Kev phais kom tshem tawm cov leeg varicose muaj ntau yam nta. Txhawm rau kom tsis txhob rov tsim kho pathology, koj yuav tsum paub yuav ua li cas coj tus cwj pwm tom qab kev phais mob. Thaum lub sij hawm kho mob, tus neeg mob yuav tsum ua raws li ntau cov lus pom zoo los ntawm tus kws kho mob uas tuaj koom. Yuav ua li cas kom tsis txhob muaj varicose leeg tom qab phais yuav piav qhia hauv qab no.
Txoj kev ua haujlwm
Ntau tus neeg paub txog qhov tshwm sim tsis zoo li varicose leeg. Kev rov zoo tom qab kev phais yog nyob ntawm tus cwj pwm ntawm tus neeg mob. Phlebectomy yog ib txoj kev phais uas tshem tawm cov hlab ntsha loj. Qhov no tso cai rau koj kom normalize ntshav ncig los ntawm cov hlab ntsha sib sib zog nqus.
Yog tus kws kho mob hais rau tus txheej txheem, koj tsis tuaj yeem tos. Qhov kev kho mob sai dua, cov ntshav khiav sai dua qub.
Muaj ntau cov lus qhia rau phlebectomy, cov tseem ceeb yog:
- extensive varicose leeg;
- saphenous veins yog dilated pathologically;
- cego tas li, nkees sai;
- muaj cov tsos mob ntawm cov ntshav ntws tsis zoo;
- muaj cov kab mob trophic uas tsis tuaj yeem kho nrog kev saib xyuas;
- trophic ulcers tshwm;
- mob thrombophlebitis nrog varicose leeg.
Varicose leeg hauv ob txhais ceg tom qab kev phais yuav rov qab los dua yog tias tus neeg mob tsis quav ntsej cov lus pom zoo ntawm kws kho mob. Tab sis qee zaum, kev phais yuav raug contraindicated. Cov no yog cov xwm txheej hauv qab no:
- nyob rau theem kawg ntawm kev txhim kho kab mob;
- ntshav siab;
- yog muaj kab mob plawv;
- rau cov txheej txheem kis mob hnyav;
- tus neeg mob tau txog hnub nyoog;
- yog tias muaj eczema, erysipelas, pyoderma, o ntawm sab qis;
- thaum cev xeeb tub hauv peb lub hlis thib ob thiab thib peb.
Ntau yam kev ua haujlwm
Ib tug ntawm cov kab mob txaus ntshai heev yog varicose leeg. Kev rov zoo tom qab kev phais yuav siv sij hawm. Nws nyob ntawm hom txheej txheem qhia rau tus neeg mob. Yog li, thaum lub sijhawm ua haujlwm, ntau txoj kev siv. Lawv complexity thiab traumatism txawv. Kev xaiv yog ua los ntawm tus kws kho mob, coj mus rau hauv tus account lub peculiarities ntawm lub chav kawm ntawm tus kab mob.
Feem ntau tom qab ua haujlwm muaj cov nti me me 4-5 hli ntev. Tom qab tshem tawm cov hlab ntsha, lub ntsiab load nyob rau hauv cov txheej txheem ntawm cov ntshav khiav yog xam los ntawm cov hlab ntsha sib sib zog nqus thiab txuas. Cov sutures raug tshem tawm rau hnub 8-9. Tom qab ntawd, koj yuav tsum ua raws li ntau cov lus pom zoo los ntawm kws kho mob.
Ib qho ntawm cov txheej txheem nrov uasniaj hnub no hloov cov phlebectomy ib txwm, yog tshem tawm cov leeg nrog lub laser. Cov txheej txheem no yog ua raws li tshuaj loog hauv zos. Tab sis txawm tias tom qab phais laser, varicose leeg tuaj yeem rov tshwm sim. Yog tias tsis muaj qhov ua rau muaj kev cuam tshuam, qhov xwm txheej zoo li no ua tau.
