Ngezikhathi ezithile ungezwa umbono wokuthi ama-asterisk adumile ayinkinga yezimonyo kuphela futhi akayona impilo. Maye, akunjalo. Njengombukiso wokuzijwayeza, ezigulini ezinephethini eliveziwe levascular, imithambo eyinhloko engaphansi iyamangaza. Ngakho-ke, kuyadingeka ukuthi uhlobane eduze nokuvela kwe-mesh ye-venous emilenzeni, noma ngabe azikho ezinye izimpawu zomzimba zesifo se-varicose.
Ukuthuthuka kobuntu obunqunu kuhlale kuhambisana noshintsho egazini elijwayelekile - sikhuluma ngevolumu yegazi elithe xaxa kanye nengcindezi ephezulu ngaphakathi kwemikhumbi. Ukuhlanganiswa kwalezi zinto kubangela ukuguqulwa kwe-pathological kwenethiwekhi ye-veve ephansi. Abahlukumezi bokwephulwa okunjalo bangaba izinguquko eziwohlokayo ze-dystrophic emotweni yemoto ye-valve, evelayo ngenxa yalokho:
- I-genetic Predisotion;
- Isisindo somzimba ngokweqile;
- Hlala isikhathi eside endaweni eyi-static;
- Ukuphazamiseka kweHormonal nokukhulelwa;
- Utshwala nokubhema ukuhlukunyezwa.
Njengoba izindonga zemithambo zingenalo nohlaka lwayo oluhlala isikhathi eside, bese kuthi ngokuhamba kwesikhathi, izimpawu zemitholampilo zokwanda kwazo zibonakaliswa, futhi emacaleni athulwe kunezindawo ezinohlonze kanye nemilenze. Ngokwemvelo, konke lokhu kuhambisana nemizwa ebuhlungu nokuvuvukala.
Ngokuzayo, uma ungenzi lutho, isifo esingamahlalakhona sohlelo oluvilayo singaholela ezinkingeni ezinkulu - i-thrombophlebitis, i-thrombophlebis, i-thrombophleisism, i-thrombophobism, okuvame ukuphela kokukhubazeka, ukuncipha kwezilonda, futhi kwesinye isikhathi a umphumela obulalayo. Ngakho-ke, kungcono ukungalethi esidlweni sokuhlinzwa eziphuthumayo kanye nokwelashwa okungekho emthethweni, futhi ngesikhathi sokunakekela ubuhle nempilo yezinyawo zabo. Kuyinto efiselekayo njengokuvimbela:
- Gwema ukuhlala isikhathi eside noma ukuhlala isikhathi eside;
- Ungahambi njalo ezithendeni eziphakeme (ukuphakama komzimba kwesithende akusekho ngaphezu kwe-5-6 cm);
- Ngezikhathi ezithile sebenzisa ukucindezela knindwa;
- Ubandakanyeke ekudleni noma ukubhukuda - kuzonciphisa ukuvela kokuvezwa okusha kwemithambo.
Futhi ngezimpawu zokuqala ze-varicoza ukubona udokotela.
Eminyakeni eyishumi edlule, umuthi uhlose ukukhulisa izindlela ezindala ezibucayi, ezinjengemithambo ye-explance ebabazekayo, ezibheke ezinhlosweni ezintsha ezingadingi ukulaliswa esibhedlela kanye nesikhathi sokuvuselelwa isikhathi eside. Ngaphezu kwalokho, ngokobulili obuhle kakhulu, ukugcinwa kwendlela ethandekayo yezinyawo kubaluleke kakhulu, okuqinisekisa ngempumelelo izindlela zesimanje ekwelashweni kwemithambo nezinkanyezi zemithambo.
Imitholampilo eminingi isebenzisa izindlela zobuchwepheshe obuphezulu ezenza ukuthi zikwazi ukuqeda izimpawu ezingezinhle zemithambo ye-varicose ngesinye isikhathi esisodwa noma ezimbili.
