Kana amai vane ramangwana vachinge vachinge vachinge vachinge vaine mazhe uye maziso, kune ruzivo rwekushaya simba, ganda rinonzwa sekutinhira uye izvi zvose zvinosangana nekuremera mumakumbo, kunyanya mumhepo inopisa, kunyanya masikati, pane chikonzero chekucherechedza Varicose vevine zvinonzi kushandiswa kwavo kusingagadziriswi nekureba. , zvichiitika semugumisiro wekukura kwechirwere chechirwere mumasvingo emasvingo uye nemavheji. Zviratidzo zvakadaro zvinowanzoitika nekuvandudzwa kwekushaya simba (ropa rinowedzera mumaketeni, kuputika kunononoka pasi), iyo ndiyo inopedzisira yava varicose vevine. Izvo zvinotyisa varicose veins panguva yekuzvitakura nekuputika, tsvaga munyaya ye "Varicose veins in pregnancy, howell."
Varicose maronda emakumbo anochengetwa mu20-40% yevakadzi vane pamuviri, uye vanopfuura hafu yavo chirwere ichi chakabva panguva yekuzvitakura, asi kwete pamberi payo. Varicose vevine zvinowanzoonekwa mumwedzi we5th-6 wekudzivirira. Mimba yoga yoga inotevera inowedzera uwandu uye hutsinye hwezvuru zvevaricose.
Zviratidzo zvevaricose vevini
Mune matanho okutanga, haaiti chimwe chinhu chinetseka, kunze kwekufungidzira, uye mushure mokunge kuberekwa kuchifamba zvishoma nezvishoma. Kuwedzererwa kwemasvikiro emakumbo mashoma emakumbo anokwanisa kupona mushure mokuberekwa, kunyange zvazvo mitsetse iyi isingaoneki. Pakutanga kwechirwere, varwere vanongotarisa pamusoro pekukanganisa kwezvinokonzera, ipapo pane kunyunyuta kwekunzwa kusuruvara, kuneta, kuneta, raspiraniya mumakumbo uye kunyunyisa kwavo mushure mekuita muviri (nguva refu yakamira) kana masikati, kunyanya munguva yechando. Mune ramangwana, kufambira mberi kwechirwere hakurevi kuwedzera kwehuwandu uye hukuru hwemitsipa yakanyorova, asiwo kune zvinoitika zve trophic zvinetso: kurudzika, ganda rinomisa. Kusuruvara mumakumbo kunowanzoenda nekunzwa kusuruvara, dzimwe nguva mukadzi anonetseka nemarwadzo asina kunaka uye anorwadza anowanzoitika mumakumbo nemakumbo uye haana nzvimbo yakananga.
Zvinokonzera varicose panguva yekuzvitakura
Chimwe chezvikonzero zvakakonzera kukurudzirwa kwemaronda evaricose inokonzerwa nehutano hwehutanda hwomukati elasticity. Dambudziko rekudzivirira varicose mitsemhere inowedzera nehuwandu hwemhuri, nehuwandu hwekuzvitakura uye makore emukadzi. Panguva yekuzvitakura, chirwere chemakumbo chinotyisa chinosangana nemutoro mukuru. Izvo zvinotungamirira panguva iyi zvinoshandiswa muhutoni hwemashure, kuwedzera kwehuwandu hwemhepo inobuda mumutumbi, kuwedzera kwemaketani nehuputi, kuwedzera kuwanda.