Thaum lub sijhawm laser miniphlebectomy, ib qho me me ua rau ntawm daim tawv nqaij. Qhov no yog cov txheej txheem tsis mob, uas yog tus cwj pwm los ntawm lub sijhawm luv luv. Tus neeg mob tsis tas yuav nyob hauv tsev kho mob. Ib daim ntawv bruise nyob rau hauv qhov chaw ntawm cov hlab ntsha tshem tawm. Nws ploj mus ntawm nws tus kheej hauv 2-3 lub lis piam. Ib hlis tom qab, tsis muaj kab mob varicose leeg. Cov ntshav khiav tau zoo dua, tab sis yuav tsum tau tswj kom zoo.
Rehab
Kev kho mob tom qab phais rau cov leeg varicose muaj ntau theem. Los ntawm thawj teev tom qab kev phais, koj yuav tsum tig thiab khoov koj ob txhais ceg. Nyob rau hauv cov ntaub ntawv no, lub txaj yuav tsum tau tsa los ntawm ib sab qhov chaw nyob rau hauv lub qis ceg, 8-10 cm.
Hnub tom qab, daim ntaub qhwv elastic yog siv tom qab kev phais rau cov leeg varicose. Compression stockings kuj tseem siv tau. Tus neeg mob tau pom tias taug kev, tab sis tsuas yog tom qab qhwv caj dab. Tus kws kho mob sau physiotherapy, lub teeb zaws. Qhov no yog qhov tsim nyog txhawm rau tiv thaiv kev txhim kho ntawm thrombosis.
Koj tsis tuaj yeem ua aerobics rau 1-1.5 lub lis piam. Kev caij tsheb kauj vab raug txwv. Nws yog tsis yooj yim sua thaum lub sij hawm no mus xyuas lub sauna, da dej, ua luam dej nyob rau hauv dej kub heev. Nws qhov kub thiab txias yuav tsum yognruab nrab.
Thaum cov stitches raug tshem tawm, tus neeg mob tau sau ib chav kawm ntawm kev kho lub cev, cov txheej txheem dej. Nyob rau tib lub sijhawm no, tus neeg mob hnav cov ris tsho hauv qab compression raws li cov lus pom zoo ntawm tus kws kho mob. Kev tawm dag zog lub cev tshwj xeeb yog qhov tseem ceeb tshwj xeeb rau cov neeg laus. Qhov no pab tiv thaiv kev loj hlob ntawm cov teeb meem. Venous outflow yuav tsis qeeb thiab kev pheej hmoo ntawm postoperative thrombosis yuav tsawg.
Kev nyuaj siab
Txhawm rau rov ua haujlwm ntawm cov hlab ntshav hauv cov ceg, txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem hauv ob txhais ceg tom qab kev phais rau cov leeg varicose, koj yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob. Yuav kom nkag siab tias yog vim li cas nws thiaj tseem ceeb heev uas yuav tsum tau ua raws li cov txheej txheem kho mob tau tsim hauv kev kho kom rov zoo, koj yuav tsum paub tias muaj teeb meem dab tsi tshwm sim yog tias tus neeg mob tsis coj tus cwj pwm kom raug.
Qhov loj dua qhov kev puas tsuaj rau cov hlab ntsha, qhov ua rau muaj qhov tshwm sim ntau dua. Thawj hnub, los ntshav los ntawm qhov txhab yuav tshwm sim, bruises tshwm. Thaum lub sijhawm ua haujlwm, cov hlab ntsha me tsis khi, yog li cov ntshav me me ntws tawm ntawm lawv. Bruises me me, ploj tom qab 1-1.5 lub lis piam.
Ntau yam txaus ntshai yog thromboembolism, uas cov hlab ntsha txhaws thaum cov ntshav txhaws. Qhov teeb meem no tuaj yeem tshwm sim los ntawm qhov sib sib zog nqus vein thrombosis ntawm lub limb. Qhov no yog ib qho teeb meem uas tsis tshua muaj tshwm sim los ntawm cov ntshav khiav qeeb, kis kab mob ntawm lub qhov txhab, so lub txaj ntev.
