Nrog rau kev txhim kho ntshav qab zib, cov neeg mob yuav tsum tau mloog zoo rau lawv txoj kev noj qab haus huv. Thiab qhov teeb meem cuam tshuam tsis tsuas yog kev ntsuas tas mus li thiab tswj cov ntshav qab zib, nrog rau kev tswj kev noj zaub mov, tab sis kuj hnav cov khau yog. Nkawm khau rau cov neeg mob ntshav qab zib yuav tsum tau xaiv nyob rau hauv txoj hauv kev uas lawv nyiam thiab xis hnav thaum tiv thaiv kev txhim kho kev txhim kho ntawm cov nyom xws li mob ntshav qab zib ko taw.
Yuav ua li cas txoj hlua khau thiaj li tuaj yeem tiv thaiv qhov kev txhim kho ntawm cov teeb meem?
Mob ntshav qab zib yog ib yam kab mob insidious. Ntxiv rau qhov tseeb tias nws yog nrog tus lej ntawm cov tsos mob tsis zoo (lub qhov ncauj qhuav, nqhis dej tsis txaus, nce phaus, thiab lwm yam), nws tseem cuam tshuam rau lub xeev ntawm cov hlab ntsha cov ntshav thiab cov ntshav nyob hauv qis kawg.
Raws li kev ua tiav, cov neeg mob lub siab hloov qis thiab mob ntawm nws ob txhais ceg zoo ntau npaum li cas qeeb dua. Yog li, txhua yam kev puas tsuaj rau ntawm daim tawv nqaij tuaj yeem ua rau trophic mob rau sab hauv thiab qhov kev txhim kho txuas ntxiv ntawm kev ua qog ntshav.
Nws yuav tsum raug sau tseg tias qhov mob txhab tsis tuaj yeem tshwm sim tsis yog rau ntawm daim tawv nqaij xwb, tab sis kuj tseem nkaum hauv qab keratinized epithelium. Thiab vim tias cov neeg mob ntshav qab zib muaj qhov pib txo qhov mob tsawg dua, lawv tsis tau pom tias lawv qhov tshwm sim tau ntev.
Thiab feem ntau feem ntau, qhov txhab ntawm lub cev ua rau muaj kev cuam tshuam zoo rau cov taw, uas muaj qhov hnyav tshaj vim qhov hnyav ntawm ib tus neeg. Yog li, teeb meem nyob rau hauv daim ntawv ntawm diabetic ko taw pib tsim, uas feem ntau ua rau kev xav tau txiav tawm. Txij li thaum thaum nkag mus rau hauv lub qhov txhab lossis txiav ntawm kev kis tus mob, tsis yog tsuas yog cov ntaub so ntswg mos ntawm ko taw, tab sis kuj yog cov leeg nrog rau cov pob txha qauv yuav cuam tshuam.
Kev coj orthopedic nkawm khau tuaj yeem tshwm sim nrog qee qhov xwm txheej lossis ib txwm muaj nyob ntawm cov lus qhia xws li:
- osteomyelitis;
- osteortropathy nrog deformity ntawm ko taw thiab nrog nws qhov mob me ntsis;
- mob rwj;
- cov ntshav tsis txaus nyob hauv cov ntiv taw;
- mob ntshav qab zib polyneuropathy;
- mob ntshav qab zib angiopathy;
- txiav tes txiav taws.
Cov cim ntawm ntshav qab zib taw
Lub ntsiab yuam kev thaum xaiv cov khau
Nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom kawm qhov tseeb ib qho yooj yim - cov khau siab zoo thiab tsis zoo yuav tsis pheej yig. Thiab tuaj rau tom khw, koj yuav tsum tsis txhob txuag, vim kev noj qab haus huv ntxiv nyob ntawm nws. Nws yog qhov zoo dua yog tias tus mob ntshav qab zib tau tsuas yog ob peb khub ntawm khau hauv nws lub khaub ncaws, tab sis nws yuav xis nyob thiab ua cov ntaub ntawv zoo.
Ntxiv rau, vim tias qhov tseeb tias cov neeg mob ntshav qab zib muaj qhov tsis hnov qab ntawm qis dua, lawv feem ntau yuav khau 1-2 qhov ntau thiab tsawg rau lawv tus kheej. Txawm li cas los xij, lawv ntseeg hais tias nws tau zoo "zaum ntawm nws ko taw", tab sis qhov no yuav tsum tsis txhob ua. Cov khau me me nyem txhais taw, ua rau muaj kev txhaum ntau dua ntawm lawv cov ntshav ncig thiab kev puas tsuaj rau cov hlab ntaws.
