Txog xws li pathology li varicose leeg, tej zaum txhua tus paub. Tab sis tsis yog txhua leej txhua tus muaj lub tswv yim txog dab tsi tus kab mob tuaj yeem ua rau. Varicose ulcers tshwm sim yog tias koj pib tus kab mob thiab tsis kho nws. Qhov no yog ib qho ntawm qhov tshwm sim loj tshaj plaws thiab txaus ntshai ntawm varicose leeg. Nyob rau hauv cov mob hnyav heev, tus kab mob tuaj yeem ua rau kev txiav tawm ntawm ceg los yog kev tuag ntawm tus neeg mob los ntawm sepsis. Feem ntau, qhov teeb meem manifests nws tus kheej nyob rau hauv daim ntawv ntawm trophic varicose ulcers ntawm sab ceg. Dab tsi ua rau tus kab mob thiab yuav kho li cas, peb yuav txheeb xyuas hauv kab lus no.
Qhov no yog dab tsi?
Cov kab mob trophic yog ib qho mob hnyav ntawm daim tawv nqaij uas tsis kho tau ntev, uas tshwm sim vim tsis kho cov kab mob varicose. Cov kab mob tuaj yeem txhim kho nrog kev kho tsis tau zoo thiab thaum lub sijhawm mob hnyav.
Lawv tshwm nyob rau hauv qhov chaw uas cov ntshav ntws cuam tshuam tshaj plaws, ua rau cov khoom noj tsis zoontaub. Ua ntej, qhov chaw ntawm daim tawv nqaij no tau txais ib qho ntxoov ntxoo tsaus, ces thickens, pib khaus thiab tev tawm. Ib qho chaw mob ua rau muaj kev phom sij tshwj xeeb. Nyob rau lub sijhawm no, txhua yam kev puas tsuaj rau daim tawv nqaij tuaj yeem ua rau tsim cov kab mob trophic. Kab mob varicose tam sim no nyob rau theem peb.
Outwardly, lub rwj zoo li ib qho qhib, o ntawm lub qhov txhab liab tsaus. Thaum xub thawj, nws yuav yog ib lub tiaj tus, sib npaug qhov txhab. Hauv cov xwm txheej zoo, muaj ntau yam tsis xws luag, lawv nkag mus tob rau hauv thiab cuam tshuam rau cov leeg thiab pob txha.
Nyob ntawm kab mob
Ib kab mob varicose leeg tshwm sim nyob rau theem tom ntej. Nyob rau theem pib ntawm tus kab mob, tsis muaj kev ua txhaum cai ntawm cov ntshav. Maj mam, tus kab mob no tshwm sim, thiab trophism cuam tshuam rau thaj tsam ntawm cov hlab ntsha hloov, ua rau mob.
Qhov tsis xws luag muaj ob peb hom:
- tus kab mob rwj me me thiab tsim nyob ib ncig ntawm cov pob txha thiab cov leeg;
- circulatory varicose ulcer npog yuav luag tag nrho ib ncig ntawm cov ceg qis.
Thaum tus kab mob no tshwm sim, nws yog ib qho tsim nyog yuav tsum pib kho tam sim, vim tias qhov teeb meem no ua rau tus neeg mob muaj kev noj qab haus huv.
Symptoms
Cov kab mob trophic ntawm ob txhais ceg tsis tshwm sim tam sim ntawd. Cov txheej txheem no yog ua ntej los ntawm qee cov cim qhia. Cov no suav nrog:
- tshwm sim ntawm lub vascular network;
- hloov xim ntawm daim tawv nqaij ntawm qhov chaw ntawm qhov tsis xws luag rauntshav liab;
- daim tawv nqaij yuav du, ci thiab puffy;
- muaj khaus thiab tev ntawm daim tawv nqaij;
- yuav ua rau me me pitting tawg yog tias tsis kho;
- crusts tsim nyob ib ncig ntawm tag nrho ib ncig ntawm sab ceg;
- tom qab kev puas tsuaj rau ntawm daim tawv nqaij, varicose ulcers pib tsim;
- dhau sijhawm, qhov txhab nkag mus tob dua thiab dav dua, thiab cov leeg, leeg thiab pob txha cov ntaub so ntswg koom nrog cov txheej txheem pathological;
- thaum cov kab mob nkag mus rau hauv lub qhov txhab, cov txheej txheem ntawm cov ntaub so ntswg lwj pib, uas ua rau tus neeg mob nyuaj heev.
