Psinjika ndipamene maziko a chithandizo cha matenda a venous. Ndizosangalatsa kuchokera kuzizindikiro zoyamba.

Zolemba zamankhwala zimapangidwa ndi nsalu yotanuka yamankhwala yomwe imapanikiza miyendo, kupumula kapena kugwira ntchito, kuti izitha kuyendetsa bwino magazi: poletsa kuchepa kwa mitsempha, kubwerera kwa magazi pamtima kumawongolera. Kupsyinjika komwe kumachitika ndikokwera pamiyendo kenako pang'onopang'ono kumatsikira kumtunda kwa mwendo.

Kupsinjika uku kumathandizanso kuchepetsa kutayikira kwa capillary - magazi kunja kwa mitsempha - m'matumba ndikulimbikitsa ma lymphatic drainage - kufalitsa kwa ma lymph mu ma lymphatic network - interstitial fluid - madzi omwe amapezeka pakati pa ma capillaries am'magazi ndi ma cell.

Kutanthauza "masokosi opanikizika" amatanthauza masokosi - kuyimilira pansi pa bondo -, ntchafu kukwera - kuyima pamzu wa ntchafu - kapena zolimba. Palibe kusiyana komwe kukuwonetsedwa pakugwira ntchito pakati pamasokisi osiyanasiyana. Pantyhose pantyhose ilibe zovuta zotsutsana. Pakalibe chizindikiro chamankhwala, kusankha kudzapangidwa pamtundu wa masitonkeni omasuka kuvala. Ndibwino kuti muwachotse usiku.

Chenjezo: osasokoneza "kukakamiza" ndi "mikangano". Magulu opanikizika ndiosakanikirana - kapena pang'ono - ndipo samaika pakhungu pakhungu lawo komanso zotupa zimapuma. Kumbali ina, pakuchepetsa minofu, amangotsutsa mwakachetechete kuchuluka kwa gawo lakumunsi panthawi iliyonse yomwe imalumikizidwa ndi kuyenda.

Kupanikizika kwachipatala kumalola:

• Kuchepetsa ndi kupewa matenda a venous: kupweteka, kutupa ndi kulemera kwa miyendo;
• Kupewa kapena kuchepetsa mwendo edema;
• Kupewa kapena kuthandizira zovuta pakhungu zokhudzana ndi kuchepa kwa venous;
• Kuthandiza machiritso a chilonda;
• Kuteteza kapena kuchiza phlebitis kapena venous thrombosis: magazi m'mitsempha.

Kuvala masitonkoni kumalimbikitsidwa m'milandu yotsatirayi:

• Mitsempha ya varicose (3 millimeters);
• Pambuyo pa sclerotherapy - njira yodutsitsa yofuna kuchotsa mitsempha ya varicose ndi zotengera za varicose (mitsempha yamagazi yopereka mitsempha ya varicose) pamiyendo yam'munsi - kapena opaleshoni yamitsempha ya varicose;
• Matenda edema;
• Kutulutsa nkhumba - khungu lamdima wakuda - kapena chikanga cham'matumbo;
• Lipodermatosclerosis: kutukusira kwakanthawi kwamatenda ndi fibrosis ya khungu ndi zotumphukira zam'munsi;
• venous hypodermitis;
• White atrophy: zilonda zam'mimba zomwe zili m'miyendo;
• Chilonda chochiritsidwa;
• Chilonda chotseguka.

Ntchito zina zitha kulimbikitsidwa ndi phlebologist.

Kuphatikiza apo, edema yonse sikuti imayambitsa matenda opatsirana ndipo zina zimayambitsa - mtima, impso, chithokomiro… - kapena tanthauzo la kumwa mankhwala, ziyenera kuthetsedwa.

Masisitimu opanikizika ndi zida zamankhwala ndipo sayenera kudzipangira okha. Amayikidwa kuti azisinthidwa ndi mtundu wa matenda am'matumbo, gawo lake la chitukuko ndi kafukufuku wamakhalidwe a wodwalayo.

Chizindikiro chawo chidzapangidwa ndi phlebologist atafufuza zamankhwala ndi Doppler ultrasound.

Kusankhidwa kwa mphamvu yopondereza ndikofunikira kwambiri. Zimachitidwa ndi phlebologist pazochitika ndizochitika. Mankhwala oponderezedwa azachipatala amagawidwa m'magulu anayi okakamiza, kuyambira ofooka mpaka amphamvu:

• Kalasi 1 = 10-15 millimeter a mercury (mmHg);
• Gulu 2 = 15-20 mmHg;
• Gulu 3 = 20-36 mmHg;
• Kalasi 4 = yoposa 36 mmHg.

Kupanikizana kosayenera kosavomerezeka kumatha kukhala kosagwira ntchito, komanso kumatha kukhala ndi zoyipa pakayendedwe ka magazi komanso moyo wabwino.

Mukamawalemba ndi phlebologist kapena kuwachotsa kwa wamankhwala, ndikofunikira kuwunika:

• Kuti miyeso ya miyendo idatengedwa m'malo osiyanasiyana: kukula kwa nsapato, kuzungulira kwa akakolo, kuzungulira kwa ng'ombe, kutalika kwakumtunda-kumtunda kumtunda kutanthauzira kukula koyenera pansi;
• Kuti njira zoperekera, zoyenera komanso zovalira zimafotokozedwa ndi aliyense wa omwe akutenga nawo mbali (phlebologist, namwino, wamankhwala, ndi ena).

Zotsutsana kwathunthu pamankhwala ndi:

• Kuchepetsa matenda a mitsempha - kuwonongeka kwa zotupa m'mitsempha - yamiyendo yakumunsi (PADI) yokhala ndi systolic pressure index yochepera 0,6;
• Matenda a shuga otsogola kwambiri (opanikizika kuposa 30 mmHg);
• Phlegmatia cœrulea dolens - kupweteka kwa phlebitis wabuluu wokhala ndi kupsinjika kwamitsempha;
• Sepic thrombosis.

Kuunikanso pafupipafupi phindu / chiopsezo ndikofunikira pakagwa:

• PADI yokhala ndi systolic pressure index pakati pa 0,6 ndi 0,9;
• MwaukadauloZida zotumphukira neuropathy;
• Kutulutsa kapena kuzizira kwa dermatosis;
• Kusagwirizana kwa ulusi womwe wagwiritsidwa ntchito.

Masamba a compression amapangitsa kuti abwezedwe ndi Health Insurance. Chifukwa chakugwiritsa ntchito nthawi zonse ndi zoletsa zotsuka za masitonkeni oponderezedwa, Inshuwaransi ya Zaumoyo imatha kuphimba mankhwalawa mpaka mapeyala asanu ndi atatu pachaka - kuyambira pano mpaka pano - pamawu achipatala.

Mitundu yambiri ilipo ndipo mitengo imasiyanasiyana pakati pa € ​​20 ndi € 80 kutengera kalasi - kukakamira kwake kumakhala kwakukulu pamitengo -, yamtundu - zolimba, masokosi kapena masokosi -, zakuthupi…