Koj puas muaj cov qhov txhab ntawm koj ob txhais ceg uas tsis kho? Cia peb kawm txhua yam txog Leg Ulcers!

Thaum peb muaj ib qho qhov txhab me me ntawm peb ceg, peb txhua tus xav tias nws yuav kho tau hauv ob peb hnub. Tab sis qee zaum, cov qhov txhab no yuav siv sijhawm ntau lub lis piam, txawm tias ntau lub hlis, los kho, ua rau koj muaj teeb meem. Yog li ntawd peb yuav tham txog cov qhov txhab uas ua rau peb ob txhais ceg mob, uas siv sijhawm ntev los kho. Hauv kev kho mob, cov no hu ua '(Ceg Ulcers)'.

Cov mob qog nqaij hlav uas tsis kho tau no yog dab tsi?

Hais yooj yim xwb, qhov mob qog ntawm ceg yog ib qho qhov txhab uas tsis tau zoo tshaj ob lub lis piam txawm tias tau kho mob lawm los xij . Cov qog no feem ntau pom nyob rau ntawm thaj chaw ntawm koj pob luj taws thiab lub hauv caug.

Cov qhov txhab no feem ntau tawm cov kua dej zoo li kua qaub (tej zaum yog kua qaub) . Yog tias tsis kho kom zoo, cov qhov txhab no tuaj yeem loj dua. Piv txwv li, yog tias koj muaj qhov txhab ceg thiab nws tsis kho tom qab peb lub hlis ntawm kev kho mob, peb suav tias nws yog ib qho mob ntev .

Raws li cov ntaub ntawv los ntawm qee lub tebchaws uas muaj kev vam meej hauv ntiaj teb, muaj li ntawm 1% ntawm cov neeg laus uas muaj tus mob no. Qhov teeb meem no feem ntau tshwm sim ntawm cov neeg hnub nyoog tshaj 65 xyoo. Muaj li ntawm 4% ntawm lawv tej zaum yuav muaj cov qhov txhab uas tsis kho tau ntawm lawv ob txhais ceg. Yog li qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim.

Vim li cas cov mob qog ntawm ceg thiaj tshwm sim?

Muaj ntau yam ua rau mob qog ntawm ceg. Cia peb saib cov laj thawj tseem ceeb.

1. Teeb meem ntawm cov hlab ntsha (Kev tsis txaus ntawm cov hlab ntsha ntev)

Qhov no yog qhov laj thawj tseem ceeb uas ua rau mob qog ntawm ceg tshwm sim. Cov leeg ntshav hauv peb ob txhais ceg muaj cov qhov me me hauv lawv. Cov no zoo li lub qhov rooj. Lawv txoj haujlwm yog tiv thaiv cov ntshav kom tsis txhob ntws mus rau saum, mus rau lub plawv, thiab rov qab los. Tab sis thaum cov qhov no tsis ua haujlwm zoo, cov ntshav tuaj yeem rov qab los thiab sib sau ua ke hauv cov ceg qis .

Xav txog nws zoo li lub qhov dej tawg hauv cov kav dej, ua rau dej sib sau ua ke rau ib qho chaw. Thaum cov ntshav sib sau ua ke zoo li no, qhov siab hauv cov leeg ntawm ob txhais ceg nce ntxiv. Tom qab ntawd, cov hlab ntsha me me hauv daim tawv nqaij tuaj yeem tawg. Qhov no ua rau o, khaus, qhuav ntawm daim tawv nqaij, thiab thaum kawg daim tawv nqaij tawg thiab mob qog.

2. Kab mob ntshav qab zib (Diabetes Mellitus)

Koj paub tias tus kab mob ntshav qab zib ('(Diabetes Mellitus)') yog ib yam kab mob uas ua rau muaj ntau yam teeb meem. Vim tias cov ntshav qab zib ntawm ib tus neeg uas muaj tus kab mob ntshav qab zib siab tas li, cov rog yuav sib sau ua ke hauv cov hlab ntsha, ua rau lawv txhaws . Ib yam li xeb sib sau ua ke hauv cov kav dej qub.