Zviratidzo zvekunze zvevaricose vevini pakutanga kwechirwere izvi tereangiectasias - kuwedzerwa kwemakumbo emakumbo emadziro ane marefu kusvika ku 1.5 mm, inoonekwa pakuongorora. Zvinowanikwa mumadzimai ane pamuviri paganda remakumbo, zvishoma nezviso chiso, mutsipa, muviri wepamusoro, maoko. Teleangiectasias inoratidzika seyakatambanudzwa kana kuputika midziyo miduku: "tsanga", "nyeredzi", "mesh", "arches" pachiuno, pasi pemabvi kana pamhuru. Vazhinji vakadzi vanocherechedza tereangiectasia patsoka dzavo dzimwe nguva pamasikati manheru - tsoka nemakumbo - kuzvimba nekuda kwekuwedzerwa ropa mukati memawere. Kakawanda, kuzvimba kunogona kunge kusinganzwisisiki, uye chiratidzo choga chekuchengetedza kwemvura kunongoratidzika paganda kubva masokisi kana shangu. Iwe unogona kushandisa zvigunwe zvako kuti usimbise shin panzvimbo iyo apo pfupa rinoshandiswa. Kana iri kuvhara, panofanira kunge kune maitiro evanhu vakaora mwoyo. Kusuruvara mumakumbo kunowanzosangana nekuputika (kazhinji uye usiku), zvakaoma kubvisa kukanganiswa kwemitsipa yemakumbo, kunzwa "kunokambaira kunofadza."
• Kuchinja mahomoni. Kuonekwa kwevaricose mitsipa yemakumbo mukudzivirira kwekutanga kunobatanidza nehommonal effects, kunyanya, ne progesterone. Nhamba yehomoni ino inowedzera panguva yekuzvitakura. Progesterone inotungamirira kuderera kwekutaura kworusvingo rwemhepo uye inowedzera kukwana kwayo kusvika ku 150% yezvakanaka, kudzokera kwairi kwemwedzi miviri mushure mokuberekwa. Ichi muviri unotarisirwa, sezvo kuwedzera kweropa ruchiwedzera kunoda kuwedzera mukukwanisa kwemubhedha wemavhesi, uye mishonga iyo yakawanda-yakakomberedzwa kupfuura mitsetse yakatambanudzirwa kune imwe huru.
• Kuwedzera muhuwandu hwekupararira ropa. Panguva yekuzvitakura, kuwanda kweropa rinopararira kuburikidza nemidziyo yeropa rinowedzera zvikuru. Inotanga nekutanga kwekutatu kwemimba yekuita pamuviri, kutarisa pamasvondo makumi matatu nemaviri. Iko kuchinja kunotungamirira kukuwedzera kwakakura mumutoro pamadziro emakumbo emakumbo ezasi, zvinowedzera zvakaoma kupinza ropa kumwoyo. Uye varicose chirwere chinokura.
• Kunyunyisa nemubereki. Mukurudzirwa kwemakumbo e varicose, chibereko chinopararira chinongoita basa mumutatu wechitatu wemimba yekuzvitakura, kuedza kushandiswa kune iriac uye yakashata vena cava, iyo inokonzera kuderera kweropa kunopfuurira kuburikidza nemaketeni echikadzi kusvika 50%.
• Kuwedzera kuwanda. Nekuberekwa kwakakwana, amai vakatarisira vanowedzera 10-12 kg muhutano. Nekuwedzerwa kuwedzera kuwanda (vamwe vakadzi vane pamuviri vanorarama ne20-30 kg) varicose veine vanoitika kakawanda. Izvi zvinokonzerwa nekuti, nekuninipisa, kushaya ropa kweropa kunowedzera zvishoma nekuda kwekunonoka kubuda kweropa kubva mumakumbo makuru uye hafu yakarurama yemwoyo. Somugumisiro, mitsetse inobudirira nemafungiro ekuvandudza varicose mitsipa.
Kuongororwa kwevaricose maronda
Nokuti kuongororwa hakuwanzodikanwi chero nzira dzakasiyana-siyana - kuongororwa kunobva pakuongorora kwekunyunyuta uye kuongororwa kwemukadzi ane pamuviri. Mukuwedzera, ultrasound dopplerographic kuongororwa kwemakwenzi makuru emumucheto wakadzika inoitwa. Iyo nzira ye ultrasound inobvumira chiremba kuona chimiro uye kuongorora basa remaketani emumucheto wakadzika, mavhavha awo, uyewo kuti aone trombi inopisa.
