Nyob rau hauv qhov thib ib nrab ntawm XIX xyoo pua, ib tug kws kho mob los ntawm lub teb chaws Yelemees Vinivarter pom tau hais tias feem ntau cov kev txiav caj dab rau kev mob nkeeg vim muaj mob tshwm sim ntawm cov tsos mob thrombosis. Daim ntawv no ntawm tus kab mob plawv muaj npe hu ua pioneer - Vinivarter Burger's disease.
Tus kab mob hu ua Buerger's (obliterating thromboangiitis) yog ib qho mob me me thiab nruab nrab cov hlab ntsha, uas ua rau mob plawv. Feem ntau, Burger tus kab mob cuam tshuam rau cov leeg thiab cov hlab ntsha ntawm lub qaum thiab sab qis, uas yog piav qhia los ntawm lawv lub plhom tawm ntawm cov ntshav hauv lub cev thiab, raws li, los ntawm qhov qaug zog ntawm cov ntshav hauv lawv.
Ua rau ntawm tus kab mob Buerger
Txawm tias muaj tseeb tias tus kab mob no tau kawm txog ntev, cov mechanisms ntawm nws txoj kev loj hlob tsis meej txaus. Tab sis nws paub zoo tias qhov tseem ceeb tshaj plaws rau qhov pib ntawm tus kab mob yog:
- theem siab ntawm adrenaline nyob rau hauv cov ntshav los ntawm kev ua kom muaj zog ntawm adrenal;
- kev tshuaj ntsuam genetic predisposition;
- autoimmune ntshawv siab;
- kis kab mob thiab kis kab mob;
- neurogenic tej yam kev mob ua rau hloov pauv hauv cov hlab ntsha (kev sib tsoo, kev sib tsoo, hlab ntsha tawg);
- kev raug mob, kev qaug dab peg, kev qaug tshuaj nrog arsenic.
Kev haus luam yeeb yog ib qho tseem ceeb ntawm txoj kev loj hlob ntawm tus kab mob Buerger. Cov kev tshawb fawb pom tau tias cov nicotine txhawb nqa tus tsim muaj cov tshuaj thrombi.
Cov tsos mob ntawm tus kab mob Buerger
Cov tsos mob thiab txoj kev kho ntawm tus kab mob Buerger muaj feem xyuam nrog rau theem ntawm tus kab mob:
1. Tus thawj theem yog tsiag ntawv los ntawm kev hloov maj mam:
- ob txhais ceg los yog txhais tes ua nkees;
- Muaj kev ntxhov siab hauv cov ntiv tes (tingling, hlawv);
- thaum taug kev mus ntev, limp yog pom.
2. Hauv theem ob, lameness ntau zaus. Ntxiv mus, cov cim nram qab no raug cim tseg:
- Qhov mem tes tsis muaj nyob hauv taw;
- daim tawv nqaij yuav qhuav;
- lub lauj kaub ua coarser, cov ntsia thawv khov thiab crumble;
- cov nquag poob ceeb thawj vim lub atrophy ntawm subcutaneous rog.
3. Nyob rau hauv peb theem ntawm tus kab mob, muaj:
- o ntawm cov extremities;
- atrophy ntawm fatty txheej thiab cov leeg ntawm cov ceg lossis tes;
- siab nqaij tawv.
4. Ntawm theem plaub, cov nqaij tuag tas, thaum tus neeg mob loj hlob ultrers, tsim cov kab gangrene ntawm cov tawv nqaij.
Kev kho ntawm Buerger tus kab mob
Nyob rau hauv thawj theem ntawm tus kab mob, tshuaj kho yog zoo, nrog rau:
- antithrombotics;
- antihistamines;
- cov tshuaj vasodilator;
- ganglion-thaiv cov tshuaj.
Kev pabcuam zoo hauv kev kho yog kev tiv thaiv kabmob, piv txwv, kev kho mob diadynamic. Nyob rau theem kawg, kev txiav tawm ntawm qhov tawm ntawm pob txuam tawm.
Nco ntsoov thov! Ib kauj ruam tseem ceeb rau txoj kev zoo rov los yog txiav kev haus luam yeeb ! Yog tias koj tsis paub nrog tus cwj pwm phem thaum pib ntawm tus kab mob, ces yuav tsis muaj qhov tsis tuaj yeem tshwm sim ntau dua.