Trophic ulcer yog ib qhov necrotic lesion ntawm daim tawv nqaij los yog cov mucous membrane. Nws yuav zoo li tias nws tsis ua rau muaj kev phom sij. Txawm li cas los xij, xws li kev txiav txim siab yog qhov tseeb. Yog tias qhov tsis kuaj pom hauv lub sij hawm thiab kev kho mob raws sij hawm, yuav muaj teeb meem loj tshwm sim.
Dab tsi yog trophic ulcer?
Qhov nto saum no yog tsim los ntawm qhov ua txhaum cai ntawm ntshav thiab qog ntshav. Raws li ib qho tshwm sim ntawm no ua haujlwm, lub hlwb tsis muaj kev pab cuam thiab cov pa. Dhau li ntawm lub sijhawm, trophic ulcer tawm tsam cov ntaub so ntswg. Qhov kev kov yeej tsis kho kom ntev, tab sis, ntawm qhov tsis sib xws, nws hlob ob qhov ntev thiab dav. Nws yuav tsis kav ntev tshaj 3 lub hlis.
Nrhiav ib lub qhov quav hauv lub cev, cov neeg mob yuav tsis tos kom paub: trophic ulcer - dab tsi yog nws. Kev kuaj mob ntawm qhov mob no yuav pab qhia tau tseeb tias yog peculiar rau tus kab mob no. Tus kab mob no tsis tshwm sim dheev thiab nthawv. Txawm nyob ntawm thawj theem, nws yog tsiag ntawv los ntawm tej yam tshwm sim. Tus kab mob no feem ntau cuam tshuam cov taw thiab ob txhais ceg.
Vim li cas trophic ulcers tshwm sim ntawm ob txhais ceg?
Tus kab mob no tuaj yeem tshwm sim los ntawm ntau cov "provocateurs". Trophic ulcers ntawm sab qis extremities ntau dua nyob rau hauv xws li cov kab mob:
- Mob ntshav qab zib mellitus - vim yog qhov ua tsis zoo rau hauv lub cev endocrine, cov teeb meem hauv cov ntshav yuav pib tshwm sim thiab muaj zog ntawm cov hlab dej ntxiv. Yog li ntawd, trophic ulcers yog tsim.
- Tawg siab - thaum lub siab nce siab, muaj qee cov hlab ntsha, thiab cov tawv nqaij cov tawv nqaij tsis muaj zog. Ntau zaus kev yeej yog qhov tsis muaj qab hau thiab tsis cuam tshuam rau qhov hypodermis.
- Varicose leeg - vim yog qhov tsim tawm ntawm cov kab mob thrombus muaj stenosis ntawm cov hlab ntsha.
Ntxiv mus, cov nram qab no kuj tuaj yeem tsim kev kub ntxhov rau kev loj hlob ntawm trophic ulcers:
- tsis-ua raws kev cai ntawm kev nyiam huv;
- psoriasis ;
- dermatitis;
- erysipelas inflammations ;
- kev raug mob;
- rog dhau;
- frostbite thiab burns;
- hnav cov khau tsis khab seeb.
Trophic ulcers nyob rau hauv varicose veins
Qhov mob ntawm no yog vim qhov kev puas tsuaj ntawm cov hlab ntsha. Oxygen thiab cov as-ham cov dej tsis tuaj yeem muab xa mus rau cov hlab ntsws, yog li ib tug trophic ulcer ntawm ceg yog tsim hauv varicose leeg. Nws cov neeg tua tsiaj yuav tau ua ke, nqaij, txhuam thiab nqaij hlav. Vim li no, nws yog ib qho tseem ceeb uas yuav tau them sai sai rau cov kev hloov hauv daim tawv nqaij. Tag nrho cov khawb yuav tsum tau ua tib zoo kho nrog ib qho tshuaj tiv thaiv, txij thaum nkag mus rau hauv lawv cov microbes thiab hmoov av yuav ua rau muaj kev rau txim loj.
