Cov laj thawj thiab cov hau kev ntawm kev kho mob ntshav qab zib angiopathy

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Txhua xyoo cov naj npawb ntawm cov neeg mob ntshav qab zib nce ntxiv. Yav dhau los, ntshav qab zib tau raug pom tshwj rau cov neeg laus dua 60 xyoo. Tam sim no, tus kab mob no "laus zuj zus tuaj", cov ntawv qhia hnyav hnyav tau pom hauv cov neeg muaj hnub nyoog qis dua 50 xyoo. Nyob rau hauv muaj qhov mob no, qhov kev pheej hmoo ntawm kev tsim ntau yam kev mob tshwm sim.

Ib qho teeb meem ntawm cov ntshav qab zib yog mob ntsws ntawm qis qis dua (code E10.5 raws li ICD 10 thiab code E11.5 raws li ICD 10). Cov laus thiab cov tub ntxhais hluas puav leej muaj qhov pheej hmoo.

Cov teeb meem thiab cov tshuab tshwm sim

Nrog rau qhov nce ntxiv hauv cov piam thaj, cov nqaij hauv lub cev yog impregnated nrog cov khoom lwj. Vascular cov phab ntsa thiab cov hlab ntaws muaj cov cim suab zoo rau hyperglycemia. Nyob rau tib lub sijhawm, lawv cov qauv ib txwm ua txhaum, uas provokes kev hloov kho ntawm cov hlab ntsha thiab ua rau muaj kev cuam tshuam ntau yam. Cov kev pauv hloov no hu ua angiopathy.

Angiopathy txhais tau tias qhov txo qis ntawm cov hlab ntsha ntawm cov hlab ntsha, uas ua rau txoj kev nqaim ntawm cov hlab ntsha lossis lawv txhaws tag. Cov ntshav ntws mus rau qhov qis qis yog qhov txo qis qis, uas cuam tshuam rau lub xeev kev noj qab haus huv. Cov ntshav tsis txaus ua raws li cov pa oxygen tshaib plab ua rau poob haujlwm, nrog rau cov mob necrosis, kev txhim kho kev ua haujlwm gangrene, necrosis ntawm ko taw cov nqaij.

Ntawm cov ntshav qab zib, ob leeg ntawm leeg ntshav thiab cov hlab ntsha thiab cov hlab ntsha me yog cuam tshuam, uas ua rau atrophy thiab degradation ntawm cov ntaub so ntswg thiab hlwb.

Nws muaj ob hom pathology:

  • microangiopathy, nyob rau hauv uas capillaries cuam tshuam;
  • macroangiopathy - txoj hlab ntsha thiab leeg ntshav cuam tshuam.

Tus kab mob nthuav qhia nws tus kheej hauv cov neeg mob ntshav qab zib tau li 10-15 xyoo.

Cov xwm txheej uas ua rau kom muaj tus kab mob no yog raws li nram no:

  • kev raug mob hauv cov nkoj uas cuam tshuam;
  • ntau cov kab mob sib txawv ntawm cov ntshav ncig;
  • siab lossis qis ntshav ntog uas kav ntev mus ntev;
  • kev cuam tshuam ntawm cov tshuaj lom rau tib neeg lub cev;
  • cov kab mob autoimmune;
  • kev siv cawv thiab luam yeeb kom xwm yeem;
  • metabolic kawg;
  • laus lawm.

Yog tias ib tus neeg muaj ib ntawm cov xwm txheej saum toj no ntxiv rau mob ntshav qab zib, tom qab ntawv txoj kev pheej hmoo ntawm kev tsim muaj tus mob angiopathy muaj ntau.

Cov kev hloov hauv qab no tshwm sim:

  • nrog rau kev nce ntxiv hauv cov ntshav qab zib, Cov piam thaj nkag mus rau cov phab ntsa ntawm cov hlab ntsha, rhuav tshem lawv;
  • cov nqaij ua paug tawm cov kua dej, qhov no ua rau o;
  • kev pheej hmoo ntawm thrombophlebitis nce;
  • ntshav coagulation tsis taus;
  • ntshav khiav cuam tshuam, raws li lub lumen ntawm cov hlab ntsha txo;
  • nyob rau hauv cov ntaub so ntswg nyob ze rau cov hlab, oxygen starvation tshwm sim;
  • muaj vascular sclerosis, uas ua rau lub raum tsis ua haujlwm;
  • cov phab ntsa ntawm cov hlab ntim su;
  • cov hlab ntshav tau ua nkig, uas ua rau muaj ntshav tawm.

Cov tsos mob thiab kuaj mob

Ua raws li qhov chaw nyob ntawm qhov chaw ntawm cov kev mob tshwm sim, tus kab mob nws tus kheej nws ua ntau yam sib txawv. Hauv kev pom ntawm qhov no, cov tsos mob kuj txawv.