Kev tiv thaiv ntawm thromboembolism suav nrog kev tawm ntawm txaj ib hnub tom qab kev phais, nrog rauceg taw thaum pw saum txaj ib teev tom qab kev phais. Kev kho tshuaj yog muab tshuaj los txhim kho cov ntshav.
Cov lus pom zoo rau kev rov qab
Tom qab kev phais rau varicose veins ntawm qis extremities, nws yog ib qho tsim nyog los muab kev tiv thaiv zoo rau lub cev. Nws yog ib qho tsim nyog los tiv thaiv kev txhim kho ntawm cov teeb meem tshwm sim. Koj yuav tsum ua kom tiav ntau qhov kev xav tau:
- Pib txav kom sai li sai tau. Qhov no tiv thaiv kev loj hlob ntawm congestion, uas ua kom cov ntshav khiav zoo.
- Hnav ris tsho tshwj xeeb. Compression stockings tom qab phais rau varicose leeg txhawb cov leeg, tiv thaiv lawv cov phab ntsa ntawm stretching. Xws li ris tsho hauv qab kuj yog hnav los tiv thaiv kev txhim kho ntawm pathology. Koj tuaj yeem siv cov ntaub qhwv elastic. Thaum siv lawv, cov ntshav ntws hauv ob txhais ceg yog nrawm dua ob peb zaug. Tom qab ua haujlwm, ob txhais ceg yog qhwv. Ib daim ntaub qhwv yog siv los ntawm hauv qab. Koj yuav tsum tau qhwv cov ceg ntawm cov ntiv taw mus rau hauv caug. Tom qab ntawd koj tuaj yeem sawv thiab taug kev.
- Noj cov tshuaj uas yog cov tshuaj tiv thaiv kab mob. Lwm cov tshuaj uas normalize microcirculation nyob rau hauv cov hlab ntsha ntawm lub extremities yuav raug sau tseg. Qhov no ua rau kom rov tsim dua tshiab.
Lub sijhawm ua haujlwm ib txwm ua, tus neeg mob nyob hauv kev saib xyuas ntawm cov kws kho mob hauv tsev kho mob li 3-5 hnub. Cov sutures raug tshem tawm nyob ntawm qhov ceev ntawm kev kho ntawm incisions. Compression bandages yog hnav rau lub sijhawm ntev. Qhov no tso cai rau koj los kho cov haujlwm ntawm cov leeg, rov qab loslawv muaj peev xwm thauj cov ntshav kom zoo.
Tshuaj
Tom qab phais rau varicose leeg, kev saib xyuas yuav tsum tsis txhob tsim cov txheej txheem trophic pathological. Tus kws kho mob tau sau ntau cov tshuaj uas yuav pab tiv thaiv kev loj hlob ntawm tus kab mob dua. Cov tshuaj hauv qab no tuaj yeem raug sau:
- Tshuaj raws li acetylsalicylic acid, pentoxifylline. Lawv normalize microcirculation hauv cov hlab ntsha me.
- Raws li kev ntxiv rau kev kho tseem ceeb, kev noj cov tshuaj antioxidants thiab cov vitamins yog qhia.
- Yog tias txhais ceg mob tom qab phais rau cov leeg varicose, cov tshuaj kho mob tau muab tshuaj, piv txwv li, Analgin, Ketanov lossis lwm yam tshuaj zoo sib xws.
- Txhim kho lub suab ntawm cov leeg, tus kws kho mob tau sau cov tshuaj tsim nyog. Cov no tuaj yeem yog cov tshuaj "Troxeasin" lossis nws cov analogues, "Detralex", "Flebodia", "Venarus" thiab lwm yam tshuaj zoo sib xws. Lawv tuaj yeem tsim los ntawm troxerutin lossis diosmin.
- Yog tus neeg mob muaj kab mob hauv plab, kev tswj hwm niam txiv ntawm cov tshuaj antiplatelet yuav raug qhia.
Nyob rau lub sijhawm kho kom rov zoo, kev kho tshuaj siv sijhawm tsawg kawg 2 lub lis piam. Txoj kev kho mob, lub sijhawm ntawm chav kawm tsuas yog txiav txim siab los ntawm tus kws kho mob tuaj koom. Kev noj tshuaj rau tus kheej hauv qhov no tsis tuaj yeem lees txais.
