Koj puas muaj ib qho qhov txhab me me lossis khawb ntawm koj ceg uas tsis kho thiab tseem nyob ntawd? Tej zaum nws yog cov kua dej ntws? Los yog daim tawv nqaij ntawm koj ceg puas hloov xim thiab tsw phem? Cov no tsis yog cov qhov txhab ib txwm muaj. Hauv kev kho mob, peb hu cov no ua cov qhov txhab. Tshwj xeeb tshaj yog tias koj muaj ntshav qab zib, koj yuav tsum xav ob zaug txog qhov no. Vim tias yog tias qhov mob no tsis raug saib xyuas kom zoo, nws muaj feem yuav loj hlob tuaj. Yog li, cia peb tham txog nws txhua hnub no.
Hais yooj yim xwb, cov qhov txhab ntawm ko taw yog dab tsi?
Kab mob qog ntawm ko taw tsuas yog ib qho mob qhib rau ntawm koj daim tawv nqaij, tshwj xeeb tshaj yog rau ntawm koj txhais taw lossis ntiv taw, uas tsis kho, tsis kav ntev, lossis rov tshwm sim dua.
Qhov mob no feem ntau cuam tshuam nrog tus kab mob ntshav qab zib. Kab mob paj hlwb, uas yog ib qho teeb meem ntawm tus kab mob ntshav qab zib, tuaj yeem ua rau tsis hnov lus hauv ko taw. Tom qab ntawd, koj yuav tsis pom qhov khawb me me lossis qhov txiav ntawm koj ko taw. Txawm hais tias koj yuav tsis hnov nws, qhov txhab me me no yog qhov uas maj mam loj hlob thiab tob dua thiab dhau los ua qhov mob qog.
Cov qhov txhab no yooj yim kis kab mob heev. Qee zaum cov kab mob no tuaj yeem hnyav heev uas yuav tsum tau txiav ib feem ntawm ko taw lossis ntiv taw.
Xav txog qhov no: Kwv yees li 15% ntawm cov neeg uas muaj tus kab mob ntshav qab zib yuav muaj mob qog ntawm ko taw thaum lawv tseem muaj sia nyob. Thiab, hmoov tsis zoo, ntawm 14% thiab 24% ntawm cov neeg uas muaj mob qog no yuav tsum tau muab ib feem ntawm lawv ko taw tshem tawm. Yog li qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim.
Leej twg yuav muaj feem raug tus mob no tshaj?
Txawm hais tias leej twg los yeej muaj peev xwm mob qog ntawm ko taw, tab sis qee tus neeg muaj feem yuav mob qog ntau dua. Nws yog ib qho tseem ceeb uas yuav tsum ceev faj ntxiv yog tias koj muaj ib qho ntawm cov mob hauv qab no:
- Kab mob ntshav qab zib: Qhov no yog qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo.
- Teeb meem ntawm cov ntshav ncig: Yog tias cov ntshav ntws mus rau ob txhais ceg tsis zoo, cov qhov txhab yuav siv sijhawm ntev dua los kho.
- Kab Mob Plawv: Kab mob plawv kuj tseem cuam tshuam rau kev ncig ntshav.
- Kev rog dhau: Thaum qhov hnyav ntawm lub cev nce ntxiv, qhov kev nyuaj siab rau ntawm ko taw kuj nce ntxiv.
- Kab mob raum.
- Cov kev puas tsuaj ntawm ko taw: Piv txwv li, cov mob zoo li bunion lossis hammertoe.
- Kev haus luam yeeb thiab haus dej cawv: Cov cwj pwm no kuj ua rau muaj kev pheej hmoo ntxiv.
Tus mob qog no zoo li cas thiab nws cov theem yog dab tsi?
Cov qhov txhab ntawm ko taw muaj ntau yam duab thiab xim. Feem ntau lawv zoo li lub qhov av tob tob.
Cov tsos thiab xim ntawm lub qhov txhab
Cov qhov txhab no tuaj yeem yog daj, liab dawb, liab, grey, lossis dub.Yog koj qhov txhab dub, nws txhais tau tias cov nqaij ntawm thaj chaw ntawd tau tuag lawm (Necrosis lossis Gangrene). Qhov no yog ib qho mob hnyav heev.
