Leej twg yog phlebologist? Tus kws kho mob no kho dab tsi? Tsis yog txhua tus tau hnov txog kev kho mob tsis zoo li no. Cov neeg feem ntau kawm txog nws tsuas yog tom qab lawv tau txais kev kuaj mob uas nyob hauv qhov muaj peev xwm ntawm tus kws tshaj lij thiab xa mus rau kev kho mob ncaj qha rau nws. Txawm tias muaj tseeb hais tias cov kab mob phlebological tsis tshua muaj, nws yog ib qho nyuaj heev los nrhiav cov kws kho mob ntawm qhov tshwj xeeb no nyob rau hauv ib lub tsev kho mob tsis tu ncua.
Phlebology yog dab tsi thiab leej twg yog phlebologist?
Phlebology yog ib ceg kho mob uas kawm tsis tau tsuas yog lub luag haujlwm thiab cov qauv ntawm cov hlab ntsha, tab sis kuj tseem txhim kho txoj hauv kev kho cov kab mob venous, lawv qhov kev kuaj mob thiab kev tiv thaiv. Qhov no yog ib qho chaw tshwj xeeb hauv kev phais vascular, uas tshwj xeeb tshaj yog nyob rau hauv cov hlab ntsha nyob rau hauv qis extremities. Nyob rau hauv xyoo tas los no, phlebology tau txhim kho nrog kev siv tshwj xeeb. Qhov tseeb yog tias lub neej niaj hnub no, ecology, kev ntxhov siab, kev coj cwj pwm tsis zoo, kev ua haujlwm ntau dhau feem ntau ua rau muaj ntau yam kab mob, nrog rau cov hlab ntsha. Tsuas yog ob peb xyoos dhau los txog qee qhovntawm lawv twb tsis paub. Cov kev kuaj mob tshiab thiab ua tib zoo kawm tau muab sijhawm ntau rau cov kws kho mob, suav nrog phlebologist. Tus kws kho mob tsis paub no kho dab tsi? Qhov no yog tus kws tshaj lij uas cuam tshuam nrog kev kuaj mob, kev kho mob thiab kev tiv thaiv kab mob vascular ntawm sab qis.
History of phlebology
Kev muaj kab mob ntawm cov hlab ntsha tau paub txij li thaum ub Egypt. Rov ua dua, cov kws tshawb fawb pom cov tsos mob sab nraud ntawm varicose leeg thaum kuaj cov mummies excavated. Tsis tas li ntawd, muaj pov thawj tias cov neeg Iyiv tau tsim txoj hauv kev los kho cov kab mob no. Tsis tas li ntawd, kev lees paub ntawm nws lub neej tau sau tseg hauv cov haujlwm ntawm cov kws tshawb fawb kho mob thaum ub Hippocrates thiab Avicenna.
Trendelenburg tau tswj xyuas qhov ua rau ntawm varicose leeg nkaus xwb nyob rau xyoo 19th. Raws li nws cov kev soj ntsuam, qhov kev sib txawv no yog vim kev ua txhaum ntawm cov ntshav ncig hauv cov leeg. Nyob rau hauv ib tug neeg noj qab nyob zoo, cov txheej txheem tshwm sim nyob rau hauv xws li ib tug txoj kev uas cov ntshav ntws los ntawm cov hlab ntsha saphenous mus rau femoral. Nyob rau hauv cov ntaub ntawv ntawm pathology, ib tug rov qab outflow tshwm sim, vim hais tias cov hlab ntsha overflow, thiab varicose veins tsim. Tom qab ntawd qhov kev daws teeb meem nkaus xwb rau qhov teeb meem tau thov - tshem tawm cov hlab ntsha loj saphenous, nws txoj kev sib tshuam lossis ligation. Thaum pib ntawm lub xyoo pua 20th, ntau qhov kev phais zoo sib xws tau ua tiav, tab sis tsis yog txhua tus tau xaus zoo. Maj mam, cov kws kho mob tuaj yeem tsim cov tswv yim los txo qhov kev raug mob ntawm kev ua haujlwm.
Thaum lub tshuab X-ray tuaj nrog, cov kws kho mob tuaj yeem kuaj cov kab mob hauv cov hlab ntsha. Rau qhov notus neeg sawv cev zoo sib xws tau txhaj rau hauv lawv thiab muab ib daim duab, raws li qhov nyuaj, qhov xwm txheej thiab qhov chaw tshwj xeeb ntawm tus kab mob tau soj ntsuam. Lub luag haujlwm tseem ceeb hauv kev tshawb fawb ntawm phlebological txawv txav yog cov kws kho mob hauv tsev: Reinberg, Askerkhanov, Filatov, Krakovsky thiab Bakulev.
