Ronda remugumbo risingapore? Inogona kunge iri ronda revaricose, nemamwe mazwi aricose ulcer. Inoitika padanho rekupedzisira rekushanduka kwechisingaperi venous insufficiency yechipiri kune varicose tsinga kana sequelae phlebitis. Kunyange kana isingarwadzi zvakanyanya, inoda kurapwa kwakakodzera kwenzvimbo, ichiperekedzwa nekutungamira kwechirwere chetsinga chiri mubvunzo kuti chirege kudzoka.

tsananguro

Varicose veins, zvichida inozivikanwa sevaricose ulcers kana venous ulcers, idambudziko revaricose veins kana phlebitis inowanzoitika mushure menguva yakareba yekukura.

Inopa sevanga mugumbo - classically mumakumbo - nekurasikirwa kwezvinhu zveganda, nguva yekuporesa iyo inopfuura mwedzi umwe. Kana rikasarapwa, rinogona kuva neutachiona hwepamusoro uye hunoramba huripo kwemwedzi yakawanda kana makore.

A venous ulcer inosiyaniswa kubva kune arterial ulcer, iyo inokonzerwa nechirwere chetsinga chezasi chemakumbo, chinowanzobatanidzwa neatherosclerosis kana chirwere cheshuga.

Zvinokonzera

Ronda revaricose rinoitika muchikamu chekupedzisira chekushanduka kwekusingaperi venous insufficiency. Iwo epamusoro kana akadzika tsinga haachapi tsinga chaiyo yekudzoka kumoyo uye ropa rinogara richimira.

• Mune vanhu vane varicose mitsipa, kune kurasikirwa kwehutachiwana hwemagetsi pamwe chete nekusashanda kwemavharuvhu anoshongedza madziro emidziyo, iyo basa rekudzivirira reflux.
• Venous insufficiency inogonawo kukonzerwa ne sequelae ye phlebitis (venous thrombosis). Muchiitiko ichi, kumira kweropa uye kuwedzera kweropa kunopedzisira kutungamirira kukuvadzwa kusingagadziriswi kumavharuvhu.
• Zvizhinji kashoma, chirwere chekuzvarwa, chekutanga kudzika vharafu kusakwana, chinokonzera kusakwana kwevenous.
• Kushaikwa kwepombi yemhasuru yemhuru kunowanikwawo.

Muzviitiko zvese, stasis (kumira kweropa) kunokonzera hypertension mumakumbo nemakumbo pamwe nekubuda kwemvura inoputika. Kutambura kwetissue kwakabatana nekuvapo kwehupfu uye kushaikwa kwechikafu uye oxygen kupa. Zvinokonzera kuparadzwa kwavo (necrosis).

chirwere

Kuongororwa kwekiriniki kunoitwa nephlebologist kunoita kuti zvikwanise kuita kuongororwa uye kuongorora kuoma kweronda. Kuyera uye mapikicha eronda anogona kutorwa.

Zivo yenhoroondo yemurwere (phlebitis, zera revaricose veins, nezvimwewo) inobatsira. 

Chiremba anotsvakawo kuona kuti kukuvadzwa kweropa hakubatanidzwi nekwakabva ronda racho. Achakwanisa kutarisa zviratidzo zvakabatana (kunyanya kurwadziwa uye intermittent claudication), kuti anzwe arterial pulses uye kuyera kumanikidzwa pamwero wegumbo.

Venous echo-doppler 

Iyi bvunzo yekufungidzira inoshandiswa kuona kuyerera kweropa uye kuongorora kumhanya kwayo. Inoshandiswa kuziva kwakabva varicose ulcer. 

Kuwedzera bvunzo

Kuongororwa kwakasiyana-siyana kunoita kuti zvikwanise kunatsiridza chirwere ichi:

• kuongororwa ropa,
• mabhakitiriya samples,
• biopsy…

Vanhu vane hanya

Kuwanda kwechirwere chevenous kunowedzera nezera. Mune zvimwe zvidzidzo, maronda emakumbo (akabatanidzwa ka9 kubva pagumi kusvika kukuvadzwa kwetsinga), anokanganisa kusvika 10% yehuwandu hwevanhu, 1% yevanopfuura makumi matanhatu neshanu uye 3% yevanopfuura makumi masere.

Pane zvakajeka zvechikadzi predominance chirwere.

Zvinhu zvinotyisa

Aya ndiwo aya ekushaya venous insufficiency:

• nhaka,
• muvakadzi, mamiriro ehomoni,
• kumira kwenguva refu,
• kusaita basa remuviri,
• kufuta,
• kusvuta,
• kudzokororwa kuratidzwa kwekupisa (mabhati anopisa kwazvo, kupisa kwepasi, nezvimwewo) ...

Chronic venous insufficiency inoratidzwa nezviratidzo zvakasiyana-siyana: makumbo anorema, edema, kuvapo kwespider veins (diki purplish venules pamusoro) kana varicose tsinga, cramps, nezvimwewo.

Kuchinja kweganda kunowanzo kutangira kuumbwa kwevanga varicose:

• ocher dermatitis (mavanga eganda);
• white atrophy,
• hypodermatitis (kuzvimba kwedermis yakadzika);
• varicose eczema (yakatsvuka itchy patches).

