Mob raum tsis yog ib qho mob ywj siab.
Cov tsos mob ntawm cov mob rau ntawm daim tawv nqaij qhia tias muaj cov kab mob txaus ntshai uas tshwm sim hauv lub cev - xws li varicose leeg, endocrine mob (feem ntau feem ntau mob yog los ntawm kev mob siab ntshav qab zib mellitus), atherosclerotic vascular lesions, cov tshuaj tiv thaiv mob ntawm daim tawv nqaij ntawm ntau txoj kev ua haujlwm (erysipelas thiab lwm yam) txuas ntxiv).
Lub exogenous xwm ntawm cov ntaub so ntswg trophic cuam tshuam kuj ua tau - piv txwv li, nrog kev siab ntawm kev raug mob, hlawv lossis frostbite.
Pawg tshuaj siv los kho qhov mob rwj
Kev kho qhov mob txhab txhab yuav tsum muaj lub sijhawm ntev txaus. Hauv qhov xwm txheej no, tus neeg mob yuav tsum to taub tias nyob rau hauv qhov xwm txheej no nws yog qhov txaus ntshai heev rau kev kho nws tus kheej - nws yog qhov ua rau ntxiv rau qhov teeb meem uas twb muaj lawm thiab plooj duab rau cov chaw kuaj mob, uas yuav txuas ntxiv tiv thaiv tus kws tshwj xeeb los ntawm kev nrhiav qhov tseeb vim li cas ntawm qhov tshwm sim ntawm kev mob raum.
Tsuas yog tus kws kho mob muaj kev paub zoo tuaj yeem daws cov teeb meem no - nws yog nws leej twg yuav kho qhov kev kho mob kom raug rau tus neeg mob (ib txwm muaj, tom qab khaws cov ntoo anamnesis thiab kev ua tiav kev kuaj mob tag nrho cov kab mob).
Cov tshuaj hauv qab no yog siv los kho cov mob txhab:
- Cov tshuaj noj kom ntxiv dag zog rau phab ntsa thiab txhim kho kev ua haujlwm ntawm cov hlab ntsha: phlebotonics (Phlebodia, Troxevasinum). Ua tsaug rau lawv, lub vascular phab ntsa ua ntau dua ywj siab, cov ntshav txaus yog li qub.
- Anticoagulants (Heparin) - pab txhawb kev tiv thaiv cov ntshav thiab tiv thaiv cov ntshav txhaws.
- Cov tshuaj fibrinolytic (Streptokinase).
- Antispasmodics (Tsis yog-shpa) - txhawm rau txo qhov mob cidrome.
- Immunomodulating thiab dav ntxiv dag zog rau cov tshuaj, enzymes - kom tus nqi metabolic, rov qab ua kom lub cev tsis muaj zog.
- Cov tshuaj nonsteroidal anti-inflammatory (Ibuprofen, Nimesulide) - daws qhov mob, mob rau hauv cov hlab.
- Cov tshuaj tua kab mob thiab tshuaj tua kab mob (Levomekol, Sintomycin, Metronidazole, Diflucan) yog siv, raws li txoj cai, niam txiv (los ntawm txoj kev tso dej ntawm kev tswj hwm) lossis hauv cov chaw ua haujlwm hauv thaj chaw thaum pib ntawm tus kabmob txhawm rau txhawm rau kev loj hlob ntawm cov kab mob pathogenic hauv lub plab.
- Kev siv tshuaj tua kab mob (Suprastin, Tavegil) thiab tshuaj rau kev kho mob hauv zos (tshuaj pleev, tshuaj pleev thiab lwm yam).
Qhov kawg peb pawg ntawm cov tshuaj yog qhov muaj txiaj ntsig zoo tshaj plaws, thiab yog li ntawd nws tsim nyog nres ntawm lawv thiab kawm ntau yam ntxiv.
