Lub ntiaj teb cov tshuaj muaj ntau yam kab mob uas cuam tshuam rau ib tug poj niam txiv neej. Yog li ntawd, muaj cov poj niam tshwj xeeb ntawm lawv. Nws yog qhov tseeb xws li cov teeb meem uas varicose leeg ntawm lub plab me me hauv cov poj niam yog, uas yuav tau tham ntxiv.
Terminology
Thaum pib, koj xav nkag siab tias koj yuav tau ntsib dab tsi. Yog li, ntau tus poj niam tau hnov txog qhov teeb meem xws li varicose leeg. Raws li qhov tshwm sim ntawm tus kab mob, o ntawm peripheral veins tshwm sim nyob rau hauv daim tawv nqaij. Yog li ntawd, lub npe hu ua nodes tuaj yeem tsim, uas zoo kawg nkaus "pom", thiab kev noj qab haus huv ntawm cov ntshav kuj feem ntau cuam tshuam.
Cov kab mob pelvic varicose hauv poj niam yog dab tsi? Nws yuav tsum tau muab sau tseg tias qhov no yog ib tug kab mob uas ua rau o thiab txhaws ntawm cov hlab ntsha ntawm ib feem ntawm lub cev. Hauv lwm lo lus, nyob rau hauv lub plab mog muaj kev ua txhaum ntawm cov ntshav khiav, uas ua rau muaj teeb meem zoo li no. Feem ntau cov poj niam uas muaj hnub nyoog yug me nyuam raug kev txom nyem los ntawm qhov no.
About the mechanism of the development of the problem
Nyob rau hauv cov leeg noj qab nyob zoo, cov ntshavib tug neeg tsuas ntws mus rau hauv ib qho kev taw qhia. Yog hais tias peb tham txog cov teeb meem xws li varicose leeg ntawm lub me me pelvis nyob rau hauv cov poj niam, ces nyob rau hauv cov ntaub ntawv no muaj ib tug tsis ua hauj lwm nyob rau hauv lub outflow ntawm cov ntshav, vim hais tias nws yuav muab pov rov qab los ntawm lub zes qe menyuam leeg (nyob rau hauv cov tshuaj no tshwm sim. hu ua reflux). Qhov no tej zaum yuav yog vim tsis muaj kev ncaj ncees thiab elasticity ntawm li qub. Yog li ntawd, lub vascular phab ntsa yog stretched, cov hlab ntsha kab noj hniav expands. Nws lub peev xwm poob, thiab, yog tias tsim nyog, cov hlab ntsha tuaj yeem tsis tuaj yeem ua kom zoo. Thaum pib ntawm txoj kev loj hlob ntawm tus kab mob, tus poj niam pib cuam tshuam los ntawm qhov mob. Ntawm no nws yog lub ntsiab qhia. Thiab qhov no tshwm sim vim kev ua txhaum ntawm cov hlab ntsha xaus, uas ua rau innervation (tus txheej txheem ntawm kev poob kev sib txuas nrog cov hlab ntsha ntawm cov ntaub so ntswg ntawm cov leeg).
Txog varicose leeg ntawm lub plab mog thiab varicose leeg ntawm qis extremities
Feem ntau cov tib neeg tau ntsib teeb meem xws li varicose leeg ntawm sab qis. Qhov teeb meem no txawv li cas ntawm qhov uas tau tham hauv kab lus? Yeej, tsis muaj dab tsi. Lub mechanism ntawm chav kawm ntawm tus kab mob yog tib yam. Raws li nyob rau hauv cov ntaub ntawv ntawm ob txhais ceg, qhov teeb meem no feem ntau cuam tshuam rau venous li qub, uas muab cov ntshav khiav mus rau lub plawv cov leeg. Cov li qub no tuaj yeem tawg, ua rau stagnation lossis rov qab ntawm cov ntshav. Txawm li cas los xij, nrog varicose leeg ntawm lub plab me me, thaj tsam ib ncig ntawm cov hlab ntsha, lub tsev menyuam, qhov chaw mos, thiab txawm tias qhov chaw mos raug kev txom nyem ntau dhau.
