Txhua tus neeg tau ntsib o ntawm ob txhais ceg thiab caj npab tsawg kawg ib zaug hauv lawv lub neej. Kev thauj khoom ntau dhau, tsis xis nyob lossis khau tshiab - tag nrho cov no tuaj yeem ua rau "o" ntawm cov ceg tawv ib ntus. Feem ntau, cov tsos mob no tsis kav ntev dua 12 teev. Lwm qhov yog yog tias ob txhais ceg tas li nyob rau hauv lub xeev o. Hauv qhov no, peb tab tom tham txog pathological lymphatic edema - lymphostasis.
kab mob dab tsi
Lymphostasis yog hu ua cov kua dej ntau dhau uas sib sau hauv cov ntaub so ntswg ntawm cov ntaub so ntswg subcutaneous thiab tsis tawm hauv hom qub (tsis muaj qhov tawm). Edema tuaj yeem tshwm sim ntawm ob sab qis thiab sab sauv, tab sis nws yog ob txhais ceg uas feem ntau raug kev txom nyem.
Lymphostasis belongs rau qeb ntawm cov kab mob hnyav zuj zus. Txawm li cas los xij, qhov no tsis txhais hais tias thaum edema tshwm, nws yuav tsum tsis quav ntsej. Yog tias cov hlab ntsha lymphatic cuam tshuam, qhov no yuav ua rau muaj kev phom sij tsawg rau lub cev, tab sis thaum muaj teeb meem hauv cov ducts loj, cov ntaub so ntswg yuav pib deform. Hauv cov xwm txheej zoo, cov kws kho mob kuaj mob qog nqaij hlav hauv cov neeg mob (qhov mob no yuav tsum tau kho ntau dua).
Lymphedema ntawm caj npab yog qhov tsawg kawg nkaus thiab feem ntau los ntawmNws cuam tshuam rau kev sib deev ncaj ncees thaum muaj hnub nyoog 35.
Yog vim li cas
Feem ntau, lymphostasis tsim tawm tsam keeb kwm ntawm varicose leeg, thrombophlebitis, thrombosis thiab trophic ulcers. Tsis tas li ntawd, pathology raug kuaj pom nyob rau hauv cov neeg laus thiab cov neeg uas coj ib tug sedentary, sedentary txoj kev ua neej. Lymphatic edema ntawm ob txhais ceg feem ntau tshwm sim hauv cov neeg tsis taus. Tsis tas li ntawd, tus kab mob no tuaj yeem ua rau lub txaj ntev ntev thiab kev ua haujlwm tsis zoo.
Tsis tas li ntawd, muaj kev pheej hmoo yog cov neeg raug kev txom nyem los ntawm:
- congenital insufficiency ntawm lymphatic hlab ntsha;
- qog nqaij hlav cancer;
- lub plawv tsis ua hauj lwm;
- raug mob thiab kub hnyiab ntawm sab sauv thiab sab qis;
- venous insufficiency of chronic type;
- hlab ntsha thiab venous fistulas;
- kab mob streptococcal;
- mob ntawm daim tawv nqaij ntawm txhais tes thiab ko taw;
- mob raum mob hnyav;
- tsis ua haujlwm hauv endocrine system.
Ntxiv rau, lymphedema ntawm cov extremities tuaj yeem tshwm sim vim kev kho hluav taws xob.
Lymhostasis ntawm tes feem ntau tshwm sim nws tus kheej tom qab kev phais. Qhov mob no tshwm sim feem ntau hauv cov poj niam uas tau raug phais kom tshem tawm ib feem ntawm cov leeg pectoral.
Cov tsos mob thiab theem ntawm kev loj hlob
Muaj 3 qib kev tshwm sim ntawm lymphstasis:
- Reversible spontaneous edema (limfedema). Qhov no yog qhov yooj yim tshaj plaws theem ntawm tus kab mob, uas manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib txwm o ntawm ob txhais ceg thaum yav tsaus ntuj. Feem ntau, tag nrho cov tsos mobhla tom qab ib hmo so. Edema ntawm hom no tau pom meej meej thiab feem ntau tshwm sim tom qab lub cev hnyav ntawm cov ceg. Qhov chaw o yog yooj yim palpated. Thaum pib ntawm txoj kev loj hlob, tus kab mob no tau kho nrog cov txheej txheem kev saib xyuas thiab tsis muaj kev puas tsuaj rau lub cev.
