Ntshav qab zib mob ko taw

Qhov zoo ntawm lub neej ntawm cov neeg mob ntshav qab zib yog feem ntau nyob rau ntawm kev pheej hmoo. Ntxiv rau kev puas tsuaj rau lub hlwb, ob lub raum, qhov ntsuas qhov muag thiab lub paj hlwb, lub luag haujlwm tseem ceeb yog muab rau tus mob ko taw mob ko taw (SDS). Cov cim tseem ceeb ntawm pathology yog qhov tshwm sim ntawm mob txhab, mob tseem ceeb ischemia thiab pathology ntawm cov pob txha thiab pob qij txha ntawm qhov tsis kis. Kev mob caj dab yog suav tias yog qhov mob txaus ntshai tshaj plaws, vim tias qhov txuas ntawm kev kis mob theem ob yuav ua rau kev txhim kho txha caj qaum thiab poob ntawm tes.

Kev mob ko taw - ib qho xwm txheej uas cov kws kho mob hlwb koom nrog. Hauv cov teb chaws txawv teb chaws, podiatry tab tom kawm txog qhov teeb meem no, txawm li cas los xij, hauv peb lub teb chaws cov kev tshawb fawb no suav hais tias yog cov tub ntxhais hluas, qee cov kws tshwj xeeb nqaim tsis tuaj.

Cov ntsiab lus dav dav

Qhov nqaj qis tau raug nthuav tawm ntau qhov kev ntxhov siab thoob plaws lub neej. Txhua qhov nyhav ntawm lub cev yog kis tau rau cov qauv teeb tsa ntawm taw. Tias yog vim li cas kev puas tsuaj rau cov hlab ntsha, cov hlab ntsha hauv plab thiab cov osteoarticular apparatus tiv thaiv ntshav qab zib mellitus provokes kev txhim kho ntawm kev puas tsuaj thiab deformation ntawm ko taw.

Mob ko taw mob ntshav qab zib yog suav tias yog kev kho mob ywj pheej uas tshwm sim tawm tsam keeb kwm ntawm lwm cov kab mob ntev (retinopathy, nephropathy, angiopathy, neuropathy). Qhov tawm ntawm lub cev qis qis ua haujlwm anatomical thiab physiological hloov, uas tau tshwm sim los ntawm cov txheej txheem purulent-necrotic.

Kev tsim kho tshuab

Hauv cov ntshav qab zib mellitus, muaj qhov tsis txaus (1 yam kabmob) lossis kabmob (2 hom kabmob) insulin pancreatic hormone deficiency. Cov txheej txheem zoo li no ua rau cov piam thaj ntau hauv cov ntshav thiab cuam tshuam ntawm tag nrho cov txheej txheem hauv metabolism. Mob ko taw yog qhov tshwm sim ntawm lwm yam kev cuam tshuam lig ntawm tus mob lwm yam: mob neuropathy, angiopathy, osteoarthropathy.

Mob neuropathy mob ntshav qab zib

Tus mob no ua rau pom qhov tshwm sim ntawm qhov mob qog rau txhua qhov thib ob. Qhov ntsuas ntshav khov kho tsis tu ncua ua rau kev puas tsuaj rau cov hlab ntsha (hlwb, leeg, cov txais), uas, ua ntu zus los ntawm tus cwj pwm tsis zoo ntawm cov leeg tsis zoo. Ntxiv rau, puas tsuaj rau cov hlab ntsha kuj yog tshwm sim los ntawm angiopathies uas tshwm sim hauv yuav luag txhua qhov mob ntshav qab zib thiab ua rau oxygen oxygen tshaib plab ntawm cov paj hlwb.

