Hauv kev kho mob ntawm kab mob endocrinological pancreatic, txoj kev saib xyuas tus kheej tau ua lub luag haujlwm tseem ceeb. Cov txheej txheem kev tu cev, yog lub hauv paus rau kev saib xyuas cov kua nplaum nyob ntawm theem kom tsim nyog, muaj lawv tus yam ntxwv. Lub hom phiaj ntawm kev siv tshuaj pleev rau mob ntshav qab zib yog tiv thaiv kom tsis txhob mob nyhav thiab tswj tus neeg mob lub peev xwm ua haujlwm tau zoo. Yuav siv cov tshuaj dab tsi rau cov neeg mob ntshav qab zib los kho tus mob neuropathy? Cov yeeb yam ntawm cov tshuaj pleev thiab cov cai li cas rau nws siv?
Ob txhais ceg mob ntshav qab zib muaj kev pheej hmoo!
Cov tawv nqaij ntawm qhov qis qis yog tshwm sim los ntawm kev sib tsoo ob zaug los ntawm cov roj ntsha hauv lub cev thiab cov hlab ntsha hauv lub cev. Kev hloov pauv hauv hyperglycemia (ntshav qab zib hauv ntshav siab) cuam tshuam rau thaum kawg ntawm cov hlab hlwb (neuropathy). Tshaj cov piam thaj ntau dhau qhov ua rau pom cov roj uas txhaws taus ntawm phab ntsa ntawm cov hlab ntshav. Vim hais tias ntawm lawv, patency ntawm qhov tam sim no txo qis thiab muab cov ntshav tsis yooj yim, angiopathy muaj kev.
Cov tsos mob ntawm lub ntsej muag ua ntej ntawm cov kev mob tshwm sim tuaj yeem tshwm sim hu nkauj los yog ua ke. Taw Ntshav Qab Zib:
- lawv khov;
- ua rau loog, rhiab kuj ploj;
- leeg ntawm cov leeg ntawm qis qis ua tsis muaj zog;
- qhov ncauj tawm thiab kiav txhab zoo sai dua li ib txwm;
- nyob rau hauv lawv qhov chaw nyob tsaus tsheem (tsis-fading).
Ib tug neeg raug tsim txom los ntawm qhov mob hnyav (feem ntau yog thaum tsaus ntuj). Kev kho mob ntawm ko taw txuam nrog kev kho mob ntawm ko taw yog nqa los ntawm kws kho pob txha (kws kho mob hauv ko taw). Kev poob ntawm cov hlab ntsha yog cov kws kho mob hlwb (kws phais plawv), nws lub peev xwm suav nrog kev khiav haujlwm. Qhov uas nquag pom muaj tus mob no yog mob ntshav qab taw. Hauv chav endocrinology muaj chaw haujlwm tshwj xeeb nyob hauv tib lub npe rau kev tshuaj xyuas thiab pab rau cov neeg mob txom nyem.
Cov yam ntxwv ntawm kev siv lub qab zib rau cov neeg mob ntshav qab zib
Ua tsaug rau kev siv cov tshuaj thiab cov tshuaj nplaum ua kom zoo rau cov ceg, qhov xwm txheej dav dav ntawm qhov qis qis dua txhim kho, kev ywj pheej ntawm daim tawv nqaij tau raug tswj, thiab cov ntaub so ntswg epithelial tau rov qab los hauv thaj chaw muaj kev puas tsuaj. Tom qab sau cov tshuaj los ntawm tus kws kho mob endocrinologist, yog tias ua tau, tus neeg mob yuav tsum sab laj rau kws kho mob tawv nqaij, tshuaj ntsuam tus neeg cov tshuaj tiv thaiv.
Qhov qab zib me me pleev rau sab tom qab tes thiab txhuam rau hauv daim tawv nqaij. Qhov chaw ntawm daim ntawv thov ntawm cov tshuaj yuav tsum tau soj ntsuam rau qee lub sijhawm (txog 2 teev). Cov ntim tshuaj ntawm cov tshuaj nplaum yuav muaj cov khoom xyaw uas ua rau kom muaj kev tawm tsam ntawm kev tsis haum tshuaj (khaus, liab ntawm daim tawv nqaij), uas yuav ua rau mob hnyav ntxiv nrog rau kev kho mob ntshav qab zib.
Cov tshuaj nplaum yuav tsum tau siv rau hauv txheej txheej nyias mus rau qhov chaw huv ntawm daim tawv nqaij.
Ua ntej cov txheej txheem rau kev siv tshuaj, cov taw lossis lwm qhov ntawm lub cev yog ntxuav nrog xab npum menyuam yaus. Tom qab ntxuav, ua kom huv si nrog blotting taw, cov phuam uas zoo-nqus tau. Yog li ntawd daim tawv nqaij tsis ntub thiab tsis xeb los ntawm kev tawm hws, noo noo ntau dhau, quav thiab indentations rau nws yog sprinkled nrog talcum hmoov.
Ua ntej pleev cov cream, koj yuav tsum ua kom ntseeg tseeb ntawm daim tawv nqaij. Hauv qhov chaw nyuaj-mus txog qhov chaw (qis dua ntawm ko taw), koj tuaj yeem ua kev soj ntsuam nrog daim iav lossis nyiam cov neeg hlub. Yog tias pom muaj kev raug mob (microtrauma, ingrown ntsia thawv, callus, fungal tau tus kab mob), ces cov tsos mob kev kho mob ntawm lub qhia pathologies yog yuav tsum tau. Lawv xav tau lub zog kho ntawm cov cream thiab chaw rau cov tshuaj insulin tas li (lub plab, xub pwg, ncej puab); punctures ntawm cov ntiv tes tshwm sim los ntawm kev noj ntshav rau kev tsom xam.
