Ngesikhathi sikaHippocrates, imivimbo ye-varicose yayibizwa ngokuthi "ukugula, ukushaya phansi." Futhi akuyona into, ngoba ukuphulukiswa kwe-vein akuyona nje ukukhubazeka kokuhleleka, kodwa futhi kuyinkinga yokucindezeleka okukhulu - i-thrombophlebitis.
Ama-nodules okuqala angama-vein ahlanjululwe akatholakali abangela ukukhathazeka, nakuba ngezinye izikhathi angagula kancane. Ukuvama nokuvuvukala kwemilenze kusihlwa - nalokhu akuyona i-varicose, kodwa kuphela izibonakaliso zokungasebenzi kahle okungapheli. Kodwa kakade kulesi sigaba sekuyisikhathi sokubuyela kumhlinzeki ohlinzayo we-vascular-phlebologist.
Udokotela uzokhipha isimiso sokuskena kwe-duplex ye-duplex (UZDS). Ucwaningo luphephile, alubuhlungu, luthatha cishe ingxenye yehora. I-ultrasound izokwenza ngokunembile ukuthi i-permmeability ye-veins ejulile neyodwa, thola ukuthi ama-valve asebenza kanjani, ahlaziye ukuhamba kwegazi, athole ama-blood clots emithanjeni ethintekile, izinga lesingozi, futhi asize ukhethe amaqhinga okulashwa. Ezinye izifundo, ezifana ne-radiography yemithanjeni, ayisebenzi namuhla - zingaholela ezinkingeni.
I-ZAPAYAT, NABHIZINISI NOKUPHUMA
Uma inethiwekhi yamancane ama-capillary amancane angabonakali aqala ukwandisa, futhi izigxobo ezingaphansi kwegazi zigcwele igazi, zanda futhi ziphenduke zibe amafindo avulekile, avuvukale, i- sclerotherapy izosiza. Inaliti encane emithanjeni ijojowe ngezinto ezikhethekile - izilwanyana ezihlabayo, "ezihlanganisa" indawo ekhulisiwe. Ngakho-ke, umvuthwandaba uhlelwe futhi uhlanganiswe. Ukugeleza kwegazi kuyama phezu kwalo. Ngenxa yalokhu kuyadingeka ukuba uvalwe iminyango isikhashana. Ngaphambili lokhu kwafezwa nge-bandage ehlanganisiwe, manje - ekhululekile yokucindezela ama-knitwear. I-sclerotherapy yenziwa ngesineke. Kungcono uma udokotela ewenza ngaphansi kokulawulwa kwe-ultrasound scanner - khona-ke inqubo ibizwa ngokuthi "i-echosclerotherapy." Kulezi zingosi ezinempilo azihlupheki.
Ngaphambilini, le ndlela yayisetshenziselwa kuphela ukwelashwa kwama-cocycles amancane, kodwa ngokufika kobuchwepheshe beFoam-Form kwenzeka ukuba "glue" ngisho nama-varicose nodules amakhulu. Kusukela ku-classical, le ndlela ihluke ekuthi isifo sezulu siphenduka sibe yi-foam ehlukaniswe kahle futhi sithunyelwa emkhunjini. Ngakho ungagcini nje kuphela amancane, kodwa futhi nemifino emikhulu ngokwanele, futhi unciphise inani lomuthi olawulwayo.
I-sclerotherapy ayinabuhlungu, ngoba izintuthini, izinaliti ezibukhali ngokukhethekile ziyasetshenziswa. Futhi umphumela ukuthuthukiswa okuphawulekayo ekusakazeni kwemilenze, ukuqedwa kwe-stasis yegazi emithanjeni ye-varicose. Ungaphumeleli kuphela imikhumbi ehlanjululwayo, kodwa futhi ubuhlungu, ukuvuvukala, ukugubha, ukukhathala okwandayo.
I-TECHNOLOGIES EZIKHULU
Ukuze uthole ama-node amakhulu kakhulu, ukuhlinzwa okudingekayo : i- saphenectomy : ngaphansi kwe-anesthesia yendawo noma yomgogodla, imithanjeni ehlanjululwayo isuswa nge-probe ekhethekile. Ngenxa yezindlela endoscopic, ungenza ngaphandle kokucubungula okukhulu.
Ukufaka esikhundleni sokusebenza ezimweni eziningi, i- laser coagulation ye-varicose veins , eyenza amandla kunokwakheka kwe-sclerotherapy, kodwa ayidingi ukuboniswa, njengokusebenza, futhi yenziwa ngaphansi kwe-anesthesia yendawo. Emgodini, ngaphansi kokulawulwa kwe-ultrasound, i-fiber encane ewuchungechunge ixhunywe kuma-laser apparatus. Igazi lithatha amandla aphezulu emisebeni futhi yenzeke ngokushesha. Ukushisa okuphezulu "okweluhlaza" odongeni lwe-varicose veins kulo lonke ubukhulu, ngaleyo ndlela kuqeda isidingo sokususwa kwalo.
"STAR" UKUHLELA
Abesifazane abaningi abanandaba kakhulu nobuhle bemilenze yabo. I-Microthermocoagulation ivumela ukususwa kweminye imifino yesicabucabu encane engaphansi kwezingu-0.3 mm, ezingenakunqunywa indlela ye-microsclerotherapy. I-micelectrode enhle kakhulu ye-acicular lapho kudluliselwa khona imvamisa yamanje, ngaphansi kokulawulwa kwekhono lokukhulisa, ithunyelwa esifundeni sesitsha esikhulisiwe, izimpondo zamanje ziyasetshenziswa kuso. Ukushisa kusheshayo kuthatha isinyathelo kwi-capillary, ngaphandle kokulimaza isikhumba kanye nezicubu ezizungezile, nokuthi lokho okufakwe kwizingxenye zesigamu kuyanyamalala. Futhi endaweni yayo kune-reddening ne-crust encane nje kuphela. Izifundo zenziwa kanye ngesonto imizuzu engu-10-20. Ngesikhathi esisodwa, ama-micro- Ayikho ubuhlungu, akukho ukusabela okwe-allergic. Kodwa kunesidingo esisodwa: ngemuva kwenqubo, izibazi ezincane zivame ukushiywa ezindaweni lapho kuhlanganiswa khona ama-electrode.
Ukuhlinzeka nge-radiofrequency isinye indlela yokubhekana ne-asterisks yamathambo. Ummese womsakazo (i-electrode encane) uhlanganisa umkhumbi ngokuthembekile kunomshini futhi ulawula ukujula komphumela. I-Microsclerotherapy yiyona "izinga elivamile legolide" lobuhle be-phlebology. Isidakamizwa sijojowe emithanjeni encane kunazo zonke kanye ne-asterisks yamasuli. Umphumela wezitho zomzimba utholakala emva kwezinyanga eziyi-1,5-2, akukho ukushaywa noma ukushisa.
Amathiphu aqaphele
Ngemuva kokusebenza, udinga ukugqoka izicathulo ngezithende eziphakeme kakhulu, futhi ugqoke izicathulo zezemidlalo kuphela ngenhloso ehlosiwe, ugweme ukuzikhandla ngokomzimba nokuhlala isikhathi eside emilenzeni.
Journal of Health № 5 2008