Diagnosis
Los ntawm qhov pom ntawm kev kuaj mob, varicose ulcers nrog cov leeg dilated muaj qee qhov teeb meem. Hauv kwv yees li 12% ntawm cov neeg mob, nws tsis tuaj yeem txiav txim siab qhov ua rau tus kabmob. Thaum muaj tus kab mob no, nws yog ib qho tsim nyog yuav tau hu rau tus kws kho mob phlebologist lossis kws phais.
Thaum thawj zaug kev sab laj, tus kws tshaj lij ua qhov kev ntsuam xyuas qhov ncauj ntawm tus neeg mob, pom tias cov tsos mob cuam tshuam tus neeg mob li cas thiab lawv tshwm sim ntev npaum li cas. Tus kws kho mob ua qhov kev ntsuam xyuas pom ntawm daim tawv nqaij thiab cov leeg nyob ib puag ncig, pom seb tus neeg mob li cas thiab thaum twg.
Tam sim no theem no, tus kws tshaj lij yuav tuaj yeem txiav txim siab txog daim duab kwv yees ntawm tus kab mob thiab, tej zaum, lub hauv paus ua rau pathology yuav pom tseeb rau nws. Cov kev ntsuam xyuas hauv qab no raug txiav txim kom paub meej qhov kev kuaj mob:
- suav ntshav kom tiav. Txoj kev tshawb no yuav qhia tau tias erythrocytosis lossis leukocytosis. Thawj qhov taw qhia qhia tias ntshav viscosity nce ntxiv, uas ua rau nws cov dej tsis zoo. Qhov thib ob qhia tau hais tias inflammatorytxheej txheem.
- kuaj ntshav biochemical. Tso cai rau koj ntsuas cov roj cholesterol thiab piam thaj.
- Smear los ntawm qhov txhab. Muab lub sijhawm los saib pom cov kab mob pathological hauv lub qhov txhab, uas tej zaum yuav yog lub hauv paus ntawm kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij.
- Dopplerography ntawm cov hlab ntsha. Nrog kev pab los ntawm txoj kev tshawb no, kev ceev ntawm cov ntshav txav ntawm cov leeg thiab cov hlab ntsha yog kwv yees.
- YComputer angiography thiab MRI. Kev tsom xam pab cov kws tshaj lij los txiav txim siab cov qauv ntawm cov hlab ntsha tag nrho.
- Kev sib piv angiography. Ib yam khoom tshwj xeeb tau nkag mus rau hauv cov hlab ntsha, uas yuav pab tshawb xyuas qhov nthuav dav lawv thaj chaw anatomical ntawm x-ray.
- Fluometry. Reminiscent ntawm Doppler, tsuas yog txoj kev tshawb no siv lub laser beam.
Txoj kev kho varicose ulcers
Phlebology yog ib ceg tshwj xeeb ntawm kev phais vascular uas tsim cov txheej txheem rau kev kho mob thiab kuaj mob ntawm varicose leeg, suav nrog cov teeb meem uas tshwm sim thaum lub sijhawm tus kabmob.
