hauv lub hauv paus ntawm mob ntshav qab zib ko taw mob.

Hauv qhov xwm txheej no, tus neeg mob lub siab mob, kev kho mob yog qhov nyuaj thiab ntev. Nws tsis yog qhov yooj yim ntawm nws tus kheej kho ib qhov txhab trophic. Kev kho tsis txaus ntseeg tias mob ntshav qab zib sepsis nrog tom qab txiav tu ntawm tus leeg.

Cov laj thawj kev tsim kho

Mob ntshav qab zib trophic rwj yog txheej txheem pathological uas ua tau nws tus kheej li qhov mob tsis zoo rau lub sijhawm ntev, cov tsos ntawm kev ua kom yooj yim los ntawm kev noj zaub mov tsis zoo ntawm cov ntaub so ntswg, tsis zoo ntawm capillary network.

Cov xwm txheej hauv qab no pab txhawb qhov pib ntawm mob txhab ntshav qab zib:

• ua txhaum kev ncaj ncees ntawm daim tawv nqaij ntawm qis qis dua (corns, kab nrib pleb, hno);
• pathology ntawm lub vascular system (varicose leeg, thrombophlebitis);
• daim tawv nqaij hlawv ntawm ko taw;
• kev puas tsuaj rau cov hlab ntsha xov tooj ntawm ntau cov etiologies (ua txhaum ntawm innervation);
• hnav khau, khaub ncaws tsis loj (tsis xis nyob, airtight, fettering txav).

Cov neeg muaj rog nrog hom ntshav qab zib hom II thiab cov insulin-nyob rau hauv daim ntawv ntawm pathology yog qhov pheej hmoo. Ntawm kev pheej hmoo yog tus mob ntshav qab zib uas tsis saib xyuas kev ua kis las: stagnation ntawm cov ntshav hauv qis qis dua ua rau lub zog thrombosis mechanism.

Cov tshooj

Tus kab mob nyob hauv kev txiav txim siab yog cim los ntawm kev nthuav dav phased.

• Theem 1 theem. Muaj qhov poob qis hauv qhov rhiab heev ntawm receptors nyob rau hauv kev teb rau qhov mob, siab, kub raug. Tus neeg mob xav tias muaj nqees laim ntawm ob txhais ceg, mob, hnyav nyob rau hauv qis qis;
• 2 theemCov. Kev swb ntawm cov hlab ntsha thiab cov hlab ntsha loj yog kev vam meej. Thawj cov cim ntawm tus kabmob tshwm sim: cov ntaub so ntswg sib txuas yog them nrog cov qhov txhab qhuav, hauv qhov chaw ntawm microtrauma, cov tawv nqaij xeb yog tsim, uas tsis zoo rov ua haujlwm;
• 3 theem. Cov tsos mob tau pom meej. Cov nqaij mob npog thaj tsam ntawm daim tawv nqaij ntau, lawv ntub nrog tso ntshav tawm los. Yog tsis muaj kev kho kom zoo antiseptic, txoj kev ua kom huv. Nyob rau theem no, tus mob mob tsis tuaj lawm, tus kab mob zuj zus, kev hloov kho ntawm daim tawv nqaij yog sau tseg, lub xeev "mob ntshav qab zib" tshwm sim;
• 4 theem. Cov tawv nqaij ua paug yog qhov nyuaj los ntawm cov tsos ntawm purulent exudate, qhov mob tshwm sim tshwm sim. Yog tias qhov mob viav vias ncav cuag theem no, tus neeg mob lub cev qhov kub nce, qhov tsis muaj zog tshwm sim, sib chwv me ntsis nrog thaj chaw ntawm ko taw ua rau mob tsis tuaj yeem. Yog hais tias tsis kho, kev mob qog nqaij hlav, kev nruam tawm ntawm tus ceg ntawm kev sib tw.

Cov tsos mob

Hauv thawj theem, lub rwj yuav tsis pom mob tshwm sim. Tsuas yog cov yam ntxwv tshwj xeeb yog qhov ua haujlwm ntawm "daim tawv" patent. Nquag hyperemia, o tshwm sim nyob rau thaj chaw muaj cuam tshuam.

Sij hawm dhau mus, cov tawv nqaij ua qhov chaw tuag, tom qab ntawd los ntawm cov nplai dawb. Cov theem tseem nyob rau ob peb lub lis piam.

