Kudzvinyirira kunoumba hwaro hwekurapa hutachiona hutachiona. Izvo zvinofarirwa kubva kune yekutanga zviratidzo.

Kumanikidza kwekurapa masokisi akagadzirwa neshinda yemachira yemachira inomanikidza makumbo, pakuzorora kana muchiitiko, kuitira kubvumidza kutenderera kweropa kuri nani: nekudzikamisa kuwedzeredzwa kwetsinga, kudzoka kweropa kumoyo kunovandudzwa. Iko kumanikidza kunoitwa kwakakwirira padanho retsoka uye zvobva zvadzikira zvishoma nezvishoma kumusoro kwepamusoro pegumbo.

Iko kumanikidza kunobatsira kudzora capillary leakage - ropa kunze kwetsinga dzeropa - mumatumbu uye rinosimudzira lymphatic drainage - kutenderera kweLymph muiyo lymphatic network - interstitial fluid - mvura iriko pakati peropa capillaries nemasero.

Na "compression masokisi" zvinoreva masokisi - kumira pasi pebvi -, chidya chakakwirira - kumira pamudzi wechidya - kana matinji. Iko hakuna mutsauko wakaratidzirwa mukubudirira pakati pemhando dzakasiyana dzemasokisi. Iyo pantyhose pantyhose haina kumanikidza kushanda. Mukushaikwa kwechimwe chiratidzo chekurapa, sarudzo ichaitwa pamhando yemastocker akasununguka kupfeka. Kazhinji zvinokurudzirwa kuvabvisa husiku.

Yambiro: usakanganise "kumanikidza" uye "kukakavara". Kumanikidza zvisungo zviri inelastic - kana zvishoma - uye vanoisa kushoma kumanikidza paganda uye pasi pezvinyama kana vachizorora. Kune rimwe divi, panguva yekudzvanywa kwemhasuru, ivo vanongo pokana nekuwedzera kwehuwandu hwegumbo repazasi panguva yega yega inobatana nekufamba.

Kumanikidzwa kwekurapa kunotendera:

• Kurerutsa uye kudzivirira hutachiona zviratidzo: kurwadziwa, kuzvimba uye kurema mumakumbo;
• Kudzivirira kana kuderedza gumbo edema;
• Kudzivirira kana kurapa matambudziko eganda ane chekuita nekushaya simba kwehutachiona;
• Kubatsira kupora kwechironda;
• Kudzivirira kana kubata phlebitis kana venous thrombosis: kuwanda kweropa mutsinga.

Kupfeka compression masokisi inokurudzirwa mune dzinotevera kesi:

• Varicose mutsinga (3 mamirimita);
• Mushure me sclerotherapy - nzira isingagumi yekutsvaira inoitirwa kubvisa varicose veins uye varicose midziyo (iyo tsinga dzeropa dzinopa iyo varicose veins) pamakumbo ezasi - kana kuvhiyiwa kwevaricose veins;
• Chisingaperi edema;
• Pigmentation - brownish kusviba kweganda - kana venous eczema;
• Lipodermatosclerosis: inoratidzirwa isingagumi kuzvimba uye fibrosis yeganda uye subcutaneous matissue egumbo repazasi;
• venous hypodermitis;
• White atrophy: zvepamusoro maronda ari mumakumbo;
• Ronda rakaporeswa;
• Chironda chakavhurika.

Kumwe kushandiswa kunogona kukurudzirwa naiye phlebologist.

Pamusoro pezvo, edema yese haidi hosha uye zvimwe zvikonzero zvakanyanya - moyo, renal, utachiona… - kana chirevo chekutora mushonga, chinofanirwa kubviswa.

Kumanikidza masokisi emidziyo yekurapa uye haifanire kunge uri wega unozvirapa. Dzinorayirwa kuti dzigadziriswe kune mhando yehutachiona hutachiona, danho rayo rekuvandudza uye morphology yemurwere.

Chiratidzo chavo chichaitwa neye phlebologist mushure mekuongororwa kwekiriniki uye Doppler ultrasound.

Kusarudzwa kwesimba rekumanikidza kunokosha zvikuru. Inoitwa nephlebologist pane imwe nyaya-ne-case base. Zvigadzirwa zvekumanikidza zvekurapa zvakakamurwa kuita makirasi mana ekumanikidza, kubva kune asina kusimba kusvika kune akasimba:

• Kirasi 1 = 10-15 mamirimita emekiyuri (mmHg);
• Kirasi 2 = 15-20 mmHg;
• Kirasi 3 = 20-36 mmHg;
• Kirasi 4 = inopfuura 36 mmHg.

Kumanikidza zvisina kukodzera kumanikidza stocking inogona kunge isingaite, asi inogona zvakare kuve nemhedzisiro yakaipa mukutenderera kweropa uye hupenyu hwehupenyu.

Paunenge uchinyorera ivo phlebologist kana kuvabvisa kuna wemishonga, zvakakosha kutarisa:

• Kuti zviyero zvemakumbo zvakatorwa kunzvimbo dzakasiyana: saizi yeshangu, tenderera yedenderedzwa, mhuru yakatenderera, pasi kukwirira-pamusoro muganho kutsanangura saizi chaiyo yepasi;
• Kuti nzira dzekupa, dzakakodzera uye dzakapfeka dzinotsanangurwa nemumwe nemumwe wevanobata (phlebologist, mukoti, wemishonga, nezvimwewo).

Mhedziso inopesana yekurapa kumanikidza ndeiyi:

• Obliterating arterial chirwere - chinotadzisa kukuvara kune arteri - ezasi emakumbo (PADI) ane systolic yekumanikidza index isingasviki 0,6;
• Yepamberi chirwere cheshuga microangiopathy (yekumanikidza yakakwira kupfuura 30 mmHg);
• Phlegmatia cœrulea dolens - inorwadza bhuruu phlebitis ine arterial compression;
• Septic thrombosis.

Kuongororwazve kwenguva dzose kwebhenefiti / chiyero chengozi kunokosha kana paine:

• PADI ine systolic yekumanikidza index pakati pe0,6 uye 0,9;
• Yepamberi peripheral neuropathy;
• Oozing kana eczematized dermatosis;
• Kusashivirira kune tambo dzakashandiswa.

Kudzvanya masokisi kunopa kubhadharwa neHealth Insurance. Nekuda kwekugara uchishandiswa uye kugeza zvipingamupinyi zvemasitokisi ekumanikidza, Inishuwarenzi yehutano inogona kuvhara zvigadzirwa izvi kusvika pamapeya masere pagore - kubva nhasi kusvika nhasi - pane zvakanyorerwa kurapwa.

Mhando dzakawanda dziripo uye mitengo inosiyana pakati pe € 20 ne € 80 zvichienderana nekirasi - kusimba kudzvinyirira kwakakwira mutengo -, werudzi - matinji, masokisi kana masokisi -, ezvekushandisa…