Qhov classic ua rau o ntawm qis extremities ntawm cov poj niam yog hnav khau siab heeled. Nws yog qhov yooj yim heev los daws nws: nws txaus los tso cov khoom siv hauv tsev tsis zoo. Tab sis puffiness tsis yog ib txwm piav qhia yooj yim, tab sis raug tshem tawm los ntawm txoj kev tsis muaj teeb meem. Qee zaum, tus mob no qhia txog cov kab mob loj, nrog rau cov kab mob plawv thiab raum.
Ua rau thiab qhov tshwm sim: qhov cuam tshuam ntawm qhov teeb meem
Yog tsis paub qhov ua rau o ntawm sab qis, tsis muaj kev kho rau tus mob no. Txawm li cas los xij, qhov no kuj muaj tseeb nrog kev nyiam o ntawm tes. Feem ntau, qhov tshwm sim qhia txog kev ua txhaum ntawm kev ua haujlwm ntawm lub plawv, vascular system lossis ob lub raum. Muaj cov xwm txheej thaum edema yog thawj cov tsos mob ntawm malignant neoplasm uas nyiam cov neeg mob. Tsis txhob tso tseg lub sijhawm los mus ntsib kws kho mob: puffiness yog qhov laj thawj tseem ceeb rau kev kuaj tag nrho. Qee zaum kev tsis haum tshuaj tshwm sim nws tus kheej li edema, uas txhais tau hais tias nws yog ib qho tsim nyog los pib txheeb xyuas qhov tsis haum rau lub sijhawm. Tau txiav txim siab raws nraim li cas los ua tus provocateur ntawm qhov tshwm sim, koj tuaj yeem xaiv txoj kev kho kom zoochav kawm.
Type thiab cov qauv: lub siab tsis zoo
Ntau zaus, nws tau qhia tias kab mob plawv yog qhov ua rau o ntawm cov extremities. Kev kho mob hauv qhov no yuav tsum pib tam sim ntawd. Muaj ntau qhov tshwm sim ntawm qhov tsis txaus hauv kev ua haujlwm ntawm cov leeg tseem ceeb ntawm peb lub cev. Nyob rau tib lub sijhawm, kev thauj khoom ntawm lub plawv tag nrho nce ntxiv, cov ntshav khiav qeeb, cov kua dej ntau hauv cov ntaub so ntswg thiab cov kabmob ntawm lub cev. Qhov no tshwm sim raws li o caj npab thiab txhais ceg.
Edema vim mob plawv yog thawj zaug pom ntawm ob txhais ceg. Maj mam lawv kis mus rau lub plab hauv qab ib nrab. Yog hais tias qhov ua rau o ntawm ob txhais ceg (ntawm cov ceg tag nrho) yog kab mob plawv, thaum lub sij hawm tshwm sim tau pom nyob rau hauv ib tug neeg mob bedridden, cov tsos mob yog maj nyuaj los ntawm qhov mob nyob rau hauv lub lumbar cheeb tsam, sacrum. Ob txhais ceg thiab caj npab swell, daim tawv nqaij tig daj ntseg, ua pa tsis txaus, thiab ua pa luv txhawj. Maj mam, ib daim duab kho mob ntawm lub plawv tsis ua hauj lwm yog tsim.
Yuav tsum tau kho sai, qhov ua rau o ntawm sab qis (sab ceg), sab sauv (caj npab) yog kev ua txhaum ntawm lub raum ua haujlwm. Nyob rau hauv rooj plaub no, thawj qhov chaw ntawm edema yog lub ntsej muag, ob lub qhov muag, maj mam cov tsos mob kis mus ntxiv los ntawm lub cev. Puffiness tsim tau sai heev, rau qee qhov nws yuav siv sij hawm ob peb hnub, rau lwm tus lub cev swells hauv ib hmo xwb. Manifestations yam ntxwv ntawm insufficiency ntawm lub plawv tsis pom, tab sis lub taub hau mob, tus neeg mob xav tias tsis muaj zog. Tej zaum yuav quaj los yog tua hla thaj tsam lumbar.