Thaum cov leeg ntshav raug thaiv zoo li no, cov ntshav ntws mus rau ob txhais ceg yuav txo qis. Yog li ntawd, cov hlab ntsha tuaj yeem raug puas tsuaj . Peb hu qhov no tias '(Diabetic Neuropathy)'. Thaum cov hlab ntsha qaug zog zoo li no, koj yuav tsis hnov ​​​​​​txawm tias yog qhov txhab me me lossis qhov txiav hauv koj txhais ceg. Qee zaum, txawm tias qhov txiav me me uas daig hauv koj khau yuav tsis pom kom txog thaum nws dhau los ua qhov txhab loj. Tsis tas li ntawd, cov qhov txhab kho qeeb heev vim yog ntshav qab zib .

3. Kab mob ntawm cov hlab ntsha sab nraud (PAD)

Hauv qhov mob no, muaj tej yam zoo li ntshav qab zib tshwm sim. Cov rog uas nyob hauv cov hlab ntsha uas nqa ntshav mus rau peb ob txhais ceg, ua rau cov hlab ntsha ntawd txhaws. Yog hais kom meej, cov hlab ntsha tseem ceeb uas nqa ntshav mus rau peb ob txhais ceg yuav txhaws .

Ces ua li cas? Ob txhais ceg tsis tau txais ntshav txaus. Yog li ntawd lawv tsis tau txais oxygen thiab cov as-ham txaus. Thaum qhov no tshwm sim, txawm tias qhov txhab me me los kuj siv sijhawm ntev los kho. Cov neeg uas muaj ntshav qab zib kuj muaj feem yuav mob no (PAD) .

4. Ntshav Siab / Ntshav Siab

Ntshav siab (ntshav siab) kuj yog ib qho yeeb ncuab ntsiag to. Yog tias tsis tswj tau zoo, nws tuaj yeem ua rau mob heev (mob qog Martorell) ntawm ceg qis, tshwj xeeb tshaj yog hauv pob luj taws. Ntshav siab ua rau cov hlab ntsha me me (capillaries) hauv daim tawv nqaij raug thaiv, txiav cov ntshav mus rau daim tawv nqaij. Cov hlwb tawv nqaij ces tuag thiab zoo li mob qog.

Leej twg muaj feem yuav raug mob ceg ntau dua?

Muaj ib txhia neeg yuav muaj cov kev raug mob ceg no ntau dua li lwm tus. Cia peb saib seb lawv yog leej twg:

• Rau cov poj niam: Cov poj niam muaj feem yuav mob no li ob npaug ntau dua li cov txiv neej.
• Qhov hnyav dhau ntawm lub cev: Qhov kev pheej hmoo no tuaj yeem nce ntxiv los ntawm kev rog dhau lossis los ntawm qhov hnyav nce thaum cev xeeb tub.
• Keeb kwm tsev neeg: Yog tias ib tug neeg hauv koj tsev neeg muaj teeb meem ntawm cov leeg ntshav (piv txwv li, cov leeg ntshav varicose), koj kuj tseem yuav muaj tus mob no.
• Lwm yam mob: Cov neeg uas muaj mob xws li ntshav qab zib, ntshav siab, thiab mob pob qij txha rheumatoid.
• Kev Phais Mob: Rau cov neeg uas tau phais hloov lub duav lossis phais hloov lub hauv caug.
• Kev raug mob thiab xwm txheej: Kev raug mob hnyav xws li pob txha tawg.
• Tsis muaj kev tawm dag zog lub cev: Rau cov neeg uas nyob hauv ib qho chaw ntev dhau, tsis taug kev, thiab muaj cov mob zoo li tuag tes tuag taw.
• Haus Luam Yeeb: Haus luam yeeb tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau cov ntshav ntws tsis zoo.
• Lwm yam teeb meem ntawm cov hlab ntsha: Rau cov neeg uas muaj mob xws li cov hlab ntsha varicose, vasculitis, thiab venous thromboembolism.

