Venous maronda - kuzvitarisira

Venous ulcers (maronda akavhurika) anogona kuitika kana tsinga mumakumbo ako dzisingasundidzire ropa ridzokere pamoyo wako sezvaanofanira. Ropa rinodzokera kumashure mutsinga, richivaka kumanikidza. Kana ikasarapwa, kuwedzerwa kumanikidza uye kuwanda kwemvura munzvimbo yakakanganiswa kunogona kukonzera chironda chakavhurika kuita.

Maronda mazhinji ehuturu anoitika pagumbo, pamusoro petsoka. Rudzi urwu rwevanga rinogona kunonoka kupora.

Chinokonzera huturu hwehutachiona hwakanyanya kudzvinyirira mutsinga dzegumbo repazasi. Tsinga dzine mavhavha enzira imwe ayo anochengeta ropa richiyerera richienda kumoyo wako. Kana aya mavhavha akashaya simba kana kuti tsinga dzikaita mavanga uye dzikavharika, ropa rinogona kuyerera richidzokera kumashure uye mudziva mumakumbo ako. Izvi zvinonzi hutachiona husakwana. Izvi zvinotungamira mukumanikidza kwakanyanya mumutsipa wezasi wegumbo. Iko kuwedzera kwekumanikidza uye kuvaka kwemvura kunodzivirira zvinovaka muviri uye okisijeni kubva mukusvika kumatishu. Kushaikwa kwezvinovaka muviri kunokonzera kuti maseru afe, zvichikuvadza nyama, uye ronda rinogona kuumbika.

Kana madziva eropa ari mutsinga dzegumbo repazasi, masero emvura uye eropa anodonhera mukati meganda nemimwe nyama. Izvi zvinogona kukonzeresa, kuonda ganda uye kutungamira kuchinje cheganda chinonzi stasis dermatitis. Ichi chiratidzo chekutanga chehusimbe kusakwana.

Zvimwe zviratidzo zvekutanga zvinosanganisira:

• Kuzvimba kwegumbo, kurema, uye kupwanya
• Rima dzvuku, shava, shava, ganda rakaomarara (ichi chiratidzo chekuti ropa riri kubatanidza)
• Kuvava nekurumwa

Zviratidzo nezviratidzo zvehutachiona hunosanganisira:

• Yakadzika isina kusimba ine tsvuku chigadziko, dzimwe nguva yakavharwa neyero tishu
• Miganhu isina kuenzana
• Ganda rakakomberedza rinogona kupenya, rakasimba, richidziya kana kupisa, uye rakatsvuka
• Kurwadziwa kwegumbo
• Kana ronda rikatapukirwa, rinogona kunge riine hwema hwakaipa uye pus inogona kubuda pachironda

Njodzi zvinhu zvine venous ulcers zvinosanganisira:

• Varicose tsinga
• Nhoroondo yekugwamba kweropa mumakumbo (deep vein thrombosis)
• Kuvharika kwemidziyo yema lymph, iyo inokonzeresa kuti mvura iwedzere mumakumbo
• Kukwegura, kuva mukadzi, kana kuva murefu
• Nhoroondo yemhuri yehutachiona husakwana
• Kufutisa
• Kubata pamuviri
• Kusvuta
• Kugara kana kumira kwenguva yakareba (kazhinji yebasa)
• Kutsemuka kwepfupa refu mugumbo kana zvimwe zvinokuvadza zvakanyanya, sekutsva kana kukuvara kwemhasuru

Anopa hutano hwako anokuratidza maitiro ekuchengeta ronda rako. Iwo ekutanga mirairo ndeaya:

• Nguva dzose chengeta ronda rakachena uye rakasungwa nemabhandeji kudzivirira hutachiona.
• Wako mupi anokuudza iwe kangani iwe zvaunoda kuti uchinje kupfeka.
• Chengeta kupfeka uye ganda rakatenderedza riome. Edza kusawana matukhu ane hutano akakomberedza ronda rakanyorova. Izvi zvinogona kurerutsa zvinyama zvehutano, zvichikonzera ronda kukura.
• Usati waisa yekupfeka, suka ronda zvakanyatsoenderana nemirayiridzo yemupi wako.
• Chengetedza ganda rakatenderedza ronda nekurichengeta rakachena uye rakanyoroveswa.
• Iwe uchapfeka compression stocking kana bhandiji pamusoro pekupfeka. Wako mupi achakuratidza maitiro ekuisa mabhandiji.

