Txhua 5 tus neeg tshaj 30 tsis txaus siab ntawm qhov mob ntawm lawv ob txhais ceg. Feem ntau qhov no yog vim tsis muaj ntshav txaus nyob rau hauv qis extremities. Muaj ntau yam kab mob uas cuam tshuam nrog kev puas tsuaj rau cov hlab ntsha thiab cov leeg ntawm ob txhais ceg. Kev kuaj mob kom raug rau txhua tus neeg mob yuav tsum tau ua los ntawm tus kws kho mob uas yuav ua tiav kev kuaj mob. Tsis tas li ntawd xwb, tsuas yog ib tus kws kho mob tshwj xeeb xaiv kev kho mob, sau cov tshuaj zoo rau cov hlab ntsha ntawm ob txhais ceg.
Yuav ua li cas thiaj paub tus kab mob thaum ntxov?
Raws li kev xyaum qhia, feem ntau ntawm cov kab mob kuaj pom thaum ntxov tau kho tau yooj yim, tab sis tsis yog txhua tus neeg mob nrhiav kev pab raws sijhawm. Koj tuaj yeem paub txog kev loj hlob ntawm tus mob hnyav thaum ntxov los ntawm cov tsos mob hauv qab no:
- nqe qis tau nkees sai;
- ntau ob ceg cramp;
- mob;
- o thiab hnyav;
- tsis xis nyob thaum nce ntaiv;
- kev kub ntxhov;
- dab ntxwg nyoog pom ntawm qhov muag;
- kab laug sab.
Tag nrho cov cim qhia no qhia txog qhov pib ntawm kev loj hlob ntawm tus kab mob, yog li nws yog ib qho tseem ceeb kom nrhiav kev pab tam sim ntawd thiab pib noj tshuaj rau cov hlab ntsha thiab cov hlab ntsha ntawm ob txhais ceg, uas yuav pab txo qis cov tsos mob thiab tiv thaiv kev txhim kho ntawm cov hlab ntsha. kab mob.
Pathology cuam tshuam rau cov hlab ntsha ntawm ob txhais ceg
Kev tsis zoo ntawm cov ceg tuaj yeem tshwm sim los ntawm cov kab mob hauv qab no:
- varicose leeg;
- phlebitis;
- thrombophlebitis;
- atherosclerosis ntawm cov hlab ntsha ntawm ob txhais ceg;
- thrombosis;
- endarteritis.
Txhua yam kab mob no tuaj yeem ua rau muaj qhov tshwm sim loj, yog li nws yog qhov zoo dua los pib kho sai li sai tau. Tom qab kev kuaj pom tseeb raug lees paub, tus kws kho mob yuav suav nrog cov kab mob sib kis thiab sau tshuaj rau cov hlab ntsha ntawm ob txhais ceg, uas yuav pab daws qhov teeb meem sai thiab zoo.
Kev kho mob rau ceg mob
Txoj kev kho yuav ua li cas thiab cov tshuaj twg kws kho mob yuav pom zoo rau kev kho cov hlab ntsha ceg yog nyob ntawm cov kab mob tshwj xeeb thiab theem ntawm kev loj hlob. Muaj ntau pawg ntawm cov tshuaj uas feem ntau siv los ntawm cov kws kho mob los kho cov teeb meem nrog rau qhov qis qis. Cov no suav nrog:
- angioprotectors;
- Ymyotropic antispasmodics;
- alpha-blockers;
- venotonics;
- thrombolytics;
- tshuaj tiv thaiv kab mob.
Txhua tus neeg mob uas muaj teeb meem raug kuaj pom thiab xaiv kev kho mob uas yuav tso cai tsis yog tshem tawm cov tsos mob xwb, tab sis kuj yog qhov ua rau tus kab mob.
Hnub noCov kws muag tshuaj muaj ntau yam tshuaj uas pab daws cov kab mob ko taw zoo. Cov kws kho mob feem ntau nyiam cov tshuaj ntsuam xyuas lub sij hawm rau cov ntshav txhaws hauv cov hlab ntsha ntawm ob txhais ceg, tab sis cov tshiab niaj hnub no tsis tshua muaj txiaj ntsig. Cov thev naus laus zis tsis nyob twj ywm, ua tsaug uas muaj cov cuab yeej pab txawm tias nyob rau hauv cov xwm txheej siab heev. Tag nrho cov nyiaj tau muab faib ua pab pawg, thiab tsuas yog tus kws kho mob txiav txim siab seb yuav pom zoo rau tus neeg mob twg. Yam tshuaj twg rau ob txhais ceg xaiv?
