Yog cov leeg ntawm ob txhais ceg bulge, yog vim li cas rau qhov no yuav txawv heev. Txhawm rau txiav txim siab qhov ua rau muaj kev cuam tshuam thiab ua qhov kev kuaj mob kom raug, koj yuav tsum mus ntsib kws kho mob kom kuaj pom.
Qhov kev kuaj mob sai sai thiab pib kho, nws yuav yooj yim dua kom tshem tau cov teeb meem uas twb muaj lawm.
Ntawm varicose leeg hauv cov txiv neej
Varicosis feem ntau suav hais tias yog poj niam teeb meem, tab sis feem ntau nws tshwm sim hauv cov txiv neej. Yog hais tias cov leeg ntawm ob txhais ceg ntawm ib tug txiv neej bulge, ces qhov no yog ib qho teeb meem loj heev. Nws qhov kev phom sij yog nyob rau hauv kev puas tsuaj rau cov hlab ntsha uas muab cov genitals nrog cov khoom xav tau. Pawg pheej hmoo suav nrog cov txiv neej feem ntau tshaj 40.
Yog tias cov leeg ntawm ob txhais ceg ntawm tus txiv neej protrude, ces nws yog ib qho tsim nyog yuav tsum tau ua kom tiav kev kho mob kom tsis txhob muaj teeb meem tshwm sim. Hauv cov xwm txheej nyuaj tshwj xeeb, yuav tsum tau phais.
Txiv neej varicose leeg feem ntau raug kho nyob rau hauv lub xeev twb tsis saib xyuas, txij li thaum kev sib deev muaj zog feem ntau tsis pom lub vascular network. Tus kab mob no tuaj yeemyuav txaus ntshai heev, vim hais tias yog cov hlab ntsha ntawm ob txhais ceg bulge tawm, qhov no tej zaum yuav ua rau muaj zog thrombus tsim. Yog tias cov hlab ntsha tawg, cov hlab ntsha tuaj yeem ua rau lub plawv nres.
Txij thaum cov ntshav ntws cuam tshuam, cov khoom noj khoom haus ntawm cov ntaub so ntswg ntawm qis qis ua tsis txaus. Tag nrho cov no tuaj yeem ua rau tsim ntawm trophic ulcers thiab foci ntawm o. Varicose leeg tshwm sim nrog kev tsim ntawm o. Xws li kev tsim, ua ke nrog kev xav hnyav ntawm ob txhais ceg, txo tus neeg mob qhov kev ua tau zoo.
Ntawm ntawm varicose leeg thaum cev xeeb tub
Thaum cev xeeb tub, cov leeg ntawm ob txhais ceg ntawm cov poj niam feem ntau o. Nws yog ib qho tseem ceeb heev uas yuav tsum tau ntsuas kom tsim nyog, vim qhov no tuaj yeem ua rau muaj ntau yam teeb meem. Nws yog tsim nyog nco ntsoov tias nyob rau lub sij hawm no nws yog txwv tsis pub siv ntau txoj kev thiab txoj kev kho. Cov poj niam cev xeeb tub raug qhia kom hnav khaub ncaws tshwj xeeb compression.
Nyob rau lub quarter thib ob, qee yam tshuaj tau tso cai, tab sis tsuas yog tus kws kho mob yuav tsum tau muab tshuaj rau lawv. Kev kho mob nyuaj yog pom zoo, vim nws ua rau nws ua tau kom tau txais txiaj ntsig zoo.
Varicosis hauv menyuam yaus
Yog tias cov hlab ntsha tawm ntawm tus menyuam txhais ceg, qhov no yuav tshwm sim nrog kev tsis sib haum xeeb hauv cov phab ntsa ntawm cov hlab ntsha lossis hauv qab ntawm ntau yam uas tiv thaiv cov ntshav tawm. Hauv cov menyuam yaus, qhov xwm txheej zoo sib xws tuaj yeem pom nyob rau hauv rooj plaub ntawm:
- congenital vascular malformations;
- thaum nyem lub raum leeg;
- muaj qhov sib txawv ntawm kev ua haujlwm ntawm cardio-vascular system;
- venous outflow disorders.
