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Koj puas muaj cov qhov txhab ntawm koj ob txhais ceg uas tsis kho? Cia peb kawm txog 'Vascular Ulcer' no!

Koj puas muaj cov qhov txhab ntawm koj ob txhais ceg uas tsis kho? Cia peb kawm txog 'Vascular Ulcer' no!

Koj puas tau pom tias qee zaum cov qhov txhab tshwm sim rau ntawm koj ob txhais ceg, tshwj xeeb tshaj yog nyob rau hauv qhov chaw ntawm lub qhov ncauj lossis pob luj taws, thiab siv sijhawm ntev heev los kho? Tej zaum koj kuj tau ntsib qhov no thiab. Cov no tsis yog cov qhov txhab ib txwm muaj. Peb hu cov no ua 'Vascular Ulcers', uas hauv Sinhala txhais tau tias 'vein ulcers '. Hais yooj yim, cov no yog cov qhov txhab uas tshwm sim rau ntawm daim tawv nqaij vim yog cov ntshav tsis zoo hauv peb lub cev. Cia peb tham txog qhov no kom meej me ntsis hnub no, vim qhov no yog ib yam dab tsi uas tuaj yeem cuam tshuam rau ntau tus neeg.

Cov kab mob vascular yog dab tsi?

Hais yooj yim xwb, cov qhov txhab ntawm cov leeg ntshav yog cov qhov txhab uas tshwm sim ntawm peb daim tawv nqaij. Tab sis cov no tsis yog cov qhov txhab xwb. Lawv yog los ntawm teeb meem nrog cov ntshav ntws hauv peb lub cev, uas yog, lub cev ncig ntshav. Feem ntau, cov qhov txhab no pom ntawm peb cov ceg, tshwj xeeb tshaj yog cov ceg qis thiab taw. Tab sis lawv kuj tuaj yeem tshwm sim rau lwm qhov chaw. Cov qhov txhab no siv sijhawm ntev los kho, thiab qee zaum yuav xav tau kev kho mob tshwj xeeb xws li kev phais.

Muaj ob qho laj thawj tseem ceeb uas ua rau cov kab mob venous no tshwm sim.

1. Ib qho yog qhov uas cov ntshav tsis muaj zog hauv peb cov hlab ntsha . Cov hlab ntsha yog qhov chaw uas lub cev tau txais cov as-ham thiab cov pa oxygen uas nws xav tau. Yog li thaum muaj teeb meem nrog cov no, cov qhov txhab tsim.

2. Lwm qhov laj thawj yog cov ntshav tsis zoo hauv peb cov leeg ntshav . Nws yog los ntawm cov leeg ntshav uas cov ntshav, nrog rau cov khoom pov tseg hauv lub cev, raug nqa rov qab mus rau lub plawv. Yog tias muaj teeb meem nrog cov no, kev raug mob tshwm sim.

Cov qhov txhab uas tshwm sim ntau tshaj plaws yog cov qhov txhab uas tshwm sim hauv cov leeg ntshav, uas peb kuj hu ua cov qhov txhab hauv cov leeg ntshav .

Cov kev raug mob no feem ntau tshwm sim li cas?

Qhov tseeb, cov kab mob venous no feem ntau tshwm sim ntau dua li koj xav, tshwj xeeb tshaj yog thaum koj laus zuj zus. Qhov nruab nrab, kwv yees li 1% ntawm cov neeg laus yuav muaj tus mob no. Ntawm cov neeg hnub nyoog tshaj 65 xyoo, feem pua ​​no tuaj yeem nyob nruab nrab ntawm 3% thiab 5%. Yog li qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim.

Cov kab mob venous no cuam tshuam li cas rau peb lub cev?

Cov kev raug mob no muaj ntau yam tsis zoo rau koj lub neej. Xav xwb...

  • Kev pheej hmoo ntawm kev kis kab mob ntau ntxiv: Peb daim tawv nqaij zoo li lub tiv thaiv uas tiv thaiv peb ntawm cov kab mob. Yog li ntawd, qhov txhab zoo li no yog qhov tawg ntawm lub tiv thaiv ntawd, ua rau cov kab mob nkag mus rau hauv lub cev tau yooj yim.
  • Kab mob Sepsis: Yog tias tsis kho tus kab mob kom zoo, nws tuaj yeem kis mus thoob plaws lub cev thiab ua rau muaj tus mob txaus ntshai heev hu ua sepsis . Qhov no yog thaum peb lub cev tiv thaiv kab mob ua rau muaj tus kab mob loj heev thiab pib ua rau ntau qhov ntawm lub cev puas tsuaj.
  • Kab mob Gangrene: Yog vim muaj kab mob los yog tsis muaj ntshav ntws mus rau qhov txhab, cov hlwb nyob ib puag ncig qhov txhab pib tuag. Qhov no tuaj yeem ua rau muaj mob hu ua kab mob gangrene . Yog tias tsis kho, nws tuaj yeem kis mus rau lwm qhov thiab ua rau tuag tau.
  • Mob thiab nyuaj rau kev taug kev:Cov qhov txhab ntawm cov leeg ntshav no tuaj yeem mob heev. Nyob ntawm qhov chaw ntawm qhov txhab, koj yuav tsis tuaj yeem ua haujlwm, pw tsaug zog, lossis ua tej yam txhua hnub. Vim tias kev ua ub ua no ua rau cov ntshav ncig zoo dua, yog tias koj tsis tuaj yeem taug kev vim yog qhov txhab mob, qhov txhab yuav hnyav zuj zus.

Tseem Ceeb Heev: Tsis txhob tsis quav ntsej cov kev raug mob no vim tias lawv yog me me. Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Cov tsos mob yog dab tsi?

Cov tsos mob ntawm cov kab mob venous nyob ntawm seb ua li cas, thiab qee zaum yuav muaj ntau yam ua rau ib zaug.

Cov tsos mob ntawm Venous Ulcers / Stasis Ulcers

Cov tsos mob no feem ntau tshwm sim ua ntej cov kab mob venous loj hlob:

  • Cov nqaij ntawm ob txhais ceg tig liab thiab o.
  • Daim tawv nqaij tuab zuj zus, tawv, thiab hloov mus ua xim tsaus (feem ntau yog liab, ntshav, lossis xim av).
  • Tej zaum yuav muaj qhov loog thiab khaus khaus rau thaj chaw uas raug mob (peb hu qhov no ua 'stasis dermatitis' ).
  • Cov leeg ntshav varicose yog ib qho cim qhia txog kev tsim cov teeb meem ntawm cov leeg ntshav.

Cov kab mob Stasis feem ntau muaj cov yam ntxwv hauv qab no:

  • Feem ntau cov kev raug mob tshwm sim nyob ib ncig ntawm pob luj taws.
  • Cov qhov txhab tsis tob thiab tej zaum yuav muaj ib txheej liab mus rau daj npog.
  • Cov duab ntawm cov qhov txhab tsis sib xws, nrog cov npoo tsis sib xws.
  • Daim tawv nqaij nyob ib puag ncig qhov txhab yuav ci ntsa iab thiab zoo li ncab.
  • Thaj chaw ntawd yuav sov dua li lwm qhov chaw.
  • Cov qhov txhab mob heev thiab tej zaum yuav tawm cov kua dej xws li ntshav lossis dej. Yog tias kis kab mob, lawv yuav muaj ntxhiab tsw phem thiab muaj kua qaub.

