Hauv cov ntshav qab zib mellitus, nyob rau hauv kev cuam tshuam ntawm pathological hloov pauv hauv cov txheej txheem hauv cov metabolism, muaj ntau yam kev nyuaj tshwm sim uas cuam tshuam rau lub luag haujlwm ntawm lub cev sab hauv.
Yuav luag txhua yam kabmob muaj feem cuam tshuam, nrog rau daim tawv nqaij.
Stains, mob txhab, thaj tsam coarsened ntawm daim tawv nqaij yog qhov tsos mob tshwm sim tsis tu ncua hauv cov ntshav qab zib.
Ua rau ntawm daim tawv nqaij mob
Kev tsis txaus siab ntawm cov metabolism ua cov metabolism, cov yam ntxwv ntawm ntshav qab zib mellitus, ua rau kev tsim cov ntsiab lus ntau ntxiv ntawm cov tshuaj insulin hauv lub cev lossis, nrog qhov tsis txaus ntawm lub cev, qhov nce siab ntawm cov piam thaj hauv cov ntshav. Ib qho dhau heev ntawm cov insulin lossis cov piam thaj ua rau lub cev tsis zoo ntawm lub dermis nqaij thiab kev hloov pauv hauv cov hlwb epithelial. Kev txuam nrog cov khoom lag luam hauv lub cev ua rau cov qe ua rau puas tsuaj rau cov hauv paus plaub hau.
Cov piam thaj hauv siab cov ntsiab lus tsis zoo cuam tshuam rau cov ntshav ncig thiab kev ua haujlwm ntawm cov hlab ntsha nyob hauv daim tawv nqaij. Qhov no ua rau muaj kev txo qis rhiab ntawm qhov muag ntawm caj ces, ib qho kev nce siab hauv kev nyiam ua rau kev puas tsuaj ntawm txhais ceg. Tsis tas li ntawd xwb, vim muaj tus kabmob, lub cev tiv thaiv kev tiv thaiv tsis muaj zog thiab kev ua haujlwm ntawm cov nqaij mos ua kom tsis muaj zog.
Yog li ntawd, cov neeg mob ntshav qab zib tsis tau ceeb toom tam sim ntawd qhov kev raug mob uas tshwm sim hauv lub cev, vim tias qhov kev nrawm ntawm cov xovtooj ntawm cov ntshav rov qab, cov kiav txhab tsis zoo rau ntev, thiab vim yog lub cev tsis muaj zog tiv thaiv kab mob, kab mob los yog kab mob koom nrog cov duab loj.
Yog li, cov ua rau tawv nqaij cov ntshav qab zib muaj xws li:
- ua ntshav siab hnyav;
- siab concentration ntawm insulin (insulin tsis kam);
- ua txhaum ntawm cov ntshav ncig hauv cov nqua;
- kev tiv thaiv qis;
- kev puas tsuaj rau lub paj hlwb (neuropathy);
- kev fab tshuaj tsis haum rau cov tshuaj insulin thiab piam thaj;
- fungal thiab kab mob kis.
Muaj ntau tus lej uas tuaj yeem ua rau kev txhim kho ntawm pathology:
- Kev pham Cov neeg rog pom tias nws nyuaj los tshawb nrhiav kev puas tsuaj rau lub cev. Tsis tas li ntawd, hauv cov neeg mob li no tawm hws thiab daim tawv nqaij loj yog qhov nce, uas ua rau lub ntsej muag zoo li pob xoo, scuffs, calluses thiab pab txhawb kev nkag mus ntawm kev kis mob.
- Kev quav cawv thiab quav cawv. Cov cwj pwm tsis zoo ua rau lub cev qhuav dej thiab pab txhawb vasoconstriction, uas ua rau cov ntshav ncig tsis zoo.
- Hnav cov khau nruj thiab tsis xis. Qhov no ua rau cov tsos ntawm calluses thiab scuffs.