Kev kho mob ntawm varicose trophic ulcers yog txheej txheem nyuaj thiab ntev. Txhawm rau kom txoj kev kho mob ua tiav, nws yog ib qho tsim nyog yuav tsum ua kom tiav tag nrho cov txheej txheem kho mob, uas tus kws kho mob xaiv tus kheej, raws li qhov hnyav ntawm tus kab mob thiab keeb kwm dav dav. Nyob ntawm qhov nyuaj ntawm pathology, ntau hom kev kho tuaj yeem siv tau. Hauv qab no peb xav txog txhua qhov nthuav dav ntxiv.
kev kho mob
Kev kho cov kab mob varicose ntawm ob txhais ceg suav nrog kev kho mob ntawm thaj chaw mob nrog tshuaj pleev, tshuaj pleev thiab tshuajkev daws teeb meem. Txhawm rau ua qhov no, siv:
- Cov tshuaj tua kab mob xws li Miramistin, Furacilin lossis Chlorhexidine. Cov tshuaj no ntxuav lub rwj ntawm cov kua paug thiab impurities thiab tiv thaiv kev loj hlob ntawm cov kab mob pathogenic hauv lub qhov txhab. Nrog rau kev siv ntev, cov tshuaj siv hloov pauv kom tsis txhob muaj kev tiv thaiv rau lawv.
- Cov tshuaj tsw qab zoo, tshuaj pleev thiab cov gels uas muaj kev kho kom zoo thiab soothing. Ntau ntawm lawv ua kom cov txheej txheem ntawm kev kho daim tawv nqaij. Cov nyiaj no suav nrog: Solcoseryl thiab Methyluracil.
- Rau kev kho qhov txhab, tshuaj tua kab mob, xws li "Tetracycline ointment", "Levomekol", "Argosulfan".
Thaum tsis pom qhov tshwm sim los ntawm kev kho mob hauv zos, tshuaj tua kab mob hauv cov ntsiav tshuaj lossis daim ntawv txhaj tshuaj raug pom zoo. Tshwj xeeb tshaj yog zoo yog cov tshuaj uas muaj cov yam ntxwv ntawm ntau yam teebmeem thiab tso cai rau koj kom tau txais txiaj ntsig sai. Cov tshuaj no muaj xws li cephalosporins, tetracyclines, thiab penicillins. Qhov ntau npaum li cas thiab lub sijhawm siv yog qhia los ntawm tus kws kho mob tshwj xeeb raws li tus kheej tus yam ntxwv ntawm tus kab mob. Tseeb tiag, txhawm rau ua kom tau txais txiaj ntsig zoo, nws yog ib qho tsim nyog yuav tsum tswj kom muaj qhov tsis tu ncua ntawm cov tshuaj tua kab mob hauv cov ntshav.
Rau kev rov qab sai, kev npaj cov tshuaj vitamin thiab kev npaj enzyme raug sau.
YPathogenetic therapy
Ua ntej koj pib kho cov kab mob varicose nrog cov tshuaj muaj zog, koj yuav tsum tausim kho cov kab mob pathogenetic. Nws yog tsom rau kev tshem tawm cov hauv paus hauv paus ntawm tus kab mob, rov ua kom cov ntshav ncig thiab nce kev tiv thaiv. Nov yog qee qhov kev xaiv rau kev kho mob zoo li no:
- Kev txwv tsis pub hnav khaub ncaws rau ntawm qhov txhab, soaked hauv tshuaj decoctions thiab infusions. Cov txheej txheem no yuav tsum tau ua tsis tu ncua, tsawg kawg peb zaug hauv ib hnub. Decoctions yog tsim los ntawm chamomile, calendula, celandine thiab lwm yam tshuaj ntsuab.
- Tshuaj cov kab mob los ntawm cov kua paug.
- Siv cov ntaub qhwv elastic los txo qhov o thiab txhawb cov ntshav ncig. Compression ris tsho hauv qab muaj cov nyhuv tib yam.
- Kev siv tshuaj diuretic los txhawb cov metabolism thiab txo qhov o.
- YKev noj cov vitamins thiab minerals.
- Siv cov khoom uas kho cov ntshav ncig.
- Txoj kev ua txhua hnub kom raug.