Cov tsos mob ntawm cov hlab ntsha tawg

Cov tsos mob no yuav tshwm sim ua ntej cov kab mob hauv cov hlab ntsha loj hlob:

  • Cov tawv nqaij nyob ib puag ncig qhov txhab yuav ci ntsa iab thiab qhuav. Nws kuj tseem yuav zoo li nruj thiab tawg.
  • Cov plaub hau poob tshwm sim rau ntawm caj npab/ceg uas raug mob lossis ze ntawm qhov txhab vim yog cov ntshav ncig tsis zoo.
  • Thaum koj pw lossis tsa koj ob txhais ceg, cov ntshav yuav ntws tsis tau zoo. Qhov no yuav ua rau koj ob txhais ceg daj ntseg thiab txias. Koj ob txhais ceg yuav mob thaum koj tsa koj ob txhais ceg lossis pw. (Qhov mob no yuav txo tau los ntawm kev cia koj ob txhais ceg dai rau hauv av. Koj ob txhais ceg kuj tseem yuav tig liab thaum cov ntshav rov qab mus rau qhov qub.)

Cov kab mob arterial feem ntau muaj cov tsos mob nram qab no:

  • Cov qhov txhab pib tsim rau ntawm qhov chaw ntawm lub cev deb tshaj plaws ntawm lub plawv, tshwj xeeb tshaj yog rau ntawm cov ntiv taw thiab ntawm cov ntiv taw.
  • Cov qhov txhab zoo li tsaus nti (tshwj xeeb yog liab, daj, grey, dub).
  • Cov qhov txhab tob heev, qee zaum txawm tias pom cov leeg lossis cov leeg.
  • Cov npoo ncig lub qhov txhab zoo li lawv raug thawb tawm.
  • Cov qhov txhab yuav tsis los ntshav, thiab tej zaum yuav tsis mob.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Cov kab mob venous ulcers feem ntau tshwm sim rau cov neeg laus lossis cov neeg uas muaj teeb meem kev noj qab haus huv, tshwj xeeb tshaj yog cov neeg uas muaj teeb meem plawv thiab cov ntshav ncig. Cov mob uas cuam tshuam nrog qhov no suav nrog:

  • Kab mob ntshav qab zib (Diabetes Mellitus)
  • Kev rog dhau
  • Cov Kab Mob Peripheral Vascular - uas yog, Kab Mob Peripheral Artery (PAD) lossis Kab Mob Peripheral Venous (PVD)
  • Kab mob plawv
  • Ntshav siab (Tshuaj ntshav siab)
  • Kev haus luam yeeb thiab kev siv cov khoom luam yeeb

Txawm tias tsis muaj kab mob los, cov kab mob venous tuaj yeem tshwm sim yog tias cov ntshav ntws raug thaiv vim lwm yam. Piv txwv li:

  • Kev Raug Mob: Cov pob txha tawg, kub hnyiab, thiab cov leeg nqaij raug mob tuaj yeem ua rau cov hlab ntsha nyob ze puas tsuaj thiab ua rau muaj teeb meem nrog kev ncig ntshav.
  • Sawv ntev ntev: Cov neeg uas sawv ntev ntev yam tsis txav (xws li cov neeg sau nyiaj, cov neeg ua haujlwm ci qhob cij, cov neeg ua haujlwm hauv tsev so) tuaj yeem tsim cov ntshav sib sau ua ke hauv cov leeg ntawm lawv ob txhais ceg. Thaum cov qhov hauv cov leeg tsis ua haujlwm zoo, cov ntshav tsis ntws rov qab mus rau lub plawv kom zoo. Qhov no muab kev nyuaj siab ntau dhau rau cov leeg thiab ua rau lawv loj hlob, ua rau 'Varicose Veins'. Cov kua dej ces tawm ntawm cov leeg mus rau hauv cov nqaij ib puag ncig, ua rau lawv o. Cov kua dej no, nrog rau cov ntshav thiab cov protein, tuaj yeem ua rau muaj cov xim av ntawm ob txhais ceg, tshwj xeeb tshaj yog sab hauv ntawm thaj chaw puab tais. Qhov no tuaj yeem khaus, thiab daim tawv nqaij tuaj yeem qhuav thiab tawg. Cov kab mob tuaj yeem nkag mus rau hauv cov kab nrib pleb no thiab ua rau muaj kev kis kab mob ntawm daim tawv nqaij hu ua 'Cellulitis' lossis qhov txhab ntsig txog cov leeg.
  • Keeb Kwm Tsev Neeg: Yog tias ib tug neeg hauv koj tsev neeg tau muaj cov kev raug mob no, koj yuav muaj feem yuav mob tau thiab.

Vim li cas cov kev raug mob no thiaj tshwm sim? Dab tsi yog cov ua rau muaj?

Feem ntau cov kab mob venous tuaj yeem faib ua pawg raws li lawv cov laj thawj tseem ceeb. Txawm li cas los xij, ib qho kab mob venous tuaj yeem muaj ntau yam ua rau. Ib qho piv txwv zoo ntawm qhov no yog kev loj hlob ntawm cov kab mob venous vim yog ntshav qab zib.

  • Kab Mob Stasis: Cov no yog tshwm sim los ntawm teeb meem nrog cov leeg ntshav. Feem ntau ntawm cov kab mob venous poob rau hauv pawg no. Lawv feem ntau tshwm sim rau ntawm ob txhais ceg thiab taw thaum koj laus zuj zus. Qhov no tshwm sim thaum cov qhov dej hauv cov leeg ntshav hauv ob txhais ceg tsis ua lawv txoj haujlwm kom raug. Qhov no txhais tau tias cov ntshav uas yuav tsum mus rau lub plawv tsis tuaj yeem nres tsis pub ntws los ntawm lub ntiajteb txawj nqus. Yog li ntawd, ntau cov ntshav sib sau ua ke hauv ob txhais ceg thiab taw, muab kev nyuaj siab ntau dua rau cov hlab ntsha. Qhov kev nyuaj siab no tuaj yeem ua rau cov leeg ntshav xau dej thiab txawm tias tawg. Raws sijhawm, qhov no tuaj yeem ua rau mob ulcers.
  • Kab Mob Hlwb Hauv Cov Ntshav: Cov no kuj hu ua 'Ischemic Ulcers' . Lawv yog tshwm sim los ntawm qhov tsis muaj ntshav ntws mus rau thaj chaw uas raug mob. Peb hu qhov no ua 'Ischemia'.Nws kuj tseem hu ua. Vim tsis muaj ntshav ncig, qhov chaw ntawm lub cev uas raug mob (feem ntau yog caj npab lossis ceg) maj mam pib tuag.

Koj paub qhov no li cas? Cov kws kho mob kuaj mob li cas?

Tus kws kho mob yuav paub sai sai tias yog qhov txhab los ntawm kev kuaj nws. Nws yuav saib ze rau ntawm qhov txhab, tej zaum yuav kov qhov txhab ib puag ncig nws, thiab xyuas seb puas muaj cov tsos mob tshwj xeeb.

Txawm li cas los xij, tus kws kho mob kuj yuav tsum nrhiav seb yog dab tsi ua rau raug mob. Cov ntaub ntawv tau txais thaum lub sijhawm kuaj xyuas qhov raug mob kuj yuav pab tau rau qhov no. Txawm li cas los xij, qee qhov kev kuaj mob kuj yuav raug txiav txim siab kom nkag siab txog qhov ua rau tseeb. Qhov no yog vim tias muaj ntau yam ua rau cuam tshuam rau cov leeg nqaij raug mob, thiab cov ua rau no tuaj yeem cuam tshuam rau ib leeg.

Cov kev ntsuam xyuas twg tab tom ua?