Kev puas tsuaj hauv cov ntshav qab zib mellitus yog ib qho ua rau hauv kev txhim kho mob ntshav qab zib taw

Kev ua txhaum ntawm lub cev tsis xis nyob ua rau atrophy ntawm cov leeg npas kev ntawm ko taw. Kev hloov pauv hloov, uas nrog cov cim hauv qab no:

• keratinization ntawm daim tawv nqaij nyob rau hauv qhov chaw ntawm lub siab tsis tu ncua;
• hematomas;
• cov tsos ntawm corns;
• qhov tsim ntawm qhov chaw ntawm necrosis ntawm daim tawv nqaij;
• qhov tshwm sim ntawm mob txhab.

Ntshav Qab Zib Osteoarthropathy

Lwm txoj kev tiv thaiv kab mob uas tiv thaiv tus mob ntshav qab zib taw. Tus mob no tsis tshua muaj mob (tsuas yog 1% ntawm cov neeg mob ntshav qab zib) thiab yog tus cwj pwm los ntawm pathology ntawm cov pob txha qauv. Lub npe thib ob ntawm osteoarthropathy yog "Charcot tus taw."

Cov ntsiab lus tseem ceeb uas nrog qhov tshwm sim ntawm osteoarthropathy:

• ua txhaum ntawm innervation;
• microcirculatory mob nrog rau kev nce ntxiv ntawm cov ntshav ntshav;
• txo qis hauv cov naj npawb ntawm cov tub ntxhais hluas cov pob txha uas tau lav rau qhov tsim ntawm kab ntawv;
• deformation ntawm tus pob txha pob;
• kev tshem tawm, subluxations thiab pob txha tawg tshwm sim.

Osteoarthopathy yog pathology nrog kev puas tsuaj rau cov pob txha ko taw

Tseem Ceeb! Cov txheej txheem feem ntau cuam tshuam cov pob txha ntawm cov ntiv tes, tarsi, tsawg dua pob luj taws.

Ntshav qab zib Angiopathy

Qhov no yog vascular lesion ntawm ntau cov calibres, tawm tsam uas mob ko taw mob ko taw tsim. Pom tseeb heev yog atherosclerosis thiab occlusion, feem ntau tshwm sim hauv qab ntawm lub hauv caug. Cov txheej txheem zoo sib xws raug suav tias yog qhov tseem ceeb hauv cov txheej txheem purulent-necrotic, ua rau pom kev tawm tsam ntawm keeb kwm ntawm tus mob ntshav qab zib ntawm cov ischemic yam.

Cov Lus Qhia Muaj Tseeb

Muaj ntau tus lej ntawm kev raug mob uas zoo li yog cov teeb meem me, tab sis tawm tsam keeb kwm ntawm cov ntshav qab zib mellitus tuaj yeem ua rau ntau cov kab mob loj dua thiab ua rau muaj kev cuam tshuam hauv kev txhim kho mob ko taw.

Cov pab pawg no suav nrog kev sib txawv rau cov ntsia hlau, cais tawm ntawm cov ntsia hlau phaj vim raug xaiv tsis zoo rau cov khau nruj, hemorrhages lossis mob txhab. Qhov tsim muaj cov ncab thiab pob kws. Qhov no tseem suav nrog kev kho lub cev puas ua rau kev ncaj ncees ntawm daim tawv nqaij, pob taws tawg, pob taws tawg vim pob txha nthuav dav.

Cov Hom Kawm

Sib cais yog txiav txim siab ib yam nkaus thiab feem ntau lees txais. Muaj peb yam tseem ceeb ntawm tus mob:

Mob ntshav qab zib neuropathy thiab nws cov kev kho mob

• Raug mob ko taw ntawm tus mob neuropathic (60-65% ntawm cov neeg mob) - tshwm sim tawm tsam keeb kwm ntawm kev mob ntshav qab zib ntev, ua ke nrog lwm yam kev cuam tshuam. Daim tawv nqaij tsis hloov, qhov hloov pauv hauv cov hlab ntsha yog tshwj tseg, txhua yam kev nkag siab raug cuam tshuam, tsis muaj mob.
• Kev ua laib taw ntawm hom ischemic (10-15% ntawm qhov mob) - cov neeg mob yws ntawm qhov mob hnyav, daim tawv nqaij ntawm ko taw muaj qhov ntsej muag xiav, txias rau qhov kov. Txoj kev zoo nkauj yog txig txo, tab sis qhov rhiab txaus yog qhov txaus. Yeej, cov neeg mob ib txhij tiv thaiv cov ntshav siab, muaj cov roj cholesterol ntau hauv cov ntshav.
• Sib xyaw-hom ko taw (20-25% ntawm tus neeg mob).