Thaum pib, cov xim daj lossis qog zoo li varicose tshwm sim ntawm tus menyuam txhais caj npab thiab txhais ceg. Qee lub sij hawm tus ceg tawv kuj tseem poob nws cov lus hais. Txoj kev kho mob tsuas yog xaiv los ntawm tus kws kho mob tshwj xeeb nkaus xwb tom qab kuaj xyuas, nyob ntawm qhov hnyav ntawm tus kab mob.
Kev tshwm sim
Kev tawm ntawm cov leeg ntawm ob txhais ceg tuaj yeem qhia tau hais tias muaj ntau yam kab mob thiab tshwm sim nyob rau hauv kev cuam tshuam ntawm ntau yam provokes. Cov no suav nrog kev tawm dag zog hnyav. Yog tias cov hlab ntsha tam sim ntawd tshwm sim tom qab kev tawm dag zog, ces koj yuav tsum tau ua cov txheej txheem so. Yog tias nws tau dhau los ua qhov tsis pom, nws txhais tau tias txhua yam yog qhov qub. Yog tias tom qab so cov leeg tseem pom, ces koj yuav tsum mus ntsib kws kho mob kom muaj tswv yim thiab kho.
Thaum cov leeg ntawm ob txhais ceg bulge, qhov ua rau qhov no yog varicose leeg. Nws tshwm sim nyob rau hauv cov ntaub ntawv ntawm metabolic ntshawv siab, nrog rau tsis muaj zog ntawm cov phab ntsa ntawm cov hlab ntsha uas muaj ib tug multilayer qauv. Provoke txoj kev loj hlob ntawm pathology cuam tshuam ntawm li qub uas tswj tag nrho cov ntshav khiav. Varicose leeg tuaj yeem tshwm sim yog:
- kev ua neej nyob;
- kev ua haujlwm nyuaj;
- overweight;
- hnav khaub ncaws tsis xis thiab nruj;
- tus cwj pwm phem;
- mob ntshav qab zib;
- kev phem ib puag ncig.
Ntau zaus muaj teeb meem zoo sib xws tau pom thaum cev xeeb tub, txij li thaum lub sijhawm no muaj kev hloov kho ntawm lub cev thiab cov khoom thauj.ob txhais ceg. Nws yog ib qho tseem ceeb kom paub txog cov cim qhia ntawm varicose leeg nyob rau lub sijhawm thiab qhia rau tus kws kho mob tam sim ntawd txog cov kev hloov pauv tshwm sim. Qhov no yuav tso cai rau kev kho mob raws sijhawm.
Qhov no tsis yog tag nrho cov laj thawj uas ua rau muaj kev loj hlob ntawm tus kab mob. Cov kws tshawb fawb tau ua pov thawj tias qhov kev hloov pauv tau ua lub luag haujlwm tseem ceeb.
Key Features
Ntau tus neeg xav tias yog vim li cas cov leeg ntawm ob txhais ceg tawm thiab yuav ua li cas txog nws. Protruding veins tuaj yeem yog ib qho cim ntawm cov xwm txheej xws li:
- varicose leeg;
- thrombophlebitis;
- thrombosis;
- postphlebetic syndrome.
Tus mob no tshwm sim vim kev ua txhaum ntawm cov txheej txheem circulatory nyob rau hauv cov ceg, yog li kev saib xyuas tas li los ntawm phlebologist yog qhov tseem ceeb. Varicose leeg muaj cov cim qhia tau zoo, xws li:
- ko taw o;
- mob hnyav thiab o veins;
- nkees nkees tom qab taug kev ntev;
- khaus thiab tawv nqaij hloov;
- pom ntawm qhov txhab mob.