Lwm qhov ua tauQhov ua rau o ntawm qis extremities (ceg) yog varicose leeg. Hauv qhov no, lymphatic edema yog tsim. Thaum xub thawj, nws tsis yooj yim rau pom lawv, ob txhais ceg o thiab mob me ntsis thiab tsuas yog thaum yav tsaus ntuj. Tus mob no qhia tau ntau dua yog tias koj siv sijhawm ntev. Ntxiv nrog rau ob txhais ceg, txhais tes yuav o, o thiab mob. Yog tias koj so zoo, qhov o tuaj, rov qab los tom qab lwm qhov kev thauj khoom. Cov tsos mob ntawm varicose veins tau pom ntau dua thaum cov mob pathological zuj zus. Tsis tas li ntawd, qhov ua rau edema yog qhia los ntawm daim tawv nqaij pigmentation, mob pob qij txha thiab cov tsos ntawm ulcerated thaj chaw uas nyuaj rau kho.
Kab mob varicose ua rau o ntawm sab qis (sab ceg) nyiam cov kws kho mob tshwj xeeb vim nws qhov ntau. Nws tau raug tsim los tias o ntawm ob txhais tes thiab ko taw yog provoked los ntawm ib tug qeeb qeeb ntawm cov ntshav khiav hauv cov hlab ntsha. Qhov no ua rau muaj kev nce siab ntawm cov phab ntsa venous, nce hauv capillary load thiab nkag mus rau cov ntshav mus rau hauv qhov chaw intercellular.
Tus tsav tsheb thiab qhov tshwm sim: dab tsi ntxiv ua tau?
Ib qho ua rau o ntawm sab qaum, thiab txawm tias qis dua, yog qhov ua xua. Feem ntau, muaj o ntawm thaj tsam articular, ob txhais tes thiab sab ceg raug kev txom nyem. Feem ntau qhov no nrog lub sijhawm rov qab los tom qab kab tom. Muaj ntau qhov xwm txheej ntawm kev tsis haum tshuaj, thaum o thawj zaug tshwm sim ntawm lub ntsej muag, tom qab ntawd tsiv mus rau cov ceg. Cov tsos mob ntxiv qhia txog kev ua xua: mob caj pas, qhov ncauj qhuav.
Muaj peev xwm ua rau o ntawm sab qis hauvtxiv neej thiab poj niam - tsis tsim nyog, khoom noj khoom haus tsis sib npaug. Lub tsub zuj zuj ntawm cov kua hauv cov ntaub so ntswg organic yog pom tawm tsam keeb kwm ntawm kev haus dej ntau dhau. Yog tias nws tsis tuaj yeem txheeb xyuas cov kab mob plawv, lub raum thiab vascular, koj yuav tsum sim kho cov zaub mov. Yog tias qhov kev ntsuas no tsis ua rau muaj kev txhim kho ntawm tus mob, kev tshawb fawb ntxaws yog tsim nyog los txiav txim qhov yuav tsum tau ua ua ntej rau qhov tshwm sim.
Thiab tsis muaj kab mob
Ib qho ua rau o ntawm qhov qis qis (qee ceg) hauv cov txiv neej thiab poj niam yog lub cev qhov tshwm sim rau huab cua kub heev. Qhov tshwm sim tau piav qhia los ntawm qhov peculiarities ntawm kev ua haujlwm ntawm tib neeg lub cev: txhawm rau tiv thaiv kom tsis txhob muaj cua sov, vascular siab txo. Qhov no ua rau muaj kev phiv - cov kua dej ntau dhau tsis raug tshem tawm ntawm lub cev raws sijhawm, tab sis khaws cia hauv cov ntaub so ntswg.
Ib qho kev paub zoo ua rau o ntawm cov ceg tawv (caj npab, ceg) uas tsis xav tau kev kho mob yog cev xeeb tub. Thaum lub sij hawm yug me nyuam, cov keeb kwm hormonal hloov pauv, uas ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub ntsws, ua pa nyuaj. Nyob rau hauv ib tug poj niam xav tau ib tug me nyuam, cov hlab ntsha dilate, pob qij txha raug mob, tso zis ntau zaus. Ntawm lwm qhov tshwm sim yam ntxwv ntawm lub sijhawm tos tus menyuam yog o ntawm caj npab, ceg, ntsej muag.