Koj tus kws kho mob lossis kws tshwj xeeb yuav ua cov kev kuaj no:

  • Kev ntsuas ntshav siab: Tus kws kho mob yuav ntsuas ntshav siab hauv koj txhais caj npab. Nws kuj tseem yuav ntsuas ntshav siab hauv koj ob txhais ceg kom pom tias puas muaj qhov sib txawv ntawm ob qho no. Qhov kev xeem no hu ua Ankle-Brachial Index (ABI) test .
  • Mloog koj lub plawv thiab kuaj koj lub plawv dhia: Los ntawm kev mloog koj lub plawv thiab ua pa, koj tus kws kho mob tuaj yeem nrhiav pov thawj ntawm kab mob plawv uas tuaj yeem ua rau muaj cov kab mob venous. Lawv kuj tuaj yeem hnov ​​​​​​cov pulses (peripheral pulses) hauv koj ob txhais ceg thiab ko taw. Lub zog ntawm cov pulses no - lossis yog tias tsis hnov ​​​​​​lub plawv dhia - tuaj yeem pab koj tus kws kho mob ua qhov kev kuaj mob tseeb dua.
  • Kev kuaj ntshav: Kev kuaj ntshav tuaj yeem pab koj tus kws kho mob kuaj mob thiab txiav txim siab yuav kho koj qhov raug mob li cas. Ib qho kev kuaj tshwj xeeb yog kev kuaj A1C hemoglobin . Qhov no tuaj yeem pab txiav txim siab seb koj puas muaj ntshav qab zib thiab, yog tias muaj, nws hnyav npaum li cas.
  • Kev Thaij Duab: Koj tus kws kho mob yuav hais kom kuaj duab tsis yog saib qhov raug mob xwb tab sis kuj saib cov ntshav ntws ncig nws. Lawv kuj tseem yuav hais kom kuaj duab ntawm cov hlab ntsha loj thiab cov leeg ntshav lwm qhov hauv lub cev, vim tias cov no kuj tuaj yeem qhia cov teeb meem cuam tshuam nrog kev raug mob ntawm cov hlab ntsha. Cov kev kuaj no yuav suav nrog X-rays, MRIs, CT scans , thiab ultrasounds .

Cov qhov txhab no puas kho tau? Cov kev kho mob yog dab tsi?

Feem ntau, qhov mob venous tuaj yeem kho tau. Txawm li cas los xij, qhov ua rau qhov txhab zoo nyob ntawm seb nws hnyav npaum li cas. Yog li ntawd, kev kho cov mob venous sai sai yog qhov tseem ceeb heev rau qhov tshwm sim zoo.

Nws tseem ceeb heev rau kev daws qhov teeb meem uas ua rau raug mob. Koj tus kws kho mob yuav kho qhov raug mob thiab pom zoo rau kev kho mob rau txhua yam teeb meem kev noj qab haus huv uas koj muaj. Qee qhov ntawm nws cov lus pom zoo yuav suav nrog kev hloov pauv koj txoj kev ua neej. Cov kev hloov pauv no tuaj yeem pab txo koj txoj kev pheej hmoo ntawm kev raug mob ntxiv thiab txhim kho koj lub neej zoo.

Cov kev kho mob

Yuav siv ntau yam kev kho mob sib txawv nyob ntawm seb cov qhov txhab ntawm cov leeg ntshav hnyav npaum li cas thiab yog vim li cas ho ua rau muaj qhov txhab no.

Cov tshuaj

  • Cov tshuaj tua kab mob: Cov no tuaj yeem kho cov kab mob thiab, qee zaum (xws li tom qab phais), kuj tseem muab rau kev tiv thaiv kev kis kab mob.
  • Cov tshuaj gels thiab tshuaj pleev rau sab nraud: Cov no pab tshem tawm cov nqaij tuag lossis cov nqaij kis kab mob, txhim kho cov ntshav ntws mus rau thaj chaw raug mob, tiv thaiv kev kis kab mob, thiab pab kom qhov txhab kho sai dua.
  • Cov tshuaj kho mob uas kho qhov teeb meem tseem ceeb: Tej yam xws li tswj koj cov ntshav siab thiab cov roj cholesterol, tso kev haus luam yeeb, thiab tswj koj cov ntshav qab zib tuaj yeem pab cov qhov txhab kho.
  • Cov tshuaj tua kab mob lossis cov tshuaj ua kom loog: Cov qhov txhab ntawm cov hlab ntsha thiab qee qhov kev kho mob tuaj yeem ua rau mob. Nws yog ib qho uas yuav tsum siv cov tshuaj tua kab mob lossis cov tshuaj ua kom loog thaum lub sijhawm kho mob.

Cov ntaub qhwv thiab cov ntaub qhwv

Cov ntaub qhwv thiab ntau yam khoom siv hnav tau feem ntau siv los kho cov qhov txhab ntawm cov leeg ntshav. Cov no tsuas yog siv raws li koj tus kws kho mob qhia xwb. Yog siv tsis raug, cov qhov txhab ntawm cov leeg ntshav yuav mob zuj zus es tsis zoo dua.

  • Siv daim ntaub qhwv: Siv daim ntaub qhwv los npog qhov txhab yuav pab tiv thaiv kev kis kab mob. Qee daim ntaub qhwv kuj tseem muaj tshuaj, uas tuaj yeem pab kom qhov txhab kho sai dua.
  • Cov khaub ncaws nruj: Cov no suav nrog thom khwm, thom khwm ntev, thiab lwm yam khoom. Lawv nias rau tag nrho ceg, pab txwv lossis tsis txhob o. Lawv feem ntau siv rau cov qhov txhab ntawm cov leeg ntshav. Lawv pab tiv thaiv cov ntshav kom tsis txhob sib sau ua ke hauv ob txhais ceg thiab taw.
  • Khau tshwj xeeb, thom khwm lossis cov khoom siv orthotic: Ntau cov qhov txhab ntawm cov leeg ntshav, tshwj xeeb tshaj yog cov qhov txhab ntawm cov ntshav qab zib, yog tshwm sim los ntawm kev sib txhuam thiab kev nyem. Feem ntau, thaum koj hnov ​​​​​​mob, koj hloov txoj kev koj taug kev thiab txo qhov kev puas tsuaj rau thaj chaw raug mob. Txawm li cas los xij, qhov no tsis yog qhov teeb meem nrog cov qhov txhab ntawm cov ntshav qab zib. Lawv feem ntau yog tshwm sim los ntawm kev poob tag nrho lossis ib feem ntawm kev hnov ​​​​​​ntawm ko taw.

Cov txheej txheem siab heev

Cov kev kho mob siab heev no siv tau rau cov qhov txhab loj, lossis cov qhov txhab ntawm cov leeg ntshav uas siv sijhawm ntev los kho.

  • Kev kho cov hlab ntsha tshiab: Kev thaiv cov hlab ntsha tseem ceeb tuaj yeem ua rau muaj cov qhov txhab ntawm cov hlab ntsha. Kev kho cov hlab ntsha tshiab sim tshem tawm cov kev thaiv no, kho cov qhov txhab uas twb muaj lawm, thiab tiv thaiv cov qhov txhab tshiab kom tsis txhob tsim.
  • Kev Phais Mob: Kev phais mob yuav ua tau rau cov qhov txhab uas muaj kab mob lossis loj thiab nyuaj kho. Tus kws phais mob yuav ua kev phais mob kom tshem tawm cov nqaij tuag lossis cov nqaij mob ntawm qhov txhab tob ( 'Debridement' ), ua kom yooj yim dua rau qhov txhab kho. Qhov no yuav suav nrog:Tej zaum yuav siv tau cov tawv nqaij hloov thiab lwm txoj kev kho. (Txawm li cas los xij, thaum muaj kab mob gangrene loj heev lossis cov leeg ntshav puas tsuaj loj heev, qee zaum yuav tsum txiav ib feem ntawm ko taw lossis ceg. Qhov no yog ua los cawm txoj sia thiab tiv thaiv cov teeb meem loj dua. Hmoov tsis zoo, cov neeg uas muaj ntshav qab zib muaj feem yuav mob gangrene hauv lawv txhais taw 30 npaug ntau dua li cov pej xeem feem ntau.)
  • Kev taug kev raws li kws kho mob tau sau tseg: Kev tawm dag zog lub cev, tshwj xeeb tshaj yog thaum ua raws li kws kho mob qhia, yuav pab txhim kho kev ncig ntshav thiab tiv thaiv kev tsim cov qog ntshav tshiab.
  • Kev kho mob oxygen hyperbaric: Cov pa oxygen ib txwm nyob ib puag ncig peb yog 21%. Hauv 'Kev kho mob oxygen hyperbaric', koj raug muab tso rau hauv chav uas muaj 100% oxygen concentration thiab nce siab ntawm huab cua. Hauv cov xwm txheej no, cov qhov txhab, tshwj xeeb tshaj yog cov qhov txhab ntawm cov leeg ntshav, tuaj yeem kho tau sai dua.
  • Kev Tshem Tawm: Cov nqaij tuag thiab muaj kab mob nyob rau hauv thiab ib puag ncig ntawm qhov txhab tob tuaj yeem ncua kev kho thiab ua rau muaj teeb meem txaus ntshai xws li gangrene. Kev tshem tawm yog kev tshem tawm cov nqaij tuag lossis muaj kab mob no, tseg tsuas yog cov nqaij noj qab haus huv xwb.