- Kev tu tawv nqaij tsis txaus. Raws li qhov tshwm sim, daim tawv nqaij qhuav, thaj chaw coarsened thiab cov kab nrib pleb tshwm sim.
- Laus lub caij nyoog. Cov kev hloov pauv hauv hnub nyoog ua rau txo qis ntawm daim tawv nqaij thiab ziab tawm ntawm daim tawv nqaij, tshwj xeeb tshaj yog nyob hauv ceg, puab tais thiab perineum.
Kev sim rau tus kheej-siv tshuaj rau kev raug mob nyob rau hauv muaj ntshav qab zib pab txhawb kev txhim kho ntawm daim tawv nqaij mob thiab qhov tshwm sim ntawm cov teeb meem.
Cov pob liab liab hauv cov ntshav qab zib ua rau lub cev tawv nqaij
Cov ntawv tshaj tawm loj loj
Tawm tsam cov keeb kwm yav dhau los ntawm lub siab ntawm cov piam thaj hauv cov ntshav thiab tso zis sai, cov ntshav mus rau cov ntaub so ntswg yog cuam tshuam thiab cov tsos mob ntawm lub cev qhuav dej tshwm.
Raws li qhov tshwm sim, qhov xwm txheej ntawm cov tawv nqaij hloov, lawv dhau los ua ntxhib, thaj chaw coarsened tshwm sim ntawm ko taw, daim tawv nqaij ua ziab thiab qeeb, cov kab nrib pleev rau ntawm pob taws. Khaus thiab tev tawm tshwm sim, plaub hau pib poob los.
Cov tawv nqaij hloov xim: ib qho xim zas los yog daj daj tuaj yeem pom. Vim tias daim tawv capillaries, qhov ntsej mua nce ntshav (mob ntshav qab zib rubeosis) tshwm ntawm sab plhu, uas feem ntau tuaj yeem pom hauv cov menyuam muaj ntshav qab zib.
Daim tawv nqaij pathologies tuaj yeem muab faib ua ob peb pawg:
- yam tshuaj - tshwm sim tawm tsam keeb kwm ntawm kev siv tshuaj insulin thiab noj tshuaj muaj suab thaj (tshuaj tiv thaiv kab mob ua paug, mob tso zis, tso tom qab lipodystrophy, eczema);
- thawj - cov kab mob uas tsim los vim mob caj dab thiab mob ntshav qab zib tsis txaus (xanthomatosis, lipoid necrobiosis, hlwv cov ntshav qab zib, dermatopathy mob ntshav qab zib);
- theem ob - kis kab mob los yog fungi tiv thaiv keeb kwm ntawm endocrine cuam tshuam.
Kev kho cov tawv nqaij ua mob yog qhov nyuaj los ntawm qhov txo qis hauv kev rov ua dua ntawm cov nqaij mos, yog li ntawd, nws txuas ntxiv mus ntev, nrog kev tshwm sim rov tshwm sim ntau dua.
Hauv cov neeg mob uas muaj ntshav qab zib ntev ntev, mob hauv lub ntsws. Ib qho kev sib tw ntawm cov kab mob pathology yog dermopathy mob ntshav qab zib (saib duab), uas feem ntau cuam tshuam rau cov muaj hnub nyoog nruab nrab thiab cov laus.
Cov tsos mob tseem ceeb yog xim av daj, npog nrog nplai, tsis mob thiab tsis khaus, tshwm ntawm ob txhais ceg thiab ploj mus ntawm nws tus kheej tom qab ob peb xyoos.
Yog tias ntshav qab zib tsis kav ntev, qhov tshwm sim puag ncig burgundy me ntsis nrog cov qauv qhia meej yog qhov pom ntawm erythema. Cov qhov txhab no muaj ntau, feem ntau tshwm sim hauv lub cev thiab nrog nws cov lus los cuam tshuam. Stains ploj tom qab ob peb hnub yam tsis muaj kev kho mob.