- Nyob raws kev noj haus tshwj xeeb.
- Kev kho gymnastics. Yog tias tsis muaj qhov txhab ntau dhau, koj tuaj yeem ua ib qho kev tawm dag zog tshwj xeeb txhawm rau txhim kho cov ntshav ntws.
Kev kho kab mob feem ntau yog pab, tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv loj ntawm varicose leeg. Nws tau ua pov thawj nws tus kheej thiab muab cov txiaj ntsig zoo ua ke nrog lwm txoj hauv kev kho mob.
Surgery
Kev kho mob ntawm varicose ulcers ntawm ob txhais ceg muaj nyob rau hauv kev txiav tawm ntawm cov ntaub so ntswg necrotic thiab ua kom pom tseeb ntawm qhov mob nws tus kheej. Ntau txoj kev siv rau qhov no:
- Kev mob ntshav qab zib thiab leeg ntshav rau cov kab mob mus ntev.
- Nqustshem tawm cov ntsiab lus purulent nrog qis siab. Cov txheej txheem zoo sib xws kuj pab nrog ntau yam kab mob sib kis uas nrog cov txheej txheem ntawm kev tsim cov kab mob.
- Ntxuav nrog cov cuab yeej siv tshuab. Qhov kev ua haujlwm no mob heev thiab ua raws li kev tshuaj loog.
- Ib txoj kev ncaj ncees yog txoj hauv kev ntawm stitching raws cov npoo ntawm lub qhov txhab ntawm cov phab ntsa ntawm cov leeg thiab cov hlab ntsha uas pub rau thaj chaw no.
- Yog tias muaj teeb meem hauv daim ntawv trophic ulcer hem tus neeg mob lub neej, qhov teeb meem ntawm kev txiav tawm ntawm tus ceg ceg cuam tshuam yuav tshwm sim. Tab sis qhov kev txiav txim siab no tsuas yog ua qhov kawg nkaus xwb.
Physiotherapy
Kev kho mob nrog cov txheej txheem physiotherapy yog suav tias yog ib txoj hauv kev pabcuam. Cov no suav nrog cov kev kho mob hauv qab no:
- Magnetotherapy. Txhim kho microcirculation thiab cov txheej txheem metabolic, uas tso cai rau cov ntaub so ntswg rov qab sai dua.
- Laser irradiation. Ua tiav tom qab kev tu txhua yam, txo qhov kev pheej hmoo ntawm kev kis kab mob.
- Infrared irradiation. Ua kom cov txheej txheem kho kom sai.
Physiotherapy yog siv rau hauv cov chav kawm uas suav nrog 10-15 cov txheej txheem. Lub sijhawm ntawm qhov kis tau raug txiav txim los ntawm tus neeg mob tus kheej thiab nyob ntawm peb mus rau kaum feeb.
Da dej suav hais tias yog ib txoj hauv kev zoo, lawv yog huab cua, hiav txwv, ozone thiab sodium chloride.
kev kho neeg zoo
Hauv cov tshuaj pej xeem, muaj ntau cov kev kho mob raws li cov nroj tsuag tshuaj uas pab kho cov kab mob varicose ntawm ob txhais ceg. Tab sis ua ntej siv lawv, koj yuav tsum taunrog kws kho mob. Qhov no yog qhov tsim nyog txhawm rau txhawm rau tshem tawm qhov muaj feem cuam tshuam. Tom qab tag nrho, tsis yog tag nrho cov tshuaj pej xeem tuaj yeem siv rau ntawm qhov chaw qhib ntawm qhov txhab, vim qhov no cov khoom ntawm cov tshuaj tau sai sai absorbed rau hauv cov hlab ntsha.