Cov tsos mob ntawm mob qog nqaij hlav ceg yog dab tsi?

Thaum koj muaj qhov txhab ntawm ceg, koj yuav paub li cas? Nov yog qee cov tsos mob tseem ceeb:

• Qhov txhab tsis kho: Qhov no yog cov tsos mob tseem ceeb. Yog tias qhov txhab tsis kho tom qab ob lub lis piam ntawm kev kho mob, nws yuav yog '(Ceg Ulcer)'.
• Qhov txhab zoo li cas: Qhov txhab yuav liab, ntshav, xim av, lossis daj . Qee zaum, ntau yam xim no yuav zoo li sib xyaw ua ke. Qhov txhab kuj tseem yuav tawm kua dej lossis ib yam dab tsi zoo li kua qaub .
• Kev hloov pauv ntawm daim tawv nqaij:
• Daim tawv nqaij nyob ib puag ncig qhov txhab yuav qhuav, tawv tawv, thiab khaus .
• Tej yam xws li cov pob tawv ntawm daim tawv nqaij yuav tshwm sim, lossis daim tawv nqaij yuav nruj.
• Cov xim tawv nqaij yuav hloov pauv thiab zoo li liab, xiav, lossis ntshav, zoo li qhov mob nqaij .
• Mob: Tej zaum koj yuav mob ceg, tshwj xeeb tshaj yog tom qab sawv ntev .
• Kev o: Tej zaum yuav pom kev o (edema) hauv qab ceg.

Yuav ua li cas thiaj paub txog cov qhov txhab ntawm ceg?

Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob. Feem ntau, tus kws kho mob tshwj xeeb txog cov hlab ntsha yuav tshuaj xyuas cov qhov txhab no. Nws yuav ua tib zoo tshuaj xyuas koj daim tawv nqaij thiab qhov txhab.

Tsis tas li ntawd xwb, koj tuaj yeem ua cov kev ntsuam xyuas zoo li no:

• Kev ntsuas qhov ntsuas ntawm pob luj taws thiab lub hauv caug: Qhov no siv cov thev naus laus zis ultrasound los ntsuas ntshav siab thiab ntshav ntws hauv ob txhais ceg.
• Kev kuaj mob: Yuav muab cov qauv ntawm cov hlwb tawv nqaij thiab cov kua dej los ntawm qhov txhab coj mus kuaj hauv qab lub tshuab microscope kom paub seb puas muaj kev kis kab mob lossis lwm yam kab mob ntawm daim tawv nqaij.

Yuav kho cov qhov txhab ntawm ceg li cas?

Cov qhov txhab ntawm ceg yuav kho tau me ntsis. Qee zaum , txawm tias kho tau los, cov qhov txhab ntawd yuav kav ntev li ntau lub hlis lossis ntau xyoo . Tab sis tsis txhob txhawj, lawv tuaj yeem kho tau yog tias kho kom zoo.

Cov kev xaiv kho mob nyob ntawm seb muaj pes tsawg yam xws li hom kev raug mob thiab nws ua rau muaj mob. Lub hom phiaj tseem ceeb ntawm tus kws kho mob yog:

1. Kho qhov txhab.

2. Txo qhov o.

3. Tiv thaiv kom qhov txhab tsis txhob rov qab los thaum nws kho.

Nov yog qee txoj kev kho mob tseem ceeb:

• Kev Kho Mob Nrog Kev Nias: Yuav kom pab kom cov ntshav ncig tau zoo dua hauv ob txhais ceg, yuav siv cov thom khwm tshwj xeeb ( thom khwm nias) lossis cov ntaub qhwv. Cov no nias rau ntawm ob txhais ceg, pab thawb cov ntshav mus rau saum.
• Tsa koj ob txhais ceg kom siab: Ua kom koj ob txhais ceg siab tshaj koj lub plawv tsawg kawg ib teev hauv ib hnub, tsawg kawg rau hnub, pab cov ntshav ntws rov qab mus rau lub plawv.
• Kev saib xyuas qhov txhab: Qhov no tseem ceeb heev.
• Cia tus kws kho mob rho cov tawv nqaij tuag tawm ntawm qhov txhab ('(debridement)').
• Siv cov tshuaj antiseptic topical los tiv thaiv kev kis kab mob.
• Hloov daim ntaub qhwv ntawm qhov txhab tas li.
• Cov tshuaj kho mob:
• Yog tias muaj kev kis kab mob rau hauv qhov txhab, yuav muab tshuaj tua kab mob rau.
• Kuj tseem yuav muab cov tshuaj (vasodilators) uas pab ua kom cov hlab ntsha dav thiab txhim kho kev ntws ntshav.
• Kev kho mob oxygen hyperbaric (`(Kev kho mob oxygen hyperbaric)`):Qhov no yog ib txoj kev kho mob tshwj xeeb. Koj zaum hauv chav hyperbaric thiab ua pa oxygen ntshiab. Qhov no ua rau cov pa oxygen ntau ntxiv hauv cov ntshav, uas ua rau cov qhov txhab kho sai dua.
• Kev Kho Mob Rau Cov Hlab Ntxwm: Yog tias koj muaj teeb meem xws li cov hlab ntsha varicose, koj tuaj yeem ua kev kho mob xws li sclerotherapy (txhaj tshuaj rau hauv cov hlab ntsha) lossis endovascular ablation (ua kom cov hlab ntsha sov los ntawm sab hauv thiab kaw lawv).
• Kev Phais Mob: Qee zaum yuav xav tau kev phais mob kom tshem tawm, kho, hloov, lossis hla txoj hlab ntsha uas puas lawm.
• Kev txiav tawv nqaij: Yog tias qhov txhab loj dua 4 ntiv tes, lossis yog tias lwm yam kev kho mob tsis zoo, daim tawv nqaij los ntawm lwm qhov ntawm lub cev tuaj yeem raug coj mus txiav rau saum qhov txhab.

Yuav ua li cas thiaj tiv thaiv tau cov mob qog ntawm ceg?

Txawm tias qhov txhab ntawm ceg zoo lawm los, nws yeej yuav rov qab tshwm sim dua . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas cov no:

• Thaum koj zaum lossis pw tsaug zog, ua ib qho kev coj ua kom koj ob txhais ceg siab dua koj lub siab . Koj tuaj yeem muab ib yam dab tsi zoo li lub hauv ncoo me me tso rau hauv qab koj ob txhais ceg.
• Tswj koj lub cev kom muaj qhov hnyav zoo . Ua kom koj lub cev muaj zog thiab taug kev me ntsis txhua hnub kuj zoo.
• Yog koj muaj tej yam mob uas cuam tshuam rau kev ncig ntshav, xws li ntshav qab zib, ntshav siab, roj cholesterol ntau, lossis Raynaud's syndrome, tswj lawv kom zoo . Ua raws li koj tus kws kho mob cov lus qhia kom zoo.
• Yog koj haus luam yeeb, tsum kiag . Koj tuaj yeem nrhiav kev pab los ntawm kws kho mob rau qhov no.
• Yuav kom daim tawv nqaij tsis qhuav, siv cov tshuaj ntxuav mos mos . Siv tshuaj pleev kom noo tom qab da dej.
• Hnav cov thom khwm nruj lossis cov ntaub qhwv rau tsawg kawg ib teev hauv ib hnub. Qhov no yuav ua rau cov ntshav ntws mus rau koj ob txhais ceg zoo dua. Nug koj tus kws kho mob kom xaiv qhov uas yog rau koj.

Cov teeb meem ntawm cov qhov txhab ntawm ceg yog dab tsi?

Yog tias cov qhov txhab uas tsis kho tseem muaj, lawv tuaj yeem ua rau muaj teeb meem ntxiv.

