Venous Kusakwana

Zvemukati

• Chii chinonzi venous insufficiency?
• Zvinokonzera venous insufficiency
• Zviratidzo zvehutachiona husakwana
• Ko venous insufficiency inoonekwa sei?
• Venogram
• Duplex ultrasound
• Iyo venous insufficiency inorapwa sei
• Kuvandudza kuyerera kweropa
• Mishonga
• Kuvhiya
• Ambulera phlebectomy
• Sclerotherapy
• Catheter maitiro
• Maitiro ekudzivirira huturu kusakwana

Chii chinonzi venous insufficiency?

Tsinga dzako dzinotakura ropa kubva pamoyo wako kuenda kune imwe muviri wako wose. Tsinga dzako dzinotakura ropa richidzosera kumoyo, uye mavhavha ari mutsinga anomisa ropa kuyerera richidzokera kumashure.

Kana tsinga dzako dzikatadza kutumira ropa kubva kumitezo yako kudzokera pamoyo, zvinozivikanwa sekusakwana kwehutachiona. Mune ino mamiriro, ropa harifambe richidzoka mushe kumoyo, zvichikonzera ropa kunyura mutsinga mumakumbo ako.

Zvinhu zvinoverengeka zvinogona kukonzera hutachiona kusakwana, kunyange zvichinyanya kukonzerwa neropa rakagwamba (deep vein thrombosis) uye varicose veins.

Kunyangwe iwe uine nhoroondo yemhuri yekushaya huturu, pane matanho akareruka aunotora kudzikisa mikana yako yekuvandudza mamiriro acho.

Zvinokonzera venous insufficiency

Kushaya simba kweVenous kunowanzo kukonzereswa neropa rekugwamba kana mitsetse yevaricose.

Mune tsinga dzakagwinya, pane kuenderera kunoyerera kweropa kubva kumakumbo zvichidzokera kumoyo. Mavharuvhu mukati mutsinga dzemakumbo anobatsira kudzivirira kubuda kweropa shure.

Zvinowanzoitika zvikonzero venous insufficiency dzakapfuura zviitiko zveropa clots uye varicose mutsinga.

Kana kumberi kuyerera kuburikidza nemutsinga kwakadzivirirwa - senge mune kesi yeropa - ropa rinovaka kumusoro zveropa, izvo zvinogona kukonzeresa kukuvadza kweutachiona.

Mune varicose mutsinga, mavhavha anowanzo shayikwa kana kukanganisika, uye ropa rinodonha richidzoka kuburikidza nemavheji akakanganisika.

Mune zvimwe zviitiko, kushomeka mutsimba dzemakumbo dzinosvina ropa kuenda kumberi kunogona zvakare kuita kuti hutachiona husakwanise.

Venous insufficiency inowanzoitika kune vakadzi kupfuura varume. Izvo zvinowanzoitikawo kuvanhu vakuru vanopfuura makore makumi mashanu, sekureva kweCleveland Clinic.

Zvimwe zvinhu zvine njodzi zvinosanganisira:

• kugwamba kweropa
• varicose mutsinga
• kufutisa
• nhumbu
• kusvuta
• gomarara
• kushaya simba kwemhasuru, kukuvara kwegumbo, kana kushungurudzika
• kuzvimba kwechimiro chepamusoro (phlebitis)
• nhoroondo yemhuri yehutachiona husakwana
• kugara kana kumira kwenguva yakareba pasina kufamba

Zviratidzo zvehutachiona husakwana

Zviratidzo zvehutachiona kusakwana zvinosanganisira:

• kuzvimba kwemakumbo kana makumbo (edema)
• kurwadziwa kunowedzera kana iwe ukamira uye unova nani kana iwe ukasimudza makumbo ako
• makumbo makumbo
• kurwadza, kurova, kana kunzwa kwekuremerwa mumakumbo ako
• makumbo anovava
• makumbo asina kusimba
• kuomarara kweganda pamakumbo ako kana makumbo
• ganda riri kuchinja ruvara, kunyanya kutenderedza makumbo
• maronda emakumbo
• varicose mutsinga
• kunzwa kwekusimba mumhuru dzako

Ko venous insufficiency inoonekwa sei?

Chiremba wako anozoda kuita ongororo yemuviri uye kutora yakazara nhoroondo yezvokurapa kuti uone kana uine huturu husina kukwana.

Ivo vanogona zvakare kuraira kumwe kuyedzwa kwekufungidzira kuti vaone kunobva dambudziko. Iyi bvunzo inogona kusanganisira venogram kana duplex ultrasound.

Venogram

Munguva yevenogram, chiremba wako achaisa intravenous (IV) dhayi yekusiyanisa mukati mematsinga ako.

Musiyano wedhayi unokonzera kuti tsinga dzeropa dziite sedzakanaka pamufananidzo weX-ray, izvo zvinobatsira chiremba kuzviona pamufananidzo. Iri dhayi rinopa chiremba wako mufananidzo wakajeka weX-ray yemitsipa yako yeropa.

Duplex ultrasound

Rudzi rweyedzo inonzi duplex ultrasound inogona kushandiswa kuyedza kumhanya uye kutungamira kweropa kuyerera mutsinga.