- Irreversible spontaneous edema (fibriderma). Qhov nruab nrab theem ntawm lymphostasis yog tus cwj pwm los ntawm hardening ntawm daim tawv nqaij. Qhov no yog vim kev loj hlob ntawm cov ntaub so ntswg. Xws li edema yog pom tseeb ntawm qhov muag liab qab. Lawv nyuaj heev, thaum koj nias rau ntawm qhov chaw mob, tus neeg mob hnov mob hnyav vim yog cov tawv nqaij ncab. Edema ntawm hom no yog suav tias yog khiav. Nws tsis ploj tom qab so. Vim yog lub cev khov rau hauv cov hlab ntsha, cov tsos mob tshiab pib tshwm sim - convulsions thiab qaug zog ntawm tus ceg ceg.
- Irreversible swelling (lephantiasis). Qhov theem ntawm lymphostasis yog qhov hnyav tshaj plaws. Vim yog cov ntaub so ntswg loj heev, tus ceg ceg yog deformed, ua hnyav dua thiab yuav luag immobile. Lub outflow ntawm lymph yog kiag li cuam tshuam. Nyob rau hauv cov ntaub so ntswg mob, foci ntawm fibrocystic lesions tshwm. Elephantiasis tsis kho tau thiab qee qhov mob tuag taus.
Puas yog lymphostasis txaus ntshai
Cov theem pib ntawm tus kab mob tsis ua rau muaj kev phom sij loj. Txawm li cas los xij, nws yuav tsum raug coj mus rau hauv tus account tias lymphoedema cuam tshuam rau lub neej zoo ntawm tus neeg mob. Cov ceg tawv raug mob heev, ntxiv rau qhov no, cov kab mob sib kis tau tsim tawm tsam keeb kwm ntawm tus kab mob. Yog hais tias daim tawv nqaij ntawm ib txhais ceg o tuaj, ces cov kab mob txaus ntshai tuaj yeem nkag mus rau hauv lub cev los ntawm qhov txhab, uas yuav ua raurau tag nrho "bouquet" ntawm cov kab mob tshiab.
Thaum qhov mob o ntev, koj yuav tsum mus ntsib kws kho mob sai li sai tau.
Diagnosis
Ua ntej tshaj plaws, tus kws kho mob tshuaj xyuas cov ceg nrog lymphedema thiab txiav txim siab txog theem ntawm kev loj hlob ntawm pathology. Tom qab ntawd, ntau qhov kev ntsuas ntsuas tau raug sau tseg, uas tso cai rau koj los txiav txim siab ntau dua ntawm cov ntaub so ntswg puas, foci ntawm o thiab muaj teeb meem tshwm sim:
- kuaj zis thiab ntshav;
- leeg scan;
- ultrasound;
- lymphography.
Qee zaum, CT lossis MRI ua tiav. Raws li cov ntaub ntawv tau txais, tus kws kho mob tau sau cov tshuaj thiab cov txheej txheem.
Kev kho mob Lymphedema
Yuav kom kho tus kab mob, nws yog ib qho tsim nyog los kho cov qog ntshav tawm ntawm cov ceg. Feem ntau, o yog tshem tawm los ntawm txoj kev tsis yog phais, los ntawm kev kho compression, massage thiab tshuaj. Nyob rau theem siab dua, kev phais phais yuav tsum tau ua - rov tsim kho cov hlab ntsha lymphatic.
Txawm hais tias tus kab mob no npaum li cas, tus neeg mob yuav tsum tsis tu ncua mus ntsib kws kho mob angiosurgeon thiab kho cov kab mob ntawm lub raum, lub plawv thiab cov hlab ntsha hauv lub sijhawm.
Tshuaj
Los ntawm lymphatic o ntawm ob txhais ceg, muaj ntau yam tshuaj sib txawv uas tuaj yeem ua rau muaj kev txhoj puab heev thiab ntau yam kev saib xyuas. Txhawm rau rov ua kom cov qog ntshav ib txwm muaj, txo cov vascular permeability thiab nce lawv cov elasticity, nws raug nquahu kom noj cov ntsiav tshuaj hauv qab no:
"Troxevasin" thiab "Detralex" yog cov tshuaj phlebotropic uas txhawb nqa cov kua dej ntau dhau los ntawm cov ntshav thiab cov ntaub so ntswg
- "Wobenzym" thiab "Flobenzym" - muaj nyob rau hauv qeb ntawm kev npaj enzyme uas ua rau kom muaj kev tiv thaiv thiab txo qhov o.
- "Coumarin" yog benzopyrone uas txo qis puffiness thiab thins cov ntshav.