Kubvisa kuneta kwetsoka kunobatsira kuzviita-kuisa muviri kwemakumbo nekiki chero chipi zvacho chinodzivirira kubuda kweropa. Ita iri kumba usati warara. Kubvisa kamuti, kuisa masheya, maziso, mahudyu mumucheto kubva kumucheto kumusoro: izvi zvinovandudza kubuda kweropa. Kana iwe uine maitiro asina kuoma emaruva evaricose (pasina vein thrombosis, thrombophlebitis, ulcers paganda), rutsoka rwemutsoka rwerutsoka runogonawo uye runobatsira. Iyo inosanganisira nyore nyore kugadzika gumbo rose nechindwe ichibva kunotsika kubva pasi kumusoro-kubva kune tsoka kuenda kune mhuka. Iyo nzira yakanakisisa yakaitwa kwete chete manheru, asiwo mangwanani, mukati memaminitsi mashanu kubva kune maviri mushure mekurovedza muviri. Ichi chiyero chichave chakabudirira kana zvikamu zvakasiyana-siyana zvekusimudza kwemuganhu lumbar-sacral wepamusoro, sezvinoita neuro-reflex migumisiro munharaunda iyi ine mhinduro inobatsira pamakumbo emasvikiro emakumbo emakumbo. Kuchengetedza kunopesana nezvirwere zvinoputika zvevhuini: phlebitis (kuputika kwemukati wemadziro) uye thrombophlebitis (kuputira murusvingo rwevhesi pamwe chete ne thrombus inopfigira lumen), nezviratidzo zvemvura yakasviba (inoputira chirwere cheganda chinonzi neuro-allergenic) Mvura inoshandiswa inobatsira: Kusiyanisa mvura yemakumbo - kushandura jets zvakasimba dzemvura inodziya uye inotonhora (5-10 maminitsi pamakumbo). Maitiro akanaka pamaketani uyewo anofamba (achifamba muzvishongo zvakanaka) nekushambira. Kana uchitanga kuona kuoma mumakumbo ako, unoda kuona phlebologist. Muongorori chete anokwanisa kupa kurapa kwakanaka nekudzivirira, kudzivirira kukura kwechirwere chakadai sevaricose vevini.
Kudzvinyirira kwemitsipa
Usashandise zvipfeko chete pane dzimwe nguva kana chete muchando, sezvinoitwa nevarwere vakawanda, - inofanira kunge yakazara nguva dzose. Kusununguka kwepurasitiki yemaketani kunoratidzirwa kune vose varwere vane kusagadzikana kwechirwere chisingaperi, zvisinei nokuti chii chinokonzera. Kupfeka chironga chekurapa ndiyo nzira chete yekudzivisa kuitika uye kufambira mberi kwemapupa evaricose uye panguva imwechete kudzivirira thrombosis (kuumbwa kweropa muvhara mumvura.) Kana phlebologist inokurudzira, iwe unofanira kupfeka zvakakosha kusungirirwa mashizha, mabirasi kana mabhegi emabvi (compression medical knitwear). Izvi zvigadzirwa chiremba anonyora pane mumwe nomumwe, achisarudza dhigirii rekunyora. Vanonyanya kufambisa gumbo, vasingabvumi kuti mitsetse iwedzere uye. nokudaro kuwedzisa kuwedzerwa kweropa kupararira nekudzivirira kukura kwevaviri vevaricose. Nhengo dzakasakara dzakasakara munzvimbo dzisingatarisiri vasati vabuda pamubhedha uye dzakapfeka masikati, sekudzikisa marumbo avo, mitsipa yavo izere neropa, uye hapana jeresi iyi mamiriro ezvinhu haazoshanduki. Chinokosha pakubudirira kwekumanikidzwa kwemishonga ndeyekugara.