Ntau tus neeg mob nco txog qhov pom ntawm qhov tsis xis nyob thiab hnov zoo heev hauv qab lub hauv caug, uas yuav qhia tau tias muaj ntshav txhaws. Yog hais tias cov leeg ntawm caj npab thiab ob txhais ceg bulge tawm, qhov no yuav qhia tau hais tias muaj thrombophlebitis, uas yog txuam nrog rau cov chav kawm ntawm o nyob rau hauv lub cheeb tsam ntawm cov leeg. Cov kab mob no tshwm sim ntau zaus, raws li qhov tshwm sim ntawm qhov uas nws ntsib qhov mob thiab kub hnyiab ntawm cov leeg. Nyob rau tib lub sijhawm, ko taw o thiab mob heev.
Postphlebitis syndrome yog ib yam rau cov neeg mob uasyav tas los muaj thrombosis. Tus kab mob no tshwm sim vim muaj zog deterioration nyob rau hauv lub outflow ntawm venous ntshav. Yog li ntawd, muaj kev ua txhaum ntawm cov ntshav ncig. Ntawm cov cim tseem ceeb, nws yog ib qho tsim nyog yuav tsum tau qhia xws li:
- leeg tawm ntawm ob txhais taw;
- hnyav hauv nqua;
- Ntxhais hmoob mes kas;
- nce daim tawv nqaij pigmentation.
Kev quaj eczema yuav maj mam tsim ntawm daim tawv nqaij, nrog rau cov kab mob hauv thaj chaw ntawm sab ceg.
Diagnostics
Pom pom tias cov leeg ntawm ob txhais taw tau tawm thiab nws nyuaj rau kev txav, koj yuav tsum tau mus ntsib kws kho mob tam sim. Tus kws kho mob, tom qab kuaj xyuas thiab noj cov tshuaj anamnesis, yuav muab cov kev ntsuam xyuas, xa nws mus rau MRI thiab ultrasound, kom koj tuaj yeem kawm paub txog cov xwm txheej ntawm cov hlab ntsha.
Tom qab tau txais tag nrho cov kev xav tau ntawm kev kawm thiab txiav txim siab qhov ua rau ntawm cov hlab ntsha ntawm ob txhais ceg thiab cov hlab ntsha tawm, nws yuav muab cov kev kho mob.
Txoj kev kho mob
Yuav ua li cas tshem tawm cov leeg leeg ntawm ob txhais ceg, tsuas yog tus kws kho mob tsim nyog tuaj yeem hais tom qab kuaj pom. Koj tuaj yeem nres qhov kev loj hlob ntawm tus kab mob los ntawm kev hnav compression stockings. Tsis tas li ntawd, cov tshuaj tau muab tshuaj los pab tshem tawm cov tsos mob tsis zoo thiab ua kom muaj kev noj qab haus huv zoo.
Kev xaiv kev kho mob nrov yog kev cuam tshuam me me lossis kev phais me me. Hauv qhov no, cov hlab ntsha puas tsuaj raug tshem tawm nrog lub laser. Tsis tas li ntawd, radiofrequency ablation thiab sclerotherapy yog siv. Kev cuam tshuam kev phais yog siv rau qhov mob hnyav tshaj plaws, nrog rau qhov mob hnyav, nrog rau kev puas tsuaj loj ntawm cov hlab ntsha.
Kev kho mob raug xaiv nruj me ntsis rau txhua tus neeg mob, nyob ntawm nws lub xeev ntawm kev noj qab haus huv, hnub nyoog, thiab qhov muaj peev xwm contraindications.
Drug therapy
Ntau tus xav paub yog tias cov leeg ntawm ob txhais ceg tawm, yuav ua li cas thiab yuav ua li cas kho tau raws nraim. Kev kho mob raug xaiv tshwj xeeb los ntawm tus kws kho mob phlebologist thiab cov kev kho mob feem ntau nyob ntawm qhov kev tsis saib xyuas tus kab mob.
Nyob rau theem pib, venotonics thiab anticoagulants raug tshuaj, tshwj xeeb, xws li Detralex, Phlebodia, Troxevasin, Venarus. Tsis tas li ntawd, koj tuaj yeem siv cov tshuaj sab nraud, piv txwv li, "Troxevasin" thiab "Heparpine ointment". Cov tshuaj no yuav pab tshem tawm cov hlab ntsha, ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha, normalize ntshav ncig, thiab tshem tawm o.
