Venous kusakwana

Venous insufficiency chiitiko umo tsinga dzine matambudziko ekutumira ropa kubva kumakumbo kudzokera kumoyo.

Kazhinji, mavharuvhu mutsinga dzako dzakadzika dzemakumbo anochengeta ropa richienda kumberi kumoyo. Nekugara kwenguva refu (kusingaperi) venous insufficiency, tsinga madziro anoshaya simba uye mavhavha akakuvara. Izvi zvinoita kuti tsinga dzirambe dzakazara neropa, kunyanya kana wakamira.

Chirwere venous insufficiency inogara kwenguva refu. Inowanzoitika nekuda kwekutadza kushanda (kusagona) mavharuvhu mutsinga. Izvo zvinogona zvakare kuitika semhedzisiro yeropa rakapfuura kuvhara mumakumbo.

Njodzi zvinhu zvehutachiona kusakwana zvinosanganisira:

• Zera
• Nhoroondo yemhuri yeichi chiitiko
• Zvepabonde pabonde (zvine hukama nematanho ehomoni progesterone)
• Nhoroondo yeakadzika mutsinga thrombosis mumakumbo
• Kufutisa
• Kubata pamuviri
• Kugara kana kumira kwenguva refu
• Kureba kureba

Marwadzo kana zvimwe zviratidzo zvinosanganisira:

• Kushupika kurwadziwa, kuremerwa, kana kupwanya makumbo
• Kuvava nekurumwa
• Marwadzo anowedzera pakumira
• Marwadzo anova nani kana makumbo amutswa

Kuchinja kweganda mumakumbo kunosanganisira:

• Kuzvimba kwemakumbo
• Yakatsamwa kana kutsemuka ganda kana iwe uchikwenya
• Dzvuku kana kuzvimba, rakatsemuka, kana kuchema ganda (stasis dermatitis)
• Varicose tsinga dziri pamusoro
• Kuonda uye kuomesa kweganda pamakumbo nemakumbo (lipodermatosclerosis)
• Ronda kana ronda rinononoka kupora pamakumbo kana makumbo

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve ako zviratidzo uye nhoroondo yekurapa. Kuongororwa kunoitwa kazhinji kunoenderana nechitarisiko chetsinga dzemakumbo kana iwe wakamira kana kugara nemakumbo ako akarembera.

Iyo duplex ultrasound bvunzo yegumbo rako inogona kurairwa ku:

• Tarisa kuti ropa rinoyerera sei mutsinga
• Tora kunze mamwe matambudziko nemakumbo, senge reropa

Wako mupi anogona kukurudzira kuti utore anotevera ekuzvichengeta-nhanho kubatsira kubata huturu kusakwana.

• Usagare kana kumira kwenguva yakareba. Kunyangwe kufambisa makumbo ako zvishoma kunobatsira kuti ropa riyerere.
• Chengetedza maronda kana uine chero maronda akavhurika kana hutachiona.
• Deredza uremu kana iwe uri kufuta.
• Rovedza muviri nguva dzose.

Iwe unogona kupfeka compression masokisi ekuvandudza kuyerera kweropa mumakumbo ako. Kumanikidza stockings zvinyoro nyoro makumbo ako kutamisa ropa kumusoro makumbo ako. Izvi zvinobatsira kudzivirira kuzvimba kwemakumbo uye, kusvika padiki padiki, kugwamba kweropa.

Kana pachinge paine shanduko yepamusoro yeganda, mupi wako:

• Inofanirwa kutsanangura kuti ndeapi marapirwo ekuchengetedza ganda anogona kubatsira, uye ndeapi anogona kuita kuti dambudziko riwedzere
• Inogona kukurudzira mamwe madhiragi kana mishonga inogona kubatsira

Mupiki wako anogona kukurudzira mamwe marapirwo kana iwe uine:

• Kurwadziwa kwegumbo, izvo zvinoita kuti makumbo ako anzwe kurema kana kuneta
• Maronda eganda anokonzerwa nekuerera kweropa mutsinga dzisingarape kana kudzoka
• Kuonda uye kuomesa kweganda pamakumbo nemakumbo (lipodermatosclerosis)

Sarudzo dzemaitiro dzinosanganisira:

• Sclerotherapy - Mvura yemunyu (munyu) kana mhinduro yemakemikari inopinzwa mutsinga. Tsinga inoomarara yobva yanyangarika.
• Phlebectomy - Kucheka kudiki kwekuvhiya (kutsemura) kunoitwa mugumbo padhuze nemutsinga wakakuvara. Tsinga inobviswa kuburikidza nechimwe chezviitiko.
• Maitiro anogona kuitwa muhofisi yemupi kana kiriniki, senge kushandisa laser kana radiofrequency.
• Varicose vein stripping - Inoshandiswa kubvisa kana kusunga tsinga hombe mugumbo inonzi yakasarudzika saphenous vein.

Kusingaperi venous insufficiency inowedzera kukura nekufamba kwenguva. Zvisinei, inogona kutarisirwa kana kurapwa kukatanga mumatanho ekutanga. Nekutora matanho ekuzvitarisira, iwe unogona kukwanisa kurerutsa kusagadzikana uye kudzivirira mamiriro kubva pakuwedzera. Zvichida kuti iwe uchazoda marapirwo ekurapa mamiriro acho.

Fonera mupiki wako kana:

• Une varicose mutsinga uye zvinorwadza.
• Mamiriro ako anowedzera kukura kana kusavandudza nekuzvichengeta-wega, sekupfeka compression masokisi kana kudzivirira kumira kwenguva refu.
• Iwe une kuwedzera kamwe-kamwe mukurwadziwa kwegumbo kana kuzvimba, fivha, kutsvuka kwegumbo, kana maronda egumbo.

Chisingaperi venous stasis; Chisingaperi venous chirwere; Gumbo ulcer - venous insufficiency; Varicose mutsinga - huturu kusakwana

• Moyo - pamberi pekutarisa
• Venous kusakwana

Dalsing MC, Maleti O. Kusingaperi venous insufficiency: yakadzika vein vharuvhu kuvakazve. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 159.

Freischlag JA, Mubatsiri JA. Hosha yeVenous. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 64.

Pascarella L, Shortell CK. Zvirwere zvevhudzi zvisingaperi: manejimendi asingashandi. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 157.