Syndrome, uas yog tus cwj pwm ntawm cov hlab ntsha tawm ntawm thaj chaw hauv plab, yog hu ua venous tsis muaj txhij txhua ntawm cov sab nraub qaum, uas yog cov poj niam ntau heev. Tshwj xeeb tshaj yog tsim muaj kev sib sib zog nqus thiab sab nqaij hlav thaum lub cev xeeb tub heev: 7-35% ntawm leej niam leej txiv uas muaj teeb meem zoo ib yam, thiab nrog txhua tus cev xeeb tub qhov cuam tshuam ntawm kev tshem tawm ntawm kev tawm mus xwb.
Lub cev ntaws ntawm cov hlab ntsha muaj roj li qub, thaum tus neeg sawv ntsug, tsis txhob tso ntshav nyob hauv lub zog ntawm lub ntiajteb txawj nqus mus rau txhua txhua lub sijhawm, muab nws rov qab tawm thiab lub zog ntawm lub plawv. Thiab venous insufficiency ntawm sab qis extremities, cov tsos mob ntawm cov uas tau muab hauv qab no, qhia tias cov mechanism uas tau piav meej lawm.
Ua rau venous insufficiency
Insufficiency ntawm leeg tsim tawm tsam lub keeb kwm ntawm lub yeej ntawm lub valvular apparatus, thiab kuj thaum:
- lub peev xwm ntawm lub txaj venous decreases (thrombosis ntawm nqus leeg, cov leeg los ntawm sab nraud los ntawm neoplasms);
- lub veneous txaj yog raug mob ntshav nrog cov ntshav (congenital angiodysplasia los yog kev ua haujlwm ntawm cov hlab ntsha ntawm cov sab nraud);
- muaj ib qho tsis ua hauj lwm ntawm lub plawv ( cardiomyopathy , ischemia, teeb meem ntawm myocarditis, kab mob hauv lub plawv).
Raws li tus nqi ntawm kev mob plawv, mob vwm plawv tsis txaus ntawm qhov qis dua thiab daim ntawv ntev yog cais. Nyob rau hauv rooj plaub thawj, cov tsos mob tshwm sim heev; lub cev paub txog kev ua txhaum ntawm cov ntshav tawm ua ib qho kev poob siab thiab ua rau mob plawv. Kev mob tsis txaus los ntawm yus tus kheej yog tus yam ntxwv ntawm txoj kev loj hlob ntawm daim duab - lub cev muaj xws li lub luag haujlwm, ua kom yoog hloov, tab sis tom qab ib pliag tas lawm.
Cov xwm txheej muaj xws li cev xeeb tub, rog, rog ua kom tsawg, hnub nyoog.
Cov tsos mob ntawm venous insufficiency qis extremities
Yog tias peb tham txog daim ntawv ntev, ces nws tsim nyog los qhia qhov txawv ntawm ntau theem:
- Tus neeg mob tau yws yws ntawm qhov muaj kev ntxhov siab nyob rau hauv ob txhais ceg; nyob rau ntawm daim tawv nqaij muaj thiaj li hu ua. Vascular asterisks (telangiectasia), cov pob txha nthuav dav yog pom.
- Cov leeg yuav pib nthuav cov varicose - uas yog, nrog tsim ntawm nodules.
- Cov sab nraub qaum siab swell, muaj cov nocturnal convulsions.
- Ua rau tsis muaj mob edema, eczema, hypo- lossis hyperpigmentation (daim tawv nqaij txawv thiab caws pliav).
- Cov tawv nqaij hloov tsos, muaj ib tug mob trophic ulcer.
- Trophic ulcer kis mus rau hauv ib daim ntawv qhib.
Yog tias muaj cov kab mob ua kom tsis muaj zog txaus, cov tsos mob no tshwm sim sai sai thiab muaj kev hnov mob heev.
Nws yuav tsum tau muab sau tseg tias varicose leeg raws li qhov zoo tshaj plaws paub lub plawv cuam tshuam nyob rau hauv ob txhais ceg yog ib qho ntawm lub manifestations ntawm xws li ib tug dav tswvyim ua venous insufficiency.
Kev kho mob ntawm lub plab hlaub tawm ntawm ob txhais ceg
Ua ib qho kev kho mob symptomatic, cov kws kho mob xav hnav cov ris tsho hauv qab - nws muab ib qho rov qab ntawm cov ntshav, tsis txhob cia nws mus rau sab hauv lub nraub qaum. Cov ntaub pua plag yog tsim nyog hnav thiab so, thiab nyob hauv tsheb. Yog tias koj tau ua haujlwm, koj yuav tsum tau nce thiab khoov cov pob qij txha pob txha, thiab ua raws li qhov hnyav.
Kev kho mob tsim nyog ntawm kev sib tham. phlebotrophic drugs - pills for venous insufficiency tsis yog qhov zoo tshaj plaws ntawm txoj kev sib ntaus sib tua, txawm hais tias nyob rau hauv xyoo tas los, cov kws kho mob nyob rau hauv cov kev taw qhia no mus rau pem suab. Lawv pab txhawb nqa lub cev muaj zog ntawm ob txhais ceg thiab qhov mob ntawm cov tshuaj tsw qab tshwj xeeb thiab cov tshuaj gels hauv zos.
Cov qhabnias zoo yog muab los ntawm cov txheej txheem xws li:
- sclerotherapy;
- laser kho;
- phais raug tshem tawm ntawm leeg;
- phlebectomy;
- ablation;
- endoscopic leeg tshem tawm;
- bypass phais;
- restoration ntawm valve ua haujlwm.
Cov kev kho mob zoo li no yog tsim nyog nyob rau theem qis ntawm venous insufficiency.