Phlebology ndiro dhipatimendi rekuvhiyiwa kwevascular, iyo inobata nekurapa kwezvirwere zvemaketani emumucheto wakadzika. Mubvunzo, phlebologist - kuti ndiani, anofarira kune avo vane matambudziko munharaunda ino, iyo inotarisirwa kuparadzwa nokukurumidza kuitira kuti isabatwa nezvinetso uye kuipa kwehupenyu.
Phleblogist - ndiani uyu uye chii chinoporesa?
Nezveyi nyanzvi, vazhinji vanodzidza, kungova vatasangana nezvirwere zvemaketani emumucheto wakadzika. Imwe nyanzvi yeplorobologist inyanzvi inoita chiongorori, inorwara chirwere ichi uye inogadza kurapa kwakakodzera kune imwe neimwe nyaya. Zvirwere izvo chiremba uyu anobata zviri kuwedzera mumakore apfuura, saka zvinokosha kwete kungotsvaka rubatsiro munguva, asiwo kuziva nezvekudzivirira.
Ndiani ari chiremba wephlebologist, anoitei?
Tichifunga nezvemashoko akawanda, chii chinonzi phlebologist, munhu anofanira kutanga achinzwisisa kugadzirisa uye kutarisa. Nyanzvi yephlegiologist chironga chechiremba chepascular, ndiko kuti, nyanzvi mune imwe nhengo shoma inobata chete miviri yekumucheto kwakadzika. Kuwanda kwebasa rake kunosanganisira kuongorora murwere kuti aone chirwere chinowirirana nehuwandu hwake uye nekurapa. Kana iwe uchifunga nezvekutsvaga zvakanyatsocherechedza, chii icho phlebologist inoita kuti chione chirwere ichi, chine nzira dzakasiyana-siyana:
- Ultrasonic angioscanning yemashuini. Iyi ndiyo nzira iri nyore iyo inongoda chete kuona kuvhara ropa mumitambo yakakura.
- Ultrasonic dopplerography yevirous blood flow and veins. Shanduro yakagadziridzwa ye ultrasound yemashuini inobatsira kusarudza kwete chete mamiriro emidziyo, asiwo kuti yakawanda sei ine ropa rakawanda rekuyerera.
- Flabonometry. Kushandisa nzira iyi, ropa rekuyeresa rinotaridzwa pamasvingo emhepo mune dzimwe nyika. Iyi nzira inobatsira nyanzvi kuti asarudze nenzira yakakodzera kushandiswa kwekuvhiya.
- Phleboscintigraphy. Muchiitiko ichi, nzira dzinounza maharadionuclides akachengeteka muropa, uye luminescence yavo inoonekwa. Izvi zvinobatsira kutsvaga nzvimbo ye microcirculation, kuvapo kweplates uye lumen mumakumbo.
- Duplex kupenya kwemitsipa. Iyi ndiyo nzira inonyanya kudzidzisa iyo zvirwere zvinowanikwa uye mamiriro evhavha, midziyo uye hutano hwekuyerera kweropa mukati mavo zvakatemwa.
- Venography. Kuita phlebography, musiyano unowanikwa muropa uye X-ray inogadzirwa. Nzira yacho inoratidza kuwedzera uye kuderera kwemasvingo ane mitsetse.
Chii chinonzi phlebologist?
Rwendo rwezvirwere rwunowira munharaunda, iyo inobatanidzwa mu phlebology, yakazara. Nyanzvi yepulogiologist - ndiani uyu, takafunga, asi kunewo chirwere chechiremba chepascular - uyu ndiye anoshanda nekurapa kwezvinetso zvakadaro nemaketani emakumbo ezasi:
- utano husina kunaka , hune chimiro chisingaperi;
- thrombophlebitis ;
- phlebitis;
- varicose veins;
- maitiro akaoma emuviri wenyuchi;
- trophic zilonda zvekusiyana kwakasiyana siyana;
- kubuda ropa kunotyisa;
- "Nzou" yemakumbo (lymphaden);
- chirwere chekupedzisira;
- intradermal varicose veins
- thromboembolism yemapurmonary arteri .
Nguva ipi yekuonana nephlebologist?