Ukusondelana kwendlela
Njengoba sekuphawuliwe, ezigabeni zokuqala zesifo se-varicose emilenzeni, ungabona izinkanyezi eziningi zemithambo ezingahlobisi noma yimuphi umuntu wesifazane futhi ezenze zihambe zigqoke izingubo neziketi ezigqoke i-jean kanye nebhulukwe, okudumazayo ikakhulukazi ehlobo.
Kunoma ngubani ofuna ukuqeda iwebhu ye-hateful ye-vascular futhi abukeke emuhle hhayi kuphela ePantyhose emnyama kuphela, kunendlela yesimanje yokususa amagridi e-venous - ama-microsclerotherapy usebenzisa ubuchwepheshe beFoam-Fomu.
Kuze kube manje, umgomo oyisisekelo wokwelashwa kwesifo se-varicose ukuqedwa kokukhishwa kwe-pathological, kanye nemithambo ye-pathological kanye nemikhumbi. I-Sclerotherapy ifinyelela lokhu ngenxa yezindonga "ze-gluing" zemithambo enwetshiwe, ngenxa yokuthi igazi ligeleza kulesi sigaba lima futhi, ngokufanele, iphethini ye-vascular iyanyamalala.
Phambilini, kusetshenziselwa i-sclerosants ye-sclerotherapy, ngemuva kokuthi isingeniso esisheshe sigeze igazi eVienna futhi senze isikhathi esifushane kakhulu, ngakho-ke kwadingeka senze izikhathi eziningi eziphindaphindwayo.
I-Sclerotherapy Foam isebenzisa ubuchwepheshe beFoam-Fomu abunawo amaphutha anjalo. Ngesikhathi senqubo, i-fooamy-sclerosis ekhethekile (i-ethoxyclerol, i-fibrosene) yethulwa ku-micronegile, okuhlushwa kwayo okukhetha udokotela, kuya ngomabanzi wephethini yemithambo noma umthambo we-vascular noma umthambo we-reticular. Ngakho-ke, igazi elikhona kuleli sayithi limisiwe futhi iphethini yemithambo ye-vascular iyanyamalala.
Konje…
Emuva ngo-1950, udokotela ohlinzayo waseMelika I. J. Fraged (E. J. Orbach) wasebenzisa i-analogue ye-foam sclerosant yokwelashwa kwemithambo eyengeziwe. Emhlanganweni we-Varicose osuswe egazini, waphathwa ngo-0.5 ml womoya ngokushesha ngaphambi komjovo wekhambi elinamakhaza. Ngemuva kwesigamu cishe sekhulu leminyaka, le ndlela yathuthukiswa nguProfessor L. Tisen futhi isetshenziswe ngempumelelo ochwepheshe banamuhla.
Ukulungiselela i-sclerotherapy
Ukuthola ukuthi isiguli esithile silungele amasu we-microcarotherapy, udokotela empeleni aqoqe umlando walesi sifo. Indima ebalulekile iyadlalwa lapha:
- Ukuba khona kwama-allergic ukusabela ezidakamizweni;
- Ukwemukelwa kwezidakamizwa ze-hormonal;
- Usuku lokuqala kokuya esikhathini, ukukhulelwa;
- Yiziphi izinhlobo zokwelashwa kwezifo ze-varicose ezazisetshenziswa ngaphambili;
- Ngabe kukhona okuphambene nokuthwala izimbotshana zokucindezela.
Ngaphambi kokwenza inqubo, kuyadingeka ukuthi uhlolwe ukuhlolwa kwe-ultrasound (imithambo ye-duplex) ukuhlola imikhumbi kanye nesimo se-Vessel Valve Appatus, kanye nokuhlolwa kwezivivinyo ezidingekayo. Ingxenye yokuxilongwa isuselwa ekuhlolweni komtholampilo kwe-fluballology noma i-angiohururg.
Uma i-Contraindication to the Methogy ayitholakali, udokotela unquma usuku lwenqubo futhi acela ukulandela imithetho elula:
- Okwezinsuku ezingama-2-3 ngaphambi kokuthathwa kwe-sclerotherapy, awunakuthathwa utshwala, izindlela zokuvimbela inzalo ze-hormonal, ama-antibiotics, ama-anticoagulants.
