Varicose veins yog ib yam kab mob loj uas tsis yog tsuas yog kho kom zoo nkauj xwb, tab sis kuj ua rau cov ntshav tsis zoo. Ib tug neeg lub neej yog deterioration. Kev saib xyuas kev kho mob tuaj yeem ua rau muaj txiaj ntsig tsuas yog hauv thawj theem ntawm kev txhim kho pathology, thaum muaj teeb meem, tus neeg mob tau muab tshuaj phlebectomy ua ke.
Kev ua haujlwm yog dab tsi?
Ua ke phlebectomy yog kev tshem tawm cov hlab ntsha. Qee qhov pathologies ua rau muaj qhov nce hauv lawv cov lumen, vim tias cov ntshav siab txo qis. Hauv qhov no, lub siab yuav tsum ua haujlwm ntau dua.
Yuav kom tshem tau qhov teeb meem, lub nkoj yuav tsum tau muab tshem tawm. Lub luag haujlwm tseem ceeb ntawm kev ua ke phlebectomy yog kom normalize ntshav ncig. Nws yog ua los ntawm tus neeg mob hauv tsev lossis tus neeg mob sab nraud. Nws tag nrho yog nyob ntawm qhov hnyav ntawm qhov txhab. Kev cuam tshuam nrog kev siv ntau yam txuj ci.
Cov lus qhia rau kev siv
Muaj ntau yam qhia thiab contraindications rau ua kephlebectomy. Kev ua haujlwm raug muab rau thaum muaj teeb meem xws li:
- mob thiab kub hnyiab hauv qis extremities.
- o ntawm ob txhais ceg thiab lawv cov nkees nkees.
- Distended veins.
- Thrombophlebitis nyob rau theem pib.
- Stagnation of blood in ob txhais ceg.
- Venous insufficiency.
- -dilation ntawm tus zoo kawg li txoj hlab ntshav.
- cov ntaub so ntswg thiab daim tawv nqaij ulcers.
Kev sib koom ua ke phlebectomy yog ua tau yog tias cov kab mob nthuav dav saum lub hauv caug.
Contraindications rau kev siv
Yog tias kuaj pom cov kab mob varicose, kev tshem tawm cov leeg tsis tuaj yeem ua tiav. Muaj xws li contraindications rau kev ua haujlwm:
- Nyob rau hauv siab.
- kab mob plawv ischemic.
- Teeb meem tiv thaiv kab mob.
- Nyob laus.
- Acute deep hlab ntsha thrombosis.
- kab mob kis los yog kab mob ntawm daim tawv nqaij.
- Kev cev xeeb tub.
- Npaj Ntsuag.
- Atherosclerosis ntawm ob txhais ceg.
- Menstruation in poj niam.
Yog tias ib tus neeg muaj kev pheej hmoo, tom qab ntawd nrog cov leeg varicose, kev tshem tawm ntawm thaj chaw cuam tshuam tuaj yeem raug sau, tab sis twb muaj lus nug txog hom txheej txheem.
Qhov zoo ntawm kev phais
Nrog varicose leeg, phais yuav pab tshem tawm cov tsos mob. Nws muaj qhov zoo hauv qab no:
- Txo qhov yuav muaj kev txhim kho ntxiv ntawm tus kabmob, txij li tom qab tshem tawm qhov lojcov nkoj, lawv yuav tsis muaj peev xwm loj hlob ntxiv.
- Nws tuaj yeem ua haujlwm ib txhij ntawm ob ceg ceg.
- Achieve a noticeable cosmetic effect.
- Lub sijhawm rov ua haujlwm luv luv.
- Tom qab kev cuam tshuam, cov nti yuav luag tsis pom.
Kev ua haujlwm tshwj xeeb tuaj yeem ua los ntawm OMS. Tsis tas li ntawd, ua ke phlebectomy, chav kawm ntawm kev ua haujlwm suav nrog kev sib xyaw ua ke ntawm ntau cov txheej txheem, ua tiav sai thiab yooj yim.