Cosmetic effect
Ntau tus neeg mob xav paub seb qhov txiaj ntsig ntawm kev phais yuav ua li cas, seb nws puas yuav cuam tshuam rau kev zoo nkauj ntawm ob txhais ceg tom qab ua haujlwm. Varicose leeg tuaj yeemrov tshwm sim. Nrog rau tus cwj pwm tsis zoo, txawm tias cov leeg noj qab haus huv tuaj yeem ua rau mob. Kev kho sai dua yog pib, nws yuav ua tau zoo dua, qhov tshwm sim tsawg dua yuav tshwm sim.
Cov nyhuv kom zoo nkauj nyob ntawm theem ntawm pathology, ntawm cov txheej txheem twg tau siv thaum kho. Yog tias theem tsis tau khiav, nrog microphlebectomy nws muaj peev xwm zam kom tsis txhob muaj qhov caws pliav. Ugly protruding veins raug tshem tawm tag nrho, thiab qhov incision yuav tsawg. Nyob rau hauv cov ntaub ntawv no, cov tsos ntawm ob txhais ceg yuav tsuas txhim kho. Cov txheej txheem txhawb nqa yuav pab kom tsis txhob rov qab los.
Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias nyob rau theem siab, trophic ulcers, ntau pigmentation thiab dermatitis tshwm sim ntawm ob txhais ceg. Txawm tias tom qab kev phais, cov teeb meem no tseem nyob ntawm ob txhais ceg, thiab nti tawm ntawm daim tawv nqaij tom qab kev phais.
Tsis tas li, qhov tshwm sim ntawm kev ua haujlwm yog nyob ntawm tus kheej predisposition ntawm tib neeg lub cev mus rau qhov tsos ntawm nti. Scars nyob rau hauv ib txhia neeg tuaj yeem nyias nyias, yuav luag tsis pom. Lwm tus neeg tsim cov caws pliav ntxhib.
Physiotherapy
Tom qab kev phais rau cov leeg varicose, cov kab mob trophic tuaj yeem pom. Lawv nrog cov txheej txheem inflammatory. Txhawm rau tiv thaiv kev txhim kho ntawm qhov tshwm sim tsis zoo, cov txheej txheem tshwj xeeb nrog cov ntsiab lus ntawm physiotherapy raug sau tseg. Hauv qhov no, tus neeg mob tau muab tshuaj:
- Quartz irradiation.
- Tom qab ib ntus, UHF kho tau tiav.
Lub sijhawm rov kho dua, nws raug nquahu kom ualub teeb self-massage. Qhov no yuav tsum tau ua los tiv thaiv thrombosis, tsis suav nrog qhov tshwm sim ntawm cov txheej txheem congestive. Cov txheej txheem no yuav tsum tau ua kom zoo zoo, txwv tsis pub txav mus los. Koj yuav tsum tau siv zog me ntsis thaum lub sijhawm zaws kom tsis txhob ua mob rau koj txoj kev noj qab haus huv.
Nyob rau hauv tus txheej txheem ntawm tus txheej txheem, koj yuav tsum tau txav los ntawm hauv qab mus. Kev zaws tsuas yog qhib tom qab kev pom zoo nrog tus kws kho mob tuaj koom. Tus neeg mob yuav tsum raug cob qhia kom ua tau li no kom raug. Txwv tsis pub, tsis tas yuav tos kom muaj txiaj ntsig zoo.
Koj xav paub dab tsi ntxiv?
Tom qab kev phais rau cov leeg varicose, cov seam zoo li ntawm 2-3 lub hlis. Cov caws pliav yuav ua tiav tom qab rau lub hlis. Lub sijhawm no, koj yuav tsum tau ceev faj heev nrog thaj tsam ntawm daim tawv nqaij. Cov cai yooj yim yuav tsum ua raws li:
- Nyob hauv tus txheej txheem ntawm da dej, koj tsis tuaj yeem siv cov ntaub ntxhua khaub ncaws tawv. Nws tseem txwv tsis pub siv tshuaj txhuam hniav ntawm ob txhais ceg.
