I-chestnut yamahhashi (I-Aesculus hippocastanum). Okungenani ukubuyekezwa okungu-3 kwezifundo ezisebenzisa okukhishwe imbewu ye-chestnut imbewu kuphethe ngokuthi kuzisiza ngempumelelo izimpawu ezihambisana nakhoukungasebenzi kahle kwemithambo yegazi (ubunzima, ukuvuvukala nobuhlungu emilenzeni)^1-3 . Ezilingweni eziningana zokuqhathanisa, ukukhishwa kwakusebenza njengama-oxerutin (bheka ngezansi)¹¹ kanye nesitokisi sokucindezelwa¹⁶.

Isikali

Thatha u-250 mg uye ku-375 mg wokukhishwa okulinganiselwe ku-escin (16% kuya ku-20%), kabili ngosuku nokudla, okulingana no-2 mg kuya ku-100 mg we-escin.

 Ama-oxerutin. URutin ngumbala wesitshalo wemvelo. Ama-oxerutin yizinto ezikhishwe ku-rutin elabhorethri. Izilingo eziningi zomtholampilo^{5-15 , I-52} kanye nokuhlaziywa kwemeta⁴ khombisa ukuthi ama-oxerutin ayasebenza ekuqedeni ubuhlungu nokuvuvukala emilenzeni ebangelweukungasebenzi kahle kwemithambo yegazi, iyodwa noma ihlanganiswe nezinye izinto zokuvikela imithambo yegazi. Eziningana zalezi zifundo zenziwa yiqembu labaphenyi base-Italy abanalo mkhiqizo I-Venoruton®.

Isikali

Imithamo ejwayelekile esetshenziswa ekuhlolweni kwemitholampilo ingama-500 mg kabili ngosuku.

esasizizwa

EYurophu, kunamalungiselelo amaningana emithi asekelwe kuma-oxerutin ahloselwe ukwelapha ukungasebenzi kahle kwe-venous kanye nama-hemorrhoids. Le mikhiqizo ayithengiswa e-Canada noma e-United States.

 I-Diosmin (izilonda zemithambo yegazi). Le nto iyi-flavonoid egxilile. Imvamisa ikhishwa kwizithelo ezisawolintshi nasemthini obizwa nge-Japanese sophora (I-Sophora japonica). Ukuhlaziywa kwe-meta okubili^{20, I-21} nokuhlanganiswa²² khombisa ukuthi i-diosmin iyisengezo esisheshisa ukwelashwa kwezilonda zemithambo yegazi. Lezi zifundo zigxile kakhulu kumkhiqizo othile, UDaflon®, equkethe ama-450 mg we-diosmin enama-micron ne-50 mg ye-hesperidin ngomthamo ngamunye.

Isikali

Umkhiqizo ovame ukusetshenziswa kakhulu ngesikhathi sokuhlolwa yiDaflon®, ngesilinganiso esingu-500 mg, kabili ngosuku.

 I-Diosmin (ukungasebenzi kahle kwemithambo yegazi). Ukuhlolwa okuningana kwemitholampilo eYurophu kukhombise imiphumela eqondile ekunciphiseni izimpawu zokunganeli kwemithambo yegazi^24-26 . Lezi zifundo zigxile kwi UDaflon®. Muva nje, abacwaningi baseRussia benze izilingo kokukhishwa kwe-diosmin (Phlebodia®) okuhlangene nokwenziwa^27-29 . Lokhu futhi kuzokwehla ngokusobala izimpawu zokunganeli kwemithambo yegazi.

Isikali

Umkhiqizo ovame ukusetshenziswa kakhulu ngesikhathi sokuhlolwa yiDaflon®, ngesilinganiso esingu-500 mg, kabili ngosuku.

 Umshanelo webhusha onameva (URuscus aculeatus). Umshanelo webhusha onameva, obizwa nangokuthi i-holly, uyisihlahlana esikhula esifundeni saseMedithera. Ababhali bokuhlaziywa kwemeta bahlole izivivinyo zokwelashwa ezingama-31 eziphenya ngomphumela we ICyclo 3 Fort®, isengezo esisuselwa ku-Butcher's Broom (150 mg), hesperidin (150 mg) novithamini C (100 mg). Abaphenyi baphetha ngokuthi lokhu kulungiswa kunciphisa izimpawu ezihambisana nokunganele emzimbeni³⁴. Ezinye izivivinyo zokwelashwa nazo zithole imiphumela emihle^{35, I-36}.

Isikali

Thatha, ngomlomo, ukukhishwa okumisiwe kwezimpande ze-Butcher's Broom okuhlinzeka ngo-7 mg kuye ku-11 mg we-ruscogenin ne-neoruscogenin (izithako ezisebenzayo).

 Ama-oxerutin. The izindiza zesikhathi eside, okudinga ukuhlala amahora amade, kungadala ukuvuvukala kwemilenze kubantu abane-venous insufficiency, into ebizwa nangokuthi ikilasi lesifo somnotho. Ngokwemiphumela yezifundo ezi-4 (izihloko ezingama-402 sezizonke), lolu hlobo lokungaphatheki kahle lungavinjelwa noma lwehliswe ngokuthatha isengezo sama-oxerutins (iVenoturon®) ngesilinganiso esingu-1 g noma u-2 g ngosuku izinsuku ezi-3, kuqalwa ngo-2 izinsuku ngaphambi kokuhamba^{17, I-18,42,62}. Ijeli esuselwa ku-oxerutin, efakwa njalo emahoreni ama-3 ngesikhathi sendiza, nayo ingasiza¹⁹.