Qib sij hawm ntawm ulceration

Thaum tus mob loj zuj zus tuaj lawm, muaj mob sai, muaj ntshav tawm hauv lub cev. Nws cov nplaum xwm yeem thiab pungent tsw qhia tau tias muaj tus kab mob. Nyob rau theem no, qhov mob kiav txhab trophic twb yog qhov mob lawm.

Nws nrog nws cov lus los ntawm kev mob, mob me los ntshav. Tus yam ntxwv ntawm tus kab mob pathology yog khaus tsis tuaj yeem, qhov tsis hnov ​​nqaij tawv, hnyav hnyav hauv ob txhais ceg. Cov tsos mob no tshwj xeeb tshaj plaws yog siv thaum hmo ntuj.

Yog tsis muaj kev kho tshuaj, tus kab mob nquag hloov zuj zus, cuam tshuam rau cov khaubncaws sab nraud povtseg tob. Tus neeg mob tau kub taub hau, cuam tshuam ntawm kev noj qab nyob zoo, muaj pob ntseg ntawm pob txha, hauv qhov mob nyhav, cov nqaij pob txha tau cuam tshuam, mob caj dab.

Kev Kho Mob

Kev kho kab ke yog qhia rau kev kho mob ntawm trophic mob rau hauv ntshav qab zib mellitus. Nws muaj cov txheej txheem hauv qab no:

1. kev txuag ua haujlwm uas yuav pab tshem tawm lub hauv paus, tshem tawm cov tsos mob mob;
2. phais kev cuam tshuam (tsim nyog nyob hauv cov theem kawg);
3. cov txheej txheem kho lub cev ua kom ruaj khov lub xeev ntawm cov ntshav qab zib, ua kom cov txheej txheem kho kom zoo.

Tshuaj kho mob nkeeg

Qhov tseem ceeb ntawm kev kho qhov mob ntawm trophic mob ntawm daim tawv nqaij yog qhov ncauj noj tshuaj thiab pleev cov ntawv thov. Pib kev kho mob nrog tswj cov ntshav qab zib.

Yog tias pib ntsuas pom cov ntshav qab zib-insulin muaj tshwm sim, qhov tsim nyog ntawm cov tshuaj insulin rau kev tswj hwm txhua hnub yog xam, kev noj zaub mov nruj yog pom zoo. Cov kua dej ib nrab tshem tawm cov hauv paus hauv qhov txhab, tab sis tsis cuam tshuam rau tus nqi ntawm kev rov ua dua ntawm kev ncaj ncees ntawm daim tawv nqaij.

Cov kev kho mob tseem ceeb tshwm sim maj nrog lub sijhawm teem ua ntau cov tshuaj uas tau tsom rau:

1. kho cov kab mob tom qab ntawm tus kab mob sib kis;
2. kev tso tshuaj analgesic hauv zos;
3. load txo los ntawm kev kho cov pob taws;
4. kev rov qab los ntawm kev ua haujlwm ntawm lub paj hlwb;
5. normalization ntawm cov ntshav ncig, txo qis hauv thrombophlebitis;
6. ntxuav cov kev txhab ntawm cov kiav txhab nrog cov tshuaj tua kab mob kom tiv thaiv kev txuam nrog pus.

Cov pab pawg tseem ceeb ntawm cov tshuaj rau kev kho mob ntawm trophic mob txhab:

• Delaskin - mis tsis-hormonal, zoo txo ​​qhov khaus. Cov cuab yeej tua tau cov kab mob pathogenic, npog cov tawv nqaij nrog ib txheej pov tseg;
• Fusicutan, Chloramphenicol - tshuaj tua kab mob rau cov ntawv thov tshuaj pleev;
• Vulnostimulin - ib qho antiseptic nrog lub suab tawm los cuam tshuam, ua rau epithelialization ntawm mob txhab;
• Diclofenac - txo qis lub cev qhov kub, txo qhov mob, tshem tawm qhov mob;
• Actovegin - cov tshuaj qhia tshwj xeeb tsom rau kev tshem tawm cov ntaub so ntswg hypoxia.

Kev phais mob

Yog cov tshuaj muaj yees tsis ua hauj lwm zoo, kev phais mob ua. Tom qab kawm txog cov ntsiab lus ntawm kev tshuaj ntsuam thiab txiav txim siab qhov tob ntawm cov ntaub so ntswg rhuav tshem, kev tshaj tawm ntawm daim tawv nqaij tuag, cov ntsiab lus purulent tau qhia, thiab nyob rau theem kawg ntawm kev sib tw - kev txiav tawm ntawm lub pob txha mob.

