Kev Ntsuas Kab Mob Ntshav Qab Zib
Zoo Siab
- Tshuaj ntsuam ntshav qab zib ko taw yog dab tsi?
- Nws siv rau dab tsi?
- Vim li cas kuv thiaj yuav tsum kuaj ntshav qab zib ko taw?
- Yuav muaj dab tsi tshwm sim thaum kuaj mob ntshav qab zib ko taw?
- Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
- Puas muaj kev pheej hmoo rau kev kuaj?
- Cov txiaj ntsig li cas?
- Puas muaj lwm yam ntxiv uas kuv yuav tsum paub txog kev kuaj ntshav qab zib ko taw?
- Ua tim khawv
Tshuaj ntsuam ntshav qab zib ko taw yog dab tsi?
Cov neeg mob ntshav qab zib yog cov muaj feem yuav muaj mob ntau yam mob ko taw. Kev kuaj mob ntshav qab zib kuaj xyuas cov neeg muaj ntshav qab zib rau cov teeb meem no, suav nrog kev kis mob, raug mob, thiab pob txha tsis zoo. Kev puas ntsoog rau lub cev, hu ua neuropathy, thiab kev ncig tsis zoo (ntshav khiav tsis txaus) yog cov ua rau mob ntshav qab zib ko taw.
Neuropathy tuaj yeem ua rau koj ob txhais taw zoo li loog lossis tingly. Nws tseem tuaj yeem ua rau txoj kev xav nyob hauv koj txhais taw. Yog li yog tias koj tau raug mob ko taw, zoo li callus lossis hlwv, lossis tseem mob tshaj qhov uas paub tias yog mob viav vias, tej zaum koj yuav tsis paub nws.
Kev ncig ua haujlwm tsis zoo ntawm ko taw tuaj yeem ua rau koj nyuaj rau kev tawm tsam tus kab mob ko taw thiab kho los ntawm kev raug mob. Yog tias koj muaj ntshav qab zib thiab tau mob ko taw lossis lwm qhov raug mob, koj lub cev yuav tsis tuaj yeem kho nws sai. Qhov no tuaj yeem ua rau tus kab mob kis tau, uas tuaj yeem ua sai sai. Yog hais tias kev kho tus mob ko taw tsis tau kho tam sim ntawd, nws tuaj yeem dhau mus ua phom sij uas koj txhais ko taw yuav tsum tau txiav tes taw kom cawm koj txoj sia.
Qhov zoo, kev soj ntsuam kab mob ntshav qab zib tsis tu ncua, nrog rau kev tu neeg hauv tsev, tuaj yeem pab tiv thaiv kev mob ko taw loj.
Lwm lub npe: tshuaj ntsuam ko taw
Nws siv rau dab tsi?
Kev ntsuam xyuas tus mob ntshav qab zib yog siv los kuaj xyuas tus mob ko taw nyob hauv tus neeg muaj ntshav qab zib. Thaum mob rwj los yog lwm yam teeb meem ko taw tau pom thiab kho thaum ntxov, nws tuaj yeem tiv thaiv kev mob hnyav.
Vim li cas kuv thiaj yuav tsum kuaj ntshav qab zib ko taw?
Cov neeg muaj ntshav qab zib yuav tsum mus kuaj ntshav qab zib tsawg kawg ib xyoos ib zaug. Koj yuav tsum tau kuaj mob ntau npaum li cas yog tias koj ob txhais taw muaj cov tsos mob hauv qab no:
- Ntxim
- Looj
- Mob
- Kub yus
- O o
- Mob thiab teeb meem thaum taug kev
Koj yuav tsum hu rau koj tus kws saib xyuas kev noj qab haus huv yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, uas qhia pom tias yog mob hnyav:
- Qhov hlwv, hlais, lossis lwm yam kab mob uas tsis tau pib zoo tuaj tom qab ob peb hnub
- Caj npab raug mob kom sov thaum koj kov nws
- Liab ncig ntawm kev mob ko taw
- Ib tug callus nrog cov ntshav qhuav hauv nws
- Qhov raug mob uas yog xim dub thiab tsw phem. Nov yog ib qho cim ntawm tus neeg mob caj dab, kev tuag ntawm lub cev nqaij. Yog hais tias tsis kho kom sai, kev mob caj dab tuaj yeem ua rau txiav ceg txhawm, lossis tuag taus.
