Ntau tus neeg txaus siab rau lub npe ntawm tus kws kho mob vascular. Cia peb kawm saib.
Kev muaj kab mob ntawm cov hlab ntsha tsis yog qhov zais cia hauv lub sijhawm ntawm Egypt Ancient tim lyiv teb chaws, thiab tseem muaj pov thawj tias cov neeg Iyiv tau ua tiav txoj hauv kev los kho cov kab mob no. Cov tshuaj tau nce mus tom ntej, thiab tam sim no muaj cov txheej txheem niaj hnub siv los ntawm cov kws tshaj lij. Tab sis nws hloov tawm hais tias rau kev kho mob ntawm ntau hom hlab ntsha, ntau tus kws kho mob yuav tsum tau. Hauv tsab xov xwm no peb yuav tham txog tus kws kho mob vascular lossis phlebologist, peb yuav qhia koj tias nws yog leej twg thiab nws ua dab tsi.
Kuv yuav hu rau tus kws kho mob twg?
Pib nrog, peb yuav tham luv luv txog cov kws kho mob uas koj yuav tsum tau tiv tauj rau kev pab cuam hauv vascular pathologies. Nyob rau hauv cov kab mob ntawm cov hlab ntsha coronary, kev pab los ntawm ib tug kws kho plawv yog tsim nyog. Yog tias koj muaj teeb meem nrog cov hlab ntsha, koj yuav tsum nrhiav kev qhia los ntawm tus kws kho mob angiologist. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum nyob rau hauv kev ua hauj lwm ntawm cov hlab ntsha ntawm lub paj hlwb, yuav tsum tau mus kuaj los ntawm ib tug neurologist. Tsis tas li ntawd, ntau yam venous thiab arterial pathologies, thiabkev ua txhaum ntawm kev ua haujlwm ntawm cov qog ntshav qog ntshav yuav tsum muaj kev cuam tshuam ntawm tus kws phais mob vascular. Cov txheej txheem inflammatory ntawm cov phab ntsa vascular, uas ua rau cov kab mob ntawm cov ntaub so ntswg, yog kho los ntawm rheumatologist. Tab sis tus kws kho mob tshwj xeeb txog cov teeb meem ntawm cov hlab ntsha hu ua phlebologist. Yog li, kev kho cov kab mob vascular yuav xav tau kev koom tes ntawm ntau tus kws tshaj lij. Ntxiv rau cov uas tau teev tseg saum toj no, koj yuav tsum tau mus ntsib kws kho mob tshwj xeeb xws li kws kho mob dermatologist, immunologist, oncologist, allergist lossis kws phais. Tab sis hnub no peb yuav tham txog tus kws kho mob vascular (los yog phlebologist) thiab kab mob ntawm cov hlab ntsha.
Cov kab mob dab tsi uas tus kws kho mob kho mob thiab phlebology ua li cas?
Phlebology yog ib ceg ntawm cov tshuaj uas kawm txog cov qauv kev ua haujlwm ntawm cov leeg leeg thiab txhim kho txoj hauv kev tshiab rau kev kho cov kab mob venous, nrog rau kev kuaj mob thiab kev tiv thaiv. Qhov no yog ib qho chaw tshwj xeeb hauv cov tshuaj, tshwj xeeb hauv pathology ntawm cov leeg ntawm sab qis. Tsis ntev los no, qhov kev taw qhia no tau txais lub zog tshiab hauv kev txhim kho. Qhov tseeb niaj hnub no ntawm peb lub neej nyob rau hauv daim ntawv ntawm kev ntxhov siab tsis tu ncua, ecology phem, cwj pwm phem thiab ua haujlwm dhau los ua rau muaj ntau yam kab mob.