YAngioprotectors
Lawv pab normalize ntshav khiav, ntxiv dag zog rau phab ntsa ntawm cov hlab ntsha thiab ua kom lub suab ntawm cov phab ntsa venous. Kev npaj ntawm pab pawg no tau muab faib ua ntuj thiab hluavtaws. Cov tshuaj ntawm cov nroj tsuag keeb kwm yog suav hais tias yog ntau maj mam rau lub cev, lawv muaj tsawg contraindications thiab undesirable manifestations.
Cov kws kho mob tsis ntev los no tau xaiv cov tshuaj xws li "Detralex", "Pentoxifylline", tshuaj xyuas ntawm cov neeg mob feem ntau tsuas yog qhov zoo.
YMyotropic antispasmodics
Cov tshuaj no pab txo qis spasm, txhawb kev nthuav dav ntawm cov hlab ntsha thiab pab txhim kho cov ntshav ncig hauv cov hlab ntsha. Tab sis muaj ib qho kev rho tawm tseem ceeb, cov tshuaj no pab ntau dua yog tias lawv tau noj rau lub hom phiaj tiv thaiv, vim tias lawv tsuas yog cuam tshuam rau cov leeg noj qab haus huv, thiab cov cuam tshuam los ntawm tus kab mob no dhau los. Qhov zoo tshaj plaws ntawm lawv yog "Drotaverin", "Papaverin", "Neobutin"
Alpha blockers
Rau pab pawg no koj tuaj yeem ua tausuav nrog "Fentolamine", "Nicergoline", uas thaiv cov receptors nyob rau hauv cov cav tov ntawm cov hlab ntsha. Yog li, lawv tiv thaiv adrenaline los ntawm kev khi rau adrenergic receptors. Qhov kev sib txuas no ua rau muaj qhov nqaim ntawm lub lumen ntawm phab ntsa ntawm cov hlab ntsha thiab stenosis ntawm cov leeg. Ntxiv nrog rau cov tshuaj no, txhawm rau ntxiv dag zog rau cov hlab ntsha ntawm ob txhais ceg, nws raug nquahu kom noj cov tshuaj calcium antagonists, piv txwv li, Nifedipine lossis Verapamil, uas tiv thaiv kev loj hlob ntawm stenosis, pab tshem tawm cov ntshav viscosity thiab normalize ntshav txaus. Tag nrho cov nyiaj no yog ib pawg loj - vasodilators.
Venotonics
Nov yog pab pawg tshuaj uas siv los kho cov kab mob ntawm cov hlab ntsha ntawm sab qis. Lawv pab ntxiv dag zog rau cov phab ntsa tsis muaj zog ntawm cov hlab ntsha, normalize ntshav ncig. Lub cev nqaij daim tawv ntawm cov hlab ntsha phab ntsa yog tsim nyob rau hauv xws li ib txoj kev uas nws cov leeg nqaij txheej yog heev tsis muaj zog, vim hais tias lawv yog yooj yim stretched. Venotonics pab ntxiv dag zog rau cov leeg nqaij ntawm phab ntsa thiab ua kom lub suab nrov. Cov tshuaj no suav nrog Venoruton, Venolife.
Thrombolytics
Cov tshuaj no yog qhov xwm txheej ceev rau ntau tus neeg mob. Lawv muaj peev xwm yaj cov ntshav txhaws uas twb tau tshwm sim hauv cov hlab ntsha. Thrombosis ua rau txhaws ntawm cov leeg, lawv lub cev qhia tau hais tias cov ntshav txhaws tuaj yeem ua rau muaj teeb meem loj - ischemia thiab vascular obstruction. Rau kev kho mob ntawm cov leeg qis, cov kws kho mob feem ntau pom zoo kom noj Urokinase, Fibrinolysin, lossis"Streptokinase".
Anticoagulants
Lawv tsis tuaj yeem, zoo li thrombolytics, rhuav tshem cov thrombus uas twb tau tsim lawm, tab sis lawv zoo kawg nkaus tiv thaiv nws txoj kev tsim los ntawm thinning cov ntshav, tshem tawm cov vasoconstriction. Cov tshuaj no muaj xws li "Heparin", "Trental" yog ib yam tshuaj rau ib tug dropper rau cov hlab ntsha ntawm ob txhais ceg, uas yuav pab kom cov lumen nyob rau hauv cov hlab ntsha, txo cov kev pheej hmoo ntawm thrombosis thiab txhim kho cov ntaub so ntswg kev noj haus.