- Ngobusuku, akufanele kususwe, kuvakashele i-solarium, sebenzisa ama-motiotion athambisa, okhilimu we-Auto Auto.
- Ukwelashwa kufike ezindaweni ezintofontofo, izigqoko ezibanzi nezicathulo.
Impela egoli
Ukususa izinkanyezi, izinaliti ezikhethekile ezinobubanzi obungu-0.3 mm ezisetshenzisiwe, lapho kuthulwa khona ukulungiselela okwenziwe yi-Foed. Ifomu le-Foam le-sclerosant litholakala ngokuxuba ingxenye yalo yoketshezi nomoya ngendlela ebalulekile ⅓. Ukusebenza kokuthulwa kwefomu le-foam kuzoba ekudingisweni kwegazi okuthembekile ngokwengeziwe kusuka esontweni le-vascular, okuqinisekisa umphumela wokumelana nomqondo omuhle kakhulu. Umuthi we-foamy unokuqina okwanele, kepha ngasikhathi sinye kuthambile futhi uthatha amafomu ngokuphelele, amelela okuthile okusho ukuthi kunamanzi aqinile. Ngakho-ke, i-Phlebogogov yavela iyithuluzi elilungele kakhulu ukwelashwa kwemithambo ye-varicose. Akubalulekile kangako ukuthi ubuchwepheshe beFoam-form Sclerotherapy bubhekwe kahle kusetshenziswa isithwebuli se-ultrasound, enikeza udokotela ithuba lokubheka ukusakazeka kwegwebu eVienna, futhi uma kunesidingo, ukuqondisa kabusha noma ukuthumela kabusha le nqubo, ukuze kubhekwe kabusha noma kuqondiswe kabusha. Foam endaweni yokuphuma kwevenu.
UFoamu wenziwa masinyane ngaphambi kokuqhuba iseshini yokuphulukisa. Lapho ephethwe, igcwalisa lonke umthamo womkhumbi, ichithe igazi, kepha ingahlanganisi nalo. Umuthi usakazeka ngo-10-20 cm kusuka endaweni yokujova, futhi kuphela oguqulwe ngenxa yokwephulwa kwe-varicose kwemithambo ye-varicose. Masinyane nje emva kwalokho, ukuncipha komkhumbi nokwehla kwegazi kugeleza kuyo. Ukuvikela impumelelo etholakele emilenzeni, kufakwa ilineni le-compression, i-asterisk ye-vascular eqinile. Ngemuva kwezinsuku ezi-3, ukugcwala okuphelele kwesitsha esithintekile kwenzeka, kepha indawo yokuhlanza kufanele igqoke nsuku zonke kwamanye amasonto amane-6.
Umhlangano olandelayo nodokotela we-phlebulologist kwenzeka ngemuva kwezinsuku ezingama-7 - 10, futhi uma kunesidingo, inqubo iyaphindwa. Inani lamaseshini lichaziwe kwinqubo yokwelashwa, kepha, njengomthetho, kuthatha ukuvakasha okubili kuya kwezintathu, yize kumacala akhanyayo kuzoba nokwanele.
Ukusetshenziswa kwe-Foam Microsclerotherapy, njengomthetho, kuholela ekunyamalaleni okuphelele kwegridi ye-venous amasonto ama-3-6. Inqubo inamaphesenti aphezulu kakhulu okusebenza kahle kanye namaphesenti aphansi kakhulu wemiphumela emibi, ukusabela komzimba kanye nezinkinga ezingaba khona. Kwezinye izimo, ukuthuthukiswa kwe-hyperpigmentation yesikhashana yesikhumba kungenzeka esizeni se-vascular sprocket remote, okunyamalala ezinyangeni ezi-4-8.