Qhov tsis zoo ntawm kev ua haujlwm
Txawm tias txhua qhov zoo, qhov txheej txheem no yuav muaj qhov tsis zoo. Ua ntej tshaj plaws, nws yuav tsum tau tshuaj loog, uas tsis yog rau txhua tus.
Kev ua haujlwm yuav tsum tau ua los ntawm tus kws kho mob uas paub txog, txwv tsis pub muaj kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha noj qab haus huv, paj hlwb. Tom qab kev cuam tshuam, bruises, hnub nyoog me ntsis feem ntau tshwm sim. Feem ntau lawv ploj thaum thawj lub lis piam tom qab lub sijhawm phais, tab sis cov pob txha tuaj yeem nyob twj ywm rau lub neej.
Muaj Teeb Meem
Tom qab ua ke phlebectomy, kev tshuaj xyuas feem ntau yog qhov zoo. Ib tug neeg txoj haujlwm tseem ceeb txhim kho, nws tuaj yeem taug kev yam tsis muaj mob. Txawm li cas los xij, cov txheej txheem kuj tuaj yeem ua rau qee qhov teeb meem:
- Hav los ntshav thaum phais. Nws tsis yog ib txwm ua tau kom ceev nws. Feem ntau qhov teeb meem no tshwm sim hauv cov neeg mob uas muaj teeb meem nrog ntshav.
- mob tsis tu ncua ntawm ob txhais ceg, zoo li cov ntsaws ruaj ruaj, uas tuaj yeem ua rau mob.
- Desensitization hauv nqua. Tus mob no yog ib yam rau cov neeg mob uas thaum lub sij hawm ua hauj lwm puas lawmpaj huam,
- Nkauj tawm tshiab. Qhov teeb meem no tshwm sim vim tsis ua raws li cov cai ntawm septic thiab antiseptic.
Qee lub sij hawm tus neeg mob tsim cov hlab ntsha sib sib zog nqus tom qab muaj kev cuam tshuam. Thaum muaj teeb meem, tus neeg mob yuav tsum tau siv tshuaj kho mob. Nws yuav pab tshem tawm cov tsos mob tom qab phais sai sai.
kuaj mob
Ua ntej tshem cov hlab ntsha puas tsuaj, tus neeg yuav tsum tau ua tib zoo tshuaj xyuas. Txoj kev kuaj mob tseem ceeb yog ultrasound ntawm cov hlab ntsha thiab cov hlab ntsha ntawm qis extremities. Txoj kev tshawb no yuav tso cai rau kev ntsuam xyuas qhov hnyav ntawm pathology, qhov chaw ntawm cov hlab ntsha puas thiab xaiv txoj kev tshem tawm uas tsim nyog.
Thaum kuaj pom, kos cov leeg ua tiav. Qhov no yuav tsum tau kuaj xyuas duplex ultrasound. Tsis tas li ntawd, kuaj zis thiab ntshav, kuaj ntshav (coagulogram) tau ua. Txhawm rau tiv thaiv cov teeb meem, nws tseem yuav tsum tau ua fluorography, ECG.
Kev npaj
Phlebectomy xav tau kev npaj ua ntej. Ntawm no tus neeg mob yuav tsum tau hnav ris tsho hauv qab compression rau ob peb lub lis piam, siv cov tshuaj kho mob, thiab tau txais kev kho lub cev.
Tam sim ua ntej kev cuam tshuam, koj yuav tsum chais koj ob txhais ceg, npaj compression stockings los yog elastic bandage. Nyob rau yav tsaus ntuj nws yog txwv tsis pub noj hmo, haus tshuaj. Koj kuj yuav tsum tau ua ib qho enema, vim nws yog txwv tsis pub mus rau hauv chav dej ob peb hnub tom qab ua haujlwm. Koj yuav tsum da dej.