Kev kho cov leeg varicose
Kev kho rau cov leeg nqaij leeg ntawm ob txhais ceg yuav tsum ua kom tiav. Feem ntau, cov kws kho mob siv cov tshuaj los pab normalize lub suab ntawm cov hlab ntsha, ua rau kom cov hlab ntsha thiab outflow ntawm lymphoid kua raws li ib tug tshuaj rau cov hlab ntsha ntawm ob txhais ceg. Rau kev kho mob ntawm varicose leeg, cov kws kho mob nres ntawm cov tshuaj hauv qab no:
- Venotonic. Lawv pab ntxiv dag zog rau cov leeg ntawm ob txhais ceg, tiv thaiv cov ntshav txhaws, thiab cov ntshav nyias. Cov txiaj ntsig zoo tau pom los ntawm cov tshuaj xws li: Phlebodia, Detralex, Aescusan.
- Tshuaj ntxuav cov hlab ntsha hauv ob txhais ceg thiab tiv thaiv cov ntshav txhaws. Cov kws kho mob nyiam cov ntsiav tshuaj uas muaj cov tshuaj aspirin, xws li Cardiomagnyl.
- Cov tshuaj uas tsis yog tshuaj steroidal tshuaj tiv thaiv kab mob tau muab tshuaj los txo qhov mob, thiab feem ntau pom zoo rau cov neeg mob uas muaj varicose leeg. Cov pab pawg no suav nrog "Indomethacin", "Diclofenac".
- Yog muaj varicose leegedema tau pom, ces tus kws kho mob kuj tseem xav kom noj "Venosmin".
Tag nrho cov tshuaj saum toj no rau cov hlab ntsha thiab cov hlab ntsha hauv ob txhais ceg yuav tsum tau muab los ntawm kws kho mob nkaus xwb uas yuav tsis tsuas yog kuaj xyuas xwb, tab sis kuj kawm txog txhua yam kab mob sib kis thiab saib xyuas kev kho mob.
"Detralex": yuav ua li cas?
Cov tshuaj no tau siv ntev los kho cov kab mob varicose ntawm sab qis. Nws pab ua kom lub suab thiab elasticity ntawm phab ntsa ntawm cov hlab ntsha, thiab kuj tshem tawm congestion. Noj nws ob zaug ib hnub, ob ntsiav tshuaj ib zaug. Cov chav kawm nyob ntawm qhov hnyav ntawm tus kab mob. Yog tias tus kab mob tau kuaj pom thawj zaug, ces nws yuav txaus noj tshuaj rau cov pob qij txha ntawm ob txhais ceg tsuas yog 2-3 lub lis piam. Yog tias pom cov ntshav txhaws thaum lub sijhawm kuaj, lub sijhawm nkag mus yuav tsum yog tsawg kawg rau lub hlis. Tab sis qhov teeb meem no tau tham nrog tus kws kho mob.
Cov tshuaj no yog contraindicated rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo, nrog rau cov poj niam cev xeeb tub thiab cov niam pub niam mis. "Detralex" tau yooj yim zam los ntawm lub cev, tab sis qee zaum muaj kev tsis haum tshuaj, kiv taub hau thiab plab zom mov tuaj yeem tshwm sim.
"Phlebodia": cov lus qhia, ntau npaum li cas
Qhov no yog ib yam tshuaj uas ua kom cov hlab ntsha ntawm ob txhais ceg, nws muaj diosmin, uas yog lub luag haujlwm rau kev kho mob. Cov tshuaj no tsis pom zoo rau cov neeg mob uas muaj lub siab tsis zoo thiab lub raum kev ua haujlwm, nrog rau qhov muaj feem cuam tshuam rau kev ua xua. Nws raug tso cai noj txawm tias los ntawm cov poj niam cev xeeb tub thiab pub niam mis. Noj "Flebodia" thaum sawv ntxov, 1 ntsiav tshuaj rau 1-2 lub hlis.
"Aspirin" rau varicose leeg
Rau lub sijhawm ntev, muaj teeb meem nrog cov leeg ntawm ob txhais ceg, kws kho mob qhia cov neeg mob "Aspirin", tab sis tsuas yog ua ke nrog lwm cov tshuaj. Yog tias koj nruj me ntsis ua raws li cov lus pom zoo, ces cov tshuaj rau cov ntshav txhaws hauv cov hlab ntsha ntawm ob txhais ceg pab. Nws yuav tsum tau noj txhua txhua 4 teev, 1 ntsiav tshuaj, thaum koj yuav tsum tsis txhob haus ntau tshaj 8 ntsiav tshuaj ib hnub twg. Kev txais tos yuav tsum tau nqa tawm nruj me ntsis tom qab noj mov, vim tias cov tshuaj nquag ntawm cov tshuaj cuam tshuam rau lub plab mucosa. Kev noj tshuaj ntau dhau yuav tsum tsis txhob tso cai, txwv tsis pub hemorrhage tuaj yeem tshwm sim. Thaum cev xeeb tub thiab lactation, cov tshuaj yog contraindicated.
