Mob ntshav qab zib ko taw yog dab tsi thiab yuav kho li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Koj tuaj yeem plam koj ob txhais ceg vim ntshav qab zib.

Dab tsi yog mob ntshav qab zib ko taw

Nws yog ib qho teeb meem ntawm Diabetic Foot / U. S. National Library of Medicine mob ntshav qab zib mellitus, thaum cov hlab ntsha thiab cov hlab ntsha hauv ob txhais ceg thiab ko taw puas vim muaj ntshav qabzib ntau. Yog li ntawd, ib tug neeg tsis xav tias nws tau raug mob ntawm daim tawv nqaij, thiab qhov txhab kho tau ntev thiab kis tau yooj yim. Yog tias tus kab mob tsis pom nyob rau lub sijhawm, nws yuav nkag mus tob rau hauv cov ntaub so ntswg thiab ncav cuag cov pob txha. Hauv qhov no, cov kws kho mob yuav tsum tau txiav ib feem ntawm ceg.

Mob ntshav qab zib ko taw txhim kho li cas?

Yog tias tus neeg mob ntshav qab zib tsis ua raws li tus kws kho mob cov lus pom zoo lossis kev kho mob tsis raug xaiv, cov piam thaj concentration yuav siab dua li qub. Qhov no yuav ua rau mob ntshav qab zib neuropathy / Mayo Clinic cov hlab ntsha. Yog li ntawd, lawv yuav tsis muaj peev xwm xa cov teeb liab mus rau lub hlwb, thiab tus neeg yuav tsis hnov dab tsi ntxiv lawm. Piv txwv li, yog tias nws ua rau tus ntsia hlau ntse, nws yuav tsis pom qhov mob, thiab ko taw yuav raug mob.

Tsis tas li ntawd, cov piam thaj muaj qhov tsis zoo rau cov hlab ntsha: nws ua rau Diabetic Foot Ulcers / Medscape ua kom cov phab ntsa ntawm cov hlab ntsha thiab cov hlab ntsha. Vim li no, cov ntshav ntws hauv lawv deteriorates, yog li cov ntaub so ntswg tau txais oxygen thiab cov as-ham tsawg thiab raug puas tsuaj sai.

Mob ntshav qab zib ko taw ua rau dab tsi?

Diabetic Neuropathy Clinical Presentation / Medscape cov teeb meem feem ntau tshwm sim ntau xyoo. Tab sis txhua yam yog tus kheej thiab nyob ntawm qib qab zib hauv cov ntshav. Qhov tshwm sim tuaj yeem ua raws li hauv qab no.

Tsis kho ulcers thiab qhov txhab

Lawv tshwm sim Diabetic Foot Ulcers / Medscape tom qab raug txiav los yog raug mob me me rau ib leeg. Vim muaj teeb meem circulatory, txawm me me qhov txhab tsis kho thiab tig mus ua ulcers. Qee lub sij hawm lawv tob heev uas lawv ncav cuag cov pob txha thiab ua rau mob, lossis osteomyelitis.

Yuav ua li cas

Nws yog ib qho tsim nyog yuav tsum qhia tus kws kho mob endocrinologist txog qhov tshwm sim ntawm qhov txhab lossis qhov txhab kom nws pab txo qis cov piam thaj, txwv tsis pub kev kho yuav ua haujlwm. Tom qab ntawd tus kws phais yuav xaiv txoj kev kho mob rau lawv tus kheej:

• Unloading ntaus ntawv. Diabetic Foot Ulcers Treatment & Management / Medscape tuaj yeem yog cov npog tshwj xeeb rau cov ntiv tes, cov cuab yeej tsis tshem tawm uas kho cov ko taw hauv txoj hauj lwm zoo li no thaum taug kev, ib tus neeg txo qis qis rau ntawm qhov txhab, thiab ntiv tes struts. Qee zaum, ib qho kev xav insole yog txaus rau khau.
• Tshuaj kho mob thiab kho qhov txhab. Yog tias nws qhuav, Diabetic Foot Ulcers Treatment & Management / Medscape antibacterial moisturizers yuav ua. Thiab rau lub qhov txhab quaj, ib daim ntaub qhwv nrog lub sorbent yog siv, uas yuav nqus dej ntau dhau. Koj tus kws kho mob kuj tuaj yeem pom zoo rau cov tshuaj tua kab mob thiab tshuaj tua kab mob.
• Vascular phais. Qhov no yuav tshwm sim Diabetic Foot Ulcers Treatment & Management / Medscape yog tias tus kws kho mob pom tias muaj cov ntshav tsis zoo hauv cov hlab ntsha.
• Kev phais ko taw. Diabetic Foot Ulcers Treatment & Management / Medscape yog xav tau yog tias lub qhov txhab muaj ntau cov ntaub so ntswg puas lawm, lub pob zeb tau tsim uas cuam tshuam nrog kev kho, lossis gangrene tsim. Hauv qhov kawg, cov ntshav ntws hauv ko taw nres, thiab nws cov ntaub so ntswg tuag tag. Qhov no yuav tsum tau txiav tawm ntawm txhais ceg saum toj no theem ntawm kev puas tsuaj.

Kab mob

Vim muaj cov kab mob ntshav qab zib mellitus / Medscape qabzib nyob rau hauv cov hlab ntsha ntawm ko taw, cov ntshav tsis tuaj yeem nkag mus rau cov ntaub so ntswg, xws li cov neeg noj qab haus huv. Yog hais tias nyob rau tib lub sij hawm ua mob rau ko taw, cov kab mob yuav nkag mus rau hauv lub qhov txhab, thiab leukocytes los ntawm cov ntshav yuav tsis tau mus rau qhov chaw ntawm kev raug mob. Yog li, ntshav qab zib feem ntau tshwm sim:

• cellulite - o ntawm cov ntaub so ntswg subcutaneous, uas yog nyob ntawm ko taw;
• kab mob ntawm daim tawv nqaij thiab cov nqaij mos;
• mob thiab mob osteomyelitis.

Hauv cov mob ntshav qab zib ko taw, qhov mob feem ntau tshwm sim los ntawm Diabetic Foot Infections / Medscape streptococci, Escherichia coli, Klebsiella, Proteus.

Yuav ua li cas

Nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas cov ko taw tsis tu ncua thiab, yog tias txawm tias muaj kev raug mob me me, mus rau tus kws kho mob endocrinologist. Nws yuav sau tshuaj Diabetic Foot Infections Treatment & Management / Medscape antiseptics thiab tshuaj tua kab mob. Yog hais tias tus kab mob tau nkag mus rau hauv cov pob txha, yuav tsum tau phais.

Charcot's arthropathy

Qhov no yog lub npe ntawm Charcot Foot / American College of Foot and Ankle Surgeon, ib qho mob uas, vim kev puas tsuaj rau cov hlab ntsha thiab ligaments los ntawm ntshav qab zib, cov pob qij txha thiab pob txha ntawm ko taw tsis muaj zog. Yog li ntawd, pob txha thiab dislocations yooj yim tshwm sim. Arthropathy muaj cov tsos mob hauv qab no:

• liab liab;
• o;
• nce ntawm daim tawv nqaij kub;
• mob hauv ko taw;
• deformation - ko taw tuaj yeem khoov nrog lub rocker.

Yuav ua li cas

Koj yuav tsum mus ntsib tus kws kho mob orthopedist. Nws yuav kuaj X-ray thiab xaiv kev kho mob. Txhawm rau txo qhov mob, tus kws kho mob yuav hais kom Charcot Foot / American College of Foot and Ankle Surgeon:

• Immobilization, los yog txwv kev txav mus los. Qhov no yog los tiv thaiv ko taw ntawm kev puas tsuaj. Yog li ntawd, tus neeg yuav tau muab ib tug plaster cam khwb cia los yog ib tug tshwj xeeb pob taws brace. Los yog tej zaum koj tseem yuav tau siv cov cuab yeej siv los yog mus ncig hauv lub rooj zaum muaj log.
• Cov khau orthopedic. Nws yuav ntxiv dag zog rau ko taw, tiv thaiv kev ntxhov siab lossis tawg.
• Txo kev ua haujlwm. Kom tsis txhob rov raug mob ceg.
• Kev ua haujlwm. Yog tias cov pob qij txha lossis ligaments raug mob hnyav lossis deformed.