Tab sis ob peb xyoos dhau los, qee cov kab mob tseem tsis tau paub txawm tias cov kws tshaj lij, tsis hais txog cov neeg zoo tib yam. Yog li ntawd, nyob rau hauv xyoo tas los no, cov kws kho mob tau sau tseg ntau yam kab mob ntawm ntau cov hlab ntsha, xws li varicose leeg, mob venous insufficiency, phlebitis, thrombophlebitis thiab thrombosis. Kev kho mobxws li pathologies muaj ib tug kws kho mob tshwj xeeb - phlebologist. Nws lub peev xwm muaj xws li kev kuaj mob ntawm cov kab mob hauv cov hlab ntsha, kev kho mob ntawm ntau yam hauv zos, nrog rau kev tiv thaiv kab mob ntawm cov hlab ntsha. Nyob rau hauv peb lub teb chaws, ntau tshaj 20 xyoo dhau los, lub koom haum ntawm Phlebologists tau tsim - ib tug kws lub zej lub zos ntawm cov kws kho mob uas cov tswv yim thiab scientific nyiam muaj feem xyuam rau cov kab mob ntawm cov hlab ntsha.
Thaum twg koj xav tau tus kws tshaj lij no?
Tus kws kho mob no yuav tsum tau sab laj yog tias muaj qee cov tsos mob tshwm sim los ntawm o ntawm cov leeg qis, hnyav thiab qaug zog ntawm ob txhais ceg thaum nruab hnub, kub hnyiab thiab mob ntawm ob txhais ceg, hmo ntuj cramps ntawm cov leeg nqaij, qhov tsos ntawm tus yam ntxwv ntshav vascular network, protruding leeg ntawm ob txhais ceg. Tag nrho cov no yog cov cim qhia ntawm varicose leeg. Hmoov tsis zoo, tus kab mob no nyuaj rau kev kho mob, kev loj hlob sai, yog li xav tau kev pab los ntawm tus kws kho mob tshwj xeeb thaum ntxov.
Tseem muaj ib tug kws kho mob phlebologist kho me nyuam.
About varicose leeg
Nws yog ib qho tseem ceeb heev yog tias muaj keeb kwm ntawm cov kab mob no, tam sim ntawd sab laj tus kws kho mob kom nws thiaj li sau cov tshuaj tiv thaiv los tiv thaiv kev txhim kho ntawm cov txheej txheem inflammatory uas provoke tsim cov ntshav txhaws. Varicose veins ntawm qis extremities yog feem ntau tshwm sim, tab sis los ntawm tsis muaj txhais tau tias tsuas yog ntau yam ntawm tus kab mob no. Tus kab mob no tuaj yeem cuam tshuam rau cov hlab ntsha ntawm lub plab me me, qhov chaw mos, txoj hlab pas, cov hnyuv. Nws yog qhov nyuaj heev los kuaj xyuas varicose leeg ntawm lub plab me me. Qhov no pathology feem ntau pom nyob rau hauvcov poj niam hnub nyoog 17 txog 45 xyoo. Cov tsos mob feem ntau tsis meej thiab tej zaum yuav yog lwm yam kab mob.
Tus mob tseem ceeb
Varicose veins tuaj yeem tshwm sim vim:
- kev ua neej lossis kev ua haujlwm uas cuam tshuam nrog kev ua haujlwm hnyav, nyob hauv ib txoj haujlwm ntev (sawv lossis zaum) lossis qhov kub thiab txias tas li;
- qhov hnyav nce;
- kev hloov pauv;
- hormonal cuam tshuam (cev xeeb tub thiab noj tshuaj hormonal);
- obstacles nyob rau hauv cov ntshav tawm (cov ntshav txhaws, qog);
- kev nyuaj siab thiab kev nyuaj siab;
- arterial-venous fistulas (siab nyob rau hauv cov hlab ntsha ntawm cov hlab ntsha);
- kis las tshaj (yuav hnyav);
- khaub ncaws thiab khau tsis xis nyob.
Thaum twg mus ntsib kws kho mob?
Yuav tsum tau ceev faj thiab npaj taug kev mus rau tus kws kho mob vascular hauv cov xwm txheej hauv qab no:
- rau qhov mob hauv plab plab.
- Kev tawm ntawm qhov chaw mos.
- Rau qhov mob plab hnyav thaum cev xeeb tub.
- Rau qhov tso zis tsis zoo.
- rau qhov mob ntawm qhov chaw mos.
- Yog tias koj pom cov kab mob varicose hauv perineum, ncej puab thiab pob tw.