Yuav muaj dab tsi tshwm sim thaum kuaj mob ntshav qab zib ko taw?
Kev kuaj kab mob ntshav qab zib muaj peev xwm ua tau los ntawm koj thawj tus kws saib xyuas mob thiab / lossis tus kws kho mob ko taw, uas yog hu ua kws kho mob taub hau. Tus kws kho mob ko taw tshwj xeeb hauv kev ua kom lub cev muaj kev noj qab haus huv thiab kho cov kab mob ntawm ko taw. Qhov kev xeem ntawv feem ntau suav nrog cov hauv qab no:
Kev Ntsuam Xyuas dav dav. Koj tus kws khomob yuav:
- Nug cov lus nug txog koj li keeb kwm kev noj qab haus huv thiab cov teeb meem yav dhau los uas koj tau nrog koj txhais ko taw.
- Kuaj koj cov khau kom haum zoo thiab nug cov lus nug txog koj lwm cov khau ntaub. Cov khau uas tsis haum rau lossis yog qhov tsis yooj yim dua tuaj yeem ua rau blisters, hu rau, thiab mob txhab.
Kev ntsuam xyuas Dermatological. Koj tus kws khomob yuav:
- Saib rau ntau yam teeb meem ntawm daim tawv nqaij, nrog rau qhov ua kom tawv nqaij, tawg, hu rau, hlwv, thiab mob txhab.
- Khij cov ntiv taw rau pob tawg lossis mob pwm.
- Xyuas ntawm cov ntiv taw rau cov cim qhia ntawm kab mob fungal.
Kev ntsuam xyuas neurologic. Nov yog qee qhov kev sim uas suav nrog:
- Monofilament kuaj. Koj tus kws kho mob yuav txhuam cov mos nyoos fiber ntau hu ua monofilament hla koj ko taw thiab ntiv taw los kuaj koj lub taw kom kov raug.
- Tuning diav rawg thiab pom kev sib to taub (VPT). Koj tus neeg muab kev pab yuav muab lub twj tso hluav taws xob tig lossis lwm yam cuab yeej tawm tsam koj txhais ko taw thiab ntiv taw seb koj puas yuav muaj qhov kev co uas nws ua.
- Pinprick xeem. Koj tus neeg muab kev pab yuav maj mam hle lub hauv qab ntawm koj txhais taw nrog tus ntiv tes me kom pom tias koj tuaj yeem hnov nws.
- Pob luj taws tsis zoo. Koj tus kws khomob yuav kuaj koj pob luj taws vim koj thawb koj txhais taw nrog lub pob me me. Qhov no zoo ib yam li qhov ntsuas koj yuav tau nyob rau ntawm lub cev ib xyoos twg, uas koj tus kws kho mob qaij qis hauv qab koj lub hauv caug txhawm rau tshuaj xyuas koj cov reflexes.
Kev soj ntsuam musculoskeletal. Koj tus kws khomob yuav:
- Saib rau qhov txawv txav ntawm tus qauv thiab tus qauv ntawm koj txhais taw.
Kev ntsuam xyuas leeg. Yog tias koj muaj cov tsos mob ntawm kev ncig tsis zoo, koj tus kws kho mob yuav:
- Siv ib hom kev ntsuas thev naus laus zis hu ua Doppler ultrasound kom pom meej npaum li cas ntshav ntws hauv koj txhais taw.
Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
Koj tsis tas yuav npaj tshwj xeeb rau kev kuaj ntshav qab zib ko taw.
Puas muaj kev pheej hmoo rau kev kuaj?
Kuj tsis paub txog qhov pheej hmoo yuav muaj ntshav qab zib kuaj mob ko taw.
Cov txiaj ntsig li cas?
