Koj puas muaj qhov txhab uas kho qeeb qeeb ntawm koj ceg? Cia peb kawm txog tus kab mob Venous Ulcer no!

Koj puas muaj qhov txhab ntawm koj ceg, tshwj xeeb tshaj yog nyob ib ncig ntawm koj pob luj taws, uas siv sijhawm ntev heev los kho, qee zaum ntau lub hlis? Los yog daim tawv nqaij uas qhov txhab ntawd puas hloov xim thiab tawv? Qee zaum qhov no tsis yog qhov txhab ib txwm muaj, tab sis yog ib yam dab tsi uas yuav tsum txhawj xeeb txog. Hnub no peb yuav tham txog qhov mob zoo li no, uas yog '(Venous Ulcer)' lossis venous ulcer (qhov txhab uas loj hlob raws cov leeg ntshav). Cia peb nrhiav seb qhov no yog dab tsi, vim li cas nws tshwm sim, thiab peb yuav ceev faj li cas txog nws.

Kab mob Venous Ulcer yog dab tsi?

Hais yooj yim xwb, "Venous Ulcer" yog ib qho mob uas tshwm sim rau ntawm koj ob txhais ceg, tshwj xeeb tshaj yog saum pob luj taws, thiab siv sijhawm ntev dua los kho dua li qhov txhab ib txwm muaj . Qhov no yog vim muaj teeb meem nrog cov leeg ntshav hauv peb lub cev, cov hom hlab ntsha uas nqa ntshav rov qab mus rau lub plawv, thiab qee yam teeb meem nrog kev ncig ntshav.

Xav txog nws, feem ntau thaum koj raug mob, nws yuav kho tau hauv ob peb hnub, ib lossis ob lub lis piam. Tab sis qhov '(Venous Ulcer)' no tsis zoo li ntawd. Qee zaum cov no tuaj yeem mus ntev txog ntau lub hlis. Hauv cov xwm txheej hnyav, lawv yuav tsis kho tag nrho. Yog vim li ntawd nws thiaj li tseem ceeb heev rau peb kom paub txog qhov no.

Kab mob Venous Ulcer no tshwm sim li cas?

Qhov no yog ib qho paub tsis meej me ntsis. Cov leeg ntshav hauv peb ob txhais ceg nqa cov ntshav uas siv lawm, uas tsis muaj pa oxygen rov qab mus rau lub plawv. Xav txog nws zoo li tus dej ntws dej mus rau saum roob. Yog li, txhawm rau pab cov ntshav no ntws rov qab mus rau lub plawv, muaj cov qhov dej me me hauv cov leeg ntshav no. Cov qhov dej no zoo li lub qhov rooj, lawv tiv thaiv cov ntshav kom tsis txhob ntws rov qab thaum nws nce mus.

Txawm li cas los xij, rau qee tus neeg, cov qhov dej no yuav tsis ua haujlwm zoo, lossis vim muaj teeb meem nrog cov leeg ntshav, ntshav tsis ntws zoo thiab pib sib sau ua ke hauv qab ntawm ob txhais ceg. Thaum ntshav sib sau ua ke li no, qhov siab hauv cov leeg ntshav nce ntxiv. Qhov kev siab ntxiv no ua rau daim tawv nqaij ib puag ncig puas tsuaj, thiab maj mam muaj qhov txhab, lossis "qog", tshwm sim. Nws zoo li lub pob dej uas muaj dej puv, qhov twg qhov siab sab hauv ua rau phab ntsa puas tsuaj.

Cov ua rau mob venous yog dab tsi?

Ib qho ntawm cov yam tseem ceeb uas cuam tshuam rau qhov mob no yog ib qho mob hu ua 'Chronic Venous Insufficiency '. Hais yooj yim xwb, qhov tshwm sim hauv qhov no yog tias cov qhov dej hauv cov leeg ntshav uas kuv tau hais ua ntej tsis muaj zog lossis tsis ua haujlwm zoo, uas cuam tshuam kev ntws ntawm cov ntshav rov qab mus rau lub plawv. Qhov no yog ib qho teeb meem uas tau tshwm sim rau ib ntus.