theem ntawm kev siv
Thaum teem ib lub phlebectomy ntawm cov hlab ntsha ntawm qis extremities, chav kawm ntawm kev ua haujlwm suav nrog cov kauj ruam hauv qab no:
- Crossectomy. Nyob rau theem no, cov hlab ntsha loj saphenous yog ligated. Tom qab ntawd, nyob rau hauv qhov chaw uas nws ntws mus rau hauv qhov tob venous system, nws yog hla. Kev txav ntawm cov ntshav los ntawm cov hlab ntsha nres. Cov theem no tuaj yeem ua tiav ob qho tib si thaum pib ntawm kev ua haujlwm, thiab thaum lub sijhawm ua tiav. Nws tsis yog ib txwm xav tau, tsuas yog thaum muaj kev pheej hmoo ntawm cov hlab ntsha sib sib zog nqus thrombosis nce. Rau kev tshem tawm, kev phais yog ua rau sab hauv ntawm txhais ceg hauv qab lub hauv caug lossis hauv puab tais.
- Txoj kab. Tom qab hla cov hlab ntsha, nws raug tshem tawm tag nrho. Cov txheej txheem no yog radical. Txawm li cas los xij, tsuas yog ib feem me me ntawm lub nkoj tuaj yeem raug tshem tawm hauv txoj kev no.
- Ligation ntawm perforating nkoj. Nws yog nqa tawm tom qab cov hlab ntsha subcutaneous tau raug tshem tawm. Cov hlab ntsha no txuas cov hlab ntsha sab nraud thiab tob.
- Miniphlebectomy. Qhov no yog qhov kawg. Nws suav nrog kev tshem tawm cov tawg tawg ntawm cov leeg. Cov txheej txheem zoo li no tuaj yeem siv los ua kev cuam tshuam kev ywj pheej tag nrho.
Tom qab ua haujlwm, cov tshuaj pleev ib ce me me tau siv rau qhov incisions. Tom qab daim tawv nqaij tau zoo lawm, cov kab ntawm lawv yuav luag tsis pom. Qee lub sij hawm cov npoo ntawm qhov kev txiav yog glued ua ke nrog kev phais tshwj xeeb los txuas cov ntaub so ntswg.
Yog tias tsim nyog, qee qhov ntawm cov theem no tuaj yeem hloov tau los ntawm txoj kev maj mam kho cov leeg varicose: radiofrequency lossis laser. TxujLub sijhawm ua haujlwm tsis pub dhau 2 teev.
txheej txheem rov ua dua
Tom qab ua ke phlebectomy, lub sijhawm tom qab phais yuav tsum ua raws li tus kws kho mob cov lus pom zoo. Nws lub sijhawm yog 6 lub hlis. Lub sijhawm kho mob pib txawm tias thaum tus neeg mob nyob hauv tsev kho mob. Cov kab tom qab tshem tawm raug tshem tawm tom qab 7 hnub.
Thaum thawj 3-4 teev tus neeg mob tseem nyob hauv txaj. Tab sis nws yuav tsum tsis txhob passive. Lub sijhawm no, nws ua haujlwm yooj yim: tig nws pob taws, tig ntawm sab mus rau sab. Cov kev tawm dag zog zoo li no yuav pab ua kom cov ntshav khiav zoo.
Tus neeg mob yuav tsum hnav cov hnab ntim compression rau lwm lub hlis tom qab kev cuam tshuam. Thiab koj yuav tsum hnav lawv ib ncig ntawm lub moos. Cov ris tsho hauv qab no txhim kho cov ntshav khiav ceev.
Nws tuaj yeem ntxuav cov ceg ua haujlwm tsuas yog tom qab tshem cov stitches. Qhov no yuav tsum tau ua kom zoo zoo. Tom qab lub sijhawm no, cov thom khwm raug tso cai raug tshem tawm thaum hmo ntuj. Nws yog txwv tsis pub rhuav tshem cov crusts tsim ntawm qhov chaw ntawm seams. Cov cheeb tsam no yuav tsum tau lubricated nrog cov tshuaj tua kab mob rau qee lub sijhawm. Lawv yuav pab tiv thaiv kom tsis txhob kis kab mob nkag mus rau qhov txhab.