Yuav ua li cas thiaj tswj tau cov tsos mob thiab txo qhov kev pheej hmoo?

Yog tias koj muaj feem yuav mob qog ntshav hauv cov leeg ntshav, muaj tej yam uas koj ua tau los tiv thaiv koj txoj kev noj qab haus huv thiab tiv thaiv kom tsis txhob mob qog ntshav. Qhov no tseem ceeb heev yog tias koj muaj ntshav qab zib lossis lwm yam mob uas ua rau koj txhais taw tsis xis nyob.

  • Tshawb xyuas koj tus kheej: Tshawb xyuas koj txhais taw txhua hnub. Ua tib zoo saib xyuas ntawm cov ntiv taw, ib ncig ntawm pob luj taws, thiab ntawm cov hauv qab taw.
  • Tiv thaiv koj ob txhais taw: Tiv thaiv koj ob txhais taw ntawm kev raug mob los ntawm kev hnav khau thiab thom khwm kom haum.
  • Tau txais kev saib xyuas ko taw kom zoo: Yog tias koj muaj ntshav qab zib, koj yuav tsum mus ntsib kws kho mob ko taw tsis tu ncua kom kuaj xyuas koj txhais taw seb puas muaj cov tsos mob ntawm cov qhov txhab. Nws yuav qhia koj txog txoj hauv kev zoo tshaj plaws los saib xyuas koj txhais taw.
  • Tswj cov mob uas tseem ceeb: Kev saib xyuas tej yam xws li koj cov ntshav siab, roj cholesterol, cov ntshav qab zib, thiab qhov hnyav tuaj yeem pab tiv thaiv kev raug mob.

Yog koj twb muaj qhov txhab ntawm cov leeg ntshav lawm, koj tus kws kho mob yuav qhia koj txog kev saib xyuas nws. Nws feem ntau yuav qhia koj txog cov hauv qab no:

  • Khaws qhov txhab kom huv si: Siv cov ntaub qhwv thiab hloov lawv raws li tus kws kho mob qhia.
  • So kom txaus raws li tau qhia: Yog tias koj muaj qhov txhab ntawm cov leeg ntshav, koj tus kws kho mob yuav qhia koj kom tsa koj ob txhais ceg kom siab kom tsis txhob o.
  • Noj koj cov tshuaj kom raug: Noj koj cov tshuaj, tshwj xeeb yog cov tshuaj tua kab mob, cov tshuaj ntshav siab, cov tshuaj ntshav qab zib, thiab cov tshuaj roj cholesterol siab, raws sijhawm.

Koj yuav cia siab li cas thaum koj tseem muaj qhov kev raug mob no?

Yog tias koj muaj ib qho mob qog ntshav hauv cov hlab ntsha, lossis tau muaj ib qho ua ntej lawm, koj muaj feem yuav mob dua lwm qhov. Kev saib xyuas koj txoj kev noj qab haus huv yog txoj hauv kev zoo tshaj plaws los ncua kev mob qog ntshav tshiab. Yog tias koj tswj koj txoj kev noj qab haus huv, koj yuav muaj feem yuav nyob ntev dua thiab muaj teeb meem kev noj qab haus huv tsawg dua.

Nyob rau sab tes tod, yog tias koj tsis saib xyuas koj txoj kev noj qab haus huv, qhov mob qog ntshav hauv cov hlab ntsha - thiab koj txoj kev noj qab haus huv tag nrho - yuav muaj feem ntau dua. Hauv cov xwm txheej phem tshaj plaws, yog tias koj tsis quav ntsej txog qhov mob qog ntshav thiab koj txoj kev noj qab haus huv, nws tuaj yeem ua rau koj txiav tes txiav taw, thiab txawm tias tuag.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Mus ntsib koj tus kws kho mob hauv tsev neeg tsawg kawg ib xyoos ib zaug kom kuaj xyuas lub cev tag nrho. Qhov no yog ib qho tseem ceeb kom paub txog cov teeb meem kev noj qab haus huv, suav nrog cov uas tuaj yeem ua rau muaj cov hlab ntsha tawg, txawm tias lawv tsis qhia cov tsos mob.

Tsis tas li ntawd, nrog koj tus kws kho mob tham yog tias koj muaj ib qho ntawm cov hauv qab no:

  • Yog tias qhov txhab ntawm koj txhais ceg lossis ko taw siv sijhawm ntev dua li qhov xav tau kom kho.
  • Yog tias koj muaj cov tsos mob uas qhia tias koj muaj teeb meem nrog kev ncig ntshav hauv koj ob txhais ceg (tshwj xeeb tshaj yog o, mob, xim av, lossis mob uas hloov pauv nyob ntawm seb koj tuav koj ob txhais ceg li cas).
  • Yog koj mob koj ob txhais ceg ces qhov ntawd yuav zoo dua thaum koj so.

Thaum twg koj yuav tsum mus rau Chav Xwm Ceev?

Yog tias koj muaj qhov txhab ntawm cov leeg ntshav, nws kis tau kab mob thiab koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev:

  • Yog tias daim tawv nqaij nyob ib puag ncig thaj chaw raug mob hloov xim av tsaus lossis dub, tshwj xeeb tshaj yog ntawm cov ntiv tes.
  • Yog koj kub taub hau los yog mob khaub thuas thiab tshee hnyo.
  • Yog tias muaj ntxhiab tsw phem los ntawm qhov txhab ntawm cov leeg ntshav.
  • Yog tias qhov txhab ntawm cov leeg ntshav tawm ntau cov kua lossis ntshav dua li niaj zaus, tshwj xeeb tshaj yog tias cov kua dej uas tawm los yog xim daj.
  • Yog tias qhov txhab thiab thaj chaw ib puag ncig nws o, liab, thiab sov so thaum kov.

Hauv kev xaus lus, cov lus coj mus tsev:

Feem ntau cov kab mob hauv cov hlab ntsha yog ib qho cim qhia tias muaj mob ntev. Txawm hais tias cov mob no loj heev los, koj tuaj yeem tswj tau thiab koj tuaj yeem txaus siab rau koj lub neej. Tsis txhob ntshai lossis ntshai heev.

Koj tus kws kho mob tuaj yeem coj koj, muab cov peev txheej tsim nyog rau koj, thiab muab lwm yam kev txhawb nqa. Tag nrho cov no yuav pab koj tiv thaiv cov mob ntev kom tsis txhob cuam tshuam rau koj lub neej thiab ua lub neej uas koj xav tau. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob thaum ntxov. Saib xyuas koj txhais taw, saib xyuas koj txoj kev noj qab haus huv.


Cov qhov txhab ntawm cov hlab ntsha, teeb meem ntawm cov ntshav ncig, cov qhov txhab ntawm ko taw, cov qhov txhab ntawm cov hlab ntsha, cov qhov txhab ntawm cov hlab ntsha, cov qhov txhab ntawm cov ntshav qab zib, cov qhov txhab uas tsis kho tau

Frequently Asked Questions (FAQ)

Cov kev ntsuam xyuas twg tab tom ua?

Koj tus kws kho mob lossis kws tshwj xeeb yuav ua cov kev kuaj no:

Thaum twg koj yuav tsum mus rau Chav Xwm Ceev?