Me ntsis tom qab, ib txoj kev kuaj mob tshiab tau tshwm sim hauv kev kho mob, uas txhua tus paub hauv lub npe ntawm ultrasound. Ua tsaug rau nws, nws tuaj yeem kawm tsis tau tsuas yog cov kab mob pathology xwb, tab sis kuj tseem muaj cov kab mob dav dav ntawm cov hlab ntsha ntawm cov neeg mob, suav nrog kev kho qhov nrawm thiab kev taw qhia ntawm cov ntshav ntws hauv cov leeg. Qhov kev kuaj mob no txo qis cov kev ua haujlwm, uas tau hloov los ntawm cov tshuaj pharmacological thiab kev kho mob ntau dua. Nws yog hu ua sclerotherapy thiab muaj cov nyhuv sab hauv ntawm cov hlab ntsha los ntawm cov tshuaj tshwj xeeb
Cov kab mob vascular feem ntau
Yog li, peb xam seb leej twg yog phlebologist. Tus kws kho mob tshwj xeeb no kho dab tsi? Feem ntau cov kab mob ntawm cov hlab ntsha muaj xws li varicose leeg, thrombophlebitis, thiab kab laug sab leeg. Nws yog nrog xws li pathologies uas feem ntau yuav tsum tau ntsib hauv kev xyaum. Tsawg me ntsis lawv tig mus rau phlebologists nrog trophic ulcers, phlebopathy thiab venous insufficiency.
Symptoms of leg vein disease
Thaum twg nws tsim nyog hu rau tus kws kho mob phlebologist? Kev kho mob ntawm varicose leeg, kev kho mob ntawm thrombophlebitis yog nws lub ntsiab tshwj xeeb. Tab sis nws yog qhov zoo dua tsis txhob tos rau kev txhim kho ntawm pathology thiab teeb meem cuam tshuam nrog nws. Pom thawj zaugcov tsos mob, nws yog ib qho tsim nyog los sab laj tus kws kho mob kom tiv thaiv kev txhim kho ntawm tus kab mob ntev. Cov cim qhia uas yuav tsum ceeb toom cov neeg mob tsis yog ib txwm pom tseeb, thiab ntau tus tsis coj lawv hnyav txaus, ua rau muaj tus kab mob thiab ua rau nws nyuaj rau kev kho mob ntxiv.
Pom pom cov hlab ntsha ntawm ob txhais ceg ntawm ntshav lossis xiav hue, tsaus pigmentation ntawm daim tawv nqaij ncig ntawm pob taws lossis ob txhais ceg, mob hauv pob qij txha, koj yuav tsum mus ntsib kws kho mob tam sim. Cov tsos mob tsawg dua, xws li mob, o, lossis qee zaum ob txhais ceg, yuav tsum tsis txhob ua rau qaug zog lossis ua haujlwm dhau. Tej zaum lawv yuav qhia tau tias muaj teeb meem loj tuaj.
Kev kuaj mob niaj hnub
Kev kuaj mob ntawm cov leeg yuav tsum suav nrog ultrasound dopplerography lossis angioscanning. Yog tias tsim nyog, koj yuav tsum tau kuaj xyuas cov hlab ntsha duplex, phlebography lossis phlebomanometry. Thaum lub sij hawm teem tseg, tus kws kho mob yuav palpate qhov chaw cuam tshuam thiab tshuaj xyuas qhov pom ntawm cov kev hloov pauv pathological. Kuj tseem muaj ntau qhov kev txheeb xyuas yuav tsum tau ua. Qhov twg yuav tsum tau txiav txim los ntawm tus kws kho mob tuaj koom. Hauv cov kab mob vascular, ib nrab thromboplast lossis lub sijhawm thrombin, cov ntshav coagulation, fibrinogen, prothrombin Performance index thiab lwm yam tuaj yeem kuaj xyuas.
Kev kho cov hlab ntsha hauv ob txhais ceg
Yuav ua li cas thiab seb tus kws kho mob phlebologist kho li cas yog qhov txaus siab rau cov neeg uas tau ntsib nrog cov kab mob txawv txav cuam tshuam nrog cov leeg. Rau kev kho mob, cov tshuaj niaj hnub tuaj yeem muab kev saib xyuas thiab kev phaistxoj kev. Nws yog qhov ua tau tias vim li no, ntau tus tsis paub meej tias leej twg tuaj yeem pab lawv: tus kws kho mob lossis kws phais mob, tus kws kho mob kho cov leeg varicose thiab thrombophlebitis.