Cov ntsiab lus thiab kev tshwm sim
Cov kws kho mob paub ntau yam ua rau o ntawm sab qis. Thaum hu rau tus kws kho mob, tus neeg mob feem ntau yuav raug xa mus rau ntau qhov kev sim thiab kev tshawb fawb tsim los kom paub meej lossis txiav txim tawm glomerulonephritis, pob zeb raum, pyelonephritis, cardiomyopathy, kab mob plawv, ischemia,hypothyroidism, elephantiasis, varicose leeg, kab mob siab, cirrhosis. Nws yog tsis yooj yim sua kom tshem tawm qhov ua tau ntawm kev sib xyaw ntawm ntau qhov ua rau ib zaug. Nyob rau hauv cov ntaub ntawv no, koj yuav tau xaiv ib tug ua ke kev kho mob chav kawm, uas, heev muaj peev xwm, yuav luag rau lub sij hawm ntev.
Txhua tus neeg, txawm tias tsis muaj kev kawm kho mob, yuav tsum nkag siab tias muaj ntau yam ua rau o ntawm sab qis, thiab qhov o ntawm nws tus kheej tsuas yog cov tsos mob qhia tias yuav tsum tau kho. Noj anamnesis thiab tshuaj xyuas tus neeg mob feem ntau tso cai rau tus kws kho mob kom raug kuaj xyuas ua ntej los ntawm kev teem caij thawj zaug, uas tau lees paub ntxiv los ntawm kev tshawb fawb ntxiv. Xav txog tias muaj teeb meem nrog lub plawv thiab urinary system, symmetrical edema tau pom. Nrog cov kab mob plawv, lawv feem ntau nce thaum yav tsaus ntuj, thiab nrog kev ua txhaum ntawm cov zis, lawv tau tshaj tawm thaum sawv ntxov.
Thaum cov qib hormonal tsis ua haujlwm, qhov o ntawm cov extremities tshwm. Qhov ua rau hauv feem pua ntawm cov neeg mob feem ntau yog hypothyroidism. Nws yog qhia los ntawm cov tawv nqaij tawv thiab qhov tsis tu ncua ntawm puffiness. Tab sis nrog vascular pathologies, qhov tshwm sim yog asymmetrical. Ib qho xim xiav rau ntawm daim tawv nqaij qhia txog teeb meem nrog cov hlab ntsha. Qhov chaw o yog txias rau qhov kov. Nrog rau symmetry ntawm edema thiab lub systemic xwm ntawm phenomenon, ib tug yuav hais tau ntawm ascites. Qhov no ua rau o ntawm extremities provokes ib tug mus tas li syndrome. Qhov tshwm sim yog tus cwj pwm los ntawm leaching ntawm cov qauv protein los ntawm lub cev.
Puas yog o?
Koj tuaj yeem kwv yees qhov ua rau ntawm limb edema txawm nyob hauv tsev. Nws yuav tsum ua nrog cov nuancesntau hom thiab hom puffiness. Tau kawg, plawv edema tsim nyog tau txais kev saib xyuas tshwj xeeb - lawv muaj ntau, thiab lawv tuaj yeem qhia tau tias muaj mob hnyav thiab txaus ntshai rau lub neej. Xav tias mob plawv edema, nws yog ib qho tsim nyog yuav tau kuaj xyuas cov ceg qis, nias koj tus ntiv tes rau ntawm nws pem hauv ntej hauv qab pob txha, nyob rau hauv txoj hauj lwm no ob peb feeb. Tshem tawm cov ntiv tes, koj tuaj yeem pom lub qhov, maj mam rov kho nws cov duab qub. Nrog rau qhov tshwm sim no, peb tuaj yeem tham txog qhov muaj puffiness, uas txhais tau tias koj yuav tsum sab laj nrog kws kho mob. Lwm qhov tshwm sim uas ua rau nws muaj peev xwm xav tias muaj kev nyiam rau edema yog qhov hnyav nce. Nws yog vim muaj cov kua dej nyob hauv cov ntaub so ntswg.