Yees duab los ntawm cov kws tshaj lij hauv kev kho mob ntawm trophic lesions ntawm ob txhais ceg:
Tshuaj tua kab mob thiab Antifungal
Kev tsim ua mob rau lub plab ua kom mob sai sai ua rau muaj mob txhab.
Txhawm rau txwv txoj kev loj hlob sai thiab rov tsim cov kab mob me me, nws yog qhov zoo tshaj kom pib kho cov tshuaj tua kab mob, uas cuam tshuam rau kev siv cov tshuaj tua kab mob sab. Vim li cas xyov lawv? Qhov tseeb yog tias feem ntau cov kab mob pathogenic, hmoov tsis zoo, hnub no sib txawv hauv qhov yuav luag tsis kam rau cov tshuaj muaj qhov nqaim.
Feem ntau, fluoroquinolones thiab cephalosporins yog siv rau kev kho mob.
Cov tshuaj yog muab rau cov tshuaj intramuscularly lossis intravenously, thiab tsis tshua muaj qee yam lawv tau thov npe - hauv daim ntawv tshuaj tsuag.
Ua tsaug rau cov tshuaj tua kab mob, cov synthesis protein cuam tshuam hauv microbial cell, vim qhov ntawd nws tuag.
Cov tshuaj tua kab mob ntawm cov cim tshiab tshaj plaws yog tus cwj pwm pom zoo zoo thiab yuav luag tiav qhov tsis muaj qhov tshwm sim tsis zoo.
Cov kab mob sib kis feem ntau ua rau muaj kev kis mob fungal - yog li ntawd, mus koom nrog cov kws kho mob kuj tseem tuaj yeem pom zoo kom cov neeg mob siv tshuaj tua kab mob thiab tshuaj tua kab mob tib lub sijhawm (hauv daim ntawv ntawm cov ntsiav tshuaj, tshuaj ntsiav lossis kua dej).
Cov tshuaj nonsteroidal anti-inflammatory
NSAIDs tuaj yeem tiv thaiv kev tiv thaiv mob, kho kev o thiab mob, thiab txo qhov kub thiab txias - nws yog ua tsaug rau cov khoom no uas lawv tsis tuaj yeem zam nrog txoj kev kho mob ntawm trophic mob rau sab hauv.
Cov chav tswj hwm yuav tsum ua kom luv li sai tau (kom tsis txhob muaj cov kev phiv tsis zoo - piv txwv li, NSAIDs muaj qhov cuam tshuam loj heev rau ntawm cov qog ua pa ntawm cov kab mob ntawm txoj hnyuv).
Tsis tas li ntawd, tsis txhob sib xyaw txais tos ntawm ntau qhov kev tso quav tib lub sijhawm - qhov no yuav tsis coj cov nyhuv xav tau sai, tab sis lub nra rau ntawm cov hnyuv yuav zoo heev. Nyob rau hauv rooj plaub huab, kev txais tos ntawm tus tiv thaiv cov hnoos qeev ntawm lub plab hnyuv plab zom zaub mov yog ib txhij kho.
NSAIDs tuaj yeem siv ob qho tib si hauv daim ntawv ntawm cov ntsiav tshuaj, thiab hauv cov qauv tshuaj txau thiab tshuaj pleev rau daim ntawv thov rau qhov kawg.
Raug tshuaj
Thaum lub sijhawm lawv lub neej, cov kab mob ua ke muaj ntau cov protein tshwj xeeb txawv txawv rau macroorganism.
Raws li qhov tshwm sim, cov neeg mob uas mob txhab ntxiv yuav muaj kev tsis haum tshuaj hauv zos uas ua rau cov txheej txheem ntau dua thiab qhov mob ntawm tus neeg mob.
Raws li txoj cai, kev tawm tsam tsis haum yog nrog khaus thiab ntau daim tawv liab. Ib qho ntxiv, ib leeg tsis kam rau ib qho ntawm cov tshuaj tua kab mob kuj yuav tshwm sim.