Tsis tas li ntawd xwb, muaj ntau lwm yam laj thawj:

• Ntshav Siab (Hypertension): Thaum lub siab siab ntev heev, nws tuaj yeem ua rau cov phab ntsa ntawm peb cov hlab ntsha puas tsuaj.
• Kev Thaiv Cov Ntshav: Qee zaum cov ntshav tuaj yeem raug thaiv vim muaj cov khoom xws li cov ntshav txhaws. Qhov no kuj cuam tshuam rau kev ntws ntawm cov ntshav.
• Kev rov qab los ntawm cov hlab ntsha venous:Thaum cov qhov ntshav no tsis muaj zog lossis puas lawm, cov ntshav pib ntws rov qab los rau hauv qab es tsis ntws mus rau saum. Qhov no kuj yog ib qho ua rau muaj mob qog.

Leej twg muaj feem yuav mob qog ntshav hauv cov hlab ntsha ntau dua?

Txawm hais tias leej twg los yeej muaj tus mob no los xij, qee tus neeg muaj feem yuav mob ntau dua. Saib seb cov lus tseeb no puas siv tau rau koj:

• Kab Mob Ntshav Hauv Plab (DVT): Yog tias cov ntshav txhaws hauv cov leeg loj ntawm ceg, cov qhov txhab zoo li no tuaj yeem tshwm sim tom qab.
• Muaj keeb kwm tsev neeg muaj kab mob venous: Kuj tseem yuav muaj kev cuam tshuam los ntawm caj ces.
• Kev Rog Phem: Thaum lub cev hnyav nce ntxiv, muaj kev nyuaj siab ntau dua rau ntawm cov leeg ntawm ob txhais ceg.
• Kev laus: Thaum koj laus zuj zus, cov hlab ntsha hauv koj cov leeg yuav qaug zog.
• Cov mob xws li kev tuag tes tuag taw: Kev ncig ntshav txo qis vim tias ob txhais ceg tsis tuaj yeem txav mus los.
• Kev raug mob ceg yav dhau los: Yog tias cov leeg ntshav tau raug puas tsuaj, xws li thaum muaj xwm txheej loj.
• Tsis muaj kev tawm dag zog, kev ua neej nyob tsis txav chaw: Cov neeg uas zaum tas hnub thiab tsis taug kev muaj cov ntshav ncig tsis zoo.
• Haus Luam Yeeb: Haus luam yeeb ua rau cov hlab ntsha puas tsuaj.
• Qee qhov kev phais: Piv txwv li, tom qab hloov lub hauv caug.
• Cov Kab Mob Varicose thiab Kab laug sab leeg: Cov no kuj yog cov cim qhia txog teeb meem ntawm cov leeg.

Yog tias koj muaj ib lossis ntau yam ntawm cov yam txaus ntshai no, nws yog ib lub tswv yim zoo kom ceev faj ntxiv txog kev hloov pauv ntawm koj ob txhais ceg.

Yog koj muaj ib qho venous ulcer, nws zoo li cas? Nws xav li cas?

Cov qhov txhab no feem ntau zoo li cov qhov txhab me me, tsis sib luag, thiab nthuav dav . Daim tawv nqaij nyob ib puag ncig qhov mob yuav tuab thiab muaj xim av daj .

Tsis tas li ntawd xwb, tej zaum yuav pom cov tsos mob hauv qab no:

• Mob tsis mob: Qhov chaw uas muaj qhov txhab yuav zoo li mob tsis mob.
• Ib qho tsw phem: Qhov txhab yuav muaj ntxhiab phem, tshwj xeeb yog tias muaj kev kis kab mob.
• Khaus: Thaj chaw ib puag ncig qhov txhab yuav khaus heev.
• Kua qaub los yog lwm yam kua dej ntws tawm ntawm qhov txhab: Tej zaum yuav muaj kua qaub daj los yog ntsuab tshwm sim.
• o: Cov pob luj taws thiab cov ceg qis yuav o.

Yog koj muaj cov tsos mob zoo li no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob es tsis txhob xav tias nws tsuas yog ib qho kev raug mob uas tshwm sim tas li.

