Katswiri wa mapulogalamu - ndi ndani, ndi liti kuti awone dokotala?

Phlebology ndi dipatimenti ya opaleshoni yambiri, yomwe ikukhudza chithandizo cha matenda a mitsempha ya m'munsi. Funso, katswiri wa pulobologist - yemwe ali, amasangalatsidwa ndi omwe ali ndi vuto m'dera lino, zomwe zikuyenera kuthetsedwa mwamsanga kuti athe kupeŵa mavuto ndi kuwonongeka kwa ubwino.

Katswiri wa mapulogalamu - ameneyu ndi ndani amachiza?

Ponena za katswiri uyu, ambiri amaphunzira, kokha akumana ndi matenda a mitsempha ya m'munsi. Katswiri wina wamaphunziro ndi katswiri yemwe amapenda kukayezetsa matenda, amadziwa matenda ndipo amaika chithandizo choyenera pa vuto lililonse. Matenda omwe dokotala uyu amachitira akuwonjezereka m'zaka zaposachedwapa, choncho nkofunika kuti tipeze chithandizo panthawi, komanso kudziwa zothandizira.

Ndani ali dokotala wa phlebologist, kodi iye akuchita chiyani?

Poganizira mwatsatanetsatane, zomwe pulobologist ikuchita, munthu ayenera kumvetsetsa zapamwamba ndikudziwa. Pulobologist ndi dokotala wochita opaleshoni, ndiko kuti, katswiri wodziwa bwino kwambiri amene amachita mitsempha ya m'munsi mwake. Zochitika zake zikuphatikizapo kufufuza wodwala kuti adziwe matenda omwe ali okhudzana ndi mbiri yake komanso mankhwala ena. Ngati mumaganizira mozama za matendawa, zomwe phlebologist amachita kuti azindikire matendawa, ali ndi njira zingapo:

1. Akupanga angioscanning wa mitsempha. Imeneyi ndi njira yosavuta yomwe imafunika kuti iwonetse magazi m'mitsuko yaikulu kwambiri.
2. Akupanga dopplerography wa venous magazi akutuluka ndi mitsempha. Kuwonjezeka kwa mitsempha ya ultrasound kumathandiza kuzindikira osati mkhalidwe wa zombo, komanso kuchuluka kwa magazi.
3. Flabonometry. Pogwiritsa ntchito njirayi, kuthamanga kwa magazi kumayesedwa pa makoma oopsa m'mayiko osiyanasiyana. Njira imeneyi imathandiza katswiri kuti asankhe bwino mtundu wa opaleshoni.
4. Phleboscintigraphy. Pankhaniyi, njirazi zimatulutsira ma radionuclides otetezeka m'magazi, ndipo kuwala kwawo kukuwonetsedwa. Izi zimathandiza kudziwa momwe zimakhalira, kupangika kwa zipika ndi lumen m'mitsempha.
5. Kuwerengera kwa mitsempha. Imeneyi ndi njira yophunzitsira yomwe matenda amapezekanso ndi momwe zimakhalira ndi ma valves, zotengera komanso ubwino wa magazi mwa iwo.
6. Venography. Kupanga zojambulajambula, kusiyana kumayambitsidwa m'magazi ndi X-ray. Njirayi imasonyeza kukulitsa ndi kuchepa kwa makoma oopsa.

Kodi katswiriyu amapanga chiyani?

Mndandanda wa matenda omwe akugwera m'gululi, omwe akuphatikizidwa mu phlebology, ndi ochuluka. Katswiri wa sayansi ya zamoyo - ndani ameneyu, talingalira, koma palinso dokotala wochita opaleshoni - uyu ndi amene amachitira chithandizo cha mavuto otere ndi mitsempha ya m'munsimu:

• kuperewera kwamwano , komwe kuli ndi mawonekedwe osatha;
• thrombophlebitis ;
• phlebitis;
• mitsempha ya varicose;
• mitundu yosiyanasiyana ya mitsempha ya thrombosis;
• zilonda zam'mimba zosiyana siyana;
• kutulutsa magazi;
• "Njovu" ya miyendo (lymphaden);
• matenda opatsirana;
• mitsempha yotchedwa intradermal varicose (kuthamanga kwapansi, tizilombo toyambitsa matenda ndi mafinya);
• thromboembolism ya mitsempha ya pulmonary .

Kodi mungakumane ndi phlebologist?