Hauv qhov no, nws qhov kev txais tos yuav tsum nres tam sim ntawd thiab sab laj rau tus kws tshaj lij kom sai li sai tau xaiv cov tshuaj sib txuam tshiab, uas yuav tseem muaj cov tshuaj antihistamines nyob rau hauv ntau cov tshuaj ntau npaum li cas (tee, daws, ntsiav tshuaj, thiab lwm yam).
Xaj yuav tsum tau muab rau cov tshuaj ntawm cov tub ntxhais hluas tom qab kawg - lawv tsis muaj qhov tsis zoo tsis txaus ntseeg raws li kev ntxhov siab ntawm lub hauv nruab nrab cov hlab ntsha thiab tshuaj lom.
Tshuaj pleev rau kev kho mob hauv zos
Yuav ua li cas smear mob peptic? Ua ntej koj pib thov tshuaj pleev thiab cov gels rau thaj tsam cuam tshuam ntawm daim tawv nqaij, nws yuav tsum muab ntxuav kom huv thiab kho nrog cov tshuaj tua kab mob. Manipulation yuav tsum tau nqa tawm ob peb zaug hauv ib hnub, ua tib zoo ua tau, saib xyuas kom tsis txhob ua rau lub npoo ntawm qhov txhab.
Cov kev daws teebmeem hauv qab no ntawm cov tshuaj antiseptic yog qhov zoo tshaj:
- hydrogen peroxide;
- Chlorhexidine;
- Miramistin.
Qee qhov xwm txheej, kev npaj ywj siab ntawm cov tshuaj tau tso cai - raws li furatsilina, potassium permanganate lossis chaw muag tshuaj chamomile (lossis lwm yam tshuaj ntsuab tshuaj ntsuab).
Cov pa tawm thaum lub sijhawm cov txheej txheem oxidation zoo kawg nkaus ntxuav cov nplaim ntawm qhov txhab los ntawm purulent thiab necrotic masses, thiab tseem muaj cov kab mob bactericidal thiab bacteriostatic.
Tom ntej no, daim ntaub nyias nyias hnav khaub ncaws nrog tshuaj pleev tshwj xeeb yog siv rau qhov mob txhab (raws li txoj cai, nws suav nrog tshuaj tua kab mob thiab tshuaj rau cov nqaij ua kom zoo) - Levomekol, Sintomycin.
Nws yog ib qho ua tau los siv tshuaj pleev tshuaj hormonal (corticosteroid) - Hydrocortisone, Lorinden - lawv ua nrawm dua li cov tshuaj pleev zoo tib yam, tab sis tsis txhob hnov qab tias lub sijhawm lawv siv yog nruj rau qee lub sijhawm.
Tam sim no, cov tshuaj pleev zoo li Iruxol (nrog collagenase thiab chloramphinecol hauv cov muaj pes tsawg leeg), Solcoseryl, Argosulfan tau muab faib rau txhua qhov. Lawv txhawb kev tsim kho ntawm thaj chaw puas, txhim kho cov txheej txheem hauv trophic hauv cov ntaub so ntswg thiab tiv thaiv kev sib kis ntawm cov kab mob nroj tsuag.
Cov phuam so rau hauv lub cev - cov khaub ncaws hnav ntxig hauv cov lus tshwj xeeb (cov roj hiav txwv buckthorn roj, aminocaproic acid, cov vitamins) thiab muab kev tshem tawm ntawm kev mob, ntxuav thiab mob rwj, tuaj yeem suav hais tias yog kev hloov kho tshiab hauv thaj chaw no.
Kho Kho
Qeb no yog tus cwj pwm los ntawm txo qis hauv kev ua ntawm pathological kev tsis haum. Thaum lub sijhawm nws, daim tawv nqaij ntxuav ntawm cov khoom ua kom tsis muaj zog thiab purulent, cov txheej txheem granulation yog launched, kev tsim tawm ntawm exudate yog txo thiab mob sib ntxiv.