Feem ntau, cov poj niam ntaus nqi cov tsos mob no rau cov teeb meem gynecological, nws yeej tsis tshwm sim rau leej twg uas qhov teeb meem yog varicose leeg, thiab xav tau kev sab laj nrog kws kho mob phlebologist.
Kevdiagnosis
Thaum thawj zaug tuaj ntsib tus neeg mob, tus kws kho mob pom qhov muag tshuaj xyuas nws thiab sau ntawv tshuaj ntsuam xyuas, suav nrog kev sim kuaj thiab ntsuas ntsuas ntsuas. Raws li cov txiaj ntsig ntawm cov kev tshawb fawb, thiab tom qab tshuaj xyuas tus neeg mob keeb kwm, tus kws kho mob tshwj xeeb ua rau kev kuaj mob. Wb tham luv luv txog qee yam kev ua ub no rau varicose leeg.
kuaj ntshav
Nyob ntawm kev sab laj, tus kws kho mob phlebologist yuav muab tshuaj ntsuam xyuas ntshav - coagulogram. Nrog nws, koj tuaj yeem tau txais cov ntaub ntawv hais txog lub sijhawm prothrombin (cov haujlwm ua haujlwm thiab cov ntshav txhaws); hais txog qhov ntau thiab zoo ntawm fibrinogens; thrombin lub sij hawm (tus nqi ntawm fibrinogen hloov mus rau fibrin); hais txog qhov ntsuas prothrombin (qhov piv ntawm lub sijhawm prothrombin ntawm tus neeg mob cov ntshav thiab tib qhov ntsuas hauv qhov ntsuas ntshav plasma).
Hardware research
Ntxiv rau, hauv qhov xwm txheej no, yuav tsum muaj kev tshawb nrhiav kho vajtse. Piv txwv li, ua dopplerography ntawm cov hlab ntsha, triplex scanning, sib piv x-ray (nws tseem hu ua phlebography). Nws yog ib qho tsim nyog los ntsuas cov ntshav venous. Qhov no yog ua tiav siv phleboscintigraphy (ib txoj hauv kev zoo heev thiab tsis tshua muaj kev cuam tshuam niaj hnub). Thiab kuj tau ua tiav kev ntsuas qhov siab hauv cov leeg siv txoj hauv kev xws li phlebomanometry.
Tus kws kho mob vascular ua dab tsi?
txoj kev kho
Txoj kev kho cov kab mob venous nyob ntawm tag nrho cov npe ntawm yam. Qhov hnyav ntawm tus mob ntawm tus neeg mob kuj tseem raug coj mus rau hauv tus account,thiab qhov hnyav ntawm tus kab mob, nrog rau qhov ntim ntawm localization ntawm varicose leeg. Hauv kev xyaum kho mob niaj hnub no, muaj ntau txoj hauv kev rau kev kho cov leeg varicose:
- kev kho mob. Tus neeg mob tau txais cov tshuaj thiab tshuaj pleev (cream, tshuaj pleev lossis gel). Cov kev pabcuam ntawm tus kws kho mob phlebologist tam sim no xav tau zoo heev.
- Siv compression stockings. Cov neeg mob uas muaj varicose leeg tau raug sau tseg kom hnav cov ris tsho hauv qab tshwj xeeb elastic, uas yuav pab ua kom cov ntshav ntws mus zoo thiab tiv thaiv edema los ntawm kev tsim, txo tus neeg mob tus mob.
- Sclerotherapy. Txoj kev no yog siv los kho kev ua txhaum ntawm kev ua haujlwm ntawm cov hlab ntsha me. Cov txheej txheem yog nqa tawm tom qab ua tib zoo tshawb fawb thiab tsuas yog tias tsis muaj contraindications. Nws zoo li qhov no: ib qho tshuaj tshwj xeeb tau nkag rau hauv lub nkoj, ua kom nws cov phab ntsa ua ke. Cov hlab ntsha yog li tshem tawm ntawm lub circulatory system.
