Lymphovenous insufficiency (daim duab ntawm qhov tshwm sim ntawm pathology tau nthuav tawm hauv qab no) ntawm cov kab mob qis qis yog ib yam kab mob loj uas, yog tias cov tsos mob tsis quav ntsej, ua rau muaj kev tsis taus. Txhua hnub tus kab mob no tau yau thiab ntau dua thiab ntau dua nws pom nyob rau hauv cov neeg muaj hnub nyoog nees nkaum xyoo. Hauv tsab xov xwm no, peb yuav txiav txim siab qhov no pathology kom ntxaws, nrhiav seb yam twg ua rau nws zoo li, thiab pom cov tsos mob dab tsi nws nrog. Peb kuj tseem yuav paub seb nws txoj kev kho mob li cas tam sim no.
ua rau ntawm pathology
Cov kws tshaj lij qhia cov npe ntawm cov ntsiab lus tseem ceeb uas ua rau lymphovenous insufficiency:
- Ntseeg raug mob ceg nrog rau kev phais tsis tiav.
- Poob vascular elasticity.
- muaj ntshav txhaws thiab varicose veins.
- Zoo ntawm lub valve tsis ua haujlwm.
- Nyob rau hauv congenital anomalies.
- Kev rog.
- Siv khau tsis xis nyob, tshwj xeeb tshaj yog heels.
Lub ntsiab lus ntawm kev txhim kho lymphovenous insufficiency ntawm qis extremities yog raws li nram no. Cuaj caum feem pua ntawm cov ntshav tawm yog nqa tawm los ntawm cov hlab ntsha sib sib zog nqus upwards. Cov ntshav ncig ncaj qha nyob ntawm cov leeg nqaij, thiab, ntxiv rau, ntawm kev ua haujlwm ntawm cov hlab ntsha venous.
Cov leeg mob siab thiab li qub tiv thaiv cov ntshav ntws rov qab. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm ib qho ntawm ob yam mob, venous siab nce, cov hlab ntsha yog deformed thiab dilated, reflux tshwm sim nrog rau cov ntshav reflux nyob rau hauv lub opposite direction. Raws li qhov tshwm sim ntawm tag nrho cov no, venous congestion yog tsim. Tom ntej no, cia peb tham txog cov tsos mob ntawm tus kab mob no.
Symptomatology thiab nta ntawm pathology
Ntau tus neeg hauv lawv cov thirties pib muaj teeb meem nrog lawv txhais taw. Paub txog cov tsos mob yuav pab kom paub txog lymphovenous insufficiency nyob rau theem pib thiab tso cai rau koj ua raws sijhawm. Mus ntsib kws kho mob yog txoj hauv kev zoo tshaj plaws tawm hauv qhov xwm txheej no. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem kuaj xyuas kab mob kom raug thiab sau ntawv kho mob. Hauv lymphovenous insufficiency, cov tsos mob yog raws li nram no:
- Thaum yav tsaus ntuj qaug zog, sib txawv ntawm ob txhais ceg. Qhov tshwm sim ntawm hnyav thiab o me ntsis.
- Sudden qaug dab peg yam tsis muaj laj thawj.
- Kev mob tshwm sim hauv cov nyuj.
- Presence of kab laug sab veins.
Nyob rau theem no, nws txaus los tshem tawm txhua yam kev pheej hmoo, thiab tus kws kho mob tuaj yeem sau ntawvtshuaj nrog cov nyhuv kho. Yog tias cov tsos mob tsis quav ntsej, lawv qhov tshwm sim yuav hnyav zuj zus mus rau lub sijhawm. Tawm tsam keeb kwm yav dhau los no, yuav tshwm sim:
- Puffiness, uas yuav dhau los ua tus khub ntawm tus neeg mob.
- Qhov tshwm sim ntawm qhov mob mus tas li.
- Cov tawv nqaij qhuav, feem ntau npog nrog cov hnub nyoog me me.
- Pathological kev loj hlob ntawm qhov loj thiab cov kab laug sab leeg.