Yog hais tias tus neeg mob muaj ischemic pathology, kev kuaj mob siv kev faib tawm ntawm lub xeev ntawm qhov nqua ntawm lub ntsej muag:

• 1 - tsis muaj tsos mob (hauv 70% ntawm tus neeg mob).
• 2a - mob thaum taug kev ntau dua 200 m;
• 2b - mob mob thaum taug kev tsawg dua 200 m;
• 3 - mob hauv qhov so tag;
• 4a - trophic pathology nrog kev mob;
• 4b - qhov mob tsis yooj yim trophic pathology.

Kev sib cav tsis sib haum - cov tsos mob ntawm kev puas tsuaj rau qhov qis qis, tshwm sim hauv kev mob thaum taug kev

Kev faib tawm ntawm qhov txhab txhab txhab nyob rau ntawm tus mob ko taw:

• 0 degree - kev ncaj ncees ntawm daim tawv nqaij tsis tawg;
• 1 degree - mob rwj rau tom qab tsis muaj mob;
• 2 degree - mob raum ua rau cov nqaij txheej tob;
• Qeb 3 - purulent o ntawm cov pob txha txhim kho lossis kev tsim cov qog ntshav;
• Qib 4 - laib voos, uas muaj kev pom tseeb tseeb;
• 5 degree - kev ua haujlwm kub ntxhov rau lub cev, thaum ua haujlwm txiav tawm xwm ceev.

Kev faib mus rau cov pab pawg ntawm cov txheej txheem sib kis uas tau tshwm sim thaum mob ko taw pathology:

• Tsis muaj kev sib kis - cov qhov txhab lossis mob rau sab hauv tsis muaj qhov paug purulent thiab tsis muaj cov cim qhia tias muaj kev cuam tshuam dab tsi.
• Kab mob mentsis - muaj ntau cov tsos mob ntawm qhov mob tshwm (edema, liab, mob, hauv lub zos hyperthermia). Hyperemia ntes cov phiaj xwm tsis ntau tshaj 2 cm ntawm txhua sab ntawm ntug qhov txhab lossis mob txhab.
• Kev kis mob pes tsawg - nrog los ntawm lymphangitis, kev tsim muaj cov qog ntshav, mob caj pas. Cov txheej txheem txuam nrog cov txheej txheem sib sib zog nqus.
• Kev kis mob rau tus neeg tau kawm tiav qib siab - muaj cov cim ntawm kev qaug cawv hnyav ntawm lub cev, txo ntshav siab, ntshav nce siab, ntshav qab zib, ntshav qab zib.

Cov tsos mob ntawm pathology

Ib qho kev tsis sib haum xeeb twg tuaj yeem nrog los ntawm purulent necrotic lesions. Cov tsos mob ntawm tus mob ko taw yog nyob ntawm seb tus mob puas nrog tus mob phais neeg, uas qhov kev phais mob ceev yog qhov tsim nyog lossis tsis. Hauv nws qhov tsis muaj, hom mob ko taw muaj peev xwm sib txawv raws li kev yws ntawm cov neeg mob.