• Kab mob pob txha (Osteomyelitis): Qhov txhab tuaj yeem mus tob thiab ua rau muaj kab mob rau hauv cov pob txha. Yog tias qhov no hnyav zuj zus, nws yuav ua rau txiav tes txiav taw.
• Mob Cellulitis: Kev kis kab mob loj heev rau ntawm daim tawv nqaij thiab cov nqaij hauv qab daim tawv nqaij. Thaj chaw ib puag ncig qhov txhab yuav liab, o, thiab sov.
• Sepsis: Yog tias tus kab mob mus txog cov ntshav, nws tuaj yeem ua rau tuag taus.
• Mob qog nqaij hlav ntawm daim tawv nqaij: Ib hom mob qog nqaij hlav ntawm daim tawv nqaij (squamous cell carcinoma) qee zaum tuaj yeem tsim los ntawm cov qhov txhab uas ntev thiab tsis kho.

Yuav ua li cas rau ib tug neeg uas raug mob ceg?

Kev raug mob ntawm ceg qee zaum tuaj yeem ua rau muaj kev tsis taus . Cov kev raug mob no tuaj yeem ua rau nws nyuaj rau taug kev, ua haujlwm, thiab ua lub neej ib txwm muaj. Lawv tuaj yeem yuav tsum tau mus ntsib kws kho mob ntau zaus, mus ntsib kws kho qhov txhab, thiab txawm tias mus pw hauv tsev kho mob.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj qhov txhab ntawm koj ceg uas tsis kho thiab koj kuj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd :

• Kub taub hau los yog mob khaub thuas.
• Yog tias muaj mob hnyav heev uas cuam tshuam nrog qhov raug mob uas ua rau koj tsis tuaj yeem pw tsaug zog lossis ua tej yam txhua hnub .
• Cov cim qhia tias qhov txhab tau kis kab mob: liab ib ncig ntawm qhov txhab, sov so, o, thiab muaj cov kua tawm ntawm qhov txhab uas muaj ntxhiab tsw phem.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug no:

• "Kws kho mob, vim li cas kuv thiaj li tau qhov txhab no rau ntawm kuv txhais ceg?"
• "Kev kho mob zoo tshaj plaws uas kuv muaj tau yog dab tsi?"
• Kuv yuav ua tau dab tsi los kho qhov txhab no thiab tiv thaiv kom tsis txhob rov tshwm sim dua?
• Cov cim qhia tshwj xeeb uas kuv yuav tsum txhawj xeeb txog qhov teeb meem yog dab tsi?

Cov qhov txhab ntawm ceg mob heev, tsis xis nyob, thiab siv sijhawm ntev heev los kho. Yog li ntawd, yuav tsum tau saib xyuas qhov txhab tshwj xeeb kom tiv thaiv kev kis kab mob thiab pab kom qhov txhab zoo.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Yog li, raws li peb tau tham txog lawm, mob qog nqaij hlav ceg uas tsis kho tau ('(Leg Ulcer)') tsis yog ib yam uas kho tau yooj yim. Tab sis, tsis txhob ntshai. Yog tias koj muaj qhov teeb meem no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob uas tsim nyog, nrhiav qhov ua rau muaj qhov teeb meem, thiab pib kho kom raug.

Ua raws li koj tus kws kho mob cov lus qhia kom zoo, saib xyuas koj qhov txhab kom zoo, tso kev haus luam yeeb yog tias koj haus luam yeeb, tswj koj qhov hnyav, thiab tswj hwm tej yam mob xws li ntshav qab zib yuav pab tau koj tswj hwm qhov mob no tau zoo heev. Nco ntsoov tias, cov qhov txhab no tuaj yeem rov tshwm sim dua txawm tias tom qab lawv kho lawm los xij, yog li nws tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia. Xav kom koj rov zoo sai sai!

` Mob qog ntawm ceg, ntshav qab zib, ntshav siab, teeb meem ntawm cov hlab ntsha, qhov txhab kho, kab mob ntawm daim tawv nqaij