Ntshav qab zib mellitus ua rau ib tug neeg rov xav txog lawv tus cwj pwm thiab kev ua neej nyob rau hauv dav dav. Tus kab mob yog txaus ntshai heev tsis yog li cov ntshav ntawm cov piam thaj, vim yog qhov kev rau txim hnyav rau tag nrho lub cev. Feem ntau cov feem ntau, qis dua ntawm cov neeg txom nyem, txij li lawv muaj qhov thauj khoom ntau thaum taug kev. Mob ceg hauv ntshav qab zib tuaj yeem yog cov tsos mob ntawm cov kev mob nyhav, yog li lawv yuav tsum tsis txhob quav ntsej lossis tsis ua siab ntev, cia siab tias lawv yuav dhau los ntawm lawv tus kheej dhau sijhawm.
Muaj peev xwm ua rau mob caj dab
Kev nce qib ntawm cov piam thaj hauv cov ntshav ua rau muaj kev cuam tshuam nyob rau hauv tus txheej txheem ntawm kev sib kis ntawm cov hlab ntsha thiab lub cev tsis zoo hauv cov ntshav xa mus rau cov leeg thiab cov hlab ntsha ntawm cov nqua. Kev sib xyaw ntawm ntau cov kab mob pathological uas qhia tau tias ua txhaum ntawm trophism, sab hauv, thiab ntshav ncig feem ntau hu ua "mob ntshav qab zib ko taw mob." Txawm li cas los xij, tsis yog tsuas yog ib feem ntawm txhais ceg no tuaj yeem mob - nyob ntawm qhov ua kom muaj tshwm sim, tsis xis nyob yuav cuam tshuam rau thaj chaw ze ntawm pob taws, plab taws thiab qis ceg.
Kev ncig hauv zos tsis zoo
Nrog cov ntshav microcirculation nyob rau hauv qis qis, lawv cov ntaub so ntswg tau txais qhov nyiaj txaus ntawm cov as-ham thiab cov pa oxygen. Vim yog cov qib ntshav qabzib siab, cov ntshav tuab thiab ua viscous. Qhov no ua rau muaj kev ua txhaum ntawm permeability thiab elasticity ntawm cov hlab ntsha, leeg thiab capillaries. Yog tias ib tus neeg ua ntej lossis nyuam qhuav pib mob atherosclerosis, nws tau nce zuj zus. Qhov no piav qhia txog vim li cas lub lumen ntawm cov hlab ntsha nqaim, thiab qee qhov chaw ntawm txhais ceg nrog ntshav qab zib nres yuav tsum muaj cov ntshav tawm mus tag nrho. Qhov mob vascular no yog hu ua mob ntshav qab zib angiopathy.
Cov tsos mob thaum pib ntawm tus mob no:
- nce ceg qaug zog;
- loog ntawm qee qhov ntawm daim tawv nqaij;
- tawm hws ntau dhau;
- qhov mob nce ntxiv, ua ntej lub zog tawm dag zog, thiab tom qab ntawd so;
- cov tsos ntawm lameness thaum taug kev;
- zoo nkaus li txias nyob hauv ob txhais ceg txawm tias qhov chaw nyob ib puag ncig zoo.
Raws li cov ntshav qab zib muaj qhov tsis zoo zuj zus, nws yuav cuam tshuam rau ib tus neeg kom lawv tsuas duav lawv txhais ceg nrog pam
Hauv cov qauv mob hnyav ntawm angiopathy, tag nrho cov kev pom no ua rau hnyav dua thiab ua lub neej ntawm tus txiv neej tas mus li. Coob tus tsim txom nws, tawv nqaij ntawm nws ob txhais ceg hloov xim (maj mam hloov daj, tom qab ntawd ua cyanotic). Hlawv, rub tawm mob, loog kis rau tag nrho ko taw. Hauv kev tsis muaj kev kho mob txaus, kev mob txhab trophic tshwm sim ntawm ob txhais ceg, uas dhau sijhawm tuaj yeem ua rau mob caj dab. Txhawm rau txhawm rau tiv thaiv txiav tes taw ntawm tes taw, tus neeg mob yuav tsum tsis tu ncua kuaj kev tiv thaiv, thiab ntawm cov tsos mob tsis txaus ntseeg tam sim ntawd sab laj nrog kws kho mob.
Lub paj hlwb peripheral puas tsuaj
Lub paj hlwb ntawm tus neeg mob ntshav qab zib mellitus (tshwj xeeb tshaj yog hom 2) yauv pauv hloov ntau heev, uas feem ntau ua rau kev txhim kho mob neuropathy. Kev ua txhaum nyob rau hauv cov metabolism ntawm carbohydrates ua rau edema ntawm lub qab haus huv, ib qho kev ua txhaum ntawm lawv cov kev coj ua thiab kev txuam nrog coob ntawm cov teeb meem dawb radicals. Yog tias cov txheej txheem rhuav tshem no tsis nres hauv lub sijhawm, txoj hlab hlwb mob tuaj yeem tuaj yeem ua rau tsis zoo thiab txawm tias ua rau tag nrho lub siab tsis ploj.