Txoj kev txuag muaj xws li tshuaj, compression, sclerotherapy thiab phytotherapy. Kev phais yuav tsum muaj nyob rau hauv cov xwm txheej uas cov kev kho mob tsis tuaj yeem tiv nrog tus kab mob. Tom qab ntawd cov kws phais neeg ua flekbetomy, tshem tawm lub cev ntawm cov hlab ntsha loj hauv qab ntawm daim tawv nqaij, tshem tawm cov ntshav reflux, los yog mus rau qhov tob tob hauv cov hlab ntsha. Varicose leeg muaj ob peb theem ntawm txoj kev loj hlob, uas txiav txim siab ceev thiab complexity ntawm kev kho mob.
Sclerotherapy hauv kev kho cov kab mob leeg ntawm thawj theem
Thaum pib, tus kab mob cuam tshuam rau cov hlab ntsha me xwb, tsis kis mus rau lub cev loj. Hauv qhov xwm txheej zoo li no, tus kws kho mob yuav hais kom sclerotherapy. Nws muaj ob peb ntau yam. Yog li, microsclerotherapy yog siv los tshem tawm cov hnub qub ntawm ob txhais ceg thiab cov leeg me me. Nws muaj nyob rau hauv kev taw qhia ntawm ib tug tshwj xeeb tshuaj, ib tug sclerosant, mus rau hauv cov hlab ntsha nrog kev pab los ntawm nyias koob.
Thaum lub sijhawm microfoam sclerotherapy, tib yam tshuaj yog txhaj li ua npuas ncauj. Txoj kev no muaj txiaj ntsig txawm tias nyob rau hauv kev kho mob ntawm cov hlab ntsha tuab thiab muaj varicose leeg. Kev kho mob ozone sclerotherapy suav nrog kev siv ozone-oxygen sib tov, uas pab tshem tawm telangiostasis. Cov hlab ntsha me thiab cov hnub qub tuaj yeem raug tshem tawm los ntawm kev siv coagulation - thermal lossis laser. Cov tom kawg yog siv txawm tias nws yuav tsum tau tshem tawm cov hlab ntsha ntawmntsej muag thiab lwm qhov hauv lub cev.
Phlebectomy raws li kev kho mob rau cov kab mob hauv cov hlab ntsha thib ob
Qhov kev xaiv no tau pom zoo los ntawm tus kws kho mob phlebologist hauv Kyiv lossis lwm lub nroog rau cov neeg mob uas muaj tus kabmob thib ob. Nws txawv ntawm thawj zaug los ntawm kev puas tsuaj loj ntawm lub valvular apparatus ntawm cov hlab ntsha, uas yog cov tseem ceeb thiab nyob rau hauv daim tawv nqaij. Classical phlebectomy yog ua nyob rau hauv cov tshuaj loog nyob rau hauv ib qho chaw ruaj khov. Nws lub ntsiab lus yog nyob rau hauv kev tshem tawm cov hlab ntsha puas tsuaj los ntawm incisions nyob rau hauv lub puab tais thiab nyob rau hauv lub hauv qab ntawm txhais ceg. Qee lub sij hawm nws tuaj yeem zam qhov kev cuam tshuam los ntawm kev hloov nws nrog radiofrequency ablation, laser coagulation lossis Varadi miniphlebectomy.
Kev kho cov hlab ntsha hauv theem peb ntawm tus kab mob
Tus phlebologist txiav txim siab qhov tsim nyog ntawm qhov no lossis txoj kev kho ntawd. Dab tsi kho thiab cov txheej txheem dab tsi uas tus kws kho mob feem ntau pom zoo nyob rau theem peb ntawm varicose leeg? Nws yog nrog los ntawm kev ua txhaum ntawm venous ntshav khiav, vim hais tias trophic rwj tshwm sim ntawm ob txhais ceg. Lawv tuaj yeem muaj qhov sib txawv thiab qhov tob, uas ncaj qha nyob ntawm tus neeg mob nws tus kheej. Ntev npaum li nws tso nws mus ntsib tus kws kho mob tshwj xeeb, qhov nyuaj ntawm kev hloov pauv pathological.
Kuj feem ntau qhov tsis saib xyuas ntawm lwm tus kws kho mob ua rau theem peb, uas tus neeg mob tau sab laj yav dhau los, tab sis tsis tau txais kev kho mob zoo, poob lub sijhawm muaj txiaj ntsig. Ntau tus kws kho mob phlebologist sim mus rau kev saib xyuas kev kho mob thiab tos tactics. Qhov no yog qhov tsim nyog txhawm rau kho cov kab mob me me, txo qhov mob thiab txo lawv cov ntim. Tsuas yog tom qabTom qab ntawd, lawv pib ua haujlwm siv phlebectomy ua ke.
