Mob ntshav qab zib mellitus yog ib qho mob nyuaj thiab mob hnyav uas nyuaj kho thiab feem ntau muaj ntau yam mob. Ua ntej tshaj plaws, kev ua kom qis qis raug kev txom nyem los ntawm qhov kev mob nkeeg no, txij li nyob rau hauv kev cuam tshuam ntawm cov qib ntawm cov piam thaj hauv cov ntshav, cov ntshav ntawm txoj hlab ntaws raug puas tsuaj thiab lawv cov ntshav ncig cuam tshuam. Yog li, kev saib xyuas ko taw rau cov ntshav qab zib yog ib qho tseem ceeb heev thiab nws yuav tsum tshwm sim raws li qee txoj cai.
Vim li cas thiaj saib xyuas koj ob txhais ceg ntshav qab zib?
Mob ntshav qab zib mellitus yog ib qho kab mob hnyav, kev txhim kho uas cuam tshuam rau lub cev tag nrho. Txawm li cas los xij, raws li tau hais los saum toj no, ua ntej tshaj plaws, tus kabmob no cuam tshuam rau cov hlab ntsha loj thiab cov hlab ntshav, uas nyob hauv qis qis. Raws li qhov no, ntshav qab zib polyneuropathy pib tsim, uas yog tus cwj pwm los ntawm qhov txo qis hauv lub cev tawv nqaij.
Thaum xub thawj, tus neeg mob yuav hnov tsis tu ncua nyob hauv cov ceg thiab loog. Tom qab ntawd nws ceases mus kov thiab hnov mob, thiab tom qab ntawd nws lub peev xwm los paub qhov txawv ntawm qhov kub thiab txias ploj. Qhov no, nyeg, coj mus rau qhov tseeb tias tus neeg mob tsis hnov txawm tias nws ntaus nws txhais ceg lossis txiav nws. Thiab ib qho kev raug mob hauv ntshav qab zib yog qhov txaus ntshai, vim tias lawv tuaj yeem ua rau kev txhim kho tus neeg mob caj dab, kev kho mob uas tau ua tsuas yog phais, los ntawm ib nrab lossis ua kom tiav ntawm tes taw.
Mob khees-xaws yog ib qho mob hnyav heev ntawm ntshav qab zib. Thiab nws tshwm sim vim qhov tseeb tias mob ntshav qab zib, cov metabolism yog cuam tshuam thiab kev rov ua dua tshiab qeeb qeeb, tawm tsam uas cov qhov txhab uas tshwm sim ntawm lub cev kho tau ntev heev. Thiab yog tias tus mob kis tau rau hauv qhov txhab (qhov taw yog qhov ua rau muaj kev kis mob yooj yim tshaj plaws, vim tias koj tuaj yeem "tau txais" lawv tsuas yog taug kev ntawm ko taw liab qab rau hauv av), nws pib fester thiab mob rau sab hauv tshwm sim hauv nws qhov chaw, uas cuam tshuam tsis tsuas yog cov nqaij mos ntawm qhov qis qis, tab sis kuj tseem ua rau cov leeg nqaij thiab.
Maj mam, mob rau sab hauv pib kis thoob plaws ntawm txhua tus nqaj thiab txhawm rau kev txhim kho ntawm qog thiab sepsis. Ntawm hom 2 mob ntshav qab zib mellitus, cov teeb meem no tsis tshua muaj tshwm sim. Txawm li cas los xij, tsis txhob hnov qab tias T2DM tau yooj yim mus rau T1DM. Thiab txhawm rau kom tsis txhob pom qhov tshwm sim ntawm cov teeb meem no, nws yog qhov yuav tsum tau saib xyuas koj ob txhais ceg tam sim tom qab ua kev kuaj mob.