Ntawm kev pheej hmoo yog cov hlab ntsha:

  • ophthalmic;
  • qis qis thiab sab qaum;
  • lub raum;
  • cordial.

Cov neeg mob yuav muaj cov tsos mob li nram no:

  1. Cov xim ntawm daim tawv nqaij ntawm qhov qis qis hloov mus. Nrog kev hloov pauv ntawm txoj hlab ntshav txaus, daim tawv nqaij ua daj ntseg, thiab nrog kev ua txhaum ntawm cov ntshav txhaws - ua cyanotic. Cov nyhuv ntawm marbled tawv no kuj tseem muaj ntau.
  2. Qhov kub ntawm daim tawv nqaij ntawm qhov qis qis qis dua. Ko taw txias rau qhov kov, tej zaum yuav nrog ua nrog chilliness.
  3. Mob, qhov kub thiab txias thiab tactile rhiab heev raug txo qis. Kev tsis pom kev ntawm qhov qis qis.
  4. Kev hlaus khov ntawm cov hlab ntsha ntawm qhov qis dua. Cov yam ntxwv no tuaj yeem txheeb xyuas los ntawm kws kho mob thaum kuaj mob tus neeg mob. Qhov ua tiav ntawm kev qoj ib ce qhia tau tias muaj qhov cuam tshuam ntawm cov hlab ntsha.
  5. Cov hluas nkauj doog ntshav. Txawm tias lub cev me ntsis cuam tshuam ua rau hematoma.
  6. Qhov saum npoo ntawm daim tawv nqaij yog them nrog vascular network, asterisks kuj pom.
  7. Nrog trophic cuam tshuam, tev ntawm daim tawv nqaij tshwm sim, nrog rau pigmentation.
  8. Qhov saum npoo ntawm daim tawv nqaij yog them nrog trophic mob txhab.
  9. Lub peev xwm ntawm daim tawv nqaij kom rov tsim dua tau tsawg dua. Cov qhov txhab tsis zoo ib zaug ntev txawm tias kho nrog kev kho mob.
  10. Qhov tshwm sim ntawm kev hnov ​​mob hauv qab qis, uas ntau ntxiv nrog kev tawm dag zog lub cev. Taug kev ua rau hlawv roj thiab mob hauv ob txhais ceg.

Yog tias koj tsis them sai sai rau qhov kev mob tshwm sim no, qhov no tuaj yeem ua rau kis tus taw thiab kev loj hlob ntawm kev zes cev. Nws yog ib qho tseem ceeb kom paub qhov teeb meem thaum ntxov thiab pib tawm tsam nws.

Kev kuaj mob thiab kho mob

Yog tias koj xav tias tus kab mob ntshav qab zib mob ntshav siab, tus kws kho mob ua qhov kev soj ntsuam kom pom, thiab tseem ua tib zoo mloog cov neeg tsis txaus siab. Nws yog ib qho tseem ceeb kom paub meej tias tus neeg mob muaj ntshav qab zib.

Kuaj hauv tsev kho mob yog tsim rau cov khoom siv tshwj xeeb:

  1. Magnetic resonance kev kos duab. Nws ua rau nws tau los soj ntsuam cov qauv ntawm cov nqaij mos ntawm lub vijtsam soj ntsuam. Cov txheej txheem no yog kev nyab xeeb kiag li thiab tsis mob.
  2. Ultrasound kev soj ntsuam Lub xeev ntawm cov phab ntsa ntawm cov hlab ntsha, nrog rau kev nrawm ntawm cov ntshav ntws, tau raug txheeb xyuas.
  3. Ntawv Dab Tsi. Cov yeeb yuj pleev xim tshwj xeeb tshaj tawm rau hauv lub cev. Cov duab xoo hluav taws xob tau xoo, uas qhia tau hais tias cov xim muaj xim sib kis thoob plaws lub cev.
  4. Tomography tso cai rau kev soj ntsuam ntawm lub site pathological. Fawm kib duab yog coj ntawm thaj chaw cuam tshuam.

Rau kev ua kom tiav kev kho mob ntawm tus kab mob, nws yog ib qho tseem ceeb rau kev ua kom cov metabolism hauv lub cev. Nws yog ib qho tsim nyog kom ua raws li cov khoom noj tshwj xeeb, ua tib zoo saib xyuas qib ntawm cov piam thaj hauv cov ntshav thiab noj tshuaj uas txo cov suab thaj. Kuj tseem ua tiav qhov kev soj ntsuam ntawm lub siab, tso txoj kev quav thiab ua kom lub cev yuag.

Kev txuag txoj kev

Kev txuag tshwj xeeb muaj nyob rau hauv kev siv cov tshuaj uas tsom rau kev txhim kho cov ntshav khiav, cov roj ntsha biochemical, thiab cov metabolism hauv cov ntaub so ntswg.

