Kulephera kwamphamvu

Kulephera kwa venous ndi vuto momwe mitsempha imavutikira kutumiza magazi kuchokera kumiyendo kubwerera kumtima.

Nthawi zambiri, mavavu m'mitsempha yanu yakuya m'miyendo amasunga magazi akupita chamtsogolo. Ndi kuperewera kwa mitsempha yayitali (yayitali), makoma amitsempha amafooka ndipo mavavu awonongeka. Izi zimapangitsa kuti mitsempha ikhale yodzaza ndi magazi, makamaka mukaimirira.

Matenda oyambilira amatha nthawi yayitali. Nthawi zambiri zimakhala chifukwa cha mavavu osagwira bwino (osakwanira) m'mitsempha. Zikhozanso kuchitika chifukwa chodwala magazi m'miyendo.

Zowopsa zakusakwanira kwa venous ndi izi:

• Zaka
• Mbiri ya banja yamtunduwu
• Kugonana kwazimayi (kogwirizana ndi kuchuluka kwa mahomoni a progesterone)
• Mbiri ya thrombosis yakuya m'miyendo
• Kunenepa kwambiri
• Mimba
• Kukhala kapena kuimirira kwakanthawi
• Kutalika kwambiri

Ululu kapena zizindikiro zina zimaphatikizapo:

• Kumva kupweteka, kulemera, kapena kuphwanya miyendo
• Kuyabwa ndi kumva kulasalasa
• Ululu womwe umakulirakulira akaimirira
• Ululu womwe umakhala bwino pakakwezedwa miyendo

Kusintha kwa khungu m'miyendo kumaphatikizapo:

• Kutupa kwa miyendo
• Khungu lowotcha kapena losweka mukalikanda
• Khungu lofiira kapena lotupa, lotupa, kapena lolira (stasis dermatitis)
• Mitsempha ya varicose pamtunda
• Kulimba ndi kuuma kwa khungu pa miyendo ndi akakolo (lipodermatosclerosis)
• Bala kapena zilonda zomwe sizichedwa kuchira pamapazi kapena akakolo

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za zidziwitso zanu komanso mbiri yazachipatala. Matendawa nthawi zambiri amapangidwa kutengera mawonekedwe amitsempha yamiyendo mukaimirira kapena mutakhala ndi miyendo yopendekeka.

Kuyesedwa kwa duplex ultrasound mwendo wanu kumatha kulamulidwa kuti:

• Onani momwe magazi amayendera m'mitsempha
• Tchulani zovuta zina ndi miyendo, monga magazi

Omwe akukuthandizani angakuuzeni kuti mutenge njira zotsatirazi zodzithandizira kuthana ndi vuto la venous:

• Osakhala kapena kuyimirira kwakanthawi. Ngakhale kusuntha miyendo yanu pang'ono kumathandiza kuti magazi aziyenda.
• Kusamalira mabala ngati muli ndi zilonda kapena matenda.
• Kuchepetsa thupi ngati muli wonenepa kwambiri.
• Chitani masewera olimbitsa thupi nthawi zonse.

Mutha kuvala masitonkeni kuti musinthe magazi m'miyendo yanu. Zovala zothinikizika zimafinya miyendo yanu kuti musunthire magazi m'miyendo yanu. Izi zimathandiza kupewa kutupa kwa mwendo, komanso pang'ono, magazi kuundana.

Pakasintha kwambiri pakhungu, omwe amakupatsani:

• Tiyenera kufotokoza za chithandizo chamankhwala akhungu chomwe chingathandize, ndi chomwe chingapangitse vutoli kukulirakulira
• Titha kulangiza mankhwala kapena mankhwala omwe angathandize

Wopezayo angakulimbikitseni mankhwala ena ngati mungakhale:

• Kupweteka kwamiyendo, komwe kumapangitsa kuti miyendo yanu ikhale yolemetsa kapena yotopa
• Zilonda zapakhungu zomwe zimayambitsidwa chifukwa chamavuto am'magazi omwe samachira kapena kubwereranso
• Kulimba ndi kuuma kwa khungu pa miyendo ndi akakolo (lipodermatosclerosis)

Zosankha zamachitidwe ndi monga:

• Sclerotherapy - Madzi amchere (saline) kapena njira yamankhwala imayikidwa mumtsinje. Mitsempha imauma kenako imazimiririka.
• Phlebectomy - Mabala ang'onoang'ono opanga maopareshoni (osakhazikika) amapangidwa mwendo pafupi ndi mtsempha wowonongeka. Mitsempha imachotsedwa kudzera mwazomwe zimapangidwira.
• Ndondomeko zomwe zingachitike muofesi ya wothandizira kapena kuchipatala, monga kugwiritsa ntchito laser kapena radiofrequency.
• Varicose vein stripping - Ankagwiritsa ntchito kuchotsa kapena kumangirira mtsempha waukulu mwendo womwe umatchedwa kuti saphenous vein.

Kulephera kwamatenda oyipa kumayamba kukulirakulira pakapita nthawi. Komabe, imatha kuyang'aniridwa ngati mankhwala ayambitsidwa koyambirira. Mwa kutenga njira zodzisamalirira, mutha kuthetsa kusakhazikika ndikupewa kuti vutoli lisawonjezeke. Zikuwoneka kuti mudzafunika chithandizo chamankhwala kuti muthane ndi vutoli.

Itanani omwe akukuthandizani ngati:

• Muli ndi mitsempha yotupa ndipo imapweteka.
• Vuto lanu limakulirakulirabe kapena silikusintha ndikudziyang'anira nokha, monga kuvala masitonkeni kapena kupewa kuyimirira kwakanthawi.
• Muli ndi kuwonjezeka mwadzidzidzi kwa kupweteka kwa mwendo kapena kutupa, malungo, kufiira kwa mwendo, kapena zilonda za mwendo.

Matenda a venous stasis; Matenda venous matenda; Zilonda zam'miyendo - kufooka kwa venous; Mitsempha ya varicose - kutsekeka kwa venous

• Mtima - kuwonera kutsogolo
• Kulephera kwamphamvu

Dalsing MC, Maleti O. Kulephera kwaposachedwa kwamatenda: kumanganso kwamitsempha yakuya. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 159.

Freischlag JA, Mthandizi JA. Matenda a venous. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 64.

Pascarella L, Shortell CK. Matenda osokoneza bongo: kasamalidwe kosagwira ntchito. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 157.