Thaum nws los txog rau cov kab mob ntawm cov hlab ntsha ntawm sab qis, feem ntau lawv cov varicose nthuav dav. Txawm li cas los xij, qhov ntau ntawm cov txheej txheem pathological uas cuam tshuam nrog cov leeg ntawm ob txhais ceg yog dav dua. Nws suav nrog cov kab mob txaus ntshai dua, xws li, piv txwv li, thrombophlebitis. Cia peb saib seb yog vim li cas cov kab mob no thiab cov kev kho mob twg yog siv los tshem tawm lawv.
Varicose veins
Kev sib txawv ntawm cov leeg sab nraud thiab qhov tob ntawm cov leeg qis.
Txhua cov hlab ntsha ntawm sab qis yog qhov txawv ntawm cov phab ntsa tuab thiab elastic nrog cov leeg du. Qhov no tau piav qhia los ntawm qhov tseeb tias cov ntshav tawm los ntawm lawv nyob rau hauv lub siab tshaj plaws.
Cov hlab ntsha ntawm sab ceg qis suav nrog:
- MVP lossis me me saphenous leeg;
- BVP - saphenous vein;
- daim tawv nqaij,nyob hauv qab ntawm pob taws thiab thaj chaw cog qoob loo.
Varicosis yog ib qho pathology ntawm cov phab ntsa venous. Nrog varicose leeg, cov phab ntsa venous nthuav dav thiab ua thinner, vim tias cov ntshav ntws los ntawm lawv cuam tshuam. Tus kab mob no cuam tshuam nrog txo cov suab nrov ntawm cov leeg thiab tsis txaus ntawm lawv li qub. Cov ntshav tawm ntawm cov hlab ntsha pib tsis muaj zog, lub lumen ntawm cov leeg nce. Cov venous li qub kuj ua deformed, ua luv, tuab thiab tsis muaj peev xwm tiv nrog lawv cov haujlwm yooj yim. Feem ntau, varicose leeg cuam tshuam rau sab qis.
Yog vim li cas
Qhov ua rau tus kab mob no ntawm cov hlab ntsha ntawm sab qis yog:
- genetic predisposition;
- overweight;
- tas li nro ntawm ceg ceg thaum lub sijhawm ntev ntawm ob txhais ceg;
- kev ua neej nyob;
- kev tawm dag zog tsis muaj zog;
- xeeb tub;
- hormonal imbalance;
- muaj tus cwj pwm phem (kev haus luam yeeb, cawv, tshuaj yeeb);
- noj tshuaj hormonal.
Qhov tshwm sim thawj zaug ntawm tus kabmob muaj cov tsos mob hauv qab no:
- o ntawm ob txhais ceg, hnyav dua thaum yav tsaus ntuj, hnyav hauv nqua;
- Nyob hauv plab plab.
Thaum sawv ntxov thiab thaum taug kev, cov tsos mob tsis tshua muaj tshwm sim. Txawm li cas los xij, tus kab mob no nce mus, thiab maj mam muaj cov tsos mob tsis zoo: convulsions, mob syndrome, kub taub hau hauv ob txhais ceg tshwm, telangiectasias daim tawv nqaij.
Nyob rau hauv rooj plaub ntawm cov kab mob ntawm cov hlab ntsha ntawm cov leeg sab nraud, nws yuav tsum tau hu rau tus kws kho mob phlebologist uas ua qhov kev kuaj mob thiab sau cov txheej txheem kuaj mob, suav nrog kev sib piv venography thiab duplex scanning. Kev kho mob tactics nyob ntawm tus neeg mob tus mob thiab theem ntawm cov txheej txheem pathological. Cov tshuaj, physiotherapy ce, tshuaj tsoos tshuaj, siv cov compression underwear thiab phais txoj kev kho mob. Kev kho tshuaj muaj xws li kev siv cov tshuaj uas ntxiv dag zog rau cov phab ntsa vascular thiab nyias cov ntshav (phlebotonics, anticoagulants, venotonics, non-steroidal anti-inflammatory tshuaj). Tsis tas li ntawd, cov tshuaj hauv zos hauv daim ntawv ntawm cov tshuaj pleev yog siv. Nyob rau theem 3 thiab 4 ntawm cov kab mob pathology, tsuas yog kev kho mob yog phais. Cov neeg mob raug tshuaj:
- sclerotherapy (cov hlab ntsha hloov pauv yog resorbed nrog tshuaj tshwj xeeb);
- laser kho (tso tawm cov hlab ntsha ntawm cov hlab ntsha);
- ib txwm phlebectomy (kev tshem tawm cov leeg).
Phlebitis
Tus kab mob no ntawm cov leeg pob txha ntawm cov leeg qis yog cov txheej txheem inflammatory hauv cov phab ntsa ntawm cov leeg. Feem ntau, phlebitis yog qhov tshwm sim ntawm varicose leeg ntawm sab qis. Raws li qhov tshwm sim ntawm o ntawm cov hlab ntsha no, cov ntshav ntws cuam tshuam thiab cov ntshav txhaws. Tom qab ntawd, phlebitis hloov mus rau hauv daim ntawv txaus ntshai - thrombophlebitis. Phlebitis tuaj yeem tshwm sim los ntawm cov hauv qab no:
- abscess teeb meem;
- teeb meem ntawm varicose leeg;
- tshuaj tawv nqaij kub hnyiab;
- kab mob streptococcal.
