Okuqukethwe
Ukuvuvukala kwe-venous wukuma kwegazi le-venous ezingxenyeni ezizungezile zomzimba. Kuyi-edema ehambisana nesifo se-venous, etholakala endaweni ikakhulukazi emaphethelweni aphansi nasezigabeni ezithuthuke kakhulu zalesi sifo C4 kuya ku-C6 ngokusho kwesigaba samazwe ngamazwe se-CEAP. Iyaqina phakathi nosuku, iphakame ekupheleni kosuku.
Ukuvuvukala kwe-venous - incazelo
Ukuvuvukala kwe-venous yisimo esibonakala ngokunqwabelana kwegazi le-venous ezingxenyeni ezizungezile zomzimba. Lolu uhlobo oluvame kakhulu lokuvuvukala komlenze. Kwenzeka kaningi ngenxa yokugcwala kwe-lymphatic system. Ukusabalala kwe-edema ye-venous kusuka ku-1% kuya ku-20% futhi kuyanda ngokukhula; kuvame ukuba khona kwabesifazane abangaphezu kweminyaka engama-60 ubudala. Ukuvuvukala kuyanda emini futhi kufinyelela phezulu kusihlwa. Ngaphezu kwalokho, ukuvuvukala komlenze kuvame ukwenzeka ngemva kokundiza, ngisho noma imithambo yethu inempilo.
KUBALULEKILE: I-lymphatic system kanye ne-venous system isebenza ndawonye ukukhipha uketshezi. Ngakho-ke, uma uhlelo lwe-venous lonakele, uhlelo lwe-lymphatic luhluleka. Ukuvuvukala kwe-venous okungaxazululi ngokuzenzekelayo phakathi namahora ambalwa kungase kubonise ukungasebenzi kahle kwe-venous.
Izinkinga ze-venous edema
Imbangela ye-venous edema ukugeleza kwegazi okubuyela emuva (i-reflux), ukuvinjelwa kokuphuma kwe-venous noma kokubili, kanye ne-thrombophlebitis.
Ezinye izizathu:
- ukuntuleka kwe-lymphatic,
- ukuvuvukala kwamafutha,
- i-deep vein thrombosis,
- ukuvuvukala kwe-gravitation,
- i-cyclical premenstrual edema,
- ukuvuvukala kwe-endocrine,
- ukuvuvukala ngenxa yokuntuleka kwe-potassium ne-albhamuin,
- ukuvuvukala okubangelwa ukuphuza imithi,
- ukuvuvukala okubangelwa ingcindezi emithanjeni nasemithanjeni ye-lymphatic,
- ukuvuvukala kwe-iatrogenic
- ukuvuvukala ngenxa yokuzilimaza.
Umshanelo webhusha unomphumela osekelayo ekusakazweni kwe-venous, okukhulula nokuvuvukala. Uzothola i-CircuVena - isithasiselo sokudla se-YANGO.
Izimpawu ze-edema ye-venous
Izilonda zitholakala ikakhulukazi emilenzeni engezansi (imvamisa ezungeze amaqakala, lapho umfutho wegazi ophezulu ukhona), kancane kancane ezithweni ezingaphezulu, nasentanyeni. Ukuvuvukala kwenzeka emini futhi kuyanyamalala lapho uphakamisa imilenze yakho ngenkathi uphumule. Ukuvuvukala okubangelwa ukugcwala ngokweqile kohlelo lwe-lymphatic oluya onyaweni futhi lukwazi ukumelana nokucindezela. Kuvela imiphetho ewugqinsi yesikhumba ngemuva onyaweni, ilunga leqakala liba lukhuni futhi libe nezinkinga ngokuhamba. Uhlelo lwe-lymphatic olugcwele kancane kancane luba lungasebenzi kahle, okubangela ukuthi izigaba ezengeziwe ze-edema zibe nezici ze-lymphedema.
Ngokuvamile nge-edema ye-venous, kukhona:
- ubuhlungu bomlenze,
- imithambo ye-varicose,
- ukufinyela,
- i-phlebitis kanye ne-thrombosis
- ukwanda kwemithambo,
- i-keratosis kanye nokuqhekeka kwesikhumba emaqakaleni.
Ezigulini ezithola ukungasebenzi kahle kwe-venous, ezinye izimpawu zivela endaweni yamaqakala:
- i-eczema ye-venous,
- izilonda emilenzeni,
- imithambo evuleke kakhulu emaqakaleni,
- izibazi ezimhlophe ze-atrophic.