Thawj cov tsos mob ntawm tus mob neuropathic yog pom los ntawm kev mob caj dab uas tshwm sim hauv ob txhais taw, ceg, lub duav. Qhov mob ntsws txo qis tom qab txav, hloov chaw ntawm txoj haujlwm ntawm nqaj qis. Cov neeg mob tsis txaus siab ntawm qhov tsis hnov ​​rhiab, tingling, tsis xis nyob, hlawv, zoo li goosebumps. Ib qho kev tawm suab ntau heev yog qhov nce ntawm o, cov leeg tsis muaj zog.

Qhov uas pom tseeb tias hnov ​​mob yog qhov qhia tias yog mob ntshav qab zib ntawm lub cev neuropathic

Cov tsos mob ntawm hom ischemic tshwm sim raws li hauv qab no:

• mob hnyav ntawm txhais ceg thaum taug kev;
• cov neeg mob yog yuam kom nres kom qhov mob huam poob qis;
• qhov mob uas tshwm sim thaum tus neeg mob nyob hauv kab rov tav thiab ploj tom qab tus neeg mob zaum;
• cramps, tshwj xeeb tshaj yog thaum tsaus ntuj;
• zoo nkaus li mob khaub thuas hauv cov taw.

Kev soj ntsuam rau cov neeg mob

Lub rooj qhia cov ntsiab lus tseem ceeb uas tso cai sib txawv ntau hom mob ko taw.

Tseem Ceeb! Cov duab thiab cov duab ntawm pom kev pom ntawm pathology tuaj yeem nrhiav tau ntawm lub vev xaib lossis ntawm nplooj ntawv ntawm cov ntawv tshwj xeeb.

Kev kuaj mob

Kev txiav txim siab kom raws sij hawm ntawm tus mob yuav maj mam hloov zuj zus ntawm tus mob, xaiv txoj kev kho kom raug, thiab tiv thaiv kom tsis txhob txiav tawm ntawm caj pas qis. Ua ntej tshaj plaws, tus kws tshaj lij sau cov ntaub ntawv ntawm cov kis kab mob thiab qhia meej txog qhov muaj cov kev tsis txaus siab. Tom ntej no, kev soj ntsuam ntawm qhov qis qis qis tshaj: qhov cog ntoo thiab dorsum, qhov chaw nruab nrab ntawm cov ntiv tes.

Tus kws tshaj lij qhia meej xim ntawm daim tawv nqaij, nws qhov kub, muaj cov plaub hau. Txheeb xyuas turgor thiab tawv nqaij elasticity, hloov ntshav ntawm cov hlab ntsha, muaj puffiness thiab trophic tsis xws luag. Yog tias tus kws kho mob tsis tuaj yeem mloog cov mem tes rau ntawm cov hlab ntsha txhaws nyob sab hauv, Dopplerography yog ua nrog lub khoom siv txawb.

Portable dopplerograph - ib qho cuab yeej uas tso cai rau koj mloog rau lub xub ntiag ntawm cov mem tes ntawm cov hlab ntsha txhaws.

Nrog kev pab ntawm tus kws kho hlwb (neurologist), lub xeev rhiab tau raug ntsuas:

• tactile - monofilament;
• mob - nrog rauj nrog rab koob tom kawg;
• kev co - tig rawg;
• kub - cov khoom txias thiab sov.

Kev xoo hluav taws xob tso cai rau koj kom paub meej txog qhov mob sab hauv thiab cov khoom siv osteoarticular. Rau qhov pom kev zoo dua qub, siv ob txoj kev tshaj tawm xov xwm siv.

Kuaj

Cov hau kev tshwj xeeb los txiav txim siab pom muaj pathology:

1. Qauv Alekseev. Txheeb xyuas qhov hloov pauv ntawm qhov kub ntawm qhov qis qis dua tom qab taug kev. Hauv cov neeg mob uas muaj kab mob ncig, kev ntsuas yog txo los ntawm 1-2 ° C tom qab 400 m.
2. Qauv Marburg. Tawm tsam pallor ntawm plantar saum npoo ntawm ko taw, xiav pob yog pom kom meej meej.
3. Ncig Saib Ratshaw. Tus neeg mob pw ntawm ib qho tawv tawv, tsa ob txhais ceg thiab hla lawv. Hauv ob peb feeb, pallor ntawm tus taw tshwm.
4. Qauv Cazascu. Nyob rau sab pem hauv ntej raws tag nrho ceg yog nqa nrog yam khoom tsis meej. Kev ua txhaum ntawm cov ntshav ua pov thawj pom qhov tawg ntawm hyperemia ntawm daim tawv nqaij.