Katswiri wa phlebologist angathandizire mavuto ena muumoyo kuti amvetse chikhalidwe chawo ndi kupereka mankhwala othandiza ngati adiresi ali pa adiresi. Kudziwa pulobologist - yemwe ali ndi matenda omwe amachitira, ndi zizindikiro zotchulidwa pansipa, mungathe popanda kukayikira kupanga msonkhano ndi katswiri uyu.

• ziphuphu zamphongo zam'munsi za m'munsi;
• Miyendo yamdima imawoneka pa miyendo;
• ngati pali maukonde aakulu ndi asterisks;
• kudzikuza, kutopa, kulemera kwa miyendo ndi kupweteka;
• Ngati minofu yosakanikirana yaying'ono kwambiri;
• Zithunzi zooneka bwino komanso zowonjezera pamimba;
• kusamva kwachilendo kwa miyendo pambuyo pochita zochepa zochepa thupi kapena pakusintha.

Pali gulu la anthu omwe amasonyezedwa kuti amachezera dokotala uyu ngakhale popanda zizindikiro zomwe tawatchula pamwambapa, kuti ateteze ndikudziŵa mavuto a mitsempha mumtundu wawo wa embryonic.

• ngati m'banja muli munthu amene ali ndi matenda a mitsempha;
• pamaso pa kulemera kwakukulu;
• okonda mafuta ndi zakudya zokometsera;
• mimba (2-3 trimester);
• omwe nthawi zonse amavutika maganizo;
• omwe amakhala ndi moyo wokhala chete;
• anthu okalamba omwe samasuntha mokwanira;
• kumwa mowa mopitirira muyeso komanso kukhala ndi zizolowezi zina zoipa.

Kodi udindo wa phlebologist uli bwanji?

Ambiri amene amapita kukaonana ndi dokotala kwa nthawi yoyamba amafuna chidwi ndi momwe opaleshoniyo amathandizira. Chinthu choyambirira kumayambira ndikutenga zambiri zokhudza wodwalayo ndi anamnesis. Kuti muchite izi, muyenera kukumbukira zambiri zomwe mukudziwiratu ndikuwongolera mwachidule kuti musaphonye chirichonse pa phwando.

1. Kodi chizindikiro choyamba chinkawonekera liti, nanga adadziwonetsera bwanji komanso pansi pazifukwa ziti?
2. Ndi zifukwa ziti zomwe zinakhudza zizindikiro zabwino kapena zoipa?
3. Kodi wodwalayo anachita chiyani, kodi amagwiritsa ntchito mankhwala alionse?

Kodi kufufuza kumachitidwa bwanji ndi opaleshoni yaikulu?

Katswiri wa sayansi ya zamoyo ndi yemwe ali mkuntho wamkuntho, talingalira, koma zingakhale zothandiza kudziŵa momwe kuyendera kumayendetsedwa ndi phlebologist kukonzekera iye mwakuthupi ndi mwamakhalidwe. Ndibwino kuti mutenge mayeso oyenerera musanayambe kumwa, kotero kuti kulandila katswiri wa phlebologist angapereke mayankho athunthu, kuphatikizapo matendawa:

• nthawi yowonjezereka ya thromboplastin (APTT);
• prothrombin nthawi yeseso;
• maganizo a dziko lonse (INR);
• prothrombin index (PTI);
• fibrinogen.

Chifukwa chakuti katswiri adzachita zochitika kunja (thupi), muyenera kulikonzekera bwino, makamaka mu dongosolo loyeretsa: kusamba kapena kusamba, kuvala zovala zamkati ndi zovala, yikani mapazi anu. Izi zidzakuthandizani kupeŵa manyazi kapena manyazi komanso sizidzakhumudwitsa dokotala amene akuyesa.

Kodi ndi opaleshoni ziti zomwe zimachitika ndi opaleshoni yaikulu?

