CHARCOT TUS KAB MOB NTSHAV QAB ZIB: KEV KHO MOB, THAWJ COV CIM QHIA THIAB KEV TIV THAIV

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Mob ntshav qab zib tuaj yeem ua rau ntau yam kabmob sib txawv.

Ib qho loj tshaj thiab txaus ntshai ntawm qhov kev cuam tshuam ntawm endocrine no yog Charcot cov kab mob ntshav qab zib (mob ntshav qab zib osteoarthropathy, Charcot sib koom ua ke).

Peb yuav sib tham ntxiv txog vim li cas nws tshwm sim, yuav kho nws li cas, thiab tseem ceeb tshaj, yuav ua li cas tiv thaiv nws tshwm sim.

Ua rau ntawm pathology

Tsuas yog ib ntawm ib puas tus neeg mob ntshav qab zib muaj kab mob xws li Charcot tus mob ntshav qab zib taw. Cov kws tshawb fawb tseem tab tom ua haujlwm los tsim cov dab tsi los ua rau tus txheej txheem no.

Niaj hnub no, tus ntawm ob peb lub ntsiab yog vim li cas tau pom pov thawj:

decompensated daim ntawv mob ntshav qab zib thiab mob hlwb txhim kho tiv thaiv nws cov keeb kwm yav dhau los. Nyob rau hauv cov zwj ceeb no, qhov khaus ntawm qhov muag ntawm sab ceg yog qhov txawv, qhov ntawd yog, yog tias koj nias ntawm ko taw, de nws, lossis ntaus nws, tus neeg yuav xyaum tsis hnov dab tsi. Tus neeg mob ntshav qab zib muaj lub peev xwm ua tsis taus ntawm kev tso ko taw tsis zoo thaum taug kev, xws li txhais ko taw “tsis hnov” cov khau nruj thiab lwm yam tsis zoo sab nraud - qhov no ua rau muaj kev cuam tshuam loj heev;
haus luam yeeb thiab haus dej haus cawv. Txawm hais tias nyob rau hauv tus neeg noj qab haus huv, tus cwj pwm tsis zoo ua rau txo qis lumen ntawm cov hlab ntshav, ntshav khiav tsawg, ntshav tuag ntawm capillaries thiab lwm yam tsis zoo. Hauv cov ntshav qab zib, txoj kev no tshwm sim txawm sai dua, yog li kev txhais ko taw ntsib kev tsis txaus ntawm cov as-ham thiab cov pa oxygen;
nkawm khau tsis xaiv;
peripheral vascular kab mob, feem ntau ntawm cov uas yog atherosclerosis;
cov kev ntshaus siab hauv cov hlab ntsha hauv lub cev. Tsis muaj oxygen nyob rau hauv ntau yam plab hnyuv siab raum ua rau tsis muaj zaub mov tsis zoo, tsub zuj zuj ntawm cov khoom lwj, cov kab mob necrosis (kev tuag).

Ib tug neeg uas mob neuropathy yuav tsis pom tias cov khau yog txhuam, tias lub pob zeb tau mus rau hauv txoj hlua khau, tias pob kws los ntshav tau tsim, thiab lwm yam. Qhov no ua rau kis kab mob thiab qhov pom ntawm tsis yooj yim los kho qhov mob.

Cov tsos mob txaus ntshai

Yog li, peb sau cov tsos mob tseem ceeb:

nyuaj taug kev, lameness;
kev o loj heev ntawm kev txo qis qis;
nquag ko taw raug mob: txav thaj, pob txha lov, pob txha taub hau;
calluses haujlwm ruaj khov, kab nrib pleb, tawv nqaij qhuav;
daim tawv liab;
nyob rau hauv qhov chaw ntawm kev swb hyperthermia tuaj yeem pom;
curvature ntawm cov ntiv tes;
doog ntshav;
txhua hnub mob hnyav hauv taw;
ntev ntev tsis kho qhov txhab, mob. Feem ntau lawv tig mus rau hauv cov txhab ua paug nrog cov zais kev zais;
outgrowths nyob rau soles;
ntsia thawv puas los ntawm fungi;
ingrown toenail.