Hauv-kev kuaj mob

Thaum paub tseeb tias qhov mob ntawm ko taw mob ntshav qab zib, tus neeg mob yuav pw hauv tsev kho mob endocrinological los kho tus mob thiab sau ntawv kho mob. Txoj kev tshawb fawb uas yuav tsum tau ua nyob rau theem no yog:

• kev txheeb xyuas thiab palpation ntawm ob txhais ceg, qhia meej ntawm rhiab;
• nyob rau hauv muaj trophic mob txhab - kab mob inoculation ntawm cov ntsiab lus nrog ib qho tshuaj tua kab mob;
• du kuaj ntshav ntawm cov hlab ntsha - ultrasound, uas tso cai rau kom paub meej cov xwm txheej ntawm cov hlab ntsha thiab cov ntshav ncig ntawm lawv;
• arteriography ntawm qhov qis qis - radiopaque txoj kev, uas tau ua los ntawm kev qhia los ntawm kev sib piv hauv nruab nrab thiab coj cov duab xoo hluav taws xob ntxiv;
• oximetry - kev qhia meej txog ntawm cov muaj ischemia, nws cov degree;
• Xoo hluav taws xob, CT, MRI - kev soj ntsuam ntawm lub xeev ntawm cov qauv hauv nrog ko taw;
• kev sim hauv tsev (kev sim siab, ntshav rau qab zib, biochemistry, coagulogram);
• kev soj ntsuam los ntawm tus kws kho mob hlwb, nephrologist, kws kho qhov muag.

Kev kuaj ntshav qab zib yog ib txoj kev kuaj mob tseem ceeb uas tso cai rau koj los txiav txim qhov kev them nyiaj rau ntshav qab zib

Cov yam ntxwv khomob

Qhov teeb meem ntawm kev kho tus mob ntshav qab zib tsis tau ua tiav tas. Raws li ua ntej, ib nrab ntawm txhua tus neeg mob uas yauv txiav tawm ntawm qhov qis qis yog cov mob ntshav qab zib. Lawv pib kho cov kab mob pathology nrog nws cov laj thawj - hyperglycemia. Nws yog ib qho tseem ceeb heev los them rau cov ntshav qab zib los ntawm kev tswj cov piam thaj txog 6 mmol / l, thiab glycated hemoglobin txog 6,5%.

Txoj kev pabcuam khomob suav nrog kev thauj khoom ntawm lub cev muaj kabmob, uas yog suav tias yuav tsum tau ua rau txhua yam kev mob, tshwjxeeb tomqab phais tas. Cov kev ntsuas zoo li no txhawm rau txo qis o, o, tiv thaiv kev raug mob rau lub qhov txhab nws tus kheej. Kev kho kom zoo yuav siv qhov chaw. Qhov mob uas tsis zoo mob ntev mus ntau lub hlis lossis ntau xyoo muaj epithelized hauv 6 lub lis piam.

Kev pw lub txaj thiab ceg txheem ntseeg tsis tau zoo nyob rau hauv cov ntaub ntawv no. Lwm txoj hauv kev yog cov khau kho, uas tuaj yeem tsim los ntawm cov ntaub ntawv kho mob lossis hauv tsev (piv txwv li, los ntawm cov khau ntaub qub). Qhov peculiarity ntawm cov khau yog tias lub tswv yim ntawm tus ntiv tes lossis pob taws tseem qhib.

