Mukati
Venous kuzvimba kusamira kweropa retsinga mumativi emuviri. Ndiyo edema inofambidzana nechirwere chetachiona, chinowanikwa munzvimbo kunyanya mumucheto wakadzika uye muzvikamu zvepamusoro zvechirwere ichi C4 kusvika kuC6 maererano neInternational CEAP classification. Inowedzera mukati mezuva, ichikwira pakupera kwezuva.
Venous kuzvimba - tsanangudzo
Kuzvimba kwe venous chiitiko chinoratidzwa nekuvakwa kweropa re venous munzvimbo dzemukati dzemuviri. Iyi ndiyo nzira yakajairika yekuzvimba kwemakumbo. Izvi zvinowanzoitika nekuda kwekuremerwa kweiyo lymphatic system. Kuwanda kwevevenous edema kunobva pa1% kusvika ku20% uye kunowedzera nezera; kazhinji inowanikwa muvakadzi vanopfuura makore makumi matanhatu. Kuzvimba kunowedzera mukati mezuva uye kunosvika pakakwirira manheru. Mukuwedzera, kuputika kwemakumbo kunowanzoitika mushure mekubhururuka, kunyange kana mitsipa yedu ine utano.
INOKOSHA: Iyo lymphatic system uye venous system inoshanda pamwe chete kuburitsa mvura. Saka, kana iyo venous system yakakuvadzwa, lymphatic system inokundikana. Venous kuzvimba kusingagadzirise zvega mukati memaawa mashoma kunogona kuratidza kusakwana kwe venous.
Zvikonzero zve venous edema
Chikonzero che venous edema ndeyekudzoreredza kuyerera kweropa (reflux), kuvharika kwemvura inoyerera kana zvese zviri zviviri, uye thrombophlebitis.
Zvimwe zvikonzero:
- lymphatic insufficiency,
- kuputika kwemafuta,
- deep vein thrombosis,
- kuputika kwegiravhiti,
- cyclical premenstrual edema,
- endocrine kuzvimba,
- kuzvimba nekuda kwekushaikwa kwe potassium uye albumin;
- kuzvimba kunokonzerwa nekutora mishonga,
- kuzvimba kunokonzerwa nekumanikidzwa kwetsinga uye lymphatic midziyo;
- iatrogenic kuzvimba
- kuzvimba nekuda kwekuzvikuvadza.
Mutsvairo weButcher une tsigiro yekutenderera kwevenous, inobvisawo kuzvimba. Iwe uchawana CircuVena - iyo YANGO yekudya yekuwedzera.
Zviratidzo zve venous edema
Maronda acho anonyanya kuwanikwa mumakumbo ezasi (kazhinji akatenderedza zvitsitsinho, uko kune hypertension yakakura), kashoma mumakumbo ekumusoro, uye mutsipa. Kuzvimba kunotanga masikati uye kunopera paunosimudza makumbo ako uchizorora. Kuzvimba kunokonzerwa nekuremerwa kweiyo lymphatic system inofamba ichienda kutsoka uye ichiwedzera kuramba kumanikidzwa. Mapete akakora eganda anoonekwa kuseri kwetsoka, uye chitsiko chetsoka chinova chakaoma uye chine matambudziko nekufamba. Iyo yakawandisa lymphatic system zvishoma nezvishoma inowedzera uye isingashande, izvo zvinoita kuti mamwe matanho eedema ave nemhando dze lymphedema.
Kazhinji nevevenous edema, kune:
- kurwadziwa kwegumbo,
- varicose tsinga,
- ma contractions,
- phlebitis uye thrombosis
- kuwedzera kwetsinga,
- keratosis uye kuputika kweganda kumativi emakumbo.
Mune varwere vanokura venous insufficiency, zvimwe zviratidzo zvinoonekwa munzvimbo yemakumbo:
- venous eczema,
- maronda emakumbo,
- tsinga dzakadzika zvakanyanya mumakumbo,
- white atrophic mavanga.
Gare gare mukukura kwechirwere, murwere ane fungidziro yekuti kuputika kuri kunyangarika kumativi emakumbo, asi gumbo rakafanana nebhodhoro re champagne inverted - yakaonda zvikuru kumativi emakumbo, asi yakaputika pamusoro.
Kuti ubvise makumbo akazvimba uye kutsigira kurwisa varicose tsinga, edza Venosil gel yevaricose tsinga uye puffiness.
Kuongororwa kwevenous edema
Edema inofanira kuongororwa yakamira kana yakarara pasi, venous edema inowanikwa nekutsikirira chigunwe pane shin kweminiti 1. Kana paine fove mushure mekudzvanya ganda, izvi zvinoratidza venous kana lymphatic edema, moyo kana renal edema, uye kusavapo kwefove kunoratidza kwaakabva mafuta. Pamusoro pazvo, kuyerwa kwe circumference yemakumbo kunoitwa munzvimbo dzakafanana pamakumbo ese kuenzanisa makumbo maviri panguva imwe chete. Pedyo nechiyero, zuva uye nguva yechiyero inofanira kuiswa kuitira kutarisa mwaka uye zuva nezuva kuchinja kwehuwandu hwemakumbo.
Ongororo yezviridzwa inogona kuitwa uchishandisa duplex scan kana magnetic resonance imaging technique. Zvinokurudzirwa kupfeka zvigadzirwa zvekumanikidza nekumanikidza zvishoma nezvishoma, chengetedza huremu hwemuviri hwakakwana, masaja emaoko uye hydro masaja.
Venous edema inofanira kusiyaniswa nezviratidzo zvinotevera:
- lymphedema,
- kuputika kwemafuta,
- kuzvimba kwemoyo
- renal edema
- zvinodhaka kuzvimba,
- edema ye electrolyte yakabva.
Nzira yekurapa Venous Edema?
Mukurapa venous edema, inonyanya kushanda ndeye causal (kuvhiya) kurapwa - kubvisa chikonzero chekudzika kweropa, ipapo compression therapy (fekitari-yakagadzirwa elastic zvigadzirwa, zvakare yakagadzirwa kuyera, imwe uye yakawanda-chamber pneumatic cuffs, vacuum zvishandiso. , elastic mabhandeji). Mukuwedzera, pharmacotherapy inoshandiswa - fleboactive zvinodhaka, diuretics.
Tichifunga nezvekuti chero kupindira kwekuvhiya kwakabatana nenjodzi ye lymphangitis uye bhakitiriya kana fungal utachiona, kuvhiyiwa kunofanira kutangirwa neComprehensive Anti-Stagnation Therapy. Haisi kungovandudza mamiriro eganda, asiwo inobvisa lymphatic system.
Nzira yekudzivirira sei venous edema?
Kudzivirira venous edema kunosanganisira:
- kurovedza muviri,
- zvishoma nezvishoma compression kuburikidza elastic mabhandeji.
Kuti utsigire circulatory system, zvakakodzera kusvika kune yakasikwa venous circulation supplement - Pharmovit madonhwe anodonhedza.
Lit .: [1] Partsch H., Rabe E., Stemmer R.: Kudzvinyirira kurapwa kwemagumo. Zvinyorwa Phlebologiques Francaises 2000. [2] Stemmer R.: Matanho ekurapa nekumanikidza uye kufambisa. Editor Sigvaris Ganzoni CIE AG 1995. [3] Shumi SK, Cheatle TR: Fegan's compression sclerotherapy yevaricose veins. Springer 2003. [4] Jarrett F., Hirsch SA: Vascular surgery. Mosby Company, St. Louis 1985.
Kwakabva: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; yechishanu edition, Czelej Publishing House