Siv tshuaj pleev rau ntawm daim tawv nqaij 2-3 zaug hauv ib hnub nrog maj mam du, tsis muaj cov tawv ncauj ua si. Cov lus hais "nyias txheej" txhais tau hais tias 0.5 - 1.0 g ntawm cov khoom tau muab faib rau ntawm qhov chaw nrog txoj kab uas hla ntawm 3-5 cm. Tshuaj tsuag dej noo feem ntau tsis tau thov nruab nrab ntawm cov ntiv taw. Nws tsis tshua muaj thaum daim tawv nqaij hauv cov chaw no ntxhib thiab qhuav. Thaum siv cov tshuaj pleev, koj yuav tsum ceev faj txog hnub tas sij hawm uas tau hais tseg rau ntawm lub raj lub raj thiab lub thawv.
Cov tshuaj yeeb dej caw nyob rau hauv qhov muaj pes tsawg leeg ntawm cov qab zib cream thiab lawv tes haujlwm
Kev siv cov qab zib tsis tuaj yeem hloov cov kev kho mob nrog cov tshuaj tiv thaiv hypoglycemic. Mob ntshav qab zib hom 1 tsis tuaj yeem ua yam tsis muaj insulins ntawm qhov txawv ntawm kev ua, kev txhaj tshuaj hauv qab cov zaub mov carbohydrate yog tsim muaj cov insulin luv luv. Tswj cov ntshav qabzib hauv lub cev (tsis siab dua 6.5 mmol / L - ntawm lub plab thiab 8,5 mmol / L - 2 teev tom qab noj mov) yog qhov zoo tshaj plaws kev tiv thaiv ntawm cov teeb meem nrog ob txhais ceg. Kev siv tshuaj pleev ua lub zog muaj qhov tshwm sim nws tus kheej ntawm sab zoo. Cov tshuaj nplaum pab tua, thiab qee qhov xwm txheej tshem tawm cov tsos mob ntawm cov kev mob lig.
Tus tsim ntawm cov tshuaj lag luam nrhiav ua kom muaj pes tsawg leeg ntawm cov tshuaj pleev thoob ntiaj teb, qhia cov khoom siv los txhim kho cov metabolism hauv (carbohydrates, protein, cov rog), cuam tshuam ntawm cov ntshav qab zib, dej-electrolyte tshuav. Ko taw lee nrog urea rau cov neeg mob ntshav qab zib muaj cov tshuaj nitrogenous uas ua rau cov metabolism hauv plhaws.
Lub npe ntawm cov khoom no cuam tshuam nws cov kev taw qhia tseem ceeb.
Corns thiab corns yog qhov txaus ntshai vim hais tias microcracks ntawm cov tawv nqaij qhuav, lub cev qhuav dej ntawm ob txhais ceg ntawm cov ntshav qab zib tau yooj yim tuaj yeem kis tau tus mob, tig mus rau mob. Cov tshuaj pleev muaj cov tshuaj tua kab mob ntuj (mint, currants, hiav txwv buckthorn roj, sage thiab tshuaj yej tsob ntoo rho tawm), uas muaj astringent thiab anti-inflammatory cuam tshuam. Phyto-Cheebtsam ntxiv dag zog rau cov tshuaj tua kab mob suav nrog nrog cov khoom sib xyaw ua ke. Cov kab mob fungus feem ntau cuam tshuam daim tawv nqaij ntawm tus neeg mob ntshav qab zib. Cov kab mob organic hauv cov roj pleev yog sawv cev los ntawm hyaluronic acid, kua collagen, allantoin, uas xa cov lipids tsis txaus rau daim tawv nqaij, tsim cov khoom thaiv uas tiv thaiv kom tsis txhob muaj dej noo.
Tus mob ntshav qab zib yuav tsum tsis txhob:
- nthuav tawm koj txhais taw rau qhov kub siab lossis qis kub (siv ntsuas kub, khoom kub, zaum ze rau hluav taws lossis hluav taws xob);
- siv tshuaj, tshuaj (acids, alkalis), txiav cov cuab yeej muag muag thiab tshem cov pob txha;
- tsis quav ntsej me ntsis kev puas tsuaj rau taw (dryness, kab nrib pleb);
- taug kev liab qab thiab hnav khau yam tsis muaj thom khwm;
- txiav cov ntsia hlau luv luv, tshwj xeeb tshaj yog cov fab ntawm cov ntsia hlau phaj.
Kev raug mob ntawm daim tawv nqaij me yog kho nrog cov txhais tau tias tshwj xeeb (miramistin, chlorhexidine), kev hnav khaub ncaws uas tsis muaj kab mob siv tau. Tus mob ntshav qab zib yuav tsum tiv thaiv lawv ko taw thiab tiv thaiv kom txhob mob, khawb thiab puas rau lawv. Tiv thaiv los ntawm kab kom yoov (yoov tshaj cum) kom tsis txhob ua rau khaus ntawm daim tawv nqaij. Cov tsiaj hauv tsev yuav tsum tsis pub mus tom los yog tom. Tus mob ntshav qab zib yuav tsum mus nyob txhua qhov chaw khau khiab: ntawm ntug dej ntawm cov xuab zeb lossis pebbles - hauv khau puam, hauv tsev - hauv khau khiab Coj zoo rau khau kom tshem tawm qhov muaj peev xwm heev ntawm corns thiab corns.