Kulephera Kwambiri

Zamkati

• Kodi kulephera kwa venous ndi chiyani?
• Zimayambitsa venous insufficiency
• Zizindikiro za kuperewera kwamatenda
• Kodi matenda venous matenda?
• Venogram
• Duplex ultrasound
• Momwe kuperewera kwa venous kumathandizidwira
• Kupititsa patsogolo magazi
• Mankhwala
• Opaleshoni
• Phlebectomy yothamangitsa
• Sclerotherapy
• Njira zopangira catheter
• Momwe mungapewere kufooka kwa venous

Kodi kulephera kwa venous ndi chiyani?

Mitsempha yanu imanyamula magazi kuchokera mumtima mwanu kupita mthupi lanu lonse. Mitsempha yanu imanyamula magazi kubwerera kumtima, ndipo mavavu m'mitsempha amaletsa magazi kuti abwerere chammbuyo.

Mitsempha yanu ikakhala ndi vuto kutumiza magazi kuchokera kumiyendo yanu kubwerera kumtima, amadziwika kuti osakwanira kwa venous. Momwemonso, magazi samatulukiranso bwino pamtima, ndikupangitsa magazi kulowa m'mitsempha yamiyendo yanu.

Zinthu zingapo zimatha kuyambitsa kufooka kwa mafupa, ngakhale kuti nthawi zambiri imayamba chifukwa chamagulu am'magazi (deep vein thrombosis) ndi mitsempha ya varicose.

Ngakhale mutakhala kuti muli ndi mbiri yolephera kubala, pali zinthu zingapo zosavuta zomwe mungachite kuti muchepetse mwayi wokhala ndi vutoli.

Zimayambitsa venous insufficiency

Kulephera kwamphamvu kumachitika chifukwa chamagazi kapena mitsempha ya varicose.

Mu mitsempha yathanzi, pamakhala magazi omwe amapita kuchokera kumiyendo kubwerera kumtima. Mavavu mkatikati mwa mitsempha ya miyendo amathandizira kupewa kubwerera kwamagazi.

Zomwe zimayambitsa kufooka kwa mafupa ndimatenda am'mbuyomu am'magazi komanso mitsempha ya varicose.

Kutuluka kutsogolo kudzera m'mitsempha kumalephereka - monga magazi amatsekemera - magazi amakhala pansi pamtsempha, zomwe zimatha kubweretsa kufooka kwa venous.

M'mitsempha ya varicose, ma valve nthawi zambiri amasowa kapena kuwonongeka, ndipo magazi amatuluka kudzera m'magetsi omwe awonongeka.

Nthawi zina, kufooka kwa minofu ya mwendo yomwe imafinya magazi kupita patsogolo kumathandizanso kuti magazi asatayike.

Kulephera kwa venous kumakhala kofala kwambiri mwa akazi kuposa amuna. Zilinso zotheka kuchitika kwa achikulire azaka zopitilira 50, malinga ndi Cleveland Clinic.

Zina mwaziwopsezo ndizo:

• kuundana kwamagazi
• Mitsempha ya varicose
• kunenepa kwambiri
• mimba
• kusuta
• khansa
• kufooka kwa minofu, kuvulala mwendo, kapena kupsinjika
• kutupa kwa mitsempha yeniyeni (phlebitis)
• mbiri yakubanja yakusakwanira kwa venous
• kukhala kapena kuimirira kwa nthawi yayitali osasuntha

Zizindikiro za kuperewera kwamatenda

Zizindikiro zakusakwanira kwa venous ndizo:

• kutupa kwa miyendo kapena akakolo (edema)
• ululu womwe umakulirakulira mukaimirira ndikukhala bwino mukakweza miyendo yanu
• kukokana kwamiyendo
• kupweteka, kupweteka, kapena kumverera kolemetsa m'miyendo mwanu
• kuyabwa miyendo
• miyendo yofooka
• khungu lakuda pamiyendo yanu kapena akakolo
• khungu lomwe limasintha mtundu, makamaka mozungulira akakolo
• Zilonda zam'miyendo
• Mitsempha ya varicose
• kumverera kwakhama mu ng'ombe zanu

Kodi matenda venous matenda?

Dokotala wanu adzafuna kuyesa thupi lanu ndikulemba mbiri yonse yazachipatala kuti adziwe ngati muli ndi vuto lokwanira.

Akhozanso kuyitanitsa mayeso ena azithunzi kuti adziwe gwero la vutolo. Mayesowa atha kukhala ndi venogram kapena duplex ultrasound.

Venogram

Pakati pa venogram, dokotala wanu adzaika utoto wosakanikirana (IV) m'mitsempha yanu.

Utoto wosiyanitsa umapangitsa kuti mitsempha yamagazi izioneka yosaoneka bwino pachithunzi cha X-ray, chomwe chimathandiza adotolo kuwawona pachithunzicho. Utoto umenewu umapatsa dokotala chithunzi chowoneka bwino cha X-ray cha mitsempha yanu.

Duplex ultrasound

Mtundu woyesera wotchedwa duplex ultrasound ungagwiritsidwe ntchito kuyesa kuthamanga ndi mayendedwe a magazi m'mitsempha.