Pamene wodwalayo akufooka, pamene mankhwala osokoneza bongo amatha mphamvu, katswiri wa opaleshoni wa opaleshoni amachititsa opaleshoni. Izi sizinthu nthawizonse zochitika, koma njira zofatsa:

1. Kuwonongedwa kwa ma Radiofrequency / ablation (RFO). Ndi njira iyi, electrode yapadera imasamalidwa ndi chotengera kuchokera mkati, chomwe chimathandiza kuchotsa matenda.
2. Sclerotherapy. Lembani mankhwala apadera, omwe amathandiza kuchotserapo ukonde wazing'ono.
3. Mankhwala a laser (EVLK - endovenous laser coagulation ya mitsempha ya m'munsi mwake). Njira imeneyi imaphatikizapo kupuma kwa mitsempha ndi kuyambitsa laser, yomwe imathandiza kuthetsa machitidwe opweteka.
4. Chikhalidwe cha phlebectomy. Uku ndikutulutsidwa kwa mitsempha ndi zowonjezera kupyolera mu zolemba.

Malangizo a ziphuphu

Malangizo omwe pulobologist angapereke amathandiza osati kokha pochiza matenda, komanso kuteteza maonekedwe awo. Zomwe zingadziteteze, makamaka kwa gulu loopsya, ndizofunika kwambiri kuti mukhale ndi thanzi labwino, pakadali pano, mitsempha ya m'munsi. Pamaso pa matenda, uphungu woterewu udzakuthandizani kuti musawonjezere mkhalidwewo ndikuchitapo kanthu kuti mupititse patsogolo mwamsanga.

Malangizo a phlebologist a mitsempha ya varicose

Kwa iwo omwe ali ndi mitsempha yamagulu, malingaliro a katswiri wa phlebologist wa varicose angathandize kuchepetsa vutoli ndi kufulumizitsa ndondomeko yowonzanso.

1. Kutalika kwambiri kuima kumakhala kovulaza, kotero ngati palibe njira ina yowonekera, ndiye kuyesa kuyendayenda pafupi mphindi 30 iliyonse.
2. Kukweza mapazi nthawi ndi nthawi kumathandizira kutuluka.
3. Mukakhala pansi, miyendo iyenera kuikidwa pa phiri la 15-20 masentimita ndipo palibe chifukwa choyenera kuponyera phazi.
4. Ndikofunika kukonza chosiyanitsa chosiyana kwa ziwiya, zomwe zimapangitsa kulimbitsa.
5. Nsapato zokhala ndi zidendene zapamwamba, zopapatiza komanso zosasangalatsa, ndizo bwenzi lapamtima la mitsempha ya varicose.
6. Ngati muli ndi kulemera kwakukulu, muyenera kuyesetsa kuchotsa izo, kuti muchepetse kulemera kwa miyendo yanu.
7. Muyenera kusunga madzi kuti muteteze magazi.
8. Muyenera kudya kuti musamangidwe, zomwe zimapangitsa kuti mitsempha ya varicose ichitike.
9. Kumwa mopitirira muyeso mowa ndi kusuta zimapangitsa kuti mitsempha ya varicose ifike.

Malangizo a phlebologist a thrombophlebitis

Malangizo a phlebologist a matenda monga thrombophlebitis, ndi ofanana ndi mitsempha ya varicose, choncho uphunguwu udzachepetsedwa kufikira kukhazikitsidwa kwa zochitika ndi zomwe zikuthandizira kupewa matendawa.

1. Kuchita masewera olimbitsa thupi "birch" ndibwino kwambiri kupewa, choncho ndi bwino kuti muzichita nthawi zonse.
2. Ndi kudzikuza kawirikawiri kumapeto kwenikweni, kulimbikitsidwa kuti muyike usiku pansi pa mapazi.
3. Zochita zolimbitsa thupi zimayambitsa kuyendayenda kwa magazi ndi kuwonjezera kuphulika kwa minofu, mitsempha ndi mitsempha ya magazi.
4. Pa nthawi iliyonse yoyenera, tikulimbikitsidwa kuti tizitha kuzungulira mozungulira ndi kuyimilira kumbuyo.

Kubwezeretsa mitsempha - uphungu wa phlebologist

Zimatengera nthawi yambiri kubwezeretsanso mitsempha, koma zonse ndizotheka ngati mukuyandikira vutoli mozama. Ndizotheka ndi kofunika kugwiritsa ntchito bwino ma venotonic - uphungu wa phlebologist pa nkhaniyi waperedwa kukhala mndandanda wa mankhwala othandiza omwe akugwiritsidwa ntchito potsata ndi kupewa.

• Escuzan;
• Detraleks ;
• Chithunzi;
• Mzinda;
• Glivenol;
• Dopellerts;
• Shungite;
• Chithunzi;
• Chodabwitsa;
• Antistaks;
• Venolek;
• Eszin.