o ntawm sab qis yog ib qho tshwm sim heev. Qhov o uas tshwm tom qab ib hnub nyuaj thiab ploj mus thaum sawv ntxov yuav tsum ceeb toom rau tus neeg. Xws li cov tsos mob tuaj yeem yog qhov tshwm sim ntxov ntawm varicose leeg lossis thrombophlebitis. Yog tias qhov o tsuas yog nce ntxiv txhua hnub, nws yog qhov yuav tsum tau sab laj nrog kws kho mob sai li sai tau txhawm rau txhawm rau tshem tawm cov lymphostasis ntawm sab qis. Tus kab mob no tshwm sim hauv 10% ntawm cov neeg nyob hauv ntiaj teb.
Txoj kev ntawm lymphatic system
Cov kab mob lymphatic yog ib feem ntawm cov kab mob hauv lub cev thiab muaj kev cuam tshuam nrog lub plawv apparatus. Cov nkoj ua si lub luag haujlwm ntawm cov hlab ntsha thauj mus rau cov qog ntshav hauv lub cev. Nws tus kheej ua haujlwm raws li lub tshuab ua kom huv plasma. Cov kua dej ua ntej nkag mus rau qhov chaw intercellular, thiab tom qab ntawd, ua ke nrog cov proteins, raug xa mus rau cov hlab ntsha. Los ntawm qhov ntawd, nws dhau mus rau cov qog nqaij hlav, qhov twg cov ntshav ua tiav qhov kawg purification thiab faib thoob plawslub cev.
Lub lymphatic system ua haujlwm ntau yam tseem ceeb:
- antibody tsim;
- kev koom tes hauv kev tsim cov leukocytes;
- thauj cov rog los ntawm txoj hnyuv loj mus rau cov ntshav;
- kua pom thiab tshem tawm cov co toxins, cov khoom txawv teb chaws los ntawm nws.
Ib qho kev ua haujlwm tsis zoo ntawm cov lymphatic system ua rau cov kua dej tsis zoo los ntawm cov ntaub so ntswg. Lawv tshwm sim, raws li txoj cai, vim clogging ntawm cov hlab ntsha los yog lawv overgrowth. Qhov no ua rau muaj qhov tshwm sim ntawm edema, uas yog thawj cov cim qhia ntawm lymphostasis ntawm qis extremities.
Kev piav qhia ntawm tus kab mob thiab nws ua rau
Lymhostasis yog ib yam kab mob ntev uas tshwm sim los ntawm kev ua txhaum ntawm cov qog ntshav tawm. Feem ntau nws cuam tshuam rau thaj tsam ntawm qhov qis extremities. Nrog rau qhov pathology no, cov qog ntshav tsis tuaj yeem nkag mus thoob plaws hauv lub cev thiab pib nkag mus rau hauv cov ntaub so ntswg. Yog li ntawd, ob txhais ceg o ntau heev, thiab daim tawv nqaij yuav ntom heev thaum lub sij hawm. Nrov nrov, qhov tshwm sim no tau paub nyob rau hauv lo lus "tso tseg" vim yog sab nraud zoo sib xws nrog cov ceg ntawm tus tsiaj.
Tus kab mob muaj 2 hom kev ntws: thawj thiab theem nrab. Lawv txawv nyob rau hauv lub mechanism ntawm tshwm sim thiab pathogenesis. Primary lymphostasis tsim tawm tsam keeb kwm ntawm congenital pathology. Nws feem ntau kuaj tau hauv cov menyuam mos, thiab ntawm cov laj thawj, cov kws kho mob ib leeg tawm ntau yam hauv ib zaug:
- genetic anomalies;
- lub plawv tsis ua hauj lwm;
- kev txhim kho lub cev.
Secondary lymphostasis ntawm qis extremities tsis congenital. Kawm txog nwstxiv neej thiab poj niam hnub nyoog tshaj 30 xyoo. Cov neeg uas coj txoj kev ua neej nyob sedentary kuj poob rau hauv pawg pheej hmoo. Txoj kev loj hlob ntawm tus kab mob yog vim qhov kis tau tus kab mob uas cuam tshuam nrog kev tawm ntawm cov qog ntshav. Cov no yog cov ua txhaum cai hauv qab no:
- overweight;
- yav dhau los pauv thrombophlebitis;
- irradiation ntawm lub cev;
- neoplasms hauv lymphatic system;
- lub plawv tsis ua hauj lwm;
- raum pathology;
- kab mob parasitic;
- tawv nqaij hlawv.