Hais txog qhov ua rau tus kabmob
Nco ntsoov qhia vim li casvaricose leeg ntawm me me pelvis nyob rau hauv cov ntxhais. Yog li, cov kws kho mob tsis muaj ib lo lus teb rau lo lus nug no. Muaj ntau ntau yam sib txawv uas ua rau qhov no:
- Kev xeeb tub. Qhov feem ntau yog vim li cas. Tseeb tiag, lub sijhawm no, qhov ntim ntawm cov ntshav ncig hauv tus poj niam tau nce ntau. Thiab qhov no, ua ke nrog qhov hnyav nce, uas kuj yog tus yam ntxwv ntawm cov poj niam cev xeeb tub, ua rau stretching ntawm phab ntsa ntawm cov hlab ntsha. Nws yog qhov tseeb hais tias yav tom ntej tuaj yeem ua rau muaj teeb meem nrog cov li qub thiab qhov tshwm sim ntawm stagnation.
- Ua rau varicose leeg ntawm lub plab me me tuaj yeem muab zais rau hauv cov yam ntxwv ntawm tus poj niam lub cev. Txhawm rau muab nws yooj yim, qee tus poj niam muaj cov qauv tshwj xeeb ntawm cov leeg ntawm lub plab me me, uas rau lub sijhawm cev xeeb tub hloov mus ua qhov tshwm sim txaus ntshai tshaj plaws. Thiab fertilization tuaj yeem cuam tshuam tsis zoo rau lawv tus mob.
- Yog vim li cas tej zaum yuav yog pathology ntawm cov ntaub so ntswg sib txuas, thaum cov phab ntsa ntawm cov hlab ntsha lawv tus kheej tuaj yeem ncab thiab poob lawv cov duab. Cov nyhuv ntawm lub cev ntawm cov tshuaj estrogen, ib qho tshuaj hormone tshwj xeeb uas ua haujlwm thaum cev xeeb tub, kuj tuaj yeem ua rau muaj qhov tshwm sim zoo ib yam. Nws yog tsim los so cov leeg ntawm lub tsev menyuam. Tab sis qee zaum nws kuj cuam tshuam rau phab ntsa ntawm cov hlab ntsha, lawv cov contractility.
- Cov hauv qab no ua rau varicose leeg ntawm lub plab me me, uas yog cov kws kho mob tshwj xeeb, muaj ntau lossis ntau qhov yug.
- Varicosis tuaj yeem tshwm sim tsis yog los ntawm kev ua haujlwm tsis tu ncua thiab kev ua neej nyob tsis tu ncua, tab sis kuj yog los ntawm cov poj niam nqa cov khoom hnyav (piv txwv li, qhov no yuav yog vim qhov tshwj xeeb ntawm kev ua haujlwm).
- Tus kws kho mob hais li ntawdFeem ntau cov ua rau varicose leeg ntawm lub pelvis me me kuj nyob rau hauv kev sib deev dysfunctions. Piv txwv li, anorgasmia (uas yog, qhov tsis muaj orgasms) tuaj yeem ua rau muaj teeb meem, lossis teeb meem xws li dyspareunia, thaum tus poj niam muaj mob thaum muaj kev sib deev, ua ntej, lossis tam sim ntawd tom qab nws (los ntawm txoj kev, qhov no feem ntau yog kev puas siab puas ntsws., deb-fetched teeb meem).
- Qhov ua rau tuaj yeem ua tau ntau yam kab mob gynecological, nrog rau kev siv cov coitus cuam tshuam los ntawm kev siv tshuaj tiv thaiv.
Symptoms of disease
Hais txog cov kab mob xws li varicose leeg ntawm lub plab hauv plab hauv cov poj niam, cov tsos mob ntawm qhov teeb meem yog qhov tseem ceeb los tham txog. Yog li, cov kab mob dab tsi tuaj yeem qhia tus kab mob nyuaj no? Ua ntej tshaj plaws, nws yog mob. Peb tuaj yeem hais tias qhov no tsuas yog qhov tseem ceeb tshaj plaws qhia tau tias koj twb tau mus ntsib kws kho mob. Mob yog nyob rau hauv lub plab mog, tej zaum yuav tawg mus rau lub lumbosacral cheeb tsam los yog puab tais. Lawv qhov kev siv zog sib txawv. Kev mob tuaj yeem nce ntxiv thaum muaj kev sib deev, vim qhov tshwm sim ntev ntawm koj txhais taw, thaum cev xeeb tub lossis ua ntej lawv pib, nyob rau theem tom qab yug menyuam.