Kev tu ko taw kom ntshav qab zib ua rau muaj kev tiv thaiv txhim kho ntawm cov teeb meem
Nws yog ib qho tseem ceeb kom paub meej meej cov tsos mob ntawm tus mob ntshav qab zib neuropathy thiaj li yuav nrhiav kev pab sai sai ntawm kws kho mob yog tias muaj qhov tshwm sim. Thiab tus kab mob no manifests nws tus kheej zoo li no:
- nqaj ceg qis mus tsis tu ncua thiab khov;
- ntawm so ntawm txhais ceg muaj qhov hnov mob hlawv, mob thiab tsis xis nyob;
- qhov loj me ntawm ob txhais ceg txo thiab lub ko taw deformed;
- qhov txhab tsis zoo.
Kev ntsuas kev loj hlob ntawm tus kab mob no yog nyob ntawm lub hnub nyoog ntawm tus neeg mob thiab chav kawm ntawm tus kab mob. Txawm li cas los xij, ntseeg tau tias ib qho ntawm cov txiaj ntsig tseem ceeb ntawm cov mob no muaj ntau dhau los yog cov ntshav qab zib ntau ntau. Yog li, nws yog ib qho tseem ceeb heev rau cov neeg mob ntshav qab zib soj ntsuam qab zib tas li thiab ua raws nraim li txhua tus kws kho mob pom zoo.
Nws yog qhov nyuaj heev kom tshem tawm ntawm ko taw fungus, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib, txij li ntau cov tshuaj tau contraindicated rau lawv. Thiab yuav kom zam tau nws txoj kev txhim kho, nws tseem yuav tsum ua raws li txoj cai ntawm kev saib xyuas ko taw.
Cov cai yooj yim rau kev saib xyuas ko taw
Txhawm rau zam txoj kev loj hlob ntawm cov teeb meem vim cov ntshav qab zib mellitus, cov neeg mob yuav tsum tsis txhob saib xyuas lawv cov ntshav qab zib hauv lub siab tas li xwb, tab sis yuav tsum saib xyuas lawv ko taw tas li. Txhua txhua hnub, cov ntshav qab zib tau qhia kom kuaj xyuas tus taw thiab qhov chaw nruab nrab rau qhov sib tsoo thiab cov qhov txhab. Thaum muaj mob ntshav qab zib yuav nyuaj rau tus neeg mob ntshav qab zib kuaj nws tus kheej ntawm cov ceg tawv vim muaj kev txav mus los tsawg, ib daim iav pem teb tuaj yeem siv rau kev kuaj mob txhua hnub.
Kev tshuaj xyuas lub ko taw nrog daim iav
Ntxiv nrog rau kev soj ntsuam txhua hnub ntawm tus taw, nws yog ib qho tsim nyog yuav tsum ua raws li lwm txoj cai, uas suav nrog kev ceeb toom rau cov ntshav qab zib:
Cov ntshav qab zib ua tau cov ceg hydromassage- Nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum koj taug kev liab qab tsis yog nyob rau hauv tsev, tsis nyob rau hauv lub pas dej, tsis nyob ntawm lub puam. Txhua qhov chaw koj yuav tsum taug kev hauv khau kaw (yog nyob hauv tsev, tom qab ntawd hauv khau khiab). Qhov no yuav tiv thaiv kev raug mob los ntawm tus taw.
- Thaum lub sijhawm uas cov ntshav qab zib ua rau nws ob txhais ceg khov kho tas li, nws yuav tsum hnav thom khwm sov. Tab sis thaum xaiv lawv, koj yuav tsum tau them sai sai rau cov pos hniav. Nws yuav tsum tsis txhob nruj heev thiab txhaws caj npab, vim qhov no yuav ua rau muaj kev cuam tshuam ntau dua ntawm cov ntshav ncig hauv lawv. Yog tias koj tsis tuaj yeem nqa cov thom khwm no, koj tuaj yeem yooj yim tawm ntawm qhov xwm txheej no tsuas yog ua ob peb txoj kev txiav ntawm txoj hlua khi ntawm txhua daim thom khwm. Nyob rau tib lub sijhawm, nco ntsoov tias tsis muaj ib yam dab tsi koj tuaj yeem siv cov ntaub qhwv cua sov kom sov koj ob txhais ceg. Txij li kev hnov mob ntawm cov nqaj tau txo qis, koj tuaj yeem tiv thaiv tsis tau qhov hlawv.