Raws li lymphovenous insufficiency ntawm ob txhais ceg, cov tsos mob pib tshwm sim tas li, tsis hais lub load thiab lub sij hawm ntawm ib hnub. Qhov mob tuaj yeem nce ntxiv, thiab o yuav kis mus rau tag nrho cov ceg. Intoxication yuav pib, yog li mob taub hau, qaug zog thiab xeev siab yuav tshwm sim. Qhov no pathology txawv nyob rau hauv hom nyob ntawm seb cov hlab ntsha uas nws manifests nws tus kheej nyob rau hauv.
Cov qauv ntawm pathology
Daim ntawv mob lymphovenous insufficiency ntawm qis extremities cuam tshuam rau cov leeg sib sib zog nqus hauv cov neeg mob. Nws tsis tshua muaj thiab tsis ua raws li tus kab mob ywj pheej. Nws feem ntau tshwm sim vim qhov tshwm sim ntawm kev raug mob, thrombosis thiab kev ua haujlwm. Nyob rau hauv lub xub ntiag ntawm valvular teeb meem, tus kab mob no cuam tshuam rau kev sib txuas lus cov hlab ntsha vim tsis ua hauj lwm ntawm cov hlab ntsha. Lymphatic venous insufficiency ntawm hom mob ntev yog hom kab mob feem ntau. Nws txhim kho nws tus kheej thiab cuam tshuam rau kev ua haujlwm ntawm cov leeg sab nraud.
Risk pawg
Kab mob vascular no yog los ntawm cov kab mob uas tshwm sim thaum cev xeeb tub. Tab sis feem ntau nwshloov tawm kom tau. Muaj ob peb yam hauv qab no ua rau lymphovenous insufficiency:
- Kev txhim kho ntawm phlebopathy, uas muaj kev ua haujlwm tsis zoo ntawm cov leeg.
- Qhov tshwm sim ntawm qhov raug mob lossis qog uas ua rau cov leeg zoo li qub.
- Kev txhim kho phlebothrombosis lossis varicose leeg.
- Nyob qhov hnyav dhau, thauj cov ceg ceg.
- Kev muaj lub cev ua haujlwm ntau dhau.
- cem quav thiab qhov cuam tshuam ntawm hormonal contraception.
- Zoo ntawm hnub nyoog hloov pauv.
Ua ntej tshaj plaws, raws li txoj cai, cov neeg uas coj txoj kev ua neej nyob tsis muaj kev txom nyem. Kev nyob ntev ntev hauv txoj hauj lwm ncaj ncees, zaum lossis sawv ntsug, tsis muaj lub cev ua haujlwm ntawm ob txhais ceg, ua rau muaj kev cuam tshuam loj ntawm cov qog ntshav thiab cov ntshav ncig.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Cov poj niam cev xeeb tub feem ntau muaj cov kab mob lymphovenous tsis txaus (daim duab ntawm qhov tshwm sim ntawm tus kab mob tau nthuav tawm saum toj no). Cov tshwm sim uas nrog rau cov kab mob no yog gestosis nrog rau fetal hypoxia, cuam tshuam ntawm kev ua haujlwm thiab los ntshav thaum yug menyuam. Tawm tsam keeb kwm yav dhau los ntawm cov kab mob lymphovenous tsis txaus ntawm cov ceg, cov poj niam cev xeeb tub tuaj yeem ntsib teeb meem hauv daim ntawv ntawm thrombophlebitis thiab venous thromboembolism.
Tseem muaj kev phom sij ntawm kev tuag. Raws li txoj cai, nrog rau qhov pathology no, cov poj niam cev xeeb tub yws yws ntawm qhov muaj qhov mob siab thiab qaug zog ntau dhau. Kuj tseem muaj kev tsis txaus siab txog qhov pom ntawm qhov hnyav ntawm cov ceg,hmo ntuj cramps thiab nce edema. Thaum cev xeeb tub, cov txheej txheem ntawm kev kho mob pathology poob, raws li txoj cai, ntawm lub xub pwg nyom ntawm gynecologist. Lub hauv paus ntawm kev kho mob yog:
- Kev kho compression.
- siv tshuaj.
- Siv cov ntawv sau npe hauv zos.