Iyo phlebologist inobatsira nedzimwe njodzi muhupenyu huno kunzwisisa hupenyu hwavo uye kupa chirongwa chakakwana kana iyo murwere wekwereta iri pakero. Kuziva phlebologist - kuti ndeyei uye zvirwere zvipi zvinotapira, pamwe nezviratidzo zvinorondedzerwa pasi apa, unogona pasina kusanzwisisa kugadzira musangano neyiyi nyanzvi.
- kazhinji masikati machena emigumo yakadzika;
- Mitsipa yerima inooneka pamakumbo;
- kana pane mambure evascular uye asterisks;
- manyawi, kuneta, kuremera mumakumbo uye kuora;
- Kana iyo mutsara yakasvibiswa yakanyatsogadziridzwa;
- Node dzinooneka uye kuwedzera kwemhepo pamakumbo;
- kunzwa kusinganzwisisiki kwekudziya mumasumbu emakumbo mushure mekuita zvishomanana mumuviri kana mushure mekuchinja mamiriro.
Kune boka revanhu vanoratidzwa vachishanyira chiremba uyu kunyange pasina kuvapo kwezviratidzo zvakanyorwa pamusoro apa, kuitira kudzivirira nekuona zvinetso zvevini mumumishinari wavo.
- kana mumhuri mumwe munhu ane zvirwere zvinouraya;
- pamberi pekuremera kwakanyanya;
- vanoda mafuta uye zvokudya zvinonaka;
- pamuviri (2-3 trimester);
- avo vanogara vachinetseka mupfungwa;
- avo vanotungamira mararamiro ehupenyu;
- vanhu vakwegura vasingatauri zvakakwana;
- kunwa doro uye kushandisa dzimwe tsika dzakaipa.
Ndekupi kugadzwa kwephlebologist?
Vakawanda vanoenda kuzoona chiremba uyu kwekutanga vanofarira kufanirwa kwechiremba chiremba. Chinhu chokutanga kutanga nekusangana kwemashoko akazara pamusoro pemurwere uye anamnesis. Kuti uite izvi, unofanirwa kuyeuka huwandu hwehuwandu uye huri nani kuupfupisa kuitira kuti usapotsa chero chinhu chiripo pakugamuchira.
- Chiratidzo chekutanga chakaratidzwa rini uye sei, vakazviratidza sei uye pasi pemamiriro api?
- Ndezvipi zvikonzero zvakakonzera zviratidzo zvakanaka kana zvisina kunaka?
- Ko murwere akaitei, akashandisa chero mishonga?
Kuongorora kunoitwa sei nechiremba chiremba?
Phleblogist uye ndiani ari mhepo ine mhepo ine simba, takafunga, asi zvichabatsira kuva neruzivo rwekuti kuongorora kunotungamirirwa sei nephlebologist kumugadzirira mumuviri uye mutsika. Zvinokurudzirwa kuti utore miedzo yakakodzera uye uongorori usati waitora, kuitira kuti kugamuchirwa kwephlebologist kunogona kupa mhinduro dzakazara kumibvunzo, kusanganisira kuongororwa:
- yakagadzirirwa nguva yeprombo thlastin (APTT);
- prothrombin time test;
- International normalized attitude (INR);
- prothrombin index (PTI);
- fibrinogen.
Nemhaka yekuti nyanzvi ichaitisa kuongorora kwekunze (muviri), unofanirwa kuigadzirira zvakakwana, kunyanya muurongwa hwehutsanana: shamba kana kushambidza, kuisa pamucheka wakachena uye zvipfeko, uise tsoka dzako. Izvi zvingabatsira kudzivisa manzwiro ekunyadziswa kana kunyadziswa uye hazvizokonzeri mafungiro asina kufadza muchiremba anoitisa kuongorora.
Ndeapi maitiro anoshandiswa nechiremba chiremba?
Apo murwere anononoka, apo zvinodhaka zvinodhaka hazvina simba, chirwere chechiremba chirwere cheporogiologist chinotora chirongwa chokuvhiya. Izvi hazvisi nguva dzose zvinowanzoitwa, asi zvinyoro zvishoma:
- Radiofrequency obliteration / ablation (RFO). Nenzira iyi, electrode yakasarudzwa inobatwa nemudziyo kubva mukati, iyo inobatsira kubvisa matambudziko.