Tus kws kho mob kuaj mob li cas tias muaj kab mob venous ulcer?

Feem ntau, thaum kws kho mob kuaj koj ceg, lawv tuaj yeem qhia tau tias nws puas yog qhov txhab ntawm cov leeg ntshav los ntawm qhov tsos ntawm qhov txhab. Tsis tas li ntawd, koj keeb kwm kev noj qab haus huvNug txog koj keeb kwm kev mob nkeeg. Qhov no txhais tau tias nug txog lwm yam mob nkeeg uas koj muaj (xws li ntshav qab zib lossis ntshav siab), seb puas muaj leej twg hauv koj tsev neeg muaj cov teeb meem no, thiab koj noj tshuaj dab tsi. Cov ntaub ntawv no tuaj yeem pab koj nkag siab txog qhov ua rau raug mob.

Yuav ua cov kev ntsuam xyuas zoo li cas?

Koj tus kws kho mob yuav pom zoo kom kuaj qee yam kom paub qhov mob hnyav npaum li cas thiab seb qhov teeb meem ntshav ntws mus li cas. Cov kev kuaj no kuj yuav tsum tau ua dua tsis tu ncua kom saib xyuas seb koj txoj kev kho mob puas zoo.

Qee qhov kev ntsuam xyuas tseem ceeb uas tau ua yog:

• Kev ntsuas qhov ntsuas ntawm pob taws thiab pob taws (ABI): Qhov no ntsuas qhov ntshav siab hauv koj txhais tes thiab ob txhais ceg. Qhov no tuaj yeem muab lub tswv yim rau koj txog cov ntshav uas xa mus rau koj ob txhais ceg.
• Kev Kawm Doppler: Qhov no zoo li kev ntsuas ultrasound. Nws tuaj yeem kuaj xyuas seb cov ntshav ntws li cas hauv cov leeg ntshav, seb puas muaj kev thaiv, thiab seb cov valve puas ua haujlwm zoo.
• Lwm yam kev kuaj duab: Qee zaum, ib yam dab tsi zoo li CT scan yuav ua tau los saib qhov puas tsuaj rau cov leeg ntshav thiab seb cov li qub ua haujlwm zoo li cas.

Vim li cas nws thiaj li tseem ceeb heev rau kev kho cov kab mob venous?

Qhov no yog qhov tseem ceeb tshaj plaws. Cov qhov txhab ntawm cov hlab ntsha tsis yog ib hom qhov txhab uas yuav kho tau nws tus kheej. Yog tias koj tsis kho lawv, qhov mob yuav hnyav zuj zus tuaj.

Yog tias tsis kho, cov nqaij mos nyob ib puag ncig qhov txhab yuav puas tsuaj mus tas li. Qhov kev puas tsuaj no tuaj yeem kis mus rau lwm qhov thiab ua rau muaj kev kis kab mob txaus ntshai. Qee qhov kev kis kab mob, xws li gangrene (cov nqaij mos tuag) , tuaj yeem loj txaus kom ua rau tuag taus lossis ua rau poob ib txhais ceg.

Yog tias muaj tej yam mob hnyav heev, yog tias tsis tuaj yeem tswj tau qhov kev kis kab mob, tej zaum yuav tsum tau phais tshem tawm qhov ceg uas raug mob (amputation) . Yog li ntawd, nrhiav kev kho mob los ntawm tus kws kho mob uas muaj kev paub txog kev kho qhov txhab sai li sai tau yuav pab txo qhov kev pheej hmoo no tau zoo heev.

Cov kev kho mob rau cov kab mob venous yog dab tsi?

Kev kho mob zoo tshaj plaws rau koj yuav nyob ntawm seb qhov chaw raug mob nyob qhov twg thiab nws qhov hnyav npaum li cas. Feem ntau, tom qab pib kho mob, koj yuav tsum mus ntsib koj tus kws kho mob kom teem sijhawm rov qab mus ntsib kws kho mob tas li kom paub tseeb tias lawv ua haujlwm.

