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ʻO ka pehu ʻana o ke koko he stagnation o ke koko venous ma nā ʻāpana āpau o ke kino. ʻO ia kahi edema e pili ana i ka maʻi venous, kūloko ʻia ma nā ʻaoʻao haʻahaʻa a ma nā pae kiʻekiʻe o kēia maʻi C4 a C6 e like me ka helu CEAP honua. Hoʻonui ia i ka lā, piʻi i ka hopena o ka lā.
ʻO ka pehu venous - wehewehe
ʻO ka pehu venous kahi maʻi i hōʻike ʻia e ke kūkulu ʻia ʻana o ke koko venous ma nā ʻāpana peripheral o ke kino. ʻO kēia ke ʻano maʻamau o ka pehu wāwae. Loaʻa pinepine ia ma muli o ka nui o ka ʻōnaehana lymphatic. ʻO ka nui o ka edema venous mai 1% a 20% a hoʻonui i ka makahiki; ʻoi aku ka pinepine i nā wahine ma mua o 60 mau makahiki. Piʻi ka pehu i ke ao a hiki i kona piko i ke ahiahi. Eia kekahi, hiki pinepine ka pehu o ka wāwae ma hope o ka lele ʻana, ʻoiai inā olakino ko mākou mau aʻa.
nui: Hana pū ka ʻōnaehana lymphatic a me ka ʻōnaehana venous e hoʻokahe i ka wai. No laila, inā pōʻino ka ʻōnaehana venous, hāʻule ka ʻōnaehana lymphatic. ʻO ka pehu venous ʻaʻole e hoʻopau wale i loko o kekahi mau hola e hōʻike ana i ka lawa ʻole o ka venous.
Nā kumu o ka edema venous
ʻO ke kumu o ka edema venous ʻo ke kahe o ke koko retrograde (reflux), keakea ʻana o ka wai venous a i ʻole nā mea ʻelua, a me ka thrombophlebitis.
Nā kumu ʻē aʻe:
- ka lawa ole lymphatic,
- pehu momona,
- thrombosis vein hohonu,
- ka pehu umekaumaha,
- cyclical premenstrual edema,
- ka pehu endocrine,
- ka pehu ma muli o ka nele o ka potassium a me ka albumin,
- ka pehu ma muli o ka lawe ʻana i nā lāʻau lapaʻau,
- ka pehu ma muli o ke kaomi ʻana i nā veins a me nā moku lymphatic,
- iatrogenic pehu
- ka pehu ma muli o ka hōʻeha iā ia iho.
He hopena kākoʻo ka broom o Butcher i ke kahe ʻana o ka venous, kahi e hoʻomaha ai ka pehu. E ʻike ʻoe iā CircuVena - ka meaʻai meaʻai YANGO.
Nā hōʻailona o ka edema venous
Aia nā ʻeha ma nā lālā haʻahaʻa (pinepine a puni nā kuʻekuʻe wāwae, kahi o ka hypertension nui loa), ʻaʻole pinepine i nā lālā o luna, a me ka ʻāʻī. Hoʻoulu ka pehu i ka lā a nalowale ke hāpai ʻoe i kou mau wāwae i ka wā hoʻomaha. ʻO ka pehu ma muli o ke kaumaha o ka ʻōnaehana lymphatic e neʻe ana i ka wāwae a lilo i mea kūʻē i ke kaomi. ʻIke ʻia nā ʻili mānoanoa ma ke kua o ka wāwae, a ʻoʻoleʻa ka hui kuʻekuʻe wāwae a loaʻa nā pilikia me ka neʻe ʻana. ʻO ka ʻōnaehana lymphatic overloaded e hele mālie a ʻoi aku ka maikaʻi ʻole, ʻo ia ka mea e hoʻonui ai i nā pae hou o ka edema e loaʻa nā hiʻohiʻona o ka lymphedema.
I ka manawa pinepine me ka edema venous, aia nā:
- ʻeha wāwae,
- nā uaua varicose,
- ʻokiʻoki,
- phlebitis a me ka thrombosis
- ka hoʻonui ʻana o nā veins,
- keratosis a me ka pohā o ka ʻili a puni nā kuʻekuʻe wāwae.
I nā poʻe maʻi e hoʻomohala ana i ka lawa ʻole venous, ʻike hou ʻia nā hōʻailona ma kahi o nā kuʻekuʻe wāwae:
- venous eczema,
- ʻeha wāwae,
- nā veins i hoʻopaʻa ikaika ʻia ma nā kuʻekuʻe wāwae,
- ʻulaʻula atrophic keʻokeʻo.