Cov tshuaj hauv qab no yuav pab kom ua tiav qhov no:

  • cov roj ntshav qis dua tshuaj;
  • txo qis ntshav siab;
  • cov tshuaj tiv thaiv kab mob uas ntxim nyiam cuam tshuam rau cov hlab ntshav;
  • tshuaj ntshav-thinning;
  • angioprotectors;
  • metabolism hauv;
  • txhim kho cov ntaub so ntswg ua kom rov muaj dua tshiab;
  • tshuaj kho mob.

Tsuas yog tus kws kho mob tsim nyog yuav tsum xaiv cov tshuaj.

Qhov xav tau thiab hom kev phais mob

Kev pab cuam phais mob yog qhia nyob hauv cov xwm txheej nram no:

  1. Muaj ib txoj kev pathology ntawm cov hlab ntsha loj hauv uas muaj qhov nqaim ntawm ib ntu. Lub hom phiaj tseem ceeb ntawm kev ua haujlwm yog ua kom rov qab v leeg nqaij. Cov kev kho mob hauv qab no yog qhia rau cov neeg mob uas muaj qhov sib txawv no:
    • kev ua haujlwm shunting (lub xaib nrog txoj kev nqaim yog tshem tawm, thiab cov pob zeb cuav lossis tsim los ntawm nws cov leeg ntshav tau teeb tsa hauv nws qhov chaw);
    • thrombectomy cuam tshuam txog kev tshem tawm cov kab mob pathological uas kaw lub lumen ntawm lub nkoj;
    • endovascular kev cuam tshuam nyob rau hauv uas lub nkoj yog dilated siv lub pob pneumatic.
  2. Nrog kev puas tsuaj rau cov hlab ntsha hauv txhua ntu, lossis nqaim ntawm cov ceg tseem ceeb. Hauv qhov no, ib qho sympathectomy tau ua, nyob rau hauv uas cov leeg ntshav lub luag hauj lwm rau txoj hlab ntshav spasm raug tshem tawm.
  3. Cov qhov txhab nrog cov ntsiab lus purulent, osteomyelitis, ntaub so ntswg necrosis. Kev ua haujlwm siab thiab nqos dej tau ua tiav, cov ntaub so ntswg tuag tshem tawm, thiab cov ntiv tes txiav tawm yog tias tsim nyog. Yog tias thaj tsam loj ntxuav tas, tom qab ntawd lawv tau npog nrog daim tawv nqaij.
  4. Yog tias muaj tus kabmob vwm tshwm sim, tib txoj kev tawm yog txiav tawm, uas yog ua raws li qhov chaw nyob:
    • lub forefoot, uas tshwm sim nrog gangrene ntawm txhua tus ntiv tes;
    • nyob rau tib theem, thaum lub pob taws thaj tsam cuam tshuam;
    • nyob rau theem ntawm tus ncej, nrog kev puas tsuaj ntawm txhais taw thiab qis ceg.

Qhia tshuaj ntsuab tshuaj ntsuab

Hauv kev kho mob ntawm angiopathy, tshuaj ntsuab tshuaj yog qhov muaj txiaj ntsig zoo, uas tau siv rau hauv daim ntawv ntawm da dej, lotions, decoctions:

  1. ChamomileIb qho kev siv nrov nrov yog tshuaj yej chamomile. Qhia rau siv los ntawm cov neeg uas muaj ntshav siab ntawm kev sib sau ua ke. Txhawm rau npaj tshuaj ntsuab tshuaj ntsuab, koj yuav tsum hliv ib diav ntawm cov kua rau hauv ib khob dej npau. Cia nws brew rau ib nrab ib teev. Haus hauv pluas tsis muaj nqi. Koj tseem tuaj yeem ua cov da dej ntawm chamomile rau qhov cuam tshuam nqua.
  2. Sage.Sage broth ua kom muaj zog cov tshuaj tua kab mob, tshem tawm cov co toxins, ua kom muaj zog tiv thaiv. Txhawm rau npaj nws, koj xav tau ib khob ntawm dej rhaub thiab 2 diav ntawm cov khoom sib sau. Txoj kev lis ntshav yuav tsum tau infuse rau ib teev, muab faib rau hauv peb koob thoob plaws ib hnub.
  3. Taum flaps.Lwm txoj hauv kev kho kom zoo yog kev kho ib qho paug ntawm taum thiab dandelion nrov plig. Cov khoom xyaw no tuaj yeem muab ntxiv nrog cov tshuaj ntsuab hauv qab no: hypericum, sawv hav zoov, horsetail. Ncuav ib tablespoon ntawm sau nrog ib khob ntawm dej npau thiab hais. Noj thaum nruab hnub.
  4. Dandelion hauv paus.Txoj kev lis ntshav ntawm dandelion keeb kwm muaj fructose, uas yog yooj yim nqus los ntawm lub cev. Los npaj Txoj kev lis ntshav, koj tuaj yeem siv ob qho tib si dandelion keeb kwm yuav hauv khw muag tshuaj, lossis khawb nws rau koj tus kheej. Nyob rau hauv ib lub thermos ncuav 2 dia ntawm qhov sau thiab ncuav dej npau npau. Siv ua ntej noj mov.
  5. Jerusalem artichoke.Noj cov nqaj nyoos zoo li txiv apple. Ua noj zaub xam lav. Txhawm rau npaj nws, koj tuaj yeem siv txhua yam zaub uas nyob ntawm tes: tswb kua txob, zaub qhwv, carrots, beets. Lub ntsiab feem yuav tsum yog Jerusalem artichoke. Zom txhua yam thiab ntxiv cov roj zaub.
  6. LentilsLentil porridge pab txo qis cov ntshav qab zib. Nws tau npaj zoo li lwm yam porridge, tom kawg ntawm kev ua noj ntxiv me me roj. Siv tsawg kawg ob zaug hauv ib asthiv.