Kev tiv thaiv kab mob vascular ntawm ob txhais ceg
Rau lub hom phiaj tiv thaiv, cov tib neeg muaj kab mob ntawm cov hlab ntsha ntawm sab qis yog qhia kom txo cov load ntawm lawv ob txhais ceg. Ua koj cov homework nyob rau hauv ib qho chaw zaum thaum twg los tau. Thaum so, siv cov menyuam los ntawm daim pam lossis hauv ncoo, muab tso rau hauv cov ceg ncaj. Tsis tas li, tau kawg, tab sis ob peb zaug hauv ib hnub xws li so rau 15 feeb yuav tsum tau ua. Koj yuav twv yuav raug hu tsis suav nrog da dej kub thiab tsis nco qab txog Lavxias da dej thiab Finnish sauna. Nws yog qhov zoo dua los douse koj txhais taw nrog dej txias, tsawg kawg ib hnub ib zaug. Yog tias muaj qhov hnyav dhau lawm, nws yog qhov tsim nyog los hais lus zoo rau nws sai. Koj yuav tsum tsis txhob nqa cov khoom hnyav, hnav khaub ncaws nruj heev thiab khau tsis xis nyob. Nws yog ib qho tsim nyog nrhiav cov nruj nruj los yog cov hnab ntim khoom tshwj xeeb uas tsim los kho cov hlab ntsha thiab txo cov khoom thauj ntawm lawv.
Hauv chaw ua haujlwm, koj yuav tsum tau zaum ncaj, ua kom koj nraub qaum ncaj, tsis txhob muab koj ob txhais ceg hla koj ob txhais ceg. Qhov kev xaiv zoo tshaj plaws yog siv lub rooj zaum qis lossis muab tso rau ntawm tus ntoo khaub lig hauv qab rooj, yog tias muaj. Tsis txhob o ntawm cov nqaij ntshiv, hloov txoj hauj lwm ntawm ob txhais ceg ib lub sij hawm, txav lawv, tig ob txhais taw thiab tsawg kawg ib zaug ib nrab ib teev sawv ntawm lub rooj zaum mus taug kev me ntsis thiab ncab. Thaum so nws raug pom zoo kom mus rau hiav txwv. Nyob ntawd, sim taug kev barefoot ntau dua ntawm cov nyom, pebbles lossis xuab zeb. Yog hais tias koj muaj varicose leeg, thrombophlebitis, venous insufficiency, rwj, sunburn yog kiag li contraindicated. Ntau ntxoov ntxoo, tsawg hnub - tam sim no nws yog koj litxoj cai. Thiab tau vein firming cream los yog gel siv txhua hnub.
Mus ntsib kws kho mob
Yuav kom kev kho mob kom tau txais txiaj ntsig sai, kom maj mam thiab ua tau zoo, kev xaiv tus kws tshaj lij yog qhov tseem ceeb heev. Txij li thaum nws yuav luag tsis pom nyob hauv ib lub xeev lub tsev kho mob zoo tib yam, yuav tsum muaj tus kws kho mob phlebologist. Phlebologist zoo yuav tsum tsis yog tsuas yog tus kws kho mob thiab kws kho mob xwb, tab sis kuj yog tus kws phais mob. Kev sib tham muaj peev xwm yog thawj kauj ruam ntawm txoj kev rov qab los.
Tus kws kho mob yuav tsum ua li cas? Tus kws kho mob no kho li cas twb paub lawm, tab sis nws ua li cas, koj kuj yuav tsum paub. Nws paub tias txhua yam kabmob hauv tib neeg lub cev muaj kev sib cuam tshuam, yog li txhua yam kab mob tsis tuaj yeem raug txwv rau kev kho mob ntawm ib leeg xwb, tab sis yuav tsum yog qhov nyuaj. Yog li, nyob rau hauv cov ntaub ntawv ntawm cov kab mob vascular, tsis tsuas yog lub venous system, tab sis kuj rau lwm tus neeg raug mob. Tsis tas li ntawd, qhov ua tau zoo ntawm kev kho mob mus rau ntau qhov lus dag tsis yog nyob rau hauv kev tshem tawm ntawm qhov tshwm sim thiab tshwm sim, tab sis kuj nyob rau hauv cov laj thawj ntawm qhov ua tsis tiav. Nws yog ib qho tseem ceeb heev kom taug qab qhov kev sib txuas no, nrhiav qhov chaw ntawm qhov teeb meem thiab tshem tawm nws sai thiab tsis mob li sai tau.