Lub zog rau kev loj hlob ntawm tus kab mob kuj tuaj yeem yog tib neeg qhov tseem ceeb (tsis ua tiav sclerotherapy). Cov tsos mob ntawm tus kab mob no yog:
- pain syndrome;
- tawv nqaij hyperemia;
- kev qaug zog;
- hyperthermia;
Chronic form
Nyob rau hauv daim ntawv mob ntev, cov tsos mob ntawm pathology tsis tshua mob siab. Lawv ib ntus txo qis, tom qab ntawd rov tshwm sim dua. Kev kho mob ntawm phlebitis muaj nyob rau hauv daim ntawv thov complex ntawm conservative txoj kev. Yog hais tias qhov txhab tsuas yog nyob rau hauv cheeb tsam ntawm cov hlab ntsha superficial, tsis tas yuav mus pw hauv tsev kho mob. Hauv lwm qhov xwm txheej, tus neeg mob raug mus pw hauv tsev kho mob. Nws ob txhais ceg yuav tsum nyob rau qee qhov siab thiab thaum so. Tus kws kho mob phlebologist tau sau cov neeg ua haujlwm kho mob, qhov kev txiav txim ntawm lub hom phiaj ntawm kev ntxiv dag zog rau cov phab ntsa ntawm cov leeg thiab txo qhov ntom ntawm cov ntshav. Tsis tas li ntawd, kev kho mob ntawm cov hlab ntsha ntawm sab qis ntawm cov leeg sab nraud suav nrog kev tshem tawm cov txheej txheem inflammatory. Thaum exacerbation txo qis, tus neeg mob yuav tsum tau hnav ris tsho hauv qab compression thiab siv cov ntaub qhwv elastic. Kev tiv thaiv kab mob muaj nyob rau hauv kev kho mob raws sij hawm ntawm kev raug mob, kab mob pustular thiab txhua yam o.
YThrombophlebitis
Cov kab mob no yog lub ntsiab ntawm cov teeb meem ntawm varicose leeg. Thrombophlebitis yog tshwm sim los ntawm kev txhim kho ntawm ib qho inflammatorytxheej txheem ntawm cov phab ntsa ntawm cov hlab ntsha thiab tsim cov ntshav txhaws. Cov kws kho mob ntseeg tias txhua tus neeg thib plaub yog nyob rau hauv pab pawg neeg muaj kev pheej hmoo. Feem ntau qhov chaw ntawm qhov txhab yog qhov qis qis (qhov chaw yog los ntawm lub pob tw mus rau sab qis ntawm cov nyuj).
Ua rau tuaj yeem ua rau muaj ntshav nce ntxiv thiab, ua raws li nws, tsim cov ntshav txhaws:
- xeeb tub;
- lub cev rog dhau;
- kev mob;
- genetic factor;
- kab mob ua pa;
- txo lub cev muaj zog;
- kev kub ntxhov ntawm lub cev;
- diabetes.
Tus kab mob feem ntau yog ua ntej los ntawm cov kab mob hauv qab no:
- txheej txheem o ntawm phab ntsa venous;
- nce ntshav khov;
- pab ntshav tsis txaus.
Cov tsos mob ntawm thrombophlebitis ntawm cov hlab ntsha ntawm cov leeg sab nraud yog qhov mob hauv thaj tsam ntawm cov leeg (maj mam mob hnyav dua thiab tsis nres txawm tias thaum so), lub cev kub siab, mob plab, liab. ntawm daim tawv nqaij, qhov chaw tawv tawv, tsis muaj zog nyob rau hauv qis extremities, zoo nkaus li txias nyob rau hauv cov ntiv taw, lameness thaum taug kev. Feem ntau, cov txheej txheem pathological tau nce zuj zus, nrog rau qhov kub thiab txias thiab mob hnyav hauv cheeb tsam cov leeg.
Puffiness maj mam nce, thiab daim tawv nqaij ntawm thaj chaw cuam tshuam pib liab. Lub cev kub tuaj yeem ncav cuag 38 degrees. Raws li txoj cai, ntawm mobtheem ntawm thrombophlebitis, cov tsos mob no txuas ntxiv mus rau 10-30 hnub. Tsis tas li ntawd, tus kab mob tau hloov mus rau hauv daim ntawv ntev. Kev kuaj mob pib nrog kev kuaj mob. Tus kws kho mob txiav txim siab txog qhov mob thiab qhov xwm txheej ntawm cov kev hloov ntawm daim tawv nqaij. Txhawm rau kom paub meej tias qhov kev kuaj mob, ib qho kev kuaj ntshav rau cov ntshav txhaws tau raug sau tseg. Tsis tas li ntawd, X-ray contrast phlebography thiab duplex scanning yog ua. Kev ntsuas kho rau tus kab mob no tau muab faib ua 2 pawg: phais thiab kev saib xyuas.