Yog tias pom tias muaj teeb meem, koj tus kws kho mob ko taw lossis lwm tus kws kho mob yuav pom zoo kom ntsuas ntau zaus. Lwm yam kev kho mob suav nrog:
- Tshuaj tua kab mob los kho tus kab mob ko taw
- Kev phais pab txhawm rau pab tus pob txha deformities
Tsis muaj kev kho rau txoj hlab ntaws ua rau lub ko taw puas tsuaj, tab sis muaj cov kev kho mob uas tuaj yeem daws qhov mob thiab txhim kho kev ua haujlwm. Cov no suav nrog:
- Tshuaj kho mob
- Daim tawv nqaij pleev
- Kev tawm dag zog lub cev kom pab nrog kev sib npaug thiab lub zog
Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.
Puas muaj lwm yam ntxiv uas kuv yuav tsum paub txog kev kuaj ntshav qab zib ko taw?
Teeb meem ko taw yog qhov txaus ntshai rau cov neeg muaj ntshav qab zib. Tab sis koj tuaj yeem pab ua kom koj ob txhais taw noj qab haus huv yog tias koj:
- Saib xyuas koj cov ntshav qab zib Ua haujlwm nrog koj tus kws saib xyuas kev noj qab haus huv kom koj cov ntshav qab zib kom nyob hauv cov theem noj qab haus huv.
- Mus kuaj ntshav qab zib ko taw tsis tu ncua. Koj yuav tsum kuaj koj txhais taw tsawg kawg ib xyoos ib zaug, thiab ntau zaus yog tias koj lossis koj tus kws kho mob pom muaj teeb meem.
- Kuaj koj txhais taw txhua hnub. Qhov no tuaj yeem pab koj nrhiav thiab daws teeb meem thaum ntxov ua ntej lawv mob hnyav dua. Saib rau ntawm qhov ncauj, mob txhab, to kab pleb, thiab lwm yam kev hloov ntawm koj txhais taw.
- Ntxuav koj txhais taw txhua hnub. Siv dej sov thiab xub npum me. Qhuav kom huv si.
- Yuav tsum rau khau thiab thom khwm txhua lub sijhawm. Nco ntsoov tias koj nkawm khau yog xis thiab zoo.
- Luas koj cov ntiv taw kom tsis tu ncua. Txiav ncaj thoob tus ntsia thawv thiab maj mam sawv cov npoo nrog cov ntsia hlau.
- Tiv thaiv koj txhais taw los ntawm cov cua sov dhau thiab txias. Qhwv khau rau ntawm thaj chaw kub. Tsis txhob siv cov ntaub qhwv kub lossis lub taub dej kub ntawm koj txhais taw. Ua ntej muab koj txhais taw tso rau hauv dej kub, ntsuas qhov ntsuas kub nrog koj txhais tes. Vim tias qhov txo qis qis, koj tuaj yeem hlawv koj ob txhais taw yam tsis paub txog. Txhawm rau tiv thaiv koj ob txhais taw los ntawm txias, tsis txhob mus ko taw, hnav thom khwm hauv txaj, thiab thaum lub caij ntuj no, hnav cov kab siv dej, khau tiv thaiv dej.
- Ua kom ntshav ntws los ntawm koj txhais taw. Tsa koj txhais taw kom sawv ntsug thaum zaum. Wiggle koj cov ntiv taw rau ob peb feeb ob lossis peb zaug ib hnub. Nquag ua ub ua no, tab sis xaiv cov haujlwm uas yooj yim ntawm ko taw, xws li ua luam dej lossis caij tsheb kauj vab. Tham nrog koj tus kws kho mob ua ntej pib kev tawm dag zog.
- Tsis txhob haus luam yeebCov. Kev haus luam yeeb txo cov ntshav ntws mus rau ko taw thiab tuaj yeem ua kom mob zoo. Ntau tus neeg mob ntshav qab zib uas haus luam yeeb xav tau txiav tes taw.