Tab sis nkawm khau xoob, uas yog 1-2 qhov loj dua, kuj tsis pom zoo kom yuav. Firstly, hnav nws ua rau tsis xis nyob rau tus neeg mob, thiab qhov thib ob, ua rau muaj kev sib txhuam ntawm ob txhais taw thiab pab ntxiv qhov pom ntawm cov hlwv thiab txha pob txha.
Lub xub ntiag ntawm sab hauv sutures nce qhov kev pheej hmoo ntawm kev raug mob rau ko taw thiab cov tsos ntawm trophic mob. Tab sis qhov dav ntawm cov khoom lag luam hauv cov teeb meem no tsis txaus ntseeg. Qhov loj tshaj plaws yog tias nws haum zoo kawg nkaus hauv qhov loj me.
Khoom Xaiv Nta
Thaum xaiv cov khau rau cov ntshav qab zib, nws yog qhov tsim nyog los xav txog qhov tsis muaj txhav ntiv taw. Rau cov khoom pheej yig, cov thom khwm yog qhov ua tau zoo heev, tab sis ntau tus neeg tsim khoom hais tias nws yog qhov muaj qhov zoo li ntawd qhov ntswg uas muab kev tiv thaiv zoo rau cov ceg. Tab sis tsis yog hais txog cov mob ntshav qab zib.
Qhov tseem ceeb tshaj plaws yuav tsum them rau qib ntawm ntim ntawm cov khoom. Yuav tsum npog cov npoo av thiab tiv thaiv nws ntawm hmoov av thiab plua plav, nws tiv thaiv kev nkag ntawm av thiab hmoov av rau hauv cov qhov txhab thiab txiav, thiaj li tiv thaiv tau lawv tus mob. Yog li, kev hnav khau khiab, khau khiab thiab lwm hom kev qhib khau yog tsis muaj qhov tsim nyog rau cov neeg mob ntshav qab zib.
Ntawm cov ntshav qab zib mellitus, hnav cov khau qhib yog qhov tsis xav tau, vim tias qhov no yuav muaj kev pheej hmoo ntawm kev kis tus mob ntawm qhov txhab thiab txiav.
Ib qho tseem ceeb sib txig sib luag yog qhov degree ntawm kev nruj ntawm cov tus. Cov khau ntshav qab zib yuav tsum tau pom qhov txawv ntawm qhov hnyav ntawm qhov nyuaj thiab qhov no yuav tsum yog vim qhov tseeb tias nrog kev txhim kho ntshav qab zib cov khoom tseem ceeb ntog rau ntawm lub ntsej muag, yog li cov khoom pheej yig uas muaj qhov nruab nrab ntawm kev txhav lossis qhov muag muag hnav tawm sai thiab ua rau ntau qhov tsis xis nyob rau tus neeg mob hnav, suav nrog suav nrog kev mob.
Hauv lwm cov lus, cov txiv neej thiab poj niam cov khau rau cov neeg mob ntshav qab zib yuav tsum tsis txhob muaj cov mos muag muag, txij li kev pheej hmoo ntawm kev raug mob thiab kev txhim kho txuas ntxiv ntawm cov teeb meem thaum hnav lawv nce ntau zaus.
Thiab hais txog kev xaiv khau rau cov neeg mob ntshav qab zib mellitus, cov yam ntxwv hauv qab no yuav tsum raug sau tseg:
- cov khoom yuav tsum muaj qib siab rigidity;
- dabtsi yog khoov ntawm ib tus tib neeg yuav tsum tau muab;
- ntiv taw yuav tsum tsa ceg me ntsis kom txo qhov thauj ntawm ntawm lub forefoot.
Txij li nyob rau hauv cov khw muag khoom dog dig nws nyuaj heev kom pom cov khau zoo li, feem ntau cov neeg mob txiav txim nws hauv khw hauv khw. Tab sis los ua qhov no tsis pom zoo, txij li ua ntej yuav ib tus neeg yuav tsum ntsuas ntsuas cov khoom thiab ntsuas nws qhov kev ua tau zoo. Yog li no, cov kws kho mob tau qhia txog kev yuav cov khau orthopedic, uas tau ua ib tus zuj zus, nyob ntawm qhov ntsuas ntawm ko taw thiab qhov kev loj hlob ntawm cov teeb meem.