- Seams tau ua tiav nrog xab npum tes. Kev txav yuav tsum ceev faj. Sij hawm dhau mus, cov ntaub txhuam mos siv tau.
- Koj tsis tuaj yeem ntxuav cov kab mob iodine lossis ci ntsuab, uas yuav nyob twj ywm tom qab ua haujlwm. Kev sib txhuam ntau dhau yog qhov txais tsis tau.
- Koj yuav tsum da dej sov, tab sis tsis yog dej kub.
- Yog qhov caws pliav khaus heev, qhov chaw no kho nrog iodine.
- Thaum daim ntawv crusts, lawv yuav tsum tsis txhob muab txiav tawm. Thaum lub qhov txhab zoo lawm, nws yuav poob los ntawm nws tus kheej.
- Yog tias pom qhov liab liab lossis xov xaus tshwm sim hauv thaj chaw suture, koj yuav tsum hu rau tus kws phais dua. Nws yuav tshem tawm cov khoom txawv teb chaws. Cov xov tuaj yeem ua rau mob. Tom qab lawvtshem tawm cov suture smeared nrog iodine rau ob peb hnub.
- Koj yuav tsum tau ntxiv cov zaub mov uas ua rau koj cov zaub mov. Nws tuaj yeem yog cherries, pomegranates, txiv hmab txiv ntoo, thiab lwm yam.
Kev txwv
Thaum txheeb xyuas cov kab mob varicose, nws yog ib qho tseem ceeb uas yuav tau mus rau kev phais kom sai li sai tau yog tias tus kws kho mob pom zoo ua li ntawd. Hauv qhov no, qhov tshwm sim yuav tsawg, thiab qhov kev pheej hmoo ntawm cov teeb meem tuaj yeem raug txo kom tsawg. Tom qab kev kho mob phais, tus neeg mob yuav tsum ua raws li tag nrho cov lus pom zoo, uas suav nrog qee qhov kev txwv.
Koj tsis tuaj yeem mus da dej lossis saunas, vim tias qhov no tuaj yeem ua rau rov mob dua. Cov kab mob ntawm qhov kub siab tuaj yeem mus rau theem tom ntej. Yog li ntawd, exacerbations tshwm sim ntau zaus nyob rau lub caij ntuj sov.
Ob peb lub lis piam tom qab ua haujlwm, koj tsis tuaj yeem mus rau hauv pas dej. Txwv tsis pub, nws yuav ua rau tsis zoo rau qhov caws pliav. Txog thaum nws kho tau, cov txheej txheem zoo li no yuav tsum tau tso tseg. Qhov chaw incision yuav tsum tsis txhob ntub rau lub sijhawm ntev. Qhov no ua rau kev loj hlob ntawm cov teeb meem. Tom qab da dej, da dej, blot lub seam nrog ib tug phuam qhuav. Tsis muaj qhov xwm txheej koj yuav tsum rub nws. Kev txav yuav tsum ceev faj.
Cov kws kho mob tsis pom zoo kom cov neeg mob pw saum txaj yam tsis tau sawv tom qab phais. Koj yuav tsum tau qhwv koj txhais taw thiab taug kev. Txoj kev taug kev yuav tsum qeeb. Sij hawm dhau mus, nws yuav ua tau kom ua tau ib ce tshwj xeeb los kho cov ntshav ncig hauv caj dab.
Kev tiv thaiv tau ntev heev. Qhov no yog qhov tsim nyog los tiv thaiv kev rov tshwm sim.varicose leeg. Tsuas yog tom qab ua tiav cov ntshav ncig, kev ua haujlwm ntawm cov hlab ntsha, nws yuav muaj peev xwm tsis kam ua cov ris tsho hauv qab compression. Nws yog ib qho tseem ceeb kom noj kom raug thiab so kom txaus. Taug kev hauv huab cua ntshiab tuaj yeem txhim kho kev ua haujlwm ntawm cov hlab ntsha, ntxiv dag zog rau lub cev tag nrho.