Mishonga
Nzira dzinobatsira dzekukurudzira inzwi remitsipa ndizvo zvinonzi phlebotonics. Vanofanira kunyorerwa nechiremba zvichibva pamigumisiro yekuongorora nekuongorora. Akave nechinjodzi chekuwedzera varicose mitsipa, kuitira kuti kudzivirirwa kwekushaya kukwana kwemumucheto wakadzika kana kuderedza zviratidzo muvaricose vevine, zvinokurudzirwa kutora mishonga troxevasin mu capsules. Inofanira kushandiswa kaviri (mangwanani nemangwanani) kushandisa troxevasingel kumhuru, kune nzvimbo yeplite, mushure mekunge ureve kwema 10-15 maminitsi, uchisimudza makumbo ako. Troxevasin inopedza edema, marwadzo, trophic zvinetso uye zvakasiyana-siyana zvepathological phenomena zvinosanganiswa neveousousness. Troxevasin inogamuchirwa kuti ishandiswe mune yechipiri uye chechitatu mamiriyoni ekuzvitakura.
Nemanzwiro ekurwadziwa mumakumbo, marwadzo, "kutamba" mumakumbo asati asvika pakubhedha, Ginkor Fort inogona kushandiswa mumashongedze emangwanani mangwanani uye manheru.Kushandiswa kwakagadziriswa (nguva dzose), chirwere ichi chinoderedza kusimba kwezvirwere zvezvirwere zvekusagadzikana kusingaperi kwemashure ekupedzisira. Iyo inorayirwa kushaya kukwana kwemumucheto wakadzika: kunzwa kwekuremera mumakumbo, marwadzo, makumbo, trophic disorders (brown brown pigmentation, ulceration). Tora mishonga mumahwendefa (panguva yemasikati nemanheru panguva yezvokudya). Kushandiswa kwechirwere kunogona kuitika kubva kumwedzi wechipiri wekuita pamuviri.
Mushonga wokuvhiya
Kurapa kwevaricose maronda panguva yekuzvitakura kunobvumira kushandiswa kwezvinhu zvisina kushandiswa kunze kwekuita pamuviri. Mushonga wokuvhiya (kushanda) unoratidzirwa mumamiriro ezvinhu apo varicosity inosangana nokusagadzikana kusingaperi kwemafuro pamwe chete nezvinetso zvevaricose vevine. Vakadzi vane pamuviri havabvumirwi kushandisa sclerotherapy (sclerosant inopindwa muvheti uye inogadzirisa masvingo ayo, ikozvino kweropa reverous rinopera). Munguva yepamuviri uye gore rokutanga mushure mekuberekwa, zvinoshandiswa zvinopiwa kune unyanzvi (remishonga) nzira dzokurapa. Kuendeswa kwevakadzi vane pamuviri vane chirwere chisina kukwana chekushaya chimiro chinofanira kuitwa mumabhandeji akasungirirwa nechisimba chekuenderera mberi kwekushandisa kwavo munguva yekuvhara shure kwemwedzi mina.
Mishonga inowedzera inzwi rehuni, inoderedza kusvibiswa kwemavhutu emvura, ine an analgesic effect. Inogona kushandiswa mune yechipiri uye chechitatu mitatu yekudzivirira. Chimwe chinogamuchirwa panguva yekuzvitakura chiRoton 1000 Gel. Chirwere ichi chinosiyanisa kuchengeteka pachinoshandiswa mumadzimai ane pamuviri mumatatu ose. Inokurumidza kunyanya, iyo inopa huwandu hwakanyanya hwe heparin muhutano huenzaniswa nedzimwe mishonga dzomunharaunda, nezvakisi nemafuta. Chimwe chinhu chinoparadzanisa ichi chemishonga kubva kune zvimwe zvinodhaka zvinoshandiswa ndizvo zvinonzi anticoagulant (kuderedza coagulability yeropa), anti-edematous, anti-inflammatory, analgesic uye phlebotonic (kukurudzira toni ye tone).Detralex inoshandiswa zvakare. Iine utachiona hunonyangadza: inoderedza kuwedzera kwemitsipa, inowedzera inzwi rayo uye inoderedza maronda emhepo ane ropa.