Dab tsi yuav tsum yog khau rau cov neeg mob ntshav qab zib?
Hais txog dab tsi nkawm khau yuav tsum yog rau cov neeg mob ntshav qab zib, nws tseem yuav tsum tau sau cia ob peb cov ntsiab lus tseem ceeb hauv nws xaiv. Kev saib xyuas zoo yuav tsum them rau qhov ntim sab hauv ntawm qhov khoom. Cov khau ua orthopedic tsim nyog yuav tsum muaj cov insoles, qhov kev xaiv ntawm uas yog nyob ntawm ntau yam - qhov hnyav ntawm tus neeg mob, qhov muaj qhov mob ntawm qhov txhab trophic, qhov puas ntawm kev puas tsuaj ntawm ko taw, thiab lwm yam.
Cov yam ntxwv tseem ceeb ntawm nkawm khau orthopedic
Nyob rau hauv txhua rooj plaub, koj yuav tsum tau them nyiaj tshwj xeeb rau cov insoles, thiab lawv yuav tsum raug xaiv ib tus zuj zus los ntawm tus kws kho mob. Tab sis tau txais lawv, koj kuj yuav tsum coj mus rau hauv tus account qhov siab ntawm nkawm khau. Yog li, piv txwv li, yog tias cov khau qis los yog cov khau tsis nruj rau ko taw thiab tsis muaj chaw rau orthopedic insoles hauv lawv. Yog li ntawd, cov neeg mob ntshav qab zib tau qhia kom yuav cov khau siab siab, uas qhov siab ntawm ib leeg thiab sab saud ntawm cov khoom tso cai koj tso cov insole rau hauv nws.
Cov txheej txheem tom ntej los ntawm kev xaiv rau khau yog cov khoom siv. Nws yuav tsum yog qhov zoo thiab tsis ua rau tsis xis nyob thaum hnav. Yog li no, thaum xaiv cov khau siab zoo thiab khau zoo, yuav tsum txiav txim hauv qab no:
- cov khoom siv hluavtaws, txawm hais tias lawv tus nqi qis, tsis haum rau cov neeg mob ntshav qab zib, lawv yuav tsum them sai sai rau cov khau ua los ntawm cov tawv mos mos, uas yuav tsis txhuam thiab ua rau mob thaum hnav;
- sab hauv, cov khoom yuav tsum yog ua los ntawm cov khoom siv uas tiv thaiv kom tsis txhob cia cov khoom noo thiab tshwm sim ntawm cov pob khaus ntawm ob txhais ceg.
Thiab hais lus luv luv txog cov yam ntxwv ntawm kev xaiv khau orthopedic, ob peb yam tseem ceeb yuav tsum tau sau tseg:
- muaj qhov ntim ntxiv hauv cov ntiv taw ntawm cov khoom lag luam;
- siab elasticity ntawm cov ntaub ntawv los ntawm kev uas nws tau ua;
- qhov ua tau los hloov cov insoles uas ua tiav qhov kawg ntawm txoj kev taw;
- lub peev xwm los kho lub ntim sab hauv ntawm cov khau (cov hlua khau, ris nrawm, Velcro, thiab lwm yam).
Raws li rau lub caij ntuj no khau, nws kuj tseem ceeb heev uas yuav tau cov khoom thaiv tshwj xeeb, sab hauv uas tsis muaj nqaws. Qhov kev xaiv ua tau zoo tshaj plaws hauv qhov no yog cov qauv ua los ntawm neoprene, nruab nrog Velcro rau kev tswj hwm sab hauv lub ntim.
Tus mob ntshav qab zib tsuas yog yuav tsum tau siv cov kab mob orthopedic insoles, vim tias tsuas yog lawv tuaj yeem tiv thaiv qhov kev txhim kho ntxiv ntawm tus mob ko taw
Nws ntseeg tau tias cov khau siab orthopedic zoo tshaj plaws yog tsim hauv lub teb chaws Yelemees. Tab sis, qhov no tsis yog li. Thiab hauv peb lub teb chaws muaj cov tuam ntxhab uas ua txoj haujlwm zoo ntawm txoj haujlwm no. Qhov loj tshaj plaws, yog tias cov khoom tsim tau xaj, yog los muab cov tsis muaj tseeb.