Qhov ua rau lymphostasis ntawm qis qis yuav tsis muaj kev sib txuas ncaj qha nrog cov lymphatic system, tab sis tsis ncaj qha cuam tshuam rau cov kab mob hauv nruab nrog cev.
daim duab kho mob
Nyob rau hauv nws txoj kev loj hlob, tus kab mob mus txog 3 theem ntawm kev loj hlob. Txhua tus muaj daim duab kho mob tshwj xeeb.
Thawj theem, lossis lymphedema, yog tus cwj pwm los ntawm cov txheej txheem thim rov qab. Puffiness tshwm tsuas yog hauv pob taws thiab ntawm lub hauv paus ntawm cov ntiv taw. Cov tsos mob no tshwj xeeb tshaj yog pom tom qab kev tawm dag zog, nrog rau yav tsaus ntuj. Tom qab so, nws feem ntau ploj mus yam tsis muaj kab. Nyob rau theem no, tus kab mob teb zoo rau kev kho mob.
theem thib ob, lossis fibrodemus, muaj cov duab pom zoo dua. Qhov o tuaj mus tas li. Nws nce mus rau theem ntawm pob taws. Nyob rau hauv cov ntaub ntawv no, daim tawv nqaij noticeably thickens, tau ib tug bluish tint. Muaj peev xwm deformation ntawm txhais ceg, ib qho kev nce nyob rau hauv nws loj nyob rau hauv txoj kab uas hla. Qee cov neeg mob tau mob cramps hauv cov nyuj thiab pob qij txhako taw.
Elephantism yog theem kawg ntawm kev txhim kho lymphostasis ntawm sab qis. Hauv daim duab hauv qab no koj tuaj yeem pom nws cov yam ntxwv nta. Vim o, txhais ceg nce ntau dhau ntawm txoj kab uas hla. Qhov sib txawv ntawm kev noj qab haus huv thiab kev cuam tshuam ntawm ceg ceg yog li 50 cm. Hauv cov nqaij mos, cystic-fibrous hloov pauv tau tshwm sim. Cov ceg maj mam poob cov haujlwm uas tau muab rau nws los ntawm xwm.
Txoj kev kuaj mob
Cov lymphostasis ntawm qis qis yog kho los ntawm tus kws kho mob qog noj ntshav. Thaum tsis muaj ib tus kws kho mob tshwj xeeb hauv lub tsev kho mob, koj yuav tsum tau hu rau phlebologist lossis angiosurgeon kom pab.
Tom qab kuaj lub cev ntawm tus neeg mob, kawm txog nws cov lus tsis txaus siab, tus kws kho mob tau hais kom kuaj ntxiv. Nws suav nrog cov haujlwm hauv qab no:
- Dopplerography ntawm cov hlab ntsha (tso cai rau koj kuaj pom qhov o ntawm cov leeg).
- Lymphoscintigraphy (yuav tsum tau ntsuas lub xeev ntawm lymphatic system). Txoj kev kuaj mob no suav nrog kev qhia txog cov tshuaj hauv qab tus neeg mob daim tawv nqaij uas nkag mus rau cov lymphatic ntws thiab siv ob peb daim duab siv lub koob yees duab gamma.
- Lymphography (qhov tshwj xeeb ntawm X-ray, uas tuaj yeem siv los txiav txim seb cov hlab ntsha thiab qhov permeability ntawm lawv cov phab ntsa). Thaum tus txheej txheem, tus kws kho mob txhaj tshuaj zas ntawm thawj cov ntiv taw. Tom qab ntawd nws ua ib qho me me ntawm cov pob txha ntawm midfoot. Cov hlab ntsha xiav xim tom qab tshwm los ntawm nws.
- Urine test (pab ntsuas lub raum ua haujlwm).
- kuaj ultrasoundlymph ntws (pom zoo rau kev txiav txim siab kev ua haujlwm ntawm lymphatic system).
- kuaj ntshav (yuav tsum kuaj xyuas qhov mob hauv lub cev).
- ECG ntawm lub siab (tso cai rau koj los tsim kev sib raug zoo ntawm kev ua haujlwm ntawm lub plawv thiab kab mob hauv qab).
Raws li cov txiaj ntsig ntawm kev kuaj mob ntawm tus neeg mob, tus kws kho mob tshwj xeeb qhia yuav ua li cas kho lymphostasis ntawm qis qis. Kev kho mob tuaj yeem yog ob qho tib si saib xyuas thiab ua haujlwm. Cov chav kawm tseem ceeb yog ua tiav zoo los ntawm kev zaws thiab physiotherapy. Qee cov neeg mob tau pab los ntawm cov zaub mov ntawm cov neeg kho mob. Txhua txoj kev kho mob uas siv hauv kev kho mob niaj hnub no tau piav qhia hauv qab no.