Qhov loj thiab qhov tob ntawm lub qhov txhab
Cov no tuaj yeem pib me me li pob txha me me thiab, yog tias tsis kho kom zoo, tuaj yeem loj hlob mus rau tag nrho ko taw. Qhov tob ntawm qhov txhab kuj nce maj mam. Cov kws kho mob siv ntau txoj kev sib txawv los ntsuas qhov tob no. Piv txwv li, muaj 6 theem raws li Wagner kev faib tawm.
| Qib | Kev piav qhia yooj yim ntawm tus mob |
|---|---|
| Theem 0 | Daim tawv nqaij tsis raug puas tsuaj, tab sis nws muaj kev pheej hmoo. |
| Theem 1 | Ib qho qhov txhab me me uas tsuas yog nyob rau hauv txheej saum npoo ntawm daim tawv nqaij xwb. |
| Theem 2 | Qhov txhab tob, tej zaum nthuav mus txog cov leeg. |
| Theem 3 | Qhov txhab tau mus tob rau hauv pob txha, thiab pom pob txha lawm. |
| Theem 4 | Kev tuag ntawm cov nqaij ntawm ko taw pem hauv ntej (Gangrene). |
| Theem 5 | Cov nqaij ntawm tag nrho ko taw twb tuag lawm (Gangrene). |
Cov cim qhia thaum ntxov uas qhia tias mob qog tab tom tsim yog dab tsi?
Thaum lub qhov txhab pib loj hlob, koj yuav pom cov kev hloov pauv ntawm daim tawv nqaij ntawm koj txhais taw zoo li no:
- Tawv nqaij qhuav, tawg
- Tawv nqaij zoo li pob zeb coral
- Daim tawv nqaij liab
- Zoo li pob khaus
Thaum qhov kev raug mob hnyav dua, cov tsos mob xws li:
- Tawv nqaij nyob ib puag ncig qhov txhab tuab zuj zus (zoo li daim tawv nqaij tawv)
- Cov kua dej los yog kua qaub tawm ntawm qhov txhab (tej zaum yuav nyob ntawm koj lub thom khwm)
- Cov xim av ntawm daim tawv nqaij
- Ib qho ntxhiab tsw phem heev
Muaj ob hom mob qog ntawm ko taw no:
Muaj ob hom mob qog nqaij hlav uas tuaj yeem cuam tshuam rau koj txhais taw. Kev paub qhov txawv ntawm ob hom no yog qhov tseem ceeb heev rau kev kho mob.
| Yam ntxwv | Cov Kab Mob Neurotrophic | Cov Kab Mob Hlwb |
|---|---|---|
| Qhov laj thawj tseem ceeb | Neuropathy vim yog ntshav qab zib. | Cov ntshav ntws tsawg dua vim yog cov hlab ntsha nqaim (Kab mob Peripheral Arterial). |
| Mob | Feem ntau tsis muaj mob. | Muaj mob heev , tshwj xeeb tshaj yog thaum hmo ntuj. |
| Qhov chaw | Feem ntau nyob rau ntawm ko taw, qhov chaw uas lub cev qhov hnyav poob ntau tshaj plaws. | Cov pob taws, cov ntiv taw, ntawm cov ntiv taw, thiab cov chaw uas khau ntswj. |
| Qhov tsos | Xim liab dawb/liab. Cov npoo ntawm qhov txhab nce siab. | Daj, grey, los yog dub. Feem ntau tsis los ntshav. |
Qhov no kho li cas?
Lub hom phiaj tseem ceeb ntawm kev kho mob yog kho qhov txhab, txo qhov mob, thiab tiv thaiv kom tsis txhob rov qab mob dua. Txoj kev npaj kho mob yuav txawv nyob ntawm hom mob qog uas koj muaj thiab qhov ua rau mob.
Kev Kho Mob Tsis Yog Phais Mob
Txoj kev kho mob no tuaj yeem ua tiav rau cov qhov txhab thaum ntxov.
- Kev saib xyuas qhov txhab: Cov qhov txhab kho sai dua thaum lawv ntub thiab npog.
- Tshuaj tua kab mob: Yog tias muaj kev kis kab mob.
- Kev Thauj Khoom Tawm: Qhov raug mob raug txo qhov hnyav los ntawm kev siv khau tshwj xeeb, lub cam khwb cia, lossis tej zaum lub rooj zaum muaj log.
- Khaws ko taw kom siab.
Kev Kho Mob Phais
Yog tias qhov mob qog hnyav heev, tshwj xeeb tshaj yog tias nws kis tau kab mob, tej zaum yuav tsim nyog phais.
- Debridement: Tshem tawm cov nqaij uas muaj kab mob lossis tuag lawm.
- Cov tawv nqaij txuas: Cov tawv nqaij txuas yog siv los npog cov qhov txhab.
- Tshem tawm lossis kho qee qhov ntawm cov pob txha yog tias tsim nyog.
Kuv ua tau dab tsi los txo qhov kev pheej hmoo?
