Trophic ulcers ntawm lub qis extremities

Trophic ulcers ntawm lub sab nqua tsis tau koj tus kheej. Cov tshwm sim ntawm tus kab mob yog ib lub txim uas muaj ntau sib txawv pathologies. Yuav ua li cas yog vim li cas muaj peev xwm ntxias ulcers? Yuav ua li cas kho mob yog muaj?

Qhov chaw ntawm yeej thiab lub ntsiab ua rau ntawm tus kab mob

Trophic ulcers ntawm lub qis extremities yog ib tug ntawm ua txhaum ntawm cov ntshav mov rau thaj tsam ntawm daim tawv nqaij, uas ua rau yus ib tug tsis muaj as-ham thiab oxygen, txoj kev loj hlob ntawm microcirculation mob thiab metabolic mob nyob rau hauv cov ntaub so ntswg. Lub cheeb tsam cov necrotic thiab yuav raug rau kab mob accession.

Ua cov tsos mob ntawm tus kab mob muaj xws li:

- mob arterial insufficiency (nonspecific aortas arteritis, thromboangiitis obliterans, atherosclerosis);

- nce cov ntshav qab zib (mob ntshav qab zib);

- mob venous mob (thrombophlebitis ntawm lub nqua, varicose leeg);

- kev raug mob thiab daim tawv nqaij qhov chaw mob tom qab phais.

Tus kab mob muaj peev xwm yuav nyob rau txhua qhov ntawm lub cev. Piv txwv li, trophic roob qhib lub rwj vim mob venous mob, thiab daim tawv nqaij ulcers nres - ib tug rau txim ntawm cov ntshav qab zib.

cov tsos mob

Raws li qhia trophic rwj? Cov tsos mob ntawm tus kab mob yog:

1. Cov tawv nqaij lesion chaw yuav nyias, nyuaj thiab qhuav, muaj ib tug specular - ci tsos nrog tus yam ntxwv xim me ntsis.

2. Tshwm Sim rwj, maj mam ua nyob rau hauv loj. Thaum lub sij hawm, lub kaw ntug ntawm lub rwj, lub hauv qab yog los ntshav thiab them nrog ib tug qias neeg patina.

Tej kev poob plig ntxiv ua rau lub Symptoms ntawm kab mob thiab ua rau kom lub ulcerative nyhuv. Mob yog lub ntsiab lus tsis txaus siab ntawm cov neeg mob. Kev ua txhaum ntawm daim tawv nqaij yuav tiv thaiv tus neeg mob kev tu cev, yuav tsum khaws cov khaub ncaws thiab khau.

Lub ntsiab hauj lwm ntawm tus kws kho mob raws li qhov nrhiav kom tau ntawm trophic ulcers nyob rau hauv ib tug neeg mob yog los nrhiav kom paub lub ntsiab yog vim li cas rau nws tshwm sim. No muaj nyob rau doppler ultrasound hlab ntsha radiopaque phlebography, ntsuas lub theem ntawm cov pa thiab soj ntsuam povtseg ntshav txaus.

kev kho mob

Trophic ulcers ntawm lub sab nqua kho xwb nyob rau hauv lub tsev kho mob. Nyob rau hauv parallel, yuav tsum tau kho thiab yuav ua li cas lawv tshwm sim. Piv txwv li, yog tias trophic rwj zoo nkaus li nyob rau hauv lub keeb kwm yav dhau ntawm venous mob, nws yog tsim nyog los kho tsis tau tsuas yog qhov chaw ntawm ulcerative txhab, tab sis varicose veins.

Kev kho mob muaj ob tug cov lus qhia: general thiab lub zos. Nyob rau hauv Feem ntau, cov kev kho mob yog cov tshuaj siv ntawm cov tshuaj uas txhim khu venous kua. Piv txwv li, Solcoseryl txhaj kev kho mob uas yog 20 - 30 hnub. Rau hauv loj heev ntaub ntawv ntawm tus kab mob chav kawm ntawm kev kho mob yuav tsum tau nce.

Local kev kho mob muaj cov nram qab no:

- raws li txaj so;

- txhua txhua hnub kev kho mob thiab ntxuav qhov txhab nrog antiseptics;

- qhuav ntaub qhwv nrog ointments thiab tshuaj kua (zinc tshuaj pleev, Solcoseryl, Gepatrombil thiab lwm tus);

- hnav elastic vuam txwv ntev los golf los yog kho nqua nrog kev pab los ntawm elastic bandages.

Sij hawm ntawm laser txoj kev kho yuav muaj ib tug pab tej yam rau cov hauj lwm zoo ntawm kev kho mob.

Thaum lub sij hawm kev kho mob ua ub no, tshwj xeeb mloog yuav tsum tau them rau cov khoom noj ntawm cov neeg mob. Thaum lub sij hawm no yog zoo dua cais los ntawm cov khoom noj ntsim thiab fatty khoom noj khoom haus.

Trophic ulcers yuav kho tau heev tsis zoo rau ib tug ntev lub sij hawm. cov ntaub so ntswg zoo qeeb heev los yog tsis tshwm sim ntawm tag nrho cov. Txum Tim Rov Qab puas ntaub so ntswg pib 30-40 hnub tom qab pib ntawm txoj kev kho.

Thaum zoo txheej txheem tsis tshwm sim, ua daim tawv nqaij grafts. Siv daim tawv nqaij ntawm tus ncej puab los yog pob tw cheeb tsam thiab transplanted mus rau ib tug qhov chaw ntawm swb. Presser transplanted daim tawv nqaij seem pab raws li ntxiv feem kho, hnia regenerative dab nyob ib ncig ntawm nws tus kheej.

Yog hais tias muaj yog ib tug trophic ulcers ntawm lub sab nqua, cov kev kho mob yuav tsum tau nqa tawm kom sai thiab nyob rau hauv tag nrho cov kev saib xyuas ntawm ib tug kws kho mob.