Phlebology yog ib ceg ntawm kev phais vascular uas tau muab cais rau hauv ib cheeb tsam vim tias muaj cov kab mob venous ntau. Tus kws kho mob uas cuam tshuam nrog kev tiv thaiv, kev kuaj mob, thiab kev kho mob ntawm cov hlab ntsha pathologies yog hu ua phlebologist. Tus kws phais mob vascular yog tus kws kho mob sib txawv. Ntau tus neeg tsis yog kws kho mob ntseeg tias cov no yog ob lub npe rau tib qhov tshwj xeeb. Hauv peb tsab xov xwm, peb yuav ua tib zoo saib seb tus kws phais mob vascular thiab phlebologist kho li cas, kom qhov sib txawv ntawm ob tus kws kho mob tau pom tseeb.
tus kws kho mob ua dab tsi
Kev muaj peev xwm ntawm tus kws kho mob phlebologist suav nrog cov kab mob xws li:
- YThrombophlebitis.
- Varicose veins (feem ntau nyob rau hauv qis extremities).
Txawm li cas los xij, qhov no tsis yog tag nrho cov npepathologies uas tus kws kho mob tuaj yeem kuaj xyuas thiab kho.
Kev txawj ntse zoo ib yam li cov kws phais mob vascular. Xav paub ntau ntxiv hauv qab no.
Kab mob ntawm cov leeg muaj nyob hauv txhua tus neeg thib peb. Txij li thaum kev kho mob tshwm sim ntawm cov kab mob no feem ntau tsis tuaj, ib tug neeg yuav tsis paub txog nws tus mob mus ntev. Yog li ntawd, cov neeg mob nrhiav kev pab los ntawm kws kho mob thaum tus kab mob twb nyob rau theem siab heev. Phlebology yog ib qho kev tshawb fawb me me, tab sis nws tau txais txiaj ntsig zoo heev, vim cov kab mob hauv cov hlab ntsha ua rau muaj kev txom nyem ntau.
Qhov txawv ntawm tus kws kho mob phlebologist thiab tus kws phais mob vascular
Angiosurgeon (tus kws phais mob vascular) yog tus kws kho mob uas kuaj xyuas thiab kho cov kab mob vascular. Tus kws kho mob phlebologist yog tus kws kho mob nqaim hauv kev phais vascular. Nws koom nrog kev tiv thaiv thiab kev kho mob ntawm cov hlab ntsha nyob rau hauv qis extremities. Ntawd yog, qhov sib txawv ntawm cov kws tshaj lij no yog qhov tseem ceeb. Cov neeg mob feem ntau tsis paub yuav tig mus rau leej twg - phlebologist lossis kws phais mob vascular.
Qhov kev txawj ntse tom kawg yog cov kab mob ntawm cov voj voog me me thiab loj ntawm cov ntshav. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm blockage ntawm cov hlab ntsha carotid, nws yog tus kws phais angiosurgeon uas yuav daws nrog txoj kev kho.
Tsis yog txhua tus paub qhov txawv ntawm tus kws kho mob phlebologist thiab tus kws phais mob vascular.
Phlebologist cuam tshuam nrog varicose leeg thiab lwm yam tshwm sim uas tshwm sim tawm tsam nws keeb kwm yav dhau. Yog tias tus neeg mob uas muaj mob hnyav ntawm cov hlab ntsha tsis txaus ntawm cov leeg sab qis nrhiav kev pab los ntawm tus kws phais mob vascular, nws yuav hloov nws mus rau sab xis.tus kws kho mob.
Ob tus kws tshaj lij yuav tsum muaj kev kawm kho mob tsim nyog, ua tiav kev xyaum ua haujlwm lossis chaw nyob, thiab tau txais kev xyaum tsim nyog.
Cov no yog cov haujlwm tseem ceeb - kws phais plawv thiab phlebologist. Nws yog qhov zoo dua kom paub qhov txawv ntawm lawv ua ntej.
Kev tshwj xeeb ntawm phlebologist
Ua ntej koj tig mus rau phlebologist kom pab, koj yuav tsum nkag siab nws qhov tshwj xeeb. Lub peev xwm ntawm tus kws kho mob tshwj xeeb no suav nrog kev kis tus kab mob hauv cov hlab ntsha:
- Elephantiasis ntawm ob txhais ceg, uas yog tshwm sim los ntawm lymphedema (impaired lymphostasis).
- Cov tawv nqaij tsis zoo, xws li cov leeg xiav, kab laug sab leeg.
- Post thrombotic syndrome.
- Venous los ntshav.
- trophic ulcers nrog los ntshav.
- YThrombophlebitis, thrombosis.
- Phlebitis.
- Varicose veins hauv qis extremities.
- Varicose.
- Venous insufficiency.
Koj tuaj yeem tiv tauj tus kws kho mob tshwj xeeb ob qho tib si npaj thiab thaum muaj xwm txheej ceev. Ib qho ntawm cov laj thawj no yog qhov tshwm sim ntawm thromboembolism.