Tseem muaj ntau cov tsos mob tsis tshwj xeeb uas yuav tshwm sim lossis tsis tshwm sim, lossis txawm tias tsis tuaj yeem ua ke. Cov ntsuas no yog dab tsi?
- Teeb meem nrog kev coj khaub ncaws. Yog, qhov no yuavyuav hnyav heev los ntshav, ib yam nkaus thiab pronounced premenstrual syndrome. Nws kuj tuaj yeem yog cov tsos mob ntawm dysmenorrhea, thaum muaj kev ua txhaum ntawm kev coj khaub ncaws.
- Qhov chaw mos thiab perineal tej zaum yuav rhiab.
- qhov tso zis tuaj yeem tshwm sim txawm tias los ntshav.
- Qee zaum muaj kev tso zis txhaum cai.
- Cov poj niam yuav muaj kev qaug zog ntxiv, tsis muaj zog tas li.
Ib zaug ntxiv, Kuv xav kom nco ntsoov tias tsis yog tag nrho cov tsos mob no tuaj yeem tshwm sim hauv ib tus poj niam. Yog vim li ntawd lawv thiaj li hu ua non-specific. Tab sis qhov mob yuav tshwm sim hauv txhua qhov teeb meem nyuaj no.
Cov kab mob zoo sib xws
Nws kuj yuav tsum tau muab sau tseg tias qee zaum varicose leeg ntawm lub plab me me hauv cov poj niam tau lees paub ntau dhau lawm. Thiab tag nrho vim tias tsis yog txhua tus kws kho mob ua tiav hauv kev kuaj xyuas qhov tseeb thawj zaug. Yog li, qhov laj thawj yog qhov tseeb tias muaj ntau cov kab mob zoo ib yam li varicose leeg:
- YUterine fibroids (kev loj hlob zoo uas tshwm sim hauv myometrium - uterine txheej).
- Endometriosis (tseem yog ib qho kev tsim kho zoo, uas yog nyob hauv cheeb tsam feem ntau hauv cov mucous txheej ntawm lub tsev menyuam los yog dhau mus).
- Prolapse ntawm lub tsev menyuam thaum, vim cov leeg tsis muaj zog, nws tuaj yeem nkag mus rau hauv cheeb tsam pelvic.
theem kab mob
Pelvic varicose veins hauv cov poj niam muaj peb theemleakage:
- Txoj kab uas hla ntawm cov leeg yog nyob rau thaj tsam li ntawm 5-7 hli, thiab cov txheej txheem npog ntawm theem no tsuas yog sab sauv ntawm sab laug zes qe menyuam.
- Nyob rau theem ob, txoj kab uas hla ntawm cov hlab ntsha tuaj yeem ncav cuag 10 mm. Cov txheej txheem ntawm kev loj hlob ntawm tus kab mob cuam tshuam rau tag nrho sab laug zes qe menyuam. Nyob rau theem no, cov leeg varicose tuaj yeem cuam tshuam rau ib feem ntawm lub tsev menyuam thiab lub zes qe menyuam.
- Nyob rau theem peb, txoj kab uas hla ntawm cov hlab ntsha tuaj yeem ncav cuag 13 hli. Qhov teeb meem cuam tshuam rau ob lub zes qe menyuam thiab lub tsev menyuam tag.
kuaj kab mob
Raws li tau hais los saum no, varicose leeg ntawm lub plab me me feem ntau tsis meej pem nrog lwm cov kab mob gynecological. Tias yog vim li cas kev kuaj mob sib txawv ntawm tus kab mob tseem ceeb heev hauv qhov no. Cias muab, koj yuav tsum tau tshem tawm tag nrho cov kab mob uas zoo sib xws hauv lawv cov tsos mob. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom txiav txim siab qhov kev kuaj mob kom raug. Thiab rau qhov no koj yuav tsum tau tsim qhov chaw uas cov ntshav rov qab los (reflux) tshwm sim. Yog li, nyob rau hauv cov ntaub ntawv no, koj yuav tsum tau hu rau ib tug phlebologist, uas yuav muab tag nrho cov ntau yam ntawm cov txheej txheem kuaj mob:
- Ultrasound. Hauv qhov no, lub tsev menyuam thiab lwm yam kabmob ntawm lub plab me me ntawm tus pojniam raug kuaj xyuas. Ultrasound, txawm li cas los xij, pab saib cov ntshav ntws hauv lub plab mog. Cov txheej txheem nws tus kheej tsis mob kiag li, tsis siv sijhawm ntau thiab nyiaj txiag.