- Ntxuav koj txhais taw txhua hnub nrog dej sov (tsis pub tshaj 35 degrees). Hauv qhov no, koj yuav tsum siv xab npum antibacterial. Tom qab cov txheej txheem, cov nqua yuav tsum muab phuam so qhuav, them nyiaj tshwj xeeb rau daim tawv nqaij ntawm cov ntiv tes.
- Txhua hnub ko taw yuav tsum tau kho nrog cream, uas suav nrog urea. Nws muab cov dej noo tob ntawm cov tawv nqaij thiab pab txhawb qhov kev txhim kho ntawm cov txheej txheem tsim dua tshiab. Thaum ua ntawv thov lub qab zib, nco ntsoov tias nws tsis poob rau hauv qhov chaw nruab nrab. Hauv kev tshwm sim uas cov cream tseem tau txais ntawm daim tawv nqaij ntawm cov ntiv tes, nws yuav tsum tau muab tshem tawm nrog daim ntaub qhuav.
- Yog hais tias muaj kev tawm hws ntau dhau ntawm qhov qis hauv qab yog sau tseg, tom qab ntxuav ob txhais taw, taw yuav tsum tau kho nrog talcum hmoov lossis hmoov menyuam yaus.
- Tsis txhob txiav koj cov rau tes nrog txiab lossis forceps. Kev siv cov khoom ntse tuaj yeem ua rau microtraumas, uas tom qab ntawd ua rau kev txhim kho ntawm cov kev mob hnyav. Txhawm rau ua cov ntsia hlau, nws yog qhov zoo tshaj plaws los siv iav ntsia hlau ntaub ntawv. Hauv qhov no, yuav tsum tau them nyiaj tshwj xeeb rau ntawm cov ces kaum, hloov mus rau lawv. Qhov no yuav zam tus ntsia thawv rau hauv daim tawv nqaij thiab nws raug mob.
- Kev yaug yuav tsum nyob rau txhua hnub. Lawv pab txhim kho cov ntshav ncig hauv cov ceg ntawm cov ceg tawv thiab muab kev tiv thaiv ntawm thrombophlebitis.
- Cov tawv nqaij tawv rau ntawm qhov luj taws, caj dab thiab caj dab yuav tsum tau muab tshem tawm nrog pumice. Koj tsis tuaj yeem siv chais lossis lwm yam khoom ntse los tshem lawv. Yog tias tsis muaj pumice, koj tuaj yeem hloov nws nrog cov ntawv sau kom zoo nkauj, tab sis tsis yog siv hlau. Ua ntej nqa tawm cov txheej txheem, koj tuaj yeem tsis ncu daim tawv nqaij, thiab tseem siv cov tshuaj pleev tshwj xeeb thiab kev daws teeb meem kom tshem tawm cov pob txha. Txij li qhov rhiab ntawm cov ceg nqaj yog txo, muaj qhov pheej hmoo siab ntawm lub tshuaj hlawv.
- Yog tias kev kho tus kheej nrog cov ntaub ntawv thiab pumice tsis tso cai rau koj kom tshem tawm ntawm cov tawv nqaij ntxhib, pob txha thiab pob ntseg, tiv tauj Diabetic Foot chaw ua haujlwm hauv qhov chaw kho mob uas koj yuav tau txais kev kho mob ko taw.
Yog tias koj tsis sib sau ntawm cov fab ntawm cov rau tes, qhov no tuaj yeem ua rau lub ingrowth ntawm tus ntsia thawv phaj mus rau hauv daim tawv nqaij, uas yuav ua rau nws mob.
Nws yuav tsum to taub tias nws yog qhov yuav tsum tau sab laj nrog kws kho mob tsis yog tias hematomas thiab cov txheej txheem purulent tshwm, tab sis kuj thaum kawm:
- kiav txhab;
- mob rwj;
- kub hnyiab;
- ntws tawm ntawm daim tawv nqaij;
- ua kom txawv ntawm daim tawv nqaij;
- qhov tshwm sim ntawm edema.