Isikali

Thatha u-1 g kuye ku-2 g ngosuku izinsuku ezintathu, ukuqala ezinsukwini ezimbili ngaphambi kokuhamba.

esasizizwa

Izithako ze-Oxerutin ngokuvamile azithengiswa eNyakatho Melika.

 Okubomvu kuyeza (I-Vitis vinifera). Ezinye izivivinyo zomtholampilo eziphelele ezibandakanya Ukukhishwa kwembewu yamagilebhisi I-de la vigne rouge yenziwa ngawo-1980 eFrance. Imiphumela ikhombisa ukuthi lokhu kukhishwa kungakhulula izimpawu zokungasebenzi kahle kwemithambo yegazi futhi imithambo ye-varicose^44-46 . Imbewu yamagilebhisi icebile ngama-oligo-proanthocyanidins (OPC), izinto ezinamandla amakhulu e-antioxidant. Kubonakala sengathi okukhishwe okujwayelekile kwe- amaqabunga omvini obomvu unikeze usizo olufanayo^47-51 .

Isikali

Thatha u-150 mg uye ku-300 mg ngosuku lokukhishwa kwembewu yamagilebhisi okulinganiselwe ku-OPC noma ku-360 mg kuya ku-720 mg ngosuku lokukhishwa kwamaqabunga amagilebhisi.

 UGotu Kola (Inhlansi yase-Asiatic). Ucwaningo oluningi lwase-Europe lukhombisa ukuthi ukukhishwa okujwayelekile kwe-gotu kola (I-TTFCA, isifinyezo sengqikithi yengxenyenamba ye-triterpene ye- Inhlansi yase-Asiatic) inemiphumela ezuzisayo kubantu abane-venous insufficiency kanye ne-varicose veins^53-57 . Qaphela, noma kunjalo, ukuthi imithamo esetshenziswe phakathi kwezifundo yayihlukahluka nokuthi eziningana zalezi zifundo zenziwa iqembu elifanayo labaphenyi eGreat Britain.

Isikali

ECanada, ukukhishwa kwe-gotu kola kudinga incwadi kadokotela. Bheka ifayela lethu leGotu kola ukuthola eminye imininingwane.

 I-Hydrotherapy (ikhambi elishisayo). Izilingo ezintathu zomtholampilo ezineqembu elilawulayo zikhombisa lokho amanzi ashisayo Kungaba nomthelela omuhle kubantu abane-veic varicose kanye ne-venous insufficiency^59-61 . EFrance, Ezokuphepha Komphakathi ziyazibona izinzuzo ze-hydrotherapy ekwelapheni ukungasebenzi kahle kwemithambo yegazi futhi zibuyisela ingxenye yezindleko zokwelashwa okushisayo okunqunywe udokotela. Ngokusho koMkhandlu Kazwelonke Wabahlinzeki Bezinsiza, izindlela zokwelapha zinganciphisa izimpawu zokungasebenzi kahle kwemithambo yegazi izinyanga ezimbalwa, kwelaphe imiphumela elandelayo ye-phlebitis futhi kusheshise ukwelashwa kwezilonda.

 Pycnogenol® (ukukhishwa kwamagxolo ophayini wasolwandle - Isikhombi sePinus). Lokhu kukhishwa kuqukethe inani elibalulekile le-i-oligo-proanthocyanidins (OPC). Olunye uvivinyo lomtholampilo lubonisa ukuthi zingakhulula izimpawu ezihambisana nazoukunganeli i-venous^37-41 . Kodwa-ke, umzimba wobufakazi untula amandla ngenxa yokushoda kwesilingo esiyimpumputhe esinezibalo ezanele zezifundo.

Ngaphezu kwalokho, kwenziwa izifundo ezi-2 kubantu abenze indiza ende ngendiza (amahora ayisishiyagalombili, ngokwesilinganiso). Ukuthatha iPycnogenol® kungekudala ngaphambi nangemva kohambo kunciphise ukuvuvukala kwamaqakala ababambiqhaza⁴² futhi kunciphise inani lama-venous thromboses ezifundweni ezisengozini⁴³.

Isikali

Thatha u-150 mg uye ku-300 mg ngosuku lokukhishwa okulinganiselwe kuma-oligo-proanthocyanidins (OPC). Okukhishwayo kuvame ukulinganiselwa ku-70% OPC. Bona ishidi lethu lePycnogenol ukuthola eminye imininingwane.

 I-Manual lymphatic drainage. I-Manual lymphatic drainage ingathathwa njengokwelashwa kokungeneli kwemithambo yegazi, ngoba kunganciphisa ukuvuvukala, umthombo wobuhlungu.²². Kodwa-ke, le ndlela yokwelapha ayikabhalwa ngokwesayensi kuze kube manje. Kuyindlela yokubhucungwa emnene evuselela ukusakazeka kwe-lymph.

 IVirginia hazel (umthakathi hazel virginiana). Ukusetshenziswa kwe-hazel witch kuyaziwa yiKhomishini E ekwelapheni izimpawu zemithambo ye-varicose (imilenze ebuhlungu nesindayo).

Isikali

I-Witch hazel ingasetshenziswa ngaphakathi noma ngaphandle. Bheka ishidi lethu leHamamelis ukuthola eminye imininingwane.