Cov lus pom zoo
Kev kho mob ntawm lymphostasis ntawm qis qis hauv tsev yuav tsum muaj kev dav thiab muaj kev kho tshuaj thiab compression, tshwj xeeb zaws, kev kho mob qoj ib ce. Kev kho cov khoom noj muaj txiaj ntsig zoo rau kev loj hlob ntawm tus kab mob. Cov zaub mov yuav tsum muaj calories tsawg thiab xyaum tsis muaj ntsev. Cov seasoning thiaj li nyiam los ntawm ntau khaws cov kua hauv lub cev thiab tsuas yog pab txhawb qhov tshwm sim ntawm edema. Nws raug pom zoo kom xaiv cov zaub mov uas muaj zaub thiab tsiaj proteins, fatty acids.
Cov kws kho mob pom zoo kom txo qis kev noj cov khoom ci thiab khoom qab zib, pasta. Tab sis muaj nyob rau hauv cov zaub mov ntawm cov zaub tshiab thiab txiv hmab txiv ntoo, cov khoom siv mis nyuj tsuas yog txais tos. Tsis txhob hnov qab txog kev haus cawv. Nws raug nquahu kom haus txog li 2 litres dej huv ib hnub. Nws yog qhov zoo dua los hloov kas fes thiab tshuaj yej nrog txiv hmab txiv ntoo haus lossiscompote tsis muaj suab thaj, tshuaj ntsuab infusions.
siv tshuaj kho mob
Tshuaj kho mob lymphostasis ntawm qis extremities suav nrog kev noj tshuaj kom normalize lymph txaus, ua kom vascular elasticity. Feem ntau muab tshuaj los ntawm pawg hauv qab no:
- YEnzymes ("Wobenzym", "Phlogenzym"). Lawv nres o, txhawb lub cev tiv thaiv kab mob thiab muaj kev tiv thaiv kab mob.
- YDiuretics. Cov tshuaj no pab tshem tawm cov kua dej ntau dhau ntawm lub cev, tab sis lawv yuav tsum tau noj raws li tus kws kho mob saib xyuas tas li.
- Antiaggregants ("Trental", "Kurantil"). Cov tshuaj los ntawm pab pawg no txo cov ntshav zoo.
- Angioprotectors. Cov tshuaj yog tsim los normalize lub suab ntawm cov hlab ntsha lymphatic thiab txo cov permeability ntawm lawv phab ntsa.
- Benzopyrones ("Coumarin"). Kev siv cov nyiaj no pab txo qhov o.
Muab rau hauv tus account cov duab kho mob dav dav thiab ua rau lymphostasis ntawm qis qis, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob ntxiv. Cov qub tau pom zoo rau kev rov ua dua ntawm erysipelas, thiab tom kawg rau kev hloov pauv ntawm daim tawv nqaij.
txiaj ntsig ntawm massage
Massage rau lymphostasis ntawm qis extremities yog ib feem tseem ceeb ntawm kev kho mob. Kev ua tau zoo sib npaug muaj qhov kho vajtse thiab phau ntawv cuam tshuam rau thaj tsam cuam tshuam. Sim ua cov txheej txheem no koj tus kheej tsis tsim nyog. Txoj kev tshawb no ntawm stagnation pib nrog thaj tsam hauv pliaj, uas yog lub cev nyuaj rau tus neeg mobua koj tus kheej. Yog li ntawd, nrog rau qhov mob hnyav, nws raug nquahu kom mus rau chav kawm zaws nrog tus kws kho mob tshwj xeeb.
Tam sim no tom qab thawj zaug, ntau tus neeg mob nco ntsoov tias qhov cuam tshuam ntawm ceg ceg tau txo qis hauv qhov loj. Yog hais tias muaj me ntsis tingling thiab xav tias "goosebumps" nyob rau hauv lub cev, ces lub stagnation ntawm cov kua thiab lymph nyob rau hauv cov ntaub so ntswg softens.