Qhov no yog qhov tseem ceeb tshaj plaws. Los ntawm kev ua raws li cov cwj pwm no, koj tuaj yeem tiv thaiv cov qhov txhab no kom tsis txhob loj hlob, thiab txawm tias lawv loj hlob los xij, lawv tuaj yeem tiv thaiv lawv kom tsis txhob rov qab los.
Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj ntshav qab zib, ua kom nws yog ib qho kev coj ua los xyuas koj txhais taw txhua hnub.
- Tshawb xyuas koj txhais taw txhua hnub: Tom qab da dej thiab ua ntej hnav khau, saib kom zoo zoo rau ntawm koj txhais taw, ntawm koj cov ntiv taw, thiab nyob ib ncig ntawm koj cov rau tes. Nrhiav seb puas muaj cov hlwv, qhov txiav, qhov tawg, liab, lossis o. Siv daim iav los saib koj txhais taw. Yog tias koj ua tsis tau, hais kom ib tug tswv cuab hauv tsev neeg ua li ntawd.
- Tswj koj tus kab mob ntshav qab zib kom zoo: Ua raws li koj tus kws kho mob cov lus qhia kom meej.
- Tsis txhob taug kev tsis hnav khau, txawm tias nyob hauv tsev los xij.
- Hnav khau uas haum koj zoo thiab xis nyob. Cov khau yuav tsum tsis txhob nruj dhau los yog loj dhau.
- Ceev faj thaum txiav koj cov rau tes: Txiav koj cov rau tes ncaj thaum lawv mos tom qab da dej.
- Tsis txhob haus luam yeeb kiag li.
- Tswj cov ntshav siab thiab cov roj cholesterol.
- Tswj koj qhov hnyav kom noj qab nyob zoo.
- Yog koj pom qhov teeb meem me me xwb, mus ntsib koj tus kws kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog koj muaj ntshav qab zib, nws tseem ceeb dua puas tau los xyuas koj txhais taw txhua hnub.Ua tiag tiag. Ua qhov no kom ib txwm ua mus tas li.
- Yog koj pom ib qho qhov txhab uas tsis kho, liab, o, tsw phem, lossis hloov xim ntawm koj ceg lossis ntiv taw , mus ntsib kws kho mob tam sim ntawd .
- Tsis txhob taug kev tsis hnav khau, txawm tias nyob hauv tsev los xij. Txawm tias raug mob me me rau koj txhais taw los kuj tuaj yeem ua rau mob hnyav heev.
- Kev haus luam yeeb tuaj yeem ua rau qhov mob no hnyav dua vim nws cuam tshuam rau kev ncig ntshav. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb.
- Tsis txhob ntshai tus mob no. Yog tias kuaj pom ntxov thiab kho kom zoo, nws tuaj yeem tswj tau zoo yam tsis muaj teeb meem loj.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj ntsiav/ntsiav tshuaj Isradipine (Isradipine / DynaCirc) siv rau cov kab mob dab tsi?
Nov yog ib yam tshuaj kho ntshav siab zoo heev (Calcium Channel Blocker - CCB) uas tsim los tswj 'Ntshav Siab'! Cov tshuaj no tsis yog tsuas yog txo cov ntshav siab xwb, tab sis kuj tsis cuam tshuam rau lub plawv dhia, yog li cov kws kho mob siv nws ua tshuaj muaj kev nyab xeeb.
💬 Noj cov tshuaj ntshav siab no (Isradipine) yuav ua li cas thiaj txo tau peb cov ntshav siab tam sim ntawd?
Yuav kom cov hlab ntsha loj thiab siab nce, cov 'Calcium' me me yuav tsum nkag mus rau hauv cov leeg ntawm cov hlab ntsha! Thaum cov tshuaj no nkag mus rau hauv cov ntshav, nws thaiv/kaw thiab xauv tag nrho cov calcium gates (L-type calcium channels) hauv cov hlab ntsha ntawd 100%! Vim tias calcium tsis nkag mus, cov hlab ntsha tsis loj thiab xoob heev (Vasodilation). Tom qab ntawd cov ntshav ntws yooj yim zoo li tus dej thiab siab poob qis.
💬 Cov kev mob tshwm sim tsis zoo ntawm kev noj cov tshuaj no (Isradipine) yog dab tsi?
Cov kev mob tshwm sim loj tshaj plaws thiab ua rau neeg chim siab tshaj plaws ntawm qhov no yog tias qee tus neeg yuav muaj 'mob taub hau' thiab 'ntxhov siab' (vim yog cov hlab ntsha nthuav dav). Tsis tas li ntawd, zoo li lwm cov tshuaj CCB, muaj kev pheej hmoo ntawm pob luj taws / ceg o (peripheral edema) thiab lub plawv dhia ceev ceev (palpitations) (reflex tachycardia).
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