Mu nthawi ya Hippocrates, mitsempha ya varicose idatchedwa "matenda, kugogoda pansi." Ndipo si chifukwa chachabechabe, chifukwa kutsekemera kwa mimba sikumangokhalira kupweteka kwambiri, komanso kumakhala kovuta kwambiri - thrombophlebitis.
Mitsempha yoyamba yokha ya mitsempha yowonjezereka siimabweretsa nkhawa, ngakhale kuti nthawi zina imatha kupweteka pang'ono. Miyendo yowopsya ndi kutukumuka kwa madzulo - izi sizingakhalenso varicose, koma zizindikiro zokha zosayembekezereka zaumphawi. Koma kale panthawi ino ndi nthawi yopita kuchipatala cha opaleshoni.
Dokotala adzalongosola zofufuzira zamatope zosakanizika (UZDS). Phunziroli ndi lotetezeka, losapweteka, limatha pafupifupi theka la ora. The ultrasound idzadziwa molondola kuti zivomezi zakuya ndi zam'mimba zimakhala zotani, fufuzani momwe ma valve amagwirira ntchito, kuwerengera magazi, kuthamanga kwa magazi, mthupi lao, komanso kuthandizira njira zamankhwala. Maphunziro ena, monga radiography ya mitsempha, sakugwiranso ntchito masiku ano - angabweretse mavuto.
ZAPAYAT, NDI BUSINESS NDI MAPA
Pamene magetsi aang'ono, omwe sakudziwika bwino, amayamba kukulitsa, ndipo mitsempha yambiri imadzaza ndi magazi, kuwonjezeka ndikukhala ngati mphutsi, yotupa, sclerotherapy . Ndi singano yopyapyala mu mitsempha imayikidwa ndi zinthu zapadera - zozizira, zomwe "zimangiriza" dera lokulitsidwa. Momwemo, mitsempha imamveka bwino. Magazi amasiya. Pachifukwa ichi nkofunika kuti mwamphamvu muzimitse mitsempha kwa kanthawi. Poyamba izi zinapindula ndi zotsekemera zomangira, tsopano - zokondweretsa zokakamiza. Sclerotherapy imachitidwa panthawi yopuma. Ndi bwino ngati dokotala akupanga kuti ayang'ane ndi ultrasound scanner - ndiye njirayi imatchedwa "echosclerotherapy." Pa malo abwino otere samadwala.
Poyamba, njirayi idagwiritsidwa ntchito pokhapokha ngati mankhwalawa akugwiritsidwa ntchito pokhapokha, koma pakufika kwa teknoloji ya Foam-Form kunakhala kotheka "kumangiriza" ngakhale zazikulu zazikulu za varicose. Kuchokera ku classic, njirayi ndi yosiyana ndi yakuti sclerosant yasandulika thovu wogawidwa bwino ndipo kenaka imalowa mu chotengera. Kotero mutha kutseka osati zochepa chabe, komanso mitsempha yayikulu, komanso kuchepetsa kuchuluka kwa mankhwala operekedwa.
Sclerotherapy ndi yopweteka, chifukwa thinnest, makamaka nsapato lakuthwa ntchito. Ndipo zotsatira zake ndi kusintha kwakukulu kwa kuyendayenda kwa miyendo, kuthetsa magazi stasis mu mitsempha ya varicose. Musawononge ziwiya zowonongeka, komanso ululu, kutupa, kugwa, kufooka kwowonjezera.
HIGH TECHNOLOGIES
Chifukwa cha nthenda zazikulu zowopsya, opaleshoni ndi yofunikira : saphenectomy : pansi pa mitsempha ya m'mimba kapena m'mimba, mitsempha yowonjezera imachotsedwa kupyolera mu kafukufuku wapadera. Chifukwa cha njira zosatha, mungathe kuchita popanda kulingalira kwakukulu.
Pofuna kuti malowa asinthe, nthawi zambiri amachititsa kuti mitsempha ya varicose ikhale yogwira ntchito, yomwe imakhala yamphamvu kwambiri kuposa sclerotherapy, koma sichifuna kugwiritsidwa ntchito, ndipo imagwira ntchito pansi pa anesthesia. Mu mitsempha, pansi pa kuyendetsa kwa ultrasound, fiber yochepa yopangidwira ikugwirizana ndi zipangizo za laser. Magazi amatenga mphamvu yambiri ya ma radiation ndipo nthawi yomweyo amawononga. Kutentha kwapamwamba "kumalumikiza" khoma la mitsempha ya varicose pa makulidwe onse, motero kuthetsa kufunikira kwa kuchotsedwa kwake.
"KUSAKHALA" KUCHITIKA
Amayi ambiri sakhala ndi nkhawa kwambiri chifukwa cha kukongola kwa miyendo yawo. Microthermocoagulation imalola kuchotsa mitsempha yaying'ono yachepa kuposa 0,3mm, yomwe siingathetsedwe ndi njira ya microsclerotherapy. Chomera chabwino kwambiri cha acicular microelectrode chimene amatha kupititsa patsogolo kwambiri, poyang'aniridwa ndi makina opangira, amalowa m'deralo chotengera chotambasula, zomwe zimagwiritsidwa ntchito panopa. Kutentha kumachitapo kanthu pang'onopang'ono, popanda kuwononga khungu ndi minofu yowzungulira, ndi kuti mu magawo a kachiwiri amatha. Ndipo m'malo mwake pali reddening pang'ono ndi kakang'ono. Misonkhano imachitika kamodzi pa sabata kwa mphindi 10-20. Phunziro limodzi, 30-40 microinjections amachitika. Palibe zopweteka, osayanjanitsika. Koma pali vuto limodzi: pambuyo pa ndondomekoyi, zida zazikuluzikulu zimasiyidwa m'malo omwe magetsi amaikidwa.
Kuchita opaleshoni yapamwamba ndi njira ina yothetsera majeremusi aakulu. Mpeni wa wailesi (electrode yopyapyala) imaphatikizapo chotengera chodalira kwambiri kuposa laser ndi kulamulira kuya kwake kwa zotsatira. Microsclerotherapy ndi "ndondomeko ya golidi" yododometsa phlebology. Mankhwalawa amajambulidwa mu mitsempha yazing'ono kwambiri komanso maasitisi ovuta. Zotsatira zodzikongoletsera zimakwaniritsidwa pambuyo pa miyezi 1,5-2, palibe chofiira kapena choyaka.
Malangizo Ochenjera
Pambuyo pa opaleshoni, muyenera kuvala nsapato ndi zidendene zazing'ono, komanso kuvala nsapato zamasewera zokhazokha chifukwa cha cholinga chanu, kupeŵa kulemera kwa thupi ndikukhalabe miyendo yaitali.
Journal of Health № 5 2008