Y"Diclofenac"
Cov tshuaj no los ntawm ntau hom: ntsiav tshuaj, txhaj tshuaj thiab tshuaj pleev. Nyob rau hauv cov ntaub ntawv ntawm teeb meem nrog cov leeg ntawm ob txhais ceg, nws yuav tsum tau siv raws li ib feem ntawm txoj kev kho. "Diclofenac" pab txo qhov mob thiab mob, thiab tseem tiv thaiv thrombosis. Cov ntsiav tshuaj yog qaug cawv tom qab noj mov, 1 ntsiav tshuaj ob zaug ib hnub, thiab cov tshuaj pleev yog siv rau ob txhais ceg.
Cov tshuaj no muaj ntau yam contraindications, yog li ua ntej noj nws, nws yog qhov zoo dua mus ntsib koj tus kws kho mob. Cov tshuaj tsis haum rau kev kho mus sij hawm ntev.
Atherosclerosis ntawm cov hlab ntsha ntawm ob txhais ceg: tshuaj
Atherosclerosis yog ib qho kev txawv txav hauv cov metabolism hauv tag nrho lub cev lossis ib qho khoom nruab nrog. Tus kab mob cuam tshuam rau cov hlab ntsha thiab yog tus cwj pwm los ntawm kev tso tawm ntawm cov khoom tshwj xeeb rau hauv daim nyias nyiascov hlab ntsha. Vim qhov kev sib cog lus no, lub lumen hauv cov hlab ntsha txo qis, thiab yog tias tsis muaj kev ntsuas, ces lawv qhov txhaws thiab cov ntaub so ntswg tsis txaus yuav tshwm sim yav tom ntej.
Kev hloov pauv dystrophic tsim los ntawm kev noj zaub mov tsis txaus. Qhov tseem ceeb tshaj plaws uas ua rau muaj kev txhim kho ntawm atherosclerosis ntawm qis qis yog kev haus luam yeeb thiab ntshav qab zib mellitus. Yog tias kuaj tau lawm, ces tsis muaj kev khiav tawm, tsuas yog kho thiab noj cov tshuaj uas kws kho mob tau sau tseg kom nthuav cov hlab ntsha ntawm ob txhais ceg.
Txhua yam tshuaj siv los kho atherosclerosis feem ntau muab faib ua ob peb pawg loj:
- statins. Cov tshuaj tseem ceeb hauv lawv cov muaj pes tsawg leeg muaj peev xwm tswj tau qhov zoo sib npaug ntawm cov rog noj qab haus huv thiab tsis zoo uas nyob hauv cov ntshav. Lawv lub luag haujlwm tseem ceeb yog txo qis cov roj cholesterol. Tag nrho cov tshuaj no yog tsom rau thaiv cov enzymes uas txhawb kev tsim cov lipid compounds. Cov nyiaj no yuav tsis tshem tawm cov nyiaj uas twb muaj lawm los ntawm cov phab ntsa vascular, tab sis yuav nres lawv txoj kev loj hlob thiab tiv thaiv kev thaiv.
- Fibrates tau muab tshuaj kom txo qis cov roj cholesterol thiab tsuas yog rau cov neeg mob uas tau contraindicated hauv statins. Lawv txo cov synthesis ntawm triglycerides, ua rau kom tawg ntawm cov cholesterol thiab inhibit nws qhov kev ua.
- ACE inhibitors tswj ntshav siab. Lawv tsis tshem tawm ntawm atherosclerosis, tab sis lawv txuag los ntawm ntau yam teeb meem, uas tau qhia nyob rau hauv daim ntawv ntawm mob stroke lossis plawv nres.
- Beta-blockers raug pom zoo rau cov neeg mob uas muaj kab mob ischemic, uas yog nrog los ntawmnce ntshav siab thaum muaj qhov sib cuam tshuam claudication.
- Cov tshuaj tiv thaiv kab mob pab ua kom cov ntshav nyias, tiv thaiv cov hlab ntsha los ntawm cov quav hniav ntawm cov phab ntsa vascular, yog li txo cov lumen ntxiv.
