Mob ntshav qab zib - mob rwj
Yog tias koj muaj ntshav qab zib, koj muaj feem ntau yuav muaj mob pob txha, lossis mob txhab, tseem hu ua mob voos.
Mob rwj yog ib qho laj thawj uas ua rau tsev kho mob so rau cov neeg muaj ntshav qab zib. Nws yuav siv sijhawm ntau vas-thiv lossis ob peb lub hlis rau qhov mob kiav txhab. Cov mob txhab ntshav ua ntej yuav tsis mob (vim tias qhov qis hauv qab taw).
Txawm hais tias koj mob taub hau los xij, koj yuav tsum kawm paub ntau ntxiv txog kev saib xyuas koj txhais taw.
Mob ntshav qab zib tuaj yeem ua kev puas tsuaj rau txoj hlab ntshav thiab cov hlab ntshav hauv koj txhais taw. Qhov kev puas tsuaj no tuaj yeem ua rau loog thiab txo qhov kev xav hauv koj txhais taw. Raws li qhov tshwm sim, koj ob txhais taw yog cov yuav raug mob ntau dua thiab yuav tsis tuaj yeem kho yog tias lawv raug mob. Yog tias koj raug ua hlwv, koj yuav tsis pom thiab nws yuav mob heev ntxiv.
Yog tias koj tau ua kom mob txhab, ua raws li koj tus neeg muab kev pab kho mob cov lus qhia yuav kho li cas. Kuj tseem ua raws cov lus qhia yuav ua li cas saib xyuas koj txhais taw kom tiv thaiv kom tsis txhob mob txhab rau yav tom ntej. Siv cov ntaub ntawv hauv qab no los ceeb toom.
Ib txoj hauv kev los kho qhov mob plab yog kho kho. Cov kev kho no tshem tawm cov tawv nqaij tuag thiab tawv nqaij. Koj yuav tsum tsis txhob sim ua li no koj tus kheej. Tus kws zov me nyuam, xws li kws kho mob hauv tsaj lij, yuav tau ua qhov no kom ntseeg tau tias qhov debridement tau ua tiav thiab tsis ua rau raug mob ntxiv.
- Daim tawv nqaij puag ncig lub qhov txhab raug ntxuav thiab ntxuav tu.
- Lub kiav txhab tau soj ntsuam nrog cov khoom siv hlau kom pom nws sib sib zog nqus li cas thiab saib seb puas muaj lwm yam khoom siv lossis cov khoom siv rau hauv qhov txhab.
- Tus kws kho mob txiav cov ntaub so ntswg uas tuag lawm, tom qab ntawd ntxuav tawm lub qhov txhab.
- Tom qab, tus mob yuav zoo li loj thiab ntxaum dua. Cov hlwv yuav tsum liab lossis liab. Cov qhov txhab daj lossis daj / xim dub yeej tsis tshua zoo.
Lwm txoj hauv kev uas tus kws kho mob yuav siv los tshem cov nqaij tuag lossis mob kis yog:
- Tso koj txhais taw hauv dej khaub zig cua.
- Siv cov koob txhaj tshuaj thiab lub raj yas kom nqus dej kom ntxuav cov ntaub so ntswg tuag.
- Siv cov ntaub so ntub kom qhuav rau thaj chaw kom rub tawm cov ntaub so ntswg tuag.
- Tso cov tshuaj tshwj xeeb, hu ua cov enzymes, rau ntawm koj lub qhov txhab. Cov kab mob no tshem tawm ntawm cov kiav txhab.
- Tso cov nplaim nqaij tshwj xeeb rau ntawm lub qhov txhab. Tus maggots noj tsuas yog daim tawv nqaij tuag thiab tsim cov tshuaj lom neeg uas pab ua kom qhov mob zoo.
- Txheeb xyuas hyperbaric oxygen kev kho (pab xa ntau cov pa oxygen rau qhov txhab).
Kev mob ntawm qhov taw yog ib nrab los ntawm ntau dhau ntawm ib qho ntawm koj txhais taw.
Koj tus kws kho mob yuav hais kom koj hnav cov khau tshwj xeeb, khuam khiab caj dab, lossis cov ntiv tes tshwj xeeb. Koj yuav tsum siv lub rooj zaum muaj log lossis tus pas txheem kom txog thaum lub qhov txhab kho kom zoo. Cov cuab yeej no yuav coj lub siab tawm ntawm thaj chaw uas mob txhab. Qhov no yuav pab kho kom sai.
Qee zaum muab tso rau qhov kho cov neeg mob kom zoo tseem siv ob peb feeb tuaj yeem thim rov qab kho kom zoo uas tau tshwm sim tag nrho ntawm lub hnub.
Nco ntsoov tias yuav tsum hnav khau uas tsis tso nraub rau ntau qhov ntawm ib qho ntawm koj txhais taw.