I-anesthesia ngesikhathi se-microsmerotherapy ayisebenzi. Kepha kwesinye isikhathi imijovo kungadala ubuhlungu obukhulu bokuzwela kobuhlungu, udokotela utusa ukuphuza iphilisi lanoma yimaphi ama-painkiller engxenyeni yehora ngaphambi kwenqubo.
Iseshini ye-MicrossClerotherapy ithatha kusuka emizuzwini engama-30 nokuningi - isikhathi sincike kwinani lezinkanyezi ze-vascular emilenzeni. Ngemuva komjovo wemijovo, isiguli senza ukuhamba ngehora lesigamu, ngemuva kwalokho kungahle sibuyele ekhaya.
Inqubo iqinisekisa ukunyamalala ngokuphelele kwazo zonke izinkanyezi ezinkulu nezinkanyezi eziphakathi nendawo. Imikhumbi emihle ngokuphelele yama-microsclerotherapy ayifanelekile, ngoba i-lumen yayo ingaphansi kobubanzi be-microne. Imvamisa bahlanzwa nge-laser.
Encwadini!
Ngemuva kwe-microsmerotherapy, ayinconywa:
- Song ube sesimweni sokuma noma ukuhlala amasonto ama-2-3;
- Vakashela i-sauna nokugeza okushisayo amasonto ama-3-4;
- Ukudlala ezemidlalo futhi unikeze imithwalo esindayo ezinyaweni zakho kungakapheli inyanga.
Yini elandelayo?
Igwebu le-Foam-yakha izithambisi ezihamba kahle kahle futhi kuze kube phakade lisusa ama-asterisks akhona we-vascular, kodwa ngeshwa, alivimbi ukuvela kwama-teleagioctases amasha ngokuzayo. Imithambo ye-Varicose yisifo esingamahlalakhona esingagcinwa ngaphansi kokulawulwa uma unamathela kwindlela yokuphila enempilo kanye nemithetho ye-prophylaxis echazwe ekuqaleni kwendatshana. Njengombukiso wokuzijwayeza, ngezikhathi ezithile (kanye kanye njalo eminyakeni emi-3-5) kule nqubo kufanele futhi abuye futhi uma ufuna ukugcina ubuhle bezinyawo zakho.
Konje…
I-MicrossClerotherapy iyindlela yokusebenzisana nemikhumbi emincane yomlenze, okungukuthi, ama-asterisks kanye nemithambo ye-reticular kanye nemithambo ye-reticular (imithambo etholakala eduze kwesikhumba futhi iguqulwe ngawo). Ama-cosmetologists enza umhlangano wonke umzimba, futhi ubunye ubuchwepheshe sebezohamba - i-PhotoCoagulation, ukubheja kwe-laser.
Ngokwelashwa kwesiguli esinezifo ze-varicose, inhlanganisela yezindlela ezahlukahlukene zokwelashwa ingafakwa, ngaphandle kokukhulisa kuphela umphumela wokwelapha, kepha futhi ithuthukisa imiphumela yobuhle.
I-Contraindications for microsclerotherapy
Inqubo ayikwazi ukwenziwa ezimweni lapho kukhona khona:
- Ukungezwani komzimba okusetshenziselwa imithi (kufaka phakathi i-sclerosant uqobo);
- Izifo ezinamandla zezinso nesibindi;
- ukuba khona kwe-pulmonary noma ukwehluleka kwenhliziyo;
- Isifo sikashukela mellitus i noma i-II, ayinakuguqukiswa ekulungiseni;
- ukwephulwa okukhulu kwezinqubo ze-metabolic;
- izilonda ezithathelwanayo zesikhumba nezicubu ezithambile zemilenze;
- Isikhathi sokukhulelwa (ukuncelisa ibele).
Njengoba ukuphikisana okuhlobene nakho kungaba:
- Ukungakwazi ukuthwala i -littitness yokucindezela ngemuva kwenqubo (ngokwesibonelo, esimweni sezulu esishisayo sasehlobo);
- Imikhawulo yokuhamba noma ukuphelelwa amandla okuphelele kwesiguli ngezifo zohlelo lwe-musculoskeletal;
- insule yobudala.