Nyanzvi inoisa gel paganda obva atsikirira kanobata-ruoko ruoko (transducer) pakatarisana nenzvimbo iyi. Transducer inoshandisa mafungu eruzha anodzokera zvakare kune komputa uye anogadzira mifananidzo yekuyerera kweropa.

Iyo venous insufficiency inorapwa sei

Kurapa kunoenderana nezvinhu zvakawanda, kusanganisira chikonzero chemamiriro uye hutano hwako uye nhoroondo. Zvimwe zvinhu izvo chiremba wako anozofunga ndeizvi:

• zviratidzo zvako
• zera rako
• kuoma kwemamiriro ako
• sei zvakanaka iwe unogona kutsungirira mishonga kana maitiro

Mushonga unowanzozivikanwa wehutachiona husingakwanise ndeyekumanikidzwa kusosheswa masokisi. Aya akasarudzika masokisi emasokisi anoshandisa kumanikidza kumakumbo uye pazasi gumbo. Ivo vanobatsira kugadzirisa kuyerera kweropa uye vanogona kudzikisira kuzvimba kwemakumbo.

Kumanikidza masokisi anouya mune akasiyana emasimba ekunyora uye urefu hwakareba. Chiremba wako achakubatsira iwe kusarudza kuti ndeipi mhando yepamusoro yekumanikidza stocking ndeyekurapa kwako.

Kurapa kwekushaya mweya kunogona kusanganisira nzira dzakasiyana siyana:

Kuvandudza kuyerera kweropa

Heano mamwe matipi ekuvandudza yako kuyerera kweropa:

• Chengetedza makumbo ako akasimudzwa pese pazvinogoneka.
• Pfeka compression masokisi ekumanikidza kumakumbo ako epasi.
• Chengetedza makumbo ako asina kuvhurwa pawakagara.
• Rovedza muviri nguva dzose.

Mishonga

Kune zvakare huwandu hwemishonga inogona kubatsira avo vane mamiriro aya. Izvi zvinosanganisira:

• diuretics: mishonga inodhonza imwe mvura kubva mumuviri wako iyo inoburitswa kuburikidza neitsvo dzako
• anticoagulants: mishonga inotetepa ropa
• pentoxifylline (Trental): mushonga unobatsira kuvandudza kuyerera kweropa

Kuvhiya

Dzimwe nguva zviitiko zvakakomba zvehutachiona husina kukwana zvinoda kuvhiyiwa. Chiremba wako anogona kupa imwe yeanotevera marudzi ekuvhiya:

• Kugadziriswa kwekuvhiya kwemitsipa kana mavhavha
• Kubvisa (kubvisa) mutsinga wakakuvadzwa
• Kuvhiya kushoma kwekupedzisira: Muvhii anoisa chubhu nhete nekamera pariri kubatsira kuona uye kusunga vevicose mutsinga.
• Tsinga inopfuura: Tsinga ine hutano inoiswazve kubva kune imwe nzvimbo mumuviri wako. Kazhinji inoshandiswa chete muchidya chepamusoro uye chete senge yekupedzisira sarudzo yezviitiko zvakakomba kwazvo.
• Kuvhiyiwa kweLaser: Kurapa kutsva kunoshandisa lasers kuti iparadze kana kuvhara mutsinga wakakuvara nemasimba akasimba echiedza mune diki, chaiyo nzvimbo.

Ambulera phlebectomy

Iyi nzira yekunze kwevarwere (haufanire kupedza husiku muchipatara) inosanganisira chiremba wako achigonyesa dzimwe nzvimbo pagumbo rako, uyezve nekuita zvidhinha zvidiki uye kubvisa madiki varicose tsinga.

Sclerotherapy

Iyi nzira yekurapa inowanzo chengeterwa yepamusoro venous kusakwana.

Mu sclerotherapy, kemikari inopinzwa mutsinga yakakanganiswa kuti isakwanise kutakura ropa. Ropa rinodzokera pamoyo kuburikidza nedzimwe tsinga, uye tsinga yakakuvadzwa inozopedzisira yatorwa nemuviri.

Sclerotherapy inoshandiswa kuparadza zvidiki kusvika pakati nepakati tsinga. Kemikari inopinzwa mutsinga yakakanganiswa kuti isakwanise kutakura ropa.

Catheter maitiro

Muzviitiko zvakakomba, chiremba wako anogona kushandisa catheter maitiro emitsipa mikuru. Vanoisa catheter (chubhu mutete) mutsinga, vopisa kupera kwayo, wozoibvisa. Iko kupisa kuchaita kuti mutsinga uvhare uye uname sezvo catheter ichibviswa.

Maitiro ekudzivirira huturu kusakwana

Kana iwe uine nhoroondo yemhuri yehutachiona husakwana, iwe unogona kutora matanho ekuderedza mikana yako yekuvandudza mamiriro acho:

• Usagare kana kumira panzvimbo imwechete kwenguva yakareba. Simuka ufambe-fambe kazhinji.
• Usapute, uye kana ukasvuta, rega.
• Gara uchiekisesaiza.
• Chengetedza huremu hwemuviri hwakanaka.