Koj yuav tsum sab laj tus kws kho mob txawm tias koj pom kev puas tsuaj me me rau ko taw. Txawm li cas los xij, cov ntshav qab zib lawv tus kheej yuav tsum muaj peev xwm muab lawv tus kheej nrog kev pabcuam ua ntej kom tsis txhob muaj teeb meem. Thiab nws suav nrog dab tsi, koj yuav pom tam sim no.
Koj yuav tsum tau mus ntsib kws kho mob txawm tias muaj pob me me ntawm ko taw!
Cov ntaub ntawv ntawm kev pab ua ntej
Txhua tus mob ntshav qab zib nyob hauv tsev yuav tsum muaj cov khoom siv thawj zaug, hauv yuav tsum muaj cov tshuaj tsim nyog rau kev kho mob ntawm daim tawv nqaij thaum muaj kev puas tsuaj. Uas yog:
- cov ntaub so tsis huv;
- kev daws teeb meem rau kev ntxuav cov qhov txhab, piv txwv li, 3% hydrogen peroxide, chlorhexidine, mirastin, thiab lwm yam;
- bandages, plasters.
Cov nyiaj no yuav tsum tsis yog khaws nyiaj hauv tsev xwb, tab sis kuj nqa nrog koj thaum mus ncig ua si thiab. Yog tias cov qhov txhab lossis cov npluag me me tau pom thaum kuaj xyuas tus taw, daim tawv nqaij yuav tsum tau kho. Thawj kauj ruam yog siv cov tshuaj tov tshuaj tua kab mob. Lawv yuav tsum ntub ib daim ntaub tsis huv thiab so nws nrog daim tawv nqaij. Tom ntej no, koj yuav tsum ua ntawv thov kev hnav khaub ncaws tsis huv, tsuas yog koj tsis tuaj yeem khi cov ntaub qhwv, txij li nws tuaj yeem zawm cov nqaj qis, pab txhawb kev ua txhaum ntawm cov ntshav ncig. Hauv qhov no, plasters yuav tsum siv los kho nws.
Ua ntej thov cov ntaub qhwv rau ko taw, daim tawv nqaij yuav tsum tau kho nrog tshuaj tua kab mob!
Hauv kev qhia ntxiv txog kev muab kev kho mob ua ntej thaum tau txais cov tshuaj ntsuab yog tham los ntawm tus kws kho mob nrog cov neeg mob. Txawm hais tias tus mob ntshav qab zib paub yuav ua li cas thiab yuav ua li cas cov txheej txheem nqaj txhawm rau zam kev cuam tshuam, tom qab tau raug mob, koj yuav tsum tau mus ntsib kws tshaj lij.
Nco ntsoov tias yog tias koj pom muaj kev puas tsuaj ntawm koj txhais ko taw, nco ntsoov ua kom txo qis lub nra ntawm koj ob txhais ceg. Taug kev tsawg dua thiab so ntau dua. Tsis txhob hnav khau nruj thiab tsis xis, vim tias qhov no yuav tsuas qhov teeb meem no.
Dab tsi txwv tsis pub ua nrog ntshav qab zib?
Tus mob ntshav qab zib xav tau nco ntsoov tias kev saib xyuas ko taw nws muaj nws tus kheej “tsis tau,” uas yog qhov tseem ceeb uas yuav tsum xav txog. Cov no suav nrog:
- kev siv cawv haus cawv muaj txiaj ntsig rau kev kho mob ntawm qhov txhab thiab tawg, txij li lawv qhuav ntawm daim tawv nqaij thiab pab txhawb kev txhim kho cov teeb meem;
- raug rau txhais ceg kom txhawm rau mob hnyav (hnav thom khwm pom zoo txawm tias lub caij ntuj sov);
- hnav darned thom khwm, ntxiv rau ris tsho thiab ris ntev nrog txoj hlua khi nruj;
- txhav puab ceg;
- hnav khau tsis xis thiab raug tsim txom (rau cov ntshav qab zib, nws raug nquahu kom hnav cov khau orthopedic uas tau ua ib tus zuj zus);
- siv cov khoom ntse, piv txwv li, txha hniav los yog txiab txiav kom tshem tawm cov tawv nqaij pob, txhaws thiab pob zeb;
- ntawm nws tus kheej tshem tawm ingrown tes;
- hnav tib cov khau khiab ib hnub;
- hnav khau rau ntawm ko taw liab qab;
- siv cov khoom sib nqus;
- hnav cov khau hnyav xws li khau lossis khau boots rau ntau tshaj 3 teev hauv ib kab;
- siv cov roj qab rog vim tias lawv txhawb kev txuam nrog cov kab mob ntawm qhov chaw ntawm taw.