Txhua txoj kev kho nyob rau lub sijhawm no yog ua raws li kev siv tshuaj uas ua rau muaj cov txheej txheem ntawm cov khoom sib txuas ua ke.
Hauv qhov xwm txheej no, cov tshuaj xws li Detralex, tshuaj tua kab mob antioxidant thiab vitamin complex (Aevit, Selzinc thiab lwm yam), Curiosin (cov khoom xyaw tseem ceeb - hyaluronic acid thiab zinc), Solcoseryl saum toj no (kev npaj ntawm cov nqaij thiab ntshav ntawm nyuj) feem ntau yog tshuaj.
Ntxiv rau, kev siv elastic compression (hnav cov ntaub qhwv), phlebotonic tus neeg sawv cev kuj tseem pom zoo.
Epithelialization theem
Nov yog theem kawg, theem kho kom zoo. Thaum lub sijhawm nws, cov ntaub so ntswg mob sib kis ntawm qhov chaw mob ntawm qhov mob txhab.
Nws xav tau kev tiv thaiv los ntawm kev siv tshuab, thiab yog li ntawd koj yuav tsum tsis txhob tso tseg kev hnav cov ntaub qhwv tshwj xeeb. Tsis tas li ntawd, koj tuaj yeem siv cov ris tsho hnav nrog kev npaj raws collagen, gelatin (qee zaum tov nrog zinc).
Ntxiv nrog rau cov tshuaj, kev siv lub cev kev kho mob (los txhim kho microcirculation hauv thaj chaw muaj mob plab zom mov) tau zoo siv los kho cov mob txhab trophic - kho laser, darsonvalization, zaws, ultrasound, thiab lwm yam, nrog rau kev phais mob (raws li qhia).
Kev tiv thaiv kab mob
Raws li koj paub, txhua yam kab mob yooj yim los tiv thaiv dua los kho. Tib txoj cai siv rau kev kho mob rau qhov ncauj plab.
Txhawm rau tiv thaiv lawv tshwm sim, nws yog thawj zaug ntawm txhua qhov tsim nyog los kho cov pathologies uas los ntawm cov uas lawv tshwm sim:
- yog tias cov neeg txheeb ze muaj kab mob xws li leeg ntshav, nws yuav tsum tau ua tib zoo saib xyuas lawv cov ceg (qhov no, qhov mob ntawm lub ntsej muag yuav tshwm sim), yog tias tsim nyog, siv tshwj xeeb cov ris tsho hauv qab, siv cov venoprotectors thiab tusyees faib lub nra thaum lub cev ua si, hloov nws nrog so;
- mob ntshav qab zib kuj yog ib qho ua rau mob txhab - yog li, cov ntshav qab zib yuav tsum kuaj xyuas tsis tu ncua;
- cov neeg muaj mob plawv yuav tsum tau soj ntsuam cov ntshav siab kom tsis txhob muaj kev txhim kho mob ntshav siab.
Mob rwj yog qhov kab mob loj heev, raws li kuaj pom tus neeg mob yuav tsum tau sab laj nrog cov kws paub tshwj xeeb kom sai li sai tau. Tsuas yog ua txoj hauv kev ntawm kev ua kom muaj lub tseem muaj sia yuav pab daws qhov teeb meem.
Cov zaub mov txawv qhia tshuaj ntsuab kho qhov ncauj rau qhov txhab vwm:
Tsis txhob cia siab rau kev kho mob nrog lwm cov ntawv qhia - lawv tsuas siv tau yog tias lawv tau yav tas los tau pom zoo nrog tus kws kho mob tuaj koom.
Ua raws li txhua cov lus qhia tau hais tseg yuav pab txhawb tus neeg mob lub sijhawm sai sai, thiab kev kuaj mob raws sijhawm yuav ua rau yav tom ntej los tiv thaiv qhov tshwm sim ntawm cov xwm txheej zoo li no.