Kev twv ua ntej thiab Kev Tiv Thaiv

Nrog rau qhov tshwm sim ntawm ntshav qab zib macroangiopathy, qhov kev pheej hmoo ntawm ntau cov teeb meem nce ntxiv. Nrog rau cov mob ntshav qab zib ua mob me me, nws muaj peev xwm ua tau tias angiopathy yuav muaj cov chav kawm nyob ruaj khov thiab dhau mus yuav luag tsis muaj mob dab tsi.

Kev puas tsuaj rau txhais taw tshwm sim nrog kev txhim kho ntxiv ntawm angiopathy. Hauv qhov no, kev mob tsis tu ncua thiab o ntawm taw, trophic mob. Hauv cov xwm txheej hnyav, mob qog ntawm tus ntiv taw lossis sab ceg qis dua.

Mob kheesxaws yog ib qho mob hnyav heev, nrog kev rhuav tshem ntawm cov ntaub so ntswg muaj kev qaug zog ntawm lub cev, ua rau lub neej muaj sia.

Kev tiv thaiv yog tiv thaiv qhov tshwm sim ntawm cov teeb meem.

Nws yog ib qho tseem ceeb kom ua raws li cov lus qhia no:

  • Tsis txhob taug kev liab qab hauv av, vim qhov kev pheej hmoo kis mob ntawm qhov txhab ntawm ko taw nce ntxiv;
  • ua tib zoo xaiv cov khau, tsis yooj yim tuaj yeem ua rau raug mob tawv nqaij;
  • txhua hnub ntxuav koj txhais taw nrog dej sov, thiab tom qab ntawd siv cov khoom noj kom zoo nkauj;
  • ua kev soj ntsuam ib puag ncig, soj ntsuam cov ntshav qab zib;
  • ua raws li kev noj haus uas koom nrog kev noj haus zoo nrog cov ntsiab lus tsawg kawg ntawm cov khoom noj carbohydrate;
  • xyuas cov khoom noj thiab ua kom zoo ntxiv nrog blueberries, taum, spinach thiab sauerkraut;
  • ua tiav kev quav yeeb quav tshuaj, xws li haus dej cawv thiab haus luam yeeb, vim cawv ua rau muaj kev cuam tshuam tsis zoo ntawm kev ua haujlwm ntawm lub txiav.
  • kev tawm dag zog qoj ib txwm, thaum qhov kev pheej hmoo ntawm kev raug mob ceg yog qhov tsawg heev.

Txhawm rau tiv thaiv kev txhim kho ntshav qab zib, nws yog ib qhov tsim nyog los tswj qee yam tsis xws luag.

Cov lus ntsuas uas yuav tsum muaj:

TsisNquag
yoo suab thaj< 6,2 - 6,6
piam thaj ob teev tom qab noj mov< 8 - 9
hemoglobin qib2,02-2,71
roj5,3 - 6
lub siabtsis siab tshaj 140/90

Angiopathy ntawm qis qis yog qhov mob nyhav thiab txaus ntshai. Thaum tsis muaj kev siv tshuaj kho mob, qhov muaj qhov tshwm sim ntau txog kev ploj tuag.

Cov khoom siv video hais txog cov laj thawj thiab kho mob ntshav qab zib:

Yog tias muaj txawm tias kev xav me me ntawm kev txhim kho pathology, koj yuav tsum sab laj nrog kws kho mob sai. Nws yog ib qho tseem ceeb kom tsis txhob pub koj noj khoom qab zib thiab ua tib zoo saib xyuas koj cov ntshav qab zib. Yuav tsum muaj ib yam dab tsi qab zib nrog koj, tsam koj cov ntshav qab zib poob. Noj qab nyob zoo!

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