Yog tias qhov ua rau o ntawm cov extremities yog kab mob plawv, tus mob no maj mam. Tus kab mob no mus rau lub lis piam thiab hli. Hauv cov neeg mob bedridden, lub sacrum thiab sab nraub qaum o ua ntej; nyob rau hauv lwm tus, ob txhais ceg yog thawj tus raug kev txom nyem. Thaum nias rau ntawm qhov edema, ib lub qhov tseem nyob, maj mam rov qab nws cov duab yav dhau los thaum lub load raug tshem tawm. Cardiac edema yog heev ntom. Ib qho tsos mob ntxiv yog lub siab loj. Nyob rau hauv daim ntawv loj ntawm tus kab mob, ascites raug kuaj. Tus neeg mob yog tus cwj pwm los ntawm kev ua haujlwm tsis zoo, txawm tias qhov tsawg tshaj plaws. Yog tias koj tswj kom them nyiaj rau qhov mob, qhov o yuav sai sai ploj ntawm nws tus kheej.
Shapes and nuances
Qee zaum ib tus tuaj yeem xav tias, tau kawm txog qhov tshwm sim, nws yog qhov tsim nyog los tshem tawm cov kab mob raum vim qhov ua rau edema ntawm qis qis. Cov neeg laus xav tau kev kho mob ntau zaus, tab sis tsis ntev los no tau muaj kev nce ntxiv ntawm cov kab mob raum hauv cov neeg laus, nrog rau cov hluas thiab cov menyuam yaus. Nws tuaj yeem xav tias qhov ua rau yog nyob rau hauv ob lub raum yog tias qhov chaw o yog xoob, daim tawv nqaij yog paler dua li qub, thiab qhov o nws tus kheej yog mos. Nyob rau tib lub sijhawm, qhov loj ntawm daim siab tseem nyob ruaj khov. Tus neeg mob hloov qhov ntxoov ntxoo ntawm cov zis thiab txo qhov tso tawm. Hauv kev tshawb fawb hauv chav kuaj, kuaj pom cov feem ntawm cov protein thiab cov ntshav hauv cov zis. Feem ntau, lub raum edema pib thab qee lub sijhawm tom qab kis kab mob.
Kev o tuaj nrog kev ua xua yog pom tau yog tias ib tus neeg tau ntsib nrog kev ua xua. Qhov tsim ntawm edema yuav siv sij hawm vib nas this, feeb, qee zaum - me ntsis sij hawm ntxiv. Lub phenomenon yog pronounced. Raws li txoj cai, thaum xub thawj o yog pom nyob rau ntawm daim tawv muag, maj mam kis mus rau lub mucous daim nyias nyias, ces mus rau caj npab, khoov ntawm lub luj tshib thiab lub hauv caug. Urticaria feem ntau tsim, qee qhov chaw ntawm daim tawv nqaij khaus lossis ua pob liab liab. Nyob rau hauv daim ntawv loj ntawm kev tsis haum tshuaj, o txuas mus rau lub larynx thiab tuaj yeem ua rau suffocation. Qee qhov xwm txheej, tus mob tau ua ke nrog bronchospasm. Koj tuaj yeem pom nws los ntawm qhov hnyav ntawm exhalation. Nrog rau qhov ua tsis haum ntawm edema, tus neeg raug tsim txom xav tau kev pab tsim nyog thaum muaj xwm txheej ceev. Tshwj xeeb tshaj yog txaus ntshai yog cov mob thaum lub edema nce sai heev thiab cuam tshuam kev ua hauj lwm ntawm lub pa system.