Muaj ib daim ntawv tsis muaj mob uas yog mob ntshav qab zib osteoarthropathy, thaum tus neeg mob tsis tuaj yeem ntsuas nws tus mob tsis zoo. Hauv cov xwm txheej zoo li no, ntau yam nyob ntawm cov neeg ze ntawm tus neeg mob - hmoov tsis zoo. Yog tias Charcot txhais ko taw tau pom hauv ntshav qab zib mellitus, kev kho mob yuav tsum tau ua tam sim ntawd. Txwv tsis pub, qhov no yuav ua rau kev txiav tawm ntawm cov nqua.

Kev kuaj mob ntawm tus kabmob

Plaub txog ntshav qab zib osteoarthropathy muaj qhov sib txawv. Qhov thib ib yog tus cwj pwm los ntawm qhov pom o thiab ko taw liab, nce ntawm qhov kub ntawm qhov chaw mob txhab. Yog hais tias kev kho mob pib thaum thawj theem, ces kev mob tshwm sim feem ntau yog qhov zoo. Tom qab tus neeg mob tuaj cuag kws kho mob, nws yuav tsawg txoj kev vam meej.

Charcot tus kab mob ntshav qab zib mellitus, daim ntawv nyuaj

Piav qhia luv luv txog cov tsos mob ntawm cov theem seem ntawm kev txhim kho kabmob:

ntawm qhov thib ob, txoj kab uas hla ntawm ko taw yog sib cog, kev deformation ua kom pom tseeb heev;
cov ntiv tes tau khoov duav, qhov ko taw tsis tuaj yeem ua nws txoj haujlwm, qhov deformation ntxiv rau. Lub cev tsis raug lawm thiab pob txha tawg yuav tshwm sim;
muaj mob ua rau qhov txhab uas tsis yooj yim kho.

Kev Kho Mob

Qhov kev xaiv ntawm txoj kev rov zoo dua nyob ntawm theem ntawm kev kuaj pom tus kab mob.

Ob peb txoj kev siv tau siv los soj ntsuam qhov mob hnyav thiab qhov xwm ntawm cov chav kawm ntawm tus kab mob:

lawv ua xoo hluav taws xob lossis MRI kom paub txog seb cov pob txha tawg li cas, seb puas muaj kev tawg, cuam tshuam, thiab lwm yam.
ua cov kev kawm tshwj xeeb kom paub txog qhov nrawm thiab cov yam ntxwv ntawm cov ntshav khiav, lub xeev cov hlab ntsha thiab cov hlab ntsha hauv tus neeg mob lub cev.
Nco ntsoov txheeb xyuas qhov mob hnyav ntawm mob neuropathy los txiav txim siab ntau npaum li cas ntawm cov ceg tawv tau ploj mus rhiab.

Yog tias muaj mob txhab thiab mob, tom qab ntawd tus neeg sawv cev ntawm tus kabmob kis rau kev teem sijhawm kho tus kabmob tseeb yog qhia hauv lub lactopus nrawm nrog ntshav qab zib mellitus.

Txoj kev kho yog ib txwm ua, suav nrog:

noj tshuaj, tshuaj pleev thiab pleev;
cheem cov txheej txheem ntawm pob txha rhuav tshem;
Kev tawm dag zog ib ce;
kev noj haus. Nws yog ntawv sau los ntawm kws kho mob nruj me ntsis raws li hom kab mob;
kev tawm dag zog. Nws raug xaiv nyob ntawm qhov mob hnyav ntawm tus neeg mob lub thiab muaj cov kab mob concomitant.
xaiv ntawm nkawm khau, insoles, orthosis. Pib nyob rau txhua ntu. Xws li cov khoom lag luam tsim los ntawm kev phais orthopedic; Xws li cov khoom pab ua rau tshem tawm txoj kev thauj mus los ntawm ko taw, uas tiv thaiv qhov pom ntawm txiab thiab deformations.

Yog tias kuaj pom tus kab mob no rau ntawm thawj theem, nws tuaj yeem nres los ntawm kev noj tshuaj thiab hnav ib tus neeg lub pob txha mos. Hauv theem siab, kev phais mob feem ntau yog siv, qee zaum tus neeg mob mus ib txhis tsis muaj sijhawm los mus taug kev.