Qhov qhia ceeb toom tias tus neeg mob ntshav qab zib yuav tsum tau them tshwj xeeb rau:
- tingling thiab loog ntawm ob txhais ceg;
- tua thiab ua rau mob plab hlaub thiab taw;
- txo qis rhiab rau lub zog ntawm siab thiab tsis kub;
- txo qis (lossis thiav rov qab, rhiab dhau) qhov mob ntawm cov neeg kho tshuab raug mob;
- tsis paub cai gait.
Ib qho txo qis hauv qhov mob rhiab ua rau pom qhov ua tsis zoo ntawm neuropathy
Cuam Tshuam Cov Nqaij Phem
Cov hauv qab no yam ua rau kev txhim kho ntawm txawv teb chaws pathogenic microflora:
- nquag kho tshuab tsis zoo rau daim tawv nqaij;
- hnav khau nruj ua los ntawm cov khoom siv dag;
- kev tsis saib xyuas ntawm kev nyiam huv.
Nrog rau kev mob fungal lossis kab mob, ob txhais ceg mob vim qhov kev txhim kho ntawm o, o thiab ua tsis tau zoo ntawm cov nqaij. Hauv cov xwm txheej siab, qhov no tuaj yeem ua rau kom muaj qhov tsim nyog thiab tsim cov qog, uas ua rau mob hnyav thiab ua kom lub cev tsis zoo. Tawm tsam keeb kwm ntawm ib qho kab mob sib kis, cov mob rau sab hauv tuaj yeem ua rau ntawm ob txhais ceg, uas kho tsis zoo thiab tuaj yeem ua rau mob caj dab. Nws yog qhov zoo dua los kho cov kab mob no thaum pib theem ntawm txoj kev loj hlob, thaum tawv nqaij tseem muaj me me thiab tsis nrog tawm los ntawm cov kua paug, mob hnyav thiab necrosis ntawm cov ntaub so ntswg.
Ob leeg o
Ntawm cov ntshav qab zib, qhov mob loj thiab me me ntawm cov ceg yuav ua rau mob thiab ua rau tus neeg tsis xis nyob ntawm qhov txav me me. Tus kab mob tuaj yeem pib hloov zuj zus mus rau hauv daim ntawv ntawm kev mob caj dab lossis txhim kho maj mam tshwm sim, ua ntu zus los ntawm lub sijhawm. Nrog rau daim ntawv tshwm sim sai ntawm cov kabmob, daim tawv nqaij ib ncig ntawm qhov sib koom tes hloov xim liab, thawj hauv zos thiab tom qab ntawd lub cev kub nce, qhov mob tau tshaj tawm tam sim. Yog tias qhov mob huam huam huam tuaj zuj zus (li mob caj qaum), ces cov tsos mob feem ntau nce sijhawm, tab sis mob thaum taug kev yog qhov ib txwm muaj.
Cov txheej txheem feem ntau tau tawm mus rau ntawm ib sab thiab cuam tshuam cov pob qij txha me me ntawm ko taw, txawm hais tias kev koom tes ntawm lub hauv caug thiab pob taws pob qij txha tsis raug cais.
Vim lub cev ua rau lub cev qhuav thiab tsis muaj zog los ntawm cov ntshav qab zib, txawm tias qhov mob qeeb qeeb ntawm arthrosis kev tsim kho sai thiab cuam tshuam lub neej zoo ntawm tus neeg txhua hnub. Yog hais tias tus kab mob tshuav rau lub caij nyoog, nws tuaj yeem ua rau kev rhuav tshem ntawm cov pob qij txha thiab tsis tuaj yeem txav mus los ntawm tus kheej.
Lub pob txha qhuav
Qhov tshwm sim ntawm keratinization thiab nyuaj huuses ntawm ko taw yog ib txwm cuam tshuam nrog qhov tsis hnov tsw tactile kev xav thaum taug kev thiab kov thaj chaw no. Nrog rau cov ntshav qab zib, daim tawv nqaij yuav qhuav thiab nws tawg, yog li cov qauv no coj ntau dua kev tsis xis thiab qhov mob. Nws yog qhov tsim nyog yuav tau tshem tawm cov ntsiab lus tsis tau loj hlob hauv thawj theem ntawm qhov tsos, txij li lawv muaj peev xwm tob tob rau hauv daim tawv nqaij thiab ua rau cov ntshav nyob ntawd. Ua kom nruj ntawm lub ntsej muag ntawm ko taw, dhau sijhawm, corns tuaj yeem txhawb nqa thiab ua rau mob zom zaws. Ntawm cov ntshav qab zib, tsis txhob siv cov tshuaj acidic rau pedicures, vim lawv qhuav tawv rhiab thiab tuaj yeem ua rau voos.