Yog tias koj muaj qhov txhab ntawm cov leeg ntshav, nws kis tau kab mob thiab koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

Thov xam: 6 + 7 =
Koj puas muaj cov qhov txhab ntawm koj ob txhais ceg uas tsis kho? Cia peb kawm txog 'Vascular Ulcer' no!

Koj puas muaj cov qhov txhab ntawm koj ob txhais ceg uas tsis kho? Cia peb kawm txog 'Vascular Ulcer' no!

Koj puas tau pom tias qee zaum cov qhov txhab tshwm sim rau ntawm koj ob txhais ceg, tshwj xeeb tshaj yog nyob rau hauv qhov chaw ntawm lub qhov ncauj lossis pob luj taws, thiab siv sijhawm ntev heev los kho? Tej zaum koj kuj tau ntsib qhov no thiab. Cov no tsis yog cov qhov txhab ib txwm muaj. Peb hu cov no ua 'Vascular Ulcers', uas hauv Sinhala txhais tau tias 'vein ulcers '. Hais yooj yim, cov no yog cov qhov txhab uas tshwm sim rau ntawm daim tawv nqaij vim yog cov ntshav tsis zoo hauv peb lub cev. Cia peb tham txog qhov no kom meej me ntsis hnub no, vim qhov no yog ib yam dab tsi uas tuaj yeem cuam tshuam rau ntau tus neeg.

Cov kab mob vascular yog dab tsi?

Hais yooj yim xwb, cov qhov txhab ntawm cov leeg ntshav yog cov qhov txhab uas tshwm sim ntawm peb daim tawv nqaij. Tab sis cov no tsis yog cov qhov txhab xwb. Lawv yog los ntawm teeb meem nrog cov ntshav ntws hauv peb lub cev, uas yog, lub cev ncig ntshav. Feem ntau, cov qhov txhab no pom ntawm peb cov ceg, tshwj xeeb tshaj yog cov ceg qis thiab taw. Tab sis lawv kuj tuaj yeem tshwm sim rau lwm qhov chaw. Cov qhov txhab no siv sijhawm ntev los kho, thiab qee zaum yuav xav tau kev kho mob tshwj xeeb xws li kev phais.

Muaj ob qho laj thawj tseem ceeb uas ua rau cov kab mob venous no tshwm sim.

1. Ib qho yog qhov uas cov ntshav tsis muaj zog hauv peb cov hlab ntsha . Cov hlab ntsha yog qhov chaw uas lub cev tau txais cov as-ham thiab cov pa oxygen uas nws xav tau. Yog li thaum muaj teeb meem nrog cov no, cov qhov txhab tsim.

2. Lwm qhov laj thawj yog cov ntshav tsis zoo hauv peb cov leeg ntshav . Nws yog los ntawm cov leeg ntshav uas cov ntshav, nrog rau cov khoom pov tseg hauv lub cev, raug nqa rov qab mus rau lub plawv. Yog tias muaj teeb meem nrog cov no, kev raug mob tshwm sim.

Cov qhov txhab uas tshwm sim ntau tshaj plaws yog cov qhov txhab uas tshwm sim hauv cov leeg ntshav, uas peb kuj hu ua cov qhov txhab hauv cov leeg ntshav .

Cov kev raug mob no feem ntau tshwm sim li cas?

Qhov tseeb, cov kab mob venous no feem ntau tshwm sim ntau dua li koj xav, tshwj xeeb tshaj yog thaum koj laus zuj zus. Qhov nruab nrab, kwv yees li 1% ntawm cov neeg laus yuav muaj tus mob no. Ntawm cov neeg hnub nyoog tshaj 65 xyoo, feem pua ​​no tuaj yeem nyob nruab nrab ntawm 3% thiab 5%. Yog li qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim.

Cov kab mob venous no cuam tshuam li cas rau peb lub cev?

Cov kev raug mob no muaj ntau yam tsis zoo rau koj lub neej. Xav xwb...

  • Kev pheej hmoo ntawm kev kis kab mob ntau ntxiv: Peb daim tawv nqaij zoo li lub tiv thaiv uas tiv thaiv peb ntawm cov kab mob. Yog li ntawd, qhov txhab zoo li no yog qhov tawg ntawm lub tiv thaiv ntawd, ua rau cov kab mob nkag mus rau hauv lub cev tau yooj yim.
  • Kab mob Sepsis: Yog tias tsis kho tus kab mob kom zoo, nws tuaj yeem kis mus thoob plaws lub cev thiab ua rau muaj tus mob txaus ntshai heev hu ua sepsis . Qhov no yog thaum peb lub cev tiv thaiv kab mob ua rau muaj tus kab mob loj heev thiab pib ua rau ntau qhov ntawm lub cev puas tsuaj.
  • Kab mob Gangrene: Yog vim muaj kab mob los yog tsis muaj ntshav ntws mus rau qhov txhab, cov hlwb nyob ib puag ncig qhov txhab pib tuag. Qhov no tuaj yeem ua rau muaj mob hu ua kab mob gangrene . Yog tias tsis kho, nws tuaj yeem kis mus rau lwm qhov thiab ua rau tuag tau.
  • Mob thiab nyuaj rau kev taug kev:Cov qhov txhab ntawm cov leeg ntshav no tuaj yeem mob heev. Nyob ntawm qhov chaw ntawm qhov txhab, koj yuav tsis tuaj yeem ua haujlwm, pw tsaug zog, lossis ua tej yam txhua hnub. Vim tias kev ua ub ua no ua rau cov ntshav ncig zoo dua, yog tias koj tsis tuaj yeem taug kev vim yog qhov txhab mob, qhov txhab yuav hnyav zuj zus.

Tseem Ceeb Heev: Tsis txhob tsis quav ntsej cov kev raug mob no vim tias lawv yog me me. Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Cov tsos mob yog dab tsi?

Cov tsos mob ntawm cov kab mob venous nyob ntawm seb ua li cas, thiab qee zaum yuav muaj ntau yam ua rau ib zaug.

Cov tsos mob ntawm Venous Ulcers / Stasis Ulcers

Cov tsos mob no feem ntau tshwm sim ua ntej cov kab mob venous loj hlob:

  • Cov nqaij ntawm ob txhais ceg tig liab thiab o.
  • Daim tawv nqaij tuab zuj zus, tawv, thiab hloov mus ua xim tsaus (feem ntau yog liab, ntshav, lossis xim av).
  • Tej zaum yuav muaj qhov loog thiab khaus khaus rau thaj chaw uas raug mob (peb hu qhov no ua 'stasis dermatitis' ).
  • Cov leeg ntshav varicose yog ib qho cim qhia txog kev tsim cov teeb meem ntawm cov leeg ntshav.

Cov kab mob Stasis feem ntau muaj cov yam ntxwv hauv qab no:

  • Feem ntau cov kev raug mob tshwm sim nyob ib ncig ntawm pob luj taws.
  • Cov qhov txhab tsis tob thiab tej zaum yuav muaj ib txheej liab mus rau daj npog.
  • Cov duab ntawm cov qhov txhab tsis sib xws, nrog cov npoo tsis sib xws.
  • Daim tawv nqaij nyob ib puag ncig qhov txhab yuav ci ntsa iab thiab zoo li ncab.
  • Thaj chaw ntawd yuav sov dua li lwm qhov chaw.
  • Cov qhov txhab mob heev thiab tej zaum yuav tawm cov kua dej xws li ntshav lossis dej. Yog tias kis kab mob, lawv yuav muaj ntxhiab tsw phem thiab muaj kua qaub.