Kev pham mob ntshav qab zib pib ua cov nyom zoo li daim tawv dub (saib daim duab). Txho liab tseb pom tshwm rau ntawm qhov tsos thiab caj dab.
Ntawm thaj chaw raug mob, daim tawv nqaij yog velvety rau qhov kov, nrog tus qauv ua kom pom tseeb ntawm daim tawv nqaij.
Tom qab ntawd, ib qhov chaw dub los ntawm qhov pom. Tus kab mob feem ntau yog benign thiab me ntsis sai sai mus, tab sis ib daim ntawv malignant ntawm pathology kuj tshwm sim.
Tib qho kev tsaus nti tuaj yeem tshwm sim ntawm cov pob qij txha ntawm cov ntiv tes. Cov tawv nqaij zoo sib xws yog tshwm sim los ntawm kev tawm tsam cov kua dej hauv lub cev ntau dua, uas tshwm sim nrog insulin tsis kam.
Kev qhia ntawm lipoid necrobiosis
Lipoid necrobiosis - yog dab tsi? Qhov no yog kab mob pathological ntawm daim tawv nqaij ntawm ob txhais ceg, tshwm sim los ntawm qhov tsis txaus ntseeg. Tus kab mob no feem ntau pom muaj nyob hauv cov poj niam uas mob los ntawm hom 1 mob ntshav qab zib mellitus.
Ua ntej, cov pob liab liab tshwm rau ntawm ob txhais ceg (saib daim duab), tsa saum daim tawv, tom qab ntawd lawv loj tuaj thiab tig mus ua cov quav txos atrophic plaques.
Lub ntsej muag xim av yog xim daj rau hauv plawv, ntawm thaj chaw uas mob txhab ua lub sijhawm.
Kev kho ntau yam mob ntawm daim tawv nqaij muaj raws li cov sij hawm teem tseg nram no:
- tshuaj rau kev kho kom rov qab muab cov ntshav (Aevit, Curantil, Trental);
- kev kho stain nrog Fluorocort, Dimexide, Troxevasin;
- tshuaj insulin rau kev txhab thiab heparin txhaj tshuaj;
- tshuaj uas normalize lipid metabolism (Lipostabil, Clofibrate);
- kho laser;
- phonophoresis nrog hydrocortisone.
Hauv qee kis nyuaj, phais mob yas siv.
Cov pob khaus
Lwm hom dermatological kev puas tsuaj hauv ntshav qab zib yog qhov pom ntawm khaus hauv daim tawv nqaij. Feem ntau, tus kab mob pathology tshwm sim tsis pub dhau tsib xyoos tom qab kev txhim kho ntshav qab zib thiab muaj ntau dua rau poj niam.
Ntawm sab lauj tshib, plab, los yog puab tais, tej yam tawv lossis xim liab tshwm. Cov ntsiab lus sib koom ua ke mus ntev, thaj chaw cuam tshuam ntawm daim tawv nqaij dries thiab ua tawg. Thaum tsaus ntuj, cov pob khaus khaus zuj zus.
Ntawm ko taw lossis ntiv tes ntawm sab saud thiab hauv qab kawg, ua npuas dej rau ntshav qab zib tuaj yeem tsim, ncav cuag qhov loj me ntawm ob peb centimeters.
Cov xim ntawm lub dermis ntawm qhov chaw ntawm kev puas tsuaj tsis hloov, pob xoo tuaj yeem ua ke nrog khaus me ntsis lossis tingling, lossis lawv yuav tsis ua rau muaj kev tsis zoo siab. Cov hlwv ntim ntshav muaj kua lossis ntshiab kua ntshav uas tsis muaj microflora kab mob. Tom qab peb mus rau plaub asthiv, cov npuas ploj tsis tau ua qhov nti.