Massage tsis yog rau txhua tus. Ntawm cov contraindications rau cov txheej txheem no, cov kws kho mob nco ntsoov tias muaj varicose leeg, trophic ulcers thiab lwm yam kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij. Yog tias qhov tsis xis nyob tshwm sim thaum lub sijhawm sib tham, nws raug txiav tam sim ntawd.
khaub ncaws hnav
Kev txiav txim los ntawm kev tshuaj xyuas, nrog lymphostasis ntawm qis qis, kev kho mob knitwear yog kev cawmdim tiag tiag rau cov neeg mob. Cov neeg mob qhia tias cov ris tsho hauv qab tshwj xeeb compression muaj ntau qhov zoo:
- Functionality. Cov thom khwm thiab thom khwm maj mam muab cov ceg tawv thiab muab kev txhawb nqa rau lawv.
- Yooj yim. Muaj ob peb tus kws tshaj lij hauv cov ntaub qhwv los yog lymphatic kua massage. Thiab txhua tus tuaj yeem hnav compression stockings.
- Kev zoo nkauj. Kev kho mob txawm tias tus kab mob tsis zoo li no tuaj yeem ua rau zam. Niaj hnub no knitwear yog tsim nyob rau hauv ntau yam xim thiab txawv txawv designs. Nws tuaj yeem hnav hauv cov khaub ncaws thiab hloov cov ris tsho hauv qab li niaj zaus.
Cov qauv raug xaiv zoo tshaj plaws raws li tus qauv. Hauv kev muag khoom dawb, koj tuaj yeem xaiv cov ris tsho hauv qab zoo.
Ntawm qhov tseem ceeb ntawm kev kho mob qoj ib ce
Kev kho mob lymphostasis ntawm qis qis hauv tsev tsis ua tiav yam tsis muaj lub cevkev tawm dag zog. Ib txheej ntawm kev tawm dag zog yuav tsum tau xaiv los ntawm tus kws tshaj lij. Thawj cov chav kawm muaj nyob hauv nws qhov kev saib xyuas, tab sis tom qab 2 lub lis piam koj tuaj yeem pib ua haujlwm ywj pheej. Lawv xav tau sijhawm me ntsis - tsuas yog 15 feeb ob zaug ib hnub. Hauv qhov no, cov ntaub qhwv compression yuav tsum muaj nyob rau ntawm ceg tawv.
Yuav ua li cas thiaj suav nrog hauv kev kho mob qoj ib ce?
- "Tsheb kauj vab" mob ceg.
- Khoov thiab hloov kho cov ntiv taw ncaj.
- Xa duab- yim nrog koj txhais taw.
- Kev sib hloov nrog ko taw sib txawv, tab sis hloov pauv.
Cov kev tawm dag zog saum toj no yooj yim heev, tab sis tseem ceeb heev uas yuav tsum rov ua dua txhua hnub.
pab tshuaj tshuaj ntsuab
Kev kho mob lymphostasis ntawm qis qis nrog cov tshuaj pej xeem yog tso cai tsuas yog ntxiv rau qhov tseem ceeb ntawm kev kho. Ua ntej ua qhov no, koj yuav tsum sab laj nrog koj tus kws kho mob. Vim tsis muaj peev xwm nthuav qhia tag nrho cov zaub mov uas pom zoo tawm tsam tus kab mob, peb yuav txiav txim siab tsuas yog cov nyiam tshaj plaws.
- Kua cider vinegar. Cov cuab yeej no pab txhawb cov phab ntsa ntawm cov hlab ntsha, zoo nres o. Rau kev sib tsoo, vinegar yuav tsum tau diluted nrog kua hauv qhov sib piv ntawm 1: 2. Tom qab cov txheej txheem, daim tawv nqaij yuav tsum tau ntxuav hauv dej ntws thiab lubricated nrog moisturizer.
- Compress raws li kws tshuaj tar. Txhawm rau npaj nws, dos yuav tsum tau ci hauv qhov cub thiab mashed nrog rab rawg. Ntxiv 2-3 tablespoons tar rau qhov sib tov, muab tso rau ntawm daim ntaub los yog ntaub mos. Cov ntaub qhwv yuav tsum tau kho nrog ib daim ntaub qhwv.
- Decoctions raws li tus nqi kho mob tuaj yeem ua tausiv raws li kev siv hmo ntuj. Txhawm rau npaj lub compress, koj yuav tsum tau noj St. John's wort, yarrow thiab plantain nyob rau hauv sib npaug proportions. Nyob rau hauv ib lub decoction ntawm cov tshuaj no, koj yuav tsum tau ntxiv ib ntsiav tshuaj aspirin thiab 25 ml ntawm kev kho mob cawv. Cov muaj pes tsawg leeg tuaj yeem tsau rau hauv cov ntaub qhwv thiab siv rau thaj tsam cuam tshuam ntawm ceg, ruaj khov kho nrog cov ntaub qhwv.