Nuance of help
Kev kho mob ntawm edema ntawm cov extremities cuam tshuam nrog kev tshem tawm ntawm qhov ua rau provoked qhov tshwm sim. Tsis tas li ntawd, koj yuav tau siv ntau yam kev ntsuas los txhim kho koj txoj kev noj qab haus huv tag nrho. Nws yog ib qho tseem ceeb kom noj kom raug, noj tsis pub ntau tshaj 1.5 g ntsev ib hnub twg. Qee zaum, tus kws kho mobtej zaum yuav pom zoo hloov mus rau kev noj zaub mov nrog kev tsis lees ua tiav ntsev. Nrog rau kev nyiam edema, koj yuav tsum haus txog li ib liter ntawm cov kua ib hnub twg, coj mus rau hauv tus account kua kua zaub, thiab tswj cov zis ntau npaum li cas tawm hauv 24 teev. Feem ntau, qhov ntim ntawm cov kua hauv thiab tawm ntawm lub cev yuav tsum yog kwv yees li qub.
Nrog rau kev nyiam edema, diuretics tshwj xeeb yog siv ua tib zoo. Cov tshuaj no tsuas yog siv tau raws li kws kho mob qhia. Qee cov tshuaj diuretics txhawb cov leaching ntawm cov poov tshuaj, thiab qhov no cuam tshuam tsis zoo rau kev ua haujlwm ntawm lub plawv, ua rau muaj kev ua haujlwm tsis zoo ntawm kev cog lus thiab convulsions. Yog tias tus neeg mob raug qhia rau kev noj zaub mov tsis muaj ntsev thiab tshuaj diuretics, tus kws kho mob yuav xa tus neeg mob mus kuaj ntshav kom ntsuam xyuas qhov sib npaug ntawm electrolyte.
Koj tuaj yeem tiv thaiv qhov tsis txaus electrolyte los ntawm kev ua kom koj cov zaub mov muaj txiaj ntsig zoo nrog cov khoom noj uas muaj ntau cov poov tshuaj - mov, oatmeal, txiv hmab txiv ntoo qhuav thiab apricots, ci qos yaj ywm. Cov neeg mob yuav tau txais txiaj ntsig los ntawm decoctions thiab infusions ntawm qus sawv.
Koj yuav tsum tsis txhob suav rau kev kho mob sai rau edema, tshwj xeeb tshaj yog tias lawv cuam tshuam nrog kev ua haujlwm ntawm lub plawv. Tej zaum koj yuav tau kho lub neej.
Lub sijhawm sib ntaus
Nyob rau hauv ib feem me me ntawm cov mob, o qhia tias mob qog noj ntshav. Txawm hais tias qhov zaus ntawm qhov tshwm sim ntawm qhov tshwm sim thawj zaug ntawm lwm tus uas ua rau edema yog me me, nws tsis tuaj yeem txo qis - nws yog qhov kev kuaj mob raws sij hawm uas ua rau tus neeg mob muaj txoj hauv kev zoo tshaj plaws rau kev rov zoo. Hauv cov kab mob oncological, o yog vim kev ua txhaum cailymphatic kua, vim hais tias ob txhais ceg ua loj, o, kua accumulates nyob rau hauv qhov chaw ntawm lub hlwb. Yog tias koj tig mus rau tus kws kho mob hauv lub sijhawm, koj yuav muaj peev xwm tshem tau qhov tshwm sim tsis zoo - txoj hauv kev zoo tau tsim los tshem tawm cov edema uas tsis cuam tshuam nrog lub ntsiab ntawm kev kho mob qog noj ntshav.
Localization ntawm edema nyob ntawm tus yam ntxwv ntawm neoplasm, theem ntawm kev sib kis ntawm cov txheej txheem malignant thiab qhov tshwj xeeb ntawm nws qhov kev nce qib. Hauv cov kab mob oncological, o feem ntau yog nrog cov ntaub so ntswg hypertrophy, kub hnyiab, thiab hloov xim ntawm daim tawv nqaij mus rau ib qho paler. Daim tawv nqaij txias rau qhov kov, thiab thaj chaw o los poob qee qhov lossis tag nrho nws qhov kev xav.