Tsis pub dhau 2-3 lub hlis tom qab kev cuam tshuam, tus neeg mob yuav tsum tsis txhob mus da dej, mus ntsib lub sauna, da dej kub. Hauv qhov no, compression ris tsho hauv qab yuav tsum tau hnav ntxiv thaum nruab hnub. Thawj hnub tom qab phlebectomy, tus neeg mob tau muab tshuaj phlebotonics thiab tshuaj tua kab mob.
Ntxiv rau, cov tshuaj hauv qab no tau muab rau tus neeg mob:
- Tshuaj raws li salicylic acid,"Pentoxifylline". Lawv normalize microcirculation.
- Cov khoom muaj ginkgo biloba.
- YAntioxidants.
Txhawm rau kom rov qab sai, koj yuav xav tau ntau cov vitamin thiab ntxhia complexes. Cov tshuaj tau muab rau hauv ib chav kawm uas kav 14 hnub.
Cov txheej txheem kho lub cev ua haujlwm ntxiv tau raug sau tseg. Lawv tiv thaiv kev txhim kho ntawm cov txheej txheem inflammatory thiab kab mob trophic. Tus neeg mob yuav tau txais kev pab los ntawm quartz irradiation, UHF therapy.
Yuav ua li cas tom tsev?
Thaum rov zoo, koj yuav tsum mus ua luam dej, taug kev ntau dua hauv huab cua ntshiab. Koj kuj yuav tsum ua raws li cov lus pom zoo hauv qab no ntawm cov kws tshaj lij:
- Twb tsuas yog khau uas xis nyob uas yuav tsis yuam lossis tsoo koj txhais ko taw.
- Tsis txhob nqa ntau tshaj ib kilo.
- Yuav tsum kom cov ceg tawv kom siab thaum so.
- txwv tsis pub nyob hauv tib txoj haujlwm ntev. Yog hais tias ib tug neeg muaj ib tug sedentary txoj hauj lwm, ces nws yog tsim nyog ncua sij hawm ncab ob txhais ceg.
- Tom qab tso tawm, tus neeg mob tau txais kev ua haujlwm nruab nrab ntawm lub cev (kev tawm dag zog lub cev). Nws yuav tsum tau ua tsis tu ncua. Kev tawm dag zog yog ua kom sawv ntsug hauv pem teb (tilts, thaum cov ntiv tes yuav tsum kov hauv pem teb, thiab ob txhais ceg nyob twj ywm), zaum hauv pem teb (tso rau pem hauv ntej nrog ob txhais ceg dav sib nrug), txhos caug (taug kev txhos caug rau pem hauv ntej thiab rov qab nrog txhais caj npab sib nrug.). Koj tseem tuaj yeem ua qhov ncig ntawm ob txhais ceg, sawv ntawm cov ntiv taw.
- Cia li haus cawv thiab haus cawv.
- Noj rationally thiab tag nrho. Noj zaub movkoom nrog kev siv cov khoom uas ua rau cov ntshav nyias, ntxiv dag zog rau cov phab ntsa vascular. Cov zaub mov yuav tsum tsis txhob muaj rog. Xav tau txiv duaj thiab zaub.
Yog khaus tshwm hauv qhov caws pliav, ces nws yuav tsum tau kho nrog iodine. Kev zaws tus kheej yuav pab koj rov qab sai dua. Nws tiv thaiv cov tsos ntawm cov ntshav txhaws, congestion. Txhua qhov kev txav yuav tsum tau ua kom zoo. Massage yuav tsum tau muab los ntawm kws kho mob.
Varicosis yog kab mob txaus ntshai. Nrog rau kev kho tsis raws sijhawm, nws tuaj yeem ua rau cov nqaij mos tuag thiab poob ntawm ceg. Kev ua haujlwm kom tshem tawm cov hlab ntsha cuam tshuam yog txoj hauv kev ntawm kev cuam tshuam nrog pathology, tab sis nws tso cai rau koj los kho lub neej qub.