Koj yuav tsum tau npaj rau qhov tseeb tias qee cov khoom siv tshuaj tuaj yeem ua rau muaj kev fab tshuaj. Cov tshuaj tseem ceeb hauv cov tshuaj pej xeem, uas tau qhia rau kev siv thaum muaj varicose rwj, yog:
- Aloe kua txiv thiab Kalanchoe. Feem ntau siv nyob rau hauv daim ntawv ntawm compresses. Cov nroj tsuag muaj tshuaj tua kab mob, tiv thaiv kab mob thiab tshuaj tua kab mob.
- zib ntab thiab propolis. Cov khoom no muaj npe nrov rau lawv cov khoom kho mob tshwj xeeb. Zib ntab muaj ntau cov vitamins, minerals thiab lwm yam khoom muaj txiaj ntsig. Zib ntab thiab propolis tshem tawm qhov mob, txo qhov o, txhawb cov ntaub so ntswg. Lawv tuaj yeem siv tau ob qho tib si rau kev kho mob varicose ulcers thiab siv tshuaj pleev, lossis ntxiv rau cov tshuaj pleev nrog rau lwm yam.
- nqaij qaib thiab quail protein. Nws yog ib qho tshuaj zoo rau pej xeem kev kho mob ntawm ulcers. Nws tag nrho npog lub ntsej muag ntawm daim tawv nqaij qhov chaw uas muaj qhov tsis xws luag, yog li tsim cov yeeb yaj kiab tiv thaiv. Vim li no, cov kab mob pathogenic tsis nkag mus rau hauv lub qhov txhab.
- Infusions thiab decoctions. Rau kev ua noj, tshuaj ntsuab yog siv, xws li chamomile, celandine, calendula. Cov infusions muaj antiseptic, anti-inflammatory, analgesic, antibacterial, cleansing thiab decongestant zog. Txhua yam xav taumuab sib npaug zos proportions. Txoj kev npaj: ib tablespoon ntawm tws tshuaj ntsuab yog brewed nrog 200 ml ntawm boiling dej thiab infused rau txog li ob teev. Nws yog ces strained thiab siv los ua tshuaj pleev ib ce los yog kho ulcers.
Cov lus qhia rau kev tiv thaiv phlebologists
Varicose rwj ntawm qis extremities tsis tshwm sim tshwm sim, kev loj hlob ntawm tus kab mob tshwm sim dhau sijhawm, qee zaum ntau tshaj ib xyoos. Yog li ntawd, yog tias koj ua tib zoo saib xyuas koj txoj kev noj qab haus huv, tshwj xeeb tshaj yog cov hlab ntsha hauv koj ob txhais ceg, qhov teeb meem xws li trophic rwj tuaj yeem tiv thaiv ua ntej.
Phlebologists hais tias txhua tus neeg uas tau ntsib cov kab mob varicose los yog muaj kev nyiam rau cov kab mob no yuav tsum paub txog cov kev tiv thaiv uas tuaj yeem txuag tau los ntawm qhov tsis zoo ntawm qhov tshwm sim ntawm tus kab mob:
- siv cov ris tsho hauv qab compression;
- siv cov tshuaj pleev tshwj xeeb thiab cov gels rau puffiness lossis kab laug sab leeg;
- tswj qhov hnyav;
- ua raws li kev noj zaub mov tshwj xeeb, nrog rau kev cais tawm ntawm cov khoom noj uas khaws cov dej hauv lub cev;
- txo qhov load ntawm ob txhais ceg;
- ua gymnastics lossis qoj ib ce - ua luam dej tshwj xeeb yog pab tau.
Tsis tas li ntawd, nws yuav tsum tau mus ntsib kws kho mob lossis kws phais mob tsis tu ncua kom tus kws kho mob tuaj yeem ntsuas qhov xwm txheej ntawm cov hlab ntsha, vim tias tsuas yog tus kws kho mob tshwj xeeb tuaj yeem pom cov kev hloov pauv hauv cov theem pib ntawm tus kab mob. Qhov no yuav tshem tawm qhov teeb meem sai sai thiab tiv thaiv kev txhim kho xws liCov teeb meem xws li varicose rwj ntawm ob txhais ceg.