Kubatsira kurapa hutachiona, iyo yakanyanya kumanikidza mutsinga dzemakumbo inoda kurerutswa.

• Pfeka compression masokisi kana mabhandiji mazuva ese sekurairwa. Ivo vanobatsira kudzivirira ropa kubva mukubatanidza, kuderedza kuzvimba, kubatsira nekuporesa, uye kuderedza marwadzo.
• Isa tsoka dzako pamusoro pemoyo wako nguva zhinji sezvazvinogona. Semuenzaniso, unogona kurara pasi tsoka dzako dzakasimudzwa pamusoro pepiro.
• Famba kana kurovedza muviri mazuva ese. Kuva unoshanda kunobatsira kugadzirisa kuyerera kweropa.
• Tora mishonga sekurairwa kubatsira nekuporeswa.

Kana maronda akasapora mushe, mupi wako anogona kukurudzira mamwe maitiro kana kuvhiya kunatsiridza kuyerera kweropa kuburikidza netsinga dzako.

Kana iwe uri panjodzi yehutachiona hwehutachiona, tora matanho akanyorwa pamusoro apa pasi peRonda Kuchengeta. Zvakare, tarisa tsoka dzako nemakumbo mazuva ese: misoro uye pasi, makumbo, uye zvitsitsinho. Tarisa mitswe uye shanduko yeganda reganda.

Hupenyu hwehupenyu hunogona kubatsira kudzivirira huturu hwehutachiona. Matanho anotevera anogona kubatsira kuvandudza kuyerera kweropa uye kubatsira kupora.

• Regedza kusvuta. Kusvuta kwakaipa kumitsipa yako yeropa.
• Kana uine chirwere cheshuga, chengetedza huwandu hweshuga yeropa pasi pekutonga. Izvi zvinokubatsira iwe kupora nekukurumidza.
• Rovedza muviri zvakanyanya sezvaunogona. Kuramba uchishanda kunobatsira neropa kuyerera.
• Idya zvekudya zvine hutano uye uwane kurara kwakawanda husiku.
• Deredza uremu kana iwe uri kufuta.
• Chengetedza ropa rako uye cholesterol.

Fonera mupiki wako kana paine chero zviratidzo zvehutachiona, senge:

• Kutsvuka, kuwedzera kudziya, kana kuzvimba kwakatenderedza ronda
• Mvura yakawanda kupfuura pakutanga kana dhizaina iyo yero kana gore
• Kubuda ropa
• Kunhuwa
• Fivha kana kutonhora
• Kuwedzera kurwadziwa

Zvironda zvemakumbo - kuzvitarisira; Venous insufficiency ulcers - kuzvitarisira; Stasis makumbo maronda - kuzvitarisira; Varicose mutsinga - venous ulcers - kuzvitarisira; Stasis dermatitis - venous ulcer

Fort FG. Zvironda zvehutachiona. Muna: Ferri FF, rakanyorwa. Ferri's Clinical Mupi wezano 2019. Philadelphia, PA: Elsevier; 2019: 1443-1444.

Hafner A, Sprecher E. Zvironda. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 105.

Leong M, Murphy KD, Phillips LG. Ronda kupora. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 6.

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. Kukuvara uye kupfeka. Muna: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, eds. Unyanzvi hweKiriniki hweKiriniki: Huru kune Hwepamberi Hunyanzvi. 9th ed. New York, NY: Pearson; 2017: chitsiko 25.

• Kukuvara Kwemakumbo uye Kukanganisika
• Zvirwere zveVascular