Ua tim khawv
- American Diabetes Association [Internet]. Arlington (VA): Lub Koom Haum Asmeskas Kev Ntshav Qab Zib; c1995–2019. Kev Saib Xyuas Ko Taw; [kho tawm 2014 Oct 10; hais tawm 2019 Mar 12]; [txog 3 ntxaij]. Muaj los ntawm: http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html
- American Diabetes Association [Internet]. Arlington (VA): Lub Koom Haum Asmeskas Kev Ntshav Qab Zib; c1995–2019. Ko Taw Nyuaj; [kho tshiab 2018 Nov 19; hais tawm 2019 Mar 12]; [txog 3 ntxaij]. Muaj los ntawm: http://www.diabetes.org/living-with-diabetes/complications/foot-complications
- Beaver Valley Foot Clinic [Hauv Is Taws Nem]. Kws Kho Mob Nyob Ze Kuv Pittsburgh Taw Tus Kws Kho Mob Pittsburgh PA; c2019. Cov Lus Txhais: Beaver Valley Foot Clinic; [hais tawm 2019 Mar 12]; [txog 3 ntxaij]. Muaj Los Ntawm: https://bvfootclinic.com/glossary
- Boulton, AJM, Armstrong DG, Albert SF, Frykberg, RG, Hellman R, Kirkman MS, Lavery LA, LeMaster, JW, Mills JL, Mueller MJ, Sheehan P, Wukich DK. Kev Saib Xyuas Kev Nkag Siab thiab Kev Ntsuas Kev pheej hmoo. Mob ntshav qab zib saib xyuas [Is Taws Nem]. 2008 Lub Yim Hli [muab tawm 2019 Mar 12]; 31 (8): 1679–1685. Muaj los ntawm: http://care.diabetesjournals.org/content/31/8/1679
- Ncig Tebchaws Kev Khib [Is Taws Nem]. Kev Pabcuam Tebchaws Tebchaws; 2019. Txhais Cov Lus Cwj Pwm; [hais tawm 2019 Mar 12]; [txog 3 ntxaij]. Muaj los ntawm: https://countryfootcare.com/library/general/glossary-of-podiatry-terms
- FDA: Asmeskas Cov Khoom Noj thiab Tshuaj Yeeb Tshuaj [Internet]. Nyiaj Caij Nplooj Hlav (MD): Tebchaws Asmeskas Chav Haujlwm Kev Noj Qab Haus Huv thiab Tib Neeg; FDA tso cai kev lag luam ntawm lub cuab yeej los kho cov mob rwj ua ko taw; 2017 Dec 28 [raug nplua 2020 Jul 24]; [txog 4 ntxaij]. Muaj los ntawm: https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-device-treat-diabetic-foot-ulcers
- Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Mob Ntshav Qab Zib: Kev kuaj mob thiab kho mob; 2018 Sep 7 [qhia tawm 2019 Mar 12]; [txog 4 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/diagnosis-tojsiab/drc-20371587
- Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Mob Ntshav Qab Zib: Cov tsos mob thiab ua rau; 2018 Sep 7 [qhia tawm 2019 Mar 12]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symps-causes/syc-20371580
- Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Mob ko taw. BMJ [Internet]. 2017 Nov 16 [qhia tawm 2019 Mar 12]; 359: j5064. Muaj los ntawm: https://www.bmj.com/content/359/bmj.j5064
- Teb chaws koom haum txog ntshav qab zib thiab lub plab thiab lub raum mob [Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Mob ntshav qab zib thiab ko taw muaj teeb meem; 2017 Jan [hais tawm 2019 Mar 12]; [txog 5 ntxaij]. Muaj los ntawm: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems
- Teb chaws koom haum txog ntshav qab zib thiab lub plab thiab lub raum mob [Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Sab Nraud Neuropathy; 2018 Lub Ob Hlis [hais tawm 2019 Mar 12]; [txog 6 ntxaij]. Muaj los ntawm: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathies/peripheral-neuropathy
- University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv: Kev Kho Mob Tshwj Xeeb Rau Cov Ntshav Qab Zib; [hais tawm 2019 Mar 12]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=4029
- UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Kho Mob Ntshav Qab Zib Cov Teeb Meem: Cov Ntsiab Lus Tshaj Tawm; [hloov tshiab 2017 Dec 7; hais tawm 2019 Mar 12]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/special/treating-diabetic-foot-problems/uq2713.html
Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.