Cov yam ntxwv ntawm kev ua rau pom kev mob hauv poj niam thiab menyuam
Rau cov poj niam, mob ceg mob ntshav qab zib feem ntau tshwm sim los ntawm cov mob no:
- arthropathy nyob rau keeb kwm ntawm keeb kwm kev hloov pauv hauv lub cev (piv txwv, thaum lub sijhawm lawm);
- feem ntau tshwm sim corns thiab ingrown tes vim kev hnav tsis xis, khau siab siab-siab;
- thrombophlebitis lossis nce ntshav viscosity (lawv tuaj yeem yog vim kev xeeb tub, kev tiv thaiv qhov ncauj lossis teeb meem hauv lub plab zom mov).
Hauv cov menyuam yaus, ntshav qab zib tuaj yeem ua rau mob mob ntawm txhais ceg tom qab kev tawm dag zog lub cev lossis thaum hloov pauv hauv cov ntshav ntawm cov ntshav nyob rau theem. Kev tsis kaj siab nyob rau hauv qis qis ntawm tus menyuam kuj feem ntau tshwm sim vim yog neuropathy. Yog li, ntxiv rau qhov kev saib xyuas tas li los ntawm tus kws kho keeb (endocrinologist), kev tshuaj xyuas lub sij hawm ntawm tus kws kho neurologist thiab vascular yeej tseem ceeb heev rau menyuam. Kev kuaj mob raws sij hawm tuaj yeem tiv thaiv cov teeb meem ceg ua ntej cov tsos mob thawj zaug tshwm sim.
Koj yuav tsum taug qab cov ntshav qab zib hloov hauv cov menyuam yaus ntau dua li cov neeg loj, vim tias vim muaj cov hnub nyoog muaj feem cuam tshuam ntawm cov ntshav qab zib muaj teeb meem, lawv tuaj yeem tsim kho sai dua
Qhov tseem ceeb ntawm kev tiv thaiv kev soj ntsuam thiab cov pluas noj
Tiv thaiv cov kab mob pathologies hauv cov ntshav qab zib tau yooj yim dua li kho lawv. Kev tshuaj xyuas tas li (txawm tias qhov tsis muaj ib qho tsis xis nyob) pab tswj xyuas tib neeg txoj kev noj qab haus huv, thiab qee zaum lub neej. Cov neeg mob ntshav qab zib muaj peev xwm raug soj ntsuam ib ntus no:
- kev soj ntsuam zoo ntawm cov ntshav cov piam thaj;
- dopplerography ntawm cov hlab ntsha ntawm qis qaum;
- kev kuaj pom nrog kev txiav txim siab ntawm cov mem tes ntawm lub nkoj loj ntawm ob txhais ceg;
- kev sab laj ntawm tus kws kho mob hlwb nrog kev paub tseeb txog cov kev thim rov qab;
- ob leeg xoo hluav taws xob
- cov ntawv sau (angiography) nrog tus sawv cev sib piv;
- electroneuromyography.
Electroneuromyography yog ib txoj hauv kev tshawb fawb tau zoo, txawm hais tias menyuam yaus
Cov xwm txheej dav dav ntawm tus neeg mob (suav nrog kev noj qab haus huv) yog nyob ntawm kev noj haus. Kev tsis kam ua qab zib thiab ua raws li kev noj haus uas tau pom zoo nrog rau cov kev kho mob tau tso cai koj tuaj yeem ua kom cov piam thaj nyob hauv ib qho. Qhov rheological tsis dhau ntawm cov ntshav yog li qub, thiab yog li ntawd, kev pheej hmoo ntawm kev tsim mob angiopathy thiab kev cuam tshuam ntawm cov hlab ntsha tau tshem tawm.
Yuav ua li cas tiv thaiv qhov pom ntawm kev mob?
Txij li nws yog ob txhais ceg mob ntshav qab zib uas yog lub hom phiaj tseem ceeb ntawm kev puas tsuaj, nws yog qhov tseem ceeb heev los saib xyuas lawv tus mob. Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem, cov neeg mob tau pom zoo kom ua raws li cov cai hauv qab no:
- tsis tu ncua soj ntsuam cov ntshav cov piam thaj;
- yauv mus kho kev siv tshuaj nrog cov tshuaj kom txhim kho txoj haujlwm ntawm cov hlab ntsha thiab hlab ntsha;
- saib xyuas kev noj qab haus huv ntawm daim tawv nqaij ntawm ob txhais ceg, noo noo nws thiab tshawb xyuas qhov kuaj pom qhov raug mob me, khawb, tawg;
- txhua tag kis sawv ntxov ua kev tiv thaiv kev tawm dag zog kom sov cov taw thiab tus kheej zaws kom ua rau cov ntshav ncig.
Tag nrho cov ntsiab cai no ua haujlwm yog tias tus neeg mob ua raws kev noj zaub mov zoo. Yog lawm, yog tias muaj ntau cov khoom noj qab zib thiab roj, tsis muaj kev tiv thaiv yuav ua rau muaj txiaj ntsig. Tus yuam sij rau cov ntshav qab zib ib txwm yog kev soj qab xyuas tas li ntawm cov piam thaj thiab ib qho kev noj zaub mov zoo. Koj tuaj yeem tiv thaiv cov tsos ntawm kev mob hauv ob txhais ceg. Ua qhov no, nws txaus los ua raws li cov lus pom zoo ntawm tus kws kho mob koom thiab mloog koj lub cev.