Trophic ulcers nyob rau hauv cov ntshav qab zib
Nrog rau qhov hyperglycemia, tus mob no yog mob hnyav dua. Hauv 50% ntawm tus neeg mob no tus kab mob no yuav ua rau lub qhov hnyuv ntawm qhov nqig nqig. Tus mob trophic nyob rau hauv cov ntshav qab zib mellitus yog los ntawm kev tsis txaus siab ntawm cov tawv nqaij. Qhov no mob yog raug kev cuam tshuam los ntawm cov nram qab no yam tseem ceeb:
- pathology ntawm cov hlab ntsha;
- ua txhaum ntawm kev txuag;
- kev tu khaum tsis txaus;
- txo qis hauv kev ua si.
Trophic ulcer - cov tsos mob
Tag nrho cov cim qhia tias tus kab mob no tau muab faib rau cov pawg hauv qab no:
- ua ntej qhov kev mob tshwm sim;
- cov uas pom lawv tus kheej hauv kev loj hlob ntawm tus kab mob.
Trophic ulcers ntawm sab ceg los yog ko taw muaj xws li cov tsos mob ua ntej:
- hnyav heaviness nyob rau hauv ob txhais ceg;
- kev xauj ntawm kev nqua;
- qhov mob me me;
- o ntawm taw .
Rau cov cwj pwm uas tau nrog ib tug trophic ulcer, nqa nws yog ua tau:
- qhov kub nyhiab uas tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha ntawm daim tawv nqaij;
- hnyav heev;
- convulsions (yuav los ntawm ob peb feeb li 5 feeb);
- hloov nyob rau hauv ntxoov ntxoo ntawm daim tawv nqaij (nws acquires ib reddish, thiab tej zaum violet) xim;
- nce ntawm qhov tawv nqaij, ua los ntawm kev puas tsuaj rau cov qog sebaceous;
- mob thaum kov lub pob txawb;
- qhov tsos ntawm yaig.
Cov theem ntawm trophic ulcers
Qhov kev mob nkeeg no muaj cov theem hauv qab no:
- Thawj theem pib yog qhov pom ntawm qhov lesion thiab nws txoj kev loj hlob.
- Theem ntawm kev huv.
- Kev caws caws cig nyob ntawm ntug dej.
- Epithelization.
Thawj theem ntawm lub pob txha trophic ntawm tus ceg ua rau nws tus kheej nrog me ntsis reddening ntawm qhov chaw. Tej zaum yuav o tuaj. Feem ntau, cov kua muaj kua txig los ntawm daim tawv nqaij. Muaj ib qho quav tawm ntawm cov ntaub so ntswg epidermal (judging los ntawm cov txheej txheem no, cov pob khaus dawb tshwm ntawm nws qhov chaw). Yog hais tias nyob rau theem no tsis muaj kev kho mob raws sij hawm, tus kab mob yuav tshwm tuaj. Nws sib zog ua kom zoo dua, staining ntawm daim tawv nqaij ntawm thaj tsam cuam tshuam rau hauv ib qho xim daj. Cov theem pib yuav ntev ntawm ob peb xuab moos mus rau 2-3 lub lis piam.
Nyob rau theem ntawm kev noj haus, cov kab mob yog sib npaug. Lawv ua rau ntshav los yog mucopurulent paug nrog ib tus ntxhiab tsw. Nyob rau theem no, khaus tau tshwm sim. Yog hais tias tus mob trophic rau ntawm ko taw yog cicatrized, cov duab uas pib thaum pib kho thiab hauv nws txoj kev pab tau pom cov kev hloov chaw nyob rau thaj tsam. Foci txo nyob rau hauv qhov loj, nyob rau lawv cov saum npoo tshwm cheeb tsam ntawm liab xim. Qhov ntev ntawm lub sij hawm ntawm qhov caws pliav thiab tom qab ntawd yog nyob ntawm cov nram qab no:
- qhov ntev ntawm yaig;
- lub sijhawm pib ntawm txoj kev kho mob thiab nws txoj kev ua haujlwm zoo;
- tus neeg mob lub xeev ntawm kev noj qab haus huv.