Zvinetso zvinogona kuitika
Kusvetuka kweropa kunopera muvaricose-yakaputika mitsetse yemakumbo, mapepa maduku, chiberekero, mukadzi pamwe chete nekukuvadza kumadziro emadziro kunogadzira mamiriro akanaka ehutachisis. Kune izvi zvinofanira kuwedzerwa kutyora kweropa coagulation system. Ngozi yezvinetso zvepromboembolic muhutachiwana husina kukwana hunosvika 10%. Thrombosis yemashuini (kana phlebothrombosis) - kuumbwa kweropa rekuvhara muvhenekeri yemuviri - ropa. Nekuvhara kwakakwana kwechiedza chemuviri, kune marwadzo anorwadza mukati mechidzitiro chose, nekuwedzera kwekushisa kwemuviri uye chills, nekunonoka kwekushisa kwemavara kwegumbo rakakanganiswa. Icho chikamu chinoshanduka chakanaka uye chinova bluish. Ikoko kune kurira kwegumbo rose, rinowedzera kusvika mudumbu uye nharaunda. Zvisinei, dzimwe nguva kungofanirwa kwechirwere chetachiona kunogona kurwadziwa kana uchifamba. Kurapa kwephlebothrombosis kunowanzobudirira uye kazhinji hako kunotungamirira kumatambudziko. Vein thrombosis inogona kuva yakaoma ne pulmonary embolism. Thrombophlebitis - kuvhiringidza kwerusvingo rune mavhinga pamwe nekuumbwa kwemitsipa thrombi muchiedza chemuviri. Thrombophlebitis inotenderera kuenderera mberi uye kupararira kumusoro uye pasi pasi pemvura, dzimwe nguva inopinda kubva mumashupiti kunze kwepakadzika. Nezvinetso izvi, marwadzo anorwadza anowanzoonekwa pamwe chete nekweshure kwevhunduswa varicose-dilated vein. Zvinokwanisika kusimudza kutonhora kusvika 38 ° C. Ganda rakapoteredza mutsara wakadaro unoputika uye rinoputika, mutsara unonzwika nenzira yesimbi yakaoma, inorwadza. Thrombophlebitis chirwere chinotyisa uye, pasina kukodzera kwakakodzera, kazhinji kunotungamirira kumatambudziko anotyisidzira hupenyu hwemukadzi: mapurmoni embolism, sepsis (kupinda mukati meropa uye masukisi emakemikari emaprogenic nemashuga avo), zvakadzika zvepinegen, maronda emakumbo.
Thromboembolism yemapurmonary arteri is complication very serious. Kazhinji kazhinji, inokonzerwa ne thrombi yakasimuka mumvura yakadzika yemiganhu yakadzika. Iyo yakanyanya kuipisisa thrombi, iyo inonamatira imwe mugumo kumadziro echombo, uye imwe, isina rusununguko, inofamba muchitendere chemuviri. Nekuedza zvishomanana: kukwezva, kushamisika kamwe-kamwe, kushungurudza - kuputika kwemaziso uye kunopinda mumuviri wepermonary neropa rekubuda ropa. Inoita kuti mwoyo usakundikana kana kuti myocardial infarction. Murwere anononoka kufema, kufema kwepfupa, hemoptysis inogona kuonekwa. Ganda remhino, miromo, nzeve dzinowana cyanotic ruvara kana kutendeuka. Rattles inonzwika mumapapu. Pamusoro pezvinyorwa, mavhiri anowanikwa mumoyo wakarurama uye mishonga yemapurmita, zviratidzo zvekuputsa kwebasa re ventricle yakarurama yemwoyo. Kamwe kamwe nekugadzirisa dambudziko rakaoma kunogona kutungamirira kurufu kana kushanda kwekukurumidza kusati kwaitwa. Kudzivirira kwenguva nenguva uye kurapwa kwekusagadzikana kwechirwere chisingaperi kunogona kudzivirira kukura kwemakumbo evaricose mumadzimai ane pamuviri uye zvirwere zvakanyanya, zvakadai seprombophlebitis, vein thrombosis uye thromboembolism. Iye zvino tava kuziva kuti chii chinotyisa varicose vevini panguva yekuzvitakura, kuzvimba.