Cov kev kho mob uas siv ntau tshaj plaws yog:

• Tshuaj tua kab mob: Tswj kev kis kab mob hauv qhov txhab yog tias nws muaj.
• Cov ntaub qhwv lossis thom khwm nruj: Cov no siv lub zog sab nraud rau cov leeg ntawm ob txhais ceg, pab kom cov ntshav ntws rov qab mus rau lub plawv. Qhov no yog ib qho kev kho mob tseem ceeb heev.
• Cov Tshuaj Tua Kab Mob: Tiv thaiv qhov txhab ntawm cov kab mob.
• Tshuaj Tua Kab Mob: Tswj qhov mob yog tias muaj qhov mob.
• Ntxuav qhov txhab thiab tshem tawm cov nqaij tuag (Debridement):Tus kws kho mob yuav ntxuav thiab tshem tawm cov tawv nqaij tuag thiab cov kua qaub ntawm qhov txhab. Qhov no yuav pab kom qhov txhab kho sai dua.
• Xa mus rau cov kws tshwj xeeb kom tswj hwm lwm yam kab mob ntev: Yog tias koj muaj cov kab mob xws li ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tswj hwm lawv kom zoo kom cov qhov txhab thiaj li kho tau.
• Cov ntaub qhwv thiab cov ntaub qhwv tshwj xeeb: Cov no pab npog qhov txhab, tswj cov dej noo, thiab tsim kom muaj ib puag ncig zoo rau kev kho.
• Ntxuav qhov txhab txhua hnub: Qhov no yog ib qho tseem ceeb kom lub qhov txhab huv si hauv tsev thiab tshem tawm cov kab mob. Tab sis qhov no yuav tsum ua raws nraim li tus kws kho mob qhia rau koj.

Puas muaj lwm yam kev kho mob tshwj xeeb?

Yog tias koj muaj ib qho mob venous loj heev uas tsis kho tau nrog kev kho mob ib txwm muaj, koj yuav xav tau kev kho mob tshwj xeeb xws li:

• Kev Kho Mob Growth Factor: Hauv qhov no, cov tshuaj tshwj xeeb raug txhaj rau hauv qhov txhab uas rub cov cell uas pab qhov txhab kho.
• Kev Kho Mob Pa oxygen Hyperbaric: Hauv qhov no, tus neeg mob raug muab tso rau hauv ib lub chamber uas muaj cua siab tshwj xeeb thiab ua kom nws ua pa tau cov pa oxygen ntshiab. Qhov no ua rau qhov txhab kho sai dua.
• Kev Kho Mob Lymphedema: Ib txhia neeg mob o vim yog cov kua dej lymph sib sau ua ke. Lawv raug kho nrog cov txheej txheem zaws tshwj xeeb, cov txheej txheem saib xyuas daim tawv nqaij, thiab cov ntaub qhwv.
• Kev Hloov Tawv Nqaij: Yog tias qhov txhab loj, daim tawv nqaij noj qab haus huv yuav raug coj los ntawm lwm qhov ntawm lub cev thiab hloov mus rau qhov chaw mob.
• Kev Kho Mob Stem Cell: Cov stem cell uas tau los ntawm cov pob txha pob txha yog siv los tsim cov nqaij noj qab haus huv uas pab kho cov qhov txhab.
• Kev Kho Mob Rau Kab Mob Venous: Rau cov teeb meem ntshav sib sau ua ke, kev kho mob uas siv ncaj qha rau cov leeg kom ntshav ntws zoo (piv txwv li, phais, kho laser).

Puas Tiv Thaiv Tau Kab Mob Venous Ulcers?

Yog, muaj tej yam uas peb ua tau los tiv thaiv qhov mob no rau qee yam. Yog tias koj tau muaj qhov txhab ntawm cov leeg ntshav yav dhau los thiab nws tau zoo lawm, cov no kuj tseem ceeb heev los tiv thaiv nws kom tsis txhob rov tshwm sim dua.