Nws yuav tsum nkag siab tias cov khau orthopedic zoo tsis tuaj yeem pheej yig, thiab khaws nws li tsis yooj yim. Tab sis ib zaug koj xaiv qhov yog, koj yuav paub tias nws tsim nyog. Nyob rau tib lub sijhawm, nws yuav tsum tau hais tias txawm tias koj tau tswj yuav cov khau orthopedic zoo, koj tseem yuav tsum tau ua qee qhov kev tiv thaiv uas yuav tiv thaiv kev txhim kho ntxiv mus ntawm tus mob ko taw.
Kev Tiv Thaiv
Txawm hais tias koj hnav cov khau orthopedic txhua hnub, nws yog qhov tseem ceeb heev uas yuav tsum saib xyuas cov ceg qis rau ib qho twg puas tsuaj, suav nrog cov kab nrib pleb me. Tsis tas li ntawd, nws yog qhov yuav tsum tau ntxuav huv taw kom huv si thaum sawv ntxov thiab thaum yav tsaus ntuj, tom qab ntawd lawv yuav tsum tau kho nrog cov tshuaj tua kab mob, tshuaj pleev lossis lub ntsej muag, uas kws kho mob tau sau tseg.
Ntxiv rau, cov thom khwm thiab cov khau khiab yuav tsum ua tib zoo xaiv. Cov khoom lag luam no tseem yuav tsum ua los ntawm cov ntaub npuag ntuj, tsis txhob nyem ko taw thiab tsis ua rau tsis xis nyob. Txawm hais tias kev txhim kho ntshav qab zib mellitus thiab mob ntshav taw, nws yog ib qho tseem ceeb uas yuav tsum tau ua ntau multivitamin ntau, uas pab ua kom muaj zog tiv thaiv kab mob thiab txhim kho cov tawv nqaij.
Yog tias tshuaj xyuas ntawm ko taw qhia kev puas tsuaj lossis liab, koj yuav tsum sab laj nrog kws kho mob sai
Ntau tus neeg mob ntshav qab zib ua si kis las kom tshem tawm cov kev pheej hmoo ntawm cov teeb meem. Thiab qhov no yog qhov tseeb, txawm li cas los xij, hauv qhov no ib yam nkaus thiab, ib tug yuav tsum ua tib zoo nrhiav kev xaiv ntawm nkawm khau thiab saib xyuas ntawm lawv. Rau kev ua si, qhov kev xaiv zoo tshaj plaws yog khau ntaub ua los ntawm tawv tawv tiag tiag. Ntxiv mus, lawv:
- yuav tsum yog lub teeb thiab xis hnav raws li qhov tsim nyog;
- tsis muaj sab hauv ntim;
- yuav tsum muaj cov insoles uas tshem tau yog li nws tau tuaj yeem hloov lawv nrog orthopedic;
- yuav tsum tau muaj qhov tshwj xeeb cua tshaj tawm uas muab qhov cua.
Tom qab cov chav kawm, nws yog qhov yuav tsum tau nqa tawm txoj kev saib xyuas kom zoo ntawm cov khau kis las. Nws yuav tsum tau qhuav kom zoo, zoo li ntub nrog cov roj tshwj xeeb kom lawv tsis txhob tawg lossis tawg. Yog tias cov khau ua los ntawm cov ntaub mos muag, tom qab ntawd lawv tuaj yeem ntxuav, tab sis nws yog ib qho tseem ceeb uas tsis pub lawv ua kom qhuav.
Thiab qhov tseem ceeb tshaj, cov khau kis las, xws li txhais ceg, yuav tsum tau kho nrog lub sijhawm ua haujlwm nrog cov tshuaj tua kab mob kom tiv thaiv qhov tsim ntawm tus ntxhiab tsw tsis haum lossis kev txhim kho cov mob fungal. Koj tuaj yeem yuav lawv ntawm txhua lub khw khau.
Thiab suav lub ntsiab lus, nws yuav tsum raug sau tseg tias nrog kev txhim kho ntawm tus mob ko taw, nws yog qhov tseem ceeb tsis yog xaiv cov khau uas yog, tab sis kuj yuav tsum saib xyuas nws kom zoo, nrog rau kev coj ua kev tiv thaiv, uas yuav tsum tau piav qhia ntxiv los ntawm tus kws kho mob koom nrog.