Kev tshem tawm cov ntaub so ntswg muaj nyob hauv txoj kev hauv qab no:

1. catheterizationCov. Kev siv cov tshuaj infusomat pub rau kev kho mob hauv cheeb tsam ntawm ib puag ncig ntev uas tsis ua kom zoo ceg. Tsis siv rau hauv kev txheeb xyuas ntawm txoj hlab ntsha ntawm occlusion;
2. kev txiav tawm virtualCov. Xaiv tshem tawm ntawm lub pob txha metatarsal nrog kev khaws cia ntawm ko taw;
3. scleroobliterationCov. Tus yam ntxwv tsawg tsawg, koom nrog kev qhia ntawm txoj raj txuas hluav taws xob nrog qhov. Qhov no yuav pab kom tshem tau huab hwm coj purulent thiab resorption ntawm txoj hlab ntsha uas tsis muaj qhov kev phais mob ntxhib;
4. thermobliteration. Ib txoj hauv kev tsis muaj kev sib tw rau kev tshem tawm cov leeg ntshav ntawm qhov ntshav dav dav. Nws yog nqa tawm hauv cov tshuaj loog hauv zos siv laser coagulation;
5. autodermoplastyCov. Qhov no yog hloov ntshav ntawm daim tawv nqaij txuas tshiab ntawm lwm qhov ntawm lub cev. Nrog kev pab los ntawm dermatome, ib ntu ntawm cov nqaij mos noj qab haus huv tau ua, uas yog xaws nrog lub pob xaws xaws rau thaj tsam cuam tshuam;
6. hydrosurgical system VERSAJETCov. Ib qho khoom siv niaj hnub no tso cai tshem tawm ntawm cov nqaij necrotic. Kev tshem tawm tag nrho ntawm detritus hauv kev sib txuam nrog cov kab mob pathogenic pab txhawb kom tag nrho qhov txuas ntawm qhov mob rwj yam tsis muaj rov qab.

Cov tshuaj kho neeg mob

Kev siv cov tshuaj noj rau pej xeem yog kev txhawb nqa hauv qhov. Qhov no tso cai rau koj ua kom nrawm kho qhov mob txhab, kom yooj yim rau chav kawm ntawm tus kabmob.

High efficiency muaj xws li zaub mov txawv:

1. tshuaj ntsuab compress. 20 g ntawm mustard noob, chamomile thiab calendula paj tau noj, rwj nrog dej npau npau, siv los ntxuav lub rwj rau ib hlis;
2. xob ether. 3-5 tee ntawm cov roj clove tau thov rau daim ntaub qhwv caj dab, pleev rau qhov chaw ulcerated. Siv ua tshuaj tua kab mob rau kev ua;
3. decoction ntawm noog CherryCov. Kev sim ua pa ntawm tsob ntoo yog txhaws, qhov txhab ua kom lub qhov txhab tawm los ua ntej muab cov kua pleev;
4. lotions nrog sage thiab zib muCov. Ib lub decoction yog npaj los ntawm sage, ntuj zib ntab yog ntxiv rau kua, thov rau lub qhov txhab.

Kev siv lub cev ua haujlwm

Kev kho mob ntawm lub qhov txhab cuam tshuam nrog kev teem caij ntawm physiotherapeutic manipulations. Kev ua rau kev kho yog muab los ntawm:

1. laser cov nyhuv tua kab mob;
2. sib nqus cov nyhuv los kho cov leeg nqaij hauv plab thiab rov mob;
3. Kev kho mob ozone rau saturate hlwb nrog oxygen;
4. av nkos chav da dej rau epithelial tsim kho, kho microcirculation.

Kev Tiv Thaiv

1. koj yuav tsum tau saib xyuas cov xwm txheej ntawm daim tawv nqaij ntawm tus taw thiab txhais ceg;
2. tag nrho kev ntxias ntawm ko taw yog qhov tseem ceeb los nqa tawm hauv cov tsis huv;
3. los tiv thaiv kev puas tsuaj rau cov ntsia hlau phaj nrog fungi;
4. tswj cov ntshav khov li qub;
5. Hnav khau yooj yim.

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Hais txog kev kho mob ntawm mob raum ua ntshav qab zib hauv yeeb yaj kiab:

Kev kho kab mob ntshav qab zib ua rau mob ncauj plab yog kev tiv thaiv kom tsis txhob mob tes taw. Yog li, tus cwj pwm muaj lub luag haujlwm nrog rau tus kab mob tso cai rau koj los tswj ntshav qab zib kom tswj, zam qhov tshwm sim uas tsis cuam tshuam.