Nws yog ib qho tseem ceeb kom ua raws li cov cai ntawm ko taw mob ntshav qab zib! Qhov no tsuas yog txoj hauv kev kom tsis txhob muaj qhov tsis zoo ntawm kev txhim kho ntawm tus kab mob no.
Nco ntsoov tias txhua yam kev ua tsis raug ntawm kev saib xyuas ntawm tus taw yuav ua rau muaj kev phom sij nyob rau hauv daim ntawv ntawm sepsis, qog lossis caj dab. Yog li no, hauv qhov teeb meem no nws yog ib qho tseem ceeb uas yuav tsum xav txog tag nrho cov nuances. Yog tias koj tsis tuaj yeem saib xyuas koj ob txhais ceg vim muaj kev ua haujlwm tsis txaus lossis qhov muag tsis pom kev, koj yuav tsum nug koj cov txheeb ze kom pab lossis mus saib xyuas Diabetesic Foot chav ua haujlwm ob peb zaug hauv ib asthiv, qhov chaw koj yuav tau txais kev saib xyuas thiab tu kom zoo.
Kev Tiv Thaiv Cov Teeb Meem
Txhawm rau tiv thaiv teeb meem los ntawm ntshav qab zib, nws yog ib qho tsim nyog yuav tsum ua ntu zus los tiv thaiv kev tiv thaiv uas yuav zam dhau qhov tsis zoo tshwm sim ntawm kev mob no.
Kev tiv thaiv suav nrog:
- Ua kom huv nrog kev nyiam huv.
- Kev tshem tawm ntawm cov cwj pwm tsis zoo. Kev siv dej cawv haus luam yeeb thiab haus luam yeeb yog qhov tsim teeb meem nyob rau hauv kev txhim kho cov ntshav qab zib mellitus, ua rau nws cov exacerbation, vim lawv cuam tshuam tsis zoo rau cov ntshav ncig.
- Txog kev saib xyuas cov tawv nqaij ntawm ob txhais ceg, koj tuaj yeem siv tsuas yog cov cream thiab gels uas tus kws kho mob tau hais tseg.
- Txhawm rau tiv thaiv cov kab mob fungal, koj tuaj yeem siv tus da dej nrog lub decoction ntawm chamomile lossis calendula. Tab sis nco ntsoov tias thaum lawv tsim khoom siv, dej yuav tsum tsis txhob siab tshaj 35 degrees thiab nws tsis yooj yim sua kom coj lawv mus ntev dua 10 feeb.
- Tsis txhob siv lwm yam tshuaj los kho ntshav qab zib thiab mob lub cev. Lawv tsis tuaj yeem tsis tsuas yog muab cov txiaj ntsig tau zoo, tab sis kuj yuav ua rau lub chav kawm muaj tus kab mob ntxiv.
- Nquag ua haujlwm zaws hauv qab qis dua, qhov no yuav txhim kho cov ntshav ncig hauv lawv.
- Ua kev tawm dag zog kom tawm dag zog txhua txhua hnub (koj tuaj yeem kawm paub ntau ntxiv los ntawm nws los ntawm koj tus kws kho mob).
- Saib xyuas koj kev noj haus thiab tswj koj cov ntshav qab zib.
Tag nrho cov kev ntsuas no yuav pab koj tiv thaiv kev txhim kho ntawm cov teeb meem thiab muab kev tswj hwm txhim kho kev mob ntshav qab zib.