Cov tawv nqaij mob txhab
Cov pob uas tshwm sim rau cov laus hauv cov neeg mob ntshav qab zib nyob hauv puab tais, ntawm ntiv tes, hauv qhov quav ntawm daim tawv nqaij thiab perineum tuaj yeem yog cov cim ntawm candidomycosis.
Daim tawv nqaij liab, tawg thiab yaig yog tsim rau nws nrog lub teeb contour thiab xiav-liab ci ci nto.
Cov cheeb tsam ze ntawm daim tawv nqaij tuaj yeem npog nrog cov hlwv me me. Tag nrho cov no yog nrog los ntawm khaus khaus.
Txhawm rau kom paub tseeb tias kev kuaj mob, kev soj ntsuam microbiological ntawm scraping coj los ntawm qhov chaw ntawm kev yaig yog ua.
Kev kho muaj nyob rau hauv kev siv lub cev thiab noj fluconazole lossis itraconazole. Rau kev siv sab nraud, Clotrimazole, Exoderil lossis Lamisil yog cov tshuaj.
Ntxiv nrog rau qhov mob candidiasis tiv thaiv ntshav qab zib, cov mob txhab kab mob hauv qab no feem ntau tau txheeb xyuas:
- furunculosis;
- tshuaj pleev qhov ncauj;
- erysipelas;
- mob rneem mob rwj;
- pyoderma.
Cov tshuaj tua kab mob yog siv rau hauv kev kho mob, tab sis cov kab mob ntawm daim tawv nqaij yog qhov nyuaj thiab xav tau kev kho mob ntev. Cov kab mob ntawm daim tawv nqaij yog qhov nyuaj los kho thiab ua rau nws nyuaj rau tshuaj kom muaj ntshav qabzib ntau ntau.
Hauv thaj chaw puas, ib qho tshuaj pib tawm ua ke los ntawm cov tshuaj insulin, rhuav tshem cov tshuaj hormones. Tsis tas li ntawd, lub cev nrhiav kom tshem tau tus kabmob thiab o thiab suav nrog kev tawm tsam, uas ua rau muaj kev tiv thaiv tsis muaj zog ntau dua.
Yog li, txhawm rau nrawm qhov tshwm sim, cov neeg mob ntshav qab zib nce qhov ntau ntxiv ntawm cov tshuaj insulin, sau cov tshuaj uas ntxiv dag zog rau lub cev tiv thaiv, thiab hauv cov xwm txheej nyuaj, siv rau kev phais.
Ua raws li kev tiv thaiv kev tiv thaiv yuav pab tiv thaiv kev kis tus mob thiab ua kom yooj yim rau chav kawm:
- tiv thaiv cov tawv nqaij los ntawm kub nyhiab, abrasions, khawb thiab mob;
- tsis tu ncua tshuaj xyuas daim tawv nqaij thiab, yog tias nws puas ntsoog, nqa tawm cov tshuaj tua kab mob;
- xaiv qhov xis nyob, khau tsim nyog, zam qhov tsim ntawm pob txha;
- Nqa cov tawv nqaij saib xyuas, tsis txhob siv cov khoom ntse, tawv tawv ntxuav, tsis txhob siv tshuaj ntxuav tes;
- Cov txheej txheem kev tu cev yuav tsum tau ua tas li nrog kev siv cov mos mos, tsis ua mob rau daim tawv nqaij;
- siv emollient thiab moisturizing tshuaj pleev ib ce rau kev tu tawv nqaij.
Cov khoom siv ua vis dis aus qhia txog kab mob tawv nqaij hauv ntshav qab zib:
Yog tias koj pom qhov chaw tsis zoo los yog lub qhov txhab ntawm qhov tseem ceeb, tsis txhob sim kho qhov kev puas tsuaj ntawm koj tus kheej. Hauv qhov no, koj yuav tsum tau ntsib tus kws kho mob sai sai thiab tiv thaiv kom txhob ua kom tsis txhob mob.