Ma hope o ka ulu ʻana o ka maʻi, ʻike ka mea maʻi i ka nalowale ʻana o ka pehu a puni nā kuʻekuʻe wāwae, akā ʻo ka wāwae e like me ka ʻōmole champagne i hoʻohuli ʻia - he lahilahi loa a puni nā kuʻekuʻe wāwae, akā pehu ma luna.
No ka hoʻomaha ʻana i nā wāwae pehu a kākoʻo i ka hakakā ʻana i nā veins varicose, e hoʻāʻo i ka gel Venosil no nā veins varicose a me ka puffiness.
ʻO ka hōʻailona o ka edema venous
Pono e nānā ʻia ʻo Edema i ke kū ʻana a i ka moe ʻana paha, ʻike ʻia ka edema venous ma ke kaomi ʻana i kahi manamana lima ma ka ʻūhā no 1 mau minuke. Inā loaʻa kahi fove ma hope o ke kaomi ʻana i ka ʻili, hōʻike kēia i ka edema venous a lymphatic, cardiac a i ʻole renal edema, a ʻo ka nele o ka fove e hōʻike ana i kona kumu momona. Hoʻohui ʻia, hana ʻia ke ana ʻana i nā lālā ʻelua ma nā wahi like ma nā lālā ʻelua e hoʻohālikelike i nā lālā ʻelua i ka manawa like. Ma hope o ke ana, pono e hoʻokomo ʻia ka lā a me ka manawa o ke ana i mea e nānā ai i ka hoʻololi ʻana o ke kau a me kēlā me kēia lā i ka nui o ka lālā.
Hiki ke hana ʻia ka hoʻāʻo ʻana me ka hoʻohana ʻana i kahi duplex scan a i ʻole ka hana kiʻi kiʻi magnetic resonance. Manaʻo ʻia e ʻaʻahu i nā huahana compression me ke kaomi mālie, e mālama pono i ke kaumaha o ke kino, nā massages manual a me nā massage hydro.
Pono e hoʻokaʻawale ʻia ka edema Venous me kēia mau hōʻailona:
- lymphoedema,
- pehu momona,
- ka pehu ʻana o ka naʻau
- ʻūmaʻa renal
- pehu lāʻau,
- edema o ke kumu electrolyte.
Pehea e mālama ai i ka Edema Venous?
I ka mālama ʻana i ka edema venous, ʻoi aku ka maikaʻi o ka mālama ʻana i ke kumu (ʻoki) - wehe i ke kumu o ka stagnation koko venous, a laila compression therapy (nā huahana elastic i hana ʻia e ka hale hana, i hana ʻia hoʻi e ana, hoʻokahi a me nā keʻena pneumatic cuffs, nā mea hoʻoheheʻe. , nā kāʻei elastic). Eia kekahi, ua hoʻokō ʻia ka pharmacotherapy - nā lāʻau lapaʻau fleboactive, diuretics.
I ka noʻonoʻo ʻana i ka pili ʻana o kekahi hana ʻokiʻoki me ka loaʻa ʻana o ka lymphangitis a me ka maʻi bacterial a i ʻole fungal maʻi, pono ke ʻoki ʻia e ka Comprehensive Anti-Stagnation Therapy. ʻAʻole ia e hoʻomaikaʻi wale i ke ʻano o ka ʻili, akā hoʻomaha hoʻi i ka ʻōnaehana lymphatic.
Pehea e pale ai i ka edema venous?
ʻO ka pale ʻana i ka edema venous e pili ana:
- hoʻomaʻamaʻa kino,
- kaomi mālie ma o nā kāʻei elastic.
No ke kākoʻo ʻana i ka ʻōnaehana circulatory, pono ke kiʻi ʻana i ka supplement venous circulation kūlohelohe - Pharmovit drops extract.
Lit .: [1] Partsch H., Rabe E., Stemmer R.: Ka hoʻoikaika kino ʻana o nā ʻāpana. Editions Phlebologiques Francaises 2000. [2] Stemmer R.: Nā hoʻolālā o ka mālama ʻana ma o ka hoʻopaʻa ʻana a me ka hoʻoneʻe ʻana. Lunahooponopono Sigvaris Ganzoni CIE AG 1995. [3] Shumi SK, Cheatle TR: Fegan's compression sclerotherapy for varicose veins. Springer 2003. [4] ʻO Jarrett F., Hirsch SA: ʻO ka ʻoki ʻana i ka maʻi. Mosby Company, St. Louis 1985.
Source: A. Kaszuba, Z. Adamski: "Lexicon of dermatology"; ʻO ka helu XNUMXst, Hale Paipalapala Czelej