Qhov phom sij loj tshaj plaws ntawm tus kab mob yog qhov tshwm sim ntawm trophic ulcers, nyob rau hauv ib txwm muaj xwm txheej yuav tsum tau muaj kev cuam tshuam kev phais. Kev saib xyuas kev kho mob tuaj yeem pab txhim kho cov ntaub so ntswg ntawm cov ntshav thiab zam kev phais. Cov poj niam cev xeeb tub uas muaj kev pheej hmoo yuav tsum tau saib xyuas kev noj qab haus huv ntawm lawv cov ceg ceg ua ntej. Lub hom phiaj ntawm kev kho mob thiab kev tiv thaiv yog regression thiab stabilization ntawm kev hloov tsis zoo.
Diagnosis
Ua ntej ntawm tag nrho, ua ib feem ntawm kev kuaj mob, kuaj ntshav thiab zis tau ua tiav. Qhov yooj yim uas cov biomaterial liab ntws los ntawm cov hlab ntsha feem ntau nyob ntawm cov ntshav viscosity. Muaj ntau txoj hauv kev tshawb fawb los txiav txim tus kab mob:
- cov txheej txheem Doppler qhia txog qhov dav dav ntawm lub li qub nrog rau qhov patency ntawm cov leeg.
- YUa ib qho ultrasound. Raws li ib feem ntawm qhov no, txoj kab uas hla ntawm cov hlab ntsha yog xam, kuaj pom muaj reflux, thiab qhov xwm txheej ntawm cov hlab ntsha hauv cov ntshav tau txiav txim siab.
- Hauv qhov xwm txheej hnyav, phlebography ua tiav. Ib yam tshuaj tshwj xeeb raug txhaj rau hauv cov hlab ntsha, thiab tus kws kho mob saib xyuas qhov kev nkag mus ntawm cov hlab ntsha.
Cov tsos mob ntawm lymphovenous insufficiency ntawm qis extremities nyob ntawm theem ntawm tus kab mob.
theem ntawm pathology
Signstsis zoo ib yam rau ntau theem ntawm nws txoj kev loj hlob:
- Thaum pib, tsis pom qhov mob. Kev kuaj mob nyob rau theem no yuav luag ua tsis tau.
- Hauv thawj theem, o tshwm sim tom qab taug kev ntev. Kev saib xyuas kev noj qab haus huv tuaj yeem tshem tawm tus neeg mob tus kab mob tag nrho.
- Nyob rau theem ob, qhov o tuaj rau cov neeg mob thiab lub sijhawm no nws nyuaj rau tshem tawm. Tej zaum yuav muaj mob, cramps thiab hnyav nyob rau ntawm ceg ceg.
- Nyob rau theem peb, kev kho kom tiav tsis tuaj yeem ua tau. Lub symptomatology uas tshwm sim nws tus kheej ua ntej yuav pib mus rau active kev loj hlob. Cov haujlwm ntawm ob txhais ceg yog impaired. Cov txheej txheem ntawm deformation ntawm cov pob qij txha yog launched, arthrosis nrog mob caj dab tshwm sim. Kev kho mob ntawm theem no yuav luag tsis muaj txiaj ntsig.
Txoj kev ntsuas kev kho mob
Yog tias muaj cov tsos mob ntawm lymphovenous insufficiency, kev kho mob yog tsom rau kev txhim kho cov ntshav ncig, stabilizing ntshav tawm, nres qhov mob thiab tshem tawm edema. Kev kho tus qauv feem ntau muaj cov kev kho mob hauv qab no:
- siv tshuaj. Tus kws kho mob tshwj xeeb tshaj tawm cov tshuaj uas tshem tawm puffiness, txhim kho cov qog ntshav thiab ua kom cov hlab ntsha muaj zog.
- Siv compression garments. Cov hnab looj tes nrog cov ntaub qhwv tshem tawm qhov kev xav ntawm hnyav hauv ob txhais ceg. Yuav ua li cas lwm yam kev kho mob ntawm lymphovenous insufficiency koom nrog?
- Physiotherapy aims txhim kho tag nrho cov tawv nqaij mob.
- Kev kho mob zaws,vim cov lymphatic outflow yog normalized.
- Kev tawm dag zog kho cov ntshav ncig thiab vascular mob.