Yog vim li cas hu rau phlebologist
Ntau zaus, cov neeg mob tig mus rau tus kws kho mob tshwj xeeb tsuas yog thaum tus kab mob twb dhau los lawm. Qhov no yog vim qhov tseeb tias cov txheej txheem pathological tau zais. Cov kab mob ntawm cov hlab ntsha tuaj yeem mus tsis pom tau ntev. Qee zaum, ib tug neeg tsis txawmkwv yees tias nws muaj mob. Yog vim li cas thiaj nrhiav kev pab yog:
- Mob tom qab taug kev ntev, tawm dag zog lub cev.
- Kev tshwm sim ntawm cov foob tsis pom nyob rau sab qis.
- o, pom qhov pom ntawm cov leeg.
- Qhov tshwm sim ntawm qhov tshwm sim tam sim ntawd hauv cov leeg pob txha.
- Nyob, hnyav hauv ob txhais ceg.
- Txhob ntawm cov leeg tsis muaj lwm yam tsos mob.
- Puffiness.
- mob ceg thaum hmo ntuj.
Cov paib no yuav tsum yog lub tswb ceeb toom qhia txog kev txhim kho ntawm cov kab mob. Txhawm rau tsis lees lossis lees paub cov kev txhawj xeeb, nws tsim nyog sab laj nrog tus kws tshaj lij.
Tseem muaj pawg ntawm cov neeg muaj kev pheej hmoo. Cov neeg mob zoo li no tau pom zoo kuaj txawm tias tsis muaj cov tsos mob ntawm venous pathologies. Pawg pheej hmoo suav nrog cov pej xeem ntawm pawg hauv qab no:
- Cov neeg haus luam yeeb hnyav, haus cawv.
- Cov poj niam hnav khau tsis xis nyob txhua hnub thiab ua haujlwm sawv.
- Cov neeg uas coj txoj kev ua neej nyob tsis muaj zog vim lawv txoj haujlwm lossis kev noj qab haus huv.
- Cov neeg rog rog.
- Kev txom nyem los ntawm kab mob endocrine (mob ntshav qab zib, hyperthyroidism).
- Cov poj niam cev xeeb tub.
- Cov neeg muaj hnub nyoog tshaj 45 xyoo.
Rau lub hom phiaj tiv thaiv, nws raug nquahu kom mus ntsib tus kws tshaj lij txhua xyoo.
Tus Kws Kho Mob
Ua ntej hu rau ob tus kws kho mob plawv thiab tus kws kho mob phlebologist, nws yog ib qho tseem ceeb uas yuav tau xav txog qee yam:
- Tus kws kho mob muaj kev paub ntau npaum li cas hauv qhov tshwj xeeb no.
- Nws puas muaj kev paub ua haujlwm.
- Muaj ib tus kws kho mob xyaum ua haujlwm lossis nyob hauv kev phais vascular.
- Qeb uas tus kws tshaj lij muaj.
Cov kws kho mob lees txais - tus kws phais mob vascular thiab phlebologist, raws li txoj cai, hauv kev tshwj xeeb tshwj xeeb, thiab qee zaum hauv lub xeev cov chaw kho mob, uas muaj cov cuab yeej kuaj mob niaj hnub no.
Cov chaw kho mob tshwj xeeb phlebological kuj muaj cov txheej txheem kuaj mob thiab kho tshiab. Muaj ntau txoj hauv kev kom tau txais kev teem sijhawm nrog tus kws tshaj lij:
- paid.
- Tau tau txais ib qho tshwj xeeb xa mus rau qhov chaw kuaj mob los ntawm kuv tus kws kho mob.
paid kev sab laj
Tus nqi ntawm thawj tus nqi nkag yog qhov nruab nrab ntawm 1200 rubles. Tus nqi yuav nyob ntawm thaj tsam ntawm lub tebchaws, lub koob meej thiab kev tsim nyog ntawm tus kws kho mob, lub koob meej ntawm lub tsev kho mob.
Hauv qee thaj tsam ntawm lub tebchaws, tus nqi tuaj yeem pib ntawm 2000 rubles. Ntawd yog, nws yog qhov nyuaj rau hu rau qhov kev pabcuam pheej yig. Tsis tas li ntawd, tom qab kuaj xyuas, tus kws kho mob tau sau cov kev tshawb fawb ntxiv uas yuav kuaj pom venous insufficiency.
Peb tau tshuaj xyuas qhov sib txawv ntawm tus kws kho mob phlebologist thiab tus kws phais mob vascular.
Txoj Kev Sib Tham
Ua ntej hu rau tus kws tshaj lij, nws raug pom zoo:
- Sau cov tsos mob uas koj txhawj xeeb.