Kev Tiv Thaiv Kev Tiv Thaiv
Kev kho mob ntawm thrombophlebitis ntawm cov hlab ntsha ntawm cov leeg sab nraud yog ua raws li tus neeg mob sab nraud, yog tias lub thrombus tsis tau nce siab dhau ntawm sab ceg. Yog hais tias lub pathology yog tshwm sim los ntawm kev raug mob mus rau lub venous phab ntsa, tshuaj anticoagulants los yog cawv compresses. Cov tshuaj tiv thaiv kab mob yog muab tshuaj los txo qhov mob. Hauv kev kho mob thrombophlebitis, cov tshuaj hauv qab no tau sau tseg: phlebotonics ("Venosmin", "Detralex"), angioprotectors (rutin), anti-inflammatory nonsteroidal tshuaj ("Diclofenac", "Sinmeton", "Meloxicam"), anticoagulants. ("Sinkumar", "Warfarin"). Kev kho phais yog qhia rau kev pheej hmoo ntawm cov teeb meem, nrog rau cov xwm txheej uas cov kab mob tau kis mus rau cov leeg sib sib zog nqus. Cov kev kho mob phais muaj xws li:
- thrombectomy (tshem cov ntshav txhaws);
- ligation ntawm pathological hlab ntsha;
- phlebectomy (kev tshem tawm cov leeg).
Yuav ua li cas ntxiv qhov nthuav dav ntawm cov hlab ntsha ntawm sab qis ua rau?
Cov kab mob no tshwm sim los ntawm kev ua txhaum ntawm cov phab ntsa venous ntawm qhov tobcov leeg. Qhov ua rau thrombosis feem ntau yog kis tau, txhua yam lossis tshuaj lom neeg puas tsuaj rau cov leeg, nrog rau kev tsis haum tshuaj. Qhov kev pheej hmoo ntawm cov kab mob no kuj nce ntxiv nrog cov ntshav txhaws, uas ua rau txo qis hauv cov ntshav khiav tawm. Lwm qhov yuav tsum tau ua ua ntej rau txoj kev loj hlob ntawm tus kab mob no yog congestion nyob rau hauv cov hlab ntsha ntawm ob txhais ceg raws li ib tug tshwm sim ntawm lub sij hawm ntev sawv los yog lub cev tsis muaj zog. Yog li, lub cev tsis ua haujlwm yog qhov ua rau muaj kab mob varicose leeg ntawm cov leeg sab nraud ntawm sab qis thiab thrombosis.
Nyob rau hauv qab ntawm ceg, cov ntshav txhaws tsis txaus ntshai, uas tsis tuaj yeem hais txog cov xwm txheej ntawm nws qhov chaw nyob hauv nws sab sauv. Qhov siab dua qhov thrombus nce, qhov ntau dua qhov tshwm sim ntawm cov ntshav txhaws los ntawm phab ntsa hlab ntsha nce. Yog tias cov ntshav txhaws mus rau hauv lub ntsws lossis lub plawv, nws thaiv cov ntshav ntws thiab thromboembolism tshwm sim, ua rau ua tsis taus pa hnyav, plawv nres, thiab tuag. Yog tias ntshav txhaws nkag mus rau hauv cov hlab ntsha ntawm lub hlwb, nws ua rau mob stroke.
pib theem
Thaum pib, cov tsos mob ntawm pathology yuav mob me. Sij hawm dhau mus, ntau cov tsos mob ntawm thrombosis tshwm sim:
x
Thaum lub sijhawm mob hnyav, thrombosis pib sai sai: cov ntshav ntws los ntawm cov hlab ntsha ib nrab lossis tag nrho nres, ob txhais ceg thiab ncej puab loj tuaj, cov hlab ntsha saphenous tau nthuav dav, cyanosis thiab hyperthermia tau sau tseg.
Diagnosis
Tus kws kho mob phlebologist thaum kuaj pom kev kuaj mob thiab kuaj kev kuaj mob nrog cov ntaub qhwv elastic. Duplex scanning, phlebography, rheovasography ntawm qis extremities thiab ultrasound ntawm cov leeg kuj tau sau tseg.
Kev kho mob tactics
Kev kho mob tactics nyob ntawm theem ntawm pathology, tus neeg mob tus mob, thiab qhov chaw ntawm lub thrombus. Lub luag haujlwm tseem ceeb hauv tus kabmob no yog kom tsis txhob kis tus kabmob thrombosis thiab qhov tshwm sim ntawm pulmonary embolism. Txoj kev kho yog nqa tawm hauv tsev kho mob. Tus neeg mob tau muab tshuaj rau lub txaj so thiab tshuaj, suav nrog cov tshuaj fibrinolytic thiab thrombolytic, anticoagulants thiab antiplatelet agents. Kev kho mob phais yog ua thaum muaj kev phom sij rau lub neej.