Thaum kev kho mob lymphostasis ntawm qis qis, ib tus yuav tsum tsis txhob hnov qab txog lwm cov lus pom zoo ntawm kws kho mob. Piv txwv li, thaum lub sij hawm tag nrho cov kev kho mob thiab rau ib co sij hawm tom qab nws, koj yuav tsum tsis kam mus ntsib lub da dej, sauna thiab solarium. Koj yuav tsum rov xav txog koj lub wardrobe. Nws yog qhov zoo dua los muab cov khaub ncaws nruj nruj thiab rub tawm, hloov lawv nrog kev xaiv zoo dua los ntawm cov khoom siv ntuj tsim. Nkawm khau nrog siab heels, hmoov tsis, yuav tsum tau tso tseg.
Yuav tsum tau phais
Thaum cov txheej txheem kev saib xyuas ntawm kev kho mob lymphostasis ntawm qis extremities tsis muaj txiaj ntsig, thiab cov txheej txheem cuam tshuam tsis zoo hauv cov ntaub so ntswg tau ua tiav, kev phais raug pom zoo rau tus neeg mob. Hauv cov xwm txheej tsis yooj yim, cov kws kho mob siv rau kev hla kev phais. Qhov no yog kev cuam tshuam microsurgical, thaum tus kws kho mob tsim fistulas ntawm cov hlab ntsha lymphatic thiab cov leeg. Yog li ntawd, muaj cov qog ntshav tawm mus rau hauv lub txaj venous, uas tiv thaiv cov kua dej stagnation.
Kev ua haujlwm nyuaj ntau dua raug sau rau cov txheej txheem fibrotic tsis tuaj yeem nyob hauv cov ntaub so ntswg. Lawv kuj raug xa mus rau hauv cov ntaub ntawv ntawm kev poob ntawm kev ua haujlwm ntawm cov qog ntshav qog ntshav. Zoo sib xwskev cuam tshuam suav nrog ntau yam kev phais ntawm daim tawv nqaij-yas. Thaum lub sij hawm lawv coj, lub overgrown fiber yog excised, thiab lub qhov txhab yog ua tib zoo sutured. Xws li kev ua haujlwm tsis tau lees tias muaj kev kho tiav, tab sis nws ua rau lub neej yooj yim dua rau tus neeg mob. Nws yuav tsum nco ntsoov tias nyob rau hauv cov neeg mob zoo li no, vim muaj kev cuam tshuam cov metabolism hauv cov ceg ceg, cov qhov txhab kho tau qeeb. Yog li, txoj kev pheej hmoo ntawm kev kis tus kab mob thib ob ntawm cov kab mob etiology yog qhov siab heev. Qhov tseeb no ib zaug ntxiv tau lees paub tias kev kho mob ntawm lymphostasis ntawm qis extremities yuav tsum tau kho tam sim tom qab kev pom zoo ntawm kev kuaj mob.
Kev ntsuas kom rov zoo
Tus kab mob nws tus kheej tsis ua phem rau tus neeg mob lub neej. Txawm li cas los xij, nws cov chav kawm feem ntau nrog cov teeb meem uas ua rau muaj qhov cuam tshuam tsis tau.
Piv txwv li, qhov mob hnyav tuaj yeem txwv tus neeg mob lub zog, ua rau mob. Nrog kev kho mob tsis tu ncua, tus neeg poob lub sijhawm los ua haujlwm rau nws tus kheej, uas cuam tshuam rau nws lub neej zoo. Kev txhim kho lymphostasis qee zaum provokes kev ua haujlwm tsis zoo hauv cov ntaub so ntswg. Raws li qhov tshwm sim, ntau cov ntsaws ruaj ruaj thiab trophic ulcers tsim ntawm cov ceg ceg. Tus mob no nyuaj los ntawm kev txo qis hauv kev tiv thaiv hauv zos thiab tsis muaj peev xwm tiv taus ntau yam kab mob. Ib qho mob uas tsis saib xyuas ua rau erysipelas thiab sepsis, uas feem ntau xaus rau kev tuag.
Yog tus neeg mob tsis quav ntsej tus kws kho mob cov lus qhia thiab tam sim ntawd mus raukev kho mob, cov teeb meem no yooj yim zam. Feem ntau, cov kws tshaj lij muab kev pom zoo rau kev rov zoo.