Yuav ua li cas pom cov tsos mob ntawm tus mob ntshav qab zib ko taw

Yuav kom nrhiav tau cov tsos mob ntawm pathology kom ntxov li sai tau, cov kws kho mob qhia tshuaj xyuas ob txhais ceg txhua hnub. Nov yog yam uas yuav tsum tau saib xyuas rau Kev Kawm Tus Neeg Mob: Kev saib xyuas ko taw rau cov neeg mob ntshav qab zib (Tshaj qhov hauv paus) / UpToDate:

• me me txiav, raug mob;
• thaj chaw uas daim tawv nqaij kub rau kov;
• liab liab;
• tingling los yog tsis muaj rhiab heev;
• hlwv los yog calluses;
• ingrown rau tes;
• mob heev los yog cramps;
• ko taw txias heev;
• xiav discoloration los yog pallor ntawm daim tawv nqaij;
• dryness thiab flaking;
• ntau yam deformities ntawm ko taw.

Koj tuaj yeem sim hnov tus mem tes los ntawm nias koj tus ntiv tes ncaj qha hauv qab cov pob txha hauv qab ntawm sab ceg ntawm sab hauv. Yog tias tsis hnov tsw tshee, qhov no kuj yog ib qho kev ceeb toom.

Txawm li cas los xij, kev raug mob, qhov txhab lossis qhov txhab tsis tuaj yeem sim kho lawv tus kheej, koj yuav tsum nrhiav kev pab los ntawm tus kws kho mob tshwj xeeb.

Yuav ua li cas tiv thaiv kev txhim kho ntawm tus mob ntshav qab zib ko taw

Txoj hauv kev tseem ceeb ntawm kev tiv thaiv yog kev kho mob ntshav qab zib mellitus kom raug, uas tso cai rau koj kom tswj tau cov ntshav qabzib ib txwm muaj. Tsis tas li ntawd, Kev Kawm Tus Neeg Mob: Kev saib xyuas ko taw rau cov neeg mob ntshav qab zib (Tshaj qhov hauv paus) / UpToDate yog qhov zoo dua:

• Txhob haus luam yeeb. Cov luam yeeb cuam tshuam cov hlab ntsha hauv cov hlab ntsha.
• Tsis txhob mus ko taw liab qab. Qhov no yuav pab tiv thaiv kev raug mob.
• Tsis txhob siv ko taw sov, tab sis xyuas cov dej kub ua ntej da dej kom tsis txhob scalding.
• Txiav koj cov rau tes kom zoo. Tsis txhob txiav lawv ntawm cov ces kaum kom tsis txhob raug mob ntawm daim tawv nqaij.
• Saib xyuas kev huv. Ntxuav thiab qhuav koj ob txhais taw txhua hnub kom tsis txhob kis kab mob.
• Xaiv cov khau zoo. Nws yuav tsum muaj tus ntiv taw dav, haum snugly ncig ntawm ko taw, tab sis tsis nyem nws. Nws tsis pom zoo kom hnav khau khiab, khau khiab lossis khau khiab.
• Kev saib xyuas tus mob ntshav qab zib ko taw / American Orthopedic Foot & Ankle Society tsis pub tshaj 2 teev ncaj.
• Hnav cov thom khwm xoob xoob. Lawv tsis pinch sab ceg. Thiab lawv yuav tsum tau hloov txhua hnub.
• Tau txais kev kuaj mob tsis tu ncua rau cov teeb meem mob ntshav qab zib ko taw / American Orthopedic Foot & Ankle Society. Yog tias tsis muaj cov tsos mob ntawm tus mob ntshav qab zib ko taw, nws txaus mus ntsib kws kho mob orthopedic ib xyoos ib zaug. Thiab yog tias cov tsos mob ntawm tus kab mob tau tshwm sim, ces txhua 1-2 lub hlis.
• Tsis txhob zaum cross-legged. Qhov no impairs ntshav khiav.