Tsuas yog kws kho mob tuaj yeem xaiv cov tshuaj zoo, vim lawv txhua tus muaj qee yam contraindications. Yog tias nws tsis tuaj yeem tshem tawm qhov mob thiab pob txha hauv txoj kev khaws cia, ces koj yuav tsum tau mus rau kev cuam tshuam kev phais.
Non-surgical method
Yog tias cov leeg ntawm ob txhais ceg bulge muaj zog, ces siv lwm txoj kev kho mob. Ib txoj hauv kev zoo tshaj plaws los tshem tawm cov leeg yog sclerotherapy. Lub ntsiab lus ntawm cov txheej txheem no suav nrog kev taw qhia rau hauv lub nkoj cuam tshuam ntawm ib qho tshwj xeebsclerosing tshuaj, uas ua rau nws puas tsuaj thiab maj mam resorption. Kev kho mob yuav tsum muaj ntau zaug.
Sclerotherapy tsis tshua ua rau muaj teeb meem thiab muaj rau ntau tus neeg mob, yog li txoj kev no yog suav tias yog ib txoj hauv kev nrov tshaj plaws rau kev kho cov hlab ntsha.
Surgery
Yog tias cov hlab ntsha ntawm ob txhais ceg bulges thiab mob, ces cov kws kho mob pib txiav txim siab ua haujlwm. Tam sim no, minimally invasive cov txheej txheem yog siv. Classical phlebectomy tsuas yog ua tiav hauv cov xwm txheej tshwj xeeb. Nws tau hloov los ntawm qhov kev raug mob tsawg-tsawg miniphlebectomy, thaum lub sij hawm uas cov hlab ntsha puas yog excised los ntawm me me punctures. Tsis muaj qhov caws pliav sab laug tom qab kho, thiab cov neeg mob rov zoo sai.
Laser coagulation yog suav tias yog lwm txoj kev raug mob tsawg. Kev kho mob txhais tau hais tias los ntawm nws tus kheej li cas yog nkag mus rau hauv lub nkoj puas ntawm lub teeb qhia, uas ua rau ntawm lub teeb laser. Tom qab ntawd, cov ntshav tsis ntws los ntawm nws.
Nrog kev pab los ntawm ib qho luv luv stripping, tsis yog tag nrho cov hlab ntsha raug tshem tawm, tab sis tsuas yog thaj chaw cuam tshuam. Kev ua haujlwm yog ua los ntawm 2 incisions, thiab rov qab siv sijhawm tsuas yog ob peb hnub. Radiofrequency ablation txhais tau hais tias ib txoj hlab ntsha yog cua sov los ntawm lub waveguide. Qhov no yog ib txoj hauv kev zoo thiab siv rau ntawm cov leeg loj.
Ntseeg haiv neeg
Ib da dej tshuaj ntsuab thiab tshuaj ntsuab yuav pab tshem tawm cov o ntawm ob txhais ceg. Lojtshuaj qab zib clover yog nrov, raws li nws pab kom nyias cov ntshav. Koj tuaj yeem ntxiv cov nroj tsuag qhuav rau tshuaj yej.
Cov kua txiv hmab txiv ntoo tshiab paub txog nws cov khoom kho mob. Nrog nws cov kev noj tsis tu ncua, nws pab ntxuav cov ntshav ntawm cov tshuaj lom thiab nce qib ntawm hemoglobin. Cov da dej sov so nrog cov tshuaj ntsuab muaj cov nyhuv soothing thiab pab txo qis spasm, o thiab mob.