Trophic ulcer ntawm ceg - kev kho mob
Cov txheej txheem kho mob muaj nqis los ntawm kev tshuaj ntsuam xyuas. Kev kho mob ntawm cov kab mob yog ib qhov kev qhia ntawm cov kws kho mob phlebology. Ntau zaus xws li kev tshawb nrhiav no raug tsa:
- dopplerography ntawm cov hlab ntsha;
- duab hluav taws xob;
- kev ntsuam xyuas zis thiab ntshav;
- MRI;
- txhua hnub kev soj ntsuam ntawm lub siab.
Kev sib ntaus tawm tsam tus kab mob nyob rau hauv txhua rooj plaub yog nqa tawm raws li ib tug neeg lub tswv yim. Qhov kev qhia no yog piav qhia los ntawm qhov tseeb tias muaj ntau yam tseem ceeb-yog tus neeg muaj mob. Thaum kuaj qhov tseeb, lawv pib kho. Kev kho mob ntawm trophic ulcers yuav ua tau kev kho mob thiab kev phais. Raws li kev pabcuam, tibneeg txhais tau tias siv.
Kuv tuaj yeem kho tus mob trophic rau kuv txhais ceg?
Yog tias tus mob tau muab tso rau lub sij hawm thiab qhov kev kho mob pib tshwm sim rau hauv lub sij hawm, qhov kev xav tau zoo siab. Tsuas yog kev kho mob yuav tsum tau ua raws li kev saib xyuas ntawm ib tus kws kho mob uas tsim nyog. Tus neeg mob yuav tsum tau soj ntsuam tag nrho cov ntawv yuav tshuaj ntawm tus kws kho mob kom sai. Trophic ulcer ntawm lub ceg yog ib qho kab mob kev tsis txaus ntseeg. Yog tias koj tua nws nrog txoj kev xiam oob khab, koj tuaj yeem cuam tshuam qhov teeb meem xwb. Vim li no, nws tus kheej kho nws zoo tsis pom zoo.
Kev kho mob ntawm trophic ulcers ntawm qis extremities - siv yeeb siv tshuaj
Lub hom phiaj ntawm cov tshuaj no lossis lwm yam tshuaj siv los kho cov kab mob ntau yam thiab nws qhov mob hnyav. Yog li, qhov kev kho mob ntawm trophic ulcers nyob rau hauv cov ntshav qab zib mellitus yog me ntsis txawv los ntawm cov kev kho mob qhia rau varicose veins. Yog tias qhov kiav txhab yog zom, cov tshuaj xws li tshuaj:
- non-steroidal anti-inflammatory tshuaj - Diclofenac, Ketoprofen;
- tshuaj tua kab mob - Fuzidin, Geksikon, Levomitsetin, Miramistin;
- antiplatelet cov neeg ua haujlwm - Reopoliglyukin, Pentoxifylline;
- Antiallergic tshuaj - Suprastin, Tavegil.
Kev kho mob ntawm tus mob trophic yog nws txoj kev huv thiab muab tshuaj yaug. Rau cov laj thawj no, yog siv saline. Yog hais tias qhov trophic varicose ulcer yog nyob rau hauv ib theem ntev, tom qab phais kev tshem tawm ntawm cov hlwb tuag, ib qho tshuaj uas accelerates lub regeneration ntawm cov ntaub so ntswg yog siv externally. Tshuaj pleev los ntawm trophic ulcers tuaj yeem hais li no:
- Levomekol;
- Dioxoxol;
- Streptolaven;
- Solcoseryl;
- Ebermin.