- Yog tias ib tus neeg yav dhau los tau mus ntsib kws kho mob vascular lossis phlebologist, koj yuav tsum ua cov ntawv xeem thiab cov lus xaus nrog koj.
Vim tus kws kho mob yuav tshuaj xyuas qhov qis qis, tus neeg mob tau qhia kom nyiam cov khaub ncaws xoob xoob xoob xoob xoob xoob xoob xoob xoob xoob xoob xoob xoob xoob xoob.
Tus kws kho mob tshwj xeeb tau txais tus neeg mob ntau theem:
- Sau cov ntaub ntawv hais txog tus neeg mob - nws hnub nyoog, lub neej zoo, kev tsis txaus siab, tsos mob, kev ua haujlwm ntawm kev ua haujlwm.
- Tom qab ntawd yuav muaj kev kuaj pom ntawm tus neeg mob - tus kws kho mob tshuaj xyuas qhov mob ntawm daim tawv nqaij, nws xim, turgor.
- kauj ruam tom ntej yog palpation. Tus kws kho mob tshuaj xyuas thiab ntsuas qhov mob ntawm cov leeg nrog kev pab ntawm tes.
- Qee zaum, tus kws kho mob tshwj xeeb tau kuaj xyuas cov hlab ntsha tseem ceeb hauv qhov tob, siv cov ntaub qhwv elastic lossis tourniquet. Txoj kev tshawb no ua rau nws muaj peev xwm txheeb xyuas qhov mob thiab txiav txim siab tag nrho ntawm cov hlab ntsha loj.
Ntau zaus, cov kev tshawb fawb kho vajtse yog siv los kuaj xyuas.
Diagnosis
Cov kws kho mob tshwj xeeb tuaj yeem ua ob daim ntawv: ua ntej thiab kev lees paub.
Ntawm cov kev kuaj mob ua ntej, nws yuav tsum tau sau tseg qhov kev sim ntawm Prett, Troyanov-Trendelenburg, Delbe-Paters. Txhawm rau ua tiav cov kev sim no, tus kws kho mob phlebologist siv cov ntaub qhwv elastic los rub cov leeg mob.
Txoj kev kuaj mob tseem ceeb uas tso cai rau koj kom tau txais txiaj ntsig zoo tshaj plaws yog:
- Angiography nrog cov neeg sawv cev sib txawv.
- Phlebography, nws cov derivatives - phleboscintigraphy, phlebomanometry.
- Angioscanning.
- Duplex Scan.
- CT, MRI.
- Ultrasound ua los ntawm tus kws kho mob nws tus kheej.
Ntxiv rau kev kuaj mob siv cov cuab yeej siv niaj hnub no, qee qhov kev sim kuaj tau pom los pab tsim lossis qhia meej qhov kev kuaj mob:
- Immunoassay ntawm cov ntshav kuaj.
- Lipidogram.
- Thromboelastogram.
- YCoagulogram.
- OAM, UAC.
Txoj Kev Kho Mob
Tus kws tshaj lij txiav txim siab txog txoj kev kho mob uas tsim nyog tshaj plaws, suav nrog qhov hnyav ntawm tus kab mob thiab qhov xwm txheej ntawm nws qhov kev kawm. Pathology tuaj yeem raug tshem tawm ntau txoj hauv kev: kev phais, kev kho kom zoo.
Qhov kev xaiv zaum kawg tsis ntev los no tau lees paub tias tsis muaj txiaj ntsig, vim nws ua rau muaj ntau yam teeb meem venous. Rau lub hom phiaj ntawm kev kho tshuaj, cov tshuaj uas yog cov pab pawg kws tshuaj hauv qab no yog siv:
- tshuaj tiv thaiv kab mob.
- Anticoagulants.
- Anspasmodics.
- Venotonics.
Tshuaj tuaj yeem siv qhov ncauj thiab pleev xim, qee zaum - parenterally. Ntxiv nrog rau cov tshuaj no, cov kws tshaj lij pom zoo kom noj cov vitamins thiab minerals complexes, saib xyuas kev ua haujlwm ntawm lub cev thiab khoom noj khoom haus.
Kev phais mob rau kev kho mob venous pathologies
Txhob muab tshuaj kho thiabCov theem tseem ceeb ntawm cov txheej txheem pathological cuam tshuam nrog kev phais.
Ntawm cov kev cuam tshuam tsawg kawg yog:
- Radiofrequency ablation.
- Laser coagulation.
- Sclerosis ntawm veins.
Ntawm cov txheej txheem phais ib txwm muaj:
- Phlebectomy.
- Thromboectomy.
Tus kws kho mob txiav txim siab hom kev phais mob ntawm tus kheej, suav nrog cov tsos mob ntawm tus kab mob thiab nws qhov hnyav. Tus kws kho mob phlebologist ua haujlwm.
Yog li, tus kws kho mob phlebologist yog tus kws phais mob vascular nrog qhov tshwj xeeb nqaim.