Ib qho kev daws teeb meem zoo ntawm cov kua txiv hmab txiv ntoo cider vinegar, uas yuav tsum tau lubricated ntawm qhov cuam tshuam ntawm ob txhais ceg. Txhawm rau tshem tawm qhov tshwm sim tsis zoo, koj tuaj yeem siv lub decoction ntawm nettle, txawm tias qhov tseeb tias nws muaj qee yam contraindications. Nws yog tsis yooj yim sua kom tshem tawm bulging leeg ntawm ob txhais ceg nrog kev pab los ntawm pej xeem tshuaj ib leeg, yog li ntawd lawv yuav tsum tau siv nyob rau hauv ua ke nrog rau lwm cov txheej txheem.
physiotherapy techniques
Kev siv lub cev kho lub cev yog siv dav nrog rau kev noj tshuaj. Lawv muaj txiaj ntsig zoo yog tias cov hlab ntsha me me thiab cov kev hloov hauv cov qauv ntawm cov hlab ntsha yog tsawg. Cov tswv yim kho lub cev tso cai rau koj kom ua tiav cov txiaj ntsig xws li:
- nce ntshav ntws;
- tshem tawm qhov mob;
- rov qab los ntawm qhov muaj trophic ulcer;
- tshem tawm puffiness;
- pain minimization.
Ua ntej ib chav kawm ntawm kev kho lub cev, koj yuav tsum tau mus kuaj xyuas kom paub tseeb tias tsis muaj contraindications.
kho mob gymnastics
Gymnastics thaum muajteeb meem nrog cov leeg xav tau txhua hnub. Qhov no yuav normalize cov ntshav khiav thiab tiv thaiv bulging ntawm cov leeg. Ua kev kho mob tsis tas yuav siv zog ntau. Therapeutic gymnastics txhais tau tias:
- simulating taug kev;
- kev sib hloov nrog ob txhais ceg kom txog thaum pom cov tsos mob tshwm sim;
- ceg rub-ups.
Hauv tsev, koj yuav tsum tau viav vias koj ob txhais ceg thiab tsheb kauj vab. Ob qho kev tawm dag zog no yuav tsum tau ua dag rau hauv pem teb lossis leaning ntawm lub rooj zaum. Nws kuj tso cai rau koj los koom nrog koj lub abs thiab txhim kho kev txawj tsav tsheb zoo hauv koj cov ntiv taw.
Muaj Teeb Meem
Mob thiab o tsis yog qhov tshwm sim ntawm cov teeb meem leeg xwb. Maj mam, cov khoom noj khoom haus ntawm cov hlab ntsha thiab cov ntaub so ntswg yuav pib deteriorate me ntsis. Qhov no ua rau qhov tseeb tias daim tawv nqaij qhuav, dermatitis thiab trophic ulcers tshwm.
Venous thrombosis feem ntau kuaj pom hauv cov neeg mob. Tus kab mob no tshwm sim vim lub fact tias cov phab ntsa ntawm cov hlab ntsha ua deformed. Hauv cov theem tshwj xeeb uas tsis saib xyuas, thaum cov ntaub so ntswg kev noj qab haus huv cuam tshuam loj heev, gangrene tshwm sim hauv cov neeg mob. Nyob rau hauv tas li ntawd, limb amputation yog ua.
prophylaxis
Kev tiv thaiv tseem ceeb heev, tshwj xeeb tshaj yog tias tsev neeg muaj cov txheeb ze muaj kab mob varicose leeg. Kev tiv thaiv txhais tau tias ua raws li cov cai hauv qab no:
- yuav tsum tau qoj ib ce tsis tu ncua;
- eat right;
- xaiv khau zoo thiab tsis nruj heev;
- yaug ko taw nrog dej txias.
Yog ib tug neeg muaj ib tug sedentaryua hauj lwm, ces koj yuav tsum tau sawv ib ntus, nrog rau ua tej yam yooj yim ce. Compression stockings los yog tights yuav tsum tau hnav nyob rau hauv ntev mus txawv tebchaws los yog flights.
Thaum ib lub vascular network tshwm rau ntawm ob txhais ceg, koj yuav tsum tau hu rau tus kws kho mob phlebologist kom tiv thaiv kev loj hlob ntawm tus kab mob. Tsuas yog kev kho mob nyuaj yuav pab kom tshem tau tus kab mob.