- Txoj kev ntawm kev cuam tshuam kev phais. Hauv qhov no, kev cuam tshuam kev phais txhais tau hais tias phlebectomy, nrog rau miniphlebectomy (tus qauv no suav hais tias tsis tshua muaj mob). Kev ua haujlwm yog ua los ntawm tus kws phais phlebologist thiab nws muaj nyob rau hauv kev tshem tawm qhov cuam tshuam ntawm cov leeg.
- Txoj kev ntawm laser coagulation. Qhov kev ua haujlwm no yog ua tsis tau siv lub scalpel thiab tsuas yog ua tau ntawm perforating thiab superficial veins. Nrog kev pab los ntawm thermal nyhuv ntawm lub laser beam nyob rau hauv lub puab phab ntsa ntawm cov hlab ntsha, cov hlab ntsha raug kaw los yog obliterated. Txoj kev yog contraindicated nyob rau hauvatherosclerosis, anemia, lub raum thiab lub plawv tsis ua hauj lwm, nce ntshav txhaws.
Raws li kev tshuaj xyuas, Lavxias teb sab phlebologists muaj nuj nqis thoob plaws ntiaj teb.
Kev noj tus kheej tsis tsim nyog
Hais txog txoj kev kho mob, yuav tsum tau hais tias ntau tus neeg mob sim kho lawv tus kheej ua ntej tuaj ntsib kws kho mob tshwj xeeb, uas ua rau muaj kev puas tsuaj loj. Folk myth-making attributes miraculous properties to cabbage nplooj, plantain, ntau yam infusions thiab decoctions, nrog rau cov zis kho thiab hirudotherapy. Nyob rau hauv cov ntaub ntawv ntawm cov hlab ntsha pathologies, tag nrho cov no tsis ua hauj lwm thiab, qhov zoo tshaj plaws, nws tsuas yuav tsis ua mob, thiab qhov phem tshaj, nws yuav heev nyuaj rau qhov teeb meem. Yog tias tag nrho cov txheej txheem no pab tau, ces cov kws kho mob yuav tau siv lawv ntev dhau los kom tsis txhob ua kev phais. Tab sis kev ua haujlwm tseem ua tiav, thiab phlebologists niaj hnub nrhiav txoj hauv kev zoo tshiab los txo cov neeg mob. Tsuav qhov kev sim ntawm nws tus kheej txoj kev noj qab haus huv txuas ntxiv mus, tus kab mob yuav loj hlob thiab nce mus ntxiv. Tsuas yog cov kws kho mob zoo tshaj plaws hauv Moscow nrog kev paub dhau los tuaj yeem tshem tawm qhov mob no. Ntawm cov kws tshaj lij no, ib tus yuav tsum tau hais txog cov kws paub txog phlebologist, xws li G. G. Chuiko, A. I. Danilov, A. V. Savina thiab lwm tus.
Results
Hauv kev xaus, nws yuav tsum tau hais tias muaj cov kws kho mob tshwj xeeb uas cuam tshuam nrog cov teeb meem vascular tshwj xeeb yog qhov txhawb nqa. Txawm li cas los xij, peb yuav tsum tsis txhob hnov qab tias lub luag haujlwm rau kev nyab xeeb thiab kev noj qab haus huv ntawm cov hlab ntsha nyob nrog cov neeg mob lawv tus kheej. ThiabCov kws kho mob tsis tyre rov hais dua rau peb tias txawm tias muaj cov kab mob genetic predisposition rau qee yam kab mob, nws muaj peev xwm kho tus neeg mob tus mob nrog kev pab los ntawm kev tiv thaiv kev ntsuas. Tab sis sai npaum li cas koj tau txais kev tiv thaiv, qhov txiaj ntsig zoo dua tuaj yeem muab los ntawm cov kws tshaj lij hais txog kev txhim kho pathology. Zoo, thiab, ntawm chav kawm, peb yuav tsum tsis txhob hnov qab txog txoj kev ua neej uas koj coj. Tus cwj pwm ntawm kev haus luam yeeb thiab kev ua haujlwm qis yuav ua rau tag nrho cov kev tiv thaiv, thiab kev kho mob yuav tsis muab qhov xav tau.
Tam sim no peb paub lub npe ntawm tus kws kho mob vascular.