Thaum kawg, tus kws kho mob yuav sau ntawv phais.
kev kho mob
Nws lub hom phiaj yog raws li nram no:
- Kev tshem tawm cov txheej txheem inflammatory.
- Txhim kho cov ntshav ncig thiab microcirculation hauv ob txhais ceg.
- Kev nce nrawm ntawm phab ntsa hlab ntsha.
- Txhim kho cov kua dej kom zoo.
Phlebotonics yuav tsum tau kho tag nrho thaum ntxov. Nyob rau hauv cov ntaub ntawv ntawm ulcers, ib tug kev kho mob ntawm cov tshuaj tua kab mob yog qhia nyob rau hauv ua ke nrog nrog anti-inflammatory tshuaj thiab enzymes:
- Venous tone restores Detralex thiab Antistax.
- tshuaj tsis-steroidal "Diclofenac" tshem tawm cov txheej txheem inflammatory.
- "Aspirin" tiv thaiv kev txhim kho cov ntshav txhaws, vim nws ua rau cov ntshav nyias.
- Clemastine yog ib qho tshuaj tiv thaiv kab mob txhim khu kev qha.
- Cov tshuaj "Emoxipin" tshem tawm cov cim ntawm kev qaug cawv, pab ua kom lub cev huv sai.
Txhua yam tshuaj thiab kev kho mob yog kws kho mob sau. Nws raug tso cai siv cov nyiaj no nyob rau txhua theem ntawm lymphovenous insufficiency ntawm qis extremities. Cov duab ntawm qhov tshwm sim ntawm cov tsos mob hauv cov neeg mob tau nthuav tawm hauv kab lus.
Thaum kev kho compression, hnav cov khaub ncaws tshwj xeeb hauv daim ntawv ntaus golf, thom khwm, ntaub qhwv thiab thom khwm tau qhia. Lawv zoocuam tshuam rau lub xeev vim:
- Vim yog qhov compression, qhov kev loj hlob ntxiv ntawm tus kab mob no tau nres los ntawm kev nyem cov leeg sab nraud thiab perforating veins. Tib lub sijhawm, cov ntshav uas muaj qhov ntim loj tuaj yeem nkag mus rau hauv cov leeg sib sib zog nqus, yog li tshem tawm cov khoom thauj los ntawm lwm tus.
- Tus trophic hloov ntawm daim tawv nqaij qeeb.
- Txhim kho cov kua dej lymphatic, uas tiv thaiv ntxiv edema.
Tab sis txawm tias qhov hnav tsis tu ncua ntawm cov hnab looj tshwj xeeb, hmoov tsis, tsis kho tus kab mob, tab sis tsuas yog tiv thaiv tus kab mob kom tsis txhob txav mus rau theem tshiab. Qhov no yog qhov tseeb tshwj xeeb ntawm cov lymphovenous insufficiency.
Txoj kev tshuaj ib txwm siv
Txoj kev kho neeg pej xeem txhawb kev noj qab haus huv ntawm ob txhais ceg, tab sis qhov no tsis thim cov tshuaj. Cov zaub mov nrov tshaj plaws yog cov lus pom zoo hauv qab no:
- Nco sib tov ntawm twisted qej thiab zib mu rau ib lub lis piam. Cov khoom xyaw yog noj nyob rau hauv sib npaug proportions. Noj cov tshuaj rau ob lub hlis peb zaug ib diav ua ntej noj mov.
- Brew sawv hips nrog currant nplooj nyob rau hauv sib npaug proportions. Ib diav ntawm cov tshuaj yog brewed nrog boiling dej, thiab nws yog qaug dej qaug cawv raws li ib tug tshuaj yej peb zaug ua ntej noj mov. Yog li, cov nyhuv diuretic yog tsim.
- Crushed Kalanchoe nplooj tov nrog vodka. Cov tshuaj yog insisted rau xya hnub thiab siv raws li ib tug compress.
Kev kho cov lymphovenous insufficiency ntawm qis extremities yuav tsum ua kom tiav thiab raws sijhawm.