Mmisiri amapaka gel pakhungu ndikusindikiza kachipangizo kakang'ono kam'manja (transducer) motsutsana ndi malowa. Transducer imagwiritsa ntchito mafunde akumveka omwe amabwereranso pakompyuta ndikupanga zithunzi zamagazi.

Momwe kuperewera kwa venous kumathandizidwira

Chithandizo chimadalira pazinthu zambiri, kuphatikiza chifukwa cha vutoli komanso thanzi lanu komanso mbiri yanu. Zina zomwe dokotala angaganizire ndi izi:

• zizindikiro zanu zenizeni
• zaka zanu
• kuopsa kwa matenda anu
• momwe mungaperekere mankhwala kapena njira

Chithandizo chofala kwambiri cha kuperewera kwa venous ndikumangirira kosanjikiza kwamankhwala. Zovala zapadera zoterezi zimapanikizika kumapazi ndi mwendo wapansi. Amathandizira kukonza magazi ndipo amatha kuchepetsa kutupa kwa mwendo.

Zolemba zamagetsi zimabwera mothandizidwa ndimankhwala osiyanasiyana komanso kutalika kwakutali. Dokotala wanu adzakuthandizani kusankha mtundu wabwino wa kuponderezana ndi chithandizo chanu.

Chithandizo cha kuperewera kwa venous kungaphatikizepo njira zingapo:

Kupititsa patsogolo magazi

Nawa maupangiri othandizira kukonza magazi:

• Sungani miyendo yanu kumtunda ngati kuli kotheka.
• Valani masitonkeni opanikizika kuti mulembe m'miyendo yanu yakumunsi.
• Sungani miyendo yanu osakhazikika mukakhala pansi.
• Chitani masewera olimbitsa thupi nthawi zonse.

Mankhwala

Palinso mankhwala angapo omwe angathandize omwe ali ndi vutoli. Izi zikuphatikiza:

• diuretics: mankhwala omwe amatulutsa madzi owonjezera mthupi lanu omwe amatulutsidwa kudzera mu impso zanu
• anticoagulants: mankhwala omwe amachepetsa magazi
• pentoxifylline (Trental): mankhwala omwe amathandiza kuti magazi aziyenda bwino

Opaleshoni

Nthawi zina milandu yayikulu yakusowa kwa venous imafuna kuchitidwa opaleshoni. Dokotala wanu angakuuzeni imodzi mwama opaleshoni otsatirawa:

• Kukonzekera kwa opaleshoni kwa mitsempha kapena mavavu
• Kuchotsa (kuchotsa) mtsempha wowonongeka
• Opaleshoni yocheperako yocheperako: Dokotalayo amaika chubu chochepa kwambiri chokhala ndi kamera kuti athandize kuwona ndikumanga mitsempha ya varicose.
• Mitsempha yodutsa: Mitsempha yathanzi imabzalidwa kwinakwake mthupi lanu. Amagwiritsidwa ntchito kokha mu ntchafu yakumtunda komanso ngati njira yomaliza pamavuto akulu kwambiri.
• Opaleshoni ya Laser: Chithandizo chatsopano chomwe chimagwiritsa ntchito ma lasers kuti chiwonongeke kapena kutsekeka mtsempha wowonongeka ndikuwala kwamphamvu m'malo ochepa, enieni.

Phlebectomy yothamangitsa

Njira yopitilira kuchipatala (simukuyenera kugona usiku wonse kuchipatala) imakhudzana ndi dokotala wanu akumataya malo ena mwendo wanu, kenako ndikupanga zibowo zazing'ono ndikuchotsa mitsempha yaying'ono ya varicose.

Sclerotherapy

Njira yothandizirayi nthawi zambiri imasungidwa kuti isatengeke bwino ndi ma venous.

Mu sclerotherapy, mankhwala amalowetsedwa mu mitsempha yowonongeka kuti singathenso kunyamula magazi. Magazi amabwerera mumtima kudzera mumitsempha ina, ndipo mtsempha wowonongeka pamapeto pake umalowetsedwa ndi thupi.

Sclerotherapy imagwiritsidwa ntchito kuwononga mitsempha yaying'ono mpaka yapakatikati. Mankhwala amalowetsedwa mu mtsempha wowonongeka kotero kuti sungathenso kunyamula magazi.

Njira zopangira catheter

Pazovuta kwambiri, dokotala wanu amatha kugwiritsa ntchito njira ya catheter yamitsempha ikuluikulu. Adzaika catheter (chubu chochepa thupi) mumtsempha, kutentha kumapeto kwake, kenako ndikuchotsa. Kutentha kumapangitsa kuti mtsempha utseke ndikutsekedwa pamene catheter imachotsedwa.

Momwe mungapewere kufooka kwa venous

Ngati muli ndi mbiri yokomera banja, mutha kuchitapo kanthu kuti muchepetse mwayi wanu wokhala ndi vutoli:

• Osakhala kapena kuyimirira pamalo amodzi kwa nthawi yayitali. Dzukani ndikuyenda pafupipafupi.
• Osasuta, ndipo ngati mumasuta, siyani.
• Muzichita masewera olimbitsa thupi nthawi zonse.
• Sungani thupi lanu lathanzi.