Cov tshuaj siv hauv kev kho mob ntawm tus mob syndrome:

• tshuaj cov ntshav ncig;
• cov roj ntsha ua rau cov neeg ua haujlwm txo qis qis dua;
• cov tshuaj noj uas cuam tshuam rau lub xeev ntawm vascular phab ntsa laus.

Kev kho qhov ncauj plab

Ua ntej tshaj plaws, cov kab mob uas tsim ua raws cov npoo ntawm lub rwj yuav raug tshem tawm. Nws yog cais tawm nrog pob txiab thiab txiab. Yog tias tsim nyog, qhib abscesses, ntxuav cov necrotic aav ntau li ntau tau.

Kev kho mob hauv zos ua raws li txoj cai: "Kev tsis txaus siab xav tau cov hnav noo noo, thiab cov neeg qhuav xav tau qhuav." Qhov chaw ntawm qhov mob txhab muaj kab mob siab yog kho nrog Dioxidine, hypertonic tov, Miramistin, Chlorhexidine. Zaus ntawm kev kho mob yog xaiv tau tus kheej (feem ntau 2 zaug hauv ib hnub). Nws raug tso cai los ntub cov qhov tsis xws luag nrog cov tshuaj iodine uas muaj Povidone-iodine, los ntawm sab nraud - tiv thaiv cov tshuaj pleev thiab tshuaj pleev (Ibuprofen, Hydrocortisone).

Npaj rau kev kho mob ntawm "ntub" ulcerative tsis xws luag

Tseem Ceeb! 5% iodine tov, ci ntsa iab ntsuab, cov tshuaj potassium permanganate tsis yog siv los kho qhov tsis zoo.

Cov mob raum thiab cov mob necrosis nrog rau cov tsos mob ntawm tus mob yog kho nrog cov tshuaj tua kab mob. Kev xaiv ntawm cov nyiaj yog nqa tawm tom qab tua kab mob thiab qhia meej txog qhov rhiab ntawm microorganisms mus rau tshuaj tua kab mob.

Nyeem ntxiv txog kev kho mob ntshav qab zib taw hauv kab lus no.

Kev phais mob

Kev pab cuam phais mob rau tus mob ko taw mob ko taw muaj cov yam qhia nram qab no:

• cov txheej txheem sib kis uas hem rau tus neeg mob lub neej;
• o ntawm cov pob txha hais, osteoarthritis;
• sib sib zog nqus ulcerative;
• cov teeb meem loj tom qab ua haujlwm dhau los;
• qhov tseem ceeb ischemia, yog tias tsis muaj contraindications.

Hauv cov xwm txheej zoo li no, kev txiav txim tawm yog yuav tsum ua. Qhov siab tau txiav txim siab los ntawm tus kws kho mob ua haujlwm nyob rau theem ntawm cov ntaub so ntswg uas siv tau, qhov tseem ceeb ntawm cov mob.Kev txhim kho ntawm txoj kev tsis txaus ntawm cov leeg ntshav yog nqa tawm siv cov kev tiv thaiv angiosurgical: zais pa angioplasty, tso stent, hla kev phais, endarterectomy.

Kev hloov kho tshiab hauv kev kho mob

Cuban cov kws kho mob tau tawm tswv yim tshiab los kho cov hom phiaj los tiv thaiv kev loj hlob ntawm cov kab mob pathology, txo cov kev pheej hmoo ntawm kev ua qog ntshav, ua kom sai ntawm cov nqaij mos ua kom rov zoo thiab kho kom zoo. Qhov kev npaj Cuban Eberprot-P yog sawv cev los ntawm qhov kev xav tau kabmob ua rau neeg loj hlob zoo rau cov kabmob muaj zog. Kev kho mob yog xaiv tau ntawm tus kheej hauv txhua qhov mob. Hmoov tsis zoo, mus yuav qhov cuab yeej no rau hauv tsev luam rau pej xeem tam sim no muaj teeb meem.