Kamuva ekuthuthukiseni ukugula, isiguli sinombono wokuthi ukuvuvukala kuyanyamalala emaqakaleni, kodwa umlenze ufana nebhodlela le-champagne elihlanekezelwe - lincane kakhulu emaqakaleni, kodwa livuvukale ngenhla.
Ukuze ukhulule imilenze evuvukele futhi usekele ukulwa nemithambo ye-varicose, zama ijeli ye-Venosil yemithambo ye-varicose kanye nokukhukhumala.
Ukuxilongwa kwe-edema ye-venous
I-edema kufanele ihlolwe imile noma ilele, i-edema ye-venous itholakala ngokucindezela umunwe ku-shin ngomzuzu ongu-1. Uma kune-fove ngemva kokucindezela isikhumba, lokhu kubonisa i-venous noma i-lymphatic edema, inhliziyo noma i-renal edema, futhi ukungabi khona kwe-fove kubonisa umsuka wayo wamafutha. Ukwengeza, ukukalwa komjikelezo wesitho kwenziwa ezindaweni ezifanayo kuzo zombili izitho ukuze kuqhathaniswe izitho ezimbili ngesikhathi esisodwa. Eduze kwesilinganiso, idethi kanye nesikhathi sokulinganisa kufanele kufakwe ukuze kubonwe ukushintshashintsha kwesizini nokwansuku zonke kwezinguquko kuvolumu yelungu.
Ukuhlolwa kwezinsimbi kungenziwa kusetshenziswa i-duplex scan noma inqubo ye-magnetic resonance imaging. Kunconywa ukugqoka imikhiqizo yokucindezela ngokucindezela kancane kancane, unakekele isisindo somzimba esifanele, ukubhucungwa okwenziwa ngesandla kanye nama-hydro massage.
I-edema ye-venous kufanele ihlukaniswe ngezimpawu ezilandelayo:
- i-lymphoedema,
- ukuvuvukala kwamafutha,
- ukuvuvukala kwenhliziyo
- i-renal edema
- ukuvuvukala kwezidakamizwa,
- i-edema yemvelaphi ye-electrolyte.
Indlela yokwelapha i-Edema ye-Venus?
Ekwelapheni i-edema ye-venous, okusebenza kakhulu ukwelashwa kwe-causal (ukuhlinzwa) - ukususa imbangela yokuqina kwegazi le-venous, bese kuba ukwelashwa kokucindezela (imikhiqizo yokunwebeka eyenziwe efekthri, eyenziwe ukukala, ama-cuffs pneumatic single and multi-chamber, amadivaysi e-vacuum. , amabhandeshi okunwebeka). Ngaphezu kwalokho, i-pharmacotherapy isetshenziswa - izidakamizwa ze-fleboactive, i-diuretics.
Uma kucatshangelwa ukuthi noma yikuphi ukungenelela kokuhlinzwa kuhlotshaniswa nengozi ye-lymphangitis kanye nokutheleleka kwebhaktheriya noma ukukhunta, ukuhlinzwa kufanele kwandulelwe I-Comprehensive Anti-Stagnation Therapy. Akugcini nje ukuthuthukisa isimo sesikhumba, kodwa futhi kukhulula uhlelo lwe-lymphatic.
Indlela yokuvimbela i-edema ye-venous?
Ukuvimbela i-edema ye-venous kuhlanganisa:
- ukwenza umsebenzi womzimba,
- ukucindezela kancane kancane ngamabhandeshi anwebekayo.
Ukweseka uhlelo lokujikeleza kwegazi, kufanelekile ukufinyelela esithasiselweni semvelo sokujikeleza kwe-venous - i-Pharmovit drops extract.
Lit .: [1] I-Partsch H., i-Rabe E., i-Stemmer R.: Ukwelashwa kokucindezelwa kwamaphethelo. Izinguqulo Phlebologiques Francaises 2000. [2] I-Stemmer R.: Amasu okwelapha ngokucindezelwa nokuhlanganisa. Umhleli Sigvaris Ganzoni CIE AG 1995. [3] Shumi SK, Cheatle TR: Fegan's compression sclerotherapy for varicose veins. Springer 2003. [4] Jarrett F., Hirsch SA: Ukuhlinzwa kwemithambo. I-Mosby Company, i-St. Louis 1985.
Umthombo: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; Uhlelo lwesihlanu, I-Czelej Publishing House