Nuances of formation
Muaj peev xwm o ntawm cov extremities nrog ib tug malignant neoplasm nyob rau hauv lub ntsws. Nyob rau tib lub sijhawm, ib qho kev pom dav dav o, raws li txoj cai, ntawm ob txhais ceg. Nws tau piav qhia los ntawm kev ua haujlwm tsis zoo ntawm cov qog ntshav qog ntshav thiab tsis muaj peev xwm tshem tawm cov kua dej ntau dhau ntawm cov kab mob thiab cov ntaub so ntswg nyob ze. Cov tawv nqaij qhuav, daim tawv nqaij yog flaky, thaj chaw o tuaj liab.
Nrog rau mob qog noj ntshav hauv prostate lossis lub ncauj tsev menyuam, edema kuj npog ob txhais ceg ua ntej. Yog tias tus neeg mob tau txais kev phais kom tshem tawm qhov chaw tsis zoo, thaum qhov kev tshwm sim tau nrog kev tshem tawm cov qog ntshav qab zib, tom qab phais mob tau kuaj pom. Yog tias tus neeg mob tab tom kho nrog kev siv tshuaj hormonal, non-steroidal thiab steroids los txo cov txheej txheem inflammatory, feem ntau nws yog cov tshuaj uas ua rau.puffiness.
Nrog cov hlwb atypical hauv pancreas, cov ntaub so ntswg swell vim cov dej tuav thiab qhov tsis sib xws hauv kev sib pauv dej thiab electrolytes. Cov laj thawj zoo sib xws piav qhia qhov o ntawm cov kab mob malignant ntawm lub siab thiab lwm yam kabmob.
Risks ntau dua: vim li cas?
Qhov yuav ua rau mob qog noj ntshav nrog o yog ntau dua yog tias ib tus neeg muaj kev ua neej nyob tsis muaj zog, tsis muaj zog lossis rov ua haujlwm dua. Nyob rau tib lub sij hawm, stagnation nyob rau hauv lub circulatory system yog pom, lub outflow ntawm cov ntshav yog cuam tshuam. Tsis tas li ntawd, edema tuaj yeem tshwm sim los ntawm qhov tsis zoo ntawm tus mob yog tias tus neeg mob oncology muaj varicose leeg. Qee qhov xwm txheej, cov neeg tawm tsam yog mob plawv, hlab ntsha, siab, raum.
Muaj feem yuav mob edema nrog kev xaiv tsis raug thiab siv cov tshuaj tsis raug. Qee qhov xwm txheej, o tau piav qhia los ntawm malabsorption tiv thaiv keeb kwm yav dhau los ntawm kev qaug zog vim yog qog nqaij hlav.
Protein edema ntawm qis extremities tuaj yeem pom yog tias tus neeg mob tsis tau txais cov khoom noj uas yuav tsum tau muaj protein ntau. Txhawm rau txo qhov mob, nws yog qhov tsim nyog los tshuaj xyuas cov khoom noj lossis siv lwm txoj hauv kev muab cov protein rau lub cev.
Peb yuav kuaj txhua yam
Txhawm rau tshem tawm edema uas tshwm sim tom qab mob qog noj ntshav, koj yuav tsum tau kawm ntau yam. Raws li lawv cov txiaj ntsig, tus kws kho mob yuav xaiv qhov tsim nyog ntawm kev kho tus mob. Lawv sau ntawv MRI, CT kom paub meej cov qauv ntawm cov qog, txheeb xyuas cov ntshav rau electrolytes thiab oncological markers, coj cov nqaij mos rau biopsy, thiab x-rays.thaj chaw cuam tshuam. Cov poj niam tau pom mammography. Cov txiaj ntsig ntawm qhov kev tshawb fawb no tseem ceeb tshwj xeeb rau cov neeg mob laus, vim tias qhov kev pheej hmoo ntawm cov txheej txheem latent malignant yog siab.
Kev kho mob yog xaiv los ntawm tus kws kho mob raws li qhov nuances ntawm tus mob. Kev noj tshuaj rau tus kheej yog txwv nruj, tshwj xeeb tshaj yog tias tus neeg tau txais kev tiv thaiv kab mob cancer. Txhua yam tshuaj yuav tsum raug xaiv raws li txoj hauv kev kom tsis txhob muaj kev cuam tshuam rau ib leeg - thiab tsuas yog tus kws paub txog kev paub txog tuaj yeem ua qhov no.
