Msuzi wamahatchi (Aesculus hippocastanum). Osachepera 3 ndemanga za kafukufuku wogwiritsa ntchito mbewu za mgoza wa akavalo zatsimikizira kuti zimathetsa bwino zizindikiro zomwe zimagwirizanitsidwa ndivenous kulephera (kulemera, kutupa ndi kupweteka kwa miyendo)^1-3 . M'mayesero angapo oyerekeza, chotsitsacho chinali chothandiza ngati oxerutins (onani pansipa)¹¹ ndi compresses masitonkeni¹⁶.

Mlingo

Tengani 250 mg mpaka 375 mg wa yokhazikika Tingafinye mu escin (16% mpaka 20%), kawiri pa tsiku ndi chakudya, amene lolingana 2 mg kwa 100 mg wa escin.

 Oxerutins. Rutin ndi chomera chachilengedwe cha pigment. Oxerutin ndi zinthu zotengedwa ku rutin mu labotale. Mayesero ambiri azachipatala^{5-15 , 52} ndi meta-analysis⁴ amasonyeza kuti oxerutins amathandiza kuthetsa ululu ndi kutupa kwa miyendo chifukwavenous kulephera, yokha kapena kuphatikiza ndi zinthu zina zoteteza ku mitsempha ya magazi. Ambiri mwa maphunzirowa adachitidwa ndi gulu la ofufuza aku Italy omwe ali ndi mankhwalawa Venoruton®.

Mlingo

Mlingo wambiri womwe umagwiritsidwa ntchito m'mayesero azachipatala ndi 500 mg kawiri pa tsiku.

ndemanga

Mu Europe, pali mankhwala kukonzekera zochokera oxerutins anafuna zochizira venous insufficiency ndi zotupa. Zogulitsazi sizigulitsidwa ku Canada kapena ku United States.

 Diosmin (zilonda zam'mimba). Chida ichi ndi flavonoid yokhazikika. Nthawi zambiri amachotsedwa ku zipatso za citrus ndi mtengo wotchedwa Japanese sophora (sophora japonica). Ma meta-analysis awiri^{20, 21} ndi kaphatikizidwe²² kusonyeza kuti diosmin ndi adjuvant kuti imathandizira machiritso a zilonda zamtsempha. Maphunzirowa amayang'ana kwambiri chinthu china, Daflon®, yomwe ili ndi 450 mg ya diosmin ya micronized ndi 50 mg ya hesperidin pa mlingo.

Mlingo

Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri pa mayesero ndi Daflon®, pa mlingo wa 500 mg, kawiri pa tsiku.

 Diosmin (kulephera kwa venous). Mayesero angapo azachipatala ku Europe awonetsa zotsatira zomaliza pakuchepetsa zizindikiro za kulephera kwa venous^24-26 . Maphunzirowa adayang'ana pa Daflon®. Posachedwapa, ofufuza a ku Russia adayesa kuyesa kwa semisynthetic extract ya diosmin (Phlebodia®)^27-29 . Izi zitha kuchepetsanso zizindikiro za kusakwanira kwa venous.

Mlingo

Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri pa mayesero ndi Daflon®, pa mlingo wa 500 mg, kawiri pa tsiku.

 Tsache la nyama ya minga (ruscus aculeatus). Tsache la minga, lomwe limatchedwanso holly, ndi chitsamba chomwe chimamera kudera la Mediterranean. Olemba a meta-analysis adafufuza mayesero achipatala a 31 omwe amafufuza zotsatira za Cyclo 3 Wamphamvu®, chowonjezera chochokera ku Butcher's Broom (150 mg), hesperidin (150 mg) ndi vitamini C (100 mg). Ochita kafukufuku anapeza kuti kukonzekera kumeneku kumachepetsa zizindikiro zomwe zimagwirizanitsidwa ndi kuperewera kwa venous³⁴. Mayesero ena azachipatala apezanso zotsatira zabwino^{35, 36}.

Mlingo

Tengani, pakamwa, gawo lokhazikika la muzu wa Butcher's Broom wopereka 7 mg mpaka 11 mg wa ruscogenin ndi neoruscogenin (zosakaniza zogwira ntchito).

 Oxerutins. The ndege zanthawi yayitali, zomwe zimafuna kukhala kwa maola ambiri, zingayambitse kutupa kwa miyendo mwa anthu omwe ali ndi vuto la venous insufficiency, chodabwitsa chomwe chimatchedwanso. chuma cha m'kalasi. Malinga ndi zotsatira za maphunziro a 4 (anthu 402 onse), kusapeza kotereku kutha kupewedwa kapena kuchepetsedwa potenga chowonjezera cha oxerutins (Venoturon®) pamlingo wa 1 g kapena 2 g patsiku kwa masiku atatu, kuyambira 3. masiku asananyamuke^{17, 18,42,62}. Gel yopangidwa ndi oxerutin, yomwe imayikidwa maola atatu aliwonse panthawi yothawa, ingakhale yopindulitsa¹⁹.