Evolution of the lesion

Ronda revaricose rinogara pazasi pebvi, kazhinji pachitsiko, munzvimbo ye malleolus. Inogona kuoneka semugumisiro wekukwenya kwakanyanya kana kuvhunduka kudiki.

Ganda rinotsemuka uye rinogadzira crater ine mipendero isina kurongeka uye yakatsvuka, dzimwe nguva inoshamisa kwazvo pakuonekwa.

Kuonekwa kweronda kunosiyana zvichienderana nedanho rekukura:

• Tissue necrosis inotanga kuratidzwa nemuvara wakasviba.
• Muchikamu chefibrous, ronda rinovharwa nejira rakaita yero uye rinobuda kakawanda. Ngozi dzekutapukirwa dzakakura. Maronda epurulent ane chitarisiko chegirinhi.
• Kupora kwacho kwakaoma. Inotanga inoguma nemafuta ane nyama, isati yasvika epidermis kuti ivhare ronda.

Inofanirawo kuonekwa kuti arterial ulcer inogara kakawanda mutsoka, munzvimbo dzekurwisana.

marwadzo

Varicose maronda kazhinji haarwadzi zvakanyanya. Kurwadziwa kwakanyanya kunoratidza kuvepo kwechikamu che arterial kana superinfection.

Kutarisira munharaunda

Inoitwa nana mukoti, kutarisirwa kwenzvimbo kunofanira kuchinjwa kusvika padanho rekushanduka kweronda. Kuporesa kunoda kutarisirwa nguva dzose (kanoverengeka pavhiki) kwenguva yakareba.

Ronda rinotanga ranyatsocheneswa, nesipo nemvura kana kushandisa mushonga wemhando yebetadine kana ronda rabatwa. Kana zvichidikanwa, mukoti anoita marara, kureva kuchenesa kwakadzika nekubviswa kwefibrinous debris.

Kutarisira kunopedzwa nekuputika kwechipfeko chakakodzera, semuenzaniso:

• machira ane mafuta kana ronda rakaoma;
• inonwisa mapfekero (hydrocellular, alginates) muchiitiko che exudation,
• hemostatic dressings (alginates) kana ropa richiyerera,
• mapfekero esirivha kana paine superinfection.

Huchi hupfeko hwakaedzwa mukurapa maronda emaronda, asi hazviratidzike seanoshanda.

Kudzvanya (venous retention)

Kurapa kwechikonzero chevanga varicose kunokosha. Elastic compression inoshandiswa kuderedza edema yemunharaunda uye kugadzirisa kudzoka kwevenous. Chiremba anogadzirisa chirevo chake maererano nedanho rekuporesa vanga, kuvapo kana kusavapo kwe edema uye kushivirira kwemurwere.

Midziyo yakasiyana iripo, inofanirwa kupfekwa ingave maawa makumi maviri nemana pazuva, kana kubva pakubuda kwezuva kusvika pakuvira kwezuva:

• Multilayer mabhandeji (mabhendi akati wandei) ndiwo anonyanya kukodzera pakutanga kwekurapa,
• akareruka elastic bands kana elastic compression masitokisi anowanzo kupihwa sedanho rechipiri.

Kurapa kwevaricose veins

Kazhinji zvakakosha kudzivirira kudzokazve, kurapwa kwevaricose veins kunosanganisira, kunyanya, sclerotherapy uye kuvhiyiwa kwevenous.

The transplant

Kuiswa kweganda mu pastilles kana mesh zvinogoneka kana varicose ulcer inoramba kurapwa kwakajairika kwemwedzi inopfuura mitanhatu.

Tsigiro yenyika

Chiremba vanova nechokwadi chekuti nhomba yekudzivirira tetanus ndeyemazuva ano. Iwo manejimendi anogona zvakare kusanganisira hygieno-dietetic nhanho (kurwisa kuwandisa kana kurwisa kushomeka), kurapwa kwemarwadzo, lymphatic drainage inoitwa nephysiotherapist, nezvimwe.

Kudzivirirwa kwemaronda evaricose kunobva pamitemo yakafanana neyeyo yekusakwana kwevenous.

Mitemo yehutsanana hwehupenyu inoita basa rinokosha. Kuita muviri kunokurudzira kupararira kweropa uye kunodzivirira kuonekwa kwevaricose veins. Tinokurudzira kuti ufambe maminitsi makumi matatu pazuva, kanenge katatu pasvondo. Kunyanya, mitambo yese inoshanda mhuru (mabhasikoro, kutamba, nezvimwewo) inovandudza kudzoka kwevenous.

Zvimwe zviyero (kurara netsoka dzakasimudzwa, kudzivirira mabhati anopisa zvakanyanya, sauna, kupisa kwepasi, kugara kwenguva refu kuzuva kana kunyange zvipfeko zvakatsiga zvinokanganisa kutenderera kweropa, nezvimwewo) zvinonyanya kukosha kune vanhu vagara vasina kutenderera. Uyewo chenjerera kufamba nendege!

Tichachengetedza venous capital yedu nekuchengeta huremu hune hutano, kutora chikafu chine hutano uye kudzivirira kuputa.