Nws yog ib qho tsim nyog yuav tsum noj tshuaj rau cov teeb meem ntawm cov hlab ntsha ntawm ob txhais ceg raws nraim raws li tus kws kho mob tau sau tseg. Yog tias koj haus cov tshuaj no tsis raug, koj yuav muaj ntshav siab tsawg, vim tias cov ntshav yuav tsis dhau ntawm cov hlab ntsha, thiab cov ntaub so ntswg yuav tsis tau txais cov pa uas lawv xav tau.
Thrombophlebitis thiab phlebitis ntawm qis extremities
Thrombophlebitis yog ib qho mob uas cuam tshuam rau cov leeg ntawm ob txhais ceg, uas muaj cov ntshav txhaws nyob rau hauv lub lumen ntawm cov hlab ntsha, provoked los ntawm cov txheej txheem inflammatory ntawm phab ntsa venous. Cov kws kho mob tshwj xeeb hu rau tus kab mob no o thiab thrombosis ntawm cov leeg pob txha. Yog hais tias pathology tau cuam tshuam cov hlab ntsha sib sib zog nqus, ces qhov kev kuaj mob no yog "phlebothrombosis" lossis "vascular thrombosis". Yog tias mob tau kho, tab sis tsis muaj ntshav txhaws, qhov no yog phlebitis.
Feem ntau, cov kab mob cuam tshuam rau cov leeg ntawm cov leeg qis, nws tsis tuaj yeem kho nws tus kheej, tsuas yog kev sib xyaw ua ke yuav ua rau cov txiaj ntsig zoo.
mob plab ob txhais ceg
Qhov no yog ib yam kab mob loj uas niaj hnub ua rau hauv cov hlab ntsha ntawm cov leeg qis thiab ua rau lub lumen hauv lawv qhov qis qis, cov ntshav khiav tsis zoo thiab mob gangrene. Nws yog cov hlab ntsha ntawm ob txhais ceg uas feem ntau raug rau tus kab mob no.
Cov tsos mob ntawm tus kab mob no tau tshaj tawm rau cov txiv neej hnub nyoog nruab nrab thiab laushnub nyoog uas tsim txom haus luam yeeb. Kev kho tus kab mob no tsuas muaj txiaj ntsig yog tias kuaj pom pathology thaum ntxov, thaum cov ntaub so ntswg tau cuam tshuam loj heev thiab gangrene tshwm sim, tom qab ntawd tsuas yog txiav tawm, tsis muaj tshuaj rau cov hlab ntsha ntawm ob txhais ceg yuav pab tus neeg mob.
Cov neeg mob ntshav qab zib feem ntau muaj teeb meem ko taw. Nyob rau hauv xws li cov neeg mob, cov hlab ntsha ntawm lub qis extremities, tab sis tag nrho lub cev raug kev txom nyem. Nws yog ib qho nyuaj heev los nrhiav cov tshuaj rau cov hlab ntsha ntawm ob txhais ceg hauv cov ntshav qab zib, vim tias tus kab mob no yog hom thawj thiab thib ob. Hauv cov neeg mob zoo li no, edema feem ntau pom, vim tias cov txheej txheem metabolic hauv lub cev cuam tshuam. Txhawm rau tshem tawm puffiness, kws kho mob pom zoo kom noj Papaverine, Nifedipine lossis Enalapril.
Yuav tshem tawm qhov mob, nws raug tso cai siv:
- thioctic acid derivatives;
- tshuaj tiv thaiv kev nyuaj siab;
- tshuaj loog hauv zos;
- anticonvulsants.
Vitamin B;
Kho kho qhov tsis xws luag trophic, tshuaj tua kab mob xws li Betadine, Curiosin, Solcoseryl lossis Levomekol yog siv.
Xaiv cov tshuaj rau cov hlab ntsha ntawm ob txhais ceg uas muaj ntshav qab zib lossis rau cov neeg mob uas tsis muaj qhov kev kuaj mob no, tus kws kho mob tuaj koom yuav tsum paub tseeb. Kev noj tshuaj rau tus kheej hauv cov xwm txheej zoo li no tuaj yeem ua rau muaj kev phom sij tsis tuaj yeem. Txawm tias tom qab cov tshuaj tau muab los ntawm tus kws kho mob tshwj xeeb, tag nrhotab sis koj yuav tsum kawm tus kheej cov lus qhia, tej zaum thaum tham nrog tus kws kho mob, tus neeg mob tsis nco qab hais txog nws lwm yam kab mob, thiab nws yuav tsum tsis txhob noj cov tshuaj no. Txhua yam xwm txheej tsis zoo thaum kho yuav tsum raug qhia rau tus kws kho mob.