• Kev tswj cov kab mob ntev: Yog tias koj muaj cov kab mob uas cuam tshuam rau kev noj qab haus huv ntawm cov hlab ntsha, xws li ntshav siab thiab ntshav qab zib, kho thiab tswj kom zoo.
• Tswj koj qhov hnyav kom noj qab nyob zoo: Yog tias koj rog dhau, txo koj qhov hnyav.
• Tsis txhob haus luam yeeb: Yog tias koj haus luam yeeb, tsum.
• Noj cov tshuaj uas ua rau cov ntshav nyias (anticoagulants): Yog tias koj tus kws kho mob tau sau ntawv kom noj, noj raws li tau qhia.
• Kev tawm dag zog tsis tu ncua: Kev tawm dag zog yooj yim xws li kev taug kev txhim kho kev ncig ntshav hauv ob txhais ceg.
• Tsis txhob nyob hauv ib qho chaw ntev dhau: Txav mus los thiab taug kev thaum twg ua tau. Khaws koj ob txhais ceg kom siab me ntsis txawm tias thaum zaum los xij.
• Hnav Cov thom khwm compression:Yog tias tus kws kho mob pom zoo, kev hnav cov no yuav pab txhawb nqa cov leeg ntshav, tshwj xeeb tshaj yog rau cov neeg ua haujlwm sawv ntsug tas hnub.

Yuav ua li cas rau ib tug neeg uas muaj kab mob venous?

Yog tias muaj kev kho mob zoo, feem ntau cov neeg uas muaj cov qhov txhab ntawm cov leeg ntshav yuav zoo rov qab los tau. Txawm li cas los xij, thaum koj muaj cov qhov txhab ntawm cov leeg ntshav lawm, koj yuav muaj feem ntau dua los muaj ib qho yav tom ntej. Feem ntau lawv rov qab tshwm sim rau tib qho chaw uas cov qhov txhab qub nyob. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum ua raws li cov kev ntsuas tiv thaiv.

Lub neej txhua hnub nrog lub qhov txhab ntawm cov hlab ntsha zoo li cas?

Thaum koj tab tom kho mob, koj tuaj yeem ua tej yam uas yuav pab kom qhov txhab kho sai dua:

• Kev noj zaub mov zoo: Thaum koj tau txais kev noj haus zoo, koj lub cev lub peev xwm kho mob ntuj tsim yuav nce ntxiv.
• Khaws qhov txhab thiab daim tawv nqaij ib puag ncig kom huv si: Ua raws li koj tus kws kho mob cov lus qhia.
• Khaws koj ob txhais ceg kom siab tsis tu ncua thaum zaum: Qhov no txo ​​cov ntshav sib sau ua ke.
• Ua kev tawm dag zog me me: Tej yam xws li kev taug kev tuaj yeem txhim kho kev ncig ntshav, tab sis tsis ua rau lub qhov txhab puas tsuaj.
• Siv Cov thom khwm nruj kom raug: Yog tias koj tus kws kho mob tau sau ntawv kom hnav, muab tso rau raws nraim li tau qhia.

Cov ntsiab lus luv luv uas yuav tsum nco ntsoov

Zoo, yog li cia peb rov qab nco txog qee cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog:

• Cov qhov txhab ntawm cov leeg ntshav yog cov qhov txhab uas kho qeeb qeeb uas tshwm sim ntawm ob txhais ceg vim muaj teeb meem nrog cov leeg ntshav.
• Cov no yuav tsis kho tau lawv tus kheej , yog li ntawd nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob los ntawm kws kho mob.
• Yog tias tsis kho, tej yam mob loj xws li kev kis kab mob, gangrene, thiab kev txiav ceg yuav tshwm sim tau.
• Kev kho mob suav nrog kev ntxuav qhov txhab, muab cov ntaub qhwv rau, thiab tshuaj.
• Txawm tias nws kho tau zoo los xij, nws tseem rov qab tshwm sim tau, yog li nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov txheej txheem tiv thaiv.
• Tus mob no tuaj yeem tswj tau zoo los ntawm kev ua raws li kev noj qab haus huv thiab ua raws li koj tus kws kho mob cov lus qhia.

Yog koj lossis ib tug neeg koj paub muaj teeb meem zoo li no, thov mus nrhiav kev pab kho mob. Qhov no yuav pab tiv thaiv tau ntau yam teeb meem.

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