Eberprot-P - ib qho tshuaj uas siv los kho mob mob ko taw

Cov tshuaj kho neeg mob

Kev siv cov nroj tsuag tshuaj yog ib txoj hauv kev pabcuam ntawm kev kho tus mob. Kev ua tau zoo tau qhia qhov kev siv ntawm blueberry nplooj thiab txiv ntseej. Nws yog ib qho tsim nyog yuav tau qhia cov txiv ntoo txi rau hauv cov khoom noj txhua hnub (txog 3 tsom iav hauv ib hnub), thiab tshuaj yej uas muaj ntxhiab yog brewed los ntawm nplooj.

Lwm qhov tshuaj kho yog burdock nplooj. Compresses yog tsim los ntawm lawv, tau yav tas los kho lub ko taw nrog kev daws Furacilin thiab lubricated nrog me me ntawm zib ntab. Cov nplooj ntawm cov nroj yog tsau rau saum. Rov ua qhov txheej txheem thaum sawv ntxov thiab yav tsaus ntuj.

Kev ntxuav ntawm daim tawv nqaij kho yog nqa nrog ib lub decoction ntawm cov txiv hmab txiv ntoo qhuav. Ib tug tablespoon ntawm raw cov ntaub ntawv yog hliv rau hauv ib khob dej rhaub, coj mus rau lub rhaub thiab simmered li 15 feeb dua li cov cua sov qis thiab lim. Kev daws yog npaj los siv.

Muaj cov ntsiab lus ntxiv ntsig txog kev kho mob ntshav qab zib taw hauv tsev tuaj yeem pom nyob hauv cov lus no.

Mob ko taw

Qhov yuav tsum tau ua ntej yog kev ntxuav koj txhais taw txhua hnub nrog xab npum thiab dej sov. Tom qab ntawd nws yog qhov tsim nyog los ua kom tawv nqaij qhuav, tab sis tsis txhob txhuam lawv. Kev saib xyuas ko taw suav nrog kev kuaj tus kheej rau kev txiav txim siab ntawm daim tawv nqaij qhuav, puas, ua paug, nti, khawb, txhaws txhaws ntswg.

Cov tawv nqaij yog kuaj xyuas qhov liab, mob hauv qee thaj chaw, thiab nce hauv qhov kub hauv lub zos. Yog tias qhov mob rwj lossis callus tau pom, qhib lawv tus kheej yog txwv. Khaws qhov chaw nrog kev pab band, hloov cov khau thiab qhia qhov teeb meem rau tus kws kho mob.

Xaiv txoj cai khau yog kev tiv thaiv kev txhim kho qhov teeb meem.

Cov kev cai hauv qab no yuav txo qhov kev pheej hmoo ntawm cov teeb meem:

• koj yuav tsum tau txiav koj cov rau tes tom qab da dej (lawv dhau los ua softer);
• tsis txhob txiav cov fab ntawm cov ntsia hlau phaj;
• hiking yuav tsum ua nyob rau hauv khau xis nrog qhov tsim nyog me me kom nws tsis thawm thiab tsis tshiav calluses);
• tsis txhob mus kev liab qab;
• tsis kam rau khau nrog luj taws;
• cov thom khwm yuav tsum yog tsim los ntawm cov ntaub qhwv ntuj;
• yog tias tsim nyog, siv cov khau orthopedic;
• thaum da dej, kuaj xyuas lub ntsuas dej kom sov nrog koj ob txhais tes thiab tsis nrog koj txhais ko taw (qhov rhiab heev tuaj yeem txo qis);
• Tsis txhob hla koj ob sab ceg.

Ua raws li cov lus qhia los ntawm cov kws tshwj xeeb, txhawb kev pom zoo glycemia thiab kev saib xyuas txhua hnub yog qhov tseem ceeb uas tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim mob ko taw, thiab yog tias nws tshwm sim, maj mam muaj kev vam meej.