Mlingo

Tengani 1 g mpaka 2 g patsiku kwa masiku atatu, kuyambira masiku awiri musananyamuke.

ndemanga

Zowonjezera za Oxerutin nthawi zambiri sizigulitsidwa ku North America.

 Chofiira chikubwera (Matenda a Vitis). Mayesero ena omaliza azachipatala okhudza mbewu za mphesa de la vigne rouge inachitika m'ma 1980 ku France. Zotsatira zikuwonetsa kuti izi zitha kuthetsa zizindikiro za venous insufficiency ndi mitsempha ya varicose^44-46 . Mbeu za mphesa zili ndi oligo-proanthocyanidins (OPC), zinthu zomwe zili ndi mphamvu yamphamvu ya antioxidant. Zikuoneka kuti standardized akupanga a masamba a mpesa wofiira kupereka chithandizo chofanana^47-51 .

Mlingo

Tengani 150 mg mpaka 300 mg pa tsiku la mphesa yochokera ku OPC kapena 360 mg mpaka 720 mg patsiku la masamba a mphesa.

 gotu coke (Gotu kola). Kafukufuku wambiri ku Europe akuwonetsa kuti chotsitsa cha gotu kola chokhazikika (Mtengo wa TTFCA, chidule cha gawo lonse la triterpene Gotu kola) imakhala ndi zotsatira zopindulitsa kwa anthu omwe ali ndi vuto la venous insufficiency ndi mitsempha ya varicose^53-57 . Zindikirani, komabe, kuti mlingo wogwiritsidwa ntchito panthawi ya maphunziro unali wosiyana komanso kuti angapo mwa maphunzirowa adachitidwa ndi gulu lomwelo la ofufuza ku Great Britain.

Mlingo

Ku Canada, gotu kola extracts amafuna mankhwala. Onani fayilo yathu ya Gotu kola kuti mudziwe zambiri.

 Hydrotherapy (machiritso otentha). Mayesero atatu azachipatala omwe ali ndi gulu lolamulira amasonyeza zimenezo madzi otentha zitha kukhala zothandiza kwa anthu omwe ali ndi mitsempha ya varicose komanso kuperewera kwa venous^59-61 . Ku France, Social Security imazindikira phindu la hydrotherapy pochiza kulephera kwa venous ndikubwezeranso gawo lina la mtengo wamachiritso otenthetsera omwe aperekedwa ndi dokotala. Malinga ndi National Council of Spa Operators, chithandizo cha spa chimatha kuthetsa zizindikiro za venous insufficiency kwa miyezi ingapo, kuchiza zotsatira za phlebitis ndikufulumizitsa kuchira kwa zilonda.

 Pycnogenol® (kuchotsa khungwa la paini - Pinus pepala). Izi akupanga muli kwambiri kuchuluka kwaoligo-proanthocyanidins (OPC). Mayesero ena azachipatala amasonyeza kuti amatha kuthetsa zizindikiro zomwe zimagwirizanitsidwa nazokusakwanira venous^37-41 . Komabe, umboni wa umboni ulibe mphamvu chifukwa cha kusowa kwa mayesero awiri akhungu ndi chiwerengero chokwanira cha maphunziro.

Kuphatikiza apo, maphunziro a 2 adachitika kwa anthu omwe adayenda ulendo wautali ndi ndege (maola 8, pafupifupi). Kutenga Pycnogenol® patangopita nthawi yochepa ulendowu usanachitike komanso pambuyo pake kumachepetsa kutupa kwa akakolo a omwe anali nawo.⁴² ndi kuchepetsa kuchuluka kwa venous thromboses mwa anthu omwe ali pachiwopsezo⁴³.

Mlingo

Tengani 150 mg mpaka 300 mg pa tsiku la chotsitsa chokhazikika mu oligo-proanthocyanidins (OPC). Zomwe zatulutsidwa nthawi zambiri zimakhazikika mpaka 70% OPC. Onani tsamba lathu la Pycnogenol kuti mudziwe zambiri.

 Ngalande ya mitsempha yotulutsa ma lymphatic. Manual lymphatic ngalande akhoza kuonedwa ngati mankhwala kwa venous insufficiency, monga kuchepetsa kutupa, gwero la ululu.²². Komabe, njira yochiritsirayi sinalembedwe mwasayansi mpaka pano. Ndi njira yochepetsera kutikita minofu yomwe imathandizira kufalikira kwa ma lymph.

 Virginia witch hazel (mfiti hazel virginiana). Kugwiritsiridwa ntchito kwa hazel mfiti kumazindikiridwa ndi Commission E pochiza zizindikiro za mitsempha ya varicose (miyendo yowawa ndi yolemetsa).

Mlingo

Ubweya wa ufiti ukhoza kugwiritsidwa ntchito mkati kapena kunja. Onani tsamba lathu la Hamamelis kuti mumve zambiri.