Qhov tshwm simkab mob
Pathology yog ib yam kab mob loj thiab sai sai, kho tau thaum ntxov. Thaum tsis muaj kev tswj hwm kev kho mob thiab tawm tsam keeb kwm yav dhau los ntawm kev kho tus kheej, tus kab mob no tuaj yeem cuam tshuam rau cov leeg leeg thiab cuam tshuam lub cev muaj zog.
Qhov mob thiab pob khaus tuaj yeem cuam tshuam rau kev ua neej ib txwm muaj. Cov kab mob trophic, uas yog cov yam ntxwv ntawm theem kawg, tig mus rau hauv erysipelas sai sai, uas yog siv tsis tau. Qhov tshwm sim yog amputation ntawm ob txhais ceg. Thrombosis tuaj yeem ua rau kev loj hlob ntawm pulmonary embolism. Ntxiv rau qhov hloov pauv ntawm lub cev, pib los ntawm theem ob, tus kab mob cuam tshuam rau qhov zoo nkauj.
prophylaxis
Feem ntau cov neeg mob tau pib ua rau muaj lymphovenous tsis txaus ntawm cov leeg ntawm sab qis vim yog kev ua neej nyob tsis muaj zog. Txhawm rau tiv thaiv qhov tshwm sim ntawm tus kab mob no lossis ua rau cov txheej txheem tsis zoo, koj yuav tsum ua raws qee cov cai:
- Kev gymnastics nruab nrab yog tus yuam sij rau kev noj qab haus huv ntawm ceg. Khiav zoo kawg nkaus txhim kho cov ntshav ncig, saturating tag nrho tib neeg lub cev nrog oxygen thiab txhim kho endurance. Kev ua luam dej tuaj yeem cuam tshuam tag nrho cov leeg hauv lub cev. Txawm tias kev tawm dag zog thaum sawv ntxov kaum feeb muaj txiaj ntsig zoo rau lub suab tag nrho.
- Hike yuav tsum tau ua txhua hnub.
- Kev noj qab haus huv, tib neeg tsis tsuas yog muab lawv tus kheej nrog rau tag nrho cov khoom tsim nyog, tab sis kuj tsis txhob overload lawv cov hlab ntsha uas muaj teeb meem.tshuaj. Koj tsis tuaj yeem noj ntsev thiab ntsim. Nws ua rau kev txiav txim siab noj cov vitamins tsis tu ncua.
- Cov neeg muaj kev pheej hmoo yuav tsum hnav compression stockings.
- Nyob rau hnub poob yog txwv tsis pub.
- Sib txawv ko taw massages, suav nrog kev tiv thaiv cellulite, yuav tsum tsis txhob ua yam tsis tau kev tso cai los ntawm tus kws kho mob. Cov nyhuv nquag ntawm kev zaws tuaj yeem ua rau tsim cov ntshav txhaws thiab ua kom cov leeg varicose.
Yog tias muaj cov tsos mob lymphovenous, koj yuav tsum hu rau tus kws kho mob tam sim ntawd. Cov txheej txheem tiv thaiv saum toj no yuav tsis txaus yog tias tus kab mob tau ua rau nws tus kheej paub.
Nws tsim nyog sau cia tias lymphovenous insufficiency yog ib yam kab mob uas cuam tshuam rau kev txav ntawm cov ceg. Cov tsos mob hnyav cuam tshuam rau lub neej ib txwm muaj, thiab cov theem tom qab, hmoov tsis, tsis tuaj yeem kho. Qhov tshwm sim tuaj yeem yog txiav ntawm ob txhais ceg. Kev thov kom raws sij hawm rau ib tus kws kho mob tshwj xeeb yuav pab tsis tau tsuas yog kom tsis txhob muaj kev tsis taus, tab sis kuj ua kom tag nrho cov kev noj qab haus huv ntawm cov ceg. Hauv cov tshuaj, tag nrho cov kev ntsuas tau zoo yog muab los txhim kho cov ntshav ncig, thiab, ntxiv rau, ntxiv dag zog rau cov phab ntsa vascular. Cov zaub mov hauv tsev feem ntau pab tau, tab sis tsis txhob tshem tawm qhov xav tau ntawm cov tshuaj thiab compression stockings.
Peb tau tshuaj xyuas cov tsos mob thiab kev kho mob ntawm lymphovenous insufficiency ntawm qis extremities.