Feem ntau cov kws kho mob tshwj xeeb hauv daim teb no yog cov kws phais mob vascular. Tam sim no koj twb paub tus kws tshaj lij phlebologist (nws yog leej twg thiab nws kho li cas, peb tau sau saum toj no), koj yuav tsum kawm kom paub meej txog cov txheej txheem uas tus kws kho mob siv hauv nws qhov kev coj ua. Yog li ntawd, nws yog qhov zoo dua los nug txog qhov no tam sim ntawd ntawm kev txais tos, kom paub meej raws li cov hauv paus ntsiab lus ntawm kev kho mob yuav ua li cas, classical lossis phais. Los yog tej zaumnws txawj ntse nyob rau hauv lwm txoj kev tshiab ntawm kev kho cov leeg varicose los yog siv tsis yog ib txwm siv, kev sim ntawm cov npoj yaig txawv teb chaws. Txawm li cas los xij, qhov no tuaj yeem txiav txim siab tsuas yog tom qab kuaj xyuas kom meej, suav nrog tus kheej ntawm ib kis.
Myths of tsoos tshuaj
Yuav kom paub tias tus kws kho mob phlebologist yog leej twg, nws kho li cas thiab los ntawm txoj kev twg, txhua tus yuav tsum tau hu rau qhov chaw nyob yog tias muaj teeb meem ntawm cov leeg ntawm ob txhais ceg, tsis tas yuav nkim sij hawm rau qhov tsis muaj txiaj ntsig taug kev ncig lub chaw ua haujlwm hauv xeev cov chaw kho mob. Nws yog ib qho tsim nyog yuav tsum nco ntsoov qhov teeb meem loj ntawm qhov teeb meem no thiab tsis muaj kev kho tus kheej, thiab ntau dua yog li tsis txhob siv cov tshuaj tsis zoo rau pej xeem. Muaj ntau qhov kev xav tsis zoo txog txoj hauv kev los daws cov kab mob ntawm cov hlab ntsha. Nws yog ib qho tsim nyog yuav tsum tshem tawm cov lus dab neeg no, uas ntau txhiab tus tib neeg twb raug ntxias mus, uas tsuas yog ua rau lawv tus kheej raug mob xwb.
Yog li, cov kab mob vascular ntawm ob txhais ceg tsis kho nrog hirudotherapy. Leeches nyias cov ntshav rau ib ntus, vim nws cov dej ntws nrawm. Tus neeg mob tuaj yeem pom qee qhov kev nyem thiab ib feem ploj ntawm cov tsos mob tshwm sim hauv venous insufficiency. Tab sis qhov no yog qhov tshwm sim ib ntus, vim qhov ua rau tseem tsis tau tshem tawm, thiab tus kab mob rov qab los, tsuas yog nyob rau hauv daim ntawv hnyav dua.
Tsis txhob ntseeg qhov kev tshaj tawm ntawm cov tshuaj muaj txiaj ntsig zoo thiab cov khoom siv tshiab kawg. Yog tias lawv muaj, muaj tseeb cov tshuaj niaj hnub no yuav tau txais cov txheej txheem no kom tshem tawm qhov xav tau ntawm kev phais. Tab sis lawv tseemtau ua tiav, thiab phlebology yog nyob rau hauv kev tshawb fawb tas li ntawm cov txiaj ntsig tshiab los daws cov kev txom nyem ntawm cov neeg mob thiab ua kom yooj yim rau cov kws kho mob ua haujlwm. Tag nrho cov kev ua tiav tam sim no tau ua haujlwm zoo los ntawm cov kws tshaj lij, thiab sai li sai tau cov tshuaj lossis cov cuab yeej tsim tawm, nws yuav tshwm sim hauv arsenal ntawm cov chaw kho mob ntiag tug.
Tsis muaj nplooj zaub qhwv, plantain, infusions thiab decoctions, thiab ntau dua li kev kho cov zis, yuav tsis pab kho cov hlab ntsha, txawm tias kev ntseeg ntawm cov neeg koom nrog lwm cov tshuaj. Thaum ib tug neeg ua cov kev sim no ntawm nws tus kheej, varicose leeg txhim kho ntxiv, thrombophlebitis nce, thiab kab laug sab leeg ntawm ob txhais ceg loj hlob. Tsuas yog tus kws paub txog phlebologist zoo tuaj yeem pab tshem tawm cov kab mob no.