- "Lymphomiazot" - tshuaj homeopathic uas kho cov dej ntws tawm. Tsis tas li ntawd, thaum nws tau noj, tshem tawm cov co toxins los ntawm tib neeg cov ntshav yog nrawm. Cov tshuaj no suav hais tias yog qhov tsis zoo tshaj plaws. Nws tuaj yeem ua rau muaj kev nyab xeeb los kho lymphatic o ntawm ob txhais ceg hauv cov neeg laus thiab cov poj niam cev xeeb tub.
Ntxiv rau cov tshuaj no, cov kws kho mob tau sau tshuaj diuretics, tshuaj tiv thaiv kab mob thiab cov tshuaj tiv thaiv kab mob. Nws yuav tsis yog superfluous pib noj cov vitamin complexes (P, PP thiab E), uas txo vascular permeability.
Cov kws kho mob tsis tawm tsam pej xeem cov tshuaj kho mob edema yog tias lawv tau coj los ua ke nrog cov txheej txheem kho mob.
tshuaj ntsuab
Yuav kom txo tau cov lymphatic edema hauv tsev, koj tuaj yeem npaj cov decoctions yooj yim thiab siv compresses. Nov yog qee cov zaub mov uas ua tau:
- Compress ntawm zib mu thiab dos. Txhawm rau npaj nws, koj yuav tsum tau chop ib dos thiab ntxiv 1 tablespoon ntawm tar rau qhov tshwm sim loj. Tom qab ntawd, me ntsis zib mu yog poured rau hauv qhov sib tov. Xws li compress yuav tsum tau siv thaum hmo ntuj.
- zib ntab-qej tincture. Txhawm rau npaj nws, koj yuav tsum tau chop 250 g ntawm qej. Tom qab ntawd, lub resulting loj yog tov nrog 300 mlkua zib mu thiab infused nyob rau hauv ib tug maub qhov chaw txias rau 7 hnub. Noj cov infusion ib hnub ua ntej noj mov, 1 tablespoon. Kev kho mob yog 2 lub hlis.
- Decoction of plantain. Txhawm rau npaj nws, koj yuav tsum tau brew 1 teaspoon ntawm tshuaj ntsuab nrog ib khob ntawm boiling dej. Lub sijhawm kho yog 2 lub hlis. Ib decoction ntawm 70 ml yog noj txhua hnub ua ntej noj mov.
- Royal jelly. Los ntawm cov khoom ntuj no, koj tuaj yeem ua compresses lossis haus nws hauv nws daim ntawv ntshiab. Yog tias koj muab cov jelly thiab zib ntab hauv qhov sib npaug, qhov no yuav txhim khu kev ua haujlwm ntawm cov khoom.
Yog tias ob txhais ceg o tas li thaum yav tsaus ntuj, ces nws raug nquahu kom da dej nrog kev ua tiav. 6 tablespoons qhuav nyom yog ntxiv rau 2-3 liv ntawm boiling dej. Tom qab ntawd, koj yuav tsum tau tos kom txog thaum cov kua txias me ntsis, thiab cov kab ke swells. Thaum qhov kub ntawm cov dej poob me ntsis, nws yog ib qho tsim nyog yuav tsum txo qis o ntawm txhais ceg mus rau hauv da dej rau 20 feeb. Koj tuaj yeem ua cov txheej txheem no 3 zaug hauv ib hnub, tab sis tsis tshaj 3 lub lis piam.
Physiotherapy
Ntxiv rau cov tshuaj thiab tshuaj ib txwm siv, kev kho lub cev yog qhov zoo rau lymphedema, uas suav nrog:
- massages;
- cov ntaub qhwv ntsej muag;
- kev ua kom lub cev kho mob.
Cov txheej txheem zaws yog ib txoj hauv kev zoo tshaj plaws uas yuav tshem tawm qhov tsis xis nyob. Txhawm rau ua cov txheej txheem no, nws tsis tas yuav mus ntsib kws kho hniav lossis chaw kho mob. Koj tuaj yeem tshem tawm qhov o me me tom tsev. Txhawm rau ua qhov no, koj yuav tsum ua kom nrawm nrawmdaim tawv nqaij ntawm qhov chaw o. Kev txav yuav tsum du, tsis pub ntau tshaj 12 clicks ib feeb. Kev zaws feem ntau tsis pom zoo. Limbs yuav tsum tau massaged tsis pub tshaj 1 teev ib hnub twg.
Txawm li cas los xij, tsis txhob nqa tshuaj rau tus kheej, vim tias cov tsos mob tsis zoo tuaj yeem ua rau muaj kab mob txaus ntshai. Yog li ntawd, nws tsim nyog sab laj nrog kws kho mob thiab qhia meej seb qhov kab mob no puas txaus ntshai.