- Sclerotherapy. Itai kuti muve nehuwandu hwekushandisa zvinodhaka, izvo zvinobatsira kubvisa zviduku zvetete mumatare.
- Laser kurapwa (EVLK - endovenous laser coagulation yemaketani emumucheto wakadzika). Iyi nzira inosanganisira kuvharwa kwemuviri uye kuiswa kwelaser, iyo inobatsira kubvisa miitiro inorwadza.
- Traditional phlebectomy. Ichi ndicho kubviswa kwemitsipa uye zvinyorwa kuburikidza nezvikwangwani.
Ploblogologist zano
Iro zano rakarongwa nemudzidzisi wephlebologist haringobatsiri mukurapa kwezvirwere, asiwo kudzivirira maitiro avo. Zvinodzivirira matanho, kunyanya boka revanhu vane ngozi, inonyanya kukosha yekuchengetedza hutano hwemagetsi, munyaya iyi, mitsetse yezvikamu zviduku. Mukuvapo kwezvirwere, mazano akadaro anobatsira kuti tisanyanya kuwedzera mamiriro ezvinhu uye tora matanho ekusimudzira kupora nokukurumidza.
Mazano phlebologist yevaricose mitsipa
Kune avo vane varicose mitsipa, zvinorayirwa zvephlebologist zvevaricose zvinogona kubatsira kusunungura mamiriro acho uye kukurumidzira kupora.
- Nguva yakareba kuti umire inokuvadza, saka kana pasina imwe nzira yokubuda nayo, iwe unofanira kuedza kufamba-famba kwemaminitsi makumi matatu nemakumi matatu.
- Kupera nguva kunokwidza tsoka kunobatsira kuvandudza kubuda.
- Paanogara, makumbo anofanirwa kuiswa pachikomo che 15-20 cm uye pasina chikonzero vanofanira kukanda tsoka patsoka dzavo.
- Inobatsira kuronga musiyano wewaini wemidziyo, iyo inobatsira kusimbisa.
- Zvipfeko zvine marefu hese, zvishoma uye zvisina kunetseka, ndiyo shamwari yakanakisisa yevaricose vevine.
- Kana uine uremu hunorema, unofanidza kuedza kubvisa, kuitira kuti kuderedza mutoro unorema pamakumbo ako.
- Iwe unofanirwa kuchengeta mvura yakakwana kuti usanyanya kuwedzerwa ropa.
- Iwe unofanirwa kudya kuti urege kudzivirirwa, izvo zvinoita kuti zviitiko zvevaricose vevini zvivepo.
- Kunyanyisa kudhakwa doro nekusvuta kunobatsira pakubuda kwemakumbo evaricose.
Mazano phlebologist we thrombophlebitis
Zvinorayirwa phlebologist zvechirwere chakadai se-thrombophlebitis, zvakafanana munyaya dzevaricose mitsemara, saka mazano achaderedzwa kusvika pakuzadzikiswa kwezviito uye mazano anobatsira kudzivirira chirwere.
- Kudzidzira "birch" ndiko kudzivirira kukuru, saka zvinokurudzirwa kuita nguva dzose.
- Nenguva dzose kuzvikudza kwemaodzanyemba, zvinokurudzirwa kuisa mupumburu usiku usiku pasi petsoka.
- Kutsigira mafambiro ekuvandudza kushandiswa kweropa uye kuwedzera kuwedzera kwemasimba, ligaments nemidziyo yeropa.
- Panguva ipi zvayo yakakodzera, inokurudzirwa kuita shanduko yechiringi nekumira munzira inotenderera.
Kuwana mitsipa - mazano phlebologist
Zvinotora nguva yakawanda yekudzorera mitsipa, asi zvose zvinobvira kana ukasangana nedambudziko nenzira yakakwana. Zvinokwanisika uye zvakakosha kushandisa zvakanakisisa venotonic - phlebologist mazano munyaya iyi yakaderedzwa kusvika kune runyorwa rwemishonga inoshanda inoshandiswa pakurapa nekudzivirira.
- Escuzan;
- Detraleks ;
- Angionorm;
- Venoruton;
- Glivenol;
- Dopellerts;
- Shungite;
- Ginkor Fort;
- Troxevasin;
- Antistaks;
- Venolek;
- Eszin.