Ukucindezelwa kwakha isisekelo sokwelashwa kwesifo se-venous. Kuyathakazelisa kusukela kuzimpawu zokuqala.

Amasokisi okucindezela ezokwelapha enziwe ngendwangu yezokwelapha enwebekayo ecindezela imilenze, lapho uphumule noma usebenza, ukuze uvumele ukuhamba kwegazi okungcono: ngokunciphisa ukuvuleka kwemithambo, ukubuyisela igazi enhliziyweni kuyathuthukiswa. Ingcindezi ekhona iphezulu ezingeni leqakala bese iyancipha kancane kancane iye phezulu emlenzeni.

Lokhu kucindezela futhi kusiza ekunciphiseni ukuvuza kwe-capillary - igazi elingaphandle kwemithambo yegazi - ezicutshini futhi kukhuthaze ukuphuma kwe-lymphatic - ukujikeleza kwe-lymph kunethiwekhi ye-lymphatic - uketshezi lwe-interstitial - uketshezi olukhona phakathi kwama-capillaries egazi namaseli.

Ngokuthi “amasokisi okucindezela” kushiwo amasokisi - ukuma ngaphansi kwedolo -, ukuphakama kwethanga - ukuma empandeni yethanga - noma ama-tights. Awukho umehluko obonisiwe ekusebenzeni phakathi kwezinhlobo ezahlukene zamasokisi. I-pantyhose ye-pantyhose ayinakho ukusebenza kokucindezela. Uma kungekho inkomba ethile yezokwelapha, ukukhetha kuzokwenziwa ngohlobo lwamasitokisi akhululekile kakhulu ukugqoka. Ngokuvamile kuhle ukuwasusa ebusuku.

Isexwayiso: ungaphambanisi “ukucindezela” kanye “nokuphikisana”. Amabhande okucindezela anelastic - noma amancane - futhi afaka ingcindezi encane kakhulu esikhumbeni nasezicutshini ezingaphansi lapho ephumule. Ngakolunye uhlangothi, ngesikhathi sokufinyela kwemisipha, baphikisana ngokungenzi lutho nokwanda kwevolumu yesitho esingaphansi ngesikhathi sokufinyela ngakunye okuxhumene nokuhamba.

Ukucindezela kwezokwelapha kuvumela:

• Ukukhulula nokuvimbela izimpawu ze-venous: ubuhlungu, ukuvuvukala kanye nobunzima emilenzeni;
• Ukuvimbela noma ukunciphisa i-edema yomlenze;
• Ukuvimbela noma ukwelapha izinkinga zesikhumba ezihlobene nokuntuleka kwe-venous;
• Ukusiza ukuphulukiswa kwesilonda;
• Ukuvimbela noma ukwelapha i-phlebitis noma i-venous thrombosis: ihlule legazi emthanjeni.

Ukugqoka ama-compress stockings kunconywa kulezi zimo ezilandelayo:

• Imithambo ye-Varicose (amamilimitha ama-3);
• Ngemuva kwe-sclerotherapy - indlela yokuqeda i-endovenous ablative ehloselwe ukususa imithambo ye-varicose nemithambo ye-varicose (imithambo yegazi ehlinzeka ngemithambo ye-varicose) emilenzeni engezansi - noma ukuhlinzwa emithanjeni ye-varicose;
• I-edema engapheli;
• I-pigmentation - ukufiphala okunsundu kwesikhumba - noma i-eczema ye-venous;
• I-Lipodermatosclerosis: ukuvuvukala okungapheli kwendawo kanye ne-fibrosis yesikhumba kanye nezicubu ezingaphansi komlenze ophansi;
• i-hypodermitis ye-venous;
• I-white atrophy: izilonda ezingaphezulu ezitholakala emilenzeni;
• Isilonda esipholile;
• Isilonda esivulekile.

Okunye ukusetshenziswa kunganconywa yi-phlebologist.

Ukwengeza, yonke i-edema ayiyona i-venous futhi ezinye izimbangela eziyinhloko - inhliziyo, izinso, i-thyroid ... - noma okushiwo ngokuphuza umuthi, kufanele kuqedwe.

Amasokisi okucindezela asetshenziswa ezokwelapha futhi akufanele azenzele wona ngokwawo. Zinqunyelwe ukuba zivumelane nohlobo lwesifo se-venous, isigaba saso sokukhula kanye ne-morphology yesiguli.

Inkomba yabo izokwenziwa yi-phlebologist ngemuva kokuhlolwa komtholampilo kanye ne-Doppler ultrasound.

Ukukhethwa kwamandla okucindezela kubaluleke kakhulu. Yenziwa yi-phlebologist ngesisekelo secala-by-case. Imikhiqizo yokucindezelwa kwezokwelapha ihlukaniswe ngamakilasi amane okucindezela, ukusuka kokubuthakathaka kuya kokunamandla:

• Ikilasi 1 = 10-15 amamilimitha we-mercury (mmHg);
• Isigaba 2 = 15-20 mmHg;
• Isigaba 3 = 20-36 mmHg;
• Ikilasi lesi-4 = ngaphezu kuka-36 mmHg.

Isitokisi sokucindezela esigqoke ngendlela engafanele singase singasebenzi, kodwa singase sibe nemiphumela emibi ekuhambeni kwegazi kanye nekhwalithi yokuphila.

Lapho uwabeka yi-phlebologist noma uwahoxisa kusokhemisi, kubalulekile ukubheka:

• Ukuthi izilinganiso zemilenze zithathwe ngamaphuzu ahlukene: usayizi wesicathulo, umjikelezo we-ankle, umjikelezo wethole, ukuphakama kwephansi-umkhawulo ongaphezulu ukuchaza usayizi ofanele phansi;
• Ukuthi izindlela zokunikela, zokufaka nokugqoka zichazwa yilowo nalowo wababambe iqhaza (i-phlebologist, umhlengikazi, usokhemisi, njll.).

I-contraindications ngokuphelele yokucindezela kwezokwelapha yilezi:

• Ukuqeda isifo se-arterial - umonakalo ovimbelayo emithanjeni - yemilenze ephansi (PADI) enenkomba ye-systolic pressure engaphansi kuka-0,6;
• I-microangiopathy yesifo sikashukela ethuthukisiwe (yokucindezela okukhulu kuno-30 mmHg);
• I-Phlegmatia cœrulea dolens - i-phlebitis eluhlaza okwesibhakabhaka ebuhlungu ngokucindezelwa kwe-arterial;
• I-Septic thrombosis.

Ukuhlolwa okujwayelekile kwesilinganiso senzuzo / ingozi kuyadingeka uma kwenzeka:

• I-PADI enenkomba yengcindezi ye-systolic phakathi kuka-0,6 no-0,9;
• I-peripheral neuropathy ethuthukisiwe;
• I-dermatosis ekhulayo noma eczematized;
• Ukungabekezelelani emicu esetshenziswa.

Amasokisi amasokisi acindezelayo abangela ukubuyiselwa imali nguMshwalense Wezempilo. Ngenxa yokusetshenziswa njalo kanye nemikhawulo yokugeza amasokisi amasokisi, Umshwalense Wezempilo ungakhava le mikhiqizo kuze kufike kumapheya ayisishiyagalombili ngonyaka - kusukela manje kuze kube manje - ngencwadi kadokotela.

Izinhlobo eziningi zikhona futhi izintengo ziyahlukahluka phakathi kuka-€ 20 no-€ 80 kuye ngesigaba - lapho ukucindezela kunamandla kuba nenani eliphakeme -, lohlobo - amathayi, amasokisi noma amasokisi -, wento ...