Munguva yeHippocrates, varicose vevine vainzi "kurwara, kugogodza pasi." Uye hazvisi zvechimwe chinhu, nokuti kuputika kwepini hakusi kungokonzerwa nehupenzi chete, asiwo kuburitsa kwepfungwa yakaoma - thrombophlebitis.
Ikokutanga maziso emakumbo emakumbo ane mutsara haasati anokonzera kushushikana, kunyange zvazvo dzimwe nguva dzimwe nguva inogona kupedza zvishoma. Kusuruvara nekudzimuka kwemakumbo manheru - izvi hazvisiwo varicose, asi zviratidzo zvekusagadzikana kusingaperi. Asi atova parizvino iri nguva yekutendeukira kune chirwere chechiremba-phlebologist.
Chiremba acharaira ultrasound duplex kupenya kwemitsipa (UZDS). Kudzidza kwakachengeteka, kusuruvara, kunotora inenge hafu yeawa. Iyo ultrasound inonyatsotsanangura kubwinya kwemvura yakadzika uye yepamusoro-soro, tsvaga kuti mavhavha anoshanda sei, kuverenga ropa rinowedzera velocity, kuona kuvhara ropa mumakumbo akaoma, dambudziko rekuda kwavo, uye kubatsira kusarudza nzira dzokurapa. Zvimwe zvidzidzo, zvakadai sedhetraography yemashuini, hazvishandisi nhasi - zvinogona kutungamirira kumatambudziko.
ZAPAYAT, NEBUSINESS NOKUPEDZA
Apo mambure ediki, zvisingaoneki bluish capillaries anotanga kuwedzera, uye mutsara inopfurikidza yakazadzwa neropa, inowedzera uye inoshanduka kuva mhondi yakaoma, yakasuruvara, zvirwere zvichabatsira. Nete shoma mukati memawere inorohwa nezvinhu zvakakosha - zvipembenene, izvo "glue" nzvimbo yakawedzerwa. Nokudaro, mutsara wakanyatsorongedzerwa uye wakanyonganiswa. Ropa rinoyerera rinomira pairi. Nokuda kweizvi zvakakosha kusimbisa zvakasimba mitsipa kwekanguva. Pakutanga izvi zvaiitwa nekushongedzwa kwepurasitiki, ikozvino-kuve nekugadzikana kwekugadzirisa zvipfeko. Sclerotherapy inoshandiswa pane kunze kwepakati. Zviri nani kana chiremba achizviisa pasi pekutonga kwe-ultrasound scanner-zvino nzira inonzi "echosclerotherapy." Panzvimbo idzi dzine utano hahutambudzi.
Pamberi pacho, iyo nzira yaishandiswa chete mukurapa kwemazana mashomanana, asi nekuuya kweTyam-Form teknolojia yakave yakakwanisa "kuunganidza" kunyange guru varicose nodules. Kubva kukirasiki, nzira iyi yakasiyana pakuti iyo yakaipisisa inoshandurwa kuva mvere yakapatsanurwa uye yakatangwa mumudziyo. Saka iwe unogona kuvhara kwete zvishoma chete, asiwo makuru makuru emakumbo, uyewo kuderedza kuwanda kwemishonga inoshandiswa.
Sclerotherapy haina kurwadziwa, nokuti thinnest, yakanyatsogadziriswa nenyuchi inoshandiswa. Uye mugumisiro unhu hunoita huri nani mukupararira kwemakumbo, kubviswa kweropa re stasis mumakumbo evaricose. Hazvirevi chete midziyo yakanyongedzwa, asiwo kurwadziwa, kuputika, kugumburwa, kuwedzera kuneta.
HIGH TECHNOLOGIES
Nokuda kwemafupa makuru emhepo, chirwere chokuvhiya chinodikanwa : saphenectomy : pasi pemunharaunda kana mutsva aneshehesia, kuputika kwemavheya kunodzingwa kuburikidza neprobepe inokosha. Ndinokutendai nenzira dzokupedzisira, iwe unogona kuita kunze kwekufungidzirwa kukuru.
Kuti ishandise kushandiswa kwezviitiko zvakawanda, laser coagulation ye varicose veins , iyo inoshanda nesimba kupfuura sclerotherapy, asi haifaniri kuongororwa, sekushanda, uye inoitwa pasi peanesthesia yemunharaunda. Mune mutsara, pasi pekugadziriswa kwe-ultrasound, imwe nhengo yakatsvuka yefopu inobatanidza nemapurisa emarara. Ropa rinobata simba rakakura remirasi uye rinosvika pakarepo. Kushisa kwepamusoro "kukwikwidza" murusvingo rwevaricose mutsvo pahuwandu hwose, nokudaro kubvisa kudiwa kwekubviswa kwacho.
"TARIRA" KUNYANYA
Vakadzi vakawanda havasisina hanya nekunaka kwemakumbo avo. Microthermocoagulation inobvumira kubviswa kwediki tupukanana kwemakumbo nemasita akadarika 0.3 mm, asingagoni kubviswa nenzira ye microsclerotherapy. Iyo yakanakisisa acicular microelectrode iyo iyo yakakurumbira yemazuva ano inopfuurira kuburikidza, pasi pekutonga kwekugadzira michina, inoiswa munharaunda yemvura yakasimbiswa, ikozvino kubuda kunoshandiswa kwairi. Kupisa pakarepo kunoshanda pane capillary, pasina kukuvadza ganda uye zvisikwa zvakapoteredza, uye izvo muzvikamu zvechipiri zvinonyangarika. Uye munzvimbo yaro pane zvishoma zvishoma uye zvinokonzera zvishoma. Misangano inoitwa kamwechete pavhiki kwemaminitsi 10-20. Pane imwe nguva, 30-40 microinjections inoitwa. Hapana marwadzo, hapana zvinokonzerwa neorigic. Asi pane chimwe chinhu chakaipa: mushure mekugadzirisa, zviduku zvinyorwa zvinowanzosiyiwa munzvimbo dzinoshandiswa electrode.
Kuvhiyiwa kwenguva refu kune imwe nzira yekugadzirisa maastersiski epascular. Iro reti redhiyo (inopera electrode) inobatanidza mudziyo unonyanya kuvimbika kupfuura une laser uye inodzora kukwirira kwechiitiko chacho. Microsclerotherapy ndiyo "yegoridhe standard" yeaneshetic phlebology. Chirwere ichi chinoshandiswa muzvipuka zviduku uye maastersisks emasculasi. Zvichemo zvinogadziriswa zvinowanikwa mushure memwedzi ye1,5-2, hapana kuora kana kupisa.
Muchenjeri Mazano
Mushure mokuvhiyiwa, unofanirwa kupfeka shangu neshese shoma shoma, uye kupfeka shangu dzemitambo chete nekuda kwechinangwa chawakarongwa, kudzivisa kushanda nesimba uye kugara kwenguva refu pamakumbo.
Journal of Health № 5 2008