Cov tsos mob ntawm cov hlab ntsha tawg

Cov tsos mob no yuav tshwm sim ua ntej cov kab mob hauv cov hlab ntsha loj hlob:

  • Cov tawv nqaij nyob ib puag ncig qhov txhab yuav ci ntsa iab thiab qhuav. Nws kuj tseem yuav zoo li nruj thiab tawg.
  • Cov plaub hau poob tshwm sim rau ntawm caj npab/ceg uas raug mob lossis ze ntawm qhov txhab vim yog cov ntshav ncig tsis zoo.
  • Thaum koj pw lossis tsa koj ob txhais ceg, cov ntshav yuav ntws tsis tau zoo. Qhov no yuav ua rau koj ob txhais ceg daj ntseg thiab txias. Koj ob txhais ceg yuav mob thaum koj tsa koj ob txhais ceg lossis pw. (Qhov mob no yuav txo tau los ntawm kev cia koj ob txhais ceg dai rau hauv av. Koj ob txhais ceg kuj tseem yuav tig liab thaum cov ntshav rov qab mus rau qhov qub.)

Cov kab mob arterial feem ntau muaj cov tsos mob nram qab no:

  • Cov qhov txhab pib tsim rau ntawm qhov chaw ntawm lub cev deb tshaj plaws ntawm lub plawv, tshwj xeeb tshaj yog rau ntawm cov ntiv taw thiab ntawm cov ntiv taw.
  • Cov qhov txhab zoo li tsaus nti (tshwj xeeb yog liab, daj, grey, dub).
  • Cov qhov txhab tob heev, qee zaum txawm tias pom cov leeg lossis cov leeg.
  • Cov npoo ncig lub qhov txhab zoo li lawv raug thawb tawm.
  • Cov qhov txhab yuav tsis los ntshav, thiab tej zaum yuav tsis mob.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Cov kab mob venous ulcers feem ntau tshwm sim rau cov neeg laus lossis cov neeg uas muaj teeb meem kev noj qab haus huv, tshwj xeeb tshaj yog cov neeg uas muaj teeb meem plawv thiab cov ntshav ncig. Cov mob uas cuam tshuam nrog qhov no suav nrog:

  • Kab mob ntshav qab zib (Diabetes Mellitus)
  • Kev rog dhau
  • Cov Kab Mob Peripheral Vascular - uas yog, Kab Mob Peripheral Artery (PAD) lossis Kab Mob Peripheral Venous (PVD)
  • Kab mob plawv
  • Ntshav siab (Tshuaj ntshav siab)
  • Kev haus luam yeeb thiab kev siv cov khoom luam yeeb

Txawm tias tsis muaj kab mob los, cov kab mob venous tuaj yeem tshwm sim yog tias cov ntshav ntws raug thaiv vim lwm yam. Piv txwv li:

  • Kev Raug Mob: Cov pob txha tawg, kub hnyiab, thiab cov leeg nqaij raug mob tuaj yeem ua rau cov hlab ntsha nyob ze puas tsuaj thiab ua rau muaj teeb meem nrog kev ncig ntshav.
  • Sawv ntev ntev: Cov neeg uas sawv ntev ntev yam tsis txav (xws li cov neeg sau nyiaj, cov neeg ua haujlwm ci qhob cij, cov neeg ua haujlwm hauv tsev so) tuaj yeem tsim cov ntshav sib sau ua ke hauv cov leeg ntawm lawv ob txhais ceg. Thaum cov qhov hauv cov leeg tsis ua haujlwm zoo, cov ntshav tsis ntws rov qab mus rau lub plawv kom zoo. Qhov no muab kev nyuaj siab ntau dhau rau cov leeg thiab ua rau lawv loj hlob, ua rau 'Varicose Veins'. Cov kua dej ces tawm ntawm cov leeg mus rau hauv cov nqaij ib puag ncig, ua rau lawv o. Cov kua dej no, nrog rau cov ntshav thiab cov protein, tuaj yeem ua rau muaj cov xim av ntawm ob txhais ceg, tshwj xeeb tshaj yog sab hauv ntawm thaj chaw puab tais. Qhov no tuaj yeem khaus, thiab daim tawv nqaij tuaj yeem qhuav thiab tawg. Cov kab mob tuaj yeem nkag mus rau hauv cov kab nrib pleb no thiab ua rau muaj kev kis kab mob ntawm daim tawv nqaij hu ua 'Cellulitis' lossis qhov txhab ntsig txog cov leeg.
  • Keeb Kwm Tsev Neeg: Yog tias ib tug neeg hauv koj tsev neeg tau muaj cov kev raug mob no, koj yuav muaj feem yuav mob tau thiab.

Vim li cas cov kev raug mob no thiaj tshwm sim? Dab tsi yog cov ua rau muaj?

Feem ntau cov kab mob venous tuaj yeem faib ua pawg raws li lawv cov laj thawj tseem ceeb. Txawm li cas los xij, ib qho kab mob venous tuaj yeem muaj ntau yam ua rau. Ib qho piv txwv zoo ntawm qhov no yog kev loj hlob ntawm cov kab mob venous vim yog ntshav qab zib.

  • Kab Mob Stasis: Cov no yog tshwm sim los ntawm teeb meem nrog cov leeg ntshav. Feem ntau ntawm cov kab mob venous poob rau hauv pawg no. Lawv feem ntau tshwm sim rau ntawm ob txhais ceg thiab taw thaum koj laus zuj zus. Qhov no tshwm sim thaum cov qhov dej hauv cov leeg ntshav hauv ob txhais ceg tsis ua lawv txoj haujlwm kom raug. Qhov no txhais tau tias cov ntshav uas yuav tsum mus rau lub plawv tsis tuaj yeem nres tsis pub ntws los ntawm lub ntiajteb txawj nqus. Yog li ntawd, ntau cov ntshav sib sau ua ke hauv ob txhais ceg thiab taw, muab kev nyuaj siab ntau dua rau cov hlab ntsha. Qhov kev nyuaj siab no tuaj yeem ua rau cov leeg ntshav xau dej thiab txawm tias tawg. Raws sijhawm, qhov no tuaj yeem ua rau mob ulcers.
  • Kab Mob Hlwb Hauv Cov Ntshav: Cov no kuj hu ua 'Ischemic Ulcers' . Lawv yog tshwm sim los ntawm qhov tsis muaj ntshav ntws mus rau thaj chaw uas raug mob. Peb hu qhov no ua 'Ischemia'.Nws kuj tseem hu ua. Vim tsis muaj ntshav ncig, qhov chaw ntawm lub cev uas raug mob (feem ntau yog caj npab lossis ceg) maj mam pib tuag.

Koj paub qhov no li cas? Cov kws kho mob kuaj mob li cas?

Tus kws kho mob yuav paub sai sai tias yog qhov txhab los ntawm kev kuaj nws. Nws yuav saib ze rau ntawm qhov txhab, tej zaum yuav kov qhov txhab ib puag ncig nws, thiab xyuas seb puas muaj cov tsos mob tshwj xeeb.

Txawm li cas los xij, tus kws kho mob kuj yuav tsum nrhiav seb yog dab tsi ua rau raug mob. Cov ntaub ntawv tau txais thaum lub sijhawm kuaj xyuas qhov raug mob kuj yuav pab tau rau qhov no. Txawm li cas los xij, qee qhov kev kuaj mob kuj yuav raug txiav txim siab kom nkag siab txog qhov ua rau tseeb. Qhov no yog vim tias muaj ntau yam ua rau cuam tshuam rau cov leeg nqaij raug mob, thiab cov ua rau no tuaj yeem cuam tshuam rau ib leeg.

Cov kev ntsuam xyuas twg tab tom ua?