- Hnav khau ua los ntawm cov canvas, tawv, lossis suede. Tsis txhob hnav khau ua los ntawm cov yas lossis lwm yam khoom siv tsis pub huab cua nkag rau hauv thiab tawm ntawm khau.
- Nkawm khau koj tuaj yeem hloov kho yooj yim. Lawv yuav tsum muaj kab plaub, Velcro, lossis buckles.
- Rau khau kom haum thiab tsis txhob nruj dhau. Koj yuav xav tau cov khau tshwj xeeb tsim los ua kom haum koj txhais ko taw.
- Tsis txhob hnav khau nrog taw tes lossis qhib ntiv taw, zoo li cov khau siab siab, khau khiab, lossis khau khiab.
Tu koj qhov txhab zoo raws li koj tus kws khomob qhia. Lwm cov lus qhia tuaj yeem suav nrog:
- Tswj koj cov ntshav qab zib kom nyob qis. Qhov no pab koj kom zoo sai thiab pab koj lub cev ntaus kis mob tau.
- Ua kom lub qhov txhab dawb huv thiab ua kom tawv nqaij.
- Ntxuav cov qhov txhab txhua hnub, siv cov ntaub qhwv ntsej muag lossis ntaub qhwv.
- Ua kom txo qis siab rau qhov kho qhov txhab zoo.
- Tsis txhob taug kev liab qab taw tshwj tsis yog koj tus kws kho mob hais rau koj tias TSIS UA.
- Kev tswj ntshav siab tuaj yeem tswj hwm, tswj cov roj cholesterol siab, thiab txiav tsis haus luam yeeb kuj tseem yog qhov tseem ceeb.
Koj tus kws khomob yuav siv ntau txoj kev hnav khaub ncaws los kho koj tus mob.
Ntub dej ntub dej rau kev hnav ris tsho feem ntau yog siv ua ntej. Tus txheej txheem no suav nrog kev hnav khaub ncaws hnav ntub rau koj lub qhov txhab. Raws li cov hnav khaub ncaws dries, nws nqus cov ntaub qhwv tawm. Thaum txoj kev hnav khaub ncaws raug tshem tawm, qee cov ntaub so ntswg tuaj nrog nws.
- Koj tus kws khomob yuav qhia rau koj tias koj yuav tau hloov pauv hnav npaum li cas.
- Tej zaum koj tuaj yeem hloov kho koj cov khaub ncaws hnav, lossis koj tsev neeg tuaj yeem pab koj.
- Tus kws saib xyuas neeg mob kuj tuaj yeem pab koj thiab.
Lwm hom kev hnav ris tsho yog:
- Hnav khaub ncaws uas muaj tshuaj
- Daim tawv nqaij hloov pauv
Cia koj hnav khaub ncaws thiab tawv nqaij ncig nws qhuav. Sim tsis txhob ua kom mob zoo nyob ib ncig ntawm koj lub qhov txhab ntub dhau ntawm koj qhov hnav. Qhov no tuaj yeem ua kom cov nqaij mos noj qab haus huv thiab ua rau muaj teeb meem ntau taw.
Kev tshuaj xyuas tas li nrog koj tus kws saib xyuas kev noj qab haus huv yog txoj hauv kev zoo tshaj plaws los txiav txim seb koj puas muaj feem yuav muaj kab mob vim muaj ntshav qab zib. Koj tus kws kho mob yuav tsum kuaj xyuas koj qhov kev xav nrog lub cuab tam hu ua monofilament. Koj txhais tes pulses kuj tseem yuav raug kuaj xyuas.
Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob li no:
- Liab, nce ntau dua sov, lossis o rau ntawm lub qhov txhab
- Kev tso quav ntxiv
- Pus
- Cov ntxhiab tsw
- Ua npaws lossis ua daus no
- Muaj mob zuj zus
- Ntxiv kev ruaj khov ncig lub qhov txhab
Kuj tseem hu yog tias koj qhov mob rwj yog dawb, xiav lossis dub.
Mob plab tes taw; Ulcer - ko taw
Koom Haum Asmeskas Mob Ntshav Qab Zib. 11. Microvascular cov teeb meem thiab kev saib xyuas ko taw: cov qauv kev kho mob hauv ntshav qab zib-2020. Ntshav Qab Zib Kho MobCov. 2020; 43 (Cov Khoom Siv 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.
Brownlee M, Aiello LP, Hnub JK, et al. Teeb meem ntawm ntshav qab zib mellitus. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: cha 37.
Koom haum National ntshav qab zib thiab zom thiab lub raum mob lub vev xaib. Mob ntshav qab zib thiab ko taw muaj teeb meem. www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems. Hloov kho Lub Ib Hlis 2017. Nkag mus rau Lub Rau Hli 29, 2020.
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