Tus kws kho mob kuj them nyiaj tshwj xeeb rau cov khoom siv hnav khaub ncaws. Nws txoj kev xaiv yeej lom zem nyob ntawm hom kab mob. Yog hais tias nws yog me nyuam tsis tau zoo, cov ntaub qhwv nqaij yog siv los ua kom phom thiab ua pa ntawm daim tawv nqaij. Thaum mob rwj lawm, hnav khaub ncaws hnav, uas ua kom lub qe ntshauv ntawm lub qhov txhab. Tsis tas li ntawd, qhov hnav khaub ncaws yuav tsum muaj cov kab mob tua kab mob.
Trophic ulcer - pej xeem tshuaj
Txhua yam kev ua haujlwm hauv tsev yuav tsum tau ua hauv kev saib xyuas ntawm tus kws kho mob. Feem ntau yog siv los ntxuav cov qhov txhab yog cov herbal infusions (ntawm chamomile, celandine, hlua los yog marigold). Lawv muaj ib qho kev tiv thaiv antiseptic, yog li tsis tsuas yog tshem tawm cov mob, tab sis kuj pab txhawb kev tsim ntawm ib txheej tshiab ntawm daim tawv nqaij. Txawm li cas los xij, ua ntej siv lawv, koj yuav tsum xyuas kom tsis muaj kev fab tshuaj txog "tshuaj".
Yuav ua li cas kho ib trophic ulcer nrog tar tshuaj?
Cov khoom xyaw:
- juniper tar - 100 g;
- nqaij qaib qe - 2 daim;
- Rose roj - 1 tbsp. diav;
- purified turpentine - 1 tsp.
Npaj, siv:
- Yolks yog tov nrog roj thiab tar.
- Maj mam ntxiv turpentine mus rau tov, thaum lub sij hawm tas li stirring qhov muaj pes tsawg leeg.
- Balsam yog siv rau lub rwj thiab npog nrog cov ntaub qhwv.
Trophic ulcer rau ntawm txhais ceg - kev kho mob tom tsev nrog ib tug zib mu-qe cocktail
Cov khoom xyaw:
- qe dawb protein - 1 feem;
- zib mu ntuj - 1 feem;
- ib daim ntawv ntawm mug - 1 Pc.
Npaj, siv:
- Nyob rau hauv tib lub ib feem, lub protein yog tov nrog zib mu.
- Yeej no loj.
- Tso rau sab nraud ntawm daim ntawv cog lus.
- Ua ntawv thov kom qhov no ntws mus rau cheeb tsam thiab npog cov khoom noj khoom haus. To top nrog ib daim ntaub linen.
- Khaws qhov cub txhua hmo. Cov chav kawm kho tau 5-8 cov txheej txheem.
Trophic ulcer - lag luam
Nyob rau hauv qhov mob loj thiab mob hnyav heev ntawm cov nqaij, cov kev phais mob yog qhov pom zoo. Lub hom phiaj ntawm txoj haujlwm no yog tshem tawm cov chaw tuag. Ntawm no yog yuav ua li cas kho tau tus mob trophic hauv kev ua haujlwm:
- Nqus tsev kho mob - yog tsom rau kev txo cov kua nplaum thiab tshem cov kua paug ntawm qhov chaw kuaj ntshav. Ib qho tshwj xeeb microclimate yog tsim nyob rau hauv lub mob, uas tiv thaiv kev luam ntawm cov kab mob.
- Cathering - cov txheej txheem yog siv thaum lub trophic ulcer tsis ntev heev rau ib lub sij hawm ntev.
- Percutaneous stitching - yog siv ntau zaus rau kev kho mob ntawm foci ntawm hypertensive genesis.
- Pheej yig phom sij - qhov foci ntawm tus kab mob pob txha raug tshem tawm, qhov ncaj ncees ntawm tus ko taw tsis cuam tshuam.
Trophic ulcer - lub txim
Yog tias qhov teeb meem tsis tshua muaj sij hawm, muaj teeb meem loj tuaj yeem tshwm sim tau. Trophic ulcers ntawm sab qis extremities feem ntau muaj xws li kev tshwm sim:
- sepsis;
- lymphangitis;
- mob cancer ntawm daim tawv nqaij;
- roj gangrene;
- thrombophlebitis.