Koj tus kws kho mob lossis kws tshwj xeeb yuav ua cov kev kuaj no:

  • Kev ntsuas ntshav siab: Tus kws kho mob yuav ntsuas ntshav siab hauv koj txhais caj npab. Nws kuj tseem yuav ntsuas ntshav siab hauv koj ob txhais ceg kom pom tias puas muaj qhov sib txawv ntawm ob qho no. Qhov kev xeem no hu ua Ankle-Brachial Index (ABI) test .
  • Mloog koj lub plawv thiab kuaj koj lub plawv dhia: Los ntawm kev mloog koj lub plawv thiab ua pa, koj tus kws kho mob tuaj yeem nrhiav pov thawj ntawm kab mob plawv uas tuaj yeem ua rau muaj cov kab mob venous. Lawv kuj tuaj yeem hnov ​​​​​​cov pulses (peripheral pulses) hauv koj ob txhais ceg thiab ko taw. Lub zog ntawm cov pulses no - lossis yog tias tsis hnov ​​​​​​lub plawv dhia - tuaj yeem pab koj tus kws kho mob ua qhov kev kuaj mob tseeb dua.
  • Kev kuaj ntshav: Kev kuaj ntshav tuaj yeem pab koj tus kws kho mob kuaj mob thiab txiav txim siab yuav kho koj qhov raug mob li cas. Ib qho kev kuaj tshwj xeeb yog kev kuaj A1C hemoglobin . Qhov no tuaj yeem pab txiav txim siab seb koj puas muaj ntshav qab zib thiab, yog tias muaj, nws hnyav npaum li cas.
  • Kev Thaij Duab: Koj tus kws kho mob yuav hais kom kuaj duab tsis yog saib qhov raug mob xwb tab sis kuj saib cov ntshav ntws ncig nws. Lawv kuj tseem yuav hais kom kuaj duab ntawm cov hlab ntsha loj thiab cov leeg ntshav lwm qhov hauv lub cev, vim tias cov no kuj tuaj yeem qhia cov teeb meem cuam tshuam nrog kev raug mob ntawm cov hlab ntsha. Cov kev kuaj no yuav suav nrog X-rays, MRIs, CT scans , thiab ultrasounds .

Cov qhov txhab no puas kho tau? Cov kev kho mob yog dab tsi?

Feem ntau, qhov mob venous tuaj yeem kho tau. Txawm li cas los xij, qhov ua rau qhov txhab zoo nyob ntawm seb nws hnyav npaum li cas. Yog li ntawd, kev kho cov mob venous sai sai yog qhov tseem ceeb heev rau qhov tshwm sim zoo.

Nws tseem ceeb heev rau kev daws qhov teeb meem uas ua rau raug mob. Koj tus kws kho mob yuav kho qhov raug mob thiab pom zoo rau kev kho mob rau txhua yam teeb meem kev noj qab haus huv uas koj muaj. Qee qhov ntawm nws cov lus pom zoo yuav suav nrog kev hloov pauv koj txoj kev ua neej. Cov kev hloov pauv no tuaj yeem pab txo koj txoj kev pheej hmoo ntawm kev raug mob ntxiv thiab txhim kho koj lub neej zoo.

Cov kev kho mob

Yuav siv ntau yam kev kho mob sib txawv nyob ntawm seb cov qhov txhab ntawm cov leeg ntshav hnyav npaum li cas thiab yog vim li cas ho ua rau muaj qhov txhab no.

Cov tshuaj

  • Cov tshuaj tua kab mob: Cov no tuaj yeem kho cov kab mob thiab, qee zaum (xws li tom qab phais), kuj tseem muab rau kev tiv thaiv kev kis kab mob.
  • Cov tshuaj gels thiab tshuaj pleev rau sab nraud: Cov no pab tshem tawm cov nqaij tuag lossis cov nqaij kis kab mob, txhim kho cov ntshav ntws mus rau thaj chaw raug mob, tiv thaiv kev kis kab mob, thiab pab kom qhov txhab kho sai dua.
  • Cov tshuaj kho mob uas kho qhov teeb meem tseem ceeb: Tej yam xws li tswj koj cov ntshav siab thiab cov roj cholesterol, tso kev haus luam yeeb, thiab tswj koj cov ntshav qab zib tuaj yeem pab cov qhov txhab kho.
  • Cov tshuaj tua kab mob lossis cov tshuaj ua kom loog: Cov qhov txhab ntawm cov hlab ntsha thiab qee qhov kev kho mob tuaj yeem ua rau mob. Nws yog ib qho uas yuav tsum siv cov tshuaj tua kab mob lossis cov tshuaj ua kom loog thaum lub sijhawm kho mob.

Cov ntaub qhwv thiab cov ntaub qhwv

Cov ntaub qhwv thiab ntau yam khoom siv hnav tau feem ntau siv los kho cov qhov txhab ntawm cov leeg ntshav. Cov no tsuas yog siv raws li koj tus kws kho mob qhia xwb. Yog siv tsis raug, cov qhov txhab ntawm cov leeg ntshav yuav mob zuj zus es tsis zoo dua.

  • Siv daim ntaub qhwv: Siv daim ntaub qhwv los npog qhov txhab yuav pab tiv thaiv kev kis kab mob. Qee daim ntaub qhwv kuj tseem muaj tshuaj, uas tuaj yeem pab kom qhov txhab kho sai dua.
  • Cov khaub ncaws nruj: Cov no suav nrog thom khwm, thom khwm ntev, thiab lwm yam khoom. Lawv nias rau tag nrho ceg, pab txwv lossis tsis txhob o. Lawv feem ntau siv rau cov qhov txhab ntawm cov leeg ntshav. Lawv pab tiv thaiv cov ntshav kom tsis txhob sib sau ua ke hauv ob txhais ceg thiab taw.
  • Khau tshwj xeeb, thom khwm lossis cov khoom siv orthotic: Ntau cov qhov txhab ntawm cov leeg ntshav, tshwj xeeb tshaj yog cov qhov txhab ntawm cov ntshav qab zib, yog tshwm sim los ntawm kev sib txhuam thiab kev nyem. Feem ntau, thaum koj hnov ​​​​​​mob, koj hloov txoj kev koj taug kev thiab txo qhov kev puas tsuaj rau thaj chaw raug mob. Txawm li cas los xij, qhov no tsis yog qhov teeb meem nrog cov qhov txhab ntawm cov ntshav qab zib. Lawv feem ntau yog tshwm sim los ntawm kev poob tag nrho lossis ib feem ntawm kev hnov ​​​​​​ntawm ko taw.

Cov txheej txheem siab heev

Cov kev kho mob siab heev no siv tau rau cov qhov txhab loj, lossis cov qhov txhab ntawm cov leeg ntshav uas siv sijhawm ntev los kho.

  • Kev kho cov hlab ntsha tshiab: Kev thaiv cov hlab ntsha tseem ceeb tuaj yeem ua rau muaj cov qhov txhab ntawm cov hlab ntsha. Kev kho cov hlab ntsha tshiab sim tshem tawm cov kev thaiv no, kho cov qhov txhab uas twb muaj lawm, thiab tiv thaiv cov qhov txhab tshiab kom tsis txhob tsim.
  • Kev Phais Mob: Kev phais mob yuav ua tau rau cov qhov txhab uas muaj kab mob lossis loj thiab nyuaj kho. Tus kws phais mob yuav ua kev phais mob kom tshem tawm cov nqaij tuag lossis cov nqaij mob ntawm qhov txhab tob ( 'Debridement' ), ua kom yooj yim dua rau qhov txhab kho. Qhov no yuav suav nrog:Tej zaum yuav siv tau cov tawv nqaij hloov thiab lwm txoj kev kho. (Txawm li cas los xij, thaum muaj kab mob gangrene loj heev lossis cov leeg ntshav puas tsuaj loj heev, qee zaum yuav tsum txiav ib feem ntawm ko taw lossis ceg. Qhov no yog ua los cawm txoj sia thiab tiv thaiv cov teeb meem loj dua. Hmoov tsis zoo, cov neeg uas muaj ntshav qab zib muaj feem yuav mob gangrene hauv lawv txhais taw 30 npaug ntau dua li cov pej xeem feem ntau.)
  • Kev taug kev raws li kws kho mob tau sau tseg: Kev tawm dag zog lub cev, tshwj xeeb tshaj yog thaum ua raws li kws kho mob qhia, yuav pab txhim kho kev ncig ntshav thiab tiv thaiv kev tsim cov qog ntshav tshiab.
  • Kev kho mob oxygen hyperbaric: Cov pa oxygen ib txwm nyob ib puag ncig peb yog 21%. Hauv 'Kev kho mob oxygen hyperbaric', koj raug muab tso rau hauv chav uas muaj 100% oxygen concentration thiab nce siab ntawm huab cua. Hauv cov xwm txheej no, cov qhov txhab, tshwj xeeb tshaj yog cov qhov txhab ntawm cov leeg ntshav, tuaj yeem kho tau sai dua.
  • Kev Tshem Tawm: Cov nqaij tuag thiab muaj kab mob nyob rau hauv thiab ib puag ncig ntawm qhov txhab tob tuaj yeem ncua kev kho thiab ua rau muaj teeb meem txaus ntshai xws li gangrene. Kev tshem tawm yog kev tshem tawm cov nqaij tuag lossis muaj kab mob no, tseg tsuas yog cov nqaij noj qab haus huv xwb.