Kev kho ua kom tawm dag zog

Sab nraum cov theem mob sai, nrog rau kev tiv thaiv kev tshwm sim ntawm cov ntshav qab zib osteoarthropathy, nws raug nquahu kom ua cov kev tawm dag zog hauv qab no (rov ua dua kaum zaus txhua):

peb kho lub pob taws rau hauv av, thiab nrog peb cov ntiv tes peb sim ua lub voj ncig. Peb rov hais dua, tab sis twb tau kho qhov thom khwm lawm;
nqa lub cev mus rau lub luj taws thiab thom khwm nyeg;
khoov thiab unbend ntiv tes;
nrog txoj kev ko taw ncaj peb tsim cov ntawv ua pa hauv huab cua;
peb ncaj ob txhais ceg thiab tsa lawv, peb sim muab ko taw kom deb ntawm peb, thiab tom qab ntawd rau peb tus kheej;
rub cov thom khwm ntawm peb tus kheej, hloov tsa ceg kom ncaj ncaj hauv pem teb.

Peb zaug nyob rau ib hnub, suav nrog tam sim ntawd tom qab sawv, nws raug nquahu kom ua cov kev tawm dag zog hauv qab no: muab koj ob txhais taw tso rau hauv ncoo ntawm ib kaum ntawm 30% rau ob feeb, dai nws rau peb feeb, muab cov ceg nqaj tav toj rau lwm tsib feeb.

Tshuaj kho mob nkeeg

Kev kho yog nyob ntawm kev noj qab haus huv ntawm tus neeg mob tshwj xeeb.Cov pawg tseem ceeb ntawm cov tshuaj:

diuretics, tshuaj tsis-steroidal los tiv thaiv cov tshuaj pleev xim - yog kho rau cov leeg ntshav hnyav;
calcitonin subcutaneously lossis intramuscularly, zoo li bisphosphonates, yog qhov ncauj siv yog tias nws yuav tsum tau nres cov txheej txheem ntawm pob txha puas tsuaj;
anabolic tshuaj yuam. Lawv cov haujlwm: txhawm rau txhim kho neuromuscular conduction thiab cov leeg nqaij, txhawb kev nqus ntawm calcium, nce kev sib koom tes ntawm kev txav.

Thawj theem, nws pom zoo kom siv lwm txoj hauv kev. Piv txwv li, da dej los yog pleev qhov ntau nrog cov zib mu-eucalyptus muaj pes tsawg leeg. Ua noj ua haus zoo li no: zom 50 grams ntawm eucalyptus (rau ib khob dej) hauv dej da dej rau ib quarter ntawm ib teev. Txias, lim, ntxiv ob diav ntawm zib ntab, sib tov.

Thiab lwm txoj hauv kev xaiv zoo: sib tov ib feem ntawm rosemary thiab ob ntu ntawm mustard noob thiab paj chamomile. Ncuav dej npau npau nrog ib nrab ib liter, ntxig rau ib hnub. Moisten wool thom khwm, muab cov ceg hauv lawv, siv li ib teev lossis ntau dua hauv daim ntawv no.

Kev tiv thaiv kev ntsuas

Cov kev tiv thaiv tseem ceeb tshaj plaws rau cov kab mob phom sij li Charcot sib koom ua ke rau cov ntshav qab zib mellitus suav nrog cov hauv qab no:

tag nrho ua raws li cov lus pom zoo ntawm tus kws kho mob tuaj koom;
ib txwm kuaj xyuas ob txhais ceg. Yog tias cov tawv nqaij tau hloov xim, thiab ob txhais taw lawv tus kheej o tuaj, pob txha, txiab, tes rau tes pib tshwm, ces cov no yog thawj lub tswb nrov uas tsis tuaj yeem tsis quav ntsej;
Koj tsis tuaj yeem sim kho Charcot tus taw koj tus kheej;
Nws yog ib qho tseem ceeb kom koom nrog kev kho mob lub cev;
nws yog ib qho tsim nyog yuav tsum tau hnav cov khau tshwj xeeb, ib leeg orthostalkes;
Tsis txhob hnov qab ntxiv dag zog rau kev tiv thaiv kab mob;
tsis tu ncua tshuaj xyuas los ntawm tus kws endocrinologist;
kev noj zaub mov kom zoo, kev saib xyuas cov ntshav qab zib tas mus li, thiab qhov tsis lees paub ib qho kev coj ua tsis zoo yog qhov tseem ceeb tshaj plaws.

Yog tias koj pom muaj qhov hloov pauv hauv qhov rhiab ntawm txhais ceg, piv txwv li, qhov mob me ntsis txhawm, txhaws, lossis mob, nco ntsoov sab laj nrog kws kho mob.