- Plebogram. Txoj kev kuaj mob no tau nquag siv ua ntej, nws cov ntsiab lus yog kom paub txog cov ntshav stagnation nyob rau hauv lub plab mog. Nyob rau hauv cov txheej txheem no, ib tug zas xim yog txhaj rau hauv cov ntshav, tom qab uas cov hlab ntsha tau saib nyob rau hauv x-rays. Cov txheej txheem kuj yogtsis mob, yuav siv li 40 feeb. Nws tsuas yog kev pheej hmoo yog kev tsis haum tshuaj, uas yuav tshwm sim los ntawm kev ua ntawm tus neeg sawv cev sib txawv. Niaj hnub no, feem ntau, phlebogram yog hloov los ntawm kev suav tomography.
- CT. Phlebogram lwm txoj. Nrog rau txoj kev kuaj mob no, cov kws kho mob tshwj xeeb tuaj yeem pom qhov pom ntawm thaj chaw pelvic hauv cov poj niam, nrog rau txheeb xyuas thaj chaw ntawm varicose leeg. Nyob rau hauv cov ntaub ntawv no, muaj hluav taws xob raug, raws li cov txheej txheem yog contraindicated nyob rau hauv cev xeeb tub.
- MRI. Pab txheeb xyuas cov ntshav pelvic stasis. Ib txoj kev kawm tsis mob thiab tsis muaj teeb meem kiag li, vim tias cov kws kho mob tau txais cov duab zoo. Cov txheej txheem yog ua raws li tus neeg mob sab nraud thiab siv sijhawm li 15 feeb.
Qee lub sij hawm ib txoj kev xws li laparoscopy (qhov no yog ib qho kev phais tshwj xeeb siv los kuaj xyuas qee yam kab mob) lossis Doppler ultrasound (kev kawm txog cov ntshav ntws hauv cov hlab ntsha uas siv cov nyhuv Doppler) tuaj yeem siv.
Kev kho mob
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov teeb meem xws li varicose leeg ntawm lub cev thiab cov leeg ntawm lub plab me me txawv ntawm ib leeg. Kev kuaj mob, kev kho mob, kev siv ntau yam hauv qhov no kuj txawv. Cov no yog cov kab mob zoo sib xws, tab sis cov txheej txheem ntawm kev tshem tawm lawv txawv. Feem ntau, varicose leeg ntawm lub plab hnyuv siab raum, uas tsis meej pem nrog qhov teeb meem nyob rau hauv kev xav, yog varicose leeg ntawm lub tsev menyuam lossis zes qe menyuam (hauv lwm lo lus, varicocele).
Raws li kev kho mob, txawm tias koj thovqhov zoo tshaj plaws, ces nws yog tsis yooj yim sua kom kho qhov teeb meem no kiag li. Txawm li cas los xij, nws tuaj yeem txhim kho lub neej zoo thiab tshem tawm feem ntau ntawm cov tsos mob. Dab tsi yog qhov tseem ceeb ntawm qhov no? Koj yuav tsum paub dab tsi txog qhov teeb meem xws li varicose leeg ntawm lub plab me me? Kev kho mob yuav tsum ua kom tiav thiab yuav tsum muaj cov khoom hauv qab no:
- siv tshuaj kho mob.
- Npaj ntaub qhwv tshwj xeeb.
- Kev siv kev kho mob qoj ib ce.
Lub hom phiaj tseem ceeb ntawm kev kho tus kab mob no:
- Restoring venous tone zoo.
- Txhim kho cov txheej txheem trophic hauv lub plab pelvic.
kev kho mob
Kuv yuav ua li cas thiaj tshem tau cov teeb meem xws li varicose leeg ntawm lub plab me me? Kev kho mob nrog tshuaj feem ntau yuav yog kev noj tshuaj ntawm qhov ncauj. Tseeb tiag, raws li qhov chaw ntawm tus kab mob, cov neeg ua hauj lwm sab nraud - tshuaj pleev thiab gels rau varicose leeg - tsuas yog siv tsis tau (vim cov yam ntxwv ntawm qhov chaw ntawm tus kab mob).
Tshuaj uas feem ntau siv rau cov leeg varicose ntawm lub plab me me:
- phlebotropic tshuaj;
- tsis yog-steroidal tshuaj tiv thaiv kab mob;
- multivitamins ntawm pawg B txhawm rau txhim kho cov paj hlwb, pawg P thiab C - kom tshem tawm cov hlab ntsha tawg;
- painkillers uas pab txo qhov mob.
Yog li, kev siv tshuaj yog pom zoo tsuas yog thaum lub sij hawm exacerbation ntawm tus kab mob. Yog tias tus neeg mob muaj tus kab mob thib peb,Kev phais mob (laparoscopy ua ke nrog kev siv X-ray endovascular txoj kev) kuj siv tau.
Lwm txhais tau tias tiv thaiv kab mob
Ntxiv rau kev kho tshuaj, koj tuaj yeem tawm tsam qhov teeb meem nrog kev pab ntawm kev kho lub cev, nrog rau hnav ris tsho hauv qab tshwj xeeb compression. Nyob rau hauv rooj plaub no, compression tights yuav pab tau, uas yuav txhim kho cov ntshav khiav hauv ob txhais ceg thiab, yog li ntawd, ib feem ntawm lub plab mog.
Xav txog kev ua lub cev muaj txiaj ntsig, nws yog ib qho tseem ceeb rau cov poj niam uas muaj qhov teeb meem no ua yam tsawg kawg "txiav", "tsheb tuam", "birch" ce txhua hnub. Kev ua pa ua pa thiab da dej sib piv rau sab sauv ntawm ob txhais ceg thiab thaj chaw pelvic kuj tseem siv tau. Txawm li cas los xij, tag nrho-fledged gymnastics yog txoj hauv kev nrawm rau lub neej zoo thiab noj qab haus huv. Tej yam yooj yim tab sis muaj zog ce:
- Tuag koj nraub qaum, ncab koj ob txhais ceg, ces, khoov, rub rau hauv siab. Ua li no 5 zaug.
- Ib zaug ntxiv, pw saum koj lub nraub qaum, tsa koj ob txhais ceg nce, khoov, tsa dua. Thiab ntau zaus.
- Puag ntawm koj lub plab, nqa txhua ceg tig. Nyob rau hauv qhov chaw siab tshaj, ob txhais ceg yuav tsum tau kho rau ob peb feeb. Ua yam tsawg kawg 5 teev rau txhua ceg.
- Koj yuav tau taug kev ncig ntawm chav 15 feeb. Ua ntej - ntawm cov ntiv taw, ces - ntawm pob taws, thiab tom qab ntawd - tsa lub hauv caug siab.
Kev nyuaj siab
Yog tus neeg mob muaj kab mob pelvic varicose leeg, kev kho cov poj niam yuav tsum muaj peev xwm thiabcomplex. Tseeb tiag, txwv tsis pub, muaj ntau yam teeb meem tuaj yeem tshwm sim. Nyob rau hauv cov ntaub ntawv no, cov kws kho mob hais tias cov poj niam tej zaum yuav dysfunctional uterine los ntshav, inflammatory thiab kis kab mob uterine. Tawm tsam keeb kwm ntawm varicose leeg, pelvic vein thrombosis tuaj yeem tsim.
Kev Tiv Thaiv
Thiab kawg kuv xav qhia koj tias koj yuav cawm tau koj tus kheej li cas ntawm qhov teeb meem no. Tom qab tag nrho, txhua yam kab mob yog yooj yim los tiv thaiv tshaj kom tshem tawm tom qab. Yog li, txheej txheem kev tiv thaiv tuaj yeem ua raws li hauv qab no:
- Nyob ib ce da dej rau cov leeg leeg.
- qoj ib ce muaj zog, xws li crunches. Lub load yuav tsum muab rau lub cev tas li.
- Nws yog ib qho tseem ceeb heev kom muaj kev sib deev tsis tu ncua. Qhov no muaj txiaj ntsig tsis yog rau cov leeg ntawm lub plab me me xwb, tab sis kuj rau tag nrho lub cev tag nrho.
Thiab, tau kawg, koj yuav tsum nco ntsoov tias nws yog ib qho tseem ceeb rau kev coj noj coj ua kev noj qab haus huv, tsis txhob zaum ntev ntev hauv ib qho chaw. Thiab yog tias kev ua haujlwm tsis tu ncua, ces tsis tu ncua so me me.