Yuav ua li cas thiaj tswj tau cov tsos mob thiab txo qhov kev pheej hmoo?

Yog tias koj muaj feem yuav mob qog ntshav hauv cov leeg ntshav, muaj tej yam uas koj ua tau los tiv thaiv koj txoj kev noj qab haus huv thiab tiv thaiv kom tsis txhob mob qog ntshav. Qhov no tseem ceeb heev yog tias koj muaj ntshav qab zib lossis lwm yam mob uas ua rau koj txhais taw tsis xis nyob.

  • Tshawb xyuas koj tus kheej: Tshawb xyuas koj txhais taw txhua hnub. Ua tib zoo saib xyuas ntawm cov ntiv taw, ib ncig ntawm pob luj taws, thiab ntawm cov hauv qab taw.
  • Tiv thaiv koj ob txhais taw: Tiv thaiv koj ob txhais taw ntawm kev raug mob los ntawm kev hnav khau thiab thom khwm kom haum.
  • Tau txais kev saib xyuas ko taw kom zoo: Yog tias koj muaj ntshav qab zib, koj yuav tsum mus ntsib kws kho mob ko taw tsis tu ncua kom kuaj xyuas koj txhais taw seb puas muaj cov tsos mob ntawm cov qhov txhab. Nws yuav qhia koj txog txoj hauv kev zoo tshaj plaws los saib xyuas koj txhais taw.
  • Tswj cov mob uas tseem ceeb: Kev saib xyuas tej yam xws li koj cov ntshav siab, roj cholesterol, cov ntshav qab zib, thiab qhov hnyav tuaj yeem pab tiv thaiv kev raug mob.

Yog koj twb muaj qhov txhab ntawm cov leeg ntshav lawm, koj tus kws kho mob yuav qhia koj txog kev saib xyuas nws. Nws feem ntau yuav qhia koj txog cov hauv qab no:

  • Khaws qhov txhab kom huv si: Siv cov ntaub qhwv thiab hloov lawv raws li tus kws kho mob qhia.
  • So kom txaus raws li tau qhia: Yog tias koj muaj qhov txhab ntawm cov leeg ntshav, koj tus kws kho mob yuav qhia koj kom tsa koj ob txhais ceg kom siab kom tsis txhob o.
  • Noj koj cov tshuaj kom raug: Noj koj cov tshuaj, tshwj xeeb yog cov tshuaj tua kab mob, cov tshuaj ntshav siab, cov tshuaj ntshav qab zib, thiab cov tshuaj roj cholesterol siab, raws sijhawm.

Koj yuav cia siab li cas thaum koj tseem muaj qhov kev raug mob no?

Yog tias koj muaj ib qho mob qog ntshav hauv cov hlab ntsha, lossis tau muaj ib qho ua ntej lawm, koj muaj feem yuav mob dua lwm qhov. Kev saib xyuas koj txoj kev noj qab haus huv yog txoj hauv kev zoo tshaj plaws los ncua kev mob qog ntshav tshiab. Yog tias koj tswj koj txoj kev noj qab haus huv, koj yuav muaj feem yuav nyob ntev dua thiab muaj teeb meem kev noj qab haus huv tsawg dua.

Nyob rau sab tes tod, yog tias koj tsis saib xyuas koj txoj kev noj qab haus huv, qhov mob qog ntshav hauv cov hlab ntsha - thiab koj txoj kev noj qab haus huv tag nrho - yuav muaj feem ntau dua. Hauv cov xwm txheej phem tshaj plaws, yog tias koj tsis quav ntsej txog qhov mob qog ntshav thiab koj txoj kev noj qab haus huv, nws tuaj yeem ua rau koj txiav tes txiav taw, thiab txawm tias tuag.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Mus ntsib koj tus kws kho mob hauv tsev neeg tsawg kawg ib xyoos ib zaug kom kuaj xyuas lub cev tag nrho. Qhov no yog ib qho tseem ceeb kom paub txog cov teeb meem kev noj qab haus huv, suav nrog cov uas tuaj yeem ua rau muaj cov hlab ntsha tawg, txawm tias lawv tsis qhia cov tsos mob.

Tsis tas li ntawd, nrog koj tus kws kho mob tham yog tias koj muaj ib qho ntawm cov hauv qab no:

  • Yog tias qhov txhab ntawm koj txhais ceg lossis ko taw siv sijhawm ntev dua li qhov xav tau kom kho.
  • Yog tias koj muaj cov tsos mob uas qhia tias koj muaj teeb meem nrog kev ncig ntshav hauv koj ob txhais ceg (tshwj xeeb tshaj yog o, mob, xim av, lossis mob uas hloov pauv nyob ntawm seb koj tuav koj ob txhais ceg li cas).
  • Yog koj mob koj ob txhais ceg ces qhov ntawd yuav zoo dua thaum koj so.

Thaum twg koj yuav tsum mus rau Chav Xwm Ceev?

Yog tias koj muaj qhov txhab ntawm cov leeg ntshav, nws kis tau kab mob thiab koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev:

  • Yog tias daim tawv nqaij nyob ib puag ncig thaj chaw raug mob hloov xim av tsaus lossis dub, tshwj xeeb tshaj yog ntawm cov ntiv tes.
  • Yog koj kub taub hau los yog mob khaub thuas thiab tshee hnyo.
  • Yog tias muaj ntxhiab tsw phem los ntawm qhov txhab ntawm cov leeg ntshav.
  • Yog tias qhov txhab ntawm cov leeg ntshav tawm ntau cov kua lossis ntshav dua li niaj zaus, tshwj xeeb tshaj yog tias cov kua dej uas tawm los yog xim daj.
  • Yog tias qhov txhab thiab thaj chaw ib puag ncig nws o, liab, thiab sov so thaum kov.

Hauv kev xaus lus, cov lus coj mus tsev:

Feem ntau cov kab mob hauv cov hlab ntsha yog ib qho cim qhia tias muaj mob ntev. Txawm hais tias cov mob no loj heev los, koj tuaj yeem tswj tau thiab koj tuaj yeem txaus siab rau koj lub neej. Tsis txhob ntshai lossis ntshai heev.

Koj tus kws kho mob tuaj yeem coj koj, muab cov peev txheej tsim nyog rau koj, thiab muab lwm yam kev txhawb nqa. Tag nrho cov no yuav pab koj tiv thaiv cov mob ntev kom tsis txhob cuam tshuam rau koj lub neej thiab ua lub neej uas koj xav tau. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob thaum ntxov. Saib xyuas koj txhais taw, saib xyuas koj txoj kev noj qab haus huv.


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Frequently Asked Questions (FAQ)

Cov kev ntsuam xyuas twg tab tom ua?

Koj tus kws kho mob lossis kws tshwj xeeb yuav ua cov kev kuaj no:

Thaum twg koj yuav tsum mus rau Chav Xwm Ceev?

Yog tias koj muaj qhov txhab ntawm cov